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HomeMy WebLinkAboutKASILOF HILLS BLK 4 LT 2Onsite File Kasilof Hills Block 4 Lot 2 #015-161-39 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221162 PID Number: 015-161-39 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name JOSHUA & MEGAN CHELF ABSORPTION FIELD - ADVANTEX ❑ Deep Trench ® Wide Trench ❑ Bed ❑ Mound Site Address 10900 KASILOF BLVD., ANCHORGE 99507 ❑ Other Phone of Bedrooms Soil Rating Total depth from original grade 7Number 3 2.0 GPD/SF 6 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3 Ft. Gravel depth beneath pipe 3 Ft. Subdivision Block Lot KASILOF HILLS 4 2 Fill added above original grade VARIES 0.34' — 1.21 Ft. Gravel length 30 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 258 Ft2 1 -- Ft. Well 50'+ 50'+ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ® Other ADVANTEX Manufacturer ORENCO / ANCH. TANK Capacity 1500 Gal. Surface Water 50'+ 50'+ Material FIBERGLASS Number of compartments 2 Lot Line 5'+ 5'+ NA Foundation 10'+ 10'+ LIFT STATION Manufacturer ORENCO Capacity 1500 Gal. Remarks Removed & replaced existing septic with an Advantex system. Alarm location BASEMENT Electrical installed by RISING SON ELECT. Installer DENALI EXCAVATION PIPE MATERIAL House to tank 3034 d a afield Tankto 3034 Drainfield 3034 co/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection 15` 9/29/2022 2nd 10/03/22 Location and description 3'd 10/03/22 41h 10/04/22 TOP OF MAN HOLE ON -SITE WATER AND WASTEWATER SECTION APPROVAL "��' ' • • ' ��� Conditional Approval: Date .� • ' • • , t� .. .. ....... z• •• •••• ••••••••••/ Curtis Huffman Septic System Approved - Date Z tr 20 -L �'�••• CE 128991 , •4,� �G�slF�. , 2/9/2023 , •�C��_� FO ROFES � Note: this approval does not include well permit requirements. �pROFESS10�t'.. kf vv volvel 10! PERMIT: OSP221162 PID:015-161-39 N89"55'50"W 165.46' 30' INSTALLED NEW ADJACENT WELLS 1500—GAL ADVANTEX ARE 100'+ FROM FAP 2.0 SYSTEM. NEWLY INSTALLED C AX SEPTIC SYSTEM. DFCO pp O MH 7 f D EO e` ELCT DECK [D PORTAL C G ATO ION O T F J INSTALLED NEW 30'L X 5'W X VED A 29 50' WELL � Y 0' RADIUS �O. I TH22-1 a DECK O 00 F- I co 9.5' zo DECK 35.0' O MT,„'�� '� P�ti w CO 3 BED OUSE Ld b O B 5' MWELL o ( LOT 2 CANT o — BLK 4 DECK GRAVEL O I D/W z ADJACENT WELLS ARE 100'+ FROM 8.0. NEWLY INSTALLED AX SEPTIC SYSTEM. A—C=30.1' DCO ELECT CO MT B — C = 6 5.1 ' FCO 99.33 BM: MH TOP PORT 97.09 FINAL GRADE MT C 1 96 22 TH22-1 A— D = 31.7' ORIGINAL GRADE 95 .88 B — D = 6 5. 6' AnO POD ORG/OL/FILL A—E=29.1' 3' 96.70 2.88 92.88 B — E = 6 0.6 95.67 1500-GAL APPROX SEWER ROCK GM FAP 2.0 DISCHARGE A— F= 26.7' ADVANTEX 89.88 89.88 TANK / SYST B—F=57.4' aNDillR. A—G=26.3' 90.57 REMOVED ALL BIOMATTED MATERIAL 5/16/22 & ADDED 2-3' MOA SAND 12' B—G=49.4' 83.88 BOH A—H=23.1' SEPTIC SECTION B—H=46.9' SCALE: NTS A-1=36.3' B-I=26.8' KASILOF HILLS BLK 4 LT 2 SUPPORT SERVICES: _ _ OF B—J=25.3' PREPARED FOR: �`�tSy MEGAN A. & JOSHUA J. CHELF �`� 10900 KASILOF BLVD 9 TH ANCHORAGE, AK 99507 FIRST WATER CONSULTING DATE 13030 Sues Way : 2/3/2023 rtis Huffman :,a Y SURVEY. JLS CE 128991 `� Anchorage, Alaska 99516 DRAWN: FWCS /3/2�'�AO (907)350-9566 SCALE: 1" = 302023 ' /3/2 23 firstwaterAK@gmoil.com ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: KASILOF BILLS SUBDIVISION LOT 2 BLOCK 4 PLAT 66-96 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shouh any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DAIS: SCAM E—MAJU NOV 3, 2022 1"=30' schuller¢ak.net 22-028-2 DRAAN BY: CHECKED BY GMD NUMBER: BOOK/PAGE: JLS SW2641 220360 ® = FND 5/8" REBAR ..F AL��1� ® AgTH 4HN L. SCHULLER.- LS-10408 ���°fessionai Lo SUS V� j x ^�to 4 O 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax MUNICIPALITY OF ANCHORAGE nor n t s, On -Site Water & Wastewater Program �a 4�1 PO Box 196650 4700 Elmare Road i Anchorage. Alaska 99519-6650 Phone: (907) 343.7904 Fax: (907) 343-7997 r� http:llwww. m u ni, o rgloPs i to r. "Heyax.at l)c:p,irtauni On -Site Wastewater Disposal System Permit Permit Number: OSP221162 Effective Date: 712112022 Work Type: Septic Upgrade Expiration Date: 712112023 Tax Code Number: 01 51 61 39000 Site Legal Address: KASILGF HILLS BILK 4 LT 2 G:2641 Site Mailing Address: 10900 KASILGF BLVD, Anchorage Owner: CHELF JOSHUA J & MEGAN A Lot Size in Sq Ft: 28088 Design Engineer: FIRST WATER CONSULTING Total Bedrooms: 3 This permit is for the construction of: A Disposal Field © Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. 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) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurface sail absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By:i�' 7122122 Date: Date: MUNICIPALITY OF ANCHORAGE Development Services Department -r Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-161-39 Property owner(s) JOSHUA & MEGAN CHELF Day phone Mailing address 10900 KASILOF BLVD., ANCHORAGE, AK 99507 Site address 10900 KASILOF BLVD., ANCHORAGE, AK 99507 Legal description (Sub'd., Block & Lot) KASILOF HILLS B4, L2 Legal description (Township, Range & Section) Lot Size 28;088 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank 0 Upgrade El Duplex (D) El Holding Tank ❑ Renewal El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage THIS APPLICATION INCLUDES A 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: 59 Waiver Fees: Date of Payment: 5/; Date of Payment: Receipt Number: (016 go l Receipt Number: Permit No. O.S P ZZ 1 16 Z Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13021 Montego Circle, Anchorage, AK 99516 907-350-9566 / FirstWaterAK@gmail.com June 1, 2022 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: KASILOF HILLS B4, L2 PHYSICAL: 10900 KASILOF BLVD., ANCHORAGE, AK 99507 The septic field has been found failed and possibly encroaching groundwater and we request a septic permit to upgrade the system on the above referenced lot. We propose to remove all biomatted material, add MOA sand as needed and replace in the same location as the existing field a 30’L x 5’W x 3’ED trench with and Advantex system to serve the existing 3-bedroom residence. The design is based on the recent test hole conducted on May, 2022. The slopes are moderate at approximately 10% at the proposed upgrade location. Steeper slopes exist westward of the existing 1975 field, but no evidence of day lighting was observed in the silt soils that would more than likely fail vertically prior and there was no down gradient slopes over 45% observed per the design. The lot and area are served by private water and with the Advantex system, the design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Attachments: As Noted Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221162, Rebecca Carroll, 07/21/22 DESIGN CALCS: NO WELLS WITHIN 100' OF PROPOSED SEPTIC TANK STEEP SLOPE PROVISION MET PER AMC15.65.210B.4 NO SLOPES >45% WITHIN 50' OF PROPOSED FIELD OR DAYLIGHTING OF THE EXISTING 1975 SEPTIC FIELD OBSERVED. FIRST WATER CONSULTING KASILOF HILLS BLK 4 LT 2 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221162, Rebecca Carroll, 07/21/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221162, Rebecca Carroll, 07/21/22 4661 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: KASILOF HILLS B4 L2 PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/17/22 DEPTH FEET OG SOILS 1 ORG/OL/FILL 2 3 4 5 6 7 8 GM 9 10 11 12 13 BOH 14 15 16 17 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 5/16/22 30 min 6” 1 7/16” 30 min 6” 1 7/16” 30 min 6” 1 7/16” PERCOLATION RATE 21 (MIN / INCH) TEST RUN BEWTWEEN 4 & 5 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: YES IF YES, AT WHAT DEPTH: 11’ DEPTH TO WATER AT MONITORING: 11’ DATE: 5/16/22 TESTHOLE # 22-1 DATE PERFORMED: 5/2/22 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: JOSH & MEGAN CHELF 5/17/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221162, Rebecca Carroll, 07/21/22 C C C C E I ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: KASILOF HILLS SUBDIVISION LOT 2 BLOCK 4 PLAT 66-96 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shoul( any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE- SCALE: E—MAIL- APR 20, 2022 1 =30' schuller0ok.net 22-028 DRAW BY. ICHECKED BY: WD NUMBER: BOOK 7AGE: — JLS I SW2641 1 220158 * = FND 5/8" REBAR su)? V 0 F 4 A.►.. t �,V L A IV 0 *'s� -N, 1p /` ..` 49TH.7 =� . * .................... . .... ..0 Ile �'A *C;o C •J N L. SCHULLER: 0 s'X LS -10408 1831 Talkeetna Street 1 Ar d'f` AAnchorage, Alaska 99508 XW AMW`` o �e a� L ,.., (907) 227-1455 office ��� ssio`��.�. (907) 274-4992 fax I MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" wade and entered into as of this 18th Day of JU1Y Josh Chelf of 20 22 , by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as AN ADVANTEX SYSTEM located at (legal description) KASILOF HILLS B4, L2 2. Maintenance Repairs and Alterations. (Owner is required to read, understand and initial each section) JC Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. JC It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). JC Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. JC Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 0511812018) Page 1 of 3 JC Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. JC Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. JC Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. JC Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. JC Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. JC Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 GREA' t ANCHORAGE AREA BORO 3H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ~ b~ ~ 'j SEPTIC TANK: DISTANCE "~ MANUFACTURER INSIDE WIDTH FROM WELL ' INSIDE LENGTH MATERIAL NUMBER OF COMPARTMENTS __/ _ LIQUID DEPTH LIQUID CAPACITY /d'~)GAt. LONS. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ___ ABSORPTION AREA DISTANCE BETWEEN LINES / TOTAL LENGTH . ._- // NEAREST LOT LINE J'~ OF LINES -~;"'~ / TRENCH WIDTHS/ IN. TOTAL EFFECTIVE IN. ABOVE TILE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE . MATERIAL BENEATH TILE WELL: f t¢¢)~ TYPE BLJILDING FOUNDATION CESSPOOL. APPROVED CONSTRUCTION NEAREST NEAREST SEPTIC LOT LINE SEWER LINE TANK __ OTIIER SOURCES DISAPPROVED REMARKS DEPTH .... DISTANCE FROM: SEEPAGE SYSTEM ..... SEWER LINE DEPTH: PIPE MATERIAL' LOT SLOPE: ~ ..4'~;' /..~'-- REMARKS: DIAGRAM OF SYSTEM G.A.A.B. Form EQ-O32 GR~A' ~ ANCHORAGE: AREA BORe SEWAGE DISPOSAL/~YSTEM -- APPLICATION AND PERMIT ...~ .- ,, ~ COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION bY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE.~,REQUIREMENTS / FOUNDATION TO SEEPAGE PIT · DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL ~'*"~¢" SEPTIC TANE , SEEPAGE PIT , DRAIN FIELD TO NEAREST LOT LINE. /~ WELL TO SEPTIC TANK ____ * ...... SEEPAGE PIT D RAI N FlEL D --~/~/r , ALS O C O N SI DER ARE A WELLS. WATER MAIN TO SEPTIC TANK , SEEPAGE PIT DRAIN FIELD SEPTIC TANK, ., SEEPAGE PIT , DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDfSTURBED SOIL. 4 INCH DIAMETER CAST iRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITM AIRTIGHT REMOVABLE CAPS. CONFORM TO BOROUGH ~EGULATIONS Rr<GARDING INSTALLATION. OR I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-§8 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~ /% DATE APPLICANT'S SIGNATURE ~ ~ ~ ~ 1~ ~ ~ ~ ~ ~Bruce Clifford > ~ ~ · ~-~': :~_.!~ '~' , -' ' .'~ .','i'~LI ~i~.~ '-~ ~ii~fi. lj" .,~:~ iJl ii,,: Kassiloff Hills I .P~ I 'lhe sediment layers were ~ SO[kJ. . ' p , t f~r.4y consistanr, but the ~ '~-.~ depth to the vamious layers 11 12 Gm 'bo did vs~y somewhat. sediments wore compact with a high moistmre content. Gm ............................. I l :;-'- ': 'zi'-' :,- ' .... ~' ':1 .... ;: ': : ~ -. m:~}::.. ~.: 1 Zt~'O~--Sb-'O~:F~'-I~'"~t/b~m~ 1 ft S~ aS 125 ~'~'~I: J .~ ~,~'r~d t~.Percco f;,,,~J.O July 203W 15~h AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOT 2, BLOCK 4, KASILOFF LOCATION: 10900 KASILOFF BLVD. OWNER: BRUCE CLIFFORD TYPE OF WELL: SINGLE FAMILY WELL LOG AVAILABLE: NO. INSTALLATION REQUIREMENTS MET: NO. CASING LESS THAN 12 INCHES ABOVE GROUND. WIRES NOT IN CONDUIT. PUMP YIELD: 4 GPM. DATE OF INSPECTION: JULY 18, 1986 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 8 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. A TOTAL OF 350 GALLONS WERE WITHDRAWN. AT THIS TIME THE FLOW WAS CUT BACK TO 4 GALLONS PER MINUTE. AN ADDITIONAL 100 GALLONS WAS DRAWN. THE STATIC WATER LEVEL WAS FOUND AT 48 FEET. AFTER 350 GALLONS OF WATER WAS PUMPED THE WATER LEVEL WAS 147. DURING THE NEXT 100 GALLONS THE WATER LEVEL DID NOT CHANGE. 20 MINUTES AFTER PUMP SHUT OFF THE WATER LEVEL WAS UP TO 97 FEET. TOTAL WELL DEPTH IS 152 FEET. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON JULY 19, 1986. TEST WAS NEGATIVE. TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. '~ ~7,' ...... ': ' ~ . ,.'. ,. ,> ~ ~ ~ ANCHORAGE, ALASKA 99501 CONSULTING ENGINEER TELEPHONE (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOT 2, BLOCK 4, KASILOFF HILLS LOCATION: 10900 KASILOFF BLVD. OWNER: BRUCE CLIFFORD RESIDENCE: SINGLE FAMILY, THREE BEDROOMS SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: GREER STEEL, ONE COMP. 1000 GAL. ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 770 SQ. FT. SOIL RATING: 225 INSTALLATION DATE: JULY 1975 ]DATE OF PUMPING: JUNE 9, 1986. NORTHLAND PUMPING DATE OF TEST: JULY 18, 1986 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH THREE FEET OF COVER. LIQUID LEVEL WAS 49.5 INCHES. CLEAN OUT TO TRENCH WAS THREE FEET DEEP AND DRY. SUMP IS SIX INCHES DIAMETER AND NOT PERFORATED. TOTAL DEPTH OF SUMP 127 INCHES. 60 INCHES OF LIQUID. WATER WAS ADDED TO TRENCH CLEANOUT AT A STEADY RATE OF 8 GALLONS PER MINUTE. THE WATER LEVEL IN THE SUMP ROSE IMMEDIATELY 19 INCHES AND STAYED AT THAT LEVEL DURING THE REST OF THE TEST. A TOTAL OF 450 GALLONS WAS ADDED TO THE TRENCH. THE WATER LEVEL IN THE TANK WAS MONITORED WITH NO RISE IN THE WATER LEVEL NOTED. WITHIN 25 MINUTES AFTER THE WATER WAS STOPPED THE WATER LEVEL IN THE SUMP NAD DROPPED 12 INCHES. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES On-Site Services Transmittal Sheet The attached paperwork has been reviewed and is being returned for the following reason(s): __ Discrepancy in legal description and/or owner name. __ Discrepancy in number of bedrooms. Signature and/or stamp missing on Show measured distances to sewers/wells, curtain drains and streams within 200 feet of proposed system. Replacement disposal site not shown and/or tested. Calculation error in design. Show locations of all soils, percolation or water table tests. __ Proposed system too deep for soil test submitted. __ Topographic information missing or inadequate. __ Narrative missing or inadequate. __ Additional soil/perc,test needed. __ Sand filter requirements not satisfied. __ Water monitoring results missing or inadequate because Incomplete; m i s s i n q,/~c~44 ¢~r~fcw Please sup[ request. Reviewerf ly the necessary information and re-submit your iF LEA VE THIS FORM ATTACHED TO PAPERWORK /203-rev. 4/93 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEAL TH & HUMAN SERVICES On.Site Services Transmittal Sheet The attached paperwork has been reviewed and :ks being returned for the following reason(s): Discrepancy in legal description and/or owner name. Discrepancy in number of bedrooms. Signature and/or stamp missing on "- Show measured distances to sewers/wells, curtain drains and streams within 200 feet of proposed system. Replacement disposal site not shown and/or tested. Calculation error in design. Show locations of all soils, percolation or water table tests. Proposed system too deep for soil test submitted, Topographic information missing or inadequate. Narrative missing or inEIdequate. Additional soil/perc test needed. Sand filter requirements not satisfied, Water monitoring results missing or inadequate because Incomplete; missing .X Well log required. Water sample unacceptable because__ Prel;ua~t?UpPyol~rtch~o~;~oanrY%~n~rmeac~et~.nd re-submit your V~AW rH, S ~O~MArrACH~ ro ~,A~,~,wo~¢ ¢ ¢ IV ~!¢ /203-rev. 4/93 Dept. Health 8, tquman Services 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLF_ FAMILY DWELLING 1. GENERAL INFORMATION Completelegaldescription LeT ~ ~g ~. Location (site address or directions) I0 c/¢-0 ~AGl z-O F ~l-.t,/ j3 Property owner Mailing address Lending agency Mailing address Day phone Day phone 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: 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 5. STATEMENT OF INSPECTION BY ENGINEER Sm As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Au!hority 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 '-'~ ~ ~-.(~4 Address Engineer's signature DHHS SIGNATURE Approved for '~ Disapproved. Conditional approval for ~~hedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The 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. 72-025 (Rev. 1/91) Back MOA~I Legal Dcscril)tion: _ A. WELL DATA Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"1." Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist MUNICIPALII¥ OF ANCHoret:: ENVIRONMENTAL SERVICES DIVI$10N Well type '~ Log present (Y/N) Total depth SanitaL'y seal (Y/N) If A. B, or C, attach ADEC letter. ADEC water system number Date completed lq 7:5 Cz, seato / o Casi.,ghc, ht(a oVegro.nd, y' Wires properly protected (Y/N) FROM WELL LO~ AT INSPECTION Date of test [~¢ ~' Static water level < t~' ~ / Well production g.p.m. ,~ ,,z~ WATER SAMPLE RESULTS: Coliform ~ Nitrate ~./ ' ~'f'~ Other bacteria ~ / - Date of sample: 1112.¥¢/,~' Collected by: T7 -~ B. SEPTIC/HOLDING TANK DATA Date installed ~/////,~'..~' Tanksize/¢OO~ft/ Numberol'Compamnents~ / _¢leanouts(¥m) Foandation cleanout (Yin) __~ Depression (Yin) ~ lligh water alarm Date of Pumping '~/¢~ Pa,nper ~ * C. ABSORPTION FIELD DATA'~ Date instatled '¢//Ter Effective absorption area 7 Date of adequacy test t~q ~ Fhfid depth in absorption field before test (in.): Peroxicie treatment (past 12 months) (Y~) Soil rating (g.p.d./fl2 or ftz/1}drlll) ¢~Oc~~ Systeul type Gravel thickness below pipe il Total depth ,. __ Monitoring Tube present(Y~) ~. Depression over field (Y~) Results (Pass/Fail) '~ For ~ bedrooms hmnediately afier~gal, water added (in.): Absorption rate = ~0 g.p.d. [~ yes, give date D. LIFT STATION Date installed Size io gallons Maohole/Acccss (Y/N) "Pamp on" level at* "Pump ofF' level at* High water alarm level at* *Datum Cycles tested Eo SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tamk art lot ___ ]_,/~ [ : On adjacent lots Absorption field oo lot t fYI.) t : On adjacent lots Public sewer main bl//A Public sewer lnanhole/cleanoat Sewer/septic service line .~ ~ ~ t Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 0]2 t~e2;> ~ t Property line ~ /O Absorption field t Water main/service line '~ e~,f3~ Surface water/drainage /x/'/O Wells O11 adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation Surface water Cttrtain drain ~'/ Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots ~'/~:~1:~ Proper~ linc Fo ENGINEER'S CERTIFICATION I certiJ)~ that 1 have determined thrufield inspections and review oJ'Municipal ~ ~cords 'th~it:th~ 'above systems are in conformance with MOA ItAA guidelines in ff.~ect on this date. Signatur~ ~ ~. Waiver Fee $ Date of Payment Receipt Number .zTt CT&E Environmental Services Inc. L a b o r a t o ry D i v i s i o n r~`~w~w~w~`~r.~r~-~r~J~J~JJsiJJJJ~J~ Drinking, Water ' v- '~ Anal. >~ Report for Total Coliform Bacteria 2oo,,,~. ~o::.~, READ I. YSTR UCT!O.VS O.V R-EFERS£ SIDE BEFORE COLLECTI.'VG SA3IP£E Tek (907) 562-23-z3 Fax: (~07) 561-5301 .NFo'ST BE COMPLETED Bk' WATER SUPPLiER PUB L IC VVATER SYSTE),I }'.D. -~ I I!1 PRIVATE WATER SYST£M Ii Send Resaltg ,'q' Send Irt'.'oive Xend Rex'airs U Send [nvotce 5[onth Da?' Year SAMPLE T-rTE: gr/ Routine U Treated \Vater U Repeat Sample (for routine sample .Ur'/ Untreated Water with {ab reft no. ) ,2 Special Purpose Time Collected SAS'EPLE LOCATION Collected By TO BE COM?LETED B\ L.x. oO~-x_4. TO:x5 Anai~sis shows :.*,is Wa:er SAMPLE lo be: 5amole ore: 30 hours ,to. ,,>,.h> m_ ' be unreiiab~e ,~ bamoie too long m vaa$',~: >amole Should no~ be over 48 hours old at examination ~oindica~e~eliablec~suits. P~easesead new sample via soezia[ ~[ive~' mail. Dare Received ' I{ /~ ' Time Received O00 O Analysis Began /~ Analytical Method: j./G~"Membrane Filter O MMO-MUG · Number oP'colonies,'100 mi. Lab Ref. No. Result* AnalySt Sent m A.D.E.C. ~ gbks .Jun Client notified of unsadsfactoo' results: Phoned Spoke ~,/th Dare: Time: Comments: BACTERIOLOGICAL WATER AxN.-~LYSIS RECORD MMO-?,FL'G Result: Total Coliform Membrane Filter: Direct Count Verification: LTB BGB Fecal Coliform Confirmation Final ~Iembrane Filter ,----, Results ,~ E. Coil Colonies/100 mi COLIFIRM r/' Coliform/100 mi //' Oq' 55 Time / ~% hrs PART 0:"!r OF 1%:¥O .... ""' ' "'" Member of the SGS Grouo (Soci~t~ G~nerae de Surveillance) CT&E Ref.~ blatrix Client Sample ID Client Name Ordered By Project Name Project~ PWSID CT&E Environmental Services Inc, Laboratory Division ~',~,',~,'~.,f',,~',;',,~:Jf'.,~'jf:,ff;~,'.df'.~rJr,~'.dr, f',dZ~'~J 95.4 61-1 Laboratory Analysis Report WATER L2 BLK4 KASILOF TOBBEN SPURKLTdqD, P.E. UA WORK Order 19441 Printed Date 11/08/95 @ 12:12 hrs. Collected Date 11/02/95 @ 17:25 hrs. Received Date 11/03/95 @ 08:00 hrs. Technical Director STEPHEN C. EDE Sample Remarks: SAMPLE COLLECTED BY: T.S. Qc Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Init Nitrate-N 3,1 mg/L EPA 353.2 10. 11/03/95 CMR See Special Instructions Above UA = Unavailable ** See Sample Remarks Above NA = Not Analyzed 1~= Undegected, Reported value is the practical quantificati'on limit. LT = Less Than D]= Secondary dilution. GT = Greater Than 200 W. Potter Drive, Anchorage, AK 9951 8-1 605 -- Tel: (907) 562-2343 Fax: (907) 561-530! 3111 "C" Street. Suite 10t) ~nct orage, Alaska 99503 Office (907') 26!.-76(X) Fax (907) 26 t-767() Mr'. Tobin Spurkland Re Lot 2 gk 4 Kasilof Hills Sub Well head casing encasement On 10/18/93 I spoke with the Muni Health Oept regarding the encasement of my w~ll head in a 2x3 concrete vault, They suggested i pack Benite Grout in the vadlt to a depth of d feet arid run a drain to daylight. The work was done by the owne_~-~¢'~ Alask~ Design John Rockwell and I was o?~.hand to supervise. ~ /3~ )ntut · : ow~e/? / 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 GENERAL INFORIVtATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2 BLock 4 Kasilof Hills Subdivisoin Location (address or directions) (b) Applicant Name Bruce Klifford Telephone: Home 346-2050 Business 266-1680 Applicant Address (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer E]; Other [] (explain); __ (d) Lending Institution Alaska Statebank Telephone Address 310 East Northern Lights Boulevard 99.503 (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Number of Bedrooms three Other WATER SUPPLY Individual WellXl~] Community [] Public [] 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. Page 1 of 2 72-025 (~1,84) 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 all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm__T°bben Spurkland, P.E. Telephone Address Date __ Engineer's Seal This department has received written confirmation from the engineer regarding the Conditional Approval of July 30, 1986. The corrections have been accomplished and an inspection has been completed by the engineer. The subject property meets with Municipal standards and is now approved. Approved for ~tlree (_~O-- bedrooms by Approved ~'~XX.XX Disapproved Con(CiJional __ Date Augus~ 21, 1986 Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the 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 72-025 (11/84) WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRU;ARY 1984 264-4720 MUN'iCIPAI. ITY OF ANCI DEPT. OF tlE/.,LTfl & ENVIRONMENTAL PROi i.%1-1C)?,1 198(' Well Classification Well Log Present (Y/N) Total Depth /(~'/ Static Water Level 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) Date co_mpleted. __/~ ~""' _____Yield ~ased to ~ Depth of Grouting ,~/~ .... ~ Pump Set At ~// ~ Sanitary Seal on Casing (Y/N) ~ Depression Around Wellhead (Y/N) To Nearest Edge of Absorption Field on Lot .,/t~¢/ To Nearest Public Sewer Line / .~,~//~// To Nearest Public Sewer C eanout/Mani' o e ,/'~..///'~ / To Nearest Sewe' Serv ce b ne o0 Lot Water Sample Collected by '/,',/"~. ~'~-¢/,/~ ..¢~, ; Date -- Water Sample Test ~Results-~ ~ g~. '~'~A '~ Comments ~"'~-"~-- ~~ ~ /~0/ ; On Adjoining Lots ; On Adjoining Lots B. SEPTIC/HOLDING TANK DATA Date Installed 7,/7,..~ Size ,/~;~/~ No. of Compartments / Standpipes(Y/N) y (/') Air-tightCaps(Y/N) ?/ FoundationCleanout(Y/N) y Depression over Tank (Y/N) /~ , Date Last Pumped .~z/~¢~¢/ Pumping/Maintenance Contract on File (Y/N) //~//~¢- ; for .~ Holding Tank H gh-Water A arm (Y/N) ~//~ Temporary Holding Tank Permit (Y/N) · r/// '~ -/~, Separation Distances from Septic/Holding Tank: To Water-Supply Well _~/~'~ / To Property Line _ ,.~/~) To Water Main/Service Line Course //~-//D Comments To Building Foundation _~/~8/' 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 bver Field (Y/N) Results of Last Adequacy Test ~"~' ,'¢ 7' 2//~22/2-¢/ Type of System Design Length of Field Depth of Field ,,//~ Gravel Bed Thickness /// Standpipes Present (Y/N) y Date of Last Adeauacy Test .. , Separation Distance from Absorption Field: / To Water-Supply Well /~'¢~4¢2 To Building Foundation 3.~ / Lot //'~/,/¢ / To Water Main/Service Line ,~,_/4~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Are~t, or Vehicle Storage Area To Property Line ,..~O '/ To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) ~./4 Comments 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 Page 2 of 2 72-026 (11/84) ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified,.¢.,r conformed to al.J. MOA/and HAA guidelines in effect on the date of this inspection. Signed ~ ~'~'~"~-~"~ Date Company .~. ~-~ .~'[~'~"~ MOA No. ~,~,?,%..'; ~. h:, .~,~ Date of Payment r} ~ ":'"(2 ~"! /¢~:'.49Z.~ / -& ~' Engineer's Seal Amount: $ (O%' b..¢? GENERAL INFORMATION (a) (b) MUNICIPALITY OF ANCHORAGE " ~ ) ~ ' ,~ ~ ;~' r=~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECl'ION !i i DIVISION OF ENVIRONMENTAL HEALTH : CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application" Date '~ ~- Legal Description (include lot, block, subdivision, section, township, range) Applicant Name ~" ~U~ T;op'h~ne:Home'~q~'~*~"O Business AppLicant Address (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer El; Other [] (explain); (d) Lending Institution ~I~,4~.~_ S .,~"~ ¢' '~,,,~ Telephone Address _..~,iO ~ N,~, ~!~ ~~ ~ ~ (e) Real Estate Company and Agent ~ . Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCF Single-Famil¥~ Multi-Family~[] Number of Bedrooms --~ Other 3. WATER SUPPLY Individual WellA Community [] Public [] 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: Iffcommunity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) 203 W. 15th AVE 'C' SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION AUGUST 21,1986 Re: Conditional Health Authority Approval Lot 2, Block 4, Kasiloff Hills Bruce Clifford. Madame; On July 25, 1986 we requested a conditional approval of the septic system serving Lot 2 , Block 4, Kasiloff Hills. On August 20, 1986, the well casing was extended %o 12 inches above ground level, a sanitary seal was installed and the well wires cased in flexible conduit. Please issue an unconditional HAA for this property. Yours / i} Tobb~n Spurkland'~.P.E. MUNICIPALITY OF ANCHORAGE DEPT. OF HEAl. TH & [:NVI,"~ONME NTAL PROTECTION RECEIVED duly 23, Re-' Well inspection Tobbin Spurkland 2~%3 W. iSth, Suite 2~J3 Anchorage, Alaska 995,2~1 ~ear Hr. Spurk!and: Concerning ~ ~-~,~' ] on Lot 9 Bll<~ 4 ~"--' I - ~ H~ i]s Sub which is presently at gr'ot~nd level~ ]'he purpose o¥ the Adequacy 'Eest and Well Inspection is to r~inance my h~me with Alaska State Bank~ Upon closing, will. be landscapincj the area where -~n~ well is lo__.~tr-' .... A-fter the work is completed~ the well cap will bc~ :¥~q~-n'.'~,~,~l,. ihree Teet above ground '~evel A't bhat time, all wiring will be run in cond_~it and any n~cessary actions wi I I be ta. ker~ iii order to meet ~unicina].ity standards~, This ~a~t-:: ~d. ll be ~omp].at~d October ;.5~ i986. Ret._3D ect ¥ Bruce D'~?T, OF h'F,', -,, }!_ViR(),x?~\4~NTA~N F, C7 ~C} iON q. Ig86 203 W. 15th AVE--- "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION JULy 25, 1986 Re: Request for Conditional Health Authority Approval Lot 2, Block 4, Kasiloff Hills Bruce Clifford. Madame; On behalf of our client, Mr. Bruce Clifford, we request a conditional approval of the septic system serving Lot 2, Block 4, Kasiloff Hills. As indicated on the field inspection report the well casing is level with the ground and the wires are not in conduit. Mr. Clifford is refinancing the home to finish the basement and landscape the yard. Per his letter this will cause the well casing to be three feet above groundlevel. At that time the wires will also be protected. Mr Clifford expect the bank to hold funds in escrow untill a unconditional approval is issued. Yours -/v~U~',I;CiPAI. IT'r OF Aix~CikDRAr..: DEPT. OF HE/~LI'I.I ,~?: EN¥1RON'YiEi~T/',L Pi~o EECi'IC)?,i