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TROLL KNOLL BLK 2 LT 11
""' Municipality of Anchorage Page // of ~-- DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Name: ~¢~ Wastewater System: ~ New ~pgrade Address; ~0 ~ ~}~ ~/~ ABSORPTION FIELD LEGAL DESCRIPTION so, Rating: Total Depth from original grade: Lot: Block: Subdivision: )epth to pipe bosom from original grade: Gravel depth beneath pipe WELL: = New ~W~r/Ww Upgrade =Gravel depth: =' Number of lines: J0is,ance~.nlines: Clarification (Private, A.B.C): Total Depth: ~ed To: Total absorption area: Pipe material: SEPARATION DISTANCES = s~ptic u Ho~ing ~S.T.~.P. Well f~O~ ~' ~ ~ W~ ~/0g/ Material~j6eS~/a,~ Number°fC°mpa"ments:~ Water r/~ ~ LIFT STATION I Remarks: BENCH MARK Inspections pedormed by: ~ ~ ~ Dates: 1st Io//~/~ ~.~.~:: .: :x~ :5~' ....... " .................... -_:>::: ~ Department of Health and Human Se~ices approval ~;>:'.. ..' ~ Reviewed and approved by:~/~/~- -/~ Date: ~ '~" ~ 72q313 (1/91) MOA 25 Permit No, SW950325 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 ° Telephone: On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: TROLL KNOLL LOT 11, BLK 12 PID No.: 051-521-09 HSE 97.8 (NDT TO SCALE) · - MONITOR;TUBE - SEWER CLEANOUT + - WELL __ - PROPOSED LEACHFIELD .... EASEMENT SCALE 1" = 50' 10/20/95 ENGINEER'S SEAL MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950325 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:REES GABRIELE OWNER ADDRESS:P.O. BOX 671293 CHUGIAK, AK 99567 DATE ISSUED:10/06/95 EXPIRATION DATE:10/06/96 PARCEL ID:05152109 LEGAL DESCRIPTION: TROLL KNOLL BLK 2 LT 11 LOT SIZE: 35000 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 (18AACS0) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1.) THE WASTEWATER D~POSAL SYSTEM INSTALLED UNDER THIS PERMIT IS AN ALTER/~'A/IV~qSYS~TEM//UNDERGOING EVALUATION WITHIN THE MUNICr~I~Y ~F/z~,NC~/~?~AGE. RECEIVED BY: ~ ~~~/~ DATE: /~/~/~'J ISSUED BY:~~ ~ ~ DATE: Property Owner Name _ Mailing Address Legal Description Lot// MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On-Site Sewer/Well Permit Application SINGLE FAMILY DWELLING Parcel Identification Number Zip Code ! Subdivision Section Lot Size ,~ (~O0 ~,~Sq Ft Number of Bedrooms: Township Inspections will be conducted by: Approved Engineering Firm Municipality (permit fee included) Does your house contain any of the following: Hot Tub, Swimming Pool Therapy Pool, Jacuzzi, or Water Softener Unit? If yes, which one? This application is for: Sewer Only Sewer and Well _ Sewer Upgrade ~ Well Only I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and in accordance with applicable Municipal codes. Fees: ~ ~?'-/~ ~ £~) Receipt # 72 012 (Rev 10/86} Property OwnerANell Driller Louis Butera, P.E. Registered Civil Engineer September 8, 1995 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Troll Knoll Lot 11, Block 2 Permit Application Dear Mr. Cross: On behalf of my client, Ms. Gabriele Rees, owner of the above referenced property, we are applying for a permit to construct a septic leachfield utilizing the Biocycle system. The existing bed system was installed in 1987 and has failed. The system was installed 150' from a class "A" well under regulations allowing the separation distances at that time. An upgrade would require placement of the leachfield beyond the 200' radius of the well, or a waiver from ADEC. The waiver is highly unlikely due to the presence of nitrate levels in the well water supply. The only area outside the 200' radius of the well is very limited and located on a slope bench behind the dwelling. The Biocycle system will allow sufficient leachfield reduction to allow placement of the system on this bench at 200' distance from the well. The clarified effluent should result in an increased lifespan for the system and avoid the use of a holding tank. The Biocycle was chosen as it is an established system with a maintenance contract available, and the owner requires an immediate installation. We are not requesting a waiver to groundwater table ' or bedrock. We have attached a site plan and profile showing our trench location and the sloping soil surface behind the dwelling. We do not believe the location of the system will result in effluent surfacing, or impact the foundation drain. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. pc: Jack White Co., C. Wilson \G:\WPDOCS\I995\gS-059A.NAR P.O. 8ox 773294 · Eagle River, Alaska 99577 · Telephone (907) 694-5195 · F~ (907} 694-3297 ~ ~ - -"~,~. ~ NB WELL ~N~ '~ X / -/ CDMMUNITY · - MONITOR TUBE o - SEWER CLEANOUT + - WELL PROPOSED L~CHFIELD ~SEMENT SEPTIC S~TE PLAN LEGAL: TROLL KNOLL LOT 11 BLK 2 ~L~s....e......4X~ /? CONTRACTOR: ~/A -¢9r' " Jogff aa-osgA I DATE: 09/08/951 SCALE 1" = ~0' '~.~ .... )::t:'""?¢";":"~--:- -: EAGLE RIVE~ ENGINEERZNG SERWCES ~ '..LOUIS A, BUTERA.' '~:~ ' CE-6756 ' ~ P.O. Bo~ 773294 ~ · -.. .-" (907) 694-5195 FAX: (907) 694-3297 ~.?o~Ess~o~ EAGLE RIVER ENGINEERING SERVICES P,O, Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 88-059 Calculated By: LB Date: 9/28/95 Legal: TROLL KNOLL LOT 11 BLK 2 Single Family 4 Bedroom Dwelling TEST HOLE 2 Shallow Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 600 gallons per day Percolation rate = Wastewater application rate = Required absorption area = Trench width (W) = Gravel depth (D) = :i8 minutes perinch 4 gallons per day per square foot 150 square feet (Biocycle) 5 feet 0.5 feet Required length = Shallow trench factor* Required absorption area / W Shallow trench factor = (W + 2) / 0/V + 1 +2 D) Shallow trench factor= 1.00 Required length = 30 feet IDesigned with gravel depth 2' and length 50' to be more conservative and utilize available area. SPECIFICATIONS FOR ON-SITE SYSTEM LEGAL: Troll Knoll Lot 11, Block 2 REVISED 09/28/95 ,A. 1. 2. 3. o o 10. GENERAL The well and septic plan is for a four bedroom single family residence only. The drawing and/or site plan shall be a part of this specification. All materials and workmanship shall meet the Anchorage Department of Health (MOA- DHHS) requirements. All soil tests are advisory to the design and are to verified or modified in the field by the Engineer. All excavations and depths are advisory and are to be verified in the field by the Contractor to meet MOA-DHHS requirements. It is the responsibility of the Owner to obtain all necessary permits or easements. It is the responsibility of the Contractor to secure all utility locates prior to construction. The excavation is to be exactly in the area shown on the site plan, any deviation requires Engineer approval. It is always recommended that a surveyor locate, the nearest lot line position and the location of any easements. Any remaining open test hole excavations shall be filled. SEPTIC TANK/LIFT STATION Septic tank and lift station shall be a 1,500 gallon Biocycle type unit approved for four bedroom capacity with Meyers ME40 pump and level controls capable of providing a 50 gallon effluent dose, with high water alarm mounted in the home. Supplier is Pegasus Engineering at 333-1608. Receipt from licensed electrician stating the lift station was wired to applicable codes to be supplied to Engineer. 3. 4. 5. LEACHFIELD The leachfield is to follow the existing bench shown on the site plan to maintain uniform total depth of the trench bottom. 200' distance to be maintained from class "A" well. The bottom of the leachfield shall be level, plus or minus 1.5". The total depth of the leachfield excavation is not to exceed 6' at any point. The leach gravel is to be covered with typar fabric material. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. The area over the trench is to be finish graded and contoured into the slope to prevent ponding of surface water runoff behind the leachfield. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH'= 5' GRAVEL DEPTH = 2' under pipe, 2" over pipe GRAVEL LENGTH =50' GRAVEL WIDTH = 5' SOIL RATING = 0.6 gpd/ft2 BEDROOM CAPACITY = 4 ABSORBTION CAPACITY = 4 gpd/ft2 Twenty-four (24) hours notice required for all inspections \I994\88-059A.SPC 1 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Township, Range. Section: ~'/~,4/ ,,~,/.¢.~ ,,~ /D 1 2 4 5 6 7 8 9- 10 - INO WATER ENCOUNTERED? 11 AT WHAT Water After ~,, G 13 - SLOPE SITE PLAN 14- A I N 15 16 17 18 19 20 PERC Data: Reading Date Gross Net Depth to Net Time Time Water Drop I ~:t~ 15 r.,~, -3~' ~,, ~.. ~ " ~ ~ ~O ) ~ ~ ~ ~/~" ~ " ~; ~ /5 ~ ~ ~='~," ON RATE /00 (mmnules/inchJ PERC HOLE DIAMETER g,5 T~ST RUN BETWEEN FT AND -- FT ~:~ ~': CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~','2 ' /') 72-008 (Rev. 4/85) PERFORMED FOR: LEGAL DESCRIPTION: 2 4 5- 7- 9- 13 14- 15- 16- 17- 18- 19- 20- COMMENTS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 '1_" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: ~::~/~ ~/~" /i/~. Township, Range, Section: WAS GROUND WATER ENCOUNTERED? SLOPE SITE PLAN S IF YES, AT WHAT ~///~t (~ DEPTH? p E Oep~ la waler Alter Monitoring? D,e~ Date: ~- ~--~ ~ PERCOLATION RATE / ~ {mmuteshnch) PERC HOLE DIAMETER ~ // TEST RUN EETWEEN '~ FT ANO ~ FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN. DATE: ~/"~)'J- RLYE$i(E ?Ut~P & EQUIPMENT FtqX NO, 244§0?2 P. 02 ~o:e m~nu~ ol::,en~kX, l, JOB EAGLE RIVER ENGINEERING SERVICES E,EE~-NO P,O. Box 773294 CALCULATEDSY EAGLE RIVER, AK 99577 (907) 694-5195 CHECKED BY. SCALE _ OF. OATE DATE S~g~ ~fly 4 Bedr0om DWelhng : pRESsURIzED SysTEM SIZENG · .....! ~.....;:.. FloW. mtefromliftstafio~ ~..~sgpm.. Assumes 5' head at orifice ..... 0:42 gpm'per t/8" orifice ·' ': · · .!8 gpm..+. 0 42 gpm =...~t3 orifices Sl3~ifi~ = '50' ~ "43 6rifi~= I~ i'6' : : I.~. MUNICIPALITY OF ANCHORAGE DEPA.TMENT O. HEALTH AND .UMAN SE.V,CES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~ame DISTANCES ~j.j-/~, C. ~ SEPTIC ABSORPTION Addre~ ~ TANK FIELD WELL hone(s) Pe,mil No. ' ND. of Bedrooms WELL Lot// 1 BlOCk~ ] SubdiV~ ~ ~ Township, RanDe, Section A~-BUILT DIAGRAM (Show location o[ we~l, septic system, prope~y lines, foundation, TANKS -- ' - N ~ SEPTIC ~Z,'~ 5~.Capacity ~gaIIOnsHOLDING Manu~aciurer TYPE OF SYSTEM ~ TRENCH ~ BED ~ W. DRAIN ~ OTHER [ ~ / , ~ I Depthtopipebottomfrom Totaldepthffomoriginalgrade ~ ' ~ ~1 ~ ~ ~ ~ ~. * Gravel depth beneath pipe Total .bso,ption area Distance between linesJ ~ t ~' j Number of Ones Soil rating Pipe material I Date Installed I WELLS ~ PRIVATE '~ OTHER fldenlifv) Clarification (A,B.C) Total Deplb FT Cased to REMARKS: I -- ~- cedgy that Ihis inspe~ion was pedormed according to all 72-013 (3/85} M U Iq I C I F' A L I T Y 0 F' A N C H 0 R A G E Department e~' Health & Human oervzc, es 8~..,._ L Str-eet, Anc::h~rage~ Alaska 9950~ .... 0 N- ,~ I T E ~= El W El R F:' E R lq F:'ermit Iqumber: 880124 Oa'Le Issued: 07/].3/88 Up (:1 r ad e Engineer Designed Owner Name: A.H..,-.C. / E.R.E.S., Oblf]eP Address: F:'O BOX 77...,~. ~ .I. EAGLE RI . E.I'~ Al< 99~']77 Day Iho~ e. 694-5195 t,~t l..,.egal: Subdivision: '(fROLL KNOLL Lot,., ~l Bio~zI.,': 2 Sec:tier:' 10 '~"~wnsh~.p: 15N Rance: 1W I_ot.~z..(=c*"~ = ...... 'ES(" ]" (i;~(:]. f"(.. or acres) Max Bedrooms: This Permit: 4. Total Capac~,Ly, 4 SEP]"IC TANK: Minimum total septic tank tank must have a'l'., least 2-'! cemparCmen'Es. ~6:e~.. requires J. nsl,llat.~.eI] (;)Vel" '[,aRk ([~) capacity: 1,~,.¢. gaIlens. Eac:h sep'Lic: Depth to t. ep e~ septic tanl<(s) < 4,,0 INSTAL.L PER ENGII\IEERS DES]:GN, BED TYPE DESIGN WITH A MINIMUM OF 750 SI:;!,, F:'T,, TO'T'AL DEPTH = 0.5' NO-FIFY DI...IHS PRIOR TO EACH INaF'E C]"ZON. TH]:S PERMI'I"' IS ISSUED F'OR A SINGLE FAMILY RESIDENCE ONLY AbE) E XF' I RES 12/:3 ~. 188. I []ER'i"IFY THA'T': 1,. I am ~'amil¢.ar with the r, equiremen'(.s gned: (Owner') sst.u-}d By: for er-site sewers and wells as set £orth by {he Munic:[pality o£ Anchorage (MOA) and the State e£ Alaska. I ~,~i].l install the system in accordance with all MOA cedes and regulations, and in compliance with {he design criteria o¢ this perm~.t. I will adher'e t.~ all MOA and State ef Alaska requirements for the set back distances frem any existing well, wastewater disposal system er public sewerage system on this (:2~ any adjacent or nearby let. I u. nderstand that this permi'f., is valid for a maximum also understartd that the capacity o[' the tetal system is 4 bedrooms and any enlargement w:~:l. 1 require an addi'f, ienal permit. '£AGfE RIVER ENGINEERING SERVICES P.O. Box 773294 E&GLE RIVER, ALASKA 9~CiPAL,TY OF ANCHOP, AQ~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION Phone 694-5195 JUL 1_ 4 t988 ~...~ ~ RECEIVED LETTER Dete [] No reply necessary . SleUE9 ~ [] Please reply ~-~ _ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, AIaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DATE PERFORMED; ~//~c~ /~-/6-,-~ ,~ /~-~ S~¢ ./~ SLOPE StTE PLAN 4 6- 7- 8- 9- 10 11- 12 13 14 IND WATER S 'ERED? ,~)0 ~ P E AT WHAT 15 16 17 18 19. 20- COMMENTS PERFORMED BY: Eagl~ ~iv~ Engln~rln~ S~lce8 F. O. 80x 773294 Eagl8 River. AK 99577 6~-5195 72-oo8 (6/79) Gross Net Depth to Net Reading Date Time Time Water Drop ~TION RATE /V/~ ~'/~ '~ 41 {minutes/inch) TEST RUN BETWEEN ., FTAND ET CERTIFIED BY: DATE: // CLASS A · // WELL / //----- // / RESERVE AREAu ~1 ~RA~N SET~ACK /// ~ ~ ~%..~'~1 / EASEMENT EXISTING LEACH FIELD SCALD 1' : 40' WELL AND SEPTIC SITE PLAN LEGAL~ LOT 11, BLOCK 2, TROLL KNOLL EAGLE RIVER ENGINEERING SERVICES ~ AL~ROFESSt~ EAGLE RIVER, AK, 99577 694-5195 ~,,;~ ~/, ~/~m M LI N I C ]: F' A L I T Y 0 P A N C H 0 R A G E Departmerd:. e~' Health & Human Services 825 L Street, Anchorage, A)aska 99501 34:];-4720 0 N - S I T E S E W E R P E R M ]: T Permit Number: 880:1.24 Date Issued: 07/:1.3/88 Upg ~-ade Engineer Designed O~,,~n e r Name: Owner Adc:Ir ess ~ A.H.F'.C], / E,R,E.S. PO BOX '77;i;294 EAGLE RIVER, AK 99577 Day Phone: 694-5195 Par, eel Id: Lot Legal: Subdivision: TROLL k:NOL. L Lc~t: 11 Block: Section: ~.() Township:; iSN Range: 1W Lot ,"]ize :].";5000 (sq. Ct. (:)~- ac~'es) Max Bedrooms: 'f'his Permit: 3 Total Capacity: SEPTIC TANK: Minimum tetal sep{J.c tank capacit, y: 1,000 gallons. Eac:h sept. ic tank must have at least 2 ¢:empar{ments.. Depth to rep ~-~¢ sep'~.ic tank(s) < 4.0 ~'eet r'equires insulatien over ±.ank(s). INS"I'ALL PIER ENGIIqlEEF~S DESI(;JN, BED TYPIE DESIGN WITH A MINIMUM OF 56::'; S(]i, FT. TOTAL DEPTH = 0.5'. NOTIFY DHHS PRIOR TO EACH INSPE []TtON. TH]:S PERIdIT IS ISSUED FOR A SINGLE FAMILY RESIDENCE ONLY AND EXPIRES 12/31/88, I CERTIFY THAT," 2. wi'(.h 'Lhe r, equirements ¢(~r' on-site sewers and wel].s as set ~'or'f_h by the Municipali{y of Anchorage (MOA) and the S{ate o¢ Alaska. I will install the system in acc~pdanc:e ~i'~.h all MOA codes and peguIations, and in compliance with {he design cp,.rep:ia o~ this per'mi{., I will adher'e tc~ all MOA and State e¢ Alaska requirements fer the set back distances from any existing well~, was{ewa{er' di~iposal system or public sewerage system en thi~ er any adjacent o~' near'by lot. I unde¢¢stand that this per'.mit is valid fei'. a maximum o¢ 3 bedrooms. also under'stand that the capacity (~' 'Lhe tc)tal system ie D; bech"eoms and any enlar'gement will require an additional per'mit, Signed: (E!wner) Issued By: EAGLE RIVER ENGINEERING SERVICES Leu Butera, P.E. P.O. Box 773294 Eagle River, Alaska 99577 Telephone (907} 694-5195 June 24, 1988 Mr. Dan Bowles On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519-6650 RE: Lot 11 Block 2 Troll Knoll Dear Mr. Bowles: We are submitting necessary paperwork for septic upgrade permit for a 3 bedroom septic system. The site constraints will require that the new leachfield be placed 6' from the existing bed. Excavations at the site have determin~ %ha% this shou no be a problem as the existing bed effluent has not affected the ground in question. The upgrade bed will also be located 7' from the house foundation at e~m~ c~ose~ point. The D.E.C. is allowing the use of 150' separation distance to the Troll Knoll Class"A"well. This was verified by Steve Eng on June 24, 1988, If there are any questions or concerns~ please feel free to contact me at 694-5195. Louis Butera, LAB/bit Attachments TRDLL KNOLL CLASS A WELL FOUND, APPRDX, HSE 150' EASEMENT EXISTING LEACH FIELD :::::':: NEW LEACH FIELD CLEANDUT - o SCALE~ 1' = 40' WELL AND SEPTIC SITE PLAN LEGAL~LOT 11, BLOCK 8, TROLL KNOLL OWNER~A,H,F,C, CONTRACTBR~N/A IEAGLE RIVER ENGINEERING SERVICES PO BX 773894 EAGLE RIVER~ AK, 99577 694-5195 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: LOT 11, BLOCK 2, TROLL KNOLL GENERAL 1. The well and septic plan are for a single family residence only· 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department Of Environmental Conservation require- ments. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet Municipality of' Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. BED 1. 2. 3. 4. 5 6 7 8. The bed is to follow the natural land contour to maintain uniform total depth of the bed bottom. The bottom of the bed shall be level, plus or minus 1.5"· The total depth of the leach gravel excavation is not to exceed 1/2' belo~4 ground surface at any point. The sewer line is to replace the existing sewer line that leads to the existing bed. The bed gravel is to be covered with typar fabric material. Soil or combination of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the leachfield. The area over the bed is to be finish graded to prevent ponding of and leachfield must not be closer than 100' to any well, 150' to any Class "C" well, or 200 feet to any surface water runoff. The septic tank existing private community well. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH = 1/2' GRAVEL DEPTH = 6" BED LENGTH = See Plan BED WIDTH = See Plan TOTAL SQUARE FOOTAGE OF BED = 563 S.F. Soil Rating = 125 Bedroom Capacity = 3 Septic Tank Size = 1000 + LIFT STATION ***NOTE: 2' SAND FILTER REQUIRED. OVER EXCAVATE TO 2 1/2' DEPTH AND INSTALL FILTER SPEC. SAND. ***NOTE: LIFT STATION REQUIRED.(USE PREFAB ANCHORAGE TANK LIFT STATION WIRED BY LICENSED ELECTRICIAN TO M.O.A. CODE. ***NOTE: EXISTING WATERLINE TO BE LOCATED +10' FROM ANY PART OF SEPTIC BED. DRAWN LOCATION IS APPROXIMATE, MAY INVOLVE RESTUBBING UNDER FOUNDATION. BID BY FOOT OF 3/4" WATER LINE INSTALLED INCLUDING CONNECTIONS. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 925 L. Street, Anchorage, Ataska 99501 264~,729 SOILS LOG - PERCOLATION TEST ,~ SOILS LOG [] PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? PERCOLATION'RATE TEST RUN BE~EEN Gross Net Depth to Net Reading Date Time Time Water Drop ,~/~ FT AND (minutes/inch) -- FT COMMENTS PERFORMED BY: Eagle River Engineerinq Services CERTIFIED BY: J.~-..-'~3~ P, 0. Box 773294 Eagle River, AK 99577 72-008 (6/79) 694-5195 '; · STEVE COWPER, GOVERNOR ANCHORAGE, ALASKA 99503 June 24, 1988 5~3-~775 Eagle River Engineering Lou Butera, PE PO Box 773294 Eagle River, AK 99577 Services SUBJECT: TROLL KNOLL SUBDIVISION, Peters Creek Dear Hr. Butera: Upon inspection and revieu, the department has determined that Troll Knoll Subdivision ~alls under the ~ormer separation requlations in efi{ect at the time oC installation. Therefore, the separation distances are as ~o]lous: 1. 150' ~rom the subject well to drain¢ield. 2. 120' {rom the subject well to septic tank, and sewers. i~ you have any Curther questions, please contact me at the above number'. SWE:pkk Sincerely, 'EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, ALASKA 99577 /~UNICIPALI~ OF ANCHORAGE Phone 694-5195 DEPT. OF HEALTH & E~'~/IRONMENTAL PROTECTION LETTER Date 7- //- Subject ..~Please reply [] No reply necessary TRDLL KNDLL CLASS A WELL FBUND, / UTI'I LINE HSE --BEg AREA RED, - 750 S,F, STA. ~ 150' // EASENENT EXISTING LEACH FIELD :::::::: SCALEI 1' = 40¢ v/ELL AN]3 SEPTIC SITE PLAN _EGAL, LOT 11, BLOCK 8, TROLL KNOLL OWNER:A,H,F,C, CBNTRACTBR:N/A EAGLE RIVER ENGINEERING SERVICES PD BX 773894 EAGLE RIVER, AK, 99577 694-5195 SPEOIFICATION8 FOR ON-SITE 8EPTIO SYSTEM LEGAL: LOT 11, BLOCK 2, TROLL KNOLL GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 5. All materials and workmanship shall meet the Anchorage Deparbment of Health and State Department Of Environmental Conservation require- merits. 4. Ail soil tests are advleory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. BED 1. The bedim to follow the natural land contour to maintain uniform total depth of the bed bottom. 2. The bottom of the bed shall be level~ plus or minus 1.5". 5. The total depth of the leach grave], e×oavation is not to exceed 1/2' below ground surface at any point, 4. The Sewer line is to replace the existing sewer line that leads to the existing bed. 5. The bed gravel is to be covered with typar fabric material. 6. Soil or combination Of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the leachfield. 7. '[he area over the bed is to be finish graded to preveet pending of surface water runoff. 8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class '0" well, or 200 feet to any community well. REOOMMENDED LEAOHFIELD DIMENSIONS TOTAL DEPTH = 1/2' GRAVEL DEPTH = 6" BED LENGTH = See Plan BE]) WIDTH = See Plan TOTAL. SQUARE FOOTAGE OF' BED × 750 S.F. Soil Rating = 125 Bedroom Capacity = 4~ Septic Tank Size =lOOO + LIFT STATION = 1,SO0, **NOTE: **NOTE: **NOTE: 2' SAND FILTER REQUIRED. OVER EXOAVATE TO 2 1/2' DEPTH AND INSTALL FILTER SPEO. SAND. LIFT STATION REQUIRED.(USE PREFAB ANOHORAGE TANK L!FT. iSTATION WIRED BY LIOENSED ELEOTRIOIAN TO M.O.A. OODE.) ' EXISTING WATERLINE TO 8E LOCATED +10~ FROM ANY PART OF SEPTIO 8ED. DRAWN LOCATION IS APPROXIMATE~ MAY INVOLVE RESTUBSING UNDER FOUNDATION. BID BY FOOT OF ~/4" WATER LINE INSTALLED INCLUDING OONNEOTIONS. (~.._? MUNICIPALITY OF ANCHORAGE ~, t DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION (~ ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE [] NEW MAILING ADDRESS LEGAL DESCRIPTION ~' DISTANCE ,0: IWeg /V/~ I Absorption a7 ,~ Dwelling ~ ~ PERMIT NO~ Liq. capacity in gallons Inside length Width Liquid depth O ~ ~ Manufacturer Material Liquid capacity in gallons ~ Well Foundation Nearest lot line PERMIT NO. ~ No. oflines Length of each~/~ Total length of lines Trench width inches Distance between lines ~ -- Top of tile to finish grade Material beneath tile Total effective absorption area ~ ~ ~/ Width /~ Depth PERMIT N ~ ~ Type of Cri~ Crib diamete~ Crib depth. Total effective absorption area ~0 Well ~/~ Nearest lot Hne ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANOE TO: OTHER ~IPE MATERIALS - SOILTESTRATING FCC ~ ~/-- REMARKS APPROVED~ ~ ~ f~','~[SJ~5~J~ f g EGAL 72-013 (Rev. 3/78)-:~ ........ ~- PERMIT NO. DEPARTMENT OF' HEBLTPI AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 264-4?20 ( 820D58 ) APF'LICANT LOCRTION LEGAl. BARBARA TANNER Lil B2 TROLL KNOLl. L. tt 82 TROLL KNOLL ±2800 COMIAK CR 99501 LOT SIZE 999999 SQUARE FEET T"r'PE 0F cf- ~' ,.,: -.,~IL ABSORPTION =,~_,TEM IS: ~J~"~ MA>~IMUM NUMBER OF 8E~F.~f"IS = S:: SOIL RATING (SQ FT/BR)= 220 THE REQUIRED SIZE,,.~0F~Z~THE SOIL ABSORPTION S'r~TEM IS: E: EPT~-.I= f,/ E LEI%IGI"H--- ~ .,z.,~F..R . ! THE LENGTH DINENSION IS THE LENL~TH (IN FEET) OF THE TRENCH OR DRK~INFIELD. THE £:,EPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN ]'HE SURFACE OF THE GAO.ND AND THE BOTTOM OF THE E:4OA'v'ATION (IN FEE]')./~.~ THE TRE"-:I%ICH P,[ :[ E:. TI"4 :[ ."--~; THE GRAVEL DEPTH IS 'THE MINIMUM DEPTH OF GRFIVEL BETWEEN THE OUTFALL PIPE AND,THE BOTTOM OF THE E>~CR'¢ATION (IN FEET). R~--":~:!LI I RE[) SEPT PERMIT APPLICRNT HAS THE RESPONSIBILIT"r' TO INFORN THIS DEPARTMENT DURING 'THE INSTALLATION INSPECTIONS OF AN~' WELLS ADJACENT TO THIS PROPERTY' AND 'THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. T~lO (2) ~ ~4~;PECTIO~4S ARE ~IEr=:!kt I BACKFILLING OF AN9 S¥S'FEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPBRTMENT WILL BE SUBJECT TO PROSECUTION, MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE IqELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON ]'HE T~PE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVRTE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNIT9 SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPL~. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE ASAILRBLE TO INSURE PROPER INSTBLLRTION, F"E-.RI"-I }[ 1- E:~:F' I RE~ E:, EC:E f'lBl~-£F." "-.-~:1~. 12.:":32 I CERTIF9 THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BM THE MUNICIPBL. ITM OF ANCHORAGE. 2: I WILL INSTALL THE S"r'STEN IN RCCORDANC:E WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER S"r'STEM NAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN } BEDROOMS. APPLICANT BARBRRA TANNER t...=,LIED B"r'_ _ _DATE ...... V4. 0 PERMIT NO. IYi~Jr~ I C:I~..~LIT~' C,F ANC:H~/R~]GE DEPBRTMENT OF HEBLTH AND ENVIRONMENTAL PROTECTION 825 ~L~ STREET, ANCHORAGE, BK. 99501 264-4720 Or~--SITE SE~4ER PER,lIT 820958 ) APPLICANT LOCATION LEGAL BARBARA TANNER Li± B2 TROLL KNOLL Lli B2 TROLL KNOLL t2800 COMIAK CR 99501 LOT SIZE TYPE OF SOIL ABSORPTION SYSTEM IS: . ~ ~ ~ 999999 SQU8RE FEET MAXIMUM NUMBER OF BEDROOMS SOIL RATING THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEF"TH= ...~-~ _ 5 LE~G-FH= 22 "3 F.' R ~,-" E L [:'EF'TH= 5 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE E~CAVATION (IN FEET). THE T;iEI~CH L~ I DTH IS ]z-'.Et ~]~ FEET. THE GR8VEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCBVATION (IN FEET). REQLt I RE[) SEPT I C: TA~-J~: S I ZE= iC.'100 ~]FtLLOI'-.IS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS 8DJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TPIO <~) I NSF'ECITIC~-tS ARE REQUIEiED BACKFILLING OF 8NY SYSTEM WITHOUT FINAL INSPECTION AND BPPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL 8ND ANY ON-SITE SEHAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO ~00 FEET FROM A PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVBTE SEWER LINE IS 25 FEET TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS 8ND CONSTRUCTION DIBGRAMS ARE AVAILRBLE TO INSURE PROPER INSTALLATION. F'ERfl I T EXP I RES [.~EC:E~-~BER I CERTIFY THBT ±: I tim FAMILIBR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND HELLS 8S SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTBLL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERST8ND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. APPLICANT BARBARA TBNNER , .,' .· ISSUE[) DY__ -[)RTE ........... V4. 0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST 2 3 4 5- 6- 7- 8- 9- 11 13- =ATEPEREORMED: SLOPE ENCOUNTERED? O IF YES, AT WHAT E DEPTH? [] SOILS LOG [] PERCOLATION TEST SITE PLAN 14- 15- 16 17 18 19 2O Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) COMMENTS TEST RUN BETWEEN PERFORMED BY: ..i'~': ~' r. PM. ALASKA e[1UIROnmeRTAL CO[1TROL SeRUICeS, IRC. 8ncline¢~in9 ~, 8nui~'onmcntal Studies September 15, 1982 Barbara Tanner Tanner McGowen Realty Anchorage, Ak. 99501 Dear Barbara: Enclosed are the soils reports for the exploration work on Lot 11, Block 2 Troll Knoll Subdivision. Our conclusion on the report as follows: 1. The existing system was designed and built on a soils rating of 85 sq. ft. per bedroom. The percolation test and soils logs showed a rating of 220 sq. ft. per bedroom. The system will need to be enlarged. An adequacy test was run by Bob Schafer so his numbers can be used as the existing capacity. With the soils logs permit can be ovtaineed from Department of Health and Environmental Protection. 2. Water was not encountered in any holes. One shallow hole near the septic tank encountered a moist soil. 3. Water may move ~hrough the soils after a heavy rain. The footer drain may have dewatered the area for now but will it work during breakup? My advise is to build a curtain drain toward the north to the lot line and connect it to the footer drain. Do not place it closer than 25 feet from the existing system. If you have any questions please call me. Sincerely, Pres~~ 1220 UJesl 251h Auenue ·/~nchoro§e, Alosko 99503 · (907) 276-1361 BO LS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ,~ PERCOLATION TEST B2B L. Street, Anchorage. Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SLOPE DATE PERFORMED: SITE PLAN 3 4 5- 10 11 12 13 14 15- 16- 17- 18- 19- 20- 15 ~oF-- WAS GROUND WATER S ENCOUNTERED? ~o ~oL E IF YES, ATWHAT DEPTH? Reading Date Gross Net Depth to Net Time Time ,~/~l ~ Water ~r Drop F'T' ~ 1o: l'z [O .N? . +~0 ll .o .... .70 PERCOLATION RATE ~ (minutes/inch) TEST RUN BETWEEN ~ 1~ FT AND ~ FT DATE: LOT TH 3 P 4- 6 7 8' 9 10 11 12 '~3 14 15 16 17 18 19- 20- Subdivision A,E,C,S,~ INC, 1220 W, 25ffl, AVENUE ANCHORAGE, AK, 99501 Supplemental Soils Information. ~( lVo [/ ._ Block "~.- LOT £1 TH 1 2 3 9 10 11 12 13 14- 15 16 17 18 19- 20- LOT [I OL 2 3 4 5 Tll G~T 7 8 9 11 12 13 14 15 16 17. 18- 19- 20 LOT TH 01- 1- 3- 5 6 7 8 9 10 12 13 14 15 16 17, 18- 19- 20- ALASKA I1UIROnmfflTAL COllTROL SERUICE$, ~nqineerin~ ~- I~uironm~nl~l irlc. C L I ENT __'_/~, ~-,..,"' ~r~_,~:~--. ADDRESS]' ZIP CODE LE(~AL LOCATION ._~_~LL TOTAL DEPTH OF HOLE ZONE TESTED ~ ~ ft TO PERCOLATION TEST DATA SHEET -~o~xz/~e v- DATE ~ - /~J~ ft READING # CLOCK TIME /O ~. O ~ NET TIME DEPTH TO DATUM ,q / · q~ NET DROP .o7 ~in) FINAL PERCOLATION RATE PERFORMED BY (min/in) ~20 [Lest 25l~ Auenue ~ f~nch0ro§e, Al~sk~ 99503 o [901) 276-1361 ~'/,/~T' -'3 o~= ~ / GREA' ER ANCHORAGE AREA BORu/.JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE / ¢~/ FROM WELL iNSIDE LENGTH NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH __ _LIQUID CAPACITY ,/l~ ¢ ¢ GALLONS. SEEPAGE PIT: NUMBER OF PITS I DIAMETER LINING MATERIAL "/~)~/¢/¢'~¢' r CRIB SIZE: BUILDING FOUNDATION__ DIAMETER__DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE ABSORPTION AREA (WALL AREA) .SQ. FT. ADDITIONAL ABSORPTION WELL: O /~///) ~/ /L,./ f TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION __ LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TANK SYSTEM REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: -_(~", Pipe MATERIAL; LOT SLOPE: REMARKS:__ DATE '~,,~- / - ~,~ APPROVED. Form NO, EQ-031 DEPFIRTMEN"F c' HERLTH RF,ID EIqVIRONMENTRI ~':'ROTECTION 25i(~l E¥.¢FUDOR RE:.'. , RNCHORBC'iE, RI'(. '~../507 276-2222 ( 7'6:¢4f¢ ) RF'PL I CFIN T LOCFI'I i ON LEGBL H I LL'I"OF' [:,R L±± E,~"':' LOWER TROLL ~:'N"'L_ _t_ .LIhL:, I LLH FIK I_ O"F =, I,~E ]:iE~:l_ SL.]IJRRE F'EET 'I"¢PE OF -':.,..IL NE,_,_RB]iUN liH,~,lilU 1 tqUtlbE'~. OF BEDROOHS = Z; =,uIL RRTING ,::St;! F F, E,R>- 'I'HE REi]:!UIRE[:, SIZE OF THE =,JIL FIBE;ORF'TION ~T_-,TErl IS: [... E ~--' "'F H '-=' '" ..... .:. '-" E_ b] 1'4 L-":~ -r H = -:-- .~-- "-~' ':-' f-- .:F:-?.lt - "..'