HomeMy WebLinkAboutBROADWATER HEIGHTS BLK 2 LT 6
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Municipality of Anchorage Page / of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ,.¢kgqqO//? PID Number:
Name:c,/,,~)/F~/V ~, ~OC~ ~ Wastewater System: C New ~Upgrade
Address: ABSORPTION FIELD
Soil Rating: , Total Depm f~inal grade:.
LEGAL
DESCRIPTION
GPD/Sq. Ft.
Lot: Block: Subdiv~ion: Depth to pips bottom from original grade: ~epth beneath pips
WELL: ~ New ~ Upgrade Gravel widtn~ Number of lines: [ Distance between lines:
Ft, Ft,
Classification (Private, A,B,C): Total Depth: Cased To: ~rption area: Pipe material:
Driller: Date Drilled: Static Water Level: Installer: Date installed:
Yield: GPM IPump Set at: Ft. Icasing Height Ab°ye Gr°und:F,. TANK
SEPARATION DISTANCES ~.ptic ~ Holding D S.T.E.P.
To Septic Absorption Lift Holding =ublic/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines ~ 0 ~4 ~ ~ ~
Welk /¢~ / / Number of CompaAments:
Sudace /~ '~ LIFT STATION
turer: ~ot
CumMin Pump Make & Model ~ Electrical Inspections pedormed b~~
Location and Description:
ENGI~EAL
17034 Eagle River Lo~p R~, Ne. 2~
Inspections performed by: Eagle River, Alaska 99577 Dates: 1st ~/99
72-013 (Rev. 9/91) MOA 25
Permit No. RWg~.O 1 1 7 Page 2_ of 2_
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
BROADWATER HIEGHT$ SUBDIVISION,
Legal Description: BLOCK 2, LOT 6 PiDNo.:O$O08131
LOT
NEW 1000
SEPTIC TANK
SCALE 1" = 40'
CO1 CO2
NEW
1000 GAL ~797.3'
SEPTIC
TANK
WELL
\
WELL
'x
A B C
FCO - 4.0 20.0
COl 48.5 18.0 -
C02 54.0 24.0 -
CO3 66.0 29.5 -
SEEPAGE
PIT INSTALLED
1975
/
WELL// LOT
ENGIN!
72-013 A (2/91) MOA 25
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW940117
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:BROCKETT CLAYTON H
OWNER ADDRESS:P.O. BOX 1291
PAYSON, ARIZONA 85547-1291
DATE ISSUED: 5/09/94
EXPIRATION DATE: 5/09/95
PARCEL ID:05008131
LEGAL DESCRIPTION: BROADWATER HEIGHTS BLK
6
2 LT
LOT SIZE: 24088 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT:
THIS PERMIT IS FOR THE CONTRUCTION OF:
SEPTIC TANK SYSTEM
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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:
ISSUED BY:
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
April 29, 1994
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 'L' Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE: Broadwater Heights Subdivision; Block 2; Lots 3 & 4
Request you issue a permit to replace the septic tank serving the three
bedroom houseonthe referenced property.
An adequacy test was performed and the absorption capacity of the
existing system was found to be adequate for a three bedroom house.
The proposed 1000 gallon septic tank is to be placed outside the well
protective radius. Attached is a site plan which depicts the location
of the proposed tank. We do not anticipate any adverse effects on
neighboring properties by the installation of the proposed septic
system.
If you have any questions, or require additional information for your
review, please contact us.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
(]Iq-SITE WASTEWATf~ DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
MATERIAL SPECIFICATIONS
REFERENCE: Broadwater Heights; Block 2; Lots 3 & 4
1. The scope of this project includes the installation of a 1000 gallon
septic tank outside the 100' well protective radius to serve the three
bedroom residence located on the referenced property. The existing 1000
gallon septic tank is to be excavated, pumped, crushed, and abandoned in
place.
2. Construction shall be in accordance with the approved site plan and
design drawings, Municipal permit with any special provisions or
conditions, and all applicable State and Municipal Wastewater Disposal
Regulations.
3. The contractor shall be responsible for obtaining any necessary
underground utility locates.
4. Unless specifically agreed otherwise, the property owner shall be
responsible for final grading areas subsequently depressed from soil
settling.
5. Contractors installing wastewater disposal systems must be certified by
the Municipal Health Department for system installations. Owners
installing their own systems must also receive prior approval from the
Municipal Health Department.
SEPTIC TANK INSTALLATION:
1. A septic tank
manufacturer.
access.
is to be constructed by a certified septic tank
Construction shall include two 4" cleanouts for pumping
2. The septic tank shall be sufficiently bedded to prevent settling or
shifting of the tank.
3. Ail standpipes on the septic tank shall extend a minimum of 12 inches
above final grade.
4. Septic tanks installed with less than 4' of cover shall be insulated.
Page Two
Broadwater Heights; Block 2; Lots 3 & 4
April 29, 1994
5. A foundation cleanout shall be installed one to four feet from the
building foundation. In the line between the tank and the leachfield
there shall be two adjacent cleanouts (unless an effluent pumping system
exists within the septic tank). These cleanouts shall be located on
undisturbed soil not more than 10 ft. from the tank. The first
cleanout, in line, shall be to clean toward the leachfield. The second
cleanout shall be to clean toward the septic tank.
6. Final grading over the septic tank shall be such that a positive slope
exists away from the septic tank.
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a
Municipally approved septic tank manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Type of Pipe Perforated
Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be approved by the
inspecting engineer.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene
(Dow Chemical Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N, or equal)
must be installed between the final leachfield gravel layer and the
native soil backfill.
6. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel
with less than 3% passing the #200 sieve.
7. When sand is being used as a filter material, its gradation
specifications must conform to current M.O.A. or D.E.C. requirements.
Page Three
Broadwater Heights; Block 2; Lots 3 & 4
April 29, 1994
INSP~'fIONS:
Typically there will be a minimum of three (3) inspections required during the
installation of the wastewater disposal system. These inspections will occur as
follows:
1. The first inspection must be conducted after the tank has been set;
lines, cleanouts, standpipes, and insulation are in place and prior to
backfilling.
2. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required, especially with the
installation of multiple trenches, sand filters, pressurized distribution
systems, etc. Thus, the inspecting engineer is to be contacted at least 24
hours prior to the start of construction. If necessary, a pre-construction
meeting will take place on-site. The inspecting engineer will not coordinate,
direct or control in any way the contractor's activities.
The owner shall contract with the contractor to perform the work outlined in
these specifications and plans and in accordance with the attached M.O.A.
permit. There will be no contractual arrangement existing between the
contractor and S & S Engineering. S & S Engineering shall be the owner's
representative and will inspect the work as stated above to document the
contractor's activities. Final acceptance of the contractor's work rests with
the owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or
omissions of the contractor or any other persons performing work on this project
or the failure of the contractor to carry out the work in accordance with these
construction documents. S & S Engineering's inspecting engineer will not be
responsible for the construction means, methods, techniques, sequence,
procedures or the safety precautions incident to this project.
CONTRACTOR/INSTALLER
0
9
107 \
,,L
GRE, IER ANCHORAGE AREA BOkudGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION ~/~' J//~ ~-~ '
MAILING ADDRESS /"~O t/~O/~/¢~'~,~Zt-/~/~'~-°,~ PHONE
LEGAL DESCRIPTION ~/~-~! /~'"('~¢~/~'-~ I ,/'~"']~2~'7'~'
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANU FACTU RE R
INSIDE WIDTH
NUMBER OF
S~ T- MATERIAL /~*S 7~ . COMPARTMENTS /
LIQUID DEPTH __.LIQUID CAPACITY (~)~) GALLONS.
SEEPAGE PiT:
NUMBER OF PITS / DIAMETER
LINING MATERIAL ~-I~~.CRiB SIZE:
BUI LDI NG FOUNDATION, ~--___~/,
OR WIDTH/~'
DIAMETER
NEAREST LOT LINE '~
ADDITIONAL ABSORPTION
LENGTH /'~, DEPTH t~2 /
.DEPTH . . DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) ~C4~)
SQ. FT.
WELL:
TYPE
BUILDING
FOUNDATION --
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
, LOT LINE ,
OTHER SOURCES
DISAPPROVED
DEPTH DISTANCE FROM:
NEA REST SEPT lC SEEPAGE
SEWER LINE , TANK __, SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS: --
Form No. EQ~031
DIAGRAM OF SYSTEM
DATE
APPROVED
G.A.A.B.
GrEt .R ANChOrAGE Area BOr GH
NAME OF APPLICANT
INSTALLATION Of: SEPTIC TANK ~. SEEPAGE PIT ~ , DRAIN FIELD
FINANCED THROUGH TO BE INSTALLED BY
SO,L TEST RESULTS //7
PERMIT NO.
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSA,~ SYSTEM M APPLICATION AND PERMIT
MAIEING ADDRESS
OTHER
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.
sePtiC TANK SIZE jdjL~..~ ./'~.a~_ TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SePTiC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK ~K , SEEPAge PIT
TO NEAREST LOT LINE.
WEll TO SEPtiC tank
DRAIN FIELD ///~ ~J /
WATER MAIN TO SEPTIC TANK DRAIN FIELD ./'~) /
SEPTIC TANK, ~2~ / : SEEPAge PIT
SEEPAGE AREA SIZE
DRAIN FIELD
DRAIN FIELD
/>u
SEEPAGe P~T
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
"~'~"'/ ., DRAIN FIELD
TO RIVER, LAKE, STREAM.
DIAGRAM OF SYSTEM
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 ~.~ ~ ~.~ .~ .
~ONFORM TO BOROUGH ~EGULATNONS REGARDING NNSTALLATION.
RTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORACE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DE'CRIBED SYSTEM '' IN ACCORD''CE WITH SAID CODE.~ : :~ :~~
FORM NO, EQ-01 6
~ · .,~ Z GREATER ANCtlOkt\(Z AP, LA
Department of Environmental Quality
3330 "C" SLreet
Anchorage, Alaska 99b03
, ,,, _5~.~~'
S()lhS hO(l ' PEIlf)I,ATION TFST
Legal Descrl pt~on :_.~~__~_~ ~_~__~ .....
This form reports: Soils log .... ~._ Percolation Lest
De p t h
Feet
2-
4 -
5 -
1
1
1
1
0-
1 -
2-
3-
4-
Was
r)s -Ft'
L6'~7% ~'~-0
*%o
ground water encountered? If yes, at whaL depth?
7~~-]'.]~-Reading__~]~Date Gross Time ~~Net Time~_~_~.~Dep tn]] to Water ~~.]Net [Jrop
Percol ali on 'fa t~- ............... ;nl~'u~q
..Proposed 'installa~dh" Seepage Pit Drain Field
DepH~ of Inlet . Dept~O'-U61-t~-~-"b:r-'pit or trenci,
Eq- 040 (6/74)
, / ,
I325 I .... S'L~"eet.~ Ar'lchor'a(j:ie, A'.Lasl.::a 9::750:L 34:'.:.!;.....4'720
O~,,,u'"~!.:.:~r, I~.tame: CLAY'TOI',I H BROCKETT
Ch,.,~ner. F.u.::lc:lr, es~.i~i: P 0 BOX '7'?':1.9:3:!.
EAGL..Iiii: R I VEF:i'., Al< 99,577
[:)ay i:::'hc)r"u:.z,:,:
6 9 4'"" :3 9 3 5
I:::'.a r' (::: e ]. ]: d: C)5().-'..C)8 :L'""3 1
Lc.d:. t....ega].~ Subd:i.v:i. sion: BROADWRTEI:'~ HEIGHTS L..at,· 6
Sect :i. on [ J. "l"c,.,.,,u"~sl'"~ i p: :[41\t Range ,",
L. ot S:i. ze :~.~40t38 (sq, ~'~.' .... (::)r' ac::pes)
Bed r. ooms ',: 'Th .i. s I:::'eJ- m i t: 3 'l"(:)t a ]. Cap al:: :L .1:.. y :~
B lock
W!!!!:I...I....: Lc:)g mus'L I:::,e sul::)m:i, tted to:)Muni,:::::i.l::)al:L'Ly (::)f' Anchc~Page De:par'tme.,nt (::)~' Heal. th
an d Human Se i- v i ,'.::: (.-'.'.:~:[ w :L t h :i. rJ :]!;0 days (::) ~' we ]. ]. c c, mp ]. e'L ~. c:]n,
I:::'EI::;.:M I T E XI:::' :1: RE!.:.~ DECEi]~IBER 3 :L, :L 989 ,,
F. I I!ii:W WELl .... W]:L..t .... Bli!i'. 'T'IED TC)EXiS'T'ING WI!ELI .... AND WA'I"E]:~.'. LIIxlE,,
] E;I!!i:I::;.'.T i I:::'Y T'HA'I":
!, i am i~am:L].:i, ar'. witl"'~ 'l:..lqe r.(.:.:.)clu:i.r, eme. r'~t~ l'cm c)n--'sJ.{e sea, eps and ~el:l.s a.s s,:.?.:,T..
f~(::)r~'('..h I]y the Mur'~:i.c::i.l::)a].~.ty o~' Ar'lchcH'.age (MC)A) and 't:..he Sta'Le c)l:' AIaska,
;~,, I ~.~:i. ] 1 :i. nstal 1 the system :Ln acccH~dar'~(:::e wi't.l"'~ al. ]. MOA c:c~cles and Pegu].at'..
~:~"~:::t in c~::m"q::~l:i, ar'~ce ~,,~:i.t.h 't. he des:i, gn c:r~i't, er'.:i.a c:)l:' th:Ls
::'}~, :1 ~,,~:i.]].adher~-:~.) t(::) a].]. MOA and State o~' A].aska r'.equ:i.r'emer'~ts ~'(::)r~ the seT. back
d:i.s't, ar'~ces ~'~'cm'~ any ,'.~:.:,x ist :i.r'~,:~j we'L '.L ~ was'?..e~,.~ater~ (::1 :i. sl::~,::~sal s.y's't, em ,:)r' pub ]. :Lc:
se~.',~er'age ~'y's'l:..em c)i"~ 't.h:i.s (::~r. any adjacenT, of near'by lo't:.,,
.q. ,, '.[ un (::t E,r' st ar'id 'l:.h at t. h :i. s per' m :i. 't. :L S va ], i d [' (:)J" a rj~ax :i. ['(~u.['rl c]) ~' J.:.~; b (~?)d [' c](:J)[~'lS ,, ir.
also un(::te]"s'[.ar~cl 'Lha't. 'l:.he (:::al::)ac:i.ty (::)~' tl"',e 'l:.c)ta]. system :i.s ::~.~; l::)ecJl"c)c)ms
an'y en].ar, gement w:i.].], r'.equ:i, pe an add:L'Lic)nal per'mit,,
(Owner.) CI...Ak'T'OIx~ H BROCKET'T'
'AS' BUILT
SURVEY
i hereby certify that I have surveyid'"'the" f~)llowing described propertY.
· LOT 6 ~ BLOCK 2 , BROADWATER HEIGHTS SUBDIVISION
Anchorage Recording Precincts Alaska and that the improvements
situated thereon are within the property line~ and do not
over-tqp er eneroech on the property lying adjacent there-
los that no improvements on property lying ,adjacent
thereto encroach on the premises in question and that
there are no roadways t transmission lines or other
visible easements on said property except as indi-
cated hereon,
Dated at Eagle River, Alaska t this
/ySo.
Richard P, Hankins
Registered Land Surveyor
by
DOC Co. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION
DATE - Started Ended
PERMIT NUMBER
tx ~ STATIc' LEVEL OF wATER Fr.
GALS. PER HR /~ .
KIND OF CASING
KIND OF FORMATION:
From
From
From
From
Ft. to
Ft. to
Ft. to -~ J
Ft. to
Ft. to . -
Ft. to .
From
From_/.X C~ Ft.
From ..:~'L~ ~?: Ft.
From
,~ ~_~ o Ft.
From ~; :~': :i~~' ~L~_ Ft.
From'?,~: ~'~--' Ft.
From~Ft. to Ft.
From
:.
From-, t~_Ft, to
Ft.
From~Ft.
.Ft.
to ,,~cO O Ft.
to ¢,.d3,~ Ft. /J~<t/go~,~ /:?&w~"-,/C From~
to ~'~ ~Ft. /~E~ ~GLC C>~- From~
(~ ~& r From
Fl. to____Ft.
Ft. to Ft.
'/~EJNICIPALITY OF ANCHORAGE
FcI:~T. oF H-~£T,- -
Ft. to . Ft.
Ft. t~,c; t!OSn
~t. to Ft.
et. to Ft.
et. to Ft.
.et. to .Ft.
MISCL. INFORMATION:
¢ "(. ; ;
DRILLER'S NAME '
IO'.~° ~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENT/~L~IT~I'rr~F ANCHORAG~'~ ~J~ ~
Telephone 264-4720 3UN 1980
REQUEST FOR APPROVAL OF INDIVIDUAL WATER ~ ~~F~LITIES
,DIRECTIONS= Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten {10) days for processing.
1.'PROPERTYQWNE~ ~~~ ..... j PHON~ '
MAILING ADD,SS
PROPE~TY RESIDENT (If different from above) ~ PRONE
MAiLiNG ADORE~
. 7 -/I
UA~ L~ N ~A~DR ~S '
~." ~ALTO~/A~T~~ ~~ J PHONE
MA~UN~D~ESS ~ '
~. I'E~AL DES'~IPTION _ _
~, 'TYPE OF RESI0~NCE NUMBER OF BEDROOMS
'~ SINGLE FAMILY [] One [] Four
[] Two [] Five
[] MULTIPLE FAMILY J~ Three [] Six
7, WATER SUPPLY
~ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTILITY depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTE'M
[] Other
INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
**if individual/on-site, give installation date~~
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR
DIRECTIONS:
INSPECTOR INSPECTOR
1. TYPE OF RESIDENCE
NUMBER OF BEDROOMS
[] SINGLE FAMILY
[] MULTIPLE FAMILY
[] ONE
[] TWO
[] THREE [] FIVE [] OTHER
[] FOUR [] SiX
2. WATER SUPPLY
[] INDIVIDL~AL
[] COMMUNITY
[] PUBLIC UTILrTY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[]INDIVIDUAL/ON -SITE
[]PUBLIC UTI LITY
Connection Verified
[]Septic Tank or [~ Holding Tank
Size: __l Or-D If Tank is homemade --
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
'~i,' 'DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
MANUFACTURER,, ~
MATERIAL
Septic/Holding Tank IAbsorption Area
JSewer Line
JNearest Lot Line
"I~. 'COMMENTs
DATE
LEGAL DESCRIPTION
[] CONDITIONAL APPROVAL (letter must
[] DISAPPROVED ~ny
certificate)
72.,010 (Rev. 3~78)
DAVID A. SLENKAMP
ROBERT A. SHAFER
MECHANICAL ENGINEER
694-9055
July 4', 1980
CIVIL ENGINEER
694-2979
Sun Realty
ATTENTION: Pete Ostdek
Box 1201
Eagle River, Alaska 99577
Dear Pete,
Reference: Lot 6;~Block 2; Broadwater ]~eights Subdivision
A sewer system adequacy test was performed on the sewage system on the
referenced property per your request. The septic tank was pumped and
verified to have a capacity of 1000 gallons. The seepage pit was charged
with '750 gallons of fresh water and after a period of 24 hours all of
the water which had been added to the crib had percolated away.,
It ~an be concluded from this test that the sewage system located on
the referenced property is functioning adequately for the three
bedroom residence.
If we may be of further assistance, please do not hesitate to call.
Sincere, -
~/cn~c~.~l,,~cipali~y of Anchorage
Departm~nt of Mealth and Enviro~ent~l Protection
People's Bank and Trust
SRB 196X EAGLE RIVER, ALASKA
Anchorage
G[O[]G[ M. SU[ [IVAN,
MAYOR
[)Et'A[~ I rvlt- N I ()}: IlEAl ] H AN[) ENVIFIONMEN'i"AL PROTECTION
June 11, 1980
Pete Ostdick
% Sun Realty
Post Office Box 1201
Eagle River, Alaska
99577
Subject:
Lot 6 Block 2 Broadwater Heights Subdivision
Johnnie/Betty Weatherington Property
Approval for the individual sewer arid water facilities
can not be granted until the following items have been
completed:
(3)
The water analysis report be delivered to this
office from Chem Lab, 5633 B Street, for our
review.
The septic tank pumped with a receipt submitted
to this office.
A four(4) inch cast iron cleanout needs to be
installed at the end of the trench. This will
need to be re-inspected by this department when
completed.
(4)
An adequacy test be performed on the existing leaching
area. This test will determine if the system is
adequate according to National Standards. A listing
of private firms performing the test is enclosed.
This report needs to be submitted to this department
for our review.
If there are any further questions, please call this
office.at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Peoples Bank and Trust
Pouch 7007 99510