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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