HomeMy WebLinkAboutROCKHILL BLK 3 LT 14Onsite File Rockhill Block 3 Lot 14 #015-063-12 AA A_ Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 L, of 2 ON-SITE WASTEWATER INSPECTION REPORT �&� 41 Permit Number: OSP201003 PID Number: 015-063-12 Dwelling: H Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Q Upgrade Name Edmond & Paula Burgan ABSORPTION FIELD El Deep Trench F-1WideTrench El Bed El Mound Site Site Address A Lone Tree Drive ❑ Other Phone Number of Bedrooms Soil Rating - Total depth from original grade 14 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft Gravel depth beneath pipe Subdivision Block Lot Rockhill 3 14 Ft Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES Tol Septic Absorption Lift Station I i Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ftz Ft. Well 100'+ ( I TANK A Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1250 Gal. Surface Water 100'+ Material Number of compartments Lot Line 5'+ NA Plastic 2 Foundation 10'+ I LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield A+ Home Services Drainfield CO/MT 3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 481 It Inspectiones: im 5/11/20 5/11/20 Location and description 2„d 3`d 7/27/20 a" Door Threshold @ B ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date 49TH 1Y ` even H. Pcnnone P�. 7CE 814q Septic System ^^�� Approved C�� Date Note: this approval does not include well permit requirements. ion., 17711 o1 �'0'`�� =DCO g ROCKHILL B3 4 I I ( ; z - c 5!Z -O cn O I�vTI >K N0 G U) n 99507 zy �OOOOr_x X N C Z CG�()O — ( z O N .--� Dmm (n m� m m z -i DpcnorZz O -I � r r ..O -i N'S m f r A D m 0 G) (nO M N N N !� CTI C� D c: 0 o m O cn I rn w D -I ,o �� �D COM z Z > U) cn co I I z o c D m;u0Zo z �� X ( j:m 0 O -{ Z z-cO m m D rn err cnwcn m -0K� i O m A W W N .,Qi FT1 D 4 oz O m n N m (n • I NOTES: RECORD DRAWING DRAWN I ACP SITE PLAN / / I I NO WELLS WITHIN 200' nCMD OF PROPOSED UPGRADE ` . . . . _ . . . . . . . / 41 \ O 1 41 _ l 40 w A /• � M < S .{� •tom / v7 REF PANNOo eoXNt o SVC LL.0 R, AKJ9645 1088) P.PHONE (907) 745-8200 FAX (907) 745-8201 ROCKHILL B3 4 I I ( ; z 9960 LONE TREE DRIVE ANCHORAGE, AK 99507 zy Dmm r r - N I no m I I O� ( j:m 0 41 O m • I �I �z J ( rn l D o -o cn 0ccnn ( I z o ( 0 D �p I DQ zrr- I\ / -nI ` ICI\D z ; r `gym 0 C N O \ O NOTES: RECORD DRAWING DRAWN I ACP SITE PLAN / / I I NO WELLS WITHIN 200' nCMD OF PROPOSED UPGRADE ` . . . . _ . . . . . . . / 41 \ O 1 41 _ l 40 w A /• � M < S .{� •tom / v7 REF PANNOo eoXNt o SVC LL.0 R, AKJ9645 1088) P.PHONE (907) 745-8200 FAX (907) 745-8201 ROCKHILL B3 L14 EDMOND & PAULA BURGAN 9960 LONE TREE DRIVE ANCHORAGE, AK 99507 M M *: CE 8149 t 7 it REVISIONS 7/31/2020 KALE 1" = 60' I.D. NO 015-063-12 'ERMIT NO. OSP201003 SHEET 2OF2 —.Nmz 0 1 I CL 0 cl, 41, IP .4 0. M I t Ln (D ML 0. PJ 7, 0) V) C) > U) (D > > 0 c mc 0 I -0 0 E 0 0C: C: c 0 m 3: o CL :6 ui "C) -0 L0 c L- C) o WC'� CO o'l -0 C: 'o (3 -0 x c 0 0 070 0 c 0 0 Q) Z3 CJ � Ln 0 0 c U- > -J U) 0 a) O cli Of m luawaS03 01-JIDG13 v quoqdalai OL ,,Z ! X . L I :3ZIS 133HS 00 0 Z 04 12 co 0 w :D M C,4 0 U) 4, Q'< 04 00 c CD. 0 0 ll� CY) o ry M D (o U - < Z cl LLJ ry 0 < n 0 o Lli z ry r) GL N n C/) C: 4) 0 Q) E Q_ c x a) a 0 4) u 0 > -C: -C -a Eo 0 4) 0 .0 c c c 0- ;cl5oQ) 3:b �t 0 -2 -,o -5 0 -00 -vc) 0 -C,- 0 -C 41 CCTG)oco 0 c °.-C c Q) 41 0) 0) 0, c: 0 C -C 0 a c a Q) -C 0 E O.T 0 0 Q> cm 0) N -C C >,.O.Fn 0) 0 1 0 � -5,v- c > E 0 NC - co >11 W .4::5 0 c 0. 