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HomeMy WebLinkAboutWENTWORTH BLK 3 LT 5LoT INSPECTION A ~POI NTM ENTS DATE DATE DATE MUNICIPALITY OF ANCHORAGE ~UNICIPALt~ OF AN~O~GE DEPT, OF HEALTH &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~viRONMENT~ PROTE~JO~ ENVIRONMENTAL SANITATION DIVISION FEB 2 0 1981 Telephone 264-4720 PROPERTY RESIDENT (If different from above) ~ ~ PHONE PHONE MAILING ADDRESS 3, LENDING INSTITUTION PHONE MAILING ADDRESS MAILING ADDRESS 5, LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [~] One [] Four [] Other__ I~'~ G L E FAMILY [~o [] Five [] MULTIPLE FAMILY [] Three [] Six 7, WATER SUP ~DUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth {attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON'SITE** ~-~B EIC UTI LITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-o 0 (.er. 6 79) - 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 UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL S'~STEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL AESORPTIQN AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holdin§ Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS [] APPROVED FOR BEDROOMS I~- CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY .~ 72-010 (Rev, 6/79) .q MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION Environmental Sanitation Division 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ~ CERTIFICATE OF INSPECTION SEWER AND WATER FACILITIES 1. PROPERTY OWNER Clayton No Mortiboy MAILING ADDRESS 3250 East 42 Avenue 99504 2. LEGAL DESCRIPTION LO~'5 Block 3 Wentworth Subdivision TYPE DWELLING ~: SINGLE FAMILY RESIDENCE [~ OTHER (Describe) MULTIPLE FAMILY RESIDENCE 4. WATER SUPPLY [~ INDIVIDUAL COMMUNITY/PUBLIC 5. SEWAGE DISPOSAL INDIVIDUAL/ON-SITE PUBLIC UTILITY HOLDING TANK (Maintenance Required) APPROVED FOR BEDROOMS This will need to be reinspected by this of~fice. CONDITIONAL APPROVAL (See Attached) Conditional approval DISAPPROVED are escrowed to have the we~l casing extended twelve(12) inches abo~e ground level. DATE I BY (TITLE) April 7, 1981 72-014 (3/78) Oanu~ry 31. ~9~4 Russell ~. and Anna Sanders 3250 East 42nd Avenue Anchorage, Alaska 99504 Re: Case ~1489 Wentworth Subdivision Dear Mr. and Mrs. Sanders: This department requeste that the subject tot be connected to public sewer by September l, 1974. According to Greater Anchorage Area ~orouqh Code oF Ordinances, Chapter 9, Article VI, Section 9-70, ~aragraoh A: Septic tank-seepage system sewage disposal facilitges shall not be stalled or used on any premises where sanitary sewers are available within 70 feet of the nearest lot line of said pr~mtses provided that this section shall not apply to premises having a sewaee flow equiva- lent of a two-family;dwelling unit'or less, where said unit is more than 100 feet from said lot line. All sewage dtSposat systems not meeting the reauirements of this section shall eomolv within one year. Failure to correct the subject lot by the specified date will con'stttute a misdemeanor according to the above ordin~c~ .n_~d court proceedings shall be started against you, ~_ ~ If you have any questions re~q~dtng this matter,~ ~lease con.ct me at Tim Rumfe~t, R.~., k ~ v ~ O ~ Sanitarian TR/ko Certified No. 740102 IECEIPT FOR MAIL--30¢ (plus postage) AND NO. STATE AND ZIP CODE ~" OPTIONAL SERVICES FOR ADDITIONAL FEES ~ RETURN k. 1. Shews to whom and date delivered ........... 15¢ With delivery to addressee only ............ 65¢ RECEIPT 2. Showsto whom, date and where delivered.. 35 SERVICES With delivery to addressee only ............ 85 DELIVER TO ADDRESSEE ONLY ...................................................... 50¢ SPECIAL DELIVERY (extro fee required) .................................... POSTMARK OR CATE PS Form Ap~. l~?l 3800 NO INSURANCE COVERAGE PROVIDED-- NOT FOR INTERNATIONAL MAIL NUISANCE COMPLAINT FORM Complainant's Name: Street Address: Phone No. Description Box No. of Complaint: ~ V~ Name of Person Against Whom Complaint is Made: Owner of Property Where Nuisance Exists: Owner's Address: Phone No, Location of Complaint: Street Address: Person Receiving Complaint: Date: 8 I certify that such statement 'of -facts is true to the best of my be- lief and knowledge. I request that the foregoing matter be investi- gated and that appropriate action thereafter be taken. I am willing to testify to the facts stated in tile foregoing complaint in court if necessary. Complainant REPORT OF ACTION TAKEN Investigator: Date Investigated: Action Taken: / DATE COMPLAINANT WAS CALLED REGARDING DISPOSITION OF COMPLAINT: