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Home My WebLink AboutT12N R2W SEC 30 S2 NE4 NE4 NW4 SE4 GRE/ :.R ANCHORAGE AREA BOP Department of Environment Quality 3500 Tudor Road AnchoragE;, Alaska 99507 'JGH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~-~ LOCATION SEPTIC TANK: DISTANCE /'~.~s~/ FROM WELL/ INSIDE LENGTH INSIDE WlDTH~ NUMBER OF MATERIAL 'f'~/~-'~-~ COMPARTMENT-<.; LIQUID DEPTH LIQUID CAPACIT'K/~-g//-~_ GALLONS. 'rILE DRAIN FIELD: /~'')-,~2~''~ "~ 'x?'/~'/'~/'/~ ~'~" / TOTAL LENGTH DISTANCE FROM WELL/~/~/ FOUNDATION/~/~ ~NEAREST LOT LINE~ ~¢ .OF LINES NUMBER OF LINES / DISTANCE BETWEEN LINES '~ __TRENCH WIDTH~IN. TOTAL EFFECTIVE ABSORPTION AREA ,~ ~ SQ. FT. LENGTH OF EACN LINE /' ~ ~-~ DEPTN OF FILTER DEPTH: TOP OF'TILE TO FINISH GRADE__~//T MATERIAL BENEATH TILE'~ IN, ABOVE TILE__'~ IN. WI'- LL: /~;:'x~j~x~'-~-:'~ z-'' TYPE /'/M¢'~'//~//~';~'''- . CONSTRUCTION BUILDING NEAREST NEAREST SEPTIC FOUNDATION __, LOT LINE ____ SEWER LINE TANK CESSPOOL OTHER SOURCES APPROVED-. DISAPPROVED REMARKS DEPTH .... DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: INSTALLED BY: ~//~"~ ~r ~ SEWER LINE DEPTH: ~? '"%-- PIPE MATERIAL: LOT SLOPE: R E M A R KS: ~J"f)/Z~. DIAGRAM OF SYSTEM GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF' ENVIRONMENTAl., QUALITY 3'~30 "C"STREET ANCHORAGE, ALASKA 99503 TELEPHONE ~74-4116 I SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO, INSTALLATION OF: SEPT]C TANK /'~' SEEPAGE PIT ., DRAIN FIELD '~ ., OTHER TYPE AND SIZE OF FACILITY TO BE SERVED ~~/J~ /~//~/~:~ ~ /~/~/~/~ FINANCED THROUGH TO BE INSTALLED BY SOIL TEST ~ESU[.TS ~ ~/~ NOTEJ THI~ PERMIT I~ NOT VALID WITHOUT ~OiL TEST FINAL INSPECTION: 24 I-iOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE ,~//~ TYPE SEEPAGE AREA SIZE TYPE ,\~ MINIMUM DIS, TANCE.~, RI'"-QUIREMENTS /-_~, ,,p -' WATER MAIN TO SEPTIC TANK /~ , SEEPAGE PIT /' DRAIN FIELD /~2 SEPTIC TANK/~, SEEPAGE PIT -~., DRAIN FIEL~~--/~ CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL, 4 INCB DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAge PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. [ CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCribED SYSTEM IS IN aCCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE , /. .¢~¢~. GRI~ATER ANCHORAGE AREA BOROUGH DE;PARTME;NT OF E;NVIRONM~:NTAL QUALITY 3330 "C" STRE;E;T ANCHORAGE;, ALASKA 99503 T E; L E;PHONE; 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT pERMIT NO, PHONE /I FINANCED THROUGH TO BE INSTALLED bY SOIL TEST RESULTS -- . WATER MAIN TO SEPTIC TANK , SEEPAGE PIT · DRAIN F]EL.D- , , SEEPAGE PIT , DRAIN ~'IELD TO RIVE~, LAKE, STREAM. CAS'(' IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEeT INTO tJNDISTURBED SOIL. 4 INCI; DIAMETER CAST IRON SiPhON PIPES ON SEPTIC TANK AND SEEPAGE pi'I" FITTED WITH AI~TIGHT REMOVABLE CAPS. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED DESIGNER I CERTIFY THAT [ AM FAMILIAR WITN THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. EATEI7 A?,!CHQRAG: ARE-~ BORO~ DEPAP,'I'MEttF OF ENV[RONf!Ei~i'AL OtlAL~J EASE # 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 Performed For <~ Leqal Descrintion: This Form Qeoth Feet 5-- 7__ // ,- O te P Lot Block Subdivision Reoorts Soils Log Percolation Test Soil Characteristics Was Ground Water Encountered?_.::~ ~?o I~ Yes, At what Depth? ~m I Readinq Date Gross Time Net Tinle Denth to lq20 Net Dronl Percolatiom Ra~e Mimu~e Proposed Installation: %eenar~e Pit Dra~n Field Inlet De,~th o~ , . De~th .To Bottom Of Pit Or Trenc Test Performed [ly ~.~_~ ~9~¢.:,¢,~ Data Certified Da te: WILLIAM,& EGAN,, GOVERNOR SOLffR£ENTRAL REGIONA~ March 2l, 1974 Mr. Rolf Strickland Greater Anchorage Area Borough Department of Enviornmental Quality 3330 C Skreet Anchorage, Alaska I1Atl 2, 1974 SUBJECT: S I/2 NE I/4 NE I/4 NW I/4 SE l/4, Seclion 30, TI2N, R2W, S.M. [)ear Mr. Strickland: We have no objections to the project on this lot meeking the requirements which were in effect before the effective date of the Wastewater Disposal Regulations, as work was initiated before July, 1974. Yours truly, Regional Enviornmental Engineer P ....E!UX 6E50 ANCHORAGE, ALA~K,-~ ud3U2-0b~ ~ ~9071 264-4! 11 DEPARTMENT OF HEALTH & HUMAN SERVICES January 10, 1986 TO: Permit Applicant Subject: Permit # 850486 T12N R2W Section 30 S~NE¼NE¼NW¼SE~ A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as--built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/ljw en¢: Copy of Permit I1'"'11 IL.[t IP',,.I] ::fi] I[Z]: ]J] Il:::::" ~¢:::~h II._ ][ '"'II'" ~ C} F' ,r:..'.~ INI E:: II-'~ CZI~ IFq*',~ ~';:~ ED EE 'OLEP~R]ME]',.H* OF HEAI....TH AND L"~]'.JVIRONMENTAI.. PFCDTE]]TION EKq5 I... !'.¢TrRE'.ET, AI',IC, H[II::;;AGE p AK 9950 it FliiRM I T NO: DA'fE: I EISUED:: 850486 01~/09/85 AF"PI,. ]: E;AN'I ADDRESS [;lIN*TACT' I::'1"113 NE ,~ WIL, LIAM PATON BOX 11 :L485 ANCHORAGE, Al::: 26~5-1:?~,596 995 :t 1 SUBDIVIS]:ON~ NA SECTIOIxI'.' :2'~0 'f'OWNSHIP: 12. N (E;Q,, F:'T,, DR ACI:rdES) NE:[/4,Nli::I/4, NW1/4p LOT: NA BLOCK'-' NA RANt~E." 2W I am Cam:i.]iar' w:i,'Lh 'Lhe r'~:.'quir, emerrLi:~, for orl.--sitE~ sewer, s antI wel:ls as set f'Ol"l:,h by 'l'.he l'4t.,tl'l :t c:: :i, pa].J. 4'.y o{ ArlL:hor'~g~) (MOA) and the EH:,ate of' ~::tl'ld J. FI i:ol~p].J.,:~l'tC;e WJ,'[.I] 'l',JlE~ dE)[~J, gl] I::P:J. tl.:~l":La of' tl/:i.s J:lr.~r'fllit. I ~i].] adhePe to all MOA and State of Alaska PE~ctt_tir'ements fop the set back d:i.s'Larices f'rom any r~)).(ifiS'[.$lqg WE~].].~, W,~S'L.[etN41~'[.[,'P disposal, system oP pul]].:i.c AF,'F'L. I CAIqT: W ~ I..I.. :1: AM [:'~'T'ON GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 %" Street, Anchorage, Alaska 99503 274-4561 Date Received _~'/~' Time of Inspection Date of Inspection. REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Approval requested by: -~/.-.-~ U", ~'-~U~-=~- Mailing Address: ¢/~,~i ~/ /}~. - ~/~ Phone: o 4. 5. 6. Phone: Mailing Address: Legal Description: L o c a t i o n: /~ c ? ¢ ./~ :~ ~.~¢~' ;* - ¢ '~ ~ Type of facility to be inspected .~/~-//~/~¢~. No. of bedrooms Well Data: B. Depth C. Construction ~6x-<~'¢.-~¢/¢~¢ D. Bacterial Analysis Sewage Disposal A. C. D. E. System: Installed ~_~? %' ~.~ /~9/~/f/ B. Installer ~;~>j~z×~.~-.~ ~>\~'. Septic Tank: l. Size ~/->/wx~ 2. Manufacturer Seepage P~t: 1. Absoxpt~on Area~o~m~-: 2. ~atex~al Disposal Field: Total length of lines ~;~.-~ Distances: A. Well to: Septic tank ~,-~¢ '~ , Absorption area /-~¢ '/~* , Sewer Lines /~' "~,, Nearest lot line -;;z ~>-;F , Other contamination B. Foundation to septic tank d-//- , Absorption area ~' C. Absorption area to nearest lot line .A*~'¢¢ EQ-034 (1/74) Page 1 of two pages 333O GREATER ANCHORAGE ARE,', BOROUGH Department of Environmental Quality "C" St., Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV 2, Property Owner: SChuster_~_..Edmund Mailing Address: SRA Bo× 393 R D__a..¥ Phone 344-096? 3. Name of Buyer: Dr. ~eter Mios Nailing Address: Da_~v_ Phone 4. Name of Lending Institution: N. B. of A., Mor~3.~ & Loan Nailing Address: 5th & Name of Realtor or Agent: Mailing Address: Gambell Phone 279-2506 Phone S 1/2, NE 1/4, NE ~/4, NW 1/4, SE 1/4, S 30, T 12N, R 2~, S.M. Glen Alps, via Upper Huffman Legal Description: Location: C_ity of Type of Facility to be inspected: single family No. Bdrms. 2 Water Supply Type of Supply: Public Utility Individual x If Individual, number of dwellings presently served 1 If individual, depth of well 200' Sewage Disposal'System Type of S~stem: Public Utility If Individual, date of installation Individual (on-site) x May, 1974 Page 2 of two pages - Re( ;t for Approval of Individual S ~r & Water Facilities Legal Description Comments Approved " -/"/¢;~ -/: ~ Disapproved Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental DIAGRAM OF SYSTEM Date ::?://~' //~: Quality 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. SIGNED Date EQ~034 (1/74)