HomeMy WebLinkAboutCRESTVIEW VILLAGE BLK 6 LT 30w
[_
015 04
ML:N. I C1 '~LIT'¢ OF ~:~NCH
DEPARTMENT~T~-~HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET, ANCHORAGE, AK 99501
264-4720
PERMIT NO'
DATE ISSUED-
ON--$ I TE
840426
06?0??84
WELL
RPPLICRN~
ADDRESS'""
cONTACT PHONE:
LEGAL DESCRIP:
LOT SIZE:
DAN UNSICKERR
8516 LAVIENTO DR.
ANCHORAGE, RK 99502
~44-4~2
SUBDIVISION· CRESTVIEW VILLAGE
SECTION' ? TOWNSHIP'
9000 (SQ. FT. OR ACRES>
LOT' ~0 BLOCK'
RANGE' ~W
I CERTIFY THAT'~
1. I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTHBY THE MUNICIPALITY OF ANCHORAGE <MOA) AND THE STATE OF ALASKA.
I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS,
AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT.
I WILL ADHERE TQ-4~,L MOA AND STATE OF RLRSKR REQUIREMENTS FOR THE SET BACK
DISTANCES FROM ANY EXISTING WELL~ WRSTEWRTER DISPOSAL SYSTEM OR PUBLIC
SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT
SIGNED ~_ _~__~ ...............
APPLICANT' DAN
ISSUED BY
DATE'
(907) 243-7893
KEN JOHNSON
~im Stone
KinEs Ro~d
KEN'S COMPANY
WATER WELL DRILLING
PUMP SALES & SERVICE..
3163 LINDEN
ANCHORAGE, ALASKA
&pril 5, 1978
0' tO 2'
2' to 8'
8' to 3!
31' to 53'
53' to
54' to 57'
57' to 76'
76' to 7~'
78' to 79'
79' t~ 92'
92' to 10!'
101' ~o 103'
Fill ( frost )
Peat'
C[&y wi:h traced of ~ravei ~iX~d
Compact gravel and ==ray .sil~ ( tight)..
Cobbles
compact ~ravel
clay with =~ravel .
Very di~ty fine sand with_gr?vel
Fine sand wt~h fine
heaves 15 ft. will not
Very dirty fins s~nd ( heaves
~ravel and gray silt
DEPT,
Water bearing sand and gravel ENVmo~,~NT^t
Te~st bailed ztlO gpm ....
drawdo~ ~0 60 Ft.
' lbU
Workingatatic 50 ft. ~-<
cle~ ~tertal.... water cle~in~
Set pump a~ 93 ft. O I }'~q '~'~
GREATER ANCHORAGE AREA BOROU6H
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received //- ~/--7~z
Time of Inspection
Date of Inspection
1. Approval requested by:
Mailing Address:
2. Property Owner:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
/,,,: ,,,-/
2~-/~ :-.~.~_.~,~-~ Phone: ~}L~ ~ AT~- o5'7/
Mailing Address:
3. Legal Description:
4. Location:
Type of facility to be inspected ~z~_'~9~_~i_~.-v,,~ No. of bedrooms
5.
6. Well Data:
e
A. Type
C. Construction
Sewage Disposal System:
B. Depth
D. Bacterial Analysis
A. Installed
B. Installer
C. Septic Tank: 1. Size
2. Manufacturer
D. Seepage Pit: 1. Absorption Area
2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank
Nearest lot line
, Absorption area
, Other contamination
, Sewer Lines
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re
.st for Approval of Individual
er & Water Facilities
Lega. 1' bescri pti on
Comments
Approved
Disapproved Date
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)
Vyl;(h141~l~)~)GREATER ANC,ORAG[ AREA BO~OUG, O' ~a ~
x / k-~Mm Il 11~/7 Department of Environmental Quality I' ,/'~.
~z ~ 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 jr
7. Type of Facility to beinspected:Jj~ ~zy~/
8. Water Supply ~ ~ ~/~
No. Bdrms.3
Type of Supply: P.,ublic Utility Individual
If Individual, number of dwellings pftesently served q
If Individual, depth of well
9. Sewage Disposal Systen¢~,~..~ ~,4.~~ ~./~-~-
d~,~ ' ../~..r¢-~/,,,,, ../.~../... ,~/~c.~. E,,, // ../-.,¢ ,.,,,..~
Type of System: Public Utility l// ~Individual (on-site) ~__~ /"~.Yt
If Individual, date of installation
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER
FACILITIES
· pe of Inspection: CMRO VA FHA
l';
Mailing Address: ~)(~ ~J[~V?e~-)-~j ~AJ~-h Day
~ Name of Buyer: ~ . 0/~ /~/7~ .
· ,.,~ Mailing Address: Da~ Phone
'34~.~ Name of Lending Institution:
~) Mailing Address: Phone
. ~ Name of Realtor or Agent: C~.~T-F~NO~(o ~. -.~Ju~U
0% Mailing Address: O[~,,~)O~e }/~d~o~)]- Phone
,
6. Legal Description: ~ ,,_jg~)~ ,~,~ ~0
~ 22, 1~74
Tham
AncholNlge, Alask&
995O2
SU~IECT: Sent-public vel1 on Lot 30. Block 6, Cres~m Vtllige Subdt~$fem
~ti~e~ ~ell cannot be epproved at t~ts ttm. ~, tf the tepof
vel1 castng ts sealed end the bicterlil ~nilysts satisfactory,
the appre~al o~ tht$ Dipartment can be gtven.
If ~ou hive a~y questions, please feel f~e t~ contact m it ~J~S~I,
~len 137.
Sincere!y, '
Emrlrmmatal Corotar1 Officer Ill
CP/kO