HomeMy WebLinkAboutLot 01, 02
G~'~'&TER ANCHORAGE AREA BORG" ~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
'N.° $33
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
SEPTIC TANK~
MAILING
ADDRESS
LEGAL DESCRIPTION
DISTANCE FROM WELL ,~'O~
LIQUIO CAPACITY '~ ~' GALLONS.
MATERIAL
INSIDE
NUMBER OF
COMPARTMENTS.
INSIDE ,¥ ,L~TH
LIQUID ~j
DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
I OUTSIDE DIAMETER ~ OR WIDTH
0~- [-..*~11~ · ¢~ ~/,,'~'~ ,DISTANCEFROMWELL/~/-¢(~ /~tc-~
,~0~ '~'~ ~O~'Jf . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA
· LENGTH ~ , DEPTH
BUILDING FOUNDATION
4-
FT.
TILE DRAIN FI~D~
DISI ,~CE FROM WELL
NUMBER OF LINES
ABSORPTION AREA ~
DEPTH: TOP OF TILE ~O FINISH GRADE
WELL:
TypF.JJ~/f~o.~/~ , DEPTH
NEAREST
LOT LINE ~ , SEWER LINE
~" DISTANCE FROM WATER
, BUILDING FOUNDATION. ~ SAMPLE
SEPTIC ~ ~ ~ SEEPAGE
, TANK -~2 JJ'£~l,~l'~ , SYSTEM/¢~g /?,'~, CESSPOOl
, NEAREST
OTHER
, SOURC E~.__
DATE
DIAGRAM OF SYSTEM
APPROVED HEALTH AUlHORII~
GRE,4'rER ANCHORAGE: AREA BOROUGH
DEPARTMENT Of ENVIRONMENTAL QUALITY PERmit NO.
3500 TUDOR ROAD POUCH 6-6~O
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSALSYSTEM -- APPLICATION AND PERMIT
/~ 1 PHONE
INSTALLATONLOCAT'ON/Y;/" 4-- --CA ¢--
INSTALLATION OF: SEPTIC TANK
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
SEEPAGE Pit , DRAIN FIELD ~ OTHER
To SE INSTALLEO BY
NOTE:. THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
PINAL INSPECTION:
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
M~I~UM DISTANCES, REQUIREMENTS
~OUNDATION TO SEPTIC TANK
24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
FOUNDATION TO SEEPAGE PIT DRAIN fIELD
SEPTICTANK TO SEEPAGe P,TWALL /'~
TYPE
DIAGRAM Of SYSTEM
SEPTIC TANK ., SEEPAGE PIT
TO NEAREST LOT LINE.
, DRAIN FIELD
WELL TO SEPTIC TANK
DRAIN FIELD
SEEPAGE P'T lcd
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK , SEEPAGE PIT
DRAIN FIELD .
~ '~ /' ~,,~ r, DRAIN FIELD
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.
~ HEALTH AUTHORITY OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 29-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS I N ACCORDANCE WITH SAID CODE.~ ~ '~/~/~~7~/r~/~/w ~ ~'/ /~ ~/~/ ~ ,~..~/*~ ~,..~ ~..~,/~ ~. ~ ~'
DATE APPLICANT'S SIGNATURE _
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MA~N EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSALSYSTEM
DESIGN
November 13, 1986
CIVIL ENGINEER
694-29;'9
~gli'k'~rc][PALl'rY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
NOV 41988
Municipality of Anchorage R E C E I V E D
Department of Health and Human Services
825 L Street
Anchorage, Alaska 99501
REFERENCE: Lot 1 and 2; Block B; Glacier View Subdivision
A Health Authority Approval was issued bythe Municipality of Anchorage
on August 19, 1983. This approval was conditional and required funds
to be escrowed for accomplishing the following work:
A. Removing a well house.
B. Installing a pitless adapter.
C. Equipping the well head with a sanitary seal.
A visual inspection performed on November 13, 1986 revealed that all
the work required under the conditions of approval have been satisfied.
The well wires are also in conduit and there are no depressions around
the well head.
If you require additional information for final approval, please contact
US.
~S/ss
cc: Richard D. and Kay C. Halsey ~ ! , .j./
>'~' ~, m:>.>~j~. ,,A I;1( NT FILLS· OUT UPPER HA[ ONLY
Address ' ~ Zip C~
>..J
Agent
Phone
'~ Zip ~de
Address ~ /
Type of Resi~nce / ~t '~
/~ Single Family_~
~ Multiple Family No. of Bedroo~
~ Other
Water
Supply
~'~OG. A w~l log is required for all wells drilled since June 1975.
~ Individual A~ACH WE
g Communily For wells dri?~rior to that date, give well depth (attach log if available).
"~ Public Utility ~
Sewer Disposal Year In~ividu~l~l'n~talled: / ~ ~/ '
Individual
Public Utility When .Connected to Public Utili(y:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED.
Time Time Time Time
Date Date Date Date i~.,~_ lb--~'3
Inspector Inspector Inspector Insp~~
Field Notes: ~/~ >~
( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL
( ~ CON DITIONAL APPrOVAl' ~~ ~ ~~
DATE / ~/~
Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received
72-023 (3182)
ExcAVATION
ROBERT A. SHAFER
WORK
August 30, 1983
CIVIL ENGINEER
694-2979
ERA Bowden Realty
ATTENTION: Norlene
2600 Seward Highway
Anchorage, Alaska 99503
Dear Norlene,
Reference: Lot !; ~].oc2~: C: O!~cier view Heights Subdivision
A sewer system adequacy test was performed on the system located
on the referenced property as you requested. The septic tank
was pumped and verified to have a capacity of 1000 gallons. The
absorption trench was tested by a continuous flow of water over
a period of 48 hours. The average flow during each of the 24
hours exceeded that required for a two bedroom residence.
It can be concluded from this test that the waste water disposal
system serving the two bedroom residence located on this property
is currently functioning adequately. However, the system cannot
be guaranteed against subsequent failure.
If we/~y be of further service, please do not he~itate to call.
L3I_ROB~VA. ~A~ER, P.E.
cc: Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA