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HomeMy WebLinkAboutSEA TURN BLK 2 LT 4ASF1 Tu.r 51D Oil 121 Wj i M WOA 0=0 0 72-013 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 00* 825 L Street - Anchorage, Alaska 99501 Telephone 264.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW �/ kn �� 1 i �C_ ��� 'l 3 — IV ❑ UPGRADE MAI LI G_ADyD�RESS� Y 14711-1 E R 1n 1 LEGAL DESCRIPTION ..II `JkctlH,c pp (n Lo PjC Ck Z. LOCATION (�QJLA NO. OF BEDRgMS 2y Well DISTANCE TO: Absorption area I �,©•�-• Dwelling (N- PERMIT NO �` 1—Z w Manufacturer Material No. of compartments 2. F - . �� N Lic. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth --- 0 y DISTANCE TO: Well Dwelling PERMIT NO. J t7Z O Z 4 2—H Manufacturer Material Liquid capacity in gallons Q w 2 DISTANCE TO: Well Foundatio Nearest lot lineJ/ PERMIT N u. w No. of lines Length of each line Total length of lines r Trench width Distance between lines Z H � --- inches Top tile to finish Material beneath �- T ccI— O of grade I y+ tile . x'{I-�/rq� 4. 1 C70 I')ches 7 Total effective ab/�s_orpti na 12 Length Width Depth PERMIT NO. w 4 i— Type of crib Crib diameter Crib depth Total effective absor tion a ea Uj DISTANCE T0: Well Building found, yon CXR Nears lot line -- - J Class Depth Driller Distance to lot line PERMIT NO. J W � DISTANCE T0: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS A6TM zoa SOIL TEST RATING �LO INSTALLER •T'�,— REMARKS 211 '1 fL -Qs <' wrrl Zil v jif 6 T_ -E= i _C APPROVED DATE LEGAL 1111VA 3, CA�ac1,Y 11 th% �� � q — 72-013 (Rev. 3/78) _TEIJ IS: TREP-11, - >1 I'li-VE OF SOIL. ABSOFq,F,TlC)hl SY'.5 1 L F /BR.' -*l=- _1..".0 NUHBEb.:. OF B E -D R O(D 1"15 SO' 4 .1 ?Al-ING r'SO FT THI: RE Q U IF:.E-D _",-IZE MJF' THE SOIL. ABSORPTION IS: F L-::- F� 71-1 . . .... E-- L"- F-` 71-0:-- P -A K-3 e" "%.4 F---.. 9_ 0- .1 1 THE LEhIGTFI DIMENSICIr.-I H_:; THE L.ENGM-1 (IN FEET.,, OF I -FIE TRENCH OR FHE CIEPTH OF' A FRENCH OR F,IT I'S THE I)ISTAP-JCE BETI,..IEEP.1 ]'HE SI-IRF"ACE (.'IF THE GROW.,IC, FIND THE BOTTOM OF" TFIE F'.-":x-,'CAVf-'jTION 1:'.IN FEET"l. THER.E IS NO SET WIDTH Ff 6, I"RENCHES. TFIF. GRA%,EL_ ClEr-TH IS THE 1-11MINUIl DEF'TFI is I'3F%'A'-,,EL_ BET1,-,IEEhI THE CilYFFFIL.1- F'IF'E AP -JI) IT -IE BiDTTOI,I OF THE ;114 FEE:J'. U- J 71 C Fug'. 0 = PE D, W E-: F I -1 -V iF.-H f,A 0..-- IC R F_". --lL L._ 11"A F"ERI-11T AF-T`L.ICFij,.,jT M."iS THE RESPON, J1311-ITkil I -Ci lP..IFORreI THIS DEPFiRTMENT CA-IRINC-i I T i:� I.,- I ... CDF FIN' -r' I.dEI ADJACEP-4T TO TId1'__-.; PROPERTY WID THE-- P-JI_lHf:.:ER OF RESI CIE PICES THAT THE WEL.L. kIILI._ `-".Ern'%-'E. CIF ANY klITHOUT FINAL INSFEC.:TIOP-4 AhIC, A FT"17., 0 1...' AL. BY THIS DEFfif,"'THENT I-JILl- BF- Sl IBJEC.T TO PROSECLITIOhl. BI7*1TI.Il".EP.J A IdEll. AND ANY ON ­,:,.,ITE _cEkIAGE DISFOSAL. _:',''STEL -1 J..Q')0 FEET FOF, F1 PRIWITE 1..IEL.L FIF.? TO 2tZio F-F"ET FROI*-1 A F-,lJBLIC kIEL.L. DEF'EP.-II`)ING I 11"CIN "I"IdE TYF,E OF F,I..IF-;L!C:: kIELJ_. HINTHUM Dl*.:];TF"jI,-,IC,E FROM A F,RIVATE I,.IE-JA_ TO A f-,RIVF­iTE SEWE.R 1-611JE IS 2c_-; FEET AP -11) TC) A COMMUNIT'i' SEWER' LINE IS 75 FEET. WELL. I_C-Iflri; ARE REi.-.!UIF,,E[:- AN[) BE R.ETURNEC, TO TFIE. DEF,ARTHENT I.-JITHIP-1 2:C", OF 7'f -IE Wf-­I._L_ COi-IF`L.EI"IOI'6,I. OTHER HAY F"iPF,I_Y. SIDECIFICATIONS c.-or-4sTRi_.ic"rj.oP,i DIAGRAfIS FiR11H FIVAIL.ABL.E TO lP,ISUI?E PROF'' ",R INSTFiLL.KTICIP.J. 1.* 9 F --7.,", 1 C7 --- F --L... I CER.TIFY THAT :l: I AM FAMILIAR WITH THE FOR ON-E".1"I'lH SEWERS AND kIELLS AS SE"I" FORTH BY THE I DF i­ihIC+IFIRAGE. kill.. -L. 11'1' TAL.I.- THE SYSTEII IN AC:CCjFn,DANC:E WITH THE COE)E=;, 1_1NDEF`­::;TAP-4() THAT T+IE CIN -STI -E SEI.-JER SYSTEM VIAY RE(--.!tJIRI:-7 ENILFIF-MEME-t-4T IF THE RE S I C', E N E IS 1P,4CI_UClE 110F,E THAN 4 BEE*-lROOHS. E `C N, TRI.-ICTIOIN INC. F-'FIL, I C F;N;r t"I _= SUP. -I — -- /V. UF -T) B r';_ _— 1-, 0 LJ P-4 I C 1 1" CD( F-- F U'-4 C.." V-11 F.-.' 11=1 0'23 FEE DEffiRT011' . hI T FIEFILTF-1 AND TE Cl 10 P-4 Po 825 `1_` Ak. .)k"_�:15711. , d -.64-4720 fl. = -N9-1-7 L.- L_ F) V-4 C-11 lt'-4 I -H_- K=_ 0 F'ERI-11'"r P-jo. APPLL 1 :ANT SUN CONSTRUC.T10111.4 INC, SRA BO:x-l' 474E ANC:H. AI_Al'.",I­--:'Fj L 0 c A -1, 10 N L, E G Fi L. I-CiT 4 M. -K' ;'R SEA TURN SUB L.01" I ZE SQUARE Ff-.:El' _TEIJ IS: TREP-11, - >1 I'li-VE OF SOIL. ABSOFq,F,TlC)hl SY'.5 1 L F /BR.' -*l=- _1..".0 NUHBEb.:. OF B E -D R O(D 1"15 SO' 4 .1 ?Al-ING r'SO FT THI: RE Q U IF:.E-D _",-IZE MJF' THE SOIL. ABSORPTION IS: F L-::- F� 71-1 . . .... E-- L"- F-` 71-0:-- P -A K-3 e" "%.4 F---.. 9_ 0- .1 1 THE LEhIGTFI DIMENSICIr.-I H_:; THE L.ENGM-1 (IN FEET.,, OF I -FIE TRENCH OR FHE CIEPTH OF' A FRENCH OR F,IT I'S THE I)ISTAP-JCE BETI,..IEEP.1 ]'HE SI-IRF"ACE (.'IF THE GROW.,IC, FIND THE BOTTOM OF" TFIE F'.-":x-,'CAVf-'jTION 1:'.IN FEET"l. THER.E IS NO SET WIDTH Ff 6, I"RENCHES. TFIF. GRA%,EL_ ClEr-TH IS THE 1-11MINUIl DEF'TFI is I'3F%'A'-,,EL_ BET1,-,IEEhI THE CilYFFFIL.1- F'IF'E AP -JI) IT -IE BiDTTOI,I OF THE ;114 FEE:J'. U- J 71 C Fug'. 0 = PE D, W E-: F I -1 -V iF.-H f,A 0..-- IC R F_". --lL L._ 11"A F"ERI-11T AF-T`L.ICFij,.,jT M."iS THE RESPON, J1311-ITkil I -Ci lP..IFORreI THIS DEPFiRTMENT CA-IRINC-i I T i:� I.,- I ... CDF FIN' -r' I.dEI ADJACEP-4T TO TId1'__-.; PROPERTY WID THE-- P-JI_lHf:.:ER OF RESI CIE PICES THAT THE WEL.L. kIILI._ `-".Ern'%-'E. CIF ANY klITHOUT FINAL INSFEC.:TIOP-4 AhIC, A FT"17., 0 1...' AL. BY THIS DEFfif,"'THENT I-JILl- BF- Sl IBJEC.T TO PROSECLITIOhl. BI7*1TI.Il".EP.J A IdEll. AND ANY ON ­,:,.,ITE _cEkIAGE DISFOSAL. _:',''STEL -1 J..Q')0 FEET FOF, F1 PRIWITE 1..IEL.L FIF.? TO 2tZio F-F"ET FROI*-1 A F-,lJBLIC kIEL.L. DEF'EP.-II`)ING I 11"CIN "I"IdE TYF,E OF F,I..IF-;L!C:: kIELJ_. HINTHUM Dl*.:];TF"jI,-,IC,E FROM A F,RIVATE I,.IE-JA_ TO A f-,RIVF­iTE SEWE.R 1-611JE IS 2c_-; FEET AP -11) TC) A COMMUNIT'i' SEWER' LINE IS 75 FEET. WELL. I_C-Iflri; ARE REi.-.!UIF,,E[:- AN[) BE R.ETURNEC, TO TFIE. DEF,ARTHENT I.-JITHIP-1 2:C", OF 7'f -IE Wf-­I._L_ COi-IF`L.EI"IOI'6,I. OTHER HAY F"iPF,I_Y. SIDECIFICATIONS c.-or-4sTRi_.ic"rj.oP,i DIAGRAfIS FiR11H FIVAIL.ABL.E TO lP,ISUI?E PROF'' ",R INSTFiLL.KTICIP.J. 1.* 9 F --7.,", 1 C7 --- F --L... I CER.TIFY THAT :l: I AM FAMILIAR WITH THE FOR ON-E".1"I'lH SEWERS AND kIELLS AS SE"I" FORTH BY THE I DF i­ihIC+IFIRAGE. kill.. -L. 11'1' TAL.I.- THE SYSTEII IN AC:CCjFn,DANC:E WITH THE COE)E=;, 1_1NDEF`­::;TAP-4() THAT T+IE CIN -STI -E SEI.-JER SYSTEM VIAY RE(--.!tJIRI:-7 ENILFIF-MEME-t-4T IF THE RE S I C', E N E IS 1P,4CI_UClE 110F,E THAN 4 BEE*-lROOHS. E `C N, TRI.-ICTIOIN INC. F-'FIL, I C F;N;r t"I _= SUP. -I — -- /V. UF -T) B r';_ _— YJ 2 3 4 5 6 7 8 9 10 12 13 14 15- .16- 17 5- 16-- 17 18 19 20 21 22 ?3 A 5 A` UUP, PROJECT Mims Subdivision TEST HOLE NO._ 1 CLIENT H. Mims ELEV. TOP OF HOLE 6900 W. O. 78208 DATE 1/9/79 SHEET 1 71 Brown, Peat, Pt 0 Brown, Damp, Organic Sandy Silt, OL 1 2 -3 Gray/Brown, Damp, Silty Sandy Gravel, GM ' 4 5 Cobbles & Boulders from 6.511 6 to 8.5 7 8 9 10 11 12 Gray, Sandy Gravelly S- ML 13 ' 14 15 Bottom of Hole 16 / 17 (1) No Water Table v 18 (2) See Field Percula19 as _ Perc Test - 30 min/inch at 7.0 to 7.5' 20 21 22 23 24 25 ra 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 �I us PROJECT Mims Subdivision CLIENT H. Mims W. O. 78208 Brown, Peat, Pt _ SHUT- --OF • 11 TEST HOLE NO. 2�_ ELEV, TOP OF HOLE 689x_--- — DATE .. 1/9/79 — Brown, Damp, Organic Sandy Silt, OL Brown, Damp, Slightly Silty Grtivelly Sandy, _9/SI1 Lenses of Clean, Fine Sand, SP`__ From 4.5' to 6.0' and from 9.0' to 10.0' Grab Sample (12.9% Passing Pio. 200) Cobbles & Boulders at 10.0' to 11.5' Bottom of Hole IS � r X 2 3 4 5 6 7 8 9 10 WE 2 3 4 5 6 7 8 9 10 12 13 14 15 16 17 18 19 20 21 22324 22- 23- 24 SOILS PROJECT Mims Subdivision CLIENT H. Mims W. 0. 78208 :, G� TEST HOLE NO. SHEET 3 OF 11 _ ELEV. TOP OF HOLE 6724- QATE —I—L9 79 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1)r, Brown, feat, Pt Damp, Brown, Organic Sandy Silt, OL Damp, Brown, Slightly Silty Sand, SP/SM Damp, Brown, Silty Sandy Gravel, GM Grab Sample (37.7% Passing No. 200) More Gravel at Depth Cobbles & Boulders Water Table 1/9/79 _ — Bottom of Hole (1) Water Table at 14.5' 1/9/79 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1)r, =a a �. ANCHORAGE) AK. Sam 907/2.76-4245 January 29, 1979 Mr. Harold Mims Box 4-258 Anchorage, Alaska 99509 Re: Proposed Mims Subdivision Subsurface Soils Investigation Our Job No. 78208 Dear Mr. Mims: This report presents the results of our soils investigation for the proposed subdivision of a 40 -acre tract of land located north of Rabbit Creek Road and above Golden View Drive. The field investigation was conducted on January 9 and 10, 1979. The results of that investigation are included in this report as follows: Vicinity Map Testhole Location Sketch Proposed Subdivision Layout Testhole Logs (Sheets I hrough 11) Perculation Test Data✓ S5®6 $MAR 7 1919 Summary of Laboratory Test Data Standard Explanatory Information Drilling was accomplished utilizing a mobile drill rig mounted on a Nodwell Vehicle, owned and operated by Denali Drilling, Inc. The te>*ho1-es were logged and Perculation tests conducted by our firm. Harding -Lawson and Associates performed the laboratory test data on grab samples taken during the drilling operation. The purpose of the investigation was to provide sufficient soils data for establishing the feasibility of on site disposal of sanitary waste using seepage pits. To accomplish this, we drilled 11 borings distributed across the site as shown on the attached Testhole Location Sketch. These borings were uniformly spaced across the site to identify the various soil zones for perculation characteristics. During the drilling, our engineer was present to log the holes and to obtain grab samples of the various soil types. All soils were visually classified in the field in accordance with the Unified Soil Classification System as described uCD ED LD A� �r GORDON D. UNWIN, P.E. LEO SCHEBEN,JR..P,E.,L,S, EARL D. KORYNTA.P.E JAMES A. HUETTL. AJ,A. w Mr. Harold Mims January 29, 1979 Page 2 herein. The grab samples were brought back to the laboratory for further analysis and to verify the field logs. In addition to the field logs and soil sampling, several perculation tests were conducted. Based on the visual classification of the soil types during -the logging of the testholes, areas with probable high and low perculation ranges were identified. One or more perculation tests were then conducted in each of these ranges to establish the probable high and low perculation rates across the site. SITE AND SOIL CONDITIONS The site is a 1320 foot square parcel located north of Rabbit Creek Road. Mercedes Road traverses the middle one-third of the site from south to north. The entire site slopes uniformly from east to west with slopes ranging from 5 to 20%. There are no areas within the parcel with slopes in excess of 25%. A natural drainage Swale follows along the approximate southerly boundary of the site. The surface of the site is blanketed b an organic mat of forest stuff or peat ranging in depth from 6" to 18", averaging appro`xir>Ya�1y f'�"- Underlying the organic mat is a layer of fine organic sandy silt or silty sand (topsoil) ranging in depth of up to 2.5'. The subsurface soils consist primarily of silty gravelly sands and silty sandy gravels to the depths explored (16'). Based on the laboratory analysis of grab samples taken during drilling, the amount of fines ranges from a low of approximately 10% to a high of approximately 35%. No water table was encountered across the site with the exception of testholes #3 and #11, which are in the vicinity of the lower end of the drainage swale. The water table in testhole 7173 was located at the 14' level and in testhole #11 at the 11' level. The lots in the vicinity of testholes #3 and #11 were increased in size to discount all area within the parcel with probable shallow water table. Based on the observed field perculation rates, visual testhole logs and laboratory data, on site sanitary waste disposal systems appear feasible on all lots within the proposed subdivision. Minimum perculation rates for the proposed lots are estimated or measured as follows: Block 1: Lots 1 and 2 - 20 Lots 3, 4, 6587 9, and 1 -?10 to 20 min/inch Lots 5, 11, 12, 13, and 14 - 5 10 min inc Block 2: s 79 Lots 1 and 2 - 5 to 10 min/inch Lots 3, 4, 5, and 6 - 10 to 20 min/inch Block 3: Lots 1 and 2 - 20 to 30 min/inch Lots 3, 7, 8, 9, and 10 - 5 to 10 min/inch Lots 4, 5, and 6 - 3 to 5 min/inch We hope this is sufficient for your present needs. If we can off further clarification, please do not hesitate to contact me. EDK/ptm Enclosures Very truly yours, 'earl D. K6rynta, E• l 1. r M N O 47 4-9 S. i I L03 jAC. 4 . _77 F I 1.1 1 AC. S r f3q UO II 3 SECTION LINE EASE ENT 35 ��'•.� \s 4 O . F `� cu 2 N 9 7 Q 4 A . S.F 1.10 A " 'v s Sc�i�71 i1- v'.,�_.. 4 1294 S.F _ ml lit61 17 )jl. Ln IF ..MENT E ECTRI Al EAS .+1,I:NT 50,08 s. F 916 , 1.15 Ac. 9 2U TILI r I EAS MEN :.1 \V , r r r �, I ° \ w �. �m 47, 75 S.F " 4. , 18 1.0'.� AC. \' i 1.14 q r�J�1 ' f o CID I-� Mme, 7 A� 32,5 4 ST, w m 53, 08 S. 1.€39' 1,2 AC. 25 DRAIfvAGE. %(' ..itEiEJi ILITY \ AIN TAI t. h9 E r',' T EA MENT it .Up-._ ..._ ._ ---• --165.57_ t ,: Z N C. 1 3 , f -i.: vi rcc1: cl Md Ln Z a. a z x y 3 3 G A w° ; ii ii iii ri ii id. W ik m a >, v > J • �' > > ': > : >i O 4 i C 1Y ii i�i, iii fi i I� LL m i co C' ; l X LO: O Eq E" F F F E C F F F ri r1 X:'� N: N F Q 1 z .� L /�.. t MUNICIPALITY OF ANCHOPAGe DFPT. OF HEALTH & c,- ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH J U N 2 4 1985 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information (a) Legal Description (include lot, block, ,441 Location,(address or directions) „�IVLD. Application Date t Zd division, section, township, range) (b) Applicants Name�',�7���� Telephone e Home Business Applicants Address (c) Applicant is (check one) Lending Institution ; Owner/builder ; Buyer � ; Other M(explain);��� (d) Lending Institution Address hone (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2. X22 of Residence Single—Family{--4 Multi -Family Other (describe) �n Number of Bedrooms 47' 3. Water Suppy Individual Well 5�1 Community = Public = Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the ;Legality and status. 4. Sewage Disposal Onsite Public Community Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] A,Ieq, 5. 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 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 regula- tions in effect on the date of this inspection. Name of Fi Address Date '�Z2 6. DHEP Approval Approved for bedrooms Approved Dis Terms of Conditional Approval. Telephonee��p/-S Urn' . nn e'"OOB?A90 ON00 0 0000000o}j o0� (ENGINEER SEAL) � � n. �. voit'nn`o`e c Y Reid, Jr. -4 �C> � a No. 2?.51 • C°ao, � � r��-� By 3 �r-'--C nditional CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INS'ITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP 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. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2 ] 7-19-84 I MUNICIPALITY OF ANC14O4AGt OF HEAL! 5 MUNICIPALITY OF ANCHORAGE (MOA) EN,, MENTAL PROTE (ION HEALTH AUTHORITY APPROVAL (HAA) JUN 2 CHECKLIST - FEBRUARY 1984 264-4720 LJLV E D. Legal Description: _ i,z N K3 CLC_ 15- Well 5 A. WELL DATA Well Classification 7/e/0 re, If A, B, C, D.E.C. Approved (Y/N) AM " ��"-�� Well Log Present Y N) _Date Completed %O Yield _ Total Depth! — Cased to 1�o Depth of Grouting Static Water Level (oy� z Pump Set At — J✓ Casing Height Above Ground Sanitary Seal on Casing1V) Electrical Wiring in Conduit (Y ) Separation Distances from Well: r To Septic/Holding Tank on Lot Depression Around Wellhead (Yo r On Adjoining Lots /'�ro To Nearest Edge of Absorption Field on Lot _ % / ' ; On Adjoining Lots To Nearest Public Sewer Line — N /, To Nearest Public Sewer / Cleanout/Manhole W To II Nearest Sewer Service Line on Lot Water Sample Collected by A -e5 A GcI�GN ; Date Water Sample Test Results B. SEPTIC/HOLDING TANK DATA Date Installed Size 6/fL No. of Compartments Z' Standpipes (Y ) _ Air -tight CapsY/ ) Foundation Cleanou (Y/ ) Depression over Tank (Y© _ Date Last Pumped Pumping/Maintenance Contract on File (Y/N) _ A -6L4 _ ; for Holding Tank High -Water Alarm (Y/N) /% !f _ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well ��7 To Property Line z To Water Main/Service Line � 04 Course All Comments Page 1 of 2 72-026(11/84) To Building Foundation To Disposal Field _- 18.3 i To Stream, Pond, Lake, or Major Drainage kq 6Z Szci,fi-cPi9 C. ABSORPTION FIELD DATA Separation Distance from Absorption Field: To Water -Supply Well 19/ To Property Line /� t To Building Foundation To Existing or Abandoned System on Lot ��/`� / ; On Adjoining Lots /0-0 To Water Main/Service Line To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course�✓% To Driveway, Parking Area, or Vehicle Storage Area S / Comments �EFhESS/a.� /i�aunlD ,;/oF.7lERI CCGAn%auT eF �Ei�C�/—��Cr�B/u�. ��4llS D. LIFT STATION i Date Installed // `/ '" S3 Dimensions 3 W , eaz-Vak Size in Gallons -30V (7/JZManhole/Access Y/ ) "Pump On" Level at PfA40W J "Pump Off' Level at UA141JoP14) High Water Alarm Level at J pjao->Jj Vent &) Tested for �✓/� Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments /// ST/fTlrn,% 15 310 64 F9%?&6Pi 7`*t e /S 771?e 67,( 3 / lblk &WOT EY7eA 1,X,- /¢,)�)✓E "aeiA d/T/cod�R. ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verifies gr por)form ed to all MOA and HAA guidelines in effect on the date of this inspection. Signeekw! f!''���''�c ({ Date Com anyMOA No. _ Receipt No.tt Date of Payment Qu -?S Amount: $ L/ 0-0 Page 2 of 2 72-026 (11/84) L_ i°. ii Al � � ?coa0o aaoea F) ®� •� i P® ;X !r,W, C. Ra;d, o. 2251-E pROFESS���' Engineer's Seal i /SU �/���fJ Soils Rating in Absorption Strata Type of System Design Date Installed /�'/ ''�3 Length of Field 7"/ / Width of Field 0- Depth of Field is �! Gravel Bed Thickness Square Feet of Absorption Area Standpipes PresenUY N) Depression over Field (Y/N Date of Last Adequacy Test Results of Last Adequacy Test –WL4 Separation Distance from Absorption Field: To Water -Supply Well 19/ To Property Line /� t To Building Foundation To Existing or Abandoned System on Lot ��/`� / ; On Adjoining Lots /0-0 To Water Main/Service Line To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course�✓% To Driveway, Parking Area, or Vehicle Storage Area S / Comments �EFhESS/a.� /i�aunlD ,;/oF.7lERI CCGAn%auT eF �Ei�C�/—��Cr�B/u�. ��4llS D. LIFT STATION i Date Installed // `/ '" S3 Dimensions 3 W , eaz-Vak Size in Gallons -30V (7/JZManhole/Access Y/ ) "Pump On" Level at PfA40W J "Pump Off' Level at UA141JoP14) High Water Alarm Level at J pjao->Jj Vent &) Tested for �✓/� Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments /// ST/fTlrn,% 15 310 64 F9%?&6Pi 7`*t e /S 771?e 67,( 3 / lblk &WOT EY7eA 1,X,- /¢,)�)✓E "aeiA d/T/cod�R. ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verifies gr por)form ed to all MOA and HAA guidelines in effect on the date of this inspection. Signeekw! f!''���''�c ({ Date Com anyMOA No. _ Receipt No.tt Date of Payment Qu -?S Amount: $ L/ 0-0 Page 2 of 2 72-026 (11/84) L_ i°. ii Al � � ?coa0o aaoea F) ®� •� i P® ;X !r,W, C. Ra;d, o. 2251-E pROFESS���' Engineer's Seal CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. ` TELEPHONE (907) 562.2343 ANCHORAGE INDUSTRIAL CENTER 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: (') see h on back I.D. NO. Water System Name Phone No. Mailing Address City state zip Code F—T?�j SAMPLE DATE: L --LJ Mo. Day Year SAMPLE TYPE: b Routine ❑ Check Sample (for routine sample ❑Treated Water ❑ Special Purpose with lab ref. no. 0 Untreated Water SAMPLE Time Collected NO. LOCATION Collected y 3 I I 4 I II 5 READ INSTRUCTIONS BEFORE_ COLLECTING SAMPLE TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: P/Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery delivery mail._ Date Received Time Received Analytical Method: ❑ Fermentation Tube ❑ Membrane Filter LL�abb Ref. No. Result' Analyst m .No of colome$/ 100 ml or No of Povove portion$ 06.1220(b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1993 Membrane Filler.. Direct Count Verification: LTB BGB Collform1100mi Final Membrane Filler Re uit l J Coliforml100ml Reported By /' Date Time: —�C�(J _ a.m. P.M. TNTC = Too Numerous To Count ALASKA ENVIRONV - NTAL CONTROL SERVICE..., INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561•5040 JOB Z07 SHEET NO. OF CALCULATED BY ' �E' �'� DATE C! �? CHECKED BY DATE SCALE_ U[I@ "ITN rosgym: Gan Mm O:O: M MUNICIPALITY OF ANCHORAGE DIVISION OF L'NVIRONMEN7.'<' L HEALTH DE.PARCNENT OF HEALTH AND ENVIRONMENT -AT, PROTECTION APPLICATION FOR HEALTH AUTHORITY. APPROVAL CERTIFICATE 1. General Information (a) Legal DasCr:ipQ n (include e' �l Location (address or directions) Application Date te/� block, subdivision, section, township, range) -2_ C(:—I..-, a.. (b) Applicants Namet� l tai �r � � f.ryv 1 f c�r(,�ve a •\�..�.,.._.._.�._._ le?.l.C' Applicants Address _ _... 5K'A. R b'o-AAFes'.-1,/., ( c) Applicant is (check oriOvi er/buil.der ) Londing Institution r" ; ° L21 I:kryer ; Other [.._AMI (explain) (d) Tending Institution _ _ �_... _ Telephone Address (e) Real Estate Co. & Agent Address TelephonED 2. T of ^l_sidenc_-�G) Single-Fzu-nil.y :' Multi -Family �-�� Other (describe Numt�.r_ of Bedrooms :_i . tiiater Su 1X Individual Dail� Community 1, Public Note: If community well system, must: have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Is the well adequate for. the number of bedr=Ls specified in this HAA JY/N) _ I _ 4. Sewa e Disposal Onsitel Public F"L-1 Community _ Holding Tank Is the wastewater disposal system adequate for the number of bedrocros (Y/N) �L_ [Page 1 of 21 2-15-84 5. Ergineerirq Firm Providin Inactions, Tests, Data and Information I certify that 7 have checked, verified, or conforrred to all MIDA HAA Guidelines in effect: on the date of this inspection. Signed Date Nara of Firms e_..J f"/�-t� iq b"c•, � Telephone ��.�/� _�T4 40 Address /200 14;, -7,;rd Sigmed by Date (ENGINEER SEAL.) 6.DHEPgApproval Appr_ owed for r. ___ bedroom bedroom Approved I_V_T Disapproved Texins of Conditional, Approval Conditional Date The Municipality of Anchorage Dopartzent of Ebal.t:h and Envi.ronmantal Protection does not guarantee the continued satisfactory performancm of the water supply and/or the wastewater disposal system. This approval indicates that, as of the validation skate shcYan above, bawd on the data and information furnished by an engimer registered in the State of Alaska, the grater supply and wastewater disposal system is safe and fungi tiona.l for thenumber_ of bedromm and type of str°ucture indicated. ( D(-lEP SEAL) 7, Mail tho HAA to the following address: KB2/d5/s [Paga 2 of 21 2-15-84 A. MUNICIPALITY OF ANCHORAGE (MOA) A vv HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 �1Ls0, .G �. AV Vd WELL DATA Lo 4 P hOG k 5(2.2 �,Ar v N0110310H 1V1N3WNOdIAN3 18 H1lV3H 40 'ld34 a`JVK)HDNV 10 ,t111V I INnvq Well Classification _Zhd'v,'6/4e If A, B, Cr Cr D.E.C. Approved(Y/N) N� Well Log Present (Y/N) y Date Completed©- 11- X33 Yield •�+ Total Depth 13 O L41. Cased to Depth of Grouting tokP o �� h Static Water Level �,� Pump Set At,,wh Casing Height Above Ground 2.TSanitary Seal on Casing (IZNI Y Electrical Wiring in Conduit (Y/N�y Pd Cr Depression Around Wellhead ()-'/N)� Separation Distances from Well: To Septic/Holding Tank on Lot KV -on Adjoining Lots /00• To Nearest Edge of: Absorption Field on Lot 166 -P , On Adjoining Lots >ioo -" To Nearest Public Sewer Line LVIA To Nearest Public Sewer �t Cleanout/Manhole /1/14 To Nearest Sewer Service Line on Lot /V1/4 Water Sample Collected By % Date____ -/Z6'¢ Water Sample Test Results Sai;s --ac� Comments B. SEPTIC/HOLDING TANK DATA Date Installed %/-14- 63 Size IZ50 c R//v,j No. of Compartments Standpipes (Y/`N) Y Air -tight Caps (Y/N) y Foundation Cleanout (�]) Y-- Depression over Tank (Y/N) N Date Last -'Pumped N A nem! sy sleek) Pumping/Maintenance Contract on File ()/N� N for WIL Holding Tank High -Water Alarm (Y/N)N Teamrary Holding Tank Permit (Y/1) N i� Separation Distances fron Septic/Holding Tank: To Water -Supply Wa11 f'7s-�� , To Building Foundation_Vg.S To Property Line To Disposal Field s/:L) To Water Main/ServiceLine To Stream, Pond, Lake, or Major Drainage Course /"/ IA Comments [Page 1 of 21 2-lri-94 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /5-4 -R-1-1k4/7 Type of System Design _7;iehc4 Date Installed 3 _ Length of Field 11/ Width of Field Depth of Field /3/, / Gravel Bed Thickness IhIC43 Square Feet of Absorption Area ��6 ��y Standpipes Present MIN) Y Depression over Field (YM) Date of Last Adequacy Test IV14 Lnew s�S�co) Results of Last Adequacy Test N1,4 Separation Distance from Absorption Field: 'ZO f4_ �p To Water -Supply Well /68 To Property Line To Building Foundation SZ To Existing or Abandoned System cn Lot /)///% On Adjoining Lots ;>/OOTo Water Main/Service Line To Cutbank(if present) To Stream/Pond/Lake/or Major Drainage.Course To Driveway, Parking Area, or Vehicle Storage Area `Comments D. LIFT STATION Date Installed //_/4/_ 83 Dimensions 3 /CAiamefer r dve:d Size in Gallons 304tea//ahs Manhole/Access (YM)� f 4p "Pump On" Level at Udam, AM2 "Pump Off" Level at ell, kOo L.v b High Water Alarm Level at c4 k&,0 -h Vent (YM) Y Tested for IV14 Pumping Cycles during Adequacy 'hast. Meets MOA *, Check Permitted Bedrocm Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. F f/ c ' ��Crr...s_1 Date�'�n�°°�1�"691���r� Signed •' °°° �' ® IY Company r4/g5 -041v1e�k MOA No. �/ f34 OL4 r / all G 0°:�9 Qua oQ° ..."J. s / KBl/d5 f Rcid ero , Jr. ? rS; 2251-E (Page 2 of 21 2-15-84 Alaska Environmental Control Services Attn: Leroy Reid Electrical requirements for sewage lift station; located at Lot 4 Block 2 Seaturn Subdivision, have been installed in accordance with 1981 NEC and local amendments. Sincerely, Fuchs Electric, Inc. Gary VMOMOsor Vice -President GLM;glg CC. Sun Construction 1601 East Dimond Blvd. P. O. Box 502 ANCHORAGE, ALASKA 99507 __ WASILLA, ALASKA 99687 S9 p t�a4 * CIO "" PRELIMINARY PLAT APPLICATION • Municipality of Anchorage DEPARTMENT OF COMMUNITY PLANNING P.O. Box 6650 Anchorage, Alaska 99502-0650 OFFICE USE RECD BY: VERIFY OWN: A. Please fill in the information requested below. Print one letter or number per block. Do not write in the shaded blocks. 0. Case Number (IF KNOWN) 1. Vacation Code (RaA j -I - QC� - 11Q1"Q$ R:,A '!� - [-�\`l 1a 1- a-1 2. New abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BILK 3 LOTS 34). 3. Existing abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SF page. 4. Petitioner's Name (Last - First) Address 15001 60Lpf=fVVx�+) Da 5. H I Address /'40 City A(OC / State A fi City Phone No. S 63 - E3 e low* Phone No. ZLL 6. Petition Area 7. Proposed 8. Existing 9. Traffic Acreage Number Number Analysis Zone Lots Lots i 7._ � � •j (� D 1 t �� State 11 t low 10. Grid Number { Iloilo 'r (JFZIv 5 v))o.p LOT 414-15 �.� l.. :L J. .Y{ �' � i � .( 11 � )� � Y'i61 �1 t •Y �ft �1�� kj�� F�� �'H. 1 !i SJ� � I �'_ r� 4. Petitioner's Name (Last - First) Address 15001 60Lpf=fVVx�+) Da 5. H I Address /'40 City A(OC / State A fi City Phone No. S 63 - E3 e low* Phone No. ZLL 6. Petition Area 7. Proposed 8. Existing 9. Traffic Acreage Number Number Analysis Zone Lots Lots i 7._ � � •j (� D 1 t �� State 11 t low 10. Grid Number 11. Zone { 11. Zone 12. Fee $ 350, OO 13. Community Council R flB n:T C/ZI=Z�—: B. I hereby certify that (I am) (I have been authorized to act for) the owner of the property described above and that I desire to subdivide it in conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic subdivision fee is nonrefundable and is to cover the costs associated with processing this application, that it does not assure approval of the subdivision. I also understand that additional fees may be assessed if the Municipality's costs to process this application exceed the basic fee. I further understand that assigned hearing dates are tentative and maybe have to postponed by Planning Staff, Platting Board, Planning Commission, or the Assemb>i due to administrative reasons. tj Date: Signature 'Agents must provide written proof or authorization. 20.003 Front (4/85) Iloilo 12. Fee $ 350, OO 13. Community Council R flB n:T C/ZI=Z�—: B. I hereby certify that (I am) (I have been authorized to act for) the owner of the property described above and that I desire to subdivide it in conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic subdivision fee is nonrefundable and is to cover the costs associated with processing this application, that it does not assure approval of the subdivision. I also understand that additional fees may be assessed if the Municipality's costs to process this application exceed the basic fee. I further understand that assigned hearing dates are tentative and maybe have to postponed by Planning Staff, Platting Board, Planning Commission, or the Assemb>i due to administrative reasons. tj Date: Signature 'Agents must provide written proof or authorization. 20.003 Front (4/85)