HomeMy WebLinkAboutT12N R3W SEC 9 LT 54 W65' OF E135' OF S200'
.... "' INSPECTION APPOIN:I'MENTS %A-rE REOEIVED /'
~ATE DATE DATE
INSPECTOR iNSPECTOR INSPECTOR
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE(~O~ENTAL P~OTECT[ON
825 L Street - Anchorage, Alaska 99501
( ENVIRONMENTAL SANITATION DIVISION NOV 1 0'1981
REQUEg'F FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on pago 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY,. OWNER( PHONE
~AILING ADDRESS
PROPERTY RESIDEN~ {If different from above} { PHONE
~ BUV~'fi PHONE
3, LENDING INSTITUTION PHONE
MAILING~DDRESJ
~ R~ALTOR/AGENT PHONE
MAILING ADDRESS
HUM BL:R OF~BEDROOMS
[] One [] Four
El Two [] :ire
I~ [] Six
[] OtBer
~. LEGAL DESCRIPTIOI~
STREET LOCATION
g z.h
6. TYPE OF RESIDENCE
[] SINGLE FAM' LY
~;~ MULTIPLE FAMILY
'~. WATgR SUPPLY
. /JCNcoDIVI DUAL' * ATTACH WELL LOCi. A well log is reauired for all wells drilled
MMUNITY since June 1975, :or wells drilled prior to that date, give well
[~] PUBLIC UTI LITY depth (attach log if available,}
B, SEWAGE DISPOSAL SYSTEM
~_ INDIVIDUAL/ON-SITE*' YEAR ON-SITE SYSI'EM WAS INSTALLED.
~' PUBLIC UTtLITY
NOTE: THE INSPECTION FEE ~IUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
.;'
THIS SIDE FOR OFFICIAL USE ONLY
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
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified
INSTALLER
[]Septic Tank or [] Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA ! MATERIAL
4, DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
[]~"'~z~PP R O V E D FOR .,~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
72-010 (Rev, 6/79)
CHEMICAL & G, LOGICAL LABORATORIELS ,' ALASKA, INC.
TELEPHONE (~)07)-279.4014 ANCHORAGE INDUSTRIAL CENTER
~ r)rinking Water Analysis Report for Total ColifOrm Bacteria
TO BE COMPLETED BY WATER SUPPLIER
I,D. NO.
Water System Name Phone No,
Mailing Address
City
Mo, Day
SAMPLE TYPE:
[] Routine
[] Check Sample (for routine sample
with lab ref. no. )
[] Special Purpose
State ! Zip Code
Year
[] Treated Water
[] Untre~ted Water
SAMPLE
NO, LOCATION
2 { ' ;'; .':
L
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
I~~ Membrane Filter
Lab Ref, No, Reeult* Analyst
jFT']
J[-71
Ji-Ti-;]
L J
*NO 0t colomes/100 mi or NO el pos.ira
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
06-1220 (b)
Rev, t978
BACTERIOLOGICAl. WATER ANALYSIS RECORD
,ab, NO,
November 20, 1981
Don Skewis
% Louie Rochan
7748 Boundary Avenue
Anchorage, Alaska 99504
Subject: T12N R3W Secltion 9 Lot 54, 65 of E]35' of S200'
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1)
(2)
An inspection of the property was conducted on
November 20, ].981 and the outside faucet was frozen.
Therefore, this office was unable to obtain a water
sample for analysis.
The well needs to be exposed for our inspection for
construction.
Please notify this office for another appointment for the
above inspections. If there are any further questions,
please call this office at 264-4720.
Sincerely,
Robert Cl Pratt, R.S.
Associate Specialist
RCP/ljw
cc:
Spokane Mortgage
3201 C Street,
99501
Suite 250
' , / / kb
GRFATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
Street, Anchorage, Alaska g9503 274-4561
Date Received February 11, 1976
Time of Inspection
Date of Inspection ~r~
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
APl requested by: National Bank of Alaska
Mailing Address Post Office Box 600
Property Owner: Howard Hoover
Phone:
Phone:
279-2506
Mailing Address 3127 East 8th Avenue
Legal Description: T12N R3W Lot 54W W65' of E135' of Gov't ]Lot 54
Location: 3].27 East 84th Avenue
o
Type of facility to be inspected Single Family
Well Data: Individual
A. Type
C. Construction
Sewage Disposal System:
A. Installed
C. Septic Tank: 1.
D. Seepage Pit: 1.
E. Disposal Field:
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
No. of bedrooms 4
B. Depth 65'
D. Bacterial Analysis
On-site system.
B. Installer
Size 2. Manufacturer
Absorption Area 2. Material
Total 'length of lines
, Absorption area
, Other contamination
, Absorption area
, Sewer Lines
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
3330
G~,[h' [::R ANCHOIUiGE A!~L./, I .... OUC-J .
~)epaptl!l£:J/'~ of [:]lq'ii o!1 Ol~',,~,J [hality ;
"C" S'L.~ Anchorage, Alaska 99J03 -, 2'14~.4'bG1
k'.[-LQUEST FOR APPL'OV/!L OF
INDIVIDUAL SE~,H![I & YqVF£R FAC'L!TiES
l'ype of Inspec'kion: CHRO ...... VA _x~ ..... FI-iA _ .... CONV
Proper'ty Owner: Howard Hoover
Mailing Address: 3127 E g4th [jay P~o e
Nar, ' Buyer: Don Skewis ............. '
I-i a i '1 i r~ 9 h d d r e s s: .... Xg.O 6--P-a-~-~way
l'.!ame o'f I_endi ng Ins ti i;u'Li on: . ........................ NBA
th Ave P hone2?9-250_6
Hailing Address: 5 ........ ~=
Name of Rea]lot or Agent:
14ailing Address 3300 C St. Phone __~fi.~r~
o
7
8
Legal I)escri pti on: ...... T.!,2_LL,._...B.~.~.J]~t--R--5~x~1.t
Locaki on: 3127 E 84th
Type of Facilit. y to be inspected:
Water Supply
Type of Supply'. . P,4bl'ic U-t'ilit¥. __-- .._ Individual __x__
If Individual, number of dwellings presently served
If l~d~,,,maual~ depth o'F well 65'
Sewa!Je Disposa. l' System
Type o? S~si:em: Public Utility .......... Individual (on-site)
Page 2 of two pages - R~ st for Approval of Individual er & Water Facilities
Legal Description T12N R3W Lot 54W W65' of E135' of Gov't. Lot 54
Approval Valid for one year from date sig~"~
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 (1174)
MUNICIPALITY OF ANCHORAGE
POUCH 6-650 ANCHORAGE, ALASKA 99502
Department of Health and
Environmental Protection
2510 East Tudor Road
Anchorage, Alaska 99507
276-2221
4.1
February 20, 1976
National Bank of Alaska
Post Office Box 600
Anchorage, Alaska 99510
Subject: T12N R3W Lot 54W W65' of E 135' of Gov't. Lot 54
Dear Sir:
An inspection of the subject property revealed the well serving
the residence is located 90' from the neighbors seepage pit
standpipe. A distance of 100' to the seepage pit edge is
required, therefore, this department cannot approve the well.
The sewer system serving this property is failing and must be
routinely pumped. This department will not grant any type of
approval on the sewer system.
Public sewer borders the property, however, the 14unicipal Assembly
has placed a moratorium on connecting 'to the line. There are some
possible alternativeswhich the property owner could discuss with
this department.
If you have any questions, please contact this office at 276-.2221,
extension 283.
LNB/lj h
cc: Mr. Howard Hoover
Municipa ityof
Anchorage
3000 ARCTIC BOULEVARD
ANCHORAGE, ALASKA 99503
(907) 277-7622
GEORGE M. SULLIVAN,
MA YOR
DEPARTMENT OF ENTERPRISE ACTIVITIES
Sewer & Water utirity
March 3, 1976
To Whom It May Concern:
Tract 54, Grid 2234 can be served by an existing 10"
sanitary sewer line which lies in East 84th Avenue.
JH/c 1
4,1