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Home My WebLink AboutNORTON PARK #2 BLK 4 LT 5D GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL -~"~.~'~ / LIQUID CAPACITY ,/' O~'}() _.GALLONS. NUMBER OF MATERIAL d('f~'C'~'d~'~''~-~-'~''~~- COMPARTMENTS INSIDE LENGT~ '~ INSIDE WIDTH LIQUID DEPTH NUMBER Of: PITS LINING MA[ERIA[ SEEPAGE SYSTEM: SEEPAGE PIT: _/' OUTSIDE DIAMETER NEAREST LO1 LINE__ '-~-~'~' OR WIDTH ~'~'~'?/' LENGTH --~'~::~ /' , , DEPTH DISTANCE EROM WELL ~':' / BUILDING FOUNDATION:~' ~ . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL ........... , _ FOUNDATION_ , NEAREST LOT LINE_ OF LINES OF.L¢~S .~-'~'~" TR WIDTH IN. TOTAL EFFECTIVE NUMBER AB.SC~"RPTION-- AREA _~,.~LENGTH OF EACH LIE DEPIH: TOP OF TILE IQ FINISH GRADE WELL: TY P E ~/"~Z./~:/-~ ;~' , DEPTH ,,J"~/-/ / NEAREST /.~----' SEPTIC LOT LINE ,~" SEWER LINE TANK DEPTH OF FILTER MATERIAL BENEATH TILE DISTANCE FROM WATER , BUILDING FOUNDATION. ./"~z"z~ .,.~/- SAMPLE ....~ - .-/ SEEPAGE - ~ -~ , SYSTEM .~/~) /, CESSPOOL IN. ABOVE IILE NEAREST OTHER SOURCES DIAGRAM OF SYSTEM - ) GREATEr 327 Eagle St. NCHORAGE AREA ItEALTH DEPARTMENT Anchorage, Alaska 99501 "ROUGH Case No. 279-2511 ~:4:~.~i/ '; ~) SEWAGE DISPOSAL SYSTEM ~ APPLICATION & PERMIT NAME OF APPLICANT ~,'~ ~ 0 RESIOENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SF-PTICTANK. TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESULTS THIS IS TO SERVE AS_ MAILING ADDRESS ~.~/~O'-,~.)/]-~-:'/Y).,¢~,~/)PHONE NO.. LOCATION OF INSTALLATION . ~, SEEPAGE PIT~ , DRAIN FIELD , OTHER T0 BE INSTALLED BY ANTIOIPATEB BATE OF COMPLETION_ BELOW TO BE FILLED OUT ElY HEALTH DEPARTMENT SIZE OF UNIT TO BE SERVEB />,,~/~. AS BESO[IIBEB BELO)W. . · SEPTIC TANK SIZE /(/~ .~. (- TYPE_~;~'ItaA)*-T-sEEPAGE AREA ,Td-~'>¢,'~¢/c~"LTYPE DIAGRAM OF SYSTEM DISTANCES: I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ord~ance~o. 28-68 and that the/ above described system is in accordance with said code. BATE fi f APPLICANTS IEATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE ........ ,,-L Date Performed Lot g Block ~ ,~ubdl. ~slon ~o~-~o~ .... Soils Lo~ ~ .~'ercolat~on tes~: Depth Feet q~ Soil Char~act eristice Was Ground Water Encountered?__.~ !f Yes, At What Pep'th Reading Date Gross Time Location Sketch Nei Time Net Drop Date Proposed Instal~'~'~Seepage Pit___~ Drain Field COMMENTS:~.~ ' , . - ' ,.~-, o <'' ~// ' ' 5°' Test' Performed BB,:D~~ Depth To H20 INSPECTION APPOINTMENTS ~// ! ~ __ TIME TIME TIM/E , DATE DATE t~ ,-_ ~ DATE INSPECTOR INSPECTOR . ~ INSPECTOR DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing, ~. ~OP~TYOWNER /~ ~- _ PHONE PROPERTY RESIDENT (If different from above) PHONE 2. BUYER MAILIN~ ADDRESS MAI LING A Mp~ ~ING ADDRESSxh 5, LEGAL DESCRIPTION STREET LOCATION //7 , 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ ~ One ~ Four SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six [] Other 7. WATER SUPPLY ~'.~ INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available,) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SI'FE*~ ' PUBLIC U'T'l LITY YEAR ON-SITE SYSTEM WAS INSTALLED, NOTE: THE INSPECTION FlEE MIJST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010 (Rev, 6/79) C]3AO~Jaavsio [] (a~ea!~R]aa AuedLuooae ~SnLU Ja~4al) -IVAOUadV -IVNOI/IGNO:D [] SINOOJJQ38 S.LN 31AIIAIOO lo-I ~seJeeN ~aMaS uop, dJosq¥ :0/-J-I:tM aU["1 aU!'1 eaJ~/ :,1 ue/[~u!plOH/apdas S33NV.LSIQ -IVIbI~J. VIAI V:t~JV NOIJ. alJOS~¥ -IV.LO.L ~3 ~l'~J~OV-lr'lN'g'lAl ~NV/~O 3d,,kJ. :SUO!SUOLU!p DNI.LVU S-IlOS apeLuatuoq s! ~ue/Jl :azJs :,lUe_L §ulplOH [] Jo >tueJ_ a!ldas[']] J:iaq qVJ. SN I. pa!:H jaA uo!loauuo3 A,/II I/F~ aB'~qV.LSNI ~.LVa 3.LIS- NO/-IVQOIAIONII~] 1:13 8 ~IN I IP~13d 03Al~O3kJ OO-I ,k.L II I.L f'l DJ] 8 riel [] aa-la I~C] aJ.Va AIINfl~JV~OO [] qq3M :JO I-LLd30 ]VI~alAIONI A-IddrlS ~IVM IJ3B~NN/ll/~ EI~ d ×IS [~ 8noq [] OM.I. [] A-111~V~ 3'] dIJ.'] NIAI [] sI/~OOl:la3B :10 IJ~Etl/dnN ~ION3OIS3U JO 3dA.L F~ '-' ,.. , DATE RECEIVED INSPECTION APPOINTMENTS INSPECTOR INSPECTOR INSPECTOR ~UNICIPALITY OF ANCHORAGE MUNICIPALIW OF ANCHO~AG~ DEPT. OF HEAl.TH DEPARTMENT OF HBA~TH & ENVIRONMENTAL PROTECTI~viRONMEN~AL PhOTEC~ION ~28 L Str,.t. Anchorage, Alaska ENVIRONMENTAL SANITATION DIVISION JUL ~ 8 1981 Telephone 264-4720 DIRECTIONS: Complete all parts ou page 1, incomplete requests will not ~e processed, Please allow ten (10) davs for processing, ~AI king ADDBESS /77 w. PROPERTY RESIDENT (if different from above) PHONE ~AILING ADDRESS 3. L~DING INSTITUTIO~ ~AILING ADDRESS ~ REALTOR/A~ENT 0 ' PHONE §. LEGAL DESCRIPTION fi. TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five J~ Three [] Six [] Other 7. WATER SUPPLY [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975, For wells drilled prior to that date, give well depth (attach log if available.) 8, SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** [~ PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72;~)~ 0 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FiVE [] OTHER I-~ MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMI~EI~ ' 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY __ Connection Verified __ LOG RECEIVED rpERMIT NUMBER 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified .__ iNSTALLER DSeptic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: __ TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank 1Absorption Area Sewer Line I Nearest Lot Line WELL TO: I I Absorption Area to nearest Lot Line 5, COMMENTS [] APPROVED FOR BEDROOMS [] COND!~T ONAL APPROVAL (letter must accompany certificate) [~I~;APP R OV ED 72-010 (Rev. 6/79) :"d Anchor ¢ 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M, SULLIVAN, MAYOR July 31, 1981 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Bruce Phillips 177 West 123 Avenue Anchorage, Alaska 99502 MUNICIPALITY OF A. NCHORAG~ DEPT OF ~:FAL]:] L ENVIROF,MENI,~L : ~.iZCTION Subject: Lot 5 Block 4 Norton Park Subdivision %2 This department was unable to do the inspection of the above property at the scheduled time, due to the dog in the yard. Please make another appointment with this office. Please expose and locate the well for our inspection prior to making another appointment. If there are any further questions, please call this office at 264-4720. f Sincerely, ~ z~ , "/"/ames Sl Roberts (/ Associate Environmental Specialist JSR/ljw CC: Lomas and Nettleton 4449 Business Park Boulevard 99503 Elaine Donaldson % 523 West 8th Avenue 99501 825 "L" ST aEET ANCItORAGE, ALASKA 99501 (907) 264-411'1 ~z~ GEONGE M. SUI_LIVAN, DEP,*,RTN1EN-r OF IlEAl_TH AND ENVIRONMENTAL?ROrECTION July 31, 1981 Bruce Phillips 177 West 123 Avenue Anchorage, Alaska 99502 Subject: Lot 5 Block 4 Norton Park Subdivision 2'his department was unable to do the inspection of the above property at the scheduled time, due to the dog J.n the yard. Please make another appointment with this offJ_ce. Please expose and locate the well for our inspection prior to making another appointment. If there are any further questions, please call this office at 264-4720. Sincerely, Jaraes S. Roberts Associate Environmental Specialist JSR/ljw cc: Lomas and Nettleton 4449 Business Park Boulevard 99503 Elaine Donaldson % 523 West 8th Avenue 99501 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 '~,___ FttA CONV 2 Property Owner: _~_),:,<×to~_ ~q_j"z_ ~ : ' " RatiOn9 Add~ess: ~'~3c> ..['z~cX ao~ ~v Oa~ Phone ...... . 4. Name of Lendin9 Institution: _ Z=c~F~F~ v ~,¢~/-c~ Mailin9 Address: :~ ,.'~ S= 0 ~ ~"~, Phone Mailing Address: /'~-2~-~:: ~a~. Phone ,;~'y~i--e>cL~ 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility No. Bdrms. 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) Page 2 of two pages - Req Legal Description ~'~.__~)~. for Approval of Individual S & Water Facilities .... ;~]..< :,~ ~ ~= ~.~:<~ ~' ~' ,> ~,~ ~ ,' ,~ ,, . : ~.~ < r~ .~, ~. ~.,,, .':' ~ , , Approved ,.~2.¥~ :<u')::4.", .: ~&~:?' Disapproved ' d ApproYal~Valid for one year from date signe Greater Anchorag6 Ar~a Borough, Department of Environmental Quality Date ,x DIAGRAM OF SYSTEM I 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) ,.rely ?, Department o~ironmental Quality 3330 IICI' Street, Anchorage, Alaska 99503 274-4561 Date Received _~Z Time of Inspection " f~-~~FOR APPROVAL OF ..... f~ INDIVIDUAL SEWER & WATER FACILITIES FOR Approval requested by: Mailing Address: ,y~;~7~ Property Owner: _~,~/.~/ Date of Inspection_~/~ /~-~,~ ' / / Phone: Phone: 4. 5. 6. A. Type .,~2/~, ~? C. Construction ~_~// Sewage Disposal System: A. Installed /~ Mailing Address: T~pe of fac~]~t~ to be ~nspected ~-'~'~t/r~ No. of bedrooms .. B. Installer C. Septic Tank: D. Seepage Pit: 1. Size _/~./)~)~ 2. Manufacturer 1. Absorption Area .~!~] 2. Material CO E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank ~/ , Absorption area ~/~ Nearest lot line 2~ / , Other contamination B. Foundation to septic tank ~ , Absorption area C. Absorption area to nearest lot line ~/ , Sewer Lines EQ-034 (1/74) [)age 1 of two pages GREATER ANCHORAGE AR~,, BOROUGH 3330 "C" St., Anchorage, Alaska 99503 Type of Inspection: CMRO VA ~ FHA Property Owner: Mailing Address: Name of Buyer: ~, Mailing Address: ___D_ay P h o n e~ !?~z? -,~i~, JF(~ Name of Lending Institution: Mailing Address: Name of Realtor or Agent: ,~'1~,~',~,~' Mailing Address: 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 l'ype ,of S~stem: Public Utility individual (on-site) X If Individual, date of insta'llation Page 2 of two pages - RE . for Approval of Individual Legal Description . {.~? /- J~-' ~, {/(~ [f Ll")l.c.~-' -'/~_,'~ & Water Facilities Comments Approved Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I 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) GREATER ANCHORAGE AREA BOROUGH 3500 EAST TUDOR ROAD ANCHORAGE, ALASKA 99507 PUBLIC WORKS DEPARTMENT June 24, 1975 Loomis & Nettleton 3380 "C" Street Anchoraqe, Alaska 99503 Attention: Mr. Bob Fritz Dear Bob, Norton Park Lateral Improvement District No. 82, is being redesigned. This will require acquisition of additional right-of-way, thereby, delaying project completion semewhat. ttowever, we anticipate completion sometime in November 1975. If you need additional information contact me at 279-.8686, extension 269. Respectfully, Bi 'Il Kromer Customer Service Representative I ISK:epw J~ 5, 1975 33130 "C" Streut 99503 ]Lot 5, Blod{ 4, NOl~ Park Subdiv~si~ ~2 r~s~ ~ at ~ s~)ject l~mti~n was desired for a ~m~l-bedroc~ ~lling and the loan approval r~st w~ for a thre~ bedro~ d~ilim3. ~%exefore, this d~par~m%t Wi]J[ r~t ~DVe t[~ facilitY.. ~z~m~ation of soils in t-~s area dictates ~ny ~mlargemaut of t~ s~: will ~ a 2000 ga~ ~ml~ng ~. You ~y w~t ~ ~h If yOU t'~%W~ a~y q~ttoa~, p]~M~e feel free %0 cc~%taet nL· at 274-4561, ~xtensio~ i[35.