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Home My WebLink AboutEKLUTNA HEIGHTS #1 BLK 4 LT 1Eklutna Heights #1 Block 4 Lot 1 #051-061-34 -.� Municipality of Anchorage Development Services Department Building Safety Division OnSde Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 3437904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. S W O -+O O fo3 PID Number. o 51- o w- 3q Flam.a=nk of N Trwsk co Wastewater System: [INew [IUpgrade A ' 9350 Wa Wa ABSORPTION FIELD Exis i n Ph IF.nlur a e.bpans Sar, Die W O D TrwCh O sera« Tnrcn 13 Bae 0 Lana Oew -=.A sw Rrna Tar D.plh hon aq.w vale LEGAL DESCRIPTION cPaF1' FL 0b La ` s10dMMo% Depth a P" an Cllan hpwva wt,*,ua Grd.Wl Osn..dl pp FI 9 1 Zk7, !1 Ft. Townlp Rrq. .orc Fr.dWd.hoN oq^r gr d 61"Lrplh Ft. Ft. Gmwiddl Hulnher a h Delsw. IMwan rw Well: publ ❑ New ❑ Upgrade FI, Ft i L C4..dmalcn (PnMe, A e. C) Tar D.qn Cee.d a Ta* WtOtO n AMt Pp w FI. FL Ft* Weer Dr. Dal.d $WK Wro L.vr YI.UYr DCACDnJ. D.Ieh.Wbd FL YwPWVama Da.ryHWAOor.r�a.�d TANK GPM FL Fl SEPARATION DISTANCES Othe Oseptic ❑ Holding [IS.T.E.P. E3 Other. To SePtIC ADsorptlon LM HoldingTank uacfNivate ^ r 1000Ftom Tank Field Station Sewer tine /•1 GhOf la Mrs" wnh.ra Cmganao.. W« > ICMs4eelZ LIFT STATION Soho, WON 1100" V La Ln. >51 Gr •P..np of 4.r al •Poop w I..N r H —wra rrm r Fanaran 151 h h h Poop 0a Model EWCWAW haps P•domedor cwn a.n q/ q Ft ^ BENCH MARK LorMan.naD Vw Dor Ism .„7oL. Sle G 0l Wam 100 Ft Inspections performed by: uric &44C 2(n Dates: 1” r En\�t,mp AL�S�t OF Development Services Department Approval Conditional Approval Date: A97H� t % • �` ol � SPUR'KLANO.L� / / F l/Fo --��= 3 �' D 7 1 0 5 1>r� Fhu Reviewed and approved by:Date: me O. ) CHUGAIK DRIVE G ANDONED EXISTING S TANK PER MOA C REQUIREMNETS I G� �4�� LOT I 0 �l♦0� 2 DOUBLE CLEANVUTS --� I I CONNECTED TO EXIST DRAINFIELD - I IK CI 1 I 1 I� ti 1 j 1 4 1 I 1 I� I 1 1 STALLED NEW 1000 GALLON STEEL TANK � I 1 LOT 1 1 I 1 I I I 4+ FEET CL7VER �- FLIUNDATIDN CLEAN17UT LOT 1 JUUU YU(, -'�rN WL. flunn LOT 4B LOT 12 49th LARS n �' f00 �' "0 BM BOTTOM DOOR SILL S. SIDE HOUSE SCAL , 1' = 50 FT. ASSUMED ELEVATION 100' SPURKLAND ENGINEERING EKLUTNA HEIGHT #I BLK 4 LT 1 SEPTIC TANK ASBUILT 203 W 157H. AVENUE DATE. MAY 19, 1007 ANCH. AK. 99501 BOB BROCK SHEET, 1/1 GRID. -NW 1461 MA71 1270_101AC 11 14554 CHUC/AK DRIVE PERMIT 4 SVO70063 PID N 051-061-34 1 MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: May 16, 2007 Expiration Date: May 15, 2008 Permit Number: SW070063 Parcel ID: 051-061-34 Legal Description: EKLUTNA HEIGHTS #1 BLK 4 LT 1 Design Engineer: 0007 SPURKLAND ENGINEERING Site Address: 024544 CHUGIAK DR Owner Name: BANK OF NY TRUST CO Lot Size: 26127 SO. FT. Owner Address: 9350 WAXIE WAY Total Bedrooms: 3 Permit Bedrooms: 3 SAN DIEGO. CA 92123 - This permit is for the construction of: ❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Issued By. Date: Date: �— ' 0;7 Municipality of Anchorage Development Services Department \ Building Safety Division Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 995196650 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. n5i-061.34 84X14L llJ, V' �r� G c f Co. �p o Property owner(s) ��D d(O/1-tke 0Mi -A %A. ,11 e' � R (' ele, Mailing address ItA7u/( (,[JiLl Jun QLcW Zip Code Site address 0%%Ai iak fl r;ve. Zip Code 9ai.P3 Legal description (Sub'd., Block & Lot) k1%4kn% IA cis his w I [ilk'i Le+ Legal description (Township, Range & Section) Lot Size 1�w. 11?4 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Number of Bedrooms 3 THIS APPLICATION IS AN: Absorption Field Initial ❑ Septic Tank Upgrade $J Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ 1 certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. ft J (Signature of property owner or authorized agent) Permit/Rush Fees: % Waiver Fees: Date of Payment .r /-52 0::�Z Date of Payment Receipt Number.eceipt Number. (Rev. 11105) Environmental Consulting and Design MWZZ . ----I May 14, 2007 Municipality of Anchorage Development Services Department Building Services Division On-site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Subject: SEPTIC TANK PERMIT APPLICATION EKLUNTA HEIGHTS #1 BLOCK 4 LOT 1 We are submitting an application for the replacement of the septic tank for this lot. The submittal consists of one (1) drawing showing the present improvements on the lot and the proposed improvements of the lot, of which only the septic tank is subject to this permit application. The existing tank was installed in July of 1972 and is not longer water tight. Eklutna Heights #1 Subdivision is served by a public water system. There are no wells within one hundred feet of the proposed replacement site. The installation of this septic tank will not prevent wells and septic systems from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses within 100 feet of the proposed septic tank location. The proposed septic tank will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or are in need of additional information please contact me at 279-3916. Sincerely, 6� Sp9- Lars Spurkland 203 West 151" Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEng�agci.net CHUGAIK DRIVE N �UTNO EKI B� I JSANDON EXISTINGSTANK PER MOA REOU/REMNETS �G LOT 2 0� DOUBLE CL£ANOI" 4 � I � ' 4 INSTALL NfW 1000 IGALLON STffL TANK ' LOT 1 i 14+ FEET COVER CONNECT EXIST RATAI l UV U U 1, k I I LOT 4B 25 0 25 75 100 125 150 SCAL + I' = 50 FT. 5&[JUL wrim LOT 1 I I 1 -- I FOUNDATION CLEANOUT I LOT 12 ,•c7...• �. 49th SPURKLAND 103 W 15TH. AVENUE t I I EKLUTNA HEIGHT 11 BLK 4 LT 11 I SEPTIC TANK REPLACEMENT ANCH. AK, 99501 BOB BROCK DATE. MAY 14, 2007 /m74 -279-39A6 24554 CHUGIAK DRIVE SHf£T.• 1/1 GRID: NW 1461 #'SV060096 PID N 015-123-13 GAAB.Hf) I GREATER ANCHORAGE AREA BORaI1GH PARTMENT OF ENVIRONMENTAL OL Y°� ' 2 3500 , oL)OR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME__ -ADDRESS Si./t—�T-- '. n /b /,_ "�i�'PH0NE _ LOCATION ' _ -. / �' /y i�' �',„� ,. LEGAL DESCRIPTION__' _ SEPTIC TANK: DISTANCE FROM WELL"_t'" �''__MATERIAL S ` 7 �/ ? ! J NUMBER OF COMPARTMENTS___ - LIQUID CAPACITY_ ____,___,_,GALLONS. INSIDE LENGTH SEEPAGE SYSTEM: SEEPAGE PIT: INSIDE WIDTH LIQUID DEPTH NUMBER OF PITS— / OUTSIDE DIAMETER �OR WIDTH__/ � LENGTH 17 DEPTH Z_._ .LINING MATERIAL/ _"__y,_''DISTANCE FROM WELL,BUILDING FOUNDATION- -S / J � NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)_____SO. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES____ "ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE FOUNDATIO DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE NEAREST LOT LINE -- .—TRENCH WIDTH_ DEPTH OF FILTER MATERIAL BENEATH TILE LL, DISTANCE FROM WATER LOT LINE DISTANCES: TOTAL LENGTH OF LINES TOTAL EFFECTIVE IN, ABOVE TILE DEPTH-----, BUILDING FOUNDATION.___,_SAMPLE—, NEAREST NEAREST / SEPTIC SEEPAGE OTHER SEWER LINE__ , TANK _ SYSTEM__-_ CESSPOOL____, SOURCES_ DIAGRAM OF SYSTEM DATE rl � .r. APPROVED:. A- �+- J � ;? (1 �l I DATE rl � .r. APPROVED:. A- �+- J � ;? (1 �l April 290! 1976 TO WhoIt may concern nvi.rowental services Manager Lot 1 Block 4 rklut"A £sights Subdivision The &ppr*V&l Of the ora -site savor system shorn ss Lot 2 Block 1 Nklutna Heights Su%8ivision is incorrectly idontiftod "d should be Lot i Block 4 XklutaA Heights Sub4ivisiou, and is an ApprOV6 on-site swer sys�*. jossph 8, SlAtr Environmental Ssrvicu:s Manager J5D/l j . L,5, Municipality of Anchorage Development Services Department Building Safety Division v On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 157—pLal-3y COSA# 0 Expiration Date- / 1. •GENERAL INFORMATION £k�UT Complete legal description NA FIE 1 �HTS'�1 SW4 LT �- Location (site address) Z4549 CNU&-IAK DRIvE Current Property owner(s) 9A)/ o F NY TROST Co. Day phone Mailing address 9350 RIAXIE W SAS DIEUO i CA 92123 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD forpickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineers work. 4. 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm SPUR kLAND ENG -IW: rr- Address 203 W. IS", 5Fe 203 1 AnCHOR AkE Ak 91501 Engineer's Printed Name L ARS SFVRKLAND S. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Phone_ 711-311(p Date 1'7Ay_ Zz, Zoo OF At,, 10 I' �•,LARS E. P1'RK'LAt`D:W i I1�,• 11:C0 :V�i Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: 1 0 (Roy 11/05) Municipality of Anchorage a•, Development Services Department Building Safety Division S. ,,, On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: 191<W(NI Hera ( 10,_k 9 Lot 1 Parcel ID: 05) -Obi — 3Y A. WELL DATA P,11.11, WAQ,, il a11131 _ Well type — If A, B, or C provide PWSID # = Well Log (Y/N) Date completed = Sanitary seal (Y/N) = Wires properly protected (YIN) ` Total depth — ft. Cased to ft. Casing height (above ground) — in. FROM WELL LOG AT INSPECTION Date of test Static water level Weil production g.p.m. — g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Other bacteria colonies/100 mL Arsenic: ug/L date of sample: = Collected by: " B. SEPTIC/HOLDING TANK DATA Tank Type/Material Ancor yr0e SIee1 Date installed Tank size 1000 gal. Number of Compartments Cleanouts (Y/N) y Foundation cleanout (Y/N) Depression over lank (Y/N) _,�L High water alarm (Y/N) /✓ Date of pumping Ah w Pumper /sic w C. ABSORPTION FIELD DATA Date installed _4 25 l2 Soil rating (g.p.d./ft2 o ft2/bdrm 128 System type Cr;6 Length 19, ft. Width 13 ft. Gravel below pipe G ft. Total depth'I •5.5 ft. Eff. absorption area _3�4 fe Monitoring tube i/ Depression over field /V Dale of adequacy test 1y o3' Results (Pass/Fail) RATS For 3 bedrooms Fluid depth in absorption field before test O in. Water added12oO gal. New depth_ in. ii. Elapsed Time: 10 min. Final fluid depth O in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) None k^R wn If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) 'Pumpon" leve _ in. Cycles Pumpoft"level _in. High water alarm lev in. Datum s t Meets alarm rcuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: PuBLtc WATE 2 Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Animal containment areas "- Manure/animal excrete storage areas — SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation > 5 1 Property line > 5 r Absorption field f>S Water main > to r Water service line >#o' Surface water > 100' Wells on adjacent lots >100 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line -780, Building foundation >)0' Water main >/dr Water Service line 7/0 r Surface water > loo r Driveway, parkingtvehicle storage '>, /o 1 Curtain drain A10. Wells on adjacent lots >/00 r F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and� review of Municipal records that the above systems are in �,, ,t/ conformance with MOA COSA guidelines in effect on this date. r �-^;�� " ' ' Engineer's Printed Name_L3 UR k) arlclS�Zz,%%v } h�'^r Date 5/2 z/0 ((1`�FF,OEZ/!Cq,a�^ COSA Fee $ �✓� Waiver Fee $ Date of Payment `� Date of Payment Receipt Number 9s/av Receipt Number (Rev. 11/05) i.Kf� �rf.ShcJ.'6"� O ASBUILT SEWARD & I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE SCALE+ iG FOLLOWING DESCRIBED PROPERTY: _ -71� � DATE:%THATyN0�E�H8 ��j INDICATED. IT IS THE RESPONS!SILITY OF THE OWNER TO DETERMINE THE' EXISTENCE OF ANY GRID: EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD F8: ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN: ARY LINES. oaf �Of Al %N Q Com. Merk S.w,,d yS, LS- 91 a 1 �OZy: ' .7'• �r MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1. GENERAL INFORMATION (a) Legal Des ription (include lot, block, subdivision, section, township, range) i Location (address or directions) I { (b) Applicant Nam Telephone: Home Business Applicant Address �� T�"/, 71..-A 6 x (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ ; Buyer ❑ ; Other ❑ (explain); (d) Lending Institutio r„ ��' –(— ��A'" �,�� ` ;'"fie Address (e) Real Estate Company and Agent I Address i lephone I (f) 44aif the HAA to the following address: 1 2. TYPE OF RESIDENCE Single -Family K Multi -Family ❑ Other Number of Bedrooms 3 3. WATER SUPPLY , �! Individual Well ❑ Community ❑ PublicX , 1a'f'a! Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite q Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025(11/84) Page 1 of 2 1 r4 4, 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 regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Telephone Address SR 6 196X Date EAGLE RIVER, AK 99577 JUL Z 1986 6. DHEP APPROVA Approved for bedrooms by e Approved >S Disapproved Conditional Terms of Conditional Approval r y CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority , Approval certificates based solely upon the representations 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 requirements. 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. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 I Legal Description: VE /' UiviCIPALITY OF gNCF/ORALE ENV1^,OpJUSP'. OF HEALTH & MENTAL PxorCCrloN n 1} 9986 A. WELL DATA Well Classification If A, B, C, D.E.C. Approved ON) Well Log Present (Y/N) Date Completed Total Depth Static Water Level Cased to —te th of Grouting — Pump Set At Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well Yield Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) , To Septic/Holding Tank on Lot 12_go ; On Adjoining Lots , To Nearest Edge of Absorption Field on Lot 'k ; On Adjoining Lots — To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test "Results Comments F/es 117 '2—t B. SEPTIC/HBE4ffNfi-TANK DATA To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date Date Installed 7 .2-�5 `7Z Size 1 mL—t- No. of Compartments Standpipes&9/N) Air -tight Caps4WN) Foundation Cleanout (Y,l)) Depression over Tank (YQ Date Last Pumped 7 Pumping/Maintenance Contract on File (Y/N) a �' ; for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/}Irk Tank: I g , To Water -Supply Well ?,-c> c> 4" To Building Foundation To Property Line 1� 1 Jr- To Disposal Field 23 To Water Main/Service Line _ P4 Course Comments Page 1 of 2 72-026(11/84) To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata �2� + I Type of System Design Date Installed 7 - ZS - '1 "+— Length of Field 1 n / Width of Field Depth of Field Gravel Bed Thickness 1c Square Feet of Absorption Area �'�Standpipes Present ('%D' N) Depression over Field (Y/ap_ Results of Last Adequacy Test 0 Date of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well (� To Property Line 1 a la To Building Foundation t-1'1 14- T E A Lot To Water Main/Service Line 0 To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments — D. LIFT STATION Date Installed . Size in Gallons o xlsting or bandoned System on On Adjoining Lots So �-� To Cutbank (if present) a A Dimensions Manhole/Access (Y/N) "Pump On" Level at "Pump Off' Level at High Water Alarm Level at Vent (Y/N) Tested for pa Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments "" Check Permitted Bedroom Rating Against HAA Request `" I certify ft Ish�t Q tuacko� ygKitled, or conformed to all O� In HAA guidelines in effect on the date of this inspection. Signed $ 1V(a�IVtER11VG DateJUL 1986 CompalGLE RIVER, MOA No. 3 Receipt No. 4bV%'tNw35 Date of Payment 1- a� -%�- Amount: $ ce Page 2 of 2 72-026 (11/64) BILL SHEFFIELD, GOVERNOR , N /A DEPT. OF ENVIRONMENTAL CONSERVATION Telephone: (907) Address: ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 274-2533 ANCHORAGE, ALASKA 99501 DATE: July 16, 1986 PWS I.D.# 211431 To Whom it May Concern: According to records on file in this office the Dawn water Company Water Regulations 9 Water System is in compliance with the State Drinking Sincerely, APPLI(^ T FILLS OUT UPPER HAI ^)NLY t 'Property Owrer C/Ir L 1 , 1 vl & r /0 J Phone e 699 -212 y Mailing Address Q.cX J /G/ n Ccec�t?G1 AS4' Zip Code Buyer t Si Date Address / �G JgR�Uk .J.�rg{'(d.�('f(r`. Zip Code Lending institution � � ("r9 !�/� f t +'F_r �i= c p lT' ��ti 1GAJ Phone Address GGG f ejo R- ,ACRE) /� 4,GCdc6C/(C i� �Zip Code ;G f 7/�rz `7 / `"' J (moi Realty Co. & Agent Field Notes: Phone ! Address !/ Zip Code ( ) DISAPPROVED Legal Descriptionjl.GC'('tUY7UA HEr-Cr�"S(GnJ ,9'UO.-� Street Location CCkltj 1z: F �-7 WAJ "(V E Tr /1/(C�,-ifil(U� C/IVB /l/Or 'f' % <F�T ClxFf Type of Residence DATE Single Family BY: C Cl Multiple Family No. of Bedrooms Soils Rating ❑ Other Well To Absorption Area Water Supply ❑ Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). Public Utility - fj ln�N 4t) 76p- C GM 114 N Sewer Disposal "2- ❑ Individual Year Individual Installed: 21 Public Utility. When Connected to Public Utility:'` Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time 52 (��y7 Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ( �') APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' % —/ DATE BY: C Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size /0 oo 6 - �% 3 Well to Tank 72023 (3182) ' EXCAVATION WORK July 5, 1982 Carl Koeniger P.O. Box 3101 Anchorage, Alaska 99510 Dear Mr. Koeniger, Reference: Lot 1; Block 4; Eklutna Heights #1 ROBERT A.SHAFER CIVIL ENGINEER 694-2979 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 have a capacity of 1000 gallons. The seepage pit stand pipe was located with a back hoe and then the system was charged with 1000 gallons of fresh water. After a period of 24 hours all the water which had been added to the crib had per- colated out. It can be concluded from this test that the waste water disposal system serving the three bedroom trailer located on this property is currently functioning adequately. How- ever the system cannot be guaranteed against subsequent failures. If we may be of further assistance, please do not hesitate to call. /ss cc: Alaska USA Federal Credit Union Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA 100 r'~ GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C' Street, Anchorage, Alaska 99503 274-4561 l�lh Date Received Time of Inspection Date of Inspection rfln, REQUEST FOR APPROVAL OF av SFL/YLD INDIVIDUAL SEWER & WATER FACILITIES FOR / 2, jQ. 1. Approval requested by: �1 Mailing Address: "4 nm.i/n�a. lAaa- 9< Y) Phone: 2. Property Owner: A L2 Phone: 4?— Mailing ?—Mailing Address: 3. 4. 5. 6. Legal Description: Location: , r rY1 r l,f - 47, Type of facility to be inspected �Crw o� No. of bedrooms Well Data: 6-Y A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: lDLD-raL.76 lorp� A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Absorption area Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages .v MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 — 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNiUMIJ1Y OF ANCHORAGC DEPARTMENT OF HEALTH & ENVIRONMFNTAL f OTECTION RECEIVED 1. Type of Inspection: CMRO VA x= FHA CONV 2. Property Owner: Philip D. Ault Mailing Address: Day Phone 3. Name of Buyer: I Carl J Koeniger Mailing Address: Day Phone 272 4. Name of Lending Institution: Coast Mortgage Co. Mailing Address: P- 0. Box 1200, Anchorage, AK 99510 Phone 279 0665 5. Name of Realtor or Agent: Beth Mack or Ginger Cassell, Executive Realty Mailing Address: Phone 276 7777 6. Legal Description: Lot 1, Block !t, Eklutna Heights, Subd. Add No. 1 Location: Dawn Lane, Peters Creek, Alaska _ 7 3 Type of Facility to be inspected: Single Family No. Bdrms. _ Water Supply Community Water System —Don Development Type of Supply: Public Utility 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 EQ -037 (1/74) 3 Individual (on-site) xxxx 7tV�+2 of two pages - Re'""""'st for Approval of Individual '~er & Water Facilities Comments 97e Approved Di sapproved Date Approval,Valid for one year from date signed S e e Greater Anchorage Area Borough, Department of Environmental Quality r" DIAGRAM o SYsrEm f,!,, .. P,. P_;�•.•_(1^[C ... Ct"r`•r.i. j' _ Ci 12* /Q, le AJ )177 9,6 Al L S' e e-/4�2f7S J I certify that the information contained his request for approval to be a truetid accurate representation of the subject sewer and water facilities and these facilities. are operating satisfactorily. } n, SIGNED Date ` EQ-034 (1/74) t.