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HomeMy WebLinkAboutEAGLE CREST #1 TR A LT 34  /--~ 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 / . r-I UPGRADE MAILING A D ,QI~ E J Absorption are. P~RMIT/'}~'e O~ ~ ~ ~ ~ DISTANCE TO: W~I{ ~ O Z ~ Dwelling PERMIT NO. ~_~O Z ~ Manufacturer Material Liquid capacity in gallons -- ~ 0 inches m Well B~ilding foundation Nearest lot line ~ DISTANCE TO: "" C~ Oeplh~.~.~O~_ Driller ~ Dislence ,o lot line PERMIT NO. OTHER PiPE MATERIALS ~ 72-013 (Rev. 3178} / ' · ' I DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION ~, 825 L Street- Anchorage, Alaska 99501 Telephone 264A720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTIO~ . Liq. capacity in gallons ~ ~ ~ ~ IF HOME~DE:~ [~ Inside length Liquid depth ~ O ~ DISTANCE TO~ ~ Well Dweiling PERM,T NO. ~ n ~-- Tota'length of~e¢ inches Total eff~ti, a~r,~i~area O ~ ~ Top of tile to finish grade ~[ Material beneath tile ~ DISTANCE ' DISTANOE TO: Bui~ing ,ou'datlon ~ Sewer line PiPE MATERIALS OTHER ~OIL TEST RATING ~ REMARKS I 72-013, PERf'IIT NO. r,lLiI.4 T ~ J: F"t.--IL I T"T" ¢-'[I--- Rf-IOI4£~F:RGE DEF'RRTHENT O}='-~HERLTH AND ENVIRONHENTAL F~qTECTION 825 'L' _ STREET, ANCHORAGE, RE. 9_9% ~ . 264-4?20 01"4--_'~ I TE '-'%EI4EF-: RE F~' £'11 T 780723 ) RPPLICAf1T R. SEVERSON/D. HCLEOD LOC. RTION 2ND ST LEGRL L.~4 TWA EAGLE CREST S/'D TYPE OF SOIL RBSORBTION ST'STEM SR BOX 165B EAGLE RIVER LOT SIZE TRENCH MAXIMUr,! NUHBER OF BEDROOMS SOIL RATING <SQ. FT?BR)= 85 THE REOLIIRED SIZE OF THE SOIL ABSORPTION SVSTEM IS: DEPTH= 1£'~ LENGTH= 22 GRR".-'EL DEPTFI= 6 THE LENGTH DIMENSIOf'i IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND RNB THE BOTTOM OF THE EF, CAVRTION (IH FEET>. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE HINIHUM DEF'TH OF GRAVEL E:ETHEEN THE OUTFALL PIPE RHD THE BOTTOM OF THE EXCAVATION (IN FEET>. REr;~.U I RED SEF'T I ~3 TRf4[,-. S I ZE= '16488 6RLL£~I'4S PERHIT APPLICANT HAS THE RESF'ONSIBILITV TO IHFORr.1 THIS DEPARTf. IENT DURING THE IHSTRLLRTION INSPECTIOHS OF ANY WELLS ADJACENT TO THIS F'ROPER. T~' AND THE NUHBER OF RESIDENCES THAT THE WELL WILL SERVE. TI4~_-~ ,~ 2 ~-, I 1'4_'SPECT I 1_-'11'-4~ l-IRE F-:EL.'-~-. LI I RED BACKFILLING OF R~l'V SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL E:V THIS DEPARTMENT HILL BE SUBJECT TO PROSECUTION. HINIMUH DISTANCE BETWEEN A HELL AND ANY ON-SITE SEHRGE DISPOSAL SYSTEH IS 100 FEET FOR R PRIVATE HELL; OR · 50 TO 280 FEET FROr,1 R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC HELL OTHER REQUIREf,IENTS f'IRY RPPLS'. SPECIFICATIONS RND CONSTRUCTION DIRGRRMS ARE RVRILRBLE TO It~SUR. E PROPER INSTRLLRTION. PERrd I T E~<P I RES DECEr-IE:EE: I CERTIFV THRT 1: I RM FRHILIRR HITH THE REQUIREHENTS FOR ON-SITE SEWERS RND WELLS RS SET , FORTH BY THE MUNICIPRLITV OF RNCHORRGE. 2: [ WILL [NSTRLL THE SY~TEH IN RCCORDRNCE WITH THE CODE~. ~: [ UNDERSTRHD THRT THE ON-SITE SEWER SY~TEf'I HAY RE~U[F:E ENLRRGEHENT IF THE RE~[DENCE [~ REMODELED TO INCLUDE HOWE THAN ~ BEDROOMS. ~ I GNED: __ ~_ ....... RFPLICR~4T R. SEVERSON/D. f,ICLEOD ........ '' ~teven'A. Johnson ~! ~Chugiak, Alaska 99567 Phone: 688-3085 6 8 12 14 Soils Log Percolation Test Performed for Legal Description Test Pit Location Roger Severson '. Date 8/8/78 Lot ]4, Tract A, Ea~le ¢gest Subdivision 20' E. and 60' N, of SW corner ' 16 GM GW SW 0'- 2.5' red brown silty sandy gravel w/organics 225 ft2/bdrm 2.5' - 10.5' gravel (OW) gray brown clean sandy well graded -- 85 ft2/bdrm 10.5'- 14.0' gray brown clean medium sand w/some gravel (SW) ~" .: 125 Ft2/bdrm No water table encountered Total depth this test i4 feet AVERAGE ABSORPTION AREA REQUIRED~F~O~ 'SOILS LOG = 120 ft.2/bdrm. NET TIME CMin,) ~ET DROP (In,) PERC RA~¢Min/in) Percolation rate ' minutes/inch Signed ._~-~ i ~ DRILLING LOG ' !,; ~., Well Owner.. Andy Ka~J;off UseofWell Doffl. Location' (address of: Township, Range, Section, if known; or distance main road Eaple Creot Subdi~-,i~ion Size of casing ' 6" Dept~ of tlole Static water level '~/f/ ft. (above) · Screen (. '); Perforated ( Describe screen or perforation Well pumping test at 7 gallons per (h~r) · , of drawdown from static level.. ~ .' ' Date of completion 1 1 / 10 / 7 7 295 feet Cased to 293. $ feet (below) land surface. Finish of well (check one) open end ). (minute) for 1 hours with WELL LOG Depth in feet from ); ground surface ' Give details of formations penetrated, size of material, color and hardness 0 2 · ~ '~'"" "' ¢0 75 160 180 : 265 : 280 TO TO '4 .TO 21 TO 60 . TO TO. .To .TO .TO 265 ~ro 280 TO_ TO_ 295 TO TO TO Casin ;,. s ticku~ Or~,~anies Silty Silty ?~r~vc 1 %let .~and & gravel Gravelly hardpDn (,ra~ c.ly hardpan: cobbly Sil~ ha d Si%ty sand & gravel (.r~vclly hardpan, .... ~.' ;' " ~ ' ~' '~'. ' gravel 2 -- STATE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O, Box 196650 ' Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ~0~ 37 NAA# GENERAL INFORMATION Complete legal description Lot 34; Tract ~; Eagle Crest Location (site address or directions) 19307 2nd Street Eagle River, AK Property owner Mailing address Lending agency Mailing address Agent Address Pete Sheairs 19307 2nd Street Eagle River, Vista Home Mortgage (Peggy) Day phone AK 99577 Day phone 694-6290 562-6444 Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE .oF WATER SUPPLY: · Individual well Community well Public water XXX NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: · Individual on-site xxx Holding tank. Community on-site Public sewer If community wastewater system, proWde written confirmation from State ADEC attesting to the legality and status of system. NOTE: STATEMENT OF INSPECTION BY ENGINEER. As certified by m~; seal affixed hereto and as of the validation date shown below, I verify that my Investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and Inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations In effect on the date of this inspection. $ & S ENGINEERING Name of Firm ~n~ r...~. ~!~_._. '-':F ,':.~ ~;,,. ~ Phone ~ o/~ _ .~ ~ 7 '~ Eagle Ri~er, Alaska 99577 Engineer's signature / Date I ~- / t -/ / ~ (~ DHHS SIGNATURE · ~ Approved for bedrooms. Disapproved. 'Conditional approval for bedrooms, with the following stipulations:, Additional Comments ' ' .... .L! :.~. ; The Municipal ty of Anchorage Department of Health and Human Servicea (DHHS) issues Health Authority Approval Ce~:tiflcates"based only upon the representations given In paragraph 5 above by an Independent profeSSio.nal engir~ registered in the State of Alaska. ~ DHHS does this as a COurtesy to purchasers of homes and their lending in~titutio[ts in order to satisfy ce .rtair~ rede...r~l and state requirements. Employees of DHHS do not conduct Inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions In the p~ofessional engineer's Work. Municipality of Anchorage DEC 1 ~' 1996 DEP^. MENT OF ,E*LTH & HUM^N SE.V*CI E £ E ! V E Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Dascri~on: A. WELL DATA Health Authority Approval Checklist Well type ~)~,~.*~r-~J IfA, B, orC, attach ADEC letter. ADEC water system number "'~ ,~ Log presan~l) \/ Date completed Total depth .D '} ~' Cased to ~'7--3 Sanitary seal'N) ~ Casing height (above ground) Wires properly protected~;~l) AT INSPECTION FROM WELL LOG Date of tast Static water level Well production WATER SAMPLE RESULTS: Collfom~ Nitrate Date of sample: ~ -z~- t'~ --'% ~. B. SEPTICJHOLDING TANK DATA Other bacteria Collected by: S & S ENGINEERING IiU.S4 t:igle KlVer Loop KGBd NO. Eagle River, Alaska 99577 Date installed Foundation deanout Tank size /OZ:::)D Number of Compartments ~ Cleanouts~.~'N) y /~ Depression (Y/~ ,.~ High water alarm (Y/N) Soil rating (g.p.d./ft= or fff/bdrm) //l~ ?~/-- System type ~' / Gravel thickness below pipe ' 7 / Total depth /0 / Date of Pumping C. ABSORPTION FIELD DATA Date installed /:~ 7 ~' .. LengU~" --~ / W~dth Effective absorption area ~ ~ t... P Monitoring Tube pres,~)..2~_~ Depression over field Date of adequacy test /,.~ -/3 -- (~ ~, Rasu~l) /~,'1~,,~ For Fluid depth in absorption field before test (in.); F.-7 ~ /O Immediately after~ gal. water added (in.): Ruid depth ~ ~/ (ins) Minutes later: ~'" Absorption rate = ~/~''3`F' g.p.d. paraxJde tmatment (pest12 months) (v~ ,/~.,,.~.. ,,.4,~/,~..1,,Jlfyes, givedate bedrooms 72-026 (Rev. 3/96)' D. UFT STATION Date installed Size in gallons ManholeJAccess (Y/N) "Pump on" level High water al~.rm level at' / ~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation .7- ~' Property line /~"-/ Absorption field Water main/service line I O / ~' .Surface water/drainage I ~ o I'/'' Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property I ne /,' ~" ~' Building foundation '~'~ / '~ Water main/sewice line Surface water /0o I ~P Driveway, parking/Vehicle storage ama Curtain drain ~/A Wells on adjacent lots /o0 / R ENGINEER'S CERTIFICATION I certify that I have determined ~ru field inspections and review of Municipal mco~i~.~_.~e'abo~, i.f.~ ~S am ,. co. fo...= .~.~A ~ ~u,d.,,~. ~..,~ o..~. da....-~'>'- ~:~.:. :....:.~,'.-~--'...._ n,ta I ~- I ~1 I ~3 ~ f~%.-%.... ...-.¥' HAA Fe. $ Date of Payment Receipt Number 72-026 (Rev. 3/g6)" Waiver Fee $ Date of Payment Receipt Number 12/18/96 14:42 CT~E ESI I:~ - 91376941211 H0.772 D~2 ZI~ CT&E Environmentil Servtce~lnG. CT&E Ref~ Client NJune ProJect Name/# Client $~uuple XD M,~trlx Ordered By ~W$~ Sample R~ark~: 9§6552001 S & $ 134 Tract A l~agle Crest #1 T-q4 Tract A ~agl~ Crest #1 Drin~ Wager CIi~ PO// Printed Dat~l'lm~ 12/18196 11:06 Colhs:ted Date/Time 12/1206 10:30 R~ivedDa~ 12113/96 Ih35 T~ni~ ~or: ~hen C. E& 0.100 O 0 0.10o me/I, sHI~ L$OO-NO3F o cot/lOO~ sM~8 9~ZB Att~Hobt. Prep Anolysls Limits Pete D.te Inl~ 10 ~x 1Z/17/96 E~9 IZI13/96 ~p MUN C PALIW 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 264~720 Application Date .T.'ly 7; 19R7 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, seciion, township, range) Location (address or directions) 19307 SECOND STR~r, EAGLE RIVER (b) (c) Applicant Name D^~!.!~v~ NTt'~! ~¥~'~q Telephone: Home NA Business 6q4-/-12OO Applicant Address P.O, Box 772849, F~ RTv'~, .~ 0957? Applicant is (check one): Lending Institution FI; Owner/builder I-I; Buyer [~; Other [] (explain); FEAUTOR (d) Lending Institution ~E"f' PACIFIC BANK Telephone 562-6100 Address P.O. BoX ~,20. AN~RAO~, A~ 99510 (e) Real Estate Company and Agent R.~./~/J~( OF F_~GT_~ ~ A'~J'N: DARLENE N~COLAYS]~ · '. Address P.O. BoX 7728b~q~ ~G[,~ P,i"v'~R~ A[~S]Z-J~. 99577 Telephone 6q4-4200 (f) Mail the HAA to the following address: PT~K llp BY ~'~¢~',V, RI'~ ~GI~G TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Other Number of Bedrooms ~ ' ' WATER SUPPLY Individual WeIl[~ Community FI 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 ~-o~ u,,~) 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 o! 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, with waive~ of well-tank sepa~atio~ distance. Name of Firm ~T~ n~rm~ '~"~G_-rN~-~:~rNG ~,:mrr~-~ Telephone 69zt-5195 Address P_O. F~ 77q2q/l FJ%P.T.R RT~R.. A]'J3~. qqR77 Engineer's Seal Approved for ' '3 bedroomsby ' Date 7-2a- ? ? "' ..... ' /Conditional .... 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 (" ! MUNICIPALITY OF ANCHORAGE (MO~,) ~UNIcIp,4~ ~,.,. HEALTH AUTHORITY APPROVAL (HAA) EN~,i,~DE~);""~ ~;~:NO~.~.. CHECKi.~' ~rF~BRUARy 1984 · ,z ~r~lo~ ...... Legal D~cription: Well Log Present (Y/N) Total Depth ~Q~'5'- / Cased to ~?"~ · · Casing Height Above Ground ~ 7 '~ Electrical Wiring in Conduit (Y/N) Separation Distances from WeIl: To Septic/Holding Tank on Lot ~'~ / To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Test Results '~"¢~'~"~¢.~'"~, Comments If A, B, C, D.E.C. Approved (Y/N) '"~'.-/~ Date Completed ,/,~. ,//~'~' ,~'·~ Yield Depth of Grouting Pump Set At Sanitary Seal on Casing {Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots '"' ; On Adjoining Lots "'" To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date ~.~ ~_~' B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) ,'Y Depression over Tank (Y/N) ~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) '~',/~ Separation Distances from Septic/Holding Tank: To Water-Supply Well ~ ~'~ / To Property Line /*~ / To Water Main/Service Line '*/0 Size J&'~'_'~' / No. of Compartments Air-tight Caps (Y/N) '~' Foundation Cleanout (Y/N) IX/ Date Last Pumped ~07~ ~ ; for Temporary Holding Tank Permit {Y/N) To Building Foundation ~ 5' · To Disposal Field /-~ · 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 /~2.~ Width of Field -~ Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well J~'~ / To Building Foundation .~ /' Lot //'/,/~ TO Water Main/Service Line ~'/~" To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area., or Vehicl.e Storage Area '-~/o Comments '/~'~-~: ~'/"/ /'~'~Y~'//~-/ ~'~ Type of System Design Length of Field ~' ~ / Depth of Field //O /' Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test ~?~//'-.'-'~? To Property Line To ~isting or Abandoned System on ;On Adjoining Lots ~' t~l~~,~ ~ ~d ~. To Cutbank (if pre~nt) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (WN) 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' t~, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Date ~"~ MOA No. Signed Company Receipt No. Date of Payment ~'-?'"~'-'~ Amount: $ Page 2 ol 2 ' l tunicipa.iry o¥ Anchorage P.O..~"'~X 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES Lou Butera, P.E. Eagle River Engineering Services P.O. Box 773294 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 34, Tract A, Eagle Crest #1 Waiver Request Number WR87-042 Dear Mr. Butera: Your Waiver Request for the subject lot has been approved. The required 100 foot separation from a private well to a septic tank has been waived to 86 feet. This waiver was approved for the reasons, (1) due to the surface topography, any seepage would be directed away from the well, (2) the confined aquafer serving the well has a more than adequate depth at 293.5 feet. This waiver applies to the existing septic system only. future upgrade will require all separation distances be observed or another waiver approval from D.H.H.S. Sincerely, Daniel J. Roth Civil Engineer On-Site Services Any cc: Gus Andress, P.E., Project Manager, On-Site Services/Water Quality July 6, 1987 EAGLE RIYER ENGINEERING : ERVICES L~u Butere~ P.E. P.O. Box 773294 F~gle River, Aleslm ~95~/ Telephone (907~ 694-5195 Mr. Steve Morris Civil Engineer, On-site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 REF: Lot 34, Tract A: Eagle Crest #1 MUNICIPALiTy OF ANCHORAo~ DEPT. OF HF-AI.TH & [NVIROIq'~E'NTAL PROTECTION -JUL 9 1987 RECEIVED Dear Mr. Morris: On behalf of my client, I am submitting the information necessary for your ~etermi~ation of a waiver of separation distance~i~ The septic system absorption rate has been tested and found to be adequate for 3 bedroom use. The leachfield was installed in 1978 by McCleod Construction and was inspected and approved by the Municipality at that time, as per the Inspection Report enclosed. A later request for final approval shows the well to septic tank distance as 86'. Our survey As-Built measurements confirm the tank inlet to be at 86' from the well. The enclosed well log shows that the well draws from a deep gravel confined aquifer at a depth of 289-295'. The casing is continuous to 293' where it penetrates the aquifer. The pressure in the aquifer results in a static water level of 250', total drawdown at a pump rate of 6 GPM is 16' after 4 hours of pumping. Well logs in the vicinity show a similar aquifer and depth. The aquifer is overlain by several soil layers described by various drillers as silty hardpan or blue clay. The surface topography is such that any seepage would be directed away from the well location toward a 35% slope to the north. The subsurface soil is a GW-SW type with an averaged pete. rating of 110. A water sample for coliform bacteria and nitrate levels were satisfactory. The well is located opposite the house from the septic location. If there are any questions or concerns, please feel free to call me at 694-5195. Sincerely, Lou Butera, P.E. LB:bls Attachnents · I MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF AN~HO~GE DEPARTMENT OF H~LTH & ENVIRONMENTAL PROTE~IO~EPT. OF H~A~TH & ~ L St~ -A~, A~e ~1 E~IRO~ENTAL P~O~2~ION ENVIRONMENTAL ENGINEERING DIVISION Tala{: me 2644720 JAN 2 3 1979 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEt~F,~ ~{~ )IRECTIONS: Complete a{I parts on page 1. Ineomplm reqm will net be proeemed, Please allow ten (10) days for processing. 4' REALT~(iENT ~~ MAILING ADDRE~ PMO_N E P~ONE . ,NGLE AM,LY [] MULTIPLE FAMILY [] One [] Four [] Two [] Five ~ Three [] Six [] Other 7. WATER SUI~LY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY · ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled pricer t~ ~at date, give well depth (attach log if available.) '/~ st SEWAGE DIEFO~AL SYSTEM ~,. INDIVIDUAL/ON-SITE·* [] PUBLIC UTILITY **If individual/on-site, give installation date I'./'~ "~ . If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 724310(3/78) ~ THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME )ATE DATE DATE NSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. T~PE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE I-'1 FI~/E' [] OTHER [] MULTIPLE FAMILY [] TWO r-I FOUR [] 'SIX PERMIT NUMBER 2. WATER SUPPLY [--I INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~ .- '~ ~ Connection Verified INSTALLER Size: ~, I f Tank is hornemede SOILS RATING give dimensions: t/ / 0 TYPE OF TANK MANUFACTURER Absorption Area to nearest Lot Line 5. COMMENTS ~ APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) I-'1 DISAPPROVED lEGAL DESCRIPTION 724)10 IRev. 3/78) January 26, 1979 A~drey }~s~n Totem Realty 714 ~st 15th Avenue Anchorage, AlasF~ 99501 SubJect~ Lot 34 Tract A Eagle Crest Subdivision Duncan ~Ic Leod, Jr. Property Approval for your individual sewer and water facilities will not be. granted ~mtil the £ollowing items have been completed~ (X) A well log is subnitted to this department. The top of the well casing is sealed with a sanitary seal so that it is water tight. The depre==lon or pl~ around the well casing should be filled with impervious type soil so that it slopes away from the well casing. ( ) The well casing is extended twelve(12) inches above ground level. l:xpose the veil for our inspection to determine proper construction, also, to insure thm minimum distance ruquir~ents are met between your well and sewer syste~. septic tank is punpcd with a receipt submitted to office. ( ) A four(4) inch cast iron cleanout be installed to the · eptic tank or leachin~ area. A percolation test b~ performed on ~e ~xisting leaching area. This will determine i~ th~ system is adequate according to ~;ational Standards. A list of private firms who ~erfor~ the test is enclosed. Audrey Maaon January 26, 1979 Page Two Your application shows the number of bedrooms exceeds the number the sewer syat~ was originally approved for, therefore, an up~rade will be required. ( ) Connect to the public sewer which is available to you. 2;otify this department for a re-inspection when descrepancies have been ¢orr~cte~. If ~xere are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist coz First Ilational Bank of Anchorage %~arge Post O~fice Box 548 99577 MUNICIPALITY OF DEPARTMENT OF HEALTH & ENVIRONMENTAL~ ~t~PApROTE~h~IIJ~/~ ALrr~ OF A~E . ~EPT OF H 825 L Strlet - Anchma je, Alaska g~u01 ~._ · ~ & ~IRO~ENT~ PROTE~ION Telephone 2G4-4720 NOV 3 19~ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND DIP. ECTION$: Complete all parts on page t Incomple · requests will not be procef, sed Please allow fen (10) days for processing. PROPERTY HESIDyNT III different from above) ..... dP,  SINGLE FAMILY ~ One ~ Four ~ Two ~ Five MULTIPLE FAMILY D Three ~ Six WATER SUPPLY Other [-~,~INDIVIDUAL' r~ COMMUNITY PUBLIC UTILITY 8. SEWAG£ OISPOSAL SYSTEM · ATTACH WE LL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give wen depth (attach log if available.) ~JNDIVIDUAL/ON-SlTE** r-'l PUBLIC UTILITY "If 'ndividual/on-s~te, g,ve installation date If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, THIS SIDE FOR OFFICIAL USE ONLY -~,.-~'~ DATE DATE 1. TYPE OF RESIDENCE NU~,IBER OF BEDROOMS [_~ SINGLE FAMILY I-'1 ONE [] THREE [] FIVE [] OTHER '.~ MULTIPLE FAMILY [] TWO [] FOUR I'"l SIX PERMIT NUMBER 2. WATER SUPPLY i-~ INDIVIDUAL DEPTH OF WELL . -' COMMUNITY ~ PUBLIC UTILITY 3. SEWAGE DISPOSAL SYSTEM PERMIT NU,¥,BER [ ~ tNDIVI DUAL/ON -SITE DATE INSTALLED [-~nUBLIC UTILITY [~.Septic Tank or []Holding Tank Eiz,~: _] {~O~) If Tank is homemade $OIL$ RATING ' TO%AL ABSORPTION A~EA MATERIAL 4. DISTANCES SeptlC/HOIcl,ng 3anK IAb$orption Area Sewer Line I Nearest Lot k,ne WELL TO: I I ri. CO,'tli'~I E NTS ~A~PROVED FOR BEDROOMS [] COI~IDITIONAL APPROVAL (letter must accompany certificate) ['-]~..~ISAPP R OV E D