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HomeMy WebLinkAboutEKLUTNA WEST LT 8 ' · APPLIC' I, T FILLS ouT UPPER HAI. -' 'NLY ;.iPhone PrOperty Owner i? )~ ! ~ ~ , < t;r/n,.-~.~ ~,,' /:*i /¢:' ZiP Code'~';'~""~ '~"-~' "'~ ~;;~ ~ )~'~ Mailing Addre~ / ~,? l"~ ~ / ~ ~:, , Buyer ~ ~ }~ ' i ', ~:~:'{ .~L~ Address Zip Code Lending Institution ~ ~ t-{ /) ~ ~ ~ , ;' / i/ , ,~ I~' Phone Address ~ , / f' }</ ...... v ~,;~, ,, ( Zip Code Realty Co. & A~nt ~-,~ / ,, Phone Address Zip Code Type of Resi~nce ~ Single Family / .~ Multiple Family No. of Bedroo~ ~ Other Water Supply Q Individual A~ACH WELL LOG. A w~l 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 ~r-: . .  Individual Year IndivMual Installed: ~ ~ >; Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ( ~___~APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE /'-- .~,~ ~ BY --. r Soils Rating Date Sewer Installed Well To, Absorption Area Well Log Received /'--' ~ -- ~ 3 Well to Tank Septic Tank Size 72-023 (3/82) ~-~ ' iNSPECTiON-APP.~i:N3-MEN. T~?.;~ -~ ,,:-' . :. ~,.. , ... _ · ~-~,ME- - ~ ~ ' '~, ~.~' '';' DATE. ~ DATE NSPECTOR ' INSPECTOR ' ' INSPECTOR ' . MUNICIPALITY OF'ANCHORAGE -DEPARTMENT OF HEALTH & ENV RONMENTAL PROTECTS. . 825 L' Street - Anchora~, Alaska 9~0i 'SEP 9 198~- , Telephone 264-4720 ' ' REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES. DI.RECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proceed P ea~ a ow ten (10 days for processin~ MAILING-ADDRESS ' ~ PROPERTY RESIDENT (If different from above) 2. BU R . MAILING ADDRESS 3. LENDINGf_~ NST¢ TUTION~, ~ : .PHONE - ~AILING ADDRESS . ~ ~ -' ,~ ~ . 5. LEGAL DESCRIPTION 6. TYPE OF RESIDENCE NUMBER OF BEDROOM~ ' ~ one ~- Four , ~_ MULTIPLE FAMILY ~ Three ~ SiX ' 7. WATER SUPPLY- , ~NDIVIDUAL* ~ * ATTACH WELL LOG. A well og s required for all wells drilled ~ COMMUNITY , since June 1975. For wells drilled pri0r, t& th'at d~te, give well ~' · PUBLIC UTILITY depth (attach log if available,) 8. SEWAGE DIS~SAL SYSTEM ~NDIVIDUAL/ON-SITE** 7 ~ ~:-'' YEAR oN'sITE SYSTEM WAS;INsT~ELED.' lC UTI klTY NOTE: THE INSPECTION FEE MUST'ACCOMPANY EACH-REQUEST BEFOR~ PROCESSING CAN~BE INI~IATED.-~ ~I'HIS SIDE FOR OFFICIAL USE ON[;Y ~ ~ ~' i. TYPE OF RESIDENCE . NUMBER OF BEOROOMS ' ' [] ONE ' [] SINGLE FAMILY [] 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 UTI LITY . Connection Verified INSTALLER r--ISeptic Tank or [] Holding Tank Size: - If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/H°lding q~ank IAbs°rpti°n Area Absorption Area to nearest Lot Line 5, COMMENTS ~ / E~.-'~APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) · [] DISAPPROVED · ~ ' DATE :, EXCAVATION ROBERT A, SHAFER WORK CIVIL ENGINEER 694-2979 Totem Realty ATTENTIO[7: Diane Wilson P.O. Box 911 Eagle River, Alaska 99577 September 20, 1981 MUNICIPALITY OF ANCHORAGE DEPT. OF I.!EAL7 { & ENVIRONMENTAL pEO'[EC]'ION RECEIVED Dear Ms. Wilson, Reference: Lot 8; Eklutna West Subdivision: Jerry Coppess property 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 was charged with 1000 gallons of fresh water and 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 two bedroom trailer house located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. It should be noted that the septic tank is located under the trailer house and in order to avoid a health hazard it is essential that the cleanout to the septic tank remains sealed at all times. If we may be of further service, please do not hesitate to call. .fR~BERT A. SH~i;'ER, cc: First National Bank of Anchorage ATTENTIOi,:: Shiela Flordia Municipality of Anchorage Department of ~ealth and Environmental Protection SRB 196X EAGLE RIVER, ALASKA S'I R Ii: Ff /XIXICI{Of:~A(SE, AI.ASI<A 99501 2644111 DEPiM{IMI-N[ OF: IlEAl Iit September 15, 1981 Joan/Jerry Coppess % Cheila Florida First National Bank of Anchorage Post Office Box 720 Anchorage, Alaska 99510 Subject: Lot 8 Eklutna West Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: ((1) (2) The septic tank pumped with a receipt submitted to this office. An adequacy test needs to 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 office for our review. (3) The standpipe to the seepage area needs to be raised above ground level and capped off if the adequacy 'test passes. If there are any further questions, please call this office at 264-4720. Sincerely, James S. Roberts Associate Environmental Specialist JSR/ljw