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Home My WebLink AboutWALTER G PIPPEL ADDITION BLK 6 LT 12 G£,TER ANCHORAGE AREA BOROI- ,4 O~'~AFITMEBIT OF ENVIn0BIMENTAL D. UALI~?" 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION ~ ~'~- ? sEPTIc TANK: MAILING ADDRESS /?~ ~:~)¢'¢'~>';~ '~*c~,~J~'~:'~,~, PHONE~ LEGAL DESCRIPTION ~'//~ ~ ~¢~ DISTANCE FROM WELL LIQUID CAPACITY /~'~ GALLONS. INSIDE LENGTH NUMBER OF / COMPARTMENTS LIQUID · INSIDE WIDTH DEPTH,__ SEEPAGE SYSTEM: SEEPAGE PIT: NEAREST LOT LINE / , LENGTH ,./ , DEPTH /.~G FOUNDATION TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OE LINES. ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE NEAREST LOT LINE TRENCH WIDTH SQ. FT. LENGTH OF EACH LINE /d~ DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH / OF LINES /~7 , IN. TOTAL EFFECTIVE IN. ABOVE TILE WELL: TYPE//~:// DEPTH ~'7~:~O ' DISTANCE FROM · , BUILDING FOUNDATION. LOT LINE ~/' ~ ~-- NEAREST ~ SEPTIC '" SEEPAGE , SEWER LINE . TANK //'(.~ , SYSTEM /~::~O WATER SAMPLE//~//~)~m~ , NEAREST OTHER , CESSPOOL , SOURCES DISTANCES: DATE DIAGRAM OF SYSTEM ~,,A,A.B. GREA¼~ER ANCHORAGE AREA BO~L~'~UGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT DESCR'PT'ON --/'4 INSTALLATION OF: SEPTIC TANK SEEPAGE PIT FINANCED THROUGH TO BE INSTALLED BY SO,L TEST RESULTS COMPLETION gAT~ ANT]OIPATeD DRAIN FIELD j OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST SEPtiC TANK SIZE f~'~) TYPE SEEPAGE AREA SIZE FOUNDATION TO SEEPAGE Pit ~--~ ~' DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL ~/~,~ SEPTIC tANK ~'~ ¢ SEEPAGE Pit ~C) . DRAIN FIELD WATER MAIN TO SEPTIC TANK , ..SEEPAGE PIT DRA~N FIELD TO RIVER, LAKE. STREAM, CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. TYPE DIAGRAM OF SYSTEM CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GR R ANCHORAGE AREA BOROUGH ORDINANCE NO, 2S-68 AND THAT THE ABOVE CASE Location Saetcn Was Ground Water Encounte,.,ed?~7~.,f[ i+' Yes~ At ~?'.at Depth Date r, Time ~lrrm Oepto To H20 ?let Drop DATE RECEIV DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION DEPARTMENT OF HEALTH ~ ENVIRONMENTAL PROTECTION 825 L Street- Ancho,a,e, Alaska 99501 JUL 8 ,981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be processed, Please allow ten (10) days for processing. 1, PROPERTY OWNER PHONE MAI LING ADDR ESS P~OPE~TY ~ESIDENT (If different from above) PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHON~ LEGAL DESCRIPTION s. .207- /,.7. /J/lC d TREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS [] One [] Four [] Other ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY ~' INDIVI DUAL* * ATTACH WELL LOG. A well Icg is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach Icg if available.) 8, SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ~ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 0/79) 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 UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~]INDIVIDUAL/ON -SITE DATE INSTALLED E~PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []HoldingTank Size: If Tank is homemade BOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [~'"~APPROVED FOR . ~ . BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) []DISAPPROVED DATE BY 72-010 (Rev. 6/79) CHEMICAL & GI~vLOGICAL LABORATORIES '~£ ALASKA, INC. TELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER Water System Name ~ Phone No Mailin~ Address SAMPLE DATE: Mo. Day SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose Year [] Treated Water [] Untreated Water Code SAMPLE Time Collected NO. LOCATION Collected By 1 ~ / ',' ~:' ~'' , . ..... ~ · . /.~ TO BE COMPLETED BY LABORATORY Analysis snows ti~ts Water SAMPLE to be: 'i1~i ~atisfactorv [] Unsatisfactory [- Samo e too long in transit; samole should not De over 48 hours old a[ examination [o ;ndicate reliable results. Please send new sample. Date Received ,- Time Received Analytical Method: [3 Fermentation Tube [] Membrane Filter Lab Ref. No. Result* Analyst I ? '? · I J J *NO. Of colonies/100 mi. or NO of Positive Port;ohS READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 Ih) Rev, 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Presumptive /Omi 1Omi 1Omi /Omi ].Omi 1.0mi 0,1mi 24 Houri April 29~ 1969 Reverend Casey liumphrey Box 17 Eagle River, Alaska 99577 SUBJECT~ Sewer and Water on not 12, Blk. 6, W. G. ripple Subd. Dear Reverend Humphrey: Personnel of the Greater Anchorage Area Borough Health Department inspected the sewer and wate~ system on the subject premises. The following conditions were found: 1. The well is of satisfactory eonstructlon. The septic tank is 74 feet from the well. The seepage a~ea is 102 feet f~om the well. This system is an approved system for a single family residence. There is a traile~ connected into this sewe~ system and water supply which makes the watem supply semi-public Class A. The requirements for a semi-public, Class A well are: i. Septf~ tanks are to be at or beyond an 80 foot ~adt~?~of the well. ~, 2. Seepage area is to be at or beyond a 120 foot' radius of the well. Inspection shows that these distances cannot be pbtained and still keep the sewer system on your land. Revemend Casey ~, .,rsy Page 2 Ap~l 29~ 1969 We request that either additional land be obtained to install a new sewer system the proper distance from the well or that the trailer be moved. You indicated that the trailer would be moved in June which is satisfactory with this off[ce. If you intend to keep the trailem on yoU~ pDpperty, please contact this office rom a pemmit to move your p~eseat sewer system prior to June 1, 1969. Sincerely. DAVID R. Lo DUNCAN, M. D. Medical Director BY: ~-o~f R.' St~ickl~d, R. S' [ Sanitaris~l FHA Form 2573 ~ ~ FEDERAL HOUSING ADMINISTRATION L,,~ ? Form Approved Rev. July 1958 Budget Bureau No. 63-R296.8 HE ,LTH AUTHORITY APPROV/gL II DIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA INSURING OFFICE Federal Housing Adam-tetra,ion MORTGAGOR OR SPONSOR General Buildere~ Inc. SUBDIVISION NAME %L C. Ptppel Addition TOTAL NUMBRR: WATER SUPPLY BY: [~ Public system BASEMENT MORTGAGEE SBRIAL NO. Fire, National Bank of Anchoraf;e 60-009066 Box 720: Anchorage, Alaska PROPERTY ADDRESS no number Coronado Road [~Yes [] No [] New installation Lo . Can attic or other area be made into additional bedrooms? (If Yes, how mony~) [--] Community system SEWAGE DISPOSAL BY: [] Public system [] Community system [] Individual []Yes []No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [] State [] County [] Local Department of Health that this individual water-supply system [] is [] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the [] State [] County [] Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [] Can be expected to function satisfactorily, and [] Cannot be expected to function satisfactorily is not likely to create an insanita~ condition ~ATE S,GNATURE ,f') ~/;'"} /'~ /5' J T,TLE, .. ~ -' ~ce D, ld~s A!gska D~pt o.f Health & We~are NOTE: The health authority should complete the appropriate opinion statement above and affix date, signature and title in the spaces provided. Use of the above grid for Health Department Inspector's sketch as well as use of the back of this form is at the option of the health authority. PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that'the Individual water-supply system be considered [] Acceptable [] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. SIGNATURE CHIEF ARCHffECT DEPUTY FOR CHIEF ARCHITECT DATE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 " ' ' Rev. July 1958 REPORT OF INSPECTIONwlNDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists of.[] Septic tank. [] Cesspool. Septic Tank~ Distance from well, ?; feet. Material, i, , '( Total liquid capacity, i",~'D gallons. Capacity inlet compartment, Inside length, '. feet. Inside width, ·" feet. Liquid depth, Distance from: Well Inside diameter,_ SECONDARY TREAT~iiENT consists of [] Tile disposal field. C]iSeepage pits. Other Number of comparunents ' · - gallons. feet. feet; foundation, feet; nearest lot line at [] front. [] side, [] rear, feet. Depth, .feet. Liqnid capacity, gallons. Lining material feet. feet; foundation, feet; nearest lot line at [] front, [] side, [] rear,_ feet. Number of lines,. Distance between lines, inches. Total effective absorption area in bottom of trenches, .feet. Depth, top of tile to finish grade, [] Broken stone. Other feet. .feet. .square feet. inches. Tile Disposal Field: Distance from: \Veil, Total length of tile lines, Trench width, Length of each line, Type of filter material: [] Gravel. Depth of filter material over tile inches. i.I feet. Lining material ~ ~ __ feet; nearest lot line at [] front, [] side, [] rear. i ) feet. Depth of filter material beneath tile,~ __--inches. Seepage Pits: Number of pits t . Outside diameter, ' ~' ~ feet. Depth, Distance from: Well, Inspection marlo by* [] State. [] County. [] Local Health Authority. Inspected by Date of inspection , 19 REPORT OF INSPECTION--INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main .... feet. Size of main, inches. Individual wells [] are [] ate not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to fi~rnish adequate supply of water Buikling foundation, east iron sewer, seepage pit,. i Well constructlom Properties in neighborhood []: are [] are not being developed with both individual water-supply and sewage-disposal systems. Lot size' ~ll ~r ~ feet wide, .i '.:; feet deep. Dwelling set back from front property line,. ' ': feet. Individual water supply from: [] Drilled well. [] Driven well. [] Dug well. [] Bored well. Distance of woll from* ' ,' .feet; nearest lot line at [] front, ~1 side, [] rear,, i, feet; tile sewer, : ~ feet; septic tank. feet; disposal field, feet; cesspool, .feet; other sources of possible pollution, feet. inches. Total depth, :'~ .feetc Type of casing, ; i Approximate depth to pumping level of water in well,. :' feet. Approximate yield, _gallons per ~ninute. Sealed watertight to depth of ~ feet. Exterior space around casing sealed with: [] Cement grout. [] Puddled clay. [~ Ordinary backfill. Well cover: [] Concrete. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. [] No. Pump: [] Shallow well. [].Deep well. Length of drop pipe, " feet. Pump capacity, Located in: [] Basement. [] Pumproom off basement. [] Pumphouse above ground. [] Pump pit. Pumproom properly &ained: [] Yes. [] No. Pump mgunting watertight: [] Yes. [] No, Type of storage: [] Pressnre. [] Gravity, Capacity,. '~' .gallons. Has bacteriological examination of water been made? [5] Yes. [] No. If answer is "yes," give date Quality of water [5] is [] is not satisfactory for human consumption. Installation [] does [] does not comply with approved exhibits, if any. Inspection made by: [~]~State. [] County. [] Local Health Authority. '~DI~O {}e Inspected by _gallons per minute, feet~ feet; .feet. ., 19 6]. [:,EF'~RTf'IENT OF HE~.,~,:H RN£:' EN'¢IF.:ON['IENTRL F'F.:oTE:~,.~ION 825 '"L'" STREet., RNCHOF..'RGE., R~:::. ~50':L ;-264-4720 COP<t P1U_,T E,E uE, THINE[. FROI'"I THE FILES - [:,RTR NOT R',,,'RILRBLE IN THE COI~IPLITER ./ SUR VE YOR'S CERnnCA TE PLA T APPROVAL TAX CERTIFICATION paid , ~.,~- CERT/FICATE OF OWNERSHIP and DED/CA T/ON NOTA R Y ACKNOWLEDGEMENT DTI002196 1983-2543 / , / / ¸5' PLA T APPRO VAL Plat approved by the Mu /e/pal P/acting Authority CERTIFICATE OF OWNERSHIP and DEDICA T/ON NO TAR Y A CKNOWL EDGEMENT ACCEPTANCE OF DEDICATION The Municipality of Anchorage hereby accept~ for pubfic uses and Deted at Anchorage, Alaska thL~,~~ daTof ~ 198~. DT1002198 ~-~' ~ 1982- 690 DTI002199 191-103 DTI002200 W. ~. .~IPPEJ_ SL/z~DI V/510,A/ N S~S ENGINEERS, Inc. DTi002202 1984-7401