HomeMy WebLinkAboutGLACIER VIEW HEIGHTS BLK C LT 7 GRE,' ~ ANCHORAGE AREA BO[
< Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
)H
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
SEPTIC TANK:
FROM WELL[~//--
INSIDE LENGTH iNSIDE WIDTH ¼IQUID DEPTH
NUMBER OF
_~ ~'"~"' ~-- J---- COMPARTMENTS
LIQUID CAPACITY /~g5 O _GALLONS.
SEEPAGE ~ ~~'/~¢,u~ff/L' ~- /7 <~
NUMBER OF PITS ~. DIAMETER _ OR WIDTH .,
LINING MATERIAL CRIB siZE: DIAMETER_
~) LINE I~;~
BUILDING FOUNDATION~g'~''~ NEAREST LOT - ..
LENGTH , DEPTH
.DEPTH/¢.~_D,STANCE FROM: WELL /~¢
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) .SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYpE
BUILDING
FOUNDATION
CESSPOOL
APPROVED--
CONSTRUCTION- ~
NEAREST NEAREST
LOT LINE SEWER LINE-
OTHER SOURCES
DISAPPROVED
/
DEPTH _ / ~-~ ~'
SEPTIC ~,/ SEEPAGE
TANK , SYSTEM
REMARKS-
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
PIPE MATERIAL~
LOT SLOPE:
REMARKS:
DI'AG RAM~(OF SYSTEM
/~..~
~.A.A.B.
PERMIT NO.
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
25t8 E. TUDOR RD., ANCHORAGE, ~K. 9950?
276-222t
O~4--SITE SEL4ER PERI4 IT
( 76140 )
APPLICANT
LOCATION
LEGAL.
RAYMOND RIC:HE~ ?40± EAST 6TH AVE
E~'OLE RIVER RD
L? BC GLACIER VIEW HGTS SUBD LOT SIZE
~7-5908
47000 SQUARE FEET
TYPE OF SOIL ABSORBTION SYSTEM I~: TRENCH "
MAXIMUM NUMBER OF BEDROOMS
SOIL RATING
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
[:,EF"TH= -18. 5 LEI'41]TH..-~- ----<-]: GRR%-'EI: [-',EF'-I-H= E;. 5
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
'THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
RED SEPT I
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ~NY ON-SITE SEWAGE DISPOSAL SYSTEM IS
i00 FEET FOR 8 PRIYRTE WELL OR 200 FEET FOR A PUBLIC WELL.
SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER
INSTRLLRTION.
PEE:[4 I T ~/AL I D FOR ONE ~'EAR FRC~f4 I 2-=-iSLIE
I CERTIFY THAT
i: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS.
............
ISSUED BY ......
I'~I~.~'i~,-i~M~,~¢ ~~D ~V[RONMENT~L PROTECT[ON
~5~0 E. TUDOR RD., ~NCHOR~GE, ~K. 276-222i
0[-~ .... ~ ~ Ti 5ibJEiz PERf"I I T
RpPLICRNT RR~MONB RICHEL 7485 E 6TH 8'./E
LOCRTION ~~ RD LOT SIZE
LEGRL L7 BC GLRCIER VIEW HGTS ~IJBB .
T~PE OF SOZL RBSORBTION S~STEM IS: TRENCH
MRXIMUM NUHBER OF BEDROOMS = ~ :,3IL RRTING
'THE RE6!UIRED SIZE OF THE SOIL RB~ORpTION
D. FPTH= iE4. 5 LEf4Gl"H=
',,'THE LENGTH DIMENSION IS THE LENGTH
THE DEPTH OF R TRENCH OR PIT IS THE
GROUND RND THE BOTTOM OF THE :SVRTI
THERE IS NO SET WIDTH FOR
THE GRRVEL DEPTH IS THE MINIMt
RND THE BOTTOM OF ~HE
F'F4C~RGE PLRf-~T I
EITHER R CLRSS I O~ II NSF MRS' BE INSTRLLED.
', IF R MRINTENRNCE
R CONTINUOUS MR,INTE[~RNCE RGREE IS :QUIRED.
RGREEMENT IS NOT KEP~ CURRENT BE REQUIRED TO ENLRRGE THE SOIL
RBSORPTION S~STEM 8N%OR ~OU ~ ;UBJECT TO PROSECUTION.
IF R CLRSS I 5~'STEM I~USED THE ~TH IS ~. 8 FEET.
IF 8 CLRSS II S~STEM I~ED TI ENGTH IS 4~. ¢ FEET.
BRCKFILLING OF RN~ ~STEM INSPECTION RND RPPROVRL B~ THIS
DEPRRTMENT WILL BE SUBJECT TO PROSE ;UTION.
MINIMUM DISTRNCE BETWEEN 8 WELL 'RND
i¢8 FEET FOR R PRIVRTE WELL OR 28e FEET FOR R PUBLIC WELL.
SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER
I NSTRLLRT I ON.
PE~H I 'f ;/RI I ~ FOR 6mf-~E VEF4R FF:Of4 I ~;5UE
~7000 S6~URRE FEET
IS:
iRR'¢EL E)EF'TH-'=-
OF THE T OR DRRINFIELD.
BETWEE SURFRCE OF THE
rEET>.
ETWEEN THE OUTFRLL PIPE
I CERTIFY THRT' ' ~
l: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS R=, SET
FORTH BY THE MUNICIPRLIT'¢ OF RNCHORRGE.
~. STRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
~ES]DENCE iS ~ODELED TO ~N~DE ,ORE THAN ~ BEDR-OH=.
' -R~~:AYMOND-R Z OriEL ,
RPF'LICF]N'T RHYMOND RICHEL 740:1. E GTH FiVE
LOCF!TION OF:F' EflCIL.,E RIVER RD . ,
MRNIMIJH NUHDER OF BEDROOfdS ~ ~ '~ /;OZL
RATING
FT/BR::,:=
THE E:'EP~H OF'R "I"~ENCH OR ~T ]5:~TH~: D[STRNC:E E:~THEEN THE SURF'RCE OF THE
GROUND FIND THE BOTTOM OF '~
TfIERE ~S NO ~;E'T WZE;'TH FOR
THE GRftVEL, DEPTH l~ THE MINIMUM DEPTH OF i3RFIVEL BETWEEN THE OUTFFfiLL PIPE
AND THE BOTTOM OF THE E>(CAVATION (IN FEET),
EITHER FI E:LR%[5 I OR II NSF' FIPPROVED PLFIN'T MAY BE INSTAL,LED.
8 CONT~f..ILIOUS MF~INTENRNCE RGREEMENT IE; REQUIRED, IF R MRZNTENRNCE
FIBF'.EEMEN]' IFS NOT KEPT CLIRRENT YOU MFIY BE REQLI~RED TO ENLRRGE THE .'.'J;OZL
flBSf..II',:'.PTZON S;YE~T£:.:N FIND/OR YOU HF1Y DE SUP..JECT TO PROSECUTION.
iF R CLFIS~:; I SYSTEM IS U~;ED THE LENGFH IS 2~:]~;. B FEET.
IF' ft CLFISS ii SYSTEM tS USED THE LENGTH IS 4:?, 0 FEET.
BRCKF'ILL. INC~ OF'" FtNY SYSTEM HITHOUT F:(NRL IN"SPECT~(OF, I AND APPROYRL E',Y THIS
DEPRRTMENT HILL [3E E{UD-.T[::C']" "fO PROSECLII'ION.
MINIMUM DISTANCE BETWEEN R 14EL.L F~N[:, IqN? ON-SITE SENRCtE DZ2~]POSRL SYSTEM IS
IOO FEET FOR R PRIV¢~"FE HELL OR ~2.~70 FEET FOR R PUBLIC NELL
SPECIFICRTION2!; RND CONSTRUCTION: DIA~JRFIFtS RRE 8VAII..,FIBLE TO INE;URE PROPER
I NS't'RLLRT I
~ CERTIF'Y THRT
1: I F~M FAMILIFiR HITH ]"FIE REQUIREMENTS FOR ON-SI'TE ~EHERS RND I,IEL.L.S; AS SET
FORTH 8~ THE MI, JN~CIPFILITY OF RNCHORFiGE.
2: I NILL, INSTRLL THE SY~;;'FEN IN RCCORDRNCE HZ'IH THE CODES.
~: I UN[)ERSTRND 'THRT THE ON-SITE SEHER 5;YSTEM HF:IY REC!LI~RE ENLJ~RGEHENT IF "file
' EEDROOfI-,
'~,-',z ., ..... :' .. .. MUkE TMAN
kE_,IBENCE. If~; R~MODELED "l"O INC. I [:,E
F:IPPL ~ CI~NT ~fl',r'HON[:, RICHEL.
. . .~ ,--~. ,..~,.~
Per. formed For
Legal ~escrtntton: Lot ? Block c~Subdtvision
This ~orm Re~orts Soils Loq ,
"One test is worth a thousand
2204 Cleveland Anchorage, Alaska 99503'
Date perf0rmed_ 5/1/76
RaY Richel ' Glacier View Subdlv~mion
Yes _~erco~l%ti on Test__ Yes
De~th S~i
,~ 1 Characteristics~
4- Sandy Gravels
(GP-GM)
6 - (5'% Silt size)
8~
10- Silty Gravelly Sands
12 - (SM)
14 ~. Dense
/g" Bottom of test hole
16
18 -
20
Was Ground Water £ncountered?_ NQ
It Yes, At what Depth?
IReadinq
Gross Time
Net Time
4 Hours
0
Depth to H20
----~4" ~
Percolation Rate 1"/7 Ilinutes
proposed Inst~llatio~: Seenaoe Pit Drain Field
Deoth of Inlet Denfh To Bott'om Of Pit O~ Trench.
· bedroom
C~ENTS: 140 S uare ~ept draina e area re uired er No ground water or bedrock encountered
Percolation test ran between -3 and~
, CONSTRUCTION TEST
O ~ E GEO', .:CHNICAL 8 DEVEL~?MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694.2774 or 688-2280
Russell Oyster
694-2774
Soils ~' Foundations
Performed for:
SOIL LOG
Name:
Natltng Address:
Legal Oescrtptton:Z~ 7,
Depth (feet)
E~rl E/lis
688-2280
Land Development
Tel. No.
3
Ground Water Encountered: Yes No J If yes, what depth
Proposed Installation: Seepage Pit___.._ Drain Fle~d~
Commnts'
~ "' £55 feeto
SIXINCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF
DRILLED AT ThE RATE OF ~2L~00 "~ PEr FOOT.
PROPERTY OWNER . ;{~L~I~ P._~ich$1 SA ~_~ 995~? 69t~30~8
LOCATION OF WZL g SUb
DRILLER Bez~ie ~ of ~p~t ~ Works.
WELL LOG:
W~ll deep~ned from ~09 feet to 255 feet,
£09~120~ Bedrock, Sedimenta~y
120~i24' & gr~ ~-ea of wet ro~ sho~g s~e sig~ of water.
-X~.230~ S~enta~ ~ock. T~ l~e~s of shale ~oek a11-
230~255~ A h~ s~ent~ r~ck wi~ so~ ~e~ sho~ s~e wet
Total pr~uotion cf we~ sho~ show ~000 g~l~ of water p~r d~ ~ ~preve to 1500 GPD
~p shou~ be ~tmll~ ten feet off bettom,
F~l recovery of w~ter ~t~ ~ ca~ sheu~ show ne~ ~00 feet off bottcm~
Total eost of D~illing: $21~d46 feets $3066~00
$2100e00 :paid on this m~eount by Nr, Eiehel
~V~ual amo~ut to be ~id iu30 dmys,
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION Of SAID DRILLING.
WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF
THANK YOU VERY MUCH,
BERNIE CLAUS OF RAMPART DRILLING WORKS
DATE ~_~t~S$ ~L~7 ~WILDE ~S~ES~ED~ ~N' ~ ~ "" ~'~ ~"' A~~ ~'~
E;ERVICE CHARGEOF I~% PER MONTH P
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
264-4720
Application Date 5- ? 2- o°6
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
In.¢ 7; b£nok (o3; C~laex'.o_r Vx'.o~ Hio_ghts
Location (address or directions)
~. 5.3, up My~Yo. ~o Co. eJ~Ja: ~o Ca~nl. On L~.
(b) Applicant Name Dodzn~ Telephone: Home
Applicant Address
al. do. wi~h gre. o~b~L~
Business
(c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer~[~[; Other [] (explain);
(d) Lending Institutior~ Me~-~ I y~o~
Address
Telephone
(e) RealEstate Company and Agent ~¢~t~g~ Hnm~&-
Address SR Box 126, Eagle River, Alaska
Telephone 694-4994
(f) Ma~the HAAtothefollowing address:
S £ ~ Eng~n~ing
~RB 194×
Na~oy
99577
Fag£o ~/uo~: A£aaba 99571
TYPE OF RESIDENCE
Single-Family'S( Multi-Family []
Number of Bedrooms ~
Other
WATER SUPPLY
Individual Well ~ Community I-i Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite~ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 (11/84)
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 S & S ENGINEERING Telephone ~ ~;;;~/~- ~--~¢' 7 ~
Address SR B 196X
EAGLE RIVER,'AK99577 MAY I 9 1986
Date
Approved ¢¥X. Disapproved Conditional
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.
Paae 2 of 2
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
264-4720
Legal Description: ~
WELL DATA
Well Classification
Well Log Present ~/N)
Total Depth '2.4~ ' Cased to
Static Water Level t ~
Casing Height Above Ground
Electrical Wiring in Conduit ¢t~/N)
If A, B, C, D.E.C. Approved (Y/N)
Date Completed ~_~- I '- ~{"~ Yield'lc
Depth of Grouting
Pump Set At
Sanitary Seal on Casing ~N)
Depression Around Wellhead (Y,(~
Separa~tion Distances from Well: ~ ~
To Sep(ic/l'¢4H~fr~ Tank on Lot ~~ ; On Adjoining Lots
To NeareSt Edge ~f AbSorption Field on/Lot t ¢~:=. ___; On Adjoining Lots__
To Nearest Public Sewer Line - ~"~/~' To Nearest Public, Sewer
iCleanout/Manhole ~'~ To Nearest Sewer Service Line on Lot
Water set'pie Collected by' '~-~ ~ t~-c.~_-~t¢.~)~":~, ; Date
Water Sample Test Results ~,¢'¢C~.~,'~
B. SEPTIC/I:~ TANK DATA
Date Installed
Standpipes~:i~'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/~nk:
ToWater-Supply Well -x~¢~;~'~' ~
~=~ -'~ -"~ 6¢ Size ~ ~ No. of Compartments
Foundation Cleanout (Y/~)
Date Last Pumped
t
/~ ; for .....
Temporary Holding Tank Permit (Y/N) ~/~'
To Property Line
To Water Main/Service Line
Course
To Building Foundation ~.t:~ ~
To Disposal Field ~ t~
To Stream, Pond, Lake, or Major Drainage
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date installed ~:~ - ~-~
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
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Type of System Design
Length of Field ~
Depth of Field ~ c~.
Gravel Bed Thickness L¢~
Standpipes Present ~:)/N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots "~
To Cutbank (if present)
LOc:;) 1¢¢__
Comments
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.
Signed Date
Date of Payment %.- ~O'- ~
Amount: $ ~ ,.0 0
Page 2 of 2
72-026 (H/84)
~MUNIClPALITY 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
264-4720
Application Date~. /
(a)
GENERAL INFORMATION
Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
App,cantName Telephone:.omeBusiness
(c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer [],' Othe
(d) Lending Institution~.~/~'z~ '.~..--~c.~ Telephone
Address ' ~"~' ~/~'i
(e) Real Estate Company and Agent ~~ ~.~
Address _~ ~ /~ ~ ~ ~~
q,-/--- q'qq,/
.T.elepbone
(f)~e HAA to the following address:
TYPE OF RESIDENCE
Single-Family~ Multi-Family []
Number of Bedrooms ~-~
Other
WATER SUPPLY
Individual Well~ Community
Public
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite"J~ Public [] Community [] Holding Tank
[]
Note: if community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
72-025 (11/84)
Page 1 of 2
E;'~IGINEERING FIRM PROVIDI~JINSPECTIONS, TESTS, FILE SEARCH, D~'/A AND INFORMATION
A'scertifiedbymysea affixedheretoandasofthevalidationdateshownbelow, venfythatmy~nvesbgat~onofth~sHealth
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. -- -
Telephone
Name of Firm ~ ,C: ~'
Address . .~:., ,~,lk~ ~JVER~ A~q~
Date ,.,"D~" ~9~J~_,qT.~ ~'""'" J ~:::~ :Z~'~L'~
L ~"'~on di~io'nal
Date ,
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)
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
MUNICIPALITY OF ANCHORAG~
DEPT. OF HEALTH &
ENVIRONMENTA, L PRCTECTIO~x[
06:' o Ig851
Legal Description:
WELL DATA
Well Classification
Well Log PresentO/N)
Total Depth
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit~/Ni
Separation Distances from Well:
To Septic/~C,e~il~ Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments
If A, B, C, D.E.C. Approved (Y/N)
Date Completed ~ ~ ~'~J'~ ~ Yield
Cased to ~--,I~,-~*' Depth of Grouting
~ '7,.~'~~'~' - Pump Set At
Sanitary Seal on Casing<t:2~N)
Depression Around Wellhead (Y,~
; On Adjoining Lots
; On Adjoining Lots
~ lC' To Nearest Public Sewer
y,3 ~, To Nearest Sewer Service Line on
,~,j~.~:2~ ~:i,,-~,~.~¢,.:¢~; Date
B. SEPTIC/~ TANK DATA
Date Installed ~"~
StandpJpes~/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 fro?t~.Septic~g Tank:
To Water-Supply Well '-
To Property Line [,~.~ t
To Water Main/Service L~ine
Course . · /
Comments ''~ ~::2~ ~__..,. (_L.
Size ~. ~ No. of Compartments
Foundation Cleanout (Y/,~
Date Last Pumped ] ~:)~2..-~. -- ~'
¢'~ /,~ ;for
Temporary Holding Tank Permit (Y/i~)
To Building Foundation
To Disposal Field
To Stream, Pond, bake, or Major Drainage
Page 1 of 2
72 026(1 ~/84}
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/J~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot
I L"~:;:"'"'~/'1"-'~ Type of System Design
Length of Field
Depth of Field _ L
Gravel Bed Thickness
¢:[ ~' c:>~ ' Standpipes Present tl~N)
Date of Last Adequacy Test
To Water Main/Service Line
To Property Line
; On Adjoining Lots
To Existing or Abandoned System on
To Stream/Pond/Lake/or Major Drainage Course
To Driveway. Parking Area, or Vehicle Storage Area
Comments
To; Cutbank (if present)
D. LIFT STATION
Da:te Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
/ Manhole/Access (Y/N)
~"~ /I. "PumpOff"Levelat
' ///~' Vent(Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I h,ave checked, verified, or conformed to all MOA and HAA ouidelines in effect on the date of this inspection.
Signed, . ~.¥:~ tt.qf.~ Date
Company ~J~. 69~[~79' '" MOA No.
Receipt No.
Date of Payment Io/~ ~
Amount: $ ~ ~ ~
Page 2 of 2
/
/
/ JAY S. HAMMOND, Governor
SOUTHCENTRAL REGIONAL OFFICE
MACKAY BLDG.
338 DENALI STREET
ANCHORAGE 99501
July 16,1975
Susan E. Dicke~son, Sanitarian
Dapartment of Environmental Quality
Greater Anchorage Area Borough
3330 C Street
Anchorage, Al( 99503
Subject: Lot 7 Block C Gla~ er View Heights Subdivision
Dear Ms. Dickerson:
We have no objection to the ocation of the septic tank on the
subject project as you propose in you letter of July I0, 1975.
Yours truly~
Regional Environmental Superv
sor
DA'te Date Date .
Inspector Inspector Inspector
Comments Conditional Approval
i'~c..(~ ~ ~;~¢ Approved Bedrooms
( ) D,~,.pp ..... ed
~ ( ) Cor:d~donal Approval
Date Sewer Installed Permit No. Septic Tank Size / C
~_~ ~ Holding Tank Size
Soils Rating Well To Absorption Area Well Log Received
Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
Property Owner /~ ~/~g/ ~A~ ~ /~ P~-_
MailingAddres~/~ / ~ ,/~--~$ ~/~ ~/~6~ t{~ ~/~ ~
Buyer /~C:~ ~' ~//~
Address/~/ ~/~ ~ ~ ~~>~ ~¢~'~
Address/~
Type~f Residence
~ Single Family
~ Multiple Family No. of Bedroom¢
~ Other
Wat~Supply
~ ~ Individual A~ACH WELL LOG. A well log is required for all wells drilled since June
Q Community 1975. For wells drilled prior to that date, give well depth (attach log if
¢ Public UtilitF available.) ,
Sew~e Disposal
'~ Individual Year Individual installed:
~ Public Utility When Connected to Public Utility:
D Holdin¢ Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EAOH REQUEST BEFORE PROCESSING CAN BE INITIATED,
FOURTH ST
FIRST ST
LUCA$
RAVEN
PTARM
EXCAVATI 0 N
ROBERT A. SHAFER
WORK CIVIL ENGINEER
694-2979
June 28, 1982
Re/Max Realty
P.O. Box 848
Eagle River, Alaska
99577
Dear Ms. Kohfie~d,
Reference: Lot 7~ Block C~ Glacier View Heights Subdivision
A sewer system adequacy test was performed on the system located
on the referenced property at your request. The septic tank
was pumped and verified to have a capacity of 1000 gallons.
The absorption trench was tested by a continuous flow of water
over a period of 48 hours. The average flow during this time
for a 24 hour period indicated that the system was functioning
adequately for a three bedroom residence.
It can be condluded from this test that the waste water disposal
system serving the three bedroom residence located on this property
is currently functioning adequately. However, the system cannot
be guaranteed against subsequent failures.
If we may be of further assistance, please do not hesitate
to call.
Si~c~rel ,, .
7/PyOBERT A. SBAFER, P.E.
!,~AS/ss
cc: Alaska Bank of Commerce
Municipality of Anchorage
Department of Healt~ and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA
SOLITHCEIIITRAL REGIONAL OFFICE / --_ -- ......
338 DENALI STREE.T
ANCHORAGE 99501
Susan E. Dicke~son, Sanitarian
Department of Environmental Quality
Greater Anchorage Area Borough
3330 C Street
Anchorage, AK 99503
Subject: Lot 7 Block C Gla~ier View Heights Subdivision
Dear Ms. Dickerson:
We have no objection to the location of the septic tank on the
subject project as you propose in you letter of July I0, 1975.
Yours truly,
Regional Environmental Supervisor
· 5'0OEN6'£fvTRAL flEGiO;/AL OFFICE /
/
/ JAY S HAMMOND, Cover.~or
/
/
SOUTHCENTRA£ REGIONAL OFFICE
MACKAY BLDG.
338 DENALI STREET
ANCHORAGE 99501
July 16, 1975
Mrs. Sa.~'ah E. Cosselmon
P.O. Box 1144
Eagle River, AK 9.9577
Dear F%s. Cosselmon:
We have no objection to the location of 1'he septic tank witl~in 50 feet
of your wel! however the seepage pit must be located at least I00 fee'i'
from the well or any other wells.
Yours truly,
Kyle J. Ch~rry,P.E.~/
Regior, a'l Environmental
Supervisor
cc: Roll Stricklar~d
July 19, 1975
4-1
Kyle J. Cher~.y
Ala~k~ Depa~iment of
Environmental Conse~'w~tion
South Cent~l Regional O~
I~oom 950, MeKay Bt~ldin~
~38 Denali ~tr~et
SU!~JI~CT; Lot ?, Block C, <]lacier View ~ieights Subdivi~ion
Deor Mr. Cherry:
]~nclo~ed Are doeument~ portaining to the subject lot. I haw m~de
inspection with the excaveto~ and deiermined ~e following: ·
1. Greater th~ 50% of ~e lot is sloped sharply toward lhe front
of th~
2. The e~i~in~ well is looat~ on the forward fiat part of the tot{
3, The house will be b~t slightly behind and ~bove the
trailer l~att~.
Thi~ office ~o~d endorse a ~que~t ~ the proper~ own~ to ~t~in
distance waivee for ~e ~lk ,- w~ll distance. 9lc are pla~uin~ to
a s~mpage trench but wilt ne~ lo place the t~nk closer Lhan 100 fact from
the well.
We wol~ld appreciate your early reply a~ th~{ ownera '~iah to inst~l their
~stem ~ght away,
9u~au E. Diekerson
~anttarimn
suu/Iw
William Cosselman