No preview available
HomeMy WebLinkAboutHUFFMAN #1 BLK 3 LT 4 MUNICIPALITY OF ANCHORAGE DEPA.TME.T OF .EA'TH A.D .UMA. SE.V,OES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES ,,'~/2/~"' ~ SEPTIC ABSORPTION WELL kddress TANK FIELD Phone(s) [No' °' B~oom' Township, Range, Section ~ ~ ~ ~? driveway,A"B UILT "'A~RA" (Sh°w I°cati°n °' well' septic system' "r°pe"' lines' f°undati°n'water bodies, etc., TANKS N ~ SEPTIC U HOUmNG ~- C ~.~ Material "O. Of Compadments ~ ' ~ TYPE OF SYSTEM ENCH ~ BED ~ W. DRAIN ~ OTHER Depth to ' e bottom from Total depth from original grade original grad FT Gravel length Gravel width FT Total absorption area ~twee. lines Pipe mateda ~ Number of lines J S°il rating a~ .~ A/iL ' , / SOFT~~ ~ Date Installed WELLS 7 ~ PRIVATE ~ OTHER (Identify) ~f~ - Classification (A.B.C) Total Depth [ Cased to FT FT Installer Date Installed: REMARKS: Inspections Performed b~: / 1~¢ ~/F/~ ~<. ~,~. Cz~-~l :~" , ..,,, ,,a, ,,,. ,..,..,.. -. M U N I C t P A L I T Y 0 F A N C H 0 R A G E Del:~ar'tmen'l;. o~:' Health & Human Ser~v:Lces 8;:75 L. St~'eet~ Anchc:wage~, Alasl.::a 9950:L 343.....4720 0 N ..... S I "[' E?. S E P T I C T A N K P E R M I 'T Date Issuedn 04125/89 O~,~u~er. Name: /.,, .,.A,~k.A HOUSING FINANCE CI.)l~r' )I~AI 1C)N O~.~ner· Adc:tr'es~: ,?.:.!!;5 EAST 8TH AVENL~tE Day F:'hc:)r~e: ,.-,%.',~ r.. =',t:} '~ Par'cel Id: 0 18-.-J. 6:[-:t. 9 Sec '1'.. :i. c:~r'~: [2.9 'T'.owr; ~.~l'i i p Ii :1. 2N Ran g I,,,,ot S:i, ze I5:];64 (~::1,, ft',., ol'~ ac:r. es) Max Bed r' Qoms ~I Th ~, s P(.:~:,l" ['[~ i '!',, ~ :'.:.~; 'I"c:,~:. a ]. Ca[:h'~c: i t y: 3 E J. uc. t ...... ::, t ,sd'] k rilL.tS!Fl,. J"t i':'~V6') a't. ?~ E,.~':v..~vl'., ,::.; compar, tments,, Depth to 'Lop (::)f sept:Lc 'Lank(s) < ~' E,,~i?'IL r' (.? 6]L,~ :i. P E,?.'.!~ :i. r'vr..-;u. ]. at :J, (;:w'~ (::)v~:~ r' '!',, oi'] I.:: ( ~.!~ ) ,, INI:::'CIFi',M D,,I'"I,,H.S,, F:'RI[IR 'T'[i ;I, ST & 2ND ]:tqSF::'ECT]:C)NS BY' EIxIGIhlEIEF(!~ Ii:: AFTIER OF:'F':I:CE I'-IDUI::~S CAI....L, 3.'/'t. 3-/4,6S:L AND L. Ei:AVIE A t"tlESSAf3E. ]:IxlSTAL,.L, SEF:'"f'ZC; TANK I='ER tEIqGINEERS AT"I'AC;HIED AF:'F'ROMED DESJ:GN,, T]~tl'S PERM]:T EXPIRIES :1,2,/31/89 AND gAL, ID F'C)R (,,/ SINGL. I.:,!: F'AMILY HOME,, :[ CliB::('F]:F:'Y T'HATg For"Lh by the Mun;i.c:i, pa:l,:i, ty oI' Anc:hoPage (MOA) and the Sta'Le of Alaska,, 2, :[ wJ.:[], :[tq~'La],]. the system if] accor'dar~ce with al! MC)~ c::c:x:Je~ and and :i.r'~ (:::omp].:i. ance w:i.t'..h the desitin cr'iter"ia o~' this I:)er'mit,, :2!;,, I wi].l adher'e to ali tdOA and State o{ Alaska l-equii-emer~ts for' the set back d :i.s'[.at"Ic:(9~ [ pc:)f'~ ii:if]')/ 8x :j.s'l;, :J. ng WE,]. ]. ~ Wi~ts~i~?vcater' d:i. spc)sa~ systerfl or' pLzJ::):[ :J.c: sewer'age system on 'Lh:i.s oi" any adjacerrt:, or' near'by lc)t. 4,, :[ uridef'stand that. ti]is per. mit :i,s valid ¢o~- a max:Lmum o¢ :5 I:~edJ".ooms,, 1 also under'~'Lar~d that the capac:L'Ly of the 'LcP:.aI syst. em :L~ ;]; b(-:~dr'c)E)ltHiii any enla~*gement w$:l,], r'ec:tuiJ'e an adcl:i, tior~al penm:i.t,, (Own e~- ) AKASKA I,.,ICILJS :I', NG F' I NANCE COF:~I:::'OI'.::AT :t: OIxl <:qt,SL5 L S't:.ree'L~ Ar'x:::l"~c)r'age~ ~:,~]l, aa:~ka ,99501 E)wne r' Name: AKASKA HCIU,::),L hJk;) F I J\JAhlCJ!i[. L,I.JI'~ {..)1.¢:..~ I .J..Jt",J (i]~,lrl,:~" ~;,~(::JcJr"l. iB?~sJJ,,~:,'~"~'"..:,,.,~ EAST 8TH AVIENUE AN[;HORAE'~IE ,~ AK 9<:?,*~J. () :L l::'ar'ce:.:,]. Id:: 018.-.-:L6:L-:I. 9 LQt Leg a ]. ~ SLd::)(:.l :J. v :L s :i. c)n ,", HLJJ:::]:::'PlAI',J ~t:l~ :l. SUBD ,, L.cFt:. JJ 4 L, crL S:Lze 15364 (sq,,'Ft,, of acPes) c, ap ....... i..,, ~,. 1 ,, 0 }() (::ia :L I or'~!~. Each ~sep'L :i, (::: .::~¢%~L.tc., 'Lank (s) < 4,, 0 'l:.ank taus'l:, have a't. '.l. eas'L ~';~ compaP't'.,merrLs,, Depth 'Lo top ]:I',tI:::'ORM ~},,J-J,,i"'J.S,, I':)RIOR "f'O :LS'T* & 2i',ID INSI'":"IEC)TIONS BY IENGII'.IIi~'.ER, IF' AFTER ::::::::::::::::::::: HOURS CALl,.. 34:3-468:L AND I..,.tEAVE A Mliii:SSAGE. ]:IqSTALL S!EPTI[:: 'T'At'4K I:::'IEI::~ EI',IGINEERS AT'TACHti:".D APF'RC)VED DE:SiGN,, TH I S I:":'tERM ]: T EXP I I::/E:S 12/3 :[/89 AND VAL.. I D F'C)F;.' A S ]: NGLIE I:::'AM I LY I'"l[ff'iE. ]: CERT]:F:'Y 'T'HA"f: fc:,r"l:.h l:iy 't. he Mur'Jic:il:la].:i.'k.y (::,f' Anchof'age (MOA) and the State of Alaska. 2. I wJ.]L], :i.r'Hii;'l:,at]. the system :i,n ac::cor'danc:e w:i,'Lh all MOA c(::tc:h.:.:,)~[fi and r, egu:ta'L:i, or'~s~ and irt c:cimp].:i, ar'H:::e with 'k, h6~ design c::r'iter'ia of' 'Ehis pePmit,, 3,, I wi].], ac:lhepe 'l',.(::t all MOA and State of Alaska r'equ:Lr'emen'Ls for' 'khe !~(¢.~:,~:., bac:k d :Ls'Lar'ic(.x;,s f r'c)m al']y (.:f?x :L st ing ~..~e [ :[ ~, t,~a[~tewa'~.eP d isposa ]. system of pub ]. :i,c s(.:~f:(?pa(~:j~;:) ~i~/~iit'J'..f~l~ or] -U']:i.~[i~ (31" ar]y adjac(.~rY~:, cir' near'by lc)t. 4,, ;[ Ltr'ldeps'Larld 1:.hat 't:.his per'mit is valid f'or', a max:kmum of' ;';:'. I::~edr'cioms,, I also under'star'id 'Lha'L the capaci'Ly of the tot, al sys'l:,em :Ls ;;;:'. b6c, dr'ocx~is and ar]y ei"t],ar.g¢~:;,merrL w:[].]. PeciL.IJ.I*E,ari ac:Jditic)r'h~i:[ pePnlJ.'L. (Owner') AK~I<A I...IOUS I NG F Z NAIVE CC)RPOI::b:./T' I ON Torn Fink, Mayor Municipality of Anchorage Department of 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 4 Block 3 Huffman Subdivision Waiver Request 9WR890013, Permit 9890055, PID ~018-161-19 Dear Mr. Reid: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 96 feet; and 2 foot lot line to absorption field. ~ This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services DJR/ljw96 ALASKA I1UIROIlmE,I1TAL COrlTROL SERUICES, IllC. I~nqineerinq 6 I~nukonmenlat Studies MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650 ~NCHORAGE, AK 99519-6650 ATTN: DAN ROTH RE: LOT 4 BLOCK 3 HUFFMAN 01 APRIL 21. 1§8g MUNICtPAU'tY OF ANCHORAQ~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION RECEIVED ATTACHED IS THE ADDITIONAL INFORMATION YOU REOUE~TED FOR THE WAIVER REVIEW. TWO WELL LOGS FROM THE NEIGHBORHOOD SHOW HARDPAN AND CLAY FROM 21 TO 171 FEET. THE SUBJECT WELL IS IN EXCESS OF 132 FEET DEPTH. STATIC LEVEL IS 120 FEET. THIS TYPE OF SOIL ABOVE THE AOUIFER ZONE WILL PROVIDE EXCELLENT FILTERING OF THE EFFLUENT. AGAIN, THE MOA INSPECTION REPORT SHOWS 96 FEET FROM WELL TO CRIB. PLEASE REFER TO My 3-24-89 WAIVER REOUEST LETTER FOR ORIGINAL INFORMATION SUBMITTED. ALSO, THIS LOT IS LEVEL, WE REOUEST THAT YOU GRANT A WAIVER OF 96 FEET FOR WELL TO CRIB AND 2 FEET FOR ABSORPTION FIELD TO LOT LINE AND iSSUE A PERMIT FOR THE SEPTIC TANK CAPACITY UPGRADE. IF YOU HAVE ANY OUESTIONS, PLEASE CALL ME. SINCERELY. ALAN C. WIEN SR. ENG. TECH. 2.79 ALASKA I1UIROIlm I1TAL COIqTROL S6RUIC6S, II1C. ~nclin¢¢rb§ ~ ~nuJronmenlal $1udJcs March 24, 1989 t~unic:Lpality o'f Anchorage Depar-i:ment of Health and Human Services P. 0,, B~:x :L966~50 Anchorage, AK 99519-6650 ATTN: Dan Roth IRE: Lo'l: 4, Block 3, Huffman The subject lot has a 3 bedroc~m heine. 'The dr'ainf:Leld is sized for 3 and pa~sed an adequacy test f~r 3 bedrooms. "the sept:Lc tank is only 750 gallon capacity. It was originally installed for- 2 bedrooms in 1970,, At. tached is a per'm:L'E: applicatien to acid a 500 gallon tank. Alse, we finct that the c)riginal crib is 96 feet from the well per t. he inspection report on f:Lle. No well log is available. C)n l::'ebruary 2:1., 1989, a 4 hour" flow test was per'formed she~ing 5,,2 g[:)m~, s'~:atic level at 120 feet and to'kal drawdown of :12 feet.,, ]"l"tere i~ no t<now bedrock at t:];2 feet in this area~ se the well sl"i(:)uld definitely be cased to the t:)~]ttc)m. Water samples taken February 21, 1989, are sa'k~sfac:tc, ry. We feel the 4 foot encrc:)ac:l"~ment on the well will not pose a thr"ea'L' c)'f cori'(tta~li.'.Lrhi~tien to) '[:he water system ~.]tnd there'fer"e request that you gr"ar~t a ~a.'Lver of 96 'f(.:.:?et for well absorption field. Aisc), we f:Lrld that the trench standpipe :Ls '7 'fee'k 'from the west lo'L: 1J..ne. ]"he closes't: edge o'f t. he trench c::ould be 2 er :]; feet 'fl'"c)m the lot line. 'T'he neighboring lot '[(::) the :Ls ur'ideveloped. We reqLtest '[:hat y(:u al. sc) gl'"arlt a waJ. ver' 'fc?r the trench to west lot :[ine~ If you I'lave any ClUestior~s, please (::al:[. Sincere ACW/sr Alan C. Wien SenJ. or Engineering T ca c Nlq i c :L a ri THE INFORMAl'ION HEREON IS TIONS SPEdlFICALLY TO SHOW STRUCTURES A,~;O PLAT[ED LOT t ~ DE USED FOR POSITIONING FENCELINE~. LENDING INSlTI1J- BETWE'EN EX'lb'TING EASEMEN't~ A~D IS NO1' STRUCTURES OR Shane A. Holt LS 6914 EA:EEHENTS OF RECORD, OTHER THAN T~OSE SHO~,,"N ON THE RECORDED PLAT, ARE NOT SH Ok?T HEREON Scale: 1" = 30' AS - BUILT ( NO CORNERS SET THIS DATE ) I hereby certify that I have performed a MorCgagee's inspection of the following described propert~ Lot 4, Block 3~ Ruffian Sub.~ Addition No. 1 'Anchorage Recording Precinct, Alaska and Chat the improv -ments situated thereon are within the property lines an do not overlap or encroach on the property lying adJacen thereto, that no improvements.on property lying adjacent thereto encroach on the premises in question and chat there are no roadways, transmission lines or other v~si- bls easements on said property except as indicated here- on. Dated at Anchorage, Alaska this 25th day of November ,. 19 88 FiB 13 - 2 wn?? ; fl~nCTflT£E I.AND SURVEYORS unicipality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. BOX 196650 Anchorage, Alaska 99519-6650 April 11, 1989 Alan C. Wien Senior Engineering Technician Alaska Environmental Control Services, Inc. 1412 West 33rd Avenue Anchorage, Alaska 99503 Subject: Waiver Request Denial Lot Lot~4 Block 3 Huffman #1 Waiver Request Number 890013, PID# 018-161-19 Dear Mr. Wien: The enclosed waiver request for the 96 foot separation distance from a private well to a seepage pit type absorption field serving a single family home has been denied. An approval cannot be given at this time based on the information submitted with the waiver request. I will entertain the subject waiver request if further information as outlined in AMC 15.65.150, Wastewater Disposal Regulations, can be submitted. If you have questions about this denial, contact me at 343-4744. Daniel J. Roth Civil Engineer On-Site Services I~l~:.~fication must be tilled out completely· .,CC ,. ropertyk~ner Name /~ o 1~~ ~ng Ad~ ~3 ~ Le~iption MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On-Site Sewer/Well Permit Application C)~.Oc~ si N G LE FA MI LY DWE LLI N G Parcel Identification Number D.ay Phone Zip'Code Lot Size '~//~'/-~ ¢' Number of Bedrooms: Subdivision Section Township Range Acr~ I nsp.ect.~.~.wiJ, be conducted by: VApproved Engineering Firm ~Vlunicipality (permit fee included) Does your house contain any of the following: Hot Tub, Swimming Pool, Therapy Pool, Jacuzzi, or Water Softener Unit? ~¢----) If yes, which one? This application is for: Sewer Or~ly Sewer and Well Sewer Upgrade v' Well Only I certify that the above information is correct. I further certify that tills applicatio~ is being made for a Single Family Dwelling and in accordance with applicable Municipal codes. ~ A X /'~ Fees: Receipt Property Owner/Well Driller MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~ ~ PID~ 018-161-19 HA9 Date Received: ADril 10, 1989 Legal Description: Lot 4 Block 3 Huffman Subdivision Engineer: A.E.C.S., Inc. Permit 1412 West 33 Avenue, Anchorage 99503 Applicant: A.H.F.C. Waiver Requested: Well to absorption field - 96 feet Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation ~ TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Waiver is NOT Granted: List Conditions or-Reasons for above: Date: By: Name of Reviewer Rec ~: 21079/6040 Amount: $ 590.00 Date Paid: April 10, 1989. ALASKA EI1UIBOIlmE ITAL CO[ T[qOL SEBUIC6$, I C. ~nqinemnq 8 (~nuironmcntal Studies March 24, 17~v Municipality of Anchorage Department of Health and Human Services P. 0. Bo.'..,' 196650 Anchorage, AK 99519-665C~ ATTN: Dan Roth IRE: Lot 4, B]~ock 3, Huffman ~1 The subject lot has a 3 bedroom home. The drainfield is sized for 3 and passed an adequacy test for 3 bedrooms. The septic tank is only 750 gallon capacity. It ~as originally installed for 2 bedrooms in 1970. Attached is a permit application to add a 500 gallon tank. Also, we find that the original crib is 96 9eet from the well per '[he inspection report on file~ No well log is available. On February 21, 1989, a 4 hour flow test was performed sh~wing 5.2 gpm, static ]Level at 120 9eet and total drawdown of 12 feet. There is no know bedrock at 132 feet in this area, so the well shou].d definitely be~caseci to the bo't:tom~ Water samples taken February 21, 1989, are satisfactory. We 'f:¢~:~K~el the 4 foot encroachmen"k on the well w~ll nmt pose a threat of contamination t.o the water system and therefore request tl"~t you grant, a waiver o'? 96 'feet '~or'well absorption field. Al. sc'), we fincl that the t. rer'~ch standpipe is '7 feet 'f:rom the west lot line~ The closest edge c]'f 'lzhe trench ceuld be 2 or 3 feet from the lot line. The neighboring lc::,~ te the west is undeveloped. We i"eqLtest that y,:]u also gr'ant a waiver for the trench to ~es~ Z~t l&ne. .Sincerely, Alan C. Wien f.:~en i o r Cng ir]eer ir'~g T~.=c'hn ician · Ce,~./' ' , ~ I~O~A~ON HEREON IS ~R ~E U~ ~ l~ TIONS SPECIFICALLY ~ SHOW ANY C~FLI~ aE~,~EN E~b~ ~RU~URES AdO PLA~EO L~ LINES ~ E~EMEN~ A~O IS ~ Sc~e: 1" = 301 ~ DE LISED FOR ~StTIONING ADDI~AL ~RU~U~S OR FENCELINE3. ~ kS BUILT ( NO CORNERS SET ~IS DATE ) ~ ~,.~ ~ ] ~ns-ection of the following described property .g :49~ ~ ~ - ,. ..... ~oordin- Precinct, Alaska aha that the improv ~ '~-~o~ ~ ~ -~ents situated thereon are vithin the property xz~s ~n ~'*~ ................. ~*~ ~ not overtau or encroach on the property lying aa3aeen ~,~ Sh~.~.Hol~ /.~ ~*-~*~ that'no ~mnrovements.on property lytng adjacent 4~*.,.. .,.'~%~ thereto encroach on the premises ~n question and ~:S~ENTS OF RECO~, OTHER ~N ~OSE on. Da~ed a~ Anchorage, Alaska SHO~ ON THE RECOF~ED F~T~ ~E ~0T th~s 25~h day of NovemSer 19 ~ ~ 13 - 2 S HO$.~ HEREON 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 i'~ i~ ~-'~2~ E~] NEw ~UP~R,*DE NAME LEGAL DESCRIPTION LOCATION ~ if - Well ,/ Absorption area o~ D~STA~C~TO: I -- I ~ ~ ~1 ~ I Manufacturer Material ~ [Liq. capacity in gallons IF HOMEMADE: Inside length ~ Width ~ .. ~ DISTANCE TO' ~ Well Dwelling ~Z I ' I ~ ~ ~ Manufacturer Material ~ I Well ~= I ~ST~NC~TO: I ~ ~ ~ I No, of lines I I Length of each line~i Total length of lines j Trench width p~l ~ I ~ ~& J ~Onches ~ Top of tile to finish grade ,~ ~ ~ j~ i Material beneath tile a ~,~ to ~ ~ ! Width Depth < ~ I Type of crib ~ ~~ Building foundatio~ ~Jine ~ DISTANCE TO: ~ ~Cl~s Depth Driller Distance to lot line ~ ~ DISTANCE TO: Building foundation Sewer line Septic tank NO. OF BEDROOMS PERMIT NO. No, of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERM'T NO', O/O L Distance between lines Total effective abs~.T~o6a~ PERMIT NO, ' area PERMIT NO. Absorpt on area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER Rnpp(. R EMAR>S__: l--_9 . . ~.~ . L ~1 APPROVED DATE LEGAL I... 4. E~3 HUFFt't6!N !.-Ei T '::5 ]' 'Z F THE: RE(;!U t FrEi:* :E; l ZE O1:::' THE :501L. F~BE;OF;?T ! ON S?5]"EPI I S: E~:~' EE ETM '"!- }~""~ = .... ~5; L_ iE~ P'.J C~i "T' i!'-'l ......... ~ETi~ ~55 ~::~]~i ~z';ii~ E::~ %,." tEE] E ..... E[::~' EE F:> '-F }"~ =::=: THE: LENGTH DIHENE;ION :[:E: THE; L..ENE)'TH < !N FEET) O[::' "FHE 'T'1:~:ENC:H OF: E:ff:;Cfx~!NFIEL..[>. THE [:,EF'TH OF F! TRENCH OR PiT :[% THE D:[S'TFiI'.,iCE E~ETb. IEE'N THE :SURIZRE:E OF 'T'HE GROUN[> FIN[> THE E¢O"FTOh~ (}F' THE ENCFt',,qZI'T'ZCJN (iN FEE:T'>. THE G1:~:1:::¢v'E'L. DEPTH Z:5 THE HIN:[h!1:JH DEF'TH 1:)F' GRFIVEL E;ETkiEEN THE OUTF'F!LL. [::'ZF'E f::IND THE E~CF1:'T1:)r,! OF' THE E',>:;C1::P,,,'FF1:' I ON < i N FEET >. F:'EF:H I T .:~F'PL '[ Ci::it'.,FF 1:.iFiEi; THE 1:.:F2:&i::',:::: ,:.~ 'J' E' 'f L t ".TM TO l NFORN 'T'H I 5 [:,EF'!:::!R'T'HEi",Ft" ':)LIP i t'-,tG ']'PILE :l: NSD'Ffi...t._f~T l ON I NE;PEC]" ! 1::)N5~ F)F' ........ F:I!'.~¥ i,.IEL.LE; FE>-,TFI1:]:EN]" TO TPi ! 5; F:'f: 'f" pFrm"¢w c,~ .... r'. THE N. HE E:P OF RE5 i ':'[::'H'" :?: "/'MFFr' ~ ....& ' '="~ ' ['.hZ. s,,. L ;. .............. [, 'l"H 15; F: ,:;! 7' K F '[ .... 7f',G ('3F,'::F'~"',P, :i5'.r'E;"r'Ei'"! I,.I]:TH(]I...iT .:::T .'.If:d,.. IN,:::pE'"'"F'r., _., .... "li,.I I::~NE:, FII:::'[::'F..:O¥1:::IL, '" L.'.L::.,'"Hb., IL...r, i b.i'[LL. E;1:E SUEL.t'E:CT 'T'Z 1:.::'RCiE::EL31:..tTIC[FI. H!NiHUH [>I'::STRNCE BETktEEN !::i k!EL, L. FhND F~N'..,.' OH-SITE 5E!.,.tF:IGE B, tSP[)SI:::IL...Si;'.r'Si:';T!EH i E; :LEiE) FEET' FOF: F! F'F, rI'-',,'FFTE NELL. (]iR 2.5E5 TO 2{3Ei FEE'T F:ROPt f::~ F'UE:L. IC': t.,.!EL, L. [:,EPENE:,ING UPON THE 'T'"¢PE OF F'UE:L. IC HE:L.L_ i'"I!NIHLiH [:,:t.'STFINCE F1:;~:OH F'i PI::;:IVF:FI"E NELL TO F! PRIVR'T'['"!: E;E!.,.IE:R Llb!E ]:S 25 FEET FIt',!D TO 1::! COHMUN:[]"'¢ 5Ei.,.!EF;: L.!NE i5; 7'5 1:::EET. O'THE1:;;: RE[QL! :[ RE:HEN'TS !'"}f::l"r' FiF"F'L.U. 5.:;F'EC I F i CRT IONS FIN[) E:ONS'T.I:;;:UCTZ Obi D I REiRFff"tE; RRE W,,,'F! I LFE:.':LE TO I NE;U1:~:'.E PROPEF: I NS!;'TFtLL. FFF :[ ON. C:EF;:T Z F"¢ THF!T FIN F'F!H:1:L.:[FtI:;~! kt.ITP! THE REQU!F:EMENT'..::5 1::'OR Cd'.,P...'.:!i;ITE SEbJEEi.:; f:~ND k!EU....Si; Fl:E; E;ET E~"¢ THE: MUN l C I PFIL. :!: T¥ OF' 1::!NC:H1:::tF:FiEiE. b. iIL. L. I!',ETFFd...L. THE :.'E;"r':STE:K," !N RCC1:.)R[:q:::fi'4C:E: I.'.!I"!"H "!,"l"'llE C:O[:'E5. UN1:>E.rq:E;TFiND THFiT THE ON-:E;ITE '5!.";Eb.!ER ':.:.;M2::TE'FI FIF!V RE(:':RJ]:RE ENL. 1:::I1:;i:GEHENT iF:' T1:-IE 1:,1::'c: Trd:::bi-..E. ~, .. .~..."c' ~:'F',' '",""::'. .......... . ........... :::'r-. TO I". - . r',E. _ i"!1::)1:;;:[.":.': 'T'HFIb,! ::ii: E:E'E:,1:~:OOr'l::z'.:;. /,~ f:fi:::'F'(~,t'C:F:d',F1:' ¢4H]:TE:i.~;:fr.>EXF4:E!:ib CRRF'ET F::EFd....'l""r' - (/ ~/./0/// ...EE, E;.,.'. ...... }.... ................................. ¢ = ¢. V4. GAAB-HD I GR.r~TER ANCHORAGE AREA BOROU~xH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM DISTANCE FROM WELL LIQUID CAPACITY NAME . ADDRESS "7',,~.~ S~ ~.~ SEPTIC TANK: MATERIAL C~/:~C'/~-'-'X~- COMPARTMENTsNUMBER OF / GALLONS. INSIDE LENGTH INSIDE WIDTH. DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PliS /~ OUTSIDE DIAMETER ~ OR WIDTH LINING MATERIAL L.~ C'~--~' DISTANCE FROM WELL 7g NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LENGTt~-~ f '/ , , DEPTH ~ . , BUILDING FOUNDATIONAL /~f- /~ TOTAL LENGTH DISTANCE F~OM WELL/ ~4-~ / , OF LINES , ~' ~' TRENCH WIDTH ~"~ FFECTIVE NUMBER FLI _ ~D~_DISTANCE BETWEEN LINES ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF/tILE TO FINISH GRADE NEAREST SEPTIC LOT LINE ,//~ "~ SEWER LINE ~ ~ . TANK DEPTH OF FILTER MATERIAL BENEATH TILE' IN. ABOVE TILE DISTANCE FROM , BU LDINGFOUNDATION / SEEPAGE SYSTEM WATER ,/~ NEAREST SAMPLE CESSP--oPO / OTHER SOURCES DISTANCES: DIAGRAM OF SYSTEM DATE APPROVED .... ~ ^l Tt4n~l?¥ J ~1 / , GAAB-H D-2 GREATEI' NCHORAGE AREA r ROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 ¢~)~r~J~. ZTq~ I?II SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT(~,~.,'--/ 7~/~.. MAILING ABDRESS RESIDENCE ADDRESS ' ~ ~[/ LOCATION OF INSTALLATION, LEGAL DESCRIPTION.~;/~. ~'~- ~?' ~) ~ APPLICATION TO INSTALL: SEPTIC TANK ~ ,SEEPAGE PIT /' , DRAIN FIELD TO SERVE THE FOLLOWING FAClLITY ~ ~ //* - Zz-,-,/~Y FINANCED THROUGH ~ TO BE INSTALLED BY / PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION PHONE N 0.2 7 - ,OTHER. BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS z.~..'-- ~'/~-'~,'~ , PERMIT TO INSTALL A -~2~1'~ AS DESCRIBED BELOW. SIZE OF UNITTO DESERVED ~ ~ . SEPTIC TANK SIZE ~ TYPE ~' ~/-~EEPAG E AR E~ DIAGRAM OF SYSTEM DISTANCES: 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. nATI: /~23 '---- /~/'~ APPIICANTSSIGNATURE .~REATER ANCHORAGE AREA BOROUGH,/~''~ HEALTH DEPARTMENT -~ __ 32? EAGLE STREET ANCHORAGE, ALASKA 9§S01 CASE Performed For Legal Description:°hot_d~._~l-°ck ~:- ~--- ~r~s a: Soils Lo~ ~'~' . PercolatiOn Test Depth Feet Location Sketch ~'flf Yes, At What Depth ~ ......... Reading Date Gross Time Net Time Depth To H20 Net Drop Proposed Installa~i°n: Seepage Pit c---' Drain Field Depth Of Inlet ~'-3~ Depth TO Bottom 'Of Pit Or !'rench~ : -::-,- COMMENTS: ~. ~,..) ~ .~ .&' O; /~ e/~ ....... ' ...... :: . .......... Test Performed Data Certified MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage,'Alaska 99,519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING (~_ \ ir.~\ ~ \c~ HAA# \.~ ~'~ C~ b\/'~.,.~L,\ GENERAL INFORMATION Complete legal description Lot 4; Block 3; Huffman Subdivision Location (site address or directions) 13B40 Spenklng Anchoraqe Property owner Mailing address Lending agency Mailing address Brian Jackson 13840 Specking, Day phone 99507 Day phone 345-5645 Agent Address Day phone Unless otherwise requested, HAA will be held for Pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well NOTE: (3) XXXXX Public water 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 NOTE: XXXXX 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. Name of Firm Phone (~/~'~'~;~ ~ Address $ & S ENGINEERING 17034 Eagle River Loop Road No. 204 Engineer's signatu~'~tl; RI;---r, A!:;!:: e.e. 577 DHHS SIGNATURE x~ Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Mealth and Human Services (DHH$) issues Health Authori~ Approval Oertificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the $tate of Alaska. The DH MS does this as a ¢our'~esy to purchasem of homes and their lending institutions in order to ~tis~ certain iederal and state requirements. E-'mployees of DHH$ do not oonduct inspections or analyze data before a certificate is issued. The IVluni¢ipalib/ of Anchorage is not responsible for errors or omissions in the profe~ional engineer's work. 72-025 (Rev. 1/91 ) 8ack MOA Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lo'i- ~-- /~Efr. 3 ~(/~'~/'J ,~Z:~t'[ Parcel I.D. A. Well Data Well type Log present (Y(~ Total depth Sanitary seal Date of test If A, B, or C, attach ADEC letter. ADEC wate.r ~ystem number /t)//~ Date completed ~/~'r~$k~F('l) Driller (.-.)t~' Cased to z:~_(:~/~ Casing height / "~ y~-~,.~ Wires properly protected(~N) L/'~--_~ AT INSPECTION Static water level Well flow Pump level1 g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/b~-'~:..-.; !ank on lot /~O ~'r./ Absorption field on lot ~'~' ~ ~ ILS-' ; On adjacent lots .; On adjacent lotS Public sewer main ~-~ ~''/''~ Sewer service line ~-- 5-1 I , WATER SAMPLE RESULTS: Col~orm ~~ Nitrate Date of sample: ~ Public sewer Petroleum tank 1 3 ~x/~ Other bacteria ~)//~ ~ ~:~ VI Collected by: ~~ ~gf~f~ ~ B. SEPTIC/~ TANK DATA // Date installed _~.~/?O /~/ZG/~'~Tanksize /- Compartments Cleanouts(~N) ?C~ Foundation cleanou Y~,I) ~'~ g Depression (Y~ High water alarm (Yt~ ~ Alarm tested (Y/N) /L/'/~3~ Date of pumping (~C-"( (:1~-~ pumper ~ ~ ,,~ ~"~ .~' SEPARATION DISTANCES FROM SEPTIC/HeL-BfN~.TANK TO: Well(s) on lot //(~)(~ &'/-- On adjacent lots To property line /O F_/._ Absorption field .z~' Surface water/drainage /(__~O ~/-- Foundation Water main/service line 72-026 (3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes~ SEPARATION DIe--CE FROM U FT STATION TO: lot On adjacent lots D. ABSORPTION FIELD DATA ~_,.~./~ ~ U,,~;/~.~_~ ~',,~j~J~/~, Date installed 2/~/ ~ Soil rating (GPD/FF) Z~--~-~/~','~ Length ~..~r /© r Manufacturer Manhole/A~ "Pump on" level at / "Pump off" Level at .~~ycles tested Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Width Gravel thickness '~'~.~3"~c'~ld Cleanout present~) ~'~-~ Surface water System type ~-'~_~c~',-]~ ~ Total depth / ~ / Depression over field (Y,~ ~ Result~ail) /:~'~ ~-~ tor r~/! After test If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot ~'~ ~[CL. ro~ On adjace~ lots {00 ,~ To building foundation ~O (~" On adjace~ lots ~ r~_ Sudacewater /OO r~ Property line To existing or abandoned system on lot Cutbank /~-~/'-J£ ,~~ Water main/service line Driveway, parking/vehicle storage area /O ( / Curtain drain /'~JL3 ~ /,~/,-~.~/~ ~.' ,_~,.._/~)/~? E. ENGINEER'S CERTIFICATION Signature S & S ENGINE~ - . 17034 Eagle ~iv~l cngin~(s Name ..~ Date_ /o HM Fee $ Date of Payment d~- ~ ~/~/~ Waiver Fee $ Date of Payment Receipt Number Commercial Testing & Engineering Co. Environmental Laboratory Services ~,~,~-J-jJ~'fJJ~.~-~-,~'~e-~-~-J~'~ LABORATORY ANALYSIS REPORT CT&E Ref.# 94.2597-3 Client Sample ID LOT 4BLK 3 HUFFMAN S/D #1 Matrix WATER ClientName S & S ENGINEERING RUSH Order 78928 Ordered By SCOTt S. Printed Date 06/02/94 ~ 14:41 hrs. Project Name CollectedDate 05/31/94 ~ 10:50 hrs. Project# Received Date 05/31/94 ~ 11:10 hrs. PWSID UA Technical Director STEPHEN C. EDE ReleasedBy: .~--~"~' Sample Remarks: SAMPLE COLLECTED BY: UA. Parameter QC Allowable Ext. Anal Results Qual Units Method Limits Date Date Init Nitrate-N 0.13 mg/L EPA 353.2/300.0 10 05/31/94 CMR * See Special Instructions Above UA = Unavailable ** See Sample Remarks Ab ove NA = Not Analyzed .. U = Undetected, Reported value is the practical quantification limit. LT = Less Than ~ D= Secondary dilution. GT= GreaterTnan 5633 B Street, Anchorage, AK 99518-1600 -- Tel: (907) 562-2343 Fax: (907) 561-5301 ~,,,,~,A~*,-~^, ~^,-,, *~-,ce ~, ^, ^er^ ~n~ n~nr~ m n~ln~ II I i~fllc: I~AAI~VI ANY) NFWJER~EY. OHIO. UTAH. WEST VIRGINIA MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address dr directloF, s¢' ,- (b) (c) (d) Telephone: (home) Business. Lending InstffUti'.on' ~. "' : Telephone Mailing Address Real Estate Company and Agent Address Telephone ~"'"P'¢ - ~"~&' I (e) Mail the HAA to the following address: (or check here'~Z~ if hold for pick up.) List contact person and day phone number below: TYPE OF RESIDENCE~" Single-Familyh~. Number of bedrooms -~ WATER SUPPLY Individual Well'l~ Community [] Public [] Note: If community well. system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. SEWAGE DISPOSAL On-site'~L. 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 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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. Name of Firm ~-~ Telephone Address /~2.- ~/ ..~ ~ /~/'~-~ /¢¢~' Date 6. DHHS APPROVAL Approved for -~ Approved ~ Disapproved Conditional Terms of Conditional Approval The Municipality of Anchorage DePartment of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 A. WELL DATA H(~' ''M ~t~41~P'A~ITY OF AN CH cRAG E (M pA) .. ~v~h~hority Approval (HAA) TAL ~ ' ' t~ CHECKLIST - FEBRUARY 1984 ~ v ~9 343-4744 Legal Description: RECEIVED Well Classification Well Log Present (Y~ __ Total Depth >/.~Z- ' Cased to ~ ''/~ ' Static Water Level / Z..o Casing Height Above Ground Electrical Wiring in Conduit(~) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on' Lot To Nearest Edge of Absorption Field on Lot (~) / To Nearest Public Sewer Line Date Completed Depth of Grouting Pu m p Set At /.)/~4 / '/- Sanitary Seal on Casing(~)N) Depression Around Wellhead (Y~ To Nearest Sewer Service Line on Lot Water Sample Collected by /]-~-g-'~ /)-' Water Sample Test Results z3//¢---/'- ~ Comments /,d~"¢z. ~ '7~'~'?'- ~- - ~t ~ ,~"~, If A, B, C, D.E.C. Approved (Y/N) Yield ; On Adjoining Lots ./d~ 'f- On Adjoining Lots /,~d /~ To Nearest Public Sewer Cleanout/Manhole /- ; Date B. SEPTIC/HOLDING TANK DATA Date Installed ¢.z~-a'~ Size Standpipes~N) Depression over'Tank (Y(~ .J Pumping/Maintenance Contact on File (Y/N) /.J//l- ; for Holding Ta~~~m (Y/N) ~/~ Temporary Holding Tank Permit (Y/N) SEPARA~~~~ SEPTIC/HOLDING TANK: , To Water ~ To Building Foundation ~- ~'~' ~ ~_~_~, · TO Pre~erty Line / ~ To Disposal Field To Wa~r M~I~¢~ ~ ~ ~/u ~ To S ream. O .L e Course Comments "- · ~-o ! ~-~,o No. of Compartments / Air-tight Caps~N) Foundation Cleanout~N) Date Last Pumped ~"~"~'~ /"%4'~¢4'~/~ 72-026 (Rev, 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Date Installed E,'~/J Width of Field Type of System Design Length of Field Depth of Field Gravel Bed Thickness ~-~/~ ~' ~' Square Feet of Absortion Area '~'~ Statndpipes Present(~)'N) Depression over Field (Y/~ Date of Last Adequacy Test Results of Last Adequacy Test /~j)~u~"~'~" (~-X~/~ / ~g~--,,~ / 7'~/~/ SEPARATION DISTANCE FROM ABSO~RPTION FIELD: To Water-Supply Well (~) ~' To Property Line ~) 2- To Building Foundation /'f,~,'J'~ To Existing or Abandoned System on Lot /~a3'-~L~'~,J~/~ ~ '7-~ExJd~ ; On Adjoining Lots ,Z~ To Water Main/Service Line /O/¢' To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course /d~ To Driveway. Parking Area. or~ Vehicle Storage Area ~'¢~J~ c~",~,~ ~'~,~7--~r/c! o Comments ~ ~/,~f~/=~) ~2J ~'/--L'~- D. LIFT STATION  Dimensions Manhole/Access (Y/N) '~_ "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 MOA and HAA guidelines ' inspection. ~~. ~.._..~ Signed Company /~-~' Date MOA No. Receipt No. _(~ ,~ /////-//~ Date of Payment ~; - ~- ~ ~ Amount: $ / ~), ~) ~es LD~,f.[e~ct on the date of this ~~~:~~eer's Seal · · 'e Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 CHEMICAL & GEOLOGICAL ~ORATORIES OF ALASKA, INC. ANALYSIS REPORT BY SAMPLE for Work Order % 12962 Date Report Printed: MAY 1 S9 @ 16:22 Client Sample ID:L4, B3, HUFFMAN PWSID :UA Collected APR 27 S9 @ 16:00 h~s. Received APR 27 89 ~ 10:20 hrs. Preserved with :AS REQUIRED Analysis Completed :APR 28 89 Laboratory SupervA~o~.:STEPNEN C. EDE Client Name : A E C S Client Acct: AKECSRP P.O.% NONE REC'D Req ~ O~dered By : A. WIEN Send Reports to: 1)A E c s Special Instzuct: Chemlab Ref %: 5047 Lab Smpl ID: 1 Matrix: WATER Allowable Parameter Tested Result/Units Method Limits NITRATE-N ND(O,1) mg/t EPA 353.2 Sample ROUTINE SAMPLE. Remarks: SAMPLE COLLECTED BY A.W. Tests Pe~£o~med * See Special Instructions Above UA-Unavailable None Detected '* See Sample Remarks Above Not Analyzed LT-Less Than, CT=Greater Than qT FILLS OUT UPPER HA! ONLY APPLI¢ ~ ~ ~"~rover,;~wner ~/.:~ ~;, .,~,~, Mailing Address /,u '- - ' .. ; Buyer Address Lending Institution Address Realty Co. & Agent , , -. * ' / ~ ~¢ , Zip Code Phone ~Phone Address Street Locati~ /,.: ,yL/K) ,J,..~:.~ ( ~,,-~ .~ ko~ , // Type of Resi~nce ~ Single Family ~ Multiple Family No. of Bedrooms ~ Other Water Supply c {ndividual A~ACH WELL LOG. A w~l ~og is required for all wells drifted since June 1975. ommunity For wells drilled prior to that date, give wall depth (attach Icg if available). ~ Public Utility Sewer Disposal ~lndividual Year individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time . Time ~ (~/(/} Time o-~ ~,o '"-~,~ ~;~4 :' o / Date Date ~ ~ Dat~ /'~'~z/,~-. ..... Da~ Insp~tor inspirer lnsp~tor R~ ~ ,nsp~tor A (~) CONDITIONAL APPROVAL* ~:'~ "~ ¢~~ ,:~'~'~~. A t on Area ~ Well Lo ~ecmved Sol'Rating Date ~wer Installed Well To bsorp ' ~ ~ . g~ ~ ~ ~ r We to =m~k . i' ~ Septic T~K S'ze February 3, 1984 Ramon and Delia Chanez c/o J. Robbins Red Carpet Realty 2909 Arctic Blvd. Anchorage, AK 99503 Subject: Lot 4, Block 3, Huffman Subdivision #1 Approval for the individual sewer and water facilities cannot be granted until the followin~j items }]ave been completed: The septic tank pumped with a receipt submitted to this  department. /~--/1 Locate and expose the cleanout to t~e seepage pit and/or < leaching area for our inspection. ~his i~ to < . . , ~ , ~- , . .... insure the Yalnl~nu~ dlsta~ce requirements are met between the well and ~sewer system. ~i'he crib will also need to be pumped. Please notify this Depart~aent for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this o~fice at 264-4720. Sincerely, JR33/ej/gl dim Roberts Associate Environmental Specialist cc: Nancy Starn J. Robbins and Associate~ Red carpet Realty 2909 ArCtic S'Lvd~ Anc}~orage, AK'99503 Tia~nons SRA Box 220 Anchorage, AK 99515 -- > APPLI(~',~IT FILLS OUT UPPER HAU~ONLY Property O.wner '~ ~ <.[~ o..¥. c~ ~), "J-~ ~..~'k~¥ ~, ~ ~ ~ ~ Phone Buyer ~c, ,., ~, ~ ~ Phone Lending Institution Address ~> Realty Address ~-~ Type of Resi~nce  Single Family Multiplo Family ~o. ~ Othor Water Supply ~ Individual A~ACH WELL LOG. A wall log is required for all wells drilled since June 1975. ~ Community For wells drilled ~or to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ~ Individual Year Indiv~ual Installed: ~ Public Utility ~hen Connected to Public Utility: ~ Holding Tank · NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.  Time Time Time Date~D'"~ ~ Date Date Insp~tor Inspirer Insp~tor Insp~tor Field Notes: ~ ~~) ~~ ~ ( h ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ~ ~ o,~...owo < ~ CON.,~,O.~.~...~W~' Soils Rating Date ~wer Installed Well To Absorption Area ~ Well Log Received - ~ ~O w~, ~o ~.~ /a ~ Septic T~k Size ALASKA [1UIBO[lm [1TAL CO[1TROL $ RUIC $, Inc. ~nqineefin§ ~- ~nuironmental Studies 7/8/82 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH ~ JUL 1 B 1982 RECEi_V. ED. PEOPLES BANK & TRUST POUCH 7-007 ANCHORAGE AK 99510 SELLER - JUDY & RICHARD WHITESIDE SUBDIVISION-HUFFMAN #1 BLOCK-3 BUYER- LOT-4 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 468 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 200 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 345 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A HOME OF 2 BEDROOMS. THE SEPTIC TANK WAS PUMPED ON 1/11/82 SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 2 BEDROOM HOUSE. 750 IS ADEQUATE FOR 1220 UJesI 25tJ~ ~uenue * Anchoraae. ~Joska 99503 * [907] 276-13(;1 DATE: TO: FROM: SUBJECT: . c pahty of Anch . MEMORANDUM July 26, 1982 Laura Crow Environmental Health Division Request for Refund - Account 9 2460 Please make arrangements for the following refund; %he applicant had a private engineer complete the inspections of the sewer system in lieu of this office. Thank you. Eugene W. Bates 2438 Chilligan Drive Anchorage, Alaska 99503 Receipt 9 197200 ~Amount: $20.00 - ONLY for sewer permit Note: the refund is for the Sewer Permit ONLY. Laura J. Ward Senior Office Assistant Sewer and Water Program 91-010 (5/78) 25 OO+ 20 00+ 25 OO+ 10 00:~ 50 00+ 50 00+ 10 50o00~- 25.0~+ 270.0~ GREATER ANCHORAGE AREA BOROUGH ~.u~ /-/~)-~6 Department of Environmental Quality ~-~ - ~)~j~-3330 "C" Street, Anchorage, Alaska 99503 274,4561 /'~'~' ~.~ Date Received December 23, 1975 Time of InspectiOn Date of Inspection~~-2z] REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: People Bank and Trust Mailing Address: 2. Property Owner: Mailing Address: 4. 5. 6. Pouch 7007, Anchorage 99510 Phone: 279-7511 W. Gary & Judy C. Toole Phone: 344-2759 Box 218 Star Route A Anchorage, 99507 Legal Description: Lot 4 Block 3 Huffman Subdivision Location: Speckling Type of facility to be inspected Single Family Well Data: ~. ndividual A. Type C. Construction Sewage Disposal System: On-site No. of bedrooms 2 A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank B. Depth D. Bacterial Analysis system -~6~'~ ~ B. Installer 2. Manufacturer 1. Size 1. Absorption Area Total length of lines 2. Material , Sewer Lines , Absorption area , Other contamination , Absorption area C. Absorption area to nearest lot line MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEC o :5 1975 RECEIVED 1. Type of Inspection: CMRO VA FHA CONV 2. Property Owner: k~,~ (.L~c~ dt1(,~ Mailing Address: ~)~ ~1~' ~ ~-~-~J~ ~v~c$o~r~eJDay Phone ~z~c~- ~)rJ~-ci d 3. Name of Buyer: I JO. Mailing Address: ~ 4. Name of Lending Institution: Mailing Address: ~OU_~ /~, ~\C~r~ Day Phone Name of Realtor or Agent: Mailing Address: ':~L(-OO Phone 6. Legal Description: Location: ~-~c~ (~/~ J ~ 1~) 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: No. Bdrms. ~ Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) EQ-037 (1/74) t for Approval of Individual Page 2 of two pages - Re Le~l Description Lot 4 Block 3 Huffman Subdivision Comments r & Water Facilities Approved ~ ~~ Disapproved Date//- Appr~v~al ~Valid for one year from date signed Greater Anchoragb/Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74} ~ouch 7-007 ~ a~ 274-~1, ~t~:~ 135.