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Home My WebLink AboutBROOKWOOD BLK 1 LT 1901 -I-lI- 08 GAAB-HD-I GP" %TER ANCHORAGE AREA BOROIJ~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ~ , MAILING SEPTIC TANK: d D STANCE FROM WELL LIQUID CAPACITY / ~ GALLONS. ~__~ ~[2~ ,~.. NUMBER OF / MATERIAL .~-~'~"- COMPARTMENTS INSIDE LENGTH INSIDE WIDTH DEPTH , SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER~..~,--''~'~''''''''''"' OR WIDTH /~'~ DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH , DEPTH BUILDING FOUNDATION__ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL ~/~/~; /~/~ FOUNDATION ,~ /t NUMBER OF LINES ~.~ DISTANCE BETWEEN LINES '~ ! , NEAREST LOT LINE TRENCH WIDTH TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE SEPTIC , TANK ABSORPTION AREA ~ '~ ~:;::' SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE WELL:. TYPE~,"'~, /~,'" DEPTH NEAREST LOT LINE SEWER LINE DEPTH OF FILTER MATERIAL BENEATH TILE. IN. ABOVE TILE .,~ ~P DISTANCE FROM WATER , BUILDING FOUNDATION SAMPLE NEAREST SEEPAGE OTHER SYSTEM , CESSPOOL , SOURCES__ DISTANCES: -7i: '= DIAGRAM OF SYSTEM DATE APPROVED 'HEALTH 'AUTHI~RITY Client ALASKA TEST 1940 Post Road Anchorage, Alaska LAB FHA No. Location, Lot /2 ,Block. / ,Subdivision T.H. No. "':'/ Tech .... ~. ~. She. et lg;O No. Date .of PERCOLATION TEST DATA Depth Soil Class Fee t Visual - Unified Location Sketch Reading Date Gross T. ime Net Time Depth to ]fff20 Net Dro' V /) - U '~' ...... ./ MUNICIPVALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 :'" ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 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. I PHONE 1. PROPERTY OWNER MAILING ADDRESS ' ~ ~ ' PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS MAILING ADDRESS 4, REALTOR/AGENT I PHONE MAILING ADDRESS ¢,, .......... 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ One ~ Four ~ SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six SUPPLY INDIVIDUAL* ~ COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY [] Other * 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.) **If individual/on-site, give installation date / ~J R/¢~'~/~'; --~, If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONL DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NSPECTO R DIRECTIONS: NUMBER OF BEDROOMS 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified [~Septic Tank or []Holding Tank Size: If Tank is homemade give dimensions: [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED iNSTALLER SOILS RATING 'TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line [] OTHER Septic/Holding Tank IAbsorption Area ISewer Line INearest Lot Line 5. COMMENTS [] APPROVED FOR BEDROOMS [~"~CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev. 3/78) ADDENDUM TO EARNEST MONEY RECEIPT AND AGREEMENT Dated the./.$T day of~,[., 197~, between Buyers, and ,3 //,.;E L. o Dec; ~ ! 1970 Voterm~s ~nistration P.O. Box 1399 Anchorage, Alaska 99501 StriCT: Lot 19, Block 1, arook~d ~bdivision, Rainbo~ Drive Dear Sirs: Persmmol of thc Greater ~c~orage Area Borough Health Depar~nt made au inspection o£the subject £aci!ities and found the follo~- ir~: 1, ~ater is supplied via a coummtty ~uter systen~hich is ~pproved by this DeparOnent, 2. ^ Borough approved sewor sys~emconsis~tng o£ a septic tank - drain £ield was hdtalled in 1969. Sincerely, CLIFFORD P. JUDKINS, R.S. Administrative Director BY: Enviror~ental Health Supervisor RRS:rn Mr. Jessie Hunter 6610 Linden Drive ^nchora~e, Alaska SUBJECT= hot 19, Block 1, Brookwood Subdivision Dear Mr. Hunter: The Greater Anchorage Area Borough Health Department will approve the installation of a 1,500 ~allon septic tank installed ~n con~unetion with ~60 square feet of drain seepage area. The sub~ect lot is supplied water via the approved Brookwood Subdivision ~ater supply system. This letter is =o serve as preliminary approval. Final approval ~ill be given upon completion of om-site inspection prior to backfilling o~ the system. Sincerely, DAVID R. L. DUNCAN, M. D. Medical Director BY: Cllffomd P. Judk~nm, R. S. Chief Sanitarian CPd/srr · TESTING · EXPLORATION · CHEMICAL · MATERIALS · iNSPECTION PHONE 272-3428 ~B40 POST ROAD ANCHORAGE, ALASKA 9950! August 30, 1967 W.O. 8356 Mr. Jessie Hunter 6610 Linden Drive Anchorage, Alaska Subject: Percolation Test-Lot 19 Block 1, Brookwood Subdivision Dear Mr. Hunter: In accordance with your request a percolation test was performed on the subject site. A six inch diameter Test hole was hand augered to a depth of two feet below the top of existing ground. The 'hole depth was limited by a dense silt layer lacking in-sands and gravels from 2.5' to about 11.0'. It was felt that the silts at this level would not be exceptable for a drainage area because of lack of pern~eabili:ty.. Mr. Hunter stated there would' be two feet of fill placed at this point 'which would make the actual test depth of 4' below finished grade. At this point a drainage field is to be placed depending on the final result of the percolation test. There was no free water encountered at the time of the test. The percolation rate was determined to be 1 inch in 4.44 min. in the soil tested at the timeldepth and location of the test. Very truly yours, ALASKA TESTIAB Gordon K. Skrede Approved: 'Harry/.. Lee Laboratory Manager GKS:HRL:ka ·