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Home My WebLink AboutSCHROEDER EAST BLK 1 LT 119 mm € /02ZOL SSD .'I- . t/ -I— MUNICIPALITY OF ANCHORAGE t/ s DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-472.0 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ��' PHONE l 7 NEW UPGRADE MAILINGADDRESS LEGAL DESCRIPTION — L_k( <_�c_41P�Pc:2i — LOCATION NO. OP BEDROOMS T� �L o,C ' DISTANCE TO: Well Absorption area Dwelling �� PERMIT S U y 3 �_in I NManufacturer / f,e e ( Materia No, of compal� eats s Liq. capacity in gallons IF HOMEMADE: Inside length I/' Width Liquid depth �i t7Z DISTANCE TO: Well — Dwelling PERMIT NO. 02 Q _; I- Manufacturer Material — Liquid capacity in gallons CI -j 2 _ U Well DISTANCE T0: _� Foundation Nearest lot line F7. �� PERMIT„ eC) t C' 0 L_J ui u z Z LU F' No. of lines Length of each line ��- Total length of lines Tench width il 'nches Distance betyyywwween lines �� ',Absorption 1-- Top of tile to finish grade Material beneath the Total effect ve area inches C.� Length Width Depth PERMIT NO. ®' a h wa Lu Type of crib I Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation g Nlline - Nearest .j LLJ Clas LIW_Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic to t Absorption arga(s1 -T- OTHER PIPE MATERIALS I ST l � — SOI)) ST R�ATI Gn CC Lt INSTALLER La(A��Qc ros REMARKS (� [ 0 — �i0 d O4 r _ — CO _ r - APED DAT LEGAL � � 3 -7d Date `7 3� r . -1i �' _( Owner � i I I Ca I �C�� VIoV�`1T� hcco''k Location �- L lass CityE�C- ��\ j Vi; 2 State �l Total Depth (-1113 ' i Static Water Level C-) Casing Size � Screen Size Length Kind of Wire — Gauge — Estimated Capacity 49S IJ gals./min. Kind of Pump = Depth of Pump Setting H.P. _ Voltage Size of Tank Phase Ft - .i UiC:L'-,V C L, (; Vel, `_�uc�eS� `mac c ityeT' � r�n,7 E'-' csc�� -c = N`a r 1_� U TYPE OF SOIL HBSORBTION SYSTEM IS� TRENCH +*�^ MHXIMUM NUMBER OF BEDROOMS = ] NOW RHTING (SQ MIND- WO THE REQUIRED SlZE OF THE SOlL HBSORPTION SYSTEM IS� THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRF! INFIRD. THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFHCE OF THE GROUND HND THE BOTTOM OF THE EXCHVRTION (IN FEETI THERE IS NO SET WIDTH FOR TRENCHES THE GRHVEL �EPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE (111.1 11:!: PIPE HND THE BOTTOM OF THE EXCHVHTION (IN FEET) F? K7 T Z � 1. 1 X W E�� LJ 15 127 1 -T - W- 1 1 T� -1 NOTTOW YA If ZZ 4; �z= �? COW&CA CO ST L- 1 .- Cy No nl: PERMlT KIM. 11001- HHS THE R000NSI8I1.I1-41 TG INFORM THIS DEPHRTMENT DURltie OE IFOR HLLFIT IOH lNSPECTIONS OF "ANY WELLS HDJHCEHT TO THIS PROPERTY HND THE NUMBER OF RESlDENCES THHT THE NELL WILL SERVE .1.11.11. 1.., ��fl H�:-Ji ;:::' 7 v 1 P41 40 K" ?Z 1:7 71 1 11) TV 10 TO Tic A v: TO No[ TO 4 -1 :1: In K L > __-- BHCKFILLING OF HNY SYSTEM WITHOUT FINHL INSPECTION F1 !'-.11:' HPPROVHL BY THIS DEPRRTMENT WIL| BE SUBJECT TU PROSECUTION �!!��: -� 11 ;::�' 11 -1 . !� 1 1 F n W P� 1 X I R r� � YN EONE C M l V P PR 0 ?� 7 SO 10 S., I CERTIFY 11 !1 1 I HM FHMILIHR WITH THE REQUIREMENTS FOR 0N~SITE SEWERS FORTH BY THE MUKICIPHLITY OF ONCHORHGE. 2� I WILL INSTHLL THE SYSTEM IN HCCORD8NCE WITH THE CODES. ]� I UNDERSTHND THHT THE ON—SITE S[NER SYSTEM MAY REQUIRE RESIDENCE TO INCLUDE MORE THHN 7 BEDROOMS �Iffi ` ~--~—�----------~~—~ ESTHLlLLH � 7�) U U Iri UtzU 9 I-Uf 1IN41l.,f017. C' U1:VtLurIvII IV I uu. Box 90, Davis St., Eagle River, Alaska 9957• 694-2774 or 688-2280 hus,sell Oyster Fort Ellis 694 2774 SOIL LOG 688-2290 Soils Et Foundations Land Development Perfor �ned for: Name: %J s'. F r -r f _ . ;` �4 c.- c_ �1 Tel . No. 6• Yy I :f Mailing Address: T '�s � r .5 'q Legal Description: Depth Lfectj l Characteristics U 2 3 4 15 16 11 Ground Fater Encountered: Yes— No `` If yes, what depth.. Proposed epth— Proposed Installation: Seepage Pit -q____ Drain Field__ Comments; 0 �' Perf8rmed by: /_�� . c .�-!•,' .s�s �. Date:_ /�i? rc — r� -$ DATE RECEIVED INSPECTION APPOINTMENTS. � P e _ ea a, TIME TIME TIME DATE DATE DATE (A SINGLE FAMILY ❑ One ❑ Foul- ❑I Other O(��-, INSPECTOR INSPECTOR INSPEC 7. WATER SUPPLY - 4' d C`il MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEAUH & 825 L Street . Anchorage, Alaska 99501 E.NVIRONMENTAI- I'„❑FICTION since June 1975. For wells drilled prior to that date, give well ENVIRONMENTAL SANITATION DIVISION 'ONj(�� co Telephone 264.4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEVRhCA�JLVb DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTT`Y1OWNERt., PHONIC l,1 { L MAILING ADDRESS r cty�e PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. -LENDING INSTITUTION PHONE �kckS #�C<.hk 6T LOmrnerce l`c�Co�e ��e�JOL� �o��-2CJ7 1 MAILING ADDRESS 4. REALTOR/AGENT- PHONE L t n f cc y, •e t r e -r MAI LING ADDRESS PO ljox x'11 L(Ag�e 1Ctvc�;k �(�57�7 5. LEGAL DESCRIPTION k�T- II p �� 1 c�C_�COE� C}�f CGS1-• STREET LOCATION A\t•Ge_-c e �- 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS (A SINGLE FAMILY ❑ One ❑ Foul- ❑I Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY - K INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM $C INDIVIDUAL/ON-SITE** —YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) O� �-r-��`:� L��.P �_ G.. O� &� � �1,;; •-- �- ._ 7 K1 AS UDOA, LAK®TA CORPORATION 2520 EAST TUDOR ROAD - SUITE 2 - ANCHORAGE, ALASKA 99507 - PHONE 2762676 September 29, 1981 To: Department of Environmental Quality To whom it may concern: The residence at Lot 11, Blcok l-, Schroeder. East Sub- division is now connected to 'the Clearwater Community Water System, Inc. Attached please find the bacteriological, water anal- ysis. Clearwater Community water System„ e ^resident pc: Lorraine Mi-ner f Ji- 1e Inc. 0 rw- 4 f at p Oka (',,LOS . 1 it ri o 1. 0 , 1`381. I V i TA jc?r7 in) I K 1� W1 h Al hr "i7 C-`! , 1 r f 5_l s.; i Appruwal, "w 'Al KONK&A mme- andw0cir ISICAIMP, m1mck No qrain.eq ; r, t i I ''h W1L! t' lU i h have ijrnw� Cuppi Till l' h i F; J-�:m i.111; Chem 101) . AM 1; Skrerd. For 1-(-. Am, E r�: L i v C' une 1 81 Hle Eric; i ,1ii, O0.. (2) e a 1 v 01 i 11 sly"m L Cr by L 11 i E; A 0 We :3 'I'll ni wo,`)1"C!_ L At r i 1 punped A HI a _._.:C'"t. Led (-C) I 1) ""'. (� ��Im ., v f u —Khey quem .L[, 1/Spj pave loal! 1:5 j v Ci C, a1. -v er RCA r, iP 0, WHIP I COMLO d77� Gur'lC cj ae wl-a, ...___fig_„'-.^�--a"°••rm.+MUNICIPALI_. e_.....�_.._� � _�� /�✓ � �. I TY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE % DEPARTMENT OF HEALTfI & ENVIRONMFNTAL PROTECTION /® o 825 L Street - Anchorage, Alaska 99501 DEPT. OF HEALTH 1n ENVIRONMENTAL ECjI I ENVIRONMENTAL_ ENGINEERING DIVISION I NOV 1 Telephone 2.64-4720 ❑ One ❑ Four ❑ Other—� (('°° �� II �� REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEVV&k14�11111 bD DI RECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten It 0) days for processing. - 1. PROPERTY OWNER - - —�10NE _��_r ry s i/ o (_ (�� l 3J MAILIN 1 T �---`-- ADDRESS n J aIL PROPERTY ESIDEQNT (If differentfro �. m a. vel // ciz, 2. BUYER ) / ��_��. `^D /_i...�_��—f PIiONL /` since June 1975. For wells drilled prior to that date, give well PFiOfVF� MAI LI NG ADDRESS _ - - ----- ----------- 3. LENDING INSTITUTION MAILING A��DD �E PHONE — .— 4. REALTOR/AGENT NAG E ❑ PUBLIC UTILITY If If system is over two (2) years old an adequacy test is required �p this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MAILING ADDRESS -- 5. LEGAL DESCRIPTION STREET L CATION— , 6. TYPEOP R .SIDENCE NUMBER D BER OF BEROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other—� ❑ MULTIPLE FAMILY ❑ Two ❑ Five _ Three ❑ Six 7. WATER SUPPLY `- INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well _❑ PUBLIC UTILITY depth (attach log if available.) 6. SEWAG_EDISPOSAL SYSTEM R� **If L� INDIVIDUAL/ON-SITE** individual/on-site, give installation date ❑ PUBLIC UTILITY If If system is over two (2) years old an adequacy test is required �p this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. +L 60A 2�ID