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GRE '~R ANCHORAGE AREA
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~l,~(~li~ I:l~,H~'l? MAILING ADDRESS '7~:~$, ~'~/~)~/~1/~$ ~ PHONE ~-~O~
SEPTIC TANK: U~. t~0~0 ~w~? 5~lO 'TI~-~ p_~/J
~,.~A.C~ ~ ~ .u~o~
~o~w~., ~*~ ~A.~AC~U.~.. ~A~,A.. ~O~A~. /
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /a~O GALLONS.
SEEPAGE PIT:
LINING MATERIAL CRIB SIZE: DIAMETER__DEPTH DISTANCE FROM: WELL f~l_ .
TOTAL EFFECTIVE
BUILDING FOUNDATIONIO~", NEAREST LOT LINE'''''~ ~ ABSORPTION AREA (WALL AREA) .. SQ. FT.
ADDITIONAL ABSORPTION
WELL:
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
NEAREST NEAREST
LOT LINE SEWER LINE
OTHER SOURCES
DISAPPROVED
REMARKS
THE WASTEWATER DISPORAI M
CONSTRUCTEDsEL~E AAPPROVED
BEDRDO~bME. -
DATI:.:___
SIGNATURE:
DISTANCES:
INSTALLED BY: ~ (~'3_~
LOT SLOPE: "---- . --
REMARKS:
Form No. EQ-031
DIAGRAM OF SYSTEM
DATE
G.A.A.B.
GreaTEr ANChOrAGE ArEA BorouGh
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
SEEPAGE PIT ~ .~(~ DRAIN FIELD , , OTHER ~ ~-'
TYPE ANDSIZEOFFACiL]TYTO BESERVED ~ ~~ ~
FINANCED THROUGH ~ ~ TO Be INSTALLED BY
~ ~ %/ ~~ NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL ~ST
SOil
TEST
RESULTS
/
COMPLETION DATE ANTICIPATE~
FINAL INSPECTION: 24 HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
WELL TO SEPTIC TANK I
· DRAIN FIELD
SEEPAGE PIT / O o
ALSO CONSIDER AREA WELLS.
, SEEPAGE PIT ~ 01
( 0 c~ D.A,. F,ELD.
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
FITTED WITH AIRTIGHT REMOVABLE CAPS.
LICENSED DESIGNER
GREATE CHORAGE AREA BOROUGH ORD ANCE NO. 21~.68 AND THAT THE ABOVE
DESCRIBED SYSTEM iS IN ACCORDANCE WITH SAID CODE.
R&M ENGINEERING & GEOLOGICAL CONSULTANTS
229 EAST 51st. AVE. - P.O. BOX 6087 - ANCHORAGE, ALASKA 99503
TELEPHONE 907--279--0483 TELEX 090--35419
Civil Engineers Geologists Land Surveyors
JAMES W. ROONEY, P. E.
MALCOLM A. MENZIES, P.E., L.S.
JAMES H. WELLMAN, P.E.
RALPH R. MIGLIACCIO
Engineering Geologisf-
April 2, 1974
R & M No. 462006
Mr. Edwin Fisher
7632 Wandering Drive
Anchorage, Alaska 99502
Re: Test Hole and Soil Log Report for Sanitary System, Northwest
1/4 of Section 10 T12N, R3W, S.M.
Dear Mr. Fisher:
We are submitting herewith the test boring results and our comments
regarding soil conditions encountered at the subject site. This
investigation was performed in accordance with your request of April 2,
1974, and those procedures outlined in a letter dated September 13, 1971
by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department
of Environmental Quality.
A single test hole was put down within the building site area for the
purpose of defining general subsurface soil conditions for the proposed
sanitary system. Excavation was accomplished with an auger type drilling
rig and the test hole was extended to a total depth of 20.0 feet below
ground surface. The final log prepared for the test hole has been in-
cluded in Drawing A-01.
Ground water was not encountered in the test hole.
We appreciate being given this opportunity to be of service to you.
Should you have any questions with regard to the above, please do not
hesitate to contact us.
Very truly yours,
R & M ENGINEERING & GEOLOGICAL.CONSULTANTS, INC.
JWR:ph
ANCHORAGE FAIRBANKS JUNEAU
T.H. 1
4-3-74
SILT Trace Sand
0,0~
0.5'
SAND, Gray (SP)
No Water Table
20.0'
NOTE: Test hole extended with auger type drilling unit.
Engineering ~ Geological Consultants Inc.
A.C.ORA<~ FAI.B*.XS ALASKA
JUNEAU,,
EDWIN FISHER PROPERTY
LOG OF-TEST BORING
Anchorage Alaska
4-2-74 ISOALm 1"----5I IDWN BY JS I CHKD BY WED IPROJ. NO. 462006 OW~ nO. A-0i
April 4, 1974
Hrs. ,lo,ce F~,lds
qortgag~ Loan Department
~iational i;ank of Alaska
P. O. ~ox 600
Anchorage, Alaska
99510
SU~JECT: Sewer upgrade in N2/3, of E2/5 of ~1/2 of ,tll.~l/4 o~ ~;!.I1/4 of
~'(),,q/4 o¢ Section 10, Tl?~l, R4W
flexor Mrs. Fields:
Hr. Fisher, miner of subject proper'¢¥, has ohtaine~l a hermit to upgrade
his present sm~er systml.
I'r funds are escrowed to cover~lpg.rade, this Dep~rtme~t will
give temoorary a.hprovat I t~ti~,l?~.~,=~_l__~___]~?__4._~ A~ that time, the st~er
~ystem s~ould' be' c~pl ere( a~%" then this Department ~,~il 1 disap~
prove the sewer aim water facilities serving the sub.iect proper%,.
If you have any questions, please contact me at 274-4561, extension 137.
Sincerely,
Robert C. Pratt,
Environmental Control Officer
RCP/ko
cc: Edwin Fisher
' 7632 Wandering Drive
/ "-'~
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C~' Street, Anchorage, Alaska 99503 274-4561
Date Received
Time of Inspection
Date of Inspection
1. Approval'requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR ~.-~.
,
~.~.-~,-?c~.~: Phone:
/
No. of bedrooms
Well Data:
B. Depth
D. Bacterial Analysis
2. Manufacturer
2. Material
C. Construction
7. Sewage Disposal
A. Installed
C. Septic Tank:
D. Seepage Pit:
E, Disposal
1. Size
I. Absorption Area
Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line
, Absorption area
Other contamination
, Sewer Lines
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re~,_est for Approval of Individual . .~'er & Water Facilities
~egal Description
Approved ~.C ~ Disapproved Date ~].~-
~ ~Approval Valid for one year from date signed
Greater~Anchorage Area 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.
SIGNED
Date
EQ-034 (1/74)
DATE
NSPECTOR
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME
q :.% a,m
DATE DATE
INSPECTOR
MUNICIPALITY OF ANCHORAGE ENVIRONMENT,qL ~ ,: 'T~CTION
82~ L Street-Anchorage, Alaska 99501 APR 1 8 1980
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720 RECE! ED
~EQUEST FOB APPBOVAL OF INDIVIDUAL WATEB AND 8E~EB FAOILITIE8
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
3. LENDING INSTITU~TION
PHONE
PHONE
PHONE
PHONE
J~I'AI LIN G ADDRESS
4. REALTOR/AGENT
MAILING ADDRESS
PHONE
S. TYPE OF RESIDENCE
[~SINGLE FAMILY
[] MULTIPLE FAMILY
'i ' --x
NUMBER OF~BE~ROOMS
~ One ~ Four ~ Other
~ Two ~ Five
~Three ~ Six
WATER S PLY
7. ~P INDIVIDUAL* ,.~,~ ~ /
[] COMMUNITY
[] PUBLIC UTI LITY
SEWAGE DI POSALSYSTEM
8, ~/~Sl N Dm V i D UA L/ON.SiTE..
[] PUBLIC UTI LITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975, For wells drilled prior to that date, give well
depth (attach log if available.) '?~
'~//~TZ~ YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE [~R~0~ESSING CAN BE INITIATED.
, THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FiVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[~ PUBLIC UTILITY
Connection Verified
INSTALLER
[]Septic Tank or []Holding Tank
Size: If Tank is homemade SO~LS RATING
give dimensions;
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCESwELL TO: Septic/Holding Tank AI)sorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
FOR ._.~ BEDROOMS
[~;~;]"'~APP R OV E D
[] CONDITIONAL APPROVAL (letter must accom/pam~ certificate)
[] DISAPPROVED
DATE BY
72-010 (Rev. 6/79)