HomeMy WebLinkAboutSUNSET HILLS WEST Block 3 Lots 17A & 18 A Plat# 86-58L~
GRE!
--R ANCHORAGE AREA .BOR'"GH
Department of Environment Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
Co~%T~. MAILING ADDRESS ~70J ~-~-a~)¢~ O/U. __PHONE
SEPTIC TANK:
DISTANCE
FROM WELL /(10
INSIDE LENGTH
MANUFACTURER ~
INSIDE WIDTH
LIQUID DEPTH
NUMBER OF
COMPARTMENTS ~ I ..
LIQUID CAPAC ITY~c~OO GAl_LONE.
T-H: E~ BR-A~'N-Ff Et:D:
DISTANCE FROM WELl-
NUMBER OF LINES
ABSORPTION AREA ~-<~'
TOTAL LENGTH
FOUNDATION ~ NEAREST LOT LINE~)-O~, OF LINES
DISTANCE BETWEEN LINES__ TRENCH WIDTH --~IN,
SQ. FT, LENGTH OF EACH LINE --'---~
DEPTH OF FI~LTER
DEPTH: TOP OF TILE TO FINISFI GRADE
TOTAL EFFECTIVE
MATERIAL BENEATH TILE~----' IN. ABOVE TILE__
IN.
TYPE _'~ C~
BUILDING
FOUNDATION
CESSPOOL _
APPROVED
CONSTRUCTION
NEAREST .~ NEAREST
LOT LINE SEWER I_INE ~'oo
OTHER SOURCES
-- DISAPPROVED REMARKS
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK [o0 , SYSTEM
DISTANCES:
I N STALLED BY: _~.~.~..~
SEWER LINE DEPTH: ~L(//
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
G.A,A,B,
Form PW~027
GREATER ANCHORAGE': AREA BOROUGH
DIEPAI:~TMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPUCAIION AND PERMIT
PErmit NO,
NAME OF APPLICANT .
INSTALLATION LOCATION
LEGAL DESCRIPTION ~'~ '~ /q/ / ¢ I
TYPE AND SIZE O1" FACILITY TO BE SERVED. /~ - /~ :~'~-~'~'/~ ....
FINANCED THROUGH
SOIL TEST R ESU LTS ~/~/~/
CO M PLETI ON DATE ANTICIPATE
SEPTIC ~ANK TO SEEPAGE Pit WALL //-.~"
CAST IRON INTO AND OUT Of SEPTIC 'rANK AND INTO (:RIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL
CONFORM TO BOROUGH r~EGULATIONS REGARDING INSTALLATION.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH 5AID CODE. ~
I. Approval requested by:
Mailing Address: ~1~q~rbanks Branch
2. Property Owner: Raymond A. & Jerene Nesbett
637 West 3rd Avenue
4.
5.
6.
Mailing Address:
Legal Description:
Location:
GREATER ANCHORAGE AREA BOROUGH ~
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received _August
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
cony.
~aska National Bank of the North
Phone:
30, 1976
9:30 a.m.
9.-1-76 Wednesday
Pratt
Phone: 272-9477
Lot 17 & 18 Block 3 Sunset Hills West
See map on back
Type of facility to be inspected Single Family
Well Data:
A. Type
C. Construction
Sewage Disposal
Individual
System: On-site system
B. Depth
No. of bedrooms 3
D. Bacterial Analysis
A. Installed 2[973 B. Installer
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
Field: Total
E. Disposal
Distances:
A. Well to:
length of lines
Nearest lot line
B. Foundation to septic tank
Septic tank , Absorption area
, Other contamination
, Absorption area
C. Absorption area to nearest 'lot line
, Sewer Lines
EQ-034 (1/74) Page 1 of two pages
MUNICIPALITY OF ANCHORAGE I~:~. ::. .......
DEPARTI~IEN'I' OF HEALTH AND ENVIRONMENTAL PROTECTION I!N¢!.>:~,<. ~i; ; ~;: i iON
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 . ~
REQUEST FOR APPROVAL OF ~'
INDIVIDUAL SI:WER and WATER FACILITIES/
1. Type of Inspection:
2. Property Owner:
Mailing Address:
3. Name of Buyer:
Mailing Address:_
4. Name of Lending Institution:~
_FHA__ CONV V/
A~l~tnU&Day Phone: ~z ~',~ _ c-/~z 7 ?
/Ata~ kr4 Day Phone:.
Mailing Address: Fni r[on~ ~s _Phone:
5. Name of Realtor or Agent:. F~ b ~n+othi ~_c~ I ~,
Mailing Address: r~O~O ~ D[&~o~ ~o~,Phone:
6. Legal Description: ( ~-k I7 ~.r,~ Lo-I- I ~ ~ [~
Location: ~ II~ We~'l ~b~;u{s ~ Vh
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply: Public Utility___
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System:
If Individual, date of installation
Public Utility__
Individual
!
Individual (on-site)
72-003(3/76)
Page 2 of two pages Re~ t for Approval of Individual S r & Water Facilities
Legal Description Lot 17 ~ 18 B,%ock 3 Sunset Hills West
Comments
Approved _ f Disapproved . ,Date ~
(} ~ '- Approval~Valid for oneyear from date signed
VGreater Anchorage Area Borough, Deoartment 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)
06 1220lo Rev. 1973
AL~o,~A DEPARTMENT OF HEALTH AND SOCIAL SEN,..l~S
DIVISION OF I~UBLIC HEALTtt
INDIVIDUAL AND SEMI-PUBLIC
BACTERIOLOGICAL WATER ANALYSIS
OFFICE
XIDIVIDUAL [] SEMI PUBLIC [] CHIORINERESIDUALPPM
REPORT RESULTS TC
SANITARIAN'S REMARKS
COMPLETE THIS SECTION
ONLY IF WATER IS AN INDIVIDUAl. SUPPLY
SAMPLE COLLECTED BY
We --O Dug
GENERAL~ Does Walor Become Mudc . or Discolored? ET res EJ ,NO
READ INSTRUCTIONS
ON
REVERSE SIDE
BEFORE
COLLECTING SAMPLE
[] No · ' '
/
BACTERIOLOGIC/AL WATER ANALYSIS RECORD
" /'' ." ~_)__._t,meR ...... d 5- 4..~2~!~ No~b~.,~,~___
LaclOSe Broil' 1 Otc 1 Otc I gcc I Otc i Occ 10cc
_lMosl Orobable NO per 100c¢
GRFATER ANCHORAGR AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Re oi,ed
Time of Inepection_~
O.t8 of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FO~
-~ ~ ~ ..~ ~../.-~ x.z. Phone .~~
. -. . '] ,
5. Type of Facility to be
Number of Bedrooms:
Well Data:
C. Construction ... ,,...
Sewage Dts0osal System:
Installed
Septic Tank: 1. Size - 2. Manufacturer
Seepage Pit: 1. o. 2. Material
Disposal Field: Total Length of Lines
8. Distances:
A. We]l To: Septic Tank
, Absorption Area
.., Sewer Lines
· blearest Lot Line
Foundation to Septic Tank
, Other Con'tamination
~> Absorption Area
C. Absorption Area to Nearest Lot Line .,
Request for Approval of ' .vtdua] Sawer & Water
Page Two
9. Comments:
Approval Iai. id for One Year From Date Signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGR2M OF SYSTEM
T certfLfy that the Information contained in this request for approval to be a true
an(]~f,///f/~f/~accurate representatJ/~ of the subie~ sewer and water_facilities located att,
April 13, 1973
firs. Ida Asplund
4005 Spenard Ro~d
Anchorage, Alaska
99503
S~bje, ct: Suns,~t Hills ~i~st S/~, ~ilocE 3, Lets 17 and
Jarvl Drive
Dear Hrs. Asplu~d:
Ti~e syst,~,u,~ for Fh". ~lnd ~,~r.s, John Chap~an eanJ~gt be agproved
becaus~ th~re ts ~'~o evidence of a septic ~ank for the exis'~,in?
sewer sys%cn~. 2, 1,250~gallon septic tank U~ust b~ installed
100 ree~ from U~ existing well to ~m(~ this ~:par~l~,ent's
rcqut re~:~ts.
If y~u haw. ~n.y questi(ms, please
Sincerely,
I~bert C. Prat%
Environmental Control Officer
J$
cc: HL~A
(IHOO:3U ~31~3A'WNV H~IJ.VM 'IVOIDO'IOIH~,LOI/13 (q) 0~I-S0
............ oanFm61S .oN []
~4 I~iV[',,I~ H S,N¥1hlVJ. INV~
~lldl/~VS 9NJ II O~'l'lO0
, ,oR 'qtrI
SMSK'IVi~V TI3J,.V~ 'IIIOI(IO'~ORliLLOV8
HJ.'II/311 Ol'lSIId .JO
$30t,,,'i$ 1VlOOS IIRV HJ.'iV3H :10
(~) 0~1'90
m