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HomeMy WebLinkAboutPROSPECT HEIGHTS #1 BLK 3 LT 10A MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE D~SPOSAL SYSTEM AND/OR WELL INSPECTION REPORT [PHONE ] []NEW NAME MAILING ADDRESS LOCATION I NO. OF BEDROOMS We~ Absorption area ~'--- Dwelling PERMIT NO. ^,/ ~- 2 I Manufacturer .,~ I Materia. F~ r , i No. of compartments ILq capacty.inga ons[ Inside ength IWdth ILquddepth ' l '~- ~ ~ I IF HOMEMADE: I ..)_~2 ~ I ~ _ ~ v I DiSTANOETO IWell Dwelling e~ I I WoII Foundation ~ ~[ PERMIT NO. - ~ ~. ~ No. of lines Length' of eeC'ch Fine Total length of linc& _ Trench width . Distance ~etlNe~n lines re 1- Top of tile to finish grade , ~ , Mater~al beneath tde ~ Total effect~v.~b)or.,pt~on area I Length Width Depth PERMIT NO. <~ ~' I Type of crib Crib diameter ~ ~ ~ - ..~ ICk~,_ ~ ~ Depth Driller Distance to lot Pine PERMIT NO~ t-x ~.x .~ ~... ! _ g 8 DISTA~C~TO: Buil0ing[oundation Se~erline Septictank ~ O (~ Absorptionarea(s) ~0 OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS APP DATE LEGAL i--1LUhi I C: I F~gL I T~r' OF RI".~[-.:H~--~RRF~E DEPARTMENT t HEALTH AND ENVIRONMENTAL 8~._ "L' STREET. ANCHORAGE, AK. ~ , ' 264-4720 ' , ' ' 014--_~ ITE SEI4ER iiRf'l APPLICANT .DR',,,'ID~ KLOEP., , 523 TOGIRK CIRCLE LOCATION E, UDD9 WERNER ?,R I ,, E, LEGAL LOT ZeR BLQCK ~ PROSPECT HTS. LOT T~PE OF =OZL' RBSORPTZON SYSTE, ZS: TRENCH MRXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING THE REI~UIRED SIZE OF THE SOIL RBSORPTION SYSTEM C.,EPTH: 9 LE[-~GTH= 29 ISRR~/EL THE LENGTH DIMENSION IS THE LENGTH <IN FEET> OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR Fit IS THE DISTRNCE E:ETI.,.IEEN THE SURFRCE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION <IN FEET>. .i !~ /' ~ THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL P'l~"P~"c~ AND THE BOTTOM OF THE EXCAVATION <IN FEET). F-:EC4IJ T REC-, SEPT I C TFi~4P:; S I ZIF-- :i] 25~3 GRLLm_nI'-.IS PERMIT RPPLICRNT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJRCENT TO THIS PROPERTY AND THE NJMBER OF RESIDENCES THAT THE WELL WILL SERVE. T~4~] (2) I [4SPE£:TIOf4S RRE ~:EQI_IIRE[:. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINI~O-M'~DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS i00 FEET' FOR A PRIVATE WELL OR t50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. 3THER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PFR["l I T E;"-':F' I RES D. ECEr-liBER 2<:2L.. "1988 : CERTIFY THAT .: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET 'ORTH BY THE MUNICIPALITY OF ANCHORRGE. ~: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. :: I UNDERSTAND THAT THE ON-SITE SEWER S~STEM MAY REQUIRE ENLARGEMENT IF THE ESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. I GNED: APPLICANT DAVID KLOEF' ;~LiED BY ................. D A T E _ ..~: ~i_.(J.r_ ..~ .... I"ILII'--I ItT--- I ERL I T'-r' OF RNC:H~3. F..-:'.I---~GE DEPARTMENT , 'HERLTH FIND ENVIRONMENTRL' 'IOTECTION 825 "L" STREET., RNCHORAGE, PK. "" 264-4728 01"4--S T TE PERMIT NO. ( ) SEL.J~-..--_R PER[~I I T LOT SIZE ~-~/0¢--/¢ SQURRE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: MA×IMUM NUMBER OF BEDROOMS = ~ SOIL RATING (SQ FT,."BR)= ~.~-' THE RE6.~UIRED SIZE OF THE SOIl_ RBSORPTION SYSTEM IS: ~'¢ 6RRVEL E:,EPTH: [)EPTH= LEN,]TH: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). RE~]UIREB, SEPT IC TRNa4 6RLLO~4~ PERMIT RPPt_ICANT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY WELLS ADJRCENT TO THIS PROPERTY RND THE ~4UMBER OF RESIDENCES THAT THE NELL WILL SERVE. TL4r_'m ( 2 ) I i'4SF'ECT I 01%1S PRE RF~-qt_I I REt].-, BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION AND APPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN A WELL RND RNY ON-SITE SEWRGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVRTE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL WELL LOGS PRE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY RPPLY. SPECIFICATIONS RND CONSTRUCTION DIRGRRMS PRE RVAILABLE TO INSURE PROPER INSTALLRTION. PERI~I I T EXF' I RES [)ECEPIBER _?.-! .. '_L_~- 80 I CERTIFY THRT i: I RM FRMILIRR WITH THE REG~UIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FOR;fH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRL. L THE SYSTEM IN 8CCORDRNCE WITH THE CODES. ~?: I UNDERSTAND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. .MUNICIPALITY ,~,. , .. ~ DEp~ ~.~ ANCHORA~i: ~EN~IRo ' ~r h~ALTH &, ~ ~ENr~E,P~OT~ ~ '0 DE~TMENT OF HEALTH AND ENVIRONMENTAL PROTECTION  N 2 ~ 1980 ,o,=, ~650. An~orage. AI.ka 99502 276-222~ E ~EC IVED so,~s ~o~-.~.co~,o. ~.s~ 1 2 3 4 5 6- 7- 8 SLOPE SOILS LOG [] PERCOLATION TEST SITE PLAN 10- 11 12 13- 14- 15- 16- 17- 18- 19- 20- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time ~Nater Drop PERCOLATION RATE ~minute$/inch) TEST RUN BETWEEN MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) LIOA B3 Prospect Hts., ~"13 T12N R3W SM Location (address or directions) Upper O'Malley to Schuess to Buddy Warner Drive (b) Applicant Name Hary Ann McEwen Telephone: Home 346-3260 Applicant Address P.Oo Box 11-151~ Anchorage~ AK 99511 (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain); Business 264-8320 (d) Lending Institution Security Pacific Address Telephone 276-1933 (e) Rear Estate Company and Agent N/A Address Telephone Mail the HAA to the following address: Will Pick Up 346-3260 (urgent) (f) TYPE OF RESIDENCE Single-Family [] Multi-Family [] Number of Bedrooms 4 Other WATER SUPPLY Individual Well~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite;[] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11,84) 'P2nc, I nf '2 ENGINEERING FIRM PROVIDING 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 Approval 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 Fi~:rn Telephone Address Date Engineer's Seal DHEP APPROVAL Approved for Approved , Disapproved Conditional Terms of Cond, itional 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 analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL I~kLTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CEKTIFICATE 1. General Information Application Date (a) Legal Description (include lo~t, block, subdivision, section, township, range) Location (address or directions~) (b) Applicants Name~/[y /~z7~ ~:~ lephone - Home Business Applicants ~dress (c) Applicant is (check one) Lending Institution (=pZai.); (d) Lending Institution Address Telephone (e) Real Estate Co. & Agent Address (~) Telephone Mail the HAA to the following address: Z:<.--'/L L 2. Type of Residence Single-Family~ Number of Bedrooms 3. Water Supply- Individual WellF~'~ Multi-Family Other (describe) Community~ Public~ Note: If community well system, must have written confirmation from the State Departmen~ of Environmental Conservation attesting to the legality and status° 4. Sewage Disposal Onsite~ Public ~ Community ~ Holding Tank ~--~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 0 Engineering Firm Providing 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 Approval 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 v~stewater disposal system is in compliance ~th all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm Telephone (ENGINEER DHEP Approval Approve~Jf.or/~'~.-'L bedrooms By Approved ~__ Disapproved __ Conditional xx Terms of Conditional Approval Since this is a re-finance situation and no transfer of property will occur, the Dept hereby issues a conditional March 28, 1985 appr6val, provided thaZ well d~3~th an~_~ 'an~ separa~-~--d-istances are field verifle-~7t~ This mu~t be accomplished to the Department's satisfaction by April 15, 1985, or this conditional __w_tl 1 b~ n~ll ~,nd v~id~---A~nies ..sho~%cl-2~ ~,~c~~e accQm~-s~e this work and any remedial activitY.cAUTiON THE M~JNICtPALITY OF ~NCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HF~iLTH AUTHORITY ~LPPROV.kL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGllAPH 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 INSTITUTTONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP 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. RR4Iej/D18 [Page 2 of 2] ae ~ '~ MUNICirALITY OF ANCHORAG~ JiPh OF H./',LVt & MUNICIPALITY OF ANCHORAGE (MOA) i. biVi;,DNM;NTi',L HEALTH AUTHORITY APPROVAL (HAA) l,i,'~i~ ,: (5 1985 - 9a4 WELL DATA Legal Description: I':: '~ Well Classification )DR;~67~ If A, B, c~ C, D.E.C. Approved(Y/N) Well Log Present (Y/N) 63o Date Completed u~<~ Yield Total Depth /.~c~/) //~_ . Caspd to //~. ~-~.~/ Depth of Grouting Static Water Level -~?.-~3 Pump Set At /6;~ ~ ~ Casing Height Above Ground I ~" Sanitary Seal on Casin~ Electrical Wiring in Conduit (Y/N) 7~ > Depression Around Wellhead Separation Distances f~cm Well: /O ~/' 6(~// ;~- ~?¢/~/c~ To Septic/Holding Tank on Lot IOO' ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ';cxD +' ; On Adjoining Lots IOo+' To Nearest Public Sewer Line N ~% To Nearest Public Sewer Cleancut/Manhole ~A To Nearest Sewer Service Line on Lot Water Sample Collected By CA L~ ; Date Water Sample Test Results B. SEPTIC/HOLDING TA57& DATA Date Installed ~-,o-~o Size ~?-~O~ No. of Compartments ~-- StandpiDes (Y/N) Y Air-tight Caps (Y/N) ¥ Foundation Cleanout (Y/N) ~ Depression over Tank (Y/N) ~J Date Last Pumped ~-~F-~5~-- Pumping/~intenance Contract on File (Y/N)I~A ; for Holding Tank High'Water Alarm (Y/N) ~!A Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: TO Water-Supply We 11 1 O0 ~ TO Property Line ~ ~O' To Water Main/Service Line W A Course .~ A To Building Foundation ~%' To Disposal Field -7 TO Stream, Pond, Lake, c= Major D~ainage [Page 1 of 2] Receipt ~ Date Paid: Amount: 2-15-84 ABSORPTION FIELD DATA~ Soils Rating in Absorption Strata Date .Installed ~-~- ~O Width of Field ~"+ s~%~ Type of System Design ~c_~ Length of Field Depth of Field Gravel Bed Thickness Squa~'e Feet of Absorption A~ea g/G Standpipes Present (Y/N) Depression ovar Field (Y/N) ~o Date of Last Adequacy Test Results of Last Adequacy Test /J~u~ ~o~ ~-~P~-~l Separation Distance from Ab~sorption Field: /~3' ~_2~// ~o To Water-Supply Well 1oO~+ To Property Line %O~ To Building Foundation ZS'~ To Existing or Abandoned System on Lot ~ ~ ; On ~Adjoining Lots ~ OO ' + To Wate~ Main/Service Line AjA To Cutbank(if present) To Stream/Pond/Lake/c~ Major Drainage Course To D~iveway, Parking Area, or Vehicle Storage A~ea D. LIFT STATION Date Installed ~ Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Din~nsions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. M~ets MOA Conments ** Check Permitted Bedrocm Rating Against HAA t~quest I certify that I have checked, verified, or confc~med to all MOA HAA Guidelines in effect on the date of this inspection. Signed ~_~~ Date ~- E~-~ Company C_~s~c~ ~,.~!~MOA No. ~-O~ KB1/d5/s [Page 2 of 2] 2-15-84 4-1-~985 Pot- Constructing Engineers~ Hank Wilson Lot 1~0 A Block 3 Prospect H~eghts Anchorage, Ako ~ffater We].]. Report, Production per Constructing Egineers- 5 GPM Depth tt2.~ Static level- 89' ~um:p setting- 1~03' C~sing Depth- 11,2i After checking this wel~? no water was £ound to be coming £ro~ above 40'~ ~¢ells in this area are encountering Beirock at approxiamately this depth and due t;o t.aJ_s ~'t is mJ. xe.~y to be casaa ~;o 1,1,2' with wa~er coming From the sur£ace o£ Bedrock° · 'i .~ 'DATE RECEIVED · .,. ' INSPECTION APPOINTMENTS (-~U~ ~'L~ TIM~ TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NSPECTOR~., MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHORAGE  DEPT OF  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~p~, ' 825 L Street - Anchorage, Alaska 99501 ~v ~x~NME,'~'r:,L ;:;;:~ j L]CTION ENVIRONMENTAL SANITATION DIVISION [~Y ~. 1980 Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER ~ ( ~ PHONE --. ,~ ..... , /I ~ ~ ~ . M~LING ADDRESS/ ' ' ' PROPERTY RESIDENT (If different from abo~e) ' · /~ . ~ PHONE 2. BUYER ~ . M~L~NG ADOR ESS , i / MAILINO ADDffiEsS I ~Am LmNG ADDRESS 5. LEGAL DESCRIPTION / ~' ~'- ~7 . (, i STREET LOCATION ~ ,i~ , ~7 .~' 6. TYPE OF RES)DENCE NUMBER OF,.BEDROOMS /~ SINGLE [] One [~] Four FAMILY [] Two [] Five [] MULTIPLE FAMILY /~ Three [] Six [] Other 7. WATER SUPPLY 'INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY *ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 1. TYPE OF RESIDENCE E~ SINGLE FAMILY [] MULTIPLE FAMILY 2, WATER SUPPLY [] INDIVIDUAL COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified ~]Septic Tan~.or [~]Holding Tank Size: ~ , If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: a to nearest Lot Line 5. COM~JENTS THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS [] ONE [] THREE [] TWO [] FOUR PERMIT NUMBER [] FIVE [] SlX OTHER -~EPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER ED SOILS RATING MANUFACTURER MATERIAL Area Line Lot CONDITIONAL APPROVAL (letter must [~-'~'DISAPP R.OV ED rtificate) 72-010 (Rev. 6/79) Kay 5~ !gS0 Post Office Box 10-~1~!7 Anchorage~ Alaska 99511 Lot 10A i~lock 3 l~rospect ~ei~hts ' ~ .' ' A}?proval for your in~zvm~'~ua± se~.~er an~ water can not b~ 9~rant~d. until tha following ite~%s hav~ been The ~¢ater analysis r~port be d~iivered to this office from Chem Lab~ 5633 B Street~ for our Enclosed is past correspondence r~garding property's se%¢~r systez~[ and well. (3) A soils~ test oDta~ne~,~ a~d a perch%it for a new sewer syste~%~ A list of private e~%gineers who _ ~'~, ~ the soils test is enclosed. If *~he.re ar~ any further questions¢ pi~oase call this office at 264~4720, ~an~ of Alaska ~rtgaqe L~n bepar~n~ ~ouc~ 7--025 99510 ~'~x-~~XX ~ ~.--~ MUNICIPALITY OF ANCHORAG_F-,~ DEPARTM ,' OF HEALTH AND ENVIRONME',' L PROTECTION Date Received: February 8, 1978 #1: Time //'/~ ~ #2: Time #3: Time Date ~Q- J~/-U~ ;~. Date Date Insp ~. Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Area Realtors, % Joe Babka Mailing Address: 3300 C Street 99503 Phone: 2. Property Owner: Ronald/Mary Ann Mc Ewen Phone: 349-2787 Mailing Address: NHN Buddy Werner Drive 99507 3. Legal Description: Lot 10A Block 3 Prospect Heights Subdivision #1 4: Single Family Residence: (x) Multiple Family Residence: ( ) 5. Well System: Individual Well (x) Number of Bedrooms: Three Number of Bedrooms: Community/Public System ( ) Permit # Construction 278-2525 Permit # Septic Tank Size Absorption Area 6. Sewage Disposal System: On-site System (x) Installed ~©0 ~o Manufacturer Soils Rate 7. Distances: Well to Septic Tank ~/~ to Sewer Line Nearest Lot line to Nearest Lot Line Public Utility ( ) Installer Material to Absorption Area 7 q Absorption Area Depth of Well Well Log on File Bacterial Analysis Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 10A Block 3 Prospect Heights Subdivision #1 Comments: Affadavit Att~ached: (' ' Approved~~ , ~ Disapproved: \[~ ~ ~-~ Letter Attached: ) Date: Date: Department Worksheet: MUNICIPALITY OF ANCHORAGE Department of Health and Environmental Protection' 825 L Street, Anchorage,, Alaska 99501 279-2511, ext. 224, 225 Request for Approval of Individual Sewer and Water Facilities 1. P~operty Owner: Ronald & Many Ann McEwen Mailing Address: NHN ESudd,</Wennen Dntve 99507 Name of Buyer: Phone: 349-2787 Mailing Address: Lending Institution: Mailing Address: Realtor/Agent: Mailing Address: Legal Description: Street Location: Phone: Phone: Anea Inc.¢ F~ealtons Agent: Joe Babka 3300 "C" Stneet Phone: 278-2525 Lot t0A, E3tock 3 - Pnospect Heights Subd NHN E~uddy Wennen Dnive Single Family Residence: (>9 Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Water supply: *Individual Well If Individual Nell, Well depth If Community System, name of system Thr*ee (>~ Public/Community System ( ) Sewage Disposal System: On-site System (X) Public System ( ) If on-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. REALTORS' February 21, 1978 Ronald Mc Ewen % Area, Inc., Realtors 3300 C Street ....... Anc~rage, Alaska 99503 Subject= Lot 10A Block 3 Prospect Heights Subdivision Before this department may grant any type of approval on the request submitted to us, some discrepancies will need to be corrected. (1) Relocate the seepage area so that it is 100' awa~ from any well. (2) Add an additional 500 gallon septic tank to the existing 500 gallon tank. Before any construction begins~ a psrm{t must be obtained from this office. Prior to the issuance of a perm/t, a soils test must be performed by one of the firms on the enclosed list. If there are uny further queations, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Sanitarian RCP/lJh -~ C,o~meroiol Lend Investments Menogement Apr~ 12, 197~ Greater Anchorage Area Borough 3330 C Street Anchorage, Alaska 99503 Subject: Sewer facilities Lot lOA, Block ~ Prospect Heights Attn: ~. Tim Rumfelt Gentlemen: This is to inform you that the size of the septic tank per your letter dated April 12, 1974 is not correct. The correct size of the septic tank that is ins%ailed on this lot is 2000 gallons, Very truly yours, A~r~l )g, 1974. Suburban Realty Company Anchorage, Alaska SUBJECT: Dear Sir: Sewer and water faetllties servine Lot lOA~ Block 3, Prospect Heights Subdivision . ~alph E. Gi~lotte, owner Upon your request, this Oenar~nent inspected the subject facilities on April 9, 1974, w~th the fO'llow~ng noted: The ~¢ater t~ via ~ ~,~ell located in the carport approxi- mately 20' east of dwe]ltn~ and 17' ~ot~h of the north- east corner of the -', " ~wellln9. The top of the sub.iect ~ell is presently tmder~rotmd. ,x~~~ This Department cannot approve the construction of the well un,:il %he top of the ca~ng ~s brought up above the existing ground level and sealed ~.tith a sanitary ~ cap. The se~a~e ~yst~ consists of a septic fane and ~otning seepage pit. Acc~rd'hlq ~o ts. Bohemer, husba~d in,tailed the s.ys~em in lg6~, the septic tank has a capacity of 500 gallons, ~htch 'is laroe enough for a one-bedroo~ home. The seepage ~lt, h~wever, is located approximately 80' from the well. According State and Greater Anchorage Area Oorouqh standards° this pit must be at least~'l~)O~ f'ro~:~ the well. There- fore, the ~eepage pit must he relocated before this Department can approve the on--site s~age system. If the dwelltn~ts ~o be utilized by more ~han two indiv- - ae IncreaSed tO the aopPopriate A permit for %he above sewage ~onslructton must be taken out before the installation ts made and, then, inspected by this ~epar~ent. ~pr~l 12, 1974 Pag~ This Dep~r~ent w~tll grant temporary approval on the sewer and water f~c~t~es pendtn~ esc~m~ oF funds ~ee~e~ fo~ the ~ve ~ove~ents. These ~mprov~m~t~ must be m~de p~or to August 15, 1974. ~f you have any questions, please contact me at ~74~4.561, extension 135. Sincerely, Tim Rumfelt, Sanitarian TR/ko ,Encl osut'e cc: [lati~nal Bank ~f Alaska Jame~ P. Scho~ S,~.A. ~ox 99A A~ehorage~ Alaska 99507 A HORAGE AREA BOROUGH \ ~Department of Environmental Quality 3330 ~C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Approval requested by: ~~~.~/ 4~ Mailing Address: ~L "d" ~ ~/ Property Owner: ~/~7~ ~. ,/J~.~ Mailing Address: Legal Description: Location: Phone: e Type of facility to be inspected No. of bedrooms Well Data: A. Type j-~ B. Depth C. Construction dA~,4ff~/o~ D. Bacterial Analysis Sewage Disposal System: ~~~-~ A. Installed ~4~./¢~ B. Installer C. Septic Tank: l. Size ,~,~--00~ Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank ? ~ , Absorption area , Other contamination /~ , Absorption area C. Absorption area to nearest lot line Lines EQ-034 (1/74) Page 1 of two pages P~ge 2 of two pages - Request for Approval of Individual S~er & Water Facilities L~g~l Description App~val 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 Date GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Type of Inspection: CMRO Property Owner: Mailing Address: Name of Buyer: Mailing Address: VA FHA CONV . X . Day Phone 4 · Name of Lending Institution: DaN phOne Mailing Address: Name of Realtor or Agent: Mailing Address: Phone ,~7_~-- Z~o~ Phone ~7~- 4e~o~ 6. Legal Description: ~ ~mz- /~ 2. ~K Location: 7. Type of Facility to be inspect'ed: 8. ~ater Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served / If Individual, depth of well /~ 9. Sewage Disposal-System Type,of S~stem: Public Utility If Individual, date of installation No. Bdrms. / Individual (on-site) DEPT. ONMENTAL CONSERVATION / SOUTHCENTRAL REGIONAL OFF/CE / 338 DENALI STREET July 19, 1974. / MACKAYBUILDING-ROOMS§O ANCHORAGE gSur01 Mr. Tim Rumfelt Dept. of Environmental Quality Greater Anchorage Area Borough 3330 C Street Anchorage, Alaska 99503 SUBJECT: Lot Io A, BIk 3 -Prospect Heights Subdivision Dear Mr. Rumfelt: We have reviewed the information provided by Mr. Ralph E. Gillotte regarding the subject property. This problem consists of a well being within 85 feet of an existing waste disposal system. Due to the topography we can see no problem arising from the exist- ing situation and would not require that it be brought into compliance with the Alaska Wastewater Disposal Regulations. If a replacement system is ever installed it should meet ail the existing requirements for distance at that time. Yours truly, ~ ~e'rr~ Regional Env ronmental Engineer cc: Ralph E. Gillotte Department of Envtronmenta] qu.Mfty 3500 Tudor ?oad, AnchoraGe, Alaska 99507 279-8686 Date Received Time of Insoection Date of Insoection P. EQL'EST FOR APcROVAL OF ' Phone .... Prone ri,; O.,mer: -7~J-~/~ C ~ Phone 3, Le;~l Description: /~ /~ ~ :'~ ~~;'<~¢~' D. Bacterial AnaJ ysis F Disoosa.! =~e]d: Tots] ~=-g+b of Lines Distances: / 0 . A. We]]. TO: Se~t]c Tank ~2 , Absorption Area ~//~3 , Sewer Lines Founda+.ion '+.- So:-,tic Tank Other Contamination Abgoroti on Area ,~_~ -~ . ~.,, Absorotion Area to Nearest Lot ~.~ne ~7 Fceque~st, fo~ Approval of adividua] Sewer & Water Facilit. ,~ · ',~age Two .... e.~ .~;,~o ........ ~ ?. gorou~h, 9e~ar%me~t of Envi~-on~..enta] Quality T certi, f,' that the infer'marion com. a~nes in this request for approval to be a true and acc~rat~ repr-'-,senfiat.'~,.'m of t.h~. _m~b-'.,ect ~e;~e:c and wa~er facilities located at: 1973 SubjecL: Sewer ~n,~ .at.er Facilities Serv'i~;~.., Lot ,'-' ~-',- -F~?cilities ,,;,,re ins"'"cta4 kt