HomeMy WebLinkAboutSUNNY SLOPES LT 18
GAAS-HO I
GP~TER ANCHORAGE AREA BOROI'mH
~ HEALTH DEPARTMENT ~
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
NAME ,,/......~2/)/ _..,<~.-~,.,~/.u~"~ ADDRESS ~;~-~',~, '-~..~-~, ~"'~i,:~', PHONE'T---'_
LOCATION
SEPTIC TANK:
LEGAL DESCRIPTION
J~ .)M :~...~:~ ~.~.~/ NUMBER OF
COMPARTMENTS
DJSTANCE FROM WE C/-/~-')/;""~.,'"~" //~:~ ATERIAL C-'~''~-/' f~'~:~ ~/'~;~'~' ~>"/~":-~?--
LIQUID
LIQUID CAPACITY //' 4"~ ~"",.,2 ~ GALLONS. INSIDE LENGTH. ~ INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL_
NEAREST LOT LINE
OUTSIDE DIAMETER -- OR WIDTH ~' -4/ /-~ LENGTH
, DEPTH
DISTANCE FROM WE(~/~-.~/'~-/-~"-:~' ~_~ BUILDING FOUNDAT ON
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~'~/'~ SQ. FT.
TILE DRAIN FIELD:
DISJMA~iEoFFR~E~ELL ' ~ ~I~ATION_ , NEAREST LOT LINE.
NU B . DISTANCE BETWEEN LINES ~
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TIL~
TOTAL LENGTH
, OF LINES
IN. ABOVE TILE _
WELL:
DISTANCE FROM · WATER
TYPE' ~'~"~,','~;,,,'~/~/ // '~/,. DEPTH , BUILDING FOUNDATION. · .SAMPLE ,/"--Z~O---- , NEAREST
NEAREST SEPTIC ,..__...---- SEEPAGE OTHER
LOT LINE . SEWER LINE --. TANK , SYSTEM . CESSPOOL ~ . SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
~,~/~,'~.~.-~ .
· /
APPROVED ~EAL/H AU[HORI[Y
L APPLI , NT FILLS OUT UPPER HA -. .::ONLY
Property Owner. o,,~ ~ ~ ~ ~ ~./~j O~,o ~ ~' ' ~ , ~ r~ Phone
Buyer /~ ~7~) ~ ~ ~/~
Address /[ ~ ~ .... ~/ ~ ;/~ ,~(~ /~,~, ~ ~ ZipCode ~ 7 ~ 7 7
Lending ~nstitution ~
Phone
Address Zip Code
Realty Co. & Agent 6~ e~.. /z y ~ I ,~ <> .! ~ ~ ? ~r A ~i-~ ~hFd:~ 2 ~ ~
Type of Resf~nce
~ngfe Family c/
~ Other
~ Individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975.
~ommunity For wePs driPed prior to that date, give well depth (attach log if available).
~ Holding Tank
Time Time Time Time
Date Date Date Date
Inspector inspector Inspector Inspector
AUG 1 1983
"~Tuelcipality of Anchorage"
"Dept. of Health &
( APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAPPROVED
CONDITIONA APPROVAL*
DATE
Soils Rating Date Sewer Installed Werl To Absorption Area Well Log Received
Well to Tank Septic Tank Size
72.023
#1: Time
Date
Insp
MUNICIPALITY OF ANCHORAGF
DEPARTME~__~OF HEALTH AND ENVIRONMENk~] PROTECTION
825--L Street, Anchorage, Alaska -99501 279-2511, ext. 224 or 225
2:00 p.m.
4-25-77 Monday
Pratt
Date Received:
April 21, 1977
#2: Time #3: Time
Date Date
Insp Insp
m
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request:
Mailing Address: Pouch 7-010
Property Owner:
Mailing Address:
Alaska National Bank
99510
Andrew W/Yvonne J. Parker
Phone:
Phone:
18 Sunny Circle Street Eagle River
278-4581
Legal Description: Lot 18 Sunny Slopes Subdivision
Single Family Residence: (~ Number of Bedrooms:
Multiple Family Residence: ) Number of Bedrooms:
Well System:
Permit #
Construction
Public/Community System: ~ Individual Well: ( )
Depth of Well Well Log on File
Bacterial Analysis
Sewage Disposal
Permit #
Septic Tank Size
Absorption Area
System: On-site System ( ) Public Utility
Installed Installer
Manufacturer
Soils Rate Material
( xk
Distances: Well to Septic
to Sewer Line
to Nearest Lot Line
Tank
Nearest Lot line
to Absorption Area
Absorption Area
Page ~wo
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 18 Sunny Slopes Subdivision
Comments:
Affadavit Attached:~~
Approved: ~ C
Letter Attached: (
Date: ~/~7
/
Date:
Disapproved:
Department Worksheet:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224, 225
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROT~cI'tON
RECEIVEI
1. Type of Inspection: VA FHA CONV XXX
2. Property Owner: PARKER, Andrew W. & Yvonne J.
Mailing Address:. Day Phone:
3. Name of Buyer: PETERS~ Robert D. & Darlene E.
Mailing Address: 3433 Alexander St. Anchorage~Oay Phone: 27/,-2150
4. Namelof Lending Institution: ALASKA NATIONAL BANK
Mailing Address:_Pouch 7-010 Anch .Ak. 99510 Phone: 27g-/,~81
5. Name of Realtor or Agent: Cook Inlet Realty
Mailing Address: 619 E. 5th Ave. Anchorage Phone: 278-1111
6. Legal Description: Lot 18 Sunny Slopes Subdivision Eagle River, Alaska
Location: 18 Sunny Circle St. Eagle River, Alaska
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
Single Family Dwelling
No. Bdrms.
Public Utility. Individual Cnmmunitv
If Individual, number of dwellings presently served
If Individual depth of well
Sewage Disposal System
Type of System: Public Utility XXX
If Individual, date of installation '
Please call if you have any questions - Claudia Jonas
Alaska
Individual (on-site)
National Bank
278-4581
72-OO3{3/76)
Form 2S73
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I.--TO BE COMPLETED BY FHA
~ISU lNG OFFI MORTGAGEE SERIAL NO.
J ~ New instalNnon addlflenal
Yes,
how
WA~R SUPPLY BYi SYSTEM DESIGNED FOR
~ublic system ~ ~mmuni~ system ~ Individoal .o. o, ,~,~s. ~,,,,~(~.,,o,,, -
~ ~bJic system ~ ~mmunity system
PART fl.--TO BE COMPLETED BY HEALTH DEPARTMENT
ALTH DEPASTMENT INSPECTOR'S SKETCH
It is the opinion of the [] State [] County /~Local Department of Health that this individual water-supply system
.~.is [] is not satisfactory as a domestic qvater supply for the subject property.
It is the opinion of the [] State [] County ~]~Loc&l Department of Health that this individual sewage-disposal sys-
tern with proper maintenance:
Can be expected to function satisfactorily, and [] Cannot be expected to function satisfactorily
is not likely to create an insanitary condition
PART Ill.--FOR USE OF FHA OFFICE
TO THE CHIEF UNDERWRITER:
! have Eeviewed the £oregoing and The pe.inent FHA CompJimtce inspection Repo., and recommend that the
Individual water-supply system be considered [] Acceptable [] Not Acceptable
Sewage disposal be considered [] Acceptable [] Not Acceptable.
DATE
SIGNATURE
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
___~CHIEF ARCHITECT
DEPUTY FOR CHIEF ARCHITFCT
FHA Form 25~
Rey. July 19S8