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