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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