HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 4 LT 26
QGRI!~
'"ER ANCHORAGE AREA BOr'""UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC 'TANK:
DISTANCE k~OO' iA"~' Yr~ ~,., ~] .~:t (,~-- ~ NUMBER OF
' " ~ ,~.~ ¥' MATERIAL .~':'~i C ~'- i COMPARTMENTS
FROM WELL~(h ~ ('~(~ANUFACTU RER _ /
INSIDE LENGTH .... INSIDE WIDTH ~' LIQUID DEPTH "~' LIQUID CAPACITY J~) GALLONS.
SEEPAGE PIT:
NUMBER OF PiTS I .. DIAMETER ____ OR WIDTI-I'~,,~,
LINING MATERIAL ,~¥'~'~,~_ CRiB SIZE: DIAMETER
BUILDING FOUNDATIONJ'~C)iI, NEAREST LOT LINE ~r~1
ADDITIONAL ABSORPTION ~'~ Oi~_[
(¥~ DEPTH
,
DEPTH~. DISTANCE EROM: WELL~,~
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
WEL'L(i~ ¥-~ g~3~O~
TYPE O¥\'gl"~'(', ('~N~I,~C'.O CONSTRUCTION
BUILDING NEAREST
FOUNDATION LOT LINE
CESSPOOL __ , OTHER SOURCES
APPROVED__
DISAPPROVED_
NEAREST
SEWER LINE
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
_ REMARKS
INSTALLED
LOT SLOPE:
DIAGRAM OF SYSTEM
DATE:
APPROVED ~:~A'XE)'~'q"8 'y", ' ~N'~, G.A.A.B.
GREATIE'-R ANCHORAGE AREA BOROUGk!
DEPARTMENT OF ENVIRONMENTAL QUALITY
S£WAGE DISPOSAL SYST£M -- APPLICATION
PERMIT NO.
FOUNDATION '['O SEPTIC TANK
FOUNDATION ~O SEEPAGE PIT---.~ .... DRAIN FIELD
WELL TO SePtic TANK _ /~---~ ;¢ , seePAge Pit
SEPTIC TANK, 7.,,¢' ' SEEPAGE PIT ~--~. ,)RAIN FIELD
OR
LICENSED DESIGNER
'BECEl VED
DEPART"ENT OF ENVIROM.lfNTAL QUALY~Y
3500 TUDOR ROAD
ANCItORAGE, ALASKA 99502
CASE #____.__
LAB No. 8575
P e r l[~nme~v,~mst~ ~m,~f{ ExcavatinK (~eorge Collins} _D. a t e P e r f o r me d_April 12, t 973
Legal Description: Lot 26 8lock 4 Subdivlslon%odiac IVfanor
This Form Reports Soils Log XX' P-~colation %est ..
Depth
Feet
Soil Characteristics
Tan Sandy Silt (ML)
Gray Sandy Gravel (GW)
.2
4~
6~
8
12
Brown Silty Gravel (GM) with
Gravelly Silt Seams
Reading Date Gross Time Net Time Depth to H20 Net Dro~
'P~rcolation Rate Minute
Proposed Insta'[~l~-~on: Seepage Pit xx Drain Field
Depth Of Inlet Depth To Bottom Of Pit br Trench._2
COMMENTS: 205Sfl. ft. ofdrainageareais required per bedroom.
'r~st Pb r fo rme d-7~]~ Carlisle
Alaska Mineral & Materials' Lab
O-~-~--L'-~-~'~-[' ~f-i-~-d'"'By: ~i~v~I<iX~X~X~K~X-'
Date:, ~-13-73
APPLIi ~NTFILLSOUTUPPFR HA *ONLY
. ! ' Phone
Ma_il_ing Address ~ ~,'~ (~ !'
, . ..
Legal Description j
~ingle Family
Time Time Time Time
Date Date Date Date
Inspector Inspector Insp6ctor Inspector
/'::./9 DEPT. OF IJEALTH &
~vmoN~m~Ac P~O~CnO~
RECE! ED
( ) OISAPP~OVED
Soil8 Rating Date ~wer Installed Well To Absorption Area Well Log Received
CHEMICAL & G] LOGICAL LABORATORIES , £ ALASKA, INC.
" TELEPH~)~E (907) 562-2343 ANCHORAGE INDUST'RIAL CENTER
5633 B Street
Drinking Water Analysis Report for Total Coliforrn Bacteria
TO Bi5 COMPLF;TED BY WATER SUPPLIER
WATER SYSTEM:
/~ter System Name
I.D. NO.
Phone No
Mailing Address
City .~ , , StOa _~ Zip ~o~Je
SAMPLE DATE: :~ ~-~,:~ :,.~
Mo Day Year
SAMPLE TYPE:
O~Routlne
"~ Check Sample (for routine sample
with lab reft no.
[] Special Purpose
[] Treated Water
[] Untreated Water
SAMPLE Time Collected
NO. LOCATION Collected By
4 I I
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
/~'Satisfactory
[] Unsatisfactory
[] Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received .
Time Received
Analytical Method:
[] Fermentation Tube
/M
· ~i embrane Filter
Lab Reft No. Result* Analyst
06-1220 lb}
Rev. 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
Presumptive ~'(~ml 10mi 1Omi 30mi 10mi 1.0na 0.1ml
48 Hours
GREATER ANCHORAGE ^REA BOROUGIt
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska .9950'1 279-8686
Date Received~ .ff~/,.~'/,~
Time of Inspection
Date of Inspection
RHQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Legal Description: ....~
Type of Facility to be Inspected:
Number of Bedrooms:
//,w,¢ .,¢. ,,-/7,,
6. Well Data:
Ao Type_~.~....~ B.
C. Construction D.
7. Sewage Dtsoosal.Syatem~--~-~-~.
C. Septic Tank, 1. Stze_~(~ 2,
Depth ~!
Bacterial Analysis~
Material
Distances:
A.
Disposal Fteld: Total Length of Lines .~----
V~elI TO: Septic Tank~..-~ Absorption Area
~. , . , Sewer Lines
~ , Nearest Lot Line ~ ~ ¢ , Other Contamin~tion
ltern]est for Approval of ID' ,~tdual Sewer & Water I'aeili~ies
Pag~ Two
Comments:
Approval Valid for One Year Prom Date Signed
Gr~,ater Anchorage Area Borough, Department of Environmental Quality
DIAG[t^M OF SYSTE~
'f cart:if,/ that the information contained in this request for approval to be a true
and accurate representation of tho subject sewer and water facil, ttles located at:
Signed
Date
DATE
D" '~RTMENI' OF HEALTH AND
DIVISION OF PUBLIC HEALTH
BACTERIOLOGICAL WATER ANALYSIS
Lob. No.
OFFICE
'"O'V'O"A" ID O'"'"
REPORT RESULTS TO
NAME
ADDRESS
CI]Y
ADDRESS
OF' SOURCE
Record~ in this office indicale this WATER SUPPLY to be of:
[] Sa~isfadory ~] QuesBonable [] UnsaB~(l¢lery Sanitary SlaJu*.
Analysis shows this Water SAMPLE Io be:
[] Solisfaclory L~ Questionable [] Unsafis[a¢lory.
H an "Unsalidadory" or "Questionable" stalul is indicaJed above
you ~hould lake immediole aclJon as recommended below.
___ 1. Notify consumers woler is polluted. Boll or chemically
Ireaf fhJs waler os outlined in fha enclosed ~eoflel
"Drink If Pure,"
SAMPLE COLLECTED BY
DATE COLLECTED TIME COLLECTED
~ Olber
om
pm
[] Tile []
~] Under House
[] Ti~e [] Fibre [] Career4
PURPOSE OF EXAMINATION: illness Suspected? I~ Yes [~ No
-6. Improve your [] spring [] dug well [] driven well
[~ drJlledwell [] cislern.
SANITARIAN'S REMARKS
READ INSTRUCTIONS
ON
REVERSE SIDE
BEFORE
COLLECTING SAMPLE
BACTERIOLOGICAL WATER ANALYSIS RECORD
Laclose Brolh I 0c¢ I 0cc I 0cc 10cc I 0cc 1.0cc 0.1 cc
24 hours
48 hours
BrillJo nl Green
24 hours
EMB __ AGAR
[otiose Broth, 24 hrs. 48 hfs Groin's slain
ABIBO'FT ~o~,o
il
ti
153
12
152 ~®~ 12
162
Hidden Lake Area Reference Map-P12
