HomeMy WebLinkAboutHIDEAWAY HILLS BLK 1 LT 10
;~_~, 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
Roger Hamacher
PHONE
349-2011
E~]NEW
[~]UPGRADE
MAILING ADDRESS
SRA Box 196
LEGAL DESCRIPTION
LlO B1
LOCATION
Hidewav Hills
Absorption area
10
I Well
DISTANCE TO: N/&
Manufacturer
Greer
[LicL capacity in_gallons [ 'F HOMEMADE
1000 Gal [ ' :
BISTANCE TO: Iwel' N/A
Manufacturer
DISTANCE TO: Well N/A
No. of ines Length of each line
I ] 93
Top of the to finish grade
4 Feet
Length ' Width
Type of crib Crib diameter
Well
DISTANCE TO:
Class Depth
N/A Building foundation
DISTANCE TO:
I nside length
Dwelling
Founda~i6n
Total length of lines
Material beneath tile
1 Foot
Depth
Crib depth
Building foundation
Driller
Sewer line
Matinee1
W dth
Material
N eareit~ot line
Tren~¢ dth
inches
0 inches
NO, OFBEDROOMS
3
PERMIT NO.
780316
No. of c(~mpartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO.
780316
Total effective absorption area
547 Sq, Ft.
PERMIT NO.
Total effective absorption area
Nearest lot line
Distance to lot line PERMIT NO.
Sept c tank Absorpt on area(s)
OTHER
PIPE MATERIALS
Castiron Connections, 4" Plastic Perforate(
SOIL TEST RATING
150 Sq. Ft/BR
INSTAELER
H&M Excavating
REMARKS
Subdivision is serviced by CAU Water
no individual wells
1" Styrofoam insullation over leech pipe
APPROVED
DATE
72-013 (Rev. 3/78)
No.
R
' ' Flo o ~'~- -" M
Fifth Floor F~thh Floor
SUBJECT Lot 10 Block 1 Hideaway Hills Subdivision DATE 8--31--78
MESSAGE
.
The attached permit and final inspection was done by aneengineert not
by this office. Please make the necessary arrangements for a refund.
Thenk you.
· Receipt ~ 48248
Roger Hamacher
Star Route A~Box 196
99507
SIGNED _ - ~ -
~Wer an~ wa~er Section
REPLY
Redif,?rm® 4S 471
SIGNED
SEND PARTS I AND 3 WITH CARBON INTACT -
PART 3 WILL BE RETURNED WITH REPLY.
DATE
DETACH AND FILE FOR FOLLOW-UP
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g comportS, k~c. o 8901 tolofl* box 8718- Qnchorage. olos~a · 99.~08 ,,~
:']~v iL', 1Y7¥ T.i0.C. No. 78A-073 ~
.q.'RA Bo× 916
Re: 'i'e.~t Iiole arm Sc ii Log: Report: roi: SanJt:ary Syatem
].or 10, Bi:~ck l, }]Ldcav.,tU,' Hills Sui)divisJon,
Dear Nt-. l[ain:~cher:
197~ and those pt'ocedu~-e~ o,.tt:iJa~-d by ti~c NunicJpaJ.Lty of Anchorage,
A sing]e LosL hoJt~ t,,'as dri_tleJ wi.l bin tho sub joeL :;Lte ac~<t loc the
purpose' ,,J ,]efinin~,, ~u'no:'aL subsu~-fac(: aoil condiLions for the pro-
posed sat]itary ,.:ys/om, [)FLJlS. ng w;~0 ac-c~;mplimhed wiLh am at]~er typc
/ecl bCJt)W g.m~und sttt-(a,'o. Tho lin;il ioFi oJ- tho tlos;k }rolo 5. s encios¢:d.
(,~oundw:lt',,r was n,q enc:,;.ntc_z-cJ J.'a t-t~,_, Lest hole while dr'i[ling.
l i-om th:iL dcpti, to thc l)ol t~,m of lhc holt..
Sltould you have a~CF qu(,~i J. ons ,.:Jilt ]:e~:~trc[ Lo t:h~' ~'bovo, [)-lease do
FI'Il: D/iIi,I,IN(; 'O,q>A~ v
PAUl, ] .... JACKSON
Geoj.og:i $ t
9:6.5) 0 21
9:4! 1 22 I/2
9 62 ~ 23 3/4
9: ~'~ 4 i 26
9: ~ 5 ! 2 '7
9:%0 25 29 i/4
9:55 .5 31 1/4
10: 00 5 32
I0:05 5 32 1/6
[0:20 5 32 5/8
lOr~e5 '5 32 5/8
10:30 5 32 3/4
":' < 32 7/8
tO:40 5 33
,);~OP LN ]i'iCHES
O
:' I/2
1/-4
i/4
[
1
2 t/4
2; 14
~/4
I/4
118 2o
118 i6'
[/8
12 in. Total Drop
5 7fin/inch
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720
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 PHONE
NORM BRUSTAD 337-2744
PROPERTY RESIDENT (If different from above) PHONE
Lot 10 blk 1 Hideaway hills
2. BUYER ~//~1~ PHONE
MAI LING ADDRESS (/
3. LENDING INS'~T?yOA PHONE
iv/
MAILING ADDRES~
4~AT~LGT~/D~f j/~ J PHONE
5. LEGAL DESCRIPTION
Lot 10 Blk 1 Hideaway Hills
TREET LOCATION
~'. ~ ~li~V~I'T~O~R WAY
TYPE OF RESIDENCE
SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] One [] Four
[] Two [] Five
[] 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-SITE**
[] PUBLIC UTILITY
**If individual/on-site, give installation date /-~/~7'~//'
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 ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TiME
DATE DATE DATE
NSPECTOR 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
-~] COMMUNITY DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
-F~3 INDIVIDUAL/ON -SITE DATE iNSTALLED
E~ PUBLIC UTILITY I C~'~ ~
Connection Verified INSTALLER
Size: IC~b~). If Tank is homemade SOILS RATING
give dimensions:
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: ~_.~.~_[ ~.. L JLb~,~-~.,Septic/H°lding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE
72-010 (Rev, 3/78)