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Home My WebLink AboutEAGLE RIVER HEIGHTS BLK 5 LT 1 GRr~TER ANCHORAGE AREA BOROI~H HEALTH DEPARTMENT 327 E~.GLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-.SITE SEWAGE DISPOSAL SYSTEM NAME /~'~ ~ ~'~T~ SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY MATERIAL ,--~"-,~,~?'J--.--- NUMBER OF _ . COMPARTMENTS GALLONS. INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH __ SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER ..---- , LENGTH TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) -~'~ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELl FOUNDATION /AREST LOT LINE NUMBER OF LINES DISTANCE BE~ TRENCH WIDTH____ ABSORPTION AREA ~LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE_ WELL: .~'/-../..- (..)ri/~., ~"/,~' ~_..~¢,,~/,'~ DISTANCE FROM WATER TYPE DEPTH . BUILDING FOUNDATION SAMPLE NEAREST SEPTIC SEEPAGE LOT LINE . SEWER LINE , TANK , SYSTEM , CESSPOOL TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE NEAREST OTHER SOURCES__ DIAGRAM OF SYSTEM DISTANCES: ,j DATE APPROVED GREATE[ .NCHORAGE AREA ' ~ROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT / ) ' ' ' , ' LEGAL DESCRIPTION T' 0 APPLICATION TO INSTALL: SEPTIC TANK ~ ,SEEPAGE.pIT ~ ,DRAIN FIELD ,OTHER TO SERVE THE FOLLOWING FACILITY ~ ~' ~~ FINANCED THROUGH TO BE INSTALLED BY ~ , PERCOLATION TEST RESULTS ~ ~ ~ NTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO AS DESCRIBED BELOW SIZE OEUNIT TO BE SERVED ~ ~' /~~ DIAGRAM OF SYSTEM DISTANCES: I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the described/~/~At~syst.em is ir) accordance with said code. above /~/ DATE 7 APPLICANTS SIGNATURE ~' ...... FHA form 2573 fo,m Approved Bev. July 1958 Budget Bureau No. 63-R296.8 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA INSURING OFFICE SERIAL NO. Ez~c E. Jahmaa, SUBDIVISION NAME MORTGAGEE Al~slm State Bar~ Builders ~ Chandilar Street DYes No SUP Y ]~oEblic system [-'] Community system OISPOSAL 3¥: New installation O Public system --'}Community system ~LOCK NO. LOT NO. Con attic or othe~area bo made I& additional bedrooms? (If Yes, how martyr) N Yes [--] No Ko. SYSTEM DESIGNED FOil [~] Individual of BDRMS. GAII~AGS DISPOSAL Individual 3 N Yes [~] No PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the N State [---] County [~ Local Department of Health that this individual water-supply system [~] is [] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the N State N County [] Local Department of Health that this individual sewage-disposal sys- tem with proper maintenance: [~Can be expected to function satisfactorily, and [--] Cannot be expected to function satisfactorily is not likely to create an insanitary condition DATE SIGNATURE '~ . x ~ ~ / .,/ / July 9, 1970 [ .:~ - ,, .. ,- .... Enrlrmm~nta! H~alth ~up~rvisor __~ ~: NOTE: ?ha health ~norir~ auld ¢~mplete she appraprlate op~nlan staffemant above and a~x date, signature a~d tlflo In spaces provided, r ,/'/ Ute of the above grid for Health Department Inspector's sketch as well os use of the back of this form is at the option of the heal~ authority. PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the Individual water-supply system be considered [--1 Acceptable [--] Not Acceptable DATE Sewage disposal be considered SIGNATURE [] Acceptable [] Nor Acceptable. HIALTH AUTHORITY APPROVAL INDIVIDUAL WATIR SUPPLY AND SEWAGE DISPOSAL SYSTIM ] CHIEF ARCHITECT [ DEPUTY FOR CHIEF ARCHITECT FHA Form 2573 Rev. July 1958 G" '6.TER ANCHORAGE AREA BORG' '~H HEALTH DEPARTMENT 327 EA(~LE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCAT,ON SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY / ~"~'~ GALLONS. ,..~d NUMBER OF MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH SEEPAGE SYSTEM: NUMBER OF FITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER /~,, OR WIDTH 74 DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTH /~'~/ , DEPTH ~q',, BUILDING FOUNDATION_ ~'2 ~ SQ. FT. FOUNDATION .DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE , NEAREST LOT LINE TRENCH WIDTH TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WATER SAMPLE , CESSPOOL , NEAREST TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE ~ DISTANCE FROM WELL: TYPE-- ] . DEPTH~ , BUILDING FOUNDATION. NEAREST SEPTIC SEEPAGE LOT LINE , SEWER LINE , TANK. , SYSTEM DIAGRAM OF SYSTEM OTHER , SOURCES__ DISTANCES: : st;.4f..f DATE ~AA~-F{D-2 GREATEr..ANCHORAGE AREA HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 _ ~)ROUGH 279-251I Case N o. SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAMEOF APPLICANT~;~' ~'4r,"/'~' ,,'~z~/~','~A~'A~_ING ADDRESS ~'07< // RESIDENCE ADDRESS ~"O ~ ~' /~Ol /,'"~-- LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY -~:~ FINANCED THROUGH /t~J--O~c:~.,~ft~, ~'~-i~'~-~-~t:t/(;J'~-BE INSTALLED BY ~-Z~9 RESULTS~'-2/'tt/~// IK)dA ANTICIPATED DATE OF COMPLETION PERCOLATION TEST BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT LOCATION OF INSTALLATION ~-'~i~' Z.~T ~- ~__~- 5- ~,,;/.~ SEEPAGE PIT. z--"~ , DRAIN FIELD PHONE £. //?5 ,OTHER THIS IS TO SERVE AS ~l~, ~-~L~o~,z~ ,PERMITTO INSTALLA · AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED · SEPTIC TANK SIZE DISTANCES: Health Authority TYPE ~'a~'~~--z SEEPAGE ARE~~¢~, /~TYPE ~ ~/~ DIAGRAM OF SYSTEM I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE ~ - ~-f~ ~ F~,~. APPLICANTSSIGNATUR[.~ ~,-~" INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATQ MHNIC~PALITY OF ANCO, ~E ~NICIPALtTY OF ANCHORAG~ ~ ~ 825 L Street~nchora~lask~9501 REQUEST FOR APPROVAL OF ~I~WATER AND SEW~~I[~ DIRECTIONS: Complete all parts on page 1. Incomplete requ~wlll ~t be processed. Please all~en~10)d~s for process,ng. 2.PROPERTYRESlDENT(IfOifferent fromabove)~BUYER ~ ~¢~ Q PHONE~PHONE MAILING ADDRESS MA~UNG A~DR~SS ~ ~ ' ~ / / MAI LING AE )RESS ~ ./ ~ __ ~ STREET LOCA N 6. TYPE OF RESI~NCE OF~BED MS ~ SIN~E FAMIL~ / ~ ~ ~e /~ Foyer ~ Other. ~ MULTI~ FA~Y ~J 7, WATER SUPPLY ~ ~ INDIVI DUAL*~ * ATTA~ WELL LOG. A well log is required for all wells drilled ~ COMMUNITY ~ since June 1975. For wells drilled prior to that date, give well ~ PUBLIC UTI LITY ~ depth (attach log if available.) 8. S~WAG6 DISPOSAL SYSTEM ~ ~ND~V~DUAL/ON-S~TE**~ J~/~ YEAR ON-S~TE SYSTEM WAS ~NSTALLED. ~ PUBLIC UTILITY NOTE: TNE INSPECTION FEE ~US! ACCOMPANY EACH REOUEST 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 INST~L~LED Connection Verified II~STA LLER ~ []Septic Tank or [~ Holding Tank Size: 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 I WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev. 6/79) FHA Form 2573 -- U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FEDERAL HDUSING ADMINISTRATION HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I,--TO BE COMPLETED BY FHA INSURING OFFICE MORTGAGOR UB~IVISION NAh~ T~AL NUM~R~ WATER SUPPLY SY: I J~] Public system ~ SE~AGE DISPOSAL bY: --]Public system J MORTGAG~IE z J SERIAL NC). / ~ Can a ~ o~ oma be mode In~ ~SEMENT J~ New o~flonal b~oml? n']Community system [~Community system J SYSTEM DESIGNED FO~ --]Individual ~o. of sDa,*s, a^.~o(msPos~ n PART IL--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [~] State [--] County ~..~ocal Department of Health that this individual water-supply system ~ is [] is not satisfactory as a domestic Water supply for the subject property. is the opinion of the [~l State [~] County [~ Local Department of Health that this individual sewage-disposal sys- /x.._ tam with proper maintenance: (] Can be expected to function satisfactorily, and r'-] Cannot be expected to function satisfactorily s not likely to create an insanitary condition / ' N/OT,: The health authority should complete thl appropriate opinion statement above and a'~-~x date, signature an; ti;; ,:the spaJJJ proJidad, Use of the above grid for Health Department Inspector's sketch as well os usa of the bach of this form Is at the option of the health outhority. TO THE CHIEF UNDERWRITER: IDATE PART Ill.--FOR USE OF FHA OFFICE I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the Individual water-supply system be considered [] Acceptable [] Not Acceptable Sewage disposal be considered N Acceptable n'] Not Acceptable. SIGNATURE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITECT FHA Form 2S73 Rev. July 1958 MUNICIPALITY OF ANCHORAGE ~a~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION Te ephone 264-4720 PRE-INSPECTION CHECKSHEET-- TYPICAL TRENCH ON LEVEL TOPOGRAPHY MINIMUM WELL CLAm A, B CLA~S C DISTANCES: PUBLIC -- OVER 25 SERVICE OR PUBLIC -- UNDER 25 SERVICE OR MORE THAN 15 CONNECTS LESS THAN 15 CONNECTS ~ ~ ~ INDIVIDUAL WELL TO TANK 200' TO TANK 150' TO TRENCH 150' TO TRENCH 200' TO TANK 100' ~.!~ ~ TO TRENCH 100' (PERFORATIONS DOWN) .... ''" "I~ r '(~ ,,?' ,,, , "' .", 'i:,,, '..;," ,'"' .;,,;. ~ SOLID PIPE WITH CAP OCLEANOUTREQUIRED .,~1¢'/' ~. 'H,,. ,,/.~,r,,' ,,__, ~ .... .,,,. , ...... .... T--JOINT PRIORTOgO° BENDSJ~'_~'4' / D PERFORATED PIPE E CAST IRON CLEANOUT WITH AIRTIGHT CAP [] PLASTIC PIPE ASTM D3034 MAY BE ~.' ,~- USED IN PLACE OF THE CAST IRON [] SEPTIC TANK MUNICIPALITY APPROVED ~ WATERPROOF MECHANICAL CLAMP REQUIREO AT INLET AND OUTLET c ALL CLEANOUTS MUST COME AT LEAST TO GROUND LEVEL ~ PERFORATED PIPE INSTALLED LEVEL ~ SEEPAGE TRENCH INSTALLED ACCORDING TO SOIL TEST J TRENCH INSTALLED ACROSS SLOPE [] 4" SEWER PIPE OTHER THAN CAST IRON OR EQUIVALENT REQUIRE- MENTS SHOULD HAVE A 1500 LB. CRUSH STRENGTH [] SMEARED TRENCH WALL MUST BE RAKED [] TWO INSPECTIONS REQUIRED: FIRST: ABSORPTION TRENCH EXCAVATED ~-ECOND: SEPTIC SYSTEM READY IOR BACKFILL NOTE: Ol00'MINIMUM FROM TANK AND TRENCH TO RIVER, LAKE OR STREAM [] BUILDING PAPER OR VISQUEEN [] MINIMUM 2" GRAVEL ~ []PERFORATEB E] EXCAVATION TO LOT LINE 10' [] SEPTIC TANK AND TRENCH 100'PROM CREEK EARTH BACKFILL SCREENED GRAVEL '/~ - 2W' ~-., 4' ABOVE WATER ~ 72-006 (7/?'.' BOTTOM OF TRENCH 6' ABOVE BEDROCK ~, .icipality of Anchorage MEMORANDUM DATE: TO: FROM: SUBJECT: January 6, 1982 Laura Crow - Fifth Floor Sewer and Water Program Request for Refund - Account # 2460 Please make arrangements for the following refund. have canceled their request for our inspections. Receipt ~ 164850 Amount # $30.00 Debbie Hicks % 2601 Commercial Drive Anchorage, Alaska 99501 They Sewer and Water Other Lot 2 Block 5 Eagle River Heights Subdivision Thank you. Laura J. Ward Senior Office Assistant Sewer and Water Program LJW attachments 91-010 (5/78) File Ho.: 4- I ~{r. RiehaF(l P.O. Box ~? Et~le Rivet', Alaska D~r ~r. Brown~ It hss been bT~u~ht to our attention that public sewex, is available to Lot ~, Block 5, Eo~Ie Rivet. Heights SubdJv~Mon. ~e~ording to time Anehorage Code of OFdiuaneee 'Sewage Disposal Chapter 18, Arqiele 16.45, Section 16.4S.0S0: "Septie tenk-soepaice system sewage disposal facilities shall not be tustalled or ~. oft ony pzemise~ where mmitm*y sewers are evaibble within seventy Ct0) feet of tbs nearest lot line of s~td premises.. IF we do not hear Bout you within seven (7) days. we will assume that eLLa* r~ord~ are cor~. We, therefore, ~ue~ ~ ~ ~ and ~u~ ~, 10VS. You must apply for a eonn~mtion permit i¥om the i~l%mtJt oi~ieer For the 5tulii~lpallty of Aumhot'age, 3~00 bt Tmf~o___,' Road. If you have m_ny q~esttoims regardful tb ~e, pl~ ~ M h~ime ~ ~ ~e ~t ~ ~ FB/Iw RECEIPT FOR CERTIFIED MAIL--30(~ (plus postage) SENT TO STREET AND NO. ~0., STAT~AND ZIP CODE .... oPT~(~NAL-SERVICE~OR ADRITiO#~-L FE£~ - ' ~ Show~ to Whom and date~livered ........... 15~ RETURN ~lk With delivery to addressee only ........ 65¢ RECEIPT ~ 2. Shows to whom, date and where delivered .. 35~ SERVICES With delivery to addressee only ............ 85¢ DELIV~ Td A69~ESS~ON~ ;; .~; ..................... : ....... ~ s~ECiAL DELIV~RY (extra fee required) .................................... POSTMARK OR DATE PS Form 3800 NO INSURANCE COVERAGE PROVIDED-- (Soe other Apr. 1971 NOT FOR INTERNATIONAL MAIL Municipalityof Anchorage POUCH 6-650 ANCHORAGE, ALASKA 99502 (907) 278-4531 GEORGE M. SULLIVAN, MA YOR March 18, 1976 DEPARTMENTOE HEALTH AND ENVIRONMENTAL PROTECTION Environmental Sanitation Division (2510 East Tudor Road) File No.: Mr. Richard Brown P.O. Box 327 Eagle River, Alaska 99577 Dear Mr. Brown: It has been brought to our attention that public sewer is available to Lot 2, Block 5, Eagle River Heights Subdivision. According to the Anchorage Code of Ordinances "Sewage Disposal Practices", Chapter 16, Article 16.45, Section 16.45.050: "Septic tank-seepage system sewage disposal facilities shall not be installed or used on any premises where sanitary sewers are available within seventy (70) feet of the nearest lot line of said premises...". The Municipality of Anchorage Department of Public Works has checked their records and they indicate that your structure (s) is not connected to the sanitary sewer. Would you please check your records to verify that the structure (s) is or is not connected and notify us immediately if your records indicate that a connection has been made. If we do not hear from you within seven (7) days, we will assume that our records are correct. We, therefore, request you connect any and all structures located on the subject property to public sewer by July 30, 1976. You must apply for a connection permit from the permit officer for the Municipality of Anchorage, 3500 East Tudor Road. If you have any questions regarding the above, please do not hesitate to contact the permit officer at 279-8686, extension 259 or the Department of Health and Environmental Protection at 276-2221. Sincerely, Fred Beatt~;/~'~~ Sanitarian FB/lw 4-1