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Home My WebLink AboutEAGLE RIVER HEIGHTS BLK 8 LT 10 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 PHONE / [] NEW LEGAL DESCRIPTI. ON LOCATION c J-) / .~ NO. OF BEDROOMS Well ~ _ ~ Absorption area ~ Dwelling ~ ( PERMIT NO. .. ~ ~ Manufacturer ~/~ ... Materi~_ ~: No. of~ompartments = [Liq. ca~a~t~n~allons IF HOME.DE' Inside length ~ Width _~- Liquid dep~- ~ ~ D STANCE TO ~Well Dwetling ~~, PERMIT NO. O ~ ~ [ Manufac~ / [ / ~-'~ ~Material ~ Liquid capacity ~ I ~Well ~ ] Foundation / /Nearestlotline~ ~ PERMIT NO. ~ M~ I DISTANCE TO: [ (O~) I JR~ / ~O ~ ~ Z ] No. of lines ~ Len¢ of e~c~ne ]Total length of lin~ JTrench width Distance be~een lines ~ ~ Top of tile to finish grade - . , , Materia} beneath tile .. ~ Total effective absorption area Length ~ Depth /-- PERMIT NO. < P J Type of cri~ ' Cd.diameter ~ d~pth /J Total effectiv~absorption are~/ ~ , /" ~ell / ~ Budding f~ation / Nearest lot li~ o, ANC. I / ~ C~ ~ - ,~ Depth ~ Driller / Distance to lot line IPERMIT NO, I / / I ~ I DISTANCE TO Building foundation I ~er line / Septic tank I Absorption ~e.(s' OTHER PIPE{~-~d)~M~'TE~RIALS SOIL TEST RATING INSTALLER REMARKS APPROVED 72-013 (Re~/, 3~78) DATE LEGAL ! PERM I T ~ NO. APPL I CANT LOC:AT I ON LE.~HL ~1_1~ I~[:IPRLIT'T' CIF R~IC:HCIF:RI]E DEPARTMENT .... HEALTH AND ENVIRONMENTAL -'~OTECTION 825 ',. STREET, ANCHORAGE., AK. 95...01 264-4?20 C~[~--SITE SEL-~EF~ PERZ4 IT ( 800~g6 ) JOHN JORDAN ;'; C S. E:RRR LEE STREET LOT SIZE TYPE OF z. UIL ABSORPTION -t-TEM I~,. TRENCH t,IRXIMUM NUMBER OF BEDROnMS 3 _OIL RATING <SD FT?BR)= _38 THE REQLIIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: [:,EF'TH~ ii LENGTH= 8.'7 GRR'-..'EL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF ~ TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REI~!LI I RED SEF'T I C TA~-IF.-. S I ZE= -ieee GALLO~S PERMIT RPPLIF:RNT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NIJMBER OF RESIDENCES THAT THE WELL WILL SERVE. TI.-.IC~ ,C 2 ::, INSPECT I OI'-~S RRE REQLI I RED BRC:KFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS D~'RRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL S~STEM 100 FEET FOR R PRIVATE WELL OR i58 TO 208 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYF'E OF PUBLIC WELL MINIMLIM DISTANCE EROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS ~5 FEET. OTHER REQUIREMENTS MAY RPPL~. SPECIFICATIONS AND CONSTRLICTION DIAGRAMS ARE AVAILABLE TO INSLIRE PROPER INSTALLATION. PER~ I CERTIFY THAT t' I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE _ AND WELLS RS SET FORTH BY THE MLINICIPRLITY OF RNCHOR8GE. '~': I MILL INSTALL THE ~Y~TEM IN ACCORDANCE WITH THE CODES:" 3: I JNDERSTRND THAT THE ON-SITE SEWER ~TEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO IN,LUDE MORE THAN ~ BEDROOMS. APPLICANT J0~'l JORDAN ~{ C.S. 88RR -"/ (.: -- 6 PERFORMED FOR: LEGAL DESCRIPTION: ~-- /C~'~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264~,720 SOILS LOG- PERCOLATION TEST o7i · WAS G~WATER 12 13 17 20 COMMENTS PERFORMED BY: 72-008 (6/79) IF YES, AT WHAT DEPTH? Robert A. NO. [] SOILS LOG ,~ & S Eng~meerL~q PERCOLATION SITE PLAN DATE: Gross Net Depth to Net Reading Date Time Time Water Drop _ /©' 5o DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHOEAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONDEPT. OF HEALTH & 825 L Street - Anchorage, Alaska 99501 FNVIRONMEN]'AL ENVIRONMENTAL SANITATION DIVISION N 0V 2 6 1979 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proce~ed. Please allow ten (10) days for processing. MAILING AD~REgS ~ _ . PROPERTY RESIDENT (If diffe~nt from above) / / ' PHONE ~ PHONE MAILING ADDRESS MAILING ADDRESS / ~ ~ 4. REALTOR/AGENT /~ PHONE MAILING ADDRESS ' / 5. LEGAL DESCRIPTION STREET LOCATION 6. TY?~ O~ ~E$1DENCE z / ~UMBER OF~BEDROOMS INGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE~ [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(Rev. 6/79) ~ ~'T~ ~..---~ , ~-~ -) ~,,~-..~ '~C~ ~. '- ,Op~.~z- THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED [~PUBLIC UTI LITY Connection Verified INSTALLER r--ISeptic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/H°lding Tank IAb$°rpti°n Area Isewer Li"e INearest LOt Line Absorption Area to nearest Lot Line B. COMMENTS ):¢ ~ APPROVED FOR ~ BEDROOMS ~CONDITIONAL APPROVAL (letter must accompany certificate) ~ DISAPPROVED DATE [ ~ ~ ~ BY ~ 72-010 (Rev. 6/79) Anchorage 825 "L" S-[ REET ANCHORAGE, ALASKA 99501 (907) 264-411 I DEPqFiTME~,T OF ~ qLTi~ AND Et~,.,!RONMENTAL ?qO'rECT1ON November 28, 1979 Gary E. Lanning Box 96 Lee Street Eagle River, Alaska 99577 Subject: Lot 10 Block 8 Eagle River Beights Subdivision Approval for your individual sewer and water facilities can not be granted until the following items have been completed: 1) The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. 2) The well casing extended twelve(12) inches above ground level. 3) The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review. (4) Locate the standpipes to the sewer system for our inspection. This is to insure the minimum distance requirement~ are met between your well and sewer s~stem. P~I~ase notify this department for a re-inspection when t~e noted descrepancies have been corrected. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Security Pacific Mortgage 1011 East Tudor Road - Suite 190 99507 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 ~3E[ ART,MEN r OF HEAl 7 H ANO ENVIRON%lENTA[ PROTECTION December 3, 1979 99577 Gary E. Lanning Box 96 Lee Street Eagle River, Alaska GEOf?GE M. SULLIVAN, Subject: Lot 10 Block 8 Eagle River Heights Subdivision The requirements that follow are a continuation of the letter sent on November 28, 1979 that will need to be completed before this department can give approval on the individual sewer and water facilities. (1) If the seepage pit is 100 feet from the existing well, an adequacy test will be required. If the adequacy test fails an upgrade will be necessary. If the s'eepage pit is less than 100 feet from the well, it will need to be relocated. A soil test should be submitted to this Office so that a permit can be issued prior to the upgrade. (2) The septic tank pumped and verified for size, please submit this receipt to this department. If there are any further questions, please contact this office at 264-4720. Associate Specialist RCD/ljw cc: Security Pacific Mortgage 1011 East Tudor Road - Suite 190 99507 REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILIRIES (Fill out in Triplicate) 1. Name .of person requesting approval 2. Name of property owner . ~°~ /U',t~! 3. Legal description ..... -~i'· ~ / / ; 4. Number of bedrooms in house 3 5. Water Analysis: a. Bacterial~.~ Well data: a. Type J~ ,' I1~ ~ b. Depth CD c. Casing Size de Distance from well to closest existing or proposed: 1. Sewer ine 2. Septic tank 3. Seepafe Area 4. Cesspool', , ~'~," 5. Property Line 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc. .,~q~c~_. . Sewage disposal system. a. Age of system i~.-~?"~ . b. Septic tank capacity in gallons c. Name of septic tank manufactumsr 1. If "home made" show diagram on reverse side of this foPm. Disposal field or seepage pit size and type 1, Distance to p~operty l~ne ~ to house foundation f. Percolation Test performed by ~ /3 ._ . ~? Use the revepse side of this form to show di . Diaffram should include the following information: ~rop~uty lines~ .well location, house location, septic tank location, disposal area location, location of percolation test, and direction of ground slope. The information on this form is true ant1 correct to the best of my knowledge. SiFnature of Applicant Date Si~ned TO BE FILLED OUT BY HEALTH DEPAP, T~ENT PERSONNEL ' ?h~.~ above described sanitary facilities are hereby approved, subject to the .......... '~61towinf condliions: Conditions: .~ / ~l.f}f~ <?_ g I 1' , ~ ,z, ~/~ ~C',/~ ~, 7 V - "The above described sanit~ry facilities are disapproved for the following reasons: Approval is valid for one year following the date of approval. CPJ: