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HomeMy WebLinkAboutLAZY ACRES LT 3 APPLI( NT FILLS OUT UPPER HA' Property Owner Mailing Address Buyer Address Lending Institution ONLY Zip Code Address Zip Code Realty Co. & Agent --' / ~,>,~ :) / ~ , Zip Code Phone Phone Phone Type of Residence ~ Single Family [] Multiple Family No. of Bedrooms [] Other Water Supply [] Individual L~ Community ~ Public Utility ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that da e, give well depth (attach log if available). Sewer Disposal ~ Individual [] Public Utility [] Holding Tank Year Individual Installed: __ When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BF INITIATED. Time Time Time Inspector Inspector Inspector Fi,~ Notes: Inspector ¢~,~PPROVED BEDROOMS i D,SAPPROVED I I CONDmONAt. APPROVAU DATE *CONDITIONS OF APPROVAL Soils Rating 72-023 (3182) Date Sewer Installed Well To Absorption Area Well to Tank Well Log Received Septic Tank Size ALASKA I1UIROFlm FITAL COFITROL $6RUICe$, IFIC. ~i~§JneerJr~§ ~- [~nuiro~menlal SEPTEMBER 28 1983 MARGORY MC CLURE 8340 POKEY CIRC~m ADEQUACY TEST FOR SEWER THE TYPE OF ABSORPTION SYSTEM IS A LOG CRIB WITH AN AREA OF 312 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 300 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 750 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 2 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 9/28/83 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 2 BEDROOM HOUSE. 1200 LUesl 33r(I Aucnu¢, Suite ~ · Anchor~§~, Alusk,~ 99503 · (907) 276-1361 ALASKA eI1UIROFImI nTAL CONTROL $1 RUICI $, Inc. ~n§inecrin§ 8 ~uJronmcnlal $~uJies October 3, 1983 Department of Health & Environmental Protection 825 L. Street Anchorage, Alaska 99501 Attn: Robbie Robinson Re: Lazy Acres Subdivision Lot 2 Block 1 Dear Mr. Robinson: On September 30, 1983 I inspected the on-site septic syst:em at Lazy Acres Subdivision Lot 2 Block 1. The cleanout to the crib stood 1 foot above ground and was capped. There were caps present on all the other cleanouts which were also an appropriate height above ground. Sincerely, Darcy Bevens Engineering Geologist Approved by; 1200 West 33r(I Aucnu¢, SaJl¢ [~ · Aachora§¢, Alaska 99503 · (907) 276-1361 ALASKA iUIROIqmeF1TAL COF1TROL $ 14ulC $, II]C. ~n,ti,¢erincI $ ~nt~ironmentol Slu~lies MARGORY MC CLURE 8340 POKEY CIRCLE ANCHORAGE AK 99507 SELLER - MARGORY MC CLURE SUBDIVISION - LAZY ACRES SEPTEMBER 28 1983 BUYER - WIMMER BLOCK - 1 LOT - 3 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A LOG CRIB WITH AN AREA OF 312 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 300 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 750 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 2 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 9/28/83 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 2 BEDROOM HOUSE. 1200 LUest 33rd Aucnuc, $ui1¢ [~ · Anchoracl¢, Alosb 99503 · (907) 276-1361 GP~:6,TER ANCHORAGE AREA BOROIIr-~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ADDRESS Lq /~.--~--/ / )~PHONE / SEPTIC TANK: _COMPARTMENTS LIQUID CAPACITY J ,1 C~.) __GALLONS. INSIDE LENGTH. INSIDE WIDTH LIQUID DEPTH ____ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS I OUTSIDE DIAMETER OR WIDTH / ,LENGTH LINING MATERIAl / .FO '~--r~--r~ DISTANCE FROM WELL i ~-~ / NEAREST LOT LINE ~O Id TO~AL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ ;~ ~/- SQ. FT. TILE DRAIN FIELD: NUMBERL L,NES ~DISTAN~E BETW~N LINES ' /~TRENCH WIDTH~ ,N.~TAL EFFE~IVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TH.E WELL: TY P ~0~'~ m ~r'O , DEPTH .BUILDING FOUNDATION SAMPLE .NEAREST DISTANCE FROM WATER NEAREST SEPTIC SEEPAGE OTHER LOT LINE , SEWER LINE ., TANK , SYSTEM , cESSPOOL , SOURCES__ DISTANCES: DIAGRAM OF SYSTEM DATE GAAB-HD-2 GREATEI 327 Eagle St. ANCHORAGE AREA HEALTH DEPARTMENT Anchorage, Alaska 99501 DROUGH 279-2511 Case No. ,~,/~q:2 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY _ MAILING ADDRESS PHONE NO.. LOCATION OF INSTALLATIDN ~} ~'i , SEEPAGE PIT ; , DRAIN FIELD FINANCED THROUGH ~.),.:: t ~- TO BE INSTALLED BY_ ./ PERCOLATION TEST RESULTS /~OJ'~//"~L)~-)~ _ANTICIPATEO DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT OTHER AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED . SEPTIC TANK SIZE //-)~ )C') .TYPE ~''( '/'~'l~:kJl SEEPAGE AREA DISTANCES: LICENSED DESIGNER 'b ,:~ "l:-:; i~ ~ P _ TYPE /' /'? ¢i DIAGRAM OF SYSTEM ! I certify that I am familiar xvith the requh'ements of Greater Anchorage Area Borough Ordhmnce. No, 28-68 and that the described isinaccordancewithsaidcode. ' .... ~ J ~ i ) (~)JC,t~.{ above system ~k 9() ( (_) ~' '-',;~ I / ~(:~':~