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KROGSTAD LT 2
Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL. SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report e Permit Nu. mber: _~',uO~ ~ O .~,',',%O"'~ PID Number: O/_G-- -' ~[-- m~: ~L~ ~~ ~ Wastewaler System: D New ~'Upgrade, ~:t~ bGt o~P~ ~.~ ~' ABSORPTION FIELD ... ... of Bedrooms: Phone: ~_~ -- ~'~0 -'~ ~ Deep Trench ~ Shallow Trenc Bed ~ M~und ~ Other Tgtal Depth4rom/orlginal grade: LEGAL DESCRIPTION SoilRaling: ~ ~ GPD/Sq. Ft.i ..... ~'~ Township:~ Range: ~ ,, [ Sec~_ Fill added~ ~°ve' ~°riginal~,~grad~:~'~Ft, ~1 length: ~ Ft, '~~ ....... ~umber~line,: Bista,~tween lines: E~ New D Upgrade ~lwidth: /9 Fl. ~ Ft. Classification (Privat~~ Total Depth:/ Fs~T~: Total absorption area: Pipe materiah__ . ~Ft. Ft. ¢OO SO. Ft. p~O~' Driller: ~~% Static Water Leve,: Installer: ~¢_ % Ft. ~U~ ~OU~ ~ Datej.¢tal~d: Yield: ~ I Pump Set at: Casing Height Abo~ 6. C~~' TANK SEPARATION DISTANCES ~eptic D Holding ......... D S.T.E.P, To Seplic Absorption Lift Holding Public/Prlvale Manufacturer: Capacityin gallons: From Tank Field Station Tank Sewer Lines ~- ~[~ ~ Well' [~¢ ~(~ ~(~ ~(~ ~0/~ Material: Number of Compa~me,ts: Su,~ce~ater ~"+ ~CO'~ f lUO"~ ~ LIFT STATION LOt ~/~ ~__ ~ Line -70t~ 70'~ Size in gallon;: M~ Foundation ~/j: ~¢~ ~ "Pump on" level at: ~~water alarm at:- Re~?rks:- ~,¢b~ ~-b~q.S uU~-& . BENCH MARK Assumed Elevation: Inspections performed by: ~'~ ~*~¢& Dates: 1st ~¢":,"'~L Department of Health and Human Services approval 'l;~:';,. Reviewed and approved by '~ /~./~ ~~ Date: ~-~,., '~'~OFaSS¢}}~;~ 72-013 (Rev. 9t91) MOA 25 SW970207 PID~h 015-501-0~ -'BULL RUN' VALVE MT MT MT GARAGE HOUSE NEW 1000 GALLON SEPTIC TANK NEW BEB, 18' X ~.-- G ROWS DF B INFILTRATORS, BC = 9.4 AD = 36,3 BD = 22,3 AE = 53,6 BE : 48,7 AF - 58,1 BF = 46,3 AG = 96,8 BG = 91,4 Alt = 99,0 DH = 89,5 NOTE: THERE WAS TWO LOG CRIBS FOUND TO THE SOUTH OF THE NEW SEPTIC TANK AND THE 4 INCH LINE TO THE INFILTRATORS, THE (:RIBS WERE EXPOSED AND FILLED WITH Srlll. S BY THE EXCAVATOR, WELL SEPTIC UPGRADE AS-']~UILT DWG' LOT PREPARED KOR: JOHN BEARDSLEY PREPARED 3Y~ ALASKA WATER & WAS'FEWAI'ER PIPE INVERT CI]MING FINAL GRADE DVEI~ }~ED : 91~.5+ /-INTD THE INFILTRATI]RS /-3 FEET MIN. COVER BDTTnM OF BED EXCAVATIBN : 93,6~ BRIOINAL GRADE VARIED ERDM 95,8 TD 98,1, TBTAL DEPI'H BELON¢ ~RIOINAL GRADE = TB 4,5', FILLE~ NdITH LAKE NTIS GRAVEL TB A ELEVATION ~F' 94,36 (AV6,), TDTAL S~N~ DEPTH = 8,5 iNCHES (APPRDX.), SET INFILTR~TBRS BN TDP BF %AND, GRBUND ELEV, AT TANK 100,5 i TDP TANK = 96,5 ELEV, := 95,55, INVERT AT THE DLD ~RA[NF[ELD = 95,17, = 95,92. DUTLET INVERT 5,7 TANK SET LEVEL , FR~M GARAGE FLDDR = 1~0,~0 HDUSE, FDLJNDATIUN C/a INVERT = 96,42. DRDP FRDM HUUgE TD 'rANK = ,5 FEET ALDNG ~9 FEET DF PIPE, SLDPE : 1,7~, ~ATE~ 8/9/97 DkdN~ GARNESS SCALE: N-rs . 0 PAGE 1 OF MUNICIPALITY OF ~NCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASICA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970207 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES OWNER NAME:BEARDSLEY JOHN O & MARJORIE J OWNER ADDRESS:10661 OUR RD ANCHORAGE, AK 99516 DATE ISSUED: 7/23/97 EXPIRATION DATE: 7/23/98 PARCEL ID:01550102 LEGAL DESCRIPTION: KROGSTAD LT 2 LOT SIZE: 48997 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDanCE WITH: THE ATTACHED APPROVED DESIGN. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80) . THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: DATE: July 11, 1997 ........... =~L ~pRVlC~8 8471 ih'ookridge Drive ~ Anchorage ~ Alaska 99504 (907) 337-6179 -- Fax (907) 33S-3246 dUL 1 B 1997 Consulting Engineers V [ D IVlunicipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 RECEI Ref: Sewer Upgrade for Lot 2, Krogstad S/D. To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The drainfield is failed and must be upgraded. Alaska Water & Wastewater has been approached by Alaska Pipe & Supply to provide them with a "test site" for their Infiltrator chamber system_ Although Infiltrators are a proven technology (approved by ADEC) that has been used throughout the State, they would like to have an M.O.A installation that they could reference to their customers. In return, they are providing the Infiltrator chambers at no cost to the homeowner. With your approval, I would like to use the Infiltrators system at the subject site. The specifics regarding the site are summarized as follows: 1. GENERAL: Attached is a copy of the soils log. At a depth of 5.5 to 6.0 feet the soil perked at a rate of 15.5 minutes per inch. For a bed type system, this corresponds to an application rate of .5 gpd/ft2 (equivalent to 200 ft2/bedroom) . The existing trench system on this lot was designed based upon an application rate of 225 ft2/bedroom, and has lasted for over 20 years. The lot immediately to the north (Lot 1, Krogstad S/D) has a trench system (installed 7/88) that was designed based upon a design application rate of 150 ft2/bedroom In short, the soils application rate for the proposed system is consistent with previous designs in this area. The Infiltrator chambers will result in a more conservative design because none of the soil surface will be masked with drainrock. In addition, the imported sand under the infiltrators will serve to filter the wastewater, prior to it reaching the tighter underlying soils, if it is possible to maintain grade, an alternator valve will be installed downstream from the new septic tank, so that flow can be switched between the new bed and the old trench. 2. BED DESIGN: a. Percolation Rate: 15.5 minutes/inch b. Allowable Application (bed system): .5 gallons/day/R2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 900 ft2 f. Effective Depth: Infiltrator depth = 7 inches g. Width: 18 feet h. Length: 50 feet. i. Effective absorption area = 900 fl2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: The lot is generally fiat. Attached is a copy of a M.O.A topography map for this general area. In short, there are no slope concerns. 5. CLOSING: I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, 244-9512, or on my digital pager at 1-800-481-1162. Thank you for your assistance. Sincerely, ~ ! , Jefl~e~ ~/~a~ess,~.E., M. S Owner/Consultant o ~/ELL WHICH SERVES lf1610 OUR ROAD, LOTS 'TO THE WEST BF BUR PILAU ARE lIN AN UNSUIIDIVII)ED PLOT O~/NED BY TIlE ALASKA ZOO, THERE APPEARS TD BE 2 PRIVATE HOMES AND 2 PRIVATE WELLS, WELL WHiClt 10700 OLJR LOT 1, KRDGSTA]I, PVT, WELL · SEPTIC SYSTEM, /NEW TRENCH LOT 25A, SEC 15, l'12N, R3W, OMALLEY ROAD NDTEj THIS IS NU"f A SURVEY. THE L{]CA'FION DF ALI_ WELLS, SEPTIC SYSTEMS, AN]] STRUCTURES IS APPR[3×INATE. THE C[JNTRACTDR SHALL ENSURE THAT THE REQUIRED SEPARATION DISTANCES ARE MAINTAINED 'ID ALL ADJACENT VELLS & SEPTIC SYSTEMS, SEPTIC UPGRADE~ PREPARED FDR~ [_UT 2, KRI]GSTAD PREPARED BY~ DATE~ 7/8/97 JDHN BEARDSLEY ALASKA WATER & \,/AS'FEWATER DRIVE'/AY NEAR THE PROPOSED DE])/IANK AREA SHALL ]~E 14lIVED Ag REQUIRE1] TD ACCON- O]]ATE THE NEW TANK AND ]]RAINFIELD, MT TEST HOLE, GROUND = ]01.7 BOTTOM OF TH = R9,66 ? VALVE HOUSE OARAOE SL[]PE TO WELL MT ~NEW }~ED, lB' X 4[1' APPROX. LOCATI OF TEST PIT, POWER POLE, LE ELEVATION = 104,2 XI§TING TRENCH S{JMP. GROUND ELEV. = 104.4 6 RBVS OF O INFILTRATDR~. EXISTING C/B. ill ELEV, = 104,4 INV, : 100,00 OLD SEPTIC TANK TO BE ~ANDONED PER UPC CODE. CONTRACTOR SHALL EXCAVATE BACK TO THE FOUNDATION AND RAISE ELEV, DF SEWER LINE TD SEPTIC TANK TO MINIMUM GRADE (3/16 INCIt PER FOOT) ~0 A~ T[I ENSURE THAT GRADE CAN DE MAINTAINED FROM THE NEW ALTERNATOR VALVE TO THE OLD TRENCH. IN~TALL NEY C/O AT THE FOUNDATION, NOTE, TIiE CONTRACTOR SHALL HAVE THE WELL RADIUS, AND THE UTILITY EASEMENT AI_FJNG THE WEST PROPERTY LINE FLAGGED BY A REGISTERED LAND SURVERYDR, SEPTIC UPGRADE) LOT 2, I<ROGSTAD S/D PREPARED FOR: JOHN BEARDSLEY PREPARED BY: Al_ASEA WATER I~ WASTEWATER INFILTRATO 3E D ]DETAIL SOIL OVER BED SHALL DE GRADED /SD THAT SURFACE DRAINAGE DOES NOT POND OVER THE ]]ED, 2 FDDT MIN. COVER OVER TOP -DF INFILTRATORS. IF C~VER [~ LEgS THAN 3 FEET, PROVIDE ~ INCHES BF 3BARB INSULATIQN. 6 RB~S BF EI~H~ (~) INFILT~AT~, -I'BTAL OF 4B UNITS, TOTAL BDTT~M ABSDRPTII]N AREA = 900 ~O, FT. -PLACE ~ [NgFIES DF SAND OVER TOP DF ~NFiLTEATDE~, FILTER FA3EIC OVER SAND, 18,0 NOTES, 1. SAND SHALL BE CENTRAL PAVING PRODUCTS ~/INTER ROAD SAND. 2. A NDNITORING TUDE SHALL DE INSTALLED AT EACH CORNER OF THE DRAINFIELD, gEE THE SITE PLAN FOR LOCATIONS. PLACE le INCHES OF SAND PRIOR TD PLACEMENT DF THE INFILTRATORS. SAND SHALl_ BE LEVEL, ~ITHIN 1 INCH. ~EPTIC UPGRADE: LO F 2, KREIGSTAD S/D, PREPARED FOR: JOHN BEARDSLEY ALASKA ~:/ATER ~ \VASTEL~/A-FER I DA-FE~ 7/8/97 I I)WN~ GARNESS I ISCALE: NTS .% PERFORMED FOR: LEGAL DESCR IPTIOt'J 1 3 4 5 6 7 8 9 10 11 12 13 17 18- 19- 20- COMMENTS Municipality ct Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOIHqTERED? ?"~ ~-----~'~ /~g woT- qeadinfl Dale Gross Net 'B~O Net Time Time .~"te'- i )?; Drop PERCOLATION RATE /~*--'~ (mlnules/mch} PERC HOLE DIAMETER TEST RUN SETWEEN__ ~'' ~ FT AND __ ~' ~) FT 72-008 (Rev. IT'S TIME 1'0 (~OME OUT OF THE STONE AGE! ]-HE GRAVEL AND F IPE /¢~,_',,,,. ~~ Lack of cover _.,-¢ ,....~7"- ' --;--"'~- '" "__',vYi~ material on sidewall 4" P,f~rforai'ed Pipe, ~.~- ~..--~-~ "-/' / may allow soil !lniversilv sludies prove ~ ~ ~' ' ~ )' ~ Intrusion ~v~n ~istri~dio~. ~ ~ ~ Stone or gravel I ~~~.~.. ~ ~ J j supports soil and h~flltr~tiv~ ...... ~ ~ ~~ ~ ~ ~ ~ ~-- provides limited ~,fctce ~th ~ ~~ '::~ ~ ~ ~ I storage only. Gravel ..: ,mpac.. on 'rim .%- Unmasked effective ,3ravel emplacement ~ ~ ;' -cd reed in Utc on rate ~ Nolive Soil infiltrative surface PROBLEMS WITH GRAVEL: ~" I~educe~ infiltration rcJte 50% la 6~% 70co~ linc 'o experts Handling and waste "' ;' M( isl(ed ZOI/~ limited infilhcflion Biomat WQter disperses beneath stones THERE IS A BETTER WAY ... I'HE INFILTRATOR® DESIGNED TO SOLVE PROBLEMS Solids build up In spaces between gravel. Limiting nfiltratlon Available in Slondord or High Capacily/'..,,./ ' ~ ..... ¢ '~' J No soil intrusion .... tho,-2 u~,~,,., ¢ ~'~"-:;~ ~, ':~ ~/~ j ¢ Micro-Leaching Chamber¢ ::;',aterl!',<]nr,(~ravel ~ ~,~. . a'~ ~:~ ~.~ ~(Noneedforgeolextiles) Side wall designed 1~-. ~/"~ ~, ~ 7~ ~/ lo minimize m~]sld F ~/~~ g~ ,/ effect ~-.., ~. ...~ EntiretrenchbOttOrnprovidesOf ~ %"*~" '": "' -( ~ Ribs-create perfect unmasked infiltrative surface ~. ~ / voids for biomat formation. Protective rib prevents SPECIFICATIONS INFILTRATOR ® INFILTRATOR ® and creates voids ~ Jar optimal biomat WEIGHT 25 lbs. 30 lbs. prodde open area equal to porosity of ..... ...... STORAGE ~ 10.3fl) (77 gcfl.) 163 ft ~ (122 gal,) Infiltrative surface INFILTRATOR'~ ~ ..... _ ' . _. ~_~ Chamber ~~ Sc (¢"d - INFILTRATOR® ~i-'''~ ...... - ft.? 2 ft.~ 3 ft3 4 ft.2 IJNMASKED INFILTRATIVE AREA ft?/linear fl. Documented research has clearly dem onstrated that the INFILTRATOR® chamber provides an optimum infiltrative surface for leaching systems. Many states have already recognized this and granted system size re- ductions accordingly. The graph shows that INFILTRATOP¢ cham- bers have twice the effective infiltrative surface area per linear foot. This is based on a 36" wide trench with 6" of gravel below the pipe assuming 50% gravel masking, com- pared to Standard and High Capacily INFILTRATOF¢ chambers with 50% masking for INFILTRATOI~ sidewall, and no bottom masking, '; -' ~ L "~' ,~~~~~ ,'l.B" depth for 14-20 and t2 for H-10), !NFILTPATOk~ ® CHAMBERS ARE GREAT FOR MOUNDS AND PRESSURE ~.~--~, ........ . ~,,. ~,...:m'~--~,~.~ DISTRIBUTION TOO! ~~~' /~ ~ ~.~ replace the arovel in mound ~~"~ /'~~~~ ~~ or flit systems, in either a trench ,nstallation is mucl~ easier with no damage to the infiltrative surface. The sile preparation, ~~~~~~/~ ~cif~ Fill ,:vCem: u-:-'c',!atlon instruchons Pressure Distribution Pipe Original Grade P~ESSURE DISTRIBUTION !NIF!I TRA, rOP¢ nhombers ore easily adapted ta pressure distribution, Simply sus~nd a predrilled pcessure pipe in the k)p of the units with simple, foolproof plastic pi~ hangers. Supplemental installation instructions are available for complete details, ',i ilIR~,'[OR<~' , ~ambers are molded from a high densil¥ poly- ~'~elene nn-! :re impervious to all components of wastewal'er. :': hay,, i~-,~:~ sln~durally tesled by o Regislered Professional 'meet nrx~: n~,~ ©voilabfe with an A~'x,q1110 raling of 1-1-10 (16,000 uq, axle ',~./il!' ' ~'' of compacled covr;0 or !b21] (32,000 lbs./axle A high performance, state-oHhe-arl syslem ~ Double fl~e ~n3masked soil interface area compared to ?ave! sys~e; ~s. : Complete system delivered in one pickup truck. ::as! & ~os,/~nstallation. '>m-lLIqnd lqh~f ~ machine costs, [ JJmJnaler~ qompaction, shadow effect and mess caused Fasy ,~t~udurai" '!rang, H-10 and H-20 load ralings. Approued L",v U,S. Department of Housing and Urban [~oveloom~n~ ~ Federal Housing Authority. ",-'-,nr,'m- ~- '~hnJc:al bacbt~o infor~a~bn i~ ~'IVni~ble '-o I['dFIURAIOf:'~ is o complete systems approaclh to stormwater -nonagemer~ ~ha~ gives the engineer tremendous design free -~om ~o rrne~ '~' ,-' needs of the indivJdL~ni sile. The engineer can use unil~ conn~-bined with stone for shallow or deep systems that meet ;i~ny requ~rem~t for storage ancf lrealment, require no hea~ equipment except a backhoe for inslallation, and are highly cost ~fffeclJve. ~ d~taJled stormwaler brochure is available upoF~ If you have special problems or questions cc~ll INFILTRATOR SYSTEMS or your local distributor. LIMITED WARRANTY Ir4hlRFCI [ ,',M/~GES 1HE COMPANY SHALL NOT BE LIABLE FOR PEN^LTII~, , f~ I1©111[ :/,;I [~ DAMAGES, INCLUDING LOSS OF PRODUCTION AND PI~O Distributed by ,or,. Drive Old S¢:~ybrool(, C'f 06475 ' 203.388.,5639 x~ 800.221o4436 ill FAX 203.388,,6810 THE ~ Excavate and level 3' wide trenches, ~ Prepare trench bottom and sides in accordance witl~ state and local regulations, (Infiltrator Systems recommends raking sidewall and bottom infiltrative surfaces to eliminate smearing.) ~:~ Screw splash plate on bottom of open end plate. ~1 Screw open end plate into inlel end (without interlocks) of first INFILTRATOR® chamber with splash plate extending into unit, ~. Place first unit in lhe inlel el-~d Of heath will, illtellecks downslream, -*~ Run distribution pipe through inlet opening in end plate but not beyond splash plate, Single screw may be u~d to hold in place, Pipe d~s not normally run the length of system, ~ Connect INFILtrATOR® units together, fully en~ gaging interlocks to form desired trench lenglh ~,~?~~ ~ ,~f~{ a. 1he joinls may be ~~L~Y'~ screwed together for . ~ ~,~:~ ease in conshuctJon. ~~ b. ~rench grade should ~ ~~E~ checked with a levd or ~;~!~ Screw closed end plate in downslream end of last unit to hold in place. NOTE: For serial distribution, or to loop Ihe trenches together, use an open end plale al lhe down- strealn end of Ihe trench, ced run a pipe tro~, Ine opening to line next trench. ;:i.~i Fill side wall oreo to top of slots with native soil, "Walk" fill into place to give proper supped of sides. 1HIS IS VERY IMPORTANT I'O ACHIEVE FULL STRENGTH. ~] Backfill to a minimum of 12" of cover after compaclion and settling for H-10 unils and 18" fo~ H-20 units. Avoid large rocks in the backfill ma- terial, CAUTION: Avoid vehicle traffic on system during construction since soil l~as not sel'fled. This is particularly imporlant in song, since loose send offers very little structural SUpinE)r1. Ivlosl stales advise c:~ ¢]voioing vehicle uoffic io prevent compaclio,, or tim_; h'dil i¢¢]1iv*.¢ surface· (After proper depth of cover is compc~cted and settled, INFIL1RAFOR® leeching chambers will then supped vehicle weight not lo exceed 16,000 Ihs. per axle for 14-10 units and 32,000 lbs. per axle for H-20 unils) ~.~ Excavate and level desired bed area. Rake soil surface to eliminate smearing, Follow steps 3 through 8 on lhe other ,_.~ Place rows of INFILTRATOR ® chambers next to each other to ~chieve desired bed qrea, ,'.q Fill side wall area ¢¢round perimeter and h>elween rows el units with native malerial up ~o the top of slots and 'walk" in place fo give :~rooer $uo~d [~ sides. Being careful not to shift units, backfill to a minimum of ~2" of compacted, settled cover for H-10 units and 18" for H-20 units. Avoid large rocks in backfill material. For a large bed that cannot be filled from the sides, use a light tracked vehicle and be sure to maintain the proper minimum of compacted cover beneath tracks at all times. DO NOT USE WHEELED VEHICLES ON THE BED DURING CONSTRUCTION. ~NFII~RATOR ® chambers are easily adapted to pressure distribution. Simply suspend a predrilled pressure pipe in the top of the units with simple, foolproof plastic pipe straps. StJpplemental installation instructions, with complete details for 13ressure distribution are available. LIMITED WARRANTY manufacbJreFs instructions, is warranted to the cxiginal purchaser again¢ defective materials and workmanship for one year from date el manufacture. Should a defect appear w~thln the warranty period, purchaser must info4m Infllffator Syslems, Inc of tho defect wilhln fifteen (~ 5)days. Infiltrator Systems will supplya replacement unit. InfiliTator If you have special problems or questions call INFILTRATOR SYSTEMS INC or your local distributor. SYSTEMS Access peri at the top center of each unit may be cut out and used for venting, inspection or manifold connection. Insert 4" pipe through hole and use a coupling ring as shown 1o keep the pipe from dropping into the chamber. Distributed by 4 Business Park Drive -~. P.O. Box 768 r' Old Saybroek, o'r 06475 "~ 203.388.6639 ~ 800.221.4436 [] FAX 203.388.6810 GRE^,ER ANCHORAGE AREA BORL ~ Department of Environmental Quality ~; 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ?N-SITJ~ SEWAGE DISPOSAL SYSTEM ~V1AI LING ADDRESS PHONE LOCATI ON SEPTIC TANK: .,~ DISTANCE ~. (? ~ ~ NUMBER OF ~-/~ ~-' MATERIAl COMPARTMENTS FROM WELL ~v(? MANUFACTURER : - INSIDE LENGTH ~ ' INSIDE WIDTH LIQUID DEPTFI LIQUID CAPACITYr/ ~ ~ ~ ALLONS, TILE DRAIN FIELD: DISTANCE FROM WELL __NEAREST LOT LINE NUMBER OF LINES / DISTANCE BETWEEN LINES TRENCH WIDTH ABSORPTION AREA . /'c?.,]) SO. FT. LENGTH OF EACH LINE ' ' DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE ~: / / TOTAL LENGTH //!"? FOUNDATION /() ~/ OF LINES TOTAL EFFECTIVE X MATERIAL BENEATH TILE ~' · IN. ABOVE TILE IN, / WELL: , /'] / / ? TYPE _ ,¢¥)~"¢~' ~7 CONSTRUCTION_ DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPqlC ~(.."-'4 SEEPAGE FOUNDATION___ LOT LINE SEWER LINE , TANK , SYSTEM CESSPOOL OTHER SOURCES APPROVED ___ DISAPPROVED REMARKS f DISTANCES: INSTALLED BY: - ' ~"¢* "'' SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: , / DATE ~~-/"APP R OV E D FO r i'n ED-032 F:IPF:'L I CI::I1`',IT DF:lEE HOPI<: I NS L 1:3 C: FI T ]: 1] 1`',! · ..:. ~:~ ., ,,..~ L~D:3FII... I ......... lB SE:C ::L.. 'T':;L:ii:I'.,I I:.i::ii:l.,.I TYPE OF' :E;OIL. FIEr. ii;f)I~'.EKI"ION S'-r'STE::H HE:ST t'.,IOI.;i;T'HEFi:I'.,I L I GI"-I'I.'Z.. E,L.. ," [." L. CI'T' S ]: ;Z".I~: :%005[00 'S ['3l II::ll.;~:E: I S: TR[-Zi'.,tC:H MF:I>::iHUH i'.,~t..Ii',IE:EF~: (:if: E:E:DF.:OOt"I:i!; .... ]: '.:"~:':lIl..,. Fi:Fl"l"It'-,lt3 'T'I..~FL I'RE~L:.!IJIREE:, SIZI.:.:: CF,:' THE '..:.i;OIl... F:IEVF.;OI:RF'TIO1`,! S;YSTEH ]::5: THE I...ISI'.,I]:iiTH E:,IHEN'..'~:';iON IS 'THE L..EI'.,!(3'TH (II'.,I FEE{T::, OF:' THE: 'T'Fi:EI-,ICH OI.R I:)lRF:lI1`.,tl:::']tlF3....D. '1'1.~11~:: DE:t::"TH OF: 1:::1 TF.:EhlE:I-'-I OI;: I:'.1:.']" :[5; THE'. [:,]:S;TFINCE i~i',l~i'."'l"!.,.IEEl",l THE :SIJFi:l:::lx:lCli:: OF: "I"I...IE: C:iI~:OUNF:, RN[::, THE: BOTTOM OF THE ISXCFh,,'FIT I ON ,:: I N FEI.ET ::,. "FHEIRE-: IS 1`.,IO SET P.IIE:,TH F'OR 'TI:RI[{IqC:FlliR:~;. THE GRFI',,,'EI... DEPTH F)i'.,l[:, 'T'I.'-IE 11.3OT"I"CIH O1.: 'T'FII.':'. E:XCf::I',,,'FIT '[. O1'.,! ,:: '.[ I'.,I F'EE"I' .':,. IE:I:II::::KI.:: :1: L.L. ]: 1'.4,'3 C[F FIN"r' S';Y:E;TEH I.,.I I 'T'I4OI..]T F'" ]: 1'.41::iL I NSI:'ECT I t:.)N Fll"41:::' F:lF'F'F.' ::: ","t::IL. lii:'T' "t'H :1: :i.:, I::,EI::'FtF.:THIENT !-,-I]:L.L. 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INS;TIXlI..J._ THE SY'.S;TE:H :[.['.,I FIC:COF.'.[::,F~1'.,ICE P.II't"H THE C:OE:,E:S. ]:: :[ IJN[:,F_'[E'.S'I"FIIq[:, THI:IT THEE ON--.EE;Z'I."E: E;EI.,]ER '.E;"r"_Z;TE]"I IqFtY F?.E~2!U]:I'~:E: ENI....FIIE'.L-JI~:I'IESN'T' il.:: "i"Ht.:5 F::IES I DFZNC:E: I S I;..'EHOI:.':'I,ZLED "f'l:] I NCLL.IDE I'"IOF.'.E~: "f'l,-IFih.t 2i: FII,~IP'L. I I::I::11'.,1"1' [:,~1~ H[::IP[~I , - , ............................... ...... ._,_,.:.,_. ................ /,. / ! ,z MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anclmrage, Alaska 99502 276-2221' ~j SOILS LOG - PERCOLATION 'rEST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DATE PERFORMED: 1 2 3 4 5 6 7 8 9 10 11 12 13 14- 15- 16 17 18 19 2O COMMENTS SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TES-r RUN BETWEEN (minutes/inch) FT AND .~ FT PERFORMED BY: 72-008 (7/76) Municipality of Anchorage Development ,serVices Department Building Safety Division ~ On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Pamel I.D. 015-501-02 t~e. I e;, f ¢./'e~ HAA# 0-~O 3, Ig Expiration Date: CJ _ ~ 3 '- 0/1/. GENERAL INFORMATION Complete legal.description Krogstad S/D, Lot 2 Location (site address or directions) 10661 Our Rd Current Property owner(s) Beth M Muslija Mailing address 10661 Our Rd, Anchorage, AK 99516 Ledding agency Day phone 346-1133 Day phone e Mailing address Real Estate Agent Kevin Elfrink ! Globe Realty Day phone 727-2150 Mailing Address 3300 C Street, Suite 115, Anchorage, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual Well . [] Individual Water Storage [] Community Class ~ Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank [] Community On-site D Public Sewer [] The ~MunicipaiJTM of Anchorage Development Services Departmer{t (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION'BY ENGINEER .' As certified by my seal affixed h6reto and as of the validation date shown below, I vedfy that my investigation, based on procedures outlined in the 'Health'Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further vedfy 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Watkins Engineering, Inc. Address P.O. Box 110443, Anchorage, AK 99511-0443 Engineer's Printed Name Cindy W. Ellis DSD SIGNATURE u'/'/ Appro~;ed' for --~ Disapproved. Conditional approval for bedrooms, Phone349-1851 Date 6/23/04 bedrooms, with the followin9 st~~' Additional Comments Attachments: HAA Checklist 'Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other OriginaICertificate Date: g - ~ ~ ".O/7/'' (Rev. 01/02) Municipality of Anchorage Development SerVices Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St ..... P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Des6dption: Kro~stad s/D, Lot 2 :. Parcel' ID: 015-501-02 WELL! DATA ~ Well ~Pe Pti ' Date ~)f t![st 1965 IfA. B, or C providePWSlD # - · sanitary seal (Y/N) Y ft. Cased to 40+ ft. FROM WELL LOG Well Log (Y/N) No ,Wires proper!y protected (Y/N) Y Casing height (~bove ground) 1.2 C ~ Static water ~evel -',% · ft. i 'Well production "%. g,P.m. WATER SAMPLE RESULTS: - - · t[. i ~) colonies/100 mi. Coliform Arsenic: mg,/I. SEP~ICIi~OLDING TANK DATA Tank ~ype/Matenal st0el · Ta:nilJ;iz;tl'i000 gal.: Foundati6h cleanout(y/N) Y ? uate or pumping 7/1/03 ' 7-1-03 'i I 120 ' . i ff. !3.1 !~ I g.p.m. C; ~ Nitrate 1.~)2 mg./1. Date :of sample: 6~8~04 Number of C0, mp.a. rtmen~s 2 · Depression ov~rtank(y/N) N · ' PumPer Northland Pumpin~ Other bacteria '0 Collected by; ,: Cindy W. Ellis Date Installed 8/97 .[ Cleanouts iy/~) ¥ High water:alarm (Y/N) NA in. in. Any rejuvenation treatment (past 12 mo.) (YIN & bjpe). No Absorption rate t>= 600 give date - ABS~R,PtTION FIELD DATA - ' ' ' ' :. i !.:I Date~lnst~lled 8/97 · '. Soll rating (g,p~.d./ft~ °rft2/bdrm) 0.5 System type bed Length 50: ' ft. " Width ~ ,L.. ft. Gravel be!ow pipe. Infiltrato. rsft. Total~el~l~h 4.5 . ff.- Eft. absorPtion arb~: 900.. ~ :Monitoring tube Y 'O~resslon over field N Date of adequacy test 7/1/03 . . ': Results (Pass/Fall), PASS · - . , · :; ~. For.3 bedrooms Fluid depth in absorption field before test ~ ~ in~. Water added 593 gal. i [ New'depth 0.5 in. Elap;~d me: 480 min. ·Finai fluid depth o ' , g.p.d. colonies/100 mi. D. LIFT STATION Date installed N^ "pump on" level at~ Datum ~ :Manhole/Access(Y/N) in. "Pump off" level ~t in.. ' ' alarm level at in. Cycles tested Meets alarm & circuit requirements? ~- SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LoT TO: · Septic tank/lift station On lot 100+ Absorption field on lot 100+ Public sewer main 100+ .~. Sewer/septic service line 50+ On adjacent I°ts 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 20 ' ! ~' ;". Property line 60 Water main 100+ Water service line 90 Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:' Property line 20 Water Service line 80 Curtain drain NA Building foundation 20 Surface water 100+ ' 'Wells on adjacent lots 100+ Absorption field 10 Surface water 100+ Water main' 100+ Driveway, parking/vehicle storage. 10 F. COMMENTS Absorption field is constructed with Infiltrators, with 1.0 ft effective dept,,l~~ , ce~i~ that l have *te~ined through field inspection~ and ' , confo~ance with MO~ H~ guidelines in effect on this date. Date 6/21/04 : ', ~:" , ' , : ', ,,' HAA Fee $. 'Date of Payment Receipt Number (Rev. 12/01) Waiver Fee $ Date of PaYment Receipt Number 6--1~--0~;11:~6AM~ ;90T 5615501 ~ 2/ 3 ;S Ref.# lent Name · oject Name/# lent Sample ID atrix 1043214001 Watkins Engineering Kro~stad S/D Lot 2. Krogstad S/D Lot 2 Drinking Water All Dates/Times are Alaska Standard Time Printed Date/Time 06114/2004 9:07 Collected Dare,Time 06/08/2004 14:30 Received Date/Time 06109/2004 14:50 Technical Director Stephen C. Ede VSID 0 Released By mple Remarks: AHow'ab~ Prcp Analys~ ~'ameter Results PQL Units Method Container ID Limits Date Date ]nit ~ters Department Nitrate-N 1.02 0.100 mg/L EPA 300.0 B (<=10) 06110104 .crobiology Laborato=~ Total Coliform 0 colll00mL SMI8 9222B A (<='--1) 06/09104 DKC Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-501-02 1. GENERAL INFORMATION Complete legal description Krogstad, Lot 2 Expiration Date: Location (site address or directions) 10661 Our Rd Current Property owner(s) Beth M Muslija Mailing address 10661 Our Rd, Anchorage, AK 99516 Lending agency Mailing address Real Estate Agent Kevin Elfdnk /o ./!- o3 Day phone 346-1133 Day phone Day phone 727-2150 Mailing Address 3300 C Street, Suite 115, Anchorage, AK 99503 Unless otherwise requested, HAA will be held by DSD for plckup. 2. NUMBEROF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class ~ Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank [] Community On-site D Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water · supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a pdvate or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a pedod of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions In the professional engineer's work. 4. 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, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system Is(are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Watkins Engineering, Inc. Address P.O. Box 110443, Anchorage, AK 99511 Engineer's Printed Name Cindy W. Ellis DSD SIGNATURE [,'"'/ Approved for .~ Disapprove .d. Conditional approval for bedrooms. Phone 349-1851 Date July 3, 2003 bedrooms, with the following stil Additional Comments Attachments: ..~.. ~ HAA Checklist'" "' Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: (Rev. 01/02) Municipality of Anchorage Development Services Department Building Safety OMalon On-Site Water & Wastewater Program 4700 South Bmgaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onalte (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: K~tad, Lot 2 , . A. WELL OATA Wall type ~. Date completed lO.5 Total depth 150 fL Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform o ,, colonies/100 mi. Arsanlc: NA mgJl, B. SEPTIC/HOLDING TANK DATA Tank Type/Material ?~e...e~ If A, B, or C provtde PWSID # - Sanltmy seal (Y/N) ¥ Cased to 40+ fL FROM WELL LOG NA NA g.p.m. Nitrate 0.925 m0./i. Date of sample: 7n/03 Tank size !000 gal. FoundationcJ.eanout (Y/N) ~ · O~te of pumping 711103 C. ABSORPTION FIELD DATA Dateinstelled 8/97 Len Total depth 4.5 fL Number of compartments 2 Depression over tank (Y/N) n,, Pumper Northland, son rating (g.p.d./~ or~rodrm) 0.5 fL Width 18 ft. Eft. absorption area 900 ~ Monitoring tube Y Date ofedequacy test 711/03 ,, Results (Pass/Fall) Pass Ruid depth In absorption field before test o_ In. Water added 6,93 gal. Elapsed Time: 480 min. Final fiuld depth o in. Any rejuvenation b'eatment (past 12 mo.) (Y/N & type) no Parcel ID: 015-501-02 Well Log (Y/N) no VVlras properly protected (Y/N) ¥ Ceslng height (above ground) 12 AT INSPECTION 7-1-03 120 fL 3.1 g.p.m. in. Other bacteria 0 colonies/100 mi. collected by: Cindy W. Ellis Date Installed 8/97 Cleanouts (YIN) Y High water alarm (Y/N) na System ~ bed Gravel below pipe I-Infiltrators* fL Depression over field no For 3 bedrooms New depth 0.5 in. Absorption rote >= 600 g.p.d. If yes, give date - O. UFT STATION Date installed 'Pump on' level at Datum E. Size in gallons in. "Pump off' level at in. Cycles tested SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 100+ Sewer/septic service line 50+ Manhole/Accese (Y/N) High water alarm level at Meets alarm & circuit requirements? in. On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank na SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Absorption field 10 Surface water 100+ Building foundation 20 Property line 60 Water main 100+ Water service line .90 Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation 20 Surface water 100+ Wells on adjacent lots. 100+ Property line.20 Water Service line 80 Curtain drain na F. COMMENTS Water main 100+ Driveway, parkingNehicie storage 10 Absorption field is constructed with Infiltrators, with 1.0 ft effective depth. N_o_.j;I,l~jp._rock. G. ENGINEER'S CERTIFICATION -' Engineer's P.nted Name Cindy W. Ellis t~~'"~..~l HAA Fee $ 3 7 ~ Waiver Fee $ Date of Payment 7 ° ~ ' ~) ''~ Date of Payment. Receipt Number '~ ~ ~ [ t ~ Receipt Number (Rev. 12~1) i~t Name lent Sample ID at:ix 1033906001 Watkins Engineering Ktov. stad S/D Lot 2 Krogstad S/D, Lot 2 Drinking Water VSID 0 mple Remarks: All Dates/Times are Alaska Standard Time Printed Date/Time 07/07/2003 7:11 Colle~ed Date/Time 07/01/2003 11'.30 Received Date/Tin~ 07/01/2003 15:47 Allowable Pr~p Analysis 'ametcr Quail f'm'~ Results PQL Units Method Container ID Limits Dale Date Init tters Depat~'tm~nt Nitrate-lq 0.925 0.100 mg/L £PA 300.0 B (<=lO) 07/01/03 JJB .c=obiolo~r Total Coliform 0 col/100mL SMI8 922213 A (<=1) 07/01/03 . JS 33°- - Z .A - EASEMENTS OF RECORD. OTHER THAN THO~E SHOWN ON THE RECORDED PLAT ARE NOT SHOV~14 HEREON. AS-BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortagee': spectlon cE the following described property: Anchorage Recording Precinct, Alasks, ~ th.st .t~,e imp merits situated thereon ~re within the l~opert~ not overlap or enczoaeh on the proI~'t~ l~lng to, that.no improvements on property lying adjacent encroach on the premises In question and thai there roadways, transmission lines or other visible easemen said property except as indicated here~n. Dated st Anchorale, Alsska thl~ J':' '~ day of ,~.',;'F 19 ~nnED WALATKA & ASSOCl. ginecr$ and Surveyors WELTS Page 1 of 2 Record View For Key #; 12157 NOTE: PDF files requlre the Adobe Acrobat Reader for viewing: ~:~ Highlight rect items in leR column with your mouse to uiew definitions. Well Log PDF File: 12157.pdf Key J[12157 Owner [IJAHES, ALFRED Property Description[IKROSTAD L02 LAS or ADL Number: II Region: 1122A Date of Completion: 111/1/1965 Depth (feet): [1150 Meridian quadrant: iTownship: Range: 113 Section: [I15 rSecprts: IMap Number: [[1-33 Well Log Status: Driller: IJBERGSTEDT, PAUL Date of Entry: 111/14/1992 Data Tags: Remarks ( ;1): II Remarks (2): Remarks (3): Remarks (4): http://info.dec.state.ak.us/welts/dctail.asp?key= 12157 6/28/2003 I .WELL' DE$CRIPTION.',iAND.::OONS'~RUcTION. '~bdivts~on~' ~=~o~ · ' 'Lot ~ Block.' ~LT/~D~.. "' WELL YIELD 'g~ for · . ;?~rs .~t~h ' · .ft .drawd~n. Hethod of WATER LEVEL:.descrlbe MP: T~ ~ ...~ ' 'which ts'~f~'SO 1. ~'~c~:'' ''. ~ ~.~. '.. -'" ~ '"~¢' . . ~.~" ~''~ .~.. . . . ~ : J " APPLiC ,T FILLS OUT UPPER HAl, .)NLY Property Owher National Bank (Df Alaska Phone i R~lth Laba~ Mailing Address Pouch 7-025 Anchorage, Alaska zip Code 99507 265-2859 Buyer Bert R./BonnielJ. Bailey; Samuel/Rebecca Krogstad Address Star Route A Box 475-B Anchorage Zip Code 99507(Bailey's) Lendlng~nsUtu~ion National Bank of Alaska Phone Address Pouch 7-025 Anchorage, Alaska ZipCode 995{~0 265~2859 Realty Co. & Agent Phone Address Zip Code Lega~Deeeription 'I'12N R3W section 15 Lot 25B Street LocaUo~ 10661 Our Road Anchorage Type of Residence i~.f Single Family [] MuJtiple Family No. of Bedrooms_ '~WO [] Olher Water Supply ]~{IndividuaJ ATTACH WELL LOG. A well log is required for all wells drilled since June lg75. [] Community For wells drilled prior to that date, give well depth (atfach log if available). [] Public UfJlJty Sewer Disposal >~%I~Jndividual Adequacy test is on file Year Jndividuallnsfalled: [] Public Utility 19 8 2 When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time ..f Time Ih,s~peclo r Inspector Inspector Inspector,., / '~"'-~ ..2 ~4~ o ( °,~J~APPROVED BEDROOMS 'CQNDITIONS OF APPROVAL ( ) DISAPPROVED (~) CONDITIONAL APPROVAL' Soils Raling Date ~wer Installed Well To Absorption Area ]OO ~ Well Log Received 72-023 (3/82) ALASKA IqUIROIqm IqTAL COF1TROL S RUIC $, IFIC. ~n§in~rJn§ $ J~nui~onmcntoJ SKJdi~s o7/~8/82 MUNICIPALITY OF ANCHORAGE ?~? Cz '"F I;"t · ENVh . l! !1,/: .... 0 F ; 1982 RECEIVED NATIONAL BANK OF ALASKA POUCH 7-025 ANCHORAGE AK 99510 SELLER - NATIONAL BANK OF ALASKA BUYER- SUBDIVISION-T12N R3W BLOCK-SECTION 15 LOT-25B ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN ~tEA OF 720 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 2000 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 2 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 7/27/82 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 2 BEDROOM HOUSE. ~. ~ ~ Leroy~ReJd, Jr · z~ · ; ~ .~ .. , ~ ~."~,- 1250 IS ADEQUATE FOR ~220 LUest 25Ih Aucnu¢ · Anchoeoq¢, AI6sko 99503 · [907) 276-1361 HUN ! C [ PAL! TY OF ANCHORAGL MUNICIPALITY OF ANCHORAGE ,,/~0~, Department of Health and Environmental Protectl¢~c ....... ~ /~O~~ 825 L Street, Anchorage, Alaska 9950~Vh # :,,'/-' '~'~'-l ~ ~i - 264-4720 "'~ quest for Approval of Individual Sewer and Water Fad~i~~[: ~. Prope~ Owne~: National Bank of Alaska Ma~&ng Address: Pouch 7-025~ Anch. Ak. 9951fl Phone~ 265-2859 2 o Name of Buyer: Bert R. & Bonnie J, Bailey & Sam,e] & P~h~e~n.K~ogstad SRA Box 475-B Anchorage, Alaska 99507 {Baileys) 272-7123 wk. Mr. Mailing Address: 3105 W. 29th Anchora~a~ A]amk~ qqSO3__ph°ne: 276-4566 wk. Mr. Lending Institution: National Bank of Alaska Mailing Address: Pouch 7-025, Anchorage~ Alaska 99510 Phone: 265-295q _ Realtor/Agent: N/A Mailing Address: Phone: Legal Description: Lot 25B, Section ]-5 T12N. R3W Street Location: 10661 Our Road, Anchorage, Alaska Single Family Residence: (X~ Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Water Supply: *Individual Well (X) If Individual Well, well depth If Con. unity System, name of system Public/Community System ( ) Sewage Disposal System: *~On-site System (X) Public System If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 ..... DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR ~ MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF Ifi~AI.T~l & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~ONMENTAL PI~OTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAI. SANITATION DIVISION [q 0V '[- 1980 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE I 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 ~F-- 0~ PROPFRTY RFR!~FNT (If diffRrRnt frnm 2h~ve) [ PHONE PHONE MAILING ADD~ESS ~'LENDI~G INSTITUTION [ PHONE hi 4. REALTOR/AGENT PHONE MAI LING A~DRESS ' 5. LEGAL DESCRIPTION / STREET LOCATION 6. TYPE OF RESIDENCE ~' SIXIGLE FAMILY E] MULTIPLE FAMILY NUMBER OF~BEDROOMS E] One E~ Four ,~ Two [] Five [] Three [] Six [] Other 7, WATER SUPPLY .~ INDIVIDUAL~ COMMUNITY [] PUBLIC UTILITY ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ;or wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** PUBLIC IJTI LITY 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 [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] OTHER [] TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3, SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or []Holding Tank Size: If Tank is homemade give dimensions: PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line 5. COMMENTS DATE APPROVED FOR BEDROOMS CONDITIONAL APPROVAL (letter must accompany certificate) DISAPPROVED 72-010 (Rev. 6/79) 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEO;~GE M. SULLIVAN, MAYOR DEPAR]MEN¥OF tlEALTI{ AND ENVIRONMENTAL PROTECTION November 14, 1980 Dean A. Steelman Star Route A Box 1721-T Anchorage, Alaska 99507 Subject: T12N R3W Section 15 Lot 25B The following items are in addition to the letter of November 12, 1980. (1) The top of the well casing sealed with a sanitary seal so that it is water tighE. (2) The septic 'tank pumped with a receipt submitted to this department. If there are any further questions, please call this department at 264-4720. Sincerely, Robert Co Pratt, R.S. Associate Specialist RCP/ljw cc: National Bank of Alaska Pouch 7-025 99510 ANClt()IaA(~E, ALASKA 99501~ '- (907) 264 4111 November 12, 1980 Dean A. Steel_man Star Route A Box 1721-T Anchorage, Alaska 99507' Subject: T12N R3W SeCtliOl] ]_5 Lot 25B Approval for your indiv:Ldual sewer and water facilities cannot be granted until the .following items have been comp].eted: ( ) A well log submitted to this department for our review. The top of the well casing sealed with a sanitary sea]. so that it is water tight. The depression oz.' pit around the well casing needs to be f'i. 1].ed with impervious type soil so that it slopes away from the well casing. The well casing extended twelve(12) inches above ground level. The water facilities were not turned on at the time of the inspection. Please call this department to reschedule an appointment for the water sample. (x~x The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our' review. (x~x Expose the well for our inspection to determine proper construction, also to insure minimum distance requirements are met between your well and sewer system. (/ The sept.ic tank pumped with a receipt submit:ted to this department. Dean A. Steelman · Page Two November 12, 1980 (x~x The septic tank pumped with a receipt submitted to this deparment. The total number of gallons pumped need to be on the receipt to verify the size of the tank. This will need to be verified by a registered engineer prior to submittal. Expose the septic tank manhole to verify its existance. This will need to be reinspected by this department. Locate and expose the standpipe to the seepage pit for our inspection. This is to insure the minimum distance requirements are met between your well and sewer system. A four'(4) inch cast iron cleanout needs to be installed to the septic tank and/or leaching area. A~% adequacy test be performed on 'the existing leaching area. ~£his test will determine if the system is adequate according to National Standards. A listing of private fiz~ns performing the test is enclosed. This report needs to be submitted to this department for our review. ( ) Your permit fo]: the installation of an on-site sewer system has expired as of December 31, 19 We have not received the as-builts of the installation in this office. If a private engineer inspected the system, please send us tile report for our files and review. ( ) Your application shows the number of bedrooms exceeds the number the sewer system was originally designed for. An upgrade will be required. Prior to any upgrade, a permit needs to be issued from this department. Please notify this department for a reinspection when the noted descrepancies have been corrected. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: National Bank of Alaska Pouch 7-025 99510 GREATER ANCHORAGE AREA BOROUGH · Department of Environmental Quality 3330 "C"~Street, Anchorage, Alaska 99503 274-4561 .~,~f~f' ~,~- Date Received August 23, 1976 ~'~'~'/~1o dm~' ~ Time of I~spection //.~ ~ /, ,' ~/- ~ ~ / ~.~" Date of Inspection g-~%~-~ /~'3~ ~ ~ INDIVIDUAL SEWER & WATER FACILITIES FOR V.A. 1. Approval requested by: % Dynamic Realty Dale Hopkins Mailing Address: 50;L West Northern Lights 2. Property Owner: Alfred James Mailing Address: ~ ~" Phone: 279-7611 · ~hone: 344-1834 3. Legal Description: T12N R3W Section 15 Lot 25B 4. Location: Off O~Malley ROad 5. Type of facility to be inspected 6. Well Data: A. Type Individual C. Construction Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: Single Family No. of bedrooms 2 · B; Depth D. Bacterial Analysis On-site System (possible perc pit test required) B. Installer 1. Size ]. Absorption Area Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank 2. Manufacturer , Absorption area , Other contamination , Absorption area C. Absorption area to nearest lot line 2. Material , Sewer Lines , EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Rec, ;t for Approval of Individual S ~r & Water Facilities Legal Description T12N R3W Section 15 Lot 25B Comments Approval ,Va]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) MUNICI?^D'~ OF ANcBORAGE DEPT. OF HEAE~[H & MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY .3.~LgO'-'rt" ~t,~, Anchorage. Alaska 99503 - 274-4561 FIEQUEST FOR APPROVAL OF INDIVIDUAL SFWER and WATER FACILITIES Type of Inspection: CMRO VA Property Owner: ,./~/ Mailing Address: ENVtRONMENI'AL pRO~f_cTION 3, Name of Buyer: FHA CONV Day Phone Mailing Address: 4. Name of Lending Institution: Day Phone Mailing Address: Name of Realtor or Agent: Mailing Address: Phone Phone ~,~2~ ' 7~'~/? 7. Type of Facility to be inspected: _,~--~,~_~ No. Bdrms. ~ 8. Water Supply Type of Supply: Public Utility Individual / If Individual, number of dwellings presently served ~' EQ-037 (1/74) If Individual, depth of well Sewage Disposal System Type of System: If Individual, date of installation Public Utility Individual (on-site) i%CP/ijh