HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 33AEa le Rive
Valley
Ranchettes
Lot 33 ,
#050-22
NAME
/~ '~ 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
IPHONE
MAILING ADDRESS
LEGAL DESCRIPTION
LOOAT,ON
Liq. capacity in gallonsI IF HOMEMADE:
DISTANCE TO: j Well
No, of lines Length of each line
Top of sire to finish gradev-~'~-~' ~ ~ /
Length W~dth
DISTANCE TO: J Well
Type of crib
DISTANCE TO:
DISTANCE TO:
Eoundation / ~
Total length of lin~
Material beneath tile
Depth
Crib diameter ~ · Crib depth
Well IL..,~t4.~' Building foundation
Depth Driller
Building foundation Sewer line
Material
Material
Nearest lot line
Trench wi~ 6 inches
NO. OF BED~.~OMS
PERMIT
No. of compartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO~>/0
Total effective absorption area
Nearest lot line
D~stance to lot line I PERMIT NO. .
Septic tank I Absorption area(sD
OTHER
PiPE MATERIALS
SOl L TEST RAT,NG/E~
REMARKS
APPR VED
72-O13 (l=~v. 31781
DATE LEGAL
PERMIT NO,
APPLICANT ED LOCHRIE
LOCATION ER
LEGAL LT, ~-A ER VALLEY RAMCHETTES
~lUr~ I C I PAL I T~'~' OF t~r'JCHORF~GE ~ :~.~]
DEPARTMENT C"~HERLTH AND EM~IRONMENTRL ~TECTION~ ~. I
2~4-472~ ~ ~
O~--S I TE SE~qER UPGRADE F'ERr~ I T ~0 ~
LOT SIZE 2~oee S~URRE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS
SOIL RATING (SQ FT?BR>= 190
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= -1,3 LEI'-.I GTH= .T~2 GRR'.,-'EL DEPTH= 6
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETHEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET>.
THERE IS NO SET HIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETHEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE E×CAVATION <IN FEET>.
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTFILLATION INSPECTIONS OF AMY HELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE HELL HILL SERVE.
TI-lO ,~. ,2 .-', I N--C;PECT I ON--c; ARE REQIJ I RED
BACKFILLING OF ANY SYSTEM HITHOUT FINAL INSPECTION RND APPROVAL BY THIS
DEPRRTMEMT HILL BE SUBJECT TO PROSECUTIOH.
MIHIMUM DISTRNCE'BETHEEN A HELL AND FINY ON-SITE SEHRGE DISPOSAL SYSTEM IS
100 FEET FOR R PRIVATE HELL OR 150 TO 200 FEET FROM FI PUBLIC HELL DEPENDING
UPON THE TYPE OF PUBLIC HELL.
I'~IIqIMUM DISTANCE FROM FI PRIVATE HELL TO R PRIVATE SEHER LINE IS 25 FEET AND
TO A COMMUNITY SEHER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS FIRE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERI"11 T EXP ! RES DECEr'IBER 31.- 1-c~ 81
I CERTIFY THAT
1: I AM FRMILIAR HITH THE REQUIREMENTS FOR ON-SITE SEHERS AND HELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I HILL INSTALL THE SYSTEM IH ACCORDANCE HITH THE CODES.
3: I UMDERSTRND THAT TH~ ON-SITE SEHER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODEL~ ~0 I~CLUDE MORE THAN 3 BEDROOMS,
....................
RPPL I ~ E~OCHF
,.
PERFORMED FOR:
LEGAL DESCRIPTION:
DEPTH
6- ~ ~
13 - t~ ~
14
15 -
16 -
17 -
18 -
19 -
20 -
COMMENTS
PERFORMED
72-008 (6/79)
[] SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
PERCOLATION
TEST
SOILS LOG -- PERCOLATION TEST
DATEPERFORMEO:, /
S~TE PLAN
/
WASGROUN~WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
~.., ~ .... ~. Z u
~& ~ ......... ~ ~ PERCOLATION RATE /~ (minuteslinchl
AND ~ FT
ANCHORA6E AREA BOP'" H.
' ' Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER//~-w ~'//~ )t
MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH
I IQUID CAPACITY/~'~ ~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS ~
LINING MATERIAL
BUILDING FOUNDATION
DIAMETER OR WIDTH ~'.,
CRIB SIZE: DIAMETER
NEAREST LOT LINE__
LENGTH/~--~, DEPTH
DEPTH ~ DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
ADDITIONAL ABSORPTION
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED.
CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK SYSTEM
REMARKS
DIAGRAM OF SYSTEM
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE: ZJU~
REMARKS:
Form NO. EO-031
GREATER ANCHORAGE AREA BOROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
pERMIT NO.
OTHER
HOT~ THIS PERMIT I$ NOT VALID WITHOUT ~OII.
FINAL INSPECTION= 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION DY THE
DEPARTMENT OF' ENVIRONMENTAL QUALITY AUTHORITY WILt.. BE SUBJECT TO PROSECUTION.
MINIMUM DI~TANC£S. REOUlREMENT~
FOUNDATION TO SEPTIC "rANK -~"'"'"'
FOUNDATION TO S~PAG~ PIT
DIAGRAM OF
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
_ '((,~t~l~/_~',ll -' - -- DEPARTMENT OF HEALTH & HUMAN SERVICES :.:..:
. ', ,'.?'..~: :,''~"}'.~": '.;.~P.O.~xl~.'~ge;~51~l'.: ':'.,-,, ~:",''
..... ' ".'.~.- ?'- '?:. :; .... '-~"' :...-". : ;..' .~ .:; .~ ?;".-" '-:::.'(~7] ~7~ ,'7'.L'~,': ';. ,:~..- . ' :,:-_:. ".- F ~
" :..'--~,;~mDete ~a d~oUoo ,~GLE'R~ER,VALL~NCH~ES:::LOT,'33A ," : : '.: .'' '..
,: Lo~fion, -- , (state addr~.or dmre~ons)-. 10750 .SUN 'B~U DR~E.,-.~GLE- R~R. AK~ 99577 ..... . ....
: .'' Pmoe~er* JOE,BR~ER~-'--.,,'-.,., ............... ,.-: ......:'-,Dayohone- (907) 694-2157- .':,..
- '-. , ,,-.:Lenotng age,w,'- - ~'~ ........... · .... '--' ' ......... uaypnone ',' .....'.~- -',',,'-'~
' .';.,:...; :Mai,no addre~ · -, .....- .' * ........... ' ~ .... · -
--, -Aoent ...... Dayr-Ohone ................ ~ .... ,. ., ~- -
-;.Addr~g..__.___ ~-* .'..*""" *:* *
, , .~,., e~se~ues ~71behe ~ .... . ~, ... .. ·
-~E OF WA~R SUPP~ ' "':
'-"3.' :. :. : .. . . .., -, ~, .,. .' . .'t'' ..
.- .. ................. , ...... ...................... :.. -. ,,, : . --..
,, '..~.~ommun~we. · -. . ~ .. · · - ., ,~,: , ~_-
" /Pubhcwater. . . , . .. xxx · -. ~ . _'~' ~,: :,..~ ,..~.,.
'~ NOTE( ........ ' .............. ' ' :"' ~"
. * - . If ~mmun~ well~ystem, pmwde ~ffen ~nfi~aUon from State ADEC a~est; .... x .
.... to ~ BI. and ~tatus ~ ........ · ' -' .., 1. ,- -
' "'" ' ....... XXX -. . .
IndMdual
NOTE: }f mmmun~wast~ter s~te~ pm~'de ~en ~n~a~on ~m S~ato ADEC
lng to ~e legal~ a~d statu~ of ~yste~ ; ". ~ ' .' .~:'~. '
~ ~. 1RI) F~ ~ ~1 ~rVe~
:. Note;Alaska Water and Wastewater Consultants, Inc. shall be pald $3OO. OO at, I
or pnor to, closing for the engineering sen/ices provided. ·
I
5.* STATEMENT OF INSPECTION BY ENGINEER ~; *'": '-' '-' * .... ... ·
' AS certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my
investigation of this Health Authority Approval ~pplicaflon sh~vs that the on-site water supply and/or ..:
wastewater*disposal system Is safe, functJohal and adequate for the*number of h~drooms and type of.
st~sture I~dicated he.re. I[1: [ furt~..er~v.e.dfy ~at ba ..s~d. _o.n t~e'ln~_o..r~_aflon 'obtein~l from the Municipality of
· . :.': ~ Anchorage' files end ,fr0.m-.m~ !n{/'e,~lJgatto~'~d In~l~e".F.tion;;th6'on-'sit6 water;supply and/or';vastewater..';
.. . _. disp0.s?l sys_tem IS in .c0mplia _n_ce*.',w~itl?. all Murilclp;a[~,,,ij~n~:l Stete'd0de~;0/dinances; and regblations in effeCt' :
:' ."'.'N~me"6f Firm, ALASKA.W/~&~~=~ONSULTANTS: INC.'. phone" ¢907)337-6179 7
! .perf~rrnance~thesyst~rnunder~thec~d/~s~ei.ic~unteradatth~t/me~f~t~test~andse~amt/~d/$tances~ .. '.. :..
on the/oca/SO/L~ ........ and ~he'water. ' '
. . of the systern, nor do ff~ey gua/antee that the~e are no hldden def~-'ts or encroachments .... ~ ~.. . //,. ~1~y~. ~.~_~ ~;
rel/anca upon or use of this report by any other person or pany /s not eu~h(~Y, zed ....... .-^ ~..~. ~ /~u///Yt~...~G.'...., ....... .~ .
: "- Ad~litional.C0mments~
bedrO~s''' 'th*the follo~n'g'*~iJpul tions:
, wi a ' -'
--.!."'" ' :'Date '~ '~.'l-"OO'
The Municipality of Anchorage Department of Health and Human Services (DHHS)'lssues 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 O/der 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 ts not responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/91) Back MOA #21 Computm' Ver'sl~l
RECEIVED
Municipality of Anchorage AU- -- "~
U 18
DEPARTMENT OF HEALTH & HUMAN SERVICES ~
Envlroumental Services Division ~c~Aut~ OF ~
825 'L" Sb'~et. Rm 502 Anchorage, Naska 99501 (907) 343-47/tt~iTAL S~v~i~
Health Authority Approval Checklist
Legal Description: EAGLE RNER VALLEY RANCHc~ {t..~; LOT 35A, Parcel I.D,:
WELL DATA
WeD Type PUBUC
Log present (Y/N)
Total depth
Senltefy ~.1 ~/N)
IfA, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased to -
FROM WELL LOG
Date of test
Stetic water level
Casing height (above ground)
Wlres properly protected (Y/N)
g.p.m.
NIlrate
050-224-17
210875
WATER SAMPLE RESULTS:
Coliform
Date of ~mple:
B. SEPTIC/HOLDING TANK DATA
Date Installed 8/73 Tank size
Foundation deanout (Y/N) YES
Date of Pumping 6/13/00
C, ,aBSORPTION FIELD DATA
Date Installed 8-73/8-81
Length 16'/35' Width
AT INSPECTION
~g.p.m.
OUiur OEK~l'te
lOOO Number of Compartments
Oepresslon (Y/N) No Hlgh water alarm (Y/N)
PLmlper SANITARY PUMPER~
SEEPAGE PIT/TRENCH
Sell rating (~'._?_.~_'~or fi2/bdrm) 190 '
16'/3' Gravel thlclmess below pipe
~4/420 SO. ~.
I Cleanoute (Y/N) YES
N/A
Systemtype CRIB/TRENCH
~' Totaldepth 12'
EffectNeebsorptionamaeo~ so. rt. ~o~-MonltodngTubepmsent(Y/N) YES Dapresslonoverfield(y/N). NO
Date of adequacy test 6/16/00 Resulte (Pas..'qFell) PASSED For 5 Bedrooms
Fluid depth in absorption field before test (In.): 30"/40.5" Immediately after 1100 gal. water added (In.): a:~s-/a=-
Rutd depth 43"/54' (Ins) Minutes later. 1145 Abeorption rate B 450+
Perox~le treatment (past 12 months) (Y/N) NONE KNOWN If yes, give date
D, UFT ~TATION
Date Installed
High water alarm level et'
Se~c/heldlng tank on lot
A]:emtpUon field on lot
Public eewer main
Sewer/septic eendce line
Size In gallons
*Pump on* level at*
*Datum
E. SEPARATION DISTANCE~
SEPARATION DISTANCES FROM WELL ON LOT TO:
100'+
100'+
N/^
25'+
SEPARATION DISTANCES FROM SEIrrlc, A-IOLOING TANK ON LOT TO:
Foundation 5'+ Property line 5'+
Water maln/~enace line 10'+ Sun'ace water/drainage 100'+
"Pumpofrlovelat'
On adjacent lots 100'+
On adjacent lote 100'+
Public r~ver manhole/deanout N/A
Lift ~tetlon N/A
A~oq)flon field 5'+
Wells on adjacent Iot~ 100'+
SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: * s~[ AnAC~[O ~eaL; SUe~-Y
I:'mperiy line
S~face water
Cuflaln drain
UNKNOWN
Building foundation
100'-t-
NONE KNOWN
10'+ Water main/service line 10'+
Driveway, pmldng/vehlcle ~torage area 10'+
Wells on adjacent lots 100'+ '
of Mun/dpa/mq6rds t ~at/~t/-~ ffo(~f¢~ ay;terna ere/n conformance
Engineer's Name ~ / F£FFREY A. C, ARNESS
Date
HAA Fee $ ~ C30
Date of Payment
,ce t.um r
Waiver Fee $
Date of Payment
Receipt Number
N
/
~,' tjT~L[TY D~S/q'T.
N 69 58' 15' IF 197,~3
FB
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
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
1. GENERAL INFORMATION
Complete legal description ~"" '~-""~ ~'~'~'~ '~'-/--'~"~ ~/~-'-'~/'~'~-'--'~"~'~'"/"~"--~'
Location (site address or directions)
Property owner ~'~s~',~,--,/ ~'.~,~-~-~,.J Day phone
Mailing address /,~ ~'-.~'/--~'~'-~-/~'--~.-~--~ ~".~,~z,~' x~.~,~e'.~:/ ,~,.~' ,~'~,..~'~'~'
Lending agency Day phone
Mailing address
Agent Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ,~' .,
TYPE OF WATER SUPPLY:
NOTE:
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
Individual well
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of systern.
Se
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
!nvestigation 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 date of this inspection.
Address J~[C. 0 J ~ ~~.~ 114~.~.~ ,~.]~.
Engineers signature Date
~. · ,$'~'/. ~/~, -~I-~, ,-~
DHHS SIGNATURE
~ bedrooms.
Approved for "~
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
AdditiOnal Comments
The'Mu'r~icipali~y of Anchorage Department of Health and Huma" 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 DH HS does this as a courtesy to purchasers 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 errors or omissions in the professional engineer's work.
Municipality of Anchorage · . .'?~,~'~,~
DEPARTMENT OF HEALTH & HUMAN SERVlCE~,;,,/
. Environmental Services Division
825'L Street, Room 502 · Anchorage, Alaska 99501· (907~.3-4'~?O
Hoalth Authority Approval Checidist ·
A. WE]A, DATA
Dat~ of tm
Static watgr Icx. eJ
Well pmd~on
IL SEPTIOHOLDING TANK DATA
~i~' ~ Tanksiz~ ,"a~*~,~,~,N-mherofCompartmcats / Cl~*nnqts(Y/N) ~'
Fluid depth
~;~id~
. l:~pn~sion owr field (Y/N) 4/
Absm'pfioa rote = ,~b~/ g.p,d.
D. L~T STATION
"Pump on" level al*
"[~,mp oLr' level al*
E. SEPARATION DISTANCES
SEPARATION DI~I'ANCES FROM W~ ]. ON LOT TO:
Septicrnoidin~ tank on lot
Absorption ~ on lot
~iC ~ rrmln
I.~ mon
SEPARATION DISTANCF~S FROM S/~I~ilC/HOLDINO TANK ON LOT TO:
Bldlding fmmdmion /~/'~ J~ linc ..? 0 '"~'/ Al~on fwJd ,~ ,,-,,r'/
Wnt~nmin/sen, i~lin~ ,,~.~/""/SurfacewaterldrniP.~Sc ~./'~ Wells on a~lja~nt lots /~'~'",/'~'
S~PARATION DISTANCE FROM ABSORPTION F~l~, n ON LOT TO:
~.ildin~ fo.nd~Ofl
Smface water
I~ Linc /,~ "/'/Water ,~i,,/mvice lin,
Rev. 8/95 OSS: haa. wk. doc
Weiv~ F~c $
Date of Peseta
l~ptN,,mt~m'
Douglas T. Kenley Civil Engineer State of Alaska C.E. 8176
Legal Description
Applicant
Date of Test
System Data
Tank Volume
Number of Bedrooms
SEPTIC SYSTEM ADEQUACY TEST
Abso~flon System
Abso~tJon required (1.5 daI~y flow)
TIME VOL.
(gals.)
TEST DATA
DIFF. FLOW TANK TUBE LEVEL DIFF.__ COMMENTS
(gpm) LEVEL ~r~.,,.~ E,¢/~" ~'",~-~./v~ ~¢.,.~ '
System Passed ~ System Failed
D~ fE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME
DATE DATE
INSPECTCIR INSPECTOR
MUNICIPALITY OF ANCHORAGE MIINICtPALITY OF ANCHORAGE
~//~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE'C'Ffl~pT. OF HEALTH &
825 L Street · An~ora~, Alaska ~1 pROTE~IO~
e~ q ~I~NMENTAL
'J~,J ENVIRONMENTAL SANITATION DIVISION 1981
AUG 3
REQUEST FOR APPROVAL. OF INDIVIDUAL WATER AND SE~~
DIRECTIONS: Complete all parts on pa(ia 1. Incomplete requesl:l will not be pr~es~e~l. Please allow ten (10) days for pr~essing.
1. PROPERTY OWNER PHONE
MAILIhG AUD~SS
PROPEIITY liESiDENT {ItdJfferent tromabove) PHONE
2. BUYER
PHONE
2,"/'1- q. =q 3
PHONE
5. LEGAL DE~RIPTION
STRFET L
~ One ~ Four ~ Other
~ SINGLE FAMILY ~ Two ~ Five
~ MULTIPLE FAMILY ~ Th~ ~ Six
7. WATER SU~LY
~ INDIVIDUALe "A~ACtl WELL LOG. A well log is required for all wells drilled
~ COMMUNITY since June 1975. For wells drill~ prior to that date, give well
~ PUBLIC UTILITY depth (attach log if ayailable.)
8. S~W~GE mS~At S~E~
~ INDIVIDUAL/ON-SITE" O~re~ ~ YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE P~ ~
~E lNG CAN BE INITI~TEE
72 010 IRev.
1. TYPE OF RESIDENCE
THIS SIDE FOR OFFICIAL USE ONLY I
NUMBER OF BEDROOMS
r-] SINGLE FAMILY
[] MULTIPLE FAMILY
E"J ONE [] THREE E] FIVE
I"-I TWO [] FOUR [] SIX
2. WATER SUPPLY
INDIVIDUAL
CO,MMUI'JITY
PUBLIC UTILITY
Connection Verified
PERMIT NUM[~ER
· DEPTHO¢ WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
F__'~ IHDIVIDUAL/ON -SITE
E]PUBLIC UTILITY
Cnnnect;on Verified
I-]Septic Tank or []Hclding Tank
Size. If Tank is homemade
g,ve d~menslons:
TYPE OF TAf~IK
SOILS RATING
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
,,'/ELL TO:
Line
5. COMMENTS
4¸'
OTHER
L-~ CONDITIONAL APPROVAL (letter must accompany certificate)
I~ DISAPPROVED
Century 21, Metropolitan
ATTENTION: Lorraine Miner
P.O. Box 677
Eagle River, Alaska 99577
DAVID A. SLENKAMP
MECHANICAL ENGINEER
694-9055
July 28, 1981
ROEERT A. SHAFER
CIVIl. ENGINEER
694-~979
j~uNICIpALITY OF ANCHO~',~I:-
DE. PT. OF HEALTH
ENVIRONMENTAL P~'O'fECI'ION
JUL 3
RECEIVED
Dear MS.
Miner,
Reference: Lot 33A; Eagle River Valley Ranchettes: Edward Lochrie' · property --~.~.~
A sewer system adequacy test was performed on the sewer system
located'on the referenced' property as you requested. The septic
tank was pumped and verified to have a capacity of 1000 gallons.
The. seepage Pit was full of water and approximately 800 gallons had
to be removed. It was then rec~groed with the 800 gallons of water
and at the conclusion of a 24 hour period approximately 157~gallons
had percolated out of the crib. '' '~;.
The septic tank is adequate for your three bedroom home, however,
I reoret to inform you that the seeDa~it is only adequate for
one bedroom and it will be necessary for you to have the absorption
area upgraded before it can be considered adequate for three bedrooms.
If we may be of further assistance, please do not hestiate to call.
Sinc~r~y,
JP~DBERT A. SHAFF~, P.E.
cc: First National Bank of Anchorage
ATTENTION: Debble Diener
Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA
GREATER Ah~HORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received November 26, 1973''
Time of Inspection 11:00 am
Date of Inspection November 26, 1973
REQUEST FOR APPROVAL OF
INDIVIDUAL S~ER & WATER FACILITIES
FOR
VA
1. Aoproval Requested By: Smileys Realty forEdward kochrte
Address: Eagle River Alaska
2. Prooertv Owner:
3. Legal Description.- Lot 33A Eaqle River Valley Ranchettes~
4. Locetion:
5. Type of Facility to be Inspected: Sinqle Family I~lelltnq
Number of Bedrooms~ Three (3)
Well Date: Community Well
A. Type
C. Construction
Sewage Disposal System:
A. Installed 1973
C. Septic Tank: 1.
D, Seepage Pit, 1.
E. Disposal Field=
Distances:
A. Well To, .Septic Tank
, ~harest Lot Line
B. Foundation to Septic Tank
C.
B. Depth
D. 'Bacterial Analysis'
Phone, 694-2115
Phone,
B. Installer Hamilton ExcavattnQ
Size ]000 gal2. Manufacturer. Hamilton
Size 16xl6 2, ~ate~el Concrete Rings
Tots1 [emgth of Lines
, Absorption Area , Sewer Lines
· Other Contamination .
') AbSorption Ares
Absorption Area to Nearest Lot Line
~eqJect for Approval of .'~vtdua! Sewer & Water Facilitte~'~
Pa~e Two
9. Comments=
Aq~rov~ ~.i~ Dtsa~proved
Ap?.rova] Valid for One Year From Date Slcjned
Greate? Anchorage Area Borough, Department of £nvironrr. ental Quality
DIA~RA~I OF SYS'I'E~,
I certify that the information contained in this request for approval to be a true
and accurate representation of the sub.tect sewer and water facilities located
Signed Date
GREATER A~HORAGE AREA BOROUGH
Department of £nvironmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-868~
Date Received //- ~ - 2_3
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SE/~ER & WATER FACILITIES
FOR
1. Aop~oval Re~ested By~ Reeves & Couns~neau
Address: 902 South Lane, Anchorage AK 99504
2. Prooe~tv ~ner~
3. [e~l Descrtptton~
a. Locatlon:
5. Type of Facility ~o be Inspected= Single F~tly ~e3ltng
Number of Bedrooms= 2-3 (~zo-~ree)
6. Wet] Date~ ~m~[a ~untty Water
e
e
Phone ~
Same Phone=
Lot 33A, Eagle River Valley Ranchettes
A. Type
C. Construction
Sewage Disoosal System:
A. Installed 1973
C. -Septic Tank:
D. Seepage Pits 1.
B. Depth
D. 'Bacterial Analysis'
· 'B. Installer Hamilton Excavating
Size 1000 gal2. ~anufacturer- Hmitlton'
Size 16x16 2. ~aterial ~oncrete
Ee
Distances:
A. Well To: .Septic Tank
, llearest Lot Line
B. Foundation to Septic Tank
C.
Disposal Field: Total Length of Lines
, Absorption Area
· Other Co~taminatton
") Absorption Area
Absorutton Area to Nearest Lot Line
· Sewer Mnes
,Tegm.~t for Approval of I~divtdual Sewer & Water Facilities
Two
9. Comments:
.Aonr Disapproved Date
Ap?royal Valid for One Year From Date Signed
~C~eater Anchorage Area Borough, Department of Environ~.enta! Quality
DIAGRAM OF SYSTE~:
certify that the infot~natton contained in this request for approval to be a tt~e
an~ accurate representation of the subject sewer and water facilities located st:
Signed Date