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HomeMy WebLinkAboutSEACLIFF BLK 1 LT 6ALOT 2zi .-o7.,.000 yr AGR ruv%,nvRM%7& MftrM DVRVfL vvn HEALTH DEPARTMENT o NO 408 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM I�]// �// z (� MAILING /�/�} :33; 3.- NAME V� �/ `� `e ��T� "y ADDRESS ✓_ PHONE RIPTION SEPTIC TANK: %//, 4 /j -f/�/� `T'" C f/)0 NUMBER OF DISTANCE FROM WELL MATERIAL ���� COMPARTMENTS LIQUID CAPACITY L/ GALLONS. INSIDE LENGTH °SIDEIW DTH SEEPAGE SYSTEM: SEEPAGE PIT: LIQUID DEPTH NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH LENGTH ° DEPTH_(, LINING MATERIAL DISTANCE FROM WELL BUILDING FOUNDATION, d NEAREST LOT LINE -Z0 TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) �� -SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANC ROM WELL F NEAREST LOT LINE OF LINES NUMBER OF L ES DISTANCE BETWEEN LINES TRENCH WIDT IN. TOTALFE F ABSORPTION AREA SQ. FT. LENGTH OF EACH DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: �� eei C -tb Ve n---- DISTANCE FROM ----WATER TYPE DEPTH -,BUILDING FOUNDATION. SAMPLE , NEAREST NEAREST SEPTIC r� SEEPAGE OTHER LOT LINE SEWER LINE , TANK SYSTEM , CESSPOOL SOURCE!A_ DISTANCES: DIAGRAM OF SYSTEM DATE qL r�L'f_ GAAti-HD-2 GRE) ATr AIN CHURAGE AREA UKU UGH Case No. HEALTH DEPARTMENT �� 327 Eagle St. Anchorage, Alaska 99501 279.2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANTzi 9:!'. /' %MAILING ADDRESS��k_ Z��- PHONE N0. l RESIDENCE ADDRESS LOCATION OF INSTALLATION�>�� LEGAL DESCRIPTI APPLICATION TO INSTALL: SEPTIC TANKSEEPAGE PIT L/0 RAIN FIELD - , OTHER TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH TO BE INSTALLED BY_�/�/G/l�T� PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION�� ZOL' • BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS /�4 � eti71��PERMIT TO INSTALL A DISTANCES: AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED -2 S/�Z �✓ice SEPTIC TANK SIZE `2W' TYPE SEEPAGE AREA �s �� TYPE �%�e-L DIACDAIIII nr OVOrrite HEALTH AUTHORITY OR LICENSED DESIGNER I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE y��/'� APPLICANTS SIGNATURE < Anil , 3" i 6 G b« iy« ; WCAMpL, d K,. W W C and d, zfacaAh W mr G #Q Q,� \ /:aQ6 '�� . . :.w :&F. .,sza w rg� +: , . .c: «&a�ww m:rW.c . 9d\\m.., /� � ^ °,w. \ \m . - ®ws © m..�z� z 1,a, rt .6 ,d6 . G - malse G <Vjyfvml War- It 1A 40L «;+ew G G\ / w \ . // ©m G4 dic R .� »: t,:w&., - -?««M ©°<-:©w?c:-«faM 6\y= Nov a,. � i Ali 1 is .w2.,, ,,<.Am\ . .,�, . .,,, dam®.. « d a5 d «,,w: .., 0 , e2 kms « P. Amu . \< .. dump§\ted m3 &d2 x w .. cc \ DEPARTMEi OF HEALTH AND ENVIRONMEN' PROTECTION 825`-L Street, Anchorage, Alas --a' 99501 279-2511, ext. 224 or 225 Date Received: May 2, 1977 ro ti#l: Time 10:00 a.m. #2: Time #3: Time Date 5-5-77 Thursday Date Date Insp Dixson Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Mailing Address: 2. Property Owner: James R./Linda J. Jones Mailing Address: 9251 Shorecrest Drive Phone: Phone: 243-5556 3. Legal Description: Lot 6A Block 1 Seacliff Subdivision 4: Single Family Residence: (x) Number of Bedrooms:, Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: Indiv C:! Permit # Construction R.J Iua well ( ) omm- nity/P lic System (xx) D .n-th of W / / Well Log on File ho d -� own r Bacterial Analysis Sewage Disposal System: On-site System ( ) Public Utility kx) Permit # < Installed , _ ;'Installer_ Septic Tank Size 1iManracturer Absorption Ar 7. Distances: We to Sewer Line to Nearest Lot Line oil-- 3. ils terial ® " L/k/t i— to Absorption Area Nearest Lot .line _ Absorption Area Page_, Tro , Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 6A Block 1 Seacliff Subdivision Comments: Affadavit Attached: A') Approved: Disapproved: Department Worksheet: Letter Attached: ( } Date: Date: m 1. 2. 3. ,.MUNICIPALITY OF ANCHORAGE 1v1UNIQEPT.OrHCIPAUTY OF ATHCL rid � REPT. OF HEALTH F< Department of Health and Environmental ProtMWU69,4-NIAL PROTLCHON 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 [:A AY est for Approval of Individual Sewer and WaterFbP? �F-FVT Property Owner: �LZ Me, S h i I'? C� W J Mailing Address: ( E � n r -e c r -e St t��, Phone: 9</. Name of Buyer: LX V\ 6, 1) b T\ Mailing Address: Lending Institution: hY� Mailing Address: 4 Phone: Phone: 4. Realtor/Agent: —I-rx 4Vl2 -cn w ct �l1 Mailing Address: d-'Cfie' Ajar) Phone: 5. Legal Description: S �V�r � � �ztirpc{���Srn 911 I L0 Street Location:. % > �7 G re C' i^ S� �r 1 U .e 6. Single Family Residence: Number of Bedrooms: _ Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well { ) Public/Community System {�}� If Individual Well, well depth / \ If Community System, name of system 8. Sewage Disposal System: On-site System ( } Public System; If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 7 Time of Inspection :00 /-i Date of Inspection 2 IA 7¢ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR t/4 1 1. Approval requested by: /rX-/-� Mailing Address: 95w5-io Phone: x717 33 2. Property Owner: Mailing Address: 3. Legal Descriptio 4. Location: 5. 6. 7. Type of facility to be inspec Well Data: A. Types C. Construction No. of bedrooms lf/GGlll��/� B. Depth D. Bacterial Analysis Sewage Disposal System: A. Installed / � / B. Installer _ C. Septic Tank: 1. Size SZi 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material r E. Disposal Field: Total length of lines 8. Distances: A. Well to: 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 - Rex,_::=:st for Approval of Individual L,_,r & Water Facilities Legal Description Approve Disapproved Date /� pr val Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I 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 EQ -034 (1/74) Date GREATER ANCHORAGE ARLII BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-•4561 RECEIVED REQUEST FOR APPROVAL OF �.� 1974 �� INDIVIDUAL SEWER & WATER FACILITIES GREATER ANCHORAGE AREA BOROUGry DEPT. OF ENVIRONMENT 1. Type of Inspection: CMRO VA x FHA CONV A`OUNrirr 2. Property Owner: Charles E. & Bonnie Snyder MailingAddress: �axk Contact Realtor *** Gary Klawitter: Dam Phone 279_8551 3. Name of Buyer: James R. Jones Mailing Address: 501 Togiak Circle Day Phone 279-2004 4. Name of Lending Institution: First National Bank of Anchorage Mailing Address: P.O. Box 720 Phone 279-4481 Ext 233 5. Name of Realtor or Agent: Professional Realms Inc. Gary Klawitter Mai l i ng Address: 507 W. Northern Lights Blvd. Phone 279-8551 6. Legal Description: Lot 6A Blk. 1 Seacliffe S/D Location: 9251 Shorecrest Drive 7. Type of Facility to be inspected: No. Bdrms. 8. Water Supply Comm. Type of Supply: Public Utility Well Individual If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System ,Type.of System: Public Utility Individual (on-site) x If Individual, date of installation Enc. 1 Self -Addressed, Stamped return env. EATER ANCHORAGE AREA BOROUGH EALTH DEPARTP.fENT 327 EAGLE STP.EET ANCHORAGE, ALASKA 99501 279._2511 DATE RECEIVED INSPECT: TIIME: REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND NATER FACILITIES FOR 1. Approval Requested By. Address Phone 9 % % " S � C / 2. Property Owner--Zi/CGr�`� rf"77 i Phone// 3. Legal Description_ / 4, Type of Facility to be Inspected STREET:�� Number of Bedrooms, S. Well Data: CCr /r»u� 91 L �Z �'�'G 7; z i 9• �l A. Type // B. Depth C. Size D. Construction E. Bacterial Analysis 6. Sewage Disposal System: `�� C5 �� C ���✓. ���G7 A. Septic Tank (If homemade, show diagram on back) 1. Size 2. Age 3. Manufacturer 4. Installer Approval Request for Sewag ; Water Facilities ` ,,Page Two B. Seepage Pit 1. Size- 2. ize2. Lining L`'-) ✓l9!�i** ///��' C._ Disposal Field 1. Number of Lines 2. Total Length 7. Required Measurements A. Well to Septic Tank B. Well to Seepage Pit C. Well to Sewer Line D. Well to Property Line E. Well to Other Possible Contamination F. Foundation to Septic Tank G. Foundation to Seepage Pit H. Seepage Pit to Property Line 8. COMMENTS: APPRO DATE: /sG4jLI_ < < T�?G U4'L! � Li / e'Lli L•'cl�L•!.;-Lr'.t.v� DISAPPROVED: DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT ED1170 TATER ANCA-10RAGE AREA BOROUGH HEALTH DF.PART',.SENT 327 EAGLE STPYEET ANCHORAGE, ALASKA 99501 279-2511 DATE RECEIVEDO�l���/ INSPECT: TI4:4E:�.''.°��'� c,rt'r o �LT - - 4 -71 i=I L 6 REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES FOR 1. Approval Requested By �& Address Phone 2. Property Owner �r� Phone 3. Legal Description 4. Type of Facility to be InspectedSTREET: Number of Bedrooms 5. Well Data: A. Type B. Depth C. Size ✓if D. Construction E. Bacterial Analysis 6. Sewage Disposal System: A. Septic Tank (If homemade, show diagram on back)/ 1. Size 2. Age 3. Manufacturer i 4. Installer G L, Approval Request for Se4., _e F Water Facilities Page Two B. Seepage Pit 2. Linin �✓ C._ Disposal Field 1. Number of Lines 2. Total Length 7. Required Measurements/ I eL�''7.�' A. Well to Septic Tank ti�� c' i B. Well to Seepage Pit C. Well to Sewer Line D. Well to Property Line E. Well to Other Possible Contamination F. Foundation to Septic Tank G. Foundation to Seepage Pit H. Seepage Pit to Property Line 8. COINVENTS : APPROVED: / 1 y DISAPPROVED: DATE: S DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT ED1170