The URL can be used to link to this page

Home My WebLink AboutKRAMP BLK 1 LT 3~,_,.~,~ 171 51 SlX INCH WATI£R WELL. DRII_I_ED AND CABI~ID OUT TO THE DEPTH OF .... DRILLED AT THE RATE OF ___~,0_~0~ PER FOOT. PROPERTY OWNER _[:,~___J2~A__~mz~ ..... LOCATION OF WELL SITE .... ZW.. _~ _.~Zl; ...... ~J~__ ~zLL[tt..~ DRILLER ___Z~J~(~]4_ ~_. _)~bL.~.~ ~Z~J~ ..... WELL LO'G: 0-~.~ ' ,~_.~n~g.~ 705,~707' b;c~te~ ~O~zj:~u/.ue~ 4~3~g: ~ ~o~ o~_Z~ ~.PIi~ ~t~ r~ 60 ~ook. /~)'e..bL 5ea. L: :79).°00 COS7' INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE 'FO RAMPART DRILLING WORKS FOR THE SUM OF_ THANK YOU VERY MUCH. BER~II=Z CLAUS OF RAMPART DRILLING WORKS PERMIT NO. flF'PI_ICflNT LOCATION CRRLESON CONST. NILMA DR. L~8& KRAMP CO PO E:X 10-905 LOT SIZE ."~:49-2057 ~2LOI.:':I SI:.:.!I..IR.RE FEE'T MINIMUM DISTRNCE BETNEEN A NELL AND AN'¢ ON-SITE SIENFtGE DISF'OSFtL S'¢S'TEM IS; 200 FEET FOR A PRIVATE NELL.~ OR t50 TO 200 FEET FROM A PUBL.~C NELL DEF'ENDIN~] LIPON THE T'¢PE OF PUBLIC NEL. L.. NELL LOGS fiRE REQUIRED fiN[:' MUST BE RFTLIRNED TO THE DEPARTMENT NITHIN 30 C, FI"P.S OF THE NELL COMPLETION. OTHER RE64UIREMENTS MArC APPLtr'. SPECIFICflTIONS RNb CONSTRUCTION DIAGFi'.f~MS flVfllLABI. E TO INSURE PROPER INSTFtLLRTION. I CERTIFk' THAT :;L: I tim FAMILIRR 14ITH THE REQUIREMENTS FOR ON..-SITE SEMERS RN[:, NEI_L.S FIS SET F'ORTt4 B~' 'THE MUNICIPflLII'~.' OF flNC:HORflGE. 2: I NIL. L INSTRLL THE S~'STEM IN flCC:ORDflNCE WITH THE CODES. SIGNED: ~PPLICANT CRRLESON CONST. CO ', ......... I :~_ L.IE[, E~ ~ '~"-" ..... ! DATE RECEIr~/ED ' " INSPECTION APPOINTMENTS TIME TiME ~' ~ \/"~ ~ "~ L~"L "~ TIME INSPECTOR I NSP ECTOR I NSP ECTOR ~ ~ ~UNICIPAUTY OF ANCHORAGE DEPT. OF [;::LT;~ & ~UNIClPALITY OF ANCHORAGE ENVIR()NMEN h.~,[ .... ;:CTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~~) ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C E I V ~ O REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be pracessad. Please allow ten (10) days for processJnfl. 1, PROPERTY OWNER PHONE o 486-3561 ~AILING ADDRESS ~,O. ~ 25~'~ c/o Pi~st National ~ ~i~ ~ 996~5 PROPERTY RESIDENT (If different from above) PHONE ~ o~ WJ.~ Aven~ ~ ' - PHONE ~ BUYER ~ ~o~ 276-6000 X2237 ~AI LING ADDRESS S~ ~x 1507 ~ ~cho~a~e/ ~ask~ 99507 3~ LE.D~.~NSTrrUTm" I PHON~ MAILING ADDRESS ~ ~ ~*c~C - Z~g~- ~ O ~ REALTOR/AGENT I PHONE I ~AILING ADDRESS 5. LEGAL DESCRIPTION Lot Three (3), Block One (1), KRA~P SUBDIVISION STREET LOCATION NHN Wilma Avenue, Anchorage, Alaska 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four [] Other____ ~ SINGLE FAMILY ~ Two [] Five [] MULTIPLE FAMILY [] Three [] Six '~ WATER SUPPLY INDIVIDUAL* (you have [] COMMUNITYOn file) PUBLIC UTILITY * ATTACH WELL LOG, A well log is required for all wells drilled since June 1975, For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIViDUAL/ON-sITE** ]~ PUBLIC uTILiTY 1979 YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBEROFBEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified E~Septic Tank or []Holding Tank Size: If Tank is homemade give dimensions: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPEOFTANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELLTO: Absorption Area to nearest Lot Line Septic/Holding Tank IAbsorption Area Sewer Line INearest Lot Line 5. COMMENTS DATE 17~1,-----'-,~5 P R 0 v E D FOR "'~/~--- BEDROOMS [] CONDITIONAL APPROVAL (Petter must accompany certificate) [] DISAPPROVED BY ~ 72-010 (Rev. 6/79) MUNICIPALITY OF ANCHORAGE /'~'~;~I~:ALTI-I & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI(:i~i~'RON~-~O'rECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION JUL ! I 1979. REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW DIREOTION8~ Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days ~or processing, PHONE 1. PROPE~Y O~NER ~ ,- MAiLiN~A~RE8~/ PROPER~t H~IU~NT (If MAILING ADDRESS ~ LENDING ,NS~bTUTION; ' . - / / / PHONE MAILING AbDRESS 4. RE~TOR/AGE~T MAI LING LS, LEGAL DESCRIPTION 'REET LOCATION ~ / 6, TYPE OF RESI~[NCE NUMBER OF BEDROOMS [] One [] Four .~ SINGLE FAMILY ~ Two [] Five [] MULTIPLE FAMILY ~] Three [] Six [] Other WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY 8, SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE*~ PUgLICtJTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975, For wells drilled prior to that date, give well depth (attach log if available,) .~j. / ~ *~'1 f individual/on-site, give installation date .. f system's over two (2) years old an aaequacy test is required by this Departmen[. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE NITIATED, 72-010(3/78) / THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [~] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2, WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED [~PUBLIC UTI LITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Li~e WELL TO: I I Absorption Area to nearest Lot Line 5, COMMENTS ~-~APPROVEDFOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION (Rev. 3/78) July i2, 19'79 Bob Carloson Carleson Constru(~tion Company Post Off lee Box 10-905 ~a%hhorage, Alaska 99511 SuJ~ject~ Lot 3 Block 1 Kramp Subdivision Approval for your individual sewer and wat~r faoilities will not be granted until the following items have been completed: (1) (2) A well log is submitted to this departm~,nt. Th~ water analysis report be delivered to %his of floe fron~ Chem Lab, 5633 D Street, for our raview. If there are any further questions, pteas~ contaot this office a% 26~-4720. Sinoorely~ l~bert C. Pratt, Associate Specialist RCP/ijw First National Bank of Mortgage Lo~ Department Post Offio(~ Box 4~2090 99509