HomeMy WebLinkAboutT13N R3W SEC 33 LT 55D{..o"r"
55s
MUNICIPALITY OF ANCHORAGE
· DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONIVIENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
MAI'LING ADJR ESS
NO. OF BEDROOMS
/
Liq. capacity in gallons Inside length Width Liquid depth
IF HOMEMADE:
~ ' DISTANCE TO: Well'~""~'~J'~= Dwelling ~ ' PERMIT NO.
=--~O ~ < Manufacturer ~
~ Well Foundation Nearest lot line PERMIT NO,
~ Top of tile to finish grade Material beneath tile Totsl effective absorption area
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building ~undation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
~ Build]ng foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE TERJALS
SOIL TEST RATING
A~ ~ DATE LEGAL
13 (Rev. 3/78)
PERMIT NO.
APPL I CANT
LOCATION fi-'TD /
LEGAL
TYPE OF SOIL RBSORBTION S'T'STEM IS:
MFINIMUM NUMBER OF E, EDROOM_, = SOIL RP]TING
THE REt~JI~ED SIZE OF THE SOIL AD._-ORPIlON z,*tSTEM IS:
,,:SQ FT,'"BR)= ~ ~'0 ~ '
DEPTH'--
LE[4GTH=
G F,' I~] ',,-' E L [)EPTH=
THE LENGTH DIMENSION IS THE LENGTH (iN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEP.TH OF ft TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AIND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMLIM DEPTH OF GRAVEL BETWEEN THE .OUTFALL PIPE
AIND ]'HE BOTTOM OF 'FHE ENCR'v'ATION (IN FEET).
PERMIT APPLICANT HFIS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF AN? WELLS flDJBCENT TO THIS PROPERT9 AND THE
NUMBER OF RESIDENCES THaT THE WELL WILL SERVE.
-l" I_,1C~l ( 2 ) I I'-.~SF' ECT I 13~'.4S aRE REQLI I RED
BACKFILLING OF RN~/ S'.r'STEM WITHOUT FINAL INSPECTION AND APPROVAL B9 THIS
DEPARTMENT WILL BE SUBJECT TO PROSEC:UTION.
MINIMUM DISTANCE BETWEEN A WELL fiND FIN"r' ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR fl PRIVATE WELL; OR
150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
WELL LOGS BRE REQUIRED FIND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 D89S
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MA9 flPPL¥. SPECIFICATIONS AND CONSTRUCTION DIflGRAMS ARE
8VAILflBLE TO INSURE PROPER INSTflLLATION.
PERP1 I T E }-', F' I RES [:,EE:EI'lBER --?--:'[ ~,
I
1:
FORTH BM THE MUNICIPALITY OF aNCHORAGE.
.':;': I WILL INSTALL THE SYSTEM IN flCCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER S~t'STEr'I MAk' RECqUIRE ENLARGEMENT IF THE
flPPL I CflNT ~
ISSUE[) 8¥__ OflT V-~. 2
CERTIFY THAT
I Arq FAMILIflR WITH THE REQUIREMENTS FOR ON-SITE SEWERS fiND WELLS AS SET
Tim McKeinnan
2701 East 50th
Anchorage, Alaska 99507
Subject:
Soil Investigation for Sanitary. Sewer System, Lot 55D,
Resubdivision of Subdivision 55, Campbell Creek Small Tracts NW~,
Sec 33, T13N, R3W, Alaska
Dear Mr. McKeinnan :
At your request of October 26, 1979, we conducted a subsurface soils investi-
gation at the proposed location of the sanitary sewer system on the subject
lot. The investigation complied with those procedures required by the
Municipality of Anchorage Department of Health and Environmental Protection.
This investigation, which was accomplished on October 29, 1979, consisted of
a test hole excavated to a depth of fifteen feet below the existing ground
surface. The test hole was sited according to your instructions and its
location is shown in attached Drawing A-01. Excavation was accomplished with
a backhoe. All material excavated was continuously monitored by an
experienced geotechnical engineer.
The topography at the excavation site is generally horizontal. At the time
of the investigation the site was occupied by a single family residence with
an existing septic system apparently consisting of a septic tank and two
leach field lines. The top of the test hole was located on fill material
approximately three feet above original ground surface.
The soils encountered in the excavation are shown in the test hole log in
Drawing A-01. This log displays specific conditions encountered at the test
location. However, subsurface conditions may vary in other parts of the lot
without any apparent surficial evidence of the change. Groundwater was not
encountered. Bedrock was not encountered. At the time the hole was
excavated seasonal frost was not present and permafrost was not encountered.
A percolation test was performed within an adjoining test pit at a depth of
five to seven feet. All depths were measured from the top of the hole. The
data in Table 1 show average infiltration from the depths indicated to the
bottom of the hole. The measured percolation rate was 109 minutes per inch.
Page -2-
We appreciated this opportunity to be of service to you. Please contact us
if you have any questions concerning this letter or if we can be of addi-
tional service.
Very truly yours,
R&M CONSULTANTS, INC.
Gary ~ith
Seni~ Geologist
GS/rm/ATSI-E
BORING NUMBER
Date Completed:
SOIL DESCRIPTION
ORGAN I C MAT
FILL MATERIAL
PEAT
SANDY SILT W/TRACE GRAVEL, ML
Many Cobbles
SANDY SILT W/ TRACE GRAVEL, ML
Very dense, slightly mo[st,
llght brown grading to gray
NO
LOCATION SKETCH No Scale
EXISTING
HOUSE
5' deep plt for
perc test
~ tank
Test Pit !
NOTE; DISTANCES SHOWN ARE APPRO TE AND HAVE
NOT BEEN MEASURED eY SURVEYING METHODS.
EXPLANATION
~"~' .. ORGANIC MATERIAL
i~~ Little Visible Ice O:lO' Vx
(~ SAMP££ NUMB£N
(~'Ss, 72, 5Z I°/o, 85.9 pcf
~ BEDROCK
TYPICAL SOILS LOG I A,B-AFTEf~BOPIN~
SAMPLER TYPE SYMBOLS I
SOIL SYMBOLS
CKD. NSULTANTS, INC. ISubdivision 55, Campbell
DAT£. 10-30-7 LF .... ~,;~,[~ pL[~(~)~ .......... jj ICreek Small Tracts NW 1/4,
LSec 33, T13N, R3W, Alaska.
LSC*'-E-
GRID.
PROd. NO. 951327
DWG. NO. A-01 fl
PERCOLATION TEST
TABLE 1
R&M NO. 951327
TIME
ELAPSED
TI~
(MIm~TES)
WATER
LEVEL
(~NC~mS)
3:33 0 1.00
3:34 1 1.625
3:36 3 1.75
3:38 5 1.80
3:43 10 1.90
3:53 20 2.0
4:03 30 2.10
4:13 40 2.20
4:23 50 2.30
4:33 60 2.375
0.275 Inches In 30 Minutes
109 Minutes Per Inch
GRE~i'ER ANCHORAGE AREA BOkuUGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
ilNSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
FROM WELL
INSIDE LENGTH
COMPARTMENTS
INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /~ GALLONS.
LINING MATERIAL CRIB SIZE: DIAMETER DEPTH/~F~DISTANCE FROM: WELL ~L.-~
A~B~ORPTION AREA (WALL AREA) SQ.
ADDITIONAL ABSORPTION
FT.
WELL:
TYPE '~)L~, ~)/ )'~ CONSTRUCTION
BUILDING NEAREST
FOUNDATION __ LOT LINE
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH_ DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE: ~-'O.-
REMARKS:
DIAGRAM OF SYSTEM
r~- G.A.A.B.
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. ~
.E,.,CT^N"SIZE T¥"E .EE"AGE,'REA=
DIAGRAM OF SYSTEM
MINIMUM DISTANCES, REQUIREMENTS /
FOUNDATION TO SEPTIC TANK
]FOUNDATION TO SEEPAGE PIT , DRAin FIELD
SEPTIC TANK TO SEEPAGE Pit WALL -
SEPTIC TANK . , SEEPAGE PIT DRAIN FIELD
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAin TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, SEEPAGE PIT ., DRAIN FIELD ,
TO RIVER, LAKE, STREAM.
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC: TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
ICERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA E~OROU~H ORDINANCE NO. 28-68
AND
THAT
THE
ABOVE
BATEDESCRIBED SYSTEMg--2/- I S.?5"'~''~lN AC CORBANCE W/TH APPL/,ANT'S SA IB CODE,siGNATURE ~ 2~//~ .
CONSULTANTS. l~qC.
August 19, 1975
R & M No. 562092
Mr. Roy Hoffman
2701 East 50th Avenue
Anchorage, Alaska
RE: Test Hole and Soil Log Report for S~nitary System
Lot 55D Campbell Small Tracts
Dear Mr. Hoffman:
We are submitting herewiEh the test boring results and our comments
regarding soil conditions encountered at the subject site. This
investigation was performed in accordance with your request of
August 18, 1975, and those procedures outlined ina letter dated
July .15, 1975, by Mr. Rolf Strickland of the Greater Anchorage Area
Borough Department of Environmental Quality.
A single test hole was put down within the Lot 55D area for the pur-
pose of defining general subsurface soil conditions for the proposed
sanitary system. Excavation was accomplished with a tractor-mounted
backhoe and the test hole was extended to a total depth of 14.0 feet
below ground surface. The final log prepared for the test hole has
been included in Drawing A-01.
Ground water was not encountered in the test hole.
We appreciate being given this opportunity to be of service to you.
Should you have any questions with regard to the above, please do
not hesitate to contact us.
Very truly yours,
R & M CONSULTANTS, INC.
Vice President
~m/j a
xc: GAkB
T.H. 1
8-18-75
0.0'
ORGANICS
1.0'
/
SANDY GRAVEL ~ ~
TPACE SiLT (GW)
GRAVELLY SAND
w/S~LT
NO WATER TABLE
14.0' T.D.
Log Represents
Lot 55D
Campbell Small Tracts
Engineering t~ Geological Consultants Inc.
ANCHORAGE ffAIRBANK$ ALASKA JUN[AU
Roy Hoffman Property
Log of Test Hole
Anchorage, Alaska
oArE 8-19--75 SCAUE 1"----3' DWN BY WED ohio s¥ WED PROJ. No.562092 OWe NO. A-01
October 29, 1974
Hr. and/or ~rs. Roy Hoffman
2701 East 50th Avenue
Anchorage, Alaska
99507
SUSJECT: Lot 55 D, Section 33, T13~(, R$~ - Upgrade of on-site sewer system
Dear i~r. a~d/or Hrs. tloffl~an:
This letter is In reference to our telephone conversation of October. Z8, 1974
in ~htch we discussed the continued use of your present cesspool. This pro-
vision is m~de providing you do not a$1ow ra~ sewage to everflo~ on top of the
ground and that the following requirements be completed no later than June 30,
1975.
1) Construction of e complete system consisting of a septlc
tank and a seepage pit,
£) A permit from this department issued prtor to construction,.
a) ]nspectton and approval of system prior to backfilling.
I¢ [ can be Of any further assistance, p]ease feel free to contact me at
274-4561, extension 155.
Sincerely,
C. F. Sellers,
Environmental Control Officer
CFS/ko
~ DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPEDTOR INSPECTOR~ ~
L PROTECT-~" DEPT, OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTA I~IRONMENTAL PROTI~CTION
825 L Street - Anchorage, Alaska 99501
) ENVIRONMENTAL SANITATION DIVISION J U~
Telephone 264-4720
o. .A... A..
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be proce~ed. Please allow ten (10) days for processing.
MAILING ADDRESS
MAILING AD~ ESS --/ ~ {~ / /
~. ~u~o~T , ~ / ~uou~
§. LEGAL DESCRIPTION
;TREET LOCATION
6. TYPEOF RESIDENCE
SINGLE FAMILY
MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] One [] Four [] Other__
)~Two [] Five
Three [] Six
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
7. WATER SUPPLY
[] INDIVIDUAL*
[] COMMUNITY
PUBLIC UTILITY
:8. S EW~G I~ DISPOSAL SYSTEM ,/~.~.~
INDIVIDUAL/ON-SITETM YEAR ON-SITE SYSTEM WAS INSTALLED.
PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 {Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or [~]Holding Tank
Size: ;~'q:2(P~ If Tank is,homemade SOILS RATING
give dimensions: ~7~
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
I~"//APPROV ED FOR ,~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED /~
DATE BY ~.
72 010 (Rev. 6/79)
ANCHf -' J GE WATER & SEWER ( -)ILITIES
3000 Arctic Boulevard
Anchorage, Alaska 99503
(907) 277-7622
George M. Sullivan
Mayor
July 10, 1981
Owned by the Municipality
of Anchorage
TO WHOM IT MAY CONCERN:
Subject: LOT 55D, B.L.M. LOT 55, SECTION 33, T13N, R3W
Sewer Service Availabi'lity "
The Anchorage Water & Sewer Utilities have determined that, based upon
the topography of the subject lot and the depth of the nearest existing
sewer lines, Lot 55D cannot be served by gravity sewer from those
sewer lines.
If you have any questions, please feel free to contact me.
Sincerely,
DONALD BENNETT
Lead Technician
Anchorage Water & Sewer Utilities
DB:mg
File :Grid 4640
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
PROPERTY RESIDENT (If different from above)
2. BUYER
MAILING ADDRESS
PHONE
PHONE
3. LENDING INSTITU ION
MAI LING ADD~E[S' ~
4, REAL'j'OR/AGENT
PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
STREET ~'OC/~TI 0 N
6, TYPE OF RESIDENCE
[~ SINGLE FAMILY
NUMBER OF BEDROOMS.
