HomeMy WebLinkAboutHIDDEN HILLS BLK 1 LT 32"~AM E
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 LStreet - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
MAILING ADDRESS
LEGAL DESCRIPTION
Well Absor~on area
I DISTANCE TO: /
~ I Manufacturer '
" ]Liq. capacity in gallons
~ J DISTANCE TO: IWell
~ ~ I
~ J DISTANCE TO; J
~ ~ ~ I No. of lines Length of ea'cb tine
~ ~ ~.L / ~ ~/ .
~ ~ /Top of tile to finish ~-ade
~ jLengtb Width
~ ~ lType of crib Crib diameter
Inside length
Dwelling
Foundation
Crib depth
Driller
Sewer line
IPHONE [ []NEW
Dwelling
Materiel
Width
Material
Nearest lot line
Total length of linos J Trench width
.~t J ,.~ f,' . inches
Material beneatl~, tile
Depth
inches
NO. OFBEDROOMS
PERMIT NO.
No, of compartments
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PERMIT NO,
Distance
Total effect~e absorption area
PERMIT NO,
Total effective absorption area
Building foundation Nearest lot line
Distance to lot line PERMIT NO.
Septic tank
Absorption area(s}
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
APPROVED
MUNICIPALITY
DEPT. OF HE
Gary J. McJJott
72-013 (Rev. 3/7R)
F'ERI',I]: T
DaTE z =,.-,UEE.,:
RF'F'L. ICRNT:
Fi [::,f.':, F.: E S ~:
C :.' N TFICT PHONE':
DEF'FIF,'THEIq'I" OF HEal._TH AIq[:, EN,,,IF. uI'.,II'IENTHL FF,.u"fECTI~3N
0 ":, .~ ,2' , ~ -"
.... ~,,,. L
.... TREE r., aNCHOF.'.aGE., aK'
264-4720
F E Ri--'! .'it:.
DON HaNNaH
BOF', '1.'1 -2C128
aNCHORaGE., aK
349-1~.24
LEGAL DESCRIP:
LOT SIZE:
I CERTIFY THAT:
2.
=JE, E.I~I_-,IjN. HIDDEN HILLS
:,EC.T I UN. '~. TOI.,.IN':;H I F-
±4,:,9.r:'~ ,.'.'sc!. FT.LF.-~' ..........
LOT: ~.'2
RPIN~E: 41.4
Ei:L. OC:K: :1.
I mM FaMILIaR HITH THE REg!UIREMENTS FOR ON-SITE SEHERS aND [,.IELLS mS SET
FORTH BY THE hlUNICIPRLIT"r' OF aNCHORaGE (HOR) mN[> THE STATE OF RLRSKf3.
I HILL INSTALL THE SYSTEH IN RCCOR[:,RNCE HITH aLL HOB CO[:,ES RN[:, ~:EGLIL.RTION~.,
aND IN COHPLIRNCE 1.4ITH THE DESIGN CRITERIFI OF THIS PERFIIT.
:[ HILL RDI4ERE TO aLL f'IOR aND 2;TRTE OF FILRSKR REQUIREI'flENTS FOR TF.IE ~SE'T 13aCK
DISI"RNCES FROH RN'¢ EXISTING klELL., HRBTEHR"I'ER DISPOSAL SYSTEH OR PUBLIC:
SE[4ERRGE SYSTEH ON THI~ OR aNY RD.]RCEN'T OR NEARBY LOT.
IF:' FI LIFT STFITION IE; INSTaLl_E[. IN al'..! BREFI CO',,,'EF.:E[:, E:"r' HORE,L" I I L[:'I NG .... .:¢ ['E'~
THEN ...L. aN ELECTF.'.ICRL F'EF.:HIT aND INSPECTION P1J.=,F E:E OE:TRINE[:,.~ "2) R .... BUILT.:,
· N]:LL NOT BE aF'PF.:O'¢E[:, HITHOU"r aN ELE_.TF. IE.~L' ~' ' '" INSF'ECTION F.'.EPERT FIN[:, ,'2::: THE
ELE..TRt..HL 1.40RK HUST BE [:,ONE E:'-r' FI LICENSE[:, LLE .TRI_.IRN.
..................... '
RF'F.'L I CaNT: [:,ON Ha~.,INR. H ,
]:L=;SUEE:' B'¢ E:'F~TE:
September ]2, -]9(~q
John Kennedy
F~ Dept. of ~iea].th ~;~ !~;rtv:l:conmanta]. t-.robection
82~ ], ~tz'eet
Subjoct: hot 32, B].oe.k ].~ Hidden iii]Is
On Jm'~e ]~ ].9[~ the septic f, ar~k xa.'; moved to con!'oz.m to the lOC.'
sep~azat','J.on to ~he ~.;ell. on l,ot ~ 'l'~.~e].ve ~'eet of the exict:}n~
ua, s ~mmoved arid ret;]_aecd xi'th 1~' o;(' net.~ trench a~; 4 L x~za f'oum~
~'~. also xaa x~thjn fha lO0' separaL;~on rectuirement. The
Ora'xinC a.s previously submitted ~fl~oxs thc s3stcm ;.ts '~ t no~.~ exists,,
The 'ta~fl~ and in].et ].ines ~.~ere insu].ated ~i'Lh 2" h.~f~h density
~..',~ro adjacen2 and ben, aa. th to the drive¥~ay,
Gary
ALASKA ENVIRONM;=NTAL
CONTROL SERVIC[ ,NC.
1200 West 33rd Avenue Suite B
ANCHORAGE, ALASKA 99503
Phone 276-1361
SHEET NO. OF
OHECKEO 8Y DATE
SCALE-
.Lot 3 Z
NAME
MAILING ADDRESS
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF 14EALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 2_64-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~, V 3-~ v/1/[] UPG,ADE
Absorption area Dwelling
NO, OF BEDROOMS.~3
HOMEMADE;
LEGAL DESCRIPTION
LOCATION
DISTANCE TO:
Manufacturer
I Liq. capa
DISTANCE TO:
PERMIT
No. of comol:~ments
Inside length Width depth
Well Dwelling PERMIT NO,
t Well t Foundation
DISTANCE TO:
No. of line~)~"~' Length of e~e. %~nes
Top of tile to finish grade ~ Material beneat-h tile
Length Width Depth
Type of crib Crib diameter
Well
DISTANCE TO:
DISTANCE TO:
Depth
ding foundation
OTHER
PiPE MATERIALS
_ ®,_%.
SOIL TEST RATh;q G ~-
INSTA~~
REMARKS O-0
Nearest lot line~,~_
Trench width
PERM,T NO.__/ C~ O (
ption area
PERMIT NO.
Crib depth /~-'T~ effective ab,~,~ption area
ri ler I Dista ce to lot lin~'~'7-~ I PERMIT NO~
Sewer~ ~ ] ~i~ ~ ~~Absorptio~ area~s)
I ' ~ 1~ '
DA'rE LEGAL
WATER WELLS
665 W, 87th ~'~,
DRILLER'S gAIERlikL LOG
:iil;;ii'. !:.:!i "' !.." :~i;'F I:;'!!ii [iil 'f'., F::I I",! {;: r-.I ( ) I::;:l::l ('il [i~, I:':!1'::; l!iIii;r !il
;¢i: d; '::!.' '" "I. ';::' ;:i:
I"i1::1;:'¢ ); I'"ILIf"t i",ll..ll"'ll}i',[!!t~: Of:: I;i;f:i;!::'l:;i'.OOi'"l:i; ....
't"I"IE I:;;: [!! ~:;:!1...I :i; F;;:ii;I;:' :!:i; :i; ;i!% OF:' 1'1 IE:; :i!i;O t I.. FII!!',:::i;OFi:F:'T I O1",1 ?.r"_':i;'i"r!:H ! i~!;:
iE::,, L,'i !E Il::::::" "~ '- il .-.il :: ..... ::;:ii... i;i~:: t~ ....,"i!~!i:; ~"..d! {;~ii "If" ~..
'FILE; I..tEBIG'f'I-I I)1' Hli:{b,k!;:; :i; ON i ::~; '1'I"1t;!: !..l:i!;i'.,ll;;!i"l'l ! ,:; I I'.,l i:::'l.i!%'f' ) OF:' 'FI. Iii!; "I'~;;:Iii:NE:H ()F;: !i:,¢1:I::;I I N!:;:' I Et.D.
'FILE DEI:::"FH OF: I:::1 'l"l,i:i:i!blE:H O1';;'.
(!ilREIIJN[} F:iND 'FH'~i!; !'ii:OTTOf"l (;;il::' THE; I:!!;;:.:;(]:F:I',,,'F:IT];OIq ,::;11'.,I I::.'lii}:E'l').
'i'I"II:!!;!;;:E :1: :!i; NO E;I;{'I I.,.! :I; DI";-I F'(:;~f;i:
'!"I.tE; (]:il;.:l:::l~,,,'f!i;I.. [:,E;F:'TI.I ;I;:~i; TI.lEi;
F:It'.,!!;;) TI-Iii!i; !'in:Jl'f'YOi',l OF:' 'fI.IE:; lJ:;Xl';:l:::l',,,'l'.:!"i');Ij;d'-,!
J'"i ;11 i",11 !'"ILiI"I Ii:, I :!:!;'f'FIblCl!i:
j..I;i:l({I I'::I!i;E;T F:'Edi:
:l.'.!Z:iO f'O ;;;iiOO I:'EEEi;'T
HEiI...I.. I...OIJi:!il; I::11:,~%
OF 'If. Il!.!; I.,l!i;:!..!. E:OI'IF:'L.ETION.
()'T I. IEIq: I:;;:l!~l;;:!l...t I I;;%HE:N"t':;:~; I"/l:~l"r
f:;l'v'l:::l I t .F:II!.J:I..E; TEl
;11 ti;:l!i!3q:'l'IF:"r' 'TT'II'::I'F
::i..: I I'::IH F::!::II"II!.IF:II:;i: I.'.!ITH ")"Hli;i ~;?.l!}Xi:!l. liFi:l!!il"ll:!i2',!'l"r!i:; I::giilFi'. ()l'.,t-.i!::;ir"l'lil i!;:;li}il,.ll:;il:;i'.!i:!; t::INIi:, Pll!iJ I. ii:i; I:::!i!!; '.:i!;fX'l
i:"'(iII:;i'.TH E',"r' I'1'I[.:; I'"II..It',IIIj:II:';'F:IL.);T~r' O~;'
;;';'.: i J.'l I l.J.... 1 I',I'.i!:;Tt::'tL..I.. 'H'I[E :F.';"¢:i;!;'T'F;PI ! 1"4 t::IC!J:OI:'~:DF:II",ICE !.'.J ]; 'fld
J~:: I I..ll',ll;:'El:;;:'Jii;'l"l:::lN[;:, TI"I!::IT "fT'lli!!; Ed",I'":!};ITtE ~;i;l:i';HELf;i: 'Ji!;"r':ii;'fi:i;fd h'il::l"r' I:;i'.[i!%!l..I;rl:RF: l}!~Nl.l':i!:;i:(;:iti~;l,ll}i;NT ;I;1::: TI.IF!
I:;;:IE';:i; ;Il Ii>IEI'..I(i:!:~: il: ~.; I:;;:l:!:l'dOIi:,El. EE:, 'f'O I I'.,ICI..UDIE I"'IOIq:E TIIF::IN ;i:::
. ~/ I::: F:' ~:' * :::: '., .... I. I .,1I.,I,~5'1 I F:'l'.,Iq' I I',l "'
SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6~650, Anchorage, Alaska 99502 576-2221
SOILS LOG - PERCOLATION TEST
1
2
3
4
5
6
7
8
9
.... lO
11
12
.... ~.13
14
15
16
17
18
19
2O
[] PERCOLATION
TEST
COMMENTS
DATE PERFORMED: L~
/
SLOPE SITE PLAN
· :::,:
: k~ '~ ~ ,
WAS GROUND WATER S
ENCOUNTERED?
0
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND FT
CERTIFIED BY~~
DATE:.
72 008 (7/76)
MUNICIPALITY (DF ANCHORAGE
DIVISION OF ENA?IRONMENTAL HEALI~{
DEPAI~I'MENT OF [ ~tEALrI~{ A_ND ENVIRONMENTAL PROTECTION
APPLICATION FOR HF~L'I~{ AUTHORITY APPROVAL CE1Yi'IFICATE
1 o ¢~;nera]. Information App].~cation Date
(a) Logal l~osc~iption (inclu(? lo~t.~ Dlock~ suDdivision~ gection, tcxvnsh:i.p~ range)
Location (add~_~ess or directions)
Nan~ ' ~ ~ - ? · ~ ~' ~'' ~ ,~ -,-le hone ~ '
b) Applicants Z~ ~.__J_~_f3~_~.-_~,~ f_~.D/L_g~s~_f~le~?q_~ ~_~j~,zll_
c) Applicant is (che~ om) ~ndi~g Institution ~J; ~or~tlild~r [~
d) ~nding Institution Telephor~
Address
(e) Real Estate Co. & Agent
Address
Multi-Family
Other (describe)
Individual Well ~_<~ Co~nunity ~ I~blic ~[
Note: If connunity .~_~11 system, ~st have written c~nf~mtion fr~ ~e State
~pa~nt of ~viron~ntal Con~rvation attesting to t~ legality ~d status.
Is the ~11 ade~ate fo~ the n~r of ~s s~cified in this I-~A ~)
4. ~ ~?~p~ a~.
Is the ~stewater disposal s~stem adequate f~ t~e ~r of ~dr~ ~)
[Page 1 of 2]
2-15-84
5. ~,~_n~ir.~erinq Fiznu Provid. i~n~q..:IljS~.c~t%o~ns, 5%sts, ~ata and Information
I c~rtify that I have c_hecked, verified, o~ c~>nfomred to all 5DA ~AA C~lideli. nes in
6. DHEP A~roval
Ap[~oved fo~~ ~f2
effect on the date of this inspection.
, t.
s.tg~d~ c~
Sig~d ~
.......... ,..,
Approved
Disapp~ove. d
The Municipality of Anchorage Departurent of Health and Environmental Protection does
not guarantee tim continued satisfactory perforn~nnce of tt~. water supply and/or the
wastewater disposal system. ~%J.s approval indicates that., as of the va!idaticn cL~te
sho~n above, based on the data and information furnished by an e~ineer registered in
the State of Alaska, the water supply and wastewater disposal system is safe and fur~c~
tional for the r~mu~ of be~f%cocms and, type. of structure indicated.
(DHEP
7. Mail 'the HAA to tim follc~;ing address:
KB2/d5/s
[Page 2 of 2]
2-_'l.5-84
ae
Well Log P~esent
Total Depth ~Off3 ! Cased to ~ !
Static Water L~vel /~' Pump Set At
Casing Height Above G~ound
Electrical Wiring in Conduit d/N)
Separation Distances f~cm Well:
To Septic/Holding TamJ~
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AlYl~ORI~"f APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
03AI333 1
, o T, JdV
; On Adjoining Lots ~ ~'/001
To NeaFest Edge of Absorption Field on Lot~; On Adjoining Lots_~Or
To Nearest Public Sewer Line ~g/~ TO Nearest Public Sewe~
Cleanc~t/Manhole ~V/~¥ To Nearest Sewer Service Line on Lot
Water San~ple Collected By . ~/// ; Date ~//$/~/
Water Sample Test Results .
B. SEPTIC/HOLDING 'rANK DATA
Date Installed ~/7~ Size /0o O No. of Compa/rtr~nts ~
Standpipes ~/N) Air-tight Caps ~z/N) Foundation Cleanout (Y~_
Depression over Tank !Y~ Date Last Pumped .~ %~3~ ~_~ '~ ~a~ · ~_R~_ t,~-.~ ?~
P~ing~intenan~ ~n~a~ ~ File ~/N) I0/~ ; fo~' ~~ ~'~
Holding Ta~ High--WateF Ala~ (Y~N) ~/~ Ternary Holdi~ Tank ~t (Y~) ~/~ ~
~p~ation Distan~s ~ ~ptio~olding Tank:
To Water-Supply ~11 ~~Qx _ ~ To ~ilding Foundati~t ~/~
To ~o~rty Li~ ~/O~ To Dis~sal Field ~'
To ~te~ Mai~Se~vi'~ Li~ To S~e~, Pond, [~e~ ~ Majo~ ~aina~
Co~ ~g(~
[Pag~ 1 of 2] 2~15~84
C. ABSORPTION FIELD DATA
De
Soils Rating in Absorption Strata of system sign
Date Installed ~f ~ngth of Field
Width of Field ~ / ~p~ of Field
Gravel ~d ~ick~ss ~ '
S~e Feet of ~sorption ~ea ~~ ~ Stan~i~s ~esent ~)
~p~ession ove~ Field (Y~3 ~te of ~st A~a~ Test ~3/~
Results of ~st ~a~ ~st (~ ~~ '~ 3 ~ ~
Sep~ation Distan~ f~ ~s~ption Field:
To ~te~-Supply ~11 ~/~Q To ~o~rty Li~ t'~~
To Building Foundation ~ / To Existing or ~ndo~d System
Lot ~/~ ; ~ ~joining ~ts ~o~
To Wate~ Main/~vi~ Line ~/~ To ~t~(if p~e~nt)
To St~e~ond~ke/~ Majo~ ~aina~ C~
~iveway, Pa~king ~ea, ~ Vehicle St~a~ ~ea 3~_ ~c~
0 '
LI~ STATION
Date Installed t31
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes(Y/N)
Con, rents
Dinm ns ions l'"'~/.~;
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
M~ets MOA
** Check Permitted Bedroom Rating Against HAA' Request
I certify that I have checked, verified, or confo~wed to all MOA HAA Guidelines in effect
on tho date of 'chis inspection.
Con,party /~&'-(~ ~;~ MOA No. ~F'~-O,2. q_
[Page 2 of 21
2-15-84
ALASKA I UI[ OI m [ TAL CO[1T[ OL SE[ uIC $,
~n(linecri.§ 6 ~naironm¢.lol Slu¢lics
March 23, 1984
Mr. Keith Bandt
MUNICIPALITY OF ANCHORAGE
Department of Health and
Environmental Protection
825 L Street
Anchorage, Alaska 99501
Subject: Health Authority on Lot 32, Block 1, Hidden Hills Subdivision.
Dear Mr. Bandt:
On March 13, 1984, this office performed an adequacy test and health
authority inspection on the above property. It was discovered and
re-confirmed on March 20, 1984, that the well on Lot 33, Block 1, Hidden
Hills was drilled within 100 feet of the existing system on Lot 32, Block 1,
Hidden Hills.
The septic system on Lot 32 was installed and inspected May 1979; therefore,
existing prior to the establishment of the well on Lot 33, (July 1983).
The driveway on Lot 32 is within 2 feet of the standpipe on the septic tank
and is over the absorption area of the tank. The outlet of the tank was
separated from the absorption area of the trench by 6 feet (per as-built),
which was installed with solid cast iron pipe. This covers the major
portion of the width of the driveway, which consists of the metal septic
tank and the cast iron pipe. According to permit #790123, the approximate
depth of the cast iron pipe would be 5 feet.
During the adequacy test, the well produced 450 gallons at an average flow
rate of 4.4 gpm.
If I can be further assistance, please contact me at 561-5040.
Sincerely,
Larry D. Montgomery
Engineering Technician
LDM/caj
1200 ~U~sl 33rd Auenu¢. Suil¢ B · Anchara(l¢, Alaska 99503 ,(907) 561-5040
ALASKA IiLIIROI melgTAL COF1TF OL S I uIC S, lilt.
~n§in¢¢,'Jn§ 8 ~nuir~nm~nlal Studies
MARCH 13 1984
RICK DUNFORD
6331 WOODED CIRCLE
ANCHORAGE AK 99503
SELLER - RICK DUNFORD BUYER - JESSE CAIN
SUBDIVISION - HIDDEN HILLS BLOCK - 1 LOT - 32
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN UNKNOWN AREA,
THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY,
THE SURGE CAPACITY OF THE SYSTEM IS 450 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
2 BEDROOM HOME.
FLOW TEST ON WELL
THE WELL FLOW RATE WAS 4.4 GPM FOR 4 HOURS.
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC ~NK VOLUME OF 1000 IS ADEQUATE FOR
THIS 2 BEDROOM HOUSE.
22514: .
1200 ~J¢sl 33rd Aucnu¢. $uii¢ [~, Anch,:,ra¥. Alask,~ 995o3,(9o7) 561-5o~1o
I -- DA'T~ RECEIVED
'l; INSPECTION APPOINTMENTS
'-~ M'E .... '" TIME
DATE I DATE I ^ '~q [¥'L~ ..... DA=rE!
.~ l~ *~ ~ MUNICIPALITY OF ANcHoRAGE ~ ~ PT l
L DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC:T~IRONMEN]',~L
n ~ ~7 ~ ~ ~ 825 L Street-Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720 RECEIVED
REQUEST FOR APPROVAL OF INDIVIDUAL WATE~AND SEWER FACILITIES
DIRECTIONS: Complete all parts on pa~ 1 ~ Incomplete requests will not be processed. Please allow ten {1 O) days for processing,
,AILINGADDRESS % /~
P~OPE~TY HESIDENT (If different from abow) PHONE
2, BUYE~ PHONE
MAILING ADD~ES8
MAILING ADDRESS
STREET LOCATION
6. 'rYPE OF R~ENOE
[~ SINGLE FAMILY
[] MULTIPLE FAMILY
7. WATER~_SUPP~L~¢~ l-
L(8~ INDIVIDUAL*
[] COMMUNITY
[] PUBLIC.~UTI LITY
8. SEWAGE DISP~.S~[ SYSTEM
E~t/"l N DtVI DUAL/ON.SITE**
NUMBER OF~BEDROOMS
[] One [] Four
[] Two [] Five
~-~[] Three [] SiX
[] Other
* ATTACH WELL LOG. A well Icg is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach Icg if available.)
10~-~ O~ __YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING 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 UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM ~ERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[~] PUBLIC UTILITY
Connection Verified INSTALLER
E~Septi.cT~nkor E]HoldingTank ~.'~)~,,~,~,~2~.. ~.,~'~,
Size: I 0(2,) If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO'. Septic/Holding Tank IAbsorptlon Area Sewer Line I Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
[] APPROVED FOR ~ BEDROOMS
[]~]'/C-ONDITIONAL APPROVAL (letter must accompany certificate}
[] DISAPPROVED
DATE BY
GEOI GF M. SULI,IVAN,
[)FPANIfviEFJTOF IIEAI'i'H ANt) IiN'v'I!I()NBIENTAI PROTEf'.TIO~I
January 23, ].98].
Jim Tunnell, Bill Chaquette
% Century 2].. - Shennum ]Realty
209 West Dimond Boulevard
Anchorage Alaska 99502
Subject: Lot 32 Block I Hidden Nills SubdivJ.sion
Approval for your individual sewer and water~ac~.].mt~.e.~¢' " "-'
cannot be granted until the following items have been
completed:
(]) A well[ log submh:ted '~o this department for our
review.
The top of the well. casing sealed wit:h a sanitary
seal so that it is waller tight.
The depression or pit around the well casing needs to
be filled with impervious type soJ~l so 'that it slopes
away from the we'll casing.
The well casing extended twelve(12) inches above
ground level.
Exposed electrical wires to the well head are in
vJ.olation of l.che Municipality of Anchorage (;odes and
must be encased in conduit.
The water.' facilities were not turned on a.t the time
of the scheduled inspection, Please call], this offJ. ce
for anether appointment.
(2) The water analysis report needs to be delivered to this
.... office from the Chem Lab, 5633 B Street for our review
~ Expose well for our inspection to determine proper
t:he
construction, also to insure minimum distance requirements
are metz between tine well and sewer system.
Jim Tunnell, Bill_ Chaquehhe
January 23, 1981
Page Two
The septic tank pumped with a receipt submitted to this
department.
The septic tank pumped with a receipt submJ, tted to this
department. The total m3a~ber of gallons pumped needs to
be on the receipt and verified by a registered engineer
as to the actual number of gallons pumped. This is to
verify the size of the septic -tank.
Expose the septic tank manhole to verify its existance.
Locate and expose the standpipe to 'the seepage pit for
our inspection. This J.s to insure the minimum distance
requirements are met between your well and sewer system.
A four(4) inch cast iron cleanout needs to be installed
he the septic tank and/or leaching area.
An adequacy test needs to be performed on the existing
leaching area. This test wi].l determine if the system
is adequate according to National Standards. A listing
of private firms performing the test is enclosed~ This
report needs to be submitted to this department for our
review.
The permit for {:he installation of an on--site sewer system
has expired as ef December 31., 19 We have not received
the as-~bui]..ts ef the installation in this elf ice. If a
private engineer inspected the system, please send us the
report, for our files and review.
The application shows the number of the bedrooms exceeds
the number the sewer system was originally designed for.
An upgrade will be required. Prior to any upgrade, a
permit needs to be issued from this department.
PI. ease notify this department for a reinspechion when the no[ted
descrepancies have been corrected. Ill there are any further
questions, please call this department at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
SWP/059