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Home My WebLink AboutHENKINS BLK 1 LT 14 GAAS-HD-I INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM G,I~'TER ANCHORAGE AREA BOROI,'~H b,-.~RT[V1ENT OF ENVIRONMENTAL QUAL, 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 MAILING ~ ~. LEGAL DESCRIPTION SEPTIC TANK: D~STANCE FROM WEL~ LIQUID CAPACITY GALLONS. NUMBER OF .MATERIAL (~(3/)(I-i~(~P ' JL'~'~'J'l;)('c~ ,~ COMPARTMENTS INSIDE LENGTH ~ INSIDE WIDTH ~' LIQUID DEPTH__" SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER LINING MATERIAL ~ NEAREST LOT LINE OR WIDTH DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTH ~ , DEPTH BUILDING FOUNDATION TILE DRAIN FIELD: DISTANCE FROM WELl NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE FOUNDATION , N~_EA RE~S-T-~ @ T~L11x,TE- DISTANCE BETW~F~ES .TRENCH WIDTH .~/~Q. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH , OF LINES. IN. TOTAL EFFECTIVE IN. ABOVE TILE.__ WELL: i ~ TYPE ~IL k~iu, ~..lCL[~l) DEPTH I NEAREST LOT LINE ~-~') , SEWER LINE SEPTIC , TANK DISTANCE FROM , BUILDING FOUNDATION SEEPAGE , SYSTEM WATER SAMPLE CESSPOOL , NEAREST OTHER , SOURCES DISTANCES: DIAGRAM OF SYSTEM ,o cATER ANCHQRAGE AREA BOROL DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For__p~l~_t~n~ Legal Oescrintion: Lot ]J~ Block 1 This Form Reoorts Soils Log X Date Performed_~/FS/?2 Subdivision Hem~s Percolation Test 5 6 7 8 9 10 ~eoth Feet Soil Characteristics topsoil GW Well gr~,~ded gravel (85) 'S~NI well graded sa~d & gravel (125) Well graded gravel (85) ~,Cth thin (1") lenses of silt, fine sand Was Ground Water Encountered? no If Yes, At what Depth? Reading Date Gross Time Net Time Depth to H20 Net DroDi X Drain Field Percolation Rate Minute Proposed Installation: SeeDaae Pit Oeeth of Inlet Depth To Bottom Of Pit Or Trench COMMENTS: +_.e~t bnl_~ !4 ' ~sil~_~es sJ~ould not affect see~aEe in this /~/ /7z~ good_gravel.hole lOx24x8 installed Test Performed By /~~~' Data Certified By: ,~ ~..~ ~. ~4UNICIPALITY OF ANCFIOI~G~ .~ ~ MUNICIPALITY OF ANCHORAGE DEPT. OF i:::;AI.Ti~ & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~I~N;~EH'I',~.L ;'., ":~10~ 825 L Street - Anchorage, Alaska 99501 (~) ENVIRONMENTAL ENGINEERING DIVISION F~ ~ ~ ~/~) 'eleph°ne 264'4720 R~C~IV~ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FAClLI E ~1RECTIO~: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1, PROPERTY OWNER [ PHONE MAILING ADDRES~ PROPERTY RE~D~ (If different from ab~v~-~ '~ I ~ PHONE 2, BUYER PHONE MAILING ADDRESS 3. LENDINGINSTITUTIO~ ~ PHONE MAILING ADDRESS 4. REAL~OR/AGENT __ PHONE MAILIN~ADDRESS ~ ~ 5. LEGAL DESCRIPTION STREET LOCATION E. TYPE OF RESIDENCE [] SINGLE FAMILY ~ MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five [~ Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/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 date, give well depth (attach log if available.) ?ll~ ~1~ 1~ **If individual/on-site, give installation date ~' If system is over two (2) years old an adequacv test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS ~TIME TIME TIME DATE DATE DATE I NSP ECTOR 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 .~Cd[~nection Verified LOG RECEIVED 3./SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DA'rE INSTALLED []PUBLIC UTILITY Connect[on 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 Nearest Lot Line ~ WELL TO: Absd,rpt on Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) ~ DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) ~--~ MUNICIPALITY OF ANCHORAG~ -,' EAGLE RIVER AREA DEpARTML__ OF HEALTH AND ENVIRONME5 · PROTECTION 825 L Street, Anchoraa~. Alaska 99501 ' , ./ W~'~O£~? ~.,~%LOU'~ate Received- January 9, 1978 Time ~2: Time e 4: Date Date Insp Insp REQUEST FOR APPROVAL OF INDIVIDUA~ Time Date Insp SoEr~D WATER FACILITIES Lending Institution Request: First&a ~al Bank of Anchorage Mailing Address: Phone: 366-3600 Property Owner: michae~.~F1 ~we~ O Phone: 688____-227___~3 Mailing Address: Po.s~ Of~J ~.~,~B~o~ 22T 9~~ . Legal DesCription: i ~o~1~, %lock 14 Henkensk,Subdivision Single Flmily Resid;,n~: ( ) N~r of Bedrooms: __ Multiple~Fami:iFamily Ros~a~ce: (x) / ~N~o~r of Bedrooms: Three __ em Well' System: IndiVidual well~ (x)/Community/Public Syst ( ) Permit % ~/ Dep~ c Well Well Log on File Construction ~ ~ Bacterial Analysis Sewage Disposal System: On- .re System (x) Public Utility ( ) ( ) Permit # Installed 1972 Installe~ i / '"~ Manufacturer (~'~3P~ Septic Tank Size ,.~ ~gc'.C./~ ~ Absorption Area t/~.~.' Soils Rate J[~;' Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ' ,/---'" ORAGE . · ~ . tUNICIPALITY OF ANCH ~i~ Department of Health and Environmental. Proteq,kioD //~/~ 825 L Street, Anchorage, Alaska~ 99~0t '//~'~// 264-4720 ! ~ .....~~equest for Approval of Individual Sewer and Wat~N~aqi~es 1. Property Owner: ~ ~~% 2. Name of Buyer: ~ Mailing Address: N ~ Phone Lending institution: Mailing Address: o o Realtor/Agent: Mailing Address: Phone Legal Description: I.~_~_~%l~ ~- ~" ~ I ~.k~ Street Location: ~ ~,~Ota~. ~, ~%1~' ,l~~ Single Family Residence: Multiple Family Residence: Number of Bedrooms: Number of Bedrooms: Water Supply: *Individual Well If Individual Well, well depth If Community System, name of system Sewage Disposal System: *~n-site System If On-site System, date of installation: Public/Community System ( ) Public System ( ) *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 1 Block 14 Henkens Subdivision Comments: Affadavit Attached: ([) Letter Attached: ( Approved: Date: Disapproved: Date: Department Worksheet: I ,o Florence aT Fifth Floor No~h susJsC~ Refund: Lot 1 Block 14 Henkins Subdivision {DATE 2--9--78 The attached paperwork is in need of a refund. I made a phone call to Mr.'FretWell on 2-9-78 - he has cancelled ~he request. We have not made anylinspections on the property concerned° ~ PleaSe process the necessary papervlork to refund Mro Fretwell the $25.00 fee. Any questions, please cai1 me at 4720. Thank you. SIGNED Laura J. HarrisOn DATE SIGNED Redi~orm ® SEND PARTS 1 AND 3 WITH CARBON INTACT 4S 469 PART 3 WILL BE RETURNED WITH REPLY Paly Pa~ (50 sets~ 4P469 First 'National Dank % Marie Iia~s office at 279-25ii~ Paul GREATER ANCHORAGE AREA BOROUGH Department of Environmental QUality ! 3330 "C" Street, Anchorage, Alaska 99503 274-4561 ~j/~_ \~ ~? Date Received Decembe____~ 1~3c 19 7~ Time of Inspection ~~ 0~ ~ Date of InspectiOn '~ ~ REQUEST FOR APPROVAL OF ~l FOR M~]~ng Add~es~: ~o~ O~i~e Bo~ ~20 P~0ne: A. Type Individual B. Depth C. Co,struction D. Bacterial Analysis 7. Sewage Disposal System: Onsite system mo~g ~/ ~ A. Installed ~qTg B. Installer /~~z_~ C. Septic lank: 1. Size ~ 2. Manufacturer D. Seepage Pit: 1. Absorption Area U~/~¢~.~ 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank ~7' , Absorption area ~' , Sewer Lines ~ , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line FN-N~Zl (1/7Z1~ D:~, 1 ~m + MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ANCHoP, AGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION BEC 1 3 1976 RECEIVED 1. Type of Inspection: 2. Property Owner: Mailing Address: 3. Name of Buyer: CMRO VA Paul A, F~etwell~ St, NHNDivision Stree% Chugiak Michael B. 'Fretwell FHA Day Phone: CONV 7( 279-2014 Mailing Address: P. O, Box 224 Ch~iak~ AT4 Day Phone: Name of Lending Institution: First National Bank of Anchorage Mailing Address: :p. O. Box 720 Name of Realtor or Agent: none Mailing Address: N/A Legal Description: Location: 279-2014 Phone: 276-6300 e~ 483 Phone: Lot 14~ Block. l, Henkins Subdivision NHN Division Street Chuaiak. Alaska 99567 7. Type of Facility to be Inspected: 8. .Water Supply Type of Supply: existing duplex 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 No. Bdrms. Individual X Individual (on-site) Please contact Mrs. Jackie Fretwell for access: Thank you. Marie Iiams Loan Processor 72-003(3/76) 279-2014 · Page-2 of %~wo pages - R~ ;t for Approval of Individual ;r & Water Facilities ~egal DescriptionT,ot 14 Block 1 Henkins Subdivision Comments Approved Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 6 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Approval'requested by: /~-'7~ ~m~4~./~ Mail i ng Address: /~? ~?, ~y~ 7 ~ o 9 ~ ~ ~ Property Owner: ~~ ~/¢~_~]~]c44.~Z~ Mailing Address: ~x~ ~-c/ Phone: Phone: 3. Legal Description: c7~P1~ / ~/ ,<'~/~..~. / ~'-~c~C~.~].;<~.~ 4. Location: ~ / ~ ~ ~~/~~ 5. Type of facility to be inspected3 :: ~:~:~ No. of bedrooms 6. Wel 1 Data A. Type ~' C. Construction B. Depth .7~Z / D. Bacterial Analysis Sewage Disposal System:/~-2~ -~F-~c~/ ,~ A. Installed /)-~.4~_~., /~ B. Installer C. Septic Tank: 1. Size / 2. Manufacturer D. Seepage Pit: I. Absorption Area //~/-~ ~ 2. Material E. Bisposal Field: Total length of lines /x//~ Distances: zg-<;-.~-~x-~--~~.. A. Well to:. Septic tank ~ , Absorption area Nearest lot line ~ , Other contamination B. Foundation to septic tank C. Absorption area to nearest lot line Sewer Lines , Absorption area FO-fl~4 (1/74/ Pnnn 1 nF fwn nnnn¢ I'~:ATER AHCItORAGE Alit:l, BOROL' De,c, rtment of EnvironmcF, i:al Ouality 3330 "C" St., Anchorage, Alaska 99503 - 274-~561 REQUEST FOR APPROVAL OF IHDIVIDUAL SEWER & WATER FACILITIES ', ] o Type of Inspection: CMRO VA .~ FIiA CONV Name of Buyer: ' . . ~ i ' Hailing Address: D~,~ Phone ~-~9 ~m ham. of Lending ~ns~i~ution: ~, Name of Rea~or or Agent: ~ Hailing Address ~/~ Phone Type of Facility to be inspected: ~Z~ No. Bdrms. Wa te-r Supply Type of Supply: Public Utility Individual If Individual, number of dwel'lings presently served If Individual, depth of w~ll S~,w$:ge Disposal-System Type ,o'F S~/stern: Public Utility .individual (on-site Page 2 of two pages - ReY'st for Approval of Individual ~ er & Water Facilities Legal D6scriotion :/ / Approved d'.~/" . Disapproved Date . , Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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)