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HomeMy WebLinkAboutT13N R3W SEC 26 LT 22Mayor Mark Begich Municipality of Anchorage 1'A. Box 1(1(1650 • Anchorage, Alaska 99519.6650 • Telephone (907) 343.8301 • Far (007) 343.8200 4700 lhugnw Strcct • Anchorage, Alaska 9!)507 W W.nual.org Banding Safety DIvision August 10, 2005 Joseph & Dcspine Lester 3649 Campbell Airstrip Road Anchorage, Alaska 99504 RE: ON-SITE WASTEWATER DISPOSAL AND WATER SUPPLY SYSTEMS; TI3N, R3W, SECTION 26, LOT 22; PARCEL ID: 007-094-20 Dear Mr. & Mrs. Lester, This letter is in response to your request regarding regulatory jurisdiction of the on-site wastewater disposal and water supply system for the subject property. The On -Site Water & Wastewater Program has regulatory oversight of residential properties with individual on-site wastewater disposal and water supply systems within the Municipality of Anchorage (MOA). This includes wastewater disposal and water supply systems serving single-family residential dwellings and single-family residential dwellings with attached an accessory dwelling units (ADUs). The State of Alaska Department of Environmental Conservation (ADEC) has regulatory oversight of commercial and multi -family residential properties with on-site wastewater disposal and water supply systems within the MOA. This includes wastewater disposal and water supply systems serving single-family dwellings with detached ADUs, duplexes, multi -family dwellings, and commercial properties. Based on the information provided, the subject property contains two (2) residential dwelling units with the second dwelling unit detached from the main dwelling unit. I also understand the property appraisal report considers it a single-family residence with an ADU and an ADU permit has been applied for with the MOA Planning Department. Although the property may be considered a single-family residence with an ADU under zoning regulations, because the second dwelling unit is detached from the main dwelling unit, the on-site wastewater disposal and water supply systems for the subject property fall under the regulatory jurisdiction of the ADEC. Please note the regulatory jurisdiction of the MOA On -Site Water & Wastewater Program and ADEC is subject to change. If you have questions regarding this letter, please contact me at (907) 343-7906. Sincerely, Julie Makela, P.E. Civil Engineer 11 On -Site Water and Wastewater Program Cc: Ms. Wendy Mikowski, First National Bank Alaska Community, Security, Prosperity AUG -09-05 TUE 04:27 PM FNBA ILP (First National Bank ALASKA MEMBER FDIC FAX NO. 907 777 5636 P. 01 FAX pais: \:n '�rTrr From: Wendy h�iko;vski � -� Loan Originator To: a Phone: (907) 777-5622 Phone: 0'cD3- iti hAgn Fax: (907) 777.5661 1.4x: q -'4 s. CeII: (907) 244.3569 Wm i kowski(a. FNBAIas ka.corrl Cc: ew+."••••1••••••nj "..tea-. y Rctcrcncc:_3/ 9 (" plo— Ujjkoillp if of pages tlurladCI cu.trl This facsimile transmission Is confidential and Intended for the use of the addressee only. If you era not Ina addrossoa, of a person responsible for dolivsring this transmission to the addressee. please do not use this transmission In any way. Please contact tho sender by telephone, If possible. Thank you. re nlari:u: aNan.. rn AUG -09-05 TUE 0427 PM FNBA ILP Nit MW bY.U.rn FAX N0. 907 777 5636 • 0 Alaska Market Data System PO Box 91604. AndRnpe, M( 995041604 pmt 967.2166270 Fax 907.241.3$75 1MEQRIANZ THIS INFORMATION SHEET MUST GO TO THE LENDER WITH THE APPRAISAL REPORT. LENDERS • Please complete sates dale and return toMIDS. APPRAISERS • pease R6 out completely and use format 1 et a9 possible ACOR(55: 3549 CarnpS9 ANndp Road tfltt' Lot 22 SecCon 21 TI3N R?W Earn i __ EKT[IOORw Paige R. Hodson, SRAleases St a a n1000 bet 11 Paige R.lHndson, SRA no r77oS:Ey, Wlla ele�gpe — AY7erap, AK 99503 affiaawwen Mtent t _ Pta:_BOA prise int .-,.• s ly 000— fn 914741251(4? 9672749759 War } fayr e- nA tars .— risme Ik�NJ,y{ ! re .4•r!k.Adn33.41 - 4 1gd.i219e.p )Iedae!!. BM , Jac 12?9elt_. AI ...3=2.. "�'S .nr. Ceti art 3641 C Wass 32rtrte. sate (4tn .__ Proctors prop Nri_Oala NSW t6 Artzaloda..- /AIEAMRf.IKY19 Sari orDumbp ja tojairj o Wien Campbe Ors M IeAlm4 Oaea d lralwaa ._ AOM Dah Room tart GIOM.LM-0 ATT__ Naar DIM Ram Saba Goat_ Rlgo al LW, _ Alnetp Rd 306 013W_SM. _ Inepe atON E.MA: /205 _ 4?_. Average_ Inpet_ CILNIDIVAvo Average 9aneNM'S-.-. Oeee TdA:De FSLISISL _met Stk. e 0 9 C13.1.4.11.11 ._. Aswmee elder 629•CAN,_ EatmoP.jkrnsher Pr •1.wd.N 6±4-1001^0.--. Sae addenda. sae ketone_ IICSI f9304alie Trr. S17p42I w. lne Y3•LLr. !s_ t Man afl� SRO Oa.Lgetk S SrTE Ho. 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KITCHEN MOWN Condo nprllla44a.1 Noy 12.1 TIO Wits Crap Input Cement Nand* Ibsen Amon 11 Myer. W. 4*Pun WY RI Own W ta An. now In Iq. sled Cas.tNonr Clent Non hen Oar bawd P. 02 lea tad edea. Iter bas eons o8RIns lir 4� Lae im INTERIOR RI RSC �* Yu t•1R+W • 14.s I JAa 1;;; kat II ytAdY Rrn Dine rOa Own Net 111141 WArr rite Ins CUSTOM *Iona Ond dYa RrdM P1rILRe.NYLk.. 0VI w. use IM Pad jow RmWrAiw _ Rdapr Corn R arab Mae 6W 5a 1t4 Rad pas m awry easy hnow Inns par lin Can ore prY1 RROtertn w Sad tat fN48drat Watt Wind INN Rte flaws/ dea1111..a.P.9aartndp Amos_ urn. IEWN0 Ib> MY ❑MYC DmtR ntM• I7VA Dent Iemswr TOntsc itn- t.WAStai Trot_ rt YlGIdrrr■.rrL7wyeasol - Na canassbn **raft fSao ___-. raq fsQo YM NU Pa Indy R A Y M RLp.ICal l3.•• an ll20.0alfat9CA WOW FBI 1 M Naos In....i,__ Cwa.eh 1 MIA Ile 1 Y•Inn 1IMI 11.10w•.2-.__ 11461 R+I A KAN. Iom...._ we tu•NPS 1 Pia • I �— M�Iee e • *Y wflower) AUG -09-05 TUE 04:28 P11 FNBA ILP FAX N0. 907 777 5636 P. 03 5' 1ELE ♦ ELECT. ESPY 000n 114. PAM 067 S 89'58'00• W 19 331.48' .11 L. ate 4r ® - y EXISTING NOUSE 71.4 LOT 23 eThk P 0 ; M:CIION L. Joko1rr L5-7839 Oiroe NOTE: •1185 CHAWNC 15 NOT TO BE UOD:FIEO FOR USE AS A PLOT PLAN. 32+CIE.s.d .ILKSlk3EXA-4a` iin V...... o1 C10 ransom 110041: II 4 a1 .I.. .tpa. - t V 4slennFe J 0 E= L F S TE_ R um n.t w ny eaana.la ee\v.mla r , plot 1C ankh do MI apart an Ur nccrdl4 aed.dcn plat NOTE• Undo- re eraunatneat 11..A4 any dela herrn H Hal a t {i L{ •L�rernrrn iY j[i n tnanochon r for w1pN111rM0 propaly Ina 74-5 `. pi NOW. k UTRITY MUT (PATENT) \, EAST 381)1 CT. 5 89'58.00• w 1i 158.22' 1i u '0 CO 1' LAND & CONST 440 WEST BENSON BLVD. .4 103 ANCHORAGE, ALASKA 90503 Kr LFC19 n.. t ,AUG. 5. 