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Home My WebLink AboutT12N R3W SEC 25 NW4SE4NW4NE4 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP241290 PIDNumber: 017-411-09 Dwelling: ME Single Family (SF) E] with ADU r_1 Duplex (D) M Two Single Family Project: El New nN Upgrade Name JUDY CAMINER ABSORPTION FIELD El Deep Trench Fk Wide Trench R Bed 9 Mound Site Address 12550 TOILSOME HILL DRIVE, ANCHORAGE, AK ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 907-227-4125 3 *4.0 GPD/SF ITotal SEE DWG. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade . SEE DWG. Ft. Gravel depth beneath pipe 0.59 Ft. Subdivision Block Lot NW4, SE4, NW4, NE4 Fill added above original grade SEE DWG. Ft. Gravel length 35 Ft. Township Range Section 12N 3W 25 Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station I Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 175 Ft2 Ft. Well *50'+ *50'+ *50'+ - 25'+ TANK El Septic [9 S.T.E.P. ❑ Holding E] Other Manufacturer ANCH TANKIORENCO Capacity 1500 Gal, Surface Water *501+ *501+ *50'+ - Material Number of compartments Lot Line 51+ *51+ 51+ - NA PLASTIC 2 Foundation 10'+ 10'+ 10'+ - LIFT STATION Manufacturer Capacity Remarks *AWWTS - ADVANTEX FAP UNIT ANCH TANK/ORENCO 495 (2ND COMP.) Gal. Alarmlocation Electrical installed by , js , f C— L �_C_ e -Ls- -I I Installer PIPE MATERIAL House to tank D3034 Tankto drainfield D3034 DENALI EXCAVATION Drainfield D3034 CO/MT D3034 inspector GARNESS ENGINEERING GROUP, LTD.- BENCH MARK (Assumed elevation) 125.09 ft Inspdates:ection 15t 6/4/2025 V Location ocation and description 31d 616/2025 4" 6/6/2025 PATIO DOOR THRESHOLD (NEAR OF POINT A) ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date A ....... .. . .....or Septic System Approved Datef f y . or ess.- E1.115 coo 00, Note: this approval does not include well permit requirements. P ME C8 ro essi (Rev 05/02/18) PERMIT NUMBER: OSP241290 I\ Lu W I I rY I [I.-FEETAWWTS WELL RADIUS 1 i i r r r �rr I NEW DRAINFIELD-}r � II i I 100-FEET RADIUS GENERAL LOCATION ,l I� I \\ I\ LL \ 50-f EETAWTS\\ fLL RADIUS W \ f s RECORD DRAWING \ \ 100-FEET RADII \ 1 GENERAL LOCATION _ _- -'-50-FEETAWWTS \\1 % WELL RADIUS • •• /!A EXISTING DRAINFIELD. EXACT LOCATION IS UNKNOWN. DRAINFIELDTO r� BE USED AS A RESERVE SITE DOUBLE MH. CLEANOUTS rr (DBL3 & DBL4) rrr C FOOT / A B C DBL1 21.4 30.5 44.8 DBL2 22.3 30.8 45.0 MH1 24.7 31.4 45.5 DBL3 28.3 30.5 44.0 DBL4 29.5 31.3 44.7 FD 31.1 32.4 45.5 C01 80.7 61.0 60.9 MT1 82.2 62.6 62.4 CO2 90.1 78.8 84.1 MT2 86.6 77.4 82.8 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. INSTALLED POLYLOK FLOW DIRECTOR (FD) , i :e F \t\ EXISTING 3-BEDROOM HOUSE ` PARCEL ID NUMBER: 017-411-09 -DOUBLE 1 CLEANOUTS „ (DBL1 & DBL2) \ \ \ � 1 1 \ M 1 \ \ 1 1 11. .. VVCLL 1'Wu t 1 I I \ \ / I \ / I \ / IN /1 SCALE: 1"=40' / ® O ®® .�� - _ ,Or • # ANF w 9 ®I GARNESS ENGINEERING GROUP, Lti ..... .. ......................... ENGINEERING SALES CONSULTING 3701 EAST TUDOR ROAD SUITE 101 -ANCHORAGE, ALASKA • PHONE (907) 337-6170 WEBSITE: w,vw.gameser,gineadng.wm •• • ••• ............•••••••...... ; i• a PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 ffrey A. Gayness 1141 �CC JUDY CAMINER 907-227-4125 2 OF 3 # C 7 5AV 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: I � Z T12N, R3W, SECTION 25, NW4, SE4, NW4, NE4 J.L.M. 0'••.•.••••••'. t� TYPE OF WORK: DATE: LICENSa'srsL� O� RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 6/18/2025 #AEcC 84 PERMIT NUMBER: RECORD DRAWING I N G PARCEL ID NUMBER: OSP241290 017-411-09 to INVER OUTLET GEG TH#1 ORIGINAL GRADE ANCHORAGE TANK FON UPHILL SIDE ADVANTEX FAP UNIT (HIGH) = 96.84 -FINAL GRADE = 96.72-98.59 PER CONTRACTOR, ORIGINAL GRADE 2"OF INSULATION ONDONWHILLSIDE —FILTER FABRIC (LOWEST) = 93.32 --INVERT OF DIST. ' LINE=93.13 TOP OF FILTER SAND = 92.54 (2.2-3.54' OF FILTER SAND) — BOTTOM OF EXCAVATION = 89.00-90.34 NOTE: NO ORGANICS IN BOTTOM OF EXCAVATION. RELATIVE BEDROCK TABLE = 86.84 (NO GROUNDWATER ON 614/2025) NOTE: THE CONTRACTOR HAS I PLACED TOPSOIL, SEED, AND JUTE FABRIC ON ALL DISTURBED SLOPES. CONFIRMATION HOLE —EXCAVATED CONFIRMATION TEST HOLE ON DOWNHILL SIDE OF TRENCH TO 10.5 FEET BELOW GRADE. NO BEDROCK ENCOUNTERED G 11 ......... 9 .... .........1 PREPARED FOR: 3701 EAST TUDOR ROAD SUITE 11001 -ANCHORAGE, ALAAS PHONE NUMBER: 91NWEBSITE: P s e .... _- ( 7) .gameuengtneenng.com ,i .... •• • •u••• ••••■• AGE NUMBER. f fn ' re A (James JUDY CAMINER 907-227-4125 3 OF 3 ♦�G� CE-7 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: •�. �•••••••� 2,,.•••• T12N, R3W, SECTION 25, NW4, SE4, NW4, NE4 J.L.M. 11FQ ••••pp�, 1 TYPE OF WORK: DATE: LICENSe RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 6/18/21025 #AECC884 0I cn Hill Drive cn Toilsome ),edicated).-�— co z co 0 c 0 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241290 Work Type: Septic Upgrade Tax Code Number: 01741109000 Site Legal Address: T12N R3W SEC 25 NW4SE4NW4NE4 G:2841 Site Mailing Address: 12550 TOILSOME HILL DR, Anchorage Owner: CAMINER JUDITH C REVOCABLE Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: f I' t)zapartmenr 9/24/2024 9/24/2025 ' -# Q ❑ 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 3 i i - /Q_ 5 - Af� V,4_A71- Jj"._r Received By: S 5 �P C� �C Date: o� Issued By: Date: / 2 y 2 Z y ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-411-09 Property owner(s) JUDY CAMINER Day phone 907-227-4125 Mailing address 12550 TOILSOME HILL DRIVE *ANCHORAGE, AK Site address 12550 TOILSOME HILL DRIVE *ANCHORAGE, AK Legal description (Sub'd., Block & Lot) T1 2N R3W SECTION 25 NW4SE4NW4NE4 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field � Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank Q Upgrade 7X Duplex (D) ❑ Holding Tank 7 Renewal ❑ Multiple Dwellings ❑ Privy f❑-1 (SF and/or D) Private Well 0 Water Storage D 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: Waiver Fees: Date of Payment: Z'- Date of Payment: jj Receipt Number: Permit No. 05p2q12q0 Receipt Number: Waiver No. G:iDeveloprneni Services\Building Safety\On Site Water and WastewatehForms\Ciient Forms'Terrnit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241290, Curtis Townsend, 09/24/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241290, Curtis Townsend, 09/24/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241290, Curtis Townsend, 09/24/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241290, Curtis Townsend, 09/24/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241290, Curtis Townsend, 09/24/24 1.5 OH ec 15.0 Q) 41.5 CP N- 8.7 0.6 3 3.0 ret. wall Well 0 House Detail Scale: l"=50' SCALE: 1 "= 100' C) co C� 33.0 Wooteer �StioJ Woolever Subd. Lot 3, Bkonk I Lot 3, Block 2 _____N89.59'E 330,37 (R1)7, LEGEND (R) Record per Plat No. 68-141 (R1) Record per Plat No. 70-113 (C-R & RI) Computed from data per (R) & (Ri) ----108.00 30.0 NOTES: 1. The boundary of this parcel was computed from data per adjacent plats of Woolever Metal fence Subd.(70-113) and Random Heights Subd. 06 ce) (68-141) X Z The computed bearing and distance 05 between the SE comer of Lot 3, Block 2, Woolever Subd. and the NE corner of Lot 4. Random Heights Subd. is the westerly boundary line of Toilsome Hill Drive. (Not co u') dedicated) The easterly line is undefined. 4.. r-) > -A C0 0 2 Story Frame A C5 0 N House wih Pell CD Basement D CD Z (See Detail Lu Chain linki, Z cr 1 fence (typ) 3: CD NW 1/4 SE 1/4 NW 1/41/4, Z 0 NE NE 114 SE 114 NW 1/4 NE 1/4 F5 S I SECTION 25, T12N R3W S.M. AK 30.0 1— — 11 EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON UNLESS OTHERWISE NOTED. N89'58'30"E 330.15 (R) Lot 4 Random Heights Subd OF AW A, 4 9 t h 00 00 4 X #4 *.bizabeth L. Walatka mor AO 8035 - LS - §7 MW AW �A SIONAl— BE Ff3 234, pg 34-36 Lot 2 Random Heights Subd. REVISED 5-22-24 Added Septic Vents AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: NW 1/4 SE 1/4 NW 1/4 NE 1/4 SECTION 25, T12N R3W S.M. AK Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this - 25th day of JANUARY , 2024. 907-248-1666 FRED WALATKA & ASSOCIATES, L.L.C. Engineers and Surveyors This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law, Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. MUNIt-1PA.1-I'll"YOF ANCHORAGE 5, -DVANC"EF) WASTEWATER TREATMENT SYSTEM `0A.INTEN"ANC" :AND REPAIR,zkGREEMENT Ff I I S A i N'," i I \ 0 1. A N 1) (ti P. I R G RJ -,. I-, t\4 herein the "AG R F F N1 EN T" n w ?z ma unwred inu) as (120AL, by and bet"emi ilk 0' herein and thC,�-'JUF'1iJ Anckwage.QU n , i CA ICA PA LFFYA W accordance with Anchora,,-,�a k4unicipal (W: (AkIQI5A5j65 P ninsideratknof the murml covenanB contained Kvin, Be panks w W: A ;pIC. A 'f-he ' �L,!'asyva Ment SySteMS. "VILInicipalit) gnus permislon to thc ,,qer Trearn Ckncr a) Mike and opume an Advanced VVa sic Ni a ter'l-reat., -i i cri 1' Sy,-,icin, 4 " i r) v jescribed n 7 1 located at jescrip6on) AW-So -TY; Am, jfl 1142 vat 007 - -4n 2. N - r s a ry! :Akll tte r alt ii(q) ups. ((A\ ner is rww! in red& understand and initial each section) 1711YOUghOLA of d,,is,' ,greerncnt. the O. shall enter hwo a `,en An "Fid, an AW W! A =4 be am! n0racnance provider approved by Lhic nl'anu'a C�urcl' ANV\V"T'S shall be maintained in a satisi,.,., -' condhk)n cLpwbic of pecOWny an designed and pwducving wated squic Obvin in ',it' TO tyuAwnt's approval Or operation in the Its unicipalio. fL shail A Lhe responsibiky of the Owner dUring the term of this Ag)i-ecirnent relGr(s). maintownce. Y"Lointent{ sy replacernem costs, and inspection costs, Ilk itICOws an annual Mailuenance Etc (,typically $400 to $600), u'kh inviannmwe and wpAr personnel approVCd by WC N&ACKUhN orhe "S Open and noalke lit � ncc,,-,ssmj rc'p'airs �'w "'Ale S� Owner ackno"10ges d at my uhr nmhUw-,Ltnce oi'a.n A Vv 1-1-, lb A W 0040 W-Ow. whih and d hwhdc smyge back up Ond coJJ repiscemew. (rew 05/18/20 1 F) VIC 1 00 /Ytj- Ovvncr ackno"ludges thAt tho Municipaho may, ro(lUest records of ilia i n tenan cc 'and repairs Beir the rep,�ve escill, ti or - I maintenance provider. Owncr n2Knj",jdI,,;ws KI to fine for hilinu to maintain and repair art A\I,,"V-,'T'S assessed in u-'coi-dance t�Jth vNIC 1161030, ()` cwer agues to grant we N4% ajjicipality reasonable access to test and inspect the A'%VV""'J' �. Th-N,lunicipality v;, ill give at least 14-hotu- notice. ONvner agrows Wat an), sale or transfer of title of the property will not occuii!fiout %I Corti Cicaz'c (d", S� �tcr'ls Approv,.- hin Owner agrew Oun the AWW-ES installation and maintenance requirements as pawAm by tWINTS venAwAnmidler and approved by the N/lUniCipality are the 2()NvnHn, guyvins Ew thconst:tiction. maintenance and repAr of the Owner's A%VVVTS. n-,,Lthinin ranote 1-nonikAng of die AWWTS as required by the 3. AM, Aw on, , of ink :vgrcwncnt AT begin on the date of zwproval by the Municipal. to ,perate Aw i MARCI s,ywrn. or upm transfer of title, and shad cowtiml" "'hiic t!'(2 ;A `t'VVJN v 00cryi d x Lai. i JS is transferred. I Shwo N4unicipaiit.y at in), tirne to enforce a provision of I t h, i,� Ag rew ien , Oak in no " :I co im It we a w i vcr o f the provisions. nor in an3 way a Ww,' any pan QX01'. or the right ofthe ivfuniciptlil"" rhereaRcr to hereof, 5. Q ent. ', As Immni shall My be amended by authorized represcimim ot' the (Knor and Municipal, Any atten-i7fi (c, amend this agreernent bcith"'r an iiiiuuithori/ rcprcszm A e at InAMhulad wwo $01 be void. JIMIjon: Chokv of Lou. ;to civil actior, eirising,• from this Agrcernent, 1w, Wought in the Superior Com Ti- the Third Judicial District of the Statc, �1!, Anchorago Fhr ia"s of the mate orAlaska shall `govern the tights and ohHgwbns of thic parties ulc'L"C ell , 7. A an unn won: or this Agreernem decreed MAW by a court oj emnponit jOsdictican shoui not inw-lidate the renwining provisions of the Agreernunt. Am 05i 18/201 S,, Wgc 2 to �, NEW= Byl Date: __(Print name) STATE' (T SS. The 1"Oregoill- irls�runie-,,it v�,as acknu"Iedged WAre ine OR day of 1-1 by DARIAN VANCE Notary Public State Of Alaska MY Commission Expires Jul 2, 2028 MUNWIPALITY Bv:Ilatal"eDate: WT1SQdj,,,(print name) Tifle: tv( I tz— NAME MAILING ADDRESS LEGAL DESCRIPTION LOCATION Well ' Absorption area ~ Manufactu r ~' Liq capac ty n ga ons /~ ~ 0 IF HOME--DE: 7 ~ ~ ~ Manufacturer ~ DISTANCE TO: ]Well /OO ~ [ ~ No. of lin s Length of each line Length ~ Width ~ ~ Type of crib Crib diameter I DISTANCE TO: Building foundation ~ DISTANCE TO: Well _ Class Depth t ' % MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT f l ~e:~,~.. .~'k ~ NEW Total length of lines Material beneath tile Building foundation OTHER PIPE MATERIALS SOIL TEST RATING D~3 ~ INSTALLER REMARKS Inside length Dwelling Foundation Depth Crib depth Driller Sewer line Dwelling Material Width Materiai¢ ~' Nearest lot llne I Trench width I NO. OF BEDROOMS PERMI NO. Liquid depth PERMIT NO, Liquid capacity in gallons PERMIT NO. Distance between lines inches Total effective absorption area /Zoo PERMIT NO, Total effective absorption area Nearest lot line Septic tank Absorption area(s) Distance to lot line PERMIT NO, I o-&% APPROVED DATE LEGAL 72-013 (Rev, 3/78) ~OX ~{t~}}~ ISTAR ~OI~"YP- A AA'CRORA~E, ~LASKA INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF · DRILLED AT THE RATE Of ;q23.00 Per FOOT. LOCATION Of WELL SlTF 2. . ~J2~. WELL LOG: o? MuNIcIPALITY OF ANCHORAOI~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION OCT 1 fi lg84 .RECEIVED Co,~ o-~ ;~U..J,.L~.. ~23.00 pe~ooz X 350 ~e~t:',)$O~O. O0 COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING· WRITE CHECK PAYABLE TO P~.MFART DRILLING WORKS FOR THE SUM OF ".;,!,'.'..~..: ...._:. , ........ ': '- .-ff-':':;,=i-~ ?)1~.~' ~.~-~,.!~ ~ ~-~ ~ ~ .~ .., .. ~.~ ~' ~ ~ --.- ':¥ ..?~ ~ ~;: .~- _ · :=c-, -~.. THANK YOU VER~, MUCH. ~, ,~fl;~:: ,,.;. ', BERNIE CLAUS OF RAMPART DRILLING WORKS ~ , . ? Departmen~-~f Health and Environmenta' ~rotection/~ ;,~,~-~-~ . o,,'~,~ , , 825 ' ~' Street, knchorage, AK. ~9501 < ~ . · 264-4720 ": ''~ .... * * * HANDWRITTEN PERMIT * * WELL ANtrON-SITE SEWER PERMZT .... ' Legal Description: '~/~ ~ ~ ~ ~t~ ~ Lot Size: Type of Soil ~sorption System Is: ~ ~q ~A ~%~ ~ Trench: ~' Drainfield: Seepage Bed] __ Holding Tank: Maxim~ N~ber of Bedrooms: ~ Soil Ra%ing(sq.ft/br) ~ ~/~ The Required Size of the Soil ~sorption S~stem Is: 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 m~im~ depth of gravel between the outfall pipe and the bottom of the excavation(in feet). 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) [NSPECTIONS ARE REQUIRED Backfilling of any system without ~inal inspection and approval by this department will be subject to prosecution. Minim~ 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. Minim~ distance from a private well to a private sewer line is 25 feet and to a co--unity 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 I certify that: (!) I ~ f~iliar with the requirements for on-site sewers and wells as set forth by the Municipality of ~chorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more_ ~Ct~ bedrooms. Applicant Date: SWP/024 (1/81) MUNICIPALITY'OF ANCHORAGE · DEPARTMENT OF HEAL,TH AN6 ENVIRONMENTAL PROTECTION RCOLATION TEST 825 L. Street, Anchorage. Ala~kl 99501 264-4720 SOILS LOG --PERCOLATION TEST SLOPE SITE PLAN' 2 3 4 5 6 7 8 9 10 12 13 14 15 ~7 18 20. C, Reid, Jr. 2251-E PERCOLATION RATE ~,~) ~'~ ,,..~ . · .... ,' ~m~mJte~/inchJ COMMENTS J'[HF(IliMED BY CERTIFIED BY: .. : SOILS LOG "~ ,, .... . ~, ~, ,..·. ~ . /~ ~ ', ~ MUNICIPALITY OF ANCHORAGE i~i'; 'x [~ PERCOLATION · ~i'e ~.~, DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST ' ~,~/1~ 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST LEGAL DESCR,'~T,O.: T ;Z'r'.) ' ~ 3 U,J ..¢~,,,-~/ ,"'/,.",~..-.. 1 2 3- 4- 5: 7 $ @ 10 13- SLOPE SITE PLAN 14; 17- 18- 19- DEPTH WAS G PERCC ;GROUND WATER OUNTERED? AT WHAT COMMENTS PERFORMED 72-008 (6/79) 10C) ~,TION RATE ~ ~., ,~. ~, · · · * .'~(r~,ut~s/inch) TEST RUN BETWEEN ~'"O. '~;o~T ~''*° AN~ ~ ' ~'.?~" '~'~ BY:~~ / ) CERTIFIED BY: .'~-y;" ' ' ', .' '' DATEO ~- O / · ~' ". t JF .'.', .~':: :'" ' Gross Net Depth to Net Reading Date Time Time Water Drop ~- ,, /o,'5-~ IO , ? ? , II ~3 ~, u.'~ ? IO ,7c~ , o ? ~4 i, /I,'1~/ i0 , ~/I , 0 ~ · .~¢" . //:,~?' /o ,,FF" ,,~ (,g.~'L£ 2,-- ],,0'~ , g£ o I~ ~ N) U 'm, zZrr OZ>.o Luo <0 ~ . .~ : ~ APPLI¢ ~NT FILLS OUT UPPER HAr'-~,' ONLY Buyer Address Zip Code Phone Address Zip Code Phone Realty Co. & A~nt b~/~, Type of R i~nce ~dividual A~ACH WELL LOG. A w~l Icg is required for all wells drilled since Ju~e 1975. ~ Community For wells drilled prior to that date, give well depth (attach 10g if available). ~ Public Utility S~r Disposal Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Date Date Inspector Inspector F i ..,~, Notes: Date Inspector Time MUNICIPALITY OF ANCHORAGE DEPT. OF HFALTH & ENVIRONMENTAL ~TION oc'r RECE! VED APPROVED BEDROOMS DISAPPROVED CONDITIONAL APPROVAL* 'CONDITIONS OF APPROVAL Well To Absorption Area / OG '~' ' we, toTa.* ] ~.~ Well Log Received 0(.(~ ~C l~0~ Septic Tank Size ,,/ ~ ~ ~ Soils Bating Date Sewer Installed November 14, t9S3 Kevin and Judy Gottlieb '?~i00 E. iTth Avenue Anchoruge ~ AK 99504 Subject: %'12N, i~3W, ~'~ ' , ~,n Approval for the i~'~dividual sewer a~d %~ater facilities be gray,ted until the following items [~ve been % 'fhe permit for the installation of the on-site se¥~e[ syste~n /~s-builts o~ the installation in this o~lce. I~ a private ~ engineer inspected the system, please send us the report for our files and review. Please notify this Dei~artment for a reinspection when the noted discrepancies have been corrected. If there are any further questions~ please oall this o~flce at 264-4720. Sincerely, CW22/ej/E1 Cory Willis, Acting Sewer Program ~iana get