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Home My WebLink AboutRANSOM RIDGE LT 3B DATE Redi~orm ® 4S 469 Poly Pa~ ($0 selsJ 4P4~9 SIGNED SEND PARTS 1 AND 3 WITH CARBON INTACT. PART 3 WILL BE RETURNED WITH REPLY. MUNICIPALITY OF ANCHORAGE /~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVlRONMENI'AL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND!/OR WELL INSPECTION REPORT Well , ~ Absorption area Dwelling PERMIT NO. DISTANCE TO: /0 ~I ~ ' ~ Manufacturer ~ . ~ Ma ' ~o.o[ artments ~idth LiquiO dept~ O ~ < ~ - ~aterial Liquid capaci~ gallons ~ Well Foundation ~ Nearest lot line PERMIT NO. ~ ~ DISTANCE TO: ~ ~ ~ No. of li~ Lon~h o~oach ~ Total lo~fl~h~linos Tronch ~t~ Dista~o~ ~ m ~0~ inches ~ Top of tile to finish grade~ , Materia]beneathtiJe ~ ~ Totaleff,ctiveab~p~ea O l' PERMIT NO. Length Width Depth ~ ~ T~pe o~ ete ~riB d h ~tal effective a m ~ Well '~ Buildi~on Nearest lot line ~ DISTANCE TO: ~ C~ ~ Depth Driller D istancetolotline P ERMITNO. ~ : ~ ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER ; PIPE MATERIALS ~ SOILTESTRATtNG ~ U , ~' ~; ~ , INSTAELE ~c~ ~ REMARKS ~l ' APPROVED .~ . DATE /~LEGA/ ~ DEF'FIRTf'~T.L,,. HERLTH FIND ENV~RONMENTRL ,..,~OTECTZC, N , ~ 8Z.:, 'L" STREET, RNCPORRGE, LOCATION GOLDEN ',,,'IEW IN RRBE:IT CREEK LEGRL L=. RRN=,OMI RIDSE LOTSIZE li0000 ~=,QURRE T TYF'E OF =.2IL MB_,URFTIE~N ~_,TEM IS: TRENCH ~ _~ . . t'lH~qlM_tl NUMBER OF BEDROOM_, = ~: SOIL RRTING ~'qO FT/BR)= '-'=: THE REQUIRED _,I~E OF THE _,UIL RBSOR. PTION =,~_TEM I~: THE LENGTH DIMENSION I'=~ THE LENGTH (IN FEET::, OF THE T' · ; . · . I FIE 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 WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM BEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). RED SEPT I C: T~'":t ~!<." S T ZE= 1~-~1~30 ,3RLL~31'-,tS PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY HELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE HELL WILL SERVE. ....... Th,lO <2) I BRCKFILLING OF RNY SYSTEM WITHOUT FINAL INSPECTION AND RPPROVRL BY THIS DEPARTMENT HILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R HELL RND RNY ON-SITE SEWAGE DISPOSRL SYSTEM IS · 00 FEET FOR R PRI~RTE WELL OR %50 TO 200 FEET FROM A PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC HELL. MINIMUM DISTANCE FROM R PRIVRTE HELL TO A PRIVATE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS RRE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRRMS RRE AMAILRBLE TO INSURE PROPER INSTRLLRTION. PFE:f'I I -F E.~--', F· I RES; [~-,ECEr,IBER _~:t.. :1::S;:=3.0 I CERTIFY THAT t: I RM FRMILIAR WITH THE REQUIREMENTS FOR ON-BITE SEWERS RND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INz, TALL THE =,~=,TEM IN AE:~]ORDANP. E WITH THE ':ODES Z'.'.: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLARGEMENT IF THE iESIDENF:~., REMODELED TO INCLUDE MORE THRN 3: BEDROOMS. AF'PLICRNT T. L:'.T~ART ¢:ONSTRU¢:TION I '-%':;I lEI', B"r' 94. 0 ' ,_ Received From. ( % ~ ,xc~q C~ (~ ~ Address ~~k~,6~,~'~, ~,~ ~ · ~ ~ /~ )~ Dollars $ ~ ~ ACCOUNT iD ~ '~' ~ AMT. PAID ~ M CHEC ~ BALANCE MON~ ~ ~ 77 CONSTF?JCTION TEST I,,AB PERFORMED FOR: Tom Stewart LEGAL DESCRIPTION: Lot 3 Block THIS FORM REPORTS: D Visuol Soils Examinotion DEPTH SOIL FEET DESCRIPTION NOTES 5" 0~n~e Topsoil 1'.5'.., Or~nge/BuOwn SILT~ SA~ BROWN SILTY GRAVELL~ SAND. 67 ~ 7 ' ~ -SM:- 12, _-.r;}l BOTTOM OF HOLE WAS GROUND WATER ENCOUNTERED NO IF YES, WHAT DEPTH LEGEND ® -- Perc zone ® S - Somple token g -- Frozen zone ~- Writer robie IBOC--~W. 48TH AVE. STE. 'C' ANCHORAGE, ALASKA 99503 248-1333 DATE PERFORMED: 8-13-80 Subdivision ~ Some, Ridge. I~ Percolotion Test ACTL-80-1420 GENERAL SITE SLOPE READING DATE GROSS TIME' NET TIME DEPTH TO H20 NET. DRAINAGE 8/12/80 SATURAT ;ON PERTOD 8~12/80 11:20 0 Hrs. 2 1~16" 0" 8/12/80 2:20 3 Hrs. 8 1/16" 6" 8/12/80 2:50 3.5 Hrs, q 1~8" 1'1/16" 8/12/80 3:20 4.0 Hrs. 1~ 1~16" ]5/]6" PERCOLATION RATE: 32 Min/In DRAINAGE REQUIREMENTS: 255 S.F./B.R. PROPOSED INSTALLATION: El SEEPAGE PIT Q[ DRAIN FIE,Lp, [3 OTHER COMMENTS: TEST PERFORMED BY: L.S. DATA CERTIFIED BY:Kinney R. Baxter, P.1~,. DATE: 8-14-80 Location ~ .~> completed Pate ...... Depth of well .......... Size of ' ................................. : ................. DEPT. DJ:'" ~.~f-]~ '~ ....... g~.SZ~ ......... : ............. ~gH.9~6F~Ty OF ANCHORAGE ~' "~ ~ ~ ~' ENVIRONMENTAL 2: ~ ,~2CT ON Dis~ce ~o ~ate~ ~bi]e pu~pi~g ~] / OEO ~ 1980 Formation from J to l Dri]ier DELTA DRILLING COMPANY SRA ~OX 394 ~ ANCHORAGE, ALASKA 99507 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 Parcel I.D. # ("~fO-C'~°~ .o~ ~ HAA # 1. GENERAL INFORMATION Complete legal description Lot ~ Ransom Rid,qe Location (site address or directions) 16900 Golden View Drive Property owner Mailing address Lending agency Mailing address Georqe Clemens Day phone C/0 WILCO CONSTRUCTION 16701 Ransom Ridqe Anchora,qe, Day phone AK ';99516 Agent Address Day phone 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 WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XXX 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 o 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 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 ~ Phone /// Address s & s Engineer's si,gnatr~j~e · Date DHHS SIGNATURE Approved for"~-/~-~'(/'~,), bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments ~. ~ Date By: / The Municipality of Anchorage Department of Health and Human Services IDHHS) issues Health Authority Approval Certificates based only upon the representations given in paragral~n 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 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. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /-o'T- ~ ~/,J~'O,/L't /~IL~ S//~Parcel I.D. A. Well Data Well type Log present Y~N) Total depth Sanitary seal~l) If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~/~ 6/~DO Driller ~--~'~/~ Cased to FROM WELL LOG Date of test Static water level --~..~ Well flow /¢~_~ Pump level1 ~////'~ ~'~r~ /~ Casing height Wires properly protectedCN) ~r~$ AT INSPECTION ~ /,~ g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/h~ tank on lot / Absorption field on lot /00/-/' '-~ Public sewer main Sewer service line Z..~/-/--- WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: 'l~ - ~'~ ~ ~1 ~/ B. SEPTIC/I'I~L-~IN~-TANK DATA Date installed Cleanouts~q) ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Collected by: :..r.O+ //O Tank size ~ Foundation cleanou~'N) Other bacteria (~) ?:~,~4 ~ ~iver Loop Road ~;!i~. l~tver, Alas~:a ~9577 Compartments ~- Depression (~y~ ~d~ High water alarm (Y~"~ Date of pumping / ~ / ~'_~ Pumper SEPARATION DISTANCES FROM SEPTIC/14~L-iDi. N~TANK TO: Well(s) on lot ! /{/_') ~'/~/[~ On adjacent lots To property line /~) /"~ Absorption field Alarm tested (Y/N) Foundation ~ Water main/service line /O Surface water/drainage CONTINUED ON BACK PAGE 72-026 (3,93)' Front ~/~....~ 2~_/,~' Date installed ~ Manufacturer _ ~ ..~.~ ~- Manh°le/Acc ,~~-) "Pump on" le'veL~ j~ Pump off" Level at .~-'"""~"'~ Cycles tested Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical code~ SEP~CE FROM LIFT STATION TO: ....~We11 on lot On adjacent lots D. ABSORPTION FIELD DATA Date installed /~'/ ~'-/ ~"~-'~ Length //~- ! Width ,'~ / Total absorption area ~--) ~ Cleanout present ~/,~N) Date of adequacy test / E~/~ I / ~ ~' Results ~fail) W.~t~.~._~.~,ler level in absorption field.before test (~ Peroxide treatment (past 12 months) (Y/N) / Soil rating (GPD/Ft2) Gravel thickness ~' System type 7-/'~--?~UC/-f- Total depth ~ / Depression over field (Y~/t./¢ for '-~ ('7'~'~'-E~'.) Bedrooms After test C.~ yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /"00/ ~ To building foundation /(~) f7~'~ On adjacent lots ~'°r-/-- Su dace water Curtain drain On adjacent lots //O¢-~ r~..._ Property line /'~.~/~"'- To existing or abandoned system on lot Cutbank ,,(.,/d,~ f?,~E~Ct'7--0- Water main/service line //~ /(~L~ ~'-/---- Driveway, parking/vehicle storage area ~.~ ~-~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA Signature Engineer's N al~;~. ~-~ C.; N 7..-- R ;;4G . Date 17~;agle River Loop Road No. 204 Z'O//~//~.._~ Eagle River, Alaska 99577 ' / / HAA Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number 11/0~/9~ 15:39 CT&E ENUiRONI"IENT~L I~B SEF,'.L;~CES I,ICI. 54C~ COMMERCIAL TES¥tNG & ENGINEERING CO. ENVIRONMENTAL LABORATORY SERVICES Chemlab Ref,% Client sample 12 :L3 RANSOM RIDGE Matrix :WATER }'{irF'fRT Of ANA._.r;.,.S 5e,33 8 8rRE_~T ANCHORAGE, AK 99518 FAX. (907) 56~-5~01 Project Name ~ Coilected :t0/25/93 (9 1.6:24 hrs. Projectg : Recei,,:~ :i0/25/93 i~ 17~20 PWSID :UA Tecr~al coJ. Di. reC~or; S'~PitEN C. SampiLe Re~aark,.. ROU~IN!~ ,.A~IFLE .,u~%,.~TED [ .............. QC Al low,.oOle F.x't.. Anal Parameter' ResuJ. t.s {~a] Units ~lethod ;L[mit~r Date Date Init Nitrate-N 0- 10 l..} mg/t.. Epz~ .'.53.2'~' !i.)9.0 !(I !0/28 [. LH See Special Instructions Above I.% ~. Unavail~bl,7: ,See Samgl¢-. Remark~ Alive NA = Not knalyze,~ Undetected~ Re~rted valt.~ ~.~ the Qr;':,ctic. al qt~..'~t[ficstloq ].i,~[. LT = Lea~,; Than MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date ~ ~-~'q GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, s~cti,on, township, range) Location (address or directions) ¢oo, oo E-.o *, (b) Applicant Name ~J~-' ~'~ ,'c~ g.r-~ Telephone: Home Business Applicant Address (¥~,0. ~o~- ~t~'~ ~~ ~, ~q~l[ (c) Applicant is (check one): Lending Institution ~; Owner/builder ~; Buyer ~; Other ~ (explain); (d) Lending Institution~~,.~~~ /~/~ ~ Celephone ~/~ / (e) ~eal Estate Company and A~ent ~/~ Address Telephone (f) Mail the HAA to the following address: ~/~/ TYPE OF RESIDENCE Single-Family~ Multi-Family [] Number of Bedrooms '~ Other WATER SUPPLY Individual Well I~ Community [] Public FI Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite [~' 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 (11/84) Page I of 2 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, 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 ail Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~...~ ~-'~P..~ ~ Po'T~ Telephone Address ~"~ (-~ ~; ~ '¢'H Date Approved for (,~_~-C¢'~ bedrooms by Approved ~ Disapprov~ -- Conditio~ Terms of Conditional Approval Date CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon th(~ representations 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 requirements. Employees of DHEP 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· Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 %~CTIoN L) , 1986 ] £C£1VED Legal Description; L~'~ '~ ~ WELL DATA Well Classification <~ ~ ~ ~'~"~ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) "~ E-<~ Date Completed '=~ - 7~ -~:;:~) Yield Total Depth C~;,~ Cased to ~'~ ~ Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) /V~ Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by "¢k.I. Water Sample Test Results Comments ; On Adjoining Lots 4- t. bO 4- ~, ~ o ; On Adjoining Lots '~' t ~ O To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~/A B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Depression over Tank (Y/N) 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 ~J I ~ Size Air-tight Caps (Y/N) No. of Compartments '2- "{ ~ ~ Foundation Cleanout (Y/N) Date Last Pumped /k~ / f~ ;for Temporary Holding Tank Permit (Y/N) To Building Foundation 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 \ '7--/ -~, Width of Field Square Feet of Absorption Area Depression over Field (Y/N) ~ ~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ~(~O ~ ~' Type of System Design Length of Field '~ t ~' Depth of Field z.~ / Gravel Bed Thickness --/-'~'f Standpipes Present (Y/N) Date of Last Adequacy Test To Building Foundation Lot To Water Main/Service Line ~ t r,.~' 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 ~ :-'-'-~t 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 (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checke~verifie/d~r conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed [-x~'k'"-~- ~ Date ~ Company ::~-~'% (~/l;'_~ ¢ f'~TT'~ MOA No. Receipt No. Date of Payment (~o ""~ Amount: $ ~ Page 2 of 2 72-026 (11/84) Client's Name: Address: Tester: BESSE, EPP$ & POTTS 2220 EAST 88 AVENUE ANCHOf~AGE, AK 99507 (907) 349-6451 WATE~ ~,,,~r.'t*. TEST Subdivision: Lot: Block: Initial Reading ca Meter: Prod,;c..,tJon Rat-n: ~, ~GPH 24-Hour Capacity '" . ' / DATE RECEIVED ? "- INsPEcTION APPOINTMENTS~ .4~b.b.C--~_~_~._' ~ T, ME T.ME ~/~ /~ T,.E MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~ICIPALI~ OF ANCHORAGE 825 L Street - Anchorage, Alaska 99501 DEPT. OF HEAL'IH & ENVIRONMENTAL PKOTECTION ENVl RONMENTAL SANITATION DIVISION Telephone 264-4720 N 0V ~ 6 ~gs0 o. Dl~TIO~g: ~omplete all parts on paso 1. In~ompl~t~ r~quo*t* ~ill not b~ proeossod. Please allow ten (~0) dags for processing. MAILING ADD~ESS ~OPfi~TY ~fiSID~T (If different from abovo) PHO~fi M~NG AD.SS J / 3. LENDING INStITUTiON 4, REALTOR/A~ENT J PHONE I MAILIN6 ADDRESS/ 5. LEGAL DESCRIPTION,~//~,"*~' ;TREET LOCATION 6. TYPE OJ= RESIDENCE ~SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS ~ One [] Four [] Two [] Five ~ Three [] Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM J~ INDIVIDUAL/ON-SITE** //~2~.~_.~ YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010 (Rev. 6/79) . ~'~__ ~¢~..?..~ . _ 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 E] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVr~EfD.~ 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIvIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY G ~--~ d'" Orb CT"~ '(3 ~- ~.~'~ C~ Connection Verified INST/~LER []Septic Tank or [] Holding Tank ~)~_t"~ f'~_L"[, Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Absorption Area to nearest Lot Line 5. COMMENTS ~-'~APPROV ED FOR _"~ BEDROOMS [] CONDITIONAL APPROVAL (letter must acc~_~.ny certificate) [] DISAPPROVED DATE BY 825 L STREET ANCHORAGE, ALASKA 99501 (907) 264:4111 GEOFIGE M. SULLIVAN, MAYOR DI~PAFITMENT OF HEA1 FH AND ENVIHONMENFALPROTECTION December 2, 1980 Thomas Stewart 8420 Williwaw Anchorage, Alaska 99504 Subject: Lo't 3 Ransom Ridge Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1 A well log submitted to this office for review. The water analysis report needs to be delivered to 'this office from the Chem Lab~ 5633 B Street, for our review. 3 This department has not granted a final approval for the installation of the on-site sewer system. Therefore, before we may grant approval, a final approval(inspection) will need to be obtained. If there are any further questions, please call this office at 264-4720. Sincerely, Robert Co Pratt, R.S. Associate Specialist RCP/ljw cc: First National Bank of Anchorage Post Office Box 4-2090 99509