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Home My WebLink AboutSPRING BROOK VISTA #1 BLK 2 LT 4 MUNICIPALITY OF ANCHORAGE DE ATMENT OF HEALTH AND HUMAN SER ES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Address I Phonets) ~ Pernm NO ]~o. el Bedrooms 1 Tow~lshlf), Range, SeCtlO[i TANKS DISTANCES FROM~ SEPTIC ABSORPTION 'rANK FIELD WELL WELL ~_..,¢::i~2 ~ .~ --'Z....~t;::~ ..Jr- LOT LINE /~t~pl~ ~' / ...-~' FOUNDATION AS-BUILT DIAGRAM (Show location of well, sephc system, p~operty hnes, Ioundat*on, driveway, water bodies, otc) /~,,SE PTIC [] HOLDING ManulaC[ ..... ~Capac'; I,~Z~~ TYPE OF SYSTEM TRENCH ~ BED ~ W. DRAIN [] OTHER ~e-p'~[{ to pFC bottonl from lotal depth lronl original grade o,,g,.., g,~oe 9¢' 0,~ FT 0 FT ~,~ FT ~, ~ FT ~- FT WELLS [] PRIVATE [~ OTHER {Identify) :f~l~s's',¥J(~i~)iT~A,B,C} t]otaJ Depth Cased to REMARKS: 72-013 (3/85) Inspections Performed by. ceriily that Ihis inspeclion was pedormcd accordinD to all Date: !"i VIER B ], oc: I.:'. ,~ 2 li!)l!ii:l::)"l'' :t: [::', '1' (../NI.:::)) I~l :in .i. mum 't..(::)'ha :1. !~:-:,l::)'l'.. :i. (::: t.a~nt.:: c:,~'q:)a~c:: J. Ly ~ :J., 2,~50 ga~ :1. ]. (::)l")~ ,, liii:a(:::(') !~m)l::)t. :i. (::: t.,?:w~l.:: mLl.~S'h hav~.~ ~.~'L :t~ai~.'L 2 c:(::)ml::)atvtmc-.~nt.!~,, ]Oc~pt.h 'Lc;) t.c)p i:)f ia¢?p'l:.tc: 'l:.anl.=:(![~) .~:: ,'.~,,() f(.::.)(,~.:,,l:., i-(~.;i::lt.~j.p(a!a :i. Fi [~t,~ :l, .:~'c/'., :i, or') C)Vt~:Q['' 'l:,ar'~l< (!~)) . :[ Cli!!:R'I :1: I:':Y 'H'"If. YI' ~ ;,?.,, ]: ~:i.].]. :i.r'm't..~].]. 'hl"~(a ~y~M:.(.'..:,m J.n ac:c;o['d,~w'u:::~z~ ~j.'l:.h a:[:l. I"'tOf~ c:c:~c:h.:.~)~ and and ~.n c::Oml::~:l.J.~mc:~.~ ~,~i'Lh Ll"u~ de~:i.~:jn c::~':i.t.~,r.:[,~ o~' 'Lh:[~. per. m:i.L,, ::~;. :[ ~:i.:l.:l. ~,~cll'~<~..n',~? t.o ~,'~:1.:1. I'flCIf~ and ~H:.~M:.~.:~.~ o( f~,:l.~,~l.,:~ v~q~.~:i.v~:,m~.n"v~ i'cn', 'M'u~:.~ ~,:,'[. I:::, au:: l< c:l :i.~.t. anc:~.:~m!, f r'.c)m ar'q/ ~)).~ ~i;.l:. :i.n(~l ~.4~a:):l. ]. ~ ~a~'h~d:.~r' d J.~l::~c:)~t:t ~,~'t..[~)m or' I::)t.d:) '.l.J.c:: any ¢.:,r~].m'"~Flernent, ~:[].L r'c.)quJ, r'~ an addit, J, on~,:[ (D~.~r'mn") I.,.I. LI".' D~ li:::/C) ~%B,3~:zc~ ~:~::~':}[::]:~"l"[~:l:) Tom Fink, Mayor /Vlunicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 July 18, 1988 Robert A. Shafer S & S Engineering 17034 Eagle River Loop Road, Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 4 Block 2 Springbrook Vista S/D Waiver Request 9WR88-035, Permit #880118 Dear Mr. Shafer: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. waived distance is 5 feet. The This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Serivces DJR/ljw~7 ROBERT A. SHAFER CIVIL ENGINEER 694-2979 July 6, 1988 DEPT, O1: HF. AL~H & HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SO[L TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage Department of He~th and Human S~rvices 825 L Street Anchorage, Alaska 99501 r~NVtP..ONMENTAL pRoTSCTJO~ REFERENOE: Lot 4; Block 2; Springbrook Vista Subdivision As owners of Lot 3; Block 2; Springbrook Vista Subdivision, we have no objection to the issuanc~ of a five foot lot line waiver for th~ installation of a s~ptic system drain field on the referenced property.~ ROBERT A.i SHAFER, P.~E.i RAS/ss 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 SCALE SCALE Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" street, Anchorage, Alaska 99502-0650 SOILS LOG~ PERCOLATION TEST LEGAl_ DESCRIPTION: ~4~2~,,yI~;. ~Z~' Township, Range, Section: /~/ ~1, ~ SLOPE SITE PLAN 7 9 'JO ~ ~/~ WAS GROUND WATER ENCOUNTERED? IF YES, Al' WHAT ~ pO 12 DEPTH? E Oeplh l0 Water After~/ ' 1 3 Monitoring? ; Date', __ Reading Data Gross Net Depth to Net Time Time Water Drop / ~/~/~ ?.,~o/~ - z /o .'/o t¢ '.,,2o /~ p/,, ,, i z~ ,, ] (o ~Z¢~ L~ I/~¢" ~¢" ~ ¢ .'/o ~ L~ F"7¢ /'", ..... 14 16 17 18 20 . *ERCOLAT,O. RATE /~ Q ) /.o~ . (minutes/inch) PERC HOLE DIAMETER ~ ACCORDANCE~LL S~ATE AND MUNICIPAL GUIDELIN~FECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) VlunicipaliW of Anchorage DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION POUCH 6-650 ANCHORAGE, ALASKA 99501 INSPECTION REPORT ON ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL NAME .~'~/'/"1 )"~//~ ,7~ /v LOCATION /~/~/~,¢.,._. ~'~ ~/'~r ~ ~ ADDRESS ~d~ *~5' ~C~c. o~' ~c~ ]~ ~ , ~ PERMIT NUMBER LEGAL.ESCRIPTION A ? ~ ~ ~)~'~ ~0F BEDROOMS SEPTIC TANK MANUFACTURER MATERIAL CAPACITY IN GALS. #OF COMPARTMENTS INSIDE DIMENSIONI LENGTH /WIDTH DEPTH SEEPAGE SYSTEM [g~l L E DRAINFIELD JNUMBER OF LINES LENGTH EACH TOTAL LENGTH DISTANCE BETWEEN LINES TRENC:WI]TH DEPT~S:, ~ , .? / TILE TO GRADE FILL BELOW TILE FILL ABOVE TILE [] SEEPAGE TRENCH OR [] PIT NID'FH LENGTH DEPTH [] LOG CRIB [] RINGS- DIA. FILL MATERIAL DEPTH TOTAL EFP~CTIVE..A,BSORPTION AREA: SQ. FT WELL CLASSIFICATION . DEPTH INSTALLER REMARKS J PIPE MATERIAL 72 012 (9/77): / /) DISTANCES SEPTIC SEEPAGE SEWER TANK SYSTEM LINE CESSPOOL WELL WELL ... SYSTEM DIAGRAM I::1 I: :' i' :' i... [ [i:ti P,I I :t I :i ..[,i'. i :1: I:'~'~'' "t I I1:::t 1' ::i.: .[ I::11"1 I:::1::11"1 ]: 1..~ :1: I:::1i:'~: I.'.1 ]: i II i'l Ii:i: t;i:t:':1.~:!1..I J: 14:[:!:i"'lt:ii:t",l-I':!::; t'::' '~1,i: ~' I"l Il;:: I I'i t:'~',"," 'l t'rii!: 1 .I ",l ...... 1'" ' . . t I::ll::'F:II",IC:H; F'.[::I ;:,i:: i: ~'.1 i:1.i.. .t l",l'.i; i t:':li...I., i l"li:i: fii'"~"':.!;i i:::i"t ]: i"4 I::IC:C:Ctt;JtI::'t'::ti",I(::[f:: I.'.i . . , ~ :, l I:.:.1 t I'"[t::I'T~ t:;'.Jii; ';:!l...1:1: I'~'.l~i: ICi",lt...l::ff,~:l:~i[!i;t"li":;f',!'l '[ I:' 'ii'iii!!; :iii: ' ;i li'.,li':~i:j' I~J:::';'l I:: ",i ;' I Hl':l'l' 'i'i 'it:::; I;ti",k'"':~; ;I i i:i; :iii;i:'::i.'.lt'J!:l:'i: ....... · i,;:i::::::::, :i. i.)i:J:P41.::i:ii. [ 'i:;, i,i:l::::i't[::li:::'[J:L.l::i:L:' i'[J :l i",~l::::i..i.li::'ii: I"'l(::lFi:[!!: I't 1t':11"4 ": 'i :ii~'l':'' '~ .......... · t::ll::'[:'i.... 211 (i:t:':li",f i i:~.;l~i,ti..:'i::l'l~'i 1211[",I // >iUNr_CIPALIT¥ O? 72[rCkO'2.AGE and Env:Lron?.en~] " for !4 16- 13- 20- SOiLSLob' ~'~' PERCOIATION TEST Sam P~tton Date Perfo;.q~ed 8/31/77 Lot 4, Block 2, Spring Brook Vista Subdivision Gray, silty, sandy graveI w/organic;' Red-brown, sandy silt (b~) Bro,~n, sandy gravel w/some silt Dense, gray-brown, silty, sandy gravel (~M) Per~ test from -5 to -7 feet Wate~ table at -9 feet. Total Depth - 10 feet -.% D~te 8/31/77 Net Ti.ma I 64 min. I 54 min. 67 mi.n .. Net Drop 12.5 in. 9.0 in. 9.5 in. ] 60 min. 7.5 in. s/inch Parc Rate 5.5 min/in. 6.0 min/in. 8.0 min/in. ANCHORAGE AREA BOR"'IGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: ~/t~''~ /¢¢)ff7o° DISTANCE FROM WELL -- MANUFACTURER ~'~/~ INSIDE LENGTH. INSIDE WIDTH MATERIAL LIQUID DEPTH_ NUMBER OF COMPARTMENTS LIQUID CAPACITY / ~' ~'--g) GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAME-FERJOZ' OR WIDTH2~''', LENGTH2~/ DEPTH /2I LINING MATERIAL ~O(;~ CRIB SIZE: DIAMETER:~- DEPTH ~/2t -- DISTANCE FROM: BUILDING FOUNDATION ~-~J, NEAREST LOT LINE ~/_21 TOTAl_ EFFECTIVE ADDITIONAL ABSORPTION WELL ABSORPTION AREA (WALL AREA) SQ. FT. WELL: TYPE C,~ 1.~ I.~.., {'~1 CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC FOUNDATION LOT LINE SEWER LINE TANK CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAl · LOT SLOPE: REMARKS: Form No, EQ-O31 .... ~ , //~ DATE. ]'i~/~1¢'"//¢ APPROVED/~ ~,~ U G,A.A.B, GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456! SEWAGE DISPOSAL SYSTEM, , APPLICATION AND PERMIT PERMIT NO, NAME OF APPLICANT INSTALLATION LGCAT,ON INSTALLATION OF: SEPTIC TANK FINANCED THROUGH .-"C~-_ ".. ~n ''~"~ /' C' SO~L TEST RESULTS '-->-~' ~*. ~ ~- .~ SEEPAGE PlY ~ ,DRAIN FIELD To BE ,NSTAL-ED BY t ~ )~- I f.a c ~,, 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. SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENT5 FOUNDATION TO SEPTIC TANK ~ ~ FOUNDATION TO SEEPAGE PIT ~_~-~ ~ DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL--/~-~ _ . SEEPAGE Pit ' , DRAIN FIELD WELLTO SEFT,D TANK /~d ~ . SEEPAGE P,T /~o/ WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, o _ , SEEPAGE PIT . DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND I~N~O_.~IB CROS~SING GAP OF EXCAVATION § FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRO~.SI~Q~PE~=~'t~E~TIC~ A~N.N~D~S~EEP~AGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. DIAGRAM OF SYSTEM GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREA_TE~R_ ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE FORM NO. EQ-016 0 Ef E ENGINEERING 6' DEVELOPMENT CO. 8o~ 90, Davis St., Ea01e River, Alesk~ 99577 6~q4-2774 or 333-5240 Russell Oyster Earl EYlis 6..q4-2774 333-5240 Civil Engineering Surveying Soils 8. Foundations Land Development SOIL LOG Perfomed for: Name: ~--~?~ ~i.~~J~V,J_'~ ~c~ Tel. Mailing Address: ~. '~ ~~ ~~ Legal Description::. ~ ~ ~ ~ ~x~ Depth (feet) 0 1 2 3 Soi 1 Characteristics 6 10 11 12 Ground Water Encountered: Yes__ If yes, what depth~ Proposed Installation: Seepage Pit v// Drain Field Performed b . ~-~ ~/~ ~ Y. . Date: ~ ~ '~ Performed For Legal Oescrintion: This Vorm Renorts "One tes~ is worth a thousand oBinio.s" Klo~dik~ Concrete Date Performed 8/23/7~ Lot .~ Block2 Subdivision Spring Brook Vista Soils [,o~ Yes Percolation Test 2 97,t Oenth Feet Soil Characteristics 1' Peat & Organics Silty Sandy Gravel 225 SF/BR Well Graded Gravel 100 SF/BR silty San6 25o SF/Ba 14' Bottom of Test Hole was Ground Water Encountered? .. If Yes, At what Depth?~, Yes Reading Date Gross Time Net Time Depth to H20 Net Droo Percollation Rate Minute Proposed Installation: Seeoaoe. Pit Yes Drain Field De~th of Inlet Depth To Bottom Of Pit Or Trench CnMMENTS: No bedroc~ encountere~ ., ~est Performed B.y Neal A, Hausam Data Certified By:Construction Test Lab Date: 8/'23/74 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4?44 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property Owner ~,~0' P' Mailing Address Lend!rig Institution Telephone (c) (d) (e) Telephone: Home Business Mailing Address R~al Estate Co'm~any an~j. Ag~nt J~c;>~'~,'¢"~1~ ~;;~':::>~"~:;¢'~ ~ddress ~ ~' ~ ~,~ ~ ~ ~~ Mail the HAA to the followinq address: or: Check her~f hold for pick List contact person and day phone number below. S & S ENGINEERING 1703,,~-agte-Rh, er-L-ee ~ Eagle River, Alaska 99577 TYPE OF RESIDENCE Single- Fa mily./l~L- Number of Bedrooms WATER SUPPLY Individual Well [] Community [] Public/~'~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite/~ 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. Page 1 of 2 72-025 fRev 8/861 Fronl ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & $ ENGINEERING 17034 Eagle Ri~er Loop Road No. 2t~4 Address F.,agie River~ Alaska '~577 Date Telephone DHH$ APPROVAL ' ' Approved for ¢ bedroomsby ¢~~ ~ ~ate Approved .~ Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska, The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-o75 IRev 8/861 8ack WELL DATA ¢,~' .~,¢ M,[~iI~IPALITY OF ANCHORAGE (MOA) \%0~- \'~.~'~" ,.~IE~.~LIST- FEBRUARY 1984 ~ . ~TH~UTHORITY APPROVAL (HAA) Legal D~scr~tion: ~ Well Classification Well Log Present (Y/N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot "~;~ ~''~' To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test R~,suits Comments ~'" / ,- ('"~ . /~'-' If A, B, C, DEC. Approved (Y/N) Date Completed Yield Cased to Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Date Installed ~21¢-~ ¢0-" Standpipes(iCON) 7-- Depression over Tank (Y~J,~ Pumping/Maintenance Contract on File Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/FfbTdtrrcj-~ank: To Water-Supply Well '1-o Property Line '1-o Water Main/Service Line Course Comments Size Air-tight CapsC'~/N) No. of Compartments Foundation Cleanout (Y~) Date Last Pumped ~-~/,,C~ ; for ~- - Temporary Holding Tank Permit (Y/N) r.-.~//~. To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026 fRev 8/86~ Fronl C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~ '¢~'/-¢--~ Type of System Design Date Installed '"~?J¢:)" ~ Length of Field Width of Field ""~""¢""~'~ Depth of Field Square Feet of Absorption Area Depression over Field (Y/~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation \ Lot ~ Gravel Bed Thickness C~ ~'~_~3~- ~ '~ Stand pipes Present ¢.-~N)t~/.~,' Date of Last Adequacy Test To Water Main/Service Line / ~::::> ~"~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line ~ I To Existing or Abandoned System on ; On Adjoining Lots '¢-~;'15¢' / To Cutbank if present) ~/,,/~. Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level Tested for Electrical Codes (¢N) y Comments /~ I'~¢¢"E~ ~ Dimensions ~ Manhole/Access ~N) y "Pump Off" Level at Vent ~) Pumping Cycles during Adequacy Test. Meets MOA Page 2 of 2 72 026 (Rev 8/861 Back ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all M2A and HAA guidelines in effect on the date of this inspection. Signed$ & $ ENG!NEERING~ Date ~ .... ~34 Eagle Ri~er L~p Road No. ~'"F""' 'Eagle ~lver,-' AmsR-' -=-.~577 Date ~aymont ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date , M~JJ 12: 1984 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 4; Block 2; Spring Brook Vista Location (address or directions) Green house on right up Prince of Peace, Re/Max Prince of Peace, sign in yard (b) Applicant Name Te~ry Saf~cLrd Telephone: Home Business Applicant Address _ 0u.t of s.;(:ate - Re/Max (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (exp!am); (d) Lending Institution G]4AC Address %_%~ch. orag£ (e) Real E~tate Company and Agent Address __ P.O. /~×. 848; Telephone E~4--4200 /fl H^A to the fo owing address: Telephone 562~2181 Re/Maz~zf Eagl& Rivc. r/A£. Rive_r; Ala&~¢ 99577 S & S ENG'iNEERING ---SRB~196X -- ~&GLERIVERFAK-99577 TYPE OF RESIDENCE Single-Family [~( Multi-Family [] Number of Bedrooms 4 Other WATER SUPPLY Individual Well [] Community [] Public~] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite E~ 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. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Healih Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspectic~.~ S ENGINEERING Nameof Firm SR_R i.~g6X Telephone Address EAGLE EIVfiR: AK 99577 Date ,J"-:-//_. -'8 DHEP APPROVAL Approved for ~~ b e d r o o m s b~/~ ~--~'~'~'-~ ~ ~/ Approved ~ Disapproved Gonoi iona Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State ol Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/8,1) MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAl. PROTECTION MAY 6 1988 RE( EIVED,. MUNICIPALITY OF ANCHORAGE (MO~.,I HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 DescriDtion: Legal WELL DATA Well Classification ~'"'~-~.;~L.-t ~ If A, B, C; D.E.C. Approved (Y/N) Well Log Present (Y/N). Date Completed Yield Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding 'Tank on Lot To Nearest Edge of Absorption Field on Lot. To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Corn ments /xA ~/'~ . Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Date Installed J/~ /- 7"7 Standpipes ~/,N) Depres~ion'o,~er..¥an. k ,(-Y/(~ .Pumping/Maintenance'Contract on File (Y/N) H¢lding Tank High-Water Alarm (Y/N) Sepa(ation Distances from Septic/Holding Tank: To Water-Supply Well "Z~° ~' ~ ~ To Property Line ~'~ ~ ~ Size /Z'-'~'-c~ No. of Compartments Air-tight Caps ~/N')' Foundation Cleanout Date Last Pumped "'//,"- ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Water Main/~ie. r44ee4_ine "~¢~' ~ ''¢ .' '41A .. Course To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11184) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field '~ Square Feet of Absorption Area ~ Depression over Field,,(-Y'~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/.Servk,~ Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments '~ %'.l,s"~',~.-~&. ~ I'Z.~ ~ '-~¢-- Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present ~ Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) ~,,/ /"Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. MOA No. _,~.~"-4:~O ~ S & £ ENGINEEI~ING Signed Date S~B 196X Company . _. ~.A~L~ RIVER, Receipt No. Date of Payment~-//~' Amount: $ Page 2 of 2 72-026 (11/84) Date Inspector Time ,ne Date Inspector Date ~nspector Comments Date Sewer installed Soils Rating Permit No. Well To Absorption Area Well to Tank Septic Tank Size ~ ~ 5-'¢~ Holding Tank Size Well Log Received APPLICANT FILLS OUT LOWER HALF ONLY Property Owner ~./2/,UN~/ ,~/ Mailing Address ~X Lending Institution Realty Co. & Agent Address ~ ~ ~ ~, ~'/~ ~ ~ Legal Description Street Location No. of Bedrooms Ty p e..,9 f Residence l~,Single Family [] Multiple Family [] Other ,Phone Phone Phone Water Supply F~ Individual 'V1~,Community ~ Public Utility ATTACH WELl_ LOG. A well Icg is required for all wells drilled since June 1975. For wells ddlled prior to that date, give well depth (attach Icg if available.) Sew. age Disposal ~ Individual [] Public Utility [] Holdin¢ Tank Year individual Installed: When Connecled to Public Utility: NOTE: THE INSPECTION FEE MUST AccoMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. L EXCAVATION ROBERT A. SNAFER WORK Century 21, Metropolitan ATTENTION: Marian PJ. pple ]?.O. Box 677 Eagle River, Alaska 99577 Dear Mrs. Pipple, Reference: CIVIL ENGINEER 694-2979 December 20, 1981 MUNICIPALITY OF ANCHORAGE DEPT, OF HEALTH & ENVIRONMENTAL z: GTECT ON REC[IVED Lot 4~ Block 2~ Springbrook.~LglAts Subdivision A sewer system adequacy ·test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1250 gallons. The absorption trench was tested by a continuous flow of 600 gallons of water over a period of 24 hours without any measurable rise within the system. It can be concluded from this 'test that the waste water disposal system serving the four bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failure. If we may be of further assistance, please do not hesitate to call. ROB~ERT A. SHA~ER~ P.E. /~AS/ss cc: f-~ome Federal Savings Bank Municipality of Anchorage Department of Health and Environmental Protection December 16, 1981 Bo× 75 Prince of Peace Drive Eagle lliver~ AK 99577 Subject: Lot 4, i}lock 2, 'Jpringbrook Vista NltN Prince Of Pc~ace Drive ApprOW~l for the individual uewer and water facilities cannot be? grant(~d until the followin0 items have been completed; o 'l'he sept:i.c tdilk t)[Dnpod with a receiD~t ,qLlbiaJ, tted to ti-ti~ dopa~t, ment. An adequacy test needs to be performed oo the oxistinq leaching area. Thi~ test will determine if tho system is adequate according to National Standards. A listing of private JJir~ts pet~'foritling the test is enclosed. This report needs to be submitted to this office for our review. A four (4) inch cast iron cleanout nc, ods to be installed to tile :,~eptic tank and/or leaching arOa o Please notify this del?art~)ent for a reinspection when the notod 'discr,e}pancies have beer~ correctod, if there arc any further qucst]ons, ~>lease cai]. this office at 2{~4-4'/20. Sincerely, l(obert C. Pratt ^ssocJ. ate h;nvironmantal Specialist M .ICIPALITY OF ANCHORAG"' L Street, Anchorage, Alaska 99501 279-251L.], ex'u. 224 or 225 Lending Institution Request: Mailing Address: Pourch 7-007 Peoples Bank and Trust 99510 Phonc!: 279-7511/242 Property Owner: Mailing Address: 3.. Legal Descrlpt3~on: Bonnie Davis Phone: % Sammuel/Jean Patton, 277-1561/250 or 277-7388 Lot 4 Block 2 Springbrook Vista Subdivision 4: Single Fatally ResJ.dence: (x,X Mu].t4. ple Family Residence: ( ) Number of Bedrooms: Four Number o[ Bedrooms: We].]. System: I)ermit 1~ Construction Individual Wr~] l (xk Conm]unity/Public ~ '" ~' Depth of Well We].]_ 'hog on File ( Bacterial Analysis Sewage Disposal System: ~ '~' ~ 7~/_ InstaLler ] erm.t,~ t~ Installed ~ ,3~-' ~ Manufacturer Septic Tank Size Absorption Area _~9~ ..... Soils Rate Material On-site System (xR Public Utility ( ) Distances: We].l to Sepi ic Tank t,o Sewer I,:i. ne Nearest Lot line to Absorption Area Absorption Area to Nearest Lot Line Page Two Departnlent of [[o~ ich and ]Envirotunental Protection Request for Approval of Inc]~vLdual Sewor and Wa .¢.~ l~'aci].]t.Les Legal DescriptJ_on: Lot 4 Block 2 Springbrook Vista Subdivision Affadavit Attached: ( ) Disapproved: Letter Attached: ( ) Date: eoo MUNICIPALITY OF ANCHORAGE ! DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Stree'L, Anchot~age, Alaska 99501. 279-2511, ex~. 224, 225 REQUEST FOR APPROVAl_ OF INDIVIDUAL SEWER and WATER FACILITIES 1, Type of Inspection: 2, Property Owner: BONNIE DAVIS VA FHA .......... CONY. ~ Mailing Address: BOX 75 PRINCE OF PEACE DR. 3. Name of Buyer: SAMMrJEL R, JEAN M. PATTON Day Phone:_.~C_~ BUYER Mailing Address: 80i AIRPORT HEIGH?S #123 Name of Lending Institution ___ P_ EQp_L_E_S__~BANK & TRUST POUCH 7007 Mailing Address: 5. Name of Realtor or Agent: NONE Mailing Addre. ss: WORK277-1561 EXT 250 Day Phone: HOME277-7388 Phone: ...... ~.~-_~_511 EXT 24~ Phone: Legal Description: ..... _L~f_~_.4.~__B~LK~_,_ _~ SPRINGBRCOK VISTA Location: .... EA~?__RI_V~_R ~ ALASKA NHN PRINCE O~ PEACE DRIVE PLEASE ODNTAC~f Type of Facility to be Inspected: Water Supply Type of Supply: PATTON FOR INSPEC]~ION SFR No. Bdrms ..... ~ WELL & SEPTIC APPROVAL Public Utility. Individual.__ If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: If Individual, date of installation ...... WELL & SEPTIC APPROVAL Public Utility __ Individual (on-site). 72-003(3/76) October 6, 1977 Peoples Bank and Trust Mortgage L¢~n Section Pouch 7-~007 Anchora(~, Alaska 99510 Attentien: 5~rs. Pearl Subject:: Lot 4 Block 2 Spt/rig Brook Vista Subdivision Pl~a~u be advised that the specifications outlined i~l my letter dated August 4, 1977 c~nc~rning the .,~ubject property is no longer valid° new specifications for the upgrade are as follow~: Trench length - ()ne hundred fiften(i15) feet :~otal ~{.epth ~ five(5) feet Gravel depth ~ two (2) feet A lift station maybe necessary to lift tile effluent into the three (3) to five (5) level. If there are any further questions, please contact this office at 264--4720, Sincerely John Kennedy Principal Code ~.nforcem~nt Officer JK/ljh August 4, 1977 Peoples D~k and ~rust Mortga~ Lo,tn Ssotton ~ouoh 7.~007 Anctlora~ev Alaska 99510 Subj~c~ Lot 4 t)lo,gk :~ S~)rin;gbrook Vis'~a Subdivisio~t ~'h~ :~.w¢~.r systsl~ ~rvi~g ~:1~.~ subject r~i[Lenoe failed an ~dequa~y test reg~rding adsorption. A ~eg~ ab~orption trench is required j~q order to upgr~de tl~t~. sew~:r syste~_u. '~ho s~:ecifig~t~ons for the tr~tgh are ] ' 9:renc:h length-~ sixty-six(66) ~.Uot al depth Gravel depth -~ three(3) feat feet A per~..tit is require¢l prior to co~structio~l. '~his ~iepart;~e~t t.~cmld grant a ~;emporary approwtl if fu~lds are escrowed te u~-~gra~]e the se~er system by Septe~d~er 15, 1977. AI~o, required are fund~ to puntp tl~e existing sewer system as need~do If ther~ ar~ ~my further qu(;stions, please contact this office at 279-2§1].~ extensi(m 2a4 Or 225. Sincerely Prin¢:ipa'[ Code l!:~%forc~me~t Officer 801 Airport fk~ights '~-123 TO ~...r~,t Bank of Anchorage Post Office Box 7211 99510 !! DATE SUBJECT Lot 4 Blo(:k 2 Sprin~ Brook 'Vista Subdivision J~e 30, 1977 Due date has ~)assed and no record of the upgrade. See attached letter. 279x~2511; ex~¢h~'io~ 224 6r 225~ : Redi~rm ® :~ 45 469 r Poly Pak {50 s~l~) 4P469 t SIGNED SEND PARTS 1 AND 3 WiTH CARBON INTACT - PART 3 WILL BE RETURNED WITH REPLY DETACH AND FILE FOR FOLLOW-UP ~D~ 1976 Pirst National .~3a.~k of ~nchorag~ Post Office Box 720 Anchorag-e ~ Alaska 99510 ~uojec~. Lot 4 Block 2 Spring Brook Vista Tbs sea;er ~ystem serving tile subject residunce faile~ an a~qua(~y t~mt ra.gardtng ab~orption. T~rench l~ngth 66 ' Total depth 6' Gravel depth 3 ' A p~rmit is require~ prior to constTuction. .%'his department ~¢ould/~rant a tampo~d~lf~ ~proval i~ Eunds are ~jcrowed to upgrad~ the sewer.~~~ 1977. If there are any question~, please forward~ them to us Sincerely, ~ GREATER ANCHORAGE AREA BOROUGH /~-/~fi- ,,. 0 "C" Department of Environmental Quality ~, 3330 Street, Anchorage, Alaska 99503 274-4561 ~b.~ ~ ~ ~ /~P ~ ~:~ ~Date Received November 12, 1976' ~ ~ i ' I" ~ ~,~ ~:-~:~' Time of Inspection I~:~ ~ ,~ ~ . , ~T~ ' Date of Inspection I]~t~7~ /~ [~ ~:~. _ ~ ~ '~ . REQUEST FOR APPROVAL OF ~ ¢0~.,¢,¢ ~ ~ "" ~:'INDI~-['DUAL SEMER & WATER FACILITIES ' ¢, ¢ ,,r? FOR ---- *' ~; t ¢lu 4~,,TM , '~L,?"% ~" ~ ~/ %__ COn~_ Mailing Address: Post Office Box 720 Phone: 276-6300 x 572 2. Property Owner: Kenneth L. & Bonnie F. Davis Phone: 694-9794/272-7568 Mailing Address: Box 75 Eaqle River 99577 3. Legal Description: Lot 4 Block 2 Springbrook Vista 4. Location: Prince of Peace Drive 5. TYpe of facility to be inspected Sinqle Familv No. of bedrooms 4 6. Well Data: A. Type Community B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On-site system A. Installed ~ ~'~I C~, B. Installer C. Septic Tank: 1. Size (~-~.) 2. Manufacturer '"~Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines ~',,' ~ ~-.~-,6:, ,k' 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 I of two pages page 2 of two peges .- Re,. st ', Approval of Individual .ar & Water Facilities Legal Description Lot 4 Block 2 Springbrook Vista Comments ~pproved App/wsO-al ~Valid for one year from date signed Greater Anchor~e 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) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO ____ VA 2. Property Owner: DAVIS, Kenneth L. and Bonnie F. Mailing Address: Box 75 Eagle River, Ak. 99577 3. Name of Buyer: None MUNICIPALITY' OF J~'~CHOI~(~E DEPT, OF HEAL?H & ENVIRONMENTAL PROTECTiON~ NOV 1~ 2 1976 RECEIVED FHA CONV × Day Phone 694-9794 272-7568 Mailing Address: 4. Name of Lending Institution: Mailing Address: P._O, ]~ox 720 5. Name of Realtor or Agent:_ None Mailing Address: Day Phone The First National Bank of Anchorage Anchorage, Ak. Phone 276-6300 x572 Phone 6, Legal Description: Lot 4, Block 2 Springbrook Vista S/D Location: Prince of Peace Drive , Ea_~le R.~ver, Ak. 7. Type of Facility to be inspected: Sin~J.e Family Residence 8, Water Supply Type of Supply: Public Utility COMMUNITY WATER If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation No. Bdrms. Individual Individual (on-site) EQ-037 (1/74) Mary Ann Dodge 11/9/76