Loading...
HomeMy WebLinkAboutLAZY ACRES LT 8 GAAB-HD-I ~TER ANCHORAGE AREA BOROI H D~zlARTMEI~T OF EI~VIF~0~JMEI~TAL 0. UALIm ~' 3,~00 TUDOF~ Ir~OAD ANCHORAGE, ALASKA 9g§07 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ADDRESS_~_~".~;~._/.z~,..~..,~'''~' d:..;~'~'~.<'~,~-PHONE d~,J~-2'/ DISTANCE FROM WELL_(~"~,/'~;'/,,'~-' LIQUID CAPACITY _./'~_~_d) GALLONS. MATERIAL__ INSIDE LENGTH NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH SEEPAGE SYSTEM: SEEPAGE Pit: NUMBER Of: PITS_ ~"~6'-UTSIDE DIAMETER L I N I N G,M~','~'E R IA L ~M OR WIDTH.__ WELL_ ~'~' NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ., LENGTH __, DEPTH BUILDING F GU N~DATION __, .SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL 6""~?,/~,.~,,,'''~_/z~,,~,;,7~J , FOUNDATION NUMBER OF LINES__=.? __DISTANCE BETWEEN LINES ABSORPTION AREA_ ~"'~ DEPTH: TOP OF TILE TO FINISH GRADE ..~'~,,,.~,~<'~-'S¢)4-'· TOTAL LENGTH / , NEAREST LO[ LINE /.~-; /~ , OF LINES ~ TRENCH WIDTH IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE "~? ~- -/~ / $ ---.=~.? ,' DEPTH OF FILTER MATERIAL BENEATH TILE ~'"'"'~ IN. ABOVE TILE ~ DISTANCE FROM WATER WELL: TypE~"'~,~,f,'f:~/.~z-~"/_~~ , DEPTH_ ~ ,BUILDING FOUNDATION. ~'"'"~ SAMPLE '¢~"--- , NEAREST ~ NEAREST SEPTIC ~.....~.. SEEPAGE .~._ OTHER LOT LINE , SEWER LINE ~-'-" , TANK , SYSTEM , CESSPOOL '~' , SOURCES~-- . DIAGRAM OF SYSTEM DISTANCES: Tobben Spurklond P.E. 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243-5302 MUNICIPALITY OF ANCHORAGE DEP'[. OF H[Y'xLTH & ENVIRONMENTAL PROT[CTION MAR 4 1981 RECEIVED Mr. Vincent Wyrwitzke i©. Box 6416 Anchorage, Alaska 99502 March 4, 1981 S E W E R A D E (~ U A C Y T E S T iegat: Sbreet Address: Owner: Re sidenc e: Water System: Sewer Syst em: 9 Date of Test: Test l~rocedure ~ Test Result Lot 8, Lacy ACres 8240 Pokey Circle Vincent W~rwit zke Doublewide Trailer Community Well From Municipal l~ecords: Tank: 1000 g~L1 Espinoza concrete. Absorpt ion System: Drain Field Absorption Area: 228 sq. ft. Installation Date; Sept° 1971 March 3, 1981 System was inspected on l.larch 2, 1981. Septic tank is under gravel driveway with cleanout 4 inches below surface. 2 inch boards protect cap, Garage has been built over drainfieldo No standpipes or vents instaaled in drainfieldo On March 3rd 450 gal of watex' was added to the septic tank at the rate of 8 gal per min. The water level in the t~nk rose one inch, from 5'~7" to 5g-8' within 5 min. and remained at this level throughout the test. The system accepted ~50 gal dur:i, ng a one hour period without signs of surcharging or overflow. The system meets the Nunicipal requirements for absorption rates. DA"I"~R ECEIV E D TIME TIME ~" TIME DATE DATE DATE iNSPECTOR iNSPECTOR ~ INSPECTOB-~ MUNICIPALITY OF ANCHORAGE MUNICIPALITy OF ANCHORAGE ) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL F~iOTECTION ENVIRONMENTAL SANITATION DIVISION APR 3 1901 Telephone 264-4720 ' REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE~:J~I~IJ.~IJ~,~ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE Wyrttzke, Vincent J. 344-7276 MAILING ADDRESS 8240 Pokey Circle , Anchorage, Alaska 99507 PROPERTY RESIDENT (if different from above) PHONE 2. BUYER PHONE Rich, William D. Sr. 278-9531 MAILING ADDRESS 5311 Tudor Top Circle, Anchorage, Alaska 99504 3, LENDING INSTITUTION I PHONE PEOPLES BANK AND TRUST COIV~ANYI 263-3242 MAILING ADDRESS POUCH 7007, ANCHORAGE, ALASKA 99510 4. REALTOR/AGENT I PHONE C-21 Shenum RealtyJ 344-1531 MAILING ADDRESS 5. LEGAL DESCRIPTION Lot 8, LaZy Acres Subdivision STREET LOCATION 8240 Pokey Circle, Anchorage, Alaska 99507 6. TYPE OF RESIDENCE ~] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~SEDROOMS F-I One r-] Four E~ Two [-] Five [~] Three ~] Six [] Other 7, WATER SUPPLY [] INDIVIDUAL* [] COMMUNITY PUBLIC U'FILITY * ATTACH WELL I_OG. 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.) 8, SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** iC~' "11 YEAR ON-SITE SYSTEM,WAS INSTALLED. [] PUBLIC UTILITY ~/~_~)/~L~(lm (-~(.'3 k ~ ~ J~d/~ -- / NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEsTBEFoRE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) . THIS SIDE FOR OFFICIAL USE ONLY ' 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE E~] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] I NDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line Nearest Lot Line WELL TO: I Absorption Area to nearest Lot Line 5. COMMENTS '' ,PROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate} [] DISAPPROVED DATE BY 72-010 (Rev. 6/79)