HomeMy WebLinkAboutMCMAHON #2 BLK 9 LT 184: 017 362.07
GREA,ER ANCHORAGE AREA BOR .JGH
Department of Environmental Quslity
3330 C Street
Anchorsge, Alaska ge503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
M A N U FAC T U R E R~./i~{..~.~
INSIDE WIDTH
MATERIAL "~--C~
NUMBER OF
COMPARTMENTS
LIQUID DEPTH
LIQUID CA PAC f TV/~,-"~"'O GA LLON 5.
TILE DRAIN FIELD:
DISTANCE FROM WELL/O~) ! FOUNDATION ~
NUMBER OF LINES / DISTANCE BETWEEN LINES
DEPTH: TOP OF TILE TO FINISH GRADE
NEAREST LOT LINE '''~' !oFTOTALL~NEsLENGTH ~A.?/ /
/~//~ TRENCH WIDTH7~ IN, TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE
~7/ j DEPTH OF FILTER
MATERIAL BENEATH TILE ~-~ ~. ABOVE TILE g'~ IN.
WELL: ~)
TYPE ~ , CONSTRUCTION _/~~~O ~
BUILDING NEAREST NEAREST SEPTIC
FOUNDATION__ LOT LINE SEWER LINE , TANK
CESSPOOL
, OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DEPTH
SEEPAGE
SYSTEM
DISTANCE FROM:
DISTANCES:
/
SEWER LINE DEPTH: ~'~
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
G.A.A.B. P /
Form EQ-032
T'i"I!i: L.iii~J",Jl:3'Ti.'! [::, ]: J"i[ii:i",l:~J; ]: Ob,I :[ :~i; THE: I....E.i",II:3TH ,:: .[ J",l I:::[i~:ET ::' CJI::: THE 'T'l:ii:tii:!",lE:i'l Ol:;i: [::,!:;i:i:::! :( iqJ:::' :I: let..[::,.
Ti..lli~ [::,liii:F'TH Oi:::' l:::l 'TI::i:E:i",IE:H Ed;i: l:::']:i' Z:~i; THE [::, :t: :~!;"['I:::I,~',II:::E!: E',IE'T'i.,.tt!!!:E~N Tl'.lliii: :i~;I..II:;i:I=F:IE:E: i:i)]::' TH[ii:
i::ili:;i:E)i..li'-,lj:) i:::[J",iC:, 'l'!!iii~: E',i:i)T'r'Ed-fi CIF' THE: [.!:2,:.:;C:I:::I',,,'F:I'T':i:CII'.,i ,::!:i'.,! F'EET).
'iilE:F:E )::ii!; i'.,tO :!!!;!ii!:"[' H:[[::,"r'H F:(3F~: TI:(:E:HCHE;S!;.
T'i. IF: ~;:iii:i;:i:::l',,,'[::i.. Dtii:F:"T'H Z:!!; THE I',I]:H:[HLJi',i E.'-'Iiii:F:'TH Ell=.
',:::d'.,Lr::, i"!.!E E~i:::i'TTCii',I Oi:::' 'Fl-Iii!!: IE::.::E:F:I',,,'I:::IT:I:CiI",I ,:::i:l",! r.::'IEET::,.
:j.ii::.i[i:i ............ i:::F:'i:::'"(' i:::'i't[;~' i::t i I""':" .... ...... [."' l,.ili!i:i...i ...... 'I:~' ;:::,i:::i¢::i F'EE:T FEd:;: i:::1 [::' .tE I..:i:E: t.,.IE:L.i
!,.ii!::'L.i.. i." :::i':.: !:::iI:;;:E: i:;;:E(;!U):l::i:lii:[::, [::11",!I:::, i"I .':!:;'T' E',!::!: !:;;:E'Tf..II:;;:N[~:[) Ti:)THE [::,E:I:::'FiF;i:"I"I',itiii:HT
i::¢i:::' 'T.-I!':.: i.,.iL~:i....L. COHI:::'I..E:T :i: Oh,l.
'""~"~"'"' '~', .,. ' "' _ . ' ...... ' i:::!!:;:[ii: '"'
:::,. :: ........ l:::' ~' C:i.-:i'T ): (:.iP4::ii; i:::ff',![::, !'" r'd'.,F:;TFi'I IC'T' :i: Cfi",] I:::, :[ i'"l =fi,:.-- , [:::!'v'l:::i :t: I....i:::ii3L.E!: "r'o :[ !,.,!:~!;i...il:;i:l:ii: i. F.L t ,:= .
:i: i",l::ii; T i' :Ii... ! .. i:::[ T :i: C!
De.r~tment of Health and Environment~'"-protection
2516 E. Tudor Road
Anchorage, Alaska 99507
276-2221
,q()[l,S I,()(; Iq,HIOI,ATION TEST
Performed for
Legal [)escri p-J;'i'b-n'~ .... .......................... Z"-;~ .... ,~ ~'-'-T"--~--~--~=____?TZ- ~-~Tl~-'~f-}7-O'/,./_
This form reports: Soils log Percolation test
Del) th
Feet
7-
9
12-
14-
Was ground water encountered?
Date
If yes, at wilaL depth?
Reading [)ate Gross Time Net Time Depth to Water
Percolation rate .linute.
-Proposed installa-t~-~'n-:.---~'6-e~-ge Pit ___~_~..g_/.~_~'/! ..... Drain Field ......................
