The URL can be used to link to this page

Home My WebLink AboutCAMPBELL HEIGHTS #1 BLK 8 LT 42O I c/ 07 ' 09' GRrATER ANCHORAGE AREA BOROUGH r " HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCAT,ON SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY MAILING ADDRESS MATERIAL GALLONS. INSIDE LENGTH. LEGAL DESCR,PT,ON /--~' ~0~ NUMBER OF COMPARTMENTS ,INSIDE WIDTH __DEPIH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS LINING MATERIAl NEAREST LOT LINE OUTSIDE DIAMEIER OR WIDTH DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ., LENGTH , DEPIH , BUILDING FOUNDATION__ .SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: 1'OP OF TILE TO FINISH GRADE , FOUNDATION. OISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE. ~'~"' / DEPTH OF FILTER MATERIAL BENEATH TILE ,~.,~.... TOTAL LENGT~/~ . NEAREST LOT L,NE . oF L,NES ~ TRENCH WIDTH L~ / IN, TOTAL EFFECTIVE / Z.."" ~N. ABOVE T~LE /z'/v WELL: DISTANCE FROM ~ WATER TYPE ~/~1 ~, DEPTH , BUILDING FOUNDATION.~SAMPLE , NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE , SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES DIAGRAM OF SYST~A DISTANCES: ,~-i~ tOt B-D:- GREATE~ANCHORAGE AREA~OROUGH llEALTil DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 NAME OF APPLICANT RESIDENCE ADDRESS SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCEO THROUGH ~ / 0 .c~ / "'7,- -PERCOI-ATtON-TEST RESULTS ,.:,;,/~) Z~ ~p_"' ~ SEEPAGE PiT. ¢~ , DRAIN FIELD , OTHER TO BE INSTALLED 8Y ANTiCiPATED DATE OF COMPLETmN BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS'TO SERVE AS /~" ~" / ~ {,]'~ , PERMIT TO'INSTALL A ~'~ f~ ~'~ ~"~"' AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED- . SEPTIC TANK SIZE ~TYPE ~ ( SEEPAGE AREA TYPE DIAGRAM OF SYSTEM DI~ANCES: ~ t~ Health Authority GREATER ANCHORAG~ AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 Performed rot O~e~ $~ ~ Le?l Description: Lot_~Block . , Thxs Form Reports a: Soils Log Sol1 Characteristics CASE ~ .... Percolation Tes~ Depth Feet Was Ground WateP Encountered? If Yes, At ~'~at Depth Location Sketch Reading Da:e Gross Time Net Time Depth iTo H20 Net Drop Frop~sed Instal~Seepage Pit Drain Field f~.-~" Depth Of Inlet ~ ,~%* Depth To Bottom Of P~t Or Trench ~,, . Test'Perfor~e~ By: t~.-¢co ' Data Certified By:~J,~,-~ ,'~(A~ 79~ Date: ~(f '~'7~ ~'t('q "~ Dapartm~nt of lle~lth an~ rnvlronmental Protection 3330 C l;tzeet ~achoraoe, Alaska 99503 274-4561 4.1 ; 711 ~I ~treet ~ncho~a~e, Alaska 99501 ~ttention~ Judy Petereon ~sub~ect: Lot 42 &lock 8 Cae~bell aelghts Sabilvielon Dear This letter is ~o correct the statement o~ our e.~roval o.e ~e septic eyst~ ~n tl~ s~J~t lot. ~s ~er..of ~ls probe.'at the t~ o~ l~ctton was list~ as Da~le Sal~a. My r~rks un~er ~ ~n~ para.apb ~=e: It ~ r~nde~ that la=~ The #yst~m is in a high water tablm ~bdivtsion and works fln~ vith Intelligent usage. I also performed a survey In that area over omc year ago, and st the~. tl~e the system vas also working well, accordl~ to the owners. At that time, the owners he~t not mn~lo~ed any ~.ntentio~ to sell an~ I have n~ver seen any evidence of sewage overflow on the property, so I ma ~n~line,~ to believe their state- ments. I feel that the buyers should be made aware of the fmct £s connecte"/ tO p~blic sam~tex-~, se~ero If you have any fur~.~er questions concerning t~his matter, please oontact ~his of~loe st 274-4561, extension 132. Sincerely, Principal Euvirom~t~al Control O~fiuer . b~AqHHi~)}~) GREATER ANCHORAGE AREA BOROUGH ~ I~ I~/ ' ~ ~ ~D~p~tment of Environmental Quality ~ 3330~'i¢")~)tFeet,~er~ Anchorage, Alaska 99503 274-4561 ~(~ Date Received ~ ~.~'~'h~ ..,~t~ .Q ~ Time of Inspection ~-'~ --~ ~0~ ~ - ~' FOR Approval 'requested by: Mailing Address: q~t~ ~tltng Address: ~q~ Legal Description: Location: ~q~ T~e of facility to be inspected A. Type C. Construction Sewage Disposal System: Bacterial Analysis,/y/~ ~ ~/~ A. Installed ~j~L.~j~a~._ B. Installer O. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 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 'GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA ~ FHA 2. Property Owner: ~ ' Mailing Address. ,~'7£1 3. Name of Buyer: '~' ' . ' Mailing Address: 7~)~ °4°I Name of Lending Institution: Mailing Address: ~~o~-,- ' ~ ~Phone-- 5. Name of Realtor or Agent: Mailing Address: 3...~0 C., Legal Description: ~ ~ ' /1//~ ~/~/ Location: 77v ~"'O-.~r'n ~r- ~. r# · d 7. .Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently If Individual, depth of well · 9. Sewage Disposal'System · Type.of S~stem: Public Utility If'Individual, date of installation No. Bdrms. ~ ~ 43f)1/11~/)/'~ X Individual served Individual (on-site) Page 2 oi~ two pages - Req. ?t for Approval of Individual Si~'~r & Water Facilities Legal Desqrtptton ~ LI~ ~\~ ~ ~ (~F~ ~to~ ~,~1~ ~ I Approval \Valid 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 operaF sattsfactortly.~(7 Date EQ-034 (1/74)