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HomeMy WebLinkAboutSPRUCE ACRES LT 5o14-z3i-3a-Wa Mayor Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni,oro/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: _ Parcel Identification Number: Legal DescriptionProperty Owner Name & Address: S p 6q. U R 6251 Tj i=N.VI 5 jh o mPsora% 6x),10 5tlnl>y 0-- Pump Installation Date: �) • F 9 • 15 Pump Intake Depth Below Top of Well Casing: �7 feet Pump Manufacturer's Name: CK Ql� Pump Model: go r— 3 1} 8 5 1 rg- Pump Size `/ 11hp Pitless Adapter Burial Depth: 7 feet Pitless Adapter Manufacturer's Name: Pitless Adapter lastailer: / Well Disinfected Upon Completion? ! V? Yes C] No Method of Disinfection: CL Vg2i hi R O TTS Comments: ,Q Anchorage Well & Pump Service, Imi, Pump Installer Name: ((% ti 330 East 76th Avenue Anchorage, AK 99518 Phone: 907-243.0740 Fax: 907.243-0742 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. APPLI( x1NT FILLS OUT UPPER HA'-'-'lONLY �lji�� Property Owner la� �y}/ / �/%� 46/ L Phone Mailing Address1Y� ��/L/ �� �! Zip Code��SG //� Buyer 5(117 Z/A-11d Address � - `/' S Zip Code Lending Institution 7/ Phone ��]� (�j��%�� ��/c. �J �L� -1{%.. Zip Code Address /t Realty Co. & Agent Phone Address f Zip Code Legal Description/ Street Location Type of Residence t�Single Family O Multiple Family No. of Bedrooms_ ❑ Other Water Supply Individual H WELL LOG. A well lag Is required for all wells drilled since June 1975. FFor ❑ Community lls drilled prior to that date, give well depth (attach lag if available). ❑ Public Utility Sewer Disposal ❑ Individual Year Individual Installed: �. 'V Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time L Jj Time c Date Date Date 9- Date Uk-1=9,2,� rnQtk- Inspector Inspector Inspector Inspector. PTa � S Field Notes: v t NCHORAGE / DEPT. OF HEAT. A< ENVIRONMENTAL PROT CTION APR 6138 L 4P �-r� RECEIVED ( - APPROVED BEDROOMS -P-- S 'CONDITIONS OF APPROVAL ( DISAPPROVED ( ) CONDITIONAL CC22SS11`"3LAPPRQV 6©._ DATE >>> BY: C Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank 72 023 csiazl August 30, 1983 Leon Thompson 8210 Sandy Place Anchorage, AX 95507 Subject: Lot. 5, :spruce Acres Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. Please notify this Department for a reinspection when the note=d discrepancies have been corrected. If there, are any further questions, please call this office at 264-4720. :sincerely, Corry Oillis, R.S. w—I c :x e v 61,_1 � Ol el asp - GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Ah7 Time of Inspection ( 4 Date of Inspection j; REQUEST FOR APPROVAL OF IIVIDUAL SEWER & WATER FACILITIES FOR �% �f ,. r,. A. -21 1. Approval requested by: �il��� A6L--x %��tr.✓ V Mailing Address: [.J, YtA(�, Phone: o777-DsS�� 2. Property Owner: /y (S V /Phone: 3�y- 99�oZ / i 61 Mailing Address: baso �J 3. Legal Description: 4. Location: d:,e 5. Type of facility to be inspected 6. Well Data: ' 0 Type —LZ. B. Depth No. of bedrooms 3 C. Construction W D. Bacterial Analysis 7. Sewage Disposal System: A. Installed B. Installer C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area _ E. Disposal Field: Total length of lines 8. Distances: 2. Manufacturer 2. Material 7 A. Well to: Septic tank Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Requ_A for Approval of Individual r & Water Facilities fK Legal Description Comments Approved Disapproved Date Approval.Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 1 M to L,o�> 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 and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date GREATER ANCHORAGE ARL;, BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 6. Legal Description: Lot 5, Spruce Acres Subdivision, Anchorage, Alaska Location: 8240 Sandy Place, Anchorage, Alaska 7. Type of Facility to be inspected: well No. Bdrms. 3 8. Water Supply Type of Supply: Public Utility individual xxxxx If Individual, number of dwellings presently served 1 If Individual, depth of well unk. 9. Sewage Disposal System Type,of System: Public Utility xxxx Individual (on-site) If.Individual, date of installation REQUEST FOR APPROVAL OF 11'F 197 � INDIVIDUAL SEWER & WATER FACILITIES AN GD1EA/E DEPT. OFNVl'7' AREA UAAITY80"0 1. Type of Inspection: CMRO VA xxxx FHA _ CONV 2. Property Owner: Bobby D. Janeway and Sharon Janeway Mailing Address: 8240 Sandy Place Anchorage Day Phone 344-9952 3. Name of Buyer: Leon Thompson and Gladys I. Thompson Flailing Address: 6001 Miley St., Anchorage Day Phone 333-4020 4. Name of Lending Institution: Spokane Mortgage Co,. Mailing Address: 523 W. 8th Avenue, Anchorage Phone 277-0543 5. Name of Realtor or Agent: Hal Graser Realty - Bill Foster or Wik Congdon Mailing Address: 2409 "c" St., Anchorage Phone 279-0491 6. Legal Description: Lot 5, Spruce Acres Subdivision, Anchorage, Alaska Location: 8240 Sandy Place, Anchorage, Alaska 7. Type of Facility to be inspected: well No. Bdrms. 3 8. Water Supply Type of Supply: Public Utility individual xxxxx If Individual, number of dwellings presently served 1 If Individual, depth of well unk. 9. Sewage Disposal System Type,of System: Public Utility xxxx Individual (on-site) If.Individual, date of installation