HomeMy WebLinkAboutHIDDEN HILLS BLK 1 LT 17O// /;Z l ¢7.
o GREA, :R ANCHORAGE AREA BOR , GH
Deparlment of Environnlenlal Qualily
3330 C Streel
Anchorsge, Alask~ 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
FROM WELL J_~/~? MANUFACTURER_ __
INSIDE LENGTH '~/ INSIDE WIDTH
SEEPAGE tiq=T::
LEGAl_ DESCRIPTION_. /
MATERIAL
LIQUID DEPTH___
NUMBER OF ~.
COMPARTMENTS
_UQUID CAPACITY /c'kc"~ GALLONS.
/
./
NUMBER OF PITS__
LINING MATERIAL
BUILDING FOUNDATION
ADDITIONAL ABSORPTION
DIAMETER _. OR WIDTH-2'~_,
__ CRIB SIZE: DIAMETER_
NEAREST LOT LINE //~"~- /
LENGTH , D~-PTH
DEPTt4__. DISTANCE FROM: WELL /
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) /~2(/~/v SQ. FT,
TYPE. ~.' -'~__ TRUCTION
BUILDING NEAREST
FOUNDATION LOT LINE.
CESSPOOL , OTHER SOURCES
APPROVED _
NEAREST
SEWER LINE..__
DEPTN DISTANCE FROM
SEPTIC SEEPAGE
...... , TANK SYSTEM
DISAPPROVED REMARKS
DISTANCES: __
INSTALLED BY: _:'~-4~'-~'-~'/',-~.'"~ /
PIPE MATERIAl .
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
/
,;::
... ;
I.~[~[l",lr:~i'l't I
I:::,i:!:::"1"[I Eft:: Fi "I't:;;:[~;I",tCH 01:~: I:::':['1" :!::~; THE: [:, :!: ?I'FINCE: [[~',[~:'1'1,.11~1~:1'.,! 'II'IE: r;~::i...ll:;~:l:::'l:::ll:;::l~: i:)i::' Fill::
FIN[) I'I.IE: I/~',O'I'TO~"I OF' Tt-'IIZ
:I:E; I",I0 :~:~;1~:'1" I.,.I:[[:,TH I:::'OF~:
i::~i[;~: f:t ',,,'[~: I. [::,[~:1:::"1H
E;O'I "i'Ed"l Eft:: TI.IE: E~:::'::CF:t',,,'Fi'I" ;1: I:::ff.,l ,:: :1; N I:::'[::E:T ::,.
GREATER ANCHORAGE AREA BOROUr''
Jepartlnent of Environlnen~al Qu.
3330 "C" Street
Anchorage, Alaska 99503
~y
,- SOII,8. I,OG ' PEROI,A'IiION TEST
Performed for ~i, ~ : '~" ·
-,' ......
Legal Oesc ri p~TS~-~-~,7-~< ,-', ~:2.~ __/,?_'7'- / ~K~--7--7~//;//~ 5. ~--~
This form reports:-' S-~71s log ....
Depth
Feet
10,-
'1 '1 -
12 -
13--
14-
Was ground water encountered?
If yes, at wi~at depth?
Reading Date Gross Time Net Time Depth to Wate~- Net Drop
Percolation rate minute.
-Proposed ins tal latl-~6'n-:- -'-~'ebI~a--ue Pit Urain Field
bupth of Inlet .................. ' Depl:l]-}.b--~b~}~iql'b¢"pit or trench
COI,IIIEItTS:
.................... :~ ....... /_ _Mr ...............
Performed By: .LJT:2,_t}.; ~xJ,.c ~J ~J:: ~]L ..... (Ter~} ......................... ~ ......................... :
, . f:i ed by :_L _._:_ ......... : ;._ . ........ U
E~. 040 (6/74)
3o-5-/
7~-77
77- /~?
APPLIC
Mailing Address .../ -
I_ending Institution
IT FILLS OUT UPPER HAL ONLY
Phone
Address
Zip Code
Realty Co. & Agent
Address
Zip Code
Legal Description
Slreet Location
Phone
Phone
Z ? ?- ~,.5'.~ I
Type of Residence
~j~" Single Family
[] Multiple Family
[] Other
No. of Bedrooms
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 Io9 it available).
Sewer Disposal
clawed ndividual
[] Public Utility
[] Holding Tank
Year Individual Installed:
When Connected to Public Utility: ~
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE iNITIATED.
Time
Time
Time
Date Date Date
hrspector Inspector Inspector
Field Notes:,,_
Date
Inspector
~ BEDROOM~
4~v,'~SA PPROVE D ~,~/' ~ ]-'
'CONDITIONS OF APPROVAL
Soils Rating
Date Sewer Installed
Well To Absorplion Area
Well to Tank
Well Log Received
____Septic Tank Size
ALASKA IiUII O[lm{ F1TAL COF1TI OL IF1C.
~nqJneeHnq $ ~noieonmentol $1udJes
FEB 15 1984
MIKE MCGINNIS
6421 QUIET CIRCLE
ANCHORAGE AK 99502
SELLER - MIKE MCGINNIS BUYER - JACK BURMINGHAM
SUBDIVISION - HIDDEN HILLS BLOCK - 1 LOT - 17
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 460 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 523 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR
THIS 3 BEDROOM HOUSE.
PO0 LUesl 33rd Auenue. SuJle ~,, Anchor,~% Alaska 99503,[907) 561-5040
}d, ,5_- LL D )l/ fk£ /~ : /
'30- 5-/
7'/- /o:
PHONE
SEPTIC TANK
CESSPooL
HOURLy RATE
,~id~
TOTALs
-- DATE'RECEIVED
INSPECTION APPOINTMENTS
T!ME TIME TIME
DATE DATE DATE
,NSPECTOR INSPECTOR ,NSPECTOR
MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTII &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT~MENTAL
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION APR 2 g t981
lolephone 2g4-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND s~ ~cYLtt~s
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing.
1, PROPERTY OWNER ~ / PFIONE
MAILING ADD~ESS
PROPER?Y'RESIDE~T (If differen~ f[om above) / PHONE
2. BUYER . PRONE
MAILING AD'DR ESS~ ,
I~TIT~TIO~ PHONE
MAILING ADDRESS
4. RE~LTOR/AGEN~ · PHONE
~LING ADDRES¢ ~ .¢
5. LEGAL DESCRIPTION
/7 /
STREET LOCATION
6, TYPE OF RESIDENCE
,~ SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF~BEDROOMS
E] One [~] Four
.~' Two [] Five
[] Three [] Six
[] Other
7. WATER SUPPLY
q~ INDIVIDUAL~
COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL t. OG Awell 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
/~ I N DIVI DUAL/ON-SI'f E~
PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FlEE 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
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[~ INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBL,C UT, L,TY ~ --? ~
Connection Verified
INSTALLER
[~Septic Tank or []Holding Tank
Size: I~O If Tank is homemade SOILS RATING
give dimensions:
·
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL T0: Septic/Holding[ ~-O Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
~ CO~DITIOSAk AP~BOVAE {letter mile ac~mpan~ certificate)
ALASKA E FIUIROFImerlTAL COFITROL OF ANCHORAGE
~n§incerin§ 6 ~nuironm~nloJ Sludics DEPT. OF HEALTEt &
ENVIRONMENTAL P; OrECTION
RECEIVED
MAY 7 1981
ALASKA STATEBANK
310 E NORTHERN LIGHTS BLVD
ANCHORAGE AK 99503
SELLER - HASWELL
SUBDIVISION-HIDDEN HILLS SUB BLOCK-1 LOT-17
THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 460 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 300 GALLONS OF WATER PER DAY.
THE SOILS RA'rING OF THE SYSTEM AT CONSTRUCTION WAS 150 AND NOW
IS 230 SQFT/ BEDROOM.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
2 BEDROOM HOME.
1220 LUcst 25th/~uenue · Anchora§~, Al~sk~ 99503 ° [907) 276-1361
(_;] ay Nasv/o.~ !
/",~CXhr}/TaqO, AJ/'L :n
comp1 c. ted:
i:) [ !~' . cF '
Department of Health and Eviromental Protection
ATT: Robert C Pratt R.S.
June 19, 1981
Dear Mr. Pratt;
Enclosed you will find a copy of the approval of the water analysis and a notice
of the septic tank being pumped for the property of Clay Haswell.
We are asking for your help in completing our closing today, June 19, 1981, by
giving me a call of approval today with a letter to follow on Monday the 22ed.
Thank You.
Sincerely, ~.~/
Pamela Lin~g~r ,~z '-
277-5661 Ext 257 /
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
~,~"~ ~/1~,// ENVIRONMENTAL ENGINEERING DIVISION
~ Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER~¢AblL~rr'IES-
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
I.~.ROPERTY~2) Ct./~.,.~ OWN~t ~~ ' PHONE
OILI ~ADDRESS .
PERTY RESIDENT (If different from above) ~
2. BUYER ~ ~ ~ PHONE
3, LENDING INSTITUTION I PHONE
M~ILING ADDRESS ~ .
,¥~:%L~R/A&o~ / ..~{~ ' - PRONE'
5, LE'GAL DESCRIPTION
~ET LOC~T~ ON ' '
6, TYPE OF RESIDENCE { NUMBER OF BEDROOMS
SINGLE FAMILY ~ One ~ Four
, 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-S TE**
PUBLIC UTILITY
**If individual/on-site, give installation date
If system is over two (2) cears old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
7~-010(3/7S)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
I NSPECTO R INSPECTOR I NSP ECTOR
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
Bi PUBLIC UTILITY
/ Connection Verified LOG RECEIVED
3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
E~]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 MANUFAC'~URER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line [ Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
[~-~APPROV ED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
DATE ~ ~ ~' C ¢~¢ t¢ BY {Title)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
August 24, !97~
Daniel. Green
% Firs% National Bank of Fairbanks
Post Office Box 123()
Fairbanks, Alaska 99707
Subject: Lot 17 Block 1 Hidden Hills Subdivision
Before a?proval may be grante~l on the reque~rh for
sewer ~%6~ water facilities, a well lo~ must be
sub)nitte~'~ to this department.
If there are any quo. stions, please contact this
office at 26~-4720o
Sincerely,
I~bert C. Pratt,
Sanitarian
United Bank Alaska
Mortgaf3e Loan Section
645 G Street 99501