HomeMy WebLinkAboutNORTON PARK LT 2D
MUNICIPALITY OF ANCHORAG~-
~_HEALTH AND ENVIRONMEN ~_ PROTECTION
~/S~re~t, Anchorage. Alaska 99501
~/ 264-4720
F) Date Received: January 6, 1978
#2: Time' #3: Time
Date
Date
Insp
Insp
4:
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
- % Florence
Lending Institution Request: First National Bank of Anchorage
Mailing Address: Post Office Box 4-2090 99509 Phone: 274-1521
Property Owner: Catherine M. Ostergaard
Mailing Address: Star Route A Box 156C 99507
Phone: 349=4765
Legal Description: Lot 2D Norton Park Subdivision
1£60b Elien Avenue
Single Family Residence: (x)
Multiple Family Residence: ( )
Number of Bedrooms: Three
Number of Bedrooms:
Well System: Individual well (x) Community/Public System ( )
Permit ~t _ Dept~of Well Well Log on File (
Construction f~/f~~ Bacterial Analysis
Sewage Disposal System: On-site System ( ) ~ Public Utility (x)
Installed Installeb
Permit #
Septic Tank Size
Absorption Area
Manufacturer
Soils Rate
Distances: Well to Septic Tank
to Sewer Line Nearest Lot line
Material
to Absorption Area
Absorption Area
to Nearest Lot Line
PageTwo
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 2D Norton Park Subdivision
Comments:
Affadavit Attached: ' ('
Disapproved:
Letter Attached: ( )
Date:
Date:
Department Worksheet:
Municipality of Anchorage
DEPAR ...... ~gT OF HEALTH & ENVIRONMENTAL Ph~ .,-'CTION
POUCH 6-650 ANCHORAGE, ~LASKA 99502
279-2511
MUNICIPALITY OF /),NCt~d?;.~ ~,C.
DEPT. OF H[Z,~I.TI.~ ~'-',
fiNVtRONME~ ~/',L i:~,tO i ~C i i C,~
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. TYPE OF LOAN 2. ASSESSORS PARCEL ~J'OI~B~,R ,, i ¢~/ !, ,.
[] VA [] F.H.A. E~CONV []
3. LENDING INSTITUTION 4. REALTOR OR AGENT
First National Bank of Anchorage Tanner-Magowan Realtors
P. O. Box 4-2090
3766 Arctic Blvd.
Anchorage, Alaska 99509 Anchorage, Ak 99503
Florence 274-1521
Beth Mack 274 2521
5. SELLER ['u.' BUYER
Catherine M. Ostergaard Donald M. & Carol J. Moore
SRA 156 C 2361 Homestead Court #3A
Anchroage, Ak 99502 Anchorage, Ak 99507
349 4765
243 4316
7. LEGAL DESCRIPTION 8. LOCATION/STREETADDRESS
Lot 2D, Norton Park S/D 11605 Ellen Avenue, Anchorage
9. TYPE OF D~VELLING 10. WATER SUPPLY 11. SEWAGE DISPOSAL SYSTEM
~ SINGLE FAMILY RESIDENCE 3 BDRMS [] PUBLIC UTILITY ~] PUBLIC UTILITY
[] MULTI-FAMILY RESIDENCE__ BDRMS ~ PRIVATE ON-SITE [] ON-SITE
YEAR INSTALLED
INSTRUCTIONS TO REQUESTOR
1. Complete Items ltd 11 above 3. Send to address above 5. Response will be returned to lending
2. Remove the carbon 4. Please allow 10 days for processing institution
DATE RECEIVED DATE OF INSPECTION TIME OF INSPECTION INSPECTOR
TYPE DEPTH YEAR DRILLED PERMIT REFERENCE
~ CONSTRUCTION BACTERIAL ANALYSIS LAB REFERENCE NO.
YEAR INSTALLED INSTALLER TANK SIZE MANUFACTURER
~ DIMENSIONS CRIB CONSTRUCTION
~ [] PIT
>-
~- [] DISPOSAL TOTAL LINE LENGTH TRENCH DEPTH GRAVEL DEPTH
~u FIELD
co FT. FT. FT.
TOTAL AB~'ORPTION AREA -' PERMIT REFERENCE
SQ. FT.
72-010 (11/76)
SEPTIC TANK . _,~R'PTIr'ON AREA SEWER LINES ~OT LINES OTHER
mm WELL TO:
~ SEPTIC TANK ABSORPTION AREA WELL LOT LINE
~ ABSORPTION
'-' FOUNDATION TO SYSTEM TO:
[] APPROVED [] CONDITIONAL APPROVAL
[] DISAPPROVED [] UNABLE TO INSPECT
DAVE INSPECTOR
DIAGRAM OF SYSTEM
I certify that the informatiou contained in this request for approval to be a true and accurate representation of tile subject sewer and water facilities
and these facilities are operating satisfactorily.
DATE SIGNATURE
l. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received September 13, 1976
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Coast Mortgage Company
10: 30 a.m.
9-14-76 Tuesday
Pratt
Post Office Box 1200 99510
William H. Snethen
Star Route A Box 156 99507
Phone: 279-0065
Phone: 344-0194
3. Legal Description: Lot 2D Norton Park Subdivision
4. Location: Ellen Avenue off of Klatt Road
5. Type of facility to be inspected Single Family
6. Well Data: Individual
A. Type
C. Construction
7. Sewage Disposal System:
A. Installed
C. Septic Tank: 1. Size
D. Seepage Pit:
E. Disposal Field:
8. Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
No. of bedrooms
1. Absorption Area
Total length of lines
B. Depth
D. Bacterial Analysis
Public Utility
B. Installer
2. Manufacturer
2. Material
, Absorption area
, Other contamination
C. Absorption area to nearest lot line
, Absorption area
, Sewer Lines
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re~ Jt for Approval of Individual Y ~r & Water Facilities
Legal Description Lot 2D Norton Park Subdivision
Comments
Approved
Disapproved
Date
Approval~Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)
1. Type of Inspection:
2. Property Owner:
/-' :~ '( ./~.fi)i~q:t!:)'~"~,~~ ~';' '~ ~. :-d ~:'~ ~:: .,'~X
~~~~g~' DEfrAyMENT OF ENVI~_OBMENTAL QUALITY
2~O~ast ~dor Road )L~chorage, N, 99507
~ES¢$~R ~VAL OF
CMRO VA ~ FHA
Willi~ H. Snethen
Mailing Address: SILA Box 1~6 A~chora~e 99~;02
Name of Buyer: Allen X. Oster6aard
SP 28
Mailing Address'. 9~!-9.9 Brayton Drive Anchora6'e
4. Name of Lending Institution:
Mailing Address:
5. Name of Realtor or Agent:
Mailing Address:
Coast Mortgage Co.
Day Phone 344-0194
P.O. Box 1200 Anchorage
Tanner - Magowan
~4~ Boniface
99~02Day Phone
?
~g77~6671 Ext 223
99~l~hone . 279-006~
Bruce Griggs ( Listing A6ent)
Phone
6. Legal Description:
Location:
Lot 2 D Norton Park Subdivision
'Rl ln~ Av~m~]~. off Mlatt Road
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply:
Water Supply
Public Utility
No. Bdrms.
Individual ~
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility ~
If Individual, date of installation
Individual (on-site)
EQ-037 (1/74)