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HomeMy WebLinkAboutTHOMAS L BOYLE BLK 2 LT 12AThomas L 0 Boyle Block Lot 12A #015-283-13 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 1 ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-0720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME M 0.CYON% G W�C� t el PHONE �rNEW MAILING ADDRESS S. ;,C .274 Z/// ❑UPGR ADE LEGAL DESCRIPTION An^ A Ak A 9 Cn -J LOCATION � Lot / 131 k 2 3o /C JVitiVI✓ISIOI7 N/IISI�%C �/L htC, f // /r� NO. OF BEDROOM: C /7 u T m Cx- r% �t I C -r" DISTANCE TO: Wall / Absorption area Dwellin uY 1 7 ,r / g— / PERMIT NO. aQ Manufacturer e h< Width reer Liq. capacity in gallons Material Liquid capacity in gallons Nearest lot line / IF HOMEMADE: OJ V Z DISTANCE TO: Well 024 Manufacturer Distance between lines O W I A CE T Well li 2 No. of linesn Length of each line t— Top of tile to finish grade -- p Nearest lo[ line � II W Length Width Absorption area(s) Qa a W Type of crib Crib diameter W W DISTANCE TO: Well -/ Class Depth J W DISTANCE T0: Building foundation OTHER 72013 line CIPALITY OF / OLPT. C' HLA U =N of compartments e Width Liquid depth PERMIT NO. Material Liquid capacity in gallons Nearest lot line / PERMIT NO. N J Trench width Distance between lines inches/ ZE Total effective absorption area nches DO Z PERMIT NO. coral effective absorption area Nearest lo[ line ),stance to lot line PERMIT NO. IeDtie tank Absorption area(s) MUNICIPALITYOFANCHORAGE • DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION f, ENVIRONMENTAL ENGINEERING DIVISION 825 L Street. Anchorage, Alaska 99501 Telephone 264.4720 \ ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑NEW MAILING ADDRESS LY -F93 'UPGRADE Po bev- 3-q(.3;, LEGAL DESCRIPTION L I;- l} ►3 2- , l� D DISTANCE TO: ••� Y i Q wF Manufacturer 0 O N 'r Litt. capacity in gallpns dab IF HOMEMADE: day DISTANCE TO: Well _?� Manufacturer W I D ANCE TO: Well FW W No. of lin Length of each line 2 H Top of tile to fin, rade 0 US Length W. (7 n a W Type of crib Crib diameter W rn DISTANCE TO: Well Class Depth W DISTANCE TO: Building foundation OTHER 1A depth ��•..��•�aauon Nearest lot Orilla 0 Sewerline Septic tank inches Lila Ii 433 72-013 1Rev. 3H81 area compartments depph T NO. OF HOAGE'n ITY Department( IHealthLand Environmenta- rotection 825 L Street, Anchorage, AK. 99501 } s lbc9S� 264-4720 * * * HANDWRITTEN PERMIT ^' ON-SITE SEWER PERMIT 99 Applicant://A,,, Mailing Address: l4 P�-4-]_ Q Location: YyA�/V R Q� Phone Number::{e Legal Description: LOT /2 A 7,o F*Size- Type..ot erof soil Absorption System Is: 1110401147.D_ ��rl h7 PJM L/SMB,E �L1SSc�^, Drainfield: __ Seepage Bed= Holding Tank: Maximum Number of Bedrooms: 3 Soil Rating(sq,ft/br) C-)4-17 TheRequired Size of the Soil Absorption System Is: AS shown on 'CA Einevejeln(51 0 M 441naE' DEPTH LENGTH GRAVEL DEPi�SCaG• WIDTH 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 ,.he bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of the bottom of the excavation(in feet), gravel between the outfall pipe and * * REQUIRED SEPTIC(HOLDING) TANK SIZE _ ��� GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this of residences that the well will serve. property and the number Backfilling of any system Twithout Nfinal linspection ONS ARE Oand Ea will be subject to prosecution. PProval by this department Minimum distance between a well and any on-site sewage disposal system is 100 feet fora 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. I certify that: * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 1 (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 that the on-site sewer system may require enlargement if theesidence is remodeled to include more that 3 bedrooms. Signed:A : A Issued by: ant �/ /YO FFF Date: SWP/024 (1/81) )X, j ,SY ' en ':PrepA eh JM MBE Y�ssc�, 7f/E C�a�T,'f1Cia� Sc,C 'O o20in % 7F/� r e Ce� / _ MUt-4 I C I Fm�F=l L I TY QF Fir41="0RF=l GE DEPARTMENT Oc-NEALTH AND ENVIRONMENTAL f�"'�TECTION 825 'L TREETo ANCHORAGE, AK. 99L 264-4720 (, ON—S ITE SEWEFR UF}GRRpE PERM I rTS cdoijs� PERMIT N0. ( £00597*) APPLICANT STEVE PHILLIPS BOX 3-4132 l LOCATION WAGNER ST 344-8937 LEGAL LOT 12R'BLK 2 BOYLE-SD LOT SIZE 40000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER, OF BEDROOMS = 3 SOIL RATING (SO FTtER)= 265 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: L'EF}TH= 12 L-Er+FC',TH= �� �RF1krEL QEf?TH= g THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRRINFIELD. 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). REC'U I REO SEF?T I C TRr+FF< SIZE= 1 Kapp GFILLOhdS 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. --- TL FC31 <2> I r4SF=ECT I Col rdS FIRE REQU I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET 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 !JELL TO A PRIVATE SE14ER LINE IS 25 FEET FIND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGPAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F�'ERr7 I T EXP' I RES F>EGEMF3ER 31r I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE RESIDENCE IS/%/REMODELED TO INCLUDE MORE -THAN 3 BEDROOMS. 1111 / SIGNED APPLICANT STEVE PHI PS 1<+:s ell AND 4JELLS AS SET ENLARGEMENT IF THE ISSUED BY __----------- / - ------- DATE-I�%_----- / eD �o �,a f•71_ItJ Z r I PAL I T•r' . IDF ACJf_`.►-1�_,RArE - ----- - �aQOyl�tcCe DEPARTMENT :,HEALTH AND ENVIP.ONMEIITAL W-,�OTECTIOFJ i Q25 STREET, ANCHORAGE, AK. 9S %I 264-4720 - AFDC• mDr•J—•, ITE =EWER PERM I T PEP.MiI NO. ( ) "PLICANT� )CATION `Pp 6eV 3-z-11- 7— :GAL L ?PE OF SOIL ABSORPTION SYSTEM IS: i„,IMUM UUMCER OF BEDROOMS = 2'I LOT SIZE g(?o'_60SQUARE FEET SOIL EATING (SO FT!BR,)= o2 iOS IE REQUIRED SIZE OF THE SOIL FIBSOPPTION SYSTEM IS: QEF=•T1-i— L_Et-J0-rH GRA'.,: EL GEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DIS 8110E BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THEPE IS 110 SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MI[IIMVM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET), :ESU I RELY S EF I r TI 4V < f� OD C3PLLrir•J_ :RMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING, THE I_TALLATION INSPECTIONS OF ANY IJELLS ADJACENT TO THIS PROPERTY AND THE JMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TI•JC' c. 2 > I FJ SPE CT I prd�. ARE REQU I REC- )CKFILLING, OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS -IPTMENT WILL BE SUBJECT TO PROSECUTION. 'NIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS )0 FEET FOR A PRIVATE IJELL OP 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING 'ON THE TYPE OF PUBLIC WELL. :NIM!IM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND ) A COMMUNITY SEWER LINE IS 75 FEET. :LL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 20 DAYS 1. THE WELL COMPLETI0N. "HEP. P.EQUIPEMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE IAILABLE TO IN=URE PROPER INSTALLATION. F='EF_” I T E::P I CERTIFY THAT I AM FAMILIAR IJITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET )PTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. I UNDEPSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE 'SIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. GNEG:��<:2 y_ --_ ------------- APPLICANT /l SUED BY -- --- - _DATE__ V4. 0 t1Ut-1 I I PRL I TY OF nr4CHORF=l (3E DEPARTMENT OF- HERLTH AND ENVIRONMENTAL pmOTECTION zae_) a . 825 'L STREET, ANCHORAGE, AK. 99 1 264-4720 `y2/. lC� • iC� S� ' (Dr4_S I TE SE4.IER UPCaRROE PERMIT �icY�i�tus PERMIT! NO. C 800488 ) APPLICANT STEVE H. PHILLIPS PO BOX 3-4132 LOCATION WAGNER ST. 344-8937 LEGAL L•12R'B2 BOYLE 4 LOT SIZE 49500 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING CSQ FT/BR)= 265 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= ::LID ILErdGTH= 10 GRRYEL E>EPTH= G THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF A TRENCH OP,_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 GP.AVEL'DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIF! FEET). REG�U I REL7 'SEPT I G TRtJF� SIZE= 1E+p�i. GFIL_LOr+15 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. --- Tl.JO C 2 ? I tJSPECT I OtJS RRE REQU I REL7 BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-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 WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. lil OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I RES G E C E M C E R 1 r 1 P p 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 THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED: ---------------- C)' ------------------------ APPLICANT STEVE H. PHILLIPS _ t ISSUED BY------------------------------DRTE_�=1�1=.� --- va. v ~: GREAILe ANCHORAGE AREA BOR vH . • �Q�1ia� U SUS Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 NSI LOTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME X-)-"A-A _ 1 1` MAILING ADDRESS Y O • r 3" �7'�.� �..� PHONE LOCATION LEGAL DESCRIPTION 12: A I -S/11- rnuLTI- rLO SEPT OmPANK: DISTANCE NUMBER OF FROM WELL MANUFACTURER MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY6 GALLONS. TILE DRAIN FIELD: 1�,� `� %� TOTAL LENGTH DISTANCE FROM WELL 13, FOUNDATION NEAREST LOT LINE jq �t� 4 OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES _[i/1!_ , �t �/ TRENCH WIDTH�IIC. TOTAL EFFECTIVE ABSORPTION AREA O / SQ. FT. LENGTH OF EACH LINE S- I DEPTH OF FILTER I DEPTH: TOP OF TILE TO FINISH GRADE, MATERIAL BENEATH TILE 94. ABOVE TILE ,3 IN_ WELL - TYPE � ELL:TVPE�dTq- CONSTRUCTION DEPTH _ BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION , LOT LINE , SEWER LINE , TANK , SYSTEM- CESSPOOL-. OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: Com(- Catt - LOT SLOPE: REMARKS: Form EQ -032 DIAGRAM OF SYSTEM SlrreP s' r r 0 DISTANCE FROM: Son Lc 53 3 F DATE/")) - ATE/ 1 APPROVED G.A.A.B. GREAl-."" ANCHORAGE AREA BOF';H DEPARTMENT OF ENVIRONMENTAL QUALITY 5550"C"STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT I .Acs P.M. ViL) - %I S PERMIT N� NAME OF APPLICANT JTL'yEr /- �G���J MAILING ADDRESS INSTALLATION LOCATION LEGAL DESCRIPTION - !. DT �� /J y` �j �' d f/��•� f'v� -I"' ��1 /�L d JyJrrM INSTALLATION OF: SEPTIC TANK SEEPAGE PIT��.,.,._DRAIN FIELD TYPE AND SIZE OF FACILITY TO BE SERVED OTHER FINANCED THROUGH TO BE INSTALLED BY /7�7G! /1/Z/ SOIL TEST RESULTS !�'/ ���� `. NO THIS PERMIT 13 NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED J . 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 MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. SEEPAGE AREA WELL TO SEPTIC TANK - ��--o / SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK. SEEPAGE PIT DRAIN FIELD , TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.E. OR LICENSED DESIGNER I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. 1 DATE APPLICANT'S SIGNATURE I FORM NO. EO -01 4 s fF� I TYPE DIAGRAM OF SYSTEM NO. 29.68 AND THAT THE ABOVE 0 GREATER ANCIIORML ARLA L'OROUL,. Department of Environmental Quality 3330 "C" Street Anchorage, Alaska 99M SOILS LOQ VEROI A'r1ON TEST Date PerfonaLd %fy�1,<_ S�l?L _ZJ1L u Performed for —STS-ILe___.lh1�p� Legal Description:LOJ_J-13_�OC�2 This form reports: Soils log `— Depth Feet 2 L. 5. t:1 Raw SiY_ f 6 So owe 7 /roc —i'4c.. C iL R y' ' e o iv te,v7` y J 10 — — -- — — tt - S,G.fy,.i�ti�7 6.eivvcc. 12 Gna 13 Shope on 14 Was ground water encountered? No If yes, at what depth? Reading Date Gross Time Net Time Depth to Water Net Urop 1/4 J3 AO 'Eric d �r Pcrco�at o, n r`atc _�j�3_ minutes, -Proposed installation: Seepage Pit Drain Field _�•— _-.__. Depth of Inlet _ _ _. Dept 'T of pit or trencls COIVENTS: r..2?v'.�_.SQ_•_F�=--p�E4J1V146� _A/� Y9_ l�•LtQ �C7�4�'� .gr Performed Q — — C.—_.ertified BY: �Q:y j�ZADate: y��,�,_ _Steve Phillips ....- . 14 -June 75 ;... <,,,,: '..c,:FtLLr: ...•.1.ZA .: ..� '.2_.. ._ - ...Boyle. _• _ _ 1?l:� Fo: s Geporto s so t% '...Ct 701 ^-1Op- In addition to the one foot. 'soil thick layer of Gm there t 2. were several erratic I bodies of sand and silt f sized particles .but these I .• 1 accounted for less than I Chof the totat sediments.— ,; ( The sediments were conpaot'_._�._ ! with a moderate to high i I moisture content. t f 10 �- Gm Ch Was Crocac! it&. 'a:rsr •; :, —._ NI4The loth is flat L r :• tins . At !.,Iat � E!AblPX I ATE l �US� fiH.:•_._-- MT 11?: _ — 16iT_ t 7ii-- <7: u ! o! In : - -;f _..:_,a _i16 f.. _ K } ft Ch -at-350Sgft/bdrm; 1 ft Gm at 225\sgLf�t/tidgrf �—calc�Ytgted-&vaPagt==329 -sgft/bdrm _..._ _...-•--. yc t•.tr E;:Per.gcQ.:e.16; June- .75 -- -- r*11 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL jl Jg—f -`�(p,6 OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date Z 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant NametATE-� Telephone: Home Z —442% Business Applicant Address !-5 1' its (c) Applicant is (check one): Lending Institution ❑ ; Owner/builde Buyer 13; Other [3(explain); _ (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single-FamilywMulti-Family ❑ Other Number of Bedrooms �a 3. WATER SUPPLY Individual Well �* Community ❑ Public ❑ Note: If community well system, must havewritten confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 n+,94t ("It L I SZ0-U Z to Z abed •)liom s.jaaul6ua leuolssalad 041 ul suo!ss!wo io siana iol elglsuodsai lou si a6ejoyouV to Alledio!unyy a41 'panss! s, aleo,pliao a ajolaq el9p azAleue io suolloadsui lonpuoo lou op d3HO to saaAoldw3 •sluawannbai alels pue leiapal weliao Alsiles o1 japio u! suo!lnlpsu! 6u!pual ila41 pue sawo4 to siase4oind of Asalinoo a se s!41 saop d3H0 041 •e1sely 10 alelS 041 u! paialsi6ai Jaau16ua leuo!ssalad luapuadapu! ue Aq anoge g ydei6eied u1 uaA16 suo!leluasadai 041 uodn Alolos paseq saleoiNUao lenaddy Aluoylny ylleal-1 sans! (d3HO) uo!loalad IeluawuaiAu3 pue ylleaH to luawyedaO a6elogouy to AllledlounV ayl NO11f1VO lenaddy l9uo!1!puoO to swjal l9uoll!PuoO panaddes!O '2�W panaddy 0190 Aq swoa``/paq 227. vV tOl panaddy 7 / IVAOklddV d3HC '9 � ��)•� �CUCISS..;" �7 � � � � tom'. •?� •-`:i 0's' r leas s,�aau!6u3 r eleO ajppV c. auoydalal r+c- ;N— _ wnjloOWL N uo!loadSul 5141 to omp a41 uo loolla ui suo!leln6ei pue'saoueu!pio'sapoo ale1S pue led!o!unyl pe Lipm eoue!ldwoo ut st walsAs lesodslp ialemalsem to/pue Alddns ialem al!s-uo ayl 'uolloadsui pue u011961MAW Aw wa1 pue sal!{ 06eio4ouy to Al!Iediolunyl e41 wail pau!elgo uo!lewwolu, a41 uo paseq 1941 A1!iaA ja4unl I-uiaja4 paleoipui ainlonils to adA1 pue swoapaq to jagwnu a41 jol elenbape pue leuo!lounl'ales s1 walsAs lesodsip jalemalsem jo/pue Alddns jalem ails-uo a411e41 smo4s lenaddy Al!jo41ny 41199H 5!4110 uO1le61lsanu! Aw 1941 AAuaA l'molaq um04s alep uo!lep!leA a4110 se pue olaJa4 pax!lle leas Aw Aq paipliao sy NOIIVWHOdNI CNV V1VC'H3llV3S 3113'S1S31'SN0I1O3dSN1 ONICIAOHd Wllld `JNIH33NION3 'S r'`a MUNICIPALITY, OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: LT I Z A- F -I.— Z A. WELL DATA Well Classification -Tg3 V'AVE If A. B. C, D.E.C. Approved (YIN) NM Well Log PresentL�C(YIN) Nib Date Completed rP�jC I of 7'"T Yield --E, I CrPyn Total Depth _5at ed to 4-Z � fr"` I^' Depth of Grouting N/a Static Water Level 19 " il Pump Set At 40' m Iti Z Casing Height Above Ground Sanitary Seal on Casing (YIN) Ygs Electrical Wiring in Conduit (YIN) Depression Around Wellhead (YIN) Separation Distances from Well: To Septic/Holding Tank on Lot (, 3 ; On Adjoining Lots To Nearest I Edge of Absorption Field on Lot _`►�; r g p On Adjoining Lots To Nearest Public Sewer Line V_% To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by �; Date 0"ItT tAml �' '4c iSA I1B �✓/•vim! Comments B. SEPTIC/HOLDING TANK DATA Date Installed` ersize I «Noy. of Compartments Standpipes (YIN) YC -5% Air -tight Caps (YIN) Foundation Cleano t (Y/N) Depression over Tank (YIN) N� Date Last Pumped Z` Pumping/Maintenance Contract on File (YIN) N �� ; for NI 4A Holding Tank High -Water Alarm (YIN) N 1A— Temporary Holding Tank Permit (YIN) /" Separation Distances from Septic/Holding Tank: \1•sl To Water -Supply Well To Building Foundation r i To Property Line To Disposal Field ) To Water Main/Service Line Z `� t't— To Stream, Pond, Lake, or Major Drainage Course ( C–N0 Comments Page 1 of 2 72-026(11/84) 8/6 8 A -Z tQ/14fe C. ABSORPTION DATA (_O" 8� �C�1 5�11f� ��)C� Soils Ratingin Absor ti n Sttrraja V``� %Z0 , �/r^� �� �� rn ' p !/ ' ! Type of System Design Date Installed 30 9Z Length of Field Z• X '70 — 1 CO , Width of Field 1 Depth of Field Z •• S ywzp`^wo Gravel Bed Thickness 3 if Square Feet of Absorption Area Standpipes Present(Y/N) YES Depression over Field (Y/N) Date of Last Adequacy Testz_ Results of Last Adequacy Test s� �SPr?eTq uti t/ Separation Distance from Absorption Field: To Water -Supply Well ___ 147 To Property Line _ 1 To Building Foundation ' To Existing or Abandoned System on R,,j f Lot ; On Adjoining Lots To Water Main/Service Line zS t�� To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course `�� I't— To Driveway, Parking Area, or Vehicle Storage Area Comments y I .* A D. LIFT STATION �T S-ks�tZoNrR•C. Date Installed �( �� �Z Dimensions 49 of 614, i� Cryl.-_ 7r_ Size in Gallons -- 4, Q*Nkz r .S_ Manhole/Access (Y/N) "Pump On" Level at Z4 r Z, "Pump Off' Level at —C) r' `— Qgp� Z m High Water Alarm Level at —36 Vent (Y/N) T t./ � iE� r- -K Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Yc_�, ' Comments Check Permitted Bedroom Dling Against HAA Request'• Icertifythatlhav check d, ver ied. rconformed toall M9AAa HAA guidelines in effect on the date of this inspection. Signed—TCTv1Date Company eta WL Q�ti�.• F OF A4 •�A.� Receipt No. ���-0 �+ Date of Payment—� "t2 d d 7 0 �T�• gt±f-7?V ••• '•9*♦�� y~* 49 If • ••'f'* Amount: $ � 0 �' r % •L'ngiri' SA21 i. A. rfLCtiER t t. �r.(7y5 tea: ► 0���;• CE-fli3 l�G� Page 2 of 2 �cbv ��eeip� •.. ..•• i 72-026(11.84) J ML LABORATORIES, INC. LABOVDRY I.D. 0 i 7127 OLD SEWARD HIGH`.'O*�1' ANCHORAGE, ALASKA 99518 (907)314-8551 BACTERIOLOGICAL MATER ANALYSIS DATE CITY TINE COLLECTED TTP 3T' _M p PUB CIRCLE CLASS 1 A B C TELEPHONE NUM STATE , ZIP CO WHERE SAMPLE WAS COLLECTED :HECK ONLY ONE THIS COLUMN) ❑ DRINKING WATER ✓CHECK TREATMENT ❑ CHLORINATED ❑ FILTERED Obf.TREATED OF OTHER ❑ RAW SOURCE WATER ❑ NEW CONSTRUCTION OR REPAIRS ❑ OTHER(Specify) IS THIS SAMPLE A CHECK SAMPLE TO A PREVIOUS NON -CONFORMING SAMPLE? ❑ YES ❑ NO PREVIOUS COLLECTION DATE ANALYSIS REQUESTED (1F OTHER THAN TOTAL COLIFORM) IVIDUAL ❑ RESUBMIT SAMPLE Sample refected because: CHECK ONE OR MORE it1a1 13Sample too long in transit. Sample should not be over 30 hours. ❑ Sample received too late in week ❑ Not to proper container ❑ Leaked out ❑ insufficient information provided. Please read instructions on form. ❑ Other (Specify) RECEIVED FROM F, RECEIVED BY QS CAm., c ANALYTICAL METHOD: MEMBRANE FILTER ❑ FERMENTATION TUBE � Date b Time Started 2/418,7 I0nl;lf�< Date b Time Completed c4lzg t1:� 1 Analyst , S 1t'n2 SEND REPORT TO:�(PRTN7 FULL NAME,ADDRESS AND ZIP CODE ❑ Other Bacteria NAME i ❑ Test unsuitable because: ❑ Confluent Growth ADDRESS ❑ TNTC CITY STATE ZIP a SATISFACTORY (UNSATISFACTORY ❑ BACTERIOLOGICAL MATER ANALYSIS RECORD FOR LAB USE ONLY TOTAL COLIFORMS Membrane Filter: Direct Count —40— �— Coliform/100ml Verification: LTB BGB FECAL COLIFORMS Final Membrane Filter Results Coliform/lODml OTHER Reported By Date • ti "READ SAMPLE COLLECTION INSTRUCTIONS ON BACK OF FORM Time A.M. ` P.M. F <Z,/�5 / O M SUBJECT i 1 JO ME88A8E 1 DATE -- - - SIGNED REPLY �iFpIFOfiM.15171 <r SIGNED -:_DATE / SENO PARTS 1 ANO -3 UTTACT . . ` _._- = __. ' ,• _ / --.. PART 7 WILL RE RETURNED WITH REPLY.ta�bonhTrs . ,POLY PAI( ($O SETS) 41`472� DETACH AND FILE FOR FOLLOW-UP w MUNICIPALITY OF ANCHORAGE t MEMORANDUM Date '2 S """9 From: Re: 0o ,- .-- 3� try) pi CA. c.) 4w per. { f � 9"15 1 Ra`i/�/ t Al max, M % "w'S �` D �� Gt G4ck � A. k cti�i� FcQ �lla.�� ALASKA MIROflUTAL COUROL SMICCS, InC. Engineering 6 Enuironmental Studies G� March 31, 1982 ,t. Mr. Les Buchholz\` Department of Health & Environmental Protection 825 L. Street Anchorage, Ak. 99501 Dear Less: As requested, I reviewed the drawing submitted by John Lamb for the mound system on Lot 12A Block 2 Boyle Subdivision. Here are my comments: I don't have any problem with the new sewer system being over the old trench. I would be concerned if the curtain drain is installed over the old trench. The drawings appear to show that it will be moved to the east, in the general vicinity of the old standpipe for the mult-W w. My advice would be to cut off and plug the line coming from the trench so that water will not seep back out of the trench into and the curtain drain. The drawings for the original system as installed in 1975 show the system being only three feet underground. I would make sure that the curtain drain is kept as high as possibl to preclude the sewage from seeping down into the ground and working it's way back into the curtain drain. I would specify the pit run sand be free of silt. A silty sand tends to plug very fast. These are my only comments. This is a design that makes the best of a bad situation. If you have any questions nl a let me know. Sincerely i 0.Y • .. � 1'220 West 25th Auenue • Anchorage, Alaska 99503 • (907) 276-1361 r" iicipa9... 825 ,.I ., Si R EET ANCi10RAGE, ALASKA J9CC1 (907) 26-4.4111 t:i1 :."L'1'.g�r,1� •^ €•`...� IVC.,I:�li. ... ..x;11.1J:.f.. 1%C1"vi1'.4''i I O1"HI,,:711 AgDI>: V II<I '.