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Home My WebLink AboutZODIAK MANOR ALASKA BLK 1 LT 14Zotb iA K · GRE,,,ER ANCIt0RAGE AREA BOK JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-51TE SEWAGE DISPOSAl. SYSTEM NAME r;' VC~,'~C c ~ I_h__ MA,L,NG ADD RE~S__ _ ~ PHONE LOCAT,ON ~-~-UC'<r~ <¢'.)'~'_LEGALDESCR,PTION XOp /¥-'¢~'Z' / SEPTIC TANK: INSIDE LENGTH MANUFACTURER F-'~-Cz'~'-~T"~'"~)- - C O M PA R T M E N T S ~'~-- ~ _'~_%/(~/~) ~M A T E R I A L /'~ --~/"~_ NUMBER OF INSIDE WIDTH LIQUID DEPTN . ____ LIQUID CAPACI ,7/,Y(~"-~ALLON$. TILE DRAIN FIELD: DISTANCE FROM WELL / ~/0' FOUNDATION~Y / NLJ'MBER OF LINES / DISTANCE BETWEEN LINES BSORPTION AREA _ SQ. FT. LENGTH OF EACH LINE .~_, , OEP-rH OF FILTER / DEPTIh TOP OF TILE TO FINISFI GRADE MATERIAL BENEATH TILE ~ N. ABOVE TILE WELL.: TYPE _ CONSTRUCTION TOTAL LENGTH NEAREST LOT LINE TRENCH WIDT IN. TOTAL EFFECTIVE IN. DEPTII _ ~ DISTANCE FROM: BUILDING NEAREST NEAREST SEP¥1C SEEPAGE FOUNDATION LOT LINE __ SEWER LINE __ TANK ___, SYSTEM.__ CESSPOOL OTHER SOURCES APPROVED _ DISAPPROVED __REMARKS DISTANCES: SEWER LINE DEPTH: PIPE MATERIAL: DIAGRAM OF SYSTEM Gr' '~TER ANCHORAGE AREA BORC"' H HEALTH DEPARTMENT ~T? ~57 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-251! INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCAT,ON ¢ SEPTIC TANK: DISIANCE E~OM WELL ~'~) LIQUID CAPACITY--~/~c) ~2 MAILING \ ' ~l f NUMBER OF J ~(~J~/' MATERIAL '('~""z.~]/lC ~(~ ~_ COMPARIMENTS ~/)(~ ~2~/~'L ~'7~/? LIQUID GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH____ SEEPAGE SYSTEM: / NUMBER OF PITS LINING MATERIAL-- -~?--:'~'''' SEEPAGE PIT: OUTSIDE DIAMETER OR WIDTH / (z~ / , LENGTH_ ~ ¢-~- f DEPTH TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ SQ. FT. TILE DRAIN FIELD: DISTANCE F~'~ ,FOUNDATION NUMB~ LINES-- ~ //~ DISTANCE BETWEEN LINES_ x~RPTION/ AREA SQ. FT. LENGTH OF EACH LINE__ DEPTH: TOP OF TILE 10 FINISH GRADE r NEAREST SEPTIC LOT LINE , SEWER LINE , TANK TOTAL LENGTH NEAREST LOT LINE , OF LINES _DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE DISTANCE FROM WATER · BUILDING FOUNDATION. SAMPLE__ NEAREST SEEPAGE OTHER , SYSTEM , CESSPOOL ., SOURCES DISTANCES: '"~: / / APPROVED i/ ,~ HEAL A GRE ER ANCHORAGE AREA BO, CUGH DEPARTMENT OF ENVIRONMENTAL QUALITY S~WAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT LEGAL DESCRIPTION (~ INSTALLATION OF: SEPTIC 'rANK FINANCED THROUGH SOIL TeST RESULTS MAILING ADDRESS PHONE SEEPAGE PIT DRAIN FIELD , OTHER TO BE INSTALLED BY NOTI~i THIS PERMIT IS NOT VALID WITHOUT SOIL 'rEsT COMPLETION DATE ANTICIPATED 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. SEEPAGE AREA SIZE TYPE , DRAIN FIELD DRAIN FIELD DRAIN FIELD CAS]' IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER AN hORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESC'RIB,~D SYSTEM IS IN ACCORDANCE WITH SAID CODE. ER/~OR~ EQ-016(3-75) / GREATE 327 Eagle St. ANCHORAGE AREA ILEAL 11t DLPARTMLNT Anchorage, Alaaka 99501 · ,OROUGH 279-2511 Case No. ~.'~' ')4 ~ £) ' / SEWAGE! DISPOSAL SYSTEM - APPLICATION & PERMIT RESIDENCE ADDRESS ~ 5 I'N% (> LOCATION OF INSTAL. LATION~i~)/-'[/('~'- Z/' ;~i, ho'~J: LEGAL DESCRIPTION. [ O'~' ~._ ~ L~ ~ ~-(" t> l ?7) ~ ~}ct Al (1 APPLICATION TO INSTALL: 8EPTICTANK_ 1/~' , SEEPAGE PIT L'~ ,DRAIN FIELD ,OTHER TO SERVE THE FOLkOWING FACIklTY d~ I~'D~'IY~ PERCOLATION TEST RESULTS_ TO BE INSTALLED BY ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SFRVE AS- h'ig, ff~'4(&) ,PERMITT01NSTALLA _AS DESCRIBED BEI. OW. SIZE OF UNIT TO BE SERVED _. SEPTIC TANN SIZE ~'~ eCZ I., TYPE ~) SEEPAGE AREA ~~7 DIAGRAM OF SYSTE~ DISTANCES: · -z'3 I certify that [ am familiar with thc requirements of above described system is ill accordance with said code. DATE _ tgc Area Borough Ordinan.ce No. 28-68 and that the APPLICANTS SIGNATURE GREATER ANCtIORAGE AREA BOROUG! HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE # Performed For Donald L. Gr~_CJJ~_ . ...)ate; Per_orme..__~4~_.=~_~_~___.~ a ~n/~o/vn vision Zodiac Depth Feet Soil Characteristics Location Sketch tan sandy silt (~) gray sand (SP) with 6" gravel seam from 5' to 5.5~ slightly silty @ 9' Was Opouoo Test Performed By:~~~ _~ '~ese recon~endations are computed from visual observations and based Data Certified By:~_Ng~jLona~p.~tz..~ S~rv~.~Inc, ~he unified classification system, Date: DEI'ARTNENT 825 'UNICII-'ALITY OF ANCH(}tU~(J[i. OF IIEALI'H AND ENVIRONHENTAI-. ?P, OIT£TIOH L S LL'~CC. Anchor'ac~- Alaska 99501 204-4'/20 '" o i~2: i~m _ 10:3 a.m D,;t h e 11.-_2.!-- 7.7 _ Mo nda y _[ n s p ._ _:__~hb&]z.z_?k-'_" c, } k [ n s p ...................... l n s p REQUES'P ["OR hPPNOVA1, Oil LNDJVTDUAI SEWER AND WATER i At.l],I I 1.1,o MaC] 'rig Addres,'3: 2804 West 1,1orthezn L±ghts ~9503 Phone: 2~6-2804 PY'opO]r't-y OWNO2.': Robert Barnes Phone: out of state Leqa], Descripu. JOll: Lot: 14 Block 1 Zodiak Manor subdivision -913~ -j~ifi'('e-r S:Lng-le Family l(esJden(.e: (x) Ntlrabe3: Of Bedrooms: Three Mu.l. tnple l,';iltt[[y (e';J.cte]ic:e: / ) Nttnt})cr 0!; tle<iuoolns: 5, well e ,~ -on- . oS,:,t...~ . 'rndiv.idua] We.]_] (x~ (.ommun].ty/PublLc Fxr;t_em ) Permit: Dcpkh of We'L]. __ ...................... WO].i Log on Pile ) COIl S LiEUC tllon Ba c lze r_'.~ a 3 Ana].ys ].s 6. Sewaqe Disposal Sysn¢,ifl: On-site Sysuom (x) Pub]_tc ULi. 13, uy ~ r, nrra2.t. In s l:.al] ed 1977 Tns t_allt, e r Septic Pan]. S.)ze HantlfaLcturer Na tot La k 7. [};Lsta]~lces: Well[ ¢o 5o )i i¢ llO Sower [,[.llC Nc&]2OSE hot '[.i. ne tO N(~a]?o,%l; I',ok l',i nn to AbsorphJ_or' Area HLINICIPAt_ITY OF AI,ICItORAGE .) Deparkmenh o[ tloalkh and EnvJronmenka] Proheck~on '2~}~? .... 895 ]. SLrc. et , "lc lo]rage Alaska 9950] 13. Property Owner: Robert Barnes .......... Jl Phone: attn: Mary Lou Gacy -- - attn: Mary Lou Gacy Name o[ Buyer: _. .__ Ma i 1.i nq Addvess: Lending Institution: 4 o Rea] tor/Agcnc: Marston Real .lsstate/Mary Lou Cac~ 99503 Phone: 276 2804 Ma:i ] J ng Address: %8_9_4 kyes_t_'_No__L_it¢_s Leqal Descr~ptJ on: . L_9~14- B_A_i,.' .Z__%dj_a!_S._u_hd Street; I,ocation: .~J2~D JxLpitar~ ................................... Single Family Residance: ( 2~ Number Of Bedrooms: 3 Multi. pie I.'amily Residence: ( ) Number of Bedrooms: '7. Water Supply: * Individual We] 1 ( J Public/CommunLty System ( ) If Individual Well, well depth unkn If ColPJ~luDiky System, nall~e of system Sewage Disposp] System: *';On.-site System (x)~ Puo..~2 System ( ) If On-site System, date ef insta]lation: _ *NOq%]: A we]] log Js required on ALL wells drilled since 6/75. *'* If on-site sewer system is over two(2) years old, an adequacy test is requJred by this department. A fee of $25.00 must accompany each request before pvocessing Ctlll b(t J n it::J ated. 3/77 Legal Descript].ol~: Lot 14 Block 1 Zodiak Manor Subdivision FHA Form 25~'3 Form Approved Rev. July 1958 FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63 R296.8 HEALTH AUTHORITY APPRC)VAL INDIVIDUAL WATER SUPPLY AND SEWAGE DIISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA INSURING OFFICE MORTGAGOR OR SPONSOR Donald L. Green iUBDIVISION NAME Zodiak Manor ¥OTAL NUMBER, i [] i 3 25 WATER SUPPLY BY: [] Public system SEWAGE DISPOSAL BY: ~ Public system MORTGAGEE JSERIAL NO. MATANUSKA VALLEY BANK PROPERTY ADDRESS 9130 Jupiter Drive, Anchorage, Alaska BLOCK NO. J LOT NO. 1 J 14 BASEMENT Yes [2No ] New installatioD additional bedrooms? Ill Yes, how mony~J ¥eg Community system Community systeJn Individual [] Individual SYSTEM DESIGNED FOR 3 [~--]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 asa domestic water supply for the subject property. It is tire opinion of the [] State [] County tern witb proper JnaintenaDce: ~] Can be expected to function satisfactorily, anti is not likely to create an insanitary condition Local Department of Health that this individual sewage-disposal sys- [--] Cannot be expected to function satisfactorily ~. Sanitarian May 3, 197]. ]~( PART IlL--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITERJ I have reviewed the foregoing and the pertinent FHA ConJpliance Inspectk)n Report, and recommend that'the Individual water-supply system be considered [-~ Acceptable ~ Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. DATE JSIGNATURE HEALTH AUTHORII'Y APPROVAL INUIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM [[~] CHIEF ARCHITECT ] DEPUTY FOR CHIEF ARCHITECT FHA Form 2573 Rev. July 1958 REPORT OF INSPECTIONMINDIVIDUAL SEWAGE-DISPOSAL SYSTEM PRIMARY TREATMENT consists of [] Septic tank. Septic Tankt Distance from well,__.feet. Material,. Total liquid capacity, Inside length, Cesspool~ Distance from: Well, Inside diameter, [] Cesspool. gallons. Capacity inlet compartment,. teet. Inside width, feet. Liquid depth .feet. feet; foundation, feet. Depth,. gallons. feet; nearest lot line at [] front, [] side, [] rear, feet. Liquid capacity, galions. Limng material SECONDARY TREATMENT consists of [] Tile disposal field. [] Seepage pits. Other Tile Disposal Field: Distance from: Well, Total length of tile lines, Trench width, Lengtb of each line, feet, feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, feet. feet. Number of lines, Distance between lines, feet. inches. Total effective absorption area in botto~n of trenches, square feet. feet. Deptb, top of tile to finish grade, inches. Type of filter Inaterial: [] Gravel. [] Broken stone. Other Depth of filter material beneath tile, inches. Depth of filter material over tile, inches. Seepage Plt~ Number of pits Outside diameter, feet. Deptb, feet. Lining material Distance from: Well, feet; building foundation, feet; nearest lot line at [] front, [] side, [] rear, feet. Inspection made 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, incbes. Individual wells [] are [] are not customary in neigbborbood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water Properties in neighborhood [] are [] are not being developed with both individual water-supply and sewage-disposal systems. Lot size' feet wide,_ feet deep. Dwelling set back from front property line,. .feet. Individual water supply from: [] Drilled well. [] Driven well. [] Dug well. [] Bored well. Building foundation cast iron sewer, .feet; tile sewer, seepage pit,. feet; cesspool. Well construction: Diameter, inches. Total depth, __ .feet. Type of casin& Approximate depth to pumping level of water in well, feet. Approximate yield, Sealed watertigbt 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. Pemp~ [] Shallow well. [] Deep well. Length of drop pipe, feet. Pump capacity, Located in: [] Basement. [] Pumproom off basement. [] Pumpbouse above ground. [] Pump pit. Pumproom properly drained: [] Yes. [] No. Pump mounting watertight: [] Yes. [] No. Type of storage: [] Pressure. [] Gravity. Capacity, gallons. Has bacteriological examination of water been made? [] Yes. [] No. If answer is "yes," give date. Quality of water [] is [] is not satisfactory for human consumption. Installation [] does [] does not comply with approved exbibits, if any. Inspection made by: [] State. [] County. [] Local Health Authority. Inspected by Date of inspection 19 .feet; nearest lot line at [] front, [] side, [] rear,. feet; septic tank, .feet; disposal field, feet; other sources of possible pollution,_ feet. Depth of casing, _gallons per minute. gallons per minute. feet; · _ ~fiATER A~4CHOR~6E AREA BOP, O[JGH !!EALTH DEPgRTb~ENT 327 E^fiLE STREET ANCHORAGE, ALASKA 99501 279-2511 REQUEST FOR APPROVAl, OF INDIVIDUAL SENAGE AND WATER FACILITIES FOn Approval Requested By Number of B~drooms Nell Data: A. B. C, D. /?7' Size /~ r/ Cons~ruo~ion ~(~ ~C( E. Bacterial Analysis_ Sewage Disposal Systom: Septic Tank 1. (I£ homemade, show diagram on back) Size / ~- ..... Nanufacturer )~ ~ja/ 4. Installer