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