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HomeMy WebLinkAboutSCHROEDER LT 60Schroeder 51 0 I ` -y w MUNICIPALITY OF ANCHORAGE / DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 7.64-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL. INSPECTION REPORT NAME PHONE El NEW Cl"7 - 1 (r, f /_�- /_.x / ©-VPGRADEE MAILING ADDRESS s7 LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS Well I Absorption ariia Dwelling r DISTANCE T0: ��� — PERMIT NO. Uy P2 Manufacturer Material- �F2 No. of compartments s Q W N ~ Liq. capacity in gallons Inside length Width Liquid depth T D of—) IF HOMEMADE: —^ __ Well Dwelling PERMIT NO. 1J V, Z DISTANCE TO: 0 Q Manufacturer Material Liquid capacity in gallons X b ❑ Well f Foundation, Nearest lot�lire PERM T NO. -I S DISTANCE TO: l— w LL Z No. of lines - Length of each IYle Total length of lines Treeh width / Gly inches Distance between lines Z � f.. �,'�_, Top of the to finish grade / Material beneath rile inches _ Total effective absorption area Length Width Depth PERMIT NO. W a F Type of crib Crib diameter Crib depth Total effective absorption area w° W Well Building foundation Nearest lot line rn DISTANCE TO: _ Class Depth Driller Distance to lot line PERMIT NO. J J Lu Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER PIPE MATERIALS ��>,/1>.+f -7-i�-c?-CJG`'-�r�.�� � �✓Ul�iac�* "�L� �`�/�N�i� C�.,a., U SOIL TEST RATING INSTALLER,,-- REMARKS c _'-__-'-Nl�.E-!✓ :. / lG'r n`LJr f��- Y��-I? VA�J C IF ''� /V �' ..-=moi! Ex/G,f.!/i;.�[;/� eed �`fs• nea93o Ja ,� �? "'d s e°semcv Q nom, f2ussell L. pyster APPROVED -- --------�-�'0�' �A�.'�'?i'' LEGAL ������ ������= ����� ����-����� PERMIr HPPLICHNT HHS THE RESPONSIBILITY TO INFORM THlS DEPORTMENT DURING THE INSTHLLHTION INSPECTIONS OF HNY WELLS HDJRCENT TO THlS PROPERTY HND THF NUMBER OF RESIDENCES THHT THE WB.| WILL SERVE BHCKFILLING OF HNY SYSTEM WlTHOUT FINHL INSPECTION HND HPPROYHL BY THIS DEPHRTMENT WILL BE SU8JECl TO PROSECUTION MINIMUM DISTHNCE HETNEEN H NELL HHD HNY ON 1:1 SENHGE DISPOSHL SY�TFH IS 100 FEET FOR H PRIVHTE NELL/ UR 151�i TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THF TYPE OF PUBLIC NELL OTHER REQUIREMENTS MAY 8PPLY. SPECIFICIA T{Who HND CONSTRUCTION DIH)GYPS �RE HVHILHBLE TO INSURE PROPER INSTHLLHTION. �117100-1 1 -1 WT 54 110 : 11 HOT! V 4 1 RD FE Q WE 10 ply HT Q 7nzl " 3���� ® It E CEO, ECHNI CAL Et ®EVEL—,eP VIENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG6BB-2280 Soils Et Foundations Land Development Performed for: Name: ��f' =j-` -L c �t.�� Tel. No. Mailing Address: Legal Description:— De th feet SvJ1 Characteristics J. 2 ®® 3 �- A-) 5 8� 9 _1 10� 11 12� 13 15 16 Ground Water Encountered: YesNo '� If yes, what depth Proposed Installation: Seepage Pit Drain Field' Comments: Performed( ��( rf: hy: .� Z:>�� ;���' �• Date j TO F R 0 M Luara GlFloor Fourth Floor West Fifth SUBJECT Lot 60 Schroeder Subdivision DATE 9-1-78 MESSAGE Pletase prepare another refund. The attached paperwook was done by an engineer, therefore, not requirddU our office with inspections. Thank you. Receipt 0 57137 William Cole, Jr. $20,00 for a sewer permit Box !)I Davis Street Eagle River, Alaska 99 577 SIGNED Laura -J. ward Sewer and Water Section PIEPLY Redi f? rme 4S 471 SIGNED SEND PARTS I AND 3 WITH CARBON INTACT - PART 3 WILL BE RETURNED WITH REPLY. DETACH AND FILE FOR FOLLOW-UP DATE PIXY PAX 150 SETS) 0 471 z d d r� req lz 171 OTI *Tl az OTIITJ x z m z 9 z z x m z W 0 1 0 0 0 0 0 0 0 0 0 0� z o3 d y H .. O °z z �n an ITI -Z 'Irl Oil -n :rl �z PTJ ql ql H H H H H H H H H H H H O O O O O O O O O O O O 7f III K1 H H H H H H H H r z n m v z � d � m m co m m X C17 fn N I < m D ro _ Zi c r' r- > D Yfi D r cDi: A n �` /\ N m D O J tbiy CS � O (7 Q H H 0 140, 0 T T m m co m m X m fn N I < m D ro _ Zi c r' r- > D Yfi D r cDi: A n �` /\ N m D � J p o0o D rn 4N rn D N r rn D V) D 5. LEGAL DESCRIPTION�� !s� UME RECEIVED INSPECTION APPOINTMENTS 6. TYPE OF RESIDENCE TIME. TIME TIME I SINGLE FAMILY kp Two ❑ Five r�,rn DATE DATE DATE /)-k'-k� �ln_JAAS INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF I' At -fl I & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONVIRONMCNL"L ,['-_)1I:CTION- 825 L Street - Anchorage, Alaska 99501 6 Ml AY rj IJBU ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 RR 1:.1: CC ((�� [� FOR APPROVAL OF INDIVIDUAL WATER AND SEWER'F`X�,QI`IT1E "' REQUEST DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER/ PHONE//, ! Al — 17L0( MAILING ADDRESS r PROP RTY RESIDENT(If different from a ove) HONE JP 2. BUYER PHONE I�LV,� It, M S,�i'cs I� MAILING ADDRESS 3. LENDING INSTITUTION PHONE _ MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILINGA REs&AL 5. LEGAL DESCRIPTION�� !s� STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other__ I SINGLE FAMILY kp Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six a 7. WATER SUPPLY ® 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.) s 8. SEWAGE DISPOSAL SYSTEM 90 INDIVIDUAL/ON-SITE** /C9 H -7 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) �t} THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ SINGLE FAMILY ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ MULTIPLE FAMILY ❑ TWO ❑ FOUR ❑ SIX 's 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 ('y X INSTALLER ❑Septic Tank or ❑ Holding Tank Size: 1000 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL r n 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS Ir APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE y� BY vo_nin /Rn.r n/791 W lu 8C5 sepT 7t "r14'selF tRIAr WkIOLZ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH -& ENVIRONMENTAL PROTECTION - - 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 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 pPg HO1E_ 1. PROPERTY OWNER f� 1 '� MAILINGjADDRESS �j A JJ� III--- LI P / ' �Y'�--- PHONE PROPERTY RES DENT (lf different from above) II n .� ... f. AD MAILING ADDRESS 4. REALTOR/AGEN MAILING ADDRESS 5. LEGAL DESCRIPTION I STREET LOCATION '2A LNUMI3ER OF gEpROOMS - 6. TYPE OF RESIDENCE ❑ One ❑ Four ❑ Other � SINGLE FAMILY � Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑. Six 7. WATER SUPPLY 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 SYST'EM ❑ INDIVIDUAL/ON-SITE:** **If individual/on-site, give installation date-__— If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. — NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) - --'s B �� G " Y &-Mel �T o w THIS SIDE FOR OFFICIAL USE ONLY 72-010 INSPECTION APPOINTMENTS DATE RECEIVED -eg TIME TIME - - TIME. DATE DATE DATE INSPECTOR - INSPECTOR - INSPECTOR- DIRECTIONS: 1. TYPE OF RESIDENCE SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER of BEDROOMS a ❑ ONE Ir9,1 THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY � IJ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER- DEPTH OF WELL J -- DATE DRILLED p,/7 LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM L7INDJ*—_ IVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified _ PERMIT NUM --s /R r� — DATEINSTALLED �/ -�`�� INSTALLER Et ' p is Tank or ❑ Holding Tank Size: /�r0U If Tank is homemade I�� give dimensions: _ SOILS RA ING , 5 TYPE OF K TOTAL ABSORPTION AREA MANUFACT HER - - MATERIAL 4. DISTANCESSeptic/Hold�n� WELL TO: ankank Absorption Area- Sewer-Line estLotLine- Absorption Area to nearest Lot Line 5. COMMENTS &APPROVED FOR � BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE l/�� (\/� fy_/ - - 1 a I J •r NU BY (Title) ,r% '(`V/'_ - EGAL DESCRIPTION rL 72-010 (Rev. 3/78) A�s F TO R O ' - M Laura Florence routth Floor Fifth Floor SUBJECT ;I of 60 Schroeder j_jj)djv3 sion DATE ljug'ust 2j 1978 MEESSAGE R q »ri V Peoples Bank and Trust Ca.11.eci this ctavo and for theloaon the F� i ha.s fel-1 through. P:l.Eaa>"- malce arrangemcni:s :dor tYIE? re_functe Thank you REERLY Redifrmm 4S 471 C -( Ward SIGNED' - Sewer and Water. SIGNED SE PART 3TWIL ABEDRETURNED WT ON H R PLY CT - ❑ MULTIPLL FA ILY 7. wnrr_Fl suPPLY ® INDIVIDUAL' ❑ COMMUNI rY ❑ PUBLIC UTILITY DETACH AND FILE FOR FOLLOW-UP 1 VVU ❑-pilrel LJ r1VU ❑ Six DATE ATTACH WELL G. A well log is required for all wells drilled since June 19 5 For wells drilled prior to that date, give well depth (attach I g if available) 8. SEWAGE DISPOSAL SYSTEM **If individual/on-site, give installation (xil INDIVIDUAL/ON-SITE" If system i< over two (7.) years old an adequacy test is required ❑ PUBLIC UTILI IY by this Department. NOTE: THE INSPECTION FEE MIDST ACCOMPANY Fr/ 1CFl REQUEST BEFOFIE PROCESSING CAN BE INITIATED. 72-010(3%/8) PIXY PAK (50 SETS) V 471 ATTACH WELL G. A well log is required for all wells drilled since June 19 5 For wells drilled prior to that date, give well depth (attach I g if available) 8. SEWAGE DISPOSAL SYSTEM **If individual/on-site, give installation (xil INDIVIDUAL/ON-SITE" If system i< over two (7.) years old an adequacy test is required ❑ PUBLIC UTILI IY by this Department. NOTE: THE INSPECTION FEE MIDST ACCOMPANY Fr/ 1CFl REQUEST BEFOFIE PROCESSING CAN BE INITIATED. 72-010(3%/8) rcrGv 'i r2ques cu by; F, cress: Lynn `Marshall 3203 Snena-rd_Rd David Ai. Gullard cress. Davis Street Lade P.iver_ O`sG•r P< -;G;;; Lot 60 Schroeder Subdivision J . Vil ` Davis Street Eagle River r 1 _^ � J„ G we ; be insp�.. �a Single J J. 1 5. a`w. Unknown V ^ /.dd." U J?GJc i JfS�BG: Ia urilmown 2. __•___---- J. i all G : � G :. d � � C n � v n O i -"as :.. ✓'ij,;;.. ;GAS: c C �a lC r1D�0,^ ^ S OJc -- J V..1ii4G vi V1 r.0 0 ^J.V Gr w@u 'GG ncc'1^cS ! 0" ' 1 e-- J.. rI.L An C Vi ..y rIay .> y 10 ./ , 2 `/c:U V i •/. __ C rcrGv 'i r2ques cu by; F, cress: Lynn `Marshall 3203 Snena-rd_Rd David Ai. Gullard cress. Davis Street Lade P.iver_ O`sG•r P< -;G;;; Lot 60 Schroeder Subdivision J . Vil ` Davis Street Eagle River r 1 _^ � J„ G we ; be insp�.. �a Single J J. 1 5. a`w. Unknown V ^ /.dd." U J?GJc i JfS�BG: Ia urilmown 2. __•___---- J. i all G : � G :. d � � C n � v n O i -"as :.. ✓'ij,;;.. ;GAS: c C �a lC r1D�0,^ ^ S OJc -- J V..1ii4G vi V1 r.0 0 ^J.V Gr w@u 'GG ncc'1^cS ! 0" ' 1 e-- ------------ ----- .. . ....... C) oil, X11 I o^con s ar 1 6