HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 30A
MAILING Ap~RESS
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~ ~0 0 ...~' PHONE
NEW
~PGRADE
LOCATION . /
~ LiM~aclq jn gallons I ........... /[ Insid~ngt h Width
~= mSTANC[TO: I~/ ~ ~ ~ ' /~
~ ~ ~ No. of lines ~ ~na~ each~n~ t Total legalizes Tren~wi~h
ND. OF BEDROOMS ~
Liquid depth
PERMIT NO.
Liquid capacity in gallons
Distance between lines
PERMIT NO.
Septic tank Absorption area(s)
< t- Type of crib Crib diameter Cr pth
uJ Well Building fou~ndatlon
v~ DISTANCE TO:
..4 ~' ~Z~ Z/~- ~ D~PT. 0 HEALTH &
OTHER 'SEP 1 q i 8z
PERMIT NO:
DATE ISSUED:
~-~UN I C^PAL ITY OF ANE~'~ORAGE
DEPARTMENT OF HEALTH 'AND ENVIRONMENTAL PROTECTION
825 L STREET, ANCHORAGE, AK 99501
ON--S ITE
840750 UPGRADE
09/05/84
APPLICANT:
ADDRESS:
CONTACT PHONE:
MARK H. ~R. SMOOT
BOX 50 WAR ADMIRAL
EAGLE RIVER, AK 99577
694-2850
LEGAL,DESCRIP: SUBDIVISION: E. R. VALLEY RANCHET LOT: 50A
SECTION: 7 TOWNSHIP: 14N RANGE:
LOT SIZE: 22500 (SQ.FT. OR ACRES)
BLOCK: NA
I certify that:
1. I am familiar .with the requirements for on-site sewers and wells as
set
forth by the Municipality of Anchorage (MOA) and the State of. Alaska.
I will install the system in accordance with all MOA codes and regulations~
and in compliance with the design criteria of this permit.
I will adhere to all MOA and State of Alaska requirements for the set back
distances from any existing wel~, wastewater disposal system or public
~ewerage system on this or any adjacent or'nearby let.
IF A
THEN
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT~
ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN.
SIGNED ~_ _~_~/~_~__ DATE:
APPLICANT: MARK H. JR. oMGOT
LIFT STATION IS INSTALLED IN AN AREA COVERED,BY MOA BUILDING CODES~
(1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED~ (2) AS-BUILTS
AND (3) THE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchotag$, Alaska 99S01 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PEROOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
SLOPE" SITE PLAN
_ -3 -' .'-
',
~ WAS GROUND WATER
~ - ~ ENCOUNTERED?
* ~ P
12 IF YES, AT WHAT ~ E~
13 ~ ~ DEPTH?
Ja - . .... Gross Net Dap h to Net
~5~ ' ~.0.~, ' ~'~
.~:~,. , . ., ~,.~ ~ ~..
19- ~*~.e~ _~.~**F.~ // ~ ,_ ~ .~ ~. ~ //
~~' TEST RUN BE~EEN
PERFORMED BY:
72-008 (6/79)
CERTIFIED BY:
GRE .R ANCHORAGE AREA BOP"'IGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME (~,47'~[,~¢~ta, MAILING ADDRESS PHONE
SEPTIC TAN K:
DISTANCE
FROM WELL
INSIDE LENGTH
INSIDE WIDTH
NUMBER OF
MATERIAL t~['TC COMPARTMENTS -~f
LIQUID DEPTH lIQUID CAPACITY /~O GALLONS.
SEEPAGE PIT:
NUMBER OF PITS I , DIAMETER ~t(/
LINING MATERIAL ~CI~.. CRIB SIZE:
. OR WIDTH /~I LENGTH/b". DEPTH /~!
DIAMETER DEPTH ~-.~' DISTANCE FROM:
TOTAL EFFECTIVE
WELL
BUILDING FOUNDATIONe~ , NEAREST LOT LINE__
ABSORPTION AREA (WALL AREA}
ADDITIONAL ABSORPTION
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
REMARK5
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
TANK , SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAL.'
LOT SLOPE=
REMARKS:
Form No. EQ-031
DATE
DIAGRAM OF SYSTEM
~.~
GreATER ANCHORAGE Area BOROUGH
SEWAGE DISPOSAl. SYSTEM m APPLICATION AND PERMIT
LEGAL DESCRIPTION
PHONE
OTHER
HOTEr THIS PERMIT I$ NOT YAI*ID WITHOUT SOlE 'I'EST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE: ~UBJECT TO PROSECUTION.
SEEPAGE AREA SIZE
TYPE
MINIMUM DISTANCES. REQUIRE:MEN'IS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT 4~ ~ DRAIN FIELD
SEPTIC TANK *~ SEEPAGE PIT 20 DRAIN
TO N~.~S~ COT LINt.
WELL TO SE"lC TANK /d~ SEEPAGE PIT
DIAGRAM OF SYS*Tr*M
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK./_~ ~ SE[PAGE PIT
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP DF
EXCAVATION S FEE'r INTO UNDISTURBED SOLE..
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
GRAVE:I. BACKFILl.
CONFORM TO BOROU EGULATIONS REGARDING INSTALLATION.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTE OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2S.6E AND THAT THE ABOVE
MUNICIPALITY OF 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. ff 0.5'-0 - ~7~'-~.'Z..
1. GENERAL INFORMATION
Complete legal description
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
Agent
Day.phone
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ~
TYPE OF WATER SUPPLY:
Individual well
Community well ~-
Public water
Day phone
Day phone
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
Be
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 App,'oval 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 inves.t~ation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regu~f'~ [l~eo~.~n the date of this inspection.
20210 Donalar St.
Name of Firm Chugtak, Aluka ~s67 Phone
Address
Engineer's signature
DHHS SIGNATURE
J/~Approved for
bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations.:
Additional Comments
By: Date
The Municipality of Anchorage Department of Health and Human Servlces (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 purchaser= 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 error= or omissions in the professional engineer's work.
Municipality of Anchorage ,~
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
/.,~.-_~,4-., .
Legal Description: ~--~,~..,r-,~,,e~ //,9~./a¥~ Pamel I.D.o.5"~ .- Z.2.,~ - z.z_.
A. Well Data
Well type ~ov~,~
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
If A, B, or C, attach ADEC lette~. ADEC'water system' number '~$ s o Z/o,E, 7.~
Date completed Driller
Cased to Casing height
Wires properly protected (Y/N)
FROM WELL LOG
Date of test
Static water level
Well flow
Pump level1
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
AT INSPECTION
g.p.m.
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Sewer service line
Petroleum tank
WATER SAMPLE RESULTS:
Coliform Nitrate
Other bacteda
Date of sample:
Collected by:
B. SEPTIC/HOLDING '~ANK DATA
·
Date installed
Cleanouts (Y/N) Y
High water alarm (Y/N)
Date of pumping
Tank size ~--~:~ Compartments
Foundation cleanout (Y/N)
~'-//~- Alarm tested (Y/N) ~ * ~//,,~
7/~'~/'93 Pumper .~, ~'~'~
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot
To property line
Surface water/drainage
On adjacent lots
Absorption field
/'~o-r--
Foundation
Water main/service line ~-~'-~'
~2.ms ~3)' Fret cONTINUED ON BACK PAGE
C. UFT STATION
Date installed
Size in gallons
Vent (Y/N)
High water alarm level
Meets MOA electrical codes (Y/N)
'Pump on' level at
Manufactumr
Manhole/Access (Y/N)
"Pump off' Level at
Cycles tested
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
Sudace water
D. ABSORPTION FIELD DATA
Date installed ~/1~/~¢
Length ~' ~'5'~
Total absorption area
Date of adequacy test
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
Soil rating (GPD/FF) IcJo ''~
Width ,,2- Yz.- Gravel thickness
"~C,,C> ~P Cleanout present (Y/N)
~ J ~./~'.'3, Results (pass/fail)
,//,'
Y
System type -~
Total depth 7
Depression over field (Y/N)
for ~ Bedrooms
After test ~ ~'~,--
· If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots
Surface water
/~/'/~c--- On adjacent lots Property line / 7_
~ To existing or abandoned system on lot ~ .-/,~
~Z~ ~. Cuthank .~, ~'E,-- Water main/service line
I o O-Y' Driveway, parking/vehicle storage area Z.-.~-Y'-
Curtain drain
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on th~ l;t~te of this inspect/on.
En_lneefs Name ~:,.- , -,-,-----~__ _ __.~ .., ~
HAAFee$ /~;;~3 '~'~) WaiverFee$
Date of Payment '~Z-'~ ~,.-~,~ Date of Payment
Receipt Number ~ z/Z~ ~'~ ~ 4:~/~.~ .2 Receipt Number
72-(3~6 (3/93)' Back
DEPT. OF I~N%rlRONMENTAL CONSEIIVATION
ANCHORAGE DISTRICT OFFICE
800 E. DIMOND BLVD., SUITE 3-470
ANCHORAGE, ALASKA 99515
! WALTER J. HICKEL, GOVERNOR
(907) 349-7755
July 21, 1993
Mr. Dick Dayton
20210 Donalar
Chugiak, AK 99567
SUBJECT:
Lot 30A (18850 War Admiral Road, Bonnie Way); Eagle River Valley
Ranchettes; Norfolk Utilities Class "A" Public Water System, PWSID
#210875
Dear Mr. Dayton:
I have completed a review of this office's ill(is concerning the monitoring status of the
above-referenced Class "A" Public Water System and found the following:
The last satisfactory Total Coliform Bacteria Sample results was submitted
to thls Department on June 11, 1993. This does meet the provisions of 18
AAC 80.200(a) of the State Drinking Water Regulations.
The last Inorganic Chemical Contaminants sample results were submitted
to this Department on February 19, 1993. This does meet the provisions
of 18 AAC 80.200(a) State Drinking Water Regulations.
The last Radioactive Contaminants Sample results were submitted to the
Department on January 28, 1993. This does meet the provisions of 18 AAC
80.200(a), State Drinking Water Regulations.
The last Organic Chemical Contaminants/Volatile Organic Chemicals (VOC)
were submitted to this Department on February 19, 1993. Based on
analysis of the previous VOC samples results have been satisfactory. This
does meet the provisions of 18 AAC 80.200(a), State Drinking Water
Regulations.
Issuance of this letter does cot imply that the above-referenced Class "A" Public Water
System is in compliance with other provisions of the State Drinking Water Regulations.
Unless otherwise noted, this letter is valid for 30 days and is for the specified legal
description noted above only.
If you have any questions on the above information, please do not hesitate to contact this
office at 349-7755.
Sincerely,
Michael Lu
Environmental Eng. Asst. II
KkK/na
D. R. DAYTON, P.E., R.L.S.
]~x~l~]~ Chugiak, Alaska 99567
20210 Donalar
(907) ]~l~xx~l~
696-2417
July 26, 1993
ADEQUACY TEST
Legal Description: Lot 30A, Eagle River Valley Ranchettes
Date of Test: July 20, 1993
Septic Tank: 1000 gallon, 1 Compartment, concrete tank 500 gallon, 1, compartment, steel tank
Absorption System: 95' long x 2%' wide x 4' effective depth trench
Soils Rating: 190 sq. ft. per bedroom
Requirements: 4 BR - 600 gallons per day
Test:
Water was pumped into the absorption trench while measuring volume,
time and liquid level rise. After pumping was stopped, the liquid level
drop was measured at timed intervals.
The results were plotted on a graph of time and gallons absorbed,
and extrapolated to 24 hrs.
Results:
The absorption system is currently functioning adequately for a
4 bedroom home.
STATE OF ALASKA
DEPAR"rMEN'r OF ENVIRONMENTAL ¢ONSFRVA?ION
APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS
PROPERTY DESCRIPTION
18850 War Admiral Road (Bonnie Way)
Eagle River Valley Ranchettes
Norfolk Utilities PWSID no.210875
This approval does not constitute a guarantee of any kind, explicit or Implied, as to the performance
of the water supply and wastewater disposal systems.
WATER SUPPLY
A recent water sample was tested and found to meet Department of Environmental Conservation drink-
lng water standards for total coliform bacteria.
Eng. Asst. II
WASTEWATER DISPOSAl.
The domestic wastewate~ern was:
[] Inspected by the Departmen"h,o.f Environmental Conservation and~und to be In compliance with
applicable requirements of 18 ~2; ~
[-I Inspected by a Professional Englnee~,,~ho certifies tha~,,~e system complies with applicable re.
qulrements of 18 AAC 72; ~ /
[] Installed by s Certlfl~o certifies3.h~the system complies with applicable requirements
of 18 AAC 72; or / ~
[] tested by a Professional En~ certifies that thg",p, erformance of the system is satisfactory
and Ihat Ihe system com~_mum separat~istances specified In 18 AAC 72.
This approval Is vall~,~d' single family II multi-family unit ~total of . bedrooms.
040,1 (ney. 1~85lDISTRIBUTION: WHITE--BANK/LENDING INSTITUTION; CANARY--APPLICANT; PINK--DEPARTMENT
DIVISION OF ENVIRO~IE,NTAL HEALTH
DEPAI~2~ OF HEALTH ll~ E~VlR0,~fl~h'TAL PR0~ECTION
A~PLICATION FOK HEALTH AUTHOKITY A~PROVAL CERTIFICATE
General Information
Application Date
(a)
Legal Description (include lot, block, subdivision, section, township, range)
Location (address or direction)
(b) Applicants Name
Telephone - Ho~e- Business
Applicants Address g~eTo ~,~ ~o~c
(c) Applicant is (check one) Leading Institution
Buyer~--~; Other~-~(explain)i
(d) Lending Institution
Telephone
Address
(e) Real Estate Co. & Agent
Address
Telephone
Mail the IIAA to the following address:
2. Type of Residence
Single-Family.~.
~umber of Bedrooms
3. Water Supply
Individual Well~
Hulti-Famlly
Other (describe)
Note: If community ~ell system, must have written confirmation from the State
Department of Enviroumental Co~ervation attesting to the legaliLT and status.
Sewage Disposal
Note: If community well system~ must have written confirmation from the State
Department of Enviroumental Conservation attesting to the legality and status.
[Page 1 of 2]
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 show~ that the on-site
water supply and/or wnstewater disposal system is safe, functional and adequate for
the ~-mber of bedrooms and ~Tpe 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, amd regula-
tions in effect on the date of this inspection.
.ware of Firm
Telephone ~'{~ I- %-0 ~(O
CA~TION
THE MUNICIPALII"f OF ANCHORAGE ~EPAI~TM~NT OF HF~LTH AND ENVLRO~/~ENTAL PROTECTION
(DH~P) ISSUES ~.ALTH AUTEORII"f APPROVAL CERTIFICATES BASED SOLELY Ui:ON THE REI~R/~SENT-
ATIONS GIVEN IN PARAG]1APH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER
IN ~u~ STATE OF ALASKA. ~ ~t~P DOES THIS AS A COURTESY TO PURCHASERS OF itC~V~S AND
T~EIR LENDING INSTITUTIONS IN O~DEK TO SATISFY CERTAIN FEDERAL AND STA~E
MENT$. EMPLOYEES OF D~EP DO NOT CONDUCT INSPECTIONS OR ANALI"ZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR
OK C~4IS$IONS IN TH~ PROFESSIONAL ENGINEER'S WORK.
(D~z~ SZAL)
KK~/e3/D18
[Page 2 of 2]
C~E(~LIST- ~k~dRIIARY 1984
Well Classificatio~ ¢¢~ ~
Total D~pth ~ Cased to
Static ~ater fa~el ~
Casfn~ seight Abo~ Ground ~
Electrical Wi~in~ in (k~x~uit (Y/N)
Sepa=ation Dis~anc~s f=~m Wellt
To se~tic/Holdin~ Tank ~ Lot
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
APR $ lg85
If A, B, ~ C, D.E.C. ~d~) y.>
~ ~d ~ Yield w~
Sanita=y Seal ~n Casin~ (Y/N) ..
Se~=essi~ Arour~ Wellhead (Y/N)~a
~-? too ; C~ Adjoininq Lo~ ~?~'
B. $~£~C/B)LDII~ [I%TA
[Page 1 of 21
TO Building Fc~u~laticn~
To Disposal Field ~2/ '
TO Strewn, Pond, Lake, c~ Major Drainage
Date
2-1S-84
C. A~)~%GN Finn ~
De~ssi~ ~ Field
Separation Distano~ f=~m A~s0~gti~ Field:
To Wate=-Su'~ply Well~?~[~o' To P=cDerty Line ~- /~'
Si~e in Gallc~s~
"~-,~ on' ~e,~l at ~
~i~h Water Alarm Level at
Ele~i~ ~s(Y~)
Dimensic~s
m~nho~/ao~ss
~ O~f" [e~sl at
Fun~ir~ ~es
~ent
** Che~k Pez~itted Bedroom Ratir~ AGainst F~A B~quest **
I certify that I have ~%e~ked, ~:ified, c= conrad to all ~ ~AA Guidsli~s in effect
on the ~ate
[Pa~ 2 of 2]
Date 3-1~-~ ~-
2-15-84
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN DISTRICT DFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA g9501
BILL SHEFFIELD, COVERNOR
Telephone: (90,7]
Address:
274-2533
Pws ~.o.~ ,¢/~ 70-~
To Whom it May Concern:
According to records on file in this office the ~/~,y~yo '-~v~..?/~l/~f~
~-.)WO//r~-Fs ~oT,~.~Z)Water System is in compliance with the S~ate Drinking
Water Regulations
'~" -'<::':'= ~'IU[I I C I PAL ! TY OF ANCHORAG E ,.~,EAGLE RIVER AREA
I~%~/ : 825 -L Street, Anchors--. Alask¢' 99501
'.~' ' ~' U~ ~' ~5~ 264-4720
~ L~' ' Date Received: Dece~er 6, 1977
~1: Time ~',~ ~2: Time ~q~-%~% {,,~ ~3: Time
Date ~2-~1-~ ~ Date ~ ,~ - I ~1-~3 ~IL~ Date
Insp . Insp Q%c=~. Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: Alaska Pacific B~nk
Hailing Address: Post Office Box 420 99510 Phone: 276-3110
2. Property Owner: Eugene Bruder Phone:
Mailing Address: % Kerry Maxwell, Marston Real Estate 272-2533/
3. Legal Description: --Lot 30A Eaqle River Valley Ranchettes Subdivision
Single Family Residence: (x) Number of Bedrooms: Three
Multiple Family Residence: ( ) Number of Bedrooms:
Well System:
Permit ~
Construction
Individual Well ( ) Co~..munity/Public System (x)
Depth of Well Well Log on File
Bacterial Analysis
( )
6. Sewage Disposal System: On-site System (x) Public Utility ( )
Permit ~ Installed Iq~LI Installer __~,~a~l
Septic Tank Size J,l~,~'"~ ~.~5____Manufacturer ~
Absorption Area ~' Soils Rate Material
7. Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
~) J~UNIOPAUT~ OF ANCI~O~AG2
DEPT. OF flEAiTH ~',
MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL P~OT,~criON
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 99501 DFC ~977
279-2511, ext. 224, 225
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES RECEIVED
1. Type of Inspection:
2. Property Owner: Eugene Bruder
VA FHA CONY
Mailing Address:
Name of Buyer: Mark H. Smoot, Jr.
Mailing Address: P.O. Box 4-1379, Anc
Name of Lending Institution: ALASKA PACIFIC BANK
Mailing Address: P.O. Box 420, At<lC 99510
5. Name of Realtor or Agent: KeL'[~zy Maxwell
Harston
Mailing Address: 2804 W. Northern Lights
Anchorage, AK 99503
6. Legal Description:
Phone:
iot 30A, Eagle River Valley Panchettes
Day Phone:
Day Phone~ ....
Phone:._ ~2.6-3110
272-2533
Z76'2804
Location:
7. Type of Facility to be Inspected:
B. Water Supply
Type of Supply:
Cu~u,c~tity Well
Public Utility
single family dwelling No. Bdrms.
Individual
If Individual, number of dwellings presently served
If Individual, depth of well
~ewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual (on-site)
U~ee (3)
enclosure: CC check for $25.00 for ~nspection fee
Pa~e Two.
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 30A Eagle River Valley Ranchettes Subdivision
Comments:
Affadavit Attached:
Disapproved:
Letter
Date:
Date:
Department Worksheet:
August 12, 1977
;~-mus Dundy
Star Route i Box 50
War ~1~iral Road
Eagle River, Alaska
99577
Subject: Lot 30A Eagle River Valley Ranchettes
The on-site sewer system for the subject lot
was originally designed, ~nstalled and approved
for a three(3} bedro~ single family dwelling.
If there arc any further questions, please contact
this office at 279-2511, extension 224 or 225.
Sincerely,
.Les }~. Buchholz,
.' Sanitarian
I2m/lJh
#1: Time
,,--.-,MUNICIPALITY Of ANCHORAG~.,~,
DEPARTME 3F HEALTH AND ENVIRONMEN~PROTECTION
825 L Street, Anchorage, Alaska '99591~ i_ I_ · ~'
279-2511, ext. 224 or 225
Date ~eceived: May I8, 1977
~2: Time #3: Time
Date f~-~-~q ~n~ Date Date
Insp %;~,~t.~, ~ Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: Coast Mortgage Company o~ ~,,
Mailing Address: Post Office Box 1200 99510 Phone: 279-06~5
2. Property Owner: Armas M. Bundy
Mailing Address: Star Route 1 Box 50 99577
Phone: 694-9552
3. Legal Description: Lot 30A Eagle River Val%ey Ranchettes Subdivision
4: Single Family Residence: (x) Number of Bedrooms: / ~ ~
Multiple Family Residence: ( ) Number of Bedroom~
Se
Well System:
Permit #
Construction
Individual Well ( ) Community/Public System (x)
Bell Utilities
Depth of Well Well Log on File
Bacterial Analysis
( )
e
e
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
On-site System (x) Public Utility
Installed
/~ Manufacturer ~z~/~
~/~' Soils Rate /~'~/~' Material
Distances: Well to Septic Tank ~//~. to Absorption Area
to Sewer Line
Nearest Lot line
Absorption Area
to Nearest Lot Line
~ t"'~MUNICIPALITY 'OF ANCHORAG''''%
~ 'Department of Health and Environmental Protection
[~.~j ' '' 825 L Street, Anchorage, Alaska 99501
~,,~;~ 279-2511, ext. 224, 225
~equest for Approval of Individual Sewer and Water Facilities
e
Property Owner:
Mailing Address: ~ /~E /. ~m~ ~~~9, ~, ~.//]~Phone:
Name of Buyer:
Mailing Address: ~7~, /~r6/, ~_~' ~5-~ ~/~ ~,~m~, 4~d Phone:
Lending Institution: ~ ,~ /~/~3~ ~ ·
Mailing Address: P~ ~
Realtor/Agent: ~6.~, ~/
Mailing Address:
Legal Description: ~ ~ ~ ~
Street Location: /V//A/ ~/~/z
Single Family Residence:
Multiple Family Residence:
Phone:
Number of Bedrooms:
) Number of Bedrooms:
J
Water Supply: *Individual Well ( )
If Individual Well, well depth
If Community System, name of system
Sewage Disposal System: On-site System
If On-site System, date of installation:
Public/Community System
Public System ( )
*NOTE: A well log is required on ALL wells drilled
3/77
since 6/75.
~NICIPALITY OF
DEP'I'. O~ I-I".~A'..TH
£NVlkOb','.':N~ AL P~OTECIiSN
I:'IAY 1 8 lgZ/
RECEIVED
Department of tIealth and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 30A Eagle River Valley Ranchettes Subdivision
Affadavit Attached: ( )
Department Worksheet:
Letter Attached: ( )
Date:
Date:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received 8/27/74
Time of Inspection
Date of Inspection 8/27/74
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by:
Mailing Address:Fnol~ R(w~ A~
2. Property Owner: SA~
Mailing Address:
VA
Phone:
Phone:
4.
5.
6.
Be
Legal Description: Lot 30A Eaqle River Valley Ranchettes
Location: War Admiral Road
Type of facility to be inspected
Well Data: Comnunity
A. Type
C. Construction
Sewage Disposal System:
A. Installed 1974
C. Septic Tank: 1.
D. Seepage Pit: 1.
E. Disposal Field:
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
C. Absorption area to nearest lot line
Sinqle
No. of bedrooms
B. Depth
D. Bacterial Analysi!~.~~.
B. Installer Hamilton Excavating
Size lOCK) gal 2. Manufacturer Hamiltnn
Absorption Area 16ylRxl~ 2. Material C~nr~t~
Total length of lines
, Absorption area
, Other contamination
R' , Absorption area
Sewer Lines
30'
EQ-034 (1/74) Page 1 of two pages
P~ge 2 of two pages - Req.¢st for Approval of Individual S...er & Water Facilities
Legal Description
Comments
Approved ~;~l ~'~. ~~ sa pproved
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the infomation 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)
August 29, 1~74
Veterans ~t~ministratio~)
429 D. Street
~ci~orage AK g~501
SUDO£C?: Lot30^, Eagle ~iver Valley ~ar~c~uttes.
~ar Sir:
Tae subject lot is not availaule to public sewer, and it is not econom-
ically feasible to serve the lot with public sewer at UHs tt~e.
The sewer system, if installed to local specifications, should provide
adequate scwage disposal until suc~ time as public sewer t$ available.
~ subject lot is served wt~ co~unity water.
Sincerely,
Lynn Coad
Sanitarian II
sr