HomeMy WebLinkAboutWILK LT 5
Tobben Spurkland P.E.
8155 Cranberry St.
Anchorage, Alaska 99502
Phone (907) 243-5302
SE'¢[ER SYST~4 ADEQUACT T~T
Lot 5, Wilk Subdivision
3157 West 64 Ave.~ Anchorage Alaska
Mrs. Lois T. Hautanen
Building
Baths
Bedroo~z~
Sew~System
L~st pumped
Water
Lot size
One story, full basement, finshed
3
Septic tank and log ~ribb , built in 1965
1970 ?
CAU
27100 ft~
Date of ~dequacy test
Performed by
Result
Metod usgd
Water level obser.
Observation
Comment.
Jan 23, 1979
ToSpurkland
System is adequate
460 gallons of water was introduced in 32 minuits via laundry sink
and bathtub.
Via floor drain in basement
No backup of water.
The residence has been in continuous use. ~he 460 galo represent
a shock load in addition to the daily load.The fact that the system
accepted this shockload without any sign of stress indicates that the syst
system is more than adequate for the present daily load.
MUNiCIPALiTY oF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE{~t~[J~IPAL[TY OF ANCHORAGE
825 L Street - Anchorage, Alaska 99501 DEPT. OF ]~:ALT~ &
ENVIRONMENTAL p,~C; (CCTJON
ENviRoNMENTAL ENGINEERING DIVISION
Telephone264-4720 "' JAN !. 9 IgTg
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEV~I~ ~'/~I[LVED
DIRECTIONS: Complete all parts On page 1. Incomp)e~e Yequests will not be processed. Please allow ten (10) days for processing. PROPE R~TY OWNER GM PHONE
PROPERTY RESIDENT (If different from above)
PHONE
BUYER PHONE
~IAILING ADDRESS
LENDING INSTITU ION
PHONE
4, REALTOR/AGENT
PHONE
MAILING ADDRESS
5. LEGALi~_~/~ ~DESCRIPTION ~'~ /, //~
STREET LOCATION
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] One [] Four
J~' SINGLE FAMILY [~ Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
[] Other
7. WATER SUPPLY [] INDIVIDUAL*
COMMUNITY
[] PUBLIC UTI LITY
8, SEWAGE DISPOSAL SYSTEM
* ATTACH WELL LOG. A well log is required for all wells drilled
Since June 1975. For wells drilled prior t,o ,fl~at date, give well
depth (attach log if available.) ,~/~/,~
,J~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
**If individual/on-site, give installation date
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72~10(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
CATE RECEIVED
iNSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
I. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
2, WATER SUPPLY PERMIT NUMBER
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -si'rE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified
INSTALLER
[~]Septic Tank or [] HoJding Tank
Size: If Tank is homemede SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5.
COMMENTS
[] APPROVED FOR ~ BEDROOMS
~ CONDITIONAL APPROVAL (latter must accompany certificate)
[] DISAPPROVED
DATE ~C~ BY {Title)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)