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HomeMy WebLinkAboutMEADOW BROOK BLK 3 LT 9 GRE:-,,i R AN£HORAGE AREA BOR..JGH Department of Environmental O. ua[it¥ 3330 C Street Anchorage, Alaska 99503 SEPTIC TANK: NUMBER OF DISTANCE ~ . ~ ~ ~ COMPARTMENTS __~/ LIQUID CAPACITY /~dMcLc~ALLONS' INSIDE LENGTH NSIDE WIDTH __ LIQUID DEPTH Z TILE DRAIN FIELD: / TOTAL LENGTH / DISTANCE FROM WELL FouNDATION NEAREST LOT [INE //~. __ OF LINES , / NUMBER OF LINES ,L -- DISTANCE BETWEEN LINES____qRENCH WIDTII~- IN. TOTAL EFFECTIVE ABSORPTION AREA - &~O~ _ SQ. FT. LENGTH OF EACII LINE DEPIH Gl: FILLER ~ / . ,~ ~/ LE DEPTH; TOP OF TILE TO FINISH GRADE % MATERIAL BENEATH TILE ~ /~IN. ABOVE TI WELL: /~ _ __ __DEPTH BUlL DING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION .... LOT LINE __--. SEWER LINE ~, TANK .-- SYSTEM CESSPOOL __ --, OTHER SOURCES --- -- Ap~P~ROV E D -- DISAPPROVED REMARKS DISTANCES: / c-"~ - INSTALLED BY: ~ SEWER LINE DEPTIt: -- DISTANCE FROM: LOT SLOPE: REMARKS: DATE ~'//~///~/~¢'~--' APPROVED G.A,A,B. 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THE[;?.E :1: S I",10 SET L,.I Z I:::,TH FOI:~'. "i"I:~'.E:I",IC:I"~E'.~:;. I' ' " THI: f::llJ"l"l:'l::: t.... I:::' :1:1:::'1:~: "I'HE .~I~ "t, ~ .I.... I:::,EI:::"I"H ]: S "I'HE I"'1 :t: I",1 :~ I'"11...11"'1 DIEI::'"I'H Cfi: . . , h.I.... IE',I!~:I"I.,.IEIEI",I I:;:11",11:::' THIE: I:?,OT"I"OH (::iF TI':IE :: :4 f:; Fl ',,,' R ' f' :t: O l",l ,:::1:I",1 I:'~:1~:'1"::'· .... I1" I1..,..~ ':::1)~ ,,:" ;;~: "::* :]11 ~,,-.~ :'}E~;; IF" I1:1 ":1:: '"F ::11:: ~:11)~ I1'"',,~ :~E;; IF:Il Ii;;t .... ' I"H I:~II:::I(;;:I".::I:::'~L.I....]]I",tC~ OI:' I:ll',l~'i'' :,r.::, I::11 I.,.IZl]'T'H(]II..I"t' I:' :[ l",ll::~L ];I'.,ISI::'E)Z:I"]]f:II",I I:~1",1[) I:::IF'I:;:'I:;'"'VFII h, I;)I~}~]:::'I::II:;?."I'I"'IEI",IT I.,.I];L.L.. BE '.~;I...II~:k]I'E(TT' 'TO I:'~;~;O::~;IEC;LI"f';[OI",I. I"IZI",I];FII.JI'"I IZ);I;STt::~N(Z;;IE E~EFI"I,.II~;[~]",] ~:1 I.,.II:]_.L FIN[:' I:::tl",l"r' OI",I-'S];'I"IE :a..~;~:.,?.l I::IEET I:::'Ot;?. I:;:1 -..I., f" FI:... I.,.IIEI....L. OR ;;:'::ll;f.I I:::'IEIET F/'fl:~'. I:~ I:::'LII~',L.];C: 141EI....I .... '.~;I:::'I~:C:: Z[ F Z[ IZ I::~"1" T :ff'~'.E; I::11",1[) ...... I"I'.E;T :;: I.II]: .... O1",1 [) '.[ I::ll:;~if;'.l::ll'"l'.E; I:II;?.E I::1',,,'1::1 :1] I'.,I'.:~;'T'F:t_ L.F:IT ;[ O1",1. ~:::::" lEE: ~;;>.'. It"'1 ][ '"IF" ",,,?" IB;~t IL...,. :a: ~:::;" IF::" I(:)IF;R'. C~ IP-,,II t:~[: %.." ~[{~]: I1:::::1I 11:;~: ~::::" I1::;~'.'. Cji ~'"'"11 ][ ,.,.~]~;; '.:~ II....,11 IEeE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAl- PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-222~ SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: ~"~ ~./ ~,1O~-~-- ~' 1 2 3 4 5 6 7 8 9 10 11 12 13 14 16 17 18 19 20 DATE PERFORMED: O~-,~-~- ~'] ~'~£ SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? ,O L/¼ ,'h' Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND COMMEN'rS :~C~'. ',) ~','q,'''~ :'~ /) ~)t /'H2, ,f':J. '/',/.~ /'JP, ,/.)t-~/ r~ ~- ..~©r~ '~.~i ~,, , FT PERFORMED BY: q,r),.,MAr?:ff ,~, F'~,~<:'-'~/ CERTIFIED BY: Nr)pn,'n~-/~'/ ~' DATE: ~''''!~'. ,~ ~':,/~' 72-008 (7/76) 71 ? /? ...... DA'TE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE 1NSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION~  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 82§LStreet-Anchorage, Alaska 90501 ~AR g 1981. ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be processed, Please allow ten (10) days for processing. 1, PROPERTY OWNER PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2, BU~ PHONE MAILING ADDRESS PHONE MAI LING ADDRESS 4, REALTOR/AGENT ~ PHONE MAI LING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four 'C~f,' SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY 'J~' 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 '~5~' INDIVI DUAL/ON.SITE~* [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVI DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified, LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic 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 Absorption Area Sewer Line I Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS I~-APPROV ED FOR -'-~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72.010 (Rev. 6/79) ALASKA 6rlUIROllmellTAL COI1TROL SeRUICeS, I[lC. !iiU B D Z V 7;~i};;C C) N.... Mili: A i3 (Zl ~ ill; R ii(il'( S I!i;i;) N I?,1... C) C!'('"'3 I...C)T..- 9 "i'l..liii2 '¥'¥?lii] 017 (dli~SCii:i~::'T'.2((21N !?.,*!ii"i'Ei'.'i '~'"' ~:% 'i'l:;:lii;i'..l(7;i..i /.,11!2"i'i-'i AN i:M:i,EP~ (;)i::' (Bi].';'I "'"[' TI..IE ~Y~"i'ti~]i"'i :I:S C;Ai::'fii[H...E 0i::' r%C. CEPT:i;NC-', z'i~.~() C.;fli...t...C~NS C)i::' ~,;ATEF;; I::'ER D,":~Y.:. THE; iii C) :i: i... !~ I:Mf'iZNC.; C)i::' THE !;;YS"i"EM ¢'~'l' C[)Ni~iTRLJCT:i;C)N ~flS f;~.:i AND 'f' i.i E: S E !::' "f :I: C T ~':~ N !.::: i.i t::~ S I::' i.l M i::' E D (3 N :1. ,... 3 0 '". ~ 1220 U Jest 251h Au¢nu¢ · A,chor~q¢, Al,sk 99503 · (907) 278-1361 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received February 4, 1977 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: Peoples Bank and Trust Pouch 7-007 99510 Phone: 279-7511 James E. Davis Phone: 276-7777 1670 Crescent, 99504 3. Legal Description: Lot 9 Block 3 Meadow Brook Subdivision 4. Location: Sanctuary Drive 5. Type of facility to be inspected 6. Well Data: A. Type Public Utility C. Construction 7. Sewage Disposal System: A. Installed 1976 C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line Single Family B. Depth No. of bedrooms 3 D. Bacterial Analysis On-site system, ~76852 B. Installer I Absorption Area ~f3~ls~. 2. Material Total length of lines , Absorption area , Other contamination , Absorption area B. Foundation to septic tank C. Absorption area to nearest lot line , Sewer Lines __ EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re st for Approval of Individual ' er & Water Facilities Legal Description Lot 9 Block 3 Meadow Brook Subdivision Comments Appro~j-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) Call Jo i is or Flo Childs when ready MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchora§e, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES FEB 4 1§77. CMRO. James E. Davis 1. Type of Inspection: 2. Property Owner: Mailing Address: ]670 Crescent 3. Name of Buyer: ~uEene and Mary Buettner VA FHA CONY - Enterprise Construction Co. Peoples Bank And Trl]st Day Phone: 276-7777 Mailing Address: 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent:_ Mailing Address: 28],0 6. Legal Description: Lot Location: Santuary Day Phone: Phone: Jo Davis - Executive Realty C Street Phone: 9 Block 3 Meadowbrook Sub Drive 279-7511 276-7777 Hag1 e River 7. Type of Facility to be Inspected:_ 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: If Individual, date of installation No. Bdrms. 3 Public Utility 1976 New ~xxCC~ndividual Individual (on-site) 72-003(3/76)