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HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 2 LT 25Lake Ridge Terrace Block 2 Lot 25 #051-315-02 Municipality of Anchorage Community Development Department Page 1 of 4 On -Site Water and Wastewater Program 4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite - (907) 343-7904 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131313 PID Number: 051-315-02 El New ED upgrade Name: LAKE RIDGE PROPERTIES ABSORPTION FIELD El Deep Trench M Shallow Trench F� Bed F1 Mound Address 14627 W. LAKE RIDGE DRIVE El Other Phone Number of Bedrooms Soil Rating depth from original grade 1 4 ITotal GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot LAKE RIDGE TERRACE 2 25 Fill added above original grade Ft., Gravel length Ft. Township Range Section Gravel width Ft� Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption LiftStation Holding Sewer Total absorption area Number of trenches Dist, between trenches From Tank Field Tank Line FC Ft. Well 100+ N/A 100+ N/A (E) TANK El Septic El S.T.E.P. [I Holding 0 Other Manufacturer ANCHORAGETANK Capacity I 1500GI. Surface Water 100+ N/A 100+ N/A Material Number of compartments Lot Line 5+ N/A 5+ N/A STEEL 2 NA Foundation 5+ N/A 5+ N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ N/A 50+ N/A ORENCO 250 Gal. Remarks Pump on level at 40 in. Pump off level at 36 in.1 High water alarm at 45in. Pump make and model P2005 Electrical Inspections performed by Installer Tankto PIPE MATERIAL House to tank 3034 drainfield 3034 OWNER (LAKE RIDGE PROPERTIES LLC) Drainfield CO/MT 3034 Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 100.Oft Inspection dates: 1 s' 9/6/13 2-j 9/6/13 Location and description 3rd Ith TOP OF CONCRETE STEP COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL En in Engineer's Stamp g s S' Mp qb 0IF- Conditional Approval: Date 00W r yj L T Awl C CD. C),--/ L Y, r- I C_ L_3 0 L,) C f,-\,-f /j- -/V) _f I . 17­� 5 L 1-, (3, Ox L 'i V tt*e*ven R­*a*n'n*6rm;'e' ? CE 8149 Approved Date Aar Aw ki� " I inspection Keport-1-1-12.doc D SIGN AR I ETE S PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. PERC RATE = 11.3 MPI APPLICATION RATE: 188 SF/BR AREA RQD: 750 SF SYS. TYPE: DEEP TRENCH 7' E.D. MIN LENGTH: 53.6 LF I USED: (2EA) 43 LF X 3' WIDE, 3' E.D., 6.5' TD WELL (E) TOTAL AREA: 750 SF I 107.5 /\1 i/ COLLAPSED 1250g SEPTIC / TANK & LIFT STATION ABANDONED PER CODE INSTALLED NEW 1500g S.T.E,P. TANK -/ w w�W w o �s LS 0 w J SEPTIC AREA (E) SEPTIC AREA (E) DRAIN FIELD ( N TRENCH 43LF 3.0'ED SEPTIC AREA (E) A B C FCO 27.3 T1 30.9 20.9 T2 34.5 25.4 LS 35.4 26.5 M 1 20.6 15.5 M2 49.8 52.7 M3 NOTES: [RECORD DRAWING PLAN 1 4) s SEPTIC AREA (E) M 1 25%-28% 110.2 I 5%- 28� 4BR DUPLEX (E) 100.4 LOT 25 WELL (E) jjj 25%-28% WELL (E) wFi i (F)� PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 LAKE RIDGE TERRACE, BLOCK 2, LOT 25 14627 W. LAKE RIDGE DRIVE LAKERIDGE PROPERTIES LLC P.O. BOX 770323 EAGLE RIVER, AK 99577 L✓ OF A"sl��, *: 49 TH Steven R. Pannone I g CE 81499 ; jQt1� ill`FDH?OfES516Nt' •► 1\o Date 9/9/13 Scale i "= 50' P.I.D. NO 051-315-02 PERMIT NO. OSP131313 Sheet 2OF4 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON —SITE WASTEWATER DISPOSAL SYSTEMS. 2. SCOPE OF WORK: INSTALLED NEW 1250 GALLON S.T.E.P. TANK DOCUMENTED DRAIN FIELD. 3. GROUNDWATER WAS NOT OBSERVED TO A DEPTH OF 10 FEET BELOW EXISTING GRADE DURING EXCAVATION OF THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 10 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY. TH- i -1.0 :�- 88.9 9/6/13 -12.5 —86.9 8/30/13 SECTION 1.25"0 PIPE 5' O.C. TYPICAL W/ 0.125" DRILLED HOLES 18" O.C. zo F > > w m w DRAIN ROCK 6" ABOVE m F 0 o o ao z z PIPE INV N o f z FILTER FABRIC n IG 00 1 o 0 94.1 NEW 1500 g S.T.E.P. TANK 89.1 — _ ®_ .�t�®ems __a®ea- -s::affi pt7-95.9 1 II 3.0' DRAIN ROCK If I -------------------"J-92.9 CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER TH-1 -1.0 GM 9/6/13 v — 88.9 -12.5 —86.9 8/30/13 LEGEND W WATER LINE/ WELL RADIUS SS NEW SEPTIC NOTES: �7�7�T �7� �T�+ �T T �..�1��\\\ Dote RECORD DRAWING P��NNUNE 1'jvv `� �' L OF qL P.O. BOX 100217 ANCHORAGE, AK 99510 9,l� g/9/13 PHONE (907) 272-8218 FAX (907) 272-8211 /,..�.�P '�y+r Scoie NTS LAKE RIDGE TERRACE, BLOCK 2, LOT 25 E .D. NO 14627 W. LAKE RIDGE DRIVE qc I� Stev051-315-02 -� en R. F'annorie LAKERIDGE PROPERTIES LLC /t . CE 814 i PERMIT0. N P.O. BOX 770323 ftsr l `��G•r. DESIGN DETAILS EAGLE RIVER, AK 99577 1>t �� o ssloN`` -= Sh3eOF 4 TEST HOLE 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 ORGANICS I— 9/6/13 DATE PERFORMED: 8/30/13 SLOPE X TH SOILS LOG - PERCOLATION TEST 3 wElLI (E) SITE PLAN /41 (T— WAS GROUND WATER ENCOUNTERED? Y IF YES, AT WHAT DEPTH? DEPTH TO WATER AFTER MONITORING? -10.5- DATE: 9/3/13 COMMENTS: Test hole excavated -i/ j' LOT 25 l� WELL (E)/ \ M _—M ---M SLOPE TH X READING DATE CLOCK TIME NET TIME WATER LEVEL READING NET DROP 1 8/30/13 10:00 — 5.900 — 2 10:10 10 min 6.800 0.90 3 10:10 5.900 — 4 10:20 10 min 6.780 0.88 5 10:20 — 5.900 — 6 10:30 10 min 6.780 0.88 SOIL TEST RESULTS/ANALYSIS • PERCOLATION RATE 11.4 (min/inch) (Hydrologic Soils Group: HSG A) • PERC HOLE DIAMETER 6" • TEST RUN BETWEEN 4.5 FT AND 5.5 FT. • TEST RUN FOR OVER AN HOUR, LAST THREE READINGS PROVIDED. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PAMONE ENG SVC LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 ��t���t� OF ALq ^ -+ l� -•- � lye r 'C S ''''�P �* .4 TM *�� �� • • .... Steven . Pannone w CE 8149 r�� . 4�� �tcsTFp �QD� ot�sslo�► Date 9/9/13 RECORD DRAWING Scale NTS P.I.D. NO 018-173-31 PERMIT N0. OSP131313 LAKE RIDGE TERRACE, BLOCK 2, LOT 25 14627 W. LAKE RIDGE DRIVE LAKERIDGE PROPERTIES LLC P.O. BOX 770323 EAGLE RIVER, AK 99577 SOILS LOG Sheet 4 OF 4 Municipality of Anchorage On -Site Water and Wastewater Program P.O. Box 196550 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite Review Comments Engineer: Pannone Legal Description: LAKE RIDGE TERRACE BLK 2 LT 25 ParcellD: 05131502000 Permit: OSP131313 Septic Report Type: As Built Review 11 /25/2025 Completed By: C.Townsend The application has been reviewed and the following comments have been generated. These are to be satisfactorily addressed prior to MOA approval: inspection report originally sent by PES to MOA Feb 2019. IR was not in MOA files in Nov2025. Sent friendly letter to owners Nov2025. Owners contacted PES. PES resent IR Nov 2025. The tank portion of the IR and record looks good. My comments relate to the field documentation. 1. is the field width 3' or 5'? 2. if the field is T wide, are you calculating absorption area assuming it is a deep trench or wide trench (with reduction factors)? 3. the trenches are drawn at 5' width. /�_ F- a oS'l- On -Site Wastewater Disposal System Permit Permit Number: OSP131313 Tax Code Number: 05131502000 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Work Type: Septic Permit Effective Dates: September 06, 2013 to September 06, 2014 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: LAKE RIDGE TERRACE Site Legal Address: LAKE RIDGE TERRACE BILK 2 LT 25 G:0553 Owner/Address: LAKERIDGE PROPERTIES LLC PO BOX 770323 EAGLE RIVER AK 995770323 9/�//3 y:1s Site Mailing Address: 14627 W LAKE RIDGE DR, APT A, Eagle River Lot Size in Sq Ft: 26500 Total Bedrooms: 4 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must 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 must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. 1. Special Provisions: The absorption fields are not documented. The fields are to be documented prior to the new septic tank Inspection Report approval. Received By Issued By: MUNICIPALITY OF Community Development Department Development Services Division 6 On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWERIWELL PERMIT APPLICATION Parcel I.D. 051-315-02 Property owner(s) Lakeridge Properties LLC Day phone Mailing address P.O. Box 770323, Eagle River, AK 99577 Site address 14627 W. Lake Ridge Drive Legal description (Sub'd., Block & Lot) Lake Ridge Terrace, Block 2, Lot 25 Legal description (Township, Range & Section) Lot Size 26,500 Sq. Ft. APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank ❑x Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 4 APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) (w/wo ADU) Upgrade 0 Duplex (D) Renewal ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE 1 WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 0 .3 x' Date of Payment: Receipt Number: (2A344Ct Permit No. ©5f � 3131'3 Permit App_-'-:. Waiver Fees: Date of Payment: Receipt Number: Waiver No. Pannone Engineering Services u.c Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve(ftanengak.com September 4, 2013 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street Anchorage, Alaska 99519 Subject: Lake Ridge Terrace, Block 2, Lot 25 Emergency Septic Tank Replacement Permit Request Ladies and Gentlemen: I am writing to request that a permit to install a new 1500 gallon S.T.E.P. tank be issued for this lot. The proposed system will serve an existing four-bedroom house. Currently the lot is developed. The existing septic system was designed and installed for four bedrooms. The existing 1250 gallon septic tank and lift station have rusted through and the perforations are allowing groundwater to backflow into the house. The existing 1250 gallon tank and lift station will be abandoned per code. This lot is served by a private well that is over 100' from the septic system. The surrounding lots are also served by private wells that are over 100' from this system.. 1. Upgrade Tank Design. a. See Sheet 1 of 1 of the plan set 2. Surface Water: There is no surface water within 100 feet of the proposed system. The proposed systems will maintain at least 100 feet from all surface water and drainage ditches. 3. Topography: Lot 25 slopes from northwest to southeast at approximately 2%-5% in the area of the tank replacement. The proposed installation will be located in the western portion of the lot next to the existing septic tank and absorption system. There are no steep slopes within 50 feet of this system. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 1/2 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: Mailing: P.Q. Box 100217, Anchorage, AK 99510-0217 Physical: 332 1/2 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 3 WELL (E) / 113.7 COLLAPSED TSTA SEPTIC r TANK &LIFT STATION (E) L 44 ABANDON PER CODE INSTALL 1500g S.T.E.P. TANK (P) I - SEPTIC ARE\((EE) SEPTIC AREA (E) EMERGENCY TANK REPLACE FA E w g V� / > w � w o � w 0 1 029 4BR DUPLEX Y S9 (E) 3 DRIVEWAY o � DRAIN FIELD (E) - SEPTIC AREA (E) --M p4J SEPTIC AREA (E) �m —�M 25%-28% 189' TO LAKE 8.4 25%-28% LO WELL (E) 25%-28% WELL (E) WPI I /F1 PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 LAKE RIDGE TERRACE, BLOCK 2, LOT 25 14627 W. LAKE RIDGE DRIVE LAKERIDGE PROPERTIES LLC P.O. BOX 770323 EAGLE RIVER, AK 99577 W W-- W I\21 FAN 1Date 9/4/13 *: 49 h1 * �/ 1' -50' ..... .. .:.. P.I.D NO CE 811 ut'llullv 49 % IPERMIT NO. 1 OF 1 8?__5 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4] 11 QEORGE M. SULLIVAN, L~-EPARTMENT OF HE,>~LT~~, AND ENVIRONCqEN['At_ PROTECTION December 31, 1979 Gary C. Pogany Box 323 Eagle River, Alaska 99577 Permit ~ 790571 Subject: Lot 25 Block 2 Lake Ridge Terrace Subdivision A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well', a well log should be sent to this'department to document the installation date. If an engineer has inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please contact this office at 264-4720. Sincerely, LNB/ijw enc: Copy of Permit I:::J F:' F::' L,. ]] C:I:::![",[ '1' [... !i? [Tiiil:::!J 'T'I-.!F:: I..E:I'.,!E~iTIq B". ]: kliENE; ].' (]lj'.,f ]i E; 'THE; L.IE:i'.,iG'T'H ,:; :.i.' F,! I:::'E:E:;T ;.', OF:' 't'HE Tf;?.IENC:H O1:;i: THE D[!i:I:;"i"H EIF:' I:::1 TF::E!'.,IC:H (;;ii:;;: I::'];'[' ;,EL:i!; THE:; L;:, ]: :.:.'.:;'T'FINC:E; E'JE'T'!.,.!E%N "Fl..lEi: 'Z U Fi: F: I:::! C: E OF:' THE: EiF;:CIL.iNE:, J:::li'.,![::, THE; E',ErTTCiI','J OF:' THE E',:.::E:FI',,,'FtT;i;Ed',! ,::];l'.,! 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I,.! ;[ i L. :i!i;E;i:;¥,,,'l!!~:. ::t..: :[ F:II"I F:.'I::I?d ]: !... ]: RFi: ~,.i]:"?H THE I:;;:E:!:::¢...I]:t:;i:I!~:hlEZNT:ii!; !::'CI[:;i: O!",I"":~:!; :[ T!:!!: F:'CiF?.'T'H E?'r' 'f'HE ?IUN 'J.' C ]: Fq::i!.. :1.' 'T? El!:::' f:IN(;::HC~?.FI!TiffC. ;~?.: Z I.'.! ;I: t...[. :t: N:::i;'T'f::E..L. 'I'HE :E;";':iii;TEi"! :[ N F:IC:COF;:[.':'f::INC,E; 1.4 ): TH "H'"IE: ::ii:: :I: UN[::'E;:F;::iT'I'FIN[:' 'T'HFq'T' THE ON"'"Z:[TE :iSE:FIE:!:':': %¥:!i!;TE;!"I F::[::Z :t: [>!:ii:NE:E: :i: El; I~:E:I"'tCI[::'!ELE[::' 'T(.) :[ i",fE:L.I..I[::'E i'4C!!:;i:E: THF!N 4. , O Russell Oyster 694-2774 Performed for: · E ENL"~NEERING & DEVELC, 'MENT CO. Box 90. Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LOG Mailing Address: ~'~-~, /~O~ ~'~, ,/'~/~C' Legal Description: Earl Elll~ 688-2280 Tel. No Depth (feet) 0 6__ 7__ 8__ 9 Soil Characteristics 10__ 11__ 12__ 13__ 14__ 15__ 16__ PLOT PLAN PERC. TEST Ground Water Encountered: Yes__ Proposed Installation: Seepage Pit Comments: No ~ If yes, what depth Drain Field Performed by: ~(/~ /'~,~//~*a' GRE/ ....... ANCHORAGE AREA Q Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS ~'~ ~//~'~4 LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL /// INSIDE LENGTH COMPARTMENTS INSIDE WIDTH LIQUID DEPTH .LIQUID CAPACITY /Z~-O GALLONS. SEEPAGE Pit: NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION / DIAMETER /O~/f OR WIDTH__ ~ CRIB SIZE: DIAMETER NEAREST LOT LINE ADDITIONAL ABSORPTION LENGTH DEPTH ~ ! DEPTH__ DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~:~'/ SQ. FT. WELL: BUILDING FOUNDATION CONSTRUCTION NEAREST NEAREST LOT LINE SEWER LINE CESSPOOL APPROVED , OTHER SOURCES DISAPPROVED DEPTH DISTANCE FROM: SEPTIC /// SEEPAGE TANK SYSTEM REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM DATE ~'44~ g a ~' G.A,A.B. GREATER ANCHORAGE ArEA BOROUGh DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT PERMIT NO. INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO SE SERVED FINANCED THROUGH SOIL TEST RESULTS r-~-~'~-~ ~ SEEPAGE PIT ~ , DRAIN FIELD , OTHER NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL COMPLETION DATE ANTICIPATED , 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. ' .... DIAGRAM OF MINIMU~ DI~.TANC:E.~, REQUIREI~EI%IT$ FOUNDATION TO SEPTIC TANK TO RIVER, LAKE, STREAM. FOUNDATION TO SEEPAGE Pit C~ . DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK ,~ SEEPAGE PIT WATER MAIN TO SEPTIC TANK SEEPAGE PIT ] CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-6/3 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 9/3/74 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 3:00 pm 9/3/74 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: Bank is Mortgaqing Mrs, Gary Pogany BOX 323 Eagle River AK Same Phone: Phone: 688-2390 3. Legal Description: Lot 25, Block 2, Lake Ridge Terrace 4. Location: ~. Lake Ridge Terrace 5. Type of facility to be inspected 6. Well Data: A. Type Drilled Buplex C. Construction Standard Sewage Disposal System: A. Installed 1973 C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: Total length of lines B. Depth Distances: A. Well to: Septic tank Nearest lot line No. of bedrooms D. Bacterial Analysis Satisf~tnwy B. Installer Pol~fkm Size 1250 2. Manufacturer 30x22xl~x14x15x8' Absorption Area 2. lll', Absorption area , Other contamination Stack Steel Material Conmrete 120' , Sewer Lines , Absorption area 19' B. Foundation to septic tank 10' C. Absorption area to nearest lot line __ EQ-034 (1/74) Page 1 of two pages ??mge'~ of two pages - Re..,~est for Approval of Individual . ~;er & Water Facilities Legal Description ~/~T-' ~ ~ ~ ~ ~/~f>2~ j ~/~2~_L(~_~~ ' Comments Appr Disapproved Date Approval Valid for one year from date signed bx Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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 operating satisfactorily. SIGNED Date