HomeMy WebLinkAboutT14N R2W SEC 2 NE4 NE4 NE4
:'~-¢1~1 ,¢~.¢ GREATER ~ .~CHORAGE AREA } 'IOUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage Alaska 99501 ~ ~
SEWAGE DISPOSAL SYSTEM - APPLICATION a PERMIT
NAME OF APPLICANT ~ ~~ MAILING ADDRESS ~'~ CE~PHONE~0.~'~7~
RESIDENCE ADDRESS ~'/5-~ ~J~ LOCATION OF INSTALLATION ~¢m ~2 ~/~
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH
,".~ TEST RESULTS
SEEPAGE PiT /.'/ , DRAIN FIELD ., OTHER
~,~; /~,'~/~-
TO BE INSJ~;ALLEO BY
ANTICIPATED DATE OF COMPLETION
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
~'~ '~---- I
Case No.
THIS IS TO SERVE AS /'~,'~- ~...~'~'-c~c-~"7"-~,4.,/ , PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE
7.~'~ ~".~.' TYPE SEEPAGE AREA TYPE
DIAGRAM OF SYSTEM
Health Authority
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No, 28-68 and that the
above described system is in accordance with said code.
APPLICANTS SIGNATURE
,{EATER ANQ~ORAGE AREA BOROUGh. G~mr%,TER AI~OR_,OE; ~.~qEA' BOROUGH
!~AL'IH DEP~Rl%~NT '
327 EAGLE STREET
~NCHORAGE, ALASKA 99501
279-2511
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE /%MD WATER FACILITIES
FOR
Dcpo:rhnent o! Envirc-nn~nl,a! Quo, lity
3500 Tudor Roc~d -- Pouch 8-850
Ancho~-~9e, Al~sk~ 99502
/
4. Type of Facility to be Inspected ~ STREET:
5. Well Data:
c. Si~e ~ ' C~ ~, ~
D. Construction /,v,,uo/~ ~p/~t~
E. Bacterial Analysis
6. Sewage Disposal System:
Septic Tank (If homemade, show diagram on back)
3. Manufacturer
4. Installer
Approval Request for Se~ % ~ Water Facilities
Page Two
Seepage Pit
1. Size
2. LininK
C...D£sposal Field
1. Number of Lines
2. Total Length
7.. 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. CO~W~ENTS:
' '//'// -',"I'/ '
APPROVAL VALID FOR ONE YEAR FROI,! DATE SIGNED,
GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT
EDll70
[. - ~ ~,0 _ ~y ' REQUEST FOR APPROVAL OF ' ,
.~ ~ ~(~/~ I]~DIVIDUAL SEWAGE AND WATER FACILITIES
~.~ . .~'~ ~'.2~J>'~ (Fill out in Triplicate) '
~ ~.~ of person requesting approval
5. bSatmz. Analysis:
b. Detergent
c. Casing Siz-~
d. Distance from well to closest existing or proposed
1. Sewer line ~/b~;
2. Septic tank~
3. Seepage Area _~7, .
Cesspooli~
5. Property Line
6.
Other sources of possible contamination~ i.e,, creeks, lakes,
houses~ barn~ drainage ditch, etc.
Sewage disposal system·
a. Age of sys%em
b. Septic tank capacity in gallons.
c. Name of septic tank manufact~9~_
1. If "home made" show diagram on reverse Side of this form.
Disposal field or seepage pit size and type
1, Distance to propex~y Line to house fo~mdation
Pereolatlork~ Test ~esuLts
f. Percolation Test performed by
Use the reverse .side of this form to show diagram, Diagra~ should include
~the foJ~owing information: ~operty lines~.well locat~on~ house location~
~-y,t~c tank location, disposal area location~ location of percolation test~
aa~ direction of ground slope.
9. The ~-~'~'~r~:t~on On this form is true and correct to the best of my knowledge.
Signature of Applicant
~Date Signed
FILLED ouT BY HEALTH DEPARTUENT PERSONNEL
The above described sanitary facml~txes are hereby approved, ,subje, C,t to the
~ol!owln c .'
.__~ ~ng con~gns: ......
Conditions:
The above described sa,nitary facilities are dis,sppmoved for the following
,Appr'oval is valid for one year following the da~e of approval.
CPJ:cw
Juns 25, 1971
Ms. 2anda ~lobley
Spokane $~ortgege Corporation
523 Nest 8th Avenue
Anchorage, Alaska 99501
Subject: Sewer and ~;ater Systems for N~l/4 NH1/4 NH]/4 Sec. 2
TldN, ~3~ S.f,I. ~dger Stockton, seller.
Deer ~,~So ~obley:
An insoection of the subject property was made on i'~ay 1~, 197I.
The sewer system and the
earlier bacteriological test on th~ v~ter ~roved to be satisfactory.
Lynn S. Coed
Sanitarian
cc: Veteran's Administration
ky
Dear Sue,
Spokane Mortgage Co. needs something in writing from
Environmental Quality stating that the above work meets
with ypur approval. Will you please send them this info.?
Thanks Sue.
AprLl 20, 1971
Veterans Administration
P.O. Box 1399
Anchorage,
SUBJFDT: Sewer and ~,~ater systems for the Edgar Stockton property.
N~; ~N~ of Section 2, Tl!!N, R2W, SM.
Dear Sir:
On April 16, 19?l an inspection of the subject sewer and water
facilities ~s made. The sewer system consists of a cesspool. Temp-
orary approval of the sewer system can be given if funds are escrowed
to upgrade the system before July i of this y~r. According to Mr.
Stockton, funds are in emcrow for this p~rpose.
The well is in a pit below the ground. The casing needs to be
brought above the greund~ the pressure tank relocated and the pit filled
i~. Funds ~ould also h~ve to be exore~ed to upgrade the well for
temporary approvalo
Sincerely,
cc ~ar Stockton
o. Coad
~LEASE ~i~l~p~.~;' '~O ,~ SIGNED
DATE SIGNED
Redi~orm ®
4S 469
Poly pal~ [SO setsJ 4P469
SEND PARTS 1 AND 3 WITH CARBON INTACT.
PART 3 WILL BE RETURNEO WITH REPLY.
PRI~I,IMINARY
I hereby certify thnt I bJwe ~urveyed the ffollox
described property:__~l*'.(L.q! . ~ ¢-.~r..._~ .
72 1 ~ ./~_ .i -~- ~:--~:~' '. ~ .--~ ~'I ~ ....
Anehnra~e i{ecordin¢ PrecincL Ab~ska, m~d that
will be within tho property lines ;md will rmt
m' encroach on the property b'ing ~dj:wcut thereto,
Im im n'ovemenIs on pr(~erly' l','in~ ndbtc~mI th~
Dated at E~glo River, Abskn