No preview available
HomeMy WebLinkAboutPREUSS #1 BLK 1 LT 9 REMOnsite File Preuss #1 Block 1 Lot 9 REM #050-571-01 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201015 PID Number: 050-571-01 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name A ORPTION FIELD Tedd & Sandra Garcia ❑ D Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 10024 Wren Ln Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original de Gravel depth beneath pipe Ft. Subdivision Block Lot Preuss #1 REM. 1 9 Fill added above original grade G h Ft. Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dist a between lines Ft. SEPARATION DISTANCES To Septic Absorption ! Holding Sewer Total absorption area Number of trenches Dist. between ches From Tank Field I Lift Station Tank Line Ftz Well 1001+ ! TANK © Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1250 Gal. Surface Water 1401+ Material Plastic Number of compartments 12 Lot Line ��+ { II I NA Foundation 101+ t?fTATION Manufacturer Capacity Gal. Remarks Alarm location Electn led by PIPE MATERIAL House to tank Tank to D3034 drainfield D3034 Installer Northern Excavators Drainfield CO/MT D3034 Inspector Arcterra Consulting BENCH MARK (Assumed elevation) 100 ft Inspectio 1sl 11/9/20 2nd 11/9/20 Location and description Yd 11/10/20 41h Back door corner ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date��*�.�#t N. �r4 �0 ..a �Y ►"H1HtbIRh :F[i" �rc�4�N� 1�LI�I:i�itld t F y t[!! Septic Systems A rov I/ Date S♦. Note: this approval does not include well permit requirements.; (Rev 05102/18) A -C=42.1' AS -BUILT SYSTEM DETAILS/SITE PLAN PREUSS #1 BLOCK 1 LOT 9 REM Permit OSP201015 P I D# 050-571-01 91.77 917.79 A -D=42.5' ------- WELL B -D=49.4' A -E=43.2' B -E=50.4' w A -F=45.9' 0 n fl fl nn n CEL B -F=52.7' A -G=47.8' 0 w U- B -G=54.5' 0 "1250GAL 0 A -H=48.3' 0 SEPTIC Lo TIC B -H=55.0' T 87.23 TANK A-FCO=37.1 B-FCO=48.5 ­Vc £N' to M C.) O O EXISTING BUILDING MLINiK Fc C-4: E bRiVEVVAY of A 0 SEPTIC 0 PIPES SCAl F- I" Rn' A -C=42.1' B -C=49. 1' 91.77 917.79 A -D=42.5' B -D=49.4' A -E=43.2' B -E=50.4' w A -F=45.9' 0 n fl fl nn n CEL B -F=52.7' A -G=47.8' 0 w U- B -G=54.5' 0 "1250GAL 0 A -H=48.3' 0 SEPTIC Lo TIC B -H=55.0' T 87.23 TANK A-FCO=37.1 B-FCO=48.5 AW OF AZ4, lk PREPARED FOR: r TEDD GARCIA 10024 WREN # EAGLE RIVER, AK KENNET . S FIELD BOOKS CE I BOUNDARY' N LA STAKING: N/ 1�" , r � -A ASSUILT., sslo� Aw DWG. FILE. -4w ACAD RLE" FILE COMPUTED* DRA'hN: KSQ CHECKED: KMD DATE: 11/19, GPJD: NWOOr Joe No'; 20103 SCALE: NTS P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259 TO: ArcTerra 10024 Wren Lane Eagle River, AK 99577 Camera Inspection Report Date: 2-7-20 Checked casing down to 50'. Found leaks coming from a weld 2' down, grinded it down and reweld the casing closing all gaps. Note: Pump was continuously running while we were working on the well. O N O N 00 LO P� vi t !� Qn w ru ru fu -Mln- 1 - - - - -• 3Nd7 N38M 3 ------ -F--------- d 00 0) rn rn Y E @ O Q U a) > tiD N O � t i U U Q E J w 0 O Y � V) 7 Q > N a i> > > 7 Ln L 00 1-1 _ a, L^ o LL Lo m 3 U O Q > 7 1 O co N C O L 7N d O N ..+ a) Q• . Ci / LU I IJ V) > i C@ mY >• .' V I Q. ry o Q J Q �'�coo O > O U L E ca a) N O N N d % N V) I V7 U U N W LL LN a (D N Q a) O E H-0 C .0 LL o w O N Z a O Q c w E v E v O > C H w¢¢\\�\��\\\\� o C � N? N@3m aoi m -i6 v a NZ a= a Uru 7 (II (n d N O UO fOj LO N G Q O Z 7 N C O �@N@� z s C O a Q 7 O N ..7. N N O 9 '� U p1 N a C ._. C 0) O- Q O C Ua L Q C N J N (n C J. m a)O C N > L0 a) ra do aZ O a > o to •> m O 7 N O O p J O -4 CC CJ '- L a) C a) E aTi ... o m m G n -0 N m a m o 7 O,4' 'C a U1 U .�.., cu> U- o. O w .�.. V) t O '76�O Q L N (n Y z > a a CL O U<)Z N 7 N a>o o Q 7 c OU •` Q) a= u O 0- '� V m u! a) ) L "O .-. a)7�u ._ ." CaT a) N TE"'ma� >-Y U CL �° � E y) N u O Y _ o0 C O o w m a o U m 'p = E f o r n p 2=` U w O v '* + a) =p u •F-) -= O_ i fl. Z .O 7 Mn c N O O v ICL n N > a) N a) t- OU C N N Q J _ 7 1- J) O _ no N O a3 O � 7 00 0) rn rn Y E @ O Q U a) > tiD N O � t i U U Q E J w 0 O Y � V) 7 Q > N a i> > > 7 Ln L 00 1-1 _ a, L^ o LL Lo m 3 O Q > 7 1 O d Y Q)N U N ..