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WALTER G PIPPEL ADDITION BLK 8 LT 3
l locK cot o1 1908:53a Anchu�ag_q & Pumip So! v,,0724='774'2 p.1 Attention. Thj purnp in,,,t-dler sh,11171 t)v-�;LJM1, idc a 7 1) IO!off- rr . , to the DSD within Of FLHIIJ: ;nS%41JL1j;Ujj. 7 441,k Bsgish A r = T Y Ma} r -, Pump Installation Log �4Vefl DI-iffing Permit Number: SW____ Dateof Issue: Parcel Idenffication Number: 05© - 19 Lj Attention. Thj purnp in,,,t-dler sh,11171 t)v-�;LJM1, idc a 7 1) IO!off- rr . , to the DSD within Of FLHIIJ: ;nS%41JL1j;Ujj. e b°e Q�Q V Y'ro �i 461-rp i .. z 0 0 ji i 4 F i {Y � � w• � {4 iY �. W � f!. iY F£ i i • S } 0 X $ w A w 0 w w su z 0 0 ~ MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION D,v,s.o. or E.V,RO.ME. AL"EALT" CERTIFICATE OF INSPECTION ~:OR I~EALTH AUTHORITY APPROVAL "j~ ~- ~.~ '7 ~'" OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 0¢{ )q ))~ GENERAL INFORMATION (a) Legal Description (include lot. block, subdivision, section, township, range) (b) (c) .,83T !:, BTLDCK 8, W.G. pIPPR~', #1 T1/4N,P,2W, Section 1 Location (aderess or directions) 17043 EAST ST1:e~r, EAGLE ILTVER Applicant Name JAMES DOI¥]PIE~. Telephone: Home 694-3271 Business Applicant Address 2/4/41 EAGLE ~ ROAD, EAGLE PA-VIi;R, AE 99577 Applicant is (check one): Lending Institution []; Owner/builder ~ Buyer []; Other [] (explain); na (d) Lending nstitution CENTRUST MORTGAGE Telephone 561-4950 Address /4000 OLD SEWARD HWY: STE #10'~, ANCHORAGE AK 99%03 · -(e) Real Estate Companyand Agent "~;~ ~' ;' ~-Address '~'' · ......... NA · Note f~~mmunitywe~Isystem'musthavewrittenc~nfirmati~nfr~mtheStateDepartment~fEnvir~nmenta~C~nservati~n attesting to the legality and status· i 72*025 (11/84) Page I of 2 ENGINEERING FIRM PROVIDINt SPECTIONS, TESTS, FILE SEARCH, DA' ~,ND 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 F~GLE P~VER ENGINE~I~NC- SF, RV~CES Telephone 69L~-~19~ Address P,0, P~0X 77'~294~ EAGL~ I:~V~R~ AK q9~77 Data ,/4:~//~,/~r- Ef DHEP APPROVAL Approved for 7~'~/~¢ Approved ~ Disapproved, Conditional Terms of Cc ~ditional Approva~ 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 of 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 (11/84) "'~' wC£$ DIVISION NOV £ 1987 RECEIVED A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: ~0.¢. PU)I'~L ~ I '. LOt 51 ~l~- 8 Well Classification Well Log Present (Y/N) /Y' Date Completed ~'-~'~"~ Yield Total Depth ,/.~5"-o ~ ' Cased to ~'/ / Depth of Grouting Static Water Level --'¢.¢~,~o*' ~-~/~'~/~,,,'¢/~ ~r~-,,-~r Pump Set At If A, B, C; D.E.C. Approved (Y/N) 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 ~--~ Comments Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ~f~ ' ~/~¢~ ~ ; On Adjoining Lots ~-/~,~ To Nearest Public Sewer To Nearest Sewer Service Line on Lot ¢-'~- ¢' B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) -Y Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) '~.,/~' Holding Tank High-Water Alarm (Y/N) ~.-'~ Separation Distances from Septic/Holding Tank: To Water-Supply Well ~ TO Property Line /'/~ To Water Main/Service Line Course ~,~ Size .7~"o ~ / No. of Compartments / Foundation Cleanout (Y/N) /V Date Last Pumped ~/-~7 ; for ,'//~ Temporary Holding Tank Permit (Y/N) To Building Foundation /~-~ / To Disposal Field /,¢~ /.-~ To Stream, Pond, Lake, or Major Drainage Comments Page I of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~'"~ ~'"'/ · Date Installed /¢'~/~ (/..,,¢,'~) Width of Field ~'~ / Square Feet of Absorption Area Depression over Field (Y/N) ,4./ Results of Last Adequacy Test ~'-~ Separation Distance from Absorption Field: To Water-Supply Well ~-/'~ / To Building Foundation ~- ~' Lot To Water Main/Service Line f-f'~ / To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line -~ / To Existing or Abandoned System on ; On Adjoining Lots -/ ~¢ / To Cutbank (if present) .~/~' Comments 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. Signed -~ ':-:~~-'~ Date Company ,-~/~ '/~ ' ~'' MoA No. Receipt No. ,~.0~)//~O~,)/ Date of Payment /, (/_ ~ ~Z¢ Amount: $ //~g ~ Page 2 of 2 72-026 (11/84) Eagle River Engineering Services P. O. Box 773294 Eagle River, AK 99577 694-5195 DAVID A. SLENKAMP ROBERT A. SHAEER MECHANICAL ENGINEER 694-9055 November ~9~c]L~)80' of ANCHORAGE DEPT. OF H.~ALTH & ENVIRONMENTAL P2GTECEION Team Realty ATTENTION: ' Helga Larson P.O. Box 594 Eagle River, Alaska' 99577 Dear MS, Lsrson, Reference: NOV 2 5 1980 RECEIVED Tim Rupp property; Lot 3; Block 8; Walter Pipple No. 1 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 in accordance with Municipality records has a capacity of 750 gallons. The seepage pit was charged with approximately 1000 gallons of water and after a period of 24 hours approxi- mately 443 gallons of water had percolated cut of the crib. It can be concluded from this test that the sewage system is currently adequate for the two bedroom residence ' located on this property. If we may be of further assistance, please do not hesitate to call. Sincerely, //I~BE}{T A. SElF,R, P.E. · S/ss / cc: Municipality of Anchorage Department of Health and Enviornmental Protection Safeco Title CIVIL ENGINEER 694-2979 SRB 196X EAGLE RIVER, ALASKA GREATER ANCHORAGE AREA BOROUGH ~, ~,,~--, Department of Environmental Quality ~,~- ~/~ 3330~'~' Street, Anchorage, Alaska 99503 274-4561 ~ Date Received March 2, 1977 ~~~ Time of Inspection lO:~.m. Date of ~nspection 3-3-~7 ' REQUEST FOR APPROVAL OF 3-~? INDIVIDUAL SEWERF~RWATER FACILITIES 1. Approval ]requested by: United Bank Alaska Mailing Address: 645 G Street / ~ /'~ames W./Kathy A. Plumly 2. Property O,.~er:/ Mailing Address: Route 2 Box 3. Legal Description: Lot 4. Location: Phone: 278-9526 Phone: 694-9763 '216 Easy Street, Eagle River 99577 3 Block 8 W.G. Pipple Subdivision 5. Type of facility to be inspected 6. Well 9ata: A. Type Individual C. Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: Total 8. Distances: A. Well to: Septic tank Nearest lot line Single Family On-site system 1968 B. Size Absorption Area length of lines No. of bedrooms 2 B. Foundatiom to septic tank C. Absorption area to nearest lot line B. Depth D. Bacterial Analysis Installer 2. Manufacturer , Sewer Lines 2. Material , Absorption area , Other contamination , Absorption area EQ-034 (1/74) Page 1 of two pages ~'~ MUNICIPALITY OF ANCl'jOR/~G[~ DEP[, OF HF/~L'I'H ~'c MUNICIPALITY OF ANCHORAGE ENVIRONMEHI'AL p~<rjTt:CTION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 ~ast Tuaor Road, Anchorage, Alaska 99504 .278,222'1 .~,~...__ ~ ~- ~9~/ REQUEST FOR APPROVAL OF IN DIVlDUAL SEWER and WATER FACILITIES R[CE!~[D. 1. Type of Inspection: CMRO VA FHA__CONV 4. Name of Lending Institution: Mailing Address: Phone: Tyne of Facility to be Inspected, ~J~~o. Bdrms. 8. Water Supply Type of Supply: Public Utility Individual .~'~, If Individual, number of dwellings presently served / /~/'/( ) If Individual, depth of well. /~-~ / Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) 72-003(3/76) ?ge~2 of two pages - R~ ~.st for Approval of Individual ~er & Water Facilities Legal Description Lot 3 BAock 8 W.G. Pipple Subdivision Comments Approved _ Disapproved Appr~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 (1174) March 8, 1977 United Bank Alaska ~ortgage Lo~n Section 6~5 G Street Anchorage, Alaska 99501 Subject: Lot 3 Block 8 W. G. Pipple Subdivision The on-site sewer system is approved for the sub,eot property. The well must be upgraded by extending the well easing twelve (12) inches above ground level or the well pit wall, whioh ever is higher. The pit does not have to be filled in as the entire well pit is ¢onore~e lined. If you have any further questions, please contact this offioe at 279-2511, extension 224 or 225. Sinaerely, Les N. Buehholz, R. So Sanitarian LNB/ljh 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street~ Anchorage, Alaska 99503 274-4561 Date Received 8/5/74 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR VA National B~nk of Alaska p,O. Box 3-3859 Anch. 99501 Phone: Robert Steele Phone: Box 697 3. Legal Description: In~ ~: Rlnnk R; Pippl~ ~l)h. 4. Location: F~? ~t~ 5. Type of facility to be inspected Sinqle 6. Well Data: A. Type Drilled C. Construction Belnw Ground 7. Sewage Disposal System: A. Installed lg6R C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: Total 8. Distances: A.Well to: Septic tank Nearest lot line B.Foundation to septic tank ¢.Absorption area to nearest lot line __ No. of bedrooms 2 ll:O0 am 8/5/74 B. Depth 122' D. Bacterial Analysis B. Installer Size 750 ~al 2. Manufacturer Wallace Absorption Area 8x8x6' 2. Material Rin§s length of lines , Absorption area , Other contamination 90' , Sewer Lines __ , Absorption area EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re~.~t for Approval of Individual S~.~r & Water Facilities Legal Description Lot 3, Block 8 Pipple Subdivision Comments Well casing in pit below grade. Approved Approval Valid for oK Greater Anchorage Area Borough, ~ Disapprov~ /ear f~om date signed ~rtment 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 (]/74) june 2~3, 1~7~, Veterans Administration 429 D. Street Anchorage AK 99501 SUBJECT: Lot 3, Block 8 W. G. Pip,lc F1 (Robert Steel, Resident) Dear Sir: The sewer syst(~m for the subject lot consists of a septic i~ank and see?.ge ti~is pit installed on July 16, 196J, and i~spected orior to backfill ~Y !.}ei~artme~t. The s~stem si}oul~ coni~inue to function satisfactorily until public se¥~'er is available. Sincerely, Jo)m g. Lee, I~,.S. Eagle )~iver District Sanitarian sr 2, 3, 5. R~QUEST ¥0R AP?ROVAL OF INDIVIDUAL SEWAGE AND NATER FACILITIES (Fill out in Triplicate) Name .of person requesting approval ~rs. R. L. S~ee~ Name of property: ownep LeEat de script ioR__~F~e~ Number-'of bedrooms in house Water Analysis: b. Detergent Well data: a. Type b. Depth_ Casing Size Distance from well to closest existing or proposed: 1. Sewer llne 2. Septic tank~_~ a. Age of system b. Septic tank capacity in gallons 4. Cesspool' S. Property Line~ Other sources of possible contamination, i.e., creeks, lakes, houses, barn~ drainage ditch, etc. Cesspool Name of septic tank manufactu~y ~ 1. If "home made" show dla~ram on reverse ~ide of this form. Dispomal field or seepage pit size and type .... ~ 1. bi~eance to property lin~ ~! ~ - to house I~dation . 2 Percolation~Test ~esults f. Percolation Test performed by , Use the reverse ,side of this form to show diagram. Diagram should include '-~he foJlowing information: ~operty lines~.well location, house location, ~pt~c tank location, disposal area location, location of percolation test, a~d direction of ground slope 9. The ~-£o~-~elon on this form is true and correct to the best of my knowledge. Signature of Applicant Date Signed TO BE FILLED OUT BY HEALTH DEPART~4ENT PERSONNEL ~he above described sanitary facilities are hereby approved, subjec~ to the ........... ~'llowing cond~o~s: Conditions. T ~at 750 ~al.~ ~epticy~±~nk and~ rain.gl~ 'ield i~ installed · -, /1 ~' /' ! /'1 ~ / ~ ,~,, , I pr6 iminary ~pproval. describe m;~itaryCRs~ facilities are disapproved for the following above re asons: App~oual is valid for one year following the date of approval. CPJ: cw ~J Ih INDIVIDUAL SE¥~AGE AND WATER FACILITIES / ~[~u % (Fill out in Triplicate) ._. ~" %~. lCame of person requesting approval 2. ~an~ of p~operty: owner c. Casin~ Size Distance from well to closest existing or proposed: 1. Eewer llne... Septic tank 3. 4, 5. Seepage APes Cesspool'. P~operty Line houses, barn~ drainage ditch~ etc. Eewage disposal system. a. Age of sys~m ~X~5' b. Septic tank capacity in gallons c. Name of septic tank manufacturer Other sources of possible contamlnation, i.e.~ creeks, lakes, 1. If "home made" show diagram on reverse side of this form. Disposal field or seepage pit size and type. _ .?' 1. Distance to property line to house foundation ~. Pereolati~T~st~esults, f. Percolation Test performed by Use the reverse .side of this form to show diagram, '~he foJ3~,~ing information: ~operty llnes~well location~ house location, ~..!~3c tank location, disposal area location~ location of percolation test~ ~ direction of ground slope. Diagram should include The infow.~r~tjon on this form is true and correct, to the best of my knowledge. \ S~nature Of Applica~ [ Da~e ~i~n~d T_~O BE FILLED OUT BY HEALTH DEPARTMENT PERSONNEL ~"Tne~ abovedescribed' sanitary facilities are hereby approved, subject to the _ro, l!ow~ng conditions: condition,s.3q~O ~ ~ The above described sanitaeyfacilities' ' ' are disapproved for the following "Appz'oval is valid for one year following the date of approval. CPJ:cw