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Home My WebLink AboutHAMANN LT 15I. ot 15 #050-621-02 Municipality of Anchorage ' Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Elmore Road ~ P.O. Box 196650 Anchorage, AK 99507 Page of www.ci.anchorage.ak.us (907) 343-7904 ON.SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 0sP101055 PID Number: 05062102000 Name: DIANE PA'FI'ERSON Wastewater System: [] New [] Upgrade Address: 24538 HAMANN RD, EAGLE RIVER ABSORPTION FIELD Phone: Number of Bedrooms: 694-9634 3 [~ Deep Trench [] Shallow Trench [] Bed [] Mound [] Othe~ Soit Rating: Total Depth from original grade: LEGAL DESCRIPTION 0.45 GPD/F¢ 8 Ft. Block: Lot: 15 Subdivision: Depth to pipe bottom from odginal grade: Gravel depth beneath pipe: HAMANN 2 Ft. 6 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: 2 Ft. 85 Ft, Gravel width: Number of lines: Distance between lines: Well: [] New [] Upgrade 3 Ft. 1 Ft. Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Ft. Ft. 1020 Et~ PVC Driller: Date Drilled: Static Water Level: Installer: Date Installed: Ft. I EAGLE GLACIER EXCAVATING 6/18/2010-6/20/2010 Yield: GPM Pump Set at: Ft, Casing Height Above Ground: Ft. TANK SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other: T'~. To Septic Absorption Lift Holding )ublic/Private Manufacturer: Capac~: From~ Tank Field Station Tank Sewer Line ANCHORAGE TANK 1000 Material: Number of Compartments: we, +100 +100 STEEL 2 Surfac6Water +100 +100 ~ /i LIFT STATION S~ze: Manufacturer: Lot Line I+10 +10 Gal. Foundation10 50 "Pump on" level at: in. "Pump off' level at: in. High water alarm at: in. Curtain Drain Pump Make & Model Electrical Inspections pefforrned by: Remarks: 2-inches of DOW HI rigid insulation was placed over entire BENCH MARK Location and Description: length of trench in addition to 3 feet of fill over trench. Finished floor of first floor of house on property. Assumed Elevation: Existing septic tank was crushed in place and backfilled to 100.00 Et. original grade. En ' Inspections performed by: COLIN MEEHAN. P.E. Dates: 1st 6/19/10~ ,~,,~'~¢- OF ..... , 2nd 6/19/10 ~, ~... Development Services Department Approval ff ~..' 49TM '~ .... ~ ee e~. · · · · · · eee e e~ eee e ~, ~_,. COLIN J. MEENAN .' ',; Reviewed and approved by: Date: ~ '¢~-.. "' / - // 'e;~'¢/-Z- ~//"/~. '~,~:~"~ 0z~,-. o4/0,) //F/ , ',,_, "'-WOFE$"~', '''''-- r '-q -.o o ~ uu · . 00~ or- .-r .o0 ,-~:~ ,-~,z > ~.-z z O~ ('3 0 i~ ~ lodfleyP. Kinney Associates, iflc. I I SITE PLAN-ASBUILT / ~~~ I HAMANN SUBDIVISION I i-ri II C o rrl:Z ,,~,' (/') 0 0 z:o ---~ m C-HC~ zoO --I c~ 7 > ~> ~> 7 -rI n cn 6' GRAVEL = DEPTH BELOW PIPE~ m J 0 0 mx I(RedneyP. KinneyAsseciates, inc. HAMANN SUBDIVISION LOT 15 SEPTIC SEPTIC SYSTEM PLAN ~JANUARY 31. 2011 AS BUILT FIGURE 3 On-Site Wastewater Disposal System permit MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP101055 Tax Code Number: 05062102000 Work Type: Septic Upgrade Permit Effective Dates: June 11, 2010 to June 11, 2011 Design Engineer: RODNEY P KINNEYASSOC INC Subdivision: HAMANN Site LegalAddress: HAMANN LT 15 G:0261 Owner/Address: PATTERSON DIANE J 20114 EAGLE RIVER ROAD EAGLE RIVER AK 995778745 Site Mailing Address: 24538 HAMANN RD, Eagle River Lot Size in Sq Ft: 82764 Total Bedrooms: 3 I This permit Is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Pdvy N Pdvate Well N Water Storage All construction must be in accordance with: 1, The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15,65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours pdor to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction dudng freezing weather must either:. A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Date: Date: d/~/~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.orglonsite (9O7) 343-79O4 ON-SITE SEWEP,/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-621-02-000 Property owner(s). Diane J Patterson Mailing address 20114 Eagle River Road Site address 24538 Hamann Road Legal description (Sub'd., Block & Lot) Hamann Subdivision, Lot 15 Legal description (Township, Range & Section) Lot Size 82, 764 Sq. Ft. .Day phone 694-9634 Zip Code 99577 Zip Code 99577 Number of Bedrooms 3 THIS APPLICATION IS FOR ([~] all that apply): Absorption Field Septic Tank Holding Tank Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial Upgrade [] Renewal I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of prop~ owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: (Rev, 11/05) Waiver Fees: Date of Payment: Receipt Number: I odney P. Kinney Asseciates, inc. June 1,2010 Municipality of Anchorage On-Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Attention: Onsite System Reviewer Subject: Wastewater System Hamann Subdivision, Lot 15 Dear Reviewer: The subject property is currently occupied by a three bedroom single family residence. The site plan shows the locations of the home, water well and existing and proposed septic system components on the property. Attached to this letter is the following: · Site Plan · Septic System Plan ,, Specifications · Soils Log - Percolation Test (TP-I & TP-2) · On-site Sewer/Well Permit Application The adjacent properties consist of single family homes with onsite systems which are shown on Figure I. The surrounding properties should not be the affected by the location of the proposed septic because all required separation distances have been met. Please fell free to contact me if you have any questions or comments at 694-2332 or by cmail at colinm~rpka.net. Sincerely, Colin Meehan, P.E. RODNEY P. KINNEY ASSOCIATES, INC. 16515 Centerfllltl Driue i Suite 101 · Eagle liver. Alaska i 9651'/ 607.694.2332 i Fax 90'/.694.1607 ! www.rpka.net o o Municipality of Anchorage Development Services Department Building Safety Division On.S~te Water end Wastewater Program 4700 E!more Road P.O. Box 196650 Anchorage, AK 99507 y,~wv ci anchorp~]<~ ak US (907) 343-7904 Soils Log - Percolation Test Performed For: M~ke and Diane Patterso~ Date Pedormed: 5/22/2010 Lngal Descripbon: Hamann Subdivision. Lot 15 Township, Range. Sectmn. ,, 2- 3- 4- 5- 7- 8- 9- 10- 11- 13- 14- 15- 16- ,,, '~1.~ ~ o'~, 17- 19- 20- COMMENTS Slope Site Plan WAS GROUND WATER ENCOUNTERED? No $ IF YES. AT WHAT DEPTH? 12' L 0 Date 5/27110 Reading Date Gross Time Net Time Depth to Water Net Drop 1 5122110 1244 0 7.9' 2 5/22110 1254 10 8 0' 0.1' 3 5/22/10 1304 20 8.15' 0.15' 4 5/22/10 1314 30 8 50' 0.35' 5 5F22/I0 1324 40 8.90' 0.40. 6 5/22/10 1334 50 9.20' 0.30' PERCOLATION RATE 38 (mmu~e~.*,x~t PERC HOLE DtAMETER 8" TEST RUN BET~NEEN 8 Irt. AND7 FI' PERFORMED BY: Co, in Meehan I Colin Meehan CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/27110 Municipality of Anchorage Development Sen, ices Department Building Safety D~$ion On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.c~ anchorage ak us (9O7) 343-7904 Soils Log - Percolation Test Performed For: Mike and Diane Pattem~"~ Legal D~scdption: Hamann Subdivision. Lot 15 7- 8- 9- 10- 11- 12- 13- 16- 17- 18- 19- 20- COMMENTS WAS GROUND WATER ENCOUNTERED? NO IF YES, AT WHAT DEPTH? Date Performed: 5/23/2010 Site Pla~ Township. Range, Section: Reading Date Gross Time Net T~"ne Depth to Water Net Drop 1 5/23/10 1542 0 4.0' 2 5/23/10 1552 10 4.2' 0.2' 3 5/23/10 1602 20 4.5" 0.3" 4 5/23/10 1612 30 4.8' 0.3' 5 5/23/10 1622 40 4.9' 0.1' PERCOLATION RATE 44 (m,nu~nm) PERC HOCE DIAMETER TEST RUN BE~VEEN 6 FT AND7 FT PERFORMED BY: Co, in Meehan J Colin Meehan CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/27/10 ON-SITE WASTEWATER DISPOSAL SYSTEM 1. The scope of this project includes the installation of a new on-s~-wastewater sys.~em serving a proposed 3 bedroom residence. The new on-site system will inc?de a 1,0,,00,__ga?~ ..s.ep, tic tank as shown on the Site Plan. The system will also include installation/of an'8-~,' long by 3 deep trench drain field as shown on th,e, site plan. The new drain field shall be~fflaced ~"mi~i(num of 100' from all wells in the area and 100 from any surface water in the area. ~e sep~iC~ystem must also be a minimum of 10' from the water service line on the lot. A minimum o'~3'"~f cover is required over the drain field and 4' of cover over the septic tank. The septic tank must be constructed of 10 gauge steel if it is to have more than 4' of cover. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions and all applicable State and Municipal Wastewater Regulations. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verifications of the locations of all lot lines. The Contractor must also verify the location of wells in the area and assure the separation distances are met. The Contractor must provide field survey notes to verify the layout of the septic system and to ensure no encroachment into easements or lot line setbacks. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Building Safety On-Site Water and Wastewater Program for system installations. Owners instaIling their own systems must receive prior approval from the On-Site Water and Wastewater Program before beginning system installation. SEPTIC TANK INSTALLATION 1. A new 1,000 gallon septic tank must be procured from an approved source and installed at the location shown on the site plan. 2, A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4' cleanouts for pumping access. 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 4. All standpipes on the septic tank shall extend a minimum of 12 inches above the final grade. 5. Tanks installed without 4' of cover shall have a minimum of 2' of direct burial insulation. 6. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drain field. 7. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION 1. The drain field shall be constructed to the dimensions shown on the design. The bottom of the trench shall be level throughout. 2. Distribution piping must be placed level with perforations down atop a level bed of drain field rock. Hamann Subdivision, Lot 15 5/27/2010 1 of 2 Rock should then be placed over the p pe to provide a minimum of 2" of cover, 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below the distribution line must be perforated. 5. Contractor shall verify the septic tank and drain field are a minimum of 100' away from any private water wells in the area, 150' from a Class C well or 200' from any community well 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the drain field to drain away. 8. A minimum 2 of nat've accepting soil stratum below the trench bottom. MATERIAL SPECIFICATIONS 1. Septic tanks must be constructed by a Municipality approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage. Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated but not solid) and ASTM D2662 or A.B.S. (perforated or solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5, A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be 0.5' to 2.5" in diameter with less than 3" passing the #200 sieve. INSPECTIONS Municipal Ordinance requires a minimum of two inspections. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as-built of the completed system. In addition, the property owner must furnish an as built of the lot showing the location of the house, septic system and other above ground features for use in preparation of the septic system as built. Hamann Subdivision, Lot 15 5/27/2010 2 of 2 GREA~ER ANCHORAGE AREA BOR~,,.'GH ) Department of Environmental quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER_(? ~'l:'~"/C'/:'C. · MATERIAL INSIDE WIDTH LIQUID DEPTH .~, NUMBER OF "~'~"~ / ~'~' / COMPARTMENTS / LIQUID CAPACITY /,~ ~)(?~2__GALLONS. SEEPAGE PIT: N~MBEROFP,~S / . D,AMETER__ORW,DT,/('~ LENGTHen, DEPT, LINING MATERIALl-..,,,~;/_z/%,,~21/~_ CRIB SIZE: DIAMETER DEPTHs. DISTANCE FROM: TOTAL EFFECTIVE BUILDING FOUNDATION "¢~"'~ NEAREST LOT LINE'~f~E)~. ABSORPTION AREA (WALL AREA) WELL J ~ '~ SQ. FT. ADDITIONAl__ ABSORPTION WELL: BUILDING / FOUNDATION ,5"~; CESSPOOL /C/lA" APPROVED CONSTRUCTION NEAREST ~ LOT LINE ~"~ OTHER SOURCES DISAPPROVED REMARKS DISTANCE FROM: NEAREST SEPTIC z: ~' SEWER LINE_A'//?~ / t~') SEEPAGE TANK SYSTEM DISTANCES: c"I~~''~ INSTALLED BY: '-?~k'////lA14~ i)/~//~h/~', LOT SLOPE: REMARKS: ~"'"~ Oc, x,.q'[;. Tc.~'f' /Oig, ?//¢/21. DIAGRAM OF SYSTEM G.A.A.B. :R ANCHORAGE AREA BOF DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 JGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. MAIL. lNG ADDRESS PHONE INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK '/'~ SEEPAGE PIt · DRAIN FIELD ,, OTHEr P,NANCED THROUGH SOIL TEST RESULTS TO BE INSTALLED BY NOTE:I THIS PERMIT IS NOT VALID WITHOUT 5Oil 'rES~ COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONME:NTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE MINIMUM DISTANCES, REQUIREMENT~ FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE P]T (8 ~ SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK __, SEEPAGE PIT TO NEAREST LOT LINE. WELL. TO SEPTIC TANK [00 DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, [~ ~ , SEEPAGE PIT TO RIVER, 'AXE. STREAM. , DRAIN FIELD SEEPAGE ArEa SIZE ~' ~ ' ' ' ' DIAGRAM OF , DRAIN FIELD · SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT ('6 r Od ~' , DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLe CAPS. ~ICENSED DESIGNER I CER'rIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGN ORDINANCE NO, 28-68 AND THAT THE ABOVE Iii~~~~~ GRENFER ANCtlONAGE At~;._A Department of [nvironm~nLa] Qua]~Ey j;;~;,~?. Anchorage, Al aska 99U03 ~ ~ // S()ll,S 1,()(i PEI~OI,ATION TEST /Ills torlll reports: bOl/~ log _$~ verco/ation [,est Dep th ~I 9- lO- ll - 12- water encountered? _._~_j?~ .... If yes, at. wila~ depth? Reading Date Gross Time Net l'ime Depth to Water Net Percolation ~a~e m~ nu~e. 'Proposed installa-tl~-F-~b~'~qe Pit ~ Drain Field (iP, EATER ANCtlOk//G[ ARLA UOla)b .... iJepartment of [_nvironnlenLa] Qua]iLy 3330 "C" St:feet Anchorage, Alaska ~Jg!;U3 S()II,S l,O(i PI{I{OI,ATION TliST Perfornled for Bob Hamman '"*'~ Perfor:::~,J 9/_15/_75 Del) th Feet 6" Black Organics 1 - Damp, ?an Silty Sand 3 - Damp Brown Gravelly Silty Sand Lens Gravelly Silt one side 6- 7- 8- 9- Damp Brown Sandy Gravel ]0 - (GP) 125 S.F./B.R. 13- 14 W~te~r seep_~_at 14_'~L accumulating at 14' , Sand /~as/" ground water'encountered? .... ~s ..... If yes, at wilat depth? Reading Date Gross Time Net Time Depth to Water Flet Urop Percolation rate minute, 'Proposed installation: Seepage Pit Yes Drain Field Del)th of Inlet Depth to bottom oF pit or trenci~ GREA :R ANCHORAGE AREA BOF JGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCNORAGE~ ALASKA 99503 TELEPNONE 274-456 I ~I~STI~'~~-- APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOil TEST RESULTS NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE TYPE MINIMUM DISTANCE~,, REQUIREMENTS FOUNDATION ~O SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK .,SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SePtIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, __ SEEPAGE PIT TO RIVER, LAKE, STREAM. __, DRAIN FIELD ., DRAIN FIELD SEEPAGE PIT ALSO CONSIDER ASEA WELLS. .. SEEPAGE PIT ., DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURSED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BA~K[~I LL CONFORM TO BOROUGH ~:~EGULATIONS REGARDING INSTALLATION, Or D DESIGNER DIAGRAM OF ?J. YSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA ~OROUGH ORDINANCE NO. 28-68 AND THAT THE AHOY/ DESCRIBED SYSTEM IS IN ACCORDANCE WiTH SAID CODE. FORM NO. E~-01 6 , LOG OF DRI' "~ING by A & L DRILLI G COMPANY ADDRESS ............................................................ /, ,--i~ WELL SITE .4,~:l:..f._.._ ......... ........................................ DA TE--,NDEO .............. ~f/~/---Zf. ............................................... // STATIC LEVSL OF WATER ~T. /~-,?O / DRAW DOWN FT ..................................................... ~ALS. ~.R ~R ............ %.0_ .............................................. KIND OF CASING .... -~------'~--- -~-~--O ............................... KIND OF FORMATION: FRO~ ....... t.Y.. ........... FT. To ...... ?.'°. ........ FT.. I'/_/..._..~:.~':'_ ~'~'FROM ........................ ~. ~,~o~....i._~.~ .......... ~. ~o._..l.~.~ ........ ~....~.~.r._.~.~"~Z~o~._...~.J..~ ....... ~. FROM.....L~.~ ......... FT. TO._...(.~'~ ........... F T...~<~ <~ ~< . FROM.....~J .......... FT. FROM._._.{. ................. FT. FROM ........................ FT. FROM...../-~--~ ........ ~T. T O_.~ ~?..~ ....... FT,./~ ~':~.~. ~... FROM ...... To~.J.~'. ......... FT._t~r~ ~._ % ~,~rz ' FROM...~.~.Y. ........ FT. ' ' " " '~' FROM ....................... FT. MISCL, INFORMATION: ,,-,~.~_ ~- ,. : ..~ ,...~~,~ ~,~ ~ )~ ~ ~ DRILLER'S NAME /--S/._(..~_-_~_~.~_f~f..~.[~..._.'.'...-'_..'._-.::..' ............. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Date Received June 10, 1976 Time of Inspection 10:30 a.mo Date of Inspection 6--11-76 ]Friday Neale Conv, 1. Approval requested by: National Bank of Alaska % Lucille Stietz Mailing Address: Post Office Box 600 2. Property Owner: Robert Hamman 4. 5. 6. Phone: Phone: 694-2776 Mailing Address: Legal Description: Lot 15 Hamman Subdivision Location: 5½ miles up Type of facility to be inspected Well Data: Individual A. Type C. Construction C. Septic Tank: D. Seepage Pit: E. Disposal Field: Distances: Eaqle River Road~ Singel Family No. of bedrooms B. Depth D. Bacterial Analysis 360' Sewage Disposal System: On-site system A. Installed~. ~,~-~A B. Installer 1. Size \1 o:~o 1. Absorption Area Total length of lines A. Well to: Septic tank Nearest lot line 2. Manufacturer //~ , Absorption area B. Foundation to septic tank , Other contamination 2. Material ///~__, Sewer Lines , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 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:_ ./,/~o &?. Mailing Address: 3. Name of Buyer:_~-~/~/c~rA~ Mailing Address: 4. Name of Lending Institution: Mailing Address:_ 5. Name of Realtor or Agent:. FHA I ' __CONV ,X~ Day Phone:.c/~ ~¢ '-,-~ ~ ~ Day Phone:_ Mailing Address: Phone: Legal Description: ~ o ~" /~¢' z///~/~,C//~/k/ c~c-~. Location: ~ ~f]-~:~' v~ ~L~ ~'//~ 7. Type of Facility to be Inspected,'- No. Bdrms. q) 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served / If Individual, depth of well c~c~ 9. Sewage Disposal System Type of System: Public Utility Individual Individual (on-site)_ If Individual, date of installation 72-003(3/76) Page 2 of two pages - Re~ st for Approval of Individual ~ ~r & Water Facilities Legal Description Lot 15 Hamman Subdivision Comments Approved {.//~-~ // m~. Disapproved 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 E0-034 (1/74)