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Home My WebLink AboutBIRCH HILLS TERRACE #2 BLK 2 LT 2Birch Hills Terrace #2 Block 2 Lot 2 #050-141-38 Municipality of Anchorage �� n;•, • v ; Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Bregaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWO090185 PID Number: 020.172-41 77L Wastewater System: ❑ New ❑ Upgrade Tr916 LACEY DRIVE EAGLE RIVER, AK 99577 ABSORPTION FIELD pt ° W" of Ba0 O0n' 0 De" Tr«uil 0 &l Tr. 013® 0 Mm" o om.r: SEEPAGE PIT LEGAL DESCRIPTION SM R. ug TOWOpmfpnonQWQ,W. EXISTING GPorFr fl. aba La su0dn DWh W pp• eman nmol oda•w poo. Q, v d-M b« m pp• 2 2 BIRCH HILLS TERRACE #2 fl. FI 7. p R"e swan. Fm WOW W... oq" Oral« Gr L«gm FI. 15 FI. Well: El New E] Upgrade orwN wam Nume«Orin.s o,.. a. eNw..n 1.15 FI. FI closvh on (Pm *. & a. Cl TOIN DooftG..d a TOW abswpDd W. P"Mww`N EXISTING PRIVATE Ft. FI Fr 3034 PVC D'W4' D.l. DMkM sola W.I« L.vN MpuNr. GO. Inn : FI JR PUMPING 1 9124109 YNa Pump"at C. nQ IMgnl bo.. Gr.I.ld TANK GPM fl. FI. SEPARATION DISTANCES ® septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Litt Holding lubliCVPrivals ro From Tank Field Station Tank Sewer Line Anchorage Tank 1250 GN WNI 113.1' 118.4' - - 71 S' M.I.W. Steel mr N co.w.,.nr. 1 2 Surf .w.l« 100+ 100+ LIFT STATION LoItn. 42.3' 16.2' •• «"a r« aN FouWtlan 7.8' 29r - -PWM. b.N 0. -Pwrp.mw a H; w.l«M«mM N F H. 100+ 100+ Pump M.k.8 Mo ENa Mpww P.rlan+d by Cun«n Dr«n SEPTIC TANK REPLACEMENT. Tank covered w14" Rigid BENCH MARK tM.11p1 W DMKnpkon. Insullation. BASEMENT F.F. A.mW EI.v . 100.0 FI. Engineer's Stamp Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1" 9124109 �•�••aeaa 2nd 912412009 �?,• �i� Development Services Department Approval ' Conditional Approval Date: „ ;. ..............0 • 0 •• Onnone, i ven j eSle••R.P No. CE 8149 Reviewed and approved by: Date: - ) L -f� +1�. ' �� NO WELLS W/IN 200 FT 16.1 11 L 1 WELL �C SEEPAGE PIT NEW 1250 GAL SEPTIC TANK EXISTING TANK ABANDONED PER CODE 1*BM 1 _ _ T of Uril esmit- EXISTING 4 BR HOUSE NO WELLS W/IN 200 FT NOTES:RECORD DRAWING ale PPAMOINE7ENG ANCHORAGE, 995L1I0 � P•c�of Ai_,, u10/5/09 PHONE (907) 272-8218 FAX (907) 272-8211 ,i*� TM �/n�[7 �9*$0 sd"�so' • • P.I.D. NO BIRCH HILLS TERRACE #2 � �D50-141-319 BLOCK 2 LOT 2 ••tte'ven Ai'Pcnrior+" PERMIT NO. ALEN PO BOXCKERSON7705552 ��'11 CE 8149 `.{Cry SW090185 PLAN EAGLE RIVER, AK 99577 ��`� sh�coF 2 SWING TIES 1 AB G WELL 119.3 129.1 T1 1 8.9 1 4 T2 1 18.4 1 1 32.8 NO WELLS W/IN 200 FT 16.1 11 L 1 WELL �C SEEPAGE PIT NEW 1250 GAL SEPTIC TANK EXISTING TANK ABANDONED PER CODE 1*BM 1 _ _ T of Uril esmit- EXISTING 4 BR HOUSE NO WELLS W/IN 200 FT NOTES:RECORD DRAWING ale PPAMOINE7ENG ANCHORAGE, 995L1I0 � P•c�of Ai_,, u10/5/09 PHONE (907) 272-8218 FAX (907) 272-8211 ,i*� TM �/n�[7 �9*$0 sd"�so' • • P.I.D. NO BIRCH HILLS TERRACE #2 � �D50-141-319 BLOCK 2 LOT 2 ••tte'ven Ai'Pcnrior+" PERMIT NO. ALEN PO BOXCKERSON7705552 ��'11 CE 8149 `.{Cry SW090185 PLAN EAGLE RIVER, AK 99577 ��`� sh�coF 2 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE 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. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: 4 -BEDROOM HOUSE UPGRADE, NEW 12508 SEPTIC TANK, ABANDON EXISTING TANK PER CODE. CONNECT TO EXISTING BEDS. 4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST HOLE INFORMATION ABOVE 20 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 14 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY. 5. EXISTING TANK SHALL BE ABANDONED IN ACCORDANCE WITH THE CODE BY PUMPING, CRUSHING. AND FILLING WITH COMPACTED CLEAN EARTH MATERIAL. O 5 O O O O aZa aZa Z W U Z)W W J M J LL O V U U o f og 100.1' ....._..... - -; ;;; 4" Rigid Insulation NEW 96.5' 1250 g 96.6 ' SEPTIC 96.4' TANK DESIGN PARAMETERS ABBREVIATIONS LEGEND TANK REPLACEMENT CU COPPER —w—w— WATER LINE/ EXISTING SEPTIC TANK DIP DUCTILE IRON PIPE WELL RADIUS ABANDONED PER CODE TH TEST HOLE NEW 1250 GALLON SEPTIC TANK FC FOUNDATION CLEAN OUT — u — a — EXIST'G SEPTIC INSTALLED T# TANK CLEAN OUT NO. C(/ CLEAN OUT NO. —m—m— NEW SEPTIC M# MONITOR TUBE NO. R.I. RIGID INSULATION --Q-- CHAINLINK FENCE DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER NOTES: PANNONE ING SVC, LLC-'SOF Ak yi�l Date 2/8/10 RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 '-. ' S 1 rip ' - - 1 scale PHONE (907) 272-8218 FAX (907) 272-8211 ,ow - T}i *II NTS Revised 02/08/10 BIRCH HILLS TERRACE #2 41-3 BLOCK 2 LOT 2//' teve aniior+e•� PERMIT N0. ALEN DICKERSON I '., GE 8149 SWO90185 PO BOX 770552 ,� ISD' a� DESIGN NOTES EAGLE RIVER, AK 99577 1 1\\� �"� sh2 et 2 Steve Pannone From: Poet, Jeff W. [PoetJW@ci.anchorage.ak.us] Sent: Monday, February 08, 2010 2:03 PM To: Steve Panonne (stevep@ak.net) Subject: Pink sheet.doc Municipality of Anchorage ftra `"trP.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 htto:17www.munl.oro/Onsite Development Services Department On -Site Water and Wastewater Program ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: Steve Pannone Legal description: Birch Hills Terrace #2 Block 2 Lot 2 Permit C.O.S.A. Inspection Report The attached paperwork has been reviewed and Is being returned for the following reasons: 1. If the tank has less than 4 cover insulation is needed. Name of reviewer: Jeff Date: 2-7-10 L-) V,5Q I Ft r w( Co 0-t- .A c —OrL. A,,) le_- Cbu OIL 0D 5ocA'7rdw, WK)C—De -7- 7iv S-Fac-7f0/�-) `T—>F�T AcoCaDt-4Jti L-7". /007-06 t MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Sep 24, 2009 Expiration Date: Sep 24, 2010 Permit Number: SWO90185 Parcel ID: 050-141-38 Legal Description: BIRCH HILLS TERRACE #2 BLK 2 LT 2 Design Engineer: 0062 PANNONE ENGINEERING SERVI( Site Address: 017916 LACEY DR Owner Name: ALEN DICKERSON Lot Size: 43077 SQ. FT. Owner Address: PO BOX 770552 Total Bedrooms: 0 Permit Bedrooms: 4 EAGLE RIVER. AK 99577-0552 This permit is for the construction of., ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by catling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By:y v Issued Date:I Z 0 Date:a? r x Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 050.141.38 Property owner(s) Alen Dickerson Day phone Mailing addressP.O. Box 770552. Eagle River, AK Zip Code 99577 Site address 17916 Lacey Drive, Eagle River Zip Code 99577 Legal description (Sub'd., Block & Lot) _ Birch Hills Terrace No. 2. Block 2 Lot 2 Legal description (Township, Range & Section) Lot Size 43077 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 4 THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. Pannone Engineering Services, (Signature of property owner or authorized agent) Permit/Rush Fees: 6�3[) Waiver Fees: Date of Payment: C1 f .73&�(? Date of Payment: Receipt Number: ray (26 / Receipt Number: (Rev. 11/05) Pannone Engineering Services u.c Steven R. Pannone, Principal Registered Professional Engineer E-mail: steveftanengak.com September 23, 2009 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street Anchorage, Alaska 99519 Subject: Birch Hills Terrace S/D Addn 2 Block 2 Lot 2 EMERGENCY Septic Tank Replacement Permit Request Ladies and Gentlemen: I am writing to request that a permit to install a new Septic tank be issued for this lot. The proposed systems will serve an existing four-bedroom house. Currently the lot is developed. The existing septic system was designed and installed for a four-bedroom house and is operating adequately for four bedrooms. The tank has collapsed and gravel is hindering the discharge of the effluent. The Owner is pumping weekly to keep sewage off the ground. The surrounding lots are served by private water systems and are over 100 feet from the proposed septic tank. This lot is served by private water and the well is located greater than 100 feet from the proposed system. PES will verify all required separation distances at time of installation. 1. Upgrade Tank Design. a. Number of Bedrooms: 4 b. Septic Tank Size: 1,250 gallon Septic 2. Surface Nater: 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 2 slopes to the south at approximately 1-5 percent based on existing contour information. The proposed installation will be located in the central portion of the lot adjacent to the property line. Mailing: P.O. Box 102954, Anchorage, AK 99510-2954 Physical: 11301 Olive Lane, Anchorage, AK 99515 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 or septic systems 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.O. Box 100217, Anchorage, AK 99510-0217 Physical: 11301 Olive Lane, Anchorage, AK 99515 Telephone: (907) 272-8218 FAX: (907) 272-8211 Parma raw SwAos . LLA P.O. Box 100217 Mp►iplaps,217 72 -Mb �ACE'c •:>Rlvr l•7.0' W I a Ce LCA TZls et, Q z � e.r *Sp- -rq/,k. g r- .moo 1 EwST�4�tt,vATet wsL� Cse�.,ie�� p".,A,e !4f' r. a. Rd• V Ic//v/TY MAP ReaioeNCF FOR: M/M bICKSoN al eICAL{I "HOMO.V. D"WN W Ajo DAM 6 -1S -7S e.We.D i.oT 2 a�oe.l_ Z B�ReN Mees. 7ERRAc.0 Aoo. Pit DIVIW IN6 NVYe[N --ro c5re4 TANk = /Zz �T ��+1L�AicX?ror,v -ry¢ 'F=-, WELL 70'P2el'Ba&O 'LAAvk„-f/39 .�T -ot: AW 14 STEVEN L PANNOME v • .F 149 GRE' -':R ANCHORAGE AREA BOF - "GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM , MS6tle /-��C.SON MAILING ADDRESS 1&Ox �� -�f7C <UC12 PHONE ZOV-9YI7� NAME f LOCATION ' lV e y 0R« e-4� It LEGAL DESCRIPTION rc.OTZ, �o/ G�// /l/Pif�AVG z SEPTIC TANK: DISTANCE / NUMBER'-- FROM WELL ,L MANUFACTURER 715&-A-' S51 MATERIAL _ �/� COMPARTMENTS ` INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY 17-50 GALLONS. SEEPAGE PIT: 1r)( /4C z / NUMBER OF PITS L DIAMETER OR WIDTH—, LENGTH—, DEPTH C� rz7' LINING MATERIAL NCIPCTG )?,Ny:s CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION, NEAREST LOT LINES . ABSORPTION AREA (WALL AREA)SQ. FT. ADDITIONAL ABSORPTION �(Jon1G� Irv" CTG ,�J<spoSfJ,C s ysTc'�'1 .srei�cv �� 9i�1i,C T A' z5X eo i UA 7r11�f 1,z' 7b 9cc2F,4e+6. WELL: ,r^� TYPE f/�% e CONSTRUCTION ��/^'Q�'DEPTH DISTANCE FROM: BUILDING / NEAREST ` NEAREST /I'� SEPTIC ^� SEEPAGE / FOUNDATION LOT LINE, SEWER LINE /v TANK SYSTEM ` 7 CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAL: Ao r Voo, LOT SLOPE: REMARKS: '506L / CSI g�111--16V a f erlg/Z32� Form No. EQ -031 DIAGRAM OF SYSTEM s. zs' 14 15ORM -zoo ` toPeB ry DATE 1 APPROVED G.A.A.B. 0 NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION GRE, R ANCHORAGE AREA 1301 IGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT lz 6.6 ki MAILING ADDRE�4_S �"�`� 4e HON !� INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED SEEPAGE PIT v DRAIN TO BE INSTALLED BY 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. I.-. ^ , I + SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRA N FIELD 1.` SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK , SEEPAGE PIT 2.0 DRAIN FIELD TO NEAREST LOT LINE. r- WELL TO SEPTIC TANK Q SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT TO RIVER, LAKE, STREAM. SEEPAGE PIT DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP 1 EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE F FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. Qt IS G.A.A.B. OR LICENSED DESIGNER ,A 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 26-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE FORM NO. EQ -016 v 0 Ef E GEOTECHNICAL & DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Soils Et Foundations SOIL LOG Earl Ellis 688-2280 Land Development Performed for: Name: i 11-- 'tl 1-7 Tel. No. Mailing Address: Legal Description: Lo7` �' ' I-�' ��.zi Death (feet) Soil Characteristics r PC 1 /1r. 0` GM 2 3 4 5 5"4'r ';g' Srcrf✓ G,�Rr� c ? .5d 6 412-- 6,e"qa'6L 7 8 9 11 12 Ground Water Encountered: Yes No If yess what depthw Proposed Installation: Seepage Pit Drain Field„ Comments: Performed by: =�l i'i Whx 11 PRINTED ON NO. IOOOH•10 CLEARPRINT LOG OF DRILLING by A & L DRILLING COMPANY OWNER OF LAND _19J -----------...... . - S_ ---- --- ADDRESS ----_------- ------ - ------ k_l S_... 7.-c _"t _-� � -z- DEPTH OF WELL.. _31.3 ----------------- ------------------ STATIC LEVEL, OF WATER FT. ._.-.7. T....._.. - WELL 7 -T_ - WELL SITE,),-- DRAW DOWN FT. ------/..------------------------------------ ---- I, --- ---------- -- .......... ------------- DATE-STARTED ------ -_----------- ---- ------- -- ----- ...... ....... GALS. PER HR. l ................. ......... DATE -ENDED /7. ........... -------- - .. .. ....... KIND OF CASING ------- .................... - ---------- KIND OF FORMATION: S-04 e 1 ),4^1 DRILLER'S NAME 1211,11,e, . C) /F.< dqg S_ FT. TO FROM . ..----- ----- XT. TO,_'12 ------------- -- FT ......... ------ .--.,.> ..... .......... FROM_� __--------..FT. TO. t�"_� •-----.-FT. ___ 4_ Ae ------ ------------ -- - FROM --•--------------------FT. TO ................. _ ---- XT ----------_--------- _2 -1 FROM.---- .............. FT. TO._,�� FT .......... L Al "10 1 L < FROM .................. .---FT. TO------------:....FT.- .- 7.�f FT.5_11raP.444u;--_1- FROM. TO ---------- ...... FT___ ------- FROM..-'?7-57 ......... FT. TO.....- .. ...... -------- --- ......FT. FROM ... � ..........FT. TO__O?�_'5` .... FT_JP-�/ 11'_X bC/FROM................. ___FT. TO....... ....... ------.FT.-..-------- ---------- FROM ... TO ----" -7 ----- .FT._&4V'rt" FROM------------ ........... FT. TO------ ............... _FT.__ ...... FROM... T/ ------- .FT. TO - �..... FT.. t FROM ............. .........FT. TO. --- ...... ------FT.. -----•----.... FROM) .57 -------FT. TO--- 3--3- ...-.FT._. FTue 1� 0 FROM---- ._---------- ---- FT. TO----------------- ----- FT_ .................... .. . - MISCL. INFORMATION / C ti 'r 67 5-11 S-04 e 1 ),4^1 DRILLER'S NAME 1211,11,e, . OR.4. 1544 7o 4�vw4t agle River Area GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received December 8, 1976 Time of Inspection 11:00 a.m. Date of Inspection 12-14-76 Tuesday Buchholz REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: Alaska _ Bank of Commerce Mailing Address: _ouch 7-012 99510 Phone: 279-5641 2. Property Owner: person & Person, Inc. Phone: Mailing Address: 13410 8th Avenue East, Seattle, Washington 3. Legal Description: Lot 2 Block 2 Birch Hills Terrace #2 4. Location: See directions 5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data: A. Type Individual B. Depth 3 yy� l C. Construction lkimn Q D. Bacterial Analysis 7. Sewage Disposal System: On-site system A. Installed /'r7(. B. Installer C. Septic Tank: 1. Size /,g SV 2. Manufacturer D. Seepage Pit: 1. Absorption Area 0,46 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Rec >t for Approval of Individual S �r & Water Facilities Legal Description Lot 2 Block Birch Hills Terrace #2 Comments Approved Disapproved Date -7 Appr a1;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 De a true ana accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) GREATER ANCHORAGE ARhI% BOROUGH Department of Environmental Quality . MU 1Y6 NCHORAG8330 "C" St., Anchorage, Alaska 99503 - 274-4561 EALTH & ENVIRONMENTAL PROTECTION DEC 81876 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES RECEIVED 1. Type of Inspection: CMRO VA FHA CONV XX 2. Property Owner: Person &`Person, Inc. E. I. Mailing Address: SeaDay Da.y Phone 3. Name of Buyer: Alan A..and Katherine L..Dicks.on Mailing Address: P.O. Box 552,Eagle River, 'yPhvn 4. Name of Lending Institution: Alaska Bank. of Commerce Mailing Address: Pouch 7012,Anch.Ak.99510- Phone 279-5641 5. Name of Realtor or Agent: none Mailing Address: Phone 6. Legal Description: Lot 2, B1ocktBirch Hills Terrace S/D # 2 Location: 7. Type of Facility to be inspected: sin le Family No. Bdrms.3. Jq 8. Mater Supply Type of Supply: Public Utility Individual XX If Individual, number of dwellings presently .served 1 If Individual, depth of well 9. Sewage Disposal -System Type.of System: Public Utility Individual (on-site) XX If Individual, date of installation new Page 2 of two pages - Re st for Approval of Individual ' er & Water Facilities Legal Description Comments Approved Disapproved Date 111 Z3175 Approval,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 operating satisfactorily. SIGNED Date EQ -034 (1/74)