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Home My WebLink AboutEAGLE RIVER VALLEY RANCHETTES LT 30Cogle I iver Valley Ronchettes Lot 30C ¢¢050- 224 -08 ~, ~GRE! ..R ANCHORAGE AREA BOF'"IGH ~,~n~,~ Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~:~a{ j'~e~,l~ MAILING ADDRESS. PHONE LOCAT,ON LEGAL DESCR,PT,ON SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER MATERIAL NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY. I~)OO GALLONS. SEEPAGE PIT: ~,' ' ~'~ NUMBER OF PITS i DIAMETER OR WIDTH 17 , LENGTH DEPTH. q' 6' LINING MATERIAL C~)l,..~_.¥,e-~ CRIB SIZE: DIAMETER DEPTH , DISTANCE FROM: WELL BUILDING FOUNDATION'"~Of TOTAL EFFECTIVE , NEAREST LOT LINE I~f . ABSORPTION AREA (WALL AREA) .~(P ADDITIONAL ABSORPTION WELL: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION--, LOT LINE SEWER LINE TANK __, SYSTEM . CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM iNSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. LQ-031 '~~ i~)\~ GrEATEr ANchOrAgE Area Borough DEPARTMENT OF ENVIRONMENTAL QUALITY :3330 "C'° STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION ~f~ MAILING ADDRESS PHONE INSTALLATION OF: SEPTIC TANK --'' ~ SEEPAGE PIT T. PE A.D S,ZE DP FAC,L,TY TO BE S RVEO FINANCED THROUGH TO BE INSTALLED BY DRAIN FIELD . OTHER SOIL TEST RESULTS HOTEl THIS PERMIT I$ HOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED . FINAL INSPECTION: 2:4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. ~INIMUM DISTANCES, REQUlREMENI'~ DIAGRAM DP FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ~ ~ , DRAIN FIELD . SEPTIC TANK TO SEEPAGE PiT WALL I ~ SEPTIC TANK ~ SEEPAGE PIT ~ O , DRAIN FIELD DRAIN FIELD , ALSO CON$1DER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK. I t) C~ SEEPAGE PIT TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 21~-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE /~/ S / 7'/ APPLICANT'S SIGNATURE i ~'~'~'~. ~"~,~ FORM NO, ~Q'016 Municipality of AnchOrage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-2'2'4-08 GENERAL INFORMATION Complete legal description Location (site address) COSA# Expiration Date:. Eagte Riven Va[fey Ranchet~e$, Lo~ 30C 18847 Twenty Grand Road Cherie Unekar 694-643! Day phone Current Property owner(s) Mailing address Lending agency Mailing address 18847 Twen¢¥ Grand Road Day phone Real Estate Agent Mailing Address Cindy Wit$on Dayphone 694-642'9 RE/MAX- Eagte River Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] [] Individual Holding Tank [] [] Community On-site [] [] Public SeWer [] The Municipality of Anchorage Development Services Depadment (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners; Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for propedies served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. N.or-I:hRira Engineer-in9 Name of Firm P,n, :Box 770724 Address S"l:ev e tn9 Engineer's Printed Name DSD SIGNATURE t~,?'~' Approved for ~ Disapproved. Conditional approval for bedrooms. Phone Date 694-70~8 10/14/10 bedrooms, with the following stipulations: PROGRAM ... -. .. ~TSE ,.. Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: /0 ~ / ~" /~ (Rev. 11/05) Municipality of Anchorage. Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.orglonsite (907) 343-7904 · CERTIFICATE OF ON-SITE S~YSTEMS APPROVAL CHECKLIST LegalDescription: EagLe Rlve~/~he-I;-I;es, Lo~C 30CparcellD. 050-P;~4-08 A. WELL DATA Well type , Date completed Total depth ' Publ, if ~/~er If A, B, or C provide PWSID #__ Sanitary seal (Y/N), ' Cased to ' ft. FROM WELL LOG Well Log (Y/N) , Wires properly protected (Y/N) casing height (above ground) AT INSPECTION Jrt, Date of test ' Static water level ' ft. Well production ' g.p.m. WATER SAMPLE RESULTS: g.p.m. ,. Coliform ', colonies/100 mL Nitrate ' · Arsenic: ug/L date of sample: ' B; SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size 1000 __ gal. Foundation cleanout (WN) mg/L ConcreCe .Number of.Compartments' 1 Y Depression over tank (Y/N) . Other bacteda , 'coloniesll00 mL Collected by: , N 10/7/74 Date installed Cleanouts (Y/N) Y High water alarm (Y/N) N 'Date of pumping 9/89/10pumper J,R,'s System type S P Gravel below pipe. 6 ft. Y N Depression over field ~ For 3bedrooms New depth_?L0, in. Absorption rate >= 450+ g.p.d. If yes, give date C. ABSORPTION FIELD DATA Date installed I0/7/7Z~oil rating (g.p.d./ft2 or ft21bdrm) 185 Length 17 10 Total depth ~ ft. Date of adequacy test Fluid depth in absorption field before test 12 in. Elapsed Time: 60 min. Final fluid depth 12:> in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) ft. Width 16 ft. Eft. absorption area 3cj~ft~ Monitoring tube 10/1/10 Pass Results (Pass/Fail) Water added 4 D. LIFT STATION Date installed na "Pump on" level at. na in. Datum nn SEPARATION DISTANCES Size in gallons, na 'Pump off" level at .~.c in. Cycles tested ,~,~ ' SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot 'Public sewer main Sewer/septic service line Animal containment areas Manhole/Access (Y/N) High water alarm level at na Meets alarm & circuit requirements? Publ, ic Wai;er On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10' + 10' + Property line ~ Absorption field Water main 10'+ water service line 10' + Surface water 'Wells on adjacent lots 100' + 5/ + 100' + in. SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10' + Building foundation 10' + Water Service line 10' + Surface water 100' + Curtain drain na Wells on adjacent lots 100' + F. COMMENTS Water main 10'+ Driveway, parking/vehicle storage 10~ + G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Si;eve En9 Date 10/14/10 COSAFee $, 4-/ q 0 Date of Payment. /c.~ "' / I~ ---/0 Receipt Number O t.//.~' 9 J O (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number ASBUILT I HEREBY CERTIFY .THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY; AND THAT NO ENCROACHMENTS EXIST EXI~EPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS~ COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. SEWARD & ASSOCIATES LAND SURVEYING SCALE: / DATE" ORID= FB: 694-082~ MUNICIPALITY 0f ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 050-224-08 ~r' ' HAA# ~OLOIL~ GENERAL INFORMATION Complete'legal description Lot 30C;-Eaqle River Valley Ranchettes Location (site address or directions) Property owner Mailing address Lending agency Mailin. g address Agent Nancy Johnson 18847 Twenty Grand Address 18847 Twenty Grand Rd. Eaqle River, AK Day phone Eagle Riverr AK Day ~hone Day phone 694-5952 99577 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: NOTE: Individual well Community well Public water xX' If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OFWASTEWATER DISPOSAL: NOTE: Individual on-site xx Holding tank Community on-site Public sewer 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#21 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 ~s inspection. Name of Firm ~ Phone Address ,~3.2(~ ~ Engineer's signature , date o/f t,~i ~_~99~04 Date = DHHS SIGNATURE Approved for //P Ebedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 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 requiraments. Employees of DH HS 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% work. Municipality of Anchorage RI CFIVED DEPARTMENT OF HEALTH & HUMAN SERVICES .... Environmental Services Division 825 L Street, Room 502. Anchorage, Alaska 99501- (907~i'3:43'4-7474v~) Mumc~pality of Anchorage Health Authority Approval Checkli.~pt' Health & Human Service~ Legal DescriptionEA(;LE RIVER VALLEY RANCHETTES: LOT 30C Parcel I.D.: A. WELL DATA Well type .... If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Total depth Sanitary seal (Y/N) Date'completed / Cased to _ __ , Casing height (abov~ __ __ Wires prope~d (Y/N) FROM WELL LOG ~PECTION ~ g,p.m. ' g,p.m. Nitrate Other bacteria Collected by: Date of test Static water level Well production WATER SAMPLE~ Coliform ~ D. D. D. D. D. D. D. D. D.~~sample: B. SEPTIC/HOLDING'TANK DATA Date installed ~ n/7/7,~ Foundation cleanout (Y/N) Tank size ~nO0 Number of Compartments 1 Cleanouts (Y/N)YES yE~; Depression (Y/N) ~]n High water alarm (Y/N) NO Date of Pumping 9/17/99 C. ABSORPTION FIELD DATA Date installed 1 n./7/74 Length * 17' Width '1 Effective absorption area*396 go FT Date of adequacy test 9/1 Fluid depth in absorption field before test (in.); Fluid depth 7" (ins) Minutes later: Pumper .SANITARY P H M PFR.C:; I.PER INSPECTION REPORT (10/7/7~.) AND P,EVlOUS H,A,A.I Soil rating (g.p.d./ft~ or ft~/bdrm) '125 System type ~ Gravel thickness below pipe *6' Total depth 8'-8.5' Monitoring Tube present (Y/N)~..q~ Depression over field (Y/N) No bedrooms Results (Pass/Fail) PASS For ,~ 0" Immediately aftems8 gal. water added (in.): 1~.5 Absorption rate = ~-50+ cl.p.d. Peroxide treatment (past 12 months) (Y/N) ~ If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION a~~ Date installed Size in g Manhole/Access (Y/N) ~ "Pump off" level at* High wa~ a~ 'D~tum C~.C.Y.~Ied E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main On adjacent lots ~Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDINGTANK ON LOTTO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10' -{-. Water main/service line 10'+ Sudace water 1 ~)0'+ Driveway, parking/vehicle storage area 50'+ Curtain drain ~ F, ENGINEER'S CERTIFJCATION/// Signature ~ Engineer's Na~he/ / _~EFFREY A. GAENESS Date ~ Wells on adjacent lots effect on this date. 200'+ [-7955 .' &~ HAA Fee $. ~" Date of Payment ,,/ Receipt Number ,~,~, ,~,,~ Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION · DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL · ' OF ON-SITE SEWER AND WATER FACILITY · 264-4720 Application Date ~/~/°C~f 1. GENERAL INFORMATION Legal Description (include lot, block, subdivisi~, section, towDship, range~}., · / // Location (address or directions) , Applicant Name ~,~,'~']:~,/~.~4~/'.-.~ Telephone: Ho~./TZ~ 5/d~ / Business (b) ..... A Ii'cant Address/~ /,~m ~"c;.~ ~",. ~ ' (c) Applicant is (check one): Lending Institution []; Owner/builder~; Buyer []; Other [] (explain); (d) Lending Institution Address ' (e) Real Estate Company and Agent Address ~ ~ Telephone (f) .--MEil the HAA to the following address: PH. 6~4-2379 2. TYPE OF RESIDENCE Single-Family,~ Multi-Family [] Other Number of Bedrooms ~ WATER SUPPLY Individual Well [] Community,~'Publi~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsit~' Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 c,l,s4~ ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 ali Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~ *~ ~ ~P~'~C~l~;~_~ Telephone Address ! '~,',~.~E Date ............ ~ . _ DHEP APPROVAL. ~ ~ - ~ Approved for '~"'~ bedrooms by ~/~ '~'~-~ _.~_O_~ Date Approved ~ Disapprovect~ ~ ' / Conditiona% Terms of Condition~pproval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal D,~.~scription: ~,4UN~a~,^Lrn, o~ ANC~OZ~Z3~ DEPT. OF HEALTH ~IRONME~AL PROTE~IO~ 'JUN ? Well Classification Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Ho~ Tank on Lot ~ To Nearest Edge of Absorption Field on Lot ~ To Nearest Public Sewer Line Cleanout~Manhole If A, B, C, D.E.C, Approved (Y/N) Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot Water SamPle Collected by Water Sample Test Results ; Date Comments B. SEPTIC/HI~I~I~TANK DATA Date Installed I (_3 - ~- r7z~ Size 1 ~ No. of Compartments Standpipes~N) Air-tight Caps~) Foundation Cleanout Depression over Tank (Y~ Pumping/Maintenance Contract on File (Y/N) ' Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/44etd~Tank: To Water-Supply Well ~.-t..-'"~ ~-~ To Property Line ~ (~3 ~ -{-- To Water Mafia/Service Line I Course tJ Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To DisPosal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026{11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~"'/~'-~" Date Installed (~:) ~ r'/ ~ ~/_~ Width of Field ( ? Square Feet of Absorption Area Depression over Field (Y~[~.' Type of Syste? Design Length of Field I ~" / I Depth of Field ')~ Gravel Bed Thickness ~ ~ Standpipes Present'N) Date of Last Adequacy Test Results,of Last Adequacy Test Separation Distance from Absorption Field: · -- To Water-Supply Well '~'~'-~ To Building Foundation "~C:'.'.'~ Lot To Water Mc!=.'Service Line { ~ 5~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line I To Existing or Abandoned System on ; On Adjoining Lots ~ IH'' To Cutbank (if present) , Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date Of this inspection. Skqned ,~ E, ~, E ,::.[,~ ..... ~' :-, Date Com an ~ P Y Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 {11/84) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received K~X 11/25/74 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR VA 11/26/74 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: Smiley's Realty Eagle River AK Cousineau Bldrs. Phone: 694-2114 Phone: Legal Description: Lot 30C, Eagle River Valley Ranchettes Location: Twenty Grand Road Eagle River 5. Type of facility to be inspected 6. Well Data: COMMUNITY A. Type e C. Construction Sewage Disposal System: Single No. of bedrooms 3 B. Depth D. Bacterial Analysis A. Installed 1974''~:' "-':',:.-.:'i73B. Installer Hamilton Excavating C. Septic Tank: 1. Size 1000 gals 2. Manufacturer Hamilton D. Seepage Pit: 1. Absorption Area 396 sq ft 2. Material Concrete E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank · Absorption area , Other contamination 18' , Absorption area 18' C. Absorption area to nearest lot line ,Sewer Lines 30' EQ-034 (1/74) Page 1 of two pages ~ Pa§e 2 of two pages - Re~'~xst for Approval of Individual F~")r & Water Facilities Lot 30C, Eagle River Valley Ranchettes Legal Description Comments Approv Disapproved Date L/ Approval\Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 11/26/74 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)