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HomeMy WebLinkAboutDEBORA #3 LT 14E60�A SSD �3 LoT p e,Rc�l.� 050 nsz t I � \ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION . ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 264A720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE UPGRADE `{ MAILING ADDRESS O Z% �, fC • 1;1-)e fEi / LEGAL DESCRIPTION LOCATION / NO.OF BEDROOMS Well Absorption area Dwelling PERMIT NO. VY DISTANCE TO: WQ F , . Manufacturer / /,tJG Material No. of Compartments Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth d Y J t72414 DISTANCE T0: Well, Dwelling PERMIT NO. _? h Manufacturer Material Liquid capacity in gallons O W = DISTANCE T0: Well i DD Foundation / �., ��' _ Nearest lot line : ZZ _ PERMIT NO N n24y'(0s .eF.l� LJ n Z No. of lines / Lengthy] ch/link �jj Total lengt iJne5{. Tranyst with Distance betye I�� FIW Fj Inches <F¢- Top finish Material eneam the / Total atfecti bs r tiLmrgA of rile to grade // /1 "' Z �.Qf'&trinches Z 2 Length Width 1L PERMIT NO. W � ` / aF- Type of crib Crib dia eter Crib depth Total effective absorption area W C W Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot Ime PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption ares(s) OTHER 1 PIPE MATERIALS >U.G AtA /S E4 SOI L TEST RATI NG INSTALLER REMARKS Z,f �' F �IrriLl� OFA 4%lp p t .-,. :..• .. i .::. e ', Robert A. Shof •%rW ��• No. 1157• - / •' � 9F•'a••.»...• -•• Fir aoo� r 4 •" APP V LEGAL gDATE [� 72-013 (Rev. 3/78) h,. j DOC Co. dbi SULLIVAN WATER WELLS P.O. BOX 272, CHUGIAK, ALASKA 98667 • TELEPHONE 688-2759 I , OWNER OF LAND �' -5 DEPTH OF WELL ! % ADDRESS STATIC LEVEL OF WATER FT. i e LEGAL DESCRIPTION — t' r 'DRAW DOWN FT. ` DATE • Started / ' Ended '",'/f GALS. PER HR ` j PERMIT NUMBER KIND OF CASING KIND OF FORMATION I From Ft. to Ft. `/ 4 ` From Ft. to Ft. From Ft. to Ft Ft. to From Ft. to Ft. i From 1 t Ft. to ' '' Ft. i• . r7 -' r / 1� From Ft. to Ft. From Ft. to Ft. / ^ From Ft. to Ft From Ft. to Ft. '' " From Ft. to Ft From Ft. to Ft. r tr From Ft. to Ft. From Ft to Ft. i Ft. to Ft. F Ft to Ft "''' From Ft to Ft rem— Ft. to Ft. From Ft. to Ft. From From F1. to Ft. "rl `� � � - 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 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. WSCL. INFORMATION: From Ft. to Ft. From Ft. to Ft. From Ft. to Ft DRILLER'S NAME - r-1 ur-4 I c I PRL I -r 0FP Rr-4C1-I0RR13E DEPARTMENT 0 HEALTH AND EFJVIF.OrJME1JTRL FFOTECTIOFJ (u)QGtE-c- 825 'f !STREET, ANCHORAGE, AK. 9?'�. YY n4 LL,, ^^E4-4720 PERMIT IJO. 4C 1J1 ii FirJG� rtr•a—=• I -r- E: = EWER F-Mmr't I TGcW-9 76,, APPLICANT !Era ( 5'txn�C15 lc pb �' LOCATION r LEGAL L c{ F 1 S f3l0c k D D-0 br-j-ck. LOT T SIZE (4 r- a oa SQUARE FEET ' TYPE OF SOIL RESORPTION SYSTEM IS: "`'� X)M-4..�.-u+1�c( MA.;IMUM NUMBER OF BEDROOMS = 2— SOIL RATING CSO FT/eR)= 20 a THE REQUIRED SIZE OF THE SOIL RESORPTION SYSTEM IS: �� L,J I b L-: E:F.-r t{ L-EFJGTH= GRR�?EL_ DEPTH= Z. THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DP.AINFIELD. THE DEPTH OF R 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 OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION <114 FEET). REG?U I FREE> SEPTIC TRr•4K �-3 I =E= /OOC) GAL-L-Cr•a PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUPING THE INSTALLATION I14SPECTIOPIS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TI.IO C 2 > I r4S.PECT 10 r4 S RRE REC71L_r I RELY --- BAr_KFILLING 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 R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIO14S AND CONSTRUCTION DIAGRAMS APE AVAILABLE TO INSURE PROPER, INSTALLATION. PERrI I T aXF- I RES C�ECEME3ER 3.1.: 1La:E:&.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 THE CODES. 3: I UNDERST THAT THEO SITE SE14ER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE PE P.ELED T�NCjJ-'DE MORE THAN 3 BEDROOMS. SIGNED1 ---------------- PLICAFJT 7 �n V4. O ISSUED BY-_ _ _-DATE-- Municipality of Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264.4111 GEORGE h1. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION December 31, 1980 Gene Sandin Post Office Box 272 Chugiak, Alaska 99567 Permit # 800244 Subject: Lots 14 and 15 Block D Debora Subdivision A permit issued by this department for well and/or sewer system has expired as of this date. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, A" Les N. Buchholz, R.S. Senior Environmental cialist LNB/ljw enc: Copy of Permit SWP/057 MUNI(-, I PAL I _rV OF= RNC"0F_* it3E DEPARTMENTHEALTH AND ENVIRONMENTALr'OTECTION ( 825 STREET. ANCHORAGE, AK. 9_ 01 264-4720 IJEL_L SE1..lER FERMI T PERMIT NO. Cppy4l >>� �R y_ 330 APPLICANT LOCATION � C LEGAL LOT SIZE Q p oSQURRE FEET TYPE OF SOIL ABSORBTION SYSTEM IS:^3 MAXIMUM NUMBER OF BEDROOMS = SOIL RATI14G (SQ FT/SR>= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: OEPTHLErdOTH= C3RAVEL LIEF?* r 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 (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 UN FEET). RE0U I RELY SEF -r I C TANK S I 2ME— C3F=l LL0NS3 PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIO14S OF ANY 14ELLS ADJACE14T TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- T W a C 2> I N S P E (-, T 10 N S A R E R E Q U I R E Cs --- 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. 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 RES UE(D,EMEDER "v1 . 1'a 80 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 INCLUDE MORE THAN 3 BEDROOMS. SIGNED : _ ..7�_.�..�[---------- APPLICANT --------APPLICANT ISSUED BY . r?,I- 6.) V3. 2 MUt4 I C I F' F -IL- I TY OF F N0"0F2FiGE X „ •.DEPARTMENTjl"t HEALTH AND ENVIRONMENTAL r 1OTECTION 825 STREET, ANCHORAGE, AK. 9�1 _ )1 264-4720 W E L L P E R M I T PERMIT NO. C 800244 ) APPLICANT GENE SANDIN PO BX 272 CHUGIAK 694 3230 LOCATION _JUAN ITA LOOP _ LEGAL +LLT Z4&lZ, W 0 DEBORA S/D } LOT SIZE 21000 SQUARE FEET 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 THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F}EFRM I T EXP I FRES E>ECEMBEFZ 31 1 98la 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. SIGNED APPLICANT GENE SANDIN ISSUED BY- _________________---- — ------ DATE_=1'SS1------ V4.0 jr n &I'd �GRENfER ANCHORAGE AREA BOk.ruGH y 1 Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 LOCATION TANITq ,tooP OFF 641) j0l .' AKEGAL DESCRIPTION lbTS lq� 1.Meet- D. U�Ra�'A �v. SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH SEEPAGE PIT: MANUFACTURER MATERIAL NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY GALLONS. NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH_, DEPTH LINING MATERIAL CRIB SIZE: DIAMETER —DEPTH —DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE O/F'2/0 CONSTRUCTION -5Tfl'f"'y4"�P DEPTH I/ DISTANCE FROM: ^' BUILDING / NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION ����] LOT LINE , SEWER LINE , TANK SYSTEM ���C� CESSPOOL L ZA OTHER SOURCES SO,C'� f ; APPROVED DISAPPROVED REMARKS &/�/ AeQ t L/N° FA,0^1 IVC// 7 11t�tSG Ad DISTANCES: INSTALLED BY: S9,91- 1.0 %Tar irk// nelMZ j PIPE MATERIAL: LOT SLOPE: REMARKS: Fwm No. E0-011 DIAGRAM OF SYSTEM WAjw_ EINE ASOYC �[ov�0• 3 13o�w1 � GG 1,600 Z -r40, DATE C-/ ZZ /— APPROVED 01, G.A.A.B. INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME 4"4"ViS 1_1"'Vef MAILING ADDRESS PD 13BX f %3r4IIeXlue2 PHONE &/-f'L 7 LOCATION TANITq ,tooP OFF 641) j0l .' AKEGAL DESCRIPTION lbTS lq� 1.Meet- D. U�Ra�'A �v. SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH SEEPAGE PIT: MANUFACTURER MATERIAL NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY GALLONS. NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH_, DEPTH LINING MATERIAL CRIB SIZE: DIAMETER —DEPTH —DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE O/F'2/0 CONSTRUCTION -5Tfl'f"'y4"�P DEPTH I/ DISTANCE FROM: ^' BUILDING / NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION ����] LOT LINE , SEWER LINE , TANK SYSTEM ���C� CESSPOOL L ZA OTHER SOURCES SO,C'� f ; APPROVED DISAPPROVED REMARKS &/�/ AeQ t L/N° FA,0^1 IVC// 7 11t�tSG Ad DISTANCES: INSTALLED BY: S9,91- 1.0 %Tar irk// nelMZ j PIPE MATERIAL: LOT SLOPE: REMARKS: Fwm No. E0-011 DIAGRAM OF SYSTEM WAjw_ EINE ASOYC �[ov�0• 3 13o�w1 � GG 1,600 Z -r40, DATE C-/ ZZ /— APPROVED 01, G.A.A.B. MU I C 1 r'FiL I TV 10 F= tit -41= JFZF=l GE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 3330 C STREET. ANCHORAGE. ALASKA 99503 274-4561 OAM %� vO ,,.AJ WELL PEFZM I T PERMIT NO.( ) BURNIS MnnEE BOX 193 .6949927 LOCATION JUANITA LOOP OFF OLD GLENN LEGAL L148:15 BD DEBORA M3 LOT SIZE 41250 SOFT MINIMUM DISTANCE FROM WELL TO ANY SEPTIC TANK/PACKAGE PLANT OR SOIL ABSORPTION SYSTEM IS 100 FT FOR A PRIVATE WELL AND 200 FT FOR A PUBLIC WELL. WELL LOGS MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE AND WILL INSTALL IPJ ACCORDANCE WITH THE CODE. SIGNED... �. 9-7cD ISSUED BY.. DATE.. ........ n GRE'IR ANCHORAGE AREA BOf"UGH :-• �� Department of Environmental Quality ^ 3330 C Street Anchorage, Alaska 99503 AGE DISPOSAL NAME /J'y'B's MOOSE MAILING ADDRESS � PHONE LOCATION JU AI';6 fop LEGAL DESCRIPTIO.0 r`F�' 61— 'J 10[W0t?A t3 SEPTIC TANK: DISTANCE /— NUMBER OF FROM WELL MANUFACTURER Ung MATERIAL STIC1— COMPARTMENTS Z INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY 000 GALLONS. SEEPAGE PIT: 1 ' NUMBER OF PITS 1 DIAMETER 13W OR WIDTH_, LENGTH_, DEPTH % Lkk- CRIB SIZE: DIAMETER DEPTH LINING MATERIAL � _Y_L DISTANCE FROM: WELL i TOTAL EFFECTIVE BUILDING FOUNDATION, NEAREST LOT LINE 1O . ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: MO LuLIi. Arr 4144E OI✓ f k)s e&{ l0v". TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL , OTHERSOURCES APPROVED DISAPPROVED _ DISTANCES: INSTALLED BY: �I��I,�cc Cyst NIj PIPE MATERIAL: ^` Cry IyzoN LOT SLOPE: REMARKS: 2 2S' / �r��Lr/. Tet ixg. fl -to kyle at /o' Form No. EQ -031 DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE , TANK , SYSTEM_ DATE DIAGRAM OF SYSTEM APPROVED r-, GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ' ANCHORAGE, ALASKA 99903 TELEPHONE 274-4361 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT �'t INSTALLATION LOCATION LEGAL DESCRIPTION i INSTALLATION OF: SEPTIC TANK Plf0"Er 0 TYPE AND SIZE OF FACILITY TO BE SERVED MAILING ADDRESS PI Ei PERMIT NO. PHONE SEEPAGE PITy DRAIN FIELD OTHER 1CZ.41, GA1MIIM FINANCED THROUGH TO BE INSTALLED BY -- SOIL TEST RESULTS -F/'IA-`�N IDI NOTE, 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 ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE 1000 TYPE /� Q I SEEPAGE AREA SIZE &7� TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK % / FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL /5 / SEPTIC TANK SEEPAGE PIT O DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK /yV SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, /VV SEEPAGE PIT 101 DRAIN FIELD TO RIVER. LAKE, STREAM. CAST IRON INTO AND OUT OF 6cnne TANK AND INTO CRIB CROSSING GAP OF EXCAVATION B FEET INTO UNDISTURBED SOIL. 4INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKPILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. qL / `' &C, , G.A.A.B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM 1 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 ACCORDANCE WITH SAID CODE. DATE / APPLICANT'S SIGNATURE IORM NO. EO -014 donitotuction gest -fa& "One tett is worth • thousand opinions" OEEE TUDOR ROAD. ANCHORAGE. ALASKA EEe07 • Tala."e"a 171•E473 Performed For Klondike -Alaska Date Performed 12/11/74 Legal Description: Lo lock D Subdivision De ora #3 This Form Renorts Soils'"M YES _ Percolation Test—. Depth Feet Soil fharacteristics -�� St Inlet t i �-1.-i—J �— (200) — Silty Sandy Gravel V—. q — �� Ground Water Level 10— Was 0— Was Ground Water Encountered? YES_ If Yes, At what Depth? -81 below S.T. I et ' J' j 04 e Readinq Date Gross Time Net Time Depth to H2O Net Drop' Percolation Rate tiinute Prnposed Insta ation: Seenaae Pit YES Drain Field Deoth of Inlet Depth To ottom Of Pit Or Trench_ft. CnHNENTS: 200 Sq. Ft. drainagg area reauired_ner bedroom 3 foot Seenaae rings installed round xater at 4 ft below bottom of seepage pit Test Performed 8y J...Mack Data Certified By: CONSTRUCTION TEST L — Date• 12/17/74 4A c, 34 S's 16a— '-577 !j4 -70 /oar Y 2 /-I z - It -s4 3 t kl44, Le - I- >27/ t; 7-4 c -1-577 r S's 7-4 c -1-577 r �R Time Time a Date Date Date Inspector Inspector Inspector At Comments Conditional Approval ei�J�i00i:13 �/ ) Oi��pyrcvc3 \CO:'Idl:to.:ei E1NC�C.'Jw nr l Date Sewer Installed Permit No. Septic Tank Size pp p ^� O Holding Tank Size Solis Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner co Mailing Address S2 gJ �/ /C/�✓e Phone / ��� k $" U(.Grh r�a L� �A� Buyer //I AddressC/O j V Ac /r, / / L-- C� 1 4 �� "f ��� �h�"1 �/C / J f✓ Lending Institution �r J Phone Address - Realty Co. 6 Agentoh a Phone Address Legal Description w 73 Street Location Ski L J ' Typeesidence eSingle Family O Multiple Family c No. of Bedrooms ❑ Other Water S ly L. ndividual ATTACH WELL LOG. A well tog Is required for all wells drilled since June ❑ Cc mmunity 1975. For wells drilled prior to that date, give well depth (attach tog If ❑ Public Utility available. SewaQ�posal G Individual - Year Individual Installed: ❑ Public Utility When Connected to Public Utility C] Holding Tank NOTE THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. April 14, 1982 Scott A. Horn SRT. Box 215 Juanita Loop Eagle River, AT: 99577 Subject: Debora 03 Lots 14 & 15 nlock D Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: The depression or pit around the well casing needs to be filled with impervious type Boil no that it slopes away from the well casing. ' Exposed electrical wires to the well head are in violation of the Municipality of Anchorage codes and must be encased in conduit. • The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. 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, Robert C. Pratt Associate Environmental Specialist RP7G/p/ETI a4,l& Debora Subdivision 03 • MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH 6 ENVIRONMENTAL PROTECTION 99501 MU River, Alaska 825 L Street • Anchorage, Alaska . ��.I, ENVIROL..tL'li'-t_CTION C*- ❑ One ❑ Four ❑ Other ENVIRONMENTAL ENGINEERING DIVISION - ® Two ❑ Five Telephone 264-4720 APR 2 1 1980 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW IT DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 110) days for processing. 1. PROPERTYOWNER PHONE Earl E. Sands 694-3230 MAILING ADDRESS B. SEWAGE DISPOSAL SYSTEM SR 216 Juanita Loop, Eagle River, AK 99577 El INDIVIDUAL/ON-SITE" pelf individual/on-site, give installation date 1974 , PROPERTY RESIDENT (If ddferent from above) PHONE z. BuScoPHONE tt llorn ' 279-9948 MAILING ADDRESS 2208 Eureka St. #17, Anchorage, AK 99503 J. LENDING INSTITUTION PHONE Security Pacific mortgage Corp 276-1933 MAILING ADDRESS ' 1011 E. Tudor Rd., Suite 190, Anchorage, AK 99507 e. REALTOR/AGENT PHUNI: Myrna Johnston, AREA, Inc., Realtors 694-9555 MAILING ADDRESS P. 0. Box 249, Eagle River, AK 99577 5. LEGAL DESCRIPTION Lots 14 $ 15 Block D Debora Subdivision 03 STREET LOCATION Juanita Loop, Eagle River, Alaska 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One ❑ Four ❑ Other Fel SINGLE FAMILY - ® Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY ® INDIVIDUAL' a 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.) B. SEWAGE DISPOSAL SYSTEM El INDIVIDUAL/ON-SITE" pelf individual/on-site, give installation date 1974 , 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. 72-01013/781 _.� - A 1 THIS SIDE FOR OFFICIAL USE ONLY _ INSPECTION APPOINTMENTS DATE RECEIVED .� TIME TIME TIME DATE DATE DA E INSPECTOR - INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY PERMIT NUMBER ❑ INDIVIDUAL DEPTH OF WELL ❑ COMMUNITY ❑ PUBLIC UTILITY DATE DRILLED Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified _ DATEINSTALLED a `l INSTALLER ❑Septic Tank or ❑Holding Tank Size: IL900 If Tank is homemade give dimensions: SOILS RATING 1 �� IN TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 1 ^ 4. DISTANCES WELL TO: Septic/Holomg Tank Absorption Area Sewer Line Nearest Lot Una r Absorption Area to nearest Lot Line S. COMMENTS 0 --'APPROVED FOR �� BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY (Title LEGAL DESCRIPTION n.mn tn.. 11121 n Aron Ronity ATTUITION: A'lyrnn Johnston P.O. Box 249 Engle River, Alnskn 99577 Dear I's Johnston, (7 DAVID A. SLENKAMP MECHANICAL ENGINEER 6949055 July 47 1980 Reference: Lot 14 and 15; Block D; Debora #3 Subdivision ROBERT A. SHAFER CIVIL ENGINEER 694-2979 At your request P. se:7er s—ste- ndequacy test inesystem s nrformed on tho stem located on the referenced property. The septic tank wns pumped and ver— ified to have a cnpncity of 10)0 r^.11ons. The seepnre pit was standing full of w^iter r.nd had to he pumrncd. Tile crib wr s then chn.r"ed with 750 Lnllons of fresh w ter and nftnr a period of 24 hours the venter level in the crib rennined st^tic. The septic tank is ndenunte for the two bedroom home constructed on this property. however, I re;z et to inform you thct the seepage pit has failed and r-;-11 require up!-radirg. A pornit for the upgrnding can be obtainod from the Dennrtmont of 11enith and Enviornmentnl Protection, 825 L. Street, Anchornro. If we roy be of further nssistnnce, plea -v do not hesitate to call. cc: Punicipn Department of of Anchors^e lth and 1:nviorn^nental Protection Security Pacific Brink V SRB 196X EAGLE RIVER, ALASKA GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 1y Date Received August 9, 1976 Time of Inspection 9:30 a.m. Date of Inspection 8-11-76 Wed. REQUEST FOR APPROVAL OF I% INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: Security Pacific Mortgage Corp. Buchholz Mailing Address: 319 West 5th Avenue Phone: 272-9501 2. Property Owner: Burnis Moore Phone: Unknown Mailing Address: NHN Juanita Loop 3. Legal Description: Lots 14 and 15 Debora #3 4. Location: Meet Myrna at Area Realty office in E. R. 5. Type of facility to be inspected Single Family No. of bedrooms 2 6. Well Data: Individual krp , .. /� '7b C2-1t't A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: on-site system A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Re~it for Approval of Individual~,r & Water Facilities • Legal Destription Lot 14 and 15 Debora #3 Comments Disapproved Date R- r 3 App►6i71 ,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Da to I ' cim MUNICIPALITY OF ANCHORAGEDEPT. OF HEALTHGREATER ANCHORAGE ARL', BOROUGH ENVIRONMENTAL PROTECTIONDepartment of Environmental Quality``11IIcc� 3330 C St., Anchorage, Alaska "99503'-' 274 -RA 91976 ., �.. 6. Legal Description: Lot 14 and 15 Labors RECEIVED REQUEST FOR APPROVAL OF Location: NHN Juanita INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV xx !. 2. Property Owner: Burnis Moore Mailing Address: KEN Juanita Loon Day Phone unknown !•. 3. Name of Buyer: Earl E. Sands Mailing Address: Elmendorf AFB Day Phone 752 3014 4. Name of Lending Institution: Security Pacific Mortgage Corp ' Mailing Address: 319 West 5th Ave Phone 272 9501 5. Name of Realtor or Agent: Area Realtors mfgol�n P_ Mailing Address: Park Gate Bldg Eagle River Pho a 694 9555 6. Legal Description: Lot 14 and 15 Labors #3 Location: NHN Juanita Loop, Eagle River Alaska 7. Type of Facility to be inspected: sfr No. Bdrms.2 S. Water Supply ---Type of Supply: Public Utility Individual xx If Individual, number of dwellings presently served 1 If Individual, depth of.well un 9. Sewage Disposal -System Type.of System: Public Utility If Individual, date of installation 1974 Individual (on-site) xx. ***PLEASE SEND REPORTS TO KASSLER & CO., Sincerely yours, KASSLER & CO. 319 5T11 AVENUE ANCHORACE. ALASKA 99;,01y� AP tp GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 'n ? n, 5. Nq'�ri Time of Inspection de- Date of Inspection la.-Q-rlS e� REQUEST FOR APPROVAL OF Q INDIVIDUAL SEWER FORWATER FACILITIES 1. Approval requested by: -'Q 4 Mailing Address: r. Phone: 2. Property Owner:// Phone: l��i0-griflrl Mailing Address: 0'� Y 1() l 1 n�lir, Clrirarlrl 3. 4. 5. 6. 7. Legal Description: l��nr�� I-. C) Location: . fN I Ni7l Type of facility to be inspected No. of bedrooms Well Data: A. Type I *AtI-Ni AI,( -.D C. Construction B. Depth�r D. Bacterial Analysis Sewage Disposal System: C�u- rZA0 !Z_c VC�t"om o� A. Installed Ici`lkjB. Installer /%7Da/-)/4-e--^ tti.&Mec-- C. Septic Tank: 1. Size 4y06i 2. Manufacturer Peeee- .51 ^c / D. Seepage Pit: 1. Absorption Area !n_5 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank, Absorption area 42MR7 Sewer Lines Nearest lot line Other contamination G �f B. Foundation to septic tank � , Absorption area v`cQ C. Absorption area to nearest lot line /o EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Rem%st for Approval of Individual "'ter & Water Facilities Legal pescri ption kj�n ILA in I r.a IL 12 C) - C1 Co ments Approved Disapproved Date 1-:2 Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Da to 'GREATER ANCHORAGE ARLA BOROUGH Department. of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWED & 'WATER FACILITIES 1. Type of Inspection:. CMP.O VA FHA CONV xx 2. Property Owner: Burnis Moore 99577 Mailing Address: Box 193, Eagle River, AK Day Phone 694-9927 J. 3. Hare of Buyer: Warren H. Sierer 2091 Sep er is `Wailing Address,: Anchorage, AK 99504 Day Phone 272-4451 ; N'$ A 4. Name of Lending Institution: MAiyRK�'%tJGr% Mailing Address:-.5-th Ave, Ansherage 274 3563: 5. Name of Realtor or Agent: Myrna Johnston AREA, Inc:, Realtors Box 249 Mailing Address: Eagle River, AK 99577 Phone 694-9555 6. Legal Description: Lots 14 & 15 B1k'D, Debora•#3 Location: Off Old Glenn Hwy = Turn right on Juanita Street Loop House is Brown Worange trim - Second one on left. Look for AREA sign. 7. Type of Facility to be inspected: single -Family No. Bdrms. 2 S. 'later Supply Type of Supply: Public Utility Individual xx If Individual, number of dwellings. presently.served 1' If Individual, depth of well 82' 9-. Sewage Disposal -System Type.of System: Public Utility Individual (on-site) xx If Individual, date of•instal.lation 1974 f