[] One [] Four [] Other__
[] Two [] Five
[] MULTIPLE FAMILY ,~ Three [] Six
?. WATER SUPPLY (~.~n,, 1,0 ~
[] INDIVIDUAL*
* ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
PUBLIC UTILITY depth (attach log if available.)
8. SEWAGE'DISPOSAL SYSTEM
,~ INDIVIDUAL/ON-SITE**
PUBLIC UTILITY
**If individual/on-site, give installation date
If system )s over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO E~ FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
I~] INDIVl DUAL ,, DEPTH OF WELL
[] COMMUNITY DATE DRILLED ,' '~ '"
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTI LITY
Connection Verified INSTALLER
E~]Septic Tank or [] Ho]ding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
PPROVED FOR EDROOMS /
[] CONDITIONAL APPROVAL (letter must acc~pany certificate)
~ DISAPPROVED ,~
DATE /~ ~¢ 'BY(Ti~e)~ ~'/~
72-010 (Rev, 3/78}
825 "t." SFREET
ANCHOt~&GE, ALASKA 99501
(907) 264 4111
September 24, 1979
Dan/Scott Mc Keirnan
'2701 East 50th Avenue
Anchorage, Alaska 99507
Subject: T13N R3W Section 33 Lot 55D
Approval for your individual sewer and water facilities
can not be granted until the following items have been
completed:
(1)
The septic tank pumped with a receipt submitted
to this office. Please have the pumper state the
number of gallons pumped from the tank on the
receipt.
(2)
A percolation test be performed on the existing
leaching area. This test will determine if the
system is adequate according to National Standards.
A listing of private firms performing the test is
enclosed.
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Robert C. Pratt, R.S4
Associate Specialist
RCP/ljw
cc: Spokane Mortgage Company
3201 C Street - Suite 250 99503
POUCH 6 650
ANCHORAGE, ALASKA 99502
(907) 279-2511
GEORGE ~,L SULLIVAN,
1~4A YOR
October 17, 1979
Dan and Scott Mc Keirnan
2701 East 50th Avenue
Anchorage, Alaska 99507
S6bject: T13N R3W Section 33
Lot 55D
The adequacy test on the existing leaching area for the
above subject, has failed. Therefore, an upgrade of the
system will be required. Prior to the upgrade a soils
test will need to be obtain and a permit issued from this
department.
The septic tank needs to be pumped with a receipt submitted
to this office. Be sure to have the pumper put the number
of gallons pumped from the tank as this office needs
verification of its size.
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Spokane Mortgage Company
3201 C Street Suite 250
99503
October 16, 1979 R&M No. 951327
Tim McKeinnan
2701E. 50th
Anchorage, Alaska 99507
Re:
Adequacy Test on Existing Sanitary Sewer System; Lot 55D, Resubdivision
of Subdivision 55, Campbell Creek Small Tracts NW~, Sec 33, T13N, R3W,
Alaska
Dear Mr McKeinnan:
Per your request of October 3, 1979, we conducted a test of the sanitary
sewer system on the above described property.
During this test the liquid level in the septic tank was monitored as water
was added to the system. The measurements are summarized in the following
table:
Liquid Level Below Top of Standpipe
Time
Total
Elapse Septic Total Gallons
Time Tank Drainfield (N) Drainfield (S) Added
9:55 0 24" 30" 24" 0
10:02 7 min. 13" 28" 23" 25
10:16 21 min. 3" 24" 19" 25
10:27 32 min. 13" 23" ]8" 0
10:50 55 min. 16" 24" 19" 0
The meter used during the test was a Rockwell 5/8" standard water meter which
had previously been calibrated by R&MConsultants, Inc.
October 16, 1979
Tim McKeinnan
Page '2-
If the 3 bedroom residence on the property is to house 6 people, the average
load on the system can be expected to be 450 gallons per day or .31 gallons
per minute. During the test, the system accepted 32 gallons in 55 minutes.
This indicates an average effluent acceptance rate of approximately .58
gallons per minute at the time of the test.
Because the house on the lot is occupied, we assume that the leach field was
at its normal degree of saturation. We can therefore conclude that the
system is not disposing of effluent at an adequate rate for a 3 bedroom resi-
dence.
We appreciate this opportunity to be of service to you. Please contact us if
you have any questions concerning this test or if we can be of additional
service.
Very truly yours,
R&MCONSULTANTS, INC.
Darryl Jordan
Staff Civil/Geotechnical Engineer
DJ:GAS/dj/ATSI-D
Smith
Project Manager
, ./
April 5, 1976
Municipality of Anchorage
Department of Health & Enviromental
2510 Tudor Rd.
Anchorage, Alaska 99507
Re: Roy Hoffman
Lot 55 D Sec. 33,
T13N, R3W.,SM.
Gentlemen:
In reference to your letter of March 26, 1976, we will escrow
sufficient funds for completion of the sewer system. We would
appreciate notification of final inspection.
Our records show the family is comprised of two adults and two
minors. We have notified the buyer of stipulation concerning
the sewer.
Yours very truly,
Ruth LeBar
Mortgage Loan Department
RL:mlc
OFFICES S TA TEWIDE
630 *U.a~ 5~h Avenu~
2701 ga~ 50th
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received March 23, 1976
Time of Inspection /,'~)
Date of Inspection ~q
REQUEST FOR APPROVAL OF
FOR
ConY;
1. Approval requested by: National Bank of Alaska
Mai]in§ Address: 630 East 5th Avenue
Phone: 279-2506
2. Property Owner: ~Roy ~IoIfman Phone: 344-7763
Mailing Address: 2701 East 50th Avenue
3. Legal Descriotion: T13N R3W Section 33 Lot 55D
4. Location:
5. Type of facility to be inspected
6. Well Data: Public Utility
A. Type
C. Construction
Single Family
No. of bedrooms 3
Sewage Disposal System:
A. Installed
C. Septic Tank: 1. Size
B. Depth
D. Bacterial Analysis
On-site system see attached paperwork.
B. Installer
2. Manufacturer
2. Material
, Absorption area
, Other contamination
, Absorption area
, Sewer Lines
D. Seepage Pit: 1. Absorption Area
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
C. Absorption area to nearest lot line
LQ-034 (1/74) Page I of two pages
· .-~age 2 of two pages - Re% ~st for Approval
~egal De§criDtion T13N R3W Section
of Individual
33 Lot 55D
Water Facilities
Comments
Approved
Disapproved Date
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street, Anchorage, Alaska 99503 -- 2-7A-4561 ~ ~ ¢,. '~ -~- ~' /
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
Type of Inspection:
CMRO VA FHA CONV x
Property Owner: ~-oy Ho££man
Mailing Address: 2701 ~,o
3. Name of Buyer: Boud~ea~x~ Robert
Day Phone 3~-7763
Mailing Address: l~l7 Twining
4. Name of Lending Institution: Natl. B~£k of Alaska
Day Phone 333-~286
Mailing Address: 630 E. ~th Phone 279-2~06
Name of Realtor or Agent: Leon~d Realty ~Beth Fr~ucis) ~~
Mailing Address: 2028 E. Northez~ Lights Blvd. ~ Phone 276-7912 /
6. Legal Description:
Location:
Lot ~D, Sect. ~. 'T13N? R~4. Seward Met.
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply: Public Utility x
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual
No. Bdrms. 3
Individual (on-site) x
BeKun summer '7~. Attached is ~ dia~em of
system ~nd what rems&ns to be completed° Also
~ttached is a bid on the work w~ch will need
to be escrowed.
EQ-037 (1/74)
YENNEY'S CONSTRUCTION CO.
9100 Lake Otis Pkwy.
ANCHORAGE, ALASKA 99507
Phone 349-2242
Roy Hoffman 344-7763 3/15/76
2701 E. 50th Ave.
CITY, STATE AND ZIP CODE
Anchorage, Alaska
ARCHITECT
DATE OF PLANS
JOB LOCATION
Lot 55D Campbell Small Tracts
JOB PHONE
We hereby submit specifications and estimates for:
Completed 16' of ditch, lO' deep 2' wide. Fill with screened rook,
Finish installation of pipe to pass inspeetion and backfill sewage
N~ line and water line,
Pipe and materials to be furnished by owner.
Screened rock by Yenney's Construction.
~ll¢ ~rl:ll.lll~' hereby to furnish material and labor -- complete in accordance with above specifications, for the sum of:
Five Hundred Fifty dollars ($ 550.00 ).
Paymenl to be made as follows:
Within ten (10) days of oompletion of ,job pending approval by the
Municipality of Anchorage.
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner accordmg to standard practices. Any alteration or deviation Icom above specifica
lions irwolving extra costs wilt be executed only upon written orders, and wilt become an
extra charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner 1o carry bre, tornado and other necessary insurance,
OUr workers are fully covered by Wotkmen's Compensation Insurance.
Signature
Note: This proposal may be
withdrawn by us if not accepted within_
Signature
Signature_
Dale of Acceptance: