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Home My WebLink AboutEAGLE RIVER HEIGHTS NORTH BLK 3 LT 2 GRE ,ER INSPECTION ANCHORAGE AREA BOR_JGH Department of Environmental ClualiW 3330 (3 Street Anchorage, Alaska gg503 REPORT ON~SII'E SEWAGE DISPOSAL SYSTEM /cs '~-~-[ L~ ~/'/' ' ~ MAILING ADDRESS NAME zS :? , LOCATION ~'"~,~:1~ ] ',/t~£7 . SEPTIC TANK: ~'~ ~,.~ ;) t; , DISTANCE ¢ FROM WELL ~'~ ~ MANUFACTURE~ MATERIAL NUMBER OF COMPARTMENTS INSIDE LENGTH__ INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY__ GALLONS. TILE DRAIN FIEFD:' DISTANCE FROM WELL ~ NUMBER OF LINES / DISTANCE BETWEEN LINES ABSORPTION AREA ",~' DEPTH: TOP OF TILE TO FINISH GRADE SQ. FT. LENGTH OF EACH LINE_ ~.~//'/ DEPTH OF FILTER ~ MATERIAL BENEATH TILE NEAREST LOT LINE '/'~';~' '/~'- TOTAL OF LINES LENGTH /~'//l/ TRENCH WIDTH~)d~IN. TOTAL EFFECTIVE ? IN. ABOVE TILE ___ IN. WELL: . "-"-\ . . ., TYPE RESt FOUNDATION .. LOT LINE ___ SEWER LINE TANK__ CESSPOOL OTHER SOURCES DEPTH SEEPAGE SYSTEM _ DISTANCE FROM: APPROVED _ __DISAPPROVED DISTANCES: SEWER LINE DEPTH: __.__REMARKS DIAGRAM OF SYSTEM ,~3'~.1 L ' ff)d Form LQ-032 G~'r ~TER ANCHORAGE AREA BOROI~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N°. 24 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ~' ..... ADD RE SS -~'~' ~/.-'K LEGAL D E S C RI P TIO N.~- ~/~.~ff. SEPTIC TANK: DISTANCE FROM WELL ./ ~/.4 ?.z/'~ ./'~'~- LIQLJID CAPACITY /'~"~ ~', _-/0 GALLONS. NUMBER OF MATERIAL --%'~'~.z'~-~Z%*/~ COMPARTMENTS INSIDE LENGTH '-~ INSIDE WIDTH -~'- LIQUID DEPTH SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER · DISTANCE FROM WELL (. ~2'-~'./~',~ ~f , BUILDING FOUNDATION TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) -~'~r~'z' SQ. FT. TILE DRAIN FIELD: DEP~'H: TOP OF TILE TO FINISH GRADE D~F FILLER MATERIAL BENEATH TILE IN. ABOVE TILE WATER SAMPLE WELL: /,//- , '.. ~-"DISTANCE FROM TYPF~/,-~f',/;/~/.~Z-",/;' DEPTH ,BUILDING FOUNDATION , NEAREST LOT LINE ',.. '~ .... NEAREST SEPTIC SEEPAGE ' , SEWER LINE /~,'~ANK ~ , SYSTEM /~'~,' CESSPOOL , SOURCES DIAGRAM OF SYSTEM DISTANCES: DATE APPROVED ..-~ ~ GAAB-HD-2 GREATE]" 327 Eagle St. ANCHORAGE AREA HEALTH DEPARTMENT Anchor~e,A~ska99501 OROUGH 279-2511 Case No./.,oeO SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT RESIDENCE ADDRESS APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH /-"//~ PERCOLATION TEST RESULTS /,-~,-{- P: / MAILING ADDRESS F'~ LOCATION OF INSTALLATION SEEPAGE PIT. ~ ,DRAIN FIELD ,OTHER ~,,~., ~'~,7-., ~_ PHONE .,/?. ~,, //,.. BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT .AS DESCRIBED BELOW. SIZE OF UN T TO BE SERVED ,- AREA - ~ c ~.~ ]RAM OF SYSTEM DISTANCES: ' I °7 /I £ .~. IL"/~ L HEALTH AUTHORITY OR I certify that I am familiar with the requirements of Greater e rea Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE ?-- ~,7'-?~ APPLICANTS SIGNATURE ~,/, ~/) O Er E GEO' Russell Oyster 694-2774 Soils 8- Foundations Performed for: Legal Description: Depth (feet) o 2 --CHNICAL Er DEVEL Box 90, Davis St., Eagle River, Alaska 99577 694 2774 or 688-2280 SOIL LOG PMENT CO. Earl Ellis 688-2280 Land Development Soll Characteristic) 6 7~ $ lC l:..___ Ground Water :ncountered: Yes No Proposed Installation: Seepage Pit~ Comments: , '~' ~' If yes, what depth Drain Field MUNICIPALITY OF ANCHORAGE ~==~ DEPARTMENT OF HEALTH & ENV, RONIVIENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 / 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. PROPERTY OWNER I PHONE Byron/Virgina KohfieldI 694-9555 MAILING ADDRESS Box 40 Tonsina Court 99577 PROPERTY RESIDENT (if different from above) PHONE 2. BUYER PHONE Clyde Kellay, Jr. 694-9555 MAILING ADDRESS Post Office Box 249 99577 % Carrole Sherrod 3. LENDING INSTITUTION I PHONE National Bank of Alaska % ~...,,:~%% k..q ~C~,I 276-1132 MAILING ADDRESS Pouch 7-025 99510 4. REALTOR/AGENT I PHONE Virgina Lee KohfieldJ 694-9555 MAILING ADDRESS Post Office Box 249 99577 5. LEGAL DESCRIPTION Lot 2 Block 3 Eagle River Heights North Subdivision SIREET LOCATION Corner of Tonsina Court/Colville - 3rd house up on the right side 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY J~ 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 I ~nd~vldual/on-slte, glve installation date UPGRADE 1977 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) I THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR )IRECTIONS: 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 [] I NDIVI DUAL/ON -SITE DATE INSTALLED [~]PUBLIC UTILITY 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 WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS Z~~-' APPROVED FOR _-~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~ DISAPPROVED DATE BY (Title~- LEGAL DESCRIPTION 72-010 (Rev. 3/78) REALTORS* REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: - / Mailing Address: 3. Name of Mailing '4. Name of Mailing 5. Name of Mailing o VA X FHA __ CONY ...... Buyer: ~C.~ Z/v .~-~ :~/~ ///,~ v ~('~ ,' Address:/~/:~ 4'~F/~/ & ~uFx~ Da~c Phone d~ - J~J~-~- Lending Institution: ~J,-~,.~:-:z d)~,~'~ . ~Y ~/~ Address: ~:<.z' ~m- ~?Y Phone A~d _.//:z~- Realtor or Agent: ~//~f*/~)~ Zd~:: ~ j'~o: ~ Address: ~n'J'x,~'.~ (>d- ~?~7 N0 Phone ~y-~"S-' Legal Description: Location: Type of Facility to be inspected: -? ~?/,~ .mTM No. Bdrms. -~ Water Supply Type of Supply: F~bq-ic Utility 7" Individual If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility __ If Individual, date of installation: Individual (on-site)?( ~REALTO AREA, INC. REALTORS L~ Anchorage "C" St. Office 3300 C Street (907) 278-2525 [] East Anchorage [] Eagle River Eastgate Office Parkgate Office 5437 E. Northern Lights P.O. Box 249 (907) 278-2525 (907) 694 9555 ~,REATER ANOiORAGE AREA BOROUGH ~ALTH DEPAR~,ENT 527 EAGLE STPgET ~NCHORAGE, ALASKA 99501 279-2511 DATE ~ECEIVED _..~, 2 TI~ ,"E: //? .... REQUEST FOR APPROVAL OF INDIVIDIIAL SEWAGE AND WATER FACILITIES FOR Appzoval Requested By / ~ ' (" ~''7 2. Property Owner Phone 4. T)~e of Facility to be Inspecte~ , 'k-~ ;;LL~ STREET: Number of Bedrooms f) 5. Well Data: A. Type B. Depth C. Size D. Construction E. Bacterial Analysis 6. Sewage D2sposal System Ao Septic Tank (If homemade, 1. 2. 3. 4. show diagram on back) Size___ / ~'~ C~-r'' V.,anufacturer /!+2 . ? X/~(~--- t · Approval Request for Sewa ~ Water Facilities PageTwo B. Seepage Pit 1. Size, 2. Lining C. Disposal Field 1. Number of Lines 2. Total Length Required Measurements A. B. C. D. E. F. G. H. Well to Septic Tank ' ' Well to Seepage Pit lqell to Sewer Line Well to Property Line l~ell to Other Possible Contamination Foundation to Septic Tank Foundation to Seepage Pit Seepage Pit to Property Line 8. COb~NTS: APPROVED ."7~/'1, ~ /',, ~ APPROVAL VALID FOR ONE YEAR FROt~ DATE SIGMED. DISAPPRO¥~D: DATE: GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT EDll70 HEALTH AUTHORITY APPROVAL iNDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA f INSURING OFFICE j MORTGAGEE , .Anc rage _ ho ___, Alaska MOR~OAOOR O, S~NSOR I SE~I^i ~0. ' 111-01~399-203 Associate Builders SUBDIVISION NAME Eagle River Heights TOTAL NUMBER: BASEMENT ,I [] New installation YVAT~R SUPPLY BY: Public system · EWAGE DISPOSAL BY: {~ Public system Alaska State Bank [ PRC);~{:~' ADDRESS .. Box 11, Eagl~ River) Alaska BLOCK NO. ~6T ~0 .,¢/',¢:,4' 7/-/ ! 3 I 2 J additional bedrooms? ~ SYSTEM DESIGNED FOR Community system . ?-1 Individual F;o. ;~, ,0,,~s.F Community system [] Individual PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT iF ~, 7~ DEPARTMENT INSPECTOR'S SKETCH . e opinion of the [--1 State ['--1 County Department of Health that this individual water-supply system ~ is [-'] is not satisf_ac~to_ry ~.~ ~!o_mestic wa_ter__s._uppl'~' f~r the subject propert.v. It is the opinion of the ['-"] State [] County E~L'~cal Department of Health that this individual sewage-disposal sys- an h proper maintenance: be expected to function satisfactorily, and H Cannot be expected to function satisfactorily is not likely to create an insanitary condition ]-SlaNATURE ........ ]- T,TLE DATE NOTE: The h&alth~authority should complete the appropriate opinion statement above and affix date, signature and title in the spaces provided. Use of the above grid for Health Department Inspector's sketch as well as use of the back of this form is at tho option of the health authority. PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: 1 have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the Individual water-supply system be considered [] Acceptable I~] Not Acceptable Sewage disposal be considered [] Acceptable 1~] Not Acceptable. CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHI1Z:CT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 F~.A Form 257.1 Form Approved U.S DEPARTMENT OF B,3H~(ING AND URBAN DEVELOPMENT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA INSURING OFFICE MORTGAGOR OR SPONSOR Byron D. Kohfield SUBmVm~ON NAME Eagle River Heights TOTAL NUMBER: T 1 r 2 1 MORTGAGEE Alaska State Bank SERIAL NO. JFHA %q11-011399 PROPERTY ADDRESS nhn Tonsina Court Lot 2, Block 3, Eagle River Heights North "o. LOT NO. 3 2 BASEMENT [~ New installation l Yes []No [~ Community system Can alflc or other oreo bo made additional beKIrooml? {If Yes, how martyr') WATER SUPPLY BY: [~] Public system ~ Individual SEWAGE DISI~OSAL BY: [] Public system [] Community system ~'] Individual PART II.raTa BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [] State [] County [~ Local Department of Health that this individual water-supply system [] is [] is not satisfactory as a domestic water supply for the subject property. Public Water' It is the opinion of the [] State N County [] Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [~ Can be expected to function satisfactorily, and [-"] Cannot be expected to function satisfactorily is not likely to create an insanitary condition Th,~ea~h authority should complete the appropriate opinion statement above and affix date, signature ~nd title in the NOTE: spacos provld~d./ UIa of tko )d'bove grid for Health Department Inspector's sketch as well as uIe of the back of this form is at the option of the health authority. PART III.refeR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliaalce Inspection Report, and recommend that the Individual water-supply system be considered [] Acceptable [] Not Acceptable Sewage disposal be considered F-] Acceptable r-] Not Acceptable. DATE SIGNATURE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATIR SUPPLY AND SEWAGE DISPOSAL SYSTEM CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITECT FHA Form 2573 Rev. July 1958