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Home My WebLink AboutHIGHLAND HILLS #4 BLK 2 LT 21 MUIXltCIPAIJTY O1:: Ak!CHOI~AGE DEPARTMENT OF IIk~AL'FH & ENVtRF')NMENTAI. PRO] ENVIRONMENI'AI. EIXIGINEI~RII'gG O!\/I,glON 825 I. Strept . Annhoraf4o, Alaska 99501 Teh~pbon~ 2G4-4720 ON-SITE SEWAGE DISPOSAl. SYSTEM ANI)/OR WEIJ. INSPECTION RI':'.PORT DISTANCE TO: finish Well Foundation PERMIT NC lines line Total length of lines terial beneath tile at)sari: Total effectiveabsolption area '~(~O DISTANCE TO: Class 3E TO: Width //¢ ~.~- / Depth Crib diamete~ Crib clef)th ~ z' f Building fouf~J~tion, Nearest lot line Driller Distance ~o Building foundation tank Absorption OTHER PiPE MATE R I ALS ,~, ~. L SOIL TEST RATING INS'I~.LER REMARKS APPROVED PERk ,/ i n ' i LEGAL DESCRIPTION LOCATION ~. ~ ,il [ ~ NO. OF BEDROOMS E:,EF'I:~RTP1ENT Or HEFILTH FIND EN'v'.IF:ONFIENTRL. I.~,..,TFF."CTION ,B;2..~ "'L" STREET., RNCHORFIGE., RK. 995Bt ~%~. 264-472E] II- PL.I .. ,id F E:'ONF"ILE:' r'l ~EF:IC:H BI J,', _'9':'"1 .... o.$ FINC:HI')~IlaGE R [:::. LEGF1L. LOT 2~-BL.K 2 ~~ tiILL. S ~LI . LOT S;IZE 87128 :~;QIJFIRE FEE'r' ::,.:...,-,. ..., .,_. fllfl,:.:,]fl..Irl NIJI"IE:ER OF EEr'E:,~'I'iFII"I':; = ~ SOIL RRTING "':- THE RE:I;fIJIRED :,IRE UF FI4E :,[IIL PIB;:,UF:FTION =,~=,TE[1 Ir,. t%.]. . [::, E: F" '~ ~-~ .... 1 ~;:~ g [i; f-~ ~3 "'t'" F! = :;~ ~3 r-~ ~:~.%. E g.. [:, E Er' T :; I-' ., , ' "" ' *' '~ " THE I...ENGTH E:,IFIEN2;ION I~; "FHIE LENGTH ,'IN FEET> OF THE TI..EN...H I~F~' DRRINFIE.LE.,. THE DEPTH CIF FI ";' "" - ' I2q )" ...... :,1.~[ H_.E 13F THE [FEN_.H .l~ F'IT THE [ I:,THNL,E BETHEEN THE GROUND FINE:, THE EOT"I"I3t4 13F THE EXCFtVFITION FIN FEET>. "- FREN ...tiE::, THERE 1;, NO :SET I.,.IIDTH FOR ' ," .... '- THE -'; ' ~, ~FII,EL DEF'TII IZG TI-IE: HINIPIIJH DEPTH OF GRRVEL BETHEEN THE OLITFRLL PIPE FIN[> THE E,U~I Ur1 OF THE E;qCR',,,'RTICIN ,' IN FEET::'. f::'EF:l'"lIl" FIF'F'LIC:FINT HR:; THE RE~;PIDN.~;IE, ZLITT TO INFOF.:H TFII:~; DEPI=IRTP1ENT [:,URING THE :[N=I-.LL ~FION II~=,FE_,IILIN:, OF FIN"¢ I.,.IELL2; Ft[:,.TFICENT TO THIb1 FF._I-E~ r~ FINE:, THE tlUflE,ER OF RESIDENIZ:EE; THFtT THE 14EL. L HILL =,ER,E. EFtZKF:.~LL]'NC~ OF FIN'¢ E;"r%TEP1 HZTHOUT FINRL. ~N:E;F'ECTZON RN£:' RFFF, J,RL E,~ £::'EF'FIRThlENT I.'.I.~L.I- BE 'SUB...TECT TO HINIHUr,'I DZE;TRNCE BETHEEN FI HELL RND RN'.r' ON-E;ITE 2;EHRGE DISF'O2;RL 2;'¢STEN T':..q t00 FEET FOR R PF;:~VRTE HELL OF.'.' t50 TO 20E~ FEET FROM I~ F'UBLZC HELL DEF'ENI)~NG UPON "rile "f'"r'F'E OF PUBLZC HELL FI.~N]:HUH B'.'['.~,TFINCE FRO['1 R PF.:ZVFITE HELL. TO R F'RZ',,"FITE ~EI.,.IER L[IqE Z2; 25 FEET FIND TO F:I COP'IP1UNZT'¢ 2;EHER L~NE IrS 75 FREE"[.. HELL LOG2; RF,:E F..'EQUZRED FINE." NIJ!~,T BE RETURNED TO TIE DEF'RRTHENT 14ZTHIN 3:0 DRYS (:iF THE 14ELL COP'IPLETTON. OTHE'F,' REQU.~F.:EI"IENT2q P'IR"r' RPPL"/. SPECZF~CRT~ON% RND CON'.:~TRUCTTON D~RGF.".RI'"IS RRE R',,,'F:IZLRBLE TO ]:NgUF,'E F'ROF'ER ZNSTRLLRT~ON. :[ C:EF.:T :[ F"," THITIT ::L: I FIb1 FI::IMII...IFIR kI:[TH THE F.:Eg!UIREHENT~, FOR ON-SITE 5EklERS RND HELLS RS SET FORTH B"¢ THE I"IUNIC:IF:'RLIT'¢ OF RNCHORRGE. 2: ]: HILL INSTFILL THE S;'¢STEf'I IN FICC:ORDFINC:E HITH THE CODES. :~:: ]: UNDERSTFIND TI"'IRT THE ON--SITE SEklER S"r'STEP1 hlR'¢ REQUIRE ISNLRRGEhlENT IF THE RESIDENCE IS REHOE:,EI..ED TO INCI...UbE I'ICIRE THRN 3: BEDROOP1S. -" 2:' '" :Z .... " ::::' O & E ENG,NEERING & DEVELO, Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 MENT CO, :---Russell Oyster 694-2774 Performed for: Legal Description: SOIL L, OG 688-2280 Name: /~/-, ~'~r/A u0 ~o ~--~ ~ Tel. No, ¢~/~'-' ¢¢¢~ MailingAddress~ ~ ~¢~ ~¢¢~'~ ~ ~/¢ Depth (feet) 3__ 5__ 8__ Soil Characteristics PLOT PLAN PERC. TEST 14 15___ 16___ Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: ~lf yes, what depth__ Drain Field ~/ ( er fiei ri[ling by DOC Co. dba SULLIVAN WATER WELLS P,O. BOX 272, CHUGIAK, ALASKA 99567 · TELEPFIONE688-2759 OWNER OF LAND ADDRESS LEGAL DESCRIPTION DATE - Started ,~PERMIT NUMBER Ended I)EI'TH OF WELL STATIC LEVEL OF WATER F'r, DRAW DOWN IrT. GALS. PER HR KIND OF CASING KIND OF FORMATION: From Ft, to Ft. From Ft, to___Ft From__Ft, to___Ft From Ft.t~___Ft From Ft, to Ft, From Ft. to , Ft. From Ft. to Ft From Ft, to Ft, From Ft, to___.Ft From Ft. to__Ft From Ft, to Ft, From____Ft. to___.Ft From Ft. to Ft, From Ft, to _Ft From Ft, to Ft. From Ft, to Ft. From Ft. to.__Ft From Ft. to_ _Ft. From Ft. to ..... Ft From Ft. to .... Ft From Irt. to .... Ft From Ft. to__Ft From Ft. to.___Ft From Ft. to Ft, Froln Ft, to .... Ft, From Ft. to __ .Ft. From Ft. to ...... Ft From Ft. to_ Ft, From Ft. to_ FL From_ __Ft. to __Ft. From_ Ft. to_ MUNICIPALITY OF ANCHORAGE From Ft. to ENVIRONMEN1 AL ~, O i ECTION From Ft. to Ft, MISCL. INFORMATION: RECEIVED DRILLER'S NAME Time Date Inspector Date Inspector Comments Date Sewer Installed Soils Rating Permit No. Well To Absorption Area Well to Tank Conditional Approval MUNICIPALITY OF ANCHORAGE DF°T Cc :'~'LT1 ,o ENVIR D/.~,'., :1'.. ,*. OCT 1. 5 1982 RECEIVED Septic Tank Size Holding Tank Size Well Log Received APPLICANT FILLS OUT LOWER HALF ONLY ' Property Owner MallingAddress 1)"O' BOX ].57~ Valdez~ AK 99686 -Buyer 'l'h OIP, iIS Address 700 ~'¢. 41 St. Suite 205, Allchorage, AY. 9950:3 Phone Lending Institution Address Realty Co. & Agent Address P,O· Box 249, Eagle River, AK 99577 Myrna J-~)h~s ~o~-~ -- Phone Phone 694-9555 LegalDesoription lIighland. Hills //4, P, lk2, Lot 21 Street Location Wild ~]OtlIttaill Dr., off Mile 4.7 [;iland Rd, Type,cf Residence ~ Single Farnily [~ Multiple Family No. of Bedrooms ~ [3 Other Water, Supply ~3 Individual ATTACH WELL LOG. A welt log is required for all wells drilled since June [2 Community ALtac:}tc.d 1975. For wells drilled prior to that date, give well depth (attach log if _[] Public Utility ~ available.) Sewage Disposal fi3 Individual Year Individual Installed: 9 - ~ ~ - 8 (] ¢~ E3 Public Utility When Connected to Public Utility: [3 Holding Tank CHEMICAL & G~- ,,LOGICAL LABORATORIES ¢~F ALASKA, INC. ~~ -- TELEPHONE (907)-279,4014 Drinking Water Analysis Report for Total Coliform Bacteria' ~~~,~ TO BE COMPLETED BY WATER SUPPLIER ; ~ I.D. NO. Mailing Address Mo, Day Year SAMPLE TYPE: r3 Routine [30heck 8ample (for routine sample with lab ref. no, [3 Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. 3 L 4 I LOCATION Time Collected Collected By J TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube U Membrane Filter Lab Ref, No. Result* Analyst *No ofeoronles/10Oml, or No of PoSlllVe portions READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. ]*978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source Data Received Time Received b,m, Lab. NO. Presumptive ].Omi ],Omi ~.Oml ].Omi /Omi 1,0mi O,]*ml 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours EMB Broth 24 hours: Multiple Tube Report= Membrane FIIter~ Direct Count Verification: LTB Final Membrane Filter Results Reported By _Broth 48 hours: 10mi Tubes Positive/Total 10mi Portions Collform/100ml BGB Collform/100ml Date Time: a,m, , D~,TE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DA'I'E ,.~ INSPECTOR INSPECTOR I NSP ECTOR-, (Ur ~ M~INIU H~p ANCH~A~ MUNICIPALITY OF ANCHORAGE DEPT. OF I~2AL'~:I & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~VIRONMEN]AL FLoTECTION 825 L Street - A,chorage, Alask~ 995B1 ~w.o~TA~ SA~TA*~O~ mWS~O~ F~0V ~ ~ Telephone 264-4720 RECEIVED ~EOUEST FO~ APPROVAL OF INDIVIDUAL WATE~ AND 8EWE~ FACILITIES DI~EgTION~: Complete all parts on page ~. Incomplete requests will not be processed. Please allow ten (~0) days for processing. 1, P~OP~TYOWNE~ ~ PHONE Do~ala H. geac~I 694-9846 MAI LING ADD~ESS P. O. Box 988, Anchorage, AK 99510 PROPERTY RESIDENT (If different from above) PHONE vacant 2. BUYER PHONE Pat Nolan 248-0041 MAILING ADDRESS P. O. Box 4]_078~ Anchorage~ AK 99509 RaSnSer Mortgage Co.~ 279-0665 MAlkI~G ADDB~SS Box 1200, Anchorage, AK 99510 AREA~ Inc. Realtors, Attn: MTrna ~ohnston 694-9555 P. O. Box 249~ Eagie River~ AK 99577 5. LEGAL DESCRIPTION Highland Hills #4, Blk 2, Lot 21 STREET LOCATION Wild Mountain Drive 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One ~] Four [] Other ~ SINGLE FAMILY EZ] Two [] Five [] MULTIPLE FAMILY {~] Three F-] Six 7, WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY *ATTACH WELL LOG. A well Icg is required for al wells drilled since June 1975. For wells drilled 'prior to that date, give well depth (attach Icg if available.) 0i3. file B. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** 1 qSf) 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) 4 wheel drive required meet Realtor at Parkgate Bldg, F, agle River. ~) 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 i2. 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 Connection Verified iNSTALLER []Septic Tank or []HoldingTank Size: ItO_fO_Y~. If Tank is homemade SOILS RATING give dimensions: (. (~ ~,. TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL ~.. 4. DISTANCESwELL TO: S"pti°/H°'d'n' Ta"k IAb'°rpti°" Araa tSewer Line INearest L°t Line Absorption Area to nearest Lot Line 5, COMMENTS [~I//APPROVED FOR ~* BEDROOMS [] CONDITIONAL APPROVAL {letter must accompany certificate) [] DISAPPROVED DATE BY ~ CHEMICAL & GL .LOGICAL LABORATORIES ALASKA, INC. ANCHORAGE INDUSTRIAL CENTER §633 B Street Drinking Water Analysis Report for Total Coliform Bacteria or' TO BE COMPLETED BY WATER SUPPLIER I.C, NO. Water System Name Phone No. Mailing Address City State Zip Code MO. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. ) D Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. 3 I I LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. Result* Analyst I I wNo oicolonies/lOOml or NO of Posilive portions READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source Date Received Time Received p,m. Lab, No, Presumptive 10mi Z0ml Z0ml 10mi 30mi h Z.0ml 0.1mi / 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours EMB Multiple Tube Report= Membrane Filter: Direct Count Verification= LTB Final Membrane Filter Results Reeor ted By Broth 24 hours= 10mi Tubes Positive/Total 10mi Portloni Collform/100ml Coliform/100~1