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HomeMy WebLinkAboutFLAT TOP VIEW #1 BLK 1 LT 7APAV. 'Oi '3ill ooo GRE;,. :R ANCHORAGE AREA .BOR .JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAOE DISPOSAL SYSTEM LOCATION LEGAL DESCRIPTION X/.~7' "~ ~/4 / F~?T~f ~'.~/ SEPTIC TANK: ~ f~h~f/~ ~, DISTANCE ~ COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPAClT~GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION NUMBER OF LINES I DISTANCE BETWEEN LINES ABSORPTION AREA-.~6 SQ. FT. LENGTH OF EACH LINE ~.~) I DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE ~1 ~_. MATERIAL BENEATH TILE 7 WELL: j TYPE O I TOTAL LENGTH _ I NEAREST LOT LINE._/_~~ Of LINES /~//~ TRENCH WIDTH~.~ IN. TOTAL EFFECTIVE IN. CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION__ LOT LINE__ SEWER LINE__., TANK , SYSTEM CESSPOOL OTHER SOURCES APPROVED DISTANCES: DISAPPROVED REMARKS ~-I / SEWER LINE DEPTH: PIPE MATERIAL: ~'/' LOT SLOPE: REMARKS: Form EQ-O32 DAT E6 -,,,,~-2~ APPROVE/D~ G.A,A.B. · . ,i,.i ~l.,~ I~,. ,,.',.=,.,.',',',',',',',',~/m'~,~,*,'~.. '~'~' ,,',,~.. ,',~-.,'...,,,-~.-,~,, ~, ,'..~',,..~.'.. · , · ~.,,..,-,~ - -¥ .... · ~. '-;' ,. ~. -,.' ...... . .. ,.,.. ....:; : . ,.,'. ,~:?:.',~ :,;~k. '"t-?; .,',~:;.., '. ~' ..: · ' ,:~ · ~:~J. I~ '~..:'-'.~', 't';',2. ' - ' . -'.:CLX INC.H,~:W/~TER W~"I l_ DRILLED AND CASED OUT TO THE DEPTH .:' .. ~ ,.'~;]:.~f' .'.,' ;~ · . , ': ' "' "~,:','.'~,'~-" ':' FOOT. '.DRILLEd'AT THE 'FLATr:' OF · WELL LOG: · 3e C~Arge ~er ~id_ttiena~ casing 24 inche~ above present ground .level. OeeC' e£ Well eea~ COST INCLUDES ALL LABOI{ AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING %¥ORKS FOR THE SUM OF __ THANK YOU VERY h'IUCH. '' , B.Ef~NIE CLAUS OF RAMPART DRILLING WORKS : '. ' 'SERVIC~ C~,AI'I~EOF IV,% ~ER MONTH WILL BE ASSESSED ON PAST DUEAC~OU~: ; · ' ',:';"''.: ,.. .... ?~?'..~ -v ~' -I PERMIT NO. HUN I c'r PRLI TY OF RY~CHORRGE DEPARTMENT OF HERLTH AND ENVIRONHENTAL PROTECTION 25i0 E. TUDOR RD. ~ RNCHORRGE~ AK. 995~7 276-222i ~ELL RND ON--S I TE SE~ER P~R~d 7~ie4 ) RPPLICANT LOCATION LEGRL RON HRBLUTZEL DEARMOUN RD L7 Bi FLATTOP VIEW SRR BOX 248 LOT SIZE 344-2~0i i3860 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RRTING THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= S LENGTH= ~ GRRVEL DEPTH---'- 5 THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). EITHER A CLRSS I OR II NSF APPROVED PLANT MRY BE INSTALLED, R CONTINUOUS MRINTENRNCE RGREEMENT IS REQUIRED. IF R t'IRINTENRNCE RGREEMENT IS NOT KEPT CURRENT YOU MRY BE REQUIRED TO ENLRRGE THE SOIL RBSORPTION SYSTEM AND/OR YOU MAY BE SUBJECT TO PROSECUTION. IF A CLRSS~ SYSTEM I$ USED THE LENGTH IS ~,~ 0 FEET. IF R CLASS ~I SYSTEM IS USED THE LENGTH IS ~. 0 FEET. BRCKFILLING OF ANY SYSTEM WITHOUT FINRL INSPECTION AND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R HELL AND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR R PRIVRTE WELL OR 200 FEET FOR R PUBLIC WELL. WELL LOGS RRE REQUIRED AND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER I NSTRLLRT I ON. PERt1 I T Vi:IL I D FOR ONE YERR FACt1 ISSUE I CERTIFY THRT i: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. ~: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MR¥ REQUIRE ENLRRGEMENT IF THE " w " Departmeh~ of Health and Environmental Pr~¢ction SOILS LOG PERCOLATION TEST Performed for Mr. Ron Hablutzel Date Performed Mav 13, 1976 ~gal Descriptio~ Lot 7, Block 1, Flattop View Subv., Anch., Ak. r Z- ML ML 4,,- SW SW SM m- SM SM I~,_ SM SM SM 16 Poorly graded (200)" Poorly graded (20~) Poorly.graded (200) Poorly .graded (200) Poorly graded (200) (250) (250) v (250) (250) (25o) (250) (250)' ~(25o) DEPTH , ~,%-~X Net Time 8' 39 minutes Depth Net Drop 5/16 inches 6' 60 minutes ' 3 15/16 inches Percolation Rate 15 minut~ per .inch in 3/8' zone =/So f " APPLIC" NT FILLS OUT UPPER HAl-" ONLY Prol~erty Owner / ,/~/Z~Z. Mallin, Address."'?_.~ /~)./~ y ~y ZipCodo Buyer Phone Address Lending Institution Address Realty Co. & Agent Zip Code Zip Code Phone Phone Address Legal Description Street Location Type of~;lesldence [~,~$1n gle Family r'l Multiple Family [] Other [~lndividual I-I Community F1 Public Utility Sewer Disposal ~ndivldual [] Public Utility Fl Holding Tank Zip Code No. of Bedrooms ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log If available). Year Individual Installed: When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: APPROVED BEDROOMS DISAPPROVED CONDITIONAL APPROVAL* MUNICIPALITY OF ANCHoP,~GE DEPT. OF HSALTH ~'~ [NVIRONM~NI'AL PROTECTION RECEIVED *CONDITIONS OF APPROVAL Soils Rating Date Sewer I,nstalled JWell To Absorption Are~.~ ('~',)c) Well to Tank C IWell Log Received Septic Tank Size ALASKA IILIIROrlm IqTAL COilTROL S RuIC $, IllC. ~nOineerJnq G ~nuironrnenlal SludJes September 13, 1983 Municipality of Anchorage Department of Health & Environmental Protection 825 L. Street Anchorage, Ak. 99501 Re: Health Authority On September 13, 1983 our company collected a water sample from the house located on Lot ? Block 1 Flat Top View Subdivision. The property owner is Linda Shea. The water analysis was satisfactory. A copy of the report is attached. The well is located over 100 feet from the septic tank and over 100 feet from the leach field. The electrlcal wires are encased in conduit. All the standpipes are capped. The well casing stands are 2 feet 3 inches above ground and has a sanitary seal. '.' 1200 LUest 33r0 Auenue. Suite B · Ancl~oraq~. Alaska 99503 * {907) 276-1361 ALASKA 6RUIROFImlgRTAL CORTROL ~nqincerincj ~ ~nuironmcnlal Studies INC. SEPTEMBER 13 1983 LINDA SHEA SRA BOX 248 ANCHORAGE AK 99507 SELLER - LINDA SHEA BUYER - SUBDIVISION - FLAT TOP VIEW BLOCK - 1 LOT - 7 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 700 SQFT, THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY, THE SURGE CAPACITY OF THE SYSTEM IS 789 GALLONS, BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR'A 4 BEDROOM HOME. -- - The septic tank was~R~d on July 28, 1983 by Midnight Pumping. paid ck ~ 1389 SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. 1200 LUcsl 33rd J~ucnue. Suile B * ~nchor(~qe, Alaska 99503 "' (907) 276-1361 DIRECTIONS= Complete all parts Qn page 1. Incomplete ~u~ts will not be prnc~ssed. Please allow mn (10) days for prncesling. 1. PROPERTYOWNER MAIUN~ ADD~ PROPERTY RESIDENT {If different from above) PHONE BUYER MAIUNGADDRES$ PHONE 6, ,.EOA.,,,.c.,.,)o. "-°k q ..EET'O .,ON TYPE OF RESIDENCE {~'~NGLE FAMILY ['-1 MULTIPLE FAMILY 7. WATER SUPPLY [~DIVIDUAL* r-~ COMMUNITY [] PUBUC UTILITY 6, SEWAGE DISPOSAL SYSTEM [~'~N DIVI DUAL/ON-SITE ** NUMBER OF BEDROOMS ~ One ~ Four  Two ~ Five ~ree ~ Six [] PUBLIC UTILITY I-'1 Other * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975, For wells drilled prior to that date, give wall depth (attach log if available.) **If individual/on.site, give installation date '-~ (~o If system is over two (2) years old an adequacy test is required by ;his Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATE[X 72.01013/78) TIME DATE 'INSPECTOR DIREC~ONS: . ./ THIS SIDE FOR OFFICIAL USE ONLY ~< DATE RECEIVED INSPECTION APPOINTMENT8 TIME TIME DATE OATE INSPECTOR INSPECTOR 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF REDROOM~ [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SI X 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified [:]Septic Tank or F-IHoldingTank Size: give dimemions: TYPE OF TANK PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER If Tank is homemade SOILS RATING MANUFACTURER TOTAL ABSORPTION AREA 4. DISTANCES WELLTO: AI3~orp~on Area to nearest Lot Line MATERIAL Septic/Holding Tank 5. COMMENTS [] OTHER Nearest Lot Line [:]3-~ROV ED FOR _"~ BEDROOMS [] CONDITIONAL APPROVAL (letter must ~'~np:ny certificate) [:~ISAPPROV ED LEGAL DESCRIPTION 72-010 (Rev. 3/78)