HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 14B
Municipality of Anchorage Page
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: E~'/ q~o~,GI PID Number:
Name:
~'~',"~ ~y ~/.~ Wastewater System: D New ~Upgrade
~ ABSORPTION FIELD
Phone: ~.~ ~No. ofBedr~ms:~ D Deep Trench ~hallowTrench DBed D'Mound
D Other
I. ~ GPD/Sq rt.
Lot: j~ ~ Block: *~ ~lVE~A~~Subdiv~i°n: ~P~ to pi~ b0ffom~.ofm%ofiginal grade: Ft. G~vel depth beneath~.opipe / Ft.
Township: I Range: I S.tion: Fill added above oHgina, grade: G~ve, length: ,~ ~'. , ~ ~l '
WELL:~w.u D
New D Upgrade~ Gravelwidth: ~.5 ~ Ft. Number of lines:~ D~tancebe~nli~s:{ 0 Ft.
Classification ~rivate A B C): : Total De~ ~sed TO: Total absor~tio~area: ~ Pipe material:
DrilleE ~ Date Drilled: Satic Water L~el:Ft. Installer:~ ~XC. Date Installed:
'Yi~GpM ~ P~mp Set at: Ft. ~sing Height A~ve G~und:Ft. TANK
SEPARATION DISTANCES ~septic ~ Holding D S.T.E.P.
To ~ptic A~o~tion Lift Holding =ubll~PHvate Manufacturer; CapaciW In gallons:
From Tank Field Station Tank Sewe~ Lines ~E~ff
Wel~ ~ ~ ~ ~ ~ ~ ~ Material: Number of Compa~ments:
Water ~ ~
Foundation ~, ~! ~ ~ ~ "Pump on' level a~wel at: I High water alarm at:
Cu.ainDrain - · ~O~ ~ ~ ~ ~el IElectricallnspecti°nspe~°rmed bY:
Remarks: BENCH MARK
Location and Description:
Assumed Elevation: I00,00
ENGINEER'S SEAL
S & S ENGINEERING
Inspections pedor~E~g~e River L~ R~d, No. ~ q-I~' q ~
~gle ~iver, Alaska YYS~ Dates: 1st ~ ~ .... ~...~
Department of Heal~ and Human Se~ices approval ~"~,~ ' cE-eeol
72-013 (Rev. 9/91) MOA 2,5
Permit No. of 2
SW950261 Page 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
LOT 14B, EAGLE RIVER VALLEY RANCHETTES 0502222;5
Legal Description: PID No.:
~....~ FINAL ;RADE
9i;,9 1250
, IN~:U~TION~, ,: :
ST1 1 2' 19'
C03 3~'
MIZ ~5' /4' / :XISTING CRI[
- ~ ; W 1250 GAL
~~< , , ~- N~EPTiC TAN;
72-013 A (Rev. g~1) MOA 25
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW950261
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:FINCH STEVEN W & REBECCA D
OWNER ADDRESS:18828 WHIRLAWAY RD
EAGLE RIVER, ALASKA 99577
PARCEL ID:05022223
1 OF
DATE ISSUED: 9/07/95
EXPIRATION DATE: 9/07/96
LEGAL DESCRIPTION:
EAGLE RIVER VALLEY RANCHETTES LT
LOT SIZE: 17955 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT:
14B
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
DATE
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
Rick Mystrorn. P.O. Box 196650 Anchorage, Alaska 99519-6650
Mayor
September 9, 1995
Robert C. Cowan, P.E.
S & S Engineering
17034 Eagle River Loop Road
Suite 204
Eagle River, Alaska 99577
Subject: Waiver Request for Lot 14B Eagle River Valley Ranchettes S/D
Waiver Request #WR950040, PID #050-222-23, SW950261
Dear Mr. Cowan:
Your request for a waiver of the required 10 foot separation
between a septic system and a lot line has been approved. The
waived distance is 4 feet from the property line to existing crib.
This approval applies to the existing septic system lot line
separation only. Any future upgrade to the septic system will
require all separations be met or another approval from this
department.
Sincerely,
Civil Engineer
On-site Services
DJR/ljm
MUNICIPALITY OF ANCHORAC
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
WR# WR950040 PID~ 050-222-23 HA#
Date Received: August 24, 1995
Legal Description: Lot 14B Eagle River Valley Ranchettes
Engineer: Robert C. Cowan, P.E., S & S Enqineerinq
Permit #
17034 Eagle River Loop Road Suite 204, Eaqle River 99577
Applicant: Steven/Rebecca Finch
Waiver Requested:
to property line.
Lot line waiver of 4 feet from the existinq crib
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
"E. Horizontal Separation
TOTAL:
Special Conditions:
e
3. Other:
Waiver is Granted: ~, Waiver is NOT Granted:
List Conditions or Reasons for above: ~. ~-~/~-6~p~
Name of Reviewer
Rec #: #01239/2553 Amount: $ 115.00 Date Paid: 8-24-9~
ROBERTC. COWAN, RE.
ROBERTA. SHAFER, EE.
Sept~mb~ 6, 1995
MUNICIPALITY OF ANCHORAGE
Department of He~ and Human Services
P.O. Box 196650
Anchorage, AK 99519
SEWER&WATER
MAiN E~'ENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STU~ES
KO REPORTS
WE!J. INSPECTION
& R.OW TEST
SITE PLANS
ROAD DEStGN
SOILTEST
PERCOI.ATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
~SPO6ALSY~TEM
~cSIGN
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
RECEIVED
SEP 7 1995
Mun~c~pah[y o! Ar~Cl3or
Dept. Health & Human S--a-g.e
~[vlces
REFERENCE= Lot 14B; Eagle P,J. vcr Va.~.ley Ranchettes
Request yo- l,~6u.e a pe.,trait ta upg~uzde the..~ep~c 6y6te.~ .6eruing the.
th,tee., be..d~oora hou.6e on the ~efe.~enced p~.
Atto ~eque,~.t. yo, .~6u.e a p~ope,c~ ~ ~d.u~ f~om the. ex.~.t2ng c,,d.b
;to ~ prope,,c~ .t, tne o~ fou,,c {e. et. Z,s,s,,,,,~ce of ~ ma.tue,,c milt not
lrapact ;the abit, t,~ ,to UlOge_~de the ne, tghbo.%ing p.top~ in .the. fu;tu, re.
A te~t hole was ~x~avated and a p~rcola~on te~t p~formed in the ar~a
of the propo6ed upgrade. The approximate lo--on of the test hole
£o~ted on the attached ~,Lte plan.
At the time of ~xeava~on no wate~ ~a6 e~count~red in the te~t hole
and afte~ 6ev~ day ground w~t~ monitoring, the monitoring tube ~
found to be dry.
Attached i6 the propo6ed upgrade design.
you require addd~onal information, plea6e contact
Sincere. fy,
Robot C. ¢owan, P.E.
RCC/gk
17034 NORTH EAGLE RIVER LOOP · SUITE204 · EAGLE RIVER, ALASKA 99577
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
2
3
4
5
6
7
8
9
10-
11
12
13-
14-
15
16
17,
18-
19
20
m~"%/ ~ ~ ~a:,, I
DATE PERFORM~i~
T~nship, Range, Section:
SLOPE SITE PLAN
WAS GROUND WATER [
ENCOUNTERED?~"°
DEPTH? ~. pO
E
Depth to Waer/~er
Monitoring? 0~. Dale: t~!>4,0"q~"
Gross Net Depth to Net
Reading Date Time Time Water Drop
k ~-~.qs- ---- '5'h.,' -- -
"~ ~-,.~ 't '/,~' ~/'~'
PERCOLATION RATE "~'"~ (m~nutes~mch) PERC HOLE DIAMETER
TEST RUN BETWEEN 4,~"" FT AND '~"~' FT
COMMENTS
PERFORMED BY; S & $ ENGINEERING i~/~D h)P CERTIFY THAT THIS TEST WAS PERFORMED IN
17034 Eagle River Lo~ ~oac{
ACCORDANCE WIT~~~ GUIDELINES IN EFFECT ON THIS DATE. DATE:
72~ (Rev.
