HomeMy WebLinkAboutGLEN EAGLE BLK 3 LT 8 Municipality of Anchorage Page · of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Waslewater Disposal System and/or Well Inspection Report Permit Number: .~lgp.~O/¢&~ PID Number: ¢)~'O (~ ~c~ ~y cF ~.U~ Wastewater System: [J New ~ Upgrade ~2z ~. E~ ~w-. ~o~ ~ q~/~ ABSORPTION FIELD__ ~ Deer) ] rench~%hailow Trench i I Bed [ ] Mound I Other LEGAL DESCRIPTION Soil qRt,qg lotal Depth f .... odginM grade / WELL:ri New [] Upgrade a ...... Iw,dth Numb ..... li .... Dis~ance~tweenl ..... SEPARATION DISTANCES ~s,,ph,: , 14Dialing II STEP Well /[~ ~ [~ * __ -- ~IG Material ~ ~PP& Numhur°fC°mpartmenls Surface ~ e w~, /oo9 /0o'¢ ~ ~ ~ IFT STATION Lot S,z } in Ft~dl )ns M~ Remarks: BENCH ~ARK EN61NEER'S SEAL Inspections performed by: ~leRi~r. Al',k'~5~ Dates: 1st //-/o-99 2nd// -// - ~ Department of Heal~ Huma~icos appr I Reviewed and approved by~~~~- ~te: Permit No. SW930468 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: GLEN EAGLE, BLOCK 3, LOT 8 PIDNo.: 05060127 CO1 CO~ 102.7 IO0.2L " [] iNSU~L~,~'iON _~-~ NEW ~ 1000 GAL ~-~ SEPTIC 98.9' _TANI~ . MT1 COd 97.2' · 85.1' NO WATER FOUND N.T.S. CO1 113 I 34 C02 t19 I 37 C03 ]92 195 _~T~ f~.~j FENCE / NEW TRENCH / - '-'- :o2 col /~ NEW ~ooo ~~ / ~ GAL SEPTIC TANK~ / "~ ~/ff ~_ 100'.WELL RADIUS GRAVEL ~ DRIVE l" = 4o' ENGINEER'S SEAL PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930468 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SECRETARY OF HUD OWNER ADDRESS:222 W. 8TH AVE ANCHORAGE, AK 99513-5737 DATE ISSUED:ill04/93 EXPIRATION DATE:il/04/94 PARCEL ID:05060127 LEGAL DESCRIPTION: GLEN EAGLE BLK 3 LT 8 LOT SIZE: 47410 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: DATE: ISSUED BY: ~ J" DATE: ROBERT SHAFER, P.E ROGER SHAFER, P.E. October 27, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEAL TH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99519-6650 REFERENCE: Glen Eagle Subdivision, Block 3, Lot 8 We request you issue a permit to upgrade the septic system serving the three bedroom house on the referenced property. An adequacy test performed on the existing system for Health Authority Approval purposes found the absorption capacity of the existing system to be inadequate. A test hole was excavated and a percolation test performed in the area of the proposed upgrade, The approximate location of the test hole is located on the attached site plan. At the time of excavation water was seeping at 12 feet and after seven day ground water monitoring water was found at 10,5 feet, Attached it the proposed upgrade design, We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. If you have any questions, or require additional information for your review, please contact us. Sincerely, RAS/LSU/Isu 17034 NORTH EAGLE RIVER LOOt' ° SUITE 204 · EAGLE RIVER, ALASKA 99577 1" =40' SCALE I __ UPGRADE Z ~o Z °~ z~ -<.~ © 0 0~0 Z~ ~z~©< o~q z~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 2 3 4 7 8 9- 10- 13 Township, Range, Section: SLOPE ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water Aller/^ E_ ~ Monitoring? tv ~-' Date: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop r /o//des! ,.,.. - 14-- 15 16 17 18 19 2O PERCOLATION RATE //.__.~___~ (mmu,es/,nch, PERC HOLE DIAMETER ~? ~~-- - CERTIFY THAT THiS TEST WAS PERFORMED PERFORMED BY: ACCORDANCE W~~NiCIPAL GUIDE~FFECT ON THIS DATE DATE: 72-~8 (Rev 4/85) 17034 Eagle El~ L~p Read No. 2~ / E~le River/Alaska 99S77 ON-SITE WASTEWA TER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MA TERIAL SPECIFICATIONS REFERENCE: Glen Eagle Subdivision, Block 3, Lot 8 GENERAL: 1. The scope of this project includes the installation of two five foot wide drainfields to serve the existing three bedroom residence on the referenced property. The existing septic tank is to be excavated to verify integrity. If of poor integrity, the tank is to be abandoned and a new 1000 gallon septic tank installed. The existing leachfield is to be abandoned in place. Construction shall be in accordance with the approved site plan and design dra wings; Municipal permit with any special provisions or conditions; and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soft settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Page Two Glen Eagle Subdivision, Block 3, Lot 8 October 27, 1993 All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soft not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soft backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Glen Eagle Subdivision, Block 3, Lot 8 October 27, 1993 Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MA TERIAL SPEClFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Page Four Glen Eagle Subdivision, Block 3, Lot 8 October 27, 1993 All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, it's gradation specifications must conform to current M.O.A. or D.E.C. requirements. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. GREA ER ANCHORAGE AREA BORL.,,?H Q Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM /__ /iL ( , ,4; ,.,'..' , PHONE LOC ATi ON"7~ ~ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER _'/~' INSIDE WIDTH ,~. :~r' 7' MATER~AL ~'- /"- :~- COMPARTMENTS ' LIQUID DEPTH _ _LIQUID CAPACITY /~' ~ ~' GALLONS. SEEPAGE PIT: .~ NUMBER OF PITS / DIAMETER __ OR WIDTH -.~ LINING MATERIAL~'/~'/'/~''T~ CRIB SIZE: DIAMETER BUILDING FOUNDATION NEAREST LOT LINE ¢ LENGTH ~' ?,' "'~D E PT H I~ DEPTH___ DISTANCE FROM: WELL TOTAL EFFECTIVE .,,~"' ,'~--& ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPIION WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES __ DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH _ SEPTIC TANK DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM ~2F:EFI'T [ 'v'E HCII.J:ii:; I N6i I I',ICi: I.~E!: B:ii: GI_E:I'.4 EFI(~I E; li!,lli:ll::)["ll:::i '!:Hid kl:::ft:;:'liii !:::iii'i' ! I'lFl::'::lf"lt..lt'l F41.1hlE::E1.41 Cfi: E:EI:)F:CIEd"I:E; =: :ii: IF-lEi i~:EC!LI I F:E[::, :!!; I Z.E: OF 'THE ':::;CI I I.. FIF:'9;rgI-:~:F'"I" Z CIN ?¢:~;'I"EI,I 1 9; 'THE I..EHG-fFI E:' I HEN:!i; ]: ON I:E; 'FHIE LIEiqGTH IHE I)E:F'"['H CIF FI TI~:ENE:H O~: F'I [ IhT, THE E:,I':~;T'Fgi"4C:E E',[-: I I.4EECf.,I IHE ;:;!;Ill;:1.::F:II'Ei ~d !t-il:: ~:~ifE:OLINI) FIND THE E:EFFI'Oh'I OF 'THIE E;:-:;C:R'v'FIT];E~N I HERE I:ii; NO :SE'T HIE:,'T'H F'OI~: I'HE C~F~:FI',,,'EiL E:,EF'TH I :ii; THE f'l I i'-,I ~ql"41;:., 1.' HIE E:CFI"I'Cd'"I OF '7 HE; E::'::E:FI',,,'F~T I Ed"4 ':: I N FEEi:T ':,. I"1] 1'-4.[1"tl..tM [)I'E-i;T'FtI"4C:E E:E:'.TF.IEE:N Ft HELL FINE:' FIN't' CIN-:i~;I1.-E ::~;EI.,IRI]~iFi: [)I:!i;F'l:]l:::i;l::41 '::','::i;'! i:!'l !'.:; :LOE~ F:EE I' F'Ot;~: FI F'IE:I'v'FITE: [,.IE!;[...[... OF;: 200 FEEl FOF?. FI F:'I.JE:I, I[:. MEI...I.. i.,~EI_I. I...C.]i?:; FIR:E [g: [E C! IJ ]: F~: E I:) FIN[)I"II.I~E;'T E;Ei: ~:E'T'UI~tNE;E:, '1'O THE!: [::,[iF:'F:ff;;:I'I'IFi:M'1. t.,1[ OF I'HE I.,.IEL. I. E:Cd"IF'LE: T Z Ed"'4 E,F'EC ]: F ]: E:FFT' ]: ONE; f~t"4E:' C:Oi'-4:5]'F:.'I IC:'T' Z Of'4 [:, I Ft6i!~:FIh'lg; F~I~tE I:I',,,'FI J' L FIE:[ E I 1.' :[ F "," T' H Pt'1.' FIt'I F:F~i'"I I I.... :[ FIR !-,.I B'¥' THE: hlI. li'.~ICtF'FII., t'1"¢ C)F:' F:INCHCd;:FIC:iEi. !-4 1 L.L.. I...II'.4[)FC~::E;']f::I~'.4E:, -1.'HFt-[ THE:~ ()l".F~:i~;1. 1.[~: :i~;[::I.,.IEF; ?'r':!~:'l't-~f't I'IFI'T' F;:E]E~Lt[FE:E!. Ei]l"41 F:ff;:C!iF:r'tF::?,i! ii::. if-it:: [)EI'.JC:E Performed For Leoal qescription: This Form Renorts Soils Loq 2204 Cleveland Anchorage, Ala.~ka 99503 L'), ~- ~.~ Oat~ Performed Lot ,f' Bl'ockc~'77; Subdivisinn___(]~,/~'~PercolationZ~-~,~,,~;~est 6 10 14 16-- 18-- 20 Was ~round Water Encountered?;~-~ ~m I¢ Yes, At what Denth? /~' I Readinq Date Gross Time Net Time Denth to H2C Percolation Rate ~linute Prnpcsed Installation: Seeoaee Pit Drain Field Deoth of Inlet Deoth To Bottom Of Pit Or lrench Tes~ Performed By Net Dron Date: M-W DRILLING, INC. DRILLING LOG Well Owner Use of Well Location (address of: Township, Range, Section, if known; or distance main road__ Size of casing Static water level Screen ( ); Describe screen or perforation Well pumping test at__gallons per (hoar) of drawdown from static level. Date of completion .Depth of Hole__ feet Cased to feet ft. (above) (below) land surface. Finish of well (check one) open end Perforated ( ). (minute) for hours with WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness ); ft. TO TO TO_ TO_ TO TO TO_ TO TO_ TO TO TO_ TO TO TO 2 -- STATE I GENERAL INFORMATION NIIMBER OF BEDROOMS: 1YPE OIF WATER SUPPLY: I!uhv!dtt;d 4 TYPE OF WASTEWATER DISPOSAL: 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 17034 Eagle River Loop Road No. 204 Address ~%-,~A ~lwr, At.~.~ ~ ~q~.77 .~ Engineer's signature ~'-~/~/~/~ ~/ ~ Phone Date ?o/~.~./q~ DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments 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 MOAft21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division ~vv//~o~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-_4~,~ Health Authori~ Approval Checklist Legal Description: A. WELL DATA Well type ¢1~ ~J ~'¢~--~ If A, B, or C, attach ADEC letter. ADEC water system number Log presenl~q) %{/' Total depth ~) ' Sanitary seal(~4) Date completed Cased to ~,~, ;/ FROM WELL LOG Date of test Static water level Casing height (above ground) Wires properly protected~N) AT INSPECTION Well production /~5'- g.p.m. .~, O ~- g.p.m. WATER SAMPLE RESULTS: Coliform Date of sample: ! B. ~HOLDING TANK DATA Date installed //-//~-~ Tank size Foundation cleanout (~N) Date of Pumping Nitrate Collected by: Other bacteria ~ ENGINEERING ,~,¢4 ~-9;e ~iver Loop Road No. 204 :*~r, A~aska 99577 /~z:~o Number of Compartments ~L- Cleanouts ~,J) Depression (Y<~ ~ High water alarm (Y/N) Pumper .,.7'-.~, f~ C. ABSORPTION FIELD DATA Date installed //- l/--'~ Length J~ G ! Width Effective absorption area ~'-~ ~7 ~ Monitoring Tube presentc~J)__~_~ Depression over field (Y~) . Date of adequacy test /o ~ / ~.- ~ ~- Results~ail) /~,4-~'~ For Fluid depth in absorption field before test (in.); ?*' Immediately after ~/?~ gal. water added (in.): Fluid depth ~" (ins) Minutes later: 7 Absorption rate = g.p.d. / Peroxide treatment (past 12 months) (Y~). /J~)/J ~ /~)* -~ If yes, give date Soil rating (g.p.d./fF or ft~/bdrm) ~, ~' System type J~,~/~f,,cd ~ ,--~_~J~ ~- ~' Gravel thickness below pipe _7 ! Total depth ~ / bedrooms /2.. 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* E. SEPARATION DISTANCES Size in gallons "Pump on" level at* _..------------~-- *Datum ~" level at* F, SEPARATION DISTANCES FROM WELL ON LOT TO: ~holding tank on lot //Z- Absorption field on lot l::z-7 / Public sewer main /5/4- Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM~"~-~C~HOLDING TANK ON LOT TO: i-/ Foundation ! c3 J Property line /z~ Absorption field Water main/service line [~ /..c Surface water/drainage /'~)a /~ /oo /O/ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line ! Surface water / o o Curtain drain Building foundation -~ ~ ) Water main/service line 4..- Driveway, parking/vehicle storage area /~,/'J ~--g "') Wells on adjacent lots / ~)o ENGINEER'S CERTIFICATION I certify that lhave determined thru field inspections and review of Municipal recor~~~s are inconformancewithM~/~AtA~delin~jneffectonthisdate. Signature Engineer's Name HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number CT&E Environmental Services Inc. Laboratory D~vlsion .............. Laboratory Analysis Report CT&E Ref.# Client Name Project Name/// Client Sample 1D Matri~ Ordered By PWSID ,~ample ReanarkS: 965282002 S & S Engil~em~ Eagle River Hgt./Glen Eagle SD L8 B3 Gtcn Eagle S/D Dmfldt~ Water 0 Cll~na 1'O// Printed Date/Time 10/04/96 16:29 Collected Date/Time !0/03/96 11:15 Received Date/Time 10/03/96 15:55 Technical Director: Stephen C. Ede Released By ..~r,~,~ ~' Parameter Results P0L Units Allowable Prep Anatyzi$ gethod Limits Date Date Init Nitrote-N 0.332 0.100 m~j/L $M18 45D0'NOM 10104/96 [MS Coliform 0 0 cot/lOOmL 5~18 9222B 10/03/96 TAV 200 W. Poller Drive, Anchorage, AK 99~18-1605 -- Tel (907} 562-2543 Fax: (907) 561-5301 3180 Peger Eoad, Fairbanks, AK 997OIL§471 -- To[: (907) 474.8656 Fax: (907) 474-9685 ENVIRONMENTAL FACILITIES iN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURi, NEW JERSEY. OHI0. W~SI VIRGINIA zTL il:l? CT&E ES[ ANCHORAGE ~ 90?6941211 N0.611 ~06 CT&E Environmental Services Inc. I~ b o r a t o P/ D ivi S id n ~.`~'~..~'`.`~.`~.~~`~`~.`~'~`~-`~`~'~`'~`..~r`~`~'~`'`~``~`~r``~''~.`~.`~r.``~.~~ Drinking Water Analysis Report for Total Coliform Bacteria 200 w. ~o.er Oriv, Anchorage. AK 95518-1605 READ I.N.,CTRUCTZONS ON ~VE~E $1DE BEFO~ COLLECTING SAMPLE Tek (907) 552.Z3~3 Fax: {907) 561-5301 MUST BE COMPLETED BY WATER Sb?PLI'ER [] PUBLIC WATERSYSTEMLD.# l JJ'J j [ j I~ PRIVAT£ WATER SYSTEH: Sen d lnvoice SAMPLE DATE: SAgMPLE TYPE: Routine ~ ..T~eated_Water Repeal Sample (for routine sample [] UntreoTed Water with lab re£ no. ) Special Purpose LOCATION Time Collected Collected By TO BE COMPLETED BY L~J3OR,ATORY Analysis shows this Water SAMPLI-~ to be: .~ Satisfactory 0 U,'~satisfactory 0 Sample over 30 hou~ old, resuJ~ may be unreliable O S~mple too IonB in transit; s~mpl¢ should nm b~ over 48 hours old a; examination to jndici~e relimble result. Please send new s~mple vi~ special dclive~ mail. .... ~ ~b-~-' Date Received Time Received Analysis ~Jega rs Analytical Method: .~"'"Membr~ne Filter g MMO-M'UG * Number of ¢olonles/100 mi. Lab Ref. No. Result* Analyst 0~ ~'~ Sen[ tO A.D.F-.C. Aneh Fbk..s Jun F~xed Client notified of unsatisfactory results: Phon~.d Spok~ wtth Fnxed Date: . Tim~, BACTERIOLOGICAL WATER .M~/d,~YSIS RECORD MMO.MUC Result: Totai Coliform Membrane Filter: Direct Count VeeJfielti0n: LTB Fecal Coliform Confirmation £. Coti 0 Coloniesl100 mi COLIFIRM Final ~embrane Filter Result~ Coliforml]00 mi Co~,~: ':' AP':-' 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 Parcel I.D. # ~)¢L,~ _ (~,\_ .~.'-~ 1, GENERAL INFORMATION Complete legal description Lot 8; Block 3; Glen Eagle Subdivision Location (site address or directions) NHN The Clearing Drive Property owner H.U.D. C/0 ASSOCIATED BROKERS Day phone 563-333 Mailing address 640 W. 36th Avenue Anchorage, AK 99503 Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 2 ~ TYPE OF WATER SUPPLY: Individual well XX× Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XXX 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#23 sluowwoo leUO[~!pp¥ :suo!lelnd[ls [~U[MOIIOJ aql ql!M 'suJooJpeq JoJ leAoJdde leUO!l!pu'oc)' 'poAoJddes!a 'SbUOOJpoq ~ JOJ po^oJdd¥ -~ =II:In/VNIDIS SHHO '9 t:i=I=INION=I Afl NOI.LO=IdSNI :10 .I.N=IIN=I.LVJ. S 'S Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~(~/~-A E~Z~L~ ~(~'/~). Parcel I.D. ~/~')~::~--~/~-'~- A. Well D.t. Well type ~l ¢~ ~ If A, B, or C, attach ADEC letter. ADEC water system number Log present, N) ~/ Date completed /~/Z~/~ ~ Driller Total depth ~ ~ / Cased to ~q. ~ ' Casing height Sanitaw se~) ~ Wires properly protected) FROM WELL LOG AT INSPECTION ' Date of test Static water level Well flow . . Pump levell SEPARATION DISTANCES FROM WELL TO: Septic/h~ tank on lot , Absorption field on lot Public sewer main Sewer service line WATER SAMPLE RESULTS: Coliform Date of sample: /D/~/~ Nitrate A./T~ Other bacteria Collected by: .~ ~ .~ ~Od~ B. SEPTIC/HOEBI~G TANK DATA Date installed ///- ///-~ Tank size ,/~ ~/z3/-~Compartments Cleanout~N) ~/ Fou n dation clean ou[/~/N) High water alarm (Y~ /',--// Alarm~ tested (Y~ Date of pumping /,._l./'/¢~t, Pumper ~ ~-/~l -/'-,~/,..J ]~- SEPARATION DISTANCES FROM SEPTIC/~TANK TO: Well(s) on lot To property line Surface water/drainage On adjacent lots Absorption field Foundation //"~ Water main/service line 72-026 (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) ~ DISTANC..~M LIFT STATION TO: SEPARATION Well on lot _~ On adjacent lots D. ABSO~RPTION FIELD DATA Manufacturer ~ Manhole~) "Pump on" level at ~ "Pump off" Level at ~ Cycles tested Sur[ace water Date installed Length ~'~-~ / Width Total absorption area Date of adequacy test Water level in absorption field before test /--~/'~ Peroxide treatment (past 12 months) (Y/~? ~-~/ Soil rating (GPD/FF) / Gravel thickness Cleanout presen~iN) Results (pass/fail) System type~'/'/'/~z-z- ~ .~ / Total depth Depression over field (Y/~) /'--// ~ ~:5-'77h--~,/¢ r ~--~ Bedrooms After test /,-J//~ If yes, give date )'-~//'~ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: / Well on lot /'~- ~ To building foundation ~.~ ~ On adjacent lots ~/~/ On adjacent lots ? ~ ~ Property line To existing or abandoned system on lot Cutbank /~ / ~ ~ ~ Water main/service line Surface water Curtain drain Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION SignatureEngineer's Date HAA Fee $ ~ L~c") , ~FZ'? Date of Payment //~ - d')/~ ~-~ Rece,ptNumber Waiver Fee $ Date of Payment Receipt Number Chemlab Ref.# Client Sample ID :LB B3 Mat r ix : WA'i~I{ COMMERCIAI..TESTING & ENGINEERING CO. ENVIRONMENTAL LABORATORY SERVICES REPORT of ANALYSIS : 93.5722-7 5633 8 STREET ANCHORAGE, AK 99518 GI'~N EAGLE S/D TEL: (907) 562-2343 FAX: (907) 561 5301 Client Name :S & S ENGIN~ING WORK Order :72570 Ordered By :R. SHPe'~R Report Completed :10/29/93 Project Name : Collected :10/25/93 @ 14:50 hrs. Project# : Received :10/25/93 @ 17:20 hrs. PWSID :UA Technical Director:S'r~'HEN, C. EDE _ Released By : ~./~ Sample Remarks: ROUTINE SAMPLE COr~C'r~u BY: S.S. QC Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Init Nitrate-N 0.10 U mg/L EPA 353.2/300.0 10 10/28 LLH * See Special Instructions Above UA = Unavailable ** See Sample Remarks Above NA = Not Analyzed U = Undetected, Reported value is the practical quantification limit. LT = Less Than D = Secondary dilution. GT = Greater Than ~~-~ Member o' the SGS Group (SociCtb GbnCrale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS. OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY. SOUTH CAROLINA COMMERCIAL TESTING & ENGINEERING CO. AK DIV CHEMICAL & GEOLOGICAL LABORATORY TELEPHONE (907) 562-2343 5633 B Street Anchorage. Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER E~ PUBUC WATER SYSTEM I.D. # F I I I I I I 't~I!VATE WATER SYSTEM Mailing Address Mo. Day SAMPLE TYPE: Check Sample (for routine sample with lab ref. no. ~ Special Purpose Slate Zip Code Yea r [] Treated Water [] Untreated Water SAMPLE No. LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: '[Z~ Satisfact cry [] Unsatisfactory [] Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received J O/Z~' / Time Received / '*720 Analytical Method: Membrane Filter * No. of colonies/100 mi, Lab Ref. No. 1~. ~7zz Result* Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS Membrane Filter: Direct Count Verification: LSB BGB Fecal Coliform Confirmation Final Membrane Filter Results,~ ...o,,ed By. /.' A. ~.,/ TNTC = Too Numerous To Count OB = Other Bacteria ~SSS Memberof, Date Time: RECORD Coliform/100 mi Coliform/lO0 mi PART ONE OF TWO: REMAINDER TO FOLLOW MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ";.-~ OF ON-SITE SEWER AND WATER FACILITY * ~ :'~ ~ '," '.L':' ' 264-4720 , . r. ' ' Application Date [ - 1. GENERAL INFORMATION ~ ': ~' ', ; ' Location (address or directions) · ' ,- r:, ,".~¢',ff',' (b) :,Applicant Name ~ ~~ Telephone: Home (a) Legal Description (include lot. block, subdivision, section, township, range) "";'A~pl,cant Address (c) Business Lo~ ~L . ~5~,~ Applicant is (check one) Lending Institution []; Owner/builder []; Buyer []; Other J~ (explain); (d) Lending Institution~-.,r'~.r"~~"'~ ~,,~-~-~1~ Telephone ~--'~'L. Address /~, ~\ c.~l.~'~'~--/>-~.~ ~ , (e) Real Estate Company and Agent Address ~ ~ Telephone ~ (f) ~the HAA to the following address: SRB 196x TYPE OF RESIDENCE Single-Family/~-- Multi-Family [] Number of Bedrooms ~ Other WATER SUPPLY Individual Welll~- Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite~'- Public [] Community [] . Holding Tank [] ~,i; Note: If corn munity well system, must have written confirmation from the State Department of Environ mental Conservation i"~. attesting to the legality and status. Page 1 of 2 72-025 (11/84) SPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATU eto and as of the validation date shown below, I verify that my investigation of t~ Jpply and/or wastewater disposal system is safe, functional and ade bedrooms and type of structure indicated herein. I further verify that based on the information obtainec the' Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or posal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on il Address __ 'Date this inspection. of Firm S & S Eng|neer|ng Ea~le ~lver, Alasl~a Telephone ,/ D HEP APPROVA~L ~/~'')-~'~'~ (~, Approved for / CJ._~C') bedrooms by,/,~y"~./_.y' ~/~)~d ~, ,~c'~_,~,~Da,e Approved __ Disapprovdd ConditionaLs/ Terms of Conditional Approval 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) ~, WELL DATA MUNICIPALITY OF ANCHORAGE (MO.~l HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST o FEBRUARY 1984 264-4720 Legal Description: MUNICIPALITY OF ANCHoRAGF. DEPT. OF HEALTH & Well Classification --,'/'~.t ~/,.r4.~- ~.. Well Log Present Total Depth ~¢~ ' Cased to ~. Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: If A, B, C, D.E.C. Approved (Y/N) Date Completed /'o ~ -".-~-'- ~7/.. Yield Depth of Grouting ~-~/~' Pump Set At ~ Sanitary Seal on Casing (~N) Depression Around Wellhead ~ To Septic/Holding Tank on Lot I o ~ ~ ~'' ; On Adjoining Lots To Nearest Edge of Absorption Field on L~)t /~oJ'¢- On Adjoining Lots To Nearest Public Sewer Line A/~._ To Nearest Public Sewer Cleanout/Manhole ~ To Nearest Sewer Service Line on Lot Water Sample Collected by -~ { ~ ~-.t4 e. ~¢_.¢~.~.~r~c. ; Date ~- i/"] --~;~ Lc Water Sample Test Results _c.~?,....~_,,.~ ~,k-¢~ Comments ~:~.'t ,Z ." -r~ b, 'l~, -~P,~,~. ~E_ ~[ "'~-~P ~.~,~',,~-~-~ B. SEPTIC/HOLDING TANK DATA Date Installed Stand pi pes ~/.h~ Depression over Tank ,{~) 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 M&:,F,/Service Line Course Size /~; o ~ No. of Compartments 7_. Air-tight Caps ~',N')' Foundation Cleanout ~ Date Last Pumped /~- ~'¢~'~ ~.q A/~.~'- ; for -- Temporary Holding Tank Permit (Y/N) To Building Foundation /~ ~ *' To Disposal Field ~-'~' ~ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72~026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed /0 -/~- "7C Width of Field ~C~ ~ Square Feet of Absorption Area Depression over Field Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot Length of Field Depth of Field Gravel Bed Thickness Standpipes Pr ese nt~T/.N"/ Date of Last Adequacy Test To Water McJn/Service Line ~-O ~'~' To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Type of System Design To Property Line /@ / ~ To Existing or Abandoned System on ; On Adjoining Lots To Cutbank {if present.) D. LIFT STATION Date Installed Dimensions Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all lylOA and HAA guidelines in effect on the date of this inspection. Signec~ & S Engineering Date / SP~B 196x Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) MOA N°~- OO _~ ( III"~II('..tL & GEOLOGI('.41. I.-IBOR.,ITORIIL~' TELEPHONE (9071 562 2343 5~3:~ B Streel Anchorat- A!aska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER P u,,,o WATER S YSTE, ,.O., PRIVATE WATER SYSTEM Name Phone No Mailing Address City State Z,p C,~de Mo. [3ay Year SAMPLE DATE: SAMPLE TYPE: ,/~/~ Routine Check Sample (for routine sample with lab ret. no. ii Special Purpose Treated Water Untrealed Water SAMPLE NO. LOCATION I I I Time Collected Collected ~_ J . J J J TO BE COMPLETED BY LABORATORY ?alysis shows this Water SAMPLE to be: ~ Satisfactory I~ Unsatisfactory i } Sample too long in transit: sample should not be over 30 hours old at examination to indisalereliable results Please send new sample via special delivery mail. .ate . ceived /-/?- 26 _ Time Received /~_(7//i9 __ Analytical Method: Membrane Filter ' No. of colonies/100 mi. Lab Ret. No.Rnsult*Analyst I/.'3~""~ I 1~ ~,q._ J I1] _ J II] _ I II] BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLI..ECTING SAMPLE Membrane Filter: Direct Count Verification: LTB BGB Final t,% mbrane Filler Results O R~.porti'd By "~ ~ {~ "'~'~- Date Time: TNTC = Too Numberous To Count OB : Other Bacteria C oilfo~ m/100ml Coiitomdl00ml 1--/¢'- 2' 6 APPLIC Property Owner Hr. & Mrs. Ken Boyd Mailing Address P.O. BOZ 2380. Anch.. Ak.; 99510 Buyer Mr. & Mrs. Lar[y Vend1 Address 317 Pri~tlof Loop Lending InstituHon Ak. Pacific Mortgage Co. ,, Attn. Terri Dubell Address P.~t. Box 420 (101 West Benson Blvd_); aneh Realty Co. & Agent Coldwell Banker Jack White Co. Address 3201 C St., Anch.. Ak.,, 99503 Legal DescriptionLt 8, Blk 3, (~l~trl F..agle Sub street Location rb.~ Cl~l'l[ll~ ])~'~[V~ Type of Residence ~ Single Family ~ Multiple Family No. of Bedrooms 2 [i Other NT FILLS OUT UPPER HAl ONLY Zip Code Zip Code zip Code 99510 Frank Willis/ k C.Dale Murphy Zip Code Phone Phone 276-3110 Phone 277-1553 Water Supply  1~ Individual ATTACH WELL LOG. A we~l Icg is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach Icg if available). ! } Public Utility Sewer Disposal  I ndividual Public Utility [7 Holding Tank Year IndivkJual Installed: _ When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN RE INITIATED Time Time Time Time Date Date Date Date - ! Inspector Inspector Inspector Inspector Field N°tes: ,~r '0' ~" MAY 0 9 1983 ( ( ) DISAP~OVED ( ) CONDITIONAL APPROVAL' Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received Well to Tank Septic T~k Size EXCAVATION ROBERT A. SHAFER WORK May 15, 1983 CIVIL ENGINEER 694.2979 Coldwell Bankers Jack White Realty 3201C Street Anchorage, Alaska 99503 Reference: Lot 8: Block 3: Glen Eagle 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 verified to have a c~4~ity of~0 gallons. The absorption trench was tested by a continuous flow of water over a period of 48 hours without any adverse effect on the system. It can be concluded from this test that the waste water disposal system serving the ~wo bedroom residence located on this property is c~nlu~9_~nG%i~nin~ adequately. However, the system cannot be guaranteed against subsequent failures. If we may be of fur~,,~er service, please do not hesitate to contact us. cc: Hunicipality of Anchorage Department of Health and Environmental Protection ¢,RR lqr~Y F^61F FIIVFR, Al ASKA MU.lC,P^L,TY OF ANC.OR^G~... D?'._?S 826 L ~t~ - Anehera~, Alaka  MAR 2 8 't979 ENVIRON~NTAL ENGINEERING DIVISION · R E C E i V E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTION~: Complete ~11 pa~l on p~e 1. Ingo~la r~a will n~ a prE. Please allow ten (10) days for pr~essing. 1. PROPERTY OWNER PHONE MAILING ADDRESS ~ PROPERTY RESIDENT (If different'from Ebon) ~ PHONE PHONE MAILING ADDRESS 3. LENDING INSTITUTION ~ i I I PHONE MAILING ADDRESS 4. REALTOR/AGENT ' I PHONE MAILING B. LEGAL DESCRIPTION LoT 8. B~.o~- ~ STREET LOCATION S. TYPE OF RESIDENCE ~" SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four ~ Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY a. SEWAGE DISPOSAL S¥~¥~.M INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 'q/'~ ~ _../~ If individual/on-site, give installation date '/! . ......... .-- I[L · ~m-- ....... : ~ · . "7 I NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SiX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED r--]PUBLIC UTILITY Connection Verified INSTALLER []Septic Tan~or [] Holding Tank Size: 7~:~) ~¢~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank ]Absorption Area ISewer Line I Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS {~"~ APPROV ED FOR '"-~ BEDROOMS [~--"~CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev. 3/78) Hay 15, 1979 Gregory P. Bogus 1591 Eagle River Road Eagle River, Alaska 99577 Subject: Lot 8 Block 3 Glen Eagle Subdivision Approval for your individual sewer and water facilities will not be greanted until the following items have been completed: (1) The top of the well casing is sea]ed with a sanitary seal so that it is water tight. (2) Expose the standpipe to the leaching area for our inspection. Notify this department for a re-insp~ction when descrepancies have been corrected. If ther~ are any further questions, please contact this office at 204-4720. Sincerely, Robert C. Pratt, N.S. Associate Specialist RCP/ljw cc: First Federal Savings and bean 305 West 5th Avenue 99501. AF,;(:!~( ,l~/',(;F, Al ASKA 99502 (!!,1i~ ' ' .~,. ,Illl March 30, 1979 Gregory P. Bogus 159] Eagle River Road Eagle River, Alaska 99577 Subject: Lot 8 Block S Glen Eagle Subdivision Approval for your indivJdual sewer and water facilities will not be granted until the folloiwng items have been completed: (1) The top of the well casing is sealed with a sanitary seal so that it is water tight. (2) A four(4) inch cast iron cleanout be installed to the septic tank or leaching area. Notify this department for a re-inspection when descrepancies have been corrected. If there are any further questions, please contact this office at 264-4720. Sincc ~ly, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: First Federal Savings and Loan 305 West 5th Avenue 99501 Bryan Elsner 207 East Northern Lights Boulevard 99503 ~,~X MUNICIPALITY OF ANCHORAGr : \.' D~iARLI'MENT ~. HEALTH AND ENVIRONMENTAL . AOTE£T'ION ~, ~l_~J.~ / x Date Received: March 30, 1977 2nd Inspection: Time Date Inspector ].st Inspection: Time ~'~,'~ P;7~ Date ~ -~-77 ~ Inspector ~, ~f ~/~ ~ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska National Bank of the North Mailing Address: Pouch 7-010 99510 Phone: 278-4581/273 2. Property Owner: Brad Dickey Phone: 694-9239 Mailing Address; Star Route A Box 1613 99577 3. Legal Description: Lot 8 Block 3 Glen Eagle Subdivision 4. Single Family Residence: (x) Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: J Well Data: Type Individual Con s truct ion Depth Well Log Filed ( ) Bacterial Analysis Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site system (x) Public Utility Installed /~ ~/~ ~'~ ~nstaller ~ ~ ~ Manufacturer Soils Rate Material ( ) Distances: Well to Septic Tank ~o Sewer Lines Nearest Lot Line Absorption Area to Nearest Lot Line to Absorption Area Contact MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Stre~t, Anchoraqc, Alaska 99501 279-2511, exh. 224, 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES II ~ /0~ Type of nSl')ection: VA FHA _CONV XX Property Ownel:. BRAD DiCKEY/builder Mailing Address: SRA Box 161.3, Eagle River, Ak. Day Phone: 694-9239 Name of Buyer: GREGORY P. & CHRISTINE G. BOGUS Mailing Addless: E. Lakeridge Dr. Box 66, Eagle River, Ak. Name of Lending Institution: Alaska National Bank Day Phone: 272-8411 Mailing Address:_P°uch 7-010, Anch- Ak. 99510 Phone: 278-4581 ext273 5. Name of Realtor or Agent: N/A Mailing Address: Phone: Legal Description: Lot 8, Blk 3, Glen Eagle Subdivisimn Location: NHN Sunny Glen, Eagle River, Alaska 99577 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility i~onlf tndividu~al, date, of i.~llation hie Oldwyn Alaska National Bank No. Bdrms. Individual Individual (on-site) 003(3/7G) Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 8 Block 3 Glen Eagle Subdivision Comments: Affadavit Attached: ( ) Letter Attached: ( ) Approved , Date: ~ ~ ~ ~ · Disapproved: Date: Department Worksheet: