HomeMy WebLinkAboutSPRING BROOK VISTA #1 BLK 3 LT 1Spring Brook
Vista #1
Block 3
Lot 1
#050-091-02
inspection Report9-1-22.aoc v = i ,*V
Municipality of Anchorage
On -Site Water and Wastewater Program r (907) 343-7904 Page 1 of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP131299
PID Number: 050-091-02
Dwelling: W Single Family (SF)
❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑N Upgrade
Name:
MD &WM PRESSLEY
ABSORPTION FIELD
❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
Address
12343 E PRINCE OF PEACE DR EAGLE RIVER AK
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original gradeGravel
Ft.
depth beneath pipe
Ft.
Subdivision
Block Lot
SPRING BROOK VISTA #1
3 1
Fill added above original grade
Ft.
Gravel length
Ft
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of lien".
between trenches
From
Tank
Field
Tank
Line
Fl=
Ft.
Well
>200'
NA
NA
NA
>25
TANK ■ Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
ANCHORAGE TANK
Icapacity
11250 Gal.
Surface Water
>100'
NA
NA
NA
Material
Number of compartments
Lot Line
>5'
NA
NA
NA
STEEL
2
NA
Foundation
>5'
NA
NA
NA
LIFT STATION
Manufacturer
Capacity
Curtain Drain
>50'
NA
NA
NA
Gal.
Remarks
Pump on level at
-- in.
Pump off level at
-- in.
High water alarm at
__ in.
Pump make and model
Electrical Inspections performed by
Installer
PIPEMATERIAL Housetotank3034 Tankto
drainfield 3034
JR'SSEPTIC
Drainfield- COIMT3034
Inspector ANSON MOXNESS
BENCH MARK (Assumed elevation)100 ft
Inspectio1s` 9/27/13
Location and description
2a
s"
4th
BOTTOM SIDING NE HOUSE CORNER
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
Conditional Approval:
Date
�1A�4}+'J�ye
14 J{ yy) �C �lq�J•p �'y �1
��eSoyn �.aanerae••r�i®�Ny9ao see
✓+°•res• ••••• ei{•i.i�rra• -
° 4'tfE0A0A'c F. A:OCRE n
Approved
Date
•p Ca -3589
t\die G�J�RI�C„ A7 !*
inspection Report9-1-22.aoc v = i ,*V
SPRING BROOK VISTA #1
BLOCK 3 SWING IIES A B
S T. C.O. C 13' 12'
ST. CO. D 19' 18.5'
INSTALL NEW 1250 GALLON STEEL SEPTLC DBL CO. £ 22" 21'
CONNECT TO ORA/N FffLD
N , 9 — — _f0' UT80Y EWT
— — — — _ _ _ — — — — — 7 —
4 r — 7
ABANDONED EXISTING/ NO PRIVATE WELLS ARE WITHIN l00
4 - - SEPTIC TANK PER MOA AND NO PUSUC WELLS ARE
WHIN
CODE REOWREMENTS / 200' OF THE PROPOSED SEPOC TANK
LOCATION
_ C / / BLOCK 5
a LOT 8
LOT 1 3 BORN 11AISIALLED FOUNDATION CLEAN /
SF.R /
LOT 2 /
cor 7
P5 0 25 50 75 100 125 150
SCALE.- 1' = 50 FT.
NOTE., THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC
LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER
DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE
APPROXIMATE.
DOUBLE
CLEAN---
/ 4 FEET COVER
CONNECT TO
EXIST DRAINFIELD
1250 GALLON SEPTIC TANK
BENCH MARK BOTTOM SIONVG ME CORNER
ASSUMED ELEVATION 100 FEET
FWNVDAr10N
CLEANOUT
7 MOORS
CE -3589
ISI'UKKLANU LN(a'l1VLLK/NU I I SPRING BROOK VISTA 1BLK 3 LT I I I SEPTIC SYSTEM ASBUILT I
203 V 15TH AVENUE
ANCH•. AK 99501 MALCOLM & VANITA PRESSEL Y BATE., NOV 7 2013
(907) 279-3916 12343 E. PRINCE OF PEACE DR, EAGLE RIVER 99577 SHEET- 1/1 GRID, NV252
PERMIT # OSP 131299 PID # 050-091-02 SPRINGBROOKVIST4#lB3L1-ASB.DVG I
...............
•.�e�z �r
7 MOORS
CE -3589
ISI'UKKLANU LN(a'l1VLLK/NU I I SPRING BROOK VISTA 1BLK 3 LT I I I SEPTIC SYSTEM ASBUILT I
203 V 15TH AVENUE
ANCH•. AK 99501 MALCOLM & VANITA PRESSEL Y BATE., NOV 7 2013
(907) 279-3916 12343 E. PRINCE OF PEACE DR, EAGLE RIVER 99577 SHEET- 1/1 GRID, NV252
PERMIT # OSP 131299 PID # 050-091-02 SPRINGBROOKVIST4#lB3L1-ASB.DVG I
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP131299
Tax Code Number: 05009102000
Work Type: Septic
Permit Effective Dates: September 09, 2013 to September 09, 2014
Design Engineer: SPURKLAND ENGINEERI
Subdivision: SPRING BROOK VISTA #1
Site Legal Address: SPRING BROOK VISTA #1 BILK 3 LT 1 G:0252
Owner/Address: PRESSLEY MD & WM LIVING TRUST
PRESSLEY M D & W M/TRUSTEES 2341 YORKSHIRE LANE ANCHORAGE AK 995043371
Site Mailing Address: 12343 E PRINCE OF PEACE DR, Eagle River
This permit is for the construction of:
N Disposal Field Y Septic Tank N Holding Tank N Privy
Lot Size in Sq Ft: 22903
Total Bedrooms: 3
N Private Well N Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date: ! 13
Date: i��/
MUNICIPALITY OF ANCHORAGE
Community Development Department 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. 050-091-02
Property owner(s) WANITA & MALCOLM PRESSLEY
Day phone 230-1127
Mailing address
Site address 12343 E. PRINCE OF PEACE DR., EAGLE RIVER, AK 99577
Legal description (Sub'd., Block & Lot) SPRINT
Legal description (Township, Range & Section)
VISTA #1 BLK 3 LOT 1
Lot Size
Sq. Ft.
Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
E]
Initial F]
Single Family (SF)
Q
(w/wo ADU)
Septic Tank
El
Upgrade El
Duplex (D)
❑
Holding Tank
❑
Renewal ❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
NONE Distance:
I certify that the above information is correct. I further certify that this is in accordance with
appligable Municipal Codes.
of property owner or authorized agent)
Permit/RushFees: ` Zd— Waiver Fees:
Date of Payment: gI.Aq 3Date of Payment:
Receipt Number: 096&66 Receipt Number:
Permit No. OAP 13 to 99 Waiver No.
Permit App_9-1-12.doc
Spurr Nnd Eimpmenong
Environmental Consulting and Design
August 27, 2013
Municipality of Anchorage
Development Services Department
Building Services Division
On-site Water and Wastewater Program
4700 Elmore Rd.
Anchorage, AK 99519-6650
Subject: SEPTIC TANK PERMIT APPLICATION
Spring Brook Vista #1 B3 Ll
Ladies and Gentlemen:
We are submitting an application to upgrade the septic tank for this lot. The existing septic tank serving
the above referenced is 30 years old and the owner would like to replace it. The submittal consists of one
(1) drawing showing the present improvements on the lot and the proposed improvements of the lot, of
which only the septic tank is subject to this permit application.
The installation of this septic tank will not prevent wells and septic systems from being installed on the
adjacent lots. There are no developed or natural surface / sub surface drainage courses within 100 feet of
the proposed septic tank location. The proposed septic tank will not change the general slope of the area.
Ponding and/or concentration of surface runoff will not result from this installation.
If you have any questions or are in need of additional information please contact me at 279-3916.
Sincerely,
Lars urkland, P.E.
203 West 15th Avenue Suite 202, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (907) 276-6013, SpurklandEng@gci.net
SPRING BRaOK VISTA #1
BLOCK 3
INSTAiL NEW 1500 GALLON STEEL SLP1H;
T— CONNECT IO DRAIN fIELO
�I p —!0' UTTUTY ESMT
1LYL 4i r--- —7
4e . . .. :..:..... .. . : .. . ABANLION EXISTING / NO PRIVATE WELLS ARE W1TIlIN 100
SEPTIC TANK PER MDA AND NO PUBLIC WELLS Q Law
CODE RFOUIREMfNTS / 200' OF THE PROPOSED SEPTIC TANK
/ LOCATION
I / / BLOCK 5
LOT 8
LOT I 3 BORN JINSIALL FOUNDATION CLEANOUT /
S.F.R
LOT 2 / �J
1 \ Lor 7
25 0 25 50 75 100 125 150
SCALE., I' = 50 FT.
NOTE, THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC
LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER
DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE
APPROXIMATE.
DOUBLE
CL£AN1"'""'
4 FEET COVER
CONNECT TO
EXIST BRADFIELD
1500 GALLIIN SEPTIC TANK
FOUNDATION
CL£ANDUT
3
1'
UK1fLANU LNCiINLLK/N(i SPRING BROOK VISTA I BLK 3 LT 1 SEPTIC SYSTEM
203 V 15TH. AVENUE
ANCH. AK. 99501 MALCOLM & VANITA PRESSELY BATE, AUGUST 27 2013
(907) 279-3916 12343 E. PRINCE LTF PEACE DR, EAGLE RIVER 99577 SHEET, 1/1 GRID, NV252
PERMIT # USP IIIXXXX PIB # 050-091-02 SPRIN6BRDOKVISTA#IB3LlBV6
MUNICIPALITY OF ANCHORAGE
• :,� DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264.4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
A& Jo tJ r%�J�'lJ
PHONE
(J� �.-i J
NEW
ID UPGRADE
_
MAILING ADDRESS / �
✓ x
LEGAL DESCRIPTION/
LOCATION
NO. OF BEDROOMS
U
WeI�I
DISTANCE TO: Absorp n 9/e7;E
Dwelling ,�
y
PE ITAfp.
U
Y
a Q
Manufacturer '
Mf7% /
No. of comp rt etre
Liq. cap jq Ilons
7PO
IF HOMEMADE:
Inside length
Width
Liquid depth
z
DISTANCE TO:
Well
Dwelling
PERMIT NO.
O Z b
Manufacturer �Y
Material
Liquid capacity in gallons
2
DISTANCE TO:
Well
Folin '
Nearest jjot line /
PERMIT NO. _
Z
F. w
No. of line
Length��77of each jn�
v5-�
Total ler h of Iy i�
Trench idth
r� inches
Distance bet ri lines
f
aTop
of tile to ish�iade�.L,
M orceial bene h ftile ,!� [r
2
Total effective sorption are
••—
A --Zl L�r�: ✓L ! inches
Length
Width/Depth
f
PERMIT NO.
w
(7
Q b
n. a:
LU
Type of crib
Crib diameter
Crib depth
Total effective absorption area
rn
DISTANCE TO:
Well
Building foundation
Nearest lot line
r
W
Class _
Depth - /
Driller
Distance to lot line
PERMIT NO.
Z'
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption areas)
OTHER
PIPE MATERIALS
SOIL TEST RATI�G Zoo
INSTALLLlrp
REMARKS
�
C -J
OF
I::
N t,Cf SGII '3
r
Rob
4
APPRQ DZ DATE LEGAL .tk7'Ct3
D G 1
,✓/)J y i ,aa6
��. G
72-,jX (Vov. 3/78) (,/ - - - -- - --
���-I N-__._ 1 I=` F-1 9 1 __#_ ov" ND F-" 1=0��1-4 V9 qRFU C`l IE=_
DEPARTMENT [ HEALTH AND ENVIRONMENTHL | )TECTION
:B'25 'L' STREF.T/ ANCHORAGE., 99501
264~4720
S; E=_ t. -A E_ Fau F- " E- F, .:," P I I~1 r
PERMIT NO. ( 8]0055 )
HPPLICHNT MARK' JOHNSON PO BUX 8 E. R. 99577 694�254]
LOCATION OBTAIN DEC CERTIFICATE FOR WELL HOOKUP
LEGHL L1B] SPRINGBROOK YISTH LOT SIZE 999999 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT/BR)= 100
THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM IS:
�E-- == A- C-3 �ET. ���1-A == ;2!25 ��FVvP EE L— ��IEE ��ll� -0� �
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELC\
THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHE5.
THE (._3'RAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
HND THE BOTTOM OF THE EXCAVATION (IN FEET).
�����Fe. E--- F -.n _�>IEEF:"I- I u'-- -F F:�i ���� ��������
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY HND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
_r- 94 c�
�22" _," I
F�����I cup -4-#L7 F�:u P-4 EE
����G! L-1
1E P.". IE -E.1
BHCKFILLIN3 OF
HNY
SYSTEM
WITHOUT FINAL INSPECTION HND
APPROVAL
--m
BY THIS
DEPHRTMENT WILL
BE
SUBJECT
TO PROSECUTION.
MINIMUM DISTANCE BETWEEN H WELL AND HNY ON—SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND
TO H COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MHY APPLY' SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
HVHILHBLE TO INSURE PROPER INSTALLATION.
��I Y ���I r-�? F����
I CERTIFY THAT
1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2� I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3� I UNDERSTAND THAT THE OW -SITE SEWER SYSTEM MAY REQUIRE
RESIDENCE
1 .��-:��_*
AND WELLS AS SET
ENL HRGEMENT IF THE
PERFORMED
LEGAL DESCRIPTI
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG — PERCOLATION TEST
Or
N: Ll Rs
G `oI q" �, I r.
1 U
3
N
4 0
r �
5 �(�
tJ
kv /9
7 • u
t
8 c
b
9
10 T
d
11 WAS GROUND WATER
ENCOUNTERED?
12 4 �r/ (Q�(F YES, AT WHAT
13 N DEPTH?
14
15
k
16-
17
6 ,N 3;
y�
d'
18 lob
19-
N s-7-e-dC /r/r Q L) DATE PERFORMED:
SLOPE
20.
COMMENTS
PERFORMED BY:
72-008 (6/79)
SITE PLAN
)1l L
L
O
P _
E
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN F AND __/ FT
1
�
MUNICIPALITY OF ANCHORAGE 0
DEPARTMENT OF HEALTH & HUMAN SERVICES U
DIVISION OF ENVIRONMENTAL SERVICES `n
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744
Application Date November. 24, 1987
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range
Lot 1; Bloch 3; Spt ngba.00k. Vista. T 01
Location (address or directions)
P) ince ob Peace D)t i.ve
(b) Property Owner Dana 9 Jake Smith Telephone: Home Business
Mailing Address —
(c) Lending Institution City Mortgage Telephone 563-0700
Mailing Address Anehonag�, A2a6ka/ATTENTION: Man.h —
(d) Real Estate Company and Agent HERITAGE REAL ESATATE/Tamara KeUy
Address 207 East Nonthenn LigW Boutevand, Anchorage, A2aska 99502
Telephone 27671333
(e) Mail the HAA to the followino address: or: Check here K1, if hold for pick up.
List contact person and day phone number below.
S 9 S ENGINEERING
17034 Eaa.0o Riven Loo.p Road, Suite 904
Eaq,fo RiyeA MAAka 99577
ordered by Tamara Ke.Q,r?y
2. TYPE OF RESIDENCE
Single -Family C]
Number of Bedrooms 3
3. WATER SUPPLY
Individual Well ❑ Community ❑ Publico
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 ® 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 (Rev 6/861 Front
5. 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 Fire3 ENGINEERING Telephone
Address 17034 Eagle River Loop Road rvto. _..
Eagle River, Alaska 1993--
Date %
N1,
— `„ns
6. DHHS APPROVAL
Approved for bedrooms by ` Date 6LPla�st 9 ` �9ff%
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 72-025 fRev e/asi Back
MUN�FtPA�,PE1 OF ANCHORAGE (MOM)
MUNICIPALIT OF
ENVIRONMF.504 T( H ITY APPROVAL (HAA}
CHECKLIST - FEBRUARY 1984
OV 3 0 1987 264-4720
Legal Description: tc)L�
RECEIVE 4:'7 -0 -Z14 --A. T2V__ - t
A. WELL DATA
Well Classification & If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) Date Completed
Total Depth
Static Water Level
Cased to
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Depth of Grouting —
Pump Set At
Yield
Sanitary Seal on Casing (Y/N) —
Depression Around Wellhead (Y/N)
Separation Distances from Well:
7
To Septic/Holding Tank on Lot 4- ; On Adjoining Lots
I
To Nearest Edge of Absorption Field on Lot t� f ; On Adjoining Lots —
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments
toqlli� ilei
B. SEPTIC/HOLDING TANK DATA
121
— To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
Date
Date Installed Z — Size i •ori No. of Compartments Z
Standpipes (!ON) Air -tight Caps (:Z)N) — Foundation Cleanout (YkQ
Depression over Tank ()/f) N Date Last Pumped — 13
Pumping/Maintenance Contract on File (Y/N)
; for
Tem orar Holdin Tank Permit Y/N
Holding Tank High -Water Alarm (Y/N) p Y 9 ( )
Separation Distances from Septic/f-IetdingTank:
To Water -Supply Well 1 ��� 4— To Building Foundation
To Property Line
To Water Main/Service Line
4—
To Disposal Field —
I
--I' To Stream, Pond, Lake, or Major Drainage
Course
CommentsS—-�SYt�OI� l�v)t✓t P� �� �P '2�"� oZZ`
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed 2 'lei
Width of Field
Square Feet of Absorption Area
Type of System Design P
Length of Field
Depth of Field t o
Gravel Bed Thickness
to
Standpipes PresentQDN)
Depression over Field (Y/j G� Date of Last Adequacy Test
Results of Last Adequacy Test J/yT-1.56 — r3�L
Separation Distance from Absorption Field:
To Water -Supply Well ��� I To Property Line l o
To Building Foundation To Existing or Abandoned System on
�
Lot Ik ; On Adjoining Lots 3C> I+
To Water Main/Service Line To Cutbank (if present)
N/
To Stream/Pond/Lake/or Major Drainage Course k �''� I'-
To Driveway, Parking Area, or Vehicle Storage Area
5�
Comments
D. LIFT STATION
Date Instaffed
Size in Gallons `�
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
— "Pump Off' Level at
��— Vent(Y/N)
** Check Permitted Bedroom Rating Against HAA Request **
during Adequacy Test. Meets MOA
I certify that I have checked, verified, or conformed toall OA aniHAA guidelines in effect on the date of this inspection
Signed& §-ENGINEERfNC Date G /z% /�/
Compi�n 4 Eagle River Loop Road No. 21'IA
MOA No. �f7—oa3
g2ver, Alaska
cDp /-6
Receipt No. �
r
Date of Payment
-w, c.
Amount: $
iii
M I v:i l J`LJ .. 4 'n ii ii.a i•F O.'."
RiAb'M A.
• f_.
Page 2 of 2
4
¢ ^mss. 7.kS7•e :,
Time
APPLI AT FILLS OUT UPPER HA ONLY
Time
Property Property Owner %/ ) I '.` 1% -[PI/on
Time
Mailing Address
'� /-r '' � - �r' � r i".,�� _( '/i '" � ' /l. Zip Code
�i
Buyer
Date /1
IC)"�
Inspector
Address
Zip Code
Lending Institution
, -.;.i; : 7 ,-;, �'. ! i" i ' l'.'" �r /
Phone
Address
Zip Code
71 /n/ (n/I
lD LIS .
LD
Realty Co. & Agent
i=� i . 7;. / �Ii -` r�2_/ �( f=.:" rC!•i,'r; �7/
Phone
Address
Zi Code
p
Legal Description
D
( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL
( ) DISAPPROVED
Street Location
( ) CONDITIONAL APPROV l_
Type of Residence
"
DATE �--
U --Single Family
BY:
❑ Multiple Family
No. of Bedrooms__>
Well To Absorption Area
❑ Other
Septic Tank Size / 0U C.-�
100
Water Supply
Well to Tank
❑ Individuals
ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975.
Q" --Community
C
For wells drilled prior to that date, give well depth (attach log
if available).
❑ Public Utility
Sewer Disposal
F�Nlndividual
Year Individual Installed:
❑ Public Utility
When Connected to Public Utility:
❑ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
Time
Date
Date
Date
Date /1
IC)"�
Inspector
Inspector
Inspector
Inspector
71 /n/ (n/I
lD LIS .
LD
Field Notes:
MUNICIPALITY Of ANCHORAGE
r i.,.:p I(i <.
n_k
CEP[.
ENVIRON-,,, --N'IAL PROTECTION
I'•%/]���_
D
( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROV l_
10 2(a
DATE �--
BY:
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well Log Received A9�
Septic Tank Size / 0U C.-�
100
2 ti Y `tea
Well to Tank
72 023 .5 -5
(907) 26,11-v f 1
10."1 Y Y - ..
",AYOR
Of °AH UAENT OP HLAL.TH Ai�U o ')NMi,i I AL PROTGC
February 23, 1983
Mark Johnson
Post Office Box 8
Eagle River, Alaska 99577
Subject: Lot 1 Block 3 Spring Brook Vista Subdivision
On-site Sewer Permit- Issued #830055
We have received a letter from the State of Alaska Department
of Environmental Conservation informing this department that
the Spring Brook Vista water system is not approved because
it exceeds the limits of barium.
An on-site sewer permit was issued to you on February 10, 19`33.
If any agency or lending institution asks for an evaluation of
the property, we will not approve i -t until the water system
is approved by the Department of Environmental Conservation.
If there are any further questions, please call this office
at 264-4720 or the Enviroiunental Conservation office at 274-2533.
Sincerely,
Robert C. Pratt, R.S.
Acting Program Manager
RCP/ljw
A