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Home My WebLink AboutEAGLE PARK BLK 1 LT 8[VI a y 13 20 09,400, Ancho & Pun;; Ser 907124'307142 P.1 WcH Drilling Permit N u m ber: SSV_ --_- Parcel Identification Numbcr:0,50- 18 2 Legal. Description Sz�U -"Zy at, -'n tr Ari -v T Pump Installation Dke: 44.ank- Sagich AK' 39507 .,Vrq"fOF putup Intake Depth Below Pump Installation Log WcH Drilling Permit N u m ber: SSV_ --_- Parcel Identification Numbcr:0,50- 18 2 Legal. Description Sz�U Pump Installation Dke: putup Intake Depth Below Toy." of Well Cw"ifla - z �* feet 6 .� Pump Man ufa clu ret's Naniv-: Pun] p Size Z, by KICSS Adapter Burial Depth: fect PRIM Adapter Ma u laf4ctv re r's Fame: 11itless eidapter Installer: I, j Well Disiafected Uj.-ioa No Method rif Disinfection: Comments: Pump Installer Maine: _5 Date of Issue: Property, Ovirner Name &Address: A v E: r j A-f-tentioll. Tile pul"IP fil $!all er �-111 a! P-ovi& a P,1 --n P i fls-za, lation log zo the DSD "41-iin 30 does of pump installation. Aug 13 1910:133 Anchorago Well & Pump Gr X072439742 P.1 Uevle?oPmen$ Service ,� BtJifdi � �iePar �� rner�t '�i'FL"2-Y1f safety bivisloy, On -Site Wat,&r 470o E!t ;orae Raaa <f lvlarK Feglch P.O. Box 19-'65C - 1vla;cr AnChOra?e, AK 995:)71 `( - (907) �43-79Q4 Pump Installation Log t%'sll�?ri3!#n, 1�1:rtllit i°a'Jrza�el: ' �i — Bate ()Tissue: Pa"ed 1d#,, 9tifjcatfiryll _NCCY/1L^ar:_GJrO -Legal Descr �e /" Yropei 'y C ve ler actrc ddrrs; - 2uxup .t�xsCci;ation data: `-�-- ` �.��•°t° �-��✓^ a � ,-- =p "'rake I)ePth%3 $efawr Top at 4611 Casing:feet Ptljni' r. 1`'1ai�{!i-a+;iUrL'T'S ?VaYa2w: 11flinp Sire44 hp Pittass A&pter Bltrial I =pth: R fee � t f'itl2ss Adapter Maaxufacturer's Name: Pities Adapter Nstaiter: Welf Disirxfc:cterrt Upol, Canxptetiora' s i_. I NoTet Od of.Disiaxfecti.or.: 3o�ents: GLS �i� PUMP 11'sta).'er An� Annan ?r.sra;?er sha;! provide a pL{rij, insta)l;lricn to E0 the aSi� tf!in sp dys ofnur.;r ir�staliati :n, ' ~ ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street* Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LOCATION NO. OF B~RqO~S ~ ~ Monufac ,urer ~/.~ MateriX~ DISTANCE TO: NO. ol lin~ Lenglh of each lin Total length of lines Trench width ~ ~ Topoftiieto,i.ishgr~de ~ Materiel ~.eath tile ~ '' inch. Totaleff~ti~p~onerea ~ Well Building f~ndation Nearest lot line m DISTANCE TO: ~ CJass~ Depth Driller D~stance to lot line PERMIT NO. ~ ' Building foundation Se~r line Septic tank Absorption area(s) ~ DISTANCE TO: INSTALLER X *~ ~ , APPHOVED DATE LEGAL 3(Rev. 3178} PERMIT NO. MIKE HACKENBERGEL WREN ~E. R. ROAD LOT ~ BLK ~ EAGLE PARK SUB APPLICANT LOCATION LEGAL DEPARTMEr~T~ . HEALTH AND ENYIRONME!!TAL ~ROTECTION 82u L STREET, ANCHORAOE, AK. ~ Oti--sImE SE[iER PERHIT . fl. ~/-~-- I SR n. TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH LOT SIZE 20000 SQUARE FEET NRXIMUM NIJMBER OF BEDROOMS SOIL RATING (SQ FT?BR)= 190 THE REQUIRED SIZE OF THE 50IL ABSORPT.~IOiNjSYSTEM IS: DEPTH= ~LO LEr~GTH= J GRAVEL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD. 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 OUTFRLL PIPE AND THE BOTTOM OF THE E×CRVATION (IN FEET). RE~LI I RED SEPT I C TRI'4~( ~; I ZE= :L000 GALLONS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TI~O (2) I I'~ISPECT I ON~; lIRE REnU I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 3.00 FEET FOR A PRIVATE WELL OR 3.50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIYRTE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS PRE AVAILABLE TO INSURE PROPER INSTALLATION. PERrd I T EXP I RES DECEMBER 3~L.. 1--c~$1 I CERTIFY THAT 1: I RM FAMILIAR WITH THE REQUIREHENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE HOPE THAN ~ BEDROOMS. V4. 0 D SOILS LOG MUNICIPALITY OF ANCHORAGE i DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street. Anchorage, Alaska 99501 264-4720 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~ SLOPE P% 3 4 5 6 7 8 9- 10- 11 WAS GROUND WATER //~ d~'~ ENCOUNTERED? 14 16 17' 18- 19- 20- PERCOLATION TEST IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE /~ 0 (minutedinch) .GIlFA, TER ANCHORAGE AREA , .._ HEALTH DEPARTMENT 327 EA~,LE ST. ANCHORAGE, ALASKA 99501 219-2511 ' INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM .AME LOCATION SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPAC TY ADDRESS ~'~ X' / 7~' PH MATERIAL COMPARTMENTS GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH___ SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMEIER ~ OR WIDTH LINING MATERIAL.~-~ri . DISTANCE FROM NEAREST LOT LINE ~ ~'' / TOTAL EFFECTIVE ABSORPTION AREA ~ALL AREA) TILE DRAIN FIELD: FOUNDATION · NEAREST LOT LINF DISTANCE FROM WELL LENGTH. - ,, DEPIH BUILDING FOUNDATION-,~-~o/ so. F,. TOTAL LENGTH OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH. IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADF DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE T~LE WELL: LOT LINE TYPE -'~/"//'"~'~// DEPTH ~'~O~' DISTANCE FROM ~ ' WA'ER V~ , BUILDING FOUNDATION. ; SAMPLE ~, NEAREST .~ SEWER LINE , TANK . SYSTEM , CESSPOOl , SOURCES DISTANCES: DIAGRAM OF SYSTEM DATE /?/ L NAME OF APPLICANT LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH -.~J PERCOLATION TEST RESULTS GREATEI. ANCHORAGE, AREA .F ?JROUGH C,. No. llEALTil DEPARTMENT 327 EagleSt. Anchora§e, Abska 99501 / 27~-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT ~ ,SEEPAGE PIT ,DRAIN FIELD , OTHER BELOW TO BE FILLE" OUT BY HEALTH .EPART~ENT~'~ ~ THIS IS TO SERVE AS · SEPT C TANK SIZE ~/..J../'~.~ . PERMIT TO INSTALL A '~;q- ~, AS DESCRIBED BELOW· SIZE OF UNITTO BE SERVED 7,'~-Y~ TYPE ~ SEEPAGE AREA ~C'~SIS ~flxl~ TYPE DIAGRAM OF SYSTEM DISTANCES: / ~ealth Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the ab ove described system is in ac co rd an ce with said code. ~~_~ 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 050-782-08 HAA# ~-1~c~i~ ~'~ 1. GENERAL INFORMATION Complete legal description Lot 8; ~£oc~ II E~e. P~k Subd. ZuZ~Zon Location~(s, ite address or directions) Prb'l~e~y owner !Mailing address ~0. ~e.r:za.~cl L~nding agency ,' Mailing address Agent 9931 (~r~.n Lane Day phone Apt. "B" D?~q~l- T~×a~ 76201 Day phone Day phone ~q4-4~0o Katl~ O~s~¢ad/ Remax Ea_aZe R/ue~c Address .Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well 'Public water NOTE: MUNICIPALITY OF ANcHORAG,~ ENVIRO .NMF, N'TAL SERViCEs DIVISION RECEIVED If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OFWASTEWATER 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. STATEMENT OF INSPECTION BY ENGINEER ~ 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 s & $ ENGINEERING i/~:~ E~;,, ~;..r L,~p ~ ::g. ~.G~ Phone, ~ cz c/ . ,.~ ,-~, ? ~- Address Eagle River, Alaska 99577 Engineer's signature . -"-~."'~ . ~'~'""-'---~ Date "//"/~(~ DHHS SIGNATURE .~_ Approved for "I--v,/~ C~') DiSapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments I./ Date 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 pumhasers 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: ~o'r' t~ ~ ~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES~'"~oNu~= Environmental Sewices Division 825"L" Street, Room 502 · Anchorage, Alaska 99501® (907) H~al,~ A-thority Approv., Checklist A. WELL DATA Well &ype ~ If A. B. or C, attach ADEC letter. ADEC water ~'stem number LO~ present Date completed Ca.~d to 4o FROM WELL LOG Casing height (above gl'ound) Wives properly protecled ~N) AT INSPECTION Dale of test Static water level Well production gp.m. ~7."5 gp.m. WATER SAMPLE RESULTS: Coliform ~:) Nitrate Daleofsample: ~-t'[-'%'~ ~-tq-'l~- Fo..da °u, ,D~te~of Pumping C: ABSORFrlON FB~!.n DATA i, Da'~ i,~ed \'~Y~ Lenph 't7 t ~ · Width Collecmd ~': Other bacteria ~ S & S ENOIN~RING 17034 EIgb Rl~,r Loop Ro~d No. ~ ~ ~, Alii ~5~ ~ V--- Gravel tlfickoe~ below pipe Monitoring Tube pm~ent~N) y Date of adequacy lesl b, -.~fl-q~. ~' TotaJ depth I,o~ Depn~sion over field (Y/~J~ ~ For ~' ~ e,~ bedrooms Fluid depth in absorption flcldbefore lest (in.)'. I~,- hnmcd~tely afler'~T,e giB. wate, r ~d-a (in.): Fluid depth ~'" (ins.) Minutes later: ~' Absorption ram = g.p.d. Peroxidc &realmem (past 12 months)(Y~ i~oaP- ~,'~ If yes. give date L Soil raUng (g.p.d./fl: or fi:/txbm) ~ System Depression (Y(~ i=J High water alarm (Y/N) Pumper -~'F' Pow~t,J.~ SEPTIC/IlO[DING TANK DATA Date i,~-talled lelt,,q ~ ~et~t Teak size "pfb ~ ~'~, Number of Compallmenls ,,~/"0r~leanouts ~N) ~ D. LifT STATION D;uc iastall~l" ~anhole/~ccc~ (Y/N) "Pump oo" lex,el Si~e in gallons p off' lex'el al* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ~hoiding lank on Io! |0 o ~ + : On adjacent lots Absorption field on lot ~o~ t tr : On adjacent lots Public sewer main ~'~ I~,- Public sewer manhole/cleanou, Sewer/septic service line ~ t ~ Lift station SEPARATION DISTANCES FROM]~HOLDING TANK ON LOT TO: Building foundation ~ t . ~ line la I ~' Absorption field Water main/service line }O ,4* Surfacewater/drainnge I~o l~' Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation /o t Surface wat~ iso t4, Curtain drain Wa~' main/sen.ice line /O t 4- Driveway. parking/vehicle s~orage area ~V I ~ Wells on adjacent lots /~ ~ I · Property line 10 ENGINEER'S CERTIFICATION I certi~, that I have determined thrufield inspections and review in conformance with ~I(~A H..L4~guidelin~ in effect on this date. HAA Fee $._~:~ . (~ Date of Paymem ~ Receipt Number ~-'~~ Rex,. 8/95 O$$: haa.wk.doc Waiver Fee $ Date of Payment ~ __,~eipt Numl~r 15:55 CT&E ES! P~ ~ 9~T6941211 N0.844 Q~2 CT&E Environmental Services Inc, Laboratory Division ~// Drinking Water Analysis Report for Total Coliform Bacteria soo w. Put, el 0,~v, Anchorage, AK 99518-1605 READ I,'VSTR[/CTIO?t'S O,¥ REYEI~SE $IDE ~£FORI~ COI, LECTI~¥G SAMpr £ Tel: (~07) 552.2343 Fax: 19071 561.5301 MUST BE CO*tPLETF. D BY WATER. SUPPblt:-g. pcmc WAT£RSVST£,' m# [_111111 PRIVATE WAT[R 0 $¢ndR¢$uhr C~ Month Day Yea~ SAMPLE TYPE: Routine D Treated Water Special Purpose Time Collected SAMPL~ LOCATION Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: .~Sa~isfa~or~ Uns&tisfa¢~ory O Simple'burr ~0 houri otd. ~sutb ~y be un,liable O $am~ e t~ Ion~ in ~;t; sample should not be over 48 bourn old at examination to indicate reliable ~sulls. Please send new ~ple ~a s~cial delive~ mail. / O.,. Recelv,d An~I)'SiS ~g~n Analytical Method: ~Membt~c Filter * Number of=oloni{~lO0 mL ~b Ref. No. Result* Analyst 5(.ft.~O.;.C. ~ r~ Jun F. xed O.~: r~g ~ Time: Client eotified or aasetisfaclo~ O O $~ke ~;th BACTERIOLOGICAL WATER ANALYSIS RECORD .M,MO-MUG Result: Total Callf. rm E. Cotl ~ Colonle./I O0 mi BG8 COLIFIRM . ~lembcane ~ilter: Direct Count Veriflcat;on; LTI~ Fecal Col;form Con,final;on CollfoemllO0 mi o.,,. ,,.. ~r~ Membe~ of ihe SG$ G~ouo ($o<:hl:~l G~n~'rmle de Surveillance! ~[r~V~RONMENTAL FACILfftE$ IN ALA$1G~ CALIFORNIA. FLORIDA. ILLINOIS. NIARyI~NO* MICHIGAN. MISSOURI, t~W J~R$~Y. OHIO. WEST V/RGINIA E}6/17/c~ 1~3:45 CT&E ESI ~ ~ ~'7~c~t1211 N0.?13 1~3 ZTL CT&E Environmental Services Inc. Laboratory Davis;on - I~1 ~L__ ~ Laboratory Analysis Report CT&E Ref.# 962322.962322001 Client Sample 1D Lot 8 Bk i Bagle Park Matrlx Drit~kJ~ Watc~r 0 Sample J~.cmark$: Collated Date 06112/96 Technical Director: Stephen C. Ede N1trete-N Toter Cotlform Resut ti GC PQL tin,ts Hethod 0.1oo u O.lOO ~/L EPA 353.~ ~~ ,(sn.A~to ~l, qlq~ Llmlte Date Date 06/13/96 E~ 06/1~/96 TAV U - LT - Leas GT - Greater then J o ge[~a the cat[bretlen range 200 W. Potter Drive. Anchorage. AK 99618,1605 -- Teh (907) 562-2343 Fax: (907) 561-5301 3180 Pager Road. Fairbanks, AK 997,09-5471 -- Tel: (907) 474-8656 Fax: (907) 474-9685 ENVIRONMENTAL FACIUT~E$ IN ALASXA, CALIFORNIA, FLORIOA, ILLINOIS. MARYLAI~D. MICHIGAN. MISSOURI. NEW JERSEY. OHIO, WEST VIRGINIA ·, [~ATE RECEIVF~ ~)_ INSPECTION APPOINTMENTS f ~/~ (~ ~c~q~ ~ r TIME TIME ~U X TIME '~ ~ ~. ~ MUNICIPALITY OF ANCHORAGE ~UNICIPALI~ OF AN~ORAG~ ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION [~VIRO~EN~,~ HL~'TECTION Tele~e ~47~ REQUEST FOR APPROVAL OF INDIVIDUAL WA, ER AND SEWER ~IEV ~ D MAILING ADDRESS ~ PROPERTY RESIDENT (If different from ahoy) PHONE 2. ~UYER ~ PHONE 3. LENDING INSTITUTION J PHONE 5. LEGAL DESCRIPTION Lob- ;TREET LOCATION 6. TYPE OF RE.~L=~E ~ SINGLE FAMILY D MULTIPLE FAMILY WATER SU 1. ~IVIDUAL' [] COMMUNITY [] PUBLIC UTILITY NUMBER DE,BEDROOMS [] One ~ Four ~ Other ~Two ~ Five ~ Three ~ Six 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.) B, SEWAGE DIS SYSTEM I 1'%~J~ g~'D"~°%~ IDUAL/ON.SlTE°° ~q ~ 'J YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72.010 (Rev. 6/79) ~Ci ~.~~ ' -' THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS I-'1 SINGLE FAMILY r--I ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2. WATER SUPPLY I PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED I'-I PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED Connection Verified INSTALLER r--ISeptic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER ' TOTAL ABSORPTION AREA MATERIAL ,__.~.~ . 4. DISTANCES WELL TO: ~pt'cJHolcling Tank IAbsorption Area JSewe~' Line J Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ~;~APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letted'must accompany certificate) r-I DISAPPROVED ' ' 72~010 (Rev, 6/79) MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL ENGINEERING DIVISION Telephone 2644720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER DEPARTMENT OF HEALTH & ENViRONMENTAl. PROTECTION ENVL~O~M~NTAL F:~OTrCTION 825 L Stre~t - A~horeee, AI~. ~1 AU8 2 1979 PROPERTY RESIDENT (if different from PHONE PHONE 2. BUYER , MAILING ADDRESS I11 lf 3. LENDING INSTITUTION JPHONE 4AILING ADDRESS REALTOR/AGENT JPHONE MAILING ADDRESS LOCATI N TYPE OF RESIDENCE ~NG LE FAUI LY ~ MULTIPLE FAMILY [~Twne [] Four o I--I Five [] Three r-'l Six [] Other~ 7. WATER SUPPLY ~ INDIVIDUAL* * A3-1'ACH 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 MTY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ''If individual/0n-site, glve installation date~.~, [~'NDIv'IDUAL/ON'SITE** If system is over two (2) years old an adequacy t~t is required [] PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3178) - ·; THIS SIDE FOR OFFICIAL USE ONLY ~. DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS I--I SINGLE FAMILY I-'1 ONE [] THREE [] FIVE [--I OTHER [] MULTIPLE FAMILY I-'1 TWO I-'1 FOUR r-] SIX 2. WATER SUPPLY PERMIT NUMBER [--I INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [--IINDIVI DUAL/ON -SITE DATE INSTALLED r"IPUBLIC UTILITY Connection Verified INSTALLER I--ISeptic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Absorption Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~.~flSAPPR OV ED DATE BY (Title) f~'~ LEGAL DESCRIPTION - (Rev. 3/78) DAVID A. SLENKAMP ROBERT A. SHAFER ~ll ~ox6001 Escle P~vor, Aladm MECHANICAL ENGINEER 694-9055 CIVIL ENGINEER 694-2979 /~UN~CIPAL{]'y OF ANCHOP, AGE DEPT. OF H:~,L~{ & EH fl20,~I~ENTAL SEP- 7 1979, Dear ~, thCnou, L~r ~ ~L~-- I ,a~fereuo~--t~-~leek-~,- ~1o Park-~l~livtoloa At your roquoat, u cm~r sys~m adoquacy to~t t~s p~rfor=~d on the rofferenoed property on Au~ 28 end 29, ~e eeptiu ~nk ~ns F~=ped and verified to have a mp~city of ?~0 ~llons. · he ecptiO tank Jo edomite for u 2 bedroonhouuo, ho~ov,r~ I rob-rD% ~o lufor~you thn~ tho ceo~-o pit has f~Llod. It rill Be neces~ry for you to otb. alu · permit fr~ tho {t,~ci~lity De~r'.~nt cf ~Ith end Envtor~tal Proteetlon, ~25 L ~tr~ot .to up- grade your ~ctem. If tm may bo of further ep~st, nce, ple~ze do not ho~tt~te to c~nll. c: De~artme.~t of ~eelth en~l~vio~l Proration SRB 196X EAGLE RIVER, ALASKA l unictpojhty'- ' ' ' ' Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264.4111 September 20, 1979 Howard Wagnon · Star Route 1 Box 6001 Eagle River, Alaska 99577 Subject: ~ot--t--Block-~ Eagle Park Subdivision Dear Mr. Wagnon: The adequacy test performed on your sewer system has failed. Therefore, before we can approve your request for your sewer and water facilities, an upgrade will be required. Prior to the upgrade, a permit must be issued by this department. You will need to have a soils test performed in order for you to obtain a permit. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw AI,,C ~,, 'b',GE, ?,LASKi. 9953'1 (90'/) 26.1.4111 September 7, 1979 Howard W. Wagnon ~tar Route 1 Box 6001 Eagle River, Alaska 99577 Subject: Lot-l-Block-8-Eagle Park Subdivision Approval for your 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 office from Chem Lab, 5633 B Street, for our review. (2) Expose the well for our inspection to determine proper construction, also to insure the minimum distance requirements are met between your well and sewer system. (3) Expose the standpipes to the septic tank and the seepage area to insure proper distance requirements from the' .well. (4) The septic tank pumped with a receipt submitted to this office. (5) A percolation 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. Please notify this department for a re-inspection when the noted descrepancies have been corrected. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw GREATER ANCHORAGE ARE% BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received August 20, 1996 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: Conv. Se6urity Pacific Mortgage Corporation Phone: 319 West 5th AVenue Paul G. Brannon Phone: % Jim Baxter ~ ~L~ t~J ~$~f)f~r- Lot 8 Block 1 Eagle Rark Subdivision 4. Location: NHN Wren Lane Single Family No. of bedrooms 3 5. Type of facility to be inspected 6. Well Data: Individual A. Type C. Construction B. Depth D. Bacterial Analysis Sewage Disposal System: .On-site system A. Installed 1960 B. Installer C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 2. Manufacturer 2. Material 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 3330 jVUN!CiP,~L'.Tf C," A',~CHORAGE 'GREATER ANCHORAGE ARL;', BOROUGH Department of Environmental "C" St., Anchorage, Alaska 99503 - 274-4561 ~:'"A~gust 18, 1976 REQUEST FOR APPROVAL 0F INDIVIDUAL SEWER &WATER FACILITIES 1. Type of Inspection: CNRO VA 2. Property Owner: ?au1 G. Brannon Mailing Address: unknown 3. Name of Buyer: Howard W. Wagnon Mailing Address: 3901 Towa 4. Name of Lending Institution: Mailing Address: 319 West 5th Ave Anchorage Name of Realtor or Agent: Selective Realty Mailing Address: 1515 g. Tudor Rd FHA CONV xx Day Phone .,.i. OaS Phone unknown Security Pacific Mortgage Corp Legal Description: Lot 8 Block 1, Eagle Park S/D Location: ~ Wren Lane Anchorage Phone 272 9.~(~1 Phone 279 8624 for access~ call Jim Baxter at 277 2431 Z'~7,p'~'/ 7. .Type of Facility to be inspected: 8. Water Supply Type of Supply: Public If Individual, number of Utility dwellings If Individual, depth of well unk Sewage Disposal-System Type.of S~stem: Public Utility If Individual, date of installation mfr ' NO' Bdrms. 3 Individual presently served Individual (on-site) xx 1960 ***PLEASE SEND REPORTS TO: Securify Pacific Mortgage Corporation SincereZy yo. rs, 819 WEST 5TI] AVENUE ~ ~_~.~ . Page 2 of two pages - Req~.~Jt for Approval of Individual S~.r & Water Facilities Legal Description Lot 8 Block 1.Eagle Park subdivision Approve'd~ ~/~L4~ E ,~.../Di sa ppro veJ Date Approval ~Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM / 1t -' 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 Date EQ-034 (1/74) F ® GREATER ANCHORAGE AREA BOROUG DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 , 279-8686 DATE RECEIVED: INSPECT: TIME: ~EQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR APPROVAL REQUESTED BY: ADDRESS: ~Jt~ PHONE: '~ PROPERTY OWNER: y/,~. LEGAL DESCRIPTION: TYPE FACILITY TO BE BEDROOMS: NUMBER OF WELL DATA: A. TYPE ,. DEPTH C. SIZE D. CONSTRUCTION E. BACTERIAL A N A L Y S I S J--/~"-"? ~.~Z~:~_ SEWAGE DISPOSAL SYSTEM: A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK) ~. SIZE ~-o ~ ~L . . 2. AGE ' '~-'/....~ t 4~. ~ 3. 'MANUFACTURER . U~m~C-~t((k.~m__C...~t~,~ 4. INSTALLER~L.~.~-4'.,.~ APPR~O~VAL'REQUE,- ~FOR SEWER & WATER FACILIT. TWO B. SEEPAGE PIT 1. SIZE 2. LINING C. DISPOSAL FIELD 1. NUMBER OF LINES 2. TOTAL LENGTH REQUIRED MEASUREMENTS WELL TO SEPTIC TANK WELL TO SEEPAGE PIT B. C. D. E. F. G. H. WELL TO SEWER LINE WELL TO'PROPERTY LINE .AF ~ ~ /~) WELL TO OTHER POSSIBLE CONTAMINATION FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ~-~7 SEEPAGE PIT TO PROPERTY LINE COMMENTS: APPROVED: ~ DISAPPROVED: APPROVAL VALID .FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY S inQa~,~ty, bY: