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Home My WebLink AboutCAMPBELL HEIGHTS BLK 2 LT 8A ANCHORAGE AREA BORO'~,'I b,*~'ARTMENT OF ENVIRONMENTAL OUALITt'~' 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCAT;ON ~/~ 7'~'"',' ~ TANK: DISTANCE FROM WELL LIQUID CAPACITY MAILINGADDRESS ~ 0D~'~-' -/-t'~,, ~ I [)F',,~T PHONE ~ ~ %"~-'5J MATERIAL -~ GALLONS. INSIDE LENGTH. NUMBER OF COMPARTMENTS L,OU,D INSIDE WIDTH__DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF FITS ,// OUTSlDE~ OR WIDTH , LENGTH ,DEFTH UN~NG MATER~AI D~STA t ~ NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA EAi .SQ. FI. · BUILDING FOUNDATION TILE DRAIN FIELD: DISTANCE F R.~L[-/ ~ NEAREST LOT LINE NUMBER OF LINES DISTANCE BETWEEN LINE~ TRENCH WIDTH. ABSORPTION AREA SQ. FT. LENGTH OF E DEPTH: TOP OF TILE 10 FINISH GRADE .DEPJH OF FILTER ~TERIA[ BENEATH TILE TOTAL LENGTH ., OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE ~.,,, , h ~'¢M~ ,. WELL: h'pE lpg. liE[ ?,-~,~ DEPTH NEAREST LOT LINE , SEWER LINE j ~).~ ~. DISTANCE FROM WATER ,BUILDING FOUNDATION. '- SAMPLE '~.".bP*.',*C . NEAREST · TAN'~ . S~ST~ . cEssPooL . SOURCES DISTANCES: 1- '1 l.~"~. DIAGRAM OF SYSTEM DA, E q I z J-z AFFROVED GrEA'£ER ANCHORAGE AREA B GH DEPARTMENT OF' ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM m ~PPLIC~TIOH AHD PERMIT FERMIT NO./~/'/r/ INSTALLATION LOCATION LEGAL TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH CDMPLET,O. DATE A.T,C,FA.ED FINAL INSPECTION~ 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPAR~ENT AUTHORI~ WIL~ B~ SUBJECT TO PROSECUTION· DIAGRAM OF SYS~M NOT~% THIS PERMIT IS NOT VALID WITHOUT ~OIL TEST MINIMUM DISTANCES, REQUIREMENTS~, FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL DRAIN FIELD WELL TO SEPTIC TANK WATER MAIN TO $SPTIC TANK ~"~ SEPTIC TANK, ·~* "'"- ~-~ ~)' SEEPAGE PIT I · SEEPAGE PiT ALSO CONSIDER AREA WELLS. SEEPAGE PIT DRAIN FIELD 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITi'ED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. ./ DAILY DRILLING LOG PENN JERSEY DRILLING CO. 2833 East 72nd Avenue ,l~l~.q~q 3~e, 6 East 67th. Av~. Anebnrar~ Aka99507 .......... .................................. DA~TART~..._..~.:~:Z~- ....................................... ~a~ .............. ~.~!~.U. ................................................................. Anchorage, Alaska 9950~ 3~4-2512 S0' DEPTH OF WELL. .................................................................. STATIC LEVEL OF WATER PT ............. ~..*. ................................... DRAW DOWN' FT ........................................................................... 15 GI~i'! GAL~. PER ~ ............................................................................................. KIND OF CASINO .................... .~.-..iiTC,~_.:.:~!..~.~_.~ .................................... KIND OF FORMATION: FROM ......... 5. ............. FT. FROM.......~..9.. ............ FT. FIZOM.L...3.Z. ............. FT. FR OM......../.~..4. .............. FT. FRO M.......5.7...*..:::~ ~:...FT. FROM.._...7...~. ............. FT. FR OM......**7....7. .............. FT. FROM.......~..0. ............. FT. TO ....................... FT,_..'~,~ tar. .................... FROM .......................... FT. TO .......................... ET .................................... MISCL. INFORMATION: :*'ELL # 2. TO ........ .% .......... Fr~l~.,...~ ~nA..~.~,~ ¥ e 1 FROM .......................... FT. TO ........................ FT ................................... TO.._..2~O. ............ FT,~,~m? ..C~:a~:..S~.d.~ Grave '_FROM ......................... FT. TO ......................... FT ...................................... TO.......~.~. ............ l~r~..r..:.....S.~.n..~.,..G...r..~y.9!, !~a t c r FROM .......................... FT. TO ......................... FT ........................................ T O.......~..7.. ............. 1~ ,.C.~.~..~..~.~ ~....~....G..,~_']?'el FROM .......................... FT. TO .......................... FT ...................................... TO........~({ .............. FTQ,~,?,~...f~r.):~..~a~d.~Gravel_ FROM ..........................FT. TO ......................... FT ..................................... TO.......~..7... .......... FT~....r..:....$.~_n.J....&.....G..r3Z 91 FROM .......................... FT. TO ........................ FT ....................................... T O .._.._5.~ .*_-...6.~.'.... FT~.O..~.~. ..................... FROM ........................ FT. TO ........................ FT ...................................... TO.......~5 ........... ~ ~ ....~ ~...~...C~.~.t e 1 FROM ......................... FT. TO .......................... FT ...................................... TO........7...7. ............ FT~..a.~:~._~..._..S...~.D.~...~.. GravelFROM .......................... FT. TO ......................... FT ......................................... TO...-..~..0. ............ F'I~?...'....~-a..~.d...'.....G.-[.~Y...~..~ & FROM .......................... FT, TO .......................... FT ......................................... FROM ......................... FT. TO ......................... FT ......................................... FROM .......................... FT, TO .......................... FT ...................................... DRIL££R*$ NAML~:~ Y.Y. ~--'..A!~..~..,!!5.n.,q×.. ~..c.~ ~..E ~..1.~ ............................... ' ~-~.UNICIPALITY OF ANCHORAGE ~ DEPARTMENT F HEALTH AND ENVIRONMENTAl .~ROTECTION 825 L Street, Anchorao~. Alaska 99501 264-4720 Date Received: September 30, 1977 ~1: Time 9:30 a.m. ~2: Time ~3: Time Date 10-5-77 Wednesday Date Date Insp Pratt Insp Insp e REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Caost Mortgage % Cathy Mailing Address: 4797 Business Park Boulevard Phone: 279-0665 Property Owner: Kenneth Whedbee Mailing Address: 3446 East 67th Avenue Phone:349-2167 Legal Description: Lot 8A Block 2 Campbell Heights Subdivision Single Family Residence: (x) Number of Bedrooms: Three Multiple'Family Residence: ( ) Number of Bedrooms: Well System: Permit # Construction Individual well (x) Community/Public System ( ) Depth of Well Well Log on File Bacterial Analysis ( ) Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System ( ) Public Utility Installed Installer Manufacturer Soils Rate Material (x) Distances: Well to' Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line .__ ' / ~ ,.iUNICIPALITY OF ANCHORAGE ' ;.. ~...iI:/.!~:[ (x /?:":'.,-- · 'fQ~ / Department of Health and Environmental Pro~ec~'~:6n".!."" · ~ .... ~ ff. '%l a~ L Street, ~chorage, Alaska 9950i ~ ~' ":' ~--A~quest for Approval of Individual Sewer and Water ~ac$1i~ies ,O'/ Name of Buyer: Mailing Address 3. Lending Institution: Mailing Address: Phone: Phone: e Mailing Address: Phone: Se Legal Description: Street Location: Single Family Residence: (~ Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Water Supply: *Individual Well (~ If Individual Well, well depth ~ If Community System, name of system Public/Community System ( ) Sewage Disposal System: On-site System . ( ) Public System If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 Page Two ~- Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 8A Block 2 Campbell Heights Subdivision Comments: Affadavit Attached: Approved: ~.~~ Disapproved: Letter Attached: ( ) Date: Date: Department Worksheet: