HomeMy WebLinkAboutPROSPECT HEIGHTS BLK 2 LT 10IL,,
Aug 18 22 08:48p Anchorage Well & Pump Ser
9072430742 p.1
MUNICIPALITY OF ANCHORAGE
Development Services Department- Phone: 9D7-343-7904
On -Site Water & Wastewater Section �y', � Pax: 9D7-343-7997
Pump Installation Log
Well Drilling Permit Number: Date of Issue:
Parcel Identification Number: 015 - 091 16
Legal Description Block Lot Property Owner Name & Address:
BARRINGTON EDWARD J & DONNA L
PROSPECT HEIGHTS 2 10 10000 PROSPECT DR
ANCHORAGE, AK 99516
Pump Installation Date: cs - 16 - 2022
Pump Intake Depth Below Top of Well Casing: 55 feet
Pump Manufacturer's Name: FRANKLIN ELECTRIC
Pump Model: 7FR07P4-3W230
Pump Size: .75 hp
Pitless Adapter Burial Depth: 12 feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
MARTINSON
Well Disinfected Upon Completion? XYes ❑ No
Method of Disinfection: PELLETS
I Comments:
Pump Installer Name: _
ANCHORAGE WELL & PUMP SERVICE
Company: 7640 KING STREET
ANCHORAGE, AK 99518
Mailing Address: 907-243-0740
City: State: Zip:
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
GREA,,-'R ANCHORAGE AREA BORL .,'GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MAILING ADDRESS
PHONE
SEPTIC TAN K:_j_.5~
DISTANCE /
FROM WELL 9~) MANUFACTURER
MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITM--)'~ GALLONS.
TILE DRAIN FIELD:
NUMBER OF LINES
ABSORPTION AREA
FOUNDATION /~ ~- NEAREST LOT LINE /~) ! TOTAL LENGTH
DISTANCE BETWEEN LINES ~///~ TRENCH WlDTI-~'~IN. TOTAL EFFECTIVE
DEPTH:
SQ. FT. LENGTH OF EACH LINE
/
DEPTH
OF
FILTER
TOP OF TILE TO FINISH GRADE ~
MATERIAL BENEATH TILE 0 .,1~ ABOVE TILE '~ IN.
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED ._
CONSTRUCTION
NEAREST
LOT LINE_
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
DEPTH
SEPTIC SEEPAGE
, TANK SYSTEM
REMARKS
DISTANCE FROM:
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:/(-'~
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
C..,0 )
i :;f'i
.,,
!"Ii.:,'
?~'-:;':::; i i:,h~;hif;':i'{ ;i :~"; {.,~:i..;i"}f')i :~:{i~':, i'4 i i; i",~i;:i .{.iOh: i"'i(:IF;:F; 'i"i'{i:::l}",i ,::i-
~ ,::.; ,:::; ~
CONSULTING GEOLOGIST
SOILS LOG
Performed £or
Legal Description
p ~ ~_.(_~e e,~ )
Soil Description
-20-
Was groundwater enooun'bereR, d~V~? What depth
Depth to bedrock >~--O~
?
How determined I -O_~f.~ ?
Respectfully submitted
Consulting Geologist
HEALTH AUTHORITY APPROVAL
INDIVIDUALY~TER SUPPLY AND SEWAGE DIS~'h,~AL SYSTEM
~SUmNO OnCE
Anchorage ,Alaska
MOnTOAGO~ OR SPONSOR
William & Edna Barrington
PART I.--TO BE CO~PL;T;D BY FHA
MORTOAOE~ j Sr~AL NO.
First National Bank of Anchorage
SUBDIVISION NAM~
Prospect Heights
TOTAL HUM ~.JlJ: j
~ASEM~NT
WA~ ~UP~Y ~Y:
Public system
~WAGi OlS~SAL
~ ~blic syscem
PROPERI'Y ADDR.KS$
Prospect Drive ,Anchorage ,Alaska
New installation
I 2 !0
(If Yes, ho~ manyf]
~Yes DNa
[] Community system {~ Individual
~ ~mmunity system ~ Individual
PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT
HEALTH DEPARTMENT INSPECTOR'S SKETCH
It is the opinion of the [] State [] Count},
[] is [] is not ~tisfactory as a domestic
[~] Local Department of Health that this individual water-supply system
water }upply for the sublect property.
It i, the opinibn of the [] State [-"] County [] Locai Departmeht of Health that this individual sewage-disposa'l sys-
tem with proper maintenance:
[] Can be expected to function satisfactorily, and J~] Cannot' .be expected to funcnon satisfactorily
~s not likeTy to create an insamtary condition
j SIGNATURE
10-30-72 Tim Rumf ,.& x~ ~, ,
, ~-/ , Sanitarian
~ac~ provided.
Use of the above g~d for Health Department Inspector's sketch as well al ule of the bock of this form Is at the option ~f the
heal~ authority.
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received ....
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval Requested By:
3.
4.
5.
Address~ ;,( .... '/.=
Phone:
Phone,
Type of Facility.to be Inspected:
Number of Bedrooms:
6°. Well Data:
A. Type
C. Construtti on
7. Sewage Disoosal
A. Installed
C. Septic Tank:
D. Seepage Pit:
E.
'Depth
Bacterial Analysis
1. Size ~ ::~':
1. Size
Material
Disposal Field: Total Length of Lines
Distances:
A. Well To:
Septic Tank ' :e
, Nearest Lot Line
Foundation to Septic Tank
Absorption Area to Nearest Lot Line
, Absorption Area ¥~ + , Sewer Lines
Other Contamination
Absorption Area ',;', '
Request for Approval of Individual Sewer & Water Facilities
Page~ Two
Aporoved ~ '~ ~:~ :~'~ ......
, ~/~' ,~ ~, ~4appr oved Date
~ ~ z' ~ppr/6/eal Valid fo~ One Year From Da~e Si~ned
Greate~ Anchora~ Area Borough, De~ar~ment of Environmental Quality
D!AGR~M 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 facf!fties located
Signed Da~e
GREA"ER ANCHORAGE AREA BOROUGH
Departr.,lent of Environmental Quality
3500 Tudor ,.V. oad~ Anchorage, Alaska 99507 279-8686
Date Received
RHQUEST FOR APPROVAL
IND.!VIDUAL SHIVER & WAT~,R FACILITIES
FOR
.
5~ Type of Facility to be Inspected: ,~
Number of' Bedrooms:
, __ B. Dept~ ....
7.Sewage Disoosal System: ~'
A. Installed
D. Seepage Pit: 1. Size
2. Material
E Disposal Field: Total Length of Lines
Distances: ~ -
C
, Sewer Lines
, Nearest Lot Line , Other Contamination '~
iq' " bO
Foundation to Septic Tank_~ ~ Ab§orption Area
Absorption Area to Nearest Lot Line ~/~j~) "~ ~0
'Request for A'pproval of Individua! Sawer & Water Facilities
Pag~ Two
Approval Valid for One Year Fro~ Date Signed
Greater Anchorage Area BorouGh, Department of Environmental Quality
DIAGRAm;., OF S~STH~
?
I certify that the information contained in this request for approval to be a true
and accurate representat~ion of the subiect sewer and water facilities located at:
4775
FA
Lot 2
Lot 11
ation of the structure'Aas
or, this record draw,ng
it) c�_Implies with Title 21, AMC
R.»-1132
SCALE: 1 "= 60'
A.
�F • CF • At 1
�,. 49th � �I
01
01el.?.c .. l.... ..... j
..
/•.Fred Walatka. ff /
�,c'�F •. 3255 - S ,••J��=
1 1 �ftssi00%-
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED
PLAT ARE NOT SHOWN HEREON. Fb 72-12, pg 24 BE
RECERTIFIED 12-29-14 6-04-16 10-2-C
RECERTIFIED 7-25-01 4-17-06 5-03-13
AS -BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
of the following described property: LOT 10, BLOCK 2,
PROSPECT HEIGHTS SUBDIVISION
Anchorage Recording District, Alaska, and that the
improvements situated thereon are within the property lines
and do not overlap or encroach on the property tying
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska
this 16th day of OCTOBER 1972.
FRED WALATKA & ASSOCIATES
Engineers and Surveyors
(907-248-1666)