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
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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.
Accepted by Customer
DARE
Service Representative
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