HomeMy WebLinkAboutHANSEN SAND LAKE LT 7C
~'~,. ' MUNICIPALITY OF ANCHORAGE
· DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NA~E . PHONE ,~NEW
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION . i NO. OF BEDROOMS
~ Well Absorption area Dwelling PERMIT NO,
~ ~ Manufacturer I~ Material No. of compartments
~ ~ Liq. capacity in gaJJo~ Inside length Width Liquid d~pth
IF HOME.DE:
~Z~. DISTANCE TO: Well
O ~ ~ Manufacturer~ ~ Materi~l ~ Liquid ~pacit~ i~ gallons
~ Well Foundation Nearest lot line PERMIT NO,
~ ~ DISTANCE TO:
~ No. of lines Length of each line Total length of lines Trench width Distance between lines
inches
~ ~ Top of tile to finish grade Material beneath tile Total effective absorption area
~ inches
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE
~ Class Depth Driller Distance to lot line PERMIT NO,
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS
SOl L TEST RATING
INSTALLER
REMARKS
72-013 ,~
I I
DEPAR: .dT OF HEALTH & ENVIRONMENTAL P" '..CTIOi~ ~ i~<'~
b/~ETES & BOIJNDS:
LOT SIZE:_ ? ~.Z ,~;;~"-' SQ. FT. TYPE OF PERMIT: :: SEWER ,~/ UPGRADE
WELL HANDWRITTEN
(Nnmber only)
COMBINED
TOTAL DEPTH: FT. PIT
FOR UPGRADE ONLY ADD
FEE: COLLECTED BY:
72.012 (7/77)
TRENCH ~G RAVEL DEPTH: FT.
TO LENGTH AND/ORADD~"~'ff2 GALLON TANK.
OFFICER: ~XT.:.
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APPLi(,'iNT FILLS OUT UPPER HA[ ONLY
Phone
Property Owner John Chris%lan LYou
MaiHngA~dre~ 3609 West 74th Avenue ZipCode 99502
Buyer
Address Zip Code
Phone
Lending Institution
Address Zip Code
Phone
Realty Co. & Agent
Address Zip Code
Legal Description Lot 7C Hansen-Sand Lake Subdivision
Street Locatio~
Type of Residence
~;~ISingle Family tWO
[] Multiple Family No. of Bedroon~
[] Other
Water Supply
[] Individual A"~FACH WELL LOG. A well log is required for all wells drilled since June 1975.
[] Community For wells drilled prior to that date, give well depth (attach log if available).
~,~ Pu blic Utility
Sewer Disposal
[] individual Year individual Installed:
::J~Public Utility When Connected to Public Utility:
[] Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
Field Notes:
(~'~-) APPROVED BEDROOMS *CONDITIONS OF APPROVAL
Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received
Well to Tank Septic Tank Size
72-023 (3/82)
[~. APPLi(.'~'"'~T FILLS OUT UPPER HAl'-' ONLY
~- ~ Phone ~,,' )
Address Zip Code
Phone
Lending Institution ~7 ~ ~ / ~ ._ ~ ~ ~/~
Address Zip Code
Phone
Realty Co. & Agent
Address Zip Code
Street Locati~ .__~ ~ ~ ....
Type of Resi~nce
Singlo Family
Multiple Family No. of Bedroo~ -~¢
~ Other
Water Supply
Individual A~ACH WELL LOG. A w~l log is required for ~11 wells drilled since June 1975.
Community : For wells drilled prior to that date, give well depth (attach log if available).
~ Public Utility
Sewer Disposal ~ ~ '/ ~ ~ ~
~ Individual -- ~ Year Individual Installed:
~ Public Utility ~ /~ ~ When Connected to Public Utility: / ? ~ -~
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time
Date Date
Date
Time
Dat, e
MUNICIPALITY OF ANCHORAGE
r)EPT. OF HS~,LTJl
ENVIRONMENTAL PROTECTION
s or .
Field Notes: t-'l 3 ~Y~)~// .:Zi. -
~_ ~~ ~ / '
APPROVED BEDROOMS . ~ ~ *CONDITIONS OF APPROVAL
' ) DISAPPROVED ~~'~~ ~~ ~ ~"
DATE ~~ ' · "¢ ...... ~ ~ ~ ' ~~ ' ~~'~
Soils Rating
Date Sewer installed
P-
72.023 (3182)
Well To Absorption Area
Well to Tank
Well Log Received
Septic Tank Size
MUNICIPALL. ~F ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
AUG '~ 1984
RECEIVED
ANCHORAGE WATER & WASTEWATER UTILITY
Tony Knowles
Mayor
3000 Arctic Boulevard
Anchorage, Alaska 99503
(907)
Owned by the Municipality
of Anchorage
October 3~ 1984
Chris Lyou
3609 West 74th Avenue
Anchorage, Alaska 99502
RE: Hansen Sand Lake Lot 7C
Gentlemen:
Please be advised that the above legal description does have
water available to the property.
Customer Service/Representat ive
Anchorage Water & Wastewater Utility
lbl/sl3
BESSE, Eries & POTTS
March 19, 1984
Mr. Keith Bandt
Municipality of Anchorage
Department of Health &
Environmental Protection
825 "L" Street
Re~anson Sand Lake Addition Lot 7C__~B_~
Dear Keith,
AS you are aware, we are proposing the following solution to
the problem of a home sewer connection being within 25 feet of
a residential well. The solution proposed is to encase the
sewer with concrete for a distance of 25 feet as shown On the
attached detail, removal of the existing cleanout and
re-setting to a point outside the 25 foot circumferance.
The c~ner is to provide water sampling on the well for
bacteriological analysis only, bi-annually.
Sincerely,
~ Merrell, P.E. '
Partner
DRM/lbs
ENGINEERING, PLANNING, SURVEYING
2220 E. 88th Ave./Anchorage, Alaska 99507/Telephone 907-349-6451/344.1352
DEPARTMENT OF HEALTH & ENV RONMENTAL PROTE~I~J'i'~''i:l'd. '" :~ i: .','.'.~,~ ~ ',': ?:
825 LStreet-Anchorage, Alaska 99501 ~'-': :'' ....... [i~.~.~/ ~/~
ENVIRONMENTAL ENGINEERINGDIVlSION ~ ....... ~,~~, V~,~ ~, V
Telephone 264-4720 ~'.. J .t · ~ ,: ~
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.
PHONE
6. TYPE OF RESI'DENCE ' - zNUMBER OF BEDROOMSC/
[] One [] Four [] Other
~ SINGLE FAMILY ~ Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
7. WATE.R. ~UPPLY
~ iNDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
*ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For ~e/ts drilled prior to,that d, at.e, give,well
depth (attach log if available.)
8.
SEWAGE
DISPOSAL
SYSTEM
**If individual/on-site, give installation date '~. .
'~;L INDIVIDUAL/ON-SITE**
If system is over two (2) years old an adequacy test is required
FT /-~.~.~pUBLIC UTI LITY by this Department.
E:THEIN~S, PECTIO~FEEMUS'~C~C NIPANY EACH REQUEST BEFORE PROCESSING cAN BE INITIATED'
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE , DATE DATE
I NSP ECTOR INSPECTOR l NSP ECTOR
DIRECTIONS: :
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] r THREE [] FIVE [] OTHER
[] MULTIPEE FAMILY [~ TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] iNDiviDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTAl-LED
[]PUBLIC UTILITY
Connecti°n Verified iNSTALLER
[]Septic Tank or [] Holding Tank ,
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES WELL TO: Septic/Ho]ding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
I~'~APPROVED FOR ~ BEDROOMS
[[~CONDITIONAL APPROVAL (letter must/~pan¥ certificate)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
April 3~ 1979
Coast Mortgage Company
4797 Business Park Boulevard
2~lchorage~ Alaska 99503
Subject: Lot 7C Hansen Sand Lake Subdivision
A selvage holding tank was installed on the subject property
and approved by this department.
This is an approved method of sewage disposal ~at requires
routLne maintenance pumping until public sewer is available.
tf there are any further questions~ please contact this
office at 264~4720.
Sincerely~
Les N. Buchholz~ R.S.
Senior Environmental Specialist
LNB/~jw
Ken Shaw
~yna~ic Realty
501 West Northern Lights Boulevard
99503