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Home My WebLink AboutKIMBERLY MANOR #2 BLK 3 LT 8 Tom Fink, Mayor u icip Hty of nchor e Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 June 9, 1992 Alexander Mc Kean Milner 7701 Our Own Lane Anchorage, Alaska 99516 Subject: Lot 8 Block 3 Kimberly Manor Subdivision #2 Permit ~SW910133, PID #017-073-48 The subject permit, issued June 5, 1991 by this office for a single family well and/or on-site wastewater system, has expired as of June 5, 1992. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $200.00 for an on-site wastewater permit; $75.00 for a well permit and $275.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. enc: Copy of Permit PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910133 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:MILNER ALEXANDER MCKEAN OWNER ADDRESS:7701 OUR OWN LN ANCHORAGE, AK 99516 DATE ISSUED: 6/05/91 EXPIRATION DATE: 6/05/92 PARCEL ID:01707348 LEGAL DESCRIPTION: KIMBERLY MANOR #2 BLK 3 LT 8 SEC 25, T12N, R3W, SM LOT SIZE: 23615 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: L.O1 bO4~ PREPARED FOR' CNCKO DY: COR~YIN ~ ASSOCIATES (907) 52g-1311 0 Tom Fink, Mayor unicip lity Anehor e Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 January 8, 1991 Alexander Milner PO Box 112588 Anchorage, Alaska 99511 Subject: Lot 8 Block 3 Kimberly Manor Subdivision #2 Permit #900276, PID #017-073-48 The subject permit, issued by this office for a single family well and/or on-site wastewater system has expired as of December 31, 1990. A new permit must be obtained from this office for a well and/or on-site wastewater system not installed by the expiration date. If you have drilled the well, a well log needs 'to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as-built inspection report (three-part form) must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion~ When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, Jean Smith//~v.~..TM V P,C~g~am Manager Oj4-site Services please call this office at 343-4744. JW/ljm: 200 enc: Copy of Permit "Kids Are Our Future" ,. ........... : C~ & EN~ON~NT~ ENG~EER~G * ENERGY CONSERVA~ON & T~ODO~ F. MOORE, P.E. September 5.1990 14530 ECHO ST. PH: (907) 345-1355 ~CHO~GE, ~KA 99516 Susan Oswalt MO.A. DHHS P,O, Box 19-6650 Anchorage, AK 99519 ~:~, B3, Kimberley Manor ~ Dear Ms. Oswalt: Per the stipulation on permit #900143 I have reinspected the subject property on this date. Mr. Milner reports that he has not had to have the holding tank pumped since we prepared the as-built drawing dated 7/2/90. On September 5 there were 17 inches of Huid in the holding tank, which is the same depth I measured in June. On September 5 there was no measurable fluid in the cleanouts of the lower soil absorption trench, and there were 49 inches of Huid in the monitor tube at the east end of the upper soil absorption trench. Based on these observations, I believe the hybrid soil absorption trench - holding tank system is continuing to function as intended. Please feel free to give me a call if you have any questions. ~NVI~ON~ENTA~ p~OTE~iON ~ 6 ~9~ RECEIVED Sincerely, 'red Moore, ~ ~:-.:::: i :. ::.."'-:::: :i:: ~: J'~:.~i:::: :: .., '- ~- ,, ~::::: ° ~::~.::::)2 :':~ . : :::~:: :::5~::~:::::::.;.:~:: ~ ' ,~ .%::::~.: 7, -. ~ ===================== ~:: : ~ :::~:~ :~:::: ~::~ :: .':::.~ ,:C: ~ 5¢ ::.; ~:;. ...... ~ ~- .: ~.~ ~'~.:::: ~7::~y~7 . :::~, ,c~(.:~::p;.;.:;.7;~:: .; ~, ;.~;;~<, ..;;::..: , .- ~..: -; c: ~:c-:~:~:::?... ~.~~ ;::: '~ ~<~ ]f?; ? ~3:~Z'~;.'::c';;:, '7 ~:~ TOPT ECH:NICA L:..: SER IC S C~ & EN~ON~NT~ ENG~EE~G · ENERGY CONSERVA~ON & ~YS~ ~o~o~ g. MOOed, ~.~. June 4, 1990 14s30 ~c~o s~. PH: (907) 345-1355 ~CHORAGE, ~KA 99516 Susan Oswait M.O.A. D,H.H.S, P.O. Box 1%6650 Anchorage, AK 99519 Dear Ms. Oswalt: MUNICIPALITY OF ANCI"iORA~.~I~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION 'JUN RECEIVED Per the request of Sandy Milner I am submitting a site plan prepared last year depicting a proposed recol.~.igura[ion of the holding tank serving his residence on Lot 8, Block 3, Kimberley Manor S/~. ~he reconfiguration would allow it to receive effl6ent ohly ~when the soil absorption system is beyond capacity. As you may recall, the test hole dug prior to installation of the holding tank indicated a stabilized water level at 7 feet below ground surface in the location where the holding tank was installed. Because of concern that the-water level observed in this test hole may have been affected by the presence of the soil absorption trenches just uphill from it, Mr. Milner had a second monitor tube installed last year in a location 13 feet uphill from the upper trench, at a location where the ground surface is 5.5 feet higher than at the upper trench. I monitored the water level in this tube during this year's breakup, with the following results: DATE DEPTH TO WATER (BGL) 4/23/90 13'-6" 4/30/90 IY-Y' 5/8/90 13'-9" 5/23/90 14'-2" Based on this data, il' one accepts the hypothesis that the natural groundwater profile parallels the ground surface, one can conclude that the existing soil absorptk)n trenches do have the required 4 foot vertical separation from groundwater, so reconnecting them to the system would not violate the wastewater ordinance. I have indicated on the site plan how I would propose to reconfigure the plumbing leading to the trenches and the tank. If this co~ffiguration is acceptable, please issue the requested permit to Mr. Milner. Sincerely, Ted Moore, P.E. DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT '4arne DISTANCES /4/ ~_~/~6r I"[tlP~Z~' ~ SEPTIC ABSORPTION Address TAN K FIELD WELL rL o. ~o~ II 2~, h~, IH~ ~tl Phone(s)~_~7~ Permit)~otq~No. No. of Bedrooms~ WELL .~ o~sc.~.~o. LOT LINE I BIoc Subdivmlon Lot ~ ~ {~lm~ l~y ~e~ ~ ~ FOUNDATION Township, Range, Section ~ I~ ~f ~ ~ ~ 8~ dnveway,AS"BUILTwaterDIAGRA~bodms, etc(Sh°w) Iocabonotwell. septic system, propertyhnes, foundahon, TANKS em - ~ SEPTIC ~ HOLDING -- -- 5Peet ~, I TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAiN ~ OTHER ~pth tO pipe botlom from Total depth from original grade original grade ~ ET ~ ET F*II added above original grade Gravel ~pth benealh pipe ~ ET ~ FT ~_ ~,~r Gravel length Gra~ w~dth Total absorpt,on area Distance between hnes 7 [W sg FT ~ E FT Number of hnesSod rating P,pe material ~ ~ ~ ~1 ~ ; ~ ~1, i Installer WELLS Date Installed~ ~ ~ PRIVATE ~ OTHER (Identify) / Classfficahon ~A,~,C) lotal Dop~h [1 CaseO to [1 REMARKS: ~X~ XOI[ ~¢wor~o~ meconn ec~ o~ ~y~Fe~ i~ IO~ eC ~enC~ i ~tn ~Ot~l~¢ ~ InspectionsPedormedby: , ~ ~ ~ ce.ily that ,his ,nspecti0n was pedormed according to all Municipal and Slate guidelines in effect on this dale: d~? ~, /~¢¢ / Health Depa~ment Approval: Date: 72-013 (3/85) OFFICE 27~,.2533 May 10, 1985 Mr. ~an Dersch 7701 Our Own Lane Anchorage, Alaska 99510 SUBdECT: Lot 8, Block 3, Kimberley ~anor Subdivision Anchorage, AK (8521-~-t40) Dear Mr. Persch: Upon investigating your proper~y on ~y 7, 1985 I have reached the fol]owfq conclusions: That part of the abso~ptto~ trench under your driveway should be moved. The trench may be excavated six feet rrm the h~gher trench. A 90 day temporary waiver is hereby issued to provide for construction time. Upon successfully putting in the new trench and abandoning the old trench line under the driveway, a full waiver ~ill be given to the septic system. Please contact me for additional information. Sincere] y, District Engineer ~oT ? /4PPRo X. -- ~qsTtt46- P~O TEC'!, < .... ......... - ...... CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 14530 ECHO ST. June 20, 1989 ANCHORAGE, ALASKA 99516 Alexander Milner P.O. Box 90316 Anchorage, AK 99509 Dear Mr. Milner: The purpose of this letter is to summarize my measurements and observations with regard to soil conditions and depth to groundwater at your residence on Lot 8, Block 3, Kimberley Manor #2, located at 7701 Our Own Lane. I have attached copies of pertinent soils logs and other relevant material. Soils tests conducted in July, 1979 at the toe of 70% slope that characterizes the north portion of your lot showed a depth to groundwater of 13 feet, and a visual soil rating of 210 square feet per bedroom for the overlying material. A three bedroom soil absorption system was accordingly installed in August, 1979, consisting of two parallel trenches extending to 9 feet below ground level. My first involvement with the system was in 1985 when I conducted adequacy tests, first in February and then again in August. On both occasions the trenches were nearly full at the start of the test, and after being brought up to completely full, they absorbed water at an adequate rate for a two bedroom residence only. At your request, I forested the system in February, 1988. On that date the trenches were again nearly full at the start of the test, and I measured the absorption rate to be adequate for only a one bedroom residence. I understand that you subsequently contracted with another engineer to retest the system, and that he found it to be adequate for a two bedroom residence. In June, 1988 1 conducted additional soils tests for a possible upgrade to the system. The first test hole was located approximately 13 feet downhill from the lower absorption trench, and at a'point where the ground surface was 40 inches lower. This test hole showed a dense gravelly silt down to 10.5 feet, overlying a gravelly clay. The groundwater level stabilized at 7 feet below ground level. A second test hole dug 44 feet further downslope at a point where the ground elevation was an additional 67 inches lower than at the first test hole. Here the gravelly silt stratum extended down to only 5.5 feet, and the groundwater level stabilized at 40" below ground level. I conducted a perc test in the vicinity of the first test hole which indicated the perc rate to be in excess of 60 minutes per inch, and accordingly I designed and oversaw the installation of a holding tank in September, 1988. We have had numerous discussions regarding the feasibility of using the holding tank in conjunction with the original soil absorption system, wherein it would act as an overflow only at times when the trenches were unable to handle the wastewater stream emanating from the residence. Since you found the original system to be adequate for most of the demands imposed by your household, the hybrid concept ought to greatly reduce the frequency of necessary pumping. Such a system has been successfully installed elsewhere in the Municipality, but this approach is only applicable where tight soils are the cause of septic system failure and not groundwater. The stabilized water level measured in test hole # 1 is of particular concern because it is only 10.3 ft. lower than the ground surface at the lower trench. We discussed whether or not it could be influenced by the presence of the trench located only 13 feet uphill, and also by the septic s~/stem located on the neighbor's lot immediately to the east. I suggested that another test hole drilled on the uphill side of your field might clear up that question, so you arranged to have that done this spring. That hole is located 13 feet uphill from the upper trench and at point where the ground elevation is 5.5 feet higher than at the upper trench. I checked the water level in this new test hole two times; on May 30 it was 15.5 feet below ground level, and on june 12 it was 16.1 feet below ground level. On the basis of these measurements, I feel one can safely surmise that the natural groundwater level somewhat parallels the surface topography, becoming gradually shallower as the ground levels out into the Rabbit Creek floodplain. It appears reasonable to conclude that the original groundwater level measured in 1979 for the design of the original septic system was accurate, and that the higher level measured in in 1988 in the test hole below the lower trench was in fact a result of the influence of the nearby trench. Certainly the fluid levels measured in the trenches during the adequacy tests could not have been reflective of groundwater depths, but instead were high due to the poor percolation characteristics of the soil. These same poor percolation characteristics of the soil, while being undesirable from the point of view of septic system construction, do tend to protect the underlying groundwater from septic contamination. Thus, it is my opinion that reconnection of the original septic system trenches to the house, with a bump in the line causing the holding tank to serve as an overflow, would not constitute a health hazard. You should be advised that any such change will requh'e a permit and prior approval from the Health Department. I suggest that you bring this letter and discuss the idea with Susan Oswalt at the Health Department, since she is familiar with the previous installation. If she approves of the concept, I can provide whatever additional engineering or inspections they may require. Please feel free to give me a call if you have any further questions. Sincerely, Ted Moore, P. E. ~G¥ '1 L.off EXISTING TANK EX] STING 4"Pi ( RECONNECT SI --EXISTING LINE TO HOLDING __GOOSE-NECK ELEVATION TO HOLDING LEVEL RI FEED LINE. LINE TO DISCONNECT ~ING TANK. INSTALL GOO: BETWEEN TRENCH LINE AND LINE TO [- INSTALL PROPER ALLOW FLOW IF LIQUID i~BOVE TRENCH . ~odq \ \ x \ \ \ -{ ¢12,oo' ?L, d7 SEALE I"= 30'~ EXISTING TRENCH EXiStING HOLDING TANK CORWIN AND ASSOCIATES 1000 E. DIMOND SUITE 205 ANCHORAGE, AK 99515 LOT -8 BLK 3 KIMBEREL¥ MANOR #2 P.O. Box 112588 Anchorage, AK 99511 4/18/90 Mr. Ted Moore Flattop Technical Services 14530 Echo Street Anchorage Ak 99516. Dear Mr Moore, Thank you for your letter of March 12 regarding our septic system. I request that you proceed with the additional monitoring of the test well above the trenchs and submit to Susan Oswalt the site plan that was prepared last July. This site plan has the bump to the holding tank from the line at the beginning of the second trench. From our orginal discussions this was the place you suggested would be the appropriate place to connect in the holding tank if a connection was possible in the future. This connection could be dug by hand. From discussions with Susan Oswalt she suggests that the additional monitoring occur in early May. I enclose a cheque for $ 150.00 to cover the site plan prepared last year and the additional groundwater monitoring. Sincerely, Alexander Milner cc susan Oswalt, Municipality of Anchorage. . PH: (907) 345-1355 ~Mareh 12, 1990 Alexander Milner P.O, Box 1125~g Anchorage, AK 995! 1 ,, ~t~ t,,',A~ 1 5,.19~ This is in response to ~Ou~wo letters both, date~ 2/15f~O~but the se~nd One postmarked March 5. I am not,ute_why you cc'ed Sus~aO~waR, but I will do the same with this for her files. I have Oeen out of town recently, and thus was not able to respond as immediately as you may have wished. Upon receipt of Payment I am willing to submit for Municipal Approval the sRe plan I prepared last August, but I understand from i~ormal discussions with the interim you retained the services of another eng~eering firm to make such submittal, and that Ms. Oswalt requested a ~uple of modlications which you were reluctant to comply with. Sin~ you cannot legally pro~ed with any mod~ications to your system until a permit is issued by DHHS, it would seem apPropriate for me to review the proposal with Ms. O~alt and then to refle~ her desired changes upon the submittal, unless we can document a good engineering reason why it should be connected otherwise. In consideration of the known groundwater problems in this area, and t~e fact that our monitoring program did not begin until May 30 last ye~, I feel it would be prudent to make a couple of additional measurements of your monitor tube during late April and May of this year, prior to submittal of the site plan, so as to further assess whether or not there is a seasonal high groundwater problem at this particular site. ~s should not have the effect of further delaying your conversion, as the constru~ion work would have to be done ~ter breakup an~ay. Assuming the permit is issued, we will, of course, have to provide DHHS with an engineering inspection report ~irming, upon the basis of visual observations, that the system is connected as required by the terms of the permit. I am enclosing a cost estimate of the required work and shall await your instructions on how to proceed. Sincerely, Ted M~re, P.E. cc: Susan Oswalt, DHHS ~--- 14530 ECHO ST. ANCHORAGE, ALASKA 99516 MUNICIPALITY OF ANCHORN3~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTIO~ Mr. Ted Moore Flattop Technical Services 14530 Echo Street Anchorage Ak 99516. Dear Mr Moore, P.O. Box 112588 Anchorage, AK 99511 I am writing with respect my letter of Febuary 15 which asked if you would supply the site diagram to complete the connection of our holding tank to the trenchs. I have not yet received a reply and I would be grateful if you could write to me with your decision as soon as possible so that I can decide my course of action if you should decline. I again look forward to your response. Sincerely, Alexander Milner cc Susan Oswalt, Municipality of Anchorage. RECEIVED Mr. Ted Moore Flattop Technical Services 14530 Echo Street AnChorage Ak 99516. Dear Mr Moore, P.O. Box 112588 Anchorage, AK 99511 2/15/90 I am writing in connection with our septic system for which I have retained you as a consultant engineer for a number of years. As you probably recall, after digging a monitoring tube and getting the Municipality to agree to a design in principle, I required a site diagram filed to obtain a permit to reconnect the drainage trenches to the holding tank. However in view of the impending court case with the well you felt that you were unable to supply this drawing unless I agreed to pay lawyer fees relating to your possible involvement through one of the parties I was taking to court. After discussions with Susan Oswalt, we decided that it would be in the best interests of all concerned if we waited to see what was the outcome of the case. Hopefully then we could proceed with you providing the necessary paperwork to complete the job since you had undertaken all the previous work. The well situation has now been settled out of court to my satisfaction (indeed all the parties involved finally acted with some degree of responsibility) and there is no possibility that you will become involved. Consequently I now request that this project go forward to a satisfactory conclusion and that you submit the necessary site plan to the Municipality. I look forward to your response. Sincerely, ~lexander Milner cc Susan Oswalt, Municipality of Anchorage. MUNICIPALITY OF ANCHORAQ~ DEPT. OF HEALT ENVIRONME~ .... H & ~IAL PRoTEcTION RECEIVED Name Address LEGAL DESCRIPTION ~ ~ Subdiwsion Township, Range, Section MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street. Anchorage. Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~/~4c~11o~¢r /Vl~loer. DISTANCES ~03/~'~ /~rnObj ,~-br ~c'C,'.P ~ I¢°~C~F~";,/,~C~.TANK ABSORPTIONFiELD WELL //'7 ~ /~,/9.. TANKS [] SEPTIC [~ HOLDING Manufacturer [ Oapaoty in gallons C--fl~--E'R IS'l:' I0O0 + O,T. ~ooo 5heel ~ ~. ~ TYPE OF SYSTEM []TRENCH [] BED [] W. DRAIN [] OTHER FT FT FT FT FT S~ ET ET WELLS [] PRIVATE [] OTHER fldentifv) Classlncat,on (A,B,C) J Total Depth J Cased to REMARKS: ~ ~'..¢ ~'1~,, lO00 WELL LOTLINE ~ I0' i~1,~. ~".5- t FOUNDATION bh/S. ~ 70 ' AS-BUILT DIAGRAM (Show location of well, sep C system, property lines, Ioundatlon, ' driveway, water bodies, etc.( hlunicipal and Slate guidelines in elfect on this dale: .eallh Depa,men, Approval; Scale: I'"~' fiG'" Inspections Performed by: r~ l~ /W,?_7-ec4 72-013 (3/85) ENGII 'S SEAL Address · ~'~-- ~ ~--0'7~ ~No. olBedrooms WE[[ sCmPT~O. LOT LINE · ownsmp, ~ange, sec~o. FOUNDATION TANKS [] SEPTIC [] TRENCH onginal grade MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Ale czno(¢r Pl,l er ~ HOLDING I C ap'~ac~y ~n gallons S,T. I000 J NO. of Com~menls TYPE OF SYSTEM [] BED om DISTANCES ABSORPTION FIELD 11'7 L WELL (Show Iocahon et well, septic system, property lines, foundation, waler bodies, elc.} c CdN. [] PRIVATE !.. Fei' ·REMARKS: SO F [] W. DRAIN [] OTHER I'~ota~rom ong,nal grade Gravel depth beneath pipe Gravel w~'~ Distance between lines WELLS [] · OTHER (Idenlifv) Depth Oat~ II~'Slalfed: lO00, Dale: ¥. cedily Ihat Ihis inspection was peflormed according Io all ~unicipal end Slale guidelines in eflecl on this dale: __ ,~/~/c~',,::~~ SEAL THEODORE F. MOORE CE - 3589 Heallh Department Approval. 2-013 (3/85) Date:_ CITY, STATE AND ZiP CODE ~ -- ARCHITECT ISAACS PUMPING SERVICE (Norm Tibbetts, Owner) 6218 Quinhagak Street ANCHORAGE, ALASKA 99507 (907) 563-3300 JOB NAME JOB LOCATION j DATE OF PLANS I JOB PHONE We hereby submit specifications and estimates for: MUNICIPALITY OF ANCHORAGE DEPT: OF HEALTH & ENVIRONMENTAL PROTECTION EtCT~ ? 1988 RECEIVED ~ ~'l]p[l~.. hereby to furnish material and labor -- complete in accordance with above specifications, for the sum of: Payment to be made as follows: dollars ($ ). All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica. tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate, Afl agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire. tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation insurance. A~reptau~'e of l[lrop~'sal -The above p~*ces, spee.',;at~oos and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: ~te: This proposal may be withdrawn by us if not accepted within days. Signature Signature Issued By~ It U N I C Z I:::' A L I T Y 0 F' A N C I'"1 0 R A I}) E ...... L, .:~Lreet, Anchor,~ge, Alaska 99501 '~"': ........ t::'er~m:i.t. Number.: 880177 Upgrade Dat.(.:~, Issued: 08/5')/88 Engineer t}esigned O~,rler Name: AI-EXANi)IE]:i'. MILNEI:~ Elwn¢~(.l', Adclr'es~; F:'O BOX 90:3~6 Day Phone: AIqCHORAGE, AK 995()9 ::~;45-.464:3 I:::'a r c: e 1 I d ~ 0 17-()'7:~;-q 8 L.ot Legal: ~d:dzvzsic~n: KIMBEF/L.Y MANOR ~2 Lot: 8 Block: .... o~.ct, ion: ~;~. Towns- ip: 1;2N i::/arige~ Lc,'l:. Size 23"00 (sq. It,, o~,~ ack, es) Max Bedr. ooms: Th:i.s p- ' '" er'm ~. t.: ;:~; Total Capac :i'Ly: F I...DINt::i TANI<: M:i. riimLl~ T'ank Size: 2,000 qallons. A h.i. ch wat. ep alar'm must. be ~nstal].ced on t. het. ank arid ~:o~[lec't;~d t(:i '~h~ Pe~-:[dl~)l]l:::~),, D~pt.h '!:I;:) top t, a I"1 k .::: 4 ,, 0 t' e e:, t. P e ql.,I i P e s - i n s u ]. a t. J, c)~] I] ViD P t, a ~] ~::. Z hlSTAM... 30n"~ GALL.ON HOLDING TANK PER M~-~]:NEERD F'ROF'ODAL~ AT I..-OCAT~ON SF'IONN ON THE ~' .... ~ ~..~1 ]AI.,,FE.D PLANS,, ' .... c. .[~:.,~ .......... ,. ......... [H.I.~:~ PEF?MIT !S . ch:il..J~::.z) F:'OR A c~.I. NI:'~LE. F:'~t~IIL. Y REB]:DENCI~[ DNL. Y AND 1'''~ ....... ,'~ :,XI',-,[1~1:.~ :t. 2/::~; 1 I CERTIF:'y 'T'HAT~ 1. I am /'am:i. liar wit. h t. he 1"~2qu~pe~16)~t,~i ~'clp on-s:i.t.e sewers anti wells as set, For. th by t. he Munic::i, pality oF Arlchor~ag~ (MOA) and t, he [lt.~t.e o{ 2. ]: ~i].]. ir'lstall t. he svst, ei~ J.l~ accoPdanc:e Nit. h ~].]. I10h cc~de:,~ ar'icl and in compliar~ce with t. he design ci~it.~i~:ia oF this per'mit,, "' - - ~=~=[;.,a Pequinement~ l'c~p the s~t back dist. ances ~'rc:lm any exis'l:.ing well, wast. ewater, dispc, sal system c)l~ public s~'wti~:~l"a(:':le~ system on ti]is CIP any adjac:ent aP nearby lot. 4.,, I unders'Land tha'L this per'mit, is valid {Of al rh~?~i,l~lliLlf~ O[ :ZS b~'dl"l~orlHB. aisc) Ml"ldi~(.H"st.,:~tl"ld that t. he) capacity oF the total system :i.s :3 beclr'ooms and any enlapg~men{ will Pequi~e an addit, ional pepmit,, ~L..IE X ~txl~:l::l M I I....NER ............................................................................................... FlattoP TechnfcaI Services 14530 Echo Street Anchorage, Alaska 99516 I-oT 7 I, OC~T /oN5' CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 14530 ECHO ST. ANCHORAGE, ALASKA 99516 August 26, 1988 M.O.A. DHHS P.O.Box 6-650 Anchorage, AK 99519 RE: Holding Tank Installation - Lot 8, Block 3, Kimberley Manor S/D, #3 Dear Sirs: An adequacy test on 2/17/88 of the soil absorption system serving the subject lot showed it to be adequate for slightly less than two bedrooms, rather than the 3 bedrooms for which it had been designed. Soils tests performed on June 29 demonstrated a perc rate of 230 minutes per inch, which is slower than the allowable rate for a~oil ~bsorption system, so a holding tank appears to be the only option. We propose to abandon the existing system after the septic tank, and to install a 3000 gallon holding tank at the location shown. An alarm will be mounted Sincerely, Ted Moore, P.E. Fiatfb-~ Te-ch-nlc~I Services 14530 Echo Street Anchorage, Alaska 9951q Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR:. i~'t t o e r- ~ ~ ', CE-3589 ,' ~ ~. % ..- .~ ~ DATE PERFORMED: ~ ~, LEGAL DESCRIPTION:~~ Township, Range, ,Section; 3 4 5 6 8 9 10 1 12 13 14 15. 16 17 18 19 20 "/Tt/=/~! SLOPE WASGROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Oeplh lo Waler After MonilorinD? .~_L O" ~d;Z Dale. Reading I~-" Oz______~_~ Date Gross Time $:$6 pt7 q:oy PO SITE PLAN '- f S L Net Depth to Net Time Water Drop PERCOLATION RATE ~30 ~ - (minutes/inch} PERC HOLE DIAMETER TEST RUN BETWEEN '~",-~ FT AND __~" 0 _ FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFECTON THIS DATE. DATE: 72-008 (Rev. 4185) ;Flattop Technical Services 14530 Echo Anchorage, Alaska Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99.502-0660 SOILS LOG -- PERCOLATION TEST "/-~ f" /J"/¢ DATE PERFORMED:_ LEGAL. DESCRIPTION:.~.. ~ ~ l..c~/~¢~/,~y j~/l~/' ¢;/r~ Township, Range, Section: I.~'~ p~ ~/,.,~/~, ,;,cl~/ SITE-PUAN '' --''' WAS GROUND WATER ENCOUNTERED? 6 7 8 9 10 11 12 13 14 15 16 17, 18 19, 20 IF YES, AT WHAT DEPTH? Deplh Io Waler After MonilorinD? ~ ~_~__ Reading Date Gross Time S Net Depth to Time Water Net Drop PERCOLATION RATE '-----------'---- ;~ ~ - [minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ - PERFORMED BY' ACOORDANCE WITH ALL STATE AND MUNICIPAL GUiDELINEs IN EFFECT ON THIS 72-008 (Rev, 4/85) DATE. DATE: M-W DRILLING, Inc. "~0' Box 110378 · 10330 OJd Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 DRILLING LOG Well Owner Dan Dersch .Use of Well Location (address of: Township, Range, Section, if known; or distance main road l,g, B3 ¥~mherly Hmnor Add Domestic 1[ Size of casing Depth of Hole Static water level vi .... ~,,~f~. (~) Screen ( ); Perforated ( Describe screen or perforation None Well pumping test at 20 gallons per (~K(~0~ (minute) for of drawdown from static level, 61 feet Cased to 60.6 feet (below) land surface. Finish of well (check one) open end ( hours with 100% Date of completion 8/28/85 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness Casing ); 0 TO 2 2 TO 8 8 .TO 19' 19 .TO. 53 53 .TO. 61 TO_ TO TO .TO. .TO. .TO. 2'0 TO .TO. .TO. OrganiCO' S ilt~y ' Gravel iS!lty _Hard Pan UA~'er Or~-vei ~WWA Certified Contractor 1 -- CUSTOMER F'ERI~ I 'f' I\10= DATE ISSUED: APPL Z CAN']": ADDRESS: CONTAC]" 'F'F,IONE ~ LESAL DESCRIi:D D LOT SIZED I certif'y that: DIEF::'ARI'MENT E}, 8,~.,~ 12'"S'T'F~EET .. ANCi~ORAGE, Al..: 99~:'~I 2~4'""47'2C~ 85(; 3;4 () 06/239/85 Al\IL) El\iV Z RONHEI'4T,~.tL I )T'ECT i ON DAN DERSCH J. 514 KEF:'IxlER ST', ¢~NCI"{OtRAGE, AK 99504 SUBDIVISION: ,(E;,,BERL-y ~ANOR ~2 ,~E:CFION: "~5 ':' 'f'OWNSH I F': :I. 2N 5~ (S6., F::'T, OR ACRES) L. OT.- 8 BLOCK. RANGE: :~W I am £amiliar with the requiremen-[s f~)r on-sit, e sewePs and wells as set Forth by the I~cnicipalit ..... I will inst,:II .~.~= ~ , y of AI}c.~olage (FDA) and the Sta~:e of' Alaska. :,~,.~ , '.. .','lT ....... =ys~.em in accordanc, e w~.t.h ai1 IdOA,codes and r'egutat:i, ons~ ...... ~-~ comp~.zance wz'[.h the design criteria o¢ this permit. " I will adher, e 'Lc) all IdOA and State of Alaska requirements fop 'the set back dis'[,al]Ces ¢pom any exis'Lii-lg well, wastewater disposal system or, PLlblic sewer,,~ge system on this or ally ad.jaC;el]t LiP nearby Io'L. ~- ~. DA TE: ' WELL LOG FOSS DRILLING ASSOCIATED 909 CHUGACH DR. #37 ANCHORAGE, ALASKA 99503 WELL OWNER Dan Dersch USE OF WELL Oomestic WELL LOCATION Lot 8 Block Kimberl Subdivision Addition II SIZE OF CASINQ 6", DEPTH OF HOLE 48 STATIC WATER LEVEL.,ArtesiaV~. Go Po Mo REMARKS FT. CASED TO 48 FT. 6 WITH 46 FT. OF DRAWDOWN. DATE COMPLETED 11/15/80 PUMP TO BE SET AT 46' ~) to.,lO Alluvium: brown color and soft 0~to, 28 .,2~ to 52 _3~to 47 -A~to, 4O to ~color and hard Sand and Gravel: brown color, with water Al___~luvium: ~ medium hardness Sand and Gravel: re with water ~to ~to~ to _ to~ _, to _ to , to_ _ _to .... .... to. , MUN~OF ANCHORAQE DEPT. OF /:- !z': & _ to_ [:'EPRRTMENT C'- HER! TH RND EN","IRONMENTRL ,"-, . - · 0 TEL:TION - STREET., RNCHORRGE~ R~:::. 9';~ :l " 800612 ) ~'lE[_b F'EE:t.~ ~ T p ~ ERMI'r NO. FFLIcRNT L OCR T I ON [:'BN DERSCH O.IR RORD 15i4 KEPNER [:,R -~ -'~' '" -:~'50 L. EQRL LOT 8 BLK _~ KIMBERLY MRNOR LOT SIZE 30000 SQURRE FEET MINIMUM C I:,TMNuE BETHEEN R HELL RND RNY ON-BITE SEHRGE DIBpIhSRL SYSTEM 100 FEET FOR R PRIVRTE HELL OR t50 TO 20m FEET FROM R PUBLIC ~,~ELL DEPENDING UPON THE rr: OF PUBLIC NELL MINIMUM DIBTRNRE FRJM R PRIVRTE HELL TO R PRIVRTE ~ , TO R COMMUNITY SEWER LINE ID 75 FEET. :,EHER LINE IS 25 FEET RN[:, WELL LOGS RRE REQUIRED RND MUST DE RETURNED TO THE : , OF THE WELL E.J~PLETION. ['EFRRTMENT WITHIN 30 DRYS nTHER ,-' , - - - · REQUIREMENFB MRY RPPLY. R',,'RI - , SPECIFICRTIONS RND CI]NgTRIIiCTiON DIRGRRtIS RRE , LHBLE TO INSURE PROPER INSTRLLRTION. - .... I CERTIFY THRT : 1: I RM FRMIL. IRR HITH THE REE-~UIREMENTS FOR ON-SITE ,- ,,- _ ~ENER:, RND WELL,:; RS SET FORTH BY THE MUNIF:IPRLITY OF RNCHORRGE. - 2; I HILL INSTRLL THE SYSTEM IN R-.C. URDRNuE HITH THE CODES. . I L-[NE[.,: [:,FIN [:'ERSCH ISSUE[:, B' /" V4. 0 ~ : 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 IPHONE LEGAL DESCRIPTION ~. - Li,. c~alJons IF HOME.DE: Inside length Width~~ ' '' Liquid depth ~ ~ DISTANCE TO: Well Dwelling ~ PERMIT NO. O Z ~ Manufacturer ~ -- ~ Material Liquid capacity in gallons ~ ~,~ F°ut~3~ Nearest lot ,in~l ~ ~ DISTANCE TO: W - ~ ~ ~ ~ Distance between lines ~ ~ ~ Top of tile to finish grade Material beneat% inches Length Wi~ ~ Total effective area inches ~ ' Depth ~ PERMIT NO. ~ ~ Type of crib Crib diameter ~ ~ Crib depth Total effective absorption area ~ DISTANCE T0: Well Building foundation Nearest lot line ~ Class . Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE M~TERIA LS ~ ~ REMARKS , ..~., , .> ..~ EEK OF SOR :T C,N ,=' -- -.¢>TEM : TR~NC:H MR,:.~IMLIN NLMEEE OF BEDROOMS = Z~ 50IL.. RFtTING THE REQUIRE[:, ~l=~ OF THE SOIL -"--'> ' ~/~ ...... :. HB:,ERFTIUN SYSTEM I_,. THE LENGTH DIMENSION I5 THE LENGTH (IN FEET.'., OF THE TRENCH OR DR~INFtEL[:,. THE DEPTH OF ~ TRENCH OR PIT I5 THE C I:,~NCE B~TNEEN THE $URFRCE OF: THE GRDLIND ~ND THE BOTTOM OF TH~ ~h~C~V~TII3N (IN FEET>. THERE I5 NO SET NIDTH FOR TRENCHES. THE GRFIVEL D~PTH I5 THE MINIMUF1 DEPTH OF GR~VEL BETNEEN THE OLITF~LL F'IP~ ~ND THE BOTTON OF THE EXCaVaTION (IN FEET..'). F'ERI',II'F RF'PLICRNT HR:";, THE RESPON_C, IBILITY TO INFOF.:N THI'--q E EFHRTI'IEN1 DLIF.:II'-.IG THE INSTFILLFITION TNE. PECTTOr-,I$ OF RN'Y I,.IELLS RDjrRCENT TO 'l"HI_C; PROPERT'? RN[:, THE NLIt"IEEP.. OF' RESIDENCES THFIT THE 14ELL I-,I~LL SERVE. T L.-I E, ,:' E:RCKFI'LL!NG OF RNY '='"- '-' r' -,~r--,TEN NITHOUT F.INRL IN--.FE~.TI'ON RND RPPRO',/RL BY THIS [:'EF'RRTMENT NIL. L BE SLIE:..TECT TO FRJ:.ECUTION. MINI~'IUH DISTRNCE BETNEEN FI NELL RND ANY ON-SITE SENAGE Olqp'lC;RL ,:',,,:- ...... ±~.gt:l FEET FOR R PRIVRTE NELL.; ELF.: 150 TO 200 FEET FROM FI F'UBL!C NELL DEPENDING UPON THE T"r'F'E OF F'UBL!C HELL.. OTHER REO-.LIIREi"IENTS MFIY RF'PLY. SPECIFIC:FITIONS FIND L.~I".t'-'.~RUL. TIt. N D!FtGRRMS FIVIZItLFtBLE TO ~I".ISURE FF..UFER ! 'q - - ' ~'" ' N_ THLLHT I ON. F"EF-:D1T T E:~,~ F' I RES [.:.ECEI"IE:EF.: 2:_<:J_.. J: ~79 ! CERTIFY THFIT i: I AN FRFtlLIFIR NITH THE REQUIRENENTS FOR ON-SITE -,EHER_, RND NELL._~ RS SET FOF.:TH BY THE NUNICIPRLITY OF FINCHORRGE. ~. I WILL INSTRLL THE qYSTEH IN ........ HL.L. ORE.~NUE NITH THE C:O[:'E-q. ~:: I UNDERSTFIN[:' THFIT THE ON-S~ITE SENER SYSTEM MFIY F.'.EQUIRE ENLRRGEMENT IF THE F.'E'--;IDENCE I_~q REMODELED TO II'-,ICLUDE i"lZIF.'E THRN 3: E:E[:,ROOi"IS. ~. I ,_~.dE r~: _~_!_~_ ~ L~__-~_S____-~-__ ............... FI~ ELLSNOETH E>~CR",,'RTING '" MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION [] PERCOLATION Pouch 6-650, Anchorage, Alaska 99502 276-2221 TEST SOILS LOG - PERCOLATION TEST 6 7 11 12 ~7 20 SOILS LOG SITE PLAN ENCOUNTERED? IF YES, AT WHAT E ~ ~ ! ! t DEPTH? Reading Gross Net Time Time Net Water Drop Date DATE: COMMENTS PERFORMED 72-008 (7/76) [] sOILs LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~ PERCOLATION % Pouch 6-650, Anchorage, Alaska 99502 276,222~ TEST SOILS LOG- PERCOLATION TEST 2 3 4 5 6 7- 8 9 10 11 12- 13 14 15 16 17 18- 19 2O WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Reading Date Gross Net r- Depth to Net Time Time Water Drop ~: ~ ~ '~ ,, ~ ~ ~,, PERCOLATION RATE ~--~ 7 ' {minutes/inch) TEST. RUN BETWEEN _ (:~ FT AND , '~ FT ' CO~ENTS ~ ~, ~1~ ~.~ ~/~_~. DATE: 72 O08 (7/76) 'e 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.# O/7 - 0'73 -- .z~ <~ NAA# 1. GENERAL INFORMATION · · ,, .: ~ :_ . . . .... . ~ Complete legal description Lot 8; Bi6;3k .3; Kimbbri'~ Manor #2 Location (site address or directions) 7701 Our C%/n Lane Anchorage, AK Property owner Ralph Wesser Day phone Mailing address 7701 Our Ow~ Lane Anchorage, AK 99516 269-5050 (w) Lending agencY,. Mailing addres~ Day phone Agent Address Skip Minder/ Jack White Real Estate Day phone 563-5500 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well yJx:x 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 F*NV~RONMENTAL SERVIcE,s DIVI$10M Municipality of Anchorage J~OV 2 '~' 1996 ~ DEPARTMENT OF HEALTH & HUMAN SERVIGE,~ Environmental Services Division J~ECE i VE D 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Description: Lo 7- $ A. WELL DATA Health Authority Approval Checklist Well type Log present ~)N) Total depth Sanitary seal (~'~N) If A, B, or C, attach ADEC letter. ADEC water system number '¥ ~ S Date completed '7 J i:/ ~ / ~' ~¢ Cased to ~ S". 5,~ Casing height (above ground) . Wires properly protected ~N) FROM WELL LOG Date of test "7/, /~' / Static water level ~ · $~ Well production f '7 WATER SAMPLE RESULTS: g.p.m. AT INSPECTION Coliform o Nitrate O. ? $ ~' Other bacteria Date of sample: ) ~/~. ~ / ~ ~- S & S ENGINEERING Collected by: 17_n_~4 I=~Ela River Loop Roar{ No. 204 B~-[~'~'C~-L~_.~N-G_~'rANK DATA ~.~ ~'4.,, ~-~ ,_ T;¢~.,~ rJ ~., ,~ C- Eagle River, Alaska 0~577 Date installed ¢'-'-?9/~-~/-'~'Tank size/¢~e/~0 Number of Compartments ~/, Cleanouts ~/N) Foundation cleanout ~'~N) ~'"g-$ Depression (Y/,...~ ~v O Date of Pumping u / ¢ ~-/9 C. ABSORPTION FIELD DATA Date installed Length _ Width Gravel thickness below pipe ~1 depth Effective absorption area Monitoring T~ )/~~Bepression over field (Y/N) Date of adequacy test __ ~uft~(Pass/Fail) For Fluid depth in absor~efo~e test (in.); Immediately after gal. water added (in.): Fluid ~/ (ins) Minutes later: Absorption rate = g p d Pej~xiBe treatment (past 12 months) (y/N) If yes, give date High water alarm (~/N) Y ~ w ~ ~¢ ;j PumPer i~/r4 c- ~ ~ ~w~,,~,~ o~ Ov~,~,~ , Soil rating (g.p.d./fl~ or fF/bdrm) System ~pe .bedrooms 72-026 (Rev. 3/96)* lb) lc) 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- .S'c'/¢'~ /./., GENERAL INFORMATION la) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Applicant Name ~ D ~ ~'i~ / r~ Telephone: Home ~ LSg ~ Business Applicant Address . 7 '~ O ] O ~ ~ O ~U/J . ~ ~ ~. . Apphcant Is (check one) Lending Inst~tuho~, Owner/budd~~Buyer ~; Other D (explain); ..... Real Estate ~mpany and A~~ t) {~. (d) (e) (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family [] Multi-Family Number of Bedrooms Other WATER SUPPLY Individual Well [] Community [] Public [] Note: If com m unity well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. 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 ( 11/84j 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 Hea~th 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 or, the date of this inspection. Name of Firm Address Date ~'~ Telephone Engineer's Seal DHEP APP~ Approved fo~~¢¢~ bedrooms Approved ~ Disa Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP} issues Health Authc~,y' Approval certificates based solely upon the representations given in paragraph 5 above by an independent profess~on, cJ engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their Jerldir~ institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspectJor;~ analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions professional engineer's work. Page 2 of 2 72.025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: MUNICIPALiTy OF ANCH DEPT. OF ORAGE ENVIRONME~,,.~.H. EALTH & ~'~L PROTECTION WELL DATA If A, B, C, D.E.C. Approved (Y/N) Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: Well Classification Well Log Present (Y/N) }"' Date Completed ,¢¢/~¢ / 8,5- '~'-" Yield Total Depth ~1 ' Cased to f'~, ~ ~ ~epth of Grouting /~e/ Static Water Level ~,,-~-~,.~l~n Pump Set At 5 ~'~' ~' Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) /~f To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results ( I0 ' / ; On Adjoining Lots IO,'~ ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on ; Date Comments B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) ~' Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well i i~~ To Property Line '~,/'~ To Water Main/Service Line l,[,/4L, Size lCJOO~f'¢~ ! /No. of Compartments '~. Foundation Cleanout (Y/N) Date Last Pumped ~'/~ ¢ ; for /4, ~J,, Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field Course '~ [Oo' To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84/ C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field 12~/'/~¢¢'~"~ Type of System Design Length of Field Depth of Field Gravel Bed Thickness pc~llef Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well IO~'~ Standpipes Present (Y/N) Date of Last Adequapy Test To Property Line To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course ~' To Driveway, Parking Area, or Vehicle Storage Area To Existing or Abandoned System on ; On Adjoining Lots ~ .)¢ ' To Cutbank (if present) f4¢~. D, LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~"~.~ :¢' ~¢'¢'~ Date Company F-~t','~,~ '~'~adt'l~el.~v~ MOA NO. Receipt No. Date of Payment (~)_ .,//~ ~_.c~ Amount: $ Page 2 of 2 72-026 (11/84) Engineer's Seal OFFICE l~y 10, 1985 274-2533 I~. Dan Dersch 7701 Our On Lane Anchorage, Alaska 99510 SUBJECT: Lot 8, Block 3, Kfmberley Manor Subdlviston f2 Anchorage, AK (8521-~-140) Dear Mr. I)e~sch: Upon investigating your property on ~ay 7, 1985 I have reached the following conclusions: 1. That part of the absorption trench under ~our driveway should be moved. The trench may be executed six feet rrm the higher trench. Z. A 90 day tenporary waiver is hereby issued to provide for construction time. 3. Upon su¢cess~lly putting in the new trench and abandoning the eld trench line under the drive,ray, a full ~iver will be given to the septic system. Please contact me for additional information. Stncerel y, District Engineer