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HomeMy WebLinkAboutKNIK HEIGHTS BLK B LT 15KnI*k Heights Block B Lot 15 #017-033-35 Municipality of Anchorage Page A—of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SWgi'S-,n3o8 PID Number: 01'7— 033 '-357 Name, Wastewater System: O New Upgrade Y Address Pn, °`"-"}'lb - g4s ABSORPTION FIELD Phone: 1 r'No. of ,B)edrooms: 14 Deep Trench C3 Shallow, Trench 11Bed ❑ Mound ElOther -AL DESCRIPTION Soil Rating: Total Depth from original cradle: t.o.9- it•9 *- .45 GPD/s.Ft. Lot: Block: Subdivision: 1S L i1Ft6H Depth to pipe bottipm from origfal grade:. 4.9 -S 9 # Graveldept bene pipe 9r./AS 6-07� ,s $—L g r 1K Ft. Ft. Township: I Nle Range: N,fes Section: ^ Fill added aboveoriginal grade: FL Gravel lengthg5 Ft. WELL: ❑ New ❑ Upgrade Gravel width: L/+ Number of lines: Olstence,between lines: lZ Ft. Ft. C a snfiaation (Private, A3,C). _..�� Total Depth: To: Total absorption area: 1.01Z3 Pipe material: Fit0 .0303¢ FL Ft. SO. Ft. eller. ate Drilled: Static Water Level: Installer: co2� s ExcRvo two. t DateItette: to 13 clS /0/4- 43' Ft. Yield: Pump SetaC Casin Above Ground: $xIST1d(r TANK GPM Ft. Ft. SEPARATION DISTANCES El Septic ❑Holding ❑S.T. E.P. T Septic Absorption Litt Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines Well- ?Icr 0 P :{,� N�R >ZS Material: Number o artments: Surface >,to' >Ia,' J A JIp r t)n N� LIFT STATION Water Lot CD -, ! I D r1 �n n1IA %O /k Size in gallons: facturer: Line Foundation I ; -70 / 6g + � r•1 I.0 N1A "Pump on" level at: "Pum t: High water alarm at: _l.— Curtain^, _— +p^ — 1/{ in P Mkl Electrical Inspections performed by: Drain Remarks: BENCH MARK ter-- Location and Description: DootL NS-/,T--M 6AJ2.on6E. POC)(L / Assumed Elevation: 30' br 'if-_ST 440tr EXCAvQ—taJ, ENG4Q,11*Rr AL OF At 4 ••, N•Q••q, '1 1 s,r,P; ., 2/S 341 -F�r gin Qom So i t. S v t s u6r,Vy APPE� -� 0 •. 8` • H c-3 s,s,�,rr w. I r fi'c^�e�/i3/4S otL � � v s:. . e.. •w •.n... b` io Inspections performed by: Dates: 1st 2nd ... oy A. Gornets� ?,e Department of Healtlx aged Human-Cervices approval CE-7953 • I�4,�9 ••..,...•.,FESSI Reviewed and approved byy Date;/ ,,.••����m 72-013 (Rev 9/91) MOP FS CAS-Sw I L a- -DwCr- C3 dC= -11 BF== 85-6 WELL nD` ql,_7 H(:5r=S3� -- g cn' O a urtlL.lT`( EPS�MENT I � 1 u Zrj'P lnRw.Dnr ST 1 IPa'EcTfln \\ NouSE PouN9'iiY Bc= rtil 6f -6D " Atti CONpIT O� WELL. rTo 1}p NSE 4' �..._. 101FLOW `TO ESVs favPFJ FLOW - 1 To 6oTH TTtS..Ic"&5 H",S= :t1 o� MT urrl -%Ty eAx-F- 6,5T - F c 50 Fac t4 CUr$n4K .... - II E L r1D S) C/D .^E OF q Ar, CPQ •'''........ S �� OW . + LOT l5) &V -BD Kh111G H -V 407tr io..<. ... ............. f• ey A. Garness••��% PRE Pa�E:D gY: ALASKA WAT2 WA,STEWAMEP SE2YIGEr- �I J�.. CE -7953 • ��2� F ; n pROFESSI�N�+ pATE fo/l5� 5 D2AWN GA2NE.55 sG°•L�% 1 30 r>' �AS-QldlLsl' DwCr - MONITD2ING -For-l- LOQ+ idN ' 'TV6ES sEF A-C'T'RGl-l�A SiT>= PLAh1 /—" MOUND �KFIu-;D SOIL- C, OIL S F � � � $�CIGFILI.. W ITN -- F1LiE(Z �A6R1C z NATIVE SOIL ^1 St LT BAR-21Ep� lot M 9P,Fila PIPS; wrrH ._ 1-4oL6s povtN. IN- SIY�LLE_D LEVEL aN 9''454 a' 411 o� 4- _A n aa.� oeo4;n�a2ED�-I> �DE— en % WAILS 2Ay-r-� _ aS15�o2sTtoN PQM � P��Er-iC-•v-r of DRAW RG>:k. lOZ3 FrZ Z2I 2I N S (TU �E DRAIN ROCK ,SOIL - LA SOIL d 4 V pvey.� 81�" EXtSTr�(r V q °Qo4 a � G ItJVFJisi 50.; � . NOTE— : DRAINROU; 2'/z INGl4 sCREPNGD RACK. P�p�E,,.••••.,;•Q tf OW 1 i�> NCN_D�TAtL LCAT 15� (��' B,t1G 11Etl�E+iS• kAOA {zEPAP-ED F3�/ AuAsV t WPt7E2 �j i /A A'M a � llCSS Garnes3 1 Alaska Water & Wastewater Services "Preserving The Last Frontier" MEMO a PHONE- 337-6179 FAX: 338-3246 `DATE: IOJ1Sl9S NUMBER OF PAGES: l� (Including Cover) / TO: M.C. A FROM: -e9MPIANY: FD l F4 S SUBJECT: SE17lie- U?(:>aAPG : Z MESSAGE: r —e i,j S PES, -FD Aa N`3 lr3i�O S31�E. f D,j,,FD -T-D gf2—� �o nim LjK-..1 w ` j4S - (Z iii t:�:� (pi D 1 L G F 1..rra �.� C--n!L fzu7v2f-�'1E , I A r k'3 AA-L�o LJ , If -- v f -- V C—JZt P-1 }s - Sincerely, Jeff r Owner 3a rness , Ltant Q0>(�) Itj Sc,) i PLD u-) D By E. 1 l .-t —m Quo i 1-E Nf--y -1 P.E., M. S. Telephone: (907) 337-6179 . Fax: (907) 338-3246 . 8471 Brookridge Drive . Anchorage, Alaska 99504 T+4 - C' w ` j4S - (Z iii t:�:� (pi D 1 L G F 1..rra �.� C--n!L fzu7v2f-�'1E , I A r k'3 AA-L�o LJ , If -- v f -- V C—JZt P-1 }s - Sincerely, Jeff r Owner 3a rness , Ltant Q0>(�) Itj Sc,) i PLD u-) D By E. 1 l .-t —m Quo i 1-E Nf--y -1 P.E., M. S. Telephone: (907) 337-6179 . Fax: (907) 338-3246 . 8471 Brookridge Drive . Anchorage, Alaska 99504 JO' iVV/ C' ,REFER. TO APP,:4A1SAL. /P4FF'C7 RT / 09 WATER VVE .z L o cA 7710 N. Lot /5 Block 3 Kri/� /-l��hfs Anchorage Recording District, Alaska CDT 14 juC'C V%sion LOT SURVEY CERTIFICATION I herby certify that I have surveyed the property shown and deecrlbsd hereon, and that the Improvement, situated fhfrsan are within the pfop- erly tines and do not overlap or #act aaoh an ad I omt praptrty and that no imprawmente on ad)acsnt property overlap ar eaaraaah on the pnmieee In question and that then are no roadways, dlltlfy tines, m other visible aaaementt on sold property oxospf m IMneat/d hafeon. Eaetmants of record other than those shown an the plot of Naom art rpt ehowo hsrsan Unless, otherwise Noted. LEGEND 0 Bras a or Aluminum capped monument recovered a Iron pipe and/or rebar recovered. 0 2 x 2 hub rx tack recovered • 5/8"x 30" re bar sat this survey Scaleoaten �4 Prepared by: ise duerase Rag�sreredLand Surveyor �5 (807)2?9-6200 519 W. Eighth Ave. Amhawpa Aiattka995C, Rot, F S. No. Property of: e �---- p /!' CA .6,, 14 X30 pcvat 1'/4�� i SIL �SHENANDOAH I-�SHILOH I -'WILDERNESS ( ' 'LILAC OD^ 1 HUFF M AN ROAD 4il0 4400' 45 4 16 / /6 124 l ! 5 6 . l5 C� ? 12421 /A 12440 I 4I 1 440 12441 12440 24 12440 1 /4 8 s B nA. 3 1, FAIRM 312500 14 125 RD 12501 1 12500' 252 • 4400 12500 12500 12501 y S 2800 % _ 2 / 12800 ; rc 1 28a 12800 z 0 m fa c� 13 ♦::�.� �r ¢ /7 4 12540 541 /7 4 125 /3 12341 4 12541 12840 = 12540 > ':- 12640 N 12841 2 12840 r G ....