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Home My WebLink AboutLATTA LT 1Onsite File Latta Lot 1 #015-142-56 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221060 PID Number: 015-142-56 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name HANS SCHWAIGER ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 11200 TOTEM ROAD, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SFJ Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot LATTA 1 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. .-Well 100'+ -- 25'+ TANK N Septic ® S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 1500 Gal. Surface water 100'+ -- Material Number of compartments Lot Line 51+ -- NA EPDXY STEEL 2 Foundation 10'+ __ LIFT STATION Manufacturer ANCH TANK / ORENCO Capacity 1500 Gal. Remarks INSTALLED NEW 1500 10 -GAUGE STEP TO THE EAST OF / SAME AS EXISTING STEP. Alarm location BACK SW ROOM Electrical installed by EXISTING Installer PCN PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection 1s' 4/1/2022 2�d 4/11/2022 Location and description 3`d 4'" BOTTOM OF STAIRS ON-SITE WATER AND WASTEWATER SECTION APPROVAL -e-l •� / w�11 .�. _"1 Conditional Approval: Date l ��Q.,.•'' ,� �� meg.• •9 *: 49TH .....�:*�� Septic System Approved ... • ' Curtis Huffman. 14 - `� ��'• CE 128991 ••`�c, Date �3 ao� ,4//11/22 PROFESSO .� Note: this approval does not include well permit requirements. PID: 015-142-56 PERMIT: OSP221060 I I WLLIJ ON SEPTIC AREA ry 00 C-) N 0 ry z Q N W O M Cn LL_ 0-) O N U) M o O O O 0 O z DID NOT FIND UNDER SNOW.\ FCO LOT 1 W F- 01 - O CO - EXISTING C G D • MH SCALE: I1" =I30 ASSUMED A—C=65.0' B—C=80.4' A—D=67.3' B—D=81.3' A—E=74.1' B—E=86.6' DECK BM STAKED 100' WELL RADII PRIOR TO CONST. 37.6' o� O 00r) E 0 MH \ INSTALLED NEW 1500 -GAL STEP & RECONNECTED TO EXISTING FIELD. MH 1,500 -GALLON STEEL STEP EPDXY-COATED 10 -GAUGE TANK MT GRADE SEPTIC SECTION SCALE: NTS EXISTING FIELD N MT LATTA LOT 1 SUPPORT, SERVICES:Aw - F _\\ 46� PREPARED FOR: �� HANS SCHWAIGER & DENISE WURTH i � 1 11200 TOTEM ROAD �* 9 T1.1ANCHORAGE, AK 99516 FIRST WATER CONSULTING DATE: 4/11/22 SURVEY: JLS ` t rtis Huffman wx E 128991 13030 SUES WAY DRAWN: FWCS 1 `� �A ANCHORAGE, AK 99516 SCALE: 1" = 30' IN 4/11/202A2 2AW 907-350-9566 firstwaterAK®gmoil. com PAGE: 1 of 1 ��` s_sz=� 112TH AVE (113TH AVE NOT BUILT) N 89'57' 45"E 140.63 1 S89'52'43"E 140.82' (N89 -59'25"E 141.48' R) ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: LATTA SUBDIVISION LOT 1 PLAT 70-178 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shoulc any infonnation on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DINE: SCALE: E—MAIL- APR 12, 2022 1 "=40' schullerftk.net 22-013-2 DRAW BY:CHECKED BY GRID NUMBED BOOK AGE JLS SW2637 220168 = FND ALUMINUM MONUMENT = FND 5/8" REBAR Rid 44 SWIM OF N\ kNoxU �D LS &V AW a ..... ... ............... A � ....../ 1. ',-JOHN L. SCHULLER: � / = , LS -10408 •• .�i� NI . • .�• Z • �� , . �J�/ 1831 Talkeetna Street o' .� ... d Anchorage, Alaska 99508 \Aro fessloa`N �'°� (907) 227-1455 office .�. (907) 274-4992 fax A� 0 II o i i i ry I I S89'52'43"E 140.82' (N89 -59'25"E 141.48' R) ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: LATTA SUBDIVISION LOT 1 PLAT 70-178 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shoulc any infonnation on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DINE: SCALE: E—MAIL- APR 12, 2022 1 "=40' schullerftk.net 22-013-2 DRAW BY:CHECKED BY GRID NUMBED BOOK AGE JLS SW2637 220168 = FND ALUMINUM MONUMENT = FND 5/8" REBAR Rid 44 SWIM OF N\ kNoxU �D LS &V AW a ..... ... ............... A � ....../ 1. ',-JOHN L. SCHULLER: � / = , LS -10408 •• .�i� NI . • .�• Z • �� , . �J�/ 1831 Talkeetna Street o' .� ... d Anchorage, Alaska 99508 \Aro fessloa`N �'°� (907) 227-1455 office .�. (907) 274-4992 fax 3/22/2022 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-142-56 Property owner(s) HANS SCHWAIGER & DENISE WURTH Day phone Mailing address 1543 BANISTER DRIVE, ANCHORAGE, AK 99508 Site address 11200 TOTEM ROAD, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) LATTA LOT 1 Legal description (Township, Range & Section) Lot Size 42,360 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic :Tank [] Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: Initial Upgrade Ex -1 Renewal ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 4a � 5 Waiver Fees: Date of Payment: 3 a ,2 U Date of Payment: Receipt Number: 5 11 2 3 2 Receipt Number: Permit No. OSP�? 1 U (? 0 Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com March 21, 2022 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: LATTA LOT 1 11200 TOTEM ROAD, ANCHORAGE The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1250-gallon HDPE STEP tank per the attached design to serve the existing 3-bedroom septic system. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221060, Rebecca Carroll, 03/22/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221060, Rebecca Carroll, 03/22/22 112TH AVE (113TH AVE NOT BUILT) N89*57'45"E 140.63 S89052'43"YE {N89959'25$'E 140.82' 141.48) R) 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 Vl~ 6~tq~A WEED Address 11201 TOTEM RD, 3¥~- IEso Swg0 o~ol '.~ LEGAL DESCRIPTION TI2. N~ R3'v,/..SEC 2.2 TANKS ~ SEPTIC [] HOLDING ~NCH, TANK J 125'0 ~£L TYPE OF SYSTEM TRENCH ~ BED L~ W. DRAIN ~ OTHER 'b%~t~ r~;~e botlom Irom TOlal depth from original grade I. 0 n O, ¢ 3 t~ FT ~ 0 DISTANCE8 0/.s-:. / ¢,:.~ ~ WELL SEPTIC TANK ABSORPTION FIELD WELL LOT LINE 20 FOUNDATION AS-BUILT DIAGRAM (Show location of well, sephc system property hnes, Iounda0on, WELLS ~:~ PRIVATE(,'::'XI$1'IN63 ~J OTHER fldentif¥) Classlhcatlon (A,8,C) Tot~l~Depth/~)O J:T[Cased to FT SOIL ABSoR~,TION DEb LOCIqTED SHowN ~'0 Irt IN IIW~ IZ E Inspeotion$ Pedormed by: J--LAI'TOp TECH SVCg I Municipal and Slate guidolhms in ellocl on this (late: Heallh Deparlmel~t Approval: cerlily thai this inspoclion ,,vas porlormed according to all Date: ?~)- ~i/¢/2~9 72-013 (3/85) 3500 EAST TUDOR ROAD INFORMATION (907) 786-8211 FOOTING \k ~. [] ELEC. TEMP..-__~f~/__./~ [] PLBG. UNDGR.__ [] FOUNDATION "::~, [] ELEC. SERVICE~ ~ PLBG. ROUGH __ [] BOND BEAM " '[] ELEC. ROUGH ~ [] GAS TEMP. __ [] =RAMING [] ELEC. FINAL ' [] GAS [] INSULATION ,__ [] OTHER [] MECHANICAL __ [] SHEETROCK __ [] MECH. FINAL__ [] STRUCT. FINAL __ [] FIRE FINAL [] PLBG. FINAL [] )THER [] ZONING - [] OTHER [] NONCOMPLI.~.NCE OBSERVED [] CORRECTIONS ESSENTIAL AS EXPLAINED BELOW [] WILL REEXAMINE AT NEXT INSPECTION [] DO NOT CONCEAL UNTIL REINSPECTED COMMENTS '~EN CORR~ONS ARE MADE, P~ASE DALL FOR INSPECTION DO NOT REMOVE THIS NOTICE 84-002 (Rev, 11/87) '- ~:: ~,: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES PO BOX 196650 ANCHORAGE, ALASKA 99519 343-4744 HAND WRITTEN PERMIT Permit Number: Date Issued: Design Engineer: Owner Name: Owner Address: Permit Type: ~7/3~.