HomeMy WebLinkAboutSOUTH HILLS BLK 4 LT 5South Hills
Lot 5
Block 4
#017-072-14
G'\TER ANCHORAGE AREA BOROI"H 2'ss° n +<
HEALTH DEPARTMENT T Np x180
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
nnnee,
SEPTIC TANK:
DISTANCE FROM WELL 71 MA
OF
LIQUID
LIQUID CAPACITY- ! . D GALLON$. INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH, LENGTH 70' , DEPTHQ'
LINING MATERIAL +YO 1"6) . DISTANCE FROM WELL /00 / , BUILDING FOUNDATION Q
NEAREST LOT LINE �•5 'f0 /27-W711J• TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) _S SO. FT. !1 ,
TILE DRAIN FIELD:
DISTANCE FROM
NUMBER OF
ABSORPTION
TOTAL LENGTH
NEAREST LOT LINE , OFgNES
BETWEEN LINES --�- TRENCH WIDTH
FT. LENGTH OF EACH LINE
TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: 0 �n�ll� et7 DISTANCE FROM WATER
TYPE1�_ DEPTH �%0 10BUILDING FOUNDATION. /TD SAMPLELL'EklZ' NEAREST
LOT LINE 37 +�° S NEAREST SEPTIC 11SEEPAGESEWER LINE TANK � SYSTEME f_ CESSPOOL , SOURCES_
DISTANCES:
A'ak- uo PPE
J), lo septa
TyeK iklc--t
2)'J "ear. Did
Fftwl pa f.,
Loi. L;wv
DIAGRAM OF SYSTEM
DATE
GREATER ANCHORAGE AREA BOkUUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
4700 TUDOR ROAD POUCH 6.670
ANCHORAGE. ALASKA 99302
TELEIHONE 279-8686
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
PERMIT NO. 1147
67
ADDRESS S ZL�! ��/ ITA/� IJP pHONE��3c3
LEGAL DESCRIPTION -- X-0 i Ci E'TZQ :�Z "12e' MA/ 2c11' L T S5Z/ elit I %
INSTALLATION OF: SEPTIC TANK /',' SEEPAGE PIT /� DRAIN FIELD OTHER
"
TYPE AND SIZE OF FACILITY TO BE SERVED -- ? P-1 drvo N
FINANCED THROUGH
SOIL TEST RESULTS
TO BE INSTALLED BY
(_ ^^ NOTE, THIS PERMIT IS NOT VALID WITHOUT 601E TEST
COMPLETION DATE ANTICIPATED - V1��% %I; /`Y ZJ
FINAL INSPECTION, 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE C� /
SEEPAGE AREA SIZE
MINIMUM DISTANCES. REQUIREMENTS
/
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL /
I
SEPTIC TANK SEEPAGE PI Zo DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TAN SEEPAGE PIT /OO
DRAIN FIELD,ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, SEEPAGE PIT DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION B 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.
v �`�
EALTN AUTHORITY ,
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
DESCRIBED SYST 1 IS IN ACCORDANCE WITH SAID CODE.
DAT APPLICANT'S SIGNATURE
CREA-TER ANCHOPA^.E ARRA. kr ,'H
327 EA.';'LE cTREET U.S.- 'I
ANC9?RA^r. ALASKA 99501
Perfcrr.ed For Frederick B. Jones
Legal Dcscriptivn: lot Date Performed 7/9/71
S clock 4 Sn:,c:�'a:cc South Hills
This Fcrn Reports v: Sci7 Leg
R �_��rercoiation 'lec -""�—
Depth _
Peat
1—�
2 _j Brown sandy silt
(ML)
3 gray Poorly graded sandy
4 gravel with silty gravel
seams
S
6 Becoming slightly more
7
silty by 9'
8
9
10
Has Ground Nater Encountered? no �`o
e
e,^th
Reading Date I Gross Tir..e
tie- T;c.e Depth T^ H?p 77—
Gross
Drop
+-
..,C _ 1
Frcposed Installau on; Ere,, -.age Pzt
Dept), 0f Inlet Drain -Ield
CONvENTS: c,,tn .o bo;to:e Ot Pit Cr •:rencli 116'
148 square as
Test Performed By:
Data Certified Ey:.Mona ggne car.irag� Inc.
Date:
Municipality of Anchorage
On -Site Water & Wastewater Program
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 017-072-14
1. GENERAL INFORMATION
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
HILLSIDE
Expiration Date: 7
Day phone 415-595-3957
Day phone
2. TYPE OF DWELLING:
Single Family (w/wo ADU) SU1121MITA
%
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex) JAN 21 2014
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well
E
Individual On-site
Individual Water Storage
❑
Individual Holding tank
Community Class Well
❑
Community On-site
_❑
LJ
Public Water System
❑
Public Sewer
❑
WaiverAlanance request for: n/0
Distance:=
Received by: X4 Date:
OOSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 5 Q Waiver Fee $
Date of Payment ►) a 1 i �c C P ^ Date of Payment
Receipt Number �JReceipt Number
COSA# 65Cf-1I�)" Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm
GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507
Engineer's Printed Name
Engineers Comments:
JEFFREY A. GARNESS, P.E.
In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines S Regulations The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of ail wells and
septic systems depend on the local soils condition, groundwaterlevels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluatorofthe system Sadsfactorytest
results do not guarantee future performance of the system, horde they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warrantyorfuture estimate ofhowlong the system will continue to meet the
opemtional requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other personorparly is not authorized, nor will it confer any legal right whatsoever
6. DSD SIGNATURE
System #1 Approved for bedrooms.
System #2 Approved for
Disapproved.
Conditional approval for
M
bedrooms.
Phone 337-6179
Date l . I4
IN
VN
T
*�
......'.
f
. ... �... .........
A. tib ness;
.J
79� 3 .•' �`�
bedrooms, with the following stipulations:
(OFlt�r//i/
ON-SITE
WATER AND
WASTEWATER o
DpnnRAM
Original Certificate Date: I - 12 3 - rl
The MAicipr3lity1br Ah&orage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTCHMENTS:
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
rReo Hlnfil
If more than 1 septic system is on the lot:
COSA Checklist # _of_
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: SOUTH HILLS S/D; BLOCK 4, LOT 5 Parcel ID: 017-072-14
A. WELL DATA
*PER AAROW PUMP AND WELL INSPECTION. SEE ATTACHED.
Well type PRIVATE If A, B, or C provide PWSID# N/A
Date completed —1970 Sanitary seal (Y/N) YES
Total depth *173 ft. Cased to *50+ ft,
FROM WELL LOG
Date of test
Static water level ft.
Well production g.p.m.
WATER SAMPLE RESULTS:
Coliform y0 colonies/100 ml.
/ "
Arsenic: Pg./L.
B. SEPTIC/HOLDING TANK DATA
Nitrate J ✓ "mg./L.
Well Log (Y/N)
M
Wires properly protected (Y/N) YES
Casing height (above ground) 12+ in.
AT INSPECTION
7/27/2012
45 ft.
1.8+ g.p.m.
Date of sample: 1/10/2014
Tank Type/Material SEPTIC/CONCRETE
Tank size . 1250 gal. Number of Compartments E
Foundation cleanout (Y/N) YES Depression over tank ((Y/N) NO
Date of pumping Y Pumper A
C. ABSORPTION FIELD DATA
Collected by: GEG, Ltd.
Date installed 7/20/1971
Cleanouts (Y/N) YES
High water alarm (Y/N) N/A
Date installed 7/20/1971 Soil rating (g.p.d./ft`or /bdrm 148 System type
fNw-
Length 20 ft. Width 18 ft. Gravel below pipe 6 ft
Total depth *9.6 ft. Eff. absorption area **456 ft' Monitoring tube YES Depression over field NO
Date of adequacy test ***7/27/2012 Results (Pass/Fail) PASS For **4 bedrooms
-A�kwg
Fluid depth in absorption field before test 38 in. Water added 1 100 gal. New depth 39 in.
Elapsed Time: = min. Final fluid depth ****39 in. Absorption rate >= 600+ g,p,d,
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
*CRIB PIPE ONLY EXTENDS 57" BELOW THE TOP OF THE CRIB. TOTAL DEPTH AND LIQUID LEVELS
ARE CALCULATED USING THE TOP OF CRIB AS THE DATUM. **SEE 6/9/2000 HAA LETTER. ***SEE
ATTACHED LETTER REGARDING ADEQUACY TEST. ****LAST 1000 GALLONS CAUSED NO RISE IN LIQUID
LEVEL.
b
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at wa er alarm level at in.
Cycles tested Meets alarm & circuit requirements?
E: SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot *50+ On adjacent lots 100'+ _
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main N/A
Sewer /septic service line 25'+
Animal containment areas 50'+
Public sewer manhole/cleanout N/A
Holding tank N/A
Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
*ACCEPTABLE PER CODE AT TIME OF DRILLING.
G. ENGINEER'S CERTIFICATION
1 certify that t have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date
(Rev. 11105)
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
July 31, 2012
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Road,
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907) 343-7904
Ref: South Hills S/D; Block 4, Lot 5; Adequacy Test
To whom it may concern:
The house had been vacant for over a year at the time of our adequacy test. Upon inspection (7/27/2012),
the drainfield was found to be 52% full. According to the buyer, plumber had activated the water 3 days
prior for repairs. The house was inspected and a toilet was found to be running continuously. Water had
obviously been introduced into the septic system, but the amount is unknown. We contacted Jeff Poet
from the MOA On -Site department to discuss the necessity of a pre-soak. Since the system appeared to
be in a normal operating level, we asked if a pre-soak was necessary. Per our conversation with Jeff Poet,
a pre-soak would not be required. We then proceeded to test the septic system with over 1000 gallons,
(per Jeff Poet's direction) and the system passed. We therefore request you approve the septic system
based upon this adequacy test.
If you have any g464ions, please contact us at 337-6179.
M.S.
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com
Municipality of Anchorage ••,-
• -� Development Services Departmentji
Building Safety Division l /^' ..
_ Onsite Water & Wastewater Program }' /
4700 Bragaw Street t
P.O. Box 196650
Anchorage, AK 99519-6650 1�
www.muni.orglonsit/onsite JJJ
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
�/ FOR A SINGLE FAMILY DWELLING
h
Parcel I.D. I 1 j ? ' Dy a - I COSAa U 05' 1_
1. GENERAL INFORMATION Expiration Date: —I - ?- J - 0 7
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
SOUTH HILLS LOT 5 BLOCK 4
7535 HILLSIDE WAY • ANCHORAGE AK 99516
CHRIS POWELL Day phone 632-1084
7535 HILLSIDE WAY • ANCHORAGE AK 99516
Day phone
RYAN TALLISTON w/PRUDENTIAL Day phone 563-5500
3801 CENTERPOINT DRIVE #200 ' ANCHORAGE AK 99503
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
0
❑
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System .
❑
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of Onsite Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system Is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE. AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, VD. attempted to provide a thorough,
conscientious engineering analysis of the system In accordance with ADEC and MOA
DSD Guidelines d Regulations. The reported results described the performance of the
system under the conditions encountered at the lime of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party Is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGJJATURE
Approved for _ 4 bedrooms.
Disapproved.
Phone 337-6179
Date I C.. lz'Dl
Conditional approval for bedrooms, with the fllowing stipulations:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
V
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Reort
Nitrate Advisory Other
By:
(Rm. t,As)
.... .......
C99.�
954
ONR AND
••' _
WAT
WASTE ' m
PROGRAM R
Original Certificate Date: /Q -.;?- 0 6
Municipality of Anchorage
' Development Services Department
Building Safety Division
O"Ite Water d Wastewater Program
4700 Bragaw Street
P.O. Boz 19WW
Anchorage, AK 995198650
www.muni.org/onsite
(907)343.7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: SOUTH HILLS: LOT 5, BLOCK 4 Parcel ID: i7 /7- 07Z-fi/
A. WELL DATA + PER 1972 HAA ++ IN 1971 ONLY 30' CASING DEPTH REQUIRED
Well type PRWE If A, B. or C provide PWSID# N/A Well Log (Y/N) NO
Date completed —1970 Sanitary seal (Y/N) YES Wires property protected (Y/N) YES
Total depth +170 ft. Cased to ++30'+ ft.
FROM WELL LOG
Date of test �N
Static water level
Well production g.p.m.
WATER SAMPLE RESULTS:
Casing height (above ground) 12+ in.
AT INSPECTION
10/3/2006
44 ft.
6.1 g.p.m.
Collform _Q C010nies/1GO mi. Nitrate 1.47 mgA. Other bacteria 0 oolonies/100 mi.
Arsenic: sig ug./L. Date of sample: 10/3/2006 Collected by: GEG Ltd.
B. SEPTIC(HOLDING TANK DATA fD�lo/xax'
Tank Type/Material SEPTIC/CONCRETE Date installed 7/20/1971
Tank size 1250 gal. Number of Compartments 1
Foundation deanout (YM) YES Depression over tank (Y/N) NO
Cteanouts (Y/N) YES
High water alarm (Y/N) N/A
Date of pumping 9/18/2006 Pumper DENAU PUMPING
C. ABSORPTION FIELD DATA FMW EXInNO NOW ++ sEE e/9/2000 HM LETTER
Date installed 7/20/1971 Soil rating (g.p.d.Nt'oriIJ!jj� 148 System type LOG CRIB
Length 20 ft. Width 18 ft. Gravel below pipe 6 ft.
Total depth +e.4 ft. Eff. absorption area "456 fe Monitoring tube YES Depression over field NO
Date of adequacy test 10/3/2006 Results (Pass/Fell) PASS For 4 bedrooms
Fluid depth in absorption field before test 45 in, Water added 608 gal, New depth 59 in.
Elapsed Time: 186 min. Final fluid depth 53 in,on rate >= 600+
Absorptl g,p,d,
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date —
D. LIFT STATION
Date installed Size in gallons Manhole/Access (7/N
"Pump on" level at _in. "Pump ofr High water alarm level at in.
Da Cedes tested Meats alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAfft station on lot
50'+ On adjacent lots 100'+
Absorption field on lot
100'+ On adjacent lots 100'+
Public sewer main
N/A Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank N/A
Animal containment areas
50'+ Manurelanimal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTICIMOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main
N/A Water service line 10'+ Surface water 100'+
Wails on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property fine 10'+ Building foundation 10'+ Water main N/A
Water service line
10'+ Surface water 100'+ Driveway, parkinglvehide storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEERS CERTIFICATION Ja ir.• ""'
I certify that I have determined through field inspections and �.....:.*.
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in eBed on this ............
date. J Gar ss:
Engineers Printed Name JEFFREY A. GARNESS ' E— t
4� fO/jo O*r
Date j o I Zy Jo& •sd profasslosa
COSA Fee S el 30. U(-)
Date of Payment 1 () � 20 /CJS
Receipt Number
(aw. hhros)
Waiver Fee $
Date of Payment
Receipt Number
P'_v�o
Municipality of Anchorage
• -� Development Services Departmei
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ek.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 017-072.14 HAA # 614 244
1. GENERAL INFORMATION
zZ
ILS
/Vi/�a � l •4.
1 .
Expiration Date: / -,4b —
Complete legal description Lot 5 Block 4 South Hills SID
Location (site address or directions) 7535 Hillside Way. Anchorage, AK 99516
Current Property owner(s) Jeffrey Houseman Day phone 929-5116
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
7535 Hillside Way, Anchorage, AK 99516
Day phone
Vanessa Gehring/Jack White Day phone 240-3336
3201 C Street, Ste 200, Anchorage, AK 99503
Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by:
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage ❑
Community Class Well ❑
Public Water System ❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
❑
Community On-site
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 by an Independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to home owners. Certificates of Health Authority Approval are
valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with
new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A
or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
(R�.IIM)
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my Investigation
based on procedures outlined in the Health Authority Approval Guidelines for 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 applicable Municipal and State
codes, ordinances, and regulations In effect at the time of Installation.
Name of Firm Pannone Eng. Svc. Phone 272-8218
Address P.O. Box 102954, Anch, AK 99510
Engineer's Printed Name Steven R. Pannone, P.E. Date
Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious
engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The
,,,,,,,,
reported results describe the performance of the system under the conditions encountered at the time of
• ••
�•
the test, and separation distances measured to readily identifiable features. Ibc operational life of all
fluctuate
A �,•• °
e
wells and septic systems depend on the local soil condition, ground water levels that may
" ;t I
4g LH-
during the year, and the water usage of the family being served by the system.'hese conditions are
a ..........
outside the control of the evaluator of this system All systems eventually fail and satisfactory test results
0�
do not guarantee future performance of the system, nor do they guarantee that there are no hidden def
..............
or encroachments. PES can therefore not
provide any warranty for future performance nor give any
.Steven R. Ponr
estimate of how long the system will continue to meet the operational requirements of the ADEC or
MOA DSD. Ile content of this report is for the sole benefit of the owner listed above. Any reliance upon
�� �i 't, No. CE 814!
uD
or use of this report by any other person or party isnot authorized nor will it confer any legal right
�� �.•
whatsoever.
6. DSD SIGNATURE
jot,
_vf Approved for Ll bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following
stipulations:
�:• ON-SITE
Additional Comments�—� ;En Antrt
WASTEWATER
tot
J O
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By:\, �0_ .�iilyp O•. O,-� Original Certificate Date:
Expiration Date: Reissue Date:
(Rev., Vag)
0
Municipality of Anchorage *A9
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program 11
4700 South Bragaw Street
P.O. Box 198850 Anchorage, AK 99519-6650
www.ci.enchorage.ak.us
(907)343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Lot 5 Block 4 South Hills SID Parcel I.D.: 017-072-14
A- WELL DATA
Well type P If A, B, or C provide PWSID #
Date completed inaz67/70/11 Sanitary seal y
Total depth 1�7 _ft Cased to 30 + ft
FROM WELL LOG
Date of test
Static water level tt Q ft
V�
Well production g.p.m
WATER SAMPLE RESULTS:
Coliform _9_colonies/100 ml Nitrate 1.19 mgfl
Well Log N
Wires properly protected.Y
Casing height (above ground) 24 In.
AT INSPECTION
8/2012004
48 ft
5.2 9 -p.m
Date of sample: 812012004 Collected by: Laura Pannone
B. SEPTICINOLDiNG TANK DATA
Other bacteria 0 colonies/100 ml
Tank Type/Material Concrete
Date Installed 7/20119TI Tank size 1250 gal Number of Compartments 1
Cleanouts ,Yn Foundation cleanout Y4g Depression over tank M2 High water alarm NI
Date of pumping 8116/2004 Pumper A+ Home Services
C. ABSORPTION FIELD DATA
Date installed 7/2011971 Soil rating (g.p.d.tft2 or ft2/bdmt)14A n System type Lou Crib I /
Length d 11l3/Op to 50c. l-a-ff A
�ft width �_ see F�l1 i1 da Gravel below pipe ,§_ It
Total depth "I ft Effective absorption area 1111Y Monitoring tube Y Depression over field N
Date of adequacy test 8120/20114 Results (Pass/Fall) Pass For 4 bedrooms
Fluid depth in absorption field before test,'}1, in Water addedffl gal. New deplh42 in.
Elapsed Time: 1440 min Final fluid depth 22 in Absorption rate >= JQ.Qj g.p.d.
Any rejuvenation treatment (past 12 mo.) (YM & type) No If yes, give date
(Rev. 1159)
D. LIFT STATION
Date installed _
"Pump on" level at
Datum
Size in gallons
in"Pump off" level at
E. SEPARATION DISTANCES
Cycles tested
Manhole/Access
In High water alarm level at _ In
Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 78 On adjacent lots 100+
Absorption field on lot 100+
Public sewer main 100+
On adjacent lots 100+
Public sewer manhole/cleanout 100+
Sewer /septic service line 25+ Holding tank 100+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 10+ Absorption field 10+
Water main 100+ Water service line 25+ Surface water 100+
Drainage 100+ Wells on adjacent lots X00+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+ Water main 100+
Water Service line 25+ Surface water 100+ Driveway, park)ng/vehide, storage 40+
Curtain drain None Observed Wells on adjacent lots 100+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
1 certify that 1 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.
Engineer's Printed Name Steven R. Pannone. P.E.
Date
w
HAA Fee $ �q
Date of Payment / �✓�
Receipt Number X5406 s 110, At
(Rev. 11199)
Waiver Fee $
Date of Payment
Receipt Number
� e qqT. 4,
...i. ...........
�\%Steven R. Parrone:'
0%NP. CC 8149
t
�woo
♦�41ee��E55� �
LOT 6
OLD RABBIT CREEK ROAD
0 ZO
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to
N85'52'10°W 152.95'
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LOT 5
'oDrnNc
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n S83'42'00°E
153.50'
HILLSIDE WAS
(HILLSIDE DRIVE)
VANESSA GEHRING
with PRUDENTIAL JACK WHITE
440 WEST BENSON BLVD. # 103
ANCHORAGE, ALASKA 99503
WORK ORM NUMBER: OCw2 w"VT. 04, 2004 1'40
2004—L-358 "'"
NRB MW 2940
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REr. WALL
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LOT 4
EXCLUSION NOTES: It Is the owner' responstblity to deterrnine
the existence of any easements, covenants, or restrictions 5/5'RB W/CAP* 5/B' RB O
Which do not appear an the recorded subdivision plot NOTE &25' ALMON. e MONUMENT
Under no circumstances should any data hereon be used for NUB k TACK 0
construction or for establishing property lines. FENCE— _x— X —
SURVEY CERnnCATION: LANTECH has conducted o OVERHANG—
. CRIPTION: physical survey of this property as shown on this WOOD DECKS-
drowing and that the Ire rovements situated Mere CONCRETE- E
an ore Within Me property Imes and no encroach- ASPHALT -
meets exist other Man noted. GRAVEL-
AS—BUILT O F: tECAL DESSEPTIC STANDPIPES-
-ENGINEERS WATER WELL
>'
561-6626 LOT 5, BLOCK 4,
P-636Ao[. I SOUTH HILLS SUBDIVISION
_.FROM.:JIMBO FAX NO. :3480881 Sep. 09 2004 12:00PM P2
O
It Is the rcspotuibility of the owner to Jeternrine the S B
existence of any easements, comienta or resWctlnns
which do not sppoar on the r000rdcd su.itbn plat.JA
Under no circumstances should any data hereon be
' used for cumtrucdon or for mobllshing boundary or
fence lines. The surveyor takes resimslbillty for the
Initial Umacdon only.
LOT BLOCK
o jr0 fist t 5 (PLATNO.:L o
ANCHORAGE RECORDING DISTRICT'
DATE: BY: SCALE: WORK ORDER:
/ if` 'gDr Oen - eni!o/
PREPARED BY.
DOWLING & ASSOCIATES
P.O. BOX 110029
ANCHORAGE, AK 99511.0029 REVIS10N1
I Tail' e'
I_e • e..rrre N,MMr ••
M : foraom Korl Dowil"
tS6"
N=S
FASF.MEM'S OP RMOKD. (TMER THAN
THOSE SHOWN ON TIIH KIlCORDFI) PIAT.
ARP NOTSI TOWN IIERCON.
LEGEND
DRASSCAPMONUMFNT
IRON PIPE
O RESARCORNERPOUND
O HUBANDTACK
FIELD BOOK: ORID NO.:
P
+ DATE I BY
,
I
�
I
r
/I
O
It Is the rcspotuibility of the owner to Jeternrine the S B
existence of any easements, comienta or resWctlnns
which do not sppoar on the r000rdcd su.itbn plat.JA
Under no circumstances should any data hereon be
' used for cumtrucdon or for mobllshing boundary or
fence lines. The surveyor takes resimslbillty for the
Initial Umacdon only.
LOT BLOCK
o jr0 fist t 5 (PLATNO.:L o
ANCHORAGE RECORDING DISTRICT'
DATE: BY: SCALE: WORK ORDER:
/ if` 'gDr Oen - eni!o/
PREPARED BY.
DOWLING & ASSOCIATES
P.O. BOX 110029
ANCHORAGE, AK 99511.0029 REVIS10N1
I Tail' e'
I_e • e..rrre N,MMr ••
M : foraom Korl Dowil"
tS6"
N=S
FASF.MEM'S OP RMOKD. (TMER THAN
THOSE SHOWN ON TIIH KIlCORDFI) PIAT.
ARP NOTSI TOWN IIERCON.
LEGEND
DRASSCAPMONUMFNT
IRON PIPE
O RESARCORNERPOUND
O HUBANDTACK
FIELD BOOK: ORID NO.:
P
+ DATE I BY
Almicipah y of Anchorage
Mark Begich, Dlayor
; Development Services Department
P.O. Box 196650.4700 Bragaw Street
Anchorage, Alaska 99519-6650
(907) 343-8101 Office (907) 343-8125 Fax
http!/www.muni.org
October 29, 2004
Jeffrey A. Houseman
7535 Hillside Way
Anchorage, AK 99516
RE: Encroachment: Well and retaining wall
Block )L Lot it South hills Subdivision, Grid SW2940
4 5
Dear Mr. Houseman:
ovyENi Sf
DEPARTMENT
The Right of Way Division has reviewed a request for a letter of non -objection to an existing well which
encroachs 1.0 feet into the 10 -foot utility easement, and a concrete and wood retaining wall, from 1.0 feet
to 3.9 feet tall; which encroaches 2.0 feet into the 60 -foot Hillside Drive Right of Way, on the south
property boundary. On the as -built survey dated June 7, 2000, submitted with the request, the petitioner
has shown the existing well and retaining walls.
Right of Way Section issues this letter of nonobjection with stipulations, and by using it the petitioner is
agreeing to the following:
1. Municipality of Anchorage (MOA) will be held harmless, now and forever, for any damages or
injury to any person as a result of the encroachments.
2. All applicable codes and regulations will be observed and maintained within the easement.
3. This letter of nonobjection will in no way preclude MOA from full use and enjoyment of its rights
within any portion of the easement.
4. Additional and extraordinary costs incurred during any future required construction, repair or
reconstruction of MOA improvements to accommodate any or all of the encroachments shall be paid
by the property owner.
5. Obtain letters of nonobjection from the following utilities:
®Anchorage Water R Wastewater Utility ®Alaska Communications Systems
®Chugach Electric Association, Inc. [JMatanuska Telephone Association
E]Matanuska Electric Association, Inc. 0Enstar Natural Gas Company
QMunicipal Light and Power ®GCI Cable of Alaska
❑Eyecom (Girdwood cable TV)
All letters of nonobjection should be retained in your permanent files. Should you have any questions,
please call me at 343-8033.
Sincerely,
Jack L. Frost, Jr.
Right of Way Supervisor
Concur,
Property Owner(s)
kA3
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES A
Division of Environmental Services
Onsite Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
(907)343.4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILLY DWELLING
Parcel I.D. # 017-072-14 HAA# MCCC.5-_5' 2
1. GENERAL INFORMATION
Location (site address or directions) 7535 HILLSIDE WAY ANCHORAGE. AK 99516
Mailino address P.O.:•. .•:c
Lending agency
Day phone
Mailing address
Agent JEAN HOHNSTEIN w/PRUDENTIAL VISTA Day phone (907) 562-6464
Address 4241 "R" STREET ANCHORAGE, AK 99503
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual well xxx
Community well
Public water
NOTE: if community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site xxx
Holding Tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
ing to the legality and status of system.
72-025 (Rev. 1191) Front MOA #21 Computer Version
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $400.00 at,
or prior to, closing for the engineering services provided.
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
Investigation 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 Insp999���tion, the on-site water supply and/or wastewater
disposal system is In compliance with all Municipal �j1d State codes, ordinances, and regulations in effect
on the date of this inspection. , J.
Name of Firm
Phone (907) 337-6179
Engineer's Signature — vate gwF.. w
In conducting this evaluation, AWWC, Inc. mpoto provi e a thorough, conscientious engineering analysis of the
system in accordance with ADEC and MCA HHuldelines & Regulations. The reported results described the
performance of the system under the conditions auntered at the time of the test, and separation distances
measured to readily identifiable features. The operational life of all wells and septic systems depend
on the local soils condition, ground water levels that may fluctuate during the year, and the
usage of the family being served by the system. These conditions are outside the control c
the evaluator of the system. Satisfactory test results do not guarantee future performance
of the system, nor do they guarantee that there are no hidden defects or encroachments.
AMVC, Inc. can therefore not provide any warranty for future estimate of how long the
system will continue to meet the operational requirements of the ADEC or MOA DHHS.
The content of this report Is for the sole benefit of the owner listed above. Any
reliance upon or use of this report by any other person or party is not authorized,
nor will it confer any legal right whatsoever.
6. DHHS SIGNATURE
Approved for 4 bedrooms
Disapproved
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
(-0
Date 11- 3-00
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 engineers work.
72-025 (Rev. 1191) Back MOA X21 Computer Version
RECEIVED
Municipality of Anchorage
i. DEPARTMENT OF HEALTH & HUMAN SERVICg�T 3 12000
Environmental Services Division
M %* Street. Rm 602 Anchorage. Alaska 99501 (907) 343-4744
MUNICIPAUTY OF ANCH
ENVIRONMENTAL SERVICES DIVISION
Health Authority Approval Checklist
Legal Description: SOUTH HILLS S/D: LOT 5. BLOCK 4 Parcel I.D.: 017-072-14
A. WELL DATA
PER 1972 HAA '• IN 1971 ONLY 30' CASING DEPTH REQUIRED
Well Type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number N/A
Log pint (Y/N) N Date completed PRIOR TO 7/20/1971
Total depth • 170' Cased to •• 30'+ Casing height (above ground) 2'+
Sanitary seal (Y/N) YES Wires property pfd (Y/N) YES
FROM WELL LOG
Data of test
Static water level
Well production g.p.m.
WATER SAMPLE RESULTS:
AT INSPECTION
5/15/2000
5.8 9 -p.m.
Cotlform 0 Nitrate 1.02 ma/L Other bacteria 0
Date of sample: 10/19/00 Collected by: A.W.W.C., INC.
B. SEPTIC/HOLDING TANK DATA ••CONCR
Data Installed 7/20/71 Tank size •' 1250 Number of Compartments 1 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depresslon (Y/N) NO High water alarm (Y/N) N/A
Date of Pumping 5/15/2000 Pumper DENALI
C. ABSORPTION FIELD DATA.
Date Installed 7/20/71 Soil rating (g.p.dJft2 orj2&d®) •••148 System type LOG CRIB
Length 20 Width 18 Gravel thidmess below pipe 6' Total depth 10'
Effective absorption area ••'456 SO Er Monitoring Tube present (Y/N)YES Depression over field (YM) NO
Date of adequacy test 5/15/2000 Results (Pass/Fail) PASS For 4 Bedrooms
Fluid depth In absorption field before test pn.); 41.5 Immediately alter 900 gai. Water added (in.r 60.5
Fluid depth 54 (Ins) Minutes later. 127 Absorption rate
Perwdde treatment (past 12 months) (Y/N) NONE KNOWN 11 yes, ghre data
it.02e SM. alter carouw v nwn
D. LIFT STATION
Date installed Size
High water alar
*Datum
ar 'Pump otP level at'
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
SeptirJlwkling tank on lot 50'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent kNs 100'+
Public sewer main N/A Public sewer manhole/cleanout N/A
Sewer/septic service line 25'+ Lift station N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation 5'+ Property line 5'+ Absorption field 5'+
Water maWservice One 10'+ Surface water/drainage 100'+ Wallis on adjacent lots 100'+
SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO:
Property One 10'+ Building foundation 10'+ Water maiNserAce line 10'+
Surface water 100'+ Driveway, parkingivehide storage area 10'+
F. ENGINEER'S
1 cer* that 1 i
of Municipal qq
Wit; MOA HIL
Engineer's
HAA Fee'$ . - ®O
Id inspections and review
stems are In conformance
tbls date.
A. GARNESS
Date of Payment 10-11-e)0
Recelpt Number 04040(a 14Y-7-1)
n -M la«. seer cWVUW v«.wn
Welts on adjacent lots 100'+
Waiver Fee $
Date of Payment
Receipt Number
Sent By: Alaska Water and Wastewater Con; 907 338 3246; Nov -3.00 16:16;
11/05/00 FRI 15:45 FAX 807 582 5485 PRUDENTIAL VISTA REAL E
y-
'C/kelrQ . �e p
I &S'sziv„hf a7
77
c,
I
II
3z�
Is Is Ole responsibility of tha owner to de r 0 the A S BUILT
aNmntt of any eDancnls, covenants or I1401003which do notappcv on she mwrdcd subdi ision plu
Under no eireornslances should any data reon be
• used for construction or for establishing b undaty a
tante lines. The surveyor takes responsfibi ity for the
Initial tramscli” only. ,
LOT
PREPARED BV: '
DOWLING & AS:
P.O. BOX I I
ANCHORAGE, AK
_ (PLAT NO.:
RICT
SCALE: WORK ORDER:
If •_ .gfl� Orn — on&/
,TES
1-0029
Page 1/1
IZ 002
.(//1, • _
h /
m
.Q d
`yo e-•
d`I\�It3 I
r �
ACe�t.
IV,
join« Kort Dowling : it
1 - �1\ �Of(SSIONALL*��
NOTES'
EASEMENTS OF RECORD. OTHER THAN
THOSE SHOWN ONTHr: RECORDED PLAT,
ARE NOT SHOWN HEREON.
Q
BRASS CAP MONUMENT
' IRON PIPE
O REBARCORNERFOUND
D HUD AND TACK
FIELD BOOK: GRED NO.: .
i9 96 . 94'0
.,
DATE I BV
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
6901 DEBARR ROAD. SUITE 2B • ANCHORAGE, AK. 99504
PHONE (907) 337-6179 FAX (907) 338-3246
vpP
,• �QO
SOIL
LOG — PERCOLATION TEST
PDDEO
••••• • • ' ••'•
. ........
LEGAL DESCRIPTION:
SOUTH HILLS SUBDIVISION; LOT 5, BLOCK 4
PERFORMED FOR: TOM YOUNG
...........
DATE PERFORMED:
6/5/2000
�j
J fr A. Gorness: `OQQOaf •.• —7953DEPTti
;
(feet)
TEST HOLE #1
�pp"mad ••......•
;goo
P,o f s sefo�
��OOO��oo
1
2
SOIL CLASSIFlCATIONS
SITE PLAN
EXISTING SEPTIC
+N
? o-`• GW ---zORG c
AND TEST HOLE
3
!' + _ GP ML
LOCATIONS ARE
I GM CL I j
APPROXIMATE
4
GC OLI I
.0-0-00,
SW MH i i
THI
5
SP CH
L,
OH
SC
6
7 w
DATE
GROUNDWATER
8
DRY 6/5/2000
--'---
9 z
_—
__--i
a
—� _
HILLSIDE WAY
10 D
17
DATE READING CLOCK NET TIME
WATER LEVEL
NET DROP
0
12—
z
13
14—
15
16
17
18
19
PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA.
6 (INCHES)
20
TEST RUN BETWEEN 8.0 FT. AND 8.5
FT.
COMMENTS:
PERFORMED BY ALASKA WATER do WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT
THIS
WAS PERFORMED
IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
DATE:
TIME
(MINUTES) READING (INCHES)
s/s/z000
PDDEO
P`�
R0�0
PgS�
n
r
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information Application Date �V -
(a) Lggal Description (include �ot, block, subdivision, section, township, range)
Location (address or directions
(b) Applicants Namez,#"v %i//6//>�tl�i�TTeto ti e
Applicants Address 7<'2 ct- .'_ 10 L L . .1
(c) Applicant is (check one) Lending Institution ;builder
�-�zl
Buyer = ; Other L� (explain); ;
(d) Lending
Address
(e) Real Estate Co. 6 Agent 00-7.1 o
Address
Telephone
(f) Mail the HAA to the following address:
2. Type of Residence
Single -Family PEI Multi -Family
Number of Bedrooms
3. Water Supply
Individual Well � CommunityEl
Other (describe)
Public M
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 21
t1K
n
r",
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,00reite
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
Firm CO%LC!
100 ie— , 'SOl /�
y /",,,//
Telepho�n�e✓6/ 645 /
Address_
/5-02
AW Strc{�
7115, f/y(llaJ'<��v�so
%
" .\'• :,�
Date
�
•
7 Q8¢
i
C
6. DHEP Approval
Approved
for
bedrooms By
Approved
Disapproved*
Conditional
Terms of
Conditional
Approval
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 &N INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HONES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. E11PLOYEES 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
n
A. WELL DATA
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
a3ARDH
NOIZ310H rduaaw OVIANa
Legal Description, 49=Md AO
ffy/s 41Ia*#"
Well Classification Pr;v2-% If A, B, cr C, D.E.C. Approved(YM) d2
Well Log Present (Y/N) di Date Ccm?leted _ /9 9/ Yield/q
Total Depth I -1o' �X Cased to Depth of Grouting
Static Water Level *Zr Pump Set At
Casing Height Above Ground Z fir' Sanitary Seal on Casing (Y/N)
Electrical Wiring in Conduit _(Y/N) y Depression Around Wellhead (YIN)III
III
Separation Distances from Well:
To Septic/Holding Tank on Lot 72 On Adjoining Lots > loo`
To Nearest Edge of Absorption Field on Lot 1W On Adjoining Lots door
To Nearest Public Sewer Lire To Nearest Public Sewer
Cleanout/Manhole ,./F} Tb Nearest Sewer Service Lire on Lot NlA
Water Sample Collected By /i/. OKee%i Date
Water Sample Test Results
T
Comments .F.o.., Well n;. ,k s�
B. SEPTIC/HOLDING TANK DATA
Date Installed 7-2o-7/ Size /ZSO 4v P !� No.µesp�sar�
of CrnQartmerts
Standpipes (Y/N) Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Y
Depression over Tank (Y/N) Date Last Pumped
Pumping/Maintenance Contract on File (Y/N)'/14 ; fcr
Holding Tank High -Water Alarm (Y/N) N,Ip Temporary Holding Tank Permit (Y/N) N
Separation. Distances from Septic/Holding Tank:
To Water -Supply Well '7Z 1 To Building Foundation 3'
To Property Lire 1,714 To Disposal Field 35'
To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage
Course N/A
Comments
X yam, moAfi1e5
Receipt $
Date Paid:
Amount:
(Page 1 of 21
2-15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata C/„/"own Type of
Date Ir -stalled /9%/ Length of Field
System Design Lai orb 1,7
Width of Field /e' �` Depth of Field (y
Gravel Bed Thickness 1c^ —^ -
Square Feet of Absorption Area 360/ '0 Standpipes Present (YM) r•one-
Depression. over Field (YIN) N Date of Last Adequacy Test 1180
Results of Last Adeauacy Test .5at-[-a
Separation Distance from Absorption. Field:
To Water -Supply Well /ay' 4- To Property Lire
To Building Foundation ,47/ To Existirg or Abandoned System or.,
Lot nofe� ; on Adjoining Lots '7100 f
To Water Main/Service Lire N�a To Cutbank(if present) N/A
To Stream/Pond/Lake/Or Major Drainage Course V/,4
To Driveway, Parking Area, cc Vehicle Storage Area ?5'
Camier
D. LIFT STATION here -
Date Irstalled Dimensions
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes(Y/N)
Comments
Manhole/Access (YM)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MDA
** Check Permitted Bedroom Ratirg Against HAA Request **
I certify that I have checked, verified, or conformed to all MDA HAA Guidelines in effect
on the date of this irspecticn.
Sigred Date In -/9 -84 -
Company —MOA No.
KB1/d5/s
-W rfwn 44D,4
(Page 2 of 21
^ENGIJERS
!` ,��//:."i fir.. ......
'; -�
2-15-84
'..
n eoo"�
A
`'.�,•
INSPECTION
— A"STREET
DATE RECEIVED C -
APPOINTMENTS
FT,t,i
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
E
TIME
TIME
❑ Two ❑ Five
❑ MULTIPLE FAMILY
-
DATE
DATE
DA ♦:. I
WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
C
❑ PUBLIC UTILITY
INSPECTOR
INSPECTOR
INSPECTO
,y�z YEAR ON-SITE SYSTEM WAS INSTALLED.
<Cl
ANCHOP.AG�
DEPT. C + - "
MUNICIPALITY OF ANCHORAGE EIvl20J;;E�T,L:. ,-CTION
\ DEPARTMENT OF HEALTH ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 98501 --11
1
ENVIRONMENTAL SANITATION DIVISION
Telephone 2644720 RECEIVED
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWN
PHONE
"
ao
ILING ADDRESS
PROP RT IDENrj(lf iff rantromabove)
PHONE
2. BUYER
H NE
MAILING ADDRESS
3. LENDING INSTITUTION
PHONE
MAILING ADDRESS
4. REALTO E.+ENT
PHONE
MAILING ADDRESS
/�
C/ r
5. LEGAL DESCRIPTION ��
/O.
— A"STREET
LOCATI K
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
Er'SINGLE FAMILY
❑ One li Four ❑ Other
❑ Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SULY
L;S INDIVIDUAL' *ATTACH
WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
10'I
,y�z YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLICUTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
73 Oltl lsiev. 6/79/ µJt�y 4{7rp // w S. �L �„ /f„� _ [/• `
� tr\v`\\J7\g`Tj�r/Y (X�,�-LV�L1_r (i/.,,'•._�'_. �'^ fc+cy"�.—rr
72010 (Rev. 6/7W
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
❑ SINGLEFAMILY
❑ MULTIPLE FAMILY
❑ ONE
❑ TWO
NUMBER OF BEDROOMS
❑ THREE ❑ FIVE ❑ OTHER
❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLICUTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size:) a50 If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
r
al
-
4. DISTANCES
WELL TO:
Septic/Holding Tank
Absorption Aral, 7wer
Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
f _U
PPROVEDFOR 4 BEDROOMS
�❑ CONDITIONAL APPROVAL (letter must accompany certificate)
Ut-- DISAPPROVED
DATE U --;L C
BY D
72010 (Rev. 6/7W
LL4R 4
2515 A STREET
ANCHORAGE,AK. 99303
PH. 907-278-42425
October 29, 1980
Municipality of Anchorage
Department of Environmental Quality
Pouch 6-650
Anchorage, Alaska 99502
Re: Lot 5, Block 4, South Hill Subdivision
Gentlemen:
A test was performed from October 25 to October 27, 1980 on the existing septic
system at the residence of Tim Armstrong at Hillsideway. The system consists of
a septic tank and a seepage pit. The tank had been pumped prior to the test and
the receipt has been included with this report.
The house has four bedrooms and total daily load on the system was calculated
as: 75 gpd x 2 cpb x 4 bedrooms - 600 gpd. The surge capacity is 80% of the
total load which is 480 gal.
The test was performed by putting water into seepage pit at a rate of approxi—
mately 5 gpm (This was the maximum output of the existing water system).
Readings of the liquid level were taken in the seepage pit and the septic tank
at the beginning of the test and at 50 gal. increments until the daily load of
600 gpd. plus 50 gal. had been entered into system. A reading was also taken at
the point when the surge load of 480 gal. had been reached. This was done on
the first two days of the test.
On the first day, there was no overflow nor did water backup into the septic
tank when the load reached 480 gal. or 650 gal.
On the second day, the level in both the seepage pit and the septic tank had
returned to within one inch of the previous days original level. Again there
was no overflow nor did water backup into the septic tank when the load reached
480 gal. or 650 gal.
On the third day, a reading was taken showing the level in the septic tank had
returned to its original level. The level in the seepage pit was 2-1/2" below
its original level.
LAO p �
0
o p �I o
CORDON O. UNWIN. P.E. LEO SCHEBEN.JR..P.E..L.S. EARL O. KORVNTA.P.E. JAMES A. NUETTL.A.I.A.
Municipality of Anchorage
October 29, 1980
Page Two
The test performed on the Armstrong's existing septic system shows that it is
capable of handling the daily load (600 gpd.) and the surge load (480 gal.) for
a four bedroom residence. The results also shows the rate of water level rise
is 1" for every 50 gallons. This rate was consistent throughout the course of
the test.
ery tru o ra
Gordon D. Unwin, P.E.
GDU/srw
06 ,A
i�, Gordon D. Unwin
MUNICIPALITY OF ANCHORAGE
DEPARTMEI'OF HEALTH AND ENVIRONMENT PROTECTION
825 -L Strect, Anchorage, Alaska -99501
279-2511, cxt. 224 or 225
Date Received: April 27, 1977
1. Lending Institution Request: Alaska Statebank
Mailing Address: 310 East Northern Lights Blvd. Phone: 279-7637
2. Property Owner: Howard T. Davis, Jr.
Mailing Address: Star Route A Box 421D 99507
Phone: 277-5661
3. Legal Description: Lot 5 Block 4 South Hills Subdivision
4: Single Family Residence: (�d
Multiple Family Residence: ( )
Number of Bedrooms: 4
Number of Bedrooms:
5. Well System: Individual Well (x) Community/Public System ( )
Permit #
Construction
Depth of Well 177' Well Log on File ( )
Bacterial Analysis
6. Sewage Disposal System: On-site System ( 31 Public Utility ( )
Permit # Installed 1972 Installer
Septic Tank Size Manufacturer
Absorption Area
Soils Rate
7. Distances: Well to Septic Tank
to Sewer Line
to Nearest Lot Line
Nearest Lot line
Material
to Absorption Area
Absorption Area
i
ragevo
' Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 5 Block"4 South Hill., Cuhrli vi a; nn
Comments:
Affadavit Attached: X)
Approved:
Disapproved:
Letter Attached: ( )
Date: C �-- /9
Date: Shy— ?1
Department Worksheet: �� C 1 -I�I 1 �1 .. . Do �d,w.
fol 6p , C�fx OU
f 000
5.5 c�C�" c� a
8T'.z>
MUNICIPALITY OF ANCHORAGE 'i��PT Gc
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330(''Street-flnchoref+aska99593—P74-4561
14
825
825 L Street, Anchorage, Alaska /Q .!2,
REQUEST FOR APPROVAL OF Rec, ,s>>
INDIVIDUAL SEWER and WATER FACILITIES l t11q!9
1. Type of Inspection: CMRO VA FHA CONV XX
2. Property Owner: Howard T. Davis, Jr.
Mailing Address- SRA Box 421 D, Anchoraqe, Alaska Day Phone 277-5661
3. Name of Buyer:
Mailing Address: Day Phone
4. Name of Lending Institution: Alaska Statebank
Mailing Address: _310 E. Northern Lights Blvd., Phone 279-7637
Anchorage, Alaska
5. Name of Realtor or Agent:
Mailing Address: Phone
6. Legal Description: Lot 5, Block 4, South Hills Subdivision
Location: NHN Hillside Drive
7. Type of Facility to be inspected: Single FamIIy Residence No. Bdrms. 4
8. Water Supply
Type of Supply: Public Utility Individual XX
If Individual, number of dwellings presently served I
If Individual, depth of well 177'
9. Sewage Disposal System
Type of System: Public Utility Individual (on-site) XX
If Individual, date of installation 1972
EQ -037 W74)
�+-.rte-�--+-�-•---�`�.-.... .-r---��..�.m.- � ,..�
T' V I
tiREATER At'-HCR4(j9 AREA BOR9)CH
-" Department of Environmental Qum lity
f " 3500 Tudor Road, Anchorage, Alaska 90507 270_96°6
Date Receiver' 9 '2Q _7CL
Time of Insnection�Q;30
/ t N!�- Date of InsnPction 01-0.G _7.?_
r �� r --IT ).cT FOa A.-)[ qO'r:,:. OF
INMVIDUAL S b 's1ATcR Fr1CI1.ITIFR
1. Aoproval Requested 9y:_
Address: •o" f _
2. Pronertv Owner:- \7 Jt��O�n i ��, _
3. Legal Description: _ Apc75 LL -CT
A. Location: a A i _hU_A_1_ —
39
Phone: x-77-3 (o a y
5. Tyne of Facilitv to be Irsper:ted:_
,lumber of Bedraws. , V
6. Well Data:
A. Tvpef/_'/,:.;oa B. Depth
r
C. Construction G�G��+ - D.. /9a-cterriial Anal,sis
7. Sewage Disnosal System:
A. Installed 7-.w2e� - :'/ R. Instal.lerFA xc.C"-r�lL'tz-s-z(1!�: a
C. Septic Tank: 1. Size /M� 2. Manufacturer C�:off
r
D. Seepage Pit: 1. .Size /,( X�7r /2. Material
E. Disposal Field: Total Length of Lines
B. Distances:
A. Well To: Septic Tank %' Absorption Area /6.^ Sewer Lines
N,!are.,t Lot lAr.e 3i Other Contamination : etl
B. Foundation to Saatie Tank > Absorption Area f�
C. Aosorction Area to Fearest Lot Line /,,!?
.!t for Anoroval of z"jvidual Sevier F. ha
rgv'Two ter Feciliti^,^
.r
nv" a! '!a1 d'nr One Year Fret Date 3leced — �p -7L
r�-
Greater Anchorage Area 9orounh, De;artmert of Envirnn,en�al Quality
DTAG-'AM G' SYSTEC.
I certify that the information containe-! in this recpjest for approval to be a true
and accurate repreeertat!nn of the snSiect sA:ver ani mater facilities located at:
Signed Date
FNA For... 2377 i U.L0EpARTMEN10F N !ING AND URBAN OEVELORMENt ( Fore A,,,..H
Ar. ho" I950 I ITL.eAL MIUS-NGALIA.NISTR.T.cN Budget Ow... No. 67-RL296
HEALTH AUTHORITY APPROVAL
r INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I.—TO BE COMPLETED BY IFFIN VA
WSURING OFFICE MORTGAGEE AL NOAnchorage Alaska State BankjilERI
—
MOPTGAGOR OR SPONSOR PROPERTY ADDRESS
LJOi;ES, Frederick B. & Shirley G. (lo Street Address- Off Rabbit Creek
UW6'1vI*5I0N__P�;AM_E -- _ _ _ __ T6lOCK NO 1107 NO.
SOUTH HILLS SUMVISIM I X 4I 5
TOTAL HUMSIR: I O
Can err:t w ether area be .node Into '
._ BSEENNew installation additional be imemsT i
Lry1Nri MMIij .f D.00r3 ..IMI
�— —. 1 tit 711, h0,/ TOn)tl
1 2 11 O �__o'
No 0 Yes E] No
I
WAT.R SUPPLY BY, I—_ SYST—TEM. DESIGNED FOR
Public system 1:1Community system XQ Individual L w boss.` 0.06.01 paros.L
SIWAGI DISPOSAL BYl
QPublic system Community system 0 Individual I Ia Yes ❑ No
PART 11.—TO BE COMPLETED BY HEALTH DEPARTMENT
HEALTH DEPARTMENT INSPECTOR'S SKETCH
/■1 ■/■■■■N■M■■■per�11�■�/_N�■��/�to��.�■�■s/!N■■/ ■■■ ■tsEI11 ■■SEE
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:�.N:q...N■gWWWNNgq.WgNN■,R t� Yq
aIle� ■�/■■N■/■NN.N■/■/tWw/:Na :
N•.q•N■
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mom
■SW qmnm�on Now son moll
■st/■MEANS
■NW/��
asomNN■////■N/■■Nwon■■�■//�MNNN■ __ �Ir
111411
tt//NN■// q■■/
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■■■tees ■■:1a1/Nes qqn:■■■■q/NW■■N/■■■■N■NW /W
sense
/s ■
an ::ass::::::/■tee:::""EESp■•••■s■Nr::•pq•N ::•N—N�-q
sssse■s■q ■/N:Ilgh
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s•e: owns■•M uNf:s■ ■ :r •Ms eNs■q••n /ss••ss/s■s
no ■ ■■■1N/■f1 ■ NSN
test■ ....=■.snesesY:�■/s/s:N..WM ■. Wass///es/ge
■■■•N q■■■■■Ngg�s■eWe■•N�Wpes■e//■qnW■///■/nNWq■//N/•s
BUR
■/■q��q
1
Mason ■/„/sNs • mNq•W R�/WN■•:•••■~i■ IN
i■!/try•:■�■/�N���■i:•••eN ■r•■
:ssq•:1Ws�sssssafgS■Sss•We a"misq■e/gseW:■Nq� s
W■■�Nge�W/■Me■eN�■gq■�
.
�
Mosial
N1/E N■/eN■/e qn/■ ■■sssse.■�//1ss1■■=00= ■■N
s/1s1sWSSN1E//s■1 •
•::::•::•• 1asa/:::••N :■ssq•N ■� sq1/NN■N/Nss/ssssq
■ s� ■s s11Sn S■NgsWs■s/NgWmms
SENSE 1Wt/N■ ■■sssS/sssn■mmmmmmmm=m_esu N/s1NN:H mNN f„sgglsN:■ssse
:1t::■�1/1�1:•::::1N1 te\ �: o■/Sss■1s�■/N/■mmmmmmmml"�ss N■se�ggN�m mme
:No
q 1
■mansgNgssesssqqNEE= WgssWsgqsqe■Ngsgq■gWssW
It is the opinion of the ❑ State ❑ County ❑Y Local Department of Health that this individual water -supply system
[D is El is not satisfactory as a domestic water supply for the subject property.
It is the opinion of the CI State ❑ County 0 Local Department of Health that this individual sewage disposal sys-
tem with proper maintenance:
19 Can be expected to function satisfactorily, and E] Cannot be expected to function satisfactorily
is not likely to create an insanitary condition
DATE II SIGNATURETITLE --
a !i� !> .ter � c i _ �r C �>•�
/G, . ITL 'A�...y-ri`i •>•t+�LS-�,� /i ��.y
NOTE: The health authority should complete the aaprewiare Opinion statement be.. end on. dote, slOneruro end title In the
gecw provided.
Use of the above grid for Health Doportment Inspector's sketch as well as use of the bask or this form is at the option Of the
heath eurherity.
PART Ill.—FOR USE OF FHA OFFICE
TO THE CHIEF UNDERWRITER:
I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the
Individual water -supply system be considered ❑ Acceptable E] Not Acceptable
Sewage disposal he considered (3 Acceptable n Not Acceptable.
I DATE 1 SIGNATURE t O CHIEF ARCHITECT
ElDEPUTY FOR CHIEF ARCHITECT
HEALTH AUTHORITY APPROVAL FHA Farm 2317
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM s.. 1.M IPse