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Home My WebLink AboutSPRING BROOK VISTA #1 BLK 3 LT 10os-o 4q j- !- oocO MUNICIPALITY OF ANCHORAGE DEPAR'FMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 LStreet - Anchora§e, Alaska 99501 Telephon0 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME P,ONE J, ~NEW ~'-~z/-~7,~ld [] UPGRADE LEGAL DESCRIPTION LOCATION ~ ~ Manufacturer ~ / K / ~ [Liq. capacity~ gallons ~,.~ I D STANCE TO: ~e,l ~ ~ ~ No. of lines Length of eac~ine / ~ ~ Top of tile to finish grade ~ ~ Width ~ ~ J Type of crib ~ ~ ~Class ~epth ~ J DISTANCET~ Building fou~datio~ Absorpt~/o~r~a Inside length Dwe n~ FoLmdation Dwelling Material Width Total length of lin,es Material Nearest lot line Trench widtl~ Material beneath tile NO. OF BEDROOMS PERMI~ NO. No. of compartments Liquid depth PERMIT NO, Liquid capacity in gallons PERMIT NO. Distance between lines ] ~' ~ inches Depth PERMIT NO, Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line [ PERMIT NO, 4 Sewer line Septic tank [~or~area(s) / Total effective absorption area OTHER PIPE MATERIALS SOIL TEST RATING REMARKS 72-013 (Rev. 3/78) DATE LEGAL J:::JJ",!J]]:' '?J'JJ'i!i J?d]?j"!'OJ'"J Ii]q:::' 'J"l'"J]':il J!ii]::'::(]i:l'::J"?J:::i'i" ]!i OJ",! ':i ]] N ?:?Jiii]!!!'.'l~ ). F'!i:?.!"! ;!i !" F:!F'I::'!. ;[ C:i:::!I".!'I" !"l l:':! :!:i; 'l'l'!Eil I:~:E':: P '.]] NEi ill I:! )Z L. L' 'r~¥' 'J'O 'J] NI:::'CII::?.!"I "J-I J '.r. ::~i; [)IEI:::'I:~II:ii:'FI'"IEilN1'' E:,I...It.:?. iii NI]]!J "h,l':::: r'l:::ll J I:::FI' T J'/j'.,I ii I~.IE: J:::'J!i] '.i 'J' ]11 ]i'. J'.l'.!ii 0t:::' i:::IFi"~' NEii...!...'.!~i I:::l[)..]l'l'::l(ii:!ilN'J' '['(]) TI.I ]11 ~!!: J t I. I::1 1 ~ l:::!l",J[) I'..!i.I!"!.E'.EiiJ:~i'. Ot::' I:~?.E!ii:]il;i:,li!ilNE:li!:::ii!: T!'Jl:::l"f' 'l'l'..l!i!i I,.l:iiiI.J.. !.,.JlIiI.L. ::l.E!il}!! !:::'!iiiii:!]it' F:'OJ:~?. I::1 !:::'Fi'.]]',?I:::t'I"!!!i h.!E!i!.L..~ O1:?, :it.!!!!i(i!! "!'t13 2~::.u?.l I:::'EEii'! !:::!:ii:Ol"! I:::! j:::'l. Jl!ii',l.]iE: t,,l!:ii%.l.. Ii'.)ti!iF'Ei",IIi)]iN(i~ I..II:~'ON 'Fl'"JEil "!'~'?F::'E O1:::' PIJEiJI...ZE: I.,.IE!%,I CFi'J !Eii!:;'. l:~?,i!?l~:!U :[ J::?JEFtIEN'I':!ii: I"IF::I"¢ i::tF:'I:::'J J'?.Fii:I:::'E%: ]: F:' !i E:f::!'l' ]i ON'.!ii: f'::d",!D E:IZq",I'Ji;'I'fli:UIZ:'T' ]i (Z)N D ]i I:::I(iiI:RI:::II"!E: I:::l'v'!:::! ]i I..i:':!E',L.E 'J"O :1: N'.!!i:LII'ii:E t:::'l:~i:Of::'l:!i:Fi: iE N!ii"i"F':II J~.l:::t'!' :ii (liN. Russell Oyster 694-2774 Soils Et Foundations perfo~ed for: t. egal Description: 0 E GEOi cCHNICAL ~ Name:~_~ DEVELL,?MENT Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LOG CO. Earl Ellis 688-2280 Land Development Tel. Mailing Address:CfL~_~~ ~ ~,Ja££¥ ~-~.z:-~ ~.x~ ~??j--~77 .So_i! Ch~ara~cteristic$. 10~ 11~ ]_2~ ].6 · tc-'~°q'~O""~? ~ Ground Water Encountered: Yes No Proposed Installation: Seepage Pit Drain Field Co~ents :~.5[~' - '~ ~ '~' ~~~.~~ ~ ~ ........ *~ If yes, what depth~_~_ APPLif- -NT FILLS OUT UPPER HAl ONLY Pi tyOwner ,/~{.; /,,,'; ;/' /~ //;, /. / {~ ,Mailing Address /;) / ' ;'> ' i; :/~/ '- /!/ /~ Zip Code buyer Phone Address Zip Code Lending Institution ('"- , .~, ~- /..,'~,:{///!// Phone Address Zip Code Realty Co. & Agent Pbone Address Zip Code Legal Description L()'b 10 Block 3 Sprin9' Street Location '///~/, , ~ .. Type of Resi~nce ~i~gle Family ~ Multiple Family No. of Bedrooms. [] Other Water Supply [] individual ~--Community [] Public Utility Sewer p~jsposaJ [~'9'ndlvidual Brook Vis%a Subdivision ATTACH WELL LOG. A well Icg is required for all v/ells drilled since June 1975. For wells drilled prior 1o that date, give well depth (attach Icg if available), [] Public Utility [] Holding Tank Year Individual Installed: When Connected to Public Utility: 4 NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, Time Time Time -rime Date Date Date Date q~'-- Inspector Inspector Inspector Inspector t 0 .... D ABy:TE L~r~ ~ ~ Soils Rating Dale ~wer Installed Well To Absorption Area Well Log Received ____ 'G '' 7 ~_ Well to Tank O~ Septic T*k Size 72-023 ADEQUACY TEST REPORT l?o~.':forim:~d by ~ James L. Tl~ode~ t'.E, JLT Engineering 1546 Eagle Rivor Rd. Eagle River, Al~ska 99577 D~:~v:id and Merri Diat:; P,O, Box 1344 Eagle River~ Alaska 99577 DaLes of To,?.L~ I,ot 10 BLK .3 Sp:cingb-cook VLsta Sept:ember 19 and 20, 1983 System desc:t:ipt:[o.t~ The ohs'ii:c, dJ.::~poaal ,.