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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