HomeMy WebLinkAboutEAGLE RIVER HEIGHTS BLK 2 LT 39GReA. .~ ANCHORAGE ARea BOR GH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
PHONE
ROTE; THIS pERMIT IS MOT VALID WITHOUT ~OIL 'T~ST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
w. LLTO..P.,C TANK /-~" ...A~. P,T
WATER MAIN TO SEPTIC TANK /~ ~ $EEPAGE PIT
TYPE
DIAGRAM OF' SYSTEM
EQ-016(3-75)
PERI'II T NO.
RPF'L I CANT
LOCRT I ON
LEGAL
r4ur. z o z"rY' OF Ar4OC"SRR' E
DEPARTMEHT u. HEALTH AND ENVIRONHENTRL · ~OTECTION
825 'L" STREET, ANCHORAGE, AK. 9950i
279-25±'1
I-dELL F-ERI'¢I I T
77312 >
ROGER MC[:,0NRLD-HRfE) WRI CHRflDALRR
LT .39 BLK2 EAGLE RIVER HTS
LT .39 BLK 2 EAGLE RIVER HTS
6949i.3i
LOT SIZE 10000 SQUARE FEET
MINIMUM DISTANCE BETWEEN R NELL AND ANY ON-SITE SENAGE DISPOSAL SYSTEM IS
1£~0 FEET FOR R PRIVATE NELL OR 2~ FEET FOR 8 PUBLIC ~IELL.
NELL LOGS 8R.E REQUIRED AND MUST BE RETURMED TO THE DEPARTMENT NITHIN ~ DRYS
OF THE NELL COHPLETION.
SPECIFICATIONS AND CONSTRUCTION DIRGRRF1S ARE RVRILREtLE TO INSURE PROPER
I NSTRLLRT I ON.
F'ERI-1 I T ~/RL I D FOR O[4E ~'ERF: FROI4 ISSUE
I CERTIFY THAT
l: I RH FAHILIRR NITH THE REQUIREMENTS FOR OfI-SITE SENERS AND NELLS RS SET
FORTH BV THE MUNICIPRLITV OF RNCHORAGE.
2: I ~IILL INSTALL THE SYSTEM IH ACCORDANCE ~,IITH THE CODES.
SIGNED:.
RPPLICAMT ROGER MCDONALD-HAND t. IRITTEN
ISSUED BY .............................. DATE ...............
o~ner oF Land
LEGAL DEScRIPTIO~Z~---~ 4
· STATIC LEVEL OF WATER FT.
KIND OF FORMATION:
E,om 0 .E,.,o / E,. ~ '/~_F,' ~_Z~.'L~I,C __
r,om / r,.,o &
~,om ?/ ~,.,o g~ ~,.~;~'~~:~. ~.~ F,om__
~,om ?~ ~,.,o~,-6j. Zy'~r~W~Z~ ~,,,,,,--
From FI. to FI.
From Ft. to Et,
From FI. lo Ft.
From Ft. lo Ft.
From FI. lo FI.
From__FI. lo Ft.
From FI. lo Ft.
Front .___Ft, to Ft.
From Ft. to_ Ft.
From__.Ft. to FI.
Fl. lo FI,
Front .... FI. lo FI.
From __ FI. to~.FI.
From __ FI. to Ft.
FI. lo Fl.
FI. lo FI.
Ft. to FI.
Front Fl. to
From
From FI. Io Fl
From FI. Io Ft.
From Ft. lo Fl.
Front ~ FI. lo Fl.
From Ft. Io.~.Ft,
MISCL. INFORMATION:
Pz6n/P 'fo £F_ p/./?CzL.b lid F.~.F.T
I)RILLER'SNAME~/'· " ' ' ----
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received April 21, 1976
69~.~¢~ Time of Inspection cT,?L/'}m.yT;.
Date of Inspection ~/o~2~-0/~ °-Y~,Py~.
REQUEST FOR APPROVAL OF /Z~.
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Foster Home
1. Approval requested by: Hope Cottage
Mailing Address:
2. Property Owner:
14ailtng Address:
2805 Bering Street
Roger W. & Peggy Mc Donald
Box 142, Chandalar, Eagle River
Phone: 278-9641
Phone: 694-9131
Legal Description: Lot 39 Block 2 Eagle River Heights subdivision
4. Location: Chandalar
.5. Type of facility to be inspected Single Family
No. of bedrooms
6. Well Data: Individual
A. Type
C. Construction
7. Sewage Disposal System:
On-site system
B. Depth
D. Bacterial Analysis
92'
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
1960 B. Installer
1. Size 2. Manufacturer
1. Absorption Area 2. Material
Total length of lines
Be
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
, Absorption area /oO /
, Other contamination
, Sewer Lines
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74)
Page 1 of two pages
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
2. Property Owner:
Mailing Address: /~:~°F' [~¢~ '
3. Name of Buyer: ~l / f~ ·
o
Mailing Address:
Name of Lending Insiitufion:
I',AUNICIPAUT'/ OF ANCHO?,.AG~
DEPT. OF H-=ALTH &
£NVI~ON,V.[NTAL
APR 2 1_ 1976
. Mailing Address:
Name of Realtor or Agent: ~')/,~
RECEI.V. ED,
VA. FHA CONY
. Day Phone:
Phone:
Mailing Address:. Phone:
Legal Description: '~-~
Location:
7. Type of Facility to be Inspected:
No. Bdrms.
o
Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well ?~'
Individual
~,
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation /
Individual (on-site)
72-003(3/76)
Page 2 of two pages - Re~'~ for Approval of Individual .~ & Water Facilities
Legal Description Lot 39 Block 2 Eagle River Heights Subdivision
App~val ~Valid for one year fr~ date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
! certify that the information contained in this request for approval to be a true
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
EQ-034 (1/7~)
06-1220(a) Rev. 1973
"-- ,,,s,o, oF ,UR,.,C ,..~
INDMDUAL AND 'SEMI-PUBLIC
BACTERIOLOGICAL WATER .ANALYSIS
INDIVIDUALII-1 SEMI.PUBLIC [] CHLORINE RESIDUAL iPPM
REPORT RESULTS TO
COMPLETE THIS SECTION
ONLY IF WATER IS .AN INDIVIDUAL SUPPLY
LOCATION: '~
PURPOSE OF EXAMINATION: Illness Suspected? J"l Yes [] NO
O~E
[] S~tisfactory
[] Questionable
.' .SANITARIAN'S REMARKS
READ INSTRUCTIONS
ON
REVERSE SIDE
BEFORE
COLLECTING SAMPLE
o~.~2~o ~ BACTERIOLOGICAL WATER ANALYSIS RECORD
Do,. n..~,,.d <-~) ~ ~. n~.,~ ~p~. No.
~ GREATER ,~_'?HO.RAGE AP~ BOROUGH
~ .-:.,,..DYE T~ST
Code: ~' Dote;
~,- .,~ ~.- /7 ~-/~. IZ./i~./
Property
ADDITIONAL /NFORMATION;
,' .' ~ '/"'" pl.
Field:
Administered
April
~.0. ~ox
%~m{lo P~v0r, Aheka
File ~o,:
4-1
You must apply fro, a e~m~lon pormit f~m the pormit offt~ fo~ the
Municipality o~ Anebormrm, JSO0 l~mt Tudo~ Road. If you h&v~ tony questions
v~ford~nw the above, plmme do not hoottate to oont~t the permit of TLee~ at
~1~-8S85, exte~Lon JSO or the Department of lleel~h mad F. nvironm*ntal
RECEIPT FOR CERTIFIED MAIL-- (plus postage)
STREET AND NO.
P.O., STATE AND ZIP CODE
POSTMARK
OR DATE
Apr. 1971 3800 : ND INSURANCE COVERAGE
NOT FOR INTERNA~'IONAL MAIL