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HomeMy WebLinkAboutKNIK HEIGHTS BLK E LT 1 GRE' 'R ANCHORAGE AREA BOr' 'GH Department of Environmental Quality 3330 C Street Anchorage, Alaska gg503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: NUMBER OF INSIDE LENGTH/O,3' INSlOEWlDTH ~+']~' LIQUID DEPTH LIQUID CAPACITY ~-~ ~-~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER __.OR WIDTH / .~, LINING MATERIAL /~'~ _ CRIB SIZE: DIAMETER BUI~-DING FOUNDATFON L..~///.( NEAREST LOT LINE~.Q'-~L. ,ADBITIONAL ABSORPTION -~0~"// /)c'Oz>'~/,'v'~'l ~7 ''~' LENGTH ]~ DEPTH DEPTH E~. DISTANCE FROM: WELL // TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) LTZ"~ '~ SQ. FT. WELL: TYPE BUILDING FOUNDATIO~I CESSPOOL CONSTRUCT,ON NEAREST NEAREST LOT LINE_ SEWER LINE OTHER SOURCES ! DEPTH '~ '~ '~'""-' DISTANCE FROM: SEPTIC ~,~,./~ r SEEPAGE TANK , SYSTEM / ~7 ~ APPROVED DISAPPROVE[) DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: //~[lf~'lblO04 C~-/~'/~' PI PE MATE RIAL: ~J~6:~ / LOT SLOPE: REMARKS: Form No, EQ-031 ~Udl DATE ~ ~ ~ .~ -- X~7/' APPROVED('~//-~//~2~ "~ , M,A('.A.B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 s w^e£ SYST -- INSTALLATION LOCATION PERMIT NO. PHONE INSTALLATION OF: SEPTIC TANK SEEPAGE PIT , DRAIN FIELD FINANCED THROUGH SOIL TEST RESULTS TO BE INSTALLED BY ., OTHER NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL 'rEST COMPLETION DATE ANTICIPATED 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. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEEPAge Pit r~'' ~' ., DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALl SEPTIC TANK SEEPAGE PIT . DRAIN FIELD TO Nearest LOT LINE. SEPTIC TANK, __fOP/ , seEPAGe Pit TO RIVER, LAKE. STREAM, /?j) / ., SEEPAGE PIT /(~0(.~ / ., ALSO CONSIDER AREA WELLS. , SEEPAGE Pit '/~"~ / · DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 Feet INTO UNDISTURSED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH Airtight REMOVABLE CAPS DIAGRAM OF SYSTEM GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION, L' SNSL'D;;IGNE" I CERTIFY THAT { AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT 'THE ABOVE ~*'">' "~"~ GREATER ANCHORAGE AREA BOROLm'  department of Environmental QL,~, y ~ ,~!/ 3330 "C" Street ~ Anchorage, Alaska 99503 .. ~%)ILS I,OG - t)EROI,ATION TEST This form reports: So~ls log_/ ~ ~'Percolation ~est l)epth Feet 1' " 10 ~ 6'?o% 12 -- 13- Was ground water encountered? ._~ .......... IF yes, at what depth? Proposed installa~'~-~n-:"-~]~-p~f]e Pit ............... Urain Field :x~pth of inlet: .................. . Depth to hot, tom of pit or [ranch C01.1IIFIITS: ................By' ~'~>r f.> ~'-/27'/~,/c ..... ~ ................................................................ Ce rti 'Fi ed by EQ 040 (6/74) ) Jk/J-W DRILLING, Inc. ) P.O. Box 4-1224 · 1310C International Airport Road (907) 274-461 ] ANCHORAGE, ALASK~A 99509 DRILLING LOG Wen Owner. UseofWe. Location (address of: Township, Range, Section, if known; or distance main road Depth of Hole ft. Perforated ( ~k5 feet Cased to ]~) feet .A/~ ~ (below) land surface. Finish of well (check one) open end ( ). Size of casing. Static water level 1 12 Screen ( ); Describe screen or perforation Well pumping test at ~ gallons per (-h~:~r) of drawdown from static level. (minute) for 1[ _.hours with- I'OO~ 'fit. Date of completion_ WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 1 TO 7. ¥c~V 6r~vel MUNICIPALI'W OF ANCHORAGE ~ __TO_ ~ ~ ~ DEPT. OF HEALTH & , ENViRGNM[;4TAL PROTECTION ~9 ' TO ~15 ~t-t~ 3--CONTRACTOR DATE TO: FROM: MUNICIPALITY OF ANCHORAGE MEMORANDUM March 19, 1993 Scott Wetzel Services, Inc. John Smith, P.E., Program Manager, On-site Services~~ SUBJECT: Claim Against the Municipslity of Anchorage Gary A. Schmitt - Lot 1, Block E, Knik Heights In response to your request for backup information regarding the subject claim, the following information is provided: The department has not received, reviewed or acted on any written information or requests for approval from the claimant or his engineer regarding the subject property. Since no action has been taken by this office, it would seem premature to respond to the subject claim. fi/ttmicipedity of Anchorage MEMORANDUM DATE: TO : FROM: RE : RISK MANAGEMENT CLAIM FILED AGAINST THE CITY CLAIMANT_ y~. ~-. ~rl~ DATE OF LOSS -- LOCATION /~o~&~O ~ ~_.~7 PLEASE READ THE ATTACHED CLAIM AND FORWARD ANY AND ALL BACKUP YOU MAY HAVE CONCERNING THIS iNCIDENT, ANY INFORMATION YOU CAN PROVIDE TO HELP US DETERMINE WHETHER WE ARE RESPONSI'BLE TO PAY THIS CLAIM WOULD BE APPRECIATED, CAROL ANN LUTE CLAIMS PROCESSOR 343-4208 MUNICIPAL USE ONLY MUNICIPALITY OF ANCHORAGE ~t!~ C, E 1 ',/~ ~ NOTICE 0F CLAIM L~AD..1 ] ';c)~ AGAINST: ~Municipali~ of Anchorage 1, the undersigned, do hereby submit, under oath to the Municipality of Anchorage, Alaska, this Notice of Claim for damages to my person or prope~. I do hereby intend to hold the Municipality liable for such damages claimed herein, I. PERSON OR PERSONS MAKING C~tM . . II. DATE, TIME, P~CE OF INJURY OR DAMAGE Descnption If Vehicle (Year. Make, Model and License NO.) IV, MUNICIPAL DEPARTMENT INVOLVED (a known) V INJURED PERSON~RSON8 {Usp attachmenl ,I adaifional space is Age 2) Name Age VIII. MANNER OF OCC'R"ENCE OF 'NJ~"Y' 6~ OAMAGE$ (Ple,~ "explain in detail what happened and Why ,he Municipeli~ is liable. Use 2) 3) 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ParcelI.D.# c~I:~-Z~I-- / ~( 1, GENERAL INFORMATION Complete legal description Location (site address or directions) /'2, ~c:z~ A'~-g~'~ ~'T~,,,J Property owner Mailing address Lending agency Mailing address Day phone Day phone Agent Address Day phone '"~z( L~- ¢~,_~ ~ 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 WASTEWATIER 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 STATEtVIENT 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 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 inspection. Name of Firm ~;:~A,tJ,,~cO~ ~.z./¢~. ~,',/~_ Phone ~';Z'~'=¢~'~1~ Address ~'~.~,~:::~'~oY,~ /~4~o~..%- A~O~ ~-___ c~-/,_( Engineer's sig nat u re~:~'~~- DHHS SIGNATURE -7 Approved for :"~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: .... ~, Date /2_-/?- ¢ 7 Ill 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 DH HS does this as a courtesy to pu rehasers 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) Back MOA~I Legal Description: Municipality of Anchorage D E DE:PARTMENT OF HEALTH & HUMAN SERVICEi~ Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) ~0~4~,~41997 Municipality of Anchorage Health Authority Approval ChecklistDept, Health & Human Services ~¢--,,',J t F-~. ~/~¢,.5 Parcel I.D.: ~'~ [ ~ - ~';~ 1 - / ~(. A, WELL DATA Well typer-'~ Log present (Y/N) t Total depth Sanitary seat (Y/N) Date of test If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to ~ o --b ~'l~¢ r~) Casing height (above ground) Wires properly protected (Y/N) Static water level FROM WELL LOG l-Tq AT INSPECTION Well production ~ g.p.m. '~ .~-~ g.p.m. WATER SAMPLE RESULTS: Coliform ~ C.~ -~ Nitrate Dateofsampe:' / I / I Collected by: Other bacteria ~ c:~ ~ B. SEPTIC/HOLDING TANK DATA Date installed Tank size. /¢'c~ Number of Compartments ~_ Cleanouts (Y/N) ~ Foundation cleanout (Y/N)_ ~¢' Depression (Y/N) ~ Date of Pumping 1¢ ~311 q ~- Pumper A 4.- High water alarm (Y/N) ~ C. ABSORPTION FIELD DATA Date installed fi' t ~- ut Length /'~- Width Soil rating (g.p.d./fF or fF/bdrm) ! ~ Gravel thickness below pipe Effective absorption area /-4,..~"8~ Monitoring Tube present (Y/N) Date of adequacy test I~/¢/q ~-- Results (Pass/Fail) Fluid depth in absorption field before test (in.); /o Fluid depth /C~ (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) ~6.~ System type ~" _ Total depth. · Depression over field (Y/N) For Immediately after q~gal, water added (in,): Absorption rate = ~-(;:) .g.p.d. If yes, give date bedrooms /'7 72-026 (Rev. 3/96)* LIFT STATION Date installed Manhole/Access (Y/N) .~les tested E, SEPARATION DISTANCES "Pump off" level at* SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main '"'/[~ ~~ Oc~ '~ Sewer/septic service line ,~.~ t On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station / c~d) `ff. SEPARATION DISTANCES FROM SEPTIC/HOLDING 'TANK ON LOT TO: ! Foundation t ! Property line -Z,-~ Water main/service line. 4/'o t Surface water/drainage SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line /,~ Surface water Curtain drain Building foundation --~-,~l Absorption field ~ ~ Wells on adjacent lots Water main/service line Driveway, parking/vehicle storage area ~ Wells on adjacent lots /4/o ~ F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review in conformance with MOA HAA guidelines in effect on this date. Signatu re,~-~~-'~-~ ..... Engineer's Name ~..~'-/-~J ~P.L,~) ~--~--"~,A,,/~Jr~-)C%'tJ~.c-/, . Date !/It ~/ cf ~Z. Date of Payment /\ -_/~ '¢\'"~ Numbs,,' :72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number Steven R. Pannone, P.E. Consulth~g Engineer P.O. Box 142025 Anchorage, Alaska 99514 (907)272-8218 SEPTIC SYSTEM ADEQUACY TEST Legal: Owner: Residence: Block Septic System: (from Municipal records) Tank Size: /coo gallons. Absorption System Type: c, tzx~ Absorption System Size: ~ Z ¥ I't,~ { z_ Absorption Area: ~$ z~ s.f. Installation Date: ~i' [ a3/-~tf Soil Rating: tz6- Date of Pumping: /o[311 et=~ Date of Test: Ill e~lqv-- By: hq- t~om ~- S:xt C Test Procedure: System was inspected and meassured. Tank was found with g.,-q- Feet of cover. Liquid depth was measured to be -,.q'?" Inches. The drain field was found to have ~ 3 Feet of cover and a total depth of ~ ~*.' There was ~o Inches of liquid measured in the field's monitor tube. Water was added to the system at a constant rate of 3 -Z_- G.P.M The water levels in the tank and drain- field monitor tube were monitored. A total of z4,5-e, Gallons of water was added. During the test the level rose ~t' Inches in the field. No rise was noted in the tank. The infiltration rate was monitored for / Or, tO Minutes. During this period, a total of z4,.,co Gallons were absorbed. By extending the observed infiltration rate, a total absorbption rate a,b~o Gallons per day was arrived at. TESTS RESULTS: This system meets~l~l~ the code requirements of the Munieipality of Anchorage. C~ w~,olc'-w~ co~tctoa,~t_ -~ ~t~oo~ ~ The operational life of all septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. We can therefore not give any estimate of how long the system will continue to meet the operational requirements of the Municipality and State. CT&E Client Name Project Name/// Client Sample ID PWSID ~7(~1 Pannone Eng Srv. LL B8 Knik Hose Bib Drinking Water Printed Date/Timo 11/19/97 10:00 CollectedDate/Tim~ 11/11/97 09:3o Received Date/Time 11/11/97 10:00 Teelmieal Dlrector: Stephen C. Ede Results P0L umits Motho~ 0,100 mfl/L EPA MO0,O col/lOOmL s~lg 9222g A[lAunbLe Pre~ Limit$ Dnte Oate ~0 ~X ll/l~/~T 11/11/97 ?MW Nitrote-N 1.97 Tmtat ¢ollfoPm 0,00 Pick Mystrom, Mayo¢ Department of Health and Muman Services 825 "L" Street P.O. Box196650 Anchorage, Alaska 99.519-6650 December 17, i997 Steven R. Pannone, P.E. PO Box 142025 Anchorage, Alaska 99514 Subject: Waiver Request for Lot 1 Block E I<hfik Heights Subdivision Waiver Request #WR970077, PID #017-371-19, HAA# HA970529 Dear Mr. Pannone: Your request for a waiver of the required 100 foot horizontal separation of an on-site wastewater disposal system to a private well has been approved. The approved separation distance is the private well on property to the septic tank on property of 95.2 feet. This waiver approval applies to the existing on-site wastewater disposal system to well separation only. Any future upgrade to either will require all separation distances be met or another approval fi'om this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On-Site Services Program Schmitt WRY WR970077 Date Received: PID~ 017-371-19 November 18, 1997 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet HA~ HA970529 Permit Legal Description: Lot-Jf7f Block ~Knik Heights Subdivision Engineer: Steven R. Pannone, P.E. PO Box 142025, Anchorage, Alaska 99514 Applicant: Gar~ Schmitt Wa zver Requested: 95.2 feet Private well on property to the septic tank on property of __ Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: Date: - ? 7 Name of Reviewer Rec ~: 03403/4780 Amount: $ 625.00 Date Paid: Nov 18, 1997 ! I Z4 I.g I? Z = ,7g~ 2 ,2.8 17. g Steven R. Pannone, P.E. Consulting Engineer P. O. Box 142025 Anchorage, Alaska, 99514 (907) 272-8218 November 15, 1997 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 RECEIVED NOV 'l 8 1997 Municipality of A ~chorage Dept. Health & Human Ser¥ioe~ Attn.: Mr. Jim Cross, P.E. Subject: Lot 1, Block E, Knik Subdivision Septic tank to well waiver Dear Mr. Cross; I am writing to request a separation distance waiver between the well and the existing septic tank on the above referenced lot. I conducted a Health Authority Investigation on this lot on November 8, 1997. The adequacy investigation report is attached to this waiver. During this HAA investigation, I discovered the well and septic tank are closer than the required 100 feet. The d/stance calculates out to 95.2 feet. Attached is a site plan showing the adjacent properties, general site topography and approximate location of wells on each lot. Lot 1 is approximately 1 acre in size. The lot slopes from the northeast to the southwest, with the western end dropping off steeply to an undeveloped forest. The well is situated approximately 48 feet west of the eastern property line and 38 feet south of the north property line. The seepage crib is located along the southern boundary of the property, approximately 25 feet north of the southern property line and located approximately 135 feet from the well serving this lot and approximately 14.0 feet from the neighboring well to the south. The soil absmption system was installed in September of 1974. The well on lot 1 was drilled on August 26, 1974; we found that it is cased to over 40 feet, the static water level was 48 feet below ground level, and the total depth is 225 feet deep. The well log for lot 1 is attached. Well logs for Lot the surrounding lots are also attached. The ground water in this area typically flows from the east to the west. A well flow test showed the static water lowered eleven feet while flowing at approximately 3.2 G.P.M Water samples were taken during the HAA investigation. No bacteria of any type was discovered, and there were minimal nitrates. The soils on Lot I were logged to be silty sands and gravels to sandy gravel to a depth of 22 feet. A clay layer was encountered between 22 and 27 feet below ground. No water was encountered above the clay layer. Mr. Jim Cross, P.E. November 15, 1997 Page 2 As outlined under 18 AAC 80.020 and 18 AAC 72.021 (a), I have calculated the following points: Distance from sewer system bottom to groundwater 5.0 Soil absorption below sewage system 4.5 Soil permeability below the system 1.5 Water table gradient 6.0 Horizontal separation 2.~_9_ Total Points 19.9 16-25 Almost sure to be free from any form of contamination from household sewage. Sincerely, ~none, P.E. Civil Engineer Attachments In my opinion, this waiver request meets the above criteria for approval and does not constitute risk to health. The soil absorption system is located greater than 100 feet from the well. I hope the above information will assist you in determining that the waiver should be granted. If you have any questions or concerns, please contact me. :~.,. ?:~..?: .... . C:\WORK\I -EKNIK.001 .wt×l ,... 'R., REQUEST", /: WASTE~,/'^~ER ,A~aRPTII]N SYSTEM LOT 1, BLOC~ ['-!K~':IK HEIGHTS~ SUBB, ', ........... ,. ................................... LOT 7, 3L[]CK 3 __ "'...::...: ....... ~:~ ..... j [ LOT 10, 3LOCK C LOT 8, ~LF~1BK ~, ~ ....... ..................................................... L.OT i, BLOCK E x. . .... SEE SHEET ~ FO~ ~ETAILK ~~ ~ ........... ..... /'"c. ~.;)~ ~i .: //' "~' x"~Lf:T 9, BLOCK C ~'~ ...... ? ................................. ~ .............................. : ...................... '~ ................ LOT ~B>...~L~uK"~': ........ ~ NO W~LL LOG :: ,/ .... ~ AVAILABLE ?... NB k/ELL LOG AVAILAI~LE : Or.wino C,\Work\iEKNIK,I)WG PREPARED FOR, Gary Schmtd't 18800 Athertom Roo, d Anchorage, Al< 99516 (907) 345-0701 P~nnone EnQ, Svc, P, O, BOX 148085 ANCHORAGE, ALASKA 99514 878-8818, PHBNE & FAX ]]ATE, 11-15-97 t SCALE 1'=100' WAIVER F A,{.RNi]N]' RDAi) Li::]'r , CI< E KNIK HEIGHTS ~elL ~ C-~ELL1 = llO,O' D-~/IELLI = 138,0' LOT ',:; BLOCK E ~x, A-TC = 36,5' Exist 1000 Q t]-TC = 34,6' gep~lc Exist 9x9 CRIB EXIST. HOUSE LIlT 8, t~LUCK E / Dr~lwlng C~\WorI<\IEKNIK,DWG PREPARED FOR~ J~ny Schmidt 18800 Ather~on Ro~d Anchor~§e, AK 99516 (907) 345-0701 P~nnone Eng, Svc, P, O, BOX 148025 ANCHORAGE, ALASKA 99514 272-8218, PHONE & FAX DATE, 11-8-97 I ~AIVER SCALE, 1'=50' I __ 'blS - BUILT" Scale: 1" = 3-D hereby certify that a survey of the following ~escribed property ~ ? 6'~'Z~c,a ~- ~/~ ;ss made on ~ ~ z~ ._ and that t~e improvements ~itusted'thereon are within the property lines and do not ~ye~lap ?r encroach on the property.lying adjacen~.r thereto, :na~ no improvements on property lying adjacent thereto .ncroach on the premises in question and tha~ there a're no ~.'"" · osdwsys transmission lines o ' ' ~?~-~"}:~ ,. , .... r other visible e~seme~ts on~_ sl~ proper~y except as indicated hereon. Ot~F~OTI~ E~ & ~S~ ":'. ,.~ :. ~-- . MUNICIPALITY OF ANCHORAGE ~/, OF HF:AL'£FI  - DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL th2OI'ECTION ENV,.ONMEN 'AL ENG,NE .,NG D,V,S,ON NOV ]978 ~x~ Telephone 264-4720 ED DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1, PROPERTY OWNER I PHONE G.L, WhyerI 452-2146 MAILING ADDRESS NSA Atherton Rd. Anchorage,Ak. 99507 PROPERTY RESIDENT (If different from above) PHONE same -2. BO~'~R . PHONE Gary A. Schmitt 344-4513 MAILING ADDRESS 872]. Midland Pl. Anchorage,Ak. 99502 274-766]. 3~ LENDING INST~TU:rlOI~ I PHONE The Lomas &'Nettleton Co. MAILING ADDRESS 4449 business Park Blvd. A~'ch'orage,Ak., 9'95~% 4. REALTOR/AGENT ...... I PHONE n/aI MAILING ADDRESS 5, LEGAL 6~SSmPT-fi~-r~- Lo~ ] B;LE E Knik Htr,. STR -=ET LOCATION NSA Ather~0n Rd, Anchora~e,~k 99507 S. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four ~ Otl~er ~ SINGLE FAMILY [] Two [] Fiw; [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. Awel log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUB LIC UTI I_ITY depth (attach log if available,) 8. SEWAGE DISPOSAL SYSTEM ~ INDiViDUAL/ON.SiTE*~ **If individuai/on-s'te, g've installation date. t(~-~-1/. . If system is over two (2) years old an adequacy ~es[ is reouired [] PUBLIC UTI LITY by this Deoartment. NOTE: THE INSPECTION FEI-- MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-0'10(3/7S) * Pleas~ contact Gary Schmitt for appt, 344-4513 · THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVE[) INSPECTION APPOINTMENTS TIME - TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: NCE 1, TYPE OF RESIDE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [~] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [-~] SIX PERMIT NUMBER 2, WATER SUPPLY "~ NDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified_ LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER I~3 INDIVIDUAL/ON -SITE DATE INSTALLED Connection Verified __ _ I NST[A)LLER Size: I~-~ If Tank is homemade i SOILS RATING .qive dimensions: _ TYPE OF TANK MANUFACTURER . TOTAL ABSORPTION AREA MATF~IAL 4 DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line ~l~arest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS [~/~APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED BY (Title) ~EGAL DESCRIPTION ~ 72-010 tRev. 3/78) G.%ry A. ~ohmitt 8721 Midland Place Anchorao~, Alaska 99502 Lot 1 Block E Knik Hmigh%s Subdivi~ion G.L. %qhy~r Property Approval fo~' your individual sewer and wat~)r facilities will not b~ t.~ranto~l until tho followi~!~ items hav~ b~en compluted~ ( ) A wo!l loE~ i~ ~ub?tit'ked to this ( ) The 'top Of th~ we. ll casing is sealed with a ~anttary seal ~o that it is water () depres~ion or pit around the well casing should with ~perviou~ ty~e ~oi! SO that it slopes ( ) The well casing is e::-:tande, d twelva(12) inches above () ~:xpo~-]c~ the well for our inspection to dat~r~%ine pro~r construction~ also, to insure the minimum roquir~monhs 'Z~he sceptic tank i~ p~un~?~.d with ,% r~c(~ipt submtttad to this of fica. four(4) inch cast iron ¢l¢~anout b~ insta:Ll~%d to the tank or leaching ar~a. (x) percolation t:%.~t be performad on the existinfJ ieachin~ This will d~te~mine if the syst~ma is adequat~ accorf~ing to Nahion~l Standards. A lis'~ of private fir~s () Your aPl?ltcation shov.~s ~r.h~- number of b~droo)~s ~xceeds 'fha '.humbler the s~wer syst~m wa.~ ori~inally approved for~ ( ) Connect to the public s~7~er ~hich is available to ilav~ be~n co~:reot~(i. ~f there are ~%y furt~her qua~tions, o.~.ic~ 264-4720. Sincerely, 4449 B~sin~ss Park Boul¢~vard 99503 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274--4561 Date Received . T'ime of Inspection Date of Inspection. /~-~/~-7~. _ REQUESI' FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4.- Location: Approval requested by: Lomas and Nettleton Company 4449 Business Park Blvd. Phone: George L. Whyel Phone: Atherton Road ~~' Lot i Block E Knik Heights See attached map 274-7661 5. Type of facility to be inspected ~ 6. Well Data: A. Type Individual C. Construction Single Family No. of bedrooms 2 B. Depth ~¢~ D. Bacterial Analysis 7. Sewage Disposal System: On-site system A. Installed _ 1~ ~, B. Installer C. Septic Tank: 1. Size /.~,~. _ 2. Manufacturer D. Seepage Pit: 1. Absorption Area L/A~ZT.' 2. Material E. Disposal Field: Total length of lines ~ 8. Distances: A. Well to: Septic tank Q~ ' , Absorption area /~7' Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area , Sewer Lines _, C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages 1. Type of Inspection: 2. Property Owner: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES CMRO George L Whyel MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION NOV 2 9 1976 RE,¢EIVED VA FHA CONV X Mailing Address: 3. Name of Buyer: Mailing Address: 4. Name of Lending Institution: Mailing Address: 4449 5. Name of Realtor or Agent: Mailing Address: THE Atherton Rd. ,Anchorage, Ak Day Phone 349-3283 (refinance) Day Phone LO~S & NETTLETON CO. Business Park Bldg. Phone 274-766I NONE Phone 6. Legal Description: Lot I Block E. Knik Hiqhts Subdivision Location:_ ATTACHED ID~ PLAT 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation I leve~, home No. Bdrms. , 2 Individual WELL Individual (on-site) EQ-037 (1/74) Page 2 of two pages - Re st for Approval of Individual er & Water Facilities Legal Description Lot 1 Block E Knik Heights Comments Approved 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) POUCIt6650 ANCHOR/'\(_]L, /\LASI(A 99502 (90/) 2792511 January 26, 1977 Mr. George L. Whyel Box 4-J Anchorage, Alaska 99509 Subject: Lot 1 Block E Knik Heights Subdivision The sewer system on the subject property was inspected and approved by this department on September 23, ].974. At this time, the sewer system appears to be functioning properly. However, this department can not give a final approval until a percolation 'test is run and that test is satisfactory. If there are any further questions, please contact this office at 279-2511, extension 224 or come by the offices at the above address. Sincerely, Robert C. Pratt, R.S. Sanitarian RCP/ljh cc: Lomas and Nettleton GREATER ANCH6RAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received ~ Time of Inspection ~.' O0 _ Date of Inspection V~.~= ~ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 3. Legal Description: ~~' ~ ~"~ 5, Type of facility to be inspected~)~ No, of bedrooms ~-~ ('"'/' 6. Well Data: A. Type ~~. B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: A. Installed ~_c~SC '.?~/ B. Installer C. Septic Tank: 1. Size___~,3 ~J 2. Manufacturer D. Seepage Pit: 1 Absorption Area · ~ ~. Material E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank ~.(/ / , Absorption area Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ-O34 (1/74) Page 1 of two pages ii ! ,ii ~ .,tcAi'~R ANCHORAGE A,<,:.,, BOi<u.,~H Department of Environmental Quai i ty 3330 "C" St., Anchorage, Alaska 99503 274-6561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 3/27/75 1. Type of Inspection: 2. Property Owner: Mai 1 ing Address: 3. Name of Buyer: ~.'ia i 1 i ng Address: C?.iRO VA PAGEWOOD CONSTRUCTION FHA ~D~a ,X Phone WHYEL~ George L.,~_~Jr. & Susan B. B_ox 4~3~ Valdez, Ak. Da,,,,/ Phone 4. Name of Lencling Institution: Mailing Address: P.o. Box 3-3859 5. Name of Realtor or Agent: N/A Mailing Address: CONV xx 279-9708 NATIONAL BANK OF ALASKA .... MaYdel Kershaw Phone 279-2506 Phone 6. Legal Description: Lot 1~ Blk. "E" KNIK HEIGHTS Locatiog: Atherton Road, Anchorage, Ak. 7, Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility individual If individual number of dwellings ........... , , F,~--~e-,,~'iY served if individual~ depth of wa~l 225' 9. Sewage Disposal' System Type .of System: Public Utility If indfv~dual, date of installation _Single Family. ~,!0. Bdrms. '3 XX individual (on-site) xx unknown Page 2 of two pages - R~ t for Approval of Individual ~ & Water Facilities Legal Description Comments Approved ~/~ ~/~/~- Date ~ Approval~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 Date EQ-034 (1/74)