HomeMy WebLinkAboutEAGLE CREST #1 TR B LT 29 f"'"~'" UNICIPALITY OF ANCHORAGE ' "~,
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~)N
· ENVlR~)NM£NTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LOCATION ~(_..~/.~___~ ~ NO. OF BEDRO~.~S
Well I Absorpt on area
O,.A.CETO= I tOO I
DISTANCE TO:
D,STA.CETO=
Top of tile to finish grade
~ T°tallength°f~3 t
Width
Material
Liquid depth
PERMIT NO.
Liquid capacity in gallons
Distance
Total e f fective absbrpt~ ~.~.,.,
Length Width
Type of crib
DISTANCE TO:
DISTANCE TO:
Well
Depth
Depth
Crib depth
Building foundation
Driller
PERMIT NO.
Nearest lot line
Building foundation Sewer line Septic tank
OTHER
PiPE MATERIALS
SOIL TEST RATING ~.~' ~..~
REMARKS
DATE
LEGAL
/ ~EPRRTIIENT ~ '1 ~LTH AND ENVIRONMENTRL [ '~CTION ~l~S~r w.~
/ ; ' ' 825 'L STREET, RHCHORRGE, RK. 99bc, I
:' 264-4?20
~Dr~--~ I TE SEI4EE: F'ERr-11 T ~ ~. ~
PERMIT N0. ( 78~54 )
.,TOE SENTER
SECOND RVE
L29 TRRCT B ERGLE CREST
RF'PLICflNT
LOCflTION
'LEGRL
SR BOX 14?R EflGLE RVR
LOT SIZE 17820 SQUflRE FEET
TYPE OF SOIL flBSORBTION SYSTEM IS: TRENCH
MflXIMUM NUMBER OF BEDROOr. IS =
SOIL RRTING <SQ FT/BR>= 220
THE REQUIRED SIZE OF THE SOIL flBSORPTIOH SYSTEM IS:
DEF"TH= 9 LEt-~GTH= 67 ~]RR%,'EL DEPTH= 5
THE LENGTH DIMENSION IS THE LENGTH <IN FEET> OF THE TRENCH OR DRflINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTflNCE E:ETNEEN THE SURFRCE OF THE
GROUHD fiND THE BOTTOt'I OF THE E~CR',/flTION (IN FEET>.
THERE IS NO SET WIDTH FOR.TRENCHES.
THE GRRVEL DEPTH IS THE MIHIMUH DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
fiND THE BOTTOr'I OF THE EXCRVRTION (IN FEET>.
RE¢~.,I_I I RED SEPT I C TRNI<: S I ZE= -1£100 6RLLC~f4S
-.
RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTflLLflTION INSPECTIONS OF tiNY NELLS RDJflCENT TO THIS PROPERTY fiND THE
NU/'IBER OF RESIDENCES THRT THE NELL HILL SERVE.
TL-~O ( 2 ) I r-.ISPECT I Of. IS F-I~:E REQLI I F-:ED
BRCKFILLING OF tiNY SYSTEM NITHOUT FINRL INSPECTION RND flPPROVRL BY THIS
DEPRRTMENT NILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTflNCE BETWEEN R NELL fiND RNY ON-SITE SENRGE DISPOSRL SYSTEM IS
i00 FEET FOR R PRIVRTE NELL.; OR
i50 TO 280 FEET FROM R PUBLIC NELL [:,EPENDING UPON THE TYPE OF PUBLIC NELL
OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RN[:, CONSTRUCTION DIRGRRMS RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
PERt-1 I T E,"-4. P I RES [:.,ECEt'IBEF-: 31. 1978
I CERTIFY THRT
i: I RM FRMILIRR NITH THE REQUIREMENTS FOR ON-SITE SEWERS RND NELLS tis SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2: I NILL INSTRLL THE SYSTEM IN RCCORDRHCE HITH THE CODES.
~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM HRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE Is,~r,IODELED TO INCLLIDE MORE THRN .~ BEDROOblS.
..................
p'PLICRNT JOE SENTER
ISSUED B '!' _ -~-'-~ ' ~-~_ - - -l'~"Z~- ~
V3. 0
. 0.8- E G.E~'~'~.,~r-"S~HNICAL 8- DEvE'~'-' -
· [, ,~. MENT CO..,
· Box 90,*Davls St.,Eagle River; Alaska 99577 . .
6~-2774 or 688-2280 ,.
Russell Oyster Earl Ellis
694.2774 SOZL LOG ~-~eo
Soils E~ Foundations Land Development
Perfom~d' for:',
~ *J ':~ ' *Nailing.Address: '5.£.--~o~! /'/~?' ~,,~'~~-~ ~ ~., ~'77
Legal Desc~tption~
Depth (feet)
0 ' ' ~. -
8
~0 '
~5
'
Ground Water Encountered: Yes No / If yes, what depth ~ ~0 ~/~,~
Proposed Installation: Seepage Pit Drain Field
Co~ents:
Performed by:
Redi~orm e
4S 469
DETACH AND FILE FOR FOLLOW-UP
Municipality
·
Anchorage
POUCH 6-650
ANCHORAGE, ALASKA 99502
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(825 "L" Street)
June 22, 1978
Joe Senter
Star Route Box 147-A
Eagle River, Alaska
99577
Subject: Lot 29 Tract B Eagle Crest Subdivision
Inspection report dated May 10, 1978
· As per your conversation with Les Buchholz on June 22,
1978 I am enclosing an affidavit for your signature.
This is necessary since we are unable to contact }~.
Sund.
If you will return it to my attention, I will amend
the inspection report and mail you a copy.
Please excuse the inconvience this has caused you.
If there are any further questions, please contact
this office at 264-4720.
Sincerely,
Lyn~ Br~ngle
Senior Environmental Control Officer
LB/lib
/~UNICIPALITY OF
DEPf. OF HEALTH &
[NVIRONMbr,~IAL
JUL 5 l ,'v
RECEIVED
I certify that a 1,250 gallon Greer septic tank
was installed at Lot 29 Tract B Eagle Crest
Subdivi~.
date '
PERMIT NO.
l'll_l I'-.I T C ~ ~L T T"r' ,DF RI'-.ligI :RGE
DEPRRTMENT OF HERLTH FIND ENVIRONMENTRL PROTECTION
2.516 E. TUDOR RE)., RNCHORRGE, FIK. 99507
276-2221
IWibb F'ERt"] I T
?7028 )
RPPLICAHT
LOCRTION
LEGRL
LEE SUt. LIVRN F' 0 BOX 197 E.R.
~'~u ST
L29 TRRCT E: ERGLE CREST SUBD LOT SIZE
694-2588
17820 SQURRE FEET
MINII'IUM [;,ISTFINCE BETHEEN FI ~,IELL FIND FINY OH-SITE SEHFIGE DISPOSFIL SYSTEM IS
100 FEET FOR Fi PRIVFlTE ~ELL OR 2E~0 FEET FOR Fi PUBLIC HELL.
P;ELL LOGS FiRE REQUIRE[) 8ND MUST BE RETURNED TO THE DEPFiRTI'IENT ~4ITHIN ]gO [)FLYS
OF THE ;4ELL COMF'LETION.
SPEOIFICFITIONS FiND CONSTRUCTION [)IFiGRBMS FiRE FiVFiILFiBLE TO INSURE PROPER
I NSTFILLFIT I ON.
F:EF-:t.1 I T '...'F~ L I D FmDF-: IDNE YEFI F-'. FF~OI'-I I SSLIE
I CERTIFY THFIT
~.: I Flit FFiMILIFiR I,IITH THE REQUIREMENTS FOR ON-SITE SEHERS Bt'iD t,IELLS FIS SET
FORTH BY THE MUNICIPFILITY OF FlNCHORFlGE.
2: I ~L~ ~.~STFILL THE SYSTEI'~ IN FiCCORDFlf-~CE UITH THE COPES.
S I GNE~_-~ ................
FiPPLI CFIHT LEE SULLI VRN
APR 1 i '197
'RECEIVED
by
A & L DRILLING
Boxg?,EAGLERIVER, ALASKAgg577 · TELEPHONE694-2588
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION ~/ ~ 7'[~c?- I_~ ~C'~'CZ~- (~'~' DRAW 6OWN ~.
DATE - Sta,ed ~77 Ended ~C/77' GA~. PER IIR
PERMIT NUMBER 7 7 o ~ ~ KIND OF CASING
ZEE ' '
COZ(.,~''d' DEPTII OF WELL _~'/7 ~"
STATIC LEVELOF WATER FT. c~O
KC.
KIND OF FORMATION:
From ~) FI. to c~ Ft. tvffd~'Z//~C~",,~d From Ft. to FL
From ~ FI. to ,-?cf' Ft. t/~ ~ /3OOt~ From Ft. to Ft.
From ~Z FI. to 10~ Ft. C~ /~/~a q~,~'~F From FLto Ft.
From [0~ Ft. to /~Ft. ~4~ f~ From FI. to FI,
From /~ Ft. to I ~ Ft. ~/ ~ From~.Ft. to Fl
From [~ FI. to ~O~Ft. ,~;~d~a Fromm. FI. to Ft.
From ~' Ft. to ~o Ft. ~ ~V~C ~ ~fro,n__.Ft. to Ft.
From ~o FI. lo ~Ft. ~0~ ~d~ From~.FLIo FL
From~~ Ft.~o~ Ft. ~ ~d~ae~ From Fi. lo Ft.
From ~Ft. lo SgF Ft. ~/~t ~ff~C From FI. lo Ft.
From ~ Fi. to--FL ~rZ~ From FL to Ft.
From v)~ FI. to ~0~ Ft. ~ From Fi. to
From ~l FI. lo ?/~ Ft.~~ From FI. lo FL
Ft. to~Ft.
~/~ Ft. lo__~Ft.
Ft. to.~Ft
Ft. to
From
From
From __
From __
FI. Io
FI. to ~/.___~ FI..~",ff,~-~.O ~ff,-f'C 'ff-~d~ T'~"~/2' From
FI. lo Ft. From
FI. to Ft From
MISCL. INFORMATION:
DRILLER'S NAME
· MUNICIPAUTy O?*ANCHORAGE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT.
826 L
ENVIRONMENTAL ENGINEERING DIVISION MAY
1. PRO~ER?Y~OWNER
PROPERTY RESIDENT (if differs, hr from e~ove) /
MAILING ADDRESS · /
PHONE
PHONE
LENDING INSTITUTION -- · /1 PHONE
MAILING ADDRESS
MAILING ADDRESS /
TYPE DP RESIDENCE NUMBER OF BEDROOMS
,~ r-'l One [--I Four
SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY ~ Three I'"l Six
WATER UN~LY
7. ~ INDIVIDUAL*
I-1 COMMUNITY
I--1 PUBLIC UTILITY
[].. '~iher
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
SEWAGE DI$1~)SAL SYSTEM
INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
*'If individual/on-site, give installation date ~J~ /~.
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
72-010(3/78)
i THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
I INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOM~
[] SINGLE FAMILY I--I ONE [] THREE [] FIVE [] OTHER
r-I MULTIPLE FAMILY [] TWO [] FOUR I-I SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Varified LOG RECEIVED
· . SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE ~NSTALLED
[] 'UBLIC UTILITY ,-)
Connection Verified INSTALLER
[]SepticTaJ:~Lor f-lHoldingTank ~,J,...(~--e.~ ~
Size: / ~ .,~ ?'~ If Tank is hornemede SOILS RATING
give dimensions: ~ ,'~ O
TYPE OF TANK MANUFACTURER
~....,
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Bernie/Holding Tank ~ ISewer Line 1Nemmt Lot Line
A~ption Area to nearest Lot Line
5. COMMENTS
~ APPROVED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (lelter must accompany certificate)
[] DISAPPROVED
DATE BY (Tltte)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
?
/
May 9, 1979
Joe Senter
Star Route Box 147-A
Eagle River, Alaska
99577
S~bJect= Lot 29 Tract D Eagle Crest Subdivision
Approval for your individual sewer and water facilities
will not be granted until the following itens have been
completed:
(1) The well seal on the well naeds to be tightened so
that it is water tight.
(2) The water analysis report be deliverd to this office
~rom Chem Lab, 5633 B Street, for our review.
Notify this department for a re-inspection when descrep~ncies
have been corrected. If there are any further questions,
please contact this office at 264-4720.
Sincerely,
Robert C. Pratt
Associate Specialist