HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 10 LT 9 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
PermitNumber: '-~' '9['/ ~ ~ ~ O (.,o J PIDNumber: 01'7- ut ~'t I ~
Name: 1,~. i ~[ ,~f ~ ~...~,.~./; ,..~,~.,,~j//~~ Wastewater System:~ New ~Upgrade
Address: ABSORPTION FIELD
Phone: I No. of Bedrooms:
~ ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other
I
LEGAL DESCRI PTI ON So,, Rating: Total Depth from original grade:
GPD/Sq. Ft.
Lot: Block: Subdiv~ion: Depth to pips bottom from original grade: Gravel depth beneath pipe
Township: Range: / Section: Fill added above original grade: Gravel length:
/
Ft. Ft.
WELL: D New ~ Upgrade eravelwidth: Numberof lines: Dist~nce between lines:
Ft. Ft.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe materiah
Ft. Ft. SQ. Ft.
Drifter: D~te Drilled: Static Water Level: Installer: Date installed:
Ft.
Yield: I Pump Set at: Casing Height Above Ground: TAN K
GPM~ Ft. Ft.
SEPARATION DISTANCES u Septic ~olding ~ S.T.E.P.
To Septic Absorption Lift Holding %blic/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines ~, '~
~ Material: Number of Compartments:
su~o~ LIFT STATION
Water
Lot .. I Size in gallons: Manufacturer:
Line
Foundstion ~ ~ "Pump on" level at: "Pump off" level at: High water alarm at:
Curtain ~Pump Make & Model Electrical Inspections performed by:
Drain N O ~ ~
Remarks: BENCH MARK
~ t ~ Assumed Elevation:
Ins actions performed by' %¢ Dates: 1st ~" } .... ~--¢~"'_~._
Department of Health um~¢~ices approval %~:,
Reviewed and approved b~~~ ~~ Date.
72-013 (Rev. 9/91) MOA 25
25 50 75 lot? 125 150
££,4LE: 1~ = 50 Fl',
t?EN£H PIA£K
6A£AGE FLI]L~,2
,4SSUMED ELEV,
I00,00 TT
TOBBEN SPURKLAND P.E.
205 W 15TH. AVENUE
ANCH. AK. 99501
9, BLO£I( 10, MOUNTAIN PARK I,.STAT'E
BRYAN KINGSLEY
~001 BEVERLY DRIVE
HOLDING TANK AS BUILT
DATE: JULY 9, 1996
SHEET: 2/5 GRID: 2858
-- /?AfN
97,3
g ~ 4¢2.~: ...... ~ ...... k...~
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ANUH. AK
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WAsTEwATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW960061
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:KINGSLEY BRYAN R & COLLEEN A
OWNER ADDRESS:6001 BEVERLY DR
ANCHORAGE, ALASKA 99516
PAGE 1 OF
DATE ISSUED: 4/26/96
EXPIRATION DATE: 4/26/97
PARCEL ID:01744132
LEGAL DESCRIPTION:
MOUNTAIN PARK ESTATES BLK 10 LT
LOT SIZE: 22000 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
HOLDING 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 (18AAC80) ·
3. TBE 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 ]_5 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 ATTACHED "STANDARDS AND SPECIFICATIONS FOR COMPO-
NENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE
WASTEWATER DISPOSAL SYSTEMS" SHALL BECOME A PART OF THIS
PERMIT FOR CONSTRUCTION OF THE HOLDING TANK.
2. 'PHIS OFFICE MUST BE NOTIFIED A MINIMUM OF 2 HOURS PRIOR
..... ~6-~dK FILLING THE HOLDING ~ANK TO SEE T~--HOLD~ TANK IN
T.SPURKLAND P.E.
203 W. 15th. AVE. SUITE 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
Dan Roth
Municipality of Anchorage
Division of Environmental Health
Department of Health and Social Services
820 1 Street
Anchorage, Alaska 99501
Subject:
PIN 017-441-32
Lot 9 Block 10 Mountain Park Estate
Bryan Kingsley
April 25, 1996
Gentlemen;
The transfer of this property is scheduled for April 27, 1996. The amount of water in the
groundwater monitor tube was measured to be 103 inches on April 22 and 24. The tube was dry
on April 19. It does not seem possible that the groundwater level can rise that rapidly. It may be
that the water in the monitor is the result of surface water flowing into the testhole excavation. On
April 24, 1996, the elevation of the water level in the monitor was 2 feet below the standing water
in the low area to the west. The water level in the existing trench was 2 feet higher than the level
in the groundwater monitor. The water level will be monitored during breakup to establish the
status of groundwater.
Assuming that high groundwater levels makes the installation of a standard septic system
impossible, my client desires to obtain a permit for the installation of a 3000 gal. Holding tank. Mr.
Kingsley is a certified welder employed by Alaska Petroleum Contractors. He has access to pipe
sections ofvm'ious diameters and wall thicknesses. He proposes to make a holdingtank as shown
on the attached drawings. Please review and comment.
Yours ,,,
...~' r'~ ,'--
T. S15flrkland P.E.
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
HOLDING TANK DESIGN
LOT 9, BLOCK 10 MOUNTAIN PARK ESTATE
BRYAN KINGSLEY
Ground Water at elev. 93 on April 25, 1996
Garage floor at 100.00
Existing septic tank inlet at 97
No. of Bedrooms 3
Required holding tank capacity
Pumper capacity 3000 gal.
Match pumper capacity
2000 gal
Use 7 ft. dia tank. Made by Owner. Upright cylinder
Volume per ft. of tank: 288 gal
Length of tank 10.5 ft.
Elevation of inlet. 97
Elevation of tank bottom 86.5
6.5 feet of tank into groundwater
Uplift force of tank. 6.5 x 288 x 8.3 = 15,600 lb
4 feet of soil on top of tank.
Weight of soil 200 lb/cf.
Total weight on tank: 200 x 4 x 3.5 x 3.5 x 3.14 = 30,800 lb.
Factor of safety against floatation: 2
Skin friction as well as the weight of the tank has been ignored.
TOBBEN SPURKLAND P.E. I ILOT
II
20.5 W 15TH. AVENUE
ANCH. AK. 99501
(907') 279-3916
9, BLOCK 10, MOUNTAIN PARK ESTATE
6001 BEVERLY DRIVE
I HOLDING TANK DESIGN
DATE: APRIL 25, 1996
SHEET: 2/3 GRID: 2838
£AI/V £AP fYP/£AL_.
1' SAL I/AN/ZE? L?,
[, t/, 10£
£0' klANHE/LE
/VIN, 4 FEEl ?U£Y
EL£V, 98
ELEV. 8&5
~'~
RIP, E£ ? ?U£IAL
1'17 ALA£PI PANEL
I" PVC Cf]N?UI?
ELEtZ ?ZOO
NIdH I,/AfE£ 4LA£H
i?E£CU~2Y SI/ITCH ?LBAI'
/ ?I?U/?ASfiC ClYA TI/v~
3/4' P/ALL
PIPE SEC ?IlTN AS ?Pi A 5,~ £TEL-L
-- 1/'4" ENPPLA 1'£'
~ 1/4' FILLET I.¢ELR INSIPE ANR ITU?
TBBBEN SPURKLAND P,E, I LI2T
I
ANCH. AK. 9950~-3904
~907) 8~k8 ~O~
~, ?L/]£K lO P/~IUN?AI/V P4£/( ES?A?E I
?£)%N KINESLEY
I
~OOI ?EVEP, L Y P£IVE
HBLDING TANK BESIGN
~A~E~P£/L ~ 199~
SHEET: 4/4 GRID:
J4k~ka ladustrial X-ray
A~R~NCE ~H THE ~
T.SPURKLAND P.E.
203 W. 15th. AVE. SUITE 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
Municipality of Anchorage
Division of Environmental Health
Department of Health and Social Services
820 1 Street
Anchorage, Alaska 99501
Subject:
Septic System Upgrade Permit
Lot 9, Block 10, Mountain Park Estate
Bryan Kingsley
April 4, 1996
Gentlemen;
On March 16, 1996 S&S Engineering performed an adequacy test on the existing septic system
serving this property and concluded that the septic system does not meet the HAA requirement. The
propmXy is being transferred and the system must be upgraded. The only available location is
shown. This is adjacent to a low area that is wet, ponding, during breakup. Generally this water
is gone by July. The present owner intends to escrow funds to install the system as soon as breakup
and the load restrictions are lifted. A conditional HAA will be requested in the next couple of
days.
Yours
T. Spu~land P.E.
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 9, BLOCK 10 MOUNTAIN PARK ESTATE
BRYAN KINGSLEY
No Ground Water or Impervious Layer to 15 ft.
Use Standard Trench
Soil Rating.
30 min/in
Use 0.6 gal per sq.ft/day
No. of Bedrooms 3
Required Area pet' Bedroom: 150/.6 = 250 sq.ft..
Total area required: 250 X 3 = 750 sq. ft.
Finish Floor Elevation 100.00
Ground Elevation at Absorption Field 100
Outlet Existing Tank 97
Testhole Total Depth 15 Elev. of bottom
Bottom trench elevation 91
Rock depth 5 ft.
Length of trench 750/ 10- 25 ft.
85
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH 2 x 40 - 80 FT
TOTAL WIDTH 2 FT
TOTAL DEPTI-t 9 FT
ROCK DEPTH 5 FT
COVER 4 FT
SEPTIC TANK 1000 gal EXISTING
VERIFY INTEGRITY
The installation of this septic system will not prevent wells from be installed on the adjacent lots.
There is a natural surface drainage course on this and the adjacent lot. This drainage course has flowing water
during and after breakup, but dries out in June.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoffwill not result from this installation.
,/ / / / ~ \ / '\
INSTALL ~ULL PUN PIV~
~NL Y IF E,flSflN5 5'EPTIL~ TA/,IA~ LEFT fl~ PLA~
..............
25 0 25 IOO ]25 158
5O
.?£ALE; 1~
75
: 50 F?
205 W 15TH. AVENUE
ANCH. AK. 99501
(gQ7/ 279-591~,
9, BLOCl( 10, MOUNTAIN PAR/( £ZTAT£
BRYAN KINGSLEY
6001 BEVERLY DRIVE
J J HOLDING TANK DESIGN
DATE: APRIL 25, 1996
SHEET: 2/5 GRID: 2858
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
(ENG!NEER'S SEAL)
LEGAL DESCRIPTION= ,~,C¥~'~! ~/ ~'~
1
2
3
6
10
11
12
13
14
Township, Range, Section:
SLOPE SITE PLAN
15
16 /
17 ,q.~d
18
19-
2O
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
E
Oeplh to W;~ter Aller
Monitoring? Dale:
Gross Net Depth to Net
Reading Date Time Time Water Drop
~'.~o :~o ~ ~/y /~
PERCOLATION RATE '~'~'~L) {mlnutestmch) PERC HOLE DIAMETER ,~ .,i
TEST RUN BETWEEN ~ FTAND ~¢L FT
ACCORDANCE
WITH
ALL
72-008 (Rev. 4/85)
~Ii~imIiI
50
TOBBEN SPURKLAND P.E. I £OT
203 W 15TH. AVENUE
ANCH. AK, 99501
(907') 279-5916
9, BLOCK lO, MOUNTAIN PARK £STAT~
BRYAN KINGSLEY
8001 BEVERLY DRIVE
SEPTIC SYSTEM DESIGN
DATE: APR/Z 2, 1996
SHEET: 1/$ GRID: 28J8
!
!
IH2 fALL CLE~
EX/£ 1'. ,?EP ?/£
VE/~I? Y
£EPLACE IF HEEOED
~,iii-
£5 0
N
B5 50 75
2CALE~ 1.~ 50 FT,
/\
205 W 15TH, AVENUE
ANCH. Al<. 99501
(907/ 279-5~1~
9, BLOCIF 10, MOUNTAIN PARK
BRYAN KINGSLEY
600! BEVERLY DRIVE
SEPTIC SYSTEM DESIGN
DATE: APRIL 2, 1996
SHEET: 2/$ GRID: 2858
~on/~om
C/eon
£fonUanc/ ?nen:he:,
40' Lon9
,Y ,~evzex'
q' Cover
]$
Q~GI Hon,"tor
C/eon
/VI9 £CALE
J
t000 :AL SEPTIC
I:1
EXIST/NO, REPLACE IF NEEDEDI _. I
C{eo f}oot ts
" HOfH?Oi"
?~ Fopso,'l
4' Covet" /'
Ex,'sf, 6r'ounc¢
5 Pt oF £epf;c t~ocl<
Nil S'C,dLE
L250 gol, sepfl'c Conk
3EN£H P/ARK,
A£~?U/VED ELER JO0, OO
~03 W15th Ave
Anchomege AR 9950~
P79-3916,
LOT 9, BLO(7( 10, MOUNTMN PARK £STATY
BRYAN K/NO$L£Y
6001 BEVERLY DRIVE
SEPIlC SYSTEM DESIGN
bATE; APRIL 2, 1996
SHEET: ,$/S GRID: c~838
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEAl. TH & EN\/IRONMEN-IALPI?OTECTION
ENVtRONIVIENTAI. ENGINEERING DIVISION
825 [. Stre~t - Anchorage, A[asl(a .°,950'1 'rolel]hono 264-472.0
ON-StTE SEWAGE DISPOSAl.. SYSTEM AND/OR WEI.I. INSPECTION REPORT
MAILINGADD~S , ,
LEGAL DESCRIPTION
D,STANOE TO:
Liq. ca[ IF HOMEMADE: '''~ I Inside lengtl..~ ,.~.
DISTANCE TO: Well I Dwellin9
NO, OF BEDROOMS
PERMIT k!~/ ~-~
No. o' eo~_~artmt_~,Z
Liquid depth
' Dwelling
PERMIT NO.
Manufacturer I Material Liquid capacity in gallons
I
DISTANCE TO: ~'t
lines Length of each
Top of tile to finish grade
~.1 L~est lot line 1~ /
Total length of Ii es~
~;,~/~N .... 'inches
Material beneath tile (~ inches
Length
Width ~"~d'~._ Depth
Crib diameter Crib depth
Well Building foundation
Depth Driller
Building foundation Sewer line
PERMIT ~,¢ ~ ,-
Distance between lines
Total effective~,~sorptioo area /
PERMIT NO.
Total effective absorption a~ea
Nearest lot line
Type of crib
DISTANCE TO:
Class Distance to lot line PERMIT NO.
DISTANCE TO: Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
P vC
SOIL TEST RATING
INSTALLER
O i
REMARKS
APPROVED
DATE
LEGAL
Z
o d
Z
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MUNICIPALI'FY OF ANCHORAGE
DEPAR1-MENI' OF ltEALTlt AND ENVIIiON~EN'I'A~ PRO1 F-'CTION
825 L, Street, Anchorage, Alaska 99501 2(;4-4720
SOILS LOG .. PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
2
3
4
5
6
9
10
11
12
13
14
15
16.
19
20-
'7'-- :o - -¢, '?
5 b,.o ~.,.., 4x ('
WAS GROUNDWA1E8
ENCQUN1 ERE[}?
PERCOLAI~ON RATE
December 31, ']_979
Wayne Cooper
9310 Carlson
f~ncherage, Alaska 99507
Permit {4 790027
Subject: Lot 9 Block 13 RounLain Park Estate.~ Subd3. vislon
A permit issued by this department for well and/or sewer
system has expired.
Permits are Lssued on a calendar year basis, as stated on
the permi, k, by authority ef Municipal ordinance.
If you have drilled the well, a well leg sheuld be sent
to %his department te document tile installation date.
~, ' ~' of the
if an engiqee~ has inspected ~ne N~stalla~lon
on-site sewer system, eiease have them sep. d ,ds the as-builus
for our files.
If there are any further ciuestions, please contact this
office at 264-4720.
Sincerely, /
Les N, Buchholz, R.o. //,2~---
Senior Environmental Speci~st
LNn/ljw
enc: Copy of u~ · 't
l::lEl::iff'l t T
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:!i:: ! I_Ii',I[)EFi::!~;]"FIN[:, 'TI"ff:tT "f'H[E OF, I-'.'!;ITIZ '::'i;IZHIEf;i: :!:?-r'S'f'EM Ml:::l"r' I:;i:Eg!I. J IF?.E E:I",II..FII:;';:GE]"IE]",IT IF:' THE:
Fi:lES I I::,[~::i",IC:[[ I '/:; I;:EMO[:'EL.E:[:' TO t NC:I..LI[:,E: MOP. IE TFII::IIq ]:
IV JCHAEL
Mr. Larry Thomas
3402 Arctic Blvd.
Anchorage, Alaska 99503
Subject: Soils investigation for sanitary Sewer system on Lot 9, Block 10, Mountain Park
Estates Subdivision, Anchorage, Alaska.
Dear Mr. Thomas:
At your request of February 7, 1979, I conducted a soils investigation at the proposed
location of a sanitary Sewer system on the subject lot. This investigation, which was
accomplished on February 9, 1979, consisted of the inspection of soils removed during
drilling of a 6 inch diameter, 17.0 feet deep test hole, using solid flight augers
powered by a track mounted Mobile B-50 drill rig.
After completion of drilling, the test hole was filled with water and a percolation test
performed. The results of this test are tabulated on an accompanying sheet.
The soils encountered are graphically shown on the accompanying test hole boring log. The
soils consisted of a layer of organics 0.5 feet thick, overlying a Silt with a trace Sand
and Gravel 7.5 feet thick, in turn Overlying a Silt with Some Sand and Gravel 5.0 feet
thick, underlain by a Silty Gravel with some Sand to a total depth of 17.0 feet. There is
posssibly a thin lense of clean gravel at approximately the 10 foot depth.
No water table was encountered.
The topography of the subject lot consists of low swale in the northwest portion of the lot,
rising to an elevation 5 to 10 greater on the other parts of the lot.
Vegetation present on the subject lot consists scattered spruce and birch to 30 feet tall,
groups of dense alders to 10 feet tall, and a low ground cover of mosses and grasses. A snow
cover 3 to 4 feet deep was present on the lot at the time of the investigation.
An accompanying sketch shows the subject lot with the approximate location of the test hole
in relation to the property lines.
I appreciate the opportunity to be of service to you. Please contact me if you have any
questions regarding this soils investigation.
Very t~ruly yours,
Michael B. B/~g~ann
Consulting/~eologist
Attachments: Drawing of test hole boring log with location sketch, and tabulation of
percolation test results.
xc: Department of Health and Environmental Protection
63°35'00,, W 130.33'
Lot 9, Block 10,
Mountain Park
kEstates Sub-
division,
Anchorage,
ska.
R=1590.00' 117.81 '
Beverly Drive
NOT TO SCALE
T.B. No. 1
2=9-79
0.0'
_~Organics: bm, some green,
\
~" ....... 0.5'
Silt: w/trc Sand & Gravel, dry,
med dense, brn.
(ML)
......... 8.0'
There is possibly a thin
lense of clean grave], at
approximate].y 10 feet.
Silt: w/some Sand & Gravel, dry,
med dense, bm.~
Silty Gravel: w/some oand, reed /
dense, moist, gravel is sub
angular, bm.
(GM). <
NO WATER TABLE ENCOUNTERED
--~17.0'TD
Distances are approximate and have not
beeen measured by surveying methods as
to location of test hole.
Michael B. Bergmann
Consulting Geologist
Box 191, Star Route A
Anchorage, Alaska 99502
(907)344-9150
Test Hole Boring Log represents soils
encountered on Lot 9, Block 10,
Mountain Park Estates Subdivision,
Anchorage, Alaska.
February 15, 1979
Lot 9, Block 10,
Mountain Park Estates Subdivision
Anchorage, Alaska
Percolation test performed on February 9, 1979, using Test Hole No. 1, by filling the
6 inch diameter, 17.0 feet deep test hole (test hole had caved in at 12.0 feet) with
water, and measuring the water level drop periodically for one hour.
TABULATION OF PERCOLATION TEST RESULTS
TIME LEVEL(inches) DROP(inches) ET(min)
1321 100.75" start start start
1331 131.5" 31.75" 10 0.3
1341 134.0" 2.5" 10 4.0
1351 135.5" 1.5" 10 6.7
1401 136.75" 1.25" 10 8.0
1411 ].38.0" 1.25" 10 8.0
1421 139.0" 1.0" 10 10.0
RATE(min per inch)
Average percolation rate for entire hour = 1.5 minutes per inch
Average percolation rate for last one half hour = 8.6 minutes per inch
Consulting Geologist
BOX 191, Star Route A /
Anchorage, Alaska 99502
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
~) i~r/~ (_~ i--~ APPROVAL FOR A SINGLE FAMILY DWELLING
Parcell. D.# -- -~Ltj- ~7..- HAA#
1. GENERAL INFORMATION
Complete legal description l,o-F ~, iCY. lO; ~OUt'.IT'Alht P~V.. f~sT'~-r'~
Location (site address or directions) ~¢¢1 '1~ F=~Jl~l_~ ~-,
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
Day phone
Day phone
Day phone
Unless otherwise requested, HAA Will be held for pickup.
NUMBER OF BEDROOMS:
NOTE:
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
TYPE OF WATER SUPPLY:
Individual well ~'/ "
:'
Community well
Public water .
If community well system, provide written confirmation frorrLState
lng to the legality and status of system. :. ,~.',. ' [..'-: ~ ~ ," ...,~ ."
NOTE:
Holding tank
Community on-site
Public sewer
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
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.
NameofFirm ~'"~/¢~'~ ~u'rl~-~¢ ~'~'J'~' Phone
Address ~ ~ ¢ 1~- ~ ~ ~ ~ /~' ~
Engineer's signature ~ ~ Date
DHHS SIGNATURE
~ Approved for
bedrooms.
Disapproved. ~i : .... i '
Conditional approval for ~"
. .' /,~:' ~&,¢ _~'¢'
.-... ¢,~., ..,; ~
¢ .... .'-" .....
bedrooms, with the following stipulations:
Date ~///'//..~.~'
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineeCs work.
72-025 (Rev. 1/91) Back MOA
T.SPURKLAND P.E.
203 W. 15th. AVE. SUITE 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
Daniel J. Roth
Municipality of Anchorage
Department of Health and Social Services
820 1 Street
Anchorage, Alaska 99501
Subject:
HAA Lot 9 Block 10 Mountain Park Estate
PID # 017-441-32
July 10, 1996
Gentlemen;
A conditional HAA was requested for this property on April 4, 1996. The existing system needed
to be replaced.
The work has now been completed, an As Built showing the location of the new holding tank is
enclosed.
Please issue an unconditional HAA.
Yours
T. Spurkland P.E.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERV~E~ E IV E D
Environmental Services Division
825"L" Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
JUL 10 1996
Municipality et Anchorage
Health Authority Approval ChecklistDept' Health & Human Services
Legal Descriptiou: /.-O'[-c[ir/Sy,../OI }"{do~'~&,'~ Par[QParcol I.D.: O'll-- k/il/{- ~ Z_
A. ~LL DATA
Well type }~ If A, B, or C, attach ADEC letter. ~EC water system oumber ~
Log present (Y/N) x/ Date completed ~- ~ I'/fl ~
Ii
Total depth ]/4/,,9 ~ Cased to 1~- ~ I Casing height (above ground) ~ /~
Sanitary seal (Y/N) \/ Wires properly protected (Y/N)
F OM wuu t OO AT INSPECnON
Date of test -54'2 fi-/" ,0 ~ ~,/~9 fi7 ~'
Static water level I I ~> I / 16~ /
Wellproduction tS~ 7,Y-- g.p.m. /~, ~
g.p.m.
WATER SAMPLE RESULTS:
Coliform
Date of sample:
B. Fffila?~THOLDING TANK DATA
Formdatiou cleanout (Y/N)
Date of Pumpiag
C. ABSORPTION FIELD DATA
Date installed
Nitrate
Tank size
Y
], ,~ ~ v'o't ~j//LLL~ Other bacteria
Collected by: ~ £' .~
Number of Compartments ._ / Cleanouts (Y/N)
Depression (Y/N) fW/ High waler alarm (Y/N)
Pumper /'7/r/[~
System type
Length Width '~ Gravel thickness below pipe
Effective absorption area Mo~Y/N)
Date of adequacy test Results (Pass/Fail) ~
Fluid depth ill absorption field before test (in.);
Total depth
__ Depression over field (Y/N) __
For bedrooms
hnmediately after-~'g~,,~ter added (ill.):
Fluid depth
.(ins.) Milmtes later:
Absorption rate = . .g,p.d.
Peroxide treatment (past 12 mouths) (Y/N) If yes, give date
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested
Size in gallons
"Pump on" level at*
*Datum
"Pump off" level at*
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
~qopl. i~/holding tark on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
; On adjaceot lots
; On adjacent lots
Public sewer manhole/clcanout
Lift station
SEPARATION DISTANCES FROM ~OLDING TANK ON LOT TO:
Building foundation q t, .~ i
Property line ,~> Absorption field
I
Water main/service line '7 ~tS- Surface water/drainage ~ 10'{,91Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
'//--r
Building foundation Water main/service line
Surface water
Driveway, parking/vehicle storage area
Curtain drain
Wells on adjacent lots
Property. line
F. ENGINEER'S CERTIFICATION --
certify that ! have determined thru field inspections and review of ~vIunicipal, re, cords that the above systems,are
in conforntance with ~9[OA IIA,4 guidelines in effect on this date.
Engi~fieeriog Seal Here '
HAA Fee $
Waiver Fee $
Date of Payment
Date of Payment
Receipt Number
Receipt Number
Rev. 8/95 OSS: haa.wk.doc
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519~6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # ~"./-)- 'Li<-ti- ~,,~
GENERAL INFORMATION
Complete legal description L- ¢~T' q,
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
Day phone
Day phone
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
Community well
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:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1191) Front MOA~21
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewaterdisposal 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.
NameofFirm '1'~'~-~'1 ~r~v~-~ ~- Phone ~'¢-'~)/fo
Address ¢O._o'~ ~ /~ ~ ~-~
Engineer's signature ~ Date ~/¢/e~
DHHS SIGNATURE
Approved for bedrooms.
Disapproved.
'V/' Conditional approval for -~ bedrooms, with the following stipulations:
}~,~£~' ~'tt,~1~ I~ ?~r I~ ~cR~ To C~u~ T~E Co~TO~ ?E~Fo~d TH~ u~
Additional Comments ~rcu F¢~z ~p?~o~z H~ ¢[~ d/u~ Cy T/w~ oF~/~.
The Muni¢ipaJity of Anchorage Department of Health and Human Services (DHH$) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHH$ does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHH$ do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/91) Back MOA
Legal Dcscriptiou:
A. WELL DATA
Municipality of Anchorage
Parcel I.D.:
Well type t2-,..
Log prcsent (Y/N) .y
Total depth I IqtO
If A. B, or C, attach ADEC letter. ADEC water system number
Date completed ,~ · .,0_1 · to° 9~
Cased to [ Z~ t Casing height (above ground)
Sanitary seal (Y/N)
Date of test
Static water level
Well production
Wires properly protected (Y/N) 7
FROM WELL LOG AT INSPECTION
/, / 3 ! Il (3 i
g.p.m.
WATER SAMPLE RESULTS:
Coliform _ ~
Date of saulpl¢: 'J~/~/q ~
Nitrate
j., ~,,. ~t q/~ Other bacteria ~
Collected by: ,~ ~ .~
B. SEPTIC/HOLDING TANK DATA
Date installed
Fouudatiou cleauout (Y/N)
Date of Pumping
C. ABSORPTION FIELD DATA
Date installed
Length_ ~ f)~ I Width
Effective absorption area q~
Date of adequacy test ~///~,/~
Tank size /t~'tg-C9
y Depression (Y/N)
Pmnper
Soil rating (g.p.d./ft or ft-/bdrm) ~D
Number of Compartments o~ Cleanouts (Y/N)
[x4 High water alarm (Y/N)
System
Gravel thickness below pipe ' f~ ti Total depth
Monitoring Tube present(Y~) ~/ Depression over field ff~
Results Cass~ail) F' For_ ~ bedrooms
Fluid depth ill absorption field before test (in.); __
Inunediately after gal. water added (iu.):
Fhfid depth __
_(ins.) Minutes later:
Absorption rate = g.p.d.
Peroxide treatmeut (past 12 months) (Y/N) ffyes, give date
D. LIFF STATION
Date installed
Size in gallons
Manhole/Access (Y/N)
High water alarm level at*
"Pmnp on" level at*
*Datum
"Pttmp ofF' level at*
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot lO'C) ; oil adjacent lots
Absorption field oll lot i ~ '~ ' On adjacent lots
Public sewer main l~/~ Public sexver manhole/cleanout
Sewer/septic service line ,,~ bq~ ~.~ t Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 7
Property line
Absorption field
Water main/service line
Surface water/drainage l[PO ~ Wells on adjacent lots
/
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation t~Q O ''~P
Curtain drain ~ ! ~
Water main/service line /rig:E9 '~
Driveway, parking/vehicle storage area ¢
Wells on adjacent lots ~ /tgf_~) Property line
F. ENGINEER'S CERTIFICATION
I certify that I have determined thru.field inspections and review of Mfunicipal records that the above systems are
in conJbmnance with 140,4 H~ guidelines in effect on this date.
Signature
Engineers Name '
Date
HAA Fee $ ~ { ~ Waiver Fees
Receipt Number
Date of Payment
Receipt Number
Engineer0ig Seal Here
Rev. 8/95 OSS: haa.wk.doc
MUNICIPALITY OF ANCHORAGE
Department of Heallh & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
Parcel I.D. ~
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directio~) '.,
Property Owner ~'~¢fl/,4¢' ~f~V'/L ~ ~ Telephone: (ho~e) . Business
(c) Lending Institution " Telephone
Mailing Address
(d) Real Estate Company and Agent
Address
Telephone
Mail the HAA to the following address: (or check here~if hold for pick up.)
List contact person and day phone number below:
(e)
2. TYPE OF RESIDENCE
Single-Family'J~, Number of bedrooms
3. WATER SUPPLY
Individual Well'~ Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attestin9 to th legality and status.
4. SEWAGE DISPOSAL
On-site)~ 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.
72-025 (Rev. 7/88) Page 1 of 2
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suoqoedsu, lonpuoo ~ou op SH HQ jo see/,OldUJ3 .s~ueLueJ!nbej e~pls pue leJepe~ u!elJeO Xjs.~ps o~ JepJo u! suo!~nl!1su.
8u!puel J!eql pup SeLUOq Jo sJespqoJnd ol ,{se~Jnoo p sp S!tll seop SHHCl eq/ 'P~Spl¥ jo eiPlS eq~ u! peJels!SeJ
JeeuiSue IpUO!SsejoJd iuepuedepu! up ,~q e^oqe ~ qdpJSpJpd u! ua^lb suoRp~ueseJdeJ eq~ uodn/~lUO pespq peipoWJeO
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IpUO!i!puoo
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pe^oJddes!C] ~ p@^oJddv
~q StUOOJpeq ~ JOJ pe^oJdd¥
"IYAO~dd¥ SHHa '9
MUNICIPALITY OF ANCHORAGE (MOA)
~.~,~Ci.IORAG~ Health Authority Approval (HAA)
~ ¢..HECKLIST- FEBRUARY 1984
DIVISIOIq 343.4744
Legal Description:
RECEIVED
A. WELL DATA
Well Classification
Well Log Pr. esent(~/N) Date/Completed
Total Depth /¢/o / Cased to
Static Water Level //¢~,.5"
/
Casing Height Above Ground
Electrical Wiring in Conduitl~)'N)
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot /o-~
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
Water Sample Collected by /¢'~L-.¢'
Water Sample Test Results .~,,4-d~
Comments /~'/~ /~rz~ '~'~:$~-~
Depth of Grouting
If A, B, C, D.E.C. Approved (Y/N) .
Yield
Pump Set At
Sanitary Seal on Casing(~N)
Depression Around Wellhead (Y~
; On Adjoining Lots
/
/~t) ¢-- ; On Adjoining Lots
To Nearest Public Sewer Cleanout/Manhole
;Date
B. SEPTIC/HOLDING TANK DATA
Date Installed ~¢~-~'-(¢"?" Size /'¢~ No. of Compartments
Standpipes ~_~N) __Air-tight Caps~'~N) Foundation Cleanout (Y~)
Depression over Tank (Y~ Date Last Pumped ~-~¢
Pumping/Maintenance Contact on File (Y/N) ~ ; for
Holding Tank ~i~at~Al~rm (Y/N) ~ Temporary Holding Tank Permit (Y/N)
S EPA RATt~,IS~N C~S E PT I C/H O L D I N G TANK: /
T~ ,M*,¢,~h-~'h/~i~:'¢~%~ To Building Foundation
/
~ ' ~: ' ' Id
TO Property Line ~ ~ , To Dtsposal F~e
7o Stream~::~Oad; kake or M~iO~:Draina~e Course
Comments ' ~" :r~. :;
72-026(Rev 7/88)Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Width of Field
Square Feet of Absortion Area
Depression over Field (Yt~
Results of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
Type of System Design
Length of Field ~'"'~ /
Depth of Field
Gravel Bed Thickness
Statndpipes Present t~/N)
Date of Last Adequacy Test
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots /~¢ /
To Cutback (if present)
D. LIFT STATION
~stalled
Size in Gallons ~
"Pump On" Level at
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that ~ have checked, verified, or conformed to all MOA and HAA guideline~
inspection. ~ ~.~/)/~.~
Signed
Company
Date
MOA No.
Receipt No..
Date of Payment
Amount: $
72-026 (Rev. 7/88) Back
Receipt No.
Waiver Fee: $
Date of Payment
,sin.effect on the date of this
·
Page 2 of 2
Tom Fink,
Mayor
unicipality of Anchorage
Department o! Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
May 8, 1989
Lee Reid, P.E.
Alaska Environmental Control Services, Inc.
1412 West 33 Avenue
Anchorage, Alaska 99503
Subject: Waiver Request for Lot 9 Bloc.k 10 Mountain Park Esta%es S/D
Waiver Request 9WR89890021, HA890154, PID 9017-441-32
Dear Mr. Reid:
Your request for waiver of the required 10 foot separation
between a septic system and a lot line has been approved. The
waived distance is 0 feet.
This approval applies to the existing septic system lot line
separation only. Any future upgrade to the septic system will
require all separations .be met or another approval from this
dePartment.
Sincerely,
Daniel J. Roth
civil Engineer
On-site Services
DJR/ljw97
Mur~ ic ;L pa ]..t't"y o'f Al"lc horaEle
Dc, p~cd~'t, mc.~r/t o'f Health & Human Ser'v±ces
825 L Stre~et
~r'~chor'a~Z:je ~ Al< 99501.
A"I"TIq: Dan Rotl'~
April. 2 '7, 1989
RE: L.c>t cf, ~ Blocl:: :L() ~ MountaJ..n Park
From the I'lea].tl'~ authctr:Lty /nspectLor'l~ we fecund the trerlch
extend ov~z,r the sc~uth lot 1Zrm:, intc, ~he roadway by D 'feet,,
'The t.r-er'~c:l"~ was cut: o'f'f a't the lot L:Ln~t~ w:Lt.h a new cleanout
and monitc~r' tube .installed. 'T'hLs ],ot }Zl'qe bc:)rdel'"s Bc.?verly
Dm'"J. ve and does no't confl.tct with any or. her i:~r".tvate
I::) ro l::)e r t J.. c.:, ~r~.
The tr"cff~cl-i was ow~r"bu$ ]. '/
62 feet ].C:)l"lCl ar'id .i.s now
r"cic:k deptl"l :for a 'Eotal (:)f 874 square feet o'f area.
[kl ~ t'" E'Z~ C~ L.~ E.)~5 t t h Eli t. y o M ~:.:1 I'* at I"i '~. 6~ k,~ ~;~ J. v (E? r '~ £:) i.'- '[i h Ee t r c~? r~ c: ]'i t £3 ~s c:) L.I t. h
]. (3 t ]. :J_ I'] ia C] :J.. '~. t i:'~ I1 C: C~) (3 i:: ;:': E'? I'" 0 'f ~? O~~ '~l.
z[ 1: you hav(:~, any C:lLtC.:e'ai~t~c:)r"~s, p.l.[ca... C. cai. ]. mca ~
A C W / s r
Alan D. Wien
Sen .'L c:)r F.'ng ir~eer :Lnq
I"ec lan .'i.c
1412 WCS~ 33f~c5 c~\/~.lltl~. ~l, ~,rlCllOR~.Ci~., ,3,lASkA 99503 ~ (907) 279-5553
Property Owner
Mailing Address
Buyer
Address
APPLIC"NT FILLS OUT UPPER HAl '~ ONLY
Lending institution
Realty Co. & Agent C_ L:'~77~: /2 y~ ~.. (
Address ,~Jg'?..? T- t t' /, ,.in /,: /¢¢] ~/ '/' ./ : ~'~'
Legal Description /-~? ;~', /J"~,-¢¢/~._ ~:~ ?'W ~7~
Street Locati~ //~ ~/,~2~'.- ~/~.
Type of Residence
Single Family
~ Multiple Family No. of Bedrooms~ ~
~ Other
Phone
· ~ -/¥'/~./'? ~/'
Water SuppLy ~
~ Individual k, :,(N~
Community \~ ;-
[~ Public Utility '~
Zip Code
Zip Code
Zip Code
~hone
Phone
IATTACH WELL LOG. A well log is required for all wells drilled since Juno 1975.
For wells drilled prior to that date, give well depth (attach Io9 if available).
Sewer Disposal '~ Individual
E~ Public Utility
~ Holding 'rank
Year individual Installed:
When Connected to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
_ Time
Time Time
Date Date
Inspector Inspector
Field Notes:
Time
Date Date
r-t '~.~ '~
Insp~ctor Inspec:or
~ JUI 6 19~)3
RECE[VED
% ) APPROVED BEDROOMS
(/_~..~) DISAPPROVED
) CONDITIONAL APPROVAL'
AT,
BY:
'CONDITIONS OF APPROVAL
Soils Rating
i:ate Sewer Installed
Well To Absorption Area
Well to Tank
Well Log Received
Septic Tank Size
72-023 (3r82)
APPLI( NT FILLS OUT UPPER HA[ ONLY
Phone
'.y,~ (~<~,,//~,~ y h,~-I!~'J~t''
' ~ / ' ~ '~) ~ Phone
Lending Institution .A/~/ ~ .~Ll ,~4 L' ?'~.~/' I :P
"" . -
, -i/
Type of Resi~nce
Single Family
Multiple Family No. of Bedroo~
~ Other
Water Supply ATTACH WELL LOG. A w~l log is required for all wells drilled since June 1975.
· ~ Individual For wells drilled prior to that date, give well depth (attach log if available).
~ Community
~ Public Utility
Sewer Disposal Year individual Installed: ~
Individual When Connected to Public Utility:
Public Utility
~ HoldinO T~nk
NOTE: THE INSPECTION PEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time
Date Date Date Date ~ - \ ~ ~ '~)'~'~._
Inspector Inspector Inspector inspector
'CONDITION8 OF APPROVAL
,~) A~PRO~ BEDROOMS
BY: ~ ~~
8oils ~atin~ Da~e ~wer installed W~II To Absorption Area Well Loo Received
72.023 (3182)
Se~>~embe~ ~L5 ~ 19D, 2
Fe ~ o :; D cv (; ]. o'om o n t
6917 Ot(l Y;eward [!ighw~y
Anehoraqo, ~K 99502
· ':;u'r)ject: 1,ok 9 B].oc;k ].0 Vk:,un~ai.n Pk
ADNrova~ :{for t-,he individual ~ower al~([ water :f.;cteillt.i.,e,.'; cannot
bo grantod until kit[-: ?.ollowing 'ktems 'have: been coml.~le±:o,d."
o rj?l~e waher analysis rcq?or'h needs: Lo be submit, ted to
A :(our (4.) inch cast i. ron c].canout needs t:o be installed to
the septic -tau-}c and/or leaching area.
q?he degressicm over tl~o sewer aystem v/ill t~ee(it 1:.o %}e ~:j.].le(l
so -hha% surface water drnJ. ns :~way from the sewer
Please notifv tb_:i..q Department ~{¢)r a reins'pechion when the
~o'hed diacreDancies have been correct~:ed. Yf t-.horo are atly
fur'Uher questioils, please ca].l l:.'hJs office at 264-~4720.
[Jinco. reky,
Robert C. Pratt.
As~s.;oc[at[:~ !,lnvJ. ron¥~ent;al Spec:ia],ist