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HomeMy WebLinkAboutKASILOF HILLS BLK 5 LT 7 /oe./c $ 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 Permit Number: ~'Y~,/ ~O,.:3 J I PID Number: _%~: ~~ ~0~ Wastewater System: D New ~Upgrade Address: /~1~6 ~/~o~ ~ V~ ~qS?~ ABSORPTION FIELD Phone: ~ .~~_ No. of Bedrooms:y Q Deep Trench BShaHowTrench ~ed DMound ~Other ~ Total Depth from original g~ad~' LEGAL DESCRIPTION so,,~,g: ~ .~s~. ~. i L~: 7 Block: ~ ~/~Subdiv~ion: ~/~ DePth to. ~pipe~b°~°mo v~_fr°m original grade:o.~ Ft. ~rave, ~depth/w~be"eath pipe Ft. Township: Range: ~ Section: ~ Fill added above original grade: Gravel length: _~~ Q New ~ Upgrade Gravel width: Number of lines: Bislance ~lwe~ li~: Clarification (~B,C): Total Depth: Cased TO: Total absorption area: Pipe material: ~riller: % %Date Ddlled: StaticWaterLevel:Ft, Installer:~ ¢~ ~d,~ Dateinstal[ed; ~eld: GPM PumpSetat: Ft. ~~Ab°veGr°und:~t. TANK SEPARATION DISTANCES ~ Septic U Holding ~.T.E.P. TO Septic Abso~tion Lift Holding ~ublic/Private Man'lecturer: Capacity in gallons; From Tan~ Field ~tation Tank Sewer L*.. A~I~ '~A~ ~ Material: Numar of Compa~ments: SuHace _ w~t~ /~'~ m~'~ ~/~ ~ ~ ~ LIFT S'rATION Lot Size in gallons: Manufacturer: Line ~'~ /~/~ ~/~ '" ~ /~00 ~~E ~ "Pump on" level at: "Pump o~' level at: High water alarm at: Foundation ~7 ,~ ~1~ ~X ~ ~ -- ~ ~~ Cu~ain ~ Pump Make & Mode ~ Electrical Inspe~ions pedo~ed by: ~emarks: ~ ~/~ /~ ~ /~0¢~/~ BENCH MARl( Lo.lion and Description: .. A~um~ Election:  j j j j j j j J Depadment of Health and Human S~ices approval Reviewed and approved by: ~,- / ~ ~~ Date: / O./~. 9~ 72-015 (Rev. 9/91) MOA 25 PF~,~,,~W~.03~N~,~:,~:, AS ' BUILT DRAWING J % % '. ~":,?:: '.. .. . / ' ' ' '-' '.' :'..5:" 7 ~ I A~S~ WA~R AND WAS~WA~R CONS~TANTS, ~C. PHONE: (007) 337-6179/F~: (907) 338-3246 .' KASILOF HILLS SUBDIVISION, LOT 7, BLOCK 5 h. AS-BUILT OF SEPTIC SYSTEM UPGRADE .......... ~RFPARI:I] FOR: I'IIONF NtJMBEiI: - LARRY HOWER 346-2747 10/1/98 A.C.G. 1 = 40' 2 OF 2 coPT' MUNICIPALITY OF ANCHORAGE Deparfment of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 995~9-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 19, 1998 Expiration Date: Aug 19, 1999 Permit Number: SW980311 Legal Description: KASILOF HILLS BLK 5 LT 7 Design Engineer: 4~.'~'~ Owner Name: LARRY HOWER Owner Address: 10140 KASILOF BLVD ANCHORAGE , AK 99516-1225 Parcel ID: 015-133-07 Site Address: 010140 KASILOF BLVD Lot Size: 39009 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy Private Well L~ Water Storage All construction must 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. THIS PERMIT ISSUED FOR THE CONSTRUCTION OF AN ALTERNATIVE WASTEWATER DISPOSAL SYSTEM. THE ATTACHED PROPERTY OWNER AGREEMENT SHALL BECOME A PART OF THIS PERMIT PACKAGE. Received By: _~?'_.~ ~ IJ~-1~%69'¢--~¢'~¢( ,ssue Date: Alaska Water & Wastewater Consultants, Inc. 7320 East Chester Heights Circle - Anchorage ~ Alaska 99504 (907) 337-6179 - Fax (907) 338-3246 Consulting Engineers August 6, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Sewer Upgrade for Lot 7, Block 5, KasilofHills Subdivision To whom it may concern: The existing 4 bedroom house is served by an onsite septic system, and a private well. The existing drainfield is surcharged and believed to be encroaching groundwater; and will need to be upgraded. Comments regarding the proposed upgrade are summarized as follows: 1. GENERAL: There are a number of site restrictions which limit the available spots to put the new drainfield. These restrictions are summarized as follows: · The location of the existing septic system. · The location of the well serving this property and the neighboring well. · The presence of very shallow groundwater. · The presence of slopes that are greater than 25 percent. Given these restrictions, there is limited space on the lot to put the new drainfield; therefore, we are proposing to install a bottomless, Intermittent Sand Filter (ISF). The ISF will be place to the east of TH #1 so as to maximize the separation distance to the steeper topography to the west (35% approximately). 2. SOILS: On July 20, 1998, two test holes were excavated and percolation tests were performed at the area of the proposed septic upgrade. A copy of the logs is attached. Groundwater was encountered between 3'-6" and 4'-2". The soils below the organics (top 18 inches) is variations of sand and gravel that perk less than 1 minute per inch. The proposed ISF will be place within the 30 toot radius of TH#1. 3. SYSTEM DESIGN: Bottomless Intermittent Sand Filter (ISF) a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate for ISF: 4 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 150 ft2 f. Effective Depth below pressure pipes: 2.5+ inches g. Width: 10 feet h. Length: 36 feet. i. Effective absorption area = 360 ft2 (>112.5 ft2 OK) j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". k. Air Supply Line: %Vasteflow" emitterline, 1/2 inch I.D, "Anchorage Tank". I. Sand Material: Central Paving Products "Winter Road Sand" m. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and less than 1% passing the #8 sieve. We are proposing to excavate down to a depth of 1.5 feet (remove all organics), place a minimum of 6 inches to 2 feet of sand, install the air supply line, and cover it with 1.5 feet of sand. On top of the sand, we will place 6 inches of 3/8 inch pea gravel, with the pressure laterals midway in the layer. We will use a conventional lift station (Ai~chorage Tank), equipped with a programmable timer so that flow can be intermittently dosed to the ISF. 4. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 5. TOPOGRAPHY: As you can see from the attached topography site plan, this property has some slopes that exceed 25%. The proposed ISF upgrade will be installed approximately 20~25 feet from a slope that is approximately 35 percent. We request you issue a 20 foot waiver from the proposed ISF to this slope. The justification for the issuance of this waiver is as follows: 1. The proposed upgrade septic system will be installed in soils that are very porous, thus effluent will travel vertically and the chance of horizontal migration is very limited. 2. As can be seen from the attached topography site plan, there is no other area for a proposed upgrade. 3. The existing trench has been in place for almost 18 years (9/25/80) and, to the best of our knowledge, has yet to daylight. The trench is only about 5 feet further from the slope transition then the proposed ISF. Based upon these facts, it is our opinion that there is minimal risk associated with this waiver. 6. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with DHHS' "Intermittent Sand Filter Design, Installation & Maintenance Manual". The contractor should read this document prior to construction. Copies are available at the Municipal Onsite Services office (Sth floor, 9th & L St.). 7. CLOSING: Given the site restriction, I think the ISF is the most viable option for this lot, short of install a Recirculating Upflow Filter, which would be more expensive. I am open to any suggestions from your depm-tment, which would be an improvement to the proposed design. 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, or 244-9612. Thank you for your assistance. Sincerely, Presiden [JJ 1 / ! \ \ '..,  '~ LO'I Il,[]LOCI< I(ASI! OF HILU~ I OF b, Rt.OCI< 5 KAqlLOF ItlLI Y; .~/!) BLOCK / "% I / ""--~ / " F_XlSr~NC, \ / P'--__ , \\ %P~tc / ~ SYS'FEM-- d ~%' WEt L J t ~:, ~ ~ ,," ....... ~ ~ --I~I;,OPD-~ ) SEPllC UI-'G~ADk % '--~100' WELl RAOlUS~ (%EE J)E~;IGN, I.'AOE 2 OF 3) -.....-~...j.-. LOT 9, BLOr:K 5 -.._.~-'~. I(b~SILOF HILLS S/O , / LOI 'JO, ~t_OCK 5 KASILOF I IILt'~ S/D / [01 ~., IJLO[;I( 4 L~ ...... 7320 E. CHESTER HElOtS CIRC~, ANCHOraGE, AK 99504 PHONE: C907)537-6179/F~: ("07)~38-5246 - ~ '.~ ~.~,LO...L~ ~...,~,~,0.. ~OT ~..~0.~ ~ F""~"'"'~ .... '"~" ~RRY HOWER a4~-z141 ~ e." .......... "~ '- ..... "'" ' ...... ' I OF I ' / / NDTE, I , / / /, PRIDE TO CDNSTRUC'FIDN, THE CDNTEACTDR I , / / / SHALL HAVE THE WELL RADIUS SERVING TFIIS /~ / / / PRDPERTY AN~ THE SBUTH PRDPEETY LINE [~ ./ / ,/ // ~ FLAGGED ~Y A REGISTERED LAND gURVEYDR, & ./, / /I // L ~ ~ / ' / ~ -'-- EXIS'TtNG ]'RENCII ~* ~70, AS SUPPL~E~ aY ANCHmAGE TANK, T~ A~R LINE · INCH FOAH PIPE ~RAP (R3 V~LUE). IN~I~E A ~ INCH ~CH,40 ~;aDF I]Y ¢b IONU HY / ,' PVC JACKET. THE LINE SHALL BE: 2URIE9 TO A MINIMUM ~PTH DF 3 FEET, ~~'~D / ' (CENIRAI PAVING PRODUCi') AND / THE CONTROL PANEL FDR THE ,TEP TANK'HALL BE ~~ / /" INSTAl. LED W[Tfl A AU~]~LE/V[SU~L [N~]CA~B~ WITHIN THE ~S~ WA~R AND W.AS~WA~ CONS~TANTS, ~C. KASILOF HILLS SUBDIVISION, LOT 7, BLOCK 5, [~AT~::8/5/98 J.L.M. 1 = 40' 2 OF ~-II/4" BA %H 40 FVC - ~ r)lA. ~li¢()R[k~ 11;~: A~ ~bdH PLLJ~tNd I~r. ( PB.L I/4 INCH PlA I' / , / INOt'hNION / ,~S~ WA~R & WAS~WA'~ CONS~TA~S, ~C. KASILOF HILLS SUBDIVISION, LOT 7, BLOCK 5, ~ '"~( ]YPE OF WORK: BOTTOMLESS SAND FILTER (ISF) DETAIL PI~FPAf4EI) FOR: PHONE NUMRER: ~RR HOWER 346-2747 ~ ,.,, .......... ,, . ALASKA WATEP. ~ WASTEWATER. CONSULTANTS, 7320 E. CHESTER HTS. CIRCLE * ANCHORAGE. AK, 99504 PHONE: (907) 337-6179 * FAX (907) 33B-3246 [SOIL LOG - PERCOLATION TESTI LEGAL DESCRIPTION: KASILOF HILLS SUBDIVISION, LOT 7, BLOCK 5 PERFORMED FOR: DATE PERFORMED: ~RRY HOWER 7/20/98 ORG TEST HOLE #1 SW REDDISH W/ SOME COBBLES GP BROWN, WEq', W/ SOME SILT BOH SOIL CLASSIFICATIONS ~GW ~ ORG GP ML GM CL GC OL SW NH SP CH SM OH SC DEPTH TO DATE GROUNDWATER 5'6" 7/20/98 WATER LEVEL READING 6~ 6~ 6" READ,.r..1CLOCK T NET TIME [ ~ TIME .J_ (MINUTES)J / 6,, J NET DROP (INCHES) COMMENTS: ____ ~ __ PERFOMED BY ALASKA WATER & WASTE~~,,_~_~,~ , CERTIFY THAT THIS WAS PERFORME~D)~I ~ACCORDANCE WITH ALL ~-~ELIN~-~ IN EFCECT ON THIS DATE, DATE: _~q~, ~/__..~..~ .// PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIAo 6" (INCHES) ALASKA WATER & WASTEWATER CONSULTANTS, INC. ~ ©~ A/) 7320 E. CHESTER HI'S, CIRCLE '~ ANCHORAGE. AK. 99504 ~.~,,~'~.....,~': ..... .~'~:~. [SOIL LOG - PERCOLATION TEST1 ~.?... -, _ ; LEGAL DESCRIPTION: KASILOF HILLS SUBDIVISION, LOT 7, BLOCK 5 DATE PERFORMED: 7/20/98 '~/~. ,. ,-,,_ .~,,.,,~ .' (feet) ~,~ OR(:; TEST HOLE #2 q~ ~]~ PEBBLES TO 8", VERY SOIL C~SSIFICATIONS -~ "~' ; ~ ~%o<~ ..... J " // LOT ~, BLOCK 5 ~- ,~- ~, DENSE, REDDISH C%%.~% ~ ~ GW ::::::::: ORG A ,,/., / ;~,81LOk HiLlS "7%'~,~ SAND & G~VEL.,~,"~ SW NH 3ROUNDWATER ~'~ X X~",,, . ,/ '~ ~ 3 ~3DRM , ,..-/ ~ ~SlTE PLAN[~ O TE C.O0 TIHE (HINUTES) READING (INCHES) 12 -- , 7/20/98 1 1:17 6" 2 1:27 10 1 1/4" 4 3/4 13~ 5 1:27 6" 4 1;37 10 I 1/2" ~ ~/2 14 ~ 5 1:38 6" 6 1:48 10 1 1/2" 4 1/2 15~ 7 1:49 6'~ 16-- 8 1:59 10 1 1/2" 4 1/2 9 2;00 6'* 17~ 10 2:10 10 I 9/16" 4 7/16 ! 11 2;10 6" 18-- 12 2:20 10 1 1/2" 4 1/2 19~ PERCOLATION RATE 2.22 (HIN./INCH)~ PERC, HOLE DIA, 6" (INCHES) 20~ TEST RUN BETWEEN 0.5 :.FT. ~ 1,5 FT. PERFOMED BY A~SKA WATER · WASTEWATER I,~//~/]~ ~~ , CERTI~ THAT THIS WAS PERFOR~E~ IN ACCORDANCE WITH ALL STAT~/~UNIC~L GUIDELINES IN EFFECT ON THIS DATE. DATE: ~/~p e /[ ~ DEPTH TO DATE 3ROUNDWATER 4' 7/20/98 3'6" 8/4/98 pR~PF~RTY OWNER FF{CIAL SEAL STATE OF ALASKA{ OEBRA L STOUT NOTARY PUBLIC 08114/9§ 09:13 TX/ILX N0.1689 P.O0~ [] MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAl. PROTECTION ENVIRONMENTAl_ ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAl_ SYSTEM AND/OR WELL INSPECTION REPORT NAME MAI LING ADDRESS LEGAL DESCRIPTION LOCATION PRONE ] -~ ':.?,~,~J / NO, OF BEDROOMS ~'NEW UPGRADE T ~ TWell A~)soTpti~ area DISTANCETO. / 1¢2 / ~_~ ' .~ _~_,._._- , Manufacturer ~ ~ ~ ' I IF HOMEMADE: / ' ~ ~ ~-CD~NCE ;~ [Dwelling DISTANCE TO: / Top of tile to finish qrade MstelisI beneath He ~b Crib di t---'- Wel~-- ~ BU- ii~;n~ founU~t,on - DISTANCE TO: , - i ~,o,~ -- Material ~(:~ 1. Width ~ }Mat~riai Trench width ~,6¢, inches PERMIT NO, No, of compartmet~ts ,9- Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO, Total effective absorption PERMI~ NO. LNearest lot line is~ance to Jot line Iiepti,: t~an'~ _!R M IT NO. l]~-r p ,i,~ ~'oa (s) OTHER PIPE MATERIALS SOIL ]'EST RATING I NST,~L LER 'g I R I<S DATE LEGAL [:,EPFIRTMEN]" r HEF:IL. TH F:IND EI'.,I',,,'IRC~NMEiqTFiI_ ' OTEC:TION :2:25 '" L. ~];TREET., FINCHORRGE., FII<. 2"64-4720 ,:: 0003:05 ;:, FIPPLIC:F:If.,IT THOI"IRS E. b. IOLFE 602.: I.,.I. 4;-]:ND FIVE L. OCFrf' 1 ON t<FtS I LOF' BI..',,,'[;:, LEGFIL L. ~. "~- '" ' '- '~- : "b..~: M-I=,ILOF HILL_, L. OT.r.,"'T-'_ &E ]:]:.]:':-'9562. 40000 SQUFIF..'E FEET T'YPE OF SOIL FIi3SI]~RPTIOI'.,I S'¢STEM IS: TRENCH MRXIMUM I"JLIMBER OF E',EDROOMS = 4 SOIL RF~TING (SI'Z,~ FT/BR)= 85 THE RE(..]LtlRE[:, ::li;I;.ZE OF THE SOIL RBSORP]"IOI".,I S'¢STEM IS: !E::,, E F" ]" !1-~ ..... :E: L. IE ~-4t K.~i qr' H == -,'~. %~ C-]i IF%.: P']l '-,,' IBC L_ E) F--' IF~ '"IF F"'A == ¢ii- THE LEI'.~GTI-d DIMENSION IS I"HE LENGI"H (IN FEET.':, OF I"HE TRENCH OR DRFIINFIEI...[:,. THE DEPTH OF R TRENCH OR PIT IS THE [:,Ib'iTI"-'INC. E BETHEEN THE SURFRCE OF THE GROUI'.,ID RN[:, THE BOTTOM OF THE EXCFI',,,'RTIOi'4 <IN FEET). THERE IS NO SET NI[:,TH F:'OR TRENCHES. "['hie GRR',,,'EL [:'EPTH IS THE MINIMUM DEPTH OF GRRVEL BETI4EEN THE OUI"FRLL PIi:'E RN[:, THE BOTTOM OF THE Ei,':iCFI',,,'FITION (IN FEET). F'ERMIT RPI::'LIORNT HFIS THE RESF'ONSII:3ILIT'.,.' TO INFORM ]'HIS I)EF'RRTMENT [:'URING I"HE INS]¥:ILLFfTIOI'.,I INSF'ECTICd',I:F5 ()lr: FIN"r' NFLL. S FIDJi'~CENT TO THIS F"ROPERT'¢ F~I'dD THE NUMBER OF' RESI[:'Ei",ICES THIr:IT Tide 1.4[FLL NILL SERVE. .............. ]'- IP..II C.t ,::: 2-~ ;:~ ]t: fsi '2-]; F' E~. C: -F I uS, i'-4 S;; FI IF,,:.: E R E ~;~ Lfl Z IF;~ E: E~RCI<F'ILLING OF Rl",l"r' S'¢~.--,TEM I,.IITHOUT FINRL INSPEC:TION RI'dD Ri::'PROVRL B'¢ THIS DEF'FIRTi'"IENT' WiLL BE SUBJERT TCm PROSEC:UTION. MIi'.,IIMtJM DISTFINC:E E:ET.t,.IEEI'.,I :a HELL RND RN"r' OI",I-SITE SEHFIGE DISF:'OSFIL SYSTEM IS :1.00 FEE]" FOR R F'RIVRTE MELL OF.: ::L5¢ TO 200 FEEl" FROM R PUBLIC HELL DEPEi".IL':'ING UPON THE ]""r'PE OF PUBLIC HELL. MINIMLU"I [:'I'.'5I"FtNCE FROM R PRI',,,'RTE !4EL..L TO FI PRIVRTE SEI.dER LINE I'.E; 25 FEET RN[:' TCm R E::Ctl"ll'qt. IN]:T'~' SEI.,.IER LINE IS 7'5 FEET. HELL I_OGS FIRE RE6!I. JIRE[) Rl'.,l[) MUST E:E F~'.ETURNED TO 'ride [:,EF'FIRTMEI'.~T P.IITHIN ]..:el DR'CS OF THE I.dEM_ COMPLETION. Crl"HER RE~Z.!I..IIREMENTS I','lFm'¢ RPF'L.'¢. SPECIFICRTIOI'4S FINE:, CON'_"-;'I'RUC]"ION [)IRGRI::II',IS FIRE FI',,,'FIILFEq_E ]"0 INSURE PROF'ER INSTFII. LFITION. I CEF:?.T I F"¢ THRT 1: I BM FFIMILIFIR WITH I"HE REg!UIREMEN]"S FOR ON-SITE SE:HERS FIN[:, NELLS RS SET I:::'OI';i:]"H E:'¢ THE MUN I C: I F"FIL I T"r' OF:' RNC:HORRGE. 2: I !dIL. L ):NS"f'RL[.. 'tHE SYSTEM IN RCCORDFINCE I.,.IITH THE CODES. ]:: :[ UI'q[:,ERSTFIND THFll" THE ON.-SITE SLIDER '_=;'¢STEM i','lR'¢ F.'.E6:!UIRE ENLRRGEMENT IF THE RI£SIDENCE IS REMODELE[:, TO INCLUDE MORE THFIN 4 E:E[:,ROOMS. S I GI'.,IED: ............................................................... I~'FF'L. ICRNT., ,.' TI:I~I'dlaS,.M ~(!~,, ./C,E:" MOI..FE . ~._~.~_~ ..~_.~.~(~ PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: 72 008 (7/76) SOl LS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-2224 SOILS LOG -- PERCOLATION TEST [] PERCOLATION TEST ,3 W SLOPE SITE PLAN WAS GROUND ENCOUNTERED? DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop ,".t_ PERCOLATION RATE SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF DRILLED AT THE RATE OF PER FOOT. ~. 7o~ go,C~e. 333-9561 - 279-1~61 PROPERTY OWNER 340 7ee. t. LOCATION OF WELL SITE ~o =~ ~' ~ I S~'' '~'~O'~ DRILLER /~ ~ IO~ ~ ~~ ~0~ ' WELL l~Og: ; 0 ..... 17' A can~L~m~_~c~. B,zaken. ,zack. ~ ~ ~e~. 140--146' A tae_~ a~e.a, 0,2. ~ ,~ock. tZo u. oa,~£~ 285--289' ~ ,f.~pe. ~ock ~t~oos, t.n.g. 1/.2 ~?lil g.te2~. 317--32.1~ Two OPiTl i~,'aodu, cAJ. on. gn. a po~ou~ ,,aock, 7o.O..L ga.*_.e,,~ p,'aod, uc.f.~n. ,oh.o~s,o .riO.re .f.o ,og.x Co~P~ ~s.O~ taa~e.,a 4.tcutd.,~g. w, bth.bz 30 COST INCLUDES ALL LABOr AND MATERIAL FOR COMPLETION OF SAID DRILLING, ~4~0.00 WRITE CHECK PAYABLE TO RAMPART DRILLING WOF~KS FOR THE SUM OF= THANK YOU VERY MUCH. DATE flu, g. lbO."L 7~a. 1980 BERNIE CL. AUS_O~F RAMPART DRILLIN, g WORKS 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. # 01 5-1 33-07 1. GENERAL INFORMATION Complete legal description Lot 7; Block 5; Kasilof Hills Location(siteaddressordirections) 10140 Kasilof Hills Blvd. Anchorage, AK Property owner Mailing address Larry Hower 10140 Kasilof Hills Blvd. Day phone_ 346-2747 Anchorage, AK 9951 6 Lending agency Mailing address Vista [',iortgage/ Lynn Pope Day phone 562-6444 Hike Kelly/ Dynamic Properties Agent Day phone Address 345-5666 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well xX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC a[test- lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: ×x If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/9t) Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I veri~ythat 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 compli ordinances, and regulations in effect on the date of~ ~ame of Firm ~'* ...... 1+~, ~ f~/ - Address ?3~0~he~ ~ ~//0~ Engineers signature ( ...... ~ "~ ~ race with all Municipal and State codes, inspection. Phone / Date ALASKA WATER & WASTEWATER CONSULTANTS, INC IS TO BE PAID $1800.00 .%T CLCSIN~ FOR ENGINEERING SERVICES PERFORMED. ~ 6. DHHS SIGNATURE Approved for ~'0 (J/~ bedrooms. Disapproved. Conditional approval for 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 DH HS 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. 72q325(Rev. 1/91) Back MOA#21 Municipality of Anchorage ' '[ fJ '/ ~9~ DEPARTMENT OF HEALTH & HUMAN SERVICES 0C ~ ,:~~ v'r e ' s DVson rcue4~c,,^u~u~^~ En ~onm ntalSe~ce. . , . .. ~~ 825 L Street, Room 502. Anchorage, Alaska 99501 · (907)~.~AL S~V,C~ Legal Description: A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Health Authority APproval Checklist [~A~ ( C'O/¢' Parcel I,D.: LL,f If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~)/! / ~ 0 Cased to ~"7 Casing height (above ground) Wires properly protected (Y/N) Date of test Static water level Well production FROM WELL LOG I ~.¢-~-~, ;gO. AT INSP,~CTION g.p.m. , g.p.m. WATER, SAMPLE RES~,~TS: ¢//~ Coliform Nitrate "! 5,~ zj_ ~ Date of sample: ¢4/I/c/¢ · Collected by: /~-L,~Jb~/~,, B. SEPTIC/HOLDING TANK DATA t,J ~ Date installed ~'/~{~ Tank size / ~O Number of Compartments Foundation cleanout (Y/N) _ V Depression (Y/N) /X/O ,Date of Pumping /~J~ Pumper /"J/~I C. ABSORPTION FIELD DATA ?=~ om--t-o/,~.F_--Jg % ~E;;(~ ~- ~ £-pR-v4.S--VzO ~//~ Date installed <~/~ Soil rating (g.p.d./ft~ or fF/bdrm) /~ 7-- System type -"~-~ / I Length '~ ~ Width /0 Gravel thickness below pipe ~' Total depth Other bacteria _ ~ ____ Cleanouts (Y/N) Y _ High water alarm (Y/N) ~'¢~'----------------~'~ Effective absorption area ?,(o/~) ¥' Monitoring Tube present (Y/N) %/t Depression over field (Y/N) __ ' Da~est_-- Results (Pass/Fail) For Fluid depth in absorption fiel"'"'~d b~'~f'e ~ Immediately afte[ gal, water added (in,): Fluid depth __ (ins) Minutes later: ._ ~ g.p,d. Peroxide treatment (past 12 months) (Y/N) : If yes, give date 72-026 (Rev. 3/96)* bedrooms D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested /~//¢~ E. SEPARATION DISTANCES Size in gallons "Pump on" level at* "Pump off" level at* ~-7/"'/~---~/~- *Datum t~ 0 ~'~FO''vI ~'"J~-' SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot [ ~ {q" Absorption field on lot On adjacent lots On adjacent lots [OD 10o/4., Public sewer main t,--) Sewer/septic service line Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 'E~-/''''P' Property line ~"-(,4- Absorption field ¢-~ Water main/service line ]O I't' Surface water/drainage ~O.~ 14' Wells on adjacent lots ic:~)/+._ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~ ~ rd- Building foundation I 0 ~/~- Water main/service line / O/¥'' Surface water /OO Lf_ Driveway, parking/vehicle storage area ~--0/.{.. Curtain drain ~/ON'~.~-- ~-~ObOf~/ Wells on adjacent lots ENGINEER'S CERTIFICATION I certify that I h~ d~'~ni, p~, ~ield inspections and review of Municipal inconformafcelitf~¢g, ~elinesineffectonthisdate. Signature ~ /./IM/v N'~"'~.. ~ Engineer's Na~e'~/// ' (/'-J ~ ~' ~___o~ are Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* B61§~0I T"065 P.02/08 F-115 CT&E Ref.# Client Name Project Name/# Cllent Sample ID Matrix Ordered By PWSLD AK Wa[er & Wasr¢warer Consal[an:s inc. ET 7A Blk 5 Kas:lof H~ll~ Lr 7A Blk 5 Ka~ilof Hills Drinking WaTer Client PO# Printed Date/Time 09/08/98 09.05 Collected Dale/Time 09;01,~98 09A3 Re¢¢ived Date/Time 09/02,98 07:55 Teehniml Dir~tor: Stephen C. Uitrar~-U 0,15~ 0.100 m~t~, ~o~ ]OO,C 'o ma~ og/o2/9~ ~9/oz/pE ccp 'n,o ~ ~ ~ INSPECTION I~EPORT MUNICIPALITY OF AN~O~GE - ~~G s~TY DIVISION ~: ~C~ ~ZC2~C ~: 10/7/98 0~:~ PM ~ f~lVI$10~: KAS~OF LO~' 7 ~0~: ~ ~l: ~2: 0~: ~ ~ a ~ ~, No n~m o~. ~j Co~o~ ~ ~ eEpl~ned ~w. [~ C,O, 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 SINGLE FAMILY DWELLING --/$3- 07 HAA# HA GENERAL INFORMATION Complete legal description Location (site address or directions) /01 ~1'0 /L,4 S i ~, F ~) i2, ~ V ~ Property owner Mailing address Lending agency Mailing address Day phone Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WA'rER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72 025 (Rev 1/91) Fronl MOA~21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/orwastewater disposal system is safe, functionaland adequate for the number of bedrooms and type of structure indicated herein, lfurtherverifythat based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm 4t,J/~Z'/?$'OAJ ~'~' ~/,,4'~-/2_~,,xJ6 Phone Address ~':~C). J c,x. Z>/077. ,z vC, 4D be- Air- Engineer's signature '7"'~c-~ ~,' ~--..b~ Date DHHS SIGNATURE ~/'~... Approved for /~_:¢/~ ~'~./.,-') bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: 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 DH HS 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· ANDERSON ENGINEI~I~.IN(; P.O. Box 241)773 Anchorage, AK 99524 November 10, 1992 Municipality of Anchorage Department of Health & ;luman Services 1>.O. Box 196G50 Anchorugc, .,\lnska 99519-0650 RECEIVED 10 Mu~icipality el Anchorage Dept. Health & Human Servlee8 Attention: l)an Belles Reference: l_ot 7, Block 5, l(asilof 1-1ills Subdivision Subject: ltealth Authorilv .,\l~proval DoLu' Dt/~I: On October 10, 1992, I inspected the septic system on Lot 7, Block 5, l~asilof l-lills to ctetcrminc whether it was functioning adequately to support a t'our bodroona house. Initial probing of the monitor tube at tho end of tho drain field revealed ~(Q~c/in&? water al 'd depth of ~" from the top of the tube. As built claret i[;d~cz~t~zs thc ~ielcl is 4' oF ch'nih rock OVCl'~tti!l J¢3' 4' O1' bnckl'ill und therefore, the field was uln)u~t I'ullv setturatecl. At this time septic systen]. Ilo stated he h[tcl not, but mentioned the septic tank had i beg;tn i[kjccting x~,,;~lc[· iiito the l'ield ;It ~I rate o1' 6 gallons per minute. After 10() minutes al)proximately 600 gallons of waler had been introduced into the field. The water in the tube was measured at 42" from the top. The water elevation wits then ~]~onitored for nearly 3 hout's and drop of 4" occurred. Thc ~Lgn] al:)sorb~:d 5(pl, roxim;ttelx' 343 during this period. If this ;tbsoi'ption r;:lu is ('z~['l'[Cd over it 24 l]()ur l'~criod lhe I'ield would al?l)ea[' lo be l'unctioning a(lequi:~le.l.g, I was, however, concerned wilh Ibc slain(ling water in lhe l:iel(t and alte]nple(l to determine whether il was ground Willel' of il saturated systelil, D.H.E.P. November Page Two 10, 1992 On October 17, 1992, Anchorage Cesspool Pumping pumped tile tank and drainfietd. I then monitored the water level in the drainfield to determine whether groundwater infiltrated into the system. On October 19, a minimal amount of water was noted in tile field. I therefore assumed the groundwater was not infiltrating the system, but felt sludge from the tank had been forced into the field and was beginning to plug the system. Roto-Rooter injected .jet spray into tile field from the monitor tube and forced tile sluctge back into the septic tank. ri'hey then pumped the sludge t'rom the tank. They were able to remove a substantial amount of sludge from the l'icld. Immnediatoly thereafter the field began absorbing water at a much t:aster ratw. Jetting the system appears to have been successful and the system is now working in an efficient manaer. Sincerely, Michael E. Anderson, P.E. RECEIVED NOV 1 0 1997. Munic pa ~ty o'~ Anchorage /D.'3o /~;oo iZ.: 7..0 P~ '7~ ~'-i~ 1-14 SHEET NO CALCULATED BY CHECKED BY. SCALE //---4 ~'//~o OF. DATE DATE . /-toon.5 -~ //~ ~' o ~ cz't) 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 SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address '-7~/1/) (,,t)O/..4--'~' Day phone Day phone 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: "4 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 NOTE: Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5, 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/orwastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverifythat 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 Address Engineer's signature DHHS SIGNATURE Approved for Disapproved. ~/'/~,~ Conditional approval for Phone Date /d/g.//~/~. bedrooms. bedrooms, with the following stipulations: ..... [ ' . , 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.  Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:_L0)-'7, ~>b0 C~/.-/~'~ /~4.S',//i),=' IL/,II~L~' Parcel I.D. <~//,$-- A. WELL DATA Well type P/)-I~¢);/-[- If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) "f/~ ' Date completed (~/,/z¢¢ Driller /~f~l~ Total depth ~'-¢.-O Cased to .~ LJ~) / l'~ Casing height Sanitary seal (Y/N) ~/ ~ Wires properly protected (Y/N) FROM WELl. LOG AT INSPECTION b~J6~L Date of test Static water level Well flow ~ g.p.m. ~ ' Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main 1 /IZ.. ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Sewer service line bi&l J. ~-/,"J b A J0/J(;¢ WATER SAMPLE RESULTS: Coliform /JOC~-~I')T'i'~ L~-'"'d Nitrate _ Date of sample: Collected by: Other bacteria B. SFPTIC/HOLDING TANK DATA Date installed ~/~:~ ~) Cleanouts (Y/N) (~r,/~ High water alarm (Y/N) Date of pumping Tank size Foundation cleanout (Y/N) ~--~/¢~. Compartments '~ ~ ~- Depression (Y/N) Alarm tested (Y/N) /J Pumper Well(s) on lot To property line Surface water/drainage 72-026 (Rev. 7191) Front SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: / //-~" On adjacent lots Absorption field Foundation Water main/service line CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length Total absorption area Width Depression over field (Y/N) Results (pass/fail) ~ ~; 5 Peroxide treatment (past 12 months) (Y/N) Soil rating /J ~-~-¢-¢¢¢/)~L~1 System type Gravel thickness ~ / Cleanouts present (Y/N) __ Date of adequacy test for Total depth ~ / bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellon lot To building foundation On adjacent lots /k~/j/'~. Surface water Curtain drain On adjacent lots ~J¢O/ Property line__ /~ i To existing or abandoned system on lot Cutbank /kJO ~ -~ Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION Engineer's Name Date I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this ./nspection. HAA Fee $ Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEI-'RING CO, 5633 B STREET ANCHORAGE, ALASKA 99510 TELEPHONE (907) 562-2343 FAX:(907) 561-5301 ANALYSIS RESULTS for INVOICE ~ 59678 Chemlab Ref,~ 92.5749 Sample ~ i Matrix: WATER Client Sample ID : L7 B5 KASILOF HILLS P%~SID : UA Collected : OCT 15 92 @ 09:00 Received : OCT 15 92 @ 13:22 hrs. Preserved with : AS REQUIRED Client Name :ANDERSON ENGINEERING Client Acot :ANDENGR BPO# : PO]~ :NONE RECEIVED Req~ : O~dered By =MINE ANDERSON Analysis Completed : OCT 3.6 92 Laboratory Supervisor : STEPNEN C. EDE Released By :~,~'.'~~ / Send Reports to: 1)ANDERSON ENGINEERING 2) Parametez Results Units Method Allowable Limits NITRATE-N ND(O.iO) mu/1 EPA 353.2/300,0 10 Sample ROUTINE SAMPLE COLLECTED BY: M.E.A. Remarks: 1 Tests Performed ' See Special Instructions Above UA-Unavailable ND= None Detected "See Sample Remarks Above NA- Not Analyzed LT=Less Than, GT=G=eater Than Member of the SGS Group (SocibtO GOn~rale de Surveillance) g m z (~ 34O SIX INCH WATER WELL, DRILLED AND CASED OUT TO THE DEPTH OF' ~19o00 .... I~R FO01'. DFIIU.~D AT THE RATE OF _ ~ 7o~ L:o~ 333-9.561 ~9-1161 PROPE~ OWNER .--, - ............. Ca.o~ 0¢ D,,~,U.,cn~: $646o. o0 COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILl,lNG. WRITE CHECK PAYABLE: TO RAMPART DRILLING WORKS FOR THE SUM OF ,~)~0,00__ THANK YOU VERY MUCH. BERNIE CLAUS. OF RAMPART DRILLII'~G WORKS , OAT~-.. /fa9u~' 1,~Z.__1_~8_0 ~/" , SERVICE CHARGEOF 1~% PER MONTH W LL lie A 9~ ON ~T ccd ..... DATE R~CEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE , DATE I ] ~..~' ,NSPEOTOR ,NSPEOTO?~ ' ~ ,NSPEO*¢~Z~--Z MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE pR~-~,~EPT~ OF HEALTH &  DEPARTMENT OF HEALTH & ENVIRONMENTAL u~ ~NMENTAL Pr:OTECTION 825 L Street - Anchorege, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION NOV 2 1 I980 Telephone 264-4720 .o. o. DIRECTIONS; Complete ail parts on page 1, incomplete requests will not be processed. Please allow ten (10) days for processing, 1, PROPERTY OWNER PHONE MAILtNG ADDRE~g PROPERTY RESIDENT (If different from abow,) PHONE 2. BUYER PHONE MAILING ADDRESS 3, LENDING INSTITUTION PHONE MAILING ADDRE88 4. REALTOR/AGENT~D~ PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION Z-o'T 7, STREET LOCATION /K~SI c~/ 6. TYPE OF RESIDENCE NUMBER OF~BEDROOM8 [~ SINGLE FAMILY [] MULTIPLE FAMILY [] One LY~ Four [] Two L--J Five [] Three E] Six [] Other 7, WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM I5~ INDIVIDUAL/ON-SITE~ [] PUBLIC UTILITY .YEAR oN-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH FIEQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3 SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: JL%S'-O If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS [] CONDITIONAL APPROVAL {letter must accompany certificate) [] DISAPPROVED 825"1 "!;YRFET ANCIIOI~AGE, AI_ASKA: (!)07) 26;! 4111 D Ei'AI~'I';..if{N r OF tll. AL. I il At, l!) ENVIIIO~,P~'II{ F! FA L P[~())'I{C lION December 3, _~)80 Thomas E. Wolfe 603 West_ 42 Avenue Anchorage, Alaska 99503 l,a.~]_lo.~ ]]il].s Subdivision Subject: Lot 7 Block 5 ' ~'' ~: Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: ~x~ A well log submitted to this department for our review. ~xg The top of t;he well. casing sealed with a sanitary seal so that; it is water tight. The depression or pit around the well casing needs to be filled with impervious -hype soil so that J_t slopes away from the well casing. The well casing extended twelve(12 inches above ground level. Exposed electrical wires to the we].], head are in violation of the Municipality of Anchorage codes and must be encased in conduit. The water facilities were not turned on at the time of the scheduled i~spection. ]Please call this office for another appointment. Rxkx The water analysis report needs to be delivered 'ho this office fron~ the (;hem Lab, 5633 B Street, for our review. ( ) ]Expose the well for our inspection to determine proper construction, also to insure minimum distance requirements are met between the well and 'sewer system. Thomas E. ~*Iolfe December 3, ].9[]0 Page Two The septic tank puraped with a receipt submitted to this department. The septic tank pumped with a receipt submitted to this department. The total[ n~nber of gallons pumped needs to be on the receipt and verified by a registered engineer as to the actual number of gall.ohs pumped. This is to verify the size of the septic tank. Expose the septic tank manhele to verify its existance. 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.n adequacy test needs to be perfformed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted 'to this depar-tment for our review. The permit for the installation of an on-site sewer system has expired as of December 31, 19 We have not received the as-builts of the insta]_lation in this office. If a private engineer inspected the system, please send us the report for our files and review. The application shows the number of the bedrooms exceeds the number the sewer system was originally designed for. An upgrade will be required. Prier 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 SWP/059