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SEAVIEW HEIGHTS BLK 2 LT 6 (LT 1)
(arDL‘ Lcy.m.vr.s Ply /7:-- • -- . MUNICIPALITY OF ANCHORAGE DEPARTivicNT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 '� ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE El NEW /kW/4,e/? ,/I�./ ,/9ff,v /' eot Y,v, pAx--,c,,/,‘ olii 10 79 LPG RAD E MAILING ADDRESS LEGAL DESCRIPTION f (yC �� L � L©t CAL //fa . i13d, 01 \ - A L 1 CA LOCATION NO. OF BEDROOMS PV, di/WO/VP ate-Vi), P4.-sr azd o 4 ve--7._ i?'/ A'/, sv/isAi PL 4 **�-� Well a f Absorption area r Dwelling 19' 1r PERMIT�tNO. . DISTANCE TO: '5� /S /004 UY 1-2 Manufacturer Material No.of compartments w 4 c/NkMeW47 bx/5r/ice/' caoicP N Liq.capacity in gallons Inside length Width Liquid depth /Z-D IF HOMEMADE: O Z DISTANCE TO: Well Dwelling PERMIT NO. o�Q Manufacturer Material Liquid capacity in gallons 2 I- 0 Well c'oMA1. Foundation Nearest lot line PERMIT NO. w= DISTANCE TO: 260"f /Li S. L°NE //'-5' Sczz 3 LL 2 No.of lines / Length of each line Total length of lines Trench width Distance between lines N/A �f / '7z /I? - Z•¢ inches I-7,c T ¢f- Top of tile to finish grade Material beneath tile N/4 Total effective absorption area 0 /1,6' # inches 70/z Length /�r Width 0 Depth /' r ex/57704/4PERMIT NO. /M,4. w (C� 0 4 I•- Type of crib Crib diameter Crib depth .. Total effective absorption area /� Z w a rfit-ii3LZt AI/A (G' /Z T� LL, WellBuilding foundation Nearest lot line ���r DISTANCE TO: t Z.' /5 J Class Depth Driller Distance to lot line PERMIT NO. J w DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS . IN \ PVG 6S-2(per,), FAST //e'0,1/ _ SOIL TEST RATING i INSTALLER -r, c) 04,5 CXe4vAr/H4 EX15S-096 / fs° 61°REMARKS SAS Afx /10A PE,'M'i j No, // 9 (4/77/1,/} p/o /Z` K 5"-- ---z.. Oa,6e/8 suN1> T' 8z' Ilei': TANK 1 /8r /Rppo&- , \\m over CoNNEer&I). ,Ve w /77,41= w/ / h G[&4/✓-olar3 mis;rilziz7, B�=71t/4E?/ 744/k -1 % l /9&./ �" N,S e/vo, .1/4----w 5 ) c'4( ce/t3, /4'OA '5-024 0 .-* ilk . 9� zs C4 5iNC6- C,��'//R WAs a - /4/5/: 'NLi 4o/ Q3.--2_. 0% 5 c d T✓�:e e` Ahfp i ;7)(° //Li"--, // . APPROVED DATE LEGAL jr' 6// fr..� LOT/ , B&&A' &I s&- ti//'v' /� suF�‘ C{� 72-013 (Rev.3/78) C'r/A ALASKA b1IUIROlm6f1TAL COf1TROL SCRUICeS, inc. engineering & 8nuironmental Studies June 20, 1985 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION Municipality of Anchorage Department of Health and Human •JUN 2 1QR� Services 825 L. Street RECEIVED � � � V � Dn Anchorage, Alaska 99501 R E Subject: Seaview Heights Subdivision Block 6, Lot 1 T12N, R4W Section 9 Comments on Design Modification Permit No. 850223 was issued to this lot for an upgrade of the septic system that had supposedly failed last year. In June, when the system was to be installed the excavator, Mel Christianson, discovered the crib to be dry. Further investigation showed that the pipe from the septic tank to the crib had never been connected properly. Research will show that this system was never inspected before it was covered up. The financer of the project directed the contractor, through the AECS engineer on-site, to properly connect the septic tank to the crib and install a 40 ft length of 10" diameter SB-2 sewer pipe. Cleanout pipes were installed on the crib, and in the lines between the septic tank & crib and the septic tank and SB-2 pipe. An inspection pipe was installed at the end of the SB-2 pipe as well. A tee was placed in the line for the SB-2 pipe as per the