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Home My WebLink AboutDALE BRIGGS BLK 1 LT 13Dale Briggs Block 1 Lot 13 #050-181-16 s ar h GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality a '*-.,., �• 3330 "C" Street, Anchorage, Alaska 99503 274-4561 �n �Koc0Z.a('? Date Received April 1, 1976 �d' U�-( Time of Inspection (1PPOI 1�UL4. Date of Inspection a� Q m REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR L /� ¢ Conv. /� �lj �(� Aj eIlf, 1. Approval requested by: First National Bank of Mailing Address: Post Office Bo�c—,7,,20, 99510 2. Property Owner: Mailing Address: Clarence La Post Office\ 3. Legal Description: Lot 13 Dale 4. Location: Behind Ea4e 5. Type of facility to be inspec 6. Well Data: I n ivz ua A. Type C. Construction 7. Sewage Disposal System: Public A. Installed riggs 5unaiv ver Latrndry our—I lex —bedroom each 1 B. Depth lity Phone: Phone: 694-9125 99567 No. of bedrooms unit) 130' D. Bacterial Analysis B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: 12 A. Well to: Septic tank , Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages e"N ela� GREATER A71CHORAGE ARcI, SOP,000 1UN" IoAUTY OF a "OP..�O. .. Department of Environmental Quala'ZDEPT'O`,H-11-HTcnON 3330 "C" St.,Anchoragen, Alaska 99503 - 274-41561 1 1976 REQUEST FOR APPROVAL OF p /- . IMDIVIDUAL SEWER & 'WATER FACILITIERECEWED 1. Type of Inspection:. CMP,O VA FHA CONV X, 2. Prdperty Owner: Clarence LaMay flailing Addr'es's: PO.Box 279,Chugiak Day Phone 694-9125 �•_ 3. mane of •Buyer• James D. & Ruby Thompson IiRg Address: Box 279,Chugiak Da, Phone 694-9354 4. Nane of Lending Institution.: Lst National sank Bailing Address: Phone 5. !dame of Realtor or Agent: GREAT LAND REALTY Bailing Address: Box 279 Chuaiak Phone 694-9125 6. Legal Description: Lot 13, Dale Briggs Sub. Location: Just behind Eagle River Laundry-. 7. Type of Facility 3toecri�rm.eapch unci yP Y be ins ect_d: 4 Plex No., Bdrms.12 ' Water Supply Type of Sapply: Public Utility Individual x 9'. If Individual, number of dwellings. presently.served 'one .4 plea If Individual, depth of well 130' good drilled well . Sewage Disposal -System Type -of System: Public Utility Y ' If Individual, date of installation _ Individual (on-site) Page 2 of two pages - Re '1st for Approval of Individual F—er & Water Facilities Legal Description Lot 13 Dale Briggs Subdivision Comments Approved Disapproved Date Approval,Valid for one year from date signed Greater Anchorage Area Borough. Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date CMRO REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Triplicate) L. Name .of person requesting approval Clarence Lamay 2. ',Kane of property owner Same 3. Legal descriptioq Lot 13 Del Briggs Homestead (Aot. Bldg.) 4. Number,of bedrooms in house 5. Water -Analysis: a. Bacterial RXIIX d b. Detergent Xuxx 6. Well data: a. Type Drilled b. Depth 123' c. Casing Size 6" d. Distance from well to closest existing or proposed: 1. Sewer line 2. Septic tank sny 3. Seepage Area__,,,,, 4. Cesspool' 5. Property Line 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc. 7. Sewage disposal system. a. Age of system 3 years b. Septic tank capacity in gallons 1500 c. Name of septic tank manufacturgr 1. If "home made" show diagram on reverse side of this form. d; Disposal field or seepage pit size and type 1. Distance to property lin Ynknown to house foundation a ► <p - / J �^ REQUEST FOR �A�0 AL of 2 INDIVIDUAL SEWAGE AND WATER. FACILITIES (Fill out in Triplicate) . Name of person requesting approv 1 4 r 2. Name of property: owner // 0 3. Legal descriptioq ,vim• /—Z3 ,l (/l ! ./Jxl•G1lJC2� �»�Ad _ /Gt [ Z - 4, Number -of bedrooms in house 5. Water.Analysis: I -ll 0a a. Bacteria yl b. Detergent 6. Well data: a. Type • �s<v iL• tu�1 D� I b. Depth / :)-�3 !/ �G{'!�'11 L el�� 4 e�Z/ c. Casing Size � d. Distance from well to closest existing oo a 1. Sewer line , 2. Septic tank 50� 3, Seepage Area 106 4• Cesspool' N� 5. Property Line yVC� 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc. 7. Sewage disposal system. Q a. Age of system b. Septic tank capacity in gallons / OO c. Name of septic tank manufacturgr 1. If "home made" show diagram on reverse side of this form. d; Disposal field or seepage pit size and type 1. Distance to property line to house foundation A eIN e. Percolation. Test results 11"% f. Percolation Test performed by -A. Use the reverse.side of this form to show diagram. Diagram should include -• he following information: property lines; -well location, house location, naptic tank location, disposal area location, location of percolation test, anq direction of ground slope. 9. The information on this form is true and correct to the best of my knowledge. \ Signature of Applicant . Date Signed TO BE FILLED our BY HEALTH DEPARTMENT PERSONNEL [D-T�e above described sanitary facilities are hereby approved, subject to the `•••-followinr conditions: Conditions:—/MlalL 99The above descried sanitary facilyties are disapproved fAr the following reasons: Signature of officiali6A Date } r -7i J. Approval is valid for one year following the date of approval. CPJ:cw \1 r 0'` REQUEST FOP APPROVAL OF INDIVIDUAL SEWAGE AND WATEP. FMILITIES (Fill out in Triplicate) 1. Mame of person requesting approval y, Name of property owner, 3. Legal description 4. Number of bedrooms in house y 5. Water Analysis: a, Bacterial_ . b. Detergent----� _ g, Well data: Q, a. Type Me i c. Casing Size s/ d. Distance from well to closest existing or proposed: 1. Sewer line p. Septic -tank L 3. Saepape Area 4. Cesspool' � 5. Property Line�00 �,_• g. Other sources of ,possible contaminatien, i.e., creeks, lakes, houses, barn, cirainaZe ditch, etc.' 7, Sewage disposal system. a. Age of system_ capacity in rzillons /SOD �irtlLs.� b, Septic tank cap c. Name of septic tank manufacturgrllnt d 1. If "home made" show diagram on reverse side .of this form. _-- -- d. Disposal field or seepage Pit size and type 1. Distance to property line i to house foundation — e. Percolation Test results f. Percolation Test perforr..ed by include 8. Use the reverse side of this roreit° linesshow ;lwellmlocation3 housa location, the followin;,. nformation: p. Y area location, of percolation test, septic tank location, disposal and direction of ground slope. 9, The information'on this form is true and correct to the best of my knowledge. Sign<^ture of Applicant Ute Seen d TO BE FILLED OCT BY HEALTH DEPAFTISEhT PERSONNEL QThe above described sanitary facilities are hereby 'zpproved, subject to the -fcllowinp conditions' Conditions: The above described sanitary facilities are disapproved for the 'following reasons: a. .,%.. . ._ . 1 PZ Sign e o fl. ici D, a :3.1 Approval is valid for one year following the date of,approval. CPJ:cw �J e. Percolation Test results f. Percolation Test perforr..ed by include 8. Use the reverse side of this roreit° linesshow ;lwellmlocation3 housa location, the followin;,. nformation: p. Y area location, of percolation test, septic tank location, disposal and direction of ground slope. 9, The information'on this form is true and correct to the best of my knowledge. Sign<^ture of Applicant Ute Seen d TO BE FILLED OCT BY HEALTH DEPAFTISEhT PERSONNEL QThe above described sanitary facilities are hereby 'zpproved, subject to the -fcllowinp conditions' Conditions: The above described sanitary facilities are disapproved for the 'following reasons: a. .,%.. . ._ . 1 PZ Sign e o fl. ici D, a :3.1 Approval is valid for one year following the date of,approval. CPJ:cw S/zE 'i((�d I \� t I I I I 8 i r. � M1 7 April 19G6 Riv6r, Alaska SUDJICTt Sewage Disposal and lawater er fSupply Sister- s Sabdiv - block 1. Delo bri££ ision - 4_Vle% - 3 bedrooms Per unit - n of Dear Kr, Lay'ayt to the instar Ann ora£o copies of the State Codes which opted by the Creator M Disclosed ere tarstsma; tLeso codes were adopted sever and w6'As ay t ear. Area Doroufh Aaseraly las Y prime formation for individual 06ware and vide the In necessary for a son The pink form whidti You filled out is Pr rater facilities Md does not rte act systass. the 10cation tory review of the suLj the sever and water ayste>a, system, conponea srofiles of the septic tanks Beepers showing ell urtenances rust b6 aubaitted A drawing the lot lines an P laced arr rade and should of the units10 feet of the wall and re w the finished £ and the upperthe Profiles should also I inter. to this office{ Grad Profssaionel Ln£ carry the seal of a tog for One 4-badroom unit. se tic tank MOUld be adequate units are based u: the nu+� of bedroomsin The existing p a y-bedrooa unit and Septic tank wises for dwelling nate for the min - septic additicnel bedrO°r' In your caset the unit with a 1,500 gallon tank bain£ adequate allons being added for liquid capacity. im C would be 4,500 Gallons 1!q sults. imam size based on percolation test re The required seeF6Pe 'area twat be b lana. we rill look forward to the submission of the necessary P 5 incere ly $ DAVID A. L. MICAS, H.D. r. dical Director ByJdk ns Cl e• u Supervising Sanitarian ian CFJ/cc