-~.' ,- [:,:mk mM L~ttbm_r~fac:e dJ.~;po~al b]:'er~eh., The system se~:'ven a three bedroom ho'use. The t;ep'LJo i..4[lk x,m~ l,,tmpod or~ Aug~:~oL 1.7, 1983. T(:;S {: ].)]"ocodlti7(:~ I T~"I(') [.~t[ JJ(:lll ¥/;~i,'3 'i.1-_ no:tm're. 1 Ime before an.d hbo test, In .'-J. ddiEion t'o izb. e no:_m,al lon. d o~. tho f~y,~LOm a SU~"&e load o:f 500 Sa].].c)rm wa.~ applied at: The waL~rr' level J. i1 i:be sept:lc ~;ank wa~ mor}ii:o:roc] 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 DIRI=CTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days fqr process ng. 1. PROPERTY OWNER I PHONE Eric S. JohnsonI 694-9734 MAI LING ADDRESS - Post Office Box 722 99577 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE - MAILING ADDRESS - 3~"LENDING INSTITUTION I PHONE I MAILING ADDRESS - 4, REALTOR/AGENT I PHONE - I MAILING ADDRESS S. LEGAL DESCRIPTION Lot 10 Block 3 Spring Brook Vista Subdivision STREET LOCATION Prince of Peace Drive 6. TYPE OF RESIDENCE ~IUMBER OF BEDROOMS I-~ One I'~X Four [] Other :~ SINGLE FAMILY [--I Two [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY [] INDIVIDUAL' COMMUNITY PUBLIC UTILITY ATTACH WELL LOG. A well log is required for all wells drilled since June 197§. For wells drilled prior to that date, give we] depth (attach log if available.) 8, SBWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PURL C UTILITY ** f individu~ /on-site, give installation date ].978 If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEi-' MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 724310(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TiME T~ME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS SiNG LE 'i~AMi Ly [] 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 []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: I(~3~.)L) If Tank is homemade SOILS RATING give dimensions: I. TYPE OF TANK MANUFACTURER~ 1 TOTAL ABSORPTION AREA MATERIAL\'~ 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompanytcertificate) [] DISAPPROVED DATE BY (Title) /'~ LEGAL DEscRIPTION 72-010 (Rev. 3/78) iUNiCIPAI-I.TY OF ANCttORAGE ........ -, · · ..... ] ProLecL~on ~;:>~ (} ': l)epar hI/1C!l'l L O~ Ilea ~ L.h ~l~(1 JLI]V.I.I OlqlllGlqt. c/ '~J~'F~{4 2', 825 [ S~reek, knc:horaqe, kla.,ka 9950] ~,:~-b~P .............. L of Individual Sewer ano Nat:er Fac:J] ities "T'T: -Reques~ 1l.~17 Z~l~. uv~t .... Prope};ty Owner: Hailing Address: Name of Buyer: .............................................................................................. Phone: Mai_ling Address: 3 o I,end J ng irtstitutJ, on: .......................................................................... Pholle: biai].ing Address: !leal. her/Agent: Phone: Ha:i.lJ.ng Address: ....................................... Sing3e Family Residence: (p.)~ Number of Bedrooms: . Mult;iple Fami]y Residence: ( ) Number of Bedrooms ................... Waker Supp].y: * Individual Nell ( ) Pub_lic/CommunztY Syslze. m If IndJ.vJdua]. V,~o].]., well del)th ......... Sewage Disposal System: *'~)n-site System ~ Public System ( ) *NOTE: A well log J.s requJ.red on /ILL we]_ls drilled since 6/75. ** tf on.-sil:e sewer syskem Js ever t. wo(2) years el.d, an adequacy ~esk is required by hhis deparkmellh. A fee ef $25.00 musk accompany each request before processing can bc in.i_t..akcd. 3/'7 v