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HomeMy WebLinkAboutCOLONIAL PARK BLK 4 LT 11A Municipality of Anchorage Page 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: ..~(.4,)c~ "~O~~ PID Number: O.-ff~-,.~::)J-~1 Name: ~E~ ~ ~G~ Wastewater System: D New ~Upgrade Address: Ph~n~ ~ ~ '~ I"o. of Beams: ~Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other Total Depth from original grade: LEGAL DESCRIPTION S°il Rating: [,~ GPD/Sq. Ft. Block: ,own,,,~: ~ I.a.~: ' [section: Fill added above original grade: Gravel length: ~/ WELL:~R~ ~ New ~ Upgrade~ Grave, width: ~ .~/ Number~fHnes: Ft. Classification (Private, A,~C): T~a~ ~ased To: Total absorption are~ Ft. Pipe ~aterial: ~~ Date Drilled: StaticWater Level: Installer: Casing Height Above Ground: SEPARATION DISTANCES ~.p~c ~ Holding ~ S.T.E.P. TO Septic Absorption Lift Holding 3ubllc/Prlvate Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~' ~t Water ) ~ O I~g Size in gallons: ~ kot Line ~0~ ~0 ) Manufactur Remarks: ~e 7 ~'~i ~/v~ ~ S- BENCH MARK Location and Description: ' I Assumed Elevation: Inspections performed by: ,., Dates: 1st Department of Health and Human 5ervices approval ~-~;'-.~, ~., .... ....... Reviewed and approved by: ~ Date: 72-013 (Rev. 9/91) MOA 25 Y PERMIT NO. SW970266 PAGE 2 OF 2 MunicipaLity of Anchoro, 9e DEPARTMENT OF HEALTH AND HUMAN SERWCES ENVIRONMENTAL SERVICES DOVISION P,O, Box 1966500 Anchorcge, Alaska 99519-6650 O Te[ephone~ 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 1'IA, BLOCK 4, COLONIAL PARK P.I.D. NO. 050--,..501--41 EXISTING 5 BDRM HOUSE NEW 1500 ~T~ SEPTIC TANK ST2 C01 NEW TRENCH ST 1 ST2 NEW 1500 GAL TH · N.T.S. MT1 6:O2 10' UTILITY EASEMENT KEY /~FINAL GRADE ~ 9~~ MT CO MTI = 88.1 CO1 = 99.6' C02 = 98.2' CO1 = 92.6' C02 = 92.6' · NO WATER FOUND 82.1' B.O.H. A B FCO 37.5' 25.0' ST1 $6.0' 28.5' ST2 37.0' $6.0' DBL1 38.0' 58.0' DBL2 58.0' 59.0' FD 45.0' 54.0' CO1 57.5' .0' C02 65.0 71.5' MT1 64.5' 69.5' LINE TRENCH FLOW DIVIDER (FD) SCALE 1" -n 40' PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUM_AN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970266 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:HARRIS CLYDE ALLEN JR & OWNER ADDRESS:19730 FIRST ST ANCHORAGE, AK 99501 DATE ISSUED: 8/21/97 EXPIRATION DATE: 8/21/9'8 PARCEL ID:05030141 LEGAL DESCRIPTION: COLONIAL PARK BLK 4 LT llA LOT SIZE: 11719 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18~AC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE TEN (10) FEET SEPARATION DISTANCE TO THE PUBLIC WATER SYSTEM WATER MAIN NEEDS/~T(~ BE MAINTAINED AT ALL TIMES. RECEIVED BY: ~/~Z ~ DATE: DATE: nqtnee nq ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. July 28, 1997 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 1 lA, Block 4, Colonial Park Subdivision MUNICIPALITY OF ANL. HO~/~rd~- ENVIRONMENTAL SERVICES DIVISION JUL 3 0 ]997 RECEIVED Request you issue a permit to upgrade the septic system serving the existing five bedroom house on the referenced property. A test hole was excavated and percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation no water was encountered in test hole and after seven day ground water monitoring water, the monitoring tube was to found be dry. Attached is the proposed upgrade design. This property is served by a Community Water System. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/mg Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 i" - 4.0' SITE PLAN DESIGN PERFORMED FOR: LEGAL DESCRIPTION: 2 4 § 7 8 10 12 13 ~4 17 18 19 20 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST IoTIIR Township, Range, Section: SLOPE WAS GROUND WATER I~jkl(~ ENCOUNTERED? . S L IF YES, AT WHAT ~ O DEPTH? P E Depth to Water Alter Monitoring? ~)/~,Y Date:. ~ ' Iq-q1 SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop I ,:: I~ -- 5 il~' ~ "- PERCOLATION RATE I {minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN /_~,5 FT AND '~.___ FT COMMENTS ,~' .~?~o~- l- i 17034 R:v.l"~.~.l~Ir~l~ ,~ CER-- ~ THAT THIS TEST WAS PERFORMED IN PERFORMED BY: Eagle River, Aliska 9~9~77 ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON S . 72-008 (Rev. 4/85) ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. CIVIL ENGINEERS ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECllIICATIONS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN REFERENCE: Lot 1 lA, Block 4, Colonial Park Subdivision July 28, 1997 GENERAL: The scope of this project includes the installation of a 1500 gallon septic tank and a five foot wide drainfield to serve the five bedroom residence on the referenced property. The existing 1000 gallon and 500 gallon septic tanks are to be excavated, pumped, crushed, and abandoned completely, and replaced with a new 1500 gallon septic tank. The original trench that was installed on 11/23/76 is to be abandoned completely. An adequacy test was performed on the portion of the existing trench that was installed on 11/13/84 and is currently functionfi~'~or a three bedroom system (450+ gpd). Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. [Jnless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 1 lA, Block 4, Colonial Park Subdivision July 28, 1997 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation deanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent deanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first deanout, in line, shall be to dean toward the leachfield. The second cleanout shall be to dean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/D~LD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (roughed-up) before gravel (sewer rock) placement. o Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. o A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated fi'om the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page Three Lot 1 lA, Block 4, Colonial Park Subdivision July 28, 1997 MATERIAL SPECII*ICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: Page Four Lot 1 lA, Block 4, Colonial Park Subdivision July 28, 1997 The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be baclcfllled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, deanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owners representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER ,~ick Mystr©m. Mayor Department of Health and Human Services 825 "L' Street P.O. Box 196650 Anc;~,orage, AiasXa 9951 ~,-6,5~.0 September 22, 1997 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot llA Block 4 Colonial Park Subdivision Waiver Request #WR970055, PID #050-301-41, HA970417 Dear Mr. Cowan: Your request for a waiver of the required 10 foot separation between an on-site wastewater disposal system and a lot line has been approved. The waived distance is 5 feet from the absorption trench to the property line. This approval applies to the existing on-site wastewater disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval from this department. If there any further questions or concerns regarding this waiver, please call our office at 343-4744. Sincerely, y "~ Anthony KLm C±v±l Eng±neer On-$±te Serv±ce$ ljw #7 MUNICIPALITY OF ANCHORAGB Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~t~L~_~ PID# 050-301-41 Date Received: September 9~ 1997 Permit Legal Description: Lot llA Block 4 Colonial Park Subdivision Engineer: Robert C. Cowan, P.E.~ S & S EnKineerinK 17034 Ea~l~ River Loop Koad~ Suite 204~.EaKle River~ Alaska 99577 Applicant: Brenda Harris Waiver Requested: Lot line waiver of 5 feet from the absorption trench to the property line 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: Rec ~: 03179/2968 By: Amount: $ 1i5.00 Name of Reviewer Date Paid: Sept 9. 1997 ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. CIVIL ENGINEERS September 8, 1997 (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot llA: Block 4; Colonial Park Request you issue a Health Authority Approval on the referenced property and grant a waiver for the horizontal separation distance between the existing trench and the property line at five (5) feet. We do not anticipate any adverse effect on the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/gk 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE DE {TMENT OF HEALTH AND HUMAN SER~. Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES ~0 SEPTIC ABSDRPTION Address ~ TANK FIELD WELL Phone(s) -- j Perm,t No. INo of Bedrooms WELL bqq-z 18 0/ oI .O, A j,.oc q FOU,O T,ON Town~i~i~, Range, Section ~ I ~ ~ } ~ [ W ~ ~ ~ dnveway,AS'BUILTwaterDIAGRAMbodles, etc)(Sh°w location of well, septic system, property I,nes, foundat,on, I ~SEPTIC ~ HOLDING TYPE OF SYSTEM ~ TRENCH ~ BED ~ W. DRAIN ~ OTHER Depth to p~pe bottom from ~ot~l~epth from ong~nal grade original grade FT FT Fdl added above original grade Gravel depth benealh p,pe Gravel length J GCavel width O FT FT o I ' otal absorpt,o, area D,stanoe between hnes SO FT FT '~mber of hnes J ~olJ rating Pipe materJa )~.C I Sg FT Installer Date installed ~U~ WELLS g PRIVATE ~ OTHER {Idenlilv) Classification (A,B,C) Total Depth J Cased to FTI FT Installe~ Date Installed: REMARKS: ~ ~ ~6 ~¢~ 40 ~ Inspections Pedormed by: - I ~C~ ~ (~~t~ cedilythal~hisinspectJonwaspedormedaccordingtoall ~ ~eJ.t:.orw, .".-?:~ Municipal and Stale guidelines in effect 0n this date: Health Depadment Approval: , ~ i 'i' 72-013 (3/85) t:!t::.. ~ .... ::i!~'I'RE:E i', ANE;Hi:31::d=~GE ~, i':;.~K } 1 2. 6 4.- 4 7 2 () 8~() :1. 1 () HAND WI:;: I "l'"l"liii:N SUBD I V I S I O1'-.I: COI....OI',I I Al... PARK ,:.,[:.~., I i UIq. 7 ',r'OWNSH I I::': 1 41'4 1 zI. OC)() (SE4 ,, I:::'T ,, OR AC;RES ) I cer't:i,f'y 'Lhat.: ~ :t .... [ am i: am :i. 1 J. a I". t-,.~ :i. 'Lb '[[.. h (.:.:.:, P (.z..', qu :i. r'. emel] t s f' c) r' ot"t.....s J. t e: stc.~el'' s ar"~d ~.,~(..'.-':, 1 1 s as SE,'I:.. f(::,r'tl"'~ I:::,y the Municil::)a.l.i'~:.y c:,i:' Ar'~c::hor'age (I"'t[JA) and 't:.he S'[:.aCe of' Alaska, ;Z,, .1: wit1 ins'Lall t..he syste::,m :i.n accordance ~,,.~:i.'l:.l"l ali. MO& (:::(:)cle:,:-'~ and r(.:.:.:,gu].a'L:Lor'~s, and :i.n c:oml::,J.:i, al"ic:e with tl'](.:~.:, c:le~:Lgr"~ c:r:i, ter':La ~::,1:' th:i.s i:::,er'mi'[:, :::.!;, 1 ~..,.~:i.].1adl'"~ere to all MOA and S't:.ate (::)t' Alasl.::a r'E:quii"emerJ'l:.s for the set back d is'l:.ar'~ces f r'. om any c..:.:,;.,' :J. st :i. ng t,w:el J., wastewater d J. sposa ]. sys't:.em or pub ]. :i.c !~.~,:.:.:.~ w e I" a g e s y s t e.~ m o n 'L'. h :i. s o r' a n y a d .j a c e n t o r' n e a r' b y 1 o'1:. ,, 1.1::: A i....II:::t SIA'f'IOI",I ]:S INSTAI..L..ED I1'4 AN AREA COVERED BY MOA BLJIL. DING CC}DES, HEN (1) AN E]...I~:CTF~ICAf .... F:'ERMIT AND IIqSF'E:CTZON MUST BE OBTA~NED~ (2.) AS-BU]:I_..TS W:I:i...I .... NOT BE AI:::'I:::'F~OVE:D WI THOUT AN IEI...EC]'R~CAI... ZNSF:'E:[;TION RI~:I='ORT; AND (3) 'T'HE ELECfR:[CAI .... WORI<'.. MUS'T' BE DONE BY A I....ICENSED EI...E:CTRICIAN. ~~ ........... : ........................ : ................... ~ .............................................................................................................................. AI:::'PI....]:CAN'}"~ CHAIRL..ES S, BAI:~R MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: SLOPE SITE PLAN DEPTH (FEET) '1/o ~-" ~ :2 '. -L:~,¥:' 4 ~'~ COMMENTS ~ PERFORMED BY: WAS GROUND WATER No t ENOOUNTERED? · 0 P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PE~ RATE TEST RUN BETWEEN FT AND (minutes/inch) FT 72-008 (6/79) q~ '2 SEWER SYSTEM LOCATION PLAN Pr elated for: Date: 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 NAME IPHONE [ []NEW MAILING ADDRESS LEGAL D~SCRIPTION LOCATION NO, OF BEDROOMS N Z Manufacturer Liq. capacity in gallons Inside length Width Liquid depth /~O~ IF HOMEMADE: ~ -- ~ Manufacturer Material Liquid capacity in gallons Well~o ~ , ~ Foundation Nearest lot line PERMIT NO. ~ DISTANCE TO: ~ ~ No. oflines~ ~. Lengthofeachline. ~ t Totallengthoflines=o ~' Trenchwidth~o inches Dis~betweenlines , ~ ~ Top of tile [o finish grade ~ ' Material beneat~ tile ~ ~ Total effective abso~ptign area Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS INSTALLER ~ " REMARKS 72-013 (Rev. 3/78) Ihdl ,L,J Ib,.fl Zi E ...... ~. 1711 iF:::" ~l*'-.',*~ tL .... 1~ 'T* '"'~F IE]* IF= ~.:'.~ b,lt C: IF ~d C.]' ....... IF, ,. t*- ~ *=~_,,~ ~ ~:: .... * DIE:F:'AR'TMI!:T. IxlT OF HIF. ALTH AND ENV I RONMEN'T'AL. I"* I*'(..) F~.::.[., T I ON ~ ................ ANCHt]RAGE. Al*::: 99,5C) 1 825 L. ,~TId:.l:'. I , 264'- 4 '720 F'ERM I'T' NO: .. (~? ,[.':.,~ :? "**,. D A T E .[ ,.,,., U L I .... IF'"':::" EE: IFa;: Ib'll ]ET' A P I::' L. ;r. C ~ N T: A D D R E S S: C 0 t,,I"F'A c T F:' H 0 N E: ..... AF'-.F~ LOt ITR, C/O L. OU BUTERA CHLJCK rq -,.', "x " F::' 0 BOX -'~'"~":r,'.~c~a EAGLE RIVER, AK 995'77 I....EGAt_. DFSSCF~ I F': SUBD I V I S I ON: COLON I A F:'ARK I..OT: 1. lA BLOCK: 4 SI'E[]"I" I ON: 7 "FOWNSH t F:': 1.q.N RANGE: 1W L. OT ,.~.[.~.~ .... ~ (SQ F:T,, OR ACRES) Lis'Led I:)el.c~m ape the c)pt:i.c~ns avai].abl, e t.a '/c:~u in des:i, gr'tir'lg yoLtP septic: system. Choose the option that bes'L fits youp site,, DEF"I"H '1"0 F' I F:'E B(]T'I"E)M (I::'T.) GRAVE:L DEF:'TId (F'l".,~) TOTAL. DI.:.:]:::'TH (F'T',) GRAVEL WID'I'H (F'I".) GRAVEL L..EIxlGTH (F'T',) GI::~AVEI... VOL. LJME (CU. YDS.. ) 'l"Al',tl< S I ZI-E (GAl..S) ~ ~:~ & ~-~-~ 1,00(.'), 0 .~..~,- ,.~ [.) ].1... RATIIxlG (SQ,, F:"l", /BR) ~/~ 11() *'~.' TANK MUS]" HAVE AT I_EAST 'T'NO COMPAR]"MENTS ]: (::ept. ify t. hat: 1, Iarn familiar with the r'equiremen'Ls ~'c:}r' mn.....~:iite ~ewer's and we].].s forth by 'Lhe Murt-:Lcipalii:.y c:)F Anchc)r-age (MOA) and 'Lhe State oF A].asl.::a,~ 2.. I t,,~ill :i. nstal], the system in accapdance witln a].l MC]A (:(::)de.~!5 ar'id ir't cc)ml::)].:i, aF~(::e wJ.'Lh the des:i, gr'i c:r:i, tep ia c)f ti]is permit,, 3, I w:i.].l adher'e to a].l MOA arid S'La'~..e c)t' A1asl.::a r~(DqL.til'(;~f?l~l"it~B {'CIP 'Lhe~ set bacl.:: dj. star'ices From any existinqj v~e].]., waste~/,;a'Ler dispc)sal system or' pulz~l:Lc s(.?2Nel"~&ge sy~HL(.:.:.)fJl (:31'] 'LNi~B tip aJ']y ~Adjac:ent c]I" r'leaI"by ].c:)t, 4 I Ltt] d e I- v-., .... ... ' , .:,,.anti i'hat 'Lhis pepmit 1. s va.].id fc)p a j1wAximt..t~ c]f 3 bedJ"c)(::m'~s ar'id any enlargement., wi].1 r'equire an a(::lditic~rJa], i::)erm:i.t, C~ .. . , .~ .. ] '"'~ IF:' A I...IFT ,.)TA] ION IS INSTAL. L. ED IN AN AREA COVEFdED BY MOA BLJILD!IqG [.,bLl:::.~:>~, 'T'HE[N (1) AN EL. EE;TF~ICAL. F'ERMI'I" AND INSF'ECTION M[JST BE OB:T'AIIqED; (2) AS"'"BLfII:...TS WILl... NOT BE AI::'I::'ROVED WI"FHOLJT AN ELECTRICAl.. INSPECTION IREPOFt'.T; AND (3) 'T'HE EL. EC, TIRICAL. WORK MUST BE DONE BY A L. ICIENSED EL. ECTF;:ICIAIq,, .... ]. ,.: N ... D D A T E :: AI:::'PI..~CANT: C/I) L. OLJ BU'TERA CHLJCI< BARR CONTR, REA,IER ANCHORAGE AREA BOR _. JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME Executive Realty MAILING ADDRESS 2810 C Street Eagle River LOCATION Colonial Park ,q~]bdiv4 .~rJ_EGAL DESCRIPTION Lot PHONE 276-7777 llA Block 4 SEPTIC TANK: DISTANCE NUMBER OF FROM WELL N/A MANUFACTURER~UnS~t Plasti~A~ERIAL Fiberglass COMPARTMENTS two Inc. INSIDE LENGTH 7 ' -8" INSIDE WIDTH 5 ' -2" LIQUID DEPTH 4 ' -i~[IQUID CAPACITY1000 GALLONS. SEEPAGE ~ Trench: NUMBER O~chs 1 DIAMETER N/A OR WIDTH 2' LENGTH 28' DEPTH 12' LINING MATERIAL N/A BUILDING FOUNDATION 20 ', CRIB SIZE: DIAMETERN/ADEPTH N/A DISTANCE FROM: WELL N/A TOTAL EFFECTIVE NEAREST LOT LINE 25~ . ABSORPTION AREA (WALL AREA) 480 SQ. FT. ADDITIONAL ABSORPTION N/A WELL: Community System located to the West approximately 350 feet. TYPE CONSTRUCTION Drilled - Cased DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION N/A , LOT LINE N/A , SEWER LINE N/A , TANK N/A , SYSTEM N/A CESSPOOL N/A , OTHER SOURCES N/A APPROVED . DISAPPROVED REMARKS DISTANCES:. DIAGRAM OF SYSTEM INSTALLED BY: lng PIPE MATERIAL: Maus Excavat- PVC LOT SLOPE: REMARKS: __ Level Form No, EQ-031 DATE 1!/23/76 APPROVED ~oening-Grey Assoc., Inc. PERMIT NO. ~41JN I C I AL I T~r' OF ANC)-~ ']RAGE DEPARTMENT u,. HEALTH AND ENVIRONMENTAL , .~OTECTION 25i0 E. TUDOR RD., ANCHORAGE, AK. 9_q. 507 276-2221 ON--S I TE SEWER PERt-1 I T 76ii6 > APPLICANT LOCATION LEGAL FOREMOST SERVICES 252~ BROOKWOOD LiiA B4 COLONIAL PARK SUBD LOT SIZE 278-3644 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT/BR)= 120 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C. EPTH= i.~> LENGTH---- 2~ GRRVEL DEPTH= 8 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. 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 IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET>. REQU I RED SEPT I C TANK S I ZE= 1000 GALLONS 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 R PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'ERM I T k/AL I D FOR ONE YEAR FROM ISSUE I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUI~ENLARGEMENT I F THE "One test is worlh a thousand opinions" 2204 Cleveland Anchorage, Alaska 99503' Performed For Foremost Construction Date Performed 4/21/7fi - Le0al 0escriDti0n: Lot llAB10ck 4..Subdivisi0n Colonial,,,park Subd. Eagle Rives This form Renorts Soils Loq Percolation Test Perth Feet j To' 1 Characteristics Sandy Gravel (6P-~W) Brown Gravelly Sand 10-- 12-- (SP-SW) 14--. 16 18-- 20-- Bottom of test hole No ground water or bedrock encounter~a Was Ground Water Encountered?l N9 I~ Yes, At what Depth? Readinq Date Gross Time Net Ti me Percola~tion Rate Minute Depth to H20 Net Dron Prnnosed Insta"lllation: SeenaQe Pit Drain Field Depth of Inlet Depth To Bottom Of Pit Or Trench. CAM!aENTS: 1~0 Square feet drainage arearequired,,p~r bedroom- ~UCTION TEST Daga Certified By: '~:' Da%e:- 4/23/76 MOLe, lING=GREY & ASSOCIATES, INC. GEOLOGISTS AND ENGINEERS '715 L STREET, SUITE 8 ANCHORAGE, ALASKA 99501 TELEPHONE; 2'74-2314 December 2, 1976 ~uni. cipality o~ A~chocage Dept. of Health and Environmental Protection 2510 E. Tudor Road Anchorage, Alaska 99507 Attention: ~r. John Kennedy Re: On Site Sewage Disposal, Lots llA, 12A, 13A, & 14A, Block 4, Colonial Park Subdivision in Eagle River. Gentlemen: As reported to you by 'telephone this morning, the depth of screened gravels in the seepage trenches on the subject Lots is as follows: V~Lot llA - 9 feet Lot 12A - 9 feet Lot 13A - 8 feet Lot 14A - 8 feet Please call if you require further information. Very truly yours, MOENING-GREY & ASSOCIATES, INC. H. J. Moe ng HJ:', /lv Parcel I.D. # MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services h~UNI~F ANC. HO~Gr: On-Site Services Section ENVIRONIV~NI'AL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 SEP 09 1997 CERTIFICATE OF HEALTH AUTHORITY A~.ROVAL FOR A SIN~'E ~AMILY DWEbLIN~ R E C E IV E D GENERAL INFORMATION Complete legal description Lot llA; Block 4; Colonial Park Locatio?' (site address or directions) Property owner 19730 First St. Eagle River, AK Mailing address ':Brenda Harris '7904 N'.E. 6th Ave. Ste B 245 Day phone Vancouver, WA (360) 573-2988 98665 Lending agency Day phone Mailing address Agen. t . ~' Day phone Address 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 ×xx 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 STATEMENT OF INSPECTION BY ENGINEER. As. Ce~fiedbymy 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 s~ructure 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. $ & $ ENGINEERING Name of Firm ~. ?_n~4 _~,_C!_. _my,,, t,,,~p ~a=~l kla. ~4 Phone (-; Eagle River, Alaska 99577 Address Engineer's signature ,-7~j '~'Z ~ /rT~,,--_-~ Date DHHS SIGNATURE ,/ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: ~'. _~...//w.~' 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 engineer's work. 72-025(Rev. 1/91) Back MOA#21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825L Street, Room 502. Anchorage, Alaska 99501. (907) ~ealth Authority Approval Checklist Legal Description: ~//4, Parcel I.D.: A. WELL DATA Well type t~lt~,~l If A, B, or C, attach ADEC letter. ADEC water system number ~ Log present (Y/N) Date completed Total depth ___ Cased to ___ Casing heig~ound) __ Sanitary seal (Y/N) ~ ~ Wi~protected (Y/N) __ FROM WELL LOG J AT INSPECTION Date of test ' ~ __ Static water level ,// Well production _ g.p.m. __ g.p.m. ~/~RmSAM~,,--" : Nitrate other bacteria ,,,,,/3a~te or, ample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~'~-~ Tanksize ]~00 Number of Compartments' ~ Cleanoutsi~lN) Foundation cleanout eH) ~; ~- Depression (Y~ ~O High water alarm (Y/N) ,~// Date of PumPing ~'~. Pumper '-'------ C. ABSO, i!IlaT!O.N FIELD DATA ~'~"~'")~'-'~'~"~-~ : ·.. I. ~ ~ 7e~ Date:~inS~alled i , .~1/~.'i',.. ~ Soil rating (g.p.d./fF or fF/bdrm) /Io,W' System type 'P~'~l~ Len~th. ',. " width':. "~.~' Gravel thickness below pipe ~;?' Total depth /I~' EffectiVe absorption area. ~, ~,~ ~ Monitoring Tube present (~YN) ¥~5 Depression over field (Y~__.~ ", Date of adequacy test,--c, · 9/,~ I¢~"~ Results ~_~ail)~%,~ For 3 bedrooms Fluid depth in absorption field before test (in.); -~) ,G x/Immediately after 5~ gal. water added (in.): ~5'~*; Fluid depth ~ (ins)Minutes later: '"~-~ Absorption rate = 'Z./~ .g.p.d. Peroxide treatment (past 12 months) (Y/N) /t//o~, IL/~"~/[_ If yes, give date -'---"--'--- 72-026 (Rev. 3/96)* LIFT STATION Date instill'ed ." Manhole/Access (Y/N) High water alarm level at* E. SEPARATION DISTANCES Size in gallons SEPARATION DISTANCES FROM WELL ON LOT TO: "Pump off" level at* Septic/holding tank on lot On ad'?[~7~ Absorption field on lot ~.....~._...-~ On adjacent lots Public sewer main~ Public sewer manhole/cleanout service line Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~' (/'' Property line JZ~ /¢'-- Absorption field Water main/Service line [~) t3c Surface water/drainage Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ' Building foundation I I '+ Water main/service line Sudace water I ~ '* Driveway, parking/vehicle storage area Curtain drain /F¢/~' ~~' Wells on adjacent lots foe "~ F, ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records in conformance with MOA HAA guidelines in effect on this date. Signature Engineer's Name Date HAA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* MUNICIPALITY OF ANCHORAGE DEPARTMEr~T OF HE, ALTH AND ENVIRONMENTAL PR~JTECTION DIVI~'IO/~ OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMA'rlON h (a) Legal Description (include lot, block, su~bdilvi~n, ~ection, towns, ip, range) Location (address or directions) t'7o0 direly' ' ! , (b) Applicant Name ~/')..~Z£ .~ /'~J./-w'~'¢g Telephone: Home Business Applicant Address ~_. ~ / ,~]~?J'-.r- .£~2"~e¢~ .~':~/__¢ ~).)~'¢,¢,..,~].¢~.¢,('./ Applicant is (check one): Lending Institution [] ' Owner/builder ~; Buyer [] ' Other [] (explain); (c) (d) Lending Institution Address Telephone (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: Single-Family L/;J'" Multi-Family [] Number of Bedrooms Other WATER SUPPLY ~ Individual Well [] Community [] Note: tf community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DI,~OSAL o nsi e Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) 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, t verify that my investigation of this Heaith 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 inspectio.n. ! / Name of Firm ~f'~L,~/Jl ¢ f~-¢d~f'~_~'-.5 4~1(~', Tel~p, hone ~ / ~ / ~/ 6. DHEP APPROVAL Approved for ~t/~ (~) bedrooms by lerms of ConOitional Approval Conditional Date °/3 CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in, paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) MUNIOPALiTY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE (MOA) DEPT. OF HEALTH & HEALTH AUTHORITY APPROVAL (HAA) ENVIRONMENTAL PROTECTtON CHECKLIST- FEBRUARY 19~ 264-4720 (~1~ ,J U ~/ :~ L~ ,~ Legal Descript. io~Y',~.~:)~ ~]~(~'-~, ,.~- b/oeJ c -l:! V i'D WELL DATA Well Classification ~)~~ If A, B, C, D.E.C. Approved (Y/N) / Well Log Present (Y/N) Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments SEPTIC/HOLDING TANK DATA Date I nstalled ~/?5'/~/f~/~ Size ~:~~o. of Gem partments Standpipes (Y/N) / C/~.~ Air-tight Caps (Y/N) ~-~ Foundation Cleanout/(Y/N) /~ 0 '~ Date Last Pumped /~//~r ;for Temporary Holding Tank Permit (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~/~ Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line 50 ' To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Course /t~//~ Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Abso~otion Str, ata Date Installed ~7/ 7..~'~3~,~, Width of Field .~ [ ~ /."~'0 ~O.//,//~d~'~ Typeof System Design ~ __ I~U L ;/0/8? ~~ Length of Field ~ ? / ~ Depth of Field /~ Gravel Bed Thickness ~ * Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well Jr l To Building Foundation ,et To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments -'~ k ~'or~ U Standpipes Present (Y/N) Date of Last Adequacy Test / '7 (~/Dr'l'/) / ~(~::~ ~' U To Property Line To Existing or Abandoned System on · On Adjoining Lots To Cutbank (if present) /~/~' D. LIFT STATION Date Installed, Dimensions Size in Gallons~_ M a n h o le/Acce N~7~'"-~)) "Pump On" Level at'"'""'"--._ --,'~'~'""~ V~tlY/l''J'~nLevel at High Water Alarm Level at ~ ~_ Vent (Y/N) Tested for j~~~~m~ ng Cycles during AdeqUacy Test· Meets MOA Electrical Codes (Y/N) ~ Check Pefn~itted Bedr/o'om Rating Against HAA Request I certify thaX I,~at~e~chec~, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ///~~, ' ~Date ~ ~, /~ CompJy d0~ ~ ~~SMOA No. _ Receipt No. ~~ Date of Payment Amount: $ ('~ ~'~ Page 2 of 2 72~026 (11/84) Engineer's Seal BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA g9501 Telephone: (907) Address: 274-2533 DATE: June 19, 1986 PWS I.D.# 211562 To Whom it May Concern: According to records on file in this office the SUBDIVISION Water Regu]ations COLON IkL PARK Water System is in compliance with the State Drinking Sincerely, ' / '~/' MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF~ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. 07 I?ALTI-I & 825 L Street - Anchorage, Alaska 99501 ENV)RONMENTAL; ,'. r~ : ~ i]CTtON ENVIRONMENTAL ENGINEERING DIVISION MAR 2, Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proc~sed. Please allow ten (10) days for processing. 1. PROPERTY OWNER ' PHONE MAI LING ADDRESS PROPERTY R ESI DENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4. REXLTOR/AGENT ' I PHONE' ' .... ............ 5. 'LEGAL DESCRIPTION ,zo-t- ~lA., ~1~i~ ,ft. ~_I,~,~,~L. ?a,~t~ ~',,'/~ STREET LOCATION ~ ,,,7,~ I~.-/ ~/~,L , ~2L~ ~iv~'~ 6, TYPE OF RESIDENCE NUMBER OF BEDROI~MS [] One [] Four [~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six [] Other WATER SUPPLY [] INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS TIME TIME DATE DATE INSPECTOR INSPECTOR DIRECTIONS: DATE RECEIVED TIME DATE INSPECTOR 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or []Holding Tank Size: ~ gOO If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line [] ONE [] TWO NUMBER OF BEDROOMS [] THREE [] FIVE [] OTHER PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 'PERE/IIT,NUMBER DATE ~I~STALI"ED [] FOUR [] SiX INSTALLER SOILS RATING rVIANUFACTUI~ER~ Sewer Line Nearest Lot Line MATERIAL Septic/Holding Tank IAbsorption Area I 5. COMMENTS EZ],~APPROVED FOR ,,~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE I' BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) I, qilJBl~CI pAL~T ' DEPT. cb:' ' :L';' & RECEIVED MI March 29, 1979 Walter/Janet S. Hogle 4700 First Street Eagle ~ver, Alaska 99577 SubJect~ Lot llA Block 4 Colonial Park Subdivision Approval for your individual sewer and water facilities will not be granted until the following items have been c~pleted~ (1) The septic tank is pumped with a receipt submitted to this office If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist Alaska National Bank of the North 3301 C Street, Calais II 99503 Robort J. Allen % Totem Realty, ~nc. 724 Emst 15th Avenue 99501 Eagle River GREATER ANCHORAGE AREA BOROUGH Department of Envir0nmenta] Quality 3330 "C" Street, Anchorage, Alaska 99503 274-456] Date Received November 10, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. 1. Approval requested by: Security Pacific Mortgage Mailing Address: 319 West 5th Avenue 2. Property Owner: Roger Fielder Phone: Phone: 694-9894 Mailing Address: 3. Legal Description: Lot llA Block 4 Colonial Park Subdivision First Street, 4. Location: 5. Type of facility to be inspected 6. Well Data: Community A. Type C. Construction Sewage Disposal System: Single Family On-site system B. Depth No. of bedrooms 3 D. Bacterial Analysis A. Installed C. Septic Tank: 1. D. Seepage Pit: 1. B. Installer' /Q"Q~tu~ Size ~ 2. Manufacturer Absorption Area ~~.' Total length of lines , Absorption area , Other contamination , Absorption area E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line 2. Material ~/~/~ , Sewer Lines EQ-034 (1/74) Page 1 of two pages MUNICIPAL'IT~O F ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA 2. Property Owner: ~G,I~,'~/ 'I";~ ~~'~ Mailing Address: FHA .CONV .... 3. Name of Buyer: Address.'/c'~."~.; _ ? ". DayPhone: Mailing .,L"' , . 4. ~ame of kendin~ Institution: Mailin~ Address: ~-~ rr ~ ~hone: 5. ~ame of ~ealtor or A~ent: '~ t~4~ Mailing Address: :~' ~) ~ _ , 6. Legal Description :m~~ Type of Facility to be Inspected: No. Bdrms. ~ Water Supply Type of Supply: Public Utility ~--~ .... .Individual_ If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation ,/~ Individual (on-site) 72-003(3/76) Page 2 of two pages - Re¢ st for Approval of Individual S ~r & Water Facilities Legal Description Lot llA Block 4 Colonial Park Subdivision Approve~ ~ ~.a/u~.~c~..~ pp ~ 'Approval .,(~lid for one year from date signed Greater Anchorage 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) MUNICIPALITY OF ANCHORAGE POUCH 6-650 ANCHORAGE, ALASKA 99502 July 23, 1976 TO: WHOM IT MAY CONCE~ Subject: Colonial Park Subdivision Letter of June 14, 1976, to whom it may concern The Department of Health and Environmental Protection has recently learned information that was neither known to our department nor made known to our department by Mr. Howard M. Smith of Foremost Services at the time Mr. Smith requested on-site sewer permits for Lots llA, 12A, 13A, 14A, 15A, 16A, and 17A Colonial Park Subdivision, on April 27, 1976 or at the time our letter of June 14, 1976 was written. The most recent recorded plat of Block 4, Colonial Park Subdivision, with plat approval by the Borough Platting Authority dated December 3, 1974, was not available in our subdivision file at the times referred to and shows the following restriction in the notes on the recorded plat: "4. No dwelling may be constructed on Lots 18A, llA, 12A, 13A, 14A, 15A, 16A or 17A until public sewer is available." The above restriction was neither known to the undersigned and Mr. Les Buchholz of our department nor made known to the undersigned and Mr. Buchholz at any time by Mr. Howard Smith in the course of his dealings with our department. This letter is to notify all concerned that the on-site sewer permits issued for lots llA, 12A, 13A, 14A, t5A, 16A, 17A, and 1SA by this office on April 27, 1976, to Mr. Howard M. Smith d/b/a Foremost Services are cancelled and are null and void and that any approval for development on the above cited lots implied by our letter of June 14, 1976 is hereby invalid. If you have any questions concerning this matter, please address them to Ken Norman at 274-2525. JB/vad cc: Very truly yours, /Jo% eph Blair ~ Environmental Services Manager Ken Norman, Assistant Municipal Attorney RECEIPT FOR CERTIFIED MAIL--30;'~ (plus postage) SEN1 '[0 Fielder Construction . STREET A~D NO, PO Box 851 P 0 STATI- AND ZIP CODE E~gle Rvr. Alaska 99577 OPTIONAL SERvICEs FOR ADDITIONAL FEES RETURN ~- 1. Shows to whom and date delivered ..,i DcCEiPT I~ With delivery ta addressee only ........... 65¢ ,,L ~P' 2. Shows to whom, date and where delivered .. 35¢ SERVICES ~' With delivery to addressee only ............ DEl_ VER TO ADDRESSEE ONLY .~..i ............ 71 .........i ........ ....:.._ 50~ SPECIAL DELIVERY (eXtro fee required) ............................... POSTMARK OR DATE 7-23-76 PS Form 3800 Apr. 197] NO INSURANCE COVERAGE PROVIDED-- (See other NOT FOR INTERNATIONAL MAIL , Gpo: RECEIPT FOR CERTIFIED MAIL--30(', (plus postage) SENT TO william Eckhart _ STREET AND NO. SRA Box 4216 P.O., STATE AND ZIP CODE Anchor.aqe, Alaska 99502 . _ OPTIONAL SERVICES FOR ADDITIONAL FEES RETURN ~. 1. Shews to w~m and date delive~d .......... 154 With delivery to addressee only .......... 65¢ RECEIPT p 2. Shows to whom, date and where delivered .. 354 SERVICES With delivery to addressee only ............ 854 DELIVER TO ADPRESSEE ONL~ ............. : ..... i ~ ~ 50~ SPECIAL DELIVERY (extro ~eo reqoire~) ................................. POSTMARK OR DATE 7-23-76 NO INSURANCE COVERAGE PROVIDED-- ($e~ other sJd,) PS Form 3800 Apr. 197] NOT FOR INTERNATIONAL MAIL . Gpo: ~97~ o ~ 4eo-~e RECEIPT FOR CERTIFIED MALL--30(, (plus postage) SENT 10 Howard Smith STREET AND NO. 2523 Brook Drive .... , P.O., STATE AND ZIP CODE Anchorage, Alaska 99503 _ OPTIONAL SERVICES FOR ADDITIONAL FEES RETURN ~. 1. Show'to whom and date delivered ........... With delivery to addressee only ............ 654 RECEIPT p 2. Shows to whom, date and where delivered., 35~ SERVICES With delivery to addressee only ........... 854 DELIVER TO ADDRESSEE ONLY ............................................... SPECIAL DELIVERY (exfre ~e require~) ................................... POSTMARK OR DATE 7-23-76 NO INSURANCE COVERAGE PROVIDED-- (S.e oth,r ¢;d,) PS Form 3800 Apr. 1971 NOT FOR INTERNATIONAL MAIL , omo: RECEIPT FOR CERTIFIED MAIL~30(' (plus postage) POSTMARK SENT TO OR DATE Charles Schultz . _. STREET AND NO. PO BOX 931 _ _ -- P.O., STATE AND ZIP CODE Eagle River, Alaska 99577 7-23-76 oPTioNaL SERviCES FOR-ADDiTIONAL FEES RETURN 1. Shows to whom and date delivered ........... 15¢ l With delivery to addressee only ........... 654 RECEIPT 2. Shows to whom, date and where delivered .. 354 SERVICES With delivery to addressee only .:.,.::.::: 854 DEI.IVER TO ADDRESSEE ONLY 50~ SPECIAl. DELIVERY (extr~ ~ee required) ................................... PS Form 3800 NO INSURANCE COVERAGE PROVIDED--- (S(a o~'h~,r sld,,,) Aw. ]ov ] NOT FOR INTERNATIONAL MAIL :., re,o: ~0~ o- ~o-?~ ~) o © ,/ / 50 50' ---i . - ................. "HILLCREST ........ 25{ 00' R. ~-, M.---. '~ N O0° (0 125.00' h' (}0° N 0 i) 0 ", _ I.~,.5 I(1:... I(, -: 50.00' R, ¢ M. "- EAGLE RIVER LANE 0