HomeMy WebLinkAboutLANGNES LT 1[_ang nfs
~RBATER .ANCHORAGE AREA BORO!JC;H
Department of ~:nv~onmep. ta]
3500 Tudo¥ ~.';ad, .Anchorage, Alaska 99507 279-8686
Date Rece~.ve (~-Z] ~72
Time of Insoec'tion '1' L5
DaLe o'f Inseecl:ion.~.%~,['._~_~._~ .......
REQUEST FOR APcRO/A! OF
IN IDUAL ~E~;F".R & WATER ~ar"r~ 7TT~C
FO~,'
Approval Requested
Address:
2. P~ooertv O~ner:
Phone:
" Numb~g: ~f }3edrooms:
We 1.]?'D~;ta:
A. :~:Tvoe .:: ~ g. Depth .......
Sewage DisoQ~a~. System: -
A::':: Insta~}~d ~. :nstal.ler
Sep~f<~:' Tank: 1. Size 2, Manufacturer
¢:;:,~. Seepage' Pit: !0 Size 2. Material
'~ E. Di~sal Field: Total Length of Lines
:(~j} A. Well. To: Septic Tank 6~' Absorption Aree 1] J~
, , , Sewer Lines
~ ~ Ne,res, i: Lot l,ine Oth,~r Contamination .
B?.3j"Foundation to Sept;~c Tank "~ Ab'gorption Area .
:::,, ,C:::': Absorption Are~ to Nearest Lot Line --,~ ·
, ,...~
Request for A~;~roval
:'age
Comments:
,Ap!~rova~ Va~ic~' for One Y,~ar !:-:;c~::, ,r)ate ,U!~ne.c~ ,
Greater Anchorac~e Are-n ?,oro,~nb, DeFa-ct!ner, t ..;f ~-vi? ;~?m',a~ata! qt ~ ] it:y
I cert'ify that the $.nformation cont~):ined in this request for a!)l~rOVa.l to be a true
and ~ccurate ret)resentaf.~,on o-F. i-.he. ~;~ii:)-i~c+.. sewe'(' 8n~i w~]};er ..... .Fact !.t .ies located., st:
GREATER ANCHORAGE AREA BOROUGH
De?rtment of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
.
INnlVIDUA~ S~W~R & ?~ATER ~ACIIITIES ~ .....
Address: Phone:
Prooertv ~ner:
~,o~?,~>:~"2~j ~ C'2-: ~,~ ~,,.., .<-~,:~]
Type,~f Faciligy to be Inspected:
i. Numb~'r of" Bes~ooms:
C ,f'GonstructX:~B:~ D. Bacterial Analysis.'
,~:;:"~ Instal'l~d B. Instal.tar__
{~C Septic Tank:
D.,,f'-~e~page Pit:_,, ,: 1. Size 2. Magerial
E, DispoSal. FSeld: Total Length of Lines
Di'~:% anc~s ~':;~:
~S~ /
, , Sewer L&nes
, Nearest, Lot Line -& [~ , Other Contamination
B.S):Foundatior~ to Septic 'rank J6 ;. AbDorption Area
Absorption Area to blearest Lot Line
R~¢~es.t for Approval of 1,,dividua! Sewer & Wa%er Fac.~itie.
P'age Two
_o. comments:
'~ ~-~-._. --(-AP°-~'~'t]alid for One. Year From Date_iS-- ~ned
Greater AncOt?aa orou¢ , e.p. ar me~t-~viron~enta] Quality
DIAGRAm.,1 OF SYSTE~
I certify that the information contained in this request for approval to be a ~rue
and accurate representat~o~ of t. he subject sewer and water facilities located at:
August 29, 1972
Fir. Si?,urd Langnes
Box 4-753
Anchorage, Alaska
~950o
Subject: Lot 1 & 2, Lan'.,]nes Subdivision, Ellen Avenue
Dear Hr. Langnes;
(]n August 28, 1972 I inspected and disapproved tile well
subject property.
The well is in a pit and must be upgraded so H~at the well
casing is 18 inches above ground level and the pit must be
filled in with impervious soil.
If you have any quesLions regarding the above, please do not
hesitate to contact this Department.
Sincerely,
Robert Pratt
Sanitarian
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ELLEN ~VENUE
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