HomeMy WebLinkAboutCRESTVIEW VILLAGE BLK 2 LT 11Aooo
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIROI~MENTAL QUALITY
3500 Tudor Road
ANCHORAGE, ALASKA 99507
279-8686
DATE RECEIVED
INSPECT:
TLME:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER AND WATER FACILITIES
FOR
VA Ad~ ! n l ~- .+."_~f 1 on
APPROVAL REQUESTED BY:
ADDRESS:
PHONE:
272-9501
9959!
2. PROPERTY OWNER:
Mike Risch
Realtor-Max Bevens
PHONE: 344-1820 279-2491
3. LEGAL DESCRIPTION:
4. TYPE FACILITY TO BE INSPECTED:
NUMBER OF BEDROOMS:
WELL DATA:
A. TYPE
B. DEPTH
C. SIZE
STREET: 8427 La V i ent'o
2 Bedrooms
D. CONSTRUCTION
(99502)
J
E. BACTERIAL ANALYSIS
SEWAGE DISPOSAL SYSTEM:
A. SEPTIC TANK (If homemade, show diagram on back)
1. SIZE
2. AGE
3. MANUFACTURER -
4. INSTALLER
APPROVAL REQUEST FOR SEWER & WATER FACILITIES
PAGE TWO
B. SEEPAGE PIT
1.. SIZE
2. LINING
C. DISPOSAL FIELD
1. NUMBER OF LINES
~ 2. TOTAL LENGTH
REQUIRED EASUREMENTS
A. WELL TO ·SEPTIC TANK
B. WELL TO SEEPAGE PIT
C. WELL TO SEWER LINE
D. WELL TO PROPERTY LINE
E. WELL TO OTHER POSSIBLE CONTAMINATION
F. FOUNDATION TO SEPTIC TANK
G. FOUNDATION TO SEEPAGE PIT
H. SEEPAGE PIT TO PROPERTY LINE
8. COMMENTS:
· DATE: ~ATE: //--- ,'~X 7'-'
A~OVAL VA~Z~ ~0~ OWE ~A~ ~0~ ~AZ~ SZO~.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF .ENVIRONMENTAL QUALITY
§ecember 17, 1971
Kassler West Mortgage Corporation
604 East 6th Avenue
Anchorage, Alaska 99501
Subject: Lot 11, Block 2, Crest View Subdivision.
Dear Sir:
The community sewer system that serves the subject lot
is inadequate and therefore cannot be approved by this
Department. The area is scheduled to have public
sewer possibly next summer. This Department cannot
approve the sewer until that time.
If you have any questions regarding the above, nlease
do not hesitate to contact this officer.
Sincerely,
Lynn S. Coad
Environmental Speetaltst
st
CC:
VA Administration
Mike Rlsch
Analysis:
Detergent "' '
Well data:
a. Type
C. Casing Size
d. Distance from well to closest existing or proposed:
1. Sewer llne
Septic tank
3. Seepage Area
N. Cesspool'
7. Sewage disposal system.
a. Age of system
b. Septic tank capacity in gallons
Property Line
Other sources of possible contamination, i.e., creeks, lakes,
houses, barn, ~alnage ditch, etc. . d '
_ ,,'. c.wi
Name of septic tank manufactum~
l. If "home made" show diagram on reverse side of this form.
Disposal field or seepage pit size and type ........
1. Distance to property .line .... to house foundation
Percolat io~ Test 'Ye suits
f. Percolation Test performed by
Use the Reverse ,side of this form to show diafram.
,',>~he foJ~owing information:
Dia~ra~ should include
p~operty lines;.well location, house location,
~pt~c tank location, disposal area location, location of percolation test,
a~ direction of ground slope.
The h,fo~t~on on this fo~m is true and correct to the best of my knowledge.
\, SiFna%~e 'of Applicant ~ '6ate Si~ne~
TO BE FILLED OUT BY HEALTH DEPAET~.~ENT PERSONNEL
~e above described sanitary facilities are hereby approved pubjec~ to the
Y~l~owin~ con~ons: ' '
Conditions: ~~z~
The above described sanitary facilities are disapproved for the following
reasons:
Approval is valid fop one year following the date of approval.
CPJ:cw
