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Home My WebLink AboutFOREST VIEW HEIGHTS LT 7 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT TANKS DISTANCES SEPTIC ABSORPTION TANK FIELD WELL WELL //.Z- LOT LINE FOUNDATION SEPTIC E] HOLDING TYPE OF SYSTEM ~,I~TRENCH I 1 BED ur,g~[u~i ~adu ~ i ~ W. DRAIN [ ] OTHER /O (,,' .3'-4' lotal absolpt,on area I D slan~e bi twe(~n hrltm WELLS '~ PRIVATE [~ OTHER fldentifv) "PI wrw' /z-4,, FT FT REMARKS: ET Scale: cedify Iha[ this inspeclion was perdorme~ according to all G_l,l..-~ /,~ ,,e/,~,.. 4,, Municipal and $1ale §uldelines in elh~cl on this dal~ HealthDeparlmentAppfoval: ~ ~ Datu Y~/~¢ ENGINEERS SEAL BLIILT OF:' EXiS]"ING SYSTEM MUST BE DELIVERED TO DHHS WI'I"HIN(3 FEN (1. O) DAYS OF F:'EFi'.MI'I~ ISSUANCE,, l i--Iii!i I::'1: h;P'}] I Vf:d..:lJl) I:::[/I-' ~:l.j!..~l:,~ (4) BEDROOMS ONLY,, L,l:,h'n!:,I.i:. i3F ~..~il)l::,.'l?:::; I"h:~Y ).:Ii ALASKA EFIUIROrllTIE FITAL COFITROL SERUICe$, IrlC. ~nqineerinq $ ~nuironmcntol ,~ludics March 6, 1989 Municipality of Anchorage Department of Health & Human Services 825 L Street, I='ifth Floor Anchor'a(~e, AK 99501 RE: L~ot 7, Forest View Heights On Marc:h 4, 1.989, we drilled a test hole approximately 20 feet off the SW corr~er (:)f the porch and about 44] feet ~rom 'the system. The hole ~as dr'illed us~.ng a B61 Moblle Dr~ll w.~th 8 inch hollow stem augers. "l"he attached soi. ls log shows the soils. At 39 feet below ground level, a s.~.lty sandy gravel to) .silty sand was encour~ter'ed. 1"he hole was term:Lnated at. 43 feet. No water was encountered. 'T'he J.r",tE'~rr~a]. drzve rod was removed and examined. It was dry I=he er',tJ, re depth of the hole. A I inch F:'VC pipe was .m'~ser"ted thr'ough the drill to the b(:)ttom of the hole. Thrcx.).ghc:)ut the depth of the test hole to the 39 foot level the soils were alternating layers (:)f gravel 0.25-0.5 and 0.5.-.2.5 inches. ]"here were some fines. The silty san~dy layer at the bottom of the hole is permeable as tt~ere was no wet roc:k encountered. This location is very near the corner c::)f Spruce arid 72nd. It is (:]n well de?.~ned h'Lgh ground.. At Lhe inter'sec'Lion the road drop appears to be in excess of ~];0 fee't'.~ To the SW o'f th:~s site J..'..~ A"FC's (:)ld gravel pit. ][i'~ my prc]l:e_s%ional c. pzriior'~, 'Lhe on-site sewer system as J.~lstalled w:Lll not creai::e a health hazard,, I{ .Ls r,:.:.L,c:ommerldec:l tha'L .it be approved. I..CR ../s r S:Lncerely, l....eray C. Reid, ,Jr'. PhD, F'.E. , D.E.E. F' r'e s J. d e r) t MUNICIPALITY OF ANOHoP. AQI~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION ..... '., 19,9 RECEIVED 1412 WCSI, 33L~0 c~¥CnllC · c~DChO~&GC, &l&$ka 99503 · (907} 279-5553 .~.~.~",~"~'~'~ ~ ~ ~ (ENGINEER'S SEAL) Municipality of Anchorage ~."' 825 "L" Street, Anchorage, Alaska 99502-0~,~,~ .... ~'" ,~" ~ TE~~ - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 MUNICIPALITY OF ANCHORAOF DEPT. OF HEALfH & ENVIRONMENTAL PROTECTION /. !,7,' (.~, l,-" ; SLOPE SITE PLAN MA~ ':,J i',~8~AS GROUND WATER ENCOUNTERED? RECEIVED iF YES, AT WHAT 0 DEPTH? p E ~ to Water After Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes~nch) PERC HOLE DIAMETER __ 7EST RUN BETWEEN __ FTAND FI PERFORMED BY: ~' ~' ~''~ I ~ ~ C ER]IFYTHATTHISTESTWASPERFORMEDIN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE: ~ ~ ~¢ 72 008 (Rev. 4/85) ALASKA I1UII OI m I1TAL CO,TIrOL ~nqinctrJnq ~ ~nuironm~nlal InC. UNIFIED SYS'I'gM ASTM D-2~67 2-21 -89 FOREST VIEW HTS LOT 7 SAMPLE IDENTITY 13 PASSING #2UU SIEVE: 3.48% PASSING # 40 SIEVE: 13.01% PASSING # lu SIEVE: 25.69% PASSING # 4 SIEVE: 31.87% PASSING 1/2 IN SIEVE: 52.03% PASSING 3/~ IN SIEVE: 61.10% PASSING i iNCH SIEVE: 77.d1% PASSING 2 INCIi SIEVE: 84.41% PASSING 3 INCH SIEVE: 1OO.O0% DIU IS 0.40 MM. D3t) IS 4.50 MM. I)OU IS !~.Ou MM. TIlE LIQUID LIMIT IS UI~KNOWN 7HE PLASTIC LIMIT IS UNKNOW~N THE PLASTICITY INDEX IS ONKNOWN CU = 45.00 CC = 2.813 RETAINED: 9.53% RETAINED: 12.68% RETAINED: 6.16% RETAINED: 20.16% RETAINED: 9.07% RETAINED: 16.71% RETAINED: 6.59% RETAINED: 15.59~ RETAINED: 0.00% 'IHE SOILS ARE COARSE GRAINED TBE SOI~S ARE GRAVEL TdE SOILS ARE WELL GRADED GRAVEL.(GW) 1412 WCSL 331~c.", &v6nu6 ® &ncho~AG6, g[AskA 99503 · (907} 279-5553 TEST HOLE NO. Date Z--~--/-'~ Legal Description Sample Depth D 30% D 6O% Comments Repo;ted to Plotted ~e~ed ~... ~proved by MUNICIPALiTy OF ANCHORAGE DEPT. OF HEALTH & EN'¥1ROINrMENTAL PROFECTION I SIEVE ANALYSIS SIZE OF OP~NING IN INCHES I NUMBER OF MF_SH PER INCH U.S. ~TANDARD 90 I0 ¥ \ ~O Lx 40 ~ eo x - GRAIN ~ZE IN MILLIMETE~ COBB~S I ~ARSE ' FINE ICOARSE[ MEDI~ ' GRAVEL SAND ~ ~cs~ 33r~ Au~nu~. 5uiI~ ~ · ,Rnd~q~, Rlosb SSS03 · (SO7) ALASKA E[1UIROIlmEnTAL COI TROL $ERUICe$, I[1C. ~n§mcrrJn4 ~ ~nutronm~nlal Studies UNIFIED SYSTEM ASTM D-Z487 2-21-69 FOREST ViEW HTS LO]' 7 SAMPLE IDENTITY 13 PASSING #200 SIEVE: 0.69% PASSING # 40 SIEVE: 25.O1% PASSING # 10 SIEVE: 49.3g% PASSING # 4 SIEVE: ol.25% PASSING 1/2 IN SIEVE: 10(1.00% PASSING 3/4 iN SIEVE: 100.00% PASSING I INCH SIEVE: 100.00% PASSING 2 INCH SIEVE: 1OO.00% PASSING J INCH SIEVE: 1OO.00% DIO IS 0.12 MM. 030 IS 0.51 MM. 060 iS 4.20 MM. THE LII~UID LIMIT IS UNKNOWN THE PLASTIC LIMIT IS UNKNOWN THE PLASTICITY INDEX 15 UNKNOWN CU = 35.00 CC = 0.516 RETAINED: 16 32% REIAINEI): 24 37% RETAINED: 11 67% RETAINED: 36 75% RETAINED: 0 00% RETAINED: 0 00% RETAINED: 0 00% RETAINED: O 00% RETAINED: O 00% THE SOILS ARE CO,~RSE GRAINED SANDY SOILS BOt<DERLINE SOILS TIiE SOILS ARE POORLY GRADED SAND. (SP) MUN!CrPa, LI'rY OF ANCHORAGI~ Dr'!'~ (?' r~1:,',Lll-I & I _CEIVED 1412 Wt',St 33~tb ~v~rltl(~ · ancho~aQe, ~laska 99603 · I907) 27q-6653 ALASKA EnUIgO mE TAL CONTROL SERUICE$, IRC ~nqine~rinq ~ ~nuironmenlal '~ludi~s TE~ HOLE NO. Date Legal Description Sample Depth D 10% o /~-- D 30% .~/ D 60%.. ~.~..-- Comments MUNIcIPALiTy OF ANCFIo~A~ E)EPF. OF tlEALtH & EIq'VIROI'~vl~t,~TAL PROI ECTIoN RECEIVED Reported to Plotted Checked by Approved by I SIEVE ANALYS~S SIZE OF OPENING IN INCHES I NUMBER OF MESH PER ,.CH U.S. STANDARD ,x ~ 60 \ 40 ~ 40 x \ s°~; m -- GRAIN SIZE IN MILLIMETE~ · c°es~s Jc°ARs[ 'GRAVEL FINE ICOARSEJ UEO~U 'SAND FINE 1200 U.Jes! 33rd Auenu~, Suite ~ · An&oraCle. Alaska 99503 -[907) 561-5040 ALASKA INC. ENVIRONMENTAL CONTROL SERVICRS, 1200 WEST 88RD AVENUE, SUITE B ANCHORAGE, ALASKA 99~08 (007)~6~-~040 SUPPLEMENTAL SOILS sueDIViSiON ~,-~;-/ //,'~,-,/F~,?Z,/~' LOT MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROJECTION INFO,MA T R CEiVED BLOCK 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 14 15 16 17 18 19 20 1 2 3 4 5 6 10 14 17, .18 - 20, ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561.5040 SHEET NO OF CHECKED BY DATE SCALE MARCH 6, 1989 TO WHOM IT MAY CONCERN: DEDICATION OF PROPERTY KIMBERLY S. RAYMOND HEREBY DEDICATES LOT EIGHT (8) FORREST VIEW HEIGHTS SUBDIVISION AS A RESERVE AREA FOR A LEACH FIELD FOR LOT SEVEN (7) FORREST VIEW HEIGHTS SUBDIVISION. LOT EIGHT (8) FOREEST VIEW HEIGHTS SUBDIVISION SHALL NOT HAVE ANY PER. ATE STRUCTURE PLACED ON IT UNTIL LOT SEVEN (7) FORREST VIEW HEIGHTS IS HOOKED UP TO PUBLIC WATER AND SEWER. Kimberly ~, R~mon~ 200 W. 34th, An(;horaqe, ,~K. 00506 FULL NOTARY ACKNOWLEDGEMENT FOR AN INDIVIDUAL: STATE OF F.t..c.~.~/~L. x., ~'/.I/i'¢. i .'~ :.~/ Judicial District ' 7? ' ' ' On the' ~ .... day' o~ ?~2,-c.,'~ , 19 ~/ , before me d ~, ~~-,~ _ a notary public in and for the State of ~',:,-~._. , personally appeared i ~.'/,.,.~,~.~ ,.~/ known t~ be the person(s) whose name~s} is/are ' ~/ ,~ subscribed to the foregoing document. He/She acknowledged to me that he/she executed the above instrument and knew the contents thereof. NOTA'RY PUBLIC December 22. 1988 TO FTLE: 'rodav ~ spoke with Mr. Jenkins, a realtor from Alaska Assoc. Brokers, reaardino Lot 7, Forest View Heiqhts S/D. He is [tstinQ the property and wanted us to check the file. Ihe last correspondence written on this property was bv me in March of IMaB, ! recall that following the memo to the BuildinQ Uepartment I received a call from Dave Brennen, supervisor of ~onlnq Enforcement, informinq me that the memo should have aone to him. He also assured me that he would handle the problem. accordino to Mr. Jenkins, the house was foreclosed on by AJiiance Bank and is now in the control for ownership?) of victor Smith, the builder. The final work is beinq done presently to complete the house (5 bedrooms). Mr. Jenkins also states that several sewer cleanout pipes are present on Lot 7. at this time there are still no permits for this property from this department. I recommend that a notice of violation be issued to the property owner for the illeqal sewer installation. In addition, before a permit is issued for this system, the following need to be provided: A stamped, sioned ~ ~ .~-.~d~ ~-<~'L~z;~ ¢, oriainal soil test t.aken in an appropriate area. An easement Qranted by the owner of lot 8 to Lot 7 allowino exclusive use of Lot 8 for sewer installation wv LOt 7. Since Lot / cannot meet the reserved area ['equlrement, Lot U must serve that purpose, fhis easement must De recorded and a copy of the recorded document Included with the permit application. 3. Ubtain a well permit. Dig up the septic tank and enouqh of the absorption system to determine what is there. Document the septic tank type and size. t have asked Dave Brennen to attempt to obtain a Stop Work Order from Buildinq Safety. TO F'ILE: E;U~,.j(~,:~:,~ Lt: ',? For-est Vie,., Heiqhts~ PI[) 0~.4'14'134. '7~i(~ ~ .010589 v~_tcr' Smith zn o~.fic~ Got ,:og, J~s r3'F ~i]~ in~o and memo ,-I¢~f~d ......... '~.22288. Went over. r. equir, ements ,a~.th [}.~r'~ E,u"-lles. 020989 Call to [)ave Br. enner~ in Zoninq Er,.F. He s'l:ill has done 02,:])9F},9 Ca1 I t . e E ~s , r' ,.,hi,zh ,Cas installed by C. L. Smith. He ,,~oul,Jr~''( ,]omF, lete as-b'l'( uhtJ. 1 per. mi.!. ~.~as issued. StJ. l l needs soil '(est~ ~.~8. ter'. ea. sement onto Lt 8, design ,~,i~h sand filter- and F. eSer. ved S h o~.~rl . 0209'87 Call ~.c, C!oy,J Hoser'~ Ak: As~.c,o. Res~lty 344-2008, home 345.-A494. He ,.,ill ,:ontact Victor. Smith to ,::ome in and ,:or.r.e,::t pr. obleri',s. House ha.s been sold. 020989 Noon Vi,:~or. Smith in office. He had seen Lee Reid a. tr. ea,Jy. Explained ,::or~dJ. tions to him. Needs soc. 1 test/,.¢ater'. moni'(or, ing pr'iol" '(0 fur.~her. ,work. .If soil is tess needs !o r-edo t:r. en,zh OF- bu~.ld r,e'.' or, e. I,~ili ,:onsider. ,z o r'~ ,:l ., HAA for- spr'ihg '~'or-k only Zf tank is blinded off (if (r'en,zh is U Ft a,:: ,z e P' !18. [:, 1 e ) , 020989 3P.m. Call Fr. om Lee Rei,:l. Reconfir. med with him !f,e ,Jepar-tmer, t' s r. equir, ements.A ¢. Municipality of Anchorage MEMORANDUM DATE: TO: FROM: SUBJECT: March 9, 1988 Nat London, Zoning Officer, Building Safety Susan Oswalt, On-site Services, DHHS~, Building Permit for Lot 7 Forest View Heights Subdivision In a recent review of our permit applications, we found a permit application for the subject lot. Mr. Billy Macon made application for a five bedroom sewer permit on June 20, 1986. The permit was not issued because Lot 7 did not meet the minimum requirements outlined in AMC 15.65. This department has a record of sewer and well permits issued in 1983 and 1985 respectively. Both of these permits expired at the end of the calendar years however. We also have a copy of the well log showing the well was drilled in 1986 without a permit. More importantly, no sewer system has to date been installed. In checking with your office this morning I found that a building permit had been issued for this property, and we understand construction is presently in progress on the house. Please be advised that this dwelling is being constructed without benefit of proper current permits from the DHHS. We request that a Stop Work order be posted until such time as Mr. Macon obtains the necessary permits. s0/ljw~5 CC: Billy R. Macon, Sr. 7248 Spruce Street Anchorage, Alaska 99507 Alliance Bank (UBA) 440 East 36th Avenue Anchorage, Alaska 99503 MUNICIPALITY Or ANCHORAGE MEMORANDUM March 8 Date m88 To; From: Re: On-site Services Program Lot 7 Forest View Heights Subdivision Tax I.D. #014-141-34-000 I~ United Bank Alaska ~~~ 440 East 36th Avenue k~/ ~' Anchorage, Alaska 99503 ~ is listed on Assessing files as current owner for both this lot and, ~ Lot 8 Forest View Heights Subdivision this is the lot that a recorded easement needs to be acquired from for the reserved site for Lot 7 until public sewer is available to serve this area. also, with the recorded easements Lot 8 cannot be developed until public sewer is available ALASKA ENVIRONMENTAL CONTROL SERVIC"% INC. !200 West 33rd Aven , Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO C~CU~E~ /" - ~' SCALE DATE 100' WATER WELL RECORD 4/ C STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling Permit No. LOCATION OF WELL (Plaose..complefe either Is, lb or Ic.) A.D. L, No. Ia. Borough PA Subdivision Lot at 1 1/4 41 rs Section No. Township NO Range 0 E Meridian f t *4 rev) ir -% 4A - -of-of-of 80 WO DISTANCE AICU-6TRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL: Address: Street Address and Area of Well Location 2. WELL LOG Fast Below S ur face 4. WELL DEPTH: (final) 5. DATE OF COMPLETION I ft. - - - S 9 Material Type Top act 0. -Lo--L I)f, "t I N-4 I- G, JpCoble tool g Rotary 0 Driven 0 Dug 73 Dea ot A v* -'i A, Auger OJelfod 0 Bared 0 other: I. T. USE:. Domestic 0 Public Supply 0 Industry 13 It, r -I., Ja1L%i 'J� Au -&VA 0 Irrigation 0 Recharge 0 commerical t',r-- ILI ICL I/ If -1-J 0 Test Well 0 tttother: S. CASING: 0 Threaded Welded -7 'Depth a its] diam. In to ft. Weight -A4 tbs./ ft. �1. ko 114 A-' 1;4 to ft. Depth StIckup- ft, 9. FINISH OF WELL: Type: .0 D -C*% Diameter: $lot/M*4h 151te; Length Set between ft. and ft. Sockfilling Gravel pack 10. STATIC WATER LEVEL: ft. ajL" '0 Above or Below land surfqce Date Equipment used I I. PUMPING LEVEL below land surface and YIELQ t A AI tw, tar pumping 9-P-m- f*ter_hrs. pumping _q.p.m. 12.GROUTING Well Grouted: 0 Yet No Material: 0 Neat Cement 0 Other: 13. PUMP: (If available) HP 04 Length of Drop Pipe ft. capacitya) 9 -P.M. W 0 Subm. 0 Jet 0 Centrifical 0 other r- 14, REMARKS: z 16. WATER WELL CONTRACTOR'S CERTIFICATION: 15, Water Temperature -0 0 F C This well was drill u nd.r my jurisdiction and this report Is true to the best of my knowledge and belief; U. -VW -n §, r- 6 ), K. . 1 -4 -- Registered Business 0 Ji 13-1 coniroct-'Llconso Number Address Signed Dote:4- Authorized Representative Form 02-WwR (11/81) COPt D-11ributiorl: WHITE -State DGCS, PINK- 6rillar, CANARY- Customer Clock Time a ")c -1T 9075621561 ENV IROMENTAL MANAGEMENT rNC, 01/02. SAMPLE DATA SHEET (use continuation sheet for CIA$% A 1 81 PROJECT: DATE OF TEST: LOCATION OF WELL (Legal Description): WELL DEPTH: FT. CASING: FT SCREEN: PATE DRILLING C014PLETED: DRILLER: STATIC WATER LEVEL (Top of Casing) FT DATE: e me mco T' Pumping Started/ Depth tot. DrAwdowm/ Pumping Remarks ted 7 Water. f Recovery Rate. CPS toped, Min. I zrw t4 nours), RECOVERY t 0 t t/t, Comments: zrw t4 nours), RECOVERY t 0 t t/t, ~NTROL SERVICr% INC. s~ 12~ West 33rd Avert, Suite B ANCHORAGE, ~S~ 99503 ~LCULATED (907) CH~CK~D BY DATE --- ~! ..... . -- , ~:-,~,,o:--~;~%. , . ~ d .~ ~.o ~ I'[ ....... . + ....... . - ¢~-~- .~ ' , ~ ....................... .. :: ' -- I -'1 1 t' t ...... .:.:.: ....... "' I I hereby certify that I have surveyed the followin~ delC~ibed property. Lot ~' Block -- - FOEE'_~T ~IE ~ ~I~ ~5 ~-~D, Anchorl~ rlcordi~ Preci~t. Alltkl, end t~t I~ i~r~em~t, litulted thlr~ Irl within t~ p~pe~y lines aM do not ~erlep ~ e~r~ch on t~ Wo~ lying id~nt t~retO, t~t ~ impro~ntl on FOPS' lying idjl~nt thereto in,oath On the premi~ in Qulst~n end that there Ire no ro~wly~ .... I No Corners Set This Date Book NO. ~-- Page No, ¢_~.. · ~,...~, ~,~. ~.0.,..~,~.. !~ ' '& ENGINEERS,INC. / s ! 5 6 7 9 ~2 ~6 ~8 ~9 2O /tZ5 OLD SF_WARD 14WY. ANCHORAGE, ALASKA "~9503 549 - 6.561 S()ILS LOG t)[.FIC()I. AII()N I ESI SLOP[ /go F/iuS ~;~ ~oulu~b~ ~-xl L c ~l,o" Gv4 JOHN E. SWANSON..' 1834-E PROFESSiOI~ ','VAS GROUND WATER ENCOUNTERED' 11: YES, AT WHAT DEPTH) / SIT[ PLAN PERCOLATION RATE 1'£$1 RUN BETWEEN V ISL2A L _ FT AND O,op PO. ~,:Z~.;4 6650 ANCHORAGE. ALASKA 9950'2~0550 cq7' 264-,z111 DEPARTMENT OF HEALTH & HUMAN SERVICES January 10, 1986 TO: Permit Appl$cant Subject: Permit # 850708 Lot 7 Forest View Heights 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 enc: Copy of Permit DEPAF,:"rI'dEilNT OF HEAL.TH AND IENV1ROI'qMEIxI'T'AI._ F'ROTEC] ION 825 I.. S'1REi]EI"~ ANC. HORAGli!!:~ AK ":7950 J. 264 '-' 472() F:'E~RM :[ 'T NC]: i:)ATE :I:SSUED: () 7 () 8 /04/85 AF:'F:'L I CANI': ADDRESS: CL)NI'ACT F'H[]NE: L.EGAI.... DESCR iF': L..i]3 Ii S 1 ZIE: BiL. LY IR. MACON 7248 SF:'RUCE ST. P, NCHORAGE, AK 99507 ~b8-5()44 SUBDIVISION: FC)RESTVIEW I-..tEIGHT'S SEi;C-f'ION: 4 'FOWNSHIF': 12N 800(.) (SC;!. FT. OR ACRES) LOT: '7 RANGE: 5W BL..OCK: NA I cer'tify 'Lhat: J,, I am t am:iliar' with the r'equicements f'of on-site sewers and wells as se'L for't.h by t. lq¢-'~. Mt.,tnicJ. l::)ali~t.y of' Anchor'age (MOA) and t. he State of Alasl<a. 2. ]: wJ].] Lr-,sta].] t{.l"le syst. effl in acc:or'dar~ce wi'Lb ali. MOA codes amd and in cc::,mpliance with Cl"le design cr'iter'ia of this pepmi'L. :~,, i wi].] adher'e Lo aJ1 MOA and S'Late of Alaska r'equir'ements For' Lhe set bacl.:: distar~ces from any existing ~e~[~ ~ast. e~at.e~- dJ. sposa~ system ch" pubtic sew~F, aC:le system on thi!~ of 8~'~y ~d.jac:er~t. itt' r]ear'[:)~' lot. · :. :::":'.. 2 "]{- ' '": ' ~ ..... :'. , ' :' 4- MUNICIFALI1Y 01- ANCHUNAUk Department = Health and Environmenta' ~rotection ~ 825 _ Street, Anchorage, AK. ,501 - 264-4720 * * * HANDWRITTEN PERMIT * * * (L~,i,~ ! , ,,~ Permit 90~[-'~ ! ~ AND/O~ON-SITE SEWER PERMIT Applicant: L~ "/97 ~.C~f7?~-~ Mailing Address: Location: Phone Number: Legal Description: ~/~.~'~ ~l{mCt> ~'~l~% ~7 Lot Size: Type of Soil Absorption System Is: Trench: ~ Drainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: DEPTH /C> LENGTH c/~ ~ GRAVEL DEPTH ~:~ ~ WIDTH 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). * * REQUIRED SEPTIC(HOL~G) TANK SIZE /'~ ~ = /~ GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to proBecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * * 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 codes. (3) I understand that the on-site sewer system may require enlargement if the residenge is remodeled to include more that ~drooms. Signe~: Issued by: Applicant (~/ ,-- ~/ Date: SWlP/024 (1/81) & ENGINEERS. lNG. 71zD OLD SEWARD HwY. ANCHORAGE, ALASKA 59503 5 6 7 8 9 10 11 ~2 14 ~5 ]6 ~7 18 ~9 20 S()ILS I_OG i)LFIC()i_/~Ii()N ILSI tJ 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 ~;~,,-"~ ~-: "'-'; .~, Lobs 7&8, :Fora_si. View HeiAhts Subdivision Location (site address or directions) 7248 Spruce St. ~,cho rage, Alaska 99507 Property owner ' Dale & ~Itchaely~ Scott Mailing addre'ss 7248 Sp~ce St, ~ Anchorage¢ Lending agency __City MortgaAe Cor,p. Day phone 99507 522-3730 Mailin9 address 121 W. Fi~eweed Ln., Suite 120, Anchorage, AK Agent De!y~',~ Brouillet Address 121 W. Fireweed.~Ln. Suite 120, Anchorage, Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: Day phone 277-0700 99507 Day phone 277-0700 AK 995O7 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: X If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91} Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Environmental Management, Inc. Address 907 g. Dowling~d, S~te ~ Anchorage, AK , / · Phone 562-2580 99518 DHHS SIGNATURE X Approved for~ ~Z ~ Disapproved. Conditional approval for Date 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. ?2-025 (Rev. 1/91) Back MOA ~21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: T12N~R3N~ Sect.4~ Lots 7&8, Forest View Heights Subdivision A. WELL DATA Well type Private Log present (Y/N) Yes Totaldepth 126' Sanitary seal (Y/N) yes Parcel I.D. If A, B, or C, attach ADEC letter. ADEC water system number Date completed 2-10-86 Driller Dotten Drilling Cased to 126' Casing height 1' Wires properly protected (Y/N) yes Date of test Static water level 67' Well flow 12 Pump level 109~ FROM WELL LOG 2-10-86 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 100' Absorption field on lot 112' Public sewer main None Sewer service line None g.p.m. AT INSPECTION 1-14-93 47.7' 8 109 ' ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank NQo_e over 100' over 100' None WATER SAMPLE RESULTS: Coliform 0 Nitrate 0.34 rog/1 Other bacteria None Detected Date of sample: 2-1-93 & 1-14-93 Collected by: Stan Dolloff B. SEPTIC/HOLDING TANK DATA '¢ ~ ~.~ .~ ~ . Date installed Cleanouts (Y/N) yes High water alarm (Y/N) None Date of pumping 1-15-93 Tank size 1500 p~al, Foundation cleanout (Y/N) yes Compartments 2 Depression (Y/N) Not]e Alarm tested (Y/N) None PumperDenall Sewer & ]~r.a~~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 100' Onadjacentlots over 100' To property line 10' Absorption field 6,5' Surface water/drainage None Observed Foundation 38' Water main/service line over 100 ' 72-026 (Rev 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA Date installed 6-12-86 Length 43 ' On adjacent lots Width 3 ' -4 ~ Total absorption area 516 £t2 Depression over field (Y/N) None Results (pass/fail) Pass Peroxide treatment (past 12 months) (Y/N) None SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 112' To building foundation On adjacent lots None Surface water Curtain drain Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested 47' None Observed None Observed E. ENGINEER'S CERTIFICATION Surface water Soil rating 85 System type Trench Gravel thickness 6' Total depth 10' Cleanouts present (Y/N) yes Date of adequacy test 1-14-93 for 4 If yes, give date bedrooms On adjacent lots Lot 9-over lO0~ropertyline 10' To existing or abandoned system on lot None Cutbank None Water main/service line over 100' Driveway, parking/vehicle storage area over 100' I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. ~i~:tUeerr~s Name John SimpS/, P.E. ,Date HAA Fee $ / 75 Date of Payment ,:=") - ~-- ~ ~ Receipt Number / 72-026 (Rev 3/911 Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number