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Home My WebLink AboutCRESTWOOD LT 2L I0 GRE.~-~R ANCHORAGE AREA BOF~JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE ,.j FROM WELL ,NS,DE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPAC ITY~GALLONS. TILE DRAIN FIELD: ABSORPTION AREA 300 SQ. FT. LENOT" OF EACH LINE DEPTH OF FILTER TYPE BUILDING FOUNDATION __ CESSPOOL APPROVED CONSTRUCTION DEPTH NEAREST NEAREST SEPTIC SEEPAGE LOT LINE , SEWER LINE__, TANK SYSTEM OTHER SOURCES DISAPPROVED REMARKS DISTANCE FROM: DISTANCES: INSTALLED BY: J~'I/,V.,,Vt,~, SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM Form LQ-032 C~I'-.I---_=; T TE PERM I T N0. ,:'. '-"";'??=',, _.._..~, ) RF'F'L I F:l tNT LAC:FIT I OI'.I I_EGFIL r'l IJ [-~ I C: i,..~" R L I T "-,'" I_-I F R I'-.I I-': iv~i E' R I-i E DEPRRTMENT OF HERLTH RND ENVIRONI'dENTRL PROTECTICN 825 "L '" STREET., RNCHORRAE, BK. _9.'95C1'1 279-25ii "._~E L-..IE P-. P E F-." I"'1 I T FOREF10ST HOPI['~ BRRRY RVE L2 CRESTWOL3D SLIBD '::'.~2-< BROOK DR L0T SIZE 40000 S,..:!IJRRE FEET TYPE AF SO I L RBSORBT 10N SYSTEM I S ' TRENI-:H blRXIMI..IM NUMBER OF BEDROOMS 501L RI=IT I NG ,:: SQ. FT,-'BR ) = :1. E~0 THE REQLIIREC, SIZE OF THE SI]IL RBSORF'TION SYSTEM IS ' E:. E F" 'T H = ~L-'_-; L E I'-,,I ~3 T H = "':~=: ~: '3 R R '..-" E L [:, E F' T H = 4 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE. OF THE GROUND RND THE 80TTOM OF THE EXCRVRTION (liN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). RE~'-~..LI I F-'EE:, SEF'T 1' C: TRI'-,II,-~:: '_=. T ZE= .:.1._ ~.-:lL----~ L---'~ I3RLLC~I'-.IS T i-.-I C, .:: 2 ::. I !'-.I S F' E C: T T !_--i r--~ ~-~ R Fl:.. E E' E i~.! LI I E: E E:, E:RCKFILLTNG 0F RNY S'-r'STEM WITHOUT FINRL INSPEF:TIAN RI'ID RPPR0',,,'RL BY THIS DEF'RRTMENT WILL BE SIJBJECT T0 F'F.'-~SE-UTION. MINIMUM DISTRNCE BETWEEN R WELL RND 8NY ON-SITE SEWRGE DISPOSRL SYSTEM IS t00 FEET FOR R PRIVRTE WELL OR 200 FEET FOR R PUBLIC WELL. SPECIFICBTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F'EI:~:I"I I T '-,,-"RL I E:. FI:IF-: I__II"-,IE 'T"ERF-: FF-:~:II"I I SSLIE I CERTIFY THRT t: I BM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH B'¢ THE MUNICIPBLITY OF 8NCHORRGE. 2: I WILL INSTRLL THE S'¢STEM IN RCCORDRNCE WITH THE CO[:,ES. _~:: I UNC, ERSTRND THRT THE ON-SITE SEWER SYSTEM MR¥ REQUIRE ENLRRGEMENT IF THE RES I[:,ENCE IS REMODELED TO INCLUDE MORE THRN 2: BEDROOMS. S I GNEE:, · 8PPLt~Z:RNT FOREI"IC~ST HOMES ISSt_E[, BY [:,RTE GREATER ANChORAge ARea BOROUgh DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO SE SERVED FINANCED THROUGH SOIL TEST RESULTS /~O ~ SEEPAGE Pit DRAIN FIELD OTHER TO BE INSTALLED BY NOTE~ THIS PERMIT IS NOT VALID WITHOUT ~OIL TE~l' COMPLETION DATE ANTICIPATED 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 SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMEN'r~ _...- / FOUNDATION TO SEPTIC TANK ~ FOUNDATION TO SEEPAGE PIT C~// , DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL S f SEPTIC TANK ,, SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPT,C TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PITi TO RIVER, LAKE, STREAM. , DRAIN FIELD SF~.~E PIT ALSO CONSIDER AREA WELLS. , SEEPAGE PIT , DRAIN FIELD 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. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER DIAGRAM OF' SY$'T'EM I CERTIFY THAT I 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. FORM NO. EQ-016 Performed For Leaal ~escrintion: Lot '~__Block~ This Korm Renorts Soils Lo~ Foremost Homes Date Performed Subdt¥isi0n Crestwood yes 5/23/77 Percolation Test .nenth Feet Soil Characteristics 6" Pe~t ~ fi" Reddish Sandy Gravel 10 12 14 16-- 18-- 20-- Bottom of Test Hole ' I , Was Ground Water Encountered? No I~ Yes, At what Denth? iReadinq Date Gross Time Net Time Depth to H20 Net Dron t " I ' Percolation Rate flinute PrnPosed Installation: Seenaae Pit Drain Field Deoth of Inlet Denth To Bottom Of Pit Or Trench C~ENTS' 100 Square. F~et drainage area re~l~r~d ~r h~nnm Test Performed By _ Data Certified B~:CONSTRUCTION TEST David Paul Date: 5/23/77 ~cc~,c .,~r,lt,n c Co, ~'~ /¥2¢ E. Cho'~e,- CDc_Il L% "2 ~ro~,e I MUNICIPALITY OF ANCHORAGE DEPARTM ¥ OF HEALTH AND ENVIRONMEr ,L PROTECTION 82~ L Street, Anchorao~o Ala~-~a 99501 264-4720 Date Received: December 29, 1977 #1: Time 11:00 a.m. #2: Time #3: Time Date 12-30-77 Friday Date Date Insp Buchholz/Allers Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska Pacific Bank Mailing Address: ~1 West 5th Avenue 99501 Phone: 276-3110 e Property Owner: Mailing Address: Howard Smith/Foremost Services 2523 Brooke Drive Phone: 349-4631 3. Legal Description: Lot 2 Crestwood Subdivision 4: Single Family Residence: ( Multiple Family Residence: Number of Bedrooms: Number of Bedrooms: Three 5. Well System: Permit # Depth of Well Construction ~~ Sewage Disposal System: On-site System Individual well ( ~ Community/Public System ( ) 113' Well Log on File (x) Permit ~ Installed 1977 Bacterial Analysing', Public Utility' ( ) Installer Septic Tank Size Absorption Area Manufacturer Soils Rate Material Distances: Well to Septic Tank %~D% to Absorption Area %~% to Sewer Line Nearest Lot line ~0 Absorption Area to Nearest Lot Line ~JNICIPALITY OF ANCHORAGE ~ * *"' D~EPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION "~.! ' ' ' 2510 East Tud°r R°ad' Anch°rage' Alaska 99504 276'2221 REQUEST FOR APPROVAL OF '~ i!~' ' 1 TINDIVIDUAL SEWER and WATER FACILITIES ': ype of '~ · Inspection: CMRO VA FHA Property Owner: Howard Smith DBA; Forem. ost Mailing Address: 25~3 Brooke Dr. Services CONY x3Dcx3ocxx Mailing Address: Name of Lending Institution: Al_~.~k_~_ ~aaific Bank Day Phone: Mailing Address:_ 604. W 5t:b Phone: ,,276-31 '10 Name of Realtor or Agent: Totem ~.~3 tv Mailing Address: 72~. E 15th /~ Phone: 272-05~7~ LegalDescription:. ~Z~/~ C~ '- ~c~.J ~~4-~ Type of Facility to be Inspected: .,q_~ ~1 ~. ~Rmily Water Supply :x:zxxxxx Type of Supply: Public Utility No. Bdrms,~'~~ Individual If Individual, number of dwellings presently served If Individual, depth of well //~ I one Sewage Disposal System Type of System: Public Utility If Individual, date of installatiOn 6-1~-77 Individual (on-site) Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 2 Crestwood Subdivision Comments: Affadavit Attached: (') Letter Attached: ( ) Date: Date: Department Worksheet: