HomeMy WebLinkAboutBIRCH TREE ESTATES BLK 2 LT 4
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: -¢ 1,4/ (~ 6'O 3'~° / PID Number: ~ i '71 './/3' ~.
Name:
5l~trl~y Z~,~,~? ~; ~,z,.,;ot D~c~c~n.ron Wastewater System: [] New [] Upgrade
Address:s--O~/~ ~:~i"J'r/' I~/,.,,C't~ ,/~. ,,~'1C~ ~),~"1~ ABSORPTION FIELD
INo. of Bedrooms:
Phone: ~"* - ,.5,--,~¢--1 ~ ~ E~ Deep Trench E] Shallow Trench E]Bed F'lMound i-lOther
LEGAL DESCRIPTION soil Rating: Total Depth from original grade:
GPD/Sq. Ft.
Lot: ff Block: ~ ~Subdivisi°n:l~t"~ 'F~' t~.1~. Depth to pipe bottom from original grade: Ft. Gravel depth beneath pipe Ft.
Township: I Range: I Section: Fill added above original grade: Gravel length:
I
I
Ft. Ft.
WELL: E~-;/' [] New [] Upgrade Gravel width: Numberof lines: ] Distance between lines:
Ft.I Ft.
Classification (Private. A,B.C): Total Depth: Cased To: Total absorption area: Pipe material:
Ft. Ft. ,~Q Fl
Driller: Date Drilled: Stalic Water Level: Installer: ,.7'¢ f"~y Yu'~/t,~, Date installed:
Yield: GPM IPumpSetat: Fi, ICasingHeightAb°veGr°und:FL ~o TANK
SEPARATION DISTANCES ~ Septic ~ Holding ~ S.T.E.P.
To Septic Absorpllon Lift Holding ~ublic/Privale Manufaclurer: Capacity in gallons:
From Tank Field Staff .... Tank S ..... Li .... A~ CA or~
~---- Material: ~ ~--~j Number of Compartments:
Well
I
Surface
Water I~ 2 LIFT STATION
LineL°t ~ Size in gallons: I Manufacturer:
Foundation ~ "Pump °n" level at: [ "Pump °ff" level at: I High water alarm at:
Curtain Pump Make & Model I Electrical Inspections performed by:
Drain
I
Remarks: ~n~ ,-X ~/~4 ~ ~~ BENCH MARK
; Location and Description:
I Assumed Elovation:
ENGINEER'S SEAL
~ ~' ;~, .;~ ~:~ ~ .~ ,~'~,
Inspections performed by: ~(~ T~ ~c Dates: 1st ~/~/~7
'7. ~ ~.~,~o~:c~ ~ ~,~':,o~' ~'
Reviewed and approved by:¢___ _.___/ /, --~ate. ~
) MOA 25 I
PERMIT NO: SW960381
PIDNO: 017141~t2
WELL
NEW 4000 GAL.
HOLDING
PLAN VIEW
SCALE: 1" = 30'- 0"
PAGE 2 OF2
100' OFFSET
FROM SOUTH
PROP. LINE
4000 GALLON HOLDING TANK
~IINV.
94.2
PROFILE VIEW
SCALE: 1" = 5' - 0"
LOT 4, BLK. 2, BIRCH TREE EST.
SEPTIC TANK INSTALLATION
AS-BUILT INSPECTION REPORT
FLATTOP TECHNICAL SERVICES
14530 ECHO STREET
ANCHORAGE, ALASKA 99516
SCALE: AS NOTED
DRAWN BY TFM
FEBRUARY, 1997
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 WASTEWATER DISPOSAL SYSTEM (UPGRADE PERMIT
PERMIT NUMBER:SW960381
DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES
OWNER NAME:VENTA LAEL
OWNER ADDRESS:5044 E 145TH AVE
ANCHORAGE, ALASKA 99516
PARCEL ID:01714132
LEGAL DESCRIPTION:
BIRCH TREE ESTATES BLK
2 LT 4
LOT SIZE: 44982 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT:
DATE ISSUED:12/26/96
EXPIRATION DATE:12/26/97
THIS PERMIT IS FOR THE CONSTRUCTION OF:
HOLDING 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 (18AAC80).
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 PROVIS IONS~:
~ - /"" "t2~'''''',.~ ~ ~
RECEIVED BY: [/%~4~..L[ .~(-, /
ISSUED BY: ~ ~ ~
.... ~ !...~"~'.~. ~ ~.~ ~,~i~j ~!' '~, ......... d ............ ~ ~:' ~=~.~.T." .,--~..~i~:.~~~.
CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS
THEODORE F. MOORE, P.E. 14530 ECHO ST.
PH: (907) 345-1355 December 23, 1996 ANCHORAGE, ALASKA 99516
M.O.A. DHHS - Attn: Dan Roth
P.O. Box 19-6650
Anchorage, AK 99519
Dear Mr. Roth:
The purpose of this letter is to provide a design narrative in support of our revised application for a
permit to install a holding tank to serve the existing 4 bedroom residence on Lot 4, Block 2, Birch Tree
Estates, located at 5044 E. 145th Avenue. A revised site plan and specifications are enclosed to assist you
in your review.
As you will recall from from our discussion, no suitable site could be found on this lot which would
allow issuance of a permit for a conventional soil absorption system outside the required 100 foot
separations from the well and the creek easement which runs along the south property line. Thus, the only
remaining option is the installation of a holding tank.
Because of the need to fmalize the sale of this property before the end of this year, we would
appreciate your prompt issuance of the permit and the requested conditional HAA. Please give me a call at
345-1355 if you have any questions.
cc: Ainslee Phillips, Vista Real Estate
Sincerely,
Ted Moore, P.E.
MUNICIPALITY OF ANCHORAG~
ENVIRONMENTAL SERVICES DIVI$10~
DEC 2 199G
RECEIVED
EAST 145TH AVENUE
~-.~.,:x,~.-,-,,,,~' X / #~
---A~- ~-~ ........... I- ",
~ ~ ~ ~,:,,,,ov,:~,s-,-,,,,~.,ooo~,,,,,...
~ SEPTIC TANK AND INSTALL
T.H. ~ NE,,W 4000 GAL. HOLDING TANK
(~ '#2 ~ 100 OFFS~TFROMP/L ",.,.
T SEPTIC
SYSTEM (~T.H. .
#1 .,r:,~:. . .-
,."f~t LOT 10 ', ./ '.-.15' CREEK MAINTENANCE EASEMENT
0 ~ 10 UTILITY EASEMENT
,,
~ ............................... ~'~' '.~ .......... ~
~ ,, ,,~ ~ (VACAN~
I . O~S~."'
LOT 4, BLK. 2, BIRCH TREE EST.
HOLDING TANK INSTALLATION
SITE PLAN
FLATTOP TECHNICAL SERVICES 1 INCH = 50 FEET
14530 ECHO STREET DRAWN BY TFM
ANCHORAGE, ALASKA 99516 DECEMBER, 1996
NOTE: THIS IS NOT A SURVEYED PLAT.
ALL LOCATIONS SHOWN ARE APPROXIMATE.
EAST 147TH AVE
,' REV. 12/6/96
Flattop Technical Services
14530 Echo Street, Anchorage, AK99516
Phone (907) 345-1355
Lot
4, Block 2, Birch Tree Estates
5044 East 145th Avenue
Holding tank installation
Specifications
1.0 General:
1.1 The scope of the project consists of abandonment of a 1000 gallon septic tank and installation of a
4000 gallon holding tank with a high level alarm system.
1.2 Construction shall be as depicted on the approved site plan. Minor deviations may be allowed or
required by the engineer conducting the inspections. All construction procedures and material
specifications shall conform with Municipal and State requirements. All separation distances shall be in
conformance with Municipal requirements, unless specifically waived.
1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any
buffed utilities.
1.4 The contractor shall provide adequate cover material and rough grading over all system
components to ensure that proper drainage is achieved after settlement and that there are no residual
depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas.
1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after
the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construCtion.
2.0 Existing System
2.1 The existing 1000 gallon septic tank and log crib seepage pit must be properly abandoned by
thoroughly pumping, removing the tops and backfilling with soil.
3.0 New holding tank:
3.1 A new 4000 gallon Municipally approved holding tank shall be installed in the approximate
location shown on the site plan. The holding tank shall be installed no closer than 100 feet north of the
south property line. The tank shall be set level on undisturbed soil. All pipe connections to the tank shall
be sealed with waterproof mechanical connections. To reduce the possibility of floatation, the tank shall
be buffed to a sufficient depth that there will remain 5 feet of soil cover over the tank after the backfill has
stabilized. The soil cover over the tank shall be mounded no less than 1 foot to allow for subsequent
settlement.
3.2 The tank shall be connected to the existing waste line leaving the residence at a point downstream
of the existing foundation cleanout, or a new foundation cleanout shall be installed.
3.3 The tank shall be equipped with a low voltage, high level float which triggers an approved visible
and audible alarm mounted inside the residence. The float shall be positioned to trigger the alarm when
the fluid depth is approximately 57 inches above the bottom of the tank, thereby leaving 600 - 800 gallons
of capacity remaining in the tank at the time the alarm first sounds.
4.0 Inspections:
4.1 A total of 3 engineering inspections will be required during the course of the project: (1) initial
stakeout with the contractor to establish the location of the system and to discuss the plans, specifications
and construction procedures, (2) after the tank has been set in the excavation and the piping connected, but
prior to backfill, and (3) after the alarm is installed and final backfill and grading is complete.
4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in
advance to ensure the availability of the engineer.
TEST HOLE #
LEGAL DESCRIPTION:
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG -- PERCOLATION TEST
Lot 4, Block 2, Birch Tree Estates
DATE PERFORMED:
PERFORMED FOR:
November 20~ 1996
Denali Federal Credit Union
DEPTH
(feet)
Pt and Fill
SM Reddish sandy loam
GP Coarse sandy gravel
GM Very silty gravel
Variable lenses of GP/GM
ML Gray silt
Soft, gravelly, damp
ML Blue gravelly silt
Damp, hard digging
Cobbles & boulders
SLOPE
Depth to Groundwater Date
Seeps at 14.5' 11/20/96
Water at 7' - 8" 11/27/96
SITE PLAN
#2 #1
B.H.
seep
Clock Net Time Percometer Net Drop
Date Reading Time (minutes) Reading (inches)
11/20 12" Presoak 3:38 27 1/2
3:41 27 1/8
4:02 21 26 5/8 1/2
PERCOLATION RATE
(minutes/inch) PERC HOLE DIAMETER 6"
TEST RUN BE'BNEEN 6.0 FT AND 6.5 FT
COMMENTS: Based on the preliminary perc rate of the pre-soak water, the material in this stratum will perc at > 60 min./inch. See log for test
hole #2 for results of second perc test conducted between 4.5' and 5' in this test hole.
PERFORMED BY FLATTOP TECHNICAL SERVICES. I~,- v?~//,~.~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: / Z,/~[~'~
TEST HOLE #
LEGAL DESCRIPTION:
DATE PERFORMED:
PERFORMED FOR:
2
FLA'I-rOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG -- PERCOLATION TEST
Lot 4, Block 2, Birch Tree Estates
November 20, 1996
Denali Federal Credit Union
DEPTH --
(feet)
GM/ML Fill material
Pt.
SM Reddish sandy loam
GP Slightly silty sandy gravel
Loose, dry
Cleaner and will perc faster than T.H. gl
ML Blue/gray sandy silt
Many rounded boulders
Softer digging than in T.H. gl
Water seep
SLOPE
: : :
:
:
:
SITE PLAN
T.H.
T.H.
#2 #1
Depth to Groundwater Date
Seeos at 8' 11/20/96
Water at 7' - 5" 11/27/96
COMMENTS:
Note: Perc test
conducted in
test hole gl
Clock Net Time Percometer Net Drop
Date Reading Time (minutes) Reading (inches)
11/20 12" Presoak
Add water & start 2:51:40 23 1/2
2:54:40 3 20 3/8 3 1/8
Add water 2:55:20 23 1/2
gl 2:57:20 2 21 7/8 1 5/8
Add water 2:58:24 23 1/2
#2 3:00:24 2 21 7/8 1 5/8
Add water 3:01:10 23 1/2
#3 3:03:10 2 21 15/16 1 9/16
PERCOLATION RATE 2 (minutes/inch) PERC HOLE DIAMETER 6"
TEST RUN BETWEEN 4.5 FT AND 5.0 FT
This perc test was conducted in T.H. gl. Based on visual comparison of the soils in the two strata, the perc rate between 3.25'
and 5.5' in T.H. #2 wilt be faster than this measured perc rate.
PERFORMED BY FLATTOP TECHNICAL SERVICES. Iir'"' ,~f~..~,__ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /
TEST HOLE # 3
LEGAL DESCRIPTION:
DATE PERFORMED:
PERFORMED FOR:
FLATTOP TECHNICAL SERVICES
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
SOILS LOG -- PERCOLATION TEST
Lot 4, Block 2, Birch Tree Estates
November 20, 1996
Denali Federal Credit Union
DEPTH
(feet)
Pt and Fill
ML Blue/gray silt
Dense, wet
No gravel lens
B.H.
SLOPE
Depth to Groundwater Date
Soil very wet 11/20/96
SITE PLAN
Clock Net Time Percometer Net Drop
Date Reading Time (minutes) Reading (inches)
PERCOLATION RATE
(minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
COMMENTS: Soil unsuitable for soil absorption system. No monitor tube installed.
PERFORMED BY FLATTOP TECHNICAL SERVICES. I -/r~..,~,~ ~',~.o.~1.{ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
GREA
"R ANCHORAGE AREA BOR 'I GH
Department of Environmental Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAMF_,.,/~/~--~--~~ ~~ MAILING ADDRESS~'-~_/Z~--~/~'/--'~-
LOCATION ~¢~'.~'~/~/~//¢/f~ ~¢:7~, LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM W E L L~/~*~/
INSIDE LENGTH
MANUFACTURER
~'~ INSIDE WIDTH
NUMBER OF
MATERIAL -~¢~2~--/--~ COMPARTMENTS
LIQUID DEPTH LIQUID CAPACITY /~//~ GALLONS.
SEEPAGE PIT: ~/~/~'~""~ ~~ ~-----~/~--
NUMBER OF PITS / DIAMETER ~ OR WIDTH //-~, /CENGTH//-~, /
LINING MATERIAL ~'~-- CRIB SIZE: DIAMETER~ /
..DEPTH ~. DISTANCE FROM:
/ / /TOTAL EFFECTIVE
BUILDING FOUNDATION~¢'~-¢¢) ~-NEAREST LOT LINE/d'£'~--~.¢* ABSORPTION AREA (WALL AREA) ~-~/~-;<~-~ SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ,,~'~""~/'//'~' CONSTRUCTION DEPTH ¢O~/ ~ r ~/'*DISTANCE FROM:
DUI LDING NEA REST NEA REST SEPT lC SEEPAGE
FOUNDATION __, LOT LINE , SEWER LINE , TANK , SYSTEM
CESSPOOL , OTHER SOU R~ES
APPROVED DISAPPROVED REMARKS
DIAGRAM OF SYSTEM
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form PW-026
DATE
APPROVED
G.A.A.B.
Gre~,'er ANCHORAGE Area BON,JUGH
DEPARTMENT OF ENVIRONMENTAl. QUALITY
3500 TUDOR ROAD POUCH 6-65'O
ANCHORAGE, ALASKA 995'02
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK SEEPAGE Pit DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED '~ ~ ;/~//~.,//~ '~'~'?~' ,
,o., .,s. ~,S,,T. /~y~~ NOTE. THiS PERMIT I, NOT VALID WITHOUT SOIL T,,,
FINAL INSPECTION: 24 HOUR NOTICE: REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WiLL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE Pit
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TAnK
DRAIN FIELD
WATER MAin TO SEPTIC TANK
DRAIN FIELD f/~ ~/~
., SEEPAGE PIT
DRAIN FIELD
I, DRAIN FIELD
SEPTIC TANK,
, SEEPAGE PIT
., SEEPAGE PIT DRAIN FIELD
TO RIVER, LAKe, STREAM.
DIAGRAM OF SYSTEM
CAST irON INTO AND OUT OF SEPTIC TANK AND into CRIB CROSSING GAP OF
EXCAVATION 5 FEET intO UNDISTURBED SOIL.
4 INCH DIAMETER CAST irON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
Fitted WITH AIRTight REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
· OR
LICENSED DESIGNER
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.,~,/.--/q '~/ ~. ~...'/h/ ~/~' ~~''?A
DATE * , APPLICANT'S SIGNATURE '
GRE^, R ANCHORAGE AREA BOR,.JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
DISTANCE ~ NUMBER OF
FROM WELL '"~MAN U FACTU R E R MATERIAL COM
INSIDE LENGTH tN~H ,/,LIQUID DEPTH ~..~~ACITY. GALLONS.
TILE DRAIN FIELD: s~ TOTAL LENGTH
ST LOT LINE
DISTANCE FROM WELL FOUNDATION OF LINES
DI~T-Cd~E BETWEEN LINES ~ WIDTH IN. TOTAL EFFECTIVE
NUMBER
OF
LINES
ABSORPTION A SQ. FT. LENGTH OF EAC[ NE ~
D~F DEPTH OF FILTER 0~
TILE TO FINISH GRADE MATERIAL BENEATH TILE IN. AB ~IN.
WELL: ~ -,
BUILDING
FOUNDATION__
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST
LOT LINE_
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE__
DEPTH
DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
REMARKS __
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DATE
APPROVED
G.A.A.B.
Form EQ~032
4.1
yOU~ w~tl pl~ase ~al! ~s a~ 276-2221, ex~eumio~ 2~3 or
PriB¢ipal ~ ~ '"
[:EPFIRTMENT Ob HERL'rH RND ENVIRONMENTRL P~40"FEC:I"ION
25:Z¢9 E. TLIDOR RD., RNCHORRGE, FtK
2'76-222~.
L..~ EEL.. L, F' E: F~: t".'i :~:
PERM I T NO. ( 76858 ::, ..'"'3
.TOM LL ]H'I"E~'HRI-E:~, : - .... 94¢~'L EP1ERAL.[:, /.~ //. ,~~~~ ~,..-,'",'",.-,~i
L. oc:FiT~ON ~45TH OF:F E:UF'FFILO ~;~'¢-.
LEGRL L4 Er2 6iR..H TREE E.c,r
LOT SIZE 45888 S;QF'T
MINIMUM DISTRNCE FROM HELL TO RN'¢ SEPTIC TRNK/PRCKRGE PLRNT OR :~;OIL RBSORF:']"ION
S',.%]"EM ;IrS tee FT FOR R PRIVRTEHELL RND 288 FT FOR R PUBLIC HELL.
HELL LOGS MU2;T BE RETURNED TO THE DEF'RR]"MENT H ITHIN ]~:8 DFf'qS OF THE NELL
COMPL. ET I ON.
SPECIFICFtTIC~N2; RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER
I NSTRL..LFI]" I ON.
I I ........ '"' F"r' ..... '
_,b. RlI 'THRT t RM FRt"IIL. IRR HI'f'H THE REQUIREMENTS FJF. ON-E;ITE_,EWER=,'::' :' :"'"" ..... RN[:, HELL=,
FIRE; SETFORTH E:'T' THE MUNICIPRLITN' OF HNCHC~H.~E' '" "-'" -' RN[:, HILL IN.:,FHL. L' ........ IN RCCOR[:,RNC:E
l,.I I TH THE CO[:,E. -~
=, I GNED ...................................... }~;'..
='=' .-':.,¢ [:'RTE.
)fl/~ L L
)),z)/b ))
~ 5~)
MUI,IICIPALITY OF td,.ICHORAGL:
DEPI'. OF HEALTH
ENVIRONM£NT,&L
'4A',/ !'~ 1976
RECEIVED.
Division of Environmental Services
On'Site Services Section
P.O. Box 196650 AnChorage, Alaska 99519-6650
~. ' :,~. 343'4744 ·
MUNICIPALITY OF ANCHORAGE ~i~
DEPARTMENT OF. HEALTH & HUMAN SERVICES . '. :, i
Parcel I.D. # O I '7 / ~'J t ..3
1. GENERAL INFORMATION
Complete legal description
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Location (site address or directions)
Property owner ~'[,,,r.l.,y ~,~,1,? ~; O~,,d D.'l~.,~.rw~ Day phone
Mailing address -¢("q¢ Eo¢f ~ q£ "'* ,4-,.-o., /~c/~c,,--~.~ /f-ur
Lending agency ~.~,,~ H~,~ I'-eo,,'i-~,a,,¢¢ Day phone
~ ¥5"- 5'5'19
Mailing address
Agent Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ~
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OFWASTEWATER DISPOSAL:
NOTE:
Individual on-site
Holding tank
Community on-site
Public sewer
c
If community wastewater system, provide written confirmation from State ADEC
attesting to the legalitY and status of system.
72-025 (Rev. 1191) Front MOA#21
STATEMENT OF INSPECTION BY ~ENGINEER · ,'
As certified by my seal affixed hereto and as of the validatiOn date shoWh 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. -r/,¢
Nameof Firm ~/~ F~ T~c~,~ ( ~ ;~ Phone
Address /*/~ ~c~o ~/~ ~c~~5 /~
Engineer's signature ~~ ~ ~ Date
DHHS
SIGNATURE
ApprOved for ¢
Disapproved.
Conditional approval for
bedrooms.
,~ ,: ;. ~ ,~,~,~,,.,~. %,,;
bedrooms, with the following stipulations:
Additional Comments
By:
Date ~ -4- ~'7
The Municipality of.Ahchorage 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 DH HS do not
conduct inspections or analyze data before a certificate is issued. The ,Municip,.ality of: Anchorage is not
responsible for errors or omissions in the prc~fes$io~al enginee#~ work..'
72-025 (Rev. 1/91) Back MOA ~21
Legal Description:
WELL DATA
Well t~pe ?
Log present (Y/N)
Total depth ] R !
Sanita~ seal
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVIC~,SE C E IV E D
Environmental Services Division
825"L" Street, Room 502 · Anchorage, Alaska gg501 · (g07) 343-4744
FEB 20 1997
Municipality of Anchorage
Health Authority Approval Checklist Dept. Health & Human Services
ff A, B, or C, attach ADEC letter. ADEC water system number
Y' Datecomplctcd ~/ Y / '~6' - ~'~'~en~
Cased to I ~ / ' Casing height (above ground) / 2" +
Y' Wires properly protected (Y/N)
FROM WELL LOG
Date of test ~/¥ / 7~'
Static water level 7
Well production
WATER SAMPLE RESULTS:
Coliform ~> cc,/ /too,~,~ Nitrate
Date of sample:
SEPTICfltOLDING TANK DATA
Date installed ~ / ? / 9 7 Tank size
Foundation cleanout (Y/N)
Date of Pumping /v..
ABSORPTION FIELD DATA
Date installed
Length Width
Effective absorption area
Date of adequacy test
AT INSPECTION
g.p.m. 7, ¥ g.p.m.
~,, / t 9 m,~/-Z Other bacteria
Collected by: l~ lo l-i-=,/, 7-ec'~ f o. c.
¥OO¢'.~ Number of Compartments I Cleanouts (Y/N)
Depression (Y/N) N High water alarm fi/N) '1'
Soil rating (g.p.d./fl2 or ft%drm)
Grovel thickness below pipe
Monitoring Tube present(y/N)
Results (Pass/Fall)
Fluid depth in absorption field before test (in.);
Fluid depth (ins.) Minutes later:
Peroxide treatment (past 12 months) (YfN)
Immediately after gal. water added (in.):
Absorption rote = g.p.d.
If yes, give date
System type
Total depth
Depression over field (y/N)
For bedrooms
D. LII~T STATION A/. ~.
Date installed
Manhole/Access (YfN)
High water alarm level at* *Datum
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
Size in gallons
"Pump on" level at*
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Lift station
"Pump off" level at*
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation J o ' Property line '/3 ' Absorption field
Water main/service line > t o' Surface water/drainage ~> t co' Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: /V. ,4.
Building foundation
Surface water
Property Line Water main/service line
Driveway, parking/vehicle storage area
Curtain drain Wells on adjacent lots
ENGINEER'S CERTH~ICATION
I certify that I have determined thrufield inspections and review of Municipal
in conformance with MOA HAA guidelines in effect on this date.
Engineer's Name ~-h eo ogo ~'g F'. /~oo r ¢
Date ~'e~, 17, ~7
I-IAA Fee $
Date of Payment
Receipt Number
Rev. 8/95 OSS: lma.wk.doc
Waiver Fee $
Date of Payment
Receipt Number
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
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. #
1, GENERAL INFORMATION
Complete legal description
Location (site address or directions) ~'-~ ~ y ~',~.r/' /'~o" ~ ~,..¢n, (~
Property owner
Mailing address
Day phone
Lending agency
Day phone
Mailing address
Agent
Address Y~¥1
Day phone ~ 7.1 - '7 ~ '/a
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: ~ ~ '~'~'**~
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
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 T/vastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1191) 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 th.e date of this insPec, tion. ~c),~,~',/-,~,,,,~/
Name of Firm F" /~ /-/-c,? 7%c/~i~1 _('~,,',, ,'c ,,_,- Phone 9' '/~--1..7~'5-
AddreSs / ^15".~ o ,~. c i.,o _Cl.. ~ . ,,'Y,~c,~o,-'~.u~,~ .., ,4-.~
Engineer's signature -'~'~---=,,-~ ~' ~ Date I z/¥/~"
DHHS SIGNATURE
Approved for
Disapproved.
7,,xx~ Conditional approval for
bedrooms.
four (4)
bedrooms with the following stipulations:
Money to be put in escrow to construct a 4,000 gallon holding tank pursuant
to permit number SW960381. Construction to be
than June 15, 1997. Money in. escrow shall not
office has given final approval.
completed by no later
be released until this
Additional Comments
rDate DeCember'26,
1996
The MuniCipality .o.f.AnChorage Department of Health and Human Sen/iceS (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
MUNIC.,JPALITY OF ANCHORAGe
ENVIRONMENTAL SERVICES DIVISION
DEC 0 1996
Municipality of Anchorage V
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division RECEI
825"L" Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Legal Description: L v t qj
A. WELL DATA
Well tTpc Fr; ~'o t'-~
Be
Log present (Y/N)
Total depth ~'~'
Health Authority Approval Checklist
B/~ ~ B ,rc~, Tf, e ~.c/, Parcel I.D.:
If A, B. or C, attach ADEC letter. ADEC water system number
Datccompl?tcd 5 lq / 7~'./ tde?e~e.~ ~/~'
I~l
Cased to ,9~'/~e~ I,~, Casing height (above ground)
Sanitary seal (Y/N) ~ Wires properly protected (Y/N)
FROM WELL LOG AT INSPECTION
Date of test ,~'/ ¥ / 7 t~' , 1 t / q / ~ ~'
Static water level '7 3 ~ ~ I'
Well production ~' g.p.m. '7, */ g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 ¢o/ / IO0~.,~ Nitrate
Date of sample: Il / I /
SEPTIC/HOLDING TANK DATA
Date installed ~} / I ~9 / T_T Tank size
v
Foundation cleanout (YfN) . )" Depression (Y/N)
Date of Pumping I Z/q / ~ Pumper
O, ti9 mt ~, /.~ Otherbacteria No,,e
V
Collectedby: i=" lo /-/~,~ 'Te c /~ -Co'c_
Number of Compartments I Cleanouts (y/N)
/d High water alarm (Y/N)
Soil rating (g.p.d./ft2 or fl%drm)
Gravel thickness below pipe
Monitoring Tube present(Y/N) 'e
Results (Pass/Fail) ~; I
C. ABSORPTION FIELD DATA
Date installed 9 / / ~ / 7_,T ,,
Length 13' Width 13 '
Effective absorption area ~ ! ~ a'
Date of adequacy test I I / I / pff
Fluid depth in absorption field before test (in.);
Fluid depth (ins.) Minutes later: '
Peroxide treatment (past 12 months) (Y/N)
Immediately after
Absorption rate =
N
System type /,,~,~ c,~,/,
g ' Total depth 1 O'
Depression over field (Y/N) tv
For 23 bedrooms
gal. water added (in.):
g.p.d.
ffyes, give date
D. LIFY STATION N.A.
Date installed
Manhole/Access (Y/N)
High water alarm level at* *Datum
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot I ~ 3 '
Absorption field on lot I I~'
Public sewer main N.A.
Sewer/septic service line
Size in gallons
"Pump on" level at*
"Pump off' level at*
Rev. 8/95 OSS: haa.wk, doc
Engineer's Name
Dat~ D,ec~r~ b-e''~ q.~ 190
Waiver Fee $
Date of Payment
Receipt Number
Building foundation 4'0'
Surface water ~> tod'
Curtain drain ~ YP'
ENGINEER'S CERTIFICATION
Property Line ~ 3" Water main/service line
Driveway, parking/vehicle storage area
Wells on adjacent lots ~ t6'0 '
in conformance with MOA HAA guidelines in effect on this date.
Signature ff"~ ~. ~
I certify that I have determined thrufield inspections and review of Municipal records that the above systems are
~::!:"i5' ,~. :..; -': ?' :": .~'i:
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation ~ ~/' Property line ~/6' / Absorption field I 't '
Water main/service line ~lo' Surfac~water/drainage ~ too ' Wells on adjacent lots ~ too '
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Lift station
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-472O
Application Date
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, sec.tior), township, range)
Locatiofi (ad(il'ess or directions)
(bi, Applic~ni'Name /-~( ,~,.~/e~,¢~ 4 Telephone:Home ~N'5"-/6/¢ Business
'ApplicantAddress ~Qq'q ~, iqql / 4.~4o~CI~/
(c) ApPliCant is (chec~'one): Lending Institution ~; Owner/builder ~; Buyer ~; Other ~ (explain);
(d) Lending Institution Telephone
Address ./"
(e) Real Estate Company and Agent --,/,, --
Address
Telephone
(f) Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family [~' Multi-Family []
Number of Bedrooms ~,
Other
WATER SUPPLY
Individual Well[~ Commu. nity [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL ~
Onsite Public [] Community [] Holding Tank [] '
Note: If community well system, must have written confirmation from {he State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 (11/84)
ENGINEERING FIRM PROVIDIN~ INSPECTIONS, TESTS, FILE SEARCH, DA,,~ AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this H~alth
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.
Address l~2C~
Date
DHEP APPROV,~, ~ .
Approved for C/'~-'(.~/_, bedrooms by
Approved _ ~ Disapproved
Terms of Conditional Approval
Conditional
'CAUTION
The Muncipality of Anchorage Department of Health an~d 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 andstate 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)
WELL DATA
.~NIClPALITY OF ANCHORAGE (MOA)
~'~LTH AUTHORITY APPROVAL (HAA)
CHECKLIST-FEBRUARY 1984
264-4720
Well Classification If A, B, C, D.E.C. Approved (Y/N)
Well Log Presen~)/N~) Date Compl~eted c~..[~ _,~'- Yield
! ~ t Depth of Grouting
Pump Set At
/ I ~c Sanitary Seal on Casing (~N)
Total Depth (,,~t' Cased to
Static Water Level "rcf'
casing Height Above Ground
Electrical Wiring in Condui (t~N)
Separation Distances from Well:
To Nearest Public Sewer Line
Cieanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments
To Septic/Holding Tank on Lot /~
To Nearest Edge of Absorption Field on Lot
Depression Around Wellhead (Y0
!
~ "~. 'On Adjoining Lots lC~ ~
/~t '.'/o ~/O ; On Adjoining Lots ' /~ t ~
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
' Date ?-~ ~G
B, SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes~N) Air-tight CapON)
Depression over Tank
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Size _/'(~:)~ ' No. of Compartments
Foundation CleanoutON
Date Last Pumped
'for
Temporary Holding Tank Permit (Y/N) /~'/~
Separation Distances from Septic/Holding Tank:
TO Water-Supply Well
To Property Line ~ ¢4
To. Water Majr~er. vice Line
ourse
-'-CommentS
!
To Building Foundation
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption Area '~l~
Depression over Field (Y~
Results of Last AdequacyV'Test
Separation Distance from Absorption Field:
TO Water-Supply Well [~[t
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments 0 Ar
Type of System Design
Length of Field ! ~
Deptl~ bf Field ~,~/'~.~
Gravel Bed Thickness ~ ~
Standpipes Presentl~N)
Date of Last ,~dequacy Test
To Property Line
'To Existing or Abandoned System on
; On Adjoining Lots ~'0I
To Cutbank (if present)
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Comments
Dimensions ~
Manhole/Access
_. "Pump~vel at Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checke~d//~erified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed ~.__--~.~-/J ?-,(/--~,,_. Date ~'- ~'-- ~;~
Company ~[~---'~ ~2 "~-~,¢ ~_ MOA No. ~"'~ ~/
Receipt No. ~,--'-/',~2 - ~:~
Date of Payment ~--~ (~ (~)/ O~)~
Amount: $
Page 2 of 2
72-026 (11/84)
MUNIC-IPALIIY OF ANCHORAGE
DEPARTMEN 3F HEALTH AND ENVIRONMENT, .PROTECTION
825 L Street, Anchorage, Alaska -99501
279-2511, ext. 224 or 225
Date Received: .April 22~.1977
#1: - Time ~~~), ~. #2:
Date
Insp
Time
Date
Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
#3: Time
Date
Insp
1. Lending Institution Request: Alaska Mutual Savings Bank % Debbie
Mailing Address: Post Office Box 1120 99510 Phone: 274-3561/216
Property Owner:
Thomas L/Joyce M Luchterhand
I45th & Buffalo
Mailing Address:
3. Legal Description:
Lot 4 Block 2 Birch Tree Estates
Phone: 344-7638 home
277-2575 his work
272-6551 her work
4: Single Family Residence: (x)
Number of Bedrooms: 4
Multiple Family Residence: ( )
Well System: Public/Community System:
Permit # ~/_,0_~0. Depth of Well
Construction
Number of Bedrooms:
Individual Well: ~x)
Well Log on File (w~)
Bacterial Analysis
Permit # ~ Installed ..~.~3 Installer
Septic Tank Size I00~ J' Manufacturer ,
d '
Absorption Area .~/2 ~ Soils Rate
Distances: Well to Septic Tank
to Sewer Line Nearest Lot.line
to Nearest Lot Line /~-- ;
to Absorption Area
Absorption Area
-page Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 4 Block 2 Birch Tree Estates
Comments:
Affadavit Attached:
Approved:
Disapproved:
Letter Attached: ( )
Department Worksheet:
Date:
Date:
April 19, 1977
MUNICIPALITY OF 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
RECEIVED
1. Type of Inspection:
2. Property Owner:
Mailing Address:
3. Name of Buyer:
CMRO, VA FHA
Thomas L. and Joyce M, Luchterhand
CONV X
145th and Buffalo
Day Phone:
Thomas L, and Joyce M. Luchterhand
344~7638 HOME
Z//-ZS/~ WORK HIM
272=6551 WORK HER
Mailing Address: Same
4. Name of Lending Institution: Alaska Mutual
Mailing Address: P, O, Box 1120
5. Name of Realtor or Agent: N/A
Day Phone:
Savings Bank
Same
Phone: 274-3561 ext, 216
Debbie
Mailing Address: Phone:
Legal Description: Lot 4, Block 2 Birch Tree Estates
Location' 145th and Buffalo 99507
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
SF
No. Bdrms.
Public Utility.
Individual
X
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
1
X
Individual (on-site).
¢ORTGAGE LOAN pENDING
72-003(3/76)
ALASKA ROFlmE FITAL COFITROL SehdlCE $, IFIC.
~n(lin¢¢rin(l G ~nuironmcntaJ $luclics
LAEL VENTA
5044 E 145TH
ANCHORAGE ALASKA
99516
SEI, LER-SAME
LAEI, VENTA
5044 }5 !45Tt!
ANCHORAGE ALASKA
99516
60480
LEGAL:BIRCHTREE ESTATES LOT BLOCK 2
ADEQUACY TEST FOR SEWER SYSTEM
ADEQUACY TEST DATE--9/8/86
THE TYPE OF ABSORPTION SYSTEM IS A CRIB WITIt AN AREA OF 312 SQFT.
TIlE SYSTEM IS CAPABLE OF ACCEPTING 450 GALI,ONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 561 GALLONS.
BASEl) UPON THE TEST DATA TIlE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
SEPTIC TANK ADEQUACY
TIIE EXISTING SEPTIC TANK VOLUME OF ]000 IS ADEQUATE FOR
THIS 3 BEDROOM HOUSE.
THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 9/9/86
THIS REPORT DOES NOT VERIFY THE INTEGRITY OF TIlE PIPING FOR THE WATER
SUPPLY OR WASTEWATER SYSTEM.
1200 LUesl 33rcJ Aucnu¢, Suite J~ · An&oraq¢, Alaska 99503 0(907) 561-5040
J~nuary ~, !glS
i~ir. Robert Cook
St. RC. A, ~ox 1724-4
Anchorage, Alaska 99507
RECEIPT FOR CERTIFIED iVIAIL--30d (plus postage)
~ENT TO
STREET AND NO.
P.O., STATE AND ZIP coDE
OPTIONAL SERVICES FOR ADDITIONAL FEES
RETURN ~ 1. Shows to whom and date delivered ............ 15¢
P
With delivery to addressee only ............ 65¢
RECEIPT 2. Shows to whom, date and where delivered . 35~
SERVICES With del very to addressee only ............ 85¢
DELIVER TO ADDRESSEE ONLY ...................................................... 50d
SPECIAL DELIVERY (extra fee required) ....................................
POSTMARK
OR DATE
PS Form
Apr. 1971 3800
NO INSURANCE COVERAGE PROVIDED--
NOT FOR INTERNATIONAL MAIL
(See other side)
Subject:
lnsLallaCion of on-si Co sewuue sysCu~.~, Lot 4,
block ~, uirch Tree Subdivision.'
Dear ;.ir. Cook:
On October S, 19ll ~ permiC ~or an on-siCe sewage sysCe~,~ was
issued fro~,~ this office under your na~:'~e for Lot ~, 6lock £ of
~i rch Tree
Since no final inspection has been made on Chis sys:e~} and Che
peri,it is still outstanding we would like su~e fur:iler information
on Che status of ~his particular sewage syste~.i. If the system
bus nec been insL~lled, ~e would ~pprectate infor~,laCion on w~en
construction is expected ~o besin. If Che sys~e~,l'nas been
installed ~t~out a final inspection, you ~re in violation of
"'::' "': Section 9-71, ~ar~graph A, Sub-pa~A-
Uo ruu,:jh 0r~inance
~raph 4, whtch's~ates, "~o septic tonk, seepage pi~ or cesspool
sh~ll be backfilled wi~iouC :he peri~4ssion of ~he n~a]~h ~u~hori~y".
'Fi~is ufftcu will allow you fifCeen (15) days from receip~ ~f
C~]is leCCer Co conC~c'C us. iiupefull~, wu c~n resolv~ ~y prob~i~m
which ~,Hgh: ~rise ~ :h~: ~tme.
Sincerely,
beborah A. Uarr
Envtrom,~ental Con:rul OffiCer II