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T15N R1W SEC 8 LT 94
GAAB HD. I GR"~TER AF, ICHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL MATERIAL_ LI©UID CAPACI?'¥ '~,//',) _GALLONS. INSIDE LENGTH SEEPAGE SYSTEM: SEEPAGE PIT: _PHONE NUMBER OF __INS/DE WIDTH ' __DEPTH_ NUMBER OF PITS ~/ LINING MATERIAL_~.~ NEAREST LOT LINE "'~ ~,~ OUTSIDE DIAMETER OR WIDTH DISTANCE FROM WELL__.,~/(,~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) £ BUILDING FOUNDATION SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL /--) FOUNDATI ...... // TOTAL LENGTH ~ ' ~'~ ~-~--~ ----~, NEAREST LOT LINE / ~ OF LINES /~ ABSORPTION AREA ~ .... ~Q. FT. lENGTH OF EACH LINE DEPTH: TOP OF TILE [O FINISH GRADE _DEPTH OF FILTER MATERIAL BENEATH TIL~. IN. ABOVE TILE WELL: TYP DEPTH , BUILDING FOUNDATION._ '"' .SAMPLE__ _, NEAREST NEARESTSEPT,C LO[ LINE L--~'~ SEWER LINE_~~''' TANK ~./_ SEEPAGE / OTHER -- ----' ' , SYSI'EM--~L~'z ~L, CESSPOOL_ ~'~- SOURCES DISTANCES: DIAGRAM OF SYSTEM -- APPROVEE .REATEI, 327 Eagle St. ANCHORAGE AREA IIEALTIt DEPARTMENT Anchorage, Alaska 995011 9ROUGH 279-25 ] 1 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT APPLICATION TO INSTALL: SEPTIC TANK TO SERVE '['HE FOLLOWING FACILITY__ FINANCED THROUGH. ~ ~'~' fl~/~- PERCOLATION TFST RESUt. TS_ ,SEEPAGE PIT , DRAIN FIELD , OTHER. [~" 5~/:f- ---d ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMFNT THIS 18 TO SERVE ASSr. -(~f~ w'? It ~ ~ ~ PERMIT TO INSTALL a ~ ~'.l~/J ~ ...... , AS DESCRIBED BELOW. SIZE OF UNIT TO 8E SERW~D~ _. SEPTIC TAN K SIZE _/~ rfc .TYPE ~..e ~ _ SEEPAGE AREA DIAGRAM OF SYSTEM DISTANCES: Health Authority I certify that I am familiar with the requkements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is iii accordance with said code. GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 3~7 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE P¢,rformed Fop ~.~..,A.. z'.? ...... /' Date Performed '" Th_s ~ozm tepovts a. So~ls Log ~ · "~e~coletlon Test .... Depth Feet Soll Chamacteristics Location Sketch Was Ground Water Encounteved?~ ........ e~ooe~ If Yes, At What Depth Reading Date Gross Time Net 'rime Depth To H20 Net Drop Depth Of Inlet Test: Performed Data Certified By:~ June 21, 1982 Grec and Gail f~'tevens Ilex .3.~.~, Jayhawk Dr. (.L~Qtak, Ax 99567 ~,ub]cet., BI,M Lot 94, SE]/4 Se(fbi. on f~, q, ,~, " · , I_H, RlW, SM Approval for the individual sower and water facilities cannot be granted ~nt).l tho following .. i'tems haw~ been c~c,lm)leted: o Exposed electrical wire~3 to the well heat] are in violation of the Iun..cipallty of Anchorage ~odes and must be en~a~ed in conduii:, ' · The water analysis report needs to be ~tlbmf. tted to ixhls of:ff}.~e from tho Chore Lab, 5633 B otr~:~e%, for o/ir [OV:l. OW. .%'he ,' ' ' , . .~ept].c tank pumped wi%b a reee~l)t:..m})mltted to this c] epa rhl~lent. An ade,quacy test needs to be Del;formed or~ the · ~ .Xl ,:~ leaching area. This test will determ:tne if the system is adeqtlat'e accordinq to [atlonat otandards. A llsting of private firms performing the test is enclosed. .[ lid report needs to be ~ubmltted to his office for' our revzew. Please notify thJ. s Departlaent :for a rein.~1Dection wherl the [Ioted ' ' ' <!3. screpancles have be~n corrected. If~ hhelTe are any further q/lestions, pi. ease call this offlee at 264-4720. Sincerely, RP146/p/EII Enclosure Robert C. Pratt Associate Lnvi.ronmenta 1 CIIEMICAL & GEL .OGICAL LABORATORIES ~ ALASKA, INC. TELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATFR SUPPLIER WATER SYSTI-'M: Water System Name Mailing Address Mo. Day Year D. NO. Zip Code SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref, no. [] Special Purpose [~ Treated Water [] Untreated Water SAMPLE NO. t I LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [~ Satisfactory [] Onsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample, Date Received Time Received Analytical Method: 13 Fermentation Tube ~ Membrane Filter Lab Fief. No, J J L J Result* Analyst READ INSTRUCTIONS BEFORE COLLEC'TING SAMPLE 06-1220 (b) Rev. 1978 BACTERIoLoGicAL WATER ANALYSIS FIECOF~D Presumptive Z0ml ]0mi [0ml 10mi 10mi 1.0mi 0,Zml 24 Hours 48 Hours Confirmatory 24 Hours 48 Houri EMB Broth 24 houm _Broth 48 houri= _Z0ml Tubes Positive/Total 10mi Portions Collforrn/100ml EXCAVATION ROBERT A. SHAFER WORK June 23, 1982 CIVIL ENGINEER 694-2979 Gregory Stevens Box 3585 Jay Hawk Drive Chugiak, Alaska 99567 Dear Mr. Stevens, Reference: Lot 94: Section 8: T15N: R1W: Seward Meridian A sewer system adequacy test was performed on the system located on the referenced ]property as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The seepage pit was tested by adding 1000 gallons of water to the system. After a 24 hour period, 616 gallons of water had percolated out of the crib. ]it can be condluded from this test that the waste water disposal system is currently functioning adequately for the three bedroom residence located on this property. However, the system cannot be guaranteed against subsequent failures. If we may be of further service, please do not hesitate to call. cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA Date " Date Date ~nspector Inepector Inspector Date Sewer Installed Permit No, Septic Tank Size Holding Tank Size -Soils Rating Well To Absorption Are~ Well Log Received Well to Tank APPLICANT FILLS OUT LOWE~,,H~;F. Buyer Address Lending Inetltutlen Phone , Phone Realty Oo, & Agent ", Address Street Location Type~ Residence ~--~¢,, .. , O'Single Femily ~ Multiple Family No. of Bedrooms C Other ~ Individual ' A~ACH WELL LOG. A well log Is reqelred for all wells drilled since June ~ Community 1975 For we s .drllled~pd.er B' Individual Year Individual Installed: _ U Public Utility When Connected to Public Utllity~ ~ Holding Tank ,~ -