HomeMy WebLinkAboutSCHROEDER EAST BLK 5 LT 1SSD
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CO-lld ANCHORAGE AREA BOR(,. Gfi
11Department of Environmental Quality
III �tl 3330 C Street
Anchorage, Alaska 99503
— ..n..P�T.rae. nP nAF1T ^KI CITE C[:%AIABr n1CPn4ZA1 SY4TFM
NAME//// V✓ �1
MAILING ADDRESS ✓�I[JUXV .�'%n. 61 PHONE <1�ZU Z-
LOCATION'/ /I IV`L �' �� l%cD LEGAL DESCRIPTION
9�"IT A N K
DISTANCE�,�,� -� .,��// NUMBER OF
FROM WELL,cam---MANUFACTURER Je_r4lVr�"!MATERIAL CON_ C COMPARTMENTS l
INSIDE LENGTH INSIDE WIDTH —LIQUID DEPTH LIQUID CAPACITY 14)(2 f) GALLONS.
SEEPAGE PIT:
y/ , %
NUMBER OF PITS / DIAMETER OR WIDTH ., LENGTH--LDEPTH—•
LINING MATERIAL6�� ' _ CRIB SIZE: DIAMETER__DEPTH_/0 DISTANCE FROM: WELL
/ TOTAL_ EFFECTIVE
BUILDING FOUNDATION _/ l NEAREST LOT LINE ! ABSORPTION AREA (WALL. AREA) _ _SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE
—CONSTRUCTION
BUILDING
NEAREST
FOUNDATION
LOT LINE_
CESSPOOL
APPROVED
DISTANCES:
OTHER SOURCES
NEAREST
SEWER LINE
DISAPPROVED REMA
INSTALLED BY: --
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
ilk
DATE L(V
DEPTH __
SEPTIC
TANK_
DIAGRAM OF SYSTEM
DISTANCE FROM:
SEEPAGE
SYSTEM —
J�l<l1� �`"_
ell
APPROVE
m
.1 ji'l-I
4r'
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster Earl Ellis
694-2774 SOIL LOG 688-2280
Soils Et Foundations"�-11 \ Land Development
Performed for: Name: � \,V.1 �;>a� Tel. No. ���� .'V� 7.
Mailing Address: > 6y Ne1'�(�r'
Legal Description: _. 1'�►���." a��c7=�f`v, �: r>; r�c�,.
Depth (feet)
U1
2
l4
5
6
Sojl Characteristics,
\7NN
15
16
�-1"7"
-7 \"-g.v' >--
Ground Water Encountered: Yes ___ NoIf yes, what depth._
Proposed Installation: Seepage Pit= Drain Field'
Comments:;Y:�cznx�X\r,'%.>-z
Performed by:_ .�`.ZL
v���� Date: - r 7
�,
�'' tet.-- '� � _ _ � __� �r �L: ,_ - �.y-,�� � � .,
���X�� ��� ���� �������
DEPHRTMENT v, HEHLTH AND E-1VIRONMEN4HL
��OTECTIUN
251Rf HNCHORAGE. RK 99507
276 .... 2221
PERMIT NO. (76012)
LA I'll WRIGHT
_~~,_'_,I,
SRF� 8OX 1��8
]44907]
LOCHTI�N
PRINCE OF PEACE DR
LEGAL
L1 B5 SCHROEDER EAST 'ADDN
LOT SIZE
15500 SQFT
MINIMUM DISTHNCE
FROM WELL TO ANY SEPTIC
PLANT OR SOIL ABSORPTION
SYSTEM IS 100 FT
FOR R PRIVATEWELL AND 200 FT FOR A
J.0 WELL
WELL LOQS MUST
BE RETURNED TO THE DEPHRTMENT WITHIN ]0
DHYS OF�THE WELL
COMP��TION
S��ECIFICHTIONS
HND CONSTRUCTION Dl8QRHMS ARE HV8ILRBLE
TO INSURE PROPER
INSTHLLHTION.
I CERTIFY THHT
I HM FHMILIHR WITM THE REQUIREMENTS FOR'
OP',I.... �ITE SEWE'RS AND
HS SETFORTH 8Y
THE MUNICIPHLIPi" OF ANCHORAGE AND WILL
INSTHLL �� �CC[)RDHNC�
WITH THE CODE.
ISSUED BY �
lx
^
�^�
��� 1,6
b
130X 97, EAGLE RIVER, ALASKA 99577 o TELEPHONE G94 2588
)WNFR OF LAND
,FGAI, twscaul)T[o;v---
DATI', • Started �t ' : _ Elided _
1
1)1.:R111T NUMBER .
KIND OF FORMATION
From _..
Ft. to ---Ft.
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_ Ft. to
Ft. - -
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--Ft. to----
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to. _
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-- -
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-.
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-Pl. lu
From
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_ -Ft.
From ----Ft.
to- ----I
t. -
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to- -- -
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- Ft. to ---_Ft.
_ - -
From-
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---- -
From
---i'1. to ----_-_Ft.
- -
From -
to----
--_
From-----
Ft. to---
--Ft. ----------- —
MISCL. INFORMATION:
I;
+
1)1:1'111 OF MAI— -2-Oo
S I RTIC LL', 1:1- OF NN A 11-R I I q0
GALS. ITR 1W
KIND OF CASING 69
KIND--
Fro»I —
— Ft. to -
F1. - —
Fro»I - _
_ Ft. to
r1. -
From
Ft. to -_
_ _ Ft. - -
From _
1 t. to_ -
_ _ Ft._ - - - - -
From-
- Ft.to-
I't-- ----- -
Flolli
_Ft.
-
I
From - --
- Ft. to
From- -__Ft.
to
---Ft. —_.----._—_—.-- ------ -_ -
From -
-Pl. lu
From
___.Ft. to _
_ -Ft.
From ----Ft.
to- ----I
t. -
From _-
FI. to
From _
FI. to
Ft.
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Ft._ ----- --- - --
From
Fl. to
Ft.
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- -Ft. to
— - FI' -- —
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-Ft. to -
_Ft_ - __ - -
MUNICIPALITY OF ANCHORAG �Clc>LQ i�F_�4� 1—Jff_CL
DEPARTMEI OF HEALTH AND ENVIRONM ,y,` PROTECTION
( 825 L Street Anchoraar ka )99501
' NC
264-4720
o
e -1},e R e November 1, 1977
#l: Time _���%_ #2: Time I;"�)/`),1 )�_!v`f3: Time
Date Date
InsP InspL�2'4.a�.�Ins
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1.. Lending Institution Request: First National Bank of AnnhQragP s rtnaPnnett
Mailing Address: Post Office Box 4-209D 995Q�Phone: 274 -ice
2. Property Owner: William D. Violet L. Wright Phone: 279--5471 lhAn,1.
Mailing Address: Star Route A Box 1370-A 99507—_-264-4326
3. Legal Description: Lot l Block 5 Schroeder East Subdivision
4: Single Family Residence: 6Cyj Number of Bedrooms: Three
Multiple Family Residence: ( ) Number of Bedrooms:
5. Well System: Individual Well (yj Community/Public System ( )
Permit #
Construction
Depth of Well
Well Log on File ( )
Bacterial Analysis
6. Sewage Disposal System: On-site System (x) Public Utility ( )
Permit # — Installed 1977 Installer
Septic Tank Size ��C) Manufacturer
Absorption Area _-9-�-([) Soils Rate
7. Distances: Well to Septic Tank
to Sewer Line
to Nearest Lot Line
Nearest Lot line
Material
to Absorption Area
Absorption Area
Page Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 1 Block 5 Schroeder East Subdivision ^_
Comments:
Affadavit Attached: ( )
Letter Attached: ( )
Approved :��4zz�-
Date :=�' ----
Disapproved: �`-���- Date
Department Worksheet:
Municipality of Anchorage
DEPAF. ,TENT OF HEALTH & ENVIRONMENTAL P,--TECTION
POUCH 6-650 ANCHORAGE, ALASKA 99502
279.2511
RE
L TYPE OF LOAN QUEST FOR APPROVAL. OF. OF INDIVIDUAL SEWER AND WATER FACILITIES
yy
_ ❑ VA F3F.H.A. 4CONV
3. LENDING INSTITUTION
First National Bank of Anchorage
P.O.Box 4-2090
Anchorage, Alaska. 99509
Una M Bennett 274 152
2. ASSESSORS PARCEL NU
_1 4 REALTOR OR AGENTF.7
— none
5. SELLER
6. BUYER
William D. & Violet L. Wright
none(new-construction) SRA Box 1370–A
Anchorage, Alaska, 99507
7. LEGAL DESCRIPTION 279 5471 OR 264 4326
Lot 1, Block 5, Schroeder Sub East 8. LOCATION/STREETADDRESS
NHN Prince of Peace Drive
9. TYPE OF UWELLING Eagle RiverAlaska.
10. WATER SUPPLY 11. SEWAGE DISPOSAL SYSTEM
91SINGLE FAMILY RESIDENCE 3 BDRMS ❑ PUBLIC UTILITY
❑ PUBLIC UTILITY
❑ MULTI -FAMILY RESIDENCE BDRMS LPRIVATE ON-SITE
44 ON-SITE
1977 YEAR INSTALLED
INSTRUCTIONS TO REQUESTOR
1. Complete Items 1 to 11 above 3. Send to address above
2. Remove the carbon 5. Response will be returned to lending
4. Please allow 10 days for processing institution
DATE RECEIVED DAa®PECTIION TIME OF INSPECTION INSPECTOR
TYPE
J
Uj
CONSTRUCTION
YEAR INSTALLED INSTALLER
DEPTH
FT.
BACTERIAL ANALYSIS
TANK SIZE
/ "'5 o a
YEAR DRILLED I PERMIT REFERENCE
LAB REFERENCE NO
MANUFACTURER
DIMENSIONS
N ❑PIT CRIB CONSTRUCTION
U TOTAL LINE LENGTH TRENCH DEPTH
W7�POSAL GRAVEL DEPTH
LU FIELD 1 f� 1 )
w _i FT. 7-- FT. I C) t
TOTAL ABSORPTION AREA FT.
PERMIT REFERENCE
72-010 (11/76)-- -