HomeMy WebLinkAboutALYESKA BASIN #3 BLK 16 LT 2
GREATER ANCHORAGE AREA BOROUGh
DEPARTMENT OF' ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PkRMIT NO.
RARE, OF APPLICANT ,,
MAILING ADDRESS
PHONE .
INBTALLATION LOCATION
LI[OAL DI~(:;R IPT ION
INIITALLAYION OF: IEIIrrlc TANK __ SEEPAGE PIT DRAIN FIELD OTHER
TYPI[ AND ItZE OF FACILITY TO BE
WlNANCED THROUGH
__ TO SE INSTALLED BY
lOlL TEBT REEULT$
NOT~: THll PERMIT IS NOT VALID WITHOUT ,e. aOIL TEST
COMPLETION DATE ANTICIPATED
FINAl. fl~lll~rkCTlON: I4,.~O~UR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION ~Y THE
~RT~NT O~ ~NVIR~ENTA[ QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. * ~
· :~~ ~0 ~EEPAO~'~ DRAIN FIELD ........
IEPTIC YANK ., SEEPMK PIT_ , DRAIN FIELD
~ N~ LOT LIN~.
W~ TO ~'~ TANK ~'~ SEL~ PIT
~i~ ~iELD ~. ~ CONSIDER AREA WELLS
i~C T~, M~PA~[ PIT DRAIN FIELD
~ d~N INTO AND OUT OF 8EPTfC TANK AND INTO CRIB CROSalNO GAP OF
:~V~N · FEET INTO UN~URBED ~IL,
:~AMETBR CAIT JRON ~N PI~I ON ~EPTIC TANK AND EEEPAGE PIT
~ Wt~ AI~IOHT REMOVAIL[ CAPI.
C~ TO ~U~ REGULATION~ REOARDIN~ INSTALLATION.
I. IGENBED DESIGNER
DIAGRAM OF SYSTi~M
THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
I~l~lg~l~l~) JYBTEM lB IN ACCORDANCE WITH BAlD CODE.
APPLICANT'S IiilGNATURE
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received January 20, 1977
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
!;V .A
1. Approval requested by: Lomas and Nettleton Company
Mailing Address: .4449 Business Park Boulevard
2. Property Owner: .Judd Robinson
Mailing Address: POSt Office Box 4-2497 99509
3. Legal Description: Lot 2 Block 16 Alyeska Basin #3
Single Family
4. Location: Girdwood
5. Type of facility to be inspected
6. Well Data: ' Community
A. Type
C. Construction
7. Sewage Disposal System: On-site system
A. Installed
C. Septic Tank:
D. Seepage Pit: 1.
E. Disposal Field:
e
B. Depth
Phone: 274-7661
Phone: 277-2622
No. of bedrooms
( P~n~4 ~ o~J
B. Installer
l. Size 2. Manufacturer
Absorption Area 2. Material
Total length of lines
D. B~cterial Analysis
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
, Absorption area
, Other contamination
, Absorption area
C. Absorption area to nearest lot line
, Sewer Lines
EQ-034 (1/74) Page 1 of two pages
3330
"~uNl~Ip'ALIll' O
'GREATER ANCHORAGE AR~i', BOROUGH JA)/g 0 1977
Department of Environmental Quality
"C" St., Anchorage, ~laska 99503 -
1. Type of Inspection: CMRO VA ~ FHA CONV
2. Prope'rty Owner: ,~y~ ~
Mail ing Address:C" ~_ . fF~.~K,/k~/_~2~//~ _~2. j~Tf/F~p? Da~' phone ~??-~
3. Name of Buyer: -'~~.
Mailing Address: x~/~_~/2~/~ . Da~, Phone
4. Name of Lending Institution: /-~f'v-~z~_-/f/_~~~
Mailing Address: ~/~/~/~>~/~~ Pho. n.e
/d, ,,d. ~?~ ' ....
5. Name of Realtor or Agent: ~.~
Mailing Address: Phone
7. .Type of Facility to be inspected:
8. Water Supply
Type of Supply: Public Utility
No. Bdrm$.
Individual
If Individual, num'ber of dwellings presently served
If Individual, depth of well
Sewage Disposal. SYstem
Type ,of S~stem: Public Utility Individual (on-site)
If'Individual, date of installation ~
Page 2 of two pages - Re ,st for Approval of Individual · 'er & Water Facilities
Legal Description Lot 2 Block 16 Alyeska Basin ~3
Approve ~t~/ Disapproved Date~--~/~-7?~
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)
STATEMENI
1036 E 7th AVENUE
ANCHORAGI= ALASKA 99501
PH. (907) 279-5314
DATE
(;R[='DrI-S J BAI.ANCE
Sunset Plastics
~NVOJCE
I P~¢E~[Y OWNER ~ZL)~. ,.__.' .- , - - ....
applicatio~ for lh~ ~rmit
~eage, I understand that ff~is
matt n i ' - {
. 0 and Is st.bie¢ u comrl (]nC¢-,,vith nil ......... ' ," ' '
r~nce~ of the Greater Anchbrc~?
,. ~.' J : .- ;: : · ../,
CgSTOML~ COPY