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Home My WebLink AboutEAGLE CREST #1 TR B LT 39'i~' GRE,-..ER ANCHORAGE AREA B0k..CGH 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCAT,ON~' ~,,' LEGALDESCR,PT,ON "-~-"~'~' ~ SEPTIC TANK: DISTANCE INSIDE LENGTH MANUFACTURER ~ MATERIAL NUMBER OF COMPARTMENTS ~--' INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY/~0°OI GALLONS. T,LE DRA,. F,ELD, D.STANCE FROM WELL ABSORPT,ON AREA DEPTH: TOP OF TILE TO FINISH GRADE TOTAL LENGTH ...) (~ .FOUNDATION NEAREST LOT LINE OF LINES e-,.[ DISTANCE BETWEEN LINES TRENCH WIDTH ~-~YIN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE IN, ABOVE TILE ~ It IN. WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION__ NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEPTIC SEWER LINE ., TANK REMARKS DEPTH SEEPAGE SYSTEM DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY~ .,~,T-~('( (. A/l SEWER LINE DEPTH: PIPE MATERIAL: ~ LOT SLOPE= REMARKS: G.A,A.B. Form EQ-032 PERriI T NO. 8PPLICFINT LOCATIOH LEGAL I'IU 1'-,I T ~2. T PFIL m T'T' OF R1'-.ICHOF:.'RGE,r,,,2/~_,,.~ DEPFIRTMENT?~'~, HEALTH Fir. Ir, ENVIROr;MEr.!TFIL/""*t-']TECTIOft. I 825 ~ STREET, ANCHORAGE, ON--S T TE SEWER 77284 ) , ,r_.. JONAS RPr. IBRISTER, :~400 HTN VIEW DR 2792589 CRESTVIEN TRACT B LT. ~9 EFIGLECREST LOT SIZE ±7S20 SQUARE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH MRXlHUH' NUHBER OF BEDROOHS = ~ SOIL RATING (SQ FT/BR>= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: g, EF'TH= I £4 LENGTH= __,?I GRR%,'EL DEPTH= 7 THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD. THE DEPTH OF FI TRENCH OR PIT IS THE DISTFINCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOH OF THE E×CRVRTION <IN FEET>. THERE IS NO SET HIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUH DEPTH OF GRAVEL BETWEEH THE OUTFFILL PIPE AND THE BOTTOH OF THE EXCAVATION <IH FEET>. I;:EI~I_I I RED --'~EPT I ~.7- TRr-IK S I ZE= 'l C-~C-'~O GRLLO1'-.IS TI4Cm ( 2 ) T NSPECT.I 01'45 ARE I;;:Ei~U I RED BACKFILLING OF Rr,IY SYSTEM WITHOUT FINAL INSPECTIOH Aft. ID APPROVAL BY THIs DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUH DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEf4 IS ~.00 FEET FOR FI PRIVATE HELL OR 200 FEET FOR R PUBLIC WELL. SPECIFICATIONS FIND CONSTRUCTION DIAGRRHS RR.E AVAILABLE TO INSURE PROPER I NSTRLLRT I PERt1 I T VRL I D FOR ,3tIE YEAR FROtl ISSUE I CERTIFY THAT l: I RH FRHILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS FIS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL IHSTRLL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEHER SYSTEH HAY REQUIRE ENLARGEMENT IF THE RESIDENC~~~, T0 INC~E THAN ~ BEDROOHS. s z '. ,1 ~] ,,.~\~:~ Department of [nviron,;unlal Quality $,~-]~-,~.lJJ~I 3330 "C" SLreet . Anchorage, Alaska . . .9%03 This fom reports: ,Soils ,16g ,..~Z~t . , Percolation test ''~. .... , ,,. Feet 1-,~ TO[ ~- 6~,~tl~ 3'~ m m Reading Was ground water encountered?. ..., If yes, at what de m I Z--3- l ---- PERMIT NO. ( 76172 ) RPPLICRNT JONRS. RRNBRISTE~ LOCRTION 3-ST & CRESTVIEW LEGRL L.~9 TRB EAGLE CREST SUBD I~IUN I C I PAL I TY OF RNC:HORAGE DEPARTMENT OF HERLTH AND ENVIRONMENTRL PROTECTION 253.8 E. TUDOR RD. · RNCHORRGE, RK. 9~507 276-2223- ~I~'L.[_ F=>r='~;~l~l ~ -r 3400 MT VIEW DR LOT SIZE 279-258~ i7820 SQUARE FEET MINIMUM DISTANCE BETWEEN R WELL RND RNY ON-SITE SEWAGE DISPOSRL SYSTEM IS 3-00 FEET FOR R PRIVRTE WELL OR 200 FEET FOR R PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DRYS OF THE WELL COMPLETION. SPECIFICRTIONS AND CONSTRUCTION DIAGRAMS ARE RVRILABLE TO INSURE PROPER INSTALLATION. PIERFI I T VI=IL ! [:) fOR ONE ~'EFIR fRO~! I :~:S:UE I CERTIFY THRT 3-: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WIL~ INSTRLL THE SYSTEM IN ACCORDANCE WITH THE CODES. .I ('~ WATF~ I~-J~L LOG FOSS DRILLING 1336 In~ Street Ancho~ge, Alaska 99501 ~£~. OF h'C..ALJld & JUN 9_., "', RECEIVED USE OF STZE OF CA~ING ~ '*DEPTH OF HOLE,-~/~)FTo CASED TO r~ /~} STATIC WATm~ L~Vm: I 4 ~' PT. ~IELD_/~O~.PER.MIN. WITR FEET OP DHAWDOk'N. REMARKS DATE COMPLETED PUMP TO BE SET A~_~~~__ ,0 to/K ~d ,u /fro ~/~ ~:~t o_~ So,nj ,~ ~ ¢~v~_) tO__ __to to __to__ to to to__ to__ to__ 279-2511, e×t. 224 or 225 Date : Received ~1: Time I ~/1~ ~2: Time ~..MUNICIPALITY OF ANCHORAG~.~ DEPARTME iOF HEALTH AND ENVIRONMEN' k PROTECTION 825 L Street, Anchorage, Alas~ 99501 June 14t 1977 %3: Time Date /~o-I,.~"77 /, )~_Z~/ Date Date Insp /?~, %, %;~/ _ Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: National Bank of Alaska Mailing Address: Post Office Box 3-3859 99509 Phone: 279-2506 2. Property Owner: Jonas Arnbrister Phone: Mailing Address: 3400 Mountain View Drive 99504 3. Legai Description: Lot 39 TraCt B Eagle Crest Subdivision 279-2589 4: Single Family Residence: (x) Number of Bedrooms: Three Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: Individual well (xk Community/Public System ( ) Permit , ~ I~ Depth of well ~/~3 Well Log on File Constructi~~~% Bacterial AnaZysis'~,~ ~-]s 6. sewage Disposal System: on-site System (x~ Public Utility Permit ~ 7~~ Installed ~r'/7~ Installer ~_ Cm~. ~. Septic Tank Size /[3~O Manufacturer _~w~. Absorption Area to Septic Tank /l)~ </ Distances: Well to Sewer Line /~ /~- Nearest Lot line to Nearest Lot Line /~ Soils Rate /~O Material ~%. to Absorption Area I /~ Absorption Area 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 C'SPL CF -' ' ECEI_V. ED. 1. Type of Inspection: CM RO VA~FHA 2. Property Owner: Jonas Az~Sr~.ster Mailing Address: 3400 Mt. View Dr, Anch. Ak.9950&Day Phone: 3. Name of Buyer: La~r~ence L. Cooclrow CONV 279-2589 X Mailing Address: 4. Name of Lending Institution: Mailing Address: P. O. Box 3-3859~ Anch. Ak. 5. Name of Realtor or Agent: Jonas Arnbrister Mailing Address: 3400 MI:. View Dr.~ Anch. Ak. 6. Legal Description: 801 Airport 1~eiRhts ~ Anch. Day Phone: 346-2517 Phone: 279-2506 National Bank of Alaska - Phone:. Lot 39, Tract B, EaRle Crest S/D 279-2589 Location: EaRle R/vet, Alaska 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility No. Bdrms..---3 ,Individual '~ell 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 Individual (on-site) Septic Please call Jonas Arnbrister at 279-2589 when complete. Or phone NBA, 279-2506. 72-003(3/76) Page no, t - ~' .._ ~' Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 39 Tract B Eagle Crest Subdivision Comments: Affadavit Attached: ( ) Letter Attached: ( ) Disapproved: Date: Department Worksheet: