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Home My WebLink AboutHAMPTON HILLS #1 BLK 2 LT 9 NAME MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENI'AL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 t. Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT [PRONE " b~ UPGRADE ~AA~!N$.AD~SSzo-~9 AiXfCHOI:(AG~',, A~. 995ii LEGAL DESCRIPTION Lo% ~ Block 2 Hampton Hills Subdv. I_OCATIONfl MoC l~re dircle Well [ area I DISTANCE-FO: / D./& Absorption Manufacturer Greet [~~n gallonsI ............. ~ Inside length 1uuu ua~~ ..... DISTANCE TO: I Well Dwelling .... Well ...... DISTANCE TO: ~; No o¢ lines ~gth of each Ibm ~p of tile to finish grad uJ Length Width Type of crib Crib diameter Well DISTANCE TO: Class Depth DISTANCE TO: Building foundation Foundation ~ ' Total length of lines 2& 2i Material beneath tile Depth Crib depth Building foundation Driller Sewer line OTiHERMUNiCIPALi'fy OF AI~'ORA--'~ :~ : C: .... ; :' PIPE MA3 ERIALS ~Vlf ~ · '~ L, ~'~' PVO/Cast SOl L TEST RATING j/',. [', , :; ~';~ 100 s&.ft./bdrm NS TA '-ER R E C E I V D & B GENERAL, INQ. R EMAR I<S Dwellin9~% ial [Wdth STL blaterial INearestl°t2i_n~e 50Z _+ Trench width 96 inct~es NO. OF BEDROOMS ~ PERMIT NO. 8111~ No, of compartments 2, ~iq~id depth PERMIT NO. L. iquid capacity in gallons :'ERMIT NO. ~Sm~l ~ 0~'~ :)istance between lines R/a Total effective absorpti, on area 336 s. £. PERMIT NO, Total effective aZ~sfrption area Nearest lot line ~)~-c e-~-o ~'~'~ ~-~R M IT NO. ~t~ ta~n~ Absorption ~rrea(s) APPROVED DATE LEGAL January 4, 1982 Norman E. Hoppas 3800 Lynn Dr. Anchorage, AK 99504 Permit ~ 811106 Subject: L9 B2 Hampton tIills A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well., a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call_ this office at 264-4720. Sincerely, Les N. Buchholzy~. Program ManagerTM Sewer and Water Program Enclosure: Copy of Permit ?!I::!N :[ !"!LJI"! !.,il..l[','!!!i',~:;i:~: OF':' THE !~i:i:E):;!U ]: P%[::, :~; ]: ;~:E OF:' THE: E:::',, iE~: E© 'qF" ~'"-[~ THE: (:~!:;;:!:::f",?EX. [::,E:F'"FH :[ :ii; THE: i"l :[ N ]: i"lUl"! i;:,E':P'T'H OF GRf':V,,"EL. i'.,!U?'!E',E:!:~: OF RE::~; Z C, ENE:E:?~; "f'HRI' T'HE: i,.iELL. !.,.f :i: L.L.. h' ]: '. :[.'" I"! :"'Z':~:T¢:~'I'::f::' F'~;;:OI'"I F! .:::'I:;:'}',,,'FfTE: .,.E~:~ _. '['0 i::! p~;::[',,'Fd'l"F:' :,c..~ ............................... O"i?'IE?. ',.,..- ~ ..... ~;, ;'t' ~,~ ~ "'c:,. ?JFI¥ h'..' u t :~;PEI[j: ][F ]~ Cf::!'!" [J~ [[' r-lq .:.i'.t[':, "" APPLI ,NT FILLS OUT UPPER HA 'ONLY Buyer . ~J ' ' Addrese Zip Code Phone Lending Institution ~-: / ' Address Zip Code Phone Realty Co, & Agent Address Type of Residence ~¢.. Single Family [] Multiple Family No. of Bedrooms ~.¢",-'~ _ E] Other Water Supply ~ Individual 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). [3 Public Utility £~ Individual Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 'ime Time Time Time )ate Date Date Date /-/~- Inspector Inspr.~tor Inspeclor Inspector Field Notes: 14> o {,.,,~,~...APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE /~ / ~ ;- ~ '~ Soils Rating ~ Date ~wer Inslalled Well To Absorption Area _Well Log Received ~ ¢":~ {2'"'" Z,- (( '":" ~ Well to Tank Septic T~k Size CHEMICAL & GI~ ~OGICAL LABORATORIES ~ ALASI~A, INC. '~ELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER ' 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATERSVSTEM: I ~ I I' "ii ~-] I.D. NO. Water System Name Phone No. Mailing Address City State Zip Code SAMPLE DATE: F--I---I ITT'3 F--~ Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no.. ~ [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. LOCATION ~ L 3I 4I 5L Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] 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 F:IEAD INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RI"CORD Date Collected Source I -- Lab. NO. PresumPtive ].0mi ]Omi 10mi 10mi 10mi 1,Omi 0.;[mi 24 Hours , .48 Hours Confirmatory 24 Hours 48 Hours EMB ~lroth 24 hours: erottt 48 hours: Multiple Tube Report: 10mi Tubes Positive/Total 10mi Portions Membrane Filter: Direct Count Collform/100ml verification: LTB BGB Final Membrane Filter Results_ Collform/lOOml Reported By Date Time= &,m. ~Permit #: 820..)~ danuary 31, 1983 TO: Permit Applicant Subject:: Lot 9 B].ock 2 Hampton llills Subdivision A permit issued by this department for an individual well and/or .on-~site sewer system has expired as of December 31, 1982o Permits are issued on a calendar year basis, as stated on the permit, by aut. horihy ef Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the insta].lation date arid to close the permit. !f a private engineer inspected the installation of the on-.site :sewer system, please have them send us the as-builts for our files and documentation° If there are any further questions, please call this office at 264-4720~ Sincerell~ Roberk C. Pratt., R.S. Acting Program Manager Sewer and Water Program RCP/ljw eric: Copy of Permit SWP/057 i; i ;;i:;;:'i" r F"/ '7!-! ::: '" .... 1 ...... "1.":: "Fi"i 'F!"l[ii; ~:'~:":'l ]'?F", :';'"-i" F'O!;i: Oh,l*'"':: "f'l::' :f~;!:i!;HEt:,;:;i!; FIB!I) .,ll:::'l '::: i::u::: ~'::'l.[;d:;i:~i'i-.] t:"' ' OF Ici'. ~;'..1~1~;?1::t :i~7'. ...... ' ..... *., ~ THi:;: ,1 '.I ;; F ]; .:::'F,..,. ;t; "?¢ ' ........... 2: ;i; ,.[¢ I 'ri'.':::"':: I ?T.iE ';::' , ........