HomeMy WebLinkAboutHIDEAWAY HILLS BLK 1 LT 62. 2
06
;. ,_~MUNIClPALITY 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 I~NEW
MAILING ADDRESS
LEGAL DESCRIPTION
I Well I Absorptio.n area I Dwelling "~ PERMIT NO.
tgv DISTANCE TO: ] I ~o
~- Z Manufacturer ~ ~, Material No. of c~partments
~ Liq. capacity in gallon~ ~ :~L ....... ' 'rlnsid~l'ength = IW[dth ~, ~ ,~ Liquid depth
~ M DISTANCE TO Well ] ]Dwelling PERMIT NO.
~z I
~--~ Manufacturer ~ l N l Material Liq~idcapacityi~ gallons
~ I I Well Foundation I Nearest lot line PERMIT NO ~ .
~= IDISTANCE TO: I '+ ~ I ~ ' ~
~ · ~ No. of lines _ Length of each line. Total length of line~ ' Trench width Distance between lines
~ ~ I To of tile to finish rade ~ ,~ Material beneath tile Total effective absorption area
~ P g ,, .
~ Length ~ Width Depth PERMIT
~k Building foundation Nearest lot line
~ DISTANCE ~
~ ~Class Depth Driller ~ Distance to lot line I PERMIT NO.
~ ~ Building foundation Sewer line Septic tank Absorption area(s)
DISTANCE
TO
I
OTHER
PiPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
DATE LEGAL
~' ~ DEF'IqRTMENT ~ ......; .?:IL]'H RN[:, EN'v'IRUNMENIHL. [.'F.':! . ~:L:1 IUN
, .r'" 264-4}' 2:0 '
PERMIT NO. ,. ~,,z,¢:~%,z,z,, ,_,......,..,¢. .') ,t ¢ - '
RPPLICRNT TERENCE GRF~:I_.IgN[:, ;.72~; ...... qE'":LIISION [:,R
LOCRT 1 ON SECL. LIS 1 ON [',R
I_EB~qL L6 E:i FII[.ER[I'T 14IL. L2:; LC'T SIZE
T'¢F'E OF ::-;OIL FIE:SOREFf'ION z, .:,TEM IS: TRENCH
- II
HH,-'.:,IM_M NI_IMSER OF E:E[:,ROOMS = Z.:
SOIL RFITING "E].~ FT,.."E".R::
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF TklE TRENCH OR DI;.'.IBINFIELD.
THE DEPTH OF' R TRENCR OR PIT IS THE [:,tSTRNCE BETI,.IEEN THE SUF:'.FRCE OF THE
GROIJND RN[:, THE BOTTOM OF THE E,"-.~:CF~'v'RTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL [:,EPTH IS THE MINIMUM DEPTH OF GRRk,'EL BETI4EEN THE OUTFFIL. L
RN[.', THE BOTTOM OF THE EXCR'v'FtTION (IN FEET).
PER. MIT FIPPLICRN'r HFiS THE REE;PONSIE~ILIT"r' -f'O INFORM THIS E:,EPRRTMENT DUF.:ING THE
iNSTRLLFITZON INSPECTIEd'.aS OF FIN"r' WELLS I.:tDJFIE:ENT TO THIS PROPERT"r' FIND TI4E
NUMBER. OF RESI[:'Ei'4CES THRT THE WELL. 14ILL SER',,,'E.
BRE:KFILLING OF RN~¢ S'./STEM W~THOUT FINFIL INSPECTION RND FtPPROVRL1 B'.r' THIS
[:,EPRRTMENT W~LL BE SUBJECT TO PROSECLITION.
MINIMUM DZSTFINCE BETWEEEN R WELL RND RN'¢ ON-SITE SENRGE [:,ISF'O:~RL.. S"r'STEM IS
:iRO FEET FOR FI PRZ'¢RTE WELL.; OR
J. 50'- TO 20R. .... F'EET F'RFM FI F-'I IBi_Z~.'.': WELL E:,EPEND~NG UPRN_ THE T'¢PE OF PUE',I...IC WEL. L..
OTHER RE(.3. UIREMENTS f'IR'¥' RPPL.'¢. SPECIFICRT!ONS RND CONSTRUCTION DIFIGRFIMS F:IRE
FIVRILRBLE TO INSURE PROPER INSTRL.LRT~ON.
F' EE F-'. ~ 0 ][ 'IF' E:TZ ,.--.., ~ ~] E,::.. E .=,, E:* EEl C: El §'"1 E:., E; F--.". ].E: :_IL .., :]L "_"{'" ]:"' :E~:
I CERTIF~r' THRT
t: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH 8~' THE r,IUNICIPRLIT'¢ OF RNCHORRGE.
2: i WILL INSTRLL TI.-IE S'.r'STEM IN RCCORDRNCE WITH THE CODES.
3:: I LINDERSTRND THRT TPIE ON-SITE SEI.,.IER S'YSTEM MR"r' REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLU[:'E MORE THRN ]~:. E:EDROOMS.
RPPL[CRNT TERENCE GRRLRND
;?.
ISSUED E:'¢__---...¢~¢---- . .......... [:,RTE
2204 Cleveland Anchorage, Alaska 99503
Per¢ormed For T.P. Garland Date Performed 11-8-77
teaal 0escrtDtt0n: Lot.~_..._Block~.:l.=..=_Subdtviston Hidewa.~y Subdivision
This ~OFm ~OOYt$ SO~IS L0~ Yes __Percolation Test
Feet Soil Characteristics
Slightly Silty Gravelly Sand
with occasional cobbles
12--
!8~-- Bottom of test hole
t~as Ground %'later ~ncountered?~N~_o~
I¢ Yes, At uhat Depth?
Depth to H20 Net Dr'on
Percolation Rate Hinute
Prr~r, osed Inst~q'TJ%~l'5~: Soer)a'~e Pit Drain Field
Deoth of Inlet .......................................... Dep~h~"6"~]~om Of Pit
C~r4¢~EN'[S: 150 Sq. Ft. drainage are~ .~ff,qg.~.~P~9~.~~-~.~-~9~-,~. .......................
~ '~ M DA~-E RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
NSPECTOR INSPECTOR I NSPECTO,R~
~UNICIPALtTY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL PROTECTIOFI
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION FEB 2 0 1981
Telephone 264-4720 RECEIVED
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing.
1. PROPERTY OWNER I PHONE
MAILING ADDRESS
PROPERTY RESIDENT (If different from above) PHONE
2, BUYER PHONE
William and Paula Tisher 333-8395
MAILING ADDRESS
7261 E. 22nd Avenue, Anchorage, Alaska
3, LENDING INSTITUTION I PHONE
Alaska StateBank, Anchorage, Alaska[ 279-7637
MAILING ADDRESS
310 E. Northern Lights Blvd, Anchorage,Alaska 99501
4. REALTOR/AGENT I PHONE
Connie Yoshimura, Dynamic RealtyI 279-76l!
MAILINGADDRESS ' 276-0338 Home
~;01 W. Northern Liqhts Blvd., Anchoraqe, Alaska
5. LEGAL DESCRIPTION
Lot 6, Blk 1 Hidaway Hills
STREET LOCATION
2726 Seclusion Drive
6. TYPE OF RESIDENCE NUMBER OF;BEDROOMS
[] One [] Four [] Other__
[~L SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY ~ Three [] Si~
7. 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 Icg if available.)
8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/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 E~ ONE I~ THREE r--I 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 ~"~ ~'~ ~/
Connection Verified INSTALLER
[]Septic Tank or [~3Holding Tank
Size: ~') A '~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL A[~SORPTION 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 E P FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY
72-010 (Rev. 6/79)
,DEPARTME~N,~=}F HEALTH' AND ENVIRONI~ENT/., ,PROTECTION
825 L Street, Anchorage. Alask~~ 99501
264-4720
Date Received: October 6, 1977
tt2:
Time O/:~%~) ~ n'\ #3: Time
Date / ~[')-.O/O-~ ~ ('~ ~Z.~/L% Date
Insp '~0~ ~ ~% In~p,~
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: United Bank Alaska
Mailing Address:' 645 G Street 99501
Phone: 276-1911
2o Property Owner: Richard O./Joan M. Gantz
Mailing Address:
Phone: 274-7522/him
3. Legal Description:
Lot 6 Block 1 Hideaway Hills Subdivision
2726 Seclusion Drive
4: Single Family Residence:
Number of Bedrooms: Three
Multiple Family Residence: ( )
Number of Bedrooms:
o
Well System:
Permit #
Construction
Individual well ( ) Comanunity/Public System (~
Depth of Well Well Log on File ( )
Bacterial Analysis
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
On-site System (~ Public Utility (
Installed ~?~ '/~ . Installer
Manufacturer
Soils Rate Material
7. Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
Nearest Lot Line
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
*SECOND REQUEST*
October 3, 1977
1. Type of Inspection: CMRO VA
2. Property Owner: GANTZ, Richard O. & Joan M.
FHA CONV. Xx
Mailing Address:
3. Name of Buyer: GARLAND, Terence P. & Helen L.
Day Phone: 274-7522 (Mr.)
Mailing Address:
4. Name of Lending Institution:
Mailing Address: 645 'G'
· 5. Name of Realtor or Agent:
Mailing Address:
6. Legal Description: Lot
4729 Kent Anchorage~ AK Day Phone: 272-1667 (Mrs.)
United Bank Alaska
Street Anch, AK Phone: 276-1911
N/A
Phone:
6 Block 1 Hideaway Hills Subdivision
Location: 2726 Seclusion Drive Anchorage~ Alaska 99504
Single Family
No. Bdrms.
Individual
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply: Public Utility. XX
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual (on-site) XX
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
OCT 6 1977
RECEIVED
72-003(3/76)
'Pag~ Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 6 Block 1 Hideaway Hills Subdivision
Comments:
Af fadavit Attached
Approved:
Disapproved:
Letter Attached:' ( )
Date: /3 ~- ~- 7'7
Department Worksheet:
~ovei~ber 14, 1977
~.~. T.P. Garland
2726 Seclusion Drive
Anchorage~ Alaska 99504
Subject: Lot 6 Block 1 Hide~ay Hills Subdivision
The soil test on the above ~=seribed property reflects a
requirement for a deep trench 3'x10~x38' with ~i~(6) feet
of screened gravea~ 5 to 2~ inch.
Confi~mation of the existence of a septic t~k must be
made~ A !,000 gallons septic tank is required for a three(3)
bedroom home.
This office ~ill give temporary approval~ if monies are
escrowed to provide for the upgrading the existing system
to meet those requirements described above~ tultil June
30, 1978.
A permit is requi~dbto upgrade the system pr~r to
construction.
If there a~eaany further questions, please contact this
office at 264~4720.
Sincere ly,
Joseph
E~vironmentat Servic, es ~.~anager
JSB/ljh
October 2!~ 1977
Uni%ed ~ank Alaska
l~ortgage ~oan SEction
645 G Streat
Anchorage~ Alaska 99501
subject~ I~t 6 Dlock t i~ide~ay ~ills Subdivision
Riohar~t O./Joan M. ~31tz
An inspection of the subjec% property revealed an over~
flowing ~ewer syste~.
tt is obvious the se~er system has fail.w/ an~ an upgrade
will be Recessary. A lank was not loc~ted~ so I would
assume thera is not one. A ~000 gallon tank is required
for a three(3) bedroon% h~e~
Before we will send an approval on the sewer facilities
the above will need to be complete~. A p~it must b~
obtainod prior to any construction. A soils test m¥~st
be performed before the per.~it can be issued.
if there a~e any further questions~ please contact %his
office at 264-~720.
Sincerely~
Robert C. Pratt~
Sanitarian
RCP/ljh
Terence P./H~len Garland
~729 Kent 99503
ANCHORAGE CESSPOOL PUMPING
Star Route A, Box 144
ANCHORAGE~ ALASKA 99502
Phone 344-2632 or 344-2453
I
TAX ~
FEB 9, $
RECEIVED
All claims and returned goods MUST be '
5 7 0 7 ..... panled by this bill.
SERIE8 609 .......
· SENDER: Complete item~ 1, 2, and
Add your address in the "RETURN TO" space on
reverse.
1. The following service is requested (check one),
[] Show to whom and date delivered ........... ¢
[] Show to whom, date, and address of delivery. ~ ¢
[] RESTRICTED DEL1VERY
Show to whom and date deliveged ...........
[] RESTRICTED DELIVERY.
Show to whom, date, and address of delivery.
(C..ON~S~ILT pOS~FM_A_S.TI~R FOE. FEE,%).
Lot b ~±ocK £ Hideaway
2. ARTICLE ADDRESSED TO:
United Bank Alaska
645 G Street
Anchorage, Alaska 99501
3. ARTICLE DESCRIPTION:
REGISTERED NO. CERTIFIED NO. I INSURED NO.
102413
(Always obtain signature of addressee or agent)
I have received the article desc~l~e/d above.
SIGNATURE [] Addressee ~ Authorized agent
5. ADDRESS (comp ~te only if requesteO)
6. UNABLE TO DELIVER ~ECAUS~:
INITIALS
RECEIPT FOR CERTIFIED MAIL--30{! (plus pm
POSer
SENT TO OR ~
STREET AND NO.
P.O,, STATE AND ZIP CODE
.~OPTIONAL SERVICES FOR ACDITIO~ FEES
~ With delivery ~0 addressee only ............ 65¢
RECEIP~ ~ 2 Shows to whom, d~te and where delivered .. 35¢
SERVICES ~Y' ' With delivery to addressee only ............
DELIVER TO ADDRESSEE ONLY ...................................................... 50~
SPECIAL OELiVERY (extro lee require~) ....................................
PS Form 3800
Apr. 1971
NO INSURANCE COVERAGE PROVIOED~ (Se.,
NOT FOR INTERNATIONAL MAIL *zpo:~?4
01
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