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HomeMy WebLinkAboutCAMPBELL HEIGHTS BLK 3 LT 18 G~,.TER ANCHORAGE AREA BORO"~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, AI. ASKA 99501 279.2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ~ ,7-~c~' ~.~/'/~ Co. ADDRESS ~ ~ ~. PHONE~7~IES'~ SEPTIC TANK: mSTANC£ FROM WELL /~' LIQUID CAPACITY /*~ 4~ 7~ NUMBER OF / MATERIAl. m:. ~,.JY ~',~ ~' COMPARTMENTS LIQUID GALLONS. INSIDE LENGTH INSIDE WIDTH__DEPTH SEEPAGE SYSTEM: LINING MATERIAl NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER__OR WIDTH ! °,STANCE F"OM WELL TOTAL EFFECTIVE ABSORPIION AREA (WALL AREA) ., LENGTH , DEPTH , BUILDING FOUNDATION .SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE ., FOUNDATION. DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE. DEPTH OF FILTER MATERIAL BENEATH TILE , NEAREST tOT LINE TRENCH WIDTH TOTAL LENGTH , OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE WELL: TYPE j~,~i]//e 4 ~ DEPTH DISTANCE FROM /,-,-~'- · WATER , BUILDING FOUNDATION. O k,~ SAMPLE , NEAREST /0,5' ~ SEEPAGE/,~,3'" OT. ER , SYSTEM , CESSPOOL , SOURCES DIAGRAM OF SYSTEM DISTANCES: 13oC = qS' C.D= I~.~~ 8-0:Jo5'~ O W, J[ DATE 2833 E~t 72nd Avenue OWNER OF LAND ..... DALLY DRILLING LOG PENN JERSEY DRILLING CO. Anchorage, ~ 9950~ DA~--ST~X~.n ...... .A~p=ll...1.,%....19.7~. .................................. DATE--ENDED ............. .A.~.~ ~... 1 ~.t _.1~..~. ~. ............................................... KIND OF FOI~dATION: FRO~. ......... .Q. ............ ~T. TO .......... .~. .......... ~,.~.o 1~ ~.o.J.l...~...~ ay.e 1 FROM .......... ..8. ............. FT. To. ....... ],..6. ....... ~r_~.~.~-v---e--l._~...~.~.~ .e.r. EROM .......... ~..6.. ......... FT. To .......... ..2.~ ........ FT..~.~p......c..~.a.~....~...~.r..~v e 1 FROM .......... 2~. .......... FT. To ......... ..6.~ ......... .FT...~.I.~Z....&.....c..~ .v...e..],... FROM .......... ..6.?.. ......... FT. TO ........ :_.7..2.. ........ ~r..~.r..~.y.~.!_~..~.a..~..e..r.. FROM ......................... FT. TO ....................... FT ...................................... FROM ......................... .Fl'. TO .......................... F~ ................................... FROM .......................... FT, TO ..................... FTr ...................................... FROM ......................... FT. TO ......................... FT ....................................... FROM .......................... FT. TO ......................... FT ........................................ FROM ......................... FT. TO ......................... FT ..................................... FROM ......................... FT. TO .......................... FT .................................. MI$CL. INFORMATION: 344-2612 DEl'TH OF ~z.v.. ........... 72[.. DRAW DOWN FT ........................................................................ GALS. PER HR.. ..................... 1S..G[~t .............................................. KIND OF CASSNG......~.*.*.......5.~,~.e.1...W.~],,.d..e.~....(~.a..N..J,...nE ................... FROM ....................... .FT. TO ....................... ~ .................................... FROM ......................... FT. TO ....................... FT ...................................... FROM ........................ .FT. TO ......................... FT .................................... FROM ......................... FT. TO ........................ FI' ....................................... FROM ........................ .lT. TO .......................... FT ................................... FROM ......................... F~. TO ......................... F~ ...................................... FROM ...................... ~. '~O .......................... FT ...................................... FROM .......................... FT. TO .......................... FT ..................................... FROM ......................... FT. TO .......................... FT ........................................ FROM .......................... FT. TO .......................... FI' ........................................ FROM. ......................... FT. TO .......................... FT ....................................... FROM ........................ FT. TO ......................... FI' ....................................... PERHIT ~"~CI. [.1LII'-.I I C I P/'"~-- I T~T' I_--'IF' RI'-.I~__.HCr'~:I~]E DEPRRTMENT OF ,,ERLTH RND ENVIRONMENTRL PR.-.~'ECTION 8.25 ~L~ STREET, RNCHORRGE, RI(. 99501 264-4?20 L.-IELL PERt-1 T T 730284 ) AF'PL I CANT LOCAT I 0N LEGRL PHILLIP R. JUDD 4£~69 E. 67TH R',/E LiS B~ CRHPBELL HTS S/D 4069 E. 67TH LOT SIZE 21000 SQURRE FEET MINIMUM DISTRNCE BETWEEN R HELL RND RNY ON-SITE SEHRGE DISPOSRL SYSTEM IS iE~O FEET FOR R PRIVRTE HELL; OR ±50 TO 200 FEET FROH R PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC HELL 14ELL LOGS RRE REQUIRED RN[> MUST BE RETURNED TO THE DEPRRTMENT HITHIN ~0 DRYS OF THE HELL COMPLETION. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION [)IRGRRHS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. PERt4 I T Ek:P I I;:E$ DECEr. IBEE: 3-1~ -197~ I CERTIFY THRT l: I R£'! FRHILIRR HITH THE RE~,UIREMENTS FOR ON-SITE SEHERS RND HELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I HILL INSTRLL THE SYSTEM IN RCCORDRNCE HITH THE CODES. RPPLICRNT PHILE4P FL JLIDD V_?.. 2 DATE RECEIVED ~ INSPECTION APPOINTMENTS I~IME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTQ~ MUNICIPALITY OF ANCHORAGE J~IUNICIPALITY OF ANCHORAG~ OEPARTME.T OF.LA'T" · ENV, RONME.TA'P.OTECTt ~ I 825 LStrHt-Anchorage, Alaska 99501 ~ 0 MENTAL P;~OT.CTION ENVIRONMENTAL SANITATION DIVISION 10V ,:, 1981 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW~-~ ~_IY,~/ DIRECTIONS: Complete all parrs o~t page 1. Incomplere eequest~ will not be processed. Please allow ten (10) days for processing. I. PROPERTY OWNER I PHONE Chun Young 6 Jun Nam Yoo[ 349-3775 MAILING ADDRESS 4069 East 67th Anchorage~ Alaska PROPERTY RESIDENT (Il d~fferent f~om above) PHONE 2. BUYER PHONE Yong Sung ~ Chu Ok Kim 277-2862 MAILING ADDRESS 943 E. 20th Apt. #D - Anchorage~ Alaska 3. LENDING INSTITUTION [ PHONE Alaska Nat~l Bank of the North[ 277-4581 MAILING ADDRESS Pouch 6608 Hort. Loan Dept. Attn. Vicki 4. REALTOR/AGENT I PHONE · Dynamic Realty / Don Beattle ' :, 279-7611 MAILING ADDRESS 501 t~'. Northern [.ts. Blvd. Anchorage~ Alaska 99503 5. LEGAL DESCRIPTION Lot 18 Blk ~ C.~m.nbe11 Heights STREET LOCATION 4069 East 67th ' - 6. TYPE OF RESIDENCE NUMBER OF~BEDROOM$ [:] One [] Four r-I, Other [[] SINGLE FAMILY f-) Two, [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY 1~3 INDIVIDUAL*' : [] COMMUNITY [] PUBLIC UTILITY i~ SEWAGE DISPOSALSYSTEM [] INDIVIDUAl/ON'SITE** [~] PUBLIC UTILITY ·ATrACH WELL LOG. A well Iog'is required for all wells drilled since June 1975. For wells drilled prior to that date, give well '~ depth (attach log if available.) YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72.or o (Rev. 6/79) A unicipality Anchorage 825 "L" STREET ANCttORAGE, ALASKA 99501 (907) 264.4111 November 12, 1981 Chun Young/Jun Nam Yoo 4069 East 67th Avenue Anchorage, Alaska 99507 Subject: Lot 18 Block 3 Campbell Heights Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) ) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. The depression around the well casing needs to be filled in with impergious type soil so that it slopes away from the well casing. Exposed electrical wires to the well head are in violation of the Municipality of Anchorage codes and need to be placed in conduit and buried. Please notify this office for a reinspection when the noted deScrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska National Bank of the North Mortgage Loan Department Pouch 6608 99502 MUNICiI~ALITY OF ANCHORAGE ~CIP^bI'~Y OF' ' DEPT. CE' I:?ALTFI & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~i~IVIRON/'¢h~TAL ~ .' ~ ~ ENVIRONMENTAL ENGINEERING DIVISION APR ~ 1979. TM*ghee ~7~ )IRECT~ONS: Compete all I~rt$ o~ peg* 1 Ineomldet~ mque~m wi not be i~=em~el. ~#le~lllOw t~ t0) ~ f~t I~ rig, BUYER PHONE/ PHONE PHONE MAI LING AUDRES~ 3, LENDING INSTITUTION MAI LING ADUR E~ JPHONE 4, REALTOR/AGEN~T ~. -- ~.. PHONE J MAI LINJg ~ORES~ ' · [] One ~ Four [] ~ [] Two I--1 Five SINGLE FAMILY [] MULTIPLE FAMILY . , I-'1 Three [] Six Other 7. WATER SUI~LY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * A'I-I'ACH WELL LOG. A well log is required for all wells drilled sinc~ June 1975. For wells drilled prior to thet date, give well depth (attach log if available.) SEWAGE DISI~)SAL SY~I'EM INDIVIDUAL/ON-SITE" [] PUBLIC UTILITY *elf imfividuel/on-site, give installation date /~ ~. If system is over two (2) yeers old an edequacy test Is required by this Department. NOTE: THE INSPECTION FEE M~._~UST ~sT~ BEFORE PROCESSING- CAN BE INITIATED. i' THIS SIDE FOR OFFICIAL USE ONLY · = INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OP BEDROOM~ [] SINGLE FAMILY r-1 ONE [] * THREE l'-I FiVE [] OTHER [] MULTIPLE FAMILY [] TWO I-'1 FOUR r-I SIX 2. WATER SUPPLY PERMIT NUMBER [] INDIVIOUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ! PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ' ~ Connection Verified ' ............ INSTALLER []Septic Tank or I--IHolding Tank Size: If Tank is homemade SOILS RATING give dimensions: "* TYPE OF TANK MANUFACTURER TOTAL ABSORPT,ON AREA I~ATER,AL 4. DISTANCES. WELL TO: Septic/H°'din' T'nk IAb~°rpti°n Area I~ewer Lirm IN'rest L°t Line --' ' PPROVEO FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) (~'""~DIsAPPRoV ED 72-010 (Rev. 3/78) 'JML Jehn M. Lambs, P.E. 4303 Norlf~ Star Street Anchorage, Alaska, 99503 907.279-8056 NEW PHO~:E Nb~4BER 276-4113 SOIL ABSORFTION SYSL .:4 TEET '~"L. ~';;NO.' OF BED~OMS: ~ RECORDS ON FILE: ;.~: . T~T P~MED tN ACCORDANCE WITH ~L STAHDARD P~CEDURE ACC~TED BY .~. . .MUNICIP~ITY O~ '~;CHORAGE, DEPT. OF ENVIRO:DX~ITAL QUALI~ ON ~ SURGE CAPACITY: SOIL ABSORPTION SYST~.,.! (SAS) SEPTIC TA~FK PLUS SAS 'ABSORPTION 'RATE . RISE NOTES: · , ; . ° PERFOPJ4ED BY: TEST DATA ATTA .. · SREET : .... ' q JohnM. Lambi,,P.E. - 4303 NordI Star Street :EXISTING DP/IN FI~,D TE~T _- PERCOLATION ADEQUACT REz,'~CE; Municip litYof Anchorage POUCH 6-650 ANCHORAGE, A'LAS'KA 99502 (907) 2792511 GEORGE M. SULLIVAN, MA YO R DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (8~'5 '*L'* Streel) April 6, 1979 Phillip R./Carolina-M. Judd 4069 East 67th Avenue Anchorage, Alaska 99502 Subject: Lot 18 Block 3 Campbell }[eights Subdivision The existing sewer system can not be approved. The seepage componet shows evidence of effluent in a bordering drainage ditch. Also, a septic tank is lacking. A new sewer System is required. The design depends upon a soil test, which will indicate either an absorption type design consisting of a septic tank and leachlines or a 2,000 gallon holding tank which requires routine maintenance pumping. Due to the sewage effluent evident in the drainage ditch some type of correction is required irregardless of a house sale. The well appears to be a twelve(12) inch culvert approximately ten(10) feet in depth. This type of shallow surface water well can not be approved. A drilled well, cased and at least forty(40) feet in depth is a minimum requirement. If there is a drilled well, under water in the culvert, the casing must be extended above ground and a well log supplied to this department. A water sample was not taken due to the construction descrepancies of the well, thereby saving the cost of the analysis. If there are any further questions, please contact this office at 264-4720. Sincerely, Les N. Buchholz, R.S. Senior Environmental Specialist LND/ljw cc: Esthter Bunn Dynamic Realty Municipalityof Anchorage 3000 ARCTIC BOULEVARD ANCHORAGE, ALASKA 99503 (907) 277-7622 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF EN'FERPRISE ACTIVITIES Sewer & Water Utility June ll, 1979 Ms. Carol Judd 4069 East 67th Avenue Anchorage, Alaska 99507 Subject: SEWER SERVICE/AFFIRMATION OF AVAILABILITY LOT 18, BLOCK 3, CAMPBELL HEIGHTS SUBDIVISION TO WHOM IT MAY CONCERN: Please be advised that Lot 18, Block 3, Campbell Heights Subdivision will be receiving public sewer service after September 1979. The Anchorage Sewer Utility is in the process of bidding Campbell Heights South Lateral Improvement District No. 91 (see attached Purchasing Division Invitation to Bid). This project is scheduled for construction soon after bids are opened and a contract awarded. The 8" sewer lateral will be located ten feet south of the centerline of East 67th Avenue, and there will be a 4" sewer service stubbed from the lateral to the property line of said lot. If you need additional information, please do not hesitate to contact me. Sincerely, MICHELLE GRUBE Assessments & Agreements Supervisor Anchorage Water & Sewer Utility MG:DB:pw cc: Sewer Engineering