HomeMy WebLinkAboutT15N R1W SEC 30 LT 64 S 150'
GRE R ANCHORAGE AREA BOP
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION- 2,49 ,c,/, /,/./'I~ ~'/ ~d~ ://~:,,/~¥'- LEGAL DESCRIPTION ~$///, .,
SEPTIC TANK:
DISTANCE . , ~ ? / ~ .~.
NUMBER OF
COMPARTMENTS
INSIDE LENGTH - INSIDE WIDTH LIQUID DEPTH ~ LIQUID CAPACITY /'~-~/~ ~? GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER ~ OR WIDTH /g)/ LENGTH /('?/ DEPTH
LINING MATERIAL/~?/'~:V'~//' CRIB SIZE: DIAMETER -~ DEPTH _~/ DISTANCE FROM: WELL A-;+~' //
~F" ~j / TOTAL EFFECTIVE
BUILDING FOUNDATION ~/~ NEAREST LOT LINE / / , ABSORPTION AREA (WALL AREA) .}~3 ~ SQ. FT,
ADDITIONAL ABSORPTION
WELL:
TYPE , / CONSTRUCTION
DEPTH
BUILDING NEAREST NEAREST SEPTIC
FOUNDATION __ LOT LINE - SEWER LINE TANK
CESSPOOL ~ OTHER SOURCES
APPROVED
DISAPPROVED __ REMARKS
DISTANCE FROM:
/~'-~ /,/SYSTEMSEEPAGE /,~.2~/7, //
DISTANCES:
~¢ '.::/~///~.,r
INSTALLED
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No. EQ-031
DIAGRAM OF SYSTEM
NAME Of APPLICANT
GReater ANCHORAGE AREA BorouGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
PERMIT NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 2/~ HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL SE SUBJECT TO PROSECUTION.
WATE. MAIN TO SEPTIC T^NK f~."
- SEEPAGE PIT ./~:~
DRAIN FIELD .
SEPTIC TANK, ~+~ SEEPAGE PIT /~ DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND ]NTO CRIB CROSSING GAP OF
eXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON $]PHON PIPES ON SEPTIC: TANK AND SEEPAGE PIT
FITTED ~VITH AIRTight REMOVABLE CAPS.
GRAVEL BAC:KIFILL
CONFORM TO BOROU~~/~EGULATIONS~GiA~A~'b~REGARDING INSTALLATION.
LICENSED DESIGNER
CERTIFY THAT I AM FAMILIAR VTITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MAYO[~
DEPAREMEN F OF H~AL~H AND ENVIRONMEN IAI_ P,'30'FECTION
Miller/Ryan Property
APril 8, 1981
Mike Miller
% Daniel A. Ryan
Post office Box 341
Eagle River, Alaska 99577
S~bject: T15N R1W Section 30
Lot
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
(i)
The septic tank pumped with a receipt submitted to
this office.
(2)
An adequacy test needs to be performed on the existing
leaching area. This test will determine if the system
is adequate according to National Standards. A l%sting
of private firms performing the test is enclosed. This
report needs to be submitted to this department for
our review.
(3)
Hand dug wells are not acceptable within the Municipality
as an approved water source. Therefore, the hand dug
well will need to be abandoned. A new well will need
to be drilled. Prior to the drilling, a permit will
need to be issued from the office.
(4)
A water sample will need to be drawn from the new well
after completion by this office. Please call for
an appointment when it Js ready.
If there are any further questions, please call this office
at 264~4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
~' ~ ~¢¢ DAVE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME T
DATE DATE DATE
~(-IPALITY OF ANCHORAGE
TION
825 L Street - Anchorage, Alaska
) ENVIRONMENTAL SANITATION DIVISION /'~
Telephone 264-4720 S ~J~WEE_R~ _FEAJ_ CYL~r r~
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND S
DIRECTIONS: Complete all parts orl page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER . PHONE
MAI LING ADDR ESS
PROPERTY RESIDENT (If different from above) PHONE
MAILING ADDRESS
MAI LING AD DR ESS
4. REALTOR/AGENT PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
6. TYPE OFR SIDENCE / NUMBEROF~BEDROOMS
'~ [] One ..[;;~ Four
SINGLE FAMILY [] Two [] Five
[~ MULTIPLE FAMILY [] Three [] Six
[] Other
7. WATER SUPPLY
, ~i INDIVIDUAL* * ATTACH WELL LOG. A well Icg is required for all wells drilled
[] COMMUNITY since June lg75. For wells drilled prior to that date, give Well
[] PUBLIC UTI LITY depth (attach Icg if available.)
8, SEWAGE D/IS~OSAL SYSTEM
~' INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTI LITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY ·
1, TYPE OF RESIDENCE NUMSER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[~] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[~]Septic Tank or [] Holding Tank
Size: J,~-~ If Tank is homemade BOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AR EA MATERIAL
~ Area J~ (/'; Nearest Lot Line
4. DISTANCES Septic/Holding Tank Absorption ~ew~'~'
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
[] APPROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[~DISAPPROVED
DATE ' BY
72 010 (Rev, 6/79)