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HomeMy WebLinkAboutSCHROEDER LT 83Schroeder Sip 05o os z 3q oco Lo to 61 Mr. G °ATER ANCHORAGE AREA BORO"GH HEALTH DEPARTMENT NO 776 _ 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 _ INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM GAS' — MAILING NAME- �i�%l�//��'� �lC����' 7�� ADDRESS�C PHONE LOCATION LEGAL DESCRIPTION_Z_-/i_zf_'=//�%�- SEPTIC TANK: 5 Z ST `� NUMBER OF DISTANCE FROM WELL MATERIAL —COMPARTMENTS LIQUID LIQUID CAPACITY.—��� GALLONS. INSIDE LENGTH_ INSIDE WIDTH_ ( DEPTH SEEPAGE SYSTEM: _ SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH LENGTHS DEPTH_ 5 , i LINING MATERIAL DISTANCE FROM WELL e-01" BUILDING FOUNDATION NEAREST LOT LINE ��� / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) �6� SQ. FT. f TILE DRAIN FIELD: /v�/// DISTANCE I -ROM WELI NUMBER OF LINES DISTANCE BETWEEN LNES ABSORPTIq ASQ. FT. LENGTH REA H NEAREST LOT LINE TRENCH TOTAL LENGTH OF LINES-_, IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE_ IN. ABOVE TILE _- WELL: ii✓��rvi���=� — DISTANCE FROM WATER TYPE DEPTH `�� BUILDING FOUNDATION. _SAMPLE-� NEAREST i NEAREST SEPTIC SEEPAGE OTHER LOT LINE SEWER LINE // TANK 5 SYSTEM CESSPOOL_ v SOURCES G DISTANCES: /}TD c z:- 80 DIAGRAM OF SYSTEM rPY�f .T c 7 DATE G' f� APPROVED_ HEALTH AUTHORITY �. 'v__ c 7 DATE G' f� APPROVED_ HEALTH AUTHORITY GRE.A aR ANCHORAGE /AREA BOF JGH p,lr,wnan n a` b DEPARTMENT OF ENVIRONMENTAL QUALITY Y O ' 3330 "C" STREET ANCHORAGE, ALASKA 99503 Sell gl Il ll f TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT MAILI NAME OF APPLICANT N A _1—��`'5 E � ESS INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK _ SEEPAGE PIT---, DRAIN FIELD--- TYPE IELD_ TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED TO BE INSTALLED BY PERMIT NO -L '_14* ' jrL 3/ HONE OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE: SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE AREA SIZE DRAIN FIELD DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT SEPTIC 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 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATHONS REGARDING INSTALLATION, G.A.A.B. OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM 15 IN ACCORDANCE WITH SAIL) CODE. DATE APPLICANT'S SIGNATURE _ FORM NO. EO -016 GREA ['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 /Gni/ y NAME OF APPLICANT ' �(0/ 4' �(��-./,� /��/f[ MAILING ADDRESS "'"�' �r r INSTALLATION LOCATION h1Ps/✓t'441 - / #4�L' LEGAL DESCRIPTION YJ `y PERMIT NO. PHONE ""���� INSTALLATION OF: SEPTIC TANK - SEEPAGE PIT DRAIN FIELD OTHER , TYPE AND SIZE OF FACILITY T`/OBE SERVED � �e � � ez", FINANCED THROUGH • /,��/ryI� / / TO BE INSTALLED BY �y SOIL TEST RESULTS ' "41ypyt-1 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 '41ra` SEEPAGE AREA SIZE �^ TYPE0- MINIMUM DISTANCES, REQUIRyE�MENTS FOUNDATION TO SEPTIC TANK J , may[ A FOUNDATION TO SEEPAGE PIT `� O DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL , v SEPTIC TANK, SEEPAGE PITO DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD J -e 6 WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT • ©6 / ALSO CONSIDER AREA WELLS. SEEPAGE PIT ' C / /p, /. SEPTIC TANK, SEEPAGE PIT ` V� 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 /%.' LI -''c HEALTH AUTHORITY OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GRE ANCHORAGE /AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRI D SYSTEM I[/S IN ACCORDANCE WITH SAID CODE. DAT _�"-/ APPLICANT'S SIGNATURE .Ey�2ii�✓ \ /p 'C- l�-/l.ti-�✓/ D��DDS� 1'0R 89p80V!\L 0Y'I00IVI0J/\J, S[,\�Dll AND WATER T"8CIITIj"V �un�iug Security Tu:titutiou DcqoesL� _____ HUN{C)PA[lTY OF AWUHOKAC[ DLPARTM[N JF U[A[T11 A@� [NY[1R0NHF.NT/ PR0TFCT}ON i 825 SLzcei, /\ooboraon, &lasko 99501 ] 4 7 November 16, 1977 D��DDS� 1'0R 89p80V!\L 0Y'I00IVI0J/\J, S[,\�Dll AND WATER T"8CIITIj"V �un�iug Security Tu:titutiou DcqoesL� _____ Pacific Mortgage ComCompanyl. 2. Pzopcztv 0wu*z_Gtuart/Gbicley_MilIar277_3608 ___ 3. I,cqal Dcncriyt�oo; _Lot 83 Schroeder So6divisioo_______________�__�_�_�_____ 4: Sj n9le PaIII iIV Xcs[�(.!cuw X) 0umbcr of Dedromuo~Two_�'__' �oIt�plc VamiIy 8CsJ_dcooc. ( ) Number of Bcdzoumx: 5, Well Sl'atcm: Iu3ividual Nell (`) C1mmuu�ty/Pxhlio SyoLem ( ) Depth of VY -ll Wolo o I(ilc ( ) construotino }laotorial 6. Sewage Disposal �yxLco� 0n-sJ1_c Syotcu (X) Pvbli.r OLUJty ( ) Permit- � Iuvt�jllcd Iustaller SeSt�c Ta Ilk Sizc _. MuuufocLuzrz Absorption Area So.Us Bate` Material r 1. Di s, taucou Ncl1 to Sc1-tic taok to IboozpLLon &roa An tu S(-_�wcr Lille, Nearest L0L l�uc 7�bxor�tiou &rca to mcarc�;t Lot Li-nc pace Two De"pi.irLment of - Si. [7o,- [lppr(_)VZI I ()f -1 Ild i-vidlta 1. S("'2j- all(l I-C"I Legal Lot 83 Schroeder Subdivision C'onunenn is MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 1crn�u 2510 East Tudor Road, Anchorage, Alaska 99504 276.2221 — REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. 2. 3. 4. 5. 6. I 91 'Type of Inspection: CMRO VA Property Owner: MILLAR, Stuart $ Shirley Mailing Address: unknown Name of Buyer: MEEHAN, Patrick $ Ellen MUNICIPALITY OF ANCIIOka.G DEPT. OF HEALTH F: ENVIRONMLNfAL PROTECION w0V 16 1977 h�EIV CONY- XX Day Phone: 277=3608 Mailing Address: 112 Chickaloon Street, Eagle Rim Phone: 272-9911 work phone at Safew< Name of Lending Institution: SECURITY PACIFIC MORTGAGE CORPORATION Mailing Address: 1011 East Tudor Road Suite 190 Phone:_ 276-1933 Name of Realtor or Agent:_ Alfred Romasxewski-Area Realtors Mailing Address: Parkgate Proffesional Bldg. EaglPh4ber 694-9555 Legal Description:_ Lot 83, SCHOREDER S/D Location: MHN Iris Street, Eagle River, Alaska Type of Facility to be Inspected: single family No. Bdrms. 2 Water Supply Type of Supply: Public Utility ^ Individuals XX If Individual, number of dwellings presently served —� If Individual, depth of well — Sewage Disposal System Type of System: Public Utility Individual (on-site)_ XX If Individual, date of installation — 72-003(3/76) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection ^!° REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address:Phone: 2. Property Owner: __- Phone: Mailing Address: 3. Legal Description: 4. Location: 5. Type of facility to be inspected No. of bedrooms 6. Well Data: A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: A. Installed 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: A. Well to: Septic tank Absorption area _ Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line , Sewer Lines , EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Regi t for Approval of Individual Si r & Water Facilities Legal Description Comments Approved Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM 01= SYSTEM 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 EQ -034 (1/74) Date TREATER ANCTIMAGE AREA 30ROUGH MiALTH DFPART11!ENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 279-2511 DATE INSPECT: TIML: REQUEST FOR APPROVAL OF U INDIVIDUAL SEWAGE AND WATER FACILITIES FOR 1. Approval Requested By W'/ "/1Z L Address X, 4/ Phone 2. Property Owner Phone. 3, Legal Description 4. Type of Facility to be inspected Number. of Bedrooms S. Well Data: A. 'I'ype_-11—)ILZL-- - L' B. Depth 1 i- '! C. Size, W D. Construction E. Bacterial Analysis G. Sewage Disposal System: A. Septic Tank (If homemade, show diagram on back) (110 1. Size 1f) 2. Age 3, Manufacturer. 4. Installer. D Approval Request for. Sew, & Water Facilities Page Two B. Seepage Pit 1. Sized x �, y 2. Lining_ % ry ; r ,., , C. _ DisposiA Field 1. Number of Lines 2. Total Lengthy 7. Required Measurements A. Well to Septic Tank) B.. Well to Seepage Pit C. Well to Sewer Laine D. Well to Property Liner E. Well to Other Possible Contamination F. Foundation to Septic Tank J (j' G. Foundation to Seepage Pit (='� H. Seepage Pit to Property Line 8. COMMENTS: DISAPPROVED: DATE: ( ( IA I I , It? DATE: APPROVAL 1ALID FOR ONE YEAR FROM DATE SIGNED GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT ED1170