HomeMy WebLinkAboutKIMBERLY MANOR #2 TR A1 Municipality of Anchorage -"
Development Services Department "
Building Safety Division
On-Site Water and Wastewater Program. 4700 S. Bragaw St.
P.O, Box 196650 Anchorage, AK 99519-6650 Page
www.ci,anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: ~Lo, OOO~'¥~ PIDNumber: OI7-073'-~
"'"" Pen,,y ~,,~c.~,,';n WastewaterSystem: [] New [] Upgrade
17 Y ~ L~,,,& C~r~/¢ ABSORPTION FIELD r=~<t..C 7'
LEGAL DESCRIPTION -'-..,q.~
x~,,: .-'~: "~'~ F. ,.~,~ .,~, ~,~, ~..~'.: .~,. e~-- t.~...~ r,.
--,,,m: J
Well: _~/~t/.{' ~- [] New [] Upgrade
~: o,~ p,,~s~,~ ~,. c.~o,,~,,-c.'o~:~ TANK
SEPARATION DISTANCES ~septic I-]Holding I'-IS.T.E.P. r-IOther.
From~ Septic Absorptior Lift Holding Public~fivate~c~
Tank Field Station Tank Sew~rUae ~C. Ao ~'~ 7-'~ ~' I'?..S"~) C,~.
~2~.~.,,~ ~-~,,/-;~ ./~,,~-.f)"z'P°%'. ~,~-~,~,..~: BENCH MARK
I~.,~..~ '~n~,~ ~'if~ tni{o "~l.~']'t~ Engineer'sStamp
~,Fl- ..e t~ /./o,,
Inspections performed by: ,~'l~c~,/op ~'e¢/..C.'¢ Dates: ~' )1~10,0
.... .. .... ........ ......
Development Services Department Approval
PERMIT NO: SW000342 PAGE 2 OF 2
PID NO: 017-073-99
FROM: COR."A" COR."B"
TO: ~ ,' ,
* ...... E LI~ STATION
LS. TOP G 97 113 ,,,-
P~N VIEW ~N~ 1250 G~LON
SCALE: ~" = 30' SEPTICT~K
T~CT A-I~ KIMBERLY MANOR SlD J2
SEPTIC TANK INSTAL~TION
AS-BUILT INSPECTION REPORT
PROFILE VIEW ~woe ~c~m~ s~mCES SCALE: AS NOTED
SCALE: ~" = 5' ~4~3o ECIIO S~ D~WN BY TFM
~CIIO~GE, ~S~ ~516 FEBRUARY, 2001
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Sen/ices
On-Site Sen/ices Program
825 L Street, Room 502
P.O. Box 196550, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Aug 29, 2000
Expiration Date: Aug 29, 2001
Permit Number: SW000342
Legal Description: KIMBERLY MANOR #2 TR A1
Design Engineer: 0019 Flattop Technical Services
Owner Name: Penny Zaudrin
Owner Addrass: PO Box 111342
Anchorage, AK 99511-
Parcel ID: 017-073-99
Site Address: 013450 LAMB DR
Lot Size: 87121 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
Ail construction must be In accordance with:
1. The attached approved design.
2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to Apd115, a subsurface soil absorption system under construction dudng freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date:
Date:
TRACT A-2~ TWOLOTS S/D
INSTALL
FDN. C.O,
ABANDON
EXISTING
1500 GAL. "
SEPTIC TANK .-
(COLLAPSIN?! ..'
TRACT A-1
KIMBERLEY MANOR S/D #2
EXISTING
LIFT STATION
INSTALL NEVV
GALLON
SEPTIC TANK
LOT 2, BLOCK 3
KIMBERLEY MANOR S/D #2
TRACT A-l, KIMBERLEY MANOR S/D #2
WELL AND SEPTIC SYSTEM
SITE PLAN
FLATTOP TECtl]qICAL SERVICES
14530 ECHO STP,.EET
ANCIIOP, AGE, ALASKA 99516
I INCH = 50 FEET
DRAWN BY TFM
AUGUST, 2000
NOTE: THIS IS NOT A SURVEYED PLAT.
ALL LOCATIONS SHOWN ARE APPROXIMATE.
i~ [ MUNICIPALITY OF ANCHORAGE
· DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION DISTANCE TO: rA~j /¢A'~I Absorption are.
~ Well / ' Dwelling PERMIT NO.
~ ~ Manufacturer Material No, of compartments
~ ~ ,~iq. capaciW in flallons IF HOMfi~Dfi: InsMe lenflth ~idth liquid depth
0 ~ ~ Manufacturer Material kiquid capacitg in oallons
Well / Foundation / Nearest lot line / PERMIT NO.
[~ ~ DISTANCE TO: / 0 ~ 7~
[~ Top Of tile tO sh ~rade / Material beneath tilo // Total effective absorption area
inches /~o
Length Width Depth PERMIT NO.
tJ
(, ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
[ ~ Well J Building foundation Nearest lot line
~ ~ DISTANCE TO:
¢ Class Depth Ddller Distance to lot line PERMIT NO,
DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS ~ ~'~
SOIL TEST RATING ~/~ A~ ~'~.
INSTALLER
REMARKS
I
. ~ '~:~'~ ~. t,~ ,.
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
? Department:~ 'f-~i%~-~d ~nvi~0nmenta~ ?rotection
~ 825 ~l street, Anchorage, AK. ~.~501
264-4720
* * ~ HANDWRITTEN PERMIT * ~ ~
Permit ~?~..D%~OO WELL AND/OR ON-SITE SEWER PERMIT /~
Applicant: ~/~/~ ~~/~ Mailing Address: ~. ~
Location: 7~,~-/ /~ ~ ~ ~, Phone Nu~er: ~ ~ ~'
Legal Description: ~ ~ ~'~ '~ Lot Size:
Type of Soil ~sorption System Is:
Trench: /~ Drainfield: Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: ~.._ Soil Rating (sq. ft/br) ~/~
The Required Size of the Soil ~sorption System Is:'
DEPTH ~.~ LENGIH /~ GRAVEL DEPTH ~'~ WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minim~ depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~ GALLONS
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the nu~er
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED ~ ~ ~
Backfilling of any system without final inspection.and approval by this department
will be subject to prosecution.
Min~ distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minim~ distance from a private well to a private sewer line
is 25 feet and to a co--unity sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
~ ~ ~ PERMIT EXPIRES DECEMBER 31~ 1 9 ~ 3 * *
I certify that:
(!) ~ ~ f~iliar with the requirements for on-site sewers and wells as
set forth by the Municipality of ~chorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is r~odeled %o include more ~r~
Signe~: . Issued by:
~pplicant / Date: ~-
I,,~. / ~'----'~ [~] SOILS t_OG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR:'
LEG^' DESOR,PT,ON:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17,
18-
19-
20-
COMMENTS
I
IAI
SLOPE SITE PLAN
/
/
/
WAS GROUND WATER · ' S
ENCOUNTERED? l",.J o ~
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
· "' ,
,, .; -48,
~'PERCOLATION RATE (~*']~,~, ! (minutes/inch)
TEST RUN BETWEEN ~'{ FT AND ~* FT
PERFORMED BY:
72-008 (6/79)
CERTIFIED BY: DATE:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
o B
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
DATE PERFORMED: I~--I '7 --~'~
SiTE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
3895-E
COMMENTS
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND ~ FT
PERFORMED BY: ~O~[25 '-I~r'C]LOI'/!:iG-(Q'I
CERTIFIED BY:
DATE:
72-008 (6/79)
PERMIT NO.
APPL I. CANT ~E. bEPHp:F E. NI'4 fr'lF!.[:'_[::~l~ 2:S~±4- MC:PHEE ~2.
Li]Ci=IT I ON LAME; I],R.
LEGAL TR. R-i [..[ME. ERL. MRNOR LO"F SI;:.i'iE
,~',,,- - , TRENC:H
T't'PE OF SO I L REr.:.:;CtRST I IZIN --, t .=,l EM I E;:
FT,- E,F...) -
MR>:;IMLIM NI_IME[ER IZIF'BEC, F.']EIMS = 4 '_-qIZIIL. F.'.RTZNG ,'9;]:! ...."- 27.~
THE RE$1_IIRE[, _-,I,=E IZIF THE SI]IL. REr:;-IF.'PTION ':'¢$TEM IS:
[:" E F' 'T H = :.t. Z-~ IL_. El F~ ~::~ qF- H = ._ 5 ia Fi: F~ %.' E L-
,=,.':,.~ .... ~ =,.~;TREE:T., RNCHI.-.IRRGE., RK. "~':,
27'_a-2:5'1. t
77672 )
]:49 5874
· J '2000 Si.".-:!UFIRE FEET
THE LENGTH [:,IMENSION IF; THE LENGTH ,'IN FEET> OF THE TRENCH OR [:,RRINFiEI_[:'.
THE [:,EPTH OF' R TRENCH OR PIT IS THE; [:,ISTRNCE BETWEEN THE SURF'RCE ElF THE
GROUNI} RNE:, 'I"HE BO]"TOM ]F THE E::-::CRVRTION (IN FEET).
.... ;'' IF; -. ' .... f"' -'-'
tHE. I..E NO SE'I" WI[:,TH FnR IREN_.HE=,.
THE GRR',,/EL I.]EPTH ZS THE MtN[MLIM DEPTH OF GRR'v'EL BE FHEEN THE OUTFRL. L. F'ZPE
AND THE E:CTTOM OF THE: E~.:)Z:A',,,'FITION <IN FEET).
F'R[:KRGE PLRNT MR'¢ BE INSTRLL. ED RT THE F'ERMITI'EE'"S OPI'ION El EJEE:T TO THE
FOLL. OWI NG E 3ND I T IONS:
1. EITHER R [:I._RSS I ':R II NSF RF'F'ROVE[:' F'L~NT MF¢¢ 8E INSTRLLE[:'.
2. ~ C ZNTIN.OUE; MRINTENBNCE RGREEMENT IS REQUIRED. IF R MRINTENRNCE
RGREEMENT IS NOT KEPT CURRENT '¢OU NR'¢ BE REQIJIRED TO ENI_RRGE THE SOIL.
RBSORF'TION :,~:,fEf'l RND,."OR '¢OIJ i"IR'T' BE SI_IS.TEPT TO F'ROSECUTION.
,-,,q ', THOUT FINRL INSPECTION RNE:, RPPRO',,,'RL B'¢ THIS
-.rN6 OF RN'¢ .=,,_TE. fl WI
E:RCKF I L.L., ' .'
'- -' T "' F'RFrqEF:UTION.
[:,EPRRTMENT WILL BE .:,..IE,..EL.T TO -- -
.., - . - .~ -i ,- ....... - "1- '-"
MINIMUM [:,ISTRNCE E, EIWEEI R WEI_L RN[:, RN'¢ LN-=,I1E SEWRGE [:,I=,FJ=,HL S~'E;TEM
iO0 FEET FOR R PRIVRTE WELl_ OR 200 FEET FOR R PUBLIC WELL.
]I"HE~ REQUIREMENTS MR'¢ RF'PL.'¢. ~;F'E[:IFICRTIONS RN[:, CONSTRUCTION E:,IRGRRMS RRE
,- .... f'O ]'N'~II~'E PROPER INSI"RL. LRTION.
R~ HILHELE
~ ~.~.f ~ 'T
I CERTIFY THAT ,- ......,,-
.1.. I AM FRMIL. iRR WII"H "FHE REL..-.!I_IIREMEN"FE; FIR ON-E;ITE :.,EWER..:, RN[:' I-4EL. L.S RS; '.E;ET
FORTH B't' THE MUNICIPRI-IT'¢ OF RNCHORRGE-- ..........
............... "'"'";~"~':'1 IN R-'r"nF.'l:,Hl'.l~:E HI'fH THE L. uE.E ,.
2: I WIL~,tMLL~. ................. ~....c. ,-"r_-H~.r;, c,¢,:,TEM f'lR'¢ F.'E':)JIRE ENLRRGEMEN'T'
'" R~FP~_ ]~(~N~' JOEL-SEPH&PENN't' MHE:'E:'U,:':,
IF THE
N.° 889
'.._ ~ HEALTH DEPARTMENT
, "~ .... ~ 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
" INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ,/~2~) 7z~,
ADDRESS
LEGAL DESCRIPTION
~ .~':, ~C~ -~/.5
PHONE __
LIQUID CAPACITY / ~'~ GALLONS.
MATERIAL
INSIDE LENGTH
NUMBER OF
COMPARTMENTS
INSIDE WIDTH DEPTH_
SEEPAGE SYSTEM:
NUMBER OF PITS
L,NING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER
f . /Z}
OR WIDTH /~ ~:? ,'~TH ,DEPTH
D,STANCE EROM WELL /
. BUILDING FOUNDATION -7 .2
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) /~'~ C'/~(~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER O F,.LI I<,rESN
ABSORPTION AREA
TOTAL LENGTH
~.porui~IDA.TION_ NEAR_ESVL'OT LI~'~ OF LINES
/~DISTANCE BETWEEN LIN~S~'
. TRENCH WIDTH ~-~ .... .-~ IN. TOTAL I~VE.E~.
SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
WELL: TYPE~lv,~ ;//(?d/~r 7 DEPTH
LOT LINE /'f/~' / f' NEAREST SEPTIC
, SEWER LINE ~- ,TANK
DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE__
............. k/dj( ;~: ',>.t b~;,~,~,~l,~',~ 1'
Bi~'~-.~~.~( 0 c/-~/ /Q, ~I~j~MPLE , NEAREST
, SYSTEM . CESSPOOL , SOURCES ~
DISTANCES:
c'/
DIAGRAM OF SYSTEM
: ~, - . '~ . .-; ~ · .-~ - .~. : · : -
"cl .. . - ~ - f.. E:""' '; : :: ; ~' ' ' :": '[ :.
- ~:71.~ ~ - :" _ /. : : , .~' ~- ~ : , ' - : .... ' : :
71 : d't' ' . ~ ~ ' : .: '~ : .... ~ . ': ; : - ~. ~ - :.. .
' 'k'~':l~' Y '": -:-'~/"-'t :.--~ ' ~ : ' ~ : . ' ~ ~ : - ' ~ : i : i ' :
DATE
H E-.~LTH AUTHORITY
gREa~'~ ANCHORAGE AREA BO~' h
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO,
~ 3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION Al,ID PERMIT
'EGaL ,,ESCR,PT,ON Y-w
INSTALLATION OF: SEPTIC TANK
SEEPAGE PIT
v 7?'"
PHONE
FINANCED THROUGH TO be INSTAllED bY lC /' ~-' '(~' ~ '~"~'¢/~ '~. (:(> ~_2 ~> l~;'~
soil TEST RESULTS NOTE: THIS PERMIT I$ NOT VALID WITHOUT SOIL TEST
cOmPLETiON DaTe a~TiCiPatEd ~ ~ ~
FINAL INSPECTION: 24 HOUR__~O~JCE~REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL SE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
/
FOUNDATION TO SEEPAGE PiT ~-~J , DRAIN FIELD
/
SEPTIC TaNK TO SEEPage PiT Wall / '~
SEPTIC TANK _, SEEPAGE PIT , DRAIN FIELD
TO NEAREST LOT LINE.
/
WEILTOSEPT,CTANK 5-0 ,BEEPAGEP,T
DRAIN FIELD ALSO CONblDER AREA WELLS.
WATER MA,N TO SEPT,B TANK /0 ~' SEEPAGE PIT
/
DRAIN FIELD
SEPTIC TANK. . SEEPAGE PIT j DRAIN FIELD
TO RIVER, LAKE, STREAM.
DIAGRAM OF SYSTEM
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.
GRAVEL BACKFILL
CONFORM TO E~OROUGH ~:~EGULATIONS REGARDING INSTALLATION.
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE, //~ ~ ~-~-f THAT THE abOVE
Per, for'med Fo~'__ ~Jt'~ ~/0~ .
Legal Des¢~,iption: Lot Block . .
This Fc~m Reports a:
Depth
Fee~ Soll
?roD~sed Installation:' Seepage Pit, //'- · Drain Field
Depth Of inlet Depth To Bottom Of Pit Or ~'r.ncn-
'' Date:---'~ ' ' ~ ',.: ..~": ~:..~: ,.~ ':'. :7 ~ /~
. ,' , . , .. ....... ' '~ '~'2:;" '¥',, "".'". ' ';.. '
Reading Date Gmoss Timej Net Time Depth ,To H20 Ne~ Drop
.... t ..... {5 ;; 'i - :
e z'c'ole,'?.%oh ' ' . .... __4.,
January 3, 1978
Joseph/Penny Maddox
3914 Mc Phee 92
Anchorage, Alaska 99502
Subject: Tract A-1 Kimberly Manor ~ ~
Permit 977672
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stated
on 'the permitv by authority of Municipal ordinance°
If you have drilled the well, a Well log should be sent
to this department to document the installation date°
If there are any further questions, please contact this
office at 264-4720o
Sincerely,
Health and Environmental Protection
Sewer and water Section
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330'"C!' Street, Anchorage, Alaska 99503 274-4561
Date Received //~
Time of Inspection
REQUBST FOR APPROVAL' OF
I~IVIDUAL SEWER & WA~R FACILITIES
FOR
5. Type of Facility to be InsPected:_~.,,~¢~
Number
of
Bedrooms:
6. Well Data:
'l.
A. Type
C. Construction
Sewage Dtsoosal System:
A.
C.
O.
B. Depth,,.
D. Bacterial Analysis
Septic Tank: 1, 'Size/'~_~V~,_ 2. ManufacturerJ-/""~/~
Seepage Pit: 1, Size ~. Material
Disposal F~eld: Total Length of L~nes
Distances:
A, Well. To:
Bo
C.
Septic Tsnk...~,~//' , Absorption Area/~.~/ , Sewer Lines
, Nearest Lot l, ine~¢~ , Other Contamination~~ .
FoundatiOn to Septic T~nk~/ / '¥ AbSorption Area /~ /
Absorption Area to Nearest Lot Line ~ ~
~ECEIVE~)
GREATER ANCHORAGE AREk BOROUGH
Department of Environmental Quality NOV 81973
3330 "C" St., Anchorage, Alaska 99503 - 274-4561
~. OF ENVIRONMENTAL QUALITY
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1. Type of Inspection: CMRO VA xx
2. Property Owner: cox, James w. and Barbara A.
Mailing Address: P.O. Box 1006~ Anchorage 9950
FHA CONV
279-4481
Day Phone Mr. Cox
3. Name ~f Buyer: HENNESSY~ James T. and Michelle L.
Star Route A. - Box 413 344-7858
Mailing Address: Anchorage~ Alaska 99507 Day Phone Mrs. Hennessy
4. Name of Lending Institution: Alaska Bank of Cormnerce
Pouch 7012
Mailing Address: Anchorage~ Alaska 99510
Name of Realtor or Agent: Bowden Co. Realtors
907 W. Northern Lights Blvd.
Mailing Address: Anchora_~ Alaska 99503
Phone 279-5641
(E. McCall)
Phone 277-1482
6. Legal Description: Tract_A-l, Kimberly. Manor s__Lp_, #2
Location: Hillside and DeArmoun Roads~__p~perty of_f of Lamb Road
7. Tyoe of Facility to be inspected:
8. Water Supply
single family
residence NO,
Type of Supply: Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of well 119 ft.
9, Sewage Disposal System
Type ,of S~stem: Public Utility
If Individual, date of installation
REQUESTED BY: Alaska Bank of Commerce
Pouch 7012, Anchorage, Alaska 99510
B. A. Oswald - Loan Processor
Individual (on-site)
October, 1972
one
,~equast-for Approval of'~£n~ivi(~ual Sewer ~ Wate'r Faoilit"1'e~J
Page Two
9. Comments; ,,~.~,~f_~z-.'~-~ ~ (~/~ ~~
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 fac~!itles located at:
signed Date
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99507
279-8686
DATE RECEIVED:
INSPECT:
TIME:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER AND WATER FACILITIES
FOR
1. APPROVAL REQUESTED BY:
4 TYPE FACILITY TO BE INSPECTED:
o
NUMBER OF BEDROOMS:
WELL DATA: ,,
A. TYPE
B. D E P T H
C. SIZE
E. BACTERIAL ANALYS I S ./~ "~,~
SEWAGE DISPOSAL SYSTEM:
SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BAC~)
3. MANUFACTURER
4. INSTALLER
~APPROVAL REQUEST FOR SEWER & WATER FACILITIES
PAGE TWO
7~
B. SEEPAGE PIT
1. SIZE
2. LINING
C. DISPOSAL FIELD
1. NUMBER OF LINES
2. TOTAL LENGTH
REQUIRED MEASUREMENTS
A. WELL TO SEPTIC TANK
B
C
D
E
F
G
WELL TO SEEPAGE PIT
WELL TO SEWER LINE
WELL TO PROPERTY LINE
WELL TO OTHER POSSIBLE CONTAMINATION
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
H SEEPAGE PIT TO PROPERTY LINE
COMMENTS:
APPROVED:
DATE:
APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY
October 1~ 1971
(Jill Hathaway
St. Rt. A Ilex rtoS~A
A~{chorage, Alaska
Sl~bject: Tract A1 Kimberlv Nanor ,'-'~
Dear Hr. Hathaway:
An inspection of the subject Property k~as madf~ tmday Oct~
had failed. T~ie cesspool is apProxi;)k~..ly 6:j r~ot froF, ~he
well. 'Fh¢~ well was locatad in the basement u~de~ an out,-
~id(~ porch and the basement is at grou)~d love).
Before approval for the sewer a)}d water ~ystei))s car~ be giv-
proper Ut~tances from the ~¢)).
If there are any qu~:~stfons
~,.~,~e to contac~
Sincere)v,
Lynn S. Coad
Et~vt ronmenta I Sp~,ctalist
cc: James Cox