HomeMy WebLinkAboutHOMECREST LT 8S/'D
APPLI NT FILLS OUT UPPER HAk= ONLY
"
P~.rol~erty ~)wner ~'~,~.. ',[' W /"1- '"" '~'~ ~ ~ ~ ~W ~[ ~ ~ Phone
Mailing Addre~ ,~ ~
Lending Institution ~%~-~ Ck~',.; [~,~ ~ 0 ~,~[~ ~-~ ~,~ Phone
Address ~ ~) )'~ ~
Realty~o. & Agent ~ ~ ~ ~ L , ~'~/%)'~ R'~'~, , ,,~¢~'~X-~ ~; ?~, ~ V"~ ~ Phone
Legal Description LoT
T~ o~esi~nce
~ngle Family
~ Multiple Family No. of Bedrooms ~"
~ Other
ATTACH WELL LOG. A w~l log is required for all wells drilled since June 1975.
~lndividual
/~ ~ommunity ~% For wells drilled prior to that date, give well depth (attach log if available).
' ~ Public Utility
Sewer Disposal
ividual Year Individual Installed:
blic Utility When Connected to Public Utility:
olding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIA~ED.
Time Time Time / Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Field Notes: MUNICIPALITY OF ANCHORAGE
{.~.D ~'-,) h ~ ~¢ ~ ENVIRONMENTAL PROTECTION
RECEIVED
( ) APPROVED BEDROOMS / ~DITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL* : ~ ~ [ ,~ ,
Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received
Well to Tank Septic T~k Size
APPLI£ FILLs OUT UPPER HA[ ONLY
Propelity ?wner
~ ~ ~ a.~ Ja,Tlet J/.~-i Phone
i~iling Address Zip
Code
Buyer
Joseph J and Janice A. Soares
Address Zip Code
Lending Institution .: ;;' Phone
Peoples Bank & Trust ': . ~ '~" ~ 276_8080
Address 13~(~%1 7007' Anchorage, Ak. zip Code 99501
Phone
Realty Co. & Agent ~earth~ide, Inc, Gallery of Homes
563-3655
m. ~ .~ ~ ~]. nnc,'~'3 Zip Code
Legal Description ~ 8~ B 8~,
Street Location
Type of Residence
Single Famtly
Multiple Family No. of Bedrooms. 2
[] Other
Water Supply{~ -~,t
~ 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).
[] Public Utility
Sewer Disposal
:~ Public Utility When Connected '0 Public Utility: ~/)~D~--4z~/~ ! 0-'~'--'~'~-'/ ~ ~'~
Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN~ BE~INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector/,~
Fie,d Notes: J~L ~)'T.) MuNICIPALITYDEPT. oFOFH~ALTHANCHORAGE
RECEIVED
( '~.L~PPBOVED BEDROOMS *GONDITION8 OF APPBOVAL . , , ' ·
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
DATE
BY:
Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received
Well to Tank Septic Tank Size
~ : ' CHE~IICAL & G~. ~OGICAL LABORATORIES ~_ ALASKA, INC.~
~X TE~LEPH~NE (907)562-2343 5633 B Stree~ ;
ANCHORAGE INDUSTRIAL (~ENTER
~rinkin~ W~tor ~nal~sis ~oport for Total COliform 8aetoria
TO BE COMPLETED
WATER SYSTEM:
Water System Name
Mailing Address
City
SAMPLE DATE:
MO,
SAMPLE TYPE:
[] Routine
[] Check Sample (for
with lab ref.
[] Special purpose
SAMPLE
NO.
1
I
4 I
5 I
LOCATION
I.D. NO.
Day Year
Zip Code
TQ~BE COMPLETED BY,LABORATORY
Ahalysis shows this Water SAMPLE to be:
$~atisfactory
[] Unsatisfactory
'-] Sample too long in transit; sample should
"'?COt De over 48 hours old at examination
t~o indicate reliable results. Please send
Flew sample.
D~te Received
~1~e Received
tlcal Method:
Fermentation Tube
4embrane Filter
Result* Analyst
m
06~1220 (~)
Rev. 1978
BACTERIOLOGIC~LWATER
READ INSTRUCTIONS
BEFORE
COLLECTING SAM PLE
Date Collect~l Source
Presumptive tOtal 10mi 3~ml 1Omi 10mi 1.0mi 0.1mi
24 Hours
48 Hours
Confirmatory
24 Hours
48 Hours
EMB Broth 24 hours:
Multiple Tube RePort:
Membrane Filter: Direct Count
verification: LTl)
Final Membrane Filter R~S~,~tS
Broth 48 hours:
1Omi Tubes Positive/Total 1Omi PortlOOl
Collform/~00ml
BGB
Collform/100ml
Date
FIF'F'I_ i CRNT
LOCRT I ON
LEGRL
TOH E:O W Et'.J,I
,:,._ $_'.. PEE:K R'v'E
LOT 8 E,L ,=h" HOMECREST SUE~
,.':,.. 4.> F E _.t'. F:t'¢E
::51 ZE ::J'sr2 5
IFIt:~:E: FEET
'I"'?PE OF;' SCIIL FIBSORB"I"ION L::;"r'STEM i:5: TRENCH
i'"tFIXIMUH I'..tI.JHE:ER OF E:EI}RO01"1S =
THE REQUIRE[:, SIZE OF 'T'HE SOIL
]i: YI" I NG ,:' L: g, 5
tlZ:. tE F" 'IF Mt ===- :~L.. nr~-n
T'HE LENGTH DIMEN$I
THE DEF'TH OF' Ft
GROUND FIN[) THE
THERE IS I0 SET
THE DEPTH
FINE:' 'f'HE 'TOM
LENGTH
IS THE
EXCFIVR T i ( FEE'f
;HES.
BETWEE
II N I MIJH [:,EPTt ~F ~.
ITION (IN E't" ).
H OR [:,RFI I I'.,IF: I EL[:,.
:ICE OF ']"HIE
"t"HE O0"I'];:'FIL. L F' I I:::'E
FI PFIC.'KFIGE
F'OL.L. OI41NG
i. Eli' OR I I
2. FI CC)I", [ N'rENFINCt
RGREEr I<EPT
FIBS
C, F' 'T' Z
F:'EF.'.M ,I. "1' I EE '~'f~ ~ PT I
D'v'ED PI
lENT I S
;.:lENT "r'OU MFI'¢ BI
MFi"r' BE SI,JB.'
O I L
E~F:ICKF ILL I NG OF' FIN'-r' S"r'STEM !.,.I I ]'HOUT F I NFII_
[:,EPFIRTMENT HILL. BE: SUEL;fECT TEl
I"IlI"~Ii"IUM DIE;I"FINCE: BETWEEN FI HELL FIi~
:t00 F'EET FOF..' FI PRIVFFI"E HELL OF.". 20(
o']rHER REQUIREMENTS MFI'¢ I::IF:'F'L"r'.
FI',,,'R:[L..FIE~LE TO INSURE PROPEl;.: IN'::;"I"FILIJ:;
F t CFIT IONS FIN[':, FIRE
I ON.
I CER"f'IF"¢ THFIT
i.: I BM FFIMiLIFIR WITH THE REQUIREMENTS FOR ON-..'_'5iTE SE].4ER'.'-~i; RND HELLS RS L:.i,E'T'
F'OR'TH E:'¢ THE MUN I C I PF:IL. I 'P'r' OF' FINC'HOF;.'.F:IGE.
2: t WILL INSTRLL THE S'¢STErt Z[.,I FICCORDFtNCE WITH THE CODES.
i::: I t. JNDERSTFIND THFIT THE ON-SITE SEWER S'?STEM HFI¥' REQUIRE EI'.,II....F:IRGEMENT Il::' THE
RESIDENCE IS REMODELED TO INCLUDE MORE THFIN :;~: BEDR(]OHS.
SIGNE[,: ~~_~_ *Z..,.~,. ..............................................
RPPL I IE:FIi"4T TOM E:O!4EN
'.'". .......... , '"," ......
t :,:,tJE[ I::, , ~. ........... Ii -I1 E,__~_ ............................ ', "i:. E1
F'EI:;~M I 'T' NO. ( 7'7'P,":~:Fl "
FII:::'F'L I CFlNT
LOCFlT 1 ON
LEGFIL
TOM E:OI.4EN
854]: F'ECK FIVE
H ... II[: ...t:. E..::, i '.E . I,:.
