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Home My WebLink AboutHERITAGE HILLS BLK 3 LT 10Department~ of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME P-,,tf'"A/6~.., ~'2A.,ll-~q%, MAILING ADDRESS 2 7/~* ~_~'~¢'i?J~D~'?~t~ ~(--L,,, PHONE ! SEPTIC TANK: DISTANCE FROM WELL t(')O INSIDE LENGTH MANUFACTURER ~/"~/F" INSIDE WIDTH NUMBER OF MATERIALV-~ ~/¢~'~¢) COMPARTMENTS ~ LIQUID DEPTH '-- LIQUID CAPACITY /~O¢O GALLONS. SEEPAGE PIT: ! ¢ ¢ . / NUMBER OF PITS [ DIAMETER OR WIDTH~ ?/1 LENGTH 2/¢;2, DEPTH /'~ ¢ LINING MATERIAL CRIB SIZE: DIAMETER~)~ DEPTH ~ DISTANCE FROM: WELL ~ ,..¢~ f TOTAL EFFECTIVE BUILDING FOUNDATION , NEAREST LOT LINE /~/ ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: r}O2' BUILDING FOUNDATION -- CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TAN K __ SYSTEM DISTANCES: INSTALLED BY: '~ ~)~L(2,c~J~L2~ LOT SLOPE: REMARKS: ~C.~..~ Form No. LQ-031 DIAGRAM OF SYSTEM ~ d ' G.A.A.B. GreaTer ANChOrAge Area Borough DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456 ! SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK L~ SEEPAge PIT ~ ~ , DRAIN FIELD OTHER FINANCED THROUgh TO BE INSTALLED BY SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED 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 ~ - SEEPAGE ARE SIZE TYPE ~ DIAGRAM OF SYSTEM MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ~ SEPTICTANK TO SEEPAGE P,TWALL ~ ~ SEPTIC TANK ~ TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD , SEEPAGE PiT ~ · , DRAIN FIELD DRAIN FIELD ALSO CONSIDER AREA WELLS. · SEEPAge Pit ~/~3 ~ SEPTIC TANK, [~"'~ [~0( 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 SACKFILL CONFORM TO BOROUGH REGULATIONS REG/~INg INSTALLATION. ?/ OR I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAge AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTem IS IN ACCORDANCE With SAID CODE. FORM NO. EQ-01 6 Note: T.H. 1 4-3-74 ~ ORGANICS ~'~ SILT, Trace Sand SILTY SAND, Trace to Some Gravel (SM) 0.0~ 1.5' 13.0' No Water Table Test hole excavated with tractor-mounted backhoe. F~ Engineering ~ Geological Consultants Inc. V ~CHO.A~E FA,~BA~S ALASKA UU~EAU 4-4-74 IscALm l" = 5I IOWN BY JRS ICHKD mw WED JIM P~RS}tALL PROPERTY LOG OF TEST MOLE Anchorage Alaska IP~oJ. ~o. 462007 IDwe NO. AO-1 Civil Engineers ENC, __.JEERI NG_ & GEOLOrdlC.. . L fJ,.)INSULIAN lb 229 EAST 51st. AVE. -- P.O. BOX (~087 -- ANCHORAGE, ALASKA 99503 TELEPHONE 907--279--0483 TELEX 090-35419 Geologists Land Surveyors JAMES W. ROONEY, P. E. MALCOLM A. MENZIES, P.E., L.S. JAMES H. WELLMAN, P.E. April 4, 1974 RALPH R. MIGLIACCIO Engineering Geologist; R & M ~o. 462007 Rappe Excavation 8001 Arctic Blvd. Anchorage, Alaska Re: Test Hole and Soil Log Report for Sanitary System Lot I0 Block 3 Heritage Hills Sub-Division Dear Mr. Rappe: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of April 3, 1974 and those procedures outlined in a letter dated September 13, 1971 by Mr. Roll Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 10 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended to a total depth of 13 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-Olo- Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOL'OGICAL CONSULTANTS JWR: rb xc: GAAB ANCHORAGE FAIRBANKS JUNEAU MUNICIPALITY Of ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ~)/~)-- ~2! ~ ~) HAA # ~/ 1. GENERAL INFORMATION Complete legal description Lot 10, Block 3, Heritage Hills S/D Location (site address or directions) 12301 Heritage Road Property owner Mailing address Lending agency Mailing address Dave Johnson 12301 Heritage Road, Day phone 762-0814 wk 345-6173 hm Anchorage, Alaska 99516 Day phone Agent Address Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF .WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 4 NOTE: Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: XX 72-025 {Rev. 1/91) Front MOA #21 Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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 inves_t~ation 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. NameofFirm Steven R. Pannone, P.E. Phone 274-0308 Address P. o. Box 142025, Anchoraqe, Alaska 99514 Engineer's sig natu re..~<~, ~ DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms with the following stipulations: Additional Comments By: / . Date 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 (Rev. 1/91) Back MOA ~21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:Lot 10, Block 3, Heritage Parcel I.D. Hills A. Well Data Well type Ind. Log present (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number N Date completed 1974 Driller Unknown Total depth + ] 99 ' Cased to Sanitary seal (Y/N) Y - sea]. replaced FROM WELL LOG Date of test Static water level Well flow Pump level1 /- SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMPLE RESULTS: Coliform ~ Date of sample: 7-31-94 B. SEPTIC/HOLDING TANK DATA Date installed 7-.l~-74 +100' +100' +100' Nitrate Tank size +40 ' Casing height Wires properly protected (Y/N) Y AT INSPECTION 7-20-94 190 ' ]2" g.p.m. 4.8 g.p.m. 199' *from file ; On adjacent lots +100 ; On adjacent lots +100 Public sewer manhole/cleanout Petroleum tank +10 0 NA !. 3 Other bacteria Collected by: SRP 1250 Compartments 1 Cleanouts (Y/N) Y High water alarm (Y/N) NA Date of pumping 7-19-94 Foundation cleanout (Y/N) Y Depression (Y/N) Alarm tested (Y/N) Pumper Issaac's (receipt N attached) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot +100 To property line +20 ' Surface water/drainage On adjacent lots Absorption field +100 ' +110' Foundation* ! 9 Water main/service line 16.5' :house to cleanout +50' *file 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons ~ Manhole/Access (Y/N) · - / Vent (Y/N) __ "Pump on" level at ~ieg~tsW~t~r;:~;cmtli~lcodes (Y/N) ~"CYC~S tested SEPARATI~TION TO: We~t On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ? -- 'f. 8- ? 4 Len thIrregular e'~idth g Total absorption area r, q 0 Date of adequacy test 7-- 20- 94 Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/FF) 250 SF .SystemtypeSeepag® pit Gravel thickness 7 ' Total depth 11.5' (probed) Cleanout present (Y/N) Y Depression over field (Y/N) N Results (pass/fail) T'ass for 4 Bedrooms 16" from bottom Aftertest 16" from bottom N If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot + ! 00 ' On adjacent lots + [ ']' 0 ' Property line To building foundation To existing or abandoned system on lot 19' ** NA. On adjacent lots + 50 ' Cutbank +5 r~, Water main/service line + 50 ' Surface water +100 ' Curtain drain + 50 ' E, ENGINEER'S CERTIFICATION Driveway, parking/vehiclestoragearea +50' ** No waiver necessary - shown on as-blt inspection. I certify that lhave checked, verified, or conformed to all MOA and HAA guidelines in e~f'eci ~n i'h-~'~d~"5~-'~,,,,ection. Signature Engineer's Name S%even R. Pannone, P.E. Date 8-- [-~'-cb Lc HAAFee$ 300 (check ~11~'7) Date of Payment 8 .- 5 - 9 4 Date of Payment Receipt Number OS 00[70 (6052) Receipt Number 72-026 (3/93)* Back MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES_ Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING cO/~/~l~ HAA# ~1'/~' ~ ~ ~'C~ ~:~ 1. GENERAL INFORMATION Complete legal description Lot 10, Block 3, Heritage Hills Location (site address or directions) 12301 Heritage Road Property owner Mailing address Lending agency Mailing address Dave Johnson 12301 Heritage Road, Day phone Anchorage, Alaska 762-0814 wk 345-6173 home 99516 Day phone Agent Ad dress Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: xx Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: xx Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72q325 (Rev. 1/91) Front MOA#21 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 verifythat 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. NameofFirm Steven R, Pannone, P,E, Phone 274-03(]8 Address ~.0. BOX l~.02~nchorage, Alaska 99514 Engineer's signatur~~-%.~ ' -- Date ~-~ ~ DHHS SIGNATURE Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date I 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 sati.sfy 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~)25 (Rev. 1/91 ) Back MOA fY21 Municipality of Anchorage ,~ Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:T,ot 10, Block 3, Heritage Parcel I.D. Hills A. Well Data Well type Ind. Log present (Y/N) N Total depth + 19 9 ' Y Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system nu_~ber Date completed 19 .'74 Driller Unknown Cased to +40 ' Casing height 12" --sea]. replaced Wires properly protected (WN). FROM WELL LOG Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot + 100 ' Absorption field on lot + '1 0 0 ' Public sewer main NA g.p.m. Sewer service line AT INSPECTION 7-20-94 190' 4.8, W~o~ ~e ; On adjacent lots +~0 ; On adjacent lots + ] (30 ' Public sewer manhole/cleanout NA +100 ' Petroleum tank + 100 ' WATER SAMPLE RESULTS: Coliform ~' Date of sample: 7-- 31- 94 Nitrate 1,3 Other bacteria Collected by: SRP B. SEPTIC/HOLDING TANK DATA Date installed 7-18-74 Cleanouts (Y/N) Y High water alarm (Y/N) NA Date of pumping Tank size 1250 Foundation cleanout (Y/N) 7-19-94 Compartments 1 Y Depression (Y/N) Alarm tested (Y/N) Pumper Isaac's (receipt N attached) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot +100 ' To property line + 20 ' Sudace water/drainage On adjacent lots +110 ' Absorption field 5 ' +100' Foundation * 19 ' Water main/service line *fi]-e 16.5~ ' house +5~ cleanout 72-02.6 (3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) ~ SEPARATION DI~ FROM LIFT STATION TO: We'~on lot On adjacent lots Manufacturer ~ Manhole/Acce~ r,,,~,/pu mp off'~ ..~/~Cycles tested Surface water D. ABSORPTION FIELD DATA Date installed 7-18- 7 4 Length Irregular '~i~" 980 Total absorption area Date of adequacy test 7- 2 0 - 9 4 Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) N Soil rating (GPD/FF) 250 SF Gravel thickness 7 ' Cleanout present (Y/N) Y " Results (pass/fail) Pass 16" from bottom, Systemtype Seepage pit Total depth 11.5 (probed) Depressbn over field (Y/N) N for 4 Bedrooms Aftertest 16" from bottom If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot +100' To building foundation On adjacent lots + +100 Sudace water Curtain drain +50 ' E, ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on On adjacent lots + 110 ' Property line 19 ' To existing or abandoned system on lot NA Cutbank +50 ' Watermain/service line +50 ' +50' Driveway, parking/vehicle storage area *no waiver necessary - shown on as-built inspection. Engineer's Name -S~V~%.,-~J Date 8- ti- ~- CE-8149 HAA Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number MUNICIP6LITY OF ANCHORAGE DIVIS~ION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR PIEALTH AUTHORITY Ai~PROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicants Name Telephone- Home Business Appl~icants ?ddress (C)' ApPlicant .is' ('Check one) Lending Institution ~ Bff~er:'[-----[ i'~Other ~--~ (explain>; (d) Lendi~g Ih'$tit6tI~n Address , ,' (e) Real Estate Co. & Agent ~-~; Owner/bat°zd~-r ~; Telephone Address Telephone (f) Mail the HAA to the following address: 2. Type of Residence Single-Family.~ Number of Bedrooms 3. Water Supply Individual Well.~ Multi-Family Other (describe) Community~-~ Public~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Community~--~ Holding Tank'~-~ 4. Sewage Disposal Note: If community well system, must have written confirmation from the State Department of Environmental Conse~ation attesting to the legality and status. [Page 1 of 2] Engineering Firm Providing Inspections~ Tests, File Search, Data an_d_InfmO~ As certified by my seal affixed hereto and as of the validation date show verify that my investigation of this Health Authority Approval shows tha~ the water supply and/or wastewater disposal system is safe, functional and adequat~ the number of bedrooms and type of structure indicated herein. I further verify based on the information obtained from the Municipality of Anchorage files and investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm A~C5 Telephone ~G ~' Address Date DHEP Approval Approved for/.~:k~d/~bedrooms Approved/~~ Disapproved Terms of Conditional Approval ~. ~/- ,f~ ,' Comdition~ CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARtmENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES ~ND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ~NALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 A® MUNICIPAIJITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: WELL DATA Well Classification Well Log Present (Y/N) Total Depth ~ Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distanoes from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout~ ~ Water Sample Collected By R Water sample 'Test P~sults If A, B, or C, D.E.C. Approved(Y/N) Date Completed Pump Set At Yield Depth of Grouting Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoin{ng Lots To Nearest P~blie Sewer To Nearest Sewer Service Line on Lot B. SEPTIC/HOLDING TANK DATA Date Installed ~0~. Size } '2. YO No. of C~,~3artments Standpipes (Y/N) Air-tight Caps ~N) y Foundation Cleanout ~N) ~ _ Depression over Tank (Y/N) Date Last Pumped "~-,%.~ ~/l~?~ Pumping/Maintenance Contract on File (Y/N)~- ; for . A)4 Holding Tank High-Water Alarm (Y/N) ~3 d- Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ~ To Property LineF~'~ 15' To Water Main/Service Line Course ~T ~ o ~ To Building Foundation ~- I~,~ To Disposal Field X- To Stream, Pond, Lake, or Major Drainage Receipt ~ Date Paid: Amount: L( [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ ~ ~¢~0u3~ Width of Field ~4~obo~J Square Feet of Absorption Area DKzo~ Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y~ Depression over Field (Y~ ;~ Date of Last Adequacy Test Results of Last Adequacy Test (~Se~ ~5 Separation Distance frcm Absorption Field: To Water-Supply Well 1%[ ~ To Property Line 9¢ ~T/O' To Building Foundation { 9~,%' To Existing or Abandoned System on Lot A3~ ; On Adjoining Lots ~ ~O¢ To Water Main/Service Line A)4 To Cutbar~<(if present) To Stream/Pond/Lake/or Major Drainage Course. ~/~ - ~1-/Oo~ To Driveway, Parking Area, or Vehicle Storage Area ~¢ (~/, %' Con~nts~ ~f~¢~ %~ f~pt'~ ;~o D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(Y/N) Dimens ions Manhole/Access < Y/N) "Pump Off" Level at Pumpin s du~ing Adequacy Test:. Meets YOA Com~3~nts Check Permitted Bedroom Rating Against HAA Request certify that I have checked, verified, or conformad to all MOA HAA Guidelines in effect on the date of this inspection. Company_ KB1/d5/s Dete I ¢ MOA No. Yq-~L~ [Page 2 of 2] 2-15-84 ALASKA CTOIROFImt FITAL COFITROL $1 RDici $, IFIC. ~n§in~¢rin§ $ ~nuironmcnlol Slu~i~ September 22, 1984 Attention: Susan Oswalt Oepart,ent of Health and Environmental Protection 825 t Street Anchorage, Alaska 99503 Subject: Heritage Hills Subdivision, Lot i0, Block 3 Dear Susan: On 5epteffber 13, 1984 our office did a well flow on the above legal. results were 5.83 gpm, durlng a period of 3 hours. If you:.have any questions, please feel free to contact our office. Operations Manager Approved By: The 1200 ~Ufsl 33rcl/~ufnue, Suile ~*/~nchoro%/~[osko 995030(907) 561-5040 Buyer Address Zip Code Phone Lending Institution ~ Zip Code Address ~ . t- ; . ~ ~¢_.~'-..:z' \ ('D Phone : Realty Co. & Agent Street Locati~ ~') 7~ .( 1¢~: ~ "~ tn /-- . Type of Residence ~Sinole Family ~ Multiple Family No. of Bedroo~ D Other Water~ Supply ~ ~' ~-Jndividual ~ I A~ACH WELL LOG. A w~l Icg is required for all wells drilled since June 1975. ~ Community ~ ~.~ ~ For wells ddllod pdor,o that dalo, ~ivo welldopth(attach Io~'~ available)- ~ Public Utility Sewer Disposal '~ Individual Year individual Installed: ~ When Connected to Public Utility: · Public Utility ~- Holding Tank .Z.~ NOTE: THE/INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE iNITiATED. ~ cT, Time Time Time Time Date Date Date Date ~_.~1~ ~ _~ Inspector Inspector Inspector Inspector (~) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ~SAPCROVED ( ) CONDITIONAL APPROVAL" DATE I ~-- ~ ~ ~'~ ~ MUNICIPALI~ OF ANCHO~GE --~ D~PT. OF HEALTH & BY: ~ ~ ~ ~ ENVIRONMENTAL PROTECTION 9 1983 RECE! E ALASKA 6Frd'IROFImI FITAL COFITROL SeRDiE:eS, IRC. I~m:iinecrim:I 6 ~nuironmenJal Studies SEPTEMBER 6 1983 DAVID J. DONOFRIO SRA BOX 1599 V ANCHORAGE AK 99507 SELLER - DAVID J. DONOFRIO BUYER - SUBDIVISION - HERITAGE HILLS BLOCK - 3 LOT - 10 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT/CRIB WITH AN AREA OF 980 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER P, ER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 900 GALLONS. BASED UPON THE TEST DATA THE' SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 I$ ADEQUATE FOR THIS 4 BEDROOM HOUSE. 1200 tLles~ 33rcJ ]~uenue, Suile [~ · Anchorage, J~loska 99503 "(907) 276-1361 September 2, '.1983 David J. Donofrio o~ Box 1599-V ' {' ~ AK 99507 Subject: Lot i0, Block 3, Heritage hills be granted until the follo%.~ing items have been completed: ~ ~,~(~ ?he septic tank pumped with a receipt subiaitted to this ~~ ~epar t!~tent. An adequacy test needs to be performed On the existing d_term.ne if the system is O_( leaching area. This test ¥~i].t adequate ~ccor~ing to National Standards. A listing of private firms performing the t~st~-- is enclosed. ~"~-~"~.n.-~ report needs to be subn~itted to ~' ~.~1~ office for our review. Please notify this Department for a reinspection w'nen the notec~ discrepancies have been corrc~tuo iz there are any further questions, please, call this office at 264-4720. Sincerely, Ci;~2i/e j/E2 Enclosure Cory %4illis, l{og. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received February 6, 1976 Time of Inspection /~ Date of Inspection ~?I/o REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval 'requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: Voa. National Bank of Alaska Post office Box 3-3859 Alvin Pack % Ruth Phone: 279-2506 x 16 Phone: Lot 10 Block 3 Heritage Hills Subdivision Se o Type of facility to be inspected Single FAraily Well Data: Individual A Type Sewage Disposal System: A. Installed No. of bedrooms C. Septic Tank: 1. Size B. Depth D. Bacterial Analysis On-site system. B. Installer D. Seepage Pit: 1. Absorption Area 2. Manufacturer E. Disposal Field: Total length of lines 8. Distances: , Absorption area , Sewer Lines , A. Well to: Septic tank , Other contamination Nearest lot lin.e , Absorption area 2. Material B. Foundation to septic tank C. Absorption area to nearest lot line LQ-034 (1/74) Page 1 of two pages MUNi~-h::ALIi'Y OF ANCHORAGE DEi-~,'".~:':TMFN'~' OF HEALTH & I::NVI~ONMENT/',L PP, OTECTION RECEIVL:D 1. Type of Inspection: 2. Property Owner: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES CMRO VA ~ FHA CONV Mailing Address: Name of Buyer: Day Phone Si/ z o ~~'-~ ~/?"~ Day Phone Mailing Address: Name of Lending Institution: Mailing Address: ~ ~ame of Bealtor or Agent: Mailing Address: '//~ J ~ '-;""? '~/'"'~ Phone 6. Legal Description: Location: 7. Type of Facility to be inspected: ,Z~z ~r.~('~ ~ ~ 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation No. Bdrms. ~. _~- Individual Individual (on-site) EQ-037 (1/74) ..,..~,---.¢ Page 2 of two pages - Re ,st for Approval of Individual er & Water Facilities 'Le~ga'l Description Lot 10 Block 3 Heritage Hills Subdivision Comments Approved Disapproved Date~-/~ Appeal Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. "~y~ ~~_//~(__~. Date~Z~t/~ ~"~ / ~'~/~ SIGNED EQ-034 (1/74) 3330 "C" Street, Anchorage, Alaska ' GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 99503 274-4561 Date Received Time of Inspection Date of Inspection 1. Approval requested by: Mailing Address: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 2. Property Owner: 4. 5. 6. Mailing Address: Legal Description: FOR Location: lype of facility to be inspected ' . Well Data: ~;2~ ¢Z~ ,- ~ .~.~, A. Type¢,-~L~-~. ~B. Depth C. Construction ~×2~1~¢¢/ D. Bacterial Analysis Sewage Disposal SystemL~¢'~-~-~) A. Installed /~?¢ ,~<¢,~,~-~B. Installer No. of bedrooms C. Septic Tank: D. Seepage Pit: E. Disposal Field: 1. Si ze ? ~ ~'~ 2. Manufacturer ~c~4~ ¢"~Y 1. Absorption Area ¢c¢~ ~/ 2. Material Total length of lines Distances: / A. Well to: Septic tank ?/¢'~ , Absorption area Nearest lot line /~ , Other contamination / B. Foundation to septic tank /¢ , Absorption area C. Absorption area to nearest lot line /~ ~ Sewer Lines EQ-034 (1/74) Page 1 of two pages GREATER ANCHORAGE AR~i~ BOROUGH Department of Environmental Quality 3330 "C" St., Anci~orage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES February 19, '1975 Type of Inspection: CMRO VA FHA CONV ×x .. _~ 2. Property Owner: Mailing Address: 3. Name of Buyer: Mailing Address: 4. Name of Jimmy Marshall 801 Airport Hgtss Sp.#167 PACK, Alvin D. & Madeline D 5II,Hatcher Anch, Ak Lending Institution: Day Phone 344-1056 .,. The First National. BAnk of Anchorage/South Center Mailing Address: Box 4-2090 Anch 99509 Phone 274-1521 5. Name of Realtor or Agent: Jean Jones Mailing Address: 2909 Arctic Blvd Phone 274-4505 6. Legal Description: Location: Lot 10 Blk 3 Heritage Hills Anchorage, Alaska 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings If Individual, depth of well 9. Sewage Disposal-System Type of S~stem: Public Utility If Individual, date of installation SFD No. Bdrms. 2 Individual xx presently served 1 Individual (on-site) xx Page 2 of two pages - Re :st Tor approva~ OT tnalVlaUa~ ~O~'al Description Comments Approved ~//~Disapproved Date2 ~ Z°O'`, 2~ Approval :,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the' information contained in this request for approval to be a true and mcurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74)