HomeMy WebLinkAboutGREENLAND BLK 7 LT 9 MUNICIPALITY OF ANCHORAGE
Health and Environmental Protectmo,~
Fourth Floor West
825 L street
Anchorage, Alaska 99501
264-4720
................. ,. .~ RN~ORT ON-SITE SEWAGE DISPOSA%
IN~PECI~ON
LOCATION ~D~--~:~--~'m ~ ~ O'(~L ~-- LEGAL DESCRIPTION
SEPTIC TANK: ~X~%~ ~ ~
oISTANCE
FP, OM W~t_U~O-k-- MANUFACTURER ...........
% Cb'~ :;P ::; ~'alf %:ri:Ell'fi']'5.
M.~,-1-E R I AL
LI QU ID DEPT }~ ........ LI QU ia'~ C P~¥'~\'c~is~W'~ GALLOIqS.
INSIDE WIDI'i; ..... _
iNqlOE MENGTit .....
_il i l
TILE DRAIN FIELD: TOiI,A'L LE'NGI'HI ~:~
DISTANCE f ROM WELL ~O_~----FOUNDATION'-h~ .... NEAREST LOF - --- -
~ O~ ~i~es _~ ...... DisfANCE BEIWEEN LILIES ~9~lj~-&~E~TRENCt' wiDTHS- tBZ TOTAL [iF:NE,,ClIVE
ABSORPTION AREA -~'~ ..... SQ, F-l, LENG[H OF EACI~
~ ¢ DEPltl ()F FILTER
t)EP~II: lOP OF NLE IO FtNISit ORADE~--MA]ERIAL BENEATH TILE ~ ~ IN. ABOx/E TILE ~~IN,
SEEPAGE PIT:
DI/iMETER ~-- OR WIDTH ~.,
LENG
DEPTH
We 11 Q~-m
Class: k_~~ Depth:
Well Distance To: Lot Line
Sewer Line: ,
Pipe M~Tter-~ls:
~ of Bedrooms: __~ _ - ----
Installer: -~-~=---- ---
Remarks~ ~ ~
DUN'/".NCE F ROM:
Log Crib Rings Crib size: Di/.\ivlETE. R .... DEP¥t4 -
'I OTAL LFFECTt¥C
BUILDING FOU;.4DATION-- . NEAREST LOT LINE_ , ABSORPTION ARFa Q:U~I_L AREA'}
.... ........ ............=:=-:':==-=
'T'I Ilii:.' I..[i:NGTH I::, :1: i"tti:i'.,i:iil; :1: Ol'.,I :t: :iii; 'T'HIE l.Jii:l'.,![:iTH ,:: :i: i",l FE:[::'r' ~:, Eft::' 'Tl'.llii: 'TI:;i:iENC:H 0i:~: I:::,1:;;:1:::111'.,IF:' :[ E:L.I:::,.
THE: [)E:t:::'Til 01:::' I:::1 "J"I:;itE]'.,I[::I.I OFf: I:::':['T ]::Jil; 'FHE [)Z'=':;TFII'.,ICE: Efi::!:'T!qlEliii]'.,I THE: :iii;U,r;i:FF:iCE: 0i:::' 'TILE:
(:!il:;;:Cd..IN[) t:':li'.,l[:, 'I"HE IJ!n::YT"YEd','I OF' "FHIE IE;:.:;E:I=I',,,'I::I'T' ]: ON <]:1'.,I :::::::::::::::::::::
'i'Hiii:Fi:lii: :l::i!i; I'.,1~:::~ %E'T t-,.I]:[:,T'H I::'Ed:;i:
"l'Hi:ii: [iil:;;:l:::l'v'[:::L E:,Ei:I::'-I'H :1: '.:i; THE: I"'1 :[ i'.,t :[ I',ll...IH C,I:F"T'I-I OF' [~il:;~:F:l'v%l.. Ei~[!i/'l'l.,.llii:.'t:i]q '['i'-!1!:: Eli. iTF;'I:::IL.L. I:::' :1: Pi.i:
F:IF,I[:, 'l"l...l[ii: I:in]l'T'T'Ol','l O1:::' "I'HFi: li:XCI:::I',/FI'T :f: Cd'q ,:: 1F,I I:=Iii:ET ::,.
CONSUL riNg GEOLOGIST
BOX 47(;-M, STAR ROUTE A o ANCHOF:~AGE, ALASIRA 99507 ~' PHONN 344-7071
SOILS LOG
Performed for
Date
Soil Type
0
2
6
.r~
~ 12
16
18
20
Water Level
Remarks
Total Depth of Excavation
Groundwater
Not Reached
Depth, if Reached
Classification Method
~ Visual
( ) Sieve Analysis
()
Material at Total Depth R
Bedrock
~>~ Not Reached
Depth, if Reached
Gary F. Player, Consulting Geologist
- ~"~ ' /~9A ,, . ,- GR iER ANCHORAGE AREA BOROU H
, ,./~f ..r ' ~' ~.¢,~ 327 EAGLE ST ANCHORAGE, ALASKA 99501 279 2511
/'~?~ ,, ,NSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
SEPTIC TANK:
_ADDRESS. __ . PHONE
DISTANCE FROM WELL
L,QU,D CAP^ClTY ( ' GALLO.S.
MATERIAL
INSIDE LENGTH
NUMBER OF
INSIDE WIDTH ~'~ /'DEpTHLIC)UID
SEEPAGE SYSTEM: SEEPAGE PIT:
NEAREST LOT LINE
OR WIDTH
/
DISTANCE FROM WELL
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
, LENGTH_ , DEPTH
BUILDING EOUNDATION
SC). FT.
TILE DRAIN FIELD:
DISTANCE FROM WELl
NUMBER OF LINES
ABSORPTION AREA
FOUNDATION
_DISTANCE BETWEEN LINES
SQ. FT. LENGTH GE EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
, NEAREST LOT LINE
TOTAL LENGTH
OF LINES
TRENCH WIDTH
IN. TOTAL EFFECTIVE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
DISTANCE FROM WATER
WELL: TYPE , DEPTH , BUILDING FOUNDATION SAMPLE
NEAREST SEPTIC SEEPAGE
LOT LINE ., SEWER LINE_ , TANK , SYSTEM , CESSPOOt
DIAGRAM OF SYSTEM
DISTANCES: e ~LI.
, NEAREST
OTEIER
, SOURCES
DATE
APPROVED
HEALTH AUTHORITY
MUNICIPALITY OF ANCHORAGE
L),'<PAI1TMEI',FF OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CEFt FIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
GEI'qERAt. II'q FOR MAI'IO N
(a) Legal L)escription (include lot, block, subdivision, seotion, township, range)
Location (address or direotions)
..... Telephone: Home '~ I'1/~ ' -,~'(¢ ~ Business ~ ~"~/¢
Applicant Address /!/~ I?//__ E//'.'~'T/?/
(c) Applicant is (check one): Lending Institution []; Owner,~ulNlef~; Buyer []; Other [] (explain);
(d) Lending Institution __/~1~ ~,,1/.,,l:y~la4,,~ B~l~kelephone
Addless
(e) Real Estate Company and Agent
Addr e.ss
/xl 0 I, LE
Telephone
(f) Mail the 14AA to the following address:
TYPE OF RESIDENCE
Single-Farnily~?~, Multi-Family
NL.m~ber of Bedrooms ~
Other
W A '~, ".z. I:! SUPPLY
Individual Well~/~ Community [] Public []
Note: Il community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
OnsiteX' Public [-"'] Community E] Holding -['ank []
Not/Il community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 z2-025
{~;,K..',I~[£~?IH.C-- FUt~.I PROVlFJ!NG INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION :
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority App~ oval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I fudher verify that based on the information obtained
hem the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of Ibis inspection.
Name el [-irm ~_~_~ ~~' ~ Telephone ~'~ ¢- ~ ff/~
Engineer's Seal
A p p, o v e O f o r'-~ .~//-~_~'¢~\/' bedrooms by ,~
AI)prox ed ___~__ ..... Disapproved Conditional
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
8nalyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's wo~k.
Page 2 of 2
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
264-4720
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
MAR g i 19,86
WELL DATA
Well Classification '"~ '~---- -'~
Well Log Present (Y/N) _
Total Depth _~il~""~.>'~t
· Cased to
Static Water Level -~ ~
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot ~:~ ~
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line I~_
Cleanout/Manhole /~ O N L~,
Water Sample Collected by
Water Sample Test Results
Comments
If A, B, C, D.E.C. Approved (Y/N) 1~/~
Date Completed = "~".'"'~...- i'~1~¢~I' Yield
' 7
~ ~7 Depth of Grouting I~[ ~ 'M ~
Pump Set At _ ~O-t"'~¢~
J ~:~ Sanitary Seal on Casing (Y/N)
~' Depression Around Wellhead (Y/N)
; On Adjoining Lots
_ On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
;Date
B. SEPTIC/HOLDING TANK DATA
To Water-Supply Well
To Property Line
To Water Main/Service Line
Course
Date Installed
Standpipes (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N) _
Separation Distances from Septic/Holding Tank:
Size I ~ No. of Compartments L.)
Air-tight Caps (Y/N) _ ~" Foundation Cleanout (Y/N)
Date Last Pumped "~//.%t
Iv'/'~ ; f0 r ~/A
_ Temporary Holding Tank Permit (Y/N)
To Building Foundation'"~
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date installed O 6,"¢'
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well J ~
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots
To Cutbank (if present)
l-4 o NL .
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, yerifieCCor conformed to allJvlOA and HAA guidelines in effect on the date of this inspection.
Signed '"~ ~.~t~ Date
Company ~ MOA No.
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
72-026 (11/84)
Engineer's Seal
203 W. 15tl~ AVE "C" SUITE 203
ANCI4ORAGE, ALASKA 99501
TELEPHONE: (907) 279-3916
SEPTIC
SYSTEM
ADEQUACY
TEST
LEGAL:
LOT 9, BLOCK 7 GREENLAND
LOCATION:
4641 E ll3TH
OWNER:
JIM KI RKINDALL
RESIDENCE:
SINGLE FAMILY, THREE BEDROOMS
WATER SYSTEM:
ON SITE WELL
SEPTIC SYSTEM:
FROM MUNICIPAL RECORDS:
TANK: 1000GAL+ UNKNOWN TYPE
ABSORPTION SYSTEM: 'FRENCH
ABSORPTION AREA: 490 SQ. FT
SOIL RATING: 85
INSTALLATION DATE: TANK: PRE 1969
ABSORPTION 1977
DATE OF PUMPING: MARCH 21, 1986
DATE OF TEST:
MARCH 19, 1986
TEST PROCEDURE:
SYSTEM WAS INSPECTED AND MEASURED. TANK HAS
ONE STANDPIPE. TANK IS BURIED 4 . 5 FEET.
LIQUID DEPTH IS 56 INCHES. TRENCH HAS 6.5FEET
OF COVER. CLEAN OUT WAS DRY. SUMP IS 11 FEET
DEEP. LIQUID DEPTH 20 INCHES.
WATER WAS ADDED TO THE TRENCH AT A CONSTANT
RATE OF 4 GALLONS PER MINUTE. THE LIQUID
LEVELS IN TANK AND SUMP WERE MONITORED. AFTER
ADDING 250 GALLONS THE WATER LEVEL IN THE
SUMP HAD INCREASED5 INCHES. THE LEVEL IN THE
TANK HAD NOT CHANGED FROM 56 INCHES.
THE INFILTRATION RATE WAS MONITORED FOR 45
MINUTES. THE INFII, TRATION RATE WAS MEASURE[)
TO BE 66 GALLONS PER HOUR.
TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF
THE MUNICIPALITY OF ANCHORAGE.
The operational life of all septic systems depends on the local
soil conditions, groundwater levels that may fluctuate during the
year, and the water usage of the family being served by the
system. These conditions are outside the control of the evaluator
of this septic system. We can therefore not give any estimate of
how long the system will continue to meet the operational requi-
rements of the Municipality and State.
203W 15th AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279 3916
RESIDENTIAL WELL INSPECTION
LEGAL:
LOCATION:
OWNER:
LOT 9, BLOCK 7, GREENLAND
4641 E ll3TH AVENUE
JIM KIRKINDALL
TYPE OF WELL:
WELL LOG AVAILABLE:
SINGLE FAMILY
NO
INSTALLATION REQUIREMENTS MET: YES
WELL YIELD FROM WELl, LOG:
PUMP YIELD: 4 GPM WITH 2 FEET DRAWDOWN
DATE OF INSPECTION: MARCH 20, 1986
TEST PROCEDURE:
WELL WAS PUMPED AT A CONSTANT RATE OF 4
GALLONS PER MINUTE WHILE THE DRAWDOWN WAS
MONITORED WITH AN ACOUSTIC PROBE. THE WELL
WAS PUMPED TILL THE DRAWDOWN STABILIZED°
STATIC WATER LEVEL WAS FOUND 54 FEET BELOW
TOP OF CASING. AFTER ONE HOUR OF PUMPING THE
WATER LEVEL HAD STABILIZED AT 56 FEET.
TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA
MARCH ].0, 19860 TEST WAS N'' ~EGAPIVE.
TEST RESULT:
ON
THIS WELL MEETS THE REQUIREMENTS OF THE
MUNICIPALITY OF ANCHORAGE.
The Municipal requirement for well flow is
1150 gallons of water per bedroom per 24
hours.This well surpasses this requirement.
The assessment of the condition of this well
applies only to the conditions as of this
date. The flow rate of the well may change
due to subsurface conditions that may not be
observed from the surface, and changes in
land ~se and other factors that may impact
the conditions of the aquifer feeding the
well.
MUNICIPALITY OF ANCHORAGE !:O:':.;...,'. ,.:.~, , , . :, --
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
t825 L Street-Anchorage, Alaska 99501 ~ ; /, . , -i' ,-~
ENVIRONMENTAL ENGINEERING DIVISION i ...... -- r L --
Telephone204-4720 i'-'-! : ! } ~, .
REQUEST FOR APPROVAL OF INDIVIDUAl.. WATER AND SEWER FACILITIFS
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (101 days for processing.
-' PHONE
"P"OPS"TYOWNE" 'b AI$.0 P C/iH Y'
MAILING ADDRESS "
,2X_ trom/TZ /-- S E-A. AHC ,oN 9¢e7.
PROPER'FY RESIDENT (If'-clifj~rent above) ' ' '
~;c17~ ~ ~LOC/C '~' ("2~£.~l!!N~_.~.Nb
2. BUYER ·
PHONE
MAILING ADDRESS -
3, LENDING INSTITUTION
I PHONE
MAILING ADDRESS
4, REALTOR/AGENT ~_ PHONE
MAI LING ADDR ESS
LEGAL DESCRIPTION
STREET LOCATI ON
6, 'rYPE OF: RESIDENCE
NUMBER OF BEDROOMS
;~ SINGLE FAMILY [] One [] Four
E] Two [] Five
[] MULTIPLE FAMILY ,~ Three [] Six
7', WATER SUPPLY
[] Other
INDIVIDUAL* 7'0 FT.
[] COMMUNITY
[] PUBLIC UTIL TY
B, SEWAGE DISPOSAL SYSTEM
ATTACH WELL LOG, A well Icg is required for all wells drilled
s~nce June 1975. For wells drilled prior to that date, give well
depth (attach Icg if available.)
~ INDIVIDUAL/ON-SITI:-**
[] PUBLIC UTILITY
**If individual/on-site, give installation date. ~"~O~,~"~. 1¢77
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE; THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING (;AN BE INITIATED.
72-0t0{3/78)
THIS SIDE FOR OFFICIAL USE ONL,
----- DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE -- DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
.... PERMIT NUMBER
3. SEWAGE DISPOSAL SYSTEM
[] I NDIVI DUAL/ON -SITE DATE INSTALLED
Connection Verified INSTALLER
[]Septic Tank or [] Holding Tank
Size: _~ ~-O If Tank is homemade SOl LS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL-- ~-"'~ ~1~/1....O~q,..~ .~'
4, DISTANCESwELL TO: Septic/Holding Tank IAbsorption Area Sewer Line I Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
E~--~APPROVED FOR ~.~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY (Title) / /
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
Time ime Ti,
Date ~
__
Ins'pector
Comments
Date
Inspector
D;~te
inspector
Conditional ADproval
Date Sewer Installed Permit No. Septic Tank Size
Soils Rating Well To Absorotion Ares Wall Log Received
Well to Tank
Property Owner
Mailing Address
Buyer
APPLICANT FILLS OUT LOWER HALF ONLY
J~hone
Address
Lending Institution Phone
Address
Realty Co. & Agent Phone
Address
Legal Description
Street Location
Type~;(f Residence
ETSingle Family
E~ Multiple Family
[] Other
Water,Supply £~' Individual
El Community
L-] Public Utility_
Sewa~ Disposal
,r_~' Individual
L-] Public Utility
El Holding_Tank
ATTACH WELL LOG. A well Icg is required for all wells drilled since June
1975. For wells drillea prior to tl~at date. g~ve well depth (attach Icg if
available.)
Year IndlvMual Installed:
When Connected to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
)},')¼;',?'i'. (i. 'F))";~ :'1-.
CONSULTING ENGINEER
203 W. 15th AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279-3916
May 26, 1982
LarryHardesty
Century 21, Heritage Homes
207 E. Northern Lights Blvd.
Anchorage, A/~ 99503
SEWER ADEQUACY TEST
t ~T C": .... HOMAGE
[' ECEIVfi'D
LE~:
LOCATION:
RESIDENCE:
WATER:
SEWER SYSTS~4:
DATE OF TEST:
TEST PROCEDURE:
Lot 9, BK 7, Greenland Subdivision.
On E. ll6th off Libscomb, off O'Malley.
Three bedroom single family.
On-site well.
From Municipal records
Tank-steel-1250 gal. One compartment ?
Absorption System: 70 f-h. trench, 3 ft. of rock.
Total absorption area: 420 sq. ft.
Soil rating: 85
System Upgrade: Oct. 1977
May 24, 1982.
System was inspected ~y 24, 1981. Tank is 9 feet below ground,
liquid depth 56-inches. Liquid very black. C.O. was dry. Sump
is 12 feet deep, with 10-1/2-inch of liquid. Water was added
to the cleanout at a rate of 6 gal. per minute. The following
readings were taken of the liquid depth in ~he sump and tank:
Tobben Spurkland P.E.
larry Hardesty
May 26, 1982
Page 2
Tinm Water Volume Depth Sump_ Depth Tank
0 0 10-1/2
10 60 11
20 120 11-1/4
30 180 13-1/2
40 240 17
50 300 21
60 360 22
70 420 22-3/4
80 480 22-3/4
TEST RESULT:
56
56
56
Check 24 hours later after tank had been pumped 11 inches.
9~is system consists of a rockfilled trench 3.5 feet deep.
(42 inches) 1/4 of this depth (10.5 h]ches) has developed
a biomat and partially plugged the soil. The present
absorption rate is 450 gal. per 24 hours, which is the
n~nimum rate for a three bedroom house. Assuming a linear
decrease in the operation of the system, this system should
give satisfactory service for another 10-15 years.
~is system meets the municipal requir~nents.
IIi: Time
Date
Insp
DEPARTME,
825
MUNICIPALITY OF ANCHORAGE qf~'Y'~[ ~L~ --
OF HEALTH AND ENVIRONMEN', PROTECTION
L Street~ Anchorage, A].aska 9950] .....
279-2511, ext. 22~ or 225
Date Received: April 15, 1977
9:30 a.m. #2: Time Ii3: Time
4-18-77 Monday Date
Date
Pratt Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILI[__ES' ' ' ' 1'[ I
1. Lending Institution Request: First Federal Savings/Loan Association
Mailing Address: Box 4-2200 99509 % Freida Padget~bone: 274-6561/218
2. Property Owner: Edward Mulcahy
Mailing Address: Star Route A Box 1721-D 99507
Phone: 344-3411 h
3. Legal Description: Lot 9 Block 7 Greenland Subdivision
4: Single Family Residence: (x)
Number of Bedrooms: 3
Multiple amz.l.y Residence: ) N~ber of Bedrooms:
Well System: Public/Conununit5 ffl~tem: ( ) Individual Well: (x)
Permi~
Permit
In sta 1 led
Installer
Septic Tank Size
Manufacturez
Absorption Area
Soils Rate
Material
Distances: Well to Septic Tank
to Sewer LJ. ne Nearest Lot line
to Nearest Lot Line
to Absorption Area
Absorption Area
MUNICIPALITY OF ANCHORAGE ~AUNI( 'ALII
DEPARYMENTOF HEALTH AND ENVIRONMENTAL PROTECTION. i V' ~Nt,~ ;~
SE.root, Ancho]:age, Alaska 995011
279-2511, ext, 224 225 · ')'
REQUEST FO~ APPROVAL OF
1. 'Type of Inspection: V * X
A ............ FHA .............. (.ONV.
~ Edward P and Rena S Hulcahy
2. Property uwner: ........... '_ .......... ~ ...........................................
Mailing Address:___SPA Box 1721-]} Day Phone:_ 344-3411
3. Name of Buyer: NA
Mailing Address:
Day Phone:__
Name of [.ending nst tut o ~:_ .F~.._~_S__T_?:~:?AL SAVlN~G.S~L_LO_A~_~A__S_S_OC_I_ATI~O_N ...............
P.O. BOX 4-2200 99509 274=6561
Mailing Address: ................................. P ~one:
r · 110110
5.Name of Realtor or Ajent
Mailing Address:
Phone: .....................
6. Legal Description: ..... I_f~_t._.9 ,~Bl.ock~7 L._G_r_e_e!~_la~_n.d- S~/?_ ........................................
Location:..
7. Type of Facility to be Inspected: ...... S~i_n_g. le fam, i].~ ............. No, Bdrrns. 3
8. Water Supply
Type of Supply: Public Utility ............... Individual
If Individual, number of dwellings presently served
If Individual, depth of well 72'
9. Sewage Disposal System
Type of System: Public Utility.
72-003(3/76)
Individual (on-site) X
If Individual, date of installation 1964
This request is fo}" a water pu'ri£ication test. Co]talent if absorption does not appear
adequate on sewer system because of surface moisture. Also, a dete~dnation of p~oper
distance ~equi~ements. An adequacy certification is not ~equested.
IqUNICIPAI. ITY OF ANCHOttAGE
DEPARTMENT OF HEAI_.TH AND ENVIRONMENTAL PROTECTION
825 !, ~;Lr-t2et , Anchoraq(~, Al~ska 99501.
279-.2513., ext. 224, 225
REOUEST FOR APPflOVAL OF
INDfVIDUALSEWEHandWATER FACILITIES
1. 'Type of Inspection: VA ....... FHA .............. CONV X
2. Property Owner: ..........................................
- ,, SRA Box 1721-D
Mailin9A(mress: ....... 2 ...................... Day Phone: 544-5411
3. Narne of Buyer: NA
...................................
M3il[ng Address: ...................................... Day Phone: ......................
4. Na~ne of [_ending Institution: FIRST FIBDE]~I, SAVINGS ~ LOAN ASSOCIATION
Mailing Address: P_jO. BOX 4-2200 99509 Phone: 274=6561
5. Nsfllr) of Realtor or Agent: llOIlC
Mailing Address: ............................. Phone:
6. [_(~qa! [Description:.. I.ot 9, B]ock 7~ (;roonlal/d S/I}
Location:
7. 'lype el F~milit¥ Io I)e In peeled .... Singl(2._l'alni_l_)- ............. No. Bdrms.._3
8. Water Suppl//
Type of Supply: Public UtiliW. ..................... Individual ........ X
If Indivichml, rlurnber of dwellings presently served (lie_
If Individual, clepth of ,,veil ....... 72r ..........
Sewage Disposal System
Type of System: t tml~c Utility ................. Individual (on-sito) X
If Ind v dLal, date of installation 1964
This ]'('quest is FoP (1 l,r~]~O]' p[ll'i [:lear ion test. Comment :i:f absorption, does not apl)ear
mi:.'ciu;~te on sewer s)'$!em because of surface mo istttre. Also, a determination of proper
dislance requirements. An adequacy certJt'Jcation 2s not requested.
Page Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 9 Block 7 Greenland Subdivision
Comments:
Affadavit Attached: ( ) Letter Attached: ( )
Appro~. k D~ .~
Deparkmon~ ~orkshee~:
April 22, 1977
.... ~r. Edward Mu'l.cahy
Star Route A Box 1721-D
Anchorage, Alaska 99507
Subject: Lot 9 Block 7 Greenland
The water analysis for the subject property is sat'|.sfactoryo
The distance requirement between well and sewor system is
o.ko
There ~as no overflowing sewage presont o
This is not a full comprehensive approw%l of tile subject
property,
~F
If there are~any questions, Dleaee contact this or.:ice
at 279~25.l.].,-exte~'~ion 224 o~ 225.
Sincerely
RoLezt C. Pratt~ R.S.
oanitar lall
RCO/ljh