HomeMy WebLinkAboutUPPER EAGLE RIVER ESTATES BLK 1 LT 3BUpper Eogl
River Estates
Block
Lot 3B
#050-781-03
/'~% MUNICIPALITY OF ANCHORAGE
'~ · DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME PNONE [] NEW
LEGAL DESCRIPTION
m~ ~ Manufacturer [ ~' ~ - [ Material Ne. of compartments
~ ~ Liq. capacity in gallons Inside length Width Liquid depth
]F HOME.DE:
~ DISTANCE TO: Well F°undati~n~o ~t
-- No. oflines/ Length of oa~ / Totallongt~f~ / Tronchwid ches
~ ~ ~ Top of ti]e to finish grade r~ /, -- Materia] ben,ath tile' '7'Z
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth ] Driller Distance to lot line PERMIT NO.
m ~ ~ Absorotion
~ ~ 10:~ ~uil~n d So.or line Septic tank
OTH~B
PIPE MATERIALS
SOIL TEST
RATING
INSTALLER
72-013 (Rev. 3~78)
Permit
Applicant:
/~UNICIPALITY OF ANCHORAGEj~
Department , Health and Environmenta.)rotection
825 L Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT * * *
_WELL AND/OR ON-SITE SEWER PERMIT
Phone Number:
Location:
Legal Description: ~ ~ ) U~r;''~' -~/~c~/~ Lot Size:
Type of Soil__Absorption System Is:
Trench: ~. Drainfield.' ~_~ Seepage Bed: __ Holding Tank:
Maximum Number of Bedrooms~ Soil Rating (sq. ft/br)
he Required Size of the Soil Absorption System Is: '
DEPTH LENGTH GRAVEL DEPTH <~-
. WIDTH
The length dimension is the length(in feet) of the trench or drainfield. 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 ~ipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = ~_3J~l~7~^(& GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * *
Z certify that:
(l) I am 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 accordanceS'with codes.
(3) I understand, that the on-site sewer system may require enlargement if
the ~esidence ~remodeled to. include.more that /3 bedroom~ /~
Signe~: ~f~-
ua~e: ~ /17l 0~.1
/<'-x, ~'~ [] SOILS LOG
LEGAL DESCRIPTION:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage~ Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
~PERCO LATION
TEST
N
--~
10
11'-
13-
14-
15-
16-
17-
18-
20-
COMMENTS
WAS GROUND WATER
ENCOUNTERED? ~ ~ '(~ SL
O
P
E
IF YES, AT WHAT
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ ~o p to ~ /0 s s
PERFORMED BY: ...~"~ ~ tx~/'~ ~9~'"~
PERCOLATION RATE
TEST RUN BETWEEN
GR~ER ANCHORAGE AREA BOROUG~
DEPA~ '~NT OF ENVIRONMENTAL
qUAL
3500 TUDOR ROAD
ANCHORAGE; ALASKA 99502
CASE #,,
Performed For Marvin E. Stratton
Legal Description: Lot3B Block
This Form Reports Soils--[-6-g
Date Performed 5/22/72
1 SubdiviSion upper Eagle River Estate's
x Percolation Test
6
7---
8----
10---
Depth
Feet Soil Characteris%ics
~ Brown Silty Sand with few Gravel (SM)
Gray Silty Sandy Gravel (GM) with
poorly graded sand seams and occasional --
cobbles.
Was Ground Water Encountered? No ~
If Yes, At What Depth?
r I
Reading Date Gross Time Net Time Depth to N20 Net Dro~
nute
Proposed Insta)'lation: Seepage Pit × Drain Field
Depth Of Inlet Depth To Qotto~ Of Pit ~'~ Trench
COMMENTS: 210 square feet of drainage area'is required per oeoroom. --
N
¥~st Performed By R. E. Carlis£e Data Certified By:National '£esting ~vs. Inc.
Date'.
( erljf:e Drilling :og
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 9955? * TELEPHONE 65B.2759
o~vner or ~anD ~4~g~ '
aDDreSS ~_~/~ ~ ~ ~ ~ _ ~ _
-' ~ . --~-' 7~_ stat~veuoFwal'errr ~
LeGaLDescr~O~ ~(._l__d~~ ~ ~ ~r~' --' --
DATF-Slarted ... £ndcd __.~/~-f ~
DRAW DOIa'N FT. __
GaLS P£r er ___~0
mhd oF cAs,.xc, ~ n
KIND¢ I FORMATION:
:"rom-i '~ FI. lo._~__ Ft. _~',,~.~6__~_T-_/~/~a_~___~ From £1. Io~ Fi._
~ ~ ~ ~ - ~- from.. FI. lo FI
,,o~/~ ~,.,o~ ,,._~,~.y ~ ~9,o,,, ~, ,o"
. I F~om,
no~._9~_n. W~t~n._Q4~_~ ~'c 40~ £,,,,,, F,.
rrom/~l F~.to //~rl,~ ~_ From_ FI. lo
/ rom ~ FL Io FI.
-- ' - From_
Ft. Io.
FI. to_. Fl
6J4'TE/~ - £,. ,o n..
r From. _Ft. Io FI.
From FI. Io Fl.
From~Ft. lo~Fl~
From_ --Ft. t0. Ft.
From_~_~__~_~_F/.to Ft,,.
From FI. lo Ft.
From FI. to, Ft.
MISCL INFORMATION:
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASRA 99519-6650
ON-SITE WELL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW970101
DESIGN ENGINEER:DUMMY COMPANY
OWNER NANE:WITKOFSKY WARREN & JUNE E
OWNER ADDRESS:20212 EAGLE RIVER RD
EAGLE RIVER, ALASKA 99577
DATE ISSUED: 5/20/97
EXPIRATION DATE: 5/20/98
PARCEL ID:05078103
LEGAL DESCRIPTION:
UPPER EAGLE RIVER ESTATES BLK
1 LT 3B
LOT SIZE: 47607 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
WELL 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 (iSAAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
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:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorag e.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050-781-05
1. GENERAL INFORMATION
Expiration Date: ~'II°l o~'
Complete legal descdpfion UPPER EAGLE RIVER ESTATES SUBDIVISION; LOT 3B, BLOCK 1
Location (site address or directions) 20212 EAGLE RIVER ROAD * EAGLE RIVER~ AK 99577
Current Property owner(s)
Mailing ~ddress ·
Lending agency
Mailing address
Real Estate Agent
Mailing address
JUNE &: WARREN WI'rKOFSI~' Day phone 694-6048
12110 BUSINESS BLVD. STEI~6 PMB 313 * EAGLE RIVER, AK 99577
Day phone '
Day phone
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
Community On-site
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid
water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water
system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's
work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I ved[y that my
invest/ga!ion, based on procedures outlined in the Health Authority Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is(am) safe, functional and adequate
forthe number of bedrooms and type of structure indicated herein. I further vedfy that based on the
information obtained from the Municipality of Anchorege files and from my Investigation and inspection, the
on-site water supply and/or wastewater disposal system is(am) in compliance with alt applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm ALASKA WATER &: WASTE'WATER CONSULTANTS, INC. Phone
Address 6901 DEBAER ROAD, SUITE 2B * ANCHORACE, AK 99504.
Engineer's Printed Name JF_~-I-NEY A. GAYNESS, P.E.
Date
337-6179
Engineer's Comments: '
In conducting this evaluation, AWWC, Inc. attempted lo provide a thorough,
conscientious enginee#ng analysis cf the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results deschbed the perfonwance of the
system under the conditions encountered at the b'me of the test, and separation
distances measured to readily identifiable features. The operational life cf all wells and
septic systems depend on the local soils condition, groundwater levels that may
tTuctuate durfng the year, and the water usage of the fam~?y being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee futura per~omlance of the system, nor do they guarantee that
there are no hidden defects or encroachments. At4/WC, Inc. can therefore not provide
any wananty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not autho~fzed, nor wfll it confer any legal fight whatsoever.
DSD SIGNATURE
Approved for. ~
Disapproved.
Conditional approval for
bedrooms.
~ ~. pROG~~ ..-
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Manitenance Agreements
Supplemental Engineer's Reort
Other
Original Certificate Date:
Municipality of Anchorage
Development Services Department
61.dldlng Safety Division
On-Site Water & Wastewater Program
4700 6ou~ 8ragaw St.
P.O. Box 196650 Anctmmge, AK 99519-6650
(907) 343./904
HEALTH AUTHORITY APPROVAL CHECKLIST
LogalDescflptlon:UPPER EAGLE RIVER t~,IATES S/Dj LOT 36~ BLOCK 1 ParnallD:
A. WELL DATA
Well type pmvA'rg
Date completed 6/1997
Total depth 238 ft.
If A, B, or C provide PW$1D~ N/A
Sanitary seal (Y/N) YES
Casedto 238 fl.
FROM WELL LOG
Date of test 6/lg97
Static water level 209
Well I~u~on 7
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mi.
g.p.m.
Nitrate 0.204 mg./L.
050-781-03
Well Log (Y/N)
Wires properly protected (Y/N)
Casing height (above ground)
AT INSPECTION
6/17/2002
224 ft.
7.1 g.p.m.
YES
YES
12+
Other bacteria 0 colonlesJ100 mi.
N/A mg./L.
A~sanic: .
SEPTIC/HOLDING TANK DATA * FCO IN CRAWl. SPACE
Tank Type/Material CONCRETE
Tank size I000 gal. i Number of Compartments 1
Date of sarnple: 6/18/2002 Collected by: AKWWC, INC.
Depression over tank (Y/N) NO
Pumper
268
Soil raUog ~ ft'~lxIrm) UNK
Foundation cleanout (Y/N) *YES
Date of pumping ' 8/31;/2001
C. ADSORPTION FIELD OATA
Date installed 8/~0/tg83
Length 45/UNK
Date installed 1972
Cleanoute (Y/N) YES
High water alarm (Y/N) N/A
JR'S PUMPING
TRENCH
System type SEEPAGE PIT
24O
Totaldepth 12/112 fl. Eff. absorption area UNK fl= Monitodngtube YES Depression over fleld NO
Date of adequacy test 6/17/2002 Results (Pass/Fall) PASS For 3 bedrooms
Fluid depth in absorption field before test 0 in. Water added 800 gal. New depth 42 in.
Elapsed time: 190 min. Rnalfluiodepth 36 in. Absorptlon rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NON;' KNOWN If yes, give data -
-ir..~lt.u TRENCH ONLY, NO MOA DOCUMENT. NON AVNLABLE ON St.t. FAGE PIT
Width 2.5/UNK ft. - Grovel below pipe 6/UNK ft.
D. UFT STATION' / *'
Date galio.
'Pump on" level at. · in. ",Pump off" . High water alarm level at in.
~ ' . · . Cycles tested, Meets alarm & circuit requirements?.
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot100'+
Absorption field on lot 100'+
Public sewer main N/A
Sewer/septic service line
25%
On adjacent lots 100'+
On adjacent lots 100%
Public sewer manhole/cleanoot
Holding tank N//A
N/A
SEPARATION DISTANCES FROM SEPTIC/HOlDING TANK ON LOT TO:.
Building foundaUon 5% Property line 5'+ Absorption field
Water main N/A Water service line 10% Surface water.
Wells on adjacent lots 100'+
100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Pmparty line 10'+ Building foundation. 10'+
Water s~rvice line 10'+ Surface water 100'+
Curtain drain NONE KNOWN Wells on adjacent lots I00'+
Water main N,/A
Driveway, parking/vehicle storage
10'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspec#ons and
review of Municipal records that the shove systems ere in
conformance with MOA HAA guidelines in effecf on this dale.
Engineer's Printed, Name
Date
dlcPpl~L~/' ~ GARNESS
HAAFee$ '7'5.°°
Date of Payment
Receipt Numar
(~. I~01)
Waiver Fee $
Date of Payment
Receipt Number
,.,,....,- ~.;:, . ...~ '
I
I
/ I
'~- ~'~"- '~.~i '..: '-' ~ '
·
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:~N, ..~',z'Z- ..... ...,. ~.'
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'~t $.-, ,~.".~- r' ~ ,, .. , .. . ..
i-! '.,~--~,~,~u, ,,, -.'.'.,, ":: .... .,'...:..
i ': "' ~' ?'''; ' "" ~'~"
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~'~-' -'/' ,',' -"-' ~ .'i "; ' : --'Y~"
: , I,,' " ,,: ' '~ ";
'[I '('"'; ' ~ '"' ' " '
! I ' . ' . i ' ... 'AS-BUILT
· "-- .... -i '
' I ! hereby certify that ! have'~urveyed the
· ' //-~, i'~'
Anchorage Recording Precinct, Al~ka, and that the
. . improvements situated thereon are with/n the property
l/ne$ and do not overlap ol' encroach on the property
'" lytng adjacent thereto, that no lmptovementa o~ prop-
; erty lying adjacent thereto encroach on the premises In
as i~dic~ted hereon.
Dated at Eagle River, Alahka
1' ROBERT C. JOHNSON
~ .. SCALE: Registered Land Surveyor No.'~SO~L~
,1'---- ,~O" Box 455, Ea Kle B/vet, Ahska ,
"1 . . Phone 694-2543 . ''
Date:
FA:'< NO. :
r~r. 17 ~(~1 [t3:4~F~ PI
ON (~' SITE
Welding · Mechanical · Boom Truck · Fabrication
Custom Prototyping In Peter~ Creek
688-3220'
QUAN. EQUIP # PART/MATERIAL RECORD PRICE EA. AMOUNT
DATE
~.. WORK REQUIRED HAS I RATE AMOUNT
· .. TOTAL
Little Bit Enterprises N O.
SIGNATURE
ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
GENERALPURPOS£
CUSTOMER COPY
':;B$ - [~lbL[ I!IVEP
~,-'.,;k ~UF;TItGAT[ ROAD
EAGLE RIt'ER, At',
SELLING
STORE
ACCOUNT
~ 907 ~ ~9 ~- 3527
20- ¢00C0100- t~k~
CASH CONT.
I IIIIIt~iltItl IIIII IlllI IS~ItlII I I IIIII Illl IIii
STORE PERSON
99577
NUMBER
DATE 1151737
6/89/8002
t.~. AM
Ta;: IDJt f.
OUR
ORDER NO.
T
PAGE
CUSTOME{~/10 140 143~9 I;I',ITTA ELLIS 1151737-t~,0
P.O. ar TERMS
o~o~,~o s~,~D U/M ITEM (~,l.( ;H ~.~{'lt ~. DESCRIPTION UNiT .... EXTENi~.D '
7 7, L'i'~ CPC96, C. ?4LB PORTLAND CEM+NT TYPE I 7EA 10.99' '' ~6.93
TENDERED BANK ~ItRD 76.93-
~* Ih~,ttlQ~i- 0 ~)~111517 76°93
CELEBRATING 50 'FEARS OF HELPII'G ALASKANS
~HIL. D BET[ER HOMES & COMHUtlIT]ES!
~ , 658
.I
ZtK CT&E ~vlronmental ~Ice. Inc.
CT&E Ref.#
Client Name
Prolect Name~
Client Sample ID
Matrix
Ordered By
PWSID
Sample Remarks:
1023628001 All Dates/Thne~ are Alaska Stnndsrd Time
AK. Water & Wastewater Consultants Inc. Prtnted Date/Tlme 06/25/2002 11:08
N/A Collected Date/Time 06118/2002 16:00
Upper 'Eagle Riv~ Est L3B Bk I Received Date/Time 06/19/2002 14:00
Drinking Water
Technics! Director Stephee~.,)£de
Allowable Prop A~lysis
P..e~lls I~QL Uni~ Ided,,od Limi~ Date Daw Init
Waters Dopartment
Nitrate-N
M:[.crobiology Laboratory
Total Coliform
0.204 0.200 rog/l, EPA 300.0 (<10) 06/20/02
0 col/I OOmL SMIg 9222B (<l) 06/I 9/02
JDT
APPLI¢'"NT FILLS OUT UPPER HAr"~,ONLY
Mailing Address Zip Code
Buyer
Address ' Zip Code
Lending Institution Phone
Address Zip Code
Type of Resi~nce
Slngle Family
Multiple Family No. of Bedroo~
Water Supply
~ Individual A~ACH WELL LOG. A well 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
~ Individual Year Individual Installed:_
~ 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
Inspector
Field Notes:
Time Time
D te .ate Date
~_¢.~ ~ ~_ $~'~)3
)
DATE
Soils Rating Date Se er Install d
Well To Absorption Area
Well to Tank
Well Log Received
Septic Tank Size
EXCAVATION
ROEERT A, SHAFER
WORK
August
8, 1983
CIVIL ENGINEER
694-2979
Area Realty
ATTENTION: Roberta Kolb
P.O. Box 249
Eagle River, Alaska 99577
Dear Ms. Kolb,
Reference: LOt 3B: Block-1: Upper Eagle River Estates
A sewer system adequacy test was performed on the system located
on the referenced property as you requested. The septic tank
was Dumped and verified to have a capacity in excess of 1000
gallons. The seepage pit was charged with 800 gallons of
'f~-esh water and after a per~od of 24 hours approximately 156
gallons had percolated out of the crib.
It can be concluded rom this test that the septic is adequate
for the three bedroom residence located on'this property, however
I regret to inform you that the seepage pit appears only to
be adequate for approximately on9 bedroom.' It will be necessary
for ~ou to have the absorption ~e~ ~pgraded before it can
be adequate for three bedrooms.
If we may be of further service, please do not hesitate to call.
cc: Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please altow ten (10) days for processing.
HAILING ADDRESS
PROPERTY RESIDENT (If different from above)
PHONE
PHONE
2. BUYER
3, LENDING INSTITUTION
MAILING AbD~ES~ ' ' '
4. REALTOR/AGENT
MAILING ADDRESS
· EGAL DESCRIPTION
TREET LOCATION '~
6. TYPE OF RESIDENCE
NUMBER OF BEDROOMS
[] One [] Four [] Other
[] SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY ~ Three [] Six
7. WATER SUPPLY
J~ INDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
'E~] PUBLIC UTI LITY depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
F;~ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date
If system is over two (2) years old an adequacy test is required
[] PUBLIC UTI LITY by this Department,
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 I NSPECTO R
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROONIS
[] 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
[]PUBLIC UTILITY I ~ ~ "2-.
Connection Verified INSTALLER
[]Septic Tank or [] Holding Tank I
Size: ~(~LO(~) If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AR EA MATERIAL
4, DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5, COMMENTS
~/APPROVED FOR 3 BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
LEGAL DESCRIPTION ¢
72-010 (Rev, 3/78)
August 1, 1978 R&M No. 851559
Target Realty
1021W. 25th Avenue
Anchorage, Alaska 99503
Re: Adequacy Test on Existing Sanitary Sewer System; Lot 3B, Block 1, Upper
Eagle River Estates , Eagle River, Alaska
Dear Mr. Bannister:
Per your request of July 30, 1978, we conducted a test of the sanitary sewer
system on the above described property.
The septic tank had been pumped prior to the performance of the test on the
seepage pit. During the test the liquid level in the crib was measured
before and after the addition of 650 gallons of water. The total depth of
the crib was 11.2 feet. Ail liquid levels were measured below the top of the
standpipe and are summarized in the following table:
Liquid Level
Before Water
Added
Liquid Level
After Water
Added
Total Rise in
Liquid Level
5.7' 4.6' 1.1'
The water level rose 13.2 inches with the addition of 650 gallons of water,
indicating an acceptance rate of 49.9 gallons per inch. Twenty-four hours
later the liquid level was again measured and found to be 5.4 feet. It had
dropped 0.8 feet or 9.6 inches. This indicates an average effluent accept-
ance rate of 479 gallons par day for the surrounding soils. If the 3 bedroom
residence on the property is to house 6 people, the average load on the
system can be expected to be 450 gallons per day. We can therefore conclude
that the system is disposing of effluent at the adequate rate for a 3 bedroom
residence.
August 1, 1978
Target~Realty
P~ge -2-
We appreciate this opportunity to be of service to you. Please contact us if
you have any questions regarding this letter or we can be of additional
service to you.
Very truly yours,
R&M CONSULTANTS, INC.
Lynne Kosikowski
Staff Geologist
ProJect Mahnager
¢S:LK/kky
July 25., 1978 .~/No. 851559
Target Realty
1021 West 25th
~chorage, Alaska 99503
r S t 3B Block
Upper Eagle River Estates Subdivision, Eagle River~ Alaska
Dear Mr. Bannister:
At your request of July 11, 1978~ we conducted a test of the septic system on
the above described property.
During the test the liquid level in the septic tank was monitored as water
was added to the system. The measurements are summarized in the following
table:
Liquid Level Below Top Total Gallons
Time of Standpipe Added
9:14 4.7 0
9:22 4.7 25
9:35 4.7 75
9:47 4.7 125
9:59 4.7 175
The meter used during the test was a Rockwell 5/8" standard water meter which
had previously been calibrated by Rfsl~ Consultants, Inc.
If the 3 bedroom residence on the property is to house 6'people, the average
load on the system can be expected to be 450 gallons per day or .31 gallons
per minute. During the test, the system accepted 175 gallons in 45 minutes.
This indicates an average effluent acceptance rate of approximately 3.8
gallons per minute at the time of the test.
Because the house on the lot is occupied, we assume that the leach field was
at its normal degree of saturation. We can therefore conclude that the
system is disposing .of effluent at an adequate rate for a 3 bedroom resi-
dence.
July 25, 1978
Target Realty
Page -2-
We appreciate this opportunity to be of service to you. Please contact us if
you have %ny questions concerning this test or if we can be of additional
service.
,Very truly yours,
R&M CONSULTANTS, INC.
Lynne Kosikowski
Staff Geologist
P~oj ect Manager
i/MB/kah
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received~]~/25/74,~
Time of Inspection
Date of Inspection 1/28/74
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
VA
1. Aoproval Requested By: Stratton, Marvin ~
Address: SR BOX ]64 Eaq]e River AK
2. Prooertv Owner: Same
3. Legal Description: ..... Lot 38. Block ]
4. Location: 3 Mile E.R. Road
5. Type of Facility to be Inspecte. d: Single
Number of Bedrooms: , Three (~)
Wet] Data:
A. Type Drilled
C. Construction Standard
Sewage Dtsoosal System:
A. Installed. 1972
C. Septic Tank: 1.
D. Seepage Pit: 1.
Disposal Field:
Distances:
A. Well To:
Phone:
Phone:
B. Depth ?00' ,
D. Bacterial Analysis
ozzelnnn g.l: 2.
Size 3 rings 2.
Installer gelf
Manufacturer Wallace
Material Co~crete
Total ~ength of Lines
Septic Tank
· Nearest Lot l,ine
Foundation to Septic Tenk
, Absorption Area
., Sewer Lines
· Other Contamination
Bo "~ Ab'~orptton Area
Co Absorption Area to Nearest Lot Line
Request for Approval of ~'"'vidual Sewer & Water Facilitif--i
Page Two
9. Comments:
Aonrov Disapproved Date
Aporova] Valid for One Year From Date $.gned
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRA~ OF SYSTEM
t certlfy that the information contained in this raquest for approval to be a true
~nd accurafie representation of fha subject sewer and water facilities located
Signe~ Date