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Home My WebLink AboutMCMAHON BLK 2 LT 4--If-OI7 2,6, 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 '~UPGRADE MAILING ADDRESS LOCATION ~e~h ~]1 Dwellin~ PERMIT NO. DISTANCE TO: ] ~ ~ Absorption area ~ ~ Manufacturer ~ I ~ Material No. of compartments ~q. capacity m ga OhS IF HOmE,DE: Inside length Width Liquid depth ~ ~ DISTANCE TO: ~el I~ Dwelling PERMIT,O. O Z ~ Manufacturer i ~ I ~ Material Liquid capacity in gallons ~ Well Foundation ~ ~ ~ Nearest]otline ~ PERMITNO, ~= DISTANCE TO: .~ ~ -- ~ ~ ~ ~ Material beneath tile ~ Total effective on area Length Width Depth PERMIT NO. ~ ~ Tgpe of crib Gr ameter Crib d~pth Total effectiuo absorption area m Well Building foundation Nearest lot line ~ DISTANCE TO: ~ ~ Class ~ ~ i~ Depth Driller Distance to lot line PERMIT NO. ~m DISTANCE~ ~TO:~ ~ilding foundation Sewer line Septic tank Absorption area(s) OTHER SOIL TEST RATING INSTALLER ~ ~ ~ ~ REMARKS ~ 4m~ ~ - ~&~ DATE LEGAL 72-013 (Rev. 3/78) F:iF'P....J'CRWi" MRR?FON REFiL ES;T. t..E'3f:iL. L4 82 HCMFIHON ]"T'PE[ :'iF' S;O);L FiE'Sr3F.'E'.-T)r3t'..[ :F:;'¢f.E:TEfd ];Si;: ~:ENiSH L. CT .hiFl::,::;tf,'tl.tH NUI'IE, EF. OF 8E[>F'.C.]'Z.H'F. ::; [~: /+ THE I.i..EI',!Ii:!i'TH [) ~[ HEr.,tE;I ON l S; THE LENG'TH ( I hi FEET ) OF THE TRE:r..!CH THE [)EF'TFt OF: f:t "I'RE:NCFI OR PIT )i:B THE [:.',IS'F'F!t'qC:E BETP.tEEN THIE St..IRFFtCE I]F' TH.E: GROUND RND TI'"IE E:OT'TOi'd OF TFIE E';.:iE:R'v'Ff'f' :i~ ON ':.' Z N FEET.".,. THERE :~::J; NO SET !,.I:[DTH FOR TREt'.,!C'.HES. THE: GRF:IVEL [:,EPTH ): '.'-2; THE M Z N 1HUM [.':,EPTH OF C-;.RI::!VEL E',E'TWEEH THEE OU"I"FRI..t.. l.::' ): PE t::INI.) THE: E:C)TTOM [:iF THE E';-::C:FI'v'RT! ON ,:: ): .i'.,! F"EE'I'). i::'F]:.~:i'd I 'T Pi.::'I::'I. ]' ".: FiN"r HFtS THE RESP ]IN'S 'J E: I L ): T ? 'TO '! I'.,!f:'OI-;:H TFI '/. :S [:,EI::'t::iR-f'HEiXlT !::,I...IR :[ I"4G THE ZN'.E;TF:iL!.J:TT'ZEiN tP,::,PE....FILi'-&:, OF t ,ir ..,.tEL,::, F!E:'..)'FtCEiq]' 'TO 'TH:IS FP:....FEF I I::IN[:' "f'HE NUME>.-EFi: Oi: RE% :[ E:,Et",tCE:!.:; ]'HFIT THE I.,IELL t,.! 'lj I..L. ':A EP' CE. i:~:f::iCKF)~LL.):N(]i ';:il::' 4.1', ::,~ .:'. t [:.fl t-!"]"H"' .T F:Ii"4FiI... ;f !",!:E;F'ECT ]: ]t'.,! F:IND HF hF..),,,I-L :, THIf'i; J)EF'!:::!R'I"Pt[}:NT H i'LL. E[E. S;tJEL.TECT TO f:';F.:(]::::';EC:U]"~ ON. ~'"i ]: N }. l"ll...li"t [:' Z :!3TF:tNCE E:tE]"I.,.IEEht Ft P.I!!:']..L F:II".ID ..fiN":' ON'"".:i!; ): "f'E '.:..'iE].,.!I::I. 3E [:' I E;F:'OE:FII.... S"¢'Z:;TEH l' ::J~Eil~:.~i rE.E FOR FI F'RI"/'i::fTE ,IELt; OF~: ' .,...~ '":',~. 'T.'.) ;:2EiEt F'FE"F ..... F[,'f'M,.. Fa PI...IE:LZC. FIEL.,~:: [)EF'EN[:,If'.-!G I.JFu]N THE: T"r'PE OF F' . .... F:I :lC !.,.IELt .... 7 't'FIE'R t'.E:EQI_I :[ RE!'"It~i:i",Ft':S t"IFW I::II::'F'L"r'. E;F'EE: :i: F' Z E:f:f'f'" Z~I",!tE:: f'q.l",l[:, '] ] ~'l? 'T'[;;:f. tC:'. I Eli", [) '[ f:::IEiI';i:F!t"I:E; l:::lF::li'~: FI'v'FI Z I....F!E&.E TO ): [",ISLtF;::E F'ROF'ER ): N:E;TFILLFIT :.i: C 1'4 '~: E F'''' t: F:'"r' T H FIT ......... . ...... :::,,::.t.,,EI:~..::, FIN[)I.,.lf':.]._.!...fC, F:IZ:~; fE;E:T · :i_.: T F:IM F:'FIIM]:I "FI[;:' I.,.I)iTH THE RE'::dJIF:EhtEI"4'"':S I::'OR Eff',!-L'S~"rF '-'~ .... '"'~ I:::(.)RTH E['¢ THE HUt'-,t ): C Z Pi::iL Z T'¢ OF FINCHOF--::FIGE. '~ ....I' ~'~ '"'"/"""i' t' f',l I::1 ..... ,q'£,FINC:E 14 :!: TH 'TH[i~: CODE:E;. 2: ). F!.::...I .... .&:,I.4LL. THE .:,r::,.~: ..... :iii: · ); IJf-,IDET. R?t' F:II'.,tE'., 'THW'f' 'FHV-~. '3N-'::;; ~ 'TE' E;EHE-]F4: ;:, ~..::, E.~ 1 HFi'¢ RE6!U ). r,.E: I. ENL_HR ..~E I ,,:.1', 'T'HE:: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 0.650, Anchorage, Alaska 99502 276-222~' SOILS LOG- PERCOLATION TEST SOILS LOG PERCOLATION TEST m 5 6 7 8 9 10 11 12- J~ //~ --, . ENCOUNTEF~[[D? E IF YES, AT WHAT ~ DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop 13 14 15 16 17 18 19 PERCOLATION RATE ~ (minutes/inch) ~' TESTRUN BETWEEN ~ FTA,~ ~ FT COMMENTS ~ ,U-~L~ ~---,-, ,_,--. ,.../~.~,,! I./-./-- ~,'~k ~:~o ,,;~-~.-.~ ~/~/~ / ~5°/~Z~/~* ~' 1 2 3 4, PERFORMED FOR:~ DATE PERFORMED: --- ' SLOPE SITE PLAN '"?' ~ 3A'~E RECEIVED :-" INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE :)ATE INSPECTOR INSPECTOR INSPECTOR t DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~.~ ION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION 5~'~ 1 5 1981 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE~¢g~ DIRECTIONS: Complete ail parts on page 1. Incomplete reques~ will not be processed, Please allow ten (10) davs for processing. 1. PROPERTY OWNER PHONE MAILING ADDRESS PHONE PROPERTY RESIDENT~ ~(Ifdifferent from above) ~.1,] 2. BUY~ PHONE MAI LING ADDRESS 3. LENDING INSTITUTION ~ PHON~ MA~G AD~ESS 4. REALTOR/AGENT MAILING ADDRESS 5. LEGAL DESCRIPTION . 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ One ~ Four ~ 0ther~ ~FAMI LY ~ Two ~ Five ~ MULTIPLE FAMILY ~ree ~ Six 7. WATER SUP?~ ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM · ,~~1 ~ DI V I DUAL/ON-SITE** [] PUBLIC UTILITY *ATTACH WELL LOG. A well log is required for all wells drilled ' since June 1975. For wells drilled prior to that d~te, give well ! depth (attach log if available.)~,~l~. ~ /~'67 YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 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 []INDIVIDUAL/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 1 WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS [~"/APPROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY ~j 72-O10 (Rev. 6/79) 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION June 17, 1981 Michael W. Sharon Star Route A Box 1574 Anchorage, Alaska 99507 Subject: Lot 4 Block 2 Mc Mahon Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be submitted to this office from the Chem Lab~ 5633 B Street, for ,.~-h~2~'"'L our review. Effective June 1, 1981, the lab fee is $20.00. (2) The depression around the trench area needs t~ be filled with impervious type soil. This will need to be reinspected by this office when it is corrected. (3) The well seal needs to be tightened so that it is water tight. If there is not a seal on the well, one needs to be put on so ~the well is protected from source contamination. This will need to be reinspected by this office. _~/ (4) 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, James S. Roberts Environmental Specialist JSR/ljw cc: First National Bank of Anchorage Post Office Box 4-2090 99509 ,, MUNICIPALITY OF ANCHORAGE ,:~. ..... ~///~, ~ ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ) 825 L Street - Anchorage. Alaska 99501 f ' ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete ail parts on page 1. I.ncomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE Michael A/Mary J Carver 344-8130 MAILING ADDRESS star Route A Box 1574 99507 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Michael W. Sharon . 486-3143 MAILING ADDRESS Box 503 Kociak, Alaska 99615 3. LENDING INSTITUTION __ I PHONE Alaska National Bank of the North ~ ~b~-~ MAILING ADDRESS 3301 C Street, Calais II 99503 4. REALTOR/AGENT I PHONE Marty 'Plunkett % Marston Real EstateI 349-4476 MAILING ADDRESS 2060 West Dimond Boulevard 5. LEGAL DESCRIPTION Lot 4 Block 2 MC Mahon Subdivision STREET LOCATION NHN Mc Mahon Street 6. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four r-i Two [] Five ~ Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY ATTACH WELL LOG. A well log is requ'ired 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 ..... 1968 If ~nd~v~dual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONL~ DATE RECEIVED INSPECTION APPOINTMENTS -TIME TIME TIME [)ATE DATE DATE -~ISPECTOR INSPECTOR INSPECTOR -DIRECTIONS: 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDuAL/oN -SITE DATE INSTALLED ' []PUBLIC UTILITY ~;onnection Verified INSTALLER E~Septic Tank or []Holding Tank ~/~ ~ /~'~-~ Size: /,.~,.~0 If Tank is homemade SOILS RATING ~give dimensions: TYPE OF TANK MANUFACTURER TQTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Eine PPROVEDFOR .g ,BEDROOMS [] CONDITIONAL APPROVAL {letter must accompany certificate) [~'"~DISAPP ROV ED -DATE BY (Tide) 72-010 (Rev, 3/78) 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 FHA_ 1. Type of Inspection: VA 2. Property Owner:__Michael A. and Nary J. Carver Mailing Address:.SP'A-A Box 15-74 (9950?) 3. Name of Buyer: Michael W. Sharon CONV_ X__ Day Phone: 344-8130 Mailing Address: Box 503 Kodiak~ AK 99615 Day Phone:. 4. Name of Lending Institution: Alaska National Bank of the North Mailing Address:. 3301 C Str. Phone:_278-4581 51 Name of Realtor or Agent:_iKartY Plunkett/Marston Real Estate Mailing Address:__2060 W, Dimond Blvd. Phone: 6. Legal Description: Block 2 ~ Lot 4~ McMahon 8ubd, Location: NHN MeMahon Str. 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Log Home (SFR) Public Utility 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__ Approx. 1968 486-3143 349-4476 No. Bdrms. 3 Individual_ X Individual (on-site) × 72-003(3/76) John M. l. nmi:m, P.E. ~ Norl~ St.m' $~ree~ Anchorage, Ahmka, 99503 907.Z79-80515 DEPTH BELOW EXISTING. DRAIN FIk~.D T~,MT - PERCOLATION ADEQUACY REFERRNCE: ~ ~' f DA~~ P~~ BY: ' LEG~ D~CRtPTION: /~r ~ ~/// ~ ~c ~~ REFERENCE 9:/~/.'' 9'-/~" METER READING (,, GALLONS, } GALLONS PUMPED TIME 14;?' ! I# '0 John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 NEW PHONE NUMBER 276-4113 SOIL ABSOPd°TION SYSTEM TES,~ PERFORMED FOR: TELEPHONE: ~z~ ~l~C., DATE OF TESTS= ~./~_ No. oF ~ED~O0~S: ~ RECORDS ON FILE: TEST PER~ED IN ACCORDANCE WITH ~L STANDARD PROCEDURE ACCEPTED BY MUNICIPALITY OF ANCHORAGE~ DEPT. OF ~VI~O~TAL QUALITY ON ~'~ WITH THE ~LLOWING MODIFICATIONS:" SURGE CAPACITY: /~.~ soil, A~SORPTION SYSTEM (SAS) SEPTIC TANK PLUS SAS ABSORPTION RATE / AVERAGE ~ ~, ! ~j ,~q-~,,w7 STEADY STATE .~, RISE 0 BSERVATIONS: ~.. / NOTES: TEST DATA GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER &WATER FACILITIES FOR Approval 'requested by: Mailing Address: / Property Owner: Mailing Address:. ~,~, Phone: ~y~z- ~/ Phone: ~/--~?~2 3. Legal Description: ~.~.~ ~ /~?~-~-J~ ~-- ~'~ /~z-'/--~/.~-j-~' 4. Location: ./~7 ~~~d~ --~ d~/~~ ~, ~ 5. Type of facility to be inspected ~/~m/~ ~ No of bedrooms~ '6. Well Data: A. Type ~.:~-.~,~,,..,?: B. Depth C. Construction'~F~~-/~ D. Bacterial Analysis 7. ~Wage Disposal System: L~~ ~'A. Installed ~~ B. Installer ~'~'~ D. S~epage Pit: 1. Absorption Area ' 2. Material E. Disposal Field: Total length of lines Be Distances: A. Well to: Septic tank ~'~ ~ , Absorption area /. Nearest lot line .~ /xz/ ~--, Other contamination B. Foundation to septic tank ~J ~ C. Absorption area to nearest lot line Sewer Lines , Absorption area EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - R~/' ~st for Approval °f~Individual '~i '~ler & Water Facilities ,~e~al :D~scrlptlon /_~- ~ ~/~ ~ ~., ~~x~x _:~).d'. Comments Approved .Disapproved Approval~Valid for one year from date signed Greater Anchorage Ar~a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this cequest 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 ARE/~ BOROUGH Department of Environmental Quality 3330 "C" Sto, Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mailing Address: 3. Na~ ~ Buyer: Mailing Address: CMR0 VA Phi!lip J. Kish SRA Box 1574 xxx FHA CONV Michael Carver Day Phone 344-5793 P.O. Box 1096 . Day Phone 344 8130 4. Name of Lending Institution: Mailing Address: 3380 "~" Street 5. Name of Realtor or Agent: N/a Mailing Address: The Lomas and Nettleton Company Ph0ne274-7661 Phone Lot 4, Block 2, McMahon S/D 6. Legal Description: Location: 7. 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 Type of S~stem: Public Utility If Individual, date of installation No. Bdrms. X Individual (on-site) x ~ INSPECTION ,~EPORT, ON-SITE SEWAGE DISPOSAL ~ STEM -SEPT,I C TANK: capacity/~JO gallons. Inside length ~/ Inside widths / Liquid depth, ~ . SEEPAGE SYSTEM: Seepage p~it: Number of pits /. Outside diameter/~_~ om width /~_~, length _~:.~, depth ~/ , lining material .?~'~ . Distance from wen/O0 , building ~ ~ ~.,/ ' "i' /f ' _., l~ . ~'~ ' (wall foundation /~ ~, nearest lot line/~ Total effective absorPtion area a~ea) sq. : ~I_~_E. D_RAIN FIELD: Distance from well__ ~ foundation .... ~ nearest lot line ..... Total length of lines . Nu~er of lines,. , Distance between lines .... Trench width_~in. Total effective absorption area sq. ft. Length o~ each line Depth: Top of tile to finish g~ade .... Depth of filter material beneath tile_.~inches, Above tile WELL: Type,~;'£Aw-~_Distance f~om building foundation ~ nearest lot llne/ sewer llne ..... , septic tank ~/i seepage system/~/~ cesspool ,, nearest , , other sources Healt_h'Autho~ity :,~' :~ D3AGRAM ,,OF SYSTEM ,