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HomeMy WebLinkAboutSOLAR ESTATES LT 4Lxq,. 12c )-oom c.,-thLk . V- DATE RECEIVED INSPECTION APPOINTMENTS TIMF MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE EPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 • ENVIRONMENTAL SANITATION DIVISION FEB Z 7 1981 Telephone 264.4720 (� � \/ n REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE F°PIE�LTTS DIRECTIONS: Complete all parts on page 1. Incomplete requests willnot be processed. Please allow ten (10) days for processing PHONE 1. PROPERTY OWNER ?6"y C(/A.-�S 131fs= MAILING ADDRESS grA 0A C197, 97 , y V✓7YO0 %Z !S l (/� vw+� ✓�j`-� PHONE PROPERTY RESIDENT (if different from above) I-g+16 Vei/ws ,f�VL PHONE 2. BUYERr nafk ,4 •, ace tol y u • �revrCJs MAILING ADDRESS 2:W:3;—P 4. REALTORIAUtly I K MAILING ADDRESS 72V�Gh 5. LEGAL DESCRI EET WU S 3. TYPE OF RESIUtnII:r - SINGLE FAMILY ❑ MULTIPLE FAMILY 7. WATER SUPPLY ❑ INDIVIDUAL* ❑ COMMUNITY ® PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM 0 INDIVIDUAL/ON-SITE** ❑ PUBLIC UTILITY t i/! 4'/ ❑ One i! Four ❑ Two ❑ Five ❑ Three ❑ Six 272-©S7 ❑ Other * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) w-- YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY PERMIT NUMBER ❑ INDIVIDUAL DEPTH OF WELL ❑ COMMUNITY EJPUBLIC UTILITY DATE DRILLED Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY DATE INSTALLED Connection Verified INSTALLER ❑Septic Tank or E] Holding Tank Size: _ If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area WELL TO: Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ` P L�6-&, Lam -APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE q B�. 72-010 (Rev. 6/79) � �A���� ��D���MMn����| �M����| ���N|��� Inc.�U/���y� [|�Uy�NJU�|�|y|��i LU||U�Ui ][�0L�] U|L _ ��_�, , ,' ,._ Engineering & 6nuironmental Studies MUNICIPALITY OpANCHORAGE ocrc OF xcxox & ENVIRONMENTAL ynVTcCT/oN MAR Q 19'81 0>�»�������� ����1������� 3�7~81 ALA�KA MUTUAL SAVIN�S � LOAN 1S�3 N 31ST AVE ANCHO8ACE AK 99503 SELLER — RANDY VANS SbBDIVISION—OCE'HN VIEH BLOCK~23 LDT~� THE TYP� OF A8S�RPTION SYSTEM IS A PIT NITH �N UNKNONN AREA, THE SYSTEM ('I OF ACCEPTIN� 450 CALLONS �F �ATER PER DAY, BASED UPON THE TEST DATA THE CYSTEM �S ACCEPTABLE �OR A 3 BEDRO�M VI C) TH� �EPTI� fAil'NK NAS F' U, Septic tank size is 1000 gallons. 00 1220 West 25thAuenue e Anchorage, Alaska 99503 * (907) 276-1361 k b E PP = e. '1 JIUNICIPALI`TY OF ANCHORAG'" MENT'`t71=' HEALTH AND ENV=I-RONMENTA-`"AOTEC.TION 2 L Street, Anchorage, Alaska 9950.1 2792511, ext. 224, 225 Date Received: March 29, 1977 _lst Inspections Time _ 1:30 p.m. Date 3-30-77 Inspector Kennedy 2nd _inspection: Time 1:30 p.m. Date 4-1-77 Inspector Kennedy REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska Pacific Bank Mailing Address: 601 West 5th Avenue- Phone: 276-3110 2. Property Owner: Mailing Address; Jay L./Bertha L. Warner Phone: 274-8611 x 517 Alaska Court System, 900 West 4th Avenue 3, Legal Description: Lot 4 Block -3 Solar Estates 4. Single Family Residence: ( Number of Bedrooms: 3 Multiple Family Residence: ( ) Number of Bedrooms: 5. Well Data: Type Indivd:dual Depth Construction Bacterial Analysis Well Log Filed ( ) 6. Sewage Disposal System: On-site system (.Yj Public Utility ( ) Permit r Installed 1964 Installer Septic Tank Size Manufacturer Absorption Area Soils Rate Material 7_ Distances: Well to Septic Tank to Sewer Lines Nearest Lot Line Absorption Area to Nearest Lot Line to Absorption Area Page TWO °rJIR�paftment'of Health and' ;Environmental Protection Request for Approval 0f Individual Sewer and Water Facilities Legal Description: Lot 4 Block 3 Solar Estates Comments:Z=AA Affadavit Attached: ( ) Letter Attached: ( ) Approved: Date: 3—S,1-77 Disapproved: Date: Department Worksheet: x �.6 MUNICIPALITY OF ANCHORAGE i13�i1sPi I*r{R�,iRTI.t ,fin-,,,-�1t Health.and Environment6 ,,t?rotection C)p ti L 'g25 ' `L Street, Anchorage, ,Alaska 99501 ,c:rioN 279-2511, ext. 224, 225 Red(4)NgV 9a1WlApproval of Individual 'Sewer and Water Facilities r IVL- --p- 1. Pr �r Owner: JGIY L QilitG( i521G1i Z_ /I%d�%2/U�%2 Mailing Address: if'C2C_i7-4je(2 j, qOV a -4M Phone: Z7gf X70 2. Name of Buyer: rQ P �:I,CoG( �c�Z� :Ola&dM Ak L /_4= Mailing Address: Q( C2aln�a Phone: 279­610Zq po kc Les ' 3. Lending Institution: Mailing Address: ((J/�[,��df(j� �� Phone: 276-200 4. Realtor/Agent : L�(A.(L� ff - 4C�07'7i % i/ i2E L T�/ (?I C Mailing Address: ,721 4:� (q-^ .Z:M_ dLC6e9�1,jr0/ Phone: 7_7z-0571 5. Legal Description: Street Location: A[H-ff (/p1AUs Dt� 67/ilG%(0 6. Single Family Residence: „Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well ( ) Public/Community System If Individual Well, well depth If Community System, name of system 8. Sewage Disposal System: On-site System ( Public System ( ) v If On-site System, date of installation: 19� of *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 825 "L" STREET ANCHORAGE, ALASKA 90501 (907) 264A 111 GEORGE M. SULLIVAN, MAYOR DEIP"".H 111,1ENT OF HEALH AND ENV IROMMEN TA!_ PROTECTION April l/i, 1981 TO; Whom IL May Concern SUbjc,ct. Lot: 41 Plock 23 Solar ]:states Subdivision Randy Evans Property The subject _,roperty is served by an individual. sewer system, a'he dwelling is one -hundred (1.00) feet from the public sewer Line, Therefore, this depat i-Mic i:L will not require the oviner_ to connect to the public sewer. I]_ there are any further questions, please call. this office ar 264--4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw jF(Zv L CATER ANCHORAGE AREA BOROLUJI HEALTH DEPARTINENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 279-2511 DATE RECEIVED - INS . PECT: ECEIVEDINSPECT: 3�4 x TIME: �� RE INDIVIDUAL 1: Approval Requested By Address Phone TIES 2. Property Owner_ Phone 3. Legal Description 4. Type of Pacility to be Insp cteSTREET: Number of Bedrooms A� 5. Well Data: r A. Type���—� B. Depth �� f C. Size it (Ctsf P1 D. Construction 11h� E. Bacterial Analysis 6. Sewage Disposal System: A. Septic Tank (If homemade, show diagram on back) 1. Size 2. Age 3. Manufacturer j l�rr� i81 4. Installer F Approval Request for SewO�&, Water Facilities Page Two r' ' B. Seepage Pit 1. Size �t�4l4ui� - 2. Lining C., -..Disposal Field I. Number of Lines 2. Total Length A Lt 7., Required Measurements A.. Well to Septic Tank Oq— B. Well to Seepage Pit 1&LC-r C. Well to Sewer Line ID /4- D. Well to Property Line I014- E. Well to Other Possible Contamination` F. Foundation to Septic c Tan ' G. Foundation to a See e Pit Seepage l3 H Seepage Pit to Property Line_kC(4_�L— 8. 'COMMENTS: APPROVED: • DISAPPROVED: DATE:ZW-1:47- / "/ DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT ED1170