HomeMy WebLinkAboutPREUSS #4 BLK 9 LT 7
Municipality of Anchorage Page / of
· : DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-SiteWasteWater Disposal System and/or Well Inspection Report
Permit Number: ,'-~ ~ ~7 ~'z).~×,~..~ PID Number: ~ ~ - ~ /
Name: ~)~ ~¢./~,~ ~ Wastewater System: ~ New ~pgrade
Address:/~~.~, ~~ ~ .- ABSORPTION FIELD
~hono: ~_~ ~ ~o. of~ . ores: ~eo~lrench ~ 8hallowlmnch ~ Bod ~ Mound D Othor
Subdiv~ion: ~ ~ Depth tg pipe bottom from,original grade: Gravel depth beneath ~ipe
Lot: ? Block: ¢ ~' ~'~ ~ ~'~ Ft. ~ ~' ~ ~ Ft.
Township: ~ Range: Section: Fill added,~ ~ab°ve original~ grade:~, ~ Ft. Gravel length:~ /~" ~v~ ~¢~Ft.
I
Number of lines: Distance be~een ~ines:
WELL: ~¢>'¢~ew D Upgrade Gravelwidth: ~ Ft. ~ /~ ¢ Ft.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: ~ ~¢~ ~ ~ Pipe material:
~/~ ~ Ft. ~/~ Ft. /¢~ SQ. Ft. ~5-~Z'~
Drill~ Date Drilled: Static Water Level: ;Installer:~¢ ~ ~/~ Date in~talled:
Pump Set at: Casing Height Above Ground:
~,d: ~- ~ G.u F,. ~. ~ ~. TANK
SEPARATION DISTANCES ~eptic ~ Holding ~ S.T.E,P.
To Septic Absorption Lift Holding Public/Private Man~cturer:
From Tank Field Station Tank Sewer Lines ~[ ~/~E~ ~ Capecityy~in gallons:
· ~/~ ' ~.~ / Material: Number of Compa~ments:
Sudace > /
Water ~ ~*~ ~/~ ~ -- LIFT STATION
Lot ~ ' Sizein gallons: Manufacturer:
Line ~ '/~'* ~ ~ ~ :~ I ~ ~/,,~~
Foundation ~/ .~ .~ -'.~ ~ ~ ~ ~ "Pump on" level at: ~ff' I"~1 at: High water alarm at:
CudainDrain ~¢~d~ ~)~ ~g ~/~ ~ ~ Electrical Inspections pedormed by:
Remarks: ~ ~f~ ~ ~~ BENCH MARK
Location and Description:
Assumed Elevation:
Inspections performed by: ~ ~' ~'~ Dates: 1st ~]~ ~' ' "'~"' ~" ~ %. ' ~' ~''
Department of Health and Human Services approval ,.~,,~. ~.,~,,,~
~ ~/
/A ~/-~,,~z Date: / ~P~r~,~,:~,e.~.~,,;~;
Reviewed and approved by: ~/~
72-013 (Rev. 9/91) MOA 25
V
N O0 08' W 120,00'
__~-- 10 FT. UTILI
PREUSS LANE
Z
NORMAN & RUTH NAFIS RESIDENCE
10228 PREUSS LANE
LOT 7, BLOCK 9, PREUSS #4 SUBD.
Eagle River, Alaska
I~}OUGLAS T. KEHLEY, P,E,
I
-I¥~iS
:'ON aid
2'-0" 4-' 0" 6'
MIN. ' MIN.
·
4'-0" 6'
MIN.
3.6+'
9.8+'
NOISIAIqSIqS SSt/IUd '6 >0018 '/_ 101
'ON ~!w~ad
PAGE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW970312
DESIGN ENGINEER:DOUGLAS T. KENLEY, P.E.
OWNER NAME:NAFIS NORM_AN A & RUTH W
OWNER ADDRESS:10228 PREUSS LN
PARCEL ID:05057261
LEGAL DESCRIPTION:
PREUSS #4 BLK 9 LT 7
LOT SIZE: 19600 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1.
2.
1 OF
DATE ISSUED: 9/11/97
EXPIRATION DATE: 9/11/98
THE ATTACHED APPROVED DESIGN.
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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
ISSUED BY: ?/~/~ ~ /~/~
DATE:
DATE:
Dduglas T, Kenley, PE
9960 E. Pttffin Driv¢~ Painter, Alaska 99645
(907) 746-1076
August 28, 1997
Municipality of Anchorage
Health & Human Services
On-site Services
Re:
Percolation Test Results and General Site Investigation Report of Lot 7, Block 9, Preuss
Addition ~4 Subdivision Eagle River, Alaska.
Owner: Mr. & Mrs Norman Naris
On August 21, 1997, the above-referenced 19,600.8 square foot parcel was inspected for the suitability
of installation of a replacement on-site wastewater disposal system. The site is located off Eagle River
road at 10228 Preuss Lane. The replacement system is being designed to meet the requirements of an
existing four-bedroom home. The planned system will use a new 1,250 gallon steel septic tank to
replace the failed existing tank. The proposed absorption system will consist of two deep trenches, both
of which are 2' wide x 6' deep x 42' long, designed in accordance w/th municipal standards. The
existing 83' diameter x 6' deep seepage pit, with an 8' diameter x 6' deep crib, will be left in place and
isolated from the new system with a Bullrun valve or equivalent for possible future use.
The developed parcel is sloped with a grade ranging from 2-4%. The immediate area that has been
selected for the wastewater disposal system has an average slope of 1% toward the south. The site is
sparsely treed with birch, and sprube: It appears that there are no obstructions that would prevent
surface water runoff.
On-site observation and field measurements show that there are no neighboring water wells within a
100' radius of the proposed system. The proposed trench replacement will not impede replacement of
neighboring systems in the future. No surface water was obsemed at the time of the inspection, and it
appears that there is no potential for contamination of future water wells.
One percolation test was performed at the site to determine an adequate location for the replacement
waste water disposal systeirl? The test hole was dug to a depth of 16.2'. The substrata consisted of 1'
of organic overburden overlying I' of gravel with silt. From 2 to 4-1/2', there was mainly silt with
some gravel. From 4-t./2' to 16.2', the substrata consisted of silty gravel with some sand. The
percolation rate was 17.8 minutes per inch at approximately 5' below grade.
If there should be any questions concerning the percolation rates or characteristics of the si{e, please call
Doug Kenley at 746-1076 or 243-5372.
Sincerely,
Douglas T. Kenley, PE 0t
CE #8176
1 ~HE SYSTE~,~ BEING INSTALLED HAS BEEN DESIGNED TO 3~iEET .~E REQUIREMENTB FOR A (4) BEDROOM RESIDENCE.
2 THE OLB SYSI~M WILL BE CONNECTED TO THE NEW SYSTEM BY A BDLL~UN DIVERER OR EQUIVALENT
ABSORPTION SYSTEM PLAN (DESIGN)
NTS
N O0 08' W 120.00'
10 FT.
A 64' B
(4) BDRM. 2
RESIDENCE
D
N O0 08' W 120.00'
PREUSS LANE
Z
NORMAN & RUTH NAFIS RESIDENCE
10228 PREUSS LANE
LOT 7, BLOCK 9, PREUSS #4 SUBD.
Eagle River, Alaska
.oF
OZ
o
NORMAN & RUTH NAFIS RESIDENCE
10228 PREUSS LANE
LOT 7, BLOCK 9, PREUSS ~4 SUBD.
Eagle River, Alaska
m
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
DATEPERFORME
LEGAL DESCRIPTION: ~'~ *~'~'~'~Z'~' ~ ~'~'~E~-~.,O" ~/ownship, Range, Section:
SLOPE
1
2
3
4
5
6
7
8
9
I0
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
11
12
Depth to Water Alter
13 Monitoring? Date:
14
15
18¸
19-
20-
COMMENTS
SITE PLAN
I I
Reading Date Gross Net Depth to Net
Time Time Water Drop
,, -
PERCOLATION RATE /"2~ ~:~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN '~7/~,~ FT AND ~ FT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
GREL, f,'[ ANCHORAGE AREA
Department of Environmental Quality
:3330 C Street
Anchorage, Alaska 9950.3
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
SEPTIC TANK:
DISTANCE
FROM WELL ¢~/
INSIDE LENGTH
MANUFACTURER
INSIDE WIDTH
¢~: ~/'" MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS ~-~
LIQUID CAPACITY. /Z ~0 GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER ~'
LINING MATERIAL I~ CRIB SIZE:
BUILDING FOUNDATION (~$1 NEAREST LOT LINE
OR WIDTH__ LENGTH DEPTH
DIAMETER ~' DEPTH (¢1 DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAL,
LOT SLOPE:
REMARKS:
Form No. EQ-031
DIAGRAM OF SYSTEM
GREATEr ANCHORAGe AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
INSTALLATION LOCATION
MAILING ADDRESS
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SEEPAGE PIT . DRAIN FIELD
/.
TO BE iNSTALLED BY
. OTHER
SOIL TEST RESULTS NOTE; THIS PERMIT IS; NOT VALID WITHOUT SOIL
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE Pit WALL
SEPTIC TANK , SEEPAGE Pit
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK ~/ ~
DRAIN FIELD
, DRAIN FIELD .
, DRAIN FIELD
£
SEEPAGE PIT ~/O O
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
. SEEPAGE PIT
DRAIN FIELD
SEPTIC TaNk, f 4:7 0 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.
OR
CERTIFY THAT J AM FAMILIAR WITH THE REQUIREMENTS OF GRCH1ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
R&M ENGINEERING & GEOLOGICAl CONSULTANTS
229 EAST51st. AVE. - P.O. BOX 6087- ANCHORAGE, ALASKA 99503 TELEPHONE 907-279-0483 TELEX 090-35419
Civil Engineers Geologists Land Surveyors
JAMES W. ROONEY, P. E.
MALCOLM A. MENZIES, P.E., L.S.
JAMES H. WELLMAN, P.E.
September 25, 1973
Mr. Robert Fitzpatrick
General Delivery
Eagle River, Alaska
RALPH R. MIGLIACClO
Engineering Geologist.
R & M No. 36671
Re: Test Hole and Soil Log Report for Sanitary System, Lot 7,
Block 9, Pruess Subdivision
Dear Mr. Fitzpatrick:
We are submitting herewith the test boring results and our comments
regarding soil conditions encountered at the subject site. This
investigation was performed in accordance with your request of
September 21, 1973, and those procedures outlined in a letter dated
September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage
Area Borough Department of Environmental Quality.
A single test hole was put down within the Lot 7 area for the purpose
of defining general subsurface soil conditions for the proposed sanitary
system. Excavation was accomplished with a tractor-mounted backhoe and
the test hole was extended to a total depth of 14 feet below ground
surface. The final log prepared for the test hole has been included in
Drawing A-01.
Ground water was not encountered in the test hole.
We appreciate being given this opportunity to be of service to you.
Should you have any questions with regard to the above, please do not
hesitate to contact us.
Very truly yours,
R & M ENGINEERING & GEOLOGICAL CONSULTANTS
James W.. Rooney
JWR:ph
xc: GAAB
ANCHORAGE FAIRBANKS JUNEAU
NOTE:
T.H. t
9-21-73
Organics
Sandy Silt
:Gravelly Sand, Some Silt
0.0i'
0.5'
1.0'
2.0'
Gravelly Sand (SW) (~)
Silt, Trace Sand (~fL) ~70
9.5'
Gravelly Sand With Some Silt-
12.5'
·
Sand With Some Gravel (SW)
14.0' T.D.
No Water Table
Test hole excavated with tractor-mounted backhoe.
I~nglneerlng ~ Geological Consultants
A N CHORAOI-~ FAIRBANKS ALASK~ ,JUNEAU
ROBERT FITZPATRICK
LOG OF TEST HOLE
Anchorage Alaska
DATE 9-21-73 Jso Ei"= 2' ]DWNBY JRS IcHKDBY WED JPROJ. NO. 36671 JDWeNO'A--01
erlifiei ' ' ....
Drdhng
A & L DRILLING COMPANY-
BOX 97, £AGLE RIV£R, ALASKA 99577 · T£LEPHOI~£ 694-2588
OWNER OF LAND
ADDRESS t,.~ o ×'
LEGAL DESCRIPTION
PERMIT NUMBER
DEPTH OF WELL
STATIC LEVEL OF WATER FT. .:) '"~ ~;,'~
DRAW DOWN FT.
GALS. PER HR ? ~
KIND OF CASING ~','~' d(~
KIND OF FORMATION:
From () Ft. to ~ Ft.
From ~.,-', Ft. to / ~<~ Ft.
From i,~ Ft. to ~)~' Ft.
From c:: :~ Ft. to <J.:~ Ft.
From r':, Ft. to. ?g Ft.
From ~'~.~ Ft. to /3~0 Ft.
From /."~-':~ Ft. to ~o ~ Ft.
From ~;a~¢' Ft. to ~,~-~5 Ft.
From ~.~ '~'~ Ft. to ,Q G D-.Ft.
From rjr(. · ,,3, Ft. to ~'~ Ft.
From '~l? Ft. to i~Co Ft.
From )~:o Ft. to .,~'15'~Ft.
From ~ '? ~-~ Ft. to ~)~'Ft.
From q'~" Ft. to Z}~ Ft.
From -'c:~ ) Ft. to Ft.
From__Et. to Ft.
From Et. to Ft
From.
Frmn
From
From
From
From
Ft. to Ft
Et. to_. Ft.
Et. to__Ft.
Ft. to Ft
Ft. to Ft
Et, to Ft.
Et. to Ft.
Et;to Ft.
Et. to__Ft.
Et. to Ft.
Ft. to_
qo ~/4T~-Fr;:cr~rj~ ' Ft. to__
From Ft. to
From Ft. to
From__Ft. to
From__Ft. to
Ft.
Ft
Ft
Ft.
Ft.
Ft.
From Ft. to Ft
MISCL. INFORMATION:
/
7'° ?
. ('
DRILLER'S NAME :: ~ "~ ' ' ~
PERM I T I'-,10.
E."EF'FIF..'TFIENT OF' HEF1L. TH FIND EN',,,'.'[RONHENTFtL. PROTEC]"ION
825 '" L'" STREET., RNCHORFICiE., BK. 995~Ztl.
[g-..tt E: L, L_ IF' b% tF~.", ll".-I] Z "'if-
)
Ft F' F' L. I C Ft N "1"
L Fi C FI T I 0 N
LEGRL.
E:O::.-'; 3::.J:7 EFIGLI.-Z. R: I
LCFF
MINIt'"iLII~I DI"_-Tt"RNC:E BETI.4EEN R I.,IELL. RNC, I::IN'T' ON-S;.T.I"E 2';EHRGE
±00 FEET FOF~: FI PF.'II',,,'FITE t4ELL CiR 2OF.~ F'E:E:T FOR Fl PUBI._.'[C HELL.
HELL L.OG2:; FIRE RELT4LIIRED FIN[_'." HUST BE RE'TURNE[:, TO THE DEPRRTHENT
OF' ]'HE I.,.IELL COP'IF'L. ETION
OTHER R[.:-'C!LIIREIdENT$ I"~R"r' APPL.'T'. L:,PECIFICRT]:ON'.'5 laND CONSTRUCTION
R',,,'RILFIBLE 'TO Ii",ISL.IRE: PROF'ER IN'_=2TRLLRTION.
I CER"FIF'.r' THFIT
1: I laP1 FI--]h'IILItaR [4ITH THE F..'EC!tJIR:EHENT[~; F'OR ON-rSZTE ~;EI.4ER::.'.C, FiND t.,.IEi...L.'.~, FI:~; LE;ET
F'OF.':TH E:'.r' 1"HE I'"IUNI F: ]:F'RLIT"r' OF laNCHOP.':RGE.
2: I [4tEL tN'_STFILL THE ~;'T'L~'TEI"I ]:N RC:L-:OF.:[::'FtNCE~ 1.4ITH 't"HE C:OE:,E'.:':';.
Parcel I.D. #-
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
o. ,ox ^%%, A,a k
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
1. GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner ,z_~,¢_~,¢-~.¢,~/~,, ..~:~,/ .z.]~/:~.~ Day phone
Mailing address ':~ ~:-~z~ ~/"~-~':~ ~'~. ~'/~'~/~'-~-~ ~ ~-:,:'~.--J.~ ' ~
Lending agency
Mailing address
Day phone
Agent Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: -'-/' ~:
TYPE OF WATER SUPPLY:
Individual well /
Community well
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER 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.
72q)25 (Rev. 1/91) Front MOA #21
Legal Description:
A. WELL DATA
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN
Environmental Se~ices Division
825 L Street, Room 502- Anchorage, Alaska 99501-
Health Authority Approval Checkli,~
Well type
Log present (Y/N)
Total depth
Sanitary seal (WN) ~/'
FROM WELL LOG
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed .¢2~¢¢~ ¢ /~/2'/¢
Cased to ~/? ~Z,~/ Casing height (above ground)
Wires properly protected (Y/N)
AT INSPECTION
Date of test ,¢2~ , ...~,,
Static water level -~¢
Well production
g.p,m.
WATER SAMPLE RESULTS:
Coliform ~ Nitrate ,¢~ /
Date of sample: ~,,¢z-¢..¢ ~..~ / ¢ ¢?' Collected by:
B. SEPTIC/HOLDING TANK DATA ~,'~;,~'
×~- /
g.p.m.
Other bacteria
Date installed ~/-~¢¢¢,,'/'~/~' Tank size /,.Z.¢~:~ ~-'-¢L-Number of Compartments ~ Cleanouts (Y/N)
Foundation cleanout (Y/N) /L-/ Depression (Y/N) ~ High water alarm (Y/N)
Date of Pumping Pumper
C. ABSORPTION FIELD DATA
Date installed
Length //;~'~'/'¢'Y ¢ ¢'~Width
Effective absorption area
Date of adequacy test Results (Pass/Fail)
Soil rating (g.~p.d./_,ff~ or ~=/bdrm) ~,.~ System type .~¢¢
~ Gravel thickness below pipe ~' ~/, Total depth
. Depression over field (Y/N)
For
Fluid depth in absorption field before test (in.); Im,rr~dia~r ~_~ga .Pw~Cer added (in.):
Fluid depth (ins) Minute_~ter~ .......... Absorption rate = g.p.d.
Reroxid~tTeatment (past 12 months) (Y/N)
If yes, give date
72-026 (Rev. 3~96)*
.bedroo_rQs
~ · ,SEP-~0-1997 17:2~ CT&E ESI ~NCHOR~GE
~tK C T&E Environmen ,al Services ,nc.
90?5615301 P.02/03
CT&E
Client
Project Name/#
Client Sample ID
Ordered By
PW$ID
97§$~0001
Douglas Kezfley P.E.
L7Bg, Preuss Additioi'l 4
L7 Bg, Preuss Addition 4
Drinking Water
CHant PO#
Printed Dateffime
Collected Date/T/me
Received Date/Time
Technical Director: Stephen C. Ede
09/29/97 12:09
09/25/97 15:20
09/26/97 14:15
~itrate-g
Total coliform
0.100 u
o.o0
0.100 m~/L
¢o[/lOOmL
ALlo~ab[e Prep Ana[ysls
... ge._t~od Limits Dote Date Init
EPA 300.0 10 max
SR18 92228
09/26/97 GCP
09/26/97 TMW
AS BUILT ,SURVEY.
0
O,
$ 89° 59' ;~
, fl undatic~n
~ 550
I hereby certify lhol I hove surveyed Ihe following described pro, re. fy.
/.07' 7, 8/-O~'X'-.O,:..E,~'£~/~'$ Sb'80/V/$/O/V, t/E/Z'
Anch~age Recording Precinof, Ara;ko and that the
~ituate4 thar.~ ~re within the property lin~= and 'do 'n~t
.... ~~. . .over-lap or. encroach en the p~op~ly lying adjacent tNere.-
~ ~_ o~ 4/~t~, ' ' ...... ' .......
~;, . A ' .~ . .thoreto encroach on lbo Premis,m in q~esfio~ and f~t
~*/4~ ~,~ ~:~ 'there ore no road~ys, transmission Ii'nos or other:
~..~.*,.,.*.,~..,~-....~ visible easements 'on said proper~ except d~ ln.dt-
~'., July~,l~2 ,,~ Doted at Eo~le RIv.r, Alo~ko, thi~ ~4 da~ of. .
MUNICIPALITY OF ANCHORAGE
~--~t DEPARTMENT OF HEALTH & ENVIRONMENTALAlaska 99501PROTECTION
925 L Street- Anchorage,
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.
2. BUY~ / / / PHONE
3, LENDING INS~I~UTIO~
MAILING ADDRESS
4. REALTO~/AGEN~ '
~AILING ADDRESS - L/ ~ ~ / / ~
/
5. LEGAL DESCRIPTION ..~/
STREET L...~,TI O N
SINGLE FAMILY ~ Two Five
~ MULTIPLE FAMILY ~ Three ~ Six
[] Other
7. WATER SUPPLY
,~ INDIVIDUAL* *ATTACH 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 LITY depth (attach log if available.)
'r~Zq INDIVIDUAL/ON-SITE"* **If individual/on-site, give installation date /~'/~-~ .
7~
If system is over two (2) years old an adequacy test is required
[] PUBLIC UTILITY 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
[~"~SI NG LE FAMILY [~ ONE [~ THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [~'~FO U R [] SIX
PERMIT NUMBER
2, WATER SUPPLY
E~INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[~INDIVIDUAL/ON -SITE DATE INSTALLED
E]PUBLIC UTILITY
Co~ection Verified INSTALLER
[~Septic Tank or [] Holding Tank
Size:to)~'~:> 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
I~'~-APPROV ED FOR /'/ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY (Title)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
Municipality of Anchorage
Dept. of Health & Environ. Protection
825 L St.
Anchorage, Alaska 99501
Gentlemen~
Re, Lot 7, Blk. 9, Preuss Sub. #4
Attached is a Closing Statement on the above property
in Eagle River, Alaska.
As the builder of above home I confirm the following~
Date of closings August 21, 1974
Date buyer took possession of homes Sept. 24, 1974
Date of 1st payment to Home Federal: November l, 1974
This is to~answem~he~que~t~on of how long the sewer
system has been used, which is not over 4 years, even
though it was installed in 1973.
Thank you.
Jo~5 Adams
Date
