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Home My WebLink AboutEAGLE CREST #1 TR A LT 76 ~.' *' :' " ' DATE OF APPL CAT ON ' ~ '" ' "*. ~.':'?:. : .' : :SCHEDULE.D COM~LETI WATER & WASTEWATER UTILI~ ~SING[E FAMILY ,-.~:..; 3~ PHONE ARCTIC.277.7622 BOULEVARD ;.. ' '~'~' .... "' "' No APTS ' LOT~ I,,~'7.~ ON'pROPERTY. ON.L;y,~"~:..:'''''''-- · . J,'!l-1 MAIN TAP~TO PROPERTY LINE ONLY J ,,: , (MOA or State ROW Permit Required) . . Jg'I~MAIN TAP & ON PROPERTY CONNECT -- "--. J ' (MOA or State ROW Permit Required) i~0NNECTION SIZE :' CHARGE $' " -" = ' 'PE'R '"' - ' MIT' - ' ..... FEE :~ '$'' ' ' REIMBURSIBLE ' ,' '. - NUMBER - ' DEPOSIT $' ' :' ,~?'.': ~ ;, '; ',.'.';"".: :' "':'.' "T~TAL REMARKS; . . · · l"l'-Maln extension agreemeqt Subdlvlslof~ agreement .. ........ Extended connect agreement' F~Pondlng'--AMOUNT. S. ' i · '" PERMIT ISSUED BY: ·/ ' ,. ,, [3 CASH - · .O'PAID ; , (:/~ t ~/-/t"~'. ,'1 PERMITTER (Please Print] · PHONE MAIL ADDR, - I HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREE TO ', COMPLY WITH THEM. 'POST IN A .C'ONSPICUOUS. PLACE. AT THE JOB $,.'r ~,~ ',8~o~¢~8~ . ' ':.: " ' CUSTOMER .' " ~GREI R ANCHORAGE AREA BOR GH [DIIIII)~ l~nj'lB,~ Department of Environmental Quality ~ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME AL MAILING ADDRESS PHONE LEGA'DESCR,PT,ON Or~'~ ~,,, ,~ o/ SEPTIC TAnK, UI.e (g~q41 DISTANCE ~ ~ I FROM WELL //~f MANUFACTURER INSIDE LENGTH INSIDE WIDTH '~'/~¢g"'MATERIAL ~"/~'~'/" NUMBER OF COMPARTMENTS ~ LIQUID DEPTH lIQUID CAPACITY /~ GALLONS. SEEPAGE PIT: N.MBEROFP,TS ! D,^M~ER '~ ORW,DT./~'. LENGT./Z~ DEPT. ~' LINING MATERIAL ~ CRIB SIZE: DIAMETER_J~DEPTH ~:;~* DISTANCE FROM= TOTAL EFFECTIVE BUILDING FOUNDATION NEAREST LOT LINE__ ABSORPTION AREA (WALL AREA) .SQ. FT. ADDITIONAL ABSORPTION WELL; TYPE d";/~:/ CONSTRUCT.ON ~',,/O'.' DEPT. BUILD,N=~ ~t. NEAREST /2t NEAREST ' SEPTIC //y, FOUNDATION ' LOT LINE SEWER LINE TANK CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: SEEPAGE SYSTEM /~ ! DISTANCES: INSTALLED BY:. PIPE MATERIAL: LOT SLOPE: REMARKS: Focm NO. EQ-O31 DIAGRAM OF SYSTEM 'LOG OF DR'J~:' .lNG by A 8 L DRILLI ~'COMPANY STATIC LEVEL OF %:'ATER FT .... ~ .............. ';>'.'.~b~..-/...~. ......... ,.~r. To.....I.......e ........ rt......--~.- r~ ....... r~o~ ............ rt. To .................... rr ............................. ~,,¢,15¢' · "~..~o ~'t') ~..,Y',~.,¢..~ .... ~,o,,, ......... ~.,~o .................... ~ ........................... ; ~' .~ - ..... ,:~,')J4,, .,~, ~ :~ /~.~.. ~ .,,r~,~,:~ ~. ~/.~,'~oM .................. rT. To..: ............... rT ............................. · :; :~'~.~d......,.-...~. To ............................. · a ~";~,' .., .' - ~- .~ ~.Y' ~r. C~,~, d~....,.,,~,; r~oM ................... ri'. To ....................... r~ .............................. .L'~: .....: ,.. ~ '~o~..,~J.3 : ' .....r~ ...................................... GREATER ANCHORAG£ AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 Case Performed For )~)c~_F~----~-.~ Ytc~.~--~ o~~ Dated Performed Io-,~-~ Legal Description: Lot ~ BlockT~T~ Subdivision ~?/~ ~J~- This Form Reports Soils Log ~ Percolation Test Soil Test Must Be Logged To 4' Below Proposed Seepage System - Depth Feet Soil Characteristics 2~ 4~ 6~ 8-- 10~ 11~ 12~ 13-- 14-- Was Ground Water Encountered? ~to ..~ If Yes, At What Depth? 0~. Reading Date Gross Time Net Time Depth to H20 Net Drop Percolation Rate Minute Proposed Installation: Seepage Pit Depth of Inlet .Depth to COMMENTS: Bottom of Drain Field Pit Or Trench ! Test Performed BY /~ ~..~..~F~ Date Certified BY: Date: 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. # ~ - blt' ~-~ HAAff 1. GENERAL INFORMATION Complete legal description Loca{ion (site address or directions) 194 ! ! E~zgt. e ~.u~. Ro~zd Property owner ~/~A~e v. g 1)o~/~ P. po~Z~ Day phone ~ Mailing ~ddress !9411 E~zg~.~ l~v~.~ Ro~td E~j~.~. l~u¢,~., A~t~lzzz 99571 Lending agency Day phone Mailing address .. Agent Day phone Address e Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well XX Community well Public water 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 Holding tank Community on-site Public sewer XX NOTE: 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 of this inspection. Name of Firm Address 17,334 Eagle River Loop Roac~ No, 2~4 Engineer's signature .~ SIGNATURE 'Phone Approved for /~'"-( bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: "'~"~'=~'"'"'-- 3~"~'~ ~"'~'t" Date //E'- ~ ~' ~ "~'- The Municipality of Anchorage Department of Health and Human Services (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 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 Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST ,~ ~-A/_~c,C" Parcel I.D.. If A, B, or C, attach ADEC letter. ADEC water system number '~'~- Date completed ~" t~ -"~'~ Driller ~"~ Cased to ~"~ ' Casing height Wires properly protected (~/N) ~ A, WELL DATA Well type Log present Total depth .~ Sanitary seal AT INSPECTION '7.. ~ o~ ; On adjacent lots ; On adjacent lots FROM WELL LOG Date of test Static water level Well flow '"/,'O g.p.m. Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Nitrate Public sewer main ewer service line ~.~, ATER SAMPLE RESULTS: Coliform Tank size Petroleum tank Collected by: Public sewer manhole/cleanout ~ ~'c:'~4' Date of sample: Other bacteria S & $ ENGINEERING ! 7034 Eagle River Loop Road Ne. 204 Eagle River, Alaska 99577 B. SEPTIC/HOLDING TANK DATA Date Installed Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) Depressi?~..~ High water alarm (Y/N) ~) Date of pumping ~ Pumper ' T~~PTIC/HO ' ~ ~ SEPARATION DIS LDING TANK T0: Well(s) on lot J On adjacent lots Foundation To p, rep~e~y line Absorption field ....... W~ter main/service lihe Surface water/drainage 72-026 (Rev. 7/91) Fronl CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at :' ~' "level at. ~ Cycles tested : ' ' 'Surfacewate~ Manufa(~turer;' ..i. ' Manhole/Access (Y/N) ------ High water alarm level ABSORPTION FIELD DATA Date Installed "Total absorption area ~,Depr~e~ion over field (Y/N) Results (pass/fail) Soil rating Width Gravel thickness · System type Tot Cleanouts present (Y/N) .Date; for bedrooms Peroxide treatment (past 12 months)(Y/N) ~ if Yes, giv; date SEPARATION DISTANCE FR0~ ~BS O: .. ': Well on lot ~ adjacent lots Property line To building-foundation J To existing or aband(~ned system on lot On adjacentlots ,~' Cutbank ' ' Watermain/serviceline Surfa~fl~t~or''~'~'~or Drive~ay, park ng/vehicle storage area Cu~ain dr~ih ~! ' E. ENGINEER'S CERTIFICA, TION''~' '' · · - . . . ' '-. I ce~/~ that I have checked, verified, or confo~ed to all MOA and H~ guidelines ~n effect on the date of th~s ins~.{ion. Enginee~sName . ~. HAA Fee Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF H~TH & ENVI RONME~AL PROTECTION ~' ~ ~T~ & ~S L St~ - ~. X~ ~1 ~1~ ~T~I~ ENVIRONMENTAL ENGINEERING DIVISION SEP 2 9 FO. ~PROVAL OF INDIVIDUAL WATER ~D ~EWER [~g~ D DIRECTIONS: Co~let~ NI parts o~ page 1. I~m mq~rl~ ~ill not be premm~]. P~e ei;ow ten (10) days for proce~in9. 1. PROPERTY OWNER MAILING ADDRESS PROPERTY RESIDENT (if diff~e~t from above) ~HONE PHONE BUYER PHONE MAILING ADDRESS LENDING INSTITUTION ! PHONE ~ILING ADORE~ R~LTO~AOENT PHONE ~ILING ADOR~ / / ' ' LEGAL DESCRIPTION ~TREET L~ATION TYPE OF R~IDENCE NUMBER OF BEDROOMS D One ~ Four ~ SINGLE FAMILY D Two ~ Five ~ MULTIPLE FAMILY ~ Thr~ ~ Six [] Other 7. WATER ..~ INDIVIDUAL* r-I COMMUNITY i--I PUBLIC UTILITY & SEWAGE DI$1K~AL EY~'rEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY · A'I-TACH WELL LOG. A w~ll log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) **If individual/on-site, give imtellation 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, ~4)10(3/76) '~ THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED ' INSPECTION APFOINTMENTS -- TIME , TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOM~ [] SINGLE FAMILY [] ONE [] THREE [] FiVE r-I OTHER [] MULTIPLE FAMILY [] TWO [] FOUR D SIX PERMIT NUMBER 2, WATER SUPPLY r--I INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verifie~ LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED r-IpUBLIC UTILITY J q ~ ~ Connection Verified INSTALLER []Septic Tank or ~--I Holding Tank ~ ~ Size: ~OO~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 5. COMMENTS [~]-/~'~PPROVEO FOR ~ ¢~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) r-I DISAPPROVED DATE l BY 72-010 (Rev. 3/78) October 9, 1978 R&~INo. 851598 John Wegner c/oDynamic Realty, Inc. 501 West Northern Lights Blvd. Anchorage~ Alaska Attention: Shirley Dewhurst Re: Adequacy Test for Existing Sanitary Sewer System; Lot 76, Tract A, Eagle Crest Subdivision, Eagle River, Alaska. For Professional Services Rendered October 5th and 6th, 1978. Dear Mr. Wether: The following is our invoice for professional services rendered on the above- referenced project. Invoice No.851598-1 Professional Services Fixed Fee $165.00 Total Invoice No. 851598-1 $165.00 Please note our invoice number on your remittance. Should you have any questions concerning this invoice~ please contact me or the Project Manager~ Mr. Gary Smith. Thank you, RaH CONSULTANTS, INC. C. J. Parxsena Anchorage Office Manager C.,TP/kah/20A-K October ,10 1978 RaM No. 851598 John Wegner c/oDynamic Realty, Inc. 501West Northern Lights Blvd. Anchorage, Alaska Attention: Shirley Dewhurst Re: Adequacy Test on Existing Sanitary, Sewer System; Lot 76, Tract A, Eagle Crest Subdivision, Eagle River, Alaska Dear Mr. Wegner: Per your agent's request of October 3, 1978, we conducted a test of the sanitarysewer system on the above described property. One thousand two hundred and fifty gallons were pumped from the septic tank prior to the performance of the test on the seepage pit. During the test the liquid level in the seepage pit was measured before and after the addition of 1000 gallons of water. All liquid levels were measured below the top of the standpipe and are shown in the following table: Initial Water Second 24 hour Total Reading Added Reading Reading Drop (gallons) 10.40' 1000 7.95' 11.28' 3.33' The water level rose 29.4 inches with the addition of 1000 gallons of water, indicating a capacity of 34.0 gallons per inch. Twenty-four hours later the liquid level was again measured and found to be 11.28 feet. It had dropped 3.33 feet or 40.0 inches. This indicates an average effluent acceptance rate of 1360 gallons per day for the surrounding soils. If the 4 bedroom resi- dence on the property is to house 8 people, the average load on the system can be expected to be 600 gallons per day. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 4 bedroom residence. October 10, 1978 John Wegner Page -2- We appreciate this opportunity to be of service to you. Please contact us if you have any questions regarding this letter or if we can be of additional service to you. Very truly yours, R&M~ONSULTANTS, INC. Gar~/A. Smith Prq~ect Manager a^s/a h/12-x Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received ~7'- /~/~ ~ Time of Inspection~_~L Date of Inspection'~ / ~ S FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES -/~ ~ ~,,~~.~ ~' ~ ~"~' ~ FOR 1. Approval 'requested by: ,~,/~ ~ . 2. P~perty ~ner: ~~~ ~. Mailing Address: ~ ~. ~ ~ Phone: 4. Location: .,,~2//,~.~,Yr.~. ~/l~.~ 5. Type of facility to be inspected ~y~/~-~f No. of bedro~s 6. Well Da~: · 7. S~age Disposal Syst~ A. Installed ~ B. Installer ~~ C. Septic Tank: 1. Size ~ 2. Manufacturer~ D. Seepage Pit: 1. Absorption Area ~ 2. Material,. - E. Disposal Field: Total length of lines .-- 8. Distances: ' -' //~ ' .-~ ~. ~ell to: Septic tank , Absorption area //~ , Se~er Ltnes Nearest lot line /~/ ' , Other con~mination ~//¢/¢~/7 '. B.Foundation ~o septic tank ~, Absorption area .~~ C,Absorption area to nearest lot line ,~ /~ / EQ-034 (1/74) Page 1 of two pages 3330 "C" St., Anchorage, Alaska 99503 - 274-45 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CHRO VA xx 2. Property Owner: Majestic Homes of Alaska Mailing Address:P. o. Box 8-936 FHA CONV Day Phone 694-9615 3. Name of Buyer: John Weqner Mailing Address:P. o. Box 109 Elmendorf AFBDay Phone 752-7242 4. Name of Lending Institution: The Lomas & Nettleton Co. Mailing Address: Name.of Realtor or Agent: Mailing Address: ~_ ~ 4449 Business Park Blvd Phone 274-7661 Legal Descrtptiop: Lot 76 Tract A Ea~le Crest Sulk. Location: Eagle Crest Sul~d. in Ea~le River Type of Facility Water Supply Type of Supply: If Individual, If Individual, to be inspected: house No. Sewage Disposal System Type of system: Public Utility If Individual, date of installation Public Utility Individual number of dwellings presently served depth of well Individual Bdrms. X X (on-site) EQ-037 (1/74) .~ ~..~, g' e. 2 of two. pages,- R~st for Approval of Indiwdual' ~ter & Water Facilities L~gal Description ~ , . . ~ . Comments Disapproved Date Approval~Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGP~AM 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 EQ-034 (1/74)