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Home My WebLink AboutSCHROEDER BLK 2 LT 8Sch�oec�er 51� C) so 001, ALi 0�1 GRE. ER ANCHORAGE AREA BOF - UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL- SYSTEM NAME /i�i,� ,/�� /� MAILING ADDRESPHONE LOCATION...LEGADESCRIPTIONS —L_ —_ SEPTIC TANK: DISTANCE / / FROM WELL BGG% /MANUFACTURER /t/y / NUMBER OF MATERIAL NUMBER INSIDE LENGTH - _ INSIDE WIDTH LIQUID DEPTH — LIQUID CAPACITY/�U GALLONS. SEEPAGE PIT: NUMBER OF PITS _1DIAMETER OR WIDTH L, LENGTHI1 DEPTH f 1 " LII MATERIALJ4L CRIB SIZE: DIAMETER _DEPTH.' i! DISTANCE FROM: WELL ��'�� _• BUILDING FOUNDATION.,; NEAREST LOT LINE �`/ TOTAL EFFECTIVE — . ABSORPTION ARE ADDITIONAL ABSORPTION— - WELL BSORPTION_- WELL: /j� TYPE �/-�K/iii�� _CONSTRUCTION BUILDING NEAREST FOUNDATION _ LOT LINE A (WALL AREA) SQ. FT, DEPTH — DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TAN!< �l�Q SYSTEM %>C CESSPOOL – OTHER SOURCES APPROVED DISAPPROVED REMA DISTANCES: DIAGRAM OF SYSTEM a o INSTALLED BY: r 3 Os p _ q U PIPE MATERIAL: –`------ �—E- LOT SLOPE:�:1-41'j I� REMARKS: DATT Gtbcc / f— APPROVED / f Form No. EQ -031 G.A. A.B. �� 3 3' N / — 20 ram 8� roZ NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION GREATER ANCHORAGE AREA 130ROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" 5TREET ANCHORAGE, ALASKA 09503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM •-_- APPLICATION ARID PERMIT INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH MAILING ADDRESS E PIT TO BE INSTALLED DRAIN FIELD PERMIT NO PHONE OTHER BY _-r1--is i_-isnrcrr- C.�<rT//YcS i _ SOIL TEST RESULTS%Z�? ['� F es / NOTE; THIS PERMIT E5 NOT VALID WITHOUT SAIL TE;3T COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC 'TANK SIZE _ TYPE SEEPAGE AREA SIZE X�`//y_L(-S_ TYPE MINIMUM DISTANCES, REQUIREMENT'S / „;4xj DIAGRAM Or SYSTEM FOUNDATION TO SEPTIC TANK 7 / / FOUNDATION 'CO SEEPAGE PIT _.__F��_-__/� DRAIN FIELD SEPTIC TANK 'I'D SEEPAGE PIT WALL / L2 / SEPTIC TANK __ SEEPAGE PIT _ DRAIN FIELD TO NEAREST LOT LINE. WEELL TO SEPTIC TANK _G/ SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. i I 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 BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2B-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. -/ -� / rf DAlE�/A�PPLICANT'S SIGNATURE X�/C "6v7<1 FORM NO. EO -01 ---- O &- E Ell I NEERI NG & ®EVEL Gi 4ENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 Russell Oyster 694-2774 Earl Ellis Civil Engineering 333-5240 Soils Et Foundations Surveying Land Development i=- r - % n 1 ;. Q ID t Q 00 Y 00 Cy 0000000 I Vp CC LLI X LLJ 0 C46w w LL. CF) C4 0000 0 tA V) V) w Z L6 4w w L6 Permit #: 820425 January 31, 1983 TO; Permit Applicant Subject: Lot 8 Block 2 Schoceder. Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982, Permits are issued on a calendar year basis, as stated on the permit-, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date avid to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-buil.ts for our files and documentation. If there are any further_ questions, please call this office at 264-4720. Sincerely Robert C. Pratt, R.S. Acti;�g Pr.ogr_am tanager Sewer and Pater_ Program RCP/ljw enc: Copy of Permit SWP/057 0000,. DF Flop PROP Hinvot jjq fqpq) I',,I: yn""q hJUMBIT OF "0 SOIL F"K REEGILIURED SIZE OFF III ly TWE ARIMENT THE. 11"SPFECTIONS; WFA-L-S:,; 10 141% RESIDENCES UNT THE MR1. AL -1. SERVE - K FEE C: -I - �Br piw� MvInEonu P1 I'd T Th 0 UF f 7 1 N fo 1'. j� J'q �; I -, E.: f.': I J� C '. ::. DUNTRATTAT 1,111j, [YEE 9111JECT I() IT, - 1 - j -1:E "D -J. -,: !III' T C"m FEE C; FEE IV I BE) FEE To! 200, wo 0! MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL. Q)aL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date December 5 -1986 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot -8. Block 2 Schroeder T14N R2W Sec. J. Location (address or directions) — (b) Applicant Name Einar Larson _ Telephone: Home 694-2188 -- Business Applicant Address -127D Iris Drive Eagle River Alaska 99577 (c) Applicant is (check one): Lending Institution ® ; Owner/builder V9 ; Buyer (] ; Other D (explain); _ (d) Lending Institution -.First National Bank Telephone 694--2103 Address P.O. Box 770548 Eagle River Alaska 99.5 Z 7 (e) Real Estate Company and Agent _ N/A Address -----N/A Telephone (f) Mail the NAA to the following address: -- Pjc?p by�n_gineer 2. TYPE OF RESIDENCE Single -Family ® Multi -Family 0 Other Number of Bedrooms __3 3. WATER SUPPLY Individual Well [2 Community ❑ 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 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 (ll•Bn) 5. ENGINEERING FIRM PROVIDING 3PECTIONS, TESTS, FILE SEARCH, DAT. ND 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 ��. q o Telephone Address EAGLE IiIVER EhGIPE"?(^a SERVICES Date I!,�JJ: .X -- 77329, — 694t-5195 -- 6. DHEP APPROVAL 7 P� Approved for bedrooms by _��=�� Date ApprovedDi ' sapproved Conditional Terms of Conditions 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 engineer's work. Page 2 of 2 72-025 (11/84) OF ANCHORAGE MDNICDEPt1 ON OF NEAl1H & �NYIRONMENIAL PROTECTI A. WELL DA�'� MUNICIPALITY OF ANCHORAGE (MO,., HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: �2 /� lam / c h ro ec &" Sm Sec. / Well Classification 's TdATF If A, B, C, D.E.C. Approved (Y/N) `arc Well Log Present (Y/N) _.�Date Completed S� 30 `�� p —_ Yield Total Depth 5-O r Cased to �� f e Depth of Groutinge Static Water Level ��s r Pump Set At Casing Height Above Ground y.� _ Sanitary Seal on Casing (Y/N) �y Electrical Wiring in Conduit (Y/N) �y Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot iZ-/li __ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot yak ; On Adjoining Lots 7LA90 ' To Nearest Public Sewer Line 7� ' s'/ To Nearest Public Sewer Cleanout/Manhole > /ua To Nearest Sewer Service Line on Lot 3E/ / Water Sample Collected by ' de, Date _ /.� /i/�C r..�•� Water Sample Test Results _ .7 Zii 7xc_ Azo Comments B. SEPTIC/HOLDING TANK DATA N�a Date Installed Standpipes (Y/N) _ Depression over Tank (Y/N) Size No. of Compartments Air -tight Caps (Y/N) Foundation Cleanout (Y/N) Pumping/Maintenance Contract on File (Y/N) _ Holding Tank High -Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well To Property Line To Water Main/Service Line Course Comments Page 1 of 2 72-026(11/84) Date Last Pumped ;for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field __ To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA N Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION 1 ., 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) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on On Adjoining Lots To Cutbank (if present) _ Dimensions Manhole/Access (Y/N) _ — "Pump Off' Level at _ _— Vent(Y/N) _ Pumping Cycles during Adequacy Test. Meets MOA ** 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 Date Company�,7? L� �' MOA No. Receipt No. d� /0(-)/ 0d/ - Date of Payment _ 2 e�7 ' int � , Jn,t,; � Amount: $ ;r%9ineer's Seal J .1 vl � _ 1 Page 2 of 2 72-026 (11/84)