%... I:I nl wto f f CT l b N' January 4, 1982 Larry Osborn SRA Box 1547-0 Anchorage, AK 99507 Permit n 810958 Subject: Lot 12A Blk 2 Boyle SID A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued'on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, a4 6 Les N. Buchholz R Program Manager Sewer and Water Program Enclosure: Copy of Permit SCHACHLE EXCAVATING 633 East 81st Avenue Star Route, Box 5106 Anchorage, Alaska 99502 Wasilla, Alaska 99687 344.2911 37641351 November 9, 1981 Larry Osborn Legal: Lot 12A, Blk 2, Boyle Subdivision Bid price to install and furnish tank, pump, manhole, furnish and hauling of the drain rock and snad as needed for the system. All labor and equipment to install a complete sewer system as per drawing. BidPrice .......................................$19,600.00 ' Schachl—e �. a P ioRM lima ArY•o4 aoa [Ar.nJec. Braun Mve•OIeNI i Page No. of Pages All material he guaranteed to be a, seecrhed All wore to be eompleled In a woramanh\e manner ,wording to slarMud prettiest. Any alGpl.oe or deviation Imm above lm.brl bons Involving emir, costs will be emecutM only upon written orders, slid wdl become an uIts chase ever and above the esbmale. All agreements contingent upon strikes. aradenh er delays beyond our control. Owner to carry lire. hiensdo and ether necessary insurance Our "ken are fully covered by Wo down's Compensation Insurance. Pleafe sign and return Arreptatlrr of jJro;JV11 II —The above prices. specifications and conditions are satisfactory and are hereby accepted. You are strulmlred .. r........1 ..., r..r P .. I .I .. n . . r .. Signature - rte.._ Signature _ Note: This proposal may bp 9 () withdrawn by us it not accepted within days. original for acceptance. Signature MONARC ELECTRIC Box 4.449 ANCHORAGE. ALASKA 99509 Phone 279.9036 PROPOSAL SUBMITTED TO PHONE DATE LARRY ASBURN 345-4126 11/2/81 STREET JOB NAME SRA BOX 1547-0 CITY, STATE AND IIP CODE ANCHORAG E- AK- 99507 10B LOCATION ARCHITECT DATE Of PLANS lOB PNONC I We hereby submit specilicanonS and estimates for: Provide two circuits and connect to pump and associated equipment to be supplied and installed by others. i I� II I� Me 11raptior hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: One Hundred Eighty i and no/100--------------------- c(ofrdrsf$ 180.00 Payment to be made as tallows: I I -nM"' ALL­Ii�VO1GC5 ARE nU! AND PAY' ABLE UPON NCCrIPr A'.b WILL C? SERVICE I CHARGED 147% WO_ }HLY AFTER 30 j All material he guaranteed to be a, seecrhed All wore to be eompleled In a woramanh\e manner ,wording to slarMud prettiest. Any alGpl.oe or deviation Imm above lm.brl bons Involving emir, costs will be emecutM only upon written orders, slid wdl become an uIts chase ever and above the esbmale. All agreements contingent upon strikes. aradenh er delays beyond our control. Owner to carry lire. hiensdo and ether necessary insurance Our "ken are fully covered by Wo down's Compensation Insurance. Pleafe sign and return Arreptatlrr of jJro;JV11 II —The above prices. specifications and conditions are satisfactory and are hereby accepted. You are strulmlred .. r........1 ..., r..r P .. I .I .. n . . r .. Signature - rte.._ Signature _ Note: This proposal may bp 9 () withdrawn by us it not accepted within days. original for acceptance. Signature f• i t0lat llaa A.rwrlry. (m:w_ajwc.6aan MrC 01050 �1. �J1�11111t�if1� Page No.01 of01 Pages An einerrn n ewonteed To Mas ghwdod. All work to ee Cumidirod in • workmanhke manner accordng to Standard prartices. Any alteration or devialion from ahore, Mti Jiu Items Involving eHra cods wdl be neculed only lotion wulten old-%. and --it lh eome an erlia Chnge over bird show the *,Inner. All agreemrnH ti n niRenl loran Strikes• ac[Ments or delays beyond our Control. Owner to Carry bre. tornado and other necessary nHoonct. our werkere n. fully C.ined by workmen's CoerlMnulnn I..urnH. t' ruptatlfe of jrfCapavaf —The above prices. specifications and conditions are satisfactory and are hereby accepted You are authorized lred Signat' Signature� ' 'r _ Note: This proposal may be 'r 0 withdrawn by us if not accepted within days. Signature D & S UNLIMITED 7800 DeBarr $206 ANCHORAGE. ALASKA 99504 Phone 337.6763 PROPOSAL SUBMITTED TO PHONE DATE T 1T't` r! ;L� f112�• 1 OCT STREET TAG' ER P.OAD SRA BOX 15117-0 JOB NAME SF;",E l LOUND CITY. STATE AND IIP CODE ACCIIOI;A,E, ATASTCA JOB LOCATION LUT I?A UF: 2 L'OYLi• SUBDIVISIO:! ARCHITECT DAZE OT PLANS JOB PHONE J!: WI,13^ AND 1.-100c. We hereby submit specifications and estimates for: L•".{CAVATIO.'v ATM CONSTRUCTION OF Oil SITE S7t'.`AGE TRE"TEENT INPROVDIENT, MOUND TYPE, AS P;:.B SPECIFICATIONS BY TIT1 LA?', -'3E f.TIU ASSOCIATES FO'? SCOTT VlETZEL SERVICES INC. JOB NO. 1004. PLEASE NOTE THAT DE•S UIILTD. MILT, STUB ELECTRICAL TO SI:IRTICG U`I TILIILER, !IOUi(UP BY AN ELECTRICIAN IS RESPONSIBILITY OF O:rNER. p FINIS!1ED ROUND WILL lir I'rPT)Y FOR SEEDITIC, ACTUAL SF:EDIEG NOT INCLUDED IN THIS PROPOSAL. D&S U1:LTD RESERVES TIIF, RIGIIT TO MEN UPON F'0'I PAYIIr:IT AT CO[:PLFTION A14D TILLING. R 100 VroPLIBC hereby to furnish material and labor —complete in accordance with above specifications. for the sum of: f 7:11-17Y TITOUSAr:D TWO IIUi,DRED Al:D ^0/00 20,200.00 Payment to be made as lonows: dollars (s ), IN FULL UPON CO-PLFTIOfI AND !'ILT•Tl!r,. I l� An einerrn n ewonteed To Mas ghwdod. All work to ee Cumidirod in • workmanhke manner accordng to Standard prartices. Any alteration or devialion from ahore, Mti Jiu Items Involving eHra cods wdl be neculed only lotion wulten old-%. and --it lh eome an erlia Chnge over bird show the *,Inner. All agreemrnH ti n niRenl loran Strikes• ac[Ments or delays beyond our Control. Owner to Carry bre. tornado and other necessary nHoonct. our werkere n. fully C.ined by workmen's CoerlMnulnn I..urnH. t' ruptatlfe of jrfCapavaf —The above prices. specifications and conditions are satisfactory and are hereby accepted You are authorized lred Signat' Signature� ' 'r _ Note: This proposal may be 'r 0 withdrawn by us if not accepted within days. Signature Municipality of Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264.4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION December 31, 1980 Steve Phillips Box 3-4132 Anchorage, Alaska 99501 Permit # 800597 Subject: Lot 12A Block 2 Boyle Subdivision A permit issued by this department for well and/or sewer system has expired as of this date. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholz, R.S. Senior Environmental cialist LNB/ljw enc: Copy of Permit SWP/057 .* R&M CONHULTANTB. INC. 5024 COFEWRONNFNTIAV G"QU-q •NO�N�9w• ewLOm�r� OCT 16 1980 Wwvwoww October 15, 1980 Mr. Steve Phillips Post Office Box 3-4132 Anchorage, Alaska 99501 Re: Adequacy Test on Septic Tank with a Anchorage, Alaska Dear Mr. Phillips: RECEIVED ALASKA 99502 . PH. 907-279 0493 . TLX 090 252aO R&M No. 051001-75 Existing Sanitary Sewer System; Consisting of a Leach Field; Lot 12A, Block 2, Boyle Subdivision, Per your request of October 15, 1980, Dan Cooper of R&M Consultants conducted a test of the sanitary sewer system on the above described property. The test indicates acceptance rates determined under conditions at the time tested. Actual system performance over long periods of time depend on factors which cannot be evaluated by this test thus our office cannot warrant the suitability or fitness of the system for either an extended period of time or for user demand in excess of the expected flow noted herein. Factors affecting system performance include: e Actual use demand on the system; e Fluctuations in groundwater levels; 0 Physical conditions of the septic system, leach field, trench or seepage pit and soil. It should be noted that while a septic tank and leach field disposal system is one of the most reliable methods of sewage treatment and disposal it is nearly certain that the leach field or seepage pit will fail sometime during the useful life of the structure. Studies indicate leach fields, trenches and pits have a life expectancy of ten to twelve years under optimum conditions. All septic systems have a finite hydraulic loading capacity which can be expected to decrease with time. Because the house on the lot is occupied, we assume that the leach field was at its normal degree of saturation. During this test the liquid level in the septic tank was monitored as water was added to the system. The measure- ments and calculations are summarized on the following table: A"CHowAG9 FAIR* ANH9 ,ONK.0 Mr. Steve Phillips t^ r1 October 15, 1980 Page'2 FIRST DAY Date: October 14, 1980 Water Added To Septic Tank Liquid Level Measurements Taken From Top Of Standpipe TIME GALLONS TOTAL LIQUID ADDED GALLONS LEVEL 9:25 0 0 4.0' 9:39 50 50 0.8' Remarks: Stopped test at fifty (50) gallons because cleanout standpipe overflowed. SECOND DAY Date: October 15, 1980 TIME GALLONS TOTAL LIQUID ADDED GALLONS LEVEL 8:33 0 0 2.35' The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, Inc. The total daily load for the two bedroom residence is three -hundred (300) gallons; surge capacity is two -hundred forty (240) gallons. The Municipality requires the system to accept a surge capacity of 80% of the total daily load at a rate of ten (10) gallons per minute, tested for a two day period and to accept the total daily load in twenty-four (24) hours. Mr. Steve Phillips �, n October 15, 1980 Page'3 Failure Criteria is as follows: ° Water rises excessively in septic tank at or before 80% of total load is added. ° Effluent overflows the system. ° Water level does not return to within one -inch of static level. The first day of testing, the system overflowed after addition of fifty (50) gallons in fourteen (14) minutes. This is less than 80% of the total daily load. The second day of testing, the system was unable to accept any additional water. The static water level on the second day had not returned to within one -inch of the initial static level. We can therefore conclude that the system is not disposing of effluent at an adequate rate for a typical two bedroom residence. We have appreciated this opportunity to be of service to you. Please contact us if you have any questions concerning this test or if we can be of additional service. Very truly yours, R&M CONSULTANTS, INC. ./Lv" / . J•zc/+j Richard S. Giessel Senior Engineer DC: RSG/kiy SERVICE CONTRACT MULTI-FI.O WASTEWATER TREATMENT PLANT TRIS AGREEMENT MADE AND ENTERED into this 1 day of Oct '197 5 by and between the user of a multi-flo wastewater plant and R & S Pl bg. & Htg. , Inc. the servicer, W I T N E S S: MIS AGREEMENT is executed concurrently by the user and the dealer service manager at the time of installation. The dealer covenants and agrees to furnish twenty-four (24) months service on the useis waste treatment plant from date of installation. The purchaser -user covenants and agrees by the presents to, and docs hereby contract with STEVE H. PHILLIPS to service the useis waste treatment plant upon expiration of the dealer's aforesaid free service period of twenty-four (24) months. The user understands by signing this agreement that the user accepts responsibility for the service after the dealer free service period, and also understands the necessity and responsibility for the service requirements that are advised by the dealer. 6 Selvicc Contract - Continued Page Two This service guarantees to make two (2) service and inspection calls per year at regular intervals and to respond promptly to any emergency calls for repair service. Unscheduled emergency or service calls not due to malfunction of or defective sewage treatment units shall be paid for by the sewage treatment plant owner. Although the regular service and inspection calls during the first twenty-four (24) months of installation will be free to the sewage treatment plant owners, the sewage treatment plant owner shall be required to pay the Service Contractors road time for travel on an average scale computed by averaging road time costs for the number of plant customers in the area of the service call. Inspection service calls will include the following: I. An effluent quality inspection consisting of r, visual check for color and examination for odors. 2. Adjustment and servicing of any mechanical and electrical components that are out of order. 3. ilackwashing of filter media or replacement of filter media with previously washed filters. 4. Periodic sampling, twice a year if necessary, of the effluent quality, and of the settled solids in the aeration tank. Any additional work necessary will be done upon written authority from the homeowner and at additional charge. '. Service from 11 Oct 1975 MONTH - DAY - YEAR i Service Call Cost $25.00 per call plus travel charges, if any. Customer's Name and Address R & S PLUMBING & HEATING, INC. 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