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Home My WebLink AboutDEBORA #2 BLK D LT 13- GREA R ANCHORAGE AREA BOR�JGIi Department of Environmental Quality 3330 C Street ^ Anchorage, Alaska 99503 P 4J isQN INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME �S� MAILING ADDRESS POY 76_8 e!E'41/C /t'/PPHONElttE_yy24s LOCATIONAL"'V2Rll Sr LEGALDESCRIPTIONI�3Ye/y /3"ft0 10e13o'(A14 S%p• SEPTIC TANK: NUMBER OF PROM WELL 4 % MANUFACTURER ST cISTANCE 10 Cl r 46_ MATERIAL STe GL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY/250 GALLONS. SEEPAGE PIT: NUMBER OF PITS —L. DIAMETER OR WIDTH -a' LENGTHL,• DEPTH /0 * LINING MATERIAL A .P//.3 CRIB SIZE: DIAMETER gIEPTHIE�DISTANCE FROM: WELL / 34 +♦ -7�O TOTAL EFFECTIVE 77� pppp BUILDING FOUNDATION, NEAREST LOT LINE . ABSORPTION AREA (WALL AREA) ESQ. FT. ADDITIONAL ABSORPTION NIA - WELL: pi ell 4oCrFfcD oK) DoT•/4, T Se,P✓G .:r/Zf/c F.Pf•`fiLr Oea3/O«'G '0w/._y . TYPE d9jeZ?_rj2 - CONSTRUCTION -s/ '� �'�• DEPTH :5"Z DISTANCE FROM: BUILDING �S', NEARESTFOUNDATION LOT LINE Zd, SENEAREST WER LINE �A TANKCII 7.*. SYSTEMS / ✓ �' CESSPOOL N�. OTHER SOURCES X114 - APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY:00QOJC It fAK, /� D �pP ` PIPE MATERIAL: I./fST _r* �' �•' {F 1 Oils rG `�• n M LOT SLOPE: Sv/L t5 9 REMARKS: loeoy ry 7Caf?• DATE Z 75 APPROVED G.A.A.B." Form No. EO -031 GREppw�- R ANCHORAGE AREA BOF*sJGH ��AAQQQQ w� DEPARTMENT OF ENVIRONMENTAL OUALITY Q �� PERMIT NO. 3]]0 "C" BTREET TELEPHONE 0274 4561 ALASKA 99 503 SEWAGE DISPOSAL SYSTEM — APPLICATION AND [JPERMIT NAME OF APPLICANT D �, MAILING Aa DRCSS 3Y'G!' `� PHONE INSTALLATION LOCATION �L E0/V D ,�' S TT2P1f Off U LD to NN riM-s- LoT /3d /y BLK D Do /SpRA'6f S/� v LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK r SEEPAGE PIT Alo� DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED f)2m FINANCED THROUGH f cTO BE INSTALLED BY 1$e'LG SOIL TEST RESULTS u v NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVII%RONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. C 14 SEPTIC TANK SIZE. TYPE DD TYPE SEEPAGE AREA SIZE' , TYPE MINIMUM DISTANCES, REOUIREMENTS�-/ DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT rO DRAIN/FIELD SEPTIC TANK TO SEEPAGE PIT WALL 57 ' SEPTIC TANK SEEPAGE PIT 2-01 DRAIN FIELD Q TO NEAREST LOT LINE. ' WELL TO SEPTIC TANK `�/^J�. SEEPAGE PIT /OO DRAIN FIELD ALSO CONSIDER AREA WELLS. 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 OAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL �GI 2/% VCYC`i'v�P CONFORM TO BOROUGH RCG ATIONS REGARDIINGINSTALLATION. Qc.A.A.S. OR L NSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR � /WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 26.66 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN AC �DANCE WITH SAID CODE. / �//�✓ DATE/ APPLICANT'S SIGNATURE FORM NO. EO -016 (-''TREATER ANCHORAGE.AREA BOROUGH HEALTH DEPARTMENT CASE N .+� 327 EAGLE STREET • ANCHORAGE, ALASKA 99501 -79 Performed For Tho+m�s N � � � Date Performed \7e c R �cl Legal Description: Lot Block �S iv sion �Ey,�,RFj� �ti_(ybtyrS ��: k)o.AL This rcrm Reports a: Soils Lop, LI .-Vert as on TTest Depth Feet Soil Characteristics Si I+ (ML) 4pe) 06 n @�1 �f �l l�p� C.O rtrSP (GW) n � QYnVe n v )0—Te of rR1 o0 $S Sq 12 --• o e I O O Was Ground Nater Encountered? )n spa If Yes, At.What Depth Location Sketch Reading Date Gross Time Net Time Depth To H2O Net Drop erco a ton a -inu A Proposed Instal anion:—Seepage Pit Depth Of. Inlet Deo Test Performed B7:_��EKI-rk)(•,- REY Data Certified By: Date: Drain rield it Or Trenc ca SSoc.TfiTE� 2►.)C; ,�^•gyp , 3e tow') r''\ Tratfirb Brilling ung by A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 • TELEPHONE 6942586 OWNER OF LAND 00 Y(t S % O G IJ EQ DEPTH OF WELL S�z ADDRESS STATIC LEVEL OF WATER FT LEGAL DESCRIPTION 4 13 ACK /7 JO,E? 0Q NH 1*016'$R W DOWN FT. p DATE • Started �/d 7/ 7 S- Ended GALS. PER HR PERMIT NUMBER 7 4 O -17.1 KIND OF CASING KIND OF FORMATION: From O Ft. toFt. Oc+ER6✓tpf^ Ft. to From Ft. to Ft. From 3 Ft. to g 1 Ft. Sr4 Y ccp-q'>' From Ft. to Ft. From P Ft. to a J Ft. -529`0 ' 6'fl- 'c SMOJ "5eironl Ft. to Ft. � From _�Ft. to j �Ft. -..j.o rA A PA✓c L" G'cArFrom�F/� Ft. to Ft From 4� oC Ft. to�_Ft. - C/l.JO tsQA�cG f w.rrEa From Ft. to Ft From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft From Ft. to Ft. From Ft. to Ft. From Fl. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. AIISCL. INFORMATION: From Ft. to- From-Ft. o FromFt. to Ft. From Ft. to Ft. From Ft. to Ft. From From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. DRILLERS NAME MUI'J I C I P191L I TY OF ANCHORFIGE DEPARTMENT C—� HEALTH RND`ENVIRONMENTAL j'ROTECTION ..+' 825 'e STREET, ANCHORAGE, AK. 95 it 264-4720 W ELL_ PERM I T PERMIT N0. C 780372 > /'- APPLICANT DOYLE STOGNER 190 KLONDIKE STREET 688-3075 LOCATION ELENORA STREET EAGLE RIVER LEGAL L13 BLOCK D DEBORAH SUBD 02 LOT SIZE 10275 SQUARE FEET MINIMUM DISTANCE BETWEEN R WELL AND ANY ON—SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I fzEB DECEMBER 31 ., 1.5)?S I CERTIFY THAT 1: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. SIGNED: --------------------------------------- APPLICANT DOYLE STOGNER r� ISSUED BY_.;;f _�— ------- DATE__ rk a�,l� vao(_A eti, 4-e, or A MAI / f V3. 2 n f^, 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS ¢ V TIME TI TIME 6. TYPE OFF RESIDENCE G f DATE DATE DATE ET�Two ❑ Five ❑ -MULTIPLE FAMILY ❑ Three ❑ Six INSPECTOR INSPECT INSPECT )� MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVI 1 1 1 825 L Street - Anchorage, Alaska 89501 ENVIRONMENTAL SANITATION DIVISION L1 v1982 0* Telephone 264-4720 ((�� ((� I REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER flKEI't�+EYED DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 110) days for processing. 1. PROPERTY OWNER Sm/rN PHONE 9y- 96 J7 ,o M ILING AD RESS J40X 63 AG / vie 2 1,657 7 P OPERTY RESIDENT (If different from above) FHUNE 2. BUYE D 3, Ta I E E774-E7aN PHONE 3 -/ MAILING ADDRESS /ooi a�C ce KuJY SOi9Ce �� 995a 3. LENDING INSTITUTION . A. /W PHONE 6 gel— y. MAILING ADDRESS 1'2419 C5' C?LE /Qi v 5.7 4. REALTOR/AGENT ' / �n /%P�e5r - -a/ i�CriT1�Ge PHONE _I/ 9 MAILING ADDRESS s7- lv /Pd 9S 7 7 5. LEGAL DESCRIPTION ¢ V STREET LOCATION 6. TYPE OFF RESIDENCE NUMBER OF,BEDROOMS FAMILY ❑ One Four ❑ Other 1:12— SINGLE ET�Two ❑ Five ❑ -MULTIPLE FAMILY ❑ 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.) S. SEWAGE DISPOSAL SYSTEM LNC INDIVIDUAL/ON-SITE"_YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAM�9£ I�IITIATE0. d p. ^ � 14 72 010 (Rev. e/79) Ct l Jfi?" _ - j .9 v � C.al w— THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 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 ❑Septic Tank or ❑Holding Tank Size: �- -a If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line b. COMMENTS It APPROVED FOR 10� BEDROOMS INP CONDITIONAL APPROVAL (letter must accompany certificate)'.4 ❑ DISAPPROVED DATE /a->f- Pv BY 72010 (Rev. 6/79) CHEMICAL & GL LOGICAL LABORATORIES k :' ALASKA, INC. TELEPHONE (907)-2794014 ANCHORAGE INDUSTRIAL CENTER 274.3364 5633 B Street V -°-�^-- Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY WATER SYSTEM: Analysts shows this Water SAMPLE to be: I.D. NO. ` ❑Satisfactory ❑ Unsatisfactory. Water System Nems Phone No. _ ❑ Sample too long in transit: sample should not be over 48 hours old at examination Mailing Addrew to indicate reliable results. Please send new sample. city Stats Zip Code Date Received ETD 1 �,�" I 1f - SAMPLE DATE: G �. Mo. Day Yw Time Received SAMPLE TYPE: Analytical Method: O'Aoutine O Check Sample (for routine sample with lab ref. no. ) p Untreated Water Water O Special Purpose SAMPLE NO. LOCATION /5 b i 3 4� 5 �I READ INSTRUCTIONS BEFORE Time CollacNd Collected By 1 ❑ Fermentation Tube --;;[I'Membrane Filter Lab Ref. No. Result' Analyst I I m I I m m •Np 0 C Nos/100 M.a No of PVVIM ponro 064220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Ree. 1976 Date Collect" a.m. EMB Broth 24 houretaroth 48 hounl COLLECTING SAMPLE Multiple Tube Report, 10ml Tuba PaNtINVTOW 10ml Portions Membrane P9terl Direct Count Collform/10 ml Verltkationi LTB SGB Final Membrane I9ter Results I / Collform/100m1 Rported By Date t)..- u1 l Time I—�" a.m. J P.M. CHEMICAL & GE'OGICAL LABORATORIESALASKA, INC. TELEPHONE (907).2794014 ANCHORAGE INDUSTRIAL CENTER — ' 2743364 6633 B Street ^-� Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY WATER SYSTEM: Analysis shows this Water SAMPLE to be: ` I.D. NO. . ❑ S f ' Water System Nam �n1� Phone No. Mailing Address _ City - State . - ' Zip Code SAMPLE DATE: ® = y Mo. Day - year SAMPLE TYPE: O Routine ❑ Check Sample (for routine sample with lab ref. no. t O Treated Water O Special Purpose ❑ Untreated Water SAMPLE NO. LOCATION 2�- 3 4 5 i• Time Collected Collected By at actory ,�❑ Unsatisfactory--.) ❑ Sample too long in transit: sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date ReceivedTime Received Analytical Method: ❑ Fermentation Tube Membrane Filter Lab Ref. No. Result' Analyst l I m 1 I � m m •No o1 Co "1/100 nJ p No o1 iovt" ponsom. 04-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rae. 1974 Date READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Souris EMG Broth 24 house Bran 44 hours, Multiple Tuba RaPont 10ml Tubas PosltM/Total 20ml PortloM Membrana Filter, Dimt count f - Collform/looml Verification. LTB //'" - Sao Final I beam Fitter Results Collform/100ml Assorted By / Date...- I 1 � EXCAVATION WORK Century 21, Heritage Homes ATTENTION: Jan Dupriest SR 126 Eagle River Road Eagle River, Alaska 99577 Dear Ms. Dupriest, ROBERT A.SHAFER CIVIL ENGINEER 6942979 September 28, 1982 MUNICIPALITY OF ANG'. ENVIE. ,. L' .1. 1..: .v F ? 1952 RECEIVED Reference: Lot 13; Block D; Debra Subdivision A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The seepage pit was charged with 1000 gallons of water and after a period of 24 hours all the water had percolated out of the crib. It can" be "conclu3ed-tom'-this-test" that- the waste'--'"' — -- water disposal system serving the three bedroom trailer located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. If we may be of further service, please do not hesitate to call. P.E. cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER. ALASKA / . STATE OF ALASKA ) ) ss THIRD JUDICIAL DISTRICT ) cLa? THIS IS TO CERTIFY that on October:g6j 1982, before me, a Notary Public in and for the State of Alaska, duly ==ssioned and sworn, personally appeared DAVID S` 111. to me known and known to me to be the individual who executed the foregoing instrument. WITNESS MY HAND and notorial seal on the day and year in this certificate first above written. Notary Public in ari orask— My Con:ission Expires: Q� ,'D, ,^/.. i 9,Fz THIS IS TO CERTIFY that on October 26 1982, before me, a Notary Public in and for the State of Alaska, duly rEmR ssioned and sworn, personally appeared AIDA SMITH, to me known and known to me to be the individual who executed the foregoing instrument. WITNESS MY HAND and notorial seal on the day and year in this certificate first above written. Notary Public in and Tor Alaska My Comdssion Expires:( ,� 1 9�, THIS IS TO CERTIFY that on October 26 1982, before me, a Notary Public in and for the State of Alaska, dullyL ccmTmssioned and sworn, personally appeared STEVE SKAGGS, to me known and known to me to be the individual who executed the foregoing instnumt. WITNESS MY HAND and notorial seal on the day and year in this certificate first above written. f�� ooh f� c in and totAlaska My Contission E.xpires:ar_.i,,;e -2 i9� fOMN, We the undersigned do hereby acknowledge that the septic system located on Lot 13 Blk D Debora Subdivision, currently owned by David and Aida Smith, encroaches upon the property known as Lot 12 Blk D Debora Subd, owned by Steve Skaggs. We do hereby.agree to hold Century 21 Metronolitan, RE AX, ERA Soquet, Century 21 Heritage Homes, the owners of the properties, and all agents involved harmless of this encroachment. It is hereby also understood the current buyers of both said properties are aware of this encroachment and the above sellers have acknowledged a letter to that effect. Lt�� Z I I DAVID Owner Lot 13 Blk D Debora HIDA tITN . Owner Lot 13 Blk D Debora OEa L S Owner Lot 12 Blk D Debora