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Home My WebLink AboutHENDRICKSON LT 2Herdric )n J~ T~,~,~ · Time .e Date Date Date Inspector Inspector Inspector Comments ~ L,~,~.fl__~< ~ (_',_o'-~j Conditional Approval Date Sewer Installed Permit No. Septic Tank Size ~ ~ ~') ~ Holding Tank Size Soils Rating Well To Absorption Area ~ ~ Well Log Received Well to Tank ~ ~ APPLICANT FILLS OUT LOWER HALF ONLY Property Owner ~ ~ ~ ~ ~ ~ ~ I I ~,1~ Phone MailingAddress ~ J~7~ ~ ~(~ ~'9~ ~1 Lending Institution Phone . < -. Cu .. Address ~/4¢ ~ I ~ RealtyCo. &Agent ~'Z-~2Y~ f~ ~ ~J~T~ -- ..~/ ~ZCo?//~ , Phone · , Legal Description ~O¢ ~ ~ ~'~ ~ Street Location ~1 ~ ~ Typ~ ~f Residence ~ Single Family ~ Multiple Family N0. of Bedrooms ~ U Other War%Supply ~ Individual A~ACH WELL LOG. A well log is required for all wells drilled since June ~ Community 1975. For wells drilledpCpr. ~o that date, give well depth (attach Icg if ~ Public Utility available.) ~,¢/ Sew~e Disposal ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility:. ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, · ,, CHEMICAL & ~,k .OGICALLABORATORIES ~ 'ALASKA. INC. _~ TO BE COMPLETE D BY WATER SUPPLIER WATER SYSTEM: I.D. NO. ~/~ V~.:':. %- -, V.~..>-~c~. Water System Name 4 Phone No. Mailing Address Zip C~e City SAMPLE DATE: MO. State Day Year SAMPLE TYPE: ~] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose D Treated Water [] Untreated Water SAMPLE NO. , I I LOCATION Time Collected Collected By ("~:: ~[,> ~ i~,* ..... TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: .,,Satisfactory [] Unsatisfactory [] Sample too cng in transit; samole should hot be over 48 hours old at examination [o indicate reliable results. Please send new samole. Date Received Time Received Analytical Method: [] Fermentation Tube []'.Membrane Filter Lab Ref. No. Result* I *No. of colonies/t 00 mi. or No. of Positive porl~ons Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (bi Rev, 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source Date Received Time Received __ p.m, Lab. Ho, Presumptive 1Omi 10mi 1Omi 1Omi 1Omi 1.0mi 0.1mi 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours EMB Broth 24 hours: Broth 48 houri: Multiple Tube Report: /Omi Tubes Posltlve/q'otal lOml Portions Membrane Filter: Direct Count Collform/lOOml verification: LTB. BGB ":/ % ] · Collform/lOOml Final Membrane Filter Results . , ~ .' .~ , -, EXCAVATION WORK ROBERTA. SHAFER February 14, 1982 CIVIL ENGINEER 694-2979 Totem Realty ATTENTION: Sherry Osweiler 724 East 15th Avenue Anchorage, Alaska 99501 Dear Ms. Osweil~r, Reference: Lot 2t Hendrickson Subdivision MUNICIPALITY OF ANCHORAGE FEb 8 ,9c,' _R£CEI_V_ED' A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic'tank was pumped and verified to have a capacity of 1250 gallons. The seepage pit was charged with 1000 gallons of fresh water and after a period of 24 hours 742 gallons had percolated out of the crib. It can be concluded from the above test that the waste water disposal system serving the two bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. If we may be of further assistance, please do not hesitate to call. S,%nce'~e'ly' // 6/RAS/ss . SyAFER, P.E. CC: First National Bank of Anchorage Eagle River Branch Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA February 4, 1982 Karen Hutton Box 170 Mercy Drive Eagle River, AK 99577 Subject: Lot 2, Hendrickson S/D Dear Ms. Hutton: ApDroval for the individual sewer 'and water facilities cannot be granted until the following items have been completed: ~he water analysis report needs to be submitted to this office from th~ Chem Lab, 5633 B Street, for our review. Expose the. well for our inspection to determine proper construction, also to insure minimum distance requirements are met b~tween the well and sewer system. A four (4) inch cast iron cleanout needs to be installed to the septic tank and/or leaching area. The septic tank pumped with a receipt submitted to this department. The total number of gallons pumped needs to be on the receipt and verified by a registered engineer as to the actual number of gallons pumped. This is to verify the size of the septic tank. An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review° Please notify this department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt Associate Environmental Specialist GAAB-HD I GRr~'ER ANCHORAGE AREA BOROU,m',-I, HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY ..,/'~"~ ("~)~ GALLONS. ~-' ~,, *"'/Z'~~'z~/'~''~-j~,/~' .~ ~ ..~__~ NUMBER OF COMPARTMENTS MATERIAL iNSIDE LENGTH INSIDE WIDTH LIQUID DEPTH SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER. j .OR WIDTH D,STANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTHen/y2-. , DEPTH BUILDING F O U N D ATIO N '~'"'", · -.~Y~'" SQ. FT, TILE DRAIN FIELD: DISTANCE FROM WEU / ,~OUNDATION · , TOTAL LENGTH OF LINES IN. ABOVE TILE__ WELL: TYPE,~,.~/;~'~ , DEPTH /~"'~ ,4' NEAREST SEPTIC LOT LINE ~=~/~'" '" , SEWER LINE ~ TANK DISTANCE FROM ' ~' WATER .BUILDING FOUNDATION. /Y SAMPLE ,/f~//~/~ , NEAREST ~ / SEEPAGE /" OTHER _ . · SYSTEM ./~ . CESSPOOL ' , SOURCES DISTANCES: DIAGRAM OF SYSTEM GREATER ANCHORAGE AREA E' 'ROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 Case No./'~/dff SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT RESIDENCE ADDRESS ;~:~_ ?'/{] R,~-~/~ LOCATION OF NSTALLATION ~';'?~'~- 1~ ~ LEGAL DESCRIPTION t,~' ~ '~ ~2_. ./~d~{X~,~ ~%2z.-~,~/u-E~zC~,, APPL CAT ON TO INSTALL: SEPTIC TANK ,/~ C:~L, SEEPAGE PIT , D~/N%I-E~D~:~' L~HER~'~' ,E.C0LATI0U TaST .aS0LTS ~L~( ?VV } A.T~CmTED aATa 0F C0~PLST~0. ~ ~$ BELOW T0 BE FILLED OUT BY HEALTH DEPARTMENT (/ . SEPTIC TANK SIZE /O~ 0 ~iTYPE ~'~.U~' SEEPAGE AREA~*~_~'~ ~ TYPE DIAGRAM OF SYSTEM DISTANCES: HeaJ~'h Authority. I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No, 28-68 and that the above described system is in' accordance with said code,