HomeMy WebLinkAboutSWISS AIRE LT 1
GAAS-HD-I
G~. ~,TER ANCHORAGE AREA BORO' ;H
D"R~ARTMENT OF ENVIROBIME~ITAL QUAL~I'¥~
3500 TUDOR REA[:) ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
MAILING
ADDRESS
DISTANCE FROM WELL c'~')...~.J~.
LIQUID CAPACITY /~'~ O~''''~ GALLONS.
NUMBER OF /
MATERIAL .~.~(='~d~.~,.T?~ ~'~./jJ~_J~T?'---~.~-' COMPA[~TMENTS
LIQUID
INSIDE LENGTH ~ INSIDE WIDTH~DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS /' OUTSIDE DIAMETER ~ OR WIDTH /~ . LENGTH /,~'~ , DEPTH
LINING MATERIAL ~-~.~,J~',,~-,:--T.-'~-=~-~ ~,~--:--~'~'~' . DISTANCE FROM WELl 'L~/"~?,""';*-*-*-*-*-*~' /'~ ~ , BUILDING FOUNDATION
NEAREST LOT LINE_
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL FOUNDATIO_~N
NUMBER OF LINES ~ LINES'~
OF EACH
ABSORP SQ. FT. LENGTH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
NEAREST LOT LINE
TOTAL LENGTH
. OF LINES
TRENCH WIDTH__ IN. TOTAL EFFECTIVE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
WELL: T y p E _c~)j~."~ z-"-/~'/-;z~, DEPTH
NEAREST
LOT LINE ~ ., SEWER LINE ~
DISTANCE FROM ~ WATER
~ , BUILDING FOUNDATION. SAMPLE ~ , NEAREST
SEPTIC ~ SEEPAGE ~ ~ OTHER ~
· TANK . SYSTEM_ . CESSPOOL , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
--
G,A.A.B. .. ·
1
GRE~ER ANCHORAGE AREA B0~OUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
PERMIT NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PHONE
INSTALLATION LOCATION
INSTALLATION OF: SEPTIC TANK SEEPAGE PiT ~ DRAIN ]~IELD
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH TO BE INSTALLED BY
OTHER
SOIL TEST RESULTS
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK , SEEPA(~;E PIT
TO NEAREST LOT LINE.~O~_~(~
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK DRAIN FIELD ~/'~/'
-' J 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 AIRT[(~HT REMOVAI3LE CAPS.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH\I~N~CE NO, 28-68 AND THAT THE ABOVE
DEP<,FMENT OF EHVtRONMENTAL
QUA.?TY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE #
Performed For Vernon Rohde
Legal Description: Lot 1 Block
This Form Reports Soils Log. x
Depth
Feet Soil Characteristics
Gray silty sand (SM)
Gray sandy gravel (GW)
with brown silty gravel seams (GM)
Gray sandy silt
Date Performed 11/16/71
St~bdivision sw.i.s s air e
Percolation Test
Was Ground Water Encountered? yes ~
If Yes, At What Depth? 9.0'
Reading Date Gross Time Net Time Depth to H20 Net Drop
Percolation Rate Minute
Proposed Installation: Seepage Pit x Drain Field
Depth Of Inlet -~Depth To Bottom Of Pit Or Trench__
COMMENTS: 105 square feet of drainage area is required per bedroom from a depth
of 1.5 to 7,0',
Test Performed
By R. E. Carlisle
Data Certified BY'National Testin~ Svs.,Inc.
~ate~
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received Deeember 1, 1976
Time of Inspection
Date of Inspection I~,-.J-7{~. ~t
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
VoAo
1. Approval requested by: State of Alaska~ Veteran's Administration
Mailing Address: 907 west Northern Liqhts Blvd. Phone:
2. Property 0wner: Clifford Martin Phone: 344-1860
Mailing Address:
3. Legal Description: Lot 1 Swiss Aire Subdivision
4. Location:
2901 East 88th Avenue
3
Type of facility to be inspected Single Family No. of bedrooms
Well Data: Swiss Aire utilities, David Draege 344-3732
A. Type Community B. Depth
C. Construction:/~ ~:.¥~,_ D. Bacterial Analysis
Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal
Distances:
A. Well to:
p~ub ~3~ utility
B. Installe~,
1. Size
2. Manufacturer
1. Absorption Area ~+ 2. Material
Field: Total length of lines
Septic tank
Nearest lot line
B. Foundation to septic tank
, Absorption area
, Other contamination
, 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 - Re~/st for Approval of Individual ',~xer & Water Facilities
'Legal Descriotion Lot 1 Swiss Aire Subdivision
Comments
Approved ~/i ~. t~,_ ~ ,~. Disapproved Date/.~-~7 ~
~/ -v Appro~r~l Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
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
Date
EQ-034 (1/74)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: /-~) CMRO
/ o
2. Property Owner: ( ~.~rnr'~
Mailing Address:
4, Name of Lending ,nst tution: ~ ~..~,. \)0 ~o4', ~,.
FHA_ .CONV.
Day Phone: <~-~ ~¢- /00(~ 0
Phone:
Mailing Address: ~ ./
Name of Realtor or Agent: q..E~ ~c-~. ~'~'~/~/~t']v/ ~
Mailing Address', ~ ,~(~()1~ ~ ~- Phone:
Type of Facility to be Inspected: _ [~{¢t~ c.u No. Bdrms.
Water Supply ~?~i?Y..Z77~-') , ~' ',~ .u.2,o /~ °U~ ~ ~0~6c~o ~
Type of Supply: Public ~'ity ~/,~/'/C~ -~dual~¢~-~ ~¢~
If Individual, number of dwellings presently se~ed
If Individual, depth of well
Sewage Disposal System
Type of System:
Public Utility
Individual (on-site)
If Individual, date of installation
72-003(3/76)
06-1220(q) Re¥. t'973
iNDIVIDUAL []
DATE
NAME
ADDRESS
CITY
ADDRESS
OF SOURCE
ALAS~..DEPARTMENT OF HEALTH AND SOCIAL SE( ;ES
DIVISION OF PUBLIC HEALTH
INDIVIDUAL AND SEMI-PUBLIC
BACTERIOLOGICAL WATER ANALYSIS
SEMI-PUBLIC [] CHLORINE RESIDUAL PPM
REPORT RESULTS TO
COMPLETE THIS SECTION
ONLY IF WATER IS AN INDIVIDUAL SUPPLY
SAMPLE COLLECTED BY ~- -
Lab No.
OFFICE
When?
Diameter of Well Depth
Well Casing
Material Diameter _ Depth ~
Length of Wafer Depth
Drop Pipe From B~tlom Feet.
PURPOSE OF EXAMINATION: Illness Suspected? [] Yes
READ INSTRUCTIONS
Analysi~ shows this Wafer SAMPLE to be:
E] Satisfactory
E] Unsatisfactory
[] Questionable
[] Sample too long in transit; sample should not be over 48
hours old at examination to indicate rel[able results. Please
send new sample.
[] Bottle broken in transit, please send new sample,
SANITARIAN'S REMARKS
REVERSE SIDE
BEFORE
COLLECTING ,SAMPLE
ot~-,22o (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Bev. ]973
Lactose Broth ]0cc 10cc t0cc 10cc T0cc 1.0cc 1.0cc
24 Hours
48 Hours
EMB AGAR
Lactose Broth~ 24 hrs. : 48 hrs, Gram's stain
Coliform Density . (Most probable No. per IO0cc)
MF Resulls