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Home My WebLink AboutWYNTER PARK #1 BLK 2 LT 8QGR ' F_R ANCHORAGE AREA BO' tJGH Department of Environmental (~uality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL __ MANUFACTURER INSIDE LENGTH INSIDE WIDTH MATERIAL LIQUID DEPTH __ NUMBER OF COMPARTMENTS LIQUID CAPACITY GALLONS. SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION ADDITIONAL ABSORPTION DIAMETER ~! OR WIDTH/~l, LENGTH/~/I, DEPTH ~4~! CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ~ NEAREST LOT LINE ABSORPTION AREA (WALL AREA) , SQ. FT. WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION DEPTH DISTANCE FROM: NEAREST NEAREST SEPTIC SEEPAGE LOT LINE SEWER LINE TANK SYSTEM OTHER SOURCES DISAPPROVEO __ REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAl' LOT SLOPE: REMARKS: Form No. EO-031 DIAGRAM OF SYSTEM GReATEr ANChoragE AREa Borough DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 'C" STREET ANCHORAGE~ ALASKA 99503 TELEPHONE 274-4561 PERMIT NO.. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT /~ · , DRAIN EIELD SOIL TEST RESULTS NOTE~ ., OTHER IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOT'CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, SEPTIC TANK SIZE -I/ - TYPE -- SEEPAGE AREA SIZE TYPE , DRA~N FIELD MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK i ~PI' FOUNDATION TO SEEPAGE PIT ~) r DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL /~--/~ SEPTIC TANK seePAGE PIt . ~) f TO NEAREST LOT LINE. SEEPAGE PIT ALSO CONSIDER AREA WELLS. WELL TO SEPTIC 'rank DRAIN FIELD · SEEPAGE PIT · DRAIN fIELD WATER MAIN TO SEPTIC TANK DSAIN FIELD SEPTIC TANK, , SEEPAGE PIT TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION § FEET INT~) UNDISTURBED SOIL. DIAGRAM OF SYGTEM I CERTIFY THAT I AM FAMILIAR W[TH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBE YSTEM IS IN ACCORDANCE WITH SA[E) CODE, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O, Box'96650 Anchorage, Alaska 99519-6650 843-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I,D. # GENERAL INFORMATION Complete legal description HAA# Lot 8~ Block 2;'.Wy~r Par~'Subdiv~ion~'~ tic ( or directions) 24550 Park D¢~v~ Loca n site address .' :' . Chuqiak, AK ' ' Property owner Richard K. Means ~ ~ hYm6 L~ Day phone Mailing address 24550 P~k D~ve Chug~, AK 99567 .... 276.1,~454 ~':" ' ' Day, phon~ ,r :, Address 2028 E. Northern Li,~ht~ S~it~ 201 Anchora~ ,~K 9950'~ . Unless otherwise requested, HAA will be held for pickup, '~ : 2, NUMBER OF BEDROOMS: ~ ~' ~ ,' ' 3.' TYPE OF WATER SUPPLY: Lending agency First National Bank of Anchora,qe Attn: Dan FReitas Mailing address Agent Ed Sparks/ Wilderness Real ESthete Day phone 265-4055 . · Individual well Community well XXX '.i:!,' :';' :. · Public water · . · -' NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ', ;' 4. TYPE OF,WASTEWATER DISPOSAL: I'ndividual on-site Holding tank Community on-site Publ?c sewer If community wasfewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72.025 (Rev. 1/91) Front MOA #21 szuewwoo leUOl~!PP¥ :suo!3elnd!3s 8U!MOIIOJ eql qllM 'SLUOOJpeq Jo~. I~^oJdde leUO!l!puoo · stuooJpeq ~. ~ 'peAoJdd~s!a Joj.:,pe^oJddV . ~ ~I~n.LYNIDIS- SRHa ."9 I:I;I~INIIDN~I Ag NOIJ,O:~dSNI ,dO J,N~IN:~J,YJ, S Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~-~-~-F' ~ ~_-_-_-_-_-_-_-_-~"7.- \~,~ ~-~',~,~_ '~f~.. Parcel I.D, A. Well Data Well type If A, B, or C, attach ADEC tetter. ADEC water system number Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Date completed Driller Cased to Casing heig~ Wires properly ~ FROM WELL LOG ~.~-~'CINSPECTION Well flow ~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot '7---~c, ~' Absorption field on lot "~. c, g.p.m. ; On adjacent lots ; On adjacent lots Public sewer main Public sewer manhole/clean~ Sewer service line Petroleurn~ta~~ WATER SAMPLE RESULTS~ Coliform ~ Nitrate Other bacteria Date?~~ Collected by: B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts Y~:N) "~ High water alarm (Y,~ Date of pumping Tank size ~ ~ c::, Compartments Foundation cleanout (Y(~)) ~ Depression Alarm tested (Y/N) - ~ ~ Pumper ~. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ,7...~ ~ t ~ On adjacent lots "~ ",, Foundation To property line ~ ~ ~ 4- Absorption field ~- ~ (', Water main/service line Sudace water/drainage / ~ o ~ '~ 72-028 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N). High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DIST6NGEF~OM LIFT STATION TO: ~ On adjacent lots Manufacturer Manhole/Access (Y/N) "Pump on" level at "Pump Sudace water. D. ABSORPTION FIELD DATA Date installed L~ ~ 'z.-% -. -/7 Length ~ ~ Width Total absorption area -z~ L. Date of adequacy test "5 - ~ Water level in absorption field before test Peroxide treatment (past 12 months) (Y/~ Soil rating (GPD/Ft2) V~' ~ --------System type Gravel thickness Cleanout present ~.N) ~/ Results~;[~'fail) P'-~55 ~ \p After test ~ ,Z~..~ ~ J If yes, give date Total depth ~ '~ ~ Depression over field (Y~. for Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water Curtain drain adjacent lots Properly line To existing or abandoned system on lot Cutbank .~ / ,~- Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the dateof this inspection. / / Engineer's N .. Eagle i~iv.J~ Loop ~oad No. 204 . ~':. ~ ,,,~ :, Date Sa~le Eiver,,J~ska g~577 .~ ~ '~ ~' ~'"~ .. ' HAA Fee $ ~""~? ~ Date of Payment Receipt Number ~/-;~- .~)-~- Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA# ,L\~ 1. GENERAL INFORMATION Complete legal description Lot 8; Block 2; Wynter Par~ Subdivision; ~ / Location (site address or directions) 24550 Park D~ve Property owner Mailing address Lisa Coffey Day phone Lending agency City Mortgag6 Mailing address Ea.qle River, Alaska AgentN~,o~ ,~;t~2~y AllI?()~?A P~f]PERTIE.q Address P,O.Box 67~923 Chugiak. Alaska 99567 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Xx Public water NOTE: Day phone Day phone 688-4939 If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system, 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Fronl MOA ~21 5. STATEMENT OF INSPECTION BY ENGINEER 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 application 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. Phone Name of Firm Add ress 17034 ~agle River Loop Road No. 204 h.a~le R[ver~ A]~.[~,~ 99577 Engineer's signature DHHS SIGNATURE ~ Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Hearth 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. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAl. CHECKLIST Legal Description: '~.~' 1~, ~..¢-. ~ X,~ ,./~4.r'-~rz. ~,¢~-¢~arcel I.D. A. WELL DATA Well type *//~-- Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. Date completed Cased to FROM WELL LOG ADEC water system number Driller Casing height Wires properly protected (Y/N) AT INSPECTION Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on 1ct Public sewer main Public sewer service line g.p.m. ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts O'/N) High water alarm (Y~ Date of pumping ~..~L,..c~ Tank size \o~o Compartments ~ Foundation cleanout (Y(~) ~ Depression (Y~'~ Alarm tested (Y/N) ~\1,'", To property line Surface water/drainage SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~..oo ' ~ On adjacent lots ]0 ~ Absorption field 5' Foundation Water main/service line 72-028 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Manhole/Access (Y/N~ ~~mp off" level at High water alarm level -~ ~ Cycles tested Meets MOA e~ . SEP~)lq DISTANCE FROM LIFT STATION TO: W~II on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed I~, ~ 7.-'~ ~ -1, ~-~ Length l~ ~ Width Total absorption area _ Depression over field (Y~-~ Results~fail) Peroxide treatment (past 12 months) (Y~ Soil rating ~/-~ /~¢-.- - System type Gravel thickness. (_¢~ Cleanouts present .~'N) Date of adequacy test for ~1'"'A¢..¢,~.¢.. O;4,¢.-A~v.~ If yes, give date Total depth I c~ ( ~"~ bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot '~"~::~ ~ On adjacent Pots ~ IA, Property line To building foundation lO ~ ¥ To existing or abandoned system on lot On adjacent lots Surface water Curtain drain Cutbank ~/A- Water main/service line Driveway, parking/vehicle storage area. E, ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspe¢(ion. Signature i?¢k% i~:.~la P, ive;, Loop/.'cad l:~agle [Zivor, Aloska 99527 Engineer's Name / HAA Fee $ t Date of Payment Receipt Number 72-026 (Rev. 3/91} Back MOA Waiver Fee: $ Date of Payment Receipt Number J R's Pumping 16718 Marcy Dr. Eagle River, AK 99577 694*6454 To Address. City S & S ENGINEERING 17034 Ea~le River Loop Road No, 20~ Eagle River, Alaska 99577 J I~'~ P. .pln~ 16718 h ercy Dr, Eaole RI ~ar, AI~ )9~7 694-6 154 'oN peoa doo-i ]o^!~l ell3u:t I~£OZL ONI~B~NION=~ S ~ S DEPT. OF EN¥1RONMENTAL CONSERVATION / / ANCHORAGE DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 April 25, 1991 WALTER J. HICKEL, GOVERNOR 563-6775 FOR: Roger S & S Engineering PWSID #211431 Dawn Water Company, Eagle River/Chugia_k. My review of the records on file in this office reveals that the Dawn Water Company's Class A Public Water System is in compliance with the provisions of 18 AAC 80.060, State of Alaska Drinking Water Regulations. Sincerely, Keven K. Kleweno Lead Engineer APPLI¢ XIT FILLS OUT UPPER HAl ONLY Buyer Phone Address Zip Code Lending ,n,Btu.on Realty Co. & Agent Address Zip Code Phone Phone Ty e of Residence ~;:;ingle Family [] Multiple Family No. of Bedrooms .-~ [] Other Water Supply [] Individual ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. Community Public For wells drilled prior to that date, give well depth (attach Icg if available). Utility Sewer Disposal --~ Individual Year Individual Installed:_' ~""/7 7 ~ ____ [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RED, JEST BEFORE PROCESSING CAN BE INITIATED, Time Time Tinge Date Cate Cate Inspector Field Notes: Inspector Inspector Time Cate Inspector ..... ~dT~ C)F ANCHORAGE DEPT, OF HEALTH 2, ENVIRONMEN1.AL PROTECTION SEP - ,, '. - (~) APPROVED BEDROOMS ) DISAPPROVED ) CO N DITTO N A L ,A~P~OVA L DATE ~4'4¢/~r7 .