The URL can be used to link to this page

Home My WebLink AboutT15N R2W SEC 25 LT 15�� -� �, 1 r i_ D �� _ �M J ,� � ,� i , � 2� 1 MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑NEW Ak�tO'GRADE MAILING ADDRESS 1 LEGAL DESCRIPTION —^ Length Width ,h Depth PERMIT NO. iu C7 44 1-- Type of crib Crib diameter Crib depth Total effective absorption area wa rn DISTANCE TO: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO. J Lu - DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RFlTINGI, r0 iL INSTALLER REMARKS j s �Ko-� 72-013 (Rev. 3/78) � LOCATION NO. OF BEDROOMS L Well �f DISTANCE TO: Absorption area Dwelling PERMIT NO. LJ _Y i Z Manufacturer �'' / Material No. of compartments LU . W Liq. ca acity in gallons IF HOMEMADE: Inside length Width Liquid depth �-' 0 DISTANCE TO: Well Dwelling PERMIT NO. J Z Z = N Manufacturer Material Liquid capacity in gallons O wX DISTANCE TO: Well ) Foundation _ Nearest lot line PERMIT NO. J LL Z No. of lines Length of each line Total len I f lines Trench widthDistance between lines L. Top of file to finish gradeMaterial _inches beneath fileI Total effective absorption area Length Width ,h Depth PERMIT NO. iu C7 44 1-- Type of crib Crib diameter Crib depth Total effective absorption area wa rn DISTANCE TO: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO. J Lu - DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RFlTINGI, r0 iL INSTALLER REMARKS j s �Ko-� 72-013 (Rev. 3/78) � ■��i■ ■ ��■iii■■■ Ir - MAI /c�� -7�� AP Uv1|L1K``4X»77 1: IU.~- X~T-Vr/` /[)/8r.:�: U: : �:RFl, ^' 9 C ��-U- U�:��`4J/) DEPHRTMENT OF HEHLTH HND ENVIROoil ENTRL PROTECTION 825 'L' STREET' HNCHORHGE/ RK99501 264�4720 WD P, 0 yp" K ~V U 52, PIT I AN 115".: ��E'--: 111.,;;:�!: B"..0 ][ l[' /) ray" 8PPLIC8NT FLOYD HILL LOCHTION HUFFMH & HVION LEGHL E1/2��6J��,SEIFKER S/D LOT Sl�E 15000 SQUHRE FEET TYPE OF SOlL HBSORBTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS c ] 5(::1IL RHTING (SQ FT/8R)� ]]0 THE REQUIRED SIZE OF THE SOIL HBSORPTION SYST2M I�� E IF::::- , 0 ... g- � N ��.K BY 13 W I -I — ;0" -4.. -11- W lot low ON IRT K~ ��= � THE LENGTH 0IMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFHCE OF THE GROUND HND THE B0TTOM OF THE EXCHVHTION (IN FEET) THERE IS NU SET WIDTH FOR TRENCHES THE GRHVEL DEPTH IS THE MIHIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIPE HND THE 8OTTOM OF THE EXCHVHTION (IN FEET) I? K win U X pot BEE fv"� ['; - ], � I(-.-: �, 171 TV 0 K �� :.J! - C��.�i 11..�� PERMIT HPPLICHNT HHS THE RESPONSIDILITY TO INFORM THIS DEPHRTMENT DURING THE INSTRLLOTION INSPECTIONS OF HNY WELLS HDJHCENT TO THIS PROPERTY HND THE NUMBER OF RESIDENCES THHT THE WELL WILL SERVE II " 9-41 C3 < Q 21 1: 141 to, F!" KNE 110 - F- X W F41 55 IT it lot 117 ��I 5.�: C�:P T: T� �:�v BHCKFILLING OF 8NY SYSTEM WITHOUT FINHL INSPECTION HND RPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PRUSECUTI0N. MINIMUM DI�THNCE BETWEEN Fi WELL HND MAY ON-SITE SEWRGE DISPOSOL SYSTEM lS 100 FEET FOR H PRIVRTE WELL/ OR 150 TO 200 FEET F1011 H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WB`L OTHER HPPLY. SPECIFICHTIUNS HND CONSTRUCTION �IAGRHMS HRE OVHILHBLE TO INSURE PROPER INSTHLL8TfON ��K ra8P'S Is.: N. f.11.,. �� ❑ SOILS LOG �_- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST Pouch 6650, Anchorage, Alaska 99502 276-2221 SOILS LOG — PERCOLATION TEST PERFORMED FOR: T' o O. � Imo! DATE PERFORMED:_ f L2V LEGAL DESCRIPTION: r= Lot I F� S 1e k— sw�— Date T D. SLOPE SITE PLAN Net Drop 18- 81920COMMENTS DEPTH (FEET) 19- — -- 1- ,, 9. �o 10 14 $ „ rN 2 - ( 14/4" lei �P"X�1s r 3 o — Iv101ft--- 14 2- -9:.s -� 4 7 :.5s' I - — -- i 5 - �C•kf�� .�� I � - - � I i 8- 9- 10 11 12 13 14 15 16 • Date T D. 17 Depth to Water Net Drop 18- 81920COMMENTS 19- 20- ,, 9. �o COMMENTS 14 $ „ PERFORMED BY< ( 14/4" /d h 72-008 (7/76) WAS GROUND WATERS CNrni INTFRFIl7 h� L Reading Date Gross Time Net Time Depth to Water Net Drop 2 ,, 9. �o 14 $ „ 9:25 30 14/4" /d h q- 9 40 14 2- -9:.s 7 :.5s' 60 14 4. ,a„ PERCOLATION RATE GO (minutes/inch) TEST RUN BETWEEN FT AND ---Z— FT CERTIFIED BY: DATE 0 APPLK IT FILLS OUT UPPER HAI JNLY Pni ert Qwner ./ , / / �> > - J /C'�aiZii� `,> >. -�' °�-�' z' S Phone M'- iling AdJress ��(%, �X_ ��(Jl ;Z, /V7UGf0/✓i . //�v- Zip Cod Buyer I>A-!i i 0 !-) its Cl Cr Address bCJ - �7 - r� f�LJ S/�� i , �y� Zip Code �-` /. Phone Lending Institution f` S( /I // �5�t� 0/,/-, , 2 v / G� .� to S 7i-• i F' <� . �3 t x �,�- 1 �?�� "Z �_� 9 Zip/Code %Sa 4 U Address /tkl�r/�, Realty Co. & Agent r T� �' yrt ti G 1��`'- . Phone L - / /� r rr? ��z/� r: u X %ylis t9/11J- 2 76 �. Zip Code Address Legal Descriptionk T Street Location Type of Residence - - - ,ultle Family �ult- ❑ iple Family No. of Bedrooms ❑ Other MUNICIPALITY OF ANCHORAGE hEPT. OF H`ALTH £: Water Supply X---Lndlvidual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal Individual Year Individual Installed: — ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. CONDITIONS OF APPROVAL Time Time Time Tim Dale Date Date Date �l Inspector Inspector Inspector Inspector�(�f I L'G�R�S Field Notes:' MUNICIPALITY OF ANCHORAGE hEPT. OF H`ALTH £: FIJVIRONMENTAL PROTECTION EIVED (APPROVED BEDROOMS CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAPROOVAL' DATE BY: - .. Z-11 '.� -' -- Soils Rating Date Sewer Installed Well 1"o Absorption Area / Well Log Received Septic Tank Size b — %-- —='— Well to Tank Lr — 72 W3 (aien HERITAGE HOMES & INVESTMENTS, INC. 207 E. Northern Lights Boulevard Anchorage, Alaska 99503 (907) 276-1333 Municipality of Anchorage Dept. of Health & Environmental Protection 825 L Street Anchorage, Alaska 99501 To whom It May Concern: Please contact Mr. Tobben Spurkland, P.E. whose business card is attached for the water sample and adequacy test results. Mr. Spurkland has completed his testing and has taken a water sample and will deliver it to you. - If you have any questions or need additional information please contact me at the following_ address and number. Lawrence W. Hardesty C-21 Heritage Homes and Investments Inc. 207 E. Northern Lingts Blvd. Anchorage, Alaska 99503 276-1333 or 263-2450 Thank you, Lawrence W. Hardesty T0130602h ��pM�I�dQ�]Do G>aC�o CL/NSUL.TANT ENGINEERS 203 W. I5th AVE "C" SUITE 19 (907) 279.3916 ANCHORAGE, ALASKA 99501 T06BEN SPURKLANO, P.E. CIVIL ENGINEER Each Office is Independently Owned and Operated 203 W. 151h E 203 M ® n �� (PUU�dDq 4�oL�o ANCHORAGE, VALASKA IT99501 CONSULTING ENGINEER TELEPHONE: (907) 2.79-3916 Larry Hardesty Century 21, Heritage Hom es 207 E Northern Lights Blvd. Anchorage, Alaska 99503 LEGAL: LOCATION: OWNER: RESIDENCE: WATER SYSTEM: SEWER SYSTEM: DATE OF TEST: TEST PROCEDURE: TEST R OF A, -4-X .",`P r • •,'F' Pr p ; .49M o 2225-141 �+ .• JU B 25. 19111 •, MUNICIPALITY OF ANCHORAGE DEPT. OF HrP11II ENVIROti�NTAL I'RJ'fcCilON Vii(�-j f 1g, ;;;'.October 25, 1983 kC EIV ED SEPTIC SEWER SYSTEM ADEQUACY .� Ilyl E1�' E%Z, Tract 10 -,-'Plock 3) Siefkir Subdivision 3535 E Hoffman Road Debra Helman, Kris Whitaker Single Family Unit On Site Well 1 From Municipal Records f' Tank: 1000 gal, Sunset Plastic.. istence from well 70.00 feet. ,.,Vp R,„.,•.. Absorption System renc Al fPP1- 8 ft. of rock. 91 feet from well Absorption Area 1296 sq.ft. Installation Date Sept. 1979 Oct. 12, 1983. System was inspected, pumped and tested on Oct.12 1983. The liquid depth in the tank was 49, inches Liquid depth in sump 42 inches. Approximately 300 gallons of water was added to the trench in the course of 105 min. Within 60 min. after filling the system had absorbed 55 gal., far in excess of the required 18.75 gal per hour for a three bedroom house. This System meets the absorption requirements of the Municipality. f• CHEMICAL & GI LOGICAL LABORATORIES ALASKA, INC. TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER of b _SL 274-3364 5633 B Street LaeORATORle9 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY WATER SYSTEM: SAMPLE TYPE: O Routine ❑ Check Sample (for routine sample with lab ref. no. i ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE Time Collected NO. II LOCATION Collected By 1 L 2 3 L —� 4 5 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Analysis shows this Water SAMPLE to be: El Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: ❑ Fermentation Tube • Membrane Filter Lab Ref. No. Result* Analyst I.D. NO. E Water System Name *No. of colonies/100 Phone No. I ; i i Mailing Address ` r City Slate Zip Coda j SAMPLE DATE: L -L-1 LTJ Mo. Day Year SAMPLE TYPE: O Routine ❑ Check Sample (for routine sample with lab ref. no. i ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE Time Collected NO. II LOCATION Collected By 1 L 2 3 L —� 4 5 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Analysis shows this Water SAMPLE to be: El Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: ❑ Fermentation Tube • Membrane Filter Lab Ref. No. Result* Analyst 06.1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 Date Collected Source a. m. Data Received Time Received p.m. Lab. No. Presumptive loml loml loml loml 10 mi 1.0ml O.lml 24 Hours 48 Hours Confirmatory 24 Hours Multiple Tuba Report: Membrane Filter: Direct Count_ Verification: LTB Final Membrane Filter Results_ Reported By Broth 24 hours: Broth 48 hours: 10ml Tubes Positive/Total 10ml Portions BOB Dale A. M. p.m. E L *No. of colonies/100 ml. or No. of Positive portions. 06.1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 Date Collected Source a. m. Data Received Time Received p.m. Lab. No. Presumptive loml loml loml loml 10 mi 1.0ml O.lml 24 Hours 48 Hours Confirmatory 24 Hours Multiple Tuba Report: Membrane Filter: Direct Count_ Verification: LTB Final Membrane Filter Results_ Reported By Broth 24 hours: Broth 48 hours: 10ml Tubes Positive/Total 10ml Portions BOB Dale A. M. p.m. �� e w't'v d 36 W fD -vF-7AIV-HURAUL' MUNICIPALITY OF ANCHORAGE ."" 5. LtEEGGL DESCRIPTION DEPT. OF I"-AALTH & STREETLOCATIOR PfQTI CTION ) /RESIDENCE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONyIRONMENI'AL 774E 825 L Street - Anchorage, Alaska 99501 - " JUL 2 r':: 1979 ENVIRONMENTAL ENGINEERING DIVISION ❑ MULTIPLE FAMILY Telephone 264.4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYPONE 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.) /� 0. MAI LINGA DRESS J�] P OPERTY RESIDE (If different om ab v) PHONE sit Jf0- 3 � 2. BUYER PHONE MAILING ADDRESS NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 3. LENDING INSTITUTION 4 MAILING ADDRESS 4. REALTOoENT PHONE '4 (z /f-t MAILING ADDRESS �� c •+r� %� `. ,^� ."" 5. LtEEGGL DESCRIPTION STREETLOCATIOR ) /RESIDENCE 774E NUMBER OF BEDROOMS Ki"SINGLE FAMILY ❑ One ❑ Four ❑ Other 0�-�Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY - - E�!F' 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.) /� 0. 8. SEWAGE DISPOSAL SYSTEM LLQ' INDIVIDUAL/ON-SITE" **If individual/on-site, give installation date_�� If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) r GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received yZ--2—/7/ e� Time of Inspection /C? Date of Inspection —-' REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address:- 70 0 �79Sio Phone: aZ 7—�<5'//_ )('=�- 2. Property Owner: /(��/(� ,!�� Tr �/ e Phone(��iy�3 Mailing Address: i /6 'e 3--.q.;20 3. Legal Descr 4. Location: 5. Type of facility to be inspected 6. Well Data: No. of bedrooms A. TypeB. Depth i C. Construction ` " • ��,' D. Bacterial Analysis 7. Sewage Disposal System:t��,-n-� A. Installed _ B. Installer C. Septic Tank: 1. Size 2. Manufacturer _ D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area �, Sewer Lines i_, 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 - Request for Approval of Individual 1. .,er ° Water Facilities Legal Description Comments Approved Disap 0 to 6— Az-l�z Approval 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 4/4/74 GREATER ANCHORAGE ARLA BOROUGH Department of Environmental Quality "'rya 0.0 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA xx CONV 2. Property Owner: SHAEEER, ROBERT Mailing Address: /?U. &k3. j�o?� Da_y Phone 6/J 7 c. 3. Name of Buyer: JOHNSON, ROBERT A. & SITE A. Mailing Address: 4423 Lake Otis #7 Day Phone 3335.591. 4. Name of Lending Institution: ALASKA NATTONAL RANK Mailing Address: Poo eb 7010, Anchorage, AK Phone 2775511 x 35 5. Name of Realtor or Agent: Harvey Prickett Mailing Address: '3"31!3 STFi'r,=T Phone? 6. Legal Description: E 1./2 of Lot 16 Siefker. Subdivision Location: Huffman Road h Avion Street n Corner House 7. Type of Facility to be inspected: One No. Bdrms. 8. Water Supply Type of Supply: Public Utility individual x If Individual, number of dwellings presently served Ono If Individual, depth of well 85' 9. Sewage Disposal System Type.of System: Public Utility Individual (on-site) xx If Individual, date of installation BY: Vicki. Kutil Loan Closer Alaska National. Rank THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE - DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE _ ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL — DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions; SOILS RATING - - TYPE OFTANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line --. 5. COMMENTS IU/APPROVED FOR -:79 BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATEqIY —� —,� (Title) LEGAL DESCRIPTION 72.010 (Rev. 3/78)