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HomeMy WebLinkAboutTALUS WEST #1 BLK 7 LT 3Talus West #1 Block 7 Lot 3 #015-202-47 Municipality of Anchorage Page t D1 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: Sv-tq(,01R9 PID Number: pts -Z02-47 Name: S-mvs \/A a Noy Wastewater System: ❑ New 19 Upgrade A°0fBS6 4zzo F'�ONTt1-e ISE ggslb ABSORPTION FIELD Phone: No. of B Brooms: 345 —q-503 Deep Trench Shallow Trench ❑ Bed ❑Mound El Other Soil Rating: Total Depth Irorf original grade' LEGAL DESCRIPTION .45 z GPD/So Ft 6.9 -r-0 t0 Lot Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Ft '7 -rA LuS w v.ST � I I , -M 5 r 0 Ft NI Range: n11A Section:,,, 14 • MLI—. 6 l Ft 10 0FtTownship:Fill added ab9e original gradesSGravel length: A Gravel width: Number of Ilnel: Oislanu between lines: W ❑ New ❑ Upgrade/ 5' Ft z Is' Ft Clasmllcatlon (Private, A. Total De Cased To: Total absorption area: Pipe material; 40 PSG FI F;, 1000 SO. Ft. [>3034- h Dnllec filled: Static Water Level: Installer, A - PLuS Date Installed: Remarks: . 4&01 TANK Yield: Pump Sat at: Cumq Heigm Manufacturer. GPM I FI. S.wo Linea100 SEPARATION DISTANCES 1 Material: To Septa Abwrplion Litt Holding I From Tank Field Station Tank Weir lis/F 1504- 115'+ NIa Surface> Water I0Or >IW > Io0 "Pump off' level at: High water farm at: q �n g 3„ NIP Line Elegncat Inspactlona performed by: Qo r~GF�t. GLV Gr- (2IC. 10 35�t Foundation 2I 1: 5-7a-. r 21 = - Curtain PIA N A, n.atMIAN' Remarks: . 4&01 TANK 1=D 'wtDF—LH . �(Lprl Sn✓D • ^I� '119 PP11lTF� l./(= VIC.,U tom S1Lf.' •' OVF� Soti.S I.�EJ7f ' FAk2 To BENCH MARK Location and Description: •TOP Of= UT, vr-j LE t. F -47-a1 14AE1-'E-p— eox Dlc-Pi•?i-: a i.p�.TD i.'S '.WM t�2 C i lnr ?o M,.+l.rrf-S. �L1=-^ I /i DID J;6ST WE Co..t.a.6ivL-••t Co.al�t't1w�. 7/1y/9G Inspections performed by: ���- (or_A�FSS Dates: is �I 2nd 3o vG I 73/9 Department of.HealJh and Human Services approval Reviewed and approved by: Date: 73-013 (R W. a/al) MOA25 MrA i] ,y A. Gayness W CE•7953 oFES51�N ❑ Septic ❑ Holding '%S.T.E.P. 'uba</PBvata Manufacturer. CapacityZgallons: S.wo Linea100 1 Material: Number ompenmenis: IOD +' SreEt_ LIFT STATION >100 Size In gallons: I Manufacturer: 4211 t45-00Pa GH . "Pump on' level at: "Pump off' level at: High water farm at: q �n g 3„ NIP Pump Make 8 Model o�.ac0 Elegncat Inspactlona performed by: Qo r~GF�t. GLV Gr- (2IC. 1=D 'wtDF—LH . �(Lprl Sn✓D • ^I� '119 PP11lTF� l./(= VIC.,U tom S1Lf.' •' OVF� Soti.S I.�EJ7f ' FAk2 To BENCH MARK Location and Description: •TOP Of= UT, vr-j LE t. F -47-a1 14AE1-'E-p— eox Dlc-Pi•?i-: a i.p�.TD i.'S '.WM t�2 C i lnr ?o M,.+l.rrf-S. �L1=-^ I /i DID J;6ST WE Co..t.a.6ivL-••t Co.al�t't1w�. 7/1y/9G Inspections performed by: ���- (or_A�FSS Dates: is �I 2nd 3o vG I 73/9 Department of.HealJh and Human Services approval Reviewed and approved by: Date: 73-013 (R W. a/al) MOA25 MrA i] ,y A. Gayness W CE•7953 oFES51�N EXISTING F DATIDN C/ 'C• C/O 'D• CENTER CF MH LIAR NEW TRENCHES. 30 FOOT LONG EACH ABSORPTION AREA • 1000 S0. FT.+ -I AC 409 Be 21b AD '30.7 In a 322 AE 862 ,H. BE - 66b KT AF - 228b R O VELL JNlIEV 1500 GALLON STEP TAN. ANCHORAGE TANK. 10 GAUGE DEEP BURIAL TANK. RATED FOR 8 FOOT. TI]42 L3 INCH, SCM 40, PVC PRESSURE LINE. M.T. —GENERAL. LOCATION 1F 7/30/96 PERK TEST. RAN TEST B DEPTH OF 6.0 TO 63 FEET. PRESOAKED 4 HOURS. PERKED AT SLIGHTLY LESS THAN 1/2 IN 30 MINUTES. SOILS IN TRENCH VARIED FROM CLEAN SAND TO IMPERME- ABLE SILT. LEST HOLE RL SLS ENL.INEERING LD/21/93. GROUND ELIV. AT TH B MINANCH AT 9 TO 95 DF 112.3 v �F 94.4. WATER AT 77.9 CAPPROX) FDOT DEPTH. AG -74.3 A/ BG - 579 `/ AH - 120.1 SH - 106.3 10 FOOT VIDE UTILITY EASEMENT SEPTIC AS-BUILTS, LOT 3, BK 7, TALUS WEST, ADDN. #1 PREPARED FOR, STEVE VANNOY PREPARED BY, ALASKA WATER L WASTEWATER SERVICES DATE, 8/3/96 DRAWN, GARNESS SCALE, 1' = 30' A. Garnxs �L� GROUND ELEV. AT TANK 95,6 COVER • Y.9 FEET CAPPRUX) 1.5 INCH PRESSURE LINE TO NEW TRENCHES. AS -BUILT DRAWING 10 GAUGE STEEL TANK NEW 1300 GALLON STEP TANK. ANCHORAGE TANK. INLET INV. • 8818 TANK SET LEVEL 4 INCH DIA. PVC LIE FROM HOUSE. INVERT AT HOUSE . BOAS DROP FROM MOUSE TO TANK • A7 FT. GROUND ELEVATION OVER EAST TRENCH • 943.. MININM COVER • 3.4 FEET. GROUND ELEVATION OVER WEST TRENCH • 93Ar. MDNIMUM COVER • 3.4 FEET. —FOR LOCATION DF KT's SEE PLAN DRAWING INCH PVC, WITH 3/16 DCH DIA HOLES EVERY 4 FEET, AND AT EACH ENA ALL HOl•ES DOWN. �— FILTER FABRIC OVER DRAINROCK A BOTTOM 13F TRENCH . BS9 EAST TRENCH L 84.7 WEST TRENCH S INVERT OF DRAINPIPE • 909(.) EAST TRENCH L 899(+) WEST TRENCH •� C. TRENCH LENGTH . 50 FEET EA L 100 FOOT TOTAL AL 7 TOTAL ABSORPTION AREA • 1000 • S0. FT - E. BOTTOM THHS • 759. NO BEDROCK ENCOUNTERED. F. GROUNDWATER AT 77.9 }1t�C C 4' o c . VL'.� "pnox U fog i oFF 6er'*v" • Fca- p U nH I" u -T'7(' BENCHMARK IS TOP OF ELECTRIC METER IMC ON THE HOUSE. ASSUMED ELEV. • 100.00 1 — sr' - N r't• i SEPTIC AS—BUILTH LOT 3, BK 7, TALUS WEST #1 PREPARED FORS STEVE VANNOY ALASKA WATER 6 WASTEWATER DATEH 8/3/96 I DWN, GARNESS ' SCALE, NTS At 1 • 1 � 10 Gornm � Wyk ��� 9s3 .•:��� i i PAGE 1O�F 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW960199 DATE ISSUED: 7/16/96 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES EXPIRATION DATE: 7/16/97 OWNER NAME:VAN NOY STEVEN M & SHERRIE A Loo(v\ OWNER ADDRESS:4220 FRONTIER LN ANCHORAGE, ALASKA 99516 PARCEL ID:01520247 LEGAL DESCRIPTION: TALUS WEST #1 BLK 7 LT 3 LOT SIZE: 25977 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY ISSUED BY: DATE • -77 / /��' DATE: ( Alaska Water & Wastewater 8471 Brookridge Drive — Anchorage — Alaska Phone (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers June 29, 1996 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Sewer Permit for Lot 3, Bk 7, Talus West #1. To whom it may concern: The subject property is served by a private well and septic system. The existing septic system has failed, and needs to be upgraded. Comments regarding the upgrade are summarized as follows: 1. Soils & Groundwater: Soils testing was done by S&S Engineering in the fall of 1995. The north test hole perked greater than 120 munch at a depth of 8 to 8.5 feet. The south test hole perked 8 min/inch at a depth of 9 to 9.5 feet. Water was encountered at 15 feet (10/21/95) in the north test hole, and 16.5 feet in the south test hole (10/21/95). I monitored the water level in both test holes on 4/27/96 & 5/4/96 and encountered no standing water. Regardless, due to the fact that there was minimal spring runoff this year (little snow during the winter of 95 thru 96), I am proposing to put the bottom of the new trenches 6 feet above the water level encountered by S&S Engineering on 10/21/96. Further justification for the 6 foot separation distance is the fact the lot across the street (Lot 8, Bk 6, Talus West) is on a holding tank, and that the lot immediately to the south (Lot 7, Shenandoah Hills) has a history of groundwater problems (see DHHS files). In short, this is a known problem area. Installing the system at the elevation proposed will require the use of a lift station. This will allow us to utilize pressure distribution, and intermittent dosing, undoubtedly enhancing the life of the system. In addition, the lift station will allow greater options, in the future, when the system has to be upgraded. I am considering putting a 1 inch diameter PVC air line, near the bottom of the drainrock. The intent is to put 1/16 inch diameter holes, facing down, at 4 foot on center, and extend the pipe up next to the monitoring tube on each trench. In the future, an air supply could be hooked up in an attempt to rejuvenate it. 2. Trench Design: a. Percolation Rate: 8 minutesfinch b. Application Rate: .8 gallons/day/ft2 c. Number of Bedrooms: 3 but designing for 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 750 ft2 f. Effective Depth: 4 feet g. Width: 5 feet minimum h. Length: 80 feet. i. Effective absorption area = 800 ft2 3. Surface Waters: There are no known surface waters within 100 feet of the proposed septic upgrade. 4. Slopes: In the area of the septic upgrade, the lot slopes downhill from east to west at approximately 101/6 grade, and is generally flat in the north/south direction. There are no slopes greater than 25% within 50 feet of the new trenches. I welcome any recommendations from your department regarding changes or improvements to this design. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Thank you. VanNoy3.wps S. LOT 8, BK 6 PVT. WELL 4000 GALLON • HOLDING TANK _../FRONTIVR LANE I A Icz Iw C[ I J _LOT _L SK 7 LJ _._._._._ I PVT. WELL SEPTIC AREA 1977 INSTALLATION LOT 2, BK7 LOT 7, SHENANDOAH HILL SUBDIVISION. PRIVATE WELL & SEPTIC SYSTEM,/ SEPTIC AREA •I ACCOR 1NG TO DHHS RECORD THERE AVE BEEN GRI3UND WATER ROBLEMS ON LOT 7 LOT 8, SHENANDOAH H HAS AN INTERMITTENT SAND FILTER SYSTEM. PVT. WELL • PVT. WELL SEPTIC AREA 1973 INSTALLATION LOT 1, BK 7 I NOTE- ALL LOTS ARE IN TALUS VEST S/D, UNLESS NOTED OTHERVISE. THIS IS NOT A SURVEY. THE LOCATION \'-"�� OF ALL WELLS, SEPTIC SYSTEMS, AND STRUCTURES IS APPROXIMATE SEPTIC UPGRADE LOT 3, BK 7, TALUS WEST, ADDN. #1 PREPARED FOR, STEVE VANNOY PREPARED BY, ALASKA WATER & WASTEWATER SERVICES DATE, 6/27/96 DRAWN; GARNESS SCALEI 1' = 100' LDERNESS LOT S, BK 7 SHENANDOAH IBDIVISION. WELL & SYSTEM IY A. Games CE•7953 1 2 r r ELEV. • 87.3 I \// VABANMN G FOUNDATION T" C/0 INVERT ELEV. •883 CAPD UND AT CRIB - 94.5 M N TO CLD CRIB CLD SEPTIC /�, LAPSE TDP L TANK TO DE /XND@1 ABANDONED -/l'//GROUND • 943JG6LOVBANMN _ j 4 I I ASSUMED LDCATg". M.T. N TRENCH INSTALV TRENCHES. 40 N.T' ACTUAL LOCATIOT LINT EACH BE DETERMINEDBSORPTION AREA 4D RECORDSBI8 SD FT/qQ /�0 lOX APPROK ELEV. - o YELL GROUND ELEV. AT VELL • 9S7 CONTRACTOR SHALL BE RESPUNSIBLE CONTRACTING A REGISTERED LAND SURVEYOR TO LOCATE THE PROPERTY LINES ADJACENT 4 INCH DIA PVz TO THE SEPTIC UPGRADES 1/4 INCH PER TO STEP TANK. GALLON STEP TAN.E TANK. CONTRACTOR SHALL ENSURE BURIAL RATING IS CIMPATIABLE VITH THE ACTUAL BURIAL DEPTH ENCOUNTERED. TEST HOLE !1 SLS ENGINEERIING )120 MIN.INl7l GROUND ELEV. •93.0 AT 8 TO 8.3 WATER AT 8tlD 41PPRITX) FOOT DEPTH. OTE, ASSUMED PERIMETER F EXISTING CRIB C37 X 2(r) PPROX LOCATION IS JUST r2rS . ILD RECORDS OF TEST HOLE ML SLS ENGINEERING 10/21/95 Gnu ELEV. AT TH 8 MINANCH • 94.4. VATER AT 77.9 (APPROX.) AT 9 TO 93 FOOT DEPTH. • 945 RI 10 FOOT VIDE �,(` OF AC` UTILITY EASEMENT ��P`•'ee•..e..,•e SEPTIC UPGRADE, LUT 3, BK 7, TALUS WEST, ADDN. #1 i N PREPARED FOR, STEVE VANNUY f', f ey A. Gam PREPARED BY, ALASKA WATER L WASTEWATER SERVICESI CE -7959 •• .• ' DATE, 6/28/96 DRAWNi GARNESS SCALE, 1' = 30' i4j�ROPESSI�`P *.1 THE TRENCH SHALL HAVE A MINIMUM LENGTH OF B0 FEET, AND A TOTAL EFFECTM ABSORPTION AREA OF 400 SOIWRE FEET. Ml'QTORING TUBE lTYP.) PERFORATED IN wAppix L MOTE, BOTTOM OF TRENCH EKCAVATDN SHALL BE LEVEL VARIATION Or 2 INCHES BETWEEN MGH & am SPOTS. DRAINRO:K SHALL BE SCREENED PER MITA SPECIFICATIOM BACKFILL WITH NATIVE SOA. MID MIND. TOP= & RESEEDING SHALL BE RCSPONSTBMY or HENEUVA". TOTAL TRENCH DEPTH = 9.0 FEET (MAX.) FILTER FABRIC SILT BARRIER NOTE, S FEET L TRENCH SHALL RUN PARALLEL TO THE SLOPE CONTOLRS 2. FOR LOCATION OF CLEAN -OUTS AHD MONITORD+G TUBES SLE THE SITE PLAN 3 CONSTLCTDN PRACTICES, Alm MATERIAL SPECIFICATMVS SHALL COPLY WITH ANCHORAGE MUNICIPAL CODC ISb7. -WASTEWATER DISPRSN. RCGLLATIONS: 4. INSTALLATION SHALL COMPLY WITH SPECIAL PROVISIONS NOTED ON THE SEVER PERMIT. S SHEARED BOTTOM AND SIBCVALLS SHALL BC RAKED, DETAIL FOR 5 FOOT WIDE TRENCH PREPARED FOR# STEVE VANNOY ALASKA WATER & WASTEWATER SERVICES DATE# 6/27/96 DWNi GARNESS SCALE# NTS 1 INCH DIA PVC. 3/16 INCH DIA. HOLES AT 4 FEET CZ 22 HOLES TOTAL FOR BOTH TRENCHES PLACE OOL ONE HE AT EACH END. ALL HOL SHALL FACE DOWN. AT S FOOT DF PRESSURE HEAD WILL PRDDUCE .94 GPM PER HOLE, OR 21 GPM. 64 l,1 cilPri c&7953 of % -7 �t r l , s� a4� Municipality of Anchorage j_ 4 h } '4 ,\ � / DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 i � ..»•....... t•••••.-•� , ERT SOILS LOG — PERCOLATION TEST "rc` RACE 8801 AN 11''0`"�•• •••wJ/"�,'',�;�a��„= PERFORMED FOR: S —1E %F t tj V NNW • y DATE,PERFORMED:1 LEGAL DESCRIPTION:L or .3 R lK 7 TgL V) Township, Range, Section: SLOPE SITE PLAN IFEETI R CAN) C S t T A. f,U 7 2 j t s T NoL{ Fl I 3 t �� 4 e a 5 t al 6 N 7 ,� M4/GM 8- 9- to- 12 - 13 9to12 13 �f 14 .ii'T S#L r LA / SAS o $- C RAV C L WASGROUNDWATER NO ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water entr 6 i/o /i1 /9 r Monitoring? Duc Reading Date Gross Time Net Time 15-, Depth to Water Net Drop P05 AxiP SANa 16- 6 S:3f '/ 14 _ 17- 1718 M '/A " Ted 18 19 •• WASGROUNDWATER NO ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water entr 6 i/o /i1 /9 r Monitoring? Duc Reading Date Gross Time Net Time Depth to Water Net Drop P05 AxiP IO AOS S:3f '/ 14 _ M '/A " Ted S• by •• % ` $ : SID 2 n• ti L '/S '/r ` 6 171 S`2 r:r7 E'4 20 -{ I 6 " u PERCOLATION RATE g (mmv utemch) PERC MOLE DIAMETER I I TEST RUN BETWEEN FT AND 9 FT COMMENTS ist 6Avq Ir to /iy .44 //bni 5eXv/C4'I --- S 3 S ENGINEERING PERFORMED BY:I 17034 1.9h, River toop Klaad No. 304 y r-r-"� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITIEADLetRI4'f6AAIM*v'AIE M GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-M (Rev. 4185) e�, Municipality of Anchorage " DEPARTMENT OF HEALTH & HUMAN SERVICES 625 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: STk�f N yANNd y DATE LEGAL DESCRIPTION:107- 3 QL K 7 7'ALv J "5r` 1T Township, Range, Section: SLOPE SITE PLAN uvin (FEET) TE5 HCL(- # Z ' I f 1 2 .LI OAGA.".c f StuZ 3 TR� Tq." $IL. 7- 4 4 12 -{ / 13 ��// 14 Gross Time M Lir 7 FII, f Depth to Net Water Drop P la AK 15 w,trcet 'ohI/Nf :r- is-. (U 'a• _ I+br CA file Ig//0 17-±.....Q.O.M. 16 19 WASGROUNDWATER yE S ENCOUNTERED? S IF YES. AT WHAT ( 16 I O DEPTH? P E DeplA to Watu ANer � s. ' 1 g /} (Iy Monibring7 Cale: Reading Date Gross Time Not Time Depth to Net Water Drop P la AK H O 3 Z 20 t_] 6 " PERCOLATION RATE 7 1�� (minutesnnch) PERC HOLE DIAMETER TEST RUN BETWEEN g FT AND FT COMMENTS E}cAV.frld.J /3y JI 'l' NOnf SfRJiC4f i n S 3 S ENGINEERING 2" a /1y PERFORMED BY: -7 CERTIFY THAT THIS TEST WAS PERFORMED IN 11034 ACCORDANCE WITXAIIIV f 111*1A"Ak GUIDELINES IN EFFECT ON THIS DATE. DATE: 10 a 1 72-008 (Rev. 4/85) ,GH GREA r cR ANCHORAGE AREA BOR Department of Environmental Quality r 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE rJDISPOSAL ^SYSTEM / MAILING ADORES NAMES JFJ-F' �• �`�a `�' �iT PHONE LOCATION LEGAL DESCRIPTION —j& r 3 elk SEPTICTANK: DISTANCE NUMBER OF FROM WELL MANUFACTURER MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS. TILE DRAIN FIELD: , TOTAL LENGTH / DISTANCE FROM WELL FOUNDATION �Q NEVA R/E�S}T- LOT LINE S OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES Jam—TRENCH WIDTHS"-' IN. TOTAL EFFECTIVE ABSORPTION AREA `U SQ. FT. LENGTH OF EACH LINE 3 q DEPTH OF FILTER / DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE *i ABOVE TILE _ IN. r WELL: TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION_. LOT LINE CESSPOOL , OTHER SOURCES DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE , TANK . SYSTEM_ APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BV: - 4"oc4Z 4-. SEWER LINE DEPTH: `PIPE MATERIAL: .0-=�'�- e LOT SLOPE: Nt REMARKS: Form EO -032 DIAGRAM OF SYSTEM 4 C'r4vc DATE y /. Ae fi in L-AtN 1 CQncI; kxp GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 ••C•• STREET ANCHORAGE. ALASKA 99303 TELEPHONE 274.4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT Pat i -"ke, PERMIT NO. NAME OF APPLICANT It'll R/t S /// ,;E 7- dtft AILING ADORES$ a n/s e4a -5 "/f PHO. Et,<'l / INSTALLATION LOCATION -IT/�1{�7� LEGAL DESCRIPTION 4v T�/ v /n INSTALLATION OF: SEPTIC TANK SEEP/A�G,E. PIT— TYPE AND SIZE OF FACILITY TO BE r J FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED / . r Y' �� �`-' r� ` " " i FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT. FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. DRAIN FIELD OTHER SEPTIC TANK SIZE TYPE MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT TO NEAREST LOT LINE. SEEPAGE AREA SIZE DRAIN FIELD DRAIN FIELD WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. i 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 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAP$. ,. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. 41 -AS. OR LICENSED DESIGNER TYPE 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 SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE 7-11-74 APPLICANT'S SIGNATURE FORM NO. 90.014 - -' @GIEI R ANCHORAGE AREA BOP"''GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 � INSPECTION REPORT ON-SITE SEWAGE DISPOSAL 5T51Ll" NAME ��`�.� L�D� MAILING ADDRESS 400"' 9fJ7)2- PHONE I OCATION T/414A Z'rwr LEGAL DESCRIPTION DoT 3 /31•• 7 TALItS /,IILST / SEPTIC TANK: DISTANCE NUMBER OF FROM WELL �RVP MANUFACTURER-STAe'K' Cr MZ.- MATERIAL Srza COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /�� GALLONS.�� SEEPAGE PIT: /7rK:/'X 33 is 33" / NUMBER OF PITS �—. DIAMETER OR WIDTH_, LENGTH—, DEPTH Z LINING MATERIA1,6 CRIB SIZE: DIAMETER —DEPTH -IL DISTANCE FROM: WELL y�OjO• - TOTAL EFFECTIVE BUILDING FOUNDATION �v/ NEAREST LOT LINE _" �. ABSORPTION AREA (WALL AREA) 7'2 SQ. FT. 7Z' : _—r�cn.--�ra-�t — -- � wtc.—i Nr "= ADDITIONAL ABSORPTION ALO 1./ ehijes r6Ze./'y Ly 7- tvz-t. A/OT AC VrIACZOOdPV IZA/r7/. joc[btjt- 5ezocX 11 '�F/S/ •<L�w/C 3/9d44-4-OOZel. WELL: /?14LJr rnCrr- G. A. 4. A. u/ru 77, rn944-c '46Qa 1.46)?rars TYPE CONSTRUCTION DEPTH DISTANCE FROM:, BUILDING NEAREST NEAREST SEPTICe� SEEPAGE FOUNDATION LOT LINE SEWER LINE , TANK I" SYSTEM CESSPOOL . OTHER SOURCES APPROVED DISAPPROVED REMARKS 2-4P4 DISTANCES: DIAGRAM OF SYS E Aleoao INSTALLED BY: L9t Ac�Cw Exo wri. , PIPE MATERIAL: CA'tT LOT SLOPE: REMARKS: �ieNinlLl n/C %lOOEry 72 /L'j,O d0j17)CjA"770w•I /A/ Se-wr4e c 'Por. Form No. ED -031 hl � � 3 6o401 I 1 C00w.%ti /- 0r DATE / b'7`G APPROVED G.A.A.B. r GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 1110 '•C" STREET ANCHORAGE, ALASKA 99301 TELEPHONE 274.4581 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICAN�A INSTALLATION LOCATION LEGAL DESCRIPTION J INSTALLATION OF: SEPTIC TANK Ll� SEEPAGE PIT TYPE AND SIZE OF FACILITY TO BE SERVED PERMIT NO. ELD OTHER FINANCED THROUGH TO BE INSTALLED BY 601E TEST RESULTS !;,,f r ¢ Z�}1� Lw'2NOTE1 THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED ' FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE OO TYPE 1 MINIMUM DISTANCES. REQUIREMENTS r SEEPAGE AREA FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT jP0 f DRAIN FIELD �Q ' SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK I SEEPAGE PIT !�0' DRAIN FIELD �t~0 I ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK l0 I SEEPAGE PIT DRAIN FIELD & I h I SEPTIC TANK, e / SEEPAGE PIT l0Uf DRAIN FIELD TO RIVER. LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S 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. G.A.A.B. OR LICENSED DESIGNER 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REOUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ^ DATE?- APPLICANT'S FORM NO. E0-01 Performed for C Legal Description This form reports: Depth Feet 2- 3- 4- 6- 7- 8- 9 - SM 25,0 j s GREATER ANCHORAGE AREA BOROU"`� nL ..IVET) department of Environmental Qum :y Anchorage, Street AUG 5 1974 Alaska 99503 Ah} SOILS LOG - PEROLATION TEST GGEpM1. CSO"'EEMAI ���� Date Performed 7/30/74 ock 7 on test S1opP 11 12 GNI 225 13 - 14 - 14E Bottom of Test Hole Was ground water encountered? No — If yes. at what depth? Reading I Date I Gross Time Net Time Depth to Watery Net __ i -J--- ------- Percolation rate minute. Drain field Proposed installation: Seepage Pit Yes ------------ Uepth of Inlet 6E__ Depthfo bottom of pit or trench _@lg__•.-_--- COtll1ENTS: Nc bedrock or _ground water encounteLgd___ _�—_------- _ Certified ByC�L�,Lit�S. _Xest_Udte:_Z/30/24 Performed Cy:A._Clopton�_ Lab EQ -040 (6/74) �•n+�r- �, C�CCi2 MMT M -�/ DRILLING, Inc. r /� 35 P. O. Box 4-1224 - 1310C International Airport Road /� (907) 2744611 ANCHORAGE, ALASKA 99509 DRILLING LOG Dan L-Tayl°t" Well Owner '�rF}` ` I I - * 11 I _* "�' r Use of Well PO pled Location (address of: Township, Range, Section, if known; or distance main road atiCPw' SE ��StJ/4IVW/f5�% mac aa, 7/.9,4/, k3lxJ, SM. Na3 ln/99- U5, 6'7, Talus %t�,tdZj - %lull. o - et. (ar/ro- bec// Ro: Size of casing_ nepth of Hole--9-7---feet Cased to feet Static water level 45 ft. ' (above) . (below) land surface. Finish of well (check one) open end Screen ( ); Perforated Describe screen or nerforatior Well pumping test at 10 gallons per (hour) of drawdown from static level. Date of completion AUS 174 - it ' 4ene (minute) for--I---hours with_ t ' ft. WELL LOG Depth in feet from ' ground surface Give details of formations penetrated, size of material, color and hardness n _ATO 10 l0 TOS 2D TO a rrLZ—TO 68 ATO 7F _25 TO 2� TO TO TO TO Surface Cfna Silty Cravel Snnd Clevey Crndcl'nom, mO�ld Cobbl.'1 •. •' , . 7avePONMMrA L p s o E�t'RAG� ray Nov 3 food_ - -•-r VCU G+ti t4 Sent ' S�t•�• Ar•v-.t - firn ••tty 4� din V,qtG-ro,olt t •m+ n*t k rl rn 2 —STATE Municipality of Anchorage Development Services Department v Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.sk.us (907)343.7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-202-47 1. GENERAL INFORMATION HAA# t�Soa9�o Expiration Date: O - /� - O .S NI Complete legal description TALUS WEST SUBDIVISION: LOT 3. BLOCK 7 Location (site address or directions) 4220 FRONTIER LANE • ANCHORAGE. AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent BARBARA GARRISON Day phone 333-0788 4220 FRONTIER LANE * ANCHORAGE, AK 99516 Day phone Day phone Mailing address Q� Unless otherwise requested, HAA will beheld by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 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 Health Authority Approval (HAA) based only upon the representations given in paragraph 4 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) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for 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 Health Authority 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. 1 further verify that based on the information obtained from the Municipality of Anchorage riles 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, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & 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 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 moot 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 SIGNATURE JL . Approved for -- bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Phone 337-6179 Date 6 445 - bedrooms, with the following stipulations: ✓ Maintenance Agreements Supplemental Engineer's Report Other WATER AND PROGRAM , By:IJi�,� 1✓. �1-�l Original Certificate Date: -7 r 1.2' o (RN. 17A1( Municipality of Anchorage °- ' Development Services Department Building safety Dlviaan On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 995196650 www.d.onchorage.ak.us (907)343-79M HEALTH AUTHORITY APPROVAL CHECKLIST I9 Legal Description: TALUS WEST SUBDIVISION: LOT 3, BLOCK 7. Parcel ID: 015-202-47 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES Date completed 8/26/1974 Sanitary seal (YM) YES Wires property protected (YM) YES Total depth 97 ft. Cased to 97 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 8/26/1974 6/16/2005 Static water level 45 ft. 24 ft. Well production 10 g.p.m. 4.0+ g.p.m. WATER SAMPLE RESULTS: Coliform �&' colonies/100 ml. Nitrate JAtL-mgJL. Other bacteria --i�,_colonies/100 ml. Arsenic: N/A rngJL. Date of sample: 6/16/2005 Collected by: GEG. UD. B. SEPTIC/HOLDING TANK DATA Tank Type/Materfat STEEL Date Installed 7/31/1996 Tank size 1500 gal. Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (YM) YES Depression over tank (YM) NO High water alarm (YM) YES Date of pumping 6/16/2005 Pumper McDONALD'S PUMPING C. ABSORPTION FIELD DATA FIELow NOW UM Date installed 7/31/1998 Sol rating tk.p.d ft'Ibdmi) 0.45 System type SHALLOW TRENCH Length 100 (2050) ft. Width 5 ft. Gravel below pipe 5 ft. Total depth w.0-11.0 ft. Eff. absorption areal 000+ft' Monitoring tube YES Depression over field NO Date of adequacy test 4•6/16/2005 Results (Pass/FatQ PASS For 3 bedrooms Fluid depth in absorption field before test 17.5 1 B , Water added 695 gal. New depth 28-5/29 in. Elapsed Time: 153 min. Final fluid depth 26.5 27in, Absorption rate >- 450+ g.p.d. Any rejuvenation treatrnent (past 12 mo.) (YM & type) NONE KNOWN If yes, give date - •• TESTED SOUTH TRENCH ONLY. NORTH TRENCH HAD 36"/32" IN THE MONITERING TUBES D. LIFT STATION Date installed 7/31/1996 Size in gallons 1500 Manhole/Access (YIN) YES "Pump on" level at 42 in. "Pump otr level at 42 in. High water alarm level at 46 in. Datum BOTTOM TANK E. SEPARATION DISTANCES Cycles tested 3 Meets alarm & circuit requirements?--)!S— SEPARATION equirements?YES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankfllft station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A 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 1002+ Driveway, parkingtvehide storage 10+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and* !- ri review of Municipal records that the above systems are in "" ......... conformance with MOA HAA guidelines in effect on this date. �.. t ................ Engineer's Printed Name JEFFREY A. GARNESS • f 79 Date 6/rZtAr •dDrot•2slootio HAA Fee $ y Date of Payment'" C Receipt Number (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number I I I I I B i 00r4M 1 Rlll' aU 'gVUG lV • `I f n SG.7 CI IU I I lCl_f:111U Put VJ1. 1Gl♦ 1 •W r � e r (I r Lq h -4 1 e s t4 PIP TQTPL P.03 ,TnNT 'IN!17.Nnd LnStaL7. Lob �Yd qS*zT $II.T. (T C_O Municipality of Anchorage • .� Development Services Department �• Building Safety Division +• • . On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ek.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-202-47 HAA# fila Q a 00 g 3 1. GENERAL INFORMATION Expiration Date: C - A /- 0 �1_ Complete legal description r`TALUS WEST SUBDIVISION $1• LOT 3 BLOCK 7 " Location (site address or directions) 4220 FRONTIER LANE ' ANCHORAGE AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address BETSY LAMOY Day phone 348-6015 4220 FRONTIER LANE ' ANCHORAGE AK 99516 MARY JO CUNIFF w/ COLDWELL BANKER Day phone Day phone 265-9187 2525 'C• STREET ' ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well l0 Individual On-site E ❑ 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 Health Authority Approval (HAA) based only upon the representations given in paragraph 4 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) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for 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 engineers work. 60 INote: Alaska Water and Wastewater Consultants, Inc. shall be paid S 1 ZZS at, or prior to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, l verify that my investigation, based on procedures outlined in the Health Authority 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 riles 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 ALASKA WATER do WASTEWATER CONSULTANTS, INC. Address 6901 DEBARR ROAD, SURE 28 * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AWWC. Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & 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 all 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 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. AWWC, Inc. 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 orparty Is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Phone 337-6179 Date 3 rS D2 Approved for 2 bedrooms. Disapproved. Conditional approval for bedrooms, with the nlowing stipulations: Attachments: HAA Checklist Manitenance Agreements Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other ..WATERAND m= PROGRAM By:j �L=T l J' i u ✓ Original Certificate Date: 3 O oQ_ (R". 17101) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 47W South Sragaw, SL P.O. Box 198850 Anchorage, AK 99519 -MM www.d.enchorage.ek.us (907)943-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: TALUS WEST M1 SUBDIVISION; LOT 3. BLOCK 7 Parcel ID: 015-202-47 A. WELL DATA Well type BAR If A, B, or C provide PWSID# N/A Date completed 8/26/1974 Sanitary seal (YIN) YES Total depth 97 ft. Cased to 97 ft. FROM WELL LOG Date of test 8/26/1974 Static water level 45 ft. Well production t0 9•P•m• WATER SAMPLE RESULTS: Coliform 0 colonies(100 ml. Nitrate 1.04 Mg./L. Well Log (YIN) YES Wires Properly Protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 3/7/2002 28 ft. 5.9 g.p.m. Other bacteria 0 colonies/100 ml. Arsenic: .0019 mgJL. Data of sample: 3/7/2002 Collected by: AWWC. INC. B. SEPTIC/HOLOING TANK DATA Tank Typ%Werlal STEEL Date installed 7/31/1996 Tank size 1500 gal. Number of Compartments 2 Cleanouts (YM) YES Foundation cleanout (YM) YES Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping 6/16/2001 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA 'BELOW EXISTING GRADES Data installed 7/31/1996 Soil rating (42?0br ft'Ibdrm) 0.45 Length 100 ft. Width System type SHALLOW TRENCH Gravel below pipe 5 ft. Total depth 2.0-11.oft. Eff. absorp0on ama1000+ft' Monfloring tube YES Depression over field NO Date of adequacy test 3/7/2002 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test•_8 In. Water added 795 gal. New depth 21 in. 20j Elapsed Time: 1175 min. Final fluid depth 20/9 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN &type) NONE KNOWN If yes. give date - --TESTED EAST TRENCH ONLY. WEST TRENCH HAD 200/24" IN THE MONITORING TUBES D. LIFT STATION Date installed 7/29-31/1996 Size in gallons 1500 Manhole/Access (Y/N) YES 100'+ "Pump on' level at 43 in. "Pump offe levet at 43 in. High water alarm level at 45" in. Datum BOTTOM OF TANK Cycles tested 3 Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/ltft station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/deanout N/A Holding tank N/A 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, parkingtvehide storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through Beld inspecODns and # �� review of Municipal records that the above systems are in """" ' • • • • • . • • • • • • • • • conformance with MOA HAA guidelines in effect on this date. A. Gaess.: m Engineer's Printed Pam)D JEFFREY A GARNESS a —7953 �. Date � S O Z ed,o_ • ......__d �f HAA Fee $ 315." Date of Payment 3 - 0.0 -O a Receipt Number 0/7 3 3 eo (Rev. 17101) Waiver Fee $ Date of Payment Receipt Number YAR -13-01 07:35AM FMCTLE ENVIROMENTAL SRV 073E Environmental Services Inc. Cf&E Rei# 1021214001 AK Water & Wastewater Consultants Inc. Cheat Name 4:00 Project Name/N Talus West SID Client Sample ID I3; B7 htatrla Making Water Ordered BY Init PWSID 0 9075615301 T-932 P.02/03 F-663 Client PON Printed Date/time 03/12/2002 14:26 Collated Date/flme 4:00 ffl ReceivedDateme 03 07/2002 1107/2002 0 Technical Director Stephen Ede p j Released BY 00 Sample Remarks: i Anawable Prep Anetysis Init PQL Units Method Limits Dale DAM Results Parameter metals by ICP/SS 03/12/02 KGF 1.91 1S0 ug/L EPA 200.8 03/12/02 KGF Arsenic 0.713 0.400 ug/1 EPA 200.8 Lead Waters Department EPA 300.0 (<10) 03/07/02 IDT 1.04 0200 mg/L Nitrate -N Microbiology Laboratory (<1) 03/07Al2 SDH coUtUOmL SM189222D Total Coliform 0 r - LL ., MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH &HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # O r s^ 4"7 HAA # 1A(1S 1 C]a 1-( n 1. GENERAL INFORMATION Complete legal description Location (site address or directions) <.t -F • r'/9 97 b ST6vCE- tf SAt> �cy Day phone Property owner Mailing address rAA Day phone N/A Lending agency Mailing address N ILL N Day phone Agent Address N Lti Unless otherwise requested, HAA will be held for pickup. 'i 2. NUMBER OF BEDROOMS: / P 3. TYPE OF WATER SUPPLY: ( F�� '-qJL��� �f'- Individual well x Ps 14U Community well 33 7 �6 f -75 i —1-7.Fa�GS . Public water NOTE: If community well system, provide written confirmation from Staie,ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank' Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-M(Sw.1/91) Iron) MOA121 S. 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 furtherverifythat 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 #f this inspection. Alaska Water & Name of Firm wastewater services ea r ge Phone ?-?7-6177 Address nc ., Engineer's signature Date /NN"'k� /.- 6. SIGNATURE 0,c. eY .ca,�<+: 7L� 1 -7959 Approved for Redrooms. kkk -Or c + Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments ale munrctPaury or 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 acourtesyto purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inapections or analyze data betore a certificate Is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. r2 -M m... uvir e.a, MOA m hWNICIPAUTY Of ANGiORA(M ENVIRONII MAL SERVICES ( NION Municipality of Anchorage JUN 23 199gk DEPARTMENT OF HEALTH & HUMAN SERVICESironmental Services Division pC Cfigm 825"" Street, Room 5 L 02 • Anchorage. Alaska 995010 (907) 343-4744 R G C E I Health Authority Approval Checklist Legal Description: L,01— 3 –rA-LuS Parcel I.D.: 1MtS'S ;pI A. WELL DATA Well type Pvr U A.A. B. or C. attach ADEC letter. ADEC water system number Log present (YIN) z ;S Date completed / / N Taal depth 97 Cased to 9 7 Casing height (above ground) �6 Sanitary seal (YIN) %-f� S Wires properly protected (Y/N) yEs FROM WELL LOG AT INS P ON Date of test 8 /� �7 ► i' /O '� Static water Levels 16 Well production /D g.p.m. 6 • S &P-111. �- -70 t-r1NUTES 4�4 U.ro.uS� . WATER SAMPLE RESULTS: -7 0 D OQUANI. r^! S T_4ar 6O� ^'wigs Coliform Nitrate Other bacteria Date of sample: 6,S/0i� Collected by: ��S B. SEPTIC/HOLDING TANK DATA cam.'('• &• P Date installed 7111m, Tads sill'GDD Number of Compartments 'Z Cleanouts (Y/M4_r__S LC. Foundation cleaner (Y" N) Depression (Y/N) IJO High water alarm (Y/N) Y4=15 Date of Pumping tj Pumper yF-'�L OL.O ABSORPTION FIELD D TA ! I Sua+-pow Date installed �r �b Soil rating (&pAAF or ft'/bdrm) • 4S System type I / Length /00 width SGravel thickness below pipe _ Total depth -7 f_/0 r EH'ective absorption area _p40'6' Monitoring Tube present(Y" Y Depression over field (Y" NO Da:in st Results (Pan/Fad) For bedrooms Fluid rption fief rt. ; Immediately aft (in.): Fluid (ins.)=(Y" to R.p.d. Peroxi (past 12 If yes, give date D. 1.I> I(W s. -t- a . P Date installed —7.111 /9 6 Size in gallons /-S-DCD Manhole/Access (YM) VA= S ' ••pump oe level aN 4,z(' ••Pump o@" level aO 47 -# High water alarm level at* 46 �• *Datum J�o•P9sy" t 744- Cycles tested h% Ifs_ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LAT TO: ' SepWholdmg tank on lot 115'4- : On adjacent lots /OD 'f' Absorption field on lot /S O .14- ; On adjacent lots 100 /+ Public sever main if /A- Public sewer manhole/cleanom t Sewer /septic service line 1 / DLC , Lift station 11S '4- SEPARATION tSEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation / f Property lime } Absorption field 2©t i - Water main/service line — ` Surface water/drainage >J00 / Wells on adjacent Iota -t3l/00 / SEPARATION DISTANCE FROM ABSORP71ON FIELD ON LAT TO: Budding foundation S 7 water mam/service line 10 Surface water /OU t Driveway, parking/vehicle storage area /00 f Curtain drain NouE i4+et.t.,// Wells oto adjacent lots _ >/00 gym. line /D F. ENGINEER'S CERTTFICATIO ! certify that ! have d in t e!d inspections and review of Municipal ret. \ are in conforman w A i lines in effect on this date, ., Signature Engineer's Name A . Cmv/g JS r Date — t7 //�% f'7 ! 1. Sf : E.7`l53 HAA Fee $ (M . Date of Payment Receipt Number Rev. 8/95 OSS: haa.wk.doc Waiver Fee S Date of Payment Receipt Number MUNICIPALITY ANCHORAGE • �- DEPARTMENT OF HEALTH i£ 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. N A'EAct 20 HAA H VA �"'2O 1 Stn 1. GENERAL INFORMATION Complete legal description Lot 3; Block 7; Ta.Pue West Su6clivcs�on M1 Location (site address or directions) 4220 Fnon ieA Lane Property owner u n n #III n9nt96-92a Day phone Mailing address 605 West 4th Avenue Anehoaage, Ataska 99501 Lending agency Day phone Mailing address c ACCO(TATFD RROKF2C1 Tom_ Day phone 563-3333 Agent Fm an 640 W At 36th Alronrro MI Anehortage A[aAbn 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 XX 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 XX 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. 73-025 (Rw. 11911 Front MOA /21 S. 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 -C RS AGINEER. r. Phone Address 17034 Eagle River Loop Road No. 204 —iaglaR«,.� nla,k ooar� Engineer's signature Date ALL THE STIPULATIONS SET IN THE 3/16/92 H.A.A. HAVE BEEN COMPLETED. 6. DHHS SIGNATURE � Approved for bedrooms. Disapproved. 2I Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given In paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct Inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rl . 