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Home My WebLink AboutPREUSS #4 BLK 7 LT 4050 ~ ' ~ 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 NAME PHONE MAILING ADDRESS_ LEGAL DESCRIPTION LOCATION NO, OF BEDROOMS Well £ I Absorptio~ ~rea Dwe,~ / DISTANCE TO:II /~ -- I ~O ~~ PERMIT NO. Liq. capacity in gallons ......... Inside length Wi&h ~0 h ~uI~E~D~: / Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO, O ~ ~ Manufacturer Material Liquid capacity in gallons ~ Well / Foundation ~ Neares~i~ PER~ ~~ ~ No, of lines ~ Length of~each~ / line ' ' TOtal ~h~f~nes Trench w~t~ /f Distance between lines ; ~ ~ Top of tile to finish grade ~ / Material beneath tile G / inches Total effective absorption area Length Width Depth PERMIT NO, ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ CJas~ Depth Driller Distance to lot line PERMIT NO, ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS REMARKS 72-013 (Rev. 3/78) .... :::, ~."-' 825 ~ STREET, RNBHORRI~E, PERMt~ NO ( 7804~4 ) ~PFLI ~MNT MSTTHEW HSMI LTON LOCSTION WREN . q~ LOT SIZE 22A~4Fq SE' ~SRE FEET LEGSL L4 87 FRUE_:. SUBD TYPE OF _OIL 8BSORBTION SYSTEM IS: TRENCH MSXIMUM NUMBER OF BEDROOMS = 4 THE REQUIRED SIZE OF THE SOIL 8BSORPTION SYSTEM IS: [)EPTH= IE~ LEN~3TH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFtEL[:,. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNOE BETWEEN THE SLIRF'RCE OF THE GROUND ~ND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRR',/EL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). RE~IJ I RED SEPT I F'ERMIT 8PPLICSNT HSS THE RESPONSIBILITY TO INFORM THIS DEPSRTMENT DURING THE INSTSLLRTION INSF'ECTION$ OF 8NY WELLS 8DJSCENT TO THIS PROPERTY 8ND THE NLIMBER OF RESIDENCES THST THE WELL WILL SERVE. TWBD (~ 2 ) I ~ISPEC:T I O~lS 8~:E F~E~Z41J I REiE:. ~RCKFILLING OF RN~ S~STEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEHRGE DISPOSRL SYSTEM ~00 FEET FOR R PRIVRTE WELL~ 158 TO 288 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC 14ELL.. OTHER REQUIREMENTS MRY RPPLY, SPECIFICRTIONS RND CONSTRLICTION DIRGRRMS FIRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F'ERM I T E~¢F' I RES DECE~IBER I CERTIFY THRT ,= c ~ ~ i: I 8M FRMILISR WITH THE REQUIREMENTS FOR ON-SITE _,EWER-, 8ND HELLS R> =,ET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. . ~ ~,,~ ~: I NILL INSTRLL THE _t=TEH IN RCCORDRNCE WITH THE ~ODE=,. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REg!UIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS. SIGNED 8PPLIC:RNT MRTTHEW HRMILTON _ _DRTE-. AUgUSt 15, 1978 ~.~at thew Hamilton Star Rouee Box 5411 Eagle River, Alaska 99577 Subject: On-site ~e~.~er Installation Permit ~780414 Lot 4 Block 7 Preuss Subdivision A permit for ~ on-site s~wer installation was issued to you at no cost with the provision a registered, engineer co~ulete and submit an approve~! as-built° Subsequently, an installation inspection by this department %-m.s requeste(~ by you or your agent in lieu of using a re- gistered en~3ineer. Inspections conduct~e~- by this department re(Faire the permit fee of $20~00 be pai~%. The sewer system can not be approve(! ~%til the fee is pa i¢t. If there are any questions, p!e~se contact this office at 264-4720. S~%cerely, Les N. Buchholz~ R.S. senior E v~ronmend-at Specialist Er 'E'GEO i~CHNI CAL Er DEVEL:t:FCMENT Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 CO. Russell Oyster Earl Ellis 694-2774 ' SO]~L LOG ~-22~0 Soils ~' Foundations Land Developn'~ht Performed for: Legal Description: ~c,?----//, ? ~ ':> - Ground Water Encountered': Proposed - i Yes No ¢~ If yes, what depth~ Installation: Seepage Pit~__~Drain Comments: performed ~GRE~'~ER ANCHORAGE AREA BO~'~'~JGH INSTALLATION LOCATION LEGAL DESCRIPTION ,-~//~/ GREATER ANChOrAGE AREA BOROUGh DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4[56 ! PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PHONe INSTALLATION OF: SEPTIC TANK SEEPAGE PIT FINANCED THROUGH TO BE INSTALLED BY DRAIN FIELD . OTHER SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 2/[ HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE /~q ~ ~ ~ TYPe MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT (' SEPTIC TANK TO SEEPAGE Pit WALL TO NEAREST LOT LINE. Well TO sePTl~ TaN. · DRAIN FIELD DRAIN FIELD DRAIN FIELD SEEPaGe Pit /~(~ WATER MAIN TO 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. ...-") _,. /) LICENSED DESIGNER SEEPAGE AREA SIZE TYPE DIAGRAM OF SYSTEM I CERTIFY THAT IAM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 aND THAT THE ABOVE DATE aPPLICANT'S SIS NATUR!~_~ ~,-~_~' MUNiCIPALITV OF ANCHORAGE -~ DEPARTI~IENT OF HEALTH AND ENVIRON~7iENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORI'FY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date _~//¢'~_~_ ~ 1. GENERAL INFORMATION (a) (b) (c) Legal Des.cription (include lot, block, subdivision, section, town,~jl~, range) Location (~ddress or directions) Applicant Nam~¢~ ~~elephone: Home __ Business Applicant Address Applicant is (check one): Lending Institution D; Owner/builder~'; Buyer D; Other ~ (explain); (d) (e) (f) Address Rea~ Estate Company and Agent Address Te!ephone ~- r> . N~? ',he PtAA to the following address: ............... TYPE OF RESIDENCE Single-Family,S' Multi-Family ~.] Other Numbe¢ e~ Bedrooms .... WATER SIJPPLY Individuar: Well,,~'~ Community [] Public El Note: If cc,mmunity well system, mu~t have written confirmation from the State Department of Environmental Conservation attesting :.~ the legalily and status. SEWAGE DISPOSAL Onsite_~ Public [] Community [] Holding Tank Note: if community well system, must have written confirmation from the State Department of EnvironmentaJ Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRIVI PROVIDI~ INSPEC'rlONS, TESTS, FILE SEARCH, D~'"CA AND INFORMATION- ~$ 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 o~-s[te water supply and/or wastewater d[spos~{ system is safe, functional and adequs~e for the number of bedrooms a~d type of structure i~dicated herein. { fu~her verif~ that based on the information obtained from the Municipality of Anchorage flies and from my i~vestigation and inspection, the on-site wa~er supply and/or wastewa~er disposal system is {n compliance wi~h air Municipal and State codes, ordinances, and regLdations in effect on the da~e of this inspection. _ ., _.., ,. ~.~:~;-':,~i~::~ . Telephone Name of Firm d z:: ~. ~: ~,~.,,, .!, .. Date A P P roved f° r~,~ b ed.d. ri ~a ~ro% Approved __--- ~ L) approve~[~-- Terms of Conditional Approval Con i~t'i~na _ ) CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their ending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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 (11/84) MUNICIPALITY OF ANCHORAGE (MOA=J/ J~NVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST' FEBRUARY 1984 /~U~ 2 ~ ~5~ 264-4720 Legal Description: , i'~ I,~ ~, -- I I/L I~ WELL DATA If A, B, C, D.E.C. Approved (Y/N) Date Completed - (-J'tz~' Yield /-~c:>'-~ Depth of Grouting Pump Set At '-J, I/~ /~-- # Sanitary Seal on Casing(~N) Depression Around Wellhead Well Classification Well Log Present (Y/¢ Total Depth i,¢¥/_jr' t Cased to _ Static Water Level /~_..5'" ¢ Casing Height Above Ground Electrical Wiring in Conduit ~N) Separation Distances from Well: ~. ¢~.~ ~ ; On Adjoining Lots To Nearest Public Sewer Line _ Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments /..~ ~_-~¢. ~-~ .~ ~ . ,~'-~.~ t~,,,'.~t. To Septic/~ing Tank on Lot _ To Nearest Edge of Absorption Field on Lot ~ ¢ t4- ~; On Adjoining Lots ~/~- To Nearest Public Sewer ,5 ~ To Nearest Sewer Service Line on Lot ~ ~ ~ ~ ",~ (~.~*,~ ; Date _ ~ SEPTIC~TANK DATA q .'5~ -"-/$ Date Installed ~"Z..-q~ ~ Size Stand pipes~)'N) Air-tight CapsC[~'N) Depression over Tank Pumping/Maintenance Contract on File (Y/N)/~/~, Holding Tank High-Water Alarm (Y/N) Separation Distances from Sepbc/ ...... ng Tan . To Water-Supply Well To Property Line _ To Water Main/Service Line Course -~ ' ~---'')~ C o m m e n t s~,.~-~o ~ ~.-~/....~ No. of Compartments ~- "~ Foundation Cleanout Date Last Pumped /4 A ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Datelnstalled ~'-FZ--q~."//'7~"61--'~~ ~ ~ ' 2~ Length of Field / ~ / Width of Field ~ ~ //~ Depth of Field o~ ~t d~ / Gravel Bed Thickness "~ ~ ;~ Square Feet of Absorption Area ~~/~ ~*~Standpipes .,e;en,¢~) Depression over Field (Y~ ~ Date of Last Adequacy Test Results of Last Adequacy Test ~s ~~ ~- Separation Distance from Absorption Field: To Water-Supply Well k ~ J4-- To Building Foundation Lot '~'~-~ ' To Property Line To Water Main/Service Line t ~ / 4. To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~ /.,'J~c~, /-~C--Y~-T"p~.-.D~ ' / z~ c.)/-~ To Existing or Abandoned System on ; On Adjoining Lots -'~-~ To ~3utbank (if present) ~/.,~ D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed .... E., lq ~ I,.,~-,~ t,J t.,,. Date Compan~ Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) /~/!11"11 !l~¥t\ ~ ~ ~o (~'1'1'11"i1~)~) ~/'~J~'~ER ANCHORAGE AREA BOROUGH r_-_ ~ I~//If~'"' Dep~'rtment of Environmental Quality q/~ ~~~ ~~~.!~Anchorage, Alaska 99503 274-4561 ~~ ~~/~ Date Received January t2~ 1977 ', ~.V'" ~ · Time of Inspection ~ /~,~ ~" ~F'~/~'~,,fl,~r ~-- · Date of Inspection ,-/7-77 ~~ ~ ' INDIVIDUAL SEWERF~RUATER FACILITIES I. Approval requested Mailing Address: 535 2. Property Owner: Mailing Address: 3. Legal Description: 4~ Location: Conv. Home Federal Savings and Loan Association % Pam D Street, 99501 Miles D./Carol L. Riggall P'hone: Phone: % Lon Welch, Star Realty 279-2491 Lot 4 Block 7 Preuss Subdivision #4 NHN Wren and David Road 272-1451 864-1293 5. Type of facility to be inspected Single Family 6. Well Data: A. Type Individual C. ConstructionS__ 7. Sewage Disposal System: On-site system A. Installed C. Septic Tank: D. Seepage Pit: E. DisposalS%: T~tal length-~ l~nes 8. Distances: No. of bedrooms 4 B. Depth ~ D. Bacterial Analysis O,~_, 1. Absorption Area ,,~, 2. Material A. Well to: Septic tank Nearest lot line , Absorption area Other contamination , Sewer Lines 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 - Ret ~t for Approval of Individual q ~r & Water Facilities -Legal Description Lot 4 Block 7 Preuss Subdivision ~4 Comments Appro~Valid for one year from date signed Greater Anchorage Ar~a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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) 1. Type of Inspection: 2. Property Owner: Mailing Address: 3. Name of Buyer: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 825 L Street REal'lEsT FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNI~J~ITY ~ DEFT, OF HEALTH & ENVIRQNMEN'rAI. PROTECT JAN P, 1977'; RECEIVED CMRO VA Miles D. & Carol L. Riggall FHA CONY xx unknown-please contact realtor Matthew & Priscilla Hamilton Day Phone Mailing Address: 3403 Tarwater Street Day Phone (Hers) 862-2217 Name of Lending Institution: Home Federal Savings and Loan Association Mailing Address: 535 D Street Anchorage, AK Phone 272-1451 5. Name of Realtor or Agent: Lon Welch Star Realty Mailing Address: 640 West 36th Avenue Anchorage Phone 279-2491 6. Legal Description: Lot 4, Blk. 7, Preuss Subdivision, Unit No. 4 Location: NHN Wren & David Road Eagle River, AK 99577 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Sinqle Family Public Utility No. Bdrms. 4 (2 in basement: Individual Well If Individual, number of dwellings presently served If Individual, depth of well 144 feet Sewage Disposal System Type of System: Public Utility g/lk/lowrl Individual (on-site) XX If Individual, date of installation unknown PT.EASE COMPLETE AS SOON AS POSSIBLE AND C. AT,T, ~ AT 272-1451 AS SOON AS THIS IS READY EQ-037 (1/74)