The URL can be used to link to this page

Home My WebLink AboutTURPIN #1 BLK 6 LT 12ALoT' GR[:~£R ANCHORAGE AREA BO~'mJGH Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS SEPTIC TANK: DISTANCE ~ FROM WELL ~ INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /'~ (") (~' GALLONS. SEEPAGE PIT: ?:;f/~/';~d' / NUMBER OF PITS __ DIAMETER LINING MATERIAL CRIB SIZE: ¢9' BUILDING FOUNDATION , OR WIDTH LENGTH DEPTH DIAMETER DEPTH DISTANCE FROM: WELL ', .TOTAL EFFECTIVE NEAREST LOT LINE /~" /'J · ABSORPTION AREA (WALL AREA) .SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED. NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: INSTALLED BY: ~,~'(':-Z'/~ PIPE MATERIAL: LOT sLoPE: REMARKS: Form No, EQ-O31 DIAGRAM OF SYSTEM DATE APPROVED G.A,A,B. f~// GREATEr ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO, NAME OF APPLICANT INSTALLATION LOCATION ~~ SOil TEST RESULTS NOTE= THIS E~MIT IS ]NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED ~/~ SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT FINAL INSPECTION: 2/~ HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECT]OH BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. FOUNDATION TO SEPTIC TANK FOUND.~.T[ON TO SEEPAGE PIT-~/~/'~7~I¢~~ SEPTIC TANK TO SEEPAGE PIT WALL TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN F]ELD WATER MAIN TO SEPTIC TANK DRAIN FIELD . SEPTIC TANK, ~ , SEEPAGE TO RIVER, LAKE, STREAM. · DRAIN FIELD FIELD , SEEPAGE PIT ALSO CONSIDER AREA WELLS. , SEEPAGE PIT FIELD CAST IRON iNTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEETINTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. OR LICENSED DESIGNER I CERT[FY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER NCHORaGE AREA BOROUG INANCE I~O. 28-68 AND THAT THE ABOVE ATE/°- -- APPI'O^NT'S 'GNATU"E ~' APPLIr'-~,NT FILLS OUT UPPER HA ' ONLY PropertyOw~ter~, ,~..v. py.l~/L /.Jo,~j,L~,,V./ Phone Address Zip Code Phone Lending Institution ~ ~ Address 3 ~, ( ~ ' 3 ~ ' Zip Code Phone Realty Co. & Agent Type of Residenoe ~ Itiple Family ~[ A~ACH WELL LOG. A well log is required for all wells drilled since June 1975. D Community For wells drilled prior to that date, give weH~ depth~attac~x log if available).~ ~"'1~ YeAr Individual Installed: ~u~iou,i~i~ Wh~. Co,.~c~d ,o P.b,~o Uti,,*~: -- ~ ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Ti~,e Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHOEAG~ /~.) DEPT, O~ HEAl.TH & I~NVIRONMENTAL PROTECTION RECE.!MED ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ~) DISAPPROVED ( ) CONDITIONAL APPROVBL* -/I Soils Ra~ing Date ~wer Installed Well TO Absorption Area Well Log Received Well to Tank Septic T~k Size August 29, 1983 Everett ilonegger SRA Box 1024-W Anchorage, AK 99502 Subject: bout I2A, [~lock 6, Turpin Ad~-~ition No. 1 Approval for the lnclVldu=l sewer and water ~ac~.l.t~.es censor be granted until the following items have beea co~-'~lpleted-~ Your well serves more than a single family dwelling. You need to register your well with State of Alaska, Department of Environmental Conservation, 274-2533, to obtain a construction and operating permit. Please notify this Department for a reinspection when tile noted discrepa~]cies have been corrected. If. there are any further questions, please call this office at 264-4720. Sincerely, J. S. Itoberts Associate Envlronmenta£ Specialist JR16/ej/E2 CHEMICAL & GI~-~LOGICAL LABORATORIES ~-£ ALASKA, INC. rinking Wat r Analysis Re crt'for Total Coliform Bacteria : TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: ~::. l/~;: ,,CE ~ / Water System Name I.D. NO. Phone No. Mailing Address City Zip Co~ SAMPLE DATE: State MO, Day Year SAMPLE TYPE: ~Routine I~' Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. LOCATION t I z./'~ ,'¢ .-': .~' 4 I I Time Collected Collected By TO BE COMPLETED BY LABORATORY Ana ys~s snows mis Water SAMPLE to oe: .~' ~Satisfactory [] Unsatisfactory [] Sample too ~ong ~n transit: sample should *_not oe over 48 hours'old at examination . [o indicate reliable results Please send new samole · Date Received ~ Time Recelve~ An~ilytlcal Method: [] Fermentation Tube I~~ Membrane Filter Lab Ref. No. Result* Analyst '-- I I t-T-] I ,r-I-I I IFTq I II-i-I 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE .BGB ~-~J, UNiCiPALITY OF ANCltORAG..r--~ ~'DEPARiMEK 3F ltEALTH AND ENVIRONMEN'L ,PROTECTION 825 L Street, Anchoraoe. Alaska 99501 264-'4720 Date Received: November 21, 1977 #1: Time ~JAOEi__ ~2: Time ~3: Time D te Date Bate Insp p_h~,~ _-- Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Peoples Bank and Trust Mailing Address: Pouch 7-007 99510 Phone: 279-7511 2. Property Owner: Wesley R./Imogene B. Thoms Phone: Mailing Address: % Everett Honeger, 276-8188 3 o Legal Description: Lot 12 and 13 Block 6 Turpin Subdivision 4: Single Family Residence: (x) Number of Bedrooms: ? Multiple Family Residence: ( ) Number of Bedrooms: Well System: Permit t~ Construction Individual Well (~ Co~unity/Public System ( ) Depth of Well 87' Well Log on File Bacteria]_ Analysis ( ) Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System ( ) ? Public Utility ~C~) Installed Installer Manufacturer Soils Rate Material Distances: We!] to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nea~eou Lok Line ?age Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 12 and 13 Block 6 Turpin Subdivision Affadavit Approved: Disapproved: Letter Attached: ( ) Date: Date: }Department Worksheet: MUNICIPALITY OF ANCHORAGE DEPARTME~-JT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER snd WATER FACiLITiES MUNICIPALITY OF ANCHL~,~AG2 DEPT. OF HEALI'H & ENVIRONMENTAL PROT~'¢'TION [4 0V ?. RECEIVED Type of Inspect[on: VA FHA CONV, Property Owner: Wes~,~¥ g. and Im~;_e Mailing Address:~~(~~ Day Phone: ......... ~ Name of Buyer:~ A~c~_(Cp~t [. Mailing Addr¢~s:~~g~&~¢~-~,~', Day Phone: Name of Lending Institution:_ Peoples ~g~ Mailing Addre~:_.~_C~]-O07, ~c~. Ak, 9~0 _Phone:~_ Name of Realtor or A~nt:~ Jess Hollid_~y_.g~verett Honeg~, Agent) Mailing Address: ~ Phone:___~6-8188 Le~l Description: Lots 12 and-13, Blk. 6, Turn Subd.~ 1st Addn.~ S~~_ T13N, RJW, SM Location:.-- .... Donna Drive (Check with Realtor) 7, Type of Facility to be Inspected:__ SFR 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served __ If Individual, depth of wetl 87' 9. Sewage Disposal System Type of System: Public Utility. If Individual, d~te of installation No. Bdrms._ _Individual. Well individual (on-site)__ 72-003(3/76) 06-1220¢a) Rev. 1973 DATE ALASI"-'-"EPARTMENT OF HEALTH AND SOCIAL SEP'"'~"!S DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS Lab No. OFFICE INDIVIDUAL ~]~f- SEMI-PUBLIC ~ CHLORINE RESIDUAL PPM REPORT RESULTS TO dAME ADDRESS CODE OF SOURCE / ,~ ~/~'~ /~' (-~ J t /.-(~ ',~ COMPLETE THIS SECTION ONLY IF WATER I$ AN INDIVIDUAL SUPPLY DATE COLLECTED !/~) C i TIME COLLECTED Diameter of Well Depth Fee½. Well Casing Analysis shows this Water SAMPLE to be: ~] Sa?~actory ~ Unsagsfactory .~] Questionable [] Sample too long in transit~ sample should not be over 48 hours old at examination to indicate reliable resuhs. Please s~end new sample, ~[] Bottle broken in transit, please send new sample. SANITARIAN'S REMARKS PURPOSE OF EXAMINATION: Illness Suspected? New Source of Supply? ~ ~'es [] No READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE [] Yes [] No Repairs to System? [] Yes [] N~' Signature g64220Re,.,. 1973(b) BACTERIOLOGICAL WATER ANALYSIS RECORD . ~ , f Laclo:se Broth 10cc ?0cc 10cc 10cc t0cc 1.0cc L0cc 24 Hours EMB Lactose Broth, 24 hrs. Coliform Density MF Resuhs Reported by AGAR 48 hrs, (Mod probable No. per lO0cc) This analysis indicates Coliform Organisms to be: Pre~ent GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality Tudor Road, Anchorage, Alaska 99507 279-8686 Date Recefved_~ ~2 ~ Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SE%~ER & WATHR FACILITIES FOR A~proval Requested By: Address: Property Owner: Legal Description: Location: Phone; Type of Facility to be Inspected: Number of Bedrooms: Well Date: ~~ A. Type bM/ c. Construction D. Sewage. Dis.6osal Svstem:~ B. Depth, · Bacterial Analysis A. Installed , B. Installer C. Septic Tank: 1, $ize_~f~;cD 2. Manufacturer D- Seepage ,Pit: 1o Size "~ 2. Material ~¢ E. Disposal Field: Total Length of Lines Distances: , Neares~ Lot Line ~g)9a/~, O%her Co~%aminatlon , B. Foundation to Septic .T,~nk ~-9 "~, AbSorption Area C. Absorption Area to Nearest Lot ~ine Req,mst for Approval of Inu~wdual Sewer & Water Facilities Page A~prova] Valid for One Year From Date Signed Greater Anchorage Area Borough, DeFartment of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and ~ccurate reprasentat~on of the subject sewer and water facilities located at: Signed Date Subject: Oe-site sewa~)e disposal sys'Cem serv'iJ~.fi t. ot l~:~,l,~ ;,lock 6 t'u rpi ~ Stlbd i vi si et: ~'~ a r Sir: Upon investioa~im~ l.n& 17 i~lock Li of Turt)~n Subdivis'Jon un ,'"_U~ILIS& lf]: 1972~ J.'c 'was brougi~t to our attention that the subject sewafie systef:~ exists on said lot. This stiua~ion s in violation of the Greater Anchorage ?~rea Dereuqh brdinat~c.'.~ /~2~,,-C, 8, Section 9-71, oar~p,r~lph A, sub-paraqr,~t)h ~, scct'ion ~ , whica states the foll6win,,:: "lhe location of seepage pits shall-be such as to provi,!c not less. than t)~ state distaeces fro(.: the follo~.l,,, ,,' ,,, L~uildi;?, or property..line ~ £0'" 'Your see~a~!e syste)=~ is located at least 30' beyond your 9roperty line and onto Lot l, Block 6 of Turpin Subdivision. Tiiis deparCr}ent requests tttat you abaudOn aJd fill subject ;.~,nd atCm,~pt to relocate a new syste~,J on your o~n property. This sitoul~J be accolJmlis)ied before October 15, 1972. At the' tthi~e of relocation you must apply for a pert:lit fT'O~i this:office to insure ti~at a coT'rec~ ane adequate system is installed. · T i ~ f~umfel Sani tari C~ cc; Charl(~s Z _RECEIPTsE.T o FOR CERTIFIED MAIL--30d (plus pos'~age) SEEVICES FOR ADDI~ONA[ FEE~' / PS Form - - ' ........... "" Apr. 1071 3800 NO iNSURANCE COVERAGE PROVIDED~ (~ee o~her s?~e) NOT FOR INTERNATIONAL MAIL . · ' ' PL~SE FURNISH SE . . .' : :~ .~ : ~. , j ..~... R~I~E(S) INDICATED BY CHECKED '" "* ~ ' ........ ~R ' ' .RECEI~