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\ �i ' 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
❑ NEW
PGRADE
MAILING ADDRE
^
,
LEGA DESCRIPTION
LOCATION
r
O
NO. OF BEDROOMS
DISTANCE TO:
Well
Absorpbon area
Dwelling
PERMIT NO.
�Y
is. Q
W f
Manufacturer
Material
No. of compartments
Liq. capacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
fj Y
JOZ
DISTANCE TO:
Well
Dwelling
PERMIT NO.
0 sQ„
Manufacturer
Material
Liquid capacity in gallons
W=
DISTANCE TO:
II
/Dei
Foundation
Nearest lot line
PERMIT NO. •-�
a 2
f Z W
No. of linen
/
Length of � h line
)
Total le yf lines
Trenc idth
inches
Distance between lines
f
p
Top of tile to finish grade
Material beneath tile
inches
Total effective absorption area
W
Length
Width
Depth
PERMIT NO.
Q t—
Type of crib
Crib diameter
Crib depth
Total effective absorption area
Wd
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
J
Class
Depth
Driller
Distance to lot line
PERMIT NO.
W
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(:)
OTHER
PIPE MATE LS
SOIL TEST RATING
vS
\
INSTALLER �s
REMARKS
O E iAJ Q2ry, �F
q
Nq
APP
VE
DATE LEGAL
o4--) 61-
72-0 t3 IRev. 3/781 /
fir MUNICIPALITY OF ANCHORAGE t
\ 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
KNEW
Ue
L-3 UPGRADE
MAILING ADRESS e BOA
LEGAL DESCRIPTION
Z)e 6 /Uri D
`
LOCATION!!-//�` 1,
NO. OF BEDROOMS:
�i
vuN Nl T/�' 00
Welln/� /�..
Absorption area
Dwelling /�,
PERMIT O.
DISTANCE TO:
7 T
S
U/v ".4-f S.Rkrco
EZR
Manufacturer �P � /
M '� �
No, of compartments
w~CJ
Liq.e cainy7llons
IF HOMEMADE:
Inside length
Width
Liquid depth
6m
DISTANCE TO;
Well
Dwelling
PERMIT NO.
U•Z
0
Manufacturer -
Material
Liquid capacity in gallons
W =
DISTANCE TO:
Well
Founds n /�
Near est 44t Ir .�
PE M T N
/(% uki� .F—
„Wj Z W
No. of lines
Length yyh like`
Total Irgq(h of 1=
Tren yh
Distance betygen li�nef
'I
inches
Top the to finish
Material beneath b�� It
Total ef2,Gct (;sorption area
¢ H
of gra` /
p
.J G
inches
G L-�
Length Width
Depth
PERMIT NO.
W
Q f
Type of crib Crib diameter
rib depth
Total effective absorption area
wd
a
Well
Building foundation
Nearest lot line
DISTANCE TO:
J
Class Depth
Driller
Distance to lot linePERMIT
NO.
J
W
Building foundation
Sewer line
Septic tank
Absorption area(s)
DISTANCE TO:
OTHER
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PIPE MATERIALS � �
SOI LTEST RATIN)t
INSTALLER
REMARKS
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Std •
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APP HOV O DATE LEGAL
72-013 IAev. 3/781
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DEPARTMENT
DEPARTMENT HEALTH AND ENVIROFU4ENTAL ='f_iTECTIOF1
825 'L' STREET, ANCHORAGE, AK. 49501
264-4720 1 -rte
C3rA-f- ITE 5 FEE L-1 Er F? kJF'GF= FRC>E F'EF Ul I T'
PERMIT NO. ( 780641 ) Ind
APPLICANT DON BALLARD BOX 220 ROUTE 2 JUANITA LOOP E
LOCATION SEE LEGAL 'i K
LEGAL L7 DEBORA SUBDIVISION LOT SIZE 15000 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MA:IMUH NUMBER OF BEDROOM'S = 4 SOIL EATING CSO FT/CR)= 85
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
C>CF 1FfA= i+ LCt-aGTH= =1? GFRF-l% EL C•EFOIFVA= =1
THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR, DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION CIN FEET).
PERMIT AP'P'LICANT HAS THE RESP'ON'SIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTION': OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
--- IFL•alJ C � ? I I Cir -4f,7 HF_C F'CC-3L_1 I F='EL'> ---
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND AP'P'ROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A 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.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATION- AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE F'F:OPER INSTALLATION.
FOE= FQPI I T E V4FP I F_C5 C]EC Erf1BEFR::'::L I
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
_. I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
SIGNED: -----------------------
APPLICANT DON BALLARD
ISSUED BY------------------------------DATE-lc-an al -
1!F4r*Z4
AND WELLS AS SET
ENLARGEMENT IF THE
V4. 0
75
if
TYPE OF SOIL ABSORBTION SYSTEM IS: %/-ham
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING CSO FT/BR>= 7 -SE) P5
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
1?EFTH= q L_EtJGTH= 32 GRR'%fEL G+EF}TH= y
THE LENGTH DIMENSION IS THE LENGTH CIF! FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND A14D THE BOTTOM OF THE EXCAVATION CIN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION CIN FEET).
ex, 5?
REQU I FZEC> CEF1T I C TRtJF' 47:G 13n _L0F`J1
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY (JELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
--- T4J0, C 2 > I tJCFPEGT I OtJC "RE: Rr=-Qu I REGI ---
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM Is
100 FEET FOR A PRIVATE WELL] OR t
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.
F}ERM I T E}4F I REC C�ECEME aR = 1. 1 <54'7 o
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SE14ERS AND !JELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER. SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGF�ED:_lS`Zc�d2� 1c�_-------
ISSUED BYE____________DATE --------------- V3.2
Marc, �Kn-7'oti'� O F O<?/S '197; .1c y ql/lKe
,t
/QNC .VCC$ /vn%,/YG/U�C /pNr ka�k.+�F ♦N FO � J4ST j3 A//Md Ap4wE <,✓ 47- 038
MIJtJ I C I�RL- I T4' OF' RtJIZ-"1 1FZn13E:
DEPARTMENT
HEALTH AND ENVIRONMENTAL!".OTECTION
r
825 'L'
STREET, ANCHORAGE, AK. 995h1
264-4720
a :3U
"�
RtJG�
ntJ—CITE CEL•.IER F='ERM I T
PERMIT 140.
APPLICANT DON
LOCATION 64
'
LEGAL , 77 LL-/3otA S/o.]
LOT
SQUARE FEET
TYPE OF SOIL ABSORBTION SYSTEM IS: %/-ham
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING CSO FT/BR>= 7 -SE) P5
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
1?EFTH= q L_EtJGTH= 32 GRR'%fEL G+EF}TH= y
THE LENGTH DIMENSION IS THE LENGTH CIF! FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND A14D THE BOTTOM OF THE EXCAVATION CIN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION CIN FEET).
ex, 5?
REQU I FZEC> CEF1T I C TRtJF' 47:G 13n _L0F`J1
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY (JELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
--- T4J0, C 2 > I tJCFPEGT I OtJC "RE: Rr=-Qu I REGI ---
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM Is
100 FEET FOR A PRIVATE WELL] OR t
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.
F}ERM I T E}4F I REC C�ECEME aR = 1. 1 <54'7 o
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SE14ERS AND !JELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER. SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGF�ED:_lS`Zc�d2� 1c�_-------
ISSUED BYE____________DATE --------------- V3.2
Marc, �Kn-7'oti'� O F O<?/S '197; .1c y ql/lKe
,t
/QNC .VCC$ /vn%,/YG/U�C /pNr ka�k.+�F ♦N FO � J4ST j3 A//Md Ap4wE <,✓ 47- 038
t-'.
•.
' /"t1UNICIPALITY OF ANCHORAGE----.,
Department Health and Environmenta. .rotection
825 L Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT
WELL AND/OR ON-SITE SEWER PERMIT
Applicant: POA/ &bAV-1 V Mailing Address: k
Location: .Sn4f 1y,7`6 Leon Phone Number:
Legal Description: R/h F t�c/nER _SSU Lot Size: /0000
Type of Soil Absorption System Is:
Trench: lam_ Drainfield: Seepage Bed: Holding Tank:
Maximum Number of Bedrooms: 3 Soil Rating(sq.ft/br) KSJcr5 (7124rYl.
' The Required 3'I�ei f the Soil Absorption System Is:
DEPTH q LENGTH. GRAVEL DEPTH AP 44 WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of -the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = /000 GALLONS
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* *.* TWO(2) INSPECTIONS ARE REQUIRED
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a 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. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs.are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 3 1
I certify that:
(1) I am 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 codes.
(3) I understand that the on-site sewer system may require enlargement if
theh es/�idence is remodeled to include more that 3 bed/r/ooms.
Signdd:`� tJ'�. h-4� Issued by C/
// Applicant
-171t-54T Nes E,�•y7i✓� r�tS/oe/ 7bo o�se To Date: `/ ���/
iYc I V110E4,/FEJT V 72S
SWP/024 (1/81) ���c�!�wc•.�- ✓ — G 7
TtS 47- S,Y'&eA7'r Se. sys7eues �c n /
� 45 1240 r%rSSaee! /3[. Ca krt o-� •Q Xrf7. diG- ,//aSN/
Gr ss�a,o/, NS c+F y -ay -Pi � r� waJ/ anr77r�5 /�/to/iecy � is n/<T' �Pi°•euc.e� pcTAa� cu.a�r�,
0 & E GEM CHNICAL & DEVELt,~'MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
• 694.2774 or 688-2280
Russell Oyster Earl Ellis
6942774 SOIL LOG 688-2280
Soils 8 Foundations Land Development
Performed for: Name: ZOA/ SWR V E L Cr--" Tel. No.
Mailing Address: �o>< /�� Fd�scE ,Q�c'F2� •/lam•
'7
Mailing
Legal Description: Lar 7 .Sds,
Depth (feet) Soil Characteristics
0
2 NJL- S/i- 7-
3
4
5
6
7
8
.9_ GP- SAwO ;� G�AL/EI- e J1 &,6d6LjES
10 /�IU�DF '.S 2$Z'c
11
12
137T��!
14
15
16
Ground Water Encountered: Yes No P"� If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments:
iJ a/,A?.
Performed by: � Date. e.'e'- /Y, //71
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APPLI("NT
FILLS OUT UPPER HAI" ONLY
Time
Time J
Property`Owner
G Jr,!'
Phone
Mailing Address
Date
Zip Code r i �
Buyer
Inspector
Inspector
Address
Zip Code
Lending Institution f-�L /T S(� J(L
Lim",
Phone
Address -/r_I j%L'ti-
AL
Zip Code
JUN 2 8 i 3 �.
Realty Co. 6 Agent
RECEIVE _
Phone
I / A
Address 'v !"
%
Zip Code
^ CONDITIppjwS OF APPROVAL
Legal Description ! �?-
7 LK 7r
Street Location !
4-6 6
Type of Residence
D-S(ngle Family
Date Se er Installed
❑ Multiple Family
No. of Bedrooms
Septic Tank Size IL900'
❑ Other
7'
Well to Tank
Water Su ply
ndivldual
ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975.
❑ Community
For wells drilled prior to that date, give well depth (attach lop If available).
❑ Public Utility
Sewer Disposal
,f: -individual
Year Individual Installed: /
❑ Public Utility
When Connected to Public Utility:
❑ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
Time J
Date
Date
Date
Date
Inspector
Inspector
Inspector
Inspector
1V
Field Notes/:J� / rri..� Y' w°t 1 -Ty oF )kNI0{„t•3E
JfJ'- �iSSa/�cP.c� P.e / OL L �u+ / 0 \ vi & WALTN r. Cj'!
tNIVIzUN'A;NfAI PROTECT
JUN 2 8 i 3 �.
RECEIVE _
d% � ZturJa
AY cwif7 Ndi° .Qit.
%
( ) APPROV BEDROOMS
^ CONDITIppjwS OF APPROVAL
( ISAPPROVED
( ) CONDITIONAJ AP OVA
^ /
DATE
J
BY:
Soils Ratlnp
Date Se er Installed
Well To Absorption Area
Well Lop Received
Septic Tank Size IL900'
7'
Well to Tank
ttoa OM
Time
APPLK 'NT FILLS OUT UPPER HAI"ONLY
Property Owner
• 1
Phone
Ronald 1. SwiRvely
Mailing Address
P.O. Box 114, Eagle River, Ak, 99577 Zip Code 694 2544
Buyer
1
Some
Address
zip Code 1 .
Lending Institution
First Inter State Bank
•'
Phone
Address
3230 C St. Aneh Ak Zip code
26 45425
Realty Co. d Agent
v
h/A
Phone
Address
- zip Code
�/ at s :. *�—
Gy A
Legal Description
Lot 79 Blk E. Debora Orig Sub
Street Location
Juanita Loop Rd., Eagle River, Ak
Type of Residence
It
M Single Family
Septic Tank Size
❑Multiple Family No. of Bedroorm_3
O Other
Well to Tank
Water Supply
❑ Individual
C-0 y\V'LL .
ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975.
13 Comm ni
oqr/
3
For wells trilled prior to that date, give well depth (attach log It available).
Public Utility
13
_
r
Sewer Disposal
'
L�F�rI
❑ Individual
5i Public Utility
Year Individual Installed:
When Connected to Public Utility: —Novetlib-ar -9-,-198 3
fi Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
Time
Date
Date
Date
Date
Inspector
Inspector
Inspector
Inspector
Fletd Notes: MUNICIPAL f`EPT. Of ,. • LTI I :'
L -r
Pr�JTE:.110N
..AA��NTAL
Et -VA PALITY OF ANCHORAGE
t!''1r1 e`ir 1`81: �r3 r,
ENVry•L :..L
.i.'_ .3rZiION
RE4CjkIVED
(� ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL
( ) DISAPPROVED
/ N-{,•
I�r1,/j
( I CONDITIONAAPPROVAL' ,C/may/M ll
/
i
DATE crif:F ;6, ail-t2C
e Q 4 c�,•dGh,. �., r/1�o �J � 3..fGt�.r..tt
�/ at s :. *�—
Gy A
4,�,7/ Yt� c/t/�v�� �cc`l ,r.o� Y Z1, 7�. �: guns ¢.y,/ s Cr 3 ko�u� .y✓
G/� 2v 4✓ .,rwsL- w�fH�✓ �CK sf d'4 - J° J
Solis Rating
Date Sewer Installed
Well To Absorption Area
Well Log Received
Septic Tank Size
Well to Tank
r]et] IM
' kwunIcipailty
®fAnchorage
POUCH 6-650
ANCHORAGE, ALASKA 99502-OG50
(907) 264-4111
TONY ANOW(ES.
MA Y011
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
T. July 7, 1983
Ron Swavely
Box 114
Eagle River, Alaska 99577
RE: Lot 7, Block 3, Debora Subdivision
Dear Mr. Swavely:
The permit issued for installation of the sewer system on this
property states the well is not approved. As you know, the water
strata used by your well and your neighbor (Ballard) was found
contaminated a few years ago by the Municipality and again during
an area study on wells by the State of Alaska. Sewage organisms.were
noted and chemical tests exceeded drinking water standards.
The use of an iodizer or other disinfecting appliances is not
an acceptable practice since sewage organisms have been noted.
On June 28, 1983 you applied for a health authority certificate
110�for resale approval. This department is requesting you provide
engineering reports by registered engineers and extended testing
,(bacterial and chemical) to show why the well status should now be
accepted and trusted.
It is my understanding this area may receive public water soon.
Therefore, another alternative would be the use of a shared well
until public water arrives.
CC:
Sincerely yours,
Les Buchholz
Environmental Health
Eagle River Office
sion
Its
Subdivision File
Stan Brust, Manager, Environmental Health Division
Robbie -Robinson, Environmental Engineering
Robert Pratt, Environmental Health Division
Mike Matthews, State Department of Environmental Conservation
Jerry O'Conner, Assemblyman, Eagle River
a
v
U
W
P.O. BOX 754
EAGLE RIVER, ALASKA 99577
r'
(4a
^'{ (907) 694-2131
TONY KNOWLES
MAYon
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
July 8, 1983
Alaska Bank Commerce
Tudor Business Park
3335 East Tudor
Anchorage, Alaska 99503
Sugject: Lot 7 Block E Debora Subd.
On June 28,' 1983, Mr. Swavely applied for a Health
Authority approval of Well and Sewer Facilities.
The lot has sewer systems on it serving Lot 38, Lot 6
and Lot 7.
Mr. Swavely requested this letter after reading our
letter of July 72 1983• (attached)
The well on Lot 7 has a history of intermittent con-
tamination and can not be approved based on a few subs-
equent samples. Extended testing and an engineering
report of the well would be required.
Therefore this dept can not approve the well at this time.
Les Buchholz
Environmental Health Division
Eagle River Office
attchment
. MUNICIPALITY OF ANCHORAGE SEWER
CONNECT PERMS 83 9067
' DATE OF APPLICATION
SCHEDULED COMPLETION DATE —
SINGLE FAMILY
WATEARC IBOULEVARD .J
R WASTEWATER UTILITY
! �D00 Cg_nn 7 I I MULTI -DWELLING
TC
PHONE2!ld022 No. avrs_—
I I COMMERCIAL
I
I INDUSTRIAL
IOTQROCJ- �[--n— BLOCK
'SUBDIVISION
TAX CODE (1=—" CHID �—u -- DRAWING No.
BUILDING ADDRESS
PHONE
OWNER
MAIL ADDRESS
CONTRACTO ASSESSMENTS
(License a Bond repulred) ❑Paid previously
YON PROPERTY ONLY ❑Main extension agreement
0 Subdivision agreement
O MAIN TAP—TO PROPERTY LINE ONLY O Extended connect agreement
(TIOA or State ROW Permit R+Au1rw•
(MOA or SteIL
t ROW permit Requ0ired) CT UPending—AMOUNTS
o IT dSSUFD BY:
CONNECTION SIZE CHARGES
INSPECTION _FEE s
PERMIT —FEE S F IN
REIMBURSIBLE DEPOSITS— 1
NUMBER -
PERMITTEE (Please Print)
TOTAL $ _15_QU--- DATE:
I I CASH
MAIL ADDR.
PHONE
1 HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERT IDE O THI. ERM AN�YAGREE TC
COMPLY WITH THEM. /
1 60021 00182)
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MUNICIPALITY OF ANCHORAGE
WATER & WASTEWATER UTILITY
3000 ARCTIC BOULEVARD
PHONE 277-7622
LOTITRACT
SUBDIVISION
WATER 83 3799
CONNECT PERMIT
DATE OF APPLICATION
SCHEDULED COMPLETION DATE
SINGLE FAMILY
MULTIDWELLING
No. APTS
•:' COMMERCIAL
BLOCK INDUSTRIAL
TAX CODE GRID DRAWING No.
BUILDING ADDRESS r
OWNER PHONE
MAIL ADDRESS
CONTRACTOR:_
ASJtb-b N1tIN IS
(License d Bond required)
I ; Paid previouslY
I I ON PROPERTY ONLY
:' Main extension agreement
1_; MAIN TAP—TO PROPERTY LINE ONLY
- Subdivision agreement
Extended connect agreement
(MOA or State ROW Permit Required)
MAIN TAP & ON PROPERTY CONNECT
I:. Pending—AMOUNTS
1":
(MOA or State ROW Permit Required)
- re nr.ur rao�w a+r.
CONNECTION SIZE CHARGE$
INSPECTION FEE $ Li CASH
PAID
. F' CKa
PERMIT FEE $
REIMBURSIBLE INSPECTED BY:
NUMBER _____..DEPOSITS „'.• �%• . 1-%
TOTAL $ DATE: Zl" / 'C
REMARKS:
PERMITTEE (Please Print) _...._ - ___ _ ____... MAIL AODRPHONE--,---
I
HONE _.—_.
1 HAVE READ THE CONDITIONS AND REGULATIONS Or: THE REVERSE SIDE OF THIS PERMIT AND AGREE TO
COMPLY WITH THEM.
PFMiRFE SI NATU;Af
POST IN A CONSPICUOUS PLACE AT THE JOB SITE
r.c•v,Aaea CUSTOMER _