HomeMy WebLinkAboutALYESKA Block 12 Lot 6
MUNICIPALITY OF ANCHORAGE
He~ h and Environmental Prot:e Lon
Fourth Floor West
825 L SLreet
Anchorage, Alaska 99501
264-4720
NUMBER OF
IAt.~........ COMPARTMENTS __~.~
IIq:,llPl t I:NC.'I/t ..... INBII)L W/Il)Itt I IOIJll) [;[ PTi't I I()UI[)CAPACII'~ GALLONS.
i. , '_i ;: i'll ..... i .i";i ; "f ................ : ................ %~____Z .........
TILE ONAIN FIELD:
~ "~" ~, ~ ~~ TOTAL LENGTH
l)i PI~I: lOt' OI T'IL[i I() f-iNIS}t (;N,,M)[{ ................. MAIERIAI.. [iENI:.fliH -III,U ................... IN. ABOVE TILE IN,
SE E. PAG [.; PI'f:
DI/\~t4 WI f)'l'} ~ .......... LENG I I-I ......
I.,og Crib ........... Rzngs ........ C.~ib Size: ~/~.4[: ~i!~ t~;f'l'lt~F:ROh,~: WEI.L
]O~AI. FI'FECTIV[
U, Uit_Ni[~; i ~;LJNL)A'!I(.)r.~ ........... NE/kiWI_ST LOf LIN[: ............ /',,I~SORI'TION ARFA (WALL ARIEA) ................ SQ. FT.
.: 1 a s ,..s: L ......... D o p't h:
;roll IDi,:~t. dn(.~:, lo: Lot L.~_ne
Sewer Line
"ipe Hateria]_s:
: off Bedrooms:
,~stal].or :
· :(re'Lark s:
SEWAGE DISPOSAL SYSTEM -- APPLIGATION AND PERMIT
INSTALLATION OF~ SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
SEEPAGE PIT.,
, DRAIN FIELD
OTHER .
NOTE; THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED /~ ~ ~-~ ~' ~ ~-
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE '~,- ,, ~ . TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE Pit WALL
SEPTIC TANK I ~ SEEPAGE Pit
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATEr MAIN TO SEPTIC TANK
DRAIN FIELD.
SEPTIC TANk, SEEPAGE PIT
TO RIVER, LAKE, STREAM.
DRAIN FIELD
, DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
., DRAIN FIELD
SEEPAGE AREA SIZE
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BAGKFIlTL /
CONFORM TO,~I~;GH REGULATIONS REGARDING INSTALLATION.
TYPE
DIAGRAM OF SYSTEM
I CERTIFY THAT i AM FAMILIAR WITH THE REQUIREMENTS OF ~~;'- - - -::;;;;;''~-¢ Z~mF.~~RDINANCE NO. 28.68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
FORM NO. EQ-01 6
D E PAR?MEN'
~: 2-5
MUNICIPALIT~'~ ., ANCHOP~ ~''r
)F HEALTH AND ENVtRONM~. PROTECTION
L Street, Anchorac~., Alaska 99501
264-4720
#1: Time
Date
Insp
#2:
Date Received:
Time
Date
SePtember 26, 1977
#3: Time
Date
Insp ..
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
I. Lending Institution Request: National Bank of Alaska
Mailing Address:~_ Post Office Box 3-3859 Phone: 274-1621
2. Property Owner: Floyd Stretch
Phone: 337=1731
MaiLing Address:
Alyeska, Alaska
3. Legal Description: Lot 6 Block 12 Alyeska Subdivision #2
4:
Single Family Residence: (x)
Multiple Family Residence: ( )
Number of Bedrooms: Two
Number of Bedrooms:
Se
e
Well System: Individual Well ( )
Permit # Depth of Well
Construction ~.~~¢
Sewage Disposal System: On-site System (x)
Community/Public System (x)
Well Log on File
Bacterial Analysis
( )
Public Utility ( )
Permit #
Tank Size
Installed
1972 Installer
Manufacturer
Absorption Area
Soils Rate
Material
7. Distances:
Well to Septic Tank
to Absorption Area
to Sewer Line
Nearest Lot line
Absorption Area
to Nearest Lot Line
Page ~TWo
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 6 Block 12 Alyeska Subdivision #2
Affadavit Attached: (') Letter Attached: ( )
pproved. ' Date.
~a~p~~~
~ '
Department Worksheet:
Type of Inspection:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY'~'
3~~'~t, Anchorage, ~ - ~
825 "L" street 279 251~1
825R~LII~S~eFOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
CM RO VA F HA CON V
Property Owner:
Mailing Address:
Day Phone
Name of Buyer:
Mailing Address:
Day Phone
Name of Lending Institution: ~ [~A
Mailing Address: ~.,.~7,_.~_~ ~, /;,.~_A~_.~: ~/~__,~
, Phone C~ ? c[ ....,/~ ~(
5. Name of Realtor or Agent: J~_~'( d)l~-.~l(-..: 1~44 ~' j~C-'-A(.~'t~ (:~'~ UJ~<~7- /,,~Z"'
Mailing Address: /~,fl~t~o/'~.T- C~,O .~ ~N ~-.~b/- c-?~),~..~ Phone
6. Legal Description:
Location:
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply:
No. Bdrms. 2
Public Utility ~ Individual
If Individual, number of dwellings presently served
If Individual, depth of well ¢q~/~
9. Sewage Disposal System
Type of System:
Public Utility
Individual (on-site)
If Individual, date of installation
72,
EQ.037 (1/74)
October 5, 1977
i~ational Bank of Alaska
Mortgage LOan Section
Post Office Box 3-3859
Anchorage, Alas~m 99509
Subject= Lot 6 Block 12 Alyeska Subdivision
There is no re~ord of the holding tank installation. Therefore,
this ~epartment requests the end of the tank opposite the inlet
~e exposed to insure no outlet exists and to document ta~k ty~e.
Also, of c~ce~n, is a guest house of what sewage facilities
are utilized. At 'this ti~e, the guest house may also have
a separate holding tank and if so it also needs exposing as
mentioned above.
Until mo~e information and ~ocumentation is obtained, this
department can not grant an agproval.
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Les N. Buchholz, R.S.
Sanitarian
cc:
Moby Dick Inc. Realtors
624 West Internatio~al Airport Road
(Fl&yd Stretch Property)
99502