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Home My WebLink AboutEAGLE RIVER VALLEY RANCHETTES LT 31AV $ A- MUNICIPALITY OF ANCHORAGE ~ D~'=%.RTMENT OF HEALTH AND HUMAN SEF ~E$ --.Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502. Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name TANKS DISTANCES SEPTIC [] HOLDING / TYPE OF SYSTEM [] BED [] W. DRAIN [] OTHER SEPTIC ABSORPTION TANK FIELD WELL ~ ,~ ~- .3~o ~' WELL LOT LINE /o FOUNDATION I /-/-..q 'T // FT 0 FT ~'-[- FT /4'/ FT "~ FT H SE -Ja~':_, I D~Slance bet we~n lines ~ 7,2. SO FT ///4 FT -- / , , ~IVATE ~ OTHER {Identify) FTJ FT DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 PERMIT NO: DATE ISSUED: ON--S I TE 850580 09/11/85 SEWER ~ WELL APPLICANT: 'ADDRESS: CONTACT PHONE: RHIO BYERS TWENTY WAR ADMIRAL EAGLE RIVER, AK 99577 694-9579 LEGAL DESCRIP: LOT SIZE: MAX BEDROOMS: .SUBDIVISION: E.R.VALLEY RANCHETTE ~OT: SECTION: 7 T0WNSHIP: 14N ' RANGE: 18088 (SO.FT. OR ACRES) 5 5lA BLOCK: NA 1W ~' Listed below are .the options available to you in designing you~ septic system. Choose the option that best ~its your site. TRENCH BED W. DRAIN DEPTH TO PIPE BOTTOM (FT.) 4.0 4.0 4.0 GRAVEL DEPTH (FT.) 7.0 '0.5 5.5 TOTAL DEPTH (FT.) 11.0 4.5 7.5 GRAVEL WIDTH (FT.) 2.5 19.0 5.0 GRAVEL LENGTH (FT.) 52.0 ~56.0 49.0 GRAVEL VOLUME (CU.YDS.) 22.5 25.4 56.5 TANK SIZE (GALS) 1,000.0 ** 1,000.0 ** 1,000.0 ** SOIL RATING (SO.FT./BR) 149 150 150 ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS I certify that: 1. I am ~amiliap with the requirements ~or on-site sewers and wells as set forth by the Municipality o~ Anchgrage (MOA) and the State o~ ~laska. I will install the system in accordance with all MOA codes and~.~egulations, and in compliance with the design criteria o~ this permit. 5. I will adhere to all MOA and State o~ Alaska requirements ~or the set back distances ~rom any existing well, was£ewater disposal system op public sewerage system on thi~ or any adjacent or nearby lot. 4. I understand that this permit is valid ~or a maximum o~ 5 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,' THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT ~E APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (5) THE ELECTRICAL.WORK MUST BE DONE BY A LICENSED ELECTRIGIAN. SIGNED ~ .... APPLICANT: ISSUED BY MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION S25 L. Street, Anchorage. Alaske 99501 264-4720 SOILS LOG -- PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: ~-)~'~J~'~'~'~'~' ,~S~,,'~./C~,~,~'~.~."/- ~ Co'~.,~ "J-*.. DATE PERFORMED: LEGAL DESCRIPTION: · 2- · ; .. 3_ 4-~. ~_~.. 12- ' ' 17- 'J 18- ~ SLOPE SITE PLAN WAS GROUND WATER /~_~ ENCOUNTERED? IF YES. AT WHAT DEPTH? S 0 P E ~ Gross 14 - ;). // Reading Date Time 15 ,6- ~,..,. ............. :~ ~ ~ . ~ ~ P~N RATE /~ ~ (minutes/inch) TEST RUN BETWEEN FT AND FT Net Depth to Net Time Water Drop DATE: GRE.,'~.'.R ANCHORAGE AREA B0P"hGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~'~(.~'~(~,~,/e/~.~ MAILING ADDRESS PHONE SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER /'//,~ ~,//L 7'OAJ INSIDE WIDTH MATERIAL NUMBER OF COMPARTMENTS LIQUID DEPTH I IQUIO CAPACITY /(~ GALLONS. SEEPAGE PIT: NUMBER OF P,TS I D,AM~ER ~V' OR W,DT. /~'. LENGT. /~'~ DEPT. L,N,NGMATER,AL~t~I~ CR,BS,ZE, D,AMETE.~'DEPT. &'D,STANCEFROM, W~ BUILDING FOUNDATION ~1, NEAREST LOT LINE ~1 TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ADDITIONAL ABSORPTION WELL: /' __ TYPE ~"~/~ f/" I"A/;~'~ CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC FOUNDATION LOT LINE SEWER LINE TANK __ CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form NO. EQ-031 DATE (./I~.A.A.B. GREATER ANCHORAGE AREA BOROUGH SEWAGE DISPOSAL. SYSTEM m APPLICATION AND PERMIT PERMIT NO. PHONE OTHER HOTE~ THIS PERMIT IS HOT VALID WITHOUT ~OIL 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. TYPE "EPAG P'T I0Gl DIAGRAM OF SY~ZTEM WATER MAIN TO SEPTIC TANK DRAIN FIELD IDD ~.A,. ,,E~D CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION B FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRCN SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT IFI~'ED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO ~3OROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF CREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-B8 AND THAT THE ABOVE Municipality of Anchorage DEPARTMENT OF HEALTH & ENVIRONMENTAL pRoTECTIoN POUCH 6-650 ANCHORAGE, ALASKA 99502 279-2511 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES I. TYPE OF LOAN r'q VA [] F.H.A. I-I CONV 3. LENUING INSTITUTION ,~1~,',1~ Peoples Bank and Trust ,',,gu~F~ Pouch 7-007 Mortgage Loan Section Anchorage, Alaska 99510 A~ T;~: rH :~:!: 279-7511 5, SELLER A~9~5 Box 20 War Admiral Drive Eagle River, Alaska 99577 2. ASSESSORS PARCEL NUMBER 4. REALTOR OR AGENT r.~t,:£: AD[~3[SS: 6. BUYER [:AY F H ,5,;:::: 694-9257 7. LEGAL DESCRIPTION Lot 3lA Eagle River Valley Ranchettes 8. LOCATION/STREET ADD R ESS $. TYPE OF nWELLING O~~, Z~ SINGLE FAMILY RESIDENCE.~7~RDRMS [] MULTI-FAMILY RESIDENCE.~BDRMS 10. WATER SUPPLY 11, SEWAGE DISPOSAL SYSTEM J~UBLIC UTILITY, Bell utilities ~ PUBLIC UTILITY ~ PRIVATE ON.SITE X~ON*SITE 1974 YEAR INSTALLED INSTRUCTIONS TO REQUESTOR 1. Complete Items 1 to I1 above 3. Send to address above 2. Remove the carbon 4. Please allow 10 days for processing DATE RECEIVED DATE OF__ __INSPECTION TYPE CDNST.UCTION / /'3 YEAR INSTALLE'DI INSTALLER j ~= DIMENSIONS ~ PiT ~-~' [] nJSPOSAL TOTAL LINE LENGTH ~ FIELD TOTAL ABSORPTION AREA FT. ITRENCH 5. Response will be returned to lending institution TIME OF INSPECTION INSPECTOR nE YEAR I BACTERIAL ANALYSIS LAB REFERENCE NO. PERMIT REFERENCE MANUFACTURER TANK SIZE lOOO CRIB CONSTRUCTION DEPTH GRAVEL DEPTH FT. PERMIT REFERENCE FT. 72010 (11/76) ~ , -, SEPTICTANK :",; ': ARSORPTIONAREA ...' I SEWER LINES ~ ., ,,' . LOTLINES/ / OTHER WELLTO: I " - '"" "' J SEPTIC TANK , n APPROVED n CONDITIONAL APPROVAL ..... -- - · i-1 D~SAPPROVED n UNABLE TO INSPECT DATE INSPECTOR ~'"' "~-% '"' DIAGRAM OF SYSTEM ........ L_ '. ....... . . ..... I [ I- l ........ t,, .;- [ ...... t' 1 ..... I I .... /, ! / ! / / / , T' : / ~ ! , I i I ! !" ', + L ', i t i t L:'-, '/ 't IL'' --4H-- - [-.L_L_ L_..$__L__L__L_./I__ [.L__L__L..~L__L_I.] [_~1___1 L .... ,I J : i * / i :i I / t J / i -J! I J j J Ii il-'i [ 'l ' J J I ' I I' i'..T-,' i iT. ' , ~ - - l I-l-"J-- I , -i "J--I-I ''.I '!"I j ~1 .~ :J ,.I 'l' J J , I I I , i I i I I ! I : :I : , ~ , I :.~I ~ , I I -- ~ I I I I 'J I i I [ I'1 I --I : I I i : 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 facTGties are operating satisfactorily. DATE _ SIGNATURE _ Municipality of Anchorage DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ; POUCH 6-650 ANCHORAGE, ALASKA 99502 279-2511 II ,)',Il' 1 I /~ Ahr, REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. TYPE OF LOAN I-I VA n F.H.A. [] CONV 3. LENDING INSTITUTION .:','~E Peoples Bank and Trust .... Pouch 7-007 Mortgage Loan Section Anchorage, Alaska 99510 ~,:r: ', ;;:~*:- 279-7511 5.' SELLER 6. BUYER ':,..'--' Claramae Wehrer ..... Box 20 War ,Acl~iral Drive Eagle :Rlvere Alaska 99577 2. ASSESSORS PARCEL NUMBER 4. REALTOR OR AGENT 7. LEGAL DESCRIPTION 8. LOCATION/STREETADDRESS Lot 3lA Eagle River Valley Ranchettes 9. TYPE OF DWELLING 10. WATER SUPPLY SINGLE FAMILY RESIDENCE ~ BDRMS I1. SEWAGE DISPOSAL SYSTEM :~°UBLIC UTILITYe Bell Ut"ll~Ltiel [] PUBLIC UTILITY r-i MULTI-FAMILY RESIDENCE__BDRMS [] PRIVATE ON-SITE 3r~l~O N*S IT E 1974 YEAR INSTALLED TYPE: t'4.~.y 27, 1977 [] SEEPAGE PITS: [] DRAINFIELD: DEPTH: ..... BACTERIAL ANALYSIS DATE RECEIVED DATEINSPECTED INSTALLER DIMENSIONS CRIB CONSTRUCTION TOTAL ABSORPTION AREA: .TOTAL LINE LENGTH Um~ WELLT0: I SEPTIC TANK I ABSORPTION AREA SEWER LINE J ! FOUNOA,I'ION TO: SEPTIC TANK ABSORPTION SYSTEM I WELL I~Y'A~PR OV ED [] DISAPPROVED [] CONDITIONALLY APPROVAL VALID FROM: SQ. FT. LOT LINE I OTHER CONTAMINATION SOURCE I ABSORPTIONAREATO: IL°TL'NE APPROVED [] UNABLETO INSPECT FOR ONE YEAR Department of Health & ~nvironme~ctioB · "" " ~'~Pl'. o,: Department of Health and Environmental 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 ~quest for Approval of Individual Sewer and Water~~ 1. Property O~er: ~ ~ ~ ~ ~ Se Mailing Address Lending Institution: ~. ~ ,~ Mailing Address: Realtor/Agent: Mailing Address: Phone: Phone: Legal Description: ~ ~ f c=~/ ~ Street Location: /~L~ ~d/L~-~,'/'-~/~ / Single Family Residence: ~) Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 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 since 6/75. 3/77