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: