HomeMy WebLinkAboutLot 01<I I sl t)
�WA
eph, , " llc
/� §�� . \ �� :
\�\\� « \ ?
til\L_fr I k'. I\ ik14k► ri` I\t%wL i -IRI - F% Mw •.•+��
r
Department of Environmental Quality
C � �
o 3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
L,/"ti (JO��f�f!)lII�I MAILING ADDRESS S/ DJ 3Y�lJ a9�('"&VOt PHONE_pQ�1"!>e
LOCATION Eq�1t' V '�✓F r / LEGAL DESCRIPTION -/IN H /%N
SEPTIC TANK:
DISTANCE_ (.
FROM WELL 1T� MANUFACTURER
INSIDE LENGTH - INSIDE WIDTH
SEEPAGE PIT:
NUMBER OF PITS DIAMETER -
NUMBER OF /
MATERIAL(faMCh"( 7'_la COMPARTMENTSC
LIQUID DEPTH LIQUID CAPACITY 12 tf9 GALLONS.
OR W IDTH �_20 � LENGTH 7Z DEPTH
LINING MATERIALCOhCtAf CRIB SIZE: DIAMETER�DEPTHCDISTANCE FROM: WELL —_
��--pp� TOTAL EFFECTIVE
BUILDING FOUNDATION�� , NEAREST LOT LINE ABSORPTION AREA (WALL AREA) rI �� SQ
ADDITIONAL ABSORPTION
WELL:
TYPE -CYt IIC CONSTRUCTION
DEPTH
DISTANCE FRGV
BUILDINGNEAREST NEAREST SEPTIC _ i SEEPAGE
i 7
FOUNDATION �, LOT LINE 2Gal SEWER LINE TANK ( SYSTEM
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
DISTA NCES: Ct Ir/�%- 7
/TT�C`
13(5,
Ayo_2 Url
=20Ur
s
INSTAL//LED BY: -
CUL��LLd CF 1 55 �1
PIPE MATERIAL_:
-_Ca C"
LOT SLOPE:
REMARKS:
REMA
DIAGRAM OF SYSTEM
o
N L__��_-.----
V
DATE APPROVED ✓_QS�LS (/1C��1"- l�,J�.
('AAB
nom'. �. _. ��,...
Foran PW 026� � � �'- �'C,14/ ,
A
11 " %.2) 'kms a ISA 5\ f F_ 1— B 1 V 4JJ u y B._ ", e_-? r—, 9_F a% e I 'All c-+ 1 a I v I I i -I t V 9
,WNER OF LAND
.DDRESS -.__....................__.-. _-...--.__. _---- .. __.__.
JELL SITE -_.... /L /�G7, ` La/4-A_
�A'rE---STARTED - APR k,
,ATE --ENDED Al _f �1.. R L-
(ND OF FORMATION:
'ROM
._FT.
TQ.-�.._._.._._.I'"i'.-/.
DEPTH
OF WELL
l
. -n ..-_
"z'o)P .... ...
F'T!i J
(_..flu,._F
FT.
TO...t°:)
TO 1 /.' �._.-._...FT(_../Cp
IJ) ,51 Cq
ROM-
..-w --__.-_
WATER
FT.-.cr`.�..r�:...i......._..-.-
..__.._-.-.11"I'..S..J.
t. .�._.....
, ROM ---.r7.?
-_.-
_._F -f.
TO
ROM.....1
l?.----._I'-T.
TO.
13 .. L....._.__FT..I`f..f-i
PER HI1. ....-....-/.
'I70M--•.
---1- _.--._.FT.
TO
f..i/.-..--__-..F'T.St:)>J_(,,'
KIND
OF C.l.SING
'ROM__`
/ _.__.
FT.
TO.
</
F"I'.
TO.
IISCL. INFORMATION:
NAME.
DEPTH
OF WELL
l
. -n ..-_
"z'o)P .... ...
F'T!i J
(_..flu,._F
FROia l �1./,l_....._F'I'.
TO 1 /.' �._.-._...FT(_../Cp
IJ) ,51 Cq
SFATIC
LEVEL OF
WATER
FT.-.cr`.�..r�:...i......._..-.-
FIinM2.`.
FT.
110 11
DIIJT�W
DOWN FT,
GALS,
PER HI1. ....-....-/.
`�
--
KIND
OF C.l.SING
NAME.
I ROM - / �.f�}}a��-...-.-_F•-
T.
l
. -n ..-_
"z'o)P .... ...
F'T!i J
(_..flu,._F
FROia l �1./,l_....._F'I'.
TO 1 /.' �._.-._...FT(_../Cp
uy)14
I'll 0M I r).3
_FT.
TO -)A.0
7. .
FIinM2.`.
FT.
110 11
7D
FROM } 1,/
NAME.
5. LEGAL DESCRIPTION
DATE RE--CEIVE��D,
INSPECTION APPOINTMENTS
TIME
TIME
TIME
6. TYPE OF RESIDENCE
q;03� Q M
DATE
DATE
DATE �7
❑ Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
INSPECTOR
INSPECTOR
INSPECTOR
p>r��
ATTACH WELL LOG. A well log is required for all wells drilled
MUNICIPALITY OF ANCHORAG
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT]OPhVIRONMENTAL PF:o"fl1CTION
825 L Street - Anchorage, Alaska 99501
0
c'� r
ENVIRONMENTAL SANITATION DIVISION
CN INDIVIDUAL/ON-SITE**
Telephone 264-4720F
� ^ ��
D
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND
SEWE L I S
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTYOWNER
I PHONE
Tony Bockstahler
694-2323
MAILING ADDRESS
P. 0. Box 762, Eagle River, AK 99577
PROPERTY RESIDENT (If different from above)
PHONE
2. BUYER
PHONE
Steve Newcomer
MAILING ADDRESS
SR Box 5713, Eagle River, AK 99577
3. LENDING INSTITUTION
PHONE
1st. National Bank of Anchorage
265-3440
MAILING ADDRESS
P. 0. Box 7201, Anchorage, AK 99510
4. REALTOR/AGENT
PHONE _
AREA, Inc., Realtors, Myrna Johnston
1694-9555
MAI LING ADDRESS
Box 249, Eagle River, AI< 99577
5. LEGAL DESCRIPTION
Lot 1, Sapphirine Subd.
STREET LOCATION
NHN Eagle River Lane
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
EA
❑ One KI Four ❑ Other__
SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
n INDIVIDUAL* *
ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.) 292
8. SEWAGE DISPOSAL SYSTEM
CN INDIVIDUAL/ON-SITE**
1972 YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
CHEMICAL & GZ,,eLOGICAL LABORATORIES LF ALASKA, INC.
TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER
274-3364 5633 B Street
LABOR RIES prinking Water Analysis Report for Total Coliform Bacteria ..
TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY
WATER SYSTEM: Analysis shows this Water SAMPLE to be:
I.D. NO. ❑ Satisfactory
❑ Unsatisfactory
Water System Name
Phone No.
Mailing Address
-
City
State Zip Code
(
SAMPLE DATE:
Mo.
Day
Year
SAMPLE TYPE:
❑ Routine
❑ Check Sample (for routine sample t ❑ Treated Water
With lab ref. El Untreated Water
C1 Special Purposee
SAMPLE
NO, LOCATION
1 1
2 L
3
4
5
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
Time Collected
Collected By
❑ Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received
Time Received
Analytical Method:
❑ Fermentation Tube
❑ Membrane Filter
Lab Ref. No. Result' Analyst
l—�—J F
l--�J Q�
.Noof colonies/100 ml. or No. of Positive portions.
06.1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1978
Date Collected
Hours
Multiple Tube Report:
Membrane Filter: Direct Count
Verification: LTB
Final Membrane Filter Results.
Reported By
Time
source
a.m.
p.m. Lab. No
loml I loml
1.0m1 1 0.1m
Broth 24 hours: Broth 48 hours:
10ml Tubes Posltive/Total 10ml Portions
Collform/1001111
RG R
Date
Coliform/100ml
a. M.
p.m.
EXCAVATION
WORK
ReMax Realty
ATTENTION: Virginia xohfield
P.O. Box 848
Eagle River, Alaska 99577
ROBERT A. SHAFER
CIVIL ENGINEER
6942979
September 17, 19WJ'\!C-
,ral.ITv
'—iON
IV
Dear Mrs. Kohfield,
Reference: Lot I-, Sappihirine Subdivision; Bocksthaler property
A sewer system adequacy test was performed on the system located
on the referenced property, as you requested. The septic tank was
pumped and verified to have a capacity of 1250 gallons. The seepage
pit was charged with 1200 gallons of water and after a period of 24
hours 880 gallons had percolated out of the crib.
It can be concluded from this test that the waste water disposal
system serving the two bedroom residence located on this property
is currently functioning adequately. However, the system cannot
be guaranteed against subsequent failures.
If we may be of further assistance, please do not hesitate to call.
since r .ly,
.y
4;�RTfSIE
A. S'iAFER, P.E.
1s
cc: First National Bank of Anchorage
Main Branch
Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER. ALASKA
THIS SIDE FOR OFFICIAL USE ONLY
NUMBER OF BEDROOMS
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY ❑ ONE ❑ THREE ❑ FIVE
MILY ❑ TWO ❑ FOUR ❑ SIX
❑ MULTIPLE FA
PERMIT NUMBER
2. WATER SUPPLY
❑ INDIVIDUAL
DEPTH OF WELL
❑ COMMUNITY
DATE DRILLED
❑ PUBLIC UTILITY
Connection Verified
LOG RECEIVED
PERMIT NUMBER
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
DATE INSTALLED
❑PUBLIC UTILITY
Connection Verified _
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size: If Tank is homemade
SOILS RATING
give dimensions:
TYPE OF TANK
MANUFACTURER
MATERIAL
TOTAL ABSORPTION AREA
septic/ Holcling Tan
4. DISTANCES
WELL T0:
Arxnrnfinn Area to nearest Lot Line
5. COMMENTS
on Area Fewer
(APPROVED FOR __ BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED i
--c
❑ OTHER