HomeMy WebLinkAboutSOLAR ESTATES LT 13•
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GREI,-- ER ANCHORAGE AREA Bok,jUGH
oo'`r•� 4'g DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
�O 3330 "C" STREET ANCHORAGE, ALASKA 99503 h�
a+.�< TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
ADDRESS
NAME OF APPLICANT — — MnU INr.
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK
�I C,L'�¢A�}3E PIT
TYPE AND SIZE OF FACILITY TO BE SERVED
PHONE
DRAIN FIELD OTHER
FINANCED THROUGH TO BE INSTALLED BY
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
SOIL TEST RESULTS
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.
A Rr-
AREA SIZE
SEPTIC TANK SIZE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT - DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK SEEPAGE PIT , DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK , SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, SEEPAGE PIT , DRAIN FIELD
TO RIVER, LAKE, STREAM.
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.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULAT S REGARDING INSTALLATION..
�J
G.A.A.B.
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF G
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE .� ✓ / APPLICANT'S SIGNATURE —
EQ -016(3-75)
TYPE
DIAGRAM OF SYSTEM
17
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ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
t A/
\ ��( MUNICIPALITY OF ANCHORAGE
,' /a DEPARTMEI� OF HEALTH AND ENVIRONMENPROTECTION
825 L Street, Anchorage, Alasc"a -99501
279-2511, ext. 224 or 225
#1: Time lam' �n qm
Date-
Insp
Date Received: April 28, 1977
#2: Time #3: Time
Date -3-J7 r -S Date
Insp
Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: First Federal Savings/Laon o Candy
Mailing Address: 813 West Northern Lights Blvd.
2
Property Owner: Robert/Charlene Wilkens_
Mailing Address: % Jeanne Webster 272-0571
Phone: 274-6561
Phone:
3. Legal Description: Lot 13 Solar Estates Subdivision
4: Single Family Residence: (-9
Multiple family Residence: ( )
Number of Bedrooms:
Number of Bedrooms:
3
5. Well System: Individual Well ( ) Community/Public System (Y)
Permit #
Depth of Well
Well Log on File ( )
Construction Bacterial Analysis
6. Sewage Disposal System: On-site System 4X) Public Utility ( )
Permit # Installed Installe(1-,,---r= G-� ,Q
Septic Tank Size Manufacturer Re'e" ?
Absorption Area Soils Rate Material
7. Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
Page Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer'and Water Facilities
Legal Description: Lot 13 Solar Estates
Comments:
Affadavit Attached: `(') Letter Attached: ( )
Approved: ` Date: L5--//— 7.
Disapproved: Date:
Department Worksheet:
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6.
's�illPilC.IlyALIT ( c i`� i''I of
��-MUNICIPALITY OF ANCHORA& rr,PT,{,
Department of Health and Environmental P
825 L Street, Anchorage, Alaska 99501�� Anil
279-2511, ext: 224, 225 �\',
est for Approval of Individual Sewer and Wat rKs
7
Property Owner:
Mailing Address: d�T '—^Phone:
Name of Buyer:
Mailing Address:
Lending Instituti
Mailing Address:
Phone:
Real.tor/Agent : c� (� Ql U1 UL Co el (-- _
Mailing Address: (° JPhone:.�v�5/
Legal Description
Street Location:
Single Family Residence:
Multiple Family Residence:
( Number of Bedrooms:
( ) Number of Bedrooms:
7. water Supply: *Individual Well ( ) Public/Conununity System (dye
If Individual Well, well depth _/44/4_
If Community System, name of system C 6 10
8. Sewage Disposal System: On-site System Public Systen) )
date of inst \ :�"� '
If On-site ystem, �llation: "
*NOTE: A well. log is required on ALL wells drilled since 6/75.
3/77