HomeMy WebLinkAboutKNIK HEIGHTS BLK A LT 1
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
NAME [~PGRADE
PHONE []
Well Absorption area Dwelling PERMIT NO.
DISTANCE TO:
~ ~ Liq, capacity in gallons IF HOMEMADE: inside ength Width Liquid depth
Well Dwelling PERMIT NO.
~ ~ DISTANCE TO:
O ~ ~ Manufacturer Material Liquid capacity in gallons
PERMIT NO,
Q Well Foundation Nearest lot linde /
~ Z DISTANCE TO: /OOf /'~ f (')~
~_~ ~ No. o, li nes ( Length of each '~1 T°ta' length o,l,~.ne~ Trench width:~ inches Distance betw
N ~ ~ Top of tile to finish grade --5 ( Material beneath tile ~ [ Total effective absorption area
Length Width Depth PERMIT NO,
~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
:lass Depth Driller Distance to lot line PERMIT NO,
~ ~uilding foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
oTHER
SOl L TEST RATING
~fiMA~KS
I
72-013 (Rev. 3/78)
RF'F'L I CANT
LOCR'r I ON
LEGRL
STE',/E FRRF.: I S
E:RNBR I DRE
L'i BLOCK R KWIK FIEIGHTS
..,, F. R B~q::'::
LOT =,I-"E
'-- RE:SORPTION SYS]'EM IS: TRENCH
TYPE OF .=,]IL
, j J, ': ,--
I'IR,.~Ii'I_I'I NIJME:ER OF E, EDF..UUI'I_, = Z-::
2:45-27-'.':±
4.0000 SQURRE FEET
qnIL RRTING (SQ FT,.E,R.: Z~
REQ_ .. : - -
THE tlIRE[, SIZE OF THE qF~IL RBSORF'TION SYSTEM IS:
[:,EF--FH== :1..~_ L.E 1'-.I,1~ T H = 2-I ,_SF: R'-.m E L [:,E:F"TH=
THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THERE IS NO SET HIDTH FOR TRENCHES.
THE GRRMEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF 7'HE EXCRVRTION (IN FEET). ~W ,_~.
~: E ,%~ L, Z ~: E [:, ~' ~; F" '~ Z C: -~ ¢:~ ~q ~ ~ Z ~ i == dL-~rb'2'ii~- ~~" P-~
PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
INSTRLLRTION INSPECTIONS/OF ANY HELLS RDJRCENT TO THIS PROPERTY RND 'THE
NUMBER OF RESIDENCES THAT THE NELL WILL SERVE.
T~....It,] .:: L-3 ::, :E ~'-,ISF"E.:C:T :[ C~-~S RF.:E F~: E k--:.~lJ ]:
,'",,,- FINRL INSF'ECTION AND RI='PROVRL BY THIS
BR]k:FILLING OF RNY .=.-r_-TEM WITHOUT -
_-,UE, JEUT TO
[:,EF'RRTMENT WILL BE '- ' -' PROSECUTION.
MINIMUM DISTANCE BETHEEN R WELL AND RNY ON-SITE SEWAGE DISPOSRL SYSTEM IS
100 FEET FOR R PRIVRTE HELL OR ~50 TO 200 FEET FROM R PUBLIC HELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND
TO R COMMUNITY SEHER LINE IS 75 FEET,
OTHER REQUIREMENTS MAY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
PER"1 I T' E.'=-=.' F' :I F-:ES [)EZE:Ef"IE:EF::: -----~: :t .- -1 '_'~. E:~L
I CERTIFY THRT
:L: I RM FAMILIRR NI'FH THE REQUIREMENTS FOR ON-SITE SEWERS RND HELLS RS SET
FORTH BY THE MUNICIPRLITY OF RNCHORRGE.
2.': I HILL INSTALL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
Z.:: I UNDERSTFIND THAT THE ON-SITE SEHER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~: BEDROOMS.
S I ISNED :~-.
..
ISSUED BY--~-~~~/ ' ~.~_ .... DATE .................. ',,,'4. 0
PERFORMED FOR:__
LEGAL DE .SCRiPTiON:~/ot 1 810ck A, Knik Heic~hts Subdivision
' SLOPE
~ ....... d~,ll~:~kLl'mr ' O F ANCHORAGE
MUNICIPALITY OF ANI.;I'IUI~ DEPT O ; ~ PERdiTION
DEPAR~ENT OF HEALTH ~D ENVIRONM'~[~Yf~T,0~ TE~
~ILS LOG - PERCOLATION TE~ ~ '[ ~ ~=~
Ap~ ]5, ~98~
Organics, peaty surface,
black.
I (Pt)
2 Organic silt, yellow-brown, with
roots, minor gravel, moist, soft
3
Gravelly-sand, light brown to
4 gray, slightly compact, grading
to:
5 (SP)
6
Gravelly-silty-sand, compact,
dry, containing angular to sub
rounded particles to boulder
size, encountered silt lenses
beyond 13 feet.
(SM)
8
9
10
11
SITE PLAN
--[.u'rM.., OA)
Iz
I-
rANI ! j m
~SO L TES1
SE ]PAIiE .~. ~.
! ,
12
13
14
15
16
17-
18
19
COMMENTS _
PERFORMED BY:_
PERCOLATION RATE 8 (minute~/inch)
SUggest deep trench to 12 feet with 8 feet o q.?~_.~..~'.'
~'~e: April 17, 1
. CERTIFIED BY:
Howard Grey & Assoc.,, Inc. ~~.: ...... ....~
~ ~ ~, Richard A. towman
· No. ..'
Gross Net De~th to Net
Reading Date Time Time Water Drop
2 4-16-81 ll:31 AM 20 Min. lO 2 3/4
3 4-16-81 11:41 AM 30 Min, 12-
4 4-16-81 11:51 AM 40 Min, 14½ 2½
5 4-16-81 12:01 AM 50 Min. 16 3'/8 1 7/8
6 4-16-81 12:11 AM 60 Min. 17 5/8 1¼
S- ! i I ~ ~ ' , -'~ '.
WAS GROUND WATER No L , i , ~_~ ~ ~ ~
ENCOUNTERED? O' ] I~---''''''~ ' : _ . U
· : ' ~-""~ ~ !- i " '
E'r'~"l-- ; J J I ' J ' J ~I U
DEPTH? _ .__
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCAT,ON
MAILING ADDRESS
LEGAL DESCR,PT,ON
SEPTIC TANK:
DISTANCE /,~
FROM WELl //~
INSIDE LENGTH --
MANUFACTURER
INSIDE WIDTH
~" ,~,Z:~//..-'/_) ~-/q~ MATERIAL
NUMBER OF
COMPARTMENTS
- LIQUID DEPTH ~ .LIQUID CAPACITY z/~¢g) GALLONS.
SEEPAGE Pit:
/ .
NUMBER OF PITS / DIAMETER __OR WIDTH~, LENGTH ~/~ DEPTH
LINING MATERIAL ¢'~"/"-~""~¢/~'/"- CRIB SIZE: DIAMETER '~' DEPTH ~' /DISTANCE FROM:
/ TOTAL EFFECTIVE
BUILDING FOUNDATION ~, NEAREST LOT LINF~-~/~.
WELL
ABSORPTION AREA (WALL AREA) ~ SQ. FT.
ADDITIONAL ABSORPTION .,~/'~'~
WELL:
TYPE CONSTRUCTION
BUILDING 1/~ / ¢ NEAREST //~H NEAREST
FOUNDATION ¢~-' LOT LINE,~ SEWER LINE
CESSPOOL ~- OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DEPTH
DISTANCE FROM:
SEPTIC /Tz SEEPAGE ,2 7'~
TANK /~ SYSTEM //~
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE: /~
REMARKS:
Form No, EQ-031
DIAGRAM OF SYSTEM
~T,j, 722 I
DATE ~¢~ /¢?¢/ APPROVED ¢'
G.A.A.B.
GrEaTer ANCHORAGE ArEA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C"STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456!
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
Permit NO,
INSTALLATION OF: SEPTIC TANK .~ SEEPAge Pit ~ DRAIN FIELD
TYPE AND SIZE OF FACILITY TO BE SERVED 3 ~ ~'~ ~/'+ ~/~
COMPLETION DATE ANTICIPATED
~ OTHER
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
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.
SEPTIC TANK SIZE/~ ~'/~
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAge Pit . DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIt WALL
SEPTIC TANK . SEEPAge PIt
TO NEAREST LOT LINE.
WELL TO SEPtiC TaNK
DRAIN FIELD~'
WATER MAiN TO SEPTIC TaNK DRAIN FIELD ~'~:~ /
SEPTIC TANK, r//-J~ //'. SEEPAGE PIT TO RIVER, LAKE STREAM.
., DRAIN FIELD
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 UNDISTURELeD SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAge Pit
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUgh REGULATIONS REgARDINg INSTALLATION.
OR
i CERTIFY THAT I Am FAMiliar WITH THE REQUIREMENTS OF GREA/~ ANCHORAge AREA BoroUGH OrDiNANCE NO. 28-68 AND THat THE aBOVE
.~ ltlmk]I~IVED GREY~-~ER ANCHORAGE AREA BOROUGHx'~/
/~VIA¥-]iS~974 ~1 DEPARTMENT3330 .OF ENVIRONMENTAL,,c,, Street QUALITY Case # ....
GREATER ANCHORAGE AREA I~OROUGH A N C H 0 RAG E, A L AS KA 9 9 5 0 3
DF. PT, OF ENVIRONMI~NTAL QUALitY
Performed For HarrySchneenveen
Legal Description: Lot 1 Block
This Form Reports Soils Log
- Soil Test Must Be Logged To 4' Below Proposed Seepage System -
Soil Characteristics
Depth
Feet
Peat
Clay, light brown,, and silt
Silt, occasional gravel
Medium gravel with coarse sand
Coarse gravelwithsand
Was Ground Water Encountered?
If Yes, At What Depth?
Dated Performed Mayl__O, 1974
.-~.~ Subdivision Knik Heights
Percolation Test X
CH
SP-SW
3--
6~
7--
8~
9~
lO--
ll~
12~
13~
14~
,No
Reading Date Gross Time Net Time Depth to H20 Net Drop
Percolation Rate Minute
Proposed Installation: Seepage Pit X Drain Field
Depth of Inlet Depth to Bottom of Pit 6r Trench ·16"
COMMENTS: We recommend 200 sq. ft. perbedroom based on Borough requirements.'
Test Performed BY
j. Jameson
Date Certified BY: Date:
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
t-'l - ~) ~ - ~-") ! HAA # ~
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description' (include 10t, block, subdivision, section, township, range)
Location (address or directions,) / ,~f .
(b) Property owner /~/ ~'~--'~/¢'Z¢~¢~'- Telephone: (home)
~'3 ~'YB u si n ess
Mailing Address
(c)
Lending Institution
Mailing Address
Telephone
(d) Real Estate Company and Agent
Address
Telephone /~,//~
(e) Mail the HAA to the following address: (or check here ,~;~f hold for pick up.)
List contact person and day phone number below:
2. TYPE OF RESIDENC~E-~
Single-Family ~ Number of bedrooms --~
3. WATER SUPPLY J.
Individual Well [~ Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation atte~g to th legality and status.
4. SEWAGE/~POSAL
On-site ~ 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.
72-025 (Rev. 7/88) Page I of 2
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, Iverifythat my investigation of this
Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe,
functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that
based on the information obtained from the Municipality of Anchorage files and from my investigation and
inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and
State codes, ordinances, and regulations in effect on the date of this inspection.
Address
Date
Engineer's Seal
6. DHHS APPROVAL
Approved for~/J'~C~-J~,~edrooms by
Approved ~' Disapproved
Terms of Conditional Approval
Conditional
The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health Authority Approval
cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer
registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHHSdonotconductinspections
or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions
in the professional engineer's work.
72-025 (Rev. 7/88) Back Page 2 of 2
~ MUNICIPALITY OF ANCHORAGE (MOA)
e~l~,~ Health Authority Approval (HAA)
MAY 2 1.990
L~)gal Description: ~ ~ f"7 - C~ -~ 2. Z) /
A. WELL DATA RECEIVED ,
WellClassificati°n N
Well Log Present (Y/) Date Completed
Total Depth/oC~/ Cased to "~/'Depth of Grouting
Static Water Level ~ / Pump Set At
Casing Height Above Ground ~/~
Electrical Wiring in Conduit (Y/N) . ~
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot ~/~ /
If A, B, C, D.E.C. Approved (Y/N) ,~//~'-
Yield
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots
To Nearest Edge of Absorption Field on Lot ~./,~7 / ; On Adjoining Lots
To Nearest Public Sewer Line /f~/~ To Nearest Public Sewer Cleanout/Manhole/~'~
To Nearest Sewer Service Line on LOt
Water Sample Collected by /¢~ ~',' (//~/"~ ; Date ~,/"~
Water Sample Test Results
Comments
Date Installed./'~7~'. . Size //z~4:24~~) No. of Compartments /
Standpipes (Y/N) ~;~ Air-tight Caps (Y/N) ~ Foundation Cleanout (Y/N)
Depression over Tank (Y/N) //L~ Date Last Pumped ,-~',/~'/~'~42
Pumping/Maintenance Contact on File (Y/N) /~ ;for
Holding Tank High-Water Alarm (Y/N) ~//),,'~ Temporary Holding Tank Permit (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-Supply Well
To Property Line
To Water Main/Service Line
~/'-~-----~ / To Building Foundation
To Disposal Field
To Stream, Pond, Lake or Major Drainage Course
Comments
72-026 (Rev. 7/88) Front Page 1 of 2
To Water-Supply Well
To Building Foundation
Lot /'~/,,~--
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle SLqrage Area
Comments
Soils Rating in Absorption Strata / ~-,~" ~' .,~/~/4_ Type of System Design
Date Installed /¢~,~// Length of Field ¢~:) /
Width of Field ;~ ~/~" Depth of Field ~ '~,~ ' '7~
Gravel Bed Thickness ~ z
Square Feet of Absortion Area ~;~0¢"¢~ ~ Statndpipes Present (Y/N) ~"
Depression over Field (Y/N) ~ ,. Date ~f Last Adequacy Test '~//~ ~.-(~
Results of Last Adequacy Test ~"'~--(~
SEPARATION DISTANCE FROM ABSORPTION FIELD:
,~//~(---) / To Property Line ~
'~/¢¢2~.) ? To Existing or Abandoned System on
; On Adjoining Lots ~ //~)(-~ /
~,//~ / To Cutback (if present)
D. LIFT STATION
Date Installed Dimension~
Size in Gallons . Manhole/As.c,e~s (Y/N)
"Pump On" Level at ./~ ~'~Off" L~W! ~t ___
High Water Alarm Level at ~ .,,,..--~,,~ Vent (Y/N) ___
Tested for _/ ./¢~. Pumping Cycles during Adequacy Test.
Meets MOA Electrical Codes (Y/N~ / '~
Comments
/
Permitte~Bedroom R~ting Against HAA Request**
I certify that I ~¢¢~e..,/c~e :ke/d/'C~ied, or conformed to all MOA and
inspection.
Signed
Company/'
Date
MOA No.
Receipt No.
Date of Payment
Amount: $
72-028 (Rev. 7/88) Back
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
effect on the date of this
Engineer's Seal
CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC.
5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-2343
FEDERAL TAX I.D. #92-0040440
ANALYSIS REPORT BY SAMPLE for Wo=k Order % 21377
Date Report Printed: APR 30 90 @ 16:43
Client Sample ID:L1, BLOCK k KNIK HTS
PWSID :UA
Collected APR 27 90 @ 12:40 ks.
Received APR 27 90 @ 17:20 h~s.
Preserved with :AS REQUIRED
Client Name : CORWIN & ASSOC
Client Acct : CORWINP
P.O.$ NONE RECEIVED
Req $
Ordered By : BOB CORWIN
Analysis Completed :APR 30 90 Send Reports to:
Laboratory Superviso~ :STEPHEN C. EDE 1)CORWIN & ASSOC
~eleased By:
Special
Instruct:
Chemlab Ref ~: 901i18 Lab Smpl ID: 1 Matrix: WATER
Allowable
Parameter Tested Result Units Method Limits
NITRATE-N 0.14 mR/1 EPA 355.2 l0
Sa]nple ROUTINE SAMPLE
Remarks: SAMPLE COLLECTED BY B. CORWIN.
Tests Pe~fozmed * See Special Instructions Above UA~Unavailable
None Detected "See Sample Remarks Above
Not Analyzed LT-Less Than, GT~Greatez Than
' DA~ RECEIVED
~ - INSPECTION APPOINTMENTS
TiME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR I NSPECTO~
~UNIcIPA[i~ OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PRO~MENTAL
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISIO~ '
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND ~EWER FACI ES
DIRECTIONS: Complete all parts Ga page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER ~ , ~ PHONE
MAILING ACDRES~
PROPERTY RESIDENT {If different from above) PHONE
2. BUYER~ ~' PHONE
MAI LING ADDRESS , '
3. LENDING/,~INSTITUT[O~~~~~~ ~2 ~, ~ ~ ] PHONE
MAI LING ADDRESS /
4. REALTOR/AGENT ~ PHONE
I
MAI LING ADDRESS
5 LEGAL DESCRIPTION
STRE~ET LOCATION // ~
IL. od- /, l-k
I 6. TYPE OF RESIDENCE
~SINGLE FAMILY
[] MULTIPLE FAMILY
N~JMBER OF~ EDROOM
[] One [] Four [] Other
[] Two [] Five
~'Three [] Six
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.)
8. SEWAGE DISPOSAL SYSTEM
. _~-'~ YEAR ON-SITE SYSTEM WAS INSTALLED.
INDIVIDUAL/ON-SITE~
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
1
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [~] ONE [] THREE [~] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVI DUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[] PUBLIC UTI LITY ~'~
Connection Verified INSTALLER
I
[]SepticTaBk or []Holding Tank
Size: ~00/-2 If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
MATERIAL ( .(~)
TOTAL ABSORPTION AR EA L~
4. DISTANCESwELL TO: Septic/Holding Tank Abs rpti a Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
[[~'"~APP ROVE D FOR .~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE
72-010 (Rev. 6/79)
11UIROnlll I1T L CO[1TROL S RUIC S, IRC.
I~nclJneerinq & I~nuironmentW ~tudies
4-.8.-81
~'IUNICIPALITY OF ANCHORAGE
DEPT, OF ~EALi'~ &
ENVIRONMEN I'AL ?LOT~]CTtON
1ST NATIONAL E:ANK/F'ARRZS
80X 42090
ANCHORAGE AK 99~,509
SELLER - MRS. F'ARRIS
APR ~ 0 ~"~'~
RECEIV/ D
SUE:DIVZSION-KNZI.,' HEIGHI'S E:LOCK-A LO'[-:[
THE TYPE OF' AE:SORPTTON SYSTEM IS A P][T NZTH AN AREA OF 636 Sfl[ZT,
THE SYoFE. H ZG CAFABLE OF ACCEFF.[NG 15Q GALLONS OH- WAT~R PER DAY~
THE SO[ILS RATING OFr THE SY~TEH AT CONSTRUCTZON NA~ 200 AND NON
[S >300 SQFrT F'ER E:EDROOM,
E:ASED UF'ON THE TEST DATA THE SYSTEM ~ NOT ACCEFTAE, L.E FOR A
HOHE OF 3 BEDROOMS,
THE SEI TZC TANK ~AS PUHF'ED ON 4-8-81 ,
1220 LUest 25th Auenue · Anchorage, Alaska 99503 e,/907) 276-1361
-,, ut'.O,:L,'~GL, ,~LA.a,x/\ .r'.}c, .... I
(g07) 264-4! 11
GEORGE M,§UkLIVAN,
MAYOR
:,: -~; t ,t; ,~D ENVIRONMIL'%q'?, L PROTraCTiON
April 9, 198]_
Steve D. FarrJ..~
Star Route A Px)× 1592--W
Anchorage, Alaska 99501
Subject: I,ot ! Block A Knik Heights Subdivision
Appreval fur the individual sewer and water facilities
cannot be granted until ~he following items have been
completed:
1) The water analysis rupert needs ho he delivered
this effice frem the Chum Lab 5633 B Street, fur
our review.
subma...t ._d ~o
..~.,..,~c Lank pumped with a receipt
this office.
If there are any fu_rt, her questions, please call this office
at 264-4720~
An adequacy test needs to be performed on the existing
leaching area. This test will determine if the system
is adequate according ~zo National Standards. A listing
of private firms performing the test is enclosed. This
report needs to he submitted to this office fur our
review.
Sincerely,
Robert C. Pratt;. R~S.
Associate Specialist
RCP/ljw
First National Bank of Anchorage
Post Office Box ~-2090 99509
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality ~-/~//~
"C", Street, Anchorage, Alaska 99503 274-4561
Date Received
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4. Location:
o
D. Seepage Pit:
E. Disposal Field:
Distances:
Time of Inspection
z-
Phone:
Phone:
Well Data:
A. Type ~ B. Depth
C. Construction D. Bacterial Analysis
Sewage Disposal System:~/~
A. Installed ~_,~-, /~,~-~ B. Installer ~,.~ ~~--
C. Septic Tank: 1. Size?/~'~,<~. 2. Manufacturer
1 Absorption Area ~J~.~x~ 2. Material
Total length of lines
A. Well to: Septic tank /~, Absorption area ./~/ ~ , Sewer Lines~
Nearest lot line //~ /~,/~ , Other contamination
B. Foundation to septic tank ..~.~ ~ , Absorption area ~ j
C. Absorption area to nearest lot line ~'Z~ J:~
EQ-034 (1/74)
Page 1 of two pages
3330
GREATER ANCHORAGE ARE/, BOROUG~I
Department of Environmental Quality
C" St., Anchorage, Alaska 99503 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1. Type of Inspection:
2. Property Owner:
Mailing Address:
3. N~me o~-.-G-u..'j~r-~.
Hailing Address':
o
CMRO .. VA FHA
SCHNEEMANN H~arr¥ L. & Wynelle L.
SPA 1592-W
N/A
CONV ~xx
Phone 349-1092
Name of Lendin9 Institution:
Mailing Address: Box 4-2090 Anch, Alaska 99509Phone 274-1521--
N'a'~--~fP=e-a~~t~rrL,~. N/A
Hailing Address: Phone
Day Phone
The First National Bank of Anchorage/South Center
Legal Description:' .. 'Lo_t 1 Block A Knik Heights Subdivision
Location: NHN Huffman Road 99507
Anchora~% Alaska
7. Type of Facility to be inspected: SFD
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 .o'f S~stem: Public Utility individual
If Individual, date of installation
No. Bdrms. 3
Individual xx
/
{on-s '*
~e) x~x
Page 2 of two pages - Re~ st for Approval of Individual ' er & Water Facilities
l, egal D. e scription ~j~~ ~/~ ~~ ~ . <~ '~.'~,~_~ ~/--~,
Comments
Approved ~SE~i~w ~ (-__~i~_~Oisapproved 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)
~ 3330 "C" 'P tment of Environmental Quality -~
" STreet, Anchorage, Alaska 99503 274-456l
9_~Q[~ ~ Date Received July 19, 1976
~ Time of Inspection
~'~/~q¢' ~~ Date of Inspection Q_~/~ /~
REQUEST FOR APPROVAL OF
Conv.
]. Approval requested by: ~rst ~atSonal Bank of Anchorage'
Ha~l~ng Address: Pose Off~ce Box 4-2090 Phone:
2. Property 0~ner: Harry Schneemann Phone: 279-6611 ~%/~
Ha~l~ng Address:
3. Legal Description:
4. Location:
5. Type of facility to be inspected
6. Well Data:
Intl~vidual
A. Type ~_~~r
C. Construction
7. Sewage Disposal System:
Lot 1 Block A Knik Heights Subdivision
Corner of Huffman & Bainbridge
Single Family No. of bedrooms
B. Depth
D. Bacterial Analysis
On-site system
120'
A. Installed
B. Installer
C. Septic Tank: 1. Size
2. Manufacturer
D. Seepage Pit: 1. Absorption Area
2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
, Absorption area
, Other contamination
, Absorption area
, Sewer Lines
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
MUNICIPALITY OF ANcHOP, A(~,
DEPT. OF HEALTH &
ENV~RONMENTA£ PROTECTION
JUL
3330 "C" St., Anchorage, Alaska gg o3_ ,4_ EiVED
1. Type of Inspection: CMRO .... VA' FHA CONV
2. Property Owner: /Z//~ ~ ~/777~ ~/77 c~/~~
· Mailing Address: z~/~<~O-//~CT~7.'~'~/~/~/-/(~/~ay Phone
3. Name of Buyer: ~ ~ ~J~[l~
Mailing Address: ~00~8/~ Day Phone ~-
4. Name of Lending Institution: ~ X~~-~
Mailing Address: Phone
5. ·Name of Realtor or Agent:
6. Legal Description:
ocation:
7. Type of Facility to be inspected: ~Z.~9(X~ ~No. Bdrmso ~
8. ~ater Supply
o
Type of Supp.ly: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well /~
Sewage Disposal System
Individual
Type~of S~stem: Public Utility
If Individual, date of installation
Individual (on-site)//~_
Page 2 of two pages - Rec ~t for Approval of Individual Y }r & Water Facilities
~ Lega'l Description
Lot 1 Block A Knik Heights Subdivision
Comments
Approved
~_/92,~_~_ ~, .~.~>_.~ Disapproved
Approval (~1
id 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)