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\ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
.
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street • Anchorage, Alaska 99501 Telephone 264A720
ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE
UPGRADE
`{
MAILING ADDRESS O
Z% �, fC
• 1;1-)e fEi /
LEGAL DESCRIPTION
LOCATION /
NO.OF BEDROOMS
Well Absorption area
Dwelling
PERMIT NO.
VY
DISTANCE TO:
WQ
F
, .
Manufacturer / /,tJG
Material
No. of Compartments
Liq. capacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
d Y
J t72414
DISTANCE T0:
Well,
Dwelling
PERMIT NO.
_? h
Manufacturer
Material
Liquid capacity in gallons
O
W =
DISTANCE T0:
Well i
DD
Foundation / �.,
��' _
Nearest lot line :
ZZ _
PERMIT NO
N n24y'(0s .eF.l�
LJ n Z
No. of lines /
Lengthy] ch/link
�jj
Total lengt iJne5{.
Tranyst with
Distance betye I��
FIW
Fj Inches
<F¢-
Top finish
Material eneam the /
Total atfecti bs r tiLmrgA
of rile to grade //
/1
"' Z �.Qf'&trinches
Z 2
Length
Width
1L
PERMIT NO.
W
� `
/
aF-
Type of crib
Crib dia eter
Crib depth
Total effective absorption area
W C
W
Well
Building foundation
Nearest lot line
DISTANCE TO:
J
Class
Depth
Driller
Distance to lot Ime
PERMIT NO.
J
W
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption ares(s)
OTHER
1
PIPE MATERIALS
>U.G
AtA
/S
E4
SOI L TEST RATI NG
INSTALLER
REMARKS
Z,f �' F �IrriLl�
OFA 4%lp
p
t
.-,. :..• .. i .::. e
',
Robert A. Shof •%rW
��• No. 1157• - /
•' � 9F•'a••.»...• -•• Fir
aoo� r 4 •"
APP V LEGAL
gDATE [�
72-013 (Rev. 3/78)
h,.
j DOC Co. dbi
SULLIVAN WATER WELLS
P.O. BOX 272, CHUGIAK, ALASKA 98667 • TELEPHONE 688-2759
I ,
OWNER OF LAND �' -5 DEPTH OF WELL ! %
ADDRESS STATIC LEVEL OF WATER FT.
i
e
LEGAL DESCRIPTION — t' r 'DRAW DOWN FT.
` DATE • Started / ' Ended '",'/f GALS. PER HR `
j
PERMIT NUMBER KIND OF CASING
KIND OF FORMATION
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WSCL. INFORMATION:
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DRILLER'S NAME -
r-1 ur-4 I c I PRL I -r 0FP Rr-4C1-I0RR13E
DEPARTMENT 0 HEALTH AND EFJVIF.OrJME1JTRL FFOTECTIOFJ (u)QGtE-c-
825 'f !STREET, ANCHORAGE, AK. 9?'�. YY n4
LL,, ^^E4-4720
PERMIT IJO. 4C 1J1 ii FirJG� rtr•a—=• I -r- E: = EWER F-Mmr't I TGcW-9 76,,
APPLICANT !Era ( 5'txn�C15 lc
pb �'
LOCATION r
LEGAL L c{ F 1 S f3l0c k D D-0 br-j-ck. LOT
T SIZE (4 r- a oa SQUARE FEET '
TYPE OF SOIL RESORPTION SYSTEM IS: "`'� X)M-4..�.-u+1�c(
MA.;IMUM NUMBER OF BEDROOMS = 2— SOIL RATING CSO FT/eR)= 20 a
THE REQUIRED SIZE OF THE SOIL RESORPTION SYSTEM IS: �� L,J I b
L-: E:F.-r t{ L-EFJGTH= GRR�?EL_ DEPTH= Z.
THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DP.AINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION CIN 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 <114 FEET).
REG?U I FREE> SEPTIC TRr•4K �-3 I =E= /OOC) GAL-L-Cr•a
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUPING THE
INSTALLATION I14SPECTIOPIS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
--- TI.IO C 2 > I r4S.PECT 10 r4 S RRE REC71L_r I RELY ---
BAr_KFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A 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 A PRIVATE WELL TO A PRIVATE SEWER. LINE IS 25 FEET AND
TO R COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIO14S AND CONSTRUCTION DIAGRAMS APE
AVAILABLE TO INSURE PROPER, INSTALLATION.
PERrI I T aXF- I RES C�ECEME3ER 3.1.: 1La:E:&.1
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 SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERST THAT THEO SITE SE14ER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE PE P.ELED T�NCjJ-'DE MORE THAN 3 BEDROOMS.
SIGNED1 ----------------
PLICAFJT 7 �n
V4. O
ISSUED BY-_ _ _-DATE--
Municipality
of
Anchorage
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264.4111
GEORGE h1. SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
December 31, 1980
Gene Sandin
Post Office Box 272
Chugiak, Alaska 99567
Permit # 800244
Subject: Lots 14 and 15 Block D Debora Subdivision
A permit issued by this department for well and/or sewer
system has expired as of this date.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log should be sent
to this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for
our files.
If there are any further questions, please call this
office at 264-4720.
Sincerely,
A"
Les N. Buchholz, R.S.
Senior Environmental cialist
LNB/ljw
enc: Copy of Permit
SWP/057
MUNI(-, I PAL I _rV OF= RNC"0F_* it3E
DEPARTMENTHEALTH AND ENVIRONMENTALr'OTECTION
(
825 STREET. ANCHORAGE, AK. 9_ 01
264-4720
IJEL_L SE1..lER FERMI T
PERMIT NO. Cppy4l >>� �R y_ 330
APPLICANT
LOCATION � C
LEGAL LOT SIZE Q p oSQURRE FEET
TYPE OF SOIL ABSORBTION SYSTEM IS:^3
MAXIMUM NUMBER OF BEDROOMS = SOIL RATI14G (SQ FT/SR>=
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
OEPTHLErdOTH= C3RAVEL LIEF?* r
THE LENGTH DIMENSION! IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A 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 OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION UN FEET).
RE0U I RELY SEF -r I C TANK S I 2ME— C3F=l LL0NS3
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIO14S OF ANY 14ELLS ADJACE14T TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
--- T W a C 2> I N S P E (-, T 10 N S A R E R E Q U I R E Cs ---
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A 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.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T EXP I RES UE(D,EMEDER "v1 . 1'a 80
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 SYSTEM IN ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED : _ ..7�_.�..�[----------
APPLICANT
--------APPLICANT
ISSUED BY
. r?,I- 6.)
V3. 2
MUt4 I C I F' F -IL- I TY OF F N0"0F2FiGE
X „ •.DEPARTMENTjl"t HEALTH AND ENVIRONMENTAL r 1OTECTION
825 STREET, ANCHORAGE, AK. 9�1 _ )1
264-4720
W E L L P E R M I T
PERMIT NO. C 800244 )
APPLICANT GENE SANDIN PO BX 272 CHUGIAK 694 3230
LOCATION _JUAN ITA LOOP _
LEGAL +LLT Z4&lZ, W 0 DEBORA S/D } LOT SIZE 21000 SQUARE FEET
MINIMUM DISTANCE BETWEEN A 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 A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F}EFRM I T EXP I FRES E>ECEMBEFZ 31 1 98la
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 SYSTEM IN ACCORDANCE WITH THE CODES.
SIGNED
APPLICANT GENE SANDIN
ISSUED BY- _________________---- — ------ DATE_=1'SS1------ V4.0
jr n &I'd
�GRENfER ANCHORAGE AREA BOk.ruGH y
1
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
LOCATION TANITq ,tooP OFF 641) j0l .' AKEGAL DESCRIPTION lbTS lq� 1.Meet- D. U�Ra�'A �v.
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
SEEPAGE PIT:
MANUFACTURER MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY GALLONS.
NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH_, DEPTH
LINING MATERIAL CRIB SIZE: DIAMETER —DEPTH —DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE O/F'2/0 CONSTRUCTION -5Tfl'f"'y4"�P DEPTH I/ DISTANCE FROM: ^'
BUILDING / NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION
����] LOT LINE , SEWER LINE , TANK SYSTEM
���C�
CESSPOOL L ZA OTHER SOURCES
SO,C'� f ;
APPROVED DISAPPROVED REMARKS &/�/ AeQ t L/N° FA,0^1 IVC// 7 11t�tSG Ad
DISTANCES:
INSTALLED BY: S9,91- 1.0 %Tar
irk// nelMZ j
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Fwm No. E0-011
DIAGRAM OF SYSTEM
WAjw_ EINE ASOYC �[ov�0•
3 13o�w1 �
GG
1,600 Z -r40,
DATE C-/ ZZ /— APPROVED
01,
G.A.A.B.
INSPECTION
REPORT ON-SITE
SEWAGE
DISPOSAL SYSTEM
NAME 4"4"ViS 1_1"'Vef
MAILING ADDRESS
PD 13BX f
%3r4IIeXlue2 PHONE &/-f'L 7
LOCATION TANITq ,tooP OFF 641) j0l .' AKEGAL DESCRIPTION lbTS lq� 1.Meet- D. U�Ra�'A �v.
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
SEEPAGE PIT:
MANUFACTURER MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY GALLONS.
NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH_, DEPTH
LINING MATERIAL CRIB SIZE: DIAMETER —DEPTH —DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE O/F'2/0 CONSTRUCTION -5Tfl'f"'y4"�P DEPTH I/ DISTANCE FROM: ^'
BUILDING / NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION
����] LOT LINE , SEWER LINE , TANK SYSTEM
���C�
CESSPOOL L ZA OTHER SOURCES
SO,C'� f ;
APPROVED DISAPPROVED REMARKS &/�/ AeQ t L/N° FA,0^1 IVC// 7 11t�tSG Ad
DISTANCES:
INSTALLED BY: S9,91- 1.0 %Tar
irk// nelMZ j
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Fwm No. E0-011
DIAGRAM OF SYSTEM
WAjw_ EINE ASOYC �[ov�0•
3 13o�w1 �
GG
1,600 Z -r40,
DATE C-/ ZZ /— APPROVED
01,
G.A.A.B.
MU I C 1 r'FiL I TV 10 F= tit -41= JFZF=l GE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
3330 C STREET. ANCHORAGE. ALASKA 99503
274-4561 OAM %� vO ,,.AJ
WELL PEFZM I T
PERMIT NO.( )
BURNIS MnnEE BOX 193 .6949927
LOCATION JUANITA LOOP OFF OLD GLENN
LEGAL L148:15 BD DEBORA M3
LOT SIZE 41250 SOFT
MINIMUM DISTANCE FROM WELL TO ANY SEPTIC TANK/PACKAGE PLANT OR SOIL ABSORPTION
SYSTEM IS 100 FT FOR A PRIVATE WELL AND 200 FT FOR A PUBLIC WELL.
WELL LOGS MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL
COMPLETION.
SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER
INSTALLATION.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS
AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE AND WILL INSTALL IPJ ACCORDANCE
WITH THE CODE.
SIGNED... �.
9-7cD
ISSUED BY.. DATE.. ........
n GRE'IR ANCHORAGE AREA BOf"UGH
:-• �� Department of Environmental Quality
^ 3330 C Street
Anchorage, Alaska 99503
AGE DISPOSAL
NAME /J'y'B's MOOSE MAILING ADDRESS � PHONE
LOCATION JU AI';6 fop LEGAL DESCRIPTIO.0 r`F�' 61— 'J 10[W0t?A t3
SEPTIC TANK:
DISTANCE /— NUMBER OF
FROM WELL MANUFACTURER Ung MATERIAL STIC1— COMPARTMENTS Z
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY 000 GALLONS.
SEEPAGE PIT:
1 '
NUMBER OF PITS 1 DIAMETER 13W OR WIDTH_, LENGTH_, DEPTH
% Lkk- CRIB SIZE: DIAMETER DEPTH
LINING MATERIAL � _Y_L DISTANCE FROM: WELL
i TOTAL EFFECTIVE
BUILDING FOUNDATION, NEAREST LOT LINE 1O . ABSORPTION AREA (WALL AREA) SQ. FT.
ADDITIONAL ABSORPTION
WELL: MO LuLIi. Arr 4144E OI✓ f k)s e&{ l0v".
TYPE CONSTRUCTION
BUILDING NEAREST
FOUNDATION LOT LINE
CESSPOOL , OTHERSOURCES
APPROVED DISAPPROVED _
DISTANCES:
INSTALLED BY:
�I��I,�cc Cyst NIj
PIPE MATERIAL: ^`
Cry IyzoN
LOT SLOPE:
REMARKS:
2
2S' / �r��Lr/. Tet ixg.
fl -to kyle at /o'
Form No. EQ -031
DEPTH
DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE , TANK , SYSTEM_
DATE
DIAGRAM OF SYSTEM
APPROVED
r-,
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ' ANCHORAGE, ALASKA 99903
TELEPHONE 274-4361
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
NAME OF APPLICANT �'t
INSTALLATION LOCATION
LEGAL DESCRIPTION i
INSTALLATION OF: SEPTIC TANK
Plf0"Er
0
TYPE AND SIZE OF FACILITY TO BE SERVED
MAILING ADDRESS
PI
Ei
PERMIT NO.
PHONE
SEEPAGE PITy DRAIN FIELD OTHER
1CZ.41, GA1MIIM
FINANCED THROUGH TO BE INSTALLED BY --
SOIL TEST RESULTS -F/'IA-`�N IDI 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.
SEPTIC TANK SIZE 1000 TYPE
/�
Q I
SEEPAGE AREA SIZE &7� TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK % /
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL /5 /
SEPTIC TANK SEEPAGE PIT O DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK /yV SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, /VV SEEPAGE PIT 101 DRAIN FIELD
TO RIVER. LAKE, STREAM.
CAST IRON INTO AND OUT OF 6cnne TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION B FEET INTO UNDISTURBED SOIL.
4INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKPILL
CONFORM TO BOROUGH REGULATIONS
REGARDING INSTALLATION.
qL
/ `' &C,
,
G.A.A.B.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE / APPLICANT'S SIGNATURE
IORM NO. EO -014
donitotuction gest -fa&
"One tett is worth • thousand opinions"
OEEE TUDOR ROAD. ANCHORAGE. ALASKA EEe07 • Tala."e"a 171•E473
Performed For Klondike -Alaska Date Performed 12/11/74
Legal Description: Lo lock D Subdivision De ora #3
This Form Renorts Soils'"M YES _ Percolation Test—.
Depth
Feet Soil fharacteristics
-�� St Inlet t i �-1.-i—J
�— (200)
— Silty Sandy Gravel
V—.
q —
�� Ground Water Level
10—
Was
0—
Was Ground Water Encountered? YES_
If Yes, At what Depth? -81 below
S.T. I et '
J' j
04
e
Readinq Date Gross Time Net Time Depth to H2O Net Drop'
Percolation Rate tiinute
Prnposed Insta ation: Seenaae Pit YES Drain Field
Deoth of Inlet Depth To ottom Of Pit Or Trench_ft.
CnHNENTS: 200 Sq. Ft. drainagg area reauired_ner bedroom
3 foot Seenaae rings installed
round xater at 4 ft below bottom of seepage pit
Test Performed 8y J...Mack Data Certified By: CONSTRUCTION TEST L
— Date• 12/17/74
4A c,
34
S's
16a—
'-577
!j4
-70
/oar
Y 2
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t
kl44, Le - I-
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7-4
c -1-577
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�R
Time
Time
a
Date
Date
Date
Inspector
Inspector
Inspector
At
Comments
Conditional Approval
ei�J�i00i:13
�/ ) Oi��pyrcvc3
\CO:'Idl:to.:ei E1NC�C.'Jw nr
l
Date Sewer Installed
Permit No.
Septic Tank Size pp p
^� O
Holding Tank Size
Solis Rating
Well To Absorption Area
Well Log Received
Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
Property Owner co
Mailing Address S2 gJ
�/ /C/�✓e
Phone
/ ���
k
$" U(.Grh r�a L� �A�
Buyer //I
AddressC/O j V Ac /r, /
/ L--
C� 1 4 �� "f ��� �h�"1 �/C / J f✓
Lending Institution
�r J
Phone
Address -
Realty Co. 6 Agentoh a
Phone
Address
Legal Description w
73
Street Location Ski L J '
Typeesidence
eSingle Family
O Multiple Family c
No. of Bedrooms
❑ Other
Water S ly
L. ndividual
ATTACH WELL LOG. A well tog Is required for all wells drilled since June
❑ Cc mmunity
1975. For wells drilled prior to that date, give well depth (attach tog If
❑ Public Utility
available.
SewaQ�posal
G Individual
- Year Individual Installed:
❑ Public Utility
When Connected to Public Utility
C] Holding Tank
NOTE THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
April 14, 1982
Scott A. Horn
SRT. Box 215 Juanita Loop
Eagle River, AT: 99577
Subject: Debora 03 Lots 14 & 15 nlock D
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed:
The depression or pit around the well casing needs to be
filled with impervious type Boil no that it slopes away
from the well casing.
' Exposed electrical wires to the well head are in violation
of the Municipality of Anchorage codes and must be encased
in conduit.
• The water analysis report needs to be submitted to this
office from the Chem Lab, 5633 B Street, for our review.
Please notify this department for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,
Robert C. Pratt
Associate Environmental Specialist
RP7G/p/ETI
a4,l&
Debora Subdivision 03
• MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH 6 ENVIRONMENTAL PROTECTION
99501 MU
River, Alaska
825 L Street • Anchorage, Alaska
. ��.I,
ENVIROL..tL'li'-t_CTION
C*-
❑ One ❑ Four ❑ Other
ENVIRONMENTAL ENGINEERING DIVISION
- ® Two ❑ Five
Telephone 264-4720 APR
2 1 1980
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW
IT
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 110) days for processing.
1. PROPERTYOWNER
PHONE
Earl E. Sands
694-3230
MAILING ADDRESS
B. SEWAGE DISPOSAL SYSTEM
SR 216 Juanita Loop, Eagle River, AK 99577
El INDIVIDUAL/ON-SITE" pelf individual/on-site, give installation date 1974 ,
PROPERTY RESIDENT (If ddferent from above)
PHONE
z. BuScoPHONE
tt llorn '
279-9948
MAILING ADDRESS
2208 Eureka St. #17, Anchorage, AK 99503
J. LENDING INSTITUTION
PHONE
Security Pacific mortgage Corp
276-1933
MAILING ADDRESS '
1011 E. Tudor Rd., Suite 190, Anchorage, AK 99507
e. REALTOR/AGENT
PHUNI:
Myrna Johnston, AREA, Inc., Realtors
694-9555
MAILING ADDRESS
P. 0. Box 249, Eagle River, AK 99577
5. LEGAL DESCRIPTION
Lots 14 $ 15 Block D
Debora Subdivision 03
STREET LOCATION
Juanita Loop, Eagle
River, Alaska
6. TYPE OF RESIDENCE
NUMBER OF BEDROOMS
❑ One ❑ Four ❑ Other
Fel SINGLE FAMILY
- ® Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
® INDIVIDUAL'
a ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
B. SEWAGE DISPOSAL SYSTEM
El INDIVIDUAL/ON-SITE" pelf individual/on-site, give installation date 1974 ,
If system is over two (2) years old an adequacy test is required
❑ PUBLIC UTILITY
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-01013/781
_.� - A 1
THIS SIDE FOR OFFICIAL USE ONLY _
INSPECTION APPOINTMENTS
DATE RECEIVED .�
TIME
TIME
TIME
DATE
DATE
DA E
INSPECTOR -
INSPECTOR
INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE
NUMBER OF BEDROOMS
❑ ONE
❑ THREE ❑ FIVE ❑ OTHER
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
❑ TWO
❑ FOUR ❑ SIX
2. WATER SUPPLY
PERMIT NUMBER
❑ INDIVIDUAL
DEPTH OF WELL
❑ COMMUNITY
❑ PUBLIC UTILITY
DATE DRILLED
Connection Verified
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
PERMIT NUMBER
❑INDIVIDUAL/ON-SITE
❑PUBLIC UTILITY
Connection Verified _
DATEINSTALLED
a `l
INSTALLER
❑Septic Tank or ❑Holding Tank
Size: IL900 If Tank is homemade
give dimensions:
SOILS RATING
1 ��
IN
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
1 ^
4. DISTANCES
WELL TO:
Septic/Holomg Tank Absorption Area Sewer Line Nearest Lot Una
r
Absorption Area to nearest Lot Line
S. COMMENTS
0 --'APPROVED FOR �� BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
BY (Title
LEGAL DESCRIPTION
n.mn tn.. 11121
n
Aron Ronity
ATTUITION: A'lyrnn Johnston
P.O. Box 249
Engle River, Alnskn 99577
Dear I's Johnston,
(7
DAVID A. SLENKAMP
MECHANICAL ENGINEER
6949055
July 47 1980
Reference: Lot 14 and 15; Block D; Debora #3 Subdivision
ROBERT A. SHAFER
CIVIL ENGINEER
694-2979
At your request P. se:7er s—ste- ndequacy test inesystem
s nrformed on tho stem
located on the referenced property. The septic tank wns pumped and ver—
ified to have a cnpncity of 10)0 r^.11ons. The seepnre pit was standing
full of w^iter r.nd had to he pumrncd. Tile crib wr s then chn.r"ed with 750
Lnllons of fresh w ter and nftnr a period of 24 hours the venter level
in the crib rennined st^tic.
The septic tank is ndenunte for the two bedroom home constructed on
this property. however, I re;z et to inform you thct the seepage pit
has failed and r-;-11 require up!-radirg. A pornit for the upgrnding can
be obtainod from the Dennrtmont of 11enith and Enviornmentnl Protection,
825 L. Street, Anchornro.
If we roy be of further nssistnnce, plea -v do not hesitate to call.
cc: Punicipn
Department of
of Anchors^e
lth and 1:nviorn^nental Protection
Security Pacific Brink
V
SRB 196X EAGLE RIVER, ALASKA
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
1y
Date Received August 9, 1976
Time of Inspection 9:30 a.m.
Date of Inspection 8-11-76 Wed.
REQUEST FOR APPROVAL OF
I% INDIVIDUAL SEWER & WATER FACILITIES
FOR
Conv.
1. Approval requested by: Security Pacific Mortgage Corp.
Buchholz
Mailing Address: 319 West 5th Avenue Phone: 272-9501
2. Property Owner: Burnis Moore Phone: Unknown
Mailing Address: NHN Juanita Loop
3. Legal Description: Lots 14 and 15 Debora #3
4. Location: Meet Myrna at Area Realty office in E. R.
5. Type of facility to be inspected Single Family No. of bedrooms 2
6. Well Data: Individual krp , .. /� '7b C2-1t't
A. Type B. Depth
C. Construction D. Bacterial Analysis
7. Sewage Disposal System: on-site system
A. Installed B. Installer
C.
Septic Tank:
1.
Size
2. Manufacturer
D.
Seepage Pit:
1.
Absorption Area
2. Material
E. Disposal Field: Total length of lines
8. 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
EQ -034 (1/74) Page 1 of two pages
Page 2 of two pages - Re~it for Approval of Individual~,r & Water Facilities
• Legal Destription Lot 14 and 15 Debora #3
Comments
Disapproved
Date R- r 3
App►6i71 ,Valid for one year from date signed
Greater Anchorage Area Borough, Department 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 the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
EQ -034 (1/74)
Da to
I '
cim
MUNICIPALITY OF ANCHORAGEDEPT. OF HEALTHGREATER ANCHORAGE ARL', BOROUGH ENVIRONMENTAL PROTECTIONDepartment of Environmental Quality``11IIcc� 3330 C St., Anchorage, Alaska "99503'-' 274 -RA 91976
., �..
6. Legal Description:
Lot 14
and 15
Labors
RECEIVED
REQUEST FOR
APPROVAL OF
Location:
NHN Juanita
INDIVIDUAL
SEWER
& WATER FACILITIES
1.
Type of Inspection:
CMRO
VA
FHA CONV xx
!. 2.
Property Owner: Burnis
Moore
Mailing Address:
KEN Juanita
Loon
Day Phone unknown !•.
3.
Name of Buyer:
Earl E. Sands
Mailing Address:
Elmendorf AFB
Day Phone 752 3014
4.
Name of Lending Institution:
Security Pacific
Mortgage Corp
'
Mailing Address:
319 West 5th
Ave
Phone 272 9501
5.
Name of Realtor or
Agent: Area
Realtors
mfgol�n P_
Mailing Address:
Park Gate Bldg
Eagle River
Pho a 694 9555
6. Legal Description:
Lot 14
and 15
Labors
#3
Location:
NHN Juanita
Loop,
Eagle
River Alaska
7. Type of Facility to be inspected: sfr No. Bdrms.2
S. Water Supply
---Type of Supply: Public Utility Individual xx
If Individual, number of dwellings presently served 1
If Individual, depth of.well un
9. Sewage Disposal -System
Type.of System: Public Utility
If Individual, date of installation 1974
Individual (on-site) xx.
***PLEASE SEND REPORTS TO KASSLER & CO.,
Sincerely yours,
KASSLER & CO.
319 5T11 AVENUE
ANCHORACE. ALASKA 99;,01y�
AP
tp
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received 'n ? n, 5. Nq'�ri
Time of Inspection
de- Date of Inspection la.-Q-rlS
e� REQUEST FOR APPROVAL OF Q
INDIVIDUAL SEWER
FORWATER FACILITIES
1. Approval requested by: -'Q 4
Mailing Address: r. Phone:
2. Property Owner:// Phone: l��i0-griflrl
Mailing Address: 0'� Y 1() l 1 n�lir, Clrirarlrl
3.
4.
5.
6.
7.
Legal Description: l��nr�� I-. C)
Location: . fN I Ni7l
Type of facility to be inspected No. of bedrooms
Well Data:
A. Type I *AtI-Ni AI,( -.D
C. Construction
B. Depth�r
D. Bacterial Analysis
Sewage Disposal System: C�u- rZA0 !Z_c VC�t"om o�
A. Installed Ici`lkjB. Installer /%7Da/-)/4-e--^ tti.&Mec--
C. Septic Tank: 1. Size 4y06i 2. Manufacturer Peeee- .51 ^c /
D. Seepage Pit: 1. Absorption Area !n_5 2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank, Absorption area 42MR7 Sewer Lines
Nearest lot line Other contamination G �f
B. Foundation to septic tank � , Absorption area v`cQ
C. Absorption area to nearest lot line
/o
EQ -034 (1/74) Page 1 of two pages
Page 2 of two pages - Rem%st for Approval of Individual "'ter & Water Facilities
Legal pescri ption kj�n ILA in I r.a IL 12 C) - C1
Co ments
Approved
Disapproved
Date 1-:2
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department 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 the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
EQ -034 (1/74)
Da to
'GREATER ANCHORAGE ARLA BOROUGH
Department. of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWED & 'WATER FACILITIES
1.
Type of Inspection:. CMP.O VA
FHA
CONV xx
2.
Property Owner: Burnis Moore
99577
Mailing Address: Box 193, Eagle River, AK
Day
Phone 694-9927 J.
3.
Hare of Buyer: Warren H. Sierer
2091 Sep er is
`Wailing Address,: Anchorage, AK 99504
Day
Phone 272-4451 ;
N'$ A
4.
Name of Lending Institution:
MAiyRK�'%tJGr%
Mailing Address:-.5-th Ave, Ansherage
274 3563:
5.
Name of Realtor or Agent: Myrna Johnston
AREA,
Inc:, Realtors
Box 249
Mailing Address: Eagle River, AK 99577
Phone 694-9555
6. Legal Description: Lots 14 & 15 B1k'D, Debora•#3
Location: Off Old Glenn Hwy = Turn right on Juanita Street Loop
House is Brown Worange trim - Second one on left. Look for AREA sign.
7. Type of Facility to be inspected: single -Family No. Bdrms. 2
S. 'later Supply
Type of Supply: Public Utility Individual xx
If Individual, number of dwellings. presently.served 1'
If Individual, depth of well 82'
9-. Sewage Disposal -System
Type.of System: Public Utility Individual (on-site) xx
If Individual, date of•instal.lation 1974
f