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HomeMy WebLinkAboutROBERT JOHNS LT 5A-1 I~ ~ ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ,,_ PHONE I © NEW MAILING ADDRESS ~ NO. O~EDROOMS ~(~ Z Manufactur~.~F~Fv~ ~ ~ MateriaV~ Liq. c~acity in 9allons Inside length Width Liquid de~th '~Z DISTANCE/ TO: Well /~?/~ Dwelling PERMIT ~O. O Z ~ Manufacturer Material Liquid capacity in gallons Q Well Foundation Nearest lot line PERMIT NO, .~. DISTANCE TO: ~ ~ ~ No. of lines Length of e Total length of lines Trench width Distance between lines ~nches ~ ~ Top of tile to finish grade Material beneath tile Total effective absorption area Q inches Length Width Depth PERMIT NO. ~<~ Typeofcrib ~ ?;~ ~& Cribdepth Total effective ab,orption area ~ ~ ~ ' Well Building foundation Nearest lot line ~ DISTANCE TO: ~ DISTANCE TO: Building fouddation Sewer line Septic tank ~ Absorption area(s} OTHER ..... ' ~ ...." ' ' DATE LEGAL F .~04 F7,1~ 171 LEGF'~L L 5R:t B 5 ~41.4 ROF4ERT :5. I..L-II' SIZE ::LEi'~E~C~ SI]!I_IFtRIE F'E!;2T t"IFI::.:;IP1Lli"I I'.,II..Jf,IE~EF.: ElF BEE:,F..:CIOP1S = 4 SO]:L. F.::F:ITII'.,IG ,.iS;! FT,-."E:IT::,= ~ ]"t-IE REL::!UIF.:ED SIZE OF' THE SEa:EL. F.IBSOITPTIE~N L.?,'STEH I'.2: THE LENCiTH [:,IP1ENSZON IS THE LENGTH (IN FEET::, ElF EFtCH :~;I[:E FL~ FI SEEPFIEiE PIT. THE DEPTH OF R TRENCH OF.'. PIT IS THE DI%'TIRNC:E E:ETHEEN THE $UF.:FF.ICE OF THE GROUND FIND THE BOTTOP1 OF THE EF:',CFI'v'F~TION (If-,I FEET). ]"HE GRF.I'v'EL. DEF'TH IS THE MINIMUH DEF'TH OF GITFI',,,'EL E:ETHEEN THE OUTFRLL PIPE: RND Tt4E E:OTTOH OF' THE E',:.:',CRVRTION (IN FEET>. PEF.:M I T FIF.'F'L I CFII'.,!T HI::IS THE RE;:,F Ijhl:, I E, I L. I ] T 'FO I NFOF.:H I'H f '.¥ [:,EPRRTHEt'.,IT DUR I NE.i THE' I 1'.,I';'STFILLFI-I"I EIN I I'.,ISPEL-:T 1131'-,IS C F FIl",l"r' 1.4E:IJ..S FtE:,JRCENT 'T'O TH I'.5 F'ROPEF.:T"r' F.II",I[:, THE NI...IPIE:EF.: OF F.:ESIE:,ENC:E'.E; "FHFIT THE [,]EL.[.. H I[..L. SEF.:'v'E. DEF'FIF.:'THENT HILL. BE :,UB._IE..1 TO F'F.'~-EEEJTI3N. MINIP1UM DIS"F'FtNCE BETHFEN R HELL RND RN"r' ON--'SITE SEHFIGE [:,ISF'OSFIL. S'¢SI"EM IS FEET FOR R PRI'v'RTE HE[..i..~ OF.: TO 2C~E~ FEET FROPi R PL.IBLIC HELL DEPENDING UF'ON THE T"r'PE OF PUE,'L..i'E: HEL.L O'I"HER REQUIREP1EZNTS h'tF¢'r' RPPL.'T'. SPECIFICFtTIONS AN[:) CONSTRUC]"ION Di(f]GRRI'IS F.IF.'.E FYv'RILF:tBLE TO INSURE PROPER tNSTRt...LFITtC~N. I C:IERT I F"'¢ THRT ".L' I FIM FRPIlLIF~R HITH THE REQI_IIF..:EMEN'I"S FOR ON-.SITE SEHEF.:S FINE)I.,.IEL. LS FIS SET E'ORTH EW THE IILI'~IL.~FHLI] T AF RNCHOF.'.F:tL3E. 3: I UN[:,ER:~[ai I[~, 'T'I~IRT~X(~HE ON-SITE :,EI.4ER STSTE:i"~ i"lFi~ RE6.!JIRE Ei'.4LRRGEHEI'.,Ff' F~:ESI[)ENE:E /IS/ I i~f'tl~:,l~.L[~;,\ T~FJ II'.,ICLUDE HOF.'.E: THRN 4 BEDROOHS. I F THE GREATER ,_NCHORAGE AREA Bk .tOUGH HEALTH DEPARTMENT 397 Eagle St. Anchorage, Alaska 99501 279-2511 Case N o. SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMII' NAME OF APPLICANT ~h ~r~O ~ ~ RESIDENCE ADDRESS ~/~e 4 C0f~o¢¢/:1/')0 LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY ~ FINANCED THROUGH ~) ~ MAILING ADDRESS ~0~/,.~ Z~ LOCATION OF INSTALLATION SEEPAGE PIT , DRAIN FIELD , OTHER PERCOLATION TEST RESULTS BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT TO BE INSTALLED BY '~)A/q ANTICIPATED DATE OF COMPLETION g-~l~ I; I?i~ . THIS IS TO SERVE AS DISTANCES: g ¢o d .-~i'~ ~4~, '5~ ¢.,A., ~ )~ , PERMIT TO INSTALL A .~/~ h ~ ¢~/4~ AS DESCRIBED BELOW. SIZE OF UNITTO DESERVED SEPTIC TANKSIZE /~) TYPE ~/~/ SEEPAGE AREA ~5/5~W4 TYPE DIAGRAM OF SYSTEM r Authority 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. .... ¢ SEW:-'~. DISPOSAL SYSTEM - APPLICATION'--~?ERMIT Name of Applicant ~.%k ~'~O^' ¢ . Mailing Add~ss_~dv Residence ~ddPess._ ~5~o ~' ~o ~o M~ ~ ~ Location of Installation , , Application to Install: Septic t~k,,~,, ~, Seepage pit~, D~ain fleld~, To Serve the F~llowlng~ Fa illty ,~ .Se .~o ~ Financed Throu~ c Oe ~ f To be Installed by,. Pemcolation Test Results ,.. ~ticipated Date of Co~letion ~_~ BELOW TO BE FILLED OUT BY HEALTH DEPART~NT This is to semve as~ ~f. ~oA;~ , ,. pePmit to ~nstall a ....... as described below, Size of ~it to be se~ved~ ,.~ /f>.~ ~ ~r~ · ~Dtic tank slze/OdO~ Type~ Seepage ~ea Type ~i%EATEB A!,K;~!OF, A~E A?~EA G.-c~z. ~c~oPage ~ea Borough Omdln~ce No. 28-68 ~d that the ~ove descPibed system ~s in accomd~ce with' said code. I~tUNICIPALITY 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 GENERAL INFORMATION (a) Application Date Legal Description (include lot, block, .subd~ision, sec..J~n, ~wnsh[p, ~ange) Location (address or directions) 1/ / (b) Applicant Name .~/'~/// p~ C/' [,~" Telephone:Home Business~ 3 ~-~'~' ~' 7 Applicant Address p 0 ~O~L. (~ ~ ;~"~t~ ,~"/Y" ~' /~ (c) Applicant is (check one): Lending Institution []; Owner/builder/~.Buyer []; Other [] (explain); (d) Lending Institution ~ c~ ,~J ,-,-,-,-,-,-,-,-,-,~' Telephone Address (e) Real Estate Company and Agent Address Te.lephone ~ , (f) ~Zrhe HAA to the following address: ' TYPE OF RESIDENCE Single-Family [] Multi-Famil/~,~ Number o~ Bedrooms Other WATER SUPPLY Individual Well [] Community [] Publi'c~ Note: If community well system, must have written Confirmation from the State Department of Environ mental Conservation attesting to the legality and status. SEW/~ DISPOSAL Onsite/E_~ 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 (11/84) 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 ¢~ 2 ''~ ~.¢,i~[NF.~,I[~E~ Telephone Date DHEP APPROVAL Approved for/z-~.¢, (~ bedrooms by ~.,~. ~L..~--,,--~ (~*~..,.~-~-./~- Approved ~ ' Disapproved ~ Conditional Date Terms of Conditional Approval 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. '~-'~ MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION 264-4720 -- LealDscrition EIVED WELL DATA Well Classification Well Log Present (Y/N) If A, [3, C, D.E.C. Approved (Y/N) Yield Date Completed 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 Total Depth Cased to Static Water Level Casing Height Above Ground . Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/He~d;,,u T-ank on Lot 2., ~ ~ To Nearest Edge of Absorption Field on Lot ~ ¢; To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ,~"~"~ i~ /~ SEPTIC/HOLDING TANK DATA Date Installed_J ¢~ ~r~ Size/~~0 ~ No. of Compartments Standpipes~N) ~'__ Air-tight Cap,N) ~ Foundation Clea~~ ~ Depression over Tank (Y~ /~ate Last Pumped Pumping/Maintenance Contract on File (Y/N) ~ ~ ; for Holding Tank High-Water Alarm (Y/N) ~/~ Temporary Holding Tank Permit (Y/N) Separation Distances' from Septic/H~Tank: To Water-Supply Well To Property Line To Water.4~e~/Service Line Course To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 C, ABSORPTION FIELD DATA Soils Rating in Absorption,Strata Datelnstalled (¢/ C 6~2 Width of Field / '~' Square Feet of Absorption Area Depression over Field (Y6)~ V Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes PresentON-)- Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Water Malr~Service Line ~'~ '¢~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Cutbank (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/A~cess (Y/N) ~/v ; ~[.y/N)Z'fump/Off" Level at "P~mping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MO~ and HAA g uid~elines in effect on the date of this inspection. Company3L~ 'R'IV__.E~I~,,S,',,~ ~F¢7~' MOA No Receipt No. ,"S ~ ~ d Amount: $ Page 2 of 2 72-026 (11/84) MUNICIPALITY OF ANCHORAGE MUNICIPALITY O;~ ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONDEPL C)i- ;: ~.^,[.]'H & 825 L Street - Anchorage, Alaska 99501 ENVI,~ONMEN]'AL ~;O £ECTJON t ENVIRONMENTAL ENGINEERING DIVISION JUl~/ Telephone 264-4720 DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE Alva & Mary Ellen Roberts MAI LING ADDRESS 13535 S.W. Hart Rd., Beaverton, Oregon 97005 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Judith Davis 265-8942 MAILING AD DR ESS 1241 Inlet Place, Anchorage, AK 3. LENDING INSTITUTION I PHONE Fred Meyer Savings & LoanI 274-~6R3 MAI LING ADDRESS 1000 E. Northern Lights Blvd., AnchoraGe, AK 4. REALTOR/AGENT ] PHONE Maureen L. Clayton] 694-9555 MAILING ADDRESS P.O. Box 249, Ea~e River,. AK 99577 5. LEGAL DESCRIPTION Lot 5 A-1 Blk 5 Robert johns Subdivision STREET LOCATION Echo Streett Eagle River 6. TYPE OF RESIDENCE [] SINGLE FAMILY MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* [] COMMUNITY PUBLIC UTI LITY * 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 **If individual/on-site, give installation date 78 If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS FIVE TIME TIME DATE DATE DATE I N8PECTOR INSPECTOR INSPECTOR DIRECTIONS: 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 [] IN DI VI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: -?,S~ '~ -~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank · Absorption Area Sawer Line I Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Line [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE . i MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL P~OTECTION!  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 LStreet-Anchorage, Alaska99501 [ '10V 2 1978 ENVIRONMENTAL ENGINEERING DIVISION RECk , Te,e.hone 26*4720 i V E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER -- J PHONE Dr. Alva Roberts/Presently out of town, Contact: Bryan ElsnerJ 276-1333 MAILING ADDRESS , S.E. Corner of C_oronado and Echo Streets, Ea~le River, Ak. 99577 PROPERTY RESIDENT {If different from aboye} P~-E?128 hm. Carolyn Briar 279-9403 wk. 2. BUYER -: PHONE Richard A. Berg ,: ~-~ MAILING ADDRESS P.O. Box 808~ Eagle River~ Alaska 99577 3. LENDING INSTITUTION J PHONE Peoples Bank & Trust Co. - Ann Morgan, Mtg. Loan ProcessorJ 279~7511 MAILING ADDRESS Pouch 7-007, Anc. hora~e~ Alaska 99577 4. REALTOR/AGENT J PHONE Bryan Eisner/Century-21 Heritage Homes and InvestmentsJ 276-1333 ' MAILING ADDRESS 207 E. Northern.Lights Blvd., Anchorage, Alaska 99503 , 5. LEGAL DESCRIPTION Lot 5 A-i, Robert Johns Subdivision STREET LOCATION ~ S.E. Corner of Coronado and Exho Streets 6. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY [] 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 **If individual/on-site, give installation date , ,. if system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~)10(3/78) (9L/F. '^atJ) 0L0'~L NO[J_dlEIOS3Q Q.-3 AOUddVSIC] E~ (a]e,o!jpja3 Auectguoooe ]snuJ Ja~:~al) ~AOUddV qVNOIJ_IQNOO [] StAJOOUCI~8 '~ UO-J C]3AO~Jdd¥' ~[~r~Tj 3±Va S.LN31N~O3 '9 ~U['1%0'1 ).sa JeaN ~J3H-LO [] eoJv UOl:idJosqv] )iuBJ. 6U!plOH/O!~,do$ -- L au!q JaMO~ ~ V I~J 3.LVlAI H3HQIOYJ~NVH 9NIIV~ SqlOS Q3~V±SNI3±VQ ~J 3 [IEIrl N .LIRH3d (] 3 A [30:::1H 00'1 (]37'11 HC] 3 J_N:/Q '1-13AA JO H±d3C] H38~FIN J_IV~H3 d XIS [] UF/OJ L-3 ON~I _~ AI::i E~ 33UHJ_ E~ 3NO :O1 q'l 3NN S30NVJ. SIQ '9 Va HV NOIJ-d~JO$~]V qVlO/ :suo!suauJ!p aA!B apeLua~uoq s! >lUe± il :az!s )lue± bU!plOFl~ J~'>IUeJ~'3p, closL~ pa!¢!JaA uopoauuo3 Allq IlFI 3118 Fid [Z] 3/IS- NO/'IVFI(] I^IQ NI [] IAI31SAS q¥$OdSIC] --1DV/~:IS 'g pa!,[!JaA UO!IOaULIO0 A±lql±n 01-18 rid [] A.LINN~ROO [] -IVCiQ IAIC]NI [] ^-iaans AqI~Va 3-1 d I.L-h'llA] [] A9 IIAIV-I 3qgNIS E~ 33N3QISa~J -IO 3dA.L S~OO~Ja3~] JO ~a~nN L., :SNOIJ_33 kJl(3 HOJ.OiJdSNI HO_LD3dSNI FJO.LOadSNI S.LNaH.LNiOddV N©I.I.33dSNI C]3AI3D3H 3 I.V(] A'INO 3Sf] -lVI,')I:I=IO HOd 3QIS $1H± DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVERNOR 274-2533 April 15, 1985 S&S Engineering SRB 196X Eagle River, Alaska 99577 SUBJECT: Lot 5Al; Block 5; John Robert Subdivision, Eagle River, Alaska (8521-DA-144) Dear Sir: In review of the subject on-site septic system we have found the adequacy of the system to be satisfactory. It is noted that in our review we found the loading of the absorption field high, but in our final review we decided the system could operate adequately as built. Any future expansion of the subject project will require additional approval from the ADEC. If you have any questions, please feel free to contact me at our Anchorage/Western District Office. Sincerely, Michael P. Lewis Environmental Engineer MPL/msm MUNICIPALITY OF ANCHORAG[~ DEPT. OF HEALTFI & ENVIRONMENTAL PROTECTION Al 2,3 1985 RECEIVED David Slenkamp Mechanical Engineer 694-9055 S&S ENGINEERING SRB 196X EAGLE RIVER, AK. 99577 Robert Shafer Civil Engineer 694-2979 November 28, 1978 Dr. and Mrs. Alva Roberts 13535 Southwest Hart Beaverton, Oregon 97005 Dear Dr. and Mrs. Roberts: Your agent, Brian Elsner, Century 21, Heritage Homes, contacted this office to perform a sewer adequacy test on your property located on Lot 5Al, Block 5, John Roberts Division, Eagle River, Alaska. The sewage systems adequacy test was conducted on 19 and 20 November 1978. The septic tank was pumped and 750 gallons were removed. The septic tank could not be verified to have a capacity in excess of this amount. The water level in the seepage pit was recorded. The pit was then charged with 1,000 gallons of water. Percolation of a 24-hour period as recorded on 20 Nov- ember 1978, resulted in the removal of approximately 810 gallons. It can be, concluded that the percolation through this seepage pit will provide a minimum of 202 gallons per bedroom over a 24-hour period. On the basis of the above surveyanfid'.~est, it is determined that the seepage pit is adequate; however, the septic tank capacity was inadequate for the four bedroom residence. At the direction of Brian Elsner, an on-site sewer upgrade permit #781050 was obtained from the Municipality of Anchorage Department of Health and Environmental Protection. Mr. Paul Gibbs was con- tracted to install an additional 500 gallon 'tank under this permit. I inspected the installation of this tank and as a result of the completed installation, I am happy to inform you. that th~upg~ade sewage system on the referenced property is adequate. ~t Inclosures Century 21, Heritage Homes 207 E. Northernlights Boulevard Anchorage, Alaska 99503 .- Peoples Bank and Trust Company Real Estate Department 644 West 8th Avenue Anchorage, Alaska 99510 Department of Health Environmental Protection Agency 825 L Street Anchorage, Alaska 99501 ~ebrua~ 20. 1069 ~r. Nash Reno ~ox 48 Eagle River, Alaska 99577 SUBJECT: Sewer and water approval for VA lean, l. ot 5A Robert 3abas Sub. Dear Mr. Rone~ The Greater Anchorage Area ~torouih Health Depa~ant has inspected both sewer and water at the subject location. The water supply is provided via Sunn~ Slopes water supply and is approved, The present sewer syste~ is a cesspool ertly, Per VA purposes this partmont requests that sufficient funds he placed in escrow for the stallation of a 1,000 gallon septic tank on or before July 1, 1969. This letter will serve as preltmiP-Al~/ approval for the installation of the septic tank only. Fi~atlapproval ~ill bo based upon on-site inspec- tion of this system prior to backfilling, Sincerely, DAVID R. L. ~UNCAN, ~edical Director CC: · % . inst&I~on to conform to Borough Health code with Certified inspection by that department. IN WITNESS WHEREOF THE PARTIES HERETO HAVE SET THEIR ~NDS and seals on the date above set forth. ~ /~? Installer '~ ,(/¢"f~'h (' .... ¢-~ ~ .... Owner Dan C. Bell "Nash Pone' STATE OF ALASKA ) THIRD JUDICIAL DISTRICTiSS This is to certify that on this .~__~=day of Feb. 1969, before me, the undersigned, a Notary Public in the and for the state of Alaska, personally appeared Dan c. Bell and Nash Pone, to me known to be the persons dlscribed in and who excuted the within and foregoing instrument, and acknowledged to me volun- tary act and deed for the uses and purposes therein mentioned. Witness my hand and Notarial Seal on the day and year in this certificate .first above written. Notary public? in 'and for State of Alaska My commislon expires: ~. ~, :~.