HomeMy WebLinkAboutALDERWOOD BLK 2 LT 3A
PERH I T
FtPF'L I CF!NT E:,W I GHT CLOUT I ER
LOCFIT I ON
LEGFIL L-.-': B2 FILDERI.4OOE:, :.~,,./[:,
':'"':'.~ -' ~ -' :5 T F.: E E T., Fi1'-4 C H O F.: FI G E., FIt-=::. ,D,%.~:-i.l
264-4720
t..-.t F.Z [_ i_ F' E F-: !'--1 ::[ "T-
,:: ;.:',_:.-:OD2'...~ ',
5'.-.-.'t0 CHENFt
LftT :5:1: ZE
'~.'?_=.,.'~'?~ $6!URF.:E FEET
i'IiNIHUM DISTFINCE BETWEEN FI t.4ELL FIN[:, FINY O1",,I-:5ITE SEI.4FIGE DI:SPO:SRL SYSTEH IS
:i.E'~E'~ FEET FOR FI PF..:I',,,'FITE 1.4ELL OR '150 TO 20¢~ FEET FROH A F'UBLIC NELL DEPENDING
UF'ON THE TYF'E OF PUBLIC WELL
HINIHUI'I DISTFI1",ICE FROH Ft F'F.:I',/FITE NELL TO FI F'F.:I',,,:FITE SEWEF.: LiNE I:5 25 FEET FiND
TO FI COHHUi",tIT"r" :SEt,.iER LINE] iS 75 FEET.
!-,JELL L. OG:5 FIRE REt.-.!UIREC' RNC, HU:ST BE F.:ETUF.:I",IE[:' TO THE [:,EF'FtRTHENT WITHIN ]:F"~
OF THE WELL COHPLETION
OTHER REL--.¢JIF.:EHENTS I"IA'T' FIPPL'"r'. :SF.'ECIFICFI'T'ION'-:; FIND CONSTRUCTION DiFIGRFII"IS RRE
FI'¢FIILFIBLE TO INSUF-:E F'F.:OPEF. I INSTFILLFITION.
i CEF.:T i F"r' THFIT
±' I FIH FFIHILIFIF.: WITH THE 'F.:E6¢JIF-:E:HENTS FOF.: ON-SITE SEI.,4EF.:S FIN[:' I.,.IELLS FIS :SET
FOF.:TH B"r' THE HUN I C I F'FIL I T'"r' OF FINCHOF-:FtGE.
2 ' I I.'.11LL I .I"4S"f'FILL THE S"r'STEH 11",t FICCOF.:[:,FINCE 1.,.I 11''1'4 THE CO[:'ES.
:51 GNEr:, · ...... ~.- ·
RF'F'L I CI~II'qT E: 1.4 i GHT I:L I'"ll_ T I EF.:
.'[ :5:SUED E,"r'._.--~'--~--:...~~ .......... D FITE. d::~/
SUBBIVISiON:
iNDICATE
NORTH
SEWER SERVICE LINE SKETCH
'7 L¢ - OOO--/,oq2.
SIZE MAIN:
'"~ f~l~ [ '/~' l ~ ~l~ 'l~' LOCATION:
COM M ENTS:
SHOW LOCATION OF CONTROL MANHOLESiCLEANOUTS
TYPE MAIN:
ALLEY
__ CONNECT DEPTH AT MAiN
__ CONNECT DEPTH AT Prop. Line
~'~$PECTED
INDICATE
NORTH
STREET
IBLOCK: ~
ILOT: .~
ALLEY
SEWER SERVICE LINE SKETCH
SHOW LOCATION OF CONTROL MANHOLESICLEANOUTS
SIZE MAIN: ~ TYPE MAIN: __ CONNECT DEPTH AT MAIN
CONNECT LOCATION: ~&ir ,2, ~L ~ /~,
CONNECT DEPTH AT Prop. Line
COMMENTS:
jN G2°02.' g2"W
I
hJ,~° Lt-~'E. - I?O. Gq
UN 5U E~DIViDE D
H
SURVEYOR'S CERTIFICATION
HEREBY CERTtP¥ TNAT t HAVE SURVEYED THE
PROPERTY DESCRIBED ON THIS PLAT AHD THE
IMPROVEMENTS SITUATED THEREON ARE LOCATED
AS SHOWN ON THIS PLAT,
DATED T.,s . /3 DAY op.~//. ,,,~'.r.
LEGEND
0
LOT CORNERS
FOUNDATION
DRAINAG~ A~ROWS
NOTES=
I. IT SHALL BE THE RESPONSIBILITY OF THE BUlLOER OR OWNER TO VERIFY THAT
BUILDING LOCATION SHOWN MEETS ALL SUBDIVISION COVENANTS AND ZONING
ORDINANCES.
IT IS THE RESPONSIBILITY OF THE BUILDER TO VERIFY ALL ELEVATIONS WITH
RESPECT TO ALL UTILITIES.
THIS PLAT REPRESENTS THE PARCEL OF PROPERTY DESCRIBED BELOW TAKEN
FROM THE RECORDED PLAT DESCRIBING THAT PARCEL. INSTRUMENTS RECORDED
PRIOR TO OR AFTER THE FILING OF THE RECORDED PLAT ARE NOT SHOWN ON
THIS PLAT.
THE INFORMATION ON THIS PLAT IS FOR THE USE OF LENDING INSTITUTIONS
SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND
PLATTED LOT LINES OR EASEMENTS , THE PLAT IS NOT TO BE USED FOR
POSITIONING ADDITIONAL STRUCT, URES OR FENCES.
DRAWN BY, }(NI~I~
CHK. BY '
BESSE, EPPS I~ POTTS
2220 E. $$th. AVE.
ANCHORAGE, ALASKA 99507
DATE, It -7 D FLD. BK.,
ALASKA ENVIRONMENTAL
CONTROL SERVP'-~, INC.
! 200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907) 561-5040
SHEET NO. OF
C.EC,~ED e',, ~^TE
SC^LE / ,' JO
Certified Well
For ~ ' ~-~ ~ '
Depth of well.
Size of casing ... c
Distance to water . ~0 ']...2"
........ ~ ~ ~..:
Distance to water while pumping ..... ~:) .... ,~ ................................. at rate
o~ ............... f~..,:; ........................... gallons per hour.
Description of Formation I from ] to -I
Y.~!low c!.ay and ~: ~
I certify the above true and correct
Driller
SOMMERVILLE Wit[ DRILLING
Star Rt. A, Box 1773
Anchorage, Alaska
We ad~ Fou ~ attach thN certificate to your deed.
ALASKA B iUllgOFlm IITAL CORTROL $ RUIC $, Inc.
t~nqineerinq 6 I~nuironmenI~l Sludics
5/23/86
KIM WILMOUTH
4580 DELONG DRIVE
ANCHORAGE ALASKA
99516
SELLER-ALASKA HOUSING FINANCE KIM WILMOUTH
4580 DELONG DRIVE
ANCHORAGE ALASKA
99516
60211
LEGAL:ALDERWOOD SUBDIVISION BLOCK 2 LOT 3
FLOW TEST ON WELL
WELL FLOW DATE-5/13/86
A FLOW TEST WAS PERFORMED ON THE WELL. 457 GALLONS OF WATER WAS
PUMPED AT A RATE OF 7.6 GPM OVER A DURATION OF 1 HOURS.
THE DRAWDOWN WAS 5.45 ' WITH A RECOVERY TIME OF 10 MINUTES
AND THE STATIC WATER LEVEL WAS 60.8 FEET.
THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME.
1200 UJcst 33rd Auenu¢. Suite B. Anchom§e, Al~sko 99,503 .[907) 561-5040
December 6, 1983
TO WHOM IT MAY CONCERN:
I am the niece of William F. Martin, Deceased, and personal
representative of his estate. I resided with William F. Martin
at 6501 Air Guard Road, Anchorage, Alaska, for approximately
fourteen (14) years until the summer of 1983. To the best of
my knowledge, the well which is presently located on said Air
Guard Road property has been there for at least 14 years.
Sincerely,
Aleatha Martin Mills
1725 Katrina Circle
Anchorage, AK 99504
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Ddt ./~'~:~
GENERAL INFORMATION
(a)
Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Applicant Name/~,~" /'~)'/~J~' ~::/'~/"~'~'~ Telephone: Home Business
Applicant Address ~,~¢.z~/' "~d~ ~ ~ ~ ~
(c) Applicant is (check one): Lending Institution ~; Owner/builder~; Buyer ~; Other ~ (explain);
(d) Lending Institution ~/~k~ /'~~ ~a~,ephone
Address ]~/~ ,~ c~ ~ ~
(e) Real Estate Company and Agent ~~/~ /Z~.,~ Z(~ --
Address ~O~ C~. ~/¢ "~ L~
Telephone ~ q~' Z 70~
/
(I) Mail the H~th~ellewi~ddLes~-
TYPE OF RESIDENCE
Single-Family'~l~ Multi-Family []
Number of Bedrooms "~
Other
WATER SUPPLY
Individual Well)~[, Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite [] Public"~ Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
72-025 (11/84)
Page 1 of 2
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained
from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm /'~'~--- j<' Telephone
Address /~--~/T./ ~J .~,.~.~'/ /~'E:. 5'~/-]~'" ,z~
Date
Approved for ~'bedrooms by
Approved ~'~ Disapprove~l
Terms of Conditional Approval
' Con~liti-~a"'ar,,7
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
72-025 (11/84)
~UNIC%PAI-ITY OF ANCHOP. AGE
DEPT. OF HEALTH &
E~VIRONMENTAL pROI'ECT~ON
Well Classification
Well Log Present~N)
Total Depth ~-/~'"
Static Water Level
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
264-4720
~///~'~'" If A, B, C, D.E.C. Approved (Y/N)
Date Completed /~ - / ~'- ~' Yield
Cased to ,2-/~ '
Depth of Grouting
Pump Set At ,"-///~
Sanitary Seal on Casing(~N)
Depression Around Wellhead (Yt~)
'~///~ · On Adjoining Lots ~;
· On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
Casing Height Above Ground
Electrical Wiring in Conduit(~N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
/
Cleanout/Manhole /¢rO -/-
Water Sample Collected by
Water Sample Test Results
Comments ~ /-~-/--~ /~x~'~J
SEPTIC/HOLDING TANK DATA
Date"~d Size No. of Compartments
Standpipes (Y~ Air-tight Caps (Y/N) Foundatior~ Cleanout (Y/N)
Depression over Tank ~ Date Last Pumped
Pumping/Maintenance (Y/N)
Contrac~de ' for
Holding Tank High-Water Alarm (Y/N)"'"',,,.,,~ Temporary Holding Tank Permit (Y/N)
Separation Distances from Septic/Holding
To Water-Supply Well Tank: '~-.~uflding Foundation
To ' '
To Property Line Dis'¢~,~ Reid
To Water Main/Service Line ~r~tream, Pond, Lake, or Major Drainage
Course
Comments
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
inAbsorption Strata Type of System Design
Date Install~,,~ /)/ Length of Field
Width of Field ~ , ./I Depth of Field
/~'// Gravel Bed Thickness
Square Feet of Absorption Area ~ Standpipes Present (Y/N)
Depression over Field (Y/N) ~ Date of Last Adequacy Test
Results of Last Adeq?acy Test ~ '~
Separation Distance from Absorption Field: ~
To Water-Supply Well .... "'~roperty Line ____
To Building Foundation ~ To Existing or Abandoned System on
Lot ~ ,. __ . ' On Adjoining Lots ~.~
To Water Main/Service Line ~ To Cutbank (if pres~ .....
To Stream/Pond/Lake/or Major Drainage Course ~
TcOomDrimV:n~;y, Parking Area, or Vehicle Storage Area ~
LIFT STATION ~_/~,~
~... Dimensions
Size in Gallons """"- Manhole/Access (Y/N)
"Pump On" Level at '~'"'~'~'--..,.~ "Pump Off" Level at -
High Water Alarm Level at ~ ~ Vent
(Y/N)
Tested for -'"-,Ru~es during Adequacy Test. Meets MOA
Electrical Codes (Y/N)
Comments ~~
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I ha~v~:;he~gked, ~_erified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed ~-"~//'f~//~"~ Date
Company ~ ~ MOA No.
Date of Payment ~/~ ~ --
Amount: $ ~ ~ '-~ -' ~ % '~,neer's Seal
Page 2 of 2
TELEPHONE (907) 562-2343 ' i 5633 B Street
':~ : Anchorage, Alaska 99518
Drinking V~ater., Analysis Report for Total ColifO.~m Bacteria
TO BE COMPLETED:~Y
[] PUBLIC WATER SYSTEM I.D.#
PRIVATE WATER SYSTEM
Name
WATER suppLIEI~i !
t1'1 I I I I I~
Mailing Address
City State
* · MO. Day I * Year
SAMPLE TYPE:
~ Routine
[] Check Sample (for routine sample
with lab ref. no. i )
[] Special Purpose
SAMPLE
NO. LOCATION
31
41
51
Phone No.
Zip Code
[] T~eated Water
~i~'. Untreated Water
TO B~'COMPLETED BY LABORATORY
Analy[is shows this Water SAMPLE to be:
,,~~ '~sfactory
[] U~.~atisfactory
[] s~mple too long i~ transit; sample should
nO.{ be over 30 hours old at examination
to~'indicate reliable results. Please'send
ne~v sample via special delivery mail.
Date Received
Time Received
Analytical Method:
Membrane Filter
* No/Of colonies/100 mi.
Time Collected Lab Ref. No. Result*
I I ~ I
BACTERIOLOGICAL WATER ANALY'SlS RECORD
READ INSTRUCTIONS Membrane Filter: Diract Count
Collformll00ml
BEFORE
COLLECTING SAMPLE
Verification: LTB BGB:
Final Membrane Filter Res~ul~:~.,
Reported By ,"-"'~"/~/Z:~~-~--- Date
Time:
CoilformllOOml
TNTC = Too Numberous To Count
OB = Other Bacteria
APPLIC FILLS OUT UPPER HAl ONLY
/'~ Phone
P~roper.~~ (~wner --~/[~/JT'
Mailing A. ddress ~.~ f~, ~/~=~ Zip Code
~uyer ~~
Address Zip Code
Lending Institution /7~ ~ ~f~/~Z ~f~/-~ Phone
Address 1~-~ ~ ~ ~'~ ~ ~J Zip Code
Realty Co. & A~nt ~ Phone
Address ~~ Zip Code
Legal Description L ~ ~ = ~ ~
Street Locati~ ~/~A/ ~ ~
Type of Resi~nce
~ingle Family
~ Multiple Family No, of Bedroo~
~ Other
Water Supply
~ Individual A~ACH WELL LOG. A wall 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
~ Individual
~ ~ Year Individual Installed:
~ When Connected to Public Utility: ~:~
Public
Utility
Holding
Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Field N°te ~'u~XO (~~
( ~ ~PPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAP~OVED
( ) CO~ITIONAL APPROVAL*
Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received
Well to Tank Septic T~k Size
72-023 (3/82)