HomeMy WebLinkAboutSCHROEDER LT 37Schroeder
,
D I
GAAB" GR' TER ANCHORAGE AREA BOROI y
DL, ARTM€NT OF ENVIRONMENTAL QUALI'I
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279.8686 _ __
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
ADDRESS IiFX c `� L C h
NAME__%`/f1L'/%--SC [;/��PHONE-
SEPTIC TANK:
EGAL DESCRIPTION �( .'i
( '7(G -� NUMBER OF
DISTANCE FROM VJELL_JI ')'_ _MATERIAL ____COMPARTMENTS
LIQUID CAPACITY_ Ll -C( __GALLONS. INSIDE LENGTH INSIDE WIDTH_
SEEPAGE SYSTEM: SEEPAGE PIT:
LIQUID
DEPTH
NUMBER OF PITS -----/L-— OUTSIDE DIAMETER _OR WIDTH LENGTH_ �� ,DEPTH (I ,
LINING MATERIAL= r/?',V'y' DISTANCE FROM WELL__ 19- BUILDING FOUNDATION
NEAREST LOT LINE_ 1 /0 14/—NOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
FOUN
ANCE BETWEEN LINES
SQ. FT. LENGTH OF EACH LINE
NEAREST LOT LIN
H WIDTH
TOTAL LENGTH
OF LINES_
IN. TQ'LAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
_
_IN. ABOVE TILE__
WELL: I�.
TYPE f
/
��
DISTANCE FROM WATER
_LL DEPTH_
/
,BUILDING FOUNDATION.—
NEAREST
tv` NEAREST
LOT LINE SEWER LINE
SEPTIC
TANK
�� '
�- SEEPAGE /�
�'� !('(`_,
_ OTHER
,
SYSTEM--- CESSPOOL-_,
SOURCES—
DISTANCES:
DIAGRAM OF SYSTEM
N,
(�4 ..I.4
-71
♦--.-� C h I
w X
ff I LL
r
DATE G- - APPROVED_'
GREH i'ER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6.650
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
��r ; �s%
NAME OF APPLICANT _ r����i(/ �+�/.�j%,�—�� (/%��� v���'�-_ r
MAILING ._-
ADDRESS PHONE
INSTALLATION LOCATION
LEGAL DESCRIPTION
—Js G�� }�i�/�%l"✓'�"1 s -/_.'jam.
INSTALLATION OF: SEPTIC TANK
y�
SEEPAGE PIT ,!.
DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED _ --� o!`��.%A l%=�= j y/ -,u -s ✓,,- _ �,�F_ i lY'�. _ y
FINANCED THROUGH
TO BE INSTALLED BY
SOIL TEST RESULTS c:/�_'-% `,�/� �J"(�'jZ�j�i!
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
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 ,.Si = -% — SEEPAGE AREA SIZE TYPE
TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
A
FOUNDATION TO SEEPAGE PIT /�; DRAIN FIELD _
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK SEEPAGE PIT Z!J DRAIN FIELD
TO NEAREST LOT LINE.
i
WELL TO SEPTIC TANK'- •
SEEPAGE PIT !_J _
DRAIN FIELD ALSO CONSIDER AREA WELLS.
i
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD_���-
SEPTIC TANK,-�`?>!� SEEPAGE PIT..! /��f 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 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
HEALTH AUTHORITY
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE /-/��
APPLICANT'S SIGNATURE
-
APPLIC
'4T FILLS OUT LIPPER HAL ONLY
Prouerly Owner _;
/� fY ./IJ e� /J (i
jY f -✓
)t/r/.%
�f� -- --
Mailing Address
Phone
/lr ✓.� �>
Dat
'
Zip Code /�-
E� (_ ], / L
Buyer
Inspector
Inspect r
/
Address
y-
Field Notes:
Zip Code
Lending Institution
�1�
l %
_
Phone
Address
Zip Code
Realty Co. & Agent
( APPROVED BEDROOMS
'CONDITIONS OF
APPROVAL
( ) DISAPPROVED
Phone
Address
DATE _
BY:
Zip Code
Well To Absorption Area d •'"
Description
]2013 13182)
Well to Tank E �'
r
Location
S/ <) � A' ��
.7- ,
of Residence
Single Family
Multiple Family
No. of Bedrooms
❑ Other
Water Supply
KI Individual
EJ Community
ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
El Public Utility
For wells drilled prior to that date, give well depth (attach log if available).
Sewer Disposal
—
P Individual
❑ Public Utility
Year Individual Installed: jf
❑ Holding Tank
When Connected to Public Utility:
NOTE: THE: INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
'ti 7—
Time Time
Time
v �
Time
Date - Date
Date
Dat
Inspector
Inspector
Inspector
Inspect r
y-
Field Notes:
L
,
b
( APPROVED BEDROOMS
'CONDITIONS OF
APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
'
DATE _
BY:
Soils Rating Data Sewer Installed
Well To Absorption Area d •'"
Well Log Received
]2013 13182)
Well to Tank E �'
r
Septic Tank Size
t11
P`
EXCAVATION
WORK
Century 21, Heritage Homes
ATTENTION: Earl Chapel
Star Route Box 126
Eagle River Road
Eagle River, Alaska 99577
January 25, 1983
Reference: Lot 37; Schroeder Subdivision
ROBERT A.SHAFER
CIVIL ENGINEER
6942979
MUNICIPAL]TY OF AFCF!`)2AGL
pcor
ENVIFJ-d: _i CiJ
2
RE( -E- IED
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 1000 gallons.
The seepage pit was charged with 1.000 gallons of fresh water
and after a period of 24 hours all the water which had been
added to the system had percolated away.
It can be concluded 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.
.Sincerely,
R013ERTJA. SI�AIER, P.E.
RAS/ss
i
cc: Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA
9
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHcr.
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DEPT' OF HEALTH
CPIVlkJh ;.". ;,4 PROT'a i1CN
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224, 225 11t
REQUEST FOR APPROVAL OF `1 " i)
INDIVIDUAL SEWER and WATER FACILITIES " r� .
� KVED
I.
Type of Inspection:
VA xxxxx FHAT
CONV_. __
2.
Property Owner:
Henry Harris
AK 99577
Mailing Address:
-Box 180, Carla St-, Eagle River Day Phone: --694
2660 _
3.
Name of Buyer:_
John W. & Maureen E. Jones
Mailing Address:
_
Elmendorf AFB, AK 99577
21-503, Lemon St'' Apt A, Day Phone:_
752-2994
4.
Name of Lending Institution:__ coast Mortgage Co.
Mailing Address:
P.O. Box 1200, Anchorage AK Phone:__ 279
0665 _
5.
Name of Realtor or Agent:_
Alma Werre, Selective Realty
Mailing Address:_
Box 1065, Eagle River, AK Phone: 694
9524
6.
Legal Description:_Lot
37, Schroeder Subdivision
Location: __
Carl a Street, Eagle River, AK
7. Type of Facility to be Inspected :� single Family —No. Bdrms.
8. Water Supply
Type of Supply: Public Utility Individual_.__, xxxx_
If Individual, number of dwellings presently served 1
If Individual, depth of
9. Sewage Disposal System
Type of System: Public Utility-_-_ _-Indiviclual (on-site)
xxx
If Individual, date of installation 1972
72.003(3/76)
MUNICIPALITY OF ANCHORAGE En-
1i DEPARTMF, OF HEALTH AND FNVIRONMEN. PROTHVION
JJ 825 Street, Anchorage, Alaska •99501
279-25.11, ext. 224 or 225
` Date Received: April. 26, 1977
41: Time -Al If 2: Time
I13: Time __L_cQne�L
Date �_� Date !_C
--') �-1-�-7-Z ��. Data Ins � �
Insp Insp -
REOU),,
S`J, J?OR APPROVAL OF' .INDIVIDUAL SEWER AND plA`.PLR'PACILITIF.S — —
1. Lending Institution Request: Coast Mortgage Company
Mailing Address: Post_Office Box�1200_99510- Phone: 279-0665
2. Property Owner_: Henry Harris
Phone: 694-2660
Mailing Address: Box 180 Carla Street 99577
3. Legal Description: Lot 37^Schroeder Subdivision
4: Single Pamily Residence: (x) Number_ of Bedrooms 3
Multiple Pami-ly Residence: ( ) Number of Bedrooms.'.__.__ -- _
5. Wel]. System: Individual Well (x) Community/Public System ( )
Permit It ,- - -- Depth of Wc) _.
�� -- Well Loy on P lle ( )
C�
Construction
----. __ 13acter.ial Analysis
6. Sewage Disposal System: On-site System (x) Public Utility ( )
Permit IiInstalled 1972
---•--____---- Installer
Septic Tank Size -- _..---�—�-�— Manufacturer
Absorption Area _ Soils P.aL:e ---`---�--�--^---------
--- Material
7. Distances: Well to Septic Tank
to Absorption Area _
to Sewer_ Line _— Nearest Lot line A
-------- �__---__-_ labso_rpL-:i_on Area
to Nearest Lot Line
Pag- Two
De-,pa.rtme-n L- of Heal l.h and -I nv i ronmental prof ec. ti.on
Request for Approval of Individual Sewer and Water Iac:i.l.it_i_e.s
Legal Description: Lot 37 Schroeder Subdivision
Comments:
D
Affadavit Attached: ( ) Letter Attach( cd- ( )
A.Ppr'ovec3 ".
Disapproved: �� �._.�-.-------------.__
L)epas'tment Worksheet=:
�f Sf1—/--
D
2 (lk-,
1)erldr{1'7H':'.g Of "n l3 Yti5,1'rt nr a.l i�,1 it yF t�
3500 T'Jdor '?i l An,,h,nr. iF Alae k,?
TI.I-(. of Tnsnect:ion
')at.o of 'rr!sn(,C{'i.on
1
% �"
P-Wr rVTDUE`i �.? ori 7 ,'ll' i i1r, T. rYA
rl:c
IIA A
7
1. Anpro!(al. ?eque;stccl '� •: ��
2.
3,
Address:
Prooerty Owner: AI KIM
4. J,oCc)tiOjj:
Legal. Description: � ;i '� �`���
'/ �- )
.Onr - -> to
0
5, Tvne of Facl lite i:n F 1',•s r+q
Numlber of Bedroom;>: -
6. 'Nell Data:
A, Tvne
C, Constrt.!ction
7. Sewage Dis,)osa). :ivstern:
A.
C. Septic: Tank- 1..
( � r
D. .3e(jl)aqe pit: 1. 2.
F
lnsfaller �•
Manufacture
materi a I f- a..
Disposal Field: Trit:al c,enq{;h of Lit;e!s
8. D:IsIt; a;,ces: _....,._
A. Well To: SCUtiC �
Absornt'Ion Area(�1C% Sewer Lines
v
I
C (..) �"
... X81 1.
In i oil
B. Foundation i;ci (c,R :7 r, 'Cank
ArmoYntion Ar -a
C. Ab;,orntion Ares Line,
ilQuost for Approval of r. '.'4'.dual bcwnr &''rioter 140111ty,
Par ? Two
9. Comments: f
lir o„e r{Aporovai Mid for One War pate 31,,,(3
Greater Anchorage Area iorounh, Deja tpety{ nf •,-•t �
"T't,` ?Air` fid' SYSTO!,
clw(' 9
Q-
il
I lcertixy that the
information
c.ontpine! in this
and accurate represe
t 3tt c of
the "'"
request for approval
to bera
true
sewer
and water facilities
.located
at:
Ci:�nF:d