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Home My WebLink AboutT15N R1W SEC 18 LT 178 GREI !R ANCHORAGE AREA BOR' Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE INSIDE LENGTH INSIDE WIDTH__ __ LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID C A P AC I T¥/~'~'f~'~'$G A L LO N S. TILE DRAIN FIELD: DISTANCE FROM WELL /~)~- I I_/L TOTAL LENGTH FOUNDATION //) .NEAREST LOT LINE /O ""~ OF LINES__ NUMBER 0~ .'~-- / ~,~.~ ~W~. ~..~ N/n ~.~. w,~N~;,~. ~o~ ~,w DEPTH: TOP OFTILE TO FINISH GRADE-~ I DEPTH OF FILTER MATERIAL BENEATH TILE ~ ~ABOVE Tll IN. WELL: TYPE BUILDING FOUNDATION__ CESSPOOl APPROVED Zx,sT',rv~,- /e, F CONSTRUCTION DEPTH _ NEAREST NEAREST SEPTIC SEEPAGE LOT LINE SEWER LINE TANK SYSTEM_. OTHER SOURCES .... DISAPPROVED __REMARKS DISTANCE FROM: DISTANCES: INSTALLED BY: /jJ')j'lh igAIIV SEWER LINE DEPTH: PIPE MATERIAL: C-AS ''~ IJcDI\I LOT SLOPE: ~ /~ U ~. C __~ REMARKS: ~i~ ~" :g' i Form LQ-D32 PERMIT NO~ MLIN I C I F'~:~L I TY OF F~NL~:-Ht"~RRGE DEPARTMENT C HEALTH AND ENVIRONMENTAL r 9TECTICIN 2510 E. ,JDOR RD.., RNCHORfGE., AK. 9~ ~J? 27~-2221 0~I---S I TE SEhIE~ PER~ I T RPPLICGNT LOCATION LEGAL GREG WAY MI i SO BIRCHWOOD LOOP Li?8 SEC ±8 TiSN SR8 BOX 597 LOT SIZE 4i205 bQLBRE F'EE:'r T'~PE OF SOIL RBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDRO0~4S = 3 SOIL RATING (SQ FT/BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= ~ LENGTH= 4-- THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF 'THE GROUND 8ND THE BOTTOM OF THE E~CAVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE E~CAVRTION (IN FEET). REQUIRED SEPTIC TRNK SIZE= 1OOO BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND RPPROb'RL,. Bb' THIS DEPARTMENT WILL 8E SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN 8 WELL BND AN9 ON-SITE SEWAGE DISPOSAL $~'S]"EM IS i 100 FEE]' FOR A PRIYRTE WELL OR 200 FEET FOR R PUBLIC WELL SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE F'R]PER INSTALLATION. PERM I T VRL I D FOR OI',IE "~'ERF: FROM ISSUE I CERTIFY THAT 1: IRM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER Sb'STEM MAb' REQUIRE ENLARGEMENT IF' THE RESIDENCE IS REMODE .ED TO INCLUDE MORE THAN ~ BEDROOMS. RPPL I CANT REG 0 8- E GEO', iCHNICAL ~' DEVEL~, Box 90, Davia St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Soils [~ Foundations Performed for: Legal Description= Depth (feet) SO]~ LOG Sotl Characteristics ~MENT CO. Earl Ellis 688-2280 Land Development Tel. NO. ~'~' 7J~N~ 1 2 3 4 13 15 Ground Water Encountered: Proposed Installation: Seepage Pit Coments: ~'~,~ Yes ~/' No If yes, what depth ~/Orein Fie~d v/' =1: ~UNICIPALITY OF ANCHORAGE DEPARTMEN~ OF HEALTH AND ENVIRONMENTA. 825 L Street, Anchorage. Alaska 264-4720 PROTECTION Time~ ~~ #2: Date AK. Date Received: October 24, 1977 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Mailing Address: Post Office Box 72~ 99510 Phone: % D.J. Webb ext.574 2. Property Owner: Alask9 Housing Finance ,CorporationPhone: Mailing Address: First Natioan~ Bank of Anchorage 2~6-6300/572 3. Legal Description: T15N R1W Section 18 Lot 178 4: Single Family Residence: (x) Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Three e Well System: Permit # Construction Individual Well (x) Community/Public System ( ) Depth of Well Well Log on File Bacterial Analys~s ( ) Sewage Disposal Permit ~ Septic Tank Size Absorption Area System: On-site System (x) Public Utility Installed Installer Manufacturer Soils Rate Material ( ) Distances: Well to Septic Tank to Sewer Line Nearest Lot 1 ine to Absorption Area Absorption Area Nearest Lot Line MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA 2. Property Owner: Alaska Housing Finance Corp. FHA_ CONV X Mailing Address: 3. Name of Buyer: Robert L. Coons Day Phone: Mailing Address: SR Box 597 Chu~;iak~ Ak. Day Phone: 4. Name of Lending Institution: First National Bank of Anchora;~e Mailing Address: P, O. Box 720 Anchora~;e, Ak, Phone: 5. Name of Realtor or Agent: None Mailing Address: Phone: 6. Legal Description: Lot 178 of Sec. 18~ T15N~ R1W~ S.M. Location: Chu~tak~ Ak. 688-3446 276-6300 x572 SER No, Bdrms, 3 rlndividual Well 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility, If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) Septic 72-OO3(3/76) A~UNICIPALITY OF ANCHORA(~E DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION OCT 4 lg?7 .RECEIVED M.A, Dodge, Real Estate 10/20/77 ~Page'Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: T15N R1W Section 18 Lot 178 Comments: Affadavit Attached: Approved: Letter Attached: ( ) Date: Department Worksheet: DE: /- MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF .ABTMENT Or" ALT". 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION MAY Telephone 2S4-4720 1, PBOPERT¥ OWNER PHONE' MAI~ING ADDRESS ROPERTY RESIDENT Ill different from above') ,J PHONE 2, BUYER ~ PHONE MAILING ADDRESS 3'. LENDING INSTITUTION PHONE MAILING ADDRESS 4, RE/~LTOR/AGENT PRONE MAILING ADDRESS E. LEGAL DESCRIPTION TREET LOCATION 6. TYPE OF RESIDENCE t ' NUMJ~ER OF BEDROOMS .:t;~ SINGLE FAMILY [] MULTIPLE FAMILY 7, WATER SUPPLY INDIVIDUAL' COMMUNITY [] PUBLIC UTILITY 8, SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY [] One [] Four [] Other [] Two [] Five ,~ Three [] Six ' 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.t **if individual/on-site, give installation date ~"~,(-~ . If system is over ~wo (2) years old an a~eauacv test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 g ~ 3~ ~ Date Received Ju~% 6, 1976 P . ~ / ~ Time of Inspection.10:30 ~.m. /~~~' ~~ ~'-~' '"~ ~ ~ Date of Inspection 7-7076 1. Approval requested by: ~i~t ~atlo~al 3a~A o~ A~cA~'~age Mailing Address: 2, Property Owner: Mailing Address: 3. Legal Description: 4. Location: Post.,~ffice Box 4-2090 Phone: Gary G. Way Phone: Star Route Box 597 Chugiak 99567 274-1521 x 41 688-2019 Lot 178 Sec 18 T15N R1W S.M. 1 mile on South Birchwood Loop Road Type of facility to be inspected Single Family No. of' bedrooms 3 Well Data: Individual A. Type C. Construction Sewage Disposal System: A. Installed May, 1976 C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank B. Depth 80' D. Bacterial Analysis On-site system B. Installer Size 2. Manufacturer Absorption Area. 2. Material Field:Total length of lines , Absorption area ~ Sewer Lines , Other contamination , AbsOrption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages DEPARTMENT OF HEALTH AND ENVIRONMENTAL PR~ '~ . 2510 East Tudor Road, Anahorage, Alaska 99504 27 ~' REQUEST FOR APPROVAL OF 97.[:1[ ~ ~l~ INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA F-~ol.t~Nv ~o ,,~.,'~.~J~','/" X 2. Property Owner: ~ ~-~RV Mailing Address: 5~ ~ 5~7., ~; ~b~Day Phone: ~-20/~ 3. Name of Buyer'. L~)~ ~, S~- Mailing Address'. Day Phone: 27q- 3/.q5 5. Name of Realtor or Agent: Mailing Address:. __ Phone: Legal Description:~)T- Location'. J Type of Facility to be Inspected: ~f~)l)~ No. Bdrms. Water Supply Type of Supply: Public Utility. If Individual, number of dwellings presently served If Individual, depth of well Appf~ ~', ~)~! Sewage Disposal System Type of System: If Individual, date of installation Individual ~/~ Public Utility, Individual (on-site) PROPOSED LENDER: First National Bank of Anchorage South Center Branch Real Estate Dept. P. O. Box 4-2090 Anchorage, Alaska 99509 Phone: 274-1521 ATTN: J. Barrett 72-003(3/76) Page 2 of two pages - Rec ;t for Approval of Individual S )r & Water Facilities · egal Description LOt 178 Sec 18 T15N R1W S.M. Approved proved Date Appro/val 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) REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Tri, plicate) [aw,e of person requesting approval~ %? , ~/ ,, ~. Numb~' oq ~rooms ~n house , 0 . 5. ~ater. Analysis: b. Detemgent ~"i . 6. We]J_ data: a. b. epth c. Castn~ Size Distance from well to closest existing or proposed: 1. Sewer l~ne 2. SeptJ c tank ....... ?0/ 5. Cesspool'_ Property Line.... ~J)i . 6. Other sources of possible contamination, i,e., creeks, lakes, d ' houses, barn, raznaEe ditch, etc. a. A~e of syste~ ~lZg, _. b. Septic tank capacity in gallons c. Name of septic tank manufactu~r~ 1. If "home made" show diagram on reverse side of this form. d.' Disposal field or seepage pit size and type 1. Distance to property line to house foundation Z{..,~! Percolation,, T~str~ults f. Percolation Test performed by Use the reverse .side of this form to show diagram, Diagram should include %he foJ].r,~,~ng ~nfo~.mation: p~operty lines~,well location, house location, ~'~c tank ].ocation, disposal area location, location of percolation test, a~ d]~'ection of ground slope, T~e ~,,~,-,~=~-~,~m on this form is true and correct to the best of my knowledge. ~ign~3~'u~ ok~'Ap-plicant uate ~zgnea ~ BE FILLED OUT BY HEALTH DEPART~.~ENT PERSONNEL ~e above described senitary facilities are heFeby approved, subject to the ~ollow~n~ condor -------- ~OBS: o~dltloI.s:~ The above described sanitary facilities are disapproved for the following reasoRs: Signat~-~e of ~fffi¢i;&~l~ , - Date ' Approval is valid for one year following the date of approval. CPJ: cw THIS SIDE FOR OFF C AL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE J INSPECTOR INSPECTOR INSPECTOR DIRECTIONS; 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2, WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL ' [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified . , LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []IND V I IDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY - Connection Verified INSTALLER []Septic Tank or [] Holding Tank giveSiZe:d mens/BOOons: If Tank is homemade SOILS RATING TYPE OF TANK MANUFACTURER L~ T~)TAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer L ne WELL TO: ,J Nearest Lot Line Absorption Area to nearest Lot Lin~ I~. COMMENTS ' ' [~ APPROVED FOR 3 BEDROOMS [] COND TIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) f / ' LEGAL DESCRIPTION 72-010 (Rev, 3/78)