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HomeMy WebLinkAboutKENAI VIEW LT 4 He~h and Environmental Prote~on Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION DISTANCE WELL. INSIDE LENGTFt. INSIDE WlD1-H LIQUID DEPTH NUMBER OF / COMPARTMENTS _~ LIQUID CAPAC I TY~GALLON$. TILE DRAIN FIELD: DISTANCE FROM WELl ............... # o£ T,lnes ABSORP'IION AREA DEPTII: TOP OF TILE TO FINIStl GRADE TOTAL LENGTH ~~nN~ ,NEAREST LOT LINE .OF'LINE SEEPAGE PIT: Log Crib Rings____ BUILDING FOUNDATION.____ D_~ . _ OR ~H___., LENGTH___, DEPTH Crib Size: DIAMETER ...... DEPTH ..... DISTANCE FROM: WELL ~ TflTAt EFFECTIVE NEAREST LOT LINE .... ABSORPTION~EA) ..... 5Q, FT. ~ell ilass:_~.~ Depth: ~ell Distance To: Lot Line %ldg: Sewer Line: ~ipe Materials: ,: of Bedrooms: installer: ~emarks: GREATER ANCHORAGE AREA BOROUGH  DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO' . TELEPHONE 274-456 I ,~. SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT PHONE LEGAL DESCRIPTION ~O~"' INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS TO BE INSTALLED BY NOTE: THIS PERMIT IS NOT VALID WITHOUT ~IL COMPLETION DATE ANTICIPATED . FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT'OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. ~,: ~;L-~ TYPE REA SIZE TYPE MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PiT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK. . SEEPAGE PiT TO RIVER. LAKE, STREAM, DRAIN FIELD ,. DRAIN FIELD SEEPAGE Pit ALSO CONSIDER AREA WELLS. · SEEPAGE PIT DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. DIAGRAM OF SYSTEM GRAVEL BACKFILL CONFORM TO IROROUGH REGULATIONS REGARDING INSTALLATION, I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BORO.~GH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE· ~ ~v/.~ DATE / '--27--77APP.ICANT',,,GNATURE -- - , D RECEIVED . ~ ~ INSPECTION APPOINTMENTS TIME' ~ TIME TI'ME DATE DATE DATE INSPECTOR INSPECTOR I NSPECTOR(~v MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE . DEPT OF HEALTH &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~iRON~ENTAL PROTECT~N 825 L Street - Anchorage, Alaska 99501 AUG 5 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 ~l~fi~TlO~: Complote aH parts on pa~o 1. In~ompl*to r~qu*~t~ will not bO pro~d. ¢leaso allo~ ten {~ O} dags for processing. PROPERTY RESIDENT (If~ifferent from above) ~ . - PHONE 2. BUYER PHONE MAILING ADDRESS MAILINGADDRESS~, ~ ,~ ~ 4. REAL~OR/AGENT MAI LING ~D D~SS ;TREET LOCATION ' · 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four ,~ SINGLE FAMILY I-- Five Two [] MULTIPLE FAMILY ,,~ Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well Icg is required for all wells drilled since June ,1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~ 2  lq/D0)-~ YEAR (~N-SITE SYSTEM WAS INSTALLED. 'ND'V'DUAL/ON'S'TE:: PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROC ESSING CAN BE INITIATED. I. TYPE OF RESIDENCE [] SINGLE FAMILY I-- MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY I-- PUBLIC UTI LITY Connection Verified ~L SYSTEM r"-IINDIVIDUAL/ON -SITE I--I PUBLIC UTILITY Connection Verified [~Septic Tank or [] Holding Tank Size~3~.,~ ,l~f ma~nk~s ho~memade give dimensions: ~ TYPE OF TANK TOTAL ABSORPTIOI~ AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] OTHER [] TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL ,DATE DRILLED LOG RECEIVED PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATINGL MANUFACTURER MATERIAL · Septic/H°lding Tank Absorption Area COMMENTS [] APPROVED FOR ~ BEDROOMS [] CONDITI 0 NAL APPROVAL (letter must accompany certificate) [] DISAPPROVED Municipali of Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M, SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION August 31, 1981 Joseph W. Dinkins % Margi Lugo or Matt Matthews Century 21.- Heritage Homes 207 East Northern Lights Boulevard Anchorage, Alaska 99503 Subject: Lot 4 Kenai View Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) 2) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. The septic tank pumped with a receipt submitted to this office. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S Associate Specialist RCP/ljw cc: Alaska First Mortgage Corporation 207 East Northern Lights Boulevard 99503 .  ~ ~ ~UNICIPALITY OF ANCHORAGE ' DEPARTMEN'N~.~F HEALTH AND ENVIRONMENTA~--W~ROTECTION 825 L /Street, Anchoraa~. Alaska 99501 I l/ ~ ~///~ ~/~ 264-4720 ~-- ~ .~ {~ ~ Date Received:_October 2.6, ~1: Time C~,~ ~]~Y~1 ~ ~/~..~/Time ~ %O ~3: Time 1977 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Peoples Bank and Trust Mailing Address: Pouch 7-007 99510 Phone: 279-7511 2. Property Owner: Mailing Address: 3. Legal Description: Glen L. Carlson % Everett Honegger, 276-8188 Phone: Lot 4 Block 1 Kenai View Subdivision 4: single Family Residence: (~ Multiple Family Residence: ( ) Number of Bedrooms: Four Number of Bedrooms: Well System: Permit # Construction Individual well Depth of Well Community/Public System ( ) Well Log on File (/~/~ Bacterial Analysis Sewage Disposal System: Permit % ~~ank Size Absorption Area On-site System (x) Public Utility Installed /~7 Installer _~/ Manufacturer ~' Soils Rate ~ Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line 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 IglUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION OCT G 1977 RECEIVED 1. Type of Inspection: 2, Property Owner: Glen L. Carlson VA___ _FHA .... CONV ~ Mailing Address:. Contact Realtor Name of Buyer: Noah Lee Stafford Day Phone: Mailing Address: 4414 Reka Drive, Anch. Ak. Day Phone:_ _2]6-2503 4. Name of Lending institution: PEOPLES BANK,, ,& TRUST CO_ Mailing Address:. POUCH 7-007, ANCH. AK.. Phone:__ 279-7511 5. Name of Realtor or Agent:L Jess Holliday Co. (Everett Honegger) 2820 C St., Anch. Ak. Phone:__ 276-8188 Mailing Address:_ Lot 4, Blk. 1, Kenai View Subdivision 6. Legal Description:_ Dora and Snowshoe Lane, Anch. Ak. Location: .... Type of Facility to be Inspected:. ,Single Family Residence -No. 8drms.__ 4 Water Supply Type of Supply: Public Utility.__ ___Individual Well If Individual, number of dwellings presently served If Individual, depth of well_ Sewage Disposal System Type of System: Public Utility _ _ Individual (on-site) Septic If Individual, date of installation ........ 72-003(3f76) r~e TWo Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 4 Block 1 Kenai View Subdivision Comments:' (//~/7~ ~ ~ ~ ~ Af fadavit Attached Approved: ~ Disapproved: Letter Attached: ( ) Date: Date: Department Worksheet: ney fo~ le~al action. ~l'mh~d Stitt - RECEIPT FOR CERTIFIED F~S ADDITIONA~ TO 20~ FE~ ~/~ June 1962 INTIRNATIO~ GREATER ANCHORAGE heaLTH DISTRICT ~TREI~T · P, O. BOX 968 PHON£ BPi 6-3351 ANCHORAGE. ALASKA