HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 23CG~T~ A~t~r~OI~G~ AI~J~ I~O~l~j~a?~:~ ANCHORAGE AREA BORO~
~ep~ent.of ~v~o~en~ QualitaS"
'' ~chorage, Al~ ~.~n~' ---1 -~"'- ~---~ ~ ~ ~
I~PECTION REPORT ON-S~E ~EWAGE DISPOSAL SYSTEM
'N.o 911
SEPTIC TANK:
.~77-
ADDRESS / ,~t~)'y~ PHON E-'~
DISTANCE FROM WELT
LIQUID CAPACITY...
GALLONS.
NUMBER OF
MATERIAL ,,,..~.k' ,~Tt~/. COMPARTMENTS
LIOUID
INSIDE LENGTH ~ .INSIDE WIDTH -- DEPTH_
SEEPAGE SYSTEM: SEEPAGE PIT:
/
NUMBER OF PITS / OUTSIDE DIAMETER. -- OR WIDTH
LINING MATERIAL ~}A/~? /~{~/ L/9/~/.(3 . DISTANCE FROM WELL C"~,/~//TII/J;
NEAREST LOT LINE.. ~'~. ~L TOTAL EFFEClIVE ABSORPTION AREA (WALL AREA)
LENGTH "~f /
, , DEPTH u~- /
_ BUILDING FOUNDATION ~, O :'/",
sQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO F~DE
FOUNDATION.
DIST~H LINE TRENCH WIDTH
TOTAL LENGTH
· OF LINES
IN. TOTAL EFFECTIVE
,DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
WELL: TYPE~/Zi~?~ DEPTH / DISTANCE FROM / WATER
~ BUILDING FOUNDATION,, SAMPLE ~ , NEAREST
~ NEAREST ~ SEPTIC SEEPAGE OTHER 4)~7~'
LOT LINE , SEWER LINE, .. TANK r,,..-"'" . SYSTEM ~ , CESSPOOL. /"/C)/~J~" , SOURCES/c/:~,4
DIAGRAM OF SYSTEM
DISTANCES:
q r~.~J. P, LL
,SOIL 'l¢.s'r by
~ 6~L.
DATE /')'~'V /Z, /~7~ APPROVED /')~'~,:,~ L'?. ~,'~_4A,~'-J"--
·; ' GrEArl=R ANCHORAGE AREA BOROUGH
DEPARTMENT OF' ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME OF APPLICANT
LEGAL DESCRIPTION ~
INSTALLATION OF: SEPTIC TANK I SEEPAGE PIT. DRAIN FIELD . OTHER
FINANCED THROUGH TO BE INSTALLED BY
CO~PL~ION DATE ANTICIPATED // ~ C- ~ ~/~J
FINAL INSPECTION~ 24 HOUR NOTICE REQUIRED. BACKFILLING OF' ANY SYSTE;M WITHOUT F'INAL INSPECTION DY THE
HEALTH DEPARTMENT AUTHORITY WILL SE SUBJECT TO PROSECUTION.
!
FOUNDATION TO SEEPAGE PIT ~:~0 DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL ~//'~ ·
SEPTIC TANK ~ I SEEPAGE PIT ~O DRAIN FIELD
TO NEAREST LOT LINE·
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
SEEPAGE PiT
ALSO CONSIDER AREA WELLS.
I SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, SEEPAGE PIT DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP (31=
EXCAVATION S FEET INTO UNDISTU~R~ED
4 INCH ~I~M~TE.~.~GAST~fRON-SlPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
F ]TT E D~.. E~D..&~I-T4R-A; ~T ~ NT-R [ M OVA B L E CAPS.
,- GRAVEL. BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION·
DIAGRAM OF' SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
· . . , , ,~,~TIiR ANCHORAGE AREA BOROUGH --/~,,~,~ .
m ' .. ' ; . '- f ~ ltGALTIi DEPA2THENT ~ -- ,) CASE g
" ' ~ 327 ~AGLE STREET
, ANCHORAGE, ALASKA 99501 · .
':-~ ~2:r ~"~ ~. ~~'~~Daie 'Performed . ~-- I ~-~ ='
ThCS:rcm Reports a: So~s, hog ~' ..,. .'...~rco~a:ion ~es: . .3. .
Depth
'Feet So[l'Characteristics Location Sketch
, I
I I
I I I.
,, I I-' I I
Was Ground. Water Encountered?
!f.¥es, At.ffhat Depth ....
Reading Date Gross Time Net Time Depth To H20 Ne: Drop
t
ercoia%xon~e' i"/ Hxnu'~'e .....
Fropo'sed Znstaltht[on':' Seepage PAt M'"" Drain Field
Depth'Of Inlet ~_ Depth' To Bottom O~
Test Performed B~,i.' . ;" ''" "'' ;' "i'
Date= ~ , ' ~:.., ·
MUNICIPALITY OF ANCHORAGe...,
DE:qARTMr'--" OF HEALTH AND ENVIRONMEN' ~_ PROTECTION
825 "~ Street, Anchorage, Alas'Ka 99501
279-2511, ext. 224 or 225
Date Received: July.29,..1977
#1: Time
#2: Time ~ #3: Time
Date ...~ _ \-n~ ~_~
Insp
Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
% Claudia Jones
1. Lending Institution Request: Alaska National Bank of the North
Mailing Address: ~301 C Stregt, Calais .II . Phone: 278-4581
2. Property Owner: Donald R. Conrad
Mailing Address: General Delivery 99577'
Phone: 694-9105
279-0596/w
3. Legal Description: Lot 23C Eagle River Valley Ranchettes
4: Single Family Residence: (~ Number of Bedrooms: Four
Multiple Family Residence: ( ) Number of Bedrooms:
Well System:
Permit #
Construction
Individual Well ( ) Community/Public System k~
Depth of Well Well Log on File ( )
Bacterial Analysis
e
o
Sewage Disposal System: On-site System k~ Public Utility ( )
Permit ~ Installed 1972 Installer .~lm~,~n ~x.
Septic Tank Size ~,~~_~ Manufacturer
Absorption Area U~ ~I~ Soils Rate _lLm]~ Material
Distances: Well to Septic Tank
to Sewer Line Nearest Lot line
to ~earest Lot Line
to Absorption Area
Absorption Area
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL
825
1. Type of Inspection:
L Street, Anchorage, Alaska 99501
279-2511, ext. 224, 225
REGUEST FOR APPROVAL OF
INDIVIDUALSEWERand WATER FACILITIES
VA FHA
CONV_XXXXX
Property Owner: ,.Donald R. Conrad
Mailing Address: General Delivery
Home:694-9105
EGRV Day Phone: 27q-osg6
Name of Buyer: William J. & Virginia L. Novo~R~y
Mailing Address: 8221 Del St. Anchorage. Ak.
His Wk:272-6407
_Day Phone:
4. Name of Lending Institution:.. ALASKA ~TIONAL BANK
Mailing Address:., Pouch 7-010 Anchorage. Ak. 9gS]OPhone: ?7R-&SR1
5. Name of Realtor or Agent: N/A
Mailing Address: Phone:
6. Legal Description:., Lot 23C Eagle River Valley.Ranchettes
Location: ~ Whirlaway Road Eagle River. Alaska 99577
7. Type of Facility to be Inspected:.
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 1972
SinEle-Family Dwelling
No. Bdrms. 2 ~=~n. ~) ,,neon.
Individual
Individual (on-site)
7/27/77
Claudia Jonas
Mortgage Loan Processor
Alaska National Bank
72-003(3/76)
-Pag~'.T~o.
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: , Lot 23C Eagle .,River Valley, Ranchettes Subdivision
Affadavit Attached: ( )
Letter Attached: ( )
Approved: '~'~'% ~- Date:
Disapproved.'- ~