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Home My WebLink AboutEAGLE CREST #1 TR B LT 24 Municipality of Anchorage Page I of 2. DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~'wq~o~;'~l PID Number: Name: Wastewater System: D New ~ Upgrade ~o~o c~ v,~w t~ ABSORPTION FIELD Phone: ~No. of B~drooms: ~ Deep Trench ~ShallowTrench DBed DMound DOther ~ D New D Upgrade Gravel wiOth: Num~r of lines: SEPARATION DISTANCES ~ Septic ~ Holding ~ S.T.E.P. From Tank F,eld Stahon Tank ~wef L,~ ~ ~ ~ ~ Well /~ I~ /~ I ~ __ ~ Material; ~ Numar of Compaffments: Surface Remarks:~l~/~ ~& ~ BENCH MARK ENGINEERS SEAL Inspections performed by: _E~gived~i~J~ , Dates: 1st Department of Health and Human Se~ices approval Permit No.Sw950431 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report EAGLE CREST TRACT B,LOT 24 05029201 Legal Description: PID No.: CO 1 C02 ~ ~ ................................. ~ ...................................... ..' ...................................... ~ ...................................... ~ ................................................................ · = ' i MTI C03 /- 93.5 ! ~ ! i i93.s''',., ~ ~EW ~ ' ................... : ............ s~]c ................... ~.~ ................................... ~ ........................................ ~ ....................... ;; TANK ~ { [ . {88. r~ { N.T.S. ~ ~ & 83. i' TATSR FOUND 9+30-93 ~ { i ABC ~ { }[ FCO - 5.0 19.~ co~ - ~.. z~.~ { C02 - 11~5 33.5 i ~ ~ C03 - z?;5 48.~ [ C04 30.G 41}0 - 10~ ~ ESMT [ } N, ................ ~.~...,~..~o~ ............................... ~ ..................... I ............. ........................ ~....ooo ~...~ ...*A~ .................... ~ /wR~gao00? - { ,-,./ i .~* 0,~ ,, ~ * ' V I ,"Y7 ../,~._.~... MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 #L' STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930431 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:LOFLIN MARVIN D & JOJEAN OWNER ADDRESS:10210 CREST VIEW LN EAGLE RIVER, AK 99577 DATE ISSUED:10/14/93 EXPIRATION DATE:10/14/94 PARCEL ID:05029201 LEGAL DESCRIPTION: EAGLE CREST TR B LT 24 LOT SIZE: 11070 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: WAIVER NO.WR930067 APPROVED FOR ONE FOOT LOT LINE SETBACK. RECEIVED BY: -~ ~'~/' ,~'/ '~ DATE: ISSUED BY: · DATE: un c pahty of Anc ra e Department o! Health and Human Services Tom Fink. 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 October 14, 1993 Robert Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 24 Tract B Eagle Crest S/D Waiver Request tWR930067, PID 1050-292-01, SW930431 Dear Mr. Shafer: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. waived distance is 1 foot from the east property line. The This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Robert W. Robinson Civil Engineer On-site Services ljw%7 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR#~ PID# 050-292-01 HA# Date Received: October 11, 1993 Legal Description: Lot 24 Tract B Eagle Crest Subdivision Engineer: Robert Shafer, P.E., S & S Engineering 17034 Eagle River Loop Road, Applicant: M~rvin D. Lofl~n Waiver Requested: Lot line waiver of ! Permit Suie 204r Eaqle River 99577 foot fro~ Bast property l{ne Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: .~ List Conditions or R Waiver is NOT Granted: for above: Rec #: 25309/0579 Amount: By: $ 120.00 Date Paid: 10-11-93 ROBERT SHAFER. P.E. ROGER SHAFER, P.E. October 4, 1993 CIVIL ENGINEERS (907} 694-2979 FAX 694-1211 SITE PLANS SOIl. TEST Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99519-6650 MUNtCIPALll¥ OF ANCHORAGE ENVIRONMENTAL SERVICES DIVSSION OCT O 6 199 RECEIVED REFERENCE: Eagle Crest Subdivision, Tract B, Lot 24.~;ANC3~oRAGE i~AuNtC~?ALt ~' ~'" F. NViROt'g~t'fi AL SE~,VtCI[S DiViSION OCT 1 1 199 ~e ze~e~t ~o~ ~ss~e a ~e~t to ~a~e t5e sept Jo s~ste~ se~ing the t~ee bedroom house on the reference~k~U ~d gr~t a waiver for the horizontal se~aratiod~ce ~tween the ~ast. DroDerty line ~d the proDosed seDtic leachfield to I foot. The existing septic system is in a state of failure and the area remaining for a septic upgrade is very limited. Three test holes were excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test holes are located on the attached site plan. The monitoring tube within the test hole has been checked and found to be dry. Attached is the proposed upgrade design. A property line waiver is requested due to the Northern portion of this lot slopes toward the back of the lot and is primarily fill which is unsuitable for an on-site septic system. Also the existing septic system consumes a portion this area. Therefore, the only feasible area for an a conventional type system would be adjacent to the East property line. The property owners will be required to abandon the existing well and connect to public water which is located in 2nd Street prior to the proposed septic system being put into use. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 * EAGLE RIVER, ALASKA 99577 If you have any questions, or require additional information for your review, please contact us. Al sharer, P.E. /RAS/LSU/lsu LEGAL EAGI,E CREST SUBDIVISION. D~WN L. S. ULSNER ICKD' R.A.S. DESIGN CRITERIA: 5 BDRM = 450 GPD SOIL.S = 1.2 GPD/SO. FT. 450/1.2 = .t75 SO. FT. REQ'D TRACT B. LOT 24 IDATE,0/6/93 IsHr'i OF 1 DRAINFIELD: 8' DEEP 5' WIDE 2' EFFECTIVE 55' LONG PROP. EXISI'. 1000 GAL SEPTIC Ti}Ill T0 CONTRACTOR IS REQUIRED TO OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION WORK. [ ~ RE ~BANDONED-~ 000 GAL SEPTIC 3 BDR}I HOUSE /EX]ST. WELL TO BE ABANDONED AND PROPERT~ CONNECTED TO PL~UC WATER {ENGINEER TO INSPECT WELL 2nd STREET N TRENCH STRUCTURES, EASEMENTS, OR ENCROACHMENTS SHOWN ON THIS SITE PLAN ARE AS SHOWN ON AN AS-BUILT SURVEY DRAWN BY: GERALD V. RANDALL, JR. [ iS THE RESPONSIBILTIY OF THE CONTRACTOR VERIFY EASEMENTS, REQUIRED SEPARATION :)ISTANCES, AND PROPERTY LINES PRIOR TO :ONSTRUCTION. THE ENGINEER MAY VARY THE EXACT DIMENSIONS AND DESIGN PARAMETERS IN THE F,EI.0. IF NECESSARY, 'TO MEET SmT~ CONDITIONS. ~" Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage. A,aska 99502~650 ~~:~ SOILS LOG ~ PERCO~TION TEST PERFORMED FOR: ~~ HO~~ DATE PERF LEGAL DESCRIPTION: ~l~ ~~ Township, Range. Section: -- ~ ~~1~[ SLOPE SITE PLAN 8 9 I0 It 12 13 ~(~j//.. w^s GROUND WATER /~//'~ '7 ENCOUNTERED? / ~/~ IF YES. AT WHAT 0 DEPTHI p E 14 Reading ~ ~ '~G~°~s"g~"'P Net Depth to Net Time Time Water Drop ~ --~'J I ql~ Z:/op~_. ~" ~ I' I 2:qdE ~o~ o~ ~8 7 19 20 - / PERCOLATION RATE __ (mmuteumch) PERC HOLE DIAMETER --/ 'ESTRUNBETWEE~~ ~ FT ' -- / 72~ (Rev. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L" Street, Anchorage. Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ~...~.: ..... ~. ~ DATE PERFORMED: LEGAL D£SCmPTION:~>T ;;)?J .~ T~,. [~. ~;Z3GLl~: Township. Range, Section: ~..(~S'"'-(' '~,,,~) SLOPE SITE PLAN WAS GROUND WATER W~J~0 ENCOUNTERED? S ' IF YES, AT WHAT -- DEPTH? p E Oepth to V~ater A,~er Monitoring? Oate: Gross Net Depth to Net Reading Date Time Time Water Drop 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 PERCOLATION RATE __ (mmuteshnch) PERC HOLE DIAMETER .__ TEST RUN BETWEEN ,.~,-..~'~ FT COMMENTS .... E~le ~l~, ~Jal~a ~S~ ///~~ ~RTI~Y 3HA~ till ~ T A PERFORMED IN PERFuMM~D~T; ~, ' -fr C S ES W S ACCORDANCE WITH ALL S~ATE AND MUNICIPAL GUIDELINES/ON THIS DATE. DATE: 72~ (R~. 4/~) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 L Street. Anchorage, Alaska 99502-0650 PERFORMED FOR: ~lC~ ~0~g5 DATE ~T ~Ht ~ ~e ~gE ~1 ~wnship, Range, Section: LEGAL DE$CR PTION:, 1 2 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13 14 15 16 17 18 19 20- SLOPE SITE PLAN WAS GROUND WATE ENCOUNTERED? S IF YES, AT WHAT ~ ~ DEPTH? p E Depth lo Water A~e[ Eon[torinO? Date: Gross Net Depth to Net Reading Date Time Time Water PERCOLATION RATE (mmutes~mch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ AND COMMENTS J/ FT CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: ON-SITE WASTEWA TER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MA TERIAL SPEClFICATIONS REFERENCE: Eagle Crest Subdivision, Tract B, Lot 24 GENERAL: 1. The scope of this project includes the installation of a 1000 gallon septic tank and a five foot wide drainfield to serve the existing three bedroom residence on the referenced property. The existing septic tank is to be pumped, crushed and abandoned. Also the existing leachfield is to be abandoned in place. Construction shall be in accordance with the approved site plan and design drawings; Municipal permit with any special provisions or conditions; and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensudng a satisfactory vegetation growth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4' cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Page Two Eagle Crest Subdivision, Tract B, Lot 24 September 25, 1993 Ail standpipes on the septic tank shaft extend a minimum of 12 inches above final grade. Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shaft be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Eagle Crest Subdivision, Tract B, Lot 24 September 25, 1993 Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MA TERIAL SPEClFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2* thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier ('rypar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Page Four Eagle Crest Subdivision, Tract B, Lot 24 September25, 1993 All leachfield grave/(sewer rock) shall be 0.5'-2.5" screened grave/with less than 3% passing the #200 sieve. When sand is being used as a filter material, it's gradation specifications must conform to current M.O.A. or D.E.C. requirements. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. GRE~.;:R ANCHORAGE AREA BOR. - Department of Environmental Quality 3330 C Street Anchorage, A~aska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL. '~"?~ INSIDE LENGTH MAN U FACTU R E R ,~...'t-~'~ ./~MATE RIAL INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY/~:~¢'GALLONS. TILE DRAIN FIELD: ! "~u~ , / D,STA.¢E FROM WELL /~'~ FOU.OAT,ON__.-~".EAREST LOT LINE TRENCH WIDTH TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE ~]~ / DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE / .ky 7 '~1~. ABOVE TIL£ IN. TYPE CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION LOT LINE SEWER LINE CESSPOOL OTHER SOURCES DEPTH - DISTANCE FROM: SEPTIC .... ! SEEPAGE fl 3- ~ TANK ]~F SYSTEM APPROVED DISAPPROVED REMARKS DISTANCES: SEWER LINE DEPTH: LOT SLOPE: REMARKS: Form EQ-032 ° ~,° .MUN I P~qL I TV OF 8NCHORAGE ~ '~ ' DEPSRTMENT OF HESLTH 8ND ENVIRONMENTSL PROTECTION 3330 C STREET~ 8NCHORAGE, RLASKB ~503 ~74-45~1 ON--$ I TE SEWER PERM I T PERMIT NO. ( ~8 CO~TRSCTORS. 34~8 MT VIEW DR LOCSTI~ 2ND · CRESTVIEW LEGSL' '/.. L24 TRB ESGLE CREST SD LOT SI~E ii878 SQFT TVPE OF SOIL 8BSORPTION SVSTE~...TRENCH NUMBER OF BEDROOMS 3 SOIL RSTING, SQFT/BR THE REQUIRED SI2E OF THE SOIL 8BSORPTION SVSTEM IS:DEPTH= i8 LENGTH= ~6. 7857142857i THE ~INIMUM DEPTH OF GR~VEL BETWEEN THE OUTF~LL PIPE 8ND THE E%CSVSTION BOTTOM IS 2 FT THERE IS NO SET WIDTH FOR TRENCHES. FOR DRSINFIELDS, THE WIDTH IS 3 FT. THE DEPTH OF TRENCH OR PIT IS THE DISTSNCE BETWEEN THE GROUND SURFSCE 8ND THE BOTTOM OF THE EXCSVSTION. THE LENGTH DIMENSION IS THE LENGTH OF ESCH SIDE FOR 8 SEEPAGE PIT OR THE LENGTH OF THE TRENCH~ OR DRSINFIELD. THE REQUIRED SEPTIC TBNK SI2E IS i888 GSLLONS B~CKFILLING OF 8NV SVSTEM WITHOUT FINSL INSPECTION BV THIS DEP~RTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE FROM WELL TO 8NV SEPTIC TSNK/PSCKSGE PLSNT OR SOIL 8BSORPTION SVSTEM IS i88 FT FOR 8 PRIVSTE WELL 8ND 28~ FT FOR 8 PUBLIC WELL. SPECIFICSTIONS 8ND CONSTRUCTION DISGRSMS 8RE 8VBILSBLE ~0 INSURE PROPER I NSTBLLST I ON. I CERTIFV THST I 8M FSMILISR WITH THE REQUIREMENTS FOR ON-SITE SEWERS 8ND WELLS 8S SET FORTH BV THE MUNICIPSLITV OF 8NCHORSGE 8ND WILL INSTBLL IN 8CCORDSNCE ............................ O Er E GEO'I',.CHNICAL Et- DEVEL(. 'MENT CO. Box 90, Davis St., Eagle River. Alaska 99577 694-2774 or 688-2280 R~/ssell Oyster 694 2774 ,,S01L LOG Soils ~ Foundations Perfo~ed for.' Eeff ~llis Lend Development Tel. No. ~'~q ~ ~'~q Legal Description: ~--~-~ "~ \'--"'~,~'-~,~'~ '-~ ~¢~_t_ ~--~.~,'~--'~ ~,'~l:) Depth (feet) ,Sol! Characterlstlc~ 0 1 2 3 !l 12 iLm Ground Water Encountered: Yes Froposed Installation: Seepage Pit No If yes, what depth ~ Drain Field ~ r-,rFormed by: ~ k~.--~ ,~w~t~ Date: )__~~m.~m GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY ":SYST-F,M'm APPLICATION AND PERMIT INSTALLATION LOCATION LEGAL ~ESOR,.,ON PERMIT NO. FINANCED THROUGH . TO BE INSTALLED BY EOIL TEST RESULTS . HOTE~ THIS PERMIT IS NOT VALID WITHOUT ~OIL TE:ST FINAL INSPECTION: Z4 HOUR NOTICE REQUIRED. BACKFILLING Of ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, DIAGRAM OF SYSTEM MINIMUM DISTANCES. REQUIREMENTS ~.0CAT~O. L or WATER I~.J~L LOG f~ A FOSS DRILLING 1336 Ingra Street Anchorage, Alaska 99501 SIZE OF CA~ING ~" DEPTH OF HOLE~PT, CASED TO STATIC WATER LEVEL,.~! ~) ~. YIE~ / ~' G~.PER.MIN. WITH FE~ OF D~. OAr~ COMP~ ]/-~- ~ PUMP TO BE SET 825 ~L Street, Anchorage, Alask'a 99501 279-2511, ext. 224 or 225 Date Received: July llj 1977 Time 7~ ~.~ ~ ~2: Time ~3: Time Date ~o ;£1-~7~L&~,$ Date Date Insp ~,~! i~. Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES e ® Se m Lending Institution Request: Peoples Bank and Trust Mailing Address: Pouch 7-007 99510 Phone: 279-7511 Property Owner: J.A. Realty Phone: 279-2589 Mailing Address: 3400 Mountain View Drive 99504 Legal Description: Lot 24 Tract B Eagle ~e~r~ SubdivisiOn Single Family Residence: (x) Number of Bedrooms: / Multiple Family Residence: ( ) Number of Bedrooms: Well System: Permit # Construction Individual well (x~ Community/Public System ( ) Dep~h,of Well ~k~_ Well Log on File ~k~'L~ ' Bacterial Analysis Sewage Disposal System: On-site System ~x~ Public utility ( ) Permit ~ Installed ~~ Installer ~A ~~ septic Tank Size /~ ~-~ ~ Manufacturer ~~ ~ Absorption Area Soils Rate ~ ~..~ Material Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES JUL 1 .ECEIV .D 1. Type of Inspection: VA 2. Property Owner: J.A. REALTY Mailing Address: 3400 ~flT. VIk-%' DRIVE, 3. Name of Buyer: HARV'[N D. LOFLIN Mailing Address: .'~1 PI~DVTDI~. DR. 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: 6. LED31 Description: Location: 7. Type of Facility to be Inspected: 8. Water Supply FHA Day Phone: 279-2589 CONV XXX Day Phone: ~.72-5522 m~J.~c~, n'~' 'AR'DS & S( !~T~l '7P4'Y7 ,TON/IS AP~NRI~ T,R' r~:a R400 .I~IR. VI~%' DR. Phone: Phone: LOT 24. TRACT B. ~(';1~ ~-,.T4""~IT'~TiRDTVTSTCr~ PLEASE (X)NTACT REALTOR FOR INSPECrION Type of Supply: Public Utility, If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation No. Bdrms, ? SEPTIC APPROVAL Individual & ~IC ~2PR0VAL Individual (on-site). Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 24 Tract B Eagle River Subdivision Comments: Affadavit Attached: ( ) Letter Attached: ( ) ~ Disapproved: Date: Date: 7-/e-77 Department Worksheet: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received January 5, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: Peoples Bank and Trust Company Mailing Address: Pouch 7007, Anchorage 99510 Phone: 279-7511 2. Property 0wner: J.A. Modular Homes, Inc. Phone: 279'12589 Mailing Address: 3400 Mountain View Drive 3. Legal Description: Lot 24 Tract B Eagle Crest Subdivision 4. Location: Crestview Lane, Eagle River 5. Type of facility to be inspected Sin~lle Family No. of bedrooms 2 6. Well Data: Individual A. Type B. Depth 247' C. Construction D. Bacterial Analysis. 7. Sewage Disposal System: On-site system. 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: A. Well to: Septic tank , Absorption area , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) , .-;..... ...... ,.-..:. :.,-. %,:,:- T*',,:. ,..., 'J. ,- CAN FF,O~ ~., i~Y, NOT P;{OC~CJS LO,tH P.~a~'(j~qyJ(~RJ~o pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street. Anchorage. Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES JdL','q.~,.i A[IIY OF ANCHOI~AOE ~[';'."~;!,M; HI O." IIEALTH & [NVI.qON,%~.I';1 ,%i P2OT£CTION JAN 5 i'378 RE'C. EIVED ' 1. Type of Inspection: CMRO VA 2. Property Owner: '.'-~/'l. '1 Mailing Address: ¢. ~ 11 ~'.~ /~ 4. Namc of Lending Institution: Mailing Address: ~ (~t( C k, 5. Name of Realtor or Agent: ~_~,11~(~. ' FHA CONV ~ Day Phone %,., Phone .~Yq- ?~/f o · ~gal Oe.r~pt~o.: ./'('¥ ,~'¥ 75','~ (-'( 7. Type of Facility to be inspected:'-~L'l,, /(~ ~ /I f 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well '~'~,/?! Individual ~_~_. 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation ~o,o,,,,,,,,.~),~ ~1¢¢~;~ po, for of Individual & Water Facilities Page 2 of two pages - Re¢ st Approval "Lega"r Description Lot 24 Tract B Eagle Crest Subdivision Comments Disapproved Date Approved Approval \Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true a,,d accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. Date SIGNED EQ-034 (1/74)