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GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
3330 "C" STREET ANCHORAGE, ALASKA 99503
8 II j/ f TELEPHONE 274-4561
��ME[0 111Mt d�
- APPLICATION AND PERMIT
NAME OF APPLICANT 5h 1-1 L- a/f/��+*� tMAILING
INSTALLATION LOCATION ""="�I-'==I-/�./_
LEGAL DESCRIPTION L D T _-. - 019,4 /
PHDy ie j!
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT y'�,.� , DRAIN FIELD / ,y OTHER •'l e��
TYPE AND SIZE OF FACILITY TO BE SERVED /� F I 1 �/ 0)a "e -l_ IA le= -"-
d
FINANCED THROUGH
SOIL TEST RESULTS
TO BE INSTALLED BY
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED 12 -SI -77
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYS/TEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
DRAIN FIELD
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.
SEEPAGE AREA SIZE
WELL TO SEPTIC TANK IOV / SEEPAGE PIT /00 /
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DRAIN FIELD �E_/o ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEEPAGE PIT
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.
' 4` ?
G.A.A.B.
OR
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE ARE -1 OR NA/CE 028.68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS INACCORDANCEWITH SAID CODE. -
DATE /r/ 7 APPLICANT'S SIGNATURE
FORM NO. EQ -016
A
_
1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE ARE -1 OR NA/CE 028.68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS INACCORDANCEWITH SAID CODE. -
DATE /r/ 7 APPLICANT'S SIGNATURE
FORM NO. EQ -016
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1UNICIPALITY OF ANCHORAGE
®� 'DEPARTMEN�SF HEALTH AND ENVIRONMENTH,.,rOROTECTION
825 L Street, Anchoraar!. Alaska 99501 moi.
264-4720
\� Date Received: October 14, 1977
#1: Time 2:10 .m. #2: Time �;� #3: Time
Date 10-Y4-77 Friday Date /� ) - -11 �/QL n Date
Insp B h olz InsP . �h61� YN�jjjjjj Cs� c_%1j1a�d -
Db
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILI / 01'
ES
11 ir-as-���
1. Lending Institution Request: Alaska Mutual Sav
Mailing Address: Post Office Box 1120 99510
Bank
Phone: 274-3561
2 Pro ert Owner•-
Dwaine/Shirley Urquhart Phone: 344-2291
• P Y
Mailing Address: Star Route A Box 157 99507
3. Legal Description: Lot 22 Snowcrest ViewSubdivision
4: Single Family Residence: (x) Number of Bedrooms:
Multiple Family Residence: ( ) Number of Bedrooms:
5. Well System: Individual Well ( ) Community/Public System (x)
Permit # Depth of Well Well Log on File (�)
Construction Bacterial Analysis Jof
6. Sewage Disposal System: On-site System (x-3 Public Utility ( )
Permit # Installed Installer
Septic Tank Size Manufacturer
Absorption Area Soils Rate Material
7. Distances: Well to Septic Tank
to Sewer Line Nearest Lot line
to Nearest Lot Line
to Absorption Area
Absorption Area
Page"Two
Department of Health and Environmental Protection
;Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 22 Snowcrest View Subdivision
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Affadavit Attached: ( ) Letter Attached: ( )
Approved:
Disapproved:
Date:
Date:
Department Worksheet:
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06-1220(a) 'Rev. 1973
DATE
INDIVIDUAL ❑
NAME
ADDRESS
CITY
ADDRESS
OF SOURCE
a
ALA/DEPARTMENT OF HEALTH AND SOCIAL.SEIES
DIVISION OF PUBLIC HEALTH Lab No.
INDIVIDUAL AND SEMIPUBLIC
BACTERIOLOGICAL WATER. ANALYSIS OFFICE
SEMI -PUBLIC ❑ CHLORINE RESIDUAL PPM _
REPORT RESULTS TO
M LETE THIS SECTION
ZIP CODE
-/Analysis shows this Water SAMPLE to be:
❑ ISatisfactory
❑ Unsatisfactory -
❑ Questionable -
❑ Sample too long in transit; sample should not be over. 48
hours old at examination to indicate reliable results. Please
send new sample.
❑ Bottle broken in transit, please send new sample.
SANITARIAN'S REMARKS
CO P
ONLY IF WATER IS AN INDIVIDUAL SUPPLY
- SAMPLE COLLECTED BY - -
- -
-
-.DATE COLLECTED - TIME COLLECTED
-
- -
Sample. Collected From ❑ Kitchen Tap ❑ Bathroom Tap ❑ Basement Tap
- ❑ Other (List) -
Well — ❑ Dug ❑ Driven ❑ Drilled ❑ Bored -
SOURCE: ❑ Spring ❑ Cistern ❑ Other_
-
Dug Well or Cistern Construction: ,-- - -
- Walls—[]Wood E] Concrete ❑-Metal ❑ Tile
-
Cor
Top E]Wood ❑ Concrete E] Metal E] Open Top Ll oncrete
-
-
LOCATION:
❑ In Basement ❑Basement Offset [I Under House,.
-
❑In Yard ❑ Other
-
Building Sewer Septic
DISTANCE TO: or Other Drainage Pipe Feet. Tank --F . eet.
_
Til9, Seepage Cess- _
Field Feet. Pit Feet. Pool Feet. Privy - -. �Feet.
-
-
Other Possible
-
-
Sources of Contamination -
MATERIAL: Building Sewer- ❑ Cast Iron ❑ Wood ❑ Tile ❑ Fibre ❑ AsbestoCements
❑ Plastic Joint Material - Type -
GENERAL: Does Water Become Muddy or Discolored? ❑ Yes ❑ No
When?
Diameter of Well Depth _ Feet.
Well Casing
Material Diameter .Depth
Length of Water Depth
Drop Pipe From Bottom Feet.
Offset in In Utility
PUMP LOCATION: ❑ In Well ❑ Basement - ❑ In Basement ❑ Room -
On Top-
❑ Of Well ❑ Other
- t
PURPOSE OF EXAMINATION: Illness Suspected? ❑ Yes - ❑ No
New Source of Supply? ❑ Yes ❑ No Repairs to System? ❑ Yes ❑ No Signature
06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD-
- Rev. 1973am
+ %_. Time Received
READ INSTRUCTIONS Date Received
ffini Lab. No.
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Lactose Broth locc loco
lOcc locc lOcc 1.Occ l.Occ
- - 24 Hours _ -
-
ON
t 46 Hours
4 Brilliant Green
24 Ho
REVERSE SIDE —
46 Hours
EMB
AGAR
BEFORE Lactose Broth, 24 hrs. - - 48 hrs.
Gram's stain
- - - Coliform Density
(Most probable No. per 100cc)
' MF Results -
COLLECTING SAMPLE
J ,� am. -
-Reported by /� _Date;.
This analysis indicates Coliform :Organisms. to; be: _Absent
Present - -
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276.2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA FHA CONY `Cy---
2. Property Owner: nwe.inf, & Shirl y Cirnnhart
Mailing Address: GRA BOX 157 Day Phone: 344-2291
3. Name of Buyer: -0-
Mailing Address: -0- Day Phone:
4. Name of Lending Institution: Alaska Mutual Savings Bank
Mailing Address: P. 0. Box 1120 Phone: P74-35�i
5. Name of Realtor or Agent: -0-
Mailing Address: -0- Phone:
6. Legal Description: Lot 22 Snowcrest View Subdivision
Location: NHN Crete Road
7. Type of Facility to be Inspected: Single Family No. Bdrms. P
8. Water Supply
Type of Supply: Public Utility �� .Individual 'my
If Individual, number of dwellings presently served nnP
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility Individual (on-site) XX
If Individual, date of installation
72-003(3/76)
DEBBIE_ JOHNSON
ALASKA MUTUAL SAVINGS BANK
STH & F STREET
p. O. BOX 1120
ANCHORAGE. ALASKA 99510
TELEPHONE 907 274-3561
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November 7, 1:977
Dwaine and Shirley Urquhart
SRA Box 157
Anchorage, Alaska 99502
Dear Mr. and Nlrs. Urquhart.
The Department has reviewed your case and several items came to light:
1. The well separation (protective radii) distances were in effect €at the time
the plat was recorded for Snow Crest View Subdivision.
2. Simple recording of a plat with erroneous data on the plat sloes not eharnge
the existing law or remove the obligation of compliance for subsequent
purchasers.
3. It is our understanding that the well has been improved to a status that
could be approved provided the necessary and appropriate as -built
engineering plans are submitted for review. This would also include
the requirements of #4 below.
4. in Larder that the: water supply can be approved (number three above) .
any and all on-site sewer systems must be moved to the required protective
distances as Indicated for a Semi -Public Mass !a water supply.
It is my understanding that you :yet and discussed this entire -matter with the
Environmental Health Division 3Nanager, Rolf Striickland, on November 7, 1977.
:fir. Strickland indicated that all these matters were discussed and a definite
course of action was planned that you could follow to obtain approval of the
water supply system.
While we cannot waive the laws governing community water ;supply systems mY
staff and I will certainly assist you in any manner passible.
Sincerely.
Robert A. (Bert) Hall, director
Health and Environmental Protection
ect Rolf Strickland
i
October 31, 1977-
k
Pir. Robert Hall, Director,
P 3t. Environmental quality
Anchorage, Alaska 99501
Dear Mr. Hall,
letter of'ucto�ere 7; s1 7ra ed y it s N. o&Morols, saenrtsov
� PP ing
our Request for Approval of Individual Sewer and ;rater bacilities because
°:ell serving the subject property is not an approved semi-public well
due to construction descrepancies involving protective distances,"
There are only two lots within the 1201 radius that is required
according; to what Mr. Buchhols tells me. At the time of purchase of
these lots, all buyers were given a c&py of the restrictions on the
subdivision as filed with the official plat. The buyers were under the
understanding that if the cesspools were put in the front 113 of their
lots (as stated in the restrictions) that this would be legal, otherwise
they would have been installed at the 120,°. Now we discover all these
many years later that apparently this is not the case.
.On the basis that we have had no problems with our water since
1966 when a chlorinator was added to our pump and a new well house was
built and continuous good water samples for 11 years and no problems
with cesspools, we feel could be a possible basis for reconsideration.
wank you for your consideration in this matter.
6,4zneerely
U�aine an�hirley rquhart, _
Star Route A Box 157
Anchorage, Alaska 99502
Lots 7 and 22, Block 1
Snowcrest View. Subdivision
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' REQS "APPROVAL OF
INDIVIDUAL SEWAGE AND WATEF. FACILITIES
(Fill out in Triplicate)
-1, 'dame of person requesting approval
2. Kama. ofP P
r e t : owner
o r
Y
3. Legal. description `
4, Number .of bedrooms in house
5. Waters Analysis:
a. Bacterial
b. Detergent
6. Well data:
Type
Depth
Casing Size ,
Distance from well to closest existing or proposed:
1. Sewer line
2. Septic tank
3, Seepage Area
4. Cesspool' ,
5. Property Line
6. Other sources of possible contamination, i.e., creeks, lakes,
houses, barn, drainage ditch, etc.
7. Sewage disposal system,
a. Age of system
b. Septic tank capacity in gallons ,
c. Name of septic tank manufacturer ,
1. If "home made" show diagram on reverse side of this form.
d; Disposal field or seepage pit size and type
- 1. Distance to property line to house foundation
ti
e. Percolation, Test `results
\� f. Percolation Test performed by
IA-- Use the reverse side of this form to show diagram. Diagram should include
the following information: property lines; -well location, house location,
stn is tank location, disposal area location, location of percolation test,
and direction of ground slope.
9. The 1z;toz,cation on this form is true and correct to the best of my knowledge.
Signature of Applicant Date Signed
TO BE FILLED OUT BY HEALTH DEPARTMENT PERSONNEL
Ihe above described sanitary facilities are hereby approved, subject to the
Following conditions:
Conditions:
1
The above described sanitary facilities are disapproved for the following.
reasons;
Sign ur f flffiei� aw `�.''._'
Approval is valid for one year following the date of approval.
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