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Home My WebLink AboutEAGLE RIVER HEIGHTS NORTH BLK 5 LT 4~fl/ GRF" .R ANCHORAGE AREA BO'-' SH Department of Environmental Quality 3500 Tudor Road Anchorage, Alaska 99507 SEPTIC TANK: DISTANCE ~/'~'m'~/P'~rw~'w ~ . ~ NUMBER OF FROM WELL/;'/~~'Z;~/'' MANUFACTURER z,~-~~ MATERIAL ~~ COMPARTMENTS ~ INSIDE LENGTH '~ INSIDE WIDTH ~ LIQUID DEPTH ~ LIQUID CAPACITY /~ g:~'g~/-J GALLONS. SEEPAGE PIT: LINING MATERIAL /---~(~ CRIB SIZE: DIAMETER'S. DEPTH ~w DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION~....~/, NEAREST LOT LINE /~:~w . ABSORPTION AREA (WALL AREA) .'~:~'~ SQ. FT, ADDITIONAL ABSORPTION WELL: ~--~..-.~,.-mg.~'.~.'~ /--'C/'.,4,,'~y'~ TYPE /~' ~/CO.CT ION BUILDING // NEAREST ~ NEAREST FOUNDATI~___/ , LOT LI~~, SEWER LINE CESE~L OTHE S~ RC~~ APPROVED DISAPPROVED REMARKS DEPTH /_ D,.'~ISTANCE FROM: SEPTIC /"5~PAG E /, SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form PW-026 DIAGRAM OF SYSTEM GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT PERMIT NO. LEGAL DESCRIPTION __PHONE TYPE AND SIZE OF FACILITY TO RE SERVED TEST RESULTS /~ n~'-/~¢?~:, COMPLETION DATE ANTICIPATED INSTALLATION OF: SEPTIC TANK SEEPAGE PIT--. DRAIN FIELD OTHER TO BE ~NSTALLED BY f~9 ~ ~c,~, ~-,q NOTE~ THI~, PERMIT I$ NOT VALID WITHOUT ~OIL. '1'~$.~ PI:'I~MTT VAI T~ flNF YFAR FINAL IN~PECTIONt Z4 HOUR NOTICE: REOUIREO. BACKFILLING OF ANY SY~I"~M WITHOUT FINAL IN~ECTION BY THE HII'ALTH DEPARTMENT AUTHORITY WILL BE 'IUBJ£CT TO PROSECUTION. SEPTIC TANK SIZE ~) ~) (':) MINIMUM DI~TANCEB, RI'QUIREMENTM 5 ft. FOUNDATION 70 SEPTIC TANK FOUNDATION TO SEEPAGE PIT 20 ~e D~AIN FIELD $EPTIC TANK TO ~EEPAGE PIT WALL [~ ~t9 SEPTIC TANK TypE~t~] O~' corI~RtP. SEEpAGE AREA SIZE 10 ft. SEEPAGE Prr /--"~C~u ALSO CONSIDER AREA WELLS. SEEPAGE PIT lO ft. TO NEAREST LOT LINE. WELL TO SEPT,C TANK DRAIN FIELD WATER MAiN TO SEPTIC TANK DRA~N ~,ELD 10 ft. SEPTIC TANK. 25 ft., SEEPAGE PIT 100 ft,, ORA,N ~,ELD 50 ft., TO RIVER. LAKE. STREAM. EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. TYPE GRAVIrL IACKFII. I. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALT~ AUTHORITY OR LICENSED DESIGNER DIAGRAM OF ~YB'TE:M S011. S ,.. ~/"--'~ T [ CAST IRON SIPHON PIPE SOIL I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER AI~I~ORAGE ARE~ROUGH ORD~CE NO. 28-58 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.~~~~~~ 5 6 7 8 9, 3500 TUDOR }~(",;~r: A~CHDRAGE ~ ALASKA CCSE # Leoal Description: Lot__~_F~ioc!' This Form Reports Soils Loq Percolation Test Depth Feet Soil Characteristics Was Ground Water Encountered? iF Yes, At what Denth? Reading Date Grnss Time Net Time Denth to Percolation Rate Proposed ~rlSta! latir>~,: <e, :",,:~(~ Pit nr~in Field Death of Inlet Pe,,i;-H--Yb--?(o-~-tc~m hF Pit F;' a t e: Net Dron; MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES OIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten {10) days for processing. 1. PROPERTY OWNER I PHONE Joaquim Mart ine sI 694- 3055 MAILING ADDRESS 527 Meadow Creek Drive 99507 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Dan M. Gross 274-4993 MAILING ADDRESS 2907 :La Honda Drive #26 99503 3. LENDING INSTITUTION I PHONE National Bank of Alaska % John De MorrisI 276-1132 MAILING ADDRESS 4. Pouch 7-025 99510 REALTOR/AGENT(,~1~ ~ '~'~ I PHONE Myrna Johnston % Area Realtors :-- ~--"-- ,-~' 694-9555 MAILING ADDRESS Post Office Box 249 99577 5. LEGAL DESCRIPTIONk 4 Block 5 Eagle River Heights"Subdivision Lot STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four S~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ::~X 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 :I~X INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date ~ I<~.~ If system is over two e years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~10(3/78) ~l I THIS SIDE FOR OFFICIAL USE ONLY ~ DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSPECTO R INSPECTOR INSPECTOR DIRECTIONS: 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 UTILITY Connection Verified ~ ~ INSTALLER ~Septic Tank or [] Holding Tank Size: /t~.~ 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 ~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 VA FHA __ 2. Property Owner: Mr. & Mrs. Joaqu±m Mart±nes '4. Mailing Address: 527 Meadow Creek Drive Name of Buyer: Mr. & Mrs. Dan M. Gross CONV Day Phone 694-3055 Mailing Name of Mailing Name of Mailing 2907 La Honda Dry9~ 326 Address: Anchorage, AK 0 Day Phone 274-4993 Lending Institution: National Bank of AK., Attn: John DeMorris i~_n chor age. A~hone Address: P. O. Box 600, 99510 276-1132 Realtor or Agent: Myrna Johnston, AREA~ Inc. Realtors ~ 99577 Address: P. O....BOx ..2..49, Eagle River, Phone 694-9555 6. Legal Description: Eagle River Hgts. No. Block 5, Lot 4 Location: Take Meadow Creek Drive off ~l. agl~ R~r~r Loop Rd. (cedar sidinq) is 3rd one. on Riqht past Anvik Circle. 7. Type of Facility to be inspected: Single Family No. Bdrms. 8. Water Supply Type of Supply: Public Utility x Individual ~ If Individual, number of dwellings presently served House If Individual, depth of well Sewage Disposal System Type of System: Public Utility __ If Individual, date of installation: 1973 Individual (on-site) (~stimated) X REALTOR* AREA, INC. REALTORS ' [] 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 19 September 1976 Hr. ~aquin Mar£inez 527 Meadow Creek Drive Eagle River, AK 99577 Dear Hr. ~artinez: A sewer system adequacy test was performed on your three bedroom residence located at 527 Meadow Creek Drive, Lot 4, Block 5, Eagle River Heights North Subdivision. The septic tank was pumped on 27 September 1978 and in accordance with Municipality records, has a liquid capacity of 1,000 gallons~ The system consis~in~ of a seepage pit was charged with 1,00,) gallons of water. Percolation over a 26 hour period as recorded on 28 September 1978 resulted in the total re.oval of 1,657 g~llone or in excess of 552 gallons per bedroom. CF: Dept of Health and/ ~i Environmental Protection On the basis of the above survey and teat, i~ is determined that the system (septic tank and seepage pit) is adequate. / P.E. / /