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HomeMy WebLinkAboutTRAILS END BLK 2 LT 7 P-604Trails End
Block 2
Lot 7
#015-191-21
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Envlronmentad Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Na"DISTANCES
PJ. Arm S
AWres. ,6&7 /oz -e-77 TO SEPTIC ABSORPTION WELL
/�+ c/w r? a AaE $4J%O .
FflOM TANK FIELD
pMnepl Pe,r,ut No. No. of aeo,00ms WELL 134.4
-- a-_",e.i
Lot 7 I BI«k19
Townslnp. Range. section
7'42A) Q3Aa sa
❑ SEPTIC
Manufacturer
TANKS
LOT LINE
FOUNDATION
TYPE OF SYSTEM
❑ TRENCH 0 BED
❑ W. DRAIN ❑ OTHER
Depth 10 ppe Wttom Irom
Total oepm from orpmal grade
p� nM grWe
9
A"'It. 7
FT
it 2. G'fa -7` 3r: Z ' FT
Fill Woed alptno, ongmal grade
Gravel Depth beneath pope
/•G" %•Z
FT
O•S FT
Gravel length
G"net wmtn
3'1
FT
/S, FT
101M absorpbon area
Distance between knee
_170
SO FT
S1 FT
Number of lines
soil rabno
Pipe material
3
/64
SOFT
She air, FJYO
InsWle, 97f0-/427 Dale Installed
4eAe.re,. Ebf•
T1s -101101f C.
WELLS
❑ PRIVATE
❑ OT IdentINI
REMARKS: Rely -live G�¢ra�ie"rf
A•-NN466e vo ps" se/ooa Sr
olo o corsair S a _ •7
r — l, fa ow ml RAV rW ae,V
Corns" e.F bed -y?"TA Haji/e c
2 "Of /^jry/r-lea Oyer 6ed,ea or, Me
1 < r FCe IO
Municipal afld State puldelines M died on this date
Health Department Approval:
72-017 (9(65)
FT
47^T
/to J*
/Ob �
wen. sepuc system, propeny eros.
it. .. If,
c
scale. / -. SO a ENGINEER'S SEAL
Inspections Performed by:
L, Re Al C!-0/2.
f =/.i P4V to % `1b-CC�lofi
Catty that this Inspection was pditwmed loading In all - - • " "
Date.
M U'N I C I P A L I T Y O F A N C H O R A v
Department of Health & Human Services
025 L Street, Anchorage, Alaska 99501 343-4720
O N- S I T E S E W E R P E R M I T
Permit Number: 900255 Upgrade
Date Issued: 09/10/90 Engineer Designed
Owner Name: P.J ARMSTRONG
Owner Addrpss: BOX 102277
ANCH, AK 99510
Parcel Id: 015-191-21
Lot Legal: Subdivision: TRAILS END
Section: 24 'township:
Lot Size 27000 (sq.ft. or acres)
Man Bedrooms: This Permit: 2 Total
SEPTIC TANK: Minimum total septic tank:
tants must have at least 2 compartments
feet requires insulation over tank(s).
Lot: 7 Dlock: 2
12H Range: 3W
Capacity: 2
tl J -l4
9 -19- 9v
I4 SCS Loc_
L 5:0o Zt!�l
Day Phone:
capacity: 1,000 gallons. Each septic
Depth to top of septic tank(s) <. 4.0
THIS UPGRADE BED SYSTEM MUST BE INSTALLED AS SHOWN ON THE ENGIN-
EER'S DESIGN DATED 0/10/89. NOTIFY DHHS BEFORE ALL INSPECTIONS.A
LIFT STATION REQUIRES AN ELECTRICAL INSPECTION. THIS PERMIT IS
FOR A 2 BEDROOM SINGLE FAMILY RESIDENCE ONLY, AND EXPIRES ON
12/'1/90.
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.
2. I will install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria of this permit.
3. I will adhere to all MOA and State of Alaska requirements for the set back:
distances from any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
h. 1 understand that this permit is valid for a maximum of 2 bedrooms. 1
also understand that the capacity of the total system is 2 bedrooms and
any enlargeml"JwiLl reqqire an additional permit.
Signed: DATE:
(Owner) P. J F M' l NG
Issued Cry: DATE:
1:�'x-�' f.-�.i a:..'i r�:7�au..�'��]ri`�S�..v:!R.,w__�.r Yv�.`-...� J :; i:.:CY.:if`�..:-T.•.�.......��iY.':::..Y.:' _.�..:.....- ...,.. .e.: ip._ .....� L C..... Y..�sn..... yw•........ .. _.�:.
Municipality of Anchorage
M�
Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
January 8, 1990
D.J. Armstrong & Lisa Fuglestad
Box 102277
Anchorage, Alaska 99510
Subject: Lot 7 Block 2 Trails End Subdivision
Permit #890165, PID #015-191-21
The subject permit, issued by -this -office for a -single family
well and/or on-site wastewater system has expired as of December
31, 1989.
Permits are issued on a calendar year basis by authority of the
Municipal Code of Regulations. A new permit must be obtained
from this office for an well and/or on-site wastewater system
not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to
this office for documentation of the installation and to close
the permit.
If a private engineer inspected the installation of the on-site
wastewater system, the original as -built inspection report
(three-part form) must be sent to this office for review,
approval and documentation.
When applying for a new permit, the fees are: $90.00, for an
on-site wastewater permit; ',$50.00 for a well permit; $140.00 for
a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sincerely,
John Smith, P.E.
Program Manager
On-site Services
JW/ljm:200
enc: Copy of Permit
"Kids Are Our Future"
M U N I C I P A L I T Y O F A N C H O R A G E
Department of Health & Human Services
825 L Street, Anchorage, Alaska 99501 343-4720
O N- S I T E S E W,c E RPE R L M I T
Permit Number: 890165 Upgrade Su099L Ifo16
Date Issued: 08/14/89 Engineer Designed
Owner Name: D.J./LISA ARMSTRONG/FUGLESTAD
Owner Address: BOX 10277
ANCHORAGE, AY .99510
Day Phone:
Parcel Id: 015-191-21
Lot Legal: Subdivision:liTRAILS'END';Late 7 Block: 2
Section: 24 township: 12N Range: 3W
Lot Size 27000 (sq.ft. or acres)
Max Bedrooms: This Permit: 2 -Total Capacity: 2
SEPTIC TANK: Minimum total septic tank capacity: 1,000 gallons. Each septic
tank must have at least 2 compartments. Depth to top of septic tank(s) < 4.0
feet requires insulation over tank(s).
THIS SYSTEM TO BE: INSTALLED IN ACCORDANCE WITH THE APPROVED
ENGINEER'S DESIGN. DHHS MUST BE NOTIFIED PRIOR TO ALL INSPECT-
IONS. THIS PERMIT IS FOR A 2
BEDROOM SINGLE FAMILY RESIDENCE ONLY, AND EXPIRES ON 12/31/89.
INSTALLATION OF A LIFT STATION REQUIRES THE APPROPRIATE
ELECTRICAL INSPECTION.
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.
2. I will install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria of this permit.
3. I will adhere to all MOA and State of Alaska requirements for the set back:
distances from any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
4. I'understand that this permit is valid for a maximum of 2 bedrooms. I
also understand that the capacity of the total system is 2 bedrooms and
any enlar_qmment will require an additional permit.
Signed:1� DATE• 89
(Owner) D.J./LISA ARMSTRO /FUGLESTAD
Issued By:---- DATE: (J
r
A
E°s ALASKA EnUIROC1 nTAL COIITROL SCRUINS, InC.
a Enginttrinq & Enuironmtnlal Studies
1200 West 33rd Autnut. Suitt B • Anchoragt. Alaska 99503 • (907) 561-5040
_..__MUNICIPALITY OF ANCHORArE
TO DEPT. OF HEALTH &
I'10 A _ --Td—//J ENVIRONMENTAL PROTECTION
AUG 11 198q
RECEIVE
DATE _ ff
SUBJECT L7) y 7,ZAIL.$ &'JA
w a s•TX _ - s,{_a t s,� ,�. �. -�y �.. 74
` as— Yui OL ..0 .t 4, �iL .►,
4 ..,N.•L� a.., Ldp i�e�
i T>oJ Yl- 6ti Off' ,aw.:�, 'z` 771'�y.
'.QN 4Yr
y
If
.... MUNICIP�LI7Y �OFEP�GE
DEPT. OF .HEALTH &
..Municipality of Anchorage ' ENVIRONMENTAL PROTECTION
•,��.v�
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 L Street, Anchorage, Alaska 99502-0650 AUG 1 1 t�FQ
SOILS LOG — PERCOLATION TEST p C C I"C D
PERFORMED FOR: DATE PERFORMED: 8 L
LEGAL DESCRIPTION: 1.7 eX 7Wi/1,3 EA> Township, Range, Section: TZA) z3H1 SEG v
DEPTH i �- 1�Tlhrl�Y SLOPE SITE PI AN
15';,, (FEEL
1
2-
3-
4-
5-
6-
7-
10-
11
34567011
12
13
14
15
16
17
18
19
20
COMMENTS
0*0 11 Ire I
WASGROUNDWATER
ENCOUNTERED) _ ��
S
IF YES, AT WHAT L
DEPTH? 0
P
E
Dep b Water Atter
Monitoring? gait
PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
PIM
PERFORMED BY: - / S �'_'� t egg ` '/�/CERTIFY THAT j' IS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
o N c, N o~2 N 5 rrrzE F -r
,. OF Atq-n��
I'�`,•• j. ala V"' _ 089'59.90'3 90.0
Or
• �' Y REID, JR : • •ef �1
22$1 l
74
�tessiattal _ _..
WALL
•• � •
..I o fR. % ••sitLL
0 •� WSE. •' ( O
do ewciie-T.Uo
a•1Eu 5
o TiwL ' , a •1{.it . M CIPALITY OF ANCHORA
DEPT. OF HEALTH d
• O • . •'t 1. p IRONMENTAL PROTECTIO
C.e/8. teeRrl. / Rr� ADD `� U
S�P.1ie', .413M/G% .' AUC 1 ] ic^o
T Ze AaA•lee,%D R E C El V E D
.•.� aa.N
,ese7o,14 r Book No. 71C Pka No.
.V� COR1. SCT ASrur[r. !7 .l...r /?Yr
I hereby certify that I have wnayed the followingdescribed ti�O^opC��
TZ'ef.•. S :tw.) !'::!•'Q property. LoT�filock Z �,�•� C1--
Anchorage recording Precinct. Alsska, and that 'Q ••..+••• Q Q
the Irnpriwemmts situated thereon are within the Property lion and do not overbp or o y't f•• ever
�l�•
encroach on the property lying adjacent thereto, that no Improvements on property p e• 9�,`
lying adjacent thereto encroach on the premy
itn In question and that there are no roadways, 0 Y
trsnsmission lines or other visible easements on said property except n Indicated hereon . deh•� �••C•J•• •w./eNeeW�.ee�A
sau••NNNN N•ww•N w• •w�
,PFtre T/F/EO CB c ►roma Hildonon ? "e
Anchorage, Alaska !i .�dC/G. /9,�.,? ._.. .. . _ - - ---.. O�u�f �• N. 17033
• r�
I fp'0.9Cf ••••�.S y
t C R�FISS-DRf•L �..�
Municipality of Anchorage
Department of Health and Human Services
Tom Fink, 625 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
June 23, 1969
Alan Wien
Alaska Environmental Control
Services, Inc.
1412 West 33 Avenue
Anchorage, Alaska 99503
Subject: Lot 7 Block 2 Trails End Subdivision PID #015-191-21
Sewer Upgrade Permit Application
Dear Mr. Wien:
Reference herein is to the subject application for a permit to
install a mound type subsurface wastewater disposal system which
would upgrade the existing cesspool serving a two bedroom single
family residence. Based on the supporting data submitted with
the permit application, D1111S cannot issue the permit for the
following reasons:
The soils log on test hole #1 (which is closer to the
proposed mound site than test hole #2) does not indicate
that "two feet of unsaturated undisturbed native soil"
exists above the seasonally high underlying ground water
table. (Reference AMC 15.65.077.A.1)
2. According to sheet 1 of 4 and sheet 2 of 4 of your
submittal, it is planned to excavate the basal bed area to a
depth of only one foot. According to the soils log for test
hole #1, the top of the accepting soil stratum is at a depth
of 2.5 feet therefore one foot of excavation would leave 1.5
feet of OL and peat in place. AMC 15.65.077.A.2 requires
that "any peat or organic matter must be removed from the
elevated mound site".
"Kids Are Our Future"
Alan Wien
Alaska Environmental
Control Services, Inc.
June 23, 1989
Page Two
While DHHS cannot issue the requested sewer upgrade permit at
this time, it is certainly possible that you can provide
additional data and/or possibly an alternate design or
configuration which would meet the existing code requirements.
We will certainly be receptive to additional information you
choose to provide.
If you have any questions or concerns please contact either
myself or Robby Robinson at 343-4744.
Sin ere y,
J n Smith,.E.
Program Manager
on-site Services
RWR/ljw:134
A
• `� OF ANOGE
ALASKA enui nmenTRL C011TROL OURS, WO'NMENTALSE VCEESSDIVSON
s
enginrrrinq 6 Enuironmenlal $ludue JUN 2 01989
SPECIFICATIONS FOR DED WASTEWATER TREATMENT SYSTEM E C EIV E D
LEGAL DESCRIPTION: LOT 7, BLOCK 2, TRAILS END SUDDIVISIO 1
1.0 GENERAL
1.1 The Drawings, sheets 1 thru 4, shall be part of
this specification.
1.2 All materials and workmanship shall meet the
requirements of the Municipality of Anchorage,
Department of Health & Human Services (DHHS), the
conditions of the permit, and all applicable rules
and regulations currently in effect.
1.3 All excavations and depths are advisory, and are
to be verified or modified in the field by the
Engineer or inspecting agency.
1.4 It is the responsibility of the property owner or
installer to adhere to approved design for the
installation, to maintain the specific separation
distances and to have the appropriate inspections.
1.5 It is the responsibility fo the property owner or
installer to report to the engineer any observed
conditions which would put the system in violation
of state or Municipal regulations.
1.6 If the installation is not inspected by an AECS
engineer, AECS will not be responsible for the
installed system. An engineer at AECS should be
consulted prior to construction, to determine the
number of inspections that will be required and to
explain what these inspections will involve.
2.0 SEPTIC TANK
2.1 The existing septic tank may be used, if it meets
the capacity requirement for the residence and the
Approval of DHHS. If not, then specifications 2.2
through 2.6 apply.
2.2 The septic tank: shall be a UPC -approved
two-compartment tank, constructed of 12 gauge
steel with bit(MaStiC coating and set level an
undisturbed soil. If the tank: is buried at a
depth of 4 feet or less, it must be insulated with
an overlying layE!r of 2 inch burial type
polystyrene rigid board insulation.
2.3 The septic tank: shall be a minimum of 5 feet from
the house foundation, and a minimum of 5 feet from
the absorption area.
1412 West 3306 Avenue 0 anchouacie. Alaska 99503 • loo» 479.5557
2.4 The septic tank and bed shall be a minimum of 100
feet from any private well or body of water, 150
feet from Class "C" wells, and 200 feet from Class
"A" or "B" wells, unless otherwise specified.
Less than the required separation distance must
have prior approval or waiver by DHHS or Alaska
Department of Environmental Conservation (ADEC).
2.5 Piping shall be fitted with a mechanical
watertight calder coupling on the outlet and inlet
of the septic tank. Inlet piping shall be 4 inch
solid PVC ASTM D-3034 or cast, iron, sloped
a minimum of 1/4 inch per lineal foot. Outlet
piping shall not be less than 1/8 inch per foot
slope. If the piping is buried at a depth of 4
feet or less, it must be insulated with an
overlying layer- of 2 inch burial type polystyrene
rigid boars] insulation.
2.6 Cleanouts shall be installed as designated and
capped with air -tight rain caps (Jim Caps or
equivalent), and extend a minimum of 1 foot above
ground level.
2.7 If a lift station is required it shall be a
combination lift station septic tank per Anchorage
Tank and Welding, Inc. design. Specifications and
design drawings are on file with the Municipality
and the engineer.
3.0 SEEPAGE BED
3.1 The sand shall have an effective size of 0.4 to
0.6mm and a uniformity coefficient of not more
than 4.
3.2 The gravel for the bed shall be 0.5 to 2.5 inch,
screened rock: with less than 3 percent passing the
No. 200 sieve. All substitutes must have prior
DHHS approval.
3.3 The bottom of the excavation shall be level and
raked with the backhoe blade to insure that the
bottom has not been compacted during excavation.
3.4 The distribution pipe shall be perforated 4 inch
rigid PVC with a minimum crush strength of 1500
pounds and shall meet the approval of DHHS for use
as drainfield pipe. All pipes shall be laid level,
.and spaced according to the drawings.
3.5 Monitor standpipes shall be placed as shown in the
drawings. They shall be 4 inch rigid PVC ASTM
D-3034, or cast iron. The section shown with
holes may be either drilled 0.5 inch holes on 6
inch centers on opposing sides of the pipe, or a
section of regular perforated sewer pipe may be
clamped to the solid section with a no -hub
coupling or solvent joint. The perforated section
of the monitor tube shall be located in gravel
only. The portion of pipe above the sewer rack
shall be solid. A rubber raincap (Jim Cap or
equivalent) shall be placed over the top of the
pipe.
3.6 If the final grade over the bed is less than 4
feet above the gravel, insulation is required,
using burial type polystyrene rigid board
insulation. There shall be 1 inch of insulation
for every foot of soil less than the required 4
feet of cover, but there must be at least 24
inches of soil even though insulation is used.
The solid pipe extending from the septic tank to
the drainfield shall also have a minimum of 4 feet
of cover or an equivalent layer of insulation
combined with soil.
3.7 If insulation is not necessary, then the gravel
must be covered with a layer of a nonwoven fabric
(such as Mirafai, Fibretex 200 grade, Poly -Filter
X, or equivalent).
3.8 The top and sides of the bed shall be planted with
a white clover and red fescue mix, or with
Kentucky bluegrass.
4.0 INSPECTIONS
4.1 This bed will require a minimum of three
inspections. The first inspection will be of the
open excavation, to assure that the system is
installed in the proper soil strata, correct depth
and meet minimum specified design parameters.
4.2 The second inspection will be performed after sand
fill is installed, but prior to placement of
gravel and distribution pipes. This inspection
will verify that the filter is properly installed,
that it meets specifications and that it fulfills
the intention of the design.
4.3 The third inspection will be after placement of
gravel, monitor standpipes, and distribution pipe,
to verify proper installation and position of
pipes prior to backfill.
4.4 The inspection of the septic tank installation can
be incorporated with any one of the above listed
inspections.
4.5 The lift station will require either an MOA
electrical inspection or certification by a
licensed electricianp depending on whether the
building code applies to this part of the city.
w a,
i � �� N • �,9*94
!\a3 1, Municipality of Anchorage ,,;;;• a ••• ••• "•"' j
DEPARTMENT OF HEALTH S HUMAN SERVICES ... •1
825 "L" Street, Anchorage, Alaska 99502-0650 •• • WID, JSL
SOILS LOG — PERCOLATION TEST ro. �•✓ CE 2251 _ `. '!
`a
A `4t��'fO��fC=
PERFORMED FOR:. AA/DW ��Lt./O CE.✓Ti.2l LI DATE PERFOl ED:
LEGAL DESCRIPTION: 47 aL 'TZ 4&i rAlb Township, Range, Section: Tj.Al X30 fG*C-
DEPTH SLOPE SITE PLAN
(FEET) PT
1
2-
3-g
4h
3 dnw S D SEMa3
4
5
6
CA
7 Tia;
a-
91011 9-
10-
11
12
13
14
15
16
17
18
19
20
COMMENTS
WAS GROUND WATER t
ENCOUNTERED?F/
IF YES, AT WHAT
DEPTH?
Depth to Water After ,I
Monitoring? 3•"? cale
SEAL)
Reading Date Gross Net
Time Time
Depth to
Water
Net
Drop
s• .i i7
.G8-. 3
.z
.s -
PERCOLATION RATE (mmutes/mch) PERC HOLE DIAMETER 61
TEST RUN BETWEEN y FTAND 3 FT
PERFORMED BY: rEGf �� �J1EA/ I �iL—F,� L�
CERTIFY THAT THISTESTWAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE
72-008 (Rev. 4185)
4W 0 A
Q 10,0 •••
Municipality of Anchorage 'r so •
DEPARTMENT OF HEALTH 8 HUMAN SERVICEr .
825 "L" Street, Anchorage, Alaska 99502-0650 /":r •••• •••'
SOILS LOG — PERCOLATION TEST 4 _ __. ..4 .
