The URL can be used to link to this page

Home My WebLink AboutALPINE WOODS BLK 5 LT 3 7/16/2A 24 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231224 PID Number: 015-234-33 Dwelling: N Single Family (SF) M with ADU R Duplex (D) R Two Single Family Project: El New 9 Upgrade Name ROBERT BREWSTER ABSORPTION FIELD El Deep Trench n Wide Trench n Bed ound C20 ound Site Address 5850 ALPINE WOODS; BLOCK 5, LOT 3 El Other Phone JNumber of Bedrooms Soil Rating Totaldepthoriginal grade 907-244-9515 13 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grad Ft. Gravel depth beneath pipe Ft, Subdivision Block Lot ALPINE WOODS; BLOCK 5, LOT 3 Fill added above original Ft. Gravel length Ft Township Range Section Gravel width ,*01' Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer T>116 rption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well N/A N/A TANK N Septic [3 S.T.E.P. []Holding [:]Other Manufacturer GREER TANK Capacity 1250 Gal. Surface Water 1001+ Material Number of compartments Lot Line 5'+ NA H D P E 2 Foundation ,+ 1 10 LIFT STATION Manufacturer Capacity Remarks PER CONTRACTOR OLD TANK WAS DECOMMISSIONED PER UPC Gal. Alarm location Electrical Installed by PIPE MATERIAL House to tank D3034 drainfield Tankto, D3034 Installer A.C.E.S. Drainfield 1=4/aIsTm CO/MT D3034 Inspector G.E.G. BENCH MARK (Assumed elevation) 100.00 ft Inspectetion 2 lat 10121/2023 das: nd Location and description 3rd - 4e, GARAGE DOOR THRESHOLD ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp OF Conditional Approval: Date °��P49T ....... .. ...................... Septic System Approved Date (z, . . . ...... ........... rey A. riess: V ap CE_ 7 5 �pP'Pap.t�IfP1 V V Note: this approval does not include well permit requiremeritk i�15�_ C I - kKev vow/jit5) PERMIT NUMBER: PARCEL ID NUMBER: IOSP231224 RECORD DRAWING 015-234-33 A B P 43.0 14.9 48.2 183 49.1 18.9 50.3 19.7 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD. NEW 1250 GALLON GREER ALPINE WOODS; BLOCK 5,LOT 2 SERVED BY PUBLIC WATER SYSTEM ST1 , y, .Z Q EXISTING 3 BEDROOM QHOUSE GENERAL VICINITY OF KEYBOX PER O WATER SYSTEM RECORD DRAWING ry 1 z ' w M W ual w i w ¢ i J w w HE J w _J I-- w J w Y w ~ m � o u1 ALPINE WOODS; BLOCK 5, LOT 4 SERVED BY CLASS PUBLIC WATER SYSTEM ENGINEERING -z. SALES � CONSULTING ,-_ , ,w . _�_ ,._ .�, � ..-, ...� � .•x 3701 E. TUDOR ROAD, SUITE 101 "ANCHORAGE, AK 99507 • PHONE (907) 337-6179FA% (907) 336-3246' WESSITE: xmw.gemessengineenny com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ROBERT BREWSTER 907-244-9515 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: ALPINE WOODS; BLOCK 5, LOT 3 D.J.G. TYPE OF WORK: DATE: SEPTIC TANK RECORD DRAWINGS 6/18/2024 • 4p. Y�1 ' !........._ ..... ......................... Al .......... rl 4W LICENSE +/�I S`,� **4 #AECC884 , PERMIT NUMBER: RECORD / �^► PARCEL ID NUMBER: OSP231224 DRAWING `.7 015-234-33 TOP OF MANHOLE = 96.55 FINAL GRADE = 96.05-96.39 MH1 ST1 16 2" INSULATION PER CONTRACTOR TOP OF TANK AT INTLET = 90.92 f TOP OF TANK AT OUTLET= 90.88 INVERT OF BUNG AT INLET=a).27 INVERT OF BUNG AT OUTLET =90.02 NEW 1250 GALLON H.D.P.E. SEPTIC TANK GROUP,OF Air GARNESS ENGINEERING ............ ............................. i ENGINEERING, SALES CONSULTING - 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE. AK 99507 - PROW (907) 337b179- FAX (997) 3383240' WESSRE: amnr.9ama —ou-ermg.vxn , ......... ........ r PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ` : • . Jef%y A. mess ROBERT BREWSTER 907-244-9515 3 OF 3 0® Gi E-79 3 LEGAL DESCRIPTION: D_ RAWN BY; �l' •.j�• I 2 ALPINE WOODS; BLOCK 5, LOT 3 Q.J.G./J.L.M. ®FQ •�J ,,,,,.•�-��, 4s TYPE OF WORK DATE: LICENSE��Ae� �®SS\ SEPTIC TANK PROFILE 8/20/2024 I#AECC884 WOOD RAIL FENCE OF.A CO 49 RH `9 h'Ae�— s SHANE A. HOLT �� G LS-6914 ,\,°fessiona� �-Qo N 77 0% �� rn o �r SO o � oil SLOCKRET WALL — ASPHALT DRIVEWAY OCKRET. WALL THESURVEYDATA AND MEASUREMENTS HEREONAREPREPARED FOR THE OWNER OFRECORD AS OF THEDATE OF THIS SURVEY. ANY USEOF THIS DRAWING BY THIRD PARTIES IS PROHIBITED UNLESS WRITTEN PERMISSION IS PROVIDED. THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOD/ ANY CONFLICTS BETNEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO SE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES- EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOUN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS PRAYING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHONN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNON AND/OR ICE. \-73 \7 �jZ— SEWER PIPE a YARD LIGHT AS-BUILT SURVEY 111 = 30 ` NO CORNERS SET THIS DATE / HEREBY CERTIFY THAT / HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 3 BLOCK 5 ALPINEWOODSSUE. A NCHORA GE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLEIMPROVEMENISStTUATED THEREON AREWITHIN THE PROPERTYLINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED ATANCHORAGE,ALASKA THIS 257-H DAYOF DUNE , 2024 15838 232-36233-1237-66 HOLT LAND SURVEYING 93og GROVER DRIVE ANCHORAGE,AK 99507 9 t I-6" 33- 1/3- BEND 1-6'' 11-1/4* BEND STA I * 99.38 2 1-6" 22-1/20 BEND STA 2+92.56 \ o 1 0' 3jy FINCH DRIVE j �ti \ • Q� OOYN_(Sff SHEET 3 OF 13) �( °TEE 1.6 G v, ek v.e o e 1.6 p+10. l 5 S W S55 28-SE i NOTES: 1. DUCTILE IRON PIPE SHALL BE CLASS 52. i 2. ALL ELEVATIONS ARE TO BOTTOM OF PIPE. 3..ALL SERVICE CONNECTS SHALL BE 3/4" TYPE K COPPER UNLESS OTHERWISE NOTED. . G SL K 4 PC. STA. 4+78.87 I PilSTA. 9� s,F 4 o � ALPINE WO oDs [ 9Qj C R_31p � 4 s' �asa� 770 ti co Y cd m 765 __.._. a w F- _ .. Q o; 760 z. _ w w .... 0� � N $. 0 3. Wm� m a 750 $ w $ cam i�.;m _ ... 5m3 d W.dSqN_�_ mw w7 D �Q �'Z IT 2 ►- _ _ s iDiC t- MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231224 Work Type: SepticTank Upgrade Tax Code Number: 01523433000 Site Legal Address: ALPINE WOODS BLK 5 LT 3 G:2738 Site Mailing Address: 5850 ALPINE WOODS DR, Anchorage Owner: BREWSTER ROBERT A & Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: 111cnt S N Department 7/31/2023 7/30/2024 36189 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: C S 5 �I'� j� G r Ci Date: Issued By: Date: 3 / 702 3 3 Development Services Department P P Phone 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-234-33 Property owner(s) ROBERT BREWSTER Day phone 907-244-9515 Mailing address 5850 ALPINE WOODS DRIVE *ANCHORAGE, AK Site address 5850 ALPINE WOODS DRIVE -ANCHORAGE, AK Legal description (Sub'd., Block & Lot) ALPINE WOODS; BLOCK 5, LOT 3 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El Septic Tank Q Upgrade X pg (w/wo AD U) Holding Tank ❑ Renewal ❑ Duplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: J�? 2 Waiver Fees: Date of Payment: _ %127123 Date of Payment: Receipt Number: _ 06 y 07G Receipt Number: Permit No. (�25192 312 24 Waiver No. GADevelopment Services\Building Safetyl0n Site Water and Wastewatefforms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231224, Curtis Townsend, 07/31/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231224, Curtis Townsend, 07/31/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231224, Curtis Townsend, 07/31/23 OF.A CO 49 R `9 h'Ae�— s SHANE A. HOLT �� G LS -6914 ,\,°fessiona� �-Qo N 77 0% BLOCKRET WALL ASPHALT DRIVEWAY o OCKRET. WALL THESURVEYDATA AND MEASUREMENTS HEREONAREPREPARED FOR THE OWNER OFRECORD AS OF THEDATE OF THIS SURVEY. ANY USEOF THIS DRAWING BY THIRD PARTIES IS PROHIBITED UNLESS WRITTEN PERMISSION IS PROV/DED. THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOD/ ANY CONFLICTS BETNEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO SE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES- EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOUN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAYING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHONN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNON AND/OR ICE. WOOD RAIL FENCE \-73 \7 SEWER PIPE a YARD LIGHT AS -BUIL t SURVEY I" =30' NO CORNERS SET THIS DATE /HEREBY CERTIFY THA T1 HA VE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 3 BLOCK 5 ALPINEWOODSSUB A NCHORA GE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLEIMPROVEMENISStTUATED THEREON AREWITHIN THE PROPERTYLINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED ATANCHORAGE,ALASKA THIS Lo TH DAYOF JUL Y 2023 15838 232-36233-1 HOLT LAND SURVEYING 93og GROVER DRIVE ANCHORAGE,AK 99507 �� rn o �r SO o � oil BLOCKRET WALL ASPHALT DRIVEWAY o OCKRET. WALL THESURVEYDATA AND MEASUREMENTS HEREONAREPREPARED FOR THE OWNER OFRECORD AS OF THEDATE OF THIS SURVEY. ANY USEOF THIS DRAWING BY THIRD PARTIES IS PROHIBITED UNLESS WRITTEN PERMISSION IS PROV/DED. THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOD/ ANY CONFLICTS BETNEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO SE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES- EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOUN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAYING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHONN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNON AND/OR ICE. WOOD RAIL FENCE \-73 \7 SEWER PIPE a YARD LIGHT AS -BUIL t SURVEY I" =30' NO CORNERS SET THIS DATE /HEREBY CERTIFY THA T1 HA VE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 3 BLOCK 5 ALPINEWOODSSUB A NCHORA GE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLEIMPROVEMENISStTUATED THEREON AREWITHIN THE PROPERTYLINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED ATANCHORAGE,ALASKA THIS Lo TH DAYOF JUL Y 2023 15838 232-36233-1 HOLT LAND SURVEYING 93og GROVER DRIVE ANCHORAGE,AK 99507 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 .- . ABSORPTION TANK , FIELD Address B0, l~'" 3~'(~I' ~~~ ~ SEPTIC WELL ,' ~ 1~'o-5 i~u-,v,~/~. ~x ~0.....0. /4, ~o~-¢_ Township, Range, Section T~ ~~ ~~~ ~ driveway,AS'BUILT DIAGRAM {Showlocation of well, septic system, prope~ylines, foundatiOn,water bodies, etc.) ~SEPTIC ~ HOLDING .,~1~_ &~r Capacity in gallons ~ Man~~ ~uf~urer ~ ~ ~ .~l ~,,~,~~~/, ~ /, ~o ,?, -~ Material No, of Co~pa~ments ~ ~t~~> ~'/~ _,, TYPE OF SYSTEM , ~ Depth to pipe bottom from Total depth from original grade ~=~' ~ ~-~ '~/ ~ °riginai grade ~ /- ~ ET 7--/~ ET-' Fill added above original grade Gravel depth beneath pipe ( ~ ~ /A ~r~ / / +/- ~ ~ - 7 ~ I' ~ ~2~ Gravel width Gravellength ~ FT 2, ~ FT / Total absorption area Distance between lines /,~r ~ [ NumberTines I Sol,t3 Pipe material / ~ ~ PRIVATE ~ OTHER (Identify} . ;~ Classification (A,B,C) Total Depth ]Cased t~ ~ REMARKS: ~al~: ENGINEER'~ SE~L I ~¢~ ~' ~~ c~dilythatth~inspe.ionwaspedormedaocordinotoall ?~: ~ Municipal and State guidelines in effect on this date. ~ / ~. ~/~,0,,.~ Heallh Depadmenl Approvah Date: ~ ~f~::~ ,,;,~ 72-013 (3/85) Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICI 825 'L' Street, Anchorage, Alaska 995'02-0650! SOILS LOG -- PERCOLATION TEST~ PERFORMED FOR: ,_EG^L OES~R,PT,ON: 1 3 4 5 6 7 8 9 I0 .11 12 13 14 15 16 18 19 20 /q L PI LidO DS Township, Range, Section: -r/z. SLOPE WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? P E SITE PLAN Depth to Water Alte~,.>, / Monitoring? CT--)' Gross Net Depth to Net Reading Oaxe Time Time Water Drop \ x, "x -,,,, PERCOLATION RATE (m,nutes/inch) PERC HOLE DIAMETER TEST .RUN BETWEEN __ FTAND ~ ~,~1 vis'u~/iff r~-~J ~+ /~-o.~. $~ /~ co.~.~s 5U- ~/,~ ~ , · PERFORMED BY; ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. FT CERTIFY THAT THIS TEST WAS PERFORMED 72-008 (Rev. 4185) MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.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, ran e) Location (address or directions) (b) Property owner ~~ , Telephone '(home) ~ Mailing Address ~,Or ~a~ ~~ ~,~~ (c) Lending Institution ~/~ Telephone ~ (d) Real Estate Company and Agent /~-J? A-- Address Telephone (e) Mail the HAA to the following address: (or check here ~d for pick up.) List contact person and day phone number below: Business 2. TYPE OF RESI. D~/C,E 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 DJ~AL On-site ~ Public i-i 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 5. 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 regul,ati@ns in effect on the date of this inspection. Name of Firm ~*¢']'~'~¢~'-/,'~1''~'' Telephone ~- 7 '~ (~"~ Address /~' ~---~' ~ ~~ ~ ~~ Date Engineer's Seal 6. DHHS APPROVAL Approved for ,_~¢'_jbedrooms by ~ Disapproved Approved ¢...._. Terms of Conditional Approval Date Conditional 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 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, 7/88) Back Page 2 of 2 A. WELL DATA WolI ~o~ ~resent (Y/~) Date Gomplo~d MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST- FEBRUARY 1984 343-4744 ..)egal Description: Total Depth Cased to Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground _ Sanitary Seal o~N) Electrical Wiring in Conduit (Y/N) _ Depres~,~.~und Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: J To Septic/Holding Tank on Lot J ; On Adjoining Lots __ To Nearest Edge of Absorption Field on~.,," ; On Adjoining Lots To Nearest Public Sewer Line J To Nearest Public Sewer Cteanout/Manhole To Nearest Sewer Se.~e~.ine on Lot __ Water Sample Col ec.~¢/ __ __ __; Date __ Water Sample Tes esults -, .... Comments ~'~e A~~----- ~ ~/"~/~l_e,~J~ (~B, C, D.E.C. Approved (Y/N) Y Yield B. SEPTIC/HOLDING TANK DATA Standpipes (Y/N) L.~ Depression over Tank (Y/N) No. of Compartments ?" Air-tight Caps (Y/N) Y Foundation Cleanout (Y/N) ~ Date Last'Pumped ~ ~ Pumping/Maintenance Contact on File (Y/N) ~J/,2 ~ ;for Jl~J'/./dr' Holding Tank High-Water Alarm (Y/N) ~[--' Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line ,;.~ l-~--/,-... 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 ~:~ Width of Field '~- Gravel Bed Thickness Statndpipes Present (Y/N) Date of Last Adequacy Test Square Feet of Absortion 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 '~ I ~)1 To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field Depth of Field To Property LineI i~:~I To Existing or Abandoned System on ; On Adjoining Lots To Cutback (if present) Comments D. LIFT STATION Date Installed Dimensions ~ in Gallons Manhole/Acc~ 'Pump On" Level at ~ __~.u~f" Level at __ __ High Water Alarm Level at [ %~_~ ~ Vent (Y/N) Tested for ~"~'~"~'~ ~ Pump---~ng C-~cles during Adequacy Test. Meets MOA Electrical~ ~ Comm~~-''~ **Check Permi~ Bed I certify that/ inspection.///~/X// Signed / //. MOA NO Against HAA Request** or conformed to all MOA and HAA g Receipt No. c~//~ ~ Date of Payment ~'~ Amount: $ / ~ ~"/~ ~-~---,) 72-026 (Rev, 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 on the date of this ineer's Seal DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE WESTERN DISTRICT OFFICE / 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 STEVE COWPER, GOVERNOR 563-6775 June 18, 1990 FOR: CORWIN & ASSOCIATES Attn: Bruce Corwin PWSID: # 213598 According to the records on file in this office, the Alpine Woods Subdivision Water System is in compliance with the State of Alaska Drinking Water Regulations. Sincerely, VERA E. CRAIG Environmental Fi ffice.r VEC:bas