HomeMy WebLinkAboutTHE LANDINGS BLK 2 LT 6LoT'
4j.Y ':'EF".RTMCk OF E"V'"O'"ME"TA'. QUAL'TY .
SEWAGE~I~ODAL SYSTEM ~ APPLICATION AND PER~IT --
NAME OF APPLICANT
INSTALLATION LOCATION
INSTALLATION OF: SEPTIC 'rANK
TYPE AND SIZE OF FACILITY TO BE SERVED
COMPLETION DATE ANTICIPATED
TO BE INSTALLED BY *~/ /b--
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION bY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
/,,.-~ ,.../7~ /4, ,.../'4'.5- /'~f4~,"-.,7~ . ' z) .~ -~' d:~
~l.lr~Ur~ /~ ///?
FOUNDATION TO SEEPAGE PIT ~ ~¢'~ --, DRAIN FIELD .
SEPTIC TANK TO SEEPAge PIT WALL
SEPTIC TANK -- --, SEEPAGE PIT
TO NEAREST LOT LINE.
/:)/~/,-/-
WELL TO e~PTTd'-TT~K / ¢~
DRAIN FIELD
· DRAIN FIELD.
SEEPAGE PIT
., ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC; TANK
DRAIN FIELD
,,¢/,~,-,~ r- /~,-c /'
SEEPAGE PIT ,
/E~ ~l /, DRAIN FIELD
CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
F[TT[D WITH AIRTIGHT REMOVABLE CAPS.
GRAVI;L BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
DIAGRAM OF
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREA ANCHORAGE AREA BOROUGH RD ANCE NO, 2B,OB AND THAT THE Al
.~ O~' .'- , I ~ ~, ,
9,/i 1 Department of Environmental Quality
3330 "C" Street
Anchorage, Alaska 99503
.~ ~SOILS LOG - PEROLATION TEST~ _/ ~
Perforned for
3T rf ,t , ~pate ~erfonned~S
This form reports: ~ilsq~_ ~ ' - - P~rcolation test
Depth
Feet
6-
7-
8-
13-
14-
Was ground water encountered? ~-~ 0
If yes, at what depth?
Reading
Date
Gross Time
Net Time Depth to Water
Net Drop
. }roposed installa~-T6n: Seepage Pit _.¥_~._ ....... ,--.~)ra~n.r}e/,~ ................... .
Dui)Hr of InlQt .~,epth to bottom oi plb~or ~rencn
,SEI~VIC:E C:OiqTRAC:T
MULTI..FLO WASTEWATER TREATMENT PLANT
THIS AGREEMENT MADE AND ENTERED into this .__~ clay of _t.-~ , 197 ~'-,
by ,'md between the user of a multi-rio wastewater plant and
WITNESS:
THIS AGREEMENT is executed concurrently by the user and the dealer service manager
at the time of installation. The dealer covenants and agrees to fun~ish twenty-four (24) months
service on the user's waste treatment plant from date of installation. The purchaser-user
covenants and agrees by the presents to, and docs hereby contract with
to serviOe the user's waste treatment plant upon expiration o£ the dealer's aforesaid free se~wice
pe~5od of twenty-four (~4) months. The user understands by signing this agree~nent that the user
accepts respo~sibility for the service after the dealer free service period, and also understands
the necessity and responsibility £or the service requirements that are advised by the dealer.
Sea-vice Contract - Continued
Page Two
This service guarantees to make two (2) service and inspection (,'ails per year at regular intervals
and to respond prompdy to any emergency calls for repair service. Unscheduled emergency or
service calls not due to malfunction of or defective sewage treatment nnits shall be paid for by
the sewage treatment plant owner. Although the regular service and inspection calls during the
first twenty-four (24) months of installation will be free to the sewage treatment plant owners,
the sewage treatment plant owner shall be required to pay the Service Contractor's road titne for
travel on an average scale computed by averaging road time costs for the number of plant
customers in the area of the service call.
Inspection service calls will include the following:
1. An effhmnt quality inspection consisting of a visual check fro' color and examination
for odors.
2, Adjustment and scrvicing of any mechauical and electrical components that are out of
order.
3. Backwashing of filter media or replacement of filter media with previously washed
filters.
4. Periodic sampling, twice a year if necessary, of the effluent quality, and of the settled
solids iii the aeration tank.
Any additional work necessary will be done upon written authority h'om the homeowner and
at additional charge. '
Service frmn
MONTH - DAY - YEAR
Service Call Cost $25.00 per call phis travel charles, if any..
Customer's Name and Address __ _~-~x~
OATE
Service Representative
DATE
MUNICIPALITY OF ANCHORAGI.
DEPARTMEI OF HEALTH AND ENVIRONMEN1 PROTECTIOI~
825 L Street;, Anchorage, Alaska 99501
279-2511, ext. 224 or 225
Dal~e Received: July 21, 1977
~].: Time 9:30 a.m. t~2: Time It3:
Date 7-26-.77 Monday Date Date
Insp Willis Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WAILR FAC. ILIT[ES
l, Lending Institution Request:
Mailing Address:
Pholle:
2- Property Owner: Steven C. Horn Phone: 344-4928
Mailing Address:
Star Route A Box 4006 99507
3. Legal DescriptJ.on: Lot 6 Block 2 The Landings Subdivision
Family Residence:
Mult:iple Family ResJ_dence:
Number of Bedropms: _F_our .........
Numbel: of Bed.ceell/S:
5, Well System: Individual Wail (x) Community/Public Sysuem ( )
Permtt IF ......... Depl;h of Wel.[ _~ ........ Well Log on File ( )
Construction ........ B t i 1 An s s
6~ Sewage Disposal Sysnem: On-site System ~y) Public Utility ( )
7.'
Permit ~ Installed 1975 Installer
Septic Ta~k Size J_~.~""C) Manufacturer
Material
Distances: Well to Septic Tank .~,~_ ..... ur.)
to Sewer Line (~ Nearest Lot line
Absorption Area
Absorpulon Area
I:o Nearest I,ot Line
Pag,e Two
Departlnent of Health and Envi. ronmesta] Protection]
Request for Approval of indivi¢lual Sewer ~tnd Water t'~acJliti~}s
Legal Descri~?tiou: ...L_gt~_~6_~B~[.g~.k__2__.T~h_e_~_a~.n. di~!~s__S~b~_i_yi~s~i~oIL ......................
Com~c~ h s.
Affadavit Attached: ( )
Letter Attached
Department Worksheet:
,UNICIPALITY OF ANCHORAGE
~ Department of Health and Environmental ]2r6~ect:ion
//~ 825 L Street, Anchorage,
99J01
1 Pro er~ Owner ~&///~ C &~ '
· · P Y -.-- ~ ....................... h-' ...............
Mailing Address: Phone
2. Name of Buyer: ..... ~'~
Mailing Address: Phone:
'7.
Lending Institution:
Mailing Address:
phone:
Realtor/Agent: .... ~% ~
Mailing Address: Phone:
Single Family Residence: (~Number of Bedrooms: ____~ __
Multiple Family Residence: ( ) Number of Bedrooms
Water Supply: * Individual Well. (/Public/Colm]mnity System
If Irldividual Well, well depth _3D_/
If Community System, name of system
Sewage Disposal System: On-site System
If On-site System, date of installation:
(~Public System ( )
( )
*NOTE: A well log is required on ALL wells drilled slnce 6/75.
3/'77