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PREUSS #3 BLK 6 LT 6
Preuss #3 Lot 6 Block 6 #050-571-19 (Kev ub/UL/i6) Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211002 PID Number: 050-571-19 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name Carolyn and Charles Hoff ABSORPTION FIELD FEE Deep Trench F-1 Wide Trench El Bed ❑Mound ❑ Other Site Address 20316 Lucas Ave Eagle River Phone Number of Bedrooms Soil Rating depth from original grade 4 0.8 GPD/SF JTotal 11.5 - 11.6 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 6.7-6.8 Ft. Gravel depth beneath pipe 4.83 Ft. Subdivision PREUSS #3 Block Lot 6 6 Fill added above original grade 0.3 - 1.3 Ft. Gravel length 78 Ft. Township Range Section Gravel width 2 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 754 Ft z Number of trenches Dist. between trenches Ft. Well NA >100' RIA NA X25' T?CNK E] EJ [IS.T.E.P. El Holding [I Other ManufaLt rets r Capacity \\ Surface Water NA >100' NA NA Gal. Material Number of compartments Lot Line NA >1 0' NA NA NA Foundation NA >10' NA NA LIFT STATION Manufacturer C city Remarks Gal. Alarm location Electrical installed Installer JRs Septic Service PIPE MATERIAL House to tank Tank to 3034 drainfield Drainfield 3034 CO/MT 3034 Inspector Curtis Townsend BENCH MARK (Assumed elevation) 100 ft Inspe tion 1s' 2/17/2021 3rd 2/25/2Qi 2�a 2/19/2021 411 Location and description bottom of siding point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date A'���� ,�`� '•�'T V R. . f; Cu�as L. To........... : <� �� ���; o° EI-1904 Septic System ; Approved ��� j� ��t" Date 3 It ada I Note: this approval does not include well permit requirements. (Kev ub/UL/i6) ----------- 7- SEPTIC AREA �L --------- Lot 1 Lot 2 J I Lot 7 I I I I I SCOPE OF WORK 1. NEW TRENCH CONSTRUCTED PER THE DESIGN PARAMETERS. TRENCH IS LOCATED > 5' AWAY FROM SEPTIC TANK AND 2x DEPTH FROM EXISTING TRENCH. MAX DEPTH OF EXCAVATION WAS 11.6' 2. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. 'LUCAS AVE DESIGN PARAMETERS BEDROOM: 4 (600 gpd) a SOIL RATING: 188 SF/BR w AREA REQUIRED: 752 S.F. SYSTEM TYPE: TRENCH o' 0 1 78' X 58" EFFECTIVE DEPTH YIELDS 754 SF I 1985 TH j 3 BR HOME f --- A B 3TIM 0' 30' DECK > 30° 5.4 M T2 DIVERTE 9 CO2 VALVE FLAT SLOPE —s= — — — MT DURING CONSTRUCTION OF NEW TRENCH, NO SEWER ROCK WAS FOUND IN THE AREA WHERE THE PREVIOUS SEPTIC PIT WAS LOCATED. THERE WAS ALSO NO WASTEWATER TRANSFERRING FROM THE EXISTING TRENCH INTO THE NEW TRENCH AREA. NO PLUG WAS CREATED. SHED �_ EXISTING 69' x 30" x 54" EFFECTIVE DEPTH TRENCH 2021 TH AERIAL UTILITY LINES EXIST OVER CONSTRUCTION SITE SEPTIC AREA Iz I r-- I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I� I� 10 N I o IJ I � I I � I Septic Record Drawings Prepared for CAROLYN AND CHARLES HOFF .�P�E,OF q��s�♦♦ 20316 Lucas Ave Eagle River, Alaska 99577 `?:•° •'•:�9♦♦♦ PREUSS #3 BLOCK 6 LOT 6:� 49T—" OSP211002 %.............. . ........................00 .. EKLUTNA ENGINEERING, LLC DATE: 2/26/2021 CURTIS TOWNSEND;' 19162 MOUNTAIN ROAD DRAWN: CLT �� s No. 11 04� CHUGIAK, ALASKA 99567 SCALE: 1" = 30' ♦♦j ••.......... (907) 406-1058 PID: 050-571-19 SHEET 2 OF 3 MARK A B C01/MT1 25'-5' 80'-9" CO2/MT2 63'-9" 19'-11" VALVE 26'-4" 50'-7" OG S MT2 9.0 100.1 98.8 m PERC HOLE -5.5' BOTTOM OF SEPTIC ROCK 87.2 TEST HOLE DUG 1/7/2021. 7 DAY GROUNDWATER STUDY CONCLUDED 1/14/2021. GROUNDWATER FOUND AT -17.6' Septic Record Drawings Prepared for CAROLYN AND CHARLES HOFF 20316 Lucas Ave Eagle River, Alaska 99577 PREUSS #3 BLOCK 6 LOT 6 EKLUTNA ENGINEERING, LLC 19162 MOUNTAIN ROAD CHUGIAK, ALASKA 99567 (907) 406-1058 DATE: DRAWN: SCALE: PID: 050-571-19 OSP211002 80.3 2/26/2021 CLT 1 1/2" = 1' SHEET 3 OF 3 N-= ILs�����1 # AV ' i 2A ...•i 49— !....t...}L..1........................ 0� : CURTIS TOWNS END:' T'. �%%; No. CE 11904 't�•......... • E; \C • W xJWV'a''_ _ SL'WAKV & AbbUL;lKJ:hb LAND SUKVEMNU bJ4-UbZLL (HEREBY CERTIFYTHATt HAVE SURVEYEDTHE SCALE: FOLLOWING DESCRIBED PROPERTY: QF A t ' DATE. AND THAT FNCROACHMENTS EXIST EXCEPT AS /zfs�o HrV "1• INDICATED. IT IS THE RESPONSIBILITY OF THE � � 4 — � r r ........ o { OWNER TO DETERMINE TH... E.ClSTENCE OF ANY GRID: � EASEMENTS, COVENANTS, OR REf;TRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- Dunne MCrk Seward VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB` Ls --it ANY DATA HEREON BE USED FOR CONS'iRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND ®RA1AfN: ARY LINES. I MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.rruni.orglonsite On -Site Wastewater Disposal System Permit Permit Number: OSP211002 Work Type: Septic Upgrade Tax Code Number: 05057119000 Site Legal Address: PREUSS #3 BLK 6 LT 6 G:0056 Site Mailing Address: 20316 LUCAS AVE, Eagle River Owner: HOFF CAROLYN & CHARLES Design Engineer: EKLUTNA ENGINEERING, LLC" This permit is for the construction of: Q Disposal Field ❑ Septic Tank ❑ Holding Tank ' ❑ Privy Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: cent �p S� C b Uepartmenr 2/9/2021 2/9/2022 22922 ❑ Private Well ❑ Water Storage All construction shall 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 in The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received B) Issued By: 2 � zo -?t. Date: q Date: � [AM I ! 4 MUNICIPALITY G NCS RAGE f-r�Vy Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 050-571-19 Property owner(s) HOFF CAROLYN & CHARLES Mailing address 20316 Lucas Ave Eagle River Site address 20316 Lucas Ave Eagle River AK 99577 AK 99577 Day phone Legal description (Sub'd., Block & Lot) PREUSS #3 BLK 6 LT 6 Legal description (Township, Range & Section) Lot Size 22,922 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field 0 Initial ❑ Single Family (SF) Q (w/wo ADU) Septic Tank ElUpgrade 0 Duplex (D) ❑ Holding Tank F-1Renewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municrpal Codes. , l/Cl/-�Z (Signature of property owner or authorized agent) Permit/Rush Fees: 4.59 5 Waiver Fees: Date of Payment: h sh_ I Date of Payment: Receipt Number: 05007D Receipt Number: Permit No. D -c,) PZ 11002 Waiver No. GADevelopment Services\Building Safety\On Site Water and WastewaterTorn Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211002, Rebecca Carroll, 02/09/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211002, Rebecca Carroll, 02/09/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211002, Rebecca Carroll, 02/09/21 Municipality of Anchorage Community Development Department Page 1 of 2 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181430 PID Number: 050-571-19 ❑ New ✓❑ Upgrade Name: CHARLES & CAROLYN HOFF ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 20316 LUCAS AVE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot PREUSS #3 6 6 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 trenches Dist. between trenches From Tank Field Tank Line Ft? Ft. Well N/A N/A N/A I N/A N/A. TANK El Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 1 1250Gal. Surface Water 100+ N/A N/A N/A Material Number of compartments Lot Line 37.6 N/A N/A N/A STEEL 2 NA Foundation 10.1 N/A N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ N/A N/A N/A 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 PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield JR'S SEPTIC SERVICES Drainfield CO/MT 3034 Inspector PANNONE ENGINEERING SERVICES BENCH MARK (Assumed elevation) 807.Oft Inspection12/5/18 ' nd dates: 2 12/20/18 Location and description 3 I 41h SW BOTTOM HOUSE TRIM COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp I �G OF At, Conditional Approval: Date -r �. STH �¢ teven �• �annome f CE 8149Q�km* ApprovedCC9�U7 Date M� ,d IJpCullull Rupert I- I- IL.00c — W --W W rn i, W � ::D REMOVED COLLAPSED 1250a SEPTIC TANK PER MOA CODE i INSTALLED 1250g SEPTIC TANK E_U W b1 W W °` . liar / TRUE NORTH SCALE 1"= 50' LUCAS i Avenue r DR1VEWAY �-.. F BDR \ SFD, 810 IA 1 8! i 10.1 T �r ��-- I DECK \ I A l0coz T,Oi _ \ \ J t W/ DCO BEFORE & AFTER. I, IDRIAN FIELD E ---- - I I 1 805 f 800 795 2 ! I ! 7 i I - I 0 M W W C mQ WATER LINE / U U O.C./F.G. U WELL RADIUS _ _ 807_5_ — SS — SS NEW SEPTIC ABBREVIATIONS TH TEST HOLE (P) PROPOSED (E) EXISTING CO CLEAN OUT NO. MT MONITOR TUBE NO. TYP TYPICAL 65.8 PIPE SCALE: NTS NOTES: RECORD DRAWING DRAWN I ACP SITE PLAN f A B DCO1 31.8 52.5 T1 30.2 56.2 T2 23.1 64.0 DCO2 21.7 65.8 1250 g SEPTICso TANK . CONNECTED TO EXISTING DISCHARGE PROFILE PIPE SCALE: NTS P.AN G� M ERCT SVC, LLC P.D. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 PREUSS #3 B6 L6 CHARLES & CAROLYN HOFF 20316 LUCAS AVE EAGLE RIVER, AK 99577 !Date 1/3/20 •. - • ASBUILT I &_ ASSOCIATES LAND SURVEYING 6 9 4- 0 8 2 ALE - I HERESY CERTIFY -THAT I HAVE SURVEYED THE SC'Z"'ww;a% TA FOLLOWING DESCRIBED PROPERTY: Al a�4 DATE. ........ AND THAT 6ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE 41 OWNER TO DETERMINE THF. E','(is*rENCE OF ANY GRID: EASEMENTST COVENANTS, OR RE�;TFZICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUSDI 0.1 ounni, mtrh S--Wz)td VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB- LS 69 P, ANY DATA HEREON BE USED FOR cOm-svrRUCTI ON , 4k OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. D�?ilAihl: 4" MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program pOBox 1SVn5O «7ooElmore Road Anchorage, Alaska 99519-6650 Phone (907)34S'7804 Fax: (907)z43-7887 PermitNumber OSP181430 Effective Date: Work Type: SeptioTenkUpgnade Expiration Date: Tax Code Number: 05057119000 Site Legal Address: PF<EUSS#3BLK 6 L 8 G:0056 Site Mailing Address: 20316 LUCAS AVE, Eagle River Owner: H(}FFCAROLYN&CHARLES Lot Size in8qFt: Design Engineer: PANNC)NEENGINEERING SERVICES Total Bedrooms: This permit is for the construction of: 12N/2O18 12/4/2O1A E71 Disposal Field 2 Septic Tank El Holding Tank El Privy 1-1 Private Well 1771 Water Storage All construction shall beinaccordance 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 shall notify the Development Services Department per AMC 15.S5.Provide notification bycalling (QO7)343'7804(24/7). 4� From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall boeither: a. Opened and Closed unthe same day, ur b. Covered, sealed, and heated to prevent freezing Date: Issued By: r6�16'_ U, Eli MUNICIPALITY OF ANCHORAGE Community Development Department r 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. 050-571-19 Go(la sPd to Property owner(s) Charles & Carolyn Hoff Day phone Mailing address 20316 Lucas Ave Eagle River, AK 99577 Site address 20316 Lucas Ave Legal description (Sub'd., Block & Lot) Preuss #3 B6 L6 Legal description (Township, Range & Section) Lot Size 22,922 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ® Upgrade x ❑ (D) Holding Tank ElRenewal FJDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Dis tance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: "216— Date of Payment: / g %3Z/X Receipt Number: (I-) OLM Permit No. (1,5 iy l "1134� Permit App_,-:- .�. c Waiver Fees: Date of Payment: Receipt Number: Waiver No. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181430, Rebecca Carroll, 12/04/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181430, Rebecca Carroll, 12/04/18 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 PHONE ❑NEW eG�^ �y�,f�� �' ��T✓ f M-01 "e1II0 501`tPGRADE MAI LING ADDRESS 07 � S%7 LEGAL DESCRIPTION + eor ' n LOCATION NO. OF BEDROOMS Uy DISTANCE TO: Well���) Absorption are s Dwelling I Ci PERMIT NO.0>� 0z_ aQ Manufacturer' Material No. of compartments Z W Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth O y DISTANCE TO: Well Dwelling PERMIT NO. Jaz Oz a 2—F Manufacturer INX Material Liquid capacity in gallons _j DISTANCE TO: Well 105) Foundation �1 i Nearest lot line �) PERMIT NO. w No. of lines / Length of each line o"�) Total length of line.- ) Trench wide Distance between lines Fu. tt W lP1 inches Top of tile to finish Material beneath OF grade r, ° r tile , Total effective absorption area 'S Length Width Depth PERMIT NO. W C7 I F- Type of crib Crib dia t r Crib depth Total effective absorption area W y DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J W 3: DISTANCE TO: Building fodynd Sewer line Septic tank Absorption area(s) OTHER -71 PIPE MATERIALS X77 2) U SOIL TEST RATING 52�'� ` IN TALLER S CitV [XI REMARKS r� 1 Oki 1,4-1'S OA ® qa a.e aeoe aRSQryf b� n� � r ) .tt • a �i ,� 1� rta')a aeesa.aaoa r �o Nor 56MA, .V Jo. CE-5283 !n` DATE LEGAL ��� �D ��n P v/ ,s aV�"'1�°'Vv•v .e5131a •L1a.r v�eyg� V S ° .������������� �� �������� �� ` DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET9 ANCHORAGE., Al--' 995O1 264-4720 ���� I P E P I I I - 0 PERMITNO: 850482 DATE ISSUED: 08/08/85 APPLICANT: RASMUSSON ENT ADDRESS: BOX 770766 EAGLE RIVER, AK 99577 T CONAT CPHONE: `B8�9110' LEGAL DESCRIP: SUBDIVISION. PREUSS LQT: 6 BLOCK: 6 SECTION: 8 TOWNSHIP: 141\1 RANGE: 1W LOT SIZE: 22922 (SQ.FT" OR ACRES) LOT LOCATION: LUCAS LANE MAX BEDROOMS: 4 ` Listed below are the options available to you in designing yIur septic , system. Choose the option that best fits your, site. ~���PA C-� rl -1 UP E� Y3 VIM= 1-D, 1. MH DEPTH TO PIPE BOTTOM (F -l'.) 3"0 ** 40 4.0 GRAVEL DEPTH (FT"> 4^5 0"5 2"5 TOTAL DEPTH (FT.) 7"5 4"5 6"5 GRAVEL WIDTH (FT^) 2.5 22.0 `' 5"0 GRAVEL LENGTH (FT") 68"0 42"0 78"(1 ** GRAVEL VOLUME (CU"YDS. ) 31"5 34"3 43.4 TANK SIZE (GALS) 1,250^0 ** 1,250"0 ** � 1,25(..) ** SO,IL RATING (SQ"FT"/BR> 152 152 152 ** DEPTH TO PIPE BOTTOM < 3"5 FT" REQUIRES INSULATION ** DEPTH TO PIPE BOTTOM < 4.0 FT" MAY REQUIRE A LIFT STATION ** GRAVEL LENGTH > 75 FT" REQUIRESMULTIPLE RUNS (NOT EXCEEDING 75 FT" EACH> ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS ' I certif,y that: 1. Iam f'amiliar, with the requirements {or on-site sewers and wells as set f'orth by the Municipality oll Anchorage (MOA) and the State of- Alaska" 2, I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of' this permit. 3. I will adh�re to all MOA and State of Alaska requirements for the se -t back distances From any existing well, wastewater disposal system or public sewerage system on this or any adjacent dr nearby lot" 4" I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN ANAREA COVERED BY MOA BUILDING CODES� THEN (1) AN ELECTRICAL PERM.1T AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT Sr..--. APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; 46D (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN, SIGNED DATE: ^ APPLICANT: ISSUED BY RASMUSSON ENT ATE: SOILS LOG (/ J L) C L� MUNICIPALITY OF ANCHORAGI3 C? I}}' ! �„ a 'I I' - EV PERCOLATION • ae DEPARTMENT OF HEALTH AND ENVIRONMENTAL)PR7 ECTION II TEST 825 L. Street, Anchorage, Alaska 99501 264 - SOILS LOG — PERCOLATION TEST PERFORMED FOR:�`" c�i DATES PERFORMED:' 7' LEGAL DESCRIPTION: j r ess bdiyICS`� 1 f)+ lf!r `Calor 69 SLOPE SITE PLAN M" OF, BKUVVU W/ 0GZ4,iA1Qi1(-5 1 I t i I I j j ( 01., 0k'AW. SILT W/ op -C 1 G i 2 1� IIIi Ffl F 3 4 5 6 7 8 9 11 12 13 toWtJ 6 11A SAADV (APAVEL 14-7 "'l-apgM SHj V90 PONSE 61iXy SAND f HA -e0 PR-Nt . ■■N■ .■M■ No ■E■■ MEMS ..I■■ ■.I.■ ■.I■■ ONION WAS GROUND WATERy ENCOUNTERED? clk){� " Beo�tc�Vp2y IF YES, AT WHAT 11 se SILTY GoWbLDEPTH? 14"�- COMMENTS Date Gross Time Net Time t+Nn. Net Drop 15- 0.7.05 12;,10 e .4 A%e •o•oo B 16-���• eo oTp�(�a@6 1`'` '° �6 to . I 0.24- M -LO jz" 30 Io .• c a•a ay ••w•sa� 18-2 VF- ¢ •a • • ••a ••se r.n '. -- t R. cp °•m e J. Corwin k 19, o. CE -5283 to Z2- 0. i8 20- 0 :00 COMMENTS Reading Date Gross Time Net Time Depth to Water Net Drop +R2,0 0.7.05 12;,10 e .4 0 12 %Z© to . I 0.24- M -LO jz" 30 Io 1 f , lel 0.21 .4 -MZ Z-+0 t .40 U.'Zo 4-14zo i2;"io to Z2- 0. i8 trF :00 IT i Eizo 1"10 10 o. iv 711 A'4' S V PERCOLATION RATE 7r 07 (minutes/inch) TEST RUN BETWEEN 4 FT AND 415. FT 5AVI? '7,6' M.446 9Ac) 4T "IjW PERFORMED BY: La -um ACERTIFIED BY: 72-008 (6/79) ~ DATE: A J (V 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 PERFORMED FOR: i2/d5MV550y) 1,,�Ed±2W( C> �7 DATE PERFORMED: c.DL7wA LEGAL DESCRIPTION: Prue5S stOVI � i+G i £71OCL�e ° IMPti4li '�+ t 4i ; ` SLOPE SITE PLAN A AM�fI-T-CSA ', / • / ,{ .' •- ! i ■■r.■ 3 4 5 1+, broom 61)- W 9J 7 I l�' 8- 9- 10 9 10 11 12 13 * 5t-'l,� -6e L ', 5U/1 14 15 END pot 40 19 ® F B e J. Corwin % a o. CE_ 1283 a� 0 "170FESSO�a®�" COMMENTS WAS GROUND WATER S ENCOUNTERED? U° L P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop +0 f jam/ q.4,r) U A V ;5U10 ,¢ '10 +H2,0 io ,4 ,35 ,05 10, 10 to 131 W . 05 a hyo Io: La to , a. ,7-q .01 ®. 30 10 13 1 A41 101 PERCOLATION RATE 14 I. { / (minutes/inch) TEST RUN BETWEEN 45 FT AND FT PERFORMED BY: Lum N CERTIFIED BY: 72-008 (6179) DATE: Lq8S V 0 t- & associates,inc. Consulting Engineers 4790 Business Park Blvd. • Bldg. D • Suite One • Anchorage, Alaska 99503 • (907) 561-6151 August 30, 1985 Municipality of Anchorage Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 SUBJECT: LOT 6,BLOCK 6, PRUESS SUBDIVISION Gentlemen: This letter is to verify that the original crib system on the above referenced property was abandoned when the new system was constructed. Should you have any questions, please let us know. Verytruly yours, r CORWIN & ASSOCIATES, INC. Bruce J Corwin, P.E. F.IVI�fiPtj Qs M€yt, R cEj V D GRED =R ANILHURAGt ARA 6W AUH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 rr INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME tY ANK �6%01'Wt, MAILING ADDRESS PHONE LOCATION lutas LAIuw LEGAL DESCRIPTION �+ IOL'( ( P1WSS b SEPTIC TANK: LLL j7q/6 DISTANCE FROM WELL INSIDE LENGTH SEEPAGE PIT: MANUFACTURER STAU STCeL, MATERIAL T t?( NUMBER OF COMPARTMENTS—?- INSIDE OMPARTMENTS2 INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /'Z�o GALLONS. NUMBER OF PITS i. DIAMETER L OR WIDTH 2;, LENGTHA!, DEPTH /0' / LINING MATERIAL COtr CRIB SIZE: DIAMETER I� DEPTH 6 DISTANCE FROM: WELL BUILDING FOUNDATION O, NEAREST LOT LINE `-71 TOTAL EFFECTIVE ABSORPTION AREA (/WALL AREA) 616 SQ. FT. ADDITIONAL ABSORPTION air �oZ� 3dRn1\/ ✓>7mf L WELL: UbY T SI-ai A Art 4,mty TYPE BUILDING FOUNDATION CESSPOOL APPROVED_ DISTANCES: _ INSTALLED BY: CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED PIPE MATERIAL: CAS- lady LOT SLOPE: L . REMARKS: Form No. EQ -031 DEPTH NEAREST SEPTIC SEWER LINE -,TANK_ REMARKS DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM _ GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C” STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME OF APPLICANT / ire INSTALLATION LOCATION /JJ� LEGAL DESCRIPTIOW-1 �"� INSTALLATION OF: SEPTIC TANK r TYPE AND SIZE OF FACILITY TO BE SERVED i)7C FINANCED THROUGH , MAILING ADDRESS PIT TO BE INSTALLED BY PERMIT NO. PHONE DRAIN FIELD OTHER SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED 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. A SEPTIC TANK SI PIs TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK L J FOUNDATION TO SEEPAGE PIT �DRAIN FIELD SEEPAGE AREA SIZE SEPTIC TANK TO SEEPAGE PIT WALL / SEPTIC TANK' f , SEEPAGE PIT . DRAIN FIELD TO NEAREST LOT LINE.. WELL TO SEPTIC TANK/424 / , SEEPAGE PIT /(l DRAIN FIELD , ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK,,//y . SEEPAGE PIT/ DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER C -H-ON-PARES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH RE ULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE ESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. % -'// G APPLICANT'S SIGNATURE -•'� c�! (1t�� Untting, Ifug by A & I. DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 r TELEPHONE 694-2588 i OWNER OF LAND l `; _ '`f `' t DEPTH OF WELL ) rt ADDRESS {, 3 Route STATIC LEVEL OF WATER FT. -lg e Jiver, Alaska 99577 LEGAL DESCRIPTION "i n l �' , D-1 fZ, T"T2Tlfloq DRAW DOWN FT. DATE - Started r�' Ended 6 GALS. PER HR PERMIT NUMBER % cI KIND OF CASING KIND OF._FORMATION: From) L Ft. to1� (3 Ft From 1,30 Ft. to i-7 Ft. L '-f 130 L)t (244 From/1 Ft. to—&:E-Ft. SAYv,o From to �i�� Ft. �10 6 PguZV't 111 [)cq�-SS Fromm—Ft. tom t"Y Ft. C4iff 6d4o zr FromFt. to -13 -!L -Ft. &V Fromr' ?) Ft. to '�rl Ft. 'f? 4c T�lf?c'� /y s9az7 c Fromll�l Ft. to 49s Ft. %S61Mbc/L Sol /0 �l.S.�• Ft. to 9�' Ft. From MISCL. INFORMATION: i /iJ � ,J ff jai%4`• �'�'«'"'�;/ s I � From Ft. to Ft. OQ/ From Ft. to From' From �� Ft. to Ft. (9 i1 i Ft. From Ft. to From From Ft. to 2—OFt. From Ft. to_ Ft. From ..> Gj Ft. to d Ft. �A 4uFrom Ft. to Ft. to Ft. From f,7r� Ft. to ---6-6, Ft. C l y' ��1�cJuL '"(i5r]uc<7�2�From Ft. to Ft. From C.Y, � ' Ft. to rl�ru �� � Ft. q ���f�".GFrom—Ft.- to Ft `� Ft. 6 4q y ;Mak t- t 62" df 4X From Ft. to Ft. From -`� to1Ft. From_7Ft. to1Ft. �490 4d,141115-4 From Ft. to Ft. From %�i' Ft. to r` Ft. C L (''/Ii��r st 3 a N G IVt4'Yom Ft. to Ft. From) L Ft. to1� (3 Ft From 1,30 Ft. to i-7 Ft. L '-f 130 L)t (244 From/1 Ft. to—&:E-Ft. SAYv,o From to �i�� Ft. �10 6 PguZV't 111 [)cq�-SS Fromm—Ft. tom t"Y Ft. C4iff 6d4o zr FromFt. to -13 -!L -Ft. &V Fromr' ?) Ft. to '�rl Ft. 'f? 4c T�lf?c'� /y s9az7 c Fromll�l Ft. to 49s Ft. %S61Mbc/L Sol /0 �l.S.�• Ft. to 9�' Ft. From MISCL. INFORMATION: i /iJ � ,J ff jai%4`• �'�'«'"'�;/ s I � 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. DRILLER'S NAME ���H��][��.� �9�~~u » W ��" " ^^`^~ I. � ~^DEPHRTMENT HEHLTH HND ENVIRONMENTHL�^'�OTECT �(�A� ION ' 2516 ETUDOR RD./ ANCHORAGE/ HK. 99507 276~2221 � PERMIT NO ( 76894 ) 694-9747 APPLICANT ROMHINE SR BOX 5618 . LOCHTION LU[M_S| LOT SIZE 22000 Sc -f FEET LEGAL L6 B6 PRUESS SUBD MINIMUM DI5THNCE BETWEEN H WELL HND HNY TE SEWHGE DISPOSHL SYSTEM IS 100 FEET FOR H PRI -.,-'HTE WELL OR 200 FEET FOR HOPUBLICEWELLENT WITHIN ]0 DHyS WELL LORS HRE REQUIRED HND MUST BE RETURNED | THE u F'An/n OF THE WELL .1 OF DIHGRHMS ARE HVHIL�BLE TO INSURE PROPER SPECIFICHTIONS HND CQN� INSTHLLHTION X� ��� ��� ����� ���� �� I CERTIFYATHHTAR WITH THE REQUIREMENTS FOR ON_SITE SEWERS HND WELLS HS SET 1 I My � n��� F RTH 'Y THE MUNICIPHLITY OF HNCHORHGE. u u 2 �m�/��� STEM IN HCCORDHNCE WITH THE CODES I W1L� SIGNE ISSUED BY'._��'����'-�-^-�-������'_�_~_^._-- /� T�-`* 62- � - ~- UBM Municipality of Anchorage I. On -Site Water and Wastewater Program " MAY 1 8< .,.. (907) 343-7904 �'iiBZCt1an s "V Certificate of On -Site Systems Approval Parcel I.D. 050-571-19 Expiration Date: .�J V 3 - /Z 1. GENERAL INFORMATION Complete legal description Preuss #3, Block 6; Lot 6 Location (site address) 20316 Lucas Avenue Eagle River, AK 99577 Current Property owners) Aric & Amber Bartlett... " - Day phone Mailing address Real Estate Agent 20316 Lucas Avenue Eagle River, AK 99577 2. TYPE OF DWELLING: Q Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: Four Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual- Q Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System Q Public Sewer ❑ WaiverNariance request for:, Date: :S-2,Z—A7 COSA Fee $ 5a 5P Waiver Fee $ Date of Payment rWild/p Date of Payment Receipt Number /� C 000y/O6 z Receipt Number COSA # Q c5 C! 5 l AI14 Waiver # 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Datye.,: 6. DSD SIGNATURE System #1 Approved for __�4 bedrooms System #2 Approved for _ bedrooms Disapproved Conditional approval for bedrooms, with the following 522-7773 IA&9VANDERSON CE -4381 '_ o '<-/5.'���® pR0 f E5510Na �®® By:hic'! Original Certificate Date: The orege Development Services Division (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an Independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. - 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory _ Arsenic Advisory Well Flow Advisory Other cosAbmasnaei E '- c, 0 If more than 1 septic system Is on the lot: COSA Checklist # _of _ Structure served by this system . Certificate of On -Site Systems Approval Checklist Legal Description: Preuss #3, Block 6, Lot 6 Parcel 111050-571-19 A. WELL'DATA Well type Public If A, B, or C provide PWSID # Well Log (Y/N) Date completed Sanitary seal (Y/N) Total depth ft. Cased to ft: FROM WELL LOG Date of test 't Static water level Well production .. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L , Date of sample: Wires properly protected (YIN) Casing height (above ground) in. AT INSPECTION ft. O.P.M. lei ; Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,250 gal Number of Compartments Inside Crawl Space N Foundation cleanout (YIN) Y Depression over tank (YM) Date of pumping 9/10114 Pumper JRS Pumping Date installed Cleanouts (Y/N) Y High water alarm (YIN) N C. ABSORPTION FIELD DATA -/ G - SS" 152 SFIBeRM Deep Trench g Date installo ' Soil rating (g.p.d./fe or fflbdrm) System type Length 69 ft. Width 3 ft. Gravel below pipe 4'5 ft Total depth 8ft. Eff. absorption area 621 ff Monitoring tube Y Depression over field N Date of adequacy test 5/13/15 Results (Pass/Fall) Pas$ For 4 bedrooms Fluid depth in absorption field before test 51/47 In. Water added 600 gal. New depth 54/54 in. Elapsed Time: 1,440 min. Final fluid depth 51/47 in. Absorption rate >= 600 g•P d Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date No Add On Manhole - Gravity Flow to Absorption Trench. D. LIFT STATION Date installed Size in gallons _ "Pump on" level at in. 'Pump off" level at Datum Cycles tested _ Manhole/Access(Y/N) in. High water alarm level at in. Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tankilift station on lot On adjacent tots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTICIHOLDING TANK ON LOT TO: Building foundation >5' Property line >5 Absorption field >5, Water main >10' Water service line >10' Surface water >100, Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >10, Building foundation >10' Water main N/A Water Service line >10, Surface water >100' Driveway, parking/vehicle storage >10 Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS Property is served by AWWU Water System. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Michael E. Anderson, P.E. Date 5/18/2015 COSA brawn sheet_1 0}10-12.doc •®o OF,A(4 4EL E. ANDERSON :W CE 4381 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Septic System Advisory Certificate of On -Site Systems Approval # 151226 During a recent adequacy test on the septic system for Block 6, Lot 6 of Preuss #3 subdivision, 51& 47 inches of standing water was observed in the absorption field. This indicates that approximately 90% of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval Municipality of Anchorage y �{i.. �•y/f -. Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING 6(10-960 Parcel I.D. 1'/ C/ COSA # t94A Expiration Date:/ ` i 1. GENERAL INFORMATION Complete legal description Lot 6: Block 6; Preuss Subdivision #3 Location (site address) 20316 Lucas Ave Eagle River, AK 9957 Current Property owner(s) Diana b Scott Cannan Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Eva Loken Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑� Day phone Day phone Day phone 689.6476 TYPE OF WASTEWATER DISPOSAL: Individual On-site❑ Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm S a s Engineering Phone Address 15861 S Birchwood Loop Chugiak, AK 99$67 Engineer's Printed Name Robert AShafer 5. DSD SIGNATURE Date a �as�E :is A. Chat& 14574E _Le!fo� Approved for bedrooms.ldFo Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: — �� -- Al, Original Certificate Date: Z t� — g o C) (R. HAS) Municipality of Anchorage • Development Services Department Building Safety Division < On -Site Water & Wastewater Program • • `� 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: �-O+� �l � / ?ce T� ,ca 3 Parcel ID: .rO —6_71 "t I A. WELL DATA 1 Well type _�LJ If A. B, or C provide PWSID tl _ Well Log (YM) Date completed _ Sanitary seal (Y/N) _ Wires properly prote ed (YM) Total depth ft. Cased to ft. Casing h - t (above ground) in. FROM WELL LOG AT NSPECTION' Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULT Coliform mL Nitrate mg/L ug/L date of sample: _ B. SEPTICIHOLDING TANK II DA__T l Tank Type/Material �'F t ` Tank sizeZ� gal. Number of Compartments 2 Other bacteria' Collected by: colonies/100 mL Date installed Cleanouts (Y/N)__ FoundatiQcleanout�y/N) /J Depression over tank (Y/N) � High water alarm (Y/N) CraJ\ �y,.c� S �y(tiQ�he� Date of pumping U Pumper T(L' C. ABSORPTION FIELD DATA Date installed 6 S�Soil rating (g.p.d.lft=, r f?/bdrm )9- System type Th2'n/C Length 6`A ft. Width ft. Gravel below pipe y's� ft. Total depth q ft. Elf. absorption area 6V_ft! Monitoring tube Depression over field Z Date of adequacy testZ94-0 9 Results (Pass/Fail) _SS For y bedrooms Fluid depth in absorption field before test I?- in. Water adde4C gal. New �deepth� 1 ` in. Elapsed Time: JZ6 min. Final fluid deptlf�_Q in. Absorption rate >= 9 p.d• Any rejuvenation treatment (past 12 mo.) (Y/N & type) _! L If yes, give date D. LIFT STATION • Date installed N' !� Size In gallons "Pump on' level at_ in. "Pump offJevE Cycles tested Manhole/Access High water alarm level at In. _ Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankfift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public- e -manhole/cleanout Sewer /septic service line Holding tank 6n�lIDal-conta-i areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: r Building foundation f Property line S'f�f Absorption field S t Water main /y If Water service line %y /f Surface water 106 "7- Wells rWelts on adjacent lots /L-0 i SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line v /f Building foundation f O 1t Water main Water Service line () /f Surface water < (16 r -t Driveway, parking/vehicle storage /� f Curtain drain t'tbht? � Wells on adjacent lots 106f F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined review of Municipal records`�, conformance with MOA COSA(gc Engineer's Date COSA Fee $ WU Date of Payment Receipt Number 6,25q;2( (Rev. 11/05) field inspections Waiver Fee $ _ Date of Payment Receipt Number, 'Pit ; g 3 <� O 2 a Q fiq zR« ƒ§ . . § �} k- / WREN LANE =( !!! %k|�f \ § 5 �! \ 0 !q �w S o0 oe 00" E X20 00 , �),oc 2 r- \) «sk w r.I � § § §•!�k°fl; , E k2 ■|! o 2 2k) !||! f £i} \\}\ \ !a % d ! ee} ClIz \ \ E / e \ k }J / » 0 / �n §() co ) / _ \§ - / > ` _j@ _$ };t ! N o0 oe m` w ,20 0 - N CL ! § \ \kj Z in Ln \)� $ S§ [) | ! C) P B M _j V)E! § E io § k c q5 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES A Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING Parcel 1. D. # 050-571-19 HAA # 1. GENERAL INFORMATION Complete legal description PRUESS SUBDIVISION #3• LOT 6 BLOCK 6 Location (site address or directions) 20316 LUCAS AVENUE EAGLE RIVER AK 99577 Property owner JARED MILLETTEE Day phone (907) 694-3340 Mailing address PC 6u X11 229 z Lending agency Mailing address Day phone Agent 01 AIR DALTON W/ DYNAMIC PROPERTIES Day phone (907) 299-1275 Address 8442 JUPEEIR STRFET ANCHORAGE AK 99597 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water XXX 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: Individual on-site XXX Holding Tank Community on-site Public sewer NOTE: if community wastewater system, provide written confirmation from State ADEC ing to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 Computer Version Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $800.00 at, or prior to, closing for the engineering services provided. 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 MuniciRI and State codes, ordinances, and regulations in effect on the date of this inspection. 2j Name of Firm Address Phone (907) 337-6179 Engineer's Signatur I h r—�- IDate In conducting this evaluation, AWWC, In , a e to ted vide a thorough, conscientious engineering analysis of system in accordance with ADEC and M A H S Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, ground water levels that may fluctuate during the year, and the water o600p usage o1 the family being served by the system. These conditions are outside the control of o� the evaluator of the system. Satisfactory test results do not guarantee future performance o 4� of the system, nor do they guarantee that there are no hidden defects or encroachments. S OO AWWC, Inc. can therefore not prov de any warranty for future estimate of how long the O *�;' TH system will continue to meet the operational requirements of the ADEC or MOA DHI-IS. , „ ....... , , , , , ; , , , V, The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, 0..... .....................°- nor will it confer anV legal right whatsoever, of ey A. Garness,: 6. DHHS SIGNATURE Approved for 3 bedrooms Disapproved Conditional approval for Additional 0 CE -7953 ,,.• 'eco Pro f essio(Vo\o bedrooms, with the following stipulations: 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. 72-025 (Rev. 1191) Back MOA 921 computer Version Municipality of Anchorage RECEIVE DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division OCT 3 12000 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744 MUNICIPALITY OFANCHORAGE Health Authority Approval ChecklistEE NVIRONMENTAL SERVICES DIVISION Legal Description: PRUESS S/D #3• LOT 6, BLOCK 6, Parcel I.D.: 050-571-19 A. WELL DATA Well Type PUBLIC If A, B, or C, attach ADEC letter. ADEC water system number Log present(Y/N) Total depth Date completed FROM WELL LOG Date of test Static water level Well c ion 9•P•m• WATER SAMPLE RESULTS: Coliform Casing height (above ground) Wires properly protected (Y/N) Collected by: AT INSPECTION B. SEPTIC/HOLDING TANK DATA .0IASID,- 4o,)SE io1 LAJ,40-Y rz"(A. g.p.m. Date installed 9/10/74 Tank size 1250 Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) _* YES Depression (Y/N) NO High water alarm (Y/N) N/A Date of Pumping 10/18/00 Pumper JR'S PUMPING C. ABSORPTION'FIELD DATA Date installed 8/16/85 Soil rating (g.p.d./ft2 o bdrm 152 System type TRENCH 2.e Length 69' Width IM' Gravel thickness below pipe 4.3'-4.5' Total depth 7.5'-9.5' Effective absorption area 621 S0. FT. Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO Date of adequacy test 10/11/00 Results (Pass/Fail) PASSED For Bedrooms Fluid depth in absorption field before test (in.); 0"/26" Immediately after 1024 gal. water added (in.):30" 33" Fluid depth 17"/26" (ins) Minutes later: k 282 Absorption rate = 450+ Peroxide treatment (past 12 months) (Y/N) N/A If yes, give date 72-026 (Rev. 3Igor computer version - D. LIFT STATION Date installed Manhole/Access (Y/N)-- "Pump on" High water alarm level at* *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main line in "Pump offlevel at* PUBLIC WATER On adjacent Public sewer manhole/cleanout— Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation 10'+ Water main/service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage area 5'+ Curtain drain NONE KNOWN Wells on adjacent lots_ ] 00'+ F. ENGINEER'S I certify that t i of Municipal n with MOA HA. Signature Engineer's field inspections and review I systems are in conformance on this date. `Z yv. HAA Fee $ .�ix_� Date of Payment an \ Receipt Number 72-026 (Rev. 3/98)* Computer Verslon Waiver Fee $ Date of Payment Receipt Number Efttlt"'I A44 tmY ................... Y A. Gayness; :E-7953 "of e ssloo\ 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 NI€iHAEITY 0€ tN(bUkAOE NM€NTAL bkkyjj; � DIVISION MAY 22 1997 RFCFI CERTIFICATE OF HEALTH AUTHORITY V : U APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # `-'),O - _Z % HAA # la 2 Oz 1. GENERAL INFORMATION Complete legal description 4-`,; Location (site address or directions) ' j -:7y Vvn r i Mailing address 2t;C>> 1 �s Ute• c ���« c� �- "�� 1%a =�/ Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: RECEIVED 3. TYPE OF WATER SUPPLY: MAY 22 1.957 Individual wellDopt Health )& Human Seryof ices Community well Public water r 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: Indivi.r';i I nn -site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front 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. Name of Firm �� ' �� `'� Phone Address �1E C•lfi ti/ ,_?: J- i"'iu is t� /� �S t -� ��/�' f✓ Engineers signature i'� we Vw1Date '5' ZZ t U 6. DHHS SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for Additional Comments : �,.• 'd N! s 1�i sem. r ,•`i� 's` C!' CEE: 8176 bedrooms, with the following stipulations: 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. 72-025 (Rev 1/91) Back MOA d21 f Municipality of Anchorage MUNICIPALITY OF AN' • ''� DEPARTMENT OF HEALTH &HUMAN SERVICEIRONMENTAL SERVIC Environmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343--x'42 2 199 Health Authority Approval Checklist RECEIVED Legal Description: Lv r G6 �e� i�r� mss Parcel I. D.: A. WELL DATA Well type M o • A If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Total depth Cased to Casing height (above groouund) Sanitary seal (Y/N) Wires pro=CTION Y/N) FROM WELL LOG ATI Date of test Static water level Well production g.p.m. g.p.m. WATER SAMPLE RESU Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA y y >,� Date installed Tank size Number of Compartments Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression (Y/N) r} High water alarm (Y/N) Date of Pumping `'>'d/P7 Pumper • � �-%<>�%'�' C. ABSORPTION FIELD DATA V Date installed �� ��q Soil rating (�p.d./ft2 or ft2/bdrm) System type4v-/ Length Width 5 Gravel thickness below pipe Total depth Effective absorption area 5'43 f/ z Monitoring Tube present (Y/N) >' Depression over field (Y/N) XY Date of adequacy test 'jfl Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test (in.); iJI Immediately after,6� gal. Water added (in.): � 69 Fluid depth (ins) Minutes later: i 9;-Y Peroxide treatment (past 12 months) (Y/N) >t% 72-026 (Rev. 3/96)' Absorption rate = `�'� g.p.d. If yes, give date D. LIFT STATION Date installed ''/ Manhole/Access (Y/N) Size in gallons "Pump on" level at* 1f1e, "Pump off' level at* High water alarm level at* 'Y�/ ✓ *Datum RECEIVED Cycles tested __;1 E. SEPARATION DISTANCES MAY Z Z 1997 Municipality of Anchorage SEPARATION DISTANCES FROM WELL ON LOT TO: Dept. Health & Human Services Septic/holding tank on lot On adjacent lots Absorption field on lot On adjacentlots_,- Public sewer main Public sewer manhole/cleanout Sew eptic service line Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation Property line f L Absorption field Water main/service line-2.J-'�z_lSurface water/drainage �N��= Wells on adjacent lots —�'7E'-1) SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Surface water ellc Building foundation '`e °C� Water main/service line w`�J _/ Curtain drain Vy A_J&� /Lf,0E)<.L),�) T- F. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Wells on adjacent lots R v 6"f /certify that I have determined thru field inspections and review of Municipal record& at ah4ve��s in conforman4withA HAA guidelines in effect on this date.L9.Signature (.t,J,Engineer's N��ati Date_ 6,l2•`�) I HAA Fee $ U - `_� q Date of Payment �/ 7-1-Q / Receipt Number �7� �?6 �/ 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number ?k c ; 6116 are MUNICIPALITY OF ANCHORAGE - • DEPARTMENT OF HEALTH & HUMAN SERVICES T 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 Parcel 1. D. # C', �Li I " 1 °I HAA # '0 (��l 1. GENERAL INFORMATION Complete legal description Lot 6; Block 6; Praess Subdivision Location (site address or directions) 20316 Lucas Avenue, Eagle River, Alaska Property owner Gerald Millette Day phone 694-3340 Mailing address 20316 Lucas Avenue, Eagle River, Alaska 99577 Lending agency ALASKA HOME MORTGAGE Day phone Mailing address ATTENTION: Richard Agent Day phone Address Unless otherwise requested, HAA will be held for pi6kup. 2. NUMBER OF BEDROOMS:�� 3. TYPE OF WATER SUPPLY: Individual well Community well Public w4ter xxx 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: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC . attesting to the legality and status of system. 72-025 (Rev. 1/91) Front 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. Name of Firm S & S ENGINEERING Phone 17034 Eagle River Loop Road No. 20_4_ Address Eagle Ri ar, Mask- 99577 Engineer's signature DHHS SIGNATURE Approved for bedrooms. Disapproved. Date � d-21-` 2, Conditional approval for bedrooms, with the following stipulations: Additional Comments M 11ITIC Date 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. 72-025 (Rev. 1/91) Back MOA 021 4 -r Municipality of Anchorage Department of Health &.Human Services HEALTH AUTHORITY APPROVAL CHECKLIST _ Legal Description:a— (P 3LV l -a F0,0055 s6, Parcel I.D. A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present(Y/N)_ Total depth Sanitary seal (Y/N) Date of test Static water level Well flow P p level FROM — Date completed Cased to Wires SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot _Z 0_0 t Absorption field on lot Public sewer main Sewer service line ow \ �1, ,Ike, WATER SAMPLE RESULTS: Coliform Driller —Cgsi�rg�eigh protected (Y/N) _ AT INSPECTION MUNICIPALITY OAGE �2 NCE DIV S ON fWIRONMENI� OCT 2 7 1992 g.p.m. g.p.m. ��rF�vED On adjacent lots %_C.�o ` a 16 o ' On adjacent lots /oo 'f Public sewer manhole/cleanout Petroleum tank Nitrate Date of sample: Collected by: F031, \ C ��a �- C m op� B. SEPTIC/F1TANK DATA Date installed 11-1'i Cleanouts(6)N) ___)L High water alarm (Y Ir[�y Date of pumping Other bacteria Tank size t2�a Compartments Z Foundation cleanout/N) y Depression (YA J Alarm tested (Y/N) 41A Pumper S t ,k� i SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Wel I(s)onlot -Z�oOn adjacent lots too %"r Foundation S To property line lc>/4- Absorption field 7- Water main/service line Surface water/drainage /o o 1 72-026 (Rev. gist) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y — Manufacturer Manhole/Access (Y/N) 11 mp off" level at Cycles tested SEPARATION D1.STA-NCE FROM LIFT STATION TO: of On adjacent lots D. ABSORPTION FIELD DATA Surface water Date installed Soil rating /SZ �!� System type lk61/Vi Length Width 30 `, Gravel thickness �f.S Total depth Z-5- Total ..sTotal absorption area (nZ/ Cleanouts present 6%) v/ Depression over field (Y6 -q Date of adequacy test ass Results il) �A3S for o�� 19 bedrooms Peroxide treatment (Past 12 months) (1(( °n� K�%° k / If yes, give date 'Jz OµQ J r G Gr /-\,SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot Z06 t On adjacent lots 1 °d ' r Property line /y r To building foundation 25 r To existing or abandoned system on lot 10 On adjacent lots 3a `Cutbank 4- Water main/service line. Surface water 166 14- Driveway, parking/vehicle storage area -s6 Curtain drain "J/ ,d E. ENGINEER'S CERTIFICATION r <€ I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection . HAA Fee $ ` Date of Payment h Receipt Number (� 1v� 79_nOR IRnv R/011 Rank U 0 A 91 Waiver Fee: $ Date of Payment Receipt Number 5 ftl S ENGINEERING Signature 17034 Lagle River Loon Road No, 204 River, a Eagle Paver Alaska 99577 m•,^ta,�< e �4„00� Engineer's Name ""' A°a= �� 21 �f2 ,. j. SHAVEttoF° Date t�A r „crc1.r; \1 6W", HAA Fee $ ` Date of Payment h Receipt Number (� 1v� 79_nOR IRnv R/011 Rank U 0 A 91 Waiver Fee: $ Date of Payment Receipt Number APPLIG AT FILLS OUT UPPER HAI, , ONLY _ �- Property Owner _- ,jLL� �/�%/�L/!=�Mailing Address /�• OX- J''>/t ,� f:-�`7 (r/1: i [/L fIr.. Zip Code.:/d !;[Phone i :: Y � �1 Buyer - - - Date P / / Address Zip -Code Lending Institution j - <- j iU-iT./a.v,j � _„7-��/: (J % p9-c�G /.P'ry Phone Address � c - I U�'f=' i - /( aI (`j - Zip Code y `7 % D) tSI Realty Co. & Agent _' - Phone ',mutirojpality of 'AmhoMaO" Address Code Zip oe C ., . w. 41 Health .4 Legal Description 'CONDITIONS OF A M"vital ;WMfiar” Street Location % COND (0 ALA P OVAL' DATE Type of Residence " 0 [X–Single Family r� edrooms ❑ Multiple Family No. of Bedrooms- Date Sewer Installed Well To Absorption Area ❑ Other 0 Well Log Received Water Supply %U -Individual �v-'� ;.'/frJ �'"�/ i ��. �� ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give,. well depth (attach log if available). ❑ Public Utility Sewer Disposal - % 5 P Individual Year Individual Installed: ❑ Public Utility When Connectedto 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 P / / Inspector Inspector Inspector Inspector Field Notes:rI D) tSI MAY 0 91983 ',mutirojpality of 'AmhoMaO" ., . w. 41 Health .4 ( ) APPROVED BEDROOMS 'CONDITIONS OF A M"vital ;WMfiar” ( DISAPPROVED COND (0 ALA P OVAL' DATE BY: " 0 r� Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received �I/_ I-/ Well to Tank Septic Tank Size ,,', 72023 (3182) ��� �fL � EAGLE RIVER AREA uti 2 \'BOOy 4 'J GREATER ANCHORAGE AREA BOROUGH De partment of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 ;a Date Received March 4, 1977 Time of Inspection /:,3 0 PyA �1 Date of Inspection d REQUEST FOR APPROVAL OF 1000WLt INDIVIDUAL SEWER & WATER FACILITIES FOR V. A. 1. Approval requested by: Coast Mortage Company Mailing Address: Post office Box 1120 Phone: 279-0665 2. Property Owner: Edgar W./Jeanett Smoot Phone: 694-9455 Mailing Address: % 2810 C Street 694-3053 3. Legal Description: Lot 6 Block 6 Preuss #3 4. Location: 5. Type of facility to be inspected Eagle River No. of bedrooms 3 6. Well Data: e A. Type Individual B. Depth r_ C. Construction /�,0 D. Bacterial Analysis 7. Sewage Disposal System: on-site system A. Installed %�//�7 L/ B. Installer C. Septic Tank: 1. Size �Z,�� ff 2. Manufacturer 5�1,9e�Te -( D. Seepage Pit: 1. Absorption Area 2. Material /0y5 r E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines r© ; Nearest lot line Other contamination — B. Foundation to septic tank _5& r , Absorption area C. Absorption area to nearest lot line ( 7 / EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Rec ;t for Approval of Individual S r & Water Facilities P Legal Description Lot 6 Block 6 Preuss #3 Comments Approved Disapproved Date — Approval.'Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM i cerzl Ty znaz Lne 1nTUr-111d 61Uf1 GUrl Ld IIICu I11 I.II IJ iuuuQJL iii up pi wva, uv uc u �,uc uiiv accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date 01 3 IN 5. 4N Oep "I YO / 7ROM OF i rleNr H �� �yc MUNICIPALITY OF ANCHORAGE q� ak F DEPARTMENT OF ENVIRONMENTAL QUALITY IWO C` O/v 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 4 `G RF�Fi f'' REQUEST FOR APPROVAL OF VID INDIVIDUAL SEWER and WATER FACILITIES. Type of Inspection: CMRO VA xxx FHA CONV Property Owner: Edgar W. & Jeanett Smoot c/o 2810 "C" St., Anchorage, AK 694 9455 Mailing Address: Day Phone 694 3053 Name of Buyer: Gerald Millette '& Suzanne C. Millette Mailing Address: 21-444 B Citrus St., Anchorage, AK Day Phone 753-7475 Name of Lending Institution: Coast Mortgage Co. Mailing Address: P. 0. Box 1200, Anchorage, AK 99510 Phone 279 0665 Name of Realtor or Agent: Bob Yerger, Executive Realty Mailing Address: 2810 "C" St., Anchoracie. AK Phone 694 3053 6. Legal Description Location: _ FA a Lot 6, Blk 6, Preuss S/D No. 3 Eagle River Type of Facility to be inspected: Single family Water Supply Type of Supply: Public Utility 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 1975 EQ -037 (1/74) No. Bdrms. 3 _ Individual x 1 Individual (on-site) x
