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Home My WebLink AboutGREEN FOREST BLK 1 LT 25.b. Z oli o// Municipality of Anchorage DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION POUCH 6-650 ANCHORAGE, ALASKA 99501 INSPECTION REPORT ON ONsI'rE SEWAGE DISPOSAL SYSTEM AND/OR WELL NAME I~I:~'x~E"~-F~ ~,,~G.~I~,L~ LOCATION ~'~L.~)~,~. ?.-~)~.~,P..E ~t~E '~ ADDRESS ~ ~ A ~ & 9flL~ PERMIT NUMBER LEGAL DESCRIPTION PHONE(S) ~~[~ %-% ~ ~ ~ ~O~%T ~ ~OF BEDROOM8 SEPTIC TANK MANUFACTURER MATERIAL CAPACITY IN GALS. #OF COMPARTMENTS INSIDE DIMENSIONI LENGTH /WtDTH DEPTH SEEPAGE SYSTEM "~ TILE DRAtNFIELD NUMBER OF LINES LENGTH EACH TOTAL LENGT DISTANCE BETWEEN LINES TRENCH WIDTH DEPT,S: ¥, fO ':)," TILE T0 GRADE FILL BELOW TILE FILL ABOVE TILE ~('SEEPAGETRENCH OR [] PiT ~VIDTH LENGTH DEPTH [] LOG CRIB '-'""--- [] RINGS- DIA, FILL MATERIAL DEPTH TOTAL EFFECTIVE~BSORPTION AREA: [~H~ SQ. FT WELL CLASSIFICATION DEPTH PIPE MATERIAL INSTALLER DISTANCES SEPTIC SEEPAGE SEWER TANK SYSTEM LINE CESSPOOL WELL WELL / O0 ~ I ~0 ~- ~ ~ ~.,,~'..~ LOT I LINE '~ 0 SYSTEM DIAGRAM Ol~ ,TER ANCHORAGE AREA BOROI H HEALTH DEPARTMENT N°, 350 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-25]! INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING -:'"':~ I · ~ ?' ~ - ·-;' · NAME ,~'~' '/~-' ?J SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY /~x2 ~])(L/ GALLONS. NUMBER OF MATERIAL 6'%3 ' ~'~'(/c",'/~<~'---~¢'~',~a~ COMPARTMENTS /~ ~ ~--.~'~ /-/~-~ ../.~.~-~'.~__~./~_-~2-6-~. LIQUID INSIDE LENGTH ~-~'~- INSIDE WIDTH ~-- DEPTH SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER OR WIDTH_ ~'~'-~ / , LENGTH , DEPTH _ DISTANCE FROM WELL /::/9/ ~'~, . BUiLDiNG FOUNDATION_ iOrAL EFFECTIVE ABSORPTION AREA (WALL AREA} TILE DRAIN FIELD: DISTANCE FROM WELL .~.~NDATION_ NUMBER OF LINES ~"~DISTANCE BETWEEN LINES ABSORPTION ~ SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE ~,~[.~ST LOT LINE .T~H WIDTH DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH , OF LINES .,LN.~- EFF ECTIVE~ IN. ABOVE TILE TYPE WATER SAMPLE , NEAREST OTHER ~- , SOURCES~-~ WELL: ,~/c'. ,. :>~.,~ ~- DISTANCE FROM 4'~-./zz.r.~--~ . DEPTH , BUILDING FOUNDATION NEAREST ~/ SEPTIC ~_~ SEEPAGE ~ .~ LOT LINE ~'~'~, SEWER LINE , TANK r"-~ , SYSTEM , CESSPOOL .~: ~;..f ~2 .~.~,.~.~ DIAG RAM OF SYSTEM DISIANCES: APPROVED ~ HEALTH AUTHORI1Y DATE G^^B-.D-2 GREATEF I, NCHORAGE AREA ~ ')ROUGH · : ~ HEALTH DEPARTMENT L,I I~ I},l]y 327 Eagle St. Anchorage, Alaska 99501 279-2511 :~?' ~'~'/~h'. z ~w~~ ~'S~°~ s~.~ _ X~,¢~;,o. · Case No. / RESIDENCE ADDRESS /('~L~:'~-~"-~_ LI~POF INSTALL~N/ /:'~"/~'-'-'~ ~__~ LEGAL DESCRIPT'O~/ Z~:~]~ ~Z~¢> APPLICATION TO INSTALL: SEPTIC TANK~__, SEEPAGE PIT ~ ,DRAIN FIELD ,OTHER TO SERVE THE FOLLOWING FAC~UTY ~'~ ~'¢*~4 ~5~/;~,~ FINANCED THROUGH ~C '~ / TO ~ INSTALLED ~Y/~' ~c~_, ~, BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS PERMIT 'FO INSTALL ~ AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED · SEPTIC TANK SIZE DISTANCES: ' ~ II- / HEALTN AUTHORITY OR LICENSED DESIGNer ,tYPE __ SEEPAGE AREA TYPE DIAGRAM OF SYSTEM 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 said code. DATE APPLICANTS O^aB-.D-a 0ROUGH Case GREATEI~ 327 Eagle St. ANCHORAGE AREA HEALTH DEPARTMENT Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT APPLICANqL')~? NAME OF _ ~q~ RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH ~ ~__t"'~_ PERCOLATION TEST RESULTS LOCAT,GN DF ,NSTALLAT,ON / , TO BE INSTALLED BY -~ ~/~- ANTICIPATED DATE OF COMPLETION_ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT AS DESCRIBED BELOW. SIZE OF.UNIT TO BE SERVED ~ ;~k~"/":~" ¢ 4'//~'~ 0~6'/2 ~'-~ ~'¢~' , ~ TYPE · SEPTIC TANK SIZE ~"?._~Zx) TYPE ~, - C~,~-~_DiA~RAM.SEEPAGE AREA DISTANCES: H LTH AUTHORITy I certify that I am familiar with the requirements of Greater Anchorage Area Borouah Ordina~c¢~ 28-68 and thqt~h97 above described system is in accordance with said code. ~.~ ~ ~x. //~' j~ ~.,' ~ APPLIC UT FILLS OUT UPPER HAL ONLY Property C'wner r.17ho~ts/]Qo]oo:rah GJ. lbert Phone Star I{oute A ~ox ].514 A Anchorage ,. Mailing Address Zip Code 9 () 5 0 7 Buyer Address Zip Code Lending Institution Phone Address Zip Code Realty Co. & Agent Jeannine Erhar%t % Remas Real. fy, Inc. Phone Address 1000 East Dimomd Boulevard Zip Code !39502 Legal Description LOt 2 Block 1 Green Forest Subdivision Street I.ocation Type of Residence ~ Single Family [] Multiple Family No. of Bedrooms thr~e [] Other Water Supply ~ Individual ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. [] Community For wells drilled prior to that date, give well depth (attach Icg if available). BI Public Utility Sewer Disposal ~ Individual Year Individual Installed: [] Public Utility When Connecled to Public Utility: [] Rolding Tank NOTE: THE iNSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 'rime Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ( -~) APPROVED BEDROOMS ) DISAPPROVED ) CtN DI.T'O N,~.L A PP ROVA L ' *CONDITIONS OF APPROVAL Soils Rating Dale Sewer Installed 72-023 Weli To Absorption Area Well to Tank IWell Log Received Septic Tank Size APPLIC iT FILLS OUT UPPER HAL ONLY Proparty Owner Thom~ ~ Deborah GZ~bcJt,t Phone MailingAddress,~_~ S~ BOX 1514 A, Anchorage, A~ka z~p co~e 99507 545-~151 Buy~r- ' Address Zip Code Lending Institution Phone Address Zip Code Phone Realty Co. &Agent R~ R~ ~. ATT~= J~an~n~ Erh~ 5~2-1030 Address ~000 E. ~o~d ~E. Zip Code '~50~ Legal Description ~. 2, Bk 7, Green For~t Sub. U~ ¢~ str~.t Lo~aU~ ~2420 ~V~ Sp/mC~ Type of Residence - ~Single Family ~ Multiple Family No. of Bedroo~ ~ ~ Olher Water Supply lndividual A~ACH WELL LOG. A well Icg is required for all wells drilled since June 1975. Community , For wells drilled prio~ ~that date, give well depth (attach I~i~available). ~ Public Utility/ ~ . Sewer Disposal ~ ~na~d~.~ Year ~ndi~id~.~ ~nsta,~U: II-IOf ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN ~ INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector I n s p~c t'6~x Field Notes:/' ~.~ /t//' M[INICIPALITY OF ANCHORAGE fl~--~ / /' ~NVIRONMZNrAL PROTECTION ( ) CONDITIONAL APPROVAL* Soils Rating Date ~wer Installed 72-023 (3/82) ALASKA [ iidlROFlm[ FITAL COFITROL $SRulCE$, IRC. ~ngineerin§ $ EnuiPonmental ~lu(Jics FEB 14 1984 MUNIC/PALH~ OF ANCHORA~ DEPI. OF HEALTH & ENVIRONMENTAL PRO'FECTiON~ RECEIVED COLONIAL MORTGAGE 12420 SILVERSPRUCE ANCHORAGE AK 99507 SELLER - THOMAS GILBERT BUYER - LANA SOULIO SUBDIVISION - GREEN FOREST BLOCK - 1 LOT - 2 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 64~ SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER ~E~ DAY. THE SURGE CAPACITY OF THE SYSTEM IS 548 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON FEB 14 1984 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF~i000 %S ADEQUATE FOR THIS 3 BEDROOM HOUSE. 1200 LUest 33r(J Aucnue. Suil~ ~ o Anchorag¢. Alaska 99503 ,{907) 561-5040 ?~ow.~mber 1, 1.)o3 ._hom~., & I)eborah SI',A ]','ox 15].4 A Anchorage, AK 99507 Subject'. Lot 2 Block I Green Forest Sub° Unit Approval foF. the individual ,:,o,~_r and %~ater facilities cannot be granted until the ~:ol..owlng items have been com}~].eted: A we].1 log submitted to this office for our files and rev i e~,'l, 'Phe septic tank pu~npod %1_t:h a receipt submitted to this department o An adequacy test needs 'to be performed on the existing lo. aching area. '.Phis test %-;i].1 determine if the system adequate according to llational Standards. A listing of, priw,~te firms performing tile test is enclosed. 'fhis report needs to be submitted to this office for our reviou. .Please notify this depar'tn]ent for a reinspo, ction when the noted discrcpancie;~ have been corrected° If there are anv further questions~ Dlo, ase call this office at 264--4720. ~iincorely, JRO6/p/EIt Romas l/ealty Inc. Attn: Jeannine Erhart 1000 1']~ Dimond Blvd. Anchorage, AK 99502 Jim Roberts Associate Environment~.l ~} oC . p., ,ialist INVOICE ~.~o 2 3 2 0 M-W DRILLING INC. PATE P.O. BOX 10-378 UNIT ANCHORAGE, ALASKA 99511 QtY. MATERIALS PRICe AMOUNT PHONE 349-85:35 NAME ADDRESS LEGAL DESCRIPTION LegaLfOWNerS ' BANE or lENDING INSTITUTIONS CURRENTLY HOLDING DEED OF TRUST HOME PHONE WOrk PHONE TOTAL MATERIAL5 WELL NUMBER DIAMETER DEPTH STATC LEVEL GP? DRAWDOW~ PUMP MAEE HP SETTING VOLTS PHASE AMP RATE SERIAl NUMBER MODEL SCREEN LENGTH SLOT SIZE LiNER/SCREen DESCRIPTION OF WORK DATES WORKMAN,:DA~DAT IN OUT LABOR I HOURS I RATE All charges sha// be paid in fu// w/thin ten /~//~ ~, / ~g /~ ~ ~ ~// ~)~I r~2I ~2) days un/ess other arrangef?ents are made prior to drilling, The customer shall pay in- MATERIALS (FROM ABOVE} retest at the rate of l ~ % per month on any OTHER CHARGES amount not paid within ten days. Failure to pay may result in a fien against the property'. CUSTOMER SIGNATURE ~o~ PAY THIS AMOUNT ~ DAT~ RECEIVED INSPECTION APPOINTMENTS DATE DATE DATE / / INSPECTOR INSPECT~ INSPECTO~ %/ ~ MUNICIPALITY OF ANCHORAGE ~NVIgONMENTAL PROTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street- Anchorage, Alaska 99E01 j U N 6 ~980 ~'~) ENVIRONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTION~: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten {10) days for processing. 1. PROPERTY OWNER PHONE MAI LING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS ~ LENDIN~INSTITUTION t " PHONE ~AILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS -- t 5, LEGAL DESCRIPTION STREET LOCATION 6, TYPE OF RESIDENCE NUMBER OE~BEDROOMS [] One [] Four [] Other ~ [] Two [] Five SINGLE FAMILY [] MULTIPLE FAMILY ~ Three [] Six 7. WATER SUPPLY '~ INDIVIDUAL* [] 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 (attacl~ log if available.) 8. SEWAGE DISPOSAL SYSTEM [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSI~_~ CAN BE INITIATED. 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 [] I NDIVl DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY /Q ~ Connection Verified INSTALLER Size: /___~ I~00 If Tank is homemade SOILS RATING give dimensions: ~'~ TYPE OF TANK MANUFACTURER (_.~;) ~t-.-t .Z.~:¢- 4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line ,5, COMMENTS ROVED FOR ~-- BEDROOMS [] CONDITIONAL APPROVAL (letter must ac~Y'(~P~ny certificate) 825 "L" S1 R F_a-r ANCHORAGE, ALASKA 99[:}01 (907) 264 4111 GfiQNGE M. SULLIVAN, N4AYOR AND Fr',~VINONMt{NT¢,L PROFECJION June 13, 1980 Rodney R./Janet L. Sisson Star Route A Bo:{ 1510-R Anchorage, Alaska 99507 Subject: Lot 2 Block 1 Green Forest Subdivision In addition to the items to be completed before this department can issue an approval, the following item will need to be completed: The well seal needs to be tightened so that it is airtight and reinspected by this department. If there are any further questions, p]_ease call this office at 264--4720. Sincerely, Robert C. Pratt, R.S. Associate Specialish RCP/ljw 825 "L" STREET l',~,'Sfl ANCHORAGE, /kt_ASKA99501 (907) 264 4! 1 '1 GEOII(~F M. SULLIVAN. June 9, 1980 Rodney R./Janet L. Sisson Star Route A Box 1510-R Anchorage, Alaska 99507 Subject: Lot 2 Block 1 Green Forest Subdivision Approval for your individual sewer and water facilities can not be granted until the following items have been completed: (i) The water ana].ysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. (2) Expose the well for our inspection to determine proper construction, also to insure the minimum distance requirements are met between your well and sewer system. (3) The septic tank pumped with a receipt submitted to this department. (4) An adequacy test be performed on the existing leaching area. This test wi].], determine if the system is adequate according to Na-tional Standards. A listing of private firms performing the 'test is enclosed. This report needs to be submitted to this department for our review. If 'there are any further questions please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw ,,,, .'Ii "- t., 1'.-:.-- ALASKA E~FIUIROFIITIE~FITAL COFITROL ~nqineefinq 8 ~nuJronmentnl $luclies SI~BUICI~$, IFIC. MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTil & ENVIRONMENTAL PROTECTION OCT 2 1980 RECEIVED 1220 ~Uest 251h/~uenue · J~chorQqe, /~lasb 99503 "' (907) 276-1361 I',~IJNIC1PALITY Ok ANCHORAG[! DF. PARTH~{~ ": HEALTH AND ENVIRON?4F_I'i'i 825 L F.;i:.reeh, Anchoraue, Alaska ~ROTECTION 995 0 1 p~,'On~,~ ............ ' A ~II I 1 .l_T,,) ............ ST FOR APPROVAI, OF i[NDIVIDU~\Ln.,~"V''m']~,.,~. Ak}D ~,nVm;'T~ " C '' ~" .... ue -,~'- Alaska Mutual Savings Bank o/a Len(tin9 InStitut'Lon I,~.que.,t: ........................................................... 14 .... L.L,~9 Add)tess: ~.~._p~/~.~._.?~_~_~_~.~_~ ...... ~9.~..1_~_ ........ Phor,,.~: 274-3561/244 ..... ,"~'r Kenneth Ragsdale 'P~ono- 344-2352 Legal Description: Lot 2 Block 1 Green Forest Subdivision 4,', S'i. nqle Family R,.=-s:ldonce: (x) Mu].hJ.i_..~,' "'Fan:il~ ReS_LdCD¢:e: ( ) Number of Bedrooms: Three NuP, tbor o[ ~-~er.trO£)lllS: Sewage Dispo,~al System: On--sihe Sysuem ~ {)ublic lft.i]ihy ( ) ~kt)so'r'ption ar,x). ~ ~ Soil: Rat~..: Nato:iaL 7 ,, Dista~lces: Welt to Sept:it Tank '1:o Sewer 'Line Nea.co';st .hot line Absorlotion Area MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES CONV / 1. Type of Inspection: CMRO VA FHA Mailing Address'. ffA¢~//~ //'~/~)/~'~/ C/~°'~'(-~ ~7 Day Phone:~~~ 3. Name of Buyer'. ~~J J ~~ ~/~b~ Mailing Address: ~ ~'~ Day Phone: 4. Name of Lending Institution: /~5~~]~Z~ ~//~/~ Mailing Address: 2~ ~, ~/7~) Phone: ~Y~-"~/ 5. Name of Realtor or Agent: ~~ Mailing Address: Phone: Legal Description: Location: //-/)/~/~) 7. Type of Facility to be Inspected: No. Bdrms. '~ Water Supply Type of Supply: Public Utility. __Individual If Individual, number of dwellings presently served / If Individual, depth of well 9, Sewage Disposal System Type of System: Public Utility Individual (on-site) ~/' If Individual, date of installation MUNICIPALITY OF ANCHO[,~AG,7 DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION AU8 '1 2, 1977 RECEIVED 72-003(3/76) ~7,er~r~i[ ;lAser' ~;3'~jo¥,: ]Lot 2 Block 1 Green Forest Subdivision Depar-c.m('.'nl:, Wo:t:'ksheet: I 1977 Alaska ~utual Savings Bank }~rtuago Loan Section Post Office Box 1120 Anchorages, Alaska 99510 Attention Subject~ Let 2 Block 1 Green Forest S~%bdivision The second percolation test that was run on the seepage, pit faile¢l to meet the adequacy test. T~efore, before we can send our approval to the lending agency, the system will need. to be upgraded. ~'he upgrade wot~ld tnolude~ trench fiftv-~seven (57) fee~ total length with nine(9) fee~ of screened %~ to 2}~ inch of gravel below th~ d. rain pipe° Pr~or to any constructiox~ a permafit must be obtained fro~ .~. this If there are any further questions, pl:~ase contact this o_~_.a.c~ at 264-4720. Sin(:erely, Robe~:t C. Pratt, R.S~ Sanitarian ~0 ~ Kenneth Ragsdale Sta~. Route A Box 1570~.R Rodney Sisson Star. Route A Box 265X 99507 99507 Septen~er 8, 1977 Alaska Mutual Savings Bank t.~ortqa~je ~,an Se~%ion Post Of. fic¢¢ Bo× 1120 Anchora~je ¢ Alaska 99510 Attent ion: .... D~bbie__ - · L~L 2 Block 1 Green ~ozeo'c ,,u;.3;'.ivision Tne/percola'k-ion %(~st that was run on tho se(~page pit f~%iled need to be upgraded. The upgrade weuld include :F. ifty~seven(57) feet; of 'brench with nin(~(9) fee~: of screene,2{ .~ .... 2,t~ inch gravel the drain pipe. Prior to any construotJ.on, a permit must 1.~e obta:[ned fro~ this office. If there are any further questions, pl,3~ase contact this office at 2d4.,-4720. :Robert C. Pratt, Sanitarian RCP/lJ h Kenneth Ra~fsdale Star I~dney Sisson Star Re.to A )3ox 265X