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)