The URL can be used to link to this page

Home My WebLink AboutLAKE RIDGE TERRACE BLK 1A LT 4A NAME MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE ~7 rnUPGRA E' LEGAL DESCRIPTION ' LOCATION , NO. OF BEDROOMS~ WeW PERMIT NO. o ~ DISTANCE TO: /~ / { Absorption area ' [ Dwelling ~Z I Manufacturer /~ ~ . Materia~{ No. of compartments · ~ Liq./~ocapacity in gallons I ............. ,~ , ,~,~ ~ : Inside length ~ I Width ~ Liquid depth ~ - ~ [ Manufacturer Material Liquid capacity in gallons ~ Well ~= [ DISTANCE TO: I /Se / Foundation ~q Nearestlotline /01 PERMITNO, 7~ m - ~ Distance between ~ m ~ No of lines ~ Leng~ of e~ch line, Total length of lines [ Trench widt~ lines {~ Top of tile to finish grade ~ ~ inches ~ ~ ~ Material beneath tile a~ Total effective absorption area m I Length ~idth Depth PERMIT NO. ~.~ [ Type of crib Crib diameter Crib depth Total effective absorption area E DISTANCE TO: ~ell Building foundation Nearest lot line ~d Iclass Depth / ~7 t Orillerv.wt~. ' 1113~511 1 Distance to Icl line~ , PERMIT NO. ~ DISTANCE TO Building foun~t~on I _/~/ Sewer line ~ Septic tank PIPE MATERIALS OTHER SOIL TEST RATING INSTALLER REMARKS 4839 TAMPA CIRCLE ~ 333-4787 ~.YNN APPROVED ~'" ED ,,, '~. F'PL. ]; C:F:IPlT O C t'] T .I O I',t EGF:II._ I:::EI".I-[' 'Z.,HEF:F:OD ;}J3:Zgl ~;LIC:CES:5 E:'R. LT. 4-R E:I':::. i-Ft LI':::. RIDGE TERF-:RC:E LOT SIZE 5277'11 SQURRE FEET CF'E OF 'E;r/3IL. FIE::5OF,;:E:T]:ON S'¢STEH ~S: [:,RRINFIELD ::IXlMLII'q hlUHBEF4: OF BEDROQH;5 = 4 ':;13IL RFITING ,::'~'>.--.! FI,.-EF .... ::L~._ tL:i B:EIL)U!F;:E[:, S)iZE OF THE SCIIL FtE:SORF'TICII'.~ SYSTEM 'iHE LENGTH E:,IHENLZ;ION Z% THE LEhtGTH (T,N FEE~T, ) OF THE TF:F:NCH OF.-: DRFI:(NFTELI":,. ]'HE £:,EF'TH OF FI-FF:ENCH OR PIT TS THE CI%TFINC:E E',ETI4EEN THE '_:;URFF-IF:E -qF THE Gr~:ouI..tD Izlf..ID THE E',OTTOhl OF THE E::-::CIZI'v'FIT ]; ON (/~.!.4 FEET::,. ]'l:.E TI:;:ENCH lqI E:,TH FOR DF:FIINFIELE:,S THE GI';::F¢,,,'EL [:,EF'TH IS THE i',IIf.4IHI_IM DEPTH OF GRFI'v'EL E~ETHEEI',I THE OUTFFILL P.TPE Fff,l[:, THE E',O-FTEff,1 OF THE E,.-,_.MvHI-IOi',I ,:;II-.l FEE]'", F'FICKFIGE PLRNT f'lFl'¢ E:E ]N'_Z;TRL. LEE:, FIT THE F'ERMZTTEE"S OPTXOf.,l SLIBJEE:T TO THE _II_L.OI,IiNG E:ONDZT]:OHS: % EZTI:4EF.: R E:LRS% I QF.: Ii NSF RF'PRO'v'ED PLRNT MF!'¢ BE ];NSTFILLED. 2. F:t C:CII,!-I:'Zh,IIJL-IIJ% i'IFtlh!TENFINCE RGF::EEi"IENT iS REQU]REE:,. 'fF R i"IFi;[NTENFINC:E FtGREEHEhlT Z S; NOT KEPT CURRENT '¢OLI i"lR"r' E',IE 'F.'.'EI;!U:[RED TO ENLFIF.'.GE 'FI~E SOIL FIE:E;C~RP]'ICJN S'*'S;TEI"I RHE),./OR 'lOLl f'lFl'¢ E:E SLIEr3ECT TO F'F.:OSECEITZON. :IC!::;I:.rLL.];NG OF RN'¢ S'-/'E;TEhl P.IZTHFdJT FINFIL ];NSF'ECTTON RhlD RFFf;_ /IfiL THiS ]F'I:::If:;;tTHEhlT I.,.IILI.. BE 'BI_IEL3EL-:T TCI PF. tCISEC:IJTI i I'.,I}t'ILH'I i>I'STRNCE E;E'I'I.,IEEN FI 14ELL FINE:, FtN'T' ON-SITE SEt.,IFIGE DI:SF'OSRL. S,"¢STEM FEET FOP. R PRIVFITE I.,.IELL OR 2~IE~ FEE]' FOR Fi PUBLIC HELL I_OG5 FIRE I,'IU'_:;T E',E RETURNED TO THE [:,EF'FiRTr,IENT 14]:THII'.~! 38 [>FfT'S ~, F:ELT.!LI Z F:I~D RN[:, il:HE NELL. COHF'LETIL-~N. :',liEf:::: I-;;:EQU]:Fi:EME'f.tTE; i"lFt"r' FIPPL"r'. SF'ECIFICI~ITICJI"~S FiND E:CIf,ISTF.:L.IC:T];CII"~ E:'IFIGF..:F:IHE; FIF::E ."Fi]]L.I::IE:LE TO ]:i",!%I._IF.:E F'ROF'ER ];I"~'_:,TBLLFITZOI'L -' CEF:'t'IF:'T' THFIT ~ ~':~r'l FRI"1ILIFtR !-,.IITH 3'FIE F.:EE.!U];REHENTS FOR OH-SiTE SEI4E,::S FINE:, .[,.IEI_LS FIS SET \ (~\ ;dt'Yl.l E;'./ THE MUN];CIF'FtL I T'T' QF Rf.iC:FIORFIGE. i,IJ;LL ];NS'I-FILL 1"HE S'¢STEM ZN FICCORDFINCE 14TTH THE CODES. IJhlE:,EFtS-~RI'.~D -f'HRT THE ON-S, ZTE SEHEF.: S'¢STE'r,1 MFI'¢ REi;!LI'rRE ENLFIF.'GEMENT ZI-- THE _,~: .L..E iS ,q:EHODELEr_:, TO ~NL. LUDE MORE -FHFIN ,4 E',E!]:,F.:EIOMS. {3,?// (, /t/, ........... ~ .......... n--~ ~--~-~- ............................. ./_ (-~. i:3 F' F' L ~ F': FiI'-,I -[ I'(EN T' '.E;I-4[--'iF:F:C~E:, ~X,, 6 8 10 12 14 16 18 20 -z~V , ' ' '- 'i ' / "On~ t~st ~ v.,orth a Ihou~a~d 2204 Cleveland Anchorage, Alaska 99503 formed For ~ ~o//,~ Date Performed ~nal QescriDtion: Loty2 Block /~ Subdivisimn AW~e- ~,FJ~~'~w~' 'his Form Renorts Soils Loq~' Percolation qest Feet (Z' ~,...q~ Soil Characteristics Was O-wound Water Encountered? IF Yes, At what Denth? J I t Readinq / Date Grnss Time Net Time Denth to H20 Net Dron I I , Percol. ati~n Rate Hinute Prnposed Installation: SeeDaoe Pit Drain Field Denth To Bottom Of Pit Or lrench Deoth of Inlet ~ , Test Performed By~ .... o777-/"7V ,ch 0 '~ 0 0 0 0 0 0 0 0 0 0 0 December 14~ 1977 TO: Who~ It May Concern SUBJECT: On-site Sewage Disposal and Water Supply Lot 4A Block lA Lake R!dg~ Terrace 6ubdivision Reference is made to the attached letter, subject same as above, signed by Roll Strickland and dated June 22, 1977. It is the opinion of this office that it is possible to install anoon-site sewer system on this lot that will meet m~imum requirements. However, because of the shallo,,~ bedrock and other associated considerations, the on-site system for this lot should be designed and inztalta4~ion supervised by an engineer. If thure are any further questions, please contact this office at 264-4720~ Slncer?;ly, Joseph So Blair, Environmental Services Manager JSB/lj h 22, 1977 2ox Anchor;~ge, Alaska 99510 SU!]JI~;CT: On-Site Sewage Disposal and ~ater Supply Lot 4A, Block lA, Lake Ridge Terrace S~?~bdivfsion Dear {)ur department ha~ reviewed your requesl dated June 22, 1977, regarding the problem on the ~bjeet propertTg ~ There has been ~ recent history (see aitached letler) of proble~.s on this ~ot spool fleetly of Lower Fire Lake, Possible freez~g of th~ sewage system ond sewage surfacing on the ~ound. With the proper desig~ and installation these prob!er~s mtgh't be overcome, t~ is certain that reducing the volume of water u~od ~ e~ day ~ill radiate the design problems would caution you and your engineer that any new design m~t consider: ],. existing State and }}~unicipal Codes; 2. ease of maintenance and operation of the syst~m: and 3. an ,~peraltonal system that will not create a public nuisance or potential health hazard. }~y staff are available to wovlr. with your engineer towards do. velopm¢:nt of a total system that will ~aeet you~' needs, Sincerely, tlolf S~qekland, ll.S. Environmental Engineering ~anager Kyle Cherry Les Buchholz (907) '" '~ March 2, 1977 Foster and Collins, Inc. 118 East international Airport Road Anchorage, Alaska 99502 Subject: Lot 4A Block iA Lake Ridge Terrace Subdivision Dear Sir: This letter is in reference to your solls test, which was performed on February 12, 1977. First of all, we would ask that you read the State ordinance in reference to bedrock. See enclosed copy. A building foundation is normally three and one-half (3½) feet below ground level. This then puts you only four ~nd one-half (4%) feet above bedrock without any room for a sewer system. ,~e can not approve an on-site sewer system on this lot, with the soils test provided to us. If there are any further questions, please contact this office at 279-2511, extension 224 or 225, Sincerely, Robert C. Pratt, R.S. Sanitarian RCP/Ijn June 22, 1977 't:dUJ~ICIPALIT~' OF /,F.:Ct I~?'!"'J~ONM~i~IAL PR?)TI'~CtlON ROlf Strickland Environmental Health Municipality of Anchorage Dear Mr. Strickland: I and my fiancee, Hilary Hilscher, have been interested in building a home on a lot on Lower Fire Lake, namely Lot 4A, Block lA, Lake Ridge Terrace Subdivision. The lot, a plat of which is enclosed, is a beautiful one, but through conversations with yourself, members of your staff, the State Engineer and other engineers, it is apparent that no conventional sewage system would be approved either by the municipality or the state because of the elevated presence of the bedrock. I have also been made aware of the fact that even by using the process of backfilling the lot to meet depth requirements, the effluent will still wind up on the lake, which is unacceptable to us (and your department). What I propose is to have an engineering firm design a new system, which would make use of a humus toilet (thus separating black waste) and lower water input system, to reduce consumption and an innovative technique to take care of the gray water. Just the design actually "designs" since there will be several) will be expensive and far beyond our means, so I am planning to ask the state for some financial assistance. I imagine that the problem, or similar ones, are found in several areas of the Anchorage area. Could you outline for me the problems we face in getting a permit for a conventional septic tank and crib-type of system on this lot and how you would view a new type of system, including monitering, etc? enclosed: Earnest Money Agreement Soil Test Report ~ Plat Sincerely, Michael DeMan Box 582 Anchorage, Alaska 99501 "One lc. st is ,wouh... h ~housand ~inlons" 2204 Cleveland Anchorage, Alaska 99503 Performed For ~'k Col/,',~ Date Performed tenal nescrintion: Lot~h Block This gorm Renorts Soils Lon ~m~ Percolation ~est ~enth Feet (..' ?o,.;.i- Soil Characteristics 10 12 14 16 18, 20 Was Ground Water Encountered? I¢ Yes, At what De th? Readinq Date Gross Time Net Time Depth to H20 Net Droo i ~ 1, : I Percolation Rate ~iinute ... Proposed Installation: Seepage Pit Drain Field Deoth of Inlet ~ Deoth To Bottom Of Pit Or Trench %. .[ 'h / Test Performed B V 0~¢?,; ~J~. Data Certified By: Ldo' - ,. .~, '-'~'~ECEIPT and AGREEMENT to PURCI REALTORS ® TRANSACTION NO. ~CEVEDFSOM ItLlary Hilscher 582 ^ddres;:..~. , ......... ~, Alaska 99510 19.?? -r Phone Ibesumo~AV Hundred dollars & no/100 (Cash) is 500.00 )Oo,0rs as(a'deposit on and part paymenl for th .... I properly and imorovemenls lh~reon siluated in the City of Municipality Of A~cho~ago -Si~,~%~AIos~o;desc~,beos~Lake Ridge Terrace Block ~ Lot 4A pad o[ Ihe Jisling agreemenl~*~ ~o~e - - :. whkh properly the payer of the above de,ceil hereby ag .... to buy Jar Ihe tolal price o} $ ~28 F 000 · 00 on which sum the obovedep~itshallopply. Purchase lerms are E~nest money as shown above ..................... $ 500.00 r aianae oS ......................................................... SO0. O0 ::'to,,be paid by construction loan no later than S. ept.,u!5, 1977. '~ "~21~' offer is contigent upon municipality~/~o~a~'~'f a system using a Humus .toilet for sewage disposal. This offer also contiqent u_Don buyers obtining "/~ financing to build a ~ome. Seller to furnish Title Ins.: & Brokerage Fee./' 'J-!~.. ! All'~ other~nOr~al, closin~ costs to be sDlit..-50/50-betwee~' buyer ;:~,*~?J!~t~ii~ ~_~0 ~ be.,'. Dro~ rat ~l;l: a ~ ,. ~los ~?. ~,~;:,~"~ .~ ,':'5~,-.~',~, ~'~'~,c--,-,; ., ..~,.. - ',4 ,~ ::~ ~.~:~%,.~ ~~' -~session shall be given to buyer on closing or closing *~ ':J ~ days allowed from dote of seller's acceptance for search of lille aha completion of purchase. Il title Droves good and purchase is not compJeled wilhin said period, lhe said aeposil shall be forfeited ~y purchaser. ~, ' - ?'L'2. This sole is made by said agent subject to the owner's approval. It so approved the owner will furnish a good and sufficient deed. cna a showing of free lille, deer. of. en- cumbrances, excepl conditions restrJclions reservations and rJghls-of-woy 'of record ' '":]~:3, In l~e event Ihe improvemenls on Ihe above described real properl~ shall be deslroyed or malerialiy damaged prior Io consummotio~ oJ this purchase, Ibis ¢onlraci'shall ;. put.deer's election immediately become null and void and said deposit shall be returned to purchaser on demand. ' _',, ~f~ ~:-~- 4. This writing contains lhe enlire agreement, lhere are no other underslandings,.orol or wriRen, which in an~ manner change or enlarge what is set forlh hereim The plural shal include lhe singular.- '' 5. It 'is '~ulually agreed by oil parties hereto, thai sald agent is authorized broker and ogen~ of lhe seller in negotiation of this agreement bul the sold agent shall not be held llable'~Jn"ony ~nner whatsoever from damages, arising from defaulls or ads by, or upon the nadofeilherparlylothisagreement. · 'm'~6. Taxes. assessmenls, insurance and prepaid renls to be prorated. Cosl of deed and policy of lille insurance to be furnished and ~id for by seller. Escrow fees to be divided equally be~een buyer and seller. "7.' The seller agrees Ihol Ihe Duyers shall have lhe privffege of paying any part or all al Ihe unpaid balance due to lhe seUer al any time so long as they pay the ~lance the seller al least os soon os provided, -~-, 8. The seller, agrees that Ihe buyers shall have the right to o~ign and to sell, or~othe~ise dispose at lheir interesl in the above described properly wilhout notice la lhe seller. ' 9. Time is me essence of lhls conlract bu~ lhe agen~ may~ilhoul notice, extend for a 9eri~ of not Io exceed one month, the lime for the performance of any acl hereunder, except lhe llme tor the acceptance hereol by seller, [ ~ . ' ' ~' ~10. Deed shall be drawn m lhe names of: · ]'~1 ] ~,~. ~ ~;'o~ h s offer fo ng which so d depos sho be e u ned ~ ~cep ed by the se er '/We hereby oppo n AR~A, NC REAtIORS our ue ond ow{u{ o.omey lo hove p~epo~ed on my/our ',alllegal d~cuments necessary {0 compJele tb'~a~sactjpn~'~ ~ '~. ~ - . - '" ', ;: ...., J(_ ! , .... . ........... '- ACCEPTANCE BY SELLER -, " .l~e~accepl the Joregoing offer and agree ~o sell and convey the ~roperly described on Ih~ terms and condilions herein Sidled ,/Weundersland lhis is a legally binding conlrad, - - ... /-... :.3: ~ble ~ herei~ provided. - , TM ' '~' ~':' "' ~ ~," ' ~ '~a forfeilure oJ the deposit os above provided, lhe said deposil shall be paid to or relaJned by lhe real eslale firm to lhe exlenl oJ lhe agreed upon commission with residue 1o .'the seller.'l authorize said real estate Jirm to pay oul of lhe cash proceeds of sale lhe expens8 of Jurnishing evidence of lille, oJ recording fees and revenue slamps, If any, as ~,~weJl .as any incumbrances on said premise~ payable by me al/or before closing. I acknowledge re(eJpt of o copy of Ihis earnesl money receipt bsaring my signalure(s) ond ~hol : dlhe purchaser named above. ' · ~': .~ :.. . . . . - .. Dated:, Seller Seller Awchov e POUCH 6 650 ANCHORAGE, ALASKA 99502 (907) 279-2511 GEORGE M. SULLIVAA MA YOR DEPARTMENT OF HEALTtl AND ENVIRONMENTA[ PIROTECTION (825 "L" Stlt~el) March 2, 1977 Foster and Collins, Inc. 118 East International Airport Road Anchorage, Alaska 99502 Subject: Lot 4A Block lA Lake Ridge Terrace Subdivision Dear Sir: This letter is in reference to your soils test, which was performed on February 12, 1977. First of all, we would ask that you read the State ordinance in reference to bedrock. See enclosed copy. A building foundation is normally three and one-half (3½) feet below ground level. This then puts you only four and one-half (4½) feet above bedrock without any room for a sewer system. We can not approve an on-site sewer system on this lot, with the soils test provided to us. If there are any further questions, please contact this office at 279-2511, extension 224 or 225. Sincerely, Robert C. Pratt, R.S. Sanitarian RCP/1 j h FOSTER AND' COLLINS, INC. 118 E. INTERNATIONAL AIRPORT ROAD ANCHORAGE. ALASKA 99502 {907} Z'76-5659 PPRAISERS AND CONSULTANTS ~ ..... ~-.~ March l, 1977 .~ :e~tme~ o~ ~v~ro~m~ ~u~:~ :U ~ ZZ~~ ~~r.~,' · ~ F-'r-~ This letter is in reference to Lot 4A Block lA of Lake Ridge Terrace Subdivision. Construction Test Lab completed a soils and perculation test on the above mentioned site for me on February 12, 1977. The results are attached. To insure that we will have no difficulty in having a D.E.Q~ approv- ed, on site septic system we would like you to provide a written confirmation on the type of system required for adequate sewage dis-, posal service. The proposed structure is to be a duplex with 4 bed- rooms total. If any further information is needed please contact me anytime at 276-5659. Thank yo~ Ben Collins 4 6 8 10 12 14 16 18 20 "On~ ~sl is worth a ~housand opinions" Performed For E~,q C'm//i,~-~ Date Performedi~A~A~ Lenal Oescri~tion: Lot~ Block /~. . Subdivision. ~e- ~,rJr<c~_ ~- .~,',~.:~ This ~orm Re~orts Soils Loq j/~' Percolation ~est ~eDth .., q~, Soil Characteristics Feet ( ~; ~.~*..ul~ ~ /~ Ii I~''~'-' ~ I'% I ! I I° Was Ground Water Encountered? ~t'~. '% I I I I. I~ Yes, At what Denth? . I Readinq Date Gross Time Net Time Depth to H20 Net Dron Percolation Rate !Ii nute Prnposed Installation: Seenaqe Pit Drain Field · let Denth To Bottom Of Pit Or Trench Denth of In -- R Data Certi fi ed,.. ..BY :~//~/.77 Municipality of Anchorage MEMORANDUM DATE:March 9, 1977 TO: Rolf Strlckland, Environmental Healt~ DiVision NOI/D,310~/d 1VJN]WNO~iAN] FROM: Joel DeVore, Ombudsman :~O¥~OHDNv ::10 M.I'IVdlDINFIN SUBJECT: Collins ' C~mDlaint: On-Site Sewer Mix-up Thank you for your considerable time and information regarding the questions of on-site sewer on lot 4A, block lA, Lakeridge Terrace Subdivision. One portion of the complaint remains unclear in my mind. Mr. Collins, as you kn~w, complained that he was first given a verbal approval of on-site sewer and later denied approval when he asked for confirmation. He is very confidant that he was given the or±ginal approval by Mr. John Lynn. Mr. Collins asserts that he asked Mr. Lynn if he was the proper person to give approvals for on-site sewer. Mr. Collins attempts to quote Mr. Lynn as saying, 'Yes, I am the man you are supposed to talk to, and the lot is 'OK' for sewer.' The physical problem with the lot may be resolved with further testing and with your assistance. Mr. Collins is very appr~cia- t±veJ The problem which created the consternation however remains unclear. You have told me that Mr. Lynn was a bit outside of his customary area of operation when giving approval (if he did). I would appreciate your comment therefore on a suggestion that approvals, verbal and written, be given only by persons strictly authorized to do so. It truly is a convenience when others may make comments or give advice -- but only when such persons quali- fy their comments by saying, "I am NOT the person who can grant approval. Please (a) see so-and-so, (b) let me take this infor- mation to the proper person and they will call you." In Mr. Collins' case there is the chance that he may have been the recipient of some well-intended~ but ill-informed advice from the wrong person who professed to be the right person. M~y I ask ~f your division cautions employees to qualify their advice when outside their area of operation? Do you have ~ny comments on how this situation will be prevented in the future? Whether or not this case is true, will a word of caution be shared among your staff members? Thank you for your consideration. cc: Bert Hall, Director Health and Environmental Protection [Jareh t4, ~t977 Joel DeVote,; abud~mon ~nvironnmntal Engineerinff Collins' Complaint and P~ir. Collina, Eve~y~e involved aek~)wledgea tl~at this may have happened although pet, hapa not e~aetly aa you in. dic~ted in your employees san besoms pa~qns used by ~h ~artie9 when concrete fasts are not s~milable. Tiffs ease is z, ather technical and thii~ is why the written .~mpty came ,~v ~taff is very eauiiou~ in areas outaide~ our authority however, your p;int i~ wall taken ~_,ld thla'i~ an item ~oI? my next. ~eneral atatf meeting, Envi~:mmenial Engineering Joe Blai~' AO~rt A. (Beet) Hall, Director Jim ~[o~tma~, Environmental ~n~neer MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Des~ror~in~,~ lot, b~i,~/.~n, secti~~shi~..c) · (b) Applicant Name ~--~;~~ Telephone: H~me ~,/¢0'¢'%----~'=~7¢ Busine~To Applicant Address /~.~/~ ~ ~ ~~ ~ (c) Applicant is (check one): Lending Institution []; Owner/builderJ~; Buyer []; Other [] (explain); (d) Lending Institution .~_~./¢¢~_-?~/ ~ ~ Telephone Address (e) Real Estate Company and Agent Address (f) N~i~:the HAA to the following address: 2. TYPE OF RESIDENCE Single-Family'S' Multi-Family [] Other Number of Bedrooms WATER SUPPLY Individual Well,~ Community FI 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 conf rmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11/84) Page I of 2 /~r ENGINEERING FIRM PROVIDING iNSPECTIONS, TESTS, FILE SEARCH, DA'IA AND INFORMATION '- AS certified by my seal afiixed 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 State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Telephone (~2 ~'~-~"- ~-'~ '1~ ~' Address SE B 196X Date EAGLE RIVER~ AK 99577 ApprOVed for ~p bedrooms b APPrOved .~ Disapprov~ 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 in 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 WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 MUNICIPALITY OF ANCHOP, AOE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION NOV 2 1988 Legal Description: '/ O'7' L////"~' Well Classification Well Log Present'N) Total Depth / 5"'~::~' Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (~) Separation Distances from Well: To Septic/Holding Tank on Lot If A, B, C, D.E.C. Approved (Y/N) Date Completed Cased to / ~'O ~.~ - ~,,,' - ~_..~ Yield Depth of Grouting ~Y~ Pump Set At / ~ Sanitary Seal on Casing ~N) Depression Around Wellhead (Y~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole ; On Adjoining Lots /~'/ ; On Adjoining Lots /~¢J /-'/" To Nearest Public Sewer To Nearest Sewer Service Line on Lot E~ .5'/~- Water Sample Collected by ~ ~j- ~.~ ~. ~_~ (..~/r,.J L~Z.'J~//k3(-~ ; Date Water Sample Test Results ~(~ ~ ~ Comments W~~ ~/l~l~ ~~ ~ [/~/~-~ ~ ~' B. SEPTIC/HOLDING TANK DATA Date Installed .Ju~,~ ¢ ,/¢;~' Size / '~ No. of Compartments Standpipes ~('~N) Air-tight Caps (~N). Foundation Cleanout (Y/~,~ Depression over Tank (Y~ Date Last Pumped / / - &cD ~¢_~ Pumping/Maintenance Contract on File (Y/N) /'-.4'/~ ; for Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well / ~ ~ To Property Line /('-) f~ To Water Main/Service Line [ 0 ~ Course ,/' ('7-P / ~ Temporary Holding Tank Permit (Y/N) / To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/~ Results of Last Adequacy Test Type of System Design Separation Distance from Absorption Field: To Water-Supply Well / To Building Foundation .~"~ Lot / To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (~/N) Date of Last Adequacy Test To Property Line / To Existing or Abandoned System on ; On Adjoining Lots ~.~ r To Cutbank (if present) f 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 ICAA guidelines in effect on the date of this inspection. Receip~.LE RIVER, Al( ~$77 Zlb~ I '""~ Date of Payment Amount: $ Page 2 of 2 72-026 (~ 1/841