HomeMy WebLinkAboutSTORCK #2 LT 1
oGREJ 'FR ANCHORAGE AREA BOR'%JGH
D e p a r t m e n t ~3E0n~;i rSot~%:, t a I Quality
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
FROM WELL /J~/'~ ~' MANUFACTURER
INSIOE LENGTH J~l ~NSIDE WIDTH
MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY/~¢'(~ GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL FOUNDATION
NUMBER OF LINES DISTANCE BETWEEN LINES
ABSORPTION AREA ~f(~/( SQ. FT./ LENGTH OF EACH LINE
· --
DEPTH: TOP OF TILE TO FINISH GRA%~./..~_cC~.)MAT*RIAL
BENEATH
TYPE Cy" /l~"g CONSTRUCTION DEPTH
NEAREST LOT LINE OF LINES
TRENCH WIDTH ~ /
IN. TOTAL EFFECTIVE
IN. ABOVE TILE ~ //
DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE , SEWER LINE__., TANK SYSTEM_
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH: ¢/6'~''~''-/
~ .~4~/~Co~DIAGRAM O,F 5YST/~E~
LOT SLOPE:
.~¢ ~ APPROVED
Form EQ-032
__ grE:~er ANCHORAge AREA
' SEWAGE DISPOSAL SYSTE~
INSTALLATION LOCATION
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE I~~O TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION 'fO SEPTIC TANK
FOUNDATION TO SEEPAGE pIT
SEEPAGE AREA SIZE
DIAGRAM
, DRAIN FIELD
SEPTIC TANK TO SEEPAGE P'T WAL ~ f /~/'
WELL TO SEPTIC TANKi ~.¢,.'
4 INCH DIAMETER CAST iRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BA(::K I~ ILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
[ CERTIFY THAT [ AH FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA ~OROUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE
GREATER ANCHORAGE AREA BOROUGh
L}epartment of Environmental Quality
3330 "C" Street ',
Anchorage, Alaska 99503
SOILS I.OG" I)EROI,ATION TI']ST
Performed fo[
Legal Description:
This form reports:
Depth
Feet
3-
4-
5-
6-
7-
8-
9-
10-
11
12-
13-
Percolation test
Soils log.
Was ground water encountered?
If yes, at what depth?
Reading Date Gross Time Net Time Depth to Watm' Net L)rop
Percolation 'r-a t e ............ ~n-~-n u t---e-. - ....
-Proposed installa~h-: -See~Tge Pit Drain Field .....................
DeptlT~fG'-b-oTGTn-l~-f--pit or trenci,
Depth of Inlet .............. · ...........................
COMMENIS: .... -- .................
SI°Pe Limits
304.97' I ....
N 79002'48'' E
6
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
Street, Anchorage, Alaska 99503 274-4561
Date Received March 3, 1976
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
Time of Inspection
Date of Inspection ~-~.~
1. Approval requested by: Alaska Statebank
Mailing Address: 310 East Northern Lights Blvd. Phone:
2. Property Owner: Robert L. Han~line, Kay Schmidt Phone:
279-7637 x 36
337-2758/337-1511
4.
5.
6.
Mailing Address:
Legal Description: Lot 1 Storck Subdivision
Location: North on Rabbit Creek Road, right on Clarks Road, 1st house on
the left
Type of facility to be inspected
Well Data: Individual
A. Type ~
Single Family
B. Depth
No. of bedrooms 3
C. Construction ~ D. Bacterial Analysis
Sewage Disposal System: On-site system. ~ ~
A. Installed B. Installer
C. Septic Tank: 1 Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank
Nearest lot line
, Absorption area
, Other contamination
, Sewer Lines __
B. Foundation to septic tank
., Absorption area
C. Absorption area to nearest lot line __
EQ-034 (1/74) Page 1 of two pages
March 1, 1976
MUNICIPALITY OF ANCHORAGE-
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C' Street, Anchorage, Alaska 99503 -- 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
'IAR 3 't976
1. Type of Inspection: CMRO VA FHA
2. Property Owner: Robert: L. Haneline & Kay SchmidL
CONV XXXX
Mailing Address:
Name of Buyer: N/A
Clarks Road
Day Phone 337-2758
337-1511
Mailing Address:
4. Name of Lending Institution: Alaska S~.atebank
Mailing Address: 310 E. Northern Lighf. s
5. Name of Realtor or Agent: N/A
Mailing Address:
Day Phone
Blvd. Phone 279-7637 ext, 36
Phone
6. Legal Description: Lot 1, Storck Subdivision
Location:
North on Rabbit Creek Road~ Riqh~ on Clarks Road,
ls~ house on left
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
if Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Single family residence No. Bdrms. 3
Individual XXXX
Individual (on-site) ....
EQ-037 (1/74)
Page 2 of two pages - ReF~-'~st for Approval of Individual
..Legal' D~scri~ti0n Lot 1 Storck Subdivision
S~-'~r & Water Facilities
Comments
Approved
~6~ Disapproved Date
App ova
Valid for one year from date signed
Greater Anchorage 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 operatin9 satisfactorily.
SIGNED
Date
EQ-034 (1/74)
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
~ ~ 6~3'.~,,~L/t Date Received FebrUary 10, 1976
~ ~.~' ~.m ~)S~)~ul~i~L" Time of
Inspection
~kf~ ,,~ \~ ~{ t¢k) ~ Date of Inspection
~'~ REQUEST FOR APPROVAL OF
~.\5~L~- INDIVIDUAL SEWER & WATER FACILITIES
Cony.
1. Approval 'requested by: Alaska Statebank
Mailing Address: 310 East Northern Lights Blvd. Phone:
2. Property 0wner: Robert L. Haneline & Kay Schmidt Phone:
Mailing Address: Clarks Road, Anchorage
3. Legal Description: Lot 1 Storck Subdivision
4. Location: North on Rabbit Creek Road, right on Clarks
the left.
5. Type of facility to be inspected Single Family No. of bedrooms 3
6. Well Data: Individual
A. Type B. Depth
C. Construction D. Bacterial Analysis
7. Sewage Disposal System: On-site system
A. Installed B~ Installer
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total 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 nearesi lot line __
279-7637 x 36
337-2758/337-1511
Road, 1st houce on
EQ-034 (1/74) . Page 1 of two pages
l:fq~ruarv h, [976
MUNICIPALITY OF ANCHORAGE
~/ .\ ~-~ DEP/~I~TMENT OF ENVIRONMENTAL QUALITY
-' 3L~3p ,'"~~ Street, Anchorage, Alaska 99503 - 274-4561
t~,~3 ~'' ~ REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
Type of Inspection:
CMRO VA :HA CONY × ¥'C-r
2. Property Owner: Robert L. liane]ine & Kay SCb.l'tdt
Mailing Address: elarks Road,
Name of Buyer ~/A
Aschorage Day ~hone ~37-275g
337-] 511
Mailing Address:
Day Phone
4 ,Name of Lending Institution: Alaska Statebank
Mailing Address: 310 E. Nort:borc I,JRhts glwI., ANC Phone 27q-7(,'17 ox,. '
5. Name of Realtor or Agent:
Mailing Address: ~hone
6. Legal Descriotion: Lot 1 Storck Subdivision
_ocation:
North on Rabh~t Creek Road, Right on Cla171~.,'$ Road. lsL hotlse
on the ]eft
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply:
Single fam:ilv r~sirlence
No. Bdrms. 3 _.
Public Utility Individual XXXX
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) XXX×
E£)-037 (1/74)
Page'2 of two pages - Re, st for Approval of Individual L br & Water Facilities
'Legal Description Lot 1 Storck Subdivision
Comments
Approved
Disapproved Date
Approval Valid for one year from date signed
Greater Anchorage 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)