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Lot 04, 06
APPL' NT FILLS OUT UPPER H/ ONLY Lending institution ,~_ Phone Address Zip Code Legal Description ( ~ Single Family Multlple Family No. of Bedrooms ~Olher Supply 'lndlvidual A~ACH WELL LOG. A w~l 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). Sewer Disposal ~'lndividual Year Individual Installed: Public Utility When Connected lo Public Ulllity: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time ~ Time ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ~ONDITIONAL APPROVAL' Boils Rating Date ~wer Installed Well To Absorption Area Well Log Received Well to Tank SepBc T~k Size .J~H 6-650 ANCt4ORAGE, ALASKA 99502-0650 (907) 264~4111 TONY KNOWIES MA YOt? DEPARIMEN'I'OF 14EAL]H AND ENVIRONMEN]'AL PROTECTION July 1, 1982 Dorthea Mac Donald Box 883 Eagle River, Alaska 99577 Subject: Lot 4 Stockhousen Subdivision This letter is in reference to the four(4) bedroom tri-.plex located on the above sub~.ect property. This department will grant a conditional approval on the sewer system serving the tri-plex j.f monies are escrowed for an upgrade of the sewer system and for interim pumping that will be necessary. The upgrade will include, the following: 80 :feet of trench with six(6) feet of gravel backfill and no deeper than hen(10) feet. Also, a 1,500 gallon two-compartment septic tank will need to be installed. The upgrade requirements will be nullified if the existing tri-plex is removed prior to July 1, 1983. The well has not been re-inspected and cannot be approved at this time. The tzazlez currently on the proper~ muot also be removed by July 15, 1982. ~.-\~-~ If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Assocjmte Specialist RCP/ljw [[ 99577 Appr,Qvqt for the individual ~.ew¢.,.r and ?later be qr:ni'ko,1 uni=J ] 'ch."- -.?',}].lo{;ing i'hem~.~ have b'.~nn l:'].,ease v,.o't:[:{y -i=t)(~s 9epert. ment .',for a re:J. ns[t, eq:'l:iot~ whe~n August 31, 1982' Eagle R±ver, ~laska 99577 Subject: Lots 4 and 6 Stockhousen Subdivision This letter is to confirm our conver'satJon vzo.~at~.on~ noted on tho subject property. (1) The tri-plex must have the existing sewer pumped necessary to keep sewage overflow from surf ac[hi overflow has been noted on August 26, lY'..{2 .~nd th[~; letter will serve as a warning. Subsequ~:s{ v[~ ~tions ef everflow will be referue] for presccutlen. (2) Tho wooden structures(2) on bet (5 are quarters for your family and not oxpan~]c~l which would cause increaseo~ sowaqe flow (3) Tile travel trailer, which is receiving dJ. sposirlg of sewage to ail old unapprov{~: violation. The cesspool is unapproved Jn as were other cesspools dnrJng the the bar sewer system. Continued use of anyone is a violation and tNlauthorizod. if there are any further questions p]ease at 264-4720° Les N.- Buchholz, R.S. LNB/ljw CC: Derthea Mac Donald Box 883 99577 ZIP CODE: DATE CLOSEi'D,~ CASE: 1.3F:'F'ZCER,'. BUCHHCIL.,Z OVI'~RFLOW 13F SEWACE FROM 'TR:I:P"'PLE:'X~, SEE FECAL I;IIESUI...TE~ ~ , ~. ~¢ OF HEarTH AND g~gv~Og~TAL~gOT~GT]ON S ~F. ~ jUNK CAR ~SEWAGE ~ No~SE ~ WATER E ~ NUISANCE V~GE ~ GHiLD/ADUL~ P R ~ HoUSiNG ~ EoODSER cARE~ ~6DRESS DAY: ViCar A (0R'~ i,i/\~E, ADDRESS AND pHoNE~qUMsER (d Known) August 31, 1982' Mr./Mrs. Delany Box 883 Eagle River, Alaska 99577 Subject: Lots 4 and 6 Stockhousen Subdivision This letter is to confirm our conversation regardJ, ng health violations noted on the subject property. (1) The tri-plex must have the existing sewer pumped as necessary to keep sewage overflow from surfacing. An overflow has been noted on August 26, 1982 and this letter will serve as a warning. Subsequent v~iolations of overflow will be referred for prosecution. (2) The wooden structures(2) on ]hot 6 are to be sleeping quarters f-or your family and not expanded in anyway which would cause increased sewage flow since these structures are ]low connected fo the new bar sc~we]~' syst:em. (3) The travel trailer, which is receiving water supply and disposing of sewage 'to an old unapproved cesspool, is in violation. The cesspool is unapproved and must be caved in as were other cesspools during the recent apgra]e of the bar sewer system. Continued use of the cesspool by anyone is a violation and unauthorized. If there are any further questions, please call this office at 264-4720. SincerelLy, Les N.' Buchholz, R.S. Program Supervisor LNB/ljw cc: Dorthea Mac Donald Bo>: 883 99577 July 1, 1982 Oorthea Mac Donald Box 883 Eagle River, Alaska 99577 Subject: Lot 4 Stockhousen Subdivision This letter is in reference to the four(4) bedroom tri-plex located on the above sub,oct property. This department will grant a conditional approval on the Sewer system serving the tri-plex if monies are escrowed for an Upgrade of the sewer system and for znterim pumping that will bo necessary. . ~he upgrade will include - six(6) feet ~f ~,~ ~ , the followina, o~ ~ Also, a 1 q~ w~vel baokfill and ~ ~u root of trench with be installed two COmpartmelt seo~-~:~ ,_~han .ten(J0 feet. · ~ ~m~ Eank w~ll need to The Upgrade requirements will be nullified if the tri-plex is removed prior to July 1, 1983. existing The well has not beeu re-i~spected and Cannot be appueved at this time. The trailer CUrrently on the property must a!se be removed by July 15, 1982. if there are any 264-4720. further questions, please call this office at Sincerely, Robert C. Pratt, R.S. Associ-ate Specialist RCP/ljw NOTICE OF vIOLATION D,rector has re~ a~ or near thefoUoWin9: of ttm Anchorage code of Ordi- BVED ~ON: 7~LLO~iNG MAN~, - 1. Dy oersona~ serwce 2 by certified mail 3, Dy posting this notme on o~ about the ,ocation descrlbea herein when such person cannot be ~ound after diligent effort to do so. corrected by ings may De initiated as provided by LaW, -- D~tea thm~day of~ TITLE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVlRONMENT^~. PROTECTION TELEPHONE 264-4721 .~. NOTICE OF VIOLATION 3 5 6 Please take notice'~hat the undersigned authorized represen- tative of the Director has reason to believe that on or about ,19 ~' , at or near the following: APPROXIMATE LOCATION: NAME: WITHIN THE MUNICIPALITY OF ANCHORAGE DID UNLAWFULLY: which Is a separate violation of § /5'~ '~.,,~ O Z-~..p ~ of the Anchorage Code of Ordi. nances each and every day such condition exists, A COPY OF THIS NOTICE HAS BEEN SERVED UPON: IN THE FOLLOWING MANNER: ~by personal service 2. by certified mail 3. by posting this notice on or about the location described herein when such person cannot be found after diligent effort to do so, If the violation or violations re[erred 1o herein have nol been corrected by '~"~ "~""~--'" , 19~-,~egal proceed- Ings may be initiated as provided by law, 70-004 (Rev. 5178) CHE. MICAL. & G£~ LOGICAL LABORATORIES...~ ALASKA, INC.f,~..~.~ TELIEpHONE (go7)-27g,4014 ANCHORAGE INDUSTRIAL CENTER ~ 274-33~ 5633 9 Street Drinking Water Analysis Report for Total Co iform Bacteria TO BE COMPLETED BY WATER SUPPLIER I.D. NO. I ' Phone No, Water Sys em Nam~ ~ / / , ' Mailing Address City State Zip Code Mo. Day Year SAMPLE TYPE: ~ [] Routine ~ ~ Check Sample (for routine sample , with lab reft no. [] Special Purpose SAMPLE NO, "·,'LOCATION E3 Treated Water [] Untreated Water Time Collected Collected By (,/.:,,.: 06-1220 (b) Rev, ].976 TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] ,Satisfactory ~Onsatisfactc;~ '"l~]'~S~r:n~)~'~o long in transit; sample should not be over 48 hours old at examination to indicate reliable results, Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube -[] Membrane Filter Lab Ref, No. Result* Analyst /, , ,.,"j BACTERIOLOGICAL WATI"R ANALYSIS RECORD REAr) INSTRUCTIONS BEFORE COLLECTING SAMPLE . Date Collecte~ Source ~celvea Lab. No, CHEMICAL & G~- LOGICAL LABORATORIES ~£ ALASKA, INC. ~ ' TELEPHONE (907}-279-4014 ANCHORAGE INDUSTRIAL CENTER b,%;.'o;~;;~;--,,~ Drinking Water Analysis Report for Total Coliform Bacteria TO BE cOMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO. N~me Wa System M~iling Address ( /::~' ' Phone No, City State Mo. Day Year Zip Code SAMPLE TYPE: >~ ~'D Check Sample (for routine sample with lab ref. no. ) [] Treated Water [] Spsolal Purpose [] Untreated Water SAMPLE -'~ Time Collected NO. : I:0CATION Collected By 1 06-Z220 (b) Rev. 1978 TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory r ~' UnsatisfactoiY') [] S~rnpie too 10ng in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method; [] Fermentation Tube ~] Membrane Filter Lab Ref, No, Result* I J I-FI L I I-[-1 Analyst *No of colonies/100 mi or NO of Posil[ve portions. BACTERIOLOGICAL WATER ANALYSIS RECORD REA[) INSTRUCTIONS BEFORE COLLECTING SAMPLE Date Collected Source 24 Houri 46 Hours 0onflrmatoTy · CHEMICAL & GL LOGICAL LABORATORIES ,~£ ALASKA, INC. · ~ ~ TELEPHONE (S07)-27g,4014 ANCHORAGE INDUSTRIAL CENTER ...... ,,.-',~Drinking VVater Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER I.D. NO. Water System Nam~ Mailing Address · Phone No. City Mo. Day SAMPLE TYPE: " [] Routine , / ,"[] Check Sample (for routine sample , with lab ref. no. ) [] Special Purpose State Zip Code Year [] Treated Water [] Untreated Water SAMPLE NO, .~' ,~.OCATION ~ 4 I Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ,[~ ,Satisfact°r¥ ~' u nsatlsfactory~. [] sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Reoeived Analytical Method: [] Fermentation Tube \ · [] Membrane Filter Lab Ref. No,. Result* Analyet 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 READ INSTRUCTIONS BEFORE COLI. ECTING SAMPLE. Date Collected Source. .No. PreSumptive 1omi 30mi 1Omi /Omi 1Omi Z.Oml 0.1mi 24 Houri · . , CHEMICAL & GL LOGICAL LABORATORIESii,-~ ALASKA' INC. ~'-=;o;~,~.',,.""~ ' Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER L~. NO. Water System Name Phone No. Mailing Address Zip Code City SAMPLE DATE: State Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample · with lab ref, no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO, LOCATION I Time Colleoted Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory [] UnsatisfactorY, [] Sample ioo long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. Result* Analyst I I READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-Z220 Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD EMB Broth 24 hours~ Multlpla TUba Reportr Membrane Filter= Direct Count Verification= LTB Broth 48 hours:-- ~.0ml Tubas Po$1tlw/Total 10mi @ortlonl BGB Cotlform/lOOml · . · CHEMICAL & GJ. LOGICAL LABORATORIES~£ ALASKA, INC. ~ "~ ' TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER /~ Drinking Water Analysis Report for Total Coliform Bacteris TC BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.O. NO. M§iling Address" ~. '" /?' / Phone No. · City State Zip Code Mo. Day Year SAMPLE TYPE: - / ~ ·Routine ""~ v ~:":"/'/"'7" ', ~'/' [] Check Sample (for routine sen{pie Treated Water with lab ref, no. ~ [3 [] Special Purpose [] Untreated Water SAMPLE NO, 1 2 3 Time Gollected Collaeted ,~By . r TO BE COMPLETED BY LABORATORY Ana vsls snows this Water SAMPLE to De: [] Satisfactory / '.[~J"Unsatisfactory > [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube Ci~Membrane Filter Lab Reft No, Result* Analyst L J FT-] L J 06-1220 (b} Rev, 1978 eACTERIOLOGICAL WATER ANALYSIS RECORD REA[) INSTRUCTIONS BEFORE Date Collected Source Received Time Received Lab. No, Presumptive 1Omi 10mi 1Omi 10m1 /Omi 1,0mi O,lml 24 Houri COLLECTING SAMPLE Multiple Tube Report, 10mi TUbeS Positive/Total /Omi Portion, -~-;' verlflcatlon~ L, TS , ,'~ ' BGB. ' / ' · . CHEMICAL & GL LOGICAL LABORATORIES =,. ~' ALASKA, INC. ~,,.o.,,o.,.. ~ Drinking Water Analysis Report for Total Coliform Bacteria I,D. NO. · ' Phone No, Water System I~lame ~' . ~ Mailing Address ' ' ; City State Zip Code SAMPLE DATE: Mo, Day Year SAMPLE TYPE: El' Routine ' ~ ~ '~ " · [] Check Sample (for routine sample with lab reft no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. 1 2 3 4 5 ? LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory {,El Onsati~facto[~ [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received ' Analytical Method: [] F:ermentatlon Tube [] "Membrane Filter Lab Ref. No, Result* Analyst I I M-I-] 06-1220 (b) Rev, 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Presumptive 3Omi 1Omi 1Omi 1Omi 3Omi 3.,Omi O,3ml 24 Hour& 48 HOURS Conermltory PO~U~ I 6-650 ANCHORAGE, AI_ASKA 99502-0650 (907) 264-4111 ?ONY NNOWLE$, MA YOR DEPARTMENT OF HEALTIIAND ENVIRONMENTAL PROTECTION August 31, 1982' Mr./Mrs. Delany Box 883 Eagle River, Alaska 99577 Subject: Lots 4 and 6 Stockhousen Subdivision This letter is to confirm our conversation ~egarding health violations noted on the subject property. (1) The tri-plex must have the existing sewer pumped as necessary to keep sewage overflow from surfacing. An overflow has been noted on August 26, 1982 and this letter will serve as a warning. Subsequent violations of overflow will be referred for prosecution. (2) The wooden structures(2) on Lot 6 are to be sleeping quarters for your family and not expanded in anyway which would cause increased sewage flow since these structures are now connected to the new bar sewer system. (3) The travel trailer, which is receiving water supply and disposing of sewage to an old unapproved cesspool, is in violation. The cesspool is unapproved and must be caved in as were other cesspools during the recent upgrade of the bar sewer system. Continued use of the cesspool by anyone is a violation and unauthorized. If there are any further questions, please call this office at 264-4720. Sincerely, Les N.. Buchholz, R.S. Program Supervisor LNB/ljw cc: Dorthea Mac Donald Box 883 99577 CHEMICAL & GE~ DGICAL LABORATORIES 6 ALASKA, INC. -- TELEPHONE274.3364(907)-279'4014 ANCHORAGE56331NDUSTRIALB Street CENTER Drinking Water Analysis Report for Total Coliform Bacteria TO BE CO MPLETED BY WATER SUPPLIER WATER SYSTEM: ,D, NO. Water System Name Phone No. "' /" ' ' ";' (/(~!i Mai~ing Address State ZiD Code City MO. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. ) [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO, 1 2 3 4 5 LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Analvs~s shows this Water SAMPLE to De [] Satisfactory [] Unsatisfactory [] Samele too long n transit; sam 3m should not be over 48 hours o~o at exa'~ nat~on to ndicate re able results Please seno new semele. Date Received Time Received Analytical Method: [] Fermentation Tube ~ Membrane Filter Lab Ref.. No. I Result* Analyst *No of colonies/lO0 rnl or No el Positive portions READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-Z220 (b} Rev, 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collect ed Source Prel~rnpt lye 10mi 10mi 10mi ~Oml 3Omi 1,Omi O,lml 24 Houri 48 Hours 24 Houri Multiple TUbe Reportl Membrane FIItert Direct Count Verification: LTB FInel Membrane Fl~ter Results / ' Cotlform/ZO0ml CHEMICAL & GE£ I)GICAL LABORATORIES 6 ALASKA, INC. TELEPHONE {g07)-279,4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE CC MPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name Mailing Address city MO. Day SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref, no, [] Special Purpose State Z 3 Code Year [] Treated Water [] Untreated Water SAMPLE NO. 1 2 3 4 5 Time Collected Collected By TO BE COMPLETED BY LABORATORY Analys~s shows this Water SAMPLE to be: ~]'"Satisfactorv [] Unsatisfactory ~ Sample too long in transit: samele ~ould not De over 48 hours old at examinauon ~o indicate 'eHaole results Please ~end new samBle. Date Received c' -., Time Received ///~;~/,"1 Analytical Method: - Fermentation Tube ~J/Membrane Filter Lab Ref, No. Result* Analyst FT-] UT1 I-F1 I-F1 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (D) Rev, 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source Presumptive lOml lOml 1Omi lOml lOml 1,Omi O,lml CHEMICAL & GE£_,OGICAL LABORATORIES 6. ALASKA, INC. TELEPHONE (907)-279,4014 ANCHORAGE INDUSTRIAL CENTER ~~/~"~ Drinking Water Ana ysis Report for Tote Coliform Bacteria 274-3364 5633 B St re et TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO. Water System Name ~ Phone No. Mailing Address _ . ~ City State Zip Code Mo. Day Year SAMPLE TYPE: iIZ), Routine [] 'Check Sample (for routine sample With lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. , I J Time Collected Collected By ~. 06 1220 {b) TO BE COMPLETED BY LABORATORY Analvs~s shows this Water SAMPLE Io be: [] Satisfactory [] Unsatisfactorv ~ Samole too long m transit, samara should not be over 48 nours olo at examination to indicate reliable results. Please send new sample. Date Received ;:, ¢''/ ' Time ReCeived ," ii';.: "/' '~ AnalytiCal MethOd: ' [] Fermentation Tube [] Membrane Filter Lab Ref. No. Result* Analyst J BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Date Collected SOurce a.m. Date Received, Time Received ~.m. Lab. NO. Presumptive 1Omi lOml 1Omi ~Oml ]Omi 1,0mi O,lml 24 Hours EMB Multiple Tube Report: Membrane Filter; Direct Count Verlflc&tlon: LTB Final Membrane Fgter Relultl Reported By Broth 24 hours:__ __Broth 48 houri= ].0mi Tubes Po$1tlve/'rotal 10mi Portions Collform/].O0ml CHEMICAL & GE£_,OGICAL LABORATORIES 6./ALASKA, INC. 274-3364 5633 B Street i king r A alysi Report for Total Coliform Bacteria TO BE CC MPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO, Phone No, Water SYstem Name ~ .~,..,.~L/ Mailing Address City State Zip Code MO, Day Year SAMPLE TYPE: ~.,Routlne [] Check 8ample (for routine sample with lab ref. no._ [] tpeelal Purpose [~ Treated Water [] Untreated Water SAMPLE Time Collected NO. LOCATION :'; / Collected By ~ ~, 06-3.220 TO BE COMPLETED BY LABORATORY Analys~s snows this Water SAMPLE to be: [] Satisfactorv [] Unsatisfactory [] Sampmtoo ong ~trans~t; sameleshould not De over 48 hours old at examination TO Re cate fallaDla resultS. Please sena new sample ~ , 1', I/ 'i ~: Date Reoelve¢,j.~'> t ' ' , Time Received / ¢~, (r/'~'I Analytical Method: [] Fermentation Tube [] Membrane Filter Result* Analyst Lab Ref. No. ti>. *No of colonies/lO0 mi. or No. of Positive portions· BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Date CoUected Source Lab. NO. Presumptive 10ml 3.0mi 10mi ]0mi ].Omi 1,0mi 0,3.mi 24 Hours 48 Hours Confirmatory Reported By Data MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 2,04-4720 ON-SITE SEWAGE DISPOSAl.. SYSTEM AND/OR WELL INSPECTION REPORT NO. PEP, MIT~.o~ o,~NO' L~ ~ -- -- Well I ~ / Absorption area ~ . Dwelling DISTANCing' ( ~ ~ ~ ~' Manufacturer ~ ~ - ~ ' Mgteri~. ~ Inside length [Width J No. of comc:~rnants IF HOMEMADE: Liquid depth Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons Foundat. i~ DISTANCE TO: i No.o,!ines/ J Leng'h ? Nearest lot line line !/of lines Trench w~dth Top of tile to finish grade /~_/ I the ~' inches Crib diameter Distance b tween lines Total effective absorption area Length Width Type of crib Well DISTANCE TO; Class DISTANCE TQ: Depth PERMIT NO. Crib depth Total effective absorption area foundation Nearest lot line Depth Driller Distance to lot line PERMIT NO, Building foundation Sewer line Septic tank ~ssor~o~rrea(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER A~)~ DATE LEGAL I'FIt!:: LEI".!(/iTH l?,iHfi~f'..l'_:i;):Ol',! LlZ!5 "r'l"l~::: I..!ENI]'i'H ,::]H",I FEET) C!I::' I'I"!E: 1t:REHC:H CIt:;i: l::,l:.':'.'i:::l]:l'rli:')~E~t...f::'. 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THE: Ht..ti'.~!]:CZI::'R!...]:T¥ OF 2: q'.'l I... .!.! L: t, LL.. 'Il.lEE .... :" ::~" ):h,l f:;:II:3(;}CI~;~:[)F!b~(::~: ~,;;; b! TI.II{ :}i:; ~t UF. IDEF~STt:;II',ID T~IF!T' THE ON--.;E;:[TE I:~:!EE;:i]DE:NC:[-~: :[E; t;,iEHOIZ)EL ED 't'O ZNC:t...Ltl)E: i"IOF~'.E 'I'HF!t",I ...::.::........ :::... ....:.__., ......... / ~CCO~NTS o~E~ ~27 ov uA YS, TOTAL l~?~. .. DATE O~ 13/LLING, ?~% INTEREsT PER MONTH ON [] SOILS LOG PERFORMED FOR: 2- 3- 4 7 8 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99S01 264-4720 SOILS LOG - PERCOLATION TEST 13- 14- 15- 16 17 18 19 2O COMMENTS PERFORMEO BY: 72-008 (6/79} PERCOLATION TEST SLOPE ..,"-'7 ......... ~ .......... ~ -' WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? TEST RUN BETWEEN G~TER ANCHORAO~ AR~A BoRO~H HEALTH DEPARTMENT .AGLE ST. ANCHORAGE, ALASKA 9950, 279-251 / DISTAN[E FR©M WELL.__~ _MATERIAL LIQUID CAPACITY~_~'e '~_OALLONS. INSIDE LENGTH SEEPAGE SYSTEM: SEEPAGE Pll: INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAltING ' NUM8ER OF COMPARTMENTS __INSIDE WIDTH .DEPTH OUTSIDE DIAMETER . DISTANCE FROM WELL ,/~..~- ! TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGrH ~.~/ DEPTH ,~ ~, BUILDING FOUNDATION_/~ z/f/z/' sO. FT. TILE DRAIN FIELD: C~ ~"'"'~OUNDA/T~ON , N~R~-:-:-~OT LINE_/ __, OF LINES ~ DISTANCE Fi M WELL ~ ~ TOTAL LENGTH NUMBER ;~. -- BETWL.-~_~.~-~ ___TRENCEI v'/.LD~-.~'~'- ____IN, TOTAL EFFECTIVE ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE SQ. ET, LENGTH OF EACH LINE_ DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE ('"~ DISTANCE FROM WATER WELL: TYPE ,/LL ~"~ DEPTH ~ / ~ _, BUILDING FOUNDATION.~Z_/~ 7'-- SAMPLE NEAREST LINE SEWER LINE ~ TANK ~ SYSTEM_. , CESSPOOL ..... , ' , SOURCES DIAGRAM OF SYSTEM DISIANCES: # - 7d ItEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 Case No.. SEWAGE DISPOSAL SYSTEM - APPLICATION #6 PERMIT APPLICATION TO INSTALL: SEPTIC TANK , SEEPA~ pIT_.~/'"~_.., DRAIN I:IELO FINANCED THROUGH_ ~ ~ _ TO BE INSTALLED PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETIO~~-- ~.TO BE PILLEG OUT BY HEALTH DEPAI:ITMEBT GIAGRAM OF SYSTEM DISTANCES: I certify that I am familiar with the requh'ements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system js in accordance with said code. P O,.~ ,.~ H 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 DEPAI{ I MEN I' OF IlEAl_ I'H AND ENVli4ONMEN FAt. PRO FEC'IION July 1, 1982 Dorthea Mac Donald Box 883 Eagle River, Alaska 99577 Subject: Lot 4 Stockhousen Subdivision This letter is in reference to the four(4) bedroom tri-plex located on the above subject property. This department will grant a conditional approval on the sewer system serving the tri-plex if monies are escrowed for an upgrade of the sewer system and for interim pumping that will be necessary. The upgrade will include the following: 80 feet of trench with six(6) feet of gravel backfill and no deeper than ten(10) feet. Also, a 1,500 gallon two-compartment septic tank will need to be installed. The upgrade requirements will be nullified if the existing tri-plex is removed prior to July 1, 1983. The well has not been re-inspected and cannot be approved at this time. The trailer currently on the property must also be removed by July 15, 1982. If there are any further questions, please call this office at 264--4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw GAAB-HD I GPI:'^TER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM DISTANCE FROM WELL_ ~'~ MATERIAl. LIQUID CAPACITY /~_~"~) '/--GALLONS. INSIDE LENGTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL__ l~_~/~ NEAREST LOT LINE NUMBER OF ./J COMPARTMENTS L,OU,D _INSIDE WIDTH DEPTH OUTSIDE DIAMETER ~ ORWIDTH .. DISTANCB FROM WELL ~- ! TOTAL EFFECTIVE ABSORPTION AREA (WALL AREAl ! ! ,LENGTH ~/ .DEPTH · BUILDING FOUNDATION z/f/t/so. FT. TILE DRAIN FIELD: OF LINES_ ~ ~ TRENCH DV~L~_~ IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. ET. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE _DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: DISTANCE FROM WATER TYP ~f- DEPTH . BUILDING FOUNDATION. ~ ~'~ SAMPLE , NEAREST NEAREST SEPTIC I SEEPAGE//"~/~°/ OTHER LOT LINE ~/~Z. , SEWER LINE ~'~ TANK ~7'~7 SYSTEM_ ~ CESSPOOL / , , " SOURCES DIAGRAM QF SYSTEM DISTANCES: DATE HEAL[H AUIHORIJY GREATEI .NCHORAGE AREA . ,ROUGH Ca,,$0. HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT ,~ ~/'~,~-Z~H MAILING ADDRESS~/~'- ~' ,/'/.~.~, PHONE NO. . .. ,1 ' / '~ LEGAl. DESCRIPTION~¢~ ~ , .C) ~ &~Z/~L~d/ APPLICATION TO tNSTALL: SEPTIC TANK_, ,SEEPAge. ~ ~,DRAIN FIELD .,OTHER FINANCEDTHROUSH ~Z~ TO BE INSTALLED BY~-~ , PERCOLATION TEST RESULTS ANTICIPATED DATE OF coMpLETIO . . . ..~(/ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE A ', . ~/~ ,PERMITTOINSTALLA~ ~ DIAGRAM OF SYSTEM DISTANCES: certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the ,ove described system,is in accordance with said code. / / I 0