The URL can be used to link to this page

Home My WebLink AboutWILLIAMSON #2 BLK 3 LT 10 & 11Williomson Block 3 Lot 10 $11 #015-074-35 ellhio Mae.. IWA� Municipality of Anchorage UISMI 3 Community Development Department Page 1 f 3 On -Site Water & Wastewater Program NQI� 2 Q �Q�4 Q44 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • 9 AG ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 141335 PID Number: 015-074-35 p New ®Upgrade Name: SLAWOMIR MARKIEWICZ ABSORPTION FIELD ❑ Deep Trench ■ Shallow Trench ❑ Bed ❑ Mound Address: 5051 E. 98TH AVE, ANCHORAGE, AK, 99507 ❑ Other Phone: No. of Bedrooms: Soil Rating: Total Depth from original grade: (907) 317-3795 4 1.2 GPD/Sq. Ft. 4.0 MAX FL LEGAL DESCRIPTION Depth to pipe invert from original grade: Gravel depth beneath pipe: SEE DWG. F. 2.04/2.04 Ft. . 'Subdivision: #2 Block: - Lot: 10 10 Fill added original grade: Gravel length: 2WILLIAMSON SEE DWG. 42/28 Fl. FL Township: Range: Section: Gravel width: Beds Number of lines Distance between linea: — — — 5/5 R. I — — Ft. SEPARATION DISTANCES Total absorption area: 500 Number of trenches: 2 Dist. between trenches: 10+ TO Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer lines SD. Ft. Ft. Well — — — — 25'+ TANK ❑ Septic ■ S.T.E.P. ❑Holdin ❑Other Manufacturer: capacity: Surface Water 100'+ 100'+ 100'+ — ANCHORAGE TANK 1500 Gal. Lot Line 5'+ 10'+ 10'+ — N/A Material: Number of comportments: STEEL 2 Foundation 5'+ 10'+ 10'+ — LIFT STATION Manufacturer: capacity: Curtain Drain NONE KNOWN .ANCHORAGE TANK/ORENCO 1500 Gal. "Pump oo" level at: '44" "pump oft level at: 40" High water alarm at:Remarks: 46" PER CONTRACTOR, OLD TANK WAS DECOMISSIONED Pump Male & Model: O,RENCO jElectrical Inspections performed by PER UPC. OLD LIFT STATION WAS REMOVED. PF -20-05 I M.O.A. IN'%�L10it Al. (iM i'f>�C��J PIPE MATERIAL SCH 40 Tank to House to tank EXISTING dralnfield 02665 Installer SCH 40 A+ HOME SERVICES Drainfield D2665 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 Ft. Inspection Location and Description: Dates: 1st 9/2/2014 2nd 9/3/2014 3rd 9/5/2014 4th BOTTOM OF SIDING, NEAR SOUTH WINDOW OF WEST WALL ENGINEER'S SEAL Community Development Department Approval _0o6000p0 OF Conditional approval: Date: 07 ....:... ........ ....... .....� � ..� ::. .fr ..;.... nese:.. Y Q '. CE -753 Approved: Date:4Z professi°oaoo Z=z essl IWA� PERMIT NUM13ER: OSP141335 AS -BUILT DRAWING / / I P WILLIAMSON #2; BLOCK 3, LOT 11 / II A B S T1 45.03 15.56 NEW DRAINFIELDS LOT 10, BLOCK 1 SPRING HILLS S/D WILLIAMSON #2; BLOCK 3, LOT 12 PARCEL ID NUMBER: 015-074-35 #2; BLOCK 3, LOT 13 Y.. DRIVEWAY':;,; ST2 50.05 21.59 MH 50.79 22.98 MT1 77.61 35.82 MT2 100.99 73.77 MT3 96.98 52.57 MT4 106.67 71.80 NEW DRAINFIELDS LOT 10, BLOCK 1 SPRING HILLS S/D WILLIAMSON #2; BLOCK 3, LOT 12 PARCEL ID NUMBER: 015-074-35 #2; BLOCK 3, LOT 13 CONSTRUCTION II- NEW 1500 .—/ S.T.E.P. II �MT1 MT2 / / TH# j/ MIJ MT4° / _qSeMeNT WILLIAMSON #2; BLOCK 3, LOT 8 GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. M0 R , BURS 101 ° 9NGWME. M 99W7 ° PHONE (907) 331-6179 ° FAY (907) JJ6-0206 ° WEfi611E: www.9emeeemgimrtin9.com � • PREPARED FOR: PHONE NER: PAGE NUMBER: SLAWOMIR MARKIEWICZ 31UMB7-3795 2 OF 3 �*# LEGAL DESCRIPTION: DRAWN BY: WILLIAMSON #2; BLOCK 3, LOT 10 A.J.G. 0# TYPE OF WORK: DATE: AS BUILT DRAWING OF SEPTIC UPGRADE 9/11/2014 Y.. DRIVEWAY':;,; A- \ 9�T ° APPROXIMATE LOCATION OF y WATS LINE INLET,PHYSICALLY �X� ODM NOVS� VERIFIED BYGEG, LTD. WATER �� LINE PATH IS APPROXIMATE \ O�OFcO INCH OEO, E TR WAS CT1 CONSTRUCTION II- NEW 1500 .—/ S.T.E.P. II �MT1 MT2 / / TH# j/ MIJ MT4° / _qSeMeNT WILLIAMSON #2; BLOCK 3, LOT 8 GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. M0 R , BURS 101 ° 9NGWME. M 99W7 ° PHONE (907) 331-6179 ° FAY (907) JJ6-0206 ° WEfi611E: www.9emeeemgimrtin9.com � • PREPARED FOR: PHONE NER: PAGE NUMBER: SLAWOMIR MARKIEWICZ 31UMB7-3795 2 OF 3 �*# LEGAL DESCRIPTION: DRAWN BY: WILLIAMSON #2; BLOCK 3, LOT 10 A.J.G. 0# TYPE OF WORK: DATE: AS BUILT DRAWING OF SEPTIC UPGRADE 9/11/2014 PERMT NUMBER DSP141335 AS -BUILT DRAWING FINAL GRADE = 97.83-98.15 ST1 I ST2 MH NORTH TRENCH TOP OF TANK AT INLET = 92.25 INVERT OF BUNG AT INLET = 91.50 NEW 1500 GALLON S.T.E.P. TANK PER CONTRACTOR, 10 GAUGE STEEL FINAL GRADE = 101.99-102.05 FORIGINAL GRADE = lanes - TOP OF TANK AT OUTLET = 92.29 PARCEL ID NUMBER: 015-074-35 FINAL GRADE _ 104.91-105.10 /—ORIGINAL GRADE = 103.99 FILTER FABRIC 90.95 — RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 84.95 GROUNDWATER ® 90.95 — BOTTOM OF 93.99 i TRENCH = 96.95 RELATIVE ELEVATION OF BOTTOM —�- OF TESTHOLE = 87.49 GROUNDWATER ® 93.99 .4W P V ...... `•y� GARNESS ENGINEERING GROUP, Ltd........................ w:_—. CIVIL & ENVIRONMENTAL ENGINEERS 00 3701 E. 1000R ROAN SURE 101 • ANCHORAGE, M 9950) • PHONE (907) 331-6179 • FM (907) 330-3245 • 9/E n. v cgam�"riq.aam • .... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: c^ ; f e A. a nes SLAWOMIR MARKIEWICZ 317-3795 3 OF 3ICi�+ C I LEGAL DESCRIPTION: DRAWN BY: I�♦ G' 11 lipWILLIAMSON #2; BLOCK 3• LOT 10 A.J.G. ��FO ••••••...... ,. TYPE OF WORK: DATE: +��oil FESS\0\� PROFILE AS BUILT DRAWING OF SEPTIC UPGRADE 9/11/2014viialks t::3" INSULATION (PER CONTRACTOR . •••••t ad.�..yii� i•ii•iiii•iii•iii'I—INVERT OF PIPE 102.03 2.04 •iii;: iii ••77777; iii• . yiiiii•ii•i•i• • (PER CONTRACTOR) BOTTOM OF �i TRENCH•••• 98.99 99.99 7!72727 iii 0 90.95 — RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 84.95 GROUNDWATER ® 90.95 — BOTTOM OF 93.99 i TRENCH = 96.95 RELATIVE ELEVATION OF BOTTOM —�- OF TESTHOLE = 87.49 GROUNDWATER ® 93.99 .4W P V ...... `•y� GARNESS ENGINEERING GROUP, Ltd........................ w:_—. CIVIL & ENVIRONMENTAL ENGINEERS 00 3701 E. 1000R ROAN SURE 101 • ANCHORAGE, M 9950) • PHONE (907) 331-6179 • FM (907) 330-3245 • 9/E n. v cgam�"riq.aam • .... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: c^ ; f e A. a nes SLAWOMIR MARKIEWICZ 317-3795 3 OF 3ICi�+ C I LEGAL DESCRIPTION: DRAWN BY: I�♦ G' 11 lipWILLIAMSON #2; BLOCK 3• LOT 10 A.J.G. ��FO ••••••...... ,. TYPE OF WORK: DATE: +��oil FESS\0\� PROFILE AS BUILT DRAWING OF SEPTIC UPGRADE 9/11/2014viialks Municipality of Anchorage Community Development Department - Development Services Division P.O. Box 196650 - Anchorage, Alaska 99519-6650 - 4700 Elmore Road Info and Help: (907) 343-8211 INSPECTION: Voice: (907) 343-8300 Fax (907) 249-7777 Inspection Report - Electrical APPLICATION NO. RETROE141536 Master/Standalone Permit Permit Type: Electrical Res Notes: Please call curtis 20 min. prior to inspection. 907.354.8710 Requested by: Devin rafeedie Schedule Date:10/06/2014 907.688.2751 Devin@capstoneelctricak.com Preference:AM Ins ection #• 325972 Address of Project. E 5045 98TH AVE Parcel: 01507435000 uescnptlon of Work: Replacing lift station controls and pump power. Contacts Contractor (907)602-8893 CAPSTONE ELECTRIC, LLC -22356 WHISPERING BIRCH DR. Inspector Comments: zrlee�J/ ) 4a) 4ffiek4l Inspector: Date: Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System Permit OSP141335 01507435000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade Permit Effective Dates: August29,2014 to August29,2015 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: WILLIAMSON #2 Site Legal Address: WILLIAMSON #2 BLK 3 LT 10 & 11 G:2437 Owner/Address: MARKIEWICZ SLAWOMIR & KRYSTIYNA A 5045 E 98TH AVE ANCHORAGE AK 995076602 Site Mailing Address: 5051 E 98th AVE, Anchorage Lot Size in Sq Ft: 32334 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. MUNICIPALITY OF ANCHORAGE Community Development Department Development Services On-Site Water & Wastewater Program Mayor Dan Sullivan Phone: 907-343-7904 Fax: 907- 343-7997 On-Site SewedWell Permit Application For A Single Family Dwelling Parcel I.D. 015-074-,35 Property owner(s) SLAWOMIR MARKIEWICZ Mailing address 5045 E. 9BTH AVENUE, ANCHORAGE, AK, 99507 Day phone 517-3795 Site address 5045 E. 98TH AVENUE, ANCHORAGE, AK, 99507 Legal description (Sub'd, Block&Lot) WlLLIAMSON S/D #2; BLOCK 3, LOT 10 Z~ [~ Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: ( [] all that apply) Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] APPLICATION IS AN: Initial Upgrade Renewal TYPE OF DEWELLING: [] Single Family (SF) [] [] (w/wo ADU) [] Duplex (D) [] m.-- Multiple Dwellings [] UBMITTA nd,or D) AO~ ./. 4 2.0t4 4¸: THIS APPLICATION INCLUDES A VARIANCE/WAIVF;C~.,~o,~9~t~EST FOR: - Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. ~--)~¢;~t~Jf[;2'¢~'" Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS August 4, 2014 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road, P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Septic Design for Williamson S/D #2; Block 3, Lot 10. To whom it may concern: The existing 4 bedroom house is served by a community well and a private septic system. The septic system is in a state of failure and needs to be upgraded. One testhole was excavated on the property and logged by GEG, Ltd. The septic system will be designed within the 30 foot radius of this testhole. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached are ~,vo logs ~vhich shows the soii classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design thawing for drainfield specifications. 3. SURFACE WATERS: There are no permanently flowing surface waters within 100 feet &the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the topography in the area is 15-25 % tutoring from southeast to northwest. In short, there are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank you for your assistance. rely, ~E.,M.S. NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, a soil log and an 8 page construction specification letter which are all part of the design package for this septic system. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907)337-6179 * Fax: (907)338-3246 * Website: www. garnessengineering.com I I ~OTE: A~L/ SHOWN PROPE~;I~ES oF/THE WILJ~MSON I I I I I ; LOT 8, BLOCK 1 ~ SPRING HILLS S/D ~____~// // · ./' .: ' / J I I / / ~ ', ~1~v I I I , / ~ x / / LOT 10, ~LOCK ~ J J~ ~__~ / ~ ' r . ~ ~N ~; / ~. / ~ ./' , ~ ' I BL~K ~,-LO~-~ / / X~ , I 100 WELL RADIU% I J I I/ t o I I [ / w~ / ~ ,/ ~ ~-~ t / lf~-- ~ / ~ -~ ~ ~ ~INU 'H :~C~/; // ~ --(;,~ ~ ~ ~~/~/ ~ / I ~a~ BLOCK a, J / I I %~ // I t~ LOT 7 I / I ........... GARNESS ENGINEERING GROUP, Ltd( - ~;:~ CIVIL & ENVIRONMENTAL ENGINEERS :'""~'""; Ft~ LEGAL DESCRIPTION: D~WN BY: WlLLIAMSON ~2; BLOCK 3, LOT 10 PNB =PE OF WORK: gATE'Il/1 4 ~ SITE PLAN IDESlGN CRITERIA: DEG, Ltd. HAS AN 8 PAGE NOTE: WETLANDS AREA WAS WALKED AND ,!NUMBER OF BEDROOMS: 4 LETTER THAT PERTAINS TO THIS DESIGN. EVALUATED BY GEG, LTD ON 8/12/l~- !GALLONS PER DAY (GPD): 600 TO OSTAIN A COPY OF THE LETTER AFTER RAINFALL TO CONFIRM THE PERCOLATION RATE/S: 4.2 MIN/IN CONTACT GEG. BY PROCEEDING FORWARD PRESENCE/ABSENCE OF SURFACE PROPOSED APPLICATION RATE: 1.2 OPD/~-~ WITH THIS INSTALLATION, THE ENGINEER, WATERS. NO ADDITIONAL FLOWING WATER MINIMUM DRAINFIELD SQ. FT.: 500 ~ WELL DRILLER, CONTRACTOR AND WAS OBSERVED AND THE ONLY STANDING PROPERLY OWNER AGREE THAT THEY WATER OBSERVED WAS IN MOOSE TRACKS HAVE READ THESE SPECIFICATIONS AND % ALONG WEST PROPERI'f UNE. NO % DRAINFIELD DESIGN: AGREE TO ACCEPT THE TERMS AND~ ADDITIONAL UNMAPPED SURFACE WATERS MAXIMUM DEPTH: 4' CONDITIONS OUTLINED. WERE NOTED IN THE WETLANDS AREA. / M.O.A. APPR.O, VED SAND FILTER: N/A \ / / EFFECTIVE: 2~ / WlLLIAMSON ACTUAL SQ.FT.: 500 ~'""~ ~ REDUCTION FACTOR: 0.7 2' TO CONSTRUCTION m TANK AND LIFT SHALL BE SLOPED 10' I I ~NGTH, S' WIDTh, 2.0' / / / GARNESS ENGINEERING GROUP. Ltd CIVIL & E.NVIRONMENTAL ENGINEERS Il ...... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ~'~ ;f; ~A. ~Ol mless SLAWOMIR MARKIEWlCZ I 317-3795 2 OF 2 ~PE oF woR~: DATE: ~ DESIGN OF PROPOSED SEPTIC UPGRADE 8/2/2014 ~Z 0x~ ~Z GARNESS ENGINEERING GROUP, Ltd ~~:~:~ CIVIL & ENVIRONMENTAL ENGINEERS [SOIL LOG- PERCOLATION TEST] LEGAL DESCRIPTION: WILLIAMSON S/D ¢/2; BLOCK 3, LOT 10 PERFORMED FOR: SLAWOMIR MARKIEWICZ __ ~ [TEST HOLE #11 DATE: 7/22/14 SM W/LITTLE TO NO GRAVEL SM W/INCREASING ROCKS/GRAVEL SOILS LOGGED BY: COHHENTS:, SOIL CLASSIFICATIONS DEPTH TO GROUNDWATER DATE 15.5' 7/22/2014 10' 7/28/2014 10' 8/1/2014 SITE PLAN SCALE: DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HINUTES) READING (INCHES) 07/28/14 1 3:35 6" 2 3:45 10 3.25" 2.75" 3 3:45 6" 4 3:55 10 3.63" 2.38" 5 3:55 6" 6 4:05 10 3.63" 2.38" 7 4:05 6" 8 4:15 10 3.63" 2.38" 9 4:15 6" 10 4:25 10 3.63" 2.38" 11 4:25 6" 12 4:35 10 3.63" 2.38" PERCOLATION RATE 4.2 (HIN,/INCH) PERC. HOLE DIA. 6 TEST RUN BETWEEN 5.5 FT. AND 6.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: I YES [--~NO ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREW GRAY PERCOLATION REC, DINGS ARE WlTHIN1/16OFINCH. (INCHES) PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PER~'OR~ED IN ACCORDANCE STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: WITH ALL I MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVlRONIVIENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION ~OCATION PHONE i [~NEW NC). OF BEDROOMS ,Liq. capacity in g~ IF HOMEMADE: ~-~_.~?:ngth :W~idth Manufacturej~....~~-~ --~'/ "~,..~/ - ._~_l~e~i~, ~ Foundation , INeNe~ DISTANCE TO: ~ ~O / ~ ~ ~ ~f~ /i Trench width Top of tile to finish grad Length Width Depth PERMIT NO. PERMIT NO. -Lqquid~Capacit¥ in gallons DISTANCE TO: Class I effective a b s ~'['!¢~P '° r f'~---~.7 /~._~_ ~ ~¢ "" DISTANCE TO: Depth Driller Building foundation Sewer line Distance to lot line PERMIT NO. Septic tank Absorption area{si OTHER PIPE MATERIALS SOIL TEST HATING INSTALLER APPROVED 7>o-~Z~-G~/~ -{J- - - I DATE LEGAL GREA,ER ANCHORAGE AREA BORgJGH Department of Environmental Quality 3330 C Street Anchorage, Alaska gg§03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION ~-- J~' c~dT-~ LEGAL DESCRIPTION SFPTIC TANK: DISTANCE ~. ~ ____ FROM WELL ~z~' MAN UFACTO R ER, ~,",.X~ MATERIAL =~'~-~'-~ INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY /O¢-~fl_OGALLONS. DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA "~ TILE [:)RAIN FIELD: [ ,..~--,,,.*---- ~.~ I ,.,.> I TOTAL LENGTH,,~ FOUNDATION NEAREST LOT LINE ~ _OF LINES ~ DISTANCE BETWEEN LINES TRENCH WlDTH-~. IN. TOTAL EFFL-CTIVE DEPTH: TOP OF TILE TO FINISI4 GRADE SQ. FT. LENGTH OF EACH LINE /~! DEPTH OF FILTER MATERIAL BENEATH TILE ~:~ f' IN. ABOVE TILE IN. BUILDING FOUNDATION CESSPOOL APPROVED NEAREST LOT LINE OTHER SOURCES DISAPPROVE[). NEAREST SEPTIC SEWER LINE TANK REMARKS DEPTH .... DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: DIAGRAM OF SYSTEM i N STA [_ LED B y: (~O'~J_.~ SEWER LINE DEPTH: LOT SLOPE: REMARKS: G.A.A.B. Form EQ-O32 -F'F'L [ . q',ll L. -:FIF'I I]TI (F;L 6;IOHI L IZII::::R"F I ON LEGFII_ L.::l.~3 E _. f,.I ! EL :[ T'¢F'E OF :,311.. RE_UF..Fq :[Uiq _,~...,[Etl I'-",: TIRENE:H _ - / ~-, ,' ";' ,': - '-- ~:1"2~'l/~/~ .... F r,. E,[ ..... I"IRXIHUM hi H[:,[:E OF E, EI...,F..UOH ...... 3: ::,u]L I:~:FIT~h,ICi ,:":~E! :' ."'";" ...... THE REQIJZI;~:ED :,Z,~E uF rFl[ .... UZL, IE,_,JR~ TZLff,I ..,~_,IEII : ...... THE [)EF'TH OF FI TRENCH OR F'ZT ]:S THE D ZSTIhNCE E, ETI41EEN' THE~':;LIKF'F~CE' OF THE ~L~ GI[:OIJN[:, FIN[:, TFIE: E:. [ ] _ I1 OF THE El:':: ~ FI',,,'RT "'t ";" '"" ...,El I4:[DTH F . F IRE. HUH[ [.lEg. f:. ~::, NO ': ...... , .... ,:,.. ",' - - OF 'W,,,'I 'E 'rile ~P ', (d~ FEET HE h'l I N ]: HI..IH [:'I ON-SI :~.E";:) FEET F IZ~ FE:E LIfOl'q 'FHE: T HINIf"IUH E)Z I'-'1 F'RI' ]'0 fa O -I"H E F:.' F:IE (:~lJ F:IVR ]: L FIBL IF. :[ CERTIF'T' ::1..: I FIM F'F~ OF: FE~F?.'TFI [%" T ;2: I HII..L. CE I,.I]:'f ::~:: I IjNDER 'CS'['EH I F;![!.2E;IDENCE HFIN :2[: I t O C:I::tF ;1: O Iq ¥1'IE: L.I~:I",ICFI"H I:::, :[ f"l[~l',l:!i; :[ ON :1: :~; THE: I...[EI"J(.Ti-I"H ,:: :]: i",] I::'E!:E~ I' ::, OF:' 'I'FI[~: 'I'I;?.E::I",!CI.I 'I'I'IE I)LEF:"]'I-I CIF: I::'1 t'[;?.[~:F, IC:H CIt~: F']:T :l:f~: 'l'Hl::~ [::CI:'_::;'FF:INI::::I:i: [?,l:ii:'l'Hl:i::[~:l"J THE:: "Z';UI:;~:F:t::]C:[~: OF:' (:iii:;i:OI..Ih,l[) F:II",I[) "FHF: EIOTTI3H OF: TH[i: E,'.'-:',C:F:I'v'F(F:[C~N (]:i'.,I 'll~lliElg:liE :[:F: l",113 ~5[~::'1' I,J]:I)TH I:::'O1:;?. ¥t'IE: G[~:I':I'v'E:L [::,E:F'-FH ]:!5 "I'HIZ I"[ :[ N :[ HI.JH D[EI:'TI'I OF: GI:~:F'I'v'Ei:L. [i':EE'I~I.,]E~Ei:Iq THE: OLI'IF::'I::II..L. F::' ]: F:'E: t:::INI::) 'HIll: Eu::IT'-I'OH 13F' 'FHI~ E2,:':',C:I:::I'v'FIT:[Oi'q (:Ii"] I::'l~i:[ii:'l'::,. Performed For Le'~al Qescription: This form Re~orts 2204 Cleveland Anchorage, Alaska 99503 George Wilmoth Date Performed_ 6/28/7~ Lotl0,1_lS10ckL~ Subdivision Williamson Soils Lo~ yes Percolation Test Penth Feet ~19~±1 Soil Characteristics Silty Sand (SM) Slightly Silty Sands (SP) (Loose Density) 10-- ~ r o urr~2, -- ter evell4 --. 16 ...... ~ ........... Bottom of Test Hole 18-- 20-- Was Ground Water Encountered? yes IF Yes, At what Depth? -15 ReadinQ Date Gross Time Net Time Percolation Rate ~li'nut e '~ Proposed Installation: Seeoaee Pit Drain Field Depth to H20 Net Drop Oeoth of Inlet Depth To Bottom Of Pit Or Trench Cnu~ENTS: 125 Square.Feet drainaqe area re~.re_~L_p~r~_~b_eJ~rj~. __ Test Performed By ~.~<~ ~, ~////6~,__~ Data Certi fi ed BY: CONSTRUCTION TEST LAB Date: 6/28/76 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTI-I & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA # ~ I~ ~).j~(~ ~ GENERAL INFORMATION Complete legal description Location (site address or directions)' Mailing address Lending agency Mailing address Agent Al, AL. Property owner I,r~,y..</-yn~ ¢.~l'~.,o,',,f" /"/&rHl'e~,;c-'~Day phone C, ~y ~b.7'¢y~7.e, ". ' '~ .~ _ Day phone (_ ~¢ ~nC ~)"'~ ' ,. Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ;3 %4 TYPE OF WATER SUPPLY: individual well Community well ~ Public water NOTE: If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application 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 ' F/~,I'/'~ 7-¢0~.,~'~¢~/ ~'~,r~,/¢~,_/ Phone Address / ¥ ~"_~0 ~'c~¢ ~/.z.. ./ ~no4or c~.~/~/ ,.4.¢.r Engineer's signature ~'..-'/~ ~' ~ Date o OF DHHS SIGNATURE __~ Approved for ~ bedrooms, Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments .,.~OPYkJ '~-~. ~qqW Date ~¢/?-'/~?~, By: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates 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 (Re','. 1/91) Back MOA Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAl.. CHECKLIST Legal Description: Parcel I.D. A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number. Log present(Y/N) Date completed Driller Total depth .Cased to Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELl. LOG AT INSPECTION Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: g.p.m, g.p.m. Septic/holding tank on lot ; On adjacent lots Absorption field on lot ; On adjacent lots Public sewer main _ Public sewer manhole/cleanout Sewer service line Petroleum tank ~O WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed .__~/?E:.,( ~'¢'; . Tank size fOoo ¢.a/ __Compartments Cleanouts'(Y/N~,' . ' '. FOL ndat on cleanout (Y/N) 'r' _ Depression (Y/N) High wCter alarm (Y/N) /t,.,4-, _ Alarm tested (Y/N) Date of.~.p,m, ping ~/¢"t" ?! ;: Pumper SEPARA~r~N DISTANCES FROMSEPTIC/HOLDING TAN,K TO: "~ '-~ .~ , , ;;, 8.00 ~ Ct¢,.~' " "' . -- Well(s) onlot,"., '/~,A;,,:;" , On adjacentlots '~ fcc, /~ evr Foundation To propertyline 5'0' Absorption field Io' _Water main/service line > Surface water/drainage _ "~ 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed 7 / I.¢' (~( Manufacturer ~d'" C.~P Size in gallons I -ZO Manhole/Access (Y/N) Vent (~N) ,~," ¢~'^,¢ "Pump on" level at I¢'" "Pump off" level at High water alarm level -~¢'" Cycles tested ~ ~'O Meets MOA electrical codes (Y/N) 'r' SEPARATION DISTANCE FROM LIFT STATION TO: Wellonlot f',/,A, On adjacent lots :::' /oD' k, ?,,f- Surface water D. ABSORPTION FIELD DATA Date installed Length ,¢'6' ' Width Total absorption area fi7 E ,~' Depression over field (Y/N) Y'Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) N Soil rating 15-0 ~// /¢~r~ System type Gravel thickness a' Total depth Cleanouts present (Y/N) Date of adequacy test for If yes, give date N,/J-, bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: ~ ~oo' Well on lot N,,~, On adjacent lots 7' To building foundation To existing or abandoned system on lot ~a/< On adjacent lots 2::> ~'~ ' Cutbank N,A, Watermain/serviceline ;:> to ' Surface water 7> too' Driveway, parldng/vehicle storage area ;:;' ~ ' Curtain drain ~o~¢ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name Date HAA Fee $ Date of Payment Receipt Number 72-028 (Rev 3/91) Back MOA Waiver Fee: $ Date of Payment Receipt Number WALTER J. HICKEL, GOVERNOR DEPT. OF ENViltONMENTAL CONSEI~VATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99503 (907) 349-7755 March 5, 1992 FOR: Ted Moore PWSID # 210639 My review of the records on file in tl~is office reveals that the Williamson Subdivision, Class "A" Public Water System, is in compliance with the routine coliform bacteria sampling requirements listed in 18 AAC 80.200, Table C. Sincerely, Environmental Engineering Assistant BR/cf MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address o~ directions) (b) 'P~opedyOwner ,'~a~'rl~ /'~0/¢,,4 .n Mailing Ac~dre~sc~75 ~ ~'~',~,/~-" ,S'/ (C) ~ending Institution _~'~¢. ~ Mailing Address (d) Real Estate Company and Agent _.~:~¢, Telephone: Home~',~/~.z) ~'~/'--~'?J~J' Business Telephone Address Telephone Mail the HAA to the foUowina address: or; Check here-~', if hold tor pick up. List contact person and day phone number below. (e) TYPE OF RESIDENCE Single-Family ~ Number of Bedrooms WATER SUPPLY Individual Well [] Community'~ Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite/~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the orate Department of Environmental Conservation attesting to the legality and status, Page I of 2 72-025 fRev 8/861 Front NOI.LnVO le^oJddv leUOp,!puoo Jo su~Jal leUO!HpuoO pe^oJddes!(] ~.. pe^oJddv Jo,~ pa^oJddv "lYAO blddV SHHQ '9 uo lg@lJ8 u! Suo!lejn~eJ pue 'ssoueu!pJo 'sepoo 81819 pub iBd!o!unV~ lie ql!M eOU~!ldLUoo JO/pU~ Xlddns ~ele~ el!s-uo alii 'uo!loedgu! pue UO!JB~!j9SAUJ /~LU LUOJI pUB 98J!J psu!elqo UOI1RLUJOJtJI 8L~ UO psseq l~LJi /~J!J@A J@LJpnJ I 'UI@JSLJ p8JeoIpuf 8~r~ onJ),$ JO 8d~l pue SLUOOApsq JO JsqLUnu 8Ll]¢ ~OJ elenbepe pue jBuo!jgunj 'eJ~s $! u J8 9/~9 le9odmp JBl~M8 $~M JO/pUe Alddns JelgM 81.9~u0 8L~ J~qj SMOLJ$ e^oJddV/~J!JOL~lnV qlleeN s!q~, Io UO!IeS!iS@AU!/~LU 18LJi/~!JSA J 'MOJSq UMOLJ9 elep UO!)eplIBA eH JO Se pUB OiSJeLJ NOIJ ¥1~I:IO=INI aNY ~J.~a 'HO~aS ~'114 '9/S~ I '9NOIIO~d~NI ~NlalAONd BII~I-I 9NIM~NIgN:I '9 A. WELL DATA Well Classification _ ~ MUNICIPALITY OF ANCHORAGE (MOA) [, ~-'¢'"'"'"'"'"~:~ or Ah:el IHi~lfh Authority Approval (HAA) ~` ~,~u~.~,:qw ~>~~''''. . s~v,~:~ s ~HE~LIST - FEBRUARY 1984 Well Log Present (Y/N) ~_ Date Completed 343-4744 Legal Description: /-/,¢ d.2/.~.///~ ,.~-¢.~ $'¢,~/,' z-_ I~"~, C, D.E.C. Approved~/N) Yield _,'c~¢-"/z'- Total [::)epth~,dr~¢- Cased to /'~Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Ca~/N) Electrical Wiring in Conduit (Y/N) Depressi~;~.o13nd Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot I~ ~¢~..~ ; On Adjoinincj Lots __ ~ ~i~ii ~dugb~c°fs~rL~ti~n Field.~.~ ~ Nearest Publi~-~eOw~t~i~ianni~t~taSn~-ole To Nearest Sewer Ser~ on Lot Water Sample Collec~.ted~ __ Ware Sa~ Results ; Date B. SEPTIC/HOLDING TANK DATA Date Installed { '~ ~ Size Standpipes CN) Depression over Tank (Y~ Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) _ .~./..~,'~ ~/O ¢)¢) No. of Compartments Air-tight Caps(~/N) Foundation Clean o ut(C(~'~N) Date Last Pumped Temporary Holding Tank Permit (Y/N) SI-_-PARATION DISTANCES FBOM SEPTIC/HOLDING TANK: To Water-Supply V~II ~':~E~ ~ ! To Building Foundation To Property Line ~/¢4, To Water Main/Service Line To Stream, Pond, bal~e?r Major' Drainage Course Comments To Disposal Field 72-026 (Rev 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata //.~ ~ ,~ '~ , Date Installed ./~,//~//~ / Width of Field ~"- /' Square Feet of Absortion Area Depression over Field (Y/~ v Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ,~ 2' ~ / To Building Foundation Lot To Water Main/Service Line .>ZO" To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Type of System Design 5-,~-J ?'-,¢~..~. Length of Field ~ ~ Depth of Field ~'J- / Gravel Bed Thickness Statndpipes Present (Y~). Date of Last Adequacy Test To Property Line ~ / .~%,w~,'4'.,- Z,.4 6£~,~j/- 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 ~ lO Meets MOA Electrical Codes ~N) Dimensions ,~¢ Manhole/AccessiON) "Pump Off" Level at Vent ~5~/N) Pumping Cycles during Adequacy Test. Comments **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this i ns pectio n. ~¢,..,~ Signed Company Date MOA No. Receipt No. ~'~.5 Date of Payment Amount: $ 72-026 (Rev 7/88) Deck Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 DEPT. Ol~ ENVIRONMENTAL CONSERVATION ANCHORAGE/UESTERN DISTRICT OFFICE o60] C ._,TREET, SUITE ]334 / ANCHORAGE. ALASKA 9950S STEVE COWPER, GOVERNOR 36o-67 OATE: October 11.~. 1988 PLJSI D: Te [dhom It Play Concern: Accordinq to the records on file in this office, the WILLIAHSON ~_LJ~BO_.I__V~!..ON_ Water Systern is in compliance with the State of Alaska Drinking [dater Regulations. Please note that departmental records indicate that the public uater system was installed prior to the 1978 implementation of the Alaska Drinking bJater Plan Revie~ regulations, No as-built plans have been revietaed or approved by the department, nor are any necessary, Since the system has submitted acceptable u~aten samples on a regular basis and received a satisfactory sanitary sunve~ evalua[~on by the department, the system ~s acceptable under the standards ~n effect at the t~me of ~nstallat~on, An official "Certificate to Operate" may be ~ssued upon receiving a complete set o.F as-built plans, ~ny expans&on of the ua[er system after I978 u~ll require plao reviem and the ~ssuance of a "Cer, f~f~cate of Operation" permit, MF'[ : pl<k Sincerely, Michael P. Le~s, PE Enviroomeotal Engineer I~fNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMBNTAL HEALTH DEPARTMENT OF tIEA~TH AND ENVIRONMENTAL PROTECTION APPLICATION FOR ~ALTH AUTHORITY APPROVAL CERTIFICATE General Information Application Date _~/~. (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) 5045 E.,_~lh_~ve .... (b) Applicants Name ROBBINS Telephone - Home 34~-3_3_Tj~siness Applicants Address 5045 E. 98~% Ave. (c) Applicant is (check one) Lending Iastitotion Buyer ~ ; Other I---~ (explain>; (d) Lending Institution Alaska Pacific Mortqaqe ~I ; Owner/builder ~--~ ; Telepho. ne Address 101 W. Benson, Anchoraeq~Ii 99503 (e) Ileal Estate Co. & Agent Coldwell Bail,er'Jack Whihe Company_r_C_~r___J~J Rar~Le~ Address 3201 "C" Str.~ Anchora$~ DJ{ 99503 Telephone 563-5500 (f) Mail the HAA to the following address: CaiLlwhen ready to pick-up Pard~ara Taylor ----5B-J=yS~U T_~ of Residence Single-Pamily Number of Bedrooms Multi-Family Other (describe) Water S 9~_~_~ Individual Well~ Commun£ty~ ' Publ. tc ~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality aad status. ~ewage Disposal 0nsite~ Public E~----~ Community~__~ Holding Tank~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status· Pa§e 1 of 2] _En$ineerin_ $ Firm Providin_f~_Inspections~ Tests~ File Search~ Data and Information As certified by ;ny 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 b~nicipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance v~th all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm_~_~_ ~-~/~,~___ ~t~%~ Telephone~-2~ --~T/~ Address ~f2~_ g~.~_~_~ 5"~ DHEP Ap~proval Approved for Approved ~_, Disapproved Terms of~on¢l~tional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HF~ILTH AUTHORITY APPROVAL CERTIFICATES BASED SOIMLY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER P&]GISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR lENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. ~MPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ,~NCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DNEP S ~LiL ) RR4/ej/D18 [Page 2 of 2] 7-19-84 A. ~DLL DATA Well Classification _(~/~_¢-~ Well Log P~esent (Y/N) Total Depth. Cased to Static Water [~vel Casing Height Above Ground Elect~ical Wiring in Conduit (Y/N) Separation Distances fr~u Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Se~r Line Cle ancut/MaD3aole Water Sample Collected By Water Sample Test Results MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: / I, , If A, B, o~ C, D.E.C. Approved(Y/N) Date Completed Pump Set At / Yield Depth of Grouting. San:ita~y Heal on Casing (Y/N) De[=eseion Around Wellhead (Y/N) ; On Adjoining Lots ; O~ Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Lirm on Lot ; Date Be SEPTIC/HOLDING TANK DATA Date Installed /~oc~! Size ~'(~4 ~/ No. of Cc~%~a~tments Standpipes (__Y/N) / Air-tight Caps (Y_~/N) ~_ Foundation Cleanout (Y/N) y _ Depression over Tank (Y/N) ~] Date Last Ptm~ed Pumping/Maintenance Contract on File (Y/N)/F/~t ; for Holding Tank High-Water Alarm (Y/N) /4///~ q.%mporary Holding Tank Permit (Y/N) Separation Distanses f~cm Septic/~olding Tank: To Water-Supply Wall -Q~ ~ To Building Foundation ~'- ~' To P~operty Line /~ ~ To Disposal Field /~ / To Water Main/Service Line ,/~' To Stream, Pond, L~<e, o~ Major D~ainage Cor~0ents [Page 1 of 2] 2-15-84 ABSORPTION FIELD [~TA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption A~ea ~7~ Depression ove~ Field (Y/N) /L/ Date of Lest Adequacy Test Results of Last Adequacy Test Separation Distance f~cm Absorption Field: To Water-Supply W~ll ~ ~ To P~o~erty Line To Building Foundation ~ To Existing or Abandoned System cn Lot ~ ; On Adjoining Lots ~-~ f- To Wate~ Main/Service Line /~ ~- To Cutbank(if present) To St~eam/Pond/Lake/or Majo~ D~ainage Course To D~iveway, Pa~king A~ea, or Vehicle Storage A~ea Comments MUNICI?ALiTY OF ANCFioRAc ! £N¥1RONM~NTAL OC.T 5 0 984 ~ng~ of Field ~p~ of Field ~ Grail ~d ~ick~ss ~ Stan~ims ~esent (Y~) D; LIFT STATION Date Installed Dimensions Size in Gallons /~o~:*,'~,., t .-'.,,,.. ~t.~-.,, ~,,,,~: Manhole/Access !y/N) "Pump on" Level at , ~/ z "Pun~ Off" Level at High ~-gate~, gJ. arm Leml at ~- ~ Vent (Y/N) Tested fo~ ~ Electrical Codes(Y/N) ~_v Co~nts / Pumping Cycles du~ing Adequacy l%st. t;~ .r.,,~,+_.~ ~,~ /'~ o ,,~. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request I certify that I have checked, ~rified, o~ confo~n~d to all MOA HAA Guidelines in effect on th~ date of this inspection./9 Company T~ ~'~/~/~,-~' ~/~. MOA No. ~'~' KB1/dS/s [Page 2 of 2] ~ ;u ~'~.4~"F · V ,:/..~E~'~' '. ~ }~';:', JUNE 25, [971 ..',~','~ · ., ?..: ....... :Aq ~- 2-15-84 SOUTHCENTRAL REGIONAL OFF ICE 437 "E" STREET, SUITE" 200 ANCHORAGE, ALASKA 99501 BILL ~'~EEFIEI. D, GOVERNOR Telephone: (907) Address: NOt,/G I98,:l 274-2533 To Whom It May Concern: ...... ~cording to records on 'file in this office the ._~i..,~bi~'~l,,~'Ol',] Water System is in compliance with the State Drinking Water Regulations. .. Sincerely, INSPECTION APPOINTMENTS ,- - · TIME TIME TIME ~-NSPECTOR INSPECTOR INSPECTOR ~ MUNIC'IPAJ. JTY OF ANCHORAGE DEPT. OF I I~ALTH ~ MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL SANITATION DIVISION RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing. ~ PROPERTY OWNER PHONE ~ROPERTY RES~ENT (If diLferent frm~ove) k PHONE PHONE[ MAILING A~R ~ LENDING INSTITUTION , PHONE ~AILING ADDRESS LEGAL DESCRIPTION STREET LOCATION~, ~) ""~.' TYPE OF RESIDENCE NUMBER OF,SEDRUOM8 [] One E~] Four []~]-~" SINGLE FAMILY _~_ T-w o~.... E~ Five [] MULTIPLE FAMILY C~_ E] Thre.e_~w E~ Six ~'. WATER SUPPLY Other [] ,,, INDIVIDUAL* I~ COMMUNITY [] PUBLIC UTI LITY SEWAGE DISPOSAL SYSTEM * ATTACH WELL LOG, A well ~og is required for all wells drilled since June 1975 For wells drilledpnor to that date, glvewell depth (attach log if available.) [~" INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS N~ST/~L.!r.,F~:.~ ~ PUBLICUTILITY , i~10~,~' ' ~">~' ~[ ~' NOTE: THE INSPECTION FEE BUST ACCOMPANY EACH REQUEST BEFORE PROCESS~G CAN BE INITIATED, THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~'~ -- Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: /0~'.)~? If Tank is homemade SOILS RATING give dimeusions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ' APPROVED FOR 3 .EDRDOMS [] CONDIT}ONAL APPROVAL {letter must accompau,/certificate) [] DISAPPROVED DATE BY 72-010 (Rev. 6/79) Tobbe. Spurkland P.E. 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243-5302 MUNICI?ALHY OF ANCHORAGE DEPT, OF HEALTit & ENVIRONMENTAL I:iLO £ECTION RECEIVED Municipality of &nchorage Department of Health abd Enviromontal t¥otection Enviromcnta] )iltgineering Division 82~ L Street Anchor'age, Alaska 99501 duly 9, 1981 oubJ..¢t~ Subsurface ~;oil Lot 10, Block 0n inspection of trench on subject lot I re¥ised the soilrating from 125 to 150 and changed the desig~ of the p~'oposed system to a drainffi~ld; Imngth 70 Seer, Total Depth 6 fe~t, Wifl~h ~ feet, Gravel dcpt;h 2 feet. Total absorption Area >50 sq. ft. Tobbe. Spurkland P.E. 8155 Cranberry St, Anchorage, Alaska 99502 Phone 907) 243-5302 June 28, 1981 ;Jub je ct: Dear Sir; Septic System on Lot 10, Block ), U:[!.] iamsen S/D. itz' your request I con(kctcd sit adequacy test on sub,j~;ct ::y~;tem on June ,?~, ;ound the septic tank to contain a very thick liquid witl~ ~ depth of C ?his is a 1(~0 ~al tank and normaly tile deptli~; are from ~'-6" to !Phc l~*~J41ch c3 can out had ]-~quicl ~3tan(lini~ ill J.t to a del,th of 2~ ~nch. ~he q-inch tJtlmp contained 5 feet of lJquido ['Dmn a toilatt was fltlshed :i.n the residence no water could be heard moving through the system. I added 25 ~ial. of clean .ate,- to the cystem ~nd the water ].cve].~ rose by 21 inches J31 tho cleariout: and 19}~ incheo in the SUml), ?h:i.c ind' cai:es thmt the syctcm i~; badly overloaded and .io not l:crforming to the stand:u.at; o(fl; by th( lqunJcilx,].itj, S'hc read:on for thi~ failure can be faculty -i;~mtallation~ poor soilconditions or hi6h water table. I recommend that the reason be found, before a replacement system be ~ut in. Thc existinlj syr3tem cat; not bo used and mu~t b,, rep a( d. NIUNICIPALITY OF ANCHORAGE DEPARTMENT _,- HEAL°TH AND ENVIRONMENTAL 'ROTECTION 279-2511, ext. 224, 22]5 Date Received: April 1, 1977 '9 Inspection: Tiiae ; ,~ PDq 2nd Inspec hion: Time Date .~[ 4"77 _~'~S Date Inspector ~Z¢OD- L)t~/;~y/~,, Inspector REQgEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Instituhion Request: Alaska Na-hional Bank of the North % Claudia Mailing Address: Pouch 7-010 99510 Phone: 278-4581 2. Properhy Owner: Goerge Wilmoth Phone: 279-78'33 Mailing Address; Legal Description: Lot 10 and 11 Williamson Subdivision ~2 Single Family Residence: (x) Number Mul%iple Family Residence: ( ) Number of Bedrooms: of Bedrooms: 5. Well Data: Type ~y ~'? 6. Sewage Disposal System: On-site system Permit ~ _~/~ Installed.<~ ~ Sepkic Tank Size ~~ ~ Manufacturer 7. Distances: Well to Sea, tic Tank ~' to ~sorp'tion to Sewer Lines ~/ Neares~ LOt Line Absorption Area to Nearest Lot Line ~-' ~ Depth __~_~/ _ __ Well Log File _ Bacterial Analysis . . ~,~ L~'~', (x~ Public Utility ( ) Installer . ~~ d~ Area Page Health and Environmental Protection of Individual Sewer and Water Facilities Two Department of Request for Approval Legal Description: Lot 10 and 11 Williamson Subdivision ~2 comments: Af fadavit Attached Disapproved: Letter Attached: ( ) Date: Department Worksheet: MUNICIPALITY OF ANCHORAGE DEPA[~TMENT OF HEALTH AND ENVIRONMENTAL PFJOTEC'rlON 825 L StreeL, A~choracje, Alaska 99[;01[ 279-2511, exL. 224, 225 I-~E(IUEST FOR APPROVAl_ OF INDIVIDUAL SEWER and WATER FACILITIES IHUNICIPALiTY OF AN OEpt 0 CHO~A F, NVIRoN~ HEALTH & ~ '~'~:~'~I'A~ PROTECTION APR 1977 RECEIVED 1. Type of Inspection: 2. Property Owner:___Gqo_~_g_e_ W±:Lmoth Mailing Address: 3. Name of Buyer:_ GIOMI, Richard L. VA_ & Linda M. ....... FI4A .... CON V___~_X_ Day P h o n e: __~2_7. 9 -_7 8~__ Mailing Address: 2901 W. 32nd Ave. AnchoKage, Ak__._Day Phoneg_72-47_2~ 99~03 4. Name of Lending Iostitutioi~: A._~ASF-&~_...~ATIONA% BANK Mailing Address:_~.ouch _7_-.010 AnchoraF=~_A_k. 99~510_ Phone: 5. Name of Realtor or Agent:_.__ Charles Bannister @ POLAR REALTY Mailing Address:_ lO~l__E~__I~t_q~__natfonal .Airport Rd.Phone: .... 2_72-15_Zt_1_ Anchorage, Ak. 99502 6, Legal Description: Lo~ts 10 & 11 Williamson Subdivision ~t2 Location: Near 90th & Birch Road 7. 'Type of Facility to be Inspectod:-S-ingle :FaintS3' _d_~_e__J_ltng_ ....... No. Bdrrns. 8. Water Supply Type of Supply: Public Utility. Individual Cnmunit~We_ll____ If Individual, number of dwellings presently served If individual, depth of well 9. Sewage Disposal System Type of System: Public Utility ........... Individual (on-site)___Z3:X If Individual, date of installation __ Please call if you have any questions or any trouble making an appointment. Claudia Jonas 278-4581 Mortgage Loan Processor X241 72 003(3/76)