HomeMy WebLinkAboutELMORE #1 BLK 5 LT 2172
GR ":ER ANCHORAGE AREA BO iIJGH
Department of Environment Quality '
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM W E LI.*~""~',-~'''~
INSIDE LENGTH -
MANUFACTURER
INSIDE WIDTH
f.,~ '..,~'--,'~'-- NUMBER OF
MATERIAL ,~7~-'~ COMPARTMENTS
LIQUID DEPTH.
LIQUID C A PAC I'~"'"'"~'-"~G A L LO N S.
TILE DRAIN FIELD:
DISTANCE FROM WEL[~''~'~' FOUNDATION,:~'~-~'~/';'' NEAREST LOT LINE /~ /~-~' TOTAL LENGTH OF LINES
NUMBER OF LINES -~ DISTANCE BETWEEN LINES ,~,,~' TRENCH WIDT~ IN. TOTAL EFFECTIVE
ABSORPTION AREA ~"'<~" SQ. Fl'. LENGTH OF EACH LINE '~ ~ ~3df'"/~'~" /~---'
DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE,~.~'77'" MATERIAL BENEATH TILE ~"~:~'/~ IN. ABOVE TILE ~ IN.
WELL: ,,,~.~,/'~'..r'~--.,~
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
~ .~' ~_ 7.,.~/~--
CONSTRUCTION
NEAREST NEAREST
LOT LINE , SEWER LINE
0 OTHER SOURCES
DISAPPROVED REMARK5
DEPTH
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCE FROM:
DISTANCES: · -~'~ ~"~.~
INSTALLED BM: ~:'./'"~ ,'"~'~-~""g'--'
SEWER LINE DEPTH: ~'~
PIPE MATERIAL:
LOT SLOPE:
DATE/~:~'~/'~ APPROVED
DIAGRAM OF SYSTEM
G.A.A.B.
Form PW-027
GREaTeR ANCHORAGE ARea BOROUGh
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
pERMIT NO,
F,NANCED THROUGH. TO BE INSTALLED BY ~~~
SOIL TEST RESULTS /~~~ NO~ THIS PERMIT IS NOT VALID WITHOUT
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION,
MINIMUM DISTANCES. REQUIREMENTS
FOUNDATION TO SEPTIC TANK
S~PTIC TANK
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
DIAGRAM OF BYC:TEM
~ C~EA1R? ANCHgu..',cr A./~'~OROU~,H
HEALTIi 3r?A,~T:'ENT CAS~ d
3~7 !:A.:~LF ~TREET · '
Thts For,, Re~orts (:: Lc~b- L':'C_ ~ ierc.~iation ~es:
G~
The predominance of the
sediments seem to be tn
'the sand size range.
The sediments are of an ,
unsorted nature with slz,
ranges from M1 to boulde:
Was Grounc ~:ater
i:' ~es, ,',t :':~at ~ ' ' ~ feet
Sketch
i'rc.t.~,:w. Ins. ml~'.':, e;a.;-e ; 1: Ora'~n .,"iePJ X)~
?e:,LL O.~ l:.let 2 feet :.e;'i?, i¢, :,'tto- '~t t~it '-
.... ~>._ C.m t9 C.w n.t 155 sq ft/bd2'm..
Te~. ?erforn~d "-
· '%"- P'~O ....
ANCHOILAGE ARENA BOROUGH
of Environmental Quality
, Anchorage, Alaska 99503 274-4561
2 ~ate Received
.
~'*~ ~ Time Inspection
~ of Inspection
REQUEST FOR APPROVAL OF
~DIVIDUAL SEWER & ~TER FACILITIES
1. Approval 'requested
Mailing Address: ~)~')~)~o
2. Property Owner: P~Lo~o~
Mailing Address:
3. Legal Description:
4. Location:
5. Type of facility to be inspected
6. Well Data: ~L~t ~'l~ ~ j,,~O0~_~S
A. Type
C. Construction
7. Sewage Disposal System:
No. of bedrooms
B. Depth
D. Bacterial Analysis
A. Installed B. Installer
C. Septic Tank: I. Size
Manufacturer
D. Seepage Pit: 1. Absorption Area.
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 ARE:, BOROUGH
Department of Environmental Quality
2330 "C" St., Anchorage, Alaska .99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEllER & WATER FACILITIES
Type of Inspection: CMRO VA
Property Owner: Lester
Mailing Address: SPA l~ox 293-B
Name of Buyer:
Mailing Address:
Name of Lending Institution:
Mailing Address:
FHA' CONV )<
Day Phone 344 8857 i',f
answer call Jeanne Webster at
Real Estate of Ala,ska, Inc.2~79-252
Day Phone
National Bank 6f Alaska
P.O. Box 33859 Phone
279 2506 E;,"r. 21'
[lame of Realtor or Agent: REal Estate of Alaska, Inc.
Mailing Address: 852 w. Int'l Road Phone 279 2526
Legal
Location:
Description:'
7. .Type of Facility
8. Water Supply
Type of Supply:
Lot 2, Bloxk 5, Elmore Subd. (Well is located on Lotl,
~iock 5, ~imore Subd.
to be inspected:
Public Utility
-.,~:~ No. Bdrms.q~9~1~
Individual
If Individual,
If Individual, depth of well
Sewage Disposal'System
Type.of S~stem: Public Utility
If Individual, date of installation'
number of dwellings presently .served 2
Individual
(on-site)
.Page 2 of two pages - Re~st for Approval of Individual .~r & Water Facilities
Legal Description
Cements
ApproValS, Valid for one year from date signed
Greater AnchoragL~-AY~ea Borough, Department of Environmental Quality
DIAGPJ~Iq 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
EQ-034 (1/74)
