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Home My WebLink AboutGREAT LAND ESTATES #1 BLK 1 LT 5 ANCHORAGE AREA BO '-' IGH Department of I=nvironmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME il~T~ lC t~ LOCATION MAILING ADDRESS E,'~C.L~' LEGAL DESCRIPTION LOT ~' PHONE SEPTIC TANK: DISTANCE FROM WELl INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL NUMBER OF COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY I000 GALLONS. SEEPAGE PIT: NUMBER OF PITS ! , DIAMETER '7~ LINING MATERIAL ¢~t~('~/-t~ CRIB SIZE: BUILDING FOUNDATION ~.~1 NEAREST LOT LINE OR WIDTH /~', LENGTH 2zi, DEPTH ~/' DIAMETER DEPTH ~ DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) /?/~{~ SQ. FT. ADDITIONAL ABSORPTION WELL: TYPe BUILDING FOUNDATION __ CESSPOOL APPROVED CONSTRUCTION ~'I,'~ ND,~.~ P DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK I~¢', SYSTEM iff-o/ NEAREST NEAREST LOT LINE SEWER LINE OTHER SOURCES DISAPPROVED REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM APPROVED ~'~ I DEPARTMENT OF ENVIRONMENTAL QUALITY pERMIT NO. 3330 'C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 s,~w^~ ~s~os^~. S~'sT~ -- ,~,uc^'r,o, ^,~ ~,~rr INSTALLATION LOCATION G~"OI L~a c>,~i~_ INSTALLATION OF: SEPTIC TANK FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED SEEPAGE~ ~'~//~/~PIT ~~D. TO BE INSTALLED BY , OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL, TEST FINAL INSPECTION: 2~ HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. £? SEPTIC TANK SlZE j~ ~ ~/~YPE ~O~~XsEePAgE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT , DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK .. SEEPAG~ PIT ., DRAIN FIELD TO NEAREST LOT LINE. DRAIN FIELD SEPTIC TANK. SEEPAGE Pit ~'/~--~ DRAIN FIELD CAST IRON ~NTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURSED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH F~EGULATIONS REGARDING iNSTALLATION. Russell Oyster 694-2774 Civil Engineering Soils ~ Foundations 0 6 £ ENGINEERING Ef DEVELOHMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 SOIL LOG Earl Ellis 333-5240 Surveying Land Development Performed for: Name: Mailing Address: ~)~-~ Legal Description: ~ ~ ~~ \ Depth (feet) 1 2 3 4 5 6 7 8 9 10 ll 12 Soil Characteristics Ground Water Encountered: Yes__ No ~ If yes, what depth~ , Proposed InStallation: SeePage Pit Drain Field~ ~ ~' ~1 ,~' Comments: ~- ~ ~Z~,SC ~-~-/ ~' ~x ~' '~,~- MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # ~~.3.~ j _ t ~ HAA # ~\~'~c.~ (._~ ~, .~_ 1. GENERAL INFORMATION (Must be completed prior to submittal) . (a) Legal Description (include lot, block, subdivision, section, township, range) Greatland Est. Lot 5, Block 1 ~ J T15N, R1W, Sec.10 Location (address or directions) (b) Property owner Richard & Patricia Shar~elephone:(home) Business. Mailing Address 10115 N.E. 149th Ave. Vancouver, WA 98682 (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent Todays Real Address P.O.B. 760789 Chuqiak, AK Telephone Estate/Bonnie King 99567 (e) Mail the HAA to the following address: (or check here [], if hold for pick up.) List contact person and day phone number below: Pick-up by Engineer TYPE OF RESIDENCE Single-Family [] Number of bedrooms 3 WATER SUPPLY Individual Well B~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. SEWAGE DISPOSAL On-site [] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Env!.rbrimental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 ~ jo B 815Bd SUO!SS!LUO JO sJoJJe JOJ elq!SuodseJ lou s! eDBJoqouv Jo Xl!lBd!o!unR eq± 'penss! s! eleo!J!lJeo B eJojeq B1Bp eZ/tlBUB JO suop, oedsu! lonpuoo ),ou op SHHQ jo see,~OldLU3 'slUeLUeJ!nbeJ e~B),s pub leJepej u!B1Jeo/~JsRBs ol Jap Jo u! suoRnlRsu! ¢u!puel J!eql pub seuJoq Jeeu!Sue IBUO!SSejoJd luepuedepu! uB IB^oJddv/tlpoqlnv qilBeH senss! (SHHQ) seo!^Jes UBLUnH pUB q),lBeH jo lueuulJBdea eDBJoqouv jo ,~l!lBd!o!un~ eqj_ BAoJddv IBUO!j!puoo Jo swJe/ IBUO!l!puoo pe^oJddBs!C] ~ peAoJddv ~ Joj peAoJddv "IYAOI:IddV SHHQ '9 LL§66 :~V ',:[OATH ayJSg~ 'F6[£LL 'E['.O'c~ sseJpp¥ ~ MUNICIPALITY OF ANCHORAGE (MOA) I~!~¢'.~) Health Authority Approval (HAA) MUNiciPALI~N,~--~,,~HORAGE CHECKLIST - FEBRUARY 1984 [!NV h~.O NM E NT AL~-I~/I C ES DIVISION 343-4744 2 5 ].989 RECEIVED Well Olas~ification ~r~ ~ Well Log Present (Y/N) ~ Date Completed Total Depth /~ Cased to /2~ / Depth of Grouting Static Water ~evel /~/ ~/~ ~ Casing Height Above Ground Electrical Wiring in Conduit(Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot /~'O To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Legal Description: Comments If A, B, C, D.E.C. Approved (Y/N) ~",~' Yield Pump Set At ~'.'~ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots /G~ ' ~ ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date SEPTIC/HOLDING TANK DATA Date Installed /f -~'/ Size Standpipes (Y/N) )z Depression over Tank (Y/N) Pumping/Maintenance Contact 0n File (Y/N) ~J-)'~ Holding Tank High-Water Alarm (Y/N) ,4~'/,4' · Air-tight Caps (Y/N) To Property Line ./..?~ r TO Water Main/service Line ~'~ / To Stream, Pond, Lake or Major Drainage Course Comments No. of Compartments Y Foundation Cleanout (Y/N) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) "~'/"-~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well ,~"-,~" To Building Foundation To Disposal Field tB' 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Type of System Design Length of Field cz~ / / /o Depth of Field Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well /g~ / :Gravel Bed Thickness ~' / z¢.,%,/. ,,¢,,~ ,~,~,~.,.~/. Statndpipes Present (Y/N) 42 Date of Last Adequacy Test To Property Line k' To Building Foundation Lot ,,,v',~ To Water Main/Service Line /'/¢ ~ To Stream, Pond, Lake, or Major Drainage Course To Driveway. Parking Area. or Vehicle Storage Area Comments ; On Adjoining Lots /',~¢ / To Cutback (if present) To Existing or Abandoned System on D. LIFT STATION ,h/,,/~ Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles dudng Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines-imeffe6t pn't~e date of this inspection. Signed Company Date Eagle River Engineering Services P. U. Box 773294 Eagle River AK 99577 MOA No. 3'Z'-~J- 69~5195 Receipt No. Date of Payment Amount: Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88)Back Page 2 of 2 ;',EATER ANCHORAGE ~ =~ ,~ R ~.~ BOROUGH , ~ ..... n~ of Environ~ent. ai Ouaii~y 3330 "r" Shm~ Anchoraqe. Alaska Date Received 9/17/74 Time of Inspection Date of Inspection -9//9/74 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Approval requested by: Mailing Address: Property Owner: Same Mailing Address: Legal Description: Location: ~ype of facility to be inspected Well Data: A. Type Drilled Conventional Richard Sharp Great Land Circle Box 7142 Chugiak Lot 5, Block 1 Great Land Estates Lot 5, Block 1 Great Land Estates C. Construction Standard 7. Sewage Disposal System: A. Installed 1974 C. Septic Tank: 1. Size D. Seepage Pit: E. Disposal Field: 8. Distance~: A. Well to: Septic tank Nearest lot line B. Foundation ~o septic tank · C. Absorption area to nearest tot line EQ-03.~ (i/74) Phone: Phone: Single No. of bedrooms 3 B. Depth D. Bacterial Analysis Satisfactory B. Installer Qyess and Zieqler 1000 gal 2. Manufacturer Wallace 1. Absorption Area 456 sq ' 2. Material Concrete Total length of lines 140' , Absorption area 150' , Other contamination 10' . , Absorption a,~a~- , Sewer Lines 27' Page 1 o'F two pages Legal Description Comments ~age 2 of two pages - Ret," 't fo.r. App:roval of Individual .~i~xr & Water racl,~es Lot 5. P!oC? ! r~reat L~,~ Ese_~~ . ed~-~'./??uf/~f lt_.EY/_~ Disapproved __ . gate 'i~11~11~ Approv(~/-. Approval .V'alid for one year 'from date signed · × Greater Anchorage Area Borough, Department of Environmental Quality · :" ~ DIAGRAM OF SYSTEM I 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