HomeMy WebLinkAboutTURNAGAIN BLK 2 LT 11Lo-I-
GRE ANCHORAGE AREA BO!
O Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
MAILING ADDRESS .~/~/~/~ /-5~7 ~L PHONE
LEGAL DESCRIPTION ~:~// _/~,,~- ~'¢~'~-~
SEPTIC TANK:
DISTANCE ' ~
FROM WELL /~ MANUFACTURER
INSIDE LENGTH ~ INSIDE WIDTH --
MATERIAL
NUMBER OF
COMPARTMENTS
LIQUID DEPTH ~ LIQUID CAPACITY /~0 GALLONS,
SEEPAGE PiT:
NUMBER OF PITS / DIAMETER ~ OR WIDTH ///, LENGTH /~, DEPTH
?
LINING MATERIAL/~/J]¢~ CRIB SIZE: DIAMETER~DEPTH ¢ DISTANCE FROM: WELL
/ .~ ) TOTAL EFFECTIVE
BUILDING FOUNDATION ~J, NEAREST LOT LINE~/~) ABSORPTION AREA (WALL AREA) ~ SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPe ~f~'/,'/~/~ CONSTRUCTION
BUILDING ~ NEAREST
FOUNDATION /~ 7~ , LOT LINE
CESSPOOL OTHER SOURCES
APPROVED / DISAPPROVED
(~, /~', DEPTH //z/// DISTANCE FROM:
NEAREST
, SEWER LINE
SEPtiC ~ SEEPAGE
TANK /~2~ SYSTEM
/~o
REMARKS
DISTANCES:
INSTALLED BY: /'~J)'/~.)f'
PiPE MATERIAL:
Form No. EO-O31
DIAGRAM OF SYSTEM
DATE
/'~' /,¢7-/,4,(-, / // ~
APPROV
G.A.A.13. C~
GREATER ANCHORAGE AREA Borough
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
PERMIT NO..
NAME OF APPLICANT
, NSTALLAT,ON LOCAT,ON
LEGAL DESCRIPTION /oT// ~Z/~
INSTALLATION OF: SEPTIC TANK
TYPE AND S]ZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SEEPAGE Pit_
TO BE INSTALLED BY
DRAIN FIELD OTHER
COMPLETION DATE ANTICIPATED ~.~.~'~/~/~ / 2 ~J
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~ /
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL /~ /
SEPTIC TANK ~ . SEEPAGE PIT TO NEAREST LOT LINE.
DRAIN FIELD
SEPTIC TANK. ~S / .. SEEPAge PIT
· DRAIN FIELD
. SEEPAGE PIT
ALSO CONSIDER A~EA WELLS.
DRAIN FIELD /~d /
CAST fRON INTO AND OUT OF SEPT]C TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON S~PHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
· FITTED WITH AIrT{GHT REMOVABLE CAPS.
GRAVEL BAI~KI~ILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRI~ED SYSTEM ]S IN ACCORDANCE WITH SAID CODE.
1
13--
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAl QUALITY
3330 "C" Street
ANCHORAGE, ALASKA 9950S
Performed For~~
Legal Description: dot II Bi~ck-~
This Form Reports Soils Log ~
Soil Test Must Be Logged To 4'
Depth
Feet Soil Characterist~c~
r so ,l (F-x')
Was Ground Water Encountered?Ho _
If Yes, At What Depth?
Case #
Dated Performed ~-I~-
Subdivision
Percolation Test
Below Proposed Seepage System
Reading [ Date
Gross Time ] Net Time ] Depth to H20
Net Drop
Percolation Rate Minute ,,
Proposed Installation: Se ag~ Pit ~ Drain Field
Depth of Inlet___~,~ .............. D~pth~ to Bottom of Pit Or Trench_O~.~,~
· est Performed BY 7~~ .... Date [ert.fi;~
Dale:
MUNICIPALITY OF ANCHORA¢~"~N
OF HEALTH AND ENVIRONMEI~ iL PROTECTION
Date Received: January 11,
1978
~1: Time ~%k'~/~/,9~%~ #2: Time ~n~ #3: Time
Date ~ [3L~/ Date t. Ti~[p~77 ~S Date
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND~ATER FACILITIES
Lending Institution Request: Alaska Pacific Bank
Mailing Address: Post Office Box 420 99510
Phone: 276-3110
2. ProPerty Owner: Donald/Stacy Assesin Phone:
Mailing Address: % John Garland, Home State Realty, 276-3513
3. Legal Description: Lot 11 Block 2 Turnaqain Subdivision
4: Single Family Residence: (x) Number of Bedrooms: Three
Multiple Family Residence: ( ) Number of Bedrooms:
Well System:
Permit #
Construction
Individual Well (x) Community/Public System ( )
Depth of Well IL[~~ Well Log on File
~_~c[. Bacterial Analysis
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
On-site System (x) Public Utility
Installed %C~ Installe~
\, ~(-~ ~-,c~[r~c~%. Manufacturer ~ ~ ~
Soils Rate
Material
( )
Distances: Well to Septic Tank ~DQ'
to Sewer Line Nearest Lot line
to Nearest Lot Line
to Absorptio~ Area l~g~'
Absorption Area
:P~a.ge *~wo,
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 11 Block 2 Turnagain Subdivision
Comments:
Affadavit Attached: (')/~
Disapproved:
Letter Attached: ( )
Date: /^~
Date:
Department Worksheet:
,UNICIPALITY OF ANCHORAGE i
~%. ~ Department of Health and Environmental Protection
/~'~i ~ 825' L Street, Anchorage, Alaska 99501
... '~ 264-4720
-- ~.=~equest for Approval of Individual Sewer and Water Facilities
Property Owner:
Mailing Address:
Donald $ Stacy Assesin
NHN E. ll2th Ave.
.Phone:
Name of Buyer:
Mailing Address:
Nik~nder & Linda Shane
621 W. 32nd Apr 17 C.
Phone: 278 3915
Se
Lending Institution:
Mailing Address:
Alaska Pacific Bank
P.O. Box 420 Anchorage 99510 Phone: 276 3110
Real tor/Agent:
Mailing Address:
Legal Description:
Street Location:
John Garland/Home State R~alty
517 W. Northern Lights Blvd. Phone: 276 3513
Lot il, Block 2, Turna~ain S/D
NHN E. ll2th
Single Family Residence: ~ Number of Bedrooms:
Multiple Family Residence: ( ) Number of Bedrooms:
Water Supply: * Individual Well
If Individual Well, well depth
If Community System, name of system
Public/Community System ( )
8.-.~Sewage Disposal System:
If On-site System, date
On-site System
of installation:
~X) ~. Public -S~k~c~tll¥(Of) ~.,.¢ '..!"
DEP[. OF
ECEI
VE
*,~0~... . ~ell log is required on AL~ wells drille~ s,rice 6/* .-~----~
Please ~ote: ~s o~ ~Ay, tg?? the ~ee schedule ~e~ i~oL~ALn-y
~e ca~ ~ot begi~ processing gAe paperwork u~ti1 a 825.00 ~ DEPT. ~F
is sent with the above paperwork. Any questions, please [N%ROi~k~hNIAL ~ROI[C]ION
contact this office at 264-4720. Laura Harrison
RECE~V,:D
January 25, 1978
Donald Assesin
% John Garland
Homestate Realty
&17 West Northern Lights Boulevard
Anchorage, Alaska 99503
Subject: Lot 11 Block 2 Turnagain Subdivision
The existing sewer system failed to pass the adequacy
test that was performed by this department.
Therefore, before we may approve the request for sewer
and water facilities, an upgradeoof the sewer system
will be needed.
Tbs upgrade will include; twenty-five(25) feet of trench,
with six(6) feet of gravel below the drain pips. A ten(10)
foot solid pipe separation is raquired between the
existing seepage pit and the new trench. Prior to the
upgrade a permit must be obtained from this office.
Temporary approval may be gaanted if monies are escrowed
to cover the cost of the upgrade. The upgrade should be
completed by June 1, 1978o
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Robert C. Pratt,
Sanitarian
RCP/lJh
Alaska Pacific Bank
% Rosie Parks
Post Office Box 420
99510
GREATER ANCHORAGE AREA BOROUGH
Departme~ t of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Time of Insnection /dD.' 30 ~'~'
Date of Insoectton
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Address, JU~/~ --~=~-~ , 02;- ,?~',7 Phone:
2. Prooerty Owner: .
3. Legal Description:
5.
TvDa of Facility to be Inspected'
Number of Bedrooms:
A. T~e c~ B. Depth /d~
C. Septic Tank: 1. Size ~ 2. Manufacturer
O. Seepage Pit: 1.
Disposal Field: Total Length of Lines _""'"
Distances:
A, Well To:
B.
Septic Tank /~ ., Absorption Area/~ , Sewer Lines
, Nearest Lot Line /~ , Other Contamination
Foundation to Septic Tank ~.~' '
> Absorption Area
C. Absorption Area to Nearest Lot Line
Request for approval of~dividua] Sewer &' Water Feetlit¢~
Page Two
9. Comments:
Aoorove
~1 Valid for Year Signed
App One From Date
Greater Anchorage Area Borough, Department of Envfronmenta] Quality
DIAGRAM OF SYSTEM
~ certif, that the information contained in this request for approval to be a true
an~ accurate representation of the subiect sewer and water facilities located st:
Signed Date