+ a) Q• . Ci / LU I IJ V) > i C@ mY >• .' V I Q. ry o Q J Q �'�coo O I N..o Z z L ca a) N O N N d % N V) I V7 U N W LL LN a d. E c J/ � •,• Q�O� I V u Z a ��ti�co r/rrl Q � w C7 Vim) v E v r lxL; i C H w¢¢\\�\��\\\\� � C7 �i m 4 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201015 Effective Date: Work Type: SepticTank Upgrade Tax Code Number: 05057101000 Site Legal Address: PREUSS #1 BLK 1 LT 9 REM G:0056 Site Mailing Address: 10024 WREN LN, Eagle River Owner: GARCIA TEDD L & SANDRA E Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Expiration Date: Lot Size in Sq Ft: Total Bedrooms: t o� Del)a1'tmerit 2/11/2020 2/10/2021 26703 ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received B Issued By: y: Date: p 0 Date: Q h � oc2 4 MUNICIPALITY OF ANCHORAGE Development Services Department `� Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel 1. D. 050-571-01 Property owner(s) Tedd Garcia Day phone Mailing address PO Box 1171, Silsbee TX 77656 Site address 10024 Wren Ln, Eagle River Legal description (Sub'd., Block & Lot) PREUSS #1 Blk 1 Lot 9 ZEM Legal description (Township, Range & Section) Lot S 4 Size 26703 Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑ (w/wo ADU) Septic Tank © Upgrade ® Duplex (D) Holding Tank ❑ Renewal El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property oyffie) dr authorized agent) Permit/Rush Fees: 1� a5_ Date of Payment: AIto lab,2b Receipt Number: X Ll 19Lv,6 Permit No. ®SPIP61®15 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc o �RCTE RR,y „� rm AxcTERIIA CONSULTING, INC .". _ 20441 Ptarmigan Bld, Eagle River, AK 99577 G. Office (907) 696-6111, Fax (907) 868-3793 eq bGNs, L7l NG • a fA• K. 995)]-eP February 4, 2020 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Tank Upgrade Permit— PREUSS #1 BLK 1 LOT 9 The owner has requested we proceed forward to obtain a septic permit to upgrade the aged septic tank on the subject lot. The proposed upgrade will serve the existing 4 -bedroom house. The adjacent lots are developed and are served by private wells. There is no surface water within 100' of the proposed tank. There is limited information on the location of the septic leachfield on property that did pass the adequacy testingduring our inspection. The new tank will be moved outside the protective well radius if possible. We do not expect there to be any adverse effect on adjacent lots by the development of this tank. If you have any questions, please contact me at 696-6111 /FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. i Kenneth M. Duffus, P.E. Attachments: On -Site Sewer Application Wastewater Absorption System Details/ Site Plan 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 PROPOSED SYSTEM DETAILS/SITE PLAN PREUSS #1 BLOCK 1 LOT 9 REM I � I WELL i LOT 9 � 0 i PREUSS #1 BLOCK 1 LOT 9 REM I � I WELL i LOT 9 � EXISTING TANK NEW 4 BEDROOM _ FCO HOUSE / PROPOSED i _IA;!a 150.44 DRIVEWAY U w O SCALE: 1" = 30' PID# 050-571-01 61 ,'I- I LO co 0 N Zo Lij� O O Z 1. DECOMMISSION EXISTING SEPTIC TANK PER CODE. 2.INSTALL NEW 1250 GALLON SEPTIC TANK WITH TWO POST -TANK CLEANOUTS PER CODE. 3. INSTALL NEW FOUNDATION CLEANOUT NO MORE THEN 5' AWAY FROM BUILDING FOUNDATION 4. TANK TO HAVE MIN. 20" MANWAY RISER. 5. MAINTAIN 10'+ FROM FOUNDATION & 5'+ FROM EXISTING FIELDS. 6. MAINTAIN 100'+ FROM PRIVATE WATER WELLS. NOTES NO WELLS ON ADJOINING LOTS ARE WITHIN 1 00'OF PROPOSED TANK PLACEMENT. NO SURFACE WATER NOTED WITHIN 1 00'OF PROPOSED TANK PLACEMENT. ALL LOCATIONS ARE ESTIMATES AND MUST BE VERIFIED BY CONTRACTOR. NO WELL WAIVER ON FILE. SCALE: NTS PREPARED FOR: ELISE BUCHHOLZ 10024 WREN EAGLE RIVER, AK (907)-242-0442 FIELD BOOKS BOUNDARY: N /A STAKING: N/A ASBUILT. _ DWG. FILE: AGAD FILE: FI LE - Filed By Legal COMPUTED: DRAWN: CHECKED: DATE: GRID: gcTER a a o � x i o rQ ^� C `�C 9,,0 'plt,, `�S UL T I NG 6 l O 0 JOB No.: 20103 I FR AK. 99577"' iubd Addn 1 Blk 1 Lot 9/20103 TANK REPLACEMNET 2.20.dwg ':,_:., 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 MAILING ADDRESS LOCATION ~'(~ ~ ~t~)~ ~ AbsorptJonarea 0 ,~ DISTANCE TO: I ~nuf~cturer ~ ~kiq. capacitg in ~allons IF HOMEMADE: Inside lenflth ~.. ~ DISTANCE TO' Iwell Dwelling J~Z I ' I ~ I ~ell Foundation ~zl D~STANCE TO: I ~ ~ Z ~ No, of hnes ~ Length of each hne Total length of lines  Top of tde to finish grade Material beneath tile ~ Length Width Depth ~ ~ I Type of crib Crib diameter Crib depth ~ DISTANCE TO: Building Well foundation lClass Depth Driller ~ ~ Building foundation Sewer line DISTANCE TO I OTHER PIPE MATERIALS DATE LEGAL SOILTEST RATING INSTALLER REMARKS ~ ~ APPROVED //~,A~/ PHONE NO. OF BEDROOMS PERMIT NO. Dwelling Material W dt~ Material Nearest lot line Trench width inches inches No. of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. Distance between lines Total effective absorption area [] NEW [~GRADE PERMIT NO. PERMIT NO. Absorpt on area(s) Total effective absorption area Nearest lot line Distance to lot line Sept c tank 72-013 (Rev. 3/78J Z E:~:EF?.T Z F:"¢ :'!.: '/i: FI!'"I F'F:IFJZL.;:i::~.F'. b. I I'f'H THE FO!:;;:TH .i!i','.¢ 'TiaE I'fiUN :i: E: :~ F'FIL Z T? OF i':!NE:HORi::!G,E. 2: '_.': ),.fILL. INS'f";.hL.L. THfE E;k:'E;TE;i"I i::E'.:;~: E:'ENCE Z E; RI:::f"i(::¢E'ii::i,E:D i"0 O ~, E GEG-,-ECHNICAL Er DEVEL~JPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LOG Performed for: Name: Mailing Address: Legal Description: L Russell Oyster 694-2774 Soils a Foundations Depth (feet) Earl El~is Land Developrne~it Tel. No. 272 - ~-~-'~.,~ Soll Characteri-~tic, 0 5__ 6 ? 8 9 r lO 11 12 Ground Water Encountered: Yes__ No ~ If yes, what depth~ Proposed Installation: Seepage Ptt__.~ Drain Field Comments: ~'~'- /'~.~,~,---/'~l /Z~/~/e~-.._ HEALTH DEPARTMENT 327 [,~/~LE ST. ANCHORAGE, ALASKA 99501 2~79-2511 N? 51 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION ~/~r-//'~--~,~'-/ ..~"/~-'/'~/'~'~ ~,~, ,. ~_Z,~ SEPTIC TANK: MAILING ~ ~"~'~ ~ PHONE ADDRESS ~'~/-~ ~J( LEGAL DESCRIPTION -,~- z~/~-'-~~. -/~-.'~d'~-~::~''' ~' [~/~'~[~ DISTANCE FROM WELL LIQUID CAPACITY ./'~'~-~"~' NUMB'ER OF MATERIAL ._~"-;,~..z;::~-- COMPARTMENTS ,~--' _~'-~/--_~ ~.,.~,.?,~:S% /~")~'g LIQUID GALLONS. INSIDE LENGTH / INSIDE WIDTH / DEPTH~ SEEPAGE SYSTEM: NUMBER OF PITS. LINING MATERIAL NEAREST LOT LINF SEEPAGE PIT: OUTSIDE DIAMETER ~'/- OR WIDTH ~,-~ ~' · //-~" / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTH ~'~'") , DEPTH , BUILDING FOUNDATION SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL ~ ~"~ , NEAREST LOT LINE ~S ~ . NUMBER OF LINES ~.//~DISTANCE BETWEEN LINES ~ TRENCH WIDTH ~/ IN. TOTAL EFFECTIVE WELL: TYPE ~/.~-- ~~'~/'~"~' DEPTH /~)-~ / DISTANCE FROM ' BUILDING FOUNDATIOi',~'?~-/~P-'~' WATER SAMPLE NEAREST LOT LINE /-~' / NEAREST / SEPTIC <~/ / SEEPAGE /,~?~- ' /._/ OTHER , SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES DISTANCES: DIAGRAM_OF_ SYSTEM_~., . ~--~'~_,z4-./~:¢:% APPROVED HEALTHAUTHORITY GAAB-HD-2 :i -" HEALTH DEPARTMENT · / Anchorage, Alaska 99501 / 279-a5,!, ~ SEWAGE ~DISPOSAL SYSTEM - APPLICATION~ PERMIT NAME OF AppLf~ANT RESIDENCE ADDRESS ~iA~'i I~-~A ~'i"1~-"'~"~ LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY "~ FINANCED THROUGH ~e.t ~" PERCOLATION TEST RESULTS MAILING ADDRESS'~ ~ ~"J~ , P~ONE NO, LOCATION OF NSTALLATION Lz~i; ~ ":'~V~"e-~<; ~'~:t ~, , DRAIN FIELD SEEPAGE PIT TO BE INSTALLED BY ANTICIPATED DATE OF cOMpLETION. BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT ,OTHER THIS ISTOSERVEAS ~ ~i~'~4~; ,PERMITT01NSTALLA ~¢~C~)~ SCi,~h~ AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ~ ~e~'~'~' . SEPTIC TANK SIZE.~-O TYPE $~ SEEPAGE AREA~'~/ ~ TYPE DISTANCES: fi-C= i2o' DIAGRAM OF SYSTEM rtify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. P M` • Municipality of Anchorage_�- -tea rte. On -Site Water and.Wastewater Program 0 a r (907) 343-7904 CERTIFICATE OF -ON-SITE SYSTEMS APPROVAL ReLU- oux� 5' 2021 Parcel I.D. 050-571-01Expiration,,Date:. 1. GENERAL. INFORMATION Complete Legal description Preuss #1 Block 1 Lot 9 REM Location (site address) 10024 Wren Ln, Eagle River, AK Current Property owner(s) Teed & Sandra Garcia Day phone Mailing address Real Estate Agent 1.0024 Wren Ln, Eagle River AK 2. TYPE OF DWELLING: M Single' Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or.Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ® Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class i Well ❑ Public Sewer ❑ Public Water System ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $_/-//,z 50 co V l 16- f Date of Payment 1 2,14 2020 Receipt Number 01 g o a 6- COSA # COSA# 0SC,-),01( 50 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING, INC. Phone 696-6111 Address _20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUEFUS Date Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future ate occupants or can ArcTerra guarantee that no unseen.ft- OF A encroachments, deficiencies or discrepancies exist.L` T_144 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. �s KENNET" "I.Air l / 7116 ressto� N, Conditional approval for bedrooms, with the following stipulations: IAI ON-SITE vC7-•,rC� S'Rr- 10A ROOAA&4 Ji ANT 0,,•. p / By: "'t Original Certificate Date:6_Z 2 Z� The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.dx Legal Description: Preuss 91 Block 1 Lot 9 (Z,F_(h Parcel ID: 050-571-01 If more than 1 septic system on lot: COSA Checklist## of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled UNK Total depth 105' ft Cased to 50+xY ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 26 in. Date of flow test for COSA 1/20/20 Structure served by this system Well production at time of test 3.2 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes 0 No Coliform bacteria is Ne ative Nitrate 9.08 mg/L1 ❑� Nitratefe s than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Arcterra Consulting Date of Sample 11/12/20 4- 4/2-5/z 1 Static water level at beginning of test 63 ft.�-. Comments " 105' depth taken from Approval of Individual Sewer & Water Facilities form done in 1976. vY Sullivan Water Wells inspection went to 501. B. TANK DATA Age of tank(s) New years Tank type/material Septic/Plastic Measured operating fluid level in septic tank New FS Standpipes/foundation cleanout per record drawing Date of pumping Nein Install 11/9/20 D. ABSORPTION FIELD DATA Which system tested (date installed) 1979 ALL standpipes present per record drawing Total measured depth from grade 11 ft (max). Measured depth to pipe invert from grade r ft (min) ❑ N/A — pressurized field 10 Monitor tubes go to bottom of effective. If not, state depth into effective STATION ❑ Requl aintenance completed Age of lift station years Lift station material 19•u3T1TI-XIS Adequacy test date 1/24/20 Results Q Pass For 4 Fluid depth prior to test 52 Water added 600 gal New depth 60 in Elapsed time 1440 min bedrooms in • Code -required soil cover over field Final fluid depth 52 in • System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) If yes, enter date Gallons introduced 2000 gallons Comments/Deficiencies: i. N/A Septic pit COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Yes if No Community Sewer Manhole/Cleanout > 100' Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ® Yes if No ft ® Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: ® Yes Absorption Field > 5' Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' . (l Yes if No UNK ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No UNK ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS x Excavator dug S' past tank to verify separation from absorption field. G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet Nitrate Advisory Certificate of On -Site Systems Approval # OSC 201650 Subdivision: Preuss #1 B 1 Lot 9`� 'v\0. -\ A water sample revealed a nitrate concentration of 9.08 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailing Atldress P O Box 196660 *Anchorage, Alaska 99519 6650 *www mum org From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby' disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening, or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Mailing Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www murn org .. DATE RECEIVED .... INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVJR ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 o. DIRECTIONS: Complete ali parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1, PROPERTY OWNER .PHONE MAI LING ADD,SS ~ PROPERTY R~T (If ~fferent from above) ~ PHONE MAILING ADDR ES~ / ~ 3. LENDING INSTI~TION ~ /_ MAILING ADDRESS ~ ~ ~ 6. TYPE OF RESIDENCE ~3~SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~B EDROOMS [] One ~ Four E~ Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date. give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM I~L_ ND V~DUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS . [~] SINGLE FAMILY : [] ONE [] THREE [] FiVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~ INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~'--q ~ Connection Verified INSTALLER I~]Septic Tank or [] Holding Tank Size: t.)--~'~-~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY ~ 72-010 (Rev. 6/79) - DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NSPECTOR~) ~MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOI~NviRONMENTAL PF,'OTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION JUl. 1_ 5 1981 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE DIREDTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. PROPE~Y OWNER ,, / MAILING ADDRESS PROPERTY RESI'DENT (1~ different from above) PHONE 2. BUYE~ PHONE MAILING ADDR~S 3, LE~DINGINSTITUTION ~, / PHONE 'MAILING ADDRESS [ V~ MAI LIN~S / STREET ,o d, N 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [~ Four ~-- SINGLE FAMILY I--I Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY * ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8o SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY AR ON-SITE SY~-TEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE oNLy I, TYPE OF RESIDENCE NU'MBER OF BEDROOMS [~ SINGLE FAMILY [] ONE F-I THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []iNDIVIDUAL/ON -SITE DATE INSTALLED Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: [ '~- ~'~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK :, MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS /APPROVEDFOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) DISAPPROVED DATE BY f' 72-010 (Rev. 6/79) DAVID A. SLENKAMP ROBERT A.$HAFER Totem Realty ATTENTION: Audrey Mason P.O. Box 911 Eagle River, Alaska 99577 MECHANICAL ENGINEER 694-9055 August 8, 1981 CIVIL ENGINEER 694-2979 A4UNICIPALhTY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL R~q'OTECTION ] 3 RECEIVED Dear Ms. Mason, Reference: Lot 9: Block 1: Pruess Subdivision: Nafis property A sewage system adequacy test was performed on the syst~n located on the referenced property as you requested. The septic tank was' pumped and verified to have a capacity of 1250 gallons. The seepage pit and absorption trench combination was tested by a continuous flow of water over a period of 48 hours. The average flow for a 24 hour period was approximately 600 gallons without any adverse effect on the system. It can be concluded from this test that the waste water disposal system servinq the four bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. If we may be of further service, please do not hesitate to call. Sincerely, ~'.P~OBERT A. S'HA/~R, RAS/ss Coast Mortgage Municipality of Anchorage. Department of Health and Environmental Protection SRB 196X EAGLE"RIVER, ALASKA 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEOF~GE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROI'ECTION July 22, 1981 Norm Nafis 5716 Preuss Lane Eagle River, Alaska 99577 Subject: Lot 9 Block 1 Preuss Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: ~1/(1) (2) /(3) 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 office. An adequacy test needs to 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 office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Spedialist RCP/ljw CC: Coast Mortgage 4797 Business Park Boulevard 99503 Audrey Mason % Totem Realty Post Office Box 911 99577 MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE EPT OF ~',:/,,tlH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOND ..... ENVIRONiviENTAL F:~OTECTION 825 L Street - Anchorage, Alaska 99501  ENVIRONMENTAL ENGINEERING DIVISION AUG 'J. ? 1979 Telephone 264-4720 hr~rl~lrh REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE~E~ ~A~ILYTr~EU DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing. I. PROPERTY OWNER I PHONE PHONE MAILING ADDRESS PROPERTY RESIDENT (If different fro~ above) 2. BUYER MAILING ADDRESS PHONE 3. LENDING INSTITUTION I PHONE I MAILING ADDRESS 4, REALTOR/AGENT I PHONE MAI LIN(~ ADDRESS ~""~ ~hf'~ 5. LEGAL DESCRIPTION I STREET LOCATION ' - 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One ~ Four ~'~.2~' SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * 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,) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/oN-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department. 72-010(3/78) NOTE: THE INSPECTION FEE MUST ACCOMpANy EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSPECTO R INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ SINGLE FAMILY [] ONE [] THREE [] FiVE BI OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVI DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER ~]Septic Tank or []Holding Tank Size: i~)~¢~:'~('~ If Tank is homemade : SOILS RATING give dimensions: TYPE OF TANK MANUFACTU~_ER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES' Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS ~/~APPROVED FOR ~/j'~ BEDROOMS [] CONDITIONAL APPROVAL (letter must ac~mpany certificate) // [] DISAPPROVED DATE BY~ LEGAL DESCRIPTION 72-010 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE ~/~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~~, ~ .~ ~,~.=~\\ 825 L Street - Anchorage, Alaska 99501 t ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER [ PHONE Fred m. SmithI 272-8595 MAILING ADDRESS c/o ~ohn Platt 4504 Spenard Road PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Norman Nasis 272-8595 MAILING ADDRESS c/o/ John Platt 4504 Spenard Road 3. LENDING INSTITUTION PHONE Coast Mortgage Co~pany 279-0665 MAILING ADDRESS Post Office Box 1200 99510 4. REALTOR/AGENT I PHONE Taylor RealtyI 272-8595 MAILING ADDRESS 4504 Spe~ard Road r99503 5. LEGAL DESCRIPTION Lot 9 Block 1 Pruess Subdivision :TREET LOCATION TYPE OF RESIDENCE NUMBER OF BEDR~,OMS [] One ~] Four [] Other ~L~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY [] INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY *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.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY **If individual/on-site, give installation date 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) 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  SINGLE FAMILY [] ONE E~] THREE [] FIVE [] OTHER MULTIPLE FAMILY [] TWO ~.~ FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY E~ INDIVtDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY 11 fl'K nown Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER :A80286 (~} INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY 5-15-79 Connection Verified. INSTALLER L~j~eptic Tank or [~] Holding Tank Linc- c ~na~c t ion Size:,~. If Tank is homemade ~OILSRATING give~lmensions: 225 TYPE OF TANI~ MANUFACTURER ste~l steel fabricators TOTAL ABSORPTION AREA MATERIAL .9..¢,r0 __ deep trench, w/qravel depth of 6 feet 4; DISTANCES Septic/14olding Tank Absorption Area Sewer Line I Nearest Lot Line I WELL TO: _ Absorption Area to nearest Lot Line 5, COMMENTS ~ APPROVED FOR 4 BEDROOMS I-~ CONDITIONAL APPROVAL (letter must accompany certificate) E~ DISAPPROVED DATE ----- BY(~fq_~itle~ 5-17 -78 ~~SL~¢~ R.S. Env. Svs. ?gr. LEGAl_ DESCRIF:FION 72-010 (Rev, 3/78) ~1: Time 1:~0/ p._m_. #2: Date _ 4_~_78_ Thu_rsday Insp Pr~t~ ~ MUNICIPALITY OF ANCHORAGF DEPARTMEK=/ OF HEALTH AND ENVIRONMENI PROTECTION 825 L Street, Anchorage. Alaska 99501 ~64-47~0 Date Received: April 20, 1978 Time __~kq~ ~D1 #B: Time Date =~ -l-Q;[ ~_z~_ Date REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Coast MOrtgage Company Mailing Address: Post Office Box 1200: 99510 Phone: 279-Q665 Property Owner: Fred M. Smith Mailing Address: Phone: 3. Legal Description: Lot 9 Block 1 Preuss Subdivision 4: Single Family Residence: (x) Multiple Family Residence: ( ) Numbe~ of Bedrooms: Four Number of Bedrooms: Well System: Permit % Construction Individual Well Depth of Well Sewage Disposal System: Permit # Septic Tank Size Absorption Area come'unity/Public System ( ) Well Log on File ( ) Bacterial Analysis On-site Systec ~ Public U~ility ( ) Installed ~/O ~70 Installer Ma]lufacturer ~ ~ Soils Rate Distances: Well to Septic Tank to Sewer Line Nearest Lot line Material to Absorption Area Absorption Area to Nearest Lot Line Page. Tw6 " 'Department of Health~ and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 9 Block 1 Preuss Subdivision Comments: Affadavit Attached: ( ) Letter Attached: ) Approved: Date: Disapproved: Date: Department Worksheet: ~/I MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: Fred M. S~ith Mailing Address: 3. Name of Buyer: Norman S. Nafis Mailing Address: 817 W. 6th ~202~ Anch.. 4. Name of Lending Institution: Coast Mortgage Compazz¥ Mailing Address: P.O. Bo~c 1200: Anch. ~ A_T( 99~;10 5. Name of Realtor or Agent: Mailing Address: 4501~ ,~?n~.~8 ~o~.a: Ano, h. AK 99503 VA ~ FHA CONV Day Phone Day Phone 276-6030 Phone 279-066~ Phone 272-8~9~ 6. Legal Description: Lot 9, Block 1, Preuss Subd. Eagle River, AK Location: Corner Wren & Ea~le River Road 7. Type of Facility to be inspected: Residence 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well ~n]c~o~m 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation Uz31c~o~m No. Bdrms. Fou~ Individual one Individual (on-site) EQo037 (1/74) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality ~/q~"C" Street, Anchorage, Alaska 99503 274-4561 ~Dz~L/~/~z~/~ Date Received FebrUary 7, 1977 Time 'of Inspection ~,k~nL ,~l~ Date of Inspection ~_~--~[?/~LA3S REQUEST FOR APPROVAL OF I~d/~ ho~/~ INDIVIDUAL SEWER & WATER FACILITIES / \ FOR 1. ApprOval requested by: 4. 5. 6. Cony. First National Bank of Anchorage Mailing Address: Property Owner: Mailing Address: Legal Description: Post Office Box 720 Phone: 276-6300 George L. Coon Phone: 694-2944 Star Route Box 171, Eagle River 99577 Lot]9 Block 1 Preuss Subdivision Location: Wren Lane and Eagle R~ver Road Type of facility to be inspected Single Family Well Data: A. Type Individual C. Construction ~}~/Z/2~V'-q2--J2~!~)~ Sewage Disposal System: On-site system A. Installed 1973 No. of bedrooms [ 4 // B. Depth ~ D. Bacterial Analysis C. Septic Tank: D. Seepage Pit: B. Installer 1. Size /~0 2. Manufacturer ~2 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination , Absorption area , Sewer Lines C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Req, ~st for Approval of Individual L ,er & Water Facilities 'Legal Description Lot 9 Block 1 Preuss Subdivision Comments ApProved ~~ Disapproved Approva~.~l/alid for one year from date signed Date 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) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES &4UNICIPALITY OF ANCHORAGE DEPT, OF tlEALTlt & ENVIRONMENTAL PROTECTION FEB '7 lg77 1. Type of Inspection: CMRO VA FHA 2. Property Owner: ~/¢~.~,~c.J 3. Name of Buyer: ~P J~ ~~~ ~ , Mailing Address~ ~ ,~ ~ ~~ Day Phone~ 4. Name of Lending Institution: ~~ Mailing Address~ ~~ ,~~~ Phone 5. Name of Realtor or Agent: __ _ ~/ , Mailing Address: Phone 6. Legal Description:~~ *¢~ Location: ~d:~. 3 ~~ ~--~'~'~)" 7. Type of Facility to be inspected: ,/,,/~-~4,,Z~A, Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well ? Type of System: Public Utility No. Bdrms. 4/ Individual / Individual (on-site) If Individual, date of installation EQ-037 (1/74) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "c" Street, Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. Date Received January 26, 1976 Time of Inspection 9:30 a.m. Date of Inspection Feb. 2, 1976 She will meet you here @ the office & show you how to get there. ]. Approval requested by: First National Bank of Anchorage Mailing Address: Post Office Box 720, 99510 Phone: 279-4481 2. Property Owner: Billy R. Renick Phone: 694-9603 Mailing Address: Star Route Box 171, Eagle River 3. Legal Descripti0n: Lot 9 Block 1 Preuss Subdivision 4. Location: Corner of Old Eagle River Road and Wren Street .5. Type of facility to be inspected Single Family 6. Well Data: Individual A. Type C. Construction 7. Sewage Disposal System: A. Installed 1973 C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area //LT~ 2. E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area Nearest lot line , Other contamination B. Foundation to septic tank ~Y , Absorption area C. Absorption area to nearest lot line /~-- No. of bedrooms B. Depth /~_~ y D. Bacterial Analysis On-site system. B. Installer . /~//~ ~ /2 -~"~) 2. Manufacturer ~;~-~ ~ ,,~/-~,'~ Material ~'- ~/~ /2~., Sewer Lines__ EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Ret st for Approval of Individual S ~r & Water Facilities Legal Description Lot 9 Block 1 Preuss Subdivision Comments APproved Greater Anchorage ,~x'~~~ Disapproved Date ~ Approval ~Valid for one year from date signed 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) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES ~UNICIPAI.ny OF ANCHORA(~I~ DEPARTMENT OF HEALTH & ]~NvIRONMENTAL PROTECTION JAN 2 6 976 RECEIVEDi 1. Type of Inspection: CMRO VA 2. Property Owner: BZLL¥ R o & PEGOY E o RENIOK FHA CONY X Mailing Address: STAR ROUT8 BOX 171 EAGLE RIVER~ AK. Name of Buyer: GEO. & ALMA D. COON (OEOR~ ~. COON) Day Phone 69],-9603 Mailing Address: 701 SO. KL~VIN SPACE 7: z¢¢~¢-~ Day Phone 337-7]30 ANCHORAGE ~ AK. 4. Name of Lending Institution: WTr~m -~.~ATIO~P.L n~z~ *~,'~, Al(. '~* ~ Mailing Address:6h6 W. hth A~E. ANCH. AK. 99~10 Phone 279-hh8~ 5. Name of Realtor or Agent: IBRST0~ REA% ESTATB S%%A MAS WARRgN~ SA~S ASSOCZA~ Mailing Address: Legal Description: Location: 280h W. NO. LIGHTS BLVD. Ak~HORAGE, AK. 99503 LOT 9 B, LOCK 1, PREUSSS SUB. ADDN.#1 ~;C. 1/}4 S']C. ~J~ Tlh N R.1 W. S.M. OLD EAGL~ RiflER ROAD (C0m~:,;t¢ u~' oho .~JALfL'; RIV"ZR ROAD & WREN ST.) 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: FRA~m D~,fE LLING No. Bdrms. h Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation 1973 Individual (on-site) ON-SITE EQ-037 (1/74) AS-BUILT I hereby certify that I have surveyed the following described, property: ~_~V~_,~_¢;~,': ~'-,.' ~.~ ,_ (?'C.~,..J Anchorage ~eem'ding Precinc[, Alaska, and' that ~he improvements situated thereon are withiu the property lines and do not overlap or encroach on the property lying adjaeen~ thereto, tha~ no improvements on prop- erty lying adjacent thereto encroach o~ the premises ~uestion and that there are no roadways, transmission lines or othes visible easements on said property except as indicated ~ereon. Dated at ~agle ~iver, Alaska ROBE~ C. JOHNSON SCALE: Registered Land Surveyor No. 880*LS 1" ~ ~ ~ ~ Box 456, Eagle River, Alaska Phone 694-2543 FHA Form 25~'3 Rev. Ju~y 1958 · / Dorm Approved ~ 'J'~ U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT '~ Budget Bureau No, 63.R0296 FEDERAL HOUSING ADMINISTRATION HEALTH AUTHOEITYAPPEOVAI INDIVIDUALWATEE SUPPLY AND SEWAGE DISPOSA[ SYSTEM INSURING OFFICE Veterans Administration MORTGAGOR OR SPONSOR PART I.--TO BE COMPLETED BY FHA MORTGAGEE 274-3619 Sue Coast Mort§age Company Herbert R. Johnson [SUE~V['~S"~S~bdivision Addition No. 1 TOTAL NUMBER: BASEMENT LIVING U-NITS aEDSOOMS BATHS WATER SUPPLY BY: [] Public system SEWAGE DISPOSAL BY: "--I Public system SERIAL NO. 204-686 PROPERTY ADDRESS Eagle River Road and Wren Lane BI OC~K NO. LO~NO. [~New installation Can a~ic or other area be made into addil~lonal bedrooms? (If Yes, how many') SYSTEM DESIGNED FOR -]Community system ]Community system ] Individual NO. OF BDRM$.[ GARBAGE DISPOSAL [] Individual 4 [] Yes [] No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [--1 State [--'] County ~ Local Department of Health that this individual water-supply system [-'] is r-] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the ~1 State [] County [] Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [~(San be expected to function satisfactorily, and [--1 Cannot be expected to function satisfactorily is not likely to create an insanitary condition J TITLE DATE S I~"A,~ U R E , / NOTE: T uthorlty should, complete the appropriate opinion statemen above and affix date, signature end title in the spaces provid~d~. Use of th~&/above grid for Health Department Inspector s sketch os well as use of the back of this form is at the option of the heal~ authority. PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the Individual water-supply system be considered [~l Acceptable [] Not Acceptable Sewage disposal be considered [--1 Acceptable [--] Not Acceptable. IDATE [ SIGNATURE I[] CHIEF ARCHITECT ] DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form Rev. July 1951 GREATHR ANCHOA~GE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date Received. Aug 29,~,1973 Time of Inspection 2:00p.m. Date of Inspection Oct 12, 1973 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR VA 1. Aoproval Requested By: .Kassler & C0 Mortg.ag~ R~nk~r~ __ Address: 319 W. 5th Ave~ Anchorage AK gg~l Phone: 2. Prooerty Owner: Lawrence Andbrson Phone: 3. Legal Description: .... LOt 9, Block l, Preuss Subdivision Add ~1 4. Location: Ea~le River & Wren Lane 5. Type of Facility to be Insoected: _Duplex Number of Bedrooms:~Qur (4) 6. Well Data: A. Type Dritlefl C, Construction Sewage DisPosal System: A. Installed 1970 C. Septic Tank: 1. D. Seepage Pit: 1o 277-aBn! Depth 105 ' , Bacterial Analysis ,-'B. Installer HAMILTON ~' ~ 2 Manufacturer ~lze · iz~u Gals Size~2. ~atertal. Lng~ ~ Total. Length of Lines Disposal Fie]d: Distances: A, Well To: Septic Tank 80' , Nearest Lot Line Foundation to Septic Tank Absorption Area to Nearest Lot Line , Absorption Area 124' , Sewer Lines 15' , Other Contamination 2041 "> Absorption Area 23' 15' 2eq,Jest for Approval of I~vidual Sewer & Water Facflitie~'/ Page Two 9~ Comments: f / Ap.~roval Valid for One Year From Date Signed i-Mreater Anchorage Area Borough, Department of Environmental Quality DIAGP, A~ OF SYSTEM I certify that the information contained in this request for approval to be a true and eccurate representation of the subject sewer and water facilities located at: Signed Date cot ~ ~ ~o~ LOTS 'i'5 L.~c L i~ UlC~ I Io ~0 T § I~( O L O~S I-lC) 6c ~c ?