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HomeMy WebLinkAboutNORTON PARK #1 BLK 2 LT 4 'l / GREAI. EI. GAAB-H D-2 '~ ~ 327 Eagle St. kNCHORAGE AREA flEALTIt DEPARTMENT Anchorage, Alaska 99501 )ROUGH 279.2511 Case No. SEWAGE DISPOSAL SYSTEM - APPLICATION 8, PERMIT NAME OF APPLICA /-Y'-~ )/'tf/L. LC~Z"'J _ RESIDENCE ADDRESS~'/a'"99~ .,-. / APPLICATION TO INSTALL: SEPTIC TANK ~____,SEEPAGE PIT. ~ ,DRAIN FIELD ,OTHER_ . ~N TEST RESULTS __~ ANTICIPATED DATE OF COMPLE{ION~Z//¢f '~W~2( .~ , ~BELOW TO BE FILLED OUT BY HEALTH DEPART~EI~ ~ BIASRAM OF S~TEM ~ " ~ I certify that I am familiar with the requil'ements of Greater An:rage Area Borough Ord, i~,ance No, 28-68 and that the above described system is in accordance with said. code. Ai.,,C.)iORh!~.~.:, .M,,"' 5']:.~'5 9 ~ 5 3 I. (;I{[:A]'[ R AI,~(:I I[;~d\(;t Ilcpa rtll/ell L o.r 3330 "C' SLrenL Anchorage, Al ~()11,~ 1,()(', IHiI{()I,ATI()N 'I'EST · L.y Po rfo Pilled [or KP. Legal ~' - ' ThJs form reports: So~ls log Feet ??iai 5'?oNO Was ground water encountered? __21a ......... If yes, at wnaL depth? ............................... . .. _ ................................ : ................... ].:.~_~>_~ ....... ~2~: :.':u 1-.,~ ~ ............ Percolation rate ' · Proposed installatld}[':- Del)th of Inle~ .................... . COHt, lEl']l S: EQ-O,IO ((¥74) ........ ;" '":' ''" 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. 5. 6. Location: GREATER ANCHQRAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received AuGust 11, ].9__7_66 Time of Inspection lC~:30/a.m. Date of Inspection REQUEST FOR APPROVAL OF Pr~t~ INDIVIDUAL SEWER & WATER FACILII'IES FOR o Lomas and Nettleton Company 4449 Business Park Blvd. Richard & Karen Crain Star Route A Box 179C 99507 % Ann Phone: 274-7661 Phone: 349-2700 Lot 4 Block 2 Norton Park Addition~2 Type of facility to be inspected Well Data: Individual -~ A. Type NHN East 121st Avenue ~)£F~/'~/~)LJ,fO· &D9 /PT~]~ ~YN I,~J~'/' Single Family No. of bedrooms 2 C. Construction Sewage Disposal System: A. Installed ¢. Septic Tank: 1. D. Seepage Pit: 1. B. Depth ~0 / D. Bacterial Analysis On-site system d~¢~~ '7~-(CZL~ - /0~_/~ ~- ~ ~ ~& ~-~, ~//~/~ B. Installer Size ~,9'~)~J~ 2. Manufacturer Absorption Area 2. Material E. Disposal Field: Total length of lines ., Sewer Lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages :'~ge 2 of two pages - Req ;t for Approval of Individual S !r & Water Facilities Legal Description Lot 4 B10,ck 2 Norton Park Subdivision Addition approve-ek.--.~L /J .... .~ ¢._ Disapproved f~~.~ .,~V~¢?._ ~x,_ / ./,._/~, ApprovM~ Valid for one year froT~ 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) 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 Type of Inspection: CMRO -~_V~-~ Property Owner'. ~(b~"~'~7~> ,~_~(~.'/.(:lz(~ ~'~'('~/,) Mailing Address:_.~.~/~2/~ ./~' ('¢i FHA Day Phone: ~..~' ~ z' : '- ~ ~' (? Phone: .~¢~' Mailing Address:_ ~/~/ ~ :~) ~ ~ ( ' Day . 5. Name of Realtor or Agent:. Mailing Address: . Phone~ . .:¢,..y,:,2..z~,,,.~.~.._~: --~'~;~- Location'.~///~ ~ /> /,Z ~_~'~,~ ?.~rr ~ ~' ~,~z.~ 7. Type of Facility to be Inspected: ~/-~>-~ t~, ~ ~ No. Bdrms.. ~, 8. Water Supply Type of Supply: Public Utility .... Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site)_.. X 72 003(3/76) 4. 5. 6. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection . J-~//-~ Approval requested by: Mailing Address: Property Owner: Mailing Address: Legal Description: Location: Type of facility to be inspected Well Data: A. Type ,.~//x~x{~-~XS~.<-~-~__ C. Construction ~,?, _ Sewage Disposal System: ~/~_~_~_~_~_~,~__ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Phone: B. Depth _~C.~) D. Bacterial Analysis A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: 1. Size 1. Absorption Area Total length of lines B. Installer 2. Manufacturer 2. Material Distances: A. Well to: Septic tank 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 Page 2 of two pages - Re~,..est for Approval of Individual ~ ,~er & Water Facilities Legal Description Approved Disapproved ~~ Approval Valid for one year from date s~;F6d Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM F EQ-034 (1/74) I certify that the information contained in t'his r~quest for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. S I GN ED ~'~:ff,_, ~/~.v~) Da te GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF iNDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA 2, Property Owner:~~'~" ~ Mailing Address: ~? ~/2//~__~/~ __ DAy Phone // ~ Mailing Address~~.~~. Da,~ Phone.~-.7..~_ 4. Name of Lending Institution: ./~ . Mailing Address: ~ X Phone 5. Name of Realtor or Agent: o 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well 9, Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) ~ EQuO37 (1/74) 3300 "C"-Street Ancherage~ Alaska 99503 ~tlBaE~T: Lo~ ~, Block 2, ffor~n Bubdtvilton Addition Unit 1002'1 - 121st Avenue Dear Mrs. Shoppard: . n of the subject property revealed that .the on-site The health InspeCt~o __ event overflow. sewer ~y~tem m~st h! pump,~ pert~lc~[~.t:~, sho~in~ that puree&rig Buchannn stated, an~ signed an tn~pe~,-- ~ ....... necessary. This t.ype of arrm~ent is satisfactory with regard to health code~ and sa~)ttation~ ho~aver, does not quality the lot for approval ('or loan purposes. Approval from this Department: stqntftes a syste~ is v~rktng properly and ca)) be expect~ed to continue doini! so ~dthout pumping hy new owners. StncePely, Les Buchholz,. R.$., ~nvieonmentR1 Centre'! Officer L~/ko Enclosure