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Home My WebLink AboutSCHROEDER LT 29Ader sic 6�oc.K GREATER ANCHORAGE AREA BOROUC"I HEALTH DEPARTMENT q �q 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N', 51 e INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /LAG' C !� Gl .ice MAILING /�i� / 7 /' �'/� �'�%L/•-�- nl�y ADDRESS lfG: 7�L Ci L eE �� !( GON LOCATION%�E v'EL� S S/� C� F—YjS / P LEGAL DESCRIPTION Z4>tze( SEPTIC TANK: DISTANCE FROM WELL `/ GJ /��Ltl✓QC ) iJ MATERIAL C NUMBER OF -_COMPARTMENTS _ LIQUID CAPACITY GALLONS. INSIDE LENGTH t� �� / /�� CC� �� 7 LIQUID I�______DEPTH_ SEEPAGE SYSTEM: NSIDE WIDH SEEPAGE PIT: ---- NUMBER OF PITS i OUTSIDE DIAMETER OR WIDTH_` _ LENGTH.�, DEPTH � LINING MATERIA L% ,DISTANCE FROM WELL ��?�/�� r��1';14 PL-/ BUILDING �// ' , BUILDING FOUNDATION .�L� NEAREST LOT LINE �1 TOTAL EFFECTIVE ABSORPTION AREA IWAII ARFAlo- III.E DRAIN FIELD: DISTANCE FROM NUMBER OF LI ABSORPTION AREA FOUNDATIO LINES FT. LENGTH OF EACH LINE REST LOT LINE TRENCH FT. TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE_ WELL: L�/IOSY--' l T.,) E IN. ABOVE TILE__, TYPE DEPTH DISTANCE FROM WATER BUILDING FOUNDATION. SAMPLE_ NEAREST SEPTIC NEAREST LOT LINE �_ SEWER LINE SEEPAGE OTHER TANK _, SYSTEM CESSPOOL , SOURCES__ DISTANCES: /4 (::>w z z,''q11 c e z..s'�� DATE (p f (C(/i �e //C --� L� APPROVED GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6.650 ANCHORAGE, ALASKA 99502 TELEPHONE 2798686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION L LEGAL DESCRIPTION lO�' INSTALLATION OF: SEPTIC TANK 71, c TYPE AND SIZE OF FACILITY TO BE SERVED MAILING ADDRESS? 7-- r I . n 1i1 PERMIT NO. _ / 11 11 6 PHONE�� E PAGE PIT DRAIN FIELD , OTHER FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS .A.y[q"l✓%YL NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL, TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE �LJG TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT _ Z(.� i DRAIN FIELD / / r E AREA SIZE / SEPTIC TANK TO SEEPAGE PIT WALL _ 4 -1 i SEPTIC TANK 5— . SEEPAGE PIT - DRAIN FIELD I'D NEAREST LOT LINE. � WELL TO SEPTIC TANKO / SEEPAGE PIT /D" j) ` DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD _ SEPTIC TANK, . .�._. SEEPAGE PIT �_ DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGHREGULATIONS REGARDING INSTALLATION. L HEALTH AUTHORITY OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA OROUGH ORDINANCE NO. 28-66 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATEL`� APPLICANT'S SIGNATURE L MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMI%-:NTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL_ OF ON-SITE SEWER AND WATER FACILITY 2644720 Application Date 1. GENERAL INFORMATION (a) Legal DFscription (include lot, block, subdivision, section, township range) Location (address or directions) (b) Applicant Name !_ �, .>/s° %Telephone. I-tome"-� /rJ ' Business Applicant Address (c) Applicant is (check one): Lending InstiMion F 1 Owner/builder; Buyer Ll Other fa (explain); s. (d) Lending Institution � ;,ir_--L%2.Z-- L . -- -_ Telephone Address<:_�---- (e) Peal Estate Company and Agent Address ---------___ -- —_-- -- TeJephone-- � Ld (f) �11 the HAA to the following address: '•' �+. x' '-='',471l�iC.e.i°tib:(.:: a-rls[l --_---------- 2. TYPE OF RESIDENCE Single -Family X Multi -Family O Other Number of Bedrooms -- 3. WATER SUPPLY Individual Well Community F-) Public F1 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public CI Community C1 Holding Tank (] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 /z 02� ni ear ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Addre Date Telephone 6. DHEP APPROVAL Approved for ,fi " ' `-bedrooms by 4� r{33ato Approved Disapproved _Conditional T.— Terns of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) iesues Fleaith Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspecuonr, f)r analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions m the professional engineer's work. Page 2 of 2 MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE (MOA) DEPT. OF HEALTH & HEALTH AUTHORITY APPROVAL (HAA) ENVIRONMENTAL PROTECTION CHECKLIST - FEBRUARY 1984 MAY 2 41985 264-4720 Legal Description:_ -� A ry E I �0 A. WELL DATA Well Classification �—li�L� �'s�'` If A, B. C, D.E.C.—�Approved (Y/N) . N� Well Log Present l� N —Date Completed — Total Depth U61 Cased to 40Depth of Grouting — Static Water Level � f) I Pump Set At f Sanitary Seal on Casin Casing Height Above Ground —�--- Y g Electrical Wiring in Conduito,N)"— Separation Distances from Well: To Se tic/Holding Tank on Lot __VC: Yield fA(Q Depression Around Wellhead,( t _ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot Q o ' " ; On Adjoining Lots l C) c) t To Nearest Public Sewer Lineki A— To Nearest Public Sewer Cleanout/Manhole — t' �' To Nearest Sewer Service Line on Lot >i S '�h-i C Date b rt -k E C(I tv � — ; ae Water Sample Collected by v Water Sample Test Results — Vat `'S :--mo Comments �tit�� U3 .> 2iv �19An B. SEPTIC/HOLDING TANK DATA Date Installed _J'!J- e i — Size C> Q5 4 No. of Compartments Standpipes OMAir-tight Caps &t+y Depression over Tank (dYdD — Pumping/Maintenance Contract on File (Y/N) Holding Tank High -Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well I DCQ t E To Property Line — (0 - To Water Main/Service Line Course — Comments C .'O' cnri r'4�ruF; Page 1 of 2 _ Foundation Cleanout.( - - Date Last Pumped Y_ ; for t 4l — Temporary Holding Tank Permit (Y/N) I k - To Building Foundation �1- To Disposal Field —) p --- To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 1616 cl Width of Field Square Feet of Absorption Area Depression over Field �YN� Vl Type of System Design t 3 Length of Field Depth of Field Gravel Bed Thickness u Standpipes Present((Y N7 Date of Last Adequacy Test Quo V . 1 ICi8 .s' Results of Last Adequacy Test _ �) sw-rk Separation Distance from Absorption Field: To Water -Supply Well In n To Building Foundation : b l 'P Lot N I A To Water Main/Service Line 4 - To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION To Property Line 1 a t N To Existing or Abandoned System on On Adjoining Lots To Cutbank �if present) hl 1 e.. fh( 0__ Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at "Pump Off' Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed 1� Date S 2 `f J� �� Company _ v{3t31rJ67C _ MOA No. —SS Ga 3 jpryn�IV'a�R "a �� Al/�,f i/J]��{�y® ((��QS�S{��// -Q94-94{D Receipt No. �� °1C.O DO° • (JY Date of Payment � Amount: $ , a° ftberf R. shafnr •. •� Na. 1457.E •a� 4�t�'°9�° o ��eo/R Page 2of2 cc Clay'~ 72-026 (11/84) Time APPL.IC NT FILLS OUT LIPPER HAI ONLY Time Property Owner JOHN WENGER/ROSEMARY CLOWER Phone Mailing Address P.O. BOX 60 MARCUS ST. EAGLE; RIVER AK1p Code 99577 694•-4230 Buyer CHARLES & ROCHELLE NICHOLSON Inspector Address 321—E GULKANA, FT. RICHARDSON, AK zip Code 99505 Lending Institution ALASKA PACIFIC; MORRGAGE COMPANY Phone Address 101 W. BENSON BLVD. BOX 420 ANCH. AK zip Code 9951.0 276-311.0 Really Co. & Agent ,JOHN PLYLER RE/MAX of EAGLE RIVER INC. Phone Address BOX 7700048 EAGLE RIVRR. AK zip Code 99577 694--4200 Legal Description j- LOT 29A SGHRE,ODER SUB. Street Location 60 MARCUS ST. EAGLE RIVER, AK. Type of Residence ( ) CONDITIONAL APPROVAL' LX Single Family DATE l —)-- -7 ^ Fj 3 11 Multiple Family No. of Bedrooms ❑ Other Soils Rating Date Sewer Installed Water Supply [xX Individual 1 -- - '--'-"'�' _r_2'- - ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. L'7 Community (�� '_�(p "� �� For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility O SeWer Disposal 1969 KWi' Rdual Year Individual Installed: —� ❑ Public Utility When Connected to Public Utility:—_n ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Dale Date Date Inspector Inspector Inspector Inspector Field Notes r, 7 j- (2 APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE l —)-- -7 ^ Fj 3 BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size _ - - -- - Well to Tank 72023 (3182) ,` {W ROBERT A.SHAFER CIVILENGINEER t 694-2979 F�D�F Arvs R.A sP E1%10 of Aly�HUGc November 16, 1983 ADEQUACY TEST jl� WATER AND SEWER INSPECTION N WELL INSPECTIONS AND i FLOW TEST SITE PLANS _ ROAD DESIGN SOIL TEST ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN EXCAVATION WORK Attn: John Phyler Re/Max of Eagle River P.O. Box 848 Eagle River, AK 99577 Re: Lot 29A; Schroeder Subdivision; 60 Marcus Street Dea.r Mr. Phyler: A sewer system adequacy test was performed on the system located on the referenced property as you requested. she s_e-ntic tank was pumped and verified to have a capacity of 1000 gallons. the seepage pit was charged with a 1000 gallons of fresh water and, after a period of 24 hours, all the water which had been added to the crib percolated away. It can be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. however, the system cannot be guaranteed against subsequent failure. If we may be of further service, please do not hesitate to contact us, Siober . rAfliter, P.E. .y c6: Municipality of Anchorage Department of Health and Environmental Protection SRO 196X EAGLE RIVER, ALASKA 99577 1- 3 , .1.'-10 - ) L r 11:1-- u for 5i WOJ: 1,110,4 i; J_F'. D: IV C C0!0,) j. E2 t 00C ?.-t-v i.(-1, c, Q ciw S;n I o J. t - on j. L " " is , 'I t, 11 is 1, -" jJ;I- Liu vi k-- 0 AC C) �2j T. r 113 Y,>L I c ,)F'c,c),)F''CV I" �! i, C I) !IV Plocl I I-- �ki i. - o G! %A k. o",1 F k td :11 1171-1:-j Q, 1: : 1, '1 C -1. o,i ut r I ] 0Llf'R-RCU 21 /)._ al i'l 5. LEGAL- DESCRIPTION �- L 29 & 30 Schroeder Sub. M NICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONDEP7. OF HEALTH f & i B25 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION JUL 2, 8 3989 6. TYPE OF RESIDENCE Telephone 264.4720 pp C� ee rl REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEVRE� UCIL,, // D DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allowten(10) days for processing. 1. PROPERTY_ OWNER - - - - PHONE - United Bank Alaska 76-1911 MAILING ADDRESS ❑ COMMUNITY 645 G Street Anchorage, Ak. 99501 Attn: Lynda Moss PROPERTY RESIDENT (If different from above) - - -. PHONE - John W. Wenger L� INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date--_ 2. BUYER PHONE John W. Wenger and Rosemary C. Wenger NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MAILING ADDRESS AXXXAHMKXX NHN Marcus Eagle River, Ak, 3. LENDING INSTITUTION PHONE United Bank Alaska - _ 76-1911 MAILING ADDRESS - - - 645 G Street 4. REALTOR/AGENT »_ �^ PHONE Andrea Davis L-r1-C15SLI n Fd ou94-6322 MAILING ADDRESS �La'ii'1i1 /q,'�� " ��<<� � P.O. Box 911 Eagle River, Ak 99577 1,_ Ca i'l 5. LEGAL- DESCRIPTION �- L 29 & 30 Schroeder Sub. STREET LOCATION - - - - NHN Marcus Eagle River, Ak. 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS -� IX SINGLE FAMILY ❑ One ❑ Four ❑ Other_ ❑ Two ❑ Five ❑ MULTIPLE FAMILY IN Three ❑ Six 7. WATER SUPPLY ® 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.) 8. SEWAGE DISPOSAL SYSTEM L� INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date--_ El If system is overn two (2) years old aadequacy test is required PUBLIC UTILITY �_— by this Department NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. _ THIS SIDE FOR OFFICIAL USE ONLY o� 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ SINGLE FAMILY ❑ ONE ❑ MULTIPLE FAMILY ❑ THREE ❑ FIVE v_ ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY PERMIT NUMBER ❑ INDIVIDUAL DEPTH OF WELL ❑ COMMUNITY ❑ PUBLIC UTILITY DATE DRILLED Connection Verified_ LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY DATE INSTALLED Connection Verified -- ❑Septi Tank or ❑ Holding Tank Size:._ INSTALLER If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA �- MATERIAL 4. DISTANCES Septic/Holding Tank F WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS "-----�_ ❑APPROVED FOR _� BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED 72-010 (Rev. 6/79) ❑ OTHER e I M. u� CID C� CC � Cell I D � U I , CC �I II ��r I I (T) Ca I C� Y ' Y ' v ! J I S E I 5. LEGAL DESCRIPTION DATE RECEIVED �® INSPECTION APPOINTMENTS Subdivision TIME TIME TIME DATE DATE DATE / ❑ One ❑ Four ❑ Other _ ❑ Two ❑ Five INSPECTOR INSPECTOR �� INSFEC I U �a MUNICIPALITY OF ANCHORAGE tALITY OF ANCHORAGE DEPT. OF I DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOWNVIRONivlEidlhLi ,.._`�;=CTION 825 L Street - Anchorage, Alaska 99501 • ❑ COMMUNITY `1i1E? 2 9 1980 ENVIRONMENTAL SANITATION DIVISION Telephone 2.64-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 00) days for processing. 1. PROPERTY OWNER ❑ PUBLIC UTILITY PHONE Charles V. Young 694-9018 MAILING ADDRESS Box 60 Marcus Street 99577 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Richard P. Harbeson 694-3446 MAILING ADDRESS - 126 Chickaloon Street 99577 3. LENDING INSTITUTION�PHONE United Bank Alaska % Beverly Bronder 276-1911 MAILINGADDRESS 645 G Street 99501 4. REALTOR/AGENT PHONE Myrna Johnston % Area, Inc. Realtors 694-9555 MAILING ADDRESS Post Office Box 249 99577 5. LEGAL DESCRIPTION Lots 29 and .30 Schroeder Subdivision STREET LOCATION Marcus Street—see attached map 6. TYPE OF RESIDENCE NUMBER OF'BEDROOMS Kk SINGLE FAMILY ❑ One ❑ Four ❑ Other _ ❑ Two ❑ Five ❑ MULTIPLE FAMILY kyr Three ❑ Six 7. WATER SUPPLY fa 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.) 8. SEWAGE DISPOSAL SYSTEM 4;2; INDIVIDUAL/ON-SITE** 5 1971_YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 2-5 i u (H ev, b/ / v) it 6_Ve41eA't'm1Lt, THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED — TIME TIME __�: DATE - - DATE _ _ - DATE INSPECTOR INSPECTOR - - INSPECTOR DIRECTIONS: - --- - - - 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ SINGLE FAMILY ❑ ONE ❑ THREE ❑ FIVE: ❑ OTHER ❑ MULTIPLE FAMILY ❑ TWO EJ FOUR ❑ SIX 2. WATER SUPPLY PERMIT NUMBER ❑ INDIVIDUAL DEPTH OF WELL ❑ COMMUNITY ❑ PUBLIC UTILITY DATE DRILLED Connection Verified LOG RECEIVED — :3. SEWAGE DISPOSAL SYSTEMPERMIT NUMBER s_�-------- ❑INDIVIDUAL/ON-SITE DATE INS'fA-LLED -- ❑PUBLIC UTILITY _ Connection Verified _. INSTALLER -- ------- ❑Septic Tank or ❑ Holding Tank Size: _ If Tank is homemade SOILS RATING — give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL --- 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area tenearest Lot Line -- - 5. COMMENTS a -- — APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE q BY (Tple)ZJ f , — lr LEGAL DESCRIPTION - — - - - - 72-010 (Rev. 3/78) H A� -,, .r W MUNICIPALITY OF ANCHORAGE 5 —Sc) DEPARTMENT OF HEALTH t, ENVIRONMENTAL PROTECTION 825 L Street - Anchurage, Alaska 99501- D �0 •1r a"�t MUNICIPALITY (a`: OF ANCHORAGE ENVIR DEPT. CC _� ./ ENVIRONMENTAL ENGINEERING DIVISIONEN.✓TROP-::, NUMBER OF BEDROOMS Telephone 264-4720 , ,,_ TION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW4�*a, ' tj.) `lS ❑ TWO ❑ Five DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please, Ilo.v to ICY iss rD. ' 1. F'R OWNER PHONE C Charles V. Young *ATTACH WDLL LOG. A well log is required for all wells drilled MAILING ADDHESS 694-9018 Box 60 Marcus St., Eagle River, AK 99577 depth (attach log if available.) PROPERTY RESIDENT (If dilferent from above! PHONE 2. BUYER Richard F. Ilarbeson PIi ONE El PUBLIC UTILITY 694-3446 MAILING ADDRESS by this Department. 126 Chickaloon St., Eagle River, AK 99577 3. LENDING INSTITUl"ION PHONE United Bank Alaska, Attn: Beverly Bronder HONE 11 MAILING ADDRESS Pouch 7059, Anchorage, AK 99510 4, REALTOR/AGENTPHONE Myrna Johnston/AREA, Inc. Realtors 694-9555 MAILING ADDRESS -- P. 0. Box 249, Eagle River, AK 99577 5. LEGAL DESCRIPTION Schroeder Lots 29 � 30 STREETLOCATION Marcus Street 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ® SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ MULTIPLE FAMILY ❑ TWO ❑ Five ® Three ❑ Six 7. WATER SUPPLY - ® INDIVIDUAL" *ATTACH WDLL 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.) 8. SEWAGE DISPOSAL SYSTEM - INDIVIDUAL/ONSITE" "If individual/on-site, give installation date May 1971 El PUBLIC UTILITY If system is over (%vo (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN RE INITIATED. Tank pumped and adO-quacy test done in fall of 1979 for a P'HA Refinance through Lomas & Nettleton. a DAVID A. SLENKAMP MECHANICAL ENGINEER 694-9055 May 12, 1980 Mr. and Mrs. Charles Young c/o Area Realty ATTENTION: Myrna Johnston Dear Mr. and Mrs. Young, Reference: Lot 29 and 30, Sciroeder Subdivision ROBERT A. SHAFER CIVIL ENGINEE=R 694-2979 At the request of Area Realty, a sewer system adequacy test was performed on the referenced property. The septic tank was pumped and verified to have a capacity of 1000 gallons. The seepage pit was charged with 1000 gallons of water. After a period of 24 hours all the water added to the system had percolated out of the crib. It can be concluded from the above test that the sewer system is adequate for your three bedroom home. If we may be of further assistance, please do not hesitate to call. IWAME cc: Area Realty ALS TION: Myrna Johnston Municipality of Anchorage Department of Health and EnviOrnmental Protection SRB196X EAGLE RIVER, ALASKA 4-1 I /Lu f L9ALThl: � 1 1,? 7"•� 5. LEGAL DESCRIPTION Lot 29 8 30 Schroeder Subdivision STREETI-OCATION -- NHN Marcus Street, Eagle River, Alaska 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS --- LxJ SINGLE FAMILY ❑ One ❑ Four ❑ Other-.] - O MULTIPLE FAMILY #V Two ❑ Five' _ i �,(� JZ I Three ❑ Six 7. WATER SUPPLY `- 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.) 8. SEWAGE DISPOSAL SYSTEM 1 INDIVIDUAL/ON-SITZ=** **If individual/on-site, give installation date•_, ❑ PUBLIC UTILITY If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-01 (3/78) . ' I fel amuNICIPAI-ITY DEPT OF MUNICIPALITY OI' ANCHORAGE ENVIRONMENTAL FkOTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION - 825 L Street - Anchorage, Alaska 99501 JUL 18 1979, ENVIRONMENTAL ENGINEERING DIVISION Telephone 264.4720 _ �/ �- ,A_._Y_.� REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete allpartson page 1. Incomplete requests will not be processed. Please allow ten (10):days -for processing. - 1. PROPERTYOWNER - - V. 8 Marie J, Young HONECharles 16"9479018 _ADDRESS__----___ MAILING - Box 60 Marcus Street, Eagle River, Alaska PROPERTY RESIDENT (If different from above) Same -- PHONE 2. BUYER e_----- -- none HONE MAILING ADDRESS -�- 3. LENDING INSTITUTION Lomas 8 Nettleton ��*�� _/47661' MAILING ADDRESS 4449 Business Park Blvd, Anchorage, Alaska 99503 4. REALTOR/AGENT-- none PHONE MAILING ADDRESS - none 5. LEGAL DESCRIPTION Lot 29 8 30 Schroeder Subdivision STREETI-OCATION -- NHN Marcus Street, Eagle River, Alaska 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS --- LxJ SINGLE FAMILY ❑ One ❑ Four ❑ Other-.] - O MULTIPLE FAMILY #V Two ❑ Five' _ i �,(� JZ I Three ❑ Six 7. WATER SUPPLY `- 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.) 8. SEWAGE DISPOSAL SYSTEM 1 INDIVIDUAL/ON-SITZ=** **If individual/on-site, give installation date•_, ❑ PUBLIC UTILITY If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-01 (3/78) . ' I fel 72-010 (Rev. 3/78) THIS SIDE FOR OFFICIAL USE ONLY : INSPECTION APPOINTMENTS DATE RECEIVED - TIMf_ TIME - 9'tME . -- - DATE DATE - - DATE i-- — INSPECTOR -- INSPECTOR INSPECTOR DIRECTIONS: - 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS s SINGLE FAMILY ❑ ONE Cl THREE ❑ FIVE ❑ OTHER ❑ MULTIPLE FAMILY ❑ TWO O FOUR ❑ SIX 2. WATER SUPPLY PERMIT NUMBER -- El INDIVIDUAL DEPTH OF WELL------- ❑ COMMUNITY ❑ PUBLIC UTILITY _ DATE DRILLED ---- Connection Verified_ LOG RECEIVED ---- PERMIT NUMBER— — 3. SEWAGE DISPOSAL SYSTEM •flINDIVIDUAL/ON -SITE DATE INSTALLED — ❑PUBLIC UTILITY Connection Verified '_.. INSTALLER --- ._ JSeptic Tank or ❑ Holding Tank Size: Ig, '-5 d7 If Tank is homemadeSOIL S RA TING -- give dimensions: TYPE OOFTANK/ - MANUFACTURER ye Lspl A h?!� TOTAL ABSORPTION AREA MATERIAL -- 4. DISTANCES - WELLTo: Septic/Holding Tank Absorption Area _ Sewer—Line Nearest Lot Line Absorption Area to nearestLot Line i. COMMENTS —�— � APPROVED FOR �� BEDROOMS ❑ CONDITIONAL APPROVAL (letter must ac m an tificate) ❑ DISAPPROVED DATE ; I�., �` BY (Tithe ---- L E GA L D C R I PT I O N t 72-010 (Rev. 3/78) 4JUly 20t 1.979 C}1T-73-1_es v, 41ario J. Young s�o GQ blarevis `"stroat. ";a,Jle :ftivor, Ala€3ka 09977 Su'?JOrt ; Lot :29 and :39 a3arc7eri�i t u;tlrllv:i.esi.t;�� "-]?)arovRl for Your individual :saWe "I'd Wator call not be granterl urlt 1.1 1:110 fo ',L totlin(� items h<1v€ b»cm t:c�;nr)lr t:sacl (1 } �'E1 4�a'e r na1y � .�i re: orr ]�r� elegy very ct i;(7 U! s troy?l C;ll«v)A babe 5633 1; `iir];f E?� � GC)r UUr r('v! )w. (2) ttlo well for ovir inF pc,,,Ct.,joj,l tC) ile�t( r^a 12A1,r' }1i_Ci57G3 c On at:rluati.on, also to insure, t:,110 m3.x1imium distance stance 3 4C Li1.�'oment;9 a e I:il.'t 1:)QtWF'rm your well, and sGuor f3yste 1, ( 3) %'tle ` ept is La%k xcu,11?(d Utit a r€this_CL pt 5 Sr.= 0 Pleano not i rt;y this ric3�).1rt:):rso,1}t for a r< 010 notc14 (ar,,crOpancie..�_.l?nCCa}, sotiin w1 en ala,, further cufwt on: , Ft1fFkf�l ere arc. .AuKASC� contact t1j3.::s264-47120. :Lllr�rf51,+� v IS<.1oo t C. prep!, Associate Sp�jaij, Ust RCp/1 c: Lo� aS, aslc1j( t�tlaton 44149 .0 u'3:Lnef S Park i:saul.(:ivEj- d 99 () i y", GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date Received 12/17/73 Time of Inspection 2:00 pm Date of Inspection 12/20/73 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER &;NATER FACILITIES FOR VA 1. Ar)pr.oval. Requested By: Lomas and Nettleton Co Address:--— 3380 C Street, Anchorage c?9,j-o 5 —Phone: 2. Property Owner: Floyd Russell Phone: 3. Legal Description:- Lots 29 and 30 Schroeder Subdivision A. Location: Marcus St. Eagle River AK 5. 1'y; s or Facillty to he Inspected:Single Fami Dwelling Num:),r of 9drooms: Four 4 6. Nell Dai:a: A. 1vr.e _ —Drilled _ B. Depth C. Construction — D. Bacterial Analysis SatisfaCJtQXy 7, Selvage Disuosal Svstem: A. 1971_ B. InstallerNJal,lace C. Septic Tank: 1, Size 1250 a1S2. Manufacturer D. Seepage Pit: 1. Size 12Y,12x6 2• Material Di�oosal Field: Total Length of Lines 9. Distances: A, Nell To: Septic Tank �rQ!_^ Absorption Area_—]DO, Sewer Lines dearest Lot Line----21�, Other Contamination B. I n,nda'r.inn t^ S—Ptic Tank I Absorption Area C. Ab.sorpti.on Area to Nearest Lot Line .1eqjost i ec Approval of Ina vidual Sewer & 'Nater Facilities Page awn. T (', Q'm."ents 1�nrove; /C, Disapproved Data /z a0 7 / Apnroval Valid For One Year From Date Signed mater Anchorage Area Borough, Department of Environmental Quality & w"u wH Urmavi on contained in this request for approval to be arue on" acr.uyaty renrosentation of the subject sewer and water facIlitles located at: DTAGP,AM OF SYSTEM Signed f -- Date