�� Co 12845 2601 5 !2 5 16 /2 5 '' /P 5 3 1 12901 12900 12901 12600 12601 2900 12600 12601 12600 12601 12800 ; Q 12901 4 /5 4 /5 - Q= 12920 2641 6 12921 40 12641 12641 12640 12640 12641 (]] .4 12945 • .2 6 12941 /4 512940 12941 /4 512940 12940 0(12640 12701 13001 7 10 2700 w 12701 // 12700 12701 12700 r13001 12700 12701 13003 613000 Y r' P 7 /2 y, 13040 6 5 Z 713040 H B 27411/1'"7 f /7 2740 12741 460 �# 4901". & ' }-. 12741 12740 100 SHELg�RNE PL' 4630 s B nA. 230: 1, FAIRM NT RD ¢ 252 O 4400 S 2800 W ¢ 12601 /6 / 12800 ; rc 1 28a 12800 z 0 m fa c� °0 2 ¢ /7 2 w /7 2 K _ 2 12840 = 12641 12640 N 12841 12840 r G Co 12845 3 16 '' > 12900 3 1 12901 12900 12901 2900 �i Q 12901 4 /5 4 /5 - Q= 12920 2921 12920 12921 412920 •-•_ (]] .4 12945 • .2 6 12941 /4 512940 12941 /4 512940 12940 1300 13001 w _ 5 r13001 13000 13003 613000 Y Q P 7 /2 y, 13040 6 713040 13045 13040 13041 460 46N ' 100 SHELg�RNE PL' 4630 7 B 20 4 13101 1000 7 -13100 _ B 9 I I /0 13140 /9 B 9 13140 4201 4301 13151 9 _ LEYDEN RD. 5161 _ hWCABE W. M4CABE E. s B nA. 230: 1, s nA. 230: y4 -� DeArmoun Area Reference Map—P14 241 Q®y 243 252 © COPYRIGHT 19V Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 625 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: ��"e'Q>I QoicJGE L;''2.0/•%A✓% DATE PER FORMED LEGAL DESCRIPTION: G �7 �k �'�'V`� �>,f Township, Range, Section: SLOPE SITE PLAN (FEET) 3 / 4 6 7 v U. s / 9 10 11 / 9 S. � sY Sitio SILT) So.I.tD W IT'H (A(ZAJE— �D rTaN DF WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water AZ't) /9 Monitoring? B'd Date: ��■■11■t 0ONE Net Time Depth to Water Net Drop 14�.:=����7 iM—Ow ME A i�i�iil® -- �coiiINEEMEN B/ tl / Z 3 M■■■N, _iftJ�■I WINnN, OEM W■■■■■MM■ MENNEENNION NEEMONEENE Gross Reading Date Time Net Time Depth to Water Net Drop u B/ tl / Z 3 20 PERCOLATION RATE '617 (minutealnch) PERG HOLE DIAMETER TEST RUN BETWEEN�AND FT COMMENTS 1'kJ •�- PERFORMED BY: �oe/GG.. 7VQS �K✓riG%L�� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS OATS ATE 'J�'vc ,�O /7 4J 72-008 (Rev. 4,55) PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE � DEPARTMENT OF HEALTH AND HUMAN SERVICES II�� P.O. BOX 196650, 825 "L" STREET, ROOM 502 1S'� m.A'aA ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950308 DATE ISSUED:10/03/95 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES EXPIRATION DATE:10/03/96 OWNER NAME:JONES HAROLD B & OWNER ADDRESS:12441 SHELBURNE RD ANCHORAGE, AK 99516 PARCEL 1:01703335 LEGAL DESCRIPTION: KNIK HEIGHTS BLK B LT 15 LOT SIZE: 43600 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD 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 (18AAC80). 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: THE TOTAL DEPTH MUST NOT EXCEED LEVEL. THE EXISTINC�TtCH/A�ND� ABANDONED. 1 ` / / /, RECEIVED BY ISSUED BY 0 FEET BELOW GROUND CRIB MUST BE PERMANENTLY !Citic--� DATE: DATE: �L -/ - je., y ,lei s� ✓� � / i � � (.�/� f la.,, � �.�.-� t� o'' M. o. A copy Alaska Water iii Wastewater Services "Preserving The Last Frontier" September 18, 1995 !Municipality of Anchorage Department of Health ..and Hrnn. n Sei_="ri,,es Division of Environmental Services On- itO 36' -Vices Sectilon P_O. Sox 196650 AncllCr.3t_fe, A l a`3k:_ 9951 c)_66DC Ref: SsPtic Systell, UpJgrade for I_ot 15, Bk B, Mill Haight-;, To whom it may concern Attached is the application,, site plan, and design drawings For the 'SUbJPct =_:eotic upgrade= Comments are as follows: L. T'HUNCH DESIGN: As can be seen f om reviewing the percolation test results, the soil "perked" at 40 rr:inute%inch at the location/depth proposed for th= sy:,tem. This corresponds to an application rate of .45 gpd/ft2. Sin -- the home has 3 bedrooms. the total design flow is 450 gpd_ Basad upon this, the minimum amount of absorption area is 3.000 ft?. The proposed trench is 2 feet (Wide, 6 feet deep (drainrock depth) and 84 feet long, providing an ahsorpt:ion area of 1008 ft2_ 2_ SURFACE WI)TERS, There are no surface waters within 100 feet. of the Propose=d septic upgrade_ 3. TOPOGRAPHY: There are no -slopes greater than 2.5% within 50 feet of the proposed septic systerfr_ 4= BOOTLEG TRENCH- The existing trench shown c,n the plan view is a bootleg �7ystem that wa installed in 19e�o- r exposed the trench and found it to be 40 feetlong with a drainrock depth of 8-36 feet et the sump. This cor-re�->ponds to an absorption area of 666 ft2. It was also noted that the drainpipe was not level., but dropped ;a Feet i_n ele.;a.tion from the east to the west Regardless, I would like to install an alternator valve, a. the septic tank., so that. '`low can be alternated between the existing trench and the new one, I will install a monitoring tube, to an elevation 6 feet below the existing t,rc:snch, to verify that it does not encroach upon bedrock., or <jroundwater_ Telephone: (907) 337-6179 . Fax: (907) 338-3246 . 8471 Brookridge Drive . Anchorage, Alaska 99504 S- mCAGm OF cn m»: !Gm an abandoned Ing crib somewhere north the existing trench. m Glm to mos meows me c«H G !, toot m foot, and afoot ake. !G ::3m G to leave it in place, l7ventually, me crib Nil! collapse5 and the depression will Gm to be filled with mo. ! « unaware of any nagardve impacts that this Installation would i eon adjacent wells, or septic sysm�. 2 ., G. any Question, ease nail _ a: alyg. Sincerely, 2 J A nes« cc, v« mGe�egmm neem a« CIO / et , i25 "z" / �o Na 2'T1{ YL CIO a�0 0 ,y 56iiT1"t {-C- 35�� � FeOM C�TPsuJL � NEW Tf��-1c:rG5 Co N�ac�2. Sw� Lt SE Loc_e,�o�l oF-.'`r-Ii� 4�'-aPF�Ty ur.lEc IJA-Itif�prl— 6i}'i <��VICi Ltrl� Q-Jr.',S FeoPt {a R} U; -a Not -moi- GI.D .. O F PP r D' C� Q '12£-- , ! PREaa2� r -ort: ���T JoNL AGED M : ALASKA WATEZ � WASTEWATEjL =Ee-ViLZ s s 10 /3.5 DQAWN : &A2N2SS I UTtu'�^j .-� �:EinENT F ILIUS' — W ELL. Fk I T-1 LtFy UZV: OrA<` � 0 rk !` to f e A. Garness••'• Wim, Pt LPe', &7953 •?��?�� NEW �j� - EX!ST •.tG���� �;V. jl DWOLE C/o� %TAr1K 1 •^�'�iFi ^�. �I �.. NFA PWP. r -E C/o cID GIO f�- N sump a MT- TI}'� MT LOT SLoPLL �. � 107e FCo�'1 N4,"e CIO a�0 0 ,y 56iiT1"t {-C- 35�� � FeOM C�TPsuJL � NEW Tf��-1c:rG5 Co N�ac�2. Sw� Lt SE Loc_e,�o�l oF-.'`r-Ii� 4�'-aPF�Ty ur.lEc IJA-Itif�prl— 6i}'i <��VICi Ltrl� Q-Jr.',S FeoPt {a R} U; -a Not -moi- GI.D .. O F PP r D' C� Q '12£-- , ! PREaa2� r -ort: ���T JoNL AGED M : ALASKA WATEZ � WASTEWATEjL =Ee-ViLZ s s 10 /3.5 DQAWN : &A2N2SS I UTtu'�^j .-� �:EinENT F ILIUS' — W ELL. Fk I T-1 LtFy UZV: OrA<` � 0 rk !` to f e A. Garness••'• Wim, Pt LPe', &7953 •?��?�� d) - 4SErnG gK S-'. � �rotise pvr' 1pvT9v- PVT a LAT Z QK C, i W X311- i �� �Or �• DoT 14; SKB pow WEU. P'4 r, �rErl£2M- 'Q2�VP'9{::. Wf:.tel �j >>:PTG � LoC�T0�1 SSt ii' PDF:: LU -r ISS BK f3� IUUK HEI�rF`S �D j QREPA¢�D FOR: i3e�-�`t-r�ontES PR PAEED BY : ALASKA WATER, � WASTEW,4• EP- SE VICE'- Offf f p,4TE : q�te 9S D2AWN -. &APPES5 sCAL.F 1 f 100 CE -7953 oF-- CLQ -O L,T MONITO2.ING TV a `c _. �: :-• F-=. t= A"Y17�-G1--1{.D �. lT'� p lAl� F � ��$,gCKFILL W ITFI z NATIVE SOIL^ `O MoUnlp T/Act'-FILL6li SOIL - 4 o oQ L. �2F�GN oQoEA'�-1=D 1�J.L'lj'.Gaj'— °° y WALLS Musr as PA� - To'rtk Lvn+ = 94 : oR sca21FIEQ P�ioQ r0 AF�SoRB-FjorA PPEA Pu EM�y-rr.'OF ARAInI R�.�.'. =too$ FTS e, <l,d saw d.Q. • �.� ITN DRAIN ROG1C ` C WSirU SOIL d ` ` G 90 d d 7 0 ppb NOTE ` DRAIN RCCV- :- 4 ALL SF— �/Z ING11 w QF 44 2�/z INCI-1 �,CREEN�D (20cK. w '(E�,..•...,a q e p(2--PAaT D PO2 $(Z�vT �orJ� S � ...J. • . .. ` t! Y^ w J4Pfr y A. Gorness ��O P2EP���Y Fay AL11�Kl� WR+�1/Ft=fE1NA1 .SUIC A®fs'er CE -7953 "? et���pROF...... Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST DATE PER Rance, Section: N la s �'yrat l E S PERFORMED P;,I-: 1,41 LO`f" IS, -e)y a LEGAL DESCRIPTION: iG.111L Vi>=16o"-r'S SID TO P H WAS GROUND WATER b ENCOUNTERED? 2 S 11 0q IF YES, AT WHAT N d 3- 32owNrsF+�2=Do15+� n DEPTH? 4 °. \ 2.5� 3. L7A IS S1LT-/) `� JJ So oy�GR�4 M x 13 1 a 6 _ CTILL' J Dale., 9s DATE PER Rance, Section: N la s IVt 9 1,41 10 "\ WAS GROUND WATER b ENCOUNTERED? S 11 0q IF YES, AT WHAT N d DEPTH? r P 12 E 13 1 ` \ Depth to Water Alter N Monitoring? Dale., 9s 14M 15 3S 16 17 18 19 517 It PLAN 20L I u PERCOLATION RATE 4' (minutes/inch) PERC HOLE DIAMETER - TEST RUN BETWEEN 6' s FT AND -7' Q FT - •OMMENTS Bp".3 is TL1Rr.SP10Lp OF MA --I D009— NC—Y,-r �iw �^^•> A6p_ „� +Tr+f D l'✓V = l00 • o0 A -PPL 1 PERFORMED BY: ��%� 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) - mmmm®rjl�, 20L I u PERCOLATION RATE 4' (minutes/inch) PERC HOLE DIAMETER - TEST RUN BETWEEN 6' s FT AND -7' Q FT - •OMMENTS Bp".3 is TL1Rr.SP10Lp OF MA --I D009— NC—Y,-r �iw �^^•> A6p_ „� +Tr+f D l'✓V = l00 • o0 A -PPL 1 PERFORMED BY: ��%� 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) - GAABHDI GWER ANCHORAGE AREA BOROW HEALTH DEPARTMENT ✓ - ; 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM WELL:r+ �j� ' l� NAME/Tle MAILING �U3r �Lr ADDRESS 15CX JS S'� -PHONE te' ite/bael 4_0r�� ar 64C��l�lIk�/lS LOCATION iguX LEGAL DESCRIPTION LC/ �� oSy SEPTIC TANK: NEAREST( �S SEPTIC // Z -C / NUMBER OF DISTANCE FROM WELL MATERIAL L.lJ NC�y PSI`OMPARTMMENTS / TANK // LI LIQUID CAPACITY �- �C GALLONS. INSIDE LENGTH -INSIDE WIDTH DEPTHD SEEPAGE SYSTEM. SEEPAGE PIT: NUMBER OF PITS_ OUTSIDE DIAMETER OR WIDTH 2- T 7- ( I / ,LENGTH � ,DEPTH , LINING MATERIAL— / Crt- .DISTANCE FROM WELL � � N / BUILDING FOUNDATION Q�� r NEAREST LOT LINE ZrE , TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) Z S SQ, FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE , OF LINES , NUMBER OF LINES DISTANCE BETWEEN L TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. . LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL:r+ �j� DISTANCE FROM WATER Z TYPE DEPTH BUILDING FOUNDATION, SAMPLE NC NEAREST NEAREST( �S SEPTIC / SEEPAGE / OTHER / Z€i /icy LOT LINE SEWER LINE—, TANK SYSTEM CESSPOOL '—' SOURCES= DIAGRAM OF SYSTEM DISTANCES: A 7% =/zc )4 —7c =rl/q D-76 C DATE I Lt' C APPROVED'L�4HEALTH AUTHORITY AUTHORITY— GAAB-HD-2 GREATENCHORAGE AREA 16ROUGH Case No. i7�, • HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT �} /J S7:' ,e T. A NAME OF APPLICANT C 1 /C. 11V ([d�'"lletl� MAILING ADDRESS 7�/_5 Y Y PHONE NO. RESIDENCE ADDRESS LEGAL DESCRIPTIO / APPLICATION TO INSTALL: SEPTIC TANK , SEEPAGE PITy , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH SSP I � TO BE INSTALLED BY 's- I 'y, PERCOLATION TEST RESULTS :2 3AIuVt1k`41 ANTICIPATED DATE OF COMPLETION �24 biN /LL' nC k- FCk. i Ga C. BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT /A,'5 P THIS IS TO SERVE AS AM (CL r'k- , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO B,EE ERVED SEPTIC TANK SIZE -� TYPE 4�>SEEPAGE AREA P�� TYPE dt), 4k - DIAGRAM OF SYSTEM I0Ce D I STA N C E S: /dJ//tz rrr ' -SZ) r ec-n 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. DATE APPLICANTS SIGNATURE "t iE:: TELEPHONE: 272-4114 ALASKA GEOLOGICAL CONSULTANTS ENGINEERING GEOLOGY * MINING * GEOPHYSICS * GROUNDWATER * PETROLEUM 2227 SPENARD ROAD ANCHORAGE, ALASKA 99503 t June 2, 1969 Mr. Atdin Carter 1908 West Hillcrest Drive Anchorage, Alaska 99503 Re: Percolation Test, Lot 15, Block B, Knik Heights Subdivision Dear Mr. Carter: This letter is to certify that a percolation test has been conducted on the above-mentioned property. The test was performed in the bottom of a test pit in a twelve -inch diameter, twelve -inch deep boring. The location of the test pit, description of the test pit and percolation data are shown on the attached sheet. This test was made in accordance with the Greater Anchorage Area Borough Health Department specifications as prescribed in Appendix B of the National Plumbing Code, 1962 Revision, Respectfully submitted, ALASKA GEOLOGICAL CONSULTANTS JAH:js James A. Hamilton cc: Greater Anchorage Area Borough Health Department Attach. ,OesCri�75'Oe-, o7 T.r7 P, r u7� Haq� .L�o a 14/Q.r,6c 6--0110 cq/ Q,.rr. F� Zti; eyes JZI/a �OG.q%IOL, pf 7es7`p.r f�Pv�YJ /a >410 , 7--e r7` �%0/I-i �Q✓7�Cy /V4 �/ z7. / vg 9 i 3.S a MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES a\G Division of Environmental Services On -Site, Services Section `��0 P.O. Box 196650 Anchorage, Alaska 995190 343-4744 ` CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 1 — 033 — 3f HAA # C�,L=AS 1. GENERAL INFORMATION Complete legal description �•T I:S � B � B � ADEC 5. 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 files and from my invest!qation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulationAjAk4@lfjffitM the date of this inspection. Wastewater Servie Name of Firm 8471 Brookri e D Phone 3 3 7— 6 7 9 Address Engineer'ssignature Date �D zS 9s OF A 4. A 1 `a ,�� %, .• CE•7953 .•. V�00 .00 6. DHHS SIGNATURE - et1�w►V►+`' Approved for bedrooms. --Disapproved.-_ ,, , Conditional approval for bedrooms, with the following stipulations: a r,-.3 Additional, Comments � r R . By: `/ Date ld .fid 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 courtesy to purchasersof 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-W(R••.1101) Back MOAM * MUNIC1PAlIlY UP AN(.HUrcr�iit Municipality of Anchorage ENVIRONNENiA� seavlces o1v1s1oN DEPARTMENT OF HEALTH & HUMAN SERVI Q 1995 Environmental Services Division 825"L" Street, Room 502 • Anchorage, Alaska 995010 (907aany VD Health Authority Approval Checklist -Z Legal Description: L -o-1 ISI Q K B Parcel LD. t d S 1 A. WELL DATA p Well type _ wo 2 Log present (Y/N) Total depth I o f 7- o 33-3-9- If A, B. or C, attach ADEC letter. ADEC water system number N N Date completed N IA 3 6 Cased to 4-0 + Casing height (above ground) > 12'r Sanitary seal (Y/N) `I a S Wires properly protected (Y/N) '4 F-5 FROM WELL LOG Date of test Static water level AT INSPECTION 8 /26/95 8 5.5 Be-ww Tae c -31^)G, Well production g.p.m. 4.-17 g.p.m. 6'-.!5p— rl5 ntroL.'£S 61453 �- WATER SAMPLE RESULTS: p fk�-0ow../ —rD 1115', Coliform t� Nitrate • 41 enoah Other bacteria r 5 Date of sample: 10 I t 6-1 '? 5- Collected by: 6X17- SSS B. SEPTICMOLDING TANK DATA �Co a n t= j -H ) Date installed 1049 Tank size 12STO Number of Compartments I Cleanouts Foundation cleanout (Y/N) NO Depression (YN NO High water alarm (Y/N) N f < Date of Pumping 10/13/95- Pumper `DF j j,�1 C. ABSORPTION FIELD DATA Date installed 1 `3 S Soil rating (g.p.d./ft' or ft2/bdrm) • g S System type "11 C-44 /� Length g s Width 2 Gravel thickness below pipe � r Total depth h - l2 Boa w ✓A<- Effective absorption area W �3 Monitoring Tube present(Y/N)Y Depression over field (Y/N) NO Date of adequacy test N I /l- Results (Pass/Fail) Ne-VJ For 3 bedrooms (� Fluid ep [ion field before test (in J; Immediate' a m. N1" Fluid depth Minute bsorption rate = in hu Pe treatment (past 12 in (Y/N) If yes, give date D. STATION [J IAr Date installed Manhole/Access (Y/I) High water alarm level at* E. SEPARATION DISTANCES Size in gallons *Datum "Pump off' level at* SEPARATION DISTANCES FROM WELL ON LOT TO: t r Septic/holding tank on lot I I2 + On adjacent lots 1 00 Absorption field on lot On adjacent lots UPublic sewer main ri IP- Public sewer manhole/cleanout N� i --- b Sewer /septic service line 40 = Lift station Ai /P17 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation -7C) t± Property f > 5 t p rty line C-, � Absorption field Water main/service line' Surface water/drainage > 100 Wells on adjacent lots 100 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation (0313' Water main/service line » 2S/ Surface water 0 IA- C 1 of r J Driveway, parking/vehicle storage area Curtain drain rJ F. ENGINEER'S CERTIFICATION 1 certify that 1 have to conformance -wit, Signature Wells on adjacent lots ections and review of effect on this date. t d�FP��—ti A Cr7 fSs Engineer's Name Date I O /-Z > 100 -25"+- > 5i± HAA Fee $ "C , cp Waiver Fee $ Date of Payment(�-3o-`lS // Receipt Number (> 1 , P / =22&.Z Rev. 8/95 OSS: haa.wk.doc Date of Payment Receipt Number are I 40 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 G0A- Sc i-5 Date Received jL a 2 --7 Time of Inspection i A Date of Inspection -Z 3- 7 5 - REQUEST REQUEST FOR APPROVAL OF _NDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal description 4. Location: I Phone: y7— 55// Phone: 733/ 5. Type of facility to be inspected .S r1 No. of bedrooms 6. Well Data: A. Type C. Gqnstruction 7. Sewage Disposal System: B. Depth y� {! D. Bacterial Analysis Ai A. Installed i Gg B. Installer C. Septic Tank: 1. Size / ;� n D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: 2. Manufacturer 2. Material r. A. Well to: Septic tank ?A Absorption area y J Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area`to nearest lot line EQ -034 (1/74) Page 1 of two pages Ulm GREATER ANCHORAGE ARLA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL_ OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV 2. Property Owner: 'lain cancer Mailing Address: 141 M,7 ; ?.ncl-aragr, 77 Day Phone 274-7331 3. Name of Buyer: Vines S. and Tiilia Adams Flailing Address: 3211 r. 42nd Ave. Day Phone 272--0126 4. Name of Lending Institution: Alaska National &ar Mailing Address: Pouch 7-010, nch., 99510 Phone 277-5511 5. Name o f Realtor o r Agent: Polar Pear ty (Walt Stephan) Mailing Address: 100 Tnt'1 Airport "cad Phone 272-159:1 6. Legal Description: Tat 1.5, Block B, On& Heights Location: 15"^ SHA T, 99507 7. Type of Facility to be inspected: ITIM S.f- „ No. Bdrms. 3 8. Water Supply Type of Supply: Public Utility individual `? If Individual, number of dwellings presently served 1 If Individual, depth of well 13F rt, 9. Sewage Disposal System ` Type .of System: Public Utility Individual (on-site) If Individual, date of installation lg n .Page'2 of two pages - Rest for Approval of Individual Oer & Water Facilities .legal Description iS- Comments _ yr Approveda., 011 MWAff— Disapproved Date Approbal,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I 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 EQ -034 (1/74) Date