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Home My WebLink AboutSCHROEDER LT 31On CAer SIO asp, os� 3� C�Ioc.K „. GREA i d ANCHORAGE AREA QORG jGH Department of Environmental Quality d� 3330 C Street i Anchorage, Alaska 99503 INSPECTI N REPORT ®N -SITE SEWAGE DISPOSAL SYSTEM NAME `—� t� MAILING ADDRESS e9`1 >c J (''•9`,'�? —J� _ PHONE LOCATION l '7v LEGAL DESCRIPTION?'`—�--- SEPTIC TANK: DISTANCE r� _ ---” NUMBER OF / "Sr �rlir l�Ylly MAI ERIAI _ COMPARTMENTS FROM WELL MANUFACTURERsa"� 0 INSIDE LENGTH — INSIDE WIDTH LIQUID [DEPTH ----LIQUID CAPACITY) > GALLONS. SEEPAGEh1-rt. NUMBER OF PITS--/—. DIAMETER OR WIDTH—., LENGTH—, DEPTY LINING MATERIAL ___— CRIB SIZE: DIAMETER DISTANCE FROM: WELL _. ��jj / ITOTAL EFFECTIVE BUILDING FOUNDATION__, NEAREST LOT LINE_E_ '1D ABSORPTION AREA (WALL AREA) _SQ. FT. ADDITIONAL ABSORPTION WELL: F TYPE CONSTRUCTION_ 13UILDING NEAREST F=OUNDATION LOT LINE CESSPOOL OTHER SOURCES NEAREST SEWER LINE _ APPROVED DISAPPROVED REMARKS DISTANCES:_"� INSTALLED BY: PIPE MATERIAL: 77 J � LOT SLOPE: REMARKS: _- DEPTH SEPTIC TANK_ _DISTANCE FROM: SEEPAGE SYSTEM —. DIAGRAM F SY A� Al )j( t DATE�i // APPROVEE�,Z)if t. / A.A.B. />�'�/� / / ~ `~ SQUHRE FEET THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF EHCH SIDE FOR H SEEPOGE PIT. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN TH£ SURFHCE OF THE GROUND HN� THE BOTTOM OF THE EXCHVHT1ON (IN FEET) THE GRHVEL DEPTH IS THE |INIMUM DEPTH OF GRHVEL 8ETWEEN THE OUTFHLL PIPE HND THE BOTTOM OF THE EXCHVFI, ION (IN FEET). ��--t: Not BEE 03N oil F" ' V : 1: Q -11- 1=1 two K. ST 11 :27 W = ft. QT CA 029 Mv I L. 0 . jC J 441 T S� BRIM" ILLIHG OF MAY SYSTEM WITHOUT FN8L INSPECTION HND HPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTHNCE BETWEEN H WELL HND ANY ONSITE SEWAGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVHTE WELL OR 200 FEET FOR H PUBLIC WELL SPECIFICHTIONS HND CONSTRUCTION DIHGRHMS HRE HVHILHBLE TO INSURE PROPER INSTHLLHTION O & E GEO'►.-CHNICAL Ef ®EVEL�_,3MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster r Earl Ellis 694-2774 SOIL LOG 688-2280 Soils Fr Foundations Land Development Performed for: Name: C'-,' r_ -N Tel . No. ' - Mailing Address:y CaZj �'��• ,v'�w �>.� . ,��, Legal Description: Depth (feet) N _1. 2 3� 4 5 6 U \N 7 8 9, 10 11 12�� 13 14 15 Soj„l Characteristics 16 \� Cj• �-e'C� rte �'�C 1' •,T Ground Water Encountered: Yes_ _ No ''/ If yes, what depth Proposed Installation: Seepage PitDrain Field �� \ Comfnents Perf caned by: Date'g`h v\G ! WATER WELL LOG' FOSS DRILLING � 1396 Ingra Street Anchorage, Alaska 99501 WELL OWNER_/J� l� �,� �� 1f USE OF WELI,_.jj2 ktj�A LOCATION 1tij b- �? ). �, h 1�, v.n O �I D.1.� (',0' .. ,1,,,J, ,% .'.�^, `n v9 SIZE OF CASINGY, 4DEPTH OF HOLE T. CASED TO. FTS STATIC WATER LEVEL.e Q FT. YIELD) GAL. PER. MIN. WITH- J I Q FEET OF DRAWDOWN. REMARKS`�j /r� )-Qr-e rGv'G Oh S DATE COMPLETED�� 2� PUMP TO BE SET AT .Lto� C2 to y P CA oapv i;ro' ..t o t0 iv, ..to t 0_® to—. �t0e _st 0� 1 a WELL LOCATION WATER WELL LOG FOSS DRILLING •x•79' 1336 Ingra Street Anchorage, Alaska 99501 -USE OF WELL_ /, U ). , % SIZE SIZE OF CASING ! DEPTH OF HOLE_6.JT!`T. CASED TO.. (O c FT. STATIC WATER LEVEL gT. YIELD_.–GAL.PER.MIN. WITH FEET OF DRAWDOWN. REMARKS__ DATE COMPLETED,. _ PUMP TO BE SET AT to C:�ctr 26.to4a v t t 040 % ! ®` c�.h el ,mow 1/0 - Lt 0 .w_t 0, 0� d_t 0� ®.t 0. 0® �t 0� �t 0� �t a— t0� e �t 0- 0� 0o 7- / 2 - 74 - m -/- / 2- - 7� 1414 t -n MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date � `' Z/It" e a<- 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) I_e)7- Zi ) <:�i'- e tai .n e. r%, -_1i SLIM (address or directions) (b) Applicant Name A/AenJ ' _ Telephone: Home Business Applicant Address _ /____./jr�n.�� (c) Applicant is (check one): Lending Institutiong�', Owner/builder ❑ ; Buyer ❑ ; Other ❑ (explain); _ (d) Lending Institution &• ftrfIG J�lfi7L74�' f°n�— Telephone Address L a� (e) Real Estate Company and Agent Address Telephone (f) t ( the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms 3. WATER SUPPLY Individual Well Community CI Public ❑ 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$- Community ❑ 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 72025 (11,84) 6. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as ofthe 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 systern 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 }r=. Wfill # WC4 _ Telephone SNU 19131N, Addre Date �jo�ltl �G�i o� Ci( v d0 ri o^ -)AL fkPA2o✓/I1, iii to <%-- l €3 6.3�5`` ll sCC-A J 114A:t.?6 . VA4ir i Gorr -r cam_) !3 /UJ,4i�PC S`-- �?_q P e.57', L'J U/c./ WA 5 ��•4�aa�•n�QvA` 6. DHEP APPROVAL - tL.) Approved for _ bedrooms by ate Approved __ Disapprove _ Condition, Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health 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 inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. Page 2 of 2 72 nuc 11 -'nI, a' MUNICIPALITY OF ANCHORAGE Of-PARTIVILNT OF HEALTH AND EPJVIRONI%IEN,rAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH (A-HTIFICA'I1. OF INSPECTION FOR HCALTI-I AUTHORITY APPROVAL OF ON-il'I'E SEWER AND WATEn FACILITY 264-4720 Application Date _�L.•,�o ------ t. GENERAL INFORMATION (a) Legal f>oscr ption (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name`'_ Applicant Address (c) Applicant is (chec.J Telephone: Home (� ' �� _ Business5% c`r� one). Lending Institution El ; Owner/builder EJ; Buyer EJ; Other (explain), i (d) Lending Instituti - Address (e) Real Estate Company and Agent Address __&'Telephone Mail Mail the HAA to the following address 2. TYPE OF RESIDENCE Single -Family X Multi -Family © Other Number of Bedrooms Telephone 3. WATER SUPPLY Individual Well Community El Public El 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 Onsitela Public El Community El Holding Tank El Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2� 5. ENG4NEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SCAIFICH, DATA AND EEh�H eie,,. t Qj As certified by my seal affixed hereto and as of the validation date shown below. I venf that Authority Approval shows that the on-site water supply and/or wastewater disposal system is sate, fun , cUonal ,,1,.,rr { for the number of bedrooms and type of structure indicated herein. I further, verify that based on the intormat o„ r;r;t from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply end.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 . _ _ Telephone _ :.: t_t.•I�":)ly G aE"iln Address Date 6 DHFP AP ROVAL s r,� , �j �_ Approved }or Approved ® (J - ,//__�� bedrooms by'� Dates _ Disapproved Conditional Terms of Conditional Approval l /lC/C� d� �� vt ✓G -?'. 61,AJ s'! ,.�.5��` }� � ,/� �`}-0�5`+q� �'/gyp' G� �� c' � i � �' , r' /.t 7,�<C:'i✓- J /.`:= �ff4�7 NF �..el i'R_6,1 CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health 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 DHLP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and stale requirements. Lmployees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or ornissions in the professional engineer's work. Page 2 of 2 MUNICIPALITY OF ANCHORAG'° DEPT. OF HEALTH R MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 [q-gX1 1 1985 264-4720 Lega,llDescription: ., �b A. WELL DATA Well Classification � / +'� If A, B,, C, D.E.C. ApprovedOfj')/w Well Log Present 0-H) Date Completed JCL�� Yieldc_'f'r Total Depths Cased to C� Depth of Grouting Static Water Level s?d' _ Pump Set At r Casing Height Above Ground Electrical Wiring in Conduit & Separation Distances from Well: 4 - To Septic/Holding Tank on Lot _ S _ On Adjoining Lots 1190 To Nearest Edge of Absorption Field on Lot On Adjoining Lots r To Nearest Public Sewer Line _ �%5 To Nearest Public Sewer Cleanout/Man hole To Nearest Sewer Service Line on Lot `) Water Sample Collected by jc�4S E"4,i n-!C-fhff Date l �� Water Sample Test Results �fr� 75.9�sfZt'/C-b/ Comments W9k.L. VIkzlA 10 �- — Sanitary Seal on Casing 19/fd)` Depression Around Wellhead B. SEPTIC/HOLDING TANK DATA _5; Date Installed,. — Size No. of Compartments _ Standpipes (Y/N) Air -tight Caps (Y/N) — Foundation Cleanout (Y/N) Depression over Tank (Y/N) �- Date Last Pumped ` _ Pumping/Maintenance Contract on FJR'- _- /N) Holding Tank High -Water Alarm (Y/N) _ `'� _ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well _ _ To BuildingTaundation To Property Line To Disposal Field "�- To Water Main/Service Line — To Stream, Pond, Lake; or. Major Drainage Course CoWnts/ /0 PJ/may o (r yTIC_ -r .. �. tit ➢ --!`) � it.:.1__f/ Cs _�_.�",° I,�-�y. Y � _.. `_l�_- i_.._ Page 1 of 2 3 } 7P-roFi11 iRM Yk� C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed'_,_ Width of Field !i Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption 5ef6: � To Water -Supply Well To Building Foundation= _ Lot — To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, king Area, or Vehicle,Storage Ar is D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) _. Comments Type of System Design . Length of Field _ Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) _ —..DE f Last Adequacy Test To Property.,L.ine On Adjoining Lots -- To Cutbank (if present) CJ e ti -/ d-�- 1.-t G.. G — Dimensions Manhole/Access (Y/N) uump/6ff" Level at or Abandoned System on uacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MO and HA guidelines in effect on the date of this inspection. Signed Date l Company Sgt;X,� MOA No. s r r Receipt 9�), i;i�u7r !� 3 : 'ate •"" t No. Date of Payment — P °•m ��ag Amount: $00rs a1 S Page 2 of 2 72-026 (rvaa) Ia *+b®rt A. I - - - " fi e rvo, 1457.E A►PPLIC VT FILLS OUT UPPER MAL ONLY Property Owner ,,, , — 4T Mailing Address TiO:S;. 5r '10-0 CAF; ijt ia%18 .Ti�'tVr� nBuyer Zip Code 995tXtAjPhone --3231 Addressp.o. JI)OX 9tiu iJ;,.t '.1 c7 7i, i. j( rf A._ Lending Institution Tip: Zip Code 99 577 urst.iOL1. il,.. .�"i1.f7.1:. O.il�. rl 1%. .'!i<�' • ji i'i?.I1_C3 �1 Phone e Address i30;{ Sf�.8 ,I ;LI�.[,P (j.VO:Cf /1.�_t),[`];.C7. (L'rr Realty Co, & Agent Zip Code 9) • � % 694-2103 J O f7.f1 131 yl c t' Phone Address (i1 ('> r 1::_i (- !'r Legal Description 3 (, Zip Code 99) 17 69/,c�/?00 Lot 1 cllro(1O.r. W b Street LoIlcation 55 ?iarcuo St. Type of Residence :4Q Single Family ❑ Otherple Family No. of Bedrooms—_ Water Supply Individual -- Community TFor CH WELL LOG. A well log is required for all wells drilled since June 1975. IJ Public Utility ellsdrilled prior to that date, give well depth (attach log if available). Sewer Disposal M Individual — ❑ Public Utility Year Individual Installed: E> % ❑ Holding Tank When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date — ate Inspector Inspector Inspector Inspector Inspector Field Notes: / JUN Q 31963 � �ty�" i L �} Q ��J "Municinamy of Arlcho(ap3"• "Dept, of He, ljpl '(& EnAronmental PT-OBOBDIV, ( Jr)�PPROVED BEDROOMS ( )DISAPPROVED 'CONDITIONS OF APPROVAL ( ) CONDITIONAL PPROVAL' DATE _ /C BY, its Rating Date Sew In tailed Well To Absorption Area Well Log Received f Well to Tank Septic Tank Size 72023 (31521 f.1 "i 0 4 EXCAVATION WORK Re/MaXX Realty ATTENTION: John Plyler P.O. Box 848 Eagle River, Alaska 99577 Dear Mr. Plyler, May 30, 1983 Reference: Lot. 31; Schroeder West Subdivision ROBERT A. SHAFER CIVIL ENGINEER 694-2979 A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank verifiedwas Pumped and ecapacity s. The absorptionn areawass testedby accontinuouslf0lowgonofl544 gallons Of water over a period of 24 hours without any adverse effect on the system. 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. Sincere1 , / �// i S/ss cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA t�,f', • DEPARTME ., '�r-�✓� J 825 nora�>. #1: Time Date MUNICIPALITY OF ANCHORAGE �_qho OF HEALTH AND ENVIRONMENT.__ PROTECTION L Street, Anchorage, Alaska 99501 279-2511, ext. 224 or 225 It2: Time Date Date Received: August 29, 1977 #3: Time Date Insp l A 1, Insp Insp -- REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: First National BAnk of Anchorage Mailing Address: Post Office Box 720 99510 _ Phone: 276-6300/483 2. Property Owner: Roy A. Mullen _ Phone: 333-9289 Mailing Address: 6526 Colgate Drive 3. Legal Description: Lot 31 Schroeder_ Subdivision 4: Single Family Residence: (x) Number of Bedrooms: ? _14 Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: Individual Well (x) Community/Public Svstem ( ) Permit ;r 41' C/ _ Depth of Well / 0 Well Log on File Construction Bacterial Analysis 6. Sewage Disposal System: On-site System (x) Public Utility ( ) Permit # ��q 1 r__ Installed _l hj il:�' Installer Septic Tank Size �L`� 0 Manufacturer Absorption Area 3 5 Soils Rate _ �C;!( Material -11� 7. Distances: Well to Septic TankS V !� _ t Absorption Area to Sewer Line Nearest Lot line - Absorption Area to Nearest Lot Line MUNICIPALITY OF ANCHORP;"c MUNICIPALITY OF ANCHORAGE DEPT. Or HEALTH R DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ENVIRONMENTAL PROTEC:TIOV 2510 East Tudor Road, Anchorage, Alaska 99504 276.2221 AUG' 21 9 19-17 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES SEC E I V E D I. Type of Inspection: CMRO VA_ X FHA__ �_CONV 2. Property Owner: R A. Mil lin Mailing Address: 6526 Colgate Drive Day Phone:333-928A 3• Name of Buyer: David W. & Donna M. Heimke Mailing Address: Box 55 us MarcS Eagle Day Phone: 69 tU �a-��22 3 _ �� _ River 4. Name of Lending Institution: First National Bank cif Anrh aCTP Mailing Address: P. 0. Box 720 Anrh '-, Phone: 276-6300 ext 483 5. Name of Realtor or Agent: n/a 99510 ---- Mailing Address: Phone:_ 6. Legal Description: Lot 31 Schroeder S D _ Location:_ Marcus St. Eagle. River. Alas a 99]2_ 7. Type of Facility to be Inspected: Existincle f 3' No. E3drms. 8. Water Supply Type of Supply Public Util If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date Of installation 72-003(3/76) Individual Individual (on-site), X Marie Iiams Page `�wo Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 31 Schroeder Subdivision Comments: Affadavit Attached: ( ) Letter Attached: ( ) Approved: � --- Date: Disapproved: Department Worksheet: Date: