HomeMy WebLinkAboutT12N R2W SEC 30 E2SE4SW4NE4SE4i��
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Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number: _0SP241017 PID Number: 021-022-47
Dwelling: RN Single Family (SF) R with ADU R Duplex (D) R Two Single Family Project: R New 0 Upgrade
Name
CONSTANCE CRUM
ABSORPTION FIELD
El Deep Trench ff Wide Trench [I Bed F-1 Mound
El Other
Site Address
13510 SUNSHINE LOOP, ANCHORAGE, AK
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
907-230-6179
3
1.0 GPD/SFI
4.2' MAX. TOP OF SAND Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
SEE DWG. Ft.
Gravel depth beneath pipe
0.5 Ft.
Subdivision Block Lot
E2, SE4, SW4, Nr=4, SI=4
Fill added above original grade
SEE DWG. Ft.
Gravel length
90 FEET (2 @ 45') Ft.
Township Range Section
T12N 2W 30
Gravel width
5 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION
DISTANCES
TO
From
Septic
Tar
Absorption
Lift Station
Holding
Tank
Sewer
Line
Total absorption area
450 Ft2,
Number of trenches
2
Dist. between trenches
6+ Ft.
Well
100+
100+
-
25'+
TANK H Septic El S.T.E.P. [I Holding [I Other
Manufacturer
INFILTRATOR SYSTEMS
Capacity
1060 Gal.
Surface Water
100+
*100'
-
NA
IManufacturer
Material
PLASTIC
Number of compartments
2
Lot Line
5+
10+
-
Foundation
10+
10+
-
ERZZAKTION
Capacity
Remarks *100'+ PATH. SEE RECORD DRAWING.
Gal.
Alarm location
Elec ailed y
Installer
ARM SEPTIC SERVICES
PIPE MATERIAL House to tank D3034 d Tank to D3034
rainfield
Drainfield D3034 CO/MT D3034
BENCH MARK (Assumed elevation) 100.00 ft
Inspector GEG
1st 3/13/2024 4/24/2024
Inspdates: ection 1 2nd
31d 4/24/2024 411 4/24-26/2024
Location and description
DOOR THRESHOLD FOR BACK DOOR
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
Conditional Approval: Date
Engineers Stamp
..
.. .......
o cl). 9 H
... . ... ....... *J,
'_ J f A. or ss.,
E-7973
P
% ,rofess*o"'\
;CW4
J
Septic System 13
Approved Date
Note: thiLapproval does not include well permit requireme t S.
(Rev 05/02/18)
OSP241017 RECORD DRAWING 02; 02;
SUNSHINE LOOP V
NOTE: PIPE LOCATIONS ARE
SHOWN PER GEG SHOTS
TAKEN WITH LEICA DISTO
S910 LASER DISTANCE
METER. SWING -TIES TO
HOUSE CORNERS WERE
GENERATED IN AUTOCAD.
WATER RUN-OFF LOCATION PER
9/25/2024 FRONTIER SURVEYS -
WELL
3-$EORO G
HOUSE M
UPPER DECK WITH
NO DOWN SUPPORT
BERM INSTALLED TO • r �`
CREATE 100-FOOT
TRAVEL PATH TO ANY
SURFACE WATER. . <
LOCATION OF WATER
SEEPING OUT OF BASE
OF HILL (SWAMPY AREA)
PER THE CONTRACTOR, THE OLD
SEPTIC TANK AND SEEPAGE PIT
WERE DECOMMISSIONED PER UPC
-NEW IM-1060
INFILTRATOR
PLASTIC SEPTIC
TANK
--DOUBLE
CLEANOUTS
(DBL1 & DBL2)
SPUTTER (FS)
SITE. WILL
REQUIRE
AWWTS. SEI
DESIGN
CRITERIA
RESERVE SITE CRITERIA:
NUMBER OF BEDROOMS: 3
GALLONS PER DAY (GPD): 450
PERCOLATION RATES: <1 MINUTESANCH
PROPOSED APP. RATE: -4.0 GPD/SQ.FT.
MINIMUM DRAINFIELD SQ.FT.: 112.5
'USING CAT ii AWWTS
RESERVE DRAINFIELD DESIGN:
MAXIMUM DEPTH: 8-FEET(6-FEET MINIMUM)
WIDTH: 5-FEET
LENGTH: 23 LONG
M.O.A. APPROVED LEVELING SAND: 2.2-FEET
EFFECTIVE: 0.5-FEET
ACTUAL SQ.FT.: 115
GARNESS ENGINEERING GROUP, Ltd
ENGINEERING a SALES a CONSULTING
3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, ALASKA -PHONE (907) 337.8179 - W'EBSITE: www.gamessenglnsering.cam
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
CONSTANCE CRUM 907-230-6179 2 OF 3
PROJECT/LEGAL DESCRIPTION: DRAWN BY:
T12N, R2W, SECTION 30; E2, SE4, SW4, NE4, SE4 J.L.M.
TYPE OF WORK: DATE:
RECORD OF SEPTIC SYSTEM UPGRADE 10/2/2024
OF
P.%
)4s
LICENSE
#AECC884
1018ER:OSP24T RECORD DRAWING 021022-47
TOP OF MANHOLE FINAL GRADE
LID=101.53--, � 100.72-100.73 ST1
TOP OF TANK 0
INLET = 96.77 -
INVERT OF PIPE 0
INLET = 96.15—
PER CONTRACTOR,
2" OF INSULATION
INSTALLED OVER TANK
TRATOR SEPTIC
TOP OF TANK 0
OUTLET = 96.77
IVERT OF PIPE O
OUTLET = 95.98
FINAL GRADE
= 94.70-94.94
RIGINAL GRADE
ORIGINAL GRADE Q
ORIGINAL GRADE 0 HIGHEST POINT
FINAL GRADE
HIGHEST POINT
LOWEST POINT C01 MT1 = 95.85
= 92.34-92.42
= 92.65
ORIGINAL GRADE
= 94.75 CO2
GEG
MT2
LOWEST POINT
= 91—, .60
CO3 M73
C04 MT4
TH#1
Fi
PER CONTRACTOR,
2" OF INSULTATION—
FILTER FABRIC—N
0.5' OF EFFECTIVE
INVERT OF DIST.
LINE = 89.05—�
TOP OF FILTER /
SAND = 88.5; J
EXCAVATION DEPTH/
= RA 75.m 35—
RgSUM�
+�6+ FEET
OLE DAY 412412024
SEi_OW GRPpE
TEST �
GARNESS ENGINEERING GROUP, Ltd
ENGINEERING m SALES * CONSULTING
3701 E. TUDOR ROAD, SURE 101 • ANCHORAGE, ALASKA I PHONE (907) 337A179' WEBSITE: www.gemea•engineering.com
PREPARED FOR:
PHONE NUMBER:
PAGE NUMBER:
CONSTANCE CRUM
907-230-6179
3 OF 3
PROJECT/LEGAL DESCRIPTION:
DRAWN BY:
T12N, R2W, SECTION 30; E2, SE4, SW4, NE4, SE4
J.L.M.
TYPE OF WORK:
DATE:
RECORD OF SEPTIC SYSTEM UPGRADE
10/2/2024
PER CONTRACTOR,
—2" OF INSULTATION
/—FILTER FABRIC
0.5' OF EFFECTIVE
f
N'—INVERT OF DIST.
LINE = 92.20
TOP OF FILTER
SAND = 91.70
\
`EXCAVATION DEPTH
= 89,40-89.50
.7
LICENSE '1l1lIlkii�+ EC*X•j**��'� �
#AECC884
LOT 1
WHITE KNUCKLE HEIGHTS
(94-161)
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
OH
U
O
H
U
O
H
U
O
H
U
O
H
U
O
H
U
O
H
U
O
H
U
O
H
U
SUNSHIN
E
L
O
O
P
GL
E
N
A
L
P
S
E
S
T
A
T
E
S
A
D
D
N
.
N
O
.
1
(7
4
-
2
3
1
)
LOT 3
LOT 2
PARCEL 13
SEC. 30 T12N, R2W, S.M.
BA
C
H
R
O
A
D
W
DESIGNED B< REBeO
N89° 58' 00"W 165.00
S0
0
°
0
8
'
0
0
"
E
3
3
0
.
0
0
S89° 58' 00"E 165.00
N0
0
°
0
8
'
0
0
"
W
3
3
0
.
0
0
30.0'
30.0'
G
E
14
.
4
35.2
82.6
36
.
3
40.3
21
.
5
8.0
10
.
6
28.3
4.
2
100 ' WEL L RAD I U S
GRAVEL
D/W
E1
2,SE1
4,SW 1
4,NE1
4,SE1
4
SEC. 30, T12N, R2W, S.M.
54,450 Sq. Ft. +/-
13510 Sunshine Loop
2 Story Wood Frame House
With Attached 1 Car Garage
4.0
EDGE
GRAVEL
E1
2,NE1
4,SW 1
4,NE1
4,SE1
4
SEC. 30 T12N, R2W, S.M.
;;
;
;
SSS
SS
SS
S
SS
SS
S
SC
DIRT BERM
WATER RUN-OFF
PROFESSIONAL SEAL
Date:Frontier Surveys, LLC Project No:
650 W. 58th Ave. Suite E Anchorage, Alaska 99518
As-Built Survey of:
www.frontiersurveys.com
Frontier Surveys, LLC
I, Rachel Shoemake, hereby certify that this Mortgage Inspection Survey was performed by me, or
under my direct supervision on
Plat:Grid:Ordered By:
907.460.1686 - info@frontiersurveys.com
This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and
conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any
inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the
existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances
should this document be used for construction or for establishing a boundary or fence line.
September 20th, 2023.
Legend:
Scale 1" = 50'
Gas Meter
Electric Meter/Outside Power
Deck
Septic
Telephone Pole
Fence
Overhead Utility
E1/2, SE1/4, SW1/4, NE1/4, SE1/4 Sec. 30, T12N, R2W, S.M.
General Notes:
1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws.
2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey.
3. All measurements/setbacks are to the visual/apparent building footprint.
4. All dimensions to property lines are plus/minus 0.1ft.
ARM Septic Services
24-183 09/23/2024
N/A SW2943
Water Well
ConcreteG
E
S [WDESIGNED B< REBeOSatellite Dish
R
E
GISTEREDPROFESSIO N A L L A N D S URVEYORRachel N. Shoemake
No. L.S. - 14646
Sep 25, 2024
SC Septic Cover
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241017
Work Type: Septic Upgrade
Tax Code Number: 02102247000
Site Legal Address: T12N R2W SEC 30 E2SE4SW4NE4SE4 G:2943
Site Mailing Address: 13510 SUNSHINE LOOP, Anchorage
Owner: CRUM CONSTANCE E
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date
Expiration Date:
ent S
%0
n�
V r.�� , 1
i
Department
Lot Size in Sq Ft:
Total Bedrooms:
2/20/2024
2/19/2025
54450
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall 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 (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: S S G) C-C-) Date:
Issued By: Date: Z 2`O /270Z y
3
tea
NUNI
IPALITY OF ANCHORAGE
tx".'i_?.$=
"'�.-
Development Services Department Phone: 907-343-7904
On -Site- Water & Wastewater Section Fax: 90 7-343-7997
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 021-022-47
Property owner(s) CONSTANCE CRUM Day phone 907-230-6179
Mailing address 8471 BROOKRIDGE DRIVE, ANCHORAGE, AK 99504
Site address 13510 SUNSHINE LOOP, ANCHORAGE, AK 99516
Legal description (Sub'd., Block & Lot) E2, SE4, SW4, NE4, SE4
Legal description (Township, Range & Section) T12N, R2W, SECTION 30
Lot Size Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑ Single Family (SF) ❑
Septic Tank
❑
Upgrade ❑ (w/wo ADU)
Duplex (D) ❑
Holding Tank
❑
Renewal ❑
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I l:CI M that the abode in or nation is corr ect. I fU—her cef llfy LI Iat ll lis is It l aCCUrdance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 5 5 �- Waiver Fees:
Date of Payment: 2 Date of Payment:
Receipt Number:
Permit No. O S P Z-V / G(
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and WastewaterWorms\Client Forms\Permit Application.doc
� Zl►d 12�
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241017, Curtis Townsend, 02/20/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241017, Curtis Townsend, 02/20/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241017, Curtis Townsend, 02/20/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241017, Curtis Townsend, 02/20/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241017, Curtis Townsend, 02/20/24
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oGRE'
'ER ANCHORAGE AREA BO- UGH
Department of Environmental QuaJity
3330 C Street
Anchorage, AJaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
MAILING ADDRESS ~C/'--~.
LEGAL DESCRIPTION
SEPTIC TANK:
FROM WELL /4/'/,'2'~,_ MANUFACTURER
INSIDE LENGTH
..~- ~;~/-~-_ NUMBER OF
-~ ~ MATERIAL ~-~ COMPARTMENTS ~
INSIDE WIDTH LIQUID DEPTH .... LIQUID CAPACITY /~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER_-- OR WIDTH
LINING MATERIAL/~¢~:~ CRIB SIZE: DIAMETER ¢~DEPTH ~¢ _ DISTANCE FROM: WELL~ //~,
~/¢//~' ' ,~/~TO T A L EFFECTIVE
BUILDING FOUNDATION ~ NEAREST LOT LINE~ ~ ABSORPTION AREA (WALt_ AREA) ~- SQ. FT.
WELL:
TYPE CONSTRUCTION _ DEPTH
BUILDING NEAREST NEAREST SEPTIC
FOUNDATION -- LOT LINE SEWER LINE TANK
CESSPOOL OTHER SOURCES
APPROVED _-- DISAPPROVED REMARKS
?~'~ DISTANCE FROM:
SEEPAGE
SYSTEM
INSTALLED
PIPE ~ATERIAL:
LOT SLOPE:
REMARKS:
Form NO. EQ-031
DIAGRAM OF SYSTEM
DATE ~°~;/5/ APPROVED
GREATER ANCHORAGE; AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
~ ~30 ' ICI I STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMfT NO.
INSTALLATION LOCATION '~'///'~/~'"
INSTALLATION OF: SEPTIC TANK ~- SEEPAGE PIT DRAIN FIELD . OTHER
TYPE ~ND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH TO BE INSTALLED BY
SOil test reSULTS ~ ~ /~
COMpLETiON DATe A~TIClPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
:SEPTIC TANK . SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPtiC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD.
SEEPAGE PIT J ~*~ /
/~
CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETer CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
DESCRIBED SYSTEM '$ IN ACCORDANCE WITH SA'D O ODE' ~/f~
DATE APPLICANT'S SIGNATURE
R&M
Civil Engineers
JAMES W. ROONEY, P. E.
MALCOLM A. MENZIES, P.E., L,S.
JAMES H. WELLMAN, P.E.
ENGINEERING & GEOLOGICAL CONSULTANTS
229 EAST 51st. AVE. - P.O. BOX 6087 - ANCHORAGE, ALASKA 99503 TELEPHONE 907-279 0483 TELEX 090 -35419
Geologists Land Surveyors
May 7, 1974
R & M No. 462018
Mr. E. J. Schuster
SRA Box 393R
Anchorage, Alaska 99509
Re: Test Hole and Soil Log Report for Sanitary System, Lot 47,
Section 30 E 1/2, SE 1/4, SW 1/4, NE 1/4, SE 1/4, S 1/2,
T12N, R2W, S.M.
Dear Mr. Schuster:
We are submitting herewith the test boring results and our comments
regarding soil conditions encountered at the subject site. This
investigation was performed in accordance with your request of May 6,
1974, and those procedures outlined in a letter dated September 1.3,
1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough
Department of Environmental Quality.
A single test hole was put down within the Lot 47 area for the purpose
of defining general subsurface soil conditions for the proposed sani-
tary system. Excavation was accomplished with an auger type drilling
rig and the test hole was extended to a total depth of 13.0 feet below
ground surface. The final log prepared for the test hole has been
included in Drawing A-01.
Ground water was not encountered in the test hole.
We appreciate being given this opportunity to be of service to you.
Should you have any questions with regard to the above, please do not
hesitate to contact us.
Very truly yours,
R & M ENGINEERING & GEOLOGICAL CONSULTANTS, INC.
James W Rooney
JWR:ph
ANCHORAGE FAIRBANKS JUNEAU
'r.ti. 1
5-6-74
ORGANICS
SILT, Trace Sand
0.07
0.5'
1.0'
]ravelly, Sand
to Some Silt (SP)
NOTE:
drock Decomposed (SW)
~drock Refusal
No Water Table
Test hole extended with auger type drilling unit.
10.0'
12.0'
13.0' T.D.
Material
encountered from 10.0 feet to 12.0 feet is highly decomposed
rock which would readily absorb water.
Engineering & Geological Consultants Inc.
ANCHORAGE FAIRBANKS ALASKA JUNEAU
5--7--74 ISCALE 1"=5' IDWN mY JRS ' lc;Ko
E. J. SCHUSTER PROPERTY
LOG OF TEST BORING
Anchorage Alaska
WED Ip~O~.NO. 462018.J~wo,NO' A-01
OEPAr',TMEN~
825
~UNICIPALITY OF ANCHORAGE
OF FIEALTH AND ENVIRONMENTAl. PROTECTION
L Stroet, Anchorage, Alaska 99501
279-2511, ext. 224 or 225
~3: '.l? J..me
Date
Insp ....................
FOR APPROVAl, OF iNI)iV]iDUAL SEWER AND WA[ER FACILi'PI]-~:S
ln~t].t,u~,.].on Request~ Alaska National Bank of the North
LendiDg ..... ' .... '
Mailing Address: 3301 C Street, Calais II Phone: 278-4581
~ !?roperty O~4ner: Alan C. Trawver Phone: 344-6766
Mailing Address: ................................................................ r .............................
~-.~}/ ' · ' ~_~_..LC_!_~_!i~E~ c;w~ NE~ SE~ ~' d~(- t
4: S_[ngle FamJ. ly Residence: (X Number ef Bedrooms: ..... T~9 .............
Mul.tip].e Family Reo~dcnc._ ( ) Number of Bedrooms:
Well System: 'Individual. Weil.]. ~ Commun].hy/Pub!ie System~ ( )
Pezmit t~ Del.>th of Well ................. We].l Log on FJ.].e
( )
Bacterial
Analysis
. Sy.,tem ( ~x Puk].ic Utility
Sewage DJ. sposa] System: On-site '
l~ermit ,~ ........................ ins tal.]_ed ~ ........ Installer
· ' ~lZe .....................................................................
SepLic Tank ~' · ~O~O Manufacturer
7. Dis'aances: Well to Septic Tank ........................ to Absorption Area ..................
to Sewer Line Nearest Lot line
to Nearest Lot Line
Absorption Area
MUNICIPA!,.ITY OF ANCHORAGE i' ~. ~, i, ' ,,
DEPARTMENT OF HEALTH AND ENVIRONMENTAl. PROTECTION
825 I, Street, Anchorage, Alaska 99501
279-25]], ext. 224, 225 '~..~i ~ {[ ~.~
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES :,
1. Type of Inspection:
VA FHA__ CONY_ XXX
2. Property Owner: .... Al_an C. Trawver
Mailing Address: ............. t ........
__._ Day Phone:
344-6766
3. Name of Buyer: Michael J, Crum
Mailing Address:._S__RA Bg~ 1444-V Anchorage, Ak
99502
Name of Lending Institution: Alaska National Bank
Mailing Add'ess:.~_°u~c_h ~7-010 Anchorage, Ak 99510
Day Phone:_ 27_ 8-45__81~_X_~.1~7 .....
Phone: 278-4581
5. Name of Realtor or Agent:
Mailing Address: ................... Phone:
Legal Description:_~asr 1/2 of the SE 1/4 of SW 1/4 of NE 1/4 of SE 1/4 of Sec. 30
/ T12N R2W S.M. Anchorage Recording District:, 3rd Judicial District, State of Alaska
Location __ N~HN Main Street Glen Al~.s~__
7. Type of Facility to be Inspected: Sin~.le FAMILY DWELLING
8. Water Supply
]-ype of SuDI)Iy: Public Utility__.
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System ._.
Type of System: Public Utility_
If Individual, date of installation_ 1974
No. Bdrms, 2
__Individual_ XXX
_____Individual (on-site) XXX
72 003(3/76)
Two
Department of IIealth anc~ Env[ronmenLal Prctection
Reques'~: for Approva.I of Individual. Sewer and Water [Daciliti.es
ComD~el'~t S:
Affadavit Attached: =~ I,eti;er Attached: ( )
Disapproved: Date:
Department Worksheet:
1. Approval
~. illl
/~.. ~-~ '~ -~ / · .~ .'.,
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received /'o~:_-.
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR i i~/
requested by: .~ ~ ~ ~"
Mailing Address: ~/T~ .~m~.?2<? ~/~, Phone: .~
Property Owner: ///~,~2~/x~ 2T x:] ~.~g~/~-<.r/~-~, Phone:
Mailing Address: ~>~ ,~2~ ~< ' ' -' ~'~]~
Legal Description: ~A'~.~/ ~, ,~ ~,.. ,~?. ~. ~ - ~ -~ ~.-f..~
Type of facility to be 'inspected ¢¢/%~4= -¢=-~-~-~ ....
¢ ~-/¢¢¢~-/ No, of bedrooms
6. Well Data:
A Type /~c~-~¢ ~
C. Construction zg~-xC'~-~,.',.~.~z~
Sewage Disposal System:
B. Depth ~,;¢
D. Bacterial Analysis
A. Installed/f'¢;~ .¢¢. .// ?- ~-~ B. Installer ' '-,
C. Septic Tank: 1. Size ~.~,_~?;¥~) 2. Manufacturer
D. Seepage Pit: 1. Absorption Area ~/¢ Z4;~¢:y 2. Material
E. Disposal Field: Total length of lines .
8. Distances:
A. Well to: Septic tank ~__?¢.' <~ Absorption area __/~)z:, , Sewer Lines
Nearest lot line .~¢-~ ~ , Other contamination /<//SJ~~ ~c?~.'¢--~,×~×
B Foundation to septic tank ~' /
· ~ , Absorption area ? ~ "x-
C. Absorption area to nearest lot line "~---' . ~
EQ-034 (1/74) Page 1 of two pages
3330
GREATER ANCHORAGE AR.,, BOROUGH
Department of' Environmental Quality
"C" St.~ Anchorage, Alaska 99503 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER. & WATER FACILITIES
1. Type of Inspection: CMR~ VA
2. Property Owner: Edmund J.E. Schuster~ $
Mailing Address: S~____Bo___x_ 393 R,_Ak 99507
3. Name of Buyer: n.a.
FHA CONV X
D%~ Phone 344-0967
Mailing Address:
4. Name of Lending Institution: N. IB].
Mailing Address: SRA Box 393 R
5. Name of Realtor or Agent: n.a.
_D. ay Phone
of Ak, Mort~9~_~ & Loan
Phone 279-250B
Mailing Address:
Phone
Legal Description: E~/_~ SE_~_~Z~4 SW 1/4 NE 1/4 SE 1/4
S 30 T 12N R 2W ~
Location: City of Glen Al~s, via Upper Huffman Rd.
le G
7. T~lpe of Facility to be inspected: single family No. Bdrms. 2
8. Water Supply
Type of Supply: Public Utility Individual x
If Individual, number of dwellings presently served 1
If ~ndividual, depth o'F well 75'
9. Sewage Disposal-System
Type of S~stem: Public Utility Individual (on-site
If Individual, date of installation May, 1974
Page 2 of two pages - Re st for Approval of Individual ~r & Water Facilities
Comments
Approved
<~-///'~:' ~ ~/ ; Disapproved Date /?~-":'~'~
Approval 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 wa{er facilities and these facilities
are operating satisfactorily.
EQ-034 (1/74)
