HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 33C.. ' ~ MUNICIPALITY OF ANCHORAGE
· L~ DE ITMENT OF HEALTH AND HUMAN SERI~ ES
~ Environmental Health Division
825 "L" Street. Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~.m~ DISTANCES
/7/O'~Z, 0 /~_Z./~' ~ SEPTIC ABSORPTION
~e~;.~ TANK FIELD WELL
LOt UIOCk I Subdlv,s~o. ~
Township. Range, Section
AS-BUILT DIAGRAM IS~ow Iocahof~ Of we,. septAc system, prope~y hnes, Iounaat~o~.
driveway, wa~er bod~es, elcl ~
Mater~ NO. Of ~mpadmenls
WELLS
SR B 196X
I ~ ki~R~ AK YY~Ii Cedily thai this i~p~ion was peflormed ac~rding Io all
Health Depa.ment Approval: Date. '
72-013 (3/85)
PERM I '! NO:
[)ATE ISSUED:
APPLICANT:
ADDRESS:
CONTACT PHONE:
LEGAL DESCRIP:
LOT SIZE:
MAX BEDROOMS:
_ I TY OF
D~PARTMENT Or' HEALTH AND ENVIRONMENTAL Pt~OTECTION
825 L STREET, ANCHORAGE., AK 99501
Ol~l S I TE
860574
10/03/86
HORLD BELt{ ~
S&S ENGINEERING
EAGLE RIVER, AK
~762181
~64-47eU
Sr - ; -'--- IT
99577
~UBDIVISION: E. R. VAL. RANCHETTE LOT: 53C
SECTION: 7 TOWNSHIP: 14N RANGE: 1W
19600 (SQ. Fl'. OR ACRES)
BLOCK: NA
Listed below are the options available to you in des'igning your septic
system. Choose the option that best Fits your site.
DEPTH TO PIF'E BOTTOM. (Fl'.)
GRAVEl_ DEPTH '(Ff.)
TOTAL DEPTH (F'lr'. )
GRAVEL'" WID]'H (FT.)
GRAVEL LENGTH (FT.)
GRAVEL VOL(UME (CU. YDS. )
TANK SIZE (GALS)
SOIL RATING (SQ.FT. /BR)
TI:,IENI2.1-1 BFD W. DRAIN
~/. 0 w-- 4.0 4.0
10.0 4.5 7.5
P_.~ 24.0 5.0
~67.0 ~'- ' 45.0 87.0 ~*
4(~}.4' '- ' 40.0 64.5
~00.~] ** 1,000.0 *~. 1.,000.0 *~
GRAVEL LENGTH )* 75 FT. REQUIRES MULTIPLE. RUNS (NOT EXCEEDING 75 FT. EACH)
TANK MUST HAVE AT LEAST ]'WO.COMPARTMENTS
I cer'li~y that:
1. I am familiar with the requirements for on-site sewers and wells as set
~orth by the MunicipaIity o~ Anchorage (MOA) and the State o~ Alaska.
R. I will install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria o~ this permit.
3. I will adhere to all MOA and State o~ Alaska req(~irements ~or the set back
distances ~rom any existing wGll, wastewater disposal system or public
sewerage system on this or any adjacent or .nearby lot.
4. I understand that this permit is valid For a maximum of 3 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 F'ERMIT AND INSPECTION MUST BE OBTAINED; (-~) AS-BUILTS
.WILL NOT BE APPROVED WITHOUT-AN ELECTR~CA.L
ELECTRICAL WORK M ~LJG~ BE DONE BY/ A .~_IC~-D
'
AF'F-LICANT: H~I:~LD BELK , [/
INSPECTION REPORT; AND (~) THE
ELECTRICIAN.
GRE~'-'~ ANCHORAGE AREA BOr"~'~H
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME~¢J~'C~"~;~e~ MA,L,NGADDRESS~ 7/~ ~/!~r
LOCATION LEGAL DESCRIPTION /--' ~
SEPTIC TANK:
DISTANCE
FROM WEL' -- MANUFACTURER// "'; ., NUMBER OF
MATERIAL ~'t') Yl C//'e ["P~ COMPARTMENTS /
INSIDE LENGTH .. INSIDE WIDTH. LIQUID DEPTH ~'/' t. IQUID CAPACITY f~:~O GALLONS.
SEEPAGE PIT:
NUMBER OF PITS I DIAMETER __ OR WIDTH /~ j LENGTH/~, DEPTH /
LINING MATERIAL CRIB SIZE: DIAMETER DEPTH ~- DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION ..~.(,~/,'"'~'* NEAREST LOT LINE~'~'O~' ABSORPTION AREA (WALL AREA) '~'
ADDITIONAL ABSORPTION
WELL:
TYPE CONSTRUCTION
BUILDING NEAREST NEAREST
FOUNDATION , LOT LINE , SEWER LINE
CESSPOOL , OTHER SOURCES
APPROVED. , DISAPPROVED REMARKS
DEPTH DISTANCE FROM:
SEPTIC SEEPAGE
., TANK , SYSTEM
DISTANCES:,
INSTALLED BY= ~/-~ ~rl/'//O~Y~
PiPE MATERiAL:C:RI/ C~,~,'~ i/Oh
LOT SLOPE: Z eeef
REMAR~:./~'a ~;/
Form No. EQ-031
DIAGRAM OF SYSTEM
~
GreATEr ANChOrAge Area Borough
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 *'C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
PERMIT NO. o
SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT/x~.~.~/_~.~.,,~7
PHONE~
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK ~'/ ~' SEEPAGE PIT. ~
FINANCED THROUGH TO BE INSTALLED BY
SOIL TEST RESULTS ~ ~~J
DRAIN FIELD OTHER
NOTE~ THIS PERMIT IS NOT VALID WITHOUT ~OIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING Of ANY SYSTEM V~HOUT FINAL INSPECTION BY THE
DEPARTMENTOP ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
AREA
TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT ~ / DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK ~--/ . SEEPAGE: PIT TO NEAREST LOT LINE.
WELL TO SEF~J'IC TANK /~")~) /
DRAIN FIELD ~ /
WATZ" MAiN TO SEPTIC T~NK, K~ DRAIN FIELD /~ /
SEPTIC TANK, , ~,~/~ SEEPAGE PIT TO RIVER, LAKE. STREAM.
. ALSO CONSIDER AREA WELLS,
SEEPAGE PIT /~ /
CAST IRON INTO AND OUT DF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
a INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
· GRAVEL BACKFILL
CONFORM TO E~ORDUGH REGULATIONS REGARDING INSTALLATION,
DIAGRAM OF' SYSTEM
I
I-
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF (~REATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DATE ~;:2~.///.~,~, /~7-~ APPLICANT'S ,IGNATUR /
Munlcl~llty of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICE~~ ~ 825"L"Street. Anchorag,e Alaska 99502-0650,~.~./~w ~,~ ~.,=.~,,~'~' .. ~_ , ~'
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED:
-~./
PERFORMED FOR' .~. ~/'
1
2
?
/
WAS CROUND WATER
ENCOUNTE.ED?
11 S
L
IF YES, AT WHAT O
12 DEPTH? p
E
Depth to Water After/~
13 Monitoring? / -- ~' Date:
Cross Net Depth to Net
Reading Date Time Time Water Drop
_... .-----
Z / 1" Z/.',~ ~ ~ ~ o ~/~ ~ ~ly /~/~"
~- ', 3 ~ t~ " 7 /{~* ~ "
, ~ ~/~, /~ . 7 ~/~" ,.
14-
15-
16-
17-
18-
19-
20-
PERCOLATION RATE ~ (m~nutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN /~'~FT AND ~ FT
COMMENTS ~ & g ENGINEERING ' ~
SR8 196X ~ ////~ //
· ~ CERTIFY THAT THIS )'EST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI~ EFFECT ON 'HIS DATE. DATE:
72-008 (Rev. 4/85)
DRAWN
.I
'1
Municipality of Anchorage 1. .
On -Site Water and Wastewater Program
as�
(907) 3434904 S A F E T Y
Certificate of On -Site Systems Approval'
PAl
Parcel I.D. 050-984-'l 3 Expiration Date:
1. GENERAL INFORMATION:
Complete legal description EAGLE RIVER VALLEY RANCHETTES; LOT 33C
Location (site address) 18637 Twenty Grande Rd. *Eagle River, AK 99577
Current Property owner(s) Michelle Sprosty Day phone 907-317-4155
-Mailing address
Real Estate Agent Day phone
2. TYPE 'OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ , Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ❑ Individual
Individual Water Storage ❑ Holding Tank ❑
Community ClassWell ❑ -Community.. ❑-....;:
Public Water System ® Public Sewer
WaiverNariance request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ Waiver Fee
Date of Payment •�15'J Date of Payment
Receipt Number ��ar.> ti3� Receipt Number
COSA# Waiver#
5. 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,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm: Garness Enoineerina Group, Ltd (GEG) Phone: '907-337-6179
Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
industry practices. The reported results describe the condition of the system/s on the date/s of the
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
encroachments may exist that were not identified during the evaluation. The operational life of all wells
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of
the well or septic system. GEG makes no representation whether an alternative well or septic system
can be installed on the property in the event either of the current systems fail to perform adequately in
the future. The content of this report is for the sole benefit of the person/party that retained GEG to
perform the evaluation. Reliance upon the information provided in this report by any other person or
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
6. DSD SIGNATURE
System #1
System #2 Approved for
Conditional approval for
bedrooms
with the following sti
3 V'!ly*2::K� S , ' " y r
By: Original Certificate Date:
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist _
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advis.ary..1 +,
Other
Legal Description: EAGLE RIVER VALLEY RANCHETTES; LOT 33C
Parcel ID: 050-224-13
If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled
Total depth ft
Cased to ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Comments AWWU WATER
B. TANK DATA
Age of tank(s) 47 years
Tank type/material CONCRETE
Measured operating fluid level in septic tank 63"
❑ Standpipes/foundation cleanout per record drawing
Date of pumping 1/31/20
D. ABSORPTION FIELD DATA TRENCH IS A "SPILLOVER TRENCH"
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes ❑ No
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by
Date of Sample
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments: N/A
Which system tested (date installed) "10115186
Adequacy test date 1/24/20
❑ ALL standpipes present per record drawing
Results ❑✓ Pass For 3 bedrooms
Total measured depth from grade 10.5 ft (max)
Fluid depth prior to test 0 in
Measured depth to pipe invert from grade **6•8+ ft (min)
Water added 1008 gal
❑ N/A — pressurized field
2
New depth in
❑ Monitor tubes go to bottom of effective. If not, state
195
depth into effective
Elapsed time min
❑ Code -required soil cover over field
Final fluid depth 0 in
❑ System presoaked
Absorption rate 450+ gpd
(Required if vacant for greater than 30 days prior to
Any rejuvenation treatment (past 12 months) NONE
date of test)
Gallons introduced 2022 gallons
If yes, enter date NIA
Comments/Deficiencies: 'PRESOAKED EXSISTING CRIB ON -123 8 TESTED EXSISTING CRIB ON 124. CRIB IS CONNECTED TO TRENCH. ALL ONE SYSTEM. "FOR 1986 TRENCH
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
❑ Yes
if No *5
Community Sewer Manhole/Cleanout > 100'
❑ Yes
if No
ft
❑ Yes
if No
Neighboring Tank > 100' ❑ Yes
if No
ft
Private Sewer/Septic Line > 25' ❑ Yes
if No
Absorption Field on Lot > 100' ❑ Yes
if No
ft
Holding Tank > 100' ❑ Yes
if No
Neighboring Absorption Fields > 100'
if No
ft
Animal Containment > 50' ❑ Yes
if No
❑ Yes
if No
ft
ft
If septic tank is under driveway
comment below
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ❑ Yes
if No
ft
0 Yes
if No
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
❑ Yes
if No *5
ft
Surface Water > 100'
❑✓ Yes if No _
Property Line > 5'
✓❑ Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
❑✓ Yes
if No
ft
Private Wells > 100'✓❑
Yes if No
Water Main > 10'
✓❑ Yes
if No
ft
Community Wells > 200'✓❑
Yes if No _
Water Service Line > 10'
❑✓ Yes
**
if No
ft
If septic tank is under driveway
comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' ✓❑ Yes if No ft If absorption field is under driveway comment below
Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots:
Water Main > 10' 0 Yes if No ft Private Wells > 100' Yes if No
Water Service Line > 10' ❑✓ Yes if No ** ft Community Wells > 200' ✓❑ Yes if No
Surface Water > 100'✓❑ Yes if No ft
F. ENGINEER'S COMMENTS
*MET CODE AT TIME OF INSTALL - DECK PILE MAY BE 0' TO CONCRETE TANK (SEE ATTACHED PHOTOS).
—LOCATION UNKNOWN, BUT ASSUMED 10'+ PER 1986 INSPECTION REPORT. NO INLET BAFFLE ON SEPTC TANK.
OUTLET BAFFLE WAS REPLACED (SEE ATTACHED PHOTOS) BY ARM SERVICES ON 2/25/20.
006000 ��
G. ENGINEER'S CERTIFICATION
I certify that / have determined through field inspections and review s/��DD
of Municipal records that the above systems are in conformance with H
MOA COSA guidelines in effect on this date.
COSA Checklist yellow sheet
Q CF, -7V53
0^ .. 3µ Za
ro.fessio
#AECC884
ft
ft
ft
ft
ft
ft
ft
ft
M
ft
Lot 33-A
S 89059'15" E 133.0
10' Utility Easement
Septic vent (typ)
v�
0
O Chain link fence
tf� o (tYP)
co Lot 33-C
O
co
T_
O
co
Notes:
1. This lot is served by a
community well.
2. Asphalt location is approximate
due to snow and icedn site.
Asphalt
S 89059'15" E 133.0
GRANDTWENTY ROAD
,�?'• ' .
s `�'•� 9 th
4=�
00 •v •
lizabeth L Walatka .0
�� ���F • 8036 - LS • �®
�'1j �OSSIat1AA-•�®'1r
0,
AS -BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
in accordance with ASPLS Standards of the following
described property: LOT 33-C. EAGLE RIVER
VALLEY RANCHETTES
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska
Y�� this 27th day of February 2020
THOSE SHOWNN ON THE RECORDED .
EASEMENTS RECORD, OTHER FRED WALATKA R ASSOCIATES, L.L.C.
PLAT ARE NOT SHOWN HEREON FB 20-1, pg 18-19 BE 907-248-1666 Engineers and Surveyors
UNLESS OTHERWISE NOTED.
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any Inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original
client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered,
the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.
U :�
1
Lot 33 -BO
Septic vents � deck 1
-
0
underdeck
O
2.0 OH — —
`
q ,
O
0
14.0
o SCALE: 1 "= 30'
2 sto0 frame
N
O
Z
House o
z
35.4
Wood fence -
0
38' 14.6 J--43
Lot 32-C
O
co
Notes:
1. This lot is served by a
community well.
2. Asphalt location is approximate
due to snow and icedn site.
Asphalt
S 89059'15" E 133.0
GRANDTWENTY ROAD
,�?'• ' .
s `�'•� 9 th
4=�
00 •v •
lizabeth L Walatka .0
�� ���F • 8036 - LS • �®
�'1j �OSSIat1AA-•�®'1r
0,
AS -BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
in accordance with ASPLS Standards of the following
described property: LOT 33-C. EAGLE RIVER
VALLEY RANCHETTES
Anchorage Recording Precinct, Alaska, and that the
improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying
adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission lines or other
visible easements on said property except as indicated
hereon.
Dated at Anchorage, Alaska
Y�� this 27th day of February 2020
THOSE SHOWNN ON THE RECORDED .
EASEMENTS RECORD, OTHER FRED WALATKA R ASSOCIATES, L.L.C.
PLAT ARE NOT SHOWN HEREON FB 20-1, pg 18-19 BE 907-248-1666 Engineers and Surveyors
UNLESS OTHERWISE NOTED.
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any Inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original
client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered,
the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.
e
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received ,, ~- ~ - ~_~
Time of Inspection
Date of Inspection ,
REQUEST FOR APPROVAL OF
INDIVIDUAL SENER & WATER FACILITIES
FOR
A~proval Requested By: ·
· Anchn~anm BF QQ~n,~ Phone:
Address' 902 Snuth [~n~; ~ _ .........
Prooertv ~mer: $~F ,. ~hone:
Legal Description:__tot 33C Eagle R]vem,_¥a]%e¥ Ranchette~
Location:
5. Type of Facility to be Inspected: Sinqle Family Dw.11tn9
Number of Bedrooms: 2-3 ) Two 04 Thre~
6. Well Data: Con~nunity Water
A. T',/pe
C. Construction
7..Sewage DisPosal System:
A. Installed · 19'73
C. '.Septic Tank: 1. Sizej.Qj~ 2.
B. Depth ,
D. 'Bacterial Analysis'
Installer Hamtl~nn Fv~v~e~ng
~anufacturer, .~milte~
D. Seepage Pit: 1.
E. Disposal Field:
Size~2. ~aterial
Total. ~ength of Lines
8. Distances:
A. Well To: Septic Tank
Be
, Absorption Area
, Sewer Lines
, Nemrest Lot Line
Foundation to Septic T~nk
· Other Contamination
"~ Absorption Area
Absorption Area to Nearest Lot Line
ReqlJe.~t for Approval of Individual Sewer & Water Facilities
Pa.~e Two
9. Comments:
Approval Valid for One Year 'From Date Signed
Creater Anchorage Area Borough, Department of Enviro~mental Quality
DIAGRA~I OF SYSTE~
! certify that the information contained in this request for approval to be a true
and accurat, representation of the subject sewer and water facilities located att
Signed Date
GREATER ANCHQ~GE AREA BOROUGH
Department ot' Environmental quallt,y
3330 "C" Street. Anchorage. Alaska 99503:
274-4561
Date Received Septa be 25, 1973
Time of Znspection
Date of ]:nsoecttoo,_ , September_ 25, "73
R]~QUEST FOR APPi:~OVAL OF
INDTVTDUAI. .~WER & WATER FACILZTIES
FO~
1. Aoprova! Requested 6y~ SMllev~s Realty_. _ ,,
Address'. ... P,O,..8ox_ 1086. Eaole Rtver ~AK .....
2. ProoeT'ty Owner ~
3. £.ega! Oescripttonc Lot,,,33Ct,Ea91e P, Jve~ Yal~ev Ral~chetts
4. Local':ertl 2D G~nd P~t Ea,qle Rtver
5. T.vOe of 'Facility to be InSpectecl~. Sine1= Famtlv O~elltn9
Number of Sedroomst
6. ~ell Oa~at
A. Type
C. Constructs on
7. Sewage Disposal System=
A. ~n~at/ed Auq.73~
¢, Septic Tank-= 1,
D. Seepage Pti=
E. Dispose! Field=
B.
T o_(2) .....
B, Depth ..
D. Bacterial Analys~s'_...
Phone, 694-P1 lfi
Phone =
6. Installer 'H~m~ltnn
Size 1~O0.6als 2. Manufacturer ,,mt1+,, ..
Size 16xIGxlO 2. Mater~al COncrel~
Total Length of Lines,
A. Welt To= Septic Tank ,Absorpt[on Area , Sewer Lines
, Nearest Lot Line ,, Othe~ Contaminate. on .
8. Fr, undat, ion ~o Septic Tank "~ Ab'eO~ton A~a
R'e~st-for ~.pproval of ,~divldua! Sewer ~. Wate'r F'aoilit.~.~i~
· Page Two
g..C~ents:,. ..
Aporo~D~,$approved .,: Dat.
[ J Approval Valid for One Year Fr~ Date Signed
~Greater A~o~ge Area 8orough, Ue~ent of Enviro~ental ~altty
OIAGRAM OF SYS'fE~
! cart/fy that the information contained in this request for approval to be a true
end accurate representation of the Sub.~eCt sewer and water fac.~ltttes located et,
$1qned Oate[
]500 Tudor Road, Anchorage, Alaska
GRERTER AN~HORAG~ AREA BOROUGH
Department of Environments! Ouallty
Oats Received , August 28r, 1973,_'
Time of Inspection ......
Date of Insoection .
R£~JEST FOR APPRO1/AL' OP
INDTV~DUAL SEWER & WATER FACiLITiES
FOR
F.H.A
Anprove I Requested By ~ .Cous tneau.. & Ree.ves ._ _
A4d~ess~ BOX 7,63, .Ea~le Rtver,AK 99577
2. Pronert¥ Owner:
3. Legal Desctiption~
4. LocetLon~
5. T.v~e of Facility to be Inapected~
Number of ~edrooms,, l~.~e (3).
6. Wetl Data~
C. Cor~ttucti en
7. Sewage Di~osal.Systam~
A. ~nsta!led Aug
C. Septic Tank~
P. 5eepaqePtt~
~. Dlsposa~ Fteld~
D~stances:
_.; Phone
Phone
Lot 33 C. Ea~le Rlve~ Valley Ranchettes
Single Famtly Owelltng
B. Depth_ -._.__ _ - = -
D. Bacterial Anatysts
Size 1000 Ga.la2.
Size .16x16 , 2.
Total Length of Lines
Manufacturer Hamtlton
Material _Con, rets ~tngs
[nstallet Hamtlton ..... . . _
A. Well To~ Septic Tank , Absorption Area , Sewer Lines
, Nearest Lot Line , Othe~ Contamination .
B. Fnundation to Septic Tank 5a, "~ Ab$o:pt~on Area 26~ .
C. Absorption Area to Nearest Lot L~ne , 20' ·
. rteq~, st for Approval .or X.n,--~lduat sewer &. water rao2~G2e~*~
· P~qe Two ,~
Lot 33C.,Ean1~ R~v~ U~]ley Q?~h~ .
9. Com~ents~
Approval Valid for One Year Fro~ Date Signed
G~eater Anchoroqe Area Borough. Department of Environmental Quality
DIAGRAU OF
~ ce:tl fy that the information contained in this request for approval to be a t~ue
an~ accurate ~epresentat$on of the suB.Sect sawer and water facilities located
Siqned Date