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Home My WebLink AboutSCHROEDER LT 24Schroeder Flo Uk Block a q / MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT —_ NAME -�� - __ PHONE Et i Uc//LQ_q- �IqO ❑UPGFADE MAILINGA D , LEGAL DESCRIPTION L a qf�L LOCATION �/� N0. OF BEDROOMS 3 /-� GW ✓�-.�ii�u- �. .� !� Well / Absorh�Dwelling /y / PER00. MITn�Area DISTANCE TO: jOCJ l 6 �� F Z aQ Manufacturer Q C� Mat rill. No. of compartments y Liq. cap�cYJ„n gallons VV IF HOMEMADE: Inside length Wi Ith Liquid depth Well Dwelling PERMIT NO. DISTANCE TO: x? N Manufacturer Mpterial Liquid capacity in gallons DISTANCETO: Well `l i 100 Foundation / I(( Neares I 1i�2 PEljTe8.S CCJJ[1_ LL Z Length of,l<a •eine Total l7th�of/ ines Trench w tltr Distance between lines j Z ui No.oflines I inches Q H Top of the to finish grade! / Material beneath tile / inches Total effective absorption area � Length Width Depth PERMIT NO. w a1-- Type of crib Crib diameter Crib depth Total effective absorption area a LU w Well -- Building foundation Nearest lot line N DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. J w Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER - - - -- - - - PIPE MATERIALS — D ' 0 3 !{ SOIL TEST RATING too _ — INSTALLER r% C E�- REMARKS3 - TZ 5 �- _ I UO 9u i LEGAL APPROVED DATE Tv I A Wwo :1 Q X 0=1 F`1 L. 1. Y �B A n -_A B-�. 11 11 R. -J, L':_ DEPRRTMENT r HEHLTH HND ENVIRUNMENTHL TION 825 'L STREET/ 1-:1 tACHORRGf/ 264~4720 K�::p FIA 1 T_ EK 13 ENE Wo TRE FQ F> ovs ov vp v~r PERM1T NO ( 780659 ) 8PPLICHNT WHYNE COUSI�EHU PO BOX 76] ER LOCHTION MHRCUS R(> LEGRL |24 SCHROEDER S/D LOT SIZE 12000 SQUHRE FL-1.1- OF EET OF SOIL 1:18SORBTION SYSTEM IS: TRENCH MHXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 100 THE REQUIRED SIZE OF THE SOIL RBSORPTlON SYSTEM IS: K> Pin FO 'If - 0-0=1 A. M ��His �Vp =,.-. -�, ��L. ... V 0 0 .-8= � THE DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRR1NFIELD THE THE DEP�� OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFH[� U� GROUND RND THEBOTTOM OF THE EXCHVHTION (IN FEET) THERE I� NO SET WIDTH FOR TRENCHES, THE GRHYEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIPE HND TH� BOTTOM OF THE EXCAVRTION (fN FEFT) N� IF:: r - J, -V 1=1 FIVE K A± - 1 A! PIN>— ��p 11"A� PERMIT OPPLICHNT HHS THE RESPONSIBILITY TO lNFORM THIS D£KIN TMENT DURING THE INSTHLLHTION INSPECTlONS OF HNY WELLS HDJHCENT TO THIS PROPERTY HND THE IIA UM8ER OF RESIDENCES THHT THE WELL WILL SERVE �U.4� �� W 1 (�� U�F�� BRCKFILLING OF HNY SYSTEM WITHOUT FINAL. INSMTION HND RPPR0VHL 8Y THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION MINIMUM DISTHNCE BETWEEN H WELL HND HNY ON~SITE SEWRGE DISPOSHL SYSTEM IS 100 FEET FOR R PRlVHTE WELL/ OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL OTHER REQUlREMENTS MAY SPECIFICHIT IONS AND CONSTRUCTION DIHGRHMS HRE HVHILHBLE TO INSURE PROPER INSTHLLHTION �K Fit 1-1 1 -1 Q K to, 1: 10. Q BE. IN 0 FEE' F��!! -.I �� I CERTIFY THHT 1 I HM FHMILIFal WITH THE REQUIHND WELLS HS SET FORTH BY THE MUNIC}PHLITY OF RNCHORHGE. 2� I WlLL INSTHLL THE SYSTEM IN HCCORD�NCE WIT� THE CODES ]� I UNDERSTHND THHT THE ON-SITE SEWER SYSTE� MAY REQUIRE ENLHRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THHN ] BEDROOMS SIGNED6 ~_ .... HPPLICANT WHYNE COUSINEHU 0 & E: CE( -ECHN1 CAL & ®EVE - JPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2.280 Russell Oyster Earl Ellis 694-2776 SOIL LOG 688-2280 Soils B Foundations Land Development Performed for: Name: !n/fl; i✓�_ �c-c in, i ��, �-ii. �. Tel . No.� Mailing Address•�5�� Legal Description: /e,� Death (feet) S Characteristics- 0 2 6 _ 7 /E<� 8 t �, 9. 11 12 13 1LL -C 15 16 Ground Water Encountered: Yes No i- If yes, what depth�� Proposed Installation: Seepage Pit Drain Field Comments: r - Performed by:�,�l<5c_ PERMIT NO. ( 780100 ) HPPLICHNT LEE SULLIVAN P.O. BX. 694~2588 LOCHTION LEGHL L.I.24 SCHROEDER S/D LOT SIZE 0 SQUHRE FEET MINIMUM DISTHNCE BETWEEN H WELL HND HNY ON~SITE SEWHGE DISPOSRL SYSTEM IS 100 FEET FOR H PRIVHTE WELL/ OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURHED TO THE DEPHRTMENT WITHIN ]0 DHYS OF THE L COMPLETION� OTHER REQUIREMENTS MHY HPPLY. SPECIFICHTIONS HND CONSTRUCTION DI8GRHMS HRE HVHILHBLE TO INSURE PROPER INSTHLLHTIOVA. 10" EE PAZ 1-1 :1 M ��W :Ir.: FR". FE: :,S.-_7.; �iE-.H-. H --1I P_:.H,* �� I CERTIFY THHT 1 I HM FHMILIHR WITH THE REQUIREMENTS FOR ON-SITE SEWERS HND WELLS HS SET FORTH BY THE MUNICIPHLITY OF 2: I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES, � SIGNED RPPLICHNT LEE SULLIVHN EN TECH ENGINEERS, INC. CIVIL • SANITARY February 11, 1983 Mrs. Fancher 107 Marcus Eagle River, AK 99577 Re: Septic System Adequacy Test, Lot 24 Schroeder Subdivision Dear Mrs. Fancher, On February 10 1 conducted an adequacy test on the septic system at the above listed property. The system was able to take ample surge and the absorption rate was suffi- cient; the system is adequate. During the test, 1300 gallons of clean water were introduced into the absorption system. The system took this without any signs of backup. The rate of drop in the trench was measured and an absorption rate of 3 gal/min or 4320 gal/day was calculated. For a three-bedroom house, the suggested pass/fail criteria require that a 500 gallon surge be contained and an absorption rate of at least. 450 gal/day be demonstrated. As part of the test, 1000 gallons of liquid and sludge were pumped from the septic tank. A 1000 gallon tank is required for a three-bedroom house. If you have any questions regarding this test, please do not hesitate to call. OF At4tjt TH VRir �' es6.✓p u p++O+. o . a or.�.'e+�1 �6+a +s ®® �Vernon L. Roelfs °p No. CE 5107 0 40 fidq lorF Sincerely, Vernon L. Roe /fs, P.E. 13 LE DOUX LANE • EAGLE RIVER, ALASKA 99577 9 TELEPHONE (907) 694-3574 Time APPLI NT FILLS OUT UPPER HAI MY Time Pronert y OwneP'f / ---- Phone Mailing Address,(%� // 'it i (_.�._ i" it ..i �;. , %If�. Zip Code :; �� l > '-/i�-�/ •may Date Date �— Date �— Buyer �i�� `V(.)�c- Address'-" -� i ,...-' �- /�. !�-__ C i a I \<.._J \1 ,�, C i._�..I:A Zip Code ,'• / l' --. Lending Institution , t _ _ :- 1,-i,, /-<' ._. I \ �\ (� •� - ': '" -_ Phone \, Address '� "_, L ""� A 1 �: �;. � � � %., (_• ( , � V (( �- : ��..��_ �-�, .i •.: y �fZip Coder�- _ _ - Realty Co. & Agent ''� ! r - Phone rNVI,R :, Address tTION Zip Code Legal Description Street Location ( 3) APPROVED BEDROOMS Type of Residence 'CONDITIONS OF APPROVAL ( ) DISAPPROVED Single Family ( ) CONDITIONAL APPROVAL' ❑ Multiple Family No. of Bedrooms _-2 DATE P. Other i WateySupply Soils Rating Date Sewer Installed I Well To Absorption Area ¢ - z1 Well Log Received ! „ ��? s�' -• ATTACH WELL LOG. A well log i4L required for all wells drilled since June 1975. ,�-Individual ❑ Community Septic Tank Size /> +� r) - For wells drilled prior 'to that date, `•ive well depth (attach log if available). ❑ Public Utility S,ewer,Disposal Individual Year Individual Installed: / _.1 ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time __II Date Date Date �— Date �— Inspector Inspector Inspector Inspector Field Notes: /\ �(�✓ MUNICIPALITY OF ANCHORAGE rNVI,R :, tTION ( 3) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' �• DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area ¢ - z1 Well Log Received ! „ ��? s�' -• ) -- ' Well to Tank Septic Tank Size /> +� r) - 72-023 (WW) 9 -AY -7k 5. LEGAL DESCRIPTION�- �mtIN11 PTYOF ANCH RAGE MUNICIPALITY OF ANCHORAGE DEPT. HEALTH & -OF DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONWIRONMENTAL PROTECTION -825 L Street • Anchorage, Alaska09501 Store, on Marcus Street 6. TYPE OF RESIDENCE . qO -SE 2 Gi1978 ENVIRONMENTAL ENGINEERING DIVISION ❑ One ❑ Four ❑'- Other _ Telephone 264.4720 66CC,, EI REQUEST FOR APPROVAL OF INDIVIDUAL TIE ® WATER AND SEWER FACIL DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER --�� PHONE Wayne Cousineau ❑ COMMUNITY 694-2140 MAILING ADDRESS _ Box 763 99577 _ PROPERTY RESIDENT (If different from above) -- **If individual/on-site, dive installation date 1978 PHONE - 2. BUYER PUBLIC UTILITY PHONE" Warren/Deborah Hoflich -MAILINGADDRESS - 3. LENDING INSTITUTION - PHONE - Coast Mortgage Corporation 279-0665 __ MAILING ADDRESS 4797 Business Park Boulevard 99503 4. REALTOR/AGENT e PHONE Gary Deardorff %Smiley's Realty 694-2114 MAILING ADDRESS Box 1086 99577 5. LEGAL DESCRIPTION�- Lot 24 Schroeder Subdivision STREET LOCATION Behind Proctor's Grocery Store, on Marcus Street 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS -® X SINGLE FAMILY ❑ One ❑ Four ❑'- Other _ ❑ Two ❑ Five ❑ MULTIPLE FAMILY KR Three ❑ Six 7. WATER SUPPLY --�� X'Y1x INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975, For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM Ik INDIVIDUAL/ON-SITE** **If individual/on-site, dive installation date 1978 ❑ If system is over two (2) years old an adequacy test is required PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. &b N �)�)4- .-'-, I i_')C� i .� ( I -) U_-(0:5(1 1T7 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION —�`- 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO ._VA_ FHA CONV__ 2. Property Owner:_ LIU4Yli " C'o S //o (j Mailing Address: ZZ( ACDay Phone:_ Z`1 3. Name of Buyer:_ C� �� i� /L' �_ �icni'73/¢ Ak'FLI C./f Mailing Address: /� vt_ c'i�/�C E Ak— Day Phone: 4. Name of Lending Institution: _�%�%i5l '�Vp'-7-619c- cc —'-110190P-o7_2 Mailing Address: `>`7`i'7 �Ja/siyc=5 �� /�1wz_ Phone: 2� `� 5. Name of Realtor or Agent: _ ��i7 �� -' `rC )jj/2 / ' Mailing Address: Zyv x _Phone:_ 6. Legal Description:.l �7 iCL-jC-/j�� 1))'/r ju1_j11C1--i edt-(_ Location:—A- "-0c'Ta,-?_5 AU A-)i+/0C'i/S 7 �7 Type of Facility to be Inspected:��/�' No. Bdrms. :5 Water Supply %9 Type of Supply Public Utility If Individual, number of dwellings presently served If Individual, depth of well I6 Sewage Disposal System Type of System: Public Utility If Individual, date of installation C, eoCe--/; y 72-003(3/76) X U 6 v..51 Individual_ x Q ti' (= Individual (on-site)— X / "IS 4a'-'APPROVEDFOR--3--BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY (Title) - 10 -6 '*--)li�' . ZJA')�: LEGAL DESCRIPTION- - - - - 72 -010 -(Rev, 3178) �/ JvL.F/Y�r G� Date Sewer Installed Permit No. �� Septic Tank Size f z Holding Tank Size Soils Rating �� Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY _ Property Owner Phon�c MailingAddress G)C-'_v\' (-� 10 ?) Bayer r�,'( K) (, Address Lending institution kr-ca:- � — J � Phone Address Realty Co. & Agen pho Address LZ , t ,ir oolirvt C_At Vi( Legal Description `v�( C} CE.'.�I °J v��(' ilG'.v� — Street Location �t_� �2C S --- Type`o Residence LT Single Family 3 ❑ Multiple Family No. of Bedrooms ❑ Other — WatGr Sapply ?1ndividual ATTACH WELL LOG. A well log is required for all wells drilled since June Cl Community 1975. For wells drilled prior to that date, give well depth (attach log if Cl Public Utility available. Sewa e�2isposal �r'ndividual Year Individual Installed: CI Public Utility When Connected to Public Utility:_ CI Holding -rank NOTE: THE INSPECTION FETE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN HE INITIATED,