HomeMy WebLinkAboutSPRING BROOK VISTA #1 BLK 3 LT 8
GRE,-,/ER ANCHORAGE AREA
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER__
INSIDE WIDTH_
MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY
GALLONS.
SEEPAGE PIT:
NUMBER OF PITS ~ DIAMETER __
LINING MATERIAL~/~-¢ / CRIB SIZE:
OR WIDTH )
DIAMETER
BUILDING FOUNDATION__
NEAREST LOT LINE
ADDITIONAL ABSORPTION
LENGTH____, DEPTH
DEPTH (~ DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) SQ, FT.
WELL:
TYPE
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
__ CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
NSTALLED BY:
PIPE MATERIAL:
LOT SLOPE: __
REMARKS:
DIAGRAM OF SYSTEM
..... ,, GREA,, R ANCHORAGE AREA BORGJGH
'~ ~! Department of Environmental Quality
~;~' 3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE '
1, /
FROM WELL_ ~//j~
INSIDE LENGTH__
__ MANUFACTURER
INSIDE WIDTH
NUMBER OF
COMPARTMENTS '~
LIQUID DEPTH
LIQUID CAPACITY/~'¢)~' GALLONS.
'~d~E=~ ..:
DISTANCE FROM WELL~'~'~]~4 __
NUMBER OF LINES_4__--
DEPTH: TOP OF: TILE TO FINISH GRADE
NEAREST LOT LINE.~5~ ~ f'
FOUNDATION
DISTANCE BETWEEN LINES t"/'-//'"'.~ TRENCH WIDTHF~-~ IN.
__ SQ. F-F. LENGTH OF EACI-, LINE
DEPTH OF FILTER
MATERIAL BENEATI4 'rILE
TOTAL LENGTH
____OF LINES ~?
TOTAL EFFECTIVE
IN. ABOVE TILE
IN.
WELL:
TYPE Ed 'f~', '~L'Z~'2 / 't/~'i- CONS]' RUCT ION
BUlL_DING NEAREST NEAREST
FOUNDATION____ LO-I' LINE , SEWER LINE
.DEPTH __
SEPTIC SEEPAGE
TANK __ SYSTEM
__DISTANCE FROM:
CESSPOOL _
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
_
Form LQ-032
DIAGRAM OF SYSTEM
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0 8 E GEOI'~.CI--INICAL 8 DEVELC,'i¥ik~NT CO.
Box 90, {)avis St,, Eagle giver, Alaska 99577
694-2774 or 68B-2280
Russell Oyster Earl Ellis
Soils 8- Foundations Land Development
Perfomed fo~:
Legal Description:~-~£ J;',
D_~L~..th.~(.feet___)~
0
LI
1] .......
].5
].6
Proposed Installation:
Eaglr River Area
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Conv.
Approval requested by: Alaska Bank of Commerce
Mailing Address: 712 West 4th Avenue
Property Owner: Eric S. Johnson
Mailing Address: Post Office Box 722 Eagle River
February 10, 1977
1:30 p,m.
2-11-77 Friday
Buchholz
Phone: 279-5641
Phone: 694-9734
99577
Legal Description: Lot 8 Block 3 Spring Brook Vista
Location:
See map on back
5. Type of facility to be inspected
6. Well Data:
A. Type Public
C. Construction
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
Distances:
Single Family
No. of bedrooms 2
B. Depth
D. Bacterial Analysis
Sewage Disposal System: On-site system, Permit #76083
1976 B. Installer
1. Size 2. Manufacturer
1. Absorption Area 2. Material
Total length of lines
, Absorption area
, Other contamination
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
, Absorption area
Sewer Lines
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re st for Approval of Individual er & Water Facilities
Legal Description Lot 8 Block 3 Sprinq Brook Vista
Comments
Approved Disapproved Date ~'/'ff~t-?7
Appr~aq ~.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)
MUNICIPALITY OF ANCflOR^GR
MUNICIPALITY OF ANCHORAGE DEPT,
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTEOTIONENVIRONMENfAL 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
FEB 1 0 19/7
REOUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
CONV X
1. Type of Inspection: CMRO VA .FHA
2. Property Owner: (,~" <' ~-"~ .~'~kQT~---%~C~
Mailing Address:~ .~ ~ ~.~)~cx~ ~;,[~ Day Phone:
3. Name of Buyer:
Mailing Address:_ Day Phone:
4. Name of Lending Institution: ~~ '~1.~:~ ~ ~~_,
5. Name of Realtor or Agent:~-~X~X}~ R xxX xl.,
Mailing Address: ~" ~ ~' O~e~ ~&,, Phone:~,L~
6. Legal Description:~'~ % ~bC ~ ~ ~OF' ~(~0~
7. Type of Facility to be Inspected:
No. Bdrms.~.
Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
Individual
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility-~
If Individual, date of installation T---~)~ ~
Individual (on-site)
72-O03(3/76)