HomeMy WebLinkAboutT12N R3W SEC 15 LT 72Property Owner
Mailing Address
APPLIC FILLS OUT UPPER HAL ONLY
Buyer
Lending Inslitution
Realty Co. & Agent
Address ~.~ ~,,~ \ ,~[,~ Zip Code
Legal Description
Type of Residence
L} Single Family
~ Multiple Family No. of Bedrooms ~'~'-
CT Other
Water Supply
.~ Individual ATTACH WELL. LOG. A wog 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 Yea~ Individual Installed;
[ ] Public Utility When Connected to Public Utility: _
E~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Date Date Date
Inspector Inspector Inspector
Date
Inspector
Field Notes:
i ) APPROVED BEDROOMS
( ~ DISAPPROVED
( ) CONDITIONAL APPROVAL'
OAT E/~)/'-'~Z~/'~
'CONDITIONS OF APPROVAL
Soils Rating
Date Sewer Installed
Well TO Absorption Area
Well to Tank
Well Log Received
Seplic Tank Size
72023 (3182)
PAR'N'4 E
HUNICIPALITY OF ^NC ORAGF
0F HEAl.ltl AND ENVIROqM[-iH~
264~,4720
JJ L: rl'i ]TIC! Ii 2: 1.1 me
nRI)q-ECIlOH
c) 9 5 0 ].
Da~c Ro~:ei.ved:
ii3: '1'~ me
Dat , l) ai_c l)a
Illsp Lin F,} ............. J. 1] s [-
RI'X'_gU]NST PeR APPROVAL OF ]N.JI'VIDUAL Sl<i~iEIt AND WATE]~ F AC. LI t J l.h-
1. 'I,cDCIJllg ]nf~titutionh.iuc.-'¢ ~ '~'c.' · Security ................................................................... National Bank % Fran Agut _
Hailing Addz ..... Pouch 7-777 99510
2. Proper~y Owner: Clay M./Betty L Serby
276-6800
276-4312/her
Mailinq Address: 9631 Abbott Loop Road[ 99502
3. ],e¢la]_ DCF;Cr.Lpl..IO]I: T12N T3W Section 15 Lot 72
SJ_ngle lani] y Reside;nee: ( ) Number o~
MulL~p]o Famil ?.~miclo-nce: (x] Number
5. Well, Systc:mr [ndJv:ifluat well (x) Comnluniny/Pubtic Sys~em )
1"" ] o
Permit l)cpth of ;o].L 1.,200' Welt Log on . 1 .... ~
Cc ~ls LFLIC L,lOn Bac kef J.a]. Al'la ]. y s J.s
Sewage Dis))osal Syslzem: On-sLue Sysuem (x)
See white sheet for details
Perm~L Insl:al ](d
Publlc Ul'i.].i. ty
[nst'a ].J.er
Sci>Lie l'ank S.lze
Absorption Acea
SoiJs %ate Material
We1.] :o Septic Tank
t.o Absorption Area
Page
Health and Environmental Protection
of Individual Sewer and Water Facilities
Two
Department of
Request for Approval
Legal Description: T12N R3W Section 15 Lot_~2
Comments:
Affadavit Attached: ( )
Letter Attached: (
Approv ed:
Disapproved:
Date:
Date:
Department Worksheet:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA
2. Property Owner: SEARBY, Clay M. & Betty L.
Mail[ng Address:_9631 Abbott Loop Rd
Anchorage, AK 99507
3. Name of Buyer:
.FHA CONY XXXX
276-4312 wk Mrs. Searby
344-4513 wk Mr. Searby
.DayPhone:~44-8369 hm
Refinance
Mailing Address:
4. Name of Lending Institution: Security National Bank
Mailing Address: Pouch 7-777, 99510
5. Name of Realtor or Agent: None
Mailing Address:
6. Legal Description: Lot 72, Sec.15, T12N,
___ Day Phone:_
Phone: 276-6800
.Phone:
R3W, Seward Meridian
Location: 9631 Abbott Loop Road, off Abbott Road
7. Type of Facility to be Inspected: Duplex + 2 log cabins No. Bdrms.7 total all 4 units
Water Supply , ,
Type of Supply: Public Utility Individual ~XXX
If Individual, number of dwellings prasently served 3 (4 units total)
If Individual, depth of well. 1200 '
9. Sewage Disposal System
Type of System:
Public Utility
__Individual (on-site)_3 systems
If Individual, date of installation 1969 for duplex; 1973 for 1 cabin~ replaced
1975 for other cabin
Please
All septic systems were pumped in 1976
return Security National Bank: Attn: Fran Agut
MUNICIP,\LI]Y OF /!,hIC',,
72 003(3/76)
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED
PLAT ARE NOT SHOWN HEREON,
AS. BIJII,Y NO CORNERS SET THIS DATE
~ lloP~by 8ertffy that ]~ hatq~ pe~'foi*ttl~d a Mortgagee~ J~-
spec)lan of the to)lowing described property:_ (~:~V '7~
Anchorage Recording Precinct, Alaska, and that the Improve-
ments situated thereon are wltbin the property lines and do
not overlap ox, encroach on the property lying adjacent there-
to, lhat no improvements on property lying adjacent thereto
encroach on the premises in question and that thoro are no
roadways, transmission lines or otlmr visible easements on
said property except as indicated heroon~
Da)cd at Anchorage, Alaska
this ~-%-~,L-day of b-2-c°x/~r~x~:.-(~v~- , 19.~7'7
FRED WAI,ATKA & ASSOCIATES
Engineers and Surveyors
December 14, 1977
Seonrity National Bm~k
Pouah 7~-777
k~lchorage ~ Alaska 99510
Attention: Fran Agut
Subjeet~ 9~12N R3W Seetion 15 Lot 72
Clay ~.i./Bo~;ty L.
The ~nbject property consists of a d~plex and t~o(2) cabins
which are s~rved by a a~ti-public well. Listed below ar~
applicable code descrepanoies noted dHring a recent
inspection:
(1)
(2)
(3)
44)
Well
a. Well is located ]~ a pit.
b. Sew~.%r lln~:s infring~ within forty(40) feet prote~tive
Duplex Se~er
a. Septic tank located, within s~venlty(70) fe~t of semi.-
p~lic well, which is %~ithin eighty(80) feet
protective radius.
b. Absorption area look%ted $~,v~ty-one(71) feet from
w~12[., ~hi~h is within 120 feet protective radius.
Cabin nearest duplex
a. Septic tank located forty-six(46) feet from
whi(:h is within ~ighty(80) feet prot:e(=tive radius.
b. ~sorp~ion a~ea fifty~sfx(56) fe,~t fron~ w~ll, which
is within 120' protectlv~ radius.
Ca,bin near ~bott Loop Road
a. ~eptic tank ~issing access standpipe and tank
existsnce m~st be decumented.
Absorption field mu~t be t~sted for adequacy once
the s~ptic tank :Ls doc~ented and access pipe
installed.
f~e~uri%y National Bank
L~c:~mbor 14, 1977
Pacje 'h.~o
(l)
Yle. ll must be upgraded by extending casin($ twelve(12)
inches above (lround snd filling the pit with ilapervi(>us
soil ~
(2)
Dupl(~x and nearest cabin must relocate se~er system
lines and componets, e.g., septic tank, drainfield,
beyo~l protective rea(lies of the ~¢ell. One new sewer
syste~n commonly used appears the ~ost reasonable
and inexpensive approach.
(3)
Cabin near Abbott Loop Road needs tll~ septic tank
docu/~lented by e~posing tha manhol.~ a~'~d then installing
an access standpipe. The tank~ also,, must b8 pu~%ped
for ¢;apacl-ky size and overdue maintenance.
9?he drainfield must b~ determined adequate once th(~
[]~ptic tank is ctoc~entc~d by an adequacy test using
a flow ~ate method.
(4)
Sewer upgradinf~ procedures
Soil t~st in proposed absorption area 120
from the
b,, Permit from thiz~ department, cost $20.00.
c. Insp~otions as required on the
Due to :~easonal freezing, e~xcavating ca~% be costly, thereforo,
this depar~mlent could grant a te~aporary conditional approval
if f'und,'$ are escrowed for upgrading.
Tl~e spa(.*ifications for ~ecro%~ estimates cn~ be stated fr~ml
this depar~ent once the soil test results are received. A
list of soil testln(3 firms is available u~n request. ~.~he
escrow would encompass the following items.
(1)
(2)
The well upgrade
The ~ewer upgrading on the cabin nearest Abbott Loop
Road to consist of tank installation and the installation
of the absorption area unless the tank c~a~ be ~-axposed
at this t~e for doe%~aentation, pumping, installation ~$f
the ~]~tan~pipe, and an adequacy te~t (:onducted,
Security National Bank
D~,cember 14 ~ 1977
Comp].eto tank an¢% sewer absorption area relocation
beyo~%d th~ protective; radius of
If thmm(~ ar~ any furthe}t q~{estions, ]?lessee contact this
office at 264~4720o
Sincerely,
]%obe. rt (;o Pratt~
Sanitarian
Clay ~o/B~tty I,., S(~rby
963]. Abbott Loop Roa(t
99502
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