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Home My WebLink AboutHERITAGE HEIGHTS LT 14 L~/ MUNICIPALITY OF ANCHORAGE ~/ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING ADDRESS [SGAL DSSC~T~ON LOCATION Absorp~i~area ' Dwelling~o DISTANCE TO: Material Manufacturer Liq. capacity IF HOMEMADE: Inside length I Width Well Dwelling DISTANCE TO: Manufacturer Well DISTANCE TO: Length No. of lines Top of tile to finish grade Foundation Length Width of each line Total length of lines Material beneath tile Depth Type of crib Crib diameter Crib depth Well Building foundation DISTANCE TO: Depth Driller Building foundation Sewer line DISTANCE TO: OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS APPROVED HONE ~UPGRADE Material Nearestlotline Trench width NO, OF BEDROOMS PERMIT NO. No. of c.~m~.nts Liquid depth PERMIT NO, Liquid capacity in gallons PERMIT NO, Distance between lines inches Total effective absorption area inches PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line PERMIT NO, Sept c tank Absorpt on area(s) DATE LEGAL DEF'ARTMENT O¢" '--IEALTH AND ENVIRONIdENTAL F' ~TECTION 99 825 [~S'TREET, ANCHORAGE. Al< 2.64-'4720 %¢% F:'ERM I T ND: DATE I SSLIED ~ APPLICANT: ADDRE,... ~. CONTACT PHONE: 8.~ .x.:,.~...,, UF'GRADE WILLIAM LONG 5861 CHISANA ANCHORAGE, Al< ::!!;46-158 1 99507 LEGAL. DESCR I I::': LOT SIZE: LOT LOCATION: SUBDIVISION: HERITAGE HEIGHTS SECTION: 4 TOWNo[IIF. 12N ' 17990 (SD.FT. OR ACRES) CF'II SANA LOT: 14 RANGE: 3W BLOCK: 0 I cer't, ify that.: 1. I am £amiliar wi'th 'Lhe r'equii'ements Cot on-site :sewers and wells as set ¢orth by the Municipality o£ Anchor'age (MOA) and the State o£ Alaska. 2. I wi'll install the system in accordancb wi{h all MOA codes arid regulations, and in c:ompliance with the design criteria o£ this per'mit. 3. I will adhere to a.l. 1 MOA and Sta'Ee of Alaska requirements ~o~ the set. back clistances £rom any existing well, wastewater disposal system or' r~ublic sewerage system on this or any adjacent or' nearby lot. - IF A LIFT S'I'A'FION IS INS]'AI£LED IN AN AREA COVERED BY MOA BUII._DING COI)ES, TH.EN (1) AN ELECTF~ICAL. PERI'flIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS' WILL NOT BE AF'F'ROVED WITHOU'I" AN ELECTRICAL INSPECTION REF'ORT; AND (3) THE ELECTRI[]AI...~ WORK MUST BE DONE BY~ICEIshSED EL.ECTRIC):AN,, ...... .... ........................... ~g ANLI'IUKAL~I: AKI::A UUK' ',bM Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE D~ISPOSAL SYSTEM NAMEr'S'/ ZO/~: MAILINGADDRESS 27, g~/// 7 ,/~_~--~/-'~/~'Z~,'~-/~PHONE LOCATI0¢,~F~5~ /~*~ LEGAL DESCRIPTION ~' .~ ,//~/C SEPTIC TANK: INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /~C:) GALLONS. SEEPAGE PIT: NUMBER OF PITS / . DIAMETER __OR WIDTH__ LINING MATERIAL CRIB SIZE: DIAMETER__ BUILDING FOUNDATIONT/O [-JF . ADDITIONAL ABSORPTION LENGTH DEPTH /~'~ /' TOTAL EFFECTIVE ~S ABSORPTION AREA (WALL AREA) Q. FT. TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION __ LOT LINE CESSPOOL OTHER SOURCES DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TANK SYSTEM APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM Form No, EQ-031 GREATER ANCHORAge Area BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT w ~'~ PHONE bOil TEST RES~ COMPLETION DA NT FINAL INSPECTION: ~ HOUR NOT'CE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAE QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION tO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ., DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL / SEPTIC TANK , SEEPAGE PIT ~/ , DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE Pit DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK. /~/ , SEEPAGE PIT DRAIN FIELD SEPtiC TANK, SEEPAGE P~t ~//J~ 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 ~NCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER DIAGRAM OF SYSTEM CERTIFY THAT I AM FAMiliar WIth THE REQUIREMENTS Of GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 aND THAT THE ABOVE DESCRIB SYSTE IS IN ACCORDANCE WITH SAID CODE. WOODWARD'" LUflD REfl'I & ASSOC]ATES, g lC, ~,C)~UL.T]N~ EN~iN~'~$ AND ~OLO~I~"~'~ AN AFFILIATE OF WOODWARD-CLYDE CONSULTANTS Raymond Lundg.en Lloyd ~. Clu££ B.A,Valler9a William T, Black 32OI Spenard Road Anchopa9e,Alaska 99503 (EOT) 272-2407 July 9, 1973 Job No. A12109-13 Kincaid & Son Construction Co. 7801 Jodphur Drive Anchorage, Alaska 99503 Attention: Mr. K. Jenkins Gentlemen: Seepage Pit Inspection Lot 14 Heritage Heights Anchorage, Alaska At your request, the undersigned inspected the subject excavation and logged the vertical soil profile on July 6, 1973. The pit location is shown.in Jig. 1 and the Soil profile is shown in Fig. 2. The soils were visually classified and absorption values assigned accordingly on the basis of our experience and by written guide- lines of the Greater Anchorage Borough. Respective absorption values are given under "Remarks" in Fig. 2. Free water depth evaluation is based on U.S.G.S. well log data. If we can be'of any further service to you, please call. Very truly yours, WOODWARD-LUNDGREN ~ ASSOCIATES Chief Engineer RPK:nck CC GAAB, D.E.Q. OAKLAND SAN JOSE SAN FRANCISCO ANCHORAGE, ALASKA 4' 1 7"E' PLA WOODWARD-LUNDGREN & ASSOCIATES Consuk~ing Soil Bngineers and k~_/eolog.Lsts "~ -Lo ,,~ ~,~ ("r'~' ~'~ p -r) '"" ~ "I SAMPLES SAMPLE DESCRIPTION m ~ (drilling fluid, depth of -~ ~ ~ color, moisture, particle ~ ~ casing, casing blows, ~ tion~ crowd~ rpm~ etc.) ~ ee- ~ s~ze, consistency GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received ~- ~-~ ~TZ Time of Inspection Date of Inspection 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Phone: Phone: 3. Legal Description: /--J~- /z/-m~/j/~ /Z//~x~/~/f~ 4. Location: ~_~.~ ~/~ ~:~f~///-~'~ 5. Type of facility to beC~nspected~'<-~%-~//~/~ No. of bedrooms 6. Well Data: C. Construction D. Bacterial Analysis Sewage Disposal System: A. Installed /¢~-~ C. Septic Tank: D. Seepage Pit: 1. ~sorption E. Disposal Field: Total length of lines 8. Distances: A. Well to: 1. Size /'~%2 ~) 2. Manufacturer 2. Material ~ ~_~-<!, ///r~c~,~ Septic tank ~ , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re~..~.~st for Approval of Individual ~¢er & Water Facilities Legal Description Comments L//~//x.~ ~ppro~al-Vali~d for one year from_d~tvelSigned Greater Anchorage Area Borough, Department of n 'ronmental 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)