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Home My WebLink AboutSUMMIT ESTATES Block 2 Lots 8 & 9151oc, K. '2_ GP"'~TER ANCHORAGE AREA BORG! HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NO. 129 SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY .~" NUMBER OF MATERIAL /~ ~ '-~ COMPARTMENTS GALLONS. INSIDE LENGTH /INSIDE WIDTH z'/DEPTH____ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS // OUTSIDE DIAMETER LINING MATERIAL /'~" / OR WIDTH ,LENGTH , DEPTH DISTANCE FROM WELL ~ ~ BUILDING FOUNDATION sq. Ft. NEAREST LOT LINE /~'/'~' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) TILE DRAIN FIELD: ( (~'/~/~C/~/-' -~'/--3 DISTANCE FROM / WATER -- /. WELL: TYPE ~/~/~7' DEPTH,~~''~ // SAMPLE ~//~ NEAREST , BUILDING FOUNDATION, , ' SEEPAGE NEARESl ~ ~-SEPT C ~ ~ , SYSTEM ./~'~ ,CESSPOO[ ~ SOURCES LOT LINE ./~ '~ SEWER LINE , LANK )ATE DIAGRAM OF SYSTEM GREATET ANCHORAGE AREA ~OROUGH ~'~" HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 , '~' ~//t / ..... SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT Case No. NAME OF - (}.' RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCEO THROUGH ~L-~ ' MAILING ADDRESS~/ ~"~: PHONE LOCAT,ON OF ,NSTALLAT'ON , SEEPAGE PIT ~ , DRAIN FIELD , OTHER ANTICIPATED DATE OF COMPLETION ~'-~¢ '~'~"~'~"'~ ~¢~'"~'¢' BELOW TO BE FILLED OUT BY HEALTH DEPARTN1ENT THIS IS TO SERVE AS '" ~;~ PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNiT TO BE SERVED . SEPTIC TANK SIZE '~]5'~J TYPE(~/ZcLz~ SEEPAGEAREA~~ TYPE~Z~-~ ' .,~.~/ BIAERAM OF SYSTEM I '/ DISTANCES: ify that I am famihar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the descriked system is in accordance with said code. -- n ..// '-'~/ //-~/~/ 'X ~ I"/ p. EflLTn Dat~[h . . Locaz[on Fee~ Soll dm 6,0 ~/ l ~,all ~,,,~o~ ..... ~ ............. ~~ Net Drop Reading Da.e - · ~ ..... ~ .... Pro~,oa~(l [nsf-al!at,on, S~-~pa. ge - Vest Oerformed B~. ~73.49~ 6350 Tel, ..... HEALTH AUTHORITY AppROVAL ~ INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM INSURING OFFICE Anchorage PART I.--TO BE COMPLETED BY FHA MORTGAGEE ~eSERIAL NO. The First National Bank of Anchora MORTGAGOR OR SPONSOR Kenneth O.& Barbara Jarvi SUBDIVISION NAME PROPERTY ADDRESS 5510 E. ~gth, Anchorage, Alaska BLOCSNO' Estates Addition TOTAL NUMBER: WATER SUPPLY BY: [] Public system BASEMENT []Yes [] No [] New installation --]Community system additional bedrQoms? (If Yes, how many~) []Yes [~] No SYSTEM DESIGNED FOR ] NO, OF ~DRM~, GARBAGE DISPOSA( Individual 3 DYes []No SEWAGE DISPOSAL ~,Y: [] Public system [2 Community system [~ Individual PART IL--TO BE COMPLETED BY HEALTH DEPARTMENT · 1'1 I I I I I I I I I I I I It is the opinion of the [] State [] County [] Lo~al Department of Health that this individual water-supply system [] is [] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the [] State [] County [5~ LoCal Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [] Can be expect/~r~ function satisfactorily, and [] Cannot be expected to function satisfactorily is not likely rio crea~e an insanitary condition . DATE iX ]$1G~IATUR'It/2 '~~ Jut? ' , V GREATER ANCHORAGE AREA BOROUGH Departm~n~ of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date Received ?-- Tima of In ection Data of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Approval Requested By: . Address:. 2. Prooerty Owner:___~~ '3. Legal Description:~ ~--9 ~//<~-- Location: 5. Type of Facility to be Inspected:~ Number of-Bedrooms: ~ ' ' Phone: Phone Well Data: A, Type~L~b C. Construction Sewage Disoosal Svstem: A. Installed C. Septic Tank: 1. D. Seepage Pit: 1. Disposal Field: Depth Bacteria] Analysis B. Installer Size (~00 2. Manufacturer ~]-(~e~ ~%%~Z~ Size (;~ XIZ 2. Material Total Length of'Lines Distances: A, Well To: Septic Tank_~2 ~ Nearest Lot Line B. Foundation to Septfc Tank g~ Absorotion Area to Nearest Lot Line Absorption Area /(~ [ Sewer Lines · Other Contamination · ",~ Absorption Area ~d~ Request ~or A~roval of ~vidua! Sewer & Water Facilitie'~/ Page, Two 9. Comments: ADoroved Disammroved Date Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, Decartment of Environmental Quality D!AGEA~ OF SYSTS~ I certify that the information contained tn this request for approval to be a true and accurate representation of the sub~ect sewer and water facilities located at; 08-1220 (~) DATE DEP~..~ENT OF HEALTH AND SOCIAL SE!' JES DIVISION OF ,PUBLIC XEALTH BACTERIOLOGICAL WATER NAME ADDP, E~ O~FICE GENBRAL:DcesW~te~ Become Muddyor.D]scolo~d? r'] ¥~s · [] .ho SANITARIAN'S REMARKS READ, INSTRUCTIONS, ON REVERSE: SIDE., BEFORE,. COLLECTING, SAMPLE 05-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD DIRECTIONS FOR COLLECTING SAMPLES OF WATER FOR BACTERIOLOGICAL EXAMINATION Read Carefully and Follow I~tructions F, xqedy Becrt in mind thai wa~er aualyets deals with materials'present ia very minute quantities. The least curelessness in collecting and handling may give rise to result~ which (no 'm/sleading. /~xx'angementa shottlcl bo made to ha'va w~e~' sm~pJ(~n reach the laborato~y e,~ q~i,?,kl¥ c~ po,,~ble, Aftex' 48 houm the significmtce of the baeteriolo.qicc~l omalysi:~ i~ i~q~o~¥c~!, ,F~.~' obv~o~ .~'ec~:so ~ the labol'¢xto~ pzefer,~ to in the e~ly part of the week but ~ willing to accept samplei~ c~t any time, collecting samples from TAPS or PU1V.~S proceed ~_~s follows. (c~) Thoroughly flush tap or pump by allowing water to rmt freely for five (b) Shut off water and flcane the outlet with torch or burning papal'. The flame should not be merely passed oyez the outlet but should be applied until fixiure shows indication of being hot. Florae should be directed agcrhtst t~ide edge. (c) Open fixture so that a small stream flows. (d) Remove bottle from mcdBng tube. Hold boitle by the lower half in one hand and with the other zc',r, ovo the screw cap with the finger~, leaving paper' p~:otecilng cover in place. Fill the bottle to the shoulder, Replace cap with paper cover, screwing firmly into place but do not apply pressure wMch will sp~/t cap. (e) Pack bottle carefully ]n mailing tube enclosing this completed information she~t. In collecthtg samples from STREAMS and RESF. RVOIRS proceed as follows: (a) Remove cap and hold bottle as described under (d) above. lb) Collect sample by holding bottle in a slanting position and Sweeping it below the surface in such a manner that water that har~ been in contact with the hand ~s not introduced into the bottle. Avoid collecting mtrface scmn and boitom sediment. DO NOT COLLECT SAMPLE FROM FIRE HYDRANTS, YARD HYDRANTS, DRINKING FOUNTAINS, OR SIMI- LAR OUTLETS WHICH ARE DIFFICULT TO DISINFECT PROPERLY. STERILE WATER SAMPLE BOTTLES ARE AVAILABLE UPON REQUEST FROM: Dept. of Heaith d~ Social Services SOUTHEASTERN REGIONAL LABORATORY POUCH J JUNEAU, ALASKA 09801 Dept. of Health & Social Services SOUTHCENTRAL REGIONAL ~LABORATORY ~27 EAST 4th AVENUE ANCHORAGE, ALASKA 99501 Dept. of Health & Social Services NORTHERN REGIONAL LABORATORY 504 BAREq{TTE STREET PAIRBAN]fS, A~SKA 99701 DiViSION OF PUBLIC HEALTH BRCTERIOLOGICAL WATER RNALYSIS ADDRi~S SAMPLE COLLECTED BY ~,Vell [] Dugt [] Drlven [] Dfi]lecl [] Bo~ed SOURCE: [] Spring [] Cistern [] Other ~3 o~w~ [] oae~ READ INSTRUCTIONS 06-1220 [b) OFFICE SANITARIAN'S REMARKS' BACTERIOLOGICAL WATER' ANALYSIS RECORD ON REVERSE SIDE r BEFORE COLLECTING,.,.SAMPLE, DIRECTIONS FOR COLLECTING SAMPLES OF WATER FOR BACTERIOLOGICAL EXAMINATION Read C, arefullM and~ollow Instructions Exactly Bear in mfud that water analysis deals with materials present in very minute qu~mtities. The least carelessness in collecting and handling may give rise to results which are misleading. Arrangement~ ShOl~d be recycle to halve wate_i' Et'mtp]~,~ ~'*,~ch the laboratory aa quickly as possible. After 48 hours the significance of thc~ b~×cteriologicc/( cmc~l'!~'s~ i.~ ~r.~p,x; ed. ,1:o:~' ob~notu~ zeason,'~ the laboratory prefe~.s to receivo s~raple...~ in the early parl of the week but is willing to accept samples at any time. In collecting scunples from T-6PS or PUMPS proceed as fellows: (a) (b) Thoroughly flush tap or pump by allowing water to nm freely for five minutes. Shut off water and flcrme the outlet with torch or burning paper. The flame should not be merely passed over the outlet bu~ should be applied until fixture shows indication of being hot. Fkrme should be directed agairmt inside edge. (c) Open fixture so that a small stream flows. (d) Remove bottle from mailing tube. Hold bottle by the lower half in one hand and with the other remove the screw cap with the fingers, leaving paper protecting cover in place. Fill the bottle to the shoulder. Replace cap with paper cover, screwing tirmly into place but do not apply pressure which will split cap. (e) Pack bottle carefully in mailing tube enclosing this completed informatinn sheet. In collecting samples from STREAMS and RESERVOIRS proceed as follows: (a) Remove cap and hold bottle as described under (d) above. (b) Collect sample by holding bottle in a slanting position and sweeping it below the surface in such a manner that water that has been in contact with the hand ~s not ~ntroduced into the bottle. Avoid collecting surface scum and bottom sediment. DO NOT COLLECT SAMPLES FROM FIRE HYDRANTS, YARD HYDRANTS, DRINKING'FOUNTAINS, OR SIMI- LAR OUTLETS WHICH ARE DIFFICULT TO DISINFECT PROPERLY. STERILE WATER SAMPLE BOTTLES AP~ AVAILABLE UPON REQUEST FROM: ..% Dept. of Health & Social Services SOUTHEASTERN REGIONAL LABORATOllY POUCH J JUNEAU, ALASKA 99801 Dept. of Health & Social' Services SOUTHCENTRAL REGIONAL LABORATORY 527 EAST 4th AVENUE ANCHORAGE, ALASKA 99501 Dept. of Health & Social Services NORTHERN REGIONAL LABORATORY 604 BARNETTE STREET FAIRBANKS, ALASKA 99701 KENNETH O. JARVI ATTORNEY AT LAW, WANAMAKER. DICKS~)N & PERRY AUSTRALASKA BUILDING 360 ''K'' STREET ANCHORAGE, ALASKA 99501 TELEPHONE 279-6591 AREA code 9O7 i'3 ?