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HomeMy WebLinkAboutTHOMAS W SPERSTAD #1 BLK 2 LT 12LOT" 21e~ GPr~TER ANCHORAGE AREA BORC'" tt EALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM _ __ PHONE____' LOCAT,ON ' LEGAL DESC ,PT,ON__ OZ' /z SEPTIC TANK: /VO./-~ //~/ DISTANCE FROM WELL____ __MATERIAL ~)T~'~ (,-- LIQUID CAPACIIY '~?,~"~'~O __ GALLONS. INSIDE LENGTH.--~/ NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT SEEPAGE PIT: ___OUTSIDE DIAMETER OR WIDTH ____~I:~ DISTANCE FROM WELL TOTAL EF:FECTIVE ABSORPTION AREA (WALL AREA) · LENGTH_ ~/ DEPTH ~'~' , BUILDING FOUNDATION £:~J~ / , SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES .... ABSQRPTION AREA FOUNDATION. ____DISTANCE BETWEEN LINES SQ. FT. LENGTH O[. EACH LINT' DEPTH: TOR OF TILE TO FINISH QRADE. , NEAREST LOT LINE TOTAL LENGTH , OF LINES TRENCIt WIDTH IN. TOTAL EFFECTIVE DEPTH OF FILTER MATERIAL BENEATH TILE IN, ABOVE TILE__ WELL: LOT LINE TYPE , DEPTH NEAREST , SEWER LINE SEPTIC , TANK. WATER SAMPLE DISTANCE FROM , BUILDING FOUNDATION SEEPAGE , SYSTEM____ , CESSPOOL DIAGRAM OF SYSTEM NEAREST OTHER SOURCES__ DISTANCES: DATE APPROVED . ,~. O R O U G H: ;,, c~se ,~GREATE ANCHORAGE AREA ' HEALTItDEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION 8, PERMIT No. LOCAT'0N OF ,NSTALLAT,DN :~d :~7 RESIDENCE ADDRESS. LFGAL DESCRIPTION. APPLICATION TO INSTALL: SEPTIC TANK__ TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH__ PERCOLATION TEST RESULTS ~i"~, SEEPAGE PIT /'Y , DRAIN FIELD. , OTHER TO BE INSTAl. LED BY (~,T~ ~' b ~""/¢'C- ANTICIPATED DATE OF COMPLETION ~zLL~Lf'' ~00 BELOW TO BI: FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS ~/~q,' ( ' '- " ( .AS DESCRIB.E,O BELOW. SIZE OF UNIT TOJF SERVED . SEPTIC TANK SIZE -7,c)'"~) TYPE ~SEEPAGE AREA TYPE ' ' ,C/t_ ---~-,,C~,z~,// DIAGRAM OF SYSTEM DISTANCES: I certify that I am familiar with the requkements of Greater Anchora,ge~rea Borqcgh Ordin~.pce ix~. 28-{8 and[hat above described system is in accordance with said code. ~z~' .~ ~-~ [~dL~ ../~ ~ ~ .~-~-~ / .: .-~ . the - ~ · t hi Ran e, ~ Se~t~ (i$ known); distance ~rola road: Location (address of. To~s p, g Size of Casing~epth of Holo~feet. Cased to:~:_ feet, 'Static ~vater level _[ ~/ feet (~ (below) land surface. Finish of well (check one) Open end ( ): Screen ( ): Perforated Describe screen or pe:~o:ations: ' in~ test at /~0 _gallons per ~ ~.~_.. ~te[~ump ~ feet~do,m from stat~e lewx. - ."~' ' - ~,~ 2J: :' ~ffiLL LOG ~~~_ . .) q Z~/r~ I It)~,~ ?~e:~.~ ~ -< ~ ~ :. - .-~. :+~a ~ O~ material, b~i~e/ from Give details Of ~ormatxons p~-~---*~, ~romd surface color, and hardness ...... , to ..... 3~9 W~at: ~tA ,~4~hor~9~ i~a~ka /;9501 SECURITY PACIFIC MORTGAGE 319 WEST 5TH AVENUE, ANCHORAGE, ALASKA 99501 TELEPHONE (907) 272-9501 CORPORATION January 20, 1976 MUNICIPALITY OF ANCHORAGE Pouch 6-650 Anchorage, Alaska 99502 RE: Lot 12, Blk 2, SPERSTAD S/D Dear Mr. Buchholz, Please issue an approval of the water supply sad septic system on the aboYe referenced lot. This wo~d be subject to escrowing f~uds to move the present seppage pit per the attached bid. Sincerer7 Formerly kassler & co, SUBSIOIARY SECURITY PACIFIC CORPORATION ~,~/tll~l~'i~ ~) GREATE~.~NCHORAGE AREA BOROUGH ' ~-- ~:~1 II I~/ Department of Environmental [~ality ~, _y_ 3330 "C" Street, Anchorage, Alas~aj~Y~)S 274-4561 ~ .~' --I ~te Received December 29, 1975 ~/~ ~ ~. . , Date of Inspection ~-30]75 Les . b " ~VIDU~ SEWER & WATER FACILITIES Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: 5. 6. 319 West 5th Avenue Don Heikes Box 1.501 F Star ~)ute A Let 12 Block 2 Sperstad NHN Jackass Lane see Type of facility to be inspected Single Well Data: Individual A. Type ~x~' C. Construction Sewage Disposal System: On-site A. Installed C. Septic Tank: D. Seepage Pit: 1. Family B. Depth D. Bacterial sewer B. Installer 1. Size ~-0 2. Manufacturer Absorption Area 2. E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank_~?~ ~a ., Absorption ar _ Nearest lot 'line , Other contamination B. Foundation to septic tank , Absorotion area C. Absorption area to nearest lot line Phone: 272-9501 Phone: 344-6959 Subdivision attached map No. of bedrooms ~. 50' Analysis Material 7(".)' .,~Sewer Lines . EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - R~ ~t for Approval of Individual , ~r & Water Facilities : Legal Description Lot 12 Block 2 Sperstad Subdivision ~1_~_ APproved . Disapproved _ Date /~,t3'~2~>'- App~al iValid for one year from date s'l~led Greater Anchorage Ar~a 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. EQ-034 (1/74) 4,1 Po¢~emb~r 31, 1975 is too clos~ to th~ well (within 274-~4561, ~Fd.a~s].on 135.