HomeMy WebLinkAboutNORTON PARK #1 BLK 2 LT 9Pa, nc
GREA.ER ANCHORAGE AREA BOR.JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPEC~iC)~]~EpORT 0N-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELl
INSIDE LENGTH
MANUFACTDRER
INSIDE WIDTH
L~/~..~ NUMBER OF
MATE PlA L~'-/__(C_~ _ . COMPARTMENTS ,~
LIQUID DEPTH LIQUID CAPACITY/~2~' GALLONS.
DISTANCE FROM WELL
/
FOUNDATION ~'~ _
NUMBER OF LINES~/ DISTANCE BETWEEN LINES
ABSORPTION AREA ,'~,~____~
DEPTH:
,- ~ TOTAL LENGTI~_ /
NEAREST LOT LINE _,,-'~ OF LINES
TOP OF TILE TO FINISH GRADE
SQ. FT.
TRENCH WIDTH(,~'~° IN. TOTAL EFFECTIVE
LENGTH OF EACH LINE ~'~ /
DEPTH OF FILTER
MATERIAL BENEATH TILE '-~1¢¢ IN, ABOVE TILE IN.
TYPE _ _
BUILDING NEAREST
FOUNDATION .... LOT LINE __
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
CONS1 RUCTION (~~::~,t._(~ ~
NEAREST SEPTIC
SEWER LINE___ TANK
REMARKS
DEPTH DISTANCE FROM:
SEEPAGE/~._~,.<~) /
SYSTEM __
DISTANCES: /f ~-- /~) /
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE: .¢~'"'
Form LQ-032
DIAGRA~'~ ' YSTEM
DATE
.Ii'.'!
~ii(
i:: il
GREATER ANCHORAGE AREA BOROLF'
Departlnent o'F Environmental QL
3330 "C" Street
Anchorage, A1 aska 99503
SOILS I,OG - PERO1,ATION TEST
i ty
Performed for w' ,~W'..,,,v'- L' .Nx=
............. rerco/ar~lon 'ues~
lhis 'form reports: Soils log .....
Depti~
Feet
3~
l 4 .-
Was ground water encountered?'
R,.ad]ng Date
G r o s s Ti rile
Net Time Depth to Water
Net Drop
Percolation rate minute.
Proposed i ns [al l a~'f~)~:- - ~}}~'p'~'ge Pi t Drain Fie'Id
E(~ 040 (6/?4)
:--~c .;-"z, ''( J, ('L ~
MUNICIPALI'fYOFANCHORAGr Mu ~,CIPALITY OF ANCHORA~/)
DEPAfi-H,.IEN r OF HEAI.I'H & Ef~VIRONMENTAL PROTEC~ OF t4EALTH
825L S~r.m - A,,ehora~;e. Alaska 99501 ENV,RONMENTAL PRO T~U.,
[NWHON ;i NTAL NO N EmNG DmS ON NOV 9 1979
Telephone 264-4720
R L:QU ES'I-FO R APPi:;IOVA L 0 F t N D i Vt D UAL WAT Et~ Al\iD ~.~,~LCt,/~:L~I L~i.~ES
OIF:ECTIONS: Corni)lete all paris on p:,qe 1. Incomph;to [~[lu~;slswill not efr(c(ssed Please allow U::l (10) davs forp~ocussinfi.
James and Marl;ha Ethington - _
SRA Box 94.8 A Anchorage, Alaska 99502
Property Located at 121st & Mary
2. BUYE~
Howard ~ Jan Tillinghast
4.?0 Datley ~8B Anchorage, Alaska 99511
~. L[ND~NG ~NSTn-UT~ON
3z~9-4001
PHONE
Fed,-Va Security Pacific Mortgage 2'76~19~
',!AILING ADDRESS
1011 East Tudor ~d. Anchorage, Alaska 99~02
4. REALTOR/AGENT
Marvin Baker Polar t2ealt,~ I c ~ P,~t(')NE
..... ~ ....... '-'____ - · ~, n · _l 272~15z~1
MAILING ADDRESS
101 E. Int'l Airport
........ _L°t 9 Block 2 Norton Park Add ,¢1
SI REE'F LOC/\T I-~).~ ........ '
121st & Mary
6. TYPE OF RESIDENCE NUMEER OF BEUROOMS
~ SINGLE FAMILY [_] One [-~. Four [~] C)ther
I~ MULTIPLE FAMII_Y
.................. ~ 'l'hrc~ ~] Six
7. WATER SUPPLY
~ INDIV DUAl~ *ATFACHWELL LOG. A wall h)fl is ~equired for all wells (I lcd
~ COMMUNI-IY since June 1975. Fo~ wells clrilled p: ior to that date, [live welt
~ PUBLIC M-FI LITY depth (~ ttach loft i~ available.)
8. SEWAGE DISPOSAL SYSTEM
~J INDIVIDUAL/ON-Si] E~'
~ PUL~LIC UTII FlY
''If indivi( al/o, -!itc, 9ire installation dale__S_gp_t_,__..!_?_~ .
If system is over two (2) yezHs old im arle(luacy lest is requi~ecl
NOTE: THE INSPECTION FEE MUST ACCOM?A[gy EACH REQUEST BEFOHE PROCESSING CAI'~ BE INITIATE[).
72-010(3178)
9NliVH S-IIOS
Uq:J-lV i
C):tTl\/±.~JxJI El I
CIB"I'III. KI 3IV I
Bq~M-JQ I ILd};¢l
IqUlqlblFttLl I ¥ UF I~I~UNUA~U~
OF HEALTH AND ENVIRONNEN'r
Street, Anchorage, Alas ......
279--2511, ext. 224 or 225
PROTECTION
99501
Date Received: ~a¥ g, 1977
#2: Time ~3: Tirae
Date Date
Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAl, SEWER AND WATER FACILITIES
Lend:Lng Institution Request: F-i~t--National Bank of Anchorage
Mailing Address: Post Office Box 42290 99509 Phone: 274-1521
Property Owner: James R. Ethington
Mailing Address: Star Route A Box 186J 99502
Phone: 277-3548
Legal Description: Lot 9 Block 2 Norton Park Subdivision
4:
Single Family Res:Ldence: (x)
Multiple Farai].y Residence: ( )
Number of Bedrooms:
Number of Bedrooms:
Well System:
Permit ~
Construction
Indix l¢~ual well (x) Community/Public System )
Depth of Well Well Log on File ( )
Bacterial Analysis
6. · Sewage Disposal Syst:em: On-site System (x~
Permit ~t "7(r~ 60 ~_____ Installed IP'2-n (=
' _ /
Septic Tank Siz~
Absorption Area ~ ~
/
Public Utility (
Soils Rate
Material
Distances: Well to Septic Tank __ to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
pag~ TWO
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 9 Block 2 Norton Park Subdivision #1
Comments:
Affadavit Attached: (~) Letter Attached: ( )
~i~ar tmen~ Workstlee~'- ~J
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF FIEALTH AND ENVIRONMEt, J-i','~L PROTECTION
825 L Street, Anchorage, Ala'~ka 99501
279-2511, ext. 224, 225
REQUES-F FOR APPROVAL OF
INDIVIDUAl. SEWER and WATER FACILITIES
1. Type of Inspection: VA
2. Property Owner: ,James R, Ethingt:on
/~',UNICIPALITY OF ANCHor
DEPT. OF HEAt £H d
i~NVII, Oh - J,,i. PROTECfiCN
.FHA _CONV_ XX
Mailing Address: SRA Box 186 J, Anchorage 99502 Day Phone:_ 277-3548
Name of Buyer: Same
Mailing Address:
4. Name of Lending Institution:
Mailing Address: ]?. O. Box 4-2090, 99509
5. Name of Realtor or Agent: NONg
Mailing Address:
6. Legal Description:_ Lo~
Day Phone:_
First National ~ank of Anchorage
Phone~_ 274-]521
Phone:.
9, Block 2, Norto~ ~ark g/~ Add. #1
Location: .... __f450 W. ]2]sLAvem~e
7. Type of Facility to be Inspected: SFD
8. Water Supply
Type of Supply: Public Utility.
If Individual, number of dwellings presently sep,'ed
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
No. Bdrms. 3
Individual_ XX
._Individual (on-site) XX
72.OO3(:]//61
#1: Time
Date
In sp
DEPARTME .... DF HEALTH AND ENVIRONMEN~'
825 Street, Anchorage, Ala.
279-2511, ext. 224 or 225
Date Received:
PROTECTION
99501
%2: Time #3: Time
Date Date
Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: First National Bank of Anchorage
Mailing Address: Post Office Box 4-2~90 99509 Phone: 274-1521
2. Property Owner: James R. Ethington Phone: 277-3548
Mailing Address: Star Route A Box 186J 99507
3, Legal Description: Lot 9 Block 2 Norton Park Subdivision #1
4:
Single Family Residence: ~) Number of Bedrooms: 3
Multiple Family Residence: ( ) Number of Bedrooms:
Well System:
Permit ~
Construction
Individual Well ~ Community/Public System ( )
Depth of Well Well Log on File ( )
Bacterial Analysis
Sewage Disposal System:
Permit # 76609
Septic Tank Size
Absorption Area
On-site System (~ Public Utility
Installed 1976 Installer
Manufacturer
Soils Rate Material
Distances: Well to Septic Tank
to Sewer Line Nearest Lot line
to Nearest Lot Line
to Absorption Area
Absorption Area
Page Two
· ' Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Wa~er Facilities
Legal Description: Lot 9 Block 2 Norton Park Subdivision
Comment s:
No well log.
Affadavit Attached: (i) Letter Attached: ( )
Approved: Date:
Disapproved: 2~0n4C~ ~n~,~/, ~,k.~ Date:
May 24, 1977
Depar%ment Worksheet:
Coast Servicing Company
[] Anchorage ... 700GStreehAnchorage. Ak. 99501 ............. 19071274.36t9
[] Bellevue ...... P.O Box 98. Bellevue, Wa. 98009 .............. 1206) 587-6000
[] Bellingham... P.O. Box 1072, Bellingham, Wa. 98225 .......... 12061734-0252
[] Bremerton .... 539 Fifth Street. Bremerton, Wa. 98310 ......... (2061 377-7626
[] Everelt ...... 1702 Hewilt Avenue, Everett, Wa. 98201 ......... (2061 259-7124
[] Lokewoad .... 9311 Bridgeport WayS.W,Tacomo, Wa.98499. · · 1206) 588 1848
[] Norlhgale .... 543NENorlhgoleWay, Seallle, Wo. 98125 ..... 1206) 587 6010
[] Olympia ...... 408 So. Washington Street, Olympia, Wa. 98501 ..... 12061943-7475
[] Sealtle ....... 2911 Second Aver~ue, Seattle, Wa. 98121 .......... 12061587-3770
[] Spokane ..... South 11 Howard Street, Spokane, Wa. 99204 ........ 1509~ 838-8381
[] Tacoma .... I O1Soud~ Tenlh Slreet, Tacoma, Wa. 98402 ....... (2061383~167 I
[] Tacoma Moll . . Suite #140 Tcicoma Mall BJdg., Tacoma, Wa. 98409 . . . 1206i 475.4661
[] Vancouver .... 1312 Main Street, Vancouver, Wa. 98660 .......... (2061695-3456
I'O:
FROM:
.Dep~· Of ~a]-th &_Environmen~a! protection
~udy.~¥sen
coast Mortgage Co.
DATE: 8-25777 ........
RE: ~ot ~,.Bl°ck_2., N°~t~g~Pa~
James Ethington