HomeMy WebLinkAboutC STREET INDUSTRIAL BLK 1 LT 2CI
?A~c~ ~. ~~~
ol~
~l
00~
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________ Pump
Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion? XX Yes No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
City: ___________________ State: __________Zip: _________
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4. Location:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received September 9, 1976
Time of Inspection
Date of Inspection ~_/~-/)~
FOR
Conv.
First National Bank of Anchorage
Post Office Box 4-2090 Phone: 274-1521 x 2
George Construction, Mike George Phone: 279-8503(w)/333-8834
6131 A Street
Lot 2C Block 1 C Street Industrial Subdivision
6131 A Street
5. Type of facility to be inspected WAREHOUSE
6. Well Data: Individual
A. Type
C. Construction
7. Sewage Disposal System: On-site system
A. Installed
C. Septic Tank: 1. Size
D. Seepage Pit: 1. Absorption Area
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
C. Absorption area to nearest lot line
No. of bedrooms 0
B. Depth
D. Bacterial Analysis
B. Installer
2. Manufacturer
2. Material
, Absorption area
, Other contamination
, Sewer Lines
, Absorption area
EQ-034 (1/74) Page 1 of two pages
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO~VA FHA
2. Property Owner: George Construction, Inc. (Mike George)
Mailing Address: 6131 "A" Street Day Phone:
CONV
279-8503 Business
333-8834 Home
3. Name of Buyer: Mike and Jacquelir~e
Mailing Address: 2220 Chandalar Drive Day Phone: same
4. Name of Lending Institution: The First National Bank of Anchorage, ~outh Center Branch
Mailing Address: Box 4-2090 Phone: 274-1521: Ext. 12
5. Name of Realtor or Agent: none
Mailing Address: Phone:
6. Legal Description: Lot 2C, Block 1, C-Street Indu~strial Subdivision
Location:. 6131 A Street, Anchorage, Ak. 99502
warehouse
No. Bdrms.
rlndividual
we[~
septic tank
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual (on-site)
72-003(3/76)
Page 2 of two pages - Req. ,t for Approval of Individual S. jr & Water Facilities
Legal Description
Lot 2C Block 1 C Street Industrial Subdivision
Comments
Approved~q~~, ~¢~ Disapproved Date ~'-,~.~" ~,~
U c~ 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)
Page 2 of tw~ pages - Ret,_ .t for Approval of Individual S ~r & Water Facilities
Legal Description
Lot 2C Block 1 C Street Industrial Subdivision
Comments
Approved
Disapproved ~ ~-'~.~_~mJ~_te ~-
Approval Valid for one y~'~r 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)
Mr. Melvin R. Nichols
Alaska Testlab
4040 B Street
Anchorage, AK 99503
1976
Sbbject:
Water Well, Lot 3A, Block 1 "C, Street Industrial
Park
Dear Mr. Nichols:
A~ this combines a reside~c~e and a busingss use it is my
opinion that a 150 foot well radius will be required in
this case.
Sincerely,
Kyle J. Cherry, P.E.
Regional E~.v:irorm'~ental Supervisor
sv
cc:
Dept of Health and Environmental Protection
Jack Skinner
DATE:
TO:
FROM~
SUBJECT:
Mu x:ipality of Anchor, e
MEMORANDUM
June 14, 1976
Rolf Strickland
Department, Environmental Quality
Howard Mulanax
Project Development Supervisor
Sewer System Availability
This is to inform you that lot 3A of the "C" Street Industria~
~ is programed to be served under Lateral Improvement
District #75, which although created by Assembly action, cannot
actually be constructed until funds are made available.
Project Development Supervisor
HM/sr
cc: Jack's Plumbing and Heating
6161 "A" Street
Anchorage, AK 99502
December 31, i979
.~merican Landscaping
3531 Chiniak Bay Drive
Anchorage, Alaska 9950~!
Permit % 790034
Subject: Lot 3G-3H Block 1 C o~
.... feet Industrial Subdivision
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be sent
to this department to doc%ument the installation date.
If an enginee~ has inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files.
if there are any further questions, please contact this
office at 264-4720.
Sincerely,
Les N. Buchho!z, R.S.
Senior Environmental Speci~--~-
LNB/ljw
enc: Copy of Permit
PERMIT NO.
r-lLl[-I I C: I F'FtL I T'T' CIF
DEPARTMENT r FERLTH 8F~:, ENVIRONMENTFIL 3TECTION
825 "LTM STREET., ANCHORAGE, RK.
264-4720
~-JELL F'i~:f-1 I T
APPLICANT
LOCATION
LEGRL
AMERICAN LANDSC:RPING-P.
8 ST & DOWLING RD
L~G-~H Bi C ST INDUS.
~5~i CHINIRK BAY DR
LOT SIZE
344 09]:0
22400 SQUARE FEET
MINIf'IUM DISTANCE BETWEEN R WELL AN[:, AN'¢ ON-SITE SEWAGE [:,ISF'nSRL. S'¢STEM IS
'~E'~O FEET FOR A PRIVATE WELL.; OF:
±SE~ TO 20Et FEET FRCIM A F'UE:LIC WELL [:,EPEN[:,ING UPON THE T'¢F'E OF PUE:LIC NE;L.[ ....
NELL LOGS RRE REQUIRE[:, AWE:, f'ILIS7 E:E RETURNE[:, TO THE DEF'ARTMENT WITHIN 30
OF THE NELL COMPLETION.
OTHER REQUIREMENTS MR'¢ RPPL'¢. SPECIFICATIONS AN[:, CONSTRLICTION [:,IAGF.:RMS ARE
R',,,'RILRBLE TO INSURE PROPER INSTALLATION.
F'E E:r-1 I T E:;-;:F' I F-: E.'-_---. [:,E E:E r-IE:E F-: ~-1..
I CERTIF'T' THRT
i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH B'¢ THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTRL. L. THE S'¢STEM IN RC:CORDRNCE WITH THE CO[-',ES.
S~:~"~EC,'_F., .' ~?' ]- r -~-~:-- - .~c. sc:~P ,-' '
~~~~~HN LHf * IN~-F. REYNOL[:,
Vi!:. 2