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Home My WebLink AboutZODIAK MANOR ALASKA BLK 4 LT 5 _~iUNICIPALITY OF ANCIIORAGE ::. IIea, ~p: and ~;llvirollm(~-llt~l PrO'hOC' CJI1 Fourth Floor Wesk 825 I, Street Anchorage, Alaska 99501 264-4720 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEFA SEPTIC TAr4 K: Hi:.t:¢[ bt r,(;i~l >SI[L '.'/IL)lit . t_tQUH30[PrH LIQUID CAPACITY/~_~ GALt-ON5. TiLE []R/~iN [:IELD: ~ TOTAL t. ENGTH ( _~'~)_ ~ N[ARE.,T LOt LINE OF fINE StiEP/~GE PIT: I,o(j Crib Rings Crib Size: DI,'\kl~]ER __biPill .... OISTANCEFROM: WELL 1 ass: ...... D(;pth: .:11 l)5stanc(~ To: Lot Line Jdg: Sewer ],ine: Well Log Location Blk.~/ lot 5 Zodiac Manor Descriptd~on approximately 35' west of garage Materials: topsoil ~r avet, subsoil i9 I? clay,broaden rock I8 2I boulder 2~ 55 clay 5~- 65 sand,~ravel 66 ~5 clay ~6 87 si] t SScemeted silt 89 ]102 sand I()5 I05 gravel (wRheP heaping) Measux eme~t s: Static waber level Se' Rate of 6 gpm Drawdown 9' I03'of black 6" casing(i2 lbs.) Drilled by Thomas Drillers P.O.box 10-516 Anchorage,Alaska 995Ii Munic~pa] permit no. WD 28020 Co~,' ~e%ed March 50,1928 ' I NSPECTI ON APPOINTMENTS ~-ME TIME TIME MUNICIPALITY OF ANCHORAGE DFPh OF I' ~ j' ': ?/ ENVIRONMENTAL SANITATION DIVISION · relepho.e 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES ~ B-~ER PHONE 3, k ~I~GI~gTITU lOB' I PHONE MAILIN~ ADDR~S~ ~ -- , -- ~AILING AD~ESS "g. LE'(~AL DESCRIPTION~--~ STREET LOCA ON 6, TYPE OF R~SIDENCE / ' ~ JMBER OF~BEDROOMS [~ One ~ :our ~' SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE CAMI LY ~ Three ~ Six Other 7, WATER~PPLY ~J NDIVIDUAL* [] COMMUNITY E~ PUBLIC UTILITY AT'rACH WELL LOG. A well log is reouired for all wells drilled since June 1975. For wells drilled orior to that aate, give well depth {attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ 'N DIVIDUAL/ON-SITE ~ PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS NSTALLED. NOTE: THE INSPECTION FEE M LJST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BI-' INITIATr[D. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE E~]PUBLIC UTILITY Connection Verified []Septic Tank or []Holding Tank Size: [,~L~,-~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AR EA PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATING MANUFACTURER MATERIAL 4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS DATE ~ APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVEDBY 72-O10 (Rev. 6/79) IViUNICIPALITY OF ANCHORAGE DEPARTMENT Or: HEALTH & ENVIRONMENTAL PROTECTION · 825 L Street - Anchorage, Alaska 9g~,i01 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS! Come eta all r3arts on page 1. Incomplete requests wgl not be orocessed. Please allow ten (10) davs for ~roeessing. I.-~-PR-~'~TY OWNER ~ PHONE M~I~ND ~DDRESS ~ ~ROPERTY R ESIDEN'F (~Y~fferent from above) ~ J PHONE MAi L[ NG ~D DR ESS 3, I. ENDIND INSTITUTION MAI LIND ADDRESS 4. REALTOR/AGENT M~LING ADDFIESS ~' c2~a 3 PHONE PHONE LE AL. DEB.~,RIPTION ' TREET LOCA'PfON TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One (]~'~' Four ~SINGLE FAMILY [] Two [] Five ~ MULTIPLE FAMILY [] Three [] Six 7. WATER~_SU~PLY [;~" INDIVI DUAL* ~ COMMUNITY Other ' ATTACH WELL LOG. A well log is required for al Wells drilled since June 1975. For wells drilled prior to that date, give well PUBLIC UTILITY depth (attach log if available.) 8. [~POSALSYS'rEM SEWAGE INDIVI DUAL, ON-SITE [] PUBLIC UTILITY ~*lf individual/on-sits give installation date If system is over two (2) years old an adequacy test ~s reouired by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST RE[FORE PROCESSING CAN BE INITIATED. 72-()10(3/78) THIS SIDE FOR OFFICIAL USE ONL INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE CATE INSPECTOR I NSP ECT~R INSPECTOR DIRECTIONS: 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS JSINGLEFAMILY [] ONE [~ /REE [] FIVE [] OTHER PERMIT NUMBER 2, WATER SUPPLY E~ INDIVIDUAL DEPTH OFWELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMI~i~UMBER ED.h~DIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY /0 -gl- ') ") Connection Verified INSTALLER Size: /'~':~"~ If Tank is homemade SOILS RATI give dimensions', t (o TYPE O~.~ M~R TOTAL A.SORPTION AREA MATERIALT_, A~ 4. OISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line [~APPROV E D FOR : BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev, 3/78)