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Home My WebLink AboutEAGLE RIVER VALLEY RANCHETTES LT 3A ' .IUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION /-.~--~='7~ ENVIRONMENTAL ENGINEERING DIVISION · 825 L Street- Anchorage, Alaska 99501 Telephone 2~720 ~ ON~ITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ~ ~NEW MAILING ADDRESS LEGAL DESCRIPTION LOCATION ~ ~ ~ I NO. OF BEDROOMS Wail PERMIT NO. Liq. ca.city in gallons Inside length Width Liquid depth ~ IF HOME,DE: ~O ~ Well Dwelling PERMIT DISTANCE TO: O z ~ Manufacturer Material Liquid ca.city in ~llons ~ DISTANCE TO: WeT~,, Foundatlon~ Z/ NearestZ~n, PE ITNO. .o. ofline, t Lan,th o~1~ ,oral lenggog~, Trench ~¢ ~ T~ of tile to finish grede ~ ~ 1, Material beneath tile ~y inches Totaieff~ti. absorption area ~ Ty~ of cri~ Cri~ diameter Crib depth To~al eff~fi~ absorption area ~ DISTANCE TO: ~ DISTANCE TO: Building foundation S~r line Septic tank Absorption area(s) PIPE 724)13 (Rev. 3~78) PERMIT iduN [ m_-:-i~"v"~ L [ T'T' DEPARTMENT C. t,-RLTH FIND ENVIRONMEHTRL t..O.ECTION 825 'L' STREET, RNCHORRGE, FtK. 264-4720 OI"4--S 2[ Ti SEI-IEF: LIPGRAIC, E BiRr.1 'r T ( 780281 ) RPPL I CRNT LOCRT I ON LEGRL H.F. VI~.! k¢c~f VTH_~U~iGFI i78 MAN 0 MAR RD L3A ERGLE RIVER VRLLEY RRHCHET LOT SIZE 694 2674 18000 S¢!URRE FEET TYPE OF SOIL RE:SORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RRTING (S6! FT?BR)= 250 THE REOUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: DEPTH= :l ~--I LEI'4GTH= 4El GRR'.¢'EL DEPTH= 6 THE LENGTH DIMENSIOH IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETI4EEH THE SURFRCE OF THE GROUND END THE BOTTOM OF THE EXCRVRTIOH (IN FEET). THERE IS IlO SET HIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETHEEN THE OUTFRLL PIPE RND THE BOTTObl OF THE EXCRVFITION (IN FEET). F-:EQL$ I RED SEPT I C TRI'4K S I ZE= 588 GRLLOI'-IS PERMIT RF'PLICRNT HAS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE IHSTFtLLRTION INSPECTIONS OF FINY 14ELLS RDJFtCENT TO THIS PROPERTY RND THE NUMBER OF RESIDEHCES THAT THE ~IELL NILL SERVE. Ti.lO ( 2 ) I 1'4SPECT I Of-IS RRE REQU I RED BACKFILLING OF RNY SYSTEM NITHOLIT FINRL INSPECTION RHD RPPROVFIL BY THIS DEPRRT£,IENT WILL BE SUBJECT TO PROSECUTIOH. MINIMUM DISTANCE BETNEEN A HELL AND ANY ON-SITE SEHRGE DISPOSAL SYSTEM IS i00 FEET FOR R PRIVRTE 14ELL~ OR 158 TO 200 FEET FROM Fi PUBLIC NELL DEPENDING UPON THE TYPE OF PUBLIC NELL OTHER REOUIREr,IENTS MAY RPF'LY. SPECIFICATIONS Ft~4D CONSTRUCTION DIFIGRAMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. PERt.1 'r T EXP I RE`x, DECEr. IBER _-~-- :1.. I CERTIFY THAT l: I RM FRMILIFIR HITH THE REE~UIREMENTS FOR ON-SITE SEHERS AND IdELLS RS SET FORTH BY THE MUNICIPALITY OF RNCHORRGE. 2: I I, IILL INSTRLL THE SYSTEM IN RCCORD8NCE 14ITH THE CODES. ~: I UNDERSTAND THRT THE ON-SITE SENER SYSTEM MAY REQUIRE ENLRRGEHENT IF THE RESIDENCE IS REMODELE[> TO INCLUDE blOR~THRN 4 BEDROOMS. AF'PLIC~NT 1,1. F. VRN VRLKIN~F:GH GP"'~TER ANCHORAGE AREA BORO~'~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, AI. ASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEh~ SEPIIC TANK: DISTANCE FROM WELt ./~"~)'"J / MATERIAl LIQU,D CAPACITY ( MAILING ADDRESS ,· ~ /4~ PHONE LEGAL DESCR,P,,ON COMPARTMENTS INSIDE WIDTH~DEPrH GALLONS. INSIDE LENGIH SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: t OUTSIDE DIAMETER _ORW.DT. / F .LE.G.. '~¥ ,DEPT. /~Oe3 ~, ; ,' . DISTANCE FROM WELL . BUILDING FOUNDATION TOTAL EFFECTIVE ABSORPTION AREA ~ALL AREA) ~ .SQ. Fl. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA . FOUNDATION. DISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE DEPTH; TOP OF TILE TO FINISH GRADE . NEAREST LOT LINE TRENCH WIDTH TOTAL LENGTH .. OF LINES IN. TOTAL EFFECTIVE .DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: 1.yp~/_~ ~' ~,//--~,~/~'~,~ DISTANCE FROM WALE. , BUILDING FOUNDATION. S~PLE NEAREST SEPTIC SEEPAGE LOT LINE . SEWER LINE . IANK , SYSIEM . CESSPOOL DIAGRAM OF SYSTEM DISTANCES: . NEAREST OTHER ,SOURCES__ DATE GREATEL ANCHORAGE AREA ~, '9ROUGH c=~No. ~ o° tlEALTII DEPARTMENT ~/ 327 Eagle St. Anchorage, Alaska 99501 279-2511 NAME OF APPLICANT.'7';' RESIDENCE ADDRESS LEGAl DESCRIPTION APPLICATION TO INSTALL; SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESULTS SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT ( ) .~/I) MAILING ADDRESS , PHONE NO. LOCATION OF INSTALLATION SEEPAGE PIT .~ ,DRAIN FIELD TO RE INSTALLED BY. ANTICIPATED DATE OF COMPLETION BELOWTO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS ,PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED · SEPTIC TANK SIZE TYPE . SEEPAGE AREA DIAGRAM OF SYSTEM TYPE DISTANCES: Health Authority I 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. · · ,.' .' ~ ' .-.', - HEALTI[ D~PA~T}DIT , · . · ; .., ~SE ~ - · ~' ;' "~ ............ 327 EAG~ - , · , ~-. - ~ ..... ~ , ............. ..*... ~CHO~G~,.~S~ 99501- ~ . -,,.. ~ . , ... ~ ........... ~ .......... .. This Fom Eepo~ts a. So~ls Log ,,~ ~ -~ '-Perbolation Te~ - - ..... ' ~: 'Fee~ Sotl ~a~ac~e~ts~tcs "" ' ~cation Sketch " ': ' ' ....... r~,~..' :..-; :,; ;. "-.' :~; · . Was Gvoun~ water ~ncofinte~a?' '~0 '":; ~ 4 :..' ,... :' .'..I~ Yes~ At.},ha~ Depth. . L, . ,.. -;. / / Eeadlng Date .:' g~*oss' TiMe: ' Nit 'Tlm~" Depth To H20 ', Net Dvo~" ! ' 1 .' '- - -' Frop.)sed Instal~Seepage 'P~ ~ D~'aln Field ...... . Depth Of Inlet ~t .~,. Depth To Bottom Of Pit 0~- T~nch - · COM~EItTS ~ · MUNICIPALITY OF ANCHORAGE .,'., DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION.., ENVIRONMENTAL ENGINEERING DIVISION ,'~ 825 L Street. Anchorage, Alaska 99501 Telephone 264-4720'.' " CERTIFICATE OF INSPECTION SEWER AND WATER FACILITIES 1. PROPERTY OWNER . *. MAI LING ADDRESS 3. TYPE DWELLING ~ SINGLE FAMILY RESIDENCE [] MULTIPLE FAMILY RESIDENCE OTHER (Describe) 4. WATER SUPPLY INDIVIDUAL COMMUNITY/PUBLIC SEWAGE DISPOSAL INDIVIDU. AL/ON-SITE [] PUBLIC UTILITY [] HOLDING TANK (Maintenance Required) ~ APPROVED FOR H BEDROOMS [] CONDITIONAL APPROVAL (See Attached) [] DISAPPROVED 81: Time Date Insp ~'""~IClPALITY OF ANCHORAGE'-''"~ DEPARTMEH,-'Ur HEALTH AND ENVIRONMENT~'rROTECTION 825 L Street,.Anchorao~. Alaska 99501 264-4720 Date Received: 9:.30 ~.M. 82: Time ~ 83: Time \ / 4- 7~78 Thrusday Date 3o I-~ /7~ Date ...Pr~t~A Insp ~( Insp April 21, 1978 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Mailing Address: 2. Property Owner: WF/Anna M. Mailing Address: Van Valkinburgh 170 Man'o War Road 99577 Phone: Phone: 694-2674 3. Legal Description: Lot 3A Eagle River VAlley Ranchettes subdivision 4: Single Family Residence: (x) Number of Bedrooms: Four Multiple Family Residgnce: ( ) Number of Bedrooms: Se Well System: Permit # Construction Individual Well ( ) Community/Public System (x) Depth of Well Well Log on File Bacterial Analysis ( ) e Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System Installed /Do o (xk Public Utility 1969 ' Installer Manufacturer ~.~. ~- Rate Soils Distances: Well to Septic Tank to Sewer Line Nearest Lot line to Nearest Lot Line ( ) Material ~ to Absorption Area Absorption Area *7' MUNICIPALITY OF ANCHORAGE !)Department of Health and Environmental Protection / 825 L Street, Anchorage, Alaska 99501' 264-4720 ~equest, for Approval of Individual Sewer and Water Faczlzfies 1. Property Owner. W.F, ~A~n6,~, Mal-zng Address: ~qJ/i ~'v¢~t~. 33A-77 Phone: 2: Name of Buyer: Mailing Address: Phone: e ® Lending Institution: Mailing Address: Phone: :Realtor/Agent: Mailing Address: Phone:~D~-a]]~ Legal Desc.r. iption: Street Location: Single Family Residence: (~ Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply:_ * Individual Well ( ) Public/Community System If Individual Well, well depth If Community System, name of system 8. Sewage Disposal System: *~n-site System (~ Public System ( ) If On-site System, date of installation: ' ~'-~IV ~ ~D ' ' *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 t~age Two Request for Approval of Department of Health'and Environmental Protection Individual Sewer and Water Facilities Legal Description: Lot 3A Eagle River Valley Ranchettes Subdivision Comments: Affadavit Attached: ( ) Approved: Disapproved: Letter Attached: Date: Date: ( ) ~partment Worksheet: May 3, 1978 I?.F. Van Valkenburgh 170 ~agle River, Alaska 99577 SubJect~ Lot 3A Eagle River Valley Ranchettes Subdivision The percolation test performed on the subject property failed to pass the ddequacy test. Therefore, before we may approve thu request an upgrade of the syst~n will be necessary. The upgrade would include: (1) Addition of a 500 gallon septic tank to the ~xisting 1,000 gallons. (2) Installing e forty~40) foot trench with si.x(6} foot of gravel belowthe drain pipe. The tsench should be installed in conjunction with the seepage pit, A pemit is required before any construction begins. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, Sanitarian