HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 9 LT 12AGLE RIVER AREA
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
September
28,
1976
~,/~/~Y Date of Inspection ~-J~/- ~)[~ ~-l~L/£j-.
('~?Y~ /')~' /~ INDIVIDUAL SEWER & WATER FACILITIES ~
~' ~'/ ~ ~' ' FOR
]. Approval requested by: National Bank of Alaska % Marva
Phone: 279-2506
Mailing Addre§s: Post Office Box 3-3859
2. Property Owner: Ada Stephens Phone: 688-2739
Mailing Address: Eaqle River
4.
5.
6.
Legal Description: Lot 12 Block 9 Lakeridge Terrace Subdivision
Location: NHN Harold l,oop i'~,
Type of facility to be inspected
Well Data: Individual
A. Type
C. Construction
Single Family , eNo'.~ of~be~d~o0ms
B. Depth. :'ii
Distances:
A. Well to: Septic tank
Nearest lot line
D. Bacterial Analysis
7. Sewage Disposal System: On-site system
A. Installed /%'~/ B~ Installer/~
C. Septic Tank: 1. Size ~v~ 2. Manufacturer
D. Seepage Pit: l. Absorption Area ~ ~ ,.;2. ma~er~l
E. Disposal Field: Total length.of lines
, Other contamination
, Sewer Lines ,
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of t~o pages
Page 2 of two pages - Re/' 'st for Approval of Individual ,~ er & Water Facilities
Legal Description Lot 12 Block 9 Lakeridge Terrace
Comments
Approved \..::~::.~.,:i?"q :./.~:-::-~ Disapproved Date
I I
Approval~Valid for one year from date signed
Greater Anchorage Ar~a 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)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276=2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection:
2. Property Owner:
Mailing Address:
3. Name of Buyer: ~
Mmhng" Address:
FHA CONV~/~
Day Phone:
4. Name of Lending Institution:
Mailing Address: f)~,, ,A~(~. ~_~ -~.~
5. Name of Realtor or Agent: /
Day Phone:
Mailing Address: Phone:
6. ~ ~ ' ' ' ' ~' ~' f.
Location:~ ~'~l~ ~~ ~/~/ ~'~(~2 ~
of Faoility to be Inspeoted: ~'C~) X~ , No. Bdrm~. ~
7.
Type
8. Water Supply
Type of Supply: Public Utility Jndividual ~' ~).CL~-
If Individual, number of dwellings presently served
If Individual, depth of well (~/~~L-~Z~
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation ~x~//~L
Individual (on-site)
72-003(3/76)
~ 06-'122~(~) Re~ 1973
DATE
ALA, DEPARTMENT OF HEALTH AND SOCIAL SL CES
DIVISION OF PUBliC HEALTH
INDIVIDUAL AND SEMI-PUBLIC
BACTERIOLOGICAL WATER ANALYSIS
lab No.
OFFICE
INDIVIDUAL[:]
SEMI-PUBLIC f-- CHLORINE RESIDUAL PPM
REPORT RESULTS TO
NAME
ADDRESS
CITY
ZiP CODE
ADDRESS
OF SOURCE
· Analysis shows this Water SAMPLE to be:
COMPLETE THIS SECTION
ONlY IF WATER IS AN INDIVIDUAL SUPPLY
SAMPLE COLLECTED BY
DATE COLLECTED TIME COLLECTED
Sample Collected From [] Kitchen Too [] Bathroom Tap
[] Other (List)
Well- [] Dug [] Driven [] Drilled
SOURCE: [] Spring [] Cistern [] Other
Dug Well or Cistern Conslructlon:
Walls--[] Wood [] Concrete _-- Metal
Top -- [] Wood [] Concrete [] Metal
LOCATION:
[] In Basement [] Basement Offset
[]ln Yard ~_ Other
Building Sewer
DISTANCE TO: or Other Drainage Pipe Feet.
Tile Seepage Cess-
Field Feet. Pit Feet. Pool.
Other Possible
Sources of Contamination
MATERIAL: Building Sewer- [] Cast Iran [] Wood
[] Plastic Joint Material - Type
GENERAL: Does Water Become Muddy or Discolored? [] Yes
When?
Basement TaB
[] Bored
[] Tile Brick or
[] Open Top[] Concrete
[] Under House
Feet. PrJvy Feet.
Tile [] Fibre [] Asbestos
Cemenl
Diameter of Well Depth
Well Casing
Material Diameter Depth
Length of Water Depth
Drop Pipe From Bottom
Offset in
PUMP LOCATION: ~ In Well [] Basement [] In Basement
On Top
[] Of Well [] Other
PURPOSE OF EXAMINATION: Illness Suspected? [] Yes
New Source of Supply? [] Yes [] No Repairs to System?
06-1220 (b)
Rev. 1973
READ INSTRUCTIONS
ON
REVERSE SIDE'
BEFORE
COLLECTING SAMPLE
[] No
Feel.
Satisfactory
Unsatisfactory
Questionable
Sbrnple too long in translt; sample should not be over 48
hour~ old at examination to indicate reliable results. Please
send new sample.
Bottle broken in transit, please send new sample.
SANITARIAN'S REMARKS
Feet.
n Utility
[] Room
[] No
[] Yes [] No Signature
BACTERIOLOGICAL WATER ANALYSIS RECORD
/' ': Time Received ' pmam L~b. No.
Date Received " "" /'
Reported by :'
This analysis indicates Coliform Organisms to be:
Date
Absent }:~
Present
EMB AGAR
Lactose Broth, 24 hrs. 48 hrs. Gram's stain
Coliform Densff) (Most probable No. per 100cc}
MF Results
Lactose Broth 10cc 1Occ 10cc 10cc 10cc 1.0cc 1.0cc
24 Hours
48 Hours -
BrilUant Green
24 Hours
48 Hours
DAVID A. SLENKAMP
ROBERT A. SRAFER
MECHANICAL ENGINEER
694-9055
June 30, 1980
CIVIL ENGINEER
694-2979
MUNICIPALITY OF ANCHORAGE
DEPT. OF H~ALTH &
ENVIRONMENTAL P;;OTECTION
Ross Schaff
Box 65
Fish Hatchery Road
Eagle River, Alaska
Dear Mro Schaff,
99577
JUL 3 1980
RECEIVI D
Reference: Lot 12; Block 9; Lake Ridge Terrace Subdivision
At'your request a sewer system adequacy test was performed on
the system located on the referenced property. The septic
tank was pumped and verified to have a capacity of 1000 gallons.
The seepage pit was then charged with 1000 gallons of water
and after a period of 24 hours it was determined that all
the wbter which had been added to the system had percolated
out of the seepage pit.
It can be concluded from the above test that the existing sewage
system is adequate for a three bedroom house. This will allow
the proposed construction of one additional bedroom on the
present two bedroom home~
If we may be of further assistance, please do not hesitate to
call.
S in c3~r~ lY, , /
//
/ cc: Munic¢~ality of Anchorage
DepartmentVof Health and Enviornmental Protection
SRB 196X EAGLE RIVER, ALASKA