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Home My WebLink AboutEAGLE CREST #1 TR A LT 52 GRE/.,"~R ANCHORAGE AREA BOR~JGH Department of Environment Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TAN K: DISTANCE FROM WELL MANUFACTURERf'~" Sc ~' MATER,AL. INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPAClTY~0~1'~ GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL [2~)( FOUNDATION NUMBER OF LINES / DISTANCE BETWEEN LINES ABSORPTION AREA SQ. Fr. LENGTH OF EACH LINE ~, DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE ,~' TOTAL LENGTH NEAREST LOT LINE ~ OF LINES -~"~ ~' TRENCH WIDTH~"~"~;N. TOTAL EFFECTIVE /~ ~ ' IN. ABOVE TILE IN. WELL: CONSTRUCTION DEPTH ~ ~Z~ , DISTANCE FROM: FOUNDATION , LOT LINE /l)! SEWER LINE , , TANK */~ SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: ,NSTALLEOBY= FO S SEWER LINE DEPTH: PiPE MATERIAL.' LOT SLOPE~ REMARKS: DIAGRAM OF SYSTEM SEWAGE DISPOSAL SYSTEM -- .,~PPLICATI .O.N.AND ,PERMIT ~ ; FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE: DEPARTMENT OF ENVIRONMENTAL OUALITY AUTHORITY W~L B~ SUBJECT TO PROSECUTION, ,.5-./ WATER HAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FI Et.D DIAGRAM OF SYSTEM r O ~' E GEOTECHNICAL ~ DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 6~8-2~0 Russell Oyster Earl Ellis 694-2774 688-2280 Soils ~ Foundations Land Development SO~l. LO~ Depth (feet) Sot1 Characteristics 0 3 7 12 Ground Water Encountered: Yes No Proposed Installation: Seepage Pit Coneents: A//o ~/~'~- (/~/~ ~ If yes, what depth Drain Field Date: MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # 1. GENERAL INFORMATION (Must be completed prior to'submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 52; Tract A Eaale Crest Location (address.or directions) 1923~ First (b) Property owner i~.laska U.S'.A. - Telephone: (home) Mailing Address P.O. ~x lC)RRl'4 An,-h,~,-~g,~ ~ln~V~ (C) Lending Institution Telephone Mailing Address CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Business (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here r-I, if hold for pick up.) List contact person and day phone number below: $ & S ENGINEERING i~0.~, Eagie kiver ~.eop Koad No. 204 Eagle Rivm', Alaska 99577 2. TYPE OF RESIDENCE Ordered By: Finis Sheldon - ~786-2503 Single-Family~ Number of bedrooms 3 3. WATER SUPPLY Individual WellJ~. Community CI Public 1-1 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site']~ 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 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION · AS certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional end 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 Address Date $ & S ENGIN~'ckii~iG 17034 Eagle River Loop Road No. 204 Eagle R[Yert Alaska Telephone 6. DHHS APPROVAL Approved for -~ Approved~..?"~ Disapproved Conditional Terms of Conditional Approval The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees 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 professional engineer's work. MUNICIPALITY OF ANCHO~AC~ £NVi~.ON,,/~"~RViC~U..,,I~Ig?N~LITY OF ANOHORA~E (MOA) (~,~ Health Author~ly A~Proval (HAA) ' 'S~]~8~ CHECKLIST FEBRUARYI984 RECEIVED· A. WELL DATA Well Classification t ~5 ~ Well Log Present (Y~ ~'[ ' Date Completed" ' ' I~~' Total Depth.t~ Cased to ~z:>l~ Depth of Grouting Static Water Level '~_.--.:"~ pu.mp set At 343-4744 If A, B, C, D.E.C. Approved (Y/N) Casing Height Above Ground [,~..~1 Electrical Wiring'in Conduit ~)'N) y SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot - [ ¢:::,c:> OF-- Sanitary Seal on Casing~N) ~ Depression Around Wellhead (YIJ~ ; On Adjoining Lots ~ CC:> I j,_ To Nearest Edge of Absorption Field on/Lot To Nearest Public Sewer Line r-~J, To Nearest Sewer Service Line on Lot ~ I.~ Water Sample Collected by "~"~ ~.~l~lE:::~:d'Z..(~ ;Date ~"':'~-~---~ Water Sample Test Results B. SEPTIC/HOLDING TANK DATA Date Installed J~"~'"~'~' Size _.~:;;~:21:2__ No. of Compartments Standpipes(~N) 'y Air-tight CapstaN) "/, Foundation Cleanout (Y,~ Depression over Tank (Y,~ ~ . pate Last Pumped Pumping/Maintenance Contact on File (Y/N) } /~/~r ; for - ' Holding Tank High-Water Alarm (Y/N) ~F:/j~ Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/He'cDfNG TANK: '.' ~. (:~C> To Building Foundation To Water-Supply Weli · To Property Lin~ ~ c:> IA'" To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course comments ~'-~--~, To Disposal Field 72~2e (..,.?~) F~,~ Page I of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absortion Area Depression over Field (Y/(~ Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundatio~..~ Lot ' fi' To Water I~.~in/Service Line Length of Field Depth of Field Gravel Bed Thickness · ~'7-.~::'''~' ~ Statndpipes Present~;~l) Type of System Design '"'"T~-~ Date of Last Adequacy Test o~ -'Z-.~ - ~' ¥'?,-~C~' '~0 Property Line . ~,~'"~' z¥C~ ,---- To Existing orAbandoned System on ; On Adjoining Lots To Stream, Pond, Lake, or Major Drainage Course To Dr veway, Park ng Area, or Veh~c e Storage Area Comments t To Cutback (if present) oo Date Installed -. "Pump On" Level at ~ High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Man .hole/Ac(~ess' (~/N) ~"Pump Off" Level at Vent (Y/N) during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request" I certify that I have checked, ~'erified, or conformed to all MOA and inspection.' Signed Company Date MOA No. .~ ~, .~ ........... ING 17034 Eagle River Loep Road No. 204 Eagle River, HAA guidelines mn effect_~;~'l "' ' Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 Receipt No. Date of Payment Amount: $ 72~26 (Rev, 7/88) Back '~'CHEMICAL & GEOLOGICAL LABORATORIES OF AL.4SKA, INC. /~[~,~' 5633B STREET ANCHORAGE. ALASKA995,8 TELEPHONE (907)562-2343 FEDERAL TAX ID # 92-0040440 Date ~eport ~=lnted: &E~ 27 85 I 15:37 Client Sample I~:E$2. '~lC~l DACE! le~eived SIP 22 ~5 I It:CO K~e. Client Pane : S & $ I~IP~ISlI~ Client lcct= S~3I~CP ... - Analysis Completed :~EP 26 ~8 &e~ lepozt! to: / .............. ; ........................................................... ~ ...... ~....~ ........... ~- ....... ~-.- ..... ~ ................ ~pecla! Instruct: Chemlab lei !: 2724 Lab &mpl I0: ! ~etEtx: WAVE! ] Allo~able RIT~T~-N PD(O.IO) ~/1 IPA 353.2 10 &emple I[OITI I ~ SAI~LI. lemarke: $1,~t'Ll COLLICTID !! [~3. Teste Pe[iozmea ' See Special InstTuctlone Above UA-Unavailable Pone Detected "$ee ~ample lemazke Above ~ot Anallze~ ET-Lees Than, CT-Gxeotez Than · DATE RECEIVED "'* INSPECTION APPOINTMENTS TII~,: TIME TIME 9:30 a.m. )ATE DATE DATE 9-11-80 Thursday INSPECTOR INSPECTOR INSPECTOR Pratt ~UNJCIPALhTY CF AI~CHORAG~ MUNICIPALITY OF ANCHORAGE DEPT. OF (/,,,~-~'~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOI~r/i.~O.~,%;£NTAL ~ 826 L Street - Anchora9~, Alaake 99501 ENVIRONMENTAL SANITATION DIVISION SEP 'tgSO Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. IncomplJte requNt~ will not be processed. Please allow ten (10) days for processing. t. PROPERTY OWNER PHONE John Peck 694-2842 MAILING ADDRESS SR 1 Box 18 Crestview 99577 PROPERTY RESIDENT (if different from above) PHONE 2. BUYER PHONE John J./Brenda Marshall 349-3116 MAILING ADDRESS Star Route A Box 1596-M 99507 3. LENDING INSTITUTION J PHONE Alaska U.S.A Federal Credit Union1276-5100 MAILING ADDRESS 777 Juneau Street 99501 (Pouch 6613 99602) 4. REALTOR/AGENT j PHONE Susan Gallion % Arear Inc. Realtors]694-9555 MAILING ADDRESS Post Of£ice Box 249 99577 LEGAL DESCRIPTION Lot 52 Tract A Eagle Crest Subdivision STREET LOCATION First Street off of Crestview (see attached map) 6. TYPEOF RESIDENCE NUMBER OF~BEDROOMS r-I One r'-] Four ~: SINGLE FAMILY r-I Two [] Five [] MULTIPLE FAMILY [~X Three r'-i Six [] Other 7. WATER SUPPLY ~: INDIVIDUAL* * 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 [] PUBLIC UTILITY depth (attach log if ava[labia.) 250 ~ 8. SEWAGE DISPOSAL SYSTEM J~ INDIVIDUAL/ON-SITE** 1976 YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) ~(~-(2.~C~ ~ ~3).~. _ ~ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified I LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY jj _,.~ ~ Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: /600 If Tank is homemade SO~LS RATING give dimensions: TYPE OF TANK MANUFACTURER Absorption Area Lot Line 4. DISTANCESwELL TO: Septic/Holding Tank J ~ jJSewer Line Nearest Absorption Area 1o nearest Lot Line 5. COMMENTS ~:~I/~PROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) ' [] DISAPPROVED /,~ DATE BY 72-010 (Rev. 6/79) REALTORS' ,, ge · REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Type of Inspection: CMRO VA Property Ovmer: Mailing Address: Name of Buyer: Mailing Address: FHA CONV ~/ Day Phone' dp~.P,~p/.2.~ ' Phone ~- ~//~ Name of Mailing Name of Mailing Lending Institution: Address: '727 Realtor or Agent: Address: F~. Phone Legal Description: Location: ~A/ ~'/APJ7 Type of Facility to be inspected: Water Supply Type of Supply: Public Uttlity~ Individual If Individual, number of dwellings presently'served ' / If Individual, depth of well ~) Sewage Disposal System Type of System: Public Utility ~ Individual If Individual, date of installation: ~ (on-site) AREA, INC. REALTORS [~ Anchorage '"C" St. Office 3300 C Street (907) 278-2525 [] East Anchorage [] Eagle River Eastgate Office Parkgate Office 5437 E, Northern Lights P.O. Box 249 (907) 278.2525 (907) 6049555 DAVID A. SLE;~ KAMP ROEERT A. ~ItAFER MECHANICAL ENGINEER 694-9055 MUNICIPALITY OF ANO'IOIb~GE Octobar ~, 19SO DEPT. OF H~-ALTH & ENVIRONMENTAL PROTECTION ClVILENGINEER 694-2979 Ih-. John Peck, SRB 18 Fmgle River, Alaska 99577 OCT $ 1980 RECEIVED ,.or. Pock, Reference: Lot 52; Tract A; Fmgle Crest Subdivision A' sewer ~ystem adequacy test %ns performed at your request on the system located on the referenced property. A continuous flow of 684 gallons of ~ter %ns added to thc absorption trench through the septic tank over a period of 24 hours. The septic tank ms also pumped end verified to have a capacity of 1090 gallons. It can be concluded from this test that the septic system located on the referenced property is currently functioning adequately. If we ~ey be of further assistance, pleese do not hesitate to call. Depnrtnant of'Health and Envtor~mont~l Protection Area Realty ATTENTION: Sue C~. llion Alaska U.S.A. Credit Union SRB 196X EAGLE RIVER, ALASKA GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received January 5, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 'FOR Cony. 1. Approval requested by: Peoples Bank and Trust Company Mailing Address: Pouch 7007, Anchorage 99510 Phone: 2. Property 0wner: J.A. Modular Homes, Inc. Phone: 279-7511 279-2589 Mailing Address: 3. Legal Description: 3400 Mountain View Drive Lot 52 Tract A Eagle Crest Subdivision 4. Location: First Street, Eagle River 5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data: Individual A. Type DDI//~ C. Construction B. Depth D. Bacterial Analysis Sewage Disposal System: On-site system. A. Installed //-~"-72~- B. Installer C. Septic Tank: 1. Size /, ~0 2. Manufacturer D. Seepage Pit: 1. Absorption Area Z~'-- E. Disposal Field: Total length of lines 247' 8. Distances: A. Well to: Septic tank , Absorption area Nearest lot line /~ ~ , Ot~er contamination B. Foundation to septic tank_~, Absorption area C. Absorption area to nearest lot line~~ /~ , Sewer Lines EO-034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ANCHOI~AGE DEPARTM[NT OF HEALTH & £NVIRONMENTAL PROTECTION JAN 5 1976 1. Type of Inspection: CMRO VA FHA 2. Prope~yOwner: J.~. ~s~/~¢o ~-[m,~ ~¢, Mailing Address: ~d~)~) /L'//C~C'L-t34~ (~2 V(~-) Day Phone RECEIVED ,,.J~,~ Mailing Address: 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address:~7/~, ~-/',L)~, ~/'~- ~/~tU~ay Phone CONV /~, Phone Phone 6. Legal Description: '~'/"~'~ 7-racY vi ~.u/~ C_w~.sV- 7. Type of Facility to be insp~ted: ~ccl~ ~0~ 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently se~ Individual No. Bdrms. ~ If Individual, depth of well Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation EQ-037 (1/74) Page 2 of two pages - Re~"~st for Approval of Individual "~'er & Water Facilities Legal Description Lot 52 Tract A Eagle Crest Subdivision Comments Approved ~/' .~//~ Disapproved Date Approval :Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality 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 /~ ?~ ~7~ EQ-034 (l/74)