HomeMy WebLinkAboutEAGLE CREST #1 TR A LT 60 Municipality of Anchorage Page / of ~-'
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P,O, Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number:. - ";~/~"/'~--~"Z _ -, PID Number:. g,5-o -_;o~,z'
,,mo:~__.¢_.~/,; /.r.r~,,z~/_.~:d/. Wastewater System: [] New ~l~Upgrade
^ddt.,: /~/,~, /--//z~,~-~-.-- Z~.-~'~.~",z~-~r~-f~ ABSORPTION FIELD '
Phone: NO'. of Bedrooma:
' ~ . ~i~[ Deep Trench ~ $hallow Trench OBed ~Mound I'lO~her
LEGAL DESCRIPTION
Soil Rattng:
Total Depth from original grade:
· ,~,~, GPO/Sq. ,. 13.f--
Block: Subdlvielon: I )epth to pipe betlom from o~glnal grade: Gravel depth beneath pipe
t I ? I .,.
WELL: [] New I [] Upgrade J Gravelwldth: .umberofllnea:
~ ,. / rt.
Classi f ica tio,~.n_J, Pti vat e.A.B.C) · Total Depth: Cased TO: Total absorption are~: Pipe materlal:,~
Driller. Date Drilled: Static Water Level:. Inst Il . Date Installed:
Pump Set at: I Casing Height Abo~ Ground:
Yield: GPM FLI FL TANK
SEPARATION DISTANCES ~s~pt~ o Ho~U~n, n S.T.[,.
TO ~eptl~ Ab~orptk~l Uft He,ding Pubflc./PriYataManufacturer. Capacity In gallons:
'. Material: Number of Compartments:
Surface
Wato, /,~0¢- /~*- , _ ~ LIFT STATION
Foundation ~O~,. ,.~.~?~,. -- -- *Pumpon'le.lat: I-pumpo.-to~.t:
Cl~ln~ ~/z/~ /t-'///~f'-- v~,//,f~' ~[,/t~ /J,/',~ Pump Uak' & M°d~ I Electrical Inspections performed b~
Remarks: ., BENCH MARK ' ,.~ ,
Location end Oescrlptlorl: .
EN.GINEER'S SEAL
Inspections perforn~ed b~: =o2;~ =aaa:,, '-~. Dates: 1st · r-5~.--~,---,~,,,-'---.
Reviewed and approv;d .by: ~~,~//~ Dar;:
Permit 1~1o. 5*v' ~'~'z-,~ Page ~- of -z-
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P,O, Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal SyStem and/or Well Inspection Report
I i
i I
... I
ENGINEER'S SEAL
~-..';, o~' ~.'"'.,<~
,~...<,?_,.,,,.- .... ~
· ~ ~ ",,_~;...
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650,' 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF 1
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW940242
.OWNER NAME:DUDLEY CRAIG R &
OWNER ADDRESS:10106 HILLCREST LN
EAGLE RIVER, AK 99577
DATE ISSUED: 7/15/94
EXPIRATION DATE: 7/15/95
PARCEL ID:05030411
LEGAL DESCRIPTION: EAGLE CREST TR ALT 60
LOT SIZE: 11070 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK 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 (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
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
RECEIVED BY:
DATE:
DATE:
D. R. DAYTON, P.E., R.L.S.
20210 Donalar Chugiak. Alaska 99567
(907) 696-2417
July 14, 1994
Municipality of Anchorage
Dept of Health & Hi, an Services
O~-Site Services
P.O. Box 196650
Anchorage,Alaska 99519-6650
Attn: Mr. James Cross,.
Re: Lot 60, Tr.A,Eagle Crest Subdivision
Dear Mr. Cross,
The proposed septic system up-~de is to replace a seepsge trench
which is in near c~,~olete failure and a tank which is within 100 ft. of a
well.
The new system will consist of a 1,000 gallon tank and a 40' long x 12'
deep trench with 8' of sewer rock.
The system will not have any adverse affects on wells or septic systems
on neighboring lots. There will be no m~urable impact on reserved areas
or on drainage.
As the existing syst~ is virtually unus~ble, please review and issue
a permit as soon as possible.
Sin ~ly,
I sr ~r
.J
PERFORMED FOR:
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 L Street, Anchorage, Alaska 99502-0650
_
SOILS LOG PERCO TION TEST
LEGAL DESCRIPTION: ~r ~)"~ /~' ~nl.,~-g~-~'T'" Township. Range, Section: ~c.7, '7",/~/,,~,//
SLOPE StTE PLAN
4-
~5
6
7
8
9-
10-
12
13
14.
15-
16-
It,,,,5'
17'
18
19
2O
WASGROUNDW~TER
ENCOUNTERED?
S
IFYES, ATWH~T ' ' (~
DEPTH? PE
Oe~lh to Water Aller./-
Monitoring? /~,~/[/~ Date:
Gross Net Depth to Net
Read;rig Date Time Time Water Drop
PERCOLATION RATE ~ Im,nu~e~J,nch) PERC ~iOLE DIAMETER ~)//
.TEST RUN BETWEEN ~:* FT AND ~ FT
COMMENTS
ITH ALL S - UiOE D // / /
Chuglak, Alaska 99567 -
72-00S (Rev. 4/85)
/;~.GREAiER ANCHORAGE AREA BORvdGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
.~/~,/~.-.' / NUMBER OF
MANUFACTURER /~'"~' MATERIAL ~#~/~Z~/~C' 7-~-- COMPARTMENTS ~
INSIDE WIDTH LIQUID DEPTH IIQUID CAPACITY ~ ~ GALLONS.
SEEPAGE<P'~:
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION__
ADDITIONAL ABSORPTION
· DIAMETER OR WIDTH
CRIB SIZE: DIAMETER
NEAREST LOT LINE
DEPTH~ DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) SQ. FT.
BUILDING NEAREST /~ ~ ~EAREST ][~ ~ SEPTIC .... ~ SEEPAGE
FOUNDATION , LOT LINE ~V ~ , SEWER LINE f~ --, TANK ,~U , SYSTEM
APPROVED ~ DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATER,AL, 7--
LOT SLOPE:
?////75'
Fo~m No, £Q-O31
DIAGRAM OF SYSTEM/ S 7"~./....-.,,j~,,,.~,.~'~x
~
/
APPROVED
G.A.A.B.
d
gREAI .r ANCHORAge AREA bor~'~gH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
FINAL INSPECTION: Z4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
,EEPAGE AREA ~/
MINIMUM DISTANCES, REQUIREM£NT~ 5 / DIAGRAM OF' SYSTEM
FOUNDATION TO SEPTIC TANK
FOUNO^T,O" TO ,"P^OE P'T
CONFORM TO BOROUGH REGULATtONS REGARDING INSTALLATION.
'O ~ E GEOTECHNICAL' Et DEVELOPMENT CO.
Russe# Oyster
694.2774
· Soils ~t Foundations
Box 90. Davis St.. Eagle River. Alaska 99577
694.2774 or 688-2280
Earl E/lis
688-2280
Land Development
Perfomed for: Na~e: ~'~/~/'/4-7-~' ~C'~?l/~7-/td~Tel. No.
',~,;?~t 1trig 'Address: ;'~ · '
Legal Description: Z~/ ~~/ ~ ~ ~.
Depth (feet) Sotl Characteristics
0
6
7
8
g
10
11
/GrO~nd Water Encountered: Yes No ~ If yes, what depth
Propqsed Installation: Seepage Pit
Drain Fte~d
Con~ents:
Performed by:
,.-I
LOG OF DRILLING by A & L DRILLING COMPANY
WELL S~TE ...~&,. .............. .. ...................................................................
........ ....................................................
.......... ............ i .........................................
n,,~ ~,,, ....................... FT. TO ........................ FI' ......................
STATIC LEVEL OF 'WATER F~ ....... ~....~.3 ..................
DRAW DOWn, FT....2~..~ ...............................................
GALS. ''~ ,R ..... ~2 ...O.. ........................... j .....................
KIND OF CASING ...... ~....-*~-...----~---.~-- ..............................
,2 TO l .... ~ .... './.. .................. X~R .................
~-,,~,,. .............. tr. /'/ d;e~';;'_=~: ......
.o . ~ O. ~-%~.--~. ...............
TO...~: .................. FT .................. ~ TO.....~..I ......... r T./Ti .~..-/.- .~:-'! .~!...'~---'-.~.'
r~o~..._.l.O ............ FT. ~, ~u ~ ' d~~ '~ o ~' FT
rRm, i 4:[' 0 FT. 0 rT. Ltl~4,~'c° ..g"'i'"" ~so~ 2.2.1rT, TO....,,~??'.--~- ......... FT.----~-'~-~:d~'-t~---~Z-~-'~-~
....................... TO......~... ......................................................... t' l.,~,-,'o~'
FRO M...:...,.~ .'~...O. ....... FT.TO.....,..! ,i~ ............................................ ~' FT. '.~... P rRObI ........................ F'~. TO ........................ FT ..............................
·rRo.~ ......... l.....~..~ .... FT To @~V FT. ,f,'~p.. ~'4'/~."z~'~/~'''~'¢~' ..~o ...................... .~ ..............................
a ~o .?...!~ ........ ,...~4.4..;Zv/.~.4.xt"s~ rRO~ ....................... ,. TO ...................... FT ..............................
FROI~& ....................... FT. TO... -
rROM.....~....,,'i~."~ FT TO....2..~. ........ rT,.--'-~--'~---~'-.~-.--'l~-:---'--*'"'~./--d/~' ' '~/~';4rRoM ....................... FT, TO ..................... rT ..............................
lVIISCL. INFORMATION:
DRILLER'S NAME ............................................
· DATE RECEIVED
', ' INSPECTION APPOINTMENTS
TiME TiME TiME
DATE DATE DATE
INSPECTOR .NSPECTOR 'NSPECTO0~rI..~'/
MUNICIPALITY OF ANCHORAGE ~UNIC~PALt~ C~ A~CHO~GE
) DEPARTMENT OF HEALTH & ENVIRONMENTAL pROTECTIO~EPT.
ENVIRONMENTALSANITATION DIVISION ~ ~ 9 ~1
Telephone ~7~
PROPERTY RESIDENT (If dilferent from ebon) PHONE
2. BUYER PHONE
~.~,.~ ,.~,~,o.
MAILING ADDRESS
5. LEGAL DESCRIPTION
STREET
6. TYPE OF RESIDENCE
~ SINGLE FAMILY
I-'1 MULTIPLE FAMILY
7. WATER SUPPLY
INDIVIDUAL'
COMMUNITY
[] PUBLIC UTILITY
NUMBER OF~BEDROOMS
[] One ~ [] Other __
Two [] Five
,Three [] Six
ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE"
[] PUBLIC UTI LITY
.YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH I~QUEST BEFORE PROCESSlNGc~.AN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
I'-I SINGLE FAMILY
I--I MULTIPLE FAMILY
NUMBER OF BEDROOMS
i--t ONE I--I THREE [] FIVE
[] TWO [] FOUR [] SlX
[] OTHER
2. WATER SUPPLY
I-1 INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTI LITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[]INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or r-'lHold[ng Tank
Size: .!F~(~O If Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WELLTO:
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
MANUFACTURER
MATERIAL
Sept*c/Holding Tank
IAbsorption Area ISe,~r Line
5. COMMENTS .,~
DATE
{~APPROVED FOR '~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must acc~any
D,SAPPROVED
certificate)
72.OLO (Rev. 6/79)
/V unicipalitTo
&nchor e
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 2(14-4111
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH ANO ENVIRONMENTAL PROTECTION
February 25, 1981
John Paulin
% Jim Harkins
Century 21 - Metropolitan Realty
Post Office Box 677
Eagle River, Alaska 99577
Subject: Lot 60 Tract A Eagle Crest Subdivision
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1)
The water analysis report needs to be delivered to
this office from the Chem Lab, 5633 B Street, for
our review.
(2)
(3)
The septic tank pumped with a receipt submitted to
this office.
An adequacy test needs to be performed on the existing
leaching area. This test will determine if the system
is adequate according to National Standards. A listing
of private firms performing the test is enclosed. This
report needs to be submitted to this department for our
review.
(4)
The application shows the number of bedrooms exceeds
the number the sewer system was originally designed for.
An upgrade will be required. Prior to any upgrade, a
permit needs to be issued from this department.
The application' is requesting a four(4) bedroom residence,
the sewer system was installed for a three(3) bedroom
residence.
J~hn P~ulin
% Jim IIarkins
February 25:1981
Page Two
If there are any ~urther questions,
at 264-4720.
Sincerely,
please call this office
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc:
Security National Bank
Mortgage Loan Department
880 II Street 99501
DAVID A. SLENKAF. IP
MECHANICAL ENGINEER
e94-go55
~anuary 13, 1981
ROBERT A.$HAFER
CIVIL ENGINEER
6~4.2~373
NIUNICIPALI'tY OF ANCHORAGE
DEPT. OF H-.",LTH &
ENVIRONMENTAL ;, O].~C~tON
Century 21, Metropolitan
ATTE~I0,'~r · ~T~mr'~a rkin.-
P.O. Box 677
Eagle River, Alaska 99577
JArl 2 0 ' 981
RECEIVED
Dear 1~. Harkins,
--P~ference; l~etl-Paulin PropertyI Tract A; Lot 60; Eagle
Crest ~ubdivisio~
A' sewer system adequacy test yap performed on the system
located on the referenced property, as you requested.
The septic tank vas pumped and verified to have a capacity
of 1000 gallons. The absorption trench ~.~s tested by a
continuous flcv of 491 gallons of vater cver e period of
24 hours with no measurable rise in the vater level in
the sump et the end of the trench.
It can be concluded from this test that the septic system
is currently functioning adequately for the three bedroom
residence located on this property.
If we ~ay be of further assistance, please do not hesitate
to cell.
F~,-~Oipality of Anchorage
Department of He,lth and E~vironmental Protection
SRB lg~X EAGLE RIVER, ALASKA
~...~MUN]CIPALITY OF ANCHORAG,~
DEPARTM[ OF HEALTH AND ENVIRONMEN ! PROTECTION
825- L Street, Anchorage, AlasKa 99501
279-2511, ext. 224 or 225
Date Received: ,June 22, 1977
~1: Time ll:00 a.m. #2: Time #3: Time
Date 6-Z3-77 Thrus. Date Date
Insp Willis Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request:
Mailing Address:
Phone:
2. Property Owner: Michael H. Steele
Mailing Address: PSC 1 Box 871 Elmend0rf 99506
Phone: 694-2070
3. Legal Description~ Lot 60 Eagle Crest Subdivision
4: Single Family Residence: (x) Number of Bedrooms: two
Multiple Family Residence: ( ) Number of Bedrooms:
well System: Individual well (z) Community/Public System ( )
Permit ~ Depth of Well 300' Well Log on File
Construction '_~3~_~o~~ [~Ba'cterial Analysis
Distances: Well to Septic Tank
to Sewer Line [O ~-- Nearest Lot line
to Nearest Lot Line
6. Sewage Disposal System: On-site System (x) Public Utility ( )
Permit # Installed 1976 Installer -I ; ~
Septic Tank Size ~ 000 Oo~ Manufacturer
Absorption Area _~Q~_O~Soils Rate ~ko~:)~ Material ~
7. to Absorption Area
~O 4- Absorption Area
o '~. ~"'~IUN[CIPALITY OF A, NCHORAGE~''~
fQ.~ Department of Health and Envzronmental Prot~r~cF ,~,.,'C~OP.A~
' 825 L Street, ~chorage, Alaska 99501
~~ ~_~., ~. ~, ~ ~.,...o ~,,,~ ~,~ ~o. ~.~
-~~~.e~t ~or ~row~ o~ ~ua~ S~w~r an~ ~r
~o~e~ ~,r: ~,~ ~ ~F,~%. ~E~EI%ED.
Mailing Address: F~C / ~x ~/ ~,,,~/~ Phone: ~-2~7o
Name of Buyer:
Mailing Address:
Phone:
e
Mailing Address:
Phone:
4. Realtor/Agent:
Mailing Address:
Phone:
Se
Legal Description: L~ ~o E~3~ C,¢s~ Ju~,u~i~
Street Location: ~,'//~¢s~ L~,,~ ~ /~t ~/~,~-~, ~FA ~,~, ~t.
Single Family Residence: (~) Number of Bedrooms:
Multiple Fgmily Residence: ( ) Number of Bedrooms:
Water Supply: *Individual Well (~)
If Individual Well, well depth
If Community System, name of system
Public/Community System ( )
Sewage Disposal System: On-site System (~) Public System ( )
If On-site System, date of installation:
*NOTE: A well log is required on ALL wells drilled since 6/75.
3/77
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 60 Eagle Crest Subdivision
Comments:.
Affadavit Attached: ( )
Letter Attached: ( )
Disapproved:
Date:
~e229, ~977
~chael II. Steele
PSC I Box 871
Elmendorf, Alauka
99506
SubJect~ Lot 60 Eagle Crest Subdivision
Dear }~. Steele~
An inspection was made on the subject property and the
well casing was observed to be loosely sealed. In order
fort~his department to give its approval, the well casing
needs to be sealed tight and any missing bolts replaced.
When this is ~e~ebeen done, please notify this office
at 279-2511, extension 214 or 225.
If there are any further q~mstions, please con~act this
office at the above n%~ber.
Sincerely,
Cory willis, R.S.
Sanitarian
Department of Enwro~ental qual~t~ .
~- 3330 GRATER ANCHO~E AREA BOROUGH/ ~ L/.~.~
"C" Street, Anchorage, Alaska 99503 274 4561
~J~ ~ Date Recelv~ April 15, 1976
,~ ~0 ~ ~~ Time of Inspect,on
Cony.
'Approval 'requested by: First National Bank of Anchorage
Mailing Address: Post Office ~x 720, 99510 Phone:
Property Owner: Robert Cousineau Phone:
Mal]tng Address: % Executive Realty, 2810 C Street
4.
5.
6.
e
279-4481 x 231
276-7777
Legal Description: Lot 60 Eagle Crest Suk~ivision
Location:
Corner of First and Hillcrest, Eagle River
Type of facility to be inspected.Single Family No. of bedrooms 2 I
Well Data: Individual - serving one
A. Type ~ B. Depth
C. Constructto~ /'~)~ _,~.~.,~.. D. Bacterial Analysis
Sewage Disposal ;y~L~ '02-s~te system.
A. Installed I~qS . B. Installer
C. Septic Tank: l. Size
2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line
, Absorption area
Other contamination
, Sewer Lines
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74)
Page 1 of two pages
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 'C' Street, Anchorage. Alaska 99503 - 274-~561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection:
2. Property Owner:
Mailing Address:
CMRO. VA FHA
Robert Cousineau. Builder
C/O Eweentfve 'Re,~lty Day Phone
2810 "C" Street, Anchorage, Ak 99503
CONV xx
7777
3. Name of Buyer: M~chnel M. Rl'eol~ o~ ,,~ Ro~ P. ~1~
Mailing Address: 30-3&~ A Cherry
~chorage, ~aska 99506
4. Name of Lending In~itution: ~E FTRRT NATTONAT.
Mailing Address: ~. O. ~o~ 720: An~horn~: A~ qq~lo Phone
5. Name of Realtor or Agent: ~x~e,,~ve W~l~y
Mailing Address: ~Rln "~" ~ ~,~h~?. ~ eq~03Phone
Day Phone 753-5~57 (hnmo~
752-2206 (~ork)
~7q-&&R1 w
?76-7777
6. Legal Description: Lot 60, Eagle ~!~---~- Crest
Location: Corner of 1st & Hlllcrest, Eagle River, Alaska
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply:
Single Family Residence
No. Bdrms. 2
Public Utility
Individual well
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual (on-site) septic system
Mailed: 4/12/76
/do
EQ-037 ( 1/"/4)
· Page 2 of two pages - Realist for Approval of Individual ~'-~r & Water Facilities
Legal Description Lot 60 Eagle River Crest Subdivision
Comments
Appro~aQyLval id for one year from date signed
Greater Anchorage 'a~ea Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I 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)