HomeMy WebLinkAboutGREEN FOREST BLK 1 LT 5
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GE 'ER ANCHORAGE AREA BORO[' I
DEPARTMENT OF ENVIRONMENTAL QUALIlf
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
..-, ~ .-.../ ~.-~ ~:~ ADDRESS_
LEGAL DESCRIPIION
SEPTIC TANK:
DISTANCE FROM WELL__ ~2'.f? MATERIAL
LIQUID CAPACIIY ,/-.~, .¢/~{'2 ..... GALLONS. INSIDE LENGTH_
NUMBER OF
COMPARTMENTS
LIQUID
INSIDE WIDTH~ ,'-'~" ' DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS ~' ;/¢;' ~"~'~ / OUTSIDE DIAMETER
/ ./.
LINING MATERIAL-~~-' ~'~ ¢';;:
NEAREST LOT LINE._
OR WIDTH "'-'¢ '~'
DISTANCE FROM WELL -/"¢'"" ~:"
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
/ ,..¢
LENGTH_ %* S, , DEPTH
BUILDING FOUNDATION
,:¢ /d .... SQ. Ff.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF
A B~.OIR1CT I~'~~ ARE/, __
DEPTH: TOP OF TILE FO FINISH GRADE. DEPTH OF FILTER MATERIAL BENEATH FILE
SEEPAGE
LOT LINE ._/~2 : , SEWER LINE" Z:~:-4 , TANK_ , SYSTEM___~ ~ z/'
TOTAL LENGTH
~--~--~'~UNDATION ~%, , NEAREST LOT LINE , OF LINES_~ .... --,
DISTANCE BETWEEN LINES TRENCH WIDTH__ / IN. TOTAL EFFECTIVE
__SQ. FT. LENGIH OF EACH tiN
IN. ABOVE TILE
WATER - -.
_SAMPLE /q'//:~'~:~:~'~ NEAREST
OTHER ' ' '
, CESSPOOL~/L ~6.K'~ :~:[
DISTANCES:
/~/h :/;,../.
nATF
DIAGRAM OF SYSTEM - /.
..' I/..::,;-?W, 2', :;/: /- ,';¢/'
....... , ? c, .'2. r.,~-_:_:.,-,7--'-- ., ~
I
~ z, K;- _k..~ .,; :::,-':, :. '.1 h, 1
/..~/;¥ . ..W/-d .-'% ;,.." ;::: ?~...~,'.~. ,'",' __._, ~ .,.....~-' - .' s'.~2 A-',.-c:-%~d'~(, .. ;;~ ',3.%~"' ~J".;'///',
NAME OF APPLICANT
INSTALLATION LOCATION
LEGAL DESCRIPTION
GREA'I'ER ANCHORAGE AREA BORuUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TelePhONe 279-8656
SEWAGE DISPOSAL SYSTEM M APPLICATION AND PERMIT
PERMIT NO.
2219
INSTALLATION OF: SEPTIC TANK
TYPE AND S]ZE OF FACILITY TO BE SERVED
FINANCED THROUGH ;I ·
SEE,/AGE PIT /1 '/ ,, DRAIN FIELD OTHER
NOTE~ THIS PBRMIT IS NOT VALID WITHOUT
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY.~YSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE TYPe SEEPAGE AREA S]ZE TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ,
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK
TO NEAREST LOT LINE,
WELL TO SEPTIC TANK
DRAIN FIELD
DRAIN FIELD
, SEEPAGE PIT
WATER MAIN TO SEPTIC TANK DRAIN FIELD /(.' /
TO RIVER, LAKE, STREAM.
. DRAIN FIELD
seEPAGE PIT
ALSO CONSIDER AREA WELLS.
DIAGRAM OF SYSTEM
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSINGGAP OF
EXCAVATION S 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 BORO/,UG~% REGULATIONS REGARDING INSTALLATION.
/
// HEALTH ~THORIT,
LICENSED DESIGNER
i CERTIFY THat i am FAMILiar WitH The REQUIremENTS OF GREATER ANCHOrage Area ~orOUGH ORDINANCE NO. 28-68 AND THAT THE above
DES ~ED SYSTEM IS IN ACCORDANCE WITH SAID CODe,
¢ 'ER ANCHORAGI: AREA BORe "~
uEr~I:ITMENT OF EBIVlRONI~IENTAL 0. UALh .
3§00 TUDOR FIOAD ANCHORAGE, ALASKA ggS07 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME /- .~?/ /--r' -// -~.¢./' -'x'.. ', ....... MAILING -z , :~ ~ '
LOCATION._(.:¥--",:~/:?L'C~.~. ~.,',.~.,¢ :,~- ~ -..'_v .:.' '//' '~ LEGAL DESCRIPTION_./--¢~_
...,,
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY ~'~ ,dY/) __.GALLONS.
!~ '¢ NUMBER OF
MATERIAL.~i;'~/~E~:~.~ 'r~' '~: : COMPARTMENTS
INSIDE LENGTH l~'~''' INSIDE WIDTH ''~"~--
LIQUID
DEPTH
SEEPAGE SYSTEM:
NUMBER C)F PITS
LINING.MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
/ OUTSIDE DIAMETER t - OR WIDTH ,=~ '?..~='" - ,' LENGTH ' ~ -) TM i, DEPTH
,.-/-' d,:' ~' d2 '""
~"2/--? ~ DISTANCE'FROM WELL ~"~"'"~¢-- / ~;~ BUILDING FOUNDATION.
TOTAL EFFECTIV~/A:BSORPTION AREA (WALL AREA)___ _~" ..~'.~2¢.~. SQ. FT.
TILE! DRAIN FIELD:
DISTANCE FROM WELL FOUNDA_~I.~.~ ....
NUMBER OF LINES_ ~- /DISTANCE BETWEEN LINES
ABSORPlIO~A:~
. ,: SQ. F.,.T. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
NEAREST LOl LINE
WIDTH
DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE____
WELL:
LOT LINE
~DISTANCE FROM ~_~
TYPE ~"¢'-2~'~'~;"~) DEPTH '~ , BUILDING FOUNDATION.
SEEPAGE ~
,/-(.) -"'~z~ NEAREST .,~ :...- SEPTIC .~.~//~/~/;..c.. SYSTEM~.~
, SEWER LINE.~. '~.,TANK ,
/ WATER
SAMPLE ~i~/~'~.'~:~' NEAREST
/,~ . ~ OTHER
, CESSPOOL_.J~d',-d~'~': , SOURCESz/~'~-"f,~',
DIAGRAM OF SYSTEM
DISTANCES:
GREA'iER ANCHORAGE AREA BORuUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE. ALASKA 99502
TElePhONE 279-8686
PERM,TNO. /
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME OF APPLICANT ~.~ ]~Ot-' //' 3~'~;~ ~' MAILING
INSTALLATION LOCATION (///~,. ((~/-',, i ,, '~L~~
LEGAL DESCRIPTION
"
PHONE
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT /~ , DRAIN FIELD , OTHER
SOiL ~EST RSSULTS
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 2:4 HOIJR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK '~
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEePaGE PIT WaLL /- (~'
SEPTIC TANK ~
TO NEAREST LOT LINE.
2,[
,SEEPAGE Pit '('/' , DRAIN FIELD
WELL TO SEPTIC TANK SEEPAGE Pit
DRAIN FIELD ALSO CONSIDER AREA WELLS,
WATER MAIN TO SEPTIC TANK ~/'("? , SEEPAGE Pit
DRAIN FIELD
SEPTIC TANK, : ~) ., SEePage Pit DRAIN FIELD
TO RIVER. LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO Crib CROSSINGG~P OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPNON PIPES ON SEPTIC TANK A~¢ SEEPAGE Pit
FITTED WITH AlRt]GHT REMOVABLE CAPS.
t
GRAVEL BACKFILL ~ V
CONFORM TO BOROUGH RE~U~[ON~REGAr~I~G f~T~LLAT]ON.
' ' i ~{':' ~' ~:~ 1',~'~ ~:' .
,? O "} , '
~S~TH AUTHORITY
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAIO CODE.~.~/. / ')" //// {/' /~'~:/'
November 10, 1971
Jerry Bruton
Reliable Builders
Box 6068
Anchorage, Alaska
Subject: On-site Sewage Disposal System Installed on Lot 5,
Block 1, Green Forest Subdivision.
Dear Mr. Bruton:
Enclosed is a copy of our inspection report on the sewage dis-
posal system installed for you by Parker Excavatin§.
The system is in violation of Borouah Ordinance ~8~6~ (100
feet well distance requirement not ~et to seepage pit) and
will have to be upgraded by early spring or-summer of 1972.
If you have any questions, please do not hesitate to contact
tis .
Sincerely,
Sue McKechnie
Environmental Control Officer
st