HomeMy WebLinkAboutLATTA LT 2Latta
Lot Z
#015-142-55
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: _______________ Date of Issue: ____-____-____
Parcel Identification Number: ____-____-____
Legal Description Block Lot Property Owner Name & Address:
Pump Installation Date: _____-_____-_____
Pump Intake Depth Below Top of Well Casing: __________ feet
Pump Manufacturer’s Name: ___________________________ Pump
Model: _____________________________________
Pump Size: ____________hp
Pitless Adapter Burial Depth: _________ feet
Pitless Adapter Manufacturer’s Name: _________________________
Pitless Adapter Installer: ____________________________
Well Disinfected Upon Completion? XX Yes No
Method of Disinfection: _____________________________
Comments:
Pump Installer Name: __________________________________
Company: ___________________________________________
Mailing Address: ______________________________________
City: ___________________ State: __________Zip: _________
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
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J' BLM PATENT ROAD | E. 1 12th AVENUE
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EASEMENTS
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NOTES:
1] DUE TO SNOW & ICE COVER:
-THE [DG[ OF ROAD 8c DRIVEWAY IS APPROXIMATE
-SOME SEPTIC PIPES WERE NOT RECOVERED THIS SURVEY AND
WERE ADDED TO THIS DRAWING BASED ON RECORD SWING TIES.
2) THE DECK THAT IS UNDER CONSTRUCTION ENROACHES 0.5' INTO
THE R.O.W. FOR E. 112th AVENUE.
MORTGAGE SURVEY Ji— SCALE — 1 40' GRID _SW 2637 Project No.
0 11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates, inc. (907) 522-6476 Phone
(907) 522-4625 Fox
Professional Land Surveyors ken0longsurvey.com OF A.
451
I hereby certify that I have surveyed the following described property: I -P.
LOT 2. LATTA SUBDIVISION (PLAT No. 70-178) 49LH***" .y
Anchorage Recording District, Alaska, and that this Mortgage Location Survey Is a
representation of the conditions that were found on the date the survey was performed.
This survey does not constitute a boundary survey and is subject to any inaccuracies v�, KEII-OW i NG ..
shall �Wc
that a subsequent boundary survey may disclose. The Information contained hereon 4
not be used to establish any fence, structure, or other Improvements.
Dated this the _13--- at Anchorage, Alaska A, \01
It Is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plot. AECC963
All il®■.■T"._ .
Municipality of Anchorage
Community Development Department P 1
Onsite a water& Wastewater Program DEC 0 8 ���5
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • httpJ/www.muni.org/onsite • (907)343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP151316 PID Number: 015-142-55 ❑ New ®Upgrade
Name: DEBRA BROD
ABSORPTION FIELD
® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
❑ Other
Address:
11201 LATTA CIRCLE *ANCHORAGE, AK 99507
Phone: No. of Bedrooms:
(907) 727-7614 4
sail Sating:
3.0 GPD/Sq. Ft.
Total Depth from original grade:
10.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade:
Gravel depth beneath pipe:
SEE DWG. F.
6.0 Ft.
Subdivision: Block: Lot:
LATTA 2
Fill added above original gmde:
SEE DWG. Ft.
Gravel length:
25+ F!.
awns Ip: — Onge: — section: —
Gravel width:
Beds Number of Iinsa
Distance between Innes:
2.5 Ft.
-
Ft.
SEPARATION DISTANCES
Total absorption area:
300+ SG. Ft.
umber a trenches:
1
Dist, between trenches:
— Ft
To
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
Public/Private
sewer Unes
well
100'+
100'+
too'+
-
25'+
TANK ❑ Septic ® S.T.E. P. OHolding ❑Other
Surface water
100'+
100'+
100'+
—
Manufaalurer.
GREER
Capacity:
1500 cal.
Lot Line
5'+
10'+
5'+
—
N/A
Material:
Number of compartments:
STEEL
2
Foundation
5'+
10'+
5'+
-
LIFT STATION
Curtain Drain
NONE KNOWN
Manufacturer: Capacity:
GREER 1500 oat.
Remarks: OLD TANK DECOMMISSIONED PER UPC
"Pump an' level at:
24
amP level m
18
Nigh water ala m at:
34
THIS IS A QUANICS CAT II SYSTEM
Pump Make & Model:
Electrical Inspections performed! by:
P—SE-41—T
MOA
JL Low Ro a t Z
PIPE MATERIAL
House to tank D3034 Tank to D3034
drainfield
Installer
DEVELOPMENT
MT D3034 Drainfield D3034 CO
/MT
/
Inspector GEG, Ltd.
BENCHMARK (Assumed elevation)
98.69 Ft.
Inspection
Dates: 1 st 10/12/2015 2nd 10/14/2015
Location and Deacription:
3rd 10/14/2015 4th -
TOP OF MANHOLE #1
Community Development Department Approval
Conditional approval: Date:
ENStNEER9S
p0600
OF
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97.
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'. e A. Gar
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oa.I3� t�oAo
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prod: Date: /`E'
Ap-4614
PERMIT IQUMBER:
•OSP151316
A B
n/
U
FCO
5.2
-
ST1
27.6
'55.0
MH1
32.6
48.5
CO3
38.6
46.1
MI -12
29.3
39.5
MH3
31.1
37.1
FD
33.9
34.8
C04
33.7
33.4
'lV1T'l
48.4
19.3
C01
52.7
18.7
MT2
77.9
26.5
CO2
77.9
27.1
RECORD DRAWING
T12N, R3W, SEC 22,
LOT 28, LESS THE N375
L-A— h�
PARCEL ID NUMBER:
015-142-55
T—-E-I1-�H _---- �\ -
1 rEXISTING.PCO
NEW 1500 GALLON
/f- S.T. E.P. JANK R E
�L NEW 650 QUANI' a
AEROCF,ILL PODNEW DRAINFIELDO100' WELL RA IUSEXISTING 4EXISTING TRENCH; EXPOSED1BEDROOM HOMECAT SEVERAL LOCATIONS
DURING CONSTRUCTION TO /CONFIRM ADEQUATE//1 DECK 4 j
SEPARATION TO NEW TRRpkH,
ea.
GARAGE
i
\ F.ATTA SUBDIVISIO
----r�� LOT
1 ` .
GARNESS ENGINEERING GROUP, Ltd
- CIVIL& ENVIRONMENTAL ENGINEERS
3701 E. MOOR R . SURE 1D1 • B HOMGE, M 99:07 • PHONE (907) 337-91M • FM (907) 330-3206 • WEESRE: wwx.9am ninnHnPoom
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
DEBRA BROD 727-7614 2 OF 3
LEGAL DESCRIPTION: DRAWN BY:
LATTA; LOT 2 D.J.G.
TYPE OF WORK: DATE:
RECORD DRAWING 10/30/2015
LATTA SUBDIVISION /
LOT 1 J
N
sG�
1„=40'
,ROFESS1ctii
On -Site Wastewater Disposal System Permit
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
Permit Number: OSP151316 7; Y�
Tax Code Number: 01514255000 (/
Work Type: Septic Upgrade
Permit Effective Dates: September 29, 2015 to September 28, 2016 j
Design Engineer: GARNESS ENGINEERING GROUP LTD
Subdivision: LATTA
Site Legal Address: LATTA LT 2 G:2637
Owner/Address: BROD DEBRA M
11201 LATTA CIRCLE ANCHORAGE AK 995161651
Site Mailing Address: 11201 LATTA CIR, Anchorage Lot Size in Sq Ft: 17311
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field N 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.
Received By:
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Fax: 907- 343-7997
On -Site Water & Wastewater Program
Mayor Dan Sullivan
On -Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel I.D. 01!5- J ri 2 - 5 `J"
Property owner(s) DEBRA BROD Day phone
Mailing address 11201 LATTA CIRCLE *ANCHORAGE AK 99507
Site address 11201 LATTA CIRCLE *ANCHORAGE, AK 99507
Legal description (Sub'd, Block & Lot) LATTA S/D; LOT 2
Legal description (Township, Section & Range)
Lot Size
Sq.Ft. Number of Bedrooms
4
4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DEWELLING:
(all that apply)
Absorption Field
®
Initial
Single Family (SF)
Upgrade ®
(w/woADU)
Septic Tank
®
Renewal
Duplex (D)
El❑
Holding Tank
El
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further c4rtify 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: q A 115
Receipt Number: 69 33q G
Permit No. %S P 1512 6
Date
Number:
Waiver No.
(Rev. 01/11)
GARNESS ENGINEERING GROUP, Ltd
�s CIVIL & ENVIRONMENTAL ENGINEERS ---ry�„� #:
July 20, 2015
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Ref: Proposed Septic System Upgrade for Latta S/D; Lot 2
To whom it may concern:
q) 19) 16 12-4- e�33q�i
015-14:2-55
OSPIS 131 �
The existing 4 bedroom house is served by a private well and septic system. The
drainfield is in a state of failure and needs to be upgraded. Given the limited space
available, we are proposing to install a Quanics Aerocell treatment system (CAT II), a
1500 gallon S.T.E.P. tank, and deep trench type system. Comments regarding the
design are summarized as follows:
1. SOILS: See the attached 2015 soil log which shows the soil classifications,
groundwater monitoring, and the percolation test results.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface water concerns.
4. TOPOGRAPHY: As can be seen on the attached topography drawing, the average
topography around the proposed drainfield is relatively flat.
We are unaware of any adverse impacts this installation would have on adjacent wells
or septic systems. If you have any questions, please contact us at 337-6179. Thank
you for your assistance.
P. E., M.S.
3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
T12N, R3W, SEC 22,
LOT 27, S2
WELLIS ON NORTHWEST END OFI
LOT NO CONCERNS
---- �--T--------
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LATTA SUBDIVISION/ LATFA SUBDIVISION QI/
LOT 7 / LOT -6 '
/
-----tom LARA
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ATTA SUBDIVISION I too' WF RADI c I \
LOT 8 I I�—Y�-- LATTA SUBDIVISION
\\ I I LATTAUBDI`VISION LOT 4/
/
Dm6 RING SUBDIVISION LOT 1
WELL PHYSICALLY
LOCATED BY G.E.G.
EMPLOYEE LANDON K.
BRUCE; WELL RADIUS
100'+ FROM SUBJECT
PROPERTY LOT LINE
T12N, R3W, SEC 22,
LOT 28, LESS THE N375
J \ \
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SIS LATTA( SUBDIVISION
3 / / LOT 1
1'����—
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I
DAVID RING SUBDIVISION LOT 2
GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERSs <_ _
3701 E 1000R POFD. SURE 101 • M1 OP M 99507 • PHONE (907) 337-6179 • FPX (907) 33 46 • YIFBAtE M+w'.9am�uvgineeHng.cOm
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
DEBRA BROD 727-7614 (SON) 1 OF 3
LEGAL DESCRIPTION: DRAWN BY:
LATTA S/D; LOT 2 D.J.G.
TYPE OF WORK: DATE:
100 SCALE DESIGN 7/20/2015
(Rev. 041141
Q
QBOYD
9 SUBONMOR
LOT 3 \
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W
&D
\ SUBDIVISION
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0 LOT 1
JODIE ESL
SUBDIVIf
LOT 1
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T12N. R3W SEC 22,
LOT , S2
WELL IS ON NDRfHWEST ENOL
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LA SUBDIVISIOW TTA SUBDIVISION
LOT 7 /LOT -6
S., PSR
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LATTA LOT SUBDIVISION I I i` pp�F 1 RAI
\ I I LATTA SUBDIVISION
\ } LOT 5
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DA\a6 RING SUBDIVISION LOT 1
4' OONTOURS
T12N, R3W, SEC 22,
LOT 28, LESS THE N375
\ I
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LA}�Tq I I LA SUBDIVISION
\ SLOT 3 / / LOT 1
\ I
/ LATTA SUBDIVISIO \
LOT 4/ I I
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---------------
DAVID RING SUBDIVISION LOT 2 I
II
II
II
II
II
II
GARNE55 ENGINEERING GROUP, Ltd
Mx._il CIVIL & ENVIRONMENTAL ENGINEERS.1
3701 E 1LOOR ROAM S00E 101 • MWOWLE. M 99507 • PHONE (907) 337-8179 * FM (907) 315-3210 * WMSOE: r .ggmmmginxNng.wm
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
DEBRA BROD 727-7614 (SON) 3 OF 3
LEGAL DESCRIPTION: DRAWN BY:
LATTA S/D; LOT 2 D.J.G.
TYPE OF WORK: DATE:
�, 100 SCALE TOPO 7/16/2015
(Rev. Oa14)
e
BOYD
LOT 1
., `....,. �... "
NOTE: THE CONTRACTOR
LETTER THAT PERTAINS TO THIS DESIGN.
NUMBER OF BEDROOMS: 4
WIDTH: 2.5 FEET
TO OBTAIN A COPY OF THE LETTER
— —
GALLONS PER DAY (GPD): 600
CONTACT GEG. BY PROCEEDING FORWARD
LOT LINES, AND WELL RADII
PERCOLATION RATE/S: 6 MIN/INCH
WITH THIS INSTALLATION, THE ENGINEER,
FLAGGED BY A REGISTERED
OLD DRAINFIELD, TO BE USED AS
PROPOSED APPLICATION RATE: '3
WELL DRILLER, CONTRACTOR AND
LAND SURVEYOR PRIOR TO
RESERVE SIGHT;' CURRENTLY APPROVED
MINIMUM DRAINFIELD SO.FT.: 200 FT'
PROPERTY OWNER AGREE THAT THEY
FOR 3 BEDROOMS. HOWEVER, MEETS
\
HAVE READ THESE SPECIFICATIONS AND
CONSTRUCTION.
MOA REQUIREMENTS FOR 4 BEDROOM
'CAT II ADVANCED TREATMENT
AGREE TO ACCEPT THE TERMS AND
E.
1 2TH
AFTER CAT II TREATMENT.
rMinITInA1C nl 171 KIM
EXISTING 7E4C TANK TO BE — _ _ _
— —
MAXIMUM DEPTH: 10 FEET
NOTE: THE CONTRACTOR
WIDTH: 2.5 FEET
SHALL HAVE THE PERTINENT — —
— —
LENGTH: 25 FEET
LOT LINES, AND WELL RADII
EFFECTIVE: 6 FEET
ACTUAL SO.FT.: 300 FT'
FLAGGED BY A REGISTERED
\
\
LAND SURVEYOR PRIOR TO
\
\
CONSTRUCTION.
\
E.
1 2TH
EXISTING 7E4C TANK TO BE — _ _ _
— —
i '\
'
DECOMMISSIONED PER UPCi
i
Rond 7
Utility Re5/ervntion
-
S
FCO
/
\
PROPOSED 650_I°
i
_
AEROCELL POD. o _
. H
FD oo
PROPOSED 1500
\ 1
/
GALLON S.T.E.P. TANK
`
PROPOSED
/
fil
DRAINFIELD
%PPROXIMATE LOC3ASED
I
700.
)F EXISTING DRAINF LD
r
�!
EXISTING 4
111vvv
£C<
UPON 197 6ATI
11
BEDROOM HOUSE
R40iGS
1
SPECT ON REP T
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C LOT 3
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LOT 1
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GARNESS ENGINEERING GROUP, Ltd
CIVIL & ENVIRONMENTAL ENGINEERS m�
1701 E. TUDOR R I SURE 101 • ANCHOMGE, AK 9950) • PHONf (907) 33)-6V9 •FAY (90)1 338-SR96 • wEBSIiE .9omeuv,q nee y[Om %,� •„ „•, • , , •,,,,•„• •„•„'•a
PREPARED FOR:PHONE NUMBER: PAGE NUMBER: t Jef A. Gor ss: 4
DEBRA BROD 727-7614 (SON) 2 OF 3 ���i: E_79
♦ 1T 4
LEGAL DESCRIPTION: DRAWN BY: � �n pp icy,h�o•���
LATTA S/D; LOT 2 D. J.G.��� Ep p••!e•...e e •••
TYPE OF WORK: DATE: ���HSS
SEPTIC DESIGN UPGRADE 9/24/2015
GARNESS ENGINEERING GROUP, Lid
:- --�- CIVIL& ENVIRONMENTAL ENGINEERS
3701 ETUDOR ROAD. EDITE 101 -AN LHORARPANPOOR-PHONE(SOD 337.6179' FAA(Wi 33&3 'W NTE: wrirvpamnwgrrevvgwm
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LATTA S/D; LOT
PERFORMED FOR: TODD GLIDEWELL (OWNERS SOW DATE: 711/2015
DEPT ORG
(1eet1 TEST HOLE #1
I
SOIL CLASSIFICATIONS
2
— -
GW
J
ORG
GP
ML
3
GM
CL
4
GC
OL
o
SW
MH
5
': �'• :
SP
CH
SM
OH
Q�
6
Sc
P
7—
DEPTH TO
DATE
GROUNDWATER
5�'�e�
N
8
DRY
7/1/2015
DRY
71912015
SCALE:
9
ML
10
DATE READING
CLOCK
NET TIME
WATER LEVEL
NET DROP
11
TIME
(MINUTES)
READING
(INCHES)
12
7/7/2015
1 2:00
-
6"
-
2 2:30
30
1"
5
13
3 2:30
-
61,
-
4 3:00
30
1.1
5
14
5 3:00
-
6.1
-
6 3:30
30
11.
5
15
16
17
B.O.H.
16
19 PERCOLATION RATE 6 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 5 FT. AND 6 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO
SOILS LOGGED BY: DAVID GARNESS PERCOLATION TEST PERFORMED BY: LANDON BRUCE
COMMENTS: PERCOLATION READINGS ARE WITHIN 1116 OF INCH.
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PER OR AED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: / %
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN MUNICIPALITY OF ANCHORAGE
AND _F^uw��
S6Kof �Lbt^a Bred
THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this
Day of of 20 i by and between
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Maintenance and Repair Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. Municipality grants permission to
Owner to utilize and operate an Advanced Wastewater Treatment System
(AWWTS), described as
located at (legal description).
/kI,,. La
2. Definitions.
Alteration. Any change to the design or function of an AW WTS that
includes the installation or removal of any parts, components or pieces not
included in the original construction permit and design.
Certificate of On -Site Systems Approval (COSA). An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with Anchorage
Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that
the systems are adequate for the homes that they support and meet the
codes that were in place at the time of system construction.
Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included
in the original design which would allow the AWWTS to continue to
perform as designed.
Permit. An On -Site Wastewater Disposal Permit as required by AMC
15.65 to construct and operate an AWWTS.
3. Term. The term of this Maintenance and Repair Agreement shall begin on the
date of approval by the Municipality to operate the installed system or issuance of a
COSA, and shall continue while the AWWTS is in use or is operational or until the
property is sold or title is transferred by the owner and a new COSA is issued to the
new owner or transferee of the property.
4. Alterations, Installation and Removal of Additional Equipment. Prior to
performing any alterations to an AWWTS, the owner agrees to obtain an On-site
Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65.
5. Maintenance and Repairs.
A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall
maintain their AWWTS in a satisfactory condition capable of producing treated
septic effluent in accordance with the equipment's approval for operation in the
Municipality. The owner shall enter into a service agreement with an AWWTS
service and maintenance provider approved by the municipality and the
manufacturer of the AWWTS for the entire term of the AWWTS In addition, it
shall be the responsibility of the Owner during the term of this Maintenance and
Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay
for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement
costs, and (5) inspection costs.
B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules
- -- and orders for the AWWTS - - -- - -
C. Upon request by the Municipality, the owner agrees to provide the Municipality a
written schedule of routine maintenance and repairs which have been performed
on the system. When a record of maintenance is documented and maintained by
the system vendor, the owner agrees to allow the Municipality access to this
information.
D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS
may be assessed in accordance with AMC 14.60 for improper discharge.
E. Owner agrees that only maintenance and repair personnel approved by the
Municipality will inspect and make any necessary maintenance, repairs or
permitted alterations to the system.
F. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
G. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On -Site Systems Approval.
H. Owner agrees that the AWWTS installation and maintenance requirements as
provided by the AWWTS vendor/installer and approved by the Municipality are
the governing guidelines for the construction, maintenance and repair of the
Owner's AWWTS.
6. Nonwaiver. The failure of either parry at any time to enforce a provision of this
Maintenance and Repair Agreement shall in no way constitute a waiver of the
provisions, nor in any way affect the validity of the Maintenance and Repair
Agreement or any part hereof, or the right of such party thereafter to enforce each and
every provision hereof.
.- . 7._ Amendment.
A. This Maintenance and Repair Agreement shall only be amended, modified or
changed by a writing, executed by authorized representatives of the parties, with
the same formality that this Maintenance and Repair Agreement was executed
with, and such writing shall be attached to this Maintenance and Repair
Agreement as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this agreement, the only authorized representatives of the parties
are:
a. Owner: ^� C-A',&�A
b. Municipality: Director Community Development or designated authority
C. Any attempt to amend, modify, or change this contract by either an unauthorized
representative or unauthorized means shall be void.
8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance
and Repair Agreement shall be brought in the Superior Court for the Third Judicial
District of the State of Alaska at Anchorage. The laws of the State of Alaska shall
govern the rights and obligations of the parties under this Maintenance and Repair
Agreement.
9. Severability. Any provisions of this Maintenance and Repair Agreement decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining
provisions of the Maintenance and Repair Agreement.
OWNER:
ByBy: _ _(signature) Date: _ 0C, int OO
(print name)
STATE OF ALASKA )
ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this IH day of SEPTwNBGa-� ,
201 by iopn AAkvy C�ur�weccc
NOTARY PUBLIC FOR ALASKA
My Commission expires: 2 -z3 -i q
MUNICIPALITY:
Un
Notary Pubgo
M.S. ROCHON
State of Alaska
My Commission E*res Feb. 23.2019
Date:
name) Title:
GREASER ANCHORAGE AREA BORo%j'GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
/ INSPECTION REPORT ON-SITE
/SEWAGE DISPOSAL SYSTEM!��-,-/�-��
NAME ( kS(� .% _tZMAILING ADDRESS (�[�° >' ���L _. _ PHONE
LOCATION LEGAL DES
DE�%RIPTION—._%.�_
e PS�,c/ �f� (L/moi
SEPTIC TANK:
DISTANCE I-) NUMBER OF
FROM WELL MANUFACTURER \l ��-p—MATERIAL S'LJI P1C:_�4__COMPARTMENTS-
INSIDE LENGTH_ INSIDE WIDTH__ LIQUID DEPTH LIQUID CAPAC I TY1626 GALLONS.
T•I-L�E--=13-R-A-I-�I—F-l-f<� D -o
TOTAL LENGTH
DISTANCE FROM WELL _ _FOUNDATION- NEAREST LOT LINE --/6 OF LINES w6
NUMBER OF LINES— DISTANCE BETWEEN LINES —__� TRENCH WIDTI-06 IN. TOTAL EFFECTIVE
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE
_ DEPTH OF FILTER
S
DEPTH: TOP OF TILE TO FINISH GRADE _��7MATERIAL_ BENEATH TILE ABOVE ABOVE TILE✓ IN.
WELL: _ �n 1 p �jI ``�
TYPE_P__ ��5 I ly�ONSTRUCTION _`J�P(/V C _DEPTH —_(-_ DISTANCE FROM:
BUILDING NEAREST
FOUNDATION__, LOT LINE
CESSPOOL , OTHER SOURCES
APPROVED_ .�
DISTANCES: ✓vU
`DISAPPROVED
`
INSTALLED BY: __
-N�(01
SEWER LINE DEPTH:
PIPE MATERIAL:
C %
LOT SLOPE:1" 11,9_ 4
REMARKS: /6s_
�xi
Form EQ -032
NEAREST
SEWER LINE
REMARKS
SEPTIC
TANK_
SEEPAGE
SYSTEM_
DIAGRAM OF: SYSTEM
61 U,r
< � bu'
DATE " �_�_Z&PPROVED
G.A.A.B.
GREA :R ANCHORAGE: AREA BOR JGH __
ofug�r�'
f��I PERMIT NO.•UL,eDEPARTMENT OF ENVIRONMENTAL QUALITY'4�3330 "C" STREET ANCHORAGE, ALASKA 99503 1� +kj f-!�vTELEPHONE �4i61/� (9/1s-
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME OF APPLICANT` - -MAILING ADDRESS /f"! �,. -• PHONE
INSTALLATION LOCATION /
LEGAL DESCRIPTION
iV
INSTALLATION OF: SEPTIC TANK EEPAGE A IT DRAI -OTHL•r{�•
tisi
TYPE AND SIZE OF FACILITY TO BE SERVED k ,
FINANCED THROUGH�, TO BE INSTALLED BY l"`jc ryr_ 4L-1 1•.d F'- /1"_ � f
//
SOIL TEST RESULTS / r • /��1 1-6 �--s' � 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. A
SEPTIC TANK SIZE
TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
l
SEEPAGE AREA SIZE -1r+- TYPE
-" IAG AM OF SYSTEM
FOUNDATION TO SEEPAGE PIT = DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK SEEPAGE PITDRAIN FIELD
'!'O NEAREST LOT LINE. P -----
WELL TO SEPTIC TANK - SEEPAGE PIT
DRAIN FIELD �, ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, .
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 SIPI4ON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BO
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREABOROUGI-I ORDINANCE NO. 26-66 AND THAT THE ABOVE
DESCRI SYSTE[�.,15 IN ACC DANCE WITH SAID CODE.
DATE APPLICANT'S SIGNATURE
s
t
FORM NO. EQ -016
Performed for---
Le(
or_
Legal Description:
This form reports:
GRLA'ILR ANCIIOWWL /MLA BOROUGH
Department of Environmental Quality
3330 "C" Street
Anchorage, Alaska 9903
SOILS LOG - PEROLATION '1'1iS'1'
Date Perforriad 6_-4
Depth
Feet
1 6a-nelq 6f14, -,"o cwl q d ane(
2 v/i/-h 2Uaf6 Gyr�t� U2f/�rr>�Cv
3- � I
Sandy Geavel 1-o Gee<.ve//y
16 - 6rzav�ls 6ubr2octnt/�d 7`�
6"6L6linGj«/��r� W/fh dame
II _ Li�hfi ��zuy in cv/v2
FuzInall-lin 1'6 d aLl
9 = Ca/i�Ccirls Sam& 5ih`'
10
11 -
12
13 -
13o ttorr>
14
�� 1� - ML� C'vrrr,o6cc� Gl2r��
L Eacccva ian
Was ground water encountered? nen _ If yes, at what depth?
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
Percolation rate_._ irnnuL'e. Drain Field
Proposed i ns ta11 ati on : Seepage Pit _ _ -- --- - - ---
Depth of Inlet Depth to bottom of pit or trench
COMMENTS:
F'o rformed
By tbLJjly_.Certified Qy
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
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D.# (D\A— 1k1Q-I.a4) HAA #��SI Q1C1�
1. GENERAL INFORMATION
Complete legal description
Lot 2; Latta Subdivi.6ion
11201 Latta Ctincte, Anchor.
Location (site address or directions) 11201 Latta Cilwte.
e.
Property owner AK U.S.A. Fe.dena2 Cnedi..t Union Day phone 786-2709
Mailing address P.U. Box 196613 Anchoh.aage„ AK 99519
Lending agency Day phone
Mailing address
Agent
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual well XXX
Community well
Public water —
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site XXX ti
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.
72-025 (Rev. 1/81) Front MOA N21
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 furtherverify 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 raj ENGINEERING Phone
Eagle laver Loop Kvud No. 204
Address Cagle River, Alaska 99577
Engineer's signature
6. DHHS SIGNATURE
Approved for
Disapproved.
Conditional approval for
Additional Comments
0
bedrooms.
Date ")- 1 o-`13
bedrooms, with the following stipulations:
Date _lZ
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 N21
Municipality of Anchorage
t Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: LUT 2 LAgirl LI> Parcel I.D.
A. WELL DATA iJo JJ(: -:6L LOC, {0�2ES(:N%,
Well type )951VATE- If A. B, or C, attach ADEC letter. ADEC water system number
/'rJ' T
Log present (Y/�1 e: O Date completed V '7 o Driller K
7 n
Total depth U' Cased to 404- Casing height 36
Sanitary seal &N) YE Wires properly protected �) `r(5 -s
Date of test
Static water level
Well flow
Pump level
FROM WELL LOG
vK,
U/ K,
ut �,
AT INSPECTION
Fri
g.p.m. 9 9�
(J,
K,
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot � ; On adjacent lots l00
Absorption field on lot
lcw`-f
; On adjacent lots /z r
Public sewer main �N6 /�✓z �5� Public sewer manhole/cleanout
/
Sewer service line lUU Petroleum tank 10WVE 1<AJOVIJ
WATER SAMPLE RESULTS:
Coliform ���ouv�Q Nitrate U' �U5l+�U �e Other bacteria
Date of sample: Collected by: � �N�lN8z�-!'VNG
B. SEPTIC/TANK DATA
Date installed 3U _Tank sizeL00U Compartments 2
Cleanouts(Y N)y Foundation cleanout Y/ ) Y Depression (Y No 2J
High water alarm (Y/A / cy Alarm tested (Y/N) — -'WA
Date of pumping 3/�6 / ! 3 Pumper �A fi )fCVL16 S E/2Vl Clff�
SEPARATION DISTANCES FROM SEPTIC/1-1Gt-DiN&TANK TO:
Well(s) on lot I O D /-t- On adjacent lots / U U r -
I
Toproperty line Z -f-Absorption field -5.-
Surface water/drainage
Foundation N:30
Water main/service line SU f
72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE
NilN� l'�nCs)2��
Date installed
Size in gallons
Vent(Y/N)
High water alarm level
"Pump on" level at
Meets MOA electrical codes (Y/N)
Manufacturer
Manhole/Access (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
On adjacent lots
D. ABSORPTION FIELD DATA
"Pump -off -0 -re -vel at
Surface water
Date installed / / ?� Soil rating S � �L`�� System type LK
Length bU Width 36 / Gravel thickness Totaldepth /� v
4Xipmj 1i10i• �S d/ /�ErZ iuSNEcTiv v �/
Total absorption area 2�c�2 % Cleanouts present �N) 7
Depression over field (Y N� //V / Date of adequacy test
Results pas ail) less for bedrooms
Peroxide treatment (past 12 months) (Y/N) Nv/J6-_ K/VcLJ/J If yes, give date NVA
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot z4)0 �� On adjacent lots /0o /`f" Property line �U �
To building foundation
N ZQ /
To existing or abandoned system on lot Notic ff1PteS>2o T_
i
On adjacent lots /yU f Cutbank A)OA,E6 r°Kl!�rdF&CWater main/service line 30
Surface water/tJ�'y� YLgb�'v0� Driveway, parking/vehicle storage area
Curtain drain /ONLY k'wdti✓
E. ENGINEER'S CERTIFICATION
10Y-
/
0/fi
1 certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspecli'on.
5 & S ENGINEERING
17034 f:aglr: Rlvor 1_001) Read No. 2o4
Signature Earile River AlAaka 9957Z
Engineer's Name
Date
HAA Fee $
1-70 0 C.)
Date of Payment 3 -16) ^5---3
Receipt Number S-& C4�- 6 aG
3
72-026 (Rev. 3/91) Back MOA 21
Waiver Fee: $
Date of Payment
Receipt Number
0�'��
�esao•eeo.
R J. PHAFER
No. 0915
Ac kapAll�ci
HEALTH AUTHORITY
APPROVALS
SEWERS WATER
MAIN EXTENSIONS
SEWER& WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
R FLOW TEST
SITE Pt ANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
WELL FLOW TEST DATA
ROBERT SHAFER. P E
ROGER SHAFER, P E
CIVIL ENGINEERS
(907) 6942979
FAX 694-121'
CLIENT: 'T/m Lwz,5 /AK USA DATE OF TEST: 3I`7 i93
LOCATION OF WELL (Legal Description) : L.aT Z tA77A 5!i
WELL DEPTH: K CASING DEPTH: O'F' _ TESTED BY: a 5�
DATE DRILLING COMPLETED: ,S7.3d r 1% DRILLER: U�f 00T of 1305.
TEST DATA:
CLOCK
TIME
DEPTH TO
WATER
DRAWDOWN
PUMPING
RATE(GPM)
REMARKS
3:Is�
66 swl
Fz-owev) rug . Ae7e y? -
23;
3:zO
77'
! 1 `
�, D
/�6-r6V kt i - 29
3:3o
8.3'
17
6,o
Tc Wr�c�s�x7��v
zo'
zo'
6,o
7, l
Rlme ,vvT c c C1wG
S:
(,
6: r�
87
z '
5,C7
_
171 rs
g7'
z '
&0
MISC. DATA: CASING HEIGHT: 3(,'-f SANITARY SEAL?: Y
WIRES.IN CONDUIT?IT?:_Y__ GRADING O.K.?:
BACTERIA & NITRATE SAMPLES COLLECTED:2
_ r
RESULTS: WELL CURRENTLY PRODUCES .�5, GPM WITH A DRAWDOWN
FLOW RATE NOT GUARANTEED --SUBSEQUENT VARIATIONS CAN OCCUR!
17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
9
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
6-10-85
Application Date
'I. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 2. Latta Subd.; Sec. 22, T12N, R31;i, S.M.
Location (address or directions)
11801 Latta Circle
(b) o Applicant Name Larry McClain _ Telephone: Home346-3361 _ Business 3461
Applicant Address— J_1801 Latta Circle, Anchorage } AK 99'.16_�_
(c) Applicant is (check one): Lending Institution 0 ; Owner/builder U ; Buyer 0 ; Other 0 (explain);
(d) Lending Institution Ke>sle-Alaska Inc. Telephone _ 563-0305
Address 4300 B, Street, Anchorage, AK 99503
(e) Real Estate Company and Agent Realty Center; At tn: David Smyers
Address _ 8400 Hartzell Road, Anchorage, AK 99507
Telephone 344-9-501--
(f) Mail the HAA to the following address:
Hold for pickup
2. TYPE OF RESIDENCE
Single -Family KI Multi -Family 0 Other
Number of Bedrooms _ Three
3. WATER SUPPLY
Individual Well L] Community 0 Public 0
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite ® Public 0 Community Ca Holding Tank 0
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 (11,80
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCM, 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 Alaska. Soil Testing& Engineering Telephone 561--71+53 w
Address 6100 A Street, Anchorage, AK 99502
Date _6� 6-7-85 �—
OF At�
Ci6;t' oaan aaaotouIq
ipao•`1�� �9
.�a.ne na eo n"an� reB aew Sti�.o
MARK HOLUM i
-'+ * CF. 5734 o',i4a
00
6. DHEP APPROVAL
Approved for bedrooms byDate . - 0'11A
Approved __A___ Disappr d —_ Conditioner r
Terms of Conditional Approval
n
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations 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 and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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.
Page 2 of 2
A. WELL DATA
E.
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTLCTION
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984 1985
264-4720
Legal Description: hot 2, LattREC,,E;I V'14-,a?_2,
TI -N, R3W, S.M.
Private
Well Classification
If A, E3, C, D.E.C. Approved (Y/N)
Post 7-30-76 450
(Comm. 1&e
ga.l/day (Comm. 2)
Well Log Present (Y/N)N Completed
Yield
Total Depth 116 ft• Cased to 116 (Com.
36epth of Grouting N/A`
Static Water Level 64 ft.
Pump Set At _ 95 ft.
Casing Height Above Ground 42. inches
Sanitary Seal on Casing (Y/N) Y
Electrical Wiring in Conduit (Y/N) Y
Depression Around Wellhead (Y/N)
N
Separation Distances from Well:
To Septic/Holding Tank on Lot 123 ft.
; On Adjoining Lots 135
ft.
To Nearest Edge of Absorption Field on Lot 140
ft. ; On Adjoining Lots 165 £t.
To Nearest Public Sewer Line 100+ ft.
To Nearest Public Sewer
Cleanout/Manhole 100++ ft.
To Nearest Sewer Service Line on Lot 65
ft.
Water Sample Collected by Mark Holum, P.L.
; Date 3-28-85
—
Water Sample Test Results _ Satisfactory
-
__
Comments 1)The subdivision developer
drilled the well. The developer
has terminated
his well. drilling business and has left the state. No :Log is on file
with the slate.
2)Well yield per 24 hour drawdown test. 3)Casing appears to extend
full depth. `.Pile
SEPTIC/HOLDING TANK DATA
depth of casing was observed
to exceed 50 ft.
Date Installed7-30-76
Size 1000 gal-,
No. of Compartments _
Standpipes (Y/N) X Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Y
Depression over Tank (Y/N) 11 _ Date Last Pumped June 25,1984 y
Pumping/Maintenance Contract on File (Y/N) N/As _ ; for —
Holding Tank High -Water Alarm (Y/N) N/A' Temporary Holding Tank Permit (Y/N) N/A
Separation Distances from Septic/Holding Tank:
To Water -Supply Well — 106 ft. To Building Foundation _ 28 ft.
To Property Line 24 ftl To Disposal Field 5 ft. (Ins L, 13pt. )
To Water Main/Service Line. _30+ ft. To Stream, Pond, Lake, or Major Drainage
Course 100+ ft.
Comments
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata165 ft-/bdrm (Soil Rpt�ype of System Design
Date Installed 7-30-76 Length of Field 60 ft.
Width of Field 36 inches Depth of Field 1.0
Gravel Bed Thickness 5
Trench
Square Feet of Absorption Area 600 f t 2 Standpipes Present (Y/N) Y
Depression over Field (Y/N) N Date of Last Adequacy Test 3/27-29/85
Results of Last Adequacy Test Satisfactory (Absorption rate is approximately 900 gal/day)
Separation Distance from Absorption Field:
To Water -Supply Well 108 ft. To Property Line 10 ft.
To Building Foundation 30 ft. To Existing or Abandoned System on
Lot NIA' ; On Adjoining Lots 108 ft.
To Water Main/Service Line 30+ ft. To Cutbank (if present)
To Stream/Pond/Lake/or Major Drainage Course 100+ ft.
10 ft.
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION
Date Installed n/
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N) _
Comments
— Dimensions
Manhole/Access (Y/N)
"Pump Off' Level at
A:
— Vent(Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, f- d, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed �w Date 6-10-85
Company Soil Testing & LnprMOA No. ST85-260
OF AI 0
Receipt No. '�)
Date of Payment
Amount: $
Page 2 of 2
72-026 (11i84)
4 (3
0 049.714
"is Seal
rn$. MARK HOLUM 4�
CE 5734 at �Fo �
a a°
eat �o Rofi�ss�o�P.;+,�ago
�
III1. ALASKA SOIL TESTING AND ENGINEERING
6100 A Street, Anchorage, Alaska 99502
(907) 561-7453
Location:
Type:
Address:
Client:
Date
3--27-85
3-28--85
3-29-85
Comments
Conclusion:
MUNICIPALITY OF ANCHCRAG=
DEPT. OF HEALTH
ENVIRONMENTAL P:ICILCi,ON
Adequacy Test RECEIVED
Lot 2, Latta Subdivision
Septic Tank and Trench
11.801 Latta Circle
Larry McClain
Time
4:00 pm
4:08
4:59
5:32
6:15
1:15 pm
1:23
1:30
1.:33
1:4o
2:.00
2:20
2:36
12:30 pm
quantity of
Water Added to
Trench
(Gal
0
26
275
497
7r? 6
0
500
1.000
11
it
n
Depth Below
Grade of Water
Level in
Trench
(In)
99 (Dry)
n
96 1/4
87
88 1/2
90
92 1/2
94
95
99
Depth Beloi.
Grade of Water
Level in Septic
Tank
-(In)
r18
It
It
I1
Is
IV
75
70
71
73
It
t
78
The septic system was in use prior to and during the test.
The absorption rate of the trench exceeds the minirnum rate
of 450 gal/day for the three bedroom single family dwelling.
The absorption rate is approximately 950 gal/day.
Performed by: Mark Holum, P.E. F
ST85-260 �•Q,•�,t.n�°.,°,S9p°s •. �,•{�Oe
la
o
N: A Of-�'J 2110.5+°4�°IfN6+f�gl�uOl'.
MARK HOLUM tiW
° CE 5734 + '
� ysoR►e�o�����