HomeMy WebLinkAboutT13N R3W SEC 13 LT 104
0
Municipalityof
nchorage
3000 ARCTIC BOULEVARD
ANCHORAGE, ALASKA 99503
(907) 277-7622
GEORGE M. SULI~IVAN,
MAYOR
DEPARTMENT OF ENTERPRISE ACTIVITIES
Sewer & Water Utility
October 1, 1979
Reference:
T13N R3W Sec 13 ·
Lot ~t®~ ~.~
7110 E. 4th Avenue
To Whom It May Concern:
The above property is connected to our
sewer system. The connection was made
25, 1975,
Municipal sanitary
and approved on October
e M. Mace
Customer Service Supervisor
Anchorage Sewer Utility
MIJN C PALITY C,' k~,NChORAGE
MUNICIPALITY OF ANCHORAGE DEPT. O, '
DEP, ARTMENT OF HEALTH & ENVIRONMENTAL PROTE~T~I~, ~NONiv',r:NTAL pr~OiECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720 ~LCF/~ji LVi T~i E~s
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE
[31RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please aliow ten (10) days for processing.
EROPERTYOWNBR
/IAILING ADDRESS
]OPERTY RESIDENT (If different from above)
2, BUYER
PHONE
PHONE
PHONE
MAI LING A DDR ESS
3. LENDING INSTITUTION f PHONE
I
MAILING ADDRESS
4. REALTOR/AGENT. . I PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
;TREET LOCATION
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] One ~ Four
~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
[] Other
WATER SUPPLY
~ INDIVIDUAL* * ATTACH WELL LOG. A well log [s required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach iog if available.)
8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON.SITE**
~, PUBLIC UTILITY
**if individual/on-site, give installation date
If system is 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
I NSP ECTO R INSPECTOR INSPECTOR
DIRECTIONS:
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] S~NGLE 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: 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
' 5. COMMENTS
[~-APP ROV ED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
GREATF-R ANCHORAGE AREA BOROUGH
Department of Environmental quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Time of Inspection_~/~o
Date of Inspection //
~ REQUEST FOR APPROVAL OF
I~IVIDUAL SD~R & WA~R FACILITIES
FOR
Address: ~,~ ~ , Phone:
Phone ~
3. Legal Description: ~/~ ,~13 ~/3~ ~
~. Location: ~//m ~. ~ ~,
5. Type of Facility to be Inspected: .~ ~
6. Well Data:
C. Construction
7. Sewage Dlsiosal Svsfiem: ~,
A. Installed .'
B. Depth ,,
D. Bacterial Analysis
B. Installer
C. -Septic Tank: 1. azze 2. Manufacturer
D. Seepage Pit: 1. Size 2. Material
Disposal Field: Total· Length of Lines
Distances:
A. Well To:
Septic Tank
, Absorption Area
, Sewer Lines
, Nearest Lo~t Line
· Other Contamination
B. Foundation to Septic T:ank
~ Aosorptzon Area
C. Absorption Area to Nea:rest Lot Line
I~{~J'~J~}~ ~REATER ANCHORAGE ARE,~ BOROUGH
~B~/~mu - ~lO?~ ~partment of Environmental Quality
~muv ] ~$~,C,~--St., Anchorage, Alaska~ 99503 ~ 274~561
~o~ O~ ~NVIRON~NTAL
REQUEST FOR APPROVAL OF , ....
INDIVIDUAL SEWER & WATER FACILITIES '
l, Type of Inspection: G~RO V~ #z~07 78~HA 6ONV
Property Owner:
Mailing Address:
BRyANT~ Harold O.
(P. O. Box 8282, Anchorage, )
7110 East Fourth __ __Day Phone
333-5733
3. Name of Buyer: (refinance~
Mailing Address: same as above
Day Phone ............
4. Name of Lending Institution: IfA.S~LER &
Mailing Address: 3_19 w. 5th_A_venue _
Phone 272-9501
5. Name of Realtor or Agent: none invp_l, ved
Mailing Address: Phone
Legal Description: Lot 104 S_ectio~n 13, Ti__~_~]~ R_3W,~SEWARD MERIDIAN
Location: 7110 East Fourth Ave_., Anchorage, AK 995_04
7. Type of Facility to
8. Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings
If Individual, depth of well
9. Sewage Disposal' S~stem
Type,of S~stem: Public Utility
If Individual, date of installation
be inspected:water & Septic Tank No. Bdrms. 4
Individual xx
presently served 1
Individual (on-site) xx
KASSLEB & CO.
319 5TH AVENUE
A~C.~Oi~AGE, AI~KA 91~0.l
Oeco~aber 4, 1973
Kassler & Company
319 West 5th Avenue
Anchorage, Alaska
9950l
Re: On-site sewer and water
Lot lO4, Sec. 13~
facilities serving
R(rA (7110 East 4ti) Avenue)
De~r Sir:
Upon your requ~Jst, the ~bove facilities v:ere inspected by this
' 1>7.~.
it was found that the uater systen~, se)'ves three d~;ulltngs, Also,
the w~'ll is in a pit and i~. is not pessihle to find out the 'type of
'
~-,,e' systen~ serving the s,[..~ct ~nit. ~,..,,',,~ore we cannot
of upSrad~ng.
.... , ~,~ell bro~r/ t out of the pit and
It will be necessary to i~ave ch= ,,,.~.-, proof o~ an approved sewer
the noi~J filled with dirt. ~? also
system that has both a se~t. lc tank and c~:sspool or drai)rfield.
- ~ .... r Dl~,ase co,tact
att.
me at 274-4561, ex'tension.
Sincerely,
Charles F. Sellers,
Environnmntal Control Officer
ko