..1" = 40' J SITE PLAN UPGRADE J
'._.' __ ~,~-.- ....
r- °.tn L~0--
I-~
o
~ ~4 ~ ~ S l I~
m 0 ~ ~ ~ -- --
Zoo ~ = ~ ~
~ moo~ ~o / I
~z~ ~ ~No /
g~ ~ / ~o~
ROBERT C. COWAN, RE.
ROBERTA. SHAFER, P.E.
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
ClVlL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
HEALTH AUTHORITY
API:~OVALS
~-'WER & WATER
MAJN EXTENS~)NS
SEWER&WATER
~SPECT]ON
ENGZNEERING STUDIES
ANDREPORTS
W~LL INSPECTION
& FLOW TEST
SiTE PLANS
ROAD DESIGN
SOILTEST
P[RCOLATION
TEST
STRUCTURAL&
MECHANICAL
E~SPECTIONS
ON.~TE
WA~TEWATER
E~SPOSAL SYSTEM
DF. SIGN
~FERENCE: Lot 14B, Eagle River Valley Ranchettes
August 23, 1995
}ENERAL:
1.
®
®
e
Be
The scope of this project includes the installation of
a 1250 gallon septic tank and leachfield trench to
serve the three bedroom residence located on the
referenced property. The existing 1000 gallon septic
tank is to be pumped, crushed, and abandoned in place.
The existing leachfield is to be abandoned such that
it may be used in the future.
Construction shall be in accordance with the approved
site plan and design drawings, Municipal peru,it with
any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal
Regulations.
The contractor shall be responsible for obtaining any
necessary underground utility locates.
Unless specifically agreed otherwise, the property
owner shall be responsible for final grading areas
subsequently depressed from soil settling.
Contractors installing wastewater disposal systems
must be certified by the Municipal Health Department
for system installations. Owners installing their own
systems must also receive prior approval from the
Municipal Health Department.
SEPTIC TANK INST~?.?.%TION:
A septic tank is to be constructed by a certified
septic tank manufacturer. Construction shall include
two 4" cleanouts for pumping access.
2. The septic tank shall be sufficiently bedded to
prevent settling or shifting of the tank.
e
Ail standpipes on the septic tank shall extend a
minimum of 12 inches above final grade.
17034 NORTH EAGLE RIVER LOOP - SUITE 204 · EAGLE RIVER. ALASKA 99577
Page Two
Lot 14B, Eagle River Valley Ranchettes
August 23, 1995
e
Septic tanks installed with less than 4 ft. of cover shall
be insulated.
A foundation clean.ut shall be installed one to four feet
from the building foundation. In the line between the tank
and the leachfield there shall be two adjacent clean.uts
(unless an effluent pumping system exists within the septic
tank). These clean.uts shall be located on undisturbed
soil not more than 10 ft. from the tank. The first
clean.ut, in line, shall be to clean toward the leachfield.
The second clean.ut shall be to clean toward the septic
tank.
Final grading over the septic tank shall be such that a
positive slope exists away from the septic tank.
ABSORPTION TRENCH/DRAINFIELD INST~?~.~TION:
Excavate the proposed trench to the dimensions shown on the
design. The bottom of the excavation shall be within 2
inches of level. If the sidewalls of the excavation become
smeared, they must be raked or scratched (ruffed-up) before
gravel (sewer rock) placement.
mo
Once the gravel is installed, the distribution pipe is to
be installed level with the perforations faced downward.
Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
A silt barrier must be installed between the final gravel
layer and the native soil backfill. Ensure the silt
barrier covers the entire gravel surface before placing
backfill.
0
Monitor tubes shall be of four (4) inch diameter,
installed approximately in the locations shown on the
design, and extend a minimum of 12 inches above final
grade. The portion of the monitoring tube extending
through the gravel shall be perforated from the bottom of
the trench to the invert of the distribution pipe. This is
equivalent to the effective depth of the gravel as noted on
the design.
Page Three
Lot 14B, Eagle River Valley Ranchettes
August 23, 1995
0
Backfill over the final gravel layer must not be less than
twenty-four (24) inches. Insulation must be installed when
the backfill depth is less than thirty-six (36) inches.
The finish grade over the trench must be mounded to prevent
the formation of a depression after settling.
MINIMUM MATERIAL SPECIFICATIONS:
Any septic tank proposed for installation must be
constructed by a Municipally approved septic tank
manufacturer.
The following pipe materials are approved for use in septic
system installations in the Municipality of Anchorage:
~ype of Pipe
Perforated Solid
Cast Iron
ASTM D3034 (PVC)
ASTM F810 (HDPE)
ASTM D2662 (ABS)
Yes Yes
Yes Yes
Yes No
Yes Yes
Use of a type of pipe other than listed above must be
approved by the inspecting engineer.
Insulation shall be at least 2" thick extruded direct
burial polystyrene (Dow Chemical Company Styrofoam HI or
equal).
Septic tank inlets and outlets shall be fitted with
watertight couplings (Caulder, Fernco, or equal).
A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N,
or equal) must be installed between the final leachfield
gravel layer and the native soil backfill.
Ail leachfield gravel (sewer rock) shall be 0.5"-2.5"
screened gravel with less than 3% passing the %200 sieve.
When sand is being used as a filter material, its gradation
specifications must confo~,L to current M.O.A. or D.E.C.
requirements.
Page Four
Lot 14B, Eagle River Valley Ranchettes
August 23, 1995
INSPECTIONS:
Typically there.will be a minimum of three (3) inspections
required during the installation of the wastewater disposal
system. These inspections will occur as follows:
The first inspection must be conducted after the
excavation of ditches, pits, trenches, or beds and
before the installation of any gravel. A septic tank
may be set in place, but may not be backfilled before
this inspection.
me
The second inspection must be conducted after the
placement of the silt barrier, gravel, distribution
lines, standpipes, cleanouts, and insulation, but
before the placement of any other backfill.
e
The final inspection is to occur upon final grading of
the property.
Often there will be more than these 3 inspections required.
Especially with the installation of multiple trenches, sand
filters, pressurized distribution systems, etc. Thus, the
inspecting engineer is to be contacted at least 24 hours prior
to the start of construction. If necessary, a pre-construction
meeting will take place on-site. The inspecting engineer will
not coordinate, direct or control in any way the contractors
activities.
The owner shall contract with the contractor to perform the work
outlined in these specifications and plans and in accordance
with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S
Engineering. S & S Engineering shall be the owner's
representative and will inspect the work as stated above to
document the contractors activities. Final acceptance of the
contractors work rests with the owner and the M.O.A.
Page Five
Lot 14B, Eagle River Valley Ranchettes
August 23, 1995
S & S Engineering shall have no liability to the owner or to
others for acts or omissions of the contractor or any other
persons performing work on this project or the failure of the
contractor to carry out the work in accordance with these
construction documents. S & S Engineering's inspecting engineer
will not be responsible for the construction means, methods,
techniques, sequence, procedures or the safety precautions
incident to this project.
CONTRACTOR/INSTALLER
. GREA.,,:R ANCHORAGE AREA BORL .!GH
:~!'i)i: Department °f Envir°nmental Quality ~/fAnchorage,3330 CAlaskaStreet99503
,,~ INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
FROM WELL MANUFACTURER MATERIAL COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH, ,.
LIQUID DEPTH
LIQUID CAPACITY,~ GALLONS.
TILE DRAIN FIELD:
~ .~1 /~_~ TOTALLENGTH ~
DISTANCE FROM WE "~//'~ FOUNDATION NEAREST LOT LINE OF LINES ..~U
NUMBER OF LINES '/ DISTANCE BETWEEN LINES ~/~- TRENCH WIDTH~IN. TOTAL EFFECTIVE
DEPTH: TOP OFTILE TO FINISH GRADE MATERIAL BENEATH TILE . ABOVE TILE IN.
TYPE CT N __DEPTH DISTANCE FROM=
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION~ LOT LINE __, SEWER LINE , TANK SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
INSTALLED BYJ/~ {
SEWER LINE DEPTH:
PIPE MATERIAL: ~~
LOT SLOPE:
Form EQ-O32
DIAGRAM OF SYSTEM
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.
INSTALLATION OF= SEPTIC TANK SEEPAGE PIT DRAIN FIELD . OTHER
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.
,EPT,C TANK ,,ZE f TYFE
MINIMUM DISTANCES, RIrQUIREMENT~
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK ~ SEEPAGE PIT
TO NEAREST LOT LINE,
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK, . SEEPAGE PIT
TO RIVER, LAKE. STREAM.
DRAIN FIELD
DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
, SEEPAGE PIT
DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION B 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 ~OROUGH REGULATIONS REGARDING INSTALLATION.
DIAGRAM OF
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF (~REATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM I$ IN ACCORDANCE WITH SAID CODE.
GAAB-HD-I
G./R,F-.?TER ANCHORAGE AREA BORO,I.'~H
, HEALTH DEPARTMENT ,,
327 I."..,.,~LE ST. ANCHORAGE, ALASKA 99501 ~27~-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE FROM WELL /'~O~) MATERIAl
LIQUID CAPACITY
_ COMPARTMENTS
,,~ ,,s', .~, / ~ ~ ~' L.O..D
GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH__
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER. OR WIDTH
LINING MATERIAL Ce /~ ~:2~ ~'t iV ~/'~; uISTANCE FROM WELL /
NEAREST LOT LINE '~' ~'~ ('
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
.LENGTH /,~"-' ,DEPTH
?- ~ f~so. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
, FOUNDATION
DISTANCE BETWEEN LINES
SQ. FT. LENGTH OF EACH LINE
.DEPTH OF FILTER MATERIAL BENEATH TILE
., NEAREST LOT LINE.
TRENCH WIDTH
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
.IN. ABOVE TILE
WELL: T~-~'~/--YPE ~/"~-! L / _~-_/~-,,~ DISTANCE FROM '. WATER
., DEPTH ,BUILDING FOUNDATION SAMPLE
NEAREST SEPTIC SEEPAGE
LOT LINE ., SEWER LINE , TANK o SYSTEM , CESSPOOL
DIAGRAM OF SYSTEM
DISTANCES:
, NEAREST
OTHER
., SOURCES
~-IID-2
C REATE h?ANCHORAGE AREA ' )ROUGH
IIEALTH DEPARTMENT
327 Eagle St. Anchorage, Alaska 99501 279-2511
Case N o.
APPLICATION TO INSTALL: SEPTIC TANK
TO SERVE THE FOLLOWING FACILITY
FINANCED THROUGH
PERCOLATION TEST RESULTSU
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT }/'{ i} ~/!l ,.~.-",,~A/~.- ~..~",,~-
, , ~. . ~'h~.~,~ ) MAILING ADDRESS~(~ (~,,~.~/ PHONE NO.
RESIDENCE ADDRESS LOCATION OF I"STAL~TION
LEGAL DESCRIPTION ~ / ~J ~c ,~ ~.,~
/ ,SEEPAGE PIT. , DRAIN FIELD.' , OTHER
AHTICIPATED DATE OF CO~PLETIOH ~/
BELOWTO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ~ '~; ~~
.SE~ICTANKSIZE /~'~ TYPE ~Q SEEPAGE AREA ~ ~ TYPE
Health Authority
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance N6..28-68 and that'the
above described system is in accordance with said code. "' "' :,:,.
~? ~ :" .
DISTANCES:
DIAGRAM OF SYSTEM
, °' DEPT. CT I:.~ALT;-I &
* MUNICIPALITY OF ANCHORAGE
'/~ ~i~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOF~~/II~ON~/'ENTAL
Telephone ~720 RECE! E
~1. PROPERTY OWNER I PHONE
~OPERTY RESIDENT {If diffe~t from a~ PHONE
~ B~YER ~ PHONE
LENDING IN~ITUTION PHONE
MAILING AoORE~ ' _~ ''
~ R~LTORIAGE~ PHONE
MAI LING ADDRESS
LEGAL DESCRIPTION
STfl E ET ~)CATI ON
TYPE OF RESIDENCE
[~ SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] One [] Four
[] Two [] Five
~] Three I-3 Six
[] Other
7. WATER SUPPLY [] INDIVIDUAL*
COMMUNITY
[] PUBLIC UTILITY
8, SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
* ATTACH WELL LOG. A w~ll log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
**If individual/on-site, give installation date ~,~OA',~:~.,~ ~q3 /~'
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72~)10(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED ,'
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
I--I MULTIPLE FAMILY [] TWO [] FOUR I--I SIX
PERMIT NUMBER
2. WATER SUPPLY
I-3 INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tanl(or I-"1 Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK : MANUFACTURER
~. DISTANCES Septic/Holding Tenk Sewer Line Nearest LOt Line
, WELLTO:
Absorption Area to'nearest Lot Line
15. COMMENTS
[~"-APPROVED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accoml)any certificate)
[] DISAPPROVED
LEGAL DESCRIPTION
72~10 (Rev. 317S)
Mr. Ires Severson
SR#2
Box 7346
Eagle River, Alaska
99577
7 .June 1979 '
REF:
Lot I~B, Eagle River
Ranchettes NIcIPAL%TY O~ ANc~ORAG~
A sewer system adequacy test was conducted on the system located on
the referenced property during the period .h,ne 3-5, 1979. The test
consisted of water being introduced to the system by contint, otm flow ~'
over a period of 48 hours. During this time, approximately 960 gal-:
lons of water was introduced into the system. The absorption trench'
accepted this water without a rise in the level measured within the
sump at the end' of the trench. '
The septic tank was pumped on June 7, 1979, and found to have a
capacity ef 1,000 gallons.
It can be concluded from the above test, that this system (septic tank
and absorption trench) is adequate at thif~'f~e.. ...
CF: Totem Realty, A~: L}m Eunt~ // .
USA Federal Credit Union,
777 Juneau St, Anchorage, AK 99501
~lunlcipality of Anchorage, Dept of
Health ~ Environmental Prot
825 "L" STREET
ANCHORAGE, ALASI<A 99501
(907} 264.4111
SULLIVAN,
May 15, 1979
First National Bank of Anchorage
Attention: Judy
Post Office Box 3128
Anchorage, Alaska 99501
Subject: Lot 14B Eagle River Valley Ranchettes Subdivision
The sewer system on the subject property was installed on
September 19, 1969. The installation was approved by this
department.
The sewer system consisted of a 1,000 gallon septic tank and
a seepage pit. The leaching area was upgraded in 1976.
In the event the leaching area does not pass the adequacy
test that will be performed by a registered engineer, an
upgrade would be required.
The upgrade would include a maximum of forty(40)ifeet of
trench with six(6) feet of gravel backfill.
If there are any further questions, please contact this office
at 264-4720.
Sincerely,
Robert C. Prat~, R.S.
Associate Specialist
RCP/ljw
May 9, 1979
Wes/Becky Seversen
Box 90 Whirlaway Drive
Eagle River, Alaska 99577
Subject: Lot 14 B Eagle River Valley Ranchettes Subdivision
To Whom It May Concern
This department can grant a conditional approval on the existing
sewer system if monies are escrowed for the following:
(1) An adequacy test is performed to determine if the sewer
system is functioning properly.
(2) In the event the adequacy test fails an upgrade of the
system will be completed by July 1, 1979.
If there are any further questions, please contact this office
at 264-4720.
Sincerely~j
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw