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Home My WebLink AboutMOUNTAIN PARK ESTATES BLK 6 LT 6Mountain Park Estates Block 6 Lot 6 #017-391-05 SFPrlC� SrfrEM FA IG JN& r#itNDArEp WITH SEflso-V Z HIGH G>PouNnwATEX 7-0 A P,CprH OF 2 oVEIT Tiff Top of TKE PeRFORE0 PIPE C3 GIiIUND S14IFF.49GE�f L or 4 Dc►: 6 � ra. Prr. Esr, �l 'i 72-013 (Rev. 3/78) 0 r MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTtCT10N ' ENVIRONMENTAL ENGINEERING DIVISION ` 825 L Street - Anchorage, Alaska 99501 Telephone 2644720 \ ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAMET PHONE ❑NEW rv.o,n c� FrUPGRADE �JAV, u t'1JnJ ,35Ct!'d MAILING ADDRESS Y4 - LEGAL DESCRIPTION f9t,At LOCATION NO. OF BEDROOMS Well 7 Absorption area Dwelling PHMIT NO. k. O DISTANCE TO: r„10r) r r c .Y i Q Manufacturer^ Material n No. of compart ents w IS tL co Lin. capaci[y in gallons t IS!P J I IF HOMEMADE: Inside length Width Liquid depth 6 y DISTANCE TO: Well Dwelling PERMIT NO. JD2 _? h Manufacturer Material Liquid capacity in gallons DISTANCE TO: Well 'fl 74 Foundation r Nearest lot hne / PERMIT NO. w= y 3 2 w Z No. of lines Length of each line Total length of lines Trench width Distance between lines F?w f '� I inches -- ¢ t- Top of tile to finish grade r Material beneath the _ / Total effective abs rption area O " 6 , y- inches Length Width Depth PERMIT NO. w t7 a F Type of crib Crib diameter Crib depth Total affective absorption area w 1 Well Building foundation Nearest lot line DISTANCE TO: Class Depthrifler Distance to lot line PERMIT NO. e 4' ✓IrC! u' �+ DISTANCE TO: Building foun ation Sewer line Septic tank Absorption area(s) 'meg -C7� yr t r1/ OTHER PIPE MATERIALS N e „ SOIL TEST RATING INSTALLER ' S REMARKS c rL• l S d in. _ r rel v 0 e It �I APPHOVED DATE LEGAL L ej r . 72-013 (Rev. 3/78) 0 r MUNICIPALITY OF ANCHORAGE Department,--� Health and Environmental-.protection (/ 825 ` Street, Anchorage, AK. ,501 264-4720 ?r,-1�� * * * HANDWRITTEN PERMIT Permit WELAL- R ON-SITE SEWER PERMIT — Applicant: �ry��,,� Mailing Address: 1601 PV Location: Phone Number: �3 i`rSr C78// Legal Description: 4 A (' Lot Size: WA- Type of Soil Absorption System Is: Trench: Drainfield: ,/ Seepage Bed: Holding Tank: Maximum Number of Bedrooms: _ Soil Rating (sq. f t/br) ?S,�G1 Ar1;uSis� The Required Size of the Soil Absorption.System Is: DEPTH % LENGTH 01/ .*GRAVEL: DEPTH WIDTH S The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit•is',the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE _ (1) SO GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. *.*,* TWO W INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection.and approval by this departmen will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand t at the site sewer system may require enlargement if res' a is re e d to include more that 3 bedrooms. Signed: ,�J Issued by:q?��///�s.%�vHr� c� p1Ai&&rrt %� / Date: 9ir�3p�"'�;� 2/3 SWP/024 (1/81) .yr-�cY liar-/yY �...�A...�u*�•�o Ft d.ya., H.�xc•� ioa�✓�wtcv z7'1'`� .z83Of aaF�w O JOB oT G R L k7 'Pj(iPc ,57-. ¢/ ALASKA ENVIRM :NTAL SHEET NO. OF CONTROL SERVIL�S, INC. CALCULATED BY /`t 1200 West 33rd Avenue, Suite B DATE ANCHORAGE, ALASKA 99503 CHECKED BY DATE (907) 561.5040 / :30 SCALE p. I lJlt. 1 I I : : I 64krTCL.,,Ta SA>7[ 7M/K. ..�. seP K 7h✓�C r - - I A t- - — -- _ , I I cJE�r I i I -- I- - I 1 1 1 1 1 1 1 7-7, I 10 i I ' ' I ,—!�✓fAbf�ru I I I I i -.. SEC''. �A^ i� 1 - • 4 I ' 1 I , I I 1 Nmnxl �.raT :�. w w min f CA Q GREASER ANCHORAGE AREA BORudGH r'' , • 1� Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME(M 1COCL MAILING ADDRESS OX � PHONE3y�� 3Jo LOCATION LEGAL DESCRIPTION LT PAT.' GK. ESTAfP-) a� SEPTIC TAN(►�/K: Imo' DISTANCE NUMBER OF FROM WELL 1 MANUFACTURER MATERIAL ` COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY Z( �00GALLONS. SEEPAGE4= 11_0 -L sq ,>( 6 x 31 w ja- NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH_, DEPTH LINING MATERIAL CRIB SIZE: DIAMETER —DEPTH— DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) _G'etr SQ. FT. ADDITIONAL ABSORPTION T - WELL _0 TYPE '-�� - CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE , SEWER LINE , TANK SYSTEM CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: \ INSTALLED BY: 'o £d PIPE MATERIAL: co -9 Q ro M �4 LOT SLOPE: y REMARKS: DATE Form No. E"31 DIAGRAM OF SYSTEM 111/T APPROVED G.A.A.B. ., GREf^IR ANCHORAGE AREA BOF' 'JGH /^"• „•• PERMIT NO. i DEPARTMENT OF ENVIRONMENTAL QUALITY • p/,�p'1 3330 "C" STREET ANCHORAGE, ALASKA 99503 e TELEPHONE 274-4561 i\\\��AAAAIIII ! • SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH `'TO BE INSTALLED BY �iE At 11"k SOIL TEST RESULTS �� 9C� %�UfL/-.� T µ ��1' NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED / SGt H�LN 1975 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 TYPE SEEPAGE AREA SIZE _.�y TYPE MINIMUM DISTANCES. REQUIREMENTS N� DIAGRAM OF SYSTEM / FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE ' DRAIN FIELD SEPTIC TANK TO SEEPAGE�L 7 / 01 7i SEPTIC TANK 5 SEEPAGE MT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK �SEEPAGE P•T DRAIN FIELD �PLI' _ ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGES DRAIN FIELD /A, SEPTIC TANK. SEEPAGE94�/ 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 CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER 67 ADDRESS `-" aO� PHONE aLL� NAME OF APPLICANT i e MAILING _/- /3..�0 e"Alt l �io.c //ieL✓ �%O�.c UiGcc/ �.� ■o ON INSTALLATION LOCATION NO iii Z& LEGAL DESCRIPTION 'ei u INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OT+WR TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH `'TO BE INSTALLED BY �iE At 11"k SOIL TEST RESULTS �� 9C� %�UfL/-.� T µ ��1' NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED / SGt H�LN 1975 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 TYPE SEEPAGE AREA SIZE _.�y TYPE MINIMUM DISTANCES. REQUIREMENTS N� DIAGRAM OF SYSTEM / FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE ' DRAIN FIELD SEPTIC TANK TO SEEPAGE�L 7 / 01 7i SEPTIC TANK 5 SEEPAGE MT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK �SEEPAGE P•T DRAIN FIELD �PLI' _ ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGES DRAIN FIELD /A, SEPTIC TANK. SEEPAGE94�/ 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 CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 25.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. I also certify that this home will contain a maximum Of three (3) bedrooms. I understand an upgr�de�Would be n�ssa should more bedrooms be adder DATE 'Z - '�•^� APPUCANT'S SIGNATURE ffjj =! �- /ts FORM NQ: EO -OI 6 i e ONE ME NEI ■o ON NO iii 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 25.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. I also certify that this home will contain a maximum Of three (3) bedrooms. I understand an upgr�de�Would be n�ssa should more bedrooms be adder DATE 'Z - '�•^� APPUCANT'S SIGNATURE ffjj =! �- /ts FORM NQ: EO -OI 6 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. f } 3570"C"STREET ANCHORAGE, ALASKA 99507 a f TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT-✓�� !'�DL[//y MAILING ADDRESSn��t �t G% PHONE INSTALLATION LOCATION i LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH / TO BE INSTALLED aT _ SOIL TEST RESULTSTE -7 ��✓ r��/11% 1h�1 COMPLETION DATE ANTICIPATED D -� 1 T FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILL DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY W1III SEPTIC TANK 612E C� TYPE MINIMUM DISTANCES.REOUIREMENTS �(� / \ \1 FOUNDATION TO SEPTIC TANK - .S .j FOUNDATION TO SEEPAGE PIT DRAIN FI EL SEPTIC TANK TO SEEPAGE PIT WALL / SEPTIC TANK - SEEPAGE PIT � DIN I lD TO NEAREST LOT LINE. \ WELL TO SEPTIC TANK Z/% "fs / SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK �� / SEEPAGE PIT �n / DRAIN FIELD / i SEPTIC TANK. ! - . SEEPAGE PIT ,�L�, DRAIN FIELD TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION B FEET INTO UNDISTURBED SOIL. DRAIN FIELD OTHER IS NOT VALID WITHOUT SOIL TEST SYSTEM WITHOUT FINAL INSPECTION BY THE TO PROSECUTION. U AREA SIZE / ^ ��iT / TYPE DIAGRAM OF SYSTEM A 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 I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF DESCRIBED SYSTEM IS N ACCORDANCE WITH SAID CODE. DATE 7 APPLICANT'S SIGNATORIE\/ FORM NO. EQ -016 ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE ' GR'O�ER ANCHORAGE AREA COROUGH Deparvent of Environmental Quality 3330 "C" Street Anchorage, Alaska 99503 Perfomed for Yr. Jame Legal Description: Lot This form reports: Soils Depth Feet T-- 2 -2 - CM 3- S/G- 7 - -.¢7vp 7"0 5 — 6- ,� as 9- 10 = 12 - 13 VL FWII�r 14 - 16' Was ground water encountered? Reading I Date Date performed April 26,1974 -// 2 ites 0 1 Subdivision ation test N it �0 If yes, at what depth? Gross Time I Met Time I Depth to F120 rercoiation rate minute Proposed installation: Seepage Pit Drain Field Depth of .filet -.,9epth to bottpm of pit or trench CO?1lEMTS: 1X x�a- •!/S�X77�i_�9ir. Performed Dy:/ Certified t t_• Net Drop S, 2 -3G -N• .DAILY DRILLING LO�,U� ,ENN JERSEY DRILLIt' . CO. pwl- -?F-76 Ir:,TE—ENDED...................... ................................... KIND Or FORMATION: Anchorage, Alaska 09502 cL! DEPTH OF WELL ........ .:0U ... ,c:Ct.................................. _..... j STATIC LEVEL OF WATER FT....—J99.... DRAW DOWN GALS. rEWUMX.......... Ul... CM! ........... _.._................................... RIND Or CASING.....(.II.C11..\{In�c'.�c!.................... _............... FR011 ........... 1). ........... FT. TO ......... ✓.............. FT.F;:(42en••.^.tltc)... jr--Gr:1V31 FROM.......................... FT. TO ........................... FT.................. FRO.11........... 5 ............ FT. TO ...... vi ........... ... FT.LI'.... san:.LCral•cl FRO.II................. _....... FT. TO ................. ....... FT................... FROM........ !�c.............FT. TO...._:...............FT_Goul;lc,.................. FRO\I.......................... FT. TO ............. _ ........... FT.................. raoM........1:1............FT. TO......LG.«............I'T.......'............. -Cr Sand,Gravcl L ................... FR011................... ....... FT. TO .......................... FT................... FRO..11..........................M. TO .......................... I• -V....... 1;.c21t:.::Tl:................ FRO31 .......................... FT. To .......................... FT. ...... _........ . FRO.II._147 .............. FT. TO ...... G ............ FT.S. 11:�Y...�:lak,Gr;�c1-L FROM..........................FT. TO................._.......FT.................. FRO31 ..........................FT. TO- ........................ FT_ ..... tau}r;cr._q............. FIOJI .......................... FT. TO .......................... FT ............ _._ FROM.... �!.v...............M. TO ..... 1.' ............ mit.t.10.-L.:'.:... L -May Mom .......................... FT. TO .......................... FT................... FRol1 .........................FT. TO .......................... FT ...... !. o�tly. Cri•✓cl FRO\I.......................... Ff. TO.......:. ................. FT.................. • FROM ... 1.7.'. ................ FT. TO ...... „(:C............F 1'ROM.......................... FT. TO .......................... FT.................. FROM.......................... FT. TO .......................... FT......................................... FIL011..........................FT. TO .......................... FT................. • FRO..II..........................FT. TO .......................... FT......................................... I'ROM .......................... FT. TO .......................... FT_ ........... :... NIISCL. INFORMATION: Cnnrl '!,Iter bcarirI3 I•'ormati.nn. hater cleared. up very fast. DRILLERS NA,%lE...... .1...1..5.....t....i.:allcy ..................................... n n ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date -5C,7 1. GENERAL INFORMATION (a) Legal Deperiptio/nn (include loaf, block, subdivision, section, township, range � c\ iii f0 /�G�✓� ,!L(!"-�.,t�l.ri+—� �!.?,�+/ �� Location (address or directions) !%II�.4,�J (b) Applicant Name %% r / c`" I�Telephone: Home Business Applicant Address (c) Applicant is (check one): Lending Institution ❑ ;Owner/builder; Buyer ❑ ;Other ❑ (explain); (d) Lending Institution Address r_Telephone (e) Real Estate Company and Agent ' ' / —� Address �� yS 'LLJ `i �.[ixt-.,�.�.t-- ��` �._.R..-.,r i Y �%:SZ9 Tele hpne Of (f) I SII 2. TYPE OF RESIDENCE Single -Family Multi-Fami/ly'❑ Other Number of Bedrooms 7 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ;v Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 n-025 (1+,84) 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seat 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 S & S ENGINEERING Telephone Address Eagle River, Alaska 99577 Date — 2S— 23 r7 6. DHEP APPROVAL / Approved for `t bedrooms by -��4 Date 3 - 2 7—,5� 7 Approved_ Disapproved Conditional Terms of Conditional Approval +1� CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. Page 2 of 2 72-025(11/94) MAICIPALITY OF ANt HOWMICIPALITY OF ANCHORAGE (1AOA) ENVIRONMENTAL SERVICES NEW&H AUTHORITY APPROVAL (HAA) CHECKLIS226" 20UARY 1!184 MR 2 6 1987 RECEIVED Legal Descriptio � , 6/ ex A. WELL DATA Well Classification S • If A. B, C, D.E.C. Approved (Y/N) J'YA Well Log Prese (Y ) Date Completed Z- ZB- Wo Yield q,> (='P -1 + Total Depth L our Cased to Z tx-20 Depth of Grouting Static Water Level y S(" 13 Pump Set Aty k rr Casing Height Above Ground 3r, Sanitary Seal on Casing &I) Electrical Wiring in Conduit &N) Depression Around Wellhead (YAQ Separation Distances from Well To Septic/Holding Tank on Lot / Ior'{ ; On Adjoining Lots FO r To Nearest Edge of Absorption Field on Lot '8 S ; On Adjoining Lots /4'p l To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/ManholeTo Nearest Sewer Service Line on Lot Z S 14 Water Sample Collected by S t=jkit .;Date Water Sample Test Results 1 Qa'I S I-AC=I t2y Comments B. SEPTIC/HOLDING TANK DATA Date Installed 2 -Z2 -'T9 Size No. of Compartments L Standpipes ON) Air -tight Caps L'PN) Foundation Cleanout (Ygi Depression over Tank (Y& Date Last Pumped I - y 4 - 8 (o Pumping/Maintenance Contract on File (Y/N) Nip► ; for J'J/A Holding Tank High -Water Alarm (Y/N) 01A Temporary Holding Tank Permit (Y/N) #JIh Separation Distances from Septic/Holding Tank To Water -Supply Well lwt-4 To Building Foundation To Property Line 10*'4 To Disposal Field l/ To Water Main/Service Li e /nr-A To Stream, Pond, Lake, or Major Drainage Course Comments Page t of 2 72-0260 V84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata z/d�� Z S 3" Type of System Design�C-� Date Installed 5 ' 2Z -�� yp[�R.Foai 6^//-817ength of FieldSSI Z r r Width of Field 3 !ar L0! Depth of Field D r � Gravel Bed Thickness r' Square Feet of Absorption Area 63y/ 41 Standpipes Present LAN) Depression over Field (Yo Date of Last Adequacy Te st Results of Last Adequacy Test 3A�-T7S.&A-c-raoYtY %_'_dPt— `7 %32 Separation Distance from Absorption Field: i To Water -Supply Well S To Property Line /C> To Building Foundation > To Existing or Abandoned System on Lot u/A ; On Adjoining Lots X014 To Water Main/Service Line /U�-L To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course u�A To Driveway, Parking Area, or Vehicle Storage Area Comments M C>A /SSuLS 1r-JArv1_=iZ ic� %�oa/ZaVTr4c �rS779rticv D. LIFT STATION Date Installed I Dimensions — Size in Gallons NZ Manhole/Access (Y/N) "Pump On" Level at "Pump Off' Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments " Check Permitted Bedroom Rating Against HAA Request " Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA 1 certify that I have checked, verified, or conformed to all MOA and HAA guideli nes in effect on the date of this inspection. Signed & S ENGINEERING e 17034 MFOU RIMIr Road No. Compa 577 MOA No. x-i!(—pp3 ��+m`%1. Receipt No. a — 00 /— ou 3 Z— Date of Payment 3 - of 6 7 Amount: $ / 0 0 Page 2 of 2 72-026 (11,04) • r r ALASKA 6101ROf1 nTAL COnTROL SCfi RS, Z. Enqineerinq & Enuironmenlal Studies MUNIdPMMF ANCHORAGE OFOHEALTH & ENVIRONMENTAL PROTECTION February 14, 1986 OA.' MUNICIPALITY OF ANCHORAGE RECEIVED Department of Health and Human Services 825 L Street/4th Floor Anchorage, Alaska 99501 Attn: Steve Morris Subject: Mountain Park Estates #1/Block 6 -- Lot 6 The above referenced lot consists of a four (4) bedroom single family residence with an individual well and on—site sewage disposal system. The well was drilled on February 28, 1976. Total depth of well is 200 feet and cased to 200 feet. The sewer system was installed on September 22, 1975 and an additional upgrade was added to it on August 11, 1983. Total absorption area of the trench is 841 square/feet. On the permit issued July 29, 1983 for the upgrade portion, a waiver was granted by Larry Montgomery of the MOA, for the separation distance from the well to the leach area. This distance is 78.5 feet from the well to the standpipe. Notes are written on the back of the permit. On 1/16/86, an adequacy and well flow test were performed and both are satisfactory. From a site inspection, we see the distance from the subject well to the neighbors septic tank in 90 feet. This neighbors legal is Lot 7 -- Block 6 — Mountain Park Estates til. The sewer system was installed September 22, 1975 and there were no wells present then. On November 12, 1980, the neighbors septic tank was replaced, apparently in the same location as the original one, and inspected by John Fennedy of the MOA, who approved its location and distance from the subject well. We therefore request that you 'recognize the existing waiver for the subject well to the subject sewer system and the approved distance from the subject well to the neighbors septic tank. 1200 West 33rd Autnue. Suitt B • Anchorage. Alaska 99503 • (907) 5615040 r The owner of the subject property does not have a buyer yet, so we are not submitting a Health Authority application at this time. However, we would like to have these waivers on file so they do not cause a delay at a later time. If you have any questions, please feel free to call. Sincerelyvz�- Q� Alan Wien Engineering Technician Approved By: Ct—t Leroy Reid J ., PhD, P.E. Pres dent 60011 1 ALASKA Ei UIROf1 nTAL COnTROL SNICES, inc. Engineering 6 Enuironmenial Studies 03/03/86 NANCY SAUPER SELLER—HATHANIAL COHEN NANCY SAUPER C/0 4105 TUDOR CENTER DR C/0 4105 TUDOR CENTER DR ANCHORAGE AK ANCHORAGE AK 99508 99508 LEGAL:MT PARK ESTATE #1 BLOCK 6 IAT 6 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE -1/16/86 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 841 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 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 4 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR i THIS 4 BEDROOM HOUSE. THE SEPTIC TANK/PACKACE PLANT WAS PUMPED ON 1/17/86 . THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. FLAW TEST ON WELL WELL FLAW DATE -1/16/86 A FLOW TEST WAS PERFORMED ON THE WELL. 900 GALLONS OF WATER WAS PUMPED AT A RATE OF 4.4 GPM OVER A DURATION OF 3.5 HOURS. THE DRAWDOWN WAS 17.2 r WITH A RECOVERY TIME OF 120 MINUTES AND THE STATIC WATER LEVEL WAS 154.7 FEET. THE WELL IS ADEQUATE FOR THIS 4 BEDROOM HOME. L" 0. Iktd, Jr.' 2251-E 1200 West 33rd Auenue, Suite B • Anchorogc, Alaska 99503 • (901) 561-5040 I "Municipality of Anchorage March 19, 1986 ( � P.O. BGA 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNO WLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Alan Wien A.E.C.S., Inc. 1200 West 33 Avenue, Suite B Anchorage, Alaska 99503 Subject: Lot 6 Block 6 Mountain Park Estates Subdivision O1 Waiver Request, WR86-036 Dear Mr. Wien: Your request for waivers of the 100 foot separation distance requirements stipulated in 18 AAC 72.021 for the subject lot has been granted. The separation distance between the well on the subject lot and the leachfield on the subject lot has been waived to 78.5 feet. The separation distance between the well on the subject lot and the septic tank on Lot 7 (the adjacent lot to the south) has been waived to 90 feet. These waivers are valid for the existing four bedroom single family dwelling only. Sincerely, Stephen S. Morris Civil Engineer On—site Services SSM/ljw • APPLI"ANT FILLS OUT UPPER HA'~'ONLY Property Owner 'VI V /I C /C k • 5� A! r • �/ /k'/ �✓ Time Phone Mailing Address Zip Code Date Buyer ), nIla, Inspector Inspector Address Zip Code Field Notes: Int P Lending Institution /� �. Cl lti Phone Address Zip Code ( t,) APPROVED BEDROOMS Realty Co. d Agent L L /. '/c r R". / /yc-) r C S TI i n G [✓h! k �� C l✓ Phone Address Zip Code DATE Legal Description Street Location - 1 Type of Residence Soils Rating ,Q -Single Family Well To Absorption Area ❑ Multiple Family No. of Bedrooms Septic Tank Size ❑ Other Well to Tank Water Supply 43�Tndlvidual ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. . ❑ Community For wells trilled prior to that date, give well depth (attach log If available). ❑ Public Utility Sewer DI osal individual Year Individual Installed: ❑ Public Utility When Connected 10 Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: Int P LucT C^,•.'•iT1.•, ENVIRJi E..St..A..:..O._ITICN 8 1983 RECEIVED ( t,) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED (�)CONDITIONAL APPROVAL' a DATE Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank zzaa rM ALASKA CI iUIROfl nTAL COnTROL SCRu CCS, IX Engincerinq 5 Enuironmenlal Studies MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH t, EWIRON1g�NTAL PROTECTION JUL 2 11933 JUNE 23 1983 RECEIVED BANK OF NORTH/ATTN VICKIE PIGEON POUCH 6608 ANCHORAGE AK 99502 SELLER — NAT COHEN BUYER— SUBDIVISION—MOUNTAIN PARK ESTATES O1 BLOCK -6 LOT -6 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 648 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 500 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 249 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A HOME OF 4 BEDROOMS. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1500 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. OF e -KY- Raid, Jr, No. 2251E ,_ OFESSIC_� 1200 West 33rd Auenue, Suite B 9 Anchorage, Alaska 99503 • (901) 276-1361 o0e, t�J`c �ornolckJ J ALASKA uUIROWnTAL COnTROL S6610, InC. Engineering & Enuironmenial Studies 02/9/83 C 21 HERITAGE HOMES/JUNE WALKER 207 E NORTHERN LIGHTS BLVD ANCHORAGE AK 99503 SELLER — SLAUGHTER BUYER—COHEN SUBDIVISION—MOUNTAIN PARK ESTATES BLOCK -6 LOT -6 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 648 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 200 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 290 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A HOME OF 4 BEDROOMS. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1500 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. Off 9 t C. Reid, Jr. . 2251•E -.- = : 1200 West 33rd Auenue, Suite B • Anchorage, Alaska 99503 • (907) 2761361 ALASKA ti UIROf1 nTAL COWROL SEMICES, IX Engineering 6 Enuironmenial Studies February 9, 1983 Municipality of Anchorage Department of Health b Environmental Protection 825 L. Street Anchorage, Ak. 99501 Re: Health Authority On February 8, 1983 our company collected a water sample from the house located on Lot 6 Block 6 Mountain Park Subdivision. The property owner is Mr. Slaughter. The water analysis was satisfactory. The well has a seal and the casing stands approximately 3 feet above the ground. The electrial wires are completely enclosed in conduit. All standpipes are capped. A copy of the report is attached. At It C. Reid, Jr. . 2251-E _: Sincerely, Leroy C. Reid Jr., PhD PE President 1200 West 33rd Auenue, Suite 6 e Anchorage. Alaska 99503 a (907) 276-1361 _a nf- GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality "C" Street, Anchorage, Alaska 99503 274-4561 �. Date Received March 3, 1976 Time of Inspection /) 1 / Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: Alaska National Bank Mailing Address: Pouch 7-010 99510 Phone: 277-5511 x 31 2. Property Owner: Jim Brown Phone: 344-1320 Mailing Address: Box 4-207, Anchorage 3. Legal Description: Lot 6 Block 6 Mountain Park Estates "1 4. Location: NRN Ridgeview 5. Type of facility to be inspected Single Family No. of 6. 7. Well Data: Individual A. Type ` C. Construction B. Depth -4tax 91no/ D. Bacterial Analysis !l / 75 Sewage Disposal System: On—site system. A. Installed 2/76 B. Installer C. Septic Tank: 1. Size _ D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: 2. Manufacturer 2. Material 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 F%ge 2 of two pages - Re( ?t for Approval of Individual :!`�r & Water Facilities W04 Description Lot 6 Block 6 Mountain Park Estates #1 Comments Disapproved Date.?—/& Aprroval;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. SIGNED EQ -034 (1/74) Date _ t t MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 — 274A561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ANCHOPA01! DEPT. OF HEALTH 4 INVIRONMENTAL r[OTECTION 3 -1 -KR '; 1976 RECEIVED 1. Type of Inspection: CMRO VA FHA CONV X 2. Property Owner: .TTM BROWN Mailing Address: Box 4-207- Anchorage AK Day Phone 344-1320 3. Name of Buyer: Vinrnr P_ slaughter Mailing Address: RRA Rnx 4517Anchoragg AK 99507 Day Phone 265-1233 4. Name of Lending Institution: AT.AsKA NATTONAT, RANK Mailing Address: Punch 7-010Anchorage AK Phone 277-5511 Ext, 31 5. Name of Realtor or Agent: Tram Peal t ---Kort R_ Knrrht Mailing Address: 516 E Pireorged Tana- Anrh AK Phone 979-OS71 6. Legal Description: Lot 6. Block 6, Mountain Park Estates #1 Location: KHN Rideeview 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9871 9. Sewage Disposal System Individual No. Bdrms. 2 Type of System: Public Utility Individual (on-site) x If Individual, date of installation 9-7f PLEASE CONTACT JIM BROWN AT ABOVE NUMBER FOR INSPECTION. EQ -037 (1174)