HomeMy WebLinkAboutEAGLE CREST #1 TR A LT 74
GREI"~,~ ANCHORAGE AREA
Department of Environmental Quality
$330 C Street
Am'borage, Alaska 00503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION [lll,~ ~/"~. ~t t& DJ.
SEPTIC TANK, (~L'J~ If~GIz.!
MAILING ADDRESS
LEGAL DESCRIPTION L"71"~ ~-~r A
DISTANCE
FROM WELL __ MANUFACTURER
MATERIAL ~"~'~/"'"
INSIDE LENGTH
INSIDE WIDTH
LIQUID DEPTH
PHONE
NUMBER OF
COMPARTMENTS
IIQUID CAPACITY ]~){~ GALLONS.
SEEPAGE PIT:
NUMBER OF P,TS I D,AM~rER bO' OR W,DT. /~;' LE.GT. /~'; DEPT. /Z/
LINING MATERIAL CRIB SIZE: DIAMETER....~DEPTH ~ DISTANCE FROM: WELL
~ TOTAL EFFECTIVE
BUILDING FOUNDATION 7f. NEAREST LOT LINE ABSORPTION AREA (WALL AREA),
ADDITIONAL ABSORPTION
WELL:
BUILDING
FOUNDATION
CONSTRUCTION
NEAREST
LOT LINE
CESSPOOL
OTHER SOURCES
APPROVED
DISAPPROVED
NEAREST SEPTIC/_ · SEEPAGE
SEWER LINE TANK f~'r SYSTEM
REMARKS
DISTANCES:
I NS~.~LE O BY:
PIPE MATERIAL:
LOT SLOPE~
REMARKS=
Form No. EQ-031
DIAGRAM OF SYSTEM
DATE' bO/'<
I/'
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
Parcel I.D. #. 050-304-47
HAA# HA900156 AMENDED
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot. block, subdivision, section, township, range)
Lot 74 Tract A Eagle Crest Subdivision #1
Location (address or directions)
19311 Eaqle River Road
(b) Property owner H.U.D. Properties Telephone: (home)
Business 271-4342
Mailing Address
(c) Lending Institution
Mailing Address
222 West 8th Avenue (Box N-64) Anchorage, Alaska 99513
Telephone
(d)
Real Estate Company and Agent S~ndi Hjelmsted % Associated Brokers
Address 640 West 36th Avenue Suite 1~ Anchoraqe~ Alaska 99503
Telephone 563-3333 -~-'
(e)
Mail the HAA to the following address: (or check here m, if hold for pick up.)
List contact person and day phone number below:
2. TYPE OF RESIDENCE ' '
Single-Family Ekx Number of bedrooms three (3)
3. WATER SUPPLY
IndividuaIWell[~x Communityi-I PublicCI
Note: If community well system, must have written confirmation from the State Depadment of Environmental
Conservation attestih~ to th legality; and st~,tb,~.:: ..... """ :" "'"'~ ~" "'"'" ....... ' : ' '
On-site []" Public r~xx Community[] Holding Tank [3 ' : .... :
Not~:
If community well system, mu~:t have'written confirmation from the St~t~ DePartment 9f'Envir0n~.n.tat'
' Conservation attesting to the legailty and status. : :.. .. ~... ~.: ~
72-02,5 (Re~. 7~86)
Page I of 2
;,
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
AS certified by my Seal a'ifixed hereto an~i as of the validation date shown belo~v, I verifY that my investigation of this
/i' Health Authority App.r0¢~l;show~ that th~ on:site water suppl~/and/or ~astewater.~disposal system is safe
' fu~'cti°nal and adequat'e~ f61:'the number of bedrooms and type of structure indicated h~rein. I further verify that
.~ based on the nformation obta ned from the Municipality of Anchorage files and from my investigation and
nsp~0tion, the on:s te wate~ Supply and/or wastewater disposal system s n compliance with all Municil~al and
State codes, ordinances/and regulations in effect on the date of this inspection. ' ~ * ' '.." ; ' , '
i.N~meofFirm iEaQ. le River': Etio'~_neerlnq ' Telephone 694-5195 -- - ': .......m · --
........... ~ po~ Ea~le'
Address B6~'773294 Rive~", ·Alaska 99577 ' .' ' ' ~ .............
/Date April ~ 30, 1990 .....
Engineer's Seal
6. DHHS AP.PRO?AL .. -z~v~D~"D. ~_Y ..'~. ~
..A. ppro.v~d.!0.r, thr.eeU~roomsby:~.~~ ~ ~~Dat. June 22,
Approved xxxxxx Disapproved Conditional
1990
TermsofConditionalApproval
Note:
The well for this property meets existing State and
Municipal Codes. There are nitrates present, however,
it is suggested that periodic testing be performed to
insure the wells continued suitability. Nitrate
concentration is 7.5 mg/1. EPA maximum concentration
10.0 mg/1.
is
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.
7~5 (,-,. ~'/~) e.~,, Page 2 of 2
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Eagle Crest Addn #1, Lot 74, Tract A
Location (address or directions)
19311 Eacjle River Road
(b) Property ownerH-U.D- Properties
Mailing Address 222 W. 8th Ave,
(c) Lending Institution N/A
Telephone:(home)
(box N-64), Anchorage,
Telephone
Business271-4342
Ak. 99813
Mailing Address
(d) Real Estate Company and Agent Associated Brokers / Sandy Hjelmsted
Address 640 W. 36th Ave, Suite ~1, Anchoraqe, Ak. 99503
Telephone (907) 563-3333
(e) Mail the HAA to the following address: (or check here~, if hold for pick up.)
List contact person and day phone number below:
Pickup by Engineer .'.
2. TYPE OF RESIDENCE
Single-Family:~ Number of bedrooms
3
3. WATER SUPPLY
Individual Well Z~ Community r-I Public []
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 1-I Public ~ Community E] 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 I 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,
funct ona 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.
Name of Firm Eagle Rive= Engineering Services Telephone (907) 694-5195
Address P.O. Box 773294, Eagle River, Ak. 99577
6. DHHS APPROVAL
Approved for .~
Approved ' ~/~
bedrooms by, Date .~'-////- /~/~
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
o r analyze data before a certificate is issued. The Mu nicipality of Anchorage is not responsible for errors or omissions
in the professional engineer's work.
Page 2 of 2
~ MUNICIPALITY OF.ANCHORAGE (MOA)
· (,.~,-~_ ,~..~. Health Authority Approval (HAA)
- .\~. ~'~EIF~)'~ ' CHECKLIST- FEBRUARY 1984
· .,~ ~.~.~--~:~x ' 343~744
~ ~'~ ~ ~ ' ' Legal Descr~pbon: ~
A.
WELE
DATA
Well Classificat,X~v~''v~ ~'~' ~ _' ~ ,, IfA, B, C, DEC
Well Log Present (Y/N) ~ Date ~ompluted ~ / ~
TotalDepth v/~/'Casedto +~' Depth of Grouting ~/~
Static Water Level /~ ~ ~ '~ ~ ~'~ PumpSetAt
Casing Height Above Ground.
Electrical Wiring in Conduit (Y/N)
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot. ,'~,""~-
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
Water Sample Collected by
Water samPle Test Results ,,'~/'~-,~'
Comments
Sanitary Seal on Casing (Y/N) Y'
Depression Around Wellhead (Y/N) ~
; On Adjoining Lots
,,v,,.,~_ ; On Adjoining Lots
To Nearest Public Sewer CleanoutJManhole
; Date ~./'/"~,/~'~
~, / -"".~,/,. ~/,,~,.-.-. =
B. SEPTIC/HOLDING TANK DATA
Date Installed Size.
Standpipes (WN)
Depression over Tank (WN)
Pumping/M~intenance Contact on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
No. of Compartments
Air-tight Caps (Y/N) Foundation Cleanout (WN) .
Date Last Pumped
; for
Temporary Holding Tank Permit (Y/N)
SI~PARATION DISTANCES FRoM SEPTIC/HOLDING TANK: . '
To Water-Supply Well ' To Building Foundation "": ~
To Property Line " To Disposal Field "'"
To Water Main/Service Line
To Stream, Pond, Lake or Major Drainage Course
Comments
7=.o~(,~,. 7/~) 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/N)
Type of System Design
Length of Field
Depth of Field
- Gravel Bed Thickness
Statndpipes Pres'ent (~'/N)
Date of Last Adequacy Test
Results of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
To Property Line :'"
To Existing or Abandc;ned System on
; On Adjoining Lots "
To Cutback (if present)
D. LIFT STATION ,~,/~ . .'.....
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions i
· 'l~:~nhole~Access ~Y/N) '
"Pump Off" Level at
Vent (WN)
Pumping Cycles during Adequacy Test.
*'Check Permitted Bedroom Rating Against HAA Request"
· . ...~.?..'~ .%,%%' ·
I certify that I have checked. Verified. or conformed to all MOA and HAA gmde~i~'~s m-~'~feCt,Oa the date of this
inspection.._
. ~ ~ ..." .-...~:~
Signed ~~ __
~gle River Engineering Se~lces
Company . n ... ~3~,1
~ ~;~Engineer's Sea
.,/_ ,_
Date ~/~/~ Sgl Sl0S
MOA No. ~~
Receipt No. ~ ~ O / Receipt No.
Date of Payment
Amount: $
72-02~ (Rev. t/88) 8sck
/7/2. QcJ
Waiver Fee: $
Date of Payment
Page 2 of 2
unicipality of Ancho ra ¢
Mayor P.O. BOX 196650 Anchorage, Alaska 99519-6650
343-4744
April 27, 1990
Lou Butera, P.E.
Eagle River Engineering Services .~
PO Box 773294
Eagle River, Alaska 99577
Subject: Waiver Request for Lot 74 Tract A Eagle Crest S/D
Waiver Request 9WR900013, PID #051-304-27
Dear Mr. Butera:
Your request for waiver of the required 100 foot separation of
a septic system to a private well has been approved. The
approved separation distance is 94 feet from the private
well to septic leach pit.
This waiver approval applies to the existing septic system to
well separation only. Any future upgrade to either will
require all separation distances be met or another approval
from this department.
Sincerely,
Daniel J. Roth
Civil Engineer
On-site Services
Concur: /~
Program Manager
On-site Services
ljm:~6
]~1 ~ HEALTH & .
f, NVII~ NM~ NT,,q.
RECEIVED
EAGLE RIVER ENGINEERING SERVICES
P.O, BOX 773294
EAGLE RIVER~ ALASKA 99577
(907) 694-5195
TEST RECORD
LEGAL: LOT 7~ , BLOCK /",/'~ , 7"r~,¢F ,'~ ~/e ~> ~
OWNER: ~ ~.o DATE:
TYPE OF TEST: ~e/~ ~/,~
SUBDIVISION
METER LEVEL LEVEL LEVEL FLOW . LINE NOTES
READING IN' IN IN ' RATE PRESURE
WATER IN) MONITOR WELL TANK G.P.M. P.S./.
TUBE
......................
......... ~ ~""-~.-
.......................~ ~ ~.. ~.~ .r;;,~,~ -~, '
NOTE: AFTER
INTERVALS OR
~ECOVERY.
TURNING WATER OFF, OBTAIN 4 RECOVERY READINGS AT 1'0 MINUTE
UNTIL FULLY RECOVERED IN LEACHFIELD. USE SEPERATE FORM FOR WELL
LoT' ~7 ~aw~, To ~4 F~£T, T~ Ho~I~ am LoT 7~ I~
?IT I$ ~ I~,'~ ~r,~n P/,~.7'/'R o,~
... TM~ S'u BT~¢ r
:!~oELL To /Ss.P- ~ ~,,~l-lUEl'~.
* (,'~,.,)4.~'= ~. 7~' ?. 7?
, GLE RIVER ENGINEERING SERVICES
Eagle River, Alaska 99~
Telephone {907) 694-5195
Mr. John Smith P.E.
Department of Health & Human Services
825 "L" Street
Anchorage, Ak 99502
Lot 74, Tract A, Eagle Crest ~
Eagle River, Ak.
Dear Mr. Smith,
On behalf of our client, Housing and Urban Development, we are
requesting your determination of a waiver submittal for a private well
to septic !eachpit distance of 94'
There is no well log on file at M.O.A. or State D.G.G.S. for this
well so I have included neighboring well logs as they are available.
The well depths in the area seem to be fairly consistent and when
adjusted for surface elevation and static water levels match closely.
The immediate subsurface soll is a sandy gravel with various sand stone
and hardpan soll layers overlying the water bearing strata at 150'-!80'
The subject well is reported to be 160' from record of health approval.
The static water levels match lot 75 and lot 66 well logs fairly close
and evidence supports an unconfined aquifer located at the eztreme depth
of the well.
In reviewing this waiver we ask that your consider that the well
was installed in 1978 prior to the conflicting septic installation and
was noted as being at 100' on lot 67 inspection report. The well was
approved by S&S Engineering in 1988 health approval. There is a
previous health approval waiver issued for Lot 66 Tract 4 for 77' to a
tank and 95' to a field. The separation distance involved is not a
large amount. The south portion of Eagle Crest is served by public
sewer limiting the septic concentration.
If you have any questions or any further concerns please call me
at 694-5195.
Sincerely,
Louis Butera, P.E.
Attachments
_ ~ o · -- MoNrTOR I'U~F
o - S~ C~O~
S E P T I C S I T E P LA N
LEGAL: Lot 74, Troct A, Eogle Crest Subdv
OWNER: Housin9 ond Urbon Development ~¢,
CONTRACTOR: N~A :~'~
JOB ff 90-026JDAT[: 04/18/90J SCALE 1" = 40'
EACLE RIVER ENCZNEERINC ~ERVICE~ c~ .... · ~'.,.~
(90~) 694-5195 F~: (907) 694-329~
ORTHERN TE TING LABORATORIES
~ UNN~R$1TY PLAZA WI[ST, SUIT~ A ~ FAIRBANKS, ALASKA ~970g ~07-4'~-$115
~ FAIRBANKS STREET ANCHORAGE, ALASKA ~
Drinking Water Analysis Re~rt for Total Coliform Bacteria
TO BE COMPLe I ED BY CLIENT
I-1 PUBLIC WATER SYSTEM I.D.
~ PRIVATE WATER SYSTEM
P. 0. Box 773294
69~-$195
SAMPLE DATE: ~ .~ ~'c.) Phone
MO. Day Year
SAMPLE TYPE:
~' Routlne
I'1 Special Purpose
I'1 Check Sample (for original contaminated
sample with lab reference no.
3
4
5
6
7
8
Purchase Order No.
I-1 Treated Wate~
~ Untreated W;ter
Signature of Representative
TO BE COMPLETED BY LABORATORY
!
Received et: P~ Anch. I-] Iroks.
Date Received ~
Time Received
Next Sample Due ' -' .'.
COMMENTS:'
SATISFACTOF~Y
UNSATISFACTORY U
RESAMPLE
OTHER BACTERIA
TOO NUMEROUS
TO COUNT
R
~OB
Reported by
Date
Time
eno. of Total Coliform Colonies p~r 1~ mil.
NORTHERN TESTING LABORATORIES, INC.
2505 FAIRBANKS STREET
630 UNIVERSITY PLAZA WEST SUITE A
~37-277-837B * FAX 274..%4S
Eagle River Engineering
P.O. Box 773294
Eagle River, AK. 99577
Attn: Louis Butera
Date Arrived: 03/29/90
Time Arrived: 1605
Date San~pled: 03/29/90
Time S~'~pled: 1350
Date Completed: 03/30/90
Parozaeter Unit A032990-16 /,DEC
Eagle Crest ~1
Nitrate-N ~g/1 7.5/7.5 lO
Fl';lll,'ois ]zodil;ul'i, ,".ll,:14or.'al~,: Operations
* .',','7C = ~laxir.~um Col~tamil~ant Conc~-'litFatiol]
MUNICIPALITY O~ A~CHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744
Application Date February 9, 1988
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMI"~FAI:.)
(a) Legal Description (include lot, block, subdivision, section, township, range) Lot 74; Tract A; Eagle Crest Subdivision
Location (address or directions)
19311 Eagle River Road
Property Owner Alaska Eousing Telephone: Home Business
Mailing Address (File f7805)
(b)
(c)
Lending Institution
Mailing Address
FHA
Telephone
(d) RealEstate Companyand Agent RE/MAX OF EAGLE RIVER-A1 Romaszewski
Address 16600 Centerfield Drive, Suite 201, Eagle River, Alaska 99577
Telephone
694-4200
(e)
Mail the HAA to the followino address: or: Check here:~; if hold for pick up.
List contact person and day phone number below.
S & S ENGINEERING/694-2979
[7034 Eaqle River Loop Road~ Suite 204
Eagle River, Alaska 99577
2. TYPE OF RESIDENCE
Single-Family ~
Number of Bedrooms
3
WATER SUPPLY
Individual Well~ Community [:] Public []
Note: If corem unity well system, must have written confirmation from the State Department of Environ mental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite'x'~ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation
attesting to the legality and status.
Page 1 of 2
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 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.
Name of Firm Telephone
~ & $ ENGINEERING
Date ~gle River, Alaska ~5~ ~-- ~ ~ ~
Approved for/'"'~-~,?~//'_~) bedrooms by Date
Approved >% Disapproved ' Conditional.
Terms of Conditional Approval
CAUTION
The Municipality of Anchorage Department of Health and Human Services CDHHS) 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 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.
Page 2 of 2 ?:,-o~s ~m~, e,~ e~
MUNICIPALITY OF ANCHORAGE (MOA)
i~UHIC. JPALRY OF ANOtOI~q[[ALTH AUTHORITY APPROVAL (HAA)
EHViRONNLF. NTAL SERVICI[S DIVIStONCHECKLIST' FEBRUARY 1984
264~4744
rF.l~ ! 8 19BB Legal Description: ~_~'T' '~ "~"~'.-'T' /~j
WELL DATA RECEIVED
Well Classification ..~' ~
Well Log Present (Y~
Total Depth / S-~- ' 4- Cased to ~/¢>/'~
Static Water Level / ~ ~J / ~//~'
Casing Height Above Ground
Electrical Wiring in Condui(~)N)
If A, B, C, D.E.C. Approved (Y/N) f"//~
OateCompleted ~j,/:>p/'~.~v' '~'/'~ Yield ~ (~,/ &~P~4 ~-
Depth of Grouting
Pump Sat At C,I./4,.
Sanitary Saal on Casingi'~/N)
Depression Around Wellhead
Saparation Distances from Well:
n T nk on Lot
To Septic/Hold' g a J' .
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
CleanouVManhole
Water Sample Collected by
Water Sample Test Results
Comments -.~ ~.~E,L.~-
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
/c~, I.f. To Nearest Sawer Sarvice Line on Lot
,(,~.,~.c,~ ~,,~e- I~/C~ ; Date , ~'//''~1~
S. SEPTIC/HOLDINGTANK DATA
Date Installed ~ "~
Standpipes (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Saparation Distances from Saptic/Holding Tank:
To Water-Supply Well
To Property Line
To Water Main/Sarvice Line
Course
Size No. of Compartments
Air-tight Caps (Y/N) Foundation Cleanout (WN)
Date Last Pumped
; for
Temporary Holding Tank Permit (Y/N)
To Building Foundation .... ........
.'' -'
TO Disposal FieJd
To Stream, Pond, Lake, or Major Drainage
Comments
Page I of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Type of Syst~ ides
Length of Field
Depth 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 ' ~
To Building Foundation
Lot
To Water Main/Sen/ice Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway. Parking Area. or Vehicle Storage Area
CO m me nts.~ ~ C ,?~./A/~. ~.~"'t~."> ~ ~,~
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots
To Cutbank (if present)
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
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 that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed S & SENGINEERING Date
17034 Ea~jle Rive~ Loop Road No. 204
Co m P a n YF..a~jle~jveh-~le,il~ll9 ~h77MOA No.
Receipt No. /~'~ / ~/2_
Date of Payment
Amount:,
Page 2 of 2
CHEMICAL & GEOLOGICAL LABORATORIES OF.41.4SKA, INC.
5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343
FEDERAL TAX ID ~ g2'0040440
NI~'SlS RgI30B' 1)¥ .~2I~ for Vork Order I 5188 I~te ~po~t l~rlnted: ~ 16 88 9
Client Ham: $ &
Client Acct.-
Anallsls Cc~leted :F~ 15 88
Lax~atory Supervisor :ST~fl~I C. ~1~
~eleased ~y.". ~ji2~-~2, ~
Send l~ports to:
I)S & S KINF~ING
2)
Special
Instruct-'
O~lab Eel I: ~)~ Lab ~pl In: 5 Ilatrlx: ¥eter
Allovable
l)~ramter Tested Ik, sul t./Unlt 6 Ilethod LiaRs
ltli'I~ATE-N 4.8 Io~l I~A 353.2
Staple ]~0UTI#E ~q,qPLE
l~,earks: COLLECT~ BY &P.H.
Tests l~rfofl~ t See Special Instructions Nx)ve [~--Unavallable
llone Detected an See S~ple I~arks N)ove
Not Analyzed L~Less ~an, ~=Creater 1'nan
//~ CHEMIC,4L & GEOLOGICAL LABORATORIES OF ALASKA, INC. ~
TELEPHONE (907) 562-2343 5633 B Street
,'/ ' · Anchorage, Alaska 99518
i
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY'WATER SUPPLIER
[] PUBLIC WATER SYSTEM I.D.#
Et/PPRIVATE WATER SYSTEM
Namo
Mailing Address
'x Phone NO.
s · s
1,034 Eagle River Loop Roac~ N(~. ~04
Eagle Riyar, ~la~a 995~
Mo. Day ! Year
SAMPLE TYPE:
D Routine
r-] CheCkwith labSampleref, no.(f°r routine sample
[] Special Purpose '.
Zip Code
[] Treated Water
[] Untreated Water
SAMPLE
NO. LOCATION
4 I
s l
READ INSTRUCTIONS
BEFORE
Time Collected
Collected By
COLLECTING SAMPLE
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
Satisfactory
Unsatisfactory
r-I sar~ple Ioo long In transit; sample should
not be over 30 hours old at examination
to Indicate reliable results. Please send
new sample via special delivery mail.
Date R~celved
Time Received / ~'"'/"~
Analytical Method: Membrane Filter
* No. of coloniesll00 mi.
Lab'Ref. No. Result*
I ITl
~ I I-~
BACTERIOLOGICAL WATER ANALYSIS RECORD
Membrane Filter:. Direct Count
Analyst
Verification: LTB BGB
Final Nlembrane FiIt~ ~~ '
Reported By ~C/ /~"'/_~.,~.,,~__ Date
Time:
Collformll00ml
TNTC = Too Numberous To Count
OB -- Other Bacteria
Collformll00ml
..m.
Z ~r'blA t NDr'~ TO FOLLO;Y'
~ ' )A~E RECEIVED
*~ INSPECTION APPOINTMENTS ./ ,
TiME TIME
INSPECTC. INEPECTOR INSPECTOR ~, ~
~ -
MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHORAGE
DEPT OF HEaLtH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT ~VI~ON~ENTAL [; CT[~ION
~ 825 L Str.t - Anchora~, Alike
~ ENVIRONMENTALTele~oneSANITATION~7~ DIVISION SEP ~ ? 19B1
o,
MAILING ADDRESS
4. REALTOR/AGENT ~ PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
;TREET LOCATION
6. TYPE OF RESIDENCE
SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF~EDROOMS
[] One I'-] Four
[] Two [] Five
[~ Three [] Six
[] Other
7. WATER SUPPLY
INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTILITY
· 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 UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
[-I SINGLE FAMILY
I--I MULTIPLE FAMILY
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[]INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
[]Septic_Tank or [] Holding Tank
Size:/'(~)(~ If Tank is homemade
g~ve dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WELLTO:
I Absorplion Area to nearest Lot Line
NUMBER OF BEDROOMS
r-I ONE [] THREE [] FIVE [] OTHER
[] TWO [] FOUR [] SiX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
MANUFACTURER
MATERIAL
Septic/Holchng Tank ]Absorption Area JSewer Line
5. COMMENTS
[~"/APPROVED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL {letter must accompany certificate)
[] DISAPPROVED
72.010 {Rev. 6/79)
EXCAVATION
WORK
September 27, 1981
ROBERT A. SHAFER
ClVILENGINEER
694-2979
Century 21, Metropolitan
ATTE~I0t~: Linda Parker
P.O. Box 677
Eagle River, Alaska 99577
Dear Ms. Parker,
Reference: Lot 74: Tract A: Eagle Crest subdivision: Austermuhl
Property
A sewer system adequacy test was performed on the system located
on the referenced property, as you requested. The septic tank was
pumped and verified to have a capacity of 1000 gallons. The seepage
pit was charged with 900 gallons of fresh water and after a period
of 24 hours, all the water which had been added to the crib had
percolated out.
It can be concluded from this test that the waste water disposal
system serving the three bedroom residence located on this property
is currently functioning adequately. However, the system cannot
be guaranteed against subsequent failures.
If we may be of further service, please do not hesitate to call.
Si'nk)rely' III
/~_OB_E, RT A. SHItFER,
'/kas/ss f
cc: spokane Mortgage
ATT~:TION: Mary Lynn
Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER. ALASKA
825 "L" STREET
ANCHOI"~AGE, ALASKA 99501
(907) 2¢;4,1111
September 23, 1981
Larry A. Austermuhl
Post Office Box 677
Eagle River, Alaska
99577
Subject: Lot 74 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 submitted to
this office from the Chem Lab, 5633 B Street, for
our review.
(2)
The septic tank pumped with a receipt submitted to
this office for our review.
(3)
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 office for our
review.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc:
Spokane Mortgage
3201 C Street, Suite 250
Dave Dunkle
Star Route Box 102 Jayhawk Drive
99567
~-'~ ., DEPARTME ~OF HEALTH AND ENVIRONMEN' .'PROTECTIO~ ~t ,\~?
· 825 'L Street, Anchorao~. AlasKa 99501
' 264-4720
Date Received: March 7, 1978
~1: Time l',.~/~y~
Date
Insp ~!~,
~2: Time %C%',.~ #3:
Date ~-~qon~ , ~o
Insp.~~
Time
Date
Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: Amfac Mortgage Corporation
Mailing Address: 705 West 6th Avenue Suite 201 Phone: 277-8588
2. Property Owner: Leo E./Shirley E. Dresnek
Mailing Address: Box 633 Ea~le River 99577
Phone: 694-2704
3. Legal Description: Lot 74 Tract A Eagle Crest Subdivision
4:
Se
Single Family Residence: (x)
Multiple Family Residence: ( )
Well System: Individual well
Permit #
Construction
Number of Bedrooms: Three
Number of Bedrooms:
(x) Community/Public System ( )
Depth of Well \ ~O Well Log on File
Bacterial Analysis
( )
Sewage
Permit %
Septic Tank Size
Absorption Area
Disposal System: On-site System (x) Public utility
Installed-~-~O-~ Installer ~
{~)(DO Manufacturer ~'~, ~-~{
.~ Soils Rate ~"' Material ~ '
Distances: Well to
to Sewer Line
to Nearest Lot Line
Septic Tank
Nearest Lot line
to Absorption Area /Oo
Absorption Area
r
'- MUNICIPALITY OF ANCHORAGE
D~partment of Health and Environmental ProtEction
825 L Street, Anchorage, Alaska 99501
~uest for Approval of Individual Sewer and Water Facilities
Property Owner: Leo E, Dresnek & Shirley E,
%~reat Land Realty, Box 633, Eagle River, Ak. 99577
Mailing Address: Mile 2, Eagle River Road Phone: 694-2704
e
Name of Buyer: ?~y A. Austermuhl & ~atherine B.
Mailing Address: 5901 E. 6th Avenue .% 19~. Anch. Ak. Phone: 333-2286
99504
Lending Institution: Amfac Mortgage Corpora~on
Mailing Address: 705 W. 6th Avenue, Suite 201
Anchorage, Alaska 99501
Phone: 277-8588
Realtor/Agent: List/ng: Great 'rn-,.,~ Realty - S~11tnq:
'Genes Realty;
Mailing Address:' 815 W.5th, Anchora~e¢ Alaska 99501
Great ?And Realty, }~ile 14, Old Glenn Ewy, Eagle River
Legal Description: Lot 74¢ Tract A, Eaqle Crest
Street Location: Mile 2, Eagle River Road
Phone: 276-7909
99577, 694-9125 (Box 633,Eagle
River, Ak. 99-.
e
Single Family Residence: ~) Number of Bedrooms:
Multiple Family Residence: ( ) Number of Bedrooms:
3
e
Water Supply: *Individual Well (X)
If Individual'Well, well depth. \
If Community System, name of system
Public/Community System ( )
Sewage Disposal System: *~n-site System (~ Public System ( )
If On-site System, date of installation:
*NOTE: A well log is required on ALL wells drilled since 6/75.
** If on-site sewer system is over two(2) years old, an adequacy
.test is required by this department.
A fee of $25.00 must accompany each request'be~6~processing
can be initiated. ,v'.?',v ~'"' '~''
3/77
Pag,c.., Tw~,- ~
· ' 'Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 74 Tract A Eagle Crest Sudivision
Comments:
Affadav~t Attached ~
Approved: ~-~,~Y
Disapproved
Letter Attached: ( )
Date:_~ ~/~7 /
Date:
Department Worksheet:
DEi~T. OF I~N'VlllON'Mi~NTAL CON'~I~IIVATION SOUY,C~rKAt ~;~,ONAL
MACKAY BLDG.
AN¢eO~AGt ~SO~
Mr. Leo Dresek'
c/o Smlley's Realty ·
P. O. Eox 1086
Eagle River, Alaska
SUBJECT: ' E~gle Crest Subdlvlslon --First Addition, Tract A, Lot ?4
Dear Mr. Dresek:
In reviewing your circumstances concerning the subJect
prcperty It is our interpretation tha~ since this propeoty already
had its own waste disposal and water systen before Feb. 5, 1973
that it is not effected by the new State Waste Water Regulatlcns
and ~e ~culd have no objecticn to the transfer of ownership of
the pr~Derty.
If ycu have any further questicns please do not hesitate
to contacT.me.
Kyle J. Cherry
Regional Environmental Engineer
KJC/cg /
GAAB-DEQ ~