HomeMy WebLinkAboutEAGLE RIVER HEIGHTS NORTH BLK 5 LT 12
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME PHONE ~NEW
MAILING ADDRESS
LEGAL DESCRIPTION
NO. OF BEDROOMS
Well Absorption area Dwelling PERMIT NO,
DISTANCE TO:
Material/ No. of compartments
~ ~ Liq. c~pacity in galJons Inside length Width Liquid depth
~O~ff~ If HOME.DE:
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O ~ ~ Manufacturer Material Liquid capacity in gallons
Q Wel~ Founda~ Nearest lot line PERMIT NO.
;~ ~ DISTANCE TO:
~=~ ~ No. o~ li~s/ lo.gthff~of eacH~li.o Total ff~l~n~th/of lines Trench~/width~ inches Distance~between lines
~ ~ ~ Top oY tile to finish grade M~t~riaI beneath tile total effective absorption area
Length Width Depth PERMIT NO,
~ Type of crib Crib diameter Crib depth Total effective absorption area
m Well Building foundation Nearest lot line
~ DISTANCE TO:
Class ~ Depth Driller Distance to lot line PERMIT NO,
m Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
/ r
APPROVED DA~~ E G A L
72-013 Rev. 3/78)
MUNICIPALITY OF ANCHOI~A~
DEPT. OF HEALTH &
ENVIRONMEINTAL PROTECT IC, i,.~
RECEIVED
BESSE, EPPS & POTTS
ENGINEERING, PLANNING, SURVEYING
2220 £. 58th .Ave. / Anchorage, Alaska 99507 / Telephone 907-349-5451
TO:
LETTER OF TRANSMIyiAL
ATTENTION:
SUBJECT:
OUR ,IOB NO.
Transmitted herewith is/are the following:
CC:
"Providing a quality personal/xed service to those building Alaska's future"
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION: /-I~,7~/~ ~//~'
~P
1
2
3
4
5
6
7
8
9
10-
11
12
13
14
15
16
17
18
19
20
Township,SLOPE R an ge' Secti°n: ~ J/~' ~?~T~E ~'tL~A ~
WAS GROUND WATER
ENCOUNTERED?
/~;/-/"~'~"~-~-/~'~ "~ s
L
IF YES, AT WHAT O
DEPTH? p
E
Depth to Water After
Monitoring? Date:
Reading Date Gross Net Depth to Net
Time Time Water Drop
o,/5',~ 15'" /~,/ ~ ~- ~ ~
~, ~, ~¢ ,, / ~' ~ ~ ', ~ -,
/,~,. ~.. ~,. I~, ~ ~ : ~/~ -
/:/~" /; i~' /~' ~ ~ ~ ~.
PERCOLATION RATE ''/ /' (minutes/inch) PERC HOLE DIAMETER __
TEST RUN BETWEEN '~ FT AND ~ FT
COMMENTS ,>,/
~EUFORUe~ ~V: ~/~ ~ ~/~r:~:/ ~ ~ ~///~¢:/ CEUT~rV V~T T~S VeST W~S PeUrORUeO ~
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THiS DATE. DATE:
~2-~8 (Rev. 4/85)
4' x 46' xz=
II
SURVEYOR*S CERTIFICATION
I HERESY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DESCRISED ON THIS PLAT AND THE
IMPROVEMENTS SITUATED THEREON ARE LOCATED
AS SHOWN OM THIS PLAT.
DATED THIS L-'~/ DAYOP J~.f~' ,,,~?.
LEGEND
0
NOTES:
I.
LOT CORNERS
FOUNDATION
DRAINAGE ARROWS
IT SHALL BE THE RESPONSIBILITY OF THE SUILDER OR OWNER TO VERIFY THAT
SUILDING LOCATION SHOWN MEETE ALL SUBDIVISION COVENANTS AND ZONING
ORDINANCES.
E. IT IS THE RESPONSIRILITY OF THE SUtLDER TO VERIFY ALL ELEVATIONS WITH
RESPECT TO ALL UTILITIES,~
*~. THIS PLAT REPRESENTS THE PARCEL OF PROPERTY DESCRISED SELOW TAKEN
PROM THE RECORDED PLAT DESCRIBING THAT PARCEL. INSTRUMENTS RECORDED
PRIOR TO OR AFTER THE FILING OF THE RECORDED PLAT ARE NOT SHOWN ON
THIS PLAT,
4. THE INFORMATION ON THIS PLAT IG FOR THE USE OF LENDING INSTITUTIONS
SPECIFICALLY TO SHOW ANY CONFLICT8 SETWEEN EXISTING STRUCTURES AND
PLATTED LOT LINES OR EASEMENTS t THE PLAT IS ROT TO BE USED FOR
POSITIONING ADDITIONAL STRUCTURES OR FENCES.
.LOT 12,, I~I.,OC, K, 5
BESSE, EPPS 8~ POTTS
2220 E. 88th. AVE.
$49-6452 ANCHORAGE, ALASKA 99507 349-6454
DRAWN BY, )1/',,.Iv~ L J SCALEr
I
CHK. BY, J DATE~
I~*~ ~0~ C-C OWN. NO.
9/8'7 PLO. BK.,
GRE/
'R ANCHORAGE AREA BOF-'"GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL
¢ Ig51'~l
MANUFACTURER
MATERIAL
NUMBER OF
COMPARTMENTS ~Z~
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITY f~O GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / . DIAMETER 5/I
LINING MATERIAL ~'g)~- CRIB SIZE:
BUILDING FOUNDATION /~)f ,
OR WIDTH__ LENGTH__ DEPTH {2/'
DIAMETER ~;~! DEPTH ~2! DISTANCE FROM: WELL
/,~¥ TOTAL EFFECTIVE
NEAREST LOT LINE ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
BUILDING
FOUNDATION __
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
, OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
REMARKS
DEPTH
SEPTIC
TANK __
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAl ·
s f .7;¢,,,
LOT SLOPE:
REMARKS:
Form No. EQ~031
DATE
DIAGRAM OF SYSTEM
APPROV~.~)~-
FG.A.A.B.
Parcel I.D. #
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage; Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
O~ ~ - ~t'~O~ HAA #
1. GENERAL INFORMATION
Completelegaldescription ~-olz /;~ ~(~, _~ ~,~/~ /~;u¢," //{~,
Location (site address or directions) ~0
Property owner ~f'f¢//
Mailing address ~-g). ~'
Lending agency
Mailing address
Day phone
Day phone
Agent ~,/~ '4'~f7"~'/'/ '~, Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
lng to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
NOTE:
If community well system, provide written confirmation from State ADEC attest-
Individual on-site. K
Holding tank
Community on-site
Public sewer
If community wastewater syStem, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA #21
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm
Address
Engineer's signature
o
DHHS SIGNATURE .~
/~ ·Approved for
, ,',,. Disapproved.
',,/~ Conditi~,nal approval for
Phone
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
By: Date - '
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph' 5 above by an independent
professional engineer registered in the State of Alaska The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisty certain federal and state requirements:Employees of DHHS do not
conduct inspections or analyze data before a certificate i$ issued. T~e Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work. ..
72-O25(Re~.1/91) Back MOAi~21
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: £o.~ tZ ~JJ~ % ~l~ /~;~¢~- /~¢~,/U~f,~ Parcel I.D.
A. WELL DATA
Well type ~/,~-.~ A ['~.o.A,~f A, B, or C, attach ADEC letter.
Log present (Y/N) Date completed
Total depth Cased to
Sanitary seal (Y/N)
FROM WELL LOG
Date of test
Static water level
Well flow
Pump level
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Public sewer service line
ADEC water system number
Driller
Casing height
Wires properly protected (Y/N)
AT INSPECTION
g.p.m.
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform
Date of sample:
Nitrate Other bacteria
Collected by:
B. SEPTIC/HOLDING TANK DATA
Date installed ~/2',~ ? 8 "7
Cleanouts ~'N)
High water alarm (Y~
Date of pumping
Tank size I .5'~30 .~ ~l Compartments
Foundation cleanout (~N) Depression (Y~
Alarm tested (Y/N)
c~/~ 1?/
SEPARATION DISTANCES FROM SEPTIC/HOLDiNG TANK TO:
Well(s) onlot k), /,,
To property line /-/2. /
Surface water/drainage
On adjacent lots
Absorption field
~3.5'
N. A, Foundation /4~
2 .~ -?'' Water main/service line
72-026 (Rev. 3/91)Front MOA 21 CONTINUED ON RACK PAGE
C. LIFT STATION N,
Date installed
Size in gallons
Vent (Y/N)
High water alarm level
"Pump on" level at
Manufacturer
Manhole/Access (Y/N)
"Pump off" level at
Cycles tested
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot On adjacent lots
Surface water
D. ABSORPTION FIELD DATA
Width
Date installed
Length ,5'~'
absorption area >/~0 ~' ~,
Total
Depression over field (Y,(~
Results (pass/fail)
Peroxide treatment (past 12 months) (Y/N)
Soil rating I ~,5
Gravel thickness
System type
Total depth ~ ~'~
Cleanouts present ~'N)
Date of adequacy test ~ / Z ~, / ~' /
for
bedrooms
If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot /V,
To building foundation
On adjacent lots
Surface water /OO '
Curtain drain /J,
On adjacent lots /,,I, /~, Property line
~ Z / To existing or abandoned system on lot
Cutbank ~o A, Water main/service line
Driveway, parking/vehicle storage area
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
S, g n at u re//~-- _~.~,~//~:~
Engineer's Name
Date
HAA Fee $
Date of Payment ~//~ ~7/?/
Receipt Number .~, .P, ~¢¢
Waiver Fee: $
Date of Payment
Receipt Number
72-026 (Rev. 3/91) Back MOA 21
HOME SERVICES, INC
CUSTOMER
IE,900 [:ran¢'e$ca Drive
Anc:horag~. ,,%la.~ka 9!)516
345-1890 or ::145-2444
· Dale Merzelt En~3ineering
11766 Wl~de~ ness Dr
INVO~C£ # 5 5 ~ $
Anchorage, Alacka 99,5 i ~.%
5 J2 Eagl~ ~{v~l- H~ghr:-: N
Bl~ok Lot
DATE DESCRIPTION AMOUNT
06-26-91 P~mp S~p~c a~ 10843 Anvlk C~.r¢-le E~31c* ~qiv¢,r~
~ -.Djf ~- bai'e ....
FILE R EC(3}~-:-~-' NONE
REMARKS
~ iL ~_~lJ ~ ' ..........
1~ Gallons J Septic ___ Loacl~ Area Holding Tank \ .Standpipes
Time
~ PROBLEM AREA--CALL FOR MORE INFORMATION
[] NEEDS TO BE DONE AGAIN IN 8 MONTHS
[] Good Shape [] Sludge buildup on bottom r-1 Floater on top
r-1 Jim cap missing or ?, Cut standpipe to 1' above ground ~ Needs Septictrlne
needs replacing
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF ~r~.ALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
/
1. General Information Application Date ~/
/
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address. or directions)
.
(b) Applicants Name
Applicants ~drees
(c) Applicant is (check one) Lending Institution ~ ; ~er/builder
/~z~ ~//,/,~,~Te 1 e pho ne
(e) Real Estate Co. & Agent /~,/~
Address
Telephone
(f) ~ the ~ to the following ~dress:
2. Type of Residence
Single-Family.~
Number of Bedrooms
Multi-Family ~--~
Other (describe)
3. Water Supply
Individual Well ~ Community ~-~ Public ~-~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
4. Sewase Disposal
Onsite~-~ Public~-~ Communlty~-~ Holding Tank~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
[Page 1 of 2]
5. Engineering Firm Providing Inspections~ Tests~ File Search~ Data and Information
As certified by my seal affixed hereto and as of the validation date shown below, I
verify that my investigation of this Health Authority Approval shows that the on-site
water supply and/or wastewater disposal system is safe, functional and adequate for
the number of bedrooms and type of structure indicated herein. I further verify that,
based on the information obtained from the Municipality of Anchorage files and from my
investigation and inspection, the on-site water supply and/or wastewater disposal
system is in compliance with all Municipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.
Name of Firm
Telephone
Address
Date
(ENGINEER SEAL)
DHEP Approval
Approved for ~ bedrooms
Approved,~ ~n~ Disapproved
Terms of C tional Approval
Conditional
CAUTION
THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MEN~CS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK.
(DHEP SEAL)
RR4/ej/D18
[Page 2 of 2]
7-19-84
ae
Well Classification
Well LoG P~esent (Y/N)
Total Depth
Static Water Level
Casing Height Abo~ Ground
Elect]~ical Wiring in Conduit (Y/N)
Separation Distances f~cm Well:
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Cased to
If A, B, c~ C, D.E.C. Approved(Y/N)
Date Ccmpleted Yield
Depth of G~outing.
Pu~p Set At
Sanitary Seal 'on Casing (Y/N)
Depression A~ound Wellhead (Y/N)
To Septic/He,Ill, Tank on Lot Z~ ~ ; O~ Adjoining Lots
To Nearest E~ of Absorption Field on Lot~~7~ ~ ; On Adjoining Lots
To Nearest Public Sewer Line To Nearest Public Sewer
Cleancut/Manhole To Nearest Sewer Service Line on LOt
Water Sample Collected By ; Date
Water Sample Test Results
C~L~nts
Be
SEPTIC/HOLDING TANK DATA
Date ~Install/~ .~//7 ~ Size /~O.~ No. of Co~a/rtments ~
StanGpipes/(y~NJ~ - Air-tight Caps~Y~ Foundation OleanoGt
P~mping/Maintenance Contract on. File (y/N~u/~ , for
Holding Tank High-Water Ala~'m (Y~/~ Temporary Holding Tank Permit (y/N~//f/~
Separation Distances f~cm Septic/Holding Tank: !
To Water-Supply Well ~{~ 0 ~---' To Building Foundation 7
To Property Line ~ '~ To Disposal Field /~' !
To Weter ~a4~'Service Line ~) ~- To Stream, Pond, Lake, c~ Major D~ainage
Course
C<~,~nts A3 0 ~ ~
[Page 1 of 2]
2-15-84
C. ABSORPTION FIELD [L~TA
Soils Rating in Absorption Strata 6{ ~ Type of System Design~'~/~/~/~-'
Date Installed Y/7 I/ Length of Field / 7'
Width of Field / y ! Depth of Field. ~ !
Gravel Bed Thickness ~_~
Square Feet of Absorption Area ~(9 ~ Standpipes P~esent~Y~l~,
Depression over Field (F~ Date of Last Adequacy Test~'/'-
Results of Last Adequacy Test
/
Separation Distanoe from Absorption Field:
!
To Water-Supply Well ~6~D ~- To Property Line // ~
To Building Foundation / ~ ~ To Existing or Abandoned System ca
!
Lct z~dO ~3 ~ ; On ~joining Lots ~-0
To Water Ma/~T/~ Line ~D 'A- TO Cutbank(if present) /J
To Stream/Pond/Lake/c~ Major Drainage Course /~0 ~J/~
TO Driveway, Parking Area, c~ Vehicle Stc~age Area ~0 ! ~L
Cc~,~nts
D. LIFT STATION
Date Installed
Size in Gallons
"P~p On" Level at
High Water Alarm Level at
Tested fcr
Electrical Codes(Y/N)
Meets MOA
Comments
** Check Pe~Taitted Bedrocm Rating Against HAA Request
I certify that I have checked, verified, c~ conformed to all MOA HAA GuidOn effect
on the date of this ins~ecticn.
Signed
!
2-15-84
-,d DA rE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~PT. OF
825 L Street - Anchorage, Alaska 99501 ~NVIRONMEN [,~L
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720
DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proceed. Please allow ten (10) days for processing.
1. PROPERTY OWNER / PHONE
MAILING ADDRESS
PROPERTY RESIDENT (If different fram able) PHONE
PHONE
2. BUYER ~
MAILING ADDRESS ~
3. LENDING INSTITUTION PHONE
MAILING ADDRESS
4. HEALTOH/A~ENT [ PHONE
MAILING ADDRESS
6, TYPE OF RESIDENCE NUMBER OF~BI~DROOMS
[] One [] Four
j~[ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY ~ Three [] Six
[] Other
7. WATER SUPPLY
[--1 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
/975' YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
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 UTILITY ~'
Connection Verified INSTALLER
[]Septic ,Tank or [] Holding Tank
Size: I~)~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER ....
TOTAL ABSORPTION AREA MATERIAL
4' DISTANCESwELL TO: Septic/H°lding Tank Abs°rpti°n ~'rea [Sewer Line INearest LOt Line
Absorption Area to nearest Lot Line
5. COMMENTS
' .,.OVEDFOR 7 BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[~ DISAPPROVED
DATE BY
72-010 (Rev. 6/79)
nicipality of
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M,$ULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRQNMENTALPROTECTtON
November 14, 1980
Mervin K./Frances L. Jacobs
320 Lake Ridge Drive
Eagle River, Alaska 995~7
Subject: Lot 12 Block 5 Eagle River Heights North Subdivision
Approval for your individual sewer and water facilities
cannot be granted until the following items have been
completed:
( ) A well log submitted to this department for our
review.
( ) The top of the well casing sealed with a sanitary
seal so that it is water tight.
( )
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.
( ) The well casing extended twelve(12) inches above
ground level.
( )
The water facilities were not turned on at the time of
the inspection. Please call this department to
reschedule an appointment for the water sample.
( ) The water analysis report be delivered to this office
from Chem Lab, 5633 B Street, for our review.
( )
Expose the well for our inspection to determine prOper
construction, also to insure minimum distance requirements
are met between your well and sewer system.
The septic tank pumped with a receipt submitted to
this department.
Mervin K./Frances L. Jacobs
November 14, 1980
Page Two
( )
The septic tank pumped with a receipt submitted to
this deparment. The total number of gallons pumped
need to be on the receipt to verify the size of the
tank. This will need to be verified by a registered
engineer prior to submittal.
( ) Expose the septic tank manhole to verify its existence.
This will need to be reinspected by this department.
( )
Locate and expose the standpipe to the seepage pit
for our inspection. This is to insure the minimum
distance requirements are met between your well and
sewer system.
( ) A four'(4) inch cast iron cleanout needs to be installed
to the septic tank and/or leaching area.
~xk ~An adequacy test be performed on the existing leaching
[__~ area. This test will determine if the system is adequate
according to National Standards. A listing of private
firms performing the test is enclosed. This report needs
to be submitted to this department for our review.
( )
Your permit for the installation of an on-site sewer system
has expired as of December 31, 19 We have not received
the as-builts of the installation in this office. If a
private engineer inspected the system, please send us the
report for our files and review.
( )
Your application shows the number of bedrooms exceeds the
number the sewer system was originally designed for. An
upgrade will be required. Prior to any upgrade, a permit
needs to be issued from this department.
Please notify this department for a reinspection when the noted
descrepancies have been corrected. If there are any further
questions, please call this department at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Alaska USA Federal Credit Union
Pouch 6-613 99502
DAVID A. SLENKAMP
ROBERT A. SHAFER
MECHANICAL ENGINEER
694-9055
November 17, 1980
CIVIL ENGINEER
694-2979
Bill Hauke
P.O. Box 10-2165
Anchorage, Als ska
99511
Dear ~. Hauke,
Reference: Lot 12; Block 5; Eagle River Heights North
A sewer system adequacy test was performed on the system
located on the referenced property as you requested. The
septic tank was pumped and verified to h~ve a capaSity
of 1000 gallons. The seepage pit was charged with 1000
gallons of water and after a period of 24 hours, all
the water that had been added had percolated out of
the crib.
It can be concluded from this test that the sewage system
is currently functioning adequately for the three bedroom
residence located on this property.
If Me may be of further assistance, please do not hesitate
to call.
Sincerely,
~ A/cc; M~nlci~/' P'Elity of ~chorage
Department of Health and Enviornmental Protection
Alaska U.S.A. Federsl Credit Union
SRB 196X EAGLE RIVER, ALASKA