1/91) BCM MOA 021 MUNICIPALITY OF ANCHORAGE !S/ 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. It Q1'-L2Ja-L0 HAA q 9Q_OL�n 1. GENERAL INFORMATION Complete legal description Lot 3 Btock 7 Tatu6 We6t S12 #1 Location (site address or directions) 4220 ikontien Lane Property owner �i 11 R �>>>-o�e14612; Day phone Mailing address I Leri"ding agency Day phone Mailing address Agent Fnan SheU ASSOCIATED BROKERS, Inc. Day phone .S;3' 3333 Address 640 W26t 36th Ave., Su. 1, Anchorage Ak. 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well XXX ama Community well Public water NOTE: If community well system, provide written cor. 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 attesting to the legality and status of system. 72-025 (R.. 1/91) Front MOA 621 S. 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 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 5 & 5 ENGINEERING Phone 17034 Eagle River Loop Road 90.2 644 Address 2-1, Plyar Alaska 99577 Engineer's signature REQUEST APPROVAL ON THE FOLLOWING CONDITIONS: I. The bent standpipe on the seepage pit and the broken standpipe on the septic .tank a-te rtepa,iAed. 41 2. The weP.t wi4e4 boom the house to the weft head ane buried and placed .in conduit at the wW head. 6. DH S SIGNATURE Approved for bedrooms. T Disapproved. Conditional approval for 0 3� r=i Date—c1-�12 rooms, with the following stipulations: d/ 4e ', 1, a •1'/���Oi�f 6'7 �sr SVar�c 7�� di 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. rtan (R.1. 1R1) Swk MOA n1 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST ? I' 0 Legal Description: WT fir."' n r tis ILL&FZ§p'Parcel I.D. A. WELL DATA . Well type If A. B, or C, attach ADEC letter. ADEC water system number Log present &N) YES Date completed Driller r ay Total depth Cased to —Casing height u Sanitary seal CYN) YES Wires properly protected&N) � Date of test Static water level Well flow Pump level FROM WELL LOG R ac -31-f 45' 10 g.p.m. (� IC AT INSPECTION ai l l4l°I t' �r To w¢y W tf'�i 'r. Ih�.JSr coar�� 'rLa►-�• 6.3 g.p.m. If I+ %0 s SEPARATION DISTANCES FROM WELL TO: M Septic/holding tank on lot �� �+ ; On adjacent lots am o Absorption field on lot 100�� ; On adjacent lots lD0 o rrt Public sewer main Public sewer manhole/cleanout N A Sewer service line !DO Petroleum tank No x/AX1*1 WATER SAMPLE RESULTS: Coliform 0 Nitrate 0,'-3'tl'k Other bacteria Date of sample: A kci I °i'L Collected by: S S Z B. SEPTIC/HOLDING TANK DATA Date installed g'jL 4-4 Tank size /000 G/tL CompartmentsNd � Cleanouts`6N) YES 'Foundation cleanout 0/N) —YE5 Depression (Y/e High water alarm (Y/6) N/A Alarm tested (Yn E_ nuro6S /N) a + l7dNt Dateof,)umping ��? Pumper/7 SEPARA•[ION DISTANCES FROM SEPTIC/HOLDING TANK TO: r Well(s) on 16f— 100 On adjacent lots X00 Foundation Topropertyline y. 3d Absorption field 19 Water main/service line Surface water/drainage AGO t 4k G.O. �i�1�G►► of�F AT 72.026 (Rev. 7M) From CONTINUED ON BACK PAGE 'L STATION I1I Date insta Size In gallons I Vent (Y/N) "Pu n" level at High water alarm level Meets MOA electrical codes (Y \ SEPARATION DI'ST'ANCE FROM LIFT STATION TO: Well D. ABSORPTION FIELD DATA On adjacent lots Manufacturer thole cess (Y/N) ..Pump off" levet at Cycles tested water Date Installed 1 I Soil rating ASO SF/41LSystem type- 97' w/T2Eivcy PIT • M'A;Q X 33'r<;3' w T_aaNC44 Length - it k Width = -2-0' Gravel thickness - � r Total depth Total absorption area Cleanouts present ((SIyN) � '� (8&vT)_ Depression over field (YO No Date of adequacy test /?bz Results (pass/tali) ASS forbedrooms Peroxide treatment (past 12 months) (Y/OV - NeT k01J1r✓ If yes, give date " SEPARATION DISTANCE FROM ABSORPTION FIELD TO: r Well on lot On adjacent lots IL Property line To building foundation So To existing or abandoned system on lot NIA On adjacent lots- +' Cutbank- IC)C3 Water main/service line �S r Surface water�t90 ><t Driveway, parking/vehicle storage area 50 r.A Curtain drain Nora �+., rj a* -NEE -D To RGPA12 &. m -i /Qlzr,r'f S74^i0 PIPg',f .. �yAA1TWkMt_ ON'. VEPTicl ';TA1aK f urp&rR. %IT E. ENGINEER'S CERTIFICATION To S / ZNs7 &A2y Wirt s t IzrtAti Wtr„ � W14C I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspe 14"1 A,7 �0�1Zla. 5 8 5 ENGINEERING ;!��'� f..«••••.•`•.q�^°!}� Signature 17034 Eagle River Loop Road No, 404 i rg •r a . Eagle rver, a• a ar tt=�Itj Engineer's Name � :'"}r•A Date __ J -`j - `12 {r, �. • t:o,.ER . SNAFCA : fr V11 %_ V*; HAA Fee $ 12L Waiver Fee: $ • - Date of Payment Date of Payment Receipt Number ) Receipt Number 72-0261R«.3/e1t13•tk MOA21 ATTACHMENT HEALTH AUTHORITY APPROVAL (HAA) #HA920156 PID #015-202-47 Lot 3 Block 7 Talus West Subdivsion #1 March 16, 1992 The captioned Health Authority Approval has been requested for three (3) bedrooms. The MOA tax records (C.A.M.A.) show this residence to contain four (4) bedrooms. The permit to upgrade the absorption system, dated September 13, 1976, shows there to be four (4) bedrooms. This Health Authority Approval (HA920156) is for a three (3) bedroom single family residence. Should it be found that there are more than three (3) bedrooms in this single family residence, HA920156 will be immediately revoked and a Notice of Vio tion issu accordingly. Robert W. Robinson Civil Engineer On-site Services #413 APPLI(`NT FILLS OUT UPPER HA"ONLY Prr�jertY Owner �71�),�'C ✓ II�'JC:J %/k'<vl,i Phone `- � -�/ -T If, /, r / 21p Code Mailing Address ! Buyer bo i, rI /ice Date Address ')y.� Ll Do I Zip Code C fe f I Pl' Lending Institution j!C Pa�T/ .,PjlflCK 01 T ,al Fk-RJ Phone Address =,15> '1�� ..1 / I S� �rtj" / Zip Code ��iG a 74 . !' Inspector Phone Realty nt '� )L r ` iUr,C �d r Co. Q Agent it.J K- n r Zip Code C'� d Address _' Legal Description L O J ;J&c k 7 Street Location ! -) MUNICIPALITY OF ANCHORAGE Type of Residence .Gi Single Family '7 [� Multiple Family No. of Bedrooms 7usu L_ G ❑ Other f = P, 3 5'DO3 Water Supply WELL LOG. A well log is required for all wells drilled since June 1975. Individual FFors trilled prior to that date. give well depth (attach log if available). Community ( ) DISAPPROVED 0 Public Utility ( ) C NDITI NA_L A9BOVAL• 3 J Sewer Disposal Year Individual Installed: lndividwi Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. iy fJ s Time Time Time Time I ca, ,, sCeu d e. DateDate Date Date a -9i-1;:3 tA—' )emr Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE ENVIR'-);V, V, :t..A.-...U.-LTION f = P, 3 5'DO3 RECEIVED (3) APPROVED BEDROOMS -CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) C NDITI NA_L A9BOVAL• 3 DATE BY: Soils Rating Date Sewer Installed well To Absorption Area �D / Well Loo Retelved 7/ 1 Well to Tank 4 Septic Tank Size I A �Q atop rreh I` rebruary 10,-1983 Mark and Andrew Thorne 1855 E. Tudor, V103 Anchorage, AR 99507 Subject: Lot 3 Block. 7 Talus 4:est �. 'Y C t-- YLL Cf- JL Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: dKO The top of the well casing should be sealed so that it is If -Y-41 water tight. 61<0 Exposed electrical wires to the well head are in violation 9'5cr3 of the Municipality of Anchorage codes and must be encased in conduit. The water analysis report needs to be submitted to this office from the Chem Lab, 5633 C Street, for our review. The septic tank pumped with a receipt submitted to this department. ° An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to national Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Jim pobcrts Associate Environmental Snecialist JP.07/p/E111 Enclosure ALASKA toUIROURTAL WOOL S6 4ICOS, IX Engineerinq 6 Enuironmental Studies MARCH 30 1983 MARK THORNE 1855 E TUDOR #103 ANCHORAGE AK 99507 SELLER — MARK THORNE BUYER—TAYLOR SUBDIVISION—TALUS WEST BLACK -7 LOT -3 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 592 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 900 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. 1200 West 33rd Auenue, Suite E • Anchorage, Alaska 99503 • (907) 2761361 4 v�� I tog fttm U q 1---- MUNICIPALITY OF ANCHORAGE �rT• C I LTH & DEPARTMENT OF HEALTH B ENVIRONMENTAL ►ROTECTIbWlR'1N;.!`NTAL f-7TXFION 926 L Street • Andis rap. AWB WWI • APR 2 6 iF19. ENVIRONMENTAL ENGINEERING DIVISION Telephone 26"72D R E C E N E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts On POW 1. I..mplesa r"marts will not M Processed. Ranee allow tan (10) drys for proO ing. 1. ►PERTY OW R ) -- PHONE ^ Hyl G ESS /k rn p( 7 r S i p 9 D NT tfPHONE ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER LY IENDIVIDUAL' MAILIN DRE E IN TIT ION PHONE 11(71 since June 1975. For wells drilled prior to that date, give well MAI INO A DRESS 1 c' LTO AO N LING DORESS / `n� 1,9 ' ' calf individual/on•site,give installation dote+ J 6 LEGA OESCRVTION n ETRE L 1, /`j(�� 0. TYPE OF RESIDENCE NUMB ❑ One r ❑ Other SINGLE FAMILY Two Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER LY IENDIVIDUAL' ' 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.) 9. EEWAQE DISPOSAL SYSTEM ' calf individual/on•site,give installation dote+ INDIVIDUAL/ON-SITE' If system is over two (2) Years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. THE INSPECTION FEE MUST ACCOMPANY EACH REGUEST BEFORE PROCESSING CAN BE INITIATED. NOTE: 72-010(3/791 7201 D (Rev. 3/76) THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME IME DATE DATE DATE INSPECTOR INSPECTOR INS E OR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER of BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER '110 SINGLE FAMILY ❑ MULTIPLE FAMILY ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY PERMIT NUMBER —FLI INDIVIDUAL DEPTH OF WELL ❑ COMMUNITY ❑ PUBLIC UTILITY DATE DRILLED Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY DATE INSTALLED Connection Verified INSTALLER DSeptic Tank or ❑Holding Tank Size: tLYki. If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTUR R TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELLTO: Septic Holding Tank Abwrpt Arse LIM Nearest Lot Lim Absception Arse to Merpt Lot Line 5. COMMENTS L Q APPROVED FOR �_ BEDROOMS IN ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY Tpe LEGA DESC IPTION 7201 D (Rev. 3/76) r`1 Municipality of Anchorage ,^ 030 POUCH 6650 S—�J"7cf ANCHORAGE, ALASKA 99502 (907) 279 2511 GEORGE M SVLLIVA.N, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 4825 "L" Sneed April 30, 1979 Charles Price % Great Land Realty 2932 C Street Anchorage, Alaska 99503 Subject: Lot 3 Block 7 Talus West Subdivision #1 Approval for your individual sewer and water facilities 'will not be granted until the following items have been completed: N(1) The top of the well casing is,sealed with a sanitar� k -`.seal so that it is water tight. ,D (2) The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review. (3) The septic tank is pumped with a receipt submitted to this office. (4) Your application shows the number of bedroom exceeds the number the sewer system was originally approved for, therefore, an upgrade will be required. Notify this department for a re -inspection when descrepancies have been corrected. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: United Bank Alaska 645 G Street 99501 2. Property Owner:Phone: 9. R?. fAu Mailing Address: — 3. Legal Description: 4. Location: 5. Type of facility,to be inspected No. of bedrooms 3 (/ 6. Well Data: 7 /f A. Type�4vt.� .�� B. Depth �O C. Construction D. Bacterial Analysis 7. Sewage Disposal System: A. Installed B. Installer C. Septic Tank: 1. Size �2. Manufacturer X D. Seepage Pit: 1. Absorption Area 2. M terial E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Retest for Approval of Individual F''`er & Water Facilities r Legal Description Approved Disapproved Date Approval ;Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. Date SIGNED EQ -034 (1/74) GREATER ANCHORAGE ARLA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV xxx 2. Property Owner: Terry C and Sue Bruton i Mailing Address: Box 6068 Ancb Ak Day Phone 3. Name of Buyer: William C and Jean L Soureers Mailing Address: ne 4. Name of Lending Institution: Alaska Statebank Mai ling Address: 310E Northern Lights Phone 7 will have the ext Inumber4wmich S. Name of Realtor or Agent: N/A you cam contact. 3= IF179, Mailing.Address: Phone 6. Legal Description: Lot 3 Talus West S Location: Wilderness Drive and Traverse Way 7. .Type of Facility to be inspected: single family No. Bdrms. 4 S. Water Supply Type -of Supply: Public Utility Individual xxx If Individual, number of dwellings presently served 1 If Individual, depth of well 9. Sewage Disposal -System Type -of System: Public Utility Individual (on-site) xx If Individual, date of installation 8/74