HomeMy WebLinkAboutALDER PARK LT 7 ,./~, MUNICIPALITY OF ANCHORAGE
,,'/~-'""~ ~'""'~]~:'~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
!l~~- ,¥1 ENVIRONMENTAL ENGINEERING DIVISION
~'~q~_' ~// 825 L Street-Anchorage, Alaska 9950~ Telephone 264-4720
'~ ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
MAILING ADDRESS ~ --
~oc~,o~¢ 7 A~¢z:~.~g -~~¢'-~~- . l~o.o~ s
~ DISTAN~~ ~Absorptionar~a Dwelling ~ / PERMITNO.~ __
-~- ~F~partm~
Mater' I
~ ~'Liq'2~ngall°ns ~MEMADE: Ins id e length ]Width L iquiddepth~
~. DiSTANCE~ell Dwelling PERMIT NO.
~ ~ ~ Manufacturer Material Liquid capacity in gallons
~ Well . ~ Foundation ~ Nearest lot line PERMITNO.
~ = ~ST.UC~ TO: /~E~ ~/¢' _
~ No. of lines / Length~,Q, each line Total~o~lines Trenc~¢ inches Distance between~ lines
~ ~op of tile to finish ~rade ' Material b~neath tile -- -' Total ~sorption area
~-~ Width Depth PERMIT NO.
< ~ ~ ~.~''.;e'~ ~diameter Crib depth Total effective absorption area
Z 7~ ~ Building foundation Nearest lot line
i;~ --.__. f~~:~ ........ .. _r __ '~ ~" . ~'"'er~,st~c._ t° ,ot ,i.. ~,..,~ ~o. _
sG~ L~EST RAT~NGm
INSTALLER
REMARKS -- - . ~./G%
'_~ ~ '. ~ ~.~
A~PROVED · ~ ~ DATETM LEGAL
72-013 (Rev. 3/78)
COiqSU LTl N(-i r .... ~'
BOX 476-N~, STAR ROUTE A · ANCHORAGE, ALASKA 99507 · PHO~IE 344-7071
SOILS LOG
Soil Type Water Level
4
6
~ !0
,o 12
14
16
18
20
Remarks
Total Depth of ExcaVation
Groundwater
ot Reached
Depth, if Reached
Classific:ation Method
/~Visual
( ) Sieve Analysis
()
Material at Total Depth
Bedrock
[~ot Reached
Depth, if Reached._ .
Gary F. Player, Consu]_tin~ Geologist
MUt'7IC~PALI-I"Y ()F AP, ICHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorag,z, Ah~sk~ 99501 Telephone 204.-4720
CERTIFICATE OF INSPECTION
SEWER AND WATER FACILITIES
1. PROPERTY OWNER
MAILING ADDRESS
2. LEGAL DESCRIPTION
3. TYPE DWELLING
i~" SINGLE FAMILY RESIDENCE t'2~ OTHER (Describe)
'(-~ MULTIPLE FAMILY RESIDENCE
WATER SUPPLY
ZT! INDIVIDUAL
~COMMUNITY/PUBL C
5. SEWAGE DISPOSAL
'~_:'"" INDIVIDUAL/ON-SITE
PUBLIC UTILITY
HOLDING TANK (Maintenance Required)
APPROVE ....... OMS
CONDITiONA'L'-A~P~ (See Attached)
DISAPPROVED
DATE
72.0t4 I3,'78)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street, Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1, Type of Inspection: CMRO VA
2. Property Owner: JUNE P. VAZINA
Mailing Address: 8324 Sundi Dr. Anchorage, Ak. 99502
12. Name of Euyer: n/a
FHA CONV XX
HOME PH. 243-4735
~ Phone WK.276-4511 ext 1201
Mailing Address: Day Phone
,Name of Lending Institution: First Federal Savinqs & Loan Assoc.
Mailing Address: P.O. Box 4-2200, Anchoraqe, 99509 Phone 274-6561 ext.
N¢nle of Realtor or Agent: n/a
Mailing Address: Phone
218
Legal Description: LOT 7 of the Alder Park Subdivision according f~ fhe c~f'Fir, iml pl~f
thereof, filed under Plat #67-140, located inth theAnchorage Recording District.
Location: 8324 Sundi Dr.. Anchorage., Al~.~]{~ 9950?
Type of Facility to be inspected'
Water Supply
If Individual, number of dwellings presently serv Six (6)
If Individual, depth of well unknown _ __
Single Family No. B 3
9 Sewage Disposal System
Type of System:
Public Utility
Individual (on-site) XX
I'f Individual, date of installation
1968
** We are requesting an adequacy certification. However, we would like to be
pTb~ MUNICIPALITY OF ANCHC)~AGZ
notified if there appears to be any drainage ems .? DEPT. OF HEALTH &
Processor ,;:{ P k i ? 1978
RECEIVED
MUNICIPALITY OF ANCHORAGE
OF HEALTH AND ENVIRONMENT,.,~_ PROTECTION
iL StreeL:, Anchorac'~.. Alaska 99501
264-4'720
Date Received: April 17, 1978
~2: Time ~3: Time
Date Date
I n s ]2 I n s p
REQUEST FOR APPROVAL O!" INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: First Federal Savings and Loan AssOciation
MaJ_ling Address: Post Office Box 4-2200 99509 Phone: 274-6561/218
Property Owner:
Mailing Address:
June P. Vazina
8324 Sundi Drive 99502
Phone: 243-4735/h
276-4511/1201
Legal Description: Lot 7 Alder Park Subdivision
8324 Sundi Drive
4: Si. ngle Family Residence: (x)
Number of Bedrooms: Three
Mull,~{_~pl'~ Family Residence: ~,. ~ Number of Bedrooms:
. j
Well System: individual well ( ) Conm~ur~ity/Pu!t!'ic. System
Permit ~ Depth of Wcll Well Log on ],~le (
Construction
Bacterial. Analysis
Sewage Disposal System:
Permit ~
Sept:lc Tank Size
Absorption Area
On-site System (x$ Public Utility ( )
!ns b. am~er
In st.,x _~ ..... 1968
Manufacturer
Soils Rahe Material
Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
Page Tw'o
Department of Health and Environmental Protection
Request for Appreval of Individual Sewer and Water Facilities
Legal. Description: Lot 7 Alder Park Subdivision
Comment s:
Affadavit Attached: ( ) Letter Attached: ( )
App, roved: Date:
Disapproved: Date:
Department Worksheet: