HomeMy WebLinkAboutCREEKSIDE PARK #2 LT 15C______..r
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Diltance to water ...... /.~... ......................................................................................
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I certify the above true ~nd correct.
Swafford Drilling
3401 Spenerd Road
Spenard, Aleska
advise you to attach this certificate to your deed.
Enclosed is · ¢op~ of ~ vel1 1o$ dr~ll~ by ~ ~fford
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DAVID ~. L. DltIfCAIq~ M.D.
ll~dic~l Direct;or
Dor~ld il. Penner, ~. $.
Sm3t~arima
..n,.r~ ~,'~1'~ ...... ~ ~ , ~
35r~0 T,j..4.~r !~.oad, ;\nchore~., Alaska ~p5c, 7 270-8686
Oate Received
Data
3.
4.
5.
Well Data:
A. Tvoe B. Depth
D. Bacterial Ana!VsJs
C. Construction CL.
bewage Disoosal S~
Installed_/_~~ B. Instal .!er
A.
C. Septic Tank: ].. :Size~~ 2. ~anufacturer
D. Seepage Pit: !. Size 2. Materia ]..__~ ~
Disposal Fie]d: Total Length of Lines
8. Distances:
A. Well To:
" ~' /~' nth~r Cor:tamination
, deare,, Lo,+. Line .... __
/
C. Absorption Are~ t,o Nearest Lot Line ~~ _~
Septic Tar, k_r..T/__O_ ...... , Absorption Area__~, Sewer Lines
Re, quest for Approval of T :.v!du~] 'Sewer & Water ?~aci]it]~
PaGe Two
y~ - ,/ ....
A?~o,~a~ ~]id fo'~ One Y~r ?:;c,~ gate S~:med
Greate~ Anchorage A~e~ 'Borounb, 9er~'rtmer~t ~'.f ~C~,v~_r~'~en!'gl Qual].ty
I certify that the information cont~1ned in this request for approval to be a true
and accurate represe~tatfon of the sub,eot sewer an,~ '~ater 'faci!it~es located at:
Signed Date
~ay l~, 197~
Allen Troutman
7654 Old Harbor Road
Anchorage, Alaska
Subject: Lot 15, Creekstde Park
Dear Mr. Troutman:
An Inspection of the subject property revealld that the
well is buried.
The sewer system serving the property is approved and is
functioning properly. Before approval for the well can be
given, the well casing will need to be extended above
ground.
If you have any questions regarding the above, please do not
hesitate to contact this office.
Sincerely,
Lynn Coad
Environmental Specialist
cc: VA Administration
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GREATER ANCHORAGE A~EA BOROUGH
Department of Env~.ronmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received
Time of Inspection
Date of Inspection
REQUSST FOR APPROVAL OF
INDIVIDUAL SE%~ER & '¢4ATER FACILITIES
FOR
1. Aoprov~l Requested By: ~~~,
Address: ~ ~ ~ /~~~ ~:~ Phone: ~ '~
2. Prooertv ~ner: ~~~ Phone:
3. LeGal Description: :~3/~ /~ ~~/~.~~ ~~
5. Type of Facility to be I~spected:
Number of ~edrooms:
5. Well Data: / ~/ /
A. Tyne ' B. Depth. ~ , /
4
C. Construction
D. .,Bacteria] Analysis
C.
D.
Sewage Disoosal System:
Installed/~j~,_7~-~,C~g.
Tank: 1. Size /~,~6~2.
Septic
Seepage Pit: ]. Size 2.
Disposal ,~eld:
Installer
~a nufa ct urer
~aterial
Total Length of Lines
Distances
A. Well
Septic Tank i~/
· Nearest Lot. line
Foundation to Seotic Tenk /~
, Absorption Area
, Sewer Lines
· Other Contamination .... ·
AbSorption Area
Absorption Area to Nearest Lot Line
Request for Approval of I~ ~ Jual Sewer & Water Factlitte.
Page Two
- 9, ~]omme~ts:
Aonroved Disapproved Date
Approval Valid for One Year From Date Signed
Greater Anchorage Area Borough, Department of 5nvironmental Quality
DIAGRAM OF SYSTE~
I certify that the information contained in this request for approval to be a true
and accurate representatfon of the subject sewer and water faci!it~es located at:
Signed Date
14 b~ frmu ~b 8zemd ourfoee, ~ b~ rrm ~Jw bo~ims of ~be e~sopeoi.
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DAVID 1. L. DUB~JI, M.D.
NdlEal Dimmer
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