HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 3 LT 18L.o-r'
GRE. ,!R ANCHORAGE AREA BO, JGH
Department of EnvironmentaJ Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEW,AGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL /~t~' MANUFACTURER ,~A/,,C~__MATERiAL
NUMBER OF
COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH
DISTANCE FROM WELL
/08) FOUNDATION
LIQUID DEPTH LIQUID CAPACITY/2-¢~) GALLONS.
NEAREST LOT LINE ~, /./. TOTAL I ENGTNoF LINES ~'/'~ /
NUMBER OF LINES / DISTANCE BETWEEN LINES
TRENCH WIDTH ~ IN.
/ C~ '~/-~"
TOTAl_ EFFECTIVE
ABSORPTION AREA /~, ¢2. ~" SQ. FT. Lg~NG]I$OF EACI-I LINE
D '
DEPTII: TOP OF TILE TO FINISH GRA E _~ MATERIAL BENEATN TII E ~IN. ABOVE TILE
WELL.:
TYPE ,~A/£2~) .... CONSTRUCTION
BUILDING NEAREST NEAREST
FOUNDATION LOT LINE SEWER LINE __
DEPTH DISTANCE FROM:
SEPTIC '"~=~"~"~ E E P AG E
TANK /~-¢,1 SYSTEM
CESSPOOL_ OTNER SOURCES
APPROVE[) __DISAPPROVED _ __REMARKS
DISTANCES:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
G.A.A.B.
Form LQ-D32
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
PERMIT NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
M^,LING ADDRESS __'?/.r' %/ ¢¢.¥¢/ P.ONE
INSTALLATION OF: SEPTIC TANK ~ . SEEPAGE P)T ., DRAIN FIELD , OTHER
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE:
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJEET TO PROSECUTION.
DIAGRAM OF BYBTEM
. SEEPAGE pi~
, ALSO CONSIDER AREA WELLS,
SEPTIC TANK, //'~-~'J ) ~/~
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
LICENSED DESIGNER
[ CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS Of///////GREATEF~NC~RAG/~F-A
BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
T.H. No. 2
6-19-75
ORGANIC SILT, TRACE SAND
0.01'
SAND, TRAVE SILT
TRACE GRAVEL (SP)
NO Water Table
15.0' T.D.
Log Represents
Lot 18, Block 3
Zodiak Manor Subdivision
Rainbow Enterprises
I~g of Test Hole
Anchorage, Alaska
Engineering ~ Geological Consultants Inc.
ANCHORAeE ~AIRI~ANK8 ALASKA *UN,AU
D[PT
-,~ DEPARTMENT O: HEALTH & ENV RONMENTAL PR£1TECr~ONMENT~,L
~ 825 L Straat - Anchorage, Alaska 99S01 '- · ,=-' LCHON
ENVIRONMENTAL ENGINEERING mvms oN MAR 2 197'9
Tetephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND
PROPERTY DWNER ~HONE
Gerald[ J. Sc~reine~
344-2059
MAILING ADDRESS
88140 oolar Dr. Anehorage~ Alaska 99507
PROPERTY RESIDENT (if different [rom above)
'2. 3UYER
Barry C Dearborn
~-AI LING ADDRESS
10~0 W, 19th Ave. Anchorage, Alaska 99503
3. LENDING NSTITUTION
The Lomas & Nettle'ton Co.
~HONE
PHONE
272-8148
PHONE
274-7661
4AILING ADDRESS
[t~h9 Business
4, REALTOR/AGENT
Yukon Realty/
Park Blvd. Anchorage, Alaska 99503
PHONE
Joe & Jewell Kinsey 243-3434
MAILING ADDRESS
4619 Spenard Rd. Anchorage, Alaska
99503
LEGAL DE~RIPTION -' '
Lot 1 , Blk 3, Zodiac Manor
STF{ EET LOCATI ON
8840 Solar Dr.
6, TYPE OF RESIDENCE NUMBER O~- BEDROOMS
[] One [] Four ~] Other
~ SINGLE FAMILY [] Two E~ Five
~ MULTIPLF FAMILY [] Three L~ Six
7, WATER SUPPLY
IIX DI~J DUAL*
COMMUNITY
[] PUBLIC UTILITY
8. ~EWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE*'
[] PUBLIC UTILITY
ATTACH WELL LOG. A well log is reauired fsr all wells drilled
since June 1975. For walls drilled prior to that date, give wel
Bepth lattach ~og f available.)
**If individual/on-site gveinstallationdate ,74/75 (O,~prox)
If system is over two (2) years old en adequac~ test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOIVIPANY EACH REQUES'r BEFOFIE PROCESSING CAN BE INITIATED,
72-O1OI3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
I NSPECTI ON APPOI NTM ENTS
TIME TIME TIME
I DATE DA~E DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
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 UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
~ INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified
INSTALLER
'~]Septic Tank or [] Holding Tank
Size: I~,~ If Tank is homemade SOILS RATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
5, COMMENTS
~ APPROVED FOR ~' BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
~ DISAPPROVED
72-010 (Rev. 3/78)
274-~61
~'J~~'/ , ~ ~- I
' REQUEST FOR APPROVAL OF
INDIVIDUAL SEWERF~RWATER FACILITIES
1. Approval requested by: .~~~_~
~ ,
Mailing Address: ~A~e~ ~n~ ~f~o~ _
Mailing Address: ~ ~J]~Y (~J ~,~x~ -
5. Type of facility to be inspected _
6. Well Data:
A. Type [,~-~, ~,c~)
GREATER ANCHORAGE AREA BOROUGH
, .'AL3/<~n'l -.
Phone: .~.Q..._~__
Phone: . ~r-)(~ _,~0% c~
No. of bedrooms P~,,~. Lt
B. Depth
C. Construction
D. Bacterial Analysis
7. Sewage Disposal System:
A. Installed
B. Installer
C. Septic Tank: 1. Size
Manufacturer
D. Seepage Pit: I. Absorption Area
2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank
, Absorption area
, Sewer Lines
Nearest lot line
, Other contamination
B. Foundation to septic tank _
., Absorption area
C. Absorption area to nearest lot line
EQ-O34 (1/74) Page 1 of two pages
?age 2 of two pages - Ret ~t for Approval of Individual .~ ~.r & Water Facilities
Legal Description <~r~AF \~ ~F~,~ ~,-~ ~/~-)
Comments
Approved ~/~)~']/x~d ~J/~ Disapproved Date ~J~
Approval~id for one year from date signed
Greater Anchorage Ar~a~xBorough, 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)
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1. Type of Inspection: CMRO VA
2. Property Owner: ~/_~,.~.-~? ~>~¢~,>'C.--/'
Mai 1 i ng Address: /~.~/ ~'~//~, ~,~zr ~
3. Name of Buyer: '~'e~ ~(~(~:
FHA CONV J
D~az P ho ne ~2~bg---Z.Z-3 ?
Mailing Address:
4. Name of Lending Institution:
Mailing Address:
5, Name of Realtor or
Mailing Address:
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply: Public Utility
If Individual,
If Individual,
o
No. Bdrms. ~'
Indi vi dual
number of dwellings presently, served
£
depth of well /~'~
Sewage Disposal System
Type of System:
If Individual,
/
Public Utility
date of installation
Individual (on-site)
EQ-037 (1/74)