PERFORMED FOR:j4NDivl /Fi o✓rAlelo " CE.1Tu?>' 41 •D�aj�g1
•fie
LEGAL DESCRIPTION: L7 $Z _ TA/LS jE;/,b Township, Range, Section:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
Fico
oa.-62,4a4ty
4h - slay" sand 6wy'n-
allf-d sD shahs
WAS GROUND WATER/ES
ENCOUNTERED?
i
IF YES, AT WHAT
I
DEPTH?
Depth to Water Atter
'
Monitoring? Oatic
G-8'89
11
REM, JR.
SEAL)
1-J 'fee-
1i
EG
PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
PERFORMED BY: - /•l V L2 *"r-, "IJE. f I (�(�� AVA—
CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: —�
724= (Rev. 4/115)
ALASKA ENVIRONMENTAL
CONTROL SERVICES, INC.
1200 West 33rd Avenue, Suite 6
ANCHORAGE, ALASKA 99503
(907) 561.5040
JOB co?' 7tK Z '%�i4��1 E.✓�
SHEET NO. Of
CALCULATED BY I ' ' /E- DATE eo
CHECKED
SCALE
DATE
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ALASKA ENVIRONMENTAL
CONTROL SERVICES, INC.
1200 West 33rd Avenue. Suite B
ANCHORAGE. ALASKA 99503
(907) 561.5040
jOB eT .54
SHEET NO. ./ OF
CALCULATED BY • "� DATE
CHECKED BY
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/1e toad. Ser. wserllur• 70 .r,,.•. r•'.
I hereby certify that I have surveyed the following described property, Lot 7 Block —` (f� Q� '
Anchorage recording precinct, Alaska, and that
the improvements situesed thereon are within the property lines and do not overlap or S"1C ••e�`
encroach on the property lying adjacent thereto, that no Improvements on property J{r;,%
lying adjacent thereto encroach on the premises In question and that there are no roadways. 0 J
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transmission lines or other visible easements on said property except as Indicated hereon. Y' _e 1 '
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d'- `EATER ANCHORAGE AREA BOR'�fH
HEALTH DEPARTMENT IL NO 367
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279.2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING Gvs2 a
NAME '�K C/dz zyr f,*✓ ADDRESS /✓C/y' /ate• PHONE
SEPTIC TANK:
i NUMBER OF
DISTANCE FROM WELL l•u MATERIAL �'niLh�f!-s�cs� COMPARTMENTS
e2 O Sri
LIQUID CAPACITY-=—'�=`- GALLONS. INSIDE LENGTH � —I -e:' INSIDE WIDTH G / G '� DEPTH LIQUID'Cv' el
SEEPAGE SYSTEM: SEEPAGE PIT: �2y / �2 /
/
NUMBER OF PITS OUTSIDE DIAMETER �� OR WIDTH, LENGTH, DEPTH �,s/�
LINING MATERIAL L n G -f' — E;�X�ii, DISTANCE FROM WELL /tea / , BUILDINGgqFOUNDATION�Z,
NEAREST LOT LINE ate0 / �-� TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) �/ 4•' SO. FT.
TILE DRAIN FIELD:
DISTANCE FROM
OM_WELL_
NUMR O
PTIOABSN
AREA_
BETWEEN
FT. LENGTH OF
TOTAL LENGTH
NEAREST LOT LINE , OF LINES ,
TRENCH WIDTH
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH
TOTAL EFFECTIVE
ABOVE TILE
WELL; DISTANCE FROM / WATER
TYPE/'-'Zx 1m— DEPTH Z -r —,BUILDING FOUNDATION. 3 SAMPLE Z/y NEAREST
OTHER
LOT LINE Z.D�, SEWERSUNE '� ,TANKC , SYSTEMS ��Z / , CESSPOOL '= OURCES e-�
DIAGRAM OF SYSTEM
DISTANCES:
1,4171
,,f -/, e_//,?'
DATE /rf-[!�-`'� ZZ��
l�
C.REP.TL'R A.+CY.Orf:SE AP.SA. !'0?OU^11
PEALTH 0F:7Ai.Vr—'.71
317 EA'sLE `TREET
ANCNORACL, ALAP.KA 99501
Performed For'Y//
Q111CD/!
Lef,al. Description:
Lot x uloc
This Fern Reports
a: Soils Lce-
Depth
Feet Scil
Ch2�^_-_'e?is-icy_
71le Stdi�nents were
1 ¢ugly
toilsis�Or�t
rcars.e so.,d �pdirs
sortie
04 M410r,
irnpvrtunco.
6
7
Gm
Date F'crlorr..ed_,2j , /97a
v" s
or -
•ereniation lest
i.o^ation SKetCh
Was Ground Nater Encountered? -oP
If Yes, At what Depth._.—
_
P.eadirg Date r Gress :ice 1 Net Tir.•e Depth To 1I20 I Net Drcp
ereo aeon nae I"/ r"""`.
L/ Drain iiel
Frcposed Installation: Seepace Pit
Den -0. Of Inletlle,tn 'Po botto Cz pit Cr':rench�r�
COk'•iF:l! i 5: (sn G -� 7 .?� r'
Test Performed By:—A/LG
March 9, 1970
?Y. Ken Calhoon
1020 "C' Street
Anchorage, Alaska 99S01
SUBJECT: Lot 7, Block 28
Trails End Subdivision
Dcar Mr. Calhoon:
This Department has checked our files to determine the
suitability of an individual sec:er and nater syston on
Vie sLbject lot.
Sewer:
An individual sever system, designed to this Department's
requirements, will function satisfactorily. Please remem-
ber that a peroit dust be obtained to install the system.
Nater:
Four (4) vell drillers, who operate in this area, were con-
tacted regarding depth of wells and ar.ount of water obtained.
(X= files and their general eotrents concur. A very few
wells in the area are in the 40-60 foot ranZe and ray be
providing an adequate supply of water. Tl:e remaining wells
are from ISO -225 feet deep and do provide an adequate water
supply.
An adequate individual well can be located on the pra;erty
but it should be expected to be from JSO-22S feet deep.
Sincerely,
CLIfTORD P. jwnNn, R.S.
Ackiinistrative Director
BY.,
Roli 11. Strickland , t. •
Environmental Health Director
RRS:rn
O MUNICIPALITY OFANCHORAGE
' DEPARTMENT OF HEALTH &HUMAN SERVICES
Division of Environmental Services
On -Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # Orb 10) % ^ .111 HAA # 1APiC1 nn l.I
1. GENERAL INFORMATION
Complete legal description L % o % r K 2 2a � t' Lua s 10
Location (site address or directions) 9 3 4O & ,.be,rL, (Pi4I' zj -a4-4t)
�
3't&— T2o>
Property owner kicA 14rW � , ele Day phone FLJy4-a2/,F
Mailing address F-0, 00X A5/q 1/3 Q1l- o23 27A 74i6 I
i
Lending agency �� A beb ra Z56mm_ C/Day phone 'g.5 7— _g y.2�
Mailing add
Agent
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
Day phone
4/ F HA
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 V/
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.
72-M(A.A/91( Front MOA121
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 furtherverify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm 1 o h6.eii a 4JaZ h L Phone ,a 7 9 4 /,,
Address .20-1
Engineer's signature
6. DHHS SIGNATURE
X Approved for 2 bedrooms.
Disapproved.
Conditional approval for
Additional Comments
M
Date
bedrooms, with the following stipulations:
Date /-/G- 92,
The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an Independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is Issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
n,m Qbv.1An Back MOA K1
..y rig'
r m• '
Li
eea
ae...,.au•
C.
bedrooms, with the following stipulations:
Date /-/G- 92,
The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an Independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is Issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
n,m Qbv.1An Back MOA K1
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST LEM
Legal Description: I,d I 'i /3 Parcel I.D. G15 "
A. WELL DATA (�
Well type If A, B, or C, attach ADEC letter. ADEC water system number , zen=
Log present (Y/N) i4 Date completed Driller-
Total
riller Total depth 75� Cased to I).&L Gastng height JL4 tffa441 ole
Sanitary seat (Y/N) y Wires properly protected (Y/N) y r
FROM WELL LOG AT INSPECTION ;V D o 7-
Date of test d�•.� 9�-��
Static water level �12 tO o
Well flow
C .n
h
g.p.m. e g -pm- ;; v o
Pump level
t�oa%
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot 7-1 ; On adjacent lots `75
Absorption field on lot / �� ; On adjacent lots j
Public sewer main �fA Public sewer manhole/cleanout �lA
Sewer service line 7 Petroleum tank �O
WATER SAMPLE RESULTS:
Coliform Nitrate O• / % Other bacteria
Date of sample: �' ��' q ( Collected by: - d –
B. SEPTIC/HOLDING TANK DATA /
Date installed I0II70 Tank size O�®f Compartments r
Cleanouts (Y/N) _7 Foundation cleanout (Y/N) 1-4 Depression (Y/N)
High water alarm (Y/N) bZf 2 Alarm tested (Y/N) N�/\-
Date of pumping ' f7 r _% <<l9 I Pumper l A as cs
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot 77
On adjacent lots -7!5 Foundation
To property line Absorption field g 3 Water main/service line Z2h—.
Surface water/drainage 1`1/1<S,
72026 (Rev. 7191) From CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed .
Size in gallons
Vent(Y/N)
/a
High water alarm level
"Pump on" level at
Meets MOA electrical codes (Y/N)
Manufacturer
_ Manhole/Access (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
D. ABSORPTION FIELD DATA
On adjacent lots
"Pump off" level at
_ Cycles tested
Surface water _
Date installed (O t l R 0 Soil rating 1 (10 System type
Length Width (�� Gravel thickness (� tt Total depth L 1
Total absorption areay Cleanouts present(Y/N)
Depression over field (Y/N) Date of adequacy test
Results (pass/fail) ��ss for bedrooms
Peroxide treatment (Past 12 months) (Y/N) N If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot 13o On adjacent lots -Property line 10
To building foundation / To existing or abandoned system on lot
Onadjacentlots > Cutbank ��� Water main/service line
Surface water Driveway, parking/vehicle storage area >
Curtain drain Y&
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signature - '
-�rN Ibis. '
Engineer's Name , ,
Date
Q-0—
HAA
tiHAA Fee $ / 4Q
Date of Payment /_ L iZ
Receipt Number -.2,3,3-1-7 99 73
72-M (Rw. 3191( Onk MOA 21
Waiver Fee: $
Date of Payment
Receipt Number
==COMAR%i
.,. LO Wii!�.�F�CffW-07 �
■r■riii�� � i�r,�isr■ii�
r
..C�CZC '
►CCC
vii_®- -
�
o■n�iii
MUNICIPALITY OF ANCHORAGE
O Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
(1z
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
Parcel I.D.# 014—IC71-.11 HAA# 0pigtrY�nR
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
(b)
L
Location (address ordirdctions)
�r36o �e�4AEsP,J.'.•
Property own' r ''P 1 Ah' MS4i rn,_'
Eib
jft
Telephone : (home) Business
Mailing Address
(d) Real Estate Company and Agent C�v`rz,� Z� �/AY /�•✓��o
Address /L3s'o/Jl�uSTk� t�/1Y /fs1� 9i��
Telephone 396;_—MW
(e) Mail the HAA to the following address: (or check here If hold for pick up.)
List contact person and day phone number below:
Aces PIAL bee top.
2. TYPE OF RESIDENCE
Single -Family Number of bedrooms �y
3. WATER SUPPLY
Individual Well'K Community ❑ Public O
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site). Public 0 Community O Holding Tank O
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the Iegaiity and status.
72 -WS (R". rne) Page 1 of 2
Mailing Addresg,
"
•"
(c) Lending Institution.`'
''• _ Telephone
Mailing Address
(d) Real Estate Company and Agent C�v`rz,� Z� �/AY /�•✓��o
Address /L3s'o/Jl�uSTk� t�/1Y /fs1� 9i��
Telephone 396;_—MW
(e) Mail the HAA to the following address: (or check here If hold for pick up.)
List contact person and day phone number below:
Aces PIAL bee top.
2. TYPE OF RESIDENCE
Single -Family Number of bedrooms �y
3. WATER SUPPLY
Individual Well'K Community ❑ Public O
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site). Public 0 Community O Holding Tank O
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the Iegaiity and status.
72 -WS (R". rne) Page 1 of 2
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by myseal 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 regulations in effect on the date of this inspection.
Name of Firm Ifeef Telephone 7_7P-3SSr3
Address .33� Ife 9js*3
Date — 4& /
,aROY C REM ,-jje�-
CE•2251 i
Qwa '`-
6. DHHS APPROVAL p
Approved for 2— bedrooms by a2 -Lr
i
Approved Disapproved Conditional
Terms of Conditional Approval
The Municipalityof Anchorage Department of Health and Human Services (DHHS) Issues Health Authority Approval
cerificated based only upon the representations given In paragraph 5 above byan Independent professional engineer
registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending
In in order to satisfycertain federal and state requirements. Employees of DHHS do not conduct inspections
oranalyze data before a certificate is Issued. The Municipality of Anchorage Is not responsible for errors or omissions
In the professional engineer's work.
72-025 )R«. ries) Bwk Page 2 of 2
MUNICIPALITY OF ANCHORAGE (MOA)
Health Authority Approval (HAA)
CHECKLIST- FEBRUARY 1984
A. WELdY TA
Well Classification ArI✓ak
Well Log Present (Yo—
Total Depths—Cased to
343-4744
Legal Description: 1,9,9,2
i ia.0 23A) sa (,,
If A. B. C. D.E.C. Approved (Y/N)
Date Completed /970 Yield n `" 2"e -'-f -
w Depth of Grouting
Static Water Level a6 •-r Pump Set At
Casing Height Above Ground &! 7A H •+ !e/e Sanitary Seal on CasingON)
Electrical Wiring in Conduit ON) Depression Around Wellhead (Y/(59 AV H'nbnle, /,,f AW
SEPARATION DISTANCES FROM WELL: r^ grlVCW
To Septic/Holding Tank on Lot - -- %u r' ; On Adjoining Lots 7S
To Nearest Edge of Absorption Field on Lot bbe 43o -, On Adjoining Lots ))-t'
To Nearest Public Sewer Line k.L9 To Nearest Public Sewer Cleanout/Manhole ''V-1
To Nearest Sewer Service Line on Lot 5 21-
r
Water Sample Collected by ; Date 1�9
Water Sample Test Results —/72 00„ pek')ca
Comments A e'n r,. � LA tie/l. 6e'dre et: A_ 96 Ne//!r{ 9 EZ, g %44- Ifo' Ea.f.
B. SEPTIC/HOLDING TANK DATA
Date Installed /o/9ofZo Size 20M No. of Compartments
Standpipes O/N)
Air -tight Caps 6?N)
Foundation Cleanout (Y19
Depression over Tank (Y© e'o Date Last Pumped /af�a /Sager•
Pumping/Maintenance Contact on File (Y/N) for �✓/�
Holding Tank High -Water Ala�rp'f,Y/N) 'USA Temporary Holding Tank Permit (Y/N)
SEPARATION DISTANCES FRdt 15PTIC/HOLDING TANK:
To Water -Supply Well f• • ' ':.� To Building Foundation -Po
To Property L'ihd............ c2 To Disposal Field r.3
To Water Mainl$dryice Lme> > zo
To Stream, Porid,Take 3.r M'joYDfamage Course /04)
Comments
72-M (A v. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
i
Soils Rating in Absorption Strata /6 6 Q /6"P_ Type of System Design _ a
Date Installed Length of Field 3 V f
i
Width of Field S Depth of Field '` 2• / — �• 7'
Gravel Bed Thickness
Square Feet of Absortion Area 5-1D Statndpipes Present (9/N)
Depression over Field (Y/9
Results of Last Adequacy Test
Date of Last Adequacy Test Ne-" IF f o
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water -Supply Well 30 To Property Line
i
To Building Foundation To Existing or Abandoned System on
Lot On Adjoining Lots > 30
To Water Main/Service Line NSA To Cutback (if present) A -49.'e
To Stream, Pond, Lake, or Major Drainage Course > foo
To Driveway, Parking Area, or Vehicle Storage Area > /496'
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Meets MOA Electrical s (Y/N)
Comments
"Check Permitted Bedroom Rating Against HAA Request"
Dimensions
(ole/ ss(Y/N)
Pump Off" Level at
— Vent(Y/N)
I certify that I have checked, verified, or conformed to all MOA and HAA
Inspection.
Signed
�eI
Company
Date
MOA No �/Z
►G
Receipt No. V C/
Date of Payment �^
Amount: $
77-078 (Ray. 7M) Back
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
Pumping Cycles during Adequacy Test.
on the date of this
as
.: ••
gineer's Seal
Dr G RECD, A � or
_r: Ar
pr0}it;S��
� A1ER A'+ndi 60ROUGH
I ANCHORAGE, ALASKA e95O1L
279 -?,SII
DATE RECEIVED
REQUEST fOR APPROVAL OF
IDUAL SEWAGE AND NATER FACILITIES
FOR
Fi4A
Approval Requested sl i�1PL-7fflitf41,=.�.i� w ...tom
Address 4, a2. Property t.
Pbans
Owneria1, 44,Jrir t - 1"Aphone-
4. Type of Facility to be Inspected
Number of Bedrooms.
S. Neil Data:
A.
B.
C.
Type
Depth
Size
D. Construction- Construction_. jo!y J x-
E. Bacterial Analysis_
6. Savage Disposal System:
A.
A. Septic Tank (If homemade, show diagram on back)
1. Size S�`� _ Gyri /CZEc'.-�3l-Ertl
2. Age
3. lKa:u►faailarer[� (t������ G'/�'Fb E/
4. lAsL$Iler . d L°s1 Ch i <!l✓
O ;%
7- 71' %/
Sx wx R P'Y y`i L—
.Gdn'CTii`�y,✓i
— Approval Roquest- €or Se*) 6 slater Facilities.
? Page TWO
a. Seepage Pit
1. Site -
z.
C..- Disposal Field
1. Number of Lines: ���i7
2. Total Length
7. Required Measurements
A. Nell to Septic Tank !:,f��
B. Well to Seepage Pit
C. Nell to Sexer Line
D. Ne11 to Properly line T
E. Well to Other Possible Contamination
F. Foundation to Septic Tank 7'
O. Foundation to Seepage Pit 17-
H.
TH. Seepage Pit to Property Line l ��
S. COMM:
APED: DISAPPROVED:
DATE: DATE:
APPROVAL VALID POR -2M YEAR FRCIJ DA'Z'E SIGNPD.
GREATER ANCHORAGE AREA SOMUGK HEALTH OEPARMW
ED1170
n
THE FIRST NATIONAL BANK OF ANCHORAGE
P.O. BOX 720. ANCHORAGE. ALASKA 97501
Alain Office July 5, 1971
Mr. Lynn S. Coad
Borough Health Department
Pouch 6-650
Anchorage, Alaska, 99502
Dear Mr. Coad:
Re: Lot 7, Block 2,
TRAILS END SUBD.
FHA Form 2573
We are enclosing the FHA Form 2573, in triplicate, for your
completion for Mr. and Mrs. Kenneth R. Calhoon. We will also
need a water analysis.
Could you please complete and return to us as soon as possible.
bk
Enclosures
Very truly yours,
(Mrs.) Betty Kelley
Mortgage Loan Department
RECEIVED
JUL 71971 PM
GREATER ANCHORAGE AREA 9OWO"
DEPT. OE ENVIRONMENTAL QUALITY
form 2373 U.S. DE PAR TMENT OF HOUSING "DURBAN DEVE40MEWT For. Appo�ed
FEDERAL HOUSING ADMINISTRATICIN Budg*, Bureou No. 63.R0296
AUTHORITYFHA
HEALTH •
INDIVIDUAL/ SEWAGE DISPOSAL
PART • CZ COo"APLII
NNSURRIG OFFICE
MORTGAGEE 7
SERIAL NO.
Anchorage, Alaska
First National Bank of
#111-011216-203
OR SPONSOR
MORTGAGORPROTERTY
ADDRESS 1 • 1rive, Anchorage
/1 •rL:
1 SUBDIVISION
SU331VISION NAME
/ SUBDIVISION
ROCK NO. LOT
V1 4-1-114 k
New installation
Can attic er other area he made Into
additional bedovems?
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PART .. USE .. FHA OFFICE
TO THE CHIEF UtQ'D' .2WRITZR:
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 be considered ■ Acceptable [:] Not Acceptable.
DATE
SIGNATURE
CHIEF ARCHITECT■
■DEPUTY FOR CHIEF ARCHITECT
1119ALTH AUTHORITT APPROVAL IMA Form 1577
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM 1••. Mr 1934