2005 i s0' 2005-L-2301 NRe" I&; .- NNER EN INEE 5 (los) 561-6626 907) 882-5291 1736 NAzkit 333 PET, 97L701 SURVEY CERT9ICATON: LANIECH ate conducted e rooked awry w two weasels es 164.4 n be � O ,e that Improvements.Improvementsre ts situated IM— ro repally limn — no rare.. monis e•111 oar Na. n•Ir. AS BUIL., OF: LEG&LDOMPTn. BLM LOT 22 SECTION 26, T13N, R3W, S.M., AK LEGLN3: SET FND Wrist what) SA' P5 0 3 7V ALRLL Q1 Wome n Q) WO • Inn 0 —s—s -. aaniaCC. Coed rt-t.- taroRrt- E^ _ J M!\IµE. 1 £LK . WAR. 1100 AUG- 8-05 MON 12:40 EAGLE CUSTOM TOURS August 8, 2005 Municipality of Anchorage On -Site Water and Wastewater 4700 Bragaw Street PO Box 196650 Anchorage, AK 99519-6650 9072727766 P.01 RE: Letter from the Municipality/On-Site Water and Wastwater Property: T13N R3W Sec 26 SM 3649 Campbell Airstrip Road/Anchorage, Alaska ATTN: Kathy Maricle/fax 907/343-7997 Dear Kathy: We are in the process of selling our home of 27 years here in Anchorage. The First National Bank Alaska lending department has requested a letter from the Municipality of Anchorage be written to them stating our septic system falls under the jurisdiction of the State of Alaska and not the Municipality of Anchorage and that we are not under Muni code but are under the State of Alaska code. The letter should be fax'd to Wendy Mikowski at 777-5681 please copy it to us at 272-7766.. She is the person handling this transaction for the bank and the buyers. They just want a sign -off of Muni responsibility. This is the last document we need and closing depends on this statement from your office. Please help us out as soon as you possibly can. We thank you in advance and appreciate your assist. Bes regards, /� f-u.o_ Cr , -6 • pina C. Lester Joseph L. Lester TEL 907/277-6228 A GREA'frER ANCHORAGE AREA BORE,JI_'GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME "`�^"�9"� MAILING ADDRESS P ` `L�C!) A `c, Z' PHONEa% 41- 0 a97 LOCATION (10- -e-Y 4 o LEGAL DESCRIPTION - `-- - T (ark 3 W SEPTIC TANK: DISTANCE 1 FROM WELL -100 NUMBER OF MANUFACTURER-----• MATERIAL COMPARTMENTS 2 LIQUID DEPTH LIQUID CAPACITY l0©0GALLONS. INSIDE LENGTH INSIDE WIDTH TILE DRAIN FIELD:: j/Lpv.�i% TOTAL LENGTH DISTANCE FROM WELL 3‘)- FOUNDATION NEAREST LOT LINE OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH— IN TOTAL EFFECTIVE ABSORPTION AREA WC)-- Ste' SQ FT LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE CID IN ABOVE TILE IN WELL: TYPE CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE , TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY SEWER LINE DEPTH PIPE MATERIAL `-"""--%' LOT SLOPE: REMARKS Form EQ -032 IAAM ¶,STEM DATE V t APPROVED M L_J NI :I: N Sn.- k y-" K: -n lFr &==fl ti -,9 0_ 9- tl ry �e N _ n i n 11._ _ ia77t, _DEPARTMENT c HEALTH HMI' ENVIRONMENTAL (HTFi_'TJ:IIH • 2516; E. •TUDOR RD. , ANCHi:RAGE. AK. J07 ±t— 1/-3-76 276-222±�-I //. Cn @'-A — :I: 'T Ir= _:� E- IL=.8 I E d== ° I.::" I. I;, ° �.."1 3= ..T.. — .�Jc. MLitt) (rnis. dbL, v, l K APPLICANT SAM CHAMOIS [ Ci Ertl; r.r•._ 274-::2' LOCATION CAMPBELL. FIELD RDD LEGAL L22 SEC 26 l"J.._>P+I R. ':ba LOT SIZE ::L o00 i SI !IJARE: FEET TYPE OF :_;OIL.. AE:SORE:TIC'N SYSTEM IS: TRENCH VIF1>:IMAM NUMBER OF E:EL-:'R:[:u:ItS SOIL. RATING (SQ FT/BR)-- :150 THE REQUIRED SIZE OF THE: SOIL. FIBSORPTION SYSTEM Is: IC::^ EE I==" -I'" II -1:_.:_ :.I.. LEL 1._. E=:: d"- 9 oo' T- I -N -_ 1E:8 c- F :.' FTIC::'_ L_. THE L.ENG-FI-I DIMENSION IS l� THE LENGTH CIN FEET) OF THE. TRENCH OF: DRAINFIF.-L.D. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF 'fl -IE GROUND AND THE BOTTOM OF. THE EXCFIVb..1011 (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRA'•iEL-.. C:'E.FTH IS THE F1INIMi-II1 DEPTH 'OF GRAVEL BETWEEN THE:: 0111FAL..L.. F'IF'E AND THE BOTTOM OF THE EXCAVATION CIN FEE:T). F -C E _': n_: x L_. L :IC F_ E=: E-. E F" -T T. a _11- L=L r L . S :E "v ° E ' =::. -i n_1e it u _n - Ia CD c: _ = 3: PA 1 Pr" I_: L.:_: -.N :1: CON F F :0'.E FE: : li-n N._B BACKFILLING 111G LIF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL. BY THIS DEPARTMENT WILL BE SIIB7.EC:T TO PROSEI.UTION. NTNIN'JM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR ,=t_ 0 FEET FOR A PUBLIC WELL. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F OFE: n ANIA I CERTIFY THAT .L: I AM FAMILIAR WITH "I"I-II- REQUIREMENTS FOR ON--:c.IT'F. SEWERS AND baLi...L.S AS SET FORTH BY THE MUNICIPALITY OF AI^IC:HORFUOE. T WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY F:EG!U1.F:F.. ENLARGEMENT :[F THE RESIDE:NCE IS REMODELED TO INCLUDE MORE THAN W BEDROOMS. HF'PL1C ANT SAM CIHAPIOI5 1 SSUE[) E:YQ � & J L. _... C DFI FF'4.iL._: __._2 c ./sGucnTcu ntici,,;r1 r,1;;_a c01V-- 11 • ' Department. of 1 ?iv ironwriita1 t...',lil-y .33.30 "L" ,treeC 11nchorac;: , Al aJ I:a 99503 S(111S 1.O(1 PER(U./\TION 'C1':5'1• Performed for 1.7.41(1—tr'. Pert'orri,u.�G-,2A0-7o" Legal Des Grip t,ion: .T3%'/ N' 4-2` - Lei ota This form reports: Soi Is log Percolation test Depth feel -,-o i �r2ot L (G) 2 3 SQL+1 6rnue (( c -guis rketa °ci ejep`-A 9 - 12 - 13 - 14 6' (e.1-1, If yes, at what depth? Was ground water encountered? �% jV 0 4J e- ."' G �GO 0 a ! /'CAGY_! lv� Reading Date Gross Time tie I, Time Dc yy _ _.._feA 9:s__ iso - - _____.- 30 -_ __ __ gt�-__.__ __ 1" )th to t^later Net Drop /n O 0 PorcolaI.ion roto 7/'z Q m1nu Proposed insLal lat. i . 5etipage Prt Dr in Field Depth of Inlet Depth to bottom of pi I: or I-,r?Cn t.o1;11[UTS: 15 . �1 f� /:7. _ 22ei3:/ti61 c. �t'� :.. rl. f�.. _/3ez2. r . 1- • P:rfilrvu:.l h t y .._, .6`�._ Zlf2_c./ _._._,,ate:76? nAlrAtc INSPECTION APPOINTMENTS —��-i"'""veD �— TIME • TIME TIME / :2-.0 DATE DATE INSPECTOR DATE is -9-g, el INSPECTOR INSPECTOR DEPARTMENT • •t UNICIPAt�TY yr ANLNOK GE MUNICIPALITY OF ANCHORAGE pp�I�II��7��RRDEPT. OF HEALTH e: OF HEALTH & ENVIRONMENTAL PROTECTION'O'NMEN1AL PROTECTION 825 Street - Anchorage, Alaska 99501 DEC 1981 SANITATION DIVISION Telephone 264-4'2° RECEIVED OF INDIVIDUAL WATER AND SEWER FACILITIES r (4 J ENVIRONMENTAL K, ■ PUBLIC UTILITY REQUEST FOR APPROVAL DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days fo processing. 1. PROPERTYOWNER ,__;`Userk I. 1A- Des LCSreE/- PHONE 338-1018 MAILING ADDRESS S6417 C1:47,0-1/0C1:47,0-1/0SE// "'Vie .r rz, , %Po . PROPERTY RESIDENT (If different from above) : S -4 -on c.. -M- PHONE 2. BUYER 2. (f// rr o c✓f/,G-'2J e'ir .1/eP-/ e v nr J' i r xt e,3v'ern/ ) PHONE MAILING ADDRESS 3. LENDING INSTITUTION /sv-4L r A/9-n'o 49..-N.& c", AXJc Lor.. , c - PHONE ` X74 --6 3O o MAILING ADDRESS SOX 7a2 0 -- ..4n/'c-4-o24y e J9 /c . 5 9J"/ u 4. REALTOR/AGENT7 �/ 67•x._ PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION Se -c 4 - <o 7— ca - 8Lvn - X 3 "-' r/3 n/ STREET LOCATION .3C 09 C'1/22,-ndo de. -7 / /9-14,4 rr2,to i? .0. 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS FAMILY ■ One IIS Four IN Other SINGLE �. ■ Two • Five EJ MULTIPLE FAMILY $- Three IN Six 7. WATER SUPPLY j9. INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled IN COMMUNITY since June 1975. For wells drilled prior to that date, give well O PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM / 7 J 6Z--'Q�e-1,�� CS1 INDIVIDUAL/ON-SITE** f 970 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) ✓" n Raub Lott& CptgA-1 �`kt / THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE FAMILY NUMBER OF BEDROOMS O THREE O FOUR D OTHER MI SINGLE FAMILY • ONE • FIVE • MULTIPLE • TWO ■ SIX 2. WATER SUPPLY Verified PERMIT NUMBER DEPTH OF WELL • INDIVIDUAL • COMMUNITY DATE DRILLED • PUBLIC UTILITY Connection LOG RECEIVED 3. SEWAGE DISPOSAL O INDIVIDUAL/ON SYSTEM -SITE PERMIT NUMBER DATE INSTALLED / (^ (-7 Cc IN PUBLIC UTILITY Connection Verified INSTALLER • Septic Tank or In Holding Tank Size: /bili) If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK . MANUFACTURER TOTAL ABSORPTION AREA MATERIAL c.----, 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS / ,, O APPROVED kr CONDITIONAL O DISAPPROVED FOR BEDROOMS certificate) APPROVAL (letter must accompany DATE BY 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 204-4111 n[Orcrr. Su L. 1.1 VAN MAYOR DI PAH IMEN 1OF HEAI711 AND LN VIRON&71: NIALPRO'�CCTIO PI September 29, 1981 Mrs. Joseph Lester 3649 Campbell Airstrip Road Anchorage, Alaska 99504 Subject: T13N R3W Section 26 Lot 22 The sewer system on the above property was installed and approved by this department for a three(3) Bedroom single family dwelling on November 4, 1976. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION March 13, 1981 Joe Lester Post Office Box 2467 Anchorage, Alaska 99510 Subject: T13N R3W Section 26 Lot 22 The proposed dwelling on the above subject lot is planned to be built as a single family dwelling with a small apartment attached, which would be used for a relative. As long as the apartment is not rented and is used0 only as a convenience to a member of the family, this department would not classify the dwelling as a multiple family dwelling. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw - -_,- 4 • - if INSPECTION APPOINTMENTS TIME \ \ Ca 4 tCA AA ); Art e DA �i c RECEIVED (`vLi ti'ZC fC—1 •. , TIME TIME DATE27to .3` / DATE p u -a -C t�EU DATE $-1"-, 0 1 9h. INSPF, TOR e-, e / -R tlfP 1.-, INSPECT 5yq`]4 INSPECTO' A� MI Infirm • ITV OF ANCHORAGE • Three ■ Six _ G�� DEPT. OF I'-ALTN & MUNICIPALITY OF ANCHORAGE ENVIRONMENNL-.- '...D.1:CTION OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 l 1980 MAR 1 SANITATION DIVISION Telephone264-4720 RECEIVED_ OF INDIVIDUAL WATER AND SEWER FACILITIES DEPARTMENT -_,:c i ENVIRONMENTAL REQUEST FOR APPROVAL DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days fo processing ����� 1. PROPERTY WNBR S/2 e 19129 7j------ PHONE 7 y 5; 0 295 MAILING ADDRESS /- i"/ BOK 6a v ) n,A/c' i7, 19K, --------_, PROPERTY RESIDENT (If different from above) / PHONE p 2. BUYER // sr r ( 72:5A /°` PHO E A'Nl (LING ADD 'WS O G r7( 2 7 -' /"/ 4/e /T Y q -. /C1 r 3. LENDING INSTITUTION - PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS - - O 5. LEGAL DESCRIPTION 4 - 2-'2-/ S E — ? r— / fri g - 3 L/ STREET LOCATION Cgfi?y��SGc- ? !/ Sff'1/ ili 791,77 6. TYPE OF RESIDENCE .�/ I,( SINGLE FAMILY NUMBER OF,BEDROOMS II One • Four 0 Other IIS Two • Five II MULTIPLE FAMILY • Three ■ Six 7. WATER SUPPLY OINDIVIDUAL* COMMUNITY 0 PUBLIC UTILITY *ATTACH WELL LOG. Awell log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) //✓Sr/2/G?=7v 8R67fP1-7 . SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** O PUBLIC UTILITY /VLA )/,. / 976 YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) -- /V .27 &G/%G-f2 Al /Y% y/ T� T! //A oJLJ J X/i7 i/c AA:70's,e 2 %'9i'%r'a 9 Jc' /943WS/ nett THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE 0 SINGLE FAMILY NUMBER OF BEDROOMS ■ ONE ■ THREE • FIVE IN OTHER • MULTIPLE FAMILY • TWO • FOUR ■ SIX 2. WATER SUPPLY 0 INDIVIDUAL 0 COMMUNITY 0 PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ■ INDIVIDUAL/ON -SITE PERMIT NUMBER DATE INSTALLED 11—n CP •PUBLICUTILITY Connection Verified INSTALLER _ �M OSeptic Tank or • Holding Tank Size: /®UD If Tank is homemade SOILS RATING / — O give dimensions: TYPE OF TANK MANUFACTURER ) TOTAL ABSORPTION AREA MATERIAL Sewer Line Nearest Lot Line /t-2^a. Absorption Area 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area to nearest Lot Line 5, COMMENTS 4 if 1 4 e_`,‘,-",51“12,, of ' �i/I,o d/ 0 C 4APPROVED FOR 3 BEDROOMS ompany certificate) ItI CONDITIONAL APPROVAL (letter must ac �` kJ • DISAPPROVED DATE 3,1_84,_ 4--a-q-8 o BY c ,mob 72-010 (Rev. 6/79) Mu �0 + ahhty Anchor, April 4, 1981 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Sam Chiamis Post Office Box 662 Anchorage, Alaska 99510 Subject: T13N R3W Section 26 Lot 22 Approval for your individual sewer and water facilities can not be granted until the following items have been. completed: �j(11� The water analysis report be delivered to this ��C(7/ office from Chem Lab, 5633 B Street, for our review. (2) Expose the well for our inspection to determine proper construction, also to insure the minimum distance requirements are met between your well and sewer system. n (3The septic tank pumped with a receipt submitted to this office. Please notify, this department for a re -inspection when the well has been exposed. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw