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CO.T ' ANCHORAGE AREA BORC 'H
OJ Department of Environmental Quality
' 3330 C Street
Anchorage, Alaska 99503
j INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM _
NAME��DIIC�I �Vf{f?�suNl _ MAILING ADDRESS ekZS4 �u 'C(ix�f `i PHONE
LOCATION 6(44'[1 >r JCNveyL1C� IrC LEGAL DESCRIPTION LotZ 5CL Jef _
SEPTIC TANK:
DISTANCE NUMBER OF
FROM WELL -MANUFACTURER _SfTIUC �"' MATERIAL COMPARTMENTS COMPARTMENTS_
INSIDE LENGTH _ INSIDE WIDTFI _LIQUID DEPTH LIQUID CAPACITY 10" GALLONS.
SEEPAGE PIT:
/` i
NUMBER OF PITS �. DIAMETER �� OR WIDTH LENGTH// , DEPTH 4
LINING MATERIAL _ CRIB SIZE: DIAMETER �� DEPTH 601 DISTANCE FROM: WELL _.
( 9944 / TOTAL EFFECTIVE
BUILDING FOUNDATION�Y , NEAREST LOT LINE- . ABSORPTION AREA (WALL AREA) 200 _SQ. FT.
ADDITIONAL ABSORPTION
WELL: Ap I
TYPE _ GlVll l�
__CONSTRUCTION A�f. u"A DEPTH
DISTANCE FROM:
BUILDING2�f NEAREST ZQf NEAREST SEPTIC: SEEPAGE
SEEPAGE 'r��
FOUNDATION LOT LINE SEWER LINE -,TANK SYSTEM
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
DISTANCES:
INSTALLED BY:
c
C
PIPE MATERIAL: cod 'N)ln I
LOT SLOPE:
REMARKS:
C9dU� q1'�1 U el L
Form No. EQ -031
REMARKS
DIAGRAM OF SYSTEM
Rlf f.
gK 1
DATE I/ L
APPROV
lag
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G.A.A.B.
ee
0
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological a Geophysical Surveys
Drilling Permit No.
LOCATION OF WELL (Please complete either to, Ib or Ic.) A.D.L. No.
oBorough Subdivision Lol Block Ib. t/a glrs. Section No. Township N Rongo E E]Meridian
1• So
DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL ,
1100 11J{`i`:n Reeire:s
Address: !; !",\r LY't lip.e
Street Address and Area of Well Location
2. WELL LOG
Feel Below
4. WELL DEPTH: (final)
5. DATE OF COMPLETION
S u fa co
y�) ff.
_ _ pp
�4 'u�
Top
Bottom
Material Type
Dry i rav(-1_
n
tCl
G. ❑ Cable tool.��Y¢o tory ❑ Driven ❑ Dug
❑ Auger ❑Jetted ❑ Bored ❑ Other:
rx S'@.).
41 (')
jr,r;
7.USE: EI'derneslic ❑Public SUDPIY ❑industry
❑ Irrigatlon ❑ Re c he rqo ❑ Commerical
❑ Test Well ❑ Other:
—
' 20
C 0 z; t'F,)1'l
:>_201
l
r.• .,' .
1<i'
.L11'u
8. CASING ❑ Tl�(eadod ❑� Welded
diem.O In. to !'�) ft. Depth Weigh t7-7 Ibc.�ft.
diem. in. to ft. Depth Stickup ft.
Con]. r, (9 <9 ;11
P.
1+.1
�•P)
171
_
9. FINISH OF WELL:
Typo(.)! -'eel 1fole, Diameter: Ur.
SIot/Mesh Size: Length .
Sot between ft. and ft.
8ackfillinq Gravel pack
C030c L'..
�-�r'�7
ri
�. / -'
I'r21Ct1)r0 kt1f;}i -a Ji. ntV,re
r•
i.'1
7.�1F
10. STATIC WATER LEVEL: ft. _L
ir`
r
?3C;
Cca;. e,ea!ti
Date
❑ Above or [jBelowland surface
hFt]_e
23<<
24),
Equipment used:
—
Coal cram
2";:)_
?_ f ;
Sh<�iIe
2 f >
4
11 ,PUMPING LEVEL below land surface and YIELD
ft• after _ hre. pumping g.p.m.
ft. after hra. pumping q.p.m.
Gaal rea.rn with moia'ture
jb E
y/U
Shale
r
429
)f].. F_;.,%t fil
12. GROUT I N G Well Grouted: ❑ Yos ❑ No
Material: ❑ Neat Cement ❑ Other: _
(; p,;,l :i C:.'in
i-Mj
�'" .)
13. PUMP (i1 available) HP_
Length of Drop Pipe rnr'f ft. capacity .. g. p. m.
c -1j Ft
,I.
r;�>17;
.'.❑ Subm. ❑ Jet ❑ Cenfrifical Other
14. REMARKS:
16. WATER WELL CONTRACTORS CERTIFICATION:
15. Water Tom lure ❑ F ❑ C
pe ra _°
This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belief;
imlLl on l"T.A.l.1A.7)", t'!.' ) 8,'°;
Registered Business Name Contract License Number
rt
,O• E�OX IJ (] F:,;1 �'Ze 1�j?r;'1'f n .e ti �,IT? i
: -
Addressl
_
�tDate: e :,ir C;1 1982
Siqnod-/V /te/ri,
,,M
AuthorizedFepDfesentativa
Form 02-WWR (11/81) Copy Distribution: WHITE-Slalo DGGS, PINK -Driller, CANARY -Customer
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������������ �� ����������
DEPHRTMENT OF HEHLTH HND ENVIRONMENToo, PROTim TIOM
825 'L' STREET, HNCHORHGE, HK. 9930i
26�~4720
PERMIT NO. ( 82G069 )
HPPLICHNT JOHNNY H REVES GEN �ELY EHGLE RIVER 694~4236
LOCHTION IRIS WHY
LEGHL L]2 SCHROEDER LOT SIZE 17700 SQUHRE FEET
MINIMUM DISTHNCE
BETWEEN R WELL HND
HNY ON—SITE SEWHGE DISPOSHL SYSTEM IS
100 FEET
FOR H PRIVHTE
WELL OR 150 TO
208 FEET FROM H PUBLIC NELL DEPENUING
UPON THE
TYPE OF
PUBLIC WELL
MINIMUM DISTHNCE
FROM H PRIV9TE WELL
-,"Cl H PRIYHTE SEWER LINE IS 25 FEET RNCl
TO H CUMMUNITY
SENER
LINE IS 75 FEET.
WELL LOGS
FAME REQUIRED
HND MU5T BE RETURNED
TO THE C'EPHRTMENT WITHIN ]0 DHY5
OF THE WELL
COMPLETIONl
OTHER REQUIREMENTS
MHY HPPL? SPEClFICHTIONS
ANE) CONSTRUCTIOM DIHGRH�S �RE
HVHILHBLE
TO INSURE
PROPER INSTALLHTION
10"KENSWA 1: X KIM" 1: RAMIS7 EpETV EE 1 �l El H:�
I CERTIFY THHT
1� I HM FHMILIHR WITH THE REQUIREMENTS FOR 011-111 Th SEWERS HND NELLS HM SET
FORTH BY THE MUNICIPHLITY OF ANCHORAGE.
2� [ WILL P111111.1. THE SYSTEM IN HCCORDRNCE WITH THE CODES.
���
i-`li t. +p•#Ci77as�
r ;r° i`:,{_ t sj< `.C•i i i'S; Cf)
_•;i..F f" ` '.) eS`=.�: S : >�t`tt_ t}£.£.! �>-i}Si". s ! . •i,i; .t}y�{, '
VI F}1i L}'fF'f'C` £f ;cri •_'•,'i��:s
'...f is i "i i• I rit'i { R 15 f,lj jY
a i I 'i I i`i+ (Q f,? M f i ii !} t' 1 t £ :t -A 0 111 9._ ',INU 511.1` t f'� ; s t ;,= 401,r: v ('„ }1' 'ii._ .;- - }) `i } f
013 WAR i'}.ti=' e? #'"i?(yy , .'!£:t_i_. ')tti -#:.o rij .:'tl=•S i` :4! ! pMl 11 F) OI•i•t:
3'1 f i''! �F'►i?I'{ !.' f I , ii#t. ,: i i .£?f•# i 1 'i! {':ri't !
H&Q. }'}) i} i3iT) }.. rttii }'; '-.ii ,�,}:.. i•: £ • 2 }'�:., i °i �r }' : _: T :i{`K:t
s.. bho is i°::i mu.
i`.
_
4,';i_£.£..£ 1 j)Ts fi:c:}: £�:;=s;`i.1 Li{f'f, it .X*' NO'.s t ; .+; I�;!;'`.(•?•.f l•t! i',�{:� ...'''i s:.3�i 1` 1• � �•# _
OF 711!`. tl :t t i 1IFt,`i.-;1 (tats..
} •y<< " +t - -t' "{t; 3C1t_t}'#'; p't'p 171JIS fill it: t 11+1-1
5_:t+,-{.•�; <T •I'+IJft�'t.fl,.-:i.!'. i•1„>• i"4}=}ht. _. ..I.- -
. y„t ri,- } t', } - i r.�rt= ft< f fr r•, r `,l TA?' (1311
t 2 iAl J"-- "... 7..3'.}f? S.{`ri ) ” £\'� -.�•.!
P!X':• ,7#
� op? m sy rum Pli,i}•} f so i ;t- f S'}' {3i' 01 ICI i}_ii`:i lt�t.:.• ..
3 s -11_t . f < i7:, �'. ' r l I N ts:' ''yr; rl<=r•ts., - Sd f i £i t'i :. s:aif_]: ',.
V4 ..
—
5. LEGAL DE RIPTI
2
Dt RECEIVED
INSPECTION APPOINTMENTS
—N1
'TIME
TI
TIME
�` \
DATE
DATE - -
DATE - -
INSPECTOR-
INSPECTOR
INSPECT�� - -
MUNICIPALITY OF ANCHORAGE
'DEPT. OF HEALTH &
ENVIRONMENLAL 1 rOrECTiON
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
-
- - 825 I_ Street - Anchorage, Alaska 99501
AUG 2 5 11981
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720 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 (10) days for processing, - - -
1. PROPERTY O IE//R,�'
- �fGy�r�V,
MAII_IN
62 -77
PROPERTY RESIDENT Of different f w abov )--
Lo ti` (k Vo e d� �-
2, BUYER
PFIQ� E
C`�'
1-,I.(
PHONE
- ---��� r
MAILING ADDRESS
3. LENDING 1 TU ION
PHONE
MAILING ADDRESS - -
--
4. REALTOR/AGENT -
Gr-,�F`��-�a c7�(
P ONE -
�iilS
MAILING ADD V0
—
5. LEGAL DE RIPTI
�j�
.�
�o -�
_2�
STREET CAjT�IO//N/� r� -� - -
C
-C �I GV` 4 �i /
"�-S
6. TYPE OF RESIDENCE
NUMBER OF BEDROOMS -
C SINGLE FAMILY
❑ One ❑ Four ❑ `;Other
❑ Two ❑ Five
MULTIPLE FAMILY
EP—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 DISP9SAI_SYSTEM
1
`
Vd INDIVIDUAL/ON-SITE** '-/._YEAR ON-SITE'SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-09.00 Rev.6/79)
V
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE
❑ 'TWO ❑ FOUR ❑ SIX
❑ OTHER
-�^
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLIC UTILITY
Connection Verified_
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
INSTALLER p
__=
❑Septic Tank or ❑ Holding Tank
Size:_ 006) If Tank ishomemade
give dimensions:
SOILSRATING
'TYPE OFTANK-
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
J
4. DISTANCES WELLT0:
Septic/Holding Tank
Absorption Area
Sewer Line
Lot Line
�
Absorption Area to nearest Lot Line
5. COMMENTS
I_9✓ APPROVED FORBEDROOMS
❑ CONDITIONAL. APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE: �
BY ✓'`����Z���
V
--^��DATE
INSPECTION APPOINTMENTS
RECEIVED
TIME
TIME
TIME
DATE
DATE
DATE
�
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
❑ Other
1,A \_S -9c) N \1K-Lr'5
INSPECTOR
INSPECTOR
INSPECT
MUNICIPALITY OF ANCHORAGE ����1�lI�CIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH ENVIRONMENTAL PROTEC'rloly DEPT. OF 1 -11 -Affil[ &
825 Street - Anchorage, Alaska 99501 ENVIRONMF.NIAL 1'6ijfECTION
•
ENVIRONMENTAL SANITATION DIVISION rj0,J 5 39LjLl
Telephone 264.4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW �(AEJN F -V
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
❑ PUBLIC UTILITY
PHONE
1. PROPERTY OWNER
694-9681
Preston S. Peppers —
MAILING ADDRESS
P. 0. Box 1064, Eagle River, AK 99577
PHONE
PROPERTY RESIDENT (If different from above)
Same
—�--- -
PHONE
2. BUYER
279-9193
Walter L. Davis
MAILING ADDRESS
3407 Spenard Rd. Sp 3, Anchorage, AK 99503
3. LENDING INSTITUTION PHONE
Alaska Mutual Savings Bank (Cindy Gorman) _1694-9571
MAILING ADDRESS
P. 0. Box 1068, Eagle River, AK 99577
PHONE
4. REALTOR/AGENT
AREA, Inc. Realtors Attn: Myrna Johnston _694- 9555
MAILING ADDRESS
P. 0. Box 249, Eagle River, AK 99577
S. LEGAL DESCRIPTION
Schroeder Lot 32
STREET LOCATION
Iris Way
-
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
❑ Other
❑ One ❑ Four —
E] SINGLE FAMILY
El
❑ Two E:1Five
❑ MULTIPLE FAMILY
U Three ❑ Six
7. WATER SUPPLY
® INDIVIDUAL*
*ATTACH WELL LOG. Awell log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
80, (� )
❑ PUBLIC UTILITY
depth (attach log if available.)
B. SEWAGE DISPOSAL SYSTEM
® INDIVIDUAL/ON-SITE**
1973^YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
NOTE: THE INSPECTION
72-010 (Rev. 6/79) V�
, nun Inu„ 9/741
THIS SIDE FOR OFFICIAL, USE ONLY
1. TYPE OF RESIDENCE s
NUMBER OF BEDROOMS
❑ SINGLE FAMILY
❑ ONE
❑ THREE ❑ FIVE
❑ OTHER
❑ MULTIPLE FAMILY
❑ TWO
❑ FOUR ❑ SIX
-��
2. WATER SUPPLY
PERMIT NUMBER
❑ INDIVIDUAL
DEPTH OF WELL
❑ COMMUNITY
DATE DRILLED
❑ PUBLIC UTILITY
LOG RECEIVED
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
PERMIT NUMBER
❑INDIVIDUAL/ON -SITE
DATE INSTALLED
❑PUBLIC UTILITY_
Connection Verified
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size: ) X10 0 If Tank is homemade
SOILS RATING
(live dimensions:
TYPE OF TANK
MANUFACTURER
„Y • f�-OPQ
TOTAL ABSORPTION AREA
4. DISTANCES
MATERIAL
Septic/Holding Tank
/
Absorption Area Sewer Line
Nearest Lot Line
WELL T0:
Absorption Area to nearest Lot Line
li. COMMENTS
fZAPPROVED FOR
71 BEDROOMS
❑ CONDITIONAL APPROVAL (letter must
acco any certificate)
❑ DISAPPROVED
DATE
BY
, nun Inu„ 9/741
ngthl
A,/
Area Realty
ATTENTION: Myrna
P.O. Box 249
Fogle River, Alaska 99577
DAVID A. SLEN KAMP
MECHANICAL ENGINEER
694-9055
November.19, 1980
Johnston
Dear Ms. Johnston,
ROBERT A.SHAF-ER
CIVIL ENGINEER
694-2979
MUN:CIPALLrY OF ANCHORAGE
DEPT. OF H-,`.LT=1 &
ENVikG;:; .LNT;'1L CFECTION
REE LVED
Reference: Scott Peppers property; Lot 32; Schroeder
Subdivision
A sewer system ndequacy test was performed on the system
located on the referenced property as you requested.
The septic tank was pumped and in accordance with
Municipality records has a capacity of 1000 gallons.
The seepage pit was charged with approximately 1000
gallons of water and after a period of 24 hours all
the water which had been added had percolated out of
the crib.
It can be concluded from this test that the sewage
system is currently functioning adequately for the
three bedroom residence located on this property.
If we may be of further assistance, please do not hesitate
to call.
Sincerely,
0BRT A. SHAI R, P. E.
4S/ss
cc: Alaska Mutual Rank
ATTENTION: Scott Peppers
Municipality of Anchorage
Department of Health and Enviornmental Protection
SRB 196X EAGLE RIVER, ALASKA