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HomeMy WebLinkAboutCAMPBELL HEIGHTS BLK 2 LT 1A014w e)7/ &02, 4 DRILUNG LOG Well Owner bazzr. Morins; . __- ..._ _ _ -__ _—_—_ -.—_ . _ __..l'se of Wel' Do:n Location (address of! '1-oH•DAT. Aan,c. Srcn. n. if k%.wn, .)I el,•tatice main road_ Lot 1 Block ° Ca::;.:n.:7 ..Size of easirg__'6 .P.epth r t ktuh•... 7S.5ce! Cased to .7E .5 . j,. Static water level__.__ft. MMI Melrnw) ;and •urfacv. Finish nt well (cheek opcn.cnd ( ){} ); Screen ( ); Perforated ( ), Describe screen or perforation. Well pumping test nt_ 14 gaoons per �isX) (r..:n:acj for ----1 i* t,i t,.—. :AC= —_ Xx of drawdown from static level. Date of completion 6/14/79 _ WELL :OG Depth in feet from — ---' ground surface Give details of R, r .,,,., . ,.,.r, : •�..,} s ----a—TO.— _-2_ —f5 TO 78.5 ---TO--- -TO- -TO- O—.TO -TO- TO -To- -TO TOTO TO . _ TO _ . ,r ....3.. rl... ``,, !'Sa "MUNICIPALIT.V_QF� O� DEPT. OF — ^Ii1gSt:.CIc4�- —_.-. ...-ENVIP.ODitd`.NTALPROTEQION --Organics _..... _..�1�1.2 01933 --Water .f.�a}-`�------ — -•---. _. 1 - CUSTOM -ER 3 TO—.' 4 _ 26 TO 65 —f5 TO 78.5 ---TO--- -TO- -TO- O—.TO -TO- TO -To- -TO TOTO TO . _ TO _ . ,r ....3.. rl... ``,, !'Sa "MUNICIPALIT.V_QF� O� DEPT. OF — ^Ii1gSt:.CIc4�- —_.-. ...-ENVIP.ODitd`.NTALPROTEQION --Organics _..... _..�1�1.2 01933 --Water .f.�a}-`�------ — -•---. _. 1 - CUSTOM -ER ♦Tam _ ` . Y:r. +!'.�•� :�,•. �ti?,y..�lwP-aw. .f. hh�`!Y•S. '1'' � ��'• ti..,..wi�iK�e, .Y �l`.t r....�1,V,• +w.� I 1 , w.+�j �' �...-• ' DRILLING, INC. 1'' aMUNC:'.•r Or ...r<•.,_;. MIT. C DRILLING LOG CC E -� oIelWell OwncDean Moring03 i acatYon (address of: Township. Range, Smtion, if known: or distance main r,-..d Lot 1 Block 2 Campbell }igts. , Anchora7c Size of casing-6*_Depth of Hole 78.5 _feet Cased to—_78.5 _f(.et Static water level- ft. VAl(Illf (ti -Iwx t lard %w!a?•. Finish of well Iche ck one) open end Screen ( ): Perforated ( ). Describe screen or perforation _ ---�-_-,-- «ell pumping test at 10 gallons per fmin:i!e) for— 1 .--hnum wi-F— 100x X of drawdown from static level Date of completion 6/14/79 M WELL LOG Skpth in feet from 'cround surface Give details of formations 1.•ne;rated. sin- of material. cnlor and hardness ..0.-TO .. Untalz.stickup_ - - -- _— --- ._ 2'� 3 �. Organics _- . _:}.._._..---------• San�ravel- 14 TO_ 26 i` Water_gravel_�..______ �{ —} V 26_pp_6�Silty-�arrl-pan. -.-_-. — --- 1 ;65�Tp�8.5 Water_gravcl._, To TO— ,,p-- t-tUSTOMEIt ALASKA ENVIRONMENTAL SOB 6/d- n Cp`7 CONTROL SERVICES, INC. SHEET NO. OF 1200 West 33rd Avenue. Suite B ANCHORAGE. ALASKA 99503 CALCULATED BY DATE (907) 561.5040 CHECKED BY DATE Sr t p 4 A Izz . . ... . - ... . .. ..- . J Q . 1 4 n Al N c ALASKA Ci UIROf1 nTRL COnTROL OWNS, InC. Engineering b Enuironmemal Studies SPECIFICATIONS FOR ELEVATED BED ALTERNATIVE WASTEWATER TREATMENT SYSTEM— CAMBELL HEIGHTS SUBDIVISION LOT 1 BLOCK 2 1.0 GENERAL 1.1 THE DRAWINGS, SHEETS 1 THRU 2, SHALL BE A PART OF THIS SPECIFICATION. 1.2 ALL MATERIALS AND WORKMANSHIP SHALL MEET THE REQUIREMENTS OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERMIT. 1.3 ALL EXCAVATIONS AND DEPTHS ARE ADVISORY AND ARE TO BE VERIFIED OR MODIFIED IN THE FIELD BY THE CONTRACTOR. 2.0 THE LIFT STATION (NOT USED) 3.0 SEEPAGE BED 3.1 THE GRAVEL FOR THE BED SHALL BE SCREENED TO THE SIZES INDICATED; 0.5 T0.2.5 INCHES. 3.2 THE BOTTOM OF THE EXCAVATION SHALL BE RAKED WITH THE BACKHOE BLADE TO INSURE THAT THE BOTTOM HAS NOT BEEN COMPACTED DURING EXCAVATION. THE BOTTOM ELEVATION SHALL BE PLUS OR MINUS 2". 3.3 AN OBSERVATION PIPE SHALL BE PLACED AS SHOWN IN THE DRAWINGS. IT SHALL BE RIGID PVC, ASTM 3003 D-3034. THE SECTION SHOWN WITH HOLES MAY BE EITHER DRILLED 0.5" HOLES @ 6 INCH CENTERS ON OPPOSITE SIDES OF THE PIPE OR A SECTION OF REGULAR PERFORATED SEWER PIPE MAY BE CLAMPED TO THE SOLID SECTION WITH A NO HUB COUPLING OR SOLVENT JOINT. A RUBBER RAIN—CAP (JIMCAP OR EQUAL) SHALL BE PLACED ON THE TOP OF THE PIPE. 3.4 IF INSULATION IS REQUIRED THE INSULATION SHALL BE DOW EXTRUDED BLUE STYROFOAM BOARD INSULATION BOARD OF THE THICKNESS SHOWN ON THE DRAWINGS. 3.5 THE TOP AND SIDES OF THE BED SHALL BE PLANTED WITH A WHITE CLOVER AND RED FESCUE MIX OR BLUE GRASS. 3.6 THE SEPTIC TANK OF BED MUST NOT BE CLOSER THAN 100 FT. TO ANY EXISTING WELL OR BODY OF WATER. 3.7 THE GRAVEL SHALL BE COVERED WITH A LAYER OF UNTREATED BUILDING PAPER OR A NONWOVEN FABRIC SUCH AS MIRAFAR FIBRETEX 200 GRADE, OR POLY—FILTER X OR EQUAL. 3.8 THE DISTRIBUTION PIPE SHALL BE 4 INCH RIGID PVC OR POLYETHYLENE. THE PIPES SHALL BE LAID LEVEL. 3.9 THE BERM AROUND THE SEEPAGE BED SHALL BE CONSTRUCTED OF IMPERMEABLE MATERIAL, AND ON A SLOPE OF 1 FOOT VERTICAL PER 3.0 FOOT HORIZONAL. 1200 West 33rd Autnue, Suite B • Anchorage, Alaska 99503 • (907) 2761361 ALASKA ENVIRONMENTAL CONTROL SERVIC%INC. 1200 West 33rd Avenu! Suite B ANCHORAGE. ALASKA 99503 Phone 276-1361 JOB 'ET1 k< I r- 1 -7 SHEET NO. OF CALCULATEDBY DATE CHECKED 13Y SCALE DATE ALASKA ENVIRONMENTAL JOB CONTROL SERVICIF"NINC. SHEET NO. OF 1200 West 33rd Avenui Suite B ANCHORAGE. ALASKA 99503 CALCULATED BY DATE Phone 276-2361 CHECKED BY DATE 4 - A Z', 0 0 A0, t o7q P* 4 i d, . R % . IN*. 2251•E Municipality of Anchorage On -Site Water & Wastewater Program CERTIFICATE OF n,,' APPROVAL z Parcel I.D. 014-071-63 01—E 6 g 19 5 xpiration Date: �j 117— A, 1. GENERAL INFORMATION Complete legal description CAMPBELL HEIGHTS; BLOCK2, LOT 1A Location (site address) Current Property owner(s) Mailing address Real Estate Agent 6706 WINCHESTER STREET *ANCHORAGE, AK REBECCATHARIO Day phone 6706 WINCHESTER STREET *ANCHORAGE, AK KAREN DANNENBRING Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) FA 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: 360-8438 TYPE OF WASTEWATER DISPOSAL: Individual Well N Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer 0 WaiverNeriance request for. N/A Distance:_ Received by: `� Date: o �Z COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ �/ 6 0 Waiver Fee $ Date of Payment F—,11 r/(0 Date of Payment Receipt Number Receipt Number COSA # 62CI (013.4 Waiver # 6. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, l 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. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 *ANCHORAGE, AK, 99507 Engineers Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: In conducting this evaluation, GEG provided an engineering evalualion of the well and/nrseptic system in accordancewith the guidagres and regulalions estobfishedbythe Municipality of Anchorage and industrypmcfices. The reported results describe the condition of the systemison the dates of the evaluation. Separation distances were measured to madly identifiable features. Hadden defedsaencroachmenis may exist that were not identified during the evaluation. The operational life of all welk and septic systems depend on a vaiefyof variables including, but notlim#ad to, sodconddans, groundwaler koeis (thef may gudue to owing the year), quality of construction (materials and workmansh{o), and the water usage of the family utilizing the systeres. These conditions can vary, and are outside the control atGEG. Sofisfadory test results do not guarantee future performance of the systemic; therefore, GEG makes no wananly (express or implied) regarding the future performance of the well aseptic system. GEG makes no representation whether an altemathe well or septic system can be installed on the property in the event either of the current systems fail. The contentofthisreport is for the sole benefit ofthepernomdpartywho retained GEG. Reliance upon the information provided in this report by any otherperson or pasty, including but not limited to subsequent property purchasers, isnot authorized. In short GEG disavows anylegal dutyto anyone othathan the persoalparty who paid forthis report 6. DSD SIGNATURE System #1 Approved for �2 bedrooms. Phone 337-6179 Date 'S I, J!6 RHCGU669 System #2 Approved for bedrooms. Disapproved. "6\PALITYUF.; Conditional approval for bedrooms, with the following stipulation OA., By: %/y K/ 4' ti /. G Original Certificate Date: The MunicipaliJlj or Anchorage Deve/op,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineerregistered in the State ofAlaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other tRev. to112n2y If more than 7 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: CAMPBELL HEIGHTS; BLOCK 2, LOT 1A Parcel ID: 014-071-63 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 6/14/1979 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total: depth 76.5 ft. Cased to 76.5 ft. Casing height (above ground) 12+ in. FROM WELL LOG Date of test 6114/1979 Static water level UNKNOWN ft_ Well production 10 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate ND mg./L. Arsenic: ND ug./L. Date of sample: 7/26/2016 B. SEPTIC/HOLDING TANK DATA PUBLIC Tank Type/Material - Tank size gal. Number of Compartments Foundation cleanout (Y/N) _ Depression over tank (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g Length ft. Width Total depth ft. Eff. absorption Date of adequacy test AT INSPECTION 8/10/2016 35 ft. 6+ g.p.m. Collected by: HEFTY DRILLING Date installed _ Cleanouts (YIN) _ High water alarm .d./ft'or ftlbdrm _ System type ft. Gravel below pipe ft. ft2 Monitoring tube _ Depression over field Results (Pass/Fail) For bedrooms Fluid depth'in absorp ' field before test _ in. Water added _gal. New depth _in. Elapsed Ti —min. Final fluid depth _ in. Absorption rate >= g.p.d. rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Ac cess (Y/N) "Pump on" level at in. 'Pump ofr level at r alarm level at in. Cycles tested Meets alar & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: "SEE ATTACHED EMAIL FROM AWWU Septic tank/lift station on lot WA On adjacent lots "100'+ Absorption field on lot N/A On adjacent lots *lW+ Public sewer main 76+ Public sewer manhole/cleanout 100'+ Sewer /septic service line ""2&+ Holding tank 7V+ Animal containment areas W+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: I A jW(J $EWER Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIE OT TO: Properly line By undation Water main Water service line Surface water Driveway, parking/vehicle storage rein Wells on adjacentlots F. COMMENTS '"SEE ATTACHED DWG (FROM MOA RECORDS) FOR EXTENDED SEWER SERVICE LINE FOR CAMPBELL HEIGHTS; @LOCK 2, LOT 1 B 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. Engineer's Printed Nme JEFFREY A. GARNESS Date _ X 111/ (Rev. 70(12/12) L #/ W 5 8FB N 5l 58' CO�INTFO MSt IIM' 8m Co : 49 TH SHANE A. HOLT : G -6914 o`O EAST___-67TN___.AVENU.E _________ N 89 53' 57" E 252.01 ( REC.), 251.49 MEAS. N 89 53' 57" E 125.75 ( PROP.),126.00 REG. VENS ( ti��v``e� Ll SURVEY ORDERED BY: KAREN DANNENBRING NORTHERN TRUST REAL ESTATE THE INFORMATION HEREON I5 FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS: AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PUT, ARE NOT SHOWN HEREON( UNLESS INDICATED) NOTE: FENCELINE5 THAT MAY APPEAR ON THI5 DRAWING ARE NOT TO BE USED TO DEI ERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. AS -BUILT SURVEY V =30' W CORNERS SET THIS RATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 1 A, BLOCK 2, CAMPBELL HEIGHTS SUB.( PLAT 83-338) ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS _26TH DAY OF JULY , 2016. HOLT LAND SURVEYING 9309GROVER DRIVE ANCHORA6E,AK 99507 '13357, F8 177-44 345-5513 s r '•'�'` 0'�e'E m6 3,�n n s aS U CD !� ,n n C S mel i 2> 66311 `a' vi iµFD1 mil m,,38 ai 689fis:'.,� 41 J L � BDI � 3975 ` 3 F — — q mP 1 O \V e E S --------- S IC' 0 l Cn Vim C X29` 10230 2809 - `& - ,tea i moi' g 31271 >S 31272 I titI t Moo.m Q 0 cr 0 5�5§$A2CD £6'01g g yp 2 '®®®® g££ o -� COo'o@g3 a df1ES gs CA AWWU Sewer Main B" Wye delle "111 1 [} ft 1 40 K: 1 as = U 0o It co I•. I t Gas Line i f I 0LDM iM I tl Q I N Clean r 3 / o� I 16 ft I 1 103 WEL I 1 in CD 25 ft radiu I � I 60ft Cc I to angle Lot 1A I Im N LO CAUTION: GAS LONE -CY) o leanout o C> C G N Lot 1B I, t$ft Ie O j O m U Asphalt drivewa ® bW a3 `. m — ...J C to 0 co N ce Nouse Cleanout I I Y a) t j S2 m 47.5 ft fU, ft ROW ti j> ?> i m 4) a (ALU >,.G G / 4" Ty -Seal pi e I I i � (Dob (D m 5 4) 2 `foC) � � I I � � <2 Foundation Cleanout ft — a LL! ' Proposed Sewer Line I I ��..a)rA-t - 'O P N C M O O ^ Extended Service Line I E CN Total length 280 ft . I I I I X „_? O p UW0a3;° Property Line I ( I 97/99/93 WED 14:52 FAb 9073491934 Watkins Engr @002 W1 J 0 z 0 m R Lo o v°y 2 u V 6 11 E =,.L :81039 IV04JOA cqI n .4 m C j T 11 N CA � ec3 co -to LU to Loo 4 J Q R M/to C rN] Z co r' C7 75 0 Q7 'L SU�� S>It 0 to m ti r ..- m O m LL \l 9 m . d r +aim o' l J C � C al 0 J Lo o v°y 2 u V 6 11 E =,.L :81039 IV04JOA cqI C EI c+7 C j T 11 N CA � ec3 co -to C LSI r• O 0m O C%j�. �yy M R M/to C rN] co r' C7 75 0 Q7 'L SU�� S>It to m CD LO *+..� ..- M 0. 8 9 . d r +aim o' J C � C al 0 J N V V V¢. " i Fn Q� r < J v N CDa)3 ZU)V)� V o —a�LU c vcuo � co Sc ° 3 n UW4Oco I n n MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH b HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY _ H88-0115 264-4744 Application Date 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot lA Block 2 Campbell Heights Subdivision — T12N R3W Section 4 Location (address or directions) 6706 Winchester (b) Property Owner H. U. D. Telephone: Home Business 271-3587 Mailing Address 701 C Street, PO Box 64, Anchorage, Alaska 99513 (c) Lending Institution H.U.D. Telephone 271-3587 Mailing Address 701 C Street, PO Box 64, Anchorage, Alaska 99513 (d) Real Estate Company and Agent Marston Properties Address 4105 Turnagain, Anchorage, Alaska 99517 Telephone 248-1717 (e) Mail the HAA to the following address: or. Check here 8Dc if hold for pickup. List contact person and day phone number below. 2. TYPE OF RESIDENCE Single -Family ESX Number of Bedrooms four (4 ) 3. WATER SUPPLY Individual Well:Ux Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPO AL' Onsite ❑ Pu iso Community ❑ Holding Tank ❑ Note: Ifcommu ell system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-x8 IR" 8W1 Front n 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 9 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 hnd State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Alaska Environmental Control f�Wg&%es, Inc. 561-5040 Address 1200 West 33 Avenue, Suite B, Anchorage, Alaska 99503 re. Wii�il DHHS APPROVAL / Approved for 154e& y bedrooms by r C t Date Approved �— Disapproved Conditional Terms of Conditional Approval 00 CAUTION Engineer's Seal I�J/.t2'J 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. Page 2 of 2 72 -WS 01" 81861 Sack r1aAECf ALASKA UII�OC1menTAL conTROL SENICES, inc.. Engintering 6 Environmental Studies April 19, 1988 Municipality of Anchorage Department of Health & Human Services 825 L Street Anchorage, Ak. 99501 Attn: Dan Bolles Re: Lot 1A, Block 2, Campbell Heights Subdivision MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECrION Rux. RECEIVED Located in the north-west corner of the house Is an old well not in service. There is no well log available. The drilling date is unknown but was pre 1975. The well is in a daylight basement with a concrete slab floor. Static water level is 9.5 feet from top of casing. Al sanitary seal is on the casing. Public sewer was installed in 1979 and all separation requirements were met. We request that you approve this well as being temporarily abandoned and available for future use if needed. If you have any questions, please call. Approved by: .,Re dl Pre dent PhD, PE Sincerely, 0,9 -49 J Alan C. Wien Engineering Technician 1200 West 334 Autnue. Suitt B • Anchorage. Alaska 99503 •(907) 561-5040 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH d HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES ���— Q't� CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 1. GENERAL INFORMATION (MUST BE C( (a) Legal Description (include lot, block, -:�I N - Location (address or'cJireotions) , 1706' •.!�/tlCifc'17'!P.'i (b) Property Owner• YO Mailing Address r7 :y (c) Lending Institution ayi Mailing Address ; (d) Real Estate Co mpa ind Ag nt Address Oa PJ/44i Telephone 7,4-1719 (e) Mail the HAA to the following ad( List contac p rson and day'phor 5, /. ). //, 2. TYPE OF RESIDENCE Single -Family Number of Bedrooms _ Application Date 3 -ZS -,TX PRIOR TO SUBMITTAL) section, township, range) sL_1z_ Home-z/t"�1/ 7 Business fWf7o_J F.&ffie'rxl U Telephone here if hold for pick up. 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ❑ Public), Community ❑ Holding Tank O 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 77.025 IRw 81861 Front 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, l 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. I Name of Firm — Address Date j 6. DHHS APPROVAL Approved for &kjf=,1 bedrooms by Terms of Conditional Approval ;to la7fs— 7 Telephone r r&W►ar o o;' A: �P• *r 4 Date Conditional ��- .�ir1c /5,6G",000•.{'. To Ze eo' zit( CAUTION 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. Page 2 of 2 72.078 (R" 8'86) Park n MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH d HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES ���_ D't� CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date 3-zssr 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) 6704'*kAd e / 7'ce:: c (b) Property Owner - dill) 5/0 i%Z72"ZY'Telephone:Home iy4p"12-17 Business Maifjng Address._z (c) Lending Institution _ Mailing Address _ Telephone (d) Real Estate Company an d Agent flAt":;j Re.071el Address 4/0s 7;Z, *AJ A?W AK -7 % Telephone (e) Mail the HAA to the following address: or: Check here E+; if hold for pick up. List contact person and dayphone number below. I 2. TYPE OF RESIDENCE Single -Family Number of Bedrooms _ 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If communitywell system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISP SA Onsite El Pu lic Community 13 Holding Tank 13Note: If commu ell system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 »-gas IF" a/eei Front 41A- 3,7, r`. 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, 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. l 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 r7c" Telephone Address $3 A-02 Sui7r B A/ Date 3 -v1 -V7 6. DHHS APPROVAL// Approved for � ) bedrooms by � � � Date _ Conditional Terms of Conditional Approval tr.pi=le_ lcu 1a7fs— 7 -44A -114z Kc 40h CAUTION OF 00.0so. .1 .* 1 "E- 6. 251 -•:� Ta � Cos"/oZ'v/ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and theirlending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. Page 2 of 2 72-025 IR" 61661 BMk r^, n MUNICIPALffVW1NW*1lAtY OF ANCHORAGE (MOA) ENVIR0NMENTAH11AL,Xllt*'TWITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 "NR 4 1988 RECEIVED A. WELL DATA 2644744 Legal Description: LoT /A j?koe j eh't&aL /{TJ 7 Z,✓ '073`.1 JFG Well Classification If A. B. C, D.E.C./Approved (Y/N) - J Well Log Present) t Date Completed (, -^477 Yield Total Depth 7X S Cased t9 ry$ s Depth of Grouting djf+ Static Water Level & 35 Pump Set At A e± Casing Height Above Ground 3 Sanitary Seal on Casing Y N) Electrical Wiring in Conduit Y/ ) Depression Around Wellhead (ye Separation Distances from Well: To Septic/Holding Tank on Lot AIA ; On Adjoining Lots /� t r To Nearest Edge of Absorption Field on Lots _; On Adjoining Lots /0V t To Nearest Public Sewer Line i!S To Nearest Public Sewer Cleanout/Manhole > /°a To Nearest Sewer Service Line on Lot % C. ABSORPTION FIELD DATA Rating in Absorption Strata Date In led Width of Field 71100 a 1HOVR Square Feet of Absorption Area N Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well To Building Foundation 1 At To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area r. ..t• Type of System Design — Length of Field Depth of Field Gravel Bed Thickness Standpipes Present(Y/N) - - Date of Last Adequacy Test — Line _ To Existing or Abandoned System on On Adjoining Lots To Cutbank (if present) D. LIFT STATION to Installed Dimensions Size in Gallo Manhole/Access (Y/N) "Pump On" Level at "Pump Off' Level at High Water Alarm Level at Vent (Y/N) Tested for mping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments •• Check Permitted Bedroom Rating Against HAA Request •• I certify that I hayg ec d, ver ied, or conformed to all MOA and HAA guidelines In effect on the date of this inspection. d GC i` S -l.f Signed Date 8 Company /GOF A /GS OF NoFr9-oL �� • •. Receipt No. H Date Of Payment Iow'* • •• •••••'• n °= Amount: $ /7 • , ••+ /`' /) 3 27 � IEROY G REID, JR. C) a o x / # •., CE - 2251 ,.' tia� A' Page 2 of 2 72-02618•v 8'861 BKk ✓1 n ;7/ 03 HEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FEDERAL TAX ID M 92-0040440 ANALTSIS REPORT RI SAMPLE for Work Order B 5741 Date Report Printed: MAR 24 88 4 12:49 Client Sample ID:LIA, 32 CAMPBELL HIS. PNSID :UA Collected MAR 22 88 8 16:40 hrs. Received NAR 22 88 4 16:50 hrs. Preserved with :NONE Analysis Completed :MAR 23 88 Laboratory Sup�te�r��vyyiis-soa�r''' :STEPHEN C. EDE Released By : w,�rs�--� a Val ............................................ Special Instruct: Chemlab Ref B: 9455 Lab Smpl ID: 1 Parameter Tasted NITRATE -N Sample ROUTINE SWLE Remarks: SAMPLE COLLECTED BY A. NEIN. Client Name : AECS Client Acct : AEECSRP P.O.t NONE REC D Req B Ordered By : A. NEIN Send Reports to: 1)AECS 2) Matrix: Nater Allowable Result/Units Method Limits ND(0.10) mg/1 EPA 351.2 10 .............................................................................................................. 1 Tests Performed See Special Instructions Above UA -Unavailable ND- None Detected See Sample Remarks Above Nl- Not Analyzed LT -Lass Than. CT -Greater Then APPL;"b0`,NT FILLS OUT UPPER HAh ONLY Property QJnarBruce !_r Morir)%t le P ►�ior�ng Phone C. Mailing Address `� n Zip Code 314 -yyol BuyB1 l 1'111',M Burns ZK.aCheryl D• Burns Address y S-" Zip Code Lending Institution SECU r I+�/ faC 1 SIG Mor -J5. Corp, Phone S Address c230 en ct I 1 Lt 1 � biS) Zip Code 47 cf — Date Realty Co. 3Agent MAYS+On ReaL 9—s7 1c. (.t.da 5olamm) Phone Address Zip Code Clqy) a 26E Legal Description Ae I elk Cto�vnpliefl bei5hf5 i Street Location ?o(, Winchesfer Type of Residence (Single Family ALJ Multiple Family No. of Bedroom ❑ Other Water Supply Inspector Cyjndividual JL ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. ❑ Community L4 For wells drilled prior to that date, give well depth (attach log If available). ❑ Public Utility Field Notes: Sewer Disposal ❑ Individual Year Individual Installed: n ublic Utility When Connected to Public Utility: "Y>` LJ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date I - a -5�zl Inspector Inspector Inspector Inspector � l— C(f�� zt—kS Field Notes: MUNICIPALITY OF ANCHORAGE l7/y DEPT. OF HEALTH a', r ENVIRON'4-NTAL PROTECTION d o r JUL 2 01963 RECEIVED () APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE d— BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size J --r1 `V 2 Time --+ Time 1 Date Date Date Inspector Inspector Inspector Comments Conditional Approval I � } r..coma c/ Date Sewer Installed Permit No. Septic Tank Size V Holding Tank Size Solis Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Owner ; , v 171 p r iPhone \Property ;tailing Address o G• z✓ f "-'C s rP R 5 t• 111le 4 - it k. 99 Su 7 3 Buyer Address �1 Lending Institution 1,45 � f ,4 S k Phone Address Realty Co. 6 Agent Phone Address Legal Description O F M1/IT/ 4 Street Location ,S 4 1* J9 (u V—e Type esidence Single Family ❑ Multiple Family No. of Bedrooms Cl r WatqpMppiy LJ Individual ATTACH WELL LOG. A well log is required for all wells drilled since June ❑ Community 1975. For wells drilled prior to that date, give well depth (attach tog If ❑ Public Utility available. Sewage Disposal 'fvintllvidual Year Individual Installed: q 11 Public Utillly When Connected to Public Utility16 — /to - O HoldingTank ^(y,y�rp Nr/ OTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. -r MUNICIPALITY OF ANCHORAGE � T DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Sum - Andtoraya, Alaska 89501 • ENVIRONMENTAL ENGINEERING DIVISION NUMBER OF BEDROOMS Telephone 2644720 ❑ One ❑ Four ❑ Other REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all pans on page 1. Incomplete requests will not M proeasasd. Please allow ten 00) days for processing. 1. PROPERTY OWNER W;ltijI,n T 6 ker PHONE MAILING ADDRESS o Pox o- i tc2-- Owcl, #k cl o-1 PROPERTY RESIDENT (it different from above) Alcke APh `j -/- PHONE 2. BUYER '&(ACIE .E'. /jo,#A;N 3yW-f/24 MAILING ADDRESS 47o , S r depth (attach log if available.) A)'A erAoob. S ENDING INSTITUTION Si? F&d pHpl.��/ z�Q 7 c MAILING ADDRESS ,'ct I fro 7NE If system is over two (2) years old an adequacy test is required 4 REALTOR/AGENT by this Department. MAILING A SS S LEGA;ESC DESCRIPTION I L� �— � T STR T LOCAT ON 1 7o tdi S. TYPE OF RESIDENCE NUMBER OF BEDROOMS 0' SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY Q� INDIVIDUAL' 'ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM L2r INDIVIDUAL/ON-SITE" 'If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATEOL r<vr vwl /el THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED " TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLICUTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 0. DISTANCES WELL TO: Septic/Holding Tank Absorption Arm Sewer Line Nearest Lot Lim Absorption Area to nearest Lot Lina S. COMMENTS EM ❑ PROVED FOR BEDROOMS I!—Q/ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED OATE BY ITi LEGA DE 1 10 ly 72-010 (Rev. 3/78) '4UNICIPALITY OF ANCHORM ,!'.;'Department of Healthand Environmental Protection 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 22.5 jour equest for Approval of Individual Sewer and Water .%8 B 11W li 1,;1. tProperty Owner: Ja)n e-'5 (Mailing Address: /15 4r 'E�l T/i 4/1 1, Phone: 22- K!L- iName of Buyer:%�,C/ A­,e- t- ailing Address: Phone: II 3. LendinOnstitution: imailin4*Address: Phone: A. iRealtor/Agent: iMailing,Address: Phone: '5. iLegal Description: Street Location: 6. jSingle' Fam ily Residence: V-C'Number of Bedrooms: (Multiple Family Residence: Number 6f:Bedroor.is: It 17. !Water Supply: *Individual Well (),Y Public/Community System If Individual Well, well depth If Community System, name of system :8. ,Sewage Disposal System: On-site System (kfPublic System .If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. T, 3/77 V i .,MUNICIPALITY OF ANCHORAGE DEPARTME 9F HEALTH AND ENVIRONMENT' PROTECTION 825 'L Street, Anchorage, AlasKa 99501 ff 279-2511, ext. 224 or 225 Date Received: August 9, 1977 Tiie 10o00.a.m. #2: Time #3: Time Daie' 8-15-77 Monday Date Date Insp Wiailis Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES i, 1': Lepding I�atituticn Request: Mailing Address: Phone: Zy ,Property ''caner: James E. Clark Phone: 279-8624 Mailing Address: 1515 East Tudor Road 99507' 'Le4al Description: Lot 1 Block 2 Campbell Heights Sudivision 'Si.ugle Family'Residence: (x) Number of Bedrooms: Four Muitiple•Family Residence: ( ) Number of Bedrooms: 5.'-; Well System: Individual Well (x) Community/Public System ( ) LPermit # Depth of Well Well Log on File ( ) Coustruction, Bacterial Analysis 64 Sewage Disposal System: On-site System fx) Public Utility ( ) Permit # Septic Tank Size �i Absorption Area Installed Installer Manufacturer Soils Rate ;1. 7.-1 Distances: Well to Septic Tank i t: to , Sewer Line it i' to ,Nearest Lot Line Nearest Lot line Material to Absorption Area Absorption Area 4 I 1 �I 4 I i II. I I kk� Af€adavit Attached: ( ) Letter Attached: ( ) i� Approved: _ Date: Disapproved: Department Worksheet: Sf-�oP.�. o I ,, Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Iegal Description: Lot l Block 2 Campbell Heights Subdivision C-...a}4 Gpmm�ent�: �Ocz� �C1--13_ ` J i� n.. sown: �� �.�-��• 11 4 1 I I II I I 4 I 1 �I 4 I i II. I I kk� Af€adavit Attached: ( ) Letter Attached: ( ) i� Approved: _ Date: Disapproved: Department Worksheet: Sf-�oP.�. o I ,, yGREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 . 274-4561 Date Received ���, ►r ► lgrl5 Time of Inspection 9, An Date of Inspection (1ry nL', Igr)'. REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR O n n P_ 1—IRD . r c..>f C. 1. Approval requested by: Mr - N'nf!, ('IQ(, lg ri a (Y\ V. M . Mailing Address: Lr)r)!„ I,i, ,oc+�- (-),,rlhnrnk4 Phone: %UkA- 014J4(l 2. Property Owner: Phone: Mailing Address: 3. Legal Description: ? 4 I 0-r-, rr,o e 0 Q j V4h- 4. Location: (o Y)i I >r I rhf CS1 o n 5. Type of facility to be inspected No. of bedrooms 6. Well Data: A. Type B. Depth C. Construction 7. Sewage Disposal System: D. Bacterial Analysis Al—'n&— '4pg9 A. Installed ,clt.u- ��i�,. B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area E. Disposal Fiel.d: Total length of lines 8. Distances: 2. Material A. Well to: Septic tank , Absorption area Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Re'—"st for Approval of Individual %er & Water Facilities n Legal Description A 1 AlffZY2 lr� (Arr4nCOC 4txl.h4S \1.n Approved Disapproved r,&n Approval,Valid for one year from date Greater Anchorage Area Borough, Department of Envi DIAGRAM OF SYSTEM Date 1 Quality I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date • 'k GREATER ANCHORAGE AREA BOROUG MAG,fiH QEPAR1a�f1' S27'ZAGLE STREET ANCHORAGE, ALASYA 09SOl 279-2511 REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND NATER FACILITIES FOR I. Approval Requested By: Address �V? y0 9 2.. Property owner_I U a $. Legal Oescription—Z 4. Type of Facility to be Number of Bedrooms S. Well Data: A. Type B. Depth li/✓.� C. Size " �AII,✓� D. Construction p,� l E. Bacterial Analysis p•l: . 6. Sewage Disposal System: INSPECT. TIME: . �p lO©� &044 t /e?.-/ xr.,2dQ -1 N 6.¢�:/yd Sv�tFsl 4Z '/ A. Septic Tank (If homemade, show diagram on back) 1. Size _ 2. Age S. Manufacturer 4. Lnstaller reta..� ti/ N Approral Rbquest for S�'rge 6 Water Facilities _ Ftee '`[tiro • B. Seepage Pit 1. Size C. Disposal Field I. Number of Lines /y/�.*x 2. Total Length .� 7. Required measurements A. Well to Septic Tank � . 55' B. Well to Seepage Pit C. Well to Sewer Line •/© , 7' D. Well to Property Line /a " 74- E. 11e11 to Other Possible Contamination,-7L_v—r� F. Foundation to Septic Tank .:!$-' G. Foundation to Seepage Pit �� H. Seepage Pit to Property Line S. COb4MM DATE: DISAPPROVED: DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANOICRAGE AREA BOROUGH HEALTH DEPARTHENt ED1170 r September 6, 1978 Lou Anne Person northwest Properties 7015 old Seward Highway Anchorage, Alaska 99502 Subject: "Lot 1 Block 2 Campbell Heights Subdivision Due to the possibility of public sewer becoming available in lova than a ythis department theill following conditionsant a pro approval of the property p are mat: An escrow account to cover the costs of any of the following items: (1) b s Connect the property oper y to a possible new sewer line 1979. (2) Install a septic tank (capacity 1,250 gallons) in the event the public sewer does not become accessible. The conditional approval will be for a four(4) bedroom single family dwelling. If there are any further questions, please contact this office at 264-4720. Sincerely, Les n. Buchholz, R.S. Senior L'nvironnental Specialist LMB/ljw r`1 10 IAugust 31, 1970 Alaska U.N.A. Feceral Credit Union 777 Juneau Street Anchorage, Alaska 99501 �1 Subjects Lot 1 Block 2 Campbell Heights Subdivision Due to the possibility of public sewer available in less than a year this department will grant a conditional approval of the subject property. The conditions are: An escrow account to cover the costs of any of the following items. (1) Connect the property to a possible new sewer line by August 30, 1979. (2) Install an on-site sewer systen in the event the Public sewer does not becone accessible. (3) Or, if protective distances, soil inpermeability, or ground water make on-site absorption impossible, a 2,000 gallon holding tank must be installed and a pumping contract signed. This department is in receipt of a letter written by the buyer acknowledging the possibility of a holding tank, and routine pumping costs involved. Failure of the public sower to become available mandates an approved absorption system or holding tank installed by August 30, 1979. If there are any questions, please contact this office at 264-4720. Sincerely, Les 21. Buchholz, 2'..5. Senior T,nvironmental Specialist Lt7B/l jw Munlclpahty of Anchorage r1 3000 ARCTIC BOULEVARD ANCHORAGE, ALASKA 99503 (907) 277.7622 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF ENTERPRISE ACTIVITIES August 30, 1978 Sewer & Water Utility TO WHOM IT MAY CONCERN: Subject: Sewer Availability Legal: Lot 1 Block 2 Campbell Heights Plat No.: P243B Tax Code: 014-071-12 Owner: William T. Coker Address: 6706 Winchester Street Phone No.: 278-4511 (daytime) A.S.U. Grid: 4841 The Anchorage Sewer Utility has a project scheduled for this area, however, scheduling of construction is dependent on bonds. Therefore, this department cannot give a specific date as to when sewer service will be provided. Tentative proposal for construction is 1979. Sincerely, JAMES G. TOEWS Engineering Technician IV Anchorage Water & Sewer Utilities JGT:nrs r n n ALASKA USA FEDERAL CREDIT UNION 7 7 7 JUNEAU STREET ANCHORAGE, ALASKA 99501 2 7 8-4 5 11 August 30, 1978 Mr Les N. Buchholz, R.S. Pouch 6-650 Anchorage, AK 99502 Re: Lot 1 Block 2 Campbell Heights S/D Dear Mr. Buchholz: Attached is the statement that you requested from the buyer, Mr. Bruce E. Noring. If you require any further information please contact me at my office, 278-4511. It would certainly be appreciated if we could have this back from you tomorrow, Aug 31. Thanks again for youraassistance. Si ncerely, Sr. Mortgage Officer I S T A T E M E N T r August 30, 1978 This is to certify that I fully understand that if an on-site sewer system can not be installed on Lot 1 Block 2 Campbell Heights Sub - Division, due to soil/water problems, the only alternative that I will have will be a holding tank which will require routine pumping. BRUCE E. MORING. SrAir . otALASIV` ,o r All District Offices Foster Care Agencies , DATE : September 4, 1973 �"" O: Sewer Clearance ,�.�,•, �.: s.) Sharon Colley sun,E Social Vorker III l Division of Family V -Children Services Anchorage SCRO According to Connia Hansen a sanitation clearance by the 6oruuyll or the State is not required for foster homes with private systems not on city v.-ater--only an annual water analysis. However, you should explore with a family the system they have and if any questions, you should request a clearance. -In the forthcoming regulations for group homes, a sanitation clearance will be required. SB/eap cc: Connie Hansen Appprc,i !i'1T km•t'.) ciieen i^araiiaii Regional Supervisor '01 r., -ANCHORAGE BOROUGH SCHOOL DISTRICT 0 Greater Anchorage Municipality Department of Environmental Quality 3330 "C" Street Anchorage, Alaska 99503 Attention: Ms. Kathy O'Quinn Re: Bacteriological Water Analysis For: Foster Care Applicants: Mr. & Mrs. Cluade McLeod 6706 Winchester - Anchorage Telephone: 344-0449 Gentlemen: 670 FIREWEED LANE ANCHORAGE, ALASKA 99503 AREA CODE 907 277.6652 Alaska State Program for the Deaf Anchorage Borough School District 2220 Nichols Street Anchorage, Alaska 99504 November 12, 1975 On September 15, 1975, we requested the subject analysis to satisfy the State of Alaska licensing regulations regarding well water supplying a foster care residence. The following information is furnished for this request: 1. Name of legal owner: fir. Dale Sandstrom 2. Legal Description of property: Block 2 - Lot 1 - Campbell Heights Subdivision. 3. Well serves only the above identified residence. 4. Depth of well: ? 5. Own private sewage system - septic tank Yes . Installed 1964/65. The attached memo is our most current statement from the Southcentral Regional Office, Division of Family & Children's Service regarding Sevier Clearance. Thank you for your prompt attention to this request. Please contact applicants after 1:00 p.m.. Yours truly, Robert G. Gin, ACSW Social Service Specialist RGG:smb Enclosure cc: Mr. & Mrs. f1cLeod