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HomeMy WebLinkAboutEAGLE CREST #1 TR B LT 11 t GRE*.,ER ANCHORAGE AREA BOR..JGH Department of Environmenta~ Quality 3330 C Street Anchorage, Alaske 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME~ ~t~,~MA,L,NGADORESS lU, n c,-,.~,,,~o L~ P.ONE SEPTIC TANK: DISTANCE /~o ~.,Oe..tlt FROM WELL ~'~,,~o'~-~' MANUFACTURER g (~..o.~.~' INSIDE LENGTH INSIDE WIDTH MATERIAL LIQUID DEPTH '~' NUMBER OF COMPARTMENTS LIQUID CAPACITY (000 GALLONS. ~ DRAIN FIELD: DISTANCE F R OM WE LL .~,~ O~*{ FOU N DATION NUMBER OFL'NES I DISTANCE BETWEEN LINES ABSORPTION AREA I t TOTAL LENGTH NEAREST LOT LINE ~L.O OF LINES TRENCH WIDTH'70(~ IN. TOTAL EFFECTIVE WELL: ~ O TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST NEAREST SEPTIC LOT LINE SEWER LINE TANK , OTHER SOURCES DISAPPROVED REMARKS DEPTH __ DISTANCE FROM: SEEPAGE SYSTEM DISTANi~ INSTALLED BY: I SEWER LINE DEPTH: ~'~' PIPE MATERIAL' ~.~O--C,-,~- ~j~' LOT SLOPE: DIAGRAM OF SYSTEM Form EQ-032 //[ ~ 1,1LIr~ T O ~ F'RL T T~r' DEPRRTMENT~ HERLTH RND EN~ONttENTR~OTEOT~ON ' ~ B25 m . STREET' ANCHORAGE' AK. / f - ' 279-25ii ' . .... L4ELL R[4D Ot4--S I TE SEWER BEArd I T APPLICANT STEVE SCHUMANN i47 CRESTVIEW LANE LOCATION Ekib~ i ViEH LEGAL Lii TR E: EAGLE CREST SUBD LOT SIZE i~82e S~UARE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH I'IR>~II'IUM NUMBER OF BEDROOMS = ~ SOIL RATING (SO FT?BR>= t~5 THE REQUIRED SIZE OF THE SOIL ABSORPTIOn{ SYSTE~IS: DEPTH= 22 LEf4GTH: 6RR~/EL DEF'TH: 7 THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIEL~. THE DEPTH OF R TRENCH OR PIT IS THE ~ISTRNCE BETWEEN THE SLIRFRCE OF THE 6ROUN~ RN~ THE BOTTOM OF THE EXCAVATION <IN FEET>. THERE IS NO SET HI,TH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF 6RRVEL BETHEEN THE OUTFRLL PIPE RN~ THE-BOTTOM OF THE EXCRVRTION <IN FEET>. REt;.,IJ I RED SEF'T I C TI=II'~IK $ I ZE= -1 o'_.--lC-ltd 6RLLC'f4$ TL40 ( 2 ) I NSF'ECT I C'f-~--c, ARE REG:U I RED E;RCKFILLING OF ANY SYSTEr'I WITHOUT FINAL INSPECTION RN[:, RPPROVRL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. ~'IINIf'IUM DISTANCE BETHEEN A WELL RND RNY ON-SITE SEWAGE DISPOSAL SYSTEM IS lO0 FEET FOR R PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 20 DRYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER I NSTRLLRT I ON. F'ER[1 I T %.'elL I D FOR Of 4E ~-'ERR FF-:OI1 I _c._c. IJE I i: FORTH BY THE MUNICIPALITY OF RNCHORAGE. 2: I HILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THErON-SITE SEHER SYSTEM MR~ REQUIRE ENLRRGEMENT "RESIDENCE~~ED T¢,] IN~U~E MORE THRM , BEDROOMs.' CERTIFY THAT I AM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RI.ID WELLS RS SET IF THE :i 'O 8. E GEO ,_CHNICAL 8- DEVELr"PMENT CO. · ~.. ~,° ' Box 90. Davis St.. Eagle River. Alaska 99577 694*2774 or 689-2280 Russell Oyster 694.2774 SoUs ~t Foundations Perfomed for: Name: t~,.~ Natltng Address: SOIL LOG Legal'Description: , ~e~' \\ Depth (feet) Earl Ellis 688-2280 Land Development 1 2 S011" ~:haractertsUcs · 7 8 9 10 11 16 Ground Water Encountered: Yes No Proposed Installation: Seepage Pit Drain Field Con~nents: ~.* ,~-,,~.~.~ ~ ¢¢-m~,~ If yes, what depth Perfomed by: '/ STATIC LEVEL OF WATER FT. / OWNER OF LAND ADDRESS 197 LEGAL DESCRIPTION DATE - Staaed ~/7/77 Ended 7/P/7 7 GA~. PER IIR PERMIT NUMBER ~ ~ ~1~ KIND OF CASING KIND OF FORMATION: From / From From~Ft. to FroggEr. to From F,om //7 Ft. to/qJ Ft. From /~3 Ft. to From [~ Ft. to ~Ft. From ~ Ft. to~Ft From ~ From Ft. to Ft From Ft. to Ft From~.Ft. to . Ft. From~ Ft. to Ft. From Ft. to__Ft. From__Ft. to__Ft. From__Ft. to Ft. From__Ft. to Ft. From__Ft. to FI, From Ft. to Ft. Fmm__Ft. to Ft. From__Fi. to Ft. From__Ft. to Ft. From__Ft. to Ft. From__Ft. to Ft. From Ft. to Ft From Ft. to Ft From Ft. to Ft. From Ft. to__Ft From Ft. to Ft. From Ft. to Ft. From Ft. to___.Ft, MISCL INFORMATION: DRILLER'S NAME /'~e-;~~ ' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF I !~ALT} ~25 L St,met - Anc:hor~, Almka 99501 ENVIRONMENTAL ENVIRONMENTAL ENGINEERING DIVISION JAN $ 0 1979 ""~ ~'- Telephone 264-4720 .~ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW& ~.CF~JIV& D DIRECTION~: Com~Im all p~ts on page 1. Ima.111dete mques~ will not be ~. P~e~e allow ten (10) d~y$ for processing. PHONE 1. PROPERTY OWNER Jim and Delores Odle MAILING ADDRESS PHONE PHON~ 86~-2121 Missouri PROPERTY RESIDENT (If diff~'e~! from BUYER Robert and. Carol Moore MAILING AODRESS 561 B 6th St. Fort Rich 99505 2. LENDING INSTITUTION ~ PHONE ¢oa~ MortM$Me I 279-0~65 MAILING ADDRESS 4. REALTOR/AGENT I PNONE Lou Wood I 276-8500 MAILING ADDRESS 927 L ~reet LEGAL DESCRI~I'ION Lot 11 Tract B Eagle Crest Sub. STREET LOCATION 3rd and Crestview 6. TYPEOF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY 7. WATE~UI~LY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY ~,. SEWAGE DISIK:~AL SYSTEM ][~ INDIVIDUAL/ON-SITE*' [] PUBLIC UTILITY Eagle River NUMBER OF BEDROOMS [] One I--I Four [] Two [] Five ~ Three [] Six I--1 Other * ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) (~L-~ ~ ~ ~ r - .* If individual/on-site, give installation date ~.C~'~'~ . 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, ~ 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 [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2. WATER*SUPPLY PERMIT NUMBER I--I INDIVIDUAL DEPTH OF WELL [] COMMUNITY -- DATE DRILLED [] PUBLIC UTILITY Connection Verified, LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER r-IINDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~ -- Connection Varified INSTALLER 1'-1Septic Ta.n~< or [] Holding Tank Size: //<~7 C_U If Tank is homemade SO~LS RATING. give dlmel~ions: ~ ~ TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 5. COMMENTS ~APPROVED FOR ~-~ BEDROOMS [] CONDITIONAL APPROVAL (letter must ac~pany certificate) ---C SAPPROVED r'- //..J., LEGAL DESCRIPTION 72-010 IRev, 3/78) Date Received: July 8, 1977 #1: Time 9:00 a.m. ~2: Time #3: Time Date 7-12-77 Tuesday Date Date Insp Willis Insp Insp ~-~ MUNICIPALITY OF ANCHORAG,~ DEPARTME ~ OF HEALTH AND ENVIRONMEN ~ PROTECTION 825 'L Street, Anchorage, AlasKa 99501 279-2511, ext. 224 or 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Home Federal Savings & Loan Mailing Address: 535 D Street 99501 Phone: 2. Property Owner: Steve Schuman Mailing Address: 147 Crestview 99577 Phone: 694-9237 3. Legal Description: Lot 11 Tract B Eagle Crest Subdivision 4: Single Family Residence: (x~ Number of Bedrooms: three Multiple Family Residence: ( ) Number of Bedrooms: Well System: Individual well (x~ Community/Public System ( ) Permit # 77310 Depth of Well 242' Well Log on File Construction Bacterial Analysis ( ) ® Sewage Disposal System: Permit % 77310 Septic Tank Size Absorption Area On-site System (x~x Public Utility Installed /~-.~ ~-7 7. Installer ~,~s I.,('"~J~) ~ ! /~5 Manufacturer ~p~'~,~_ .qO' Soils Rate I~ Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line t~"~MUNICIPALITY OF ANCHORAGE'~, .... Department of IIealth and Environmental Prote~q~T.c~ ' 825 L Street, ~chorage, Alaska 279-2511, ext. 224, 225 ~.._ '~~equest for Approval of Indlvldual Sewer and Water Fac~llties Property Owner: Mailing Address: Phone: Name of Buyer: Mailing Address: Phone: Lending Institution: ~O~6 Mailing Address: ~7~ ~ Realtor/Agent: ~/~ Mailing Address: Phone: Phone: Se Legal Description: Street Location: Single Family Residence: ~)ff Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Water Supply: * Individual l~ell (cJf"Public/Community System If Individual Well, well depth~l If Community System, name of system Sewage Disposal System: On-site System ~'~ Public System ( If On-site System, date of installation: ~'/~.77 ( ) *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 11 Tract B Eagle Crest Subdivision Comments: Affadavit Attached: ( ) Approved: Disapproved Department Worksheet: Letter Attached: ( ) Date: