HomeMy WebLinkAboutMEADOW RIDGE ESTATES NORTH ADD BLK 4 LT 2
IVtUNICIPALII Y OF ANCHO!:~AGE
DFPARTIVIENr OF HEAl.TH & ENVli~ONMEN'iAt. Pt-~O1-ECTION
ENVIRONMENTAL ENGINEER NG DIVISION
825 L Street - Anchora~.~e, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OH WEi.t- INSPEC'EION REPORT
MAI LIN G~-,A D D R ESS
Absorption< a Dwaldng I PERMIX NO
DISTANCE TO: IWell [
~ ~ IF HOMEMADE: Inside~l~ Liquid depth
Welt Dwelling PERMIT NO.
DISTANCE FO:
Manufacturer - [Material Liquid capaciw in gallons
Foundado i]2 I.~~- PERMIT NO. ' "'
DISTANCE TO: -~ '~'~ ¢ --'-
line Total lergtl , lines jl'rench w th ~ Distance ,t
Top of tile to finis~r~ ,e M.teri~ ~en( ',~e eff~t~sorption
inches
'idth I PE~IT NO.
of crib ~rib diameter Crib depth Total effective absorption
Well Building foundation Nearest lot line
DISTANCE TO:
De~th I Distance to~l°t~ _tin~ ~.
Bu Id ng foLmdation Sewer line ~Septic lank [Absorption area(s)
DISTANCE
TO:
/
/
OTHER
SOIL TEST RATING
l..Y
~NSTAL~ ~ .
REMARKS
APPROVED
¢_A T ~L E G A L
/or ¢
F'E:F.:I"I I T NO.
FIF'F'I... I C:F~IN T
L - ".' FIT I
LEGFIL.
GEEH...FIR C:OI'.,I::ST. F'. 0.
LOT ;2 BL.K d. H.F.'FII:::,Cd.,.I RII])GE SI.IL::
LOT SIZE
:,~ EL. HE,.:,UF.F FILN :T: FE. I1 I'..:;: I.)I~:FIINFIELI:)
T'¢F'E OF '"- - "-" '" q' '-'"' ......
flH,:.:,II'"IUH NI. JHE.:ER OF E:E[:,F.:OOi'qS = 3:
99L:C. gL:4.9 SQURRE FEET
S O I L R FIT I N G ,' S~'.':! F T,-."E:R ::, = ::l..D O
'T'NE REL=.!UIF.:E[', SIZE OF THE SOIL RE:SL3RF:'"rl'ON' :,T: l-Ell IS:
THE LEI'.,ICFH.-I DIMENSION IS ]"HE LENGTH (IN FEET:) OF THE TRENCH OR B,F.'.E~INFIELD.
THE DEF'TH OF:' FI TREI'.,ICH OF.: PIT IS THE [:,ISTFINC:E BETHEEN THE SURF'FICE OF TPIE
GF.:OUND Ri'.,ID ~'HE BOTTOH OF THE E',,.,',CRVFI]"ION ,::IN FEET::,.
THEE GRR'¢EL DEF'TH IS THE FIINIHUfl E:,EF'TH OF GRR'EEL. BETHEEN 'THE OUTFRLL. PIPE
RND THE BOT'I"OH OF "I,HE E. XCF¢¢RTION ,::IN FEET.':,.
F'ER, HIT RPPLIC:RNI" HFIS THE RE'SF'ONSIE;II._]:T'm' TO INFOF..'H TNIS DEPRRTHENT DURING THE
INSTFILLFITION :[I'.,ISF'ECTIONS OF RN'¢ HELLS RDJ'RCENT TO "rNIS F'ROPER'T'T' RND THE
NUHBER OF F.:E'.SIDE:NCE'..'.:.; THFIT THE HELL HILL SERVE.
.............. "'IF It.,Jl ,'":::, .:'.' ;.?". 1. Ib'41 =:.""- IF:" E C: T' 1. ,."=, r'-41 "='~. Fi F..." E IF~".. E_'= ,.='-, ..... II II 1:1[: ~."" E~ ....... [_-, ............
BRC:KF'ILL. Ii",IG OF Fd",l'¢ S'¢9.:"I-EH I.,.IITH:' .IT FINFtL. II'-4SF'EC:T]:Edq RND HFFF._ ,HL B'¢
[>EF'FIRTHENT 14ILL BE SUBJ'EE:T TO F'RO:SEF:UTIEd"4.
1',III'.4IHIJH E:,ISTRNCE 8E'TI4EEN R HELL Ri'.,ID FII'4Y ON-SITE SEHFIGE DISF'OSRL SYSTEI"'I IS
:]..E~O FEET FOE: FI PRI'v'FITE HELL L3F.'. ::LF_,O TO 2F~O FEET FROH FI PUBLIC HELL DEPENDING
LiPOH THE T'-?F'E Eft= PLIBLIE: HELL.
HII'.,IIHUH DI2;TRt'.,ICE FF.:OH FI F'R.I'¢FITE HELL. TO FI PRIVRTE :F.,EI.4ER EINE IS 2~] FEET RND
TO R COHHUiqIT'¢ SEI.,.IER LINE IS 75 FEET.
OTHER REC. A..IIRE:HENTS l'"lFl"r' FIF'F'L'T'. SPECIFICFITIONS FIND COi'.4STF.:LIC:TION DIFIGRFIHS FIRE
FIVR I LFIE,'LE: TO I NCE;URE PROF'ER l NSTFIL. L. FIT 101"4.
I C:ERTIF"r' THRT
:L: I Rt'"I FFII"IILIRR HITH THE REC.!UIF.:EHENTS FOR ON-SITE SEHERS AND HELLS FIS SET
FCIF.:TH B"r' THE: HUNi'CIF'RLIT'¢ OF' RNCHORRGE.
2: I HILL. INSTFIL. L. THE S'¢STEH IN RCC:ORDRNCE: FILTH THE CODES.
3:: I UNDEF.:STFIN[') THRT THE ON-SiTE SEHEF.: S'T%TEH FIFI'¢ REO. UIRE ENLRRGEHENT IF THE
RESIDENCE iS RE:HODELED TO INCLUDE hlORE THRN 3': BEDROOHS.
;~.iI-~IX][HI.II.I I'.II.tHL~I-:f;: Of 8t'.'OROOH~ ~ :l
TH~?:
- ' - ,' ':"' ¢ PPROV L 8'I 'TH['~ .~,,,
~' SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, A~aska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
3
4
5
7
8
9
10
11
12
13
14
15-
16
17
18
19
20
.4~/ ~/~J¢~'~/.:-~ DATE PERFORMED:
/ SL~)PE
SITE PLAN
WAS GROUND WATER ,~7.~ SL
ENCOUNTERED? O
P
E
IF YES, AT WHAT
DEPTH? /~-~ {~'
Gross --'~"~15~'~e~'~, Depthto Net
Reading Date Time _~-~'a ~ _~~ , 4'~'1~" ,e.~,~ ,l~Water Drop
~= %.. ~ ~. 6E-532~
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND -- FT
COMMENTS ~,,-~5/'?,~l ~,6,d~s,~.P~/~ /¢,~-',,¢ ,,dT 1,5'0 ,¢cp¢~..l~c-~z¢/~ ze¢:Z~>zl ~'/~d
~-~,~ ~o~h4T~UeT/~z//~W~CERTIFIE9 BY: .~ ~ ~.~'?¢'~. DATE:
PERFORMED
BY:
72-008 (6/79)
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
1. GENERAL INFORMATION
Complete legal description
Lot 2; Block 4; M~adoW Ridg~ Estates ~h
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
Wayn~ Ba~
Rout~ 6, Box 104
21240 M~adow Lak~
Chu~iak, AK
Day phone (806)
ErneSt L~ Drive. Amarillo TX 79124
Day phone
353-8134
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:
3
XXX
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
NOTE:
Individual on-site XXX
Holding tank
Community on;site
Public sewer
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 i~21
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/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and.~ype 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.
S & S ENGINEERING
Name of Firm 17034 E--~ m,,,~, L~a
---- Eagle Rib, er, Alaska 9.~ .~.~
Aaaress
Engineer's signature ~
Phone
Date
DHHS SIGNATURE
Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
Date
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__-~25 (Rey..~/91) . Back MOA ~¢21
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
A. WELL DATA
Well type ~.-~%¢~t"~z~
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
Parcel I.D.
If A, B, or C, attach ADEC letter.
ADEC water system number 7.-~ ~ ~\
Date completed Driller
Cased to Casing height ~
Wires prop~
FROM WELLEOG ~ AT INSPECTION
Date of test~ ~ ~
g.p.m, g.p.m. ~ ~ ~..
Pump level
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer service line
; On adjacent lots
; On adjacent lots
Public sewer
~m tank
WATER SAMPLE RESULTS:
Coliform __
pie:
N it rate
Collected by:
Other bacteria
B. SEPTIC/HOLDING TANK DATA
Date installed
Cleanouts ~'N)
High water alarm (Y~[~
Date of pumping
Tank size \ o ~ ~:~ Compartments
Foundation cleanout~/N) "/ Depression (Y~bl))
Alarm tested (Y/N)
~..~_c~'~ Pumper
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
.Foundation
Well(s) on lot "2/c~ C>
To property line \ c,
Surface water/drainage
On adjacent lots
Absorption field
Water r .ain/service line
72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent (Y/N)
High water alarm level
Manufacturer
"Pump on" level at
~ tested
Meets MOA electrical codes (Y/N~ ~
SEANCE FROM LIFT STATION TO:
Well on lot On adjacent lots
Manhole/Access (Y/N)
Surface water
D. ABSORPTION FIELD DATA
Date installed c~ _/~ - c~,~
Length '/~' Width l \'
Total absorption area
Depression over field (y~i)
Results ~fail)
Peroxide treatment (past 12 months) (Y~
Soil rating
Gravel thickness
~--z~ ~/~'~' ' System type
~ ~' ¢ Total depth '¢, ~'- /
Cleanouts present~:¥N)
Date of adequacy test /'~
for ~ bedrooms
ak..[ ~ If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot '~c~
To building foundation
On adjacent lots
Surface water
Curtain drain
On adjacent lots ~'l.~ Property line
To existing or abandoned system on lot
Cutbank ~1,~ Water main/service line
Driveway, parking/vehicle storage area
~E. ENGINEER'S CERTIFICATION
I certify that I have check~,..¢......._.verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signature
Engineer s Nafr~ ,,ve~/.~agm · Lool~ Read
Date ~ //¢/ q~
HAA Fee $
Date of Payment
Receipt Number
Waiver Fee: $
Date of Payment
Receipt Number
WALTER J. HICKEL, GOVERNOR
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE DISTRICT OFFICE
800 E. DIMOND BLVD., SUITE 3-470
ANCHORAGE, ALASKA 99515
(907) 349-7755
June 11, 1993
Mr. Ray Shafer
S&S Engineering
17034 Eagle River Loop Road
Anchorage, AK 99577
SUBJECT: Lot 2, BIk 4, (21240 Meadow Ridge Dr.); Meadowridge Estates S/D - Dawn
Water Supply; Class "A" Public Water System, PWSlD #211431
Dear Mr. Shafer:
I have completed a review of this office's files concerning the monitoring status of the
above-referenced Class "A" Public Water System and found the following:
The last satisfactory Total Coliform Bacteria Sample results was submitted
to this Department on May 19, 1993. This does meet the provisions of 18
AAC 80.200(a) of the State Drinking Water Regulations.
The last inorganic Chemical Contaminants sample results were submitted
to this Department on October 8, 1990. This does meet the provisions of
18 AAC 80.200(a) State Drinking Water Regulations.
The last Radioactive Contaminants Sample results were submitted to the
Department on February 18, 1993 does meet the provisions of 18 AAC
80.200(a), State Drinking Water Regulations.
The last Organic Chemical Contaminants/Volatile Organic Chemicals (VOC)
were submitted to this Department on October 31, 1992. Based on analysis
of the previous VOC samples results have been satisfactory. This does
meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations.
Issuance of this letter does not imply that the above-referenced Class "A" Public Water
System is in compliance with other provisions of the State Drinking Water Regulations.
Unless otherwise noted, this letter is valid for 30 days and is for the specified legal
description noted above only.
If you have any questions on the above information, please do not hesitate to contact this
office at 349-7755.
Sincerely,
Michael Lu
Environmental Eng. Asst. II
KKK/na
NIUNICIPALITY OF ANCHORAGE
DEPAR'rMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICA'¥E OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264~472O
Application Date ...............................
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location ( .~'~ddress or directions)
(b)
Applicant
.'-z ~"-~ /, , Dz-
(c) Applicant is (check one): Lending Institution g; Owner/builder ~; Buyer ~; Other ~ (explain);
(d)
(e)
Lend,n9 Institution __ /~_(~/)_' ./~_~__/._.~i~'. ....... Telephone
Address
Real Estate Cornpa,~y and Agent
Address
Telephone
(f) Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family~ Multi-Family [] Other
Number of Bedrooms ___ ,...~_ ........
WATER SUPPLY
Individual Well [] Community [] Pubtic,j~
Note: If community well system, must have written confirmation fi'om the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite,J~ Public [] Community [] Holding Tank []
Note: tf 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 (11,84)
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND iNFORMATION
As certified by myseal affixed hereto and as of the valldat,on date showe below, I verify that myirrvestigation of this Health
Authority Approval shows that the on-site water supply ahd/or wastewater disposal system is safe, [unctional and adequate
for the number of bedrooms and type of structure indicated ho~oin. I furdner vedfy that based on the information obtained
from the Municipality of Anchorage files and from my mveshgation and inspection, the on-site water supply and/or
wastewater disposal system is in compliance with ali Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm ~ ~~t~ ........ Telephone
DHEP APPROVAl. ,% [ / .... ,,
,, .... /, :///.,
¢//~ "Z~ (' bedroomsby .__:.)_L ZZI ~:~:~._C~L,~.~Date
Approved for _. ..... ~
Approved ~ t/ (
Disapproved ............. Conditional ',~
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 m 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
,~2-025 (11/841
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL
DEPARTMENT OF ~]~.ALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR H~ALTH AUTHORITY APPROVAL CERTIFICATE
General Infoz~nation Application Date
(a)
(b)
(c)
(d)
Legal Description (include lot, block, subdivision, s~ction, township, range)
Location (address or directions)
Applicants Nam ~/ ~,-27~ Telephone - Home
Applicant is (check one) Lending Institution
Buyer ~Z~ 0ther~Z~ (explain);
Lending Institution /~hO ~'
Business
~ ; Owner/builder~ ;
Telephone
ad a s's
(f)
Telephone
'~.~--"~e HA~% to tile following address:
~y3e of Residence
Single-Family~
Number of Bedrooms
Multi-Family~--~
Other (describe)
Individual Well~ Community ~' Public ~
Note: If community well system, must have v~itten confirmation from the State
Department of Environmental Conservation attesting to the legality and status°
Sewa~osal
OnsiteZ~ Public ~ Community ~ Holding Tank ~-~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conse~ation attesting to the legality and status.
[Page I. of 2]
o
En~r~n~ Firm Providin~ Inspections~ Tests; File Search~ Data and Inform~tio~
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 SCare codes, ordinances~ and regula-
tions in effect on the date of this inspection°
Name of
Address
DHE___~P =A~p~r oval
Approved for ?~i- ~-~ ~ bedrooms
Approved ~
Telephone
Disapproved
Conditional
Terms of Conditional Approval
CAUTION
THE bfONICIPALITY OF ANCHORAGE DEPARTMENT OF ~EALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES ~EALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-'
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN THE STATE OF ALASKA. ~ DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. E%IPLOI~EES 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 ~ PROFESSIONAL ENGINEER'S WORK.
(DHEP SEAL)
RR4/ej/D18
[Page 2 of 2]
7--19-84
A. WET,T, DATA
Well Classification
Well Log P=esent (Y/N)
Total Depth Cased to
Static Water Level Pump Set At
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances f=cm Well:
To Septic/F~.~ Tank on Lot ~
To Nea=est Edge of Absc~tion Field on Lot Zoo L
To Nearest Public Sewer Line
Cleancut/Manhole
Water Sample Collected By ; Date
Water Sample Test Results
CC~%TS nts ~6~ ~
MUNICIPALITY OF ANCHORAGE (MOA)
armO TY APP OV
Legal Description:
If A, B, c~ C, D.E.C. Approved(Y/N)
Date Completed Yield
MUNICIPALITY OF A
DEPT. OF HEALTH
ENVIRONMENTAL pROTECTION~
FEB
Depth of G~outing
Sanitary Seal on Casing (Y/N)
Dep=ession A~ound Wellhead (Y/N)
; On Adjoining Lots ~
; On Adjoining Lots ~<3o
To Nea=est Public Sewer
To Nea=est Sewer Service Line on LOt
Be
SEPTIC~ TANK DATA
Date Install. d ~//~/~.~ Size /6o~ No. of C~,%~artments
Standpipes ~/N) ! / Air-tight Caps ~/N) Foundation Cleanout ~/N)
Dep=ession over Tank (~ Date Last. ?um~ed f,-~
Pumping/Maintenance Contmact on File (y~/l~- ;
Holding Tank High-Water Alarum (Y/N) ~J/f3~ Temporaz~y Holding Tank Permit (Y/N~/~<~
Separation Distances f=cm Septic/Holding Tank:
To Water-Supply Well ~o~ ~/-- To Building Foundation ~! !
To P~o~erty Line /~; / ~-
To Water Main/Se=vice Line /O ~/--
Course ~
To Disposal Field ,, ~ /
TO Stream, Pond, Lake, c~ Major D~ainage
Receipt %
Date Paid:
Amount:
2-15-84
ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date .Installed
Width of Field '! ' % Il'
square Feet of Absorption Amea
Depression over Field (1~.~;
Results of Last ~equacy Test
--Length of Field
Depth of Field
Date of Last Adequacy Test
Separation Distance f~cm Absorption Field:
To Water-Supply W~ll
To Building Foundation
LOt /3 ~ ~3 ~
TO Water Main/Se=vice Line
To Stream/Pond/Lake/(= Major D~aina~e Course
To Driveway, Parking Area, or Vehicle Storage
Cc~--nts /~.~o
~ 2J30 '~t TO Property Line f/'
~ ~ TO Existing or' Abandoned System cn
; ~ ~joining ~ ~o ~ ~
/O ~ To ~t~(if ~e~nt)
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested fo~
Electrical Codes(Y/N)
/~ Dimsnsions
~P~f" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
M~ets MOA
Cc~ents
**
Check Permitted Bedroom Rating Against HAA Request
I certify that I have checked, verified, or confc~med to all MOA HAA Guidelines in effect
on the date of this inspection.
Signed
MOA No.
[Page 2 of 2]
2-15-84
HEALTH AUTHORITY
APPROVALS
SEWER &WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
SYSTEM DESIGN
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
ROBERT A. SHAFER
February 28, 1985
01VIL ENGINEER
694-2979
Municipality of Anchorage
Department of Environmental Health
825 L Street
Anchorage, Alaska 99501
REFERENCE: Lots 1 & 27 Block 47 Meadowridge Subdivision
The houses located on the referenced property have been
setting empty for over a year since the septic systems
were installed. $%~ce the houses were not previously
occupied,~pumping the septic tanks was not necessary.
If we maybe of further service,
Sin /~1
s/ss
please call.
SRB 196X EAGLE RIVER, ALASKA 99577
DEPT. OF ENVIRONMENTAL CONSERVATION
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA gg501
BILL SH.EFFIELD, GOVERNOR
Telephone: (907)
Address:
274-2533
To Whom it May Concern:
According to records on file in this office
~ Water System is in compliance, with the State Drinking
Water Regulations
Sincerely,