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HomeMy WebLinkAboutSUNSET HILLS BLK B LT 9Onsite File { ,m,mnse Tm ti I s 1 � M -A I' Municipality of Anchorage DEPARTMENT OF FIEALTH AND HUMAN SERVICES i,.~ ENVIFtONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: _~ ~'~-,-~ PID Number: 0 Name: ~ ~, ~;,~ ~, ~t~/~ Wastewater System: ~ New ~Upgrade Address: ABSORPTION FIELD. Phone: INo. o~rooms: ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other Soil Rating: ~ ~ ~ Total Depth from original grade: LEGAL DESCRIPTION ~,/· ~ ~"ws~. ~,. Lot: ~ Block: ~~Subdiv~ion:~i//.~ opt o rpe ~,~° tom from orirnal~ grade: Ft.Gravel~.~depth~beneath~pi Ft. Township: Range: ~ O¢ ¢' Ft. ~ ~ ~ Ft. , / ~ ~ I ~[ I~~ ~ "illadded above ori~inal grade: Gravellength: ~ Number of lines: 0istance between lines: WELL: Q New U Upgrade Gravelwidth: ~ Ft. ~ /~ Ft. C~assgic~tion (Private, A,B,C): Total Depth: Cased TO: Total absorption are : Pipe material: Driller: Date Drilled, Static WaIer Level: ~ Ft. Instaler:~ Pump Set at: I Oasing Height Above Ground: ~.M .t. .~, TANK SEPARATION DISTANCES ~.ptic ~ Ho~ing ~ S,T,~... To Septic Absorption Lift Holding Public/Private Man ctu r: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~~m Well- IO~¢~ [¢~ '¢/* ~ff~ ~/4 "aterial~ / Number °' Compartments: Surface water '~' N/~ ~/~ LIFT STATION LineL°t ~0 / 1¢' ~/~ ~JA SizeinoaH°ns: I~acturer: Remarks: BENCH MARK L°cati°n and Oesoripti°n:¢¢O ¢ Assumed Elevation: ENGINEER'S SEAL Department of Health and Human Services approval Reviewed and approved by: ~~ ~ Date: 5-~ ,99 72-013 (Rev 9/91) MOA 25 Permit No. 5'¢,,f?~, ~ ~2 Page -~ of ~-~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description:/-oT'~ ~ ~U/,¢..~__.'~- ~IL,/-$ ~)U~PID No.: (~ ENGINEER'S SEAL 72-013 A (1/93) Permit No. Sv-~ ~'~ O~,%~ Page ?., of Z~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Y~Z %, J~./.~ 8_ 5UNcoVv~T'~'[/~ ~UO,O. PID No.: ~)/~2/~ ~-~ A- sTOOl ~ ENGINEER'S SEAL 72-013 A (1/93) * MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW960328 DESIGN ENGINEER:JAMES SIZEMOORE & ASSOCIATES OWNER NAME:BUTLER FRANCIS A OWNER ADDRESS:14030 SPECKING AVE ANCHORAGE, AK. 99516 DATE ISSUED:10/02/96 EXPIRATION DATE:10/02/97 PARCEL ID:01820132 LEGAL DESCRIPTION: SUNSET HILLS BLK BLT 9 LOT SIZE: 15500 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: , · PROBABLE IMPACTS TO ADJACENT PROPERTIES LOT 9, BL. B, SUNSET HILLS SUBDIVISION A) WELLS The proposed wastewater disposal system is designed in accordance with current Municipality of Anchorage Wastewater Disposal Regulations. The proposed drainfield will be constructed in accordance with these regulations. The separation distance from wells on adjacent properties is greater than 100 ft. Therefore no unacceptable impacts are expected on the wells located on adjacent properties. B) WASTEWATER SYSTEMS The new drainfield will be constructed with good separation distance from systems on adjacent lots. Soils tests have shown the soil where the system is to be constructed is acceptable for and an on-site disposal system, therefore there should be no unacceptable impacts on adjacent wastewater disposal systems. C) RESERVED SPACE/SURFACE AND SUBSURFACE The large lot that this system will be constructed on has ample space, both surface and subsurface reserved for a replacement system. The proposed replacement drainfield should not affect adjacent properties. D) DRAINAGE The location of the drainfield will not interfere with any drainage. The area disturbed during construction of the field will be graded and sloped so as -to not pond water. Therefore this system shouldn't adversely affect aqjacent'pfoperties. > Ld SPECKING AVENUE 100.00' ~/ LOT 9 GRADE " ...... SLOPE 1%~ I EXI STIN-~' TIMBER- ~ CRIB LEACHFIELD . ('FILL WITH NON- ....~'- CLASSIFIED) ~ 10' UTILITY ~l- EXI STI N G"'SI~P'I'I C TANK TO BE". REMOVED % NEW 1250 GAL S.T. DBL EASEMENT / / / LOW DI VI.DE'R- MO T-eR TUBE ITyP OF 2 TH ¢/¢~. o DRAIN TRENCH ¢/t~_~_ 5'x62' DRAIN TH TRENCH LOT 25 NOTE: WELL ON LOT 25 APPROX. 150' FROM LOT LINE. LOT 9, BLK B, SUNSET HILLS SUBDIViSiON NW 1/4- SEC 52, T12N RSW S.M. PROPOSED SEPTIC SYSTEM UPGRADE SITE PLAN JAMES SIZEMORE & ASSOCIATES ANCHORAGE, ALASKA TEL: (907)545-1572 FAX: (907)54-5-9629 DRWN BY: VNB CHKD BY: JFS IDATE: 8-15-96 SCALE: 1"=20' P.N. ~ SHT: 1 OF 2 LINE FROM HOUSE MONITOR 5'x62' LON( DRAIN FIEL[ TRENCH A NEW 1250 GAL SEPTIC TANK DOUBLE C.O. 3EL FLOW DIVIDER 5'x55' LONG DRAIN FIELD TRENCH 50,0 C.O, 55' PLAN 1"=10' MONITOR TUBE C.G. 4" DIA. PERF. /,.~.~MONITOR TUBE - ~ -~ ', ', f'iT,~llll_~ ~ ~ IIl_---IIII-_-- ~--II .... .'~L~. z--IIII i~°i b/ -Iil--I~1 51111 SEWER ~ ° . ..~~ .... ~ o FILTER f / ~uur-, °° °o o FABRIC I I SECTION 1"=5' ~" J. James F. Slzemore ~e~.%. .1517 E NOTE: SEE SECTION 'A', FOR SIMILAR INFORMATION SECTION ~ 1"--5' LOT 9, BLK B, SUNSET HILLS SUBDIVISION NW 1/4- SEC 52, T12N RSW S.M. SEPTIC SYSTEM UPGRADE PLAN AND SECTION JAMES SIZEMORE & ASSOCIATES ANCHORAGE, ALASKA TEL: (907).34-5-1572 FAX: (907)345-9629 DRWN BY: VND CHKD BY: dFS [DATE: 8-15-96 SCALE: 1"=10' P.N. ~ SHT: 2 OF 2 PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST SLOPE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15- 16- 17- 18- 19- 20- SITE PLAN WAS GROUND WATER ENCOUNTERED? S IF YES, ATWHAT I'.'~:~[-/- ~/ ~ DEPTH? ! ~' ~,~2 P Depth lo Water A~r ,~ ~ ~ e ~/ MonitorinD? , ~.Y ~ Date~ ~ ~'~ ~ ¥ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ '[EST RUN BETWEEN . (m~nutest~nch) PERC HOLE DIAMETER __ FTAND ~"~ FT COMMENTS PERFORMED SY~-I L~ { ~ ~,~-~/"-' _~--~ RTIFY THAT THIS TEST WAS PERFORMED iN 72-008 (Rev. 4/85) DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEER'S SEAL) PERFORMEO,OR, F: DATE LEGAL DESCR,PT,ON: ~ ~ ~'~/,~/t?.¢~./~'///''C ~.f['~Township, Range, Section: 5 6 7 8 9 10 11 12 13 14- 15 16 17 18 19- 20- SLOPE SITE PLAN WAS GROUND WATER //] ENCOUNTERED? IF YES, AT WHAT /Of' pO E DEPTH? Depth Io Water Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE ~ ~mlnules/~nch} PERC HOLE DIAMETER TEST RUN BETWEEN '¢¢-- FT AND -,~ FT COMMENTS RTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL BTATE AND MUNICIPAL GUIDEIFf~ES IN EFFECT ON THIS DATE. DATE: '~'~'~ ~ '-- T¢, ( 72-008 (Rev. 4/85) GAAB-HD I GR"'~TER ANCHORAGE AREA BOROt'~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL'~-~ j LIQUID CAPACITY //~,'~)~ GALLONS· .2 ? PHONE ,4"~/' LEG AL DESCRIPTION,.Z' N MBER OF MATERIAL ~-~ PARTMENTS INSIDE LENGTH SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER. .OR W DTH /'~"" / · DISTANCE FROM WELl//.../.~,2 /~./,~/'-~..~. TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTH/~F~ / __ __, DEPTH BUILDING FOUNDATION , TILE DRAIN FIELD: DISTANCE FROM WELL / , FOUNDATION NUMBER OF LINES ~ DISTANCE BETWEEN ABSORPTION~E~ SQ. FT. LENG1 DEPTH:'TOP OF [ILE TO FINISH GRADE ' TOTAL LENGTH , NEAREST LOT , OF LINES , · )F EACH LINF/ L//. .D TH~OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE__ WELL: TYPE. ~-'~,.~Z/z"~'~'~"~ _, DEPTH NEAREST SEPTIC LOT LINE , SEWER LiNE ~'., TANK DISTANCE FROM WATER , BUILDING FOUNDATION. ~' SAMPLE ~" , NEAREST SEEPAGE OTHER , SYSTEM , CESSPOOL , SOURCES DIAGRAM OF SYSTEM APPROVED ." =~, ..~ GAAB-HD-2 GREATEi 327 Eagle St. ANCHORAGE AREA HEALTtt DEPARTMENT Anchorage, Alaska 99501 OROUGH 279-2511 Case N o. SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT RESIDENCE ADDRESS 7~,~ 5 LEGAL DESCRIPTION APPI. ICATIONTO INSTALL: SEPTIC TANK ~ ., SEEPAGE PIT~ ,BRAIN FIELD ,OTHER TO SERVE THE FOLLOWING FAC'iLITY FIN~CED THROUGH /--T//~ P~. TEST ~ESULTS_ 277- - MAILING ADDRESS -~..~'~/Z ~ ! , PHONE - LOCATION OF INSTALI..ATION~._~ ANTICIPATED DATE OF COMPLETION ~ ~/'.///,"(~, BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED .SEPTIC TANK SIZE~g~O .TYPE ~r~L SEEPAGE AREA DIAGRAM OF SYSTEM BISTAN CES'(}'~/~ ;~f'mD~/~} I certify that I am familiar with tim requirements of Greater Anc}3orage Area Borough O~dh~ance No. 28-68 and t~at the above described system is in accordance with said code. ~0'~- ~/~ ~/~[~/~. ~"~fl DATE GREATER ANCHORAGE AREA BOROUGH ItEALTH DEPARTMENT CASE 327 EAGLE STREET ANCHORAGE, ALASKA 9950]. Performed For ~r~ Joh~ [(orp~/ ...... Date Performed 6-4-?0 Legal Description: Lot 9 Block B ,~ubd~v~s~ong]ms~et Depth Feet Soil Characteristics Location Sketch 0°5 3.5 ~ 10.0 Ground Water Encountered?__ Ye~ .... v%~o Was ,, . If Yes, At ,;hat Depth Readlng Date Gross Time Net Time Proposed ----r-~-~ Installat~on'~ Seepage Pit Depth To 1t20 Drain Field Net Drop Depth Of Inlet__~_/;,' 1)el>t~w~n O-~it Or Tre! ch-~T~' .......... ~~.~a u~ -'~.~_~- ~e:r oedroom For o. 'l;ot,~lofl 275 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 0 ~ ¢ ~ 01'..3 "~ HAA# 1. GENERAL INFORMATION Complete legal description [-o¢' 9/ ~/~,c¢c l~., ~c ~'/~.re ~ /Y-aU _C /23 Location (site address or directions) / 5'O~ O Property owner Mailing address Lending agency Mailing address Agent /~ o~ ¢- Address 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. I/ NOTE: Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site ¢" Holding tank ': Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72'O25(Re¥.1/91) Front MOA~21 5, STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I ver!fy 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 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature Phone Date DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional C'omments 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 courteey to purchasers of homes and their lending institutions in order to 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, RECEIVED Municipality of Anchorage MAE{ 0 8 1999 __ LITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN S~J~LSERVICI~$ DIViSiO~,,,m~ Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska g9501 · (gO7) 343-4744 Legal Description: A, WELL DATA Well type ? ~, Log present (Y/N) Total depth Sanitary seal (Y/N) Health Authority Approval Checklist Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 rr.,Io,,,el Date of sample: '~ / ~ g B, SEPTIC/HOLDING TANK DATA Date installed I ¢ / '7 / ) ~' Tank size Foundation cleanout (Y/N) Date of Pumping 2/~4--/ C, ABSORPTION FIELD DATA Date installed lo {'7 / Length ;~ ~,' Width 5' ' Effective absorption area Date of adequacy test If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to ~> ¥O' Y FROM WELL LOG g,p,m. Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION Nitrate ~. Z3 m,,/q {.-~_ Other bacteria A/o,~z Collected by: / ~-5~O Number of Compartments ~ Cleanouts (Y/N) . Depression (Y/N) N High water alarm (WN) ~'. Pumper Y SoiJ rating (g.p.d./ff2 or ftqbdrm) _~. d'///. ~ _ System ~ype P*',~ ,'~ ~ e/~ Gravel thickness below pipe. Monitoring Tube present (Y/N) Results (Pass/Fail) ~.o ~'.,o Total depth ~". ~ Depression over field (WN) N For z-{ bedrooms B"S. Fluid depth in absorption field before test (in.); ~" ~'. ~.7. Fluid depth ~.?~'"/,4. n4'(ins) Minutes later: Immediately after ~'?/gal. water added (in.): Absorption rate = ~, ~o~ .g.p.d, Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* If yes, give date LIFT STATION N. /~. Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons "Pump on" level at* *Datum Septic/holding tank on lot Absorption field on lot / Public sewer main /"/./~, Sewer/septic service line 'h~ c. c~. On adjacent lots ~ c.o. On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~ I Property line '~) Absorption field Water main/service line '~ ~5-' Surface water/drainage '7 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line lO' Surface water ;> I¢o ' Curtain drain F. ENGINEER'S CERTIFICATION "Pump off" level at* ¢-7/ Wells on adjacent lots ~' /oQ, Building foundation Driveway, parking/vehicle storage area Wells on adjacent lots Water main/service line '> ~,~~ ' "~ I certify that I have determined thru field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date, Signature ~'~ ~ ~ Engineer's Name Date /'-'~ ~ ~-ch HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received February 17, 1976 Time of Inspection__~,~O Date of Inspection .q-}~-~& REQUEST FOR APPROVAL OF ~ - ~].~ INDIVIDUAL SEWERFOR & WATER FACILITIES 1. Approval requested by: Mailing Address: Phone: 2. Property Owner: Thomas Butler Phone: 349-1389/267-2433 Mailing Address: Star Route A Box 205 99507 3. Legal Description: Lo* 9 Block B Sunset Hills Subdivision .4. Location: Off De Armoun Road, between Old and New Seward Highw_~ay% Type of facility to be inspected Single Family No. of bedrooms~4 .~ Well Data: Individual A. Type ~-~ c. Constructio. Sewage Disposal System: B. Depth 130' D. Bacterial Analysis ~n-cit~ system A. Installed 1971 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 - Re Legal Description Lot ~st for Approval of Individual ,er & Water Facilities 9 Block B Sunset Hills Subdivision Comments Approved Disapproved Date ~'~/.5-~ 7~ Appr~D~l ~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) 2510 E. Tudor Road REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 'GREArFER ANCHORAGE ARI:/, BOROUGH Pt]PT, OF IIE/,.LIH & Department of Environmental qual i t~IVIRONMEN'rAL r~,OfECTiObl "%"X~%X, Anchorage, Alaska 99503 274-4561 1. Type of Inspection: CMRO 2. Property Owner: Thomas Butler Mailing Address: SRA Box 205 3. Name of Buyer: Home listed for sale Mailing Address: NA 4. Hame of Lending Institution: NA Mailing Address: 5. Name of Realtor or Agent: AREA, Inc. Mailing Address: VA FHA CONV iT4!~-- 1-289 Phone 267-2433 _D~ay Phone NA NA Phone NA Realtors - Judi Gastrock 3300 "C" Street 9950'3 Phone 278-2525 6. Legal Description: Lot 9, Block B, Sunset Hills Location: Off DeArmoun~ Between Old and New Seward High~ 7. Type of Facility to be inspected: .Sing.l¢ Family No. Bdrms. 4 8. Water Supply Type of Supply: Public Utility Individual X If Individual, number of dwellings presently served one If Individual, depth of well 130 feet. Sewage Disposal'System Type,of S>stem: Public Utility If Individual, date of installation DEQ approved system in May, 1974 Individual (on-site) X 1~71 February 7, 1974 Edith Gibson Ray's REalty 1563 Tudor Road Anchorage, Alaska 99504 SUBJECT: Sewer and water facilities servtno t. ot g, lllock B, Sunset )ltlls Subdivision Dear ~.trs. Gibson: The sewer syst(mn serving the sub,lect property has been inspected and nn- prowd for a 3-bedroom, single family d~.~elling. Also, the construction of the wull is satisfactory and the bacterial analysis ~.~as negative. l'he last letter sent to you disapproved the sewer system serving the sub- Ject property. Please be advised that this letter super()edes that letter (dated January 3l, 1974). Sincerely, Robert C. Pratt, Environmental Control Officer RCP/ko GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 2330 "C" Street, Anchorage, Alaska 99503 274-4561 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAI, SEWBR & WATER FACILITIES FOR Aooroval Requested By: Legal Description:~ ~ Phone Type of Facility to be Inspected: Number of Bedrooms: 3 Well Data: A. Type_.~./~//././_ ~gg/~, B. Depth I,.2 ~ , . __ C. Construction__. D. Bacterial Analysis Sewage Dlsooeal System: A. Installed. '/~ C/_ Installer C. Septic Tank: 1. Size__ 2, Manufacturer Seepage Pit: 1. $fz.e 2, Material Dis.~osa] Field: Total Length of Lines 8. Distances: A, Well To: Septic Tank · Absorotion Area , Sewer Lines Nearest Lot Line , Other Contamination . Foundation to Septic Tank___~ ",, Absorption Area C, Absorption Area to blearest Lot Line R~qu~at for Approval ~. Indivi~ual Sewer ~ Wete~ Fsoilitloa Page Two 9. Comments: Approved DisapprOved L/<'~C. _Date Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, Department of Environmental quality DIAGRAM OF SYSTEM I certify that the information contained in this request for apprmval to be a true and accurate representation of the subject ~ewer and water fac~lities located at~ Signed_ Dage 2E^TER ANO-IORgGE ARE^ BOROUGH IIEAL?ft DEPARTbENT 327 EAGLE STREET ~NCHORAGE, ALASKA 99501 279-2511 REQUEST FOR APPROVAL OF INDIVIDUAL SELVAGE AND WATER FACILITIES Approval Requested Phoue 4.NumberType OfofFacilitYBedroomstO be Ins, pecte~4~L,,~L~,//_ S'Fi'~EET :~_]~Z~/t~'ff/~__4~, &Lcd_2~ ~/ Well Data: B. Depth___/da/)O/ E. Bacterial Analysis 6. Sewage Disposal System: A. Septic Tank (If homemade, show diagram on back) 3. Manufacturer 4. Installer App,,oval Request for Se~ , ~ Water Facilities Page T~o B. Seepage Pit C. Disposal Field 1. Number of Lines 2. Total Length Required ,~easurement s A. C. D. E. F. G. H. {qell to Septic Tm~k f~/~-~.~$f~/ Well to Seepage P~* ~_/.~,p ~Vell to Sewer Line___~ Well to Property Line ~ ~Vell to Other Possible Contmnination Tank ~/. Foundation to Septic _ Foundation to Seepage Pit.,, Seepage Pit to Property Line_f fl 8. COM~ENTS: APPROVAL VALID FOR ONE YEAR FROH DATE SIGNED. DISAPPROVED: DATE', GREATER ANCHORAGE AREA BOROUGH IfEALTit DEPARTIVlENT EDllTO