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Home My WebLink AboutT15N R1W SEC 18 LT 96B QGRE 'ER ANCHORAGE AREA BOr' UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /~/~P~/J-'~ '~->/~'2.~/~2~ MAILING ADDRESS PHONE LOCATION _'~/'-~'/~*.'~-~-~.././~'~- ~.~ LEGAL DESCRIPTION.~/'~ /~. SEPTIC TANK: DISTANCE FROM WELl INSIDE LENGTH MANUFACTURER ~ MATER IAL(,/'~//'~'/~ NUMBER OF COMPARTMENTS / INSIDE WIDTH ~ LIQUID DEPTH - ,LIQUID CAPACITY ./,':.'d-~O GALLONS. SEEPAGE PIT: NUMBER OF PITS / . DIAMETER OR WIDTHC~'~,,/ ~ LENGTHJ~:~,~' / DEPTH ~ LINING MATERIAL~ CRIB SIZE: DIAMETER DISTANCE FROM: WELL BUILDING FOUNDATION~ /, NEAREST LOT LINE ~/ / TOTAL EFFECTIVE . ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED . DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: INSTALLED BY: PIPE MATE RIAL: LOT SLOPE: Form No, EQ-031 DIAGRAM OF SYSTEM B APPROV '/~ :~ A,A.B. 12-- 13~ 14-- Performed For Legal Description: This Form Reports GREATER ANCHORAGE AREA BOROUGH. DEPARTMENT OF £NVIRONMENTAL QUALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 - Soil Depth Feet Soil I Fo-z) L o t~.B 1 o c k Soils Log~ Test Must Be l.ogged To 4' Case # Dated Performed ~-/~- Percolation Test Below Proposed Seepage System Characteristlc~ Was Ground Water Encountered? \/_J~ If Yes, At What Depth? Reading Percolation Proposed Depth of COMF~[NTS: Date Gross Time I Net Time 'I Depth to H20 Rate Mi nui:e Installation: Sc~i~agc Pit Drain Field Inlet ......................... Depth ~6--~Y~'~-d~i--~.~--Pii: Or Trenc~ Net Drn Test Performed BY ......... L,AdL__~_~?,~:..~ .................. l~ate Certified BY: Da te: To Address City DEPTH OF s~a~Ic ~EW'. OF WATER F~r......../..~...~:? .................... DRAW DOW~ ~T. Iv GALS. PER HE ~ d ~ ........... . glND OF CASING ................ ~...~ ................................. ~. ................ KIND OF FORMATION: ,--- -~ FT f.. ~ ~/e,~ FROM .......................... FT. To .......................... FT ................................... FROM.___~ ....... FT. x~o ..................................................... FROM..-....',~ ............. FT. TO......-/.~' ........... FT....,,~'.....ff..~:."-.4(...~., ..,~..l~ ' FROM .......................... FT. TO .......................... FT ................................... FROM......./~. .......... FT. ~O....'~.,4 ............ FT..,Y.~.:~-'d'---..~~'~''iFRoM .......................... F~. ~O .......................... FT ................................... FRO~......X~.T. ......... FT. ~o......~:7.5~ ........... FT..,!.~?.~.~./....f.-.~'~':~'~'~ / FROlic, .......................... FT. TO .......................... 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INFORMATION: DRILLER'S NAME.~X..t ................ :--f._':...5.,/.. ........................................... / MBBBAOE DATE SIGNED Redif. prme 4S 471 Poly Pak (50 sets) 4P471 SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 WILL BE RETURNED WITH REPLY DETACH AND FILE FOR FOLLOW-UP 276-2221 Ma=ch 4, 4.1 ~oil, (i.~., coarse, ~ravel tends no~ acc~p~able). twelve (I2) inches ~ve ~e 9~ leVel. ~naZysia o~water taken b~ ~hia aepa~n~ a~ ce~ifie~ GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received February 17, 1976 , Time of Inspection 9: 30 a.m. ~ .... ~ Date of Inspection Thurs_day 2-19-76 REQUEST FOR APPROVAL OF Fred INDIVIDUAL SEWERF~RWATER FACILITIES Voa. 1. Approval requested by: State of Alaska - Veterans Administration Mailing Address: 907 West Northern Lights Blvd. Phone: 2. Property 0wner: Heinz & Delores Kohring Phone: 344-6341 Mailing Address: 801 East 73rd Avenue, 3. Legal Description: Lots 96A and 96B Section 18 4. Location: South Birchwood Loop Road T15N R1W 1 5. Type of facility to be inspected House/trailer spaq~, of bedrooms 6. Well Data: Individual - serving two A. Type ~,c~///eX3 B. Depth D. Bacterial Analysis 7. system ~/7~ B. Installer C. Construction SeWage Disposal System: On-site A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: Distances: J 1. Size ./~60G) 1. Absorption Area Total length of lines 2. Manufacturer ~-~e/('-- ~.~/ A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination C. Absorption area to nearest lot line , Sewer Lines , , Absorption area EQ-034 (1/74) Page 1 of ~wo pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 'C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mailing Address: CMRO VA Name of Buyer: ~.~'~,~,~,~ Mailing Address: ,/~o~- ¢ ~/~,, ~,..~~ Name of Lending Institution: FHA CONV __ Day Phone Day Phone Mailing Address: 5. Name of Realtor or Agent: Mailing Address: Phone Phone EQ-037 (1/74) Individual Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well ~H'/rP0~0,') Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation ~r-,/-r~'~-r~ d',-c X~%~¢/~ ,, ~ Page 2 of two pages - Re st for Approval of Individual er & Water Facilities Leg, al Description Lots 96 A and 96 B Section 18 T15N R1W Comments Approved. Disapproved _~~_~~ Date ~ Approval ,Valid for one year from date signed Greater Anchorage Ar6a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and ccurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 FOR 1. Approval requested by: Mailing Address: Z~m-x, /~// 2. Property Owner: ~ Mailing Address: Phone: Phone: 3. Legal Description: Y~LT'~ q~ ~ ¢/~Z~. J~,,~'~ /,~ ~/J/? ~//, 4. Location: ~/~,, ¢~ ~]~Lnm~ZY3~/ ~Z~x~/P /~. ~lY~Z/L m~Z~/~Z 5. Type of facility to be inspected ~,~.0.~]) No. of bedrooms B. Depth D. Bacterial Analysis B. Installer Size Absorption Area Field: Total length of lines 2. Manufacturer , Absorption area Other contamination Septic tank 2. Material , Absorption area , Sewer Lines ., 6. Well Data: A. Type C. Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: 1. D. Seepage Pit: I. E. Disposal 8. Distances: A. Well to: Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages GR[ZATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 274-q561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type 2. Property Owner: Mai.ling Address: 3. Name of Buyer: Mailing Address: 4. Name of Inspection: CMRO VA FHA . [~.ay_ Phone ~/~/~/~lr P?~o~Da,y Phone of Lending Institution: CONV Mailing Address: Name of Realtor or Agent: Phone Mailing Address: Phone Legal Description: .~ ~ Location: Z/~/ ~2~ Type of Facility to be inspected: Water Supply No. Bdrms. ~ Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility ..... Individual (on-site) ~ If Individual,, date of installation /~?~"-/,~.2 ~ EQ-O37 (]/74) Page 2 of two pages - Re t for Approval of Individual ~ & Water Facilities Legal Description ~/~ ~ ~<~ ~!~ /0 ~1£/~ ~/LY--~. Comments Approved Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information c~ntained 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)