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Home My WebLink AboutSPENARD ACRES BLK B LT 2 S75' OF W132.5'penard Acres Block B Lot 2 575'OF W13205' #010-115-24 Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 010-115-24 Expiration Date: .� 1. GENERAL INFORMATION Complete legal description SPENARD ACRES S/D• BLOCK "B" LOT 2, S75' OF W132.5' Location (site address) 3711 WILSON STREET *ANCHORAGE AK 99503 Current Property owner(s) MARGOT LEPINE Day phone C/O AGENT Mailing address 3711 WILSON STREET *ANCHORAGE AK 99503 Real Estate Agent TERESA BELL W/ PRUDENTIAL Day phone 240-2248 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 2 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer 0 Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Curio O� Date of Payment C� 1) (1 C Receipt Number M05cD a COSA# otzc-dI'A157 Date: Waiver Fee $ _ Date of Payment Receipt Number. Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and typeof structure indicated herein. /further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or parry is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. Phone 337-6179 Date ci/,1i �WJ#WFAW bedrooms, with the following stipulations: .. .... ...... y A. ess.1 CE7,779 3 ami q �l ,�.GCAoo The Municipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory L Nitrate Advisory Arsenic Advisory Well Flow Advisory j Other By: (� (Rev. 11/05) Original Certificate Date: 1 - If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: SPENARD ACRES; BLOCK B, LOT 2, S75' OF W132.5 Parcel ID: 010-115-24 A. WELL DATA *BASED UPON WELL LOG. SEE ATTACHED WELL LOG Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 1952 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 144 ft. Cased to *40+ ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 1953 8/21/12 Static water level 12 ft. 24 Well production 17 9.p -m. 5.4+ WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate ND mg./L. Arsenic: 25.1 ug./L. Date of sample: 8/21/12 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size gal. Number of Compartments Foundation cleanout (Y/N) _ Depression over tank (Y/N) Date of pumping C. ABSORPTION FIELD DATA Pumper Collected by: GEG. Ltd. PUBLIC SEWER Date installed Cleanouts (Y/N) High water alarm Date installed Soil rating (g.p.d./ft or ft2/bdr _ System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption a_ ft2 Monitoring tube_ Depression over Feld Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absor ' field before test _ in. Water added _gal. New depth _in. Elapsed Ti _ min. Final fluid depth _ in. Absorption rate >= g.p.d. rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN "Pump on" level at in. "Pump off' level High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A On adjacent lots N/A Absorption field on lot N/A On adjacent lots N/A Public sewer main •50 + Public sewer manhole/cleanout *50'+ Sewer/septic service line **25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Properly line Absorption field Water main Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION�N COT TO: Properly line Buiidi ndation Water main Water service line Surface water Driveway, parking/vehicle storage Wells on adjacent lots F. COMMENTS *PER CODE AT TIME OF WELL INSTALLATION. **BASED UPON LOCATION OF FCO G. ENGINEER'S CERTIFICATION 1 certify, that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date -�f' l Q (l 2 (Rev. 11105) Municipality of Anchorage Community Development Department Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # 121415 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block B, Lot 2, S75' of W132.5' of Spenard Acres Subdivision. This inspection revealed an arsenic concentration of 25.1 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. D ° F o �00000pp raNTxcx Nz OQ I o°om N -0'0 zi 000 6z � N cw < ao�94Q°oo s`d�`�d� WILSON STREET No pp000� (WILSON WAY) ?— y y N 00'04' W 75.0' N Z Z ;. vm r o : 0 W� 0 N rta= In to Z _ N P-0 UI N �NZ JA N �J W(l1m 1: O m lD mN i m fD VAi N V _ a N.l 6 v < a f W 0 VI coo B. 30.4' Io Z m\� f�D 1" A m m W V NV =x cn Ncn m M .+- O> CO 6 23.5' m m o ,^ m fD W fJ > � fV ^ �nmica Wm y r o •,:. 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T S9 u n aley,.......... .......... .. fa 1 "Net. »tt.. - • aN d f4rte few e4 __... a VI aWW crawl . . ... . ....... �Wte W On»3 .Sib w.4e1 ... . . ...... d H CW em uM.................... IS III Mru. sewn» In . . . . ... . . . 26 111 .. . ..... . . .... L 131 Silt w ft » eee6: w.xI . . . .. . f Its A d, rern.✓., J.lO1 rea:�oly/ em{n;or ecn*Cvrd Si'y, Ja MIy L-nvr(- d✓.ty Weffr 1p - _s.::'t�. "sa•dy...Cscaael-dry..._—. _____. --.s:eGy_ery A aenrf,p.:ri:y i<dN..� rd.r-ecm•+�q .. V ei.( trim l9S3 tiy. LawrGntefi..SCAaGn,:�, ...._'_Ops .rl resirac.na_r_txLrr'..dave/oamsr�..__. __ USGS SITE ID 6111111,4gs4/1o1 LOCAL. N0,-s8O13";1S DSDi4J o21 94 /te.t1 Ir»et' . t1p11 W. a Iob A.tt. W9 by k A. Debwnla.. YM. ernn: »Ye .s le.LY t»a...... .. ... u n aley,.......... .......... .. fa 1 "Net. »tt.. • aN d abet, a»».. eeter............. a VI aWW crawl . . ... . ....... 4 W On»3 .Sib w.4e1 ... . . ...... d H CW em uM.................... 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"WL.. .. .. ... 4 W alb. a.We' n1W1 ..0 .. .. d H Wiek.w . . . . . . ..... ... L 49 Smd..11te: wte.................... N N au.keeM ... . . ...... . . ... . . . 14 IN Silt w ft » eee6: w.xI . . . .. . lY-i/Y 114-1/2 aW. aar.Y\ emdl w Ve».111 . ..... . ... 41/8 114 Wrdp.e . . .. .. ... 6 151 0.a»1 w .saes. ew..bu; ."r.. .. . . . .. hl/a 138-1/2 WNp» . . .. . . . . . . . . .... .. . . .. . II.3/E 119 ester .. . . .. . .... WNeam ee».le»1 ,w .0 341/Y 151 arwes w a»r.e .w; ..xn . ..... bl-1/a 6 ua WN»nl c ».Imus water-e<arial Wei+... . .. . Onnl: Ydl— Y sows.; ..Yr . . .. .. . . ... hl/i l'I6 aW "bell w inti, bi... . . . .. .. .. ... I -1/a 144.1/E 0ulak.ard .. .. .. . . ... -'hl/V Sed a eel .Iln ........ a lte Sw. 'U.' tth III,.%..f leu W —ed .. ... 1 146 Sud, fl ................. . . . .. . 3-1/2 166.1/a pall .. .. .... ... 4W. uu.rN\ .waw y 9.312 in aler. ble....................... Sl aa1 ..........ebr..; ala/a See.. ..Yr ........ .. ....... 0e-1/9 °l�to�l2 � , ref L' L'D 3-7is nro T" WiL-�soj i q 0 l j /O CeOs/111751'.' � /o U %f Eaxii of of � R 9c �i 1 r' \ \ i 10 CPO� a(f \ -1 \ E co csF, Ery / c �1 01 6 BC ' :Cu �CkTES ANCHOggp Ey ALASK4� ' _ PLAN SEF NO,' 15 6 0 sr rscnK s crx�cnao srsreTa SCHEWLE Z ., �N AND PROFILE 3aiaJoniraa S C066 Bp MK69d�T KH6BB- 1- -b' S ' 2 4 MUNICIPALITY OF ANCHORAGE Aak • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section VMS P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel 1. D. # _C�_ HAA # l t \�I`1 fn 11 1. GENERAL INFORMATION 1-64 Complete legal description Lot 2^ Block, B, Spenard Acres Subdivision Location (site address or directions) 3711 Wilson Drive Property owner Clark Smith Day phone 868-2239 Mailing address 3711 Wilson Drive Lending agency Day phone Mailing address --- _ - Agent Aaron Grey Day phone 562-6464 Address Prudential Vista Real Estate, 4241 B Street Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 2 3. TYPE OF WATER SUPPLY: Individual well X Community well Public water 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and St$%te codes, ordinances, and regulations in effect on the date of this inspection. "_Excep,� -serail, �� sewer AZQi - Name of Firm Environmental Management, Inc. Phone 272-9336 Address 206 E. Fireweed Lane, Suite 201 i 117 Engineer's signatu 6. DH7 SIGNATURE r�O j Approved for L_ bedrooms. Disapproved. Conditional approval for Date 3 L,23 49TH No.CE - 9698 bedrooms, with the following stipulations: Additional Comments By: (� Date CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.` 72-075 (PW.1/91). -Beak MOA#21 RECEIVEu Municipality of Anchorage MAR 2 4 1999 DEPARTMENT OF HEALTH & HUMAN SERVI�VIRCNMENTALSERVICESDt�ICuIALIrrOFANCHo E 1A Environmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: Lot 2, Block B, Spenard Acres Parcel I.D.: A. WELL DATA Well type Private If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) N Date completed Well installed pre -1 957 Total depth 154 ft. Cased to 148 ft. Casing height (above -gruel) 1.5 ft. Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y FROM WELL LOG Date of test Static water level Well production g.p.m. WATER SAMPLE RESULTS: AT INSPECTION 3/4/99 7_8 ft. 5 Coliform 0 colonies / 100 ml. Nitrate <0.1 ma./1 Other bacteria 2 colonies/100 ml. Date of sample: 3/4/99, 3/16/99 Collected by: Chad Helgeson B. SEPTIC/HOLDING TANK DATA N/A Date installed Tank size Number of Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) Depression (Y/N) Date of Pumping Pumper C. ABSORPTION FIELD DATA N/A Date installed Length Soil rating (g.p.d./W or ft2/bdrm) High water alarm (Y/N) System type Width Gravel thickness below pipe Total depth Effective absorption areae Monitoring Tube present (YM) Depression over field (Y/N) Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test (in.); Immediately after` gal. water added (in.): _ Fluid depth (ins) Minutes later: Absorption rate = g.p.d. Peroxide treatment (past 12 months) (YIN) If yes, give date 72-026 (Rev. 3/96)` D. LIFT STATION N/A Date installed Manhole/Access (Y/N) _ High water alarm level at* _ Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: "Pump off" level at* Septic/holding tank on lot N/A On adjacent lots N/A Absorption field on lot N/A On adjacent lots N/A Public sewer main 50+ ft. Public sewer manhole/cleanout 100+ ft. Sewer /septic service line 35 ft. Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: N/A Foundation Property line Absorption fiel Water main/service line Surface water/drainage Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: N/A Property line Surface water Curtain drain F. ENGINEER'S CERTIFICATION Building foundation Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots l certify that I have determined thru field inspections and review of Municipal records that in conformance with O/IA HAA qufde/ines in effect' on this date/ eta+ w{ poi wk.ti.� �`s gJa.ro o/a. T'NpwGof- rr rors v.+t �'T eo HSFwcK o=V4. Signature //� / Engineer's Name r Z lie lae�� Date, HAA Fee $ ` Date of Payment Receipt Number 217 Imo. �KJ.41 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number above systems are BYc p"S'Wev-✓ v"n in RKY A. HELGESON No.CE - 9698 CT&E Environmental Services Inc. rrasirrrrorrrrrrr®r®isirrr� CT&E Ref.# Client Name Project Name/N Client Sample ID Matrix Ordered By PWSID Parameter Nitrate -N Total Coliform 990824001 Environmental Mgmt Inc (EMI) _3711 Wilson Drive Kitchen Faucet Drinking Water 0 Client PON 6374 Printed Date/Time 03/11/99 15:33 Collected Date/Time 03/04/99 11:20 Received Date/Time 03/04/99 11:40 Technical Director: Stephen C. Ede Released By Results POL Units Method 0.100 U 0.100 mg/L EPA 300.0 53 08 COL/100 ML, WITH COLIFORM. SM18 92228 Allowable Prep Analysis Limits Date Date Init 10 max 03/05/99 03/05/99 SCL 03/04/99 RMV CT&E Environmental Services Inc. zq.tL Laboratory Division 200 W. Potter Drive DrinkingWater Analysis Report for Total Coliform Bacteria Anchorage, AK 99518-1605 p Tel: (907) 562-2343 READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Fax: (907) 561-5301 MUST BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D. 0 F Analysis shows this Water SAMPLE to be: PRIVATE WATER SYSTEM ❑ Satisfactory Unsatisfactory t9. Send Results f8 Send Invoice 0i4'6nrne-41' m 1, tic• C 'T,ia Sy—,mNu CWWry u z 7L 33 Co mun nnro 7--7Z–{ I S"t one N., 7O% u umr ITuTinrAJA ,C- C3t'lJ d� City —" - Wt P ❑ Sample over 30 hours old. results may be unreliable ❑ Sample too long in transit; sample should not he ovef848 hours old at examination to indicate reliable results. Please send new sample via sp cia delivery mail. Date Received ` Time Received ` 22 ❑ Send Results C3'' '' cSend Invoice Analysis Began __ �J U — anpany Name AvmrA ty w SAMPLE DATE: O 5 Month SAMPLE TYPE: X Routine ❑ Repeat Sample (for routine sample with lab ref. no. ) ❑ Special Purpose SAMPLE LOCATION 32/1 lj,lson or-�- Vp- KE Day Year ❑ Treated Water ❑ Untreated Water Time Collected Collected By Analytical Method:Membrane Filter ❑ MMO-MUG ' Number of colonies/100 ml. Result* Analyst Date: Time: jJ-70 Fbks Jun ❑ Faxed Client notified of unsatisfactory results: ❑ — Phoned Spoke with Faxed z� awl Ile l � Date: 2-ff-54 Time: Plow Print I BACTERIOLOGICAL WATER ANALYSIS RECORD MM"UG Result: Total Coliform J» Coll t0, . r,0'e nbrane F11ter. Direct Count � -2p 0�0� Colonies/100 ml 0 00 Verification: LTB ? .I ' �_ L BGB P n_S I k `' a COLIFIRM C' Tm Numrrou, To Count l 7Oth"Bacirriu ® OB Fecal Coliform Confirmation / C5 u ! �L — Final Membrane Filter Results Coliform/100 ml Reoorted By ��`— �� Date 3 - % Time Or "J J hrs Comments: (-ercl o VsKm Member of the SGS Group (SocW6 Giinksle de Surveillance) ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JER ,OHI&WEST VIRGINIA It MR -16-09 09:47 �'gtlL PROM -CTE ENVIRONMENTAL 5615301 T-453 P.01/01 F-951 ME Environmental Services Inc. Laboratory Division MEMO 7}9 200 W Drinking Water Analysis Report for Total Coliform Bacteria Anchorage, Pot, A pave nohofagoAK 996 18.1006 .R&AClINS"i-RUCTIONSONREVER.SITS'I04REFOREC04LBCTING AMPLE Tel: (907) in 0 PUBLIC WATER SVSTBM I.D. y EE—f—"1"i A PRIVATE WATER SYSTEM �JJ A Sena Reswo XSaadlnvprce 171 asci yn!cln nNi1G+.wI�P.uty r1etRB 1� �1nr V110118 Num ■r It% rig City i �T,- P O Srnd Rerulrr Q Send fovurce Onry+nY. am M�� m� iss namcr. r c P row— SAMPLE DATF: "O =� Month Day year SAMPLE TYPE: ;d Routine 13 "Treated Water A Repeat Sample (for routine sample 11 Untreated Water With lab ref- no, CI Special Purpose 'rime Collected SAMPLE LOCATION Collected By i�%tI G i sur ate: Zd Cit. r& Analysis Shows this Water SAMPLE To lie. a Satisfactory 0 Unsatisfactory 4 Sample over 30 hours old, results may be unreliable Q Sarnple too long in transit; sampla should not be over 49 hours old at exammanon to indicate reliable results. Plcase send new sample via sp i hvery mail. Date Recelved Time Received Analysis Begat Lra3G! Analytical Method:. -MMembrve Filter M MQ -MUG * Nomberofcolonies/ Ioomi. Result* Analyst zg►; - .. :n Fhk& Jim lQ Faked pale. __ Time - C1191119 notified of unsatisfactory results: 11 ❑ Phoned Spoke withFaw Paan: Time: BACTERIOLOOTI^AI. WATER. ANA -LYsi5 RECORD MMO-MUG Result: Total Coliform E. Coli Membrane Filter. Direcr Counii �. iJ _t ` lj Z% Cglonlevl40 mi Verification: LTB BC,B _ COLIFIRM TNTC—TWNanaorouaToQum Fecal Coliform Confirmation_ (( pS-0tUrgacrerw Final Membrane Filter Results ��+. c, c,:6w olifarat/1f10 ml Reported By riata _i - � Dime ��% C>" hr's Comments: 1000-111#il7 Member of The 5G$ Group ISocloto 130ftala ua Survedianea) ENVIRONMENTAI• FACILITIES IN ALASKA, CALIFORNIA, FLORRSA, ILLINOIS, MARYI.AND. MICHIGAN, MISSOURI. NM -IERSEY, OHIO, WEST VIRGINIA R=97% 5615301 03-19-99 09:47AM P001 #30 FHA Form No. 2218 Form approved. (Revived June 1951)FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R2979. ❑ New installation. REPORT OF INSPECTION --- ___60—W5t 09 4!1 Existing installation. INDIVIDUAL SEWAGE -DISPOSAL SYSTEM (Serial mm�her) To Be Headed in by FHA Office Anchorage' Alaska City National Hank of Anchorage Skuza, Raymond L, ------------------------------- ---............ ....... I - - - ------...- --------------- (Insuring office) (Mortgagee) (Mortgagor or sponsor) Property address ----- 137 11 1,41 x)n :Iay-, Lot 21__91k A_ �mrd Acree Subd. Alaska- ........ ------------------------------------------------------------------ - (City) (County) (State) Total number: Living units _____�'________ Bedrooms ----- 2 ......... Baths'__— ______ Basement: ❑ Yes a] No. Water supply by: ❑ Public system. ❑ Community system. :] Individual system on site. Part I -a: FOR USE OF INSPECTING OFFICIAL (Fill in below information applicable to subject installation) INSTRUCTIONS: If new installation, inspect for compliance, with approved exhibits and record any observed information not shown on, or which varies from, the approved exhibits. If existing installation, furnish as much of the information as may be available. PRIMARY TREATMENT consists of'O" Septic tank. ❑ Cesspool. Septic Tank: � _ Distance from well, .�i-'__ feet. Material, __'-• r1/_.__-_________________________________ Number of compartments xA Total liquid capacity r ----tip , q P Y> --------------------------------------- gallons. Capacity inlet comp-a�rtment, ___moi ______-- L-) ------------------- gallons. Inside length, � y._______t, Inside width_ --------- _----- feet. Liquid depth,h_____________ feet. Cesspool: Distance from: Well_ ________________ feet; foundation, --------------- feet; nearest lot line at ❑ front, ❑ side, ❑ rear, _______________ feet. Inside diameter, --------.__ feet. Depth, __________ feet. Liquid capacity_ ____________ gallons. Lining material .......... _---------- _-_-_-___ SiKONDARY TREATMENT consists of ❑ Distribution box and ❑ Tile disposal field. ev Seepage pits. Other ___________________________ Tile Disposal Field: Distance from: Well, __------------ feet; foundation_ ____--------- feet; nearest lot line at E] front, ❑ side, ❑ rear, ---------- _---- feet. Total length of tile lines_ ____________________ feet. Number of lines, --------------------- Distance between lines, -------------------- feet. Total effective absorption area in bottom of trenches_ ___________________________ square feet. Trench width, --------------------- inches. Length of each line_ _______________________________________ feet. Depth, top of tile to finish grade, _______________________________________ inches. Type of filter material: ❑ Gravel. ❑ Broken atone. ❑ Cinders. Other--------------------------------------------------------- _-______________ Depth of filter material beneath tile_ _______________________ inches. Depth of filter material over tile, ____________•_________________ inches. Seepage Pits: ' j Number of pits/___ Outside diameterh?.k-d_____ feet. Depth, _t________ feet. Lining material : _C 14 Distance from: Well;tf__,t ______ feet; folmdation,4-12________ feet; Nearest lot line at ❑ front, ❑ side,] rear, If Existing Installation, give all the following additional information available: Distance to nearest: Public sewer, !f _ _ ___ feet. Community system, _ __ = :_ feet. Approximate direction of ;surface drainage of lot_ ...... _ ------- _---------------------- Approximate slope, ------------------ feet per 100 feet. Soil is: ❑ Loam. Sandy loam. ❑ Clay. ❑ Sandy clay. ❑ Coarse sand or gravel. ❑ Hardpan. ❑ Rock. Other _____________________ Number of bathrooms, ____ .____ Is there a basement Yes. ,Ap No. Basement drains to •________________________________,_____________ Fixtures in basement *Laundry tray. ❑ Toilet. ❑ Bathtub. ❑ Shower. i❑ None. ❑ Floor drain. ❑ Sump pump. Laundry waste disposal: Direct to ❑ Seepage pit. Other5%�'�-__ Through sump pit to: El Septic tank. " Seepage pits. Is footing drain provided? ❑ Yes. ;❑ No. Drains to: ❑ Surface. ❑ Dry well. E] Sump in basement. Other ............... Downspouts or areaway drain to: ,p Surface discharge. ❑ Dry well, Other ------------------------ _________________________________.__________ Depth of house sewer below finish grade at foundation, ------ ______ feet. Inspection made by: ❑ State. ❑ County. V Local Health Authority. J (Signed) _ � �< � r �-;-••� .11� �_------ ----- e , Date of inspection lr}------------- r� xa amt-aL•' -.�s _6 - - (Title) Part I-b.—See reverse side Part IL—FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT Based on the information reported hereon and other available information, it is the opinion of the &State ❑ County ❑ Local Department of Health that this system with proper maintenance: man be expected to function satisfactorily, and is ❑ cannot be expected to function satisfactorily. not likely to create an insanitary condition. Remarks: ------------------------- ---- --------- ------ ---------------- - -- (Signed) - - ------ --- ---"== -i---YOU -- --- ------------- Auio J. Alter, Clli.Sec. cif Sanitation Date - ----------------- -`(T Part III.—FOR USE OF FHA OFFICE TO. T 11] CHIPF UNDIRIVRITER: I'liave reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the individual sewage -disposal system be considered ❑ acceptable ❑ not acceptable. Remarks: ;Date ------------------------------•------ 19------ (Signed) -( - — ❑ Claief Architect. ❑Deputy for Chief Architect. 1e-20398-1 2218 --Individual Sewage -Disposal System Report of Inspection 3,29.8 ,SY�cti.tiricsi�al rye;ra e-T?isgosa9 �;,cte�,} Iteporlt of Rigpection Part .-.i7:--7 0l USE Or II<iSP7:CTING OFFICIAL M0,;TCIT.--^hor., i)y shctch below any perflnent ;findings not Billy described in Part I --a.. Corr mlr,3wrm,- -Nato My supplemental pertinent information: Tf conditions are found which -may result in au _ opinion that (lie systeni is w.)satisfactory, describe in detail. f ----- ---- ----- -------------- ......... �. o. rs9vtwurtur ra p:au9 0-?IcH lE--RfT9?-e FHA Forra No. 2217 - Budget Rurenu No. 63-R206.3. (Revise`' Dec. 1918) FE=DERAL HOUSING ADMINISTRATION ❑ New installation. REPORT OF INSPECTION ------0-005409--_------_---__- ;q Existing installation. INDIVIDUAL WATER -SUPPLY SYSTEM (SCrbil nimboi) To Be Headed in by FHA Office Anchorage, Alaska City National Bank of Anchorage Skuza, Raytiond L. - -- --- ---------------- ----------- --------------------------------------------------------------------------------------------------------------- (Insuring office) (MortNaxee) (Mm tgngor or sponsor) Property address ------ ----------- 3711 Viilson t9ay -----Lot--2,- Blk---Bi- Spenard -Acres SUM-- ay uAnsc horage Alaska __ ------- ----- --------- --------------- - ------------------- --- ----------------------------------- (City) _- (County) (State) Total number: Living units ___ l_._ Bedrooms ------- 2__ Baths ____1_____ Basement: ❑ Yes P� No. Sewage disposal by: ❑ Public sewer. ❑ Community system. (& Individual system on site. Part I-a.—FOR USE.OF INSPECTING OFFICIAL (Fill in below information applicable to subject installation) INSTRUCTIONS: If new installation, inspect for compliance with approved exhibits and record any observed information not shown on, or which varies from, the approved exhibits. If existing installation, furnish as much of the information as may be available. Distance to nearest public water main, _"-------- feet. Size of main, __—.___ inches. Individual wells are ❑ are not customary in neighborhood. �/ Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water l_C/__ ________________ ------------------------------------------------------------------ ----------------------------------------------------------------------------------------------------------- Properties in neighporhood X are ❑ are not being developed with both individual water -supply and sewage -disposal systems. Lot size: __________ feet wide, /-*Y_;L-------- feet deep. Dwelling set back from front property line, __ ________ feet. Individual water supply fron:IN Drilled well. ❑ Driven well. ❑ Dug well. ❑ Bored well, Distance of well from: Building foundation, ___r_----------------------- feet; nearest lot line at Elfront, Xside, ❑ rear,_____IP_ __________________________ feet, cast iron sewer, ----- Z_(9-_____ feet; tile sewer_ ____________ ____ feet; septic tank, __ ___________ feet; disposal field, ----------------- feet; seepage pit, _71 _________ feet; cesspool_ __________________ feet; other sources of possible pollution, _________________ feet. Well construction: Diameter, ------- inches. Total depth, i$ feet. Type of casin • Depth of casing,/____________ feet. Approximate depth to pumping leevel f water in well, - _7 -% feet. Approximate yield, ------------ gallons per minute. Sealed watertight to depth of _LX_feet. Exterior space around casing • sealed with: DQ Cement grout. ❑ Puddled clay. ❑ Ordinary backfill. Well cover: ❑ Concrete, ❑ Wood. Metal. Openings in well cover watertight: ❑ Yes. []iN0. Pump: ❑ Shallow well. X Deep well. Z ehgth of drop pipe, ___-7 ----- ,feet. Pump capacity, __6`�__4_I_ gallons per minute. Located in: &Basseen ntt, Pum room off basement. ❑ Pump house above g•rounO nip pit. . Pump ronin properly drai e es. ❑ No. Pmnp mounting watertight: 'Yes. ❑ No. Type of storage: Pressure. ❑ Gravity. Capacity, ___7_ gallons. .y Has bacteriological exal iinatiol of water been made? X' Yes. ❑ No. If answer is "yes," give date __ _ v' ~ Quality of water X is ❑ is not satisfactory for human consumption. Installation A does ❑ does not comply with approved exhibits, if any. Inspection made by: ❑ State. ❑ County. X Local Health Authority. (Signed) t Date of inspection +,--------------------- 19X -r- ---- ---- ' - .�' v -_-- (Title) Part I-b.—See reverse side Part IL—FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT Based on the information reported hereon and other available information, it is the opinion of the W State ❑ County ❑ Local Department of Health that this system JWs ❑is not satisfactory as a domestic water supply for the subject property. Remarks- ----------------------------------------------------------------------------------------- ----------- - - --------------- ----- -- ---- - ----------------- ---------- �-- � �, Aber, Chi. ', c. of Sanitation & Date------------Na�� 1s_5'1 R1 Eat3 seri r�E; ..- (Tial mIl a� a<�ic� To THE CHIFP` UNDERWRITER: Part Hf.—FOR USE OF F. II. A. OFFICE v F/ I have reviewed the foregoing and the pertinent FHA Compliance Inspection Repot, and recommend that the individuAl water - supply system be considered ❑ acceptable ❑ not acceptable. J Remarks:. -------------------------------------------------------------------------------- P Date---------------------------------- 12----- (Signed) -------------------------------------------------------- ❑ Chief Arclatect. ❑ Depntty for Chief Architect. 2217—Individual Water -Supply System Report of Inspection n C a MAY '20'1 r-3 2 0 1957 :Ian' Us 1957 GNP -.V; . !. 'KGE I- LAL1 H UiBYkICT ' Ho!" Jill., 3fU!,3,3,1ti;; :i dn,j-i.si;xati.ort Sox 72.3 Anchora o, Alaska aka Gent.}.G:; un : i -.'.e: IRNA I''orms 2217 & 2?18 SKUVA, Raymond L. 3717 Wiloon Way t no ur age, Alaska. man sio. fit]- (;x)5409 Enclonfid,, p le4su find Forms 2217 and 2218 for the above uent:ioned proporhy. The water supply and >ewngc disposal roynteas meet with the ^irit::u n x e ..s redeFtt:; of tic: Alaska. Departmoat of AcalbA3 and with proper r;i�i_rita�ris.kic:o, can be expected to function in a. sati.;ofa clory :iarn er and not create an i.nsa Ktary condition. This incl alla,tion is apnroveJ by toi a Onpartment. If we ..ay W of Parthcr a:rsi stance re,arling this ?xoaorty, Pleaso fool fico to contact us. Very truly yours, Amos J. Alter, Ghluf ec. W Wnita.ticvn A T: ginonringr FO l:UN 1 nelq: a,3 above cc: WHO y DUO tar. Amos J. Alter, Chief Section of Sanitation and Engineering Phillip Kraitz, sanitarian Enclosed please find subject pHA Forms 2217 and 2213. 0 May 1957 SE FFA Dorms 2217 and 2218 SKUZA, Raymond L. 3711 Wilson Flay, Lot 2, S1k. R, Spenard Acres, Subdivision Serial No. 60-005409 This system was exposed at time of inspection and meets the minimum requirements of the Alaska Department of Health. A water sample was taken 24 April 1457 and was found to be satisfactory. It is recommended that this property be approved. PK: jw APPLIC NT FILLS OUT UPPER HAI ONLY Property Owner j-1 !i ;�;;f / ,�- .s .� Phone Mailing Address •j -%.moi'-/- i - -.... Zip Code Date Buyer C" - Address _- Zip Code Lending Institution Phone / Address / _., Zi Code p CGPT. OF H` pRC ENVIRON)'AEi iTAL PROTECTION Realty Co. & Agent G' Phone Address Zip Code ( ) DISAPPROVED Legal Description ( ) CON_DITIONAh,APPgV�L' //UU�� "'��t,t11 4-2 DATE I Street Location 1,;j� BY:_e Soils Rating Type of Residence Well To Absorption Area q/Single Family Septic Tank Slze C]SMulliple Family No. of Bedrooms_ ❑ Other Water Supply - C�(Individual p � ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach leg if available). ❑ Public Utility Sewer Disposal ❑ Individual Year Individual Installed: Public Utility When Connected to Public Utility: i O Holding Tank - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time ,,I C�L Date Date Date Date Inspector Inspector Inspector Inspector P Field Notes I „ �� n MUNICIPALITY OF ANCHORAGE / P yJ �q CGPT. OF H` pRC ENVIRON)'AEi iTAL PROTECTION EIV�� () APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CON_DITIONAh,APPgV�L' //UU�� "'��t,t11 DATE I BY:_e Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Slze Well to Tank 72023 (3102) 5. LEGAL DESCRIPTION -/ / DATE RECEIVED INSPECTION APPOI TMENTS TINE �' ��'��.�>L Ck9 C: __' TIME TIME ❑ One 11:1 El Other k7 SINGLE FAMILY Fouer X Two DATE ❑ Three ❑ Six DATE DATE g INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well INSPECTOR depth (attach log if available.) INSPECTOR INSPECTOR(1 �C/6cc, ❑ INDIVIDUAL/ON-SITE*'* MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE PUBLIC UTILITY DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION • ENVIRONMENTAL SANITATION DIVISION SEP 15 1980 Telephone 264-4720 ``�� FF� REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW19L'11f1C^3' DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PRQ ERTY OWNER YI el& 1 I 1 mel d 1%t 4T PHONE MAILING ADDRESS / l/lrNc Cr,e r�/a W /�fih ✓ieh.l,^�,� c r7�� / y,iCl% PROPERTY RESIDENT (If difS' feren .roma ove) PHONE 2. BUYERPHONE // MAILING ADDRESS 1I/z e- 4" 3. LENDING INSTITUT40N PHONE rCr'J IC �� -,e i Yu 5 MAILIN ADDRESS 4. REALTOR/AGENT - - - PHONE �%Crvcy �27P—`LU' MAILING AD KESS - - - - 5. LEGAL DESCRIPTION -/ / '18/cr �. G.rii /UL ST EET LOCATION / 12 ✓/ N ci L a7y6(1/ �' ��'��.�>L Ck9 C: __' 6. TYPE OF RESIDENCE NUMBUR OF,BEDROOMS ❑ One 11:1 El Other k7 SINGLE FAMILY Fouer X Two ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7, WATER SUPPLY g INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ❑ INDIVIDUAL/ON-SITE*'* YEAR ON-SITE SYSTEM WAS INSTALLED. PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 1 /I W(_y�G(�/ - I Nib SIUt t -UK Uhl-IIAHL UNt UNLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS 5r -K APPROVED FOR '2_ BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 (Rev. 6/79) f if P'.J'. I "C 7d l i 7I Ill h1 fI f AND F NV1IIlONMFN I At PROM'.] ION September_ 17, 1980 arvey Evans The Evans Agency 840 West 10th Avenue Anchorage, Alaska 99501 Subject: N2 E2 Lot 2 Block B Spenard Acres Subdivision. llani.el/Linda Walsh Property Approval for the individual sewer and water .facilities cannot be granted until the following items have been completed: (1) The water analysis report be delivered to this , A}� department from Chem Lab, 5633 B Street, for V� our review. (2) The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. (3) The well casing extended twelve(12) inches above ground level and capped with a sanitary seal so that it is water tight. Please notify this department for a re -inspection when the noted descrepancies have been corrected. If there are any further questions, please call. this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/l.je cc: Peoples Bank and '.Frust. Pouch 7-007 99510 C]ill_ VtM� f' „" STRE ET 8�5 L C��Leel( cam%�Q =; ANCHORAGF, ALASKA 9950. 1 (907) 264-4111 �. ---- ,J �� o ' ,a. J ;+ .:,CnR(,F M. SOLI -lVAN, (, - - r.. %I"IYOIi f if P'.J'. I "C 7d l i 7I Ill h1 fI f AND F NV1IIlONMFN I At PROM'.] ION September_ 17, 1980 arvey Evans The Evans Agency 840 West 10th Avenue Anchorage, Alaska 99501 Subject: N2 E2 Lot 2 Block B Spenard Acres Subdivision. llani.el/Linda Walsh Property Approval for the individual sewer and water .facilities cannot be granted until the following items have been completed: (1) The water analysis report be delivered to this , A}� department from Chem Lab, 5633 B Street, for V� our review. (2) The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. (3) The well casing extended twelve(12) inches above ground level and capped with a sanitary seal so that it is water tight. Please notify this department for a re -inspection when the noted descrepancies have been corrected. If there are any further questions, please call. this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/l.je cc: Peoples Bank and '.Frust. Pouch 7-007 99510 �GR S(�C%04A4[ APfA a 0 �AQUO JAnUASY A q- GREATER Deparkntn RAGE AREA BOROUGH nvironmental Quality ge, Alaska 99503 274-4561 Date Received Time of Inspection 1,0 � Date of Inspection 40REQUIST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: Alaska Bank of Commerce ust 2 1976 S c E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area �, Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Mailing Address: Pouch 7012 Phone: 279-5641 x 341 2. Property Owner: Stanley Somers Phone: Mailing Address: 3711 Wilson Way 7 -,nom/ R 3. Legal Description: SWa Lot 2 Block B Spenard Acres 4. Location: 3711 Wilson Way _ :L� DYI 5. Type of facility to be inspected Single Family No. of bedrooms 2 6. Well Data: Possibly a p%iblie or semi=ptrbic_..well A. Type Nuc? �,��ti . /7 B. Depth C. Construction _ D. Bacterial Analysis 7. Sewage Disposal System: Public Utility A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area �, Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Rec t for Approval of Individual S r & Water Facilities Legal Description SWa Lot 2 Block B Spenard Acres Comments Approved sapproved Date c(-gi -e17 Appl4oval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true ano accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 — 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO - VA FHA 2. Property Owner: Stanley Somers Mailing Address: _3711 Wilson Way, Anchorage, AIC Day Phone MUNICIPALITY Or ANCHORAGL DEPT. OF HEALTH R ENVIRONMENTAL PROTECTION AUG 2 61976 RECEIVED CONV X 3. Name of Buyer: � 1, rk L. and Shirley A. Smith Mailing Address: 110 Chu achU #3 Day Phone 272-3968 4. Name of Lending Institution: Alaska Bank of Commerce Mailing Address: Pouch 7012_, Anchorage, AIC 99510 Phone 279-5641 ex 341 5. Name of Realtor or Agent: Mailing Address: Phone 6. Legal Description: SWI./4 Lot 2, Blk. B Spenard Acres Subdivision Location:_ 3711 Wilson Way, Anchorage, AK 7. Type of Facility to be inspected: Single family dwelling No. Bdrms. 2 8. Water Supply, per appraiser there is a well, but it is public Type of Supply: Public Utility X Individual If Individual, number of dwellings presently served If Individual, depth of well unknnym 9. Sewage Disposal System Type of System: Public Utility i Individual (on-site) If Individual, date of installation EQ -037 (1/74)