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