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MUNICIPALITY OF ANCHORAGE
® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME -
PHONE
IGtNEW
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f7�
j'.-�e�1O
UPGRADE
—
MAILINGADDRESS
�'n x
LEGAL DESCRIPTION �.
LOCATION /
NO. OF BEDROOMS
Well �—
Absorption area
Dwelling
PE RMIT NO.
Uy
DISTANCE TO:
`�;' -/
�
IIA 49PjC;.1�.-
M 2
Lu
Manufacturer
Material
No. of compartments
V)
Liq. capacity in gallonsInside
IF HOMEMADE:
length
Width
Liquid depth
nJ
DISTANCE TO:
Well
Dwelling
PERMIT NO.
C7Z
O Z Q
_
Manufacturer
Material
Liquid capacity in gallons
% E-
O
w 2
DISTANCE TO:
Well /
Foundation
Nearest lot Ir.
PERMIT Ip�
J IL z
No. of lines
Le gth of each line
/=
Total length of lines
/
Trench width
Distance betw an lines
F ¢
f3f i. �
c '�
inches
Al fl
Top to finish
Material beneath tile
Total effective absorption area
CC I-
of tile grade
inches
/ . "> C� i 0
Length
Width
Depth
PERMIT NO.
W
f7
a F
Type of crib
Crib diameter
Crib depth
Total effective absorption area
wa
w
y
Well
Building foundation
Nearest lot line
DISTANCE TO:
Class
Depth
Driller
Distance to lot line
PERMIT NO.
J
W
�
DISTANCE T0:
Building foundation
Sewer line
Septic tank
Absorption areas)
OTHER
L / C`
PIPE MATERIALS p - 5!
SOIL TEST RATING
INSTALLER `7L y-r//tgfp �� •t3f?�,^%
_
_
r
__
—
-
-/
—
REMARKS
J 4)W,!`J L iNf
_
axy 7
OF A4
�.B.0 11<.<4/. «�9g/�M1y l.O f.Apf <n{['• '
q i i"
m a Earl P. Ellis � 4 g
in NO. 1745-E
4
44j�A�rsso�a�`:
--
—
�
APPRO� DATE
t'
LEGAL
��it I i� t] 1 J:
if f r HEHL�}� H�D F�VlRUNMEHTPL 3(E�TI0M .�.
25 'L STREET. PNCHORHG�/ HK99��i /
/
TH1 IRED Sl: :�E OF I HE SOI|. I ION SYSTEM IS
��i f:�:: . l� , 11 , I`� �:�!�� 11 �w4T&:-T VI= . p by �? �A 0 � � 0 1��' :� , I- ���' ' !! I== ��
THE LENGTH DIMENSION IS THE LENGTH (IH FEET) OF THE TREHCH KR DRHINFIB;
THE DEPTH UF H TRENCH OR PI[ IS THF |)ISTHNCE Di. TN!� EH THURFHC[ OF THF
GROUHD HNV THE BOT131.1 OF THE EXCRVHTTON ([H FFET)
THERE I� NO SET WlDTH FOR TRENCHES
THE GRHVEL 1 TS THE M]NIMUM DEK"TH OF /AHVO- BE[HEEN lHE 01 4L ! QT
HMD THE 1011 r OF I EXCHVHl(IH FEE|)
it: 101IT HPPLlCGNT UHb THE RESPONKl14T| ITY T() l5FOQ01 TH(S T 14�19; NO
IHSTHL|'BT7OA I"PRIM TI3NS OF ANY W[L},c 9 AD :01C F; TH!K, PROPFOY num THE
NUMBER OF RESiDENCES THHT THE NB -L W[LL SERYE
---
it !I !j : 1 ��� 11. I%ji :� i : V4 F�� 0 �-V 1 TO �� 4 �7§ �A WE Ow 0 7 W Q;1[���� : ---
BHCKFIU-ING OF HNY SYSTEM WlTHOUT FINHL INSPEC1I001 HND HPPROVHi BY THI�
DEPHRTMENT WILL SE SUBJFCT TO I00,
I n 17 An T WIN A A' ��V4 A WO d 7 10- �PPY 747 ME ��E0 , � �A ., : �-V T- v::
` ~/
titVl'Cn A. Johnson Soils Loci
tiny.%'G Percol at.;.on Te. -.;t.
cr`orried for Date
I Dcs,�ript-ion
r ,
':est Fit Location
i
1
1, _.----- 'Total depth this test I``r2 L
ri iSOl i'ION ARE;. ti EQUTRi:D FBOt: SOILl---
ft.2/bdrm.
c1 nlatrite �pi1-nutes/in-ch
7T_t rImr: tn, �I
i.'1 POP—(In a-----�PPI�C
]?Al}ri)--�
c1 nlatrite �pi1-nutes/in-ch
MUNICIPALITY OF ANCHORAGE
'
MUNICIPALITY
D I/O
o DEPARTMENT OF Ii EALTII & ENVIRONMENTAL. PROT ECTI
�� 825 L Svtrot - Anchorage, Alaska 88501
1VIRONfJiENTAL�.OT[CTIO�I--
i ENVIRONMENTAL ENGINEERING DIVISION
JUI._ 1, 5 1980
Telephone 264-4720 II vv
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE4A��k E4
DIRECTIONS: Complete a parts on page I. Incomplete requests will not be processed. Please allow ten
1101 days for processing.
1. PR/Jp`R YOWNE /" ----
MA'fI ADDR
P/L-IONS—q/—�--
Ir�4�G _S
PROPERTY RESIDENT (II dilfen:nt Rom abovel
PHONE
- ER / �'
2. 76N
---i-- ----- ---------
MAA
--P-HONE
--
G D,D R E SS..
3. LEND ,INS T ITUTIOI� i%�`//J -
PP,HHONEEX� I
MAILING ADDRESS
4. REAL R/AGENT � y
PHONE
GG
MAILIN ADORESS /
LiC C
OF ANCHORAGE. � J
S'f E- O.00ATION - �-------- —
�CA
6. TYPE OF RES D -NCE — NUMBER OF BEDROOMS
�SINGLE F MILY E One C' -J' Four (=1 Other_
CJ Two CJ Five
C] MULTIPLE FAMILY O Three CJ Six
7. WATER SUPPLY—.—'—'—"�—'--'
O INDIVIDUAL' ATTACH WELL LOG. A well log is required for all wells drilled
COMM UNITY,;1 Iti- since June 1975. For wells drilled prior to that date, give well
O PUBLIC UTI LITY O depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
� INDIVIDUAL/ON-SITE"
"if individual/on-site, give installation date 9�J
If system is over two (2) years old an adequacy test is required
TO PUBLIC UTILITY by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
.-
0
dda
%j�
TIME
DAT (_----
INSPECTOR
OIRECTIONS:
THIS SIDE FOR OFFICIAL USE ONL1
DATE: RECEI
INSPECTION APPOINTMENTS
---- -- -T I M
INSPECTOR IINSPE
NUMBER OF BEDROOMS
1. TYPE OF RESIDENCE _— -- ---- ----^---
SINGLE FAMILY O ONE [—) THREE 0 FIVE
[� MULTIPLE FAMILY O TWO ❑ FOUR O SIX
5. COMMENTS
�PPROVED FOR -/4--- BEDROOMS
[=] CONDITIONAL APPROVAL (letter must accompany certificate)
[-i DISAPPROVED
DATE ---- BY (bile)
LEGAL DESCRIPTION
72010 (Rev. 31781
L
0 OTHER
eare5l Lot Line
11
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL
DEPTH OF WELL
COMMUNITY
DATE DRILLED--_----
[] PUBLIC U-1 ILITY
Connection Verified ___._...�
LOG RECEIVED
PERMIT NUMBER
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON-SITE
DATE INSTALLED
[PUBLIC UTILITY
__
__---
Connection Verified .__-- _--
Connection �
INSTALLER
[]Septic Tank or 0Holding -Tank
Size: 11 � _ If Tank Is hornemade
SOILS RATING
give dimensions:
_
TYPE OF TANK
MANUFACTURER
tiQ Q�-1
TOTAL ABSORPTION AREA
MATERIAL
p
4. DISTANCES �i
Septic/Holdiny Tank Absorption Area
WELL TO:
Absorption Area to nearest Lot Llne
5. COMMENTS
�PPROVED FOR -/4--- BEDROOMS
[=] CONDITIONAL APPROVAL (letter must accompany certificate)
[-i DISAPPROVED
DATE ---- BY (bile)
LEGAL DESCRIPTION
72010 (Rev. 31781
L
0 OTHER
eare5l Lot Line
11
338 Denali Street
X MacKay Bldg_ Room 1206
Anchorage, Alaska 99501501
(907) 274-5527
77,�q
g p P.O. Box 1207
DEPT. OF �E;N H110. MF('..�TAH. Q ONSEIR VI AV90N / Soldotna, Alaska 99669
(907) 262-5210
SYIU7NC[N7kAl R1 GlOh9U IIFf ICF
P.O. Box 1064
Wasilla. Alaska 99687
(907) 376-5038
August 7, 1980 MUNICIPALITY CF ANCHORAGE
DEPT. GF 1
ENVIROPI;/ iNl�.-CHON
J 30
Terry Sullivan [ �/
Sullivan Construction R [ lq C L' I V S D
Post Office Box 1357
Eagle River, Alaska 99577
Subject: Water System for Schroeder Bast Subdivision
Dear Mr. Sullivan:
As per our disuession on August 7th, this department approves the subject
water system as a class C system (serving less than 25 individuals).
Expansion of the system to serve 25 or more residents will require that the
system be upgraded to a class A system. This will require a departmental
plan review of the proposed expansion in accordance with section 100 of the
State Drinking Water Regulations.
If you have any questions concerning our review of this project, feel free
to contact me at 274-5527.
Sincerely, 1
Thomas L. Murrell
Environmental Engineer
cc: Maureen Clayton (Area Realtors)
Anchorage Municipality
attachment
b1
L 1-1
� t
))"A
l ,
July 23, 1980
£325 1_" S f REE l
AN('.Hfj13AGt�, Ad ASKA 991101
(907) 264-4111
I
'1
;i-'0. SUI UV[A[J,
titilY�; 1!>.
I PAP 147! r: I t:i ,ft Al TII AND ! %\ IMNNIl-N1 Al 11POF[C�rION
Syd IIuf-fnagle
% Maureen Clayton
Area Realtors, Inc.
Post Office Box 2.49
Eagle River, Alaska 99577
Subject: :Lot 10 Block 2 Schroeder East Subdivsion
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
1) The water analysis report be delivered to this
department from Chem Lab, 5633 B Street:, for
VkP our review.
(2) The community water system is regulated by the
State Department of Environmental Conservation.
We will need a letter from them stating the well
is approved and the connection to the above lot
is approved.
If there are any further questions, please call this
department at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Alaska National Bank of the North
Mortgage Loan Department
3301 C Street, Calais 11 99503
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF AN¢HPRCj
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEA H &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION -
ENVIRONMENTAL ENGINEERING DIVISION NOV 13 1978
Telephone 2644720 CC33 �^
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND -SEWRIREACE1NXIEEE D
DIRECTIONS: Complete all parts on page '1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER PHONE
MAI NG ADIDNESS
PROPERTY RESIDENT (If different from above) PHONE
—�-�y- ---- - PHONE
2. BUYER - -
MAILING ADDRESS
3. LENDING INSTITUTION /P`HONE
MAILING ADDRESS
4. REALTO /AGENT PhIONE
MAILINGA DRESS
5. LEGAL DESCRIPTION
310 e. ,-o 1- / 0,5
� ��. Q
STREET LOCATION
Cb
6. TYPE ORESIDENCE ��
NUMBER OI BEDROOMS
17:1 one Lt�Four ❑ Other
SINGLE FAMILY
El"❑
Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
Ud' 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
'**If installation date— oU.
I IN-SITE**
individual/on-site, give
If system is over two (2) years old an adequacy test is required
❑ PUBLIC UTILITY
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
/
Cb
r -r'
3
THIS SIDE FOR OFFICIAL USE ONLY
—� -- -- - o -
INSPECTION APPOINTMENTS
DATE RECEIVED --
TIME --
TIME
TIME—
DATE
DATE
DATE
—FN —SP —TO
INSPECTOR
INSPECTOR
1.0F
DIRECTIONS:
---
1. TYPE OF RESIDENCE
El SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
---
2. WATER SUPPLY
Cl - INDIVIDUAL
❑ COMMUNITY
❑ PUBLIC UTILITY
Connection Verified___
PERMIT NUMBER
DEPTH OF WELL-
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
I—) PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
INSTALLER]
❑Sep`ti]c Tank or ❑Holding Tank
Size: SC7 If Tank is homemade
give dimensions:
SOILS RATING'
TYPE OF TANK
MANUFACTqqEH
TOTAL ABSORPTION AREA
4. DISTANCES s
WELL T0: 777
MATERIAL
Septic/Holding Tank Absorption Area _
I-
Sewer Line Nearest Lot Line -
I
Absorption Area to nearest Lot Line -
- - - -
- -. -
5. COMMENTS
❑ APPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
-DATE
LEGAL DESCRIPTION
- -
-
72-010 (Rev. 3178)