0 z 3r. 0 c(D 0 :) 0 C� V) 5; 0 0 c (on I'D Z) y c 0 •C C a) 0 >s 0 M 2 0-C -C 0 0 0 V) V) -j E 4) C7� Q) -a C -c Q) in m 0 0 a) -C(D -c E E ln a -a y 0-0 0 (L) , -�.y Ear a > C 0 41 o 0 CL in Q. ( ) U) 0 LZ L- c 0 -c 2 66 a ' 0 'a) 0 (1 :t-' c: E - - 6 Q) L- D L- '1�' cn E,W Ae P, • :.Q c f# CD I 0 fi —6 F - \Y Z c Q) E lw z 4,V*J.V" 41 cl� MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program POBox 1g605O 47OOElmore Road Anchorage, Alaska gS51S'WO5O Phone: 904 Fax: (SO7)043'7997 Permit Number: DSP201003 Work Type: SapUcTankUpgrgda Tax Code Number: 01506312000 Site Legal Address: PnCA<A([i 6 L K _:� [T i4 Owner: BURGANEDK4ONDT&PAULA P Design Engineer: PANNONEENGINEERING SERVICES This permit isfor the construction of: El Disposal Field 611 Septic Tank Holding Tank n Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 1/21/2020 1/20/2O21 11 Private Well 0 Water Storage All construction shall bainaccordance with: 1. The attached approved design. 2. All requirements specified inAnchorage Municipal code Chapters 1555 and15S5 and the StateofAlaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) ^. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.O5.Provide notification bycalling (QO7)343-7SO4/24/7). 4. FronoOctober 15toAph� |15,oaubnuaoeooi|obsorpUnn absorption eroonatruotiun`duhngfreezingweother shall boeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated toprevent freezing Received B) Issued By: 4 ice- PL*AJI MUNICIPALITY OF ANCHORAGE �a Community Development Department r' Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-063-12 Property owner(s) Edmond & Paula Burgan Mailing address 9960 Lone Tree Drive Anchorage, AK 99507 Site address Same Day phone Legal description (Sub'd., Block & Lot) Rockhill B3 L14 Legal description (Township, Range & Section) Lot Size 48,847 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Date of Payment: Absorption Field ❑ Initial ❑ Single Family (SF) ❑X Septic Tank IN Upgrade rX_1 (w/wo ADU) Receipt Number: (D) ❑ Holding Tank El Renewal Renewal ❑ Waiver No. Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 01a5 Waiver Fees: Date of Payment: 111 g5tOoZt) Date of Payment: Receipt Number: `1M&% Receipt Number: Permit No. OPIM1663 Waiver No. Permit App_-'- : ._..,:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201003, Rebecca Carroll, 01/21/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201003, Rebecca Carroll, 01/21/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201003, Rebecca Carroll, 01/21/20 s"x-ttwzwn 6Rx/t[�v�C. t r /O L1T/Ll7r &:S'M o� ad ti¢ ,� � AQ, a• _ 3=x 2%sCoNC. PRD {'%f �SH6TEN �`J . 5 $ CorrC. m�aru 0--\S6wE.4 *o ITYrJL'FG� OF Co P 49th �® E taE No. 3143-3 'FA mPvmaPPSPP `Cr a fes, 30r o V r�xtr.�S : w�atc p Q strsG7:4�c h?ars 7Wa s roRr W'000 rRRM&H008j5,0" R CU�IC/'s ATE 9 0,A .�©U/�ll1RT/C,3N�3�", s"x-ttwzwn 6Rx/t[�v�C. t r /O L1T/Ll7r &:S'M o� ad ti¢ ,� � AQ, a• _ 3=x 2%sCoNC. PRD {'%f �SH6TEN �`J . 5 $ CorrC. m�aru 0--\S6wE.4 *o ITYrJL'FG� OF Co P 49th �® E taE No. 3143-3 'FA mPvmaPPSPP I haft certify that an accurate survey of be following described property. CJS" Rc'�C'I4",4'lGL �SllBptvl.SlON` was made on, Z5 1985"' and that the improve= ments situated thereon one within the proper #v lines and do rat overlap ar oncmoch on the property lying o ;acent thereto lha4 nn improvements on the property tying ad;•acent fherela onrxoach on the premises In question and tlsai there are no roadways, transmission lines or other visible easements an said propertk except as Indicated hereon. Anchorage, Alaska, this 3=r day • .- ____ l VC1• MA7"10M44. BRN#i ox RLRSK4 AS -BUILT fAvtd. DATE I W"o Jtak7' 8 -31-8, 2¢3$ EftE tvo. s. JW N 6 ..9 8 I X35 i 2 W'" r ,l: z y. `Cr a fes, 30r o I haft certify that an accurate survey of be following described property. CJS" Rc'�C'I4",4'lGL �SllBptvl.SlON` was made on, Z5 1985"' and that the improve= ments situated thereon one within the proper #v lines and do rat overlap ar oncmoch on the property lying o ;acent thereto lha4 nn improvements on the property tying ad;•acent fherela onrxoach on the premises In question and tlsai there are no roadways, transmission lines or other visible easements an said propertk except as Indicated hereon. Anchorage, Alaska, this 3=r day • .- ____ l VC1• MA7"10M44. BRN#i ox RLRSK4 AS -BUILT fAvtd. DATE I W"o Jtak7' 8 -31-8, 2¢3$ EftE tvo. s. JW N 6 ..9 8 I X35 i 2 W'" r ,l: z y. 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 L°cAT'°N, ~/)f./ /~'---~¢_.,~ DISTANCE TO: Wu2/~ Manufacturer ~ /-~ ~ ~, ~,S~A~C. TO:/¢~ ,~" Manufact,rer Well D~STANC~ TO: I /¢~ I Nc. of Unes ~ I Leneth ~f~ i~e Top of tile ;finish grCde Length Width~ Tgpe of crib Crib diameter DISTA~C[ TO: IClass ~epth DISTA~C~ TO: foundation OTHER PIPEMATERIA ~[~~ SOl L TEST RATING , NSTALL~,~ ~ ~ ~ REMARKS Absorptio~ea[ Inside length Dwelling Foundatio~:~ ~-~ ~' Total length of lines Material I:~ne"~th tile Depth Crib depth Building foundation Driller Sewer line Dwelling//, 7 r M at e~.~_,~ W dth Material N earest~t¢i I TrenehT.?~ inches NO. OF BEDROOMS No. of com~_~nts Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT N ~/O~..~//,J Distance b~,,~/~i n es Total e~Zsorption area PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line PERMIT NO. Sept c tank Absorpt on area(s) APPR OV E~/,~ ~_~ DATE PERMIT NO. DEPARTMENT L 'HEALTH AND ENVIRIDNMENTAL ,:,~5'"'~- '"L" ~TREET.,264-4~20RNCHORSGE" ( 810215 ) RPPLICRNT LRRRY HRIGH PO BOX 26i WASILLR LOCRTION MRINTREE LEGRL Li4 83 ROCKHILL LOT SIZE TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH 5?6-6?46 43500 SQURRE FEET MRXlMLIM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT?BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C. EF'TH= 1~-]~ L E ~-~ L~iTH = 42 IS F-'. R ~' E L [)EPT'H== ~] THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD~ THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN 'THE OUTFRLL. PIPE RND THE BOTTOM OF THE EXCAVRTION (IN FEET). RE[:. $~-]F"T I C: TR~-~=C PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRL. LRTION INSPECTIONS OF ANY WELLS RDJACENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. '[~,]" (2) I ~-~SPE,iT:TI E"f-~S ARE BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND RPPROYRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL RND RNY ON-SITE SEWAGE DISPOSRL SYSTEM IS · 00 FEET FOR R PRIVATE WELL OR t50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO A PRIVRTE SEWER LINE IS 25 FEET RND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIAGRAMS RRE RVRILABLE TO INSURE PROPER INSTALLATION. F'ED:[.1 I T' E:>(F' I F-:ES C. E,.]:E[t~E F-.' _.~::::L.. I CERTIFY THRT ±: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. ~: I WILL INSTRLL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTRND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. V4. 0 DEF'TH = 1~ I-~N~.~ TH= 4~ GRFIVEL. DEPTH~ 6 -: P. EI.~_JJ I RED SEPT I mS TA~K " N CONSTF, JCTIO TEST LAB PERFORMED FOR, LEGAL DESCRIPTION: THIS FORM REPORTS: Lol 14 Block Visual Soils Examination DEPTH SOIL NOTES r r.:ET DESCRIPTION Brown Overburden V 3' " ,- Sandy Gravel : '~!,, (GP) i25 sf/br. ' · BOTTOM OF HOLE WA_S GROUND WATER ENCOUNTEtRED No IF YES, WHAT DEPTH LEGEND · L Perc zone · S- Sample taken · -- Frozen zone ANCHORAG 8TH AVE. STE: 'C' --, ALASKA 9950:3 248-1333 DATE ERFORMEO: 4/22/81 Subdivision Rockhill O Percolation Testl GENERAL SITE SLOPE READING DATE GROSS TIME::,.- NE:~-.'TJME, ~ .LF:,, DEPTH TO H20. NET DRAINAGE PERCOLATION RATE: ... DRAINA_GE, REQUIREMENTS: 12 5 sf/br. PROPOSED INSTALLATION :...C O SEEPAGE:~.PIT, E] DRAIN :~FIELD .-'. 0 OTHER ~ COMMENTS ' . .. TEST. PERFORMED BY: L .'M. "DATA.CERTIFIED BY: Kinney Baxter DATE: 4/23/81 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION SOILS LOG - PERCOLATION TEST ~'G~ L-: LC':, PERCOLATION TEST DATE PERFORMED ~- Z /--~'! 1 2 5 6 7 8 9 10 12 15- 16- 17 18 COMMENTS SLOPE WAS GROUND WATER ENCOUNTERED, IF 't ES. AT WHAT OEPTH? SITE PLAN NO. 1732-~ Ju~ 22. Gro~ Net ~ to ~ Time T~me Water D~op PERCOLATION RATE TE~-'T RUN BE'P, NEEN FT ANO FT MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL ~EALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (include lot, block, subdivision~ section, township, range) Location (address or directions) (b) Applicants Name Applicants Address (c) Applicant_is (check one) Lending Institution Buyer ~ ; Other~ (explain); (d) Lending Institution Telephone - Home Bus~nes Ow er/b ld '" Address (e) Real Estate Telephone 'Cg/'- Telephone (f) Mail the HAA to the following ad~d~ss: ~ .~ Type of Residence Single-Family~ Number of Bedrooms Multi-Family ~_~ Other (describe) e Water Supply~ Individual Wel Community ~ Public ~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Sewage Disposal Note: If/community well system, must have written c~nfirmation from the State Department of Environmental Conservation attesting to the legality and status. E~ineering Firm Providing Inspections, Tests, File Search, Data and Information 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 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 regula- tions in effect on the date of this inspection. Name of Firm~c~_~ Telepho n e_~/~-~ (ENGINEER SEAL) DHEP Approval Approved for~,,~m~ Approved L/' bedrooms Disapproved Conditional Terms of Conditional Approval ,BEFORE A OR ERRORS CAt'ION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF H~ALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES I{EALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESEnt- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA° THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE MENTSo EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ~NCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. RR4/ej/D18 [Page 2 of 2] (DHEP SEAL) 7-19-84 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 MUNICIPALITY OF ANCHORAG~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION AUG ? g85 Legal Description: ~~z_ Z'2z.z v WELL DATA Casing Height Above'(~'r°un8 Electrical Wiring in ConduitS) Separation Distances from Well: Well Classification ,~,' ~'/'¢~ ~/~ If A, B, C, D.E.C.. Approved (Y/N) Well Log Present (~'~) Date Completed ' ~/~/ Yield Total Depth ~ ~¢/ Cased to ~ ¢~ Depth of/Grouting Static Water Level l (/' ~ / ~ Pump Set At /~~ /'~ ~ / Sanitary Seal on Casin~) Depression Around Wellhead (Y~ To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results To Septic/Holding Tank on Lot /~¢ /~-'-; On Adjoining Lots To Nearest Edge of Absorption Field on Lot //~ /'~'"'"'"'"'"'"~-; On Adjoining Lots ~' %~~O~ TO N e are st Public Se we r Nearest Sewer Service Line on Lot ;Date B. SEPTIC/HOLDING TANK DATA Date Installed ~ ize /"~-~) No. of Compartments ~' -- Standpipes ~N) Air-tight Caps~N) Foundation Cleanout (Y~I~ Depression over Tank (/~ Date Last Pumped Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course ,,~ / D~ / ~ Comments /~T~e m p ; for ~ orary Holding Tank Permit (Y/N) To Building Foundation /~z-- /~,~¢¢ To Disposal Field ~ / ~ To Stream, Pond, Lake, or Major Drainage Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well //~ To Building Foundation Lot To Water Main/Service Line Type of System Design Length of Field Depth of Field Gravel Bed Thickness '~ Standpipes Presently) Date of Last Adequacy Test To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area ~!~'~ / ~ Comments / / / To Property Line To Existing or Abandoned System on ; On Adjoining Lots ¢- _~',O / %" To Cutbank (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes~ Comme~4~~ Dimensions ~f" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** ' certify that ' ¢~/~ e checke_d~i~d~,.°r conf°r~med '° all M~7~delines Company / ~ [_~ ~¢OA No. ~¢¢-~ ~/ ReceiptNo. -~ ~ ~ ¢/ Date of Payment ~ ~ /~ ~-- Amount: $ ~ 0 ~ Page 2 of 2 in effect on the ~_.4~.t._his inspection. 72-026 (11/84) ALASKA F1UII OFlm FITAL COIqTF OL ~nqin¢¢rJn§ 6 ~nuJronmcntal StUdies JANICE & LARRY HAIGH 9960 LONE TREE DRIVE ANCHORAGE ALASKA 99516 SELLER-SAME JULY 29 1985 JANICE & LARRY HAIGH 9960 LONE TREE DRIVE ANCHORAGE ALASKA 99516 50419 LEGAL:ROCKHILL BLOCK 3 LOT 14 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-JULY 18 1985 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 552 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 907 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON JULY 12 1985 . FLOW TEST ON WELL WELL FLOW DATE-JULY 18 1985 A FLOW TEST WAS PERFORMED ON THE WELL. 907 GALLONS OF WATER WAS PUMPED AT A RATE OF 3 GPM OVER A DURATION OF 4.5 HOURS. THE DRAWDOWN WAS 35 ' WITH A RECOVERY TIME OF 120 MINUTES AND THE STATIC WATER LEVEL WAS 111 FEET. THE WELL IS ~QUATE FOR THIS 4 BEDROOM HOME. ~,)nn IIh,~t qq,,J A,,,,,~,,,, ~,,it~, [~., A,~nhn~,rm~ AIn~k, 99503 .[907/ 561=5040 N unicipalitYo P.O. BOX 665O ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES. MA YO R DEPARTMENT OF HEALTH & HUMAN SERVICES September 3, 1985 Gwen Turner Alaska Environmental Control Services, Inc. 1200 West 33 Avenue, Suite B Anchorage, Alaska 99503 Subject: Lot 14 Block 3 Rockhill Subdivision Dear Ms. Turner: This letter verifies the existence of an approved waiver of the separation distance between the well on Lot 13 and the absorption field on Lot 14. A copy of the waiver is attached. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw ~UNICiPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT.  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~ONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1, PROPERTY OWNER PHONE MAILING ADDRESS ' -~ J'" "'~ '¢ j ' PROPERTY RESIDENT(If different fromabo ) ~ ~ PHONE 2. BUYER PHONE MAILING ~DDRESS 3. LENDING INSTITUTION J PHONE I MAILING ADDRESS J PNONE 4. REALTOR/AGENT MAILING ADDRESS 5. LEGAL DESCRIPTION l¢-- STREET LOCATION 6. TYPE OF RESIDENCE [~'~G LE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One EJ~"~our [] Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY ~I'NDIvI DUAL* ~ COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE D~L SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. 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~[] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO ~"~FOU R [] SIX PERMIT NUMBER 2. wATER SUPPLY DIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED (_~ ~L~  GE DISPOSAL SYSTEM PERMIT NUMBER IDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified ,_ INSTALLER []septic Tank or [] Holding Tank Size: /~-~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: / ~:)~) 1 Absorption Area to nearest Lot Line §. COMMENTS PPROVED FOR BED[lOOMS [] CONDITIONAL APPROVAL (~etter must accompany Pertificatel [] DISAPPROVED DATE BY 7 O. 2' ABOVE GRCUND SURFACE F~ E K 4