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Home My WebLink AboutRONS LT 1 Permit Number:OSP261165 Tax Code Number:01552136000 Work Type:Septic Upgrade Effective Date: Design Engineer: Site Legal Address:RONS LT 1 G:2637 Owner:BILLYE GOFF SURVIVOR'S TRUST Site Mailing Address:11001 GAMACHE DR, Anchorage Lot Size in Sq Ft:49443 Total Bedrooms:3 This permit is for the construction of: Disposal Field Septic Tank Holding Tank Privy Non-Public Water Well Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Coodinate with On-Site staff regarding preferred method. 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing 6/17/2026 6/17/2027 GARNESS ENGINEERING GROUP LTD Expiration Date: þ þ ¨¨¨¨ Issued To: Issued By: Date: Date: 6/17/2026 6/17/2026 GARNESS ENGINEERING GROUP LTD Curtis Townsend MUNICIPALITY OF ANCHORAGE On-Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On-Site Wastewater Disposal System Permit ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-521-36 Property owner(S) FRED & BILLYE GOFF LIVING TRUST C/O ARM SEPTIC SERVICES Day phone 907-688-9433 Mailing address 11001 GAMACHE DRIVE, ANCHORAGE, AK Site address 11001 GAMACHE DRIVE, ANCHORAGE, AK Legal description RON'S; LOT 1 Number of Bedrooms 3 Engineering Firm GARNESS ENGINEERING GROUP, LTD. Building Permit Number APPLICATION IS FOR: (Z all that apply) Absorption Field Septic Tank Holding Tank 171 Privy n Well 101 Not Applicable n APPLICATION IS AN: Initial EJ Upgrade Renewal ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: Permit/Rush Fees: Waiver Fees: Date of Payment: Z 6 Date of Payment: Permit No. (D 6 Waiver No. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261165, Curtis Townsend, 06/17/26 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261165, Curtis Townsend, 06/17/26 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261165, Curtis Townsend, 06/17/26 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261165, Curtis Townsend, 06/17/26 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261165, Curtis Townsend, 06/17/26 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP261165, Curtis Townsend, 06/17/26 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of Z1 I of 20,ak, by and between here n the "OWNER," and the Municipality of Anchtoge., herein the "A41 WICIP A LITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description) 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) & Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. &--Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 &— Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. kk- Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severa-bifity. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/ 18/2018) Page 2 of 3 OWNER: By: A(signature) Date: % (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoingC str ent was acknowledged before me this �� day of -aJ4 , 20X_, by ; O RPUBLIC FOR ALASKAWE E, 1.N TAY My Commission expires:/.�f�o�b c aeoe�sors r„� "Official Sear Notary Public A. Jones State of Alaska MUNICIPALITY carxrMssion ONN15018 Exoms WISWW By: (signature) �U w"S %. ,l (print naive) Date: 0 Title: C i V i L C `' b (rev. 05/18/2018) Page 3 of 3 27.0' 44.3' 13.6' 2.0' 34.7' 64.3' 21.3' 22.0' RESIDENCE S H ED SHED LEGEND UTILITY PEDESTAL EDGE OF ASPHALT RECORD DATA PER PLAT #74-245 SEPTIC PIPE WELL DECK TIMBERLINE SURVEYING AND MAPPING 17035 BARONOFF AVE EAGLE RIVER, AK 99577 907-242-5320 ryan@timberlinealaska.com FILE NO.: 26.044 SCALE: 1" = 30 FEET DATE: 4/10/2026 SHEET: 1 of 1 MOA GRID: SW2637 SCALE: 1" = 30 FEET(11"x17") 30'0' 60' AS-BUILT OF: ADDRESS: 11001 GAMACHE DR, ANCHORAGE, AK LOCATED IN: ANCHORAGE RECORDING DISTRICT LOT 1RON'S SUBDIVISIONPLAT #74-245 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Phone(s) J Permit No. No el Bedrooms 1 LEGAL ~ESCRIPTION .et t Block '"--, Subdi~ j%~. ~ Township, Range, Section TANKS [~ SEPTIC [] HOLDING Manulacturel j Capacity in gallons No. of Compartments Mate,ia, S tC--E'L- t, TYPE OF SYSTEM [] TRENCH [~BED [] W. DRAIN [] OTHER Depth to p~pe bottom fromm. Flit added above origmal grade Gravel length Total depth from ori~nal grade I:1- (~ ~ Gravel depth beneath pipe FT ~ G~avel width Distance between lines FT FT FT PRIVATE ~ OTHER REMARKS: DISTANCES WELL LOT LINE FOUNDATION SEPTIC TANK ABSORPTION WELL FIELD [0 AS-BUILT DIAGRAM (Show location of well. septic system, property lines, foundahon. driveway, water bodies, etc.) - ~ ~ ~C m.s,ect,o.s Pedormed by: ~ ~ ~ ~ . ~eMiIv t~,' this inspection was pedormed according to all ~unicipal and State guidelines Rebert E. N~. 4'14~- E f_cc ¢~15 :Pa 1. 2,000 Sf reserve ~ / bedroo~ Existing System (to be a ~c0 Test 6,000 sf Reserve Tan'k/' g~ 1% 250 1) North System Design -- 4 bedroom @ 225 sf/bed x 1.5 = 1,aS0 sf of area Absorbtion Bed'= 24' x 57' = 1,368 sf Ail materials, construction methods and inspections to follow MOA rules and regulations. Ail wells'within 125.f~t of the proposed bed to be located prior to construction of bed to insure minimum 105' sepe~a~ion. Remove existing tank and abandon'remainder of ~[x~g~ing system. Maintain 10 foot from all property lines with new field and a minimum of 20 feet from the existing trench with the new field. Reserve Area = 4 bedroom @ 2,000 sf/bed = 8~000 reserve area. Robert E. Lot 1, Block 0, Rons Subdivision Scale 1" = 50' 8-17-90 System page 1/2 LoT 1, Rons' Subdivision System upgrade no scale 8-17-90 page 2/2 From:Jody Maus To:Townsend, Curtis L.; Sonja Blewett Subject:RE: OSP261165: RONS LT 1 Date:Wednesday, June 17, 2026 4:23:58 PM Attachments:image004.png [EXTERNAL EMAIL] Curtis, Looking at this soil log, I think your interpretation of the soil log perk rate appears to be correct and that our assumption of the soil below 5.5 feet are >120 mpi is also correct. If the readings were in feet, that would make it like an 1mpi perk rate. Sincerely, Jody Maus Consultant Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507 Phone: (907) 337-6179 Mobile: (907) 223-0555 Website: www.garnessengineering.com From: Townsend, Curtis L. <Curtis.Townsend@anchorageak.gov> Sent: Wednesday, June 17, 2026 3:28 PM To: Sonja Blewett <Sonja@garnessengineering.com>; Jody Maus <Jody@garnessengineering.com> Subject: RE: OSP261165: RONS LT 1 Email the agreement once you receive it. thanks Please look at 1990 Kniefel test hole. Time intervals are 10 minutes The last reading the water depth was at 0.60, and end reading was 0.52. Net drop is 0.08. I’m assuming the units on this are inches. 10 min / 0.08 inches is actually 125 mpi. This would support what you folks are assuming for that soil strata. They present 21 mpi on their soil log. To arrive at that for 10 minute intervals, there would have had to be a drop of 0.48 inches. 10 min / 0.48 inches = 21 mpi. Does your team read the percolation results similarly? From: Sonja Blewett <Sonja@garnessengineering.com> Sent: Wednesday, June 17, 2026 3:16 PM To: Townsend, Curtis L. <Curtis.Townsend@anchorageak.gov> Subject: Re: OSP261165: RONS LT 1 [EXTERNAL EMAIL] Thanks! I will follow up with client again on getting that to me. Sent from my iPhone On Jun 17, 2026, at 3:13 PM, Townsend, Curtis L. <Curtis.Townsend@anchorageak.gov> wrote: Sonja, I prematurely approved this permit. just need an awwts agreement. Please email me. Thanks Curtis Townsend, PE Onsite Water and Wastewater Municipality of Anchorage 907-343-7908 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 's SEAL) PERFORMED FOR: · EGAL DESOR,PT,ON~ 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS__ DATE PERFO Township, Range, Section: .AN SLOPE WAS GROUND WATER ENCOUNTERED? s IF YES, AT WHAT ~ ~) DEPTH? p E'. O,gl,,0 war,r*,,, b IZy Dale: I 'I~"~ Monitoring? ~" ~'~ Gross Net I~epth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~' ~ (minutes/inch) PERC HOLE'DIAMETER T~E~S,~i~ RUN.~ETWEEN ~ FT AND ~ ~) FT PE"FORMEDS¥: .~.'~Ct--" , J.. ~,V"~ CER',FY THAT 'rH,S TEST WAS PERFORMED ,N ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 IRev. 4/851 GREif ER ANCHORAGE AREA BOkuUGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: FROM WELL 1~O UFACTURER INSIDE LENGTH MAILING ADDRESS ~:>~:~,"'~f ~ ~z'4'~"~'~'"' PHONE~¢~/'~"~0'~ LEGAL DESCRIPTION ~ / ' ~ NUMBER OF ~ COMPARTMENTS MATERIAL LIQUID DEPTH INSIDE WIDTH LIQUID CAPACITY /® GALLONS. SEEPAGE NUMBER OF PITS --. DIAMETER LINING MATERIAL CRIB SIZE': BUILDING FOUNDATION__ OR WIDTH DIAMETER __ NEAREST LOT LINE .LE,~IGTH DEPTH .DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: FOUNDATION -- CESSPOOL APPROVED_ CONSTRUCTION NEAREST LOT LINE_ OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM DISTANCES: LOT SLOPE:_ __ REMARKS: __ DIAGRAM OF SYSTEM APPROVED GRE/~-~R ANCHORAGE AREA BOF~UgH DEPARTMENT OF' ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 ~ TELEPHONE 274-456! SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMit NO. INSTALLATION LO°AT,ON INSTALLATION OF: SEPTIC TANK ~ SEEPAGE~ ~ , DRAIN FIELD i ,, OTHER ' 4 SOl, ;EST .ESULTS ~'" ~Z~~ NOTE: THIS PERMit IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WiLL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT A~J DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPT{C TANK SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK ~'~ DRAIN FIELD f~ ~' / '( &RAI"F'ELO / SEEPAGE Pit alSO CONSIDER AREA WELLS. SEEPAGE Pit SEPTIC TANK, ~/~%'"~ DRAIN FIELD , SEEPAGE Pit TO riVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION E FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA ~OROUGH ORDINANCE NO. 28.68 and THat THE ABOVE DESCRIBED SYSTEM IS IN AOCORDANCE WiTH SAiD CODE'~/"'/~"~' .,~'-~.'' A ~ ~ :%,, ::--~ GREATER ANCHORAGE AREA BOROU~ ~~/~/~ ~ ~ 'Department3330of,,c,,Environmentalstreet QU~ ~ tY ~~//~ ' Anchorage, Alaska 99503 ~ ~ SOILS~ LOG -P~EROLATION TEST Performed for. ~__.~//~__~~~~......... Date Performed Lega 1 De s c ri pti on :_.Z)//~, ¢~//m~ /¢,//~ .... _¢Y~..: >~ 2~-/~ g__~_~/~.~ This form reports: Soil~ log. 2( Percolation test Depth Feet 4- 5- 6- 7- 8- 9- 10 - ll - 12 - 13 - 14 - / Was ground water encountered? //cb If yes, at what depth? Reading Date Gross Time Net Time Depth to Wate~ Net Drop Percolation rate mi nute. .Proposed installat-T°-n': Seepage Pit ............... Drain Field i)epth of Inlet Depth to bottom of pit or trench COHMENTS: EQ-040 (6/74) Gre/~r ANCHORAGe Area BOF~UGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 ~'~.6. e ~zi.~.,6z~Ai_ ~Y~TE~ ~ APPLICATION AND PERMIT ~OIL TEST RESULTS ~OT~ T~lt ~IT It ~OT ~lLl~ WITHOUT ~O1~ T~ COMPLETION DATE ANTICIPATED FINAL INSPECTION: 2/I HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS EOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ., SEEPAGE PIT ! TO NEAREST LOT LINE. WELLTO SEPTIC TANK SO / D R A,'" ,ELD WATER MAIN TO SEPTIC TANK DRAIN FIELD DRAIN FIELD SEPTIC TANK, ,, SEEPAGE PIT TO RIVER, LAKE. STREAM. SEEPAGE PIT ALSO CONSIDER AREA WELLS. , SEEPAGE PIT DRAIN FIELD CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. /- ' G.%... - '* DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAg~ AREA BOROUGJai~ORD~NANCE NO. 28-68 AND THAT THE ABOVE DATEDESCRIBED YSTEM IS IN ACCORDANC WITH BAlD CODE.~/j._~~ANppL I ~ ' (~ ~ (... )h /) t,):: C + )'1' ! p~ r..)< - AA{v) c ~--.,MUNICIPALITY OF ANCHORAGE--~ DEPARTME, OF HEALTH AND ENVIRONMEN' ' PROTECTION 825 L Street, Anchorage, Alask~ 99501 279-2511, ext. 224 or 225 Date Received: June 28, 1977 #1: Time Date Insp #2: Time #3: Time Date Date Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES % Mary Ann Dodge Lending Institution Request: First National Bank of Anchorage Mailing Address: Post Office Box 720 99510 Phone: 276-6300 Property Owner: Allan/Marie Egbert Mailing Address: Star Route A Box 1736P 99507 Phone: 344-5580 3. Legal Description: Lot 1 Ron's Subdivision 4: Single Family Residence: (x~ Multiple Family Residence: ( ) Number of Bedrooms: three Number of Bedrooms: Well System: Permit # Construction Individual well (x)x Con. unity/Public System ( ) Depth of Well Well Log on File ( ) Bacterial Analysis e Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System (x~ Public Utility ( ) Installed Installer Manufacturer Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line De~a~tment of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 1 Ron's Subdivision Comments: Af fadavit Attached Approved: _~ Disapproved. Letter Attached: ( ) Date: Date: Department Worksheet: ~,UNICIPAUT¥ O, ¢t D.F.P¥. C, fi II'~,~',!.:ili ~ ,~MUNICtPi~. MUNICIPALITY OF ANCH~h~NtAL ~tOTtCTIOM ~-~. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 279-2511, ext. 224, ~2~ REQUEST FOR APPROVAL ~E~ E/%i F ~ INDIVIDUAL SEWER and WATER F~I~~ 1. Type of Inspection: VA FHA. 2. Property Owner: Allan & Marie Egbert Mailing Address: SRA Box l~30-Y Anchorage~ Ak,~ Day Phone:_ 3.4--4-5580 3. Name of Buyer: Billye Lou Pritchett Mailing Address: SRA Box 1736P Anchorage, Ak. Day Phone:__ 344-0066 4. Name of Lending Institution: FirRt National Bank of AnchorKe Mailing Address: P.O. Box 720 Anchorage, Ak. Phone: 276-6300 x572 5. Name of Realtor or Agent: Sharelle Sanders, Ellison & Ellison Real Estate Mailing Address: Phone:._ 243-1937 6. Legal Description: Lot 1 Ron's Subdivision ___CONV_ x Location: Off of O'Malley Road 7. Type of Facility to be Inspected: SFR 8. Water Supply Type of Supply: Public Utility 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__ No. Bdrms,. 3 Individual. Well SeptiG Individual (on-site) Mary Ann Dodge 6/24/77 72-003(3/76) ~/ GREATER ANCHORAGE AREA BOROUGH Department___of E~onmental Quality 3330 "C" S~n~age,/Alaska 99503 274-4561 ~ ~~/~ , ~ Date Received ~& [~ ~ [~g/~ Time of IBspection 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: First National Bank of Anchorage 646 West 4th AVenue Phone: Ellison Reams Construction Phone: 4520 Edinburgh Drive Lot 1 Rons Subdivision Off of O'Malley and Our Road 279-4481 344-0501 5. Type of facility to be inspected 6. Well Data: A. Type Single FAmily Individual - serving one C. Construction Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: No. of bedrooms 2 1975 1. Size 1. B. Depth 80' D. Bacterial Analysis On-site system B. Installer 2. Manufacturer Absorption Area 2. Material E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank Total length of lines / /~0 , Absorption area //~ , Other contamination , Absorption area , Sewer Lines C. Absorption area to nearest lot line EQ-034 (1/74) Paae 1 of two Daaes Page 2 of two pages - Re--st for Approval of Individual F'~'er & Water Facilities Legal Description Lot 1 Rons Subdivision Comment~ .... ~' Approved Disapproved Date ~val Valid for one year from date signed ~ Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operat i~k.s_a t:~ac to: ly. S IGNED~'-~-~~ ~ Date MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF iNDIVIDUAL SEWER and WATER FACILITIES Type of Inspection: CMRO VA FHA CONV Property Owner: ~'4~,,~,¢~,.~J ~ .~ ~'~-,.~.~.~e..~-¢~.) Mailing Address: ~v~'~'2-~ ~---~/'~/"%'~'~-~¢ /~'~. Day Phon~,,~~ Name of Buyer: ¢'~-~-~ Mailing Address: Name of Lending Institution: Mailing Address: Name of Realtor or Agent: Mailing Address: Day Phone Phone Phone Legal Description: ~--~ -~' Location: ~'~' 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: No. Bdrms. ~ Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well ~::~ / Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) EQ-037 (1/74)