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Home My WebLink AboutDEBORA #2 BLK E LT 34i/ IAL LLL Vt WE La *o5v C)41 s I o00 r. MUNICIPALITY OF ANCHORAGE aL'(' f`.. • EIe� h and Environmental Prote Lon tit O Fourth Floor West i 825 L Street Anchorage, Alaska 99501 279-2511, x 224, 225 l I . --/�J��+/- IIN�SPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME S3c—�/"�&4-"' —_ MAILING ADDRESS �G�• 0'CT'_/ 4 `(Z- PHONE LOCATIW —C� V'A- LEGAL DESCRIPTION SEPTIC TANK: DISTANCE NUMBER OF FROM WELL MANUFACTURER MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY:J GALLONS. TILE DRAIN FIELD: TOTAL LENGTH / DISTANCE FROM WELL �� FOUNDATION—NEAREST LOT LINE �—OF LINE # of Lines DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORFT107J AREA SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER f // DEPTII: TOP OF TILE TO FINISII GRADE MATERIAL BENEATFI TILE ABOVE TILE IN. SEEPAGE PIT: DIAMETER—OR WIDTH- LENGTH_. DEPTH Log Crib _Rings_ Crib Size: DIAMETER _DEPTH—DISTANCC FROM: WELL -- TOTAL EFFECTIVE BUILDING FOUNDATION_. NEAREST LOT LIVE ABSORPTION AREA (WALL AREA) SQ. FT. Well Class: Depth: Well Distance To: Lot Line Bldg: Sewer Line: _ Pipe Materials: # of Bedrooms: Installer: Remarks: DATE 3 APPROVED 7_I j - __ DATE 3 APPROVED TYPE OF SOIL ABSORSTIONJ SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING <SQ FT/BR)= 100 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= 1 LErJGTH= z-4 GFZFik�EL E>EF='TH= 4 THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE SETWEEN,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). FQETCALJ I FREa SEPTIC TFir4F< S I.?E= ZwCA N C3F L_L_C f4n3 .` 1 F'FRCF<F=l GE PLFlrJT Cr PT I CJ Fd A PACKAGE PLANT MAY BE INSTALLED AT THE PERMITTEEIS OPTION SUBJECT TO THE FOLLOWING CONDITIONS: - 1. EITHER A CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED. 2. A CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED.• IF A MAINTENANCE AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL ABSORPTION SYSTEM AND/OR YOU MAY BE SUBJECT TO,PROSECUTION. — — — — — — — — — — — — — — — — — — — — — — — — — — — = — — — — — — — — — — — — --- TW Cr < 2 ? I r4SF'ECT I CJ r4 F1F2E F ZEGCJ I FZEFJ --- 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 200 FEET FOR A PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTIONJ'DIAGRAMS ARE AVAILABLE TO INSURE PROPER, INSTALLATION. '----- PERM I T EXP I F�:FEE S FJ EC EMEEFZ T1s :I_ S=m 7'7 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 THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO JCLUDE MORE THAN 3 BEDROOMS. SIGNED:----a� — ----------- APPLICANT AL CARSON ISSUED B � Z "----DATE- v __ o� C5 __ T' V3.0 r'turJ I C I�'1=1L I TY CJF r+r�tuF ��7F�FIGE R'• U SYS DEFARTMENT HEALTH AND ENVIRONMENTAL '.OTECTIONJ R_ 'I(-\,Lj 825 `L' STREET, ANCHORAGE, AK. 99001 P 279-2511 CAr-J-S I TE SE4JEF ., J_JF}J3F;!nE>E PEF1M I T PERMIT NO. < 77740 ) pI'• APPLICANT AL LARSON P 0 BOX 594 E. R. 99577 6942309 LOCATION MERCY DRIVE & IRIS WAY LEGAL LOT 34 BL E DEBORA SUB 82 LOT SIZE 10138 SQUARE FEET TYPE OF SOIL ABSORSTIONJ SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING <SQ FT/BR)= 100 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= 1 LErJGTH= z-4 GFZFik�EL E>EF='TH= 4 THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE SETWEEN,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). FQETCALJ I FREa SEPTIC TFir4F< S I.?E= ZwCA N C3F L_L_C f4n3 .` 1 F'FRCF<F=l GE PLFlrJT Cr PT I CJ Fd A PACKAGE PLANT MAY BE INSTALLED AT THE PERMITTEEIS OPTION SUBJECT TO THE FOLLOWING CONDITIONS: - 1. EITHER A CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED. 2. A CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED.• IF A MAINTENANCE AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL ABSORPTION SYSTEM AND/OR YOU MAY BE SUBJECT TO,PROSECUTION. — — — — — — — — — — — — — — — — — — — — — — — — — — — = — — — — — — — — — — — — --- TW Cr < 2 ? I r4SF'ECT I CJ r4 F1F2E F ZEGCJ I FZEFJ --- 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 200 FEET FOR A PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTIONJ'DIAGRAMS ARE AVAILABLE TO INSURE PROPER, INSTALLATION. '----- PERM I T EXP I F�:FEE S FJ EC EMEEFZ T1s :I_ S=m 7'7 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 THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO JCLUDE MORE THAN 3 BEDROOMS. SIGNED:----a� — ----------- APPLICANT AL CARSON ISSUED B � Z "----DATE- v __ o� C5 __ T' V3.0 0 Et E GEOr`-CHN1CAL & DEVEL"'PMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 668-2280 Russep Oyster Ead Ellis 6942774 SOIL LOG 666-2280 Soils Er Foundations Land Development Performed for: Name: 41- Z,4.eSoN Tel. No. tlf"V-231�7 Ma111ng Address:_ PO. Age,r .59 FAQ<.�✓��, 4A_ /�J 77 Legal Description: Lor giZ, 54IgD. 16 .z Depth (feet) Soil Characteristics p 2 3 4 5 SP OMI, 7 CSN S/GT� 8 9. 10 11 yl XEe Z4Pm'r of 5«7- coe d 12 GP Si9NOY Gc'.quEt�os',4<fr T izr� 13. 14 13o7To.y OF T"�T 16 8:30 7ys-' �a Sye Ground Water Encountered: Yes No !/ If yes. what depth �� a 9: io Proposed.Installati_on: -Seepage Pit Drain Field !Lo 91,14, " Comments: 5�0 Diii��4 zFD 416 I I 1 7:.. :.--I .. -: I 1 II I'1.I• 1-' 1,1:1 �'.I �.. .. � • 11I',II rII';111I',' :,,,1 :-' 1I1 •..i-�-, r-. ,: _ • LI I y�.il P„�. 11.. 1. y �-py .r 11 -�i - _ I I �• '. - rl .. 'I I!. ..1. 11'..'. 111 i.. I'. I IIY:.. Ii.. ii•. • {�, I I'-' ! r I..F.� _1- .; 1 -._:.: {11 1-:i -ii 1:'.. /.'r. •.. ._ ._J,' _ i 1� •.i ...I i:' 11 I. '•�,11= r I11 �.. �,',J;!I. �.. 7 F �. i"I . IL_I!i':I '. I' � ' r .l I I - . 1 .a 11. {l i 7'.-.I - ..11, I� 1 "e' i •.1,. .AB .HD- I _ - GRcATER ANCHORAGE AREA BOROV^H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279.2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LEGAL SEPTIC TANK: DISTANCE FROM WELL 57-1 MAILING GIA g fee_/// ,O._ n f -n _ NUMBER OF ,A77-5_734 LIQUID CAPACITY -7 !Cc �g i�Sfee/Fab 'tiy LIOUID GALLONS. INSIDE LENGTH INSIDE WIDTH-DEPTH- SEEPAGE IDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: z/ NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH, LENGTH ,DEPTH LINING MATERIAL . DISTANCE FROM WELL ��' / _BUILDING FOUNDATION 20 NEAREST LOT LINE �C' /}' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 3fC25,�7 26 SO. FT. TILE DRAIN FIELD: DISTANCE FROM NUMBER OF LINES DISTANCE ABSORPTION AREA FT. LENGTH OF EACH LINE TOTAL LENGTH LOT LINE , OF LINES WIDTH IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL;; 'd 7 DISTANCE FROM It / SWATER AMPLE �, TYPE KK DEPTH ,BUILDING FOUNDATION. NEAREST / NEAREST SEPTIC I SEEPAGE '�, / OTHER LOT LINE �O , SEWER LINE ' , TANK Sz , SYSTEM, CESSPOOL , SOURCES_ DIAGRAM OF SYSTEM DISTANCES: A e W fes; USE _ wl B � DATE /� 27X-7 cAABHD•2 GREATEr ANCHORAGE AREA �JROUGH Case No. llEALTi1 DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279.2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT aa NAME GF APPLICANT alyr ok cl�t.Ccso00 MAILING ADDRESS 5306 �QyzA6 PHONE NO" -5-734 RESIDENCE ADDRESS LOCATION OF INSTALLATION /tl"c!ti /rig St' LEGAL DESCRIPTION LdT 34Xz.A' E l7c<v�a k APPLICATION TO INSTALL: SEPTIC TANK_V_ SEEPAGE PIT , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY a 13 DKM FINANCED THROUGH 8,0 LP TO BE INSTALLED BY Tele Nola rNK1Ot*T1"-TEST RESULTS ANTICIPATED DATE OF COMPLETION P-4 r' 061 1c.e 344-137-8 /344-39oB BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS Ml�'. C��r�LSOAJ , PERMIT TO INSTALL A AL,VJ"e i AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED RnzNl SEPTIC TANK SIZE 2, 22 TYPE SET SEEPAGE AREA TYPE DIAGRAM OF SYSTEM DISTANCES: UIQ J-+OL'.j (?otiFoR-oA 'TO ALL. -SoCo /Rabb t itbntic-n-)T-S i'r1CNI'-7L Noy' G�f+uO /a�v� So/� S I zLaz rf r 2 j Health Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in acco dance with said code. DATE /� ` APPLICANTS SIGNATURE �� ;REATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 " CASE N Performed For 7-//,- /-. /',,17slrurr/eail Date Performed a 0 O^ Legal Description: Lot:?9L Block t 5ubdivision no lrr�.� Y z This Form Reports a: Soils Log_!l erg solation Test Depth Feet Soil Characteristics Location Sketch The n,ed y cenry s.nd S1r4/N eenlo Tt i`ppr 1 pel le T/vsiroh' N %e0s' C�nq, cOn,�n,1"'4 r11 GPflerr+ UU Sj'..j',� C;44'wr lyra a Can,# N � Has Ground Hater Encountered? If Yesj At.Vhat Depth EMs�� 10■■„ Reading Date Gross Time Net Time Depth To H2O Net Drop f Percolation r0ce / M 1nu e Frop)scd Installat^ on.. Seepage Pit t/ Drain Field Depth Of /inlet y ' Depth//To Hottom Of Pit Or Trench COMMENTS: %/lr/e [�i/f •l 111b, /'if )iirP PH �P!/l 1,o o>// !O i sir ie Test Performed By Poore Data Certified By: Date ).1. r,ry /y6 i,i n MUNICIPALITY OF ANCHORAGE n DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 5 DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 '0/ Application Date G 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, sect.on. township, range) Location (address or directions) (b) Applicant Name Applicant Address ev Home Business (c) Applicant is (check one): Lending Institution ❑ ; Owner/buildeml ; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Address (e) Real Estate Company and Agent Address Telephone Telephone (1) Mail the HAA to the following address: S AS ENGINEERING SR B 196X EAGLE RIVER, AK 99577 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms 3 3. WATER SUPPLY Individual Well Community ❑ Public ❑ 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 ❑ PublicK Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the Slate Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/e4) n n 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION A As certified by my seal affixed hereto and as of the validation date shown below, I verity 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 S L4 5- GINEERINr Telephone Address SR B 196X MAY -61986 Date EAGLE RIVER, AK 99577 DHEP APPROVAL` 3) Approved for 1 t✓ <' bedrooms by � �� Approved Disapproved Conditional Terms of Conditional Approval C CAUTION Date SAml A. Shater W. 1457-H 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 72 075(11/") MUNICIPALITY OF ANCHORAGE (MOrj HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: /- 3 N A. WELL DATA MUNICIPALITY OF ANCHORAG DEPT. OF HEALTH d ENVIRONMENTAL PROTECTION MAY 0 7 19ffi Well Classification /20C / V^12E`" If A, B, C. D.E.C. Approved (Y/N) Well Log PresenY(YQF Date Completed 4'C= /772- Yield y* G�.H Total Depth `1'/D' Cased to Depth of Grouting 1 Static Water Level 3 Pump Set At ,r r Casing Height Above Ground Z Sanitary Seal on Casing Electrical Wiring in Conduit Depression Around Wellhead4*01; Separation Distances from Well To Septic/Holding Tank on Lot ; On Adjoining Lots /00", To Nearest Edge of Absorption Field on Lot ^/ ; On Adjoining Lots To Nearest Public Sewer Line I tp e t '' To Nearest Public Sewer 2s 4- Cleanout/Manhole t c � 114- To Nearest Sewer Service Line on Lot Water Sample Collected by S tf FA/6 /vtL LE,C/T!6 : Da1e y 30-8 G Water Sample Test Results -S/r Comments B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Depression over Tank (Y/N) Size No. of Compartments _ Air -tight Caps (Y/N) Foundation Cleanout (Y/N) Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ; for Holding Tank High -Water Alarm (Y/N) emporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well To Property Line To Water Main/Service Line Course To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Yqaarr-a.1 ro G/rx _Wyy, '< o/v Page 1 of 2 72-026011841 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (YIN) 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 Date Installed - Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (YIN) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) Dimensions Size in Gallons anhole/Access (YIN) "Pump On" Level at "Pump Off' Level at High Water Alarm Level at Vent (YIN) Tested for Electrical Codes (YIN) Comments Check Permitted Bedroom Rating Against HAA Request " Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in of fect on the date of this inspection. S & S ENGINEERING MAY 6 19% Signed MUFT9bX Date Com anMULE RIVIER, MOA No. 19f MAY Receipt No. �j40tJ Date of Payment C'-7_41 Amount: $ 4 S po Page 2 of 2 72-026 111,841 r' r W (^. CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 41-n TELEPHONE t907) 562-2343 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER II TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM LDA ❑ PRIVATE WATER SYSTEM (99q -2-9r-7`1 Name 5 & S ENGINEERING Phone No. SR B 196X Mailing Address EAGLE RIVER, AK 99577 City State Zip Code SAMPLE DATE: � a (o Mo. Day Year SAMPLE TYPE: tn^-Routine ❑ Check Sample (for routine sample with lab ref. no. ❑ Treated Water ❑ 'Srecial Purpose -E7=Untreated Water SAMPLE Time Collected NO. LOCATION Collected B z�_ 2 �1L i 3 4 5 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Analysis shows this Water SAMPLE to be: ❑satisfactory Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to Indicate reliable results. Please send new sample via special delivery mail. Date Received Time Received /" CO Analytical Method: Membrane Filter No. of colonies/100 ml. Lab Ref. No. Result' Analyst ® � i 722- L U m U m U 'm U m BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filter. Direct Count Conform/100ml Verification: LTB —BGB Final Membrane Filter Results Coinor /t00ml 5 Reported By ��9�.!i Date /— Time: ��VU a.m. p.m. TNTC = Too Numberous To Count OB = Other Bacteria APPLICANT FILLS OUT UPPER HALX ;ONLY Time PlOperty Owner �D bZD . ( T' N I riS - Phone c Mallir�'Atldre`1 L �' �� . A((:- Zip Code �C as d Date Buyer �uF FDl n tiF' �jL`2EI PN SG >1 Y ibf-" rY2Gc.� QC, Zip Code Address Date Lending Institution IF, AMF _ !rl r Phone Address Zip Code Inspector Realty Co. d Agent 1 n),4n1 r L FML rI Phone t3ox b-1 /o`i(1 -3eoz Address fA f7 LE i o f= I- Zip C.odeQcj ( I nhvc fV1 t- Legal Description L-�-' 3(K c' t Li -n 19 N � Z I MUNICIPALITY OF ANCHORAGE Street Location { - CrPT. Cc K'1.7.4 ':1-� Type of Residence ENVIF.;ttLt:L�A. F.O-E Single Family Multiple Family No. of Bedroorrn 71 AN u 2 0 1992 ❑ Other Water Supply r RECEIVED ( 1 APPROVED BEDROOMS lndividwi 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 log If available). ❑ Public Utility BY: Sew r Disposal ' Individual Year Individual Installed: ( r' • 1 - ( r �',` • t V, • 2:1.11 ❑ Public Utility When Connected to Public Utility: Well To Absorption Area ❑ Holding Tank Septic Tank Size NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector ( I nhvc fV1 MUNICIPALITY OF ANCHORAGE Field Notes: Nz o CrPT. Cc K'1.7.4 ':1-� ENVIF.;ttLt:L�A. F.O-E AQ AN u 2 0 1992 EL RECEIVED ( 1 APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( t DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE 9-�- L BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank A EXCAVATION WORK Leonard W. Caruthers 441 East 15th, 4112 Anchorage, Alaska 99501 August 27, 1982 ROBERT A. SHAFER CIVIL ENGINEER 694.2979 MUNICIPALITY OF ANCHORAGE DEPT. CF HE?LT`i R ENVIE aU.',-N;A. I;O.EL11_ d Dear Mr. Caruthers, Reference: Lot 34; Block F.; Debra Subdivision i 1982 RECEIVED A sewer system adequacy test was performed on the system located on the referenced property. The septic tanks were pumped and found to have a combined capacity in excess of 1250 gallons. The absorption trench was tested by charging the system with 500 gallons of water at the rate of 32 gallons per minute without any of the water backing into -the septic tank. At the end of a 24 hour period the absorption trench was completely dry. It can be concluded from this test that the waste water disposal system serving the three bedroom residence is currently functioning adequately. However, the system cannot be guaranteed against subsequent failure. It should be noted that the depressions over the septic tank and over the entire trench require fill and grading to avoid an excessive accumulation of run off. If we may be of further service, please do not hesitate to call. Simcerle,Lv, ER, P. E. ss cc: Dynamic Realty, Eagle River ATTENTION: Jan Dupriest Municipality of Anchorage Department of Health and Environmental Protection SRS 196X EAGLE RIVER, ALASKA r August 27, 1982 Leonard Caruthers 441 E. 15th Anchorage, A:: 99501 Subject: Lot 34 Clock E Deborah 42 -4 A P (Ln zz'kav'�' a-a�a LcalLs \s �av�L Ob Grcil-A iYL11J Cf .J L-) Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: rTl/, • The water analysis report needs to be submitted to this V !._ office from the Chem Lab, 5633 D Street, for our review. • The septic tank pumped with a receipt submitted to this department. An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is w 1\ adequate according to Vational Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. ' i The depression over the sewer system will need to be filled e� so that surface water drains away from the sewer system. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, 7m Roberts JR3/p/ET1 Enclosure t .4. Realtor/Agent: Vii/ `ems �- iMailing Address: Phone: ':,5. ' Legal Description: :r ,I Street Location: iyl� ¢cam Elie.. a�aJ�t z�r . 16. 'Single Family Residence: (k Number of Bedrooms: 3 I i:'Multiple Family Residence: - ( ) Number of Bedrooms: �7. 'Watbr Supply: *Individual Well ( ) Public/Community System ( ) lif Individual Well, well depth //O 1•If Community System, name of system 8. !Sewage Disposal System: On-site System (-7 Public System ( ) ! 11f On-site System, date of installation: .y/_ / 2 *NOTE: A well log is required on ALL wells drilled since 6/75. ! I 3/77 i MUNICIPALITY OF ANCHORAGES „•`,,, ,, C1 Department of Health and Environmental Protection • 825 L Street, Anchorage, Alaska 99501 Al 279-2511, ext. 224, 225 ' Faca Yte uest for Approval of Individual Sewer and Water i �e t i•011 1. ;.1Property.Owner:�2�e [tel `L'� Mailing //itP✓-�� Address: XA /10�14 /1 ,tery.'C Phone: 62: _9Z/S P ;_2. Name of.Buyer: r 'Mailing Address: Phone: • „3. ! Lending.Institution: Mailing Address: Phone: .4. Realtor/Agent: Vii/ `ems �- iMailing Address: Phone: ':,5. ' Legal Description: :r ,I Street Location: iyl� ¢cam Elie.. a�aJ�t z�r . 16. 'Single Family Residence: (k Number of Bedrooms: 3 I i:'Multiple Family Residence: - ( ) Number of Bedrooms: �7. 'Watbr Supply: *Individual Well ( ) Public/Community System ( ) lif Individual Well, well depth //O 1•If Community System, name of system 8. !Sewage Disposal System: On-site System (-7 Public System ( ) ! 11f On-site System, date of installation: .y/_ / 2 *NOTE: A well log is required on ALL wells drilled since 6/75. ! I 3/77 i .MUNICIPALITY OF ANCHOkn.- ^i/�2��, t, DEPARTMEI OF HEALTH AND ENVIRONMENT 1 PROTECTION 825' L Street, Anchorage, Alaska 99501 47 3 b IAl j 279-2511, ext. 224 or 225 Date Received: August 12, 1977 1 • K • ix 43.: Time 1:30 p.m. 42: Time @3: Time j Da#e 8-15-77 Monday Date Date Insp Kennedy Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND NATER FACILITIES i 1:, ,;Lending Institution Request: _Gza s (1 C_LeA(ML, Mailing Address: Phone: B:. Property Owner: Everett/Grace Jones Phone: 694-9215 Mailing Address: Box 145 99577 3° Legal Description: Lot 34Lot 34 BI Subdivision 4: 4: Single Family Residence: (x) Number of Bedrooms: Three Multiple•Fanily Residence: ( ) Number of Bedrooms: 5. Well, System: Individual Well (x) Community/Public System ( ) r Permit 8 Depth of Well Well Log on File ( ) 1 Construction. Bacterial Analysis y 6,p Sewage Disposal System: On-site System (xk Public Utility ( ) • Permit # Installed Installer Septic Tank Size Manufacturer Absorption Area Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to'S6wer Line Nearest Lot line Absorption Area to ''Nearest Lot Line t, ;j r Atfadavit Attached: (') Letter Attached: ( ) y 1 l _ Approvedi� _ Date: Disapproved:Date: Department Worksheet: = W -v im a y Department of health and Environmental Protection 1; Request for Approval of Individual Sewer and Water Facilities gat Sit al Description: Lot 34 Bock i bora Subdivision �I I Oomments' 111 ids i i I'l Atfadavit Attached: (') Letter Attached: ( ) y 1 l _ Approvedi� _ Date: Disapproved:Date: Department Worksheet: = W -v im a y August 24, 1977 Everett/Craco Jones Dox 145 Eagle River, Alaska 99577 Subject: Lot 34 Block 3 Debora Subdivision The absorption rate test conducted on the existing seepage pit by this department indicates that the sewer disposal system serving the subjectpproperty is inadequate and must be uigraded before we can grant final approval of your request. To outline the specifications for the upgrade, a soil test must be conducted in the area of the new seepage area. Upon receipt of the s6il log results by the department, specifications will be outlined. Also, a 500 gallon septic tank must be added between the existing tank and the neer acepage area. The existing well head must be sealed. A permit is required prior to construction from this department. If there are any further questions, please contact this office at 279-2511, extension 224 or 225. Sincerely, John Y.ennedy .Principal Code Enforcement officer dK/ljh ` /cc: )Executive Realty .:2010 C Street 99503 f REQUEST FVr• AFFR.OVAL Or e"\ IN_- MUAL SEWAGE AND EATER FACILIT...S L Q (rill out in Triplicate) ]lame .of person requesting approval_ o&-rmzogQ �yrATe Name of property owner 3. :mFal description_ 4. Number -of bedrooms in house oC , 5. Water, Analysis: a. Eacteri( b. Detergent 6. Well data: a. 1'y F' z -r b. Depth_ i t fi , c. Casing Size__, d. Distance from well to closest existing or proposed: 1. Sewer line —A-^- I4 , 2. Septic tanle52 3. Seepage Area- 4. rea y. Cesspool' S. Property Line. t� 6. Other sources Of,possitle contamination, i.e., houses, barn, drair.ape ditch, eto. 7. Sewape disposal system. a. Age of syster,.__�96y f'h/le T: creeks, lakes, b. Septic tank capacity in.gallnT.s c. Name of septic tank manufacturer@T 1. If "home made" show diagram on reverse nide of this form. d: Disposal field or seepage pit size and ty-,A 1. .Distance to property lin-:&9 4- to house foun3atien. 1:2V r, r / � ekN e, Percolation, Testresults , f. Percolation Test performed by �_ Use the reverse.side of this form to show diagran. Diafram should include -- the following, information: property lines; -well locaticn, house location, ooptic tank location, disposal area location, location, of percolation test, ane.1 of ground slope. 9. The lntorvation nn this form is true and correct to the best of my knowledge. 'S Fnature of Applicant Date Signed TO BE FILM OUT BY HEALTH D£PAF.TI'ENT PERSONNEL C<tThe above described sanitary facilities are hereby approved, subject to the ollowinp conditions: Conditions: The above described sanitary facilities are disapproved for the following reasons: Approval is valid for one year following the date of approval. CPJ:cw