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HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 10 LT 1Lake Ridge Terrace Block 10 Lot 1 #051-323-15 GARB -HD -i GO"'TER ANCHO.RAGE AREA BOR01'I BLS ARTMENT OF ENVIRONMENTAL QUALI . , 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING r) NAME �,���//�/<ci ��l%'�'ri _ AooRESS-�=k PHONE— LOCATION-,///,/ HONE LOCATION_, //, e/(y)t. %'f li lyl�) LEGAL DESCRIPTION &11,1_T) SEPTIC TANK: NUMBER OF DISTANCE FROM WELL_ % MATERIAL l �'/t�'�'/ C� COMPARTMENTS LIQUID CAPACITY �f'f-1 GALLONS. INSIDE LENGTH INSIDE WIDTH SEEPAGE SYSTEM: SEEPAGE PIT: J LIQUID DEPTH NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH �LENGTH] DEPTH' f , LINING MATERIAL l'614c rel �i�%il'�)-f . DISTANCE FROM WELL 9', _BUILDING FOUNDATION =, , JJ NEAREST LOT LINEZ'_�i I /I Gem TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) t'/� SQ. FT. TILE DRAIN FIELD: DISTANCE FROM W NUMBER OF LIN ABSORPTION DEPTH: TOP OF TILE TO FINISH GRADE FO ISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE NEAREST LOT LIN TRENCH WIDTH TOTAL LENGTH OF LINES_ f N. TOTAL EFFECTIVE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: �i DISTANCE FROM WATER TYPEZkA1l./ DEPTH BUILDING FOUNDATION. / SAMPLE. eV/a NEAREST NEAREST SEPTIC % ` SEEPAGE OTHER LOT LINE ��' SEWER LINE-, TANK SYSTEM `S CESSPOOL , SOURCES_ DISTANCES: DIAGRAM OF SYSTEM n ATF GAAB_HD_2- GREATEI .ANCHORAGE AREA HEALTH DEPARTMENT ' 327 Eagle St. Anchorage, Alaska 99501 )ROUGH 279.2511 Case No.1-L SEWAGE DISPOSAL SYSTEM e APPLICATION & PERMIT NAME OF APPLICANT �'v IMAILING ADDRESS ///7,PHONE NO. RESIDENCE ADDRESS c LOCATION OF INSTALL TION LEGAL DESCRIPTION - f U ;y�C.A.; APPLICATION TO INSTALL: SEPTIC TANK_, SE PAGE PITDRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACI ITY �z l �ti"''�' C-ti��� FINANCED THROUGH TO BE INSTALLED BY /j� PERCOLATION TEST RESULTS ��•^ - `�NTICI AP TED DAT F COMPLETIO�.�il el el IL7 BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS ���. PERMIT TO INSTALL A L� AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED k e SEPTIC TAN&SIZE - G2 e _1&1 c'SEEPAGE AREA TYPE DIAGRAM OF SYSTEM DISTANCES: Health Autho ' y I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. 9 71�A nooiirnniTecil:NATIIRF 1l � V "REATEP ANCHORAG-1 AREA POROUGH HEAL: f4 E-13MMMENIT CASE ' 311 EAGV STRE;E'r ANCHORAGE' A , "' .A 99501 Performed For i�• ` i " -�% o. ?:ate Yerf_7rrned A Legal Description e Lot � .oc subdivision Y`i,.is F`r,.rm Reports a 5c..`? o Percolation Te�s,. .. Depth i'eet Sol. ,Z if U O /12e,71 i5 CUin �>acr 0 4 Coe, 6l L/5�/i /47cols14 e Co,afell Y , /c— 1111 1 r/ L Location Si e *cl, Was Ground Water En:,ounterc;(J? .o / If Yes, At .'a"i LrC O E'C% inst;a?�._i"At.•..1�tJR i.e.•Tfir::T j.•ci. `E: .4 . Drt9.i.n r_'elf) _ ` Jeoxh Oi Sn etID Depth To i o, + o Cf 1 � t COM`,EN S:--- %T%`i e��� z R. /)• its L .sa.em�.e.:a.�e`��'��,,..e.�1e�4. "' c> � �afre�����.:3�.....�-+t..�..,..,..,.._,,,...a.�.�.e...•. .....�......�.e,........ Test Performed T3,1� Rry /tr M -W DRILLING, Inc. HrV1aO1r11BV/K 11010 06 ..-- P. O. Box 4.1224 • 1310C International Airport Road j (907) 274-4611 MAY 20 , ANCHORAGE, ALASKA 99So9 RECEIVED DRILLING LOG I Well Owner i " - o? �ri(C G PP Use of Weft_ t__ n. Location (address of: Township, Range, Section, if known; or distance main road A Size of casing Depth of Hole " feet E Cased to 72 • 2 feet Static water level --L,. ft, (abOYe (below) land surface. Finish of well (check one) open end ( x )� l Screen ( ); Perforated ( ;, ). ! ,': 3 i Describe sereen orrforation .: %n i c �� Pe-1r,t••to fig ft Well pumping test at.= allons g Per (K�f) (minute) for l ►+ours with n 3 of drrwdown from static level. f Date of completion_ :' A r?r i 1 19705 i ' WELL LOG i Depth in feet from 0, ground surface , Gine details of formations penetrated, size of material, calor and hardness =, p —TO(Ag ing StAc'-,+• 1� .103 TO Omani C,; TO ?6 some water To 3tt Small Grey'' • l ., 3C� TQ aCiravclly ;1,1rra„ rt TO it , ' 3oUlcier i Gravel TO A� '2ttrhy MPdiq!n Grivol .-r.r�..........TO ��i �,r:trn�i� � n-rf,y, ;� '._�,=4,. yr•-�i' � , to f3:+ TO 9Cti C:,� s i :i r'F; TO l -.ifs •'-'�"rt ?t<iir. 't' ` t .—. 1 } 201 --Lill '1 f . .. ., 2—STATEowl •7 ' _ i s { wi -W DRIWNO, uK. 2/2 P. 0. Box 4-1224 • 1310C International Airport Road .; (907) 274-4611 r. ANCHORAOE, ALASKA 99509 DRILLING LOO t ; t, IOwter ' Ernie Brannon Use of Well_ Dori d iocatioll' (address of: •Township, Range, Section, if known; or distance main road i a! f a 1, Size `of, cuing Depth of Hole Leet Cased i�Statle water levet k (above) (below) land surface. Finish of well (check one) open end ( 4�f�. ` Sa tiety ( ) • Perforated ( ) eft { �� Deseelbe screen or perforstl-iion 3;Well pumping( test per (hour) (minute) for hours with ___-___---�• } of 'drawdown from static level. 44$10, Date of completlon WELL LOO ;;.Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness ' 181 ? `Tp:° 230 Brown Shale °ATO 250 Grey Siltstone �- 250 >" TO- 320 Brown Shale 4 .32�Ta 332 Green -Shale #grey Shales sm�.i water QOAT]C'j 1 GPM tossi►1 TO •• .. 4 GR3' tt: A1A .Y•1•I�-a�/ US Cox �_ J e ` �++c< ;ti • 0astMeato NA 814 R M 'ro t I " r. ririrr. r. .ps � f %Y . •. TO .. 4J ... f �Y�� : 1 UMUPAUTY OF ANCHORAGE Development Services Department Phone: 907-343-7904 a On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-323-15 1. GENERAL INFORMATION Expiration Date: J Complete legal description LAKE RIDGE TERRACE BLK 10 LT 1 Location (site address) 18128 Fish Hatchery Rd Current property owner(s) MAHER Mailing address Real estate agent Cindy Wilson 2. TYPE OF DWELLING: I] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 244-1930 Day phone 244-1930 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: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. Date of Payment Waiver Fee $ Date of Payment Receipt Number C 3;212b Receipt Number COSA#Q5Ca,b15� 3 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, basec 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 o 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 andfor wastewate disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations it effect at the time of installation, I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm NorthRfm Eng. Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 10/3/20 6. DSD SIGNATURE ✓ System #9 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved :K F:: °P .... Steve Eng 2 Conditional approval for bedrooms, with the following stipulations: By:�CQ /t°i(riC9 (�Z�� Original Certificate Date: 1_0 e202 0 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon th, 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 COSA Checklist Legal Description: LAKE RIDGE TERRACE BLK 10 LT 1 Parcel ID: 051-323-15 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 4/2/76 Total depth 450 ft Cased to 71 ft ❑■ Sanitary seal is functioning correctly ❑■ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 9/21/20 Static water level at beginning of test 62.5 ft. Comments B. TANK DATA Age of tank(s) 49 years Tank type/material s P`"C"g Measured operating fluid level in septic tank 57 0 Standpipes/foundation cleanout per record drawing Date of pumping 10/6/20 D. ABSORPTION FIELD DATA 7/71 Which system tested (date installed) same 0 ALL standpipes present per record drawing Total measured depth from grade 10 ft (max) Measured depth to pipe invert from grade unk* ft (min) ❑ N/A — pressurized field 0 Monitor tubes go to bottom of effective. If not, state depth into effective Well production at time of test 5+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑■ No ❑■ Coliform bacteria is Negative Nitrate 1.42 mg/L ❑ Nitrate less than MRL (ND) Arsenic 1.7 ug/L ❑ Arsenic less than MRL (ND) Collected by NRimEng Date of Sample 9/21/20 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 9/21/2" Results Q Pass For 3 bedrooms Fluid depth prior to test 36 in Water added 450 gal New depth 46 in Elapsed time 30 min 0 Code -required soil cover over field Final fluid depth 38 in ❑ System presoaked Absorption rate 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) unk date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: * Seepage Pit- Could Not Measure. Portions Of S.P. May Be under driveway. COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lok to, {I'Ic;-.,se enter distances if less than required or if community well) 0 Septic Tank -'Lift SFt,:ion on Lot > 100' 82 ft Community Sewer Manhalel leaneut 7 100' ❑ Yes if No ft ✓) Yes if NO ft Neighboring Tank > 100' Yes if No ft Private Sewerl eptic Line > 25' ❑ Yes if No ft Ab -sorption Field on Lot > 100' ❑ Yes if No 95 ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' ft If septic tank is under d;iveway comment below Animal Containment > 50' Q Yes if No ft El Yes if No ft ManureiAnimal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft 0 Yes if No ft From SeWileMolding Tank an Lot to: (Please enter distances if less than required) Building Foundations b 10' ❑ Yes if No + ft Surface Water �- 100' 0 Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: AbsorptiGn Field > 5' [D Yes if No ft Private Wells > 100' ❑ Yes if No ft Water Main �, 10' Q Yes if No ft Community Wel