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Home My WebLink AboutEAGLE CREST #1 TR A LT 1Engle Crest #1 Tract A Lot 1 #050-303-10 C Municipality of Anchorage Community Development Department NOV �a 2Wi �f 3 Onsite Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.orgionsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP+31-5E3• /3 131q PID Number: 050-303-10 ❑ New ®Upgrade Name: DALE BINGHAM ABSORPTION FIELD ❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound ❑ Other Address: 19546 CITATION ROAD Phone: No. of Bedrooms: (907) 694-3387 4 soil Rating: 1.0 GPD/Sq. Ft. Total Depth from original grade: 9.0 Ft. LEGAL DESCRIPTION Depth to pipe Invert from original grade: Gravel depth beneath pipe: SEE DWG. & 4.11 R. Subdivision: Block: Lot: EAGLE CREST #1 TRACT A 1 Township: — Range: _ Section: — Fill added above original grade: SEE DWG. Ft. Gravel width: Gravel length: 60 Ft. Md. Number of linea Distance between lines: 5 Ft. I — — Ft. SEPARATION DISTANCES Total absorption oras 6001- SD. Ft. umber W trenches: — Dist. between trenches: — Ft To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Linea Well too'+ 100'+ — — 25'+ TANK ® Septic ❑ S.T.E.P. OHolding ❑Other Surface Water 100'+ 100'+ — — Manufcetumn ANCHORAGE TANK Copacity: 1250 Gal. Lot Line - 5'+ **2'+ N Material: Number of oompor—nbs: /A STEEL 2 Foundation 5'+ *10'+ — — LIFT STATION Curtain Drain NONE KNOWN Manufacturer. c Gal. Remarks: *10+' TO BUILDING FOUNDATION. 3+ FEET TO ANY 'Pump on level at: 'Pump off" lev High water ato" at: PORTION OF DECK OR PATIO SUPPORTS. Pump Pup Make a Electrical Inspections perforned by: **WAIVER GRANTED — FLAGGED DURING CONSTRUCTION. **30' WAIVER GRANTED TO STEEP SLOPE. PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer GREEN GENERAL Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCHMARK (Assumed elevation) 100.00 R. Inspection Dates: 1st 10/22/1 2nd 121L -3L13 Location and Description: 3rd 10 23/13 4th 10 24 13 BACK DOOR THRESHOLD Community Development Department Approval Conditional approval: Date: EN6WEER'68EAL o oo�Q Si��O QO•. e A. G... ess: .. (f y. '• CE -79 3 rip O s .,gpo �4p�eap Ilkf d o ��oo ro essio� o ��00000�o Approved: Date: la PERMIT, NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: - OSP131359 050-303-10 F_ A_7__R_I DBL1 9,9 44.8 DBL2 11.1 44.8 Fs—T1 13.3 44,6 ST2 21.1 45,2 5803 23.6 45.5 DBL4 24.8 44.6 R 45.9 27.2 CO1 29.2 39.4 MT1 29.6 36. CO2 73 28.3 M 71.9 27.4 SU 70.5 INSTALLATION NOTES: ALL PORTIONS OF DRAINFIELD ARE 5'+ FROM DECK/PATIO SUPPORTS. LOT LINES FLAGGED BY REGISTERED LAND SURVEYOR. EXISTING SEPTIC TANK WAS COMPLETLEY ABANDONED BY REMOVING CONCRETE LID, PUMPING, FILLING WITH DIRT, REPLACING LID, AND BACKFILLING - PER CONTRACTOR. INSTALLED DOUBLE CLEANOUT (DBL3 & DBL4)— NEW 1250 GALLON SEPTIC TANK— INSTALLED DOUBLE CLEANOUT (DBL3 & DI 10' UTILITY EASEMENT RESERVE SITE. WILL REQUIRE ADVANCED SYSTEM— i CITATION ROAD EXISTING 4 BEDROOM HOUSE w ' -q)-TH#2 30 FEET W) INSTALLED BULL RUN VALVE (BR) LINE CAPPED BEFORE CRIB PER CONTRACTOR. f CRIB NOT CONNECTED TOP OF SLOPE CHANGE (APPROX. LOCATION) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 701 E. 1WON PND, SUITE 101 + RNCHOMDE, M 9959] + PHONE (90])33]-8179 + FM (997)538-3118 + WFD91E: wx gam glMWH om. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DALE BINGHAM 694-3387 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: EAGLE CREST SUBDIVISION #1; TRACT A, LOT 1 J.L.M. (TYPE OF WORK: DATE: AS -BUILT OF SEPTIC SYSTEM UPGRADE 11/11/2 LOT UNE WAIVER GRANTED � NEW DRAINFIELD I CRIB. FOR EXACT PERIMETER UNKNOV MAY REQUIRE LOT LINE WAIVER AND LETTER OF GRANTED / UTILITY COMPA 14 RECONNECT TO it 13 OF TO yA... ... ..BSS: 3 CE 79 m� �.y�t3,'��,Avoo z I �W t a0 / WATER KEY BOX w w Cl / (APPROX LOCATION) Z / J / / I / WATER LINE (APPROX LOCATION) / Tt€trr-n._ I -q)-TH#2 30 FEET W) INSTALLED BULL RUN VALVE (BR) LINE CAPPED BEFORE CRIB PER CONTRACTOR. f CRIB NOT CONNECTED TOP OF SLOPE CHANGE (APPROX. LOCATION) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 701 E. 1WON PND, SUITE 101 + RNCHOMDE, M 9959] + PHONE (90])33]-8179 + FM (997)538-3118 + WFD91E: wx gam glMWH om. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DALE BINGHAM 694-3387 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: EAGLE CREST SUBDIVISION #1; TRACT A, LOT 1 J.L.M. (TYPE OF WORK: DATE: AS -BUILT OF SEPTIC SYSTEM UPGRADE 11/11/2 LOT UNE WAIVER GRANTED � NEW DRAINFIELD I CRIB. FOR EXACT PERIMETER UNKNOV MAY REQUIRE LOT LINE WAIVER AND LETTER OF GRANTED / UTILITY COMPA 14 RECONNECT TO it 13 OF TO yA... ... ..BSS: 3 CE 79 m� �.y�t3,'��,Avoo PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: OSP131359 050-303-10 TOP OF TANK AT INLET = 96.05 INVERT OF BUNG AT INLET = 95.44 ORIGINAL GRADE - HIGH SHOT - FIL INVERT OF 4" PERF. PIPE = BOTTOM OF DRAIN RELATIVE ELEVATION OF BOTTOM INSULATION r FINAL GRADE = 99.0 TO 99.5 I ST2 NEW 1250 GALLON SEPTIC TANK - TOP OF TANK AT OUTLET = 96.05 INVERT OF BUNG AT OUTLET = 95.29 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS =1 E MMR ROAD. SME 101 - MlOHO , M 98807 • PHONE (907)37-81J9 • FAX (907) 3 32" WEBSOE: yyy.gomme nyen'g eom PREPARED FOR: 'PHONE NUMBER: PAGE NUMBER: j DALE BINGHAM 694-3387 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: EAGLE CREST SUBDIVISION #1; TRACT A, LOT 1 J.L.M. TYPE OF WORK: DATE: AS -BUILT PROFILE OF SEPTIC SYSTEM UPGRADE 11/1/2013 )3 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP131359 Tax Code Number: 05030310000 Work Type: Septic Permit Effective Dates: October 10, 2013 to October 10, 2014 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: EAGLE CREST #1 Site Legal Address: EAGLE CREST #1 TR A LT 1 G:0055 Owner/Address: BINGHAM-THOMAS REVOCABLE TRUST BINGHAM D K & THOMAS E L/TTEES 19546 CITATION RD EAGLE RIVER AK 995778418 Site Mailing Address: 19546 CITATION RD, Eagle River Lot Size in Sq Ft: 11288 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: Deck support integrity is to be maintained throughout installation. Received Issued By: Date Date: Q �� Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 hftp:l/www.muni.orci/Onsite Development Services Division On -Site Water and Wastewater Program went 10 F � n Department **** VARIANCEIWAIVER REVIEW **** Waiver#: OSPI31360 COSA#: Permit#:OSP131359 PID#: 050-303-10 Legal Description: Eagle Crest Tr A L1 Engineer: Garness Engineering Group Applicant: Dale Bingham Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 2.0 feet. In addition, a waiver for the field to be 30' from an excessive slope is approved. The field may also be 6' from the deck foundation. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: De / Approved by: Name of Reviewer .. .............. 0..........•...........00.00............... 0 ................. Rec#: 00150G Amount: $200.00 Date Paid: 9/26/13 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application � ( For A Single Family Dwelling Parcel I. D. 6% _3D3'/D Property owner(s) DALE BINGHAM Day phone Mailing address 19546 CITATION ROAD *EAGLE RIVER, AK 99577 Site address 19546 CITATION ROAD *EAGLE RIVER, AK 99577 Legal description (Sub'd, Block & Lot ) EAGLE CREST S.�f #1 • TRACT A LOT 1 Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: ( >all that apply) Initial 1:1 Single Family (SF) Absorption Field ® Upgrade ® (w/wo ADU) Septic Tank ® Duplex (D) F-1❑ Renewal ❑ Holding Tank Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: SLOPE WAIVER Distance: 30' 1 certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: �) 3b Waiver Fees: Date of Payment: q.Z/Z3 Date of Payment:Vatjo 3 Receipt Number: J20/566 Receipt Number: a6l (4 c� Permit No. 6SA1313tia Waiver No. SP / tyl (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTO�— October 9, 2013 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Response to Submittal Comment Sheet for Eagle Crest #1; Tract A, Lot 1 To whom it may concern: The following is the comments made by the departments review and our response to those comments: 1. The "GP to SP" cannot act as a sand filter — We are proposing to use the underlying, unsaturated SP- S. soil to serve as the "sand filter". 2. There is no structural concerns regarding the separation of the field to the slab patio. Please provide structural justification for the 6'separation between the sono -tube and trench" - Please use the note used for Meadow Brook Subdivision, B3, L8B (permit # OSP131226) regarding "deck support integrity". 3. The "SP-SM"stratum has not been perc'd — The upper soil was perc'd at less than I minute per inch, allowing for an application rate of 1.2 CTPD/SF. The SP -SM soil was not perc'd, but it is reasonable to believe that the percolation rate would fall somewhere close to a pure SP soil, given the fact that the percent of fines passing the #200 sieve was only 7.4%. If it had been less than 5%, it would have been classified as an SP soil, with an ADEC specified application rate (see attached chart) of 1.0 gpd/sf. A pure SM soil (a sand with greater than 12" passing the #200 sieve) would have an ADEC specified application rate of 0.55 gpdtsf. The average application rate for and SP and a SM would be 0.77 gpdtsf; however, in this particular case it is reasonable to believe that the soil (with only 7.4% passing the #200 sieve) will "behave" more closely to a pure SP soil than a pure SM soil. In short, it is reasonable to believe that the SP -SM soil will have a percolation rate within the 1-15 minute/inch range, which corresponds to an application rate of 0.8 to 1.2 gpd/sf. Based upon our visual observation of the soil, it is reasonable to believe it would perk at less than 5 minutes/inch. Regardless, the average percolation rate for the upper and lower soil profiles ((1.2 + 0.8)/2) is 1.0 gpd/sf. It is hoped that this r onse will satisfy your concerns so that the requested permit can be issued. If you have any questions, please Ton us at 337-6179. Thank you for your assistance. 0 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com September 23, 2013 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic System Upgrade for Eagle Crest #1; Tract A, Lot 1 To whom it may concern: The existing 4 bedroom house is served by public water and a private septic system. The exisintg septic system is in a state of failure and needs to be upgraded. We are proposing to install a 1250 gallon septic tank and 5 -wide trench type drainfield. Attached are a site plan and a design drawing showing the proposed septic system. Two test holes were excavated on the property. The drainfield will be designed around the 30 foot radii of these test holes. Comments regarding the design are summarized as follows: 1. SOILS: Seethe attached logs which show the soil classifications, groundwater monitoring, and the percolation test results. 9/19/2013 — Test hole #2 absorbed water as fast as it could be introduced with a 5 gallon jug. The percolation test was performed in a gravel pocket. The insitu sandy soils will act as a sand filter. See the provided soil sample taken from 8 to 9 feet for MOA reference. See test hole #2 percolation test for additional information on percolation test justification. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached site plan, the average topography below the drainfield is 5-15% running north to south. There is a cutbank located 30 feet away from the proposed drainfield (see waiver request). 5. SLOPE WAIVER: We are requesting a 30' waiver be granted from the proposed drainfield to the cutbank. As can be seen on the attached drawing, at a 25% slope (starting 2.5 feet above the drainfield) the potential point of daylighting is greater than 50' horizontally from the bed. We are unaware ony adverse impacts this installation would have on adjacent wells or septic systems. If you have any es ions, please contact us at 337-6179. Thank you for your assistance. M.S. 3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com xp x0 aN wm PROPOSED HERITAGE PARK S/D / LOT 22, BLOCK 1, wm SEPTIC I HERITAGE PARK S/D EAGLE CREST S/D #1 EAGLE CREST S/D #1 0 LOT 3, TRACT A. tt� S1, I I LOT 19, BLOCK 1, 3 � LHERITAGE 1, x p w0 w0 0 ___________ _______T_--- MOO am iOf C3 tt OT ¢ Ewje �N y Of mQ ¢v mH- 1a—N aN am 03 a� 03 EAGLE CREST S/D #1 \\ CITATION ROAD w am w xp x0 aN wm PROPOSED uN wm SEPTIC I HERITAGE PARK S/D EAGLE CREST S/D #1 EAGLE CREST S/D #1 0 LOT 3, TRACT A. tt� Na I I LOT 19, BLOCK 1, 3 � x p C�EPWC EXISTING cn o SERVED BY ___________ _______T_--- iOf C3 x -�-' N PUBLIC WATER I 1 EAGLE CREST S/D #1 EAGLE CREST S/D #1 \\ CITATION ROAD LOT IB. TRACT A, LOT 19, TRACT A, I __ ____ EXISTING 4 BEDROOM HOUSE loo,Cpm I �\ I O PROPOSED �\ ' SEPTIC i Q"10 EAGLE CREST S/D #1 EAGLE CREST S/D #1 0 LOT 3, TRACT A. LOT 2, TRACT A, W SERVED BY 3 � PUBLIC WATER C�EPWC EXISTING cn o �J�=O ___________ _______T_--- iOf C3 RESERVE SITE -�-' N - I 1 EAGLE CREST S/D #1 EAGLE CREST S/D #1 \\ LOT IB. TRACT A, LOT 19, TRACT A, SCALE: loo,Cpm I �\ I O PROPOSED �\ ' SEPTIC Q"10 SYSTEM UPGRADE 0 O �Z �`P\' p 0. GO O W TH//2 Q 3 � sQt�"-Je EXISTING cn o �J�=O SEPTICW j SYSTEM iOf C3 N z t-- _ ]E SCALE: I �\ THIRD STREET \ \ �41\ / I /lI COLONIAL PARK S/D / / EAGLE CREST S/D \\ EAGLE CREST S/LOT 10, BLOCK 2, ` LOT 23, TRACT A. .LOT 22, TRACT A,, CSEPTIC CSEPTIC ARE / / _ _ _ _ _ _ _ _ _ _ _ _ _ _ — I [SEPTIC AREA, SARPFA- ! __ _ GARN ESS ENGINEERING GROUP, Ltd. I'll 11,111111- �_ = CONSULTANTS $ GENERAL CONTRACTORS: -......,...r..,. . 701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907)33]-61]9 , FAX (90])338 ♦ WERSX, w,,n..en9ln•ain9.co PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DALE BINGHAM 1 694-3387 1 OF 3 LEGAL DESCRIPTION: UKAWN UT: EAGLE CREST SUBDIVISION #1; TRACT A, LOT 1 1 J.L.M. TYPE OF WORK: SITE PLAN FOR PROPOSED SEPTIC UPGRADE 9/20/2013 OF CE --7954 j 7* OF BEDROOMS: 4 PER DAY (GPD): 600 TION RATE/S: <1 & 4.44 D APP. RATE 1.0 GPD/SQ DRAINFIE7D SQ.FT.: 600 MAXIMUM DEPTH: 10.5 FEET WIDTH: 5 FEET LENGTH: 60 FEET EFFECTIVE: 4 FEET REDUCTION FACTOR: 0.5 ACTUAL SQ.FT: 600 NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/5: <1 & 4.44 *PROPOSED APP. RATE: 4.0 GPD/SQ.FT. MINIMUM DRAINFIE:LD SQ.FT.: 150 ('FOR CAT II AEROCELL SYSTEM) MAXIMUM DEPTH: 10 FEET WIDTH: 5 FEET LENGTH: 15 FEET EFFECTIVE 4 FEET REDUCTION FACTOR: 0.5 ACTUAL SQ.FT.: 150 INSTALL DOUBLE CLEANOUT— PROPOSED 1250 GALLON SEPTIC TAN., INSTALL DOUBLE CLEANOUT— EXISTING SEPTIC TANK TC BE EXCAVATED, PUMPED, AND CRUSHED IN PLACE: 10' UTILITY EASEMENT RESERVE SITE. WILL REQUIRE ADVANCED SYSTEM .— LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CITATION ROAD NOTE: THE CONTRACTOR SHALL HAVE THE EAST, WEST, AND SOUTH PROPERTY LINES STAKED OR FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO ANY CONSTRUCTION. LLI EXISTING 4 BEDROOM HOUSE I #2 30 FEET INSTALL CLEANOUT TOP OF SILGff CHANGE (APPROX. TION) GARNESS ENGINEERING GROUP, Ltd CONSULTANTS & GENERAL CONTRACTORS I c nnm RONX s 101 • mowim. m wam .orate (ao"i}xn-eisn • m (wr, s • MF89h+..w�x I PI REQUEST 3' WAIVER TO AN PORTION OF THE PAIO/DECK 2' LOT LINE WAIVER REQUESTED I /--PROPOSED DRAINRELD UPGRADE Q PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DALE BINGHAM 694-3387 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: EAGLE CREST SUBDIVISION #1; TRACT A. LOT 1 J.L.M. TYPE OF WORK: DATE' REVISE DESIGN OF SEPTIC SYSTEM UPGRADE 10/3/2C EXISTING CONCRETE -CRIB. ABANDONED IN PLACE FOR z I g POSSIBLE FUTURE USE. WILL REQUIRE LOT LINE WAIVER WATER KEY BOX L1J (APPROX LOCATION) U z REQUESTED I �v WATER LINE (APPROX LOCATION) 30 FEET INSTALL CLEANOUT TOP OF SILGff CHANGE (APPROX. TION) GARNESS ENGINEERING GROUP, Ltd CONSULTANTS & GENERAL CONTRACTORS I c nnm RONX s 101 • mowim. m wam .orate (ao"i}xn-eisn • m (wr, s • MF89h+..w�x I PI REQUEST 3' WAIVER TO AN PORTION OF THE PAIO/DECK 2' LOT LINE WAIVER REQUESTED I /--PROPOSED DRAINRELD UPGRADE Q PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DALE BINGHAM 694-3387 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: EAGLE CREST SUBDIVISION #1; TRACT A. LOT 1 J.L.M. TYPE OF WORK: DATE' REVISE DESIGN OF SEPTIC SYSTEM UPGRADE 10/3/2C EXISTING CONCRETE -CRIB. ABANDONED IN PLACE FOR POSSIBLE FUTURE USE. WILL REQUIRE LOT LINE WAIVER AND LETTER OF NON—OBJECTION FROM UTILITY COMPANIES TO REQUESTED RECONNECT TOT' ✓�� AN 13 4" CLEANOUT 4" MONITORING TUBE GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS&GENERAL CONTRACTORS.=:, .„._;._::e _. :..-: 3701 E. TUDOR RNA, SURE IDI • q HOWE, a 99501 • PHONE (907)337-6109 • FM (907)336-346 • WE69RE:—gornnwngbneny.mm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DALE BINGHAM 694-3387 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: EAGLE CREST SUBDIVISION #1; TRACT A, LOT 1 1 J.L.M. OF WORK: PROFILE OF SEPTIC SYSTEM UPGRADE 9/23/2013 4 T . � o N� I UI �4 �oplofle 2 of I Er W LL p W 0/ Q/ WO 4 H 4/ 01i' f v NI p� w3 LL NI < w N/ �3 r W / W W O au o� a I J 4" CLEANOUT 4" MONITORING TUBE GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS&GENERAL CONTRACTORS.=:, .„._;._::e _. :..-: 3701 E. TUDOR RNA, SURE IDI • q HOWE, a 99501 • PHONE (907)337-6109 • FM (907)336-346 • WE69RE:—gornnwngbneny.mm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DALE BINGHAM 694-3387 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: EAGLE CREST SUBDIVISION #1; TRACT A, LOT 1 1 J.L.M. OF WORK: PROFILE OF SEPTIC SYSTEM UPGRADE 9/23/2013 4 T . :7* ;Je fr A. ess;: P CE—7953 y : 3 cO0 �4 �oplofle GARNESS ENGINEERING GROUP, Ltd. • -_CONSULTANTS& GENERAL CONTRACTORS --.•.------=- SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: EAGLE CREST SUBDIVISION i/1; TRACT A. LOT 1 PERFORMED FOR: DALE BINGHAM DF DEPTH (feet) TEST HOLE # 1 1 ORGANICS/ OVERBURDEN 3 y ORGANICS ••. •._.••• GP TO SP 6-1 W/ SOME SILT 7 >• .•: .� �.�. 10 ••• 12 �•: •••• 13 14 15 16 17 18 SP WITH SOME SILT & GRAVEL SOIL CLASSIFICATIONS DEPTH TO GROUNDWATER DATE DRY 9/13/2013 DRY 9/19/2013 DRY 9/23/2013 6" - 2 1:33 10 3-1/4" 2-3/4" 3 1:33 - 6" - 4 1:43 //�I 3-1/2" 7iYY}}{{Si11 5 1:43 - 6" - 6 1:53 10 3-3/4" 2-1/4" DEPTH TO GROUNDWATER DATE DRY 9/13/2013 DRY 9/19/2013 DRY 9/23/2013 6" - �y � G rness: CE -735f ' pyoof . °/ fes ess�opOo SEE ATTACHED SITE PLAN SCALE: 1" = 100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 9/19/2013 1 1:23 - 6" - 2 1:33 10 3-1/4" 2-3/4" 3 1:33 - 6" - 4 1:43 10 3-1/2" 2-1/2" 5 1:43 - 6" - 6 1:53 10 3-3/4" 2-1/4" 7 1:53 - 6" - 8 2:03 10 3-3/4" 2-1/4" 9 2:03 - 6" - 10 2:13 10 1 3-3/4" 2-1/4" 11 2:13 - 6" - 12 2:23 10 3-3/4" 2-1/4. 19 PERCOLATION RATE 4.44 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5 FT. AND 6 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: 1'F>zi� u� �� i Wb£ -5 VH `�1 /IV, -i PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS ERF RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: !' Z3 13 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS =-_ LEGAL DESCRIPTION: PERFORMED FOR: (fPTH eet) ORGANICS/ OVERBURDEN 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 SOIL LOG — PERCOLATION TEST FAGI F CRFST SURDIVISION 41: TRACT A. LOT 1 DALE BINGHAM GP TO SP W/ SOME SILT SP WITH SOME SILT & GRAVEL TEST HOLE #2 SOIL CLASSIFICATIONS DEPTH TO GROUNDWATER DATE DRY 9/13/2013 DRY ��,��u'vol DRY 9/23/2013 lie Emm FI •K�.S'i]CY{{Y``Y}}W{ 1Map, '1[1111[11 ��l DEPTH TO GROUNDWATER DATE DRY 9/13/2013 DRY 9/19/2013 DRY 9/23/2013 3 SEE ATTACHED SITE PLAN SCALE: 1" = 100' DATE READING CLOCK NET TIME I WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) PpOEp SO\� �R 0E P�p� EF,j FPL PS \S GNS\6 j0 9P�p\�\ON PS F�SPpEc\ fR�ESt P O �P'(f.RpRPJ\pE'CP�'(\O 351\F\G PgSpRRO�E p\\. S#2 P ONG�SS( , ION'.) -SS PFRjF,s �P�RGo\A 9I \9 I,\\pN Sp�p EE ZE ON »P`�-RGO�'P RENGQRMP�\ON V�\�pP Rf.PE \NF 19 PERCOLATION RATE •<1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4 FT. AND 5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: Q YES 'XNO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W (S PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Z 2,'11 c 0 O N UJt 2 Y I J 0 r 0 0 -i .2 0 0 0 0 0 0 M am '6 xm- DOL# 024 09# 09# OV# 00 OZ# 9l# O2#W ILIBiaM Aq Buissud 4UODJGd O O O 2 ii i ILIBiaM Aq Buissud 4UODJGd O O O 2 ~GP./"~R ANCHORAGE AREA Bor~JGH Department of Environmental Quality 3330 C Street Anchorage. Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME//'~ ~' '" ~,~,"/ d'~ <~. ~"~. MA,L,NG ADDRESS £~. ,~.~ ~/x P. ONE LOCATION SEPTIC TANK: DISTANCE I ~, " FROM WEL/~ ~ '/~FFACTU RER L~///E~ c-~. MATE RiAL C~,_/~:Z/(, f~ NUMBEROF / COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPAClTY~/' (~7 GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER LINING MATERIAL~'~4~I-t~ t~;,~CRiB SIZE: BUILDING FOUNDATION NEAREST LOT LINE ADDITION AL ABSORPTION ~// '~ ~' ~_~/~1. OR WIDT./~ , DIAMETER LENGTH /~,, DEPTH DEPTH ~ DISTANCE FROM: WELC- . TOTAL EFFECT,VE ABSORPTION AREA (WALL ARE ~'¢q/'~/~Q. FT. ~ ~/~/F/ BUILDING NEAREST NEAREST FOUNDATION LOT LINE SEWER LINE OTHER SOURCES CESSPOOL DISAPPROVED APPROVED DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM REMARKS DISTANCES: INSTALLED BY:/~-~.f ,~.'_,,~'~.'~/~,~.~ ~/~ PIPE MATERIAL: '~// LOT SLOPE: REMARKS:· DIAGRAM OF SYSTEM Fo~m No. EQ-031 GreatEr aNChOragE ArEA BOROUgh SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT PERMIT NO. OTHER INSTALLATION LOCATION 'GALOESCR,PT,ON A INSTALLATION OF: SEPTIC TANK ~ / DRAIN ~I~L~ 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. MINIMUM DISTANCES. REQUIREMENT~ I/FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT SEEPAGE AREA SIZE DRAIN FIELD. . DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP DF EXCAVATION E FEET INTO UNDISTURBED SOIL, GRAVEL ]BACKFILL I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESORISEOS¥STEMISINACCORDANCEWITHSAIDCOD£' ~/)~~ Performed For Lenal This H~n~mond Const. Co. Oate Performed 6/4/74 qescrintton: Lot I Block A Subdivision Eazle Crest Subdivision Korm Renorts Soils Lo~ yes Percolation Test. 1 2 3 5 6 7 .q l0 Deoth Feet Soil Characteristics Overburden Sandy Gravel, coarse-moist GP-GW Fine Gravely Sand (100) (30 % gravel size) feeG bottom of Test Hole Was Ground Water Encountered? I~ wes, At what Depth? ~o I Readinq Date Gross Time Net Time Depth to H20 )~et Dron I ~ i Percolation Rate Minute Prnnosed Inst--: Seenaoe Pit yes Drain Field Deoth of Inlet Depth To Bottom Of Pit or lrench cn~ENTS: q~ ~q, f~ ~ are~ ~ bedrock Or water table 4 ft. below segp~e oft Test Performed By Jim Mack _ Data Certified B~: Const. TQst Le.b Lab M~n~gor Date: 6-~-7~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ~)~)-_~3~-~{~ J~-~\ (..~c3LLr~_~) NAA# 1. GENERAL INFORMATION Complete legal description T/~a~ "A" Eaql~ Cr~t Subdiui~lon Lot ! ~ ~0 Location (site address or directions) ! 9546 ~ott Roctd Property owner Mailing address Lending agency Mailing address Ag en f/J.~cl~.nJ~z Kohfi~d bay phone Day phone Address 144f~ C_~._~f~'o~d ~)~,~'u~. ~r~'~'~_ #fO! E~zg~_ RZu~. A~. 99577 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: $ ",4 TYPE OF WATER SUPPLY: Individual well '::: Community well Public water NOTE: 694-9356 Day phone~' 694-4200 If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5. STATEMENT OF INSPECTION BY ENGINEER Se As certified by my seal affixed hereto and as of the validation date shown below, I verify that'my investigation of this Health Authority Approval application 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 Address 17034 Eagle River Loop Road No. 204 Eagle River~ Engineer's signature DHHS SIGNATURE . ~ Approved for Disapp;;oved. Conditional approval for Date4// / / / bedrooms. bedrooms, ~vith the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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. Legal Description:'~-4*,C'~ ~ ~ ~=g,g..~,r . , '~. ;l~a~Pcel I.D. A. WELL DATA Well type I"1 ~- jL~. If A, B, or C, attach ADEC letter. Log present (Y/N) Date completed Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLI~ , tJN 1 8 1991 R[C £'lVrr. D ADEC water system number Driller Total depth Cased to Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) Date of test Static water level Well flow .. FROM WELL LOG Pump levbl ' ' '" SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot g.p.m. AT INSPECTION ; On adjacent lots g.p.m. Absorption field on lot Public sewer main Public sewer service line WATER SAMPLE RESULTS: Coliform Nitrate Date of sample: ; On adjacent Pots Public sewer manhole/cleanout Petroleum tank'" Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date Installed b,- ! ~ - '74 Cleanouts ~N) High water alarm (Y~ Date of pumping ~,- lO - Tank size IoC)~ Foundation cleanout (Y~ Compartments · W/ Depression (Y~ /J Alarm tested (Y/N) *J~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 'J/A- On adjacentlots To propertyline /{::) ~ * Absorption field "~'~ ' Surface water/drainage /oD ''+ ' ~ Foundation Water main/service line /0 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gaUons vent (Y/N) High water alarm level Meets MOA elect~ SEP~TANCE FROM LIFT STATION TO: Wefl~n lot On adjacent lots Manufacture~. Manhole/Access (Y/N) "~' '"' ' "~'"' ~ ' ~':"'""~"~' ' ~ l'-~-""'"'~-uumpoff"leve "Pump on" level at · ~'"~ycles tested D. ABSORPTION FIELD DATA Date installed ~,- I ~ -74 Length /~' ' Width /~ · Total absorption area Depression over field (Y~) Results(~?fail) PA ~..5' Soil rating Gravel thickness Surface water Peroxide treatment (past 12 months) (Y~ ~//( Cleanouts present (~N) Date of adequacy test for System type Total depth ~Z:~-.- bedrooms If yes, give date /'J~ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water /~'~ ~' Curtain drain On adjacentlots /~)C) ~'~ Propertyline /0 ~' ~'~' ~ +' TO existing or abandoned system on lot /'/~ Cutbank '"//~ Water main/service line /~ ~' Driveway, parking/vehicle storage area ~ a ~' Eo ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect On'the date of this inspection. Signature Eagle Rwer, Alaska Engineers Name HAA Fee $ Date of Payment Receipt Number Waiver Fee: $ - . Date of Payment Receipt Number : - DAT~' RECEIVED .-- ,NSPECT,ON A.PO,NTME.TS- TIMETIME TIME DATE DATE DATE iNSPECTOR iNSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE ~ICIPALI~ OF AN~O~GE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONDEPT ~ 825 L Strut - Anchora~, Ala~a ~1 E~IRONMENrAL . Tele~e ~47~ DI RECT~ONS: Comp;ere al) parts o. page 1. Incomplete ;~um= wl)i not ~ pr~. Please a~low ten {10) days fo~ pr~sing. I PROPERTY OWNER ,' * PHONE ' 7' P~OPEBTYRESIDE~(ifditferent fromabp~) ~ / / // PHONE 2 BUYE PHONE MAILING ADQRESS 4. REALTOR/AGECT ~ // // ~ PHONE 5, LEGAL DESCRIPTION STREETLO T*,O./ O 6. TYPE OF RESIDENCE /z~ SINGLE FAMILY I--I MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five ~ Three ~ [] Six [] Other 7. WATER SUPPLY i_.1,,~ 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 UTI LITY depth (attach log if available.} 8. SEWAGE DISPOSALSYSTEM ~ INDIVIDUAL/ON-SITE** J~7' YEAR ON-SITE SYSTEM WAS INSTALLED. t'~ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. "/ unicipality Anchorage 825 "L'* STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 DEPARTMENTOF HEALTH AND ENVIRONMENTAL PROTECTION June 24, 1980 Ralph/Charlotte Sievers % Judi Rowland 8050 Old Seward Ilighway Anchorage, Alaska 99502 Subject: Lots 1 and 20 Tract A Eagle Crest Subdivision Approval for the individual sewer and water facilities can not be granted until the following items have been completed: ~/~1) The water analysis report be delivered to this dep~rtment from Chem Lab, 5633 B Street, for our revzew. The septic tank pumped with a receipt submitted to this department. (3) An adequacy test be performed on the existing leaching area. 'This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this department for our review. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska Mutual Savings Bank Post Office Box 1120 99510 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality ~ :2~) 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received March 17, 1976 Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES ~]~. FOR 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: Cony. First National Bank of Anchorage Post Office-Box 720r Joseph H. Dotterwe%ch Post Office Box 734; 99510 Phone: 279-4481 Phone: 694-2105 Eagle River 99577 e Legal Description: ~ ~ and 20 Tract A Eaqle Cre.st Su~ivision Location: Eagle River Road to' Hillcrest Drive, % mile on the left Type of facility to be inspected Single Family No. of bedrooms B. Well Data: Individual e A. Type B. Depth D. Bacterial Analysis C. Construction Sewage Disposal System: On-site system. A. Installed 1974, June B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 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/~'~t for Approval of Individual :~'~.r & Water Facilities Legal ~escription 'Lots 1 and 20 Tract A I~agle Crest Subdivision · Cm~entS,,o. .~r .... n ..................... _~y~--.. , _/. - f ., '_...._( Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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 Date EQ-034 (1/74) tgrn .left .gnto. Ea~e River. Lane, ..two_streets on_the right:_Don&ld .99~.~ucas._(bo~h.m~rked), just beyond Lucas,..Eagle _River Lane beg~s ._ · ~,own;.o~_ that corner is a olive green garagelshop, the second '..,,:~,-' corner (southwest corner) is arbeigewith dark .brown trim, natural wood fence, this is itl 1. Type of Inspection: 2. Property Owner: t-,,~, ,1CI ~,LIT f /'.HCltORAG~ MUNICIPALITY OF ANCHORAGE C?T. o.~ ~:/,,~'~n & E NV I ,:.C'h~;.',C N ~'AL DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 'C" Street, Anchorage, Alaska 99503 - 2744561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES RECEIVED CMRO VA FHA DOi'i'~i~E~(~I, Joseph H. & Elizabeth I. CONV ~X Mailing Address: P.O. Box 734, Eaqle River 3. Name of Buyer: Refinance Day Phone 694-2105 Mailing Address: Sz~e as Above Day Phone Same 4. Name of Lending Institution: First NatJ.cnal?~ink o~ Anchorage Mailing Address: P.O. Box 720~ Anchoraae Phone 279-4481 5.Name of Realtor or Agent: None - Refinance Mailing Address: Phone 6. Legal Description: Lots 1 & 20f Tract Ar Eaqle creSt S/D Location: Eaqle River Rd. to Hillcrest Dr. 1/4 M~le cn the left Type of Facility to be inspected: Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served Single Family If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation ,Tune 1974 No. Bdrms. 3 Individual Individual (on-site) XX EQ-037 (1/74) REALTORS' REQUEST FOR APPROVAL OF ct:gE) INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: DMRO VA FHA __ CONV 2. Property Owner: .~oJ-~-y~6 K~/~. ~e'~ ~m/~.~ · Mailing Address: ~'.~'. ~ r~*~ ~ ~',~,a~ Day, Phone 3. Name of Buyer: ~'/~/?// ~. Mailing Address: Day Phone 14, Name of Lending Institution: ~/-~. ~. c~.~r~'~ Mailing Address: ~?? ~-~. ~o.~. Phone ~?y'- 5. Name of Realtor or Agent: ~-'~x~,'¢y,~i,~ ,~-~'- Mailing Address:/~'.~. x~'~ ~"f,? ~'~/~, ~f;~mxm Phone Legal Description: Location: ~rx ~ "llq REALIORe* o - 7. Type of Facility to be inspected: ,,~,~'~-~,,,~,~, No. Bdrms. 8. Water Supply Type of Supply: Public Utility ~ Individual If Individual, number of dwellings presently served If Individual, depth of well 9, Sewage Disposal System .Typ6 of System: Public Utility ~ Individual (on-site) If Individual, date of installation: AREA, INC. REALTORS "'C" St. Office 3300 C Street (907) 278-2525 as Anchora e [-} g [-1 Eagle River Eastgate Office~' Parkgate O[fice 5437 E. Northern LightsTM P.O. Box 249 (907) 278-2525 * · ) (907) 694-9555 C. HE.MIC.4L.&G~,.,LOGI¢.4LLABORATORIE$~.fALASKA, INC.~,,,~ 274.3364 5633 8 Street inking Water Analysis Report for.Total Coliform Bacteria TO SE COMPLETED BY WATER SUPPLIER WATER SYSTEM: ~.O. NO. Water Syslem Nero<e_, '. ,~,, I -{.~.? Pho~o. , . ' \.u.X,' Mo. Osy ' Y~r SAMPLE TYPE: Routine Check Sample (for routine ~ampte with lab ref. no. ) Special Purpose ,~ SAMPLE NO. LOCATION , I , I [] Treated Water [] Untreated Water Time Collecled Collected By [ /~:~, ~!'t'z TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ,~/Satisfactory [] 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 Received Time Received Analytical Method: [] Fermentation Tube · , I-I Membrane Filter Lab Ref. No. Result* Analyst I.~?~,""-371. I-U) /;'Y I [-I-I I I-I-'l I ICI READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 0~4220 (bi BACTERIOLOGICAL WATER ANALYSIS RECORD