Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
FAIRMOUNT LT 5
Municipality of Anchorage Department of Health and Human Services R/ck Mystrom, 625 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 17, 1997 Edgar J & Yolanda K Shangin General Delivery Chicmik Lagoon, Alaska 99565 Subject: Lot 5 Fairmont Subdivision Permit #SW960301, PID #017-112-06 The subject permit, issued September 17, 1996 by this office for a single family well and/or on-site wastewater system, has expired as of September 17, 1997. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Jmes Cross, P.E. Program Manager On-site Services enc: Copy of Permit cc: Theta Environmental Engineering MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW960301 DESIGN ENGINEER:THETA ENVIRONMENTAL ENGINEERING OWNER NAME:SHANGIN EDGAR J & OWNER ADDRESS:5531 RABBIT CREEK RD ANCHORAGE, AL. 99516 DATE ISSUED: 9/17/96 EXPIRATION DATE: 9/17/97 PARCEL ID:01711206 LEGAL DESCRIPTION: FAIRMOUNT LT 5 LOT SIZE: 61425 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 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 (iSAAC80) . 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: 1 THE TOTAL DEPTH MUST NO'EXCEED 3.0 FEET. PLUG E . RECEIVED BY~ ~,.~.~/'__~"-~,.-/-~ ) BY: DATE: '( E2 THETA ENVIRONMENTAL ENGINEERING 905 Jayme Court Anchorage, Alaska 99518-2444 (907) 344-1928 Fax: (907) 349-2363 LOT 5, FAIRMONT SUBDIVISION SITE NARRATIVE Lot 5, Fairmont Subdivision is bounded by Lot 4 to the West, CEA Substation to the East, Tract B, Park Hills to the North, and Rabbit Creek Road to the South. Across Rabbit Creek Road, there are lots 14, 15, and 16, Farmont Subdivision. There are homes only on Lot 4 and on the lots across Rabbit Creek Road. These adjacent lots have well and wastewater systems. The system on the subject lot is recorded with the Municipality. The installation of this system will be greather than 100 feet from any existing well. An existing 3 or 4 bedroom home is present on the lot. The existing wastewater system was installed in 1982. The existing system is in a state of failure. The lot is fairly flat. It slopes up from Rabbit Creek Road, becomes flat, and then rises at about a 5-7% slope, becoming flat again at the extreme north portion of the lot. There is a slope from east to west on the right side of the lot of about 7-10%. The side of the lot adjacent to Lot 4 has what appears to be a cut bank of about 7 feet. Shallow test holes were accomplished about 5 feet and 25 feet from the existing system. These test holes showed the system appeared to be in fill with about 4 feet of fill over the system. These test holes were not logged. The soil under the fill appeared to be silt or silty gravel. Test holes #1 & 2 were at the extreme rear of the lot. This area is flat with a drop of about 4 feet to Lot 4 approximately 25 feet from test hole #1. The layers in the test holes are fairly consistent and flat with no slope. Both test holes were pecolated in the same strata. It appears the ground water is consistent in both test holes, and there should be room for a replacement system, if needed in the future. There is some question as to the actual bedroom count of the dwelling. The waste water system is designed for a 4 bedroom dwelling. A lift station is required. An existing 1000 gallon septic tank currently serves the dwelling. A 500 gallon Anchorage Tank septic tank with a built-in Orenco lift station is specified. This septic tank will add an additional 250 gallons of third compartment capacity to the existing 1000 gallon septic tank. In my professional opinion, the combination should be sufficient to serve the needs of a 4 bedroom dwelling. The integrity of the existing 1000 gallon septic tank will be determined prior to installing the 500 gallon septic tank/lift station. If the existing septic tank is not in good condition, the tank will be replaced with an Anchorage Tank 1500 gallon combination septic tank/Orenco lift station and the 500 gallon septic tank/lift station will not be installed. WELLS No impact to the individual water systems serving the adjacent lots is anticipated from this system. E)E~, Lot 5, Fairmont SD 1 c. ~,t~.¢. ~co ,'f I ,~/q~. WASTEWATER SYSTEMS No impact to wastewater systems on adjacent lots is anticipated from this system RESERVED SPACE. Sufficient space exists in the area of Test Hole 1 & 2 to install another soils absorption system. DRAINAGE No impact on the drainage of the lot is anticipated from the proposed wastewater system. The system will receive topsoil and seeding to prevent erosion. It is strongly recommended that the contour above the system be graded in such a manner that the upper portion of the lot to the north does not drain over the proposed system location. WASTEWATER SYSTEM DESIGN Percolation Rate: Test Hole #1 = 5.0 min/in. Test Hole #2 = 6.9 min/in Per Table 1, A 90-48(S-1) Page 16, Loading Rate = 0.5 g.p.d./sq ft = 300 sq ft/bedroom. Suggested System = Bed Drain field. 4 bedrooms x 300 sq ft/bedroom = 1200 sq ft. System to be installed in the strata which was percolated. Bottom of the system will be 6 inches into the strata which will be over 6 feet from the bottom of the hole. Depth of gravel = 6 inches, bed width =15 feet, bed length = 80 feet. 15 ft x 80 ft = 1,200 sqft Suggest care be taken during installation to ensure the bottom of the bed is not smeared. The Bed Drain field should be constructed to the Municipality of Anchorage Typical Bed Drain field Requirements and Specifications(AMC 15.65). Lift Station Dischar.qe Line Calculations 1.25" HDPE water line Line Length = 250 feet Head loss, line = 13 ft/100 ft Total Dynamic Head = TDH Head, (SWL) = Hz Head, line : Hf Line Pressure = P TDH = Hz + Hf + P Hf =.250 ft x 13 ft/100 ft line = 32.5 ft P = 30 psi x 34 ft/14.7 psi = '~0 ft Hz=6ff TDH = 6ft + 32.5 ft + 70ft = 108.5 ft (~E2, Lot 5, Fairmont SD 2 .Horsepower of pump = Hp pump) = (TDH)( Peak Flow) 3960 (e) Where: e = 0.6 = pump efficiency, 3960 = conversion factor. Hp(pump): ('108.5 ft)(' 15 Qpm) = 0.41 Hp 3960 (e) Use ½ horsepower pump. From Anchorage Tank/Orenco Pump performance curve, 15 gpm, 120 ft TDH Pump curve fits, use Orenco ½ Hp pump. Attachments: 1. Soils Log and Perc Data, Test Hole # 1. 2. Soils Log and Perc Data, Test Hole # 2. 3. Plan View, Entire Lot with Drainage Indicated. 4. Plan View, Replacement System. 5. Existing As-built. 6. Cross-section and Dual Clean out Detail. 7. Typical Clean out/Monitor Tube Detail. 8. Dual Clean out Detail. 9. Anchorage Tank/Orenco Lift Station Specifications. 10. Subdivision Plan Lot 5, Fairmont SD 3 /o /o Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: A+ LEGAL DESCRIPTION: /T ._~ DATE PERFORi~ /Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 t5 16 17 18 19- 20 SLOPE WAS GROUND WATER ENCOUNTER ED? S L IF YES, AT WHAT t~ O DEPTH? ~o p E Depth to Water Alter ' ~ Monitoring? b. ~ Date:. SITE PLAN Gross Net Depth to Net Reeding Date Time Time Water Drop I ~lr'/I,t~, o 0 o,~5o F'F 0 2 ~0 /o a~ ~om5 O,/? 3 20 I0 0,$~/~,~5 /%1'7 u( -gO ~0 0,5~'/~.55 ~rl? ~ 5o ~o ~,~/o,~5 ~,/? PERCOLATION RATE ~. 0 (mmutes/~ncl~) PERC HOLE DIAMETER TEST RUN BETWEEN ~' ~ FT AND '?' -~ FT COMMENTS PERFORMED BY: ROI~ ("~0 b DF. AJ ~ Eo/V/~LD ~.DDJ"2~4,/ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DEPTH 10 ,' L.~ L 6oH 11 12 13 14 lfi 17- 20- G/~CtVEL 'SA-/~ D i LOOSe, $1..OUGH~ E-/~5 I~.y' WAS GROUND WATER ENCOUNTERED? 2 oF I() ~ PERFORME[ DATE ' '~ ~..~"~' hip, Range, Section: TI2N SLOPE SITE PLAN COMMENTS / 4 5 6 7 8 9 s IF YES, AT WHAT DEPTH? p Depth to Water Alter Montteriflg? ~ Dale:~::~/~J,/~ 55' N /., Reading Date Gross Net Depth to Net Time Time Water Drop I ?1'/I'~,, o o D, ~5 o 2 I0 /o fl,/'/3/0,55 O, IZ 5, qO /0 0,~10, 55 O, IZ G 50 I0 ),qS/O, ~5 '7 4,0 /o ~,~t510,~5 ~,IZ PERCOLATION RATE ~, ~ (m~nutes/mch) PERC HOLE DIAMETER TEST RUN BETWEEN '-~' ~ FT AND --~' --~ FT PERFORMED BY: ~OAJ ~/~'~0 P/~-~ I ,~/.¥V/~L~ f"--~ P~'~V' CERTIFY THAT THIS TEST WAS PERFORMED IN AOCORD^NOE W,TH ALL STATE ^,O MUN,C,P^L ~,D~',NES ,N E~ECT ON T,,S DATE. DATE: 7 / '7 / ~ 72-008 (Rev. 4/85) THETA ENVIRONMENTAL ENGINEERING eE2 905 Jayme Court Anchorage, Alaska 99518-2444 (907) 344-1928 Fax: (907) 349-2363 SHEET NO. .... ~.OT~ ¼ I :( : &O' ) THETA ENVIRONMENTAL ENGINEERING eE2 905 Jayme Court Anchorage, Alaska 99518-2444 (907) 344-1928 Fax: (907) 349-2363 JOB SHEET NO.. CALCULATED BY CHECKED BY SCALE o~ 15' / ',::-;T~.. ' MUNICIPALITY OF ANCHORAGE //~ ~'~L DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION i~~ ENVIRONMENTAL ENGINEERING DIVISION . 825 LStreet- Anchorage, Alaska 99.501 Telephone 264-4720 ON.SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL iNSPECTION REPORT NA~ ~ PHONE ~ NEW MAILING ADDRESS LOCATION ~ / t ~ NC. OF BEDROOM~ Well ~ Absorpt'o" 're2z/ Dwelling inside length Width Liquid depth ~ O ~ DISTANCE TO: ~ ~ ~ Manufacturer Material Liquid capacity in gallons Distance between lines ~mz~ ~ , NO. of lines ~ ] Length of eac~line [ -- Total effective abspr0tion ~rea L~ogth Width D~p~h PERMIT NO. < ~ Type of crib Crib diameter Crib depth Total effective absorption area m Well , Building foundation Nearest Ici line ~ DISTANCE TO: ' ' C~ss : Depth Driller Distance to lot line PERMIT NO, ,j . . ' ~ ~'' Building foundation Sewer line Septic tank Ab~t~; a~e~{sr APPROVED DATE LEGAt THETA ENVIRONMENTAL ENGINEERING eE2 905 Jayme Court Anchorage, Alaska 99518-2444 (907) 344-1928 Fax: (907) 349-2363 SHEET NO ~ CALCULATED BY R, CHECKED ~Y o. ~"'fl~Z ' - T · ~ ; 905 Jayme Court Anchorage, Alaska 99518-2444 (907) 344-1928 Fax: (907) 349-2363 JOB ~-E ~ ~/-! ~ F~A4 ©/~1'/ .~ U S,EET.O 't O. CALCULATEO BY ~; , ~: ~ 13~'~ DATE ....... ~ ......... i ! .... I .... ~ ~ ' i · ~ .... , ........ i ! .......... l ......... ~ ................................. ~ ........................................................... ......... ~ .......... ~a~......~w~,vz:...~o ~..~ :7':v~' ~.~. : . ~ . _ I ..... ~__ ...... r ! ....................... ~ ......... , ...... ~ · .~ ............................ ~ .......... ~ .................. , ......... ] ............ . .................... J ................................................................ / t I / ...... ~ ........ ~ ....... t .......... i ............... ~ .................... ~ ...... ' { ............... + .............................................................................. ' ...... .......... .................... , ............ ......... t ............ ......... ! ~ ~ ~ ~ I "~ ....... ~ ............ ~ ........ r .......... 1 ................................. ..... 1 ......................... ~ ........ } ...... ~ ....... t ............. ~ ..... I ............ ~ ......... ~...!-.-.l .... 1 ........................... ~ I ~ I / ~ .... ....... 4 ...................... ~ ......... { ..................... [ ..... ~ ~ ~ - · - ~ .... ~ .............. L ..~ ........ ] ....... ....................... , ............. , .............. ~.... ~ ~ .... : ........... { ....................... . ~ .... f ......... p ................... , ...................... ~ ....... { ........ ~ ........ ~ ............ ~ ........................... 4 ...................... i ..... [ ..................... ~ ......... j I ~ ~,~,~,;t,.~ ~ ~ · ~ ~ ~ ' i : ]~ ~ .... .... ~ ........... ~ ~ ~ ..... , ..... ! ~ ~ ~ ......... ~ ......... ~ ............. ~ ~ ~ ~ ............................................ .................. ~ ~ ~ ...................................................................................................... i - ................... ~ .............. i ................ ~ ........... ~ ..... ~ ............. ~ ............ ~ ......................... ~ ~ ~;~ ..................... ....... ~ .............. ~ ............................................... ~, .............................. . , ........................ , ~. ...z ..... ,~,,~ .............. ~t.~ I _ __ .......................................... } I t ' ......... 1 ...... ~ ......... ~] ~ .... t .................... ~' f ...................... []~"-""l~"'"~ ......................~ ~, ~]' .... ......... ~ ............................................. . , ...................... t ........... , 1 .... ~...~,. . t. .... .. .. ~....~ .... t, { ,~ , ] ] . . ,~ ,~ ,' } ,..l, ..................... h~l ~" " ""~- --[~-- ' { ~ { { i ' i ~ ........ T .................... [ .......................... ~x~%~ ~ ........................ { ...... 4 ............. ~ .......... ~ ........... ~ .......................................................................... ~ . ~ 4 - [ ......... .--~ ..... L .......... ~ .......... L ........ ', ....... ' ....... ~ ....... ~ ..... '~ ..... ~- } ........ ~. }~. ~.~.a~[ ........ ~ ....... ' .... ' ---'.--~ -.i ....... ~ ....... ~ .................... ~ ...... ~ ........ ~ .......... ; ....... ~ ........................... a.~.a.i I ......... ! ....... ! .......... l --L ..... : .......... / i [ I ~ t I [ ~ ! ~ ~ i / I ...... ' ~ t:.;~4 ....... ~ ........ ~ ........... [ ......... { ...... [ .......... 4 ............ } ...... ~ .................. ~ ............ ; ........ I ........ i .......... ~ ...... ~ ............ ~ ......... t ................. ~ ......... ~ .......... · ~- ~ . : , . , , , . ~ , '.~~:~ ~ ~ ~ 7-' '~'' ~ ,''- .' .~ ', ~ - ~,,,~.~ ..... ~ -,,,~ ~~'~":"~'' .................. .....[.... .............. , ............. . ....... .......................... , ....................... '--~-~1'." .... ...... ~'~"~*"'"'~:' "'"",~' ~ ~ ........ '~~~{? ~~r]' ~,.....~....~..:P.~::,L,,,,,.~, ........ ,, ..b ........... . ,,~.~ ,....,..~.~ ........... ~,~,. ............... -,,- ~ ~ ...................................................,~ ~ , l, ...................... -- ~ . --~ '. '. ...: ......... ~ ........ ~ L .: ~ ' ~ ~ ~ ~ ~ ~ ~ l .................................... ~, .......... + ........................... ~ ....... ~ ............... ~ ........ 4 ....................... ; ........................ ~ ........................................................ , ..................................... .......... ~.-.-~ ............................................. ~ ......................... ~ ......... : ~ ..... ~ ~ ............. 1 ............ ~ ........................ 4 ........... ! .................. [ ........... ~... ...................................... · ~ ...... ~ ~ ~ ...... i ........ ~ ............ ~ ...... ': ...................................................................................................................................... * ....... ~ ...... ..................... , ......... ~ ~ .......... ~ ....... ; ............ :, ...... ; , ~ : . THETA ENVIRONMENTAL ENGINEERING eE2 905 Jayme Court Anchorage, Alaska 99518-2444 (907) 344-1928 SHEET NO CALCULATED OF ID Fax: (907) 349-2363 CHECKED BY SCALE ~ ]lllltlltlllllllllllllll~lllll ~;llllllllllllllllllll~llllllll IllllllllB.l~lllllllllllllllll ~li].l~lllllllllllUlllllllllll IIIItlIIIIIIIIIIIIIIIIIIIIIIIII[L IIIIIIIIIIlllIIIIIIllllllllllllll' I00.00 05 HH - 2 stage* 20 O$I 05 HHF. 5 stage w / 1/4" flow controller 0.00 0.00 5.00 10.00 15.00 20.00 25.00 30.00 35.00 40.00 45.00 50.00 NET DISCHARGE, GPM ~lO, of' HEAD IN FEET /8 /J /b /7 /O oPID /7 THETA ENVIRONMENTAL ENGINEERING 905 Jayme Court Anchorage, Alaska 99518-2444 (907) 344-1928 Fax: (907) 349-2363 LOT 5, FAIRMONT SUBDIVISION SITE NARRATIVE Lot 5, Fairmont Subdivision is bounded by Lot 4 to the West, CEA Substation to the East, Tract B, Park Hills to the North, and Rabbit Creek Road to the South. Across Rabbit Creek Road, there are lots 14, 15, and 16, Farmont Subdivision. There are homes only on Lot 4 and on the lots across Rabbit Creek Road. These adjacent lots have well and wastewater systems. The system on the subject lot is recorded with the Municipality. The installation of this system will be greather than 100 feet from any existing well. An existing 3 or 4 bedroom home is present on the lot. The existing wastewater system was installed in 1982. The existing system is in a state of failure. The lot is fairly flat. It slopes up from Rabbit Creek Road, becomes flat, and then rises at about a 5-7% slope, becoming flat again at the extreme north portion of the lot. There is a slope from east to west on the right side of the lot of about 7-10%. The side of the lot adjacent to Lot 4 has what appears to be a cut bank of about 7 feet. Shallow test holes were accomplished about 5 feet and 25 feet from the existing system. These test holes showed the system appeared to be in fill with about 4 feet of fill over the system. These test holes were not logged. The soil under the fill appeared to be silt or silty gravel. Test holes #1 & 2 were at the extreme rear of the lot. This area is flat with a drop of about 4 feet to Lot 4 approximately 25 feet from test hole #1. The layers in the test holes are fairly consistent and flat with no slope. Both test holes were pecolated in the same strata. It appears the ground water is consistent in both test holes, and there should be room for a replacement system, if needed in the future. There is some question as to the actual bedroom count of the dwelling. The waste water system is designed for a 4 bedroom dwelling. A lift station is required. An existing 1000 gallon septic tank currently serves the dwelling. A 500 gallon Anchorage Tank septic tank with a built-in Orenco lift station is specified. This septic tank will add an additional 250 gallons of third compartment capacity to the existing 1000 gallon septic tank. In my professional opinion, the combination should be sufficient to serve the needs of a 4 bedroom dwelling. The integrity of the existing 1000 gallon septic tank will be determined prior to installing the 500 gallon septic tank/lift station. If the existing septic tank is not in good condition, the tank will be replaced with an Anchorage Tank 1500 gallon combination septic tank/Orenco lift station and the 500 gallon septic tank/lift station will not be installed. ~ No impact to the individual water systems serving the adjacent lots is anticipated from this system. E)E2, Lot 5, Fairmont SD 1 ';o~-~'c"r e~' ~' ¢~! ?~' c~£¢,~ THETA ENVIRONMENTAL ENGINEERING eE2 905 Jayme Court Anchorage, Alaska 99518-2444 (907) 344-1928 Fax: (907) 349-2363 SHEET NO CHECKED BY SCALE DAT~ ~/~ /~ !1'I , ' qO'! ) ':-~i-¥~_~ MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NA~."' , PHONE I [TJ N~_W ~M DISTANCE TO: _~]Well ~l' Absorption are~z /. Dwelling~7~(1 P~MIT~O. ~ ~ Manufacturer ~ ~(¢ ~.~f. Materia,~ , No. of compartm~s Liq. c~pacitv i~gall'ons Inside length Width ~¢ 0 ~ IF HOMEMADE: Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. 0 Z ~ Manufacturer · - ~ ~eri~ ..... Liquid capacity in gallons ~ ~ DISTANCE TO: W~~ell~ ~ ~ Foundation~ ~ ~ Nearest lot line~ ~ No. oflines / Length of eachJino - [ Total leogll2 of $] rencbwidti~ Distance ' -- between lines~ ~ opotti~etofinish grade ¢ ~ ' Materiarben6at'fitiJ~ ir?hes ' Total effective, absorption &rea m Length Width Depth PERMIT NO. m--~ ~ Type of crib Crib diameter Crib depth - Total effective aSsorption area ~ DISTANCE TO: Well Building foundation Nearest lot line M Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER ~ ~¢~; % , , PIPE MATERIALS · *: APPROVED DATE LEGAL 72-013 (Rev, 3/78) PERFORMED FOR: LEGAL DESCRIPTION: 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 DATE PERFORMED: ~"'~,-,~'8~-'' 1 2 3 4 5 6 7 8 9, lO 11 12 13 14 15 16 17 18 19 2o COMMENTS A','/'e4 oZ' SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? ~' Dio.,,.,, ~¢,~ hole ?" SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN CERTIFIED BY: PERFORMED BY: I ~ (minutes/inch) J FT AND 2.,FT DATE: 72-008 (6/79) MUNICIPALITY OF ANCHORAGE Department f Health and Environmenta Protection 825 ~ Street, Anchorage, AK. ,9501 264-4720 * * * HANDWRITTEN PERMIT * * * ~(']~~ ~ ~ ~ ON-SITE SEWER PERMIT Permit Applicant: ~' q-l.~,,~,//~,t ~;, Mailing Address: Location: Description: ~o~S- Leqal Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: Maximum Number of Bedrooms: Phone Number: ,{¥".f-'~ ~?~ LOt Size: ~ Holding Tank: Soil Rating (sq. ft/br) /~-~ The Required Size of the Soil Absorption System Is: DEPTH / .LENGTH -270/ _ 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(HOLDING) TANK SIZE = /000 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 prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feel 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 51, 1 9 8 2 * * * Z 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/~esi~c/9 is/~e39~d,e~fd to include more that 3 bedrooms. Signe~: ~~/~<~~~--~ Issued by: ~/ App~?._//~ Date: SWP/024(1/81) ALASKA 6FIUIROFIm6nTAL CONTROL $6RUIC6S, Inc. ~nqineeHncI $ ~nuironmental Studies SPECIFICATIONS FOR ELEVATED BED ALTERNATIVE WASTEWATER TREATMENT SYSTEM- LOT 5, FAIRMONT SUBDIVISION 1.0 1.1 Tm D~IAWINGS~ SHEETS 1 THRU 3, SHALL BE A P~T OF THIS . SPeCIFiCATION. ~QU~NT8 OF ~CHO~AGE DEP~NT OF ~ALTH ~D EN~O~NT~ PROTECTION PE~IT. 1.3 ~L ~XCAVATIONS ~D DEPTH8 ~IF~ED O~ MODIFIED IN THE F~ELD BY ~ ENGINEER. 1.4 IT IS T~ ~ESPONSI~ILITY OF NECES~Y PE~ITS OR EASE~NTS. 2.0 SEEPAG~ 2.1 T~ ~VEL FOR THE BED S~LL BE SCREENED TO TH~ SIZES ~D ICA~D. 2.2 T~ S~D S~LL ~VE ~ EFFECTIVE SIZE OF 0.4 TO 0.6 ~D A ~IFO~ITY COEFFICIENT OF NOT MORE T~ 4. 2.3T~ BE~ ~O~D ~E SEEPAGE BED S~L BE CONSTRUCTED OF X~E~ABLE ~TERIAL, ~D ON A SLOPE OF 1 FOOT VERTICAL PER 2.5 FOOT HORIZONTAL. 2.4 T~ BOTTOM OF T~ EXCAVATION S~L BE ~ED ~ITH THE B~KHOE B~DE TO INSU~ THAT THE BOTTOM ~S NOT BEEN CO, ACTED DURING EXCAVATION. T~ BOTTOM ELEVATION S~LL BE PLUS OR MINUS 2". 1.5 ~ OBSERVATION PIPE S~LL BE PLACED AS SHO~ IN T~ D~WINGS. IT S~L BE RIGID PVC, SECTION SHO~ WITH HOLES ~Y BE EITHER DRILLED 0.5" NOLES ~ 6 INCH CENTERS .ON OPPOSITE SIDES OF THE PIPE OR A' SECTION OF PERFORATED SE~R PIPE ~Y BE CL~PED TO ~ SOLID SECTION WITH A NO HUB COUPLINC OR SOLVENT JOINT. A RUBBER ~IN-C~ (JIMC~ OR S~L BE PLACED ON THE TOP OF ~ PIPE. 2.6 IF INSU~TION IS ~QUIRED EXTRUDED BL~ STYROFO~ INSU~TION BO~D OF THICKNESS SHO~ ON T~ DRAWINGS. 2.7 T~ TOP ~D SIDES OF THE BED S~L BE PL~D WITH A WHITE CLOVER ~D RED FESCUE MIX. 2.8 ~ SEPTIC T~K OR BED MUST NOT BE CLOSER TH~ 100 ~ET ~OM THE CREEK. 3.0 CURTAIN DRAIN 3.1 THE PIPE FOR THE CURTAIN D~IN SHALL BE RIGID PVC PERFORATED PIPEE ~TM D 3350 LO6K2B. 3.2 T~ ROCK FILL SHALL BE 1/2" - 2 1/2" WASHED GRAVEL OR ~PROVED EQU~ BY THE ENGINEER. 3.3 THE ENGINEERING FABRIC SH~L BE TYPAR, MIRAFI OR FIBERTEX. 3.4 THE SLOPE OF THE DRAIN SHALL NOT BE LESS TH~ 0.45 FT/100 FT. 3.5 THE CURTAIN DRAIN SHALL NOT BE PLACED CLOSER TH~ 25 FT TO ~Y SOIL ABSORPTION SYSTEM. 1220 [JLJcst 25lh Aucnu¢ · Anchore(l¢, Alask(~ 99503., (907) 276-1361 ALASKA ENVIRON[ ~ITAL* CONTROL SERVICE. a, INC. 1220 West 25th Avenue Suite B ANCHORAGE, ALASKA 99503 276-1361 279-2917 CH~C~E~ ~Y ........ OATE---- SCALE ALASKA ENVlRONi ~ITAL' CONTROL SERVICEo, INC. 1220 West 25th Avenue Suite B ANCHORAGE, ALASKA 99503 276-1361 279-2917 CIIECKED BY ..... DATE SCALE ALASKA ENVIRON' NTAL' CONTROL SERVIC=o, INC. 1220 West 25th Avenue Suite B ANCHORAGE, ALASKA 99503 276-1361 279-2917 o 0o0 G' '~TER ANCHORAGE AREA BORe 753 327 EA~,.,LE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ,, .. ~ . / NAME .":'~'r?.2 .4".''i/~ ' .~. /,.:2/~..?L ?'_Z';£- -' ADDRESS L:~? ~ /j ':?'b." .{'"., ~/'~//~/~, !/.... PHONE '; ? :?' LOCATION //?/~':-' /. ;'/ .-~"~..~_/D~,~;~,~;'-'<]4'.,~.'.~/<.-z LEGAL DESCRIPTION,~/L-~/:' '; .//../;~.</~'//:,/./~.~.-'-:" ~ SEPTIC TANK: DISTANCE FROM WELl LIQUID CAPACITY ./'~) ')-'~ ; GALLONS. ~:, . ~ . NUMBER OF MATERIAI/~-/.~-:r_/,.~./.' / ~:;'.:'~.u"~ ~'~:'~ COMPARTMENTS INSIDE LENGTH '/' INSIDE ~IDTH ..... LIQUID DEPTH ~ SEEPAGE SYSTEM: SEEPAGE PIT:.,,d~'~//~ NUMBER OF PITS LINING MATERIAl NEAREST LOT LINE O~LlZ.g4DC-~DTA'XT~T E R '-~ OR WIDTH · ""~'"~ -~' DISTANCE F LI LENGTH , DEPTH /--, BUILDING TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL ./ ~ c2) , FOUNDATION -~/;/' / NUMBER OF LINES /' DISTANCE BETWEEN LINES ABSORPTION AREA /C'/~'~ .2_. SQ, FT. LENGTH OF EACH LINE. , NEAREST LOT LINE TRENCH WIDTH .~' TOTAL LENGTH . .' · OF LINES /'"~: .IN, TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE ' ') ' ~ DEPTH OF FILTER MATERIAL BENEATH TILE ~ IN, ABOVE TILE WELL ~:-':-',-V./.,. >~-'>':~/~'~>'-'/- ,~.~' .-',.,.,//-×-;'-~ : ' DISTANCE FROM · · / WATER TYPE~/~z.~ ~'g~" , DEPTH [ , BUILDING FOUNDATION, ..-~ SAMPLE ,~/V~' , NEAREST /{? ~'/'/~?~-'~."l ' NEAREST //~ SEPTIC ~.C2 z SEEPAGE / OTHER LOT LINE /-/'~ ' , SEWER LINE///) , TANK ~,- ~ , SYSTEM /;:')/~: , CESSPOOL/{~;?'///:: , SOURCES~i-~'2~/,~ DISTANCES: DIAGRAM OF SYSTEM ANCHORAGE AREA )ROUGH ,' ~ ~'~' 32~ agJe bt./ Anchorage, Alaska 99501 279 2511 ~/1.'i/'//.'zz~' SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT Case N o. ~ MAILING AOORESS PHONE SO.?' LOCATION OF INSTALLATION~'/~ ~t~ff~'' ~,_" ~.:,1-- , ~. .. ×~<~ ~>>;~.,.~-- ~ ~:. NAME OF APPLICANT RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK ~ , SEEPAGE PIT, , DRAIN FIELD , OTHER, TO SERVE THE FOLLOWING FACILITY ,.~./~/~/~ "t~f/({ FINANCED THROUGH /.~ ~C .,'""----TT~BE ~v /~ , ~INSTALLEB BY ~ BELOW TO BE FlaY HEALTH DEPARTMENT ..... ;;E~ ..... THIS IS TO SERVE AS ...//~ //~¢:~f'ff~ , PERMIT TO INSTALL A ~'tffct:'~-~ AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ~ '~eff~-.<?:) ~;? ...~ .SEPTICTANK$1ZE /~5~/) .TYPE t"°ff/J~'ET~c- SEEPAGE AREA. ~'~f'Y/t'¢/- .TYPE DIAGRAM OF SYSTEM DISTANCES: ?o ~(c)') ~ kO ~ ~ ..,; · · [ cc~tJ~y that ~ am ~a~J]ia~ with the ~c~u~cments o~ G~cat¢~ A~chora~c A~ca Borough O~d~ancc No. ~8-68 a~0 that the above described system ~s in accordance w~h sa~d code. DATE ~ //qT0 APPLICANTS SIGNATURE ~.Z ..,'/~,'i , . -. ~ ZREATER ANCHCR/,~_~ AREA BOROUGH · HEALTH DEPAF:THENT CASE ANCHORAGE, ALASKA 99501 Feet Soll Characteristics Location Sketch Was Ground Water Encountered? t/~,,% ~' i [ --,~ .......... %., ..... L.ZV£..I ...... Reading ~ D~,~" Gross Time Net T~me Depth To H20 Net Drop -) ................... ~.c.~: ~,~.:-~,3~ ~.~,'~ ........ ' ........ ¢ F~'c~;nt;er) (n~ta~.~.t: ~,:.i: S~epage Pit COr. ff.1}iNTS: ~..~ ~,'";T'-r'-.~- ....... :)e~,tn. Po, B~,ttom Of P~t Or Trench ... mT~'~'~''' ~fi--~;~-~-~.~.~a~L,~~ o~ o MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel 1.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) (b) Location (address or directions) Property owner b Mailing Address Telephone: (home) Lmo Business ,~.2- ~,lLo (c) (d) Lending Institution SI/% Mailing Address ~'"~ I A Real Estate Company and Agent Address ~ I¢k~ Telephone ~1 '~ Telephone (e) Mail the HAA to the following address: (or check here [] , if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family ~ Number of bedrooms ,-~ 3. WATER SUPPLY Individual Well~ Community[] Public[] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site~ Public lq Community[] Holding Tank[] Nole: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev 7/88) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seat affixed hereto and as of the validation date shown below, l verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional .and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and, regulations in effect on the date of this inspection. Name of Firm ~,VJ t ~ ~ ~Z'-~CC__,~ Telephone Address ,"~0, ~ ~~ ~ ~C~ I ~ Engineer's Seal 6. DHHS APPROVAL Approved for -~ Approved ~, bedrooms by Disapproved Conditional Terms of Conditional Approval The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions inordertosatisfycertain federal and state requirements. Employees of DHHSdo not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsibleforerrorsoromissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 ~ MUNICIP_A_kLT, Y OF ANCHORAGE (MOA) PALil'¥ENTALOFs E RV4F_~i~ fflA~/~[tt~~?l~l~t rlty Approval (HAA) ~ ~,.,n~CKi~IST - FEBRUARY 1984 ~ 343-4744 ,)UL 5 1990 Legal Description: RECEIVED A. WELL DATA Well Classification Well Log Pr~sen! (Y/N) ~ Total Depth~k~W~d 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 1~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ~ [~ Date Completed ~N ~O-~' Depth of Grouting ~'~' Pump Set At If A, B, C, D.E.C. Approved (Y/N) Yield --7, J (;~t Sanitary Seal on Casing (Y/N) ~( Depression Around Wellhead (Y/N) ~ To Nearest Sewer Service Line on Lot Water Sample Co,ected by Water Sample Test Results ~'z¢~,5'~"~' ~ Comments ; On Adjoining Lots II)()' ~ ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole I~i j/'-'~ t, '/A ;Date ~ / Z"~°/~0 Date Installed I~ Size Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES ,FROM SEPTIC/HOLDING TANK: To Water-Supply Well J 0 To Property Line -/~ ~ To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course l\l / ,'~. JO[Y) (~IA L No. of Compartments ~" Air-tight Caps (Y/N) "~' Foundation Cleanout (Y/N) ~'.~ Date Last Pumped ~/A :for ix-i/ Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed C.~! ~':I! ~ Width of Field ,~/I ~ Square Feet of Absortion Area Depression over Field (Y/N) Type of System Design Length of Field Depth of Field Gravel Bed Thickness Statndpipes Present (Y/N) Date of Last Adequacy Test Results of Last Adequacy Test ,--~/! I --'1 ~ ~ .[ )~ '~ SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well 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 To Property Line ~t~ To Existing or Abandoned System on ; On Adjoining Lots I~/'~ To Cutback (if present) Comments D.~LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitt/E~/Bedroom/Rating Against HAA Request** I certify that I~e,,checkg~:l~erified, or conformed to all MOA and HA inspection.////,~/~//' Signed / ////~/~ Compan 0~1l~ , MOA No. on the date of this Engineer's Seal Date of Payment Amount: $ 72-026 (Rev 7/88) B~ck Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-2343 FEDERAL TAX I.D. #92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order # 25073 Date Report Printed: JUL 3 90 ~ 13:08 Client Sample ID:L5 BO FAIRMART 5531 RABBIT CR PWSID :UA Collected JUN 28 90 ~ 14:30 hrs. Received JUN 28 90 $ t4:45 hrs. Preserved with :AS REQUIRED Analysis Completed :JUN 29 90 Laboratory Supervigo. rt:~EN C. EDE ReieasedB¥: Client Name: CORWIN & ASSOC. Client Acct: CORWINP P.O.# NONE RECEIVED Req # Ordered By : B. CORWIN Send Reports to: 1)CORWIN & ASSOC. 2) Special Instruct: Chemlab Ref ~: 902136 Lab S~pl ID: 1 Matrix: WATER Allowable Parameter Tested Result Units Method Limits NITRATE-N ND(0.10) mg/1 EPA 353.2 10 Sample ROUTINE SAMPLE. Remarks: SAMPLE COLLECTED BY BJC. 1 Tests Performed * See Special Instructions Above UA=Unavailable ND=- None Detected ** See Sample Remarks Above NA= Not Analyzed LT=Less Than, GT=Greater Than MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # (~\~- ~,\-'~-~--~ HAA# ~\~O&°~t~k'~-~ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property owner ~-- Mailing Address (c) Lending institution Mailing Address '~_ (d) Real Estate Company and Agent Te,e.hone Business :~.~-/6/~ Address (e) Telephone ILt Mail the HAA to the following address: (or check here~, if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family [Z~ Number of bedrooms 3. WATER SUPPLY Individual Well [2~/ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site I~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev, 7/88) Page 1 of 2 ~ ~o ~ el~ed '~JOM s,Jeeu!§ue leUO!SSejoJd eql u! SUO!SS!LUO 40 sJoJJe JoJ elq!suodseJ ~ou s! ebeJoqou¥ jo X~!led!o! unlAI eH.L 'panss! s! e~eo!,tRJeo e eJo,teq e~ep ezXleUe Jo suoRoedsu! ~onpuoo ~,ou op SHHG jo saeXOldLU3 's~,ueLueJ!nbaJ e~e~s pue leJepej u!m, Jeo ,~,tsp, es ol JepJo u! suop, nlp, su! 6u!puel ~!eq~, pue SeLuoq ,to s~eseqaJnd o], /~se),~noo e se s!q~ seop SHHQ eq2 'e)~Sel¥ ,to e~e~S eq~, u! pe~els!l~eJ Jeeu!eue leUO!SSajoJd ~uepuedepu! ue/~q e^oqe ~; qdeJ§eJed u! ua^!8 suo!~e~ueseJdeJ eq~ uodn ,~lUO peseq I~AOJddv/~jpoqln¥ qlleeH senss! (SHHG) seo!MeS ueuJnH pue q~,leeH jo lUeLUlJedeC] eSeJoqouv jo,~l!led!o!unl/~ eq.I. leUO!l!puoo Ie^oJdd¥ I~UOp,!puo0 ,to SLU~e/ pe^oJddes!C] ¢,/~' pe^oJdd¥ Xq smooJpeq~?o~, po^oJdd¥ 'lVAO~ddV SHHO '9 lees s,Jeeu!6u=t 'uo!loedsu! s!q~, jo alep eq~, uo 1aej,te u! suop, elneaJ pue 'seoueu!pJo 'sepoo pue led!o!unlAI lie ql!M eoUe!lduJoo u! sf uJels,~s lesods!p Je~eMelSeM JO/pue,qddns JeleM e~!s-uo eql 'uo!loedsu! pue uo!leb!lse^u! XLU LUOJ~ pue Sel!J abeJoqouv Jo /~l!led!o!unw eql LUOJ¢ peulelqo uo!~eLuJoJu! eq~ uo peseq ~eql XJpe^ Jeq~,Jnj I 'u!eJeq peleo!pu! eJn~onJ~,s jo edXl pue suJooJpeq ~o JaquJnu eqj JoJ elenbepe pue 'ejes s! uJalsXs leSOdS!p JeleMelSeM Jo/pue ,qddns Ja~eM aj!s-uo eq~ leql SMOqS leAoJddv ,~poq~nv qlleaH s!qljo UO!leeRSeAU!XLU JeqlX~pe^ I 'MOleq uMoqsalep uoilep!leAeqljosepueoleJeq pex!JieleaSXLuXq Pe!,ti~Jeosv NOI.LYINI:IO.-INI aNY vJ.¥a 'FIO~IY3$ 3'Iii '$J.$3J. '$NOIJ. O~dSNI 9NlalAObld BI~II-I 9NII:I=I3NIeN=I 'g MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST- FEBRUARY 1984 ., Legal Descrlphon: A. WELL DATA Well Classification "~ ~'' I ~J/~-~ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) ~ Date Completed L) I,,j tz.._ k.)o (~ hO Yield ~-~-~ ,~ ~0' ~ ,I Total Depth U~uo~U~ased to ~,~.~--z:>:--',-Depth of Grouting U k~ K, IG 0 O.) ~ Static Water Level ~- % ' Casing Height Above Ground ,,~ ' Electrical Wiring in Conduit (Y/N) ~'/ Pump Set At Sanitary Seal on Casing (Y/N) ~ Depression Around Wellhead (Y/N) ~ To Nearest Public Sewer Cleanout/Manhole ; Date q ; On Adjoining Lots ; On Adjoining Lots SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ~//~'-'- To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed (~ Z.- Size Standpipes (Y/N) Depression over Tank (Y/N) Air-tight Caps (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) I 0 0 ~ ?~-lNo. of Compartments '"/ Foundation C.[eanot~Y/N) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course To Building Foundation To Disposal Field Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ /2- 4-/.~ Z- Width of Field ~ 'CF- ~ Square Feet of Absortion Area_ Depression over Field (Y/N) Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well I To Building Foundation Lot ~ /bAr~,Type of System Design Length of Field ,'~ ~ Depth of Field ,~ t Gravel Bed Thickness ~ ~ ~C¢- ~- Statndpipes Present (Y/N) Date of Last Adequacy Test FAc_T~,P.. y __ To Property Line To Water Main/Service Line _ v~/~,,,,._ Y To Existing or Abandoned System on ; On Adjoining Lots To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments I O '-/- D. L(~ON Date Install;Sd~ Size in Gallons~ Pump On Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ~'~ __~ Vent (Y/N) --- ~... Pumping Cycles during Adequacy Test. **Check Permdd Bedroom~_~ating Against HAA Request** I certify that ~/1~¢ cl- ,ckeCf. v~rified, or conformed to all MOA and inspection.///F/// //Y Signed //'~//~ / L . ' _ Date '~ MOA No. on the date of this Engineer's Seal Receipt No.- Date of Payment 2~ 7' Amount: $ /.,,'~)~__ ~---~.~ 72-026 (Rev, 7~88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 Corwin & associates,inc. Consulting Engineers MUNICIPALITY OF ANCHORAGE DEP'r, OF HEALTH & 1000 E. Dimond Blvd. · Suite 205 · Anchorage, Alaska 99515 · (9(~,)V~'kS.~I~lfAL PROTECTION July 20, 1989 Ms. Susan Oswalt Municipality of Anchorage Department of Health and Human Services 825 L Street Anchorage, Alaska 99502 SUBJECT: LOT 5, BLOCK 0 FAIRMONT SUBDIVISION 5531 Rabbit Creek Road 'JUL 2 0198,q RECEIVED Dear Ns. Oswalt: On July 19, 1989 the curtain drain on the above referenced project was excavated and inspected. We verified that the curtain drain was functioning properly. New cleanouts were installed on the curtain drain. The ground upstream of the curtain drain was found to be dry to a minimum depth of 90 feet. The separation distances of the curtain drain and absorption bed are the same as shown on the record as-built. The drain flows from the South to North than takes a 90° bend and flows West where it daylights near the West property line of this lot. A sketch of this system is attached for your review. We hope that this information is sufficient to insure the approval of the Health Authority on this project. If you have any questions contact us at 522-1311. Very Truly Yours, CORWIN & ASSOCIATES, INC. Gerard Kress Engineering Technician eno1 CORWIN & ASSOCIATES, INC. 4790 Business Park Blvd. Building E Suite ! ANCHORAGE, ALASKA 99503 Phone 561-6151 SHEET NO OF CHECKED BY DATE SCALE~ ~ i ~ ~ I (C,U ~.TA i H DP. Ali, J. OUTFAL L N pi RECTIOI~ '-- CURTAIN DFAILI L HO~2g EX CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. -~k~,~ 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907)'562-2343 FE ERA. TA× ,O. 92-0040.0 Date Repozt Printed: JUL 4 89 a 14:30 k Cl~e~nt :Sme~ple /I):L5 FAIRMONT !]oiieet~,d IUN 30 89 ¢ 10:30 h~:s. tioc~ivoct .lI]~ 30 89 O 3~:00 hfs Mlaiys~s Completed :JUl, 3 89 Laboratory :3uparvisor :STEPHEN C. EDE Send Reports to: 1)CORWIN & kSSOC Chmdab kef ~: 6044 L~b Smpi ID: ] Matrix: WATER A]lowobl~ Paramnter [rested Result/Un, ts ~ethod Limats NtTRATE-N ND(O.3.) mE/1 EPA 353 ~ ,%ar,,pt~ ~laMPLED EY K. LINEttAN lkOUTINE SAMPLE Re~aa~ ks ! Tests Petrol:reed ' See Special Instructions hbove Nb- N,me Detected "Sas 3ampl¢ 8omarkg Above NA- ~ot A,mlvzod I,T-Les~ Than, GT-G~eato~ Than