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C;A~,B-,~)-~ GRATER ANCHORAGE AREA BOROU.G-~H '~
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION t.~~ ~,1/i~ --
ADDRESS ~'~"~ ~ ~"'i ~-,,.~(~"' PHONE
LEGAL DESCRIPTION ~"~' 7..-~ .~'~ t~:t/.4tj~.~/(/ ~/~"~,~_ .~,--~.'~--
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY
~5'"',9" /
/" ~ GALLONS.
NUMBER OF
MATERIAL ~ COMPARTMENTS ~
~~'~' LIQUID
INSIDE LENGTH DEPTH.__
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINE
SEEPAGE PIT: ~'
OUTSIDE DIAMETER
OR WIDTH , LENGTH DEPTH
· DISTANCE FROM WELL BUILDING FOUNDATION
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
FOUNDATION ~OT LINE
DISTANCE BE .TRENCH WIDTH
~ LENGTH OF EACH LINE
TOTAL LENGTH
, OF LINES.
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE__
WELL: TYPE ~')//'1'//~'~ , DEPTH
'~ NEAREST .~ ~
LOT LINE t ~ SEWER LINE
'~ DISTANCE FROM
,BUILDING FOUNDATION.
SEPTIC / SEEPAGE
· TANK ,-~ , SYSTEM
WATER
SAMPLE NEAREST
OTHER
CESSPOOL '"""- SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
APPROVED
GAAB-HD-2
GREATEIk ANCHORAGE AREA i )ROUGH
HEALTH DEPARTMENT '
327 Eagle St. Anchorage;Alaska 9950~' 279-2511 [ ,I, ~
SEWAGE ,DISPOSAL SYSTEM - APPLICATION & PERMIT
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH
PERCOLATION TEST RESULTS
RESIDENCE ADDRES~ ~",~-'/~&~' LOCATION OF INSTALLATION ,/~E',,~'~/'- ~.&'~,¢~:7--,~-/C
LEGAL 9ESCRIPTION ~ ~ ~ ~fl ~ ~~~ ~~ ~~
APPLICATION TO INSTALL: SEPTIC TANK ~ ' .,.S'EEPAGE PIT. , BRAIN FIELD , OTHER
-" T0 BE I"STALLED BY ~~ ., ·
~ ANTICIPATED DATE OF C0MPL~TION. ,. :' /~~~
~ELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
T HISISTOSERVEAS ~¢./~/~/O P ERMITT01NSTALLA t~'~ ~~ AS DESCRIBED BELOW. SIZE O~NIT TO~ERVED ~ ~'
SEPTIC TANK SIZE /~~YPE ~EEPAGE AREA ~ TYPE DIAGRAM OF SYSTEM
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
.?
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage,
Alaska
995O1
i ENVIRONMENTAL ENGINEERING DIVISION c~-"w I ;!,::
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER PHONE
MAI LI N~G-ADDR ES~ v-~ ~
PROPERTY RESIDENT (If different from above) v- PHONE
2, BUYI~R PHONE
MAILING ADDRESS
3, LENDINGJNSTITU.~ION PHONE
MAILING ADDRESS ' ' '
4. REALTOR/AGENT I PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
STREET LOCATION
6. TYPE OF RESIDENCE
· ' ~' SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER SUPPLY
INDIVIDUAL~
[] COMMUNITY
[] PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM
[] INDIVI DUAL/ON-SITE~
PUBLIC UTILITY
[] One [] Four [] Other__
[] Two [] Five
/[~ Three [~] Six
*ATTACH WELL LOG. A well Icg is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
(attach log if available.) ,.--~2~/ ~
depth
~*lf individual/on-site, give installation date ~) ./~Q~~
If system is over two (2) years old an adequacy test is require-'-d--
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
E~ MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[.~ COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVI DUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or [] Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/H°lding Tank IAbs°rpti°n Area lsewer Line INearest L°, Line
Absorption Area to nearest Lot Line
5. COMMENTS
[~ APPROVED FOR ~-~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY,Title)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received January 2-
1976
Time of Inspection ~.'~)~/~4L
Pate of Inspection~-J~) ~ /~
REQUEST FOR APPROVAL OF (~lf~L~- ~).
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Voao
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
First Natioaal Sank of Anchorage
Post Office Box 4-2090, 99509 Phone:
Bernard Hopp Phone:
2850 EM}{ East 68th Avenue
274-1521
344-5112
Legal Description: Lot 7 Hopp Subdivision
Location: Lake Otis and East 68th Avenue
5. Type of facility to be inspected
6. Well Data: Individual
C. Construction
7. Sewage Disposal System:
A, Installed
C. Septic Tank: 1.
D. Seepage Pit: 1.
E. Disposal Field:
8. Distances:
A. Well to: Septic tank
Nearest lot line
B.Foundation to septic tank
C. Absorption area to nearest lot line
Single FAmily
B. DePth
No. of bedrooms 3
D. Bacterial Analysis
2. Manufacturer
On-site system.
B. Instal ]er
Size
Absorption Area
Total length of lines
2. Material
, Sewer Lines
, Absorption area
, Other contamination
, Absorption area
EQ-034 (1/74) PaQe 1 of two DaQes
1
2.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street, Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
MU N ICI PA L IT.Y~) F/~N~ft H~t~'
mv,~o~^, ~o~c~o~
RECEIVED
Type of Inspection: CMRO
Property Owner:
Mailing Address:
Name of Buyer:
Mailing Address: "~J_~'7..~
Name of Lending Institution: FII~T
Mailing Address: ~0X
Name of Realtor or Agent:
Mailing Address:
VA ~ FHA
CONV
Day Phone
Day Phone
NAT~OlqAL ~A~K-- OF A~L~e~
' A~A~ Phone 27~' Ib~l
Phone
6. Legal Description:
Location:
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply:
No. Bdrms.
Public Utility
Individual X
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual (on-site)
EQ-037 (1/74)
P. age 2 of two pages - R
Legal, Description T,ot ?
Comments
for Approval of Individual
Hopp Subdivision
:r & Water Facilities
Approved
D i sa pproved~.~~/~/~ Date
Approval Valid for one year from date sig
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
'~ND/ ~,
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 (1/74)
4.1
~I1 ~/~(~ ~/~/ / ,A¥S. HAMMOND, Gov, rnor
PT. OF ENVIRONMENTAL CONSERVATION /
/
SOUTHCENTRAL REGIONAL oFFICE / 338 DENALI STREET
/ ~ACKAYBUILDING-ROoMS~O
Mr. Les N. Buchholz
Sanitarian
Dept. of Health & Environ. Protection
2510 E. Tudor Road
AN~ORAGE, Ak. 99507
February 2, 1976/
Surbject: Lot 7, Hop. p Subdivision
Dear Mr. Buchholz:
Based on my verbal denial of approval of the nonconforming syst~us
on the subject lot in this office ~n February 2, 1976, Mr. Bernard
Hopp indicated he intended to appeal to our Cc~uissioner.
I therefore conclude this matter is out of my hands until I hear
frc~ Commissioner Mueller.
Sincerely
Kyle J. Cherry, P.E.
Regional Environmental Supervisor
NA TI O N~J~
Mortgage Loan Department: Box 33859 e Anchorage, Alaska 99501 * 907/279-2506
March 11, 1976
Department of Enviromental Quality
Municipality of Anchorage
3330 C Street
Anchorage, Alaska 99501
Gentlemen:
We would appreciate a reply to our letter of January 26, 1976, a
copy of which is attached for your information.
Sincerely,
Encl:
CW:mlc
OFFICES S TA TE WIDE
Mortgage Loan Department: Box 3-3859 * Anchorage, Alaska 99501 * 907/279-2505
January 26, 1976
.MUNiCh-ALR'Y OF ANCHORAGE
D[:?/\:'.~'[M[::F]'F OF HEALTH &
ENVI~,O x,/,:_ ,~1, ,L pRO] ECTION
FEk: 2 ! 76
RECEIVED
Department of Environmental Quality
Municipality of Anchorage
3330 C Street
Anchorage, AK 99501
Re: Water System for Bernard
Hopp Residence - 2850 E.
68th
Gentlemen:
At the time we financed the above property, the Borough
Health Department notified us that the well and seepage
pit were too close together and that one of them would
have to be moved.
Would you please inform us whether the requirement to
move the well and seepage pit further apart has been met
or waived and whether it is now possible to obtain
Health Department approval on the system.
Your prompt reply would be appreciated.
Sincerely,
Christine Whitehead
Assistant Cashier
GREA' ,-,R ANCHORAGE AREA BuR. OUGH
HEALTH D£PARTME NT
327 EAGLE STREET · P. O. BOX 968
ANCHORA(~Ei ALASKA 99507
PHONE 279-2~11
January 6, 1971
AIr. Bill Long
National Bank o£ Alaska
P.O. Box 600
Anchorage, Alaska 99501
SUBJECT: h'ater and Sewer Systems for Bernie Hopp Residence,
2850 East 68th Avenue.
Dear blr. Long:
Water for the subject residence is supplied by a 90' drilled well.
A water sample taken from the well showed it to be free of bacteria.
Tho sewer system consists of a 1250 gallon septic tm~k and a seepage
pit. The sewer system is in concurrence with our regulations with
the exception that the seepage pit is located too close to the well.
In a conversation with bir. Hopp, he said he was agreeable to moving
tho seepage pit after spring break-up to outside the proper protective
radius for the well. The sewer system should ca~e no problem in tho
intori,m time mttl spring break-up when thc seepage pit can be moved.
Our Department will give their approval to the sewer and water systems
pending tho escrow of funds for the moving of the seepage pit to the
required distance from tho well prior to June 1, 1971.
Would you please provide us with the legal description of the subject
property. 'lltank you.
Sincerely,
/John R. Lee, R.S.
/ Sanitarian
/
rn
cc: Bernie llopp
AIR MAIL TO ALASKA IS FASTER