.......... Depth ,to bottom oF pit or trench /~ __.
DepU~ of Inlet ....... . .........................
COMM[NIS: .......................................................................................
Net U~op
040 (G/7,4) u - --
2 .5~
LEGEND:
~1 Bross Cap Monument
6) Iron Pipe
® Steel Pin
m Survey Hub ~ T~ck
.,1
/
I hereby certify that a survey of Lot ~ , Block
Subdivision was made on (~-.2'-7~o and
that the improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying adjacent thereto,
that no improvements on property lying adjacent thereto encroach on
the premises in question and that.there are no roadways, transmission
lines or other visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska, this -~ day of
19
CoNSTRuCTING ENGINEERS
SRA Box 60, Anchorage, Alaska 99507
344-0817 344-7960
DATE~ RECEIVED
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR I NSPECTOR~
MUNICIPALITY OF ANCHORAGE "U CfR
~ ~ ALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONDEP
825 L Street - Anchorage, Alaska 99501 ENV[,~ONMEN~,AL .... ~i~TIO~
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720 AU~ ~ z~: ~0
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER ~ ~ ~ PHONE
MAI ~ING ADDRESS
PROPERTY RESIDEN~Jlf different from above) / PHONE
2. BUYER PHONE
MAILING ADDRESS
I
MAILING ADDRESS
[ PHONE
MAILING ADDRESS
5. LEGAL DESCI~PTION ' ~ .4, ~
6. TYPE OF RESIDENCE // NUMBER OF~BEDROOMS
[] One [] Four [] Other~
E~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [~ Three [] Six
7. WATER SUPP~LY
[~j~/INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTILITY depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE** ~q~(.,~ YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) /~ /
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] S~X
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVI DUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verifiedz. LOG RECEIVED
3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] I NDIVI DUAL/ON -SITE DA'~E INSTALLED
[]PUBLIC UTILITY
Connection Verified _ INSTALLER
[]Septic Tank or []Holding Tank
Size: /~~-5'~) If Tank is homemade SOILS RATING
give dimensions: I/.~-'
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line
I
WELL TO:
Absorption Area to nearest Lot Line
5, COMMENTS .-
[] APPROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[]~ DISAPPROVED
DATE BY
72-010 (Rev. 6/79)
1. Approval requested by:
4.
5.
6.
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Qual. ity
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Mailing Address:
Property Owner:
Mailing Address:
Date Received
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Edward Herzog
2418 East 20th Avenue
Legal Description: Lot 18 Block 9 Mc Mahon
Location: i See attached map
Type of facility to be inspected
Well Data:
A~ Type
C. Construction
Sewage Disposal System:
Individual
Single Family
B. Depth
D. Bacterial Analysis
On-st£e system
B. Installer
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
Distances:
1. SiZe 2. Manufacturer
1. Absorption Area 2. Material
Total length of lines
A. Well to: SePtic tank
Nearest lot line
B. Foundation to septic tank
, Absorption area
, Other ContaminatiOn
, Absorption area
January 21, 1977
1:3~ p.m.
1-24-77 Monday
Pratt
Phone:
Phone: 277-3166
C. Absorption area to nearest lot line
No. of bedrooms 3
, Sewer Lines ,
EQ-034 (1/74) Page 1 of two pages
~ Page2 of two pages - R<~ ist for Approval of Individual ~r'~er & Wa{er Facilities
~e§al Descrlptl0n Lot 18 Block 9 Mc Mahon Subdivision
Comments '
Approved
~~~~/ Disapproved Date
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
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)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection:
2. Property Owner:
Mailing Address:
3. Name of Buyer: ~//~
Mailing Address:
4. Name of Lending Institution:
Mailing Address:
5. Name of Realtor or Agent:
Mailing Address:
CM RO VA
FHA
Day Phone:
MUNICIPALITY OF ANCHOPJ~.GE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION;
8 1977
RECEIVED
CONV '//
Day Phone:
6. Legal Description:
Location:
7. Type of Facility to be Inspected:.
8. Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
No. Bdrms. ,~
Individual
Individual (on-site).
72-003(3/76)
Jf/J,I~CIPALITY OF ./~NCHOP, AGE
DEFI'. C~: HEN.TH
ENVIRONMENTAl. PROTECTIO~
FEB 9 1977
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Qual itvMUNICIPALITYDE~.~ OF ANQ40
J OF HEALTH
3330 "C" Street, Anchorage, Alaska 99503 ~4~/tI~N~NTALPROTECTIOhl
Date Received
Time of Inspe,~~
Date of Inspect-ion
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by:
Mailing Address: 2.ql~ E~. ~(b~--- Phone:
2 ' Phone:
2. Property Owner: ~(.~
Mailing Address: &~
3. Legal Description: ~t
4. Location: ~ ~ [~
T~pe o~ ~a~t~ ~o ~e ~nspe~te~ ~.,~,~., ~L% ,o. o~ ~e~roo~
6. Well Data:
A. Type
C. Construction
7. Sewage Disposal System:
A. Installed
B. Depth '.
D. Bacterial Analysis.'i
B. Installer
C. Septic Tank: 1. Size
D. Seepage Pit: 1. AbsQrption Area
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
2. Manufacturer
2. Material
, Absorption area
, Other contamination
, Absorption area
, Sewer Lines ,
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages