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Home My WebLink AboutEAGLE RIVER VALLEY RANCHETTES LT 32D ,~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEER. lNG DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME IPHONE ,.' r , / l z. / / zl ,(! i r,.g_zTo_ I D NEW .~PGRADE LEGAL DESCRIPTION / E ~ Manufacturer ~ ~1 ~ T/JV ~ Material No. of compartments ~ ~ Liq. capacity in gallons IF HOME.DE: Inside length Width Liquid depth ~OZ~ ~ DISTANCE TO: Well ~/ /j~ Dwelling PERMIT NO. O Z ~ Manufacturer ( / /~ Material Liquid capacity in gallons ~a~ DISTANCE TO: Well 1.//~ Foundation~ 1~_ Nearestlotline~2__ iPE~~~ Trench width ' ~ No. oflines / Lengtho~a~l~e ~ Total length.ofljnes, Distan~t~e~~ ~ Top of tile to finish grad~ ~ ~f~ I Materi~l~beneathl/-- ~.~'tile t ~ ~ ~ inches Total effective ~bs~rption orea Length Width~ Dept~. PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effecti~ absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. m Building foundation Sewer line , Septic tank Absorption area(s) ~ DISTANCE TO: OTHER SOIL TEST RATI R EMAR KS ................ , ci?b4t'....,...,t':, APPROVED j ~ ~ ~I r~UF~SSt~*;'~DATE LEGAL 7~01: Rev. 3/78) PERMIT NO. MLIt-4 I C I PF~L I T~r' OF F{t~ICHORAGE DEPARTMENT OF HERLTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AK. ~q9501 264-4720 Ot~--S ITE SE~ER UPGRADE PERM I T ( 8000~0 > APPLICANT TERRY GILLIRN SRB 19~X E. R. LOCATION TWENTY GRAND RD TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH LOT SIZE 694-270~ 12000 SQUARE FEET MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT?BR>= 128 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= "10 LEt.IllTH= 22 GRR","EL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R 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 OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET>. PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. T&'~3 (2) I t~5PECTIOt'~$ ARE RE~2L~IRED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERMIT EXPIRES DE~--EMBER 31.- I ~q80 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2' I WILL INSTALL THE SYC~TEM IN ACCORDANCE WITH THE CODES. TH~ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE · I UNDERSTAN.~_, THAT RESIDENCE IS/,~/~SELED/~O~NCLUDE MORE THAN ~ BEDROOMS. / ISSUED B~~Z~_~_DATE --- V4.0 DAVID A, SLENKAMP ROBERT A. SHAFER MECHANICAL ENGINEER 694-9055 Decemb3r 21, 1979 Aroa~ Inc. Realtors ParkEnto. Professional t~aflding P.O. Box 249 Eagle.~ivor, Alaska 99577 Attentio~ Mnureen Clayton CIVIL ENGINEER 694-29'/9 MUNICIPALITY OF ANCHORAGE DEPT. OF I~.ALTH & ENVIRONMENTAL F~,OTECTION JAN 7 1980 RECEIVED ........ Roference~ --Lot-32D~-Eagle-River-ValI~y ~l~nChette~ A' sewer system adequacy test ms performed on the system located on the referenced property. The test ~as performed on December 19, 20, and 21, 1979 at your request. Tho septic t~nk was pumped and found to have a capacity of approximtely 1000 gallons. The static level of the ~.mter in the seepage pit ;.ms recorded. The pit ~ms then charged with 1000 g~!lons of ~mtor and the level of the ~ter ~ss again recorded. At the end of a 24 hour period and again at the end of a 48 hour period the ~tor level ~ms recorded and it ~ns determined that the seepage pit hsd a percolation rate ~ich ~m~ adequate for one bedroom. I regret to inform you that the seepage pit ~.rl)l require upgrading to accommodste the tMo additional bedrooms. A pornit to accomplish tho upgrading will have to bo obtained from tho Dep?rtment of Health and Em~.or~en~l Protection, t.~nicipal.ity of Ancboroge, 825 L. Street. If the 'npgrading is deferred until Spring, 1980 it ~rill be less expensive th~n attempting this work st this time of the year. If we cgn be of further service, ple3se do not hesitate to call. SRB 196X EAGLE RIVER° ALASKA GRE?-' ANCHORAGE AREA Bor :$H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LEGAL DESCRIPTION PHONE SEPTIC TANK: DISTANCE FROM WELL MANUFACTURER MATERIAL NUMBER OF COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH .LIQUID CAPACITY Ioo0 GALLONS. SEEPAGE PIT: NUMBER OF PITS I DIAMETER ~[/I LINING MatERIAL (;~ ~{- CRIb SIZE: BUILDING FOUNDATION ~-~ I OR WIDTH 16 , LENGTH lb DEPTH (~' /' DIAMETER ~__~._DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE~ ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION TYPE BUILDING FOUNDATION __ CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER 5OURCES DISAPPROVED DEPTH. DISTANCE FROM: NEAREST SEPTIC SEEPAGE , SEWER LINE , TANK , SYSTEM REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE, REMARKS: Form No. EQ-031 DIAGRAM OF SYSTEM ' G.A.A.B. GREATer ANCHORAge AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE Z74-456! SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. NAME OF APPLICANT INSTALLATION LOCATION --__ OTHER NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED 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 I FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PiT ~.0 . DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL /~' SEPTIC TANK SEEPAGE PIT .. , DRAIN FIELD TO NEAREST LOT LINE. DRAIN FIELD ALSO CONSIDER AREA WELLS. DIAGRAM OF SYSTEM WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT., SEPTIC TANK, . SEEPAGE PIT TO RIVER, LAKE. STREAM. ., DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PiT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. ~ ~" o.^.^.B. OR ~'~ ~r LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE · MUNICIPALITY OF ANCHORAGE '- DMSION OF ENVIRONMENTAL HEALTH DEPAR1]4ENT OF HSI~LTH ~{D ENVIRONMENTAL PROTECTION APPLICkTION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE Information Application Date ~/~ ~/~ ~ 1. Ger~ral (a) Legal Description (include lot, bl~ck, subdiv%~ion, sectiQ[l, township, range) / Location (address or directions) (b) Applicants Name Applicants Address Telephone ~g ~.-- 23~D (c) Applicant is (check one) Lending Institution ~-~; .Cwner/builder'~i~; Buyer ~--~; Other ~ (explain); ~ '~- (d) Lending Institution Te le phone Address Address ~,'~TL~' ,~, ~4f-.~.... .... /{'-1'~. ' ... Telephone ~.q~-- 2.3C70 2. Type of l%~siden~ Single-Famil~ Number of Bedrocks 3. ~ter Supply Individual Well ~alti-Family ~-~ 3 Other (describe) Note: If cc~aunity w~ll system, must have written c~nfirmaticn from the State Depar~nrent of Environmental Conservation attestir~ to the legality and status. Is the ~11 adequate fo~ the-numb~_r of bedrcors specified in this Hk~ (Y/N) 4..Sewage Dispcsal Onsite ~ Public ~-~ Cc~arunity ~ Holding TarJ~ ~--~ - · Is the wastewater disposal system adequate for the number of b~drooT~ ~.]) [Page 1 of 2] 2-15-84 5. Engineering Firm Provi~inq Inspections, Tests, Data and Information I certify that I h~au~-d~ecked, verified, or confcrmed to all MOA HAA Ciiidelines in e fsignedfe ct on/ /ff/--~'~ 'ff~'//"~'////~/'~da ..... t~e o~y/~/~., t i on. Date ~;~ Z/~-/ Name of ~ Telephone Date (ENGINEER SEAL) 6. DHEP Approval Approved for Appro%~ ~~. ~. ~ bedrocks Disapu~o~d ~ Conditional ~-~ Terms of Conditional Approval The Municipality of Anchorage Department of Health and Environmental Protection does not guarantee the continued satisfactory perfcrmance of the water supply and/or the_ wastewater disposal system. This approval indicates that, as of the validation date shown abo~, based c~ the data and info~-mation furnished bj an engineer registered in the State of Alaska, the water supply and wastewater disposal system is safe and func- tional fo~ the riuaber of badrocms ~.d type of structure indicated. (D~EP SEAL) 7. Mail the HAA to the follc~ing address: KB2/d5/s [Page 2 of 2] 2-15-84 Well Classification Well LoG P~esent !Y/N) Total Depth Cased to Static Water Level Pump Set At Casing HeiGht Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances f~cm Well: -/~ To Septic/H. c2.~.~--nG Tank on Lot 2~.Q ~L DEPT. OF HEALTH & MUNICIPALITY OF ANC~RAGE (M~iONMfNIAL ~ROIECIION C~I~ - F~R~Y 1984 '~~bl~ If A, B, ~ C, D.E.C. ~~~) Yield Depth of Grouting Sanitary Seal on Casing (Y/N) Depression A~ound Wellhead (Y/N) ; On.AdjoiningLots 20~9 ~ To Nea~st Edge of Absc~ption Field on LOt LOC) -/ ; On Adjoining Lots ~ "/ To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected By Water S~mple Test Besults To Nearest Public Sewer To Neazest Sewer Service Line on Lot ; Date Cfaa~nts s. sserxc Date ¢//J, Mo. of Standpipes ~) Airtight ~ ~) F~tion C~an~t ~i~in~n~ ~n~a~ ~ Fi~ (Y~) ; f~ - , Holdi~ Ta~ High,ate= ~ (Y~) ~/~ ~=~ ~ldi~ Tank ~t (Y~) ~ation Dist~s ~ ~ptic~oldi~ Ta~: To Water-Supply Well To Property Line //~ '/';"- Course ,,-/,¢ To Building Foundation. To Disposal Field F_~_- To Stream, Pond, Lake, = Major D~ainage [Page 1 of 2] 2-15-84 Co Width of Field ABSORPTION FIELD E~TA Soils Rating in Absorption Strata /~ Type of System Design Date Installed rJ~f/tz)~ - 5-/2-./<~O Length of Field ~_.~ ~ ~ Depth of Field /Q / Gravel Bed Thickness Square Feet of Absorption A~ea ~/?_/f~c dm/-/- Standpipes lhresent ~N) Depression over Field (Y/~ Date of Last Adequacy Test Results of Last Adequacy Test ~ Separation Distance f~cm Absc~ption Field:~ ~- ~' ~/ To Water-Supply W~ll ~>L/~L~ d_ t-- To P~operty Line ~-~ To Building Foun.d~tiop, ~7 ( -~- To Existing e~Ndmm~{{~System cn To St~eam/Pond/Lake/c~ Majc~ D~aina~e Course / To D~iveway, Pa~king A~ea, c~ Vehicle Stc~aGe A~ea / · D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical C~des (Y/N) Cc~Tents Dimensions Manh~/Access (Y/N) Pumpi/~~ ~Off" Level at les du~inG Adequacy Test. M~ets FDA ** Check Permitted Bed~ocm Rating AGainst HAA B~quest I ~ertify that/~v~, checked, verified, c~ confcz~red to all MOA on the date ~sf tlFl~ ~Z]Sl~iOn. .... ~' ' PH, ~-,'-:~ ~ / KSl/dS/s . ' . ( ;. [Pac~ 2 of 2] 2-15-84 DEPT. OF ENVIRONMENTAL CONSERVATION SOUTHCENTRAL REGIONAL OFFICE 437 "E" STREET, SUITE 200 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVERNOR Telephone: (907) ,Address: 274-2533 To Whom It May Concern: ~c. cording, to ~ecords on fLle In this office the~]/~L~/~ [~~T~ Water System is in c~pliance with the State Drinking Water Regulations. '. Sincerely, GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received March 16, 1976 Time of Inspection Date of Inspection J-J£-O~- REQUEST FOR APPROVAL OF ~z~_y£- ~o~/~. INDIVIDUAL SEWER & WATER FACILITIES FOR voao Approval requested by: Lomas and Nettleton Company Mailing Address: 4449 Business Park Blvd. Phone: 274-7661 2. Property Owner: Kenneth L. Davis Phone: 694-9794 Mailing Address: 20 Grand Street, Eagle River 99577 4. 5. 6. Legal Description: Location: Lot 32D Eagle River Valley Ranchette Type of facility to be inspected Single Family No. of bedrooms Well Data: A. Type ~~_~.~~) C. Construction B. Depth D. Bacterial Analysis 7. Sewage Disposal System: A. Installed C. Septic Tank: D.. Seepage Pit: On-site system. 1973 B. Installer 1. Size /~) 2. Manufacturer 1. Absorption Area /~X/~X~X'2. Material Fy Be E. Disposal Field: Total length of lines Di stances: 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) Page 1 of two pages 3330 ~ MU,~,qCIF'AUTY OF ANCHORAGE DEPT. OF HZALTI-I GREATER ANCHORAGE AREA BOROUGH ENVI~ONM~N1'AL Department of Environmental Qualit~ "C" St., Anchorage, Alaska 99503 - 74-~1-6A.~'I. REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES RECEIVED Type of InsPection: CMRO VA × FHA CONV ProPerty Owner: Kenneth L. Davis Mailing Address: 20 Grand St. Eaqle River Day Phone 694-9794 Name of Buyer: Thomas R. Mackin Mailing Address: 302 E. 10th Ave.Anch. 99504y Phone 274=0952 Name of Lending Institutioh: The Lomas & Nettleton Co. Mailing Address: 4449 Bus. Pk. Blvd. Phone 274-7661 Name of Realtor or Agent: Bowden Rlty. (Edward G. Shelton) Mailing Address: 301 E. Fireweed Ln. Phone 278-3541 Legal Description: Lot 32D Eagle River/Ranchette S/D Location: Eagle River, Alaska 99577 Type of Facility to be inspected:single family dw. No.' Bdrms. Water Supply Type of Supply: Public Utilityq Individual · If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of SYstem: Public Utility 4 If Individual, date of installation 1973 Individual (on-site) x E0-037 (1/74) Page '2 of two.pages - Re~'-~t for Approval of Individual F~'r & Water Facilities .L.egal-.~Descr~i:in ": ~:t~it ~-~-.:)~3: Eac~],~e'.ILt,~(~z'. t~l~)-er,y ~I~ch~tt~ :: ~-:~ 2!' £~. y::~" "" Greater Anchorage Area Borough, Department of Environmental Quality DIAG~ OF $¥$?£M I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED ,, Date EQ-034 (1/74} . ..Old Eagle River Road, turn' right onto Eagle River Loop Road'S. .go..p~s~scho91.,_...~on~nue.p~s~ the small whit? B~ptist church, turn lef.t.at..th~ rgad.~y the church, follow road to the yellow sign about yellow, and..gre~ .apart{nent building, .~his sets back off the road, .but is on 'the corner, conti~Hx inue .onup the hill, onto the white with brown ~ trim, streetafterMan-0-war, any trou~bles turn,right then'it is the 4th house on the left Mackin % 694-2988, she will be home. TheLomas & Nettleton Company 4449 Business Park Blvd. Anchorage, Alaska 99503 Telephone: (907) 274-7661 March 23, 1976 RE:Mackin, Thomas R., VA Case SLH 227-628 I understand and acknowledge the M. OoA. 'Health Approval is-for a three bedroom house with a 1,000 gallon septic tank rather than a four bedroom house. I understand that a'l,000 gallon tank is unacceptable for a four bedroom house.. Thomas R. Mackin CC: Veterans Administration &, M.O.A. Health Authority (Bob Neale) ' I $' CASE NUMBER ENDC~R~EMENT TO CERTIFICATE OF REAsoNABLE VALUEI LH'227 628 Tbls endorsement takes preference over and sp~icaUy amends an Ray conditioa stated on the outstanding CeAificate of Reasonable outst~ng Certificate or Master Ce~icate of Reaso~bte Vatue Value, eot sp~ificaUy ~efetred to and m~ied herein, remains (V~ Fgm 2~1~3 or 2~1843a).hav~g the spme idenfify~g numar IuU force a~ e[I~t until expiration of ~e validity period. an~ re[BRing to the same property o~ pmpeffres. 4. TYP~ OF CASE 5. PROPERTY ADDRESS ~ber and Itteet er ~al route, City or The Lomas and Nettleton Co. , ~,~ 4449 Business'Park Buildip~ Anchorage, AK 99503 ' 20 Grand St. ' Eagle River, AK 99567 &? R~VI$[O EXPIRATION OF VA~IDITY PERIOD 7. TOTAL REVISED REA~NAB~[ VALU[ 8. LEGAL DESDRIPTION I I~ C~ed ~rom outata~i~ CR~; ¢oMJnue o~ lO. REVISEO CONDITION (C~ti~ on ~rse, il n~eaeary) . Item 13 CR~ - Delete - 4 bedrooms Insert - 3 bedrooms'[ den II. AO~IN~S~RA~OR O~E~AFFAIRS, BY (SI~I~ ~ ~12. DATE 13. ADDRESS OF REGIONA~ OFFICE ~~~~ ~~) 915 SeCOnd.Avenue ~J. CHARD T. BORNE~AN 3-'24-76 S~attle. 'W~ 98174 $4. HAME: AND ADDRESS OF VETERAN 'AsS't to Loan Guaranty Officer Tom Mackin 302 E. 10th Anchorage, AK 99504 t~ U.S. GPO: 1974--544-478/1337. v^ Fo.. 26-6363 OCT 1~,73 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date Received 19!~n!73 ,, Time of Inspection 9~0~ ~m ~ Date of Inspection!~!~O!?3 .... REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Aoproval Requested By: Smiley's Realty Address: Eaqle River 2. Prooerty Owner: Reeves and Cousineau 3. Legal Description:__ Lot 32D Eagle River Valley Ranc~et~es 4. Location: Phone: Phone: 5. Type of Facility to be Inspected: Sinqle Family. Dwellino Number of Bedrooms: Three (3) Well Data: A. Typ, e Comnunity B. Depth C. Construction 7..Sewage Disbosal System: A. Installed 1973 C. -.Septic Tank: 1. D. Seepage Pit: '1. 'Bacterial Analysis' E. Disposal Field: Installer Hamilton Excavatino._ .,, ~anufacturer'Hamilton Excavating Material. rnncr~t~ Ring~ , Total· ~ength of Lines 8. Distances: A. Well To: Septic Tank , Absorption Area , Sewer Lines , Nearest Lot Line , Other Con'tamination B. Foundation to Septic Tank ") AbSorption Area C. Absorption Area to Nearest Lot Line Req.mst for Approval of l' ~vidua, 1 Sewer & Water Facilitie ~, Page Two' 9. Comments: A,~nr Disapproved Date / Z/20/73 // ' -- · ' ' ' / 5 / / Appro'¢a] Valid for One Year From Date Signed ~/Greater Anchorage Area Borough, DeFartment of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of %he subject sewer and water facilities located at: Signed Date GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage· Alaska 99507 279-8686 Date Received Time of Inspection Data of Inspection Approval Requested By: Address: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Reeves & Cousineau . 902 South Lane, Anchorage AK 99~Q4 . 2. property Owner: 3. Legal Description: 4. Location: SAME Lot 32D Eagle River Valley,.Ranch~tt~ Phone: Phone~ 5. Type of Facility to be Inspected: Number of Bedrooms: 2-3 (two - thwee) 6. Well Data: Community Water A. Type B. C. Construction 7. Sewage DisPosal System: A. Installed lq7.~ C. '.Septic Tank: 1. Single Family )lwelling Depth D. Bacterial Analysis' D. Seepage Pit: '1. Size .1000 gals'2. Size 16'xl6'x6~. Insta!llet H~milfon Kvcnvating Manufacturer- Hamilton Material Concrete Rings E. Disposal Field: Total.~ength of Lines 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 jReq~e.'-~t f. or Ap'proval of Ino~vtdual Sewer & Water Facilities Pa .qe' Two 9. Comments: Ap.~ro~a]: · Valid for One Year From Date Signed Greater Anchorage Area .Borough, De['~3rtment of Environmental Quality DIAGRAM OF SYSTF. M I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilft~es located at: Signed Date