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Home My WebLink AboutWENTWORTH BLK 1 LT 7 PERMIT NO. DEPRRTMENT OF HERLTH RND ENVIRONMENT81... F'RO].'ECTION 25d.6 E. TUDOR RD., RNCI'"IORRGE., RK. 99507 276-222:.t. ( 76852]: ) RPPLIC:RNT I_OCR].'ION LEGRL ~DWIN BROWN ERST 40TH RVE L7 B~. WENTWORTH SUB[..' 505 2ND ~UtTE ~± OT SIZE 8:1.00 SQi. JRRE FEET MINIMUM [:,ISTFINCE E:ETI.4EEN R 14ELL RND ±00 FEET FOR A PRIVATE WELl_ 0R 2~-30 FEET WELL. LOGS RRE REQIJIRE[.., RND HUST BE R OF THE WELL COMF'LE].'ION. SPECIFICATIONS FIN[.., CONSTRUCTIE~N DIFtG I NSTRI_LRT I ON. DISF'OSRL. S'?'STEH IS I.,.IELt._ DEF'RRTI"IE},tT WITHIN 2:13 DRVS _RBLE ]"0 II",ISURE PROF'ER F" E F~:~-'I :[ T '-.-" R It_ ][ E:" F Cu F~. I CERTIF'T' THRT ±: I RH F'RMILIRR WITH ]"HE FORTH B~r' THE MUNICIPFIL]XT¥ OF ~'- ' - ~ T .:, FEi] I N FICCt ':"I WILL IN_-',IHLI_ THE RF'F'L I CRNT BROWN SEWERS 8ND WELLS RS SET TH THE CODES. ISSUE[..' October 24, 1977 Edwin 505 2nd Avenue Anchorage, Alaska 99501 Subject~ Permit Expiration Dear ~{r o Brown: A pern%~t ~ssu~d by this department for well and/or on-site sewer installation on Lot 7 Block 1 Wentworth Subdivision has expired since the issue data exceeds on~ (1) year. In the event you still plan to install the well and/or on-site sewer system, a ne%~ permit is required. The original soil %est may be used to obtain a current p~u~%it. If the well has be~n drilled, a well log should be sent to this department to documsnt the installation date. If you have any q~%estions regarding the above matter, please do not hesitate to contac% this off lee in'~e~diately at 26~- 4720. Sinoerely, Les N. Buchholz~ ,~anitarzan · INSPECTION APPOINTMENTS ~~L¢2~ ~ ~ TIME TIME TIME / DATE DATE DATE INSPECTOR INSPECTOR INSPECT/Q~I~INICIPA.LITY~ OF ANCHO~GE EN~I~UNM~N I~L [ i~OTECTION MUNICIPALITY OF ANCHORAGE 825 LStree,-Anc,orage. Alaska9950~ JUL 1 0 I980 ( ENVl PO.MENTAL SANITATION DIVlSIO. Telephone 264-4720 ' REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete ~eques~ will not be processed. Please allow ten (10) days for processing. MAILING ADDRESS ~ ' ' ' PROPERTY RESI~T (If different from above)~ ' PHONE 2, BUYER /~ ~ PHONE MAILING ADDRESS ~: : ~__~ B..E.ALDESC.,PT, N STREET LOCATION 6. TYPEOF RESIDENCE NUMBER OF~BEDROOMS ~ One ~ Four ~ SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six [] Other 7. WATER SUPPLY [~ INDIVIDUAL* * ATTACH WELL LOG. A well Icg is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI UTY depth (attach Icg if available.) 8, SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** .YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) ~-I (~,.~ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] 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 E~ INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or E~]Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER 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 z¢~' BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany/~f~icate) []DISAPPROVED -- /? 72-010 (Rev, 6/79) ~- MUNICIPALITY OF ANCHORAGE DEPARTME~OF HEALTH AND ENvIRONMENL?~PROTECTION ' 825 L Street, Anchoraa~. Alaska 99501 264-4720 Date Received: March 1, 1978 #1: Time ~,.~ p #2: Time Date ~-a~n~LU~, Date Time Date Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska First Mortgage Corporation % Stormy Mailing Address: 207 East Northern Lights Blvd. Phone: 276-0117 2. Property Owner: Edwin N. Brown Mailing Address: 3230 East 40th Avenue Phone: 272-2773 Legal Description: Lot 7 Block 1 Wentworth Subdivision 3230 East 40th Avenue Single Family Residence: (x$ Number of Bedrooms: Three Multiple Family Residence: ( ) Number of Bedrooms: o Well System: Permit # Construction Individual well (x) Community/public System ( ) Depth of Well Well Log on File Bacterial Analysis Sewage Disposal System: Permit 9 Septic Tank Size Absorption Area On-site System ( ) Public Utility Installed Installer Manufacturer Soils Rate Material Distances: Well to Septic Tank to Sewer Line Nearest Lot line to Nearest Lot Line to Absorption Area Absorption Area Page T~o Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 7 Block 1 Wentworth Subdivision Comments: Affadavit Attached Disapproved: Letter Attached: ( ) Date: Department Worksheet: ~'~MUNICIPALITY OF ANCHORAGE~ Department of Health and Environmental Protection 825 L Street, Anchorage, Alaska 99501 '~.~equest for Approval of Individual Sewer and Water: ~acilities· ~k 1. Property Owner: Edwin N. Brown Mailing Address: 3230 E. 40th Ave. Phone: 272-2773 Name of Buyer: none-refinance Mailing Address: Lending Institution: Alaska 1st Mortgage Corp. Mailing Address: 207 E. Northern Lts. Blvd. Phone: Phone: 276-0117 Realtor/Agent: Mailing Address: none Phone: ¸5. Legal Description: Lot 7, Blk 1, Wentworth Subd. Street Location: 3230 E. 40th Ave. Single Family Residence: (X) Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Water Supply: *Individual Well (X) If Individual Well, well depth If Community System, name of system Public/Conmlunity System ( ) Sewage Disposal System: *~n-site System ( ) Public System (X) If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy .test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 '~-'~ DEPARTMEN"~-~F HEALTH AND ENVIRONMENTA~'-~ROTECTION ~-~ ~/~[ Date Received: April 4, 1977 let Inspection: Time ,..'~ :,~ /3/7/ Date c/-7-77 ~ t~ Inspector /~ ~,~ ~ REQUEST FOR APPROVAL OF 2nd Inspection: Time Date Inspector INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: First National Bank of Anchorage Mailing Address: Post Office Box 720 99510 Phone: 276-6300/483 Property Owner: Edwin Brown Mailing Address~ 3230 East 40th Avenue Phone: 274-8368 3. Legal Description: Lot 7 Block 1 Wentworth Subdivision 4. Single Family Residence: Multiple Family Residence: Number of Bedrooms: Number of Bedrooms: Well Data: Type Individual Construction Depth Well Log Filed ( ) Bacterial Analysis Sewage Disposal System: On-site system () Public Utility (x) Permit #~7~Xnstatled ~/~g~ 7~ _Installer ' ' Septic Tank Size Manufacturer Absorption Area Soils Rate Material Distances: Well to Septic Tank to Sewer LJ. nes Nearest Lot Line Absorption Area to Nearest Lot Line Absorption Area 'Pag~ Two ~ Department of Health and Environmental Protection .~.,' " .Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 7 Block 1 Wentworth Subdivision CoRlments: Affadavit Attached: (') Letter Attached: ( ) Disapprove Date: Department Worksheet: MUNICIPALITY OF ANCHORAGE MUNICIPALIT( CF DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DEPT. O~: 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 ~HVIRONMEHT~\L P~;Oi:!CHON REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV 2. Property Owner: Mailing Address: Edwin Brown 3~30 V,~ 4(Wh Day Phone: 274-8368 3. Name of Buyer: Mailing Address: 4. Name of Lending Institution: Mailing Address: none n/a Day Phone: First National Bank of Anchorage P. O. Box 720 Phone: 276-6300 ~ 483 5. Name of Realtor or Agent: none Mailing Address: Legal Description: Location: n/a Phone: Lot 7~ Block 1r Wentworth S/D 3230 East 40th 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: existina duplex No. Bdrms. ? Public Utility. Individual X If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site). 72 OO3(:~/76)