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HomeMy WebLinkAboutTALUS WEST #1 BLK 3 LT 26 GREA(ER ANCHORAGE AREA BOR 'dGH Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME V{II////~I,~ '~' ~/'F/'/Y~'i~)It/~AILING ADDRESS_~"~/-~ ,A/~ /7~/ ~, PHONE DISTANCE FROM WELL INSIDE LENGTH ' MANUFACTURER INSIDE WIDTH ~/~ NUMBER OF MATERIAL /C2 (~¢';~/~'f,~. COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY GALLONS. SEEPAGE LINING MATERIAL ~ CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL ./z~'~2,.~- ,~L._ TOTAL EFFECTIVE BUILDING FOUNDATION /~.,~,/' NEAREST LOT LINE~''~-~''T- ABSORPTION AREA (WALL AREA) '~O SQ. FT. ADDITIONAL ABSORPTION WELL: DISTANCE FROM: FOUNDATION , LOT LINE TANK /~'~/-'-, SYSTEM CESSPOOL ~'//4/ , OTHER SOURCES APPROVED ~'~ DISAPPROVED REMARKS DISTANCES: INSTALLED]3Y: PIPE MATeRIA .L~.~qlL LOT SLOPE: ~/g/~/~/~- ' REMARKS: ' DIAGRAM OF SYSTEM {./G.A.A.B ~ · . ~=._ - ~ _ALTH AND ENVIRONMENTAL i'.OTECTI0 PERMIT NO. < ,~14S > ~ ~ /5/ ~ u HF'PLICBNT WILLIAM G SIEMENS SR8 BOX t724T LOCATION WILDERNESS AND SN~WCUP LEGAL LOT 22 BLK ~ TALUS WEST TYPE OF SOIL ABSORBTION SYSTEM IS: MAXIMUM HUMBER OF BEDROOMS = 4 3444454 LOT SIZE 18847 SQUARE FEET TRENCH SOIL RATING <SD FT?BR>= 190 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= li LENGTH= 4E: QRR~,-"EL DEP~FH= 8 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS ~FHE DISTRNCE BETWEEN THE SURFACE OF THE GROUHD RND THE 80TTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE E~CRVRTION (IN FEET). PR~DkSRGE PLRDB-F REQU I RED EITHER ~ CLASS I OR II NSF ~PPROVED PLANT N~V BE INST~L~ED. ~ CONTINUOUS N~INTEN~NCE ~GREEMENT IS REQUIRED. IF ~ N~INTEN~NCE ~GREENENT IS NOT KEPT CURRENT YOU M~Y BE REQUIRED TO ENLHRGE THE SOIL ABSORPTION SYSTEM 8ND/OR YOU MAY BE SUBJECT TO PROSECUTION. IF 8 CLASS I SYSTEM IS USED THE LENGTH IS 3~4. 0 FEET. ~ IF 8 CLASS II SYSTEM IS USED TH~ LENGTH IS 44. 0 FEET. / BRCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION 8HD 8F"PROVBL B~ THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS i00 FEET FOR R PRIVRTE WELL OR 200 FEET FOR A PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'ER~N I T k~FtL I C. FOR O~E '~'ERR FROWN I _ _.LIE I CERTIFY THAT l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS ~S _ET FORTH 8Y THE MUNICIPALITY OF ANCHORAGE. c: 2: I WILL IHSTRLL THE ~'"s - -~ - _,_TEM IN ~CcORDHNCE WITH THE CODES. ~: I LINDERST~ND THAT THE ON-SITE SEWER SYSTEM HAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE TH~N 4 BEDROOMS. ~PPLIC~NT WILLIAM G SIEMENS PERMIT NO~ '~LINIJZ:IPALIT¥ OF- ANCHCmRAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 E. TUDOR RD., ANCHORAGE, AK. 9950? 276-222t ~4ELL ~s~K> ~4--SI ~-E --~-E~ER PE~I Z T AF'PLICANT WILLIAM G SIEMENS SRA BOX 1724T ~~454 LOCATION WILD'---~RN-'--E-~SS & SNOWdP ~ LEGAL L2~ BZ< TALUS WEST LOT SI ~ ~ B47 SQIJA~E FEET T~'PE Of SO~L ~BSORbTION SYSTEM 1S: TrENCHt{ ~ ~ ~ C, EF'TH= 8 LENGTH= iRB~ E[ C~EPTH= 5 THE LENGTH DIMENSION IS THE LENGT~/~IN ~ ~ THE TRENCH OR DR~I NFIEL~,. THE DEPTH OF ~ TRENCH OR PIT IS T~ ~>IS~''~ ~E BETWEEN THE SURFACE OF THE GROUND ~ND THE 80TTOM OF THE EXC~V~ON (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRBVEL BETWEEN THE OUTF~LL PIPE ~ND THE BOTTOM OF THE EXCBVBTION '(IN FEET). F'~Ck--:SGE PLANT REQU I RED EITHER A CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED. A CONTINUOUS M~INTENANCE AGREEMENT IS REQUIRED. IF A MAINTENANCE AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL ABSORPTION SYSTEM AND.70R YOU MAY BE SUBJECT TO PROSECUTION. IF A CLASS I SYSTEM IS USED THE LENGTH IS ?i. 0 FEET. IF A CLASS I1 SYSTEM IS USED THE LENGTH IS 91.0 FEET. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND ~PPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN 8 WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. WELL LOGS 8RE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. SPECIFICATIONS ~ND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERi, IT VALI[> FOR O~E '¢EAR FROM ISSUE I CERTIFY THAT l: I ~M FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS 8S SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. APPLICANT WILLIAM G SIEMENS [:,EPFIRTMENT ' HEBL'f'H BND ENVIRONMENTFIL ]OTECTION ~ ~5Z0 E. \ ~U[)OR. RD.., RNCHOR.~GE., AK ,* 2';:;'6 -;~22i PERMIT NO. (76028) .... RM EL,, &72:4. T WIlL. IBM G ]ZOCRT I ON W IL[. LI,f4E~_, ~]* SNOL,JCLIP LEGAL L26 Bi4 TALUS WES]' LO]' SIZE i8847 SQI:]" TYPE OF SOIL ~BSORPTZON S'¢STEM... ]'RENC:H NUMBER OF BE[."R. OOHS '2: SOIL. RATING., S(.:!Ff',.-"BR 250 THE REQUIRE[:, SIZE OF THE SOiL RBSORF'TION SYSTEM IS:[:,EP]"H= 8 LENGTH= 75 THE MINIMLIM [:,EF'TH OF' GRRVE[. BETWEEN ]'HE OUTFRLL PIPE RN[:, THE E>,',CFIVFtTION BOTTOM IS 5 FT THERE iS NO SET I..It[:,TH FOR TRENC'HES. FOR I}RBIf.JFIEL[.',S, THE WIDTH IS ]:F'T. THE I.]:,EPTH OF TRENCH OR PIT IS THE [:,ISTFINCE BETWEEN TNE GROUND SURF'BCE AND THE E:O'I"TOM OF' THE EXE:AVBTION. ]'FIE [.ENG'FH I}IMENSION "':'; ':: '~ ......' I_ ]"HE L. ENGTH OF EnCFI -,ICE FLR FI SEEPBGE PIT OF: THE LENGTH OF' THE TRENCH., OR DRRZNFZEL[:'. THE REQUZREE:' SEF"I"~C TRNK SIZE ZS 8 GFILLONS EITHER B CLBSS Z OR Z Z NSF RF'PROVED F'LRNT HRY BE ZNSTFILLE[:'. R CONTINUOUS HR~NTENFff4CE RGREEMENT ZS REQOZREB'. ZFA HB~NTENBNCE FIGREEMENT IS NOT KEPT CORRENT YOU HBY BE REQUIRER:' TO ENLFIRGE THE SOIL RBSORPT~ON SYS]'EH RNDZOR YOU MRY BE SUBJECT TO PROSECUTION. IF' FI C:LBSS It SYS]"EM IS USE[:'., THE LENG'f'Ia 67 FEET IF A CLFISS t SYSTEM IS UDED, THE LENGTH IS 52 FEET BFICKFILLING OF' BNY SYSTEM NITHOLIT FINRL INSPECTION BY THIS DEPRRTMENT NIL. L DE SUB.'I'ECT TO I::'ROSIECU"f'ION. MINIMUM DIS'I"FINCE F'ROM WELL TO ANY SEPTIC TRNK,."PBCKRGE PLRNT OR SOIl_ ABSORPTION SYSTEM IS :t00 FI' F'OR FI F'RIVRTEWELL FIND 200 FT FOR A POBLIC WELL WELL LOGS MUST BE RE'f'ORNED TO THE DEPRRTMENT WITHIN SO E:,RYS OF THE WELL COMPLET'I ON. SPECIF'ZCRTZONS RND CONSTRUCTION E:,ZRGRRMS RRE RVRZLRBLE TO INSURE PROPER Z NSTRLLBT Z ON. I CERTIFY ]"HAT IRM FAMILIAR WITH ]"HE REQUIREMEN]'S FOR ON-SITE SEWERS RND WELLS RS SETFORTH E:'T' THE MUNICtPFILITY OF' FINCHORRGE FiND WILL INSTRLL IN RCCORDRNCE WITH ]"HE CODE. .......... I:,:,I..IE[ E,~. ~ .... [:'RTE.. 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 0 / -.~ ~ O ~-. O~'"" NAA# ,/J.¢~ o¢~ o Parcel I.D. ~ _ 1. GENERAL INFOrmATION (~ust be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, sec?~n, township, range) Loc~tion ~address or directions) (b) ProCekt~'0wner ' ~%~'.. ~O~5 ;~ Telephone: (home) Business Mailing Address (c) Lending Institution ' Telephone Mailing Address (d) Real Estate Company and Agent Address 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: · I 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 Enwronmental Conservation attesting to th legali{y and status. 4. SEWAGE DISPOSAL On-site F 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. Page 1 of 2 'HJOM s,Jeeu!bue leUO!SsejoJd eq] u! 9UO!SS!LUO JO sJoJJe JOJ elq!suodseJ leu s! e6eJoqou¥ ,to ,q!led!o!u n!A! aq/'penes! e! e]eo!jBJeO e eJoleq e]ep ezXleUe Jo suoBoedeu! ~enpuoo ~ou op SHHQ jo seeXOldLU3 'slueLueJ!nbeJ e~eis pue leJepej uim, Jeo Ajs!les o] Jap Jo u! suoBn]Bsu! 6u!puel J!eq~ pue seLuoq jo sJeseqoJnd o] Asepnoo e sa s!qi seep 9HHQ eql 'eHselV Jo eleiS eq] u! Jaeu!bue leUO!Sse~oJd luepuedepu! ue Aq e^oqe 9 qdeJ§eJed u! ua^f8 euoBe]ueseJdeJ eql uodn Aluo peseq pe]eogpeo le^oJddv A~poq]n¥ qHeeH sense! 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'SNOI.LO3dSNI !gNlOIAOIdd INI:il4 !DNII:I::I:aNI~)N::I 'g MUNICIPALITY OF ANCHORAGE (MOA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: ~'~'( A. WELL DATA Well Classification '~l' Well Log Present (Y~-'~ Date Completed Total Depth t-~.. C'~asedtof,~".¢__ Depth of Grouting ~'/~ Stat!c Water Level ~ ' Casing Height Above Ground J,~ / Electrical Wiring id Conduit CN) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on LOt [/%0~:¢ ~./~ 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 ~/~-- '7'~ -~ Comments ~'[Z- ~/_¢J '7"~-¢'~' If A, B, C, D.E.C. Approved (Y/N) Yield ~"(,5" ~'~l,&. ~be~', ~,'~, Pump Set At j~/ ~ Sanitary Seal on Casing t~N) Depression Around Wellhead (Y/~_.~. ; On Adjoining Lots /~.,~ '-F- ; On Adjoining Lots To Nearest Public Sewer Cteanout/Manhole ~,~.~.S ~ ;Date B. SEPTIC/HOLDING TANK DATA Date Installed tT" '~ ~' Size ]~,5"O (,'/~C .' No of Compartments StandpiPes (~N) Air-tight Caps I~N) Depression over Tank (Y/~ Pumping/Maintenance Contact on File (Y/N) Holding Tank High-~/ater Alarm (Y/N) SEPARATION DIS'~AN~S~I~I~0M~EPTIC/HOLDING TANK: TO Water-Supply~Weil l~2'~f-1. ~j ¢:~'.',:.:, TOBuilding Foundation To Property I'ine' '/~"?¢'~ ~'': ~ ' ::"' ~! ~ ;'~t: To Disposal Field To Water Ma~n/servi0~e'kine!2 To Stream, Pol~dl Lake ;dr Mai'hr Dicain&¢8 Course /(~ Comments · Foundation Cleanout CN) Date Last Pumped ~)'~-0~ Temporary Holding Tank Permit (Y/N) 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata k Date Installed ;"- Width of Field "~& /~ Square Feet of Absortion Area Depression over Field (Yt~ Results of Last Adequacy Test Type of System Design Length of Field Depth of Field Gravel Bed Thickness ~'~" Statndpipes Present (¢~)/N) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well /(_)0 To Building Foundation /(_~ Lot To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehiole Storage Area Comments To Property Line To Existing or Abandoned System on ; On Adjoining Lots ~ To Cutback (if present) 4-. k,~LIFT STATION 'D,~lnstalled Dimensions Size ~,_ons Manhole/Access (Y/N) "Pump On"'be,v,~ "Pump Off" Level at High Water Alarm L~8.~,,,L~_ __ Vent (Y/N) _ Tested for ~-~ _ Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) '"-'-----~. Comments ~-~.....~......~ **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection,;¢~ Signed Company Date MOA NO. Receipt No. 4:~ ~¢) CG ~" Date of Payment Amount: $ 72-026 (Rev. 7/88) Back ff~C'O,/49~_._N'~' '"'"~'/* Engineer's Seal Waiver Fee: $ Date of Payment Page 2 of 2 FEDERAL TAX ID # 92-0040440 ANALYSIS REPOP, T BY BAI,IPLE for ~'tork Ordo: ~ 116~7 Date Report Pzinted: FEB 10 89 ~ J3:52 P~JSID :DA Collected PEB $ 89 ~ 16:05 hzs. Received FEB $ 89 ~ 16:30 his. Preserved with :AS REQUIRED Analysis Co]~pleted :FEB I0 89 gabolatory Supexvisot :STZPHEN C. EDE Client Acct: ARECSR? Send geport~ to: Chsmiab k~:[ g: 4202 l, ab Slf~pl ID: I Idatrix: WATER Allo~!able Par al/mt er Tested Resu] t/Units Method Limits IUTRATE-); 0,45 rr~ll EPA 353.2 10 Sample ROUTI}IE SM~PLB. Rei,latkr: SAUPLE COLLECTED BY R,P. 1 Tests P~Bozmed See Special Instzuctlons Above UA=Unavailable NO= Uone Detected *' See Sample R~l~a~:k~ Abov~ }IA= Not Analyzed LT=Less Than, GT=G~eate~ Than DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF H~ALTH & t DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~]~ViRONMENTAL F~,©TECT[ON 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Si~_~~ g 198! Telephone 264-4720 DEFEI//E~ DI R ECTIONS: Complete all parts on page 1, Incomplete reques~ will not be processed, Please allow ten (10) days for processing, PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MA~LING ADDRESS 3, LENDING INSTITUTION PHONE MAIUING ADDRESS 4, REALTOR/AGENT PHONE MAILING ADDRESS S. LEGAL DESCRIPTION STREET LOCATIO~ 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [~ Four ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM {~ INDIVIDUAL/ON-SITE** /O~'~l~ YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE E~ THREE [~ FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SiX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~]INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY " Connection Verified INSTALLER []Sep~c T..~k or [] Holding Tank Size: ',,ttj~ If Tank is homemade SOILS RATING give dimensions: I ~'.-,~ TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding[~) (~ '~Tank [IAbs°rpti°n Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS [J~'~ APPROV ED FOR .~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~ DISAPPROVED DATE BY 72-010 (Rev, 6/79) 825 "L" STREET GEORGE M.. SULLIVAN MAYOR DEPARTt~,~ENT OF HEALTH AND ENVIRONMENTAL PROTECTION September 10, 1981 Righard/Carol Goslin Star Route A Box 1587-K Anchorage, A%aska 99507 Subject: Lot 26 Block 3 Talus West Subdivision #1 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (3) (4) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. The septic tank pumped with a rec&ipt submitted to this office. The cement lid to the Jet unit is in need of repair. A maintenance contract needs to be obtained for the Jet unit from Consteel Company, 376-5919. This will need to be submitted to this office. ~©~( 5 ) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: First National Bank of Anchorage Cano e's Concrete Products of Wasilla, Inc. HON~E & COMMERCIAL SEWAGE TREATMENT PLANTS BOX 149 - WASILLA, AK. 99687 - PHONE 376-5919 JET Home Plant Service Policy This Agreement entitles: Owner Street Address City : Phone to the following service for __. year(s) from the date of acceptance. Upon receipt of this signed agreement and $ ' ~ , Canole's Concrete Products agrees to perform the following services during the term of the agreement: Canole's Concrete Products will inspect the JET plant at the above address twice a year. These inspections will include: PLANT SERVICE · Removal of aeration unit, inspection, adjustment, cleaning of aerator's shaft, field service of aeration unit, if needed, and re-installation. · Inspection, cleaning, and adjustment, if necessary of surface skimmer and/or tube setter. · Examination of final effluent for color and odor, if there is access at time of inspection. · Check of discharge point and wet weather overflow for blockage (if applicable). · Inspection and adjustment of control panel setting and overload protection, if there is access at time of inspection. · Inspection for sludge accumulation with arrangements for removal when build-up warrants removal. Canole's Concrete Products further agrees to the following: EMERGENCY SERVICE · There will be no charge for emergency service calls. · There will be no service or labor charges for removal or re-installation of aerator, if required. · [f improper operation cannot be corrected at time of service, homeowner will be notified immediately and given estimated date of correction. · If improper operation cannot be corrected at time of service, the Department of Environmental Quality, GAAB, will also be notified. · If necessa.ry, the entire mechanical unit or any parts will be replaced according to the manufacturer's warranty program. Freight charges to the factory or to an unauthorized repair station and aerator repair charges are not covered under this agreement. Owner's Signature Date Accepted for Canole's Concrete Products Date ALASKA nUlROnm nTAL CONTROL S RUIC $, ~n~inecrin§ 8- ~nuironmcnlal $1Ucli~s 9/22/81 InC. 1ST NATIONAL BANK OF ANCHORAGE P.O. BOX 3128 ANCHORAGE AK 99501 SELLER - RICHARD GOSLIND SUBDIVISION-TALUS WEST BLOCK-3 LOT-26 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 760 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 834 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 9/11/81 SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 4 BEDROOM HOUSE. 1250 IS ADEQUATE FOR GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received November 8, 1976 Time of Inspection Date of Inspection, //-~-7~ REQUEST FOR APPROVAL OF /~. INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Conv. United Bank of Alaska e 4. 5. 6. Mailing Address: Property Owner: Mailing Address: Lega~ Description: 645 G Street William Siemens 4500 Snowcup Phone: ~QT~-/~ll Phone: ~%t~/ ~ d>~/~ 7 Lot 26 Block 3 Talus West ~2 Location: 4500 Snowcup Type of facility to be inspected Well Data: Single Family No. o~f bedrooms A. Type Individual C. Construction Sewage Disposal System: on-site system A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: ~976 1. Size 2. Manufacturer ~ l. Absorption Area '%/~/)~q,~,~/. 2. Material Total length of lines B. Depth 136' D. Bacterial Analysis B. Installer Distances: A. Well to: Septic tank Nearest lot line Absorption area , Other contamination B. Foundation to septic tank Sewer Lines Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pa~ges - Ret st for Approval of Individual ~ ier & Water Facilities £.egal Descrlptl0n Lot 26 Block 3 Talus West #2 Comments Appr°ved/~~,~isapproved Date Approval~Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C' Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO ,,~.//~/A 2. Property Owner: . Mailing Address: '~ ~'~) ~,.~. /~,/>,~')_ Nameo uyer: FHA CONV ~: Day Phone Mailing Address: 4. Name of Lending Institution: Mailing Address: ~ 'z/~~ //, Phone 5. Name of Realtor or Agent: /~ ~z.~z.~./' A~,_ Mailing Address: ,.~%-C~/ ~.//' ,/~'~(,~7}///?//.~' Phone / Day Phone /~..../~//' 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: No. Bdrms. Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation /~-' ~'~'-~ Individual (on-site) EQ-037 (1/74)