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Home My WebLink AboutRONS LT 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Phone(s) J Permit No. No el Bedrooms 1 LEGAL ~ESCRIPTION .et t Block '"--, Subdi~ j%~. ~ Township, Range, Section TANKS [~ SEPTIC [] HOLDING Manulacturel j Capacity in gallons No. of Compartments Mate,ia, S tC--E'L- t, TYPE OF SYSTEM [] TRENCH [~BED [] W. DRAIN [] OTHER Depth to p~pe bottom fromm. Flit added above origmal grade Gravel length Total depth from ori~nal grade I:1- (~ ~ Gravel depth beneath pipe FT ~ G~avel width Distance between lines FT FT FT PRIVATE ~ OTHER REMARKS: DISTANCES WELL LOT LINE FOUNDATION SEPTIC TANK ABSORPTION WELL FIELD [0 AS-BUILT DIAGRAM (Show location of well. septic system, property lines, foundahon. driveway, water bodies, etc.) - ~ ~ ~C m.s,ect,o.s Pedormed by: ~ ~ ~ ~ . ~eMiIv t~,' this inspection was pedormed according to all ~unicipal and State guidelines Rebert E. N~. 4'14~- E f_cc ¢~15 :Pa 1. 2,000 Sf reserve ~ / bedroo~ Existing System (to be a ~c0 Test 6,000 sf Reserve Tan'k/' g~ 1% 250 1) North System Design -- 4 bedroom @ 225 sf/bed x 1.5 = 1,aS0 sf of area Absorbtion Bed'= 24' x 57' = 1,368 sf Ail materials, construction methods and inspections to follow MOA rules and regulations. Ail wells'within 125.f~t of the proposed bed to be located prior to construction of bed to insure minimum 105' sepe~a~ion. Remove existing tank and abandon'remainder of ~[x~g~ing system. Maintain 10 foot from all property lines with new field and a minimum of 20 feet from the existing trench with the new field. Reserve Area = 4 bedroom @ 2,000 sf/bed = 8~000 reserve area. Robert E. Lot 1, Block 0, Rons Subdivision Scale 1" = 50' 8-17-90 System page 1/2 LoT 1, Rons' Subdivision System upgrade no scale 8-17-90 page 2/2 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 's SEAL) PERFORMED FOR: · EGAL DESOR,PT,ON~ 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS__ DATE PERFO Township, Range, Section: .AN SLOPE WAS GROUND WATER ENCOUNTERED? s IF YES, AT WHAT ~ ~) DEPTH? p E'. O,gl,,0 war,r*,,, b IZy Dale: I 'I~"~ Monitoring? ~" ~'~ Gross Net I~epth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~' ~ (minutes/inch) PERC HOLE'DIAMETER T~E~S,~i~ RUN.~ETWEEN ~ FT AND ~ ~) FT PE"FORMEDS¥: .~.'~Ct--" , J.. ~,V"~ CER',FY THAT 'rH,S TEST WAS PERFORMED ,N ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 IRev. 4/851 GREif ER ANCHORAGE AREA BOkuUGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: FROM WELL 1~O UFACTURER INSIDE LENGTH MAILING ADDRESS ~:>~:~,"'~f ~ ~z'4'~"~'~'"' PHONE~¢~/'~"~0'~ LEGAL DESCRIPTION ~ / ' ~ NUMBER OF ~ COMPARTMENTS MATERIAL LIQUID DEPTH INSIDE WIDTH LIQUID CAPACITY /® GALLONS. SEEPAGE NUMBER OF PITS --. DIAMETER LINING MATERIAL CRIB SIZE': BUILDING FOUNDATION__ OR WIDTH DIAMETER __ NEAREST LOT LINE .LE,~IGTH DEPTH .DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: FOUNDATION -- CESSPOOL APPROVED_ CONSTRUCTION NEAREST LOT LINE_ OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: LOT SLOPE:_ __ REMARKS: __ DIAGRAM OF SYSTEM APPROVED GRE/~-~R ANCHORAGE AREA BOF~UgH DEPARTMENT OF' ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 ~ TELEPHONE 274-456! SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMit NO. INSTALLATION LO°AT,ON INSTALLATION OF: SEPTIC TANK ~ SEEPAGE~ ~ , DRAIN FIELD i ,, OTHER ' 4 SOl, ;EST .ESULTS ~'" ~Z~~ 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. MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT A~J DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPT{C TANK SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK ~'~ DRAIN FIELD f~ ~' / '( &RAI"F'ELO / SEEPAGE Pit alSO CONSIDER AREA WELLS. SEEPAGE Pit SEPTIC TANK, ~/~%'"~ DRAIN FIELD , SEEPAGE Pit TO riVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION E 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. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA ~OROUGH ORDINANCE NO. 28.68 and THat THE ABOVE DESCRIBED SYSTEM IS IN AOCORDANCE WiTH SAiD CODE'~/"'/~"~' .,~'-~.'' A ~ ~ :%,, ::--~ GREATER ANCHORAGE AREA BOROU~ ~~/~/~ ~ ~ 'Department3330of,,c,,Environmentalstreet QU~ ~ tY ~~//~ ' Anchorage, Alaska 99503 ~ ~ SOILS~ LOG -P~EROLATION TEST Performed for. ~__.~//~__~~~~......... Date Performed Lega 1 De s c ri pti on :_.Z)//~, ¢~//m~ /¢,//~ .... _¢Y~..: >~ 2~-/~ g__~_~/~.~ This form reports: Soil~ log. 2( Percolation test Depth Feet 4- 5- 6- 7- 8- 9- 10 - ll - 12 - 13 - 14 - / Was ground water encountered? //cb If yes, at what depth? Reading Date Gross Time Net Time Depth to Wate~ Net Drop Percolation rate mi nute. .Proposed installat-T°-n': Seepage Pit ............... Drain Field i)epth of Inlet Depth to bottom of pit or trench COHMENTS: EQ-040 (6/74) Gre/~r ANCHORAGe Area BOF~UGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 ~'~.6. e ~zi.~.,6z~Ai_ ~Y~TE~ ~ APPLICATION AND PERMIT ~OIL TEST RESULTS ~OT~ T~lt ~IT It ~OT ~lLl~ WITHOUT ~O1~ T~ COMPLETION DATE ANTICIPATED FINAL INSPECTION: 2/I 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, REQUIREMENTS EOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ., SEEPAGE PIT ! TO NEAREST LOT LINE. WELLTO SEPTIC TANK SO / D R A,'" ,ELD WATER MAIN TO SEPTIC TANK DRAIN FIELD DRAIN FIELD SEPTIC TANK, ,, SEEPAGE PIT TO RIVER, LAKE. STREAM. SEEPAGE 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. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. /- ' G.%... - '* DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAg~ AREA BOROUGJai~ORD~NANCE NO. 28-68 AND THAT THE ABOVE DATEDESCRIBED YSTEM IS IN ACCORDANC WITH BAlD CODE.~/j._~~ANppL I ~ ' (~ ~ (... )h /) t,):: C + )'1' ! p~ r..)< - AA{v) c ~--.,MUNICIPALITY OF ANCHORAGE--~ DEPARTME, OF HEALTH AND ENVIRONMEN' ' PROTECTION 825 L Street, Anchorage, Alask~ 99501 279-2511, ext. 224 or 225 Date Received: June 28, 1977 #1: Time Date Insp #2: Time #3: Time Date Date Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES % Mary Ann Dodge Lending Institution Request: First National Bank of Anchorage Mailing Address: Post Office Box 720 99510 Phone: 276-6300 Property Owner: Allan/Marie Egbert Mailing Address: Star Route A Box 1736P 99507 Phone: 344-5580 3. Legal Description: Lot 1 Ron's Subdivision 4: Single Family Residence: (x~ Multiple Family Residence: ( ) Number of Bedrooms: three Number of Bedrooms: Well System: Permit # Construction Individual well (x)x Con. unity/Public System ( ) Depth of Well Well Log on File ( ) Bacterial Analysis e Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System (x~ Public Utility ( ) Installed Installer Manufacturer Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line De~a~tment of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 1 Ron's Subdivision Comments: Af fadavit Attached Approved: _~ Disapproved. Letter Attached: ( ) Date: Date: Department Worksheet: ~,UNICIPAUT¥ O, ¢t D.F.P¥. C, fi II'~,~',!.:ili ~ ,~MUNICtPi~. MUNICIPALITY OF ANCH~h~NtAL ~tOTtCTIOM ~-~. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 279-2511, ext. 224, ~2~ REQUEST FOR APPROVAL ~E~ E/%i F ~ INDIVIDUAL SEWER and WATER F~I~~ 1. Type of Inspection: VA FHA. 2. Property Owner: Allan & Marie Egbert Mailing Address: SRA Box l~30-Y Anchorage~ Ak,~ Day Phone:_ 3.4--4-5580 3. Name of Buyer: Billye Lou Pritchett Mailing Address: SRA Box 1736P Anchorage, Ak. Day Phone:__ 344-0066 4. Name of Lending Institution: FirRt National Bank of AnchorKe Mailing Address: P.O. Box 720 Anchorage, Ak. Phone: 276-6300 x572 5. Name of Realtor or Agent: Sharelle Sanders, Ellison & Ellison Real Estate Mailing Address: Phone:._ 243-1937 6. Legal Description: Lot 1 Ron's Subdivision ___CONV_ x Location: Off of O'Malley Road 7. Type of Facility to be Inspected: SFR 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served __ If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation__ No. Bdrms,. 3 Individual. Well SeptiG Individual (on-site) Mary Ann Dodge 6/24/77 72-003(3/76) ~/ GREATER ANCHORAGE AREA BOROUGH Department___of E~onmental Quality 3330 "C" S~n~age,/Alaska 99503 274-4561 ~ ~~/~ , ~ Date Received ~& [~ ~ [~g/~ Time of IBspection 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: First National Bank of Anchorage 646 West 4th AVenue Phone: Ellison Reams Construction Phone: 4520 Edinburgh Drive Lot 1 Rons Subdivision Off of O'Malley and Our Road 279-4481 344-0501 5. Type of facility to be inspected 6. Well Data: A. Type Single FAmily Individual - serving one C. Construction Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: No. of bedrooms 2 1975 1. Size 1. B. Depth 80' D. Bacterial Analysis On-site system B. Installer 2. Manufacturer Absorption Area 2. Material E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank Total length of lines / /~0 , Absorption area //~ , Other contamination , Absorption area , Sewer Lines C. Absorption area to nearest lot line EQ-034 (1/74) Paae 1 of two Daaes Page 2 of two pages - Re--st for Approval of Individual F'~'er & Water Facilities Legal Description Lot 1 Rons Subdivision Comment~ .... ~' Approved Disapproved Date ~val Valid for one year from date signed ~ Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF 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 operat i~k.s_a t:~ac to: ly. S IGNED~'-~-~~ ~ Date MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF iNDIVIDUAL SEWER and WATER FACILITIES Type of Inspection: CMRO VA FHA CONV Property Owner: ~'4~,,~,¢~,.~J ~ .~ ~'~-,.~.~.~e..~-¢~.) Mailing Address: ~v~'~'2-~ ~---~/'~/"%'~'~-~¢ /~'~. Day Phon~,,~~ Name of Buyer: ¢'~-~-~ Mailing Address: Name of Lending Institution: Mailing Address: Name of Realtor or Agent: Mailing Address: Day Phone Phone Phone Legal Description: ~--~ -~' Location: ~'~' 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: No. Bdrms. ~ Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well ~::~ / Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) EQ-037 (1/74)