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HomeMy WebLinkAboutHUFFMAN #1 BLK 1 LT 4Huffman Block 1 Lot 4 #018-161-05 v■ AIn K?.::_. Municipality of Anchorage a On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT DEC 2 6 2014 Permit Number: OSP141261 PID Number: 018-161-05 Dwelling: 0 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑t Upgrade Name: DARCI DANIEL & GREGORY ZACHARIAS ABSORPTION FIELD a Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 13900 LAKE OTIS PARKWAY ANCHORAGE AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPDISF 13.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.7 Ft. Gravel depth beneath pipe 8.8 Ft. Subdivision Block Lot HUFFMAN #1 1 4 Fill added above original gradeGravel _1 p Ft length 2 " 25 = 50 Ft. Township Range Section Gravel width 3 Ft. Beds: Number of Lines " Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 880 Ft 2 16.2+ Ft. well — >100' — >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water — >100'— — _ Gal. _ Material Number of compartments Lot Line >10' — NA Foundation __ >10' — — LIFT STATION Manufacturer Capacity Curtain Drain __ >50• — __ _ __ Gal. Remarks EXISTING DRAINFIELD CONNNECTED VIA Pump on level at in. Pump off level at _ in. High water alarm at '- in. DIVERTER VALVE. TANK BAFFLE INTEGRITY VERIFIED Pump make and model Electrical Inspections performed by PIPEMATERIAL Housetotank Tankto3034 drainfeld Installer A+ HOME SERVICES Drainfiield 3034 CO/MT3034 Inspector ANSON MOXNESS BENCH MARK (Assumed elevation) 100 ft Inspdection 1� 10/14/14 10/14/14 Location and description tion 2w 3rd 4" BOTTOM SIDING SE HOUSE CORNER COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's SStamp r\ Conditional Approval: Date � �.•4 THS;' i . ... E. SPUR{ II FA , fo is�ly. Approv Date /- Inspection R _9-1-12.doc I© s LOT 4 WNG RES A 8 T. C.O. D 34.5' iL CA. E 31.5' VENTER F 31.0' C.O. G 21.0' 35.5' M. I. H 32.0' 20.5' : C.O./ 32.0' 11.0' : C.O. 1 43.0' 51.0' M. I. K 47.0' 40.0' : C.O. L 47.5' 40.5' LEVEL LOT 3 y 3 LEVEL s " lNSUU f . NSTALL INSTALLED 4 -BEDROOM SEPTIC SYSI INSTALLED DIV£RT£R VALVE C TRENCH "IN 50 FEET (1 x 25) 3.0' TRENCH WIDTH 2 FEET 7 0' MAX EXCAVATION DEPTH 13.5 FEET 8.D' ROCK DEPTH 8.8 FEET INSULATION UNDER DRIVEWAY NOTE.• SLOPES EXCEEDING 25% WERE NOT OBSERVED WNNIN 50 FEET DOWN GRIINENT OF THE PROPOSED ABSORPTION FIELD LOCATION. NOTE: INS IS NOT A SURVEYED PLAT. WELL G S£PW LOCATIONS TAKEN FROM ON-SIIE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE 25 0 P5 50 75 100 125 150 SCALE., I' = 50 FL LEVEL 4' CONTOUR LINES I SruNKcanu tnvnvtcmrvv I I NUFFiAN1 BLK 1 LT 4 I I SEPTIC SYSTEM DESIGN I 203 W 15TH. AVENUE BATE, OCT 15 2014 ANCH AK. 99501 GREG ZACHARIAS C907) 279-3916 13900 LAKE OTIS PARKWAY SHEET., P/3 GRID+ TVP933 IPERMIT # OSPI41061 PID N 018-161-05 HUFFMAFUBILASC50-ASBDVGIIf OSP141061 PID N 018-161-05 HUFFMANIBILASC50-ASBDVGI TN EB El1Y A&P M. PAE QEY-9A1' EW! aEY>&L4' MMW M ELEY 7"' INSTALLED 1200 GALLON SEPTIC TANK NU SCALE DIVERTER VALVE VERIFIED BAFFLE INTEGRITY Trench Elevation (TyP) INSTALLED DIV£RTER ctean0ut5 VALVE INSTALLED DOUBLE Z� CLEANOUTS n fes, I+ SPURKLAND ENGINEERINGI I HUMM" /1 BLK 1 LT 4 I I SEPTIC SYSTEM DESIGN I 203 W 15TH. AVENUE ANCH. AK. 99501 GREG ZACHARIAS RATE, OCT 15 2014 (907) 279-3916 13900 LAKE OTIS PARKWAY SHEET, 3/3 GRID: SV2933 PERMIT N OSP 141261 PID 6018-161-05 HUFFMAN1B1L4.D3-ASB.DWG 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: OSP141261 Tax Code Number: 01816105000 Work Type: Septic Upgrade Permit Effective Dates: July 29, 2014 to July 29, 2015 Design Engineer: SPURKLAND ENGINEERING Subdivision: HUFFMAN #1 Site Legal Address: HUFFMAN #1 BLK 1 LT 4 G:2933 Owner/Address: DANIEL DARCI L 50% & ZACHARIAS GREGORYA 50% 13900 LAKE OTIS PWKYANCHORAGE AK 995160000 Site Mailing Address: 13900 LAKE OTIS PKWY, Anchorage Lot Size in Sq Ft: 15900 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank N Privy N Private 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 prior 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 during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: Date: 7 30 % Date: Z9 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 018-161-05 Property owner(s) GREG ZACHARIAS Mailing address 13900 LAKE OTIS PARKWAY Day phone Site address SAME Legal description (Sub'd., Block & Lot) HUFFMAN #1 B1 L4 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field � Initial F-1 Single Family (SF) (w/wo ADU) Septic Tank ❑ Upgrade El Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ 5 B II4 AI i TT �1 ASF and/or D) W I V,1 Private Well ❑ M!(. Water Storage ❑ JUL 2 1 2014 THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with aoolicable Municipal Codes. owner or authorized agent) Permit/Rush Fees: 6(001— Date J%q—Date of Payment: —11 Z41 I y Receipt Number: 0tA65-(0 G Permit No. or✓C ti41Zte 1 Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. Spurkland Engineering Environmental Consulting and Design SEPTIC SYSTEM DESIGN HUFFMAN #1 BI L4 Municipality of Anchorage July 22 2014 Development Services Department On Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Subject: Septic System Installation Permit 13900 Lake Otis Parkway Ladies and Gentlemen: I am writing to request a septic system installation permit for the above referenced property. The existing septic system is failing and the owner would like to replace it. The proposed system will serve a 4 -bedroom single-family residence. Soil logs, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Calcs: No groundwater observed. (7/22/2014). Soil Rating. From Test hole 7/15/14 1.4 min/in = 1.2 gal per sq.ft./day No. of Bedrooms 4 Required Area per Bedroom: 15011.2 =125 sq.ft. Total area required: 125 x 4 = 500 sq.ft. System: We are proposing a deep trench absorption field connected to the existing system via a diverter valve. The absorption field will consist of two trenches 25 feet long and 2 feet wide and contain 8.5 feet (850 sq.ft. effective) of sewer rock. The trenches will be connected via a 50/50 flow splitter and double cleanouts will be installed after the tank and before the diverter valve. All piping under the driveway will be insulated. Soils: A Test hole was excavated on July 15, 2014. See the attached soil logs. Ground water monitoring will continue through construction of the septic system. Groundwater was not observed on July 22, 2014. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net Spurkiand Engineering Environmental Consulting and Design Surface Water: There are no surface waters within one hundred feet of the proposed septic system upgrade. Topography: The ground level is generally level around the entire lot. Waivers: None The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, LM'S Lars Sp rkland, P.E. Civil Engineer 203 West 15a` Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net TI2N R3W SEC 29 PARCEL 5 RABBIT CREEK PARK �I II I I II II I I I — — DEARMOUN ROAD IN NOTE. THIS IS NOT A SURVEYED PUT. WELL k SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUM£NTAAON. ALL LOCATIONS SHOWN ARE APPROXIMATE. 50 0 50 100 150 200 250 300 SCALE., I' = 100 FT. SPURKLAND ENGINEERING HUFFMAN #1 BLK 1 LT 4 SEPTIC SYSTEM DESIGN 203 V 15TH. AVENUE DARCI DANIEL & GREG ZACHARIAS DATE, JULY 15 2014 ANCH. AK. 99501 (907) 279-3916 13900 LAKE 0715 PRKY ANCHORAGE AK SHEET, GRID: SW2933 PERMIT # OSP141OXX PID # 018-161-05 HUFFNAN1B1L4.SCIOO.DVG 4' CONTOUR LINES NOTE.• SLOPES EXCEEDING 25% WERE NOT OBSERVED WHIN 50 FEET DOWN GRADIENT OF THE PROPOSED ABSORPTION FIELD LOCATION. NOTE. THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 25 0 25 50 75 100 125 150 SCALE, I' = 50 FT. ISPURKUND ENGINEERING I I HUFFMAN #I BLK I LT 4 I I SEPTIC SYSTEM DESIGN 203 V 15TH AVENUE GREG ZACHARIAS B4 7E JULY 15 2014 ANCH AK 99501 Tann aye-WIA 13900 LAKE 17TIS PARKWAY SHEEP 2/3 GRIDS SV2933 I PERMIT If USP141XXX PID If 018-161-05 HUFFMANIBlL4.SC5D.DV6 Deep Trench: 2' Vlde 2x25 ?--ir.VLong 13.5' Max. Depth 8,5' Sewer Rock 4' Cover INSTALL 1200 GALLIIN SEPTIC TANK NO SCALE DIVERTER VALVE VERIFY BAFFLE INTEGRITY Trench Elevation (TyP) INSTALL DIVERTER Cl2anouts UALV£\ INSTALL I/Of/BLE cL£ANDurs Monitor tarrier11.�,,r n n 8,5 ft of Septic Rock TO SEPTIC TANK ISPURKLAND ENGINEERING I I HUFFMAN /I BLK I LT 4 I I SEPTIC SYSTEM DESIGN 203 V 15TH AVENUE GREG ZACHARIAS BA 7E.- JULY 15 2014 ANCH, AK, 99501 (907) 279-3916 13900 LAKE HTIS PARKWAY SHEET, 3/3 GRID: EV2933 I PERMIT # OSP 141XXX PID #018-161-05 HUFFMANIBIL403OV6 Spurkland Engineering 203 W. ISth Ave. Ste, 202A Anchorage, AK 99501 TEST HOLE # I_ DEPTH 1 2 3 4 5 6 7 8 9 10 if 11 13 14 15 16 17 18 19 20 u ;M SPURKLAND No r.F-119(la SOIL LOG AND PERCOLATION TEST SOIL DESCRIPTION DATE.—ZZL 14 WAS GROUNDWATER OBSERVED: No DRCANcs IF YES, AT WHAT DEPTH. AFTER MONITORING PERIOD: Dry _ DATE OBSERVED: =1414 PERCOLATION TEST.- Sand w/ some gravel and sill (Sw) Sandy Sill (SM/ML) 0 FILL DATE I GROSS TIME NET TIME I DISTANCE DROP 6.000 711 14 12:30 PM 0 min. 6.000 12:47 PM 7m 15s 0.000 6 000 6.000 12:55 PM 80100s 0.000 6000 6.000 1:04 PM 8m45$ 0.000 6.000 1:13 PM 8m30s 0.000 6000 PERCOLATION RATE. 1.4 minutes/ inch P£RC HOLE DIAMETER: 6 inches TEST RUN BETWEEN 4.5 FT AND 5 FT SITE PLAN: NOTES: PRE—SOAKED _ PERFORMED BY.• Anson Moxness. 1, Lars Spurk/and P.E. CERTIFY THAT THIS TEST WAS PERFORMED /N ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. SPURKLAND ENGINEERING HUF'FMAN /1 BLK 1 LT 4 SOIL LOG PERCOLATION TEST 203 W 15TH. AVENUE ANCH. AK. 99501 GREG ZACHARIAS DATE. JULY 22 2014 (907) 279-3916 11 13900 LAKE DTIS PARKWAY GRID Nr SW2933 PERMIT # PID # 018-161-05 7 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 0* ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑ NEW AC,° UPGRADE MAILING ADDRESS T O. A /0 - / & ANC40RAGF. AK 511 LEGAL DESCRIPTION L c5T q P LOCK RUFF PII D LOCATION OFBEDROOMS _ _ _ ) �ryry NNO. A Q_ DISTANCE TO: Well Absorption area Dwelling PERMIT NO. U —Y aQ Manufacturer Material No. of compartments wF w Liq. capacity in gallons IF HOMEMADE: Inside length Width .Liquid depth DMZ DISTANCE TO: Well Dwelling PERMIT NO. 2 z F Manufacturer Material Liquid capacity in gallons _j= T DISTANCE TO: Welly Foundati�nn 6�L Nearest lot line PERMIT�NO. J LL Z F 2 W No. of lines/ Length of SCh line / Total len4P o lines y Trench inches Distance between lines cc I... Top of tile to finish gra Material beneath tile of Total effective absorption area D — inches b Length Width Depth PERMIT NO. W aF wa Type of crib Crib diameter _ Crib depth Total effective absorption area w DISTANCE TO: Well Building foundation Nearest lot line .j Class Depth Driller Distance to lot linePERMIT NO. i W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER 0 PIPE MATERIALS _ D r� /� '/i v e- e 57`/e o SOIL TEST RATING 9 cAsr Re cA W 1. ;/ 3 INSTALLERAA _��� DEAR 1 /7/ 4e0P_K �I `I — - I, C. REMARKS 11GA ZAC Er rc Dncte-44_ OF Ali %1 T�Q „I" •••'�9it 10.01 N E R 0. 2225-EWF .,x4 25- 1971 10.0•i, •' ,• GN ±LL APPROVED DATE LEGAL /n1//(/�A ��// , &I l '� SSV IY / DEPARTMENT ,;:�,HEALTH AND ENVIRONMENTAL ' 04'�OTECTIOP�A_ 825 STREET., ANCHORAGE, A RAGE, AK. 9S 264-4720 I -V EF !F- UE 14 U F;l* U F=* 0 F_"" ATM -:"L. E" F=� E= FR M I -r PERMIT NO. 800643 ) APPLICANT J. C. GIBS ON PO BOX 10-126 99511 243-5302 LOCATION DE ARMOUN ROAD LEGAL LOT 4 BlIbrCK1, HUPFMRWW LOT SIZE 18750 SQUARE FEET 'TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BR) = 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C -a F= N=° -r.". = 1 F= r_j 1:3 _r 13 F? n V U_ L C -a E7 F:" -F 4 - THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR CERA INFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH 15 THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). #:Z-* FE Q U I FR" EF � !E5 •N=" t=" -r I C -F n " !F. 1 27" FE= 1 ;2450 13F-il I ON-"=. PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- _FWO < "2 > I I ON*,= nF,"F= FRF=OILS I F1'E=_C- --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F='eF.CMI-F eXF:l3lF?e."H; 3,1 . A :Er__� 0 I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED:-- --- L"L`� A D A T E CS I - --------------- AWL NT J. C. GIB ,- N I SSUEDL -- ------ -- --- V4. 0 WATER WELL LOG FOSS DRILLING �/] („(� / 1336 Ingra Street Anchorage,, Alaska 99501 1 WELL OWNER SSS °" O H 4s�D� USE OF WELL b M LOCATION L L ^-f SIZE OF CASING 1' DEPTH OF HOLE_&J,4T. CASED TO fa FT. STATIC WATER LEVEL.L JFT. YIELD.LtGAL. PER. MIN. WITH�I FEET OF DRAWDOWN. REMARKS _ DATE COMPLETED. -�� 'I L PUMP TO BE SET AT /ot o� 0—co 20t ol'y 1�atoJY9 t0� �t o_ to t o._. to_ _to_ to_ t0_ t o� _to t 0�� t o__ t 0___. t0� t 0��, �l L-9 T, -H 1. 3: �X W "T" 071 F"', �C: #.,. A lC*..'tt������� DEPHRTMENT_' �HEHLTH HND ENVIRONMENTHL/ `�OTECTION «^ 2516 E. .UDOR RD., HNCHORHGE/ HK ~.j07 � 276~2221 PERMIT ( 76654 ) pil W lot M 1 T H l.: �:- lf:;,P! Cil H%ll M "r" HIE 10 W 1,37 FT: C) FVI X KEY KEY U EE: I CERTIFY THHT 1� I HM FHMILIHR WITH THE REQUIREMENTS FOR ON~SITE SEWERS HND WELLS HS SET FORTH BY THE MUNICIPHLITY OF HNCHORHGE. 2 I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES ` _..... ..... ~~-- kRPPLICHNT JESSIE BISHOP/ W C)ATEE �� 6 GAAB-HDI GR�"VTER ANCHORAGE AREA BOROk&ejH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 POSAI SYSTEM INSPECTION REPORT ON-SITE SEWAGE DIS _ MAILING aov� � � PHONE NAME ` ADDRESS / 7 LOCATION L� /'� '" �" LEGAL DESCRIPTION SEPTIC TANK: 'ZQNUMBER OF DISTANCE FROM WELL MATERIAL eZf�oCOMPARTMENTS �f�/ LIQUID LIQUID CAPACITY ``�� GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: y/ ( J r DEPTH NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH LENGTH , LINING MATERIAL , DISTANCE FROM WELL , BUILDING FOUNDATION / 64�r TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ` SQ. FT. NEAREST LOT LINE TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM ELL , F DATIO N EST LO LINE OF NUMBER OF LI ES TANCE BETWEEN INES TRE CH WIDTH ;;� IN. TOTAL EFFECTIVE ABSORPTION REA SQ. FT. LENG OF CH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYPE DISTANCE FROM DEPTH , BUILDING FOUNDATION. WATER SAMPLE , NEAREST NEAREST SEPTIC SEEPAGE SYSTEM CESSPOOL OTHER , SOURCES_ LOT LINE , SEWER LINE , TANK , DIAGRAM OF SYSTEM DISTANCES: GAAB-HD-2 GREATEf'INCHORAGE AREA ,`)ROUGH CaseNo. HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT �� 1I44 ���'J'� J ) - � �z ,(4 rx f._P'H 0 N E "N 0. MAILING ADDRESS NAME OF APPLICANT - RESIDENCE ADDRESS- ti��'� LOCATION OF INSTALLATIONS Ey� j;�LEGAL ESCRIPTION DESCRIPTION— APPLICATION TO INSTALL: SEPTIC TANK APPLICATION X SEEPAGE PIT_ , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH ! TO BE INSTALLED BY�� —� PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION THIS IS TO SERVE AS BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED SEPTIC TANK SIZE TYPE SEEPAGE AREA DIAGRAM OF SYSTEM DISTANCES: Health Authority TYPE I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE 41 `zj f APPLICANTS SIGNATURE pAO.1 Municipality of Anchorage -- Development Services Department Building Safety Division On -Site Water and Wastewater Program s <<T ` 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. _D I " 16I5 COSA # 0 1 Expiration Date: —2, %- O �[ 1. GENERAL INFORMATION Complete legal description lAu fm % , "I Bleck 1 Loi I Lbcation(siteaddress) J3900 tukc 011 Park way CurrentPropertyowner(s) SherrJ1 I'lAker Day phone 345-OZ51 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 *` 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm SpurK6i%A Fncin erino Phone 2' 4-3m Address 203 W. ISA Arc. Sk. 207- , Ancl,orato. iiia 795af Engineer's Printed Name 5. DSD SIGNATURE _Z Approved for Disapproved. 3 bedrooms. Date Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: "- v Original Certificate Date: 7J D� (Rev 71AS) Municipality of Anchorage • Development Services Department Building Safety Division " ' On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: 6uiimn11 Block 1 Lo} 9 Parcel ID: C).J R `1 %/ -O S A. WELL DATA Well type r:-i,it, If A, B, or C provide PWSID # = Well Log (YIN) y Date completed12 Wl6 Sanitary seal (Y/N) Wires properly protected (Y/N) Total depth 159 ft. Cased to (59 ft. Casing height (above ground) IZ + in. FROM WELL LOG Date of test Static water levet Well production I S g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate C T mg/L Arsenic: N 0 ug/L date of sample: 7 rS 08 B. SEPTIC/HOLDING TANK DATA ly�°7 Tank Type/Material can c r�Aa. Tank size Roo gal. Number of Compartments I AT INSPECTION �- 30 200 5.3 g.p.m. Other bacteria Je colonies/100 mL Collected by: L4rs ,rpyr4Ancl Date installed _7%e1 1130 Cleanouts (Y/N) y Foundation cleanout (YIN) _ Depression over tank (YIN) N High water alarm (Y/N) /V Date of pumping / 'ZDO9 Pumper Z Sd4c's pwMnin., -rirvi ce- C. ABSORPTION FIELD DATA Date installed 1 8 '40 f Soil rating (g.p.d./fe o ft/bdr 65 System type Gi 6 T.enc %-,' It II`$O Length '4-+- 14* ft. Width 3 I f y'x ft. Gravel below pipe IV 3 ft. 1146�u Total depth 6• r ft. Eff. absorption area r69 ft2 Monitoring tube _)�_ Depression over field /V Date of adequacy test - U o p Results (Pass/Fail) P455 For 3 bedrooms Fluid depth in absorption field before test _L in. Water added q80 gal. New depth 26 in. Elapsed Time: I q10 min. Final fluid depth I5 in. Absorption rate >= 9 5O g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Ilona knoLJn If yes, give date tr;6 D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level _ in. 'Pump off" level at in. High water alarm level in. Datum Cycles teste Meets alarm & it requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 1001; On adjacent lots 1001+ Absorption field on lot 10014- On adjacent lots 1001+ Public sewer main 10014- Public sewer manholelcleanout (00 1+ Sewer /septic service line 501+ Holding tank NJ/i Animal containment areas 501; Manure/animal excrete storage areas t00' 4 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: r S Building foundation 54 Property line 5 + Absorption field � Water main lo'4 Water service line 101+ Surface water N0 - Wells on adjacent lots 100 + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: I Property line 1 Building foundation ID+ Water main 10'4 - Water Service line 1004- Surface water N. 0. Driveway, parking/vehicle storage 2 i Curtain drain A/, O. Wells on adjacent lots 100 + I F. COMMENTS G. ENGINEER'S CERTIFICATION OF q I certify that t have determined through field inspections and review of Municipal records that the above systems are iny' TH'lN y !�'' conformance with MOA COSA guidelines in effect on this date. • , Engineer's Printed Name LAA$ -s _ % KLAN 01 Date 116109 /�(11��•. 1 It;?b� �rV %�/ COSA Fee $ 1 V Date of Payment Receipt Number (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL. PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) T,c,t 4 Block 1 Huffman Subdivision #1 Location (address or directions) 13900 Lake Otis Parkway Anchorage,Alaska (b) Applicants Name Ken Thompson Telephone Applicants Address Post Office Box 9508 Ketchikan, Alaska (c) Applicant is (check one) Lending Institution F� ; Owner/builder Buyer ; Other � (explain); (d) Lending Institution First National. Bank Telephone 2.76-6300 Address 201 West 36 Avenue, Anchorage, Alaska 99503 (e) Real Estate Co. & Agent Century 21 Award Realty, Jackie Luxmore Address Telephone 209 -West Dimond Anchorage, Alaska 99515 349-6683 2. Type of Residence Single -Family []R Multi -Family Number of Bedrooms four 3. Water Supply Other (describe) Individual Wall xx Comaunity Public Note: If oaamnity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality 'and status. Is the well adequate for the number of bedrooms specified in this HAA (YIN) 4. Sewage Disposal Onsite JZKJ Public F:::l Community f:::- Holding Tank Is the wastewater disposal system adequate fcr the number of bedroans (YM) [Page 1 of 21 2-15-84 5. Engineerinq Firm Providing Inspections, Tbsts, Data and Information I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. W Name of Firm Telephone Address Signed by Date (ENGINEER SEAL) 6.DHEP Approval Approved for four bedroom Approved xx Disapproved Terms of Conditional Approval This Department has received written confirmation that the caps have been placed on the seepage pit. This property is now fully approved. By <-/ t7 c.---.�__e _teJune 15, 198 V Conditional The Municipality of Anchorage Department of Health and Environmental Protection does not guarantee the continued satisfactory performance of the water supply and/or the wastewater disposal system. This approval indicates that, as of the validation date shown above, based on the data and information furnished by an engineer registered in the State of Alaska, the water supply and wastewater disposal system is safe and func- tional for the number of bedrooms and type of structure indicated. (DHEP SEAL) i. Mail the HAA to the following address: KB2/d5/s [Page 2 of 21 2-15-84 MUNICIPALI'T`Y OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date 5/16/84 (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 4 Blk 1 Huffman Subdivision 4 Location (address or directions) 13900 Lake Otis Parkway Anchoxaae. Alaska (b) Applicants Nacre Ken Thompson ib lephone 349- 683 Applicants Address P.O. Box 9508 Ketchikan Alaska (c) Applicant is (check ore) Lending Institution Owner/builder Buyer F::1 ; Other -1 (explain); (d) Lending Institution First National Bank Telephone 276-6300 Address 201. W. 36th Ave., Anchorage, Alaska 99503 (e) Real Estate Co. & Agent Centruy 21 Award Realty Jackie Luxmore Address 209 W. Dimond Anchorage, Alaska 99515 Telephone 349-6683.- J� 2. Type of Rasider.ce Single -Family Multi -Family Number of Bedrccnis 4 3. Water Supply Individual Well �El Community Other (describe) Public Note: If camunity well system, must have written confirmation fran the State Department of Environne ntal Conservation attesting to the legality and status. Is the well adequate for the number of bedrooms specified in this HAA (Y/N) y 4. Sewage Disposal Onsite EEI� Public Community Holding Tank Is the wastewater disposal system adequate fcr the rumber of bedrooms (YZN) Y (Page 1 of 21 B 5. Enqineaering Firm Providing Inspections, Tests, Data and Information I certify that I have checked, verified, cr conformed to all WA HAA Guidelirp-sin effect on the,date'of this inspection. Signed Date Name of Firm _..2't1ep1Lcr �e Address I "4% OF Al , 'kj Signed by 4,S,� Date fi - Sidnq#i. k (ENGINEER SEAL) % CE.1 6.DHEP Approval \A -jh By Date Approved for bedtocnis 7 Approved Disapproved Conditional The Municipality of Anchorage Department of Health and Environmental Protection does not guarantee the continued satisfactory performance of the water supply and/or- the wastewater disposal system. This approval indicates that, as of the validation date shown above, based on ti -e data and information furnished by an engineer registered in the State of Alaska, the water supply and wastewater disposal system is safe and func- tional for the number of bedrocm and type of structure indicated. (DHEP SEAL) I 7. Mail the HAA to the following address: KB2/d5/s [Page 2 of 21 k MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) MAY 2 2 1984 CHECKLIST - FEBRUARY 1984 RECEIVED ECEI"E A. WELL DATA LEGAL: Lot 4, Blk 1 Huffman Subd. #1 Well Classification Individual If A, B. or C, D.E.C. Approved(Y/N) N/A Well Log Present (Y/N). y Date Completed 9/27/76 Yield _2_32m Total Depth 159' Cased to 159' Depth of Grouting unknown Static Water Level 68' Pump Set At 140' Casing Height Above Ground 12' + Sanitary Seal on Casing (IN) Y Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) N Separation Distances from Wall: To septic/Holding Tank on Lot 106' To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line N/A Cleancut/Manhole Water Sample Collected By D. Maney p Date 5/16/84 4v'a4-er Sample Test Results Satisfactory for Total Coliform On Adjoining Lots 82' _ 100, + t on Adjoining Lots 100'+ To Nearest Public Sewer N/A To Nearest Sewer Service Line on Lot N/A Comaents Septic tank on Lot water well distance B. SEPTIC/HOLDING TANK DATA Blk 1 Huffman Subd. #1 is within 100' max. allowable Date Installed 11/80 Size 1250 No. of Compartments 9 Standpipes (Y/N) Y Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N)_ y Depression over Tank (Y/N) N Date Last Pumped 5/16/84 Pumping/Maintenance Contract on File (Y/N)-- for --- Holding Tank High -Water Alarm (Y/N) -- Temporary Holding Tank Permit (Y/N) -- Separation Distances from Septic/Holding Tank: To Water -Supply 4b ll 106' To Building Foundation 5' + To Property Line 5' + To Water Main/Service Line Course Comments None Noted 10' + To Disposal Field 5' + To Stream, Pond, Lake, or Major Drainage [Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 85 Type of System Design Trench Date Installed 11/80 Length of Field 47' Width of Field 31 Depth of Field 81 Gravel Bed Thickness 4' Square Feet of Absorption Area 376 Standpipes Present (YIN) Y Depression over Field (Y/N) N Date of Last Adequacy 'Fest 5/16/84 Results of Last Adequacy lbst satisfactory Separation Distance from Absorption Field: To Water -Supply Well 100, + To Property Line ,n, To Building Foundation 20' + To Existing or Abandoned System cn Lot None : On Adjoining Lots None Noted To Water Main/Service Line 10, + To Cutbank(if present) None Noted To Stream/Pond/Lake% Major Drainage Course None Noted To Driveway, Parking Area, or Vehicle Storage Area 101+ Comi1?nts Line from septic tanks runs into log crib seepage pit and then to the drainfield. Standpipe from log crib needs sanitary seal. D. LIFT STATION N/A Date Installed Dimensions Size in Gallons Manhole/Access (YIN) "Pump On" Level at "Pump Off" Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes(Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all on the date o this inspection. Signed DateZ Company r<<__ MOA No. KB1/d5/s (Page 2 of 21 A Guidelines in effect 4v:e - .poe4e60s9yp'Ya''l7 6 i� f • e rd.fl p9�' yrJ�q OI• *Y E. CE -19 2-15-84 r� BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIR0NMENTAL CONSERVATION Telephone: (907) SOUTHCENTRAL REGIONAL OFFICE Address: 437 "E" STREET, SUITE 200 ANCHORAGE, ALASKA 99501 274-2533 June 26, 1984 Mr. Duane Maney Arctic Engineers, Inc. 1506 W. 36th Avenue Anchorage, Alaska 99503 Dear Mr. Maney: MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION JUN 2 71984 RECEIVED Subject: Well Radius Waiver, Lot 4, Block 1, Huffman Subdivision #1 Based on the submittals of May 22 and June 7, 1984, your request for a waiver from a private well on Lot 4 to a septic tank on Lot 7 of 83 feet is approved provided future well samples remain satisfactory. If major well workover becomes necessary it will become necessary to relocate the well 100 feet from the septic tank on Lot 7 or seek another waiver. Sincerely, rH. Lamoreaux, P.E. District Office Coordinator BHL/msm cc: Robbie Robinson (MOA) June 15, 1984 ENGINEERING INNOVATiON IN THE FAR NORTH ARCTIC ENGINEERS, INC. ENGINEERING STUDIES - DESIGN s CONSTRUG,"NON MANAGEMENT ® StmvrYING John Kennedy Dept. of Health &•Env. Protection 825 'L' Street Anchorage, Alaska, 99501 AEI# 84-003-29 Re: Lot 4, Block 1, Huffman Subdivision #1, Ken Thompson Dear Mr. Kennedy: The above referenced lot has been inspected and an airtight cap has been installed on the crib as requested. Sincerely, INC. Thomas�. Y41'4an Environ il(enfal Engineer '506 W. 3ft,4, AvFNUE - ANCHORAGE, ALS SKf','99")'O"' � "9W/277-8593 ARCTIc ENGINEERS, INC. 3901 PATMOA LANF - ANCHORAGE, ALASKA 99504 & 907/333-9428 (Ac COUNTING) 5. LEGAL DESCRIPTION )-Or 21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONMUNICIPALITY OF ANCHORAGE 825 L Street - Anchorage, Alaska 99501 DEPT. OF H-ALTH & LIQ SINGLE FAMILY ENVIRONMENTAL PG;OTECTION ❑ Two ❑ Five ENVIRONMENTAL ENGINEERING DIVISION ❑ Three ❑ Six 7. WATER SUPPLY Telephone 264.4720 OCT 2 9 1980 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER fftS DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER C 14 Y Gi 550 Al 8. SEWAG_,E_,DDIISPOSALSYSTEM 02 INDIVIDUAL/ON-SITE** PHONE 34(9- 3958 MAILING ADDRESS P. O. o / o/ a� .gir/c%�O,r2A6� �k 99S/ ❑ PUBLIC UTILITY PROPERTY RESIDENT (if different from above) See ;74Cy PHONE ,0c" - o4cA6w S w 2. BUYER PHONE MAILING ADDRESS , 3. LENDING INSTITUTION �Q�E_yO��� iy MAILING ADDRESS �I d F.D.m - 4. REALTOR/AGENT G -46,41-',T Zi " . PHONE S<9-718/ MAILING ADDRESS 11015 7 A0111 4;L-� 5. LEGAL DESCRIPTION )-Or 21 STREET LOCATION .SC6 6. TYPE OF RESIDENCE NUMBER OF BEDR00 S LIQ SINGLE FAMILY ❑ One Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 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 UTILITY depth (attach log if available.) 8. SEWAG_,E_,DDIISPOSALSYSTEM 02 INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date e �� 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 INITIATED. 72-01013/78) 4'' Cjo 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 ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: i If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS M APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY it LEGAL DESCRIPTION 72-010 (Rev. 3/78) 825 "L" STREET ANCHORAGE, ALASKA 995017 t c� (907) 264-4111 to sq'\'MpQ GEORGE M. SULLIVAN, MAYOR DEPARTMENTOF HEALTH AND ENVIRONMENTAL PROTECTION November 3, 1980 James Clay Gibson Post Office Box 10-126 Anchorage, Alaska 99511 Subject: Lot 4 Block 1 Huffman Subdivision #1 Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. (2) Locate and expose the well for our inspection to determine proper construction, also to insure the minimum distance requirements are met between your well and sewer system. (3) A four(4) inch cast iron cleanout needs to be installed to the sewer system. 4) The septic tank pumped with a receipt submitted to this department. (5) An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing o.f private firms performing the test is enclosed. This report needs to be submitted to this department for review. Please notify this department for reinspection when the noted descrepancies have been corrected. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt Associate Specialist RCP/ljw iu - T ii -9n ' I I 6)6V A--3 ,-qpL-m P /a LIZ/ Z16 Lbo/ SOfrj (-f/iv 4r«e I-Iae-1 �CL) Pry alf"wi Pluo dSL.�L q -/LO -LtPLS r " u_)LU,