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Home My WebLink AboutSILAS JACK SPARKS LT 6a I / e o 10 l ro .- MUNICIPALITY OF ANCHORAGE MUNICIPAt11Y CF AI�:Ch PAGE C DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOI\PEPT. ' 825 L Street - Anchorage, Alaska 99501 Ei l'dIROPi ^,L, : • - .-CTION ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEVIh� F'A DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER PHONE Brent H. & Debra D. Kley NUMBER OF BEDROOMS ❑x SINGLE FAMILY ❑ One ❑ Four ❑ Other MAILING ADDRESS 247 Patterson Dr. Anchorage, Ak. 99504 PROPERTY RESIDENT (If different from above) PHONE same as above 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE United Bank Alaska 276-1911 MAILING ADDRESS 645 G Street Anchorage, Ak. 99501 4. REALTOR/AGENT PHONE Rose Schaffer C-21 Heritage Homes 276-1333 MAILING ADDRESS 207 E. Northern Lights Blvd. Anch, Ak. 99503 5. LEGAL DESCRIPTION L6 Silas Jack Sparks Sub . STREET LOCATION 247 Patterson Dr. 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑x SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MU LTI PLE FAM I LY ❑R Three ❑ Six 7. WATER SUPPLY [M INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ❑ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required 1E PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. /L -V IV�J//61 G �A THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑ INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR 3 BEDROOMS ti ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY (Tit e) LEGAL DESCRIPTION 72-010 (Rev. 3/78) — — i" rANCtJttE MUNICIPALITY OF ANCHORAGE DEPT. OF -ALT;; & ((j DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIC�IV�N 'VIRONMENTr _ , .. , -CTION 825 L Street - Anchorage, Alaska 99501 '�2 % i'% rT t >So�/ • FE B 9 ll l 11 J1- J ENVIRONMENTAL ENGINEERING DIVISION SINGLE FAMILY Telephone 264-4720 E- C I V E REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER 7. WATER SUPPLY PHONE Z3' INDIVIDUAL* IFC?� * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY MAILING ADDRESS ❑ PUBLIC UTILITY PROPERTY RESIDENT (If different from above) 8. SEWAGE DISPOSAL SYSTEM PHONE ❑ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date �� PUBLIC UTILITY 2. BUYER PHONE NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION G. STREET LOCATION '�2 % i'% rT t >So�/ `- 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY Z3' INDIVIDUAL* IFC?� * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ❑ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date �� PUBLIC UTILITY If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 3 () THIS SIDE FOR OFFICIAL USE ONLY ( J INSPECTION APPOINTMENTS . DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemadeSOILS give dimensions: RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR J BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) Oct-ol'er 21 , '1974 Kenneth Lincoln 447 Patters -n Alasim 95 P I SUBJECT: ilaildaftory- so,.'ier con-nec(;it)-l? Lot, 6-, ""llaz Jab. Sparks Subd. Dear Mr. Lfinccln.- As per our two phoau convorsatiorts.. a tlimn extnis-lix, v;flll 1*111c granted :used upoin ro sewage probimis. On t'ic': subjec-17; 1',-iust be flinallized by julf,! 4, 1974. Lo -s G uclahol z , I*?. S v .aani tatri an NUISANCE COMPLAINT FORM Complainant's Name: Street Address: Phone No. Box No. Description of Complaint: ♦ Y Name of Person Against Whom Complaint is Mader fit, �,,h_ Owner of Property Where Nuisance Exists: Owner's Address: J0TG /-'1 .ceP," L o c a t i on of C o m p 1 a nth L— ,�✓��,.mac < _,�� Person Receiving Complaint�� /��uDate://1 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 the foregoing complaint in court if necessary. JV � Complainant REPORT OF ACTION TAKEN Investigator: Date Investigated: Action Taken: DATE COMPLAINANT WAS CALLED REGARDING DISPOSITION OF COMPLAINT: A u- n U S t 3� 0, I ��' 7 ,) /t: n 7 n 0 1 o r a e ec t Lot 6v s11aS J. j4ar-s Sibdivision Sir: Public sewer is availatle to the stibLInct property. It is anti c i pa t (1, d �- "ii- t I.* h e s � 'D j c et-, P r o p c r ty b cf able t o C 0 Z16 ,I e c t. La tete �- V a i I w1) 1 e 1t I i c wavy-, r 6y S e p1l. e v 4 b e r 15 , 1 17c b ?partr.4ent, tnvreforv, ,rends thru te porary aper aval for the; existing sewer und 1 f,.c-Dtei-A,,,,7r I 'i 1971-. L i tiG. �:- re I y , Ly mr, -Sanitarian 11 m June 1, 1X12 First NaOonal Uank, oi Ancitoraga 'D c x 7 2 1 Anchloraov 5 J : ctLot Ll . Silas Snarl. -, Subb,.Ii vi Si ,;&ar Sir: TN, constraction of the I I 'S �� P v i t F! C, s! 14.1 '-a c 1- y,' r 0 isrb.i 71«: ";%I] and s,rvirr-g, sul.i`t�ct �rc;-rty i- I-ly 7- ,;e V t ZI I S pCC. i a I i bb c c VA Clara hartan GREATER ANCHORAGE AREA BOROUGH Department of Envlyonmental duality 3500 Tudor Road, Ancrjoraaer Alaska 99507 2798686 Date Received Time of Insmection . Date of Inspection �- �Lr�, REQUEST FOR, :�PG�?OVAL OF t`"1r l.NDTVIDLiP,=. SENIER ;,,'A'.ER FACILITIES C .} .. FCR 1, Aoproval Requested Address: -- - 2. Pro oerty Owner: 3. Legal Description: Phone: = Phone: 4, Location._ - 5. Tvpe of Facl lzty to be Inspected • Number of Bedrooms: 6. 'Nell Data: /l - A, Type 3. Depth_ C. Constructi on D. 9acterial Analysis ^_..C��' rc. j,tr 7, Sewage Disposal System: A. Installed B. Installer C. Septic Tank: 1. Size - - _ 2. Manufacturer D. Seepage Pit: 1.. Size -- 2. Material E. Disposal F el.d: Total Length of Lines 8. Distances: A. lNel1 To: Septic Tank '� Absorption Area , Sewer Lines Nearest Lot, Lire Other Contamination B. Foundation to Sentic Tank "; Absorption Area C, Absorption Area to Pdearest Lot Line Raquest for Approval of In( idual Sewer & Water. Facilities' Page Two 9. Comments: Apnroved Disapproved Date Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAD41 Or SYSTEM I certify that the information contained in this request for approval to be a true and accurate representat4-on of the suhiect sewer and water facilities located at: Signed Date :toga Ckut"ach Space 3rfi r.ch4orage v Alaska Su'Viect: Lot 6, Silus J. Sparks Subdivision Dear Pis. Lincoln: An 3 15£Octic Of tl'Q tub op - cc" Drerty eve.&")cd toot � t well is � in a rib. The sewer system appears to be a cesspool and the distat:cc. fron, the cesspool to the well is U feet. L efore this approval could be given for tits: sever and water Systems, the sewer systev, wauid need �tu tcc relocate.,,? wi tt< ttic proper distances to the well arci tlje= I:. is anticipated that. the subject c ill be awya �a ,HUct V?Ct tc r ubl is sewer sometime this summer. If this sewer is not- available by August 1, 1972, an approved on -s i tc sewer s tei- , will nece to be i rs ta'g 1 ed in accordance wi b9t ttinState and local re:qulations. ic-mi,^L -ar.y epi raval cal, be gi eF—It by V s- Dcp Y r,,en6i for tl (t Sell;: r atc�: Wa ter systems pen di ti n �., � �� E elicr aw o funds to .-� Bove c*a**e14-qa by August 1, 1972. U you have any questions c�stcc� ,�a � , !, +�/� qg y�# 4[ t£ c •:Na L&e%: F�Iv tr�=^' y ;�u•a *a ..� 11a L #fie F.: 3 i t A Ce o contact it & C.- 6 Specialist b,11`J