Loading...
HomeMy WebLinkAboutSOUTH LAKEWOOD HILLS BLK 2 LT 8 Municipality of Anchorage Page _ I of :2. DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: _ ,.S~v' cl20 I O(o PID Number: _ ID I S 5'11 '1 3 Name: J~tr~s LA~BE~o~ Wastewater System:E~G d Upgrade Address: G~80 O'~A~[EY R~ A.c~ ~¢¢~ ABSORPTION FIELD ~hone: ~ ~ ~ ~ DeopTrenDh ~Shallowlrench ~ Bod ~ounO ~Olhor LEGAL DESCRIPTION Soil Rating: Tota~ Depth fro~ original grade: GPD/Sq. Ft. Lot: Block: Subdivision: Depth to pipe bottom from original 9rede: Gravel depth beneath pipe ~ 2 50. LA~EMO0~ ~LLS Ft Ft. [ ~ ~ectiom Fdl added above original grade: Gravel length: WELL: EXISTI~ New ~ Upgrade 3r~ve~ w~dth: Number of nnes: Ft Fb Ft. Ft SQ Ft Yield:GPM I PumpSet at Ft ICasing HeightAb°ve Gr°und:Ft TANK SEPARATION DISTANCES ~Septic ~ Holding U S:T.E.P. To Septic Absorption Lift Holding ~ublic/Puvat( Manufacturer: Capacity in gallons: From Tank Field Stat[on Tank Sewer Lines ~ N6~O~6¢ TA~k Material: Number of Compartments: Well J CO ' ~E ~ & Su~*ce , LIFT STATION Water Lot , Size b~ gsllons: I Manufacturer: Line I Foundation ~, "Pump °n" level at: I "Pump °ff" lever at: [ High water alarm at: Curtain Pump Make & Model I Electrical Inspections performed by: Drain I BENCH MARK Remarks: N~ ~pT/d T~NH ~T4 Location and Oescdption: Assumed Elevation: Department of Health and Human Services approval ~,'~'., Reviewed and approved by: 72-013 (Rev. 9/91) MOA 25 Permit No, gk/ c~20!O~ Page ~ of ~- Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LoT ~, J~LIC 2, gOUT// LtHc~.I,,/oOD ~IL~...( PIDNo' 015'5'1123 ~LA~q VI~ I~~ ~ ~0 ~ v~RT, ~C/tL~". ~'~ ~ NEU 12go GAt.. ~,~/ELL O0 [.5 ~ ~NLI~T:- ~,~,cj' OUTLET ~ Elattop Technical Servic 14530 E~ho Street Anchorage, Alaska 995 .6 72 013 A (Rev, 9/91) MOA 25 PAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920106 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:LAMBERTSON JAMES F & OWNER ADDRESS:6880 OMALLEY RD ANCHORAGE, ALASKA 99516 DATE ISSUED: 5/27/92 EXPIRATION DATE: PARCEL ID:01551123 LEGAL DESCRIPTION: SOUTH LAKEWOOD HILLS BLK T 8 2 L LOT SIZE: 35280 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: THE ATTACHED APPROVED DESIGN. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80 THE FOLLOWING SPECIAL PROVISIONS. 1 OF 5/27/93 1 SPECIAL PROVISIONS RECEIVED BY: 7~ ISSUED BY:~~ DATE: DATE: O' N'A E L E"r' RoAD LOT ~o ~3LK ~. {OUSE LOT 3 ELk'2 NOTE: No ~,'~LL~ I. oCATE'b I00~ oF LoT 8 SEPTIC Lo-r' cl LOT et V',So~ FRot~ ,LOT 'i~ I ?lattoP Technical Services 14530 Echo Street A~chorage, Alaska 99516 NoT£: 'TH Is i<~ NOT A .~ u~ VE"¥£ b pLAT. ALL LoCATIoN ~ ARE APPRo× IMATE. DATE SITE' PLAN LoT 8., ~Lk'21 SOU'TH LAt~.I, vOOb HILL .SEPTIC TANK REPZACEPI£1 GREI"~'R ANCHORAGE AREA BOR~ '~GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME/~)/C/' c~.'¢27~/°R/-.~/T'~ MAILING ADDRESS ~2~ /~/~ ~ PHONE LOCATION ~/~/~ ~r, ¢~[~/~/~EGAL DESCRIPTION ~ ~ g~ ~. SEPTIC TANK: DISTANCE EROM WELL ~ INSIDE LENGTH MANUFACTURER MATE R iAL~//~ /¢¢Z/C' ¢/.~ NUMBER OF COMPARTMENTS ~' INSIDE WIDTH ~ LIQUID DEPTH '~ LIQUID CAPACITY /~.5-O GALLONS. SEEPAGE Pit: NUMBER OF PITS__/ DIAMETER LINING MATERIAL C0.~/8~ CRIB SIZE: BUILDING FOUNDATION OO'-~* ', NEAREST LOT LINE ADDITIONAL ABSORPTION '~¢/~'/~ OR WIDTH /'¢¢ ~ LENGTH /~ ,/' DEPTH /,~' / DIAMETER ~ DEPTH ¢ DISTANCE FROM: WELL / TOTAL EFFECTIVE · ABSORPTION AREA (WALL AREA) ~' SQ. FT. WELL: TYPE /,"~/~]/~X/~/J BUILDING FOUNDATION CESSPOOL CONSTRUCTION ~' ~t/,-~q ~CZ/~2~ NEAREST f NEAREST LOT LINE /~) -¢- SEWER LINE OTHER SOURCES F-~043C~ ,~]~)~g/C) APPROVED DISAPPROVED REMARKS DEPTH DISTANCE FROM: SEPTIC / SEEPAGE TANK ~/¢r2 SYSTEM /~ ~:¢) DISTANCES: INSTALLED BY: ~' PIPE MATERIAL: LOT SLOPE: ~0,~/'/~ REMARKS: Form No. EQ-031 DIAGRAM OF SYSTEM ./¢ DATE APPROVED G.A.A.B. GREATER ANCHORAGE AREA E~OROUGH pERMIT NO. SEWAGE DISPOSAL SYSTEM ~ APPLJCATION AND PERMIT soil TEST .ES,.,-TS SOIL CO M P LETION DATE ANTIC!PA~ ED ---./~'~ -- PIT ~2~_.~ / DRAIN FIELD TO RIVER, LAKE, STREAM. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. [ CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA E~OROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE GREATER ANCHORAGE AREA BOROUGII DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 Case # Performed For L_/,~.o,.--. ~ ~,d~__ Legal Description: Lot ~' Block___~___ This Form Reports Soils Log_](_ - Soil Test Must Be Logged To 4' Below Proposed Depth Feet Soil Characteristics Dated Performed Percolation Test Seepage System Was Ground Water' Encountered? If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H20 Net Drop Percolation Rate Minute Proposed Installation: Seepage Pit Drain Field Depth of Inlet .................. Depth ~o Bottom of' Pit or Trenc~ ..........................Test Performed BY ~_~,c~-./~'~-'~ ....... cDG:T--~-~.~_ .................... Da~e: .................. Certified B~: Date: MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # A'~\~-~/-I\ ('&~'J~-\¢,~-~-'--~5") HAA# ~F'~C;~C~(~OL&L~-(~ 1. GENERAL INFORMATION (Must be completed prior to submittal)· (a) Legal Description (include 10t, block, subdivision, section, township, range) (b) Location (address or directions) Property owner J£~ ~'~'u ~ Mailing Address <jA Ft F Telephone: (home) 3~¢&' $~¢~5' Business (c) Lending Institutio~ Mailing Address Telephone ~e~ ~T'f J//f4 (d) Real Estate Company and Agent Telephone 3~'~- Mail the HAA to the following address: (or check here F~, if hold for pick up.) List contact person and day phone number below: (e) 2. TYPE OF RESIDENCE Single-Family ~ Number of bedrooms 3. WATER SUPPLY Individual Well '¢' Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and Status. 4. SEWAGE DISPOSAL On-site ~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 ~ ~.o ~ a6ed ')]JOM S,JegU!J~U8 jeuo!sseloJd suo!ss!uJo Jo s.loJJo JoJ elq!suodseJ lou s! abSJOLlOuv J.o/q!led!olu n R eqJ. 'penss! s! aleD!j!lJeO e eJojeq elep aZAleUe Jo suoRoedsu! 1onpuoo lou op SHHCl 1o saeAoldLU3 's~ueuJaJ!nbaJ eie~s pue leJepel u!elJeo AtsRes olJepJo u! suoBnl!1su! 6u!puaI J!@ql pue seLuoq ,Lo sJeseqo~nd ol Asepnoo e se s!ql seop SHHQ eq_L '~HS~lV Jeeu!§ue leUO!SSejmd luepuedapu! ue Aq e^oqe ~ qde~§eJed u! ua^l§ suop, elueseJdeJ eql uodn/~lUO peseq le^mddv A~poqlnv q~,leaH senss! (SHHQ) sao!^JaS ueLunH pue q~l~a.H to 1ueLu1JedeQ e§eJoqouv lo,q!led!o!unR eqJ_ leUOB!puoo laAoJddv leuoB!puoo J.o suJJa/ paAoJddeslC] ~ poAoJddv Aq suJooJpoq ~- Jo~ pe^oJdd¥ 'lVAOblddV SHHa '9 ~[ -~ eu°qdale~ SD~S 'HO~ d OLL~73 wJM to e~eN / 'uoBoedsu! siM1 Io elep eql uo l~eila ul suoBelnBa] pue 'seaueulp~o 'sapoo pue [edis!un~ lie MI!~ eoueHdmoo u! el mels~s leSOdslp ]el~else~ JO/pue A[ddns Cele~ alis-uo eql 'uoB9edsu~ pue ueiIeBBseAuI Am mo]¢ pue SellI eee~oqauv 1o Aliledl~iunR eM1 mo Jt peu!elqo uolI~m]otu! a~l uo peseq 1eM1 XtlJ~A ~aMPnt I 'uieJeM pele9!pu! emlonJls 1o adA1 pu~ smompeq 1o jeqmnu eM1 ]o1 elenbepe pue [euoll9unt 'ales si meIsAs l~sodslp ~eIe~else~ ~o/pue ~lddns ]ele~ elis-uo aMI leM1 s~o~s leAo]ddv AlpoMlnv s~ql 1o uo~leBilseaui A~ leql AtPeA I 'Moieq UMOqS elep UOIlep!I~A eql 1o s~ pu~ Ole~eq pex!JJe leas Am Aq pe~dl~eO sv NOI&~BOJNI aNY Yl~fl 'HOB~]S ]1Ii 'Sit]l 'iNOIIOieSNI ~NlalAO]~ ~BIJ 9NI~]]NISN] 'g A. WELL Well Classification ~Rt Well Log Present (Y/N) No Total Depth uN~__Cased to Static Water Level 1 ~.% ' Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot ~' To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by ?/-/}T1'oP Water Sample Test Results ~,~nSF~cTo~( Comments ~ D£C t,.,~ vE~ MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: If A, B, C, D.E.C. Approved (Y/N) N '~' Depth of Grouting N./}. Pump Set At '~157 Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots l ~o 120~ ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole '7/oo ;Date N ITA%':IT£ - N B. SEPTIC/HOLDING TANK DATA Date Installed (~/.~/73 Size 1~-5'o G, No. of Compartments Standpipes (Y/N) ¥£5 Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: TO Water-Supply Well <Y~ ' ~ To Property Line .~ ~o~ To Water Main/Service Line '~ ~'S ~ To Stream, Pond, Lake or Major Drainage Course Comments'¢ P~Sc ¢' ,~J~r'~/con Foundation Cleanout (Y/N) Ne Date Last Pumped I~/2 ; for Temporary Holding Tank Permit (Y/N) N.A, To Building Foundation ~-L( TO Disposal Field 20 ' ~/0o' f F*eo~ C,O. 72-026 (Rev 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field I~' Type of System Design Length of Field ~/¢/ Depth of Field ~ 12 ' Gravel Bed Thickness c~ ' Square Feet of Absortion Area (oG(o ¢P¢e u~sp. I~(~'~1' Statndpipes Present (Y/N) Depression over Field (Y/N) No Date of Last Adequacy Test la Results of Last Adequacy Test ~D~'G~'~tTE' FoR ~- SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~ 2o To Property Line ~ To Building Foundation 9-,c¢ ¢~'o~ CO. To Existing or Abandoned System on Lot N,A. ; On Adjoining Lots To Water Main/Service Line ~ / ~' To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course ?¢' co ~ To Driveway, Parking Area, or Vehicle Storage Area 7 ' F¢o~ d'.o. Comments D, LIFT STATION ~, ~. Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions ..... Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and l~1~i~i&in effect on the date of this inspection.,L~ ,~. Signed ¢'"'Z .................. :""~ Engineer's Seal MOA No. Receipt No,~ ~4 (~'~ Receipt No Date of Payment /d ~ //- ~ O Waiver Fee: $ Amount: $ ~ / ~O ~ Date of Payment 72 026 (Rev 7/88) Back Page 2 of 2 ACHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907)562-2343 FEDERAL TAX I.D. #92-0040440 MUNICIPALITY OF ANCHORAGE DIVISION OF [,~IRON/~ENTAL HEALTH DEPARTMENT OF [~'~J%H ,~D EN~'IRONMENTAL PR(/fECTION APPLICATION FOR HEALTH ~IYfHORITY APPROVAL CERTIFICATE 1, General Information Application [Date ."~' ~'.~{-'~ (a) I~gal Description (include lot, block, subdivisicn, sectign, township, range) Loc~3tion (add~ess or directions)t (b) Applicants Applicants (c) Applicant is (check o~) ~nding Institution ~u~= ~ ~ ~h~ ~12~ (explain); (d) ~ndi~g I~stitutio~ 3~~/f~[~ (e) ~al Estate Co. & Agent ~~~[; Telephone ~ '/~'-~4~ Adck-e ss Te lephor~e 2, 1~o~_<. of Residence Singie-F~ily Ntunber of ~edrocn~ 3, Water Su~ol~ Individual V%ll ~: Multi-Family O~er (~s~i~) Cc~nity t,--~- Public Note: If com~anity ~ell system~ must have written confirnmtion frca~ the State ~partment cf h~vironnmntal Conservation attesting to the legality ~d status, Is the well adequate fol~ the number of bedrcxmzs specified in this ~{AA 4, Se___~.Ge Onsite ~ Public ~_~ C~ramunlty ~ Holding Tank C'-i Is the wastewater disposal system adequate fGr tile 'mmlber of bedrocm~ [Page 1 of 2] 2-15-84 5. Engirmering Firm Providin Iq_~ctions~ Tests, Data and Information I certify that I have ch.~cked~ verified, or conforn~d to all MOA ~i%A Guidelir~s in effect on the d~e.~of this inspection. Date ,~-'? '? /~_~_ (ENGINEER SEAL) 6.pHEP__Approval Approved for ~ beck-ocms Approved ~_~ Disapproved ~ Te~ns of Conditional Approval Conditional C7 The Municipality of Anchorage Department of ~alth and Enviro~m~ntal Protection does not guarantee the continued satisfactory performance of t~ wate)~ supply and/or the wastewater disi~'©sal system. This approval indicates that, as of the validation date shc3~n abcve~ based on the data and information furnished by an engineer registered in the State cf Alaska, the water supply and wastewater disposal system is safe and func~ tional for the ~mbe, r of bedrccmrs and type of structure indicated. ( D{[EP SEAL) 7~ Mail the [tAA to the following add%cess: KS2/dS/s [Page 2 of 2] 2-15~-84 ae MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: Well Classification ' Elec~ical Wiring in ~nduit (Y~) ~:~ / ~ession ~ound ~l~ead Wate~ S~le Test ~sults Cc~m~ents B'. SEPTIC/HOLDING TANK DATA Date Installed _/~-,~a ~/~J Size /~O ~,.-'~d- NO. cf C~a~tments Standpipes (Y/N) j-~-~ Air-tight Ca6s (Y/N) ~/~ Foundation Cle~Out (Y~) ~ession o~ Ta~ (Y~)/~ ~te ~st P~d ~ P~ing~intenan~ ~n~a~ ~ File (Y~q) /J~; for Holding Ta~ High-Wate= ~a~ (Y~) //~G Te~ra~ Holdi~ Tank ~t (Y~) ~p~ation Distan~s ~ ~ptic~o%~in~ TO Wate=-Supply ~11 ~6 _~5,~ To~lldlnD Foundation, To ~o~rty Li~ '>g7~ +" To Dis~sal Field ~' To ~ter ~in/~vi~ Li~ ~ To S~, Pond, ~e, ~ ~jor ~aina~ Corm~nts [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~-~- Width of Field Square Feet of Absorption A~ea Depression over Field (Y/N) ~D V~Dkfl Type of System Design /Length of Field /~ __ Depth of Field ~ / Gravel Bed Thick~ess Standpipes P~esent (Y/N) \/~ Date of Last Adequacy Test ~ ~ ~,~ Sep~ation Distan~ f~ ~s~ption Field: ~ To Building Foundation ~ ~' To Existing or ~ndo~d System To St~e~ond~ke/~ Majo~ ~aina~ C~se /~.~ To ~iveway, Pa~king ~ea, ~ Vehicle St~a~ ~ea ~ ~ -~ D. ,W,4 Date Installed Size in Gallons "Pump 0~" Level at High Water Alarm Level at Tested fo~ Electrical Codes(y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy ~%st. Meets MOA Comments ** Check Permitted Be. droc~ Rating Against HAA Request I certify that I have checked, verified, o~ conformed to all MOA HAA Guidelines in effect on the date o~ t~is inspection. Signed ---. ..... Date ~-~/'7 Company ,AJJ'o.:,,j'~-I,,,~.¢ MOA NO. 5'TS&-O~P KB1/d5/s [Page 2 of 2] 2-15-84 BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION SOUTHCENTR~ REGIONAL OFFICE 437 "E" STREET, SUITE 200 ANCHORAGE, ALASKA 99501 Telephone: (907) Address: 274-2533 May 22, 1984 Mr. Victor Krumm 6880 O'Malley Anchorage, AK 99502 Subject: ~ot 8, Block 2, South Lakewood Hills Subdivision, Anchorage, Alaska, Waiver of Horizontal Separation The Department has reviewed the subject waiver request and hereby waives the separation distance between the well to septic tank from 100 ft to 98 ft for a four bedroom single family house only. Environmental Engineer BEE/msm /l,: APPLIC !~IT FILLS OUT UPPER HAt / ~)~t:~}~)~L ~2t~-%']}- ~../)L~/'~/C) Phone Address %~ t~) )' ¢~ ~' ~ Zip Code Lending Institution ~%¢W)j~,) j/~ /~)/2_~¢~%,~ ~/:> /%~2¢~ ~%.~_&~,~) % Phone Address ,~ ~;;~ ~ Legal Description /~¢ Street Locati~ ~)~ Time Time Time Time Insp~tor Insp~tor ~X.O~' Insp~tor ~(5~, Insp~tor(~x  MUNICIPALITY OF ANCHORAG' -~.0~- ENVIR },~;, :f,, A. .~) EL~ION { ~¢ ~ *...ow~ .E~.oo.s 'CO..~T~O.S O~*...OW. < ~ ~S*...OW~ 72.023 CONSULTING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 December 14, 1982 Larry Luedke ERA Bomden Realty 2600 Seward Highway Anchorage, Alaska 99503 SEW ER ADEQUACY TEST LEGAL LOCATION RESIDENCE OWNER WATER SEWER DATE OF TEST TEST PROCEDURE TEST RESULT Lot 8. Block 2, South Lakewood Hills On 0 Malley between Rockridge and Stoney Brook Four Bedroom, Single FAmily Alaska USA Federal Credit Union Onsite Well From Municipal Records: Tank 1250 Gal Stack Steel, two Comp. Absorption System Concrete Rings, 4 ft. dia. Absorption Area 666 sq. ft. Soil Rating 125-150 Installation Date May 1973 December 13, 1982 System was inspected on Dec. 7, 1982. Tank was full of heavy sludge. Water could be heard entering the crib. Water level in crib was 40 inches using top of pipe as reference point for 14 feet long dip stick. On Dec. 13 tank was pumped and water added to the crib at asteady rate of 6 gal. per min. the fo]lowing measure- ments were taken. TIME DEPTH FLOW VOLUME 0 36 6 0 10 42 6 60 20 45 6 120 30 47 6 180 40 48 6 240 50 48½ 6 300 60 49 6 360 70 49½ 6 420 80 50 6 480 After 6 hours 34 This sytem absorbed more than 480 gal in a 6 hour period It meets the Municipal Code Requirements. ~O/~;~/~FC~GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 1. Approval requested by: Mailing Address: 2. Property Owner: Date Received ~,~/× ?,///~ ~ Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR ~-]?oT~TPh0ne: ~ ~- ~7.5 ~ Phone: Mailing Address: ~..--~._~..._~x 3.Legal Description: 5. TYpe of facility to be inspecte~ 6. Well Data: A. Type -- C. Construction Sewage Disposal System: A. Installed /273 ~--~ B. Installer ~- C. Septic Tank: 1. Size / ~.ya 2. Manufacturer//J~z~<~-'~ D. Seepage Pit: 1. Absorption Area ~I: O' 2. Material E. Disposal Field: Total length of lines B. Depth /,~ D. Bacterial Analysis S~~ 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 h~a~e 2 of two pages - Req..~st for Approval of Individual S~.,er & Water Facilities ~'' legal Description ~ ~]~4~0~])c~ ~~ Comments '/~/ Approval Valid for one year from date signed Greater'- ,_XAnchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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)