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GREENBROOK BLK 4 LT 11
Greenbrook Block 4 Lot I I #017-431-06 Municipality of Anchorage Development Services Department C V Building Safety Division ° — On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page ! of Z www.cl.anchorage.sk.us (907)343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. S%Y/O 10 3 PID Number. 7 — 43 — D r 2/ [TOr Wastewater System: []New 14upgrade Adbnr. el, r ABSORPTION FIELD Pnorta; NumOer of BodoWns. 0 Dw Tten tt 0 Snslbw Trench 0 Bad 0 M«rN 0 Dery s«t Ream Taal Depen ham w9rol pace. LEGAL DESCRIPTION P T-2 I Ft Bbra Ld: StDdNw>. Depn WpWh =IrandnQi arede. Gtavr Earrrn Pi _ 1 Ger � v� Ft.W Ft Toamrtp: Range: swa ov Fa added she antpnr pace' 1' « ayvr Ft. GrMIwWt N of iter DntarcepatwaanlFtaa: Well: ❑ New ❑ Upgrade Ft. Ft dK,ea clasan (F.we. A B. CE Tar cased W Total sntapaan ana Poe Matonal: FI. FI re DnW Owe DNlad Strom Wra Leer: Instate, Date Iulatad 9 Ft .Q ell.1 I f- i7 YrW: Pimp s.tu Casma NaF/e�+&r d TANK GPM FI. ZGPI FL SEPARATION DISTANCES %Septic ❑ Holding XSTE.P. ❑ Other. To Septic Absorption Lift Holding Put>riurnvat M'"'/ig1" L fi TAN14- cape ty 17 Gr. From Tank Field Station Tank Sewer Lite , Meerut Nurriasrd WmpamMrMs: Ws1 O G ei1 �/•%� \_ LIFT STATION salace waterVE Ld Line JL4. Sue /moo Dr MrWrlura A N t H TA N IL •PUT On lace/ at •Pure or Mir M. Hon was alarm at Fa *n 4 M 3 4 1 h. PUT Maied Model Etach k1spe0 apJalormeG by f Cutan Man E to F. - R°"" BENCH MARK L- and Desapaon Stoll, rt 1,�a0 i O e/ .c •, l�} c r luaimned Etavelwn 00 O•✓1 S / DO �Ft ,Engineer's Stamp' �- 1, S Dates: 1M -nI �- +1 Inspections performed by: ... ......:.,-.t.. '.0 2n° ... .. . .. r� • Developm ery P De ment Approval i 's:.:,. T°L`' f ' Y51s1'na Reviewed and approved I Date: . (Bev 12100) EE �/: n�f Eye `.ya+/ i r / /WING TIES.- AC /ES.AC 145 FT / BC 32. AD 19.77 BO 39.1 E SPURKLAND EXIST. BED 198$ ;:pKey x • • j✓ :�— VALVE C�6.0 \\ • • A BENCH HA}\'K .00%BC/ev. ! X Assmed SCALE! P = 50 FT. ITOBSEN SPURKLAND P.E. I I LOT 11 BLOCK 4 GREENBROOK S/D I I SEPTIC SYSTEM AS BUILT I 203 . 15TH. AVENUE 11530 fWAC CAPLTE DATE: SEPT. 5, 1001 ANCH. AK. 99501 m1 fw 570 SHEET: !/L GRID: ?BJ9 I Perm/t k SW010331 PID 017-43-106 GRB04112.DWG FROM : CRRCEL ELECTRIC.. FAX NO. : 34G4032 Aug. 23 2001 06:25PM PS 4r REPORT INSPECTION MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 350D EAST TUDOR ROAD INSPECT!n.,. -,'Cl! 563.3464 INSPECTION: FAX (807)1434236 INFO: 343-8211 NAMEPERMIT # /) ' GlPHONE#34640*4e LOT _ tl SLACK ,�SUSDMSION (Zg& L oATE COMMENTS or DIRECTIONS: TYPE OF INSPECTION: &gilii 4.5 rr, SY REINSPECTION: YES (NO, ANO NONCOMPLIANCE OBSERVED I1 CORRECTIONS ESSENTIAL AS EXPLAINED BELOW I I WILL RE-EXAMBNT: AT NEXT INSPECTION I I DO NOT CONCEAL UNTIL REINSPECTED COMMENTS: (FOR INSPECTOR USE ONLY) UNDE") 9.1DI)OD Fvi?, COP u INSPECTOR I•C t L I� DATE: ~I/ 7 -0I EN CORRECTIONS ARE MADE PLEASE CALL FOR REINSPECTION DO NOT REMOVETHIS NOTICE Permit Number: SWO10331 !?/;G/S t Z •. Do'Fw". MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 22, 2001 Expiration Date: Aug 22, 2002 Parcel ID: 017-431-06 Legal Description: GREENBROOK BLK 4 LT 11 Design Engineer: 0007 Tobben Spurkland, PE Site Address: 012530 FREITAG CIR Owner Name: Dennis Falldort Lot Size: 46291 SQ. FT. Owner Address: 12530 Freitag Cir. Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99516-3218 This permit is for the construction of: n Disposal Field Q Septic Tank E] Holding Tank 0 Privy El Private Well E] Water Storage 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 DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: 42',;23'(j % Date: 6 —Z 2 - Municipality of Anchorage ,. Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 01-7– q3/- Permit Number SW / 3/ —f Property owners�e tz1� Day phone Aq– o5cq 7 ) 1 �� Mailing address 0 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) LO Legal description (Section, Township & Range) Lot Size tw2y t Acres/Sq.Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: ElSewer Only ❑ Well Only 11 Sewer and Well ❑ / Water Storage Sewer Upgrade ❑� THIS PROPERTY CONTAINS: ❑ H ot Tub ❑ Jacuzzi El Swimming Pool ❑ Water Softening Unit Therapy Pool ❑ I certify that the above Information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with appli ble Municipal Codes. (Signature of property owner or author' ed agent) Permit Fees: `Jv� Waiver Fees: _ Date of Payment: O 0 t Date of Payment: Receipt Number: 8 6 �l� Receipt Number: (Rev. 12100) T.SPURKLAND P.E. 203 WEST I Yn 1. AVENUE SUITE 203 ANCI IORAGE, ALASKA 99501 (907)279.3916 Fu (907) 276-6013 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage AK. 995169-6650 Subject: Septic System Upgrade Lot 1 I Block 4 Grcenbrook S/D PID 017-43-106 Gentlemen; Aug. 10, 2001 This property is being transferred. The present owner have agreed to replace the two existing septic tanks with a 1250 gal. STEP as part of the transfer agreement. We request a permit to install a 1250 Anchorage Tank Step complete with Orenco pump and controls. Your truly, l� Tobbe Spurkland P.E. SPURKLAND • `/ / �EXIST. BCD 1988 _•OKey ' YALYE / SW/NC TIES: •' CE EXmwc 1000 GAL TOW / AC 45 n AAV )CM- IC 500 STEP / NC 50 WAN t250 GAL sup COYPlE1E WAN NEW AD 47 ._• • ::• FtW SMV AND C0N1R= 80 58.5 I AE 58 A CN MAK / K 345 / AF 68.s Dev. AsswwO / er 37 \ r+ \ t i i 25 0 25 50 75 100 125 150 SCALD P = 50 FL N TOBBEN SPURKLAND P.E. LOT II BLOCK 4 GREENBRODK S/D SEPTIC SYSTEM DESIGN 203 . 15TH. AVENUE 12530 MTAC CN aE DATE: AUG.10, 2001 ANCH. AK. 99501 1NEREW STOKES SHEET: 1/1 GRID: 2839 I syoloXX PID 017-43-106 6RB04112DVG IPID 017-43-106 6RB04112DVG I Municipality of Anchorage Page of 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: SVIcig'0 -50 PIDNumber: 01-1— Ll`tit—O b Name Wastewater System: EJ New I2rUpgrade L" t E N 1 � Address: ABSORPTION FIELD Phone: No. of Bedrooms: O Deep Trench O Shallow Trench O Bed Mound O Other LEGAL DESCRIPTION Soil Rating. S Total Depth from original.,6rprad '"I I FOOT $a« - CPO/SqFt. . Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe _ ILI Qt=t N L001� Ft. 0. S Ft, Township: Range: Section: Fill added above original grade: Gravel length: �J Li D 1. 51 Ft. Ft WELL: O New ❑Upgrade Gravel width: r Numberoflines: DittambeMaenares: Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: FI. Ft. O.FI, Se.✓� Driller. Date Drilled: Subs Water Level: Installer. GLgSSIC �X� Date Insteli _ 9 27— AIC 9S Ft. Yield: Pump Set at: Cuing height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ❑Septic 0Holding 0S.T.E.P. To Septic Absorption Lift Noldbrp bikJPrlale Manufacturer. Capacity In gallons: From Tank Field Station Tank Sewer Linea Material: Number of Compartments: Welt,� 'Z ryG � [YJ �2r+� 1190 Surface S — t LIFT STATION water Lot3V 1 1 �0 �� -� Sizeingallons: Manufacturer. Line Foundation 17i Z ,� 2U "Pump on" level at: vel "Pump on" leet: High water alarm at: Curtain ` , 1 s. -- pump Make 8 Model Electrical Inspections performed by: Drain BENCH MARK Remarks: ., Location and Description: 1\1E �L t, ` Assumed Elevation: a_. I" = Ft ENGINEER'S SEAL 1 7/27 Inspections performed by: Dates: is�?a71 2nfi 4q tt` r. C_: -. .., `�; Department of Health and Human Services approval Reviewed and approved by: !2'.c�-� !�/ /—Date:__ - 72 -013 (Rev. well MOA 25 c t 9th SPURKLANB q 4i "4 FESSO �:•• Exlsr. BED 1968 / / , --v ey ox DIVE /ON VAL Vf / WING TIES: 5 GAL STEP / AC 45 )7 10k GAL SEPTIC TANK / BC 50AD 47 - \ BO 38.5 • '.: 4l Af 58 • . a CH MAK / BE 54.5 ••9� •:: •'. Elev. 1 00 Assumed / Af 68.5 / Bf 37 \ I \ / 1 \ 25 0 25 50 75 100 \ 125 150 SCALE. 1' = 50 FT. / t 9th SPURKLANB q 4i "4 FESSO �:•• Exlsr. BED 1968 / / , --v ey ox DIVE /ON VAL Vf / WING TIES: 5 GAL STEP / AC 45 )7 10k GAL SEPTIC TANK / BC 50AD 47 - \ BO 38.5 • '.: 4l Af 58 • . a CH MAK / BE 54.5 ••9� •:: •'. Elev. 1 00 Assumed / Af 68.5 / Bf 37 \ I \ / 1 \ 25 0 25 50 75 100 \ 125 150 SCALE. 1' = 50 FT. TOBBEN SPURKLAND P.E. LOT 11 BLOCK 4 GREENBROOK SID SEPTIC' SYSTEM `AS BUILT 203 W 15TH. AVENUE DATE: OCT. 5'1995 ANCH. AK. 99501 12530 ERE S CIRCLE .--- . __.TNfRfSfTOKESSHEET: 2/3 GRID: _ ___ 2839 / TOBBEN SPURKLAND P.E. LOT 11 BLOCK 4 GREENBROOK SID SEPTIC' SYSTEM `AS BUILT 203 W 15TH. AVENUE DATE: OCT. 5'1995 ANCH. AK. 99501 12530 ERE S CIRCLE .--- . __.TNfRfSfTOKESSHEET: 2/3 GRID: _ ___ 2839 J7.5 6' Hol/pips 1-114 PVC Holes Pointing Up SECTION A -A 3 Fl. o/ Cover 4" Topsoil U EXISTING 500 CAL STEP J 49th 'r fEN SPURKLAND No. EE -2225 , . SS1 96t� 6" Sewer Rock 1-1/4" Dislibulion Pipe� 1-1/4" Discharge Mirali 140 500 gal STEP lank Lt' WE OTIS CRAM CW O 90.5 Aug. 16, 1995 BENCH MARKL: WAGE FLOOR ASSUMED ELEVATION 100.00FT TOdBEN SPURKLAND P.E. LOT 11 BLOCK 4 CKEENBROOK SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE11 11530 FREITAG CIRCLES DATE: AUGUST 18, .1995 9NCH1 AK. 99501 THERESA STOKES SHEET.• 3/3 GRID: '2839 MUNICIPALITY OF ANCHORAGE DEPARMENT OF HEALTH & HUMAN SERVICES On -Site Services Trensm/ttal Sheet TO: 7 013131L/\/ LEGAL: L -1 !/ /3 - 4 (s/?Esly rs leo of The attached paperwork has been reviewed and is being returned for the following reason(s): Discrepancy in legal description and/or owner name. Discrepancy in number of bedrooms. Signature and/or stamp missing on Show measured distances to sewers/wells, curtain drains and streams within 200 feet of proposed system. Replacement disposal site not shown and/or tested. Calculation error in design. Show locations of all soils, percolation or water table tests. Proposed system too deep for soil test submitted. Topographic information missing or inadequate. Narrative missing or inadequate. Additional soil/perc test needed. Sand filter requirements not satisfied. Water monitoring results missing or inadequate because _X Incomplete; missing /voylz -7J-0 00-IVc/ Well log required. Water sample unacceptable because Y Other T Please supply the necessary information and re -submit your request. Your cooperation is appreciated. Reviewer tom/ -YT Date 7- % -0 0 LEAVE THIS FORAf ATTACHED TO PAPERWORK /203 -rev. 4/93 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUATAN SERVICES On -Site Services Transmittal Sheet TO: LEGAL: I // 0 �- The attached paperwork has been reviewed and is being returned for the following reason(s): _ Discrepancy in legal description and/or owner name. Discrepancy in number of bedrooms. Signature and/or stamp missing on Show measured distances to sewers/wells, curtain drains and streams within 200 feet of proposed system. Replacement disposal site not shown and/or tested. Calculation error in design. Show locations of all soils, percolation or water table tests. Proposed system too deep for soil test submitted. Topographic information missing or inadequate. Narrative missing or inadequate. Additional soil/perc test needed. Sand filter requirements not satisfied. Water monitoring results missing or inadequate because Incomplete; missi well log required. Water sample unacceptable because 11 '1 Y ,x Other�/vA3' /�✓%G��T/ C SForic 7'lw-'I', ufFREIFl1 J?T1F so ,P1zz <4y SD o4l /t'FtitAAKS_ 20 15 o/p 5'Y.r7F/4 O/`F 10T cM PubLIC i--oRkS. N C <ca, csu.r✓z-L) Vit. P-�- Please supply the necessary information and re -submit your request. Your cooperation is appreciated. Reviewer 60 1i Date/G^—/9-yS LEAVE THIS FORM ATTACHED TO PAPERWORK /203 -rev. 9/93 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES On Site Services Transmittal Sheet TO: S PU ftKLRA.D LEGAL: L /l D ¢ G1fEfv BK04( The attached paperwork has been reviewed and is being returned for the following reason(s): Discrepancy in legal description and/or owner name. Discrepancy in number of bedrooms. Signature and/or stamp missing on Show measured distances to sewers/wells, curtain drains and streams within 200 feet of proposed system. Replacement disposal site not shown and/or tested. Calculation error in design. Show locations of all soils, percolation or water table tests. Proposed system too deep for soil test submitted. Topographic information missing or inadequate. Narrative missing or inadequate. Additional soil/perc test needed. Sand filter requirements not satisfied. Water monitoring results missing or inadequate because Incomplete; missing Well log required. Water sample unacceptable because Other��WRS /uifGRitY of SFOT/C Ti9+�k veRciea If So F 1; r /.V R/, ? IF SO /t A,,EEDS LEtTE?S vP*wov00TEc770" Fngm PURL -lc M-CRKS. Please supply the necessary information and re -submit your request. Your•cooperation is appreciated. Reviewer RDTF/ Date/6—/9-95 LEAVE THIS FORM ATTACHED TO PAPERWORK /203 -rev. 4/93 .. �1 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE f)bL'sn DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 noLT ���, ) ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950250 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:FALLDORF DENNIS R & OWNER ADDRESS:12530 FREITAG CIR ANCHORAGE, AK 99516 PARCEL ID:01743106 LEGAL DESCRIPTION: GREENBROOK BLK 4 LT 11 LOT SIZE: 46291 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 8/29/95 EXPIRATION DATE: 8/29/96 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: MAXIMUM DEPTH OF THE BED MUST NOT EXCEED 3.5 FT BELOW THE ORIGINAL GROUND LEVEL. THE EXISTING BED MUST BE PERMANEN TLY ABANDONED. THERE CAN BE NO VEHICLES PARKED OVER THE NEW ABSORPTION AREA � n /� DATE: a 3l(/t 3r RECEIVED ISSUED BS DATE: u T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Subject: Permit For Lot I 1 Block 4 Greenbrook S/D Therese Stokes Gentlemen; August 19,1995 The existing bed/mound on this property has failed and must be replaced. The owner wishes to keep the present system as a backup for the replacement system. By installing a two-way valve the owner can switch between the two beds as needed. Both beds are sized for a three bedroom residence. The present bed is too close to the north lot line. If acceptable a lot line waiver to 0 feet will be requested. Yours �n Tobben Syjrkland P.E. \ C¢ylyyEn / el�e�s��/�j �Jli k i� UYtr- 7�/r 17e ! �/acss�v T.SPURKLAND P.E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907)279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 11, BLOCK 4, GREENBROOK S/D THERESE STOKES Ground Water at Elev. 90.5 Exist. Ground At 100+ - Use Bed Install Two Way Valve at Exist. Bed Soil Rating. From Test 8/1/95 2.5 min/in =.8 galf Use .8 gal per sq.ft/day No. of Bedrooms 3 Required Area per Bedroom: 1501.8 a 187.5 sq.ft.. Total area required: 187.5 x 3 = 562.5 sq. ft. Existing System 1000 gal septic tang with 500 gal. STEP 18 x 48 bed. SYSTEM CONFIGURATION STANDARD BED TOTAL LENGTH 37.5 FT TOTAL WIDTH 15 FT TOTAL DEPTH 4 FT LAKE OTIS GRAVEL 1 FT ROCK DEPTH .5 FT COVER 3 FT The installation of this septic system will not prevent wells from be installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. pg., a Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: K F s. -Fin y r= S DATE LEGAL DESCRIPTION: _1-0 —t 1 I 3k L� Township, Range, Section: G R k k N g12o o SLOPE SITE PLAN 2- 3 4 '' e 5- 6-j 6 l J 7 4 v N 1 8- . de. M y 9- 1011 to - 11 12- 13- 14- 15- 16- 17- is - 19 213141516171819 S; /1,1 sa K ce %-ess S.1> p131�? j WAS GROUND WATER 5640avr 0_ENCOUNTERED? vole- s IF YES, AT WHAT L O DEPTH? _ P E Itepth toWAlter Monto Manitarinp? o- 5 Date: � Reading Date Grosz Time Net Time Depth to Water Net Drop F/LL S y3 'S7 -3/6 St.w -- 0 3 3 5 Z- 40 40 3 01 :n 7 — 20 { I t� IL_ll PERCOLATION RATE (minutevmth) PERC MOLE DIAMETER TEST RUN BETWEEN L�FTAND 3 FT COMMENTS PERFORMED BY: F • 1 S CERTIFY THAT THIS TEST WASPERFORMEDIN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) NO TE. COMMUNITY WATER SYSTEM. �NO PRIVATE WELLS fR�1tPG � S \� 6 Ii 6 / 5 50 0 50/ 100 150 200 i 250 300 SCALE 1- = 100 FT / �t�P��.......1 I I w 4L j I 49th TDB EN»SPURKLL ND -1 \ XC'sF� \ ��SP/ •�1� f No. CE -2225 I TOBBEN SPURKLAND P.E: I I LOT 11 BLOCK 4 GREENQROOK SIDI I SEPTIC SYSTEM DESIGN I 203 W 15TH. AVENUE DATE: AUGUST 16. 7995 ANCH. AK. 99501 12530 ERITAC CIRCLE THERESE STOKES SHEET: 1/3 GRID: 2839 •16 &.......%4 .. '� �Q9th• 0 ..� i.....� • d ii... . . r..• 07 -' TO n :• TO :Ef�l $PURKUAND •it�' � / EXIST. BED / •, p Key ox 9y� / .. .99 • ••;j�— 0l f RSION VALVE / / 9\3� GAL STEP 100} GAL 9JS I ®9e SEPTIC TANK / 96B ::��;,;::• , �— BN N100SAssumed Elev. / PROP. BED i zs 0 25 50 75 100 \ 125 150 BENCH MARK / SCALE: 1' = 50 FT. GARAGE SLAB. /100.00 FT ASSUMED ELEVATION T088EN SPURKLAND 5TH. 203 W 15TH. AVENUE P.E. LOT 11 BLOCK" 4 GREEMJROOK SID SEPTIC SYSTEM DESIGN ANCH. AK. 99501 11530 IRITAO CIRCLE DATE: AUGUST 16. 1995 279-1916 THERESE STOKES SHEET: 1/3 GRID: 2839 {� J7.5 ►i 6" Halfplps 1-1/4 PVC Notes Pointing Up SECTION A -A 3 Fl. of Cover 4" Topsoil 6" Sewer Rock �� 1-1/4" Dislibulion Pipe Mirafi RAV 40 If' LAKE 011S CRAVCL 1 96t 'I 1-1/4" Discharge J ow O 903 Aug. 16. 1995 U EXISTING 500 GAL STEP W L,;o: j. t 4L/I 49th '• 71; Y, TOF • EN •SPURKLAND p G �Ifl ,••• No. CE -2225 ? _ °i ♦� 4PR7FESSO.P:♦♦ olusla 500 gal STEP lank BENCH MARKL• WAGE FLOOR ASSUMED ELEVATION 100.001-7 ITOBBEN SPURKLAND P.E. I I LOT 11 BLOCK 4 GREENBKOOK I I SEPTIC SYSTEM DESIGN 203 V/ 157H. AVENUE 11530 FRfITAG CIRCCE� DATE. AUGUST 18, 1995 9on�1 '270 90501 THERESA STOKES SHEET. 3/3 GRID: 2839 Name 1 ._11_—_..Inmca 4�..Ibut,awg township. Range. S,peon TAf �c .aMAN SERVICFS 76 0 SyS74FM '? _ I�bXHy� �s 7*s 7/flAE ai sys7�-.��, rvoT ��'�a� (D AS o�v WELL ale /OC4 Gncco• TA+jk- '_T.Vsvaci�n I9K3 _ __ ny unes. EIWnoau0o, xts-r,"& 1500 GArL LIFT- STA �rvS7Au'BC �� TYPE OF SYSTEM ❑ TRENCH BED ❑ W. DRAIN ❑ OTHER Depin to pipe Whom IromnoOl tiepin bom onPinw Ppoe opmu Prato, -'510 FT 7 FT Tit—. a- grape _ I Gravei tiepin peneam pope wng:n area FT neiween lines 0 o. lines 11,00nlmg pipe matena, �O SOFT X— Q Little mstaeep J _ aE WELLS ❑ PRIVATE ,5 -OTHER (Identifv) anon tA,b.C, total Depen t Gawp to r,6, FT Due msueeo REMARKS: ■a d M, 10191210M, - ulmmm �aibllkii"uliMIMvMlMam (� ISO MEM®0MEM11- 0 ©0.3 EMM Scale:'. ENGINE R'S SEAL inspectionsPertorrL,eO DY. Off C �1 Dale g- l8 - 90 All"�Q• .ase, or Oj .• _ , 9 � i S& Y• ...! I 17n34 Eagle River Loop Road No. 204 c Y that flu ispechon was performed according to all .. ......••«•••!•» p �a?le River Alaska 99577 19 %� �% �A A Ohair Muni a at State gulatfmes in effect on this Batt - Q s �a Ho, 1457-0 �. Health Department Approval: Dace._g 7 OFES51��+ -a-eu rat es. MUNICIPALITY OF ANCHORAGE J, - DEPARTMENT OF HEALTH AND HUMAN SERVICES 017 4L31 06 Environmental Health Division 825"L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES TO SEPTIC ABSORPTION WELL Address FROM TANK FIELD WELL IVP 14- t•i-• Ynonel�2 Vrrm,t No Nu I yrUrooms P�D1�7 LOT LINE I 1 LEGAL DESCRIPTION_ Lot 1� e1oc4 SUDdrvls, n FOUNDATION 1�j1 SSI TdwnaNp. Range. Section Z �� _ 1 AS -BUILT DIAGRAM tbhow location of well. septic system. property lines. lounoaeon, (gyp Or,,eway, water Md.". etc) TANK SEPTIC ❑ HOLDING \ _ Manupqurrr Capanry in galwns 1 1 ♦ ` �:' maleual No. OI compartmentspe 2 H TYPE OF SYSTEM ❑ TRENCH XBED ❑ W. DRAIN ❑ OTHER e ^ ,Fk 1� 4, Depth to p•pe Wuom hen, Total depth bom original grace original g,aUe''Jr0 FT �j FT tll+aourb aWm png,nal grade I Gravel oeplh benealn pipe O.5J I IJP �1� FT FT Tavel mng:l, —�7 Gravel width f FT S FT 1 oral absorption area I Distance between Ines SQ FTI FT/a V • Number Willies Su,l,at.ng Pipe material e-1 O SQ FT V-- f ms;atier X _ Q Dale mstmled 0S WELLS � ❑ PRIVATE f66 -OTHER Ildentifvi is 1 . (-ta>vtivaun tA, b.CI J Total DeVmCased to 1 PJ � t \ FT FT .ns:nne, Daw Installed 1 1 REMARKS: 1 • - S v.ENGINE P'S SEAL inspections�PeeAo• �rl/��ed by. ; ��'O�i` J a T— _ �i O• •• ..••. �i` Dale. g_`o-ee tilv ,�,/��••: tic-/ • III `A' F ... ..... ...j 0 5 & 77034 Eagle River Loop Road No. 204 C thatNI'+ Inspection was performed according to all •• ••••••"•••••�'t / pp le River Alaska 99577 //�� �%f r'� s,.�+. teabart A. �lwfC 1{e. Ir87d Municipaha Stale guldeimes in effect on this date: T_�/ s •,• : eQ•a- 80 �� �'ROFESS=�►� Health Department Approval: - Date. - 72-013 (3,85) M U N I C I P A L I T Y O F A N C H O R A G E Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 O N- S I T E S E W E R P E R M I T Permit Number: 880143 Upgrade Date Issued: 07/29/88 Engineer Designed Owner Name: MIKE MULBY Day Phone: Owner Address: 3222 CAMPBELL AIRSTRIP 694-2979 ANCHORAGE, AK 99504-3831 Parcel Id: 017-431-06 Lot Legal: Subdivision: �dREENBROOK-SUBI);"-L'otiJ-11 Dloek: 4 Section: 26 Township: 12N Ranqe: aW Lot Size 46291 (sq.ft. or acres) Max Bedrooms: This Permit: 3 Total Capacity: 3 SEPTIC TANK: Minimum total septic tank capacity: 19000 gallons. Each septic tank must have at least 2 compartments. Depth to top of septic tank(s) < 4.0 feet requires insulation over tank(s). INFORM D.H.H.S. PRIOR TO IST & 2ND INSPECTIONS BY ENGINEER, IF AFTER OFFICE HOURS. CALL 343-4681 AND LEAVE A MESSAGE. CONSTRUCT PER ENGINEERS ATTACHED APPROVED DESIGN. PERMIT EXPIRES 12/31/88. PERMIT VALID FOR A SINGLE FAMILY RESIDENCE ONLY. I CERTIFY THAT: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will,.adhereto all MOA and State of Alaska requirements for the set back distances from to existing well, wastewater disposal system or public sewerage system on his or any adjacent or nearby lot. 4. I understand that th s permit is valid for a maximum of 3 bedrooms. I also understand that the capacity of the total system is 3 bedrooms and any enlargement will require an additional permit. Signed: _l DATE: A- mss ��//�AM� (Owner) MIKE MOLDY r /� 7o,�/�y� Issued By: { r1�Ct DATE: 4"if- �4t�t 0 h 0 :lop .1 M 31WJS PERFORMED LEGAL DESCR 1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST 't;t I- Ole SM- ReOw/J GP /90 I1119e MED. S/G Ty p, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED]e'r S IF YES, AT WHAT /O L DEPTH? O P E Depth to Water Mttr 2 Monitoring? Datc Reading Date Gross Time Net Time Depth to Water Net Drop JIM K— Z /: n pau1J ZM TIT - tIt7 ' a to IS–o O _.�_ PERCOLATION RATE (mmutesnnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY17 CERTIFY TH THIS TEST WAS PERFORMED IN ACCORDANCE b16I A4b1kA 41! %WZIPAL GUIDELI E EFFECT ON THIS DATE. DATE: 7Z7A& 72-008 (Rev. OiBS) September 7, 1988 Timothy A Banach installed the electrical for the lift station in accordance with Municipal Code at Lot 11; Block 4; Greenbrook Subdivision as per instructed by S & S ENGINEERING. License #860943 Timothy A. Banach \ n MUNICIPALITY OF ANCHORAGE I DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street. Anchorage, Alaska 99501 Telephone 264-3720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME See (� L PHONE _ .2(NEW ❑UPGRAI) E MAILING ADDRESS LEGAL DESC IPTION Ll V-QQ / �✓c70 LOCATION NO. OF BEDROOMS 3 D DISTANCE TO: �O Absorptionarea r Dwelling y (S- PERMIT O. 7� _Y EQ W F. Manufacturer ' Materials No. of com rtments y Liq. caps ity in gallons IF HOMEMADE: Inside lenet— Width Liquid depth d Y JZ2 DISTANCE Well Dwelling PERMIT NO. _ _ Man uf ret aterial Li apacity in gallon or DISTANCE TO: yMf ( ' �p ke Foundation i-- 3 Nearest lot line PERMIT NO. ,M2 HZW No. f lines Leng�ea lin Total leng_Mr of lid r1C( TrencY� itlth /s Distance bet n lines H O Top of tile to finish grade v1 r Material beneath rile inches Total effective absorp io 7 ,J W Length Width Depth PERMIT NO. a H W Typ of c ib C b diameter Crib depth Total effective rp n area DISTANCE TO: Well Building foundation Nearest lot line I ss mrn Depth Driller Distance to lot line PERMIT NO. W i DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER ry PIPE MATERIALS Ca -s n q- SOIL TEST RATING 11+ _ a. a I • • .S INSTALLER T EtcGf7t/il7- 1 REMARKS APPROVED DATE LEGAL Lit 19 Q 72013 1RAV. 81 ka DEF'AF,Tf'IErJ Ur 17 LTH FrID EFIVIRONI9ENTHL rF,OTf2Y?ffif7 825 'L' STREET, ANCHORAGE, AY.. 99501 264-4720 Ot-.I—S I TE SELJEFZ F='EFZt'1 I T PERMIT NO. C 830440 ) APPLICANT T STEWARD CONSTRUCTION 2735 E. TUDOR RD. #203 562-3279 LOCATION LEGAL LOT 11 ELY. 4 GREENBROOk; SUB LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= 145 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: F?EF�TH= :B L_E:r4(TH= GFZAk•EL F>EF}TH= 4 THE LENGTH DIMENSION IS THE LENGTH CIFI FEET) OF THE TRENCH OR DRAIFIFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN 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 (IFI FEET). FZEla4U I REQ �EF`T I C -FnNF' I ZE= 1IDC30 GI�LLL�t IS~ PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUPING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TL4(3 <.M- ? I N1 ,F= ECT I Qt4S FIFZE FZEGlU I FZE© --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY Ohl -SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC IJELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEIJER LINE IS 75 FEET. OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F�EFZM I T EXP' I Mani OEC~EME3EFZ =:11 15+;= I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND 14ELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.. 3: I UNDERSTAND THAT THE ON-SITE S JER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED WPPK� IWlUlDRE THAN 3 BEDROOMS. SIGNED:- --------------T STEIRD d � CONSTRUCTION ISSUED E _ _ .______ 0! ______DATE '70/ V4.0 r' MUNICIPALITY OF ANCHORA("� DEPARTMENT Of HEALTH AND ENVIRONMENTAL PROTECTION � PERCOLATION • ! • "' TEtT _- ICE L Ay-Wl 3' n.t. AKls.. A"& "E4� M SOILS LOG - PERCOLATION TEST SocL;Aot TJ- 1/24183 P%RFORMilo FOR' SCCond >"OYfA41 P4?fnefSfi1QDATL PERFORMED. Pert Tcs�• Il2�/83 LIGAL OESCRUTtoN. Loi 11, 1510CX 4. Grae rlbrook S4 bdwislon SLOPE WE PLAN • jrttn ?op3o1L ' 2 `°a fz,sRENt�i� SIE (jr 3 � •� GRA�fLCYSAUD,710'/•SIL•rJ • ` h►JGutARZo sud�ovFlpED 4 ' • o GRAVEL, *CC.cc86LES, 6 0�• D/414to DENSE •SP - 6 51A . o 7 •�, Y • •10 • .O WAS GROUND WATER 11• • ENCOUNTERED! A10_• •• . ^•.12 13 14 15 i6 17 16 1G 12.0 If YES. AT WHAT DEPTH? G' l "i9TM�a1 JiMirin R. N�cholr No. 4113-E I4W7nq I Date I TG'm I "at I w.tDepth to I ON.t I : Time a .o• 1 19,15 1 110'/0•+4 1 bj'a_J 20 L.��� •1%% 0FESS0— HROOLATION RATE Lj • O i`�.t.✓w.d) TEST RVN BETWEEN '� FT *NO ec iT �.FMENTs 01her- p14S on /of entrovnitred ciioutndwafcr- CGI iv1 Dred o -f -1h.5 pi PERFORMED BY: T. B4rbe� otRTIFIED 7tdt11 (t/111 M t T A6sK,t- -rzN 15�- vr-, 0 IWunicipality of Anchorage W eo"111, PG_ :.H 6-650 ANCHORAGE, ALASKA 99502-0650 (907)264-4111 lOkY KNUIt'LES, MAYOR DEPARTMENT Of HEALTH AND ENVIRONMENTAL PROTECTION August 19, 1982 Sandra Hartmann Hartmann Real Estate 3136 Seward Highway Anchorage, Alaska 99504 Subject: Lot 11 Block 4 Greenbrook Subdivision In response to your letter concerning the suitability of the 1981 soils test for the above subject property; a permit for on-site sewer would be issued on the basis of the soils test. However, no specific procedure, depth or "head" pressure was indicated on the percolation test. Therefore, the soils rating specified(SM) would be assigned the Unified Soils Classification value of 249 square feet per bedroom. The permit would-be issued and the septic system designed on this basis. If there are any further questions, please call this office at 264-4720. Sincerely, Larry Montgomery Code Enforcement Officer LM/1jw 1tx,-192-- SIA I n MUNICIPALITY OF ANCHORAGE L.A. t:0 F.;i:.I MU3 17 1952 RECEIVED August 13, 1982 M.O.A. Dep, of Health & Environmental Protection Pouch 6 - 650 Anchorage, Alaska 99502 4th floor West Dear Sir: In examining the inclosed I am not sure if the pecolution test is satisfactory or not. We are planning to build on this lot. Please advise me if we need a new test. Thank you. Sincerely, Hartmann RGe Estate Sandra A. Hartmann Broker SAH/ch (�5 Alaska Testlab 4040 "B" Street Anchorage, Alaska 99503 Second and Fourth Anchorage Limited Partnership 4611 Business Park Blvd. Anchorage, Alaska 99503 Attention: Mr. Les Pace n Phone (907) 278-1551 ( Telecopler (907) 272-574" MUNICIPALITY OF ANCHOPAGE March 30, 1981 ^T ('- 1,.,7•� .. W.O. IA19708 ENVIE ;, I- :l„A- ! .O E T;_,d AUG 17 1982 RECEIVED Re: Subsurface Investigation for Suitability of On -Site Sewage Disposal, Lot 7, Block 2, Lot 11, Block 4, Lot 2, Block 5, Greenbrook Subdivision Dear Mr. Pace: On March 14, 1981, we drilled a 15 foot boring on each of the above three lots and placed a perforated, 3/4 inch PVC pipe in each hole so that the water table could be monitored over a ,period of time and a percolation test run in the hole. The holes were drilled using a Nodwell mounted, Mobile B50 drill rig owned -and operated by Denali Drilling, Inc. The drilling was supervised and the test holes logged by Mr. Ted Krupka, senior technician with Alaska Testlab. After thb holes were drilled, our technician returned on March 18 and checked the water level in each of the test holes. fie then returned again on March 23 and checked the water level again, then saturated the holes, let them stand for 24 hours and returned on March 24 to check the water level a third time and then ran a percolation test. The percolation test was run by monitoring the drop in the water table elevation at 10 minute intervals for a minimum of one hour. The percolation rate listed in this report was computed using the slowest 20 minutes of that percolation test. Included with this report is a test hole location sketch for each lot and a log of the boring placed on each lot. The results of this exploration are described as follows: � n Second and Fourth Anchorage Limited Partnership March 30, 1981 Page Two Lot 7, Block 2 The test hole was placed in the front of the lot, and this is where we would recommend the placement of the on-site sewage disposal system. The lot slopes to the back considerably and it appears there could be a water table problem at the very back end of the lot. At the time of drilling no observed ground water table was located. The soil appeared to be moist as the spring thaw was beginning, and there was some seepage near the top of the hole from thawing seasonal frost. When the water table was checked on March 18, there was water standing in the hole at 8.5 feet. When the water table was checked again on March 23, prior to saturation for the running of the perc test, the water table had dropped to 10.5 feet. The next day when the percolation test was run the hole was dry and there was no water table encountered in the upper 15 feet of the hole. Percolation rate measured was 2.0 minutes per inch. It is our opinion that the relatively high ground water encountered on March 18 was due to thawing seasonal frost and runoff associated with breakup. The water table dropped very quickly. However, it would be prudent to keep the system as high as possible, in the upper 8 to 10 feet, to avoid problems in the spring from breakup on the system. We would also recommend using a more conservative design percolation rate of 5.0 minutes per inch because the upper soils are slightly siltier than the lower soils. Lot 11, Block 4 Again, it would be important to keep the on-site sewage disposal system do the front of the lot near est hole as it appears that there is more of a ground water problem to the back of the lot. No ground water was encountered to 15 feet in the boring at the time of the exploration on March 14, 1981. On returning on March 18, the water table was measured at 10.5 feet. It was again measured at 10.5 feet on March 23, and again on March 24. The percolation rate measured was 15.0 minutes per inch. Again, the system should be kept as high as possible, in the uo er 8__ o 10 feet, because of the water associated with t e spring thaw, u it does appear that we picked up the highest level that the water rose to during this spring. Lot 2, Block 5 At the time the test -hole was drilled on March 14, 1981, saturated conditions were encountered at 13 feet. When the water table level was checked on March 18, standing water was in the pipe at A TIL) ALASKA TESTLAR Second and Fourth Anchorage Limited Partership March 30, 1981 n 11.5 feet. When it was checked again on March 23, the water level was at 13.5 feet. On March 24, prior to the running of the percolation test, the water level was at 11.5 feet. Measured percolation rate was 2.0 minutes per inch. However, because of the silty nature of the soil we would recommend a more conserva- tive value of 5.0 minutes per inch be used. Also, again, the system should be kept as high as possible to avoid any conflict with any seasonal fluctuation of the ground water associated with thaw. Should you have any questions with regard to these tests, please do not hesitate to contact us. Very sincerely, ALASKA TESTLAD Melvin R. Nichols, P.E. Manager MRN/mg Attachments cc: Ralph Westover, Tryck, Nyman & Hayes Ot 17 ••a i �•� • M R. Nichols ,•••��✓ �e J}F•,� No. 4113E A T L ALASKA TESTLAR : nle.ee oeo I 1720.00 G.L.O. e. -ie Rood ° „ I 0 1 _ 265.67_ — -. -- 30 70 1o•Y1I1. [.1n r. — —�---- -• 3. O N 0 O n$ 0 O. W MI N e ,730 o ' O_ N 1� O �0 O O 00 06 O � •O'1• 0 0 0 179.40 167 p9 S. 66 0 =� O • 5�1•45'pp.E 65 OC �I. 0 0• n° 139.40 •-�_.e•40•1s'o0' �7 g'z0 Drive T• 9 7.11 L• Vt te,33 139.40SI 122.66 O • 0 J ON �.. .D Pry 0 0 N• J00 p O O J o •01 C \ A O O •{ ` b O9 /Q N 9 9C 0 O �, 10 O .0 4 v 9'N• x.10• 16 `3 193 E1�•. 6 00 • yy• • 9,q N 10 6 2 N• n .. 220.00'----- ° O 6J• ?100 a0. 0.13 W /3 I • o �1 N 1 14 e1.41'22'µ. 266.32 I I I /2 V N O ,4 9 J / gyp• u1r1. E. 300 n 3 i p u yP n' 5 L Q • .e 1 9H 201, q 3 q O H wl .I /4 N I 6J• ?100 a0. 0.13 W /3 I • o �1 N 1 14 e1.41'22'µ. 266.32 I I I /2 V N O ,4 9 J / gyp• u1r1. E. 300 n 3 i p u yP n' 5 L Q • .e 1 9H 201, q 3 q O H 2 I I N I o u vt 1 W 4 N 0 •� G O � N 1 1 I i 1 56.10'W 217.00 I 2 Bottom -of Test Hole: Frost Line: Free Water Level: Pere rate = 15.0 minutes/inch. 15.0 Feet 1.0 Foot 3/14/81 - Non Observed 3/18/81 - 10.5 Feet 3/23/81 - 10.5 Feet 3/24/81 - 10.5 Feet 0 Lot 11, Block 4 Table A WO IA19708 Date: 3/14/81 'Logged by: 'T. Krupka -Depth in Feet From To� Soil Description 0.0 0.5 Organic cover 0.5 15.0 F -2/F-4, brown Silt Sand, SM, with some gravel (10%) to 3 4", sst to 30%p firm, moist Set 3/4" perforated'PVC pipe to iun"perc test and to monitor water table elevation. Bottom -of Test Hole: Frost Line: Free Water Level: Pere rate = 15.0 minutes/inch. 15.0 Feet 1.0 Foot 3/14/81 - Non Observed 3/18/81 - 10.5 Feet 3/23/81 - 10.5 Feet 3/24/81 - 10.5 Feet 0 Jeo'c m� Oz y- r \ Municipality of Anchorage • "' Development Services Department j Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING nn Parcel l.D. 619 ' 431 _ C& HAAtt 05.0 iq_'5 ��77 1. GENERAL INFORMATION Expiration Date: 9—v�26�—Q& Complete legal description GREENBROOK SUBDIVISION: LOT 11. BLOCK 4 Location (site address or directions) 12530 FREITAG CIRCLE • ANCHORAGE, AK 99516 Current Property owner(s) NICK AND LAURETTA PEPPERWORTH Day phone 348-3065 Mailing address Lending agency Mailing address Real Estate Agent Mailing address 12530 FREITAG CIRCLE • ANCHORAGE. AK 99516 Day phone BETH WEISER W/ PRUDENTIAL J.W. Day phone 762-3111 3801 CENTERPOINT DRIVE, SUITE # 200 • ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class "A' Well N Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site S Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 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 files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone Address 3701 E. TUDOR ROAD, SUITE 1D1 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineers 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 meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will It confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory 337-6179 Date C8 t' los bedrooms, with the following stipulations: Maintenance Agreements Supplemental Engineer's Report Other vlvvuc �'�,1^ WATERAND ; M= VYA6I 0VATER By: 1A Z, Original Certificate Date: (Rev. 17)01) Municipality of Anchorage Development Services Department Building Safety Division OnSba Water 6 Wastewater Program 4700 South Bragaw St. P.O. Box 1911850 Anchorage. AK 99519456W www.ci.anchorage.ak.ua (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: GREENBROOK SUBDIVISION: LOT 11. BLOCK 4. Parcel ID: Q /? —4 31 — O G A. WELL DATA COMMUNITY WATER Well type X If A, B, or C provide PWSID# 210346 Date completed Sanitary sem Cased to ft. FROM WELL LOG Date of test Static water level ft. Web production g.p.m. WATER SAMPLE RESULTS: Coliform — ooloniesll OD ml. Arsenic: — mgJL. B. SEPTIC/HOLDING TANK DATA Nitrate — mgA. Wen Log property protected (YIN) Casing height (above ground) in. AT INSPECTION ft. g.p.m. Other bacteria — coloniesl100 ml. Date of sample: — Collected by: Tank Type/Material S.T.E.P. / STEEL Data Installed 8/24/2001 Tank size 1250 gal, Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (YM) NO High water alarm (YM) YES Date of pumping 8/9/2005 Pumper DENALI SEWER do DRAIN SERVICE C. ABSORPTION FIELD DATA 9/27/1995 Date installed 0/19/1908 Sod rating .p.d r ft1bdrm) 0-8/190 System type BEDS Length 40/48 ft. Width 600 15/18 ft. Gravel below pipe 0.5/0.5 ft. Total depth '4A ft. Eft. absorption area 864 ft' Monitoring tube YES Depression over field NO Date of adequacy test 8/5/2005 Results (Pass/Fall) PASS For "3 bedrooms Fluid depth in absorption field before test 2_0 in. Water added503+ga1. New depth 4_0 in. Elapsed Time: 120 min. Final fluid depth 2.75 in. Absorption rate >= 450+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N 3 type) NONE KNOWN If yes, give date — *• TESTED 1995 BED ONLY 0. LIFT STATION Date installed 8/24/2001 Size in gallons 1250 Manhole/Access (YIN) YES "Pump on" level at 40.5 In. "Pump off" level at 37 in. High water alarm level at 42 in. Datum B.O.T. Cycles tested MULTIPLE Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES acs vAm worn wr K u rAm awNnt PA Y ow Nas 7mmmN ra rAO r m AREA Ww ARW= MRM M 2we M -KMT SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAtft station on lot Absorption field on lot Public sewer main service line PUBLIC WATER On adjacent On Public sewer manhole/deanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 50+ Property line 5'+ Absorption field 10'+ Water main 10'+ Water service One 010'+ Surface water 100'+ Wells on adjacent lots 100'+ IND. 200+ PUB SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '•00+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parkingivehide storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ IND, 200+ PUB F. COMMENTS a '0*1 rW- /�PCE1LL T7v �Yc ST G. ENGINEER'S CERTIFICATION 1 certify that I have determined through held inspections and '•,r* review of Municipal records that the above systems are in" conformance with MOA HAA guidelines in effect on this date. y mesa: En ineer's Printed Name JEFFREY A. GARNESS At 9 3 ` Date f rr /OS •op__.l!__�..d HAA Fee $ 4?, -0 Waiver Fee $ Date of Payment < i- - 5 Date of Payment Receipt Number0-72404Receipt Number iPw.1zfol> VVQ 80008/11/2005 11:09 FAb 9077821858 Mehner & AssOclates i■m XXAM —� © b00000p�� W G AY e'f O - �0 �p�ol al C`- "'s0 1 g v u Qj I'•. 1 1 O�•• w ui CO r C4 �YLL- rt<ii Y13 0 0•- ��� 1: 0 ncn J x :fere i • 1 �4�0��o I 1 F I • � 1 I 19 98 a2• W �3� 50 `�\ I . N Gj L h� ZW '¢ ® inp Pin «0 R F— J 4v m 0 O J 2 0 c�yg xf+o •� Yeh =Y5's to fie �e�� XW o`eaos 017«66G �- E` •k"G SSUnes l u..5 ewes_ =b o�°c: W N W W za9 5'i� I <wc i;r 2 — 5c� e �fi`a m�s� U_e �eer o � a N � � 5 ' m eL ie IL 0 J CO gz m a" r Z ti' m L.1 Q rQ'^• [P t I jo HW< m UN b W O 3� Jf-K t Environmental Consulting and Design August 23, 2005 Municipality of Anchorage Development Services Department Building Safety Division On-site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Attn: Jeff Poet Subject: Lot 11 Block 4 Greenbrook S/D Diversion Valve Gentlemen: Our records indicate a diversion valve was installed when the septic system serving Lot 11 Block 4 Greenbrook S/D was upgraded. The diversion valve consisted of a T junction. After the T junction, valves were installed on each line to the respective beds. After the valve to the old bed, the pipe transitions from inch and a quarter pipe to 4 -inch pipe. A riser to the surface was not installed, but swing ties denote the location of the valves. If you need additional information or have any questions, please contact me at 279-3916. Sincerely, t LAO � V Lg--� Lars Spurkland Spurkland Engineering 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEngCagcLnet Municipality -of Anchorage ---- -- Development Services Department Building Safety Division :..> On -Site Water and Wastewater Program ` Sw, 6T• 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: Jeff Gamess Legal description: Greenbrook Block 4 Lot 11 The attached paperwork has been reviewed and is being returned for the following reasons: ❑ Original signature or stamp missing on _ ❑ Calculation error in design. ❑ Additional soils information needed. ❑ Water monitoring results inadequate. ❑ Discrepancy in Information submitted. ❑ Topographic information missing or inadequate. ® Incomplete; missing System must have a Diverter valve per Inspection Report ❑ Incomplete; missing ❑ Additional adequacy test information needed. ❑ Water sample unacceptable. _ ❑ Measured/proposed distances/dimensions missing. ❑ Locations of all soils, percolation and water monitoring tests not shown. _ ❑ Proposed system too deep for soils information submitted. _ ❑ Well log required. ❑ Omission in narrative. ❑ Insufficient fill over tank or field._ ❑ Other. Name of reviewer: Jeff Date: 8/17/2005 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK Municipality of Anchorage • Department of Health and Human Services Division of Environmental Services On -Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 - www.ci.anchorage.ak.us (907) 343.4744 - CERTIFICATE OF HEALTH AUTHORITY APPROVAL FORA SINGLE FAMILY DWELLING Parcel I.D. 01-7 — 43 —I pb HAA#_,/ , fjd Expiration Date:_ 'i- j 3 O ;2— GENERAL GENERAL INFORMATION Complete legal description Lo T l l , bV— %A C -r 1ZEEN C3Q0-6I Location (site address or directions) _ I a 3 0 l- f' \ /�F, C.t R(. L_ IF Current Property owner(s) 0-o nH i S : Lt c(o r� Day phone Mailing address Lending agency _ Mailing `address Real Estate Agent_ Mailing Address_ Day phone Day phone Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class _Well Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72.025 (Rev. 01.0o)- 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation based on procedures outlined in the Health Authority Approval Guidelines for the Health Authority Approval application show that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on- site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm �_o �oby r�=iitr\d� 1� 1= Phone Address Ao 3 6L 15 /—LJ 3 Engineer's Printed DMEQitl14��if_C3lLt1 0j1.14 _jZ Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, Additional Comments Date ' � l" � :ENGINEERS i •. � �' IBJ.• M vaooevrw. � .......... ....... •.• ���'. i^t: Tot. t, Sgv'S7csd • '� i� with the following stipulations. Attachments: HAA Checklist Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other ON-SITE WATER -AND--: "- WASTEWATER PROGRAM By: / � - / Original Certificate Date: Expiration Date: % 13- Reissue Date: 75.025 (Rev. OV00)• 'Municipality of Anchorage • Department of Health and Human Services Division of Environmental Services R E C E I V E On -Site Services Section 925 "L' Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us JUN 3o (907) 343-4744 MUMCIPA611r OF ANCFtORAOE ".'!P.ONMENUK SERVICES Dtvl!." HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LOT %1% 5 V.'1. Q�aaoeK Parcel I.D.: o+ - y3 -#O6 A. WELL DATA Well type At If A, B, or C provide PWSID # J/ J y0 Well Log Date completed Sanitary seal Wires properly protected Total depth It Cased to It Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level It It Well production g.p.m g.p.m WATER SAMPLE RESULTS: Coliform colonies/100 ml Nitrate mg/I Other bacteria colonies/100 ml Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/MaterialTr Date installed a 3 Tank size 106n gal Number of Compartments .2 Cieanouts _Foundation cleanout Depression over tank N High water alarm (� i Date of pumping 1// XXV Pumper /-400* ed,s C. ABSORPTION FIELD DATA / Date installed Qjf.7 ^ Soil rating (g.p.d./f!2-w P/bdrm) System type vnor Length —YO It Width -L:�--ft Gravel below pipe D. S It Total depth _A�B ft Effective absorption area &W Monitoring tube Depression over field II % Date of adequacy test -860o Results (Pass/Fail) For 3 bedrooms Fluid depth in absorption field before test _ e — in Water added ti00 gal. New depth ---L_ in. Elapsed Time: /5— min Final fluid depth — O — in Absorption rate >= fs a 9•P - Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date 72026 (Rev. 01/00)' D. LIFT STATION Date installed L/: f "Pump on" level att``�,� in Y7'« Datum ' a. " E. SEPARATION F. Size in gallons XAV "Pump off" level at _�� in Cycles tested 0 + SEPARATION DISTANCES FROM WELL ON LOT Septic tankAlft station on lot Absorption field on lot Public sewer main Sewer /septic service On adjacent lots MOO Manhole/Access _)�— High water alarm level at -3& in Meets alarm & circuit requirements_ Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Ve 1L Property line 3o4 Absorption field 140 Water main 79-1- Water service line 10 f Surface water N l 0 Drainage 810 Wells on adjacent lots _),2M r SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line &0 + Building foundation_ Water Service line A0 Surface water N10 Curtain drain N1 u Wells on adjacent lots _--L Water main 100 t Driveway, parkingivehicle storage 10� '!acre., 1 G. ENGINEER'S CERTIFICATION n ' I certify that I have determined through field inspections and r` > review of Municipal records that the above systems are in = NGIN 8 conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name I o6w N 9 � r V .Cprri�-, t z Date HAA Fee $ °V Date of Payment A, J 4, C Receipt Number L21,1,% W%, 72 026 (Fay. 01/00)' Waiver Fee $ _115 — Date of Payment 7/1-5/0, Receipt Number W45 Municipality of Anchorage Development Services Department • �" Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343.7904 Waiver Review Worksheet WR#: WR010053 PID#: 017-43-106 HAM HA000280 Permit#: Date Received: 7113/01 Legal Description: Greenbrook Blk 4 lot 11 Engineer: Tobben Sourkland. P.E. 203 W 15'" Ave.. #203 Anchoreae. AK 99501 Applicant: Dennis Falldort Waiver Requested: 0 feet from field to lot line Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: .................... seven* ... .••ses...... eeeeeee........................... son, Waiver is Granted: Waiver is not Granted: List Conditions or Reasons for above: Date: By: AA of Reviewer ....................... assesse...eee'e.ee. ................. passage ...... .ee., Rec#: 7215 Amount: 115.00 Date Paid: 7113101 7/13/2001 Municipality of Anchorage Georgie R. Witerch, Mayor Bttilding Safcty Di-7sion I'.O. Box 196650 a 4700 S. Bragaac SLrect Anchorage, Alaska 99519-6650 a (907) 343-&301 h tt p://e�a�c.cl.unchora�c.uk.us Todden Spurkland, P.E. 203 W. 15°i Ave., #203 Anchorage, AK 99501 Subject: Waiver Request for Greenbrook Bik 4 Lot 11 Waiver Request #WR010053 Parcel ID #017-431-06 HAM HA000280 Dear Tobben Spurkland P.E.: Department or Public Works Your request for a waiver of the required 10 feet horizontal separation from the on-site wastewater disposal system to property line has been approved. The approved separation distance is 0.0 feet. This waiver approval applies to the existing on-site wastewater disposal system to property line separation only. Any future upgrade to the on-site wastewater disposal System will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely,�F— Jeffrey W. Poet Engineering Technician On -Site Water & Wastewater Program MUNICIPALITY OF ANCHORAGE 0/7 ¢3/ QG DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES I CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL f492— 03q's OF ON-SITE SEWER AND WATER FACILITY 264-4744 - Application Date August 12, 1988 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 11; Block 4; Greenbrook Subdivision Location (address or directions) 3222 Campbell Airstrip, Anchorage, Alaska 99504-3831 (b) Property Owner Mike'Mulbay Telephone: Home Business Mailing Address (c) 'Lending Institution' Telephone Mailing Address (d) Real Estate Company acid Agent 2001 REALTY/Mike Mulbay Address 1345 West 9th Avenue, Anchorage, Alaska 99501 Telephone 276-2001 (e) Mail the HAA to the following address: or. Check here U. if hold for pick up. List contact person and day phone number below. S & S ENC;INEERING/694-2979 17034 Eagle River Loop Road, Suite 204 Eagle River Alaska 99577 2. TYPE OF RESIDENCE Single -Family ER Number of Bedrooms 3 3. WATER SUPPLY Individual Well ❑ Community ❑ Public kk Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite%% Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 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OFOF ANCH� - _ MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL FROTECfIONHEA TH CHECKLISTTY APPROVAL HAA) AUG �8a 18 2644744 Legal Description: RECEIVED Gr�Ph ryo A. WELL DATA Well Classification If A, B. C, D.E.C. Approve(ON) Well Log Present (Y/N) Date Completed Yield Total Depth Cased to Depth of Grouting Static Water Level Pump Set At ' Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: JI r To Septic/Holding Tank on Lot Z� I 'r ;On Adjoining Lots ZO D To Nearest Edge of Absorption Field on Lot 9-49O r ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by ; Date Water Sample Test Results Comments G2F�'N�if�.Or� Cr/fi 7Lzee B. SEPTIC/HOLDING TANK DATA Date Installed 3� 83 Size No. of Compartments Z Standpipes (Y ) Air-tight Caps(Y N) Foundation Cleanout(p r r Depression over Tank (YNO Date Last Pumped __ �f17�B8 V S Pumping/Maintenance Contract on File (Y/N) N ; for /V/14 Holding Tank High-Water Alarm (Y/N) %% Temporary Homing Tank Permit (Y/N) Separation Distances from Septic/HutOWq To Water-Supply Well 2 0� % To Building Foundation To Property Line l ' �' To Disposal Field 3v ' .• " ' To Water Main/Service Line !O.t. •,.t. ov To Stream, Pond, Lake, or Major r Drainage Course - Comments Pagel of 2 72-M (Pry 8 861 Front MUNICIPALITY OFANCHORAGE ENVIRONMENTAL SERVICES DIVISION C. ABSORPTION FIELD DATA AUG 18 1988 Soils Rating in Absorption Strata IVO Type of System Design /// �I // '/ P - - ED Date Installed ��7 i�y Length of Field 7 V r Width of Field l Depth of Field "� S Gravel Bed Thickness Square Feet of Absorption Area 8 Standpipes Presen (Y ) Depression over Field (YO Date of Last Adequacy Test Results of Last Adequacy Test / %g Separation Distance from Absorption Field: t To Water -Supply Well X(la r 4 To Property Line X O f To Building Foundation S0 V- To Existing or Abandoned System on Lot 30 IA ; On Adjoining Lots u /_ 0 r_= C�/. To Water Main/Service Line XO / To Cutbank (if present) w/ ,Oq To Stream/Pond/Lake/or Major Drainage Course ! To Driveway, Parking Area; or Vehicle Storage Area Comments l■��i-ii3iL■]a Date InstalledArr Dimensions S�7o GA �- �� —/0 l Size in Gallons Manhole/Acces (Y ) "Pump On" Level at 33 , "Pump Off' Level at z e n High Water Alarm Level at -3 Vent (Y Ne Tested for 43 R_e- Pumping Cycles during Adequacy Test. Meets MOA Electrical Codef (Y/N) Comments No H F_ •• Check Permitted Bedroom Rating Against HAA Request '• I certify that I have checked• verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Sig�ENGinICFRING Date C � le River Loop ROW No. 204 MOA No. Eagle iv�i as ■ 77400 Receipt No. Date of Payment d L6' 1r P ,.•••% n Amount: $ /70. D .fir I __3.A Page 2 of 2 77 -OM IA v 8TAA Bnck µo. 1u7t Je,�r .Ae ` STEVE COWPER, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 563-6775 3601 C STREET. SUITE 1334 ANCHORAGE. ALASKA 99503 DATE:L-��----- PWSID #: To Whom It May Concern: Accordingq totherecords on file in this office. the _ 6—mr— i Water System is in compliance with the State of Alaska Orinkinq Water Requlations. Sincerely. "A -Ronald S. Klein Environmental Field Officer RSK:ss