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Home My WebLink AboutMCMAHON #2 BLK 5 LT 57 33 ANCHORAGE AREA BO '-'IGH Department of Environmental Oualit¥ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS ~?~' ~¢-'. '/// ~A/¢/¢ PHONE LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL~12/0 ~ i/V INSIDE LENGTH "~- MANUFACTURER U~' ~'t~¢ INSIDE WIDTH MATERIAL ~'~/ LIQUID DEPTH NUMBER OF COMPARTMENTS / LIQUID CAPACITY/~I¢) GALLONS. TILE DRAIN FIELD: DISTANCE FROM Well//~0 ~R~?~/~k~FJgUNDATION /~ !~ NUMBER OF LINES ~ DISTANCE BETWEEN LINES ABSORPTION AREA ~--~-- SQ. FT. DEPTH: TOP OFTILE TO FINISH GRADE /?/ '~' I TOTAL LENGTH ~ NEAREST LOT LINE ~) OF LINES ',..~'~. /~//J~ TRENCH WIDTH ',~:~IN. TOTAL EFFECTIVE LENGTH OF EACH LINE ~4.~,~, I DEPTH OF FILTER ) MATERIAL BENEATH TILE ~;~ I.~-. ABOVE TILE ~// IN. WELL: /~/0 ~' TYPE _ BUILDING FOUNDATION CESSPOOL APPROVED LOT LINE .,~, SEWER LINE -~--~..~T. ANK , OTHER SOURCES DISAPPROVED REMARKS DEPTH SEEPAGE SYSTEM DISTANCE FROM: DISTANCES: INSTALLED BY: . / SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: ~ REMARKS: /'2'~' DIAGRAM OF SYSTEM G.A.A. B~,~. Form EQ-032 ~v is the responsibility of the owner or builder, prior to construction, to determine any easements, covenants, or restrictions which do not appear on the recorded subdivision ~lat. GR[:-"-"-"R ANCHORAGE A DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK / SEEPAGE PIT DRAIN FIELD , OTHER TYFE AND SIZE OF F ACIL,TY TO "E SERVED '_~ i~ .~.Z..,,,~,. COMPLETION DATE ANTICIPATED ~'P' ¢~ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, SEFT,C TANK S,ZE 1~ ~ 0 j,¢--'~ / TYPE m~..~-,.--~-. ~.r,~- l"'- SEEPAGE AREA SIZE "~'~' TYPE MINIMUM DISTANCES, REQUiREME~NT~ FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ~ SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ~ ., SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK / ~ DRAIN FIELD ~/~ ~ WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, ~ ~'~ ~ SEEPAGE PIT TO RIVER, LAKE, STREAM. ~ DRAIN FIELD ~'/~ /- SEEPAGE Pit ~ ALSO CONSIDER AREA WELLS. j SEEPAGE Pit DRAIN FIELD/~g ~ CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. ~ ~..~ ~ ~. ,~,.. ~ ./ .t ~ ~ ,,.~ / ,~ f ~. , x GRAVEL BACKFILL ,.~/;--z" ,~. -)-~ CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF' SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE A~E~I~I~)UGH ORDINANCE NO. 28.68 AND THAT THE ABOVE FO~M NO. EQ'016 Performed fo r,~ Legal Descrip/t'ion:/o7c~~ This form reports: Soils log ,-'--~, GREATER ANCHORAGE AREA Department of Environmental q_ ity 3330 "C" Street Anchorage, Alaska 99503 SOILS LOG - PEROLATION TEST Date Performed Percolation test Depth Feet 10- 13- / Was ground water encountered? If yes, at what depth? Reading Date Gross Time Net Time Depth to Water Net Drop Percolation rate minute. -Proposed installat~': Seepage Pit Drain Field [)epth of Inlet ............. · Depth to bottom of [)it or trench COI.)MENTS: EQ-040 (6/74) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received January 5, ~976 Time of Inspection_..~2~2.7.~_ Date of Inspection~J~ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. l. ApProval r'equested by: Alaska State Bank Mailing Address: 2. Property Owner: John L. Short Mailing Address: 310 East Northern Lights Blvd. Phone: Phone: 279-7637, x 36 277-2527 3. Legal Description: Lot 5 Block 5 Mc Mahon Subdivision ~F~ 4. Location: Off of Huffman Road, right on Leslie Street, left on Furrow Creek Road 5. Type of facility to be inspected Single Family 6. Well Data: Individual A. Type ~ B. Depth C. ConStruction ~ D. Bacterial Analysis 7. Sewage Disposal System: On-site system ~~.. B. Installer A. Installed C. Septic Tank: D. Seepage Pit: 1. Size 1. Absorption Area E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line 2. Manufacturer , AbsOrption area , Other contamination No. of bedrooms 3 , Sewer Lines , Absorption area 2. Material EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re, st for Approval of Individual ! ~r & Water Facilities Legal Description Lot 5 Block 5 Mc Mahon Subdivision 92 Comments A p p r o V e d r~/~t ~)~.