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HomeMy WebLinkAboutDORA LT 5511 � 191y zsi zo 1_ L 14 LJ i II O O O O O O O O O O O O H H H H H H H H H H H H 0 0 0 0 0 0 0 0 0 0 0 0 w w w w w w w w w w w w r+ Cd. -+ r+ v v v v; 41 > > y; rd, rte; it • z �J t1 N X21; U ' r -a ::I O t-4: N as chi A c5 i i M 'D r� N �1' tr1 00 00: O O �D ' r-4 N r� 00 00 ON r—r i r-4 O O O O O O O O O O O O EH HEE �H E4 H DHy EHr HH HH H H HHH ' M r- N u1 00: 00 O N r, ; 00 00: .4 w w w w w w w w w w w w w 0 A Az W N v b O PQ b N tJ I A t 00 I 00 Z v v� © ::t 00 E i x 0 w z U rn 2 A E � i w O Ei w w i II O O O O O O O O O O O O H H H H H H H H H H H H 0 0 0 0 0 0 0 0 0 0 0 0 w w w w w w w w w w w w r+ Cd. -+ r+ v v v v; 41 > > y; rd, rte; it • z �J t1 N X21; U ' r -a ::I O t-4: N as chi A c5 i i M 'D r� N �1' tr1 00 00: O O �D ' r-4 N r� 00 00 ON r—r i r-4 O O O O O O O O O O O O EH HEE �H E4 H DHy EHr HH HH H H HHH ' M r- N u1 00: 00 O N r, ; 00 00: .4 w w w w w w w w w w w w w 0 A Az W N v b O PQ b N tJ I A t 00 I 00 Z v v� © ::t 00 E i x 0 w z U rn 2 A Oi n; 00 1104. cn ;t Ch i r -i Q); r-4: Gi 00i O i f-4, ti 44 w � i II O O O O O O O O O O O O H H H H H H H H H H H H 0 0 0 0 0 0 0 0 0 0 0 0 w w w w w w w w w w w w r+ Cd. -+ r+ v v v v; 41 > > y; rd, rte; it • z �J t1 N X21; U ' r -a ::I O t-4: N as chi A c5 i i M 'D r� N �1' tr1 00 00: O O �D ' r-4 N r� 00 00 ON r—r i r-4 O O O O O O O O O O O O EH HEE �H E4 H DHy EHr HH HH H H HHH ' M r- N u1 00: 00 O N r, ; 00 00: .4 w w w w w w w w w w w w w 0 A Az W N v b O PQ b N tJ I A t 00 I 00 Z v v� © ::t 00 E i x 0 w z U rn 2 A Serviczds- OeparLnent Euilcing �are'rf Division - -�� `�i1-�172 �•y+C`Pr G •)/'�a5i?•�NaT�r �raQf C17i , c ?BOG Sragaw S�reet ?.0: 3a� 19654 Aar1c 3egich ancharaae, .a 1: 9?51 -ba50 1412yOi ro!vw muni.aMinn=ir? (907)243-79.0- Pump Installation Log Q 1D7Illina Permit Number: SW_ Date of Issue: cel Identification Number:_ al Descrip oa Prope_rty crwUs ame & Address: :Ip Installation Date: ap Intake Depth Below Top of Well Casing. Feet OF tf=. ufacturer's Name:,4>/ e ap P1odel:a2��� ¢p Size �L—hp ess Adapter Burial Depth: /4) feet ess adapter Manufacturer's `Tame: 17)lj)lJ ts, =-dao Le- T MZnj1er7 1A P np Dnstsller I == h ,Igoe- :entioa: Vac pump installer shall. provide a pump UIS latan lag to the 050 !within 30 daz/s of pump installation. �k y r'l 1 :1, `�` Fl t I �F:*" �lr-J .7)���� DEPARTMENT HEALTH AND ENVIRONMENTAL TQTECTION 825 'L' STREET, ANCHORAGE, HK 9950-1 264-4720 PERMIT NO. ( 811046 ) APPLICANT T.STEWHRT CONSTRUCTION LOCATION L5 DORH 2 LEGAL L5 DORH 2 8420 WILLIWH CIRCLE ]3]-8684 LOT SIZE 20000 SQUARE FEET MINIMUM DISTANCE BHWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM I5 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO A CQMMUNAY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS HRE AVAILABLE TO INSURE PROPER INSTALLATION. ���Irl 1 7' ��F­ I ", F> EO C? Es Ul E3 Eo FQ I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL IN TH E SYSTEM IN CCORDANCE WITH THE CODES. SIGNED:___________ HPP CONSTRUCTION ISSUED BY..... �_—~~-�~°� ____DHTE___Y4A _ DATE RECEIVED INSPECTION APPOINTMENTS STREET LOCATION' TIME TIME TIM �k_` �- NUMBER OF,BEDRO MS DATE DATE DATE ❑ Two ❑ Five ❑ MULTIPLE FAMILY - - -1 - INSPECTOR- INSPECTOR INSPECTOR since June 1975. For wells drilled prior to that date, give well ❑ PUBLICUTILITYdepth (attach log if available.) Yin ❑ INDIVIDUAL/ON-SITE** MU IPALITY OF ANCHORAGE PUBLIC UTILITY MUNICIPALITY OF ANCHORAGE DEPT. OF HEALT l 81 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC111101GRONMENTAL K.OTECTION 826 L Street - Anchorage, Alaska 99501 • NOV O 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 RECEIVED E C E' ` , E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER ,�TwAr faivsrwcf�.v PHONE 333-8b�Y MAILINGADDRESS PROPERTY RESIDENT (if different from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITPQON PHONE MAILING ADDRESS- 4. REALTOR/AGENTPHONE #9 dvDEra� - C. 7 - y663 ADDRESS [MAILING 5. LEGAL DESCRIPTION 3 STREET LOCATION' 6. TYPE``OF RESIDENCE NUMBER OF,BEDRO MS SINGLE FAMILY ❑ One Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLICUTILITYdepth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ❑ INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72 -010 -(Rev. 6l79) 4;a-.1 THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE"FAMI:LY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE I] THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING „ TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding TanT bsorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 (Rev. 6/79) l 82.5 " L" STREET 4�T-J W ANCHORAGE, ALASKA 99501 (907) 264-4111 (;f_c)R(0 M. MjL_I..IVAN, MAYOR !)FPAHTMFNT01 III AI iII AND I NVIM.JIyJAA1 NIA[ PFiOTFCTION November 30, 1981 T. Stewart Construction 8420 Williwa Circle Anchorage, Alaska 99504 Subject: Lot 5 Dora II Subdivision Approval for the individual sewer and water facilities cannot be granted until the following has been completed: (1) At the time of the scheduled inspection, November 30, 1981; the water faucet was not turned on in order to obtain a water sample. Please notify this office for a reinspection. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: First National Bank of Anchorage Post Office Box 4-2090 99509 1 pita 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION November 23, 1981 T. Stewart Construction 8420 Williwa Circle Anchorage, Alaska 99504 Approval for the following properties cannot be granted until the following items have been completed: Lot 5 Dora II Subdivision: At the time of the Iq ed inspection, the water was too turbid in order to 'ain a sample. /V o 7-O /C( /� �� -HLot 6 Dora II Subdivision: The well needs to b exposed for our inspection. The water report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. Lot 10 Dora II Subdivision: At the time of the scheduled inspection, the outside faucet was not on in order to obtain a sample from. The well needs to be exposed for our inspection. Please notify this office for a reinspection when the noted descrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw