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HomeMy WebLinkAboutHOMECREST LT 8S/'D APPLI NT FILLS OUT UPPER HAk= ONLY " P~.rol~erty ~)wner ~'~,~.. ',[' W /"1- '"" '~'~ ~ ~ ~ ~W ~[ ~ ~ Phone Mailing Addre~ ,~ ~ Lending Institution ~%~-~ Ck~',.; [~,~ ~ 0 ~,~[~ ~-~ ~,~ Phone Address ~ ~) )'~ ~ Realty~o. & Agent ~ ~ ~ ~ L , ~'~/%)'~ R'~'~, , ,,~¢~'~X-~ ~; ?~, ~ V"~ ~ Phone Legal Description LoT T~ o~esi~nce ~ngle Family ~ Multiple Family No. of Bedrooms ~" ~ Other ATTACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~lndividual /~ ~ommunity ~% For wells drilled prior to that date, give well depth (attach log if available). ' ~ Public Utility Sewer Disposal ividual Year Individual Installed: blic Utility When Connected to Public Utility: olding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIA~ED. Time Time Time / Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE {.~.D ~'-,) h ~ ~¢ ~ ENVIRONMENTAL PROTECTION RECEIVED ( ) APPROVED BEDROOMS / ~DITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* : ~ ~ [ ,~ , Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received Well to Tank Septic T~k Size APPLI£ FILLs OUT UPPER HA[ ONLY Propelity ?wner ~ ~ ~ a.~ Ja,Tlet J/.~-i Phone i~iling Address Zip Code Buyer Joseph J and Janice A. Soares Address Zip Code Lending Institution .: ;;' Phone Peoples Bank & Trust ': . ~ '~" ~ 276_8080 Address 13~(~%1 7007' Anchorage, Ak. zip Code 99501 Phone Realty Co. & Agent ~earth~ide, Inc, Gallery of Homes 563-3655 m. ~ .~ ~ ~]. nnc,'~'3 Zip Code Legal Description ~ 8~ B 8~, Street Location Type of Residence  Single Famtly Multiple Family No. of Bedrooms. 2 [] Other Water Supply{~ -~,t ~ Individual .,,.~,-~ ATTACH 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). [] Public Utility Sewer Disposal :~ Public Utility When Connected '0 Public Utility: ~/)~D~--4z~/~ ! 0-'~'--'~'~-'/ ~ ~'~ 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/,~ Fie,d Notes: J~L ~)'T.) MuNICIPALITYDEPT. oFOFH~ALTHANCHORAGE RECEIVED ( '~.L~PPBOVED BEDROOMS *GONDITION8 OF APPBOVAL . , , ' · ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size ~ : ' CHE~IICAL & G~. ~OGICAL LABORATORIES ~_ ALASKA, INC.~ ~X TE~LEPH~NE (907)562-2343 5633 B Stree~ ; ANCHORAGE INDUSTRIAL (~ENTER ~rinkin~ W~tor ~nal~sis ~oport for Total COliform 8aetoria TO BE COMPLETED WATER SYSTEM: Water System Name Mailing Address City SAMPLE DATE: MO, SAMPLE TYPE: [] Routine [] Check Sample (for with lab ref. [] Special purpose SAMPLE NO. 1 I 4 I 5 I LOCATION I.D. NO. Day Year Zip Code TQ~BE COMPLETED BY,LABORATORY Ahalysis shows this Water SAMPLE to be: $~atisfactory [] Unsatisfactory '-] Sample too long in transit; sample should "'?COt De over 48 hours old at examination t~o indicate reliable results. Please send Flew sample. D~te Received ~1~e Received tlcal Method: Fermentation Tube 4embrane Filter Result* Analyst m 06~1220 (~) Rev. 1978 BACTERIOLOGIC~LWATER READ INSTRUCTIONS BEFORE COLLECTING SAM PLE Date Collect~l Source Presumptive tOtal 10mi 3~ml 1Omi 10mi 1.0mi 0.1mi 24 Hours 48 Hours Confirmatory 24 Hours 48 Hours EMB Broth 24 hours: Multiple Tube RePort: Membrane Filter: Direct Count verification: LTl) Final Membrane Filter R~S~,~tS Broth 48 hours: 1Omi Tubes Positive/Total 1Omi PortlOOl Collform/~00ml BGB Collform/100ml Date FIF'F'I_ i CRNT LOCRT I ON LEGRL TOH E:O W Et'.J,I ,:,._ $_'.. PEE:K R'v'E LOT 8 E,L ,=h" HOMECREST SUE~ ,.':,.. 4.> F E _.t'. F:t'¢E ::51 ZE ::J'sr2 5 IFIt:~:E: FEET 'I"'?PE OF;' SCIIL FIBSORB"I"ION L::;"r'STEM i:5: TRENCH i'"tFIXIMUH I'..tI.JHE:ER OF E:EI}RO01"1S = THE REQUIRE[:, SIZE OF 'T'HE SOIL ]i: YI" I NG ,:' L: g, 5 tlZ:. tE F" 'IF Mt ===- :~L.. nr~-n T'HE LENGTH DIMEN$I THE DEF'TH OF' Ft GROUND FIN[) THE THERE IS I0 SET THE DEPTH FINE:' 'f'HE 'TOM LENGTH IS THE EXCFIVR T i ( FEE'f ;HES. BETWEE II N I MIJH [:,EPTt ~F ~. ITION (IN E't" ). H OR [:,RFI I I'.,IF: I EL[:,. :ICE OF ']"HIE "t"HE O0"I'];:'FIL. L F' I I:::'E FI PFIC.'KFIGE F'OL.L. OI41NG i. Eli' OR I I 2. FI CC)I", [ N'rENFINCt RGREEr I<EPT FIBS C, F' 'T' Z F:'EF.'.M ,I. "1' I EE '~'f~ ~ PT I D'v'ED PI lENT I S ;.:lENT "r'OU MFI'¢ BI MFi"r' BE SI,JB.' O I L E~F:ICKF ILL I NG OF' FIN'-r' S"r'STEM !.,.I I ]'HOUT F I NFII_ [:,EPFIRTMENT HILL. BE: SUEL;fECT TEl I"IlI"~Ii"IUM DIE;I"FINCE: BETWEEN FI HELL FIi~ :t00 F'EET FOF..' FI PRIVFFI"E HELL OF.". 20( o']rHER REQUIREMENTS MFI'¢ I::IF:'F'L"r'. FI',,,'R:[L..FIE~LE TO INSURE PROPEl;.: IN'::;"I"FILIJ:; F t CFIT IONS FIN[':, FIRE I ON. I CER"f'IF"¢ THFIT i.: I BM FFIMiLIFIR WITH THE REQUIREMENTS FOR ON-..'_'5iTE SE].4ER'.'-~i; RND HELLS RS L:.i,E'T' F'OR'TH E:'¢ THE MUN I C I PF:IL. I 'P'r' OF' FINC'HOF;.'.F:IGE. 2: t WILL INSTRLL THE S'¢STErt Z[.,I FICCORDFtNCE WITH THE CODES. i::: I t. JNDERSTFIND THFIT THE ON-SITE SEWER S'?STEM HFI¥' REQUIRE EI'.,II....F:IRGEMENT Il::' THE RESIDENCE IS REMODELED TO INCLUDE MORE THFIN :;~: BEDR(]OHS. SIGNE[,: ~~_~_ *Z..,.~,. .............................................. RPPL I IE:FIi"4T TOM E:O!4EN '.'". .......... , '"," ...... t :,:,tJE[ I::, , ~. ........... Ii -I1 E,__~_ ............................ ', "i:. E1 F'EI:;~M I 'T' NO. ( 7'7'P,":~:Fl " FII:::'F'L I CFlNT LOCFlT 1 ON LEGFIL TOM E:OI.4EN 854]: F'ECK FIVE H ... II[: ...t:. E..::, i '.E . I,:. LOT 8 8L ;.:.:.'Z .......... :;'""' .... LOT E;ZZE ,= ,:¥' ~"=;~ S~;!L.II=tRE FE]ET .... '" ........ '" ....... 1REN _.H TYPE OF E;OiL. ME,_-',Lf4:E,I I_lq E;¥STEM :IFS: ....... ' .... I .... NI..ti'IEI=.I~.. OF:' E,E,E.I~.UJI'4 ..... ;~: I"IFIXZMLIf'I -, ....... '- -' .... ':::' f("l'[I.~ RR"f'ING "'::;~ FT.'"'E;R)= '1"HE RE[':!UIREE:' SIZE OF THE SOIL FIE:'=;'"~R'F:"I"ITN =,T-[Efl IS: THE L_ENGTH [:'II"IEN%ION I2;~; THE LENGTH '::iN FEET) OF' THE TRENCFI OR THE [:'EPTH OF' FI "fRENCH OR PI]' I$ TI.4E [:'tSTFINCE: E;E'I"L,.tEEN THE SI...IRFFICE OF' TI"'IE GROUND F:INE:' THE: BOTTOM OF THE E',:':',CFIVRTION (IN FEET). THERE IS NO $E1" !-'.II[:'TH FOR ]"RENCHE':-:;. THE GRRVIEL [:'EPTH IS THE MtNIMt..IM [:'EF:'TH OF GRFI","EL E,"E'FI-'.tEEN THE OUTFFll...L F'IPE RN[." THE BOTTOM OF THE EXCF~VFFI"ION (IN FEE'I"). .......................................... F" Ftl "2: IK: IFi "Z~ E: F" it__ i=ll IP,I1 ]1 .... "E" IF' T' Z Cd IP.t Fl PFICKFIGE PLRNT MR"r' BE IN~;TFILLE[:' 81- THE PERMZ"f'TEE'"% OPTION ~;I.JB..:ri,ZC"[' TI,] THE FOLI.J3b-! :t: NG CON[:' I T IONS: :'L EITHER R C:LR':~;2~; I OR T I N'..E;F' FIPPROVED PLFINT MFI¥ BE I NSTFILJ...EE:'. 2. Fl CON~I,'ZNUOUS MRINTE]",IFINCE FlGREEMENT T:E; REf.:).I.JIREI}. iF Fl MFI]:N]"I,ENI:::INCE RE'iREEMENT IS NOT KEPT CURRENT MOU MFI'¢ BE REE.:!LttRED 'l"O ENLF:IR(]iE 'THE SOIL FIBSOF.'.PTION S"r'STE]'"I F"INt},.'"OR YOU MFI'¢ BE SLIBJECT ]"O I,:'ROSECUTION. BFIC I-:]::' ILL i NG OF I;;IN~" 2;'¢'L::;TE:M i.,.I I "['FLOUT F' I NRL I NE;F'EE:T 1 ON RN[:, F~PPR(]',/F:II_. E"¢ TH i S " .... ':: '"' ...... ~ ...... ro PR" ':: E ]: _ T ]: ON. [)EPFIR]"MEI'.4T t.41 LL E,E ..... I...IB..] E ~.] . - - i',IINIMLIM DI:E;TFlNCE BETI.4EEN IR WELL FIND RI'.4'./ OI'.,I-':_:;i'FE SEI.,.IFIGE DISPO'L':;FIL. S"r%/"EM ZS :LE)O I::'EET FOR F:I PRIVFITE I.,.IEL. L OR 200 FEET FOR Fl PUBLIC WELL O'f'l-tEl;~'. REC:!LIII:;.:E:MEI".tT~; i"IFI'T' RF'PL.'¢. SPEi;CIFICFITION~.: laNE:' CONSTRUCTION [:,IF:IGRFIM':'5 FIRE RVFIILRBLE "f'O INSURE PROI,:'ER INS"f'RL.LFI"FION. I CERT I F"-r' "FHFI]" i: I FlM FFII'"IIL. IFIR WITH THE REQUIREMENTS FOR ON-E;ITE .C;EI4ERS RND WELL._'._.:; Fl._c; SE]" FORTH B'¢ ']'HE MUNICIPFILIT'¢ OF FINI,:::HORI,':I('"iE. 2: i 14ILL INSTFlLL THE $'.r'~TEM IN RCCOR[:,RNCE !.4ITH THE (.'.'ODES. :~:: I UN[:,ERSTRNE:, THFlT THE ON-SITE SEt.qER S'.r'S'FEM MFl'¢ RE(;!UIRE: ENLI:::IF:.:GEMENT IF:' "I"I-..IE: I,;.:ESI[::,ENCE IlS REMODELED ]"O INCLUDE MORE THFlN ]i: I:3E[:,ROOMS. "I 0 '0 ' o ~ 1 7.0 .-, - 47. O' 40.6 r -- 40.3 ~ : i 52. 7 .......... ~ ~o.o~P ~.o'/ / 'S O0 02 SOW o~ 155.58 (0 (A LL E~I L AIVE) N. EKLUTNA ST. 1977 Tom ~owen 8543 Peck Avenue Anchorage, Alaska 99S04 Subject= Lot 8 BlOCk 27 Homecrest Sub~ivision Because of the size of your lot, the surrounding lots and high water tabie in the area, an upgraae of the on-site sewerage system is nearly impossible. Therefore, it would be very beneficial if public sewer coula be exten~e~ so that it would serv~ the lots ~n your ar~a~ I~ul~ ho~e ~at ~e Sew~Utility~ul~ giv~ very strong considera~ion to the proJe~. If there are ~y fur~er ~estions~ pI~ase contact .this office at 264-4720. Sincerely, ~obert C. Pratt, Sanitarian RCV/i h '/ umc pahty nchorage POUCH 6-650 ANCHORAGE, ALASKA 99502 (907) 2792,511 GEORGE M SULLIVAN. MA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (825 "L" Street) September 14, 1977 Thomas Bowel 8543 Peck Avenue Anchorage, Alaska 99504 ~,Subject: Lot 8 Homecrest Subdivision This department can give approvel for your loan request if you connect to the public sewer on or before September 1, 1978. If sewer is not available at that time than a holding tank would need to be installed. Before the approval can be granted, we must have notification from the lending agency that monies have been escrowed to cover these costs and also any pumping cost that may be necessary. Final approval will not be granted until ther well is upgraded. Please refer to the letter sent to you previously. If there are any..further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Sanitarian RCP/ljh cc: Security Pacific Mortgage 1011 East Tudor Road Suite 190 99507 Hanson-Ort Realty % Dick Brown 401 East 36th Avenue 99503 Thomas E. Bowen 8543 Peck Avenue Anchorage, Alas~ 99504 Subject: Lot 8 Homeurest Sub~ivfsion This department can not approve the lending agency's request for sewer and water approval. Before approval can be qrant~I several items will need to be accomplished. (1) A one-hundred(100) foot separation between your well and seepage area. (2) The well is in a pit and must be extended twelve(12) inches above ground level and the pit filled with impervious type soil. (3) According to Sewer Utility, public smwer is~ ~ilable. If ~ ~ then the sewer can not best be moved and the one~hundred(100) foot requirement mentioned above would be solved. If there are any further questions, please contact this office at 2~-4720. Sinoerely~ RobertCC. Pratt, Sanitarian RCP/lJh cC: Security Pacific Mortgage 1011 East Tudor Re~d, Suite 190 99507 ?-~" MUNICIPALITY OF ANCHORAG~ DEPARTMENT OF HEALTH AND ENVIRONMEN1AL PROTECTION 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224 or 225 Date Received: August 31, 1977 #t: Time Date Insp Time #3: Time Date Date Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4: Single Family Residence: (x) Multiple Family Residence: ( ) Security Pacific Mortgage 1011 East Tudor Road, 190 Thomas E./Lonnie M. Bowen 8543 Peck Avenue 99504 Phone: Phone: 276-1933 333-2105 Lot 8 Homecrest Subdivision 8543 P~uk Avenu~ Number of Bedrooms: Tow Number of Bedrooms: Well System: Permit # Construction Individual well (x) Community/Public System ( ) Depth of Well 85' Well Log on File Bacterial Analysis Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System (x) Public Utility ( ) Installed Unknown 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 ANCHORAGL //~~/ 825 L Street, Anchorage, Alaska I~/; 279-2511, ext. 224, 225 ~quest for Approval of Individual Sewer and Water ~Fa6~iities 1. Property Owner: 0P~,/~ '~,~,_~ ~/~ --r V~ ~ ' ..... Mailing Address: . ~.~'~__ ~= ~/~ 2. Name of 5uyer: W~ ~ ~~f Z, e Mailing Address: E Phone: Legal Description: Street Location:. 6. Single Family Residence: ~ Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: o Water Supply: *Individual Well (~) If Individual Well, well depth ~ If Con. unity System, name of system Public/Con, unity System ( ) o Sewage Disposal System: On-site System ~'~ Public System ( ) If On-site System, date of installation: ~. *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 p~ge' Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: comments: Lot 8 Homecrest Subdivision Affadavit Attached: (i) Letter Attached: ( ) Approved: Disapproved: Date: Date: Department Worksheet: 06-1220fa) · Re~. J973 DATE AD.~,~A DEPARTMENT OF HEALTH AND SOCIAL S,..VICES DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS Lab No. OFFICE INDIVIDUAL NAME SEMI-PUBLIC /-- CHLORINE RESIDUAl PPM REPORT RESULTS TO ADDRESS CITY ZIP CODE ADDRESS OF SOURCE COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAl SUPPLY SAMPLE COLLECTED BY DATE COLLECTED TIME COLLECTED Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Questionable [] Sample too long in transit; sample should not be over 48 ~our~ old at examination to indicate reliable results. Please send new sample. ~ Bottle broken in transit, p/ease send new sample. SANITARIAN'S REMARKS Sample Collected From [] Kffchen Tap [] Bathroom Tap -- Basement Tap [] Other (List] Well--[]~ Dug [] Driven [] Drilled [] Bored L~ Spring [] Cistern [] Other ~ Tile Brick o~ [~ Open Top[] Concret& [] Under House Septic Tank SOURCE: Dug Well or Cistern Constructiom Walls-- [] Wood [] Concrete [~ Metal Top -- [] Wood [] Concrete [] Metal LOCATION: [] In Basement [] Basement Offset []ln Yard [] Other Building Sewer DISTANCE TO: or Other Drainage Pipe Feet. Feet Tile Seepage tess- Field Feet. Pit Feet. Pool Feet. Privy __Fe~6IU Other Possible Sources of Contam~nati6n MATERIAL: Building Sewer- [] Cast Iron [] Wood [] Tile [] Fibre [~ Asbestos Cement [] Plastic Joint Moter~al - Type GENERAL: Does Water Become Muddy or Discolored? [] Yes [] No When? Diameter of Well Depth Feet. Well Casing Material -- Diameter Depth Length of Water Depth Drop Pipe From Boltom Fe~t. Offset in In Utility PUMP LOCATION: [] In Well [] Basement [] In Basement [] Room On Top [] Of Well [] Other PURPOSE OF EXAMINATION: Illness Suspected? [] Yes New Source of Supply? [] Yes [] No [] No Repairs to System? [] Yes [] No Signature READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING' SAMPLE 06-1220 (b) BAC'J'ERIOLOGICAL WATER ANALYSIS RECORD · Bev, 1973 Lactose Broth 10cc 10cc 10cc 10cc 10cc 1.0cc 1.0cc 24 Hours - , . ~ 48 Hours Brilliont Green 24 Hours 4B Hours EMB AGAR Lactose Broth, 24 hrs. 48 hrs. Grom's stain Colfforrn Density (Most probable No. per 100cc) MF Results Reported by Th~s analysis indicates Coliform Organisms to be: Date Present