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: