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Home My WebLink AboutEKLUTNA HEIGHTS #1 BLK 4 LT 8I oGRF ER ANCHORAGE AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL LtL LIG)UID DEPTH , NUMBER OF COMPARTMENTS LIQUID CAPACITY GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER __OR WIDTH /~'/ LINING MATERIAL /--~/~ CRIB SIZE: DIAMETER BUILDING FOUNDATION__ NEAREST LOT LINE__.. ADDITIONAL ABSORPTION LENGTH 1~%' DEPTH ~P ! DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. WELL: ~ ~,/~? TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION_ LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS~ Form No, EQ~031 DIAGRAM OF SYSTEM DAT~ /~ ~'~/ APPROV E:.A.A.B. /: /~' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES ENVIRONMENTAL SERwc~$ DIVISION CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROV ECEiVED OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date March 18, 198g GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 81 Block 4i Eklutna Heights #I Location (address or directions) Ptarmagan St~' (b) (c) (d) Property Owner A.H. F': ¢. Telephone: Home Mailing Address 520 E. 34th Anchorage, Alaska Lending institution Telephone Mailing Address Real Estate Company and Agent Re/Max of Eagle River-- A1 Romasz&wsk~ Address 16600'Centerfield Drive ¢201 Telephone 694-4200 Business 561-1900 Eaqle River, Alaska 99577 (e) Mailthe HAAtothefollowina address:or:Check hereY~,ifholdforpick up. Listcontactperson and day phone numberbelow. 694-f979 TYPE OF RESIDENCE Single-Family ¢1 Number of Bedrooms Three 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. SEWAGE DISPOSAL Onsite [~ 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. Page 1 of 2 72-025 (Rev 8/861 Front leUO!~S@JoJd e~l u! suo!s$!uJo Jo sJOJJ~ JO~, ~lq!$uod~J ),ou $! ebeJoqouv ~o/~l!led!~)!unl~l m-H 'p~nss! $! ~le~)!j!p~o e ~Joj~q eiep ~ZXleUe Jo suop,;)edsu! lonpuo~) jou op SHH(] ~,o $~4old~u3 'sJui~uGJ!nbGJ ,gJ13J$ pue leJ~pei u!eHeo 4JsBe$ ol JGpJo u! suoBnlBsu! 5u!pual J!eql pub seuJoq jo SJ~)SI~LICund OJ ,~ss~lnoD B $I~ S!14j seop SHHO eq/'e)iSl~lV ~o e),elS emi u! peJe~.$!bSJ Jeeu!Sue IBUO!SSejoJd juepuedepu! u~ Xq e^oqe ~ qdsJ§sJed u! ua^!5 suo!~e~,ueseJdeJ emi uodn /[lUO peseq seleo!~!pao leAoJdd¥ ~JpOLllnV LllleeH senss! (SHHO) seg!^JeS UeLUnH pue LlJlBeH ~o jUeLUpedeO aS~Joq~uv ~o ,q!led!o!unlAI aLII NOl.l.n~'3 le^oJddV leUOB!puoo ,~o suJJel leUOB!puoc) pe^oJddes!C] '~, pe^oJdd¥ '9 'uo!joedsu! SfLI1 ~0 alep UO locale u! suop, eln§eJ pu~ 'seaueu!pJo 'sepo3 e3~lS pu~ I~d!munR II~ qliM eoUe!lduJo3 u! s! LUe~,S,~S lesods!p Jel~MeiS~M Jo/pue Xlddns Je~eM el!s-uo eq1 'uo!ioedsu! pue UOB~§BSeAU! XUJ UJOJJ pub Sel!J eDEJoqouv ¢o /~3!led!o!un~ eql uJoJj peu!e~qo uoB~uJJo~u! eql uo pes~q leql ,~¢pe^ Jeqpn/, I 'u!eJeq pm, e9!pu! eJn~on~ls jo edXl pu~ sLuooJpeq ~o JeqLunu eql JO~ elenbepe pue leUOBOun¢ 'eles s! tuelsXs I~sods!p Jm,~MelSeM Jo/puc/~lddns JeleM eLs-uo eql ~,eql SMOqS le^oJddv LIII~eH s!q1 Jo Um:l~§p, se^u! XLU 1~qi X,tpe^ I 'MOleq UMOqS e~,~p uoB~p!l~^ eq~ ,to se pue oleJeq pex!j1~ I~es ,~LU ~q pe!1BJeO sV NOIJ.'~I/¥1~O-INI aN~ ~¢.l.'~a 'H3~lf=lS =1'114 'SIS=I/'$NOI.Lg~idSNI 9Nlal^Ol:ld Vtl~lJ 9NII:I:I=INIgN=I '§ MUNICIPALITY OF /~~LITY OF ANCHORAGE (MOA) DEPT, OF HEA~iE.,~LTH AUTHORITY APPROVAL (HAA) ENVIRONMEN'r^L PROTEC.~cKLiST . FEBRUARY 1984 264-4744 2 D88 RECEIVED Legal Description' ~ ~ ~::~L~_~ ~¢ WELL DATA Well Classification Well Log Present (Y/N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot ~ To Nearest Edge of Absorption Field on Lot '~.-~ To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ~ ~'"~ If A, B, C, D.E.C. Approved ~-)N) Date C~mpleted Yield Cased to ~l.~ Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/H~L-BtNC~TANK DATA Date Installed Size Standpipes ~) ""/ Air-tight Caps ~N) Depression over Tank (Y~j~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Hot~+ct~Tank: To Water-Supply Well ~ To Property Line ~ O To Water Main/Service Line ~ E:~ ! -Jr- Course \ ~ ~ J~ Comments No. of Compartments "7/ Foundation Cleanout (Y~ Ipate Last Pumped ~ ~ '~'~' ; for Temporary Holding Tank Permit (Y/N) I To Building Foundation 1 TO Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72 026 IRev 8/86~ Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed '~ ~' Width of Field Square Feet of Absorption Area Depression over Field (Y~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well "~-~ I''')-- ~ ,~-~T~pe of System Design Length of Field \'~ Depth of Field Gravel Bed Thickness '~'~=)¢~ Standpipes Present ([~S~N) I~, Date of Last Adequacy Test To Property Line To Existinlg or Abandoned System on ; On Adjoining Lots ~ To Cutbank (if present) To Building Foundation Lot To Water Main/Service Line / cs, ~.-~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Dimensions Size in Gallons ~ Manhole/Access (Y/N) "Pump On" Level at -'~ "Pump Off" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Pum-~-t~e" (Y/cyCles14) during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed~ . ,. ,-,,,~,,,,=cm~dr_ Date Compaq/034 Eagle River Loop Road No_. I~A No. Eagle River, Alaska 99577 Receipt No. Date of Payment '~ - ,~O ~ -- ~'~'"~ Amount: $ Page 2 of 2 72-026 fRev 8/86~ Back DEPT. OF ENV]RONMENTA~ CONSER¥~T~ON 'ANCHORAGE/WESTERN DISTRICT OFFICE 3~01 C STREET. SUITE 1334 / ANCHORAGE, ALASKA 9~503 STEVE COWPER, GOVERNOR 563-6775 DATE: March 21~ t988 PWSID: 211431 'Fo Whom It May Concern: According to the records on ?ile in this of'lice, the DAWN WATER COMPANY (WYNTER PARK) Water System is in compliance with the State of Alaska Drinking Water' Regulations. Please note that departmental records indicate that the public water system was installed prior to the 1978 implementation o¢ the Alaska Drinking Water Plan Review regulations. No as-built plans have been reviewed or approved by the department, nor are any necessary. Since the system has submitted acceptable water samples on a regular basis and received a satisfactory sanitary survey evaluation by the department, the system is acceptable under the standards in effect at the time of installation. An official "Certi¢icate to Operate" may be issued upon receiving a complete set of as--built plans. Any expansion of the water system after 1978 will require plan review and the issuance of a "Certificate of Operation" permit. Si. ncerel y, Ronald S. Klein Environmental Field Officer RSK/MPL: pkk cc: Mike Lewis. ADEC, Anchorage APPL[-',NT FILLS OUT UPPER HA 'ONLY Property Owner" ~,..)(.~,.,. y "-'...~ , , i~ :,..' ~, ,iZ,hi.,~,~~ :~?,(~ Phone "/' '2~ ' Zip Code ~ ' ( ¢ ~ .... Phone '.", Rea,yCo.&Agent L:i~t,:'¢, f i~\['-::~ ~ ,; Phone Type of Residence E[~'"'~i n g le Family [] Multiple Family No. of Bedrooms [] Other Water Supply [] Individual ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. [~Community For wells drilled prior to that date, give well depth (attach Icg if available). [] Public Utility Sewer Disposal · ~"l'ndividual Year Individual Installed: ,,~,/ ~ ," '-,,-, [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, Time Time Time Time Date Date Date Date Inspector inspector Inspector Inspector Field Notes: ,_~ .L~t~ F~ ~ ~ ~,~_~ ~ ~ (~) APPROVED BEDROOMS *CONDITIONS OF APPRO~i'O~i'i~01~,tz[ pf0'[ecd0n" ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received ~¢ ~¢ ~ ~,, to T..~ ~ s~.,,o ~ s,z. ~¢ ~ ~ 72-023 {3182.) EXCAVATION ROBERT A. SHAFER WORK July 24, 1983 CIVIL ENGINEER 694-2979 ERA Finis Realty ATTENTION: Star Hile 20 Old Glen Highway Chugiak, Alaska 99567 Dear Star, Reference: Lot 8: Block 4: Eklutna Heights #1 A sewer system adequacy test was performed on the system lo~ated 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 charged with 900 gallons of fresh water and after a period of 24 hours all the water which had been added to the crib had percolated away. It can be concluded from this test that the waste water disposal system serving the three bedroom trailer house which is located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failure. If we may be of further service, please do not hesitate to call. cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA