HomeMy WebLinkAboutEAGLE RIVER HEIGHTS BLK 2 LT 33iver
Height
lock 2
Lot 33
050- 282
-04
In October 2024, this Department was
notified that the ground in the area of the
seepage pit had collapsed and formed a
depression.
In November 2024, this Department was
notified that the seepage pit was
decommissioned; the cribbing was removed
and backfilled with dirt and topsoil and the
area seeded. The area around the septic
tank was investigated and determined that
it had previously been decommissioned.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www,ci,anchorage.ak,us
(907) 343-7904
',GENERAL INFORMATION
Comp, lete legalde§.cription : L33; 32;
Location (site address or directions) 1014 3
CERTIFICATE OF HEALTH AuTHoRI..TY .APPROVAL : FOR A SINGLE FAMILY DWELLING. '
Expiration Date: I-
EaEle River HeiRhts
;
Caribou st.Eagle River,
AK 99577
.-
Current Property 0~vner(s) Larry Colegrove
Mailing address
Lending agency
Mailing address
Real Estate Agent Rae Hall /Prudential
Mailing Address }_~635 _-_Cel~te:~fie.~,d Dr
Day phone
Day phone
Day phone
6Ra-IRO~ .
~r 0Q577
Un/ess otherwise requested, HAA will be held by.DSD for pickup.
NUMBER OF BEDROOMS: 4
TYPE Of WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ,
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
['~ Individual On-site []
r-] Individual Holding tank []
E] Community On-site . []
[-] Public Sewer []
The Municipality of Anchorage Development Services Depadment (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 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 beb, veen 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 sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with
valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public
water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional
engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection,' the on-site water supply and/or
wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances,
and regulations in effect at the time of installation.
Name of Firm s & s ENGINEERING ....
11034 Eagle River Loop Road No. 204
Address Eaqle River, Alask~ ?9577
Engineer's Printed Nam~ ' (~ o/~ £,,LT' C. ~ e w 6/"
Phone
Date
DSD SIGNATURE
/,,"'" Approved for L./.
Disapproved..
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:.
Additional Comments
Attachments:
HAA Checklist
SeptiC System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
By:
Original Certificate Date:
Io -l-of
(Rev. 17.,'00)
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.anchorage.ak.us
(907) 343-7904
Legal Description:
A. WELL DATA'
Well type"~3..
Date completed ~-
Total depth ~_..~ft.
HEALTH AUTHORITY APPROVAL CHECKLIST
ParcellD:
If A, B, or C provide PWSID # _~'~"~'_
.. Sanitary seal (Y/N) '7/
Cased to ~)~
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform O coloniesll00 mi.
Date of sample: ~] / /~/°1
FROM WELL LOG
ft.
g.p.m.
Well Log (Y/N) ~
Wires properly protected (WN)
Casing height (above ground)
AT INSPECTION
Nitrate _ ~. ~,/. mg./I. Other bacteria ~ __O colonies/100 mi.
.. Collected by: ~. ~ ~ t~:~ld'~/~E''~---//~f
B. SEPTIC/HOLDING TANK DA~
Tank TypelMat'edal '~ '~',~~/'~/~/~- ~Ft/~~Date installed
Tanl~Ee ' .... g;,.';"., Number of Com~ ...... . Cleanouts(YlN) ~
F;3undation Cleanout(y/N)' : Depr~:v~ver tank (Y/N) _ High water alarm (Y/N)
Date of pumping .~/umper _
C. ABSORPTiO~i FIELD DATA / .......... , . ,
Data'installed ~1 rating (g.p.dJfff or ffffodrm) __ System type __
Length ~ ff./ Width ~ ft. Gravel below pipe ft.
Total depth ft. /Eff. absorptionarea______~._ Mo_nit.~ringtube Depressionoverfield
Date of adequacy y _ . Results (Pa;;./F. ail) ...~_.._ For bedrooms
Fluid depth in a~Srption field before te~t _ ___~__ i~. . Water added gal. New depth in.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
De
LIFT STATION
Date installed ~Size in gallons
"Pump on" level at/ in. 'Pump off" level at
Datum / Cycles tested
in,
E. SEPARATION DISTANCES
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
in.
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot ~/,~c
/ /
Absorption field on lot /V/~-'
'~ &"O -/--
Public sewer main
On adjacent lots /V'//~--
Public sewer manhole/cleanout
Sewer/se,,,~_'. service line ;;). ,~- / -F ' Holding tank
SEPARATION DISTANCES FROM S~.CJt~OLDING TANK ON LOT TO:
Building foundation ,,/Property line Absorption field
Water main // Water service line Surface water
Wells on adjacent lots
SEPARATION DISTANCE FROM AB.~;R'E)N FIELD ON LOT TO: .
Property line .... yding foundation _ Water main
Water Service line / Surface water __ Driveway, parking/vehicle storage
Curtain drain //' Wells on adjacent lots
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that i have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name
Date
HAA Fee $
Date of Payment
Receipt Number
(Rev. 12/00)
Waiver Fee $
Date of Payment
Receipt Number
G&AB-HD- 1
GR"'-'TEi~ ANCHORAGE AREA BOROI.~'I
D~.¢ARTMENT OF ENVIRONMENTAL QUALII.,,'
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 -279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME (~ L/~'"'~O'~'--' '"~-~~
MAILING ~/) ,
ADDRESS /~"zs;,,r ~;;>_~.-~..,~:::"~,~,
LEGAL DESCRIPTION
SEPTIC TANK: ,..
DISTANCE FROM WELL
LIQUID CAPACITY
GALLONS.
NUMBER OF ,.~
MATERIAL ..~',,~--.,~:'-~"'-L-- COMPARTMEI',I'[S
INSI'DE LENGTH ~-"~INSIDE WIDTH ~ DEPTH.
SEEPAGE SYSTEM:
SEEPAGE PIT:
NUMBER OF PiTS // OUTSIDE DIAMETER /-'"'~' OR WIDTH
LINING MATERIAL ~--¢/~ ~-~'~'~ '~"M~"~'~ DISTANCE FROM WELL
NEAREST LOT LINE ~"/.~-/)~..~.~/~r/~_.~.~/ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
/...2 ,v-..2~,
· LENGTH , DEPTH
BUILDING FOUNDATION~ / ~
SQ. Ft.
TILE DRAIN FIELD:/f///~
DISTANCE FROM WELL ~ , ATIO _ , NEAREST LOT LINE
NUMBER OF LINES /~'~ DISTANCE BETWEEN LINES '~ TRENCH WIDTH
ABSORPTIO R.~~EA SQ. FT. LENGTH OF EACH LINE L~~''''/''-----
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
WELL:
TYPF~'~/"JZ--~~' DEPTH ,~'~' / DISTANCE FROM
, , BUILDING FOUNDATION. '~'~'
LOT LINE /~)' NEAREST SEPTIC ~ ! SEEPAGE
, SEWER LINE ,,~.,'~ ~'~ , TANK , SYSTEM
DIAGRAM OF SYSTEM
WATER
SAMPLE
· CESSPOOl.
, NEAREST
OTHER
, SOURCES/~--'~/~''~
DISTANCES:
DATE
~' -'" /-~' -- ?"~-'~ APPROVED
GrEa,Er ANChOraGE Area BORoUGh
DEPARTMENT OF' ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
2158
INSTALLATION LOCATION
PHONE
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO SE SERVED
FINANCED THROUGH
COMPLETION DATE ANTICIPATED
SEEPAGE PIT / DRAIN FIELD OTHER
TO BE INSTALLED BY
NOT~ THI~ PERMIT I~ NOT VA~ID WITHOUT ~O1~
FINAL INSPECTIONs 24 HOUR NOTICE REQUIRED. SACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION SY THE
HEALTH DEPARTMENT AUTHORITY WILL SE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
!
FOUNDATION TO SEEPAGE PIT
. DRAIN FIELD
/
SEPTIC TANK TO SEEPAGE PiT WALL
SEPTIC TANK SE~BI~II[~;E PIT
, . DRAIN FIELD
TO NEAREST LOT LINE.
/
WELL TO SEPTIC TANK '~ SEEPAGE PiT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK ~ , SEEPAGE PIT
DRAIN FIELD
, SEEPAGE PIT / . RAIN FIELD
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND ~EEPAGE PiT
FI~ED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
HEALTH AL~HO~ t~
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
Ii
/
/
t
/
/
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANI
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
~AGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
.q MUNICIPALITY OF ANCHORAGE,_..
" .DEPARTME!~OF HEALTH AND ENVIRONMENT I PROTECTION
-. ~--~ Street, Anchorage, Alask~ -~501~
Or~~ 279-2511, ext. 224 or 225
~ ~. Date Received: May 18, 1977
#1: Time
#2: Time #3: Time
Date
Date Date
Insp Insp
Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: Lomas and Nettleton
Mailing Address: 4449 Business Park Boulevard Phone:
274-7661
2. Property Owner: Bobbie Thurman Phone: 694-2780
Mailing Address: NHN Caribou 99577
3. Legal Description: Lot 33 Block 2 Eagle River Heights Subdivision
4:
Single Family Residence: (~
Multiple Family Residence: ( )
Number of Bedrooms: 4
Number of Bedrooms:
Well System: Individual Well (~ Community/Public System ( )
Permit #~ Depth of Well 78' Well Log on File ( )
Construction Bacterial Analysis
See attached letter.
Sewage Disposal System: On-site. System ( ) Public Utilit
Permit # ~Q; ?~ Installed Installer
Septic Tank Size Manufacturer
AbsorPtion Area
Soils Rate Material
®
Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot.line Absorption Area
to Nearest Lot Line
Pa. ge.. ~"wo '
o
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 33 Block 2 Eagle River Heights Subdivision
Comments:
Disapproved: Date:
Department Worksheet:
Letter Attached: ( )
~=~!I4UNICIPALITY oF ANCHORAGE t
Department of Health and Environmental Protection
' ' 825 L Street, Anchorage, Alaska 9.9501
Water
Facilities
~Yz'~equest for Approval of Indlvldual Sewer
Property Owner:
Mailing Address:
e
e .
Name of Buyer:~..Q~AZ3~L_.~-.
Mailing AddresS: '~,~~.
Mailing Address:
Phone:
.. . Phone:
Realtor/Agent: ~j~'~% ~a~_-~ Ch) ~%~ L~_~
· q¢~ ~
Mailing Address: '~"3-C). {'2o~ /i)~-- ~ ~t~;,'~//--'- P1/one:. , "~-~'~,
Legal '(/ . , , . _ . .
Single Family Residence: (~/Number of Bedrooms: ~
Multiple Family Residence: ( ) Number of Bedrooms
Water Supply: *Individual Well (~'~Public/Community System
If Individual Well, well depth
If Community System, name of system
Sewage Disposal System: On-site System
If On-site System, date of installation:
( )
~le~ C~: ~_ ·
( ) . Public Sys.t~(~'"~
*NOTE:
3/77
A well log is required on ALL wells drilled since 6/75.
idUNICIPALIT? OF ANCH. O"i, AG.':
DEPT. OF 1'ISALTH &
ENVI~,OFL',:'-.%] AL PROTr-Ct-iON
I:'IAY .i 8 197/'
RECEIVED'
,SS:
.B,o~OgGt''l
Administered BY:
DIRECTIONS FOR COLLECTING SAMPLES OF 'WATER FOR BACTERIOLOGICAL EXAMINATION
Read Carefully and Follow Instructions Exactly
Bear in mind that water analysis deals with materials present in very minute quantities. The least care-
lessness in collecting and handling may give rise to results which.are misleading.
Samples are accepted at the regional laboratories in the early part of the week (Monday-Wednesday)
unless there is an emergency or prior arrangements have been made. Arrangements'should be ma~le't°'
have the water, samples reach th~ laboratory as quickly as possible and within 48 hours after collection.
After 48 hours, the significance of the bacteriological analysis is impaired.
In collecting samples from TAPS or PUMPS proceed as follows:
(a) 'Thoroughly flush tap or pump by allowing water to run freely for five minutes .
(b)
Shut off water and flame the outlet with torch or burning Paper. The flame' should not be
merely passed over the outlet but should be applied until fixture shows indication Of being
hot. Flame should be directed against inside edge.
(c) Open fixture so that a small stream flows.
(d)
Remove bottle from mailing tube. Hold bottle by the lower half. in one hand and with the other
remove the screw cap with the fingers, leaving foil protecting '~bver in place. Fill the bottle to
the shoulder. Replace cap with foil cover, screwing firmly into place but do not apply pres-
sure which will split cap.
(e) Pack bottle carefully in mailing tube encl:.sing this completed information-sheet.
DO NOT COLLECT SAMPLES FROM FIRE HYDRANTS, YARD
HYDRANTS, DRINKING FOUNTAINS OR SIMILAR OUTLETS
WHICH ARE DIFFICULT TO DISINFECT PROPERLY.
STERILE WATER SAMPLE BOTTLES ALE AVAILABLE UPON REQUEST FROM:
Dept. of Heallh & Social Services Dept. of Health & Soci[ l Services Dept. of Health & SoclaJ Services
Southeastern ReglonaJ Sanitarian SouthcentraJ Reglon~l ~Janltarlan Northern Regional ,Sanitarian
Pouch J 338 Den&ii Street, Mac's:ay Bldg. 604 Barnetle Street
Juneau, Alasl~a 99801 Anchorage, Alasl~a 9~'5~I Fairbanks, Alasl~a 99701
- Or D'~strlct Offices in Fairbanks, Juneau, Kelchil~an, KodiaJ~, Nome, ~almcb $oidotna an~l Yaldez. Consult local telephone directory for
sanitation offices located in these communities. Anchorage area~contact Grealer Anchorage Area Borough Department of £nvlron-
mental Quality.
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received 4/14/75
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
VA
Selective Realty
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
Virginia Steward
Eagle River AK
Phone:
Phone:
3. Legal Description: Lot SS, Block 2 Eagle River Heights North
4. Location: Carribou Street
5. Type of facility to be inspected
6. Well Data:
A. Type Drilled
Single
No. of bedrooms 4
B. Depth 78'
C. Construction
Standard
Size
1. Absorption Area
Total length of lines
D. Bacterial Analysis
B. Installer
2. Manufacturer
2. Material
7. Sewage Disposal System:
A. Installed
C. Septic Tank: 1.
D. Seepage Pit:
E. Disposal Field:
8. Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
Satisfactor~
, Absorption area
, Other contamination
, Absorption area
C. Absorption area to nearest lot line
, Sewer Lines
EQ-034 (1/74) Page 1 of two pages
P.a~J' ~2eof two pages - Re~'~')t for Approval of Individu~,l ,,, ~y)r & Water Facilities
Legal Description --Lot SSt Block 2r Eagl~ River t/ei~hts North
Comments AFpzx~a! pend~nD £unets escrowed £or public sewer s)'_ St~! hook up_ prior
to July 1, 1975.
APprove~~'. ~' ~ Y~'f' Disapproved Date
Approval ~Valid for one year from date signed
'Greater Anchorage Ar6a Borough, Department of Environmental ~ualtt,y
DIAGRAM OF SYSTEM
/
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date '
EQ-034 (1/74)
Mu cip i
of
Anchorage
POUCH 6-650
ANCHORAGE, ALASKA 99502
(907) 279-2511
'GEORGE M. SULLIVAN,
MA YOR
March 3, 1977
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(825 "L°' Street)
Bobby J. Tiloman
General Delivery
Eagle River, Alaska
99577
Dear Mr. Tiloman:
It has been brought to our attention that public sewer is available
to Lot 33 Block 2 Eagle River Heights Subdivision.
According to the Municipal Code of Ordinances "Sewage Disposal
Practices, Chapter 16, Article 16.45, Section 16.45.050:
"Septic tank-seepage system sewage disposal facilities shall not
be installed or used on any premises where sanitary sewers are
available within seventy (70) feet of the nearest lot line of said
premises...".
The Municipality of Anchorage Department of Public Works has checked
their records and they indicate that your structure(s) is not con-
nected to the sanitary sewer. Would you please check your records
to verify that the structure(s) is or is not connected and notify
us immediately if your records indicate, that a connection has been
made.
If we do not hear from you within seven (7) days, we will assume
that our records are correct. We, therefore, request you connect
any and all.structures located on the subject property to public
sewer by the end'of the 1977'construction season.
You must apply for a connection permit from the permit officer for
the Municipality of Anchorage, 3500 East Tudor Road. If you have
any questions regarding the above, please do not hesitate to con-
tact the permit office at 279-8686, extension 259 or the Department
of Health and Environmental Protection at 276-2221.
Sincerely,
~.hn~e~ ~- '
~Principal Environmental Control Officer
JK/ljh
Maz, eh 15, 1{{5
Filo No.:
Virgtnte stewe l
P.O. l{oz 1184
~agle River, Alaska
9957~
Dea~ Ms. Steward:
It. has bf~n bFoufht to 0u~ attentlGn that public s~wor is awdlable to
Block 2 ~ Lot 33. Ea8:l? Rlvor He~hts Subdivision. '
Ao~ordin~ to Ore'or AnOhoral~o Area ]~h Ordtnon~e, Chapter 16,
Artlole 16.45; Section 16.45.050:
- '"Septio tnnk-seop~e systom sowal~e ~~l t~fles ~nU n~
be ~~ or ~ ~ ~ p~aes who~ ~t~ s~ere ~
e le :r t me lot ~e or
s~d p~aea .. ~ u.
~e O~ ~eho~ A~o BoF~ ~bHe Wor~ D~~t has
~s to v~ ~at ~e st~ (o) is or ~ not ~~ ~d
n~ us t~~ely ir yo~ ~rds ~o that a ~n~on
~ b~ rode.
If we do not heo~ f~-om you witht~ seven (?) days, we will assume that
ou~ re~ords .~e ~~. 'We, the~fore, ~ue~ ~ ~t ~ ~d
~ ~~s 1~ ,~ ~o ~Je~ p~e~ to pubic s~e~ du~f
~e 1975 ~~~ se~.
You nmat apply for a eonnoation permit from tho permit offloor f~r the
Greater Ano. hore~o Area Borough, 3500 l]a~t Tudor Road, 'If you hove
any questions rega~dini~ the above, please do not hesitate to contaat
tho permit officer at. ~70-8686, eztension 259, o~ tho Depm. tment or
· Gnvirmunental quality at ~74-4561, extension 141.
'John lee
. G~,gle River Diatrl~t Sanitm'ian
L/lw
RECEIPT FOR CERTIFIED MAIL--30~ (plus postage)
SENT TO POSTMARK
OR DATE
STREET AND NO.
P.O., STATE AND ZIP CODE
OPTIONAL SERVICES FOR ADDITIONAL FEES
RETURN iL 1, Shows to whom and date delivered ........... 15¢
With delivery to addressee only ............ 65¢
RECEIPT 2. Shows to whom, date and where delivered .. 35~
SERVICES With delivery to addressee only ............ 85¢
DELIVER TO ADDRESSEE ONLY ...................................................... SOd
SPECIAL DELIVERY (extra fee required) ....................................
PS Form
Apr. 1971 3800
'NO INSURANCE COVERAGE PROVIDED-- (See ofher s;de)
NOT FOR INTERNATIONAL MAIL * o~o: ]gr~ o- e60-?~3