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Home My WebLink AboutHIDEAWAY HILLS BLK 1 LT 5PjI,K 04010 24Z OS "'BNO. 1 G'fflo�lTER ANCHORAGE AREA BORO•oft'H 1" DtPARTMENT OF ENVIRONMENTAL QUALILY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME G1 1%/l.'Gr.�-Ii(/J'T MAILING -ADDRESS_��XS< �'O� /AiC�C-ISS PHONE LGnr� LOCATION LEGAL DESCRIPTION��L1C1 ffjoFsl�•/ �yi1d//el SEPTIC TANK: DISTANCE FROM WELL MATERIAL STr''�-"�- NUMBER OF COMPARTMENTS LIQUID CAPACITY %gyp /�,/ I �Z vta G7o9�' LIQUID GALLONS. INSIDE LENGTH �ifNSIDE WIDTH DEPTH `— SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS OUTSIDE DIAMETER �� OR WIDTH , IENGTH , DEPTH G sof Cr" LINING MATERIAL DISTANCE FROM WELL //.-2e BUILDING FOUNDATION.761 i NEAREST LOT LIN f Tp -r!t . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SO. FT. TILE DRAIN FIELD: N//J TOTAL LENGTH DISTANCE FROM WELL , FOUNDATION , NEAREST LOT LINE , OF LINES NUMBER OF LINES ANCE BETWEEN LINES �� TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION SO. FT. LENGTH OF EACH DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE DISTANCE FROM WATER TYPE DEPTH �� , BUILDING FOUNDATION. SAMPLE ` NEAREST NEAREST SEPTIC SEEPAGE OTHER .._ LOT LINE ,SEWER LINE , TANK , SYSTEM , CESSPOOL c� , SOURCES_ DISTANCES: DIAGRAM OF SYSTEM DATE S G.A.A.B. .; c r DATE S G.A.A.B. GREATER ANCHORAGE AREA BOROUGH • DEPARTMENT OF ENVIRONMENTAL QUALITY 9700 TUDOR ROAD POUCH 6-070 ANCHORAGE. ALASKA 99702 TEL[.RONE 299.7676 NAME OF APPLICANT I INSTALLATION LOCATION SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT PERMIT NO. MAILING ADDRESS E06Q�E Y - 70l/ PHONE J_?___j(—y LEGAL DESCRIPTION Z g) J Rm- J . t /I L INSTALLATION OF: SEPTIC TANK SEEPAGE PIT TYPE AND SIZE OF FACILITY TO BE SERVED - " N I/, , • I, lly 1 �- p DRAIN FIELD OTHER /sF�r FINANCED THROUGH TO BE INSTALLED BY - 1 • SOIL TEST RESULTS `� ��/� NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTIONI 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE L) 7S (-)TYPE �` >'/l C4" -'SEEPAGE AREA SIi):/ t % rl•'f TYPE MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT 1() DRAIN FIELD / SEPTIC TANK TO SEEPAGE PIT WALL r ) SEPTIC TANK- I SEEPAGE PIT 7 DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK 'lei SEEPAGE PIT � DRAIN FIELD SEPTIC TANK. , SEEPAGE PIT '/0 DRAIN FIELD TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF E%CAVATION S ET'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 BOROUGH REGULATIONS REGARDING INSTALLATION. t HEALTH AUTHO ITY OR LICENSED DES GNER DIAGRAM OF SYSTEM 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.08 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE 7 /—APPLICANT'S SIGNATURE Distance from: Well, fen; foundation, feet; neartst lot line at ❑ front, ❑ side, ❑ rear, feet. Total length of the lines,_ fen. Number of lines, . Distance between lines, feet. Trench width, _inches. Total effective abscptidm area in bottom of trenches, square feet. Length of each line, feet. Depth, top of tile to finish grade, inches. Type of filter material: ❑ Gravel. ❑ Broken stone. Other_ Depth of filter material beneath tile, imhes. Depth of filter material over tile, inches. seepage Phu Number of pits_.. Outside diameter, fen. Dernh, feet. Lining material Distatce from: Well, fen; building foundation, (at; nearest la line at ❑ front, ❑ side, ❑ rear, fen. Inspanlea Asada bye ❑ State. ❑ County. ❑ Local Health Authority. Inspected Date of inspection 19_ REPORT OF INSPECTION -INDIVIDUAL WATER -SUPPLY SYSTEM Distance to nearest public water main, feet. Size of main, inches. Individual wells ❑ are ❑ are not customary in neighborhood. Give most went word of failure of welts in immediate vcimty to fumish adequate supply of water Properties in ncighlwrhurxl ❑ are ❑ arc no being developed with both individual water -supply and sewage -disposal systems. Lea sive: feet wide, fen deep. Dwelling an back from front property line, feet. Individual water supply from: ❑ Drilled well. ❑ Driven well. ❑ Dug well. ❑ Bored well. Dlataaaa of well freta, Building fioundation, feet; nearest to line at ❑ front, ❑ side, ❑ rear, fen. cast iron sewn, feet, tile sewer, fen; septic tank, fen; disposal field, far, seepage pit, fen; ceupool, fat; other sources a possible pollution, fen. Well tanatrae"wst Diameter, inches. Total depth, fen. Type of casing, Depth of casing, fen. Approximate depth to pumping level of water in well, fat. Approximate yield, gallons per minute. Sealed watertight to depth of fat. Exterior spade around casing sealed with: ❑ Cement grout. ❑ Puddled clay. ❑ Ordinary backfill. Well cover: ❑ Concrete. ❑ Wood. ❑ Metal. Openings in well cover watertight: ❑ Yes. ❑ No. ►atop: ❑ Shallow well. ❑ Dap well. Length of drop pipe, fen. Pump capacity, gallons per minute. locate,! in: ❑ &isement. ❑ Pumproom off basement. ❑ Pumphouse above ground ❑ Pump pit. Pumproom properly drained: ❑ Yes. ❑ No. Pump mounting watertight: ❑ Yes. ❑ No. Type of storage: ❑ Pressure. ❑ Gravity. Capacity, gallons. Has bacteriological examination of water been made? ❑ Yet. ❑ No. If answer is "yea.' give date 19_ Quality of water ❑ is ❑ is not satisfactory for human consumption. Installation ❑ does ❑ does not comply with approved exhibits, if any. Inspection made by: ❑ State. ❑ County. ❑ Local Health Authority. Inspected by. Date of inspection . 19— (Tmsa) 1 �ti GPO 678 471 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 DATE RECEIVED: INSPECT: // -$ —Z/ TIME: % • REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR 1. APPROVAL REQUESTED BY: ADDRESS: �� ,�� rccl�/ivy✓ C�litir PHONE: 2. PROPERTY OWNER: PHONE: 3. LEGAL DESCRIPTION: 4. TYPE FACILITY TO BE INSPECTED:STREET: fNcl��//vim✓C, NUMBER OF BEDROOMS: eZ 5. WELL DATA: A. TYPE B. DEPTH C. SIZE D. CONSTRUCTION E. BACTERIAL ANALYSIS 6. SEWAGE DISPOSAL SYSTEM: A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK) 1. SIZE— %3� 2. AGE 3. MANUFACTURER S�I',� sTc�� . ��/s�'✓C� 4. INSTALLER L!�-7�/�f[� GYU/y�T' ��• !�—� �APPROVAL REQUEST FOR SEWER & WATER FACILITIES PAGE TWO B. SEEPAGE PIT 1. SIZE 2. LINING C. DISPOSAL FIELD 1. NUMBER OF LINES 2. TOTAL LENGTH 7. REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK B. WELL TO SEEPAGE PIT— C. WELL TO SEWER LINE — D. WELL TO PROPERTY LINE E. WELL TO OTHER POSSIBLE CONTAMINATION F. FOUNDATION TO SEPTIC TANK e7 G. FOUNDATION TO SEEPAGE PIT �2 l H. SEEPAGE PIT TO PROPERTY LINE.,;?C7';`" 8. COMMENTS: APPROVED DISAPPROVED: DATE: �/� ��—'1 DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY June 169 1971 Federal Housinb Administr"Jon Box 480 Anchorage, Alaska 99503 Subjects Sewer and Vater Facilities for Lot S. Block 1 Hideaway Hills Subdivision. Case 0013-010. Dear Sir: Public sewers are not availabAketo the subject lot so that sewage disposal e % be by septic tank - soil absorption system. Soil tests from adjacent lots indicate acceptable conditions forona-sits sewage disposal and it is probable that an approved sewage disposal =:16146 can be installed on the subject lot. Central Alaska Utilities water is availavile to the lot. Sincerely, John R. Lee, R.S. Sanitarian . ky ti