HomeMy WebLinkAboutEAGLE CREST #1 TR B LT 80
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I~EPARTMENT OF HEALTH & ENV RONMENTAL PROTECTION ~-~- I
· ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 2644720
N I ~ SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~
PHONE
~ UPGRADE
~AILINGADDRESS
LEGAL DESCRIPTION
LOCATION . NO. OF BEDROOMS
~ ~ ~ Top of tile to finish grade Materiel ~neath tile
' DISTANCE TO: Buil~g ~o~dation S--, line $eptic ,,nk~ 'OO Absorption area(s,
OTHER
SOIL TEST R~ING
APPROVED DATE LEGAL
'~J~ ~'~ ~UNIClPALffY OF ANO-IOP. A~E
- ~NTAL ~;~GT~CTION
~'~ JAN ~ 1~70
A & L DRILLING COMPANY
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION
DATE - Started ~b,'g/?
PEILMIT NUMBER
Ended
- ' -' STATIC LEVEL OF WATER
~ ~/~ C GA~.PER HR 7~
KIND OF FORMATION:
From O FI. lo ~'~ Ft. ~~'~'°'~Off:/'J From Ft. tc~
From ~ Ft. to ]~ Ft. ~ From~.Ft. to'
From 1~ Et. to ~ Ft. ~A~O Fromm. Et. to
From 3~ Et. to /~ Ft. ~ ~ ff~a~ From Ft. to_~
From /~0 Et. to IgS'Vt. T/¢~r ~o From Et. to
From ]0~ Et. to /~ Ft. ~ ~ ~dd~L From Et. to
From /~C Et. to /~Ft. ~ff~' From~,Ft. to.~
From /~Ft. to ~ Ft. ~ ~ ~ff~& ~C~ From Ft. to
From Ft. to
From '~o~$'Ft. to ~'~/ Ft.
From Ft. to Ft
From Et. to Ft
From Ft. to Ft
From Ft. to Ft
From Ft. to___,Ft.
From Ft. to.__,Ft.
From Et. to__Ft.
From ?t. to
From ~Ft. to
From Ft. to
From Ft. t~
From Ft. t6 ·
From Ft. to
From Fi. to
From Et. to___
From__Et. to
Ft
Ft.
Ft.
Ft,
Ft.
Ft.
Ft.
Ft.
· Ft.
Ft.
Ft
Ft
Ft
Ft.
Ft.
Ft.
Ft~
MISCL INFORMATION:
DRILLER'S NAME /~~
' , ° ""l~-'lUr-.I T C T % ~L T T'T' OF=- I:tl'-.I,: . ~:l~E
" "*.' ?DEPARTIYEhlT OF HEALTH ArID EN"/IR0r1MENTRL PROTECTI0ri
- · ' . B~5 'L' STREET, ANCHORAGE, AK. ~950t ~ / bO \'~
2~4-4720 ~- ~ -
tWELL R~D 0 r.I--_.~ I TE SEtWER PERt'l!
PERMIT r40 ( 780684 ) _l\J
' . _ _ ~0~ . f~S
LOCRTIO~ 0~ ~RD CRESTVIEW ~ ~'
LEGAL L8 BLK B ERGLE CREST S/D · LOT SI~E l~8~8~~EET
MAXIMUM HUMBER OF BEDROOMS = ~ SOIL RnTING (qQ_. FT/BR)= 15~ '" '~U~
--&
RE~UIRE~ ~IZE OF THE 50IL ABSORPTIOr~ SYSTEM IS: .
THE
DEPTI4= 9 LEr~GTH= 4t~ GRR'~,'EL DEPTH=
THE LENGTH DIMEHSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF A TREHCH OR PIT IS THE DISTAr~CE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCRVRTION (IW FEET)·
THERE IS HO SET WIDTH FOR TREr~CHES.
THE GRAYEL DEPTH IS THE MIHIMUM DEPTH OF GRRYEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE EXCA'¢RTIOr~ (IH FEET).
"i'~:E Q I--I I RED_C;EPT T I~ TRI'41-~ =~ T ZE- - ----- :L ~_~mC_~E:~ GI~ILI_Ot4S
PERMIT RPPLICRNT HAS THE RESPOr~SIBILITY TO IHFORM THIS DEPARTMEr~T DURING THE
Ir~STRLLRTION I~SPECTIONS OF Ar?~ WELLS ADJACENT TO THIS PROPERTY AND THE
~UMBER OF RESIDEr~CES THAT THE WELL WILL SERVE.
T~40 (2> Ir~_c. PECTIOr-JS 'RRE REQUIRED
BACKFILLIr~G OF Rr~Y SYSTEM WITHOUT FI~RL IHSPECTIO~ AND RPPROYRL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTIOn&
MI~IMUM DISTANCE BETHEEr~ R WELL R~D Ar~Y Or~-SITE SEWAGE DISPOSAL SYSTEM IS
I00 FEET FOR R PRIYRTE WELL; OR
150 TO 200 FEET FROM A PUBLIC WELL DEPEr~DIr~G UPON THE TYPE OF PUBLIC WELL
WELL LOGS PRE REQUIRED R~D MUST BE RETURNED TO THE DEPARTMENT WITHIH ~0 DAYS
OF THE WELL COMPLETIOn&
OTHER REQUIREMENTS MAY APPLY. SPECIFICRTIOr~S A~D COr~STRUCTION DIAGRRMS ARE
RYRILRBLE TO INSURE PROPER IHSTALLRTIO~t
PERr~ I T E)<P I RES DECErY~.ER --?--~L.. ~L978
I CERTIFY THAT
i: I RM FAMILIAR WITH THE REQUIREMEHTS FOR Or~-SITE SEWERS A~D WELLS RS SET
FORTH BY THE MUNICIPALITY OF R~CHORRGE.
2: I WILL Ir~STALL THE SYSTEM Ir~ ACCORDR~CE WITH THE CODES.
-~: I Ur~DERSTAND THAT THE O~-SITE SEWER SYSTEM MAY REQUIRE Er~LARGEMEr~T IF THE
RESIDENCE IS REMODELED TO IHCLUDE MORE THAr~ ~ BEDROOMS.
........ ....
O Et.F~.GE(?ECHNICAL Et DEVEC.)PMENT CO.
Box 90, Davis St., Eagle River. Alaska 99577
6~1-2774 or 688-2280
Russell Oyster
694.2774
Soils Et Foundations
Perfomed for:
Earl El~is
SOl~ 1.06 eae-2~0
Land Development
N~,: ./Vl~..C~'~,~ ~,.~/ T,1. No.Z~--~,~S-
~iling gddress: ~ ~ ~-~ ~. ~. ~
Depth (feet) ~- ..... $otl Chfr~c~ertsttcs
o
1
3
5
6
7
8
9
1]
15
Ground Water Encountered: Yes .~'/No .' If yes, whmt~epth (:~.
Proposed Installation: Seepage Pit., Ormln Field /
Comments: ~-r--~ ,,-1<F~--~~42 ~,~/~,~ ~-- z~ ~
Performed
IDDD
: '-~ APPLI(--'NT FILLS OUT UPPER HAt~, ONLy
Address
Type of Res ~nce
~ Other
Water Supply
~ Indlvld~l A~ACH ~LL L~. A w~l I~ Is r~ulr~ for all wells drll~ since June 1975.
~ ~mm~ily For wells ~lll~ prior lo thM date, give well depth (attach I~ 11 available).
NOTE: THE INSPE~ION EE ~US/ACCOMPANY EACH RE~EST BEFORE ~OCES$1NG CAN ~E INITIATED,
Time Time Time Time
o"' '
Inspector Inspactor tnspactor lnsp~tor
Field Notes:
~ 0& APR
( ~ APPROVED ~DR~MS~ 'CONDITIONS OF APPROVAL
( ) DISAP~OVED
( ) CONDIT~NAL APPROVAL'
DATE
~lls Rating {:)ate ~wer Install~ Well To ~sofptlon Area Well L~ R~elv~
Well to Tank Septic T~k Size
EXCAVATION
WORK
May 15, 1983
ROBERT A. SHAFER
CIVIL ENGINEER
694-2979
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH ,~
£ NVI RO,",WI.~NTAL PROTECTION
Totem Realty
ATTENTION: Dave Brock
P.O. Box
Eagle River, Alaska 99577
MAY 2 3
RECEIVED
Dear MrS- B~6~, .....
Reference: Lot 8= Tract'B: Eagle Crest Subdivision
'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~.~0 gallons. The absorption
trench was tested by a continuous flow of water over a period of
48 hours without any adverse effect on the system.
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,
US.
7/RgBERT A. SHAF~q~, P.E.
; s/ss
please do not hesitate to contact
cc: Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA
.~ ~4UNlur~u~t' g~ ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF I!~AITII &
· ._ ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~/jRONMENTAL t'.~T[CTIO~
~ L Str~ · A~r~, A~ ~1
ENVIRONMENTAL ENGINEERING DIVISION JAN 2 6 IgTg
T,I,~.. ~7~ RECEIVED
REQUEST FOR ~PROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
MAILING ADORE;SS ,
PROPERTY RESIDENT Jif different from ~bov~)
2. BUYER
MAILING ADDRESS
II
3. LENDING INSTITUTION
MAI liNG ADOR ESS
4. REALTOR/AGENT
MAILING ADDRESS
JPHONE
PHONE
IPHONE
= ¢£-
IPHONE
6, TYPE OF R~IOENCE
~ SINGLE FAMILY
~ MULTIPLE FAMILY
7. WATER SU~LY
I~DIVIDU~L'
COMMUNITY
~ PUBLIC UTIBTY
SEWAGE DISPOSAL SYSTEM
*~ INDIVIDUAL/ON'SITE·'
I--1 PUBLIC UTI LITY
[] One r-] Four
., . [] Two [] Five
~ Three [] Six
[] Other
· AI~'ACH 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.}
e'lf individual/on-site, give installation date .~) - ~7~~) .
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.
72.OlO(3n8)
f
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR . INSPECTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY I-1 ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED ~
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[] PUBLIC UTI LITY
Connection Verified
INSTALLER
[]Septic Tank or I--1 Holding Tank ~ ·
Size: //~¢J~ IfTankishomemede SO~LSRATING
give dimensions: R~~
TYPE OF TANK MANUFACTURE
TOTAL ABSORPTION AREA MATERIAL ~'
Absorption Area to nearest Lot Line
5. COMMENTS
~ APPROVED FOR ,~ BEDROOMS
[-I CONDITIONAL APPROVAL (letter must accompany certificate)
D DISAPPROVED
DATE Ry {Title) /"~
LEGAL DESCRIPTION
72-010 IRev. 3/78)
DATE:
TO:
FROM:
SUBJECT:
umc pahty of Anchorage
MEMORANDUM
July 31, 1978
File for Record - cc: Les Buchholz R.S. S/W
John W. Lynn - Environmental Engineering
Eagle Crest Subdivision - Soils for Lot 8 Tract B (or Block B)
File Ilo.:
Soils Review as submitted are adequate for on-site system. Standing
water at 13 feet. Inspector make note that leachfield perforated PVC
be 4 feet above suspected water table, as indicated in soils report.
feet perI bedroom.
Enytronmental Engineering
91.010
July 31, 1978
Ftle for Record - cc: Les Buchholz R.$.
,lohn f:. Lynn - £nvtronmental Engineering
£agle Crest Subdivision -:Sotls for Lot 8 Tract
Ftle rio.:
Sotls Revte~ as su~ttted are adequate for on-stte syste~. Standtng
water at 13 feet. Inspector eake note that leachfteld perforated PVC
be 4 feet above suspc~ted ~ater table, as Indicated tn soils report.
Recm,~ner~ 1~50 square feet per bedroom.
John H. Lynn
Environmental Engineering
