HomeMy WebLinkAboutBIRCHWOOD PARK BLK C LT 1111
7 -~ 0 _7
Tudor Road, Anchorage, Alaska 99507 279-8686
REQUEST FOR APPROVAl, OF
FO~
Number of Bedrooms: ~
~ell Data:
A.~y~e ~0~ .....~'~'~ ,J,~'
C. Construction 'IK ~c<¢~f !O',g D. Bacterial Analysis
A. Installed B. Installer
C. Seotic Tank: 1. Size
2, Manufacturer
D. Seepage Pit: ].. Size
2. Material
E. Disposal Field: Total Length of Lines
8. Distances:
A. Well To: Septic Tank .... , Absorotion Area
, Nearest Lot line , Other Contamination
B. Foundation to Seotic Tank '~ Absorotion Area
C. Absorption Area to Nearest Lot Line
, Sewer Lines
ReqUest for Approval of
P'ag~ T~o
Comments:
~dual Sewer & Water Facilities
Disapproved Date~/C fl/ '~</
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 located at:
Signed Date
,}une 30,
~8 ~est Northern Ltghts ~lvd.
Anchorage. Alaska
~ub~ect: Lot 11, ~lock ¢, ~trch~oo~ Park Subdivision
De~r $tr:
An Inspection o~ tho subject propert~ revealed that the ~ell
w~s fna s~all b~se~ent off,et. The well castn~ was appro~t~tel~
~ t~ches ~bove thC ~loor ~f the offset.
After cens~lttn~) with personnel fro~ th~ State ~nviron~ental
~ealth Oepart~ent. it hat been decided that approval can be
~Jven for 'the water s.yste~: by Jnsta111~ a pt~less adapter
on the sys~e~'en~ extendtn~ t~e well c~stn~ to above the n~tural
~round level. This woul~ ~ean the castn~ ~oul~ ~e Just un,er
the back ~orch of the house.
If ~ou have any questions re~ardtn~ the ~bove information, please
do not hesitate to contact this office.
Sincerely,
Lynn ~. Coa~
Environmental Specialist
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cc~ ~obeet guck~an
SOCIAL SERVICES
DEPARTMENT OF HEALTH AND ~
Section ~II~IEI~OF ENVIRONMENTAL HEALTH
DIVISION OF PUBLIC HEALTH
WILLIAM A. EGAN, GOVERNOR
ROOM 222 -- MACKAY BUILDING
338 DENALI STREET -- ANCHORAGE 99501
June 29, 1972
L~rnn Coad, Environmental Specialist
Dept. of EnviPonmental Quality
GAAB
3500 Tudom Road
Pouch 6-650
AnchoPage, Alaska 99507
Subject:
P~ivate Well Inspection rom FHA ~0an
DeaP Mm. Coad:
This lettem is to confiz~n cup convePsation at the time of cup joint visit fop
you~ inspection of the well located on the ppopePty of RobePT Buckman. ChapteP
XI of the FHA minimum standaPds 1102-3.1, allows a well located within the
foundation in amctic and sub-amctic meglons.
This office mecommends locating a pPivate well in a basement offset fop ease of
access in the event mepalms om maintenance amc regui~ed. The location of this
well meets this mecommendation as well as the FHA reguimement that the casing
in an offset well be a safe distance (at least 12") above the pumpmoom floor,
that the floor he concPete and the well casing covemed with an adequate san-
itamy seal. It is the opinion of this office that this well does meet the
minimum PequiPements and could be approved as is. The addition of a pitless
adaptem as well as extension of the standpipe would offer additional protection,
but would not necessamily be Peguimed.
SincePely,
/TJos~_ph S. Bl.aim, R.S.
Reglonal SanltaPian
JSB/jf
BECEIV~ED,
2.
3.
4.
5,
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE AND WATER FACILITIES
(Fill out in Trlpllc~te)
~ame .of person requesting approval ,~. wSf'~
Well data:
a. Type. . ~/'//~y~ .
c. Casing Size
Distance from well to closest existing or proposed:
1. ~ewer line
2. Septic tank
3. Seepage Area .
~. Cesspool' .
5. Property Line
houses, barn, drainaEe ditch, etc.
Other sources of possible contamination, i.e., creeks, lakes,
Sewage disposal system.
a. Age of system . .
b. Septic tank capacity in gallons
Name of septic tank manufactu~.r
1.
If "home made" show diagram on reverse side of this form.
d.' Disposal field or seepage pit size and type ....
1. Distance to proper~y line to house f~undation
Percolatio~.T~st~esults
f. Percolation Test performed by
Use the revePse.side of this fomm to show diaEram. Diagram should include
~he following information: ~Foperty lines~.well location, house location,
%%ptic tank location, disposal area location, location of percolation test~
and direction of ~Pound slopel
The in£o~wstion on this form is true and correct to the best of my knowledge.
~ -~i~natume Of AppllCa~ Date S'igne~
~0 BE iFILLED ou'r BY HEALTH DEPAET~.~ENT PERSONNEL
~'T~e above described sanitamy facilities are hereby approved, subjelc~ to the
0onditlons:
The above described sanitary facilities are disapproved for the following
reasons:
valid fo~ one year following the date of approval.
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