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Home My WebLink AboutMOUNTAIN PARK ESTATES #2 BLK 3 LT 14 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE [] UPGRADE LEGAL DESCRIPTION Well / DISTANCE TO: lO O '"~"' Manufacturer DISTANCE TO' IWell ' I Manufacturer Well DISTANCE TO: I tOO No, of lines i I Length of, e~a~:h~ I~ne Top of tile to finish grade Length Width Type of crib Crib diameter DISTANCE TO: Well Class,~ ~ ~L Depth ! Building foundation DISTANCE TO: OTHER PIPE MATERIALS ~0~ SOl L TEST RATING INSTALLER REMARKS Absorlti~1~n/area Dwelling~ / Mate~.~ Inside length Width NO. OF BEDROOMS PERMIT NO. Liquid depth Dwelling PERMIT NO, Liquid capacity in gallons Materia]~o ~ Foundatio~ ~/' Nearest lot lin Total le~t~/~, lines Trench width// I ,"~ o~. inches Material beneath tile Distance between lines inches Depth PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line Septic tank Sewer line Total ~e~)~v~absorption area Absorpt on area(s) APPROVED DATE LEGAL 72-013 (Rev. 3/78) FERII_T NO. DEPF1RTMENT OF' HEFIL. TH FIND EN'v'IF".ONMEi'-4TFIL PROTECTION 825 "L." STREET, FINCHORRGE., RK. 99501 " 264-4720 IL,.a E L, b. ~ il".-,l E:, C~ IP4 ....... S .~. T' I-b= :=_=; E] ~....fl ~-S F-: ,:: 780579 ) FIPPL. I CFiN'r LOC:R'T 1 ON LE:GFIL F RFII'41-=:: F:E'f'NFIf;.:D FOSTER :, r Lt4 B~: MOLINTRIN F'RF.:K EST S F..: R -1 ¢:,:~ok' LOT :,I~E S:44 E;OKIE; 20~ 50 '_: L:)UFtRE FEEET T'¢F'E OF' SOiL RE:L=;ORE:TION .S'-r'STEM IS: TREI"~C:H MFI,,-::IMUM NUMBER OF BEDROOMS = 4 ,L IL RR'FING ,"-1.3 FT,...'BR)= d.,>. THE REQUIRED SIZE OF THE ...... 'RI-III HB:,CF..F FI_N :,'r:,TEi'l I'=:. THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD_ THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE 8ETHEEN THE SLIF,:FFICE OF THE GROUND RN[:' THE 80TTOM OF THE EXCR'v'RTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. TNE GRFIVEL DEP'f'FI IS TNE MINIMUr,1 DEF'TN OF GRFIVEL BETWEEN THE OLITFFIL. L PIPE' RN[:, THE BOTTOM OF THE E:,.:',CFIVFITION (IN FEET). PERMIT FIPPLICRNT HRS THE RESPONSIDILIT'¢ TO INFORM THIS [)EF'RRTMENT DURIi'.,II3 THEE INSTRLLBTION INSPECTIONS OF FINb' !.4ELLS R[:,JFICENT TO THIS PROPERT"r' RN[:, THE NLIMBER OF' RESIDENCES. THRT THE NELL I.'.IILL SERVE. qt'~ ~...~ 0:) ,:: 2 ::. % ~"-.l ~ F" ~=-' C: 1- :E. C, I'-,~ ~ F~ F-." E!E ~:;~" E-=-' ~]:-" L.i % F...". E~: E::, ............... BRCKFILLING OF FIN'¢ S'¢STEM NITHOtJT FINRL INSPECTION RND RPPF.:OVF~L. B'¢ THIS DEF'FIF.'rTNENT HILL E:E SL.IBZECT 'FEi PROSECUTION. MINIMUM DISTANCE BETWEEN R NELL RND RNY ON-SITE SEWRGE [:,ISF"OSFIL SYSTEH IS; t00 FEET FOR FI PRIVFITE WELL..~ OR 150 TO :-300 FEE]' FROM R PUBLIC WELL DEPENDING UPON THE T'T'PE (ill:' F"UBLIC NELL. P.tELL. LOGS RRE REQUIRED RND MUST BE RETURNED TO THE:. DEPFIRTMENT P.IITFIIN ]J:O [:,R"r'S OF THE HELL COMPLETION. OTHER REQUIREMENTS t"1R'.¢ RPPL't'. SPECIFIE:FITIONS FIND CON'::qTRUCTION DIRGRF1MS FIRE RVRILFtBLE TO INSURE PROF'ER INSTFILLRTION. F' [£ F':: I-"1 :[ -F E..--... F ][ F-. E .... [:, ES C: E-E I'"1 E: E F-: 2:_:: ::[ ..... :~L "::" 7' I CERTiF~r' THFtT ±: I FIN FFtMILIFIR WITH THE REL;&.IIREMENTS FOR ON-SITE SEI.4ERS RND IdEL.LS FtS S;ET FGRTH B'¢ THE MUNICIPRLIT',¢ OF FiNC:HORFIGE. 2.: I WILL INSTRLL THE S'¢STEM IN FICCORDFtNCE .WI'tH THE CODES. S:: t I. NDEF.'STRN[, THFIT ]'HI-' ON-SIT.~.. SEWER S'¢5;TEM MFI'¢ REQIJIRE ENLHI~.~EMENI IF' TFIE F.-:ESIE:,ENCE I'S F~] I_~..,E M/O¢'.'.~ T/~IN 4/~/~ --~/ / -~ BE[,F..:O,]i",S. sI, Ner.:,: ........ ....................... ................ 7 SOILS LOG -4 ~ 2_0 ;2 16 18 2O Soil Type Water Level keu1ar]<s Total Depth of Excaw~tion Groundwater (~ Not Reached Depth, if Reached Classification >luthod ~>~ Visual ( ) Sic:x,c: Ana]ys]s () )[aterial at Total Depth Bedrock ~ Not Reached Depth, if Reached Gary F. Player, Con.~ult~n,v. Geologist WATER WELL LOG FOSS DRILLING 13~6 I~ra Street ~chorage, ~a~ka 99501 · SIZE OF CASING OF HOL STATIC WATER LEVEL /~ FT. YIELD FEET OF DRAWDOWN. REMARKS DATE COMPLETED ~, --~- ~. g PUMP TO BE SET AT to to to to __to __tO ___~o ___to to to to MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTME~ OF ~EALTH AND ENVIRONP~NTAL PROTECTION ;~PPLICATION FOR ~ALTH AUTHORITY APPROVAL CERTIFICATE General Information Application Date /~ ~¥~,~, ~ · Legal Description (include lot, block, subdivision~ section~ township, range) Location (address or directions) Applicants Name ~¢~:~-~:~/ Telephone - Home ~h~ Business Applicant .is (check one) Lending Institution ~ ; ~er/builder ~ ~ Lending Institution Telephone (c) (d) Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2o T~e of Residence Single-Family~ Number of Bedrooms 3. Water Supply Individual Well~ Multi~Family~--~ Other (describe) Community ~ Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4o Sewage Dis,p0sal Onsite ~ Public ~ Community ~ Holding Tank ~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 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. 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 w~stewater disposal system is im compliance with all Municipal and State codes~ ordinances, and regula- tions in effect on the date of this inspectiomo 0 Name of Firm___~.~.~, //3C~, Teleph°ne~-~~1-'~/¢ Date--_ Approved for/~,~,~edrooms Approved ~ . Disapproved Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRO~NTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENt- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THESTATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES ~ND THEIR LE~ING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. ~IPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 ae Be MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHO~TY APPROVAL (~aa) CHECKLIST - FEBRUARY 1984 Well Classification ~ g~ Well Log P=esent ~/N) Total Depth . ~7~' Cased to Static Water Level /~ ' Casing Height Above G~ound Electrical wiring in Conduit ~//N) Sepa~at~°n Distances f~cm Well: To Septic/Holding Tank on Lot /~' 7~ To Nearest Edge of Absc~ption Field on Lot To Nearest Public Se~r Line ~//) Date Completed Pump Set At 7~0/'~ Yield Depth of G~outing ~/~ Sanitary Seal on Casing ~/N) Depression Around Wellhead (Y~ ; On Adjoining Lots '~/~Y_) '~ ; On Adjoining Lots To Nearest Pu61ic Sewer C leancut/Manhole /~//~ Water Sample Collected By ~. '~¥y~Wk~ '; Date Water Sample Test Results SEPTIC/HOLDING TANK DATA To Nearest Sewer Service Line on Lot -.! Date Installed ~7/,:~QI":'~) Size /~:Q.~ NO. of C~,~a~tments ~ Standpipe ~N) Ai~-ti~t Cap~) Foundat~out ~) ~ession o~= Ta~ (Y~ ~te ~st P~d ~/,~~ ~ing~intenan~ ~n~a~ ~ File (Y~) ~ ; for ' ~ ~ Holding Ta~ High-Wa~e~ ~a~ (Y~) ~)~ ~r~y Holdi~.'Tank ~t (Y~) ~ ~ ~p~ation Distils ~ ~ptic~olding Ta~: To Water-Supply ~11 ~' ~ To ~ilding F~ndati~ ~ To ~o~ty Li~ ~ To Dismal Field .~ To~ ~t6r ~i~=vi~ Li~ % ~' To S~e~, ~, ~e, ~ .~jo= ~aina~ [Pa~ 1 of 2] q%~O~ 2-~5-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /~-Y~ Type of System Design Date Installed 7/~/~-7~ Length of Field ~ Width of Field ~,~ ~p~ of Field /~ Grail ~d ~ick~ss ~' S~e Feet of ~s~ption ~ea ~~ Stan~i~s ~esent ~p~ession o~ Field (Y~ ~te of ~st A~a~ ~st ~~ Results of ~st a~a~ ~st ~~ -~ ~W~ ~p~ation Distan~ f~ ~s~ption Field: To ~te~-Supply ~11 /~/o/ ~ To ~o~ty ni~ ~' ~ To Building Foundation ~ ~ ~ To ExistinG or ~ndo~d System Lot ~/~ ; ~ Adjoining ~ts ~ ~O' ~ To Wate~ Main/~vi~ Line ~ ~/7~ To ~t~(if p~e~nt) ~/~ To St~e~ond~ke/~ Majo~ ~aina~ C~se ~ ~' ~ To ~iveway, Pa~ki~ ~ea, ~ Vehicle St~a~ ~ea ~ z/'? ~ ~ D. LIFT STATION Date Installed Size in Gallons "P~ On" Level at High Water Alarm Level at Tested for ~~~ng Electrical Codes(Y/N) J Comments / Dimensions ~ M~ole/Ac/~s~/N ) ~~f" Level at .... ~ Vent (Y/N) Cycles du~ing Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request I. certify that I have checked, verified, o~ confo~n~d to all MOA on the date of this inspection. Signed ~~.~'~,~ Date ~ Company/ /~ //Q~_~, " MOA NO. ~ KB1/d5/s [Page 2 of 2] 2-15-84 ALASKA ei LIIROIqmeF1TAL cOrlTROL Ser.'Jce$, IlqC. I~r~,ti~ri~,:1 8 ~r~,i,'~,mcr, l~l PETER JARRET 207 E. NORTHERN LIGHTS ANCHORAGE ALASKA 99503 MAY 23 1985 SELLER-PETIE STRANGE/DYNAMIC REALTY PETER JARRET 207 E. NORTHERN LIGHTS ANCHORAGE ALASKA 99503 50222 LEGAL:MTN. PARK ESTATES #2 BLOCK 3 LOT 14 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-MAY 22 1985 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 528 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 814 GALLONS. BASED UPON THE TEST DATA THE SYSTEM Iq ACCEPTABLE FOR A 4 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT HAS NOT BEEN PUMPED WITHIN THE PAST YEAR. ADDITIONAL COMMENTS : THE HOUSE HAS BEEN UNOCCUPIED SINCE AUGUST 1984. 1200 gJcsl 33rd Auenu¢, $uii¢ [~, Anchor~t§¢, Alaska 99503,(907) 561-5040 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF H~ALTH AND E~IRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date .~(C~(,i.c~~' ~I--~L (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicants Name '~:~!~[~ ="\ ~' ~%1- Telephone (c)Applicant is (check one) Lending Institution ~ ; O~er/builder ~ ; Buyer (d) Lending Institution Telephone Bus iness ~;> -~ ~./.,~. ~. jc~-~ c[clf j -5 Address (e) Real Estate Co. & Agent Address Telephone :~(f) Mail the HAA to the following address: 2. T_Lpe of Residence Single-Family~ Number of Bedrooms 3. Water ~upp1y. Individual Well~ Multi-Family Other (describe) 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 L--~ Holding Tank ~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 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. 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 regula- tions in effect on the date of this inspection° Name of Firm 'A ~(~'~-~ i /~rTT'-' Telephone, ~[P/'i~)</O Address_ ~<__~ . J~OL~ DHEP Approval Approved for Approved /~ bedrooms Disapproved __ Conditional Terms of Conditional Approval CAb=rION THE MUNICIPAL'ITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES ~ALTtl AUTHORITY APPROVAL CERTIFICATES BASED SOI~LY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURChaSERS OF HOMES ~ND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 ae MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 ~ . Legal Description: ~. ~ Well Classification ~/~(~ If A, B, c~ C, D,~oCo Approved(Y/N) Well Log P~esent~N) Date C~91eted Yield Total Depth ~ % %. Cased to _~{~. Depth of G~outing Static Water Level \~'~v~ Pump Set At Casing Height Above Ground ~,~ d)~'% % Sanitary Seal on Casing Electrical Wiring in ConduitS) Depression Around WellheadS) Separation Distances f~c~ Well: To Septic/Holding TaD~k on L6t I~)~~ ; On Adjoining Lots ~ TO Nearest Edge of Absorption Field on Lot ~~ ; On Adjoining Lots To Nearest Public Se~= Line ~ To Nearest Public Se~r Cleanout/Manhole ~ ~'~ To Nearest Sewer Service Line on Lot Water Sample Collected By ~<(~-3/~ ~f%~CC~9~ Date ~ \O'- ~q Water Sample Test Results ~CL~ ~"~----~:~3~%,.I ' B. SEPTIC/HOLDING TANK DATA Date Installed 7'%QD -7 of Cc~pa~U~-ents Standpipes _~N) Air-tight Caps ~) Foundation Cleanout ~/~) Depression ove~ Tank (Y~ Date Last Pumped ~- Pumping/Maintenance Contract on File (Y/N) ~\~; for Holding Tank High-Water Ala£-m (Y/N) ~\~ Temporary Holding. Tank Permit (Y/N) Separation Distances ~om Septic/Holding Tank: To Wate~'Supply Well ~(J~ ~V: ~ To Building Foundation ~.l~ To P~operty Line To Water Main/service Line TO Disposal Field lq ~'~-- TO Stream, Pond, Lake, c~ Majo~ D~ainage [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 7- ~)" '7~ Width of Field .__~Q /' ~Y~Squa~e Feet of Absorption A~ea Depression over Field (Y~') Results of Last Adequacy Test Date of Last Adequacy Test Length of Field ~ ' Depth of Field [~ ! Gravel Bed Thickness ~' Standpipes P~esent ~N) Separation Distance from Absc~ption Field: To Building Foundation /~7 '~. ~ To Existing or Abandoned System on Lot ~1~ · ; On Adjoining Lots 7~ ~O .~, -~ To Water Main/Service Line Z~7~+~ To Cutbank(if present) To Stream/Pond/Lake/c~ Major D~ainage Course .