HomeMy WebLinkAboutCAR-LYNN BLK 1 LT 21
.~,. GREA,ER ANCHORAGE AREA BORuuGH
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
INSIDE WIDTH LIQUID DEPTH
NUMBER OF
COMPARTM':'N'rS .'~
LIQUID CAPACITY/~GALLON5.
DISTANCE FROM WELL/~ / FOUNDATION ~"~"~J NEAREST LOT LINE..~~'~ ~ TOTALoF LINEsL[NG~ ~ /
NUMBER OF LINES / DISTANCE BETWEEN LINES-- TRENCH WIDT~~ IN. TOTAL EFFECTIVE
ABSORPTION AREA ~O SQ. FT. LEITH OF EACH LINE ~ /
/ DEPTH OF FILTER ~ ~
DEPTH: TOP OFTILE TO FINISH GRADE~*~ MATERIAL BENEATH TILE ~. ABOVE TILE ~ r t IN.
WELL: · --
CONSTRUCT,ON DEPT.
BUILDING NEAREST NEAREST ~'/ SE PT I C~_...~' SEEPAGE
FOUNDATION ; LOT LINE ~, SEWER LINE ~ , TANK ~'"'~ SYSTEM
CESSPOOL OTHER SOURCES
DISTANCE FROM:
APPROVED DISAPPROVED REMARKS
DISTANCES=
INSTALLEO BY:
SEWER LINE DEPTH:
PIPE MATERIAL'
LOT SLOPE~
REMARKS:
Form EQ-032
DIAGR^M of SYSTEM ~,~/F
iUDOR RD., ANCHORAGE, AK. ~9507 .... .
APPLICANT DAVID KUIPE~ ~ ESST.iGTH .RyE 279-3522
LOCATION. CRA-LYNN CIRCLE OF OUR RD - -
LEGAL L2 B1 CRA-LYNN SUBD ............ ~0~ SIZ~'?~. i~O SQUARE FEET
TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 4 .'SOIL RATING (SQ FT/BR)= 85
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM"IS:
DEPTH= 26 LENGTH= 2::::L 6RRVEi ' DEPTH=. 8.
~_,~ :~ LENGTH DIMENSION '' THE LENGTH (IN FEET) Of T~ TRENCH OR DRRINFIELD.
DEPTH OF R TRENCH.OR PIT IS T~ DISTpNCE BETWEE~ %H~ ,SOR~RCE OFf,HE
~ GROUND AND THE BOTTOM OF THE EXCRVRTION.(IN FEET).
~ THERE IS NO 5ET WIDTH FOR TRE~HES.
A THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRByEL BETWEEN THE OUTFRLL PIPE
~' AND THE BOTT~4 OF THE EXCRVRTION.~IN FEE~). ,.. ..
REQUIRED SEPTIC ,TRNK: SIZE= 1258 6RLLONS
BACKFILLING ~ RN~.S~STE~ WITHOUT FINAL INSPECTION ~ND APPROVAL B~ THIS
DEPARTMENT WILL ~ SUBJECT.TO 7p~SEC~TISH. :., ~ . ...-
MINIMUM DISTANCE BETWEEN R ~LL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS '
1Se FEET FOR R PRIVATE WE~. OR 2~8 FEET FOR R PU~IC ~LL.. , . .,~ .~ -..
WELL .LOGS ARE RE~IRED ~D ~ST BE RETU~ED, T~ .T~'DEpS~MENT W~THIN ~' DAYS
OF THE WELL COMPLETI~
SPEC[ F~CRT[ONS ~ CONSTRUCT[~ :~ RGR~S ARE nV~[ LmeLE ..~p INsUrE .~RppE~
I NSTRLLRTI ON. "-
VALID FOR ONE
I CERTIFY THAT
l: I RM FRMILIRRWITH THE REQUIREMENTS FOR ON-SITE.SEWERS 'ANDiWELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM~IN ~CCORDAN~E"~ITH'~HE'CODES. '' : --
~: IUNDERSTRND THAT:TUE .ON%SITE ~EWER SYSTElt' MAY~.REI2JJIRE-ENL'..I..:~.,.,GE~NT'IE'THE,>-_..
RESIDENCE IS REMODELEDF~O INCLUDE MOlE'.THAN ~. BED~ _C~..: %".:.>: '._~. ._
'ISSUED'BY.~___ DATE--X' ....
ORGANIC MATERIAL
SA~ w/SOME SILT 2'
GRAVELLY SAL~ with'-"
OCCASIONALLY COBBLES
BROWN
sP
O ' ~D%LLEY ROAD
No Water Table
T~ls log represents subsurface
so~l conditions with. in Lot 2 .
Block 1 CarrLynn Drmve
' Mr. Dave Kuiper
Cart Lyn Subdivision
~chDraqe, Alaska
10-8-75
.---~ ~0.0' · '
...'~': SILT TRACE SAND
~ 1.5' '
~:.n: G~LY S~ ~CE SILT (~)
~ .
No scale ~?.: }~ COBBLES (GlO
·
NO ~AT~ TABLE/
Log represents location of
test hole Lo~ 2~ Block 1
Car-L~ Subdivision
: DA~ ~IPER PROP~
. ~nsuli0n~s {~ Lo~ of Tes~ Hole
~chora~e, ~as~
I ' TH-2
· 10-8-75
~.~_. ORGANICS 0.0'
'<" '- SILT TRACB sam)
, ~AND TRACE SILT (Sg)
%~'"" GRAVELLY SAND TRACE SILT (SP)
:.. ~: SANDY GRAVEL w/TRACE SILT (GW)
SANDY GRAVEL w/TRACE SILT
Ho scale }L~NY COBBLES (GlO
·. 20.0
NO WATE~ TABLE
Log represents location of
test hole Lot 2, Block 1
Car-Lynn Subdivision
DAVE K/IIPER PROPERTY
· Consultants Inc, Log of Test Hole
A.C.O.AGe ,AmSA.KS ALASKA
Anchorage ~ Alaska
Well Log
· ~./~ -~>~/~./.. (~ .~. . .~,~,./,.
Date .~...= ...... ~ ..............................................................
8~e of e~ ....... ~.'..~ .~.~x~ '. .....................................
~ce ~ .......... ~...~....~ ........ ......~ .............................. .~ ......... ,, ..... ~..~~
D~t~ce to water w~e -~ -/ .... ::' / ....
pmpm~.. ( .............. ,..,.,~.._,. ~.,.._~:..,.~.at rate
Formation /rom
Driller
DELTA DRILLING COMPANY
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
Time of Inspection.j~j~_~:)~
Date of Inspection~.'~a~t~cZ
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Approval requested by:
Mailing Address:
Property Owner:
Mailing Address: (~LIQ
Legal Description: AOv~F Q
Location:
Type of facility to be inspected
Well Data:
Phone:
Phone:
No. of bedrooms
A. Type I,v~,.,,~,,~ B. Depth
C. Construction L"x)n.~,J ~~. Bacterial Analysis
Sewage Disposal System: L~J~-~ J ~u-l~r~ . ~r~_l' ~
A. Installed tq~L~. B. Installer (-¥xz_Ft~ ?~n
C. Septic Tank: I. Size.L~ 2. Manufacturer (~
D. Seepage Pit: 1. Absorption Area ~ 2. Material
E. Disposal Field: Total length of lines ~ ~' tmJ ~-~-F,~ .
8. Distances:
A. Well to: Septic tank.~, Absorption area ~'~' , Sewer Lines
Nearest lot line
, Other contamination
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street, Anchorage· Alaska 99503 - 2744561
E. NVIRO~ENTALC"'4';H &
,~L PROTECTioN
DEC 2 1976
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES .....
RECEIVED
1. Type of Inspection: CMRO VA
2. Property Owner: ,~)~ L); f'~ ~,- /~'L~ t ~ (c ~
v Mailing Address: ~ _~t~ ~, C.
3. Name of Buyer: ~
FHA CONV X
Mailing Address:
4. Name of Lending Institution:
Mailing Address: ~.0-
5. Name of Realtor or Agent:
l ln Kf rnuT n I
Day Phone
d
Phone c~,'-/ ~/ - ~ ~'~/, //
Mailing Address:
Phone
6. Legal Description:
Location:
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply:
No. Bdrms. ,~
Public Utility
If Individual, number of dwellings presently sewed
If Individual, depth of well C:~ .~'C> ~/.~.
Sewage Disposal System
Type of System: Public Utility
Individual
/
Individual (on-site)
If Individual, date of installation
EO-037 { 1/'/4)
. Page. 2 of two pages - R~'~'"'st for Approval of Individual :~"~r & Water Facilities
· Legal Description
Comments
Appro~l~ ,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) I i
AU"'-'~DEPARTMENT OF HEALTH AND SOCIAL S£/'~,ES
DIVISION OF PUBLIC HEALTH
INDIVIDUAL AND SEMI'PUBLiC
BACTERIOLOGICAL WATER ANALYSIS
INDIVIDUAL n ~
SEMI-PUBLIC [] CHLORINE RESIDUAL PPM
REPORT RESULTS TO
f2 ;,.,,, .j~,.., .-,, ,~
/2,...,,
~
CO~L~E THIS SECTION
ONLY IF WATER IS AN INDIVIDUAL SUPPLY
DATE COLLECTED,~" ~"~' ,. ' TIME CO~tECTEO //I~'
[] Yes [] No
nln Yard [~ Other
luilding Sewer
DISTANCE TO: or Other Droinage Pipe Feel.
OFFICE
[]/~uest;onable
SANITARIAN'S REMARKS
READ INSTRUCTIONS
ON
REVERSE SIDE
BEFORE
COLLECTING SAMPLE
BACTERIOLOGICAL WATER ANALYSIS RECORD
D!~ECTIONS FOR COLLECTING SAMPLES OF WATE;: FOR BACTERIOLOGICAL E×AMINATION
Read C~refu![~'. and F~llow Instru¢!~ons Exactly
Bom in mind tkat water ~nalysTs d~a~s ~.ith rnolcriaJs present in very minute q,Jonti~es. The least care-
[essness in co~[ectlng and handling may Dive rise to re:uhs which are misleading.
S~mples ore accepted at tke rag;anal Iobcratorles in the early part cf thc week (Monday-Wednesday)
un[ess there is an emergency ar prior arrangements kava been made. Arrangements should be made to
hove the water samples reach i~e [abc~rotory as qulckt~ as possil~[e and within 4~ hours after collccllcn.
After 48 hours, the significance of Ihe bacterioloo~:a~ anoiysls is impaired.
In collecting s~mpies f,om TAP5 or RUMPS proceed as follows:
(a} Thoroughly f{ush tap or pump by aHowMg water to run freely for five minutes.
(b) Shut off waler and f[ame the out]et with torch or burning paper. ~he flame should not be
merely passed ever the culler but should be applied until fixture shows ind{cation of being
hot. Flame should be directed against inside edge.
(c) Open fixture so that a small stream flows.
(d) Remove bottZe from mo~llng lube. Ho~d battle by the lower half in one hand and with Ihe other
remove the screw cap with the fingers, leaving fall protecting cover in place. Fill the bottle to
the shoulder. Replace cap with fall coveh screwing firmly into p~ace but do not apply pres-
sure which will split cap.
(e) Pack bolHe carefully in mailing tube end,sing this completed information sheet.
DO NOT COLLECT SAMPLES FROM FIRE HYDRANTS, YARD
HYDRANTS, DRINKING FOUNTAINS OR SIMILAR OUTLETS
WHICH ARE DIFFICULT TO DISINFECT PROPERLY.'
STERILE WATER SAMPLE BOTTLES ARE AVAILABLE UPON REQUEST FROM:
Dept. ef Health & Social ~er~ices Dept. ef Healtl~ & Social SO.ices Dept. of Health & Social Services