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HomeMy WebLinkAboutSTEWART #1 BLK 2 LT 1Stewart #1 Block 2 Lot 1 #050-472-63 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: OSP151382 Tax Code Number: 05047263000 Work Type: Septic Upgrade Permit Effective Dates: December 01, 2015 to November 30, 2016 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Subdivision: STEWART #1 Site Legal Address: STEWART #1 BLK 2 LT 1 G:0057 Owner/Address: WISDOM SARAH DANIELLE & NATHANIEL ALLEN 21116 LOWLAND AVE EAGLE RIVER AK 995779584 Site Mailing Address: 21116 LOWLAND AVE, Eagle River Lot Size in Sq Ft: 29700 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. Received E Issued By: MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program ANCHORAGE Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. (993 O -4 7 2 (0 3 Property owner(s) S rlwa (n Cl ), S A o..,,-. Day phone Mailing address Site address Z t t l to L o W( n t'. A t r Legal description (Sub'd., Block & Lot) S � t%,,w v 4- +4-1 (3 L L Legal description (Township, Range & Section) Lot Size 217-0 -O Sq. Ft. Number of Bedrooms APPLICATION IS FOR: Q all that apply) Absorption Field [� Septic Tank [� Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN Initial ❑ Upgrade 13 - Renewal ❑ TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) ❑ Multiple el 6 7 s 9 (SF rRUSH NOV 302015 THIS APPLICATION INCLUDES A VARIANCE / WAIVER REWEST 1.2: l °Pm I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Permit/Rush Fees: 5-U 1-34( =�°4 Date of Payment: 3U />; cvn Receipt Number: Permit No. C5eK) R 31r P_ Permit App_' ::-'..:c. Waiver Fees: Date of Payment: Receipt Number: Waiver No. Nov 30, 2015 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New Septic system Legal: Stewart #1 S/D, Blk 2, Lot 1 To Whom it may concern: This is a request for a new septic permit on the above referenced lot which has failed. A new test hole was excavated to 12 feet which showed poorly graded gravels for the entire depth and water at 9 feet, it stabilized at 8.5 feet after the 7 day monitoring period. The perc rate was 3 minutes per inch done in the top 3 feet of the soil. The old 1000 gallon concrete tank will be decommissioned per the UPC and a new 1250 gallon steel tank installed outside the existing well radius. The leach field design consists of a 58 foot long shallow 5 -wide trench constructed perpendicular to the slope of the lot , see the plan. A reserve are for the 4 bedroom system has been shown. No cut banks or slopes greater than 25 percent exist within 100 feet of the new system. This new system will not impact any of the neighboring properties due to the lot layout. Please call me if you have any questions. Sincerely Michael N. Anderson, P.E. DESIGN CRITERIA: MOUND OVER 11/30/2015 (TH#1) o (GRADE 4 BDRM X 150 = 600 GPD1 ORG INSULATION SOILS = 600/1.2 = 500 GPD '0 FILTER FABRIC 500 GA/5 * 0.58 = 58' -1.0 0 PIPE (1) TRENCH GM/GP SEWER ROCK 4.0' DEEP 3.0' EFFECTIVE -4'0 5.0' WIDE I 5'0' 58' LONG 12 SEPTIC FIELD SECTION z I !L O W L A N D WELL iz STEWART qz �d TR 2-C �p,� 1^T H *b � turn^ rr' 3 t N CIP i PROP RTY LINE __? __� A,Y E/ --- �—_�_ 1 /-EXISTING 4 BEDROOM HOUSE �i i` 7 7W2. T T1 t � s z, LOT z DRAINAGE FIELD -EAGLE RIVER RD - Septic Design Prepared for SARAH & NATAN WISDOM STEWART #1, BLK 2, LOT 1 Anchorage, Alaska Michael N. Anderson, P.E. DATE: 4601 NATRONA AVE DRAWN: ANCHORAGE, ALASKA 99516 (907) 345-3377 / FAX: (907) 345-1391 SCALE: W, y .: 49 TH z} �.... ..N.... a."... 11/30/2015 %��".MICHNEEL N.N. L— —'ffi` —--------- ---_— i Y PROPERTY LINE. \ r r I I 1 1 I 1 I I WE P it li WELL I II I I \� \\r EXISTING CONCRETE TANK EXISTING WELL TO BE DECOMMISSIONED 100' RADIUS PER UPC I SFWN NEW 1250 GALLON LOT 1 (STEEL TANK ' - - /❑ TCO ---- o PROPO DC �`0� s SEPTIC /' DRAINAGE Fl LD ; � _ _ �.\ C O - 0� GI 1 s; EXISTING SEPTIC �YLyiYv C. I Septic Design Prepared for SARAH & NATAN WISDOM STEWART #1, BLK 2, LOT 1 Anchorage, Alaska Michael N. Anderson, P.E. DATE: 4601 NATRONA AVE DRAWN: ANCHORAGE, ALASKA 99516 (907) 345-3377 / FAX: (907) 345-1391 SCALE: PROPERTY LINE 11/30/2015 DJR 1"=50' Municipality of Anchorage„PNEeR'S6EgM��±ll Development Services Department owl y~•�•• Building Safety Division "7tp •49TH •:yk .ndr On -Site Water and Wastewater Program 4700 Elmore Road ••� �����������••• P.O. Box 196650 Anchorage, AK 99507 www. ci.ancharage. ak. u�, A MICHAEL N. ANDERSON s (907) 343-7904 f CE% 94 9 Soils Log Percolation Test Performed For: Legal Description: /fit ay wee. low-, rw-, Date Performed: ("'I' r[ ( Township, Range, Section: Slope 0 ✓C.( r C M / �� P> 11- 12 i;VK90(c, 40 VIN 13- %F V I c, 14- 15- 16- 17- 18- 19 - COMMENTS Ai( Teo. WAS GROUND WATER Date ENCOUNTERED? Yz Depth to Water S IF YES, AT WHAT DEPTH? 41 L Depth to Water After D P Monitoring? E Date: f "b!61jr 0.- _ l,_ "G., 1-1. r, Reading Date Gross Time Net Time Depth to Water Net Drop r bit tt7 m n� PERCOLATION RATE _(mmut.Mnch) PERC HOLE DIAMETER to TEST RUN BETWEEN Zr 4; FT AND 7i 4;' FT PERFORMED BY: It -()AA- I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: / jp /,V- MUNICIPALITY OF ANCHORAGE Dl RTMENT OF HEALTH AND HUMAN SER�ES Environmental Health Division 825 "L'• Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT "amt �L c�N/� N/E!z' DISTANCES TO FROM SEPTIC TANK ABSORPTION FIELD WELL , Address WELL - r ©� 1� Phorill_ ��C�� Permit o. � No. of Bedrooms LOT LINE AD I9 7•f LEGAL DESC8IPTION Lot Block ,y Subtlivls�en-. FOUNDATION IU Township, Range. Section /v / ✓ .J AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, driveway, water bodies, etc) TANKS _ jC1C ❑ SEPTIC ❑ HOLDING ' 0 •� Manufacturer Capacity In gallons Material No. of Cc ants TYPE OF SYSTEM ❑ TRENCH ❑ BED /X W. DRAIN ❑ OR Depth to pipe bottom from original grade 2 --OL .+ FT Total depth from original grade 4' 7FT FIII added above original grade FT Gravel depth beneath pipe 2 7 FT 4 7 .� Gravel length / Q FT Gravel width / �� FT A � 7 0 8 a 13— _Total Total absorption area s�✓�p SQ FT Distance between lines f FT -i' q` /K A - V I 159 Number of lines Soil rating sp FT Ripe material e -. D >L' ' Installer ale Installed WELLS A, i? C 2 e ❑ PRIVATE ❑ OTHER (Identifvl� Classification (A, B.G) Total Depth FT Cased to FT Installer Dale Installe . N C REMARKS: I ±_. F F] _ y/Z _ L. Scale: _r Inspection or by. Date: /2 -1 a fl / inspection was peliermetl according to all, L �� a 0r- O J • ♦ '� �''� 3 ik .•, •.a _� BsOurt A. s"•. tis. 141i7di d aT , b 4 `A4•'r+'�'r,.�e'S� If pa j -'C' �,el�, �- S iS ENGINEER[NG 17034 Eagle River Loop Road No. 204 I certify Of this _ ,�— Municipal and State guidelines in effect on this date: U �c� Health Department P Approval: ��L� di ' s.'[s` Date. 72-013 (3/85) ' MUNICIPALITY DF ANCHORAGE Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 ON-SJTE GEWER lermit Number: 380045 Upgrade Date Issued: 05/11/88 Engineer Designed Owner Name: GOLDOME REALTY CREDIT CORP }wner Address: P.O. BOX C-34040 SEATLE, WA 90124 Immmgnml Day Phone: 694-2979 Parcel Id: 050-472-63 � C� ' ' Lot Legal: Gubdivision:;�g *1.8UBDZ`i-oti.A 81ockrqX . Section: 8 Township: 10 Range: 1W Lot Size 29700 (sq"ft" or acres) Max Bedrooms: This Permit: 3 Total Capacity: 3 ;EPTIC TANK: Minimum total septic tank capacity: 1,000 gallons. Each septic ank must have at least 2 compartments. Depth to top of septic tank(s) < 4"0 eet requires insulation over tank(s). NFORM D"H"H"S^ PRIOR TO IST & 2ND INSPECTIONS BY ENGINEER, IF iFTER WORKING HOURS CALL 343~4681 AND LEAVE MESSAGE !DNSTRUCT PERENGINEERS APPROVED DESIGN CERTIFY THAT: 1" I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska" 2^ I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit" 3" I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public: sewerage system on this or any adjacent or nearby lot. 4" I understand that this permit is valid for a maximum of 3 bedrooms. I also understand that the capacity of the total system is 3 bedrooms and any enlargement will require an additional permit. igned: DATE: Lown.- (Owner) GOLDDMB/RFALTY CREDIT C�RPv * �� ssued By; ��� DATE", ~� ~ //� -�/^�'/�� -`// �y(~� 7\ S & S ENGlNEEKING 17034 E. R. LOO[` 0204 EAGLE RIVER, AK 99577 PHONE 8694-2979 SEWER PERMIT 8ATE: 5\9\88 APPLlQM\t Bold Dome Ranier ADDRESS; Remax of Eagle River haole River Ak 99577 CONTACT PHDNEn 691-4200 LEGAL ION: Lot 1 Blt 2 Stewart SEC 8 ,T14N,R1W LUT SIM 29700 (SO FT OR ACRES) lll�,X. Ol 3 SOIL RATlNGn 190 SQ FT/UR SOIL |EST DEPTH; 10 FT NO FIREMEN! IN MST H L . 6 THIS IS AN UP6RAD� UF'ƒ"EUROOM TO THE EXlSTINO SEPTIC SYSTEM S['�ClAL CUNDlTlOuS DR INSTRUCTIONS,-, \ � T~/��v 4� 88 o H�Ny�o�1 �yd�N bruy� 1 Qv r v CLU. h� y � N h L� ti 3 e M -::7n6i Ary& -2(207 1 Q,!�' IJ PERFORMED LEGAL 1y. 2 3 4 C � 5 c 4 6 / u 8 9 10 e 11 12- 13- 14- 15- 16- 17 21314151617 18 19 20 COMMENTS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES pJ, vA°«" RS0 id6S,$ ,r 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST (. 0 c.11-1 ffe1 1'!t`/ DATE PERFORMED: J 2' _ % Ie44rLf/ Township, Range, Section: SLOPE srrE PLAN 'f-1 cD /;? 6r/ PERCOLATION RATE TEST RUN BETWEEN PERFORMED BY: Eagle River, Alaska 99577 ACCORDANCE WITH ALL STATE AND MUNICIPAL GU 72-008 (Rev. 4/85) S O P E 9 ]ate Gross I Net I Depth to I Net Time Time Water Drop (minutes/inch) PERC HOLE DIAMETER T AND FT CERTIFY THAT THIS TEST WAS PERFORMED IN ON THIS DATE. DATE: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? r Depth fa Water After Monitoring? Reading I Date PERCOLATION RATE TEST RUN BETWEEN PERFORMED BY: Eagle River, Alaska 99577 ACCORDANCE WITH ALL STATE AND MUNICIPAL GU 72-008 (Rev. 4/85) S O P E 9 ]ate Gross I Net I Depth to I Net Time Time Water Drop (minutes/inch) PERC HOLE DIAMETER T AND FT CERTIFY THAT THIS TEST WAS PERFORMED IN ON THIS DATE. DATE: • ae PERFORMED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST LEGAL DESCRIPTION: DEPTH FEET) �'f (•`� l� 2 3 �•`/o 4 0 6 7 8 / . 9 G� 10 11 12 13 14 15 16 17 18 19 C'/t-7 — /ga / 191e SATE PERFORMED: SLOPE WAS GROUND WATER ENCOUNTERED? •—/'yy'.� Depth to Water S IF YES, AT WHAT L O DEPTH? P E Depth to Water After r'_J / G �� Monitoring? tJ Dater PLAN Reading Date Gross Time Net Time Depth to Water Net Drop 20 L__ 4 PERCOLATION RATE ` (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN T AND —1/-- FT COMMENTS 77034 Eagle rcrve,-- PERFORMED B' a . ...- eln«ka 99577 ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELIN 72-008 (Rev. 4/85) CERTIFY THAT THI TESS(IWA_S PERFORMED IN ON THIS DATE. DATE: �✓� _ GAAB�HDI GhrER ANCHORAGE AREA BORO' DtPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM �y>, /l MAILING NAME _/-�- `�7 5 f'/C'.• "_ ADDRESS // PHONE LOCATION ��//� •�! f /%'�. �% �'%�' t 6 LEGAL DESCRIPTION SEPTIC TANK: NUMBER OF / DISTANCE FROM WELL_ �� MATERIAL (iW;K% k'e' l& COMPARTMENTS i / g LIQUID ' / � INSIDE WIDTH A,.� DEPTH J LIQUID CAPACITY___/Z GALLONS. INSIDE LENGTH- V� SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH ___Z , LENGTH i, DEPTH LINING MATERIAL ,( C'�< ( 'J �'�Xlc' . DISTANCE FROM WELL f�/ BUILDING FOUNDATION NEAREST LOT LINE j�/ �" f"~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 91 SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL , FOUNDATION , NEAREST LOT LINE , OF LINES , NUMBER OF LINES DISTANCE BETWEEN LINEI S�TRENCH WIDTH INEFFECTIVE ABSORPTION AREASQ. FT. LENGTH OF EACH LINE�� DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE DISTANCE FROM - WATER WELL: TYPE f��<T��E(J �C.�Gvc ye, , NEAREST DEPTH ', �"--S' , BUILDING FOUNDATION. _%J SAMPLE i yp NEAREST _ SEPTIC f SEEPAGE //JJ �i _ OTHER LOT LINE `fC�ff/ ,SEWER LINE -,TANK (`�f , SYSTEM_, CESSPOOL _ , SOURCES_ DISTANCES: DIAGRAM OF SYSTEM DATE / "(��f� Y r� DATE / "(��f� GREs, ('ER ANCHORAGE AREA BoF OUCH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6.650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION J /�e LEGAL DESCRIPTION � t y'^ INSTALLATION OF: SEPTIC TANK Z< TYPE AND SIZE OF FACILITY TO BE SERVJD FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED SEPAGE PIT �F TO BE INSTALLED BY ._ el-�ve_ PERMIT NO. 151117 ;'/(v PHONE N FIELD OTHER �s 1 NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24_ HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE 6 TYPE MINIMUM DISTANCES, REQUIREMENTS AREA SIZE FOUNDATION TO SEPTIC TANK ? f / FOUNDATION TO SEEPAGE PIT DRAIN FIELD ` OR SEPTIC TANK TO SEEPAGE PIT WALL �f] SEPTIC TANK -, SEEPAGE PIT , DRAIN FIELD ` TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT ✓ DRAIN FIELD :/ ALSO CONSIDER AREA WELLS. /c;) f WATER MAIN TO SEPTIC TANK /"" / SEEPAGE PIT DRAIN FIELD 9�`' ` J SEPTIC TANK, , SEEPAGE PIT DRAIN FIELD, TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. l DA E APPLICANT'S SIGNATURE TYPE DIAGRAM OF SYSTEM ORDINANCE NO. 28-68 AND THAT THE ABOVE U HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. l DA E APPLICANT'S SIGNATURE TYPE DIAGRAM OF SYSTEM ORDINANCE NO. 28-68 AND THAT THE ABOVE �1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL 14�g_ OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or (jirections) (b) Property OwnerNti Mailing Address (c) Lending Institution 'Mailing Address (d) Real Estate Compsny and Agent Address —/ Home Telephone Telephone v �y ydD fl --- -(e) - Mail the HAA to the following address: or: Check here if hold for pick up. List contact person and day phone number below. S & S ENGINEERING 17034 Eagle 2. TYPE OF RESIDENCE Single -Family Number of Bedrooms 15, Business 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 k4 Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-o25 (Rev 8/861 Front 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 P. 5 ENGINEERING Telephone Address 17034 Eagle Rivar Loop Road No. 204 r �. oesrr i J Date 6. DHHS APPROVAL Approved for ZZ ITAedrooms by Date Approved 4X Disapproved Terms of Conditional Approval Conditional CAUTION 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. Page 2 of 2 72-025 (Rev 8/86) Back A. WELL DATA ?Z MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4744 Legal Description: Z Well Classification ` 114 If A, B, C, D.E./C. Approved (Y/N) 14 Well Log Present ( N) Date Completed ` �` Yield Total Depth Cased to Depth of Grouting l'f/0 Static Water Level �� 3 ! �r Pump Set At c% lz rJ Casing Height Above Ground 2 Sanitary Seal on Casin (Y N) Electrical Wiring in Condui (Y N) Depression Around Wellhead (Y N) Separation Distances from Well: To Septic/Holding Tank on Lot J L On Adjoining Lots To Nearest Edge of Absorption Field on Lot On Adjoining Lots To Nearest Public Sewer Line""." ine// / t To Nearest Public Sewer Cleanout/Manhole % P4 To Ne est Sewer Service Line on of Water Sample Collected by �sI������� y Date Water Sample Test Results _ �) .ii'�G' �� CD4' Comments 1Ny 714Z' x5A1 B. SEPTIC/HOLDING TANK DATA Date Installed 2-7 ( Size IM 6 No. of Compartments / Standpipes(Y/ ) Air -tight Cap ( N) Foundation Cleanout (Y6 Depression over Tank (YQ Date Last Pumped )A Pumping/Maintenance Contract on File (Y/N) ; for IL Holding Tank High -Water Alarm (Y/N) A i+ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: / To Water -Supply Welle' To Building Foundation r To Property Line _ To Water Main/Service Line Course Comments Page -1 of 2 72-026 (Rev. 8/86) Front To Disposal Field 6--922 'I,—, To Stream, Pond, Lake, or Major Drainage ) 0 2.1 C. ABSORPTION FIELD DATA Soils Rating in Absorption Str to ��� / Type of System Desiggnn,5G'la� 40/CP//, J`aZ 6 Date Installed 057 Length of Field go // / Width of Field Depth of Field `� Square Feet of Absorption Area v-7 Depression over Field Results of Last Adequacy Test Gravel Bed Thickness Standpipes Presen6 ) Date of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well �n0 To Property Line f� / iD To Building Foundation C�/ L� To Existi g or Abandoned System on t Lot 2p On Adjoining Lots / C To Water Main/Service Line �� T To Cutbank (ifpresent)resent) To Stream/Pond/Lake/or Major Drainage Course A—)D P—) G ( i To Driveway, Parking Area,pr Vehicle Storage Area Comments / D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for � Electrical eses (d' Y/N) Comments 0 Dimensions Manhole/Access (Y/ p Off' Level at Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MO and HAA guidelines in effect on the date of this inspection. S & S ENGINEERING ��, Signeg7034 Eagle-River-LoapAtoad-Ne 20�ate Come River, Alaska 99577 MOA No. cz- - Gia ReceiptAf Date of Payment /G &� ? 4� ,v..ew,•.o8 Po Y i�4c P jrY�i.k'� c Amount: $ r %(,� 0 * eer' IOP "P4F *i Cf 4 p,••@ti�YW PPP Page 2 of 2 72-026 (Rev 8/861 Bnck LABORATORIES �, CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. \ 5633 B STREET ANCHORAGE, TAX # 92- ALASKA 918 TELEPHONE (907) 562-2343 F ANALYSIS REPORT BY SAMPLE fox Work Order B 636.1 Date Report Printed: MAY 2 88 8 14:35 Client Sample ID:L 1, B 2, STEWART S/D PWSID :UA Collected APR 28 88 a his. Received APR 28 88 0 his. Preserved with :4 da -9 C Client Name : S & S ENGINEERING Client Acct : MENU P.O,# NONE REC D NEI it Ordered By : R.S. Analysis Completed :APA 29 8B Send Reports to: Laboratory Supervisor :DANIEL J. BACON I)S & S ENGINEERING Released By /�i 1) Special Instruct: Chemlab Ref 3: 9851 Lab Smpl ID: .t Parameter Tested NITRATE' -N Sample ROUTINE MILE. Remarks: SAI6PLE COLLECTED BY A.S. Matrix: Water Result/Units ND(0.10) my/1 Allowable Method Limits ------------------------------ EPA 353.2 10 nA=...,,.= I e==OC Tosts Performed �.' z-i9u'p"See Special. v vawn 5 lnstructionsAbove •�uk-unavailable ND- ':lone Detected See Sample Remarks Above NA= Not Analyzed LT=Less Than, GT-Greatoz Than APPLI( ANT FILLS OUT UPPER HAL ONLY Property Owner Z/9V( 10EAC•G 10 /V 574'7/t/,: 7" �� S.S //V G�=/� PPhono Time Zip CodeMailing Address S�' — Date Buyer Address Zip Code Lending Institution 00 1171n/_=1e0- F Phone Address Zip Code Inspector Realty Co. & Agent Phone Address Zip Code Legal Description 407/ y3<Uc/- .z 5; F5 (/14k7— S V 13 'D/ v/ 5/O /!i ' U Street Location /n)/ ..Z Tye of Residence Ingle Family Multiple Family No. of Bedrooms_— ❑ Other Water Supply Individual 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 Sew r Disposal 7 % y ndividual Year Individual Installed: - Publicc Utility When Connected to Public Utility: _ ❑ Holding Tank ! NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. �hA o ft t\� Time Time Time 1 Time Date Date Date Date - 1\-til-�a Inspector Inspector Inspector Inspector � 1 1- oS A Field Notes: - a /J C r� MUNICIPALITY OF ANCHORAGE DFPT. O` I-1.71 ,Q, '!j7 ENVIRONNdj,:A_ ; _U.-CTION ! f J g 9 1082 ���`�' J RECEIVED () APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area CA Well Log Received Septic Tank Size Well to Tank U �-( 72023(3/82) ac) G3. Yh November 29, 1962 Qsa� Lawrence R. & Constance T. Plessinger SR Box 182 Eagle River, Me 99577 Subject: Lot _l Block 2 Stewart Subdivision Eagle River Approval for the individual sewer and water facilities cannot be granted until the following items have been completed; The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. ° The septic tank pumped with a receipt submitted to this department. ° A four (4) inch cleanout needs to be installed to the leaching area. 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 264-472.0. Sincerely, Robert C. Pratt Associate Environmental Specialist RP236/p/EI3 Enclosure i� �V\ i GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 4/15/74 Time of Inspection 2•oo pm Date of Inspection 4/16/74 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Bill Russell Mailing Address: 346 E 5th Ave Anchorage Phone: 272_9405 2. Property Owner: Clifford Wamsley Phone: 694-9353 Mailing Address: Eagle River - — 3. Legal Description: Lot l Block 2 Stewart Subdivision 4. Location: Mile 3 1/2 Old Eagle River Road 5. Type of facility to be inspected Single No. of bedrooms 3 6. Well Data: A. Type Drilled C. Construction 7. Sewage Disposal System: B. Depth 365' D. Bacterial Analysis Satisfactory A. Installed 1971 B. Installer Eric; nnet7sch C. Septic Tank: 1. Size 1266 gals 2. Manufacturer D. Seepage Pit: 1. Absorption Area 110' E. Disposal Field: Total length of lines 8. Distances: 2. Material Log A. Well to: Septic tank 64' , Absorption area 97' 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 - Rey est for Approval of Individual`. .er & Water Facilities Legal Description Comments Approved Disapproved Date V 2� ZZ IfOF r Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I 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. Date SIGNED EO -034 (1/74)