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Home My WebLink AboutLot 03 GRE,' ER ANCHORAGE AREA BOR IGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TAN, K: DISTANCE' . FROM WELL~'(/~ MANUFACTURER INSIDE LENGTH INSIDE WIDTH NUMBER OF COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY~'~]O GALLONS. TILE DRAIN FIELD: DISTANCE FROM V~ELL NUMBER OF LINES ABSORPTION AREA DEPTH: NEAREST LOT LINE FOUNDATION ~ DISTANCE BETWEEN LINES/~!~3~'~' TRENCH WIDTH IN. & ~'~ SQ. FT. LENGTH OF EACH LINE ~/~7~! 2.~,' [DEPTH OF FILTER TOP OF TILE TO FINISH GRADE~,~,~ MATERIAL BENEATH TILE __~/-- --~. TOTAL LENGTHs~ OF LINES TOTAL EFFECTIVE IN. ABOVE TILE_ ~' IN. TYPE CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION___ LOT LINE __ SEWER LINE , TANK__ SYSTEM.__ CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS __ DISTANCE FROM: DISTANCES: INSTALLED SEWER LINE DEPTH: PIPE MATERIAL:--O/~Te~Z'/2- LOT SLOPE: ~,.~u,e / REMARKS: S~/~O~~ve/ DIAGRAM OF SYSTEM Form EQ-032 GREATER ANCHORAGE AREA BOROIJGH DEPARTMENT OF ENVIRONMENTAl., QUALITY 3330 "C" STRE, ET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICAT]ON Al,ID PERMIT PERMIT NO. NAME OF APPLICANT ///X?'~- /~AU//~ INSTALLATION LOCATION "EGAL DESCR,PT,ON Z /: ? ~t1~ INSTALLATION OF: SEPTIC TANK _ ( ~ TYPE AND SiZE OF fACILItY TO BE SERVED FINANCED THROUGH SOiL TEST f~ESUL'rS '/~?~L-~.. '- //m-~u I i xx ? .b~//~, Lx,,/,~.~¢;x - MAILII~JG ADDRESS ..................... / ............. Pt NE //) U~ SEEPAGE PIT-- ...... DRAIN PIEL, D --~-- .......... OTHer TO BE INBTALLEP BY COMPLETION DATe ANTICIPA'i'ED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING Of /aNY .~Y~;TEM WITJ4OI. IT FINAl, li'gl;Pl?(~TJON BY THE DEPARTMENW OF ENVIRONMENTAL QUALITY AUTHOT¢ITY WiLL BE SUJ3JECT TO P~O~L:~C(.iT[O~I. SEPTIC TANK SIZE ..................... TYPE POUNDATION TO SEPTIC TANK ~ZO TO NEAREST LOT LINE. WEL.L TO SEPTIC TANK ................. ~EEPA~E PIT DRAIN FIELD ..................... ALSO CONSIDER AREA WELLS. /~ TO RIVER, LAKE, STREAM. CAST IRON iNI"G AND OUT OF SUPTIC TANK AND INTO CRIB CROSSING GAP OF EXC;AVATION 5 FEET INTO UNDISTURBED SOIL, INCH DIAMETER CAST IRON SIPI4ON PIPES ON SEPTIC TANK AND SEEPAGE PIT F'ITTED wFrH AIRTIGHT REMOVABLE CAPS. G RA"d'£ L IBAE, K Fl LL, CONFORM TO EIOROUGH REGULATIONS REGARDING INSTAL ATION. OR I CERTIFY THAT IAM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA B~l;le~H ORDINANCE NO. 28-68 AND 'THAT THE ABOVE DATE APPLICANT'S SIGNATURE _ _ FORM NO. EQ-016 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 9950'7 279-8686 Time of Inspection _~ RBQUBST FOP. APmROVAL OF INDIVIDUAl. SEWER & WATER FACILITIES ~ ~J FO,~ 5. Type of Facility to be Inspected: ~vOQ~D- rAll Phone: Ph one, Nell Data: C. Con~truction B. Depth D. Bacteria] Analysis Sewage Di.qgosal .System: A. C. D. E. Disposal Field: I..~talled ' ! -/ - Septic Tank: 1. Sfzefl~ 2. Seepage Pit, 1. Size~}(~ 2. Installer Manufacturer_ ;~..L. ~atertai J-xO q' Total Length of Lines 8. Distances: A. I;%11 To'. Septic Absorption Area , Sewer Lines , Nearest Lot Line , Other Contamination l-~. Foundation to Septic Tank(~, ~ ' ' ~ 71 .... ',~ Absorption Area C. Absorption Area to Nearest Lot Line ~(~'%~ ~ Aequ~st for Approval of In~*vldual .