HomeMy WebLinkAboutT12N R4W SEC 16 Lots 1 & 2
Mark 8egich
~7OO Br~w
,Anchor~m, Al( 995 !9-6650
Pump Installation Log
~¢eIl DrilIin~ Permit ~umber: SW _
Date of Issue:
Parcel Identific.~fion Number:__
Pump lmmke .Depth BelowTop of'Well Casing: 7~7 feet
pump Size ~///~ hp
Pittess AdaPter Bu:iml Depth: /~ feet
The pump instsLler sim[1 provide a pur~p inst~lt~rion log to the DSiD within 30 dzls of punup Lr~t~Lgs~io~-.
GIR',_ATER ANCHORAGE: ARE:A BOr~'OUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 0*6SO
ANCHORAGE:, ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK
TYPe AND SIZE OF FACIL[TY~/~TO BE SERVE
FINANCED THROUGH
SOIL TEST RESULTS ~//
COMPLETION DATE ANT]CIPATED
· S~EPAGE PIT (~ , DRAIN FIELD . , OTHER
NOTE~ THIS PERMIT IS NOT VALID WITFFOUT SOIL TEST
FINAL INSPECTION~ 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE'
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
MINIMUM DISTANCES, REQUIREMENT~
FOUNDATION TO SEPTIC TANK~
FOUNDATION TO SEEPAGE PiT
SePTiC TANK tO SeEPAge PiT Wall ~
SEPTIC TANK , SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN F~eLD
WATE~ MAIN TO SEPTIC TANK
DRAIN FIELD
· DRAIN FIELD
SEEPAGE PIT
ALSO CONS]DER AREA WELLS.
· SEEPAGE PIT
j DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH A~RTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
] CERTIFY THAT [AM FAMILIAR WITH THC REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, E8-68 AND THAT THE ABOVE:
DATE APPLICANT'S SIG~ATU ~ -
GREATE ANCHORAGE AREA: ,OROUGH
HEALTH DEPARTMENT
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
Case No.
NAME OF APPLICANT"~,~.~,.'~t~.% E
RESIDENCE ADDRESS ~00 /MT;.
LEGAL DESCRIPTION ~"~"', /~
APPLICATION TO INSTALL: SEPTIC TANK ~ , SEEPAGE PIT,
TO SERVE THE FOLLOWINB FACILITY ~ ~E~ ~oo~
FINANCED THROUGH ~L~-- TO BE INSTALLED BY ~W
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
,u-"' , DRAi~F~iiELD
/-/-o 05 F:
,OTHER
THiS iS TO SERVE AS ~,~ ~/'e..~, , PERMIT TO INSTALL A
/ - /
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
· SEPTIC TANK SIZE //,,%~Z) O TYPE~A/CZ'~,f'~'' SEEPAOE AREA TYPE
DIAGRAM OF SYSTEM
DISTANCES:
Health Authority
", I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
'above described system is in accordance with said code.
/,ATE
APPLICANTS SIGNATURE
January 12, 1971
,r. 'Dtomas E. Carey
3317 ~'
,.Jr. View Drive
Anchorage, Alaska 99504
SUBJECT:
Permit and Application for Sewage Disposal
System, Intersection of Dimond Blvd. and
Kincaid Rd.
Dear :,ir. Carey:
In 1969, you obtained a permit from this Department For
the iustallation of a sewage disposal system. As of this
date, tile permit is still eutstmlding.
Please advise this Department if you have installed, or
still intend to install, a sewer system on the subject
property and wish your permit kept pending in our files.
Sincerely,
C.S. ~',~cKe chnie
Environmental Health Aide