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A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694.2588
OWNER OF LAND
ADDRESS ~:~ ?' ~" C
LEGAL DESCRIPTION
DATE-Started
PERMIT NUMBER '70°, O a~-~ "?
Ended
DEPTH OF WELL ~ Go
STATIC LEVEL OF WATER FT.
DRAW DOWN FT.
GALS. PER HR
KIND OF CASINO
KIND OF FORMATION:
From ~ Ft. to
From Ft. to
From I 0 Ft. to
From ~ (-. Ft. to
From _/~-3 Ft. to I
From Ft. to Ft.
From /~) ~ Ft. to__L~a~_Ft.
From /~y Ft. to
From Ft. to Ft.
From/?2 Ft. to~°° Ft.
From__Ft. to~Ft
From__Ft. to Ft
From__Ft. to Ft.
From__Ft. to.~ Ft,
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft
. Ft. ,~"/~ o O < A~9 V~'-~ g From~
~ C~ ~ From.~
Ft
.
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Ft' '~ ~ ~ ~~ From~
Ft. ~~o~ ~<r~ From~
Ft. ~O~o~ ~
From
,_~ ~ ~ t~ From~
~ ~o~ /< ~ From~
From
From__
From ~
From
From__
From
From
From
From
Ft. to Ft.
Ft. to Ft.
Ft. to Ft.
Ft. to Ft,
.Ft. to Ft
Ft. to Ft.
Ft. to Ft.
Ft. to Ft.
Ft. to__Ft.
Ft. to__Ft.
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Ft. to__Ft
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MISCL. INFORMATION:
DRILLER'S NAME / ?* <'~' ..~"'~'-'~ '
PERM!T NO.
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 "L' STREET., ANC:HORAGE¢ AK. 9950±
264-4728
14ELL i'iE~f'l IT
< 788227 >
RF'F'L I CFtNT
LOC:AT I ON
LEGAL
GENE NEE[:,ELS
EAGLE RIVER
L-< E:REST VIEW S,--"[.',
BOX ~8 CHUGIRK
LOT S!.ZE
688 24i$
58888 SQUARE FEET
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
108 FEET FOR R PRIVATE WELL; OR
150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL
HELL LOGS 8RE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICRTIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F'EF-:P1 I T E~-=:F' I RES [)E~]:EI'-IE:EF-: 7~::1L..
! CERTIF'¢ THAT
1' I RM FAMILIAR HITH THE REQUIREMENTS FAF.: 8N-SITE SEWERS AN[:, WELLS RS SET
FORTH BY THE MUNICIPFILITY OF FINCHORFIGE.
2: ! W!LL INSTFI~.. ~THE SYSTEM IN ACCORDANCE WITH THE CODES.
,. ,_ ,,,PF~ NT GENEiR
V --'-::. :2
~, DATE RECEIVED
~ INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE D..~TE
INSPECTOR INSPECTOR I NSPECTOB
DEPT. OF H~ALTH
MUNICIPALITY OF ANCHORAGE-- -- ,,~I~O~MENTAL
f ~C'TECTIO~
825 L Str~- Anchora., Alaska ~501 JUL
ENVIRONMENTAL SANITATION DIVISION
Telephone 264~720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all pa~s on page 1. Incomplete requ~ will not be pr~d. Please allow ten (10) days for processing.
1. PR~TY OWNER / PHONE
MAILING ADDRESS
PROPERTY RESIDENT (If ~iff~rent from above) ~ PHONE
2. BUYER . PHONE
MAIEING ADDRESS
3. L~DING INSTITUTION
MARLING ADDRESS / ' '
~. REAL~OR/AGENT ' f ' ~ I PHONE'
MA~ING ADDRESS / ' - ' / --
5. LEGAL DESCRIPTION
STREET LOCATION
6. TYPE OF RESIDENCE NUMBER OFtBEDROOMS
~ One ~ Four ~ Other
~ ~ Two ~ Five
SINGLE
FAMILY
~ MULTIPLE FAMILY ~ Three ~ Six
7. WATE~ S~PPLY
~,. INDIVI DUAL*
[] COMMUNITY
[] PUBLIC UTILITY
8. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON-SITE**
~_PUBLIC UTI LITY
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.)/'~)f c:~ ~C{ ~"~'(~'~)/e./.--'/~Vtf'<~A
Four
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
./
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
[] ONE
[] TWO
NUMBER OFBEDROOMS
[] THREE [] FIVE
[] FOUR [] SIX
[] OTHER
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or [] Holding Tank
Size: If Tank is homemade
give dimensions:
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOl LS RATING
TYPE OF TANK MANUFACTURER
AL ABSORPTION AREA MATERIAL
DISTANCES
WELL TO:
Septic/Holding Tank
Absorption Area to nearest Lot Line
COMMENTS
IAbsorption Area [Sewer Line
Nearest Lot Line
DATE
[~}~R~o v E D FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
72-010 (Rev. 6/79)
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received ~_~
Time of Inspection %'.0 0
Date of Inspection ~'~-~-~-~
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Mailing Address: ,~' ~ o~'0 ~ ~t~,~ Phone:
2. Property Owner:
Mailing Address:
3. Legal Description:~_~
4.
Phone:
5. Type of facility to be inspected
No. of bedrooms
6. Well Data:
A. Type ~/z~_~C~-~
C. Construction
Sewage Disposal System:
A. Installed
B. Depth
D. Bacterial Analysis
B. Installer'
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
, Absorption 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 1 of two pages
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 VA
Property Owner: Denni~ Smith
Mailing Address: 2103 w, 44th ct,
Name of Buyer: Thomas L Schram
X
FHA
CONV
Day Phone
Mailing Address: 4300 Arctic Blvd Sp 13 Day Phone
4. Name of Lending Institution: The Lomas & Nettleton Co.
Mailing Address: 3380 C. street
5. Name of Realtor or Agent: H~len Realtors
Mailing Address: 4060 B Street Suite 105
279-7384
Phone274-7661
'Phone 278-9591
Legal Description: Lot 3 Block "A" Crestview Sub.
Location: Crestview Subd. 2103 W. 44th Ct.
7. Type of Facility to be inspected: well
8. Water Supply
Type of Supply: Public Utility' Individual x
If Individual, number of dwellings presently served 1
If Individual, depth of well 100
9. Sewage Disposal System
Type of SYstem: Public Utility
If Individual, date of installation
No. Bdrms.
Individual (on-site)
1967
X
EQ-037 (1/74)
,Page 2 of two pages - Re ~st for Approval of Individual Jer & Water Facilities
Legal Descr. i ption
Comments
App~'~j~al Valid for one year from date signed
Greater Anchorai~e 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
EQ-034 (1/74)
pmmdM~~ m
/,~ ...... '~:'GREATER ANCHORAGE AREA BOROUGH
I Doto:
- ~0 ~l.-
Maih~g ..4ddre$$:
User/Tenant: '
Property. Address:
0_. c.¢.%-I-~j (4z uO
DYE TEST:'
F/eld:
4dm/n/$Yered
PW-062 (7-74)
Oul~ .28~ L975
mghland ~
4O60 "e" Street
Attention: Mr, Brle~ Kent
SUbject: DYE TESTI~Y 24, Xg76
aefere~: ~:CD~ NO, 010-231-10.00100
Thts office recewkly perfonmd & dye t~st o~ the property locatad at
2X03 Best 44th Avenue, 11m test conclusively provedt,tha the preperty
ts connec~ to our at~,mdde santtary se~er systen~
Should 3K)U hive amy questtom re~rdtng tbts mtt. m', please contact us
at 279-8686, extmatml 260.
Sincerely,
~h
Enclosu~
cc: Dob Frtt, z, Louis end Nett. leton
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Time of InsDection
Date of Inspection ~- /,~
RFQUF-ST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Address: Phone
3. Leg,1 Description: A ,9 ~ ~ ?
p -
Number of Bedrooms=
6. Well Data= , ~
A. Type &
C. Construction
B. Depth -------
D. Bacterial Analysis
7. Sewage Dis9osal System=. ~
A. Installed B. Installer
C. Septic Tank: 1. Size
2. Manufacturer
D. Seepage Pit= 1. Size 2. Material
f. Disposal Field: Total Length of Lines
Distances:
A. Well To: Septic Tank
, Absorption Area
, Sewer Lines
, Nearest Lot Line
, Other Contamination
B. Foundation to Sentic Tank
"~, Ab'~orption Area
C. Absorption Area to Nearest Lot Line
Rec~e.~,t for Approval of Ino
Page Two
'dual Sewer & Water Facilities
o
Approval Valid for One Year From Date Signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRA[~ 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
DEPT. OF ENVIRONMENTAL CONSERVATION
March 14, 1973.
WILLIAM A. GOVERNOR
EGAN,
SOUTHCENTRAL REGIONAL OFFICE
MACKAY BLDG.
338 DENALI STREET
ANCHORAGE 99501
SUBJECT: Lot 3, Block A
To Whom It ~ay Concern:
-Crest View Subdivision
(2105 West 44th Court)
As this property is served by public sewer the lot size
requirements set out by 18 AAC 72.050 are not applicable in this
case.
Yours truly,
cc: GAAB-DF~Q
35~0 Tudor
DaLe Received ~'-~0 ~7 ~ .
REQUEST FOR AP~X:O'TAL OF
INS!VIDUAL SE~IER & ~ATER FACILITIES
Ad,rest: .::~ :" ,~-
Number of Bedrooms:
6. ~ell Data:
,,.
7. Sewage Disposal ~stem:
A. Installed B. Inst~t]er
C. Septic Tank-. ]. · Size 2. Manufacturer
D. Seepage Pit: !. Size 2. Material
E. Disposal Ffeld: Total Length of Lines__
8. Distances:
A. Well To: Septic Tank
, Absorption Area
Sewer Lines
, Nesrest Lot Line
· Other Contamination
B. Foundation to Sevt~c T~nk
Absorption Area
C. Absorption Area to Nearest Lot Line
Rqquest for Approval of Ir f. dual Sewer & Water Fac!litie-
- P-.,,~ Two. _ _-
DIAG~?A~ O~ SYST5~/,
I certify that the information contemned in this request for approval to be a true
and accurate representation of the subiect sewer an~ water fact!tt~es located at:
Signed Date
ReY. J~y I~$8 ..... ~IP
~dEALTH AUTHORITY APPROVAL I J""' "~-'~'
INDIVIDUAL WATER SU. "PLY AND SEWAGE DISPosAL G~d~4
PART L---TO BE COMPLETED BY FHA
INSURING OFFICE MOiTGAGE!
Anchorage Fi~$~ Na~oGa !
~~¢a~l~o~ T.. Povell.
WATER Sm,~l.y BY, - . '
L..~ Public sysmm ' ~" -
~A-- D,IPOSAL .,, [~ i!.:. ,' ~':'. ,.- '~dJvidu.l
Public system . D,S~O~L
PART II--tO Ii~ BY-~m..DEPARTMENT
HEALTH DEPARTMenT INSPECTOI'S SKETCH
I. ha{~e r~ the foregoing and the pertinent FHA Compliance Inspection Report, and reco
Individusl water-supPly system be considered r-~ Acceptable 1=-'1 Not ACceptable
Sewage disposal be considered [~ Acceptable [~ Not Acceptable.
DATE , ~
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL S'~b.=. ' R,v. ~u~x tgse
FHA Form 2573
?iary Kelly
Potter
F~iA loan mpprov~l .on Lot 3, 21oc~ 4 Crestview Subdivision.
dear ~:lr & .~,~rs. Kelly:
Inspection of the sewer and water facilities on this lo%tt~a~e
Ausust 2, 1972 revealed tn~t the welliJs located t~) a pi:.
~efore t)~ls depJrt),~ent's approvol for seh'er an~ water systemics
can be L:iven, the construction of the well ~till nee~ ~o b~
up~roded. The pressure t~nk will hmve to b~ relocateu, a ~itless
odaF~ter will need to be installed and t~e well casin9 brou~nL
lJ' abov(~ !(rounu level. Ti~u pit will na'le to be filled tn with
dirt.
If you nave any questions regardin5 ~nis ~,atter, please cuntact
this office at 279-36~6, Ext. 336.
Si ncerely,
£nvtrom<~ental Contrull~Jfficer
m b
cc: First ~(ational L~anK of Anchorage,