HomeMy WebLinkAboutGLACIER VIEW HEIGHTS BLK B LT 10Onsite File
Glacier View
Heights
Block B
Lot 10
#050-501-06
3 wells have been drilled on this lot.
Status of all wells shall be confirmed at
time of COSA.
Municipality of Anchorage' g L;=
On -Site Water and Wastewater Program - (907) 343-7904 Page
ON-SITE WASTEWATER INSPECTION REPORT OCT .16 2018
Permit Number: OSP181160 PID Number: 050-501-06
Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade
Name:
Richard & Christine Volk
ABSORPTION FIELD -EXISTING
❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
Address
23118 Myrtle Drive, Eagle River, AK 99577
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
-- GPD/SF
-- Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
-- Ft.
Gravel depth beneath pipe
-- Ft.
Subdivision Block Lot
Glacier View Heights B 10
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
-- FtZ
--
Ft.
Well
100'+
--
__
__
_
TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
ANCHORAGE TANK
Capacity
1 1000 Gal.
Surface Water
100'+
--
__
__
Material
STEEL
Number of compartments
2
Lot Line
5'+
__
__
__
NA
Foundation
10'+
__
__
__
LIFT STATION
Manufacturer
-----------------
Capacity
Gal.
Curtain Drain
NA
--
NA
Remarks Existing septic tank decommissioned
Pump on level at
in.
Pump off level at
in.
High water alarm at
in.
per code.
Pump make and model
Electrical Inspections performed by
PIPE MATERIAL House to tank D3034 drainfield Tank to
D3034
Installer DIrtWOrkS
Drainfield -- CO/MT D3034
Inspector ARCTERRA
BENCH MARK (Assumed elevation) 100 ft
Inspeection 1" 10/4/2018 10/11/18
Location and description
ction 2nd
3`d 4'h
Bottom of Door Sill
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
4`6
Conditional Approval: Date,
'
r~
T
9.
'�,<,';xE��n� • _. ray 's!,�
v
017 Aof
!}'ESSL okv
Approved Date
CO S IV
Inspection Report ST copy 3.doc
AS—BUILT SYSTEM DETAILS/SITE PLAN Permit ❑SP181160
GLACIER VIEW HEIGHTS LOT 10 BLK B PID# 050-501-06
Cb
O�
A -C=30,8'
B -C=23.3'
A -D=36.5'
B -D=18.4'
9
9
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760' cq^T
0
A�
S )0, 1V 240'
HFA ^ 3, FX/S
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Co V D Qq&\�
NEW 1000 -GAL / CO Os
CO SEPTIC TANK Co
EXIS71NG M
FIELDo
rn Z
0 n
LOT 10 1p5
39.04 99.10
W
z
0
Q u FINAL GRADE
f
0
A
0 1000 -GAL
(4SEPTIC
zr TANK
EXISTING FIELD
e OF AL\
jour�� <QS 1 PREPARED FOR;
1 RICHARD V❑LK
** , 23118 MYRTLE DRIVE
7,H
/ 9 f'V / EAGLE RIVER, AK 99577
• � S FIELD BOOKS coMPUTm:
�~1 CE 711 �$��� BOUNDARY: N A DRAWN: BMW S STAKING: N/A CHECKED: KMD
✓°�a�S 'e
\ AWrASBUILT: SLS DATE:
IOADN.10/11/1
DWG. FILE GRID: SW0159
ACAD FILE: FILE JOB No' 18-166
30•
YAMS
SCALEI NTS
DRIVE --- _—
MYRTLE —
0
90.26' (89.76' R)
N62'08'40"W
I ® WELL
I—,
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GANi GONG WALK
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28.9'
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M
LO
n
LOT 10
Z
BLK B
X1.19'
=300.00
PAVED
D/W
67.5'
10' UTILITY ESMT _ _
N56°04'55"W 150.56'
_T_ (N56°09'20"W 150.07' R)
ANCHORAGE RECORDING DISTRICT, ALASKA
ASBUILT OF:
GLACIER VIEW HEIGHTS SUBDIVISION
LOT 10 BLOCK B PLAT 70-151
SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated hereon are within the property lines and no
enchroachments exist other than noted.
EXCLUSION NOTES: It is the owners responsibility to determine
the existence of any easements, covenants, or restrictions which
do not appear on the recorded subdivision plat. Under no circumstance
should any information on this drawing be used for construction of
fences, structures, improvements, or for establishing boundary lines.
WORK ORDER NUMBER: DATE: SCALE 3°' E -MAL -
OCT 11, 2018 1"=9(1`
18-036-2 DRAY+ BY CHECKED BY GPoD NUMBO: BOOK/PACE
JLS SWO159 180227
Av
i b1. 4 TH°Y
...
cD HN L. SCHULLER:• '°
11a�, LS -10408
n
1-0 f6 AW
essionc� �+
WELL
N
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It
00
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Q' yOS L DRv��
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LI1 C�
1831 Talkeetna Street
Anchorage, Alaska 99508
(907) 227-1455 office
(907) 274-4992 fax
"'"P"L'rr• MUNICIPALITY OF ANCHORAGE
,'� `� mens
\ On-Site Water&Wastewater Program moo'
r I PO Box 196650 4700 Elmore Road
` , Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ''
.r http://www.muni.org/onsite C,
I>(• ,artment
NhCHON P�'E I
On-Site Wastewater Disposal System Permit
Permit Number: OSP181160 Effective Date: 6/27/2018
Work Type: SepticTank Upgrade Expiration Date: 6/27/2019
Tax Code Number: 05050106000
Site Legal Address: GLACIER VIEW HEIGHTS BLK B LT 10 G:0159
Site Mailing Address: 23118 MYRTLE DR, Eagle River
Owner: VOLK RICHARD & CHRISTINE Lot Size in Sq Ft: 27001
Design Engineer: ARC TERRA CONSULTING INC Total Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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 installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
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 •
Special Provisions:
1. MOA records identify abandoned well(s). Documentation that the well(s) have been properly decommissioned
shall be provided prior to approval of the inspection report.
2. The 1987 inspection report as-built shows a monitoring tube in the drainfield. The submitted as-built survey
does not show the monitoring tube. If the monitoring tube has been removed or cut down lower than finished
grade, it needs to be installed or extended prior to approval of the inspection report.
•
Received By: /I a (71,X2e Date: - 4 7/ ce
Issued By: A 6014-erDate: (o Air j
MUNICIPALITY OF ANCHORAGE
Community Development Department 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.
050-501-06
RICHARD & CHRISTINE VOLK... 907-727-1045
Property owner(s) Day phone
Mailing address 23118 MYRTLE DRIVE, EAGLE RIVER, AK 99577
Site address 23118 MYRTLE DRIVE, EAGLE RIVER, AK 99577
Legal description (Sub'd., Block & Lot) GLACIER VIEW HEIGHTS BLOCK B, LOT 10
Legal description (Township, Range & Section)
Lot Size 27'001 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field Initial 1 I Single Family (SF)
(w/wo ADU)
Septic Tank 1)1 Upgrade
Duplex (D)
Holding Tank Renewal
Multiple Dwellings U
Privy (SF and/or D)
Private Well ❑
Water Storage
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature c: operty owner or authorized agent)
Permit/Rush Fees: 4 015 Waiver Fees:
Date of Payment: to`021 1$ Date of Payment:
Receipt Number: (j Receipt Number:
Permit No. aS P!'' I Rob Waiver No.
Permit App_9-1-12 doc
.` �FtCTERRq
ARCTERRA
CONSULTING, INC
f R 212 E. 51st Ave,Anchorage,AK.99503
‘‘C" Office(907)868-3791, Fax(907)868-3793
' Sk I NG•
f•'•K pp5=1'�S
June 25, 2018
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Septic Tank Upgrade Permit— Glacier View Hts. Block B, Lot 10
The owner has requested we proceed forward to obtain a septic permit to
upgrade the failed septic tank on the subject lot. The proposed upgrade will
serve the existing 3-bedroom house.
The adjacent lots are served by private water as noted on the design. There is no
surface water within 100' of the proposed tank. We do not expect there to be any
adverse effect on adjacent lots by the development of this tank. If you have any
questions, please contact me at 868-3792/FAX 868-3793.
Respectfully submitted,
ArcTerra Consulting, Inc.
Kenneth M. I '• P.E.
Attachments: On-Site Sewer Application
Wastewater Absorption System Details/Site Plan
20441 PTARMIGAN BLVD • EAGLE RIVER,AK 99577-8736 • PH(907)868-3791 • FAX(907)868-3793
WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLAN
GLACIER VIEW HEIGHTS LOT 10 BLK B
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Scale: 1"= 50'
FLAG PROPERTY LINES PAGE 1 OF 2
WELL RADII & EASEMENTS
PRI❑R TO CONSTRUCTION
M
0
CO
". NO PUBLIC WELLS WITHIN 200' OF
o
PROPOSED SYSTEM.
NO PRIVATE WELLS WITHIN 200' CF DESIGN DETAILS
m PROPOSED SYSTEM EXCEPT AS NOTED.
NO SEPTIC SYSTEMS WITHIN 200' OF
a PROPOSED WELL EXCEPT AS NOTED, 1. INSTALL NEW 1000-GAL S.T. & INSULATE TANK IF <4' COVER.
O 2. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INT❑ SEPTIC TANK.
= 3. CONTRACTOR WILL ENSURE ALL SEPARATI❑NS TO ADJACENT
s WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC...
�46...\`
• j� ) oF Az. -4.6.,41 PREPARED FOR: �CTER
b AI�� I 1 RICHARD VOLK 1. A �4 ro,
`� .-1i 23118 MYRTLE DR. p° ��� cf,�
'I '-A. . . ; TI-1 ,N ,k EAGLE RIVER, AK 99577 m
Kn / .• fiP-+ • /� 907-727-1045 ,� yS �oo
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a` I FIELD BOOKS COMPUTED: s x
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`� I BMJNDARY:N/A DRAWN: BMW Z 4"' '. N
W Ir Www/
3 ti STAKING N/A CHECKED: KMD ,/ 41
cl, 11J 4/16",,,
/_"j / AS8UILT: SLS DATE: 6/25/18 •
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Tz�' 'c o�
FEssio _ DWG FILE: coo �� c ��
B \ SWO159 F,P p,VS 1$ `90
\``_ ACAD FILE: FILE JOB Na: 18-166 i�FR �K 99577��36
- WASTEWATER DISPOSAL SYSTEM DETAILS
GLACIER VIEW HEIGHTS LOT 10 BLK B
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DECOMMISSION — n/ COa�C� e'
EXISTING S.T.
*CO CANT
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CO CO
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INSTALL NEW 1000-GAL S.T.
W/ NEW
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FLAG PROPERTY LINES
WELL RADII & EASEMENTS
5 PRIOR TO CONSTRUCTION Scale: 1-= 30'
_..e. `- '11k‘\ PAGE 2 OF 2
c /��. • • <Q,� 1 PREPARED FOR! gCTER
N �rr� • RICHARD VOLK A
/ "1 �� 7 I 23118 MYRTLE DR. 446 1k c°c��
I * • *.41119 I EAGLE RIVER, AK 99577
907-727-1045 a� / ', \
tKENNETH S / FIELD BOOKS COMPUTED: / K
WCE- • i I BOUNDARY:N/A DRAM: BMW Z 'A' •t,
1 z 74?,.0'' ASBUILT: DAIS: `CD �+•»•
FEs - / SLS 6/25/18 tr 0�
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9
ZACAD FILE FILE Joe No': 18-166 1,FR, A .99577' rsi
MYRTLE DRQ ----__
0
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90.26 (89. R=300.00
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WELLel
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(D 2.02' 00
CANj CONC WA K N'
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0 24.0'
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to % EN."
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47.0' 0 �_ •— r--I
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Q o DECKEl
11 1.59-1E0 N 0
16.0 • • 14
W • SEPTIC Cb
a LEAN TO VENT ti
O (typ) 6, o e
N o N
In
inV")
to LOT 10 M
Z • BLK B
10' UTILITY ESMT _
N56'04'55"W 150.56'
7 (N56'09'20"W 150.07' R)
ANCHORAGE RECORDING DISTRICT,ALASKA
ASBUILT OF:
GLACIER VIEW HEIGHTS SUBDIVISION
LOT 10 BLOCK B PLAT 70-151
�.4������‘ 11D S U
SURVEY CERTIFICATE:I,John L.Schuller,Have conducted a i ..F AL ' tib ' LAND RTI�
physical survey of this property as shown on this drawing and that the // ,`S..••'' •••1 iN NI w4 ANO S pr
improvements situated hereon are within the property lines and no 'C, . • `) '•, 11
enchroachments exist other than noted. G1: 49TH i' , N �'�
EXCLUSION NOTES:It is the owners responsibility to determine / * : I l -. * �' ��
x r
the existence of any easements,covenants,or restrictions which L, C / U o t—'
do not appear on the recorded subdivision plat.Under no circumstance r 73 , �� U) A' ;.,, C)
should any information on this drawing be used for construction of �i c0 '.J L. SCHULLER.. ��
fences,structures,improvements,or for establishing boundary lines. 'P,. LS-10408 �ei 't•.„.,,,,....- ' •
WORK ORDER NUMBER: aA� e-r�r '1`0^e •.• L�j .§00 1831 Talkeetna Street
JUNE 22, 2018 1'=40' 1aA +ZZ, •E �a,r Anchorage, Alaska 99508
18-036 a'^”"e,la,Eao-n ORO 8001C/PACE: \\�0fessiono\ \''I (907) 227-1455 office
JLS SW0159 180164 \N7"�I (907) 274-4992 fax
' MUNICIPALITY OF ANCHORAGE
.... " oL *TMENTOF"EALTHANDH"MA"SE" o£oYOI
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~ame -- DISTANCES
WELL
~dd~.~ FROM ~ TANK FIELD
Permit No. . No. of Bedrooms
Pho.~) ~~ WELL
~/- ~ ~ ~ ~ ~ LOT LINE
/
LEGAL DEECRIPTION
LOt ~ Bloc Subdiwslon
/~~ ~ ~e~ ~ ~/P~ FOUNDATION
Township, Range, Section
/ AS-BUILT DIAGRAM (Show location ol well, septic system, properly hnes, foundation,
~ SEPTIC~ ~ HOLDING ~,~
' /
Manulactu~er Capacity m ~allons ~
~~ l ~ ~' ~ / r~
Material NO. of Compadments
/
TYPE OF SYSTEM t Zx,~n~J~ '~,~
/
~RENCH ~ BED ~ W. DRAIN ~ OTHER fi='/)r'~
or,ginal grade / FT ~ FI &~/ ,TI~'~
Fill added above onglnal grade Gravel depth beneath pipe ~
Gravellength ~ / FT Gravelwldth ~. [ FT Ce2;~
area Distance between line
TotaJabsorptlon ~ ~ SO FT 3~n FT
Number DJ lines Soil rating P,pe m~terial
/ /~ SOFT ~3~¢ /~,~
Installer Dale Installed
WELLS ~ .~
~PRIVATE ~/S?l~y.~,..~ OTHER Ilde~tifvl
Cless~csbon (A,B,O~ 7oral Depth Cased to
FT FT
REMARKS: :
/
~Z~/~ ~ ~ ~// ~ ~ / ~ ~'c7~/~ ~AI~ Scale: FI J ~ ~ ENGINEER'S SEAL
/4
(ENGINEER:~SEAL)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES .,~:~?-
825 L Street, Anchorage, Alaska 99502 0650 ~.~ ~.
SOILS LOG -- PERCOLATION TEST
Townsh p, Range, Section:
LEGAL DESCRIPTION: ~t~ ~, ~ ~~ ~ SIT'~P~E LAN ~'~
k]~¢~ F'~, s,oPE
4
7
~ ~' '~/~.~/~ ~,,-r'
9-
WAS GROUND WATER
10 ~::~1-~ ~ ~ ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
12 E
Depth to Water Alter
13 - Monitoring? Date:
14-
15-
16-
17-
18-
19-
Gross Net Depth to Net
Reading Date Time Time Water Drop
t -~/~ 1~'~ ~o~ ', "z- ~/,- ....
20 - PERCOLATION RATE ~'~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN AND '~ FT
COMMENTS
PEaFORMED ~Y: 17034
,. ,. ,,. ,,,,,
ACCORDANCE WlT~ALL STA~E AND BUNICIPAL GUID T ON THIS DATE. DATE:
72-008 (Rev. 4/85)
A F:'Fq.... I CANT
CCq%'J' r:':i(~]:'i' I:::'I"IJ;)NJ!:i
rcm'Lb by the l','h..u'Jic:ipa1:i, tY c:.~' Ar'lcl"Jop~;u~.:)E' (i'"iOA) ar'id '~..he~ State c~'? Alaska,,
WiL. L- NO'I BE AI:::'PROVED WI'f'H~]U"f AN EL,.E:CTR!DAL.. INSPECT:!iON RE]::'ORTjl AND (:]~:} 'J"HE
I~JJ]..EC-I R]i(](.tL.. WORK MUS'i BE DOF]E[ BY ~.~ L..]iCENSED EI._.E~iC'T'RI[]IAN.
S 8,~ S ENG 1[ NE]ER ill r',!G
PH{]NE
"I"b;EEt)
:1, 70:!;,:~.
lie ,,
!._EG¢4.. ;01ES(31::.:,' ill F'"l" 1[ (3H ,I L.C}'f' J. 0 ;Ed..J< :('3 (,:~Lr%{3 Z Ell::;: V Il IEt¢~i HTS ,,
SEE:: :i.
L.t'i~T ~:~i[ZE... 2,'5'?00
I"if:~X. NLildM!:F:.: t}l:: E;IE{i)I::;:E{OHS: 3
S{:;~];L. I::,'~¥;'Ii'..IG: ¢.50
8illJ ]!l I.. l'~}i;~::~;"t :t}Et:"l'H = :t. 0 I-':T
'l H ]1S ;1: S APl tJF'GRAi}E ill!i:' :!; BIEDREiE{td TO THE; EX ]1S"f :( NE.i 8iEI:::'T )1C SYS'f'Eid
'['I::?i:::NE:H i:.';qED l>J. DRf:.~ ]1 l'4F ]1Ei.D
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't'(3Tf:~t. DIEI::"I'H 0 O S i ~~' ~'~¢~
!;-! Il DI'H () 0 i:~i
~::;I}! F"i ,, 0 0 450
Si:::'iEE: ;t1P~t.. CEiI',iD 1i1 "I 1i; Oi;.tS E{I':;.: ;~ hl!iii'i'l:;;:tJC'f' ;Il E{i',.t!::_~
I'H!:: ....... 1.., I J..Iu lOl:;,'r:~ ;!l txtl::;[ lEI_;0 11: '::' 't"O }':i: ¢%;8¢;~iq:)ilIi'~tE;D ltl t",i F- t..~-~._.,:: ,, "-L~::' F:'t::;',EiI:'i3(:iiED
;11 ~i Ti{i{ i'!di:i: Ei:i:{Viii::I;~E::D t:,l {il TH 2 F;"!':. (;:{1':' F :( L.L.. I:'I....!..!S 2 ]1 n ,, {:IF {il i',!E;L. L¢/I ~il E.N.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: /'t,'V ~-~") (~"~ ~.
LEGAL DESCRIPTION: I,-~oT /C7' /'~./~- /~
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18,
19-
20-
DATE PERFORMED:
Township, Range, Section: //c//~J' ,
/ ~o '~ /~,'L.
$ / cT'5
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth to Waler ~Aft~er
Monitoring? ~ Dale:
J
PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __
TEST RUN BETWEEN FT AND __ FT
COMMENTS L~_.
PERFORMED BY: I?O~4 Eagle Flyer I. oep Read NO. 21j:)4 CERTIFY THAT THIS TEST WAS PERFORMED IN
Eagle River, Alaska ,9577
ACCORDANCE WITH ALL STATE AND MUNiCiPAL GUIDELINES iN EFFECT ON THIS DATE. DATE:
72-008 IRev. 4/85)
Gross Net Depth to Net
Reading Date
Time Time Water Drop
SULLlVt W TE [
P.O. BOX 670272, CHUGIAK, ALASKA 9956~ o TELEPHONE 688-2759
ADDRESS STATIC LEVEL OF WATERF[.
PERMIT NUMBER :
_.to &.
KIND OF FORMATION:
From O ..... Ft. to-~' ' Ft (2rqd~,~ ~ .,~'T/~,~ d ~ From
From c~ Ft. to ,,~ ,.. Ft. , Q~~_,O Erom
From .5~ · Ft. to.d'? Ft. ,~"~'~' C ~;~ Y ~4,i~=. ~'~om
6~dve~od/~,n__ Ft. to
From t ~'t .Ft. to I /b~Ft~(~.f~O " ~ ' '~ '~
/~a~ From.
From. Ft. t0. Ft. ~_~0Z~ ~ From __ Ft.
__Ft. to_. Fit.
Ft. to. Ft.
Ft. to Ft.
Ft. to . FL
.Ft, {o ...... FI
Ft. to
Ft. to. .
Ft. to
From Ft., to___.Ft From Ft. to
From Ft. to ..... Ft .......
From_ . Ft. to___
From ___Ft. to__ Ft ......... From _. Ft. to
From__,_ Ft. to ....... Ft. From Ft. to
From ...... Ft. to ...... Ft.__ From ..... Ft. to
Ft.
Ft.
Ft..
Ft.
/ o5~
, ~_4,.,*.~ ~, ~-~
DRILLER S NAME ._ t/d? - ~ ....
05-o5o1°
certi f"v tha'L~
fc, r'.th bv the Munic:J. pality c,f Anchor'ag~:, (MOA) and the St.a'L~:, c:,f' Alasl.::a.
]: t~.~j.].]. ~i.r'ista].]. the ~:~ys'l:..,::,ri~ :i.n a,::::cOr'.cJ~:tr]c<:, ~.~:j.-l:..l"t .:~].]. MOA cc, des and
arid J.i"i c:omp ]. ianc::e t~i'l:..h thc:, des:i.,]n c:r. iter. :i.a of th J.s j::)er'mi'['...
]:i. 1::: C)P aF]~/ ~:::d.~ac:(::,l']']:.. c)p l']G:.)~tl"J::)']~ ].c)'L,
~ '% ,/ 'MUNICIPALITY OF ANCHORAGE
DEPARTME'NT OF ¢IEALTH & 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 ~/ i / /~ ' / / IPHONE I~NEW
MAILING ADDRESS ~) /~ ~, ~//
LEGAL DESCRIPT~N ~ ~ ~
/ I Well ~ ~ Absorption area ~ I Dwelling ~
DISTANCE TO: ~ /~ ~ I ~ '~ I ~
~ Manufacturer ~ ~ .__ _ ~a~ / No'f compartments
~ Liq. c~pacitv in gallons I IF HOMEMADE ] Inside length I Width L qu d depth
I /00o : I
~ ~ DISTANCE TO Well ~ Dwelling PERMIT NO.
~ Manufacturer ' /~ / ~ I Liquid capacity in gallons
Material
Nearest lgt lir~ ,/~_
Trench~idth
~'~ 0 inches
DISTANCE TO:
No. of lines /
I Topofolet(~finish
Length
Type of crib
DISTANCE TO:
Class /
c
DISTANCE TO:
We?o
Length,o .n
§fade
Width
Well
t~uild[nCundation
Total let~~ Ii?
Ca.t, erial bene~t~ tile
)epth
inches
·
Total effe~or~im area
PERMIT NO.
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller
Sewer line
Distance to lot line
PERMIT NO,
Absorption area(s)
Septic tank
OTHER
PIPE MATERIALS -
SOIL TEST RATING !
iNSTALLER //~. 5-~ ?//Z~.~
72-'01~ (Re~ 3/78)
DATE LEGAL
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological ~ Geophysical Surveys
LOCATION OF WELL (Pleoee complete either Io~ ih or lc.)
Anch ?,,Zaci,e,r~_ 10 B. I-of-o'-of-
,-;71~. I D,ST^.CE ~%ff.J~.~l~ F.OM .OAD ,.TERSECT,ONS
Street Address and Area of Well Location
WELL LOG
Material Type
Dry gravel
Brown clay
Hard rock
Fracture
Hardrock
Fracture
Hardreck
Fracture
Surface
Top
110
124
160
164
184
185
215
218
Section No.
8ollom
9O
11o
160
164
184
Hardreck
Fracture water incl. 241 243
Hardtack 243 253
Fracture water incl 253 255
H~a~k 255 265
Orilhng Permit Ne,
A.D.L. No.
Townshlp N [~ Range E L-] [ Meridian
OWNER OF WELL: Mr. Kit Calla~an
P.O. Box 84
Chugi~ ~. 99567
WELL DEPTH: (final}
g_65
5. OATE OF COMPLETION
6 - 10 - 82
[]Cable tool X~Rotory []Oriven [] Dug
[] Auger []dotted [] Sored [] Olher:
[] Irrigation [] Recharge
8. CA lNG: [] Threaded X]~ Weeded
diam. ~ In. fo12~ tr. Depth Weight 17 I~s./f*.
diem. in. to fl. Depth SHckup_____ ft.
9. FINISH OF WELL:
Type: 0~(~['1 Hole Diameter:
Slot/Mesh Size: Length:
Set between ft. and
~ack fillinG Oravel pock
611
ft.
STATIC WATER LEVEL: ft. / /
Dote
~ Above or [] Delow land surface
Equipment used:
II. PUMPING LEVEL below lend surface end YIELD
fl. ~fter hrs. pumpln9 g.p.m.
tt offer hrs. pumping g ~ m.
12.GROUTING Well Grouted: [] Yes [] No
Material: L~ Neat Cement [] Other:
I~. PUMP: (if available) HP ~-//~L
Lan.th of Drop Pipe 244 ff. c~p~cily
14. REMARKS:
Tested at 1 GPM
WATER WELL CONTRACTOR'S CERTIFICATION: 15. Water Temperaf.re .... o [] F [] C
5 ~llle well ~as drill*d under my jurlsdlcllon end lifts report is Irue Io lite besl of~,ny k.owledqu o.d b~iiuf;
~~0~ ~.~[e Rivo~, ~. 99577
~~h~ Authorized Rep,e~nt~live/ --'
Copy O~slribulion: WHITE"State DOGS, PINK-Oriller, CANARY Customer'~
PERH !' T i'.,h':).
F:i P [:' L. I C R N T
L O C Fi ]' ! O N
LEGRL
T"?F'E OF 'F -' :.r L F.E ::2 ] F'.F'T :[ ON :i.:;,'¢':~;TEH i :ii.r, · DF:F! i NFl ELD
i"iF!.i:.::]:P'![.IM N[..tHE:ER ~-[:' E:E!}R[][]H5 = 2
THE F:E ~:!_ ~: RED :5 i ?F:Z OF THE :::_':[] ! L !::IE',:E;OF::F'T! E;N f-?'r'SHFEH :i: '2!;:
THE LENGTH D!F!EN':'!!i!ON !:E; TFIE' LENGTH ,::'r.N F:'E'F"r', r"~F T~-::[ ......... ~ .....
................... r~..:.',..'~ i]i:~' DRF!INF':fELD.
THE [:,EF']-F! OF Fi UF'Fh.'i'H [IR PIT 'if:~: ]"HE D!il;TF!NC:E r:~:!~.k.:.~ _F,~ ............... THE
GROLtND FIN[:, THE/ E r"Ff'TOH OF' THE: E::.::F F¢,,,'F~T): "1N ,' ~ N FEET',.
THE GRR'v'EL DEPTH ........... 'rq THE t.~.~!r,llq~1. ...... r-~r~,TN,. OF GRF¢,,,'E_ E:E"FF~EEN THE OiJTFRLL r"~r::.~""'r~
RND THE c,L,I ,UPI OF' 'THE ..............
b.,~L..F,,~ ! ZEd",I '::~N ~-z.-: ....
PERHIT FiPF'L..T.[::F!NT FiF!~; TF!E RE'_~F'].'-!'.:.IEi_~T'¢ 'T'O iNFOF:tH TH'.r.:::; F.:,EF'RF::THENT F, ?IH] THE
I,~',I¢;TFd_!.RTZOi"~ i'NSF'ECTiE~N'.:~; []F Fff'.]"r' HEL. L.!5'r'.
.............. ~ .... ~ ...... :I Ti) ]'['iI2: F'ROF'ER]"¢ FIND THE
F "1:ER OF' RE::S:[[:'ENC:E:.E; THf::FF THE
HINtHUH D.'[E;TP, NCE E:ETI.,.!EEN R HEL. L. RN[:, RN'¢ ON-SITE f~;EhlRGE D!SF'Ot~;F~L. E?¢S;TEM IS
ZE~E~ FEE]" FOR FI F:'RZ',,,'RTE HELL OR :~.Sei TO ~2:C'~C~ FEET F'ROH R PLIBL, ZC kiEL. L. DEPENDING
UPON THE ]"'EF'E OF PUEd....!C NEL.[ ....
i"iZNZHUH D:EST~NCE FROH R F'RZVRTE HEL. I._ TO R PRZ',/FFFE SE[4EF: L. ZNE ZE; 25 FEET FIND
"i-0 F~ COMH[.tNIT'T' SEk!ER L..ZNE :[:5 75 FEET.
OTF!ER RE6R.!:[F~EHrEN"['S HR'T' FtPPL'T'. ZF:'ECiFiCF!TION:~:; Fff.,ID CONS'T'RUIZ:TION DIF!GRF:!H:E; RRE
Ft'~,'R!L.F:IBLE TO INSURE PROF'ER !!'-,!5TF!L.L. RTt
! CERTtF"r' THFIT
::L: ! RH FRi"!![_!F:ff;: 1.41"FH "[',LIE REg!UiREHEN'FS FOR ON-SZ'T'E ::]:E[,.tERS !::iND HELL:i.E; R~!; SE'T'
FORTH B'T' TF!E MLIN 2( C: I F'RL ! T'?' OF RF,!CHCff:~:RGE.
2: t ktlLL. :[i'.~F.:;]"RLL THE 2':'¢::.i;TEM iN [:iCC:OR[:,RNC:E I-,.!ITH THE CODES.
Z:: I UN[:,EIR:5"~:, THFIT THE' [)N~'B!TE :!.':E.WER :_:;'.P.:.-;TEM HFW REr2LI:[Fi:E ENLFIRF:JEMENT
E:E':S![:,E,~~~:/~ J/Y~4E:LIJDE i',',(]F4:E THF, N ]:
~F'F'L. ! CFd'q]" K I T CI::~LF!HF!N
THE
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13-
14-
15
16
17
18
19
20
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
COMMENTS
72-008 (6/79)
SOILS LOG
[] PERCOLATION
TEST
DATE PERFORMED:
SLOPE
SITE PLAN
WAS GROUND WATER
.?
P
/ E
IF YES, AT WHAT
DEPTH?
'l~a Gross Net Depth to Net
ding Date Time Time Water Drop
PERCOLATION RATE ' / /-'/ (minutes/inch)
TEST RUN BETWEEN FT AND -- FT
-1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744
:-- ~h '
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMI'[TAL)
(a) Legal Description (include...Jlot, block, subdivision, section, townshil~, range)
Location (address or directions)
(b) Property Owner /ZJr/C- /"/¢~z,,~//./~,. Telephone: Home BusJness Z '-?~ "~S,*~'?
Mailing Address
(c) Lending Institution
Malting Address.
Telephone
(d) Real Estate Company b. nd Agent //--'
Address
Telephone
(e) Mail the HAA to the followina address: or: Check here~, if hold for pick up.
List contact person and day phone number below.
$ & $ ENG!NEE..~ING
12'034 Eagle RiYer Loop Road No. 204
Eagle River, Alaska 99577
TYPE OF RESIDENCE
Single-Family ~
Number of Bedrooms
WATER SUPPLY
Individual Well [~r"~Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite [~]'~Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation
attesting to the legality and status.
Page I of 2 72-025 fRev 8/86~ Fronl
5. -ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained
from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm Telephone
5 & $ ENGINEERING
Address 17~t:~4 Ea~!= ,~.~v~- [.~p ~oad No. 204
Date Eagle River, Alaska 995Z7
DHHS APPROVAL _
Approved for
Approved
bedrooms b ,~~[~~~ ' "~' _
D~sapproved Conditional
Terms of Conditional Approval
Date
CAUTION
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' df 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.
Page 2 of 2 72 025 fRev 8/86) Back
WELL DATA
MU~II~CAIG/p~LITY OF ANCHORAGE (MOA)
MUNICIPALITY OF
I-~EA~rEI,,~,IJTHORITY APPROVAL (HAA)
~_NViP, oNMFNTAL S~RVICFS L~(~'~LiST. FEBRUARY 1984
264-4744
JUL 8 1987
Legal Description:
RECEIVED
Well Classification
Well Log Present ~)~/N)
Total Depth //-¢'J~ / Cased to
Static Water Level /o ~'
Casing Height Above Ground ~ Y'
Electrical Wiring in Conduit~'N)
Separation Distances from Well:
To Septic/Holding Tank on Lot ~
To Nearest Edge of Absorption Field on Lot
.S. /~ If A, B, C, D.E.C. Approved (Y/N)
Date Completed -5~,/~ '~ Yield
Depth of Grouting
Pump Set At
Sanitary Seal on CasingS/N)
Depression Around Wellhead (Y/~
; On Adjoining Lots
/¢~/'/: ; On Adjoining Lots
To Nearest Public Sewer Line "~'/A To Nearest Public Sewer
Cleanout/Manhole /'J///~ To Nearest Sewer Service Line on Lot ~-~
Water Sample Collected by .~ ~-~ ~--~,',zbCz-/~="~-~-~zJ~ ; Date
Water Sample Test Results ...~¢~k?-/~,~r~',4-c_~'-¢¢_¥/ /'"'~¢¢c_ ,L/~FT-~- ,~
B. SEPTIC/HOLDING TANK DATA
Date Installed
Standpipesd~N) Air-tight Caps~N)
Depression over Tank (Y/~)
Pumping/Maintenance Contract on File (Y/N) /~/.
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/HoMi,,§ Tank:
To Water-Supply Well
~'-'~ ~ Et"' Size / ~ No. of Compartments
Foundation Cleanout ([~)N)
Date Last Pumped ~::~ Z{ - ~
?
/,3/,¢~ ; for
Temporary Holding Tank Permit (Y/N) /'~/~/
To Building Foundation
To Property Line
To Water Main/Service Line
Course
Comments ...~ ~'
!
To Disposal Field ' :"
To Stream, Pond, Lake, or Major Drainage
Page I of 2
72-026 IRev 8/86) Front
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed '~ - ~
Width of Field ~-, ~
Square Feet of Absorption Area
Depression over Field (Y~)
Results of Last Adequacy Test
/~ ~¢/"~:~ Type of System Design '~'--~,~/~/C/,,/
Length of Field ~ f'
Depth of Field ~ -~
//
Gravel Bed Thickness
/~?, ':¢ Standpipes Present ~/N)
/,.¥/__/..~_/ Date of Last Adequacy Test ..,'%//~
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments '~ 2 · ~" "~-~.
/
To Property Line J~ /
To Existing or Abandoned System on
;On Adjoining Lots
To Cutbank (if present) /~'///~
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signe~ &S ENGINEERING . . .,,L~ate
17034 Eagle Ri~er Loop Roa~ No. '
C°mp~an~le Rivei:, Alesk," 99577 MOA No.
Receipt No. c~- ~0/ --O0 '7
Date of Payment ¢~ O¢::::: ~ 0~?
Amount: $ ,/ ~:~ ¢ ~
Page 2 of 2
72 026 IRev 8~861 R~ck
CHEMICAL & GEOLOGICAL I. ABORATORIES OF.4LA. gKA, INC.
FEDERAL TAX ID # 92-0040440
,qI,IALYSIS REPORT B~ ~AnPLE
C t ient PO~ : VERBAL
Client Sapl lB: LTiO BLK-B GLACIER
Sample Rec'd : JUN 5 87
Ordered By :
REPORTS ADDRESS ~1
S & S ENGINEERING
Req ~:
Cork OcGer'l,lo. :94'~
'Client Account :
Date Report PrinteO: JUN !ti ~; 9
Reieasedgy : SCE.
REPO~I'S ADDRESS
17034 EAGLE RIVER LOOP RD., ~204
EAGLE RIViR, Al. 995'?7
:'Special
instruct:
ROUTINE SA[4PLE COLLECTED 6/4/'87 BY SAS ENGINEERING
CnemtabRe¢ ~,: 6483 Lat~ Smpl ii): 5 Hatrix: Water
- r 'I' ' iqe :hod Cml ts
Paramete_ ~esteo Resul t/Uni ts
S~mp I e
~emrks:
Tests Performed ~ See Special InstructionsADove
HD= Iqone Detected ~ See Sample Remarks Above
~,iA= ~tot Anolyzed L?=LessThan. ST=dreaterTt]an
Anchorage
P.O~.=.?X 196650
ANCHORAGE, ALASKA 99519-6650
(907) 264-4111
TONY KNOWLES,
MA YOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
June 2, 1987
Robert A. sharer, P.E.
S & S Engineering
SRB 196X
Eagle River, Alaska 99577
Subject: Waiver Request for Lot 10 Block B Glacier View Heights
waiver Number WR87-032
Dear Mr. Shafer:
Your request for waiver of the required distance of a
residential well to a septic tank has been approved. The
required 100 foot separation has been waived to 94 feet.
This waiver is valid for the existing septic system and the
proposed well location only. Any future upgrade of either may
require another waiver request from D.H.H.S.
SD~n .~~o~erely'
civil Engineer
On-Site Services
cc: Gus Andress, P.E.
Water Quality/On-Site Services Project Manager
ROBERTA. SHAFER
May 18, 1981
CIVIL ENGINEER
694-2979
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
Municipality of Anchorage
Department of Health and Human S~rvic~s
825 L Street
Anchorage, Alaska 99501
ATTENTION: Steve Morris
REFERENCE: Lot 10; Block B; Glacier View H~ights Subdivision
Request you issue a w~ll permit with a waiver to the septic tank on
this property. The horizontal separation distance §etween the proposed
w~ll site and the existing septic tank is 94 feet. There is no other
suitable site for a wel~ on this property. There has been two previous
w~s drilled on the northeast corner of the property, however, both
of th~se w~ls when drilled were very low producers and have now ceased
to provide an adequate amount of water for domestic use. The topography
in this area wi~ place the well approximately 15 to 20 feet in vertical
heightabove the septic tank.
Attached for your review is a plot plan and risk analysis work sheet.
This risk analysis was based upon the w~ll logs for the two existing
wells. These w~lllogs are typical of w~lls drilled on surrounding
properties.
It is our opinion that the horizontal separation distanc~ prescribed
by 18AAC72.021 are not required in this case.
If you require additional information, please contact us.
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
OESfGN
SRB 196X EAGLE RIVER, ALASKA 99577
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AArD HUMAN SERVICES
WAIVER REVIEW WORKSHEET
DATE RECEIVED:
ENGINEER:
APPLICANT:
SRB 196X
EAGLE RIVER, AK 995~~'
WAIVER REQUESTED:
CRITERIA:
l)
Geology: Points:
Ao Water Table L '~,~,~,
B. Soil SorPtion ~,~
C. Permeability I,~ ~
D. Water Table Gradient ~,1
E. Horizontal Separation . ~
TOTAL~ ,/% ~
WAIVER IS:
granted, with conditions listed below:
not granted for reasons listed below:
DATE: BY:
NAME
17034 Eag,e River Loop Road No. 2t~,MPUT^TIC)N SHFET
Ea~le Ri~er, Alalka 995~
SU~ECT:
DAI~:
SHEET
BY
CKD
OF
APPLI .,, T FILLS OUT UPPER HA[ ,oNLy
P~o p e r t; ~)'w n e ~,~ $./~h/~ g~-t '~ ~.~.~ "-" Phone'
Buyer.- ~,, :) '~
Add~ess ~ Zip Code
Lending ,nstitutionl[~ h~, :~(-~. /~W~ .~"'v Phone
RealtyCo. &A.nt ~~2 ~ ~/~, ]y~& /~ Phone
Address ~~ ~~ '~ , Zip Code
Type of Resi~nce ~, '~
~,Single Family ~'[ '
~ Multiple Family No. of Bedroom. ~ / :' ~,,
~ Other ~ -~;': ' . ............ '
Water Supply ,,,~'~'~ / t
,O.. w., ,o, ,, ,e,u,r,, ,or a,, .,,,, ,r,,,,, ,,.,. ,,n, ,,,,.
U Community [~ ~ ~ ( ~ For w~ils drilled prior to that date, give well depth (attach log if available).
~ Public Utility r / : ' -
Sewer Disposal .... ~ ~
~ Public Utility When Connected to Public Utility: ~' :-.
~ Holding Tank /
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
,,,./ Time
Date Date ~L/~ Date ~_~. Date
Inspector Inspector Inspector,~ Inspector
Field Notes: ~)A^ ~ ~ ~ ..~/~/...~,Z -- MUNICIPALI~ OF ANCHORAGE
~ ~.~ J~ ~ ~ ~/ '~ DFPT 0~ I~E'"LTH ,~-
~--~
9 I982
RECEI.
(~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
DATE ~ ~~'
Soils Rating Date ~wer Installed Well To ~sorption Area Well Log Received
~- ~ ~ '~ Well to Tank Septic T~k Size
72-023