HomeMy WebLinkAboutLAZY ACRES LT 4
GAAB-HD-I
GI~ .JR ANCHORAGE AREA BOROt
DEPARTMENT OF ENVIRONIVlENTAL QUALITY
3500 TUDOR FIOAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
NAME "~/~ -"¢'~'~'~"~'"'~" "'~ ~' ' - -~-~'i~'~'":"~"~ -" ADDRESS.
LOCATION_ ~,'~'~-'~'"/~'~ c'~J,/,~-,<'z~.] ............. LEGAL DESCRIPTION
SEPTIC TANK:
NUMBER OF
DISTANCE FROM WELL~_~-~'~,~'~I/c4')' .'/~'~-_~.__MATERIAL ~.~/.~,..~¢,~_f,.Z~.,~.s COMPARTMENTS
LIQUID CAPACIW /~) .GALLONS. INSIDE LENGTH_ ~ INSIDE WIDTH ~
LIQUID
DEPTH __
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS___~ ~ _OUTSIDE DIAMETER / ___OR WIDTH -~-'" , LENGTH_ ...,~/~...~b.. , DEPTH
LINING MATERIAl .~-d~' ~.:-:..d- ~,-.~ ,.~.~_~- . DISTANCE FROM WELL_.[~,,'.~_~/~.~;' , BUILDING FOUNDATION
NEAREST LOT LINE_ ~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ ':~"~'~':;~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL FOUNDATION , NEAREST LOT LINE_
NUMBER GE LINES ~/~'~IsTANCE BETWEEN LINES ~TRENCkl WIDTH
ABSORPTION AREA "'~/' SQ. FT. LENGTH OF EACH LINE
TOTAL LENGTH
, OF LINES .... ,
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
DISTANCE FROM
WELL: TYPE_~,,"f'~/~JZ~.'~/~/~.,~' , DEPTH ¢'"'"~" ., BUILDING FOUNDATION,_.~--
NEAREST SEPTIC SEEPAGE
LOT LINE / , SEWER LINE ~ ,TANK /-' , SYSTEM
WATER ~.~_
_____SAMPLE , NEAREST
OTHER
, CESSPOOL_ ~'~"'" , SOURCES_ z~'
DIAGRAM OF SYSTEM
DISTANCES:
DATE
GAAB-HD-2
GREATEI ,. NCHORAGE AREA. ROUGIt
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
Case N o. ~ //
NAME OF APPLICANT _. _
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH ,~'>~ L lL
PERCOLATION TEST RESULTS
LOCATION OF INSTALLATION '::~ d;, (i' /_ i./. (... ~]~... ~
SEEPAGE PIT t"/ , DRAIN FIELD
TO BE INSTALLED BY_
/d)~ [~/~D/ZA1 . ANTICIPATED DATE OF COMPLETION.,
BELOW TO BE FILLED OUT BY HFALTH DEPARTMENT
OTHER
THIS IS TO SERVE AS ---'~' v ,
, PERMIT TO INSTALL A
ASBESORIBED BELOW. SIZE OF UNIT TO BESERVEB
,SEPTIC TANK SIZE /~-)()(-~ TYPE (-/''~',\¢~))SEEPAGEAREA
DIAGRAM OF SYSTEI~I
TYPE
DISTANCES:
HEALTH AUTHORITY
! certi£¥ d~at ! am £~milia' with the ~¢quh'ements o£ Q'¢~er ^nchora~e Are~ borou¢~ Ordinance ~o. 2~-~ ~nd d}~t the
above described system is in accordance with said code.
DATE
DATE RECEIVED
~._. - INSPECTION APPOINTMENTS /,,/~,.{ .~
,?JME TIME TrME ~
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
MUNICIPALITY OF: ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEI~,~'¥1~NMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
OCT 9 1980
( ) ENV' RONMENTAL SANITATION DIVISION
Telephone 264-4720RECEIVED
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER
~4,,u ~. Z~o~OI PHONE
MAI'LING ADDRESS
PROPERTYRESlDENT(lfdiffere'~n~tfromabo~vv/e) - ,,. '~/~ C~"~7
2. ~UYER PHONE
MAILING ADDRESS
3, LENDING INSTITUTION
PHONE
MAILING ADDRESS
4. REALTOR/AGENT I PHONE"
MAILING ADDRESS
5. LEGAL DESCRIPTION
STREET LOCATION
6, TYPE OF RESIDENCE
[~ SINGLE FAMILY
[] MULTIPLE FAMILY
7, WATER SUPPLY
,d'/..'c~, ,,'9/<' ? 9 5 o 7
NUMBER OF~BEDROOMS
[] One [] Four
[] Two [] Five
[~ Three [] Six
[] Other
[] INDIVIDUAL*
COMMUNITY
[] PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
__YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ....
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL 3EPTH OF WELL
[] COMMUNITY DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
~ERMIT NUMBER
3. SEWAGE DISPOSAL SYSTEM
[] IN D IVI DUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY ! ~'
Connection Verified NSTALLER
[]Septic Tank or []Holding Tank
Size: /~'~'~:)'-~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL~r'-~-"~:'
4. DISTANCESwELL TO: Septic/Holding Tank [Absol~ption Area 1Sewer Line INearest L°t Line
Absorption Area to nearest Lot Line
5, COMMENTS
[~].---~PP RO V E D FOR % BEDROOMS
[~ CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY
72-010 (Rev. 6/79)
Tobben Spurl land P.E.
8155 Cranberry St,
Anchorage, Alaska 99502
Phone (907) 243-5302
Dean C. Earson
3960 Coventry
Ancho~age~ alaska 99507
October 15, 1980
S E WE R A D E Q U A C Y T i..S T
Legal
Street Address
Owner
Residence
Water
Sewer
Date Of Test
Test Z¥ocedure
Lot 4 Lacy Acres ~/D
8320 Pokey Circle
Dean C. Larson
3 Bedroom, two storey
Community Water
From Municipal mecords
1OO0 ga].. concrete tank, two compartments Espinoza
Seepage pit Log or Concrete rings 6 fee~ deep
Total Absorption Area 288 sq. ft.
Built in 1971
Oct. 14, 1980
On inspection crib was found dry. Water depth in tank was 25 iches.
Residence was occupied, and had been for the last months.
Vents to both tank and crib had cobweb in them.
Approximately 1000 gal of water was dum~ped into crib. This
water was absorbed immediately and no water was detained in the crib.
The tank was pumped, appro×imately looo gal of fluid and some solids
were removed. Ther was very little solids in 6he bottom of the tank.
This system is operating very well and is adequa$~ for the present
dwelling.
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPAR FMENT OF HEAl TR AND ENVIRONMENTAL PROTECTION
October 13, 1980
Dean C. Larson
3960 Coventry
Anchorage, Alaska
99501
Subject: Lot 4 Lazy Acres Subdivision
Approval for your individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1)
Locate and expose the standpipes to the leaching
area and septic tank for our inspection. To insure
the minimum distance requirements are met: between
your sewer system and any well.
~(2)~ The septic tank pumped with a receipt submitted to
.~/~p this department.
(3) An adequacy 'test be performed on the existing leaching
area. This test will determine if the system is
~.~ ~ adequate according to National Standards. A listing
~x[/'~of private firms performing the test is enclosed. This
~reportr/ needs to be submitted to this department for
our review.
If there are any further questions, please call this
department at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/lw
cc: Peoples Bank and Trust
Pouch 7-007 99510
DEPARTME
825
MUNICIPALII'Y OF ANCHORAGE
OF ltEALTH AND ENV[RONM[--N'
L Street, Anchor-age,
279-2511, ext, 224 or 225
i:' R 0 T E C T I 0 N
q9501
Datc~ ReceJ_ve~[: JulY 1, 1977
#2:
RLQUESJ. FOR APPROVAl, OF INDIViDUAl, SEWER AND WATER ICACI[,I, ~.[~,,.~
Lending Institution Request: Coast Mortgage Company
Mailing Address: Post Office Box 1200 99510 Phono: 279-0665
Property Owner: James L. Mc Clure Phone: 274'6602
Ma'i. lJng Address: .._8_3_2~0._Po~k~Y___C._.i~rc~le~._9~9_5.0_2~ ..........................................
3. Legal Description: Lot 4 Block 1 Lazy Acres Subdivision
8320 Pokey Circle
4: Single Family Residence: (x~ Number of Bedrooms: three
Multiple Family Residence: ( )
Number of Bedrooms:
Well System:
Permit ~
Construction
Individual well ( ) ConmmnJ. ty/Public System (x~
Depth of Well Well Log on File ( )
Bacterial Analysis
6. Sewage Disposal System: On-site System (x~
Public Uti].JA:y ( )
Permit #
Septic Tank Size
Install.ed
Instal ].~¢r
Absorption Area
Soils Rate
Material
'7. Distances: Well to Septic Tank
to Aosorp 'ton Area
to Sewer Line
Nearest Lot line
AbsorptJ.on Area
to Nearest Lot Line
Two
D(=:pa~£tment of Ilealth and ?~nvJ ron~-~len bal. Pro'ke~tion
Reqlles'k for Approval of individual Sewer aT~c1 Water FacL!it~.cs
Legal Descr.[ption: Lot 4 Block 1 Lazy Acres Subdivision
Co~m~ent s:
Affadavi-b Attached: ( ) Lei-ret A'btached: ( )
Disapproved: Date:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEAl_TH AND ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 99501
279-25]_1, ext. 224, 225
REQUES'r FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection:
VA_ ×× FHA ....... CONV ...........
2. Property Owner: James L. McClure
Mailing Address:__ 832_0.___~_O_.]!e~/._LCir~cle, Anchorages__ Day Phone: .... JE7_4:~66~2L ........
3. Name of 13uyer: Dean C. Larson
Mailing Address:__2.._l.~_O~-_~__:P_e__moAL Elmendorf AFB Day Phone:__75_2 2537
4. Name of Lending Institution: Coast Mortgage Co.
Mailing Address:_~:.o.___~_°A_1200_,_ Anc_~o__~ge, AK___Phone: 279 0665
5. Name of Realtor or Agent: Cloyd Moser, Alaska Associated Realty_
Mailing Address: 4446 Business Park Blvd Phone:. 274 3556
6. Legal Description'. Lot 4, Block 1, Lazy Acres
Location:
8320 Pokey Circle, Anchorage, AK
7. Type of Facility 'to be Inspected:
8. Water Supply
Type of Supply:
Single family
No. Bdrnls.__
Puhlic Utility.
Community Water System
Individual
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual (on-siteL xxx
72003(3/76)