~ewer ~ ~a-ter raolll~les Page Two Approval Valid for One Year From Date S~gned Greater Anchorage Area Borough, Department of Environ~.enta] Quality DIAGRAM OF SYSTE~ 'I cert~'fv that the information contained in this request for appreval to be a true and accurate representat].on of bhe sub,eot sewer and w~ter faci!tttes located at: Signed Date FHA Form 2573 Form Approved R~¢. July 19~L! FEDERAL HOUSING ADMINISTRATION Budget Bureau Nm 63-R296.8 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA INSURING OFFICE MORTGAGEE SERIAL NO. The F~t l~/at~ona~ Benk of Anohora lnohorage, &laska [ Box ~20, Anohorage, Alaska 111-000051-(203) MORTGAGOR OR SPONSOR PROPERTY ADDRESS Allan 3. ~arris 1909 Dolly Varden Avenue SUBDIVISION NAME BrookgoodJ 3 3 TOTAL NUMBER: Can attic or other area bo made into [~ New instaJlation additional bedrooms? BASEMENT LIVING UNITS BEDROOMS BATHS ....................... (If Yes, how many~) WATER SUPPLY BY: SYSTEM DESIGNED FOR [--] Public system~L~ Community system~l [ Individual NO. OF BDRMS. GARBAGE DISPOSAL SEWAGE DISPOSAL BY: [---1 Public system [~] Community system ~-1 Individual 3 [--] Yes [~] No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH , It is the opinion of the [] State [~] County [-] Local Department of Health that this individual water-supply system [--1 is ~ is not satisfactory as a domestic water supply for the subject property. It is the opinion of the [---I State ['--! County ~Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [~Can be expected to function satisfactorily, and [-] Cannot be expected to function satisfactorily is not likely to create an insanitary condition DATE SIGNATURE [ 0 : The health authority should complete the appropriate opinlo tement above and affix date, signature and title in the spaces provided. Us~ of the above grid for Health Department Inspector's sketch as well as use of the back of this form is at the option of the health authority, PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that'the Individual water-supply system be considered ~-] Acceptable [-'] Not Acceptable Sewage disposal be considered [--] Acceptable [~] Not Acceptable. DATE SIGNATURE 1 CHIEF ARCHITECT [ DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev. July 1958 REPORT OF INSPECTIONmlNDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists of ~Septic tank. [] Cesspool. Septic Tank: Distance from well, '" Total liquid capacity, Inside length,_ Cesspool: Distance from: Well, Inside diameter, / ~!~ ~ / Number of compartments feet. ~}e[~l,. gallons. Capacity inlet compartment, feet. ~quid depth, feet. feet. Insidefw~djh,..,.I,~, ~ ~ ~" 9 feet; foundation,_ __ fee~; nearest lot line at [] front, [] side, [] rear,. feet. Depth,. feet. Liquid capacity, .gallons. Lining material gallons. SECONDARY TREATMENT consists of [] Tile disposal field. ~ Seepage pits. TJla Dlsp6sal Field: Distance from: Well, Total length of tile lines Trench width Length of each line, Type of filter material: [] Gravel. [] Broken stone. Depth of filter material beneath tile, ~hes. Seepage Pits: / . ~ . Number of pits ag Outside ~l~IilC~[, ~ feet. Depth, Distance from: Well, feet; building foundation, O~her feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, feet. Number of lines Distance between lines inches. Total effective ,t,*.~rption area in bottom of trenches. feet. ~th, top of tile to finish grade, Ott .feet. feet. feet. square feet. inches. Depth of filter material over tile inches. '~ .feet. Lining material ~ ~0/ feet; nearest lot line at [] front, [] side, [] rear, feet. (TITLE) Inspection made by: [] State. [] County. {~SkLocal Health Authority. Inspected by Date of inspection. /~)/~// 19~0 REPORT OF INSPECTION~INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, __ feet. Size of main, inches. Individual wells [] are [] are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water Building foundation cast iron sewer, seepage pit, Well construction: Diameter, Properties in neighborhood [] are [] are not being developed with both individual water-supply and sewage-disposal systems. Lot size: feet wide, .feet deep. Dwelling set back from front property line,, feet. Individual water supply from: [] Drilled well. [] Driven well. [] Dug well. [] Bored well. Distance of well from: feet; nearest lot line at [] front, [] side, [] rear, .feet; tile sewer, feet; septic tank,. .feet; disposal field, .feet; cesspool, .feet; other sources of possible pollution, feet. inches. Total depth, Approximate depth to pumping level of water in well,_ Sealed watertight to depth of feet. Exterior space around casing sealed with: [] Cement grout. feet, feet; feet. Type of casing, Depth of casing, feet. Approximate yield, .gallons per minute. .feet. [] Puddled clay. [] Ordinary backfill. Well cover: [] Concrete. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. [] No. Pump= [] Shallow well. [] Deep well. Length of drop pipe, feet. Pump capacity, Located in: [] Basement. [] Pumproom off basement. [] Pumphouse above ground. [] Pump pit. Pumproom properly drained: [] Yes. [] No. Pump mounting watertight: [] Yes. [] No. Type of storage: [] Pressure. [] Gravity. Capacity, gallons. Has bacteriological examination of water been made? [] Yes. [] No. If answer is "yes," give date Quality of water [] is [] is not satisfactory for human consumption. Installation [] does [] does not comply with approved exhibits, if any. Inspection made by: [] State. [] County. [] Local Health Authority. Inspected by Date of inspection 19__ gallons per minute. (TITLE) 19 ~ u. s. GOVERNMEN'I' PRINTING OPPICE: Ig57 O-P--4Z'7038 L , il -¢ FHA Form 2573 Form Approved Rev. July 1958 i FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R296.8 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM, PART I.mTO BE COMPLETED BY FHA NSUmNG GraCE ' MORTGAGEE SERIAL NO. Anehorage~ A~ka Firs~ ~ational Bank ~f Anchorage 60-0080~8 MORTGAGOR OR SPONSOR PROPERTY ADDRESS Allan J. Harr~ 190~ Dolly Varden Ave.~ Anchorage, Alaska SUBDIVISION NAME ....... BLOCK NO. J LOT NO. ~rookwood 3J 3 TOTAL NUMBER: Can attic or other area be made into i BASEMENT ~'] New installation additional bedrooms? LIVING UNITS BEDROOMS' BATHS ~J~J~J- JJJ~.nl~J -- ! (If Yes, how rnony~) WATER SUPPLY BY: [ SYSTEM DESIGNED FOR [~] Public system ~ ~-] Community system [-] Individual NO. OF BDRMS. GARBAGE DISPOSAL SEWAGE DISPOSAL BY: ! ~-] Public system i ['--] Community system ~ Individual J ~] Yes [] No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INspECToR'S SKETCH j , : j J [] is ~ is not =,satisfactory as a domestic water supply for the subject property. It is the opinion of iht J~ State ~ County [~] Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [Can be expected to function satisfactorily, and ['-'] Cannot be expected to function satisfactorily is not likely to Create an insanitary condition NOTE: The '~health authority should complete the appropriate opinion statement abo~grand affix date, signature and title in the spaces providedi Uso of the ~bove grid for Health Department Inspector's sketch as well as use of the back of this form is at the option of the health authorityI PART III.~FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: Individual wa~er-supply system be considered [-] Acceptable [--] Not Acceptable Sewage disposal be considered [--] Acceptable [-] Not Acceptable. DATE SIGNATURE r-'l CHIEF ARCHITECT CHIEF ARCHITECT DEPUTY FOR HEALTH AUTHORITY APPROVAL FHA Form 2573 INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM ~v. July ~ ¸6I · a:mu!m Jad · a~nu!m ~d SUOllg~? '~?u!sg~ jo 'loodssa~ ;al~,~ jo Alddns aa~nbap* qs!mnJ oa ~!~2!t, ol~!patum! u! Slla,~ jo aJnl!*J jo pJo2aJ lua2o; lsocu · pooq:oqq~!au u! L;~molsn> aou aJ~ [] a;;~ [] SlIa~ l~np!,~!puI · saqau!' m~tu jo az!s '~oaj 'm~tu Jo3~ a!lqnd lsaJ~au ol a~ums!(I 'saq>u! · aooj aJ,nbs' 'laaj i~!:~aa~cu ~?u!uFi .SUOli~? 'th!a,d~a p!nb!'I 'aaaj 'J,aJ [] 'ap!s [] 'luoaj [] le au!I ~oI lsoJ~au :aaa.; 'suo[i~? · aoaj 'qadap p!nb!'I ':aaj sluam~J~dtuo> jo JaqmnN IF ' A 2573 Form Approved eev. Form Jut~, 1958 FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R296.1 ~ HEALTH AUTHORITY APPROVAL INDI¥1DUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA MORTGAGOR OR SPONSOR PROPERTY ADDRESS Allan qT., ~am, li: 1909 Dolly ~a~dem lvemue SUBDIVISION~j~NAME, ] BLOCK3 NO. LO~NO. TOTAL NUMBJR: Can attic or other area be made into ! BASEMENT [-'] New installation additional bedrooms? LIVING UNITS BEDROOMS BATHS i (If Yes, how many~) 'wATER SUPPLY BY: SYSTEM DESIGNED FOR [51 Public system i IXl Community system ['-1 nd vidual NO.O B0,MS OA,SAGE D,SPOSAL SEWAGE DISPOSAL BY: i [~] Public system ii ~] Community system [~] Individual ~ [] Yes ,...~[~., No PART fl.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPE!CTOR'S SKETCH ~ I i ' i , I ! : i I , I .... ! :l I I i - It is the opinion of ~e [~] State [] County ~-] Local Department of Health that this individual water-supply system ~'] is [] is not satisfactory as a domestic water supply for the subiect property. It is the opinion of the ~ State County Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [~Can be expected!to function satisfactorily, and ~] Cannot be expected to function satisfactorily is not likely to dreate an insanitary condition DATE SIGNATURE -- NOTE: The health authority should complete the appropriate opinion )~atement above and affix date, signature and title in the spaces prov~dod~ Use o~he ~bove grid for Health Department Inspector's sketch as well as use of the back of this form is at the option of the health authority.! PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that 'the Individual water-supply system be considered [~] Acceptable ~'] Not Acceptable Sewage disposal be considered [~] Acceptable [-'] Not Acceptable. DATE [SIGNATURE [ ~ CHIEF ARCHITECT -"] CHIEF ARCHITECT DEPUTY FOR 'H AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev. July 1958 --61 · omu!m xod ~UOli~' · o~nu!tu aod SUOll~ '$u:s~ jo q~dofI 6I uo!l.~odsu! jo Xq po~>odsuI 'h!Joqmv q~ISOH I~Oq [] 'X~unoD [] '*~mS ~ :Xq *peru uop~dsuI · Xu~ j~ 's~q~qxa pa~o~dde q~ Xld~o~ lou saop ~ soop ~ uog~IlmSUI · uogdmnsuo9 u~nq ~oj g:ol2ejsp~s lou si ~ s~ ~ ~a~ jo a~p aA~ ,,'SOX,, q ~O~SU~ Jl 'oN ~ 'soX ~ ~apem uaaq Ja~ jo uog~u~m~xo I~OlO~Jalvgq S~H · suoI[~ Xlp~d~D .~D~D ~ 'ajnss~Jd ~ :a~ols jo adA& · oN ~ 'sox ~ :lqS~ume~ Sugunom dm~ 'ON ~ 'sox ~ :pau~,~ XlJado~d mooadm~ u[d dm~ ~ 'punoaS aaoq~ asnoqdmnd ~ uuamaseq ~o mooJdm~ ~ uuomassfl ~ :u~ Xlp~d~ dm~ uaaj .... od,d doJp jo q~uaq 'IIam daaG ~ .iia~ ~OlieqS ~ · oN ~ .soX ~ :~q~gJal~m Joao~ IIa~ u[ sSu~uado .l~O~ ~ '~o~ ~ 'o~oJ>uoD ~ :aoao> lIO~ · ii9~zq ~gu~plO ~ 'Xgp palpp~ ~ uno~S luamaD ~ :ql~ paleaS Su~s~ punme a~ds uaa3 jo q~dop o~ ~qS~na~ paleaS pl,~X a~xo~ddV uaaj 'llO~ u~ aal*~ jo l*aal ~u~dmnd ol qldap a~xolddv '~u~s~ jo adX~ uaaj 'qldap ImO~ 'saq~u~ · ~aaj uopnllOd alq!ssod jo sa~nos Jaq~o '.laaj 'PI%t I~sods!P '.~aaj '>lUre >gdas '4aaj- loodssa> uataas 019 '.laaj' · lla~ pa~o~ [] 'lla~ :gncI [] ]IOta ua^!:(I [] .lla~ PallP(I [] :mo~j ,qddns Ja:~e~ Nnp!a!puI uoaj 'au!I Xl~ado~d auosj mo~j >p~q 3os ~U!Ila~(I 'daap laaj ap!fa la~j :a~..s lo'I · sma~sXs i~sods!p-a~,~as puc Xlddns-aa~*,~ l~np!,x!pu! q~oq q~!ax padolaaap ~u!aq lou o~ [] aa* [] pooq~oqq~!au u! s0!:lJodoJd :~ale,~ jo/lddns a~nbap~ qs!mnj ol zh!up!,x a~,!patum! u! SlIaa~ jo aanl!~J jo pJo~aJ lua>a: lsom aa!O · pooqJoqq2!au m X~molsn~ lou aae [] aJe [] slIaax I~np!,x!puI · saq~u! ;u!~tu jo az!s 'loaj '-'m~tu Jol~ta >!lqnd ~sa~e~u ol a~ums!G 'saq2u! /6I ' / ~ ' ~ .,iq pm~adsuI .All. JoqltnV q~IeaH Ie~Oq ~ '~hunoD [] 'isa~ ~ 'apv ~ 'luoaJ ~ ~ OU]l ]oI lsaJ~au ~laoj- 'uogrpunoJ ~u~pFnq '.~aaj ~ uo!:Dadsu! jo a:~O l~!aa~m gu!u!'I '~aaj al!3 Jaao l~!Ja~m sa~19 jo q~daG 'saq>u! · l;~oj aJ~nbs u~aj 'q~daCI 'saq~u! uoq:~o 'auras ua>loJ[t [] 'opmft qs!utj ol aid jo dm 'qlda(I uaaj 'saq~uon jo tuolloq m ~a:~ uo!ldJosq~ a,x!l>ajja lmOJ, 'sau![ uaa~aq a~ums!cI 'sau!l jo s~:ltunN Uaa) ':t~a:t [] 'ap!s [] '~uoJj [] ~ ou!I ~oI lsaJeau '.laaj' 'uogepunoJ '.laaj' · loodssaD [] .~lum >!ldoS ~, jo sls}suo> ,LN:~W,L¥1111 AIIYWIlld W:IISAS 1YSOdSIO'IO~f/~IS 1VflOIAIONI--NOIJ,:)]dSNI :10 lllOdtll