HomeMy WebLinkAboutBROOKWOOD BLK 4 LT 9- 17Z-
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1. Approval requested by:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received July 15, 1976
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Dow Real Estate
Time of Inspection
Date of Inspection
Mailing Address: 213 East Fireweed Lane
Phone: 277-3581
2. Property Owner: W.R?
Phone: 344-6179
Mailing Address: Box 3815C
3. Legal Description: Lot 9 Block 4 Brookwood Subdivision
4.~ Location:
Rainbow Avenue - off of Huffman
5. Type of facility to be inspected Single Family
6. Wel 1 Data: Conm%unity System
A. Type
C. Construction
7. Sewage Disposal System:
A. Installed 196q
C. Septic Tank: 1.
D. Seepage Pit: 1.
E. Disposal Fi eld:
8. Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
C. Absorption area to nearest lot line
No. of bedrooms
B. Depth
D. Bacteriql Analysis
, Sewer Lines
On-site system
B. Instal ]er
Size 2. Manufacturer
Absorption Area 2. Material
Total length of lines
, Absorption area
, Other contamination
, Absorption area
EQ-034 (1/74) Page 1 of two pages
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: ~::~o~ ~\~ ~ /~ 0-_ .
Name of Buyer:
Mailing Address:
4. Name of Lending Institution:
Mailing Address:
5. Name of Realtor or Agent:
Mailing Address: ~)--~ ~
6. Legal Description:
Location:
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
JUL 5 lg76
RECEIVED
co,,,,,
Day Phone:
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply: Pu~llc~U~ty ~
If Individual, number of dwellings presently served
Individual
If Individual, depth of well ~.~ V...-~o ~_~ ,-,
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation [~¢-~
,Individual (on-site)
72-003(3/76)
Page2 of two pages - Req it for Approval of Individual S Ir & Water Facilities
Legal Description Lot 9 Block 4 Brookwood Subdivision
Comments
Disapproved , Date ~-~
Approval ,Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I 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)
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Rabbit Creek Area Reference Map-P13
1974 JH
July 27, 1976
Mr. Warren Stone
Box 1538C
Anchorage, Alaska
R & M No. 653122
RE: Percolation Test on Existing Disposal System; Lot 9, Block 4,
Brookwood Subdivision
Dear Mr. Stone:
On July 27, 1976, at your request, our office conducted a percolation test
om the above described lot.
The following table represents the level of the liquid in the tank. The
depth of the tank was 5.7 feet. The depth of liquid in the tank was
initially 3.5 feet above the bottom and 5.2 feet below the top of the
stand pipe. The tank had been pumped prior to the test and was therefore,
assumed to be below the outlet level. For the test, the liquid level
was measured from the top of the stand pipe.
S~{MARY OF MEASUREMENTS
Level of Liquid Meter Reading
Time In Septic Tank In Gallons Remarks
0:00 5.20' 490.0 (initlal~
3:03 3.68' 890.0
5:05 3.60' '1300.0
5:30 3.68 1300.0 (final)
Fill Storage
Start Test
410 gal/
I22 min,.
3.36 gpm End Test
Check liquid level
The meter used during the test was a Neptune 5/8" standard water meter
which, was borrowed from the Anchorage Water Utility. The meter had
previously been 'calibrated and approved for installation by the utility
company.
The septic tank had been pumped three or four days prior to the perce!ation test.
Since the house on the lot concerned was occupied, it can be assumed
that the leach field in question was at its normal degree of saturation.
To further insure normal saturation and to fill any possible storage in
the system, 400 gallons of water were added to the tank before beginning
the percolation test.
At'~C H O I~ AI:~ E FAI ~.q ~IANK;5~ J IJ I%1.~ ALI
Mr. Warren Stone
Page Two
July 27, 1976
If it is assumed that the existing three bedroom residence will
house five people, the average daily load on the disposal system can
be expected to be 375 gallons per day. The maximum hourly load on the
system would be about 0.8 gallons per minute (gpm).
Since the existing disposal system accepted 410 gallons in 2.0.hours
3.4 gpm without a level rise, I would conclude that the leach field is
presently performing in a satisfactory manner for a private residence.
If you have any questions concerning this test or this letter, please do
not hesitate to call.
Very truly yours,
R .& M CONSULTANTS, INC.
Edward Yarmak, Jr. ~
Junior Engineer
EY/ddp
FHA Form 2573 Form Approved
Rev. Jul), 1°58 FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 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.
National Bank of Alaska 111:008307-203
MORTGAGOR OR SPONSOR PROPERTY ADDRESS
Gross Brothers Const. Co. NHN Rainbow Avenue
SUBDIVISION NAME BLOCK NO. LOT NO.
Brookwood Subdivision ~ 9
] Can attic or other area be made into
TOTAL NUMBER: BASEMENT New installation additional bedrooms?
LIVING UNITS SEDROOMS BATHS
(if Yes, how many~)
~WATER SUPPLY BY:~ SYSTEM DESIGNED FOR
L_J Public system JxJ Community system k_J Individual NO. ow ,D,MS. G^,,^Ge D,S,OSAL
SEWAGE DISPOSAL BY~
r-1 Public system r-] Community system [] Individual ['-] Yes [--1 No
PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT
HEALTH DEPARTMENT INSPECTOR'S SKETCH
It is the opinion of the ~ State O County r~ Local Department of Health that this individual
water-supp]y
system
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 create an insanitary condition
DATE SIGNATURE TITLE
NOTE: The health autho~/A~y should complete the appropriate opinion statement above and affix date, signature and tine in the
spac6s p~vld~d,
Uso o! the above 9rid ~or Hearth Departmefl* Inspector's sketch os weft as use o~ the hack o~ this ~orm is ut ~he option o~ the
health authority.
PART Ill.--FOR USE OF FHA OFFICE
TO THE CHIEF UNDERWRITER:
I have reviewed the foregoing and the pertinent FHA C~mpliance Inspection Report, and recommend that'the
Individual water-supply system be considered [~] Acceptable [~ Not Acceptable
Sewage disposal be considered [~] Acceptable r'-I Not Acceptable.
DATE
SIGNATURE
~-~ C~l~ ARCHITECT
N DEPUTY FOR CHIEF ARCHITECT
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
FHA Form 2573
Rev. July 1958
REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM
PRIMARY TREATMENT consists of [] Septic tank.
Septic Tank:
Distance from well,__.feet. Material
Total liquid capacity,
Inside length,.
Cesspool:
Distance from: Well, . feet; foundation,
Inside diameter, feet. Depth,.
[] Cesspool.
Number of compartments
gallons. Capacity inlet compartment,
.feet. Inside width, feet. Liquid depth, .feet.
feet; nearest lot line at [] front, [] side, [] rear,
feet. Liquid capacity, gallons. Lining material
[] Seepage pits. Other
Depth of filter material over tile,
.gallons.
SECONDARY TREATMENT consists of [] Tile disposal field.
Tile Disposal Field:
Distance from: Well,
Total length of tile lines.
Trench width.
Length of each line
Type of filter material: [] Gravel.
Depth of filter material beneath tile,~
Seepage Pits:
Number of pits__. Outside diameter, feet.
Distance from: Well, feet; building foundation,_
Inspection made by: [] State.
. feet; foundation, feet; nearest lot line at [] front, [] side, [] rear,.
feet. Number of lines. Distance between lines,
inches. Total effective absorption area in bottom of trenches
feet. Depth, top of tile to finish grade,
[] Broken stone. Other
inches.
feet.
.square feet.
inches.
inches.
Date of inspection
feet.
Depth, feet. Lining material
feet; nearest lot line at [] front, [] side, [] rear,__
[] County. [] Local Health Authority.
Inspected by-
, 19
(TITLE)
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
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:
Building foundation
cast iron sewer,
seepage pit,
Well construction:
Diameter,
feet; tile sewer,
feet; cesspool,
inches. Total depth,
feet; nearest lot line at [] front, [] side, [] rear,
feet; septic tank,. .feet; disposal field,
feet; other sources of possible pollution, feet.
Approximate depth to pumping level of water in well,
Sealed watertight to depth of feet.
Exterior space around casing sealed with: [] Cement grout. [] 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
feet. Type of casing,. Depth of casing,
feet. Approximate yield, gallons per minute.
.gallons per minute.
(TITLE)
feet,
feet;
feet.
~ U. S. GOVERNMENT PRINTING OFFICE: t957 O'F~427038
AAB-HD:.I
GRI:ATER ANCHORAGE AREA BOROU~,H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
oc ,o-5 '
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY /~~ GALLONS.
ADDRESS _ . PHONE
LEGAL DESCRIPTION ,~,~7'" ¢ ...~~ ¢
~"*~'~'~ 7 NUMBER OF
MATERIAL COMPARTMENTS
INSIDE LEN G T~'~ ~r~-~..~'~,~.~ /~y
INSIDE WIDTH
LIQUID
DEPTH __
SEEPAGE SYSTEM:
SEEPAGE PIT: M E] E R~.~.~..~..~
OUTSIDE DIA ~
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
LENGTH , DEPTH
BUILDING FOUNDATION.__
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL__
NUMBER OF LINES
ABSORPTION AREA
/
FOUNDATION
DISTANCE BETWEEN LINES
DEPTH: TOP OF TILE TO FINISH GRADE
SQ. FT. LENGTH OF EACH LINE
, NEARES, LOT L,NE 3'0/ TOTA' LENGTH/elf9 /
OF LINES
TRENCH WIDTH ,..~/~"3',~-/" IN. TOTAL EFFECTIVE
DEPTH OF FILTER MATERIAL BENEATH TILE.
IN. ABOVE TILE
E~F,~J//O~//~Ty DISTANCE FROM WATER
WELL: TYP , DEPTH , BUILDING FOUNDATION . SAMPLE
NEAREST SEPTIC SEEPAGE
LOT LINE SEWER LINE , TANK , SYSTEM , CESSPOOL
DIAGRAM OF SYSTEM
DISTANCES:
., NEAREST
OTHER
, SOURCES__
!
~-")~: $1'
DATE
APPROVED~
GAAB-HD-2
GREATEI, ANCHORAGE AREA . ~)ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
Ca~e N o. ~ ?~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT \//~ 1(~-~
RESIDENCE ADDRESS -~) ~:~/'~
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
T0 SERVE THE FOLLOWING FACILITY
FINANCED THROUGH
../
PERCOLATION TEST RESULTS
MAILING ADDRESS '~o/' S~3g
LOCATION OF INSTALLATION
~' 4 e-oW ¢
SEEPAGE PIT DRAIN FIELD ~ OTHER
T0 BE INSTALLED BY F~
ANTICIPATED DATE 0F COMPLETION
PHONE N 0.~~:~
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
AS DESCRIBED BELOW. SIZE
· SEPTIC TANK SIZE ~'~)~;~O TYPE _~~:ZSEEPAGE AREA ,'/~ TYPE DIAGRAM OF SYSTEM
DISTANCES:
Health Authority
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 '.~'~/,-~//~y APPLICANTS SIGNATURE ~'"~~ ~~:~-~~"<~ j'
GAAB-HD-2
GREATEK ANCHORAGE AREA
ttEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501
_ {)ROUGH
279-2511
Case N o. ='~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT .ff~JK
RESIDENCE ADDRESS t~00 £~W~.p.~
LEGAL DESCRIPTION,
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCEB THROUGH
PERCOLATION TEST RESULTS
MAILING ADDRESS
LOCATION OF INSTALLATION
PHONE NO.~-SD ~
SEEPAGE PIT . , DRAIN FIELD V~ , OTHER ..
~'H /~ j/ TO BE INSTALLED BY V~LL ~:~lJ
e:~W -/~ %~'d~ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
~/~.~ ~] ~-~d".., PERMIT TO INSTALL A
THIS IS TO SERVE AS ~_~ ,
AS DESCRIBED BELOW. SIZE OF y_NIT. T.O.,,~ SERVED
· SEPTIC TANK SIZE ~/~"~ TYPE ~A'H~'~EEPAGE AREA
DIAGRAM OF SYSTEM
DISTANCES: ,/~/? lA.)
H?lth-Au;horit¥ ~ .
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 APPLICANTS $IGNATURE
~GREATER ANCHORAGE AREA BOROUGH
HEALTH DEPARTMENT
327 EAGLE STREET
ANCHORAGE, ALASKA 99501
CASE
Legal Desc~zpt~'~n: L. ot~Block~Subd-ivision. Z~/~/~z)r~3~i, ,,
This Form Reports a, SoiIs Log~j .._ -.Percolati°n TeSz
Depth
Feet
.;__
Was Ground Water Encountered? . /~/~ .......
If Yes, At What Depth ,
Location Sketch
Reading~ Datev Gross Time ' Net Time Depth To H20 Net D~op
-------+." :--~: i,,: ...... : ,."-. :: ii'::'i' 7:1. '. . :' ~ · :,:,~,':
Fmop~sed Install.atzon: SeepaEe Pit ~ Drain Field
Depth Of J. nlet ~.~/' ,, Depth To BOttom Of Pit O~ Tr~ench
Test P~rfo~med By ~_~3~ .,,:~
Data Cet"tified By: ~ ~z2'/~z~/[2 7Z/~..'.
Da-~e: 6.',z/A..~ .'2e~, ,, i .~
