HomeMy WebLinkAboutNEWTON LT 6
ANCHORAGE AREA BOR JGH
Department of Environmental QualiW
3330 C Street
Anchorage, Alask8 ggS03
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MAILING ADDRESS ~;~ OX ~ ~0~'~, ~~/6~7~? PHONE
SEPTIC TANK:
DISTANCE
FROM WELL /~)1
INSIDE LENGTH
j~ NUMBER OF
MANUFACTURER t~~l~/'~l,~'~'- MATERIAL gJ-<:2'~¢ COMPARTMENTS
INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY/0~ C)GALLONS.
DISTANCE FROM WELL ~l FOUNDATION .~0
NUMBER OF LINES / DISTANCE BETWEEN LINES
NEAREST LOT LINE /..:~ t TOTALOF LINES LENGTH/_~__._~ ·
TRENCH WIDTH ~IN
TOTAL EFFECTIVE
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
SQ. FT.
LENGTH OF EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH TILE
IN. ABOVE TILE
IN.
WELL:
TYPE ~"~ 4J ~-- CONSTRUCTION
BUILDING ~0.~L NEAREST
FOUNDATION , LOT LINE
CESSPOOL- OTHER SOURCES
NEAREST SEPTIC
SEWER LINE__ TANK
REMARKS
DEPTH __
SEEPAGE
SYSTEM
DISTANCE FROM:
DISTANCES:
INSTALLED BY: /'//~J~)~/]-0/~) g/ge"
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
DATE ¢t"/t~-/7~'~'APPROVEB /-~ ,~"/4CtC¢2,.-,~,¢>-¢'.,.----
G.A.A.B.
Form LQ-032
f::qJE F.:H ]: T
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i:]iF::OLINE:, i'::I1'.,t[::, 'I'HE BEFI"TEIH (:iF:' TI-II: E:,';-;,'CF:t',,,'F:ITION ,:: ]:1'.,i FEE'T.':,.
TI'-'IEiRiC :i::E; 1'40 :.E;E'T H:[[>'I"H FOR
THE.: GI:;::FI'v'E:L DI::iI::'TH ]:S THE.'-. H:[N]:I"ILJH DECF:'TH OF' i::ilq:FI'v'EL. IE~IETI.,.I[':L:::.I",I 'I'HIE: I:it..ITI::'i:;:iL.[... !:::'!PE!:
F::!N[) THE E::(:)TTCd"I OF" THE [i:::.::C:I::l',,,'t:::l'l":[Oi",! (I1"4 I::'EET).
; T CiL-':i:~-:T :1: F"r' THI::IT
....... , ..... [ ........ j .....
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2' :1: H]:I....I.. :1:1",1:.--:;'I"1::11....I... THEi: S"r".:;TE:H :l:lq ::::::::::::::::::::::::::::::::::: HITH TFIE CCiI::'[:::'.:.:;.
:ii:' :[ LIt",II:::'E:F;:'.?I'F:Ii',IE:' THFIT THE J-ff'I'"'S]:TE Ei;E:Hi::i:: ::'i;'¢'.'STE:H HI::I'¢ F'.E'.9~II::::E ENL. F:II::'::I:]i::_:'HENT :CF' "file
::::::::::::::::::::::::::::: I'..:' RtEHCd::'[!!:LE':D TO :t:NE:LUE:'E' HiT)RE THFilq :~: E:JE:[::'ROOHS.
:E; :Ii ,::,'..,I:,J:,: ....... ~......~~'. .....................................
~: FI N ]" ..T O H N "1" H 0 H I::1
, MUNICIPALITY 0~' AN(JHOt~/~G~
Depart~z of Health and Environmental I~cection
SOILS LOG
PERCOLATION TEST
Performed for John Thomas Date Performed 8/1/76
Legal Description LOt 6 Newton Subdivision
t4
16
18
20
red brown silty sand (SP-SN) with layers
to 0.5 feet of clean sand2(~P)
perc rate = 250 feet /bdrm
red brown poorly graded s~qd (SP) -
perc rate = 150 feet=/bdrn
red-brown well graded sandy gravel (GW)
with boulders to 2 feet in diameter.
perc rate = 85 feetg/bdrm
brown gray silty sandy gr~el
perc rate = 225 feet /bdrm
Tot'al Depth = 18 feet
no water table encountered
AVERAGE PERC RATE FROM SOILS LOG = 130 feet2/bdrm
Date Net Time DePth Net Drop
Percolation Rate minute
MUNICIPA(ITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH &
ENVIRONMENTAL ENGINEERING DIVISION [~!0V 1 197'8
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWEI~ ~-I~ ~)...- .~---------
'~,IR~CTIONS: Complete all parts on page 1. Incomplete requests will not he processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER PHONE
Jerry/Faye Derden
MAILING ADDRESS
PROPERTY RESIDENT (if different from above) PRONE
2. BUYER PHONE
Larry D./Eunice M. Rowell
MAILING ADDRESS
Alaska Veteran's Administration
MAILING ADDRESS
907 West Northern Lights Boulevard 99503
4, REALTOR/AGENT J PHONE
Susan Gallion % Area Realtor J 694-9555
MAILING ADDRESS
Post Office Box 249 99577
S. L~.GAL DESCRIPTION
Lot 6 Newton Subdivision
STREET LOCATION
Map on the back - Susan will meet you there.
6, TYPE OF RESIDENCE NUMBER OF BEDROOMS
2~ix SINGLE FAMILY [] One [] Four [] Other
? I~ Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
7. WATER SUPPLY
dX INDIVIDUAL*
[~ COMMUNITY
[] PUBLIC UTILITY
8, SEWAGE DISPOSAL SYSTEM
~:X INDIV] DUAt./ON-SITE**
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give wetl/]
depth (atta~ch log i~f avaita.ble.}
'**If inclividual/on-site, give installation date ~.__.
If system is over two (2) years old an adequacy test is required
by this De, partment,
NOTE: THE INSPECTION FE~- MUST ACCOMPANY EACFI REQUEST BEFORE PROCESSING CAN BE INITIATED.
1HISStDE FOR OFFICIAL USE ONLY
INSPECTION APPOINTMENTS
-~ '~"fu; ¢.',F zq ESI DI~rxlcE NUMBER O1: t3EDI'IOOMS
r~ ONE ' -! THFIEE r-n FIVE F-i OTHER
?,NGLE FAMILY -
bU! TIPLE FAMILY [~_] 'IWO ~'-[~ FOUR [_~ SIX
WATER ~I.IPPI_Y
SOMMUNI-FY )
DATE DRILt. ED
. 'd~,L,(, UTILITY
(]oll~iection Vmifiad ........ LOG RECEIVED
I;I':W/~I}E: DISPOSAL SYSTEM PERMIT NUMBER
~'I ',-)lWl!)(IAt/ON-SITE ,i3%~ E-i'N~XLI]~
',ili]!_!C I_ITI I.I"[Y
........... INo~ ALLE(~
,: r;:.: ! mi(or ! JHoldmg rank
,,.: t~.~_ lf Tank is homemade .... SOILS RATING~
,', E DJ: FAN]< MANUFACTUREfl
.... ..... L}/EL.L-ro: .......... Z~Z.' .......... I .... L/~' _ J .................... _L .... '~_'._za_'. ........
; ~-~?" 'APP R OV E D FOR ..... % BEDROOMS
! i] CONDITIONAL APPROVAL (lettei must accompany cot d[i?ate)
~DISAPPI'IOVED " --'"/' l-
c , .... F4P~tON
· d, i a',,. 3/78)
REALTORS®
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
~-NVi2,ONM~:i'~¥^L rr,,..)J i~,..~ ~uN
'¸4.
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
Type o~ Inspection: CMRO
Alaska State
VA x FHA
1978
RECEig D
Property,Owner: Derden, Jerry & Faye
Mailing Address: P?/~ Sue Gallion, AREA, Realtors
· Box 249, Eagle Riva. r: Day. Phone
AK 99577
Name of Buyer: _ Larry D. & Eunic. e M. Rowel 1
Mailing Address: Day Phone
Name of Lending Institution:
Mailing Address:
Alaska State VA
Phone
Name of Realtor or Agent: Susan Gallion, AREA[ Inc.
P. O. Box 249 Phone
Mailing Address: ~ag]~ River: AK 995?7
Realtors .
694-9555 work
694-9774 home
Legal Description: Newton Subdivision Lot #6
Location: Map on back
7. Type of Facility to be inspected: Private Residence
8. Water Supply
Type of Supply: Public Utility ~ Individual
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:
No. Bdrms.
x
Individual (on-site)
October 1976
X
REALTOR®
AREA, INC. REALTORS
[] Anchorage
"C" St. Office
3300 C Street
(907) 278-2525
[] East Anchorage [] Eagle River
Eastgate Office Parkgate Office
5437 E. Northern Lights P.O. Box 249
(907) 278-2525 (907} 694-9555
C ___1~'~_ _~.~1___ 8~ eEOLOGICAL LABORATORIE~ OF ALA~KA~ INC.
P.O. BOX 4-1276 ANCHORAGE, ALASKA 99509 4649 BUSINESS PARK BLVD.
: Drinking Water Analysis Report for Total Coliform Bacteria
TELEPHONE
(907) 279-4014
TO'BE COMPLETED BY WATER SUPPLIER
PUBLIC WATER SYSTEM: . I I J J I [ I
I.D. NO. ' '
Public Watel; System Name
Mailing Address
City
SAMPLE DATE:
State .
Mo, Day Year
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no. )
[] Special Purpose
Zip Code
[] Treated Water
[] Untreated Water
SAM PLE'"-~
NO. LOCATION
Time Collected
Collected By
e'f
TO BE COMPLETED BY LABORATORY
LABORATORY:
NAME
· ~.
ADDRESS
Dat~ Received
Time Received
Analytical Method:
CITY
-, [] Fermentation Tube
~ Membrane Filter
Lab Ref. N~/
Result* ~~s
READ iNSTRUCTIONS
BEFORE
COLLECTING SAMPLE
Form No. 18-310 (3-78)
06-1220 (b)
Rev. 1978
BACTERIOLOGICAL WATER ANALYSIS RECORD
Date Collected Source
a.m.
Lab. NO.
Presumptive lO,mi 1Omi 1Omi ZOml 1Omi Z.Oml O,lml
24 Hours
24 Hours
EMB Broth 24 hours: Broth 48 hours:
Multiple Tube Report: 10mi Tubes Positive/Total /0mi Portions
Membrane Filter: Direct Count Collform/100ml
Verification: LTB _BGB
Final Mem bra r~e Filter R~')/~ --~. ~.~.") / ~ 2~'pllf°rm/:lOOml
RECEIP'T ~ 'Oate ~ ~ ~'~' ~,~/'~-~ 19 ~'~ - - 3792
Received From ~ _~/-~