HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 4 LT 7 GR[,.,ER NCHORAGE AREA BOk. Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE ,~/ '"J- FROM WELL/~'/~ INSIDE LENGTH _+ NUMBEROF '/MANUFACTURER~.~_~/1~_ MATERIAL .~'~*~"/~'1"~'1'g/('~" COMPARTMENTS INSIDE WI©TH_ LIQUID DJ--PTH LIQUID CAPACITY GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELI/)/~ NUMBER OF LINES ABSORPTION AREA DEPTII: TOP OF TILE TO FINISII GRADE ! TOTAL LENGTH · FOUNDATION JY~7'/'/~__NEAREST LOT LINE /'~ _OF LINES -~ ?) __DISTANCE BETWEEN LINES /~/Z,/~ TRENCH WIDTb~'~ IN. TOTAL EFFECTIVE Sq. FT. LENGTH OF EACN LINE ~ f DEPTH OF FILTER ~MATERIAL BENEATH TILE /~1 ~. ABOVE TILE ~ ~IN. WELL: TYPE ~O~l~ CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST FOUNDATION LOT LINE NEAREST SEPTIC SEEPAGE SEWER LINE TANK .... SYS1 EM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DISTANCES: INSTALLED BY: SEWER LINE DEPTH: ~~_ LOT SLOPE: REMARKS: __REMARKS DIAGRAM OF SYSTEM D AT E/~-5" '~- G.A.A~B. /__~ NAME OF aPpLICANT GRE ZR _ ~NCHORAGE AREA BO J¢ DEPARTMENT OF' ENVIRONMENTAL QUALITY PERMit NO SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMI'r INSTALLATtON LOCATION FINAL. INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL OUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. FOUNDATION TO SEPTIC TANK ./ FOUNDATION TO SEEPAGE PIT · SEPTIC TaNK TO SEEPAGe PIT WALL SEPTIC TANK ., SEEPAGE PIT TO NEAREST LOT LINE. , DRAIN WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD / SEPTIC TANK, // g'~/ SEEPAGE Pit //~"~*/~)., DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO A~D OUT OF SEPTIC TANK ~ND I~TO CRIB CROSSING GAP OF EXCAVATION ~ FEET INTO UNDISTURBED SOIL. 4 iNCH DIAMETER CAST IRON S~PHON PIPES ON SEPTIC TANK AND SEEPAGE Pit ~ONFO~M ~O BORO~S ~E ULATION8 REGARDING INSTALLATION. v [ CER'rlFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER Al DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. BOROUGF~ ORDINANCE NO. 28.68 AND THAT THE ABOVE Time 10:00 10:01 10:02 10:03 10:04 10:05 10:06 10:07 10:08 10:09 10:10 10:15 10:20 10:25 10:30 10:40 10:50 11:00 PERCOLATION TEST Lot 7, Block 4, Zodiak Manor Subdivision Elapsed Time 0 1 1 1 1 1 1 1 1 1 1 5 5 5 5 10 10 10 TOTAL TIME 60 minutes TOTAL DROP 18 Inches Drop inches 0 3Z4 3/4 3/4 3/4 1/2 i/2 1/2 1/2 3/4 1/2 i 1/2 1 1/4 1 1 2 1/2 2 1/2 2 R&AA CONSULTANTS, INC. TH-1 9-16-75 0o0t ORGANICS ---- 1.0' SANDY GRAVEL TRACE SILT (GW) 5.0~ SILTY SANDY GRAVEL (G~O -- 8.0' SANDY GRAVEL (GW) ~ 10.0' SILTY SANDY GRAVEL (GM) NO WATER TABLE 20.0t Log represents location of Test hole Lot 7, Block 4, Zodiak Manor Subdivision Consuttonts Inc. ANCtlORAGE FAIRBANKS ALASKA ~UN~AU P~\INBOW ENTERPRISES Log of Test Hole Anchorage, Alaska ..... ~ ~" ~' oT~ mY WED ICH~O mYWED lP~o~ No 562115 ]owe NO A-O].. _~__j~ .... Z___jCf~_~~ ........~___._____L ............... Date: WATERWELL - TEST PUMP REPORT --,: Owner ~2;'~ ':~ ~ ,/'~t'~7~':~'~/,~=~/~ Z~ Address ~.,~/ ~';~"~-~ ~:/{"~ Well Location 4~ ~ ~ ~?/~"~- ":~"/'"~(:' /~'~'~" Well Information: Ttl. Depth /'C[' ~ Depth of Casing/,?,d~ ~ Scresn From ~ To Casing Size ~Screen Diam ~ Screen Slot ~ Pomp Information: Intake Depth ~'~ Pum~ Siz% .~: ~' ~ ~ Air Line [~pth StatcWater Level'~'{,'?-x/ ~c Ay. Discharge ~'. GPM, Max, Drawdown~;'~O~ Pump On Time . ' I~ ~ Y Date J,~.~ _Pump Off: .Time~:~ Date W~-T~F_~ pttE~.G- I PL'~' REMARKS VATER ~ FLOW REMARKS TIME LEVEL T~E GPM /~ ~Z~ ~:X,,~ ~',~ /( ...... ~ [Ji(i-i~i~ALIIY-OF'7,N(~ 0 P, AGE ............ DEP~'. O1: HEALTH & I~NVlI~ONMENTAL IJ,U(,I 2 2 1987 RECEIVED MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 82!~ L Straot - Anehorag,. Alaska 99501 ENVIRONMENTAL ENGINEE FLING DIVISION Telephone 264-4720 REQUEST FOFI APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIE,~] DIRECTIONS: Comr31eto all parts on page 1, Incmnplote reqtleSts will not I)e processed. Please allow ten 110) days for Drecess ns, 1. PROPERTY OWNER ~ PHONE MAILING ADDRESS PROPERTy RESIDENT Jif d~t from above~ --~ - 2. BUYER MAILING ADDRESS PHONE PHONE 3, LENDING IN§TITUTION MAILING ADDRESS 4. RE/{LTOR/AGENT MAI LIN G ADDR ESS PHONE ---- PHONE 5, LEGAL DESCRIPTION STHEET LO~A~FION C · TYPE OF RESIDENCE E~ SINGLE FAMILY [~ MULTIPLE FAM LY ~ATER SUPPLY E~NDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY 8, SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON.SITE** PUBLIC UTILITY ./ NUMBER OF BEDROOMS [] One [] Four [] Two [] Five ~ Three [] Six [] Other A'rTACH WELL LOG. A wall log rs reouired for all wells drilled since June 1975. For walls drilled pr.~ior to tllat dat~ give well depth (attgch log if available.) ' systen~ is over ~wo (2) years <)Id an adequacy test is reauired by this Department. NOTE: THE INSPECTION FEi-' MU.(iT ACCOMPANY EACH REQUEST BEI:ORE PROCESSING CAN BE INI'TIATI-_-D, 72-010(3/78t THIS SIDE FOR OFFICIAL USE ONLY 3ATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIR ECTIQNS'. 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 UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ~)//~, ~ INDIVIDUAL/ON -SITE DATE INSTALLED Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size:~)/'}. If Tank s homemade SOILS RATING give dimensions: /('~j~,'~. TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATER ~J-~ 4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [~) APPROVED FOR . BEDROOMS [~ CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev, 3/78) 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 [)ate Received May 6, Time of Inspection 11"15 Date of Inspection REQUEST FOR APPROVAl. OF Les INDIVIOUAL SEWER & WATER FACILITIES FOR Lomas and Nettleton 4449 Business Park Boulvard Rainbow Enterprises 1976 5306 Arctic Boulevard 3. Legal Description: Lot 7 Block 4 Zodiak Manor 4. Location: Comet Court Phone: 274-7661. Phone: 276-6242 5. Type of facility to be inspected 6. Well Data: Individual A. Type C. Construction 7. Sewage Disposal System: A. Installed Nov. C. Septic Tank: 1. D. Seepage Pit: E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line B. Single Family No. of bedrooms 3' On-site 1975 B. Installer Size 1. Absorption Area Total length of lines Foundation to septic tank B. Depth 120' D. Bacterial Analysis system 2. Manufacturer 2. Material , Absorption area , Other contamination , Absorption area , Sewer Lines. C. Absorption area to nearest lot line __ EQ-034 (l/74) Page 1 of two pages Page 2 of two pages - Re~ st for Approval of Individual ~ er & Water Facilities Legal Description Lot 7 Block 4 Zodiak M~nor Subdivision Comments Approved t~ Disapproved Date .%--'7~; "~'~ 1Apl ~Valid for one year from date 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) '~ M U[~ICIPALI~T,Y-~ F ANCHORA DEP~RTMENT OF ~EALTH AND ENVIRONMENTAL PROTECTION ............ ~'~h " ' ' 221 2510 East Tudor Road, Anchorage, Alaska 99504 276-2 l/ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER F:AClLITIES 1. Type of Inspection: CMRO VA FHA Mailing Address: ,~',~'~d ~ ,/~Z~ ,,¢~,//~,¢"- Day Phone:__ 3. Name of Buyer:__ ~7, ~ ./~ '/~/ ~r Mailing Address'. ~' ~,~ ~ ,~"~¢ ~ .Day Phone: ,~ 4. Name of Lending Institution: ~/~ ~ ~f ~/~,~ MailingAddress:~ ~¢" ~-'~- ~'" Phone: 5. Name of Realtor or Agent:_ ~ ,~ ~ '-~ ~- Mailing Address:~~ ~ ~ ~/~'~ Phone:_ 6. Legal Description: ~' / ~, ~ ~ ~~/ ~' Location: ~¢ ~- ~// ~;~- Type of Facility tO be Inspected: ~',~-~ .x:¢¢.~,~,.- z//~,.~,¢ No. Bdrms. Water Supply Type of Supply: Public Utility. Individual. If Individual, number of dwellings presently served / if Individual, depth of well. . Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation 72-003(3/76)