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Home My WebLink AboutZODIAK MANOR ALASKA BLK 3 LT 16 GP'~,TER ANCHORAGE AREA BOROI'"~H HEALTH I)EPARTMI:NT 327 EAGLI: ST. ANCHORAGE, ALASKA 99501 279-2511 N°. 237 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ~.,~: ADDRESS. PHONE. NAME LOCATION //~',./z / SEPTIC TANK: DISTANCE FROM WELl LIQUID CAPACITY__ GALLONS. INSIDE LENGTH. NUMBER OF COMPARTMENTS ~ - 5 , ~¢~ /'~ 7~2 LIQUID INSIDE WIDTH____ DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF ~l~S / OUTS'DE DIAMETER ~ ~/r ' OR WIDTH L,N,NG M^TBR,A, /~¢ ~'~;~ .D,BTANCE EROM WEL, //~" ,BU,LD,NG EOUNDAT,ON NEAREST LOT U~E /b- TOTAL EFFECTIVE ABSORPTION AREA (WA[b AREA~ TILE DRAIN FIELD: ...~"~ TOTAL LENGTH DISTANCE FROM V/ELL .~J~DAT[ON ~ NEAREST LOT LINE ~-~-- OF LINES~_ , / DEPTH: fOP OF TILE fO FINISH GRADE DEPTH OF FILLER MATERIAL BENEATH ~ILE IN, ABOVE ~ILE " ~ '," ,'~'0 D~STANCE FROM ~, .'¢' WATER ,, WELL: TYPE P :///~'~- DEPTH , BUILDING FOUNDAtiON. SAMPLE NEAREST NEAREST SEPTIC (~ 'v / SEEPAGE //~ / OTEIER LOT LINE , SEWER LINE , TANK ~ , SYSTEM , CESSPOOL , SOURCES~ DISTANCES: DIAGRAM OF SYSTEM ,ct O DATE Z-. HEALTH AU[HO~IJY GREATEE 327 Eagle St. iNCHORAGE AREA ItEALTH DEPARTMENT Anchorage, Ala&a 99501 3ROUGH 279-2511 Case No.///~ SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT ~¢O/Z(~ RESIDENCE AODRESS ~.~--~ ,rYl ~. LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING EAClLITY FINANCED THROUGH PERCOLATION TEST RESULTS MAILING ADDRESS/~ ,Y~',U; /2 ,.~,' PHONE NO. _ LOCATION OF INSTALLATION__~2~> ~) ~)&- SEEPAGE PIT~_ / , DRAIN FIELD , OTHER ~,,k// I1 _ TO BE INSTALLED BY_ ~//I /~ ~ t ~ ANTICIPATED DATE OF COMPLETION mow To BE F.LLER OUT .V .EALr. ,E,A,'rMENT THIS IS TO SERVE AS-- //VI/N, (]¢:} '/ AZ',~ PERMIT TO INSTALL AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED _. SEPTIC TANK SIZE,'/dg~)d~) TYPE ~/,'~'e / SEEPAGE AREA MSTANCES: '~O;~ ~/'.TYPE ~/~ ,~:': ... DIAGRAM OF SYSTEM I certify that 1 am familiar with the requh'ements of Greater Anchorage Area Borough Ordinance N/e. 28-68 and~:aa~t theJ above described system is in accordance with saki code. ~' ~)~'/,~) ~.;~" .~e"~'-e/'~E'i:)7~ REATER ANCHORACE AREA BOROUGH HEALTH DEPAkTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE Performed For George B. Collins Date Performed 8/26/70 Legal Descrlp~'o~: ~6'~ :.[g--"~c~--~~n Zodiak Mano~-~' ...... This Form Repomrs a: S~og ......... Depth Feet 8__ 12 Soil Characteristics brown sand & silt with occasional gravel (ML) gray sand (SP) gray fine to coarse sand with fine gravel~ (SW) if Yes, ,'.* ,,-nt !:ci th Drain Field Location Sketch oF%e( n l~, ~ Seepage Pit Dep[h Of Inlet ...... '~ Depth To Bottom Of Pit Or Trenc[{ COMML'N. a. ' ............ ~est Pe~foPmed By: E ' '~ese recon~mndatfons are computed from ~. ~. Carlisle ............. ~ visual observation and based on the uni~ fled classification system. Data (,e~t.tf~ed By, ~atzonai Testing Services Inc. Date: ............... ' ~ GREATER ANCHOPa~GE AREA EOROUGE HEALTH DEPAR~ENT $27 EAGLE STREET ANCHORAGE, ALASKA 99501 279-2511 REQUEST FOR APPROVAL OF INDIVIDUAl, SEWAGE AND WATER FACILITIES FOR Address Property Owner Number of Bedrooms Well Data: A. Type.. , B. Depth C. Size ~- // ~/(/?..c//__.~-< __ 1!. Bacterial Analysis 6. Sewage Disposal System: Septic Tank (If homemade, show diagram on back) 2. Age 3. Manufacturer 4. Installer/, Approval Request for Se ge ~ p/ater Facilities Page Two Seepage Pit Disposal Field 1. Number of Lines, 2. Total Length 7. Required Measurements A. p/ell to Septic Tank.. ~ 8.. P/ell tO Seepage Pit.__~/-~' C. p/ell to Sewer Line '~ D. ~ell fo Property Line i~ ~ E. p/ell to Other Possible Contamination F. Po~dation to Septic T~k f:~ G. Foundation to Seepage Pit H. Seepage Pit to Property Line.../~~/ 8. COUNTS. APPROVED · DISAPPROVED: APPROVAL VALID FOR Q_NE YEAR FROH DATE SIGNED. GREATER ANOtORAGE A~A BOROUGH HEALTH DEPARTMENT EDllTO INSURING OFFICE Anchorage~ Alaska ~ORTGAOOR OR SPONSOR George B. Collins SU IV IO~ N E HEALTH AUTHORITY APPROVAL INDIVIDUALWAIER SUPPLY AND SEWAGE DISPOSAL SYSTEM ISART I.~YO BE COMPLETED BY FHA MORTGAGEE SERIAL NO. t~rst Nat±onal 3ar~ o£ ~o~o~e · ~0~0 000 Z PROPERTY ADDRESS 820Sol~ Drive~ Anchorage~ ~laska WAYER SUPPLY BY: F~ public system J~ASEMENT []Yes fS o New installation ~'~ Community system additional bedroarnl? (if Yes, how martyr) ¥es SYSTEM DESIGNED FOR SEWAGE DI'~POSAL BYz [.[iJ Public system Community system PARY 11.~3'0 BE COMPLETED BY HEALTH DEPARTMENY tEALTH 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 E] Connty J~ 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 insanitary condition -- PART III.~FOR USE OF FHA OFFICE YHE CHIEF UNDERWRI?ERt have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recotnmend that the Individual water-supply system be considered ['--] Acceptable [] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. HEALT~'I AUTHORITY APPROVAL INDIVIDUAL WATER SUPPI,Y AND SEWAGE DISPOSAL SYSTEM REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM $~ptlc Tank: Distance from well, Total liquid capacity Inside length, Cesspool: Distance From: Well Inside diameter1 __Feet. Inside width gallons Capacity inlet compartment, -- feet. Liquid depth _it, et. galh)ns. __ feet; foundation __feet; nearest lot line at [] front. [] side, [] rear. __feet. feet. Depth,__ feet. Liquid capacity, gallons. Lining material SECONDARY TREATMENT consists of [] Tile disposal field [] Seepage pits. Other TIle Dlspo~ol Field: Distance from: Well feet; foundation feet; nearest lot line at [] front, [] side, [] reaL___ feet. Total length of tile lines tees. Number of lines, Distance between lines, feet. Trench width, __ inches. Total effective absorption area in bottom of trenches ~square feet. Length of each line _feet Depth. top of tile to finish grade, _inches. Type of filter material: [] Gravel. [] Broken stone. Other Deplh of filter material beneath tile~ inches. Depth of filter material over tile. __inches. Number of pits ..... Outside diameter, feet. Depth, feet. Lining material Distance from: Well ....... Feet; building foundation __ feet. feet; nearest lot line at [] front, [] side, [] rear, [] County. [] Local Heahh Authority. Inspected by 19__ REPORT OF INSPECTION~INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, feet. Size of main. _mches. Indivkh:al wells [] art: [] are not customary in neighborho.d. Give most recent record of failure of wells in immediate vicinity to furnisi~ adequate supply of water Properties in neighborh~xld [] are [] are not being developed with both individual water-supply and sewage-disposal systems. L.t size: feet wide feet deep. Dwelling set back from front property line, .feet. Individual water supply t¥om: [] Drdlod well. [] Driven well. [] Dug well. [] Bored well. Building fimndation cast iron sewer, leer; tile sewer ~eepage p~t, Feet; cesspool Well construction: Diameter, inches. Total depth._ Approximate depth to pumping level of water in well, Sealed watertight to depth of feet. .feet; nearest lot line at [] front, [] side, [] rear, feet, fee; septic tank. feet; disposal field, feet; feet; other sources of possible pollution. -feet. feet Type of casing, feet. Approximate yield __ Depth of casing, .gallons per minute. 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 I~>cated in: [] Basement. [] Pumproom off basement. [] Pumphouse above ground. [] Pump pit. Pumproom properly drained: [] Yes. [] No. Pomp 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 exhibits, if any. Inspection made by: [] State. [] County. [] Lo<al Health Authority. Inspected by Date of inspection __, 19__ gallons per minute. , 19 feet. GPO B89-088 Dr' ~,RTMENT OF HEALTH AND WELr ' RE DIVISION OF PUBLIC HEALTH BACTERIOLOGICAL WATER ANALYSIS OFFICE" PUBLIC E~ SEMI-PUBUC E~ INDIVIDUAL E_~ REPORT RESULTS TO- OTHER , NAME SAMPLE COLLECTED BY..- DATE COLLECTEO_ __ TIME COLLECTED. pm Sample Collected From J~ Kitchen Tap [] IBolhtoom Tap [] ~aiemenJ Top When? Records in this office indlcale this WATER SUPPLY to be of: [] Satisbcfory ~] Questionable [] Unsolisladory Senlfary Slafus. Analysis shows this Water SAMPLE Io be: S,fidacfory [] Quellionable [] Unsatisfoclory. If an "Unsotidaclory" or "Quesfional~le" status is indicaled above you should take imrnediale aclJon as reconarnended below. __ 1. Nolffy consumers water is polluled. Bail or chernJcaJly treal Ibis wafer as outlined in fha enclosed leallel "Drink [I Pure." 2. Increase chlorination sufficiently Io meet recommended residual standards. a safe waler supply al all limes. 3. Check chlori~Jalina and olher mechanical equipment, Malta certain il is lunclioning properly. ~] drilled well [] cistern, SANITARIAN'S REMARKS READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATI~R ANALYSIS RECORD om Date om pm Absent