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Home My WebLink AboutUPPER EAGLE RIVER ESTATES BLK 2 LT 8 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 PHONE LEGAL DESCRIPTION . ,.~ ~ ~"~,~-~,.~*...~-~~ NO, OF BEDROOMS I -/(~ Well~/. Absorption area Dwelling PERMIT NO. DISTANCE TO: ~<~Z Manufacturer ~ ~ ...~. . Material No, of compartments ~ ~ Liq. capa~g~ons~ ~AD.: Inside length Width Liqu'd depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO, O z ~ Manufacturer Material Liquid capacity in gallons ~ Well Foundation Nearest lot line PERMIT NO, No. of lines Length of each line Totallength ofli~e~. Trench wJdth~ Distance betweenJines Top of tile to finish grade I Material beneath tile __{ Tota~ effective absorption area Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER P~PE MATERIALS SOl L TEST RATING INSTALLER REMARKS ' 72-013 (Rev. 3/78) }m& F'RUL Ru_,EE, ROL. F.. P. 0. E,U,.., ~'~ E. .', ~:~:7-5~d;~ ' ~ .... RIVER ER JLE LFINE SOUTH L8 B~"" J-PERF' ' ERGLE RIVER EST. LOT '-:,I~E~' tM,z,L~U~i' u~,,-:: '-:,QUNRE' '' ~' T'¢PE OF '=,r'lIL HE,_,Or,F] IUN .-,~'_,TEfl IS: FFEN_.H MR. Ifl_.H f',!UME~ER f~F E, EEF..L_H_ = --,UIL RMFIHu (SQ FT,.-"BR)= ]'HE REL-]UIRED qIZE OF THE qFtIL RE=,LFFTIJN _-r_-rEfl '-' THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE 8ETNEEN THE SL!RFFICE OF ]"HE GROUND RND THE BOTTOM OF THE ENCRVRTION (IN FEET)· THERE IS NO SET WIDTH FOR TRENCHES. THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRR'v'EL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE E',:<CFIVRTION ,::IN FEET:). ,~ F'ERMIT RPPLICRN'F Ht _, THE RESPONSIE:ILIT'.r' TO IMFuRM THIS DEPARTMENT DURING THE INSTRLLRTION IN.z, FEL. TILN.:, OF RN'-/ WELLS Fir:,.TRF:ENT TO THIS FFEFERT-r RN[:, 'THE NUMBER OF RE.=,IDEN~.E-, THFtT THE WELL WILL EHUI,.FILLINb OF RN'¢ =,~--,]Erl NITHOUT FINRL IN_FECTIEN RND HFF~- ~L E.~ THIS DEF'RRTMENT WILL BE '- ' '--' . ..... .:,UE,.]EL.T TO PRFqE-JTI]N MINIMUM DISTRNCE BETWEEN R WELL RND RN"r' ON'-SITE SE~qRGE DISPOSRL S'¢STEM IS ±00 FEET FOR R PRI',/RTE WELL OR ~58 TO 280 FEET FROM R PUBL_IC I.,.IELL DEPENDING UF'ON THE TYPE OF PUBLIC P.IELL. MINIMLIM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RN[) TO R COMMUNITY' SENER LINE IS 75 FEET. OTHER RE;~LIIREMENTS MRT RPPL¥. SPECIFICFITIONS RND CONSTRUCTION DIRGRRMS RRE RVRILFIBLE TO INSURE PROPER INSTRLLRTION. I CERTIF'¢ THRT :t.: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH B"r' 'THE MUNIC!PRLIT"r' OF RNCHORRGE. 2: I klILL INSTRLL THE S'?'STEM IN RCCORDRNCE WITH THE CODES. Z'::: I UNDERSTRND THRT THE ON-SITE SENER S"r'STEM MR'¢ REQUIRE ENLRRGEMENT IF THE V4. 0 [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST 1 2 3- 4- 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS /~ S LOPE~-× SITE PL~AN ( 1 WAS cRou. D WATER S E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop . PERCOLATION RATE //~' (rain,res/inch) _/: :~¢~ T ESTR.N.ETWEE" ~ PTA NO (' F T,¢ ' PERFORMED BY: 72-008 (6/79) GP~6.TER ANCHORAGE AREA BOROI-~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION SEPTIC TANK: DISTANCE FROM WELL LIQUID CAPACITY //,~OO GALLONS. MATERIAL INSIDE LENGTH NUMBER OF / COMPARTMENTS INSIDE WIDTH ,~w/' LIQUID ~ ! DEPTH__ SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAl NEAREST LOT LINE / OUTSIDE DIAMETER OR WIDTH / O / Z..o ~$ D'STANCE FROM WEU / / 0 J~" ! TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTH / O , DEPT. ~Z , BUILDING FOUNDATION '~-~ O SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE FOUNDATION DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE NEAREST LOT LINE TRENCH WIDTH .DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE WELL: TYPE *'/~"~ DEPTH. 7 !~' ! NEAREST SEPTIC LOT LINE , SEWER LINE _,TANK. DISTANCE FROM ~'"/~ ! WATER _, BUILDING FOUNDATION ~"~'/ SAMPLE. ~/~' SEEPAGE //iQ! , SYSTEM CESSPOOl , NEAREST OTHER , SOURCES DISTANCES: q-C? tt~' DATE DIAGRAM OF SYSTEM APPROVED HEALTH AUIHORIIY G^^,~-~,-2 ,. GREATE. r. ANCHORAGE AREA .JOROUGH ~'~' HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT Case NAME OF APPLICANT RESIDENCE ADDRESS MAILING ADDRESS~''''' c~'/,:¢,¢~'~½ ~/%f . PHONE . LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESULTS ,"~"~ SEEPAGE PIT , DRAIN FIELD. , OTHER TO SE INSTALLED BY ANTICIPATED DATE OF COMPLETION BELOW TO BE F.LLED OUT BY .EA'T. DEPA.TMENT T.,S ,S TO SERVE AS F/~, :~os ,~ ,PERM,TTO,NS*ALLA AS DESCRIBED BELOW. SIZE RF UNIT TO_~B,E SERVED SEPTIC TANK SIZE · .TYPE ~ocK SEEPAGE AREA DIAGRAM OF SYSTEM DISTANCES: TYPE Authority 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 ivccordance with said code. '- ----?//>'1//' BATE ~ ? APPLICANTS SIGNATURE / ?"'-//~-U '~':' :' ' ':':"-"i~'~ ~'''' I LOG OF DI:'<LLING by A & L DRI, ~ING COMPANY DRAW DO~N FT ............ /..x~..~ .................................... GALS. PER HR. ......... ~--~'.---~-----t?-3~j .................................................. ~tND OF CASING-..--i~.---?-~:------..-~'--~ KIND OF FORMATION: . · ~ ' FROM ........... O.. ......... FT. ~O l O- .......... FT....~5.....n...~..~..--.-~--'~ ~ ~' TO .......................... FT .................................. FROM..../.-.~ ............. FT. TO...~..~- ......... F~.........('~./--e--.~ ....... FROM .......................... FT. To .......................... FT ................................... FROM.~.-~ ........... FT. TO...~Z.../-' ............ FT....>/.~,~:~--/:?,'~4, FROM .......................... FT. To .......................... FT ................................... FROM....-"7.....I ............ FT. TO...~...'.~ .......... FT.~2.~.C......~ FROM ......................... FT. TO .......................... FT ................................... FRo,,,.....7..~.. ......... FT. TO...~..~..-.--..FT.:---~-~ ~ 67~e'~','-~ FROM .......................... FT. To .......................... FT ................................... FROM.: ........................ FT. TO .......................... FT ......................................... FROM .......................... FT, TO .......................... FT ......................................... FROM .......................... FT. TO .......................... FT ......................................... FROM .......................... FT, TO .......................... FT ......................................... FROM .......................... FT. TO .......................... FT ......................................... FROM .......................... FT. TO .......................... FT ......................................... FROM .......................... FT. TO .......................... FT ................................. FROM .......................... FT. TO .......................... FT,.: ................................ FROM .......................... FT. TO .......................... FT ................................... FROM .......................... FT, TO ........ : ................. FT ................................. FROM .......................... FT. TO .......................... FT ................................. FROM .......................... FT. TO .......................... FT ................ ~..: .............. FROM .......................... FT. TO .......................... FT ................................... MISCL. INFORMATION DRILLER'S NAME ~ ~ ~ ~ ............ r.. ~ DATE RECEIVED TIM'E TIME TIME DATE DATE DATE ,NSPECTOR ,NSPEOTOR ,NSPECTOR MUN~CIPALI~ OF ANCHO~E MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~ONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 JUN 2 4 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 ~CEJ ~ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE~ FACIL DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proce~ed, Please allow ten (10) days for processing. PHONE 1. ~PERTY WNER ~-- M¢INbADD~S , PROPERTY RESIDENT (if different from above) ~ PHONE 2. BUYER PHONE MAI LIN G ADDR ESS LENDING INSTITUTION PHONE MAILING ADDRESS TREET LOCA ION 6. TYPE OF RESIDENCE NUMBER OFtBEDROOMS ~ One [] Four ~ SINGLE FAMILY ' [] Two [] Five ~] MULTIPLE FAMILY . [] Three [] Six [] Other 7, WATER SUPPLY ,~ iNDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled · [] COMMUNITY since June 1975. For wells drilled pr[or to that date, give well [] PUBLIC UTILITY depth (attach log if available.) 8, SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** I ,~~YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTI LITY 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 NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDiVIDUAL/ON -SITE DATE INSTALLED [~PUBLIC UTILITY q~--(9 ~l Connection Verified iNSTALLER [~]Septic Tank or [] Holding Tank Size: /~)O~'-~ If Tank is homemade SOILS HATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS U;;]-~'App ROV ED FOR ,~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY ~ 72-010 (Rev, 6/79) DAVID A. SLENKAMP ~ ROBERT A, SHAFER MECHANICAL ENGINEER 694-9055 July 8, 1981 CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAOE DEPT. OF IffEALTH & EN¥1RONMENTAL P2OTECTION JUL 9 1981 Paul Rosebrock PoOo Box 58 Eagle River, Alaska 99577 RECEIVED Dear Mro Vosebrock, Reference: Lot 87 Block 2: Upper Eagle River Estates A sewer system adequacy test was performed on the system located on the referenced property as you requested° The septic ta~ was pumped and verified to have a capacity of 1000 gallons° The seepage pit had to have a cleanout installed before the absorption rate could be obtained° The crib was full of water and had to be pumped and then it was recharged with 1000 gallons of fresh %~ater and after a period of 24 hours all the water which had been added remained in the crib° It can be concluded from this test that the septic tank is adequate for the one bedroom residence located on this property° Ho~;ever, I regret to inform you that the seepage pit has completely failed and will require replacing° As you requested, a soil percolation test was performed and is included as a matter of record with this letter° If we may be of fdrther service, please do not hesitate to callo ~ Ao SHAF'/~oEo v c~cS/~ational~Bank of Alaska ATTENTION: I<athy Clayborn Municipality of Andhorage~ Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA " INDIVIDUAL SEWAGE AND WATER FACILITIES i,la~ of person requesting approval %~n~ of property~ owner bedrooms in house Water~.Anals~sls: a. Bac~ez,~al b~ Detergent... '" data: e. Casing Size Distance from well to closest existing or proposed: 1. Sewer line 2. Septic tank 3, Seepage Area 4. Cesspool' 5. Property Line 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barn, ramnage ditch, etc. d ' Sewage disposal system. a. Age of system ..... b. Septic tank capacity in gallons ................... - c. Name of septic tank manufactu~e,r 1. If "home made" show diagram on reverse'~s~dg of tkis~rorm. d.' Disposal field or seepage pit size and type 1. Distance to property line to house foundation Percolation. Test f. Percolation Test performed by Use the reverse .side of this form to show diagram. Diagram should include ~-~he following information: p~operty lines;.well location, house location, r~pt~c tank location, disposal area location, location of percolation test, an~ dimection of ground slope. The ~o~n~on on this form is true and correct to the best of my knowledge. \, S~gnature 'of Applicant D~te Signed T_~O BE FILLED O[JT BY HEALTH DEPARTr.~ENT PERSONNEL ~----~:e above described sanitary facilities are hereby approved, .subject to the Conditions: The above described sanitary aczlmtles are disspproved for the following reasons: ~ignature of 8'~m¢ral4 '~'~--~--:' Approval is valid for one year following the date of approval. CPJ:cw Mr. Dan Rapa!~e P.Oo Bo~ 1399 Anchoraf~e, Ako 99501 sUBJECT; Sewage And %{ater Facilities Se~.ving Lot 8, Block 2, Upper Eagle River Estates - Home Of Donald ~ush DSam Hm. Rapa!~e: Parsc~mel of the Greater Auehomage A~-a }~o~ough Health D~pamtment hav~ mada a mee~nt lnspeotton of the sub,eot facilities. Final approval of the systemM will be given with the installation of a lO00 gallon septte tank installs(! ia fi.ne with the existin~ cssspool and located at lea~t 50~ fmom th~ well. I)A¥ID R. L. DUNCAN, ~. D. O}i:~n ce: DonaS! Eo Bush Sta~ Rte, Box 1~0 z 0