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HomeMy WebLinkAboutWATERS LT 12C TO Laura Crow ~ Fifth Floor SUBJECT Request for Re_fund Mm~SSAGm= The attached copies of the receipt and permit, therefore, they have requested a refund for the.permit fees. Pleaee make the necessary arrangements for a refund° ReCeipt ~4331: EoE. Me cready Post office Box 637 Eagle River, Alaska 99577 DATE 11-8-79 ~hich is not needed now, A~ou~: ~20. O0 REPLY x 4720 Redi~o~'m® 4S 471 PART 3 WILL BE RETURNED WITH REPLY. DETACH AND FILE FOR FOLLOW-UP PERMIT NO. f}EPI::iE,~:TI'"IEN]" OF:' NERL. TN FINE) EN","IRONMENTFIL PF-'.OTE]]:TION E:::E'.5 "L"' :BTREET, RNCHORFIGE, FIK. ;2E:4-472E~ FIF'PL I C:FSYF LOCRT I ON LEGlaL EL. IZFIE:ETFI E. P'ICC:REFIDV L.:L2C 1.4 FI1" E F~:5; PO 80M 6]:7 ERGLE RI',/ER I.._O F SIZE: E88 ]:fi. 7i ::1_92±]': SI]]UFIRE FEET "F'¢F'E OF SOIL. FtB~;OREFFION S'¢S'TEM Ii:-;: 'FRENCH MRXIMLJM NOMBER OF E:EDROOi"IS = SOIl.. RRTING (SQ F'TJBR; ..... 85 ]'HE REQUIRED ~SIZE OF THE SOIl_ FIE,'S_.;OI'RF'TION 'I"NE LENGTN DIMEN'.E;ION IS 'TNE L. ENGTN (IN FEE]"::, OF' TNE TRENCH OR DRFIINFIELE:,. THEE DEPTFI OF FI ]'RENCH OR F'!T IS TNE D!~E, TFINCE E:ETI.,ffZEN THE ~;L.IRFFICE OF TFIE EJROLINE:, RND THE E:OTTOM OF THE EXCFI',/R-FION (IN FEE"r). THERE I:.~'; NO SET HID"FN F:'OR TRENCFIES. THE 6JRFI',,,'EL DEPTH IS THE MINIMUM DEPTH OF: GRRVEL BETWEEN ]'HE OUTFFILL PIPE F-INE) ']'FIE: E:o-r'rc, r,] ,.":iF THE E::-::CFI',/FIT):ON ,::IN FEET). ~ ~'/~2:~~ .............. ~'--" - :-:" - ' "'-=~ ;Z~ EL] == F;_:"F'_~:,II Ii 'Ir F~:E:E:, --.:.E~- T .:E EZ: 'T!FI!P-.I~.=.:.' ...... 'E E."~iFIIE.._L.~Z:¢'-~'rE; PERMIT IaF'F'LICFINT HI::IS THE RE'_SPONSI[3IL. IT'¢ TO INFORM THIS I:,EPRRTMENT DLIRING IN2;-FRLLRTION INSPECTIONS OF RN'.r' 14ELL~4; R[:,JRCENT TO THIS F>ROPERT'¢ laNE:, THE NUME:ER OF RE%IDENCES TNRT TFIE WELL P.!ILL. SER',/E. E:FICKFILL. ING OF FIN'S '..E,'¢ETFEM 14ITHOLIT FINRL INSPECTION FINE:, RF'PRO',,,'F:IL B'-/ THIS DEPFIRTMENT [4It..L BEE SUBJ'ECT TO PROSECUTION. i"IINIMUi'"[ DISTRI"4CE BETI.qEEN £:1 I-,.IELL FINE) FIN'./ ON-S, ITE SEWSGE DI:!JF'O:E;RL ?¢?rE;M IS ±E~8 FEET FOR FI PRI',,,'f:ITE F.IE:LL.; OR :1.5C1 TEl 2'.C'iEi FEET FROi',I R F:'LIBt..IC E.IE]..L E:,EF'EN[)ING UF'ON 'TNE T'¢PE OF' PUBLIC: OTHER RE6!UIREMEN-['S MR"r' RPPL.."r'. SF'EOIFIC:t:'¢rzoNs FIND CON2';TRUC:TION [:,I!:IGRFiMS ¢~RE R',,,'RILFIE~LE TO INE;URE PROF'ER IIqSTRL. LFITION. THE I CERTIF'"r' TNRT ±: I F~M F*FtMIL. IFIR I.'.IITH THE RE;~;!LIIREMEN]"E; FOR ON""%ITE E;E['.IERS FIND WELL.:B F]S E;E'T FORTH E:'¢ THE i"IUNtCIPIr~LI]""r' OF RNCHORFIGE. 2: I PJILL INSTRLL THE :E;'¢~-FEM IN RCCORDFINCE W~]'N THE CODES. 2:: I UN[:,ERSTFtN[:, -FHFFF TNE ON--.LSITE 5;EWER SYSTEM MFI'¢ REQUIRE ENLFIRGEMENT IF THE RESIDENCE IS REMODELED TO INCLLIDE MORE THlaN ]: E:EDROOME;. FIPF~I~T lEE I ZFIE:ETH E. MCC:~:FiE:' T GP;MffER ANCHORAGE AREA BORO"~H .~._./ HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 573 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS ~_/.C? -- PHONE_ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELl LIQUID CAPACITY -'~'~-~ / NUMBER OF MATERIAl ~-~ :~-~z'--=~--~'- ' ~ COMPARTMENTS. ~T~ LIQUID GALLONS. INSIDE LENGTH INSIDE WIDTH. DEPTH_ SEEPAGE SYSTEM: NUMBER OF PITS / OUTSIDE DIAMETER LINING MATERIAL.-~ ~' ~-£ ~/~'d~ . ' NEAREST LOT LINE SEEPAGE PIT: ~'/Z'~"~:/~-×~ ~.~c)/~.'- ~c//'/-/~/-:~'4&~'ZZ:' (~" OR WIDTH DISTANCE FROM WELL .//~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ., LENGTH /~ DEPTH BUILDING FOUNDATION TILE DRAIN FIELD: ·DISTANCE FROM WELl , F~O~UNgATION'~-. . NEAREST LOT LINE NUMBER OF LINES ..~/JDIsTANCE BETWEEN LINES TRENCH WIDTH ~ SQ. FT. LENGTH OF E DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE ~//~,;~/...,/.~ ~/)..,-~/'M~'/~-'~ ~'~'~ ~ '~"- ~ ¢)~'/- '~.4/ DISTANCE FROM /"%~ ~ "~"::"/;"~:. ~ WATER WELL: TYPE ~.~/~-:--~ , DEPTH ,~'~ ~ ,BUILDING FOUNDATION /~A ~' SAMPLE LOT LINE TOTAL LENGTH , OF LINES / IN. TOTAL EFFECTIVE IN. ABOVE TILE SEWER LINE "~/) , TANK. ~_L~T~ / SEEPAGE ., SYSTEM , NEAREST OTHER ~ CESSPOOL/J'/'~/~/~'~, SOURCES/Y'~'.~d DISTANCES: DIAGRAM OF SYSTEM HEALTH AUIHORIIY GREATEi 327 Eagle St. ~,NCHORAGE AREA' qROUGH HEALTH DEPARTMENT '~' Anchorage, Alaska 99501 279.2511 Case No. /~" SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT ~m~E~C, A~SS L0CAn0~ 0" mSTA~LAT~0U::~: TOSERVETHEFOLLOWINGFACILITY ~ bwn/Y/ko yq ~ U : ~ FINANCED THROUGH TO BE INSTALLED BY__ . SEPTIC TANK SIZE ~ ~TYPE_ ~ ~ SEEPAGE AREA TYPE DIAGRA~ OF SYSTE~ I certify that I am familiar with the requirements of Greater Ancho/:a~eArea J3orough Ordinance No. 28-68 a, nd that the. above described' system is in accordance with said code. '~'t~ ¢ Y~ //~: ~L/ /)~] ~ ~ ~ ~ / / ~?~- DATE~,'/~ /FY/ APPUCA~JTSSIGNATURE ~"~ ~-~~ F / Depth Feet 2--~ 6---, 8,---- 10--- 12~ Perfopmed For Tuck Contractors LeRa] Des~-z,~7,t~o;, L~'~I~¢o ,~,*c~ ....... ?~.~ .............. Date Performed 5/17/71 ~h~s ~crm Reports d: So~ .......................... !.,oc at io~ Sketch ~ro~ silty sand~ graveZ Gr&y sandy fine to coarse gravel (GW) Net Drop Ppopo~-ed ~.nst-ai.l~:~' Seer, a~,, F'J.~ Drain ................. z .... Of Pa.t :~encn ~O~HF 'rS, ~MFaK¢ fl~ . water is no problem. ' -~- ~QTE: Water has see ed into thi ..... ~ ..... ~ ..... ~~%~ ~o a de th of 6 feet · · ..... ~~_~. It is lm- oss'ble to determine at this .............. ~z~~ ....................... gAM&_~% z.s g~e water table run ~¢ the former a drain field will be necessary based on llO sq. ieee per bedroom. Test: Performed By= ' Data Cemtified By: National Testin Servi . ~. -- .............. l~g~&.~r~.v.,~es, Inc. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "-C" Street, Anchorage, Alaska 99503 274-4561 Date Received 3/6/74 Time of Inspection Date of Inspection 3/11/74 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR VA 1. Approval requested by: Selective Realty Mailing Address: 2. Property Owner: Joseph La Monaco Phone: Phone: Mailing Address: 3. Legal Description: 12C Waters Sub Single No. of bedrooms 4. Location: 5. Type of facility to be inspected 6. Well Data: A. Type Drilled A. Installed C. Septic Tank: D. Seepage Pit: C. Construction Standard Sewage Disposal System: 1971 1. Size 1250 1. Absorption Area E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank 82~ Nearest lot line B. Foundation to septic tank B. Depth 90' 4 D. Bacterial Analysis Satisfaetn~y B. Installer 2. Manufacturer ~tRmE ~P~l 8'x8'x6' 2. Material log , Absorption area , Other contamination , Absorption area C. Absorption area to nearest lot line 110' ., Sewer Lines EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re 't for Approval of Individual L__~r & Water Facilities Legal Description Comments Approve~ ~, ~ Disapproved Date Approval Valid for one year from date signed Greater Anchorage Aria 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 (]/74)