-7~ ~/~ Expiration Date: ~ -D~o Day Phone:~ Parcel ID: D/~- 7~ ~ Lot Legal: Subdivision: ~r)-W Lot: Section: 2~- Towns~h_~p_~/~x/ Range: D Lot Size:z/A,D~os~f~. or acres) Max Bedrooms: This Permit: ~ Total Capacity: ~ Block: SEPTIC TANK: Minimum septic tank capacity: gallons. Each septic tank must have at least 2 compartments, insulation is required if depth to top of septic tank(s) is less than 4.0' Lift stations require an appropriate electrical inspection. WELL LOG: A copy of the well log must be sent to DHHS within 30 days of the well's completion. I CERTIFY THAT: 1. I will install the On-site sewer system and/or well in accordance with all codes and regulations of the Municipality of Anchorage (MOA) and State of Alaska , and in compliance with the design criteria of this permit. 2. I will adhere to all MOA and State of Alaska requirements for separation distances from any existing well, septic system, or surface water on this or any adjacent or nearby lot. 3. I understand that this permit is valid for a single family dwelling with a maximum of ~ bedrooms. I also understand that any enlargement will require an additional permit. · 4- I understand this permit is issued for the calendar year and expires on December 31 of the year issued. 5. I will notify DHHS prior to all inspections by the engineer or well driller. (owner/designee) ISSUED BY: DATE: db/ll5 RECEIVED L2 PROpo~b VZ~O G SEPtic TfiN~'/LIFT STN" HOUSE 5 YST~ t'l E, ~2 'T~ AVE. I I' WELL I I I I LOT EXISTING ~ pTIC T,~NK EX~S't lNG To ~,E A%A~qboNED I I I · ff,tL~ Io' ~TIL. ESI~T 0 LO't' 1, LA-r'¥A S/D SEPTIC S"/STEM UPGRADE SITE PLAN SCALE: l" = q-O~ bAT F.: '$/~o NOTE: 'tHIS I$ NOT A ~URVE~/Eb PLAT. AIl. LOCP, TION~ fiRE A PPRoX 1 M A'I' E Flattop Technical Services 14530 Echo Street Anchorage, Alaska 995]G ~,0/ H.T. 0 "";%' "/ ! t 2.$t / , / /,, / f ,, OUT~P, L~V1'~ OF SEWER GR P,V~ L PLAN VIEW .__~'GRouN b 1~ JJ , .~. / x/' pvc blzr L ~ T 2,0' sP f ..... ~ ........... '=~' ~'-',':'""~' '~ ~ NATIVE SAND 5~RAWU~ LOT I LATT A S/D SOl L ABSORPTION BED PLA N ~ ×- -SECT ION SCALE' 1"--5'¢ DATE : 5leto Flattop Technical Serv: 14530 Echo Street Anchorage, Alasha Flattop Technical Services 14530 Echo Slree~ Anchorage, Alasl~c~ 995]S Lot 1, Latta Subdivision 11201 Totem Road WASTEWATER DISPOSAL SYSTEM UPGRADE SPECIFICATIONS 1. The scope c)f this project consists of the abandonment of the existing wastewater dispos~l, and tile installation of a new 1250 gallon septic tank with an integral lift station, followed by a shallow soil absorption bed. 2. The size of the soil absorption bed is based on a soil rating of 150 square feet per bedrc)om applicable to the shallow soils between 2 and 5 feeL below the present ground level, Tl~e total bed area required is 150 x 3 x 1.5 = 675 square feet, which is achieved with a 20'~ 34' bed. 3. The sys'tem is to be constructed as shown on the site plan and design drawings, except that minor modifications may be allmved or required by the engineer conducting the inspections. The bed shall be positioned sc) as to minimize disturbance to existing vegetation, and avoid conflicts with buried cables which may not be in their designated easements, The contractor or the owner shall arrange for utility locates prior to start of construction. 4. All construction practices and material specifications shall be in cox~formance with Municipal and State requirements. 5, The existing septic tank and seepage pit shall be thoroughly pumped and then abandoned b'/crushing and backfilling with unclassified soil. 6. A new 1250 gallc)n septic tank with an approved lift station in the second compartmen'l Js to be i~sl.a/led in the approximate location shown, outside a 100 foot radius from the existing well. Due to the appro×imately 8 foot depth of burial, the tank shall be conslructed of 10 gauge steel and shall be equipped with an 8' manhole riser. Floats shall be installed in the lift station pet' tile suppliers instructions to provide a 109 gallon pumping dose, and to trigger an audible and visible alarm mounted inside the building in the event the pump fails to operate. The installer shall arrange for the necessary electrical permit and inspection. 7. The discharge line from the lift station to the soil absorption bed shall be 1.25" dia. schedule 40 PVC. The distribution manifold st~all be 2" dia. sched, 40 PVC. Tile distribution laterals shall be 1,25" dia. sched. 40 PVC, capped at the ends and with 3/16" din holes drilled in the bottom every 30", for a total of 52 holes. All PVC pipe connections shall be glued. Flattop Technical Services 14530 Echo S[ree~ Anchorage, Alaska 995la $. '[he soil absorption bed shah be constructed by excavating the peat and surficial soils from the designated area to a depth of approximately 2 feet, to expose the top surface of a clean sand stratum. Up to 10 yards of additional sand may be required to bring the base of the bed up to a level surface 2.0 feet. below the original ground level, Next, a total of 9" of approved sewer gravel is to be placed in the bed, with the manifold and distributhm pipes buried in the gravel with the pipe inverts no less than 6" above the bo)mm o[ the sewer gravel. Filter fabric and 2" of rigid, burial type insulation (35 psi minimum) shall be placed over the top of the sewer gravel prior to placement of the two feet. of soil cover. Monitor tubes shall be installed in the local.ions shown, 9. A total of 5 inspections will be required during the course of the construction: initial stakeout, ~2) after the bed is excavated, (3} alter the sand leveling course is in place, (41) after the sewer gravel is placed, and the distribution pipes are laid and connected up to the completed lift station, and (5) after final backfill. cd'd r'-e'b~c~r~ mec.ho~sTq --NEN~ ~ ,,rur~c'tlon loax -- PV'C UNT..DN -- ~.4' x 4' G' Cu~ve.r~ Homhole ~ 1' P V C P~pe Typ Re'b~levd r'~pe --P' Ure~ho. oe Poc~ (..shop o~opUe~ R~ x 83' dJc co[l~r- A~'oJote FLDcct 5"wl~:c..h As-~e~bty ~ ~ecL ~J~h R/~4-NF_K or Eqt~o~ 4' ~; 3/4'R . hole Rap check r C IJMPTNfi J-%ol'~ hold do'/m I/4' welded s-~e~e( coupLtn, g 4~pw: ?low u-~Ju~_~- 3/8' h. oLe~ 6' DC poly~hyl~n~ ~ 39' l~gh --.L,~ h,p, U,L, LLs-ted E~Plu~o~ ~ubg_~er s~bLe PLm~p Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99S1B PRF,$,SI JRK 1250 tSO0 2000 Reserve C~p~cJty oJoove A~cr~ 161 GAL ]92 GAL 85-7 GAL r_4ko ~ crt-y Pump o~ & Pump oFF 109 GAL ]31 GAL 175 GAL FRoot Leve~ CEN~L~ FLOAT DOP. D AT Se ~, L b"'~s ' A~oJ"l'q 47' 48' 45' Abov~ Bu ~,tOM Do / Of"PI 4? ~ 39" LIFT STATION DATA S]-ZE SHELL A B C NBTE SIZE CHART - LI.F-F STAT[ON TAN.K.~ MU, ST tIE 8.5-0 GALLONS I_ARG-E~ THAN STA.krDAR.D TANK~ FDR ,S,AJ,~ Fu°PL_rCAT-d]N NUTE- SEE AfTAOHED SPECIFICA'I'~ii~'F1]~ E'gi/IPHEiqT SI4D'~ HEPJE Flatlop Technical Services ]4530 Echo Streef Anchorc~g'e, Alaska 99516 PERFORMED FOR: Flattop Technical Services 14530 Ec]~o Sh'ee[ Anchorage, AlasI~a 99qle, Munlclp~llly ol Anchor~loe ~', -r~ DEPARTMENT OF HEALTH & HUMAN SERVICES DATE PERFORME~: 825 "L" Street. Anchorage. Alaska 99502-0650 SOILS L. OG ~ PERCOLATION TEST T,H.~ GIN6ER WE b LEGAL DESCRIPTION:, L PT S i'"1 2 SW/sp GRAVELLY SAND 3 'C oAR. ~;E PARTICLES SLIGHTLY/ .~IL'Ty 4 B I~O~/N 5 SP FiNE SAhib 6 UN[ FoRfft 'TE×TdRE WAS GROUND WATER ENCOUNTERED? CoHESIvE' GP..E Y IF YES, AT WHAT DEPTH;' Deplh Io Waler ARer SLOPE 9 10 11 12 13 B.~I. 15 16 17 18 19 2O T,H,-'~ I COMMENTS .-.~0 N I 'TO R Township, Range, Section: 2 2 SITE P L A'i~ N Reading Date PERCOLATION RATE _,. TEST RUN BETWEEN . Time Net Time Depth to Walor Net Drop --. (minules/inch) PERC HOLE DIAMETER FT AND _ FT PERPORMEDBY: _FL A'rTO_P T~(::H SVC. S._, _.~ ¢'~ CERTIFY THAT THIS TEST WAS PERFORMED iN AOOORDANOE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: '~'~/' _t' ~.~" ~:) 72,008 (Rev. 4/85) -- PERFORMED FOR:,. LEGAL DESCRIPTION:, PT 2 3 SP 4 Flattop Technical Services 14530 Echo Street Anchorage, AkcsIca 99s~e Munlclpallly of Allchorngo DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST T. I-/. ~2 L.I; L,qTTA s/D S'A N Dy LOAM COARSE SANb POCKETS oF h4L S /ML 6 7 8 9 10, 11'- 12 13 14 15 16 17- 18- 19 20 COMMENTS : ~ ,'' ~L , Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Deplh to Water ~llerE I~0niloring? . Oate: SEC 22 TI2N, R3W 81'rE P L A'~I Reading _ + B~O . STA gT '~1 .+ Date Depth to Not 3:5') ~:o3: ~:o7:20 Lit Io '. '~o 4: Iff; Not PERCOLATION RATE _ ~ ~. (minutes/inch}PERC HOLE DIAMETER ~ ,v TES'rRUN~.~-WEEN --N'0 .TAND .. ~.S- _~T PERFORMEDBy: -FL ATTOp__T_E/2kLSVCS.__ , _~I-~.~ ,"~_. AOGORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DA'rE; .~_._~..~, / CERTIFY THAT THIS TEST WAS PERFORMED iN 72,-008 (Rev, 4/85~ MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-142-56 Expiration Date: ja !31 A o a a 1. GENERAL INFORMATION Complete legal description LATTA LOT 1 Location (site address) 11200 TOTEM ROAD, ANCHORAGE, AK 99516 Current property owner(s) HANSSCHWAIGER & DENISE WURTH Day phone Mailing address Real estate agent _1543 BANNISTER DRIVE, ANCHORAGE, AK 99508 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 550 Date of Payment Receipt Number r60,G QG(-) Date: Waiver Fee $ Date of Payment Receipt Number COSA # 0.5G Z2/ I Z2 Waiver # 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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 (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 4/1/2022 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWr.S 6. DSD SIGNATURE .// System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved OF A/,,gs�it� r- A15, *A9 TH •. Curtis Huffman c% CE 128991 Conditional approval for bedrooms, with the following stipulations: ``��`�� OF A*," �i� 70 NTER A z o W AST r �„ hNM SE�I��l� By:_ Original Certificate Date: 7J a� 9 � via The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description:LATTA LOT 1 Parcel ID: 015-142-56 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled CIRCA <1964 (PER MOA DOCS) Total depth >88 ft (PER MOA DOCS / TEST) Cased to UNKNOWN ft (PER MOA DOCS) Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground)18+in. Date of flow test for COSA 3/17/2022 Static water level at beginning of test 74 ft. Well production at time of test 3.8 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 3/17/2022 Comments __________________________________________________________________________________ B. TANK DATA NEW 1500-GAL STEP TANK Age of tank(s)NA – NEW TANK years Tank type/material STEP / STEEL – EPOXY COATED Measured operating fluid level in septic tank NA Standpipes/foundation cleanout per record drawing Date of pumping NA C. LIFT STATION Required maintenance completed Age of lift station NEW years Lift station material HDPE Comments: EPOXY-COATED 10 GAUGE STEP D. ABSORPTION FIELD DATA Which system tested (date installed) 5/18/1990 ALL standpipes present per record drawing Total measured depth from grade 3.4 ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective MOA IR SAYS 0.5’ ED Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date 3/17/2022 Results Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 560 gal New depth 9 in (IMMEDIATELY DROPPED TO <0.5’ IN MT) Elapsed time 1440 min Final fluid depth 0 in Absorption rate 450 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: E. SEPARATION DISTANCES From Private Well on Lot to:(Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to:(Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 4/11/2022 MUNICIPALITY OF ANCFIORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I,D. # ¢¢/O~'-~ .//'7/~ ~'~ HAA# 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) LOT I~ LATTA C~/b , S/~C 22 ~ T 12_ N, Px3w' (b) (c) Location (address or directions) 112Dl TOTEN RD Property owner GINGER WEED Mailing Address 11:2-,OI TOTEM Telephone: (home) ~G-15'5'0 Business Rb Lending Institution C., I T"f MORTGAGE Mailing Address ~O~' W', '~ ~ Telephone ,~-/~5 - 0'700 (d) Real Estate Company and Agent £ %'T,4-T'£ DEBB~E Address '2702 ~AM B£LL. Telephone 2'7~ - 2. 77G Mail the HAA to the following address: (or check here [~, if hold for pick up.) List contact person and day phone number below: C,/}L~./IRb oR -f', ~40ol~g '3q5'- 13E'.~" (e) 2. TYPE OF RESIDENCE Single-Family~ Number of bedrooms --~ ~ 3. WATER SUPPLY Individual Well'¢ Community [] Public [] Note: If community well system, must have written confirmation from the State. Department of Environmental Conservation attesting to th legality and status, 4. SEWAGE DISPOSAL ~ On-site~r' Public [] Community [] Holding Tank [] Note: If co~nmunity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 leUO!jipuoo le^oJddv leUOBipuoo ~o sLuJej. ~e^oJddesK] ~ pe^oJddv Xq scuooJpeq(~--~-~,~.,Jo~ pe~oJddv ~J .~ 'iYA0~dd¥ SHHO '9 MUNICIPALITY OF ANCHORAGE (MOA) ~ ,, Health Authority Approval (HAA) ANCHO"/~(}FIECKLIST - FEBRUARY 1984 ENViRONM~SERVICE$ DIVISION 343-4744 Legal Description: LOT I~ L ATTA If A, B, C, D.E.C. Approved (Y/N) ~{./~, Yield Pump Set At '~ g~ Sanitary Seal on Casing (Y/N) YES Depression Around Wellhead (Y/N) [~0 A. WELL DATA R l~ C ~ IV [! D Well Classification P~[ VA TE Well Log Present(Y/N) No _Date Completed P~a (7~' gAA Total Depth 10(2 Cased to UNK Depth of Grouting ~. Static Water Level 70 ' Casing Height Above Ground Electrical Wiring in Conduit (Y/N) ~/E~ SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot / To Nearest Edge of Absorption Field on Lot . To Nearest Public Sewer Line ~'/OO¢ ; On Adjoining Lots ~/OO I (~ t / ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot WaterSampleCollectedby F' L t~ T'T O P '-r_~ d !-l, Water Sample Test Results Comments¢' $ ¢S¢,'I. FM-r~o~V 'I'tr-[o o1=, .P-pO'7-b-4gb~to/Y B. SEPTIC/HOLDING TANK DATA Date Installed S/18/¢to Size 12 Standpipes (Y/N) "/ES Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) ~,~. Holding Tank High-Water Alarm (Y/N) N SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line 2,O To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course Comments 2_ No. of Compartments "/~5 Foundation Cleanout (Y/N) Date Last Pumped N,/~, ;for N ,~, Temporary Holding Tank Permit (Y/N) SEWER C.O. IN~;IDE DWELLING t, lo To Building Foundation To Disposal Field ~,~ / 72-026 {Rev. 7/88} Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed £/17 * Width of Field ~O' Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test 15'O ~3 '/BD~M Type of System Design BED Length of Field Depth of Field ~', O ~ Gravel Bed Thickness 0,'75" ~,~0 I:= ' Statndpipes Present (Y/N) yES HO Date of Last Adequacy Test bi SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot Z{. To Water Main/Service Line /(~l' To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line I To Existing or~__~_ndone~System on ; On Adjoining Lots To Cutback (if present) H,. ,z:l. > IOO >/oo Comments D. LIFT STATION Date Installed $/1~/¢10 Dimensions Size in Gallons 25'0 G. (DF 1'2,~'o 8. TANK Manhole/Access (Y/N) ',/£S "Pump On" Level at ff.l, (,.CORD HT. FI6ov~ I~OFFOM)"Pump Off" Level at High Water Alarm Level at fiT" Vent (Y/N) "/ES Testedfor N,,~, ~£~' CO~,TI~uCTio~ Meets MOA Electrical Codes (Y/N) Comments ELEC-rRICAL INSTA/.L/1TION BY I:tLCAN. 12~0 ~, 'F4HK Pumping Cycles during Adequacy Test. **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 Company Date ,2-/2. ( / MOA No. Receipt NO. ,:-~/ Date of Payment Amount: $ 72-026 (Rev. 7/88) Back ,'~;,.% CE-3589 Waiver Fee: $ Date of Payment Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907) 562-2343 FEDERAL TAX I.D. #92-0040440 I)a.{.c huport F~i. nto4: ~.',~0' Y DU d 13:?. Murfitt Company_ CONSULTING ENGINEERS 8010 King Street * Anchorage, Alaska 99502 . (907) 349-7531 June 17, 1985 Ginger Weed ll201 Totem Road Anchorage, AK 99516 RE: Health Authority Approval Lot l, Block l, Latta Subdivision Anchorage, Alaska Our Job No. 84-116.01 Dear Ms. Weed: Pursuant to your request, a water sample was taken at the above-referenced site on June 13, 1985. The sample was delivered to Chemical & Geological Laboratories of Alaska, Inc. for testing. We received the results on June 17, 1985, and they were reported to be satisfactory. The results are attached. Inspection of the well and septic system was performed by A. W. Murfitt Company on October 11, 1984. It is our opinion that the system has not changed and these results are still accurate. A copy of these results is attached. Thank you for the opportunity to be of service. Please call if you have any questions. Yours truly, Allan W. Murfitt, P.E. Civil Engineer 4977-E Attachments MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information (a) (c) Application Date October ]6~ ]984 Legal Description (include lot, block, subdivision, section, township, range) _]=O_t l, Block l~_k~visinn~ S~fJ~jon P2: T_ 17 Nj R- ~ W Location (address or directions) ~.TOt~Jg_[1O_~- Anchorage, AK 99516 346-3481 Applicants Name Linda Tanner Tel~hone - Home Applicants Address ll201 Totem Road, Anchorage, AK 99516 Appli~ant~is (check one) Lending Institution Buyer~ ; Other~_~ (explain); (d) Lending Institution Business Telephone Address (e) Real Estate Co. & Agent none Address (f) Telephone Mail the HAA to the following address: Hold for pickup 2. T_~e of Residence Single-Family~ Multi-Family~-~ Other (describe) Number of Bedrooms __T_~ 3. Water Suppl~ Individual Well [~ Community ~ Public ~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite ~ Public ~ Community ~ Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 5. Ensineering Firm Providin. ~_~_.Ins?ectionsL. _Tests~_. File, Sg_arch,_ Data and Information As certified by my seal affixed hereto and as of the validation date sho~ 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-si~e water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date'of this inspection° Name of Firm A. W. Murfitt Compan,y Address 80]0 Kin9 Street: Anc~hora.qe, AK Date_10/16/84 · 99502 Telephone 349~753l (ENGINEER SEAL) Approved for ~-~ bedrooms By patl Approved - Di sappr oved Condit ~o naI~- Te].~ns of ional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ~ASKA. THE DHEP DOES THIS AS A COURTESY TO PURChaSERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. 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 ~ PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 ae MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (H AA) CHECKLIST - FEBRUARY 1984 ,;;! 1 7 1985' RECEIVED Legal Description: Lot 1.~ Block l, Latta Subxii vi si0n Well Classification Individual Well Log P~esent (Y/N) No Total Depth ]02 feet Cased to Static Water Level 85 feet ~.asifig 'Height Above Ground 0.79 feet Electrical Wiring in Conduit (Y/N) Yes If A, B, o~ C, D.E.C. Approved(.Y/N) N/A . Date Completed 1971 Yield 4.81 80 feet Depth of Grouting..unknown Pump Set At 90 feet Sanitary Seal on Casing (Y/N)~ve~ Depression A~ound Wellhead _(Y/N)y~$ Separation Distances f~om Well: 'T~'S~C/Holding Tank c~ Lot 93.5 feet ; On Adjoining Lots ]67.5 feet To'Ng~eSt Edge of Absorption Field on Lot]25.4 feet ; On Adjoining Lots ]76 feet · i.: To Ne~a~eSt PUblic Se~r Line N/A To Nearest PUblic Sewer .Cleancut/Manhole N,/a TO Nearest Sewer Service Line on Lot -~/A. W~er Sample Collected By K~v~n K ~l~w~nn ; Date ]0/]]/84 Water Sample Test Besults Sati sfactgr¥ Cor~ents B. SEPTIC/HOLDING TANK DATA Date Installed 1971 Size ~ No. of Cc~%0a~tments Standpipes (Y/N) Yes Air-tight Caps (Y/N) y~$ Foundation Cleanout (Y/N) Yes Depression over Tank (Y/N) Yes Date Last Pumped Au,gust 20~ 1984 . Pumping/Maintenance Contract on File (Y/N)No ; for _N/A Holding Tank High-Water Alarm (Y/N) N/A Temporary Holding Tank Permit (Y/N) N/A Separation Distances f~om Septic/Holding Tank: To Water-Supply Well ~_~ feet ~ To Building Foundation 56.75 feet To P~operty Line 41,2 feet TO Disposal Field .q6.~ f~f. To Water Main/Service Line N/A . To Stream, Pond, Ixake, c~ Majo~ D~ainage Course Shee~i"low predominant with the vegetation controlling th~ majnw~t? nf t. hat. Comments [Page 1 of 2] 2-15=84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ]97] Width of Field See Attached Square Feet of Absorption A~ea Depression over Field (Y/N) Yes Results of last Adequacy Test Type of System Design Sgepage Pit Length of Field 36 f~t Depth of Field Sp~ At±~rh~d~ Gravel Bed Thickness See Attached Standpipes Present (Y/aN)yes Date of last Adequacy Test IQ/Il through 10/13/84 see attached Separation Distanee f~cmAbsorption Field: To Water-Supply W~ll 125.4 To Property Line 43.17 To Building Foundation 84.9 feet To Existing or Abandoned System on Lot ~/A ; On Adjoining Lots 79.42 To Wate~ Main/Service Line N/A To Cutbank(if p~esent) To Stream/Pond/Lake/or Major D~ainage Course sheetfl0w predominant To D~iveway, Pa~king Area, o~Vehicle Storage Area ]45.58 feet Cc~nts Ground surface above seepage pi~ is depressed, correspond~ with atSfil~ ,, information as approved previoqslv bv Municipality of Anchorage. D. LIFT STATION N/A 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. Mgets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. ~ 1 Signed Allan W. Muff itt Date l~./16/84 'f~"_' ~"=~.~'~,, / KB1/d5/s ';' ' [ ,ge 2 of 21 2-15-84 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONblENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE !. General Information Application Date October 16~ 1984 (a) Legal Description (include lot:, block, subdivision, section, township, range) lot 1, Block 1, La~ta Subdivision, Section 22, T. 12 N., R. 3 W. Location (address or directions) (b) Applicants Name Linda T~nnner (e) (d) 99516 346-348]. Telephone - Home Business Applicants Address Applicant is (check one) Lending Institution Buyer _~-_~-[ ; Other ~ (explain); Lending Institution None Address 1120]. Totem Road, Anchora~ge, AK 995].6 ~.~[ ; O~ler/~f~~ ~(_---.~. ; Tele~jl~5~ .................. (e) Real Estate Co. & Agent None Address (f) Telephone Mail the HA.A to the following address: Hold for i~c~kBio ..... 2. ~jzpe of Residence Single'~Fami.ly Number of Bedrooms Individual Well Other (describe) Note: If community well system, must have written confimnation from the State Department of Environmental Conservation attesting to the legality aud status. _S eu.a.~? Jki s_l{o saI Onsite ~1 Public [~7-'~[ Community 2~ ttol. diag Tank 22[ Note: If community well system, must have written confirmation from tho State Department of Enviromnental Conservation attesting to the legality and status. [Page I of 2] 5 _En_q_g_ineering Firm Providing Ins ections Tests__~j ...... ~______ · - ...... ~ ~v~_ , ~ile oearch, Data and ]information As certified by my seal affixed hereto and as of the validation date showu 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 ~-ll Municipal and State codes, ordinances~ and regula- tions in effect on the date of this inspection. Name of Firm__ A.W.__J~L~ifj~D$/_ Address. 8010 K~n~ Street, ~chorage~ AK 99502 , Approved .~,_ DJ. sapproved Condi ~ion~ Terms of Conditional Approval CAF£ION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF UEALTH AND ENVIRONbLENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAl. CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGI~UZER REGISTERED IN THE STATE OF ALASKA. TItE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES ~ID THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED· THE MUNICIPALITY OF ANCIlORAGE IS NOT RESPONSIBLE FOR EIiRORS OR OMISSIONS IN T!iE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19--84 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: Subdivision La~t:a Well Classification Individual Well Log P~esent .(Y/N) No Total D~pth ':102 feet Cased to Static Water Level 85 feet Casing Height Above' Ground 80 feet Pump Set At 0.79 feet If A, B, o~ C, D.E.C. Approved(Y/N) N/A Date Completed 19,71 Yield Depth of Grouting unknown 90 feet Sanitary Seal on Casing (Y/N)2 Electrical Wiring in Conduit (Y/N)Yes; see con~entDep~ession Around Wellhead (Y/N)Yes Separation Distances f~cm Well: To Septic/Holding Tank on Lot 93.5 feet ; On Adjoining Lots 167.5 feet To Nearest Edge of Absorption Field on Lot 125.4 feet; On Adjoining Lots 176 feet To Nearest Public Sewsr Line N/A To Nearest Public Sewer Cleancut/Manhole N/A To Nearest Sewe~ Se~,vice Line on Lot N/A Water Sample Collected By Keven K. Kleweno'. ; Date__~10/ll/84 Wate~ Sample .Test Pesults Cu~nt~l.~Th~re is only. six~(-6)~nc/~es 6f-electrical virinq that is not ~'-c~nduit, 2. Steel ca~ J.n p:C~e, needs rubber ~asket. TANK DATA Date Installed 1971 ~)~ Standpipes (Y/N) Yes Depression ove~ Tank (Y/N) Size 1250 qallon No. of C~,%3a~t~ents 1 Air-tight Caps (Y/N) Yes FoUndation Cleanout (Y/N) Yes Yes Date Last Pumped August 20, 1984 [Page 1 of Pumping/Maintenance Contract on File (Y/N) No ; for_ N/A . Holding Tank High-Water Alarm (Y/N) N/A Tempora=y Holding Tank Permit (Y/N). N/A . Separation Distances f~om Septic/Holding Tank: To Water-Supply :.-' ~3,5 fee :Y~ To Building F¢~ndation .56,75 feet . To Property Line ~4J~.--f-ee~/ TO Disposal Field 36.0 feet To Water Main/Service Line N/A To Stream, Pond, Lake, c~ Major Drainage Sh~f~]-r'~w-.r~-r~,~6~-'i-~an~..-~w~k-h~ th~ v~_~_~a_~ion c~t~li.n~' the majority of that. ts mh~r~ ~.~ a depression all along thD ~t'ic .sySt .em, ing heavy rainfall of snow above tlle._se_ptic_~ffstem.~ ~P~_~frad_~___g_ma¥ be required. ut / 2~15-84 Soils Rating in Absorption Strata '(~'ee attached Type of System Design Seepage Pit Date Installed .197] Width of Field see attached Square Feet of Absorption A~ea Depnession over Field (Y/N) Yes Results of Last Adequacy Test 'Length of Field 36 feet - ~?- .... Depth of Field see attached ,/ Gravel Bed Thickness see attached standpipes Present (Y/N) Yes Date of last Adequacy Test 10/11 .through 10/13/84 see attach~ Separation Distance from Absorption Field: To Water-Supply Well 125.4 To P~operty Lir~ 43.17 feet To Building Foundation 84.9 f~. Tc Existing or Abandoned System cn Lot N/A ; On Adjoining Lots 79.42 feet To Water Main/Service Line N/A · To Cutbank(if present) not present To Stneam/Pond/Lake/c~ Majon Drainage Course Sheetflow predon,~nant To Driveway, Parking Area, or Vehicle Storage Area 145.58 feet Conn~nts ~round Surface above seepage pit is deD~ess~d~r_r~.~Donds' with alt-file informati°n as ap~rove~ .~rovJ_ous.l¥ ,by Municipality of Anchoraqe. . LIFT. STATION Date Installed N/A Size in Gallons N/A "Pump On" Level at N/A High Water Alarm Level at Me_ets ~OA Dimens ions ._ ~/A Manhole/Access (Y/N) N/A "Pump Off" Level at ~/A N/A Vent (Y/N) N/A Pumping Cycles during Adequacy Test. N/A Tested for N/A Electrical Codes(Y/N) Co~nts ~q./A Company A.W. Murfiht Company KB1/d5/s ** Check Permitted Bedroom Rating .~gainst HAA Request I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. ~1 Signed Allan W. Murfitt __Date 10/16/84 MOA No. ST84-015 [Page 2 of 2] 2-15-84 Date And Time ADEQUACY 5%ST RESULTS Depth in Dep~ in Septic Tank Seepage Tank Water Added (gal) Meter }~adings 10/11/84 09:30a 12.33 12.5 0 2218 10:20 11.17 12.5 227 2218 11:20 9.75 11.17 300 2445 11:40 9.58 11.17 81 2745 12:00 9.29 11,13 99 2826 12:20 9.17 11.13 98 2925 12:40 9.0 11.13 97 3023 13:00 9.0 11.08 98 3120 13:15 8.96 . 10.92 72 3218 13:30 8.92 10.92 83 3290 10/12/84 09:00 12.33 11,0 10/].3/84 11:00 12.33 12.5 TOTAL 1155 gallons 0 0 0 0 - 2445 - 2745 - 2826 - 2925 - 3023 - 3120 - 3218 - 3290 - 3373 A.W. Murfitt Company Arctic Civil and Geotechnical Engineering Consultants Jobno. 84-116.01 Appr._ KKK Date 10/15/84 ADEQUACY TEST RESULT Lot 1, Block 1, Latta Subd. Anchorage A1 aska PLATE WRLL YIFflLD TEST RESULTS T~m 5~eter Readings Ellaspe Gals/ Date Start Finish Start Finish T~e (n~in) Min 10/11/84 09: 30 13:30 2218 3373 240 4.81 : A.W. murfitt Company ~,~uu YIELD TEST RES[JETS PI. AIl: Lot 1, Block 1, Latta Subd. Arctic Civil and Geotechnical Engineering Consultants 2~ !3obno. 84-116.01 Appr._KKK Do~e 10/15/8.4 Anchorage Alask~ ~E;~RTMENT 0Y HEALTH & ENVIRONMENTAL PROTE~ 825 L Street - Anchorage Alaska 99501 " APR Ifl79 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND 8EWER FACILITIES DIRECTIONS~ Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPE TYOWNER fl · ~ PHONE PROPERTY RESIDENT (If different from above) PHONE -- B ' ~ - - PHONE M~I LI~ A~DRESS ~ STR E~TtL OC A'"r~o N ' ,,,~ TM /J - I 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] Other ~ SINGLE FAMILY ~' Two [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY ~ NDIVIDUAL~ [] COMMUNITY r--I PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM NDIVIDUAL/ON-SITE** [] 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 Iogif available.) ~:~0 ~..,~ ' **If individual/on-site, give installation date / qq 1 . NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONL\ · DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. W~t ~UPPLY LJ~ INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~I/NDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [~Holding Tank Size: I)'~~'~2 If Tank is homemade SOILS RATING give dimensions: TYPE OF TAN~ MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO; Absorption Area to nearest Lot Line 5, COMMENTS [J~APPROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) DATE BY ~ LEGAL DESCRIPTION 72-010 (Rev. 3/78) ANCHORA6~, ALASKA DEPAI]TMENT OF IlEAl TIt AND ENVlt]ONMENTAL April 24, 1.979 Bruce Elliot Star Route A Box 1702 Anchorage, Alaska 99507 Subject: Lot 1 Latta Subdivision This department has received a second adequacy test performed on your sewer system. Therefore, based on the information submitted to us we can not approve your request until the following items have been completed: (1) Expose the manhole to tie septic tank. This is for verification purposes. If there is _n_~Q~.Qt a septic tank present, a 1 000 gallon septic will need to be installed (2) Remove the manhole to the tank and clean all sludge and scum from the tank. ~ ~\ If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Security National Bank 2525 C Street - Suite 502 99503 Connie Yorkemura 501 West Northern Lights Boulevard 99503 April 23, 1979 ASI No. 01179 Mr. Bruce Elliott SRA 1702 Anchorage, Alaska 99507 Re: Adequacy Test For Existing Septic System on Lot 1, Block 1, Latta Subdivision (Re-test). Dear Mr. EllioLt: At your request our office conducted a percolation adequacy test on your existing septic system at the above-referenced location during the period April 18 to 20, 1979. You reported that your septic system consisted of a septic tank and seepage trench. Records on File with the Municipality's Department of Health and Environmental Protection lndicate that your leach Field may consist of a seepage pit and drain lines. The attached location diagram locates three standpipes that were Found in relation to the house and the water well. Standpipe (S.P.) No. 1 was initially thought to be to the septic tank because iL contained liquid. Standpipe No. 2 was thought to be to the seepage pit because J.L contained sludge. No liquid level was discerned. Ilowever, the sketch, dated 2/11/75, you obtained from your case File at the Department of Health and Environmental Conservation indicates the most southerly standpipe to be to the seepage pit (cesspool). S.P. No. 3 was determined to be a cleanout. To ensure that the re-test included the drain pipes that are shown on the 2/11/75 sketch, and at your direction, water was added to S.?. No. 1 to raise the liquid level. Water was supplied by cesspool pump trucks. The liquid level rose From an initial level of 9.4 Feel From the top of stand pipe to 8.1 Feet. Addition of more water caused the liquid level to jump immediately to 5.6 Feet in the stand pipe. Hence, it was concluded that the seepage pit (S.P. No. 1) was nearly Full at the 8.l-Foot level. No evidence was Found to indicate that water backed up or overflowed into the septic tank (S.P. No. 2). Hr. Elliot[ Adequacy Re-Test ASI No. 01179 April 23, 1979 Prior to performing the adequacy test, the seepage pit (S.P. No. 1) was pumped, then re-Filled to a depth of 10.7 Feet From top of stand- pipe. The septic tank (S.P. No. 2) was dry, i.e., contained no discernible liquid level, and contained approximately 4 Feet of sludge. Due to the immediate refilling of the seepage pit (S.P. No. 1), a normal degree of saturation within the leach field is assumed. In accordance with the Anchorage Municipal Code, Chapter 15.65, Wast Water Disposal Regulations, any on-site sewage disposal system "shell have adequate capacity to properly dispose of the maximum ' daily sewage Flew." The maximum daily flow is computed at 75 gallons per capita-day (gepd). Since "the population of dwellings shall be estimated at two persons per sleeping room," the maximum daily sewage Flow For your 2-bedroom house is 300 gallons per day (gpd). To test the soil absorption capacity of your system, 110 percent of the maximum daily flow or 330 gallons of clear water was added in SO-gallon increments to the seepage pit (S.P. No. 1). The water was obtained from your on-site private well. The liquid levels were monitored closely to detect any change in liquid level in the septic tank or seepage pit. The attached 'table off Test Data represents the depths off liquid zn the septic tank and seepage pit, and the quantities off water added. The septic tank was determined to be 10.6 Feet deep (bottom of Lank to ground surface) with 4 Feet of sludge in the Tank. No liquid level was discerned. The seepage pit was measured to be 14.1 Feet deep with an initial liquid depth of 5.3 Feet in the bottom. The ground is approximately level around the standpipes. An average absorption rate For your septic system for the First day off the test is approximately 220 gpd, and For the second day 420 gpd. The 2 days of testing For this re-test indicate an average absorption rate of 320 gpd. As stated previously, an on-site sewage disposal system For a 2-bedroom house must be capable of disposing 300 gpd of sewage. Based on an average absorption rate For 2 days of testing, the septic system appears to be performing satisfactorily at this time. However, two Facts must be considered. First, the original test (April 9-11, 1979) indicated an average absorption rate of 110 to 130 gpd. Second the first day of the re-Lest showed an absorption rate of 220 gpd. Therefore, even though the average absorption rate for this adequacy test exceeds the required )00 gpd, your septic system is considered to be performing marginally at this time. Mr. ElliotL Adequacy Re-Rest ASI No. 01179 April 23, 1979 Many factors affect the operation of a soil absorption type of sewage disposal system. Soil type, groundwater depth, age and history cfi maintenance of the system, and types cfi waste are a flew. This test has been perflormed in an attempt to model actual soil absorption capa- bilities of your septic system under normal useage by considering the degree of saturation off the leach Field and surge loads that might be imposed on the system. This test can only evaluate apparent performance at a given point in time, and cannot determine either the condition of the leach Field, seepage pit or other components cfi the septic system, or the depth of the water table. We appreciate the opportunity given Lo perform this adequacy test. If you have any questions regarding this test, please contact this office. Very Truly Yours, ALASKA DEVELOPMENT CONSULTANTS D. Shrader, P.E. Project Manager SDS:lcb bq April 23, 1979 AS;[ No. 01179 Wtr Added, Seepage Pit Rise in Seepage Pit Rise in Septic Tank Gallons Wtr per Ft.o¢ Rise (gal/rt) Recovery Time between Test (Hours) Drop in Pit during Recovery Average Rate of Fall (¢t/hr Average Absorption Rate (gal/day) SUMMARY OF TEST RESULTS, Day 1 330 gal 0.3 Ft. No liquid observed Day 2 330 gal 0.35 ft. No 11quld observed 1100 943 23 23 0.2 0.01 0.45 0.02 220 424 Day 3 Adequacy Test for Existing Septic System Owner: Bruce Elliott Address: SRA Box 1702 Legal' Description: Lot 1, Block AnchoraGe. Alaska 1, Latta Subdivision. Components of Septic Sys%.emI~.~e Lettg~ RePort. Number of Bedrooms: Re-Test Project No._Q~ 99507 How long vacant: . Last pumped: 4/18/79 - Pumped'& refilled Test performed by: Jeffrey Ayres . Water ~eter/S.N.5/8" Neptune/#22812186 TankNO liquid Initial Static Levels ~ - , Septic ~s-uc~e ; Seepage Pit 107 . Ail measurements from top of standpipe, except sludge in septic tank. TEST DATA Time Septic Tank Seepage Pit~ Added, gal Reading, gal Remarks Day 14/18/79 ]0:35 Dry-sludge 9.4' water added from pump 10:36 No change (N.C. 8.1' trucks prior to adequacy 10:37 N.C. 5.6' test. 11: 35 Dry-sludge 10.7 ' - 75'70 Initial levels 11:50 N.C. 10.65' 50 7620 12:10 N.C. 10.65' 80 -7700 12:29 N.C. 10.55' 50 7750 112:41 N.C. 10.5' 50 7800 12:59 N.C. 10.45' 50 7850 End test 1:13 N.C. 10.4' 50 7900 Dav 1 330 330 Occupied prior to test: Yes X No Re-Test O~ner: Bruce Elliott Project No. Legal Description: Lo~ 1, Block 1, Latta SubdivisiQD TEST DATA (Cont'd) .. ~ Liquia Depth, ft Water Meter Time Septic Tank 'Seepage Pit Added, gal Rea~ing, gal Remarks Day 2 4/1~79 12:20 Dr¥-sludqe 10.6' - 790Q 12:.32 N.C. 10,5~' 50 7950 12:50 N.C. 10.5' 50 8000 1:06 N.C. 10.45' 50 8Q~.0 1:20 N.C. 10.4' 50 81gQ 1:36 N.C. 10.3' 50 8150 1:47 N.C. 10.3' 50 -. 8200 End Test 2:00 N.C. 10.25' 30 '8230 Day 2 330 330 , Day .~ ' 12:55 Dry-sludge 10.7 - - 4/20/79 April 17, 1979 Mr. Bruce Elliott SRA 1702 Anchorage, Alaska Re: ASI No. 01179 99507 Adequacy Test for Existing Septic System on Lot 1, Block 1, Latta Subdivision. Dear Mr. Elliott: At your request our office conducted a percolation adequacy test on your existing septic system at the above-referenced location during the period April 9 to 11, 1979. You reported that your septic system consisted of a septic tank and seepage trench. Records on file with the Municipality's Department of Health and Environmental Protection indicate that your leach field may consist of a seepage pit and drain lines. The septic tank had not been pumped prior to the percolation test. Since the house, which is to be rated for 2 bedrooms, had been occupied up to the time of the test, a normal degree of saturation within the leach field is assumed. In accordance with the Anchorage Municipal Code, Chapter 15.65, Waste Water Disposal Regulations, any on-site sewage disposal system "shall have adequate capacity to properly dispose of the maximum daily sewage flow." The maximum daily flow is computed at 75 gallons per capita-day (gcpd). Since "the population of dwellings shall be estimated at two persons per sleeping room," the maximum daily sewage flow for your 2-bedroom house is 300 gallons per day (gpd). To test the soil absorption capacity as well as the surge capability of your system, 110 percent of the maximum daily flow or 330 gallons of clear water was added in 50-gallon increments to the septic tank. The water was obtained from your on-site private well. The liquid levels were monitored closely to detect any backup in the septic system. Mr. Bruce Elliott April 17, 1979 ASI No. 01179 Page -2- You reported the most southerly standpipe to be for the septic tank. Initial liquid level in this standpipe was measured to be 10.4 feet below the top of the standpipe. The second most southerly standpipe was found to have 1½ or more feet of sludge at a depth of 9.5 feet below the top of the standpipe, and was assumed to be the cesspool/ seepage pit. No liquid level was observed in the second standpipe. The bottom was not detected in either of these standpipes, and appears to be more than 11 feet below the top of the standpipes. The attached Table of Test Data represents ~he depths in the septic tank and seepage pit, and the quantities of water added. All measurements are from top of standpipe. The summary of Test Results shows that the liquid level in the septic tank rose 0.3 and 0.7 feet, respectively, during the tests, and dropped 0.1 and 0.3 feet, respec- tively. There was no change in the seepage pit during the course of the test. Based on two days of testing, a percolation rate for your existing septic system of approximately 120 gallons per day is indicated. Since an on-site sewage disposal system for a 2-bedroom dwelling must be capable of disposing of 300 gallons of sewage per day, your septic system does not appear to be functioning properly at this time. Many factors affect the operation of a soil absorption type of sewage disposal system. Soil type, groundwater depth, age and history of maintenance of the system, and types of waste are a few. This test has been performed in an attempt to model actual soil absorption capabilities of your septic system under normal useage. This test can only evaluate apparent performance at a given point in time, and cannot determine either the condition of the leach field, seepage pit or other components of the septic system, or the depth of the water table. We appreciate the opportunity given to perform this adequacy test. If you have any questions regarding this test, please contact this office. Very truly yours, ALASKA SOILS INVESTIGATIONS Project Manager O~nerl Addres~ ~ Adequacy Test for EEisting Septic System Mr. Bruce Elliott SRA 1702 Anchorage, Alaska 99507 Project No. 01179 Legal Descriptiom~ Lot 1, Block 1, Latta Subdi.vision. Components of Septic. Syst?m: Septic Tank .& Seepage Trench Number of Bedrooms: How long vacant'. Test performed by: (reported by owner) 2 Occupied prior to test~ Yes XX No na . Last pumped.' 2 yrs a9o. · J. Ayres . Water meter/S.N.5/8" Neptune/~22812186 Initial Static Levels~,.Septic Tank 10.4' ; Seepage Pit 1½-ft sludge; no liquid. Ail depth measurements are from top of standpipes. TEST DATA '" '~t~ .... :~,kiquid~Depth~ ft ~" Water Mete~ Time Septic Tank Seepage Pit Added, gal Reading, gal 'Remarks 1½ feet sludg~ Day 1-4/9/79 9:02 10.4' 0 6915 no liquid. Initial lev~ 9{14 10.45' ~o Change(NC) 45 6960 9:29 Bad reading. NC 50 7010 9:44 10.3' NC 55 7065 9:53 10.3' NC 40 71.05 10:07 10.2' NC 50 7155 10:18 10.2' NC 50 7.205 ' 10:31 10.1' NC 50 7245 End test - 1 330 gal 330 gal 8:53 10.2' 1½ feet sludg~ - 7250 Day 2-4/10/7 no liquid. Initial leve 9:08 10.2' NC 50 7300 9:21 10.1' NC 50 7350 9:31 10.1' NC 50 7400 9:38 10.0' NC 50 7450 9:57 9.8' NC 50 7500 10:14 9.5' NC 50 7550 End test - Day 2 300 gal 300 gal 9:37 m 9.8' 1~ feet sludg, Nn ]im~d. - - Day 3-4/11/~ Mr. Bruce Elliott ASI No. 01179 April 17 , 1979 Page -4- SUMMARY OF TEST RESULTS Wtr Added, Se~iC ?ank:' Rise in Seepage P-it .'' Rise in Septic Tank Gallons Wtr Added per Ft of Rise (gal/ft) Day 1 Day 2 Day 3 330 gal 300 gal - none observed none observed · 0.3' 0.7' 1100 430 Recovery Time between Test (Hours) Drop in Pit during Recovery Average Rate of Fall (ft/hr Average Absorption Rate (gal/day) 22.5 23.5 0.1' 0.3' 110 130 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received January 10, 1977 Time of Inspection ( 9:00 a.m. Date of Inspection 1-11-77 Tuesday REQUEST FOR APPROVAL OF Kennedy INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: 4. 5. 6, Mailing Address: Property Owner: Mailing Address: Gorden P. Franke Star Route A Box 1702 Phone: Phone: 344-4631 Legal Description: Lot 1 Block 1 Latta Subdivision Location: See map on back Type of facility to be inspected Well Data: A. Type Individual C. Construction ~. Sewage Disposal System: A. Installed 1974 C. Septic Tank: 1. Size D. Seepage Pit: E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank Single Family No. of bedrooms 3 1. Absorption Area Total 'length of lines B. Depth 85 ' D. Bacterial Analysis On-site system B. Installer 2. Manufacturer 2. Material , Absorption area , Other contamination , Absorption area , Sewer Lines C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re, st for Approval of Individual ~ er & Water Facilities kegal Description Lot ~ Block 1 Latta . Comments Approv~~'/_w~Disapproved Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality 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 2. Property Owner: Mailing Address: 3. Name of Buyer:_~-~-// Mailing Address:, 4. Name of Lending Institution: VA_ Mailing Address: Name of Realtor or Agent: Mailing Address: Legal Description: Z c~ /' / Location: ? ~ ~-'"', FHA. .CONV. Day Phone: Phone: Phone: J/ 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 Sewage [)isposal System Type of System: No. Bdrms. '~ rlndividual, / Public Utility If Individual, date of installation / Individual (on-site) 72-003(3/76) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality '2'330 "C" Street, Anchorage, Alaska 99503 274-4561 Time of Inspection Date Received Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: ~\ 3o Legal Description: 5. Type of facility to&e inspected." 6. Well Data: B. Depth /' . B. Installer ~-~9 2. Manufacturer C. Construction Sewage Disposal System: A. Installed C. Septic Tank: 1. Size 2. Material e D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank ~ /~5'- , 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 Page 2 of two pages - Re st for Approval of Individual Legal Description er & Water Facilities Comments Approved /~'~%~L ~/~Di sapproved Da t e ~ Approvals. Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate represe..Qtation of the subject sewer and water facilities and these facilit, ies are operat.ing"'~'i~isfactorily, SIGNED :~?<~<~ d~. /-~-~ ,~ Date EQ-034 (1/74) GREATER ANCHORAGE AREA BOROUGH~ Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & I.IATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV ~ ........... 2. Property Owner ~-~ ~]~ ~-~ ~., Mai-ling Address: ,c.~-~,~'~-~x, /~ , .~?~o_~,~O~ Day Phone ~,~ 3. Name of Buyer: Mailing Address: . Day ,Phone 4. Name of Lending Institution: (~,~_~,m~ ~_ ~_~.o, ~,~,)~_. Mailing Address: < ~ ~:'.., ~,,~ .... x~'~,~.X Phone b, 1. .... 5. Name of Realtor or.Agent: ~w.,~.~__ ~}.c~}~ .... Mailing Address: ~ ~ ~] ~ Legal Description: Locati on: 7. Type of Facility to be inspected:~x~ ..... o, Bdrms. [~ .... 8. Water Supply Type of Supply: Public Utility... Individual ~i If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility Individual If Individual, date of installation (on-site) .~', EQ-037 (!/74) To ~hom I~ Hey Concern: addition~hich will add one extra bedroom to the existin~ three bedroom home, Should there be any questions regerdin~ this mataer plaane congacg 274-4~61 ~xtenalon 1,31. Sincerely, Ronni L. Kinneen Environmental Speci~list []E~[LTH DEPgR~,~NT 327 E/~GLE STREET ANCHORAGE, ALASKA 99501 279-2511 REQUEST FOR APPROVAL OF INDIVIDDAL SEWAGE AND WATER FACILITIES Number of Bedrooms .... Well Data: ^. Type B. Depth C. SSze ConstructSon D, E, Bacterial 6. Sewage Disposal System: Septic Tank (If homemade, show diagram on back) 1. Size ~vJg. 2. Age (~ S. ,~4anufacturer 4. Installer Approval Request for Se~ ~ ~ Water Facilities Page Two B. Seepage Pit 1. Size 2. Lining C. ~ Disposal Field 1. Numbe Lines 2. Total Len~., 7. Required Measurements A. Well to Septic Tank B. Well to Seepage Pit C. Well to Sewer Line D. Well to Property Line E. Well to Other Possible ContmMnation F. Foundation to Septic Tank, f~,/fy~,~/' G. Foundation to Seepage Pit i~r Seepage Pit to Property Line APPROV~ DISAPPROVED: APPROVAL VALID FOR ONE YEAR FROtI DATE SIGNED. GRI'~ATER ANCHOIL/kGE AREA BOROUC~t ItEALTH DEPARt'lENT EDll70 ,'.t~y 13, lgTI Veteran's Administration Box. 1399 Anchorage, Alaska Su jeer. Mater Facilities for Lot 1 Latta Subdivision Buyer: Peter Hicks I)ear Sir: The well for the subject lot is in a pit. Temporary approval for the well can be, given pending the escrow of funds to extend the well casing above ground and fill tn the pi't. If you have any questions regardin.Q the above please do ngt hesitate to contact this office at, 279-8686 es tens i oi~ Si ncerely, Lynn S. Coad Sanitarian ky cc: Alaska Mutual Savii]gs Bank A. I. M., INC. 5437 Wandering Drive Anchorage, Alaska 99502 344-2534 344-3731 Real Estate Division SUNNY HICKS Vice President and Broker GENERAL CONTRA CTORS Road Building Land Clearing Well Drilling REAL ESTATE Sub-division Land Development COMPLETE FINANCIAL & ESTATE PLANNING Deeds of Trust