. EL_ [.:,E P-'r H = 4 ]HE LENGTH DIMENSION I_ 'rilE LENGTH ,'IN FEET) OF THE TRENCH r'F' [:,R~INFIEL. D. THE D, EPTH OF Fi IRENCH ]R PIT I'S THE f.',ISTF]NCE BETWEEN THE .:,UFFH_.E OF THE: 3R'£~N[:, BND "rilE BOTTOM OF THE E:dCF¢¢R'rION (IN FEE]'::,. THERE I_-, NO _,El 1.4IDTH Fr'lR TRENCHES. '[HE GRRVEL D, EF'TH IS THE MINIMUM [:,EPTH L]F GRBVEL BETWEEN ]"HE OU]'FBi_L F'IPE RNE:, THE BFrT"I-UM OF THE E,.,E. HbHI ILN (IN FEE]"::,. BRCKFILLING OF RN'¢ S'T'$TEM WITHOUT FINRL INSPECTION BND BPPROVRL BY ]'HIS DEPRRTMENf' WILL BE SUBJECT TO PROSECUTION. HINIMUM DiS"fBNCE BETWEEN FI WELL RN[.', RN¥ ON-SITE SENBGE DISPOSRL S'¢STEM tS ±~:lE'~ FEE~f FOR R PRI',?BTE WELt. OR 2EIE~ FEET FOR R PUBLIC NELL. SPECIFICBTiONS RN[:' CONSTRUCTION [)IRGRBMS BRE R',,,'RILFIBLE TO INSLIRE F'ROPER i NS] ¢4LLF¥i' i ON. i C:ER-I' iF"r' ',"HR]- i: t RM FRMiLIRR WITH THE REQUIREMENTS; FOR ON-SITE SEWERE; RND WELLS RS SET FORTH 8'¢ ]"HE i'flUNICIPBLIT'~' OF' FINCHORRGE. 2: ~ WILL INS-rRL.L THE SYSTEM IN RCCOR[:,RNCE WITH THE CODES. 3:: i UN[:,ERSTRND THFtT ~fHE ON-SITE SEWER S'¢STEH MR'¢ RE6).UIRE Ei".,ILRRGEHENT Il.:' THE RESIE:,ENCE IS REMODELED TO INCLUDE MORE THFIN ~: BEC, ROOMS. _,I bhlE[ .... FIf-~F, LICFiNT JFIr,IEt~_; COHBS ~ ,--,:: --'-, ..... DRTE.. I,:,-,UEb - --- · ~ GREATER ANCHORAGE AREA BOROUP''' ~9~A~.Department of Environmental Q~_~ty _ -- 3330 "C" Street ~ ~/~Z~Anchorage, A1 as ka 99503 ~ SOILS LOG - PEROLATION TEST Performed for ~' L~, · Date Perfo~ned ("/~/--t ~ // This form reports: Soils'log. ~<. Percolation test Depth Feet 1 14 - Was ground water encountered? If yes, at what depth? Reading Da~e Gross Time Net Time Depth to Water Net Drop Percolation rate -Proposed installation: Seepage Pft Drain Field ~)epth of Inl.~t ............. . Depth .to bot.t_om of p~t: or trenc(~ MUNICIPALITY OF i 44 Development Services Department On -Site Water & Wastewater Section Parcel I.D. 051-521-09 �•'�x �� � k . s i .A � �, h it �.1� Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description TROLL KNOLL BLOCK 2, LOT 11 Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: Location (site address) 23806 HILLTOP DRIVE, CHUGIAK, AK 99567 Current property owner(s) MELINDA & PAUL MUNSON Mailing address Real estate agent 23806 HILLTOP DRIVE, CHUGIAK, AK 99567 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or. Duplex) Day phone Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic Water Storage ❑ Holding Tank ❑ Community Well ® Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ t" 12, �v U Waiver Fee $ Date of Payment 9a f h Date of Payment Receipt Number 12 :2 5 J Receipt Number COSA # 05C 2 OI' 'I45 Waiver # STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 7/19/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the�SL�� system and maintenance. The operational life of all well and septic systems are subject to ,r,or— � l these various and dynamic characteristics and are outside the control of the evaluator of the ��P• well and septic system. Therefore, any estimate of how long a system will function satisfactory 0> • •� �� for current or future occupants or guarantee that no unseen encroachments, deficiencies or * •�•� •• discrepancies exist can be given by First Water Consulting & FWCS - . • • . .. ' . • • • • • • 6. DSD SIGNATURE rr Curtis Huffman: System #1 Approved for bedrooms ��c�s�F�• •7 19/2010 '�����'�� System #2 Approved for bedrooms ,ll%a�F,'00 �'� Disapproved Conditional approval for bedrooms, with the following stipulations: ON-SITE WATER AND o PROGF\AM J � J \� ))-'Y/ i By: ti.r (' Original Certificate Date: 7-2— 7 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: TROLL KNOLL BLOCK 2 LOT 11 Parcel ID: 051-521-09 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WEcLSTA - CLASS A ❑ Well log is f '- -itth Onsite (or attached) Date drilled Total depth _ft Cased to _ft (INTO BEDROCK) ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) int. _--'"� 7' Date of flow test for COSA----' Static water leve! of beginning of test _ft. B. TANK DATA Age of tank(s) 25 years Tank type/material BIOCYCLE / FIBERGLASS Measured operating fluid level in septic tank NA ® Standpipes/foundation cleanout per record drawing Date of pumping / maintenance 5128/20 D. ABSORPTION FIELD DATA Well production at time of test -g,fs"m Water storage tank vo!urfie gallons Well disinfected/for coliform test? ❑ Yes ❑ No -:,o�rm bacteria is Negative Nitrate _mg/L ❑ Nitrate less than MRL (ND) Arsenin ug/L ❑ Arsenic less than MRL (ND) Collected by. Date of Sample C. LIFT STATION ® Required maintenance completed Age of lift station —years Lift station material Comments: See attached maintenance report. Which system tested (date installed) 10/18/1995 Adequacy test date 7/17/2020 ® ALL standpipes present per record drawing Results M Pass For 3 bedrooms Total measured depth from grade 8_7 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade _ft (min) Water added 450 gal ® N/A - pressurized field New depth 11 in ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Elapsed time 1400 min ® Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 450+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date NES Comments/Deficiencies: E. SEPARATION DISTANCES F t - rivatelWell on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Statiof r•on. Lot > 100' Community Sewer Manhole/Cteaflbut > 100' ``. Yeses if No ft Yes if No Neighboring Tank > 100' ® Yes if No Absorption Field on Lot > 100' ® Yes if No Neighboring Absorption Fields ? ;vff' X Yes if No Sewer Main > 75' ® Yes if No ft Private-Sewer/Septic Line > 25' ® Yes if No I�orul!�.g Tank > 100' ® Yes if No Animal Containme i >-,5 ® Yes if No ft Manure/Animal Excreta Storage> 1tTv' ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 5+ ft Surface Water > 100' ® Yes if No _ Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: ® Yes Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. AW •• Z-t- ?—No Curtis Huffman �$ CE 128991 ,• <�� s ��ye©'°ROPES \:�.��- ft ft ft ft ft ki ft ft 3705 Arctic Blvd #313 inDCCDD Anchorage AK 99503 AEmail: crbioak@gmail.com (907) 274-0314 d Quarter p • n Report ',firo. 2020 000 Homeowner Info Customer Name: Paul and Melinda Munson Tank#: 10 Install Date: Sept. 2003 Address: 23806 Hilltop Dr. Area Chugiak Initial Inspection: Alarms Tested: Air 171 High Water 171 1Battery Tested: Yes ❑ No ❑ N/A FO (Please make sure alarm is on "normal", not "mute") Does system have a septic tank ? No 0 Yes ❑ (Recommend pumping tank every 2 years) Is System Lid Locked? Lid hardware in working order? Is there any noticeable odor? Yes R1 Repaired ❑ Yes Repaired ❑ Strong ❑ Mild ❑ None System Inspection Inlet plumbing in working order? Yes ❑✓ Replaced ❑ Are all aerators functioning? Yes 0 Replaced ❑ Solids pillow normal? Yes 1� Requires Pumping ❑ Any buildup of solids? Yes Z No ❑ Filter cleaned? Yes F71 N/A ❑ Comments: Discharge line condition: Good 1 Replaced ❑ Inspected By: Chris/Abi Date: 05/28/20 Has emailing or mailing of form been requested? (contact office to request...) Yes No MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT' made and entered into as of this 10 ' Da u�� Y of �of 20'20 , by and between 2xen4m -'c et , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as BIOCYCLE located at (legal description) TROLL KNOLL BLOCK 2, LOT 11 2. Maintenanct Repairs and Alterations. (,(Owner is required to read, understand and initial each section) / i ` Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfeld replacement. (rev. 05/18/2018) Page 1 of 3 714 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. '— Owner agrees to grant the Municipality reasonable access to test and inspect the ,� AWWTS. The Municipality will give at least 24-hour notice. j.L` Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. '� 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. '4 Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this 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 Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: BY: -/Z,4/_(signature) Date: 20' 20 2b � +I (print name) STATE OF ALASKA STATE OF ALASKA ) NOTARY PUBLICLauren Ferguson ) ss. My Commission Ends May 18, 2624 THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this Zia -y ---of 202S, by ' NOTARY UBLIC FOR ALASKA My Commission expires: MUNICIPALITY: By: �M-� I (signature) (print name) (rev. 05/18/2018) Date: 7 2 / r Z DZ c:�) Title: Page 3 of 3 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. # 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY AI~PROVAL FOR A SINGLE FAMILY DWELLING 0 .~' )-~-3,'I~ OB HAA# ~ Lot 11, Block'2, T~oll';'K'n~il Location (site address or directions) ?[p~61~e,?Y..own~r / .t~hllllp Bordelon ':~'Malhng" · ' ' """ C) 6 .... Lending agency .... *'. -Mailing address '' ' ~gent 23806 Hilltop Drive Chugiak, AK Address Day phone 688-5442 AN ~q567 Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well XXX Public water NOTE: 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 Public sewer NOTE: XXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev. 1/91) Front MOA~21 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. Nam~ of Fi~m'" r, & '-, ~;-''~!-*!E-~]~ Phone Ca 17034 Eagle River Loop Road No. 204 Address Eagle ~iver~,A~=.=[~ $"'~-~'~? / Engineeds signature -'"')/~'~ / ,~./-~---- Date DHHS SIGNATURE /A?proved for Disapproved. Conditional' approval for bedrooms. bedrooms, with th~ following stipulations: Additional Comments The Municipality of Anchorage Department of'Health and Human Sen4ces (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. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVIC Environmental Se~ices Division 't~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) Health Authority Approval Checklist Legal Description: Le 7- Jt A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Total depth Cased to Casin~ound) Sanitary seal (Y/N) ~eriy p or tected (Y/N) FROM WELL LOG ~~AT INSPECTION Date of test Static water level Well production J g.p.m, g.p.m. WATER SAMPLE RESULT .~/- ' Coliform ~ Nitrate Other bacteria Date~ Collected by: Gl ~cvcL~_ B. IH~Rd/NOI,DIN~ TANK DATA Date installed /o/ I~/~,i-' Tanksize~-/~0o Number of Compartments ~ Cleanouts~'N)/-/'~-<-/~-cov~ Foundatioo cleanout (~N) ¥ [~ Depression (Y/_l~/ ~ O High water alarm ~/N) Date~6f PumPing ~/1~/'~'/ Pumper C. ABSORPTION FIELD DATA Date installed i 0 llV/~'. Soil rating g~__~.p.d./ff~or ff=/bdrm) ~ Systemtype Led~gth ~0 Wid~ ? ~ Gravel thickness below pipe To~l depth Effective~sorpfionarea3~? ~ MonitofingTubepresent~)Y~y Depression over field ~. ~0 · Date of adequacyt~t ~/~/~ Results~ail) ~+Y~' For ~ bedrooms Fluid depth in abso~tion field before test (in.); ~ '/ Immediately after 6 ~( gal. water added (in.): h" " 600 Fluid depth ) ~ (ins) Minutes later:. ~ O Abso~tion rate = g.p,d. Peroxide treatment (past 12 months) ~) N ~C ~ = ~ If y~, give date 72-026 (Rev. 3/96)* LIFT STATION Date installed / Manhole/Access ~.~N) High water alarm level Size in gallons "Pump on" level at* ,2.,y "Pump off" level at* *Datum -t '~/~ Cycles tested E, SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot On adjacent I~ ...,..----'"'"'~n adjacent lots Absorption field on lot Public sewer main ~ Public sewer manhole/cleanout line Lift station SEPARATION DISTANCES FROM Sh-~PTrC/HOLDINGTANK ON LOTTO: ¢ Foundation I o -,~ Property line ~ ~ Absorption field. Water main/service line /0 / d- Surface wateddrainage /oo L.y Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line t 0 '"/'- / 0 -~- Building foundation Water main/service line Surface water /0~ %/- Driveway, parking/vehicle storage area Curtain drain N.~,~'~ /.<,,vo,.u ~ Wells on adjacent lots F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections Signature~-~//~'1~"' ~-~/)~//P'!'2// ~ ~7,~,- ~ Engineer's Name [~ ~ ~ ~ ~ ~ ~ Date ? / 3 o / ~ ~ HAA Fee $ Date of Payment __ Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment. Receipt Number MUNICIPALITY OF ANCHORAGE & HUMAN SERVI [3EPARTMENT OF HEALTH CES ' Division of Environmental Services - · <'~.:~ ~,i'?..:On-Site Services Section.~. _ ~ P.O. BOX 196650 Anchorage. Alaska 9951'9'6650" :,-, . Z, ,- ' ' 343-4744 CERTIFICATE OF HEALTH AUTHORI~'Y APPROVAL FOR A SI NGLE FAMILY DWELLING Parcel I.D.# 05'i-%2~-09 1. GENERAL INFORMATION Corn piete legal description Troll Knoll Lo~-1t, Block 2 Location (site addres,s.or directions) 23806 Hilltop Drive, Chugiak Pr0p~rty owner "G~i~r~-e~]-~e Rees ' Day phone 688-I219 Mailing address p.n_ ~:67nqgR. (~hll~k. Ak gg567 Lending agency. Day phone Mailing address '" '- ~'' Agent C~dy' Wilson/Jack ~te Co. Day phone' 694~5500" Address 11823 Old Gle~ H~, Eagle River, ~ 99577 ': ~'... ' , Unless othe~ise requested, HAA will be held for pickuP..:<- ,. ~. ~.. ,.~ ~.-...~.:}~7; NOTE: If bommunity belt system, provide w~itten con~irmation from State ADEc';ttost- '-~' ~-'-;-. ing to the legalit~ and status of sy~t~'m.' - . :i:~;-r ~ .. .- . .'< ~ t..:.= ~ ... : · ::~ .... -. -. :. r:~. ~. : ~ · -- . < .' ~.~:~;~ '~ ,;.~,. 4, TYPE OF WASTEWATE~ DISPOSAL ....... - ..... m unit~'Wastewater system;:~ro~ide wri'e~ ' ...... ~' ' .... ' NOTE: If co m confirmatton from Stato 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 ~3elow, 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 s,~ pply and/or wasmwater disposal system is in compliance with all Municieal and State codes, ordinances, and regulations in effect on the date of this inspectior Name of Firm Eagle Ri'~er 22~i~eer3_qg Se~'~zices Phone 694-5195 Address p.o. Bo× 773294, Ea_ale River, Ak 99577 Engineer's signature ~ ' Date '/~ - '~- 6. DHHS SIGNATURE " ~ Approved 'fo~r'':' ~ '~ ~ bedrooms. ~' '~: ~ ' r~dd tional Comments Date//~? -2 The ~lunicipality of Ancho~'age D'~partment of Health'and~'~uman Services' (DHHS) issues Health Auth0~;ity '''~: ' Approval Certificates based only upon the representations giv, e~ !n 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 a6d Stat~ requirements. Employees of DHHS do not · conduct nspect ons or analyze data before a certificate is issued. :The Municipality of. Anchorage is not ~.,: responsible for errors or omissions in the professional ~ngineer's work. · - - ' .... _ · · ~' Municipality of Anchorage ' DEPARTMENT,,OF~HEALTH &HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501· (907) 343-4744 Health Authority Approval Checklist Legal Description: A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/Nb Date of test Static water level Well production _~'~d ~.~tg~ ~ Parcel I.D.: If A, B, or C, at,ch ~EC letter. ~EC water ~stem nmnber Date completed Cased to Casing height (above Wires FROM WELL LOG AT INSPECTION g.p.m, g.p.m. Coliform Nitrate Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed Tank size Number of Compartments Cleanouts (Y/N)__ Foundation cleanout (Y/N) Date 0f Pumping Depression (Y/N) Pumper High water alarm (Y/N) C. ABSORPTION FIELD DATA Date installed /~?/~g/~ Soil rating (g.p.d./ft2 or ft2/bdrm) ~, Length 3-~ ¢ Width 5- / Gravel thickness below pipe System type Total depth Effective absorption area ~ 5- 7 ~.,f Monitoring Tube present(YhXr) ~/~-~ Depression over field (Y/N) Date of adequacy test /~/~'q' ~/9~%./ Results (Pass/Fail) fig,-q~5 For '~ bedrooms Fluid depth in absorption field before test (in.); /V/A' Immediately after gal. water add?~d 0n:0~ Fhfid depth (ins.) Minutes later: Peroxide treatment (past l.[LZmonttlgJT~/N~ If yes, give date g.p.d. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Primp on" level at* "Primp off" level at* High water alarm level at* * Datnn/ Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ,A//4 Septic/holding tank on lot Absorption field on lot Pnblic sewer main ; Ou adjacent lots ; On adjacent lot~-~--- ._~/Public sewer manhole/cleanout Seavo~i~lne Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Bnilding foundation 7~ ~' / Property line 7~/?') ' Absorption field Water main/service line ~') ~,' ~ Snfface wateffdrainage '~/6)~) Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation 'J'-//P / Snrface water vl~/(.])() t Cnrtain drain Water main/service line t' ~'~ / Driveway, parking/vehicle storage area~ Wells on adjacent lots 7~7~) Property line F. ENGINEER'S CERTIFICATION I certijj~ that I have determined thru.field iaspections and review of Municipal r, in conJbrmance with MOA 1t~ guidelines in effect on this date. ~ ~ ~t c * Signature ~_~<~ ~D~xx)- Fee , ,tim , fO Receipt Nnmber /~/_/d~-~- d'~ ~ ~ Rev. 8/95 eSS: haa.wk.dec Waiver Fee $ Date of Payment Receipt Nnmber DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL,.~[J~ - ~)C:~ ~O~' OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) _L._ot 11. Block 2.-Troll Knoll, Sec. 10, T14N, R1W Location (address or directions) Hill Top Circle Peters Creek Applicant Name ,,c,.~c: of ~a,~ Rive~relephone: Home n/a Applicant Address 16600 Centerfield Dr. #201 Eaqle River, AK (b) Business 694-4200 99577 (c) Applicantis(checkone):Lendinglnstitution [] ;Owner/builder [] ;Buyer [] ;Other~] (explain); Realtor (d) Lending Institution Q/a Telephone Address (e) Real Estate Company end Agent Applicant Aqent - Lee Walker Address (f) Telephone Mail the HAA to the following address: Pick ~ by engineer TYPE OF RESIDENCE Single-Family [] Multi-Family [] Number of Bedrooms 4 Other WATER SUPPLY Individual Well [] Community [~ Public [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite [~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11184) ~ jo ~ O6Bd '~pOM s,JoOu!bu@ IEUO!$SoJoJd oql U! SUO[SS!UJO do sJOJJO JoJ Olq!suodseJ'iOU s! @I~BJOqOUV JO Xi!lBd!olunJ~ oqJ. 'panss! s! OjBo!j!HOO B oJojeq BiBp OZXIBUB Jo suo!joedsu! jonpuo3 ],ou Bp cFIHQ Jo s@eXOldLU3 'slUeLUeJ!nbeJ eiBls pub IBJepeJ U!BHeO XJS!iES o~, JepJo U! suo!lnl!lsu! I~u!puel J!eql pub S@Luoq JO SJeSeLIoJnd ol XseHnoo B sB siq~ seep d~HO OLLL iBuo!eeeloJd luopued@pu! u~ Xq eAoqB G HdeJ6BJed u! UeA!6 euo!lBjueeoJdoJ oH] uodn ,~lelOS poe~q s@l~:)!J!Heo leAoJdd¥ Xlpoq~nv qIIBOH sense! (aaH(:]) uo!looloJcl I~jUOUJUOJ!AU3 pUB HilBeH Jo iUOUJHBdoc] e6BJOLJOUV ]O XHIsd!ounv~ NOIJ. nVo iSAoJddv iBuo!l!puo0 jo suJJo/ I~UO!l!puoo pe^oJddes!O- ~ ~, paAoJddv 'IVAO~ddV d=lHa '9 / / ~6[~-!769/LOb ouoqdela/ ~,~?,,~_~ J~U.L.~U.LJ~U~ .~=Uk,L~t dL~ ~J!J ~oo~N 'uo~loadsul uo loeJJe u~ suo!l~ln~eJ pug 'seouguipJo 'sepoo e1~1~ pug l~d~o!un~ do/puB Xlddns JB18M OilS-MO eqj 'uo!loadsu! pub UOJJeBJlSeAUJ 4W WOAJ pub seiki O~EJOHoLJV JO A~led!o!un~ sql woJJ peulelqo uo!le~JoJu! eql uo poseq leql ~JiJOA Joq~nj I 'u~eJOq pol9olpu! oJnlonJls jo edXl pub s~ooJpeq jo joq~nu oqj JoJ elBnbope pub leUO!lOunj 'BiBs s! ~ols~s iesodsip JeiBMalSeM Jo/puB ~Idd ns JOiBM Gi~S-UO eH1 leqi SMOHS leAoJddv ~lpoqlnv qll~eH s!qlJo uo~lB~lseAu~ ~m 1gq1 ~jpeA I '~oleq u~oqs el~p NOI~O~NI QN~ V~VQ 'HOa~S aql~ 'S~S~ 'SNOI~O~dSNI 9NlalAOad ~1~ 9Nla~aNIBN~ .g MUNiCIpALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION J U L 2 0 1.B88 RECEIVED A. WELL DATA WeJl Classification ~' Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line CleanouVManhole Water Sample Collected by Water Sample Test Results Comments MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: ,,~-'~/~'- // ifA, B, C, D.E.C. Approved (Y/N) Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) /t,,' Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ' /.~='O / TO Property Line .~ / To Water Main/Service Line 5--0 ' Course "/"/~¢~ ~ Size ,/~:'~ -~, ~ No. of Compartments Foundation Cleanout (Y/N) Date Last Pumped ;for ~?/~ Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well /'~¢ To Building Foundation /~ Lot ,¢~ To Water Main/Service Line ,/0 To StreamlPond/Lake/or Major Drainage Course Type of System Design Length of Field ~' / Depth of Field ~ /' Gravel Bed Thickness ¢ "y~' Standpipes Present (Y/N) ,,J/ Date of Last Adequacy Test To Property Line /o To Existing or Abandoned System on ; On Adjoining Lots ¢' ~'~ '/ To Cutbank (if present) __ To Driveway, Parking Area, or Vehicle Storage Area Comments LIFT STATION Date Installed kT',~ .~t / Size in Gallons ~'-~ "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ,.~ Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that~have checked, verified, or conformed to all MOA and HAA guidelines Signed ~,-'"'"'"'~~ Date Company Eagl~ River Engineering S~rvlc~s MOA No. P. 0. Box 773294 Receipt No, Date of Payment '7 --02 ~ Amount: $ //? ~'~ Page 2 of 2 72-026 (1~/84) in effect on the date of this inspection. STEVE COWPER, GOVERNOR 563-6775 OATE: PWSID #: To Whom It May Concern: ~ccord~nq ~o the records on rile in this office0 the '__'~[ ....... ¥,~_ ..... ~{_/]~_ .......... Water System is in compliance with the State o¢ Alaska Orinking Wa~er Regulations. RSK:sa Sincerely. ~.,x Ronal d /~/ Environmental Field O~icer APPLI( ,NT FILLS OUT UPPER HAI . 3NLy Property?~ner St<~ve~l Lo or Lenora M. Smith Phone M'aign~Address P.O.Box 2970 Kodiak, Alaska ZipCode99615 487-2661 Buyer Russell or Annette Ashdon Jr. 694-3609 Address . Zip Code Lending Institution First National Bank of..... ~ =AnchoHa~e Phone Address ' ' : Zip Code Realty Co. & Agent Phone Address Zip Code Legal Description .Lot 11 Block 2 Troll Kno'{1 Subdivision Street Location ;. . , . '. . , ~ .. .... Type of Residence [~ Single Family [] Murtiple Family No. of Bedroom, s ~C}11T- /' _ . n/~7~v~ (~ [~ Other Water Supply [] Individual ~'7)~_~,~')~)%~--~[O0~ ATTACH WELL LOG. Awelllog is required for all wells drilled since June 1975. E~ Community / ~ For wells drilled prior to that date, give well depth (attach log if available). [] Public Utility Sewer Disposal J~( Individual Year ~ndividual Installed: [] Public utgity When Connected to Public Utility: [] Holding Tank NOTE; THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN SE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: 0 J~--, ~--l---~ 0 'S M[ NJCIPALI'FVDEPT. OF RECEIVED ( ~APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* gATE ~ ~ ~ ~ Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received / ~ g~ ~-- ~Z-- ~ WelltoTank Septic T~k Size ~ 0 December 23, 1983 Steven L. or. Lenora ~4. P. O. Box 29'70 Kodiak, Alaska 99615 Smi th Subject: Lot tl, Block 2, Troll Knoll Subdivision Approval for the individual sewer and water facilities cannot be granted until the following ite~s have been completed: Youneed to obtain a letter of approval from tb~e ~of~_ice of ~4r. Bruce Erickson with the State o~ Alaska ~.EoC., ~or the comlau~i_ty well. Yo[~ can col~tact him at 274-2533. PiYease notify this Depart~]ent for e reinspection ~.;hen the noted discrepancies have been corrected. If there are any further questions, please call this of~:ice at 264~4720o .~; incerely, C~,480/e j/E 1 Cory Willis, R.S. Actin~3 Sewer & ~{ater Progra~ ~4anage r APPLI~ j~lT FILLS OUT UPPER HAI.~ .,ONLY_ Address Zip Code Lending Institution / 5~ , J~ ~4 ~ Phone Address ~/~ ~ ~ ~ /J ~ ~ ZiP Code ~,,.~ Realty Co. & A~nt ~/~/~ --~ / ~1~ ~ ~ j"' ~ ~- Phone Address St r~et LOC~t,~ ~ Multiple Family No. of Bedrooms ~ Public Utility ~ ~ V ~- hC~Year Individual Installed: Time Time Tin~ Time Date Date Date Date Inspector Inspector Inspector Inspector q~p_ - ~:~ ~o~£~. ,',Uu o 0 I982 RECEIVED 72023(3/82) May 4, 19~ Mr, t\n-~-h°ny Cri~n oRA 1 A~ 99502 Anchorage , ~ SubjeCt, t: Lot 11 Blc,~,k 2 Tro~lm~- ~]vision !al for the ind2,~_ ~,~ua~ ,.wer~ and- wat~r,~ facilities' cannot Appr?q~ ~lt ed until · '~ ' the ~ol~±ng items nave been completed: Th.~, septic tank pumped with a receipt submitted to this dc ~ar tment. o A~ adequacy test needs to b.e performed on the existing . leaching area. This test will determine if th~ syste~ adequate according to,National Standards. A llsting of private firms pe~.rformlng the test is enclosed. Thi~ report needs to be submitted %0 this office for our review. o The application ~]Y6ws the number of bedrooms exceeds the number thO~h~5%e sewer system was originally designed for. An upgra~· ~ill be require(]. Prior to any upgrade, a permit needs to be issued from this department. o The depression over the sewer system will need to be filled so that surface water drains away from the sewer system. Please notify this department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincere?%, Robert C. Pratt Associate Environmental Specialist Enclosure Date Date Date Inspector Inspector Inspector Comments Conditional Approval Date Sewer Inst~lled Permit No. Septic Tank Size 7_ ~ Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWERHALF ONLY Property Owner ~)/~o~? ~/-~ Phone Address Address ~ Typ9 2f Residence ~Single Family ~ ~ Multiple Family No. of Bedrooms ~ Other WAter Supply ~Individual A~ACH WELL LOG. A well log is required for ali wells drilled since June ~Commundy 1975. For wells drilled prior to that date, give well depth (~ttach log if ~ Public Utility available.) Sew~ Disposal Year Individual Installed' ~lndividual When Connected to Public Utility: ~ Pubfic Utility - ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PRocEssING CAN BE INITIATED. EXCAVATION WORK September 16, 1982 ROBERT A. SHAFER Earbara Tanner - ~lagowant Realtors ..mrcle 12800 Comiak ~' Anchorage, Alaska Dear Ms. Tanner, CIVIL ENGINEER 694-2979 .MUNICIPALITY OF ANCHORAG~ Reference: Lot 11; Block 2; Troll [<noll subdivision A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench was tested by a~-oontinuous flow of water over a period of 24 hours~ during this time 663 gallons of water was added to the system with the system only accepting approximately 213 gallons. The remaining quantity backed up into the septic tank. It can be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is not functioning adequately. The septic tank is adequate for the three bedroom residence, however, the absorption trench proved to be adequate for a little over one bedroom. I regret to inform you that it will be necessary for you to have the absorption area upgraded before the system can be considered adequate. If we may be of further service, please do not hesitate to cont~ us. /ROBERT A. 'SHAFER, P.E. 'R S/ss cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA MUNICIPALITY OF ANCHORAGE MUNrClPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF l i~AL!~{ 825 L Street - Anchoraee, Alaska 99901 ENVIRONMENTAL ENVIRONMENTAL ENGINEERING DIVISION MAR 1 9/979 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEV~I~EI~ ~A~I[VrlFE~~) DIRECTIONS: Complete all parts on page 1. [ncornplete requests will not be processed, Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE Anthony/Gloria Crider 688-3056 MAI LING ADDRESS Star Route Box 2073 99567 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Richard Fox 688-9154 MAI LING A DDR ESS POSt Office Box 99567 3. LENDING INSTITUTION PHONE 279-0665 Coast Mortgage Company MAILING ADDRESS 4797 Business Park Boulevard 99503 4. REALTOR/AGENT Ron Harris % Dynamic Realty, Inc. MAILING ADDRESS 501 West Northern Lights Boulevard 99503 5. LEGAL DESCRIPTION Lot 11 Block 2 Troll Knoll Subdivision :TREET LOC TION TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY X~ Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well Icg is required for all wells drilled :X~ COMMUNITY since June 1975. For wells drilled pr[or to that date, give well [] PUBLIC UTI LITY depth (attach Icg if available,) 8. SEWAGE DISPOSAL SYSTEM ~X INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date 1976 If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 724~10(3/78) THIS SIDE FOR OFFICIAL USI:! ONLY CATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME CATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS,, 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY ED 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: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Ho]ding Tank Absorption Area /Sewer Line Nearest Lot Line J WELL TO: Absorption Area to nearest Lot Line 5, COMMENTS PROVED FOR 3 BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev, 3/78) k2 MUNICIPALITY OF ANCHORX~ Department of Health and Environmental Protection ' 825 L Street, Anchorage, Alaska 99501 ~ ~quest for Approval of Individual Sewer and Water Facilities Name of Buyer: /~X' Mailing Address: Phone: W~9- 9z~J 3. Lending Institution: ?-~/~f //;~/-~'. ~l~ Mailing Address: Realtor/Agent: Mailing Address: q'7~7 ~,J/~c%'-q ~,~,~ ~=d~. Phone: Phone: Legal Description: Street Location: Single Family Residence: (X) Number of Bedrooms: Multiple Family Residence: .( ) Number of Bedrooms: Water Supply: *Individual Well ( ) If Individual Well, well depth_ If Co~mnunity System, name of system Public/Cormnunity System (,~) Sewage Disposal System: On-site System (~} Public System ) *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received p July 6, 1976 Meet at office - go up from there. Time of ~nspecti0n 2:00 p.m. Date of Inspection 7-6-76 REQUEST FOR APPROVAL OF Neale INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. l. Approval requested by: Coast Mortgage Mailing Address: 4450 Business Park Boulevard Phone: 2. Property Owner: James Combs Phone: 694-9364 Mailing Address: Post Office Box 279, Chugiak 99567 3. Legal Description: Lot 11 Block 2 Trotl Knoll Subdivision 4. Location: Mile 22 Glen Highway 5. Type of facility to be inspected 6. Well Data: Community A. Type C. Construction Sewage Disposal System: A. Installed Single Family No, of bedrooms 3 System B, Depth D, Bacterial Analysis On-site system B. Installer C. Septic Tank: l, Size 2. Manufacturer D. Seepage Pit: l. Absorption Area 2. Material E. Disposal Field: Total length of lines A. Well to: Septic tank Nearest lot line ~. Foundation to septic tank C. Absorption area to nearest lot line /~ , Absorption area , Other contamination , Absorption area , aewer Lines EQ-034 (1/74) Page 1 of two pages Page '2 of two pages - Ra %t for Approval of Individual ~.r & Water Facilities ~{~g~l~ Description Lot Z1 Block 2 Troll Knoll Subdivision Comments Approved _ ~L//~~ .Di sa p proved Date 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 accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: James Combs Mailing AddresS:'O' Bo× 279 3. Name of Buyer: VA FHA Chugiak,A~aska Day Phone: Anothony Crider CONV_ (Coast Mtg.) 694-9364 Mailing Address: 4. Name of Lending Institution: Coast Mortgage 4450 Business Park Blvd. Mailing Address: GREAT LAND REALTY 5. Name of Realtor or Agent: P.~ .Box 279,Chugiak,Ak Mailing Address: Lot 11, Block 2, 6. Legal Description: Location: Day Phone: 279-0665 Phone: 694-91a5 Phone: TROLL KNOLL SUB. 22, Glann Hwy.(Ski Road) turn on Hilltop 2nd house on left ranch -green 7. Type of Facility to be Inspected: Single Family residence No. Bdrms, 3 bedrm. 8. Water Supply Type of Supply: Public Utility. Comm. Individual If Individual, number of dwellings presently served If Individual, depth of well 165- Sewage Disposal System Type of System: Public Utility Individual (on-site) Joe Blair inspected June 28, 1976 If Individual, date of installation Key at Great Land Office- (new house-vacant) 72-003(3/70)