HomeMy WebLinkAboutABBOTT LOOP MANOR BLK 2 LT 12o 2,ff I& GR,P',TER ANCHORAGE AREA BOROU~H · HEALTH DEPARTMENT ... ,. 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 · N.o 740 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELl LIQUID CAPACITY ,'//'~:~') GALLONS. MATERIAL z~//'~'*'~-/-~--~'-'~-~COMPARTMENTsNUMBEROF / INSIDE LENGTH ~ INSIDE WIDTH ~ DEPTH~-'- SEEPAGE SYSTEM: NUMBER OF PITS // OUTSIDE DIAMETER LINING MATERIAl ,~' ~¥','s~'~/"/,~ NEAREST LOT LINE ~ ~) z' SEEPAGE PIT: 'c:~-/"',~'~-~?'-- '~"""~"~C'"r-~'/-'"~'~'" ~ OR WIDTH /~ ~/~ : LENGTH /~ DEPTH , DISTANCE PROM WELl //~ BUILDING FOUNDATION . TOTAL EFFECIIVE ABSORPTION AREA ~ALL AREA) ~ SQ. FI. TILE DRAIN FIELD: ,,,/t//,,~ DISTANCE FROM WELL AB~PIION AREA TOTAL LENGTH ~FOUNDAtlON~ , NEAREST tOT LINE , OF LINES SQ. FT. LENGTH OF EACH LINE DEPTH: tOP OF TILE I'O FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE W ELL:/-..,c.,,,/,,~:/-.~,~, --/..-..-,,,~-.,~.'.--~',e',--/p~ · ,....---- DISTANCE FROM TYPE ~"".,'~'~/~'~'~""~' DEPTH ,BUILDING FOUNDATION / NEAREST ,~....~-'SEPTIC ~ SEEPAGE LOt LINE SEWER LINE , TANK , SYSTEM WATER e.---.--- SAMPLE*'""--' NEAREST OTHER ~'""'"'-, CESSPOOl "--'-' , SOURCES .... DISTANCES: DIAGRAM OF SYSTEM GREATER ANCHORAGE ArEA BOROUGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT SOIL TEST RESULTS pERM,T.O. //~'C'/ PHONE . DRAIN FIELD OTHER HOTel THIS PERMIT IS HOT VALID WITHOUT ~OIL TEST FINAL INSPr.CTIONI 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SY~I~M WITHOUT FINAL INSPECTION SY THE HEALTH DEPARTMENT AUTHORITY WILL Sr. SUBJECT TO PROSECUTION. MINIMUM DISTANCES. REQUIRr.Mr.NTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ~ ~) · DRAIN FIELD SEPTIC: TANK TO SEEPAGE PIT WALL ~o ~ /~0 r SEPTIO TANK TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD TYPE DIAGRAM OF SYSTEM GRAVEL DACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. ;~S-6s AND THAT THE ABOVE ..('..-. _._ %:as Ground Water £ncountered?__~¢~ If Yes, At W~a: DeFth__ 7/ Locaticn Sketch · - Ii q---'E-I I J~ J I J I,,/ ! -~ Reading Date Tire Ne: Time Depth To H?O Net Drop GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 J-3-77 , REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Date Received January 21r 1977 Time of Inspection Date of Inspection Conv. l. Approval. requested by: National Bank of Alaska % Marva Goodson Mailing Address: Post Office Box 3-3859 99509 Phone: 279-2506 2. Property Owner: Earl West~)hal Phone: Mailing Address: 2406 Lore Road 3. Legal Description: Lot 12 Block 2 Abbott Loop Manor 4. Location: 2406 Lore Road 5. Type of facility to be inspected Single F~u~il~ No. of bedrooms 3 6. Well Data: A. Type Individual B. Depth C. Construction ~¥,,~y-~~, D. Bacterial Analysis Sewage Disposal Sys~e~': On-site system A. Installed B. Installer C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area 2. Manufacturer 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 ........ MUNI .rl'Y OF A,%~CHORAGE ~ It~I~IPNJ1YOFANO4Oe~E ICIPA1. Deq'. Dr'pAP~TMENT OF ENVIRONM£NTAL QUALITY ENVI~)~IMENTAL PROTECllON 2518 l'ud~: JAN ;; 1 197'/ Anchorage, Alaska 99503 REOUEST ,:OR ,, ,ROVAL OF RECEIVED INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection CMRO VA. FHA CONV )CC 2. Property Owner: Earl Westphal Mailing Address: 3. Name of Buyer:' Mailing Address: 4. Name of Lending Institution: PO Box 3-3859 Mailing Address: · 5. Name of Realtor or Agent: NA 2406 Lore Road Anchorage, Alaska Day Phone ,(~,~q ~/ LoAm) NA /~,)m.'-.~ t~ /'-Jo,,~ Day Phone National Bank of Alaska c/o Marva Coodson Anchorage, Ak. Phone 279-2506 Mailing Address: Phone Legal Description: Location: Lot 12 Block 2 Abbott Loop Manor S/D Anchorage, Alaska 2406 Lore Road Anchorage, .Alaska 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Single family residence No. Bdrms. 3 Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Unknown Sewage Disposal System lype of System: If Individual, date of installation 1 Public Utility Unknown Individual (on-site) E0037 ( I/"/4) Page 2 of two pages - Re"~st for Approval of Individual ~'er~ & Water Facilities L~ga'l Description I~t 12 Block 2 ~bbott I~oop M. anor C~ents Approved Disapproved Date~--7--~/ App~val ~Valid for one year fr~ 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) Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received ~'-?~9- Time of Inspection ~.' Date of Inspection ~J~. / REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Approval 'requested by: /..~-7~ 7~,~~' ~,.~Z' /x~.~ Mailing Address:/~, . Property Owner: ~_~j:~/~t ,~O~.~F.~ Phone: 2. Phone: Mailing Address: ~./7/~ ~_ ~/~ 3. Legal Description: "' ~/ 4. Location: _~ 5. Type of facility to be inspected ,~'x~) No. of bedrooms 6. Well Data: A. Type '~ C. Construction 7. Sewage Disposal System: A. Installed /~/ C. Septic Tank: 1. D. Seepage Pit: 1. B. Depth D. Bacterial Analysis B. Installer ~. Z ~_.~'..~ Size /~ 2. Manufacturer Absorption Area ~/ 2. Material E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line , Absorption area Other contamination /~ , Absorption area · Sewer Lines EQ-034 (1/74) Page 1 of two pages 3330 'GREATER ANCHORAGE ARk/, BOROUGH Department of Environmental Quality "C" St., Anchorage, Alaska 99503' 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO __ 2. Property Owner: Kedron Mailing Address: 2406 Lore 3. Name of Buyer: Juon-Kin Mailing Address: F.O. Box 7-741 4. Name of Lending Institution: Mailing Address:?.o. Box 720 5. Name of Realtor or Agent: Mailing Address: VA ~ FHA CONV 99507 Day Phone 344-1795 99510 Day Phone 279-6~61 First National Bank of. Anchorage 99510 Phone 279-4481 ext. 234 None Phone ext. 2,87 6. Legal Description: Lot 12, Blk 2 Abbott'Loop Hanor S/ D Location: 2606 Lore Rd. Anchorage, Alaska 99507 7. Type of Facility to be inspected: 8. Water Supply -- - Type of Supply: Public Utility If Individual, number of dwellings ~, If Individual, depth of well 1oo.6 feet 9. Sewage Disposal. System Type.of S~stem: Public Utility If Individual, date of installation Residence NO. Bdrms. Individual ~ presently served I Individual (on-site) June 1971 Legal -Descri pti on Con~nents Approved ~--~ ~-~-~--~JL~ Disapproved Date <~ Approval~alid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I I 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. EQ-034 (