~/~ ~. ~k To D~iveway, Parking A~ea, o~ Vehicle Storage A~ea ~/'~ ~. ~ D. LIFT STATION Size in Gallons ~ "Pump On" Level at '~ High Water Alarm Level at Dira~ nsions Manhole/Access !Y/N) "Pump Off" Level at ~ Vent (Y/N) Tested for Electrical Codes (Y/N) Co~nts Pumping Cycle~~ Adequacy Test. Meets MOA ** Check Permitted Bed~ocm Rating A~ainst HAL Pequest I certify that I have checked, verified, o~ confcan~ed to all MOA HAL ~G~,r~s in effect on the date of this inspection. Signed Date Company MOA No. 2-15-84 ALASKA ei~LIIROFImeFITAL CODTROL SeF4ulCe$, IFIC. Peter Jarret 207 E. Northern Lights Anchorage, Alaska 99503 August 14, 1984 Seller - Porcello Joseph Subdivision - Mt. Park Estates #2 Block 3 Lot 14 On~_Au~. 10, 198~, Alaska Environmental Control Services, Inc. pe~orme~ a-~-~Ie -l~Flow test on the subject property. The Well Flow rate was 3.4 gallons per minute and ran for a total of 3 hours. Approved by: t200 gJcst 33rd Aucnuc, Suite ~. Anchor~§~, Alaska 99503 .[907) 561-5040 ALASKA B iUII OIlm rITAL COFITROL Iric. ~nclineerincl 6 ~nuironmentaI $1udies August 14, 1984 Peter Jarret 207 E. Northern Lights Anchorage, Alaska 99503 Seller - Porcello Joseph Subdivision - Mt. Park Estates ~2 Block 3 Lot 14 On August 10, 1984, Alaska Environmental Control Services, Inc. performed a Well Flow test on the subject property. The Well Flow rate was 3.4 gallons per minute and ran for a total of 3 hours. Approved by: 1200 JJLJest 33rcJ Auenue. Suite [~ o Anchoracle. Alaska 99503-[907) 561-50zj0 "l'- ' APPLI( tT FILLS OUT UPPER HA',, · 3NLY Mailing Addre~ Zip Code Buyer Address Zip Code Lending Institution Phone Address ~ ' ~- Zip Code Type of Resi~nce ~Single Family ~Multiplo FamH~ ~o. of B~droo~ ~ Othor Wator Suppl~ ~ Individual A~ACH WELL LOG. A wall Icg is requi~ed for all wells drilled since June 1975. ' ~ Community For wells drilled prior to that date, give well depth (attach Icg if available), ~ Public Utility ~, Individual Year Individual Installed: ~ Public ~ility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED, Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ~f'7.- ¢:-~ _ r~c.~C&~'-~'-- MUNICIPALITY OF ANCHORAGE '.~- ' ,t,~k.c.~ DFPT. OF IJ~:'l-7;~ { ) COND}TIONAL APPROVAL* Soils Rating Date ~wer Installed Well To Absorption Area ~ gy~ Wall Log Received .,:/;,,, ..... 72.023 (3182) February !.7~ ]o,~- Century 21 Heritage Ho~nes Attn~ Peter Jarratt 207 E Northern Ligi~ts Anchorage ~. AK 99503 ~ .~l:.c-~ 3 Mountain Park Suh,~ect~ L.~t i4 ~ n-~.- . A?)~]roval for the individual '~nw'~+~ and water facilities cam'lot be qranted until the following ~ ........ been ~'".~' ~ .,w~, too of the ~'~] ca¢in,s ,~n,.~4ould ~oe soaied so that it i;~ water: tight ~ . ta~.~ ~mraped a _,:c~;.1, O,- ,~-:,ub;nltted ho this The septic .... ~ with ~ ..... '- ~ ' department. o An adequacy test ~eeds to -~ performed on tile ex:tstinq leachin:~ a~ea~ This t~,~t' will d~,te',-~v r',~ if the ,~.z~e~'~ ' ' ~ ......... ta:~ .... r ..... A ].z,~t].ng of a(:~equato according to ~'~at~nal ~' - ~ ~"~ ~*' '" ' .. . '- ' .thl report private firms ~et~orming ,_he test is enclosed. o,_ s~]b!'nltted to ~'b ~ ~ office '~o~- our review. Please notifv '-',.nl'm~_ De'pautn/ent for a ..... }... w~.n the noted di~c~-o~ancJ, os have been corrocte~. Zf th'oro are any Eric Jim Roberts :~s~d... 1 .... ~:- Environmental~-'~-,~d._.(._a'~' list · ,-I-obben Spurkland P.E. March 24, 1983 MUNICIPALITY OF ANCHORAGE DEPT. OF HE/,LTH E', ENVIRONMENTAL PROTECTION MAg 2 5 RECEIVED Larry Mauldin Coldwell - Banker, Jack White Co. 3201 "C" Street Anchorage, AK 99503 LEGAL: LO CA T I O N: OWNER: RESIDENCE: WATER: SEWER: DATE OF TEST: TEST PROCEDURE: SEWER AND WATER SYSTEM INSPECTION Lot 14, Block 3, Mountain Pack Estate On Foster Novicki Four-bedroom, single family Onsite well From Municipal Records Tank - Greet Steel 1,250 gallon, 2 Compartments Absorption System - Trench, 6 x 44 Absorption Area - 528 square feet Soil Rating - 125 Installation Date -July 1978 March 22 and 23, 1983 System was inspected on March 22, 1983. Liquid depth in tank was 51 inches. Liquid depth in sump 15 inch- es. On March 23 the tank was pumped. Approximately 1,250 gallons of waste was removed. At the same time, water was added to the trench at a steady rate at 5 gallons per minute. The liquid depth in the sumP was 19 inches at the beginning of the test, went up to 22 inches and remained at that depth throughout..the test. ;]-obben Spurkland P.E. TEST RESULT: 300 gallons was added. Within 15 minutes the liquid level went back to 17 inches. This system absorbed 300 gallons in less that 90 min- utes. It meets the requirements of the Municipality. MUNICIPALITY OF ANCHOR IT'~FO..F~ RAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL P~ ....... ~/~ ENVIRONMENTAL PROTECTION 82E L Street - Anchorage, Alaska 99501 {ENVIRONMENTAL ENGINEERING DIVISION JAN 9 3979 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE I DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER I PHONE MAILING ADDRES~ P~OPE~TY ~ESID~NT ~I~ dff~eren~ from above) ~HONE / PHONE 2. BH~ ~ MAI LING ADDRESS 3, LE~DI~G INBTITUTI~, PHONE 4. REALIOR/AGENT ~ / PHONE MAI LING ADDRESS / 5. LEGAL DI~SCRIPTION STR E ET EOCATI ON 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [~ Four ~L SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY ~ 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 UTI LITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM · *If individual/on-site, give installation date / -- f/~' INDIVIDUAL/ON-SITE** If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPI: OF RESIDENCE NUMBER OF BEDROOMS [[~"SI NG LE FAMILY [] ONE [] THREE [] FiVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY E~INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER EE~II~DIVI DUAL/ON -SITE DATE INSTALLED EZ] PUBLIC UTILITY Connection Verified INSTALLER []SepticTankor E~HoldingTank ~~. ~ Size: J'~-~O If Tank is homemade SOILS RATING give dimensions: TYPE DE TANK MANUFACTURER~ TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Line 5. COIVIMENTS EZ~'~'APPROVED FOR Z~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78}