The URL can be used to link to this page

Home My WebLink AboutEAGLE CREST #1 TR A LT 73 MUNICIPALITY OF ANCHORAGE Deparfment of Heaith and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Mar 18, 1999 Expiration Date: Mar 17, 2000 Permit Number: SW990036 Legal Description: EAGLE CREST #1 TR ALT 73 Design Engineer:. 0000 None Required Owner Name: John E. Thomson Owner Address: 17343 Santa Mafia Drive Eagle River, AK 99577- Parcel ID: 050-304-38 Site Address: 019251 EAGLE RIVER RD Lot Size: 15180 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] PHvate Well [] Water Storage 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 pfior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either:. A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: IT IS THE RESPONSIBT~.TTY 'OF THE OWNER OR BUILDER PRIOR TO ODNSTRUC~'~ON TO VERIFY PROPOSED BUILDING GRADE R~r ATIVE TO FINISHED GRADE AND UTT~.~TY CItNNqDur£ONS. AND TO D~£~4~INE THE EXISTenCE OF ANY APPEAR ON THE RECORDED SUP/3MSION PLAT. PROPOSED CONSTRUCrION PLAN SEWARD & ASSOCIATES LAND SURVE~ I HEREBY CERTIFY .THAT I HAVE SURVEYED THE INDICA~. IT IS THE RES~NSIBILI~ OF ~E ~ ~ D~E~INE T~ ~ISTEN~ OF ANY GEID~~~~ .............. E~ENTS, COVENA~S, OR RESTRICTIONS ~ '~~ WHI~ DO NOT ~PEAR ON THE RE~D~ ~BDI- VISION P~T. UND~ NO CIRCUMSTANCES S~ FB: f~.'.. ~Y DATA H~EON BE US~ FOR CONS~U~iON ~ ' ~t;~'.... . ..".~ OF FENCE LIN~, OR ~R E~LISHING ~ND- DRAWN, ' ARY LINES. ~ · %%~. - -'~ :.ii ~L*' ~, . CREST VIEW LANI ~..~ l,,7~' " ~r~ .~, '.' P~ -- AGLEWOOD DRIVE r- ~ *-' ) . o..~ ~ :) ,o. '"~*-'~' ~'~ ! ~=' "1 ; l~ ~ , ,, , hi I -I MATCH UNE,. .... '... STA. 24+87 SULLIVAN WATER WELLS P,O. BOX iTO~?2, CNU(31JO(, P&UI~KA I~ll? · TELEPHONE OWNER OF LAND MD.ESS / 7 LEGAL DESCRI"TIQN ~OR~ HOLE DATA DEPTH PERMIT NUMBE~ Date cf Issue TAX INDENTIFICATIOhtNUMBEE~. ~ Oq.- .~" Is well ~t~ mt mppmv~ ~E ~tl~? ~ Yet ~ No Meth~ of Dd~lng' ~mte~ ~ ~b~ ~1 ~p~h of ~TI: ~ ~a~eter ~ (( In~, ~pth ~ f~ Liner ~: ~ Cating 8~kup A~ ~n~'. ~ feet S~ ~mr Lever (~m gmuna ~el): ~ ~ f~t Pump~g ~vel: ~t ~ bm. pum~ng gpm R~r Re:e: ~ 0 opm '~ Me~ ~ T~t~ng: ~/~ Well Intake Opening Type: l~Ertd ~ Open Hole O $c~eenen; Start ~ 8t~ ~t ~ Pe~t~ne S~~~ 8top~ ~t ~t Depth: from ~) , feet. to Pump Ir, take Oeplh: PumpSize hp Brand Name Well Dilinfe~ed Upon Completion? ~ No Melho~ of Dlainfectlon: --,' feet DeDt. Health ATTENTION: It i~ the m~ponalblllty of the propen7 m~la~ to eubmit · oopy et' fie well log to the pmpe~ authority. Municipality o,f Ancho~ge.'. Dap.ailment.o! _Health & Human 6e~lcal a.'~t/or Depaitment of Environmental Can~ervetl,~n. MatSu Borough. ueparm~ent of Enwronmenm~ ~oneervatlo~. ' NOTE: AIL INFORMATION SHOWN WAS TAKEN FROM M.O.A. RECORDS, AS-BUILT SURVEYS. A.W.W.U. SEWER KEY MAPS, ETC. LOT 69. TRACT A, LOT 68, TRACT A. LOT 67, 1RACT ~,. c.m S/D ~L~ C~ S/D ~Z C.m S/O I I // /! \ \ ! / \ I~WI"DL~ [ I~WW~LLe... Av~,z,~ S~-,d~r'~'''_ ~W~R 5~RVI~ LII~ ! ! , ! \\ I EAGLE RIVER ROAD /' LOT 75, TRACT A, EAGLE CREST SUBDIVISION i ...... i''/'~'''~' ................ AS-BUILT OF WELL LOCATION ^----~..~ ',' ~ ~ ~...: .... PR~ FOR: PHONE "UUBER: ~O~x}'~. I:E--7953 JOHN THOMSON 240-2020 ~?z .~. .... ~Te7/28/99-- -- J.L.M. 1 - 40' 1 OF 1 ~[~{ o,..,~o t 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 1. GENERAL INFORMATION Complete'legaldescription Lot 73; Tract A: ~aqle Crest Subdivision~ Location (site address or directions) Property owner Mailing address Lending agency Mailin. g address, John Thomson NHN Eagle River Road 17343 Santa ~.!aria Dr. Day p~one-~ Ea~le River. AK 99577 Day phone Agent Address Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 4 NOTE: Individual well XX Community well Public water If commu..n, ity well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OFWASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5. 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 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/~J Name of Firm ALASKA WATr~ Addre Engineer's signature Alaska Water & Wastewater Consulta~S, Shall be PAID or prior to, closing for,the Engineering Services Provided, DHHS SIGNATURE A.p. proved for Ed) ~//~ bedrooms. Disapproved. Conditional approval for ~this inspection. Phone '~ ~ '~ ~ ! '7 ~ Date ~/~/~ ~ bedrooms, with the following stipulations: Additional Comments By:. Date The Municipality of Anchorage Department of Health and Human Sen~icas (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS 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. DEPARTMENT OF HEALTH & HUMAN SERVIC~_'~'~ ~'.~^ <~1~11~ Environmental Services Division ~,~?~. '~-P.e ~ 825 L Street, Room 502 · Anchorage, Alaska 99,501 · (907) ~ Health Authority Approval ChecMist "~o~ WELL DATA Well type Log present ~IN) Total depth " {)l~t ~,'t'~' ff A, B, or C, attach ADEC letter. ADEC water system number ~1//~. Date completed ~ Cased to ~Z I Casing height (above ground) ~ I.~. FROM WELL LOG res prope protected AT INSPECTION Date of test ' Static water level Well production /, g.p.m. WATER SAMPLE RESULTS: . Colffoml 0 Nltmto , ~' )~//-- Other bacteda ~ [:)~m of sample: ~ Collected by: A · u~. ~1. ~. I I~' e. SEPTlC~IOLDING TANK DATA PU6~.t c. '~e ~J'= ~./ ~' ~ Pumpe/:m~/N) High wa~r alarm ~/N) C. ABSORPTION FIELD DATA Date Installed Soil rating (g.p.dJfF or ltt/'cx:lrm) System type_ / L~ngb'l Width __ __ Gravel thiclmesa below pipe ~/~ dedth absoq~Jo~ sma __ __ Monitoring ~ ~t'9'~ Deprm~ian over field (Y/N) Effective Peiu,,Gde treatment (past 12 montllS) (Y/N) If ye~, give date / D. UFT STATION t~//k- Dete Installed Size in gallons Manhole/Access (Y/N) ' P,J~]3~~ High wat. er alarm ~1 s/~'/ 'Detum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL O~I,OT TO: Septic/holding tank on lot /J4 Abseq~ion field on lot NJ4 'Pump off' level st* 10ol4-. On adJacem lots O~ adjacem lots Io°1'1- Public sewer main .~ I~. Public sewer manhole/clsenout J Sewer/septic sewice line ~ J'f' Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation Property line Ab Water main/ ' Surface water/drainage Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION Fit=! n ON LOT TO: P~,H c. ~J6 ~.~ Property line Building founda~ W~ter main/sewtce line Surface water ~.------'-~l~y, parking/vehicle storage ama Curtain ~ Wells on ao3acem lots F. ENGINEER'S CERTIFICATIO~If IcerlEyihatllla~d~,m~m~ld~~--w~M~~~ 724326 (Rev. 3/96)* 5515301 T-3~O P.OZ/C3 Olent ~ Collected l~.~rime 07/26,'~ Reeelv~ I~teJ'rune 0//27/99 ~2:20 Te~lmJc~l Director: St. ep~m C. ~ JL".-3~-~ Oil:4g FI~P-CTE E,~VII~NTA: ~1S3:~I T-3~O P.03/03 CT&E Environmental Services Inc. Anchorage. AK 95518-1605 Drinking Water Analysis P-.aport for Total Colifo~ Bacteria ~ , · ,' V RSE$1DE~EFO~ COLLEL~I.%G$~I~E F~x (~07 561-6~01 Sample ovrr 30 houri old, r¢~ltS ~ ~.rel able not b~ ov~ 4~ hou~ al~ at A~h~lcal Mcfh~: ~ ~e~e Fdt~ ~ntt~A~.C. Aac~ ~ Jaa Client note'~d of uflsafisfzctor) r~ul~: