The URL can be used to link to this page

Home My WebLink AboutT15N R1W SEC 17 LT 7AT[5N RIW ion 17 Lo1' 7A , ~ MUNICIPALITY OF ANCHORAGE I · '//~'=Ij~ ~' ~ DEPAR) ~VIENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT · PHONE NAME MAIUNG ADDRESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS DISTANCE TO: ,j Well I Abso,'ption area Dwelling P ER M~ r~)(~) _.~ q ~. ~-<~ i-z Manufacturer ~___z~.~ >% , Mat er,~) No. of compartments Liq. ca. oacity in g~llons Inside length Width Liquid depth ~ ~ I DISTANCE TO: Well Dwelling PERMIT NO. I O z <~ Manufacturer Material Liquid capacity in gallons C) Well Foundation Nearest lot line PERMIT NO. ~ 3: DISTANCE TO: _ ~o No. of lines Length of each line Total length of lines Trench width Distance between lines inches ~i- Top of tile to finish grade Materia] beneath tile Total effective absorption area c3 inches Length Width Depth PERMIT NO. LU <~ I-- Type of crib Crib diameter Crib depth Total effective absorption area LU Well Building foundation Nearest lot line ~ DISTANCE TO: .~ Class Depth Driller Distance to lot line PERMIT NO, LU Building foundation Sewer line Septic tank Absorption area(si ~ DISTANCE TO: OTHER PIPE MATERIALS SOIL TEST RATING INSTAELER APPROVED ' DATE LEGAL 72-013 (Rev ~- Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 ~/~. ~ION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME/~(4T~Ie~Y/ ~.~/xJ/~.J~ MAILING ADDRESS _)~(~)~ J~-O C~;q~ PHONE FRO~~, LOT SLOPE: REMARKS: SIGNED DATE Redi~form e 4S 471 SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 WILL BE RETURNED WITH REPLY Poly Pak (50 sets) 4P471 DETACH AND FILE FOR FOLLOW-UP ~A.~.B. Form No. EQ-031 ADHW- LAB 2W DATE' STATE OF ALASKA /-~-~,RTMENT OF ~EALTH AND W[~'e~RE Lob. No. DIVISION OF PUBLIC HEALTH BACTERIOLOGICAl WATER ANALYSIS OFFICE SAMPLE COLLECTED BY DATE COLLECTED ' TIME COLLECTED" Sample Collected F~om [] Kilchen TaD [] ~athroom Tap [] Other (List) om Dm GENERAL: Does Water Become Muddy or Discolored? 0 Yes 0 No When? ~Jameter o We Deulh ~ Fee Well Cassng Offset ~ [] In Basement 0 Room PUMP LOCATION: [] In Well [] Basemenl In UIllty On Top [] aL Well [] Olher PURPOSE OF EXAMINATION: Illness Sus~*ecled? [] Yes [~ No Records in Ibis office indicate this WATER SUPPLY lo be of: - 3 Satisfactory .[] Questionable [] Unsatisfactory Sanitary Status. 2. Increase chlorination sufficiently to meet recommended residual standards. Determine source of confominalion and fake aclion necessary ~o mainlai~ a safe water supply at all limes. 3. Check chlorinalJan and other mechanical equipment. Make certain it is functionlng properly. 4. If alter checking equlpmtnt a disinfecting residual is hal obtained, please wire this olflce for emergency assislance or advisory services. B. This is a surlace waler source and subject to pollution by man and animals. An approved water supply source should be developed. 6. Improve your 0 spring [] dug well [] driven well [] drilled well C] c~slern. 7 gelacale your well Io a safe Iocolior in reiagonshio to your sewage disposal system. [] see enclosure B. Sample 1oo long in translh sample should not be over 48 hours aid al examination lo indicate reliable resulls, please send new sample. O Baffle Broken in transiL olease send new samole. 9. Contacl your nearesl [] Local Health Deaarlmenl or [~ Alaska '-- Division of Public Health, sanilallon olfice for bulletins, consullalion and assistance. SANITARIAN'S REMARKS READ INSTRUCTIONS ON REVERSE SIDE BE FO RE COLLECTING SAMPLE BAC'JERIOLOGICAL WATER ANALYSIS RECORD I 48 hours on- Reported by Presenl GAAB HD 7 327 EAGLE ST. ANCHORAGE AREA BOR¢~"~H HEALTH DEPARTMENT ANCHORAGE, ALASKA 99501 279-2511 SANITARIAN ADDRESS OF ESTABLISHMENT OWNER'S ADDRESS CHILD CARE CENTER I. NUMBER OF CHILDREN 2. REGISTRATION CARD: A. NAME B. AGE C. NAME & ADDRESS OF PARENTS. D. DATE OF ADMISSION E. DATE OF DISCHARGE F. NAME & PHONE DOCTOR_ 3. FACILITIES FOR UNDER ONE YEAR OF AGE CHILDREN: A. SEPARATE SLEEPING ROOM. B. FIRE EXIT 4. ISOLATION FACILITIES 6. DIAPER CHANGING FACILITIES 7. NUMBER OF ATTENDANTS 8. YEARLY PHYSICAL EXAMINATION ON FILE: A. CHILDREN 15.NAME AND ADDRESS OF ATTENDANIS: 1 2 9. EVIDENCE OF ILLNESS OR FEVER 10. ADEQUATE SQUARE FOOT PER CHILD: A. SLEEPING ROOMS. B. PLAY AREA ~ BEDDING: A. CLEAN B. ADEQUATE C. WATERPROOF SHEETS D. NOT REUSED UNTIL LAUNDERED 12. SUFFICIENT ADULT AFfENDANTS_ / 13. SAFETY: A. ELECTRICAL OUTLETS PROTECTED B. HAZARDOUS ITEMS & EQUIPMENT C. TWO EXITS DIRECTLY TO OUTSIDE D. CRASH HARDWARE E. DOORS OPEN OUTWARD F. FIRE EXTINGUISHERS G. HANDRAILS FOR STAIRWAYS 14. LIGHTING AND VENTILATION 16. WATER SUPPLY 17. SEWAGE DISPOSAL 18. REMARKS HAS REVIEWED THIS INSPECTION WI[H ME,~~'-4/~ -,J-~'~"~ HEALTH OFFICER ~/~ ~/ OWNERJMANAGER GAAB HO I ¢~,TER ANCHORAGE AREA BORr~'~.H HEALTH DEPARTMENT P 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 CHILD CARE CENTER OWNER'S ADDRESS .4~, ~. /.S--O ~t,y"~'''&~ . ~;~.. . . '.: '~ 2. REGISTRATION CARD: A. NAME ~ 10. B. AGE. C. NAME & ADDRESS OF PAREN D. DATE OF ADMISSION 1 1. E. DATE OF DISCHARGE ~x F. NAME & PHONE DOCTOR , q: 3. FACILITIES FOR UNDER ONE'YEAR OF AGE CHILDREN: 13. 9. EVIDENCE OF ILLNESS OR FEVER ADEQUATE SQUARE FOOT PER CHILD: A. SLEEPING ROOMS / B. PLAY AREA / BEDDING: A. CLEAN B. ADEQUAIE ' C. WATERP'ROC~F SEleCTS D. NOT REUSED UNTIL LAUNDERED· 6. DIAPER CHANGING F~,'CI[i'TI~ES 7. NUMBER OF ATTENDANTS 8. YEARLY PHYSICAL EXAM NATION ON FILE: A. CHILDREN B. AT[ENDANTS 15.NAME AND ADDRESS OF ATTENDANTS: 1 2. SUFFICIENT ADULT ~TTENDANTS ~ SAFETY: A. ELECTRICAL OUTLETS PROTECTED B. HAZARDOU~ I~[EM, S'~EQUIPMENT C. TWO EX TS D RECTLY.TO OUTSIDE D. CRASH HARDWARE E. DOORS OPEN OIjTW, ArD~ F. FIRE EXTINOblSH~?S' .... ~ G. HANDRAILS-FOR STAIRWA;YS 14. LIGHTING AND VENTILATION 16. WATER SUPPLY 17. SEWAGE DISPOSAL 18. REMARKS ~' ~ ( _~HAS REVIEWED THIS INSPECTION WITH ME HEALTH OFFICER MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Date: April 21, 2000 To:/ ~ /--//~Zoning & Platting Division, CPD From:~a?es Cross, PE, Program Manager, On-Site Services Sublect:/ "l~equcst for Comments on Case(s) -April 27, 2000 The Environmental Services Division, On-Site Services, has reviewed the following case and has these comments: S-10583 Turnagain View Estates, Phase 5 No objections. S-10584 Muirwood (Block 5, Lot 11 & Tract Bla) No objections. S-10585 Muirwood (Block 1, Lots 20 & 21 & Tract C1) No objections. Sq0586 T15N, R1W, Section 17, Lot 7~. No objections. Short Pla~ $.mm~vy of Ac~on May 1, 2000 P~e ? etion is with approved e~h retention plan. Provide existing elevations for properties surrounding proposed subdivision, to detect,tine finish elevations for new subdivision, for drainage purposes. Owner Developer' will be required to supply Building Safety with set of final subdivision drawings for review and filing purposes. Submitting to DCPS~D current and final grade topographic information and calcu.lating the slope to determine compliance with AMC 21.80.360 (~[ope chart requirements). S-10586 Lot 7A, .Section 17~ T1SN, R1W, Approval of the plat subject 1. Resolving utility easements. Identifying the 150-ibot easement as a highway and utility easement. 3. Placing the following note on the plat: ~A driveway pea'mit approved by ADOT is r~.quired to access the Old Glenn Highway," 4. Providing a parking lot layout pla~ to Traffic Engineering for review and approval. dc~T.~ver, Jr. Platting Authority MUNICIPALITY OF ANCHORAGE COMMUNITY PLANNING AND DEVELOPMENT P.O. Box 196650 A~lehorage, Alaska 99519-6650 PRELIMINARY PLAT APPLICATION OFFICE USE REC'D BY: Please fill in the information requested below. Print one letter or number per block. ~ 1. Vacation Cocle 2. Tax Identitioation No. 3. Street Address L)-/ I-I I015111~121~1 ~181000 I ~181 ,~1 ~141 b I~ I~ I I~ k I~ IN IN I I, I~ ,..., ~..v~ ~-, ,e~on m2. ,~W SEO 2 LOT,~ OR S,ORT SUB B,H 3 LOTS ITI~I.~I,I IRI~I~I IslEIchlTI kl01TI 171Al I I II I I I I I I I I I I I I I I I I I IIIIIIIIIIIIIIIIIIIIIIII1.111111111111111111 5. EXISt'lNG ablxevlated legal desc~01ion (1'12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34) lull legal on back page. hl]l~l,I 1,1~1~1 IslEIclll~l kl01TIsl I~1 I~1 12121 IIIIIIIII IIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIII 6. Pe'ationer'e Name (Last - First) 7. Petitioner's Representative our, ~IoI~I~I'I~IRI I 1~1 I,I I I I I~lAIvl~l~l ITI'I01"I'ISI~I~I I I I I I III I"~'1~"' ~'1~1 I~11111 IIIII Address P.O. Box 670150 18,444 01d Glenn HwYAddress 22620 [niet View City Chu~iak State Alaske City, Chugiak S~e Alaska Phone# 688-2157 Zip. 99567 Phone# 688-4330 Evening Zip 99567 II 8. Petition Area Acreage 9. Proposed 10. Existing 11. Grid Number 12. Zone Number Lots Number Lo~ ~. FesS 14. CommunityCouncif Chugiak Community Council I hare~ certify that (I am) (I have been authorized to act for) the owner of the property described above and that I desire to subdivide it in cor~ormanco with Chapter 21 of the Anchorage Mun~POl Code of Ordinancos. I understand that payment of the bes~ subdivlsionfes is nonrefundable and is to cover tho costs associated with processing this application, that it does not assure approval of the subdivision. I also understand that additional fees may be assessed if the Municipality's costs to process this application exceed the basic fee. I further understand that assigned hearing dates are tentative and may have to be postponed by Planning Staff, Platting Board, Planning Commission, or the Assembly due to edministmtive reasons. *Agents must provide written proof of authorization. Co Please check or fill in the ~olicwing: 1. Comprehensive Plan -- Land Use Classification XX RasElentlal Commercial Pa~s/Opon Space Transportation Related Marginal Land Commercial/IndUstrial Public Lands/Institutions AlPine/Slope Affected Industrial Special Study 2. Comprehensive Plan -- Land Use Intensity Special Study Dwe ling Units per Acre 0.8 units per acre AIpine/SIopo Affected 3o Environmental Factors Cri any): e_ Watland, N/A b. Avalanche_ N/A 1. Developable c. Floodplain. N/A 2. Conservation d. SeismicZane (Harding/Lawsen) Not Known 3. Pmsen/ation D. Please indicate below if any of these events have occurred in the last five years on the property. Rezoning Case Number Subdivision Case Number XX Conditiona!Une CaseNumber Application Pending Case No. 96-026 Zoning Variance Case Number Enforcement Action For Building/Land Use Permit For ' /amy Coq) of Engineers Permit Eo Legal dasc~iption for advertising. T1,SN RIW Sec 17, Lots'-7 and 22 Chug,iak Alaska 18444 Old Glenn Highway (South of Chugiak Children's Services/Eocus) F. Checldist X X 40 Copies of Plat (Long Plat) 30 Copies of Plat (Short Plat) Reduced Copy of Plat (8 ~ x 11 ) Certificate to plat Aerial:Photo Housing Stock Map Zoning Map Fee Drainage Plan Topo Map 4 Copies Soils Report 4 Copias Pedestrian Watkways Landscaping Requiremants Waiver Water:. Sewer: X X Private Wells Pdvate Septic . Community Well community Sys. Public Utility Public Utility