-z. Note: *CONDITIONS OF APPROVAL There is not Block 8 in Wynter Park Subdivision, we have notified the lending institution and have received no response, this office has sent a disapproval on October 27, 1983 to the lending institution as to this fact. See attac~ed copy. Well Log Received Soils Rating Date Sewer Installed Well To Absorption Area Well to Tank Septic Tank Size Property Owner Mailing Address Buyer APPLI¢' NT FILLS OUT UPPER HA' '; ONLY C'-.-;.:-'c\~.o~<' b-¢'(:'c~-',J', , ~p. Phono Address Zip Code Lending Institution //~ ~ L{'~)' /f"~ ' -~],O.~ ...... Realty Co, & Agent Phone Address Zip Code Type of Residence ~2~%gle Family ~-> ( ] Mugiple Family NO. of Bedrooms_ ._~'~__ _ ~ Olber Water Supply ~ Individual ATTACH WELL LOG. A well log is required for aH wells drilled since June 1975. ~7.- Community For webs drilled prior ~o that date, give well depth (attach log if available). [~J Public Utility Sewer Disposal ~hdividual Year Individual Installed: ~ ._ LJ Public Utility When Connected to Public Utility: ~3 Holding 1 ank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. MUNICIPALITY OF ANCHORAGE DEPAR'rlVIENT OF HEALTH & L-"NVIRONMENTAL PROTECTION Environmental Sanitation Division 825 L Street o Anchorage, Alaska 99501 o Telephone 264-4720 CERTIFICATE OF INSPECTION ON-SITE SEWER AND WATFR FACILITY 1. Property Owner MaiHn9 Address 2. Legal Description 3. Type el Owelling h'~inglo Family ~ Multiple Family [~ Othe/ 'CONDITIONS OF APPROVAL 4. Sewage Disposal [) Holding Tank BEDROOMS · L3 CONDITIONAL ~FPf~IS~PROVAL [~ APPROVED 5. Water Supply [~, Individual E3 Public ?. Community (shared) ,-~ , q. ;~( -(~, '~ DEPARTME ~825 MONICIPALITY OF ANCHORAGE OF HEALTH AND ENVIRONMEN' L Street, Anchorage, Alaska ,264-4720 PROTECTION 99501 Date Received: March 15, 1978 #1: Time C~ k%~/~ ~2: Time Date ~~_~, Date Insp ~. Insp Time Date Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska Mutual Savings Bank % Terri Mailing Address: Post Office Box 1068 99577 Phone: 694-9571 2. Property Owner: James/Gaye J. Schweithelm Mailing Address: Star Route Box 6008 99567 Phone: 688-2026 862-9100/Gaye 3. Legal Description: Lot 8 Block 2 Wynter Park Subdivision Single Family Residence: ~ ) Multiple Family Residence: ( ) Well System: Permit # Individual Well Construction Number of Bedrooms: Two Number of Bedrooms: ( ) Community/Public System ( ~ Depth of Well Well Log on File Bacterial Analysis ( ) t Sewage Disposal System: On-site Permit ~ Installed System ~ Public Utility ( ) .... ~ Installer k~L*~L~.a ~. Septic Tank Size Manufacturer Absorption Area ~ Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Page Health and Environmental Protection of Individual Sewer and Water Facilities TWO Department of Request for Approval Legal Description: Lot 8 Block 2 Wynter Park subdivision Comments: Affadavit Attached: Approved: ~.~~J Disapproved: Letter Attached: ( ) Date: Department Worksheet: .x~'~ -- (o3eisod snld) i~0[;--91¥1~ (laldlJ. U~O ~10~ MUNICIPALITY OF ANCHORAGE ,~'-~x"= -- Department o~ Health and Environmental Protection /, 2 6 4 - 4 7 2 0 ~/quest for' Approval of Individual Sewer and Water Facilities Property Owner: Mailing Address: Name of Buyer: Mailing Address: Lending Institution: Mailing Address: James and Gaye J. Schweithelm S. R. Box 6008, Chugiak, Alaska 99567Phone: home: 688-2026 work: 862-9100 GAye James L. and Patricia C. Craig Box 15, West Lakeridge Terrace, Eagle Ri!~BBne:home: Ai~- 99577 w6rk: work: Alaska Mutual Savings Bank 688-2979 274-6637 his 376-5222 her P. O. Box 1068, Eagle River, Ak 9~ne: 694-9571 (terri) Realtor/Agent: Mailing Address: n/a Phone: o Legal Description: Lot 8, Block 2, Wynter Park Subd. Street Location: NHN Park Drive, Chugiak, Alaska 99567 6. Single Family Residence: (X) Number of Bedrooms: 2 Multiple Family Residence: ( ) Number of Bedrooms: o Water Supply: *Individual We].l ( ) If Individual Well, well depth If Community System, name of system Public/Community System (X) Dawn Water o Sewage Disposal System: *~On-sJ.te System (X) Public System ( ) If On-site System, date of installation: 1/74 ? *NOTE: 3/77 A well log is required on ALL wells drilled since 6/75. ** If on~-site sewer system is over two(2) yea~lC~kJ~o~rAN~q~acy ~ · DF. PT 0 test .is' required )Dy this dr~par tment. EN~V.~.,V., ~ F HEALTH&i ' A fee of $25.00 must accompany each reques{' RECEIVED DATE ALAS. DEPARTMENT OF HEALTH AND SOCIAL SE. ;ES DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS Lab No. OFFICE INDIVIDUAL [] SEMI-PUBLIC E CHLORINE RESIDUAL PPM REPORT RESULTS TO ADDRESS CITY ADDRESS OF SOURCE _ ZIP CODE COMPLETE THIS SECTION ONLY IF WATER IS AN NDIVIDUAL SUPPLY SAMPLE COLLECt'ED BY DATE COLLECTED TIME COLLECTBD "~ Kitchen Tap [] Baihroom Tap [] Basemenl Tap ~- Concrete [~ [] Open Top O Concrete Top -- ~] Wood ~ Concrete Metal GENERAL: Does Water Become Muddy or Discolored? [] Yes [] No E] Room Diameter of Well ---- Depth - Well Caslng Malerial Diameter _ Depth Length of Water Depth READ INSTRUCTIONS [] Yes [] No Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfaclory [] Questionable [] Sample too long in transit; sample should not be over 48 hours old al examJnalJon to Jndlcate reliable resulls. Please send new sample. [] Bottle broken in transit, please send new sample. SANITARIAN'S REMARKS ON REVERSE SIDE BEFORE COLLECTING SAMPLE 06-1~RO Ibl BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1973 .actose Broth 10cc 10cc 10cc lOcc 10cc 1.0cc 1.0c¢ 24 Hours 48 Hours EMB 48 hrs, Laclose Broth, 24 hrs.. Coliform Densily . (Most probable No. per lOOcc) MF Results Dote Reporled by This analysis indlcales Coliform Organisms 1o be: Absent ~ ,~..~-~REATER ANCHORAGE AREA BOROUGH ~ ~9~-' D~oartment of Environmental Quality ~'~~]-~'~'C/'' Street, Anchorage, Alaska 99503 274-4561 Eagle ~River Area Date Received January 14, Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1977 Voa, I. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: Alaska Mutual Savings Bank Post Office Box 1120, 99510 James/Gaye Schweithelm Star Route Box 6008, Chugiak Lot 8 Block 2 Wynter Park #1 % Betty Dayton Phone: Phone: 99567 274-3561 x 238 862-9100/her 4. Location: NHN Wynter Circle 5. Type of facility to be inspected Single Family No. of bedrooms 6. Well Data: A. Type C. Construction Public ,. B. Depth D. Bacterial Analysis Sewage Disposal System: A. Installed C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: On-site system B. Installer Size 2. Manufacturer Absorption Area 2. Material Total length of lines Distances: A. Well to: Septic tank Nearest lot line , Absorption area Other contamination ., Sewer Lines __ B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line __ EQ-034 (1/74) Page 1 of two pages ~ge 2 of two pages - Re~ st for Approval of Individual ~gal Description T.ot 8 BZock 2 W1~te~ I~a~1~ ~1 [ ~r & Water Facilities Comments .... Approved Disapprov Date Approval Valid for one year from date.sig~ Greater Anchorage Area Borough, DePartment of Envlron~n~ntal 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. Date SIGNED EQ-034 (1/74) 1. Type of Inspection: 2. Property Owner: MUNICIPALITY OF ANCHORAGE I~UNIOP~Y O~ ~CHO~I~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTI _DE_ ~.,.(~.. HEALTH 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 ~IiNTAL REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES' JAN 1. 4 19771 RE EI. VSQ CMRO VA ×× FHA. CONV James & Gaye Schweithelm Mailing Address: SR Box 6008, Chugiak, Ak 862-9100 Dav Phone: her work n~mber 3. Name of Buyer: none Mailing Address: 4. Name of Lending Institution: Mailing Address: P, O, Box 1120, Anehorage 5. Name of Realtor or Agent: none Mailing Address: 6. Legal Description: Lot 8 Blk 2 Wynter Park #1 Day Phone: Alaska Mutual Savings Bank Phone: Phone:. 274-3561 EXT 238 Location: NHN Wynter Circle (Peters Creek Area) 7. Type of Facility to be Inspected: single Fe~tily Residence 8. Water Supply Type of Supply: Public Utility. XXXX 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 ? Please send to my attmntion: No. Bdrms.. Individual Individual (on-site) Alaska Mutual Savings Bank Betty C. Dayton P. O. Box 1120 Anchorage, Alaska 99510 3 XXX 72 003(3/76) EXCAVATION ROBERTA. SIIAFER WORK CIVIL ENGINEER 694-2979 September 12, 1983 MUNICIPALITY OF ANCHORAGE DEPT, OF HFALTH & ENVIRONMSNTAL PROTECTION !33,3.3:? ['ir, keg .].,~,, RECEIVED Reference: Lot 2~ I_loc],. 8? Wvn%erpark subdivision A sewer system adequacy ~est was performed on the system located on bhe re¢erenced property, as you requested° A concrete septic ta~')k had been exposed and a clean out had been installed. The tank ~as pumped and verified to bare a capacity of ].000 gallons° '~h,-~ seei2age pJ.~.was ch~rged with 1000 gall.ohs of fresh water a~.d ;,,fter a period of 24 hours ali. the water which had been added to the crib had percolated out° It can be concluded from this test that the waste water disposal system :~ervit'lg the two bedroon; residence located on 'ghis property is cu'crer/¢].y functioning adequately for three bec]rooms° Howevu'.r · the sy,?.'Le:';; cannot be guaranteed against subsequent fa:i. lure. callo 1977 Mortgage Loan S~eion Anuhora{~, Alaska 99510 In refern~ce to this ~epartm¢~nt'~-~ t~tter of Janua;:y 18, 1977, this offio~ ~ceiv~d a call f~om la~o~ner s~tia%r, they are una~ to lo~at~ th~ ~f the health aDps'oval ne~d~ to ba completed before Sincer¢~ Sanitar~.na LNB/lJh c~ ~ Jame~ Sch,~e:[thel~ howov~r, %he St~ndi~i~S must b~ avallabl(~ r~.q%'it.~e~ t~st onc~ notified thu ~uqutred standpipe~l.a~m nT ¢ QGR[ .... ANCHORAGE AREA BO" 'U" H Department of Environmental G~uality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION PHONE LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL ~ I~i11~' MANUFACTURER ~ NUMBER OF MATERIAL E(¢/~- COMPARTMENTS .2. INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /~)¢?~2 GALLONS. SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION__ ADDITIONAL ABSORPTION DIAMETER 7)~' ORWIDTH 17', LENGTH I(J', DEPTH CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE .~'/ . ABSORPTION AREA (WALL AREA) g/~ SQ. FT. WELL: TYPE ~v, BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION DEPTH DISTANCE FROM: NEAREST NEAREST SEPTIC SEEPAGE LOT LINE_ SEWER LINE TANK , SYSTEM , OTHER SOURCES DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: DATE/f~l/~ ~/~.~ APPROV~ '~ L ~ .--/ G.A.A.B.