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Home My WebLink AboutEAGLE RIVER VALLEY RANCHETTES LT 30A MAILING Ap~RESS 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 ~ ~0 0 ...~' PHONE NEW ~PGRADE LOCATION . / ~ LiM~aclq jn gallons I ........... /[ Insid~ngt h Width ~= mSTANC[TO: I~/ ~ ~ ~ ' /~ ~ ~ ~ No. of lines ~ ~na~ each~n~ t Total legalizes Tren~wi~h ND. OF BEDROOMS ~ Liquid depth PERMIT NO. Liquid capacity in gallons Distance between lines PERMIT NO. Septic tank Absorption area(s) < t- Type of crib Crib diameter Cr pth uJ Well Building fou~ndatlon v~ DISTANCE TO: ..4 ~' ~Z~ Z/~- ~ D~PT. 0 HEALTH & OTHER 'SEP 1 q i 8z PERMIT NO: DATE ISSUED: ~-~UN I C^PAL ITY OF ANE~'~ORAGE DEPARTMENT OF HEALTH 'AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 ON--S ITE 840750 UPGRADE 09/05/84 APPLICANT: ADDRESS: CONTACT PHONE: MARK H. ~R. SMOOT BOX 50 WAR ADMIRAL EAGLE RIVER, AK 99577 694-2850 LEGAL,DESCRIP: SUBDIVISION: E. R. VALLEY RANCHET LOT: 50A SECTION: 7 TOWNSHIP: 14N RANGE: LOT SIZE: 22500 (SQ.FT. OR ACRES) BLOCK: NA I certify that: 1. I am familiar .with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of. Alaska. I will install the system in accordance with all MOA codes and regulations~ and in compliance with the design criteria of this permit. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing wel~, wastewater disposal system or public ~ewerage system on this or any adjacent or'nearby let. IF A THEN WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT~ ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED ~_ _~_~/~_~__ DATE: APPLICANT: MARK H. JR. oMGOT LIFT STATION IS INSTALLED IN AN AREA COVERED,BY MOA BUILDING CODES~ (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED~ (2) AS-BUILTS AND (3) THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchotag$, Alaska 99S01 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PEROOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: SLOPE" SITE PLAN _ -3 -' .'- ', ~ WAS GROUND WATER ~ - ~ ENCOUNTERED? * ~ P 12 IF YES, AT WHAT ~ E~ 13 ~ ~ DEPTH? Ja - . .... Gross Net Dap h to Net ~5~ ' ~.0.~, ' ~'~ .~:~,. , . ., ~,.~ ~ ~.. 19- ~*~.e~ _~.~**F.~ // ~ ,_ ~ .~ ~. ~ // ~~' TEST RUN BE~EEN PERFORMED BY: 72-008 (6/79) CERTIFIED BY: GRE .R ANCHORAGE AREA BOP"'IGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME (~,47'~[,~¢~ta, MAILING ADDRESS PHONE SEPTIC TAN K: DISTANCE FROM WELL INSIDE LENGTH INSIDE WIDTH NUMBER OF MATERIAL t~['TC COMPARTMENTS -~f LIQUID DEPTH lIQUID CAPACITY /~O GALLONS. SEEPAGE PIT: NUMBER OF PITS I , DIAMETER ~t(/ LINING MATERIAL ~CI~.. CRIB SIZE: . OR WIDTH /~I LENGTH/b". DEPTH /~! DIAMETER DEPTH ~-.~' DISTANCE FROM: TOTAL EFFECTIVE WELL BUILDING FOUNDATIONe~ , NEAREST LOT LINE__ ABSORPTION AREA (WALL AREA} ADDITIONAL ABSORPTION WELL: TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARK5 DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK , SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL.' LOT SLOPE= REMARKS: Form No. EQ-031 DATE DIAGRAM OF SYSTEM ~.~ GreATER ANCHORAGE Area BOROUGH SEWAGE DISPOSAl. SYSTEM m APPLICATION AND PERMIT LEGAL DESCRIPTION PHONE OTHER HOTEr THIS PERMIT I$ NOT YAI*ID WITHOUT SOlE 'I'EST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE: ~UBJECT TO PROSECUTION. SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES. REQUIRE:MEN'IS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT 4~ ~ DRAIN FIELD SEPTIC TANK *~ SEEPAGE PIT 20 DRAIN TO N~.~S~ COT LINt. WELL TO SE"lC TANK /d~ SEEPAGE PIT DIAGRAM OF SYS*Tr*M WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK./_~ ~ SE[PAGE PIT CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP DF EXCAVATION S FEE'r INTO UNDISTURBED SOLE.. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT GRAVE:I. BACKFILl. CONFORM TO BOROU EGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTE OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2S.6E AND THAT THE ABOVE 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. ff 0.5'-0 - ~7~'-~.'Z.. 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Day.phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well Community well ~- Public water Day phone Day phone 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. Be 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 App,'oval 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 inves.t~ation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regu~f'~ [l~eo~.~n the date of this inspection. 20210 Donalar St. Name of Firm Chugtak, Aluka ~s67 Phone Address Engineer's signature DHHS SIGNATURE J/~Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations.: Additional Comments By: Date The Municipality of Anchorage Department of Health and Human Servlces (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 purchaser= 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 error= or omissions in the professional engineer's work. Municipality of Anchorage ,~ Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST /.,~.-_~,4-., . Legal Description: ~--~,~..,r-,~,,e~ //,9~./a¥~ Pamel I.D.o.5"~ .- Z.2.,~ - z.z_. A. Well Data Well type ~ov~,~ Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC lette~. ADEC'water system' number '~$ s o Z/o,E, 7.~ Date completed Driller Cased to Casing height Wires properly protected (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main AT INSPECTION g.p.m. ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteda Date of sample: Collected by: B. SEPTIC/HOLDING '~ANK DATA · Date installed Cleanouts (Y/N) Y High water alarm (Y/N) Date of pumping Tank size ~--~:~ Compartments Foundation cleanout (Y/N) ~'-//~- Alarm tested (Y/N) ~ * ~//,,~ 7/~'~/'93 Pumper .~, ~'~'~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot To property line Surface water/drainage On adjacent lots Absorption field /'~o-r-- Foundation Water main/service line ~-~'-~' ~2.ms ~3)' Fret cONTINUED ON BACK PAGE C. UFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) 'Pump on' level at Manufactumr Manhole/Access (Y/N) "Pump off' Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Sudace water D. ABSORPTION FIELD DATA Date installed ~/1~/~¢ Length ~' ~'5'~ Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/FF) IcJo ''~ Width ,,2- Yz.- Gravel thickness "~C,,C> ~P Cleanout present (Y/N) ~ J ~./~'.'3, Results (pass/fail) ,//,' Y System type -~ Total depth 7 Depression over field (Y/N) for ~ Bedrooms After test ~ ~'~,-- · If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water /~/'/~c--- On adjacent lots Property line / 7_ ~ To existing or abandoned system on lot ~ .-/,~ ~Z~ ~. Cuthank .~, ~'E,-- Water main/service line I o O-Y' Driveway, parking/vehicle storage area Z.-.~-Y'- Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on th~ l;t~te of this inspect/on. En_lneefs Name ~:,.- , -,-,-----~__ _ __.~ .., ~ HAAFee$ /~;;~3 '~'~) WaiverFee$ Date of Payment '~Z-'~ ~,.-~,~ Date of Payment Receipt Number ~ z/Z~ ~'~ ~ 4:~/~.~ .2 Receipt Number 72-(3~6 (3/93)' Back DEPT. OF I~N%rlRONMENTAL CONSEIIVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 ! WALTER J. HICKEL, GOVERNOR (907) 349-7755 July 21, 1993 Mr. Dick Dayton 20210 Donalar Chugiak, AK 99567 SUBJECT: Lot 30A (18850 War Admiral Road, Bonnie Way); Eagle River Valley Ranchettes; Norfolk Utilities Class "A" Public Water System, PWSID #210875 Dear Mr. Dayton: I have completed a review of this office's ill(is concerning the monitoring status of the above-referenced Class "A" Public Water System and found the following: The last satisfactory Total Coliform Bacteria Sample results was submitted to thls Department on June 11, 1993. This does meet the provisions of 18 AAC 80.200(a) of the State Drinking Water Regulations. The last Inorganic Chemical Contaminants sample results were submitted to this Department on February 19, 1993. This does meet the provisions of 18 AAC 80.200(a) State Drinking Water Regulations. The last Radioactive Contaminants Sample results were submitted to the Department on January 28, 1993. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. The last Organic Chemical Contaminants/Volatile Organic Chemicals (VOC) were submitted to this Department on February 19, 1993. Based on analysis of the previous VOC samples results have been satisfactory. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does cot imply that the above-referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Water Regulations. Unless otherwise noted, this letter is valid for 30 days and is for the specified legal description noted above only. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Michael Lu Environmental Eng. Asst. II KkK/na D. R. DAYTON, P.E., R.L.S. ]~x~l~]~ Chugiak, Alaska 99567 20210 Donalar (907) ]~l~xx~l~ 696-2417 July 26, 1993 ADEQUACY TEST Legal Description: Lot 30A, Eagle River Valley Ranchettes Date of Test: July 20, 1993 Septic Tank: 1000 gallon, 1 Compartment, concrete tank 500 gallon, 1, compartment, steel tank Absorption System: 95' long x 2%' wide x 4' effective depth trench Soils Rating: 190 sq. ft. per bedroom Requirements: 4 BR - 600 gallons per day Test: Water was pumped into the absorption trench while measuring volume, time and liquid level rise. After pumping was stopped, the liquid level drop was measured at timed intervals. The results were plotted on a graph of time and gallons absorbed, and extrapolated to 24 hrs. Results: The absorption system is currently functioning adequately for a 4 bedroom home. STATE OF ALASKA DEPAR"rMEN'r OF ENVIRONMENTAL ¢ONSFRVA?ION APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS PROPERTY DESCRIPTION 18850 War Admiral Road (Bonnie Way) Eagle River Valley Ranchettes Norfolk Utilities PWSID no.210875 This approval does not constitute a guarantee of any kind, explicit or Implied, as to the performance of the water supply and wastewater disposal systems. WATER SUPPLY A recent water sample was tested and found to meet Department of Environmental Conservation drink- lng water standards for total coliform bacteria. Eng. Asst. II WASTEWATER DISPOSAl. The domestic wastewate~ern was: [] Inspected by the Departmen"h,o.f Environmental Conservation and~und to be In compliance with applicable requirements of 18 ~2; ~ [-I Inspected by a Professional Englnee~,,~ho certifies tha~,,~e system complies with applicable re. qulrements of 18 AAC 72; ~ / [] Installed by s Certlfl~o certifies3.h~the system complies with applicable requirements of 18 AAC 72; or / ~ [] tested by a Professional En~ certifies that thg",p, erformance of the system is satisfactory and Ihat Ihe system com~_mum separat~istances specified In 18 AAC 72. This approval Is vall~,~d' single family II multi-family unit ~total of . bedrooms. 040,1 (ney. 1~85lDISTRIBUTION: WHITE--BANK/LENDING INSTITUTION; CANARY--APPLICANT; PINK--DEPARTMENT DIVISION OF ENVIRO~IE,NTAL HEALTH DEPAI~2~ OF HEALTH ll~ E~VlR0,~fl~h'TAL PR0~ECTION A~PLICATION FOK HEALTH AUTHOKITY A~PROVAL CERTIFICATE General Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or direction) (b) Applicants Name Telephone - Ho~e- Business Applicants Address g~eTo ~,~ ~o~c (c) Applicant is (check one) Leading Institution Buyer~--~; Other~-~(explain)i (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent Address Telephone Mail the IIAA to the following address: 2. Type of Residence Single-Family.~. ~umber of Bedrooms 3. Water Supply Individual Well~ Hulti-Famlly Other (describe) Note: If community ~ell system, must have written confirmation from the State Department of Enviroumental Co~ervation attesting to the legaliLT and status. Sewage Disposal Note: If community well system~ must have written confirmation from the State Department of Enviroumental Conservation attesting to the legality and status. [Page 1 of 2] Engineering Firm Providing Inspections, Tests, File Search, Data and Information 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 show~ that the on-site water supply and/or wnstewater disposal system is safe, functional and adequate for the ~-mber of bedrooms and ~Tpe 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, amd regula- tions in effect on the date of this inspection. .ware of Firm Telephone ~'{~ I- %-0 ~(O CA~TION THE MUNICIPALII"f OF ANCHORAGE ~EPAI~TM~NT OF HF~LTH AND ENVLRO~/~ENTAL PROTECTION (DH~P) ISSUES ~.ALTH AUTEORII"f APPROVAL CERTIFICATES BASED SOLELY Ui:ON THE REI~R/~SENT- ATIONS GIVEN IN PARAG]1APH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER IN ~u~ STATE OF ALASKA. ~ ~t~P DOES THIS AS A COURTESY TO PURCHASERS OF itC~V~S AND T~EIR LENDING INSTITUTIONS IN O~DEK TO SATISFY CERTAIN FEDERAL AND STA~E MENT$. EMPLOYEES OF D~EP DO NOT CONDUCT INSPECTIONS OR ANALI"ZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR OK C~4IS$IONS IN TH~ PROFESSIONAL ENGINEER'S WORK. (D~z~ SZAL) KK~/e3/D18 [Page 2 of 2] C~E(~LIST- ~k~dRIIARY 1984 Well Classificatio~ ¢¢~ ~ Total D~pth ~ Cased to Static ~ater fa~el ~ Casfn~ seight Abo~ Ground ~ Electrical Wi~in~ in (k~x~uit (Y/N) Sepa=ation Dis~anc~s f=~m Wellt To se~tic/Holdin~ Tank ~ Lot MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION APR $ lg85 If A, B, ~ C, D.E.C. ~d~) y.> ~ ~d ~ Yield w~ Sanita=y Seal ~n Casin~ (Y/N) .. Se~=essi~ Arour~ Wellhead (Y/N)~a ~-? too ; C~ Adjoininq Lo~ ~?~' B. $~£~C/B)LDII~ [I%TA [Page 1 of 21 TO Building Fc~u~laticn~ To Disposal Field ~2/ ' TO Strewn, Pond, Lake, c~ Major Drainage Date 2-1S-84 C. A~)~%GN Finn ~ De~ssi~ ~ Field Separation Distano~ f=~m A~s0~gti~ Field: To Wate=-Su'~ply Well~?~[~o' To P=cDerty Line ~- /~' Si~e in Gallc~s~ "~-,~ on' ~e,~l at ~ ~i~h Water Alarm Level at Ele~i~ ~s(Y~) Dimensic~s m~nho~/ao~ss ~ O~f" [e~sl at Fun~ir~ ~es ~ent ** Che~k Pez~itted Bedroom Ratir~ AGainst F~A B~quest ** I certify that I have ~%e~ked, ~:ified, c= conrad to all ~ ~AA Guidsli~s in effect on the ~ate [Pa~ 2 of 2] Date 3-1~-~ ~- 2-15-84 DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT DFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA g9501 BILL SHEFFIELD, COVERNOR Telephone: (90,7] Address: 274-2533 Pws ~.o.~ ,¢/~ 70-~ To Whom it May Concern: According to records on file in this office the ~/~,y~yo '-~v~..?/~l/~f~ ~-.)WO//r~-Fs ~oT,~.~Z)Water System is in compliance with the S~ate Drinking Water Regulations '~" -'<::':'= ~'IU[I I C I PAL ! TY OF ANCHORAG E ,.~,EAGLE RIVER AREA I~%~/ : 825 -L Street, Anchors--. Alask¢' 99501 '.~' ' ~' U~ ~' ~5~ 264-4720 ~ L~' ' Date Received: Dece~er 6, 1977 ~1: Time ~',~ ~2: Time ~q~-%~% {,,~ ~3: Time Date ~2-~1-~ ~ Date ~ ,~ - I ~1-~3 ~IL~ Date Insp . Insp Q%c=~. Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska Pacific B~nk Hailing Address: Post Office Box 420 99510 Phone: 276-3110 2. Property Owner: Eugene Bruder Phone: Mailing Address: % Kerry Maxwell, Marston Real Estate 272-2533/ 3. Legal Description: --Lot 30A Eaqle River Valley Ranchettes Subdivision Single Family Residence: (x) Number of Bedrooms: Three Multiple Family Residence: ( ) Number of Bedrooms: Well System: Permit ~ Construction Individual Well ( ) Co~..munity/Public System (x) Depth of Well Well Log on File Bacterial Analysis ( ) 6. Sewage Disposal System: On-site System (x) Public Utility ( ) Permit ~ Installed Iq~LI Installer __~,~a~l Septic Tank Size J,l~,~'"~ ~.~5____Manufacturer ~ Absorption Area ~' Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ~) J~UNIOPAUT~ OF ANCI~O~AG2 DEPT. OF flEAiTH ~', MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL P~OT,~criON DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 DFC ~977 279-2511, ext. 224, 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES RECEIVED 1. Type of Inspection: 2. Property Owner: Eugene Bruder VA FHA CONY Mailing Address: Name of Buyer: Mark H. Smoot, Jr. Mailing Address: P.O. Box 4-1379, Anc Name of Lending Institution: ALASKA PACIFIC BANK Mailing Address: P.O. Box 420, At<lC 99510 5. Name of Realtor or Agent: KeL'[~zy Maxwell Harston Mailing Address: 2804 W. Northern Lights Anchorage, AK 99503 6. Legal Description: Phone: iot 30A, Eagle River Valley Panchettes Day Phone: Day Phone~ .... Phone:._ ~2.6-3110 272-2533 Z76'2804 Location: 7. Type of Facility to be Inspected: B. Water Supply Type of Supply: Cu~u,c~tity Well Public Utility single family dwelling No. Bdrms. Individual If Individual, number of dwellings presently served If Individual, depth of well ~ewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) U~ee (3) enclosure: CC check for $25.00 for ~nspection fee Pa~e Two. Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 30A Eagle River Valley Ranchettes Subdivision Comments: Affadavit Attached: Disapproved: Letter Date: Date: Department Worksheet: August 12, 1977 ;~-mus Dundy Star Route i Box 50 War ~1~iral Road Eagle River, Alaska 99577 Subject: Lot 30A Eagle River Valley Ranchettes The on-site sewer system for the subject lot was originally designed, ~nstalled and approved for a three(3} bedro~ single family dwelling. If there arc any further questions, please contact this office at 279-2511, extension 224 or 225. Sincerely, .Les }~. Buchholz, .' Sanitarian I2m/lJh #1: Time ,,--.-,MUNICIPALITY Of ANCHORAG~.,~, DEPARTME 3F HEALTH AND ENVIRONMEN~PROTECTION 825 L Street, Anchorage, Alaska '99591~ i_ I_ · ~' 279-2511, ext. 224 or 225 Date ~eceived: May I8, 1977 ~2: Time #3: Time Date f~-~-~q ~n~ Date Date Insp %;~,~t.~, ~ Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Coast Mortgage Company o~ ~,, Mailing Address: Post Office Box 1200 99510 Phone: 279-06~5 2. Property Owner: Armas M. Bundy Mailing Address: Star Route 1 Box 50 99577 Phone: 694-9552 3. Legal Description: Lot 30A Eagle River Val%ey Ranchettes Subdivision 4: Single Family Residence: (x) Number of Bedrooms: / ~ ~ Multiple Family Residence: ( ) Number of Bedroom~ Se Well System: Permit # Construction Individual Well ( ) Community/Public System (x) Bell Utilities Depth of Well Well Log on File Bacterial Analysis ( ) e e Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System (x) Public Utility Installed /~ Manufacturer ~z~/~ ~/~' Soils Rate /~'~/~' Material Distances: Well to Septic Tank ~//~. to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ~ t"'~MUNICIPALITY 'OF ANCHORAG''''% ~ 'Department of Health and Environmental Protection [~.~j ' '' 825 L Street, Anchorage, Alaska 99501 ~,,~;~ 279-2511, ext. 224, 225 ~equest for Approval of Individual Sewer and Water Facilities e Property Owner: Mailing Address: ~ /~E /. ~m~ ~~~9, ~, ~.//]~Phone: Name of Buyer: Mailing Address: ~7~, /~r6/, ~_~' ~5-~ ~/~ ~,~m~, 4~d Phone: Lending Institution: ~ ,~ /~/~3~ ~ · Mailing Address: P~ ~ Realtor/Agent: ~6.~, ~/ Mailing Address: Legal Description: ~ ~ ~ ~ Street Location: /V//A/ ~/~/z Single Family Residence: Multiple Family Residence: Phone: Number of Bedrooms: ) Number of Bedrooms: J Water Supply: *Individual Well ( ) If Individual Well, well depth If Community System, name of system Sewage Disposal System: On-site System If On-site System, date of installation: Public/Community System Public System ( ) *NOTE: A well log is required on ALL wells drilled 3/77 since 6/75. ~NICIPALITY OF DEP'I'. O~ I-I".~A'..TH £NVlkOb','.':N~ AL P~OTECIiSN I:'IAY 1 8 lgZ/ RECEIVED Department of tIealth and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 30A Eagle River Valley Ranchettes Subdivision Affadavit Attached: ( ) Department Worksheet: Letter Attached: ( ) Date: Date: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 8/27/74 Time of Inspection Date of Inspection 8/27/74 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address:Fnol~ R(w~ A~ 2. Property Owner: SA~ Mailing Address: VA Phone: Phone: 4. 5. 6. Be Legal Description: Lot 30A Eaqle River Valley Ranchettes Location: War Admiral Road Type of facility to be inspected Well Data: Comnunity A. Type C. Construction Sewage Disposal System: A. Installed 1974 C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line Sinqle No. of bedrooms B. Depth D. Bacterial Analysi!~.~~. B. Installer Hamilton Excavating Size lOCK) gal 2. Manufacturer Hamiltnn Absorption Area 16ylRxl~ 2. Material C~nr~t~ Total length of lines , Absorption area , Other contamination R' , Absorption area Sewer Lines 30' EQ-034 (1/74) Page 1 of two pages P~ge 2 of two pages - Req.¢st for Approval of Individual S...er & Water Facilities Legal Description Comments Approved ~;~l ~'~. ~~ sa pproved Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the infomation 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) August 29, 1~74 Veterans ~t~ministratio~) 429 D. Street ~ci~orage AK g~501 SUDO£C?: Lot30^, Eagle ~iver Valley ~ar~c~uttes. ~ar Sir: Tae subject lot is not availaule to public sewer, and it is not econom- ically feasible to serve the lot with public sewer at UHs tt~e. The sewer system, if installed to local specifications, should provide adequate scwage disposal until suc~ time as public sewer t$ available. ~ subject lot is served wt~ co~unity water. Sincerely, Lynn Coad Sanitarian II sr