original design. The solid PVC distribution pipe that feeds the SB-2 system was already manufactured and in place when the faulty septic tank crib connection was discovered. The engineer and excavator decided that the line could be left this way with one tee blocked off instead of installing all new pipe. This tee can be used if needed in the future and can be found easily. The absorption area should be approximately 67% greater than required for the soil test rating for this lot. This is assuming that the dimensions for the crib shown in the MOA inspection report dated October 27, 1971 . Any questions regarding this matter can be directed to AECS, Inc. at 561-5040. Sincerely, try /, 47,4 Steven F. Cords Civil Engineer Project Inspector 1200 West 33rd Auenue, Suite B•Anchorage, Alaska 99503•(907) 561-5040 JOB Y/E5 S Ler f ,E ,E {p ALASKA ENVIRC `4ENTAL SHEET NO. OF CONTROL SERV.._f_S, INC. 1200 West 33rd Avenue, Suite B CALCULATED BY S� � DATE G B� ANCHORAGE, ALASKA 99503 CHECKED BY DATE (907) 561-5040 /"=ZO SCALE • • g• 58-Z _SY,ST i ./. .A/o,;Z • .............:.......................................................:.............f .........a ... ... ...... ...... ..... ..........I......... ........_........................ ..... • ..... .....d ...... ...._ ............:.... .. ......... .......... ..._ .............e.........a ..... .... ..... . .... .......................�......... ................. ..... .... ... `.. ............ ..... .. ..... .....,.. ,.... .... ...,... ..,............ ......_ .... ..... ..... a .... ...... ...... .......a ....... ..... • eiyi • • X p... • • n. . ............ y....... .................a.. ......... ... ...,..... .... .. ..... ...._ , ........... ... .............. ...... ..... .... t _, i i 3 SB-2 Pmt N + �a � �. �. l yovied."vpe • • fee 74r Akre'use ;.... ........ 2d •• • MOW ,Gmix Wm owl. . • # �~w ^ � '• ��L��� � ���_ I �� �� �������C������� � ' DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L^STREET, ANCHORAGE, AK 99501 264-4720 � -11.-IEE• El El F" Pi I � PERMIT NO 850223 ENGINEERED DESIGN DATE ISSUED: 05/24/85 APPLICANT: CAROLYN P ARK M1�L. ADDRESS 8601 SOMMER PLACE ANCHORAGE, AK 99502 CONTACT PHONE: 248-4079 LEGAL DESCRIP: SUBDIVISION: SEAVIEW HEIGHTS LOT: 1 BLOCK:. 6 SECTION: 9 • TOWNSHIP: 12N RANGE: 4W LOT SIZE: . 28A (SQ. FT. OR ACRES) LOT LOCATION: SOMMER PLACE ^� � �� �1 3 ����*� �������s =c 7� 7��' I certify that: Il as set 1. I am familiar with the requirements for on-site sewers andwells forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the deSign criteria of this permit. 3 I will adhere to all MOA and State of. Alaska requirements for the set back ^ ' distances from any existingwell , wastewater disposal system• or public w , sewerage system on this or any adjacent or nearby lot. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED DY MOA BUILDING CODES, THEN ( 1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICALWORK MUST BE DONE BY A LICENSED ELECTRICIAN. DATE: SIGNED ' • ' APPLICANT: CAROL~ PARKHILL DATE: ~~ • ISSUED BY ' ^, ^� -�������z_______---'--- -------_-� • ��_ - �_� � . �__� ��~� u� ~~ • . ' 1 SB2 WASTEWATER TREATMENT AND DISPOSAL SYSTEMS ADDENDUM TO PERMIT The SB2 wastewater absorption system is experimental in nature . This permit is issued upon the express condition that the Municipality of Anchorage shall be free from all liabilities and claims for damages and/or suits in the event of failure of said system to treat and dissipate wastewater effluent in accordance with all State and Municipal Codes and Ordinances . The Permittee hereby covenants and agrees to indemnify and save harmless the Municipality from all liabilities , charges , expenses ( including counsel fees) and costs on account of or by reason of such failure , and further agrees to replace said system with a conven- tional system within 20 days of a determination of failure . Date : /7— ?_r / Permittee (Applicant) : �i� /6" 1 Witness : KB/ ra/d4 4,0, / C ARI. L�G Cc,� lLf . 1. Property owner will allow periodic monitoring of system operation by AECS or Municipal personnel. 2. Geochem Inc. and property owner will jointly act to re- place the SB-2 system with a conventional design upon determination by AECS or Municipal personnel that the system has failed to properly function or treat and dispose of septic tank effluent, and that the Municipality shall bear no cost or liability in these efforts . I hereby agree to the above conditions, and to those written in the permit. Pro erty Owner Date *c✓ n-1771 @.A-v A/2�2 CP MUNICIPALITY OF ANCHORAGE ell -'1 ^f Health and Environmenta ''rotection 825 Street, Anchorage, AK. ;501 264-4720 /,67k, d TTEN PERMIT # # �i HANDWRITTEN Peri. t' # ,°o14-3 * # #- ON-SITE SEWER PERMIT �t MailingAddress : g c / Sc.-1,i/�GX. Z-• Applicant: ����y� P,eK� Location: '&-e- S Phone Number : a-,72-P— 3-9/ r to: ', /6K 6, Sr- v',E2.,e.) ,/ z Legal Description : 5E-c. 9, T/ice ie •/e-e.) Lot Size: 0. 2 4 Type of Soil Absorption System Is : S - z -pr Trench: -' Drainf ieelld: Seepage Bed : Holding Taik. Maximum Number of Bedrooms : Soil Rating (sq. ft/br) mss 4 t,',,../ pt= The Required ize of the Soil Absorption System Is : ' i' - � W // DEPTH D LENGTH • o GRAVEL DEPTH IDTH � - ZI/ 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) . * # REQUIRED SEPTIC(HOLDING) TANK SIZE = / Sb GALLONS # * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * PERMIT EXPIRES DECEMBER 31, 1 9 m, * I certify that : (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if t• residence is remodeled to include more that 3 bedrooms. Signed: / / . Issued by : ,1 t- ,— a e-0- App 'cant Date : 17M n. G� t.^Za,,p � use_ a Phu . `` , SWP/024 (l/8 ' c_,LT e QL %__ ( "...,/-•4.1-4_, 40A-CA4 , o ; • ALASKA ENVIRO c.NTAL JOB Sto. %' ' e / CONTROL SERVIC , INC. SHEET NO. / OF • 3 1200 West 33rd Avenue Suite B CALCULATED BY . a� DATE AA- / ANCHORAGE, ALASKA 99503 7 /fly Phone 561-5040 CHECKED BY DATE- SCALE ATE_SCALE /t- - • '1 b , e..4oitte.1.........../Pasped............girt V.A.k. . ... ...*- -.....-f..............1..... .. ... . a67,r.,_...... .... - ,Ner... ._..........j..........4eQ!-woaria..:,r.............if.40-1-4...........a ..............2 eel") tfrr.#..mill........a...........................,.................................................. 1.514 1 in 1-13$17./Z:' ....iM................._Y.........3........Aii.......=...isr-, ......t i'..........._€e S f?.0!7...........!4tro...t.........42GGrw..r..ar .............:........................._ d' „..._gig,. .,& 2_ p/pr) 2 el'.. ...<...e... mac , 4,-e.,1.............41,..14 ga, .fay: 2 . rime..,;.. per :/,21c,.....' 71..7p:7 P e-of _ /Z 8 < .._74, 74 s/ ' ./ie SC 4. 2'......s.......... .................o..P. ...C............RiF............,12ia!++p..c.........._....._G.s-l.e.._...... F© ........./e...:8..._ . 12,1 _ 1l0_/........................... I15PT//. OF. 8l/ /A4. 1 ' Feo/t/_ _ EX/57//1./ /eoan.,� �L//e,'9 ....................... to 77OP ..c7s5-Z P// E' Ni 'oCO2eecr/OA/ /N SPEC/ /eAT CW Z• 3 /' 513-2 __i ......._.........__ ....... I. Nor Z/.5&2) IN, TH/5 PE-..5-1 .N. S//DL/4D ,e'111) /CO '' S/ 3/BS /t.iiA, 7 GG 57l/ _ / /_CO. S .: owe_ E/V/l/,S/ -& .... VO7E- '..... CR/5 IS _ Pev- Se'P77C ro ele7/5. PiPe .PG / 6 R so,epr/1 ,'vg o,c Ce/a = 3/2 A/2- ... #0 WAR D ,e0 M ,v (i$DS,.i ) WANTS r /Nsat.L. .._.1 ='/0..." . S:13-4.. oI Z .......... .�e� .,58-2 - 400473) - ... .._�.. .............................. ,. 4,f6 ? mt _.. moteami/NWRI.L.siore.Ilts01471. • ALASKA ENVIRONMENTAL JOB See. Vie=..N Jhis 6 •L I • CONTROL SERVICE NC. SHEET NO. ' OF l 1200 West 33rd Avenue Suite B CALCULATED BY ` DATE /tier / c� / 1).1-i1).1-iANCHORAGE, ALASKA 99503 Phone 561-5040 CHECKED BY DATE_ SCALE / ' 20 ioygh/! L0 c of,'0-7 or SPS 2 r 7 S A-.-'-,--- k N. `^J o e b C INN:N \Ns 19 AO\. 512 p _----,0 II 6o \NNN Sepi- TA'ck - Eys! V -- ot,d r s P Pt �C L p ci .Fe;.ndalfun c,--.-,«,f E-x,,.,1•.w fi,b- _ ...i J . O etlr , € /or• • r� C : �� ih C: • i \P . t 1 • NKB..T2N-:.•A- kc G'*- Mr ON7: JOB- re.- ViCh� .IS i3' 6 L. • I ALASKA ENVIRONMrNTAL J L CONTROL SERVIC! INC. SHEET NO OF 1200 West 33rd Avenue Suite B CALCULATED BY 7:)•"-r7 DATE Nov ?'t ANCHORAGE, ALASKA 99503 Phone 561-5040 CHECKED BY DATE 1 SCALE 1/ 5 0..i1 V;cwA /cok,'�4 �pwordt f L.Lt)l . '('moa •p (« .:::liect 2) y-'_'so rid .Fvc ,'pc_-. •ryr ellen 6.1, 1,$•-••16 • e... ....... ., _ ........ ... M ... .... . • �y --- __•_�. TP' .K ' !I•.so i3O Pile • _. a I • 1 lox'.t Abs aA11: ti�� r •••' % ,,.) •w Nei • ., ' ` ;i ' ' &-a% %.0No. 2251•E•�,. a—....._.. ....Sea Sw E _ .. t ri i sod% P Y C y e... . ...._.4:„.• Tre' 64lfoil :: ," C/caef 044f w:Th/ JiehCA ... - ri . �b • i { —...5B 2 : •rcf level� .__ ,` . • S _. w • 9�f $ fi,�c up : _ •d—',•-7.'",••poi.yr>tir}enc g'1 f '�.0.1 o� a L e /••: r i ' y • 4 ei .' i S� S i ? I PlOYIV OL circ Gale.Man 010 ALASKA hilUIROI1III1TRL COI1TROL sekUIces, Inc. Engineering & Enuironmental Studies SEAVIEW HEIGHTS SUBDIVISION - BLOCK 6, LOT 1 - INSTALLATION INSTRUCTIONS/SPECIFICATIONS 1.0 GENERAL 1.1 The drawings, numbered sheets 1 through 3, are included in these specifications. All dimensions pertaining to lot lines, separation distances, and buildings are advisory and should be checked and confirmed prior to construction. 2.0 SPECIFICATIONS FOR THE SB-2 SYSTEM 2.1 The existing septic tank may be used. When the connection is made between the tank and the septic system, a clean out shall be installed at least 2 feet from the septic tank on the outlet side. The tank shall remain connected to the existing crib as well as hooking into the new SB-2 System. 2.2 The SB-2 pipe consists of perforated polyethylene (PE) pipe with drainguard fabric surrounding the outside of the pipe. It is important to ensure that this cloth is tightened about the PE pipe before backfilling. This can be accomplished by having one person lift one end of the pipe off of the pipe off of the ground while another person twists the fabric around the pipe until it is taut. One end should be securely fastened to the pipe with 1-1/2" black plastic tape (this type of tape is used by the telephone company). Once the cloth is twisted and secured with the tape at the far end the next section is then fastened to the previous section and treated in the same fashion. 2.3 An 8 inch snap tee shall be attached to the end of the 8 inch 58-2 pipe. The bottom of this fitting shall not be cut out since its purpose is for the monitoring of sludge accumu- lation. A rubber coupling can be used to aid in the instal- lation of the inspection pipe. 2.4 The distribution line should be placed on a 0% grade. The backfill shall be placed by hand and lightly compacted until the trench has been filled to a level about two thirds of the way up the side of the pipe. The remaining backfill can then be carefully placed in the trench. 2.5 As backfilling proceeds care should be taken to ensure that the standpipes and cleanouts are upright and undamaged. 2.6 Any fence that is in the way of construction shall be care- fully removed and replaced in better or as good as condition as before. 2.7 Once the SB-2 System has been inspected the backfill shall be graded to match the existing ground contour. 2.8 The grass shall be seeded with a fescue and white clover mixture. 3.0 INSPECTIONS 3.1 This design will require at least one (1 ) inspection by an AECS Engineer to ensure our recommendations of design have been followed. If AECS does not inspect this installation, AECS will not be responsible for any part of this design. The inspection shall be of the excavated trenches and of the pipe laid in the trenches. 1200 West 33rd Auenue. Suite 13•Anchorage. Alaska 99503•(907) 561-5040 II . ry 0f SOILS LOG MUNICIPALITY OF ANCHORAGE • CI PERCOLATION rr DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST � , /; 825 L. Street, Anchorage, Alaska 99501 264-4720 �// SOILS LOG — PERCOLATION TEST PERFORMED FOR: -at ►1 ISO r kA;1 } DATE PERFORMED: C>C �� 2— / Sit LEGAL DESCRIPTION: ,"Jiet") I\c:,— i_,r I"L►` C ¶ i1 SLOPE SITE PLAN DEPT-I (FdET) ( 1 - ( CA- e ce1 an,.(S t t�\ I (o' 2 y>l c 7/c'''N''' 3 r►k v cc)b - G vj CIC^, 1,-...,e ,-...,c � ��Osc 7,.. 5 - re4ecr v ' 6 - 7 - a N 8 - _ - 9 `� II & .� --'•_.c!<. .4'1,.�4 ,r./0. 10 - d - `" S S Y 'e-1-e-' c' WAS GROUND WATER 1 1 - `.� L ENCOUNTERED' O �� ISS �' ItiP 12 - E To.�`� IF YES, AT WHAT DEPTH? 13 - 14 - Reading Date Gross Net Depth to Net • Time Time Water Drop 15 - l 16 - ( f \IQ59F44 4-, • 17 � . h., i 19 - 20 - -- PERCOLATION RATE (minutes/inch) - / TEST RUN BETWEEN FT AND FT COMMENTS S'. t _t.N "1 3 'iu (0 -•, VcS ,a1\,1 r,`"',L__+',j C YS Cl_ b; c, t to -to 7---<rf-<-7(`---r i( PERFORMED BY: �R<< Y>\uA S� INC-1-1 CERTIFIED BY: DATE!/� / r 72-008 (6/79) 1- GAAB•HD•1 GRE ER ANCHORAGE AREA BOROU DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME ..a/ft./. ----- . 7/GL�� ADDRESS f226 7 _..s."42./;7/4472...r- c PHONE Z.-34j1 e,rc.c y k 4) LOCATION fp//7,,,-/LS' a-7-,-- LEGAL DESCRIPTION GOT 4 6Z -./2 0' ir�`a SEPTIC TANK: L) ‘k- a(p 1-09 _ NUMBER OF / DISTANCE FROM WELL 4 t MATERIAL GO �i/'c-/� ,&'Tc COMPARTMENTS '797/ �js'//t/ /9 " • '`i-' LIQUID LIQUID CAPACITY /-'2"•-•-4-2' GALLONS. INSIDE LENGTH ' INSIDE WIDTH c— DEPTH 4 SEEPAGE SYSTEM: SEEPAGE PIT: '1* .p24)4"� e -.03.,.9 ---sc -S-L)./z..- f�A/ /i� ' NUMBER OF PITS / OUTSIDE DIAMETER 1----- OR WIDTH A4 LENGTH / - DEPTH LINING MATERIAL e C «�Q Cid X/.2XG. )TANCE FROM WELL /�U /7- , BUILDING FOUNDATION�O NEAREST LOT LINE _.2 "' . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) —7/_2 74" SQ. FT. TILE DRAIN FIELD: /v//4 TOTAL LENGTH DISTANCE FROM WELL , FOUNDATION , NEAREST LOT LINE OF LINES , NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH • . = ECTIVE ABSORPT o AREA SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE DISTANCE FROM WATER WELL: TYPE.00.,4/,-V-.G".27 , DEPTH -3-�c ,BUILDING FOUNDATION. `--- SAMPLE /1/. /1./.4 , NEAREST NEAREST �� SEPTIC SEEPAGE OTHER LOT LINE •••••• , SEWER LINE ,TANK ' SYSTEM '--,-CESSPOOL , SOURCES DIAGRAM OF SYSTEM DISTANCES: xE�7 - T,9,✓K7 SEr'fJ9 ,,,,-7-- ' ,- • "Vt.' j .. fib , odv��ov .co.G v .n/zoi'e.tro <'Q.'�1,041- , ,V'i .'. 4.4( ; _,-,,,,,,,,,s.•A,s//�J. ,4/. w z,occ o/ s 1.4 tet- cP 2' 4w-..6.7'....e47 "14-4Y-7v dss¢.e«�/�J/4" "9//.09aeL ✓E-v 1fi91� p,✓EXcs#,"pf# - f/514/a s C -e- DATE ..(/e-"; 7 /f7/ APPROVED e' / G.A.A.B. GREA'i ER ANCHORAGE AREA BORuJGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE. ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT 3 NAME OF APPLICANT /l/ ��- � �� // MAILING ADDRESS '�7 7 ��m S C_t PHONE 3 l INSTALLATION LOCATION/ ///J/J[�/j/v/�/ LEGAL DESCRIPTION r/G� / "' / { ' ' 5 -6`: v INSTALLATION OF: SEPTIC TANK SEEPAGE PIT , DRAIN FIELD . OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH - TO BE INSTALLED BY y / G - /7I NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST SOIL TEST RESULTS COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE / TYPE !ib-r � S E�PAGE AREA SIZE -- -- - TYPE MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM 7 , FOUNDATION TO SEPTIC TANK / FOUNDATION TO SEEPAGE PIT . DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK . SEEPAGE PIT , DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK • . SEEPAGE PIT DRAIN FIELD , ALSO CONSIDER AREA WELLS. WAVER MAIN TO SEPTIC TANK , SEEPAGE PIT - DRAIN FIELD /[./) • gii.TIC TANK, , SEEPAGE PIT . DRAIN FIELD TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 ICH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT 'ITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. / v G HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREA R CHORAGE Aft A BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. I/I/ DATC71:( / APPLICANT'S SIGNATURE Ml t " : GREATER ANCHORAGE AREA BOROUGH % f) Department of Environmental Quality } 3330/ Street, Anchorage, Alaska 99503 274-4561 51` ) Date Received November 22, 1976 $-et Time of Inspection 1:,„1(-) p;yL Date of Inspection ji_,fin- 7/,`((iLs REQUEST FOR APPROVAL OF . ah h a . INDIVIDUAL SEWER & WATER FACILITIES FOR V.A. 1 . Approval requested by: National Bank of Alaska % Ruth Mailing Address: Post Office Box 3-3859 Phone: 279-2506 x 16 2. Property Owner: Russell Backhus Phone: 344-6349 Mailing Address: 8605 Somers Place 3. Legal Description: Lot 1 Block 2 Seaview Heights 4. Location: 8601 Somers Place 5. Type of facility to be inspected Single Family No. of bedrooms 4 6. Well Data: A. Type Community B. Depth 35-e C. Construction / )-Z Q D. Bacterial Analysis 0, k, 7. Sewage Disposal System: On-site system A. Installed B. Installer 1 C. Septic Tank: 1 . Size / Zs') 2. Manufacturer D. Seepage Pit: 1 . Absorption Area 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 • Page 2 of two pages - RE ;t for Approval of Individual x & Water Facilities Legal Description Lot 1 Block 2 Seaview Heights Comments 2,.. attad ,e,w4 t ..,6,..„...,„o , ,A,,..,,-, r -1 A,L.„ Di sapproved t / Date b/-1-9‘, A Prov .lrir Arliff, _ .��.�� - - I— (3-1 7Appro I Valid for one year from date signed _. Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM CU.p.2� q -v /u-P- e'° ' dem: 5 ,y,,,<;", ,/ -1, 7 . 4 4{ rs-,--1z ,---1,0' ot--1- 0 jAel.42; ....c„eAry__e esyymot-,,t --44er-diX-4 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)