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HomeMy WebLinkAboutBROADWATER HEIGHTS BLK 3 LT 15 iv,ay i i z i i -�ncnorage zner �:fU r Z4:SU l4Z P. l Development Services Department l� •� '� Phone: 907-343-790+ On-site !~tater & Alastawater Section Fax: 907-343-7597 Well Drilling Permit dumber: Parcel Identification Number: 050-13I -7S Legal Description _� Mock t Lot r -O Ad t,3 C,_�r ;ump Installation Date: Pump Intake depth Below Top of NVeLk Casing: S 7 lr Date of Issue: Property Owner Name & Address: feet Pump Manufacturer's Name: rump Madel: Pump Size: ,` ' hp witless Adapter Burial Depth: feet Pitles5 Adapter Manufacturer's dame: 1•1 � G Pitless Adapter installer: Well Disinfected Upon Completion? j<Ycs C No Method of Disinfection: Comments: Pump Installer Name- ANCHORAGE WELL & PUMP SERVICE 7640 King Street Anchorage, LAK 99518 Company:_ PH: (907) 24�-0740 Mailing Address: City: State: Attention: The pump installer shall provide a pump installation fog to Ota -site within. 30 days at pal=- p iristallat'.on. GREAT~- ANCHORAGE AREA BORe Department of Environment Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS 9If /~/~er~/' LEGAL DESCRIPTION SEPTIC TANK: ~-~ ~,'~#~ ~i+f,. ~,~ ~.. /~/~ff-u~4. DISTANCE FROM WELL ~'~ir MANUFACTURER ~'~l~j~ ~/i~MATERiAL INSIDE LENGTH INSIDE WIDTH LIQU I'D DEPTH NUMBER OF COMPARTMENTS LIQU ID CAPACITY ,/~l~.) GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES FOUNDATION ~'~' DISTANCE BETWEEN LINES NEAREST LOT LINE TOTAL LENGTH OF LINES I~0' TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE IN. w~,,: iQ~ ~'/,g ~ TYPE ~W~¢~II~ CONSTRUCTION <~'~ ~ ~ DEPTHDISTANCE FROM: BUILDING //~ NEAREST NEAREST SEPTIC ~'~i SEEPAGE FOUNDATION , LOT LINE___, SEWER LINE__, TANK , SYSTEM CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRA~M OF SYSTEM INSTALLED BY: I ~~$' SEWER LINE DEPTH: LOT SLOPE: __ . DATE ~ ~~_ APPROVE Form PW~027 ~=:,: GreaTEr ANChoragE ArEa BorOUGh DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. MAIL,NC ADDRESS INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH COMPLETION DA+E ANTICIPATED SEEPAGE PIT ~ ~ X D.A,N F,~D TO BE INSTALLED BY OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TE~T FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK S,ZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK fOUNDATiON TO SEEPAGE PIT SEEPAGE AREA SIZE SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ~ , SEEPAGE Pit TO NEAREST LOT LINE. WELL TO SEPTIC TANK / © (~) DRAIN FIELD · WATER MAIN TO SEPTIC TANK / DRAIN FIELD SEPTIC TANK, ~$"/ SEEPAGE PIT TO RIVER, LAKE STREAM. DRAIN FIELD / · , DRAIN FIELD SEEPAGE Pit /L/ ALSO CONSIDER AREA WELLS, , SEEPAGE PIT ., DRAIN FIELD CA_ST IRON__INTO A FPTiC TANK AND INTO CRIB CROSSING GAP Of EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 I. NCH~_.__~L~E~ER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BA.._q_CKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCFI~BED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~.~..~(~,~j~ FORM NO. NO-01 6 June 15, 1973 ~r. 0avid Hewko 419 ~a'rrow Street Anchorage, Alaska Subject: Sewage disposal for Lot 15, 0lock 3, Broadwater Heights Sub. Bar ~r. ltewko: This Department has inspected the subject property and from this inspection and a sol1 test performed on the p~opert¥ by ToA. Sexton on Hay 12, 1973, ~: has been determined tha: on-site sewage dtsposel, conforming to G.A.A.8. and State of Alaska Statutes, cannot be accompltshe~ with U~ amount o~ ground cover at ~he subject site. ~f ~ can be of further assistance, feel free to holily this off~ce. Phone--694-2116. Yer~ sincerely, ~ohn R. Lee, JRL/sh D~'T. OF ENV~RON~I~NTAL CONSERV'~T~ON SOUT,CENTRAL REGtONA' OmCE MACKAY BLDG. lvlsrch 19, 1973. 338 DENALI STREET ANCHORAGE 99501 Nit. David Hewko 419 ]~rrcr~ Anchorage, Alaska 99501 SIIB~CT: Lot 1S, Block 3 -Broa~aterHeights Dear ~r. Hewko: We have reviewed your situation in light of the interpretation of the 40,000 Sq. Ft. -20,000 Sq. Ft. requirement contained in Section 18 AAC 72.030 of the Department of Environmental Conservation Waste Water Regulations. It is our finding that since you ]tad oxm. ership of the lot on or before February 5, 1.973 and that you intend to constt~ct a private resiSence for your personal use, that this particu~ lar Section of the Waste Wat¢;r Regula~ions is no~ applicable in your case. We would, however advise you that of course a].l existing Borough Regulations are in effect and are applicable in all cases except where State requirements are more stringent. Yours tn~ly, Re~n.a~/Environme~ Eng CC: C~qAB-DEQ RECEIVED , ,,.,,,, z !9/3 AM GRFATER ANCHORAGE AI~EA BOROUGH DEPI. OF EF!Vt~X)[,MF~:T~i QIJA~iTy