HomeMy WebLinkAboutBRUIN PARK FIRST ADDITION BLK 5 LT 20 GRr ~ER ANCHORAGE AREA BOROUr~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N? 681 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: /__~,~,~ _.~ MAILING ~-"~,~! ~_~ ADDRESS ~ /~~ LEGAL DESCRIPTION PHONE3 ¢'j~'- ~'///9 , NUMBER OF DISTANCE FROM WELL ]6~J~ /J~;'~~C'~! / ~'. MATERIAL d~/~'/'~/~-- COMPARTMENTS /~---('~j~3 - ~j/~~'~) ~ ~"~'/~LIQUID LIQUID CAPACITY °~"'~/) GALLONS. INSIDE LENGTH ~'""~,IN-SIDE WIDTH ~ DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER LINING MATERIAL /~)('~ / "- NEAREST LOT LINE -.~'~ "~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) .,._-. ! OR WIDTH /~ LENGTH /~- ,DEPTH DISTANCE FROM WELL ~/~-'~'~ /~ /m/~'~-, BUILDING FOUNDATION SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE NUMBER OF LINES /'~ DISTANCE BETW~ TRENCH WIDTH ABSORPTIOJ~AREA SQ. FT. LENGTH OF EACH LINE~ ..~ TOTAL LENGTH OF LINES IN.J~[ EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE -- DISTANCE FROM WELL: TYPE/'f,J~/ ,/~ DEPTH BUILDING FOUNDATION. NEAREST ~ SEPTIC ~ SEEPAGE LOT LINE SEWER LINE , TANK SYSTEM WATER SAMPLE CESSPOOL , NEAREST OTHER , SOURCES~ DISTANCES: f DATE DIAGRAM OF SYSTEM GrEATEr ANChOrAGe AREA BOrudgh DEPARTMENT OF eNVIRONMeNTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGe, ALASKA 995.02 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM M APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK TYPE AND sIZe Of FACILITY TO BE SERVED FINANCED THROUGH (~ COMPLETION DATE ANTICIPATED MAILING ADDRESS SEEPAGE Pit A (/ TO BE INSTALLED BY PHONE DRAIN FIELD . OTHER NOTE: THIS PERMIT IS NOT VALI'D WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DePARTMeNT AUTHORITY WILL BE BUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK I FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL /~- I ~-, SEPTIC TANK ., SEEPAGE Pit . TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD , DRAIN FIELD , DRAIN FIELD SEEPAGE Pit I~0' ALSO CONSIDer AREA WELLS. DIAGRAM OF SYSTEM WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANk, SEEPAGE PIT TO RIVER, LAKE STREAM. , DRAIN FIELD CAST II~ i~ ~{ND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOI, L. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND ~£EPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH ReGULATiONS REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT I AM FAMIliar WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCrJ4~D SYSTEM IS IN ACCORDANCE WITH SAID CODE. DA APPLICANT'S SIGNATURE t /~ / ZEATER ANCHORACE AREA BoRouQH HEALTH DEPAkTMENT 32? EAGLE STREET ANCHORAGE, ALASKA 99501 CASE Performed For _ 'R ~_.~% ~ ~ ~6~ch w[~ Date Performed Legal Des:riPti~n: Lot ~...~..BlOcR ii~%~-.__S~bd-~visiOn Er ~;~_ ~v~.~ This Form Reports a: Sozls LOg i ;% . .Percolation Te§z Depth Feet Soil Characteristics Location Sketch l!~ l.l .~_, Reading Date Gr~s Time Net Time Depth To H20 Net Drop 1 P~oposed ' Installa~on: Seepage Pit Drain Field .-'Depth Of Inlet '' / ~' i 'l il'il Depth To Bottom Of Pzt Or Trench · ~-.~ r..-' '.~. ~, ·  ~ - F ..... ' ............. ' ................ Date: . ~ .~,~/. ~'. ~TIME DATE INSPECTOR INSPECTION APPOINTMENTS TIME DATE INSPECTOR ~DATE RECEIVED ' ' iTIME )ATE ' N S P E CTO R~. {::~t.. ~.~. ~tuN~mALITY OF ANCHORAGE , MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 NOV 1. 2 1981 ENVl RONMENTAL SANITATION DIVISION Telephone 264-4720 R E C E 1 V D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts omi page 1. Incompl®te req,,~sts will not be processad. Please allow ten (10) days for processing. 1. PROPERTY OWNER J PHONE I' MAILING ADDR ES. w~"t ~.S~ .......... , , i .... __. - .... PROPERTY RESIDENT (If different from above) ' PHONE ~AI LINg 3. L D ~ NSTITUTION J PHONE ADDRESS 4, REALTOR/AGENT J PHONE I MAI LING ADDRESS s, LE~L DESCRm~TIO~ " ' STREET LOCATION E. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BED~OOMS [] One [] Four [] Other ~ Two [] Five [] Three [] Six B. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 7. WATER SUPPLY INDIVI ,DUAL" [] COMMUNITY [] PUBLIC UTILITY ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY [] ONE [] TWO NUMBER OF BEDROOMS [] THREE [] FIVE [] FOUR [] SIX [] OTHER 2. WATER SUPPLY [] NDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] IN DIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or []Holding Tank Size: '~ ~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AR EA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER MATERIAL Septic/Holding Tank IAbsorption Area Sewer Line Nearest Lot Line 5. COMMENTS DATE I~/'APPROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter mus/t~company [] DISAPPROVED certificate) 72-010 (Rev. 6/79) un cipa ity November 23, 1981 Rodger Straight Property Paul W. Russell Star Route A Box 1779R Anchorage, Alaska 99507 Subject: Lot 20 Block 5 Bruin Park Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: ~~/~) (2) 4.% ~ (3) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. The seal on the well head needs to be tightened so that it is water tight. Caps to the cleanouts of the sewer system need to be installed. ~~(4) The septic tank pumped with a receipt submitted 'to this office. An adequacy test needs to be performed on Lhe existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. Please notify this office for a reinspection when the noted descrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw MUNICIPALiTy OF ANC DEPT. HORAGE m~AL PROTECTION ~OV ~ $1981 RECEIVED November 19, 1981 Paul Russell NHN Willeene Drive Anchorage, Alaska RE: Lot 20, Block 5, Bruin Park Subd. #1 Sewer System Adequacy Test Dear Mr. Russell: As per your request, I have performed the adequacy test on the absorption system on the above property on 11/17/81. The system consists of a septic tank (10OO gallons) which was pumped prior to the test and a seepage pit both of which appear to be in good working order. After pumping the septic tank, water was added to the seepage pit at approximately 4 gpm until 350 gallons had been added on two successive days in accordance with the Municipalities recommended procedure. The depths were monitored at regular intervals and the results tabulated on the attached sheet. A review of the test results indicate that the sewer system is functioning adequately for a two bedroom home. Sincerely, _ ,, Wayne ~nderson, . . WH: sa 2820 "C" Street, Suite #3, Anchorage, Alaska 276-4855 99503 PENINSULA ENGINEERING A1)I~.QU ACY TEST CI lent.: Addross: l,ega I: Sys ~'em: l'1 HE (mi n) Paul Russell NHN Willeene Drive Lot 20, Block'5, Bruin Park Sub. Septic Tank and Seepage Pit i)1.;1¢1,1[ ............b~,!l,'l'~l WATER Al)DEl) SI';I"I'IC TANK SI';I';I'A{;I~ I'I.T .__~t)m) RA'I'I~ pmpg Lest rain ra in HI i II m i n 60 70 m±n 80 85 rain m tn 56 8 8 8 8 8 8 13 13 13 13 13 13 13 13 13 13 118 116 116 152 154 154 154 154 154 154 154 154 107 120 140 145 150 152 152 152 152 152 107 After Start 10 81 20 30 40 50 () 16 0 0 4 4 4 4 4 4 4 4 4 4 0 4 4 4 4 4 4 4 4 4 0 TOTAl, WA'r l,',l~ . A 1_2 D I,__;L)__(a ;!: l ) 0 0 8O 120 160 200 240 280 320 360 0 4O 8O 120 160 200' . 24O 0 '~2~'.J CE-4488 ... 3330 "C" INDIVIDUAL SEWER & WATER FACILITIES FOR GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality Street, Anchorage, Alaska 99503 274-4561 Cony. Date Received March 3, 1977 Time of Inspection Date of InspectiOn l. Approval requested by: Lomas and Nettleton Company Mailing Address: 4449 Business Park Boulevard 2. Property Owner: Roger Strai~t Mailing Address: NYN.Wil~,~Street~ Legs] Description: Lot. ~- Block 5, ~in Park oca on: Be 6. Well Data: A. Type Individual C. Construction/~~ 7. Sewage Disposal System: Phone: 274-7661 Phone: No. of bedrooms 3 B. Depth D. Bacterial Analysis On-site system A. Installed C. Septic Tank: D. Seepage Pit.: E. Disposal Field: B. Installer Size %~'O 2. Manufacturer Absorption Area ~-~0~-~.. Material _~.~2,~ ~/0'~ T6tal length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages 3330 MUNIcIPALi~' GREATER ANCHORAGE AREA BOROUGH. Department of Environmental Qual~t "C" St., Anchorage, Alaska 99503 ~74'4561/~z1~ ~1977 REQUEST FOR APPROVAL OF RECEIVED INDIVIDUAL SEWER & WATER FACILITIES Type of Inspection: CMRO VA FHA Property Owner: Mailing Address': 6/~//~.~c~/~~.~. Daj/ Phone Name of Buyer: .~]~y~y~ .~/x/92/~9.x9(_~ . Mailing Address: CONV )< Day Phone Name of Lending Institution: Mailing Address: ~/~/~/?X~.f/~/.4~y/~. Phone Name of Realtor or Agent: Mailing Address: Phone Legal Description: Location: Type of Facility to be inspected: Water Supply Type of Supply: Public Utility No. Bdrms...~ Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) ! EQ-037 (1/74) Page 2 of two pages - Req ,t for Approval of Individual S r & Water Facilities Legal Description Lot 20 Block 5 Bruin Park Subdivision Comments . Approved 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) 17117' GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SE~ER & WATER FACILITIES FOR Address ~ ,.~";?l~ ,.~./'~dL, .. ' Phone ~ ' / / . , ' ~ . . of 6., Well Data, 7. Sewage Disoosal System B 'Depth /~Z~ D. Bacterial Anal~sis' .~¢~-~''" ,,/...,,/./.~/7/ .8, Installer A. ~nltalted C. Septic Tank, 1. Size '7,~0 2. Manufacturer D. Seepage Pit, 1. Size ~/~x/'O 2. Material E. Disposal Field= Total Length of Lines ................. Distances, A. Well To, Septic Tank~O* ,, Nearest Lot Line B. Foundation to Septic T~nk ~/~0/ Se. er L~nes , Absorption Area , /0 .... , Other Contamination .. · '~ Ab'~orption A~ea C. Absorption Area to Nearest Lot Line, . ,. . ~ ....... ., , ,.,. , , · Request. for Approval of Individual Sewer & Water Faoilittes Page Two om nts: ' ' ' Approval Valid for One Year From Dm%e S~gned Greater Anchorage Area Borough, Detriment of Bnvtronmen%a] Qusltty DIAGRAM OF SYSTEM I certify that the information contained in this request for appreval to be a true and accurate reprnsentatlon of the subSect sewer and water facilities located at: Date Signed Oubjoc~: ~hc, Relocation Su~)ervisor, ~r. iiu(.)n Wilti~.~:s. If chis office c~t~) be of any further assis~;at~c¢ ~,~;, you, please do ~)o~ l~esiraf,~ to call ~$ ~t 274-4561. Sincerely', Denise C, L)ashaw Environmental Control Officer kt