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Home My WebLink AboutEAGLE RIVER VALLEY RANCHETTES LT 10CGRE/F' ANCHORAGE AREA BORr'" H Department of Environmental Quality 3330 C Street , Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~-'~/~¢~ ~/~,}~V' O~S~'~' MAILING ADDRESS .~'~/.~O /~/4~-/::~--/~-J~A~ k~J) PHONE SEPTIC TANK: DISTANCE FROM WELL, INSIDE LENGTH MANUFACTURER -~'$C~'~"~ MATERIAL INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LlaUID C APA(~ I T V ~'/'~7'~-'~G A L LO N S. TILE DRAIN FIELD: DISTANCE FROM WELL '/~/'~' FOUNDATION '~'"~" · NUMBER OF LINES / DISTANCE BETWEEN LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE ~ TOTAL L E N GT/[-I_.~ NEAREST LOT LINE '~ OF LINES TRENCH WIDTH~'~Z/ IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE ~,/ DEPTH OF FILTER MATERIAL BENEATH TILE ~ IN. ABOVE TILE ~Z//' IN, WELL: C/~f,~4'/~//~"/'"/7~ /d f~ )"'~'/'~ ' i~ ~' ~'/~ TYPE CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION , LOT LINE~, SEWER LINE__ CESSPOOL . OTHER SOURCES APPROVED DISAPPROVED REMARKS ~DEPTH SEPTIC SEEPAGE TANK , SYSTEM DISTANCE FROM: DISTANCES: INSTALLED BY: SEWER LINE DEPTH: DIAGRAM OF SYSTEM DATE ~/~/~-'~ APPROVED G.A.A.B. Form EQ-O32 'GREA/'~'~, ANCHORAGE AREA BOR~'~,H DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 'C*' STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456! 9:,30 SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT .A'"NG ADDRESS NAME OF APPLICANT INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK F,.ANCED THROUG.~ ,, TO .E ,.STALLEO ~BY BO,~TEST RESU'TS I~'O/~/E,/ P-Il-?~-- 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. SEPTIC TANK SIZE .~_ TYPE MINIMUM DISTANCES. REQUIREMENTS FOU~JDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT E/ SEEPAGE AREA SIZE DRAIN FIELD, SEPTIC TANK TO SEEPAGE PIT WALL WELL TO SEPTIC TANK ~1I ,a~-~ SF~EPAOEpIT-- ' DRAIN FIEtLO , * ~"~ ~SO CONSI[~I~ AREA TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVAT'ION S 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 BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE FORM ilO. ~---,~ ~ 0 ~ E GEOTECHNICAL ~!- DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or Russell Oyster Earl ~11i$ 694.2774 688-2280 Soils [/Foundations Land Development SOIL LOG Perfor~ed~ for.:: J tia~e: o.q ~-.~t¢~- r. ~I V'~/~/L, ~. o~)u~.S.~,~/b ~ o~ T-el Legal Description: Z 07- /~.. C: o,1 ~'"~-~s,':,~'/~/~E slT~,c)Lz!~ ,Depth (feet) . Soll ~haracterfstlc~' 3 6 7 8 9 10 11 12 / ~r,- , Z~¢rr~/ Ground Water Encountered: Yes No ~ Proposed Installation: Seepage Ptt If yes, what depth Dratn Fte~d Co~ents: Perfomed by: Date: .Eagle Rtver:.LooP Road,,.follow'.r. oad\.to"Han-o~W Road,,'turn,left.'.. ':.~'onto.,Man~o-War.~.Road,.'tur'n;,,left;again.'at. r.oad.near;the':top of the ~'l :~ "'.'~,':'t ~ ;' ! ' '~ :' 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. # 0 ..~0 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ~1 iCiPALITY OF ANCHORAGE ~.NTA~ SERVICES OIVISION JUN 27r 1997 RECEIVED 1. GENERAL INFORMATION Complete legal description Lot 10C; Eagle River Valley Ranchettes Location (site address or directions) 19111 Man O War Rd. Eagle River, AK .Property owne~'." Tom Elliott : 'Mailing address .19111 Man O War Rd. Day phone Eagle River, AK 99577 269-0661 .., Lending agency "..,' Mailing address ",Agent .- ,. Address '" Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: 3~v 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. 724)25(Rev, I/91) Front MOAI21 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 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 verifythat 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. $ & $ ENGINEERI_N,G Name of Firm ix0~4 F. ae;~ ~,;,~r ~F =~-'g ;-';. ""~ Phone ~ q 5/' 3- ~ '~ '7 Address Eagle River, Alaska 99577 Engineer's signature ~ .. Date' G/a c/Q3 7 DHHS SIGNATURE X Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations:. Additional Comments The Municipality of Anchorage Department of Health and Human 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. Th.e DHHS 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. ~2-025(P, ev. 1/91) Back MOAI~I MUNICIPAUI~f OF ANCHO~ Municipality of Anchorage a~n~ON~E~r~.SERWC~ ~ DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division JUN 2 7 1997~ 825 L Street, Room 502 · Anchorage, Alaska 99501 ° (907) 343-4744 RECEIVED Health Authority Approval Checklist A. WE~ DAT~~ ~ W~I ~e ~l ~ If A, B, or C, a~ch ADEC leUer. ADEC ~ter s~em number Log present ~) ~ Date ~mplet~ To~l dep~ ~ Casing height (ab~ ground) Sani~ seal ~) ~ Wires property pmte~ed ~) Date of test FROM WE~ LOG ~ON S~flc ~r I~1 WATER SAMPLE RESULTS: Coliform ~ Date of sample: Other bacteria B. SEPTIC/HOLDINGTANK DATA Dateinstelled lo/r / '~ 5" Tank size Foundafion . oaoo Date of PumPing "' '5/'/4/~;:~' Pumper · .'_ : . ., / :'!.~'. C, ABSORPTION D~e,!..r~...ta!. !ed Z 0 / I ~/'~t"~' .r ;;2 Effecth~ abSOrption area, ,' ~¢~, ~' Date of adequacy test g.p.m. Number of Compartments High water alarm (Y/N) l~J~i. Soil rating (g.p.d./fF or fF/bdrm)/SZ'~+YBJ~ System type ~ Gravel thickness below pipe (~/ Total depth (:~ / Monitoring Tube present (~IN) ~ ~ Depression over field (Y~!..~) Results (Pass/Fail) J~S For '~' Fluid depth in absorption field before test (in.); C) Immediately after~20 gal. water added (in.): Flaid depth I ,t (ins) Minutes later: ~)5 Absorption rate ~ ''/'-' = /4]//~ g.p.d. Peroxide treatment (past 12 months) (Y/N) /~t~_/:; ~./J~t~L) If yes, give date bedmorns Size in gallons Manhole/Access (Y/N) ~pon" level at* "Pump off" level at* High water alarm level at* *Da'ttm~. Cycles tested SEPARATION DISTAN~LOT TO: .- Septic/holding tank on~lot On adjacent lots Absorption field on lot t lots Public sewer main Public sewer ma~eanout Sewer/septic service line Uti station '"-,... SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation t~ ' )r Property line j~ "~ Absorption field l0t~ Water main/service line ~O~r Surface water/drainage Ioo' -t Wells on adjacent lots Ee SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line 't~)t+ Building foundation I~t~ Surface water ~DO I ~ Curtain drain k~_ / 1~ ENGINEER'S CERTIFICATION Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots lOG t + I certify that I have determined thru field inspections and mvfew of Municipal records in conformance with MOA HAA guidelines in effect on this date. Signature Engineer's Name HAA Fee $ ~"~), Receipt Number ~-~6 (R~. ~e)* Waiver Fee $ Date of Payment Receipt Number DATE RECEIVED I'NSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECT OR INSPECT OR NSPECT /V~JNIClPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & )~. DEPARTMENT OF HEALTH & ENVIRONMENTAL PR~ENTAL PROTE~ION 825 L Str~ - Anchora~, Al~ka 99501 ENVIRONMENTALSAN{TATION DIVISIONFEB 2 ? 1981 Telephone 2~7~ RECEIVED ~E~UEST FO~ APPROVAL OF INDIVIDUAE ~ATE~ AND SE~E~FAOlEITIE8 DIRECTIONS: Complete all pa~s on page 1. Incomplete r~u~ will not ~ pr~. Please allow ten (10) days for processing. 1. PROPERTY OWNER I PHONE MAI LING ADDR Efts PROPERTY RESIDENT (If different from abo~) PHONE 2. BUYER PHONE 3. L~NDING INSTITUTION I PHONE MAILING ADDRESS 4. REALTOR/AGENT ~ PHONE~ MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five J~ Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED.~ NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. , THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMI L~' [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY ~' [] INDI'VIDU~[~' ;' :"~" . . - · 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 Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL .... 4. DISTANCES Septic/Holding Tank JAbsorption Area jSewer Li~e I Nearest Lot Line WELL TO: ' · *' .... Absorption Area to nearest Lot Line 5. COMMENTS d *."; OVEDFOR BEDROOMS [] CONDITIONAL APPROVAL (lette? must accompany certificate) [] DISAPPROVED /,~ 72-010 (Rev. 6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Etmet - Anchorage, Ata~k~ 99501 ENVIRONMENTAL ENGINEERING DIVISION . , Telephone 264-4720 DIRECTIONS: Compete all part~ on page 1. In;omplete mq~t~ will not b~ pro~ed. Please allow ten (10) days for procmsing. 1. PROP~..QWNER MAILING ADDRESS PROPERTY RESIDENT (if different from ~. BUYER -- ,/ MAILING ADDRESS 3. LENDING 1NSTITUTION/~ /~, , MAILING ADDRESS PHONE PHONE REALTOR/AGENT MAILING ADDRESS 6, LEGAL DES~PT~ / ~ STREET LOCATION 6. TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY 7, WATER SUPPLY [] INDIVIDUAL* ~ COMMUNITY [] PUBLIC UTI LITY & SEWAGE DISPOSAL SYSTEM [~Y~NDIVIDUAL/ON-SITE** [] PUBLIC UTILITY BEDROOMS -~ [] One [] Four [] Other [] Two [] Five [~'/Three [] Six * ATTACH WELL LOG. A well 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 /~ . 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, '*; 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 [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] 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 / I~ Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: ~ If Tank is homemade SOILS RATING give dimensions: TYPE (~ T,~N~,.~~~ M A N U F A CT U R E R~./~/~.~. TOTAL ABSORPTION AREA MATERIAL Absorption Area to nearest Lot Line 5. COMMENTS [~APPROVED FOR ,.~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED /- DATE ~ ~EGAL DESCRIPTION 72-010 (Rev. 3/78} DAVID A. SLENKAMP ROBERT A, SHAFER MECHANICAL ENGINEER 694-9055 ~grch 12, 1981 CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION Remsx Properties ATTENTION:- Pon Ydller 2702 Gambell Anchorage, Alaska 99503 Dear ~r. 1,[iller, MAR 1. '7 1981 RECEIVED Reference:' Lot lOC; Eagle River Valley R. nchettes; Terry Brown Property A sewer system adequacy test ~ss performed on the system located on the referenced property per your request. The septic tank was pumped and verified to have a capacity of 1250 gallons. The absorption trench was teated by a continuous flow of approximately 600 gallons of water over a period of 24 hours. It can be concluded Erom this test that the se~ge system is currently functioning adequately for ~,.fourbedroom residence. If Me may be of further assistance, please do not hesitate to call. ~,~nicipality of Anchorsge Department of Health and Enviornments1 Protection SRB 196X EAGLE RIVER, ALASKA 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPA,qTMENT OF tlEAL'TH AND ENVIRONMENTAL F'ROTECTIOI'~ March 3, 1981 Terry Brown % Re/Max Properties 2720 Gambell Street Anchorage, Alaska 99503 Subject: Lot 10C Eagle River Valley Ranchettes Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The septic tank pumped with a receipt submitted to this office. (2) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw CC: Ruth La Bart National Bank of Alaska Pouch 7-025 99510 Ron Miller % Re/Max Properties 2720 Gambell Street 99503