HomeMy WebLinkAboutEAGLE RIVER HEIGHTS NORTH BLK 3 LT 4
GR" ~,TER ANCHORAGE AREA BOROLP~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
N? 370
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MA LING
I.'/~,~ /I ',
ADDRESS
SEPTIC TANK:
DISTANCE FROM WELL
LIQUID CAPACITY ,- '
GALLONS,
~ ? : / NUMBER OF
MATERIAL COMPARTMENTS
INSIDE L~ INS~W[DTH ' ' DEPTH '
SEEPAGE SYSTEM:
,!
NUMBER OF PITS
SEEPAGE PIT:
OUTSIDE DIAMETER
/
LINING MATERIAL 4' / > ./
NEAREST LOT LINE
OR WIDTH , LENGTH ' '~ , DEPTH
/ ~; ~l [' BUILDING FOUNDATION
DISTANCE FROM WELL t, : ;-- r*l . '
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM W~I__L ~-- ~,.~..~ , FOUNDATION
NUMBER OF LINES DISTANC~BE_T._WEEN LINES
- .... -~ TOTAL LENGTH
, NEAREST LOT LFIN~Ex
OF
LINES
TRENCH WIDTH ~'~ IN. TOTAL EFFECTIVE
ABsOrPTIoN AREA
SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE__
WELL: TYPEiL .:' TM ""~" j; Z ~ _ ..... D4S~ANC~: FROM ...... W~TER
,/ '; DEPTH ' , BUILDING FOUNDATION. SAMPLE --NEARESI
--~ _ OTHER
NEAREST S~PT4C 5EERAGE ..... CESSPZ-~UUL ....
SOURCES.~
LOT LINE ' '~ SE~ ~N~ , TANK , SYSTEM
DISTANCES:
DIAGRAM OF SYSTEM
/ ,/~'/ / /
DATE APPROVED
GAAB-HD-2
GREATEI~ ANCHORAGE AREA ~,OROUGH
HEALTH DEPARTMENT
327 Eagle St. Anchorage, Ala~ 99501 279-2511
Case No./'~)/~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
MAILING ADDRESS /.~<,~ !!
LOCATION OF INSTALLATION
/.d v I]l!r
~ ,SEEPAGE PmT. ~ ,DRAIN FmEkD ,0THER
TO BE INSTALLED BY
~r-~"~o.~ ANTlolPATEO DATE OF cOMPLETION
NAME OF APPLICANT n.,S:~,,~'tF. )_~.
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH
PERCOLATION TEST RESULTS /¢¢
/
PHONE NO.
//,,,U,
,j-
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS '- ~'~, '~''''-'~,~.,~ , PERMIT TO INSTALL A -~,:
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
SEPTICTANKSIZE/¢'~.~4/ TYP~2V,,/ SEEPAGE AREA /C(Ma ¢ TYPE 5i~ 5~,,~ DIAGRAM OF SYSTEM
DISTANCES:
HEALTH AUTHORITY
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
DE;T ,
MUNICIPALITY OF ANCHORAGE
-~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720 RECEIVED
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
MAILING ADDRESS
PROPERTY RESIDENT(If different from above) t ~ ' PHONE
2. BUYER PHONE
MAILING ADDRESS
3. LENDING INSTITUTION ~ ¢ ' x~ PHONE
MAILING ADDRESS
4. REALTOR/AGENT ~ PHONE
I
5. LEGAL DESCRIPTION
't
STREET LOCATION
6. TYPE OF RESIDENCE NUMBER OF E~EDRO(~S
X ~] One [] Four [] Other__
SINGLE
FAMILY
j~ Two [] Five
[] MULTIPLE FAMILY Three [] Six
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
**If individual/on-site, give installation date II' ~ '~
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,
72-01
0(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR I NSP[:CTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOM8
[] SINGLE FAMILY E~ ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY E~ TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEP~-H OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[~ INDIVIDUAL/ON -SITE DATE-: INSTALLED
I~ PUBLIC UTILITY
Connection Verified
INST&LLER
[]Septic Tank or EZ] Holding Tank
S~ze:
~_ E.~, If Tank is homemade SOILS RATING
give dimensions:
TOTAL ABSORPTION AREA MATI=-RIAL /_~ ,
4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
[~ APPROVED FOR ~L BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED ,- ,)
DATE BY (Title)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
DAVID A, SLENKAMP
ROBERT A. SHAFER
Century 21, Metropolitan
ATTENTION: A1 Swires
P.O. Box 677
Eagle River, Alaska 99577
MECHANICAL ENGINEER
694-9055
July 28, 1981
MUNICIPALITY 0'~ AF'~'~'F~'[I~ I N E E R
DEPT. 01: ~.:~L~ ~94-2979
ENVIRONME~ ''q- ~ "~ C', ~ON
RECEIVED.
Dear Mr. Swires,
Reference: Lot 4; Block 3: Eagle River Heights North Subdivision;
Robertson Droperty
A sewer system adequacy test was performed on the sewer system
located on the referenced property as you requested. The septic
tank was pumped and verified to have a capacity of 1000 gallons.
The seepage pit was full of water and approximately 1000 gallons
was removed. 1000 gallons was then placed back in the crib and
after a period of 24 hours approximately 107 gallons of water had
percolated out of the crib.
The septic tank is adequate for your two bedroom residence. However,
I regret to inform you the seepage pit was adequate for less than
one bedroom. It will be necessary for you to have the absorption
area upgraded before it can be considered adequate for two bedrooms.
If we may be of further assistance, please do not hesitate to call.
Sinc~ely,
cc: First National Bank of Anchorage
Main Branch
Municipality of Anchorage
Department of Health and Environmental Protection
SR8 196X EAGLE RIVER, ALASKA
Municipality of Anchorage
DEPAR], .tNT OF HEALTH & ENVIRONMENTAL PR..ECTION
POUCH 6-650 ANCHORAGE, ALASKA 99502
279-2511
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. TYPE OF LOAN ]2. ASSESSORS PARCEL NUMBER
[] VA [] F.H.A. [] CONV []
1
3. LENDING INSTITUTION 4. REALTOR OR AGENT
Coast Mortgage Loan
4797 Business Park Boulevard
Anchorage, Alaska 99503
Judy 279-0665
5. SELLER 6. BUYER
Billy/Nancy Sweat
Post Office Box 813
Eagle River, Alaska 99577
694-9175
7. LEGAL DESCRIPTION 8. LOCATION/STREETAODRESS
Lot 4 Block 3 Eagle River Heights Nort ~
9. TYPE OF DWELLING lO. WATER SUPPLY 11. SEWAGE DISPOSAL SYSTEM
J~INGLE FAMILY RESIDENCE 2 BORMS ~PUBLIC UTILITY Glenn Briggs [] PUBLIC UTILITY
[] MULTI-FAMILY RESIDENCE DORMS [] PRIVATE ON-SITE ~0N-SITE
YEAR iNSTALLED
INSTRUCTIONS TO REQUESTOR
1. Complete Items ! to 11 above 3. Send to address above 5. Response will be returned to lending
2. Remove the carbon 4. Please allow 10 days for processing institution
DATE RECEIVED DATE OF INSPECTION 'IME OF INSPECTION INSPECTOR
June 6, 1977 June 8, 1977 Wed. 1:30 p.m. pratt
TYPE Ju~ 9, 1977 Th-~r~. ~C-~EP.~H,-,~ YEAR DRILLED PERMIT REFERENCE
~ FT.
~ CONSTRUCTION BACTERIAL ANALYSIS LAB REFERENCE NO.
YEAR INSTALLED INSTALLER TANK SIZE MANU~FACTURER,, ~
~ DIMENSIONS CRIB CONSTRUCTION
~ TOTAL LINE LENGTH TRENCH DEPTH GRAVEL DEPTH
~- [] DISPOSAL
w FIELD
~ FT. FT. FT.
TOTAL ABSORPTION AREA PERMIT REFERENCE
SQ. FT.
72 010 (11/76)
~ Municipality of Anchorage ~
DEPAR'~NT OF HEALTH & ENVIRONMENTAL PI~C~CTION
POUCH 6-650 ANCHORAGE, ALASKA 99502
279-2511
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. TYPE OF LOAN J2. ASSESSORS PARCEL NUMBER
[] VA [] F.H.A. [] CONV []
I
3. LENDING INSTITUTION 4. REALTOR OR AGENT
Coast Mortgage Loan
4797 Business Park Boulevard
Anchorage, Alaska 99503
Judy 279-0665
5. SELLER G. BUYER
Billy/Nancy Sweat
Post Office Box 813
Eagle River, Alaska 99577
694-9175
7. LEGAL DESCRIPTION 8. LOCATION/STREETADDRESS
Lot 4 Block 3 Eagle River H~ights North
9. TYPE OF DWELLING 10. WATER SUPPLY 1. SEWAGE DISPOSAL SYSTEM
:~SINGLE FAMILY RESIDENCE 2 DORMS [~PUBLIC UTILITY Glenn Briggs [] PUBLIC UTILITY
[] MULTI-FAMILY RESIDENCE DORMS [] PRIVATE ON-SITE ~ON-SITE
YEAR iNSTALLED
TYPE: DEPTH: CATE RECEIVED
LU CONSTRUCTION BACTERIAL ANALYSIS DATE INSPECTED
J~ne 6, 1977 June 8, 1977 Wed. 1:30 p.m. pratt
~ .... a l O~ m~, .... ~~ ~ ;st
YEAR INSTALLED
l-- S MANUFACTURER
r_j DIMENSIONS CRIB CONSTRUCTION TOTAL ABSORPTION AREA:
F-
~ [] SEEPAGE PITS:
co TOTAL LINE LENGTH
[] DRAINFIELD: k,i ',~ ~ '~!- /~ Y~ SQ. FT,
~ :~' '~' WELL T0:'!"7 ~ '~ SEPTIC TAN K ^BSORPTmON AREA SEWER L/N~ ~3C') LOT UNE _~H~CO. ~]~,ON SOU RCE
~ FOUNDATIONT0: L~ < ~O i SORPTIONAREATO:
APPROVAL VALID~FOR ONE YEAR
A~PROVED '~---~ FROM: C '~'
[] DISAPPROVED [] UNABLE TO INSPECT Department of H~a~,q-S Environmental Protection
Municipality of Anchorage
Environmental Protection
825 L Streeu
Anchorage, Alaska 99501
INDIVIDUAL SEWER & WATER FACILITIES
REQUEST FOR APP2OVAL OF
1. Type of Inspection: C~,IRO VA
2. Prope'r ty Owner: X~/~/ c?4'J
Mailing Address: /
Na~e of Buyer: .
Hailing Address:
FHA CONV
Day Phone
Day Phone
;~ame ef Lending Institution: ~ z_,,~ z~ /~¢~/,/~ ¢
Mailing Address:. ~,-,~. ~-'A'. 79;~-/ 7 Pho~..~ ~"-'"//-2'~-(~-'
Name of Realtor or Agent: 'X/~',.'/A'//: ~,'//--,~
Kaitin9 Address: /..~ ~<,/ ~ ....
/
6. Legal Description: - /~'~,~;,/~ ×¢ '-~ ~,k ,¢¢/; /-', '// ~/ //¢3>[ 5'
7. Type of Facility to be inspected:
No. Bdfms. /
~ater Supply
Type of Supply:
Public Utility ./~
Individual
If Individual,'number of dwellings, presently served
If Individual, depth of v~ell
9. Sewage Disposal. System
Type .of S~stem: Public Utility
Individual (on-site)
........ If Individual, date of installation
GREATER ANCHOg~GE AREA BOROUGH
Department of Environmental Qu~lity
3500 Tudor Road, Anchorage, Alaska 9950'7 279-8686
Date Received
Time of Inspection
Date of Inspection
REQUEST FOR APFROVAL OF
INDIVIDUAL SEiNER & WATER FACILITIES
FOR
Aoproval Requested By:
?. Pro~mrtv Owner: .!i];i.i; ~.
3. Leqa] Oescriptlon:~ ', 1.. ", -*-1
4. LocatSon: ¢ · ~' %~vill~,",: TonMna
5. Type of Facility to be Inspected: S
~umr, er of 9edrooms:
5, F~ell Data:
A. Type f~:~ .... ~, ~, "/
C. Construct1 on
7. Sewage D1soosal.System:
Phone: ~',.,.-'.~7,, .
Phone,
:i';,,:7~ .':r':, S.)bdivision
B. Depth
D. Bacteria] Analysis
!nsta]ler ([rit' ~h'son luilt the ilo{r,e)
C. Septic Tank: 1. Size i .... ;al.2.
O. Seepage Pit: l. Size i '>, 1'6" 2.
~. Disposal Fie]d; Total Length of Lines
D~st~nces:
A. ~:~c]~ To: Septic Tank
Manufacturer
, Absorption Area
, Nearest Lot Line
Foundation to Septic Tank
, Sewer Lines
, Other Contamination
AbSorption Area
Ai~sorption Area to Nearest Lot Line
[~e~st for Approval
Pagr~ Two
9. Comments:
August 15, 1973
II
I / Aporova] Valid for ODe Year From Date S~gned
~cater Anchorage Area Borough, Department of Environ~,enta] Quality
DIAGRAM OF SYSTE~;.
c-.rti fy that the Information contained in this request for approval to be a true
accurate represer, tat~on of [:he subiect sewer and water facf~]tties located at:
Siqned Date