HomeMy WebLinkAboutHIGHLAND PARK BLK 3 LT 7L7
~ ~'.~":&TER ANCHORAGE AREA BORO
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
N? 644
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
ADDRESS _ .- PHONE
LEGAL DESCRIPTION
DISTANCE FROM WELL -~-~-~/',z'. ~ / ::~&- MATERIAL ~"'/,"~/-v'~'.A"Z'~'~%~'/-~/~'~':~J',~''-, _COMPARTMENTsNUMBER OF ,/
..~/...~,//.
LIQUID
LIQUID CAPACITY ,,Z'~~'~''~ "~' GALLONS. INSIDE LENGTH / INSIDE WIDTH ,------ DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS // OUTSIDE DIAMETER
OR WIDTH ,~ . LENGTH , DEPTH
DISTANCE FROM WELL ~"~/~/'~/~X ,'~'~/~-~"-?~,%' BUILDING FOUNDATION
TOTAL EFFEC]IVE ABSORPTION AREA (WALL AREA)
SQ. FT.
TILE DRAIN FIELD:
DISTANCE EROMWELI FOUNDATION_ , NEAREST LOT LINE
TOTAL LENGTH
OF LINES
~_~OTAL EFFECTIVE
IN. ABOVE TILE____
WATER
SAMPLE
WELL: _.~-~.-_~c//~,~//.4.. /-~/. ~,~.,,.%~,~ //,.-2-~-.~4~27~ DISTANCE FROM
TYPE ,/"~.~".;~-~/~'-- , DEPTH ~')/<: , BUILDING FOUNDATION,
NEAREST SEPTIC SEEPAGE
LOT LINE ,6:./~;" : SEWER LINE .¢?/'~" , TANK ,.47.'~ , SYSTEM .~'?./(~' , CESSPOOL ~'~,.~-
DIAGRAM OF SYSTEM
DISTANCES:
, NEAREST
OTHER
, S O U R C E,:~/-~.~-/=''''-
D AT E -.-~.-//~--~<:-"p-('~,--~ ' ,
G~_AFER ANCHORAGE AREA BOROUGH
DEPARTMENT OF' ENVIRONMENTAL QUALITY'
3500 TUDOR ROAD POUCH 6-6§0
ANCHOBAGE, ALASKA 99502:
TELEPHONE 2?9-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION LOCATION
INSTALLATION Of: SEPTIC TANK ~/ SEEPAGE PIT ~ , DRAIN FIELD OTHER
FINANCED THROUGH TO BE INSTALLED bY
~ '¢~/~ ~ NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL 'rest
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
SEPTIC TANK TO SEEPAGE Pit WALL
WELL TO SEPTIC TANK
DRAIN FIELD ///?
/
SEPTIC TANK,
., DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS
.. SEEPAGE PIT
...... DRAIN FIELD
TO RIVER, LAKE. STREAM.
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.
GRAVEL BACKFILL
CONFORM *]FO BOROUGH REGULATIONS REGARDING INSTALLATION,
HEALTH AUTHORITY
OR
LICENSED DESIGNER
] CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINAN.?NO, 28-68 AND THAT THE ABOVE
GREATER ^NCHORAGE AREA BOROUGh
IIEALTH i)EPAkTHENT
327 'EAGLE STREET
ANCHORAGE, ALASKA 99501
CASE
Performed For ~'/r~/-/~t/ //~:~.~;~{-~2~ , ~ Date ~erformed
Legal Desc~lpt.~on: Lot ~Bloc~.:~bd~ ~s~on~/~
7t~s Fern {e~o~ts a: So~]s Log ~ .~olat~on Tes~
Depth
Feet Soil Char'a~:terlstics Location Sketch
Was Ground Water Encountered?
Ii: Yes, At W?at Depth
Reading Date Gmoss Time Net Time geloth Te H20 ~.: ~
. ,~e. Drop
/
Proposed Installatzon: oeepage Pit~ Dr'ain Field
Oeoth Of Inlet ~ '~ '
· ' -- ~ ~,{.[)tg To Bottom Of P~
COMHEh[~. ~/~__ ~ ~-~ ~l~',~ ........... -
Test Performed B~: ~
Data Certified
Date: ' _~ 7 ~ .~ ~
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Time of Inspection_~_~_/~-~
Date of Ins~ection~~/
REQUEST FOR APPROVAL OF
INDIVIDUAl, S£WER & WATER FACILITIES
FO~
Address:
Phone:
A. Type
C. Construction
Depth
D. Bacteria] Analysis
Sewage Disoosal System:
Septic Yank: 1. $ize~~2. ~snufs~or~r
Seepage Pit~ 1. Sizs 2. ~stsri~l_ .
Disposal Fie]d: Total Length of Lines
8. Distances:
A. Well To: Septic Tank
, Nearest Lot I.ine
B. Foundation to Septic Tank
, Absorption Area , Sewer Lines
, Other Con'tsmination
'~ AbSorption Area
C. Absorption Area to Nearest Lot Line
Request for Approval of 1 ivtdual Sewer & Water Facilitie~
Page Two
Comments:
Ap'~>r vf~5~"Valid for One Year From Data. Siqned
Greater Anchora(je A~'~ea gorouoh, Der~artment of Environmental Quality
DTAGRAM OF SYSTDA
I certify that the information contained in this request for approval to be a true
and accurate representation of the subiect sewer and water facilities located at:
Signed Date
FIBS1'
NflTIONflL BriNK
OF FINCItORfl~. E
March 29, 1973
Greater Anchorage Area Borough
Department of Environmental Quality
C Street
Anchorage, Alaska 99501
Gentlemen:
We would appreciate a field inspection of the Sewer Disposal
System located on Lot 7, Block 3, of the Highland Park S/D.
We are refinancing this property and a current inspection
and approval is necessary.
Very/~ly yours, / /
~6b~.rt E. Baer
Asst. Vice President
[he First National Bank of Anchorage · P.O. Box 720 o Anchorage, Alaska 99510
/
A~c;-BUll,'J'
hereby t'(?rlii'y that I have sm'v.v.d
~ ~ " ' '
January 6~ 1971
l'k~.. Kenneth Be~,g
~-~300 Apctic Blvd.
Anchomage~ Alaska 99508
SUBJECT: Per.mi~ and Applica'tion for Sewage Disposal
System, Lot 8, Block 3, ]{ighland Patak Subdivision
Beam [.1~. Bex~g:
Augus'~ 20~ _].970~ you obtained a p~.mlit fl~om 'tais DepaP'tment
fo~~ the installa'~ioa of ~ aewage disposal system. As of
this date~ 'tho permit is s'ti].], outatanding,
Please advise 'this Bepa~,'tnlon-~ if you have .instalied~
s~J.%l in't~md '~o ins'~al].~ a scwe~ system on 'the sub'Jec'~
p~,opcp'~y and ~.~ish you~ pea,mit kept p~md.ing in our, files.
Sincere.ly ~
C.S. t,lcl(cchnie
Eiivivonmen'tai ll~al'th Aide