~Ct~ Disapproved Date /-/4-70 Appr~v~l ~Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) ~7,anuary 2, 1976 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ANCHORAGE DEP.\RTMENT OF HEALTH & FNVIRONMENTAL PROTECTION RECEIVED 1. Type of Inspection: CMRO VA 2. Property Owner: SHO~¢ Jo~ L. & Olivia A. Mailing Address: ~,~rcx¢ Creek Road 3. Name of Buyer: Mailing Address: FHA CONV :x20(~ Day Phone 277-2527 Day Phone 4. Name of Lending Institution: A_!_a'~ka ;;:laab:~bozd: Mailing Address: 310 E. Nor'c~ez~ Liqhts Bled. 5. Name of Realtor or Agent: N/A Mailing Address: Phone 279-7637 Phone ext. 36 Legal Description: T,q; RTz Mtgl~hm ~q,/D ~? Location: f~¢¢ of H~¢~ ~H,/~r~¢- r~ '~'¢¥~'14~ q'h~':'~"r ~;~'Fh <m Type of Facility to be inspected: S~gle f~ly ~sid~ Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation No. Bdrms. Individual Individual (on-site) EQ-037 (1/74) STATE OF ALASKA '' q ,TMENT OF ,EA,T, - Lib No ~ DIVISION OF-PUBLIC HEALTH '-. ;: ' '' ' BACTERIOLOGICAl=- WATER ANALYSIS OFFICE iPUBLIC [] NAME SEMI-PUBLIC [] INDIVIDUAL ~1 REPORT RESULTS TO- OTHER Records in this office indicate this WATER SUPPLY to be of: Satisfactory [] Questionable [] Unsatisfactory Sonilary~Status. Analysis shows this Water SAMPLE to be: ~ Satisfactory [] Questionable [] Unsatlsfactp~y, ~.. IF an "Unsatisfactory" or 'Questionable' status is indicated above you should take immediate action as recommended below. 1. Notlfy. consumer~ water is polluted. Boil or chemically treat this water as outlined in the enclosed leaflet "Drink It Pure." SAMPLE COLLECTED BY / ~ ' _ ' :l ' 2. Increase chlorination suffldently to meet recommended residual standards· .... am · Determine source of contamination and take action necessary to malntaln DATE COLLECTED ./ '~ _' _ TIME COLLECTED pm a safe Water supply at all times. Sample Co[lecled From ~[] Kitchen Tap [~ Bathraom Tap [] Basement Tap I 3. Check chlorination ~nd other Fnechanlaal equipment. Make ce'rtain it is Other fundionin9 properly. 4. If after checkln§ ~quipment a disinfecting ~esidual is not obtalned., plea~~ wire thi~ office for emergency assistance or advisory services= - 5. This is a surface water source and subject]o ~ollution by man and aflimals. An approved water supl~ly source· should be developed. 6. Improve your [] spring I~ dug well [] driven well [] drilled well [] cistern. - . 7. Relocate your well lo a safe location in relalionship fo your sewage disposal system. [] see enclosure 8. Sample Ioo Iohg i~ transit: sample should not be over 48 hours old at examination Io indicate reliable results please send new sample. [] E~otfle Broken in transit, please send new sample. _. 9. Contact your ne~re'st [] Local Health Deparlment or [] Alaska Division of Public Health, sanitation office tar bulletins, consultation and - assistance. SANITARIAN'S REMARKS Well- [] Dug [] Driven [] Drilled [~ Bored ' SOURCE: [] Spring [] Cistern . [] Olher ' Dug Well or Cistern Construction: Brick or Wails- [] Wood [] Concrete [] Melal [] Tile [] Concrete, Top - [] Wood [] Cor~rete [] Metal [] Open Top LOCATION: [] in Basement [] Basement Offset [] Under House [] In Yard [] Other Building Sewer Septic DISTANCE TO: or Other Drainage Pip~ Feet. Tank F~ Tile Seepage Cess- Field Feel. Pit Feet, Pool Feet. Prlv¥ Fe~ Other Possible Sources of Conlam;nafion Cast MATERIAL: Building Sewer * [] Iron [] Woad [] Tile [] Fibre [] Asbestos Cement. GENERAL: Does Water Become Muddy or Discolored? [] Yes [] No , When? Diameter of Well. Deplh Feet Well Casing Material Diameter Deplh ' PUMP LOCATION: [] In Well [] Basement [] In Baseme ~1 Room - [] Of Well ~1 Other PURPOSE OF EXAMINATION: Illness Suspected? [] Yes [] No New Source of Supply? [] Yes [] No Repairs 1o Syslem? [] Yes [] No ]'Signature. READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD Date Received . rime Received - on~ Lab No. / . Lactose Broth ~: 10cc 10cc 10cc 10cc 10cc 1.0cc 0.1 cc 24 hours 48 hours .' Brilliant Green ~ . 24 hours i":- 48 hours EMB . AGAR Lactose Broth, 24 hrs. ~- ~8 hrs.- Gram's slain Coliform Density :; " (Most probable No. per 100cc.) MF results ~ ~, This analysis indicates Coliform Organisms to be: Date A.bs~t ~ Present