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Home My WebLink AboutMCMAHON BLK 1 LT 9 GREA, ,.R ANCHORAGE AREA BOR,., Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS ~;))'"3r .~4~)~',, l*Tg'~ PHONE '~/ /~ "] LEGAL DESCRIPTION '~ 9 ,~ / ~¢,/j{% ,~/~ ~...,~¢,,., -4~ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER ,~ INSIDE WIDTH NUMBER OF MATERIAL , COMPARTMENTS LIQUID DEPTH LIQUID CAPACITYz/<¢t2~2 GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES DISTANCE BETWEEN LINES TOTAL LENGTH .,.~OO /' _NEAREST LOT LINE OF LINES .TRENCH WIDTH 4/00 IN. TOTAL EFFECTIVE ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE& .IN. ABOVE TILE IN. WELL: BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST NEAREST LOT LINE_ SEWER LINE__ , OTHER SOURCES DISAPPROVED REMARKS DEPTH SEPTIC SEEPAGE , TANK,__ SYSTEM DISTANCE FROM: DISTANCES: INSTALLED BY: ~ SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM G.A.A.B. Form EQ-032 ll-,.~l E: L_ L FII l'-~ PERMIT I'.10. ( 76820 ::' RF'PL I CFINT LOCFYt" I ON LEGRL C:I"IMBS ,.,-~, HUFFMRN RD L9 BSL MF:I"IRHOi',t sUE,[ DEPFIRTMENT/-"-',HERLTH 8N[:, EN'v'IF.:Ut",IMENTHL _ rE..: I..N 25t6 E.' ,,JDOF.'. RD.., FINCHORFIGE., SF-'.R E-:;:.:; 'i. 782 .~1..-345';:' L. OT SIZE ]'Z-"~.;;:25 SQUI:::tRE FEET T'gPE OF S;OIL RE:S]F.'BTION S'gSTEM IS: TF. EN..H MR;qIMUM NUI1E, ER OF 8E[:,ROOMS = _3:: F I ,-' E,F. .... '150 SOIL RFITING (S;Q ...... ',- '-- HB_-,UR PT I L N S'¢STEM I S: THE REQUIRED SIZE OF THE =,UIL - ' .... ' '' E.:, EZ F' ]- H = :~L ~;Z"t b. E' i'-.t~3-F H = --_-t :E: C:i F-: F~'-.-" E b. E:, E'_' F' 'T H == THE LF_NGTH DIMENSION IS THE LENGTH (:~N FEET) OF THE TRENCH OR DRRINFtEL[). THE [:,EPTH OF FI TRENCH OR PI:" IS: THE [:,ISTRNCE BET[,,IEEI',I THE SURFFICE C)F THE GROUND RND ]'HE BOTTOM OF THE EXCRVRTION (IN FEET::,. THERE IS NO SET [,.II[YTH FOR TRENCHES. THE GRR'v'EL DEPTH I:._'5, TNE MINIMUM DEPTH OF GRRVEL BET!.4EEN THE OUTFFtL. L PIPE FIN[:, THE BOTTOhi OF' THE EXCFIVFITION (IN FEET). E:FICKF'ILLING OF FtN"r' S"r'STEM 14ITHOUT FINFIL. INSPECTION RN[:' FtPF'ROVFIL E:"r' 'T'I'JIS [:'EPFtRTMENT WILL BE c;IIE:-TECT TO FRU=,EL. IJ'~IL[I MINIMUt',I DISTRNCE BETWEEN R WELL RN[.', RN'9 ON-SITE SEWRGE DISPOSFIL SVSTEM IS 1~30 FEET FOR 8 PRIVFITE WELL OR 2E~.E~ FEET FOR ~ F'LIBLtC WELL. HELL LOGS FIRE REQUIRED RN[.', MIJST 8E RETURNED TO ]'HE DEF'RRTMENT WITHIN OF THE WELL COMPLETION. SPECIFICRTIONS FIN[.', CONSTRUCTION DIFIGRFIMS FIRE RVFIILFIBLE TO INSURE PF.:OPER t NSTFiLLFIT I ON. t CERTIF"9 THFIT /L: t FIM FFIMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS; FIND 1.4ELLS FIS ."_-";ET FORTH B'¢ "['HE MUNICtPFILIT'.r' OF FINCHORRGE. 2: I HILL INS]"RLL THE S'¢STEM IN RCCOR[:'FINCE WITH THE CO[:,ES. L:-':: i UNDERS'['RN[) THFIT 'file ON-SITE SEWER S'¢STEM MFIh" REQUIRE ENLRRGEMENT IF THE RES I [:'ENCE I S RF3MO[:,ELE[:, 'fCk I NCLLI[:,E MORE THFIN 3: E:E[:,F.:OOMS. , / // ,1--/ .... //, AF'F'LICANT BOB F:OMBS iSSUED ,:v ~"-~, GREATER AN[:tlOk/W}L: AkA JepartmellL of [iiv~FormK~ill. a] 3330 "g" Street Anchorage, Alaska 99503 ,~()II,S I,OG - PEROI,ATION 'I'I~ST Pe rfo rmed fo r__ R~._ !qb.._Cer~]~_q .............. __ ................. J)a te Pe rf'o rlned..~_7~. ~ Lega I L)esc ri p ti on: Lot _~ ?_~.qgJ~.~_?~j.~jnD~_2u~!~_~_pc~ra~, Ak. This form reports: Soils log. X Percolation Lest Dep th Feet ] -q'opsoil 2 -NL (27~) 3-s,: (25o) 4-s? (2 o) 5-0" (100) 6 -SP (1pO) 7 -sP (15o) 8-sP (15o) 9 -SP 10 11 -sP 12 13- 14- (lbO) (1.5o) (17o) Was ground water encountered? If yes, at wi~at depth? Readi ny Da te Gross Tillle Net Time Depth to Water Net Drop Percolation rate minute. -Proposed installa~]-~'n-:- Seepage Pit Drain Field ........................ Depth of Inlet ................ . Depth t-o'-66i-t~-m--o¥-pit or trench ..................... COMMENTS: Richard %. T)rabn, P.E. ~ichard A. g~-ahn, i".E. . EQ-040 (6/74) (~. ' MUNICIPALITY OF ANCHORAGE .... - ..... DEPARTMENT OF HEALTH & HUMAN sERVICES -. On-Site Services Section .. . P.O. Sox 196650 Anchorage, Alaska 99519-6650 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# ~)~"t- ON\- ~ 1, GENERAL INFORMATION · , . C0mpleteJ..egal description Location (site address or directions) '3 Mailing address ~9~'~¢:"H~_~,',,~n" ~~ :~~ ~ ~e~/~ - Lending agency ~e~fiH~'~F ~ ~- ~/2~ Dayphone ~¢~-~¢~ -:-:/ M~-i~i~address :S~ ?~- '~'A ~ ~'.~ ~r~p~ ~ ee~ ": ' ' -:~:----:'Agent:'~:'~,l{ ~-~,~ -~oo/ '~l*v " DayPh~ne''' · :' "~ '.;~:~":~:"-?'~0MBE~ OF'BEDROOM~'T:- ~' >.. -: ':': ' '-'-~-'.:? ':-:-- . ~ ~": -:-.: - ' 3. ~PE OFWATER SUPPLY:' ~'-:' ..... ; .... ~:" ' '..~ ~ ~ ~ c -~.~ Indw dua we I . ..... : . · ......... ~ ~ ~_.,,~ . ' ~- '- ............ ....... _ ...... ... .Commumty well .... ......... . ~ ~'~,'~ c ~,~ · ..' --:'- : -.'-;:':- 'Public. water:- ": : '; NOTE: :-if Commu~i~ well system, prowde wri~en confirmation from sta[e[ADE~ att~t~'::~' ' . · m~ to the legah~ and status of system. · ....... : r~. ',-: ,: · ' - -' ":~' 742' · ~PE OF WASTEWATER DISPOSAL: · '?.: Individual on-site .... · . . .-C0~munityan_site . ..... NOTE: If communi~ wastewater system, provide wri~en confirmation from State ADEC a~esting to the legality and status of system. .~ 72-025 (Rev. 1/91) Front MOA~I 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 type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigatio~ 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 Fl~t-~p Address IV 5'-$ O Engineer's signature Phone Date /}?r-;I 3~ ;~g~"' 6. DHHS SIGNATURE _ "'i' .-:':/~-- ' A,,,~ro~/'ed'-i(~;:".~: ~: -- ~edroo~iS:-"., ....- -.'.::! .... ,.:: !i.: ~,-' !~::~:iPprOv:'i'-;i~r "~-'_~-'~::~"%' i~ '~:~:li~omS!"With th~ f°ll°wing sti:ul~tioni! 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 ~aragraph 5 above by an independent professional engineer rog stored 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 donot '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.-'- ?2-4)'25 (Rev. 1/91) Back MOAIY21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L_c,# ~)/ ~/oc~' I, pt c ~./~on Parcel I.D. A. Well Data Well type Log present (Y/N) ¥ Total depth ( o -7 ' Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Il //5~ / 7 d' Driller Cased to I C, '7 ~ Casing height ¥ Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION ~ .g.p.m. ~. ~ ~ g.p.m. ; On adjacent lots ~ / ~ ; On adjacent lots > ~ Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot I'VE' ~ c.o. Absorption field on lot 1,5-O' Public sewer main ~ ~oo' Sewer service line ~ ~5-' Public sewer manhole/clean0ut ~ ~o o / Petroleum tank WATER SAMPLE RESULTS: Coliform 0 ¢ol /too mZ Date of sample: ~1~//75~ Nitrate o. I ~/.,~ Other bacteria Collected by: ~!~/-~? B. SEPTIC/HOLDING TANK DATA Date installed ( O / '7 ~ Cleanouts (Y/N) Y' High water alarm (Y/N) Date of pumping Tank size ! 00~ t~,c~/ Compartments Foundation cleanout (Y/N) Y' Depression (Y/N) N, ~4. Alarm tested (Y/N) /V. /~. 3/30' /95- Pumper ~o~ /V SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~ '-/5-' On adjacent lots -~ ~' oo ' Foundation ~' ' To property line 5-0 ' Absorption field .b'-' Water main/service line ~ ~' Sur/ace water/drainage '-~ ~ oc, ' 72-026 (3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION N c,,~ ~ 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 __.Y D ' Total absorption area Date of adequacy test -/d' Soil rating (GPD/FF) Width /~- Gravel thickness 5- ~ Cleanout present (Y/N) Y / ~ ¥ / -7~ Results (pass/fail) ~, Water level in absorption field before test ~/" Peroxide treatment (past12 months) (Y/N) N,,,~¢ I<,~o~, %- o/~ SEPARAI'ION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ! $0 ' On adjacent lots --~ t o o' 15-0 ~'/[~_./r,~ System type Tr-d,~c/~ ~' ' Total depth ? / Depression over field (Y/N) ?,~ ~ for ~ ~ If yes, give date ~. ~. Properly line h'O ' A/ Bedrooms To building foundation On adjacent lots Surface water Curtain drain To existing or abandoned system on lot N. ,-1. Cutbank M~,,~¢ _<~¢,~ Watermain/service line Driveway. parking/vehicle storage area I0 ' E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on:thb"d~ate,,.O..~! this inspection. Signature ~'-J~ ~. m'~/?z-'"¢'~ Engineer's Name '7'-/~ go ~¢'o,--¢' F'. ~oo~,~' Date __. /4-p ,il HAA Fee $ _. 3 ~0 ~' Date of Payrnent JT~,~ 4 ''~ J''''- Receipt Number ~'~ ~ C /'~' ~"Y'~ /~ Waiver Fee $ Date of Payment Receipt Number 72-026 f~93~' Back MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property Owner 4~ ~_~ ['1 Telephone: Home Mailing Address (d) Real Estate Company and Agent Business Address Telephone (e) Mail the HAA to the followino address: or: Check here~ if hold for pick up. List contact person and day phone number below. / ~-7~ - "~ 9 TYPE OF RESIDENCE Single-Family ~ Number of Bedrooms WATER SUPPLY Individual We}l~ Community [] Public [] / Note: If comm unity well system, must have written confirmation from the State Department of Environmental 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 I of 2 72-025 fRev 8/861 Front ')~OM s,.leeu!Sue leUO!SSe,~o.~d eql u! suo!ss!uJo 4o sJoJJe Jo,!. elq!suodse~ ~ou s! eSe~oqouv ,Lo/~!ledio!unbl eq/'penss! s! eleo!,L!peo e eJo,Leq elep eZ,~leUe JO suo!loedsu! lonpuoo ~ou op SHHQ ,Lo sae,~olduJ=l 'slueuJeJ!nbe~ e~e~s pue leJepe~ u!ep@o/~,Ls!~es o~ ~ep~o u! suo!~m,!lsu! 6u!puel ~!eq~ pue seuJoq ,Lo sJeseqoJnd oD/~se~noo e se s!q~ seep SH HQ eq.L 'm~SelV jo e~elS eq~ u! pe~e~s!6eJ ~eeu!Sue leUO!SSe,Lo~d ~uepuedepu! ue /~q e^oqe S Llde~l~e~ed u! ue^!8 suo!~e~uese~de~ eq~ uodn ,~lUO pes~q se~ee!,L!Meo le^o~ddv/~poq~nv q~leeH senss! (SHHQ) seo!^~eS ueuJnH pue q~leeH ,Lo ~UeLUlJedeQ eSe~oqou¥ ,Lo ~l!led!o!unlAI eq/ NOI.Ln¥O leUOflipuoo le^oJddv leUO!l!puoo ~o SLUJej. pe^oJddes!c] '~---.~ pe^oJdd¥ Aq suJoomeq ~:~,¢/~,~.~ Jo,L pe^oJddv 'IVAOI::Idd'V SHHQ leas s,Jeeu!euB ~., (;2 ~ ssaJPpV edsu! sfql uo loelie u! suo!leln6eJ pue 'seoueu!pJo 'sepoo e~e~S pue led!o!unw lie q1!M eoUe!ld~oo u~ s! ~eisXs lesods!p JaleMe~SeM Jo/puB Xlddns paule~qo uo!ie~J?1uf eql uo pes~q ~eq~ XlpeA Jeqpnl I 'u!eJeq pe~eo!pu! e~nlonJ3s ~o edXl pue smooJpeq ~o Jeq~nu aqj Jo] a~enbepe pue leUO!jOu~{ 'e~es s! ~elsXs lesods!p JeleMeiSBM Jo/pue Xlddns JeleM ee!s-uo eq~ ~eql SMOqS leAOJddV X~poq~nv qll~eH s!ql ~o UOiIeei~SeAU~ X~ l~.qi X~peA I 'MOleq UMOqS e~ep uo!Jep! eA 8qJ ~O Se pue o~eJeq pax J~e lees ~ ~q pe!~!Peo sV NOIL~aOdNI ON~ ~&va 'HOaVaS ~llJ 'SLS]& 'SNOI&O~dSNI 9NIQIAO~d ~alJ 9NIU~NIgN~ WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: /-.0"~' C~, 1~ ~- 1~ Ii A, B, C, D.E.C. Approved (Y/N) Date Completed ~il-~/Tb Yield Depth of Grouting N O I",,~ ~-, Pump Set At 'j~ ~T"'T'"O Sanitary Seal on Casing (Y/N) ~' Depression Around Wellhead (Y/N) I ~'~ ~' ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Well Classification Well Log Present (Y/N) Total Depth ~/~)7 Static Water Level 7.2- Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/H~ Tank on Lot Cased to 1C~7 To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by /N'OCY/.=- To Nearest Sewer Service Line on Lot .~ ! ~ ~-, ~ ; Date ~ ~/~ 7 Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed !0 Standpipes (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 To Property Line To Water Main/Service Line Course Size ~(.,,'0'-~ No. of Compartments "'r"~,z{~) Air-tight Caps (Y/N) y Foundation Cleanout (Y/N) 'N Date Last Pumped "~,///~//~7 ;for Temporary Holding Tank Permit (Y/N) Nor,/_-=' To Building Foundation ~' To Disposal Field ~- ~ 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 t C> /0,1117~' Width of Field ~, ~ ,I Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: lSD Type of System Design Length of Field '~ ~ Depth of Field Gravel Bed Thickness Standpipes Present To Water-Supply Well To Building Foundation Lot N o h¢ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots ,~ / To Cutbank (if present) Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** 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 MOA No. Receipt No. Amount: $ /~ ~ ..... .:~ , , . Engineer's Seal Pa~e 2 of 2 72-026 (11/84) CONSULTING ENGINEER ,'203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 9950] TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOCATION: OWNER: TYPE OF WELL: WELL LOG AVAILABLE: LOT 9, BLOCK 1, MCMAHON SUBDIVISION 3960 E. HUFFMAN ROAD SINGLE FAMILY ?~, "~ :'~ :' ~ ": YES 8 GA~ONS MARY RUSH INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: PUMP YIELD: 6 GALLONS PER MINUTE DATE OF INSPECTION: MARCH 16, 1987 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 6 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED TILL THE DRAWDOWN STABILIZED. AT THE BEGINNING OF THE TEST WATER LEVEL WAS FOUND AT 72 FEET BELOW TOP OF CASING. AFTER 35 MINUTES OF PUMPING AT 6 GPM THE WATER LEVEL HAD STABILIZED AT 94 FEET. WELL WAS PUMPED FOR AN ADDITIONAL 50 MINUTES WITHOUT ANY FURTHER DROP IN WATER LEVEL. A TOTAL OF 500 GALLONS WERE WITHDRAWN. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON MARCH 14, 1987. TEST WAS NEGATIVE. TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. CONSULTING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOCATION: OWNER: RESIDENCE: WELL: SEPTIC SYSTEM: LOT 9, BLOCK 1, MCMAHON SUBDIVISION 3960 E. HUFFMAN ROAD MARY RUSH (~. j .~:.~.~ : ,: . '~ SINGLE FAMILY, THREE BBDRO0~,.~~ PRIVATE, ON SITE ~' '~. FROM MUNICIPAL RECORDS: TANK: GREER STEEL, TWO COMP. 1000 GAL. ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 456 SQ. FT. SOIL RATING: 150 INSTALLATION DATE: OCTOBER 1976 DATE OF PUMPING: MARCH 17, 1987. ISAACS PUMPING SERVICE DATE OF TEST: MARCH 16, 1987. TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH FIVE FEET OF COVER. WATER COULD BE HEARD ENTERING THE TANK. TRENCH CLEAN OUT WAS SIX FEET DEEP AND DRY. TRENCH SUMP, 6-INCH DIAMETER PIPE, WAS NINE FEET DEEP AND HAD 6 FEET OF LIQUID. 500 GALLONS OF CLEAN WATER WAS ADDED TO THE TRENCH WHILE THE WATER LEVELS IN THE TANK AND SUMP WERE MONITORED. ADDING THIS AMOUNT OF WATER CAUSED THE WATER LEVEL IN 'THE SUMP TO RISE 1.5 INCHES WHILE THE LEVEL IN THE TANK REMAINED UNCHANGED. THE WATER LEVEL DROPPED BACK TO PRE TEST LEVEL WITHIN 5 MINUTES AFTER STOPPING ADDING WATER. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These ~onditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. 3330 GREATER ANCHORAGE AREA BOROUGH Department of ~vironmental Quality C" Street, Ancho~e, Alaska 99503 274-4561 ~'~"'/,,.. Date Received January 11, 1977 " Time of Inspection 9:00 a.m_.__ Date of Inspection 1-12-77 Wednesday REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. 1. Approval requested by: Alaska Mutual Savings Bank Buc hholz Mailing Address: Property Owner: Post Office Box 1120 Phone: Bob Combs - R-K Construction Phone: 274-9722 344-3457 Mailing Address: Bgx 1782B Star Rou~e A 3. Legal Description: Lot 9 Block 1 Mc Mahon SUbdivision 4. Location: see map on back .5. Type of facility to be inspected 6. Well(.Data: A. Type Individual C. Construction ,Sewage Disposal System: A. Installed 1976 Single Family No of bedrooms 3 B. Depth D. Bacterial Analysis On-si~e system, Permit 76820 Bi Installer 107' O, C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: SePtic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages P~age 2 of two pages - Rec~ .t for Approval of Individual ~ ~r & Water Facilities kegal Description 'not 9 Block 1 Mc I~lahon SubdJ_~r±$±on Comments Approved~~~ Disapproved Date f--/~ ~/*--./~ Appr~l Valid for one year from date signed Greater Anchorage Ar~a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ,034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO. VA 2. Property Owner: Mailing Address: 3. Name of Buyer: FHA CONV ~, Mailing Address: - 4. Name of Lending Institution: Mailing Address: Name of Realtor or Agent: Mailing Address: 6. Legal Description: ,~ Location: ,~'~ Day Phone: Phone: Phone: ,~ Type of Facility to be Inspected: Water Supply Type of Supply: Public Utility If Individual, number of dwellings preSently served If Individual, depth of well -~(~Z / No. Bdrms. ~'~ .Individual Sewage Disposal System- Type of System: Public Utility Individual (on-site) If Individual, date of installation ~b~) 72-003(3/76)