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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