HomeMy WebLinkAboutW G PIPPEL BLK 1 LT 3Oso -0e/3-05-
l loclc
,ER ANCHORAGE AREA BOR? GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
GRE'^
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME./Z/~*.///.*~)/:~/~.~A'/ MAILING ADDRESS ~'~ ,/~-_)T ~'dx/y, ~./~ PHONE
LOCATION ~)/~ ~Z LEGAL DESCRIPTION
SEPTIC TANK,:
DISTANCE
From WELl
INSIDE LENGTH
MAN U FACTU RER
INSIDE WIDTH
NUMBER OF
?~./~'//~% MATERIAL ~'~z~ '?~d~ COMPARTMENTS
LIQUID DEPTH LIQUID CAPACITY /~>~f~ GALLONS.
SEEPAGE PIT: / x
NUMBER OF PITS /. DIAMETER--OR WIDTH /~,'/ LENGTH/~'~ DEPTH
/
BUILDING FOUNDATION ~2 , ;~NEAREST LOT LINE~-~-~ ~- TOTAL EFFECTIVE
· ABSORPTION AREA (WALL AREA) .~-~'~ SQ. FT.
ADDITIONAL ABSORPTION
WELL:
BUILDING .~ ~/~ NEAREST
FOUNDATION ~ ~ LOT LINE
CONSTRUCTION
SEPTIC
TANK
CESSPOOL /~/~/--J/'~,~ OTHER SOURCES
APPROVED
DISTANCE FROM:
SEEPAGE
SYSTEM
DISAPPROVED
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS: /
DIAGRAM OF SYSTEM
INSTALLATION O~ SEp'T~C TANK SEE~AG£
MA'L'HG AD, RESS"ST' R,,,I-'
DRAIN FIELD
, OTHER
COMPLETION DATE ANTICIPATED
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SE T'DTAN S'ZE T PE SEE AO,^REASI'E ts-
SEPTIC TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
MINIMUM DISTANCES, REQUIREMENTS_ /
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT , DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
· SEEPAGE Pit DRAIN FIELD
ALSO CONSIDER AREA WELLS.
., DRAIN FIELD
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.
GRAVEL BACKFILL
CONt~ORM TO BOROUGH REGU NS RE lNG IN ALLATION.
DIAGRAM OF SYSTEM
AM C7 BOROUGH ORDINANCE NO, '8-68. AND THAT THE AEiOVE
I CERTIFY THAT I FAMILIAR WITH THE REQUIREMENTS OF GREATER AN AGE AREA INA~
0 Er E GEOTECHNICAL Er DEVELOPMENT CO.
Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 .
Russell Oyster
694-2774
Soils Et Foundations
Performed for:
Legal Description:
Depth (feet)
0
1
2
3
4
5
6
7
8
9
10
11
12.
SOIL LOG
Tel, No.
So11 Charactertsttc~
Ear/Ellis
688-2280
Land Development
Ground Water Encountered: Yes No/// If yes, what depth
Proposed Installation: Seepage Pit ~ Drain Field
Con~ments:_~/c /~ ~.,M ~Z' ~z~- /~/7'- VV'/~
DEPT. OF ENVIRONMENTAL CONSERVATION /
January 16, 1975
Mr. John Lee
District Supervisor
Greater Anchorage Area Borough
Department of Environmental Quality
Eagle River, Alaska 99655
Lot 3 Block '1W. G. Pipple Subdivision
Dear Mr. Lee:
We have reviewed the facts concerning this case in your etter and accompanying
sketch. We have no objections to the locations of the well as indicated on the
sketch subject to the conditions contained in your letter. It is our feeling
that the instances stated are in compliance with the provisions of the Alaska
Waste Water Regulations.
Yours truly,
Reg iona Env i ronmenta
Supervisor
G~-~-
327 EAGLE ST.
,,NCHORAGI: AREA BORQP~H
HEALTH DEPARTMENT
ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING $:j/~
ADDRESS .~:/~ '
SEPTIC TANK:
C,~.,~~_ NUMBER OF
DISTANCE FROM WELL-~'~ '~ ~2._) MATERIAl -~"'7-"'~'~--~'-/-~'~"'~'~C -~,~/'~' ~'COMPARTMENTS'
LIQUID CAPACITY ,'?.-~ GALLONS. INSIDE LENGTH ~ INSIDE WIDTH
LIQUID
DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER '- OR WIDTH
~-~ DISTANCE FROM WEL ~'~
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
LENGTH /~ /
, DEPTH
) , BUILDING FOUNDATIOk~
TILE DRAIN FIELD:
~:~ ~H TOTAL LENGTH ~
DISTANCE FROM WELL FOUNDATION ., NEAREST LOT LINE ,OF LINES
ABSo~~NUMBER OF LI S DISTAN E BETWEEN LINES / /WIDTH~~OTAL
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH GE FILTER MATERIAL B~ IN, ABOVE TILE
WELL: /'/~,~_~.f-J2r~) / DISTANCE FROM /' WATER /
TYP~' ~~ DEPTH , BUILDING FOUNDATION. _SAMPLE NEARESt
~NEARES1 / SEPTIC ~SEEPAGE ~OTHER
LOT LINE SEWER LINE . TANK . SYSTEM - . CESSPOOl , SOURCES
DIAGRAM OF SYSTEM
DISTANCES:
HEALTH AUTHORITY
GAABoHD-2
GREATEI " " NCHORAGE AREA/ ")ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
Case Ho.
// · , MAi LiN G AD D R ESS d~,~A~ ~, '.~?/~/d'f- p H 0 N E N O. ~.~'~Z-~2?/<D
HAME OF APPLICANT ./-//g~ ~ ~~ ~'~
"'~Ub~U~l~/O~ ~~'' LOCATION OF INSTALLATION~ /,~ ~/~ ~'~'
APPLICATION TO INSTALL: SEPTIC TANK~: S~PAGE PIT "~ DRAIN FIELD ., OTHER
TO SERVE THE FOLLOWIHG FACILITY .R ~/r~m ~//~
FIHAHCEDTHROUGH TO BE INSTALLED BV~t~ ~~'~
PERCOLATION TEST RESULTS ~,5~ ~ ~ ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THISISTOSERVEAS~Z~.~,!/~/,"J-[~/~/~I-.,~ , PERMIT TO INSTALL A .~/~ ~~
AS DESC.IBED BELOW, SIZE OF UNIT TO BE SE"VED ~ '~:~7~
. SEPTIC TANK SIZE ~-D TYPE ,~.~ SEEPAGE AREA ~ TYPE
DIAGRAM OF SYSTEM
DISTANCES:
Health Authority
I 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 APP LI CANTS SI G NAT U R E , ~,:"~ *""
· , ,, r;*' ALA?A 99501
aNCnORA
This Form Rapo~ts
Depth . . i,o~,at ion Sketch
Reading Date
J Net Drop
Peos~ Time Neu Time Depth To N20
· ..~.~ .... , a,. J Drain Field
Tes~ Performed BS':.~ ....... '
~r~en~ of ~blic Sa~c~¥
~uild~ De~artmen~
June 3, 1975
John R. Lee,
~part~ent of ~nvir/m~atal Qualtt~
Use Pel~it £or Lot 3, Block I ~ipplo Subdlvtsi~.
The subjocg lot can he served by an on-si~e s~r sysge~. Tho
of Alaska, Uepart~en~ o£ ~liuviron~n~al Conservatiuu,
338~nali Street
Anchera~ AK 99501
Fir. Cherry:
Harry ~i[ma~), miner of th~ subject lei has r~quested approval to develop
~ semi-public well to serve a c~rcial 5uilding or; some. It is unlikely
the~ ~ill be any sewe~ ~tthi)) 2~O f~t of the ~ell. but tho owaer of Lot
Parts m~J their sewer ~ystem ~vould be over 200 feat fr~ the p~posed v~ell
2J th~ ))reposed bulldi~g ~il1 have lo~-~ wa~er usage ~ ~ dep~rt.~.n~s, laudre~
~'~outd y u please se~)d me a letter ~ili~g of you~ approval or disapproval
of a ~emi-public ~ell o~ the subjeci~ le~.
$inc~rely,
Eagle ~iv~r Sa~itariae