LOT 8 8L ;.:.:.'Z .......... :;'""' .... LOT E;ZZE
,= ,:¥' ~"=;~ S~;!L.II=tRE FE]ET
.... '" ........ '" ....... 1REN _.H
TYPE OF E;OiL. ME,_-',Lf4:E,I I_lq E;¥STEM :IFS: ....... ' .... I ....
NI..ti'IEI=.I~.. OF:' E,E,E.I~.UJI'4 ..... ;~:
I"IFIXZMLIf'I -, ....... '- -' .... ':::' f("l'[I.~ RR"f'ING "'::;~ FT.'"'E;R)=
'1"HE RE[':!UIREE:' SIZE OF THE SOIL FIE:'=;'"~R'F:"I"ITN =,T-[Efl IS:
THE L_ENGTH [:'II"IEN%ION I2;~; THE LENGTH '::iN FEET) OF' THE TRENCFI OR
THE [:'EPTH OF' FI "fRENCH OR PI]' I$ TI.4E [:'tSTFINCE: E;E'I"L,.tEEN THE SI...IRFFICE OF' TI"'IE
GROUND F:INE:' THE: BOTTOM OF THE E',:':',CFIVRTION (IN FEET).
THERE IS NO $E1" !-'.II[:'TH FOR ]"RENCHE':-:;.
THE GRRVIEL [:'EPTH IS THE MtNIMt..IM [:'EF:'TH OF GRFI","EL E,"E'FI-'.tEEN THE OUTFFll...L F'IPE
RN[." THE BOTTOM OF THE EXCF~VFFI"ION (IN FEE'I").
.......................................... F" Ftl "2: IK: IFi "Z~ E: F" it__ i=ll IP,I1 ]1 .... "E" IF' T' Z Cd IP.t
Fl PFICKFIGE PLRNT MR"r' BE IN~;TFILLE[:' 81- THE PERMZ"f'TEE'"% OPTION ~;I.JB..:ri,ZC"[' TI,] THE
FOLI.J3b-! :t: NG CON[:' I T IONS:
:'L EITHER R C:LR':~;2~; I OR T I N'..E;F' FIPPROVED PLFINT MFI¥ BE I NSTFILJ...EE:'.
2. Fl CON~I,'ZNUOUS MRINTE]",IFINCE FlGREEMENT T:E; REf.:).I.JIREI}. iF Fl MFI]:N]"I,ENI:::INCE
RE'iREEMENT IS NOT KEPT CURRENT MOU MFI'¢ BE REE.:!LttRED 'l"O ENLF:IR(]iE 'THE SOIL
FIBSOF.'.PTION S"r'STE]'"I F"INt},.'"OR YOU MFI'¢ BE SLIBJECT ]"O I,:'ROSECUTION.
BFIC I-:]::' ILL i NG OF I;;IN~" 2;'¢'L::;TE:M i.,.I I "['FLOUT F' I NRL I NE;F'EE:T 1 ON RN[:, F~PPR(]',/F:II_. E"¢ TH i S
" .... ':: '"' ...... ~ ...... ro PR" ':: E ]: _ T ]: ON.
[)EPFIR]"MEI'.4T t.41 LL E,E ..... I...IB..] E ~.] . - -
i',IINIMLIM DI:E;TFlNCE BETI.4EEN IR WELL FIND RI'.4'./ OI'.,I-':_:;i'FE SEI.,.IFIGE DISPO'L':;FIL. S"r%/"EM ZS
:LE)O I::'EET FOR F:I PRIVFITE I.,.IEL. L OR 200 FEET FOR Fl PUBLIC WELL
O'f'l-tEl;~'. REC:!LIII:;.:E:MEI".tT~; i"IFI'T' RF'PL.'¢. SPEi;CIFICFITION~.: laNE:' CONSTRUCTION [:,IF:IGRFIM':'5 FIRE
RVFIILRBLE "f'O INSURE PROI,:'ER INS"f'RL.LFI"FION.
I CERT I F"-r' "FHFI]"
i: I FlM FFII'"IIL. IFIR WITH THE REQUIREMENTS FOR ON-E;ITE .C;EI4ERS RND WELL._'._.:; Fl._c; SE]"
FORTH B'¢ ']'HE MUNICIPFILIT'¢ OF FINI,:::HORI,':I('"iE.
2: i 14ILL INSTFlLL THE $'.r'~TEM IN RCCOR[:,RNCE !.4ITH THE (.'.'ODES.
:~:: I UN[:,ERSTRNE:, THFlT THE ON-SITE SEt.qER S'.r'S'FEM MFl'¢ RE(;!UIRE: ENLI:::IF:.:GEMENT IF:' "I"I-..IE:
I,;.:ESI[::,ENCE IlS REMODELED ]"O INCLUDE MORE THFlN ]i: I:3E[:,ROOMS.
"I
0 '0 '
o
~ 1 7.0
.-, - 47. O'
40.6
r --
40.3
~ : i 52. 7
.......... ~ ~o.o~P ~.o'/ /
'S O0 02 SOW o~ 155.58
(0
(A LL E~I L AIVE) N. EKLUTNA ST.
1977
Tom ~owen
8543 Peck Avenue
Anchorage, Alaska 99S04
Subject= Lot 8 BlOCk 27 Homecrest Sub~ivision
Because of the size of your lot, the surrounding lots and
high water tabie in the area, an upgraae of the on-site
sewerage system is nearly impossible.
Therefore, it would be very beneficial if public sewer
coula be exten~e~ so that it would serv~ the lots
~n your ar~a~
I~ul~ ho~e ~at ~e Sew~Utility~ul~ giv~ very
strong considera~ion to the proJe~.
If there are ~y fur~er ~estions~ pI~ase contact .this
office at 264-4720.
Sincerely,
~obert C. Pratt,
Sanitarian
RCV/i h
'/ umc pahty
nchorage
POUCH 6-650
ANCHORAGE, ALASKA 99502
(907) 2792,511
GEORGE M SULLIVAN.
MA YOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(825 "L" Street)
September 14, 1977
Thomas Bowel
8543 Peck Avenue
Anchorage, Alaska
99504
~,Subject: Lot 8 Homecrest Subdivision
This department can give approvel for your loan request
if you connect to the public sewer on or before September
1, 1978. If sewer is not available at that time than
a holding tank would need to be installed.
Before the approval can be granted, we must have notification
from the lending agency that monies have been escrowed
to cover these costs and also any pumping cost that may be
necessary.
Final approval will not be granted until ther well is
upgraded. Please refer to the letter sent to you previously.
If there are any..further questions, please contact this
office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Sanitarian
RCP/ljh
cc:
Security Pacific Mortgage
1011 East Tudor Road
Suite 190 99507
Hanson-Ort Realty % Dick Brown
401 East 36th Avenue 99503
Thomas E. Bowen
8543 Peck Avenue
Anchorage, Alas~
99504
Subject: Lot 8 Homeurest Sub~ivfsion
This department can not approve the lending agency's
request for sewer and water approval.
Before approval can be qrant~I several items will need
to be accomplished.
(1) A one-hundred(100) foot separation between your
well and seepage area.
(2) The well is in a pit and must be extended twelve(12)
inches above ground level and the pit filled with
impervious type soil.
(3) According to Sewer Utility, public smwer is~
~ilable. If ~ ~ then the sewer can not best
be moved and the one~hundred(100) foot requirement
mentioned above would be solved.
If there are any further questions, please contact this
office at 2~-4720.
Sinoerely~
RobertCC. Pratt,
Sanitarian
RCP/lJh
cC: Security Pacific Mortgage
1011 East Tudor Re~d, Suite 190
99507
?-~" MUNICIPALITY OF ANCHORAG~
DEPARTMENT OF HEALTH AND ENVIRONMEN1AL PROTECTION
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224 or 225
Date Received: August 31, 1977
#t: Time
Date
Insp
Time #3: Time
Date Date
Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4: Single Family Residence: (x)
Multiple Family Residence: ( )
Security Pacific Mortgage
1011 East Tudor Road, 190
Thomas E./Lonnie M. Bowen
8543 Peck Avenue 99504
Phone:
Phone:
276-1933
333-2105
Lot 8 Homecrest Subdivision
8543 P~uk Avenu~
Number of Bedrooms: Tow
Number of Bedrooms:
Well System:
Permit #
Construction
Individual well (x) Community/Public System ( )
Depth of Well 85' Well Log on File
Bacterial Analysis
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
On-site System (x) Public Utility ( )
Installed Unknown Installer
Manufacturer
Soils Rate Material
7. Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
MUNICIPALITY OF ANCHORAGL
//~~/ 825 L Street, Anchorage, Alaska
I~/; 279-2511, ext. 224, 225
~quest for Approval of Individual Sewer and Water ~Fa6~iities
1. Property Owner: 0P~,/~ '~,~,_~ ~/~
--r V~ ~ ' .....
Mailing Address: . ~.~'~__ ~= ~/~
2. Name of 5uyer: W~ ~ ~~f Z,
e
Mailing Address: E Phone:
Legal Description:
Street Location:.
6. Single Family Residence: ~ Number of Bedrooms:
Multiple Family Residence: ( ) Number of Bedrooms:
o
Water Supply: *Individual Well (~)
If Individual Well, well depth ~
If Con. unity System, name of system
Public/Con, unity System ( )
o
Sewage Disposal System: On-site System ~'~ Public System ( )
If On-site System, date of installation: ~.
*NOTE: A well log is required on ALL wells drilled since 6/75.
3/77
p~ge' Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description:
comments:
Lot 8 Homecrest Subdivision
Affadavit Attached: (i)
Letter Attached: ( )
Approved:
Disapproved:
Date:
Date:
Department Worksheet:
06-1220fa) · Re~. J973
DATE
AD.~,~A DEPARTMENT OF HEALTH AND SOCIAL S,..VICES
DIVISION OF PUBLIC HEALTH
INDIVIDUAL AND SEMI-PUBLIC
BACTERIOLOGICAL WATER ANALYSIS
Lab No.
OFFICE
INDIVIDUAL
NAME
SEMI-PUBLIC /-- CHLORINE RESIDUAl PPM
REPORT RESULTS TO
ADDRESS
CITY
ZIP CODE
ADDRESS
OF SOURCE
COMPLETE THIS SECTION
ONLY IF WATER IS AN INDIVIDUAl SUPPLY
SAMPLE COLLECTED BY
DATE COLLECTED TIME COLLECTED
Analysis shows this Water SAMPLE to be:
[] Satisfactory
[] Unsatisfactory
[] Questionable
[] Sample too long in transit; sample should not be over 48
~our~ old at examination to indicate reliable results. Please
send new sample.
~ Bottle broken in transit, p/ease send new sample.
SANITARIAN'S REMARKS
Sample Collected From [] Kffchen Tap [] Bathroom Tap -- Basement Tap
[] Other (List]
Well--[]~ Dug [] Driven [] Drilled [] Bored
L~
Spring [] Cistern [] Other
~ Tile Brick o~
[~ Open Top[] Concret&
[] Under House
Septic
Tank
SOURCE:
Dug Well or Cistern Constructiom
Walls-- [] Wood [] Concrete [~ Metal
Top -- [] Wood [] Concrete [] Metal
LOCATION:
[] In Basement [] Basement Offset
[]ln Yard [] Other
Building Sewer
DISTANCE TO: or Other Drainage Pipe Feet. Feet
Tile Seepage tess-
Field Feet. Pit Feet. Pool Feet. Privy __Fe~6IU
Other Possible
Sources of Contam~nati6n
MATERIAL: Building Sewer- [] Cast Iron [] Wood [] Tile [] Fibre [~ Asbestos
Cement
[] Plastic Joint Moter~al - Type
GENERAL: Does Water Become Muddy or Discolored? [] Yes [] No
When?
Diameter of Well Depth Feet.
Well Casing
Material -- Diameter Depth
Length of Water Depth
Drop Pipe From Boltom Fe~t.
Offset in In Utility
PUMP LOCATION: [] In Well [] Basement [] In Basement [] Room
On Top
[] Of Well [] Other
PURPOSE OF EXAMINATION: Illness Suspected? [] Yes
New Source of Supply? [] Yes [] No
[] No
Repairs to System? [] Yes [] No Signature
READ INSTRUCTIONS
ON
REVERSE SIDE
BEFORE
COLLECTING' SAMPLE
06-1220 (b) BAC'J'ERIOLOGICAL WATER ANALYSIS RECORD ·
Bev, 1973
Lactose Broth 10cc 10cc 10cc 10cc 10cc 1.0cc 1.0cc
24 Hours - , . ~
48 Hours
Brilliont Green
24 Hours
4B Hours
EMB AGAR
Lactose Broth, 24 hrs. 48 hrs. Grom's stain
Colfforrn Density (Most probable No. per 100cc)
MF Results
Reported by
Th~s analysis indicates Coliform Organisms to be:
Date
Present