HomeMy WebLinkAboutSUMMIT ESTATES BLK 3 LT 13
Jan 27 22 11:27p Anchorage Well & Pump Ser
9072430742 p.1
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section �.' Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: Date of Issue:
Parcel Identification Number: 015 -071 19
Legal Description Block LotProperty Owner Name & Address:
DAVID ELLIOTT
SUMMIT ESTATES 3 13 5541 E 99TH AVENUE
ANCHORAGE, AK 99507
Pump Installation Date: 01 - 25 - 2022
Pump Intake Depth Below Top of Well Casing: 125 feet
Pump Manufacturer's Name: A.Y. MCDONALD
Pump Madel: 23050V3LB
Pump Size: 1/2 hP
Pitless Adapter Burial Depth: 12
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
feet
MARTINSON
Well Disinfected Upon Completion? )(Yes ❑ No
Method or Disinfection: PELLETS
I Comments:
I Pump Installer Name: -
Company:
I Mailing Address:
ANCHORAGE WELL & PUMP SERVICE
7640 KING STREET
ANCHORAGE, AK 99518
907-243-0740
State: Zip:
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
Municipality of Anchorage Page
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL'SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Name: Wastewater System: D New ~Upgrade
Address: 55~t ~ qq~ ~ ABSORPTION FIELD
Phone: ~No. of B~oms: ~ Deep Trench D Shallow Trench D Bed ~ Mound ~ Other
LEGAL DESCRIPTION Soil Rating: Total Depth from original grade:
GPD/Sq. Ft.
Lot: Block: Subdiv~ion: Depth [o pipe bottom from original grade: Gravel depth beneath pipe
Township: [ Range: ~ Section: Fill added above original grade: Gravel length:
I
Ft. Ft
WELL: ~ New ~ Upgrade Gravelwidth: Numberoflines: I Distance between lines:
Ft, Ft.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption, area: Pipe material:
Ft. Ft. SQ. Ft.
Dril,er: Date Drilled: Static Water Level: Instal~ * Oate instaT~d~l
Yield:GPM [ Pump Set at: Ft. [ Casing Height Above Ground:Fi, TANK
SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P,
To Septic Absorption Lift Hoidiag 3ublic/Private Manufacturer: Capacity in gallons:
Prom T~nk FieM Station Tank SewerLines ~NCI4 TA~ I ~
Well- [~ Materiah 5~ Number of Com~ments:
Surface
w~t~, ~ LIFT STATION
Lot 1 Size in gallons: [ Manufacturer:
Lin~
Remarks: BENCH MARK
~ /~'~ ~~ Location and Description: ~ ~
Assumed Elevat*o.:
' ENGINEER'S SEAL
Inspections performed by: Dates: ls~ ] G ;"' ....
~100, O0
,
LDT 7 - LDT 8 LOT
.I
I
ANCHO2AOE TANK BENCH WANK:
ASSUWED ELEK I00.00 FL
I3, ~0~ ~ ~UMMgT ~A J J SEPTIC SYSTEM AS BUILT
5541 E 98TH. AVE. J J DATE: OC~ 22, 190~
CECILIA LA~P flA~ILTON SHEET: 2/2 GRID: 24~7
TOBBEN SPURKLAND P.E.
203 W 15TH. AVENUE
ANCH. AK. 99501
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519 -6650
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW960349
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:LAMP-HAMILTON CECILIA A
OWNER ADDRESS:5541 E 99TH AVE
ANCHORAGE, AK. 99516
DATE ISSUED:10/14/96
EXPIRATION DATE:10/14/97
PARCEL ID:01507119
LEGAL DESCRIPTION:
SUMMIT ESTATES BLK
3 LT 13
LOT SIZE: 14845 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
NOTE:
FOR A THREE BEDROOM DWELLING ONLY.
1.) INSTALL FOUNDATION CLEANOUT AS REQUIRED BY
AMC 15.65.050.C
2.) INSTALL A DOUBLE CLEANOUT AS REQUIRED BY
AMC 15.65.050.C
3.) INSTALL NEW SEPTIC TANK IN ACCORDANCE WITH
AMC15.65.050~
ISSUED BY:
EXISTING SEEPAGE PIT WAS DESIGNED AND INSTALLED
DATE:
DATE:
T.SPURKLAND P.E.
203 W. 15th. AVE. SUITE 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
Municipality of Anchorage
Department of Health and Social Services
820 1 Street
Anchorage, Alaska 99501
Subject:
Septic Tank Replacement
Lot 13, Block 3 Summit Estate
October 8, 1996
Gentlemen;
The 1000 gal septic tank installed in 1973 has collapsed and must be replaced. A 500 gal Sunset
Plastic tank was installed in 1977. We suggest to remove both tanks and install a 1250 gal tank.
Please expedite this application.
Yours
MUNICIPALITY OF ANCHORAGE:
ENVIRONMENTAL SERVICES DIVISION
OCT 0 8 1996
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Department of Environmental (~uality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
SEPTIC TANK:
FROM WELL MANUFACTURER MATERIAL
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY ,~¢-~(~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS __
LINING MATERIAL
BUILDING FOUNDATION
ADDITIONAL ABSORPTION
DIAMETER OR WIDTH LENGTH DEPTH
CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
NEAREST LOT LINE ABSORPTION AREA (WALL AREA)
.SQ. FT.
WELL:
TYPE
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
CONSTRUCTION DEPTH
NEAREST NEAREST SEPTIC
LOT LINE SEWER LINE TANK __
OTHER SOURCES
DISAPPROVED REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No, EQ-031
SYSTEM
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'FI~IE: 13'E:F'TH OF: I::I ~:RJI::IqC:H OF~'. ~'i'F~ I~:~:II",ir~T!.'.IEE:N THiE :f~t. JF~:F:'F:IC:E OF:: 'i'HE
~I-IIEF;:I~: :I::E: I'-,lO :~;IE~ r~l:~lq-..t FOR T'I;~'F'F,J~":HF:'9;
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3:: I UF,I[>IEI;~:'-:~;TRI",![> "r'HRT THE[ OI'.,!-:E;I'I"tE JE;E:i.qEi. R :5'.,-'?I"L::H I,'iF:i'./ I.RF[t::¢_t!f,:'.!E [~:['.,![..FiF;~:GI.:i;PltEI'.,Fi' iF:' THE
R[E~.~;ID[f:I'-,IC:[E I::._:; F;;:Ed,'IC~[::,EI.IEC,
ER ANCHORAGE ARE/ I0[ JGH
Department of EEnvJronmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
/~:-~/2~Z2-/~- ~)~-; ~z~ 5. MAILING ADDRESS L2 c~(~') z/~ / ~ ~ i~..~) PHONE ~ ~
SEPTIC TANK:
FROM WELL *~ ~'l' MANUFACTURER
NUMBER OF
COMPARTMENTS
INSIDE LENGTH -- INSIDE WIDTH -- LIQUID DEPTH ~ LIQUID CAPACITY/6/~O GALLONS.
SEEPAGE PIT: /
NUMBER OF PITS / DIAMETER OR WIDTH /~. LENGT/~.f
· DEPTH
SIZE:~)~'~ DIAMETER
LINING MATERIAL ~'-.- (.%-/S CRIB DEPTH DISTANCE FROM, WELL
~ . I TOTAL EFFECTIVE "l(~
BUILDING FOUNDATION .'~), NEAREST LOT LINE [~ ~ . ABSORPTION AREA (WALL AREA) ~ Oc~ S~. FT.
ADDITIONAL ABSORPTION
TYPE,-, ~/r/I''1/~4': t ~' CoNsTRucTION
BUILDING NEAREST NEAREST
FOUNDATION __ LOT LINE SEWER LINE
DEPTH
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED _ REMARKS
SEPTIC/~'¢ SEEPAGE
TANK ~ , SYSTEM
DISTANCE FROM:
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
PiPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No. EQ-031
GREATER ANCHORAGE AREA BOROUGH
PERM]T NO, --
PHONE
,NS,ALLAT,ON ,=AT,ON__ R~ ¢ F 1F b_ ' 4
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT-
TYPE AND SIZE OF FACILITY TO BE SERVED ~ ~ ~ ~
., OTHER
COMPLET'ONDATE*"T'C'PATE '
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVII~ONIvlENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE__~ TYPE ~'~Le~'/ SEEPAGE AREA S,ZE ~' ~'~/~ t~YPE -- ~"4:~'~ 6~'1~'~
e~/
., SEEPAGE Pit , DRAIN FIELD .
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of
EXCAVATION ~ FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST lEON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
q/-$;' $~,,
CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA Borough ORDINANCE NO. 28-68 AND THAT THE ABOVE
'~ GREATER ANCHORAG£ AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY Case #__.
3330 "C" Street
ANCHORAGE, ALASKA 99503
Performed For__~ }~ ~)o~,'~ Dated Performed /~ ~-~
Legal Description: Lot__ /Z_Block ~ __Subdivision_~u~_~_,.~ ~-~/-~.
This Form Reports Soils Log_]< __Percolation Test __
Soil Test Must Be Logged To 4' Below Proposed Seepage System -
Depth
Feet
2~
3~
4~
5~
6~
7~
8~
9~
lO~
ll~
12~
13~
14~
Soil Characteristics_~
Was Ground Water
If Yes, At What
Encountered?
Depth?
Reading
Date
Gross Time
Net Time
Percolation Rate
Minute
Depth to H20 Net Drop1
Proposed Installation: Seepage Pit Drain Field
Depth o~f I~,~let Depth to Bottom of ~ T rench~.~-~O~
COMMENTS: ~m~ ~',;~' ' ' '
Test Performed BY._~c ~._~9~.~~- Date Certified BY:
Date:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501 /V~UNICIPALITY OF AHCHQRAGE
DEPT. OF HEALTH &'
ENVIRONMENTAL ENGINEERING DIVISION ENVIRONMENTAL P;~OTECTION
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER F~I L~I~ E~®
DIRECTIONS: Complete all Parts On page 1 · IncOmplete requests will not be prOcessed' Please allOW ten (lO)~de[f~ ~AO~esvn[ D
PHONE
~. PROPERTY OWNER
MAILING ADDRESS
~ROPERTY RESIDENT (If different from above)
~. BUYER
MAILING ADDRESS
3. LENDING INSTITUTION
MAILING ADDRESS
REALTOR/AGENT
MAILING ADDRESS
PHONE
'Zrl ~o. cj-t o c~
PHONE
5. LEGAL DESCRIPTION
STREET LOCAzflON
NUMBER OF BEDROOMS
B. TYPE OF RESIDENCE [] One ~ Fepr
[~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
[] Other
7. WATER SUPPLY
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to ~(hat date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTI LITY
**If individual/on-site, give installation
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72~)10(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
2. WATER SUPPLY PERMIT NUMBER
[] INDIVIDUAL DEPTH OF WELL
[] OOMMUNITY
DATE DRILLED
[] PUBLIC UTI LITY
Connection Vel'ified LOG RECEIVED
3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
E]PUBLIC UTILITY
Connection Verified
INSTALLER
[~Septic Tank or [] Holding Tank
Size: '~1¢ ~ If Tank is homemade ' SOILS RATING
give dimensions:
TYPE OF TANK ~ MANUFACTURER
TOTAL ABSORPTION AR EA MATERIAL
4. BISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
PROVED FOR BEDROOMS
[] CONDITIONAL APPROVAC (letter must accompany certificate)
[] DISAPPROVED
LEGAL DESDRIPTION
72-010 IRev, 3/78)
ANCHORA/GE A~..~SKA 99502
Office: (907) 276-2437
August 13, 1981
ADC No. 81109
Hr. 3on R, Boyd
SRA Box 81-P
Anchorage, Alaska
99507
Re: Septic System Adequacy Test for Lot 13, Block 3, Summit Estates.
Dear Mr. Boyd:
Please accept
project:
this letter as our invoice for the
INVOICE NO. 81109
Professional Services
Adequacy Test - Fee
Total Due Invoice No. 81109
Please note our invoice number on your remittance.
any questions regarding this invoice, 31ease
Very truly yours,
ALASKA DEVELOPMENT CONSULTANTS, INC.
Project Manager
above-referenced
$ 400.00
$ 400.00
If you heve
con%act this office.
August 12,
Engineers ( Surveyors Planners
624 W. IHT'L, AIRPORT¢ ROA'O SUITE ~.03
ANCHO RAGF,'ALAsKA 99~0~
Office= (907) 276-2437
1981 ' ADC NO 81109
Hr. O.R. Boyd
SRA Box 81-P
Anchorage, Alaska
Re: Adequacy Test for Exist&ng Septic System on
Lot 13 Block 3, Summit Estates
Dear Mr. Boyd:
At your request our office conducted a percolation adequacy
test on your existing septic system at the above-referenced
location during the period August 10-11, 1981. You reported
that your septic system consists of 2 lO00-gal septic tanks
and a log crib seepage pit.
The septic tank had not been pumped prior to the percolation
test. Since the 4- bedroom house had been occupied up to the
time of the test, a normal degree of saturation within the leach
field is assumed.
In accordance ~ith the Anchorage Municipal Code, Chapter 15.65,
Waste Water Disposal Regulations, any on-site sewage disposal
system "shall have adequate c'apacity to properly dispose of the
maximum daily sewage flow." The maximum daily flow is computed
at 75 gallons per capita-day (gcpd). Since "the population of
dwellings shall be estimated at two persons per sleeping room,"
the maximum daily sewage flow for your 4-bedroom house is 600
gallons per day (gpd).
To test the soil absorption capacity as well as the surge
capability of your system, 110 percent of the maximum daily
flow or 650 gallons of clear water was added in 50-gallon
increments to the seepage pit. The water was obtained from
your on-site prAvate well at its maximum sustained rate of
about 7 gallons per minute (gpm). The liquid levels were
monitored closely to detect any backup in the septic system.
'~ugu.st 12, 1981
Page =2-
The attached Table of Test Data represents the depths of
liquid in the septic tanks and seepage pit, and the quan-
tities of water added. The septic tanks were determined to
be 8.9 & 9.1 feet deep (bottom of tank to graound surface) with an
initial depth of 4.0 & 3.8 feet respectively in the tanks The
seepage pit was measured to be 6.8 feet deep with an initial depth
of 0.0 feet. Ground elevation at the septic tank standpipe No.1 is
approximately 5.2 feet above that of the seepage pit standpipe.
The attached Summary of Test Results indicates that
significant rise in the liquid level in the seepage
day of the test.
there was not
pit on either
Based on two days of testing, an average percolation rate
for your existing septic system of approximately 650 gpd
is indicated, Since an on-site sewage disposal system for
a 4-bedroom dwelling must be capable of disposing of 600
gallons of sewage per day, your septic system appears to be
functioning satisfactorily at this time.
Hany factors affect the operation of a soil absorption type
of sewage disposal system. Soil type, groundwater depth,
age and history of maintenance of the system, and types of
waste are a few. This test has been performed in an attempt
to determine actual soil absorptfon capabilities of your
septic system under normal useage by considering the degree
of saturation of the leach field and surge loads that might
be imposed on the system. This test can only evaluate appar-
ent performance at a given point in time, and cannot determine
either the condition of the leach field, seepage pit or other
components of the septic system, or the depth of the water table.
We appreciate the opportunity
test. If you should have any
please contact this office.
given to perform this adequacy
questions regarding this test,
Very truly yours,
ALASKA DEVELOPMENT CONSULTANTS,
Stephen D. Shrader~ P.E.
Project Manager
SDS/mf
INC.
Mr. J~R. Boyd
August 12, 1981
Page -3-
ADC NO.
81109
Water added to Seepage Pit
Rise in Seepage Pit
Rise in Septic Tank 1
Rise in Septic Tank 2
Recovery Time between Test
(Hours)
Drop in Pit during
Recovery
SUMMARY OF TEST RESULTS
Day I Day 2
650 gal 6.50 gal
0.0' 0.0'
0.0' 0.0'
0.0' 0.0'
24
Day 3
Not checked
no rise in
pit.
Average Absorption Rate 650 650
(gal/day)
Number of Bedrooms:
How long vacant:
Test performed by:
Initial Static Levels:
Adequacy Test for E~isting Septic System
Owner: Mr. J.R. Boyd
Address: SPA Box 81-P~ Anchorage~ Alaska
Legal Description: Lot 13~ Block 3, Summit Estates Subdivision
Components of Septic System: 2 lO00-gal septic tanks, seepage pit w/log crib
4 Occupied prior to test: Yes XX No
Paul E. Shoenberger
Septic Tank#1 4.0'
#Z 3.u'
Project. No. 81109
8/10/81 1 2
TUT DATA
.~ · ':: ~':~ ~-;;,LiquJd~Depth, ftt ' ~ "Water Meter
Time Septic Tank. Seepage Pit Added, gal Reading, gal Remarks
~ Beqin Test
1:38 pm 4.0 3~8 0.0 0 33427 7 ~al/min.
Stop Test to
1:45 0.0 4 50 33477 Fix hose
Resume Test
2:00 0 33477 7 Gal/min.
2:07 3.95 3.8 0.6 50 33527
2:16 0.0 50 33577
2:25 4.0 3.75 0.0 50 33627
2:42 0.0 50 33677
2:52 4.0 3.8 0.0 50 33727
3:04 0.0 50 33777
3:18 4.0 3.8 0.0 50 33827
3:36 0.0 50 33877
3:50 3.95 3.8 0.0 50 33927
4:08 0.0 50 33977 4 gpm
4:25 4.0 3.8 0.0 50 34027
4:38 4.0 3.8 0.0 50 34077
Last pumped:
Water meter/S.N. 22812186
; Seepage Pit 0.0'
Hr. J.R. Boyd
Legal Description: Lo% 13 Block 3~ Summit Es~a%es Subdivision
Project No. 81109
TEST DATA (ConL'd)
8/11/81 I 2
Liquid Depth, ft Water Meter
Time Septic Tank Seepage Pit Added, gal Reading, gal Re3narks
! Begin Testing
8:47 4.0 3.8 0.0.0 34087 7.5 gpm
8:55 0.0 50 34137
9:03 3.95 3.8 0.0 50. 3418~
9:18 0.0 50 34237
9:33 4.0 3.8 0.0 50 34287 4.0 gpm
9:45 0.0 50 34337
10:05 3.95 3.8 0.0 50 34387
10:17 0.0 50 34437
10:32 4.0 3.8 0~0 50 34487
10:42 0.0 50 34537
11:01 4.0 3.8 0.0 50 34587
11:13 0.0 50 34637
11:29 4.0 3.8 0.0 50 34687
11:43 4.0 3.8 0.0 50 34737
f~ ~"~"~A~,~ DEPARTME~ j OF HEALTH AND ENVIRONMENt ,. PROTECTION
[%~[~,~I~ , '. " 82~L Street, Anchorage, Ala~ 99501
~ A ~ . Da~e Received: May 5, 1977
.·. . -
~1: Time ~.~D ~2:~q~T~e ~ /~[~ 93: Time
REQUEST FOR APPROVAL OF INDIVIDUAL SEWEA kND WATER FACILITIES
Lending Institution Request: Alaska Statebank o/~ ~t~/~~J2~,
Mailing Address: 310 Bast Northern Lights Blvd. Phone: 279-7637
2. Property Owner: Frank J. Tadda, Jr. Phone: 349-4295·
Mailing Address:
3. Legal Description:
4: Simgle Family Residence: (x)
Multiple Family Residence: (
Lot 13 Block 3 Summit Estates Subdivision
Number of Bedrooms:
Number of Bedrooms:
o
We//[ System: Individual well (x) Cor,%muni~y/Public System ( )
PermiE ~ __ Depth of Well / Well Log on File
Construction Bacterial Analysis
Septic Tank Size 2~ O ~_~anufachurer ~ C/~
Absorption Area ~ ~ ~oils Rate ~,~- Material /
Distances: Well to Septic Tank to Absorption Area
to Sewer Lzne Nearest
/
to Nearest Lot Line
LOE line
Absorption Area
-Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 13 Bl~ck 3 Summit Estates Subdivision
Comments:
Affadavit Attached: (i)
Approved: ~ _~~~~
Disapproved:
Letter Attached: ( )
Date:
Department Worksheet:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA .FHA CONV X
2. Property Owner: F~mS: J. Tadda Jr.
Mailing Address: E~.s~ 99th Ave,
Day Phone: 3 49-42~
3. Name of Buyer: Jori R. Boyd
Mailing Address: Agpl! T,~nde~ Dr. r A~chora~e Day Phone: 243-6196
4. Name of Lending Institution:
Ala.ska, Statebank
Mailing Address: 31n ~,- wn~+.~m T,i_~hts Blvd. Phone: 279-7637
5. Name of Realtor or Agent:
Mailing Address:. Phone:
6. Legal Description: Lot 12. Blk, 3, S~mmit Estates
Location: Off Birch onto goth
7. Type of Facility to be Inspected;
8. Water Supply
Type of Supply:
2~n~]a ~m. Res.
Public Utility
No. Bdrms. 4
Individual Well
If Individual, number of dwellings presently served
If Individual, depth of well Unknown
Sewage Disposal System
Type of System:
If Individual, date of installation
Public Utility
Individual (on-site) S~.ptic
72-003(3/76)
Charlette Brown
Loan Processor
Alaska StatebEc~k
June 7, 1977
Alaska Statebank
Mortgage Loan Division
310 East Northern Lights Blvd.
Anehorage, Alaska 99~03
SubSect: I~t 13 Block 3 Summit Estates
This department will grant temporary approval of the s~Ject
property if funds are escrowed to upgrade the on-site sewer
system.
The upgrad? mu~t be completed b~ugust 1, 197~. Listed are
the speeif~cataons for the upgra~.--~'~ p~it is required prior
to construction and the fee for the permit is $20.00.
The existing septic tank is only a 1,000 gallons. For a four
(4) bedroom house a 1,250 gallon capacity is required, so a
s~ll tank must be added after the existing tank in the
sewer system.
If there are any further questions, please contact this office
at 279-2511, extension 224 or 225.
Sincerely,
William M. Dixson
Principal Code Enforcement Officer
WMD/ljh
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by:
Mailing Address:
Property Owner:
Mailing Address:
Legal Description:
Phone:
'" ~t~ f/ t,~.~. ~-~-l~. l,---~, '
5. Type of facility to be inspected No. (f~edrooms ~S
6. Well Data: ~
A. Type ' ~'
C. Construction
B. Depth
D. Bacterial Analysis
7. Sewage Disposal System:
A. Installed /~? a B. Installer
C. Septic Tank: 1. Size
2. Manufacturer
D. Seepage Pit: 1. Absorption Area I~'Xl-)-~ 2. Material
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank ~0
Nearest lot line {~-
B. Foundation to septic tank
, Absorption area ~
, Other contamination
/~' , Absorption area
, Sewer Lines ,
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
· Jr & Water Facilities
'Y~age 2 of two pages - Re~..~st for Approval of Individual
Legal Description
Comments
Approved
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)
4-1
for a ~a ~r~ )~. ~e~ore your ~qu~s~ for a
gallon ts added to year p~se~t 1,~ ~110~ tank.
State Lab.
the installation ~ the tank.~ you ~4t1 ~eed to obtain a permit
extension 134.
~nitatta~
RCPllJh
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
4. Name
Mailing Address:
5. Name of Realtor or Agent:
Mailing Address:
1. Type of Inspection: CMRO
2. Property Owner:
Mailing Address: ~'~. 7//:)
3. Name of Buyer:
Mailing Address: _~'~ .~--~ ~y~ 'D~ Phone
of Lending Institution:
VA FHA CONV /
~.~ Da~ P h o n e ,?~'~'~ ~f~
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply:
If Individual,
If Individual, depth of well
g. Sewage Disposal System
Type.of system: Public Utility
If Individual, date of installation
No. Bdrms.
Public Utility Individual
number of dwellings presently served
Individual
(on-site)
£q-o37 (1/74)