HomeMy WebLinkAboutCINERAMA TERRACE BLK 1 LT 6
Municipality of Anchorage Page / of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: -_.%V,/ ~/D07,2_. PIDNumber:
Name: ~// I//~/~/ ~ ~,47 ~'-~,t/ Wastewater System: I~/New [] Upgrade
Address:
?~;~c~ ~X /ID7¢'/~ ~7~// ABSORPTION FIELD
Phone: No. of Bedrooms: Z/ ~[/Deep Trench [] Shallow Trench [] Bed [] Mound [] Other
LEGAL D ESCRI PTI O N soil Rating: O, ~ GPD/Sq. Ft, Total Depth from original grade:~,, ,;~
Lot: ~ Block: / Subdivision: ~'//Vt?',,~r~ Depth to pipe bottom from original grade: Gravel depth beneath pipe
7"~',~p..~¢F' ~ ~,,~, ~' Ft. ~ Ft.
Township: //~/ I Range: ~ )~/ Isect,on: / Fill added above original grade: Gravel length:
Gravel ~:~. Number of lines: Distance between lines:
WELL: ~New ~ Upgrade ~ r ~Ft. / -- Ft.
Classification (Private, A.B.C): Total Depth: Cased To: ~/ Total absorption area: / Pipe material:
~/~ ~ Ft. ~~ Ft. /~ SQ. Ft. ~
Driller:~/~/~ Date Drilled:/~ -/~--~/Static Water Level:~ ~ Ft. Installer: ~~-O//~~ Date installed:
Yield: ~,~' GPM ~ Pump Set at: Ft. ~ Casing Height Above~Grou,d:,,. TANK
I
I
SEPARATION DISTANCES ~septic ~ Holding ~ S.T.E.P.
To Septic Absorption Lift / Holding =ublic/~ Manufacturer: ~ Capacity in gallons:
From Tank Field Station/ Tank Sewer Lines ~' ~'~ / ~ ~'~.~)
Material: Number of Compartments:
Well /O~ / ZG' //~' ~ ~ '
Surface
Water 2~ ~.~,~ ..... LIFT STATION
Lot I
Line ~! ~5/ Size in gallons: Manufacturer: /
~z "Pump on" level at: I "Pump off" level at~ I High water alarm at:
Foundation / ~ / ~ ~ ~
Curtain ~ ~ ..... Pump Make & Model ~ Electrical Inspections performed by:
I
Drain ~ ~
Remarks: BENCH MARK
Location and Description:
Assumed J~ ~.
Elevation:
Department of HegEl"and 6~ervices approval,
,/' .~.-- ~" ~/ ~ ,, ~.., ,-. ~
Reviewed and approve ~~ Date: ~'~v'~
72-013 (1/91) MOA 25
Permit No. ~ ~J ~/OO'72. Page ~-- of ~
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
t
I (5
/
72-013 A (2/91)MOA 25
.. ~P~rmit N~.
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN. SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
LegalDescription: ~)-r'/_~/ "~O~_l, ~M~A ~~ PIDNo,: Oz~O~O~
72-013 A (2/91) MOA 25
From : ALPINE DRILL 90? 345 0202
Dec, B1. 199i 05:15 PM PO1
~'O¢&~ION OF W~LL
BOROUGH
SUBDIVISION,. L6T BLO~ S~,CT"~-GN QT~$ ...... TOWNSHip RANGE MERZDI~
~S~ZN~ POINT: ~top of casing ~LL
Oground surfaoe ~oth~r: Depth ~f hole:~_ft.. DA~E OF CO~L~TXON.
~HO~ DATA: Depth ........... :-
~teria~ ty~e ..... a~d 8'Olor From To S~ATIC WA~R ~L: .'j'.'~.~]. fL. Date~~'"
,,, ,, /, ,, METHOD OF DRILLING: ~'~ir rotary
CASING: St iok-up_..,~ft. Diam:_ ~.'> in
WELL INTAKE: ~ Open end
...... ~ perfo=a~ed ~open hole
Depths of openings: ~o .f~
~ ·
8C~ N TYPB~ Dzam:
............... Slot/Mesh Siz~'~ ................................. ~Langth: ft
..... Set ~e~ween ~ -- ~'~
G~VBL PA~K.. T~PE:
Volume used: .................. ;;:, ....... . Depth to top:
GROUT T~P~,; Volume;
Depth: from ................. f.~ tO
. ,..~,,.~. ~ .... __ ............... ~;~.. '" .......... ..__ · .. . .............
~S: P~PING LEVEL ~D YIELD~
ft after 6/' hfs '
pumpz ng~gpm
~ INTAKE"DEPTH,~. ,. ft HO~S~powe~
Date Pump Installod - -
~eei~6'"~ea'"S~sines s N'a,r~e ~ .........
...;.') .. ,. .... //" ,
'"~,~':'.;,~:;... ............... ~ ,~-, ...... ;,'/"~2'" ~'~"~ ..... k ........ .
S~gnakure of ~utho~ec~/~epresenta~ive
, ,,,. / I.,
~'l.,.~,,;'
Date
PLEASE MAIL WHITE COPY OF LOG WITHIN 45
DA YS TO:
DGGB
PO BOX 77-2116
EAGLE RIVER, AK. 99577
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW910072
DESIGN ENGINEER:CONSTRUCTING ENGINEERS, INC.
OWNER NAME:GAYTON WILLIAM R &
OWNER ADDRESS:PO BOX 1107418
ANCHORAGE, AK 99511
DATE ISSUED: 4/29/91
EXPIRATION DATE: 4/29/92
PARCEL ID:02003309
LEGAL DESCRIPTION: CINERAMA TERRACE BLK 1 LT
SEC. 1, TllN, R3W, SM
LOT SIZE: 137072 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT:
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
DATE:
DATE:
PERFORMED FOR:
LEGAL DESCRIPTION:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Township, Range, Section: ~'I//'Z..~I/?., ~ I 'TJJIX/ ~'.~'w/
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT ~'--~ ~' SL
DEPTH? .~_~, ~,~ { pO
Depth to Water Alter
Monitoring? N~ Date:
Reading Date Gross Net Depth to Net
Time Time Water Drop
· z. ~o,,,,~.. :~,,-.,.' ~'/,~" ~'/,~"
~ ~a"/~,~
PERCOLATION RATE ~'¢~ (m,nutes,,nch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ '/~' FT AND ~' '/'Z_ FT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE
72-008 (Rev. 4,85)
CERTIFY THAT THIS TEST WAS PERFORMED IN
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
T'~¥,t~c~.T°wnship, Range, Section:
SLOPE
WAS GROUND WATER '~1/~' ~'~
ENCOUNTERED? ~
S
IF YES, AT WHAT ~"-"~ L
DEPTH? '~ '""'2,,,~ ~ pO
E
Depth lo Water After
Monitoring? /'J ~ Date: 4'~-"~ q
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ 4&,l~, --' - ~" "
3 ~o,,,,',. ~,p ~,;. ~'lz." ~,1,~.
7 ' '~.40-,. ~, Go,,,,,;, 'Ii"
lo" /~_'~-'
PERCOLATION RATE '~--4 ~ ~"'~/'lj,~(.~
__ (m~nutes, mch) PERC HOLE DIAMETER
TEST RUN BETWEEN 4 FT AND ~ FT
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE
72-008(Rev. 4,851 "'TI~'"c ?"~,"'}1 ~'~"~
P.O. BOX 6650
ANCHORAGE, ALASKA 99502-0650
(907) 264-4111
TONY KNO¢/LES.
DEPARTMENT OF HEALTH & HUMAN $f[FIVICi~S
January 10, 1986
TO: Permit Applicant
Subject: Permit #850033
Lot 6 Cinerama Terrace Subdivision
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
Permits are issued on a calendar year basis by authority of Municipal
Ordinance. A new permit must be obtained from this Department for any
well and/or on-site sewer system not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to this
Department for documentation of the installation and to close the permit.
If a private engineer inspected the installation of the on-site sewer system
the original as-built inspection report(three part form) must be sent to
this office for review and approval,and for documentation.
If there are any further questions, please call this office at 264-4720.
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/ljw
eric: Copy of Permit
DIz. FAF~tMI:.N1 OF HEAL. TH AND EN,:II:._NMJ4T.AI... F::'ROT['!]C, TION
825 I .... STIREE;T, ANCHORAGE, AK 9950:1.
2.64-4'72.()
F:'E'Frd~I I T NJ) ~
"(:~ (,? :2' .
DATE: .I ......~ULD.
00 ].'", 3
/07/85
AF'F'L. I (..,Al
A D D R E S S:
C 0 N T A C T F::' 140 Iq E::
JAMES R ABEL
F:' FI BOX 112047
ANCHORAGE., AK
995.1..1.
LEGAL DI:T::SCF~ I P,",
L. C)"I' S I Z E:
L. OT LOCATION:
MAX BE:DROOMS:
SUBD I V I S I ON: C I NERAMA TI']!:RRAC:;E
SECTION: 1 TOWNSHIP: 1:IN
:];. lA (SQ,, FT, OR A[;RE".S)
C I NE'RAMA [:; I F~CI...E
5
L. OT: 6 BL. OCI<: 1
RANGE: ::".;N
Lis'Led below .ar'e the c)p'LJ.,;:ns available 't..a you in des:J, gnirl~...:l yc)u~- ,...qtep'l.'..j.c:
sys'k.r...~m. []hoose the opt. ic:)n that. best fi'ks yc:,ur' site.
"]F" R EEl:: I'~ EL':: t-..~1
DEPTH "1"0 F:' I F'E BOT'TCIM (F:T ,, )/1~-- 3.0 .~..~,
~. 0 4.0
GRAVIE:I_ DEP'I"H (F'I",,)
· T O'T A l_ D E F:"I"H (F'I",)
GRAVE:I .... WID:TH (F"T.)
GRAVEL. LENGTH (F=T,)
GRAVE:L VOLUME (CU. YDS,, )
TANI< SIZFZ (GALS)
.SOIL.. RATING (SQ.FT,, /BR)
I~dl .... lO, IF:;,". ~:;, ][ NI
3 ,, 0
3.0 ~. 0
o 5.0
14.9 ~ 0 .~..~. 139.0 .~.,~'
62. 1 ~(). 1
500,,'0 .~.~. 1, 50('), 0 '~"~' /~
23'7 23'7
· ~.'-~' DEF'TH TO F:'IF:'E: BE)TTOM < .".5.5 F]",, REEQIJI:RE'".S INSUL. ATION
.~,..~DEF'TH TO PIPE: BOT'T'[]M < 4.0 FT. MAY REQU'IRE A I..IF'""T STATION
':.'~.'.~ GRAVE:L LENGTH > 75 F:T. REQUIRES MUL..TIPLE RU.NS (NOT li"="XCEEDING 75 F'T,, E'ACH)
'.~"~-'TANK MUS't" HAVE A'T LEAST TWO COMPARTMENTS
I c:er't:i, fy 'Lhat:
1,, I am fam:i, liar' wi'Lb the r, equ:L~-ement.!~i fan cn~.....sit, e sewer's ar'id we].:f.!~ as !~i¢~t
f'or'th by 'Lhe Murl:icil:)al:ity (::)f Arlc:l'~ar'age (MOA) arid 'Lhe State of A:l.a!~il.::a.
2. I will install t. he system in accar'danc:e witt'~ all MOA c::,::~des and r, egu].at:i, oni~i~
and in cc)topi, lance with the design c:r'iteeia of this per'mit,,
3. I ~il]. aclhe~e 'La all HQ~ and State (:Jr A/a~l.::a r'equip(~mer~ts for' Lhe ~;et bacl.::
c:llstance~ fpam any existing we].l~ wasLet~a'Ler' dispasat system or' pub].ic
se~epage system an this (:)P any adjacent aP neapby ].at,
4. I under'stand that this per'miL J.s v~].id fc)~ a maximum of 5 bedr'c, omsi arid
any erJlar'gement wL].l ~'e(::ILti~e an additianal pepmi'L.
IF: A LIF:T STA'I"IOIq IS INS]"AI_LJED IN AN AREA COVE:RED BY MOA BUILDING [:ODE:E;.,
T'HEN (].) AN I:7. t_tE:CTFIICAt .... F:'EF/MIT AND INSF'EF. CTION MUST BE': OBTAINED; C'.2) AS-BUII_TS
WILl .... NOT BF.". APF'ROVFD WITHOLIT APt EL. ECTRICAL. INSPECTION Fd'.EPORT; AND (:5) THE
E:LECTRICAL WORK MLIST BE DONE F..',Y A LICENSED I:"£LE:CTR]:CIAN.
A F:' I:::' I_ I CAIqT:
DATE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
"OmSite Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
020-033-09 HAA#
GENERAL INFORMATION
Complete legal description Lot 6 Block 1 Cinerama
HA920018
Terrace Subdivision
Location (site address or directions) Cinerama Circle
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
William R. Gayton
PO Box 1107418
Day phone
Day phone
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: Four (4).
3. TYPE OF WATER SUPPLY:
TYPE;~0F WASTEWATER DISPOSAL:
NOTE:
Individual well x×x
Community well
:Public water
If commUnity well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
XXXX
Individual on-site ~
Holding tank
Community on-site
Public sewer
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and statUs of system.
72-025 (Rev. 1/91) Front MOA #21
.5.
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed heretO and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or 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 Anderson Enqineerinq Phone 278-9110
PO Box 240773, Anchoage, Alaska 99524
Address
Engineer's signature
Date
As per letter from Anderson Engineering dated 10-26.-93 the
conditional approval of 1-17-92 has been completed and all
corrections and inspections have been done.
This property now has a full approval.~ S 7 ~ ~::~'~'ltj!t ~~
DHHS SIGNATURE
×××x Approved for Four (4)
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/91) Back MOA #21
MUNICIPALITY Of ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
02~0330c/ HAA# ~f~C~ ~;~ (~)~) \ ~::~
GENERAL INFORMATION
Complete legal description /~e T'
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
L,'J ~ t [ l ^ /v,,. 1~', ~ A y T'o ~ Dayphone
PO t~o ~' ~lO 7¢/8 ??~'/I
Day phone
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
NOTE:
Individual well
Community well
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
Public sewer
NOTE:
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
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or 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 //Jr"'/~dZSo~ ~4"~/rJ~-b-"~ Phone ~. 7~ - ~//~2
Address ~. '0 . .~ 0,,( ;~ 51D -17 ..T / /L~ C~g O~ fi ~ E_- ,/~/Z.
Engineer's signature '¢~cc~~--~-' ~"J..~*~.- )Date
DHHS SIGNATURE
Approved for
bedrooms.
Disapproved.
~ Conditionalapprovalfor ~;c/f2~'~/)bedrooms, with the following stipulations:
Additional Comments
~<=..,.¢..¢.~ ~' /
By: ~.c...~._- Date
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineeCs work.
72-025 (Rev. 1/91) Back MOA#21
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
A. WELL DATA
Well type
Log present (Y/N) ,V'
Total depth
Sanitary seal (Y/N) /v'
If A, B, or C, attach ADEC letter.
Date completed ?.,~,,,'~./?/ Driller
Casedto ~'G/ ¢-~"z~R~c/<:1 Casing height
Wires properly protected (Y/N)
ADEC water system number
FROM WELL LOG
Date of test /Z/'~¢.//¢/
Static water level ~'
Well flow ~, '~
Pump level k[o-r' D~-rERr~ ~ ~z ~
g.p.m.
AT INSPECTION
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
JAN 1 0 1992
g...qRECEIVED
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot /G,;3'
Absorption field on lot
Public sewer main /~22/~
Public sewer service line
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform ~ Nitrate
Date of sample:
Other bacteria
Collected by: IVtCF'A b~E~l
B. SEPTIC/HOLDING TANK DATA
Date installed /o-/~.
Cleanouts (Y/N)
High water alarm (Y/N)
Date of pumping
Tank size ?Z~42 Compartments
Foundation cleanout (Y/N) y Depression (Y/N)
Alarm tested (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot ,/~.~
To property line
Surface water/drainage
On adjacent lots
Absorption field
,,~)D "~
Foundation /.5'
Water main/service line
72-026 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Manufacturer
Size in gallons
Manhole/Access (Y/N)
Vent (Y/N)
"Pump on" level at
"Pump off" level at
High water alarm level
Cycles tested
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
On adjacent lots
Surface water
D. ABSORPTION FIELD DATA
Date installed
Length '7_~' Width
Total absorption area /'~?~
Depression over field (Y/N)
Results (pass/fail) PA $5
Peroxide treatment (past 12 months) (Y/N)
Soil rating · ~ ~; A~/,5'F' System type
Gravel thickness '7 / Total depth
Cleanouts present (Y/N)
Date of adequacy test ('/~.,,'~
for ~/ bedrooms
/~F--W If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot / <5 ~ '
To building foundation
On adjacent lots ~O /
Surface water /,~'0 //-
On adjacent lots / '7 ~ ~
Property line
To existing or abandoned system on lot
Cutbank -.~ Water main/service line
Driveway, parking/vehicle storage area
Curtain drain /do~.[E. O),.t CoT'
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines 'in
Engineer's Name /P'~/C.W,4-C'/.~ -~ ~ ~--~JO~]
Date
HAA Fee $ / 7g?. O 0 Waiver Fee: $
Date of Payment
Receipt Number
Date of Payment
Receipt Number
72-026 (Rev, 3/91) Back MOA 21
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
October 26, 1993
Municipality of Anchorage
Department of Heath & Human Services
825 "L" Street
Anchorage, AK 99502-0650
Attention: Susan Oswalt
Subject:
Lot 6, Block 1, Cinerama Terrace Subdivision
Septic System As-Built
Dear Susan:
On October 24, 1993, I inspected the septic system on the subject lot to
verify the placement of the monitor tube and to assure the final grading
over the drainfield had been completed. A previous inspection on October
22, indicated the monitor tube had been placed, but not to the proper
depth. In addition, the cleanouts near the septic tank were leaning at
various angles and required straightening.
The second inspection revealed the monitor tube was reset to the bottom
of the drainfield rock or 7' below the distribution piping. The cleanouts
had been straightened and final grading was completed over the
drainfield. The as-built drawing has been modified to include the
placement of the monitor tube in both the profile and plan views. All
work on the septic system is now complete should be considered
acceptable.
Sincerely,
Michael E. Anderson, P.E.
Attachment