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