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HomeMy WebLinkAboutSPENDLOVE VIEW HEIGHTS BLK 1 LT 4�j�Gl'1d �taL Vires � i Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road x P.O. Box 196650 Mark Begich Anchorage, AK 99507 S Mayor www.muni.orq/Dnsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: Oz]�©Zl • 2(q Legal Description Property Owner Name & Address: 8► ,y y3 -41b s iip%� �r A/awo 2 16 F AK Pump Installation Date: Pump Intake Depth Below Top of Well Casing: / 3t/feet Pump Manufacturer's Name: `R6Qe:f4e_-1i Pump Model: Cu— 8S / 'Z Pump Size � hp Z Pitless Adapter Burial Depth: ) Z feet Pitiless Adapter Manufacturer's Name: Pitiless Adapter Installer: iV Well Disinfected Upon Completion? 71ves ❑ No Method of Disinfection: C� P t&Z Comments: ^ ANCHORAGE WELL & PUMP SERV. Pump Installer Name: �L.�-t,(j 5 330 EAST 76rl AVENUE ANCHORAGE, AK 99518 PHONE: 907-243-0740 AWPS.COM Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. NAME LOCATION SEPTIC TANK: GREh . ER ANCHORAGE AREA BOV JGH (y Department of Environmental Quality \ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS LEGAL DESCRIPTION PHONE DISTANCE ��� NUMBER OF FROM WELLZ_ MANUFACTURE __MATERIAL _ COMPARTMENTS INSIDE LENGTH _ INSIDE WIDTH - LIQUID DEPTH _ LIQUID CAPACITY_At?'ALLONS. TILE DRAIN FIELD: /� r�9 TOTAL LENGTH /e!U DISTANCE FROM WELL� 9 FONDATION_/V_ _NEAREST LOT LINE /L/ / OF LINES , NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH— IN. TOTAL EFFECTIVE ABSORPTION AREA 3 SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE _MATERIAL BENEATH TILE 6KIABOVE TILE � IN. WELL:: TYPE_/_CONSTRUCTION t DEPTH — DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION , LOT LINE—_ SEWER LINE , TANK , SYSTEM CESSPOOL , OTHER SOURCES APPROVED_._— DISAPPROVED DISTANCES: INSTALLED BY: SEWER LINE DEPTH: -- PIPE MATERIAL: 4 LOT SLOPE: REMARKS: Form EQ -032 REMARKS DIAGRAM OF SYSTEM DATE 1 APPROVED G.A.A. B. I Fmm�, DEPRRTI'll ENT HEHL.TH HP.1D ENVIRONMENTHi ROT�CTI E[UDR RD. . HNCHOF-�!RGE/ A� 99507' �8S_8_ � PERMIT NO HPPLICHNT ROEERT_8 PFISTEQER' 4118 CARHVELLE LOCRTlON UPPER DEHRMOUN LEGRL L4 B1 SPENDLOVE YIEW HEIGHTS 44 00 SQUHRE FEET TYPE 1-,:r SOIL HBSORBTION SYSTEM ITRENCH � MHXIMUM NUMBER OF BEDRUO�S � ] SOIL RHTlNG (SQ 'T/BR)110 THE REQUlRED SIZE OF THE SOIL HBSORPTION SYSTEM IS: �K So (3 - 0 - 1-1 — Q US �l to: Fs %up us-* L-, �V. R� � THE LGNGTH DIOil WlON IS THE 1, ENGTH (IN FEET) OF THE TRENCH OR DRHIP.1FIELD. THE DEPTH OF H TRENCh OR PIT l41 THE DISIII NCE 8ETWEEN THE SURFHCE OF THE GROUND HND THE BOTTOM OF THE EXC1 HTION (IN FEET). THE�� IS NO SET WIH FOR TRENCHES/ THE GRHVEL DEPTH IS THE MlNIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PlPE HND THE BOTTOM OF THE EXCHVRTfON (IN FEET)� hot to: WS 0-1 :1 1 It K RON All W F" 0- X W P -A V.". :11: 2.., ����IC-E.9 ���1 L_ L.'. D, -A ,.E::; 8HCKFILLING OF HNY SYSTEM WITHOUT FINHL INSPECTION HND HPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTIUN ` MlNlMUH DISTHNCE RETWEEN H WELL HND HNY ON~�IT� S�WHGE DISF�SHL SY�T�M I� 100 FEET FOR H PRIVRTE WELL OR 200 FEET FOR H PUBLIC WELL WELL LOGS HRE REQU}RED HND MUST BE TO THE DEPHRTMENT WITHIN ]0 DHYS UF THE WELL COMPLETION SPECIFICHTIONS HND CONSTRUCTION DIHGRHMS HRE HVHIL8BLE TO INSURE PRO�ER INSTHLLHTION. WEETWINVI .1 Y ���1: Ron F; F�t" �) IQ JE'.' U:::.r)j H:;�" 11,1 X !,E,.;;��� I CERTlFY THHT 1� I HM FOMILIHR WlTH THE REQUlREMENT5 FOR ON-SITE SEWERS HND �ELLS HS SET FORTH BY THE MUNICIPRLITY OF HN�|�ORRGE 2I WILL IPOO TQLL THE SYSTEM lN HCCORDHNCE WITH THE C0DE� I� l UNDB�STHND THHT T�G ON�SITE SE�E�� SYSTEM MHY �EQUIRE �NLRRGEMENT IF THE RESlDENCE IS,��MODELED TO INCLUDE MORE THAN ] BEDROOMS. B PFISTERER y I), 'a,rtrr,(±nt of Health and Envirollmor•' 1 Prot.o?,iliorl ? 510 E. `Tudor Road I Anchor,,3p'c, Alriskra 99507 ?70—z?z1 NuiLti I,O(! Pb,ltM A'I'ION I.orforllleri(:ripl.Lorl:�� PV/S 2Yc✓� z2 �� ) , , � � �)t� t.r I'r�r�f u1 ur.��.l 13.E n�f(�v�e _ '"'-' .1-�� 1hfRi fr.,rm ropor(,:,: SoII; fur1,.__.....__.!!.._.-_...._..___ Percolai;i'r.)n trwst..........._... Oollt.h Foot; 1 ` 13 4111'.; proutrri ndl:r;Y' Cllcourltera(iP Yf __,, _.. If VW; It wiidL thyth'! rrljrry 1i La Gross Tir1lo girt. 7in14� IJa o W,ail�r Idnf U►ul, ._ _. ___...._..._ ________._ nrr r,)Lr) mii)I)Li). > _seONr{o Pit Ora 1 ioId in.;t��1'lat;`iulJ. I ) I)(!I)t,h ref 1111ot . _. _.,..._._.... o' l, t,o 1,gttOrl) of pil; o Lrrrul. CIIIIi11;NT i rfoi'motl t3y r�c'.i - nyY.�-. __ t,oi t.i'fir,(I Ity' CO. J-10 c6/7w �jcy.l Ac) 1 N V)\ y � ro t;