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Home My WebLink AboutHANSON ACRES #1 BLK 2 LT 6Hanson Acres Block 2 Lot 6 #009- 293-1 ! Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 Parcel I.D. CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Oomplete legal description Location (site address) Expiration Date: Current Property oWner(s) Mailing address Lending agency: Day phone Day phone 'Mailing address Real Estate Agent Day phone Z~i- Mailing Address .Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: , ~ 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class ~ Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer [] [] [] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site System's Approval are required for the transfer of title (except between spouses) for properties served by a single-family'on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for propedies served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my. investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Aw. Name of Firm Address Engineer's Crinted Name DSD SIGNATURE Approved for ~ Disapproved. Conditional approval for bedrooms. Phone Date bedrooms, with the following stipulati0~s:, Attachments: COSA Checklist Septic System Advisory Well ,Flow Advisory Nitrate Advisory / (Rev. 11105) X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ~zn.~ ~¢re5 ~' I I~ 2. L'(~ Parcel ID: 'oc)~- Z~3- it A. WELL DATA Well type Date completed Total depth ~ _5~ ft. FROM WELL LOG Date of test Static water level L~_ ~W0u) Well production ~4w~ WATER SAMPLE RESULTS: If A, B, or C provide PWSID # ~ Sanitary seal (Y/N) ~/ Casedto ~0~ ft. g.p.m. Coliform N'~6-,colonies/100 mL Nitrate N'D mg/L Arsenic: ~,0~ ug/L date of sample: B. SEPTIC/HOLDING TANK DATA ~u~o\ic Well Log (Y/N) ~ Wires properly protected (Y/N) Casing height (above ground) [Z4- in. AT INSPECTION ~.~- g.p.m. Collected by: LA.~ '~'a~.T.¥4~/M aterial Date installed Tank size g ~~l~Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) Depressi~~alarm (Y/N) Date of. pumping Pumper~ ~ C, ABSORPTION FIELD DATA Soil rating (g.p.d./ft2 or ~/bdrm) System type Length ~~'-~%..........~ Width ~ ~ ft. Gravel below pipe ft. Total depth ~ ft. Eft. absorption~'e~.~...~ Monitoring tube ~ Depression over field _ Date of adequacy test ~ ~ ~ Results (Pass/ For ~_ bedrooms Fluid depth in absorption field before test in. Water added~ ~.~~~~~ in. _ Elapsed Time: min. Final fluid depth in. Absorption rate >= ~ Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION ~.~.~nstalled "Pump on" level at~ Datum Size in gallons Manhole/Access (Y/N) in~. High water alarm level at in. Cycles tested . Meets alarm & circu~ E. SEPARATION DISTANCES Absorption field on lot.. Public sewer main Sewer/septic service line SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot tV/A '-45'+ '7.~ Animal containment areas Building foundation Water main .__Wells nn c~j.c~,,i i~ On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank /V'l~ Manure'/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: ~ct~ol{c Property line ~ Absorption field Water service Ibz~.~ace water SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: t Io0 t Property line Water Service line Building foundation Surface w Wells on adjacent lots Water main Driveway, parkingNehicle storage F. COMMENTS review of Municipal records that the above systems are in conf~mance with MOA COSA guidelines in effect on this date. ~/..~.~.~~'~K~N~. ~'~ Enginee¢s Printed Name L~ ~ ~ m m ' COSA Fee $ .a me., Receipt Number Waiver Fee $ Date of Payment Receipt Number (Rev. 4/10) Aarow Pump & Well Service, LLC P.O. Box 110496 Anchorage, AK 995II Office: (907) 3469355 - Fax (907) 333-897§ Eagle River: (907) B22-9335 08960 CUSTOMER dOl~ SITE : :- 5'"211.. L J L J QUA~, DE~Ri~N Plaice ' AMOUNT ~BOR HOURS RA~ AMOU~ TOTAL MATERIAL TOTAL ~BOR WORK ~OER'ED 8YI DA~ ~MR TOT~ " , PAY THIS AMOUNT Thank You SIGNATURE (t Hemby,~cfmowtadge th~ Satisfac-lory Complet~ of the Above Oescfib~l Work and ;~jree I;~t il above work is not paid 10t' ~ 90 days I a~'ee t~ atl0w Aa. row Pump & Well Service, LEO, the eight t~ rtm'aoue unpaid for equipment ar~dl chacge for lab~ already pen~'med & luL, u~ iu.~wn~/e ~pa~l ~O¢ equlprt~tt TER[~,~3: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE ~ERVtCE CHJARC~ AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. Municipality of Anchorage Development Services Department _J Building Safety Division On-Site Water & Wastewater Program CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. ~'~/~q" ~ ~" 1. GENERAL INFORMATION cos^# bl d g0 Expiration Date:/ -- "~ ' O_.~ Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address HANSON ACRES S/D #1, LOT 6, BLOCK 2 5711 CORDOVA STREET * ANCHORAGE, AK 99518 RICHARD & SUSAN REEVES Day phone 5711 CORDOVA STREET * ANCHORAGE~ AK 99518 242-1793 Day phone. Day phone Un~ssothetwisemqueste~ COSA willbehe~byDSD~rpickup. 2. NUMBER OFBEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well ~] Individual Water Storage Community Class Well ~ Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site [~] Individual Holding tank Community On-site ~ Public Sewer TheMunicipality~fAnchorage DevelopmentServicesDepartment(DSD) lssues_Certificates.of_On-Site-Systams Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastawater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a pdvate or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat affixed hereto and as of the validation date shown below, I vedfy that my investigation, based on procedures outlined in the Ce~'ficate of On-Site Systems Approval Guidelines for this application, shows that the on.site water supply and/or wastewater disposal system is (am) safe, functional and adequate for the number of bedrooms and type of structum indicated hemin. I furfher vedfy that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, tho on-site water supply and/or wastewater disposal system is(am) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm CARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Phone 337-6179 Date Engineer's Comments: In conducting this evaluation, GEG, I. tD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results desodbed the performance of the system under the conditions encountered at the time Of the test, and separation distances measured to readily Idontitiable features. The operational life of all wells and septic systems depend on the local softs condition, 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 the system. Satisfactory test results do not guarantee future perfon~nanoe of the system, nor do they guarantee that there are no hidden defects or encroachmonts. GEG, I. TD. can therefore not previde any wamanty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this rel:x~ by any other person or party ls not authorized, nor will lt confer any legal dght whatsoever. 5. DSD SIGNATURE ~ Approved for ? bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: · Attachments: CaSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory A~-nic A~isory Maintenance Agreements Supplemental Engineer's Reort Other Original Certificate Date:. Municipality of Anchorage Development Services Department Building Safet~ Division On-Site Water & Wastev/ater Program 4~00 Blllgaw Stoat P.O. Box 196650 Anchorage, AK gg519-6650 v,n~'w.muni, a~g/on~tm (gO?) 343-~g04 ~ERTIFICATE OF ON-SiTE SYSTFH$ ~.PPROVAL (~HECKLIST Legal Descrtpflon: HANSON ACRES ~1; LOT 6~ BLOCK 2f WELL DATA * BASE0 UPON WELL LOGS FROM SURROUNDING LOTS Well type PRNAll[; If A, B, or C provide PWSID~ N/A Well Log (Y/N) Date c¢~pletad PRE 6/28/1972 Sanitary seal (Y/N) YES Wires properly protected (Y/N) Total depttt 50+ ff. Cased to e40+ ff. Casing height (above ground) NO YES 18+ FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform ~ colonies/100 mi. AT INSPECTION 9/20/2006 25 ft. Arsenic: 6.32 ug./L. B. SEPTIC/HOLDING TANK DATA 1.5+ g.p.m. Nitrate ND mgJL. Olher bacteria ~colonies/100 mi. Date of sample: 9/14~28/2006 Collected by: GEGf Ltd. PUBIC SEWER Tank Typa/Matertal Date insalled ~ Tank size gal. Number of Com~ ABSORPTION FIELD DATA PUBIC SEWER Date installed Soil rating (g.p.d./ff~or ftZ/bdrm) System type Length ft. Width It. ft. Total depth ft. Eft. absorption area fl2 Monitoring tu.~..b.b.b.b.b.b.b.b~ Depression over field Date of adequacy test . For bedrooms Flukl depth in absorption field before t~.~.~'""~'n. Water added gal. New depth in. Elapsed T~ Final fluid de _pth in. Absorptton rate >= g.p.d. ~tion tmatmant (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION ~ate in_sta_iled Size in gallo~s~ Pump on level at in. "Pump off' le . High water alarm level at in. ~ Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A ,absorption field on lot N/A Public sewer main 75'+ Sewer Isoptic service line 25'+ Animal containment areas 50'+ On adjacent lots 100% On adjacent lots 100'+ Public sewer manhota/deanout Holding tank N/A Manure/animal excrete storage areas 100'4- 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: PUBLIC Building foundation Property line Absoq3tlon field Water main ~~ Wells SEWER SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: PUBLIC SEWER Property line Building foundation. Water main ~ Water, service I~g/vehicle storage F. COMMENI~ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspec~one end review of Munic(oel records that the above systems are in conformance with MOA CO,SA guidelines in effect on this date. Engineer's Pdnted Name JEFFREY A. GARNESS Date cos Fee s Date of Payment Receipt Number (R~. ~ Waiver Fee $ Date of Payment Receipt Number 09-29-06; 18:44 ~.. , SG$1CT&E EN~/ : · .'?.; :907 561 5301 # 2/ 2 Drinking Water Analysis RelSbrt for ~otal'Gord0rm'B~ctdh"a · ' · MUST BE COMP~ BYWA~'~UER ' ~; ~A~WAT~ ~ Reported By:~ Daterrime:..C~,, ~c~'..o G ~=~m # [PW. 00~ t2/t7/0'5 SGS Ref.# Client Name Project Name]# Client Sample ID Matrix 1065496001 Gamess Engineering Group, Ltd. Lot 6 Bk 2 Ilanson Acres Lt 6 Bk 2 Hanson Acres Drinking Water All Dates~imes are Alaska Standard Time Printed Date/Time 09/27/2006 9:32 Collected Date/Time 09/14/2006 15:03 Received Date/Time 09/14/2006 15:15 Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Resuita POL Unil$ Method Container ID Limits Date Date Init Netals by ZCP/MS Ascnic 6.32 5.00 ug/L EP200.8 C (<10) 09/18/06 09/23/06 MI! Waters Delaar'cment Nitrat¢-N ND 0.100 mg/L EPA 353.2 B (<10) 09/14/06 ALR Microbioloqy taboratory TotalColifonn IIOB, NoColi col/100mL SM209222B A (<1) 09114,96 TLF It is the e) strtcl :he responsibility of the owner to determine istence of any easements, covenants, or Cons wh(ch do not appear on the recorded sub- .dtvis' )n plat. Under no circumstances, should a~y data hereon be used for constructiQn or for estab- lishing boundary or fence lines. The surveyor taker responsibility for the tnit(~l!'tr~nsactton only. .OT & · NOTE " "' EASEMENTS OF RECORD, OTHER THAN 'tHOSE SHOWN ON THE. RECORDED PLAT, ARE NOT ,SHOWN HEREON. BLOCK ANCHORAGE RECORDING DISTRICT ~t~m~ ~1 ~ I . / ~o MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. Cf OO c~ CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 6; Block 2: Hanson Acres Location (s.ite"address or directions) Property owner Mailing address Lending agency Mailing address 5711 Cordova St. Anchoraqe, AK ~inh~d & sl]s~n Reeves Day phone P.o. Box 242423 Anchorage, AK 99524 Day phone 258-1141 Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: XXX If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: Public sewer xxx If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verifythat my investigation of this Health Authority Approval application 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 further verify that based on the information obtained from 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 this inspection. Name of Firm S & $ ENGINEERING Phone ~ ¢~ ~ - D- ¢'f '7 ¢~ 17034 EagJe River Loop Road No. 204 Address Ea.qle River, Alaska 9.9577 .,, /, / Engineer's signature ' . .... ,--~.----- Date )¢ ,- "/_c/¢ DHHS SIGNATURE ~ Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work, 72-025 (Rev. 1/91) Back MOA/¢21 MUNiCiPALITY OF ANCHOP-~GE i~NViI~NM~:NTAL SERVICES DIVISION Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division~4'~J~'- ~'/'z~4 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) Health Authority Approval Checklist Legal Description: A. WELL DATA /)c/~J' Parcel I.D.: Well type Log present (Y/L_~- /V 0 I Total depth $ ''/ -/'- Sanitary seal {~)/N) ~/~ ~- IfA, B, or C, attach ADEC letter. ADEC water system number Date completed /"R,~fL 7'o (=f~/73- Cased to L/0 '/- Casing height (above ground) Wires properly protected (~)'N) I FROM-WELE'I '~G Date of test Static water level Well production WATER SAMPLE RESULTS: g.p.m. AT INSPECTION f g.p.m. Coliform ~) Nitrate Date of sample: /0 / r ff / ~ 7 O. ! Collected by: Other bacteria S & S ENGINEERING Eagle River, Alaska 99577 B. SEPTIC/HOLDING TANK DATA p~L~,, (_ Date installed Tank size Number of Compartments Cleano~ Foundation cleanout (Y/N) Depression (Y/N) __ High water a~__ Date of P~mping. Pumper C. ABsORpTION FIELD DATA:' Date i~lstalled ~ Soil rating (g.p.~qur,-h~/b. drm)_~ __ System Length Width __~el ,~ickness b.~i~..w..pipe ~ Tota d;p.,~...~,, Effective absorption area " onitoring Tube present (Y/N). Depression over field (Y/N) Date of adequacy tebf ' / Results (Pass/Fail) For bedrooms Fluid depth in a~ before test (in.); ~~atment (past 12''/ (inS)mMoin~ts~/~ tNir: 72-026 (Rev. 3/96)* Immediately after gal. water added (in.): Absorption rate = .g.p.d. If yes, give date D. LIFT STATION Date installed Manhole/Access (Y/N) ~ High water alarm level at* ~ *Datum Cycl_es~ E. SEPARATION DISTANCES Size in gallons "Pump off" level at* SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ~v Absorption field on lot ~ /' ,4- Public sewer main Sewer/septic service line / On adjacent lots ' On adjacent lots Public sewer manhole/cleanout Lift station ,,~ ! )oo SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: ~ Foundation Property line Abs¢ld Water main/service line Surface~ater/dr~_ ___ Ils on adjacent lots SEPARATION DISTANCE FROM ABSORP.~lq~LD ON LOT TO: Property line . ~g foundation Water main/service line Surface water~'''''''''''''''~ Driveway, parking/vehicle storage area Cu,~ Wells on adjacent lots F, ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records th.~!~a~e~l[ns are in conformance with ~flOA ~AA guidelines in effect on this date. ,¢~.~. ..... ..~.? ~.~ Signature '~~ ~ Engineer's Name R0 ~ ~ ,~,_ _ ~ _ ~('-- (0~ ~*~"~'" ~ Date 10 / ~/~7 ~'¢..~ CE-880] /~M~ HA,& Fee $ Date of Payment /~) //cTL/~ 7 Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev, 3/96)* HOME OFFICE 2~'B EAST 5?H AVE. ANCHORAGE, ALASKA ..o,.E -- F^ 2-4 43 P. O. BOX 721 1.5' Test Location: percolat£on Tast 'Lot ~ Block ~ Test Hole Log Test Hole Loc~tion ,. 1st. Filling: Bottom of hole filled with to drain out. 2nd. Filling: Bottom of hole filled with Percolation Rate: ~ ~'~,~ approximate slope '~ /~/ of water and allowed :~/~// of water and test run. min./in. Remarks: These results are only the visual soil conditions and theoretical percolation rate on this date for this test hole. 26 August 1964 ~4ro Paul Barnhardt Box 2i22~L~[Stal~ Route nnchor~.y.,e, Alaska Lot 6, I~lock 2~ Hanson Acres Deam ?~ro Barnhamdt: I have the [:er'col¢~tzon test z'er~o~+', .. fmom l~ount~&ne Enterprises and on the basis of this ~port will appr,ove the standard septic tank and log crJ. b se(~pa~e pit 5nsta!lat~on, Tho tank must be a 1~000 gallon tank for elthe~, a I or a 2 bedmoom house, a 1~250 gallon tank for a 3 beazoo~ house, and a 1,500 gallon tank fo~ s ~ bed- t, oom hous~,.~ S~nce this. ~s ~,~o~n0'- ~, to be used for a bake shop in addition to private home,~ 500 gallon capacity should be added to the domestic size tal~k necessary~ The log ct, ii) seepage p~t must be 10' x !O' ~ 6~ su~,r, ounde~? by 3 feet thick ba~kfill {~ loose ~-]~,avei w~th not ~;,~o~',~ .... Sincerely D^VID t:',, L. 1)UNCAN~ Medical Di~*e ctof C]:'S: cw By Charles F. Shockey, Chief Sanitarian GR RAGE AREA BOROUGH !Il ~/~.~/ Depa~t~nt/ga~_.~vi ronmental Qual i ty ~~ b3330 Stre~tW~z-~]~4TO'r~ge, Alaska 99503 274-4561 q ~3~ ~v~,, ~ /TA ~J~ ~- Date Received January 18, 1977 FOR APPROVAL ~c ~ ~. INDIVIDUAL SEWER : R~ATER FACILITIES . l. Approval requested by: Spokane: Mortgage Company Mailing Address: 3201 c Street, Suite 250 Phone: 277-0543 2. Property Owner: Robert D. Dunno Phone: Mailing Address: 5711 Cordova, 99502 3. legal Description: Lot 6 Block 2 Hanson Acres Subdivision Location: 5711 Cordova Type of facility to be inspected Single Family No. of bedrooms J Well Data: A. Type Individual B. Depth C. Construction ~ D. Bacteria] Analysis Sewage DisPOsal Sys~ublicU/'~"""---'~' "-Ut~lity~ A. Installed ~ ~tal l er 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 , Abs6rption 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'l of two pages Iv"'!NICIPALITY OF ANCHoP, AGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & · DEPARTMENT OF ENVIRONMENTAL QUALITY f-'NVIRONMENTAL PROTECTION REQUEST FOR APPROVAL OF R ECE I VE0 INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mailing Address: 3. Name of Buyer: Mailing Address: CMRO VA Rober~ D. Dunno 2711 Cordova. Anchorage Frank A, Koss X× FHA CONV' __ Day Phone unknown 2703 W. 32nd #3 , Anchorame Day Phone 243-5111 4. Name of Lending Institution: Spokane Mortgage Co. Mailing Address: 3201 "C" Street, Suite 250,Anch. Phone 5. Name of Realtor or Agent: Metropolitan Realty (Ed Sanders) Mailing Address: 523 W. Eights Ave. , Room 100 Phone '277-0~43 274-1631 6. Legal Description: Lot 6, Block 2, Hanson Acres Subdivisi.on #1 Location:5711 Cordova, Anchorage, 99502 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: ¸9. single family Public Utility Individual No. Bdrms. .2 . x~c~ If Individual, number of dwellings presently served If Individual, depth of well unknown Sewage Disposal System Type of System: Public Utility ~ If Individual, date of installation unknown Individual (on-site) EQ-037 (1/74) Page 2 of two pages - Re st for Approval of Individual ' ~er & Water Facilities Legal Description Lot 6 Block 2 Hanson Acres Subdivision ~1 Comments d~., _~.~X~. . ~ Disapproved Date/~ Approve Appel Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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 Date EQ-034 (1174)-- ...~:' ,' ~' '~:~' ~ GREATER ANCHORAGE AREA BOROUGH ..... Phone: Address: 2. Property O~ner: 7~ 5. Type of Facility to be Inspect. ed:~~~ Number of' Bedrooms: V{ell Data: A. Type B. Depth__ C. Construction D. Bacterial Analysis' 7.Sewage Dtsoosal System: A. Installed B. Installer C. Septic Tank: 1. Size~2.. Manufacturer D. Seepage Pit~ 1. Size 2. Material Distances: _ ~,6t~..~ A. Well To: Sep~ , Abso_ptionw Area , Nearest Lot Line , Sewer Lines , Other Contamination B. Foundation to Septic Tank '";,. Ab'§orDtion Area 'Absorption Area to Nearest Lot Line "<~st for Approval of Individual Sewer & Water Facilities ~'age ~'w¢,~ - '~,.'9~, ~mments: Appr~--Valid for One Year From Date S~gned Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAN 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 located at: Signed Date · ~J Au~ 10,72 ~'~ :' Form Approved HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY ANDS~WAC~E DISPOSAL SYSTE/~ INSURING OFFICE ] MORTGAGEE ' ~ S~IAL NO. Anchorage ~e First Na~io~l Bank of Anchora e LH 192 946 F. R. Miller & Geraldine M. :4tller 5711 Cordova S~e~__~!~a~ Hanson Acres S/O ~~ __~ ~u_ J~t~blic system ~ .~. jNo HEALTH DEPARTMENT INSPECTOR'S SKETCH s the opinion of the [] State .['~ Count3, [] Local Department of Health that this individual water-supply system )~ is [] is not .~tisfactory as a domestic water supply fop the subject propertT. It is the opinion of the El State [] .Couyty [] Local Department of Health that this individual sewage-disposal sys- w'' ro er aintenance' Public Sewer tern ~tn p p m . [~Can be expected to function satisfactorily, and [] Cannot be expected to function satisfactorily s not likeTy to create an 0sanitary cor/d~tmn' - , / .. -- ~ -- ~%q,,--; _ ro THE CHIEF UND2RWRIYER: I have reviewed the foregoing and the pertinent FHA Compliagce Inspection Report, and recommend that the Individual water-supply system be considered [] Acceptable [] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable, DATE CHIEF ARCHITECT E] Date of Insnectien' GREATER ANCHORAGE ARHA BOROUGH Department of Bnvironmen%al Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Time of .Inspection Address: ¢¢~ / ~x ,Phone: O. Construction ~ ~ D. gac~er~a] A~alysis .. C. Septic Tank: 1. Size__ 2. ~anufacturer D. Seepage Pit: 1. Size 2. Uaterial Disposal Field: Total Length of Lines__ Distances: A, Well To: Septic Tank , Nearest Lot Line Foundation to Seotic Tank · Absorption Area , Sewer Lines · Other Contamination ~'~ AbSorption'Ares C. Absorntion Ares to Nearest Lot Line r-~v~.dual Sewer & ~;~ater Faci!itie . ~.Rc~:st for Approval of Ii ?a ~ Tv;o Ap~rova~ ~!~}.~.c! for O~e \'aa? T:~*om Da~%:~. S~gned Gree~.c~ Anchorage A-ce~ r~o~- uah, Oepar'tu'~en~; of En;~ironmental Ouali~y · ~ certify that the information ,contained in this request for approval to be a true and accurate representation o~: the sub.leer se%var and water facilities located at: Signed Datc June 29, 1972 First National Bank of Anchorage Box 720 Anchorage, Alaska SubJ VA Inspection - Sewer and Water Lot G, Block 2, Uanson Acres Subdivision 5711 Cordova, Anchorage, Alaska {)ear Sir: The well at this address is in a pit which must be upgraded to nmet Borough standards. The casing must be elgi)teen inches above the ground surface and the nit filled in with topsoil or impervious soil type. The lot has public sewer availeble on Cordova Street a~d hook- ~ ~8.6~, Section 9-70 (Al up is mandatory as per Borough Ordinance ~ .~ . If you have any questions regardi.~ the above information, please contact the ~reater Anchorage Area Borough, Department of Environmental Quality, Sincerely, Les Buchholz £nvironmental Control Officer bb CC.* Service Realty 3901 Spenard Box lllg Anchorage, Alaska