HomeMy WebLinkAboutABBOTT LOOP TERRACE BLK 3 LT 1
I=::ll""l C: ,I-;~"'~-~IC~' I"ILJN T C: 'r F:.F'%-~ T'T'
· ~' -' ---"--- P R R T r'lE N T OF-'
~I~LTH & Er'IV T ROI'-.I I'.II~'NTRL- PI~OTEC:T 1' O1'-.I
DRTE C0HPLR1'HT 0PENEP: ?~258 DRTE C01~IPLRZNT CL0$EI~:
CO~IPLAINT CODE: 04 8RE8 CODE: il9 HSTURE: SE~AGE
CURRENT IbISPOSITION: PEHD
C85E OFPICER: JOE
REF #1: REF #2:
HR. BLU~I, ?Ol:L HENDERSON LOOP, 2~5-4~5, SEI4AGE FLOWED ($TSNDIHG POOL) AT BUGLE CRT
Off HENDERSONLOOP ~/~/~{~ ~_____.__~_~ ~7'-'~./Z~7'-'~~ ~,,'/~,,
GREATER AI4C, HOR~GE AR£A BO_RC~JGH
3500 Tudor Roa4, Anchorag,, Alaska 90507 279-9696
A- 2
Time of Ineoection~
Da~e of Ir~nection ~ - ,~'7 -
3,
a.
5.
RF'Q'J£$T FO~ AP~:OVAL OF
INg~.VI~JAL SE.~ER & WATER FACILITIES
FO9
B. Deoth
Type Of Facility ~o he In.~necfed:.... ...
Number 6f Be4roo~s: ~,
Wall Data: ~7o..z~ ,~
A. Tw~e
C, Con~truction D, Bacterial Analysis
C~'S~e~ttc Tank: 1.
D. Seepage Pit, I.,
E. Disposml Pleld:
Total [.e~gth of Lines
A. e:ell Tn~ Sentlc Tan~ . Absorption Area
· S~wer Lines
· :l-.-~re~t Lot lin, . Other Contamination
~. Fo,;nrtatinn '+'~ C~?t. ic Tnnk ~ ~ '
~.. ~ Abs~rntion Are~ ~0
C. AOsorett,n Are, tc Heare~t Lot Line '~0-~y'.
.'~eq~=~rt for. Apvroval o( . ,~tv!cluel Sewer & Water Factltt"
ODe Y,ar F,.'o~ Date Signed
9erartment c.f Environmental Ouality
'9.A::,t,,. OF o.STJ..
! certff" t?:at the information contained in thi.~ req~]est for approval to be a t~Je
and acc:~rat~ repr~e~t, at!nn of tho. s,~iect se'.~er and '#ater facilities located at:
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
I~$URING OFF~CE
MOIITGAGO~ OR SPONSOR
PART L--TO BE COMPLETED BY FHA.
MORTGAGEE
TOTAL
[] Public system
[] Public system
Yes [] No
[] Community system
~1 Communlty system
[] blew installation
PART II.~TO BE COMPLETED BY HEALTH DEPARTMENT
REPORT OF INSPECTION~INDIVIDUAL SEWAGE-DISPOSAL SYSTEM
PRIMARy TIILATMINT consists ¢)f r-I Se~ic tank. l'-1 Cess~ol.
feet, Material, Number of compartments
gallons, Capacity inlet cnmpanmem,, gallons.
ft~t. Inside width, feet. Liquid de[xh, feet.
Distance from well.
Total liquid capacily,
Ins~ length,
Disunce lrrom: Well fees: fimndaticm, fees; nearest I(~ line a~ r-I front. I-I side. rl ~ear.
Inside diameter, feet. Depqh fi'et. Liquid capadty, gallons. Lining material
Disun~e from: ~//cll,
To~l kn~h of tile lines
Trench width,
~ng~h ~ ¢~ch llne,
Ty~ ~ hher material: ~ Gravel.
fee~; foundati;m, feet; nearcU lot line at f-I front, I-I si~e, F'I rear,
feet. Number of lines, Distance between lines,
· inches. Total effe~-tlve absorption area in bottom of trenches.
· feet. D~pth, top of tile to finish grade.
n Broken stone. O~her
Delxh of filter matetlal beneath tile:~ inches. Depth of filter mat.iai over tile~
Number of p!tS . . Outside diameter, feet. Depth.. feel. Lining material
Disunce from: %X/ell. fee~: building foundaticm,, feet; nearest lot llne at r-I fronL 1-] side. I-1
I~ctJ, o~ med~ by1 J-1 S~ate. [-1 County. [-1 Loc. al Health Authoclty.
Inspected by
Date of inspexth,fl , 19
~luare feet.
REPORT OF INSPECTION~INDIVIDUAL WATER-SUPPLY SYSTEM
Give most r~ent rc, c(~d of failure of wtlls in immediate vicintty (o furnish adequate supply of water
Propertk's in fleighbocl,~d I-I are [-I are not bei,g developed with bo~h individual water-sui~,ly and sewage.disposal systems.
L~,t size' feet wide, feet deep. Dwelling set b~ck from front property line fee~.
Individual water supply from: [='] Dr:lied well· ["=] Driven well. n Dug well. ['=[ l~ored well.
Building f~Jndation,
~eepage pit..
.feet; tile sewer.
fret: cesspool.
feet; neares~ Io4 llne at n front. [] side. n rear,
feet; s~ptic tank, feet; disposal field,
feet; other sources o~ possible pollutlon~ i'eet.
Diameter. inches. Total depth, fc~. Type of casing.
Approximate depth to pumping level of water in well. feet. Approximate yield.,
Sealed watertight to depth of feet.
ExtcYk~' space around casin~ s~aled with: I-1 Cement grout. [] Puddled clay. [] Ordinary backfill.
Well cover: [] Comct~e. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. I-I No.
Pvmpt [] Shallow well. [] Deep well. Len~h of drop pipe. feet. Pump capacity,.
Looted in: n l~asement. [] Pumpr0om of/' basement. [] Pumpbouse above ground. [] Pump pit.
Pumptoom properly ~alned: [] Yes. [] No. Pump mounting watertight: I-1 Yes. I-I No.
Type cd' stocage: [] Pressure. [] Gravity. Capacity,. gallons.
Has b~cteriological examination of water been made.) [] Yes. [] No. If answer is "yes," give date
Quality of water [] is I-1 is not satisfactory for human consumption.
InstalLation n does I-I does not comply with approved ezhibit$, it' any.
Inspectiofl made b)': I-I S~ate. I-~ County. I-I L~xal Ileahh Aud~ocity.
Inspected by
Date of inspection ~ 19
Depth of casing,
gallons per minute.
gallons per minute.
19
fcc[.
feet;
G~.ELAI~R ANCHORAGE AREA BOROJJ~,~L
HEALTH DEPARTMENT '~
327 EAL~tE ST. ANCHORAGE, ALASKA 99501 279-2511
· INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCAT,ON
ADDRESS._'7 Ir-
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
/~C · MATERIAL
GALLONS. INSIDE LENGTH
NUMBER OF //
COMPARJMENTS.
C~~tu~"' LIQUID
INSIDE WIDTH__DEPIH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINF
SEEPAGE PIT:
OUTSIDE DIAMETER OJ~ WIDTH ~/ LENGTH , DEPTH '~ -'~"
(--~'~'C~,~"' DISTANCE FROM WELl /~'~1 , BUILDING FOUNDATION ~;
TOTAL EFFECTIVE *BSORPTION AREA ~ALL AREA) ~T SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL ~ ,FOUNDATION ~ , NEAREST L~ ~TLILN[~"GTH
DEPTH: TOP OF TILE TO FINISH GRADE .DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: TYPE ~'~l'~j7 DEPTH '~ DISTANCE FROM WATER
· , BUILDING FOUNDATION ~'~"~' / SAMPLE ~"~ NEAREST
I L~PAOE OTHER
NFR~r~T SEP!IC~[~ ~ ,~ST~ , CESSPO~ , ~U~S
[0~ ., SEWER LINE , Ia~ ~ ~
DISTANCES:
APPROVED
GREATEI.." CHORAGE AREA
llEALTli DFRARTMENT
327 E~gle St. Anchorage, Ahska 99501 279-2511
Case No. /-~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
.AMEOFAPPUCANT
RESIDENCE ADDRESS <~o ~. ~.
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH F'~
'"~PERCOLATION TEST RESULTS ~
,h~C/MAILING ADDRESS <~ ~ ~/.~ ff~HONE LOCATION OF INSTAL~TION ~Q
SEEPAGE PIT. ~ , DRAIN FIELD , OTHER
TO BE INSTALLED BY ~e ~g
~ ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ~ ~
.SE~ICTANKSIZE ~ TYPe C~T SEEPAGE AREA TYPE, ~r
DIAGRAM OF SYSTEM
· DISTANCES:
!
Health Authority
L
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
J
DATE APPLICANTS SIGNATU R E
INS, PECTION ' -- QUALII~ CONTROL~ ~/ / MATERIA~ TESTING
· SOIL CONCR~E ASPHALT /
NATIONAL TEeiNG SERVICES INC,
.April 17, 1969
Mr. Samuel Provost
2804 Valleywood
Anchorage, Alaska 99503
'bi
Re: Percolation Test - Lot It Block 3, Abbott Loop Terrace Subdivision
Dear Mr. Provost:
This letter is to certify that we have conducted a percolation test on
· the subject property.
The test was performed at the bottom of an eight-foot deep test pit
· . in the general area of the proposed sewage disposal facilities.
This test was made in accordance with the Greater Anchorage Area
Borough Health Department specifications as prescribed in Appendix
B of the National Plumbing Code, 1962 Revision.
Very truly yburs,
WED:Js
Attach.
NATIONAL 'i-~:STING SERVICES, INC.
William E. Duncan, Manager
March 12, 1969
Samuel Provost
2BOV Valleywood
~nchora~e, Alaska
ggsov
SUBJECT~ Water Supply Serving
~bbott Loop Terrace Subdivision
The subject water supply is approved by this office for the purpose
of ~{A financing.
This letter therefore servee as an approval for your home to be
built on Lot 1, Dlock 3, of the subject subdivision.
Enclosed you will find a copy of Ordinance No. 28-6B re£ardln~
sewage disposal practices. When you are ready to install your
sewage system at the sub~ect location, we will supply you with a
permit for doin~ so.
Sincerely,
DAVID R. L. DUNCAN, H. O.
Medical Director
DBH/srr
cc~ Federal Housing Adm.
David B, Harkness, R, S.
Sanitarian
1. This ~s an a~eenent between th~ Abbett :Loop Hoae (7.~ners Asses~
~ation and 'the o~mer of lot ! block ~ of Abbott. Lo~p Terrace.
~. For.$1.O0 and other consid~ratie~s th~ undersigned ~nd his h~irs
and assigns agree from. this day for,~ard to restrict or prevent the
place,~nt ~£:
a. A seepage pit or disposal field within 120 feet fro:~ the w~t~r
well located in th~ S.E. cor. of lot-7 block 2, Abbott Loop Terrace.
b. Sewers or.septic tanks within 80 feet of said well.
c. Any kind of contaminmtion within ~0 feet of s&!d well.
~. This agreement is intended to run with the'lnnd and is prepzred
at th~ direction of the Hsa"_th D~pt., Orester .~chcrmEe Area Bcrough.
~ c o~ n F D-~VqL-BD
· , ~C)lgdlgE REC.
~ DISTRICT