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Home My WebLink AboutALDERWOOD BLK 1 LT 11 GR"--'R ANCHORAGE AREA B(' IGH Department of £n¥ironmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK:--- ~ ~'~-~- ~ DISTANCE I FROM WELL (-t/O[/ MANUFACTURER MATERIAL INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH_ NUMBER OF COMPARTMENTS LIQUID CAPACITY /(~(_.JC) GALLONS. SEEPAGE PIT: NUMBER OF PITS __. LINING MATERIAL DIAMETER __ OR WIDTH CRIB SIZE: DIAMETER__ , NEAREST LOT LINE BUILDING FOUNDATION ADDITIONAL ABSORPTION LENGTH , DEPTH _DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. WELL: TYPE ~ CONSTRUCTION BUILDING NEAREST FOUNDATION __, LOT LINE CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED. NEAREST SEWER LINE DEPTH SEPTIC , TANK __ REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: INSTALLED BY: PIPE MATE RIAL:F.~IJ LOT SLOPE: REMARKS: Form No. EQ-031 DIAGRAM OF SYSTEM APPROVED G.A.A.B. NAME OF APPLICANT Greater ANCHORAge Area BOROUgh DEPARTME.T OF E.V,RO.MENTA- QUA-,TY "C" STREET ^.CHOR^G£, ALAS, A .9503 SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT INSTALLATION LOCATION PERMIT NO. LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS . DRAIN FIELD - TO BE INSTALLED BY COMPLETION DATE ANTICIPATED OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL 'lEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TAN K SIZE /~-~-S~ / TYPE SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS ) FOUNDATION TO SEPTIC TANK ~ FOUNDATION TO SEEPAGE PIT , DRAIN FielD SEPTIC TANK TO SEEPAGE Pit WALL /~ SEPTIC TANK ,SEEPAGE PIT ~, DRAIN FIELD TO NEAREST LOT LINE. ~l WELL TO SEPTIC TANK _ . ~/ ,/~ ....... DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK , SEEPAGE PIT DRAIN FIELD SePTiC TANK, //~} . SEEPAGE PIT ~ --DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INT0 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. o~ ~ LICENSED DESIGNER DIAGRAM OF SYSTEM 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. DEPARTMF..NT OF HEALTH & HUMAN SERVICES January 10, 1986 TO: Permit Applicant Subject: Permit #850647 Lot 11 Block 1Alderwood 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 DEPARTMENT OF'" HE:AL. TH Al'ID ENVIRONMI-ZNTAL PROTECTION 8-25 L E;]"REE]-, ANCHORAGE, AK 995()1 'ERM I T NO: 2ATE ISSUED: 850647 1(:~/0 1/85 iF'PL ICANT: fDDRESS: :ONTACT PHONE: MICHAEL. HOWE: 6212 AIRGUARD ANCHORAGE, AK: 99502 248-3309 EGAL DESCRIF': .OT SIZE: SUBDIVISION: ALDERWOOD SECTION: 3 TOWNSHIP: 9800 (SQ.FT. OR ACRES) LOT: 11 BLOCK: 1 RANGE: 4W certify that: 1. I am familiar wi'Lh the requirements for on-site sewers and wells as set. f'orth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance wi'Lb the design cr'iteria o~ this permit. ~. I will adhere to all MOA and State of Alaska requirements ~or the set back 'distances ~rom any existing well, wastewater' disposal system or public sewer'age system o~ th;is or any adjacent or nearby lot. SSUED BY F R // ~T~o--O--~'~-]® 45 472 SIGNED SEND PARTS 1 AND 3 INTACT - PART 3 WILL BE RETURNED WITH REPLY. DATE / POLY PAK (50 SETS1 4P472 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Lot 11~ Block I ~ Ald~oood Subdivision~ Location (site address or directions) 62~2 Airquard Road Property owner Mailing address Lending agency Mailing address H.U.D. 111-027765-245 605 West 4th Ave. hUe Anchorage, Day phone Ak. ??.501 Day phone Agent Sandy tfjo~mx:l'ad ~.qqO('I~TFO RI?[~F'~_5, INP,, Day phone Address 640 West 36th Avenue Suit~ One, Anchorage,. Ak. 99503 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 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 flies and from my investigation and inspection, the on-site water sup{31Y and/or wastewater disposal S~/stem is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Phone Name of Firm ~ 17034 Eagle Ri,vet Loop Road No. 204 Address ~ ' Engineer, s signature DHHS SIGNATURE ~ ~ Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Bacl( MOA#21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: _Z_~,~//~ ~3_ !w-_/~. Ii _~. Ic~_~';.3~o cJ. Parcel I.D. A. WELL DATA Well type ~ If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) /~J Date completed .~ ~/e~_ ! ~' ~ ~ Driller Totaldepth ~ ~ ~' Casedto ~.t-J 'f' Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) Date of test Static water level Well flow Pump level FROM WELL LOG AT INSPECTION / O -,Z. ~- -'~' I MUNICIPALITY OF ANCHORAGE · ~ I:N¥1RONMENTAL SERVICES DIVISION OCT 3 0 1991 (~" '~ g.p.m. RECEIVED SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main ! Sewer service line ; On adjacent lots /~//~ ; On adjacent lots / ot~ -F Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform .,.~ .-~[~'~C_.'~('(,/ Nitrate ..--,~---~-/~L'T'~C.,~-of'~_ . -. . ~O./~lOther bacteria Z: ~ £ ~ Date ofsample: !0- ZZ- ?J Collected by: ~ ~ .~) B. SEPTIC/HOLDING,TANK DATA '~1~ ~ [ ~'C~ .,~ ~_l.O e V Date installed "~ Tank size Compartments Cleanouts (Y/N) '~ Foundation cleanout (Y/N) _~ __ Depression (Y/N) High water alarm (Y/N) ~' V~ Alarm tested (Y/N)_ Date of pumping_ ~,~ *~ Pumper ___ Well(s) on lot__ _On adjacL~ots_ ~Foundation To property line Absorption field~ Water main/service line Surface water/drainage 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Vent (Y/N) '~",. "Pump on" level at High water alarm level '"~. , ~. Meets MOA electrical cod~f/~.~ SEPARATION DISTANCE FROM LIFT~ATiON TO: Well on lot -- __~ __ On. ~dja'¢,~ lots Asso..T O. FIELD DATA g Date installedX'',, Manufacturer Size in gallons 'X,,, Manhole/Access (Y/N) "Pump off" level at Cycles tested Surface water Date'1~lled Soil rating System type Length ',~' width Gravel thickness Total depth Total absorptib~rea __ __ Cleanouts present (Y/N) ~ Depression over fi~d~Y/N) _ ~ Date of adequacy test ~ Results(pass/fail) ~..)'~ ~ ,or_~ Peroxide treatment lpast 12 m'~(Y/N) ~__ If yes, give date __ SEPARATION DIsTANcE FROM"~ORPTION FIELD TO: Wello_n lot _ _ Oh~acent lots____ ~ Property line TO~ :u!lding !oundation - ~'X'djacent lots Cutbank ~To existing or abv~e~nmea~sS~ervr~c~i:t bedrooms Surface water Driveway, parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA 'guidelines in effect S & S ENGINEERING Signature ~-~n.~A _=_.= ,,,.__ L,...r, .~,.,.~, ,~,~,. ~ ,-~, Eagle River, Alaska ~577 Engineer's Name Date HAA Fee $ /~d Date of Payment Receipt Number 72-026 (Rev, 3/91) Back MOA :t on~t~ date of this inspection. ~ OF A~ ~t ~.' ~ .~ 'f, Waiver Fee: $ Date of Payment Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 ANALYSIS REPORT BY SAMPLE for WORKord.r* 39576 Date Report P~lnted: OCT 25 91 @ 16:02 FAX: (907) 561-5301 ClZent Sample ID:L11 Bi kLDERWOOD S/D Client Name :S ~ S ENGINEERING PW$ID :UA Client Acct :SNSENGP Collected OCT 22 91 ~ I7:40 h~s. BPO ~ PO ~ NONE RECEIVED ~ecelved OCT 23 91 ~ 15:30 hzs. Req ~ ?resezved with :AS REQUIRED O[dered By : Analysis Compl.ted :OCT 25 91 Send Reports to: Laborato:y Supez¥1sgz iSTEPHEN C. EDE 1)S & S ENGINEERING ~elea,ed By : ~_~., Chemlab Ref #: 915684 Lab Smpl ID: 9 ~atrlx: W~TER Allowable ?a:ameter Tested gesalt Un2t8 Method L~n:tts NITRATE-N ND(O.iO) ~g/1 EPa 353.2 10 Sample ROUTII~ S~MPLE COLLECTED Remarks: 1 ~eats Perfo:med ' See Special InatructZons Above UA-Unavailable ND- None Detected "See Sample Remarks Above NA- Not Analyzed LT-Less Than. GT-Greete: Than Member of the SGS Group (Soci~t~ G~n~rale de Surveillance) CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform ~Bacteda TO BE COMPLETED B~ WATER SUPPLIER [] PUBLIC WATER SYSTEM I.D.# [ I I I I I ~ PRIVATE WATER SYSTEM Name Pho~o No. S & S ENGINEERING Mailing Address 17034 Eagle River Loop Road No. 204 Eagle River, Alaska 99577 City State ~p SAMPLEOATE:I/ D I* 2 ~ Mo. Day Year SAMPLE TYPE: ~ Routine Check Sample (for routine sample with lab ref. no. ) [] Treated Water [] Special Purpose [] Untreat~,d Water SAMPLE Time Collected No. LOCATION Collected By j 4[ TO BE COMPLETED BY LABORATORY : Analysis shows this Water SAMPLE to be: pSatisiactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received Time Received Analytical Method: Membrane Filter * No. of colonies/100 mi. Lab Ref. No. Result* Analyst 91. lc>' I I ~ A.D.E.C. /'L~- 2.L~- c~( /~L)g'/'/ BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE Membrane Filler: Direct Count Verification: LSB Fecal Coliform Confirmation BGB Coliform/100 mi COLLECTING SAMPLE Final Membrane F~_ esults/7 ' Reported By ? .~c..- ,.....-, TNTC = Too Numerous To Count Date Time: Coliform/100 mi / ~'00 e..~. p.m. OB = Other Bacteria 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 264-4720 Application Date '~"'%,~ ~) ~ ,~',-~=' GENERAL INFORMATION (a) (b) (c) Legal Description (include lot, block, subdivision, section, township, range) Lo/-// I ; Location (address or directions) *pplicanf Name R ~ ~ CT' ~) ~N~hone: Home ~Business Applicant Address ~[~ ~/~ ~~ ~ ~~-~ Applicant is (check one): Lending Institution D · Owner/builder~ Buyer ~ · Other ~ (explain); (d) Lending Institution ~ -~/~-~ ~ ~-~ Telephone ~ 7~-- / ~/ (e) Real Estate Company and Agent ~ ~O~ ~~ ~~ (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family/~M ulti-Family Number of Bedrooms Other WATER SUPPLY Individual Well~ Community [] 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 [] PublicK Community [] Holding Tank [] Onsite Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 {11/84) Page 1 of 2 · "---. · ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I 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 insoection. · Name of Firm /'~,~ Date DHEP APPRO ./~-~ ~ / Approved for /,~'~.,~zJ-.-~ bedrooms by ' Approved ~ Disapproved Conditich3al Terms of Conditional ApproVal Date CAUTION The Muncipality of Anchorage Departmeht of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: LO T MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION RECEIVED Well Classification [ Iq Ct Vt f~ U A L,,. If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) ['"'It Date Completed A:.PPI2Ox. I O~ ~"'7 Yield Total Depth ~) 6 ! Cased to ~ ~ I Static Water Level ~' ~; ~' Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot Depth of Grouting ~J,///~ Pump Set At '7 0 Sanitary Seal on Casing (Y/N) ~ Depression Around Wellhead (Y/N) N N/^ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line [ [ r~ / Cleanout/Manhole [ Water Sample Collected by ~"', Water Sample Test Results Comments ~,~/E,__L. ~'lJ.,l~ ;On Adjoining Lots ['~//~, 'On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on ;Date ~'- B. SEPTIC/HOLDING TANK DATA Date Installed Size Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course No. of Compartments Air-tight Caps (Y/N) Foundation Cleanout (Y/N) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page I 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 Depression over Field (Y/N) Results of Last Adequacy Test 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 Comments Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots 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) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, y,~r.~fied, o,r/Conformed to all MOA and HAA guidelines in effect on the date of this inspection. Company ./~'7',~'__--~/v'¢;_~/,'-~ MOANo. ~'~F r~'~(~'; ~O(~ Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) /[~ CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC~ /°~~%X TELEPHONE (907) 562"~.,,~3===~_~.~ORAGE INDUSTRIAL CENTER . - .~-.-..,~ · : . :~Dnnk~ng Water~~--~ ~otal Col,for~.Ba~ena , :~:~O BE COM~D BY wA~R SUPPUER ! I I"(')~",~- I.D. ~. C~k ~ple (for routine ~ple } D Tmat~ water . _ ~ .~emb~e Filter -with I~ mr. no.~ ~Untreat~ WaterC;~ · s I I ,%. 'TO BE COMPLETED BY ~ABORATORY .. ~ ~ ~, ~nal~is sho~ this Water,SAMPLE to be: .. :'~ Satisfactow '~ .Sam pie t~ long in transit; sample should ~not ~ over ~ hours old at examination to .... /- Indicate reliable results. Please send new sample via special delive~ mail. --Analytical Method: [3 Fermentation Tube __ .Lab Ref. No. ,, Result* ,~. .., Analyst . . ,,~: ~._~: .. I,''' ~, I I ~ - · BACTERIOLOGICAl. WATER ANALYSIS RECORD ,I~, u-:t i'.' '* ;= ,:,,.. ~.,.. ~ u'~,iL READ INSTRUCTIONS ""' ' ':' ""BEFORE - ;~' Membrane Filtec. Direct CoUnt." Vedflcatlom LTB ..... Final Membrlna Fllt;r Re;ult. Report:By <~"~ GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 DATE RECEIVED: INSPECT: TIME: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR PHONE: Z.'7%- ?~/ 2. PROPERTY OWNER: ~ C~ /~.;"~ PHONE: 3. LEGAL DESCRIPTION: ~ o t /( :&'{-~ /? '4/~/'g"';'~;~/" ~/ STREET: 4. TYPE FACILITY TO BE INSPECTED: NUMBER OF BEDROOMS: ~ WELL DATA: A. TYPE B. DEPTH C. SIZE D. E. SEWAGE DISPOSAL A. SEPTIC TANK 1. SIZE CONSTRUCTION BACTERIAL ANALYSIS SYSTEM: (IF HOMEMADE, SHOW DIAGRAM ON BACK) 2. AGE 3. MANUFACTURER 4. INSTALLER APPROVAL REQUEST FOR SEWER & WATER FACILITIES PAGE TWO B. SEEPAGE PIT 1. SIZE 2. LINING C. DISPOSAL FIELD 1. NUMBER OF LINES 2. TOTAL LENGTH REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK B. WELL TO SEEPAGE PIT C. WELL TO SEWER LINE D. E. WELL TO PROPERTY LINE WELL TO OTHER POSSIBLE CONTAMINATION F. FOUNDATION TO SEPTIC TANK G. FOUNDATION TO SEEPAGE PIT H. SEEPAGE PIT TO PROPERTY LINE COMMENTS: APPROV VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALI' 3=nua~,¥ 21 1 ?~. ~u~J~c~: Lo~ ll. ~lock l, Al~erwoo~ Subdivision. A. tnsnection oP the subject lot revealed that · cessPeel well ts a~roxteately 90 fast from Lhe CeSSPool. Buf~r~ ~hts 5~rtm~nt's a~r. roval ~or the sewer and ~at~r systems can Iv~, a se~ttc ta~k needs to be instslled if) conjunction ~tth wlll serve, tne Subject lot If the llne QOeS tn aS scheduled, the ~unds escrowed for the septic tank shoul~ be uee~ to make the cea~ecttoa to the ~abltc sewer. ,Xf for so~ reason, the se~er line ts delayed beyond its completion date, th~ th~ senttc tank would n~eJ to b~ t~stalled as m~ntlone~ above. re, mrding the above, please do not I~ you have any questions regmr h~sitate to comSatS this efftce. Sincerely, Lynn S. Coed Environmental Specialist VA Administration Lucia Moss October Z~J, 1971 Kessler West ~ortg&ge Carp, 5~4 East Cth Avenue Anchorage, Alaska Subject: Lot il. Slack 1, A1derwood Subdivision, An Inspection of Chi subject lot revealed that a cesspool was servtng as the sewer yss~em and ~hat the ual1 was bur~td. The Me11 ts a~proxtmetely 90 tee~ from the cesspool. Before this ~e~artmen~'s approval for the si~r and wa~er sys~emi ca~ bi given a sep~tc ~ank needs to be Installed In conjunc- tion vtth tho CeSSpool. The well castng needs ~o be ex~ended above groun~ level. If you have any ~uesCtons regarding the above, please do not hesttate to contact ~hts o~ftce. Sincerely, Lynn S. Coa~ st [HSPECT: TIHE: REQUEST FOR APPROVAL OF I~IVIDUAL SD'ER A~D ~4ATER FACILITIES FOR ]., APPROVAL REC~JESTED ~Y~ 9 ADDRESS: KASSLER/WEST MO~LTGAGE CO~?ORATI~ 604 ~as.~, 6Cb Ave. ..... _6Q~_E_ast 6th Av,e,,~ R~ONE: 2 7 2-9_~5e 1 M/M L. W. Mo~s and AI3chorage, Alaska 99501., PI-10~'.~E: mia Hoss 34_4-6717, A. !derwood ~...u~d iv i.s LEF.~L DESCRIPTIOi'~:__~__LL s.[~:~ i,. TYPE FACILITY TO BE I~,JSPECTED: hUmBER OF DEDR(~,IS: 3 STRE~r:,,.e21~,Air O~ard Rd, SEPTIC T,~'IK (IF I-DI,~>1ADE, SH~'Y DIAGR,~,t ON ~ACK) ..... :- -.':'CR ?,'r~ FACILITIE~ ^.r'P~,.'2OVAL RE"NJEST FO,'2..q~' PAGE T ~ C. D~sPos~ F~E~D 1, i~g-BER OF : 9 TOTAL I~tG'H-I. 7, !'~E~U~RED '-EASuRF~'~,,q'S ',Fd.C TO SLi~rIC T~ :,,. TO PIT. D, I'/ELL TO PROPERTY. E, :'!ELL TO OT. IER PO.q~I:;l_7. F, FOUHDATIO['! TO SEPTIC ?'., FOUNDATION TO SEEPAGE PIT It. SEEPAGE PIT TO PROPERTY LINE. {}Rt~YF~ A;~IOP, A(E AREA i~OROUGIt DEPARTMEiIT OF I~!VIROI'~IDrrAL. ,,OtlAI..ITY m,-7!