HomeMy WebLinkAboutBROADWATER HEIGHTS BLK 1 LT 7B0` (LI 0/1 7,0 C-0 S/-�-
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP231096 PID Number: 050-081-64
Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New A Upgrade
Name
Steve Ex
ABSORPTION FIELD
El Trench I■❑ Wide Trench El ❑ Mound
❑ Other
Site Address
18243 McCrary Rd
Phone
(907)862-3769
Number of Bedrooms
Three (3)
Soil Rating
1.2 GPD/SF
ITotal depth from original grade
3.9 / 4.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
3.4 / 3.5 Ft.
Gravel depth beneath pipe
0.5 / 0.5 Ft.
Subdivision Block Lot
Broadwater Heights 1 713
Fill added above original grade
1.1 / 2.0 Ft.
Gravel length
37.0 / 38.0 Ft.
Township Range Section
Gravel width
5.0 / 5.0 Ft.
Beds: Number of Lines
n/a
Distance between lines
n/a Ft.
SEPARATION DISTANCES
To
From
Septic
Tank
Absorption
Field
Lift Station
Holding
Tank
Sewer
Line
Total absorption area
375 Ftz
Number of trenches
TWO (2)
Dist. between trenches
>6 Ft.
Well
>100'
>1 00'
N/A
N/A
>25
TA Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Capacity
Surface Water
> 1 00'
> 1 00'
N/A
N/A
Gal.
Material
Nu compartments
Lot Line
>5'
> 10'
N/A
N/A
NA
Foundation
> 10'
> 10'
N/A
N/A
L ATION
Manufacturer
Capacity
Remarks Existing concrete tank excavated,
Gal.
integrity verified. Trenches listed East/West.
Alarm location
Elec stalled by
Installer
Jr's Septic Pumping and Excavation
PIPE MATERIAL House to tank D3034 Tank to D3034
drainfield
Drainfield D3034 CO/MTD3034
Inspector L. Tidwell
BENCH MARK (Assumed elevation) 100 ft
Inspection ection 15t 5/25/23 2�d 5/25/23
3`" 4,h
Location and description
Back door threshold
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
Conditional Approval: Date•'9tQ,�
Engineer's Stamp
.`.�OFl
.�
o * •49 TH
'• BenjagwSchiller
�s •. • CE 12592`���
�t�IF6/12/23 •�����
l�liOFESSION.�-I,-
Septic System
Approved Date 1 J
Note: this approval does not include well permit requiremen s.
io.... nc inn ie n
BROADWATER HEIGHTS, BLOCK 1 LOT 7B
940
co \
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1
/
OSP231096
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950
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MT4
TH#2 I
960
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1
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PI D # 050-081-64
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990 1000
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LOT\7A \
N' , 1010 I 1 I LOT 3
EXISTING TRELHES
APPROX. LOCAfiION
1 � �
SHE
2CO2/
Q5 TRH#1 2C01 \ c.1970 WELL ( ANDON D)
`�
CO MT"�
970
I
1
LOT 7B
1 _
980
—I WELL
I�
LOT 4
/
m
IN
' / \ EXISTING )•000-GAL \ \ P WELL
CONCRETE TANK
5 WIDE, 0.5' EFFECTIV\�/
DEPTH ABSORPTION
TRENCHES''/�
37' (EAST), 38' (VyEST) \ \
/ — \ 91\\WELL (IN USE)
L
LOT 1
ENGINEERING
OF A-'
Benja i Schiller
�Fc • CE 2592 A
�sj • . 6/19/23 .' V
PLAN ASB
0 50 100
FEET
1,=50'
2C01
19.2
31.1
SV
24.3
36.2
2CO2
28.2
39.9
DV
28.6
40.8
FS
49.3
71.4
MT1
43.1
67.4
C01
44.9
1 69.5
MT2
73.1
92.7
CO2
72.3
91.6
MT3
53.5
78.8
CO3
55.9
81.3
MT4
82.2
102.7
C04
80.6--1
100.4
LEGEND
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
DV - DIVERTER VALVE
FS - FLOW SPLITTER VALVE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
PERMIT # OSP231096
88.5
`— N N
O
Ova 93.0 FINISH GRADE 91.9 ORIGINAL GRADE 2 v
nn
fill
DRAINFIELD ROCK
88.0 88.0
37'
EAST TRENCH
GROUNDWATER @ 83.3 5/3/23
\"— 81.4
88.5
O H t`r- O
U� 91.1 FINISH GRADE 89.1 ORIGINAL GRADE v
85.6 85.6
DRAINFIELD ROCK
85.1 85.1
38'
WEST TRENCH
GROUNDWATER @ 80.5 5/3/23
N
= 78.6
H
®0
o4� TH
.. �:�::.
PROFILE AS -BUILT BenC Schiller
�����6i . CE 12592 •0```®
(NO SCALE) ���lFpc�P6::::•P�O��®
ENGINEERING ►s_ ROFESSI�V •
s �r Lot 7A
---
S , r 39 37'1 242
Q
7 p ,
L 23836' C)YECORD
OMpUT�
I
(
( 10' UTILITY
+�i
Lot 713 �0 %
EASEMENTS
38,283 S.F.(COMPUTED) \
0 38,940 S.F.(RECORD)
I�
Lot 3
12.2'x12.2'
SHED CHAIN -LINK
FENCE
I�
a+l
p
;t
2 n
0 �- ----
% \
SEPTIC
f-
L=20.97' f( PIPES__ ---_ \ (
4.0'x3.9' DECK „�
O I Lot 4
l
R=20.00' 2$�
WOODEN
o
you, {�oc� ��`Ao- \F
�q n� G�2o ENCE
\
100' PROTECTIVE
/ WELL RADIUS ���pG �➢�f
\
—`�.0,
T�Q.
\ O
�'•�9,
�+ Lot 5
WELL
RETAINING WALLS
PLOT PLAN ___ AS BUILT _X_ SCALE 1" = 50' _ GRID NW 0253 Project
No 23-098 A2
Lang
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
& Associates, inc. (907) 522-6476 Phone
Professional
ken®langsurvey.com
Land Surveyors jonathan*langsurvey.com
travisOlangsurvey.com
�•�. � �
OF At, k�
, . �' • ' " ' ' ' • �
Q'
I hereby certify that I have surveyed the following described property:
LOT 7B, BLOCK 1, BROADWATER HEIGHTS SUBDIVISION (PLAT No. 72-174)
Anchorage Recording District, Alaska, and that the improvements situated thereon are
within the property lines and do not encroach onto the property adjacent thereto, that
no improvements on the property lying adjacent thereto encroach on the surveyed
premises and that there are no roadways, transmission lines or other visible
easements on said property except as indicated hereon.
r �-
Dated this the f� t7> _ Day of __J at Anchorage, Alaska
It is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.
*. 48TH
_ '.
..... ......
KENNETH G. LANG
Fc ' No. 5R02 �A
�i � FSSIONp��•?-
State of Alaska AECC963
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
Permit Number: OSP231096
Work Type: Septic Upgrade
Tax Code Number: 05008164000
Site Legal Address: BROADWATER HEIGHTS BLK 1 LT 7B G:0253
Site Mailing Address: 18243 MC CRARY RD, Eagle River
Owner: EX STEVE R & FRIEND KATHRYN
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Effective Date
Expiration Date:
nt S
0
:J
INNr
r
Department
Lot Size in Sq Ft:
Total Bedrooms:
5/15/2023
5/14/2024
38940
Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private 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. Provide notification by calling (907) 343-7904 (24/7).
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
Special Provisions: If existing concrete tank is to be kept in service, verify separation distances to water wells
to ensure it meets code.
Received By: S 5 L4 -,:—o I V c,
Issued By:
Date:
Date:
l �
3
r,
Community Development Department t�
Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 050-081-64
Property owner(s) Steve EX Day phone 907-862-3769
Mailing address 18243 McCrary Rd, Eagle River Ak 99577
Site address 18243 McCrary Rd
Legal description (Sub'd., Block & Lot) Broadwater Heights B1 L7B
Legal description (Township, Range & Section)
Lot Size 38,940 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Fieldx❑
Initial ❑ Single Family (SF) x❑
Septic Tank ❑x
Upgrade ❑x (w/wo AD U)
Holding Tank El
(D) ElRenewal ❑
Renewal
Privy ❑
Multiple Dwellings ❑
(SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES
A VARIANCE / 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: 5 C1 5 Waiver Fees:
Date of Payment: E / 20'2- 3 Date of Payment:
Receipt Number: 0' -" 9 C) D Receipt Number:
Permit No. 0S 22 3 J O g 6 Waiver No.
Permit App_::- : :'-:c
May 5, 2023
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Broadwater Heights B2 L7B – 18243 McCrary Rd
Septic system design
Dear On-Site Services Engineer:
The owner of the above lot has a septic system that is nearing the end of useful life. We are
submitting this permit application for the construction of a new septic system. The attached site
plan identifies the location of the home as well as the proposed well, septic location and alternate
site. No conflicts exist between this proposed system and any other well or septic system, whether
on this lot or adjacent lots.
The ground surface on the lot slopes toward the south. There are no slopes greater than 25% within
50 feet downslope of the proposed system. Contours are shown on the site plan showing the grade
and direction of flow. Stormwater drainage will not impact this septic system. The new trench will
be constructed parallel to the slope as much as possible.
Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all
wells and surface water, and more than 5’ away from the septic tank. The proposed site is located
farther than 6’ from the existing system.
Please refer to the attached test hole logs, plan and profile pages for the septic design. If this design
is followed, there will be no adverse impacts to adjacent properties.
Sincerely,
Benjamin Schiller, PE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231096, Curtis Townsend, 05/15/23
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Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
1"=50'
2-37.5' LONG x 5' WIDE, 0.5'
EFFECTIVE DEPTH ABSORPTION
TRENCH MAINTAIN 6'
SEPARATION
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
PID # 050-081-64
BROADWATER HEIGHTS, BLOCK 1 LOT 7B
FEET
0 50 100
M
C
C
R
A
R
Y
R
D
3
-
B
D
R
M
H
O
M
E
5/9/23
W
S
K
Y
L
I
N
E
D
R
WELL
TH#1
TH#2
EXISTING TRENCHES:
APPROX. LOCATION
MAINTAIN 8' SEPARATION
EXISTING 1000-GAL
CONC TANK
VERIFY INTEGRITY
WELL
940 950 960
970 980
990 1000
1010
SEPTIC PLAN
CO
CO CO
CO
MT
MT MT
MT
2CO
WELL
CONFIRM
SEPARATION
FROM WELL ON
LOT 7A AT
CONSTRUCTION
1991 WELL (IN USE)
ADJACENT WELLS >100' AWAY
PER BEST RECORDS
ENSURE SEPARATION AT
INSTALLATION
EXISTING CRIB:
APPROX. LOCATION
MAINTAIN 12' SEPARATION
FS
c.1970 WELL (ABANDONED)
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231096, Curtis Townsend, 05/15/23
BROADWATER HEIGHTS, BLOCK 1 LOT 7B
TYPICAL TRENCH SECTION
(NO SCALE)
NOTES:
1. GRADE AREA OVER TRENCH TO DRAIN AWAY
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2'
WITH 2" OF INSULATION
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
4" PERFORATED PVC
(HOLES DOWN)
DRAINFIELD ROCK
6"
6"
DESIGN FACTORS:SYSTEM REQUIREMENTS:
450 GPD PEAK FLOW
PERK RATE: 1.4 MIN/IN
APPLICATION RATE: 1.2 GPD/SF
5' WIDE TRENCH SYSTEM
1000-GAL SEPTIC TANK
BOTTOM OF TRENCH: 4.0' BELOW GRADE
FLOW LINE ELEVATION: 3.5' BELOW GRADE
TOP OF TRENCH: 0.5' ABOVE GRADE
450 GPD / 1.2 GPD/SF / 5' WIDE * 1.0 RED FACTOR = 75.0 LF TRENCH REQUIRED (75.0 LF SPECIFIED)
GEOTEXTILE FABRIC
5/5/23
5'
6"
3'
ADD ADDITIONAL FILL
OVER MOUND TO
ENSURE ADEQUATE
COVER AFTER
SETTLEMENT
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231096, Curtis Townsend, 05/15/23
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE: PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
DEPTH
(feet)
TEST HOLE 1
DATE READING START TIME NET TIME
(minutes)
DEPTH to
WATER NET DROP
PERCOLATION RATE: (MIN/INCH)
(inches)(inches)
DATE OF MONITORING
WAS WATER ENCOUNTERED?
DEPTH TO WATER AFTER MONITORING
IF YES @ WHAT DEPTH?
1.68
4/26/23 1
2
3
4
5
6
GM (SILTY SANDY GRAVEL)
Professional Engineers Stamp:
NO
Broatdwater Heights B1 L7B
4/26/23 050-081-64
Steve Ex
4:01 3 0
16
3' OB/FILL
6:25
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
9/24/22
PERC TEST LOCATION
TECHNICIAN: M. Jakubisin
9 0
16
-
11.8
5/3/23
COMMENTS:
SITE PLAN
6 0
16
USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED
3 0
16 9 0
16 6 0
16
3 0
16 9 0
16 6 0
16
3 0
16 9 0
16 6 0
16
3 0
16 9 0
16 6 0
16
3 0
16 8 15
16 5 15
16
6:29
8:09
9:36
9:50
10:00
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231096, Curtis Townsend, 05/15/23
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE: PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
DEPTH
(feet)
TEST HOLE 2
DATE READING START TIME NET TIME
(minutes)
DEPTH to
WATER NET DROP
PERCOLATION RATE: (MIN/INCH)
(inches)(inches)
DATE OF MONITORING
WAS WATER ENCOUNTERED?
DEPTH TO WATER AFTER MONITORING
IF YES @ WHAT DEPTH?
1.39
4/27/23 1
2
3
4
5
6GM (SILTY SANDY GRAVEL)
Professional Engineers Stamp:
NO
Broatdwater Heights B1 L7B
4/26/23 050-081-64
Steve Ex
12:32 3 0
16
2.5' OB
5:20
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
9/24/22
PERC TEST LOCATION
TECHNICIAN: L. Tidwell
9 0
16
-
8.6
5/3/23
COMMENTS:
SITE PLAN
6 0
16
USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED
3 0
16 9 0
16 6 0
16
3 0
16 9 0
16 6 0
16
3 0
16 9 0
16 6 0
16
3 0
16 9 0
16 6 0
16
3 0
16 9 0
16 6 0
16
6:26
6:52
8:06
8:10
8:20
12:38
12:44
12:51
1:02
1:10
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231096, Curtis Townsend, 05/15/23
I
n
Lot 7A
S �f'38no
31 f 24
O
40
I
v> 38� 6• iReCORO 10' UTILITY
COMp�T% EASEMENTS
cly Lot 7B ep
W w 38,283 S.F.(COMPUTED) I� Lot 3
p 38,940 S.F.(RECORD) ,
J 12.2'x122'
^ _ / CHAIN-LINK
IN -LINK
FENCE
//Y�
Z
O
SEPTIC PIPES
W _ \ $ Lot 4
3 I L=20'97' /
R=20.00• 4.0'x3.9' DECK
2s°
s \
P
WOODEN \
OOF `oo�ss o. \FENCE , \\
vpgc� o yo oP
/ 100' PROTECTIVE
WELL RADIUS P�`�O
�I �' ', 0 I' WELL �� (DECOMMISSIONED))
J O
a3
m �y0
I \7 a o
'�l�,C e'•�y, C2^�� Lot 5
WELL 'r RETAINING WALLS I
'00'0 l
o\
NOTE: DUE TO SNOW & ICE COVER,
\ \/ SOME SURFACE LEVEL
/ FEATURES ARE APPROXIMATE.
PLOT PLAN AS BUILT _X_ SCALE _1" =_50__ GRID _ NW 0253__ Project No.
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates, in C. , (907) 522-6476 Phone
kenOlangsurvey.com �t \\�
Professional Land Surveyors jonothanolangsurvey.com OF Aq ll
trovisOlongsurvey.com �.<P'<<G qr ��,
I hereby certify that I have surveyed the following described property:
LOT 79, BLOCK 1, BROADWATER HEIGHTS SUBDIVISION (PLAT No. 72-174)
Anchorage Recording District, Alaska, and that the Improvements situated thereon are
within the property lines and do not encroach onto the property adjacent thereto, that
no improvements on the property lying adjacent thereto encroach on the surveyed
premises and that there are no roadways, transmission lines or other visible
easements on said property except as indicated hereon.
Dated this the __z1__ Day of ___l�h_ __ _1 '=_, at Anchorage, Alaska
It Is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat.
49TH
y , KENNETH G. LANG , o
o.5 02
ill ROFESSIONN����
State of Alaska AECC963
Jul 01 22 10:10p Anchorage Well & Pump Ser
9072430742 p.1
MUNICIPALITY OF ANCHORAGE
Development Services Department
t
Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number:
Parcel Identification Number: 050 081 64
Date of Issue:
Legal Description Block Lot Property Owner Name & Address:
EX STEVE R & FRIEND KATHRYN E REVOCABLE TRUST
BROADWATERHEIGHTS 1 7B EX S R& FRIEND K E ICOTTEES
1 11 ANCHORAGE, AK 99516 11
Pump Installation Date. os - 30 - 2022
Pump Intake Depth Below Top of Well Casing: 390 feet
Pump Manufacturer's Name: MYERS
Pump Model. 2NFL102 - 8 - P4 - 01
Pump Size: 1.00 hp
Pitless Adapter Burial Depth: 10 feet
Pitless. Adapter Manufacturer's Name: MARTINSON
Pitless Adapter Installer:
Well Disinfected Upon Completion? XYes ❑ No
Method of Disinfection: PELLETS
Comments:
Pump Installer Name: _
ANCHORAGE WELL &PUMP SERVICE
Company: 7640 KING STREET
ANCHORAGE, AK 99518
Mailing Address: 907-243-0740
rift. State: _ Zip:
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
~OC Co. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688.2759
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION
DATE.- Started
PERMIT NUMBER
DEl'TIt OF WELL
~ ~ STATIC LEVEL OF WATER FT... t0
! r3/~a,q,oW~-/e. DR^W DOWN FT.
:7:q/ . GALS. PERHR
Ended t: / , ,,,
. ~/ , .' , , .,; ~.
KIND OF FORMATION:
From ~ Ft.
From Od Ft.
From [~c) Ft.
From //S" Ft.
From __ Ft.
From ] ,.,~ ~ Ft.
From. t ~-- Ft.
From Ft.
From ,~ / O .Ft.
From Ft.
er'om ~>/ff" Ft.
From
From Ft.
From ¢ ¢,._~ Ft.
From ~'g'~ Ft,
From Ft.
to lO Ft. ~/,~ y ~a~C From. Ft.
to / / ~ Ft. /'~ EdZ0c L 6'g~ From Ft.
to.__Ft. U~J~T -~,7 ~¢~ From, Ft.
to /,F~ Ft. ~CC ~ gb~ From Ft.
~/ /hz
to__Ft. {)3~2 ~ ~01~' ~' rrom Ft. to
to Ft.QJ a4 T& 5'~dz~lf ~ From Ft. to
I
to Ft. ~g LOd~ ~ 1~'~ From Et. to
to 3~'~ Ft. f~O ff,)~ ~~ From FL to
to ~qO Ft. [~)CC (5g~('d /~/ From Ft. to
to Ft;~)~/~2 ,f~ ~ tdE T ~g~ ~From Ft. to
to Ft.
to Fl;
,,, M&R 5 1 199Z
to Municipality of Anchorage
Dep--~TFr6alth ~ Human $~:i~;¢e~
to~Ft
Et
Ft
Ft.
Ft.
Ft.
Ft.
Ft.
MISCL. INFORMATION:
,/
t
t
.i
GREA."R ANCHORAGE AREA BOR..GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska ggS03
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION ~"~ ~L~Wyse- LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
~l~Z~ D RAIN FIELD:
MANUFACTURER
INSIDE WIDTH
MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY.__
GALLONS.
DISTANCE FROM WELL 1,0OIJ'r- .
FOUNDATION ,~,~l NEAREST LOT LINE_ I ~ /r
NUMBER OF LINES $ DISTANCE BETWEEN LINES O~I~I'TRENCH WIDTH-~>IN.
ABSORPTION AREA ~--("~C'~ SQ. FT. LENGTH OF EACH LINE ~ Bi ~ ~ '~ ~
I DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE ~_~_~ MATERIAL BENEATH TILE q ~
TOTAL LENGTH
OF LINES ~7
TOTAL EFFECTIVE
IN. ABOVE TILE ~ IN.
WELL:
TYPE 4~& t~O'~ CONSTRUCTION ~ ~-~ DEPTH
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION__ LOT LINE SEWER LINE , TANK , SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES:
PIPE MATERIAL:
LOT SLOPE:
Form EQ-032
DIAGRAM OF SYSTEM
soil
DATE l~l ~J-/'~ -~ APPROVEO
~ I
!I'""'~
'TFiF,.i:'i?TM': : ," '".,, :':'' l:::t i'F;::E!%iE:H i3i;;i:i:::'i ':': ;i ?i; i, i.'ii::: ......... E:"i :i!7'i F:i?',!iSEi; :::F:'T'i,i:':'i':!:-,! i'HE ':::;i q:;?i::;'i:::iE:[i; (;;i{:;:'
.... ',.!. ,~ ..I.. ,.
i...ii:::' "~.:': ' ' ::'~ ' :::'~'::" '" i; ?:; 'T'!'"iEi; !,! i' '-,i i i"i ii"'i i' i:::'b:' T'b.i Oi:::' ':i :;'i:::¢,,q.::i I.::, ::.TI ii.:. :.'~,.i -i' .4 ::: ii t"' :::'i:::i..1_. I:::, i'
,.. ,..,~ .t...,,.,i.'., ~ I i"t('.,! ~"
July 13, 1977
R&M NO. 751519
Karen Harrison
606 West Northern Lights
Anchorage, Alaska
Subject: Soil Investigation for Sanitary Sewer System, Lot 7B,
Block 1, Broadwater Heights Subdivision, Eagle River, Alaska
Dear Ms. Harrison:
At your request of July 6, 1977, we conducted a subsurface soils investi-
gation at the proposed location of the sanitary sewer system on the
subject lot. The investigation complied with those procedures required
by the Municipality of Anchorage Department of Health and Environmental
Protection.
This investigation, which was accomplished on July 14, 1977, consisted
of a test hole drilled to a depth of 16 feet below the existing ground
surface. The test hole was sited according to your instructions and its
location is shown in attached Drawing A-01. Drilling was accomplished
with a rotary drill rig using continuous-flight solid-stem auger with an
outside diameter of 6 inches. A sample was taken at the depth shown on
the soils log in Drawing A-01. The sample will be held in storage at
our lab for approximately six months. In addition, all material brought
to the surface by the augers was continuously monitored by an experienced
engineering geologist.
The topography at the drilling site is generally sloping to the West.
At the time of the investigation the site had original vegetation con-
sisting of low growing shrubs. The top of the test hole was located at
original ground surface.
The soils encountered in the bore hole are shown in the test hole log in
Drawing A-01. The symbols used in Drawing A-01 are explained in Drawings
B-01 and B-02. This log displays specific conditions encountered
at the test location. However, subsurface conditions may vary in other
parts of the lot without any apparent surficial evidence of the change.
Groundwater was encountered in the test hole at a depth of 11 feet.
Bedrock was not encountered. At the time the h01e was drilled seasonal
frost was not present and permafrost was not encountered.
July 13, 1977
MS. Harrison:
Page -2-
A percolation test was performed within the bore hole at the depth shown
in the attached Table 1. All depths were measured from the top of the
hole. The data in Table 1 show average infiltration from the depths
indicated to the bottom of the hole. The measured percolation rate was
2.56 minutes per inch.
We appreciate this opportunity to be of service to you. Please contact
us if you have any questions concerning this letter or if we can be of
additional service.
Very truly yours,
R & M CONSULTANTS, INC.
Staff Geologist
slin Brown, Ph D
~Head, Earth Sciences D~p~rtment
SH:JMB/sl
Attachments: Drawings A-01, B-01, B-02, Table 1
TABLE .1
PERCOLATION TEST
KAREN HARRISON
R & M NO. 751518
ELAPSED
TIME TIME FEET
10:00 1.1
10:01 1 1.2
10:02 2 1.25
10:03 3 1.3
10: 04 4 1.4
10:05 5 1.45
10:06 6 1.5
10: 07 7 1.55
10:08 8 1.65
10: 09 9 1.7
10: 10 10 1.75
10:15 '15 1.9
10:20 20 2.1
10:25 25 2.25
10: 30 30 2.4
10: 40 40 2.65
10:50 50 2.85
11: 00 60 3~. 05
FEET
0
0.1
0.05
0.05
0.1
0.05
'0.05
0.05
0.t0
0.05
0.05
0.15
0.2
0.15
0.15
0.25
0.2
0.2
1.95 FEET OR 23.4
2.56 MINUTES/INCH
INCHES
Lot 7B, Blk 1, Broadwater Heights
~ Existing
TH-1 1~ ~ Septic
~~ Symstem
50'1 :
HOUSE
A
TEST HOLE
1"=3'
SANDY SILT W/ SOME ORGANICS
AND TRACE GRA~IEL (ML)
Dark Brown, Dry, Medi~mm Dense
__ __ __ 3.5'
SILTY GRA~fEL w/ SO~E SAND (GM)
Dark Brown, Slightly Moist
SANDY SILT w/ SO~ME CLAY,
TRACE GRAVEL (ML)
Cohesive, Greyish Brown,
Moist
6.5'
Boulder at 10.5'
SILTY CLAY w/ SO~ SAND
AND SOME GRAVEL (ML)
Wet, Dense
11'
Not to Scale.
All distances shown are approximate and have
not been measured by survey methods.
16'
This log represents subsurface soil
conditions within the test hole at
the location shown.
See pages B-0! and B-02 for
explanation of symbols.
· [SCAL[:see above
CONSULTANTS, INC.
G~'~ATER ANCHORAGE AREA BORO"GH
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
N°. 71
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
SEPTIC TANK:
/ '
LIQUID CAPACITY. /~']c~ ~''r) GALLONS.
ADDRESS
!
COMPARTMENTS
NQUID
INSID~ LENGTH IDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS J OUTSIDE DIAMETER
LINING MATERIAL
NEAREST LOT LINE /~//j~/.z~ /~)~' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
OR WIDTH LENGTH ~- ! ,DEPTH
DISTANCE FROM WELL · , BUILDING FOUNDATION
/ /
/"~:~ SQ. FT.
TILE DRAIN FIELD:
' ~ /.~TO TAL LENGTH
ABSORPTIOI~L~I~A ~ FT. LENGTH OF EA"Cq4--Ef~E
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: TYPE Pn/7/i~i'( [(~DEPTH
~'~ _1~01 DISTANCE FROM WATER
, , BUILDING FOUNDATION, SAMPLE_ , NEAREST
/
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES__
DISTANCES:
DIAGRAM OF SYSTEM
DATE
APPRO
HEALTH AUTHORITY
GAAB-HD-2
GREATEr'
327 Eagle St.
ANCHORAGE AREA
HEALTH DEPARTMENT
Anchorage, Alaska 99501
9ROUGH
279-2511
Case No.
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
RESIDENCE ADDRESS /~)~r/'~,z-~-', ,~,~"?~/'//~7~/~'~/{ LOCATION OF INSTALLATION
APPLICATION TO INSTALL: SEPTIC TANK ~ ,SEEPAGE PIT,
W TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS r . v..--- , PERMIT TO INSTALL A ._/'_-~*-',,- -,Y_ ~-¢---~-'~--'~-'~
. 7
,~ ~~ AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ,_~ ~~~~
Z~~ . SEPTIC TANK SIZE /~0/'~ ~' TYPE ~~ S EEPAGEAREA,/~ ~,~, TYPE DIAGRAM OF SYSTEM
DISTANCES:
HEALTH AUTHORITY
OR
LICENSED DESIGNER
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 .7'-- .,2
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location: (address or'dir, ections)
(b) Property o.w.. ,n...e.r.
Mailing
(c) Lending Institution
Mailing Address
Telephone' (home)/~'/' ¢~""Business ~-?/' ~] ?~
E/ /
Telephone
(d) Real Estate Company and Agent
Address
Telephone
(e) Mail the HAA to the following address: (or check here F'I, if hold for pick up.)
List contact person and day phone number below:
2. TYPE OF RESIDENCE
Singie-Family'~ Number of bedrooms
3. WATER SUPPLY
Individual Well'Ji~r
Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site~¢. 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,
72-02S (Rev. 7/88) Page 1 of 2
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suoi~,o~dsu! ~onpuoo lou op SHHQ jo see~OIdLU:l 'm, UeLUeJ!nbeJ eie~s pu~ leJepeJ u!m, Je3/,jsp, es olJepJo u! suo!~n~!Isu!
§u!puel J!eql pu~ SeLUOq JO sJeseqoJnd o~ ~sepnoo e s~ s!q~ seop SHHQ eq± 'e)tSel¥ ~o eleiS eqi u!
Jeeud~ue leUO!SSejoJd ~,uepuedepu! ue ,~q eAoqe ~ qde~Se~ed u! ue^!~ suo!lm, uese~deJ eql uodn ,~lUO peseq
I~AoJ'ddv ~!Joq~nv qlleeH senss! (SHHQ) seo!AJeS ueuJnH pue q~,leeH jo lueLuiJ~dea e§eJoqouv ~o ~!led!o!unlAI eq.l_
leAoJdd¥ leUO!l!puoo J.o sLu~aJ.
I~UO!l!puoo pe^oJddes!a
ele~ ~'4' ~ ~qsLuO°Jpeq
,./~ pe^o~ddv
Jo~ pe^oJddv
'lY^Ol:lddY SHHa '9
ejeo
MUNICIPALITY OF ANCHORAGE (MOA)
~ .~ Health Authority Approval (HAA)
~- ~,] CHECKLIST- FEBRUARY 1984
~_~0~.~*' ~?'~/ . \((~ Legal Description: ~ ~
Well Classification
Well Log Present (Y~.~ .... Date.~?~0.¢t,eted
Total Depth ~'/~'~ .... "' '
~~.~ of Grout,ng
Static Water Level -~-~-~' Pump Set At
Casing Height Above Ground
Electrical Wiring in Conduit~N)
If A, B, C, D.E.C. Approved (Y/N)
/~ ?O Yield
Sanitary Seal on Casing~N)
Depression Around Wellhead (Y(~
SEPARATION DISTANCES FROM WELL:
, )
To Septic/Holding Tank on Lot /~, (~r-~ eT/~
To Nearest Edge of Absorption Field on Lot /,~ -/"
; On Adjoining Lots
; On Adjoining Lots
TO Nearest Public Sewer Line
!
To Nearest Sewer Service Line on Lot
Water Sample Collected by
Water Sample Test Results
Comments/,J~'~z. ~J
To Nearest Public Sewer Cleanout/Manhole
; Date 7'-
3./
B. SEPTIC/HOLDING TANK DATA
Date Installed ~"'~"¢-?O Size
Standpipes(~'N)
Depression over Tank (Ye
/o-r_,rO No. of Compartments
Air-tight Caps(~N)
Pumping/Maintenan§e Contact on File (Y/N)
Holding Tank High-Water¢~,la'r.rn (Y/N)
SEPARATION j~IST~E'S*FR'~/SEPTIC/HOLDING TANK'.
To Wat~'r-Sup~lY'We~. ~ ?~:'.~', 'I~'~ To Building Foundation
To Pro9ert~ R~**, , /o ~ To D sposal F eld
T o Wat e ~h/ff~ c'~ ~ in~
To Stream, ~¢~pak'6
Comments
Foundation Cleanout(~CN)
Date Last Pumped
i,or
Temporary Holding Tank Permit (Y/N) ,'"J/~
72-026 (Rev. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
/75'
Type of System Desi?n
Length of Field 7~3 /
Depth of Field ~"~'
Square Feet of Absortion Area
Depression over Field (YIn)
Results of Last Adequacy Test
Gravel Bed Thickness ¢ /
Statndpipes Present ~__~N)
Date of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well
To Building Foundation
Lot md/6~J~w~J
/o9-
To Property Line
; On Adjoining Lots
To Existing or Abandoned System on
!
To Cutback (if present)
!
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION
"'-grail nstalled
Size i~
"Pump On" Level at
High Water Alarm Level at ~_
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Man hole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
~~ng Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA guideli
inspection.
Signed
Company
Date
MOA No.
Receipt No
Date of PaYment
Amount:
Receipt No.
Waiver Fee: $
Date of Payment
I~e?h~on the date of this
,~,f.,,..~_,r¢_~~ ~.~l~eer's Seal
72-026 (Rev. 7/88) Back Page 2 of 2
DATE RECEIVED
INSPECTION APPOINTMENTS TIME' ~~ '~ ~..~..~
TIME TIME
MUNICIPALITY
OF
ANCHORAG~ROTEC~ICIPALIW~ ~- OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL
825 L Street - Anchora~, Alaska 99601 DEPT, OF HEALTH &
E~IRONMENTAL PgOTE~ION
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720 MAY 8 1981
D
DIRECTIONS~ Complete all parts on page 1, Incomplete requ~ will not be proceed, Please allow ten (10) days for processing,
1. PROPERTY OWNER .~ PHONE
I
MAILING ADDRESS
PROPERTY RESIDENT (If different from above) PHONE
MAILING ADDRESS ~~ P2 ~ /
~', LENDING INSTITUTION~ PHONE
MAILING ADDRESS
4. REALTOR/AG EN~ PHONE
STREET LOCATION
6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS
[] One [] Four
~) SINGLE [] Two [] Five
FAMILY
[] MULTIPLE FAMILY [~ Three [] Six
WATER SUPPLY
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
[] Other
"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
YEAR ON-SITE SYSTEM WAS INSTALLED,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SIX
[] OTHER
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTI LITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] I NDIVI DUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tankor [] Holding Tank
Size: [O dO If Tank is homemade
give dimensions:
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOl LS RATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AR EA
4. DISTANCES
WELL TO:
Absorpt on Area to nearest Lot Line
Septic/Holding Tank IAbsorption Area JSewer Line
Nearest Lot Line
5. COMMENTS
DATE
[~APPRoVED FOR _'~ BEDROOMS
[] CONDITIONAL APPROVAL (letter mu/s~ccompany certificate)
[] DISAPPROVED
72-010 (Rev, 6/79)
. ' DAT~-~EcEIVED
INSPECTION APPOINTMENTS
DATE DATE DATE
INSPEC~ INSPECTOR INSPECTOR
MUniCIPALITY OF ANCHORAGE '- ...... ~ -.
E~,/hsONM~TAL PRO [ECTION'
) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
826 L Street-Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACi UTI ES
DIRECTIONS: Complete ali parts on page 1, Incomplete reques~ will not be proceed. Please allow ten (10) days for. processing.
1. P~ERTY OWNER
2. BUYE~ PHONE
MAI LING ADDR ESS
3. 'LENDING INSTITUTION PHONE
MAILING ADDRESS
4. REALTOR/AGENT ~ PHONE'
I
UAl LING ADDR ESS
5. LE'GAL DESCRIPTION
STREET LOCATION
6. RESIDENCE
~ SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF~B'EDROOMS
[] One [] Four
[] Two [] Five
~ Three [] Six
[] Other
7. WATER SUPPLY ~ INDIVIDUAL* ~rlO ~c-?--
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well log ~s required for all wells drille(J
since June 1975, For wells drilled prior to that date, give well
depth (attach log if available,)
8. SEWAGE DISPOSAL SYSTEM
[~'/INDIVI DUAL/ON-SITE**
[] PUBLIC UTILITY
· ~ ] ] .YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
- THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or [] Holding Tank
Size: If Tank is homemade
give dimensions:
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SlX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorpt on Area to nearest Lot Line
OTHER
MATERIAL
Septic/Holding Tank ~Absorption Area Nearest Lot Line
5. COMMENTS
DATE
[] APPROVED FOR BEDROOMS
[~]~. ~)NDITIONAL APPROVAL (letter must accompany certificate)
' J~'~DISAPPROV ED
72-010 (Rev. 6/79)
October 16, 1979
Charles a./Cynthia S. Brenton
Star Route 2 Box 7339
Eagle Riverr Alaska 99577
Subject: Lot 7B Block 1 Broadwater Heights Subdivision
ApproTal for your individual sewer and water facilities
can not be granted until the following items have been
completed:
(1) The water analysis report be delivered to this office
from Chem Lab, 5633 B Street, for our review.
(2)
The top of the well casing sealed with a sanitary seal
SO that it is water tight.
(3)
The septic tank pumped with a receipt submitted to
this office.
Please notif~ythis department for a re-inspection when the
noted descrepancy has been corrected. If there are any
further questions, plemse contact this office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/lJw
r ' MUNICIPALITY OF .ANCHORAGE ; ?~' ~_,;- :*~X., '.
- //- ----~--~-- '~//~- --~]~- "~ 825 L Street - Ancth°ra A/~ka~ 01o age,95 .....
ENVIRONMENTAL ENGINEERING DIVISION "- - '*
~ ' Telephone 26~720 ...... ~ ~ ~,~: ~-
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER'FAC1 LITI ES
DIRECTIONS: Comp]eto all pa~; on pa~e 1, Incompletereques=Will not-be proc~d. Please a~low re. H0) ~ays for
I: '~RoPERTY oWNeR '~ I PHONE '
~MAILING A~DRESS ' / ' · '
PROPERTY RESIDENT (If differe'nt ~r~m above) pHONE -"
2.. BUYER / '. PHONE
~ L;N~IN~ INSTIT~IO~ ' ~ . ' ~ PHONE
t
'~AI~IN~ AOO~ESS ....... . - "','
' ~ ~ ........... ' ' ~ PHONE
4. REALTOR/AGENT - I ~
MAILING ADDRESS ~ ,
~, - LEGAL DESCRIPTION.
~TREET LOCATION ' ......
6. TYPEOF-RI~SIDENCI~ ' ' 7 ' ' ' NUMBER OF BEbRdob§ · ' · ' '
, [] One r-I Four [] Other
~. SINGLE FAMILY
[] Two [] Five
[] MULTIPLE FAMILY-
'7.' WATERSUPPLY ' ' '
[] INDIVIDUAL* * ATTACH WELL LOG. A well ~og is required for all wells ddlled
· [] COMMUNITY Since June 1975. For Wells drilled prior to that date, give well -
~. [] PUBLIC UTILITY depth(attach 10g ifa~vailable.) 'L~_~~3 ~m. .,.
~I/SEWA~E"OISP~)SAL SYSTEM
~ [] NDIVI DUAL/ON S TN** ' If ~nd,wdual/on-stte, give ~nstallat~on date .......
__ " ' ' If system is over two (2) years old an adequacy test is rewired
t~] PUBLIC UTILITY . by ~his Department. '[~.~,~o~3v~ ~0u.~- %u~,. ~,,~
NOTE: TH E INSPECTION FEEMUSTACCOMPANY EACH REQUEST BE FORE PROCESSING CAN SE INITIATED.
72.010{3/~8) ' .... '
'- THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
NUMBER OF BEDROOMS
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
2. WATER SUPPLY
[] ~INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3, SEWAGE DISPOSAL SYSTEM
[] INDIVI DUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or I--IHolding Tank
Size: If Tank is homemade
give dimensions:
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SiX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
SOILS RATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
[] OTHER
JNearest Lot Line
5. COMMENTS
[] CONDITIONAL APPROVAL (letter must
[] DISAPPROVED
DATE
,any certificate)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
. ~~~,, _, MUNICIPALITY OF ANCHORAGF
DEPARTME OF HEALTH AND ENVIRONMEN . PROTECTION
/;,/~_ .fi 2_.~,,,.q~'"'~'~"t~-, ext. 224 or 225
...... . ~ ~ Date Received: June 1~ 1977 .,,
/
91: Time ~xl:30 a~.m. 92: Time C~k~r'~/p~% #3: Time
Date 6-~77 Fr~iday Date ~-~-~~ t ~ Pb~d_ Date
Insp I~XsO~. Insp ~,~ ,,. Insp , /~Jb
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request:
Mailing Address:
Teamster Federal Credit Union
Phone:
Robert Fritz
Property Owner:
Mailing Address:
601 Mason
Phone: 333-7447
3. Legal Description: Lot 7BBlock 1 Broadwater Heights
4: Single Family Residence: (x) Number of Bedrooms: ? 3
Multiple Family Residence: ( ) Number of Bedrooms:
Se
Well System:
Permit #
Construction
Individual Well (x) Community/Public System ( )
Depth of Well 400' Well Log on File ( )
Bacterial Analysis
e
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
On-site System ~x~ Public Utility ( )
Inst~lled Installer
~\~ Manufacturer ~_~o~L~
Soils Rate Material
Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
tO Nearest Lot Line
MUNICIPALITY OF ANCHORAGL DEPT.
~~% Department of Health and Environmental
#'~11 ' 825 L Street, ~chorage, Alaska
· 279-2511 ext. 224, 225 99501
-~--~qUeSt for ~pproval of Individual Sewor and Wa~or ~'. '
Mailing Address: ~ d/ ~f~~ Phone:
®
Name of Buyer:
Mailing Address:
e
Se
Lend in~g. Institution:
Mailing Address:
Realtor/Agent: __
Mailing Address:
Phone:
Legal Description:
Street Location: ~>%'//~;Z?;~j
Single Family Residence:
Multiple Family Residence: ( ) Number of Bedrooms:
Water Supply: * Individual Well-~ Public/Community System
If Individual Well, well depth ~(~ ~~/ '
If Community System, name of system
( )
Sewage Disposal System: On-site System ~) Public System
If On-site System, date of installation: ~'
( )
*NOTE: A well log is required on ALL wells drilled since 6/75.
3/77
~'ag'e ~wo .
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description:
Lot 7 Block 1 Broadwater Heights Subdivision
Comments:
Affadavit Attached:_ ( )
~;prov;d: '~," ~~ //~ .....
Disapprove: ~ ~~
Letter Attached
Date: ~' 3'--7
Date: ~ ~3~-~
Department Worksheet:
Page 2 of two pages - Req ~ for Approval of Individual S ' & Water Facilities
Legal Description
Comments
Approved
Approval Valid for one year from date signed
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
EQ,034 (1/74)
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
~0 (j~\ Time of Inspection
_ ~.. ~ 0~~t,''F''~~ -'v Date of Inspection
~,~ )' ~ ~ ~ REQUEST FOR APPROVAL OF
~'~, _ ~ v- _.~ INDIVIDUAL SEWER & WATER FACILITIES
Mailing Address: ~- ~, ~- ~~ Phone:
2. Property Owner: ~~~ Phone:
Mailing Address:
3. Legal Description: ~~~ ~/ /~
4. Location: .
/
5. Type of facility tO be inspected ~ ~ ~. No. of bedrooms
//
e
Well Data:
A.
C. Construction
B. Depth
D. Bacterial Analysis
/~mo~_~. 2. Manufacturer
Absorption Area ~ 2. Material
Sewage Disposal System:~~
A. Installed J/~?~/ B. InstallerI
C. Septic Tank: 1. Size
D. Seepage Pit: 1.
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
IEAi'~R ASCHORAGE AR[:;, 80R~..,H
Department of Environmental Quality
2220 "C" St., Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
6-26-75
.1. Type of inspection;
2. Broperty Owner:
Mailing Address:
2. Name of Buyer;
CMRO .... V'A _ ' FHA
Wade Charles
CONV x
Robert & Shirley F. Fritz~.
Da_y_ Phone 694-2334
~4ail in!t Address: General Delivery -Eagle River 0a,~ Phone NP
4. Name of Lending Instit~'~ion: First National Bank of Anchorage
Mailing Address: Po Box 4-2090 i)i]one 274-1521
5.Name of Realtor or Agent: None
Mailing Address:
Phone
Legal Description:
Location:
Lot 7B, Blk, i Broadwater Heights
Skyline Drive & Mc Crary Rd.
Eagle River, Ak.
Ty~e of Facility to be inspected:
Water Supply
SFD NO. Bdrms.
Type of Supply: Public Ui:ility . .. ~ Individual
If Individual, number of dwellings presently .served
If Individual, depth o'i: well
Sewage Oisposai. System
i'ype .o'f S~stem: Public Utility
If Individual, date of ins'~allation
Individual (on-site) x
June 30, 1977
Robert Frita
601 Mason
Anchorage, Alaska
99504
Subject: Lot 7 Block I Broadwater Heights Subdivision
Dear Mr. Fritz:
The percolation test r~n on your sewer system failed to
pass the adequacy test.
Before ,boan approve the request for sewer and water
approval, an upgrade of the sewer system will be needed.
A permit must be issued before conet~uction begins. A
soil test must be submitted tothhts office before the
permit can be issued.
If there are any further questions, please contact this
office at 279-2511, extension 224 or 225.
Sinuerely,
Robert C. Pratt, R.S.
Sanitarian
RCP/lJ
cc: Teamster Pedemal Credit tinion
1200 Airport Heights Road 99504