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HomeMy WebLinkAboutSUNNY SLOPES LT 18 GAAS-HO I GP~TER ANCHORAGE AREA BOROI'mH ~ HEALTH DEPARTMENT ~ 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME ,,/......~2/)/ _..,<~.-~,.,~/.u~"~ ADDRESS ~;~-~',~, '-~..~-~, ~"'~i,:~', PHONE'T---'_ LOCATION SEPTIC TANK: LEGAL DESCRIPTION J~ .)M :~...~:~ ~.~.~/ NUMBER OF COMPARTMENTS DJSTANCE FROM WE C/-/~-')/;""~.,'"~" //~:~ ATERIAL C-'~''~-/' f~'~:~ ~/'~;~'~' ~>"/~":-~?-- LIQUID LIQUID CAPACITY //' 4"~ ~"",.,2 ~ GALLONS. INSIDE LENGTH. ~ INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL_ NEAREST LOT LINE OUTSIDE DIAMETER -- OR WIDTH ~' -4/ /-~ LENGTH , DEPTH DISTANCE FROM WE(~/~-.~/'~-/-~"-:~' ~_~ BUILDING FOUNDAT ON TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~'~/'~ SQ. FT. TILE DRAIN FIELD: DISJMA~iEoFFR~E~ELL ' ~ ~I~ATION_ , NEAREST LOT LINE. NU B . DISTANCE BETWEEN LINES ~ DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TIL~ TOTAL LENGTH , OF LINES IN. ABOVE TILE _ WELL: DISTANCE FROM · WATER TYPE' ~'~"~,','~;,,,'~/~/ // '~/,. DEPTH , BUILDING FOUNDATION. · .SAMPLE ,/"--Z~O---- , NEAREST NEAREST SEPTIC ,..__...---- SEEPAGE OTHER LOT LINE . SEWER LINE --. TANK , SYSTEM . CESSPOOL ~ . SOURCES DISTANCES: DIAGRAM OF SYSTEM ~,~/~,'~.~.-~ . · / APPROVED ~EAL/H AU[HORI[Y L APPLI , NT FILLS OUT UPPER HA -. .::ONLY Property Owner. o,,~ ~ ~ ~ ~ ~./~j O~,o ~ ~' ' ~ , ~ r~ Phone Buyer /~ ~7~) ~ ~ ~/~ Address /[ ~ ~ .... ~/ ~ ;/~ ,~(~ /~,~, ~ ~ ZipCode ~ 7 ~ 7 7 Lending ~nstitution ~ Phone Address Zip Code Realty Co. & Agent 6~ e~.. /z y ~ I ,~ <> .! ~ ~ ? ~r A ~i-~ ~hFd:~ 2 ~ ~ Type of Resf~nce ~ngfe Family c/ ~ Other ~ Individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~ommunity For wePs driPed prior to that date, give well depth (attach log if available). ~ Holding Tank Time Time Time Time Date Date Date Date Inspector inspector Inspector Inspector AUG 1 1983 "~Tuelcipality of Anchorage" "Dept. of Health & ( APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED CONDITIONA APPROVAL* DATE Soils Rating Date Sewer Installed Werl To Absorption Area Well Log Received Well to Tank Septic Tank Size 72.023 #1: Time Date Insp MUNICIPALITY OF ANCHORAGF DEPARTME~__~OF HEALTH AND ENVIRONMENk~] PROTECTION 825--L Street, Anchorage, Alaska -99501 279-2511, ext. 224 or 225 2:00 p.m. 4-25-77 Monday Pratt Date Received: April 21, 1977 #2: Time #3: Time Date Date Insp Insp m REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Mailing Address: Pouch 7-010 Property Owner: Mailing Address: Alaska National Bank 99510 Andrew W/Yvonne J. Parker Phone: Phone: 18 Sunny Circle Street Eagle River 278-4581 Legal Description: Lot 18 Sunny Slopes Subdivision Single Family Residence: (~ Number of Bedrooms: Multiple Family Residence: ) Number of Bedrooms: Well System: Permit # Construction Public/Community System: ~ Individual Well: ( ) Depth of Well Well Log on File Bacterial Analysis Sewage Disposal Permit # Septic Tank Size Absorption Area System: On-site System ( ) Public Utility Installed Installer Manufacturer Soils Rate Material ( xk Distances: Well to Septic to Sewer Line to Nearest Lot Line Tank Nearest Lot line to Absorption Area Absorption Area Page ~wo Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 18 Sunny Slopes Subdivision Comments: Affadavit Attached:~~ Approved: ~ C Letter Attached: ( Date: ~/~7 / Date: Disapproved: Department Worksheet: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROT~cI'tON RECEIVEI 1. Type of Inspection: VA FHA CONV XXX 2. Property Owner: PARKER, Andrew W. & Yvonne J. Mailing Address:. Day Phone: 3. Name of Buyer: PETERS~ Robert D. & Darlene E. Mailing Address: 3433 Alexander St. Anchorage~Oay Phone: 27/,-2150 4. Namelof Lending Institution: ALASKA NATIONAL BANK Mailing Address:_Pouch 7-010 Anch .Ak. 99510 Phone: 27g-/,~81 5. Name of Realtor or Agent: Cook Inlet Realty Mailing Address: 619 E. 5th Ave. Anchorage Phone: 278-1111 6. Legal Description: Lot 18 Sunny Slopes Subdivision Eagle River, Alaska Location: 18 Sunny Circle St. Eagle River, Alaska 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Single Family Dwelling No. Bdrms. Public Utility. Individual Cnmmunitv If Individual, number of dwellings presently served If Individual depth of well Sewage Disposal System Type of System: Public Utility XXX If Individual, date of installation ' Please call if you have any questions - Claudia Jonas Alaska Individual (on-site) National Bank 278-4581 72-OO3{3/76) Form 2S73 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA ~ISU lNG OFFI MORTGAGEE SERIAL NO.  J ~ New instalNnon addlflenal Yes, how WA~R SUPPLY BYi SYSTEM DESIGNED FOR ~ublic system ~ ~mmuni~ system ~ Individoal .o. o, ,~,~s. ~,,,,~(~.,,o,,, - ~ ~bJic system ~ ~mmunity system PART fl.--TO BE COMPLETED BY HEALTH DEPARTMENT ALTH DEPASTMENT INSPECTOR'S SKETCH It is the opinion of the [] State [] County /~Local Department of Health that this individual water-supply system .~.is [] is not satisfactory as a domestic qvater supply for the subject property. It is the opinion of the [] State [] County ~]~Loc&l Department of Health that this individual sewage-disposal sys- tern with proper maintenance:  Can be expected to function satisfactorily, and [] Cannot be expected to function satisfactorily is not likely to create an insanitary condition PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: ! have Eeviewed the £oregoing and The pe.inent FHA CompJimtce inspection Repo., and recommend that the Individual water-supply system be considered [] Acceptable [] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. DATE SIGNATURE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM ___~CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITFCT FHA Form 25~ Rey. July 19S8