HomeMy WebLinkAboutEAGLE PARK BLK 1 LT 13A ,~.., GREA._'R ANCHORAGE AREA BOM..,GH
· t '~
(~[~ Department of Environmental Quality
' · 3330 C Street
Anchorage, Alaska 99503
NAME ~
LOCATION
NSP CT ON ON-S T[ s w^o s'rs'r M
SEPTIC TANK:-J'.~ ~
DISTANCE~. ~
FROM WELL ~-'"-~ MANUFACTURER
INSIDE LENGTH INSIDE WIDTH
MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY__
GALLONS.
TILE DRAIN FIELD:'~/~j--
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA tO0~
DEPTH: TOP OF TILE TO FINISH GRADE
FOUNDATION
DISTANCE BETWEEN LINES
TOTAL LENGTH
NEAREST LOT LINE OF LINES
TRENCH WIDTH ~.~..~IN. TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH TILE
IN. ABOVE TILE ~'~' IN.
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST NEAREST
LOT LINE , SEWER LINE
, OTHER SOURCES
DISAPPROVED REMARKS
DEPTH
SEPTIC SEEPAGE
, TANK , SYSTEM
DISTANCE FROM:
DISTANCES:.
INSTALLED BY:~~'''
SEWER LINE DEPTH:
PIPE MATERIAL:'¢. CV,
LOT SLOPE: ,,_,~
REMARKS:
DIAGRAM OF SYSTEM
DATE ~/d.L~ APPROVED~ ,~
G.A.A.B.
Form EQ-032
· r.,lUl'-4 T C ! PAL T T'T' OF RI'-.ICHORRGE
· , ' · DEPARTMENT OP HEALTH RND ENYIRONMENTAL PRO~TECTION .~.~
WELL ~l~J I~' ON--S T TE SEWER PEAr'1 I T/
PERMIT N0. ( ?6845 )
APPLICANT JOHN L AARNINK
LOCATION ~8VEN DR
LEGAL. ' L13 Bi EAGLE PARK SUBD
~.503 CRESCENT
LOT SIZE
279-5228
39300 SQURRE FEET
TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 4
SOIL RATING <SQ FT/BR)= 275
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= ~-~- LENGTH= · ~c~ GRRVEL DEPTH= 8
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
PI-'~CKI:'-IGE PLI::II'-.IT REQU I RED
EITHER R CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED.
R CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. If R MRINTENRNCE
AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL
ABSORPTION SYSTEM AND/OR YOU MAY BE SUBJECT TO PROSECUTION.
IF R CLASS I SYSTEM IS USED THE LENGTH IS 49.0 FEET.
IF R CLASS II SYSTEM IS USED THE LENGTH IS 63.0 FEET.
TWO ,: 2 ::' I I'-ISPECT I OD,IS ARE REQU I RED
BRCKFILLIMG OF ANY SYSTEM WITHOUT FIMRL INSPECTION AND RPPROVRL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MININUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR R PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
SPECIFICATIONS AND CONSTRUCTION DIRGRRMS ARE AVAILABLE TO INSURE PROPER
I NSTRLLRT ION.
PERt~ I t '-..'RLI D FOR O~E MERR FROM ISSUE
I CERTIFY THRT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL IMSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS~EMODEL~ TO INCLUDE MORE THAN 4 BEDROOMS.
s ~ GNE~: __~~
./~R~ICR~ JOHN L RRRNINK
....
ISSUED B~ ~___u~/c-~ ...... ~i~J-~
rqUt4 I C I ~L I TY OF At4CH ~_~RGE
DEPARTMENT C HEALTH AND ENVIRONHENTAL ! JTECTION
' 2518 E. TUDOR RD., ANCHORAGE, RK. 99507
· 276-2221
' [~IELL Rt4-1D 01'4--5 I TE SE~4ER
~00 SQUARE FEET
ION DIAGRRHS AVAILABLE TO INSURE PROPER
? ,
PEAr'1 I T %~AL I D YEAR FROr~ I
I CERTIFY THAT
i: I 8M FAHILIBR WITH THE REQUI~S FOR ON-SITE SEWERS 8ND WELLS 8S SET
FORTH BY THE MUNICIPALITV OF 8NCHORBGE.
2~ I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTAND THaT THE ON-SITE SEWER SYSTEM H~V REQUIRE ENLBRGEMENT IF THE
RESIDENCE IS RE~IODELED TO INCLUDE MORE THAN 4 BEDROOMS.
MINIMUH DISTANCE BETWEE~
100 FEET FOR ~ PRIVATE WI
WELL LOGS ARE REQUIRED
OF THE WELL COMPLETION~
SPECIFICATIONS AND CONSTR!
INSTALLATION.
i=. FI C Ki::I G E~- PLi=H I' REQU I I~
EITHER 8 cLAss I O~ II NSF BPPRO~ED ~ M~'~' BE ] 8 D
8 CONTINUOUS MRINT~ NBNCE AGREEMENT IS IRED. I~ 8 MBINTEN~NCE
AGREEMENT ~IS NOT CURRENT YOU MAY ~UIRED 0 ENLARGE THE
FEET. .'
lOUT FINAl ~CTION AND AP~ROVA~ 8Y-THIS
ELL AND AN',' ON-~ITE SEWAGE DISPOSAL SYSTEM IS
OR -~00 FEET FOF A PUBLIC WELL.
MUST BE RETURNEI TO THE DEPARTMENT I~IIT~4IN ~0 DAYS
IF A CLASS I SYSTE
IF A CLASS II SYSTE
BACKFILLING OF Ah SYST.
DEPARTMENT WILL
THE LENGTH DIHENSION
THE DEPTH OF A TREN~
GROUND AND THE BOTT[H OF THE ~
THERE IS NO SET
THE GRAVEL DEPTH
AND THE BOTTOM OF T~
PER,tIT NO. ( ~554~5 )
APPLICANT RQ~-R-,~._MRHONE~ -. 5R BOX ~66-R
LOCATION ~RVEN DRIVE "-. '
LEGRL Ll~ Bi EAGLE PARK SUBD '. LOT SI~E
TVPE OF ~OIL RBSORBTION SYSTE~I I~: 'TRENCH
MAXIMUM NUHBER OF BEDROOHS = 4 ', SOIL RRTING (SQ'FTZBR>= 275
THE REQUIRED SI~E OF THE SOIL RBsoRP~IoN;SVSTE~I
IOl IS THE LEN' :H~ ~OF THE
1 TT~ OF THE EX iV~
ID' FOR TRENCHES. ~
[ IS E MI?IMUM DEPTI ~RVEL BETWEEI
~ EXCAVATION (IN
~~ELD.
T~T ALL PIPE
· O 8' E GEO.~,=CHNICAL ~- DEVELOPMENT CO.
" o Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster Earl Ellis
694-2774 S0II. LOG e~-2~o
Soils Et Foundations Land Development
,=,: ~-~, ~-~.~;~ ~.~T,1. ,o. IP~-q[~°~
Perfomed for:
Legal Description:
Depth (feet)
0
2
5
7
8
10
1]
13
$¢I1 ~:h~rtlc~eKt sttcs
!
t
Ground Water, Encountered: Yes Ho ¢'/ If. yes, what depth
Proposed Installation: Seepage Pit Drain Field v/'
Co~ents: ~ .~ <',~~' -Z)~
~ ~ ~7~ ~0 ~
Performed by: %~,*~-~ ,w Date:
[ASEME,NTS Or RECORD. OTHER TtlAN
THOSE SHOWN ON THE RECORDED PLAT.
ABE NOT SHOWN HEREO,N.
~ PAULL FOX
...... -".xst,,
No CORNERS S~ THI~ DATE
I hereb~ ce~i~ ~hat I have ~o~
i~spe~ion of the following des~
bnprovemen~ situat~ ther~n are within the
hnes and do not over]ap or en~oac~ o~ the pro~ty
lyinR.e~jacent, thereto, that no ~provemen~ on Dro~
~rty lyin~ ad~cect there~ en~oach on th~ ~temi~e~
I~. ~Ue$il05 and that there are no r~dways, tra~-
m)ss~on Iin~ ~ other ~ible e~emen~ on said
e~7 ex.pt as indicat~
Dat~ at Anchorage. Alaska
t~ ~-I ~day of ·/~ P~ I L . 19 7~,
Fn~ineer~ St:~'e)-ors & Pla~nem
FIELD BOO~( No. T'~ -//Z~
A & L DRILLING COMPANY
BOX 97o EAGLE RtV£Ro ALASKA 99677 e ' TEI:EPHONE 694-2588
OWNER OF LAND
ADDRESS
STATIC LEVEL OF WATER FT.
LEGAL DESCRIPTIO,N~tg~-/,"~ ~/'' ~/~' ~ DRAW DOWN ~. ~ /
, ~ GA~.PER IIR [~Oo
KIND OF FORMATION:
From O Ft. to ~
From C~ Ft. to Oqq
From c~C( Ft. to '5~' Ft._ ,.~/~r,.,'~} From
From ,39 Ft. lo ~/ Ft. CZ~ ~V~Z From
From ~/ Ft. to q~ Ft. .~ ~g~Z From
.d ~_.~ ,~- 7' ~',~
Ft. to 'Ft."
Ft. to FI.
Ft. to Ft,
" .... F'.'to"'':t --
Ft. to Ft.
From
From
From
From .
From .
From C~7~ Ft.t~) c'~77 Ft.
From 9 ?TFt. to 070 Ft, C~"r~rW ~:g k
From gffl Ft. to 2.~O Ft. ggO~ -cx~f ,
MISCL
INFORMATION:
'From Ft. to Ft
rom Ft. to Ft.
1-rOm Ft. to Ft.
Fr6m · ~, Ft. to Ft.
~, ,.~ ~Fi~,~,
From ' . to Ft
-,. INSPECTION APPOINTMENTS
INSPECTOR INSPECTOR INSPECTOR~
MUNICIPALITY OF ANCHOEA~E DEPT. OF H~ALTII &
~ DEPARTMENT OF
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
)1RECTIONS: Complete all parts o, page 1. Incomplete ~u~ will not ~ pr~. ~ease allow ten {10) days for pr~sing.
1. PROPERTY OWNER PRONE
MAILING ADDRESS
PROPERTY RESIOENTgI di~ler~nt trom Ibo~J PHONE
2.~ BUYER · - PHONE
MAI~ING ADDRESS
6. TYPEOF RESIDENCE NUMBER OF~BEDROOMS
[] One [~ Four
~ [] Two ri Five
SINGLE
FAMILY
I-'1 MULTIPLE FAMILY [] Three [] Six
[] Other~
7. WATER SUPPLY
INDIVIDUAL'
[~] COMMUNITY
[] PUBLIC UTI LITY
· A'I-rACH WELL LOG. A well log is required for ell wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
SEWAGE DISI~O~AL SYSTEM
[~ INDIVIDUAL/ON-SITE**
I-'1 PUBLIC UTILITY
~ (~-~(,-,, YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
I--] SINGLE FAMILY
[] MULTIPLE FAMILY
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
r-I, PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[]INDIVIDUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
I'-ISep_tJ, c Tat~k or [] Holding Tank
Size.'-~ -~ If Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WELLTO:
NUMBER OF BEDROOMS
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SIX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
MANUFACTURER
MATERIAL
Septic/Hold*rig T~nk IAbsorption Area [Sewer Line
[] OTHER
Absorption Area to nearest Lot Line
5. COMMENTS
DATE
~PPROVED FOR /-~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
IEY(
72-010 (Rev. 6/79)
EXCAVATION
ROBERT A. SHAFER
WORK
CIVIL ENGINEER
694-2979
November 24, 1981
Dall Realty
ATTENTION~ John Russell
700 W. 41st Avenue
Anchorage, Alaska 99503
Dear Mr. Russell,
Iv[UNICIPALITY OF ANC'HORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL p~OTECTION
OEO 2 2 1981
RECEIVED
Reference: Lot 13: Block 1: Eagle Park Subdivision
A sewer system adequacy test was performed on the system located on
the referenced property as you requested. The septic tank (areated
package system) was pumped and verified to have a capacity of 1250
gallons. The absorption trench was tested by a continuous flow of
620 gallons of water over a period of 24 hours without any measurable
rise in the water level in the sump at the end of the trench.
It can be concluded from this test that the waste water disposal
system serving the four bedroom residence located on this property
is currently functioning adequately. However, the sytem cannot be
guaranteed against subsequent failure.
If we may be of further service,
SiDce~r 1~,
~/R~BERT A. SHAFt. R, P.E.
PAS/ss ' '
please do not hesitate to call.
cc: Alaska Pacific Bank
ATTENTION: Elaine
Municipality of Anchorage
Department of Health and Environmental Protection
SR8 196X EAGLE RIVER, AtASKA
CanOe's Concrete Products
of Wasiila, Inc.
HOME & CO/V~ERCIAL SEWAGE TREATMENT PLANTS
BOX 1490 WASILLA, AK. 99687 - PHONE 376-5919
This Agreement entitles:
JET Home Plant Service Policy
Owner .';1'/f ~'
Street
'Address
City .'.:z,.r!e ;:Jv-~::, ..'~k. 99J'77 Phone
· to the following service for I year(i) from the date of acceptance.
Upon receipt of this signed agreeing'at and $'l.r'r~,rv~ ;'Canaled. Concrete Products agrees to perform the
following services during the term of the agreement:
-Canole's Concrete Products will inspect the JET plant at the above address twice a year. These inspections
will include:
PLANT SERVICE
· Removal of aeration unit, inspection, adjustment, cleaning of aerator's shafl, field service of aeration
unit, if needed, and re-installation.
· Inspection, cleaning, and adjustment, if necessary of surface skimmer and/or tube setter.
· Examination of final effluent for color and odor, if there is access at time of inspection.
· Check of discharge point and wet weather overflow for blockage (if applicable).
· Inspection and adjustment of control panel setting and overload protection, if there is access at time
of inspection.
· Inspection for sludge accumulalion with arrangements for removal when build-up warrants removal.
.:Canol~;'s Concrete Products further agrees lo the following:
EMERGENCY SERVICE
· There-will-be-no-charge for-emergency service-calls.
· There will be no service or labor charges for removal or re-installation of aerator, if required.
· If improper operation cannot be corrected at time of service, homeowner will be notified immediately
and given estimated date of correction.
· If improper operation cannot be corrected at time of service, the Department of Environmental Quality,
GAA. B, will also be notified.
· If necessary, Ihe entire mechanical unit or any parts will be replaced according to the manufacturer's
w~ r r ~iit,/'p~:og'r ;, m.
Freight charges to the factory or to an unauthorized repair slatJon and aerator repair charges are not
covered under this agreement.
i
"Own'er s Signatui~e Date
Accepted.for Canole's Concrete Pr~octs Date
CONSTEEL CO.
P. O. Box 1490
WASILLA, ALASKA 99687
Phone 376-5919
25-
OTY.
TAX
TOTAL
AMOUNT
/ 0 ....
0340
EXCAVATION
ROBERT A. SHAFER
WORK
CIVILENGINEER
694-2979
November 24, 1981
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL P?OTSCTION
Dall Realty
ATTENTION~ John Russell
700 W. 41st Avenue
Anchorage, Alaska 99503
NOV 2 5 1981
RECEIV.J
Dear Mr. Russell,
Reference: Lot 13t Block It Eagle Park Subdivision
A sewer system adequacy test was performed on the system located on
the referenced property as you requested. The septic tank (areated
package system) was pumped and verified to have a capacity of 1250
gallons. The absorption trench was tested by a continuous flow of
620 gallons of water over a period of 24 hours without any measurable
rise in the water level in the sump at the end of the trench.
It can be concluded from this test that the waste water disposal
system serving the four bedroom residence located on this property
is currently functioning adequately. However, the sytem cannot be
guaranteed against subsequent failure.
If we may be of further service,
,~/Rg~3ERT A. SHAFT, R, P.E.
PAS/ss --
please do not hesitate to call.
cc: Alaska Pacific Bank '
ATTENTION: Elaine
Municipality of Anchorage
Department of Health and Environmental Protection
BRB 196X EAGLE RIVER, ALASKA
DEPARTMENT OF It£ALTH AND £NVIROt,,!MENTAL PROTECTION
November 18, 1981
825 "L" STREET /')
ANCHORAGE, A LASK~_~_]_
(907) 264-4111
MAYO;{
Dennis/Linda Anderson
% John Russell
700 West 41 Avenue, Suite 102
Anchorage, Alaska 99503
Subject: Lot 13 Block 1 Eagle Park Subdivision
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed: ~
There was not an outside faucet available to obtain
a water sample for analysis. Please call this office
for another appointment.
The cement top to the Jet unit is corroded and needs
to be replaced.
A maintenance contract' for the Jet unit serving the
sewer system needs to be obtained from Consteel Company,
376-5919, and a copy submitted to this office for our
review and files.
The top of the well casing needs to be tightened so
that it is water tight. Also, exposed electrical wires
to the well head are in violation of the Municipality
of Anchorage codes and must be encased in conduit.
(5) The septic tank pumped with a receipt submitted to
this office.
'Dennis/Linda Anderson
November 18, 1981
Page Two
(5)
An adequacy test needs to be performed on the existing
leaching area. This test will determine if the system
is adequate according to National Standards. A listing
of private firms performing the test is enclosed. This
report needs to be submitted to this office for our
review.
Please notify this office for a reinspection when the noted
descrepancies have been corrected. If there are any further
questions, please call this office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
CC:
Alaska Pacific Bank
Post Office Box 420
99510
'e DATE RECEIVED
./ INSPECTION APPOINTMENTS ~ ~).~.4..-'~:;;:L~ ~/,_..~.... '~'--~?_?
TiME TIME R [~ / TAME
INSPECTOR IN INSPECTOh
~ /v~UNICIPALIIY OF ANCRORAGE
MUNICIPALITY OF ANCHORAGE D£PT. OF H:ALTH &
~/,.~-~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC[I~ONM[NTAL P.',CTI~CTION
I B2S L Str.*t - A.chor..., AI.~. 99SO1
ENVIRONMENTAL SANITATION DIVISION JUL 2 9 1980
RECEIVED
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
OI RECTIONS: Complete 811 parts o, page 1. Incompletl J~que$l~ will not be preceded. Please allow ten {$0) day1 for processing.
t. PROPERTYOWNER J PHONE
John L. & Judith D. AarntnkJ 694-9960
MAILING ADDRESS
P.O. Box 8356 Anchorage, Alaska 99504
PROPERTY RESIDENT Jif ditlerent trom above) PHONE
2. BUYER PHONE
Dennis L. & Lincla S. Anderson 688-2073
MAILING ADDRESS
P.O. Box 154 Ea,c/le River, Alaska 99577
3. LENDING INSTITUTION j PHONE
Alaska Pacific BankJ 274-966]
MAILING ADDRESS
~0! W. Benson Blvd. Anchoraqe~ Alaska 99503
¢. REALTOR/AOENT F'H~E
James E. Morrill j344 4159
MAILING ADDRESS
5430 Little Tree Anchoraqe~ Alaska g9504
5. LEGAL DESCRIPTION
Lot 13, Block 1, Eagle Park Subdivision
STREET LOCATION
NHN Melody Lane
6, TYPE OF RESIDENCE NUMBER OF~BEDROOMS
[--I One ~] Four
r~l SINGLE FAMILY I'-], Two r-] Five
I-1 MULTIPLE FAMILY [] Three I--1 Six
[] Other
7. WATER SUPPLY
[] INDIVIDUAL* * Al-tACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUB LIC UTI LITY depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON-SITE** ~ YEAR ON-SITE SYSTEM WAS INSTALLED,
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
. _ THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
~ SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO ~ FOUR [] SIX
PERMIT NUMBER
WAZER SUPPLY
~ INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection
Verified
LOG
RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
-~[3 INDIVIDUAL/ON -SITE DATE INSTALLED
~PUBLIC UTILITY
Connection Verified INSTALLER
~Sept[c Tank or DHolding Tank ~V, ,3'~ ~1~' ~
Size: If Tank is homemade SO~ RATING
give dimensions: ~ ~ ~
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
WELLTO: ~ ~'
Absorption A~ea to nearest Lot Line
5. COMMENTS
~APPROVED FOR ~ BEDROOMS
~ CONDITIONAL APPROVAL (letter must accompany certificate}
~ DISAPPROVED ~
72-010 (Rev. 6/79)
Canole's Concrete Products
of Wasilla, Inc.
HOME & COMMERCIAl SEWAGE TREATMENT PLANTS
BOX 149 - WASILLA, AK. 99687 - PHONE 376-5919
JET Home Plant Service Policy
This Agreement entities:
Street
Address
city
Phone
to the following service for Ore year{~ from the date of acceptance.
Upon receipt of this signed agreement and $.100o00 , Canole's Concrete Products agrees to perform the
following services during the term of the agreement:
Canole's Concrete Products will inspect lhe JET plant at the above address twice a year. These inspections
will include:
PLANT SERVICE
· Removal of aeration unit, inspection, adjustment, cleaning of aerator's shaft, field service of aeration
unit, if needed, and re-installation.
· Inspection, cleaning, and adjustment, if necessary of surface skimmer and/or tube setter.
· Examination of final effluent for color and odor, if there is access at time of inspection.
· Check of discharge poJnl and wet weather overflow for blockage (if applicable).
· Inspection and adjustment of control panel setting and overload protection, if there is access at time
of inspection.
· Inspection for sludge accumulation with arrangements for removal when build-up warrants removal.
Canole's Concrete Products further agrees lo the following:
EMERGENCY SERVICE
· There will be no charge for emergency service calls.
· There will be no service or labor charges for removal or re-installation of aerator, if required.
· If improper operation cannot be corrected at time of service, homeowner will be notified immediately
and given estimated date of correction.
· If Improper operation cannol be corrected at time of service, the Department of Environmental Quality,
GAAB, will also be noHfied.
· If necessary, the entire mechanical unit or any parts will be replaced according to the manufacturer's
warranty program.
Freighl charges to the factory or to an unauthorized repair stetson and aerator repair charges are not
/~Owr~er's ~ignatur,
Date
Ac~epte~4or Canole's ~n~/ete ProductS /Date