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HomeMy WebLinkAboutSCHROEDER LT 11Schroeder 5 lb LD 0 61miew,16 GF \TER ANCHORAGE AREA BOROF ` H HEALTH DEPARTMENT N0 355 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME��'�/`/% /�L%��.�/1/�'5��/ _ADDRESSG'% S�%/>_/,�� PHONE��� LEGAL DESCRIPTION SEPTIC TANK: "7 / NUMBER OF DISTANCE FROM WELL _/ MATERIAL__% L �r.I COMPARTMENTS LIQUID CAPACITY GALLONS. INSIDE LENGTH INSIDE WIDTH SEEPAGE SYSTEM: SEEPAGE PIT: LIQUID DEPTH__ NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH �`� LENGTH DEPTH 1. LINING MATERIAL DISTANCE . DISTANCE FROM WELL,BUILDING FOUNDATION NEAREST LOT LINE Wil, ` - TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) -' <n 0 SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTI AREA , FOUNDATIO ISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE NEAREST LOT TRENCH W TOTAL LENGTH OF LINES_ IN. TOTAL EFFECTIVE DEP?H: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENE=ATH TILE IN. ABOVE TILE_ WELL: 1;7 DISTANCE FROM i WATER TYPE DEPTH BUILDING FOUNDATION., -_'4 -?_,Z__ SAMPLE_, NEAREST NEAREST ��-SEPTIC / SEEPAGE OTHER LOT LINE Z!a SEWER LINE , TANK SYSTEM CESSPOOL SOURCES DISTANCES: 9 UG a gi DIAGRAM OF SYSTEM J DATE ��� -� G' � /r"/✓ APPROVED •�" �""� / '��" ��C' HEALTH AUTHORITY c GAAB-HD-2 GREATER iNCHORAGE AREA 1 )ROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT Case No. Z�6 NAME OF APPLICANT WAA, . �-�(/17 /",`�.�� AILING ADDRESS.�r�` HONE NO REST E CE ADDRESS Rl u'k/Z LOCATION OF INSTALLATION_ �d4Q .: LEGAL DESCRIPTION 07'U. APPLICATION TO INSTALL: SEPTIC TANK. ���SEEPAGE: PIT_ /�� 13R/41"N-Fift13�— 6FHI="R:: TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESULTS TO BE INSTALLED BY ANTICIPATED DATE OF COMPLETION"/) - ,z 3 _-L_22__ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT 4411 /1 9 THIS IS TO SERVE AS PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE O���OF UNIT TO BE SERVED.,_�� zi SEPTIC TANK SIZE , o a TYPEi -SEEPAGE AREA TYPEL DIAGRAM OF SYSTEMS '7 / ✓ DISTANCES: ' �]j -4,,� - 7- HEAI-TH AUTHORITY OR rl LICENSED DESIGNER I certify that I am familiar with the requirements' of Greater Anchorage Area Borough Ordnance No. 28-68 and that the above described system is in accordance with said code. DATE _ 2, � � 7 G APPLICANTS SIGNATURE��� (1 T!me Time Date Date Date T f/ Inspector Inspector Inspector Comments^� Conditional Approval ®®s , r . u �o� cl ;s 02 Date Sewer Installed Permit No. Septic Tank Size / — 0 Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank ,APPLICANT FILLS OUT LOWER HALF ONLY ropertY �wn r•) J ` ; '� >, -�F( t J c 1 � Phone ailing Address i Yer ddress i• ��v o0 2 endIng Institution Q0tA l e, Phone re , rKRy4b'RAgent �- sy_sr_ C '�¢ (?W iN. Sit Address �c vt � �f' N 4 Legal Descriptio _f)" Street Location TypepyResidence CCTT Single Family ❑ Multiple Family No. of Bedrooms ❑ Other WatepplY Individual ❑ Community ATTACH' -WELL LOG. A well log is required for all wells drilled since June 1975. ,Per wells drilled prior to that date, give well depth (attach log if _❑ Public Utilict ^^� ^^ available. Sewagge,�BBlsposal� ET Individual Year individual Installed:__-_- ❑ Public Utility When Connected to Public Utility: ---- El Holding Tank IUOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BF: INITIATED. til 11tjt l! 11 f EXCAVATION WORK March 2, 19£32 Cindy Bradford Box 110 Marcus Street Eagle River, Alaska 99577 Dear Mrs. Bradford, Reference: Lot 11; Schroeder Subdivision ROBERT A. SHAFER CIVIL ENGINEER 694-2979 A sewer system adequacy test was performed on the system located on the referenced property r:1s you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. r.Phe seepage pit was charged with 900 gallons of fresh water and after a period of 24 hours all the water which had been added to the crib had percolated out. It can be concll.>ded from this test that the waste water disposal system serving the three 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 service, please do not hesitate to call. ely, BLRT IArER, P. E. AS/ss CC, Paramount Realty ATTENTION: Louis Rochon Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA Ile River Area 0 Uw GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality �G;»1110 JAW4y �'°° 3330 "C" Street, Anchorage, Alaska 99503 2744561 Date Received January 24, 1977 Time of Inspection Date of Inspection-1��LL11LrL1n1Ac REQUEST FOR APPROVAL OF l'n9=I• INDIVIDUAL SEWER & WATER FACILITIES FOR onv. 1. Approval requested by: First National Bank of Anchorage Mailing Address: Post Office Box 720, 99510 Phone: 276-6300 x 482 2. Property Owner: Clarence/Diane Brunton Phone: 694-9770 Mailing Address: Post OfficeBox 110, Marcus Street 99577 3. Legal Description: Lot 11 Schroeder Subdivision 4. Location: 5. Type of facility to be inspected Single Familv No. of bedrooms 3 6. Well Data: A. Type Individual B. Depth C. Construction �e D. Bacterial Analysis 7. Sewage Disposal System: on—site system A. Installed 1971 B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: 65' 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 - Regi t for Approval of Individual SE r & Water Facilities Legal Description T,ot 1 1 Schroeder S uhd iy; Gion Comments Approved _ XdAA�f Disapproved _ Date Approval.Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certity that the information contained in this request for approval to oe a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date 2. C 0 MUNICIPALITY OF ANCHORAGE DEPT, OF HEALTH & DEPARTMENT MUNICIPALITY OFHEALHIA DOENVIRONMENTAL AGE PROTECTION ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276.2221 JAN 2 Q 1977 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES RECEIVED Type of Inspection: CMRO VA FHA_—_CONVI Property Owner:_ �/q jCr_�. ccs �/�%� /f1 �� -�"'K C/ -V 7-eA-) Mailing Address:E O /`K //C) X44-,( U S — Day Phone:— � �» ZrA7 4 [: r✓ Name of Buyer:_%'�N�/� Mailing Address: D / �� t �� N�df iirt 9�6 /%Day Phone:— Name of Lending Institution: i sE1�p;T� Mailing Address:�6 ZZ- jIV-t) ���j� Phone:_ 5. Name of Realtor or Agent: Mailing Address: / c)'Z, �S' 9�� 72 Phone:- 6. Legal Description: �--� %~ Location:��� 7. Type of Facility to be Inspected: ZXAldA `S � � � No. Bdrms 8. Water Supply Type of Supply Public Utility— Individual If Individual, number of dweliirigs presently sarv�d If Individual, depth of well __SQL `/ le 7- 9. Sewage Disposal System Type of System: Public Utility .3 Individual (on-site)_ If Individual, date of installation 72-003(3/76) GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 _ DATE RECEIVED:// INSPECT: TIME REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR 1. APPROVAL REQUESTED BY:__ &Cad ADDRESS: PHONE: 2. PROPERTY OWNER: 3. LEGAL DESCRIPTION: PHONE :d1���� 4. TYPE FACILITY TO BE INSPECTEDSTREET:_�LY� NUMBER OF BEDROOMS: r ,�.,-„�,,; 5. WELL DATA: A . TYPE_ ILfLT�X B. DEPTH 6 �� C. SIZE�,� D. CONSTRUCTION E. BACTERIAL ANALYSIS �I ('� VIV 6. SEWAGE DISPOSAL SYSTEM: A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK) 1 . SIZE- 2 . AGE 3. MANUFACTURER(��y�/�j��� 4. INSTALLER APPROVAL REQUEST FOR SEWER & WATER FACILITIES PAGE TWO B. SEEPAGE PIT I 1 . SIZE`�y 2. LINING ;f ,r ti r _ 1 C. DISPOSA,J., FIELD 1. NUMBER'0J; LINES 2. TOTAL LENGTH_ 7. REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK B. WELL TO SEEPAGE PIT C. WELL TO SEWER LINE D. WELL TO PROPERTY LINE %c E. WELL TO OTHER POSSIBLE CONTAMINATION F. FOUNDATION TO SEPTIC TANK G. FOUNDATION TO SEEPAGE PIT H. SEEPAGE PIT TO PROPERTY LINE 8. COMMENTS: APPROVED ISAPPR0VED:_��� DATE: j ti _ DATE APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY REPORT OF INSPECTION—INDIVIDLIAL SEWAGE -DISPOSAL SYSTEM PRIMARY TREATMENT consists of [:j Septic tank. 0 Cesspool. Septic Tank: Distance from well—feet. Material, __ Number of compartments Total liquid capacitY,_ __ gallons. Capacity inlet compartment,__ Inside length,_. _ __-_feet. Inside width,_ feet. Liquid depth, -_feet. Cesspool: Distance from: Well,_feet; foundation, __feet; nearest lot line at ❑ front, 0 side, ❑ rear, feet. Inside diameter, _fort. Depth, feet. Liquid -capacity, gallons. Lining material SECONDARY TREATMENT consists of [—] Tile disposal field. El Seepage pits. Other r r r r • TOTAL LIVING UNITS BEDROOM$ New installation •_ SYSTEM ESIGNE )F BDRMS.1 GARBAGE ' .L fJ--- Yes NoN No sommnr. GG G'GGG:G MENEMMMM ■■NEMS■N ■ MENE■.ON Ill SEENMNM ■■ G.■G■G..EG....■■:G■GG■.■■GG.G■GMME ■■■■E■ SOON NONE NONE M■N■M NJ G:... wn:E:�G GG=000G MINE G N 0 E:E s■__ No G GGG: ■■ Nn ■■ ■■■ M GGG NN■ EE GG mom M ■M■■ EE Mason G.0 0� oleo o ■aiourEgirm..GOWN GGGGG ■■G■■ONE W ■■ MEN ■■INN ■■■■■ EG N GG_�EGGGoGGG GGMNN M=N■.NN.■ an ■■ ■N■ NE.EMEM■IEEEESEE ■■■■■ ■N .■ G•�N■ ■NM ■ MI G0 GGGG ■■N■ON No G. ■ MIN MINE E. .r■S■■r■ M.MEM■N■■■ 0 .EGGE :E:: s:::G. ::GGG ■ ■ 01 GGGG ■ ■ . : onM■■■.MMM N.■EE■NE■.EME .Ei1.E.Gi.EiEfil.r■...E�IG=■ElY.GNi�lGE�.E..MM�■ GS: ■. MM■=N'GGG ENoG: .:...Ei■■GiN.i.:...■■..G/.�. ■■ ..■. ■'ME:'I: ■E iON ■ ENGE G .■..G.■.i.■GG■r � �iG. ■ REPORT OF INSPECTION—INDIVIDLIAL SEWAGE -DISPOSAL SYSTEM PRIMARY TREATMENT consists of [:j Septic tank. 0 Cesspool. Septic Tank: Distance from well—feet. Material, __ Number of compartments Total liquid capacitY,_ __ gallons. Capacity inlet compartment,__ Inside length,_. _ __-_feet. Inside width,_ feet. Liquid depth, -_feet. Cesspool: Distance from: Well,_feet; foundation, __feet; nearest lot line at ❑ front, 0 side, ❑ rear, feet. Inside diameter, _fort. Depth, feet. Liquid -capacity, gallons. Lining material SECONDARY TREATMENT consists of [—] Tile disposal field. El Seepage pits. Other