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Home My WebLink AboutHIGHLAND PARK Block 6 Lot 3 G~"=ATER ANCHORAGE AREA BOROf~GH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N? 607 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ADDRESS /~OL~ J~...2 ~g"/J' P//-XJ/-~- PHONE~.TZ-'~'I~'/"~ DISTANCE PROM WELL C, /~, Z-Z. LIQUID CAPACITY / ~-) t"~ ~ GALLONS· NUMBER OF MATERIAL ~JL~(tJ~c'fT'~ Lz? COMPARTMENTS ~IQUID INSIDE LENGTH - INSIDE WIDTH DEPTH SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAl NEAREST LOT LINE SEEPAGE PIT: / OUTSIDE DIAMETER OR WIDTH /'~'/Y / DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH ~ ~'~ / , DEPTH BUILDING FOUNDATION. SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE //"'/"' . FOUNDA% , NEAREST LOT LINE DISTANCE BETWEEN LINES~x. TRENCH WIDTH_ ____ SQ. FT. LENGTH OF E DEPTH OF FILTER MATERIAL BENEATH TILE ~..l'O IAL LENGTH · ~ OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE WELL: __ DISTANCE FROM WATER TYPE ~-~, DEPTH , BUILDING FOUNDATION '--~ __SAMPLE "iz/~'~'~(~ , NEAREST NEAREST SEPTIC SEEPAGE OTHER LOr LINE , SEWER LINE --' , TANK -- , SYSTEM ---' , CESSPOOl .... , SOURCES DISTANCES: DIAGRAM OF SYSTEM ~'I~A LT H AUJHORIIY DATE '7'/ GREATE" ANCHORAGE AREA 'OROUGH ') HEALTH DEPARTMENT · 327 Eagle St. Anchorage, Alaska 99501 279.2511 Case No. SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESU L FS,,~;'~/,,''~. NAME OF APPLICANT ./',.~/'/'/. ./:'~).,,~-~-.:./'-~.,~zC~ MAILING AODRESS..~.~¢;':.~ ~.,".~'; ~;"?'¥~( PHONE NO: RESIDENCE ADDRESS .~,,(:',,,~>-~ LOCATION OF INSTALLATION_ C~/'/..~---;~/',,.~,.~/~?' LEGAL DESCRIPTION ~-¢-'./- :.~, ~,4' ~ ./// (~//~.,~/:/,,.:~ z./,~ "~ ~r- APPLICATION TO INSTALL: SEPTIC TANK z:/' , SEEPAGE PIT ,DRAIN FIELD .,OTHER. TO BE INSTALLED BY__~_.-~,.--~', ~-'~x/,.- ~:&~'"ANTICIPATED DATE OF COMPLETION..-~--~-.-/./~¢.:...- BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS/~/~', .~.~'~'~:~: , PERMIT TO INSTALL AS DESCRIBED BELOW. ·SEPTIC TANK SIZE D ISTA N C E S :'-~.t/w~.~. /z~.:~ d') SIZE OF UNIT TO BE SERVED ~? c~o~- ~SEEPAG E A REA ., DIAGRAM OF SYSTEM I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordh~ance No, 28-68 and that the above described system is in accordance with said code. DATE ___~-~---'-'~ 7~-~.'.?.,/ Perfoz',med For William Koester Le~.:~5. bc~c?'~ .tlo;~: ~.?t..~3~, ....... ,' ~'~- ~6 .~..~'~'~ :::'7 ....... ~g~j~ Park Th'is Y'ar'~ ~e]~op?~ ~:: ~ .... - Depth .r:,eet .-:c'~ i. ~,',~:'..'~: ':~"~,':~..~ ., 4 gray silty fine sand (SM) with scattered silt and 6~_1 ~ poorl7 Eraded sand seams and pockets Data Certi£ied fiy:.N~ti~lTesting~e_rvlcas,~__ ~=~.,~ ~ Inc. ;I~ATER ANCHORAGE AREA BOROUGH ['~A[,~l DEP)R~ENT 327 EAGLE STREET ~NCHORAGE, ALASKA 99501 279-2511 INSPECT: .... TI?~E: REQUEST FOR APPROVAL OF INDIVIDUAL SELVAGE /~ND WATER FACILITIES FOR Approval Requested By_//z~:. Phone 2, Property Owner_,/.k~.~x~._,~/~:~_xl;~_~;~ Phone .;2 5. Legal Description 4, Type of Facility to be Inspected~/&z~Z_,/~.~,rREET:- Number of Bedrooms ? ~ ~p~.~/- S. Well Data: B. C. D. E. Type Depth Size COilS truct ion Bacterial Analysis Sewage Disposal System: A. Septic Tank (If homemade, show diagram on back) 2. Age 3, Manufacturer, Installer Approval Request for Sew, ~ Water Facilities Page Two Seepage Pit 2. Lining C. ~ Disposal Field 1. Number of Lines 2. Total Length 7. Required Measurements A. Well to Septic Tmlk. B.. Well to Seepage Pit. D. Well to Property Line Well to Other Possible Fo~dation to Septic T~k ~oundation to Seepage Pit H. Seepage Pi~ to Property 8. COMMENTS: APPROVAL VALID FOR ONE YEAR FROH DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT EDll70 .iqh Io ncl PK. GAAB-H0- i G""~,TER ANCHORAG~ AI~EA BORO~ '-~H ~,_PARTI~IENT OF ENVIRONMENTAL QUAL~f 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM SEPTIC TANK: MAILING , _ADDRESS ~' ~7~'~,~- g-~,,,C.(/.~-,/.~2.~,~.z/ j~,, PHONE ~'~ LEGAL DESCRIPTION DISTANCE FROM WELL ~.~, /z~, ,~.-, __ LIQUID CAPACITY /~z'~ ~?'~z"J ..... GALLONS. NUMBER OF MAIERIAL ~'.;;'~---'~-~'J~'~-- COMPARTMENTS INSIDE LENGTH ~ .__INSIDE WIDTH ~.~- DEPTH____ SEEPAGE SYSTEM: SEEPAGE PIT:~/'//-'-'~ NUMBER OF PITS /O~LJ.~SH::~E'~rF-A~TER OR WIDTH_ ~ LENGTH_ DEPTH MATERIA~"'~----- DISTANCE FROM WELL LINING NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA IWALL AREAl SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL %C~:/~,~,:~< , FOUNDATION ,:~ ~":~'d:",~ NUMBER OF LINES .... ~ DISTANCE BEJWEEN LINES /~ ABSORPTION AREA__ ~"~ DEPIH: TOP OF TILE TO FINISH GRADE __SQ. FT. LENGTH OF EACH LINE J , NEAREST lOT LINE 7-'~'/~'~'. IR E N C H WIDTH TOTAL LENGTH/ d~ OF LINES '" ~"~ IN. TOIAL EFFECIIVE DEPTH OF FILLER MATERIAL BENEAIH TILE ~ '~ IN. AgOVE TILE TYPE ,/"~//.,~,/~'~d_. DEPTH NEAREST LOT LINE ~ , SEWER LINE DISTANCE FROM WATER ~ BUILDING FOUNDATION /'~"'~ ~ , __SAMPLE .... NEAREST SEPTIC SEEPAGE ~ OTHER ., TANK ~'-'-- , SYSTEM ........ , CESSPOOL_ ~ , SOURCES__ DIAGRAM OF SYSTEM DISTANCES: ~J~o~ 44/ GRE,-,'FER ANCHORAGE AREA BOHOUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONe 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMit NO. 222,~ NAME OF APPLICANT ~V/~g!~4 ~'~'"~-'~'[ MAILING ADDRESS INSTALLATION LOCATION ~.~ ~,T~ ~.~.~f~_~4 INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILIT~ TO BE SERVED / CO~FEETION DATE ANTICIPATED _ SEEPAGE PIT TO BE INSTALLED SY PHONE ,DRA]N FIELD NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION= 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEI~I WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE /:~0 MINIMUM DISTANCES, REQUIREMI--NTS FOUNDATION TO SEPTIC TANK :- FOUNDATION TO SEEPAGE PIT ~0 SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT TO NEAREST LOT LINE. · DRAIN FIELD SEEPAGE AREA SIZE /~ TYPE DIAGRAM OF SYSTEM ., DRAIN FIELD WELL. TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO septic TANK f O ( . SEEPAGE Pit // (~ / DRAIN FIELD _ ~/ ~ f CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIBCROSSING GAP OF EXCAVATIO.~.j~L~. 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 TO BOR~C~REGULATIONS REGARDING INSTALLATION. HEALTH ':HORITY LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCNORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT 'THE ABOVE DES D SYSTEM IS IN ACCORDANCE WITH SAID CODE. . APPLICANTS SIGNATURE , DA · GREATER ANCHQRAGE AREA BO~ ~GH ,PARTMENT OF ENVIRONMENTAL (~UALITY CASE # 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 / Performed For ........ ~'_~j~__d~_~_~_.~_ Date Performed ..... ~:'C~ Lethal Descrintion: L°t_~__B 1 oc k~_S ubdi vi s i o n ..... This Form RePorts Soils Log_$ i$---~-l~-~-.L.~_~__ 'F~J~ ~ / ~A I'ercoration Test ............ ~ ~epth Feet Soil Characteristics 3 7 8 9 12~ is Ground Water Encountered?_j/~ If Yes, At what Depth? Depth to H20 Net Drop Drain Field Dep~-~~om Of Pi ~ Reading Date Percolation Rate Gross Time Minute Proposed Depth of Inlet CnM~ENTS: Net Time SeeDafle Pit Date: GREATER ANCHORAGE AREA BO: IGH ~ ..PARTMENT OF ENVIRONMENTAL NUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 Performed For Legal Description: Lot This Form Reuorts Soils Log ~ePth Feet Block Soil Characteristi,cs Date Performed ~Subdivision CASE # Percolation Test Was Ground ~ Encountered?_~_C~ If Yes, At what Depth? Reading ercolatio Date Rate Gross Time Prooose, Insta~Fat~on: Deoth of Inlet C~MMENTS; Net Time Hi nute Depth to H20 Net Dro Seepage Pit Drain Field Dep~--~-~6~]-{'om Of Pit Or Trench Test Performed By, Data Certified By: Date: GREATER ANCHORAGE AREA B~ROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received _ ~ Time of Inspection ~' 3o,-, ~]. .)ate of Inspection /~,~_~,~x~-/~g~ REQUEST FOR APPROVAl. OF INDIVIDUAL SEWER & WAI'ER FACILITIES FOR 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 4. 5. 6. Legal Description: Location: Type of facility to be inspected A. Type B. Depth Phone: Phone: .2 '7..~ --o_i .~-~ No. of bedrooms -Y} C. Construction Sewage Disposal System: A. Installed ~,,~_~ C. Septic Tank: D. Seepage Pit: E. Disposal Field: 1, Absorption Area ~J~L Total length of lines D. Bacterial Analysis B. Installer 2. Material 8. Distances: A. Well to: Septic tank(~,.~, , Absorption area _~l_.t~. ~,_., Sewer Lines Nearest lot line ~cg~ , Other contamination B. Foundation to septic tank Ii~ C. Absorption area to nearest lot line , Absorption area ?EQ-034 (1/74) Page 1 of two pages 'GREATER AIICHORAGE ARt-..', BOROUGH Department of Environm,.~,~tal Ouality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER ~ ~<~ FACILITIES 1. Type of Inspection: CMRO Albert Bowman 2. Property Owner: ---~<-o n Realty VA FHA_~_____ CONV Mai 1 i ng Address: 2805 Spenard Rd., AnchoragE R~ndall Roe 2. Name nf Buyer: 1306 W. 6th Ave., Anchorage Mailing Address: 4. Name of Lending Institution: Mailing Address: Box 1200 Anchor~gr~l~ 5. Name of Realtor or Agent: Y__ukon Realty, Pat nr M~q~k Mailing Address: 2~805 Spenard Rd., ~c~o~e Phone D.a_y Phone 272-0558 (Pat or:.Mark) Day Phone 277-5637 Cn~t Iv~rt~ge. Co., ~'I } I ,~ ~.~,~' ~ ] Phone ~279-0665 272-0558 Legal Description: Location: Lot '4, Blk. 6, Highlm~d Park Sub. 6508 Ch~vigny, AnchoraRe, Al.a~ks 7. Type of Facility to be inspected: single family 8. '~ater Supply "~i l ity Indi vi dual Type of Supply: Public ~ ~ If Individual, hum'her of dwellings presently served If Individual, depth of ,,.;ell 9. Sewage Disposal' System Type .of S~ster, l: ,Public Utility _ ~ If Individual, date of installation No. Bdrms. 3 Individual (on-site) xxx Page 2 of two pages - Requ ~ for Approval of Individual Se ' & Water Facilities Legal Description Comments Approved Disapproved Date~d-- 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)