HomeMy WebLinkAboutWENTWORTH BLK 3 LT 13Lo,T
13
July 21, 1975
319 We~t
995{}1
-~ water w~lI on the mubj~t
If yC~ ~ave any f~-~her que~ti(~, please fe~l free t~ ~nta~t m~ at
274-4561, e~mion 135.
Sanitarian
Jarma~ 9, 197~
Kassl~ a~d cc~pa~y
319 ~th Avenue
Anchorage, Alaska
99501
SUBJECt: Upgrading of wall o~ Lot 13, Block 3, ~%nb~=~fm Subdivision
sozvlng the property is a private well bi%ich is locatad undezground north
of th~
In order ~o ~ly fully wi~h the Greater And~rage Area Bo~uuojh Code of
Ordinances ~/~ ~11 mint be rec~s~d so that the well ~ is 12"
nUst ~e pla~e befo~m JUne 30, 1975.
~e pre~e~t water system is funotionin~ sa~Lsfao~o~ily and thore~re is
given t~0o~arf aglaY~al pending escrow of funds for the utx/rade.
If yOU have any que~ ~o~ the abo~, ~l~ase feel frae to ~
taut m~ at 274-45~1, ~tcn 155.
C. F. Sell. rs,
~t~I Contzol Off/~r II
o
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Approval 'requested by: ~ ~--__.~.
MailingAddress: ?
Property Owner: ~
Mailing Address:
Phone:
Phone:
3. Legal Description:
4. Location: ~'~ 0 ~--.. k.k_~.~
5. Type of facility to be inspected~ ~--~r~ No. of bedrooms
6. Well O~ta: ~kr~'
A. Type B. Depth
C. Construction
Sewage Disposal System:
A. Installed ~
D. Bacterial Analysis
Bi installer ~
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. ~Absorption Area ~ 2. Material
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank ~ , Absorption area · , Sewer Lines
Nearest lot line ~ , Other contamination
B. Foundation to septic tank ~
C. Absorption area to nearest lot line
, Absorption area
EQ-034 (1/74) Page 1 of two pages
~r.~age 2 of two pages - Request for Approval of Individual S~ ,er & Water Facilities
~eg~l Description
Comments
Approved Disapproved Date
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
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 Date
EQ-034 (1/74)
GREATER ANCHORAGE ARk,~: BOROUGH
Department of Environme~tal Quality
3330 "C" St., Anchorage, Alaska 99503 - 274-4561
c cg
R,..QU~=~T FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
Type of Inspection: CMRO [/,,"A ~ FHA
Property Owner: ~_x~:~_/~/
Mail ing Address ~/~/~, - ~_~_]pj~lc_~hone
Mailing Address: ~m--~~__~f P~qne
Name o, Lending Institution: ~~ .
Mailing Address: ~~--~~___~jlgn~ ~, ~/
Name of Realtor or Agent: ~~~~_
Mailing Address: ~ PLone ~ ~o~~
CONV
7. Type of Facility to
8. Nater Supply
Type of Supply: Public
If [ndividual~ number of
If Individual, depth
9. Sewage Disposal System
be inspected:
U~ility Individual
dwellings presently served
,
of well _~.
Type,of S~stem: Public Utility
If Individual date of ' -~
, ~nst~llation
Bdrms. ~
,/
Individual (on-site)
***PLEASE SEND REPORTS TO KASSLER & CO. ~
Sincerely yours,
KASSLER & CO.
319 5TH AVENUE
327 EAGLE STP~ET
;uNCHORAGE, ALASKA 99501
279-2511
R~QUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE AND WATER FACILITIES
FOR
1, Approval Requested ,y ~'~ ~._~/ /~
2. Property Owner ~ ~~ Phon,
Le al D · - ~ / ~ '
Well Data:
A, Type ~
B. Depth
C. Size
D. Construction
E. Bacterial Analysis
Sewage Disposal System:
Septi&T~ank (!f homemade, show diagram on back)
,. Size 16 00/ /
2. Age.
$. Manufacturer
A~prov~l Request for ~ Water Facilities
Page Two
Seepage Pit
C. _.Disposal Field
1. Number of Lines
Total Length
2.
Required Measurements
A. Well to Septic Tank
~. Well to Seepage Pit
C. Nell to Sewer Line
D. Well to Property Line
E. Well to Other Possible Contarmination
F. Foundation to Septic Tank
G. Foundation to Seepage Pit
H. Seepage Pit to Property Line
8. CO~4ENTS:
DATH: ,5/ /~/ V/ DATE:
,A, PPROVAL VALID FOR ONfl YEAR FRO[,I DATE SIGNED.
DISAPPROVED:
GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT
EDll70