HomeMy WebLinkAboutKENAI VIEW LT 4
He~h and Environmental Prote~on
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
264-4720
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
DISTANCE
WELL.
INSIDE LENGTFt.
INSIDE WlD1-H LIQUID DEPTH
NUMBER OF /
COMPARTMENTS _~
LIQUID CAPAC I TY~GALLON$.
TILE DRAIN FIELD:
DISTANCE FROM WELl ...............
# o£ T,lnes
ABSORP'IION AREA
DEPTII: TOP OF TILE TO FINIStl GRADE
TOTAL LENGTH
~~nN~ ,NEAREST LOT LINE .OF'LINE
SEEPAGE PIT:
Log Crib Rings____
BUILDING FOUNDATION.____
D_~ . _ OR ~H___., LENGTH___, DEPTH
Crib Size: DIAMETER ...... DEPTH ..... DISTANCE FROM: WELL
~ TflTAt EFFECTIVE
NEAREST LOT LINE .... ABSORPTION~EA)
..... 5Q, FT.
~ell
ilass:_~.~ Depth:
~ell Distance To: Lot Line
%ldg: Sewer Line:
~ipe Materials:
,: of Bedrooms:
installer:
~emarks:
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO'
. TELEPHONE 274-456 I
,~. SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT
PHONE
LEGAL DESCRIPTION ~O~"'
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
TO BE INSTALLED BY
NOTE: THIS PERMIT IS NOT VALID WITHOUT ~IL
COMPLETION DATE ANTICIPATED .
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT'OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
~,: ~;L-~ TYPE REA SIZE TYPE
MINIMUM DISTANCES. REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK SEEPAGE PiT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK. . SEEPAGE PiT
TO RIVER. LAKE, STREAM,
DRAIN FIELD
,. DRAIN FIELD
SEEPAGE Pit
ALSO CONSIDER AREA WELLS.
· SEEPAGE PIT
DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
DIAGRAM OF SYSTEM
GRAVEL BACKFILL
CONFORM TO IROROUGH REGULATIONS REGARDING INSTALLATION,
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BORO.~GH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE· ~ ~v/.~
DATE / '--27--77APP.ICANT',,,GNATURE
-- - , D RECEIVED
. ~ ~ INSPECTION APPOINTMENTS
TIME' ~ TIME TI'ME
DATE DATE DATE
INSPECTOR INSPECTOR I NSPECTOR(~v
MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE
. DEPT OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~iRON~ENTAL PROTECT~N
825 L Street - Anchorage, Alaska 99501
AUG 5 1981
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720
~l~fi~TlO~: Complote aH parts on pa~o 1. In~ompl*to r~qu*~t~ will not bO pro~d. ¢leaso allo~ ten {~ O} dags for processing.
PROPERTY RESIDENT (If~ifferent from above) ~ . - PHONE
2. BUYER PHONE
MAILING ADDRESS
MAILINGADDRESS~, ~ ,~ ~
4. REAL~OR/AGENT
MAI LING ~D D~SS
;TREET LOCATION ' ·
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] One [] Four
,~ SINGLE FAMILY I-- Five
Two
[] MULTIPLE FAMILY ,,~ Three [] Six
[] Other
7. WATER SUPPLY
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well Icg is required for all wells drilled
since June ,1975. For wells drilled prior to that date, give well
depth (attach Icg if available.)
8. SEWAGE DISPOSAL SYSTEM ~ 2
lq/D0)-~ YEAR (~N-SITE SYSTEM WAS INSTALLED.
'ND'V'DUAL/ON'S'TE::
PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROC ESSING CAN BE INITIATED.
I. TYPE OF RESIDENCE
[] SINGLE FAMILY
I-- MULTIPLE FAMILY
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
I-- PUBLIC UTI LITY
Connection Verified
~L SYSTEM
r"-IINDIVIDUAL/ON -SITE
I--I PUBLIC UTILITY
Connection Verified
[~Septic Tank or [] Holding Tank
Size~3~.,~ ,l~f ma~nk~s ho~memade
give dimensions: ~
TYPE OF TANK
TOTAL ABSORPTIOI~ AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
THIS SIDE FOR OFFICIAL USE ONLY
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE [] OTHER
[] TWO [] FOUR [] SIX
PERMIT NUMBER
DEPTH OF WELL
,DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATEINSTALLED
INSTALLER
SOILS RATINGL
MANUFACTURER
MATERIAL
· Septic/H°lding Tank Absorption Area
COMMENTS
[] APPROVED FOR ~ BEDROOMS
[] CONDITI 0 NAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
Municipali of
Anchorage
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M, SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
August 31, 1981
Joseph W. Dinkins
% Margi Lugo or Matt Matthews
Century 21.- Heritage Homes
207 East Northern Lights Boulevard
Anchorage, Alaska 99503
Subject: Lot 4 Kenai View Subdivision
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1)
2)
The water analysis report needs to be submitted to
this office from the Chem Lab, 5633 B Street, for
our review.
The septic tank pumped with a receipt submitted to
this office.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Robert C. Pratt, R.S
Associate Specialist
RCP/ljw
cc: Alaska First Mortgage Corporation
207 East Northern Lights Boulevard
99503 .
~ ~ ~UNICIPALITY OF ANCHORAGE
' DEPARTMEN'N~.~F HEALTH AND ENVIRONMENTA~--W~ROTECTION
825 L /Street, Anchoraa~. Alaska 99501
I l/ ~ ~///~ ~/~ 264-4720
~-- ~ .~ {~ ~ Date Received:_October 2.6,
~1: Time C~,~ ~]~Y~1 ~ ~/~..~/Time ~ %O ~3: Time
1977
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: Peoples Bank and Trust
Mailing Address: Pouch 7-007 99510 Phone: 279-7511
2. Property Owner:
Mailing Address:
3. Legal Description:
Glen L. Carlson
% Everett Honegger, 276-8188
Phone:
Lot 4 Block 1 Kenai View Subdivision
4: single Family Residence: (~
Multiple Family Residence: ( )
Number of Bedrooms: Four
Number of Bedrooms:
Well System:
Permit #
Construction
Individual well
Depth of Well
Community/Public System ( )
Well Log on File (/~/~
Bacterial Analysis
Sewage Disposal System:
Permit %
~~ank Size
Absorption Area
On-site System (x) Public Utility
Installed /~7 Installer
_~/ Manufacturer
~' Soils Rate ~ Material
7. Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224, 225
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
IglUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
OCT G 1977
RECEIVED
1. Type of Inspection:
2, Property Owner: Glen L. Carlson
VA___
_FHA .... CONV ~
Mailing Address:. Contact Realtor
Name of Buyer: Noah Lee Stafford
Day Phone:
Mailing Address: 4414 Reka Drive, Anch. Ak. Day Phone:_ _2]6-2503
4. Name of Lending institution: PEOPLES BANK,, ,& TRUST CO_
Mailing Address:. POUCH 7-007, ANCH. AK.. Phone:__ 279-7511
5. Name of Realtor or Agent:L Jess Holliday Co. (Everett Honegger)
2820 C St., Anch. Ak. Phone:__ 276-8188
Mailing Address:_
Lot 4, Blk. 1, Kenai View Subdivision
6. Legal Description:_
Dora and Snowshoe Lane, Anch. Ak.
Location: ....
Type of Facility to be Inspected:. ,Single Family Residence -No. 8drms.__ 4
Water Supply
Type of Supply: Public Utility.__ ___Individual Well
If Individual, number of dwellings presently served
If Individual, depth of well_
Sewage Disposal System
Type of System: Public Utility _ _ Individual (on-site) Septic
If Individual, date of installation ........
72-003(3f76)
r~e TWo
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 4 Block 1 Kenai View Subdivision
Comments:' (//~/7~ ~ ~ ~ ~
Af fadavit Attached
Approved: ~
Disapproved:
Letter Attached: ( )
Date:
Date:
Department Worksheet:
ney fo~ le~al action.
~l'mh~d Stitt -
RECEIPT FOR CERTIFIED
F~S ADDITIONA~ TO 20~ FE~ ~/~
June 1962 INTIRNATIO~
GREATER ANCHORAGE heaLTH DISTRICT
~TREI~T · P, O. BOX 968
PHON£ BPi 6-3351
ANCHORAGE. ALASKA