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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