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Home My WebLink AboutSCHROEDER LT 8scooeh (oto Ck" 510 r mj� '4UNICIPALITY OF ANCHORAGE Heal and Environmental Protec )n Fourth Floor West 825 L Street Anchorage, Alaska 99501 2644720 ----- -- - INS ECTION REPORT OWSITE `",E � ACE DISPOSAL SYSi HA NAh9E � _ � - nF�-_15,0 -__-- F- TAILING ADDRESS _Jp ��i-� � �G.`-6i J------ PHONE LOCATION— _ 1 V�f\��'� -- r- -- LEGi\L U�,C:SCRIPTION _-_ c SEPTIC TANK: F�J{� DISTANCE NUMBER OF i FROfc1 WCLL_�4U�_- I•.1A'•sUi ACTUREI 11lZv�? V -Id 1Ti R I A L —�_ ¢�-- ---COMPARTMENTS_ INSIUF_ LENGTH-__ __ --___INSIDE 4:'IDT1-1--____-___ LIQUID DEPTH __ _LIQUID CAPACITY GALLONS. TILE DRAIN FIELD"Ptvy) c:n � I 1 TOTAL LENGTH � / DISTANCE F ROV V','F_LL 10()t 4-.-_FOUNDATION___a� _-NEAREST LOI LIME__- c Q- LINE of Lines ._-I_-..__ DISF:kNCE BETWEEN LIrJES __�.f .��-_-TRENCII 1'/IDTFI _�K IN. TOTAL EFFECTIVE ABSOW11I3!-: AREP. ___-....--_ �-' ..—_ So. FT. LENGTH OF EACH LINE -- DEPTH OF FILTER DEPTIi. TOP OF TILL TO FIMSH GRADE _ � _r.1ATERiAL BENEATH TILF�_`��) - IN- ABOVE TILE IN, �' SEEPAGE. PIT: DI,41,ETER —___ OR WIDTH_., LENGrH._-, DEPTH _—_._- --_— Log Crib Rings Crib Size: DIAL.1ETElt___DFr'T1i.--D15TArdCE r -ROM: WELL___--_�. - TOTnt_ EFFECTIVE BU11_DING FO!JNDATlOf1-_-.. NEAREST LOT LINE _ AUSORPTION AREA (WALL AREA) SQ. FT. 160 Well PRE' Class : Depth: i _ Well Distance To: Lot Line Bldg: Sewer Line: I - i Pipe Materials: of Bedrooms : - �.! ` -I Installer. ;; Remarks: �r ► o j v' -�- - i"SA-_ I _-- t T_ DATE( APPROVED�' _— —Y DEPHRTMENT UF HEHL|H HND ENVIRUNMENTHL PROTE 825 'L �TREET/ HNCHURHG�, HK99� 279-2511 ON K R.. Q. UZI INN UN (1) WK4~~AS it: lFis: th" k±7 WA K (it fqk§N HPPLlCHNT N{ERPR��E��. 6041 MHCKHY LUCHTlON MHRCUS STREET LEGHL L0T 8 SCHROEDER SUB LOT SIZE TYPE 8F SUIL ABSORBTION SYSTEM ISTRENCH 12@9 \ ~7-A7' / MHXIMUM NUMBER UF FT/BR)- THE REQUIRED SIZE OF THE SOIL HBSORPTlON SYSTEM IS� �- 0 t -I -.::q ;2". 1 K ICA CA I - 1-1 === 0: :1L C! us? POT W H 1.. 13; PIRZ is" T 1-0 R±u THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHlNFIELD THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE 8ETWEEN THE SURFHCE OF THE GHOUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET) TH£RE IS NO SET WIDTH FOR TRENCHES THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIPE HND THE BOTTOM OF THE EXCHVHTIUN (lN FEET) oil U His U X out K IDO bi W FOW 1: ��IH r-4 IK:�: A.: �Lff?�H C --n 9�3, FA 9 t.—�� 1=1 C1 K 1`0 His FSE too U 10 pop -F C) I"" - F 1: Cs I'd --- --- --- --- ~~--- --- --- � H PHCKHG� PLH�T MHY BE INSTHLL�D HT THE �F k,:MITTEE'S OPTION SUBJECT TO THE FOLLOWING CONDITlONS� 1ElTHER H CLHSS I (Jr-, II NSF HPPROVED PLHNT MHY 8E INSTHLLED 2H CONTINUOUS MHINTENHFID E HGREEMENT IS RIs: QUIREW IF H MRINTENHNCE HGREEMENT IS NOT KEPT CURRENT YOU MHY BE REQUIRED TO ENLHRGE THE SOIL H8SORPTION SYSTEM HND/OR YOU MHY BE SUBJECT TO PROSECUTION. ........ ...... ... .... .......... ... � ....... �--- �H,-A CH T VISM"Wo-0-y- X CAP"I"S 1=1 F". ��IF.,� C-" Ell HCKFILLING UF HNY SYSTEM WITHOUT FINHL INSPECTIUN HND HPPROVHL BY THIS DEPIII In! TMENT WILL BE SUBJECT TO PROSECUTIONL MINIMUM D1 MOVE ISO WEEN H WELL HND HNY OP&SITE SEWAGE: DISPOSHL SYSTEM IS 100 FEET FOR H PRIVHTE WELL OR 200 FEET FOR H PUBLIC WELL WELL LOGS HRE REQUIRED HND MUST BE RETURNED TO THE DEPHRTMENT WITHIN ]0 DHYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MIII Y HPSPECIFICIII, IONS HND CONSTRUCTION C. 1. HRE HVHILHBLE TO INSURE PROPER INSTHLLHTION ��, 11^ ��F.K. "�--E- ��H- P -O 0 F,;-:! :11- ".� I CERTIFY THHT 1: I HM FHMILIHR WITH THE REQUIREMENTS FOR 0N-5ITE SEWERS HND WELLS HS SET FORTH BY THE MUNICIPHLITY OF HNCHORHGE. 2 I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES. ]� I UNDERSTHND THHT THE ON~SITE SEWER SYSTEM MHY REQUIRE ENLHRQEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THHN ] BEDROOMS ~~~~^~~~~~^~ 11. 2204 CI--veIand bnchorace, Alas),a 99503 Performed For - IIap Enterprises — _Date Perfor;,ed-- 8-17-77__-_ Legal nescrintion: Lot 8 Filocl: -_Subdivision-Schroeder_Su.bdiv-isio-n---- — This corm P.enorts Soils Loq Yes __ Percolation 'lest _— ___ 2 4 6 8 10 12 14 16 18 20 tenth rPPt Soi1 Characteristics Kas 0round Water Encountered? No If fes, At what Depth? r, cdinQ "Date Grnss Tire het Time tenth to H2O Net Cron' — ----- — -- — Percolation Rate Minute Prnnosed Installation: Se?nage Pit !'gain tie %eoth of inlet-_Centh To Cottcm 0f Frit 0r Trench - -- -- rr�"IENTS: 100 square feet required per_ bedroom _from- minus -6" -to_ 12' _ -�.._. ;est Pei—d By !�E� f� .�: - D to Certifi d °Y Date: - — I)eceraber 29, J.9713 Xnrkll, Al(').Sk,-,An 'MIALICO,-S -prxit 00ffic'm Aox '114 ,-,nyle River, Alaska 99577 ,V781039 Piot 12 tO.klo.L-,xw NdAghts SuOdivision 8 11) 4 0 Lot 'I �;chroedar SuNdivision 0730999 Lot S liao 's sviil) CA in -6 00099-7 fjot 6 Ise -O's SubdiviSioll ll' 7 U'O 9 9 6' L 0 12 YAO's SVvbdiVif--iiOn 01,30969 Lot 5 JBIock 4 Thwiderbird )JcAghts isque(l by thiq defmrtman1r, for w(Al aw-1/0I.- sowor syst,-,rn has ParlIdAt'n "we isqncion it oalonetar YWLr bilbi5l MG on tlao -oormit, by aWJu,03,.'litu of !,luvdal.pal ardinvcnce. 117 you lj.%we drille'd t',lj,-: jjc-jjp c). xqo.I.J. lc-)rj sltovulcl be - sell -t to lcllis dit-q?art-morxi, to doctul,,exit tho installat ion it' thore ore, arty furtheX quc"stions, plc�,nlsc jj�,, o:'l.f_Jcc a� 264-47*10. 01 " 'cuce-re -I I y T'�cal/Ijw uu- a C:(),Py ok pery.ait (.l � p� �1 5. LEGAL DESCRIPTION STREET LOCATION / /Uh- v / 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS �7( SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY LT -T- INDIVIDUAL" ��/J r/"G ' "'�* 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.) S. SEWAGE DISPOSAL SYSTEM Q1- INDIVIDUAL/ON-SITE** —YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) �1 11 I�� DATE ECEIVED�� INSPECTION APPOINTMENTS !C TIME 1 TIME -'j a)L TIME DATE e DATE -� r DATE _ -- INSPECTCP'- INSPEC R ) �-v INSPECTOR �� IV MUNICIPALITY nF e irunonnc DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 C C T 10 1979 ENVIRONMENTAL SANITATION DIVISION ��'��® Telephone 264-4720 R 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. PROPERTY OWNER PHONE MAILING ADDRESS go/ GJ % 5/ PROPERTY RESIDENT (If different from above) PHONE /U0 C- 2. BUYER 2. PHONE L MAILING ADDRESS 3 oS y 3. L-F�NDING INSTITU N �^ PHONE MAILING ADDRESS ALJ /I C 4. REALTOR/AGENT \r(%% as MAILING ADDRESS �/ 5. LEGAL DESCRIPTION STREET LOCATION / /Uh- v / 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS �7( SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY LT -T- INDIVIDUAL" ��/J r/"G ' "'�* 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.) S. SEWAGE DISPOSAL SYSTEM Q1- INDIVIDUAL/ON-SITE** —YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) �1 11 I�� THIS SIDE FOR OFFICIAL USE ONLY of BEDROOMS. _ 1. TYPE OF RESIDENCENUMBER ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER ❑ 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 SOILS RATING (no ❑Septie�c�T�aankor ❑ Holding Tank )) Size: LSAO If Tank is homemade give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line — 5. COMMENTS 6--_ APPROVED FOR --3 BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompan certificate) ❑ DISAPPROVED DATE BY