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Home My WebLink AboutMCCAUGHEY BLK 2 LT 1A GI~TER ANCHORAGE AREA BOROL~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING '2~2~2.,- ~'~ ~:~4,,. PHONE ADDRESS LEGAL DESCRIPTION ~¢'~1 SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY GALLONS. MATERIAL ~ ~ NUMBER OF COMPARTMENTS / ~ ~4" '/"'~'¢"~'¢'~ ~ ' 7 ~ LIQUID INSIDE LENGTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER OR WIDTH '"~" ~' DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA WALL AREA , LENGTH ']~'-- , DEPTH ~¢ BUILDING FOUNDATION "~-~'"'~' . /08'~ SQ. :T. TILE DRAIN FIELD: DISTANCE FROM Wf / NUMBER OF LINES~ ABSORPTION AREA DEPTH: TOP GE TILE TO :INISH GRADE TOTAL LENGTH ~NDATION NEAREST LOT LINE ,OF LINES DEPTH OF FILTER MATERIAL BENEATH TILE' IN. ABOVE TILE WELL: TYPE. r-~/'~" '//'~"'~ DEPTH LOT LINE ~'~ '''~ , SEWERdEAREST_ NE ~'~"~ ° DISTANCE FROM ,/~ ' WATER ~ , BU LDING FOUNDATION. SAMPLE NEAREST OTHER SEPTIC ~O '~ SEEPAGE ,,/~ ! , SOURCES · TANK . SYSTEM CESSPOO[ '~ DISTANCES: DIAGRAM OF SYSTEM H~ ~s~ DATE APPROVEDi~].~f, HEALTH A U TH ~'~'TY GAAB-H D-2 GREATEF~,,'ANCHORAGE AREA ~'~)ROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279.2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAIVIE OF APPLICANT RESiDE.CE ADDRESS'"~ ~'~'~~:~)"~/~/¢~ LOCATION O~ ~.S~A~O. APPLICATION TO INSTALL: SEPTIC TANK ~ ,SEE~AGEPIT. ~ ,DRAIN FIELD ,OTHER TO SERVET.E ~O~OWmG,AC~UTY ~ ~- FINANCEO THROUGH ~ TO BE INSTALLED BY. ~/ ~R; A,,~TEST - ~E~ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT -- ~ ~ ~ PERMIT TO INSTALL A SIS TO SERVE AS , / ._~ , .ESC.,BE. ,E~OW. S,ZE OF U.,T To BE SE.V~ ~ ~' AS ~ ] . . SEPTIC TANK SIZE ~ TYP~ SEEPAGE AREA .. ~/~~DIAGRAM OF SYSTEM D ISTA N C ES: ~/~/'~/~ I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described ~t~m/n accordance with said code. ~~\, k,, ., GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection ~:oo -- Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL sEWER & WATER FACILITIES FOR Approval requested by: F~ ~ o 4. 5. 6. Mailing Address: Property Owner: Mailing Address: Legal Description: Phone: ~/~ ,~~ Phone: Location: Type of facility to be inspected _ o rooms Well Data: A. Type ~ -~-~!'-- ~ ~'J ~'/"= ) B. Depth C. Construction (~ D. Bacterial Analysis Sewage Disposal Syst~om:~ ~-x~) A. Installed ,.~"~d7~ ~ B. Installer C. Septic Tank: 1. Size /~04.p-<9 2. Manufacturer D. Seepage Pit: E. Disposal Field: 1. Absorption Area ~5-~L Total length of lines 2. Material Distances: ! A. Well to: Septic tank G~b , Absorption area Nearest lot line ~O'-Y' , Other contamination Bo ! / 00 , Sewer Lines Foundation to septic tank ~/ , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO __ VA FHA 2. Property Owner: .~y~ ~KZ~ Mailing Address:L_ Daj~ Phone ~.~/ Mailing Address: ~ ~ ~mS?i~ ~r~ Day Phone 4. Name of Lending Institution: Fqmr.~ ~ Mailing Address: ~ ~ 0 ~ Pl~one 5. Name of Realtor or Agent: ~/~ /~mJ~??' Mailing Address: (~ ~ ~/~¢~ .)~J~hone 6. Legal Description: Location: ~ CONV / 7. Type of Facility to be inspected: No. Bdrms~ 8. Water Supply Type of Supply: Public Utility Individual 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 Individual (on-site) EQ-037 (1/74) ~. TO~ Abbott 2222 East 68th Avenue Anchorage, Alaska ~9507 SUBJECT: Lot 1, Block 2 ~uBhey Subdivision Dear Hr. Abbott: An inspection of the subject p~perty revealed that the ~ell ~as located in a pit approxfl~tely lO' deep. The well distances to the sewer are adequate fee a slg~le family deelling only. The ~ater sample proved to be satisfactory. The se~er appeared to be functioning properly and is apuroved for a 3-bedroom house accordtno to our files. Before approval of the sewer and water systems can be given, the welt pit will need to be filled with dirt. Secondly, if the house ts a 4-bedroo~ house, as indicated by the original sewer approval request, the sewer will need to be up- graded to accords)date a 4-bldroom house. If you have any questions, please feel free to contact me at 274-4G61, extension 1)). Sincerely, Lynn Coed, Sanitarian LC/ko 06A 220~) Rev. 1973 ALAr-% DEPARTMENT OF HiALTH AND SOCIAL Sr~'~CES'~ ;.DIVISION 01: I~UBLIC HEALTH .... INDIVIDUAL AI~D SEMI-PUBLIC DATE BACTERIOLOGICAL INDIVIDUAL~ SEMI-PUBLIC : CHLORINE RESIDUA[ PPM ADDRESS COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY DATE'cOL,ECTED T,ME CO,,EC,ED Well -- ~1 Dug [] Driven [] Drilled [] Bored SOURCE: [] Spring [] Cistern [] .Dug Well.or Cistern Construction: Walls-- ~- Wood [] Concrete [] Metal Top -- [] Wood [] Concrete [] Metal LOCATION: [] In Basement [] Basement Offset~ I~ln Yard [] Other ' Building Sewer DISTANCE TO: or Other Drainage Pip~ Feet. Tile Seepage Cess- Field __ Feet. Pit Feet Pool Feet. Other Possible Sources of' Contamination MATERIAL: BuHd~ng Sewer- [] Cast Iron [] Wood [] THe [] Fibre [] [] Plastic Joint Mate~'Jal - Type GENERAL: Does Water Become Muddy or Discolored? [] Yes PURPOSE OF EXAMINATION: Illness Suspected? [] Yes i-WA T E'R.. :A NALYS I S r~ Tile [] Open *Top [] [] Under From Bottom __ ~Feet. Offset Jn In Utility Basement [] In Basement [] Room ~ READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Lab No. ~ ' ' '~' ' OFFICE Analysis shows thls Water SAMPLE to be: ~Satisfactory [] Unsatisfacto~y [] Questionable [] Sample too long in transit; sample should noi be over 48 - hours old at examination to indicate reliable results.~PJease send new sample. [] Bottle broken in transit, please send new sample. SANITARIAN'S REMARKS :I [] [] Yes Il]eNo Signature :C ' 06-1220 ',b) B~4A~TERIOLOGICAL WATER ANALYSIS RECORD Rev. 1973 : :~: ' TimeRece,ve. La~tose Broth '. ' ' 10cc 10cc 10cc 10cc 10cc 1,0cc 1.0cc 4R iHours ~: I EMB ' ~ \ L&ctose B?~th, 24 hrs. Co'liform D~'~sity, MF Results Reported by This analysis indicates Coliform Organisms to be: *, AGAR ,~ 48 hrs. Gram's stain '' ',Most probable No. per 100cc) a~m~ .