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Home My WebLink AboutTALL BIRCH Block 2 Lots 10, 11 & 12Lot ,.. / HEALTH DEPARTMENT .... 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL O' },/CV',~f_~0 / MATERIAL LIQUID CAPACITY. -,'/'~O~' GALLONS. INSIDE LENGTH NUMBER OF / COMPARTMENIS. '~, LIQUID R INSIDE WIDTH DEPTH_ SEEPAGE SYSTEM: SEEPAGE PIT: R NUMBER OF PITS ~ OUTSIDE DIAMETER · OR WIDTH LINING MATERIAl~--~~ C / ~ ~' ; ~ c / I DISTANCE FROM WELL// ~'2~' / NEAREST LOT LINE_ /~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGIH , DEPTH BUILDING FOUNDATION SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL ~ , FOUNDATION ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE TOTAL LENGTH , NEAREST LOT LINE , OF LINES IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYPE :~;//~'I DEPTH ~./ 2., DISTANCE FROM ~L,~% WATER ~ . , , BUILDING FOUNDAIION · SAMPLE I ~ , NEAREST NEAREST SEPTIC ~)g/,O'/~ ~2'~ SEEPAGE ///'~)/ OTHER LOT LINE SEWER LINE ., TANK f~ , SYSTEM z--~.- , CESSPOOL ~ , SOURCES~' DISTANCES: DIAGRAM OF SYSTEM ., ,~/,'~ ~'Q +~ '~ HEALTH DEPARTMENT ~:;'~ ~] -i~'~x ' 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT ,, ,. 3~- NAME OF APPLICANT.,~:~/r,,~--e if- :~Z/2~ ~I~ING ADDRESS ~/.~:L,/?; ~/~/~ PHONE NO. /~ I RESIDENCE ADDRESS ~'~ /~~-/~ LOCATION OF INSTALLATION LEGAL DESCRIPTION ~-~/~- /~..~ ./~ / d APPLICATION TO INSTALL: SEPTIC TANK , SEEPAGE PiT. /, DRAIN'FI~LD g~ ? , OTHER TO SERVE THE FOLLOWING FACILITY ,~ ~~ FINANCED THROUGH ~ TO BE INSTALLED BY~/~~. PERCOLATION TEST RESULTS~/~/~ -~- ANTICIPATED DATE OF COMPLETIO~/r/~ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS /,"~,~-- AS DESCRI .. SEPTIC TANK SlZ , PERMIT TO INSTALL A . OW. SIZE OF UNIT TO BE SERVED~ SEEPAGE AREA ~:~/1'~3~'/~/~ DIAGRAM OF SYSTEM DISTANCES: / I certify that I am familiar With the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. ,~2.~Q/ ~' /~ ~,~ /z/~2.~c~,>~ff¢~/~'~ DATE APPLICANTS SIGNATURE __ . (:& ,CO TALL B'r ~C.H ~eavlly wooded sloping re..:dent ial lots. Excellent for building · split level and daylight basement homes. · Lot 5 Block 1 (50' x 179') Down Payment Month .ly Paymqnt $65 incl. 9% Interest Lot 9 Block i (50' x 170) Price Down Pa'f merit Payments $45 inc!· 9~ Interest Lot ll' Block 1~()0' x 143' Price and terms same as lo~ 9. LOt 23 Block 1 (50' x 179' Price $5000 Down Payment $300 Monthly Payments $60 lncl 95 lnterest GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Mr. Milton will meet you at the property, w/b driving a Winne Date Received August 11, 1976 Time of Inspection 11:30 a.m. Date of Inspection 8~12-76 Thursday Pratt REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR ~A 1. Approval requestDd by: Alaska Statebank Mailing Address: 310 East Northern Lights Blvd. 2. Property Owner: Elias A. & Arneil Tout Phone: 279-7637 x 31 Phone: 344-1040 Mailing Address: Post Office Box 2'201 3. Legal Description: Lots 10, 11, 12 Block 2 Tall Birch 4. Location: 6936 Whitehall 5. Type of facility to be inspected 6. Well Data: Individual A. Type C. Construction 7. Sewage Disposal System: Single Family No. of bedrooms B. Depth D. Bacterial Analysis Public Utility A. Installed B. C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area Installer 2. Manufacturer 2. Material E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank Total length of lines , Absorption area , Other contamination , Absorption area C. Absorption area to nearest lot line ., Sewer Lines __ EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re~ st for Approval of Individual ~ ar & Water Facilities 'Legal Description Lot 10, 11, 12 Block 2 Tall Birch Approved ~ ,k~,.~ DisaDoroved 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) 1. Type of Inspection: 2. Property Owner: MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHOP, AGE 3330 "C" Street, Anchorage, Alaska 99503 - 274-456~ AUG !. 1976 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES CMRO VA XXX FHA RECEIVED CONV Elias A. & Arneil Tout Mailing Address: 3. Name of Buyer: Wesley J M_ilton P.O. Box 2201 Anchorage, Alaska Day Phone 344 1040 Mailing Address: 5431 Dundue Ct. 4. Name of Lending Institution: Alaska Statebank Mailing Address: 310 E. Northern Lights Blvd. 5. Name of Realtor or Agent: Polar Realty Mailing Address: Day Phone Phone Phone 276 2616 279-7637 272 1541 ext 31 Legal Description: Location: Lots t0~ 11 12 Blk 2 Tall Birch S/D Corner of White hall & Rasberrv single family 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 240 ft. 9. Sewage Disposal System Type of System: Public Utility ~ If Individual, date of installation No. Bdrms. two ~ Individual Individual (on-site) Please contact M. Forrester for imformation ~O-037 (1/74) 06-1220(a) Rev, 1973 DATE ALAS~,..~," DEPARTMENT OF HEALTH AND SOCIAL SE,~ JES DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICA[ WATER ANALYSIS Lab No. OFFICE INDIVIDUAL [] lAME SEMI-PUBLIC [] CHLORINE :~ESIDUAL ?PM REPORT RESULTS TO ADDRESS CITY ADDRESS OF SOURCE ZiP CODE A/naJysis shows this Water SAMPLE to be: E SaHsfactory [] Unsatisfactory [] Questionable E Sample too long in transil; sample should not be over 48 hours old at examination to indicate relJabb results. Please send new sample. ~ Boltle broker [n transit, please send ~ew sample. SANITARIAN'S REMARKS COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY Diameter of Well Deplh __ Feet. Well Casing Material Diameter Depth Lenglh of Water Depth Drop Pipe From Botlom Feet. PURPOSE OF EXAMINATION: Illness Suspected? [] Yes READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE o,s422o (b) BACTERIOLOGIC/~L WATER ANALYSIS RECORD :', j: , , ~'~ (.~ amp,,,~Lob. No. ~": Lactose Broth t0c¢ 10cc 10cc 10cc 10c~ 1,0cc ?,Occ 24 Hours 48 Hours EMB AGAR Lactose Broth, 24 hrs, 48 hrs. Gram's stain Coliform Density (Most probable No. per MF Results