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HomeMy WebLinkAboutLAZY ACRES LT 4 GAAB-HD-I GI~ .JR ANCHORAGE AREA BOROt DEPARTMENT OF ENVIRONIVlENTAL QUALITY 3500 TUDOR FIOAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME "~/~ -"¢'~'~'~"~'"'~" "'~ ~' ' - -~-~'i~'~'":"~"~ -" ADDRESS. LOCATION_ ~,'~'~-'~'"/~'~ c'~J,/,~-,<'z~.] ............. LEGAL DESCRIPTION SEPTIC TANK: NUMBER OF DISTANCE FROM WELL~_~-~'~,~'~I/c4')' .'/~'~-_~.__MATERIAL ~.~/.~,..~¢,~_f,.Z~.,~.s COMPARTMENTS LIQUID CAPACIW /~) .GALLONS. INSIDE LENGTH_ ~ INSIDE WIDTH ~ LIQUID DEPTH __ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS___~ ~ _OUTSIDE DIAMETER / ___OR WIDTH -~-'" , LENGTH_ ...,~/~...~b.. , DEPTH LINING MATERIAl .~-d~' ~.:-:..d- ~,-.~ ,.~.~_~- . DISTANCE FROM WELL_.[~,,'.~_~/~.~;' , BUILDING FOUNDATION NEAREST LOT LINE_ ~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ ':~"~'~':;~ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION , NEAREST LOT LINE_ NUMBER GE LINES ~/~'~IsTANCE BETWEEN LINES ~TRENCkl WIDTH ABSORPTION AREA "'~/' SQ. FT. LENGTH OF EACH LINE TOTAL LENGTH , OF LINES .... , IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE DISTANCE FROM WELL: TYPE_~,,"f'~/~JZ~.'~/~/~.,~' , DEPTH ¢'"'"~" ., BUILDING FOUNDATION,_.~-- NEAREST SEPTIC SEEPAGE LOT LINE / , SEWER LINE ~ ,TANK /-' , SYSTEM WATER ~.~_ _____SAMPLE , NEAREST OTHER , CESSPOOL_ ~'~"'" , SOURCES_ z~' DIAGRAM OF SYSTEM DISTANCES: DATE GAAB-HD-2 GREATEI ,. NCHORAGE AREA. ROUGIt HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT Case N o. ~ // NAME OF APPLICANT _. _ RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH ,~'>~ L lL PERCOLATION TEST RESULTS LOCATION OF INSTALLATION '::~ d;, (i' /_ i./. (... ~]~... ~ SEEPAGE PIT t"/ , DRAIN FIELD TO BE INSTALLED BY_ /d)~ [~/~D/ZA1 . ANTICIPATED DATE OF COMPLETION., BELOW TO BE FILLED OUT BY HFALTH DEPARTMENT OTHER THIS IS TO SERVE AS ---'~' v , , PERMIT TO INSTALL A ASBESORIBED BELOW. SIZE OF UNIT TO BESERVEB ,SEPTIC TANK SIZE /~-)()(-~ TYPE (-/''~',\¢~))SEEPAGEAREA DIAGRAM OF SYSTEI~I TYPE DISTANCES: HEALTH AUTHORITY ! certi£¥ d~at ! am £~milia' with the ~¢quh'ements o£ Q'¢~er ^nchora~e Are~ borou¢~ Ordinance ~o. 2~-~ ~nd d}~t the above described system is in accordance with said code. DATE DATE RECEIVED ~._. - INSPECTION APPOINTMENTS /,,/~,.{ .~ ,?JME TIME TrME ~ DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF: ANCHORAGE DEPT. OF HEALTH &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEI~,~'¥1~NMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501  OCT 9 1980 ( ) ENV' RONMENTAL SANITATION DIVISION Telephone 264-4720RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER ~4,,u ~. Z~o~OI PHONE MAI'LING ADDRESS PROPERTYRESlDENT(lfdiffere'~n~tfromabo~vv/e) - ,,. '~/~ C~"~7 2. ~UYER PHONE MAILING ADDRESS 3, LENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT I PHONE" MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6, TYPE OF RESIDENCE [~ SINGLE FAMILY [] MULTIPLE FAMILY 7, WATER SUPPLY ,d'/..'c~, ,,'9/<' ? 9 5 o 7 NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five [~ Three [] Six [] Other [] INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY __YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS .... [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL 3EPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED ~ERMIT NUMBER 3. SEWAGE DISPOSAL SYSTEM [] IN D IVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ! ~' Connection Verified NSTALLER []Septic Tank or []Holding Tank Size: /~'~'~:)'-~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL~r'-~-"~:' 4. DISTANCESwELL TO: Septic/Holding Tank [Absol~ption Area 1Sewer Line INearest L°t Line Absorption Area to nearest Lot Line 5, COMMENTS [~].---~PP RO V E D FOR % BEDROOMS [~ CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev. 6/79) Tobben Spurl land P.E. 8155 Cranberry St, Anchorage, Alaska 99502 Phone (907) 243-5302 Dean C. Earson 3960 Coventry Ancho~age~ alaska 99507 October 15, 1980 S E WE R A D E Q U A C Y T i..S T Legal Street Address Owner Residence Water Sewer Date Of Test Test Z¥ocedure Lot 4 Lacy Acres ~/D 8320 Pokey Circle Dean C. Larson 3 Bedroom, two storey Community Water From Municipal mecords 1OO0 ga].. concrete tank, two compartments Espinoza Seepage pit Log or Concrete rings 6 fee~ deep Total Absorption Area 288 sq. ft. Built in 1971 Oct. 14, 1980 On inspection crib was found dry. Water depth in tank was 25 iches. Residence was occupied, and had been for the last months. Vents to both tank and crib had cobweb in them. Approximately 1000 gal of water was dum~ped into crib. This water was absorbed immediately and no water was detained in the crib. The tank was pumped, appro×imately looo gal of fluid and some solids were removed. Ther was very little solids in 6he bottom of the tank. This system is operating very well and is adequa$~ for the present dwelling. 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPAR FMENT OF HEAl TR AND ENVIRONMENTAL PROTECTION October 13, 1980 Dean C. Larson 3960 Coventry Anchorage, Alaska 99501 Subject: Lot 4 Lazy Acres Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1) Locate and expose the standpipes to the leaching area and septic tank for our inspection. To insure the minimum distance requirements are met: between your sewer system and any well. ~(2)~ The septic tank pumped with a receipt submitted to .~/~p this department. (3) An adequacy 'test be performed on the existing leaching area. This test will determine if the system is ~.~ ~ adequate according to National Standards. A listing ~x[/'~of private firms performing the test is enclosed. This ~reportr/ needs to be submitted to this department for our review. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/lw cc: Peoples Bank and Trust Pouch 7-007 99510 DEPARTME 825 MUNICIPALII'Y OF ANCHORAGE OF ltEALTH AND ENV[RONM[--N' L Street, Anchor-age, 279-2511, ext, 224 or 225 i:' R 0 T E C T I 0 N q9501 Datc~ ReceJ_ve~[: JulY 1, 1977 #2: RLQUESJ. FOR APPROVAl, OF INDIViDUAl, SEWER AND WATER ICACI[,I, ~.[~,,.~ Lending Institution Request: Coast Mortgage Company Mailing Address: Post Office Box 1200 99510 Phono: 279-0665 Property Owner: James L. Mc Clure Phone: 274'6602 Ma'i. lJng Address: .._8_3_2~0._Po~k~Y___C._.i~rc~le~._9~9_5.0_2~ .......................................... 3. Legal Description: Lot 4 Block 1 Lazy Acres Subdivision 8320 Pokey Circle 4: Single Family Residence: (x~ Number of Bedrooms: three Multiple Family Residence: ( ) Number of Bedrooms: Well System: Permit ~ Construction Individual well ( ) ConmmnJ. ty/Public System (x~ Depth of Well Well Log on File ( ) Bacterial Analysis 6. Sewage Disposal System: On-site System (x~ Public Uti].JA:y ( ) Permit # Septic Tank Size Install.ed Instal ].~¢r Absorption Area Soils Rate Material '7. Distances: Well to Septic Tank to Aosorp 'ton Area to Sewer Line Nearest Lot line AbsorptJ.on Area to Nearest Lot Line Two D(=:pa~£tment of Ilealth and ?~nvJ ron~-~len bal. Pro'ke~tion Reqlles'k for Approval of individual Sewer aT~c1 Water FacL!it~.cs Legal Descr.[ption: Lot 4 Block 1 Lazy Acres Subdivision Co~m~ent s: Affadavi-b Attached: ( ) Lei-ret A'btached: ( ) Disapproved: Date: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEAl_TH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 279-25]_1, ext. 224, 225 REQUES'r FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: VA_ ×× FHA ....... CONV ........... 2. Property Owner: James L. McClure Mailing Address:__ 832_0.___~_O_.]!e~/._LCir~cle, Anchorages__ Day Phone: .... JE7_4:~66~2L ........ 3. Name of 13uyer: Dean C. Larson Mailing Address:__2.._l.~_O~-_~__:P_e__moAL Elmendorf AFB Day Phone:__75_2 2537 4. Name of Lending Institution: Coast Mortgage Co. Mailing Address:_~:.o.___~_°A_1200_,_ Anc_~o__~ge, AK___Phone: 279 0665 5. Name of Realtor or Agent: Cloyd Moser, Alaska Associated Realty_ Mailing Address: 4446 Business Park Blvd Phone:. 274 3556 6. Legal Description'. Lot 4, Block 1, Lazy Acres Location: 8320 Pokey Circle, Anchorage, AK 7. Type of Facility 'to be Inspected: 8. Water Supply Type of Supply: Single family No. Bdrnls.__ Puhlic Utility. Community Water System 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-siteL xxx 72003(3/76)