HomeMy WebLinkAboutSCHROEDER BLK 2 LT 9`jch�'oecler
LAS
5
10
6►oc.K
MUS9 1. win I 92MIL. .1 AZT 102 TOP �X� � 1-1 WJ W 1=1 42.� TO -
1 MENT
O-TMENT r'- HEHLTH HND ENYIRONMENTHL SAD TECTlON
825 ' STREET, HNCHORHGE, HK 91-j1
264-4720
�[�YQ PIN g 4 p --- f§ 1: TH 12; is: Q " 1 PH: Q 11 T K 10 0 1 1 1 - d
PERMIT NO ( 820426 )
HPPLICHNT ElSAW LGRSON, DBH. E, L. PO BX227 ER694~2188
LOCRTION ER
LEGHL LT9
Bl K.2 SCHROEDER S/D LOT SIZE ]0000 SQUHRE FEET
TYPE OF SOIL HBSCAI? PTION SYSTEM IS:
MAXIMUM NUM8ER OF BEDROOMS = lovl SOIL RATING (SQ F?/BR)- GROW
THE REQUIRED SIZE OF HBSORPTION SYSTEM IS:
PERMIT HPPLICHNT HHS THE RESPONSIBILITY TO INFORM THIS EPHRTMENT [)URING THE
INS19L1.41TION INSPECTIONS OF RNY WELLS HDJHCENT TO TH{S PROPERTY HND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
�9 "! W 17 R: > I IV p SV do, PHI K� n -1 1 07, K! AS FT FQ EE fl-li I [::,m
BHCKFILLING OF HNY SYSTEM NITHDUT FINAL. INSPECTION HND HPPROVHL BY THIS
DEP8RTME4T HILL BE SUBJECT TO PROSECUTIOK
F21 FT Two !I. -Y is! �?"" I Not Eyl; E:m��I 4:II:n PEI 0- 1 ivy W hot ��. �So ED: 12.
UN, L Or ApPl-;
,r-
ti I
MCO \9C,. ( - VAIi i
•
- - - J
X P1 S -- —
_
1;At_
SU3DiA'i5�;
10�+ ----
I
j
TAX CODi_
-
c
ull_'I-
mwl _S5
c.:I, ,� I,or rea„Il�m
01,,:
O�X °ROPERIY ONI_Y
1., L, „ uNtl'
- „ • �;eti c,� c'. � reemenl
G,
'�, u, lc— -
iSoU CG BY'.
CO�\II\;LGTIO 1 �IIL
-
CA SH
—
?! ) Ci
IivS'r� I) -
_ ---
JI
I mo; i3L11
...
AI r,
_O AL
-_
'Ani<s
____--- --
rl it i7fl.
P 1I-E IPleasr.
- PNC rif_
illi IiI�V EH`l S+G60f` i PPiZ�Jlff AND NGRfi=fC i
(;n i-L-1T
.�
O I$ r1 i`]Ll fZ GULI\l 0 � i Gi.
i
.i rmi i'I Y \V1TH fHS;d_
- '�
O
N
1
8
T_
m
xx
m
m m
P
<N
®
�
v m o
8 Z
ty9
r
^n
A
•n
A
'n
A
^f
A
^n
A
•n
A
m
A
•n
A
��
A
•n
A
•n
A
-n
A
D
O
J
RH'1 Cr" A rn
! I m A
C)
°
m
y
iW
EN
i„a
y
p
p
Z
O
O
O
O
O
O
O
O
O
O
O
O
O
H
'-1
H
'H
H
.-•1
'-i
H
•-1
�_
.
.
..
...i
;3
^
M
A
•
Irl
A
m
A
- e
A
^n
A
m
A
m
A
m
A
-e
A
•a
A
•
Irl
A
n
A
z
O
y a -0
9 yl 4
0000000000
O
O
O
A
O
H
Ki
H
�l
H
.n
H
"M
H
.n
H
rl
H
T1
H
n
y
i,
O
O
O
O
O
O
O
O
O
O
O
s
V
t^ ji
ni
171
ni
III
ml
In
:
ITI
oil
m
i
}u
jr
MUNI
ePTUTY op,
VVIR:
HOR
:OF *ALTIJ ?:
�'V'� NTALi
PRO-ECTI
RECEIVED
O
N
1
8
T_
m
xx
m
m m
P
<N
�
0
=
m
D
te® B
egg
c
c
D
r
r
D
flu
D
r
N
r
N
�
D
x
D
s
J
0
coo D
rn �
N r-
cn D
D
cs
i
44
w W 3 a V : .r : : : : . : : U
� V 643/1 °' O ® 40' O ® O .-O :O •� O O C� � f.r_. ; . �t
F � a a a a a p4 �•,� a a a a� a ,.
41t
0
so
41
ai
cn
si � 3 1\ � � ami••. s � A
QF �• "Ji iF � J -I
co: s{
O O O O O O O O O O A O
h' F F F F F F F F F F Fr
as
ivi i p i i O
N; co:
p W Oi V N: (+); -V; Q
Z of F.
Q o: a
® w O g 7 X x V- i i i m x O
k O O O O O O O O O 0 o O ?
a O 9 w � ua w ea w � w 1� w � .�
z o H a
' {��� nra.w .� . e M . ,••n:r:Yk1F��.��r - . . - ,lh� @ � d^'1yy.�'
� � N
00
e-
Y
a
�
a
a
MA
J
a
NO
ca
CU
W
LL
LL
0
N
g
cs
i
44
w W 3 a V : .r : : : : . : : U
� V 643/1 °' O ® 40' O ® O .-O :O •� O O C� � f.r_. ; . �t
F � a a a a a p4 �•,� a a a a� a ,.
41t
0
so
41
ai
cn
si � 3 1\ � � ami••. s � A
QF �• "Ji iF � J -I
co: s{
O O O O O O O O O O A O
h' F F F F F F F F F F Fr
as
ivi i p i i O
N; co:
p W Oi V N: (+); -V; Q
Z of F.
Q o: a
® w O g 7 X x V- i i i m x O
k O O O O O O O O O 0 o O ?
a O 9 w � ua w ea w � w 1� w � .�
z o H a
' {��� nra.w .� . e M . ,••n:r:Yk1F��.��r - . . - ,lh� @ � d^'1yy.�'
,Permi.t ;r: 820426
January 31, 198;
TO: Permit Applicant
Subject Lot 9 I31ock 2 .>choi-eller Subdivision
A permit- issued by this department for an individual well
and/or on-site sewer system has expired as of December. 31,
1982.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log needs to be sent
to this department for documentation of the installation
date and to (;lose the permit.
If a private engineer inspected the installation of the
on-si.te sewer system, please have them send us the as--builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerely
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/1-jw
enc: Copy of Permit
S W P / 0 5 7
APPLI lNT FILLS
OUT UPPER HA " ONLY
Properly Owner " , .. r v\. _>t `' \ : Y i `. ' t y _. Phone
��< 1 S
Ma,ling Address !� ��� : (_ i, .. f '' ,.��.,
Zip Code
Buyer '' / is c- / %5 i..�, r:• Ld.--
r.
Address
Zip Code
Lending Institution rte_/- ��, Lam. !, �'3"U ,.. �.
Inspector
Phone
Address
Zip Code
Realty Co. & Agent
Phone
Field Notes: -�-t� 1(•l
MUNICIPALITY OF AI iCHORAG�-
(.) e �gJr Y �L��� "
Address
Zip Code
ENVIRONMENTAL
Legal Description:_
/
-
Street Location''
("� ROVED BEDROOMS 'CONDITIONS
OF APPROVAL.
( ) DISAPPROVED
Type of Residence
( ) COITIONAP OVA
7rif'� Single Family
DATE
❑ Multiple Family No. of Bedrooms_
BY:
❑ Other
Soils Rating
Water Supply
_
,�; Individual \ 1
ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
❑ Community t'l'
For wells drilled prior to that date, give well depth (attach log if available).
O Public Utility
Sewer Disposal
❑
Year Individual Installed:
Individual
Ek Public Utility
When Connected to Public Utility: — --
❑ Holding Tank
_
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
l J�
me
'rime
Time
�—
Time
Date
Date
Date
Date
Inspector
Inspector
Inspector
Inspector i'tfi1'CY
Field Notes: -�-t� 1(•l
MUNICIPALITY OF AI iCHORAG�-
(.) e �gJr Y �L��� "
DEPT. OF HFP•.I.TH I'
PROVE"ON
-
ENVIRONMENTAL
X1;1. 2 0 191133
("� ROVED BEDROOMS 'CONDITIONS
OF APPROVAL.
( ) DISAPPROVED
( ) COITIONAP OVA
DATE
BY:
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well Log Received
Well to Tank _
Septic Tank Size
72023 191621
`jrJnroecler Sic
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE AND WATER FACILITIES
(Fill out in Triplicate)
1. Name of person requesting approval , - A (J' (�-1-5
�-
n
2, Name of property
3. Legal description
4. Number of bedrooms in house_ ,
5. Water Analysis:
a.
b. Detergent's "- j
6. Well data:
a. Type
b, DepthJ
- — --
c. Casing; Size
d. Distance from well to closest existing or proposed:
1. Sewer line,
2. Septic tank0'j ty!(!r
3, Seepage Area�'1,
4 • Cesspool
5. Property Line4,
6. Other sources of possible contamination, i.e., creeks, lakes,
houses, barn, drainage ditch, etc,,.,.f�,
7. Sewage disposal system.
a. Age of system
b. Septic tank capacity in gallons
c. Name of septic tank manufacturer
1. If "home made" show diagram on reverse side of this form.
d. Disposal field or seepage pit size and typeIT x
1, JAMInce to property line ', to house foundation j2(; .
G. Percolation Test results -t
f, Percolation Test performed byX/
8. Use the reverse side of this form to show diagram. Diagram: should include
the following information: property lines;•well location, house location,
septic tan]< location, disposal area location, location of percolation test,
and direction of -rounc slope.
9. The information on this farm is true and correct to the best of my knowledge.
4Aplicant
fnr,tu.e of ��)f�ate i g n e d
TO BE PILLED OUT BY HEALTH DF.PARTfIENT PERSONNEL
above described sanitary facilities are hereby approved, subject to the
following conditions: ---
Conditions:
The above described sanitary facilities are disapproved for the following
reasons:
s
Sa gnat e of f i ei.� i „ ate V
Approval .is valid for one year following, the date of approval.
CPJ.cw