HomeMy WebLinkAboutWALTER G PIPPEL ADDITION BLK 7 LT 7
~'"""8,TER ANCHORAGE AREA BORC""~H
HEALTH DEPARTMENT ',.-..~.~
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
SEPTIC TANK:
DISTANCE FROM WELl
LIQUID CAPACIIY I
GALLONS.
~, NUMBER OF
MATERIAL ~"~'~---~L.-- COMPARTMENTS J
LIQUID
INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS_
LINING MATERIAl
NEAREST LOT LINF
SEEPAGE PIT:
OUTSIDE DIAMETER
OR WIDTH ~
DISTANCE FROM WELl
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
, LENGTH , DEPTH
BUILDING FOUNDATION
SQ. FT.
ff~-~" D RAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES J
ABSORPTION AREA '~_
FOUNDATION ~' , NEAREST LOT LINE ~'~ !
DISTANCE BETWEEN LINES TRENCH WIDTH
SQ. FT. LENGIH OF EACH LINE ,
TOTAL LENGTH,_ ~ j
OF LINES ~"]-
IN. TOTAL EFFECTIVE
DEPTH: TOP OF T,4L~ TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
WELL: TYPE ~)~ f~ b.L,.~-- ~ DEPTH '~
NEAREST SEPTIC
LOT LINE SEWER LINE .TANK
DISTANCE FROM
, BUILDING FOUNDATION.
SEEPAGE
SYSTEM
WATER
SAMPLE
CESSPOO[
, NEAREST
OTHER
SOURCES
DISTANCES:
r.:,=
-- -~'--- 2.~'~
D AGRAM OF SYSTEM
DATE
GAAB-HD-2
GREATEk. NCHORAGE AREA ' ROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
Case N0. ~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH
PERCOLATION TEST RESULTS - -
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
MAILING ADDRESS ~o;c ,¢'-~/~- c~'~' ~"~;'PHONE N~¢~-~.
,8EEPABE PIT ~' , BRAIN FIELB ~ ~
, OTHER
ANTICIPATED DATE OF COMPLETION
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ~ ~~
· SEPTIC TANK SIZE//(~~) TYPE _~_~¢2 SEEPAGE ABEA ~ DIAGRAM OF SYSTEM
DISTANCES:
70 /
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 APPLICANTS SIGNATU RE ~ .~_,~--'¢/~"~
July 31, 1970
Mi'. Paul Gibbs
~h::~ 445
Eagle Pivcr~ Al-:~ka 99577
SUhJi~¢T: ~r System on Lot 7,
Block ?~ ~o6. l~ipple Subdivision
Duar F,r. Gibbs:
s~bject sewer sygten on July 29~ 1970o
'th~ inspcctiuu .~t'~c~'od that a 1000 gallon ~oFtic tank and 5~]
because the cxc~va~or~ Nr. }!.ell, said this wa.~ what the :;(91 te~t
~olt~l~ant~ saysl ~'our propo;~al to excaVat~ a I1~ X 14~ pit ai~d
b~ase~ on the ~oil t~st run by Alaska (~eolegical Consultants,
~eopa~.~ pit should h~ve been ~ized to ~eet the required 225
half of tiaa ~ui~d ar~a lar
lbo soeimgo pit ~ill ful~cCion proi~rl}" bag for ll~ lonll a~d to
what ~xtoat is not ce'ttai~; i~opoful!y, at loas~ S yeai~s.
You ar~ in aa area that po~!iiblx will have ~wer within 3-$ years
We c~rtainly regret haying to bring this ~aatter to yo,r attention mit
othe~wis~: ~e would be neglil;ent ia our duties.
Ple~e check tho lefjal description on this letter. ~'~is is t~
legal on your final. If thi~ Is in er~r, please notify tm.
to thi~ ~,uattur or i~ you oxparicn~ a~y probl~{s ~tth yo~r se~er
systo~. Also, please c~tact us at your earliest conveuien~
gsrdinfl the ~ater syste~ on Lot 17, ~l~k 7, ~l,a. Pipple
Si~cer¢ ly,
~¢a~inis t rativa Di~ctor
^d~J~J strativo DiYec~:or
G~-"~ATER ANCHORAGE AREA BOROUG~'/
DEPARTMENT OF ENVIRONMENTAL
3500 TUDOR ROAD
ANCHORAGE, ALASKA
279-8686
REQUEST FOR APPROVAL
INDIVIDUAL SEWER AND WATER
FOR
QUALITY
99507
DATE RECEIVED: ~--~--~ ~
/--
TIME: ~?
FACILIIIES
1. APPROVAL REQUESTED BY:
ADDRESS:
PHONE:
2. PROPERTY OWNER:
3. LEGAL DESCRIPTION:
4. TYPE FACILITY TO BE
NUMBER OF BEDROOMS:
5. WELL DATA:
A. TYPE
B. DEPTH
/ /!
C. SIZE
D. CONSTRUCTION
E. BACTERIAL ANALYSIS
6. SEWAGE DISPOSAL SYSTEM:
SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON
~.SiZE/~&&
2.AGE /~' ?~
3. MANUFACTURER
BACK)
4. INSTALLER
APPROVAL
PAGE TWO
REQUEST~q:OR SEWER & WATER
FACILZTIE~
SEEPAGE PIT
l. SIZE
2. LINING
DISPOSAL FIELD
1, NUMBER OF LINES
2. TOTAL LENGTH
REQUIRED MEASUREMENTS
A. WELL TO SEPTIC TANK
B. WELL TO SEEPAGE PIT
C. WELL TO SEWER lINE
D. WELL TO PROPERTY LINE
E, WELL TO OTHER POSSIBLE CONTAMINATION
F. FOUNDATION TO SEPTIC TANK
G. FOUNDATION TO SEEPAGE PIT
H. SEEPAGE PIT TO PROPERTY LINE
COMMENTS:
APPR~V~APPROVED:
DATE.~"~IC~ DATE:
APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED·
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL
QUALITY
GREATER ANCHORAG~ AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99507
279-8686
DATE RECEIVED:
INSPECT:
TIME:
REQUEST FOR APPROVAL OF
INDIVI'DUAL SEWER AND WATER FACILITIES
FOR
ADDRESS: -3~/~
PHONE:' ~g" 61~-
2. PROPERTY OWNER: fPmZ~2 (-~'~S ~HONE:
~. LEGAL ~ESCR~PT~ON: Zo¢ 7, /~/~'
/
4. TYPE FACILITY TO BE INSPECTED:
NUMBER OF BEDROOMS:
WELL DATA:
A. TYPE
B. DEPTH / ~0 '
C. SIZE ~'"
D. CONSTRUCTION
E. BACTERIAL ANALYSIS
6. SEWAGE DISPOSAL SYSTEM:
A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM
,1. SIZE
2. AGE /¢~'0
3. MANUFACTURER
4. INSTALLER
STREET: /~,,~ ~£
ON BACK)'
APPROVAL
PAGE TWO
REQUEST FOR SEWER & WATER FACILITIES
SEEPAGE PIT
1. SIZE
2. tINING
C. DISPOSAL FIELD
1. NUMBER OF LINES
2. TOTAL LENGTH
REQUIRED MEASUREMENTS
WELL TO SEPTIC TANK
WELL TO SEEPAGE PIT
WELL TO SEWER LINE
WELL TO PROPERTY LINE
B.
C.
D.
E.. WELL TO OTHER
F. FOUNDATION TO
G. FOUNDATION TO
H. SEEPAGE
COMMENTS:'
POSSIBLE CONTAMINATION
SEPTIC TANK
SEEPAGE PIT
PIT TO PROPERTY LINE
DATE: ~.~ /0/ /~Z[ DATE:
APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL
QUALITY