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Home My WebLink AboutZODIAK MANOR ALASKA BLK 2 LT 2 ~. GREA ~,;R ANCHORAGE AREA BORL,.,GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON.-SITE SEWAGE DISPOSAL SYSTI~iM MAILING ADDRESS_~'b:..~'_~_2._]_~ ~ '~/ /'~1: PHONE NAME ,]./~/,itt'.,' %¢" ' ( ~,.~.~',~ ~/~Y-¢[ /~ ~ BERTIC TANK'. '1 NUMBER OF FROM WELL /(' =¢ __MANUFACTURER /%~''~)~ MATERIAL ~5-~,~/`. ,_COMPARTMENTS __ INSIDE LENGTH ~ INSIDE WID]H LIQUID DEPTH ~LIGUlD CAPACITY / ?' ~ c~ GALLONS. ,,'.~t'¢-L , . SEEPAGE PIT: i/) [ .' W' /~? / ~'~'~ ~ ~] / ,' , ' , _. OEPTH LINING MATERIAL /''4 ,'~ d4'~:`~ CRIB,~IZE:___ DIAMETER'''''¢ DEPTH _ DISTANCE FROM: WELL~' ADDITIONAL ABSORPTION WELl-: ") FYPE /~'i''-'¢/~%~' /'~ BUILDING FOUNDA FION CESSPOOL APPROVED __CONSTRUCTION NEAREST LOT LINE OTHER SOURCES _ DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: INSTALLED GREA gR ANCHORAGE AREA BOR,. ,gGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO, NOI'EI THIS PERMIT IS NOT VALID WITHOUT SOIL TEG'I' 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. SEPTIC TANK size -"'~/"~) '~' TYPe (. ~ ~'~ / ~ seePAge AREA SIZE . TYPE /~; '~'- ' SEPTIC TANK TO SEEPAGE PiT WALL ? ~'~ WELL TO SEPTIC TANK f// ~'~') , SEEPAGE PIT r/~ ~'~ DRAIN FIELD / ~'--~"-) , ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK , SEEPAGE PIT . DRAIN FIELD ., SEEPAGE PIT~/ --/J [ , ~-~ / DRAIN FIELD CAST IRON INTO AND OUT Of SEPTIC 'rANK AND INTO CRIB CROSSING GAP Of EXCAVATION 5 FI'-eT INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. -e :4' ,7 ,- ,/, GRAVEL BACI(FILL, ;' - /J h-~ p~ / I CONFORM TO BOROUGH REGULATIONS REGARDING INSTAI-LAT]ON. DIAGRAM OF SYSTEM I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED__} SY~EM IS~SY EM IS N ACCORDANCE WITH SAID CODE. · rV1-.W DRILLING, Inc. P.O. Box 4-1224 · 1310C International Airport Road (907) 274-461] ANCHORAGE, ALASKA 99509 DRILLING LOG Use of Well Location (address of: Township, Range, Section, if known; or distance main road ].~,h ?,, itt 5 ~ "o,i:J,.!:~ i~:,'o~}3 Size of casing Static water level Screen ( Describe screen or perforation Well pumping test at__.'y,' gallons per (lfdt~r) of drawdown from static level. Date of completion__ ]Depth of Hole J~3<) feet Cased to }" '~ '; feet :~()__ft. (above'): (below) land surface. Finish of well (check one Perforated ( ). (minute) for ~ _hours with open end ( ft. WELL LOG ]Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness .TO ~ ~'~ ~ _TO ~ ~ TO~'~: TO~ x o TO ~ :x~ TO ~' < TO _TO TO TO _TO. TO. .TO. 2 -- STATE GREATER ANCIIOI<AGI Al<LA bORO/JGH iJepartment, of EnvironmenLa] (/ualiLy 3330 "C" Street Anchorage, Alaska 99b03 /, N()II,S ],()(~ IU'HtOI,ATION '1'1'%~']' This forl. ret)or~s: Soils log.~ ............. Percolation test Del) th Feet i--- 10 - /:,/ ...... ,~.x --/-4 , ~'l c'./-: -~ °; ' I,/ 7 ....... t,, 12- .~ / 13- 14 - ~/ ,. -.~ Nas ground wa~er encountered? _~/~ .......... If ,yes, at what depth? Reading Date Gross Time Net T_i~e~ .... Depth to Water Net iJrop ~]~q~lIra te mi nu re. · Proposed installai~-~J-ni--l~-e-e~-~ge Pit Drain Field ................... Dept. h'--t-o"b~-~[("l)i t or trencl, Del)th of Inlet ............... · COMHEN'FS: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR July 14, ]_976~ Conv. 1. Approval requested by: First National Bank of Anchorage Mailing Address: Post Office Box 4-2090 Phone: 274=1521 2. Property Owner: David E. & Mavis Mc Clurg Phone: 344=2173 Mailing Address: 4312 Zodiak Drive 3. Legal Description: Lot 2 Block 2 Zodikk Manor 4. Location: 43!2 zodiak §. Type of facility to be inspected 6. Well Data: Individual A. Type C. Construction 7. Sewage Disposal System: Single Family No. of bedrooms 4 A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank B. Depth 160' D. Bacterial Analysis On-site system B. Installer l. Size 2. Manufacturer 1. Absorption Area 2. Material Total length of lines , Absorption area , Other contamination , Absorption area , Sewer Lines ___, C. Absorption area to nearest lot line __ EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Req ;t for Approval of Individual S r & Water Facilities Legal Description Lot 2 Block 2 Zodihk Manor Comments Approved Approval,Valid for one year from (late 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) MUNICIPALITY O1: 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 MUNICIPALITY OF: ANCHORAGB DEPT. OF HEALTH ENVIRONMENTAl. PROTEC,TION~ JUL, t 4 1976 RECEIVED July 12, ]976 1. Type of Inspection: CMRO VA _FHA__ CONY XX 2. Property Owner: McClurg, David E., Jr. & Mavis E. Mailing Address:. 3. Name of Buyer:_ Mailing Address:_ 4. Name of Lending Institution: 4312 Zodiak Drive Anch, Ak. Day Phone:. 344-2173 N/A Day Phone:. The First National Bank of Anchorage Mailing Address:_ Box 4-2090 5. Name of Realtor or Agent: N/A Mailing Address: 6. Legal Description: Lot 2 Blk 2 Anch~ Ak 99509 Phone:_ 274-1521 Phone:_ Zodiak Manor Subdivision Location: 4312 Zodiak Drive Anchorage~ Alaska 7. Type of Facility to be Inspected: 8. Water Supply Type of Supl)ly: Single Family Public Utility No. Bdrms. 4 ,Individual x× If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of iDstallation Individual (on-site)_ xx 160' 72-003(3/76) 06-1220(a) Rev. 1973 ALAS:9EPARTMENT OF HEALTH AND SOCIAL SEI~ I~S DIVISION OF PUBLIC IIEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS INDIVIDUAL [] SEMI-PUBLIC [] CHLORINE RESIDUAl. PPM REPORT RESULTS TO CITY ADDRESS OF SOURCE ZIP CODE Lab No. OFFICE Analysis shows this Waler SAMPLE to [] Salisfaclory [] Unsafislaclory [~ Questionable [] Sample too long Jn transit; sample should nol be over 48 hours old at exarn~natlon lo indicate reliable results. Please send new sample. [] Bottle I~roken in transit, please send new sample. SANITARIAN'S REMARKS COMPLETE THIS SECTION ONLY IF WATER IS ?~N IN, D,I, VIDUAL SUPPLY DATE COLLECTED -~ TIME COLLECTED Sample Colleclec{ From [~ Kilchen Tap [] Bathroom Tap [J Basement Tap ~ Other (List) LOCATION~ GENERAL: Does Water Become Muddy or Discolored? [] Yes [] No PURPOSE OF EXAMINATION: Illness Suspected? [] Yes [] No READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE 06-1~0 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1973 Lactose Broth 1Otc IOcc 10c¢ 1Otc 1Otc 1,0c¢ 1.0cc I,0