HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 11A
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
MA,L,N~ADD.ESS
~; Li...,~,--~,.ga,ions ,F.OME~O~= ,nsldel.ng,h Width Liquiddep,h
~ DISTANCE TO: Well Dwelling PERMIT NO,
~ Manufacturer Material Liquid capacity in gallons
~ Type of crib Crib diameter Crib depth Total eff~ti~ absorptio~ area
Well Building foundation Nearest lot line
DISTANCE TO:
DISTANCE TO; Buildin~ foundation Se~r line Septic tank Absorption area(s)
MATERIALS
PH .... - ....
Permit # ~.% ~% )2
Applicant: ~-~-
Location:
MUNICIPALITY OF ANCHORAGEr...,.
Department~F'~ Health and Environmenta .otection
825 ~ Street, Anchorage, AK. ~501
264-4720
* * * HANDWRITTEN PERMIT * * *
W~$L--J~N~:I~N~ ON-SITE SEWER PERMIT
CO;9! ~-~ Mailing Address:
Phone Nu er: & 9 - ?o/0
Seepage Bed: Holding Tank:
Soil Rating(sq.ft/br)
Legal Description: Z-//.,'9 ,~..~. L/"d3~ L'&'6t.clc~.~7-fct Size:
Type of Soil Absorption System Is:
Trench:'-~- Drainfield:
Maximum Number of Bedrooms: -
DEPTH
The Required Size of the Soil Absorption System Is: '
LENGTH GRAVEL DEPTH WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(It~I~I~i) TANK SIZE = ~00 GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection.and approval by this depart~en
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fee
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
_,available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I undgrstand that the on-site sewer system may require enlargement if
Signe~: ~is remodeled to includeissuedmOreby: ~that ~l:~drooms.__
Applicant
SW?/024
ANCHORAGE AREA
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
MAILING ADDRESS ~ ~-~'7' ~.~',e ~1~¢~ PHONE
INSIDE WIDTH
NUMBER OF
MATE R IAL'~I'~ t'~[ COMPARTMENTS J
LIQUID DEPTH lIQUID CAPACITY I~ GALLONS.
SEEPAGE PIT:
(~, ' ,.
NUMBER OF PITS ~ DIAMETER OR WIDTH j~ LENGTH ~ DEPTH
LINING MATERIAL LDCv' CRIB SIZE: DIAMETER ~ DEPTH ~ DISTANCE FROM: WELL
BUILDING FOUNDATION ~1 NEAREST LOT LINE~. TOTAL EFFECTIVE
, ABSORPTION AREA (WALL AREA)
ADDITIONAL ABSORPTION
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED.
CONSTRUCTION
NEAREST
LOT LINE
OTHER 5OURCES
· DISAPPROVED
· DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK SYSTEM
REMARKS
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form No. EQ-031
DIAGRAM OF SYSTEM
DATE
APPROVED/~
. (,//G.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456!
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
PHONE
OTHER
NOTEI THIS PERMIT IS NOT VALID WITHOUT ~OIL T'~ST
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.
SE,',,= T^.K BIEE I/)00
MINIMUM DISTANCES. REQUIREMENTS
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK /O~
DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
/r~/I/ D.A,N F,ELO
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
GRAVEL BACKFILL
THAT THE ABOVE
'O 8- E GEOTECHNICAL ~- DEVELOPMENT
Box 90. Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Soils Et Foundations
CO.
Earl Ellis
688-2280
Land Development
SOIL LOG
Perfomed for:
Hailing Address:
· Legal Description:
Depth (feet)
So~1 ~h~racter~sttc~
6
10
11
12
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit
Co~ents: ~"~ ~.a__ '~, ~ -,-~ ~
,erfo~ed by: ~,.~.,-,,'~(-._% ,~r-~..-J
If yes, what depth
/ Drain Field
Oate:..~_~% ,,-_~ ~ 7%
Municipality of Anchorage
Development Services DeJ~artment
I~uilding Sa[&y Division
On-Site Water and Wastewater Program
4700 South I~ragaw St.
P.O. Box 196650 Anchorage. AK 995tg-6650
www.cLanchorage.ak.Us
(907) 3,{:J-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050-222-24
GENERAL INFORMATION
Complete legal description
Expiration Date: L/c _ -~_ d_~ ~
Lot llA~ Ea~l~ River V~ll~? Rmnehettes
Location (site address or directions) 1 c~o'~n WH~ rl n~,,~¥ ~nncl
Current Properly owner(s~ial & Polly Martin
M.a. ilingaddress 19030 Whirlawav Rd.
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Da~/phone 694-7278
Ea~le River, AK 99577
Day. phone
K~thy Olm~t~Rd Day'phone 6q4-4200
1660 Centerfield Dr: 'Ste.201 EAg&e River, AK 99577
NUMBER OF BEDROOMS: 4
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ~
Public Water System
Well
[]
[]
[]
TYPE OF WASTEWATER DISPOSAL:
Individual On-site ~
Individual Holding tank []
Community On-site []
Public Sewer []
The Municipality of Anchorage Development Servlces Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations glven In paragraph 5 by an Independent professional civil
engineer registered In the Slate o{' Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for propedies s~rved by a single family on-site wastewater disposal ahd/or water
supply system. DSD also Issues HAAs Upon request to homeowners. Certificates of Health AUthority Approval are
valid for 90 days from the date of Issue for propedies sei'ved by a private or Class C well and may be reissued with
new water sample results less than 30 days old. (Cedificates may be reissued for a period of up Io one year w th
valid water samples.) Cedific~les are valid t'oi' One year [or propedies served by Class A or B wells or a public
water system. The Municipality of Anchorage Is not responsib e for errors er omissions In Ihe professional
engineer's work.
4. STATEMENT OF INSPECTION By ENGinEER
As cedified by my seal affixed herelo and as oJ' the validation da{e shown below, I verity Ihat my Investigation,
based on procedures outlined In the Health Authorliy Approval Guidelines for Ibis application, shows that Ihe
on-site water supply and/or wastewater disposal system Is(are) safe, functional and adequale for the number of
bedrooms and type of structure Indicated herein. I ~'ur~]er Verify thai based on the Informalion oblained from Ihe
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 Ilia time of installation.
NameofFirm S & S Engineering Phone 694-2979
Address17034 N, Ea~,t~ River Loop St..e.. 204 EaF~le River, AK 99577
Engineer's Printed Name Robert C. Cowan Dale
DSD SIGNATURE
~Approved for l.~
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the ~'ollowing stipulations:
Additional Comments
By:
Attachments:
HAA Checklist
Septic Sys{em Advisory
Well Flow Advisory
X
Maintenance Agreements
~uppiemental Engineer's Report
Olher
Or g a, Ce. ,ca e -7- 0 3
(ney. 12~00)
Nl~micipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program.
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.d.anchorage.ak, us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Well Log (Y/N)
Wires properly prot.~ (Y/N)
.
g.p.m.
Opr bacteria .colonies/100 mi.
[oilected by:
SEPTIC/HOLDING TANK DATA ~'_ .....
.. '*'.. / CI~
Tank Type]M~tert;d .,~;;~_.~~'/-- Date installed
Tank size gal... Number of Compartments /'~/ Cleanouts (Y/N)
/~"Z~ ~'/'- .Depression ~ve7~r~nk~/N~) ,/~ High water alarm (Y/N)
Foundation cleanout (Y/N)
Date of pumping ~ Pumper ~'7r2 tS
ABSORpTIoN FIELD DATA ~
Date insta,ed I ! ~ So, retin§ (g.p.d.~ or,l~l..~_"
Eft. abso~on ama ~ · Mon~dng ~be .
Totaldepth !0 ff.
Date of adequacy test "~ ! ~,~JO ~ Results (PassJFail) ~¢I~
Fluid depth in absorption field before test ~) in.
Water adde~al.
System type ~
Gravel below pipe ~ ft.
Depression over field ~J
For ._~ bedrooms
New depth_.~_ in.
Elapsed Time: ~O min. Final fluid depth 0 in. Absorption rate >= ~ g.p,d.
Any rejuvenation treatment (past 12 mo,) (YIN & type) ~J'o~/~ ~['"~'¢/AJ~ If yes. give date
Well type ; ' If A, B, or C provide PWSID #..
Date completed ~.. ",Sanitary seal (Y/N)
Total depth /. Cased to ~
· '/ FROM WELL LOG
Date of tesF ~ ~ ~ .
Static wa~l~ level __ · ft.
Well production ___ __ g.p.m.
WATER?AMPLE RESULTS:
ColifoT,.v . colonies/100 mi. Nitrate. mgJI.
Arser~c: . mg./l. Date of sample:
Legal Description: 6g~r / [ ' Parcel ID: (~ ~"0 - .2..,3, ~ - 5Z./7/-
WELL DATA~ ~,,.~~ ~-~¢~J~-"/'J~ ~/~
D. UFT STATION
Date installed ~V~/~-
/
'Pump on" level at.7~._ in.
/
Datum
E. SEPARATION DISTANCES
Size in gallons
'Pump off' level at in.
Cycles tested
Manhole/AcceSS (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
in.
SEPARATION DISTANCES FROM WEL~ LOT TO:
Septic tank/lift station on lot / '.
Absorption field on lot
Public sewer main
Sewer/septic service line
SEPARATION DISTANCES FROM SEPTIC/H~I~'G TANK ON LOT TO:
On ~djacent lots
On adjacent 10ts '"""
Public sewer manhol~feanout
Holding tank !t
Building foundation
Water main /
Wells on adjacent lots .,'~/00/.~
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
Water Service line
Property line ~' ~ Absorption field ~' /
Water service line ((~ ~ Surface water //O~:) ! "~'
Building foundation /0 .L Water main
Curtain drain
Surface water f ~;~0/'¢ Driveway, parking/vehicle storage
Wells On adjacent lots I~ ~
F. COMMENTS ~ "
G, ENGINEER'S CERTIFICATION
I certify'that I have determined through field inspections and
review of Municipal records that the above systems are in ~
conformance with MOA HAA guidelines in effect on this date.
Date ~)/.3 ! 0 ~
/
HAA Fee $ _~ '7 ~". ~'--~
Date of P ayme~'
Receipt Number o ;3 ~1 (~ 0
(Rev. 12,/01)
Waiver Fee $
Date of Payment
Receipt NUmber
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Ha~ 10 03 10:39~ K~thi Olmstead SOT-GSG-~730 p.l
OOTa~ao2~4; £eb.2e-03 10;53; PsOe
Sent By:
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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. #
1. GENERAL INFORMATION
Complete legal description
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Lot 11 A; Ea.g.~e R. iue*. F~..Zcg' Ranchet,(:e.6
Location (site address or directions)
19030 Whi~clcuuay Road
ArtJu~r ~ Mary Ann Whiten
Day phone
Property owner
Mailing address
Lending agency
Mailing address
AgentEZZee.~ ~cGazu~cr~ PHH/Hor~qcu~ CaZZfor~.~c Day.hone
~rbara P~k~ Jack ~ Com~nF A~orage, Ak.
Address
19030 Wh, Lrla.waq Road Eaql~ Rive,% Ak. 99571
Day phone
694-$757
m
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: '~
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water ~
NOTE:
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.
5. STATEMENT OF INSPECTION BY ENGINEER
o
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 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.
Name of Fi~'m ,, ~ ;~ ~.;,;~;:::--; ':~ Phonec,~L/~Y~'~
17034 E3.~I,~ R'ver ~..,-.- ~
Address Eagle River, Alaska
Engineers signature
DHHS SIGNATURE
~,/'~ Approved for .,,~/,--d/~bed;ooms.
Disapproved.
__ Conditional approval for
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. The 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.
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: ~ \~ ,~' ~::~c,.t...~.- ~.~,~1 ~-~--- Parcel I.D. /'~',_ _~ '~'~2~--~y
A. WELL DATA
Well type /z~k If A, B, or C, attach ADEC letter. ADEC water system number
Log present(Y/N)
Date completed Driller
Total depth Cased to
Casing height
Sanitary seal (Y/N)
Wires properly protected (Y/N)
FROM WELL LOG
Date of test
Static waier level
Well flow
Pump level
SEPARATION DISTANCES 'FROM WELL TO:
Septic/holding-iank on lot
Absorption field on lot
Public sewer main '
Public sewer service line
AT INSPECTION
; On adjacent lots
g.p.m. : ~ I u_l,
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform
Nitrate Other bacteria
Date of sample:
Collected by:
Cleanouts~N) ~
High water alarm (Y~
Date of pumping ~.~.c/--51 ,
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot '7..-,~ C:~ ~ ¥' On adjacent lots ~ JA-
To property line ~0~¥' ~'
size ~ ~ *. ~'cz=, Compartments
Foundation cleanout (~N) '~ Depression (Y(~)
Alarm tested (Y/N)
Foundation
Surface water/drainage
Absorption field
IOo ~/'' ' '
Water main/service line
72-02~ (R~,. ~e~) ~0~ ~o^ 2~ CONTINUED ON BACK PAGE
C LIFT STATION
Date Installed Manufacturer
Size in gallons Manhole/Access (Y/N)
;~ (:~tNe)r ala rm level~ ~ .,Pump on" level at j
Meets MOA ele'(~trical codes (Y/N) ~
STATION TO=
~t ' On' adjacent lots' Surface water
D. ABSORPTION FIELD DATA
Date Installed '
'-- ?ngt,h t'l ' Width t.____...~'
--Total absorption area
i,~Depresslon over field (Y
Peroxide treatment (past 12 months) (Y~ ~1~
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Wellonlot
To building foundation
On adjacent lots. '5 o' ~ .Cutbank
Surface water
Curtain drain
Soil rating .~,~~ System type
Gravel thickness
Total depth
Cleanouts present (~N) y
Date of adequacy test
for I~'~' ~--- ~'~,) bedrooms
If yes, give date ~/~'
On adjacent lots ~ I~ Property line
t ~' To existing or abandoned system on lot
~5~ ~.. Water main/service line
Driveway. parking/vehicle storage area ~ ~ -
E. ENGINEER'S CERTIFICATION
I certify that I have checked, vedfied, or conformed'to all MOA 'and HAA guidelines in effect on the date of this inspection.
,..
....
· ,. ..;
Engineer's Na~
Date
HAA Foe $
Date of Payment
Receipt Number
Waiver Fee: $ ·
Date of Payment
Receipt Number
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHO~L~GE DISTRICT OFFICE
~o01 C STREET, S~JITE 322
ANCHORAGE, ALASKA 99503
June 25,1991
WALTER J. HICKEL, GOVERNOR
563-6775
FOR: S & S Engineering
Ray
PWSID #210875
My review of the records on file in this office reveals that the Norfolk Utilities Subdivision
Class A Public Water System, is in compliance with the provisions of 18 AAC 80.060, State
of Alaska Drinking Water Regulations.
Sincerely,
Lead Engineer
;Ime , Time
;,
Data Date Date
Ci', ,o
Inspector Inspector Inspector
Comments ~ndltlonal Approval
RECEIVED
Date Sewer Instatl~ Permit No. I Septic Tank Sl~e
i_9
~lls Rating Well To Absorption Area Well L~ Received
Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
Prope~y ~ner ;~[~e~ ~a~c~
..*"~. O. ~o~ 8~, ~as[e ~ive~, ~la~ 99577 694-~200
Mailing Address
Buyer A~C ~itte~ k
2730 C~lAat Cou~t, ~ag~e ~et, Alaeka 99577 - .--,
Address ._
Lendinglnstitution ~[aB~ ~ O~ C~Ce P~one
Address Eagle ~iver, Alaska 99577 6g~-2021
Rea~ty~.&Agent ~ of Basle liver A1 Ro~szewski Phone
:' P.O.Box 8~8, Easle liver, ~ 99577 694-4200
Address
~gal Description ' ~Z 1~ ~81e ~ Valley
Street Location
Typ~f Residence
~ Single Family ~
~ Multiple Family No, of Bedrooms
Water Supply
~ Individual A~ACH WELL LOG. A well log Is requlr~ for all wells drlil~ since June
~ ~mmunlty 1975. For wells drilled prior to that date, give well depth (attach log If
Public Utility available.}
Sew~e Disposal
~ Individual Year Individua~ InstallS:
~ Holdln~ Tank
N~ ~~ ~E~UST ~ANT~e~REQUEST BEFORE PROCESSING CAN BE INITIATED.
~;ovember 29, 1982
Steven Chance
P.O. Box 848
Eagle River, AK 99577
Subiect: Lot llA Eagle River Valley Ranchettes
ApProVal for the individual set;er and water facilities c~nnot
be ggnted until the following items have been completed.
" ~he septic tan]: pumped with a receipt submitted to this
partment.
~_An adequacy test needs to be performed on the existing
¢~l~eaching area. This test will determine ii,the system is
_.{J-~ a~qquat6 according to Mational Standards. Alisting of
k pri~te firms performing the test is enclosed. This report
~ee~, to be submitted to this office for our revie%;.
" The cleanout to the septic tank needs to be raised above
ground.
Please notify this Depa~tmen~ for a reinspection when the
noted discrepancies have been corrected. If there are any
further questions, please call this office at 264-4720.
Sincerely,
RP235/p/EH
Enclosure
Robert C. Pratt
Associate Environmental Specialist
Re/Max Realty
ATTENTION: A1
P.O. Box 848
Eagle River, Alaska
EXCAVATION
WORK
99577
ROBERT A. SHAFER
November 27, 1982
CIVILENGINEER
694-2979
A4UNICIPA[j.I%, OF ANCHORAGE
t'5',/ 2 9
I ECEIVF. 8
Dear A1,
Reference:p, Lot llA: Eagle River Valley Ranchettes
A sewer system adequacy test was performed on the system located
on the referenced property, aas you requested. The septic tank
was pumped on November 24, 1982. After pumping, approximately
two feet of hard sludge was left in the ~nk. It is recommended
that caustic soda be added to the septic tank and that the tank
be repumped. In accordance with Municipality records, the
septic tank has a capacity of 1000 gallons. The seepage pit was
tested by charging the system with 1000 gallons of fresh water
and after a period of 24 hours approximately 850 gallons had
percolated out of the crib.
It can be concluded from the above test that after performing
the above work on the septic tank, the septic tank will have an
adequate capacity for a three bedroom residence. The percolation
in the seepage pit indicates that the absorption area is currently
adequate for the four bedroom residence located on this property.
An~.additional 500 gallon septic tank will,~have to be added to
the existing tank for it's capacity to also be considered adequate
for four bedrooms. The absorption system, though adequate at this
time cannot be guaranteed against subsequent failure.
If we may be of further service,
Sincerely,
please do not hesitate to call.
Municipality of Anchorage
Department of Health and Environmental Protection
ERB 196X EAGLE RIVER. ALASKA
MUNICIPALITY OF ANCHORAG/~.~
DEPARTM~"~ OF HEALTH AND EI'IVIRONMEi', JL PROTECTION
825 ' L Street, Anchorage, Alaska 99501
#1: Time
Date
Insp
279-2511, ext. 224 or 225
Date Received: August 29,
11:00 a.m. #2: Time #3: Time
8-30-77 Tuesday Date Date
Pratt Insp Insp
1977
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER A~;D WATER FACILITIES
e
Lending Institution Request: Security Pacific Mortgage Corporation
Mailing Address: 1011 East Tudor Road, Suite 190 Phone: 276-1933
Property Owner: Keller Phone: 694-2915
Mailing Address: % A1 Romaszewski, Area Realty Eagle River
3. Legal Description: Lot llA Eagle River Valley Ranchettes Subdivision
4:
Single Family Residence: (x)
Multiple Family Residence: ( )
Well System:
Permit #
Construction
Individual well
Depth of Well
Number of Bedrooms: Four
Number of Bedrooms:
( ) CoMmunity/Public System ( g
Well Log on File ( )
Bacterial Analysis
Sewage Disposal System:
Permit ~ Installed
Septic Tank Size
Absorption Area
On-site System (x) Public
1977 Installer
Manufacturer
Utility ( )
Soils Rate Material
e
Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
e
4.
5.
6.
Approval lrequested by:
Mailing Address:
Property Owner:
Mailing Address:
Legal Description:
Location:
6REATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
2330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received April 4, 197S
Time of Inspection
Date of InspectionApril 7, 197S
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Conventional
Smiley's Reatty
Eagle River AK Phone: 694-2114
Adam's Construction Phone:
Eaglo River
Lot llA, Eagle River Valley Ranchettes
~hirlawayRoad
Type of facility to be inspected
Well Data:
A. Type Co.unit),
1. Size 1000 gals
1. Absorption Area
Field: Total length of lines
C. Construction
7. Sewa'ge Disposal System:
A. Installed 197S
C. Septic Tank:
D. Seepage Pit:
E. Disposal
8. Distances:
A. Well to:
Nearest lot line
Single No. of bedrooms 3
Septic tank
B. Foundation to septic tank
C. Absorption area to nearest lot line
B. Depth
D. Bacterial Analysis
B. Installer R.B. Woods
2. Manufacturer Sunset Plastics
396 sq.2.ft94ateria1 Log
, Absorption area
, Other contamination
16' , Absorption area
, Sewer Lines
EQ-034 (1/74)
Page 1 of two pages
REALTORS'
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WAlER FACILITIES
1. Type of Inspection: CMRO VA FHA CONV × .
2. Property Owner:Knl 1 ow
Mailing Address: Eagle River, Ak. 99577 ' Da)' Phone 694-2915
Chance Steve/f Doris
3. 7Name of Buyer:
Mailing Address: 2221 Muldoon Rd. 99504 Da)' Phone 337-7181
'4. Name of Lending Institution: Security Pacific Mtg. Corp.
Mailing Address: _ .Anchorage Ak. 99507 Phone' 276-1933
Name of Realto~LoF Agent: ,'Area Inc. Realtors Attn: Al/ Romaszewski
i 694-9555
Mailing Address: Box 249 Eagle River 99577 Phone
16.
Legal Description: Eagle River Ranchettes Lot 1lA
Location: Whirlaway Drive' Eagle River, Ak;
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply: 'Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation:
Individual (on-site)
1-27-77
No. Bdrms. 4
X
REALTORe
AREA, INC. REALTORS
E]] Anchorage
"C" St. Office
3300 C Street
(907} 278-2525
r-] East Anchorage [] Eagle River
Eastgate Office Parkoate Office
5437 E. Northern Lights P.O. Box 249
{g07) 278-2525 (g07) 6940555
Page.T~o
Department of ltealth and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot llA Eagle River Valley Ranchettes Subdivision
ConLment s:
Affadavit Attached:
Approved: ~
Disapproved:
Letter Attached: ( )
Date: ~
Date:
Department Worksheet:
Legal Description
Lot 1Lt~ Eagle River Valley P~mchottes
Cements
Approve~ ~, ~ ~. Disapproved Date April 7~ 1975
· Approval \Valid for one year from date.signed
Greater Anchorage Area Borough, Department of Envlror~nental Quality
DIAGRAM OF SYSTEM
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 facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)