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HomeMy WebLinkAboutSPENARD HEIGHTS LT 11D PRON~RgY 0W!Pi,9_: DET.~.. ti 0P DRIL~INO LOG: STITIC I~EVE, L: WATP, iW,'q.{;LL LO{'; COOKINL.ET 1424, E. gF%ho AVD. AUC;Ho AK. 995o4 LOT 11~ SFEi,~AND f.~')IGI~S SUDDIVISIOI,~ 167 ~ 9" DIfd.'~ITER 6" 0~,18~ 18-28~ 38-,52~ 52-81~ 0~-85~ 05-99¢ '99-106~ 106-115f 11~-125f 125-'i51~ 131-145' red olay m~d gravel saudy grey clay ds:e!;: cia?, with deteri~ed vegetation blsck color refiimh cla$- ~ld brovm cl~v/ ~d brovm ol~y m%d sm~d v~th some f~avel grey cl~,z aud saud ~th some gravel f~'ey sandy clay some water sm:.dy aquifer silty water wont el.em0, up coat deposit v~th s~d mtd silty water grey 145~167f9" tlzr'nin:7 to eo,arse semd smd pea L,~avel wlth silty '~?a'ber~ ~tben to fo:cma%ion consisting of ,'m~dl rook gravel m~d ,~m%d r~[th silty water showln{; signs of clear:h%7. Should cleon up ai'ter p~m~pi~o 70~ from bottom 15 gallons per minute or more, 64¢ from bottom Jg2~ EP~0L COOK OOT. 25th. ~1978 PERM I T Nc.). [,)EPRRTMEN'T' OF HEAL, TH F1ND ENVIRONMENTAL PROTECTION r~i;~5 "1,./ STREET,, ANCAORRGE, I~K. 995(~J, RPPL. I CAN'T LOOR'F :(ON I,~E.6tAL JONN AI.B INA 8L. RCKBERR'¢ ST Lit,,-D SPENRRD HT'S ADD 685¢4 TOHN & COUNTRY ST 24F~ :1.?'80 :L~8t5 ':SQUARE FEET M]:NIMUM DISTANCE BETNEEN A NELl_ AND ANY ON-SITE SENAGF; DISPOSAL. SYSTEM i~) FEET FOR R PRIVATE NELL.~ OR i5(~ TO 2(~8 FEET FROM Ft PUBLIC: NELL C'EPENR'ING UPON THE T'¢F'E OF' PUBLIC NELl-. NELL LOC4S ARE: REE[;IUIRED AND MUST BE RETURNE[) TO THE DEF'RFc'FMENT I,.II'rHIN OF THE NELl_ COMPL.ETZON, OTt4ER F~:EQIJ~I'~EMENTE; MAY RPPL."A D;PEC~F'~CRT:(ONS AND CONSTRUCTZON [~RGRRId5 ARE A",,'RII..flBLE 'Fo INSURE PROPER INSTALLATION, I CERTIF'V THFIT i: I RM FRMII.,IRR 1.4~.TH THE REOU~,REMENTS FOR ON-S~TE SENERS AND WELLS RS SET FORTH 89 THE MUN~C;[PRL]'f"¢ OF RNCHORR(~E, 2: I 14~LL INSTALL THE SYSTEM ~N ACCORDANCE NITFI THE MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEl"]'. ©~ I:",~ I.T;I & 825 L Street - Anchorage, Alaska 99501 [-NVIRONMENTAL I~F, Oi'ECTION ( ENVIRONMENTAL ENGINEERING DIVISION JUN 2 1_ 197'9 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE~ ~;;~ITVEE DIRECTIONS~ Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) davs for processing. 1. PROPERTY OWNER PHONE MAILING ADbRESS PROPERTY RESIDENT (If different from~bove) PHONE 2. BUYER PHON'E MAI LING ADDRESS 3, LENDING INSTITUTION PHONE MAILING ADDRESS AI bTJ AVQ 4. REALTOR/AGENT I I PHONE t MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ One ~ Four ~ SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six [] Other WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTi LITY 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 Ioo if available.) ~'.~-~'~/,~ 8, SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE*' PUBLIC UTILITY If sys[em ~s over two (2) years old an adequacy test is required by this Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSPECTO R 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 UTILITY Connection Verified INSTALLER [~:]Septic Tank or [] Holding Tank Size: If Tank is homemade SOIL~ RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS /APPROVEDEOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany c~e) LEGAL DESCRIPTION 72-010 (Rev, 3/7B)