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HomeMy WebLinkAboutEAGLE RIVER HEIGHTS BLK 2 LT 28 " HEALTH DEPARTMENT ~ ' 1~'.O 8~.G ~'~ ' '~ 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION, MAILING SEPTIC TANK: LIQUID CAPACITY / t~O GALLONS. INSIDE LENGTH, ~ t} NUMBER OF COMPARTMENTS /'7 7/ .1NSIDE WIDTH ~DEPIH SEEPAGE SYSTEM: SEEPAGE PiT: NUMBER OF PITS UN,NO M^TER~A~ ~o~-/~7~'~ NEAREST LOT LINE OUTSIDE DIAMETER ~~.~ENG TH /~C.. DEPTH '~/ , DISTANCE FROM W~~O' f~4iL'/~L"~ , IOTAL EFFECTIVE ABSORPTION AREA ~ALL AREA) TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES · FOUNDATION .. NEAREST LOT LINE. ,~"~'STANCF~WEEN LINES ~NCH WIDTH~'"'"~'~"~ SQ. FT. LENGTH OF EACH LINE TOTAL LENGTH ., OF LINES DEPTH: TOP OF TILE 10 FINISH GRADE NEAREST LOT LINE SEWER LINE, .DEPTH OF FILTER A&ATERIAL BENEATH TILE DISTANCE FROM WATER . BUILDING FOUNDATION, SAMPLE SEPTIC "4A'~ r /..~.~ /?~.n SEEPAGE...~, / - .~ ,! , TANK ~'~ , SYSTEM/~/u ,TT~" ~[~,/,¢.~CESSPOOL IN. ABOVE TILE · NEAREST OTHER · SOURCES__ DISTANCES: DIAGRAM OF SYSTEM DA,E 7/¢'7Y ,PPROVEI / GrEalhJR ANCHORAGE AREA BORuUgH SEWAGE DISPOSAL SYSTEM ~. APPLICATION AND PERMIT NA.E oF APPL,CA.T ~ c~ ,,~,, MAIL'NG .~,,, ~ qx~ INSTALLATION OF= SEPTIC TANK I~"~'O TYPE AND SIZE OF FACILITY TO I~E SERVED 50IL TEST RESULTS O~l DRAIN FIELD OTHER PHONE NOTE: THIS PERMIT IS HOT VALID WITHOUT ~OIL. TEST FINAL INSPECTIONz 24 HOUR flOTICI~ REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION DY THE HEALTH DEPARTMENT AUTHORITY WILl., SE SUBJECT TO PROSECUTION° DRAIN FIELD SEEPAGE PiT ALSO CONSIDER AREA WELLS, SEEPAGE PIT GRAVEL DACKFILL DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA I~OROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE / / ' MUNICIPALITY OF ANCEOKAGE DIVISION OF ENVIR0~NTAL t~ALTH DEP~N~ 0F ~H ~ E~IKO~AL ~OTECTION ~PLICATION ~OK ~TH A~HOKI~Y ~PKOV~ General Info~atlon Application Date (a) Legal D~scrtption (include lot, block, subdivision, section, to~s~ip, ra~e) . ~-,-f 7-~~..~, z ~ ~ ~ ~, ~/~. (~) Applicants Applicants ~dress (c)Applicant ~s (check one) Le~l~ Iust~=ution ~ ~ Buyer ~ ; Other ~ (~pla~n); (d) Lendiu~ Institution Telephone Address (e) Real Estate Co. & Agent (f) ~he ~ to the follo~ng fldress: Ty~e of ~sidence Single-Family~ Hulti-Family ~--~ Other (describe) Number of Bedrooms Water Supply' Xadivid~l Well p:~ Comm~i~ Note: If com~nunity well system, must have ~rrittea con~irmation from the State Department of Enviro~en=al Co~e~aClon a~=es~i~ ~o =he legality a~ s~acus. Sewage Disposal Note: If community well system, must have written co~i~mation from the State Department of Environmental Conservation attestin~ to the legality and status. [Page 1 of 2] En~ineerin~ Firm Providin~ Inspections? Test% File Search~ Data and Information As certified by my seal affixed hereto and'as of the validation date showu below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wsstewater disposal system is safes functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of ~chorage files and from my investigation and inspection, the o~-site ~ater supply and/or %rastewater disposal system is in compliance with all Municipal and State codes, ordinances, ami regula- tions in effect on the date of this inspection. Name of Firm Telephone Address Date DHEP Approval Approved for Approved .~ Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTI~NT OF HF~TH P~D ENVIRONMENTAL PROTECTION (DEEP) ISSUES ~_.%LTH AUTHO~ITY P3P~OVAL CERTIFICATES BASED SOLELY UPON TI~ REPrESENT- ATIONS GIVEN IN PARAGRAtS1 5 ABOVE BY AN INDEPENDENT PROFESSIO:~L ENGINEER REGISTERED IN TEE STATE OF ALASKA. THE DEEP DOES THIS AS A COURTESY TO PURCHASERS OF EO}~S T~IK LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL. ~ND STATE RZQUIXE- I~NTS. ~'iPLOYEES OF DHEP DO NOT CONDUCT INSPECTI05~ OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS O~ OMISSIO}~ LN THE PROFESSIONAL ENGINEEr'S WORK. (DHEP SEAL) RR4/eJ/D18 [Page 2 of 2] 7-19-84 A. ~LL D~TA Bo Well Log Present (Y/~ Total Dspth ~ /~-. Cased to Static Water [e~l ~'~' ! ~" Casing Height Abo~ Ground Electrical WirinG in Ccnduit Separatio~ Distancss f~c~ Well: To Septic/Holdim~ Ta~k on Lot To Near~st Edge of Absorption F~Lot. To Nearest Public Se~r Line ~ ~--~ '~y .~- Cle anout/Mam]~ole Z~D Water Sample Collected By ~ ~.~/¢f- ; Date Water Sample Test Results SEFI'IC/H~LDING T331K ~T~ ~ Installed size Air-tic t On Adjoining Lots t On Adjoining Lots To Nearest Public Sewer Sswsr Service Line on Lot Standpipes (Y/N) Depression (me= Tank (Y/N) ~ Pumpimg/Ma intemmnce Contract Holding Tank High-water Alarm (Y/~ No. cf Oa,~arta~nts Caps (Y/N) Foundation Cleam~Dut (Y/N) Last Pu~d Y/N) ; fo~ Temporary Holding Tank Permit (Y/N) To water-Supply Well To Property Line To water Maim/Service Line Course Separation Distances from Septic/Holding TarR: To Building Foundation To Disposal Field To Stream, Pond, Lake, (r Major Drainage ~L~ ' Date Paid: pa~ ~.~ Amount: ,-~ [ 1 of 2] 2-15-84 Ce ABSORPTION FIELD ~TA Soils Rating in Absorption Strata Date I r.-~ta lled Width of Field Square Feet of Absorption A~/~ Results of fast Adequacy Test -- Separation Distance f~cm Absorption Field: To Water-Supply Wall To Building Fou~.dation Lot To Water Main/Service Line Type of System Design Length of Field Depth of Field Gravel Bed Thickness Sta~.dpipee Present (Y/N) Date of fast Adequacy Test To Property Line To Existing c~ Abandoned System cn ; On Adjoining Lots To Cutbank(if present) To Stream/Pond/Lake/c~ Majo~ Drainage Course To Driveway~ParkinG Arena, c~ Vehicle Stc~rage A~ea D. LIFT STATION Date Installed Size in Gallc~ "PUmp On" I~vel at ' j High Water Alarm Level at Tested for Electrical Codes(Y/N) ~ Ma r-hole/Access (Y/N) Off" Level at Vent (Y/N) ycles du~inG Adequacy Test. M~OtS ~ ** O~eck Permitted Bedroom Rating AGainst HAA Request ** certify that I have checked, verified, <~ o0nfo~,,~d to all MOA HAA Guidelines in effect on the date of this ir~pection. Signed C~,~any KB1/d5/s [Pa~e 2 of 2] 2-15-84 HEMICAL & Ge:OLOGICAL LABORATORIES OF ALASKA, INC. TELEPHONE (907) 562.2343 ANCHORAGE INDUSTRIAL C'I~NTER 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPUER WATER SYSTEM: (') See h on back I.D. NO. Sm,* Zko C*_ SAMPLE TYPE: ~,~/-Routlne Chock Sample (for routine sample with lab rof. no. D Special Purpose r~ Treated Water [] Untreated Water SAMPLE NO. LOCATION , I Time ColIoCIKI Colioctod By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ,~['Satisfactory D Unsatisfactory I-1 Sample too long In transit; sample shoulc not be over 30 hours old at examination t¢ indicate fellable results· Please send new sample via special delive~ mall· Time'Received /'-~ ''~ 0 Analytical Method: O Fermentation Tube I~Membrane Filter Lab Ref. No. Result* Anelyat L~ ~ ~'/~*/I ~' ~-~ I I-i-] I ~ I I-~ BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Membrane Fillet Direct Count Verification: LTB Final Membrane Filter Results Collformll00ml TNTC = Too Numerous To Count BGB CollformllOOml DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BILL ,,~HE, FFIELD, GOI,~RNOR Telephone: (907) Address: 274-2533 January 18, 1985 Mr. Robert sharer S&S Engineering SRB 196X Eagle River, Alaska 99577 SUBJECT: Waiver Horizontal Separation between Well and Municipal Sewer Line, Lot 28, Block 2,.Eagle River Heights Subdivision (8521-WA-092) Dear Mr. sharer: The Department has reviewed the subject waiver request and hereby waives the horizontal separation between the well and sewer line to SO feet on the subject property for a single famtly'restdence--o'n-l~.-- -- --- f The waiver requet has shown that special construction of the sewer line will preclude the possibility of contamination in this instance. Sincerely, Bruce ,(~Erickson District Engineer BEE/msm · t INSPECTION APPOINTMENTS TIME TIME TIME INSPECTOR INSPECTOR INSPECTOR^ MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHOflA~E DEPt. OF H~ALTH & ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION E~IRO~ENTAL I ~OT[~ION825 L S~r.t · Anchor.~, AI.k. ~, ) ENVIRONMENTAL SANITATION DIVISION rl0V 4 1980 REQUEST-FOR APPROVAL OF INDIVIDUAL WATER AND SEWER ~ BUYER PHONE MA~G~D~SS ( 3. LENDI~ INSTITUTION 4. REALTOR/AGENT _~ ~ li PHONE MAILING ~DDR~SS ' - ~ - ~ ' STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One .~ Four ~' SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY .~ INDIVIDUAL* * ATTACH WELL LOG, A well log is required for all wells drilled I--] COMMUNITY since June 1975. For wells drilled prior to that date, give well. I--i PUBLIC UTILITY 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. 72-010 (Rev. 6/79) · -.. THIS SIDE FOR OFFICIAL USE ONLY . 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE r-I OTHER [] MULTIPLE FAMILY [] TWO [-I FOUR [] SlX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL · · . [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED r--IPU BLIC UTILITY Connection Verified INSTALLER C-ISeptic Tank or r-'iHold[ng Tank Size: If Tank is homemade SOILS RATING · · give dimensions: . _ TYPE OF TANK MANUFACTURER ' '- TOTAL ABSORPTION AREA MATERIAL S. COMMENTS []~"~APPROVED FOR" ~ BEDROOMS ~ I'-1 CONDITIONAL APPROVAL (lette~r must accompany certificate) [] DISAPPROVED ' ~ DATE BY 72-010 (Rev. 6/79) E, HEMIC,4L & GL.,LOGIC,4L L,4BOR.4TORIES ,..F ,'tL.4SK,4, INC. TELEPHONE lg07)-279a10t4 ANCHORAGE INDUSTRIAL CENTER ~ 274.3364 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name Mailing Address . ', I.D. NO. Phone No. City Zip Code Mo. Day Year SAMPLE TYPE: r~ Routine [3 Check Sample (for routine sample with lab ref. no. D Special Purpose El Treated Water [3 Untreated Water SAMPLE NO. I I , I LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY A~al¥sis shows this Water SAMPLE to be: [] Satisfactory D I~n~satisfactor,/ [] Sample too long in transit; sample should not be over 48 hours old at examination · to indicate reliable results. Please send new sample· "D~te Received Time Received Ar~alytlcal' Method: Fermentation Tube Membrane Filter Lab Ref. No. Reeult* Analyst I I ['t-] I I rtl READ INSTRUCTIONS BEFORE COLLECTING SAMPLE o~-]22o (~) BACTERIOLOGICAL WATER ANALYSIS RECORD ,~,.~--~_~! DEPARTME, ~ 'F HEALTH AND Et~VIRON~E~7~, >ROTECTiO~I · I ~T3Y', 825 L Street, Anchorao~. Alaska 99501 264 -,1720 ~i: Time ~/LI~ __ ""2: Time Date L~-_~ -~ ~t ~ Date Insp ,~~ Insp Dar, December 13, 1977 ~.~¢'."3: Time 6~%. ~"0 Date Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Security Pacific Mortgage Corporation Mailing Address: 1011 East Tudor Road, Suite 190 Phone: 276-1933 Property Owner: Orin L. Moses Mailing Address: % Dan K. Coffey Phone: 276-4335 3. Legal Description: Lot 28 Block 2 Eagle River Heights Subdivision 4: Single Family Residence: (x) ~;umber of Bedrooms: Four 5~ultiple Family Residence: ( ) ~[umber of Bedrooms: 5. well System: Individual well (x) Co~:m~unity/Public System ( ) Permit "" ~__ Depth of Well Construction _~ Bacterial Analysis 6. Sewage Disposal System: On-site System ( ) Permit # Installed Installer Septic Tank Size Manufacturer Absorption Area Soils Rate Material Distances: Well to Septic Tank to Sewer Line Nearest Lot line to Nearest Lot Line to Absorption Area Absorption Area · Page Two Request for Approval of Department of Health and Environmental Protection Individual Sewer and Water Facilities Legal Description: Lot 28 Block 2 Eagle River Heights Subdivision Comments: Affadavit Attached: · (') Letter Attached: ( ) 'Approved- . .--- DateI ~ Disapproved: ~ Date: Department Worksheet: MUNICIPALITY OF ANCHORAGE ~..,~.. ~.... DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION .*, , ,'~ . . 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA XX FHA ~.':L,. ..- o ~L'I2LI2-77 CONV 2. Property Owner: 0tin L. Hoses C/0 Dan K, Coffey-Attorney Mailing Address: 2600 Oqnall Street DayPhon~: Name of Buyer:. Berkeley Jo Ide(now Iivlng in house) 276-4335 Mailing Address: Box 70 Eagle River, Ak 99577 DayPhone: Nameof Lending Institution: SECURITY PACIFIC HORTAGE CORPORATION Mailing Address: 10Il Name of Realtor or Agent: Mailing Address: East Tudor Raod Suite 190 none Phone: 276-1933 Phone: 278-361q No. Bdrms, h hedroorn~ Individual XX 6. Legal Deseription:' imf 9~: Rlt~ ~; ItARIF I~IVFR Location: NH~I t~.~e.vF, nn ~;~-~,~,~-. ~agle River 7. Type of Facility to be Inspected: sinqle fatal Iye 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Community syseern Type of System: Public UtiliW If Individual, date of installation. Individual (on-site) 72-003(3/76} Rev. 1973 DATE ALA ..... [PARTMENT OF HEALTH AND SOCIAL S DIVISION OF PUBUC HEALTH IHDI¥1DUAL AND SEMI-PUBLiC .. ' BACTERIOLOGICAL WATER AHA[YSIS INDIVIDUAL r"l~'' SEMI-PUBLIC [] CHLORINE RESIDUAL PPM Lab No OFFICE SANITARIAN'S REMARKS COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY ~' ' DATE COLLECTED" '"~" / '' 7 . TiME COLLECTED · '/~"' ' / Well -- ~ D~ ~ Cistern n OlherD'illed O n n GENERAL~ Does Water Become Muddy or DiscoLored? [] Yes [] .No PURPOSE Of EXAMINATZON: 1liners Suspected? [] Yes 06.1220 {bt B ~*v. 19;3 A~CTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Ilepo,ted by ~'~ ~/ FHA Foam 2573 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM Budget Bureau No. 63.R0296 PART L--TO BE COMPLETED BY FHA MORTGAGEE I SEWAL NO. O~nk of Alaska Caribou st.. r~New installation [] Public system 1 [] Community system ~ Individual PART II.-~TO BE COMPLETED BY HEALTH DEPARTMENT lc is the opinion of the [] State [] County [] Local Department of Health that this individual water, supply system ~ is [] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the [] State [] County [] Local Department of Health that this individual sewage.disposal sys- tem with proper maintenance: [] Can be expected to function satisfactorily, and [] Cannot be expected to function satisfactorily ~ is not likely to create an insanitary condition ,- ~ ,.,...~ ,. I$,G.A.:. //, // :a.lec.._l.7,_197.t,:,.; ' , / __ ~ ?[~ , , '- -~,:/ '- ~-~--- ....~ - Envtron~ental-Sreclalts't-- Distance Imm: Well. fro; fuundad,~n, I'eet~ nc~'c~ Io~ line m~ ~ ~mnr. ~ si~, ~ ~c~. f~. ~ng~h of e~ch llne, f~. ~h. mpo[ 6lc ~o finish g~de, inch.. Ty~ ~ filler mmlerial: ~ Gravel. ~ Brok~ st~e. ~h~. Numar of pits .... ~tslde d~a~ter, ~e~. ~h,, f~t. Lining m~tcfial Disuse from: ~cll, f~: building fuundnf~m. F~; nearer I~ line at ~ fron~ ~ side. ~ renr..~.f~. Ins~t~ by. REPORT OF INSPECTION--INDIVIDUAL WATER-SUPPLY SYSTEM Distante to nearest public water main, fe~. Siz~ ~l' main. inches. Individual wells n art. n are n(~ cust(xnary in neighh~rho~l. Give most retent rocord of failure of v/ells in immediate v~cin,y to furnish adequate supply of water Properties in neighh~l.x>d n are f-I are nm bei.g developed with both individual water, supply and sewage.disposal systems. la,t size' feet wide, feet deep. Dwelling set back /rom front property line. £eet. Indivklual water supply Ii'om: n Drdled well. n Driven well. I-I Dug well. n Bored well. Building fi~undation, seepage pit.. feet; cesspool Diameter, inches. To~l depth, Approximate depth to pumping level of water in well Sealed watertight to depth of feet. feet; nearesl h~ line at n front. I"] side. [] rear, fee~. feet: septic tank fees; disposal fleld~ feet; feet; ocher sources m' possible pollution, J'eet. fe~. Type ~' casing, Depth of casing, feet. fe~. Approximate yield, .gallu~s per minute. Fattefoe spa~e around casing sealed with: I-1 Cement grout, f-I Puddled clay. n Ordinary backfill. Well cover: n Concrete. [] Wood. I-I Metal. Openings in well cover watertight: [] Yes. I-I No. I~ml~ I-1 Shallow ~ell. I-I ~eep well. Len.~h of drop pipe, feet. Pump capacity, located in: D Basement. 1-1 Pumpmom off basement. [] Pumphouse abe, ye ground, n Pump pit. Pumproom properly d~aine~: I-I Yes. [] No. Pump mounting watertight: I-1 Yes, n No. Type ~' sto~age: n P~essure. [] GravitT. Capacity, .gallons. Has bacteriological examination o/water been made.> [] yes. I-1 No. If answer is "yes," give date Quali~T c4' water f-I is f-I is not saris.factory for human consumption. Installation [] does n does not comply with approved exhibits, if any. Inspectiofl made by: I-~ S~ate. f-I County. [] L~xal Health Audm~ity. Inspected by. Date o1' inspe~'tioe , 19 .gallons per minute. (Tm.l) 19 GRE~ER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 DATE RECEIVED: INSPECT: TIME: / ,~'"'~, f F~ "'~'" -- -- REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR APPROVAL REQUESTED BY: ADDRESS: ~"~' ,~.~,m...4ff PHONE: ~ PROPERTY OWNER: PHONE: LEGAL DESCRIPTION: TYPE FACILITY TO BE NUMBER OF BEDROOMS: STREET: WELL DATA: A. TYPE B. DEPTH C. SIZE ~'"'/ D. CONSIRUCTION_._~,~::a~'~.J~ E. ~^CTERIAL ANALCSIS Oqr/ /~-&?-7/ 6. SEWAGE DISPOSAL SYSTEM: SEPTIC TANK {IF HOMEMADE, 1. SIZE /.~z'~ 2. AGE /??/ 3. MA,UFACTUR~ ~Z SHOW DIAGRAM ON BACK) 4. INSTALLER APPROVAL PAGE TWO REQUEST FOR SEWER & WATER FACILITIES B. SEEPAGE PIT 1. SIZE 2. LINING C. DISPOSAL FIELD 1. NUMBER OF LINES 2. TOTAL LENGTH REQUIRED MEASUREMENTS A. B. C. D. E. F. G. H. WELL TO SEPTIC TANK WELL TO SEEPAGE PIT WELL TO SEWER LINE WELL TO PROPERTY LINE WELL TO OTHER POSSIBLE CONTAMINATION FOUNDATION TO SEPTIC TANK ~ FOUNDATION TO SEEPAGE PIT ~ SEEPAGE PIT TO PROPERTY LINE 8. COMMENTS: DATE: /~ ~7--'7~' DATE. APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY March 25. 1975 File No.: 4-1 ANCHO"AG£ A"E:A ""hUG" Mr. OrinMoses P.O. Box 70 Eagle River. Alaska 99577 Dear Mr. M({ses: It has been brougl~t to our attention that public sewer is available to Block 2. Lot 28, Eagle River Heights Subdivision. According to Greater Anchorage Area Borough Ordinance, Chapter 16, Article 16.45, Section 16.45.050: "Septic tank-seepage system sewage disposal facilities shall not be installed or used on any premises where sanitary sewers are available within seventy (70) feet of the nearest 'lot line of said premises ·..' The Greater Anchorage Area Borough Public Works Department has checked their records and they indicate that your structure(s) is not connected to the sanitary sewer. Would you please check your records to verify that the structure(s) is or is not connected and notify us immediately if your records indicate that a connection has been made. If we do not hear from you within seven (7) days, we will assume that our records are correct. We, therefore, request you connect any and all structures located on the subject property to public sewer during the 1975 construction season. You must apply for a connection permit from the permit officer for the Greater Anchorage Area Borough, 3500 East Tudor Road. If you have any questions regarding the above, please do not hesitate to contact the permit officer at 279-8686, extension 259. or the Department of Environmental Quality at 274-4561, extension 141. ~/ Eaglr River District Sanitarian JL/lw RECEIPT FOR CERTIFIED MAIL.O<' (plus postage) METURN L ~ *$hi~'~m~d di~e 4lllv~ed .......... ~5~ P NO INSURANCE COV[RAG£ PROVIDED-- (S.. of~., ,d.) NOT FOR INTERNATIONAt, MAtt. *G~:X~ OoU0-743