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Home My WebLink AboutBROADWATER HEIGHTS LT A Gl~ TER ANCHORAGE AREA BOROI" '-I D--,-ARTMENT OF ENVIFIONMENTAL 0.UAL~, ~ 3500 TUDOFI FIOAD ANCHOFIAGE, ALASKA 09507 279-8688 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION ..~j ,.~-~--"~'f' ,,'~-)~ ~;~'~'-~:~ LEGAL DESCRIPTION ~ ~'~,'~"~:~,~"/~"~"~' ~ SEPTIC TANK: z-:-~----~ .,...._~."T~'_.~-Z'~ .>---z.,;,~. J-, "T/~ DISTANCE FROM WELL LIQUID CAPACITY //c") ~,) ~ __.GALLONS. NUMBER OF M A T E R I A b,~---,,~"~"t'~"~'~,,,'(/~"'~'~ -~'~ COMPARTMENTS INSIDE LENGTH /INSIDE WIDTH ~"'"'- LIQUID .' ' DEPTH" SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS '/ OUTSIDE DIAMETER ~ OR WIDTH /"/~.2_. / LENGTH /'~ ~' , , , DEPTH LINING MATERIAL ~"~ ~:~,,~'""<'~'~""~'"~ ,,.'"C~/'"f/~'"~"~'/ . DISTANCE FROM WELL ,/"~,/~_~"'~_~'~'_'~"~.-~'~'~--~'~'~' , BUILDING FOUNDATION NEAREST LOT LINE_~?) ~"' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF~~''''''~ ABSORP~N AREA____ DEPTH: TOP OF TILE TO FINISH GRADE .~'~'~NF O g N DATIO N DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE '~AREST LOT LINE R~H WIDTH DEPTH OF FILTER MATERIAl. BENEATH TILE TOTAL LENGTH OF LINES IN. ABOVE TILE W E L L: "~"~'"~'~/~"~ ~ "~""'~'~ T Y p E ,,~e".~'*.~'~'~'.J'~'--z'~ : DEPTH L......--~ NEAREST /......~ SEPTIC LOT LINE SEWER LINE. , TANK DISTANCE FROM , BUILDING FOUNDATtON... SEEPAGE SYSTEM WATER ~."~.-~- _SAMPLE ~ .... , NEAREST OTHER ~ CESSPOOL / , SOURCES~ DISTANCES: DATE DIAGRAM OF SYSTEM GrEaTer ANChOraGe Area BOrough DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT PERMIT NO. DESCRIPTION INSTALLATION OF: SEPTIC TANK ~'~ SEEPAGE PIT DRAIN FIELD PHONE OTHER TYPE AND SIZE OFFACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS COMPLETION DATE ANTICIPATED C~'~''-'t'''~'~?~''~ ~'~-~' ~ ,' NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TaNk SIZE ~ - / MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO seEPAGE PIT SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK , SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT TO RIVER, LAKE, STREAM. DRAIN FIELD , DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT , DRAIN FIELD SEEPAGE AREA SIZE TYPE DIAGRAM OF SYSTEM CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET 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. - LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTB OF GREATER ANCHORAGE AREA BgROUGH DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAil:) CODE. FORM NO. EQ-01 6 ORDINANCE NO. 28-68 AND THAT THE ABOVE MUNICIPALITY OF ANCHORAGe_ ;,tUNICIPAuW Department of Health and Environmental 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 uest for Approval of Individual Sewer and Water Property Owner: Mailing Address: Name of Buyer: M iling Address: 69~ - q&'o ~ ~/ Phone: 2'?~.-/~3~ ~- e Lending Institution: ~/~r~=~ ~/~/q~ ~/9~/C/~ Mailing Address: ~'/t.~'-- ~ ~cl- ,,~,q¢l~'¢,'~l.," ~.37/ .. Phone: Realtor/Agent: Mailing Address Legal Description: Street Location: Phone: ~'~,~-~,0 Single Family Residence: Multiple Family Residence: (~ Number of Bedrooms: () Number of Bedrooms: Water Supply: *Individual Well (~) If Individual Well, well depth /~ ~. If Community System, name of system Public/Community System ( ) Sewage Disposal System: On-site System If On-site System, date of installation: Public System ( ) *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 Municipality of Anchorage DEPAR% ~T OF HEALTH & ENVIRONMENTAL PR[,. cCTION POUCH 6-650 ANCHORAGE, ALASKA 99502 279-2511 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. TYPE OF LOAN 12. ASSESSORS PARCEL NUMBER [] VA [] F.H.A. [] CONV [] ! 3. LENDING INSTITUTION 4. REALTOR OR AGENT ,~:'i United Bank Alaska ':'. :: 645 G S t r e e t : Anchorage, Alaska 99501 :~I. 276-1911 :: :::: 5. SELLER 6. BUYER Dr. Alva Roberts :~ i? : Post Office Box 1008 ,, Eagle River, Alaska 99577 ?:': ,i :.~ :: 694-9665/w 694-9610/h : '. 7. LEGAL DESCRIPTION 8. LOCATION/STREET ADDRESS Lot A ~ Boradwater Heights See attached map 9. TYPE OF DWELLING ~ . 10. WATER SUPPLY 11. SEWAGE DISPOSAL SYSTEM ::~SINGLE FAMILY RESIDENCE~~RMS [] PUBLIC UTILITY [] PUBLIC UTILITY [] MULTI-FAMILY RESIDENCE BDRMS C~ PRIVATE 0N-SITE :~ ON-SITE YEAR INSTALLED INSTRUCTIONS TO REOUESTOR 1. Complete Items 1 to 11 above 3. Send to address above 5. Response will be returned to lending 2. Remove the carbon 4. Please allow 10 days for processing institution DATE RECEIVED DATE OF INSPECTION TIME OF INSPECTION INSPECTOR TYPE DEPTH YEAR DRILLED PERMIT REFERENCE ~ 120' ~ CONSTRUCTION '- BACTERIAL ANALYSIS LAB REFERENCE N0. YEAR INSTALLED INSTALLER SIZE MANUFACTURER ~ 'DIMENSIONS CRIB CONSTRUCTION o TOTAL LINE LENGTH TRENCH DEPTH GRAVEL DEPTH ~ Q DISPOSAL ~- ~ FT. FT. FT. TOTAL ABSORPTION AREA PERMIT REFERENCE 0 72-010 (11/76) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection Il/il/74 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conwntional 1. Approval requested by: ~tionai i~ank of Alaska Mailing Address: Phone: 2. Property Owner: ?o'Jert [.'rc.-a dN~a ter Phone: Mailing Address: Out oi~ State 3. Legal Description: ~ F{roadwater Ueiqhts /-"'T 7at 4. Location: ,,~;v~ine Lrive and ~ ...... Type of facility to be inspected Well Data: A. Type ~Jr~e(~ B. Depth No. of bedrooms 120' C. Construction 7. Sewage Disposal System: A. Installed l~71 C. Septic Tank: 1. D. Seepage Pit: E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line Size 1. Absorption Area 12x!Sx6' Total length of lines D. Bacterial Analysis B. Installer Wa't!ac~ i~O0 gai~ 2. Manufacturer , Absorption area Other contamination B. Foundation to septic tank C. Absorption area to nearest lot line 2. Material , Sewer Lines , Absorption area EQ-034 (1/74) Page 1 of two pages GREATER ANCHORAGE ARL,~, Bb..~JGH Department of EilvirollF,ie;~tal Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Type of Inspection: Prope'rty Owner: Mailing Address: & CMRO VA FHA BROADWATER, Robert K. &. Diane J. out of state , Day_ Phone CONY XX Name of Buyer: ROBERTS., Alva L. Mailing Address: P.O. Box 1008~ Easle River Day Phone 694-9665 Name of Lending institution- NATIONAL BANK OF ALASKA (Maydel) Mailing Address: P.O. Box 3-3859 Phone 279-2506 Name of Realtor or Agent: N/A Mailing Address: Phone 6. Legal Description: T~--~-~.-g-4-~; BROAd. WATER HEIGHTS S/D Location: __Basle River .(Skyline Drive & Broadwater Drive) 7. .Type of Facility to be inspected: 8. Water Supply Single Family No. Bdrms. ~ Type of Supply: Public Utility individual If Iadividual, number of dwellings presently served XX if Individual, depth of well 11o Sewage Disposal' SYstem Type ,of S~stem: Public Utility If Individual, date of installation Individual (on-site) Septic Tank ~age 2 of two pages }r & Water Facilities Legal Description P )t for Approval of Individual Comments e~~ /~ f Disapproved Date Approv - Approval Valid for one year from date signed Greater Anchorage Area 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)