HomeMy WebLinkAboutHERITAGE HEIGHTS LT 14
L~/ MUNICIPALITY OF ANCHORAGE ~/
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
MAILING ADDRESS
[SGAL DSSC~T~ON
LOCATION
Absorp~i~area ' Dwelling~o
DISTANCE TO: Material
Manufacturer
Liq. capacity IF HOMEMADE: Inside length I Width
Well Dwelling
DISTANCE TO:
Manufacturer
Well
DISTANCE TO: Length
No. of lines
Top of tile to finish grade
Foundation
Length
Width
of each line Total length of lines
Material beneath tile
Depth
Type of crib Crib diameter Crib depth
Well Building foundation
DISTANCE TO:
Depth Driller
Building foundation Sewer line
DISTANCE TO:
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
APPROVED
HONE
~UPGRADE
Material
Nearestlotline
Trench width
NO, OF BEDROOMS
PERMIT NO.
No. of c.~m~.nts
Liquid depth
PERMIT NO,
Liquid capacity in gallons
PERMIT NO,
Distance between lines
inches
Total effective absorption area
inches
PERMIT NO.
Total effective absorption area
Nearest lot line
Distance to lot line PERMIT NO,
Sept c tank Absorpt on area(s)
DATE
LEGAL
DEF'ARTMENT O¢" '--IEALTH AND ENVIRONIdENTAL F' ~TECTION
99
825 [~S'TREET, ANCHORAGE. Al<
2.64-'4720 %¢%
F:'ERM I T ND:
DATE I SSLIED ~
APPLICANT:
ADDRE,... ~.
CONTACT PHONE:
8.~ .x.:,.~...,, UF'GRADE
WILLIAM LONG
5861 CHISANA
ANCHORAGE, Al<
::!!;46-158 1
99507
LEGAL. DESCR I I::':
LOT SIZE:
LOT LOCATION:
SUBDIVISION: HERITAGE HEIGHTS
SECTION: 4 TOWNo[IIF. 12N '
17990 (SD.FT. OR ACRES)
CF'II SANA
LOT: 14
RANGE: 3W
BLOCK: 0
I cer't, ify that.:
1. I am £amiliar wi'th 'Lhe r'equii'ements Cot on-site :sewers and wells as set
¢orth by the Municipality o£ Anchor'age (MOA) and the State o£ Alaska.
2. I wi'll install the system in accordancb wi{h all MOA codes arid regulations,
and in c:ompliance with the design criteria o£ this per'mit.
3. I will adhere to a.l. 1 MOA and Sta'Ee of Alaska requirements ~o~ the set. back
clistances £rom any existing well, wastewater disposal system or' r~ublic
sewerage system on this or any adjacent or' nearby lot. -
IF A LIFT S'I'A'FION IS INS]'AI£LED IN AN AREA COVERED BY MOA BUII._DING COI)ES,
TH.EN (1) AN ELECTF~ICAL. PERI'flIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS'
WILL NOT BE AF'F'ROVED WITHOU'I" AN ELECTRICAL INSPECTION REF'ORT; AND (3) THE
ELECTRI[]AI...~ WORK MUST BE DONE BY~ICEIshSED EL.ECTRIC):AN,,
...... .... ...........................
~g ANLI'IUKAL~I: AKI::A UUK' ',bM
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE D~ISPOSAL SYSTEM
NAMEr'S'/ ZO/~: MAILINGADDRESS 27, g~/// 7 ,/~_~--~/-'~/~'Z~,'~-/~PHONE
LOCATI0¢,~F~5~ /~*~ LEGAL DESCRIPTION ~' .~ ,//~/C
SEPTIC TANK:
INSIDE LENGTH
INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /~C:) GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / . DIAMETER __OR WIDTH__
LINING MATERIAL CRIB SIZE: DIAMETER__
BUILDING FOUNDATIONT/O [-JF .
ADDITIONAL ABSORPTION
LENGTH DEPTH /~'~ /'
TOTAL EFFECTIVE ~S
ABSORPTION AREA (WALL AREA) Q. FT.
TYPE CONSTRUCTION
BUILDING NEAREST
FOUNDATION __ LOT LINE
CESSPOOL
OTHER SOURCES
DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK SYSTEM
APPROVED DISAPPROVED REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
Form No, EQ-031
GREATER ANCHORAge Area BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
w ~'~ PHONE
bOil TEST RES~
COMPLETION DA NT
FINAL INSPECTION: ~ HOUR NOT'CE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAE QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION tO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT ., DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
/
SEPTIC TANK , SEEPAGE PIT ~/ , DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK SEEPAGE Pit
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK. /~/ , SEEPAGE PIT
DRAIN FIELD
SEPtiC TANK, SEEPAGE P~t ~//J~ j DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRib CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOil.
4 ~NCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
CERTIFY THAT I AM FAMiliar WIth THE REQUIREMENTS Of GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 aND THAT THE ABOVE
DESCRIB SYSTE IS IN ACCORDANCE WITH SAID CODE.
WOODWARD'" LUflD REfl'I & ASSOC]ATES, g lC,
~,C)~UL.T]N~ EN~iN~'~$ AND ~OLO~I~"~'~
AN AFFILIATE OF WOODWARD-CLYDE CONSULTANTS
Raymond Lundg.en
Lloyd ~. Clu££
B.A,Valler9a
William T, Black
32OI Spenard Road
Anchopa9e,Alaska 99503
(EOT) 272-2407
July 9, 1973
Job No. A12109-13
Kincaid & Son Construction Co.
7801 Jodphur Drive
Anchorage, Alaska 99503
Attention: Mr. K. Jenkins
Gentlemen:
Seepage Pit Inspection
Lot 14 Heritage Heights
Anchorage, Alaska
At your request, the undersigned inspected the subject excavation
and logged the vertical soil profile on July 6, 1973. The pit
location is shown.in Jig. 1 and the Soil profile is shown in Fig.
2.
The soils were visually classified and absorption values assigned
accordingly on the basis of our experience and by written guide-
lines of the Greater Anchorage Borough. Respective absorption
values are given under "Remarks" in Fig. 2. Free water depth
evaluation is based on U.S.G.S. well log data.
If we can be'of any further service to you, please call.
Very truly yours,
WOODWARD-LUNDGREN ~ ASSOCIATES
Chief Engineer
RPK:nck
CC GAAB, D.E.Q.
OAKLAND SAN JOSE SAN FRANCISCO ANCHORAGE, ALASKA
4' 1 7"E' PLA
WOODWARD-LUNDGREN & ASSOCIATES
Consuk~ing Soil Bngineers and k~_/eolog.Lsts
"~ -Lo ,,~ ~,~ ("r'~' ~'~ p -r) '"" ~ "I
SAMPLES SAMPLE DESCRIPTION m ~ (drilling fluid, depth of
-~ ~ ~ color, moisture, particle ~ ~ casing, casing blows,
~ tion~ crowd~ rpm~ etc.)
~ ee- ~ s~ze, consistency
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received ~- ~-~ ~TZ
Time of Inspection
Date of Inspection
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Phone:
Phone:
3. Legal Description: /--J~- /z/-m~/j/~ /Z//~x~/~/f~
4. Location: ~_~.~ ~/~ ~:~f~///-~'~
5. Type of facility to beC~nspected~'<-~%-~//~/~ No. of bedrooms
6. Well Data:
C. Construction
D. Bacterial Analysis
Sewage Disposal System:
A. Installed /¢~-~
C. Septic Tank:
D. Seepage Pit: 1. ~sorption
E. Disposal Field: Total length of lines
8. Distances:
A. Well to:
1. Size /'~%2 ~) 2. Manufacturer
2. Material ~ ~_~-<!, ///r~c~,~
Septic tank ~ , Absorption area , Sewer Lines ,
Nearest lot line
, Other contamination
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re~..~.~st for Approval of Individual ~¢er & Water Facilities
Legal Description
Comments
L//~//x.~ ~ppro~al-Vali~d for one year from_d~tvelSigned
Greater Anchorage Area Borough, Department of n 'ronmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
Date
EQ-034 (1/74)