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HomeMy WebLinkAboutSCHROEDER LT 32`jchroer Dmosoloo d Sip &MI 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 gL 22 ! 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 C V, c> r 0 0 ������������ �� ���������� 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