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HomeMy WebLinkAboutSCHROEDER EAST BLK 6 LT 17�,=, �• I. s � - � 1' - r � ;._ . `� � � ilk �� _ ` �'- �_ � � _ - �- � � _/ �` -- - . GRI_A1 ER ANCHORAGE AREA BORuJGH i Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 SEEPAGE PIT: NUMBER OF PITS 1 . DIAMETER OR WIDTH JS, LENGTH, DEPTH LINING MATERIAL J CRIB SIZE: DIAMETER -DEPTH DISTANCE FROM: WELL / TOTAL EFFECTIVE BUILDING FOUNDATION _ , NEAREST LOT LINE 3t ABSORPTION AREA (WALL AREA) J SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING / FOUNDATION CESSPOOL _CONSTRUCTION NEAREST y LOT LINE OTHER SOURCES APPROVED R. DISAPPROVED DISTANCES: Sho-UJN INSTALLED BY: 191,e6 PIPE MATERIAL: _T—fLYd� LOT SLOPE: REMARKS:41sF/> Ox NEAREST SEWER LINE==_, REMARKS DEPTH SEPTIC TANK l0� DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM 5 S�EBA�� P/r r IS �.qsr i;zvN J ClF4uo u r DATE % _APPROVED G.A.A.B. INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SJY/STEM/ NAME_ G �GUi/,aYJ31J MAILING ADDRESSr'%l 6� ! ' i5f HONE?— Via!'[1� LOCATION LEGAL DESCRIPTION_iC�f lJ �(v JC�/cCf2G��� S cIC� SEPTIC TANK: DISTANCE FROM WELL(/Q"® / MANUFACTURER --7lde ­ STFe MATERIAL NUMBER OF STf£Z COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH J —LIQUID CAPACITY /G�CyO GALLONS. SEEPAGE PIT: NUMBER OF PITS 1 . DIAMETER OR WIDTH JS, LENGTH, DEPTH LINING MATERIAL J CRIB SIZE: DIAMETER -DEPTH DISTANCE FROM: WELL / TOTAL EFFECTIVE BUILDING FOUNDATION _ , NEAREST LOT LINE 3t ABSORPTION AREA (WALL AREA) J SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE BUILDING / FOUNDATION CESSPOOL _CONSTRUCTION NEAREST y LOT LINE OTHER SOURCES APPROVED R. DISAPPROVED DISTANCES: Sho-UJN INSTALLED BY: 191,e6 PIPE MATERIAL: _T—fLYd� LOT SLOPE: REMARKS:41sF/> Ox NEAREST SEWER LINE==_, REMARKS DEPTH SEPTIC TANK l0� DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM 5 S�EBA�� P/r r IS �.qsr i;zvN J ClF4uo u r DATE % _APPROVED G.A.A.B. �e P/7 /00 CLAY Aemlohl Q a G & E bivUl NEERI NG & DEVEL ®I-#MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 Russell Oyster 694-2774 Civil Engineering Soils B Foundations Earl Ellis 333-5240 Surveying Land Development SOIL LOG Performed for: Name:_ Tel. No.® Mailing Address: 133) X /oj Legal Description: i=o/" i 7 %i'/,�',xZ el?0111"t. Dej thfeet S Xz- 'y 41 %5 <- C- 7L 0 Soil Characteristics 0 1 2 3 4 5 ,- 6 7 8 l0__ 12 Ground Water Encountered: Yes- No, I ra� A w If yes, what depth Proposed Installation: Seepage Pit ✓ Drain Field Comments: -N f e .� �7' � 1✓ -CEJ C�A K sY V�" Performed by:�=,,, �, , Date:_ A 3 QUOY\,1� kknnec' 333D C sv. 0"C�c�t ) C) --e_ - T)e--cep eU'nvA Ic ) q�ISOt-� 3u. 1� i Aq] S Eo_sA , b�oct -tamu� 1r�vi�- CiC key w cy 0-0 o�c�ie 'UnNo,-, 4•-1 Jilly NO 1971; K=Ahy G. Schrock 4420 V. %Id A-voraw P3 C. AnchvrtjV(r,Alt.-'Ara 99504 "AiMAN SOV470I.- STAM �cIvving LO W. 'Plooll: OV OR j ) f ka r Dili. S' t ' I I vock , Yom recent roqly!pr�t to JAF'O ttjjj ,.Ste $Owflro dinpaw'A presontly r,('.wvas Y'Ot IV, j'jjf'j(.1jC 'j. Is grmted providing tiva follovf1rig IWO rr3[ is 11. The maAm.11,11 TmMbOr Of bi,"dr(301119, 1,1'41nr the f.iyfstom j.!!,. two (12), not throo (3) 'i.M Y()U rf'qtle ,(I, , - - Fjtv , 2. Yovir wall Porv,cm mliv votir homo ania im -;i ininumm, or jef) tcc_t from, 01�':f..mrpr ';Yt3tCnvkN. 1,11M IcAtop shfill -"orve a1 i-lpproval to tin fit n ane t'4'nvv'4? family dwell-hig" located till t 19, p11oOk P). Sf!jjr(,)r�(.jrjr 8Ub�1C,Ct WMD-W 5YStom pmvidior"', It preon ptlY S(Imv, rmly t) ont homo. You eall 'Apply for Y01111 lill"d usl� POPMAI At tbo Otromter Area J'Af-wough Bulldimg DIVIS1.011. tfilut,'Aiom 278-453T. s1tworoly, Mnmon Eawironmental UATAX MUNICIPALITY OF ANCHORAGE 4�g�IR A%5__ DEPARTMENT OF HEALTH & HUMAN SERVICES a s Division of Environmental Services M}t On -Site Services Sectionh' P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # C – f :.. ',D, - _�� 1. GENERAL INFORMATION HAA # 1 � a "� ')r :)r 1 Complete legal description Lot 17; Block 6; Schroeder East Subdivision Location (site address or directions) 17440 Santa Maria (Corner of Prince of Peace and Santa Maria) Property owner Dale Bingham and Elaine Thomas Day phone 762--2660 Mailing address P.O. Box 771372, Eagle River, Alaska 99577 694-3387 Lending agency Mailing address Agent Audrey Mason - RE/MAX OF EAGLE RIVER Day phone Day phone 694-4200 Address 16600 Centerfield Drive, Suite 201, Eagle River, Alaska 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water XXX 3 NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer —.XX NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Frow MOA H21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, 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 Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Phone 17034 Eagle River Loop Road No. 204 Address e -,.1e River,Alaskn 99577 Engineer's signature 6. DHHS SIGNATURE x Approved for 3 bedrooms. Disapproved. Date OF A i �­io Conditional approval for bedrooms, with the following stipulations: Additional Comments Date 11-2 42— aU.T10Ns aj The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev- 1!91) Hack MOA 421 e Municipality of Anchorage A Department of Health & Human Services z HEALTH AUTHORITY APPROVAL CHECKLIST C pu - 6 n r7l Legal Description: Parcel I.D. A. WELL DATA z rn �% Well typeIf A, B, or C, attach ADEC letter. ADEC water system number 0C Log present(WN) `L Date completed DrillerR O � Total depth Ik— Cased to 4,c�3iCasing height �Z Z Sanitary seala➢N) �l Wires properly protectedQWN) Y Date of test Static water level Well flow Pump level FROM WELL LOG SEPARATION DISTANCES FROM WELL TO g.p.m. AT INSPECTION 2.� l to I Septic/holding tank on lot — ; On adjacent lots Absorption field on lot ; On adjacent lots "( Public sewer main 7`2I Public sewer manhole/cleanout Sewer service line � _ WATER SAMPLE RESULTS: Coliform Date of sample: �. c-->_ Petroleum tank �1 V + Nitrate _ Other bacteria .q 21 Collected by: �� *r B. SEPTIC/MOLDING TANK DATA Dat ' tailed Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size Foundation cleanout (Y/N) Compartments — Depression (Y/N) Alarm tested (Y/N) Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot To property line Surface water/drainage On adjacent lots Absorption field Foundation_ Water main/service line 72-026 (Rev. 7/91) From CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) _ "Pump off' level at SEPARATION DISTANCE FROM LIFT STATION TO: I mmffo tzro i D. ABSORPTION FIELD DATA On adjacent lots Date 'nstalled Length Width — Total absorption ar Depression over field (Y/N) Results (pass/fail) Peroxide treatment (Past 12 months) (Y/N) Cycles tested Soil rating Gravel thickness Surface water System type __Total depth Cleanouts present (Y/N) . Date of adequacy test for SEPARATION DISTANCE FROM ABSORPTI0N FIELD TO: Well on lot To building foundation On adjacent lots Surface water Curtain drain E. ENGINEER'S CERTIFICATION On adjacent lots Cutbank If yes, give date Pro To existing or abandoned system on lot —Water main/service line_ Driveway, parking/vehicle storage area bedrooms 1 certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect oA#tate of this inspection. g� } ,sa lea R 5 ENGINEERING qS Signature 17034 Fau e River Loop Road No. 204 k Y 1 . r �'.aCJtP. [River, Alaska 99577 t... „ r, r � s r uOf, Engineer's Name Date HAA Fee $ 170'(0 Date of Payment d 20 2 2— ReceiptNumber Waiver Fee: $ — Date of Payment Receipt Number c fTIEn' 1.6 X Cf .AL & GEOLOGICAL dA p p ORAA V RY A DIVISM4 CK COMMERCIAL Tr -STING R [NCINEERNG CO. ,9633 5 ,,TREF I ANCHQHAGC. ALASKA 95516 TELEPHONE (Ju7) 5p2-23.13 FAX (9071 501.5301 AMkL191�i RIBUT 9 for INVOICE 1 59555 Chenlnb Rsf.1 92.5727 Unple 1 7 }latris: WATER Client Sample ID : L17 B:. SIMCEOER r.Aer Mont Nane :2 R S ENGINEERING MID UA Client Acct :SNSENCP Collected : OCT 13 97 1 ll 30 },a F. E701 Pot :MONS RECEIVED ReCelred OCT .14 92 A 14:01 ^tF. Regl Pteserred with A9 REQUIRED Ordered B)' -R SMAFEE AnalyFio Como ].*ted. OCT IF. 92 SfrA R.PrOtt7 to; Laboratory SuparTiw 3'IE'M C. EDE 1')S & S YNGMAP TMO Released By u......a...-... ,.u...... ......n��.--......_,.-,�.,....�-- .......,�.,..,. ....,..�,�..ona:..4.n. .-..n.wn.r............................ Perametpt Rtav1:s i111tI muthud hlleu*bIi Llnito NITRATE -N NJ(0 10) ail, EPA 313.2!360.0 10 Sample ROUYINE SAMPLE MbLi'TED RI: R J.S. Aenarke: u.n............ n........nw.c....wan.,.......un...-...................,..n.-.........w+.nw.Y>nn.n...n......_..... n.n.n..w..•...... wws...... 1 Teets Perforanud Sal apeoial InetractionA Abore UA-UnnYA-ilable ME. Hone Dotected $ea Saxlple Ravlrks Abore NA - Not Analyzed U -Lose Them, OT- reatet Thtn e�'�i,' 13 rvsa�I MiP +be nr rre ;GS Groin (SOC;!( 51,6 rAnb:a.le do SUNUI!anco) MUNICIPALITY OF ANCHORAGE • '-° DEPARTMENT OF HEALTH & HUMAN SERVICES M}� Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # L f) - HAA# ��1sIE f_ �Q 1. GENERAL INFORMATION Complete legal description Lot 17; Block 6; Schnaeden East Subdi.vi,5ion Location (site address or directions) 17440 Santa MaAia Property owner _Dale Bingham 9 Etaine Thomas Day phone 762-2660 Eve 694-3387 Mailing address p RCIX 771379 FaqP0 RivC4 A2az-ka Lending agency _Q0n DNnAAnH CITY MORTGAGE Day phone Mailing add Agent Address RiveA, Ataska 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: XX Individual well Community well Public water Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site — Holding tank — Community on-site — Public sewer XX NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA 421 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, 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 Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm C o C ENGINEERING Phone 17034 Eagle River Loop Road N0; 204 Address Nei,— Engineer's signature 6. DHHS SIGNATURE Approved for Disapproved. Conditional approval for Additional Comments a bedrooms. Date � � - '� -,q � :j y1 , • ee A) 9: P.ccki.).sinres�,r.. .1,, 1 OFE bedrooms, with the following stipulations: Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-M (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST it Legal Description: L 1�1 ��.K Le Se—A" co–PG-z.- Parcel I.D. G"-, ilsN A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y& t� Date completed j'20 1 Driller— Q1/— Total depth AKTotaldepth VV--- —Casedto gno, Casingheight—11-- Sanitary seal &N) FROM WELL LOG Wires properly protected (/N) Date of test -- Static water level Well flow — 9 -p.m Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 1110. AT INSPECTION - C57 ' IS 1, MU"ir;iPAU-1y OF ANCHORAGE 45,a% ENVIRONMENTAL SERVICES DIVISION -Lp '1991 I la \ N V E D ; On adjacent lots 1 a-> �+ ,1� ; On ad acent lots 100 Absorption field on lot j Public sewer main 7115 Public sewer manhole/cleanout 10� �` 2� t+ Sewer service line 'ZS Petroleum tank WATER SAMPLE RESULTS: Coliform Loy rl01�vl-J- Nitrate Other bacteria rJ o fjc Date of sample: Collected by: S & § ENGINEERING 17034 Eagle River Loop Road No. 204 B. SEPTIC/HOLDING TANK DATA Eagle River, Alaska 99577 Date installed Cleanouts(Y/N) High water alarm (Y/N) Date of pumping Tank size Foundation cleanout (Y/N) SEPARATION DISTANCES FROM Well(s) on lot To prope Safface water/drainage 72-026 (Rev. 7/91) Front Alarm Pumper DING TANK TO: On adjacent lots Absorption field Compartments — Depression Foundation Water main/service line CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y, Meets M=DISTANCE /N) SEPARM LIFT STATION TO: II on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" level at Cycles tested Surface water . Date installed Soil rating System type Length Width Gravel thickness Total depth Total absorption area Cleanouts present (Y/N) Depression over field (Y/N) Date of ade_quay test Results (pass/fail) for _ bedrooms Peroxide treatment (Past 12 months) (Y/N) If yes, give date — SEPARATION DISTANCE FROM ABS TION FIELD TO: Well on lot On adjacent lots Property line To building foundatio To existing or abandoned system on lot On adjacent lot Cutbank Water main/service line Surfac ater Driveway, parking/vehicle storage area e'urtain drain E. ENGINEER'S CERTIFICATION I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect onq;k fW this inspection. S A, S ENGINEERING rr k, g 170,14 I agle River Loop Road No. 20 Signature asT�fCa�I%51..... Engineer's Name a' o n.l. iinr�n,P.E.P.�. ° .1., r� Date r, 216 UP Qu HAA Fee $ Waiver Fee: $ Date of Payment / L /2 -2 Date of Payment Receipt Number i `� �� Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562.2343 FAX: (907) 561.5301 ANALYSIS REPORT BT SAMPLE for WOREorder# 40019 Date Report Printed: NOV 8 91 1 16:42 Client Semple ID:L17 B6 SCHROEDER EAST S/D PWSID :UA Collected NOV 6 91 # 09:40 his. Received NOV 6 91 E 14:00 hts. Preserved with :AS REQUIRED Client Nam :S fi S ENGINEERING Client Acct :SNBBNGP BPO # PO # NONE RECEIVED Req # Ordered By Analysis Completed :NOV B 91 Send Reports to: Laboratory Supervisor :STEFNEN C. EDE I)S & S ENGINEERING Released By : h � CA) 2) .................`.'....�..�.........................................,..................................................................... Chamleb Ref #: 915990 Lab Smpl ID: 1 Matrix: WATER Allowable Parameter Tested Result Unite Method Limits --------------------------------------------------------------------------------------------------------------- NITRATE-N ND(0.10) mg/l EPA 353.2 SO Semple ROUTINE SAMPLE COLLECTED BY: RAY. Remarks: .............................................................................................................. 1 Teets Performed See Special Instructions Above UA -Unavailable ND- None Detected See Sample Remarke Above NA- Not Analyzed LT -Lees Than, GT-Gteater Than 41081 8 Member of the SGS Group (Soci6t6 06n6rale de Survelllance) Time APPLIC-' NT FILLS OUT UPPER HAL- ONLY Property Owner .1.3 !t1 t' i�. 1.:;'�% tip r'+ - ' `�': �::.- i -.F\ � rt ^ (-- i, '�• ra��., r:t ,_. Date Date rPone Mailin Address}-� "'; ='� -,-� I 1 C ' t v.,,.r �\-.. Zi Cade r',.') jcj..�c,r...g P t Buyer Inspector Field Notes: -� C.-17✓) Address Zip Code Lending Institution ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' Phone Address "D Zip Code Realty Co. & Agent Phone Address Date Sewer Installed Zip Code Well Log Received Legal Description g Il .`_.�<. ��„ 1,-:�\• `� ,1.�( '> Street Location uv W Type of Residence [:3"Single Family ) C] Multiple Family No. of Bedrooms C1 Other Water Supply [,:)'Individual ATTACH WELL LOG. A well Idg is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal 1. 7 EA -Individual Year Individual Installed: I C7 Public Utility When Connected to Public Utility: _ ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: -� C.-17✓) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL. ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE ( U - 2- . _ .52. ��'yv�4.12 "D BY: ¢` Soils Rating Date Sewer Installed Well To Absorption Area v Well Log Received r �� Well to Tank P �� Septic Tank Size V 72 023 (3182) .Q 0/7 /A, .f-- Time APPLIC NT FILLS OUT UPPER HAL ONLY PropertyOwnor )�. t�;,i,�'(f�!(ii'7 „,,.-ti :, !i�"tir Phone Mailing Address /l �J jJG X � � r, _. - .7 �"-'� /� it �.� /- ; l , � P � Zip Code � Buyer rvViQ " 1I . _ Address Date Zip Code Lending Institution Date Phone Address Zip Code Realty Co. & Agent Phone Address cawx Zip Code Legal Description0 / Street Location �_ 6 , ;,;c . $ � r. w �<. (r_-crL /)/j6P : a cr +mac\ ef, VC r n � J �-c r- - •, �-� Type of Residence LA %I a crv, ,C&a L7.. Single Family O Multiple Family No. of Bedrooms_ ❑ Other Water Supply ©. Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community 'CONDITIONS OF APPROVAL ( ) DISAPPROVED For wells drilled prior to that date, give well depth (attach log If available). ❑ Public Utility ( ) CONDITIONAL APPRQkAL' Sewer Disposal R' Individual - Year Individual Installed: - ❑ Public Utility Date Sewer Installed When Connected to Public Utility: ❑ Holding Tank Well Log Received NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time _...aim Time �, Lf rvViQ " 1I . _ Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: .7-75' 5 ea', (-+jLW L ! S "L 4j LA %I a crv, ,C&a ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPRQkAL' DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area (E o Well Log Received Septic Tank Size Q Q Well to Tank Q 72023 (7182) AurpisL In, 1992 Dial(, Tl\. Pincjhai�i and Elain(; Ti. Thorqc-.jn P.O. Boy 1372 T"'agle River, 9 9 1' 7 7 7 -iro(, - I-violon IIarjI(-- R-ivnr ,1_111hioct: Lot 17 Bloc] 6 9c! (lex T !a , rt 1 I-13ub(I Approval for tho individual- sewer �,md waLer cannot be qranted un.t.i.]. the following itonul. 1-i,.)v(, been copjpl-ot(rt- The water analysis report noocjs t -x) i -j() c;ijj)trjitt _,I -t--o t.I -I 0 _j, of -Vice From Chem Lab, 5633 111 F)tr(-,et, 'For our review. The septic tank puynned with a receipt sulmrftitte(l 1-(.-) this d (? p a r t i a o. n t . Locate and expose the stan(lp.ipo to tl)o �-,eenaqn for our i nsipection. This is to -insure tbn Tai nlyaum cl.,,Lr-Jtance- requ-,Ln---mients are un—L, between the %vell and sewer Pl.eane natify Depart;nont for a reinspection cahc`n Ole note(l dincrepancie.,; have been corrected. T (.here aro. oriv further (junst-LonS, T)lODSO ca.11 this office at 26/1-4720. Cory Wil-Iis, CW17/p/T-:1T