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HomeMy WebLinkAboutWENTWORTH BLK 3 LT 1LoT 3 REQUEST FOR APPROV~'OF INDIVIDgAL SEWAGE AND WATER FACILITIES (Fill out in Triplicate) ~ Name .of person requesting approval 3. Lq ~.al. de s.criptlon Numb~.<of ~edrooms in house ~/~ 5. Nater Analysis: a. Bactex. iat b. Detergent~ ? Well data: a. Type . b, Depth_ ./ c. Casing Size Distance from well to closest existing or proposed: 1. Sewer llne 2. Septic tank 3. Seepage Area 4. Cesspool' 5. Property Line 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barn~ drainage ditch, etc. 7. Sewage disposal system. Age of system ,,. Septic tank capacity in gallons Name of septic tank manufactu~.r 1. If "home made" show diagram on reverse side/~f this form. Disposal field or seepage pit size and type I 1. Distance to property line to housefotLndat~on" · e. Pereolatio~ Te~t'results .. f. Percolation Test performed by Use the reverse .side of this form to show diagram. Diagram should include ]'The foilowlng information: p~operty lines~.well location, house location, ,~pt~c tank location, disposal area location, location of percolation test, a~ d~rection of ground slope. 9. The ln-f~'~-~+~on on this form is true and correct to the best of my knowledge. S~gnature of Applican% Date Signed T~O BE FILLED OUT BY HEALTH DEPAP. T~.~ENT PERSONNEL ~e above described sanitary facilities are hereby approved, subjec~ to the rollowzng cond~f'ions: -- C ndltlor~s: ~'The above described sanitary aczl~t~es are disapproved for the following "- ^pproval is valid for one year following the date of approval. CPJ: cw August 15, 1972 John T. Jones 4200 [)ale Street ^ " ~'o Alaska ~nc ~ora.s:, 99504 Subject. .,~t~r.r facilities serving lot l, block o, ~h. ntworth bear ~r. Jones: It has been brought to our a~tention thal; t~e on-site Sewer faciliti{~$ serving ~ubject proper~y have been proven Inadequate. It has also been noted that although said lot is available Co Public Sewer, you have yet to hook up to it. i'h~s situatio~l is in violation of Greater ?~nc~orage Area 5orou,~il Ordi~ancc i~28-G~), Section 9-70~ Paragraph A, which stales the followin~i: "Se)~tic LanK-seepage sysLe~ se~laL)e disF, osal faciliti~.s sl~all not be installed or used on any prc~)s~s wilera sJnitary sewer~is avai)able within 70 f~et of the n,~arest loc line of saic~ pre~ises ).~roviJea ~hat tht~ secLion shall 'not apply to premis~s having a sewa,[~e.~low equivalent of a two-faultily dwelling ut~lt or.~]ess> whertz said unit i:s more than (lO0) fpet 'frc(,~t; said lot line." Ti)erefore, this depar~',~ent requi'res ti~a-~ you connect th(~ dwelling on subject lot to the available Public Sewer within 30 days fron~ the receipt of this lettc~r. Failure to do so shall force Chis department to starC courL proceedint~s ~against you. If you have a))y questions re~arcitn~.; this, ))lease co~)tact Li~is department. Sincerely, Timothy Rumfelt Sanitarian ~b cc: ~e~¢alf Real~y ~,~. I~odgers