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