HomeMy WebLinkAboutT15N R1W SEC 18 LT 36
PERMIT NO.
~]r~ ICI ~'8[_ 1TV ~]F 8~HORF'~FJE
DEPBRTMENT ~- HEBLTH fiND ENVIRONMENTBL "~OTECTIOH
825 ~. ~ STREET, 8NCHORBGE,
~IELL F'ERtl IT
780445 )
8PPLIC~NT
LOCBTION
LEGBL
BESSIE SHERWOOD SR BOX 7~5 CHUGIRK
INLET VIEW DRIVE
L.~ SEC i8 Ti5N RiW SM RLRSKR LOT SIZE
108000 SQURRE FEET
MINIMUM DISTRNCE BETWEEN R WELL 8ND 8NY ON-'SITE SEWRGE DISPOSRL SYSTEM IS
100 FEET FOR 8 PRIVRTE WELL~ OR
150 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TVPE OF PUBLIC WEL. L.
WELL LOGS 8RE REQUIRED 8ND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 30
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MRV 8PPLY. SPECIFICRTIONS 8ND CONSTRUCTION DIRGRRMS RRE
8VRILRBLE TO INSURE PROPER INSTBLLBTION.
PERMIT EXPIRES DE'.~EMBER
I CERTIFY THRT
i: I 8M FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS BND WELLS RS SET
FORTH BY THE MUNICIPRLITV OF RNCHORRGE.
2: I WILL INSTBLL THE SVSTEM I~8CCORD~NCE WITH THE CODES.
APPLICANT BESSIE SHERWOOD
ISSUED BY~-~-,-~-~-~; ...................
¢ DATE RECEIVED
· INSPECTION APPOINTMENTS ~ ~
INSPECTOR INSPECTOR INSPECTOR
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTII &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION
ENWRONMENTAL SANiTATiON D~WS~ON JUN 2, 9 1981
Telephone 264-4720
. ouEsT A...ov*. oF U
1. PR~RTYOWNE~ P O~
PROPERTY RESIDENT (If different from above) / ( ~ PHONE
MAILING ADDRESS
LEGAL DESCRIPTION
T~PE OF RESIDENCE NUMBER OF,BEDROOMS ~
~ One ~ Four ~ Other
~ SINGLE FAMILY ~ Two ~ Five
~ MULTIPLE FAMILY ~ Three ~ Six
7, WATER SUPPLY
INDIVIDUAL*
COMMUNITY
[] PUBLIC UTILITY
ATTACH WELL LOG, A well log is reqmred for aH wells drilled
since Ju we 1975, For wells drilled prior to that date, give wel
depth {attach log if available,)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL ~ON-SlTE**
[] PUBLIC UTI LITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264~4111
GEOI~GE M. SUI LIVAN,
MAYOft
July 8, 1981
Sidney R./Bessie L. Sherwood
Star Route 1 Box 2419
Birchwood Loop Road
Chugiak, Alaska 9956'7
Subject: T15N R1W Section 18 Lot 36
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1)
The existing well needs to be abandoned and filled
in. The new well needs to be connected to the residence
in order for this office to obtain a water sample.
(2)
The septic tank needs to be pumped with a receipt
submitted to this office. The total number of gallons
pumped need to be on the receipt and verified by a
registered engineer to verify its size.
(3) Expose the septic tank manhole to verify its existance.
(4)
An adequacy test needs to be performed on the existing
leaching area. This test will determine if the system
is adequate according to National Standards. A listing
of private firms performing the test is enclosed. This
report needs to be submitted to this office for our
review.
If there are any further questions please call this office
at 264~-4720.
Sincerely,
James S. Roberts
Environmental Specialist
JSR/ljw
cc: Greatland Realty - Red Carpet
Post: office Box 279 99567
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED ~L)~_~r~ ~.4,~1~
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 SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
[] APPROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (Better must accompany certificate)
~.~fSAPPROVED
72-010 [Rev. 6/79)