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HomeMy WebLinkAboutTANAINA HILLS LT 4Tannins Hills Lot 4 #011-051-05 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INEORMATION Complete legal desCriPtion i~' Expiration Date: ~0/~2/,/~/ L(~cation (site address) ~, 70 Current Property owner(s) Day phone Lending agency Day phone Mailing address Real Estate Agent ~ Mailing Address; .~ · ~ · Un/ess otho~i~o ro~q~ArOg)coSAS~i/I bo hold by DSD for pickup. Day phone NUMBER oF B~R©:.OMS& ' ~,'i'...~ ~?~ !' .~ ~:,:~ WATER TYPE OF-~ --~, -S,UPPLY:'~ Individual Weii; · ~,:~,': Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: [~ Individual On-site [] Individual Holding Tank [] Community On-site [] .~ Public Sewer The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an' independent p~:ofessional civil engineer registered in the State of Alaska. Certificates of On-Site Systems 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 COSAs upon request to homeowners, certificates of On-Site Systems 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. (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 Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from. the Municipality of Anchorage 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 Address '7.0,3 It/. 15 Engineer's Printed Name ct75-oI DSD SIGNATURE Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 ' www.muni.org/onsite (907) 343:7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type Date completed IfA, B, or C provide PWSID #~ Sanitary seal (Y/N).."/ Total depth 7PlO ft. Cased to ;' ~O ft. FROM WELL LOG AT INSPECTION Dateoftest .. ~fe. ~' ~/'~/ZOI! Static water level U t~l~/0~J Vt ft. l ~O ft. Well production ~ ~/~[V0uJA g.p.m. .5, '+ . g.p.m. Well Log (Y/N) /V' Wires properly protected (Y/N) Casing height (above ground) 4- I~, in. WATER SAMPLE RESULTS: Nitrate /VD mg./L Collected byi Coliform /4'~ e'. colonies/100 mL Arsenic: ['/.,~r ug/L .~.~ date of sample: 5..~[I SEPTIC/HOLDING TANK DATA Tank Type/Material "~e~'~'li'e,, Date installed Pre.. . T~'ksiz;~ [~,50 gal. Number of Compartments U~,o~n Cleanouts(Y/N) Fo{Jnda~tion cleanout (Y ./!~1~.' ) ./~' Depression over tank (Y/N) . ti' High water alarm (Y/N) /V' Date of pumping. ;~'i'i'!~;~ PbmjSer...~e~c'~ F~?,'? ~efV ABSORPTION FIELD DATA Date installed ~r~, [~/{~5 Soil rating (g.p.d./ft~ or ~/bdrm) ~1~,~ SyStem type Length.~tK,~0~r, '.ff.- Width ~k,ov~ ff. Gravel below pipe .. u~,~J ^/ ff. Total depth 10,.~i ft. "Eft. absorption area q".K ft2 Monitoring tube "/ Depression over field Date of adequacy test ~,/8/?.oi I Results (Pass/Fail) /'7~5 For ~ bedrooms Fluid depth in absorption field before test -~'5 in. Water added ¢~'O gal. New depth =/I in. Elapsed Time: ;~,~O min. Final fluid depth ~3 in. Absorption rate >= ~"O g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) /~'o If yes, give date D. LIFT STATION E. Date installed ,,/~ize in "Pump on" level at~/. "Pump gallons J off" level at ~'n. Datum /~~ Cycles tested / ' SEPARATION DISTANCES Manhole/Access (Y/N) ~ High water alarm level at J in. Meets alarm & circuit ree~ments? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on Jot Absorption field on lot Public sewer main Sewer/septic service line [0 Animal containment areas 50 -]Zt ~. On adjacent lots On adjacent lots Public sewer manhole/cleanout /v'/A Holding tank ,/V'/,,4, Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: I 5 ~ Property line '~ ~ Building foundation Water main Water service line Absorption field 5 14 Su.rface Water ,/00"~ ~'A/, 0. ) I Wells on adjacent lots J00 + SEPARATION ,DISTANCE FROM ABSORPTION FIELD-oN LOT TO: Property line { 0 I+ , ~ Water Service line i 0 ,1. Curtain drain ~'0~ ~ ~.0,~) COMMENTS Building foundation | 0 4 Water main /V/~I. Surface water ( O0 ~4 Driveway,, parking/vehicle storage I Wells on adjac~t lots lO0 + I certify that I have determined through fLHd ,inspections and review of Municipal records that the abeVe systems, are in conformance with MOA COSA guidelines in effect on this date Engineer's PrintedName L~IZ~ ,,.~t"~l~.-~ ' Date G.IlllT'°I'( ' i'~ ' ' COSA Fee $_ ("'~ ' Waiver Fee $ i,~,~,\~.,~,~ i " Date of Payment ~"- ~ -- ~ } Date of Payment - Receipt Number O ~ \'"1 ~ Receipt Number (Rev. 4/10) Environmental Consulting and Design SEPTIC SYSTEM DESIGN Tanaina Hills Lot 4 Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 July 7, 2011 Subject: Effective depth of Subsurface Soil Absorption Field Ladies and Gentlemen: On July 64, 2011 I inspected the septic system absorption field at the above referenced property. We excavated down to the sewer rock next to the monitor tube. It appears that the effective depth of sewer rock is 92 inches. The top l 2+ inches of sewer rock were not saturated. If you have any questions or concerns, please contact me at 279-3916. Si~cere_ly, Civil Engineer 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland~gci. net - ! ?i S88:29'43"W 3 233.60' UNDER NO CIRCUMSTANCES SHOULD AN AS-BUILT BE USED FOR CONSTRUCIION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. THE SURV[YOR TAKES REC~°ON~4BIUTY FOR THE INITIAL TRANSACT)0~I ONLY AND ASSUMES FINANCIAL UABIUTY ONLY FOR THE COST OF THE SURVEY LISTED DISTANCES PREVAIL OVER SCALING. REPROOUCTION MAY CAU~[~ ERRORS IN SCALE oT su.v[* SURVEY TYPE F C~JNDATIO~ AS- ~JILT PLOT PLANS ~ LOT ~UR~YS iT :S THE RESPONSIBILITY OF THE BUILDER OR O~ER. PRIOR TO CONSTRUCTION. TO ~RIFY PROPOSED BUILOING GRADE RELA~ TO FiNI~ED GRAO[ AN0 U~LITY C~NEC~S AN0 TO O[~RMIN[ THE EXISTENCE ~ ANY EA~MENTS. CO~NANTS ~ RES~IC~S ~CH DO NOT APPEAR ON THE R/COROEO SUBDI~SION PLAT. SYMBOLS S~:T REBAR ~ ~ DRAINAGE ~ ASPHALT FOUND REBAR C v C 'W~K:X:)D FENCE ~ CONCRETE ASSUMED EL[V, F, X X METAL FENCE ~ WOCO DECK NOTE: ONLY THOSE: IMPROVEMENTS ABOVE: GROUND AND V1SIBLE WlLL BE ~OWN. FENCES. W~LLS. SEPTIC CLEANOUTS. SIDEWALKS. DRIVEWAYS, ETC.. ARE SHOWN IN THEIR APPROXIMATE LOCATION. ONLY. SNOW MAY PREVENT SC~E IMPROVEMENTS FROM BE)NC SEEN AND LOCATED. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SU6 VEY CERTIFICATION PLOT PLAN FOUND A llOe4 AS-BUILT F~NAt STR;UCTURE AS-GUILT Prepared by Robert F. Johns, Jr. & Assoc. Professional Land Surveyors 1700 Brink Drive ANCHORAGE. ALASKA 99504 ~o,e: 1" = 70' Do,e ~,.~: 6/10/11 Oro.~ b,~ REJ Ic"ec'e° bJMK o,~: Iw'°' 11-154 Do,e D,o-~: 6/13/11 [ 2123 Legal Description: Lot 4 TANAINA HILLS MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Location (address or directions) (b) Property owner ~ ~ ~// ~~.~ Mailing Address ' /O~O · (c) Lending Institution Telephone' (home) --¢¢~¢-,¢~'~/¢ Business Telephone Mailing AddreSs (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here~if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family,~ Number of bedrooms 3. WATER SUPPLY Individual Well ~ .7 Community [] Public [] Note: If community well system, must have written confirmation from the. State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site,,~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional..and adequate for the number of bedrooms and type of structure indicated herein. 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Date Telephone ?.--2- ?- ? ¢ ,,///,4. 6. DHHS APPROVAL Approved for 3 Approved ~, bedrooms by ~ 'Date Disapproved ' Conditional Terms of Conditional Approval NOTE: .The engineer above states this septic system was installed "prior to the Wastewater Disposal Ordinance written in 1969, thus, there is no record of the type or size of the absorption field, however, the-'recent adequacy test indicates the required amount of'water was absorbed to meet M.O.A. specifications. The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 Well Classification Well Log Present ~N) Date Completed MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: If A, B, C, D.E.C. Approved (Y/N) "~?..~ Yield $' - J),~,,~, Total Depth_~ Cased to Static Water Level /~Z 7 I Casing Height Above Ground Electrical Wiring in Conduit ~N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To NeareSt Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by /z~ Water Sample Test Results Comments I,.,.l~..l/ ..!~7I. ~ Depth of Grouting Pump Set At Sanitary Seal on Casing CN) Depression Around Wellhead (Y/~) ; On Adjoining Lots ":j~-t~-/- / ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ;Date Z/z~/~ B. SEPTIC/HOLDING TANK DATA Date Installed /q& J'- Size Standpipes {~) Depression over Tank (Y/~D !z.~ No. of Compartments Air-tight Caps ~N) Foundation Cleanout (Y/~). Date Last Pumped Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) .' ~,,. ~',; , SEPARATION' DISTANCE$,ERQM'SEPTIC/HOLDING TANK' TO Water-Supply W~,~,~ :~ CO TO Building Foundation To Property Li~'~ '-- --~"~' "/0'~v* "~'' ~ To Disposal Field To Water Main/Service,Lin~.~;.~ '~ To Stream, pond/gak'e 'hr Maj~Dminage Course /~* f Comments ; fo r Temporary Holding Tank Permit (Y/N) 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed '/~ ~ 3'- Width of Field ~~ Type of System Design Length of Field Depth of Field /0 Gravel Bed Thickness P~.-~--~'~' Statndpipes Present Date of Last Adequacy Test Square Feet of Absortion Area Depression over Field (Y~ Results of Last Adequacy Test '4-(~--e v ~-~', / SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~'~'/" / To Building Foundation ?~r--/-- / Lot To Water Main/Service Line /0~- / To Stream, Pond, Lake, or Major Drainage Course /~)~-/'- / To Driveway, Parking Area, or Vehicle Storage Area /'0-j''/ Comments To Property Line (&~'/ To Existing or Abandoned System on ; On Adjoining Lots To Cutback (if present) D. LIFT STATION Date Installed Dimensions ~- Size in Gallons ~ Manhole~ "Pump On" Level at .-f- ~~--"-mp off" Level at TH~gs~edW~r Alarm Level at /~~/~--~//~ ~ Vent (Y/pNu)rnp--~ng Cycles du ring Adequacy Test' ~1~) emtSm eMnOtt Electri~ **Check Permitted Bedroom Rating Against HAA Request** I certify that I have cj~ked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~ ~ c~f...¢..,.~ ~,4 · Company Date ~/&~?/~ 0 ineer's Seal MOA No. ~) ~E)~) / Z~ Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ~., ~N-SITE SE~W, ER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # .~ L( _ (~./ I -~_.~ i - A'~.~ HAA # ¼ ~ .'~°t~ ~'"'~ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) (b) Property ow.ner~ ~J~ ',X":~/I//'5 -~'~'~' Telephone' (home)J~-~ Business . .:, ~ .... .~,~... - (c) Lending I nstitu'(¢o'~'-- --~ ~ ~ ~ Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here'l~ if hold for pick up.) List contact person and day phone number below: TYPE OF RESIDENCE Single-Family'J~ Number of bedrooms WATER SUPPLY Individual Well~J~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. SEWAGE DISPOSAL On-site ~i~, 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. 72-025 (Rev. 7/88) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe,' functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm /~'~c'-~--'5 Telephone Address ... /¢/2" /,~ ,~'3 ~ /¢-~/'~ ~ Date Approved for -~ bedrooms by Approved ~/ Disapproved Conditional Date 7-2 7- ~ ~' TermsofConditionalApproval NOTE: The engineer above skates this septic system was installed prior to the Wastewater Disposal Ordinance written in 1969, thus there is-no r~,~0rd of the type or size of the absorption field, how~'~[.e~, the recent adequacy test indicates the required amount of ~C~ ~,~ absorbed to meet M.O.A. specifications. The Municipality of Anchorage Department of Health and Human Services (DH HS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 EN~E MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) ALITY OF Ah,Lrz.~r~r".~ 'CHECKEIST - FEBRUARY 1984 NTAL SERVICES DIVIS~ON343.4744 iJ L 2 6 1989 Legal Description:/,N'r' A. WELL DATA Well ClaSsification Well Log Present (~)/N) · Total Depth 7~77 Cased to Static Water Level RECEIVED Date Completed !'~6~' ~/'/' Depth of Grouting Casing Height Above Ground 0,5" Electrical Wiring in Conduit(~N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by /'~'~'~--~' /~r'. Water Sample Test Results Comments /4)A-"Z~- ~ If A, B, C, D.E.C. Approved (Y/N) Yield .~, ~" Pump Set At ,~/~4 Sanitary Seal on Casing ~) Depression Around Wellhead (Y~ 7'~ e~/o ; On Adjoining Lots /o,'Z~ 44' '/' ; On Adjoining Lots /o'~ To Nearest Public Sewer Cleanout/Manhole /'~//&"~' ;Date ~'~/~'°~'~ SEPTIC/HOLDING TANK DATA Date Installed /'~/-5''~ Size Standpipes(~N) Depression over Tank (Ye Pumping/Maintenance Contact on File (Y/N) /7~'~ No. of Compartments ~J~*J~,'J Air-tight Caps ~,~N) Foundation Cleanout (Y~ Date Last Pumped ~/-,?.o-,I'~ /,~-,4~ ,d'//t- .;for 4J/,4 Holding Tank High-Water../~La?.'l rrt.~(Y/N).. ~,/~ Temporary Holding Tank Permit (Y/N) 4J/~- SEPARATION DISTANCES FR~M,SEPTIC/HOLDING TANK: To Wator-SupplY, Well '~..~ To BuilOin~ FounOation /~ ~ ~ To Property Line /~ ~ · To Disposal Field ~M~ ~ To Water Main/Service'Uhe~ ~ ...~ ~ ,~ To Stream, Pond, ~a~e~[ M~jor[[~age Course /~ ~ Comments ~//"~':.~'~:~'~' ~ ~ ~ ~Z ' 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed I~ Width of Field Square Feet of Absortion Area Depression over Field Results of Last Adequacy Test Type of System Design Length of Field Depth of Field /'~ Gravel Bed Thickness Statndpipes Present~.)N) Date of Last Adequacy Test 4-/2 -~ SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation ~5' Lot /,///4 To Water Main/Service Line /o/~ To Stream, Pond, Lake, or Major Drainage Course /~'~ '/- To Driveway, Parking Area, or Vehicle Storage Area Comments ,~/o /,~w//..~ ~ ,,~/z.z~, /~,~-oR~77~4' / To Property Line ?'~ '/- To Existing or Abandoned System on ; On Adjoining Lots ~ *' To Cutback (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ~. Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidel inspection. Signed Company Date MOA No. Receipt No. Date of Payment Amount: $ 72-026 (Rev. 7/88) Back ;li.r~s in effect on the date of this ..-¢ ur Al ~ ~ r ~ ~ · ;**~~,,.t.~ ,Engineer's Seal Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 A. WELL DATA ~'~;'~xC,~-~V~ONICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST- FEBRUARY 1984 343-4744 ~~ Legal Description: ~ Well Classification Well Log Present{~N) Total Depth ~'?? Cased to Static Water Level Date Completed ~ Depth of Grouting Casing Height Above Ground C- Electrical Wiring in CondUit(('~N) SEPARATION DISTANCES FROM WELL: If A, B, C, D.E.C. Approved (Y/N) Yield ~'~, ~'" Pump Set At ~J//~ Sanitary Seal on Casing~N) Depression Around Wellhead (Y/~ ! To Septic/Holding Tank on Lot 72..,5" / 7'~ ~ ----~'-~-~Adjoining Lots /~0 ff'- To Nearest Edg~nrptinQ..Ej~d on Lot ~ ~'O'-f' ..~ ;On Adjoining Lots To Nearest Public Sewer Line ~/~4 To Nearest Public Sewer Cleanout/Manhole ~/~ To Nearest Sewer Service Line on Lot Water Sample Collected by /~/--~ ~r- Water Sample Test Results ~,4-¢7"' ~ Comments B. SEPTIC/HOLDING TANK DATA Date Installed /~/.5" Size Standpipes~N) Depression over Tank (Y{~ Pumping/Maintenance Contact on File (Y/N) ;for Holding Tan k H i g h ;W~. t~ ',~i?-'~:' !~,/N~) To Water-Supply /~ ¢ To Disposal Field To Property Eine. To Water Main/Se~me~Eine · ':~'~ To Stream, Po~d, om e. s No. of Compartments Air-tight Caps bN) Foundation Cleanout (Y~ Date Last Pumped 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA~ Soils Rating in Absorption Strata (/~J~/'~/) Type of Syste~Z-7~P/-~' Date Installed /.~-~'~--.~ ~ Length of Field Width of Field ~/~~~ Depth of Field ~  ravel Bed Thickness Square Feet of Absortion Area , Statndpipes Present ~_.]N) Depression over Field (Y/(~ Date of Last Adequacy Test Results of Last Adequacy Test /~E~/,(/t~'' ,~,E ~ SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-SupplY Well (~ ~'"0 To Building Foundation ~-5' / y- Lot To Water Main/Service Line /~' To Stream, Pond, Lake, or Major Drainage Course /~/'/" To Driveway, Parking Area, or Vehicle Storage Area Comments (~) .~/ ,~U/,~e'~ l~,l,~X~ To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutback (if present) ~/~ D. LIFT STATION d "Pump On" Level~ High Water Alarm Level at Dimensions Manhole/Access (Y/N) "Pump Off" Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Vent (Y/N) ~ Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA gu.[i;~J~i[lie,.ffect on the date of this inspection. Signed ~ '~~ ,, Company MoADate No. ~-~O~ -~ ~'~' ~~/' '.....:~:~ Engineer'si, Seal ~'e ~ · ~Je~eee~eeete ee~ eee. ~ e e,ptNo. ..,ptNo. ''----'' Date of Payment ~ -- ~ -- ~ ? Waiver Fee: $ Amount: $ / ~ O - O~ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 LO t'FELL THOMAS, J~.. DEPT. OF HEALTH & ~ E~IRONMENTAL PROTE~ION JUL 2 6 tg8 RECEIVED Dept. of Health & Human Services Attention Mr. Dan Roth Municipality of Anchorage 7/24/89 Dear Mr. Roth: As regards the septic system at 7022 Tanaina Drive (Lot 4 Tanaina Hills) I wish to state that while the only records we have are those enclosed with this letter, we remember that it was "oversize" and considerably larger than required by the local government on the date of installation, the summer of 1965. Our architect and builder both assured us that it was the ultimate in septic systems for a residential lot. And that assurance has been born out over the years as there has seldom, if ever, been a need to pump it out, other than to meet health department requirements. I also want to point out that all the records were submitted to the Anchorage Borough health depart- ment at the time of construction in 1965 and were fully approved. enclosure: three incerely yours, records of septic ~s~allation .... ~NOTARY PUBLIC ~R A~ 10800 Hideaway Lake Driw' ~ Anchoragc, Alaska 99516 - 907-346-3~68 CLAP'PE : ERPRISES .Star Rout~ A' Box 1400 Spenard, ~ Sold OUR NUMBER · 4405 DATE CUSTOMER'S ORDER SALESMAN TERMS (~1 Shipped Tc~ F.O.B. '"" Address , · s e ~ 7-- ~) /,~. o o .'~'?o ~o ,'os ~- ~o ~.- ao~< .~ ~. oo ~ o~;~ Ft~ 300 'Z Redi?rm 7H 722 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION t 1989 RECEIVED Ralph M. Alley P 0 Box 1494 Anchorage, Alaska 99501 May 31, 1966 Mr. Lowell Thomas) Jp, Star Route A Box lO01 Anchorage, Alaska Dear Lowell; The)¥ollowing are notes taken by me d,ring a conference with Mr. Clemenson on September 8, 1965, regarding your well. 277' deep screen 20-30 gal/min. '' .~J 130 static level ~ 242' when bailing ~. pump at 250' recommended .~ 3 H.P. pump .... del_iver ~l~prozimat.e. ly 25 gal. at 40# PR 9' 0" horrizontal supply Jacuzzi attachment (hydrocellsQ tank (hydro) for top of furnace room Cannot find out re. mineral content Yours very truly, Ralph M. Amley RMA/mm cc: H. F. Keathley ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO OF CALCULATED BY / ' DATE CHECKED BY SCALE DATE ALASKA I~I~UIROI~mI~FITAL COFITROL $1~RUICe$, IrIC. {~nciinecri~) /, {~nuironmcnlal Studies 1412 W6SE 331~b c!,v6nu6 · ,anchol~a66, alaska 99503 · (907) 279-5553