HomeMy WebLinkAboutLAKESIDE TERRACE LT 12
GR
ANCHORAGE AREA BOR"'-~GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE ~ . .. NUMBER OF
FROM WELL(f~)//~ MANU FACTU RER~/~ ~'/~9~-~''~ MATERI~L 5)~-~.~ ~ COMPARTMENTS /
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY. JI~i~)O GALLONS.
SEEPAGE PIT:
NUMBER OF PITS_ DIAMETER_
OR WIDTH_ LENGTH DEPTH
LINING MATERIAL
BUILDING FOUNDATION__
CRIB SIZE: DIAMETER__DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
NEAREST LOT LINE ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE CONSTRUCTION
BUILDING NEAREST
FOUNDATION LOT LINE
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH
SEPTIC
TANK
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
¢~/~ e/~e Ex.
PIPE MATERIAL.
LO*SLOPE: ~/'~7~
REMARKS:
/
GREATER ANCHORAGE AREA BOROUGH
~ DI:~PJ~J~T.MENT OF ENVIRONMENTAL QUALITY
~ TELEPHONE 274-4S61
SEyAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
NAME OF APPLICANT _
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK ~ % SEEPAGE PIT __, DRAIN FIELD
FINANCED THROUGH TO BE INSTALLED
SOIL TEST rEBULTB
, OTHER
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL, TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOT~CE REQUIRED· BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION·
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK '.~
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
WELL TO SEPTIC taNK
, DRAIN FIELD
· DRAIN FIELD
, SEEPAGE PIT -~
, ALSO CONSIDER AREA WELLS.
· SEEPAge Pit
· DRAIN FIELD
TO RIVEr, LAKE, STREAm.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDIS~ED SOIL.
4 INCH DIAMETER C~A~T IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GF~AVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
DIAGRAM OF SYSTEM
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.
DATE ~///7~ APPLICANT'S SIGNATURE
~;I~T. O~"~NVJlRON~NT.'~L ~ONS~RV.AT]]ON /
SOUTNCENTRAL REGIONAL OFFICE / 338 DENALI STREET
Mr. Stephen D. Brown, Jr., P.E.-
Dickinson, Oswald, Walch & Lee
800 Cordova Street
Anchorage, Alaska 99501
SUBJECT:
JU!,._ u", '- 1974
J~f'PT. OF ~r, ~'q~v~ENTAL QUALITY
1974 Sanitary Sewer Improvements -Lakeside Terrace Subdivision
Lots 9 through 12, and 15 through 21.
Dear Mr. Brown:
We have reviewed the plans and specifications for the subject'
project and they are approved for the features with which this
department is concerned.
Yours truly,
Regional Environmental Engineer
cc: Rolf Strickland ~/
GAAB, Public Works
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Queltty
3500 Tudor Road, Anchorage, Alaska 9950'7 279-8686
Da~e of Inspection~ ~'. &~
REQUEST FOR APPROVAL OF
I~IVIDUAI. SEWER & WATER FACILITIES
FOR
Number of Bedrooms:~~~ ~ ~
Well Data, ~~
A. Type B. Depth
C. Construction
Sewage Dt.qoosal .S.vstem~
A.
C. Septic Tank: 1, Size
D. Bacteria] Analysis
2; Manufacturer
D. Seepage Pit: 1. Size
2. Material
Disposal Fteld: Total Length of Lines
Distances:
A. ~.,~e 1 J To:
Septic Tank
, Nearest Lot Line
Foundation to Septic Tank
Absorption Area to Nearest Lot Line
, Absorption Area ......
· Other Contamination
"~ Absorption Area
, Sewer Lines
~l~equ-3st for Approval or l[~V~L(~Ual ~ewer ~ na'~,er r~o~u~,~
A?,roved
Ap~~-fo~~ One Y~a~ From D~e S~qned
Greater Anchor~ge~ea Borough, De,ar%men% of Environ~ent~] Quality
DIAGRAM OF SYSTE~
'~ cert]f'! that the information contained in this request for approval to be a true
and accurate representation of the subject sewer and water facilities located at:
Signed Date
~ ~, %NDIVtDUAL SEWAGE AND WATER FACILITIES
(Fi].l out in T~iplicate)
~_ Name .of person requesting approval
' ~,~. p P Y.
5. ~ater, Analysis:
a. Bec%er. iai
b. Detergent
6, Well data:
a. ~ype
b, Depth
c. Casing Size
d.
Distance from well to closest existing or proposed:
1. Sewer line
2, Septic tank
3. Seepage Area__. , .
4. Cesspool'
5. Property Line
6. Other sources of possible contamination, i.e., creeks, lakes,
houses, barn~ drainage ditch, etc, . . _ .
Sewage disposal system.
a. Age of system
b. Septic tank capacity in gallons
c. Name of septic tank manufacture,?
1. If "home made" show diagram on reverse '~ide of this form.
d.' Disposal field oP seepaKe pit size and type
1. Distance to prope~ry, llne
to house fo~mdation ~
-e. Perco~atio~ T~st '~esuLts
f. Percolation Test performed by
~. Use the reverse.Side of this form to show diagram. Diagram should include
-.[~qhe foilowlng information: p~operty llnes~.welt location, house location,
~'m~ptio tank location, disposal area location, location of percolation test,
~ direction of ground slope.
9. The ~rf~mtion ~on this form is true and correct to the best of my knowledge.
Signature of Applicant ...... Date Signed
TO BE FILLED OUT BY HEALTH DEPARTS.lENT PERSONNEL
above described sanitary facilities are hereby approved subject to the
following con~].i.~ions:
Conditions. ~.;'- ~ ~w~.~// '~ --//~/~' ~ ~ ..... "~
The above described sanitary facilities are disapproved for the following
reasons:
Approval is valid for one year following the date of approval.
CPJ:cw
Dec° 16, 1969
~,ox 13.q9
Anchorage, Alaska 99501
.::,U~:l,lh(,l. 5e~er Syste!n at Lot 12,
1,r~ke$id¢ Terrace .~;ubdivision; 7(166
Terry Place.
t~ar Sirs:
g. pproval for tim su~ujoct sower system, o~med by Donald l,. Van
Clove, can be given pending tiro installation of a 750 gallon
septic tank in conjunction with the already existing so~er
system.
('~r D~>part,ent would o4:,prove el7 letting ;,ir. Van Clove put money
in escrow no~, for installation et' ihe septic tank as soon as
the, ground tha~s in the spring.
Water is supplied via c,, ,.la.,.~ Utilities which is an
approved '~, · '
~ ,.d~l~c sulmly with the Department.
Sincere ly,
CLIFFORD.,'". JUDK!5S, R.S.
Acbninistrative Director
JRL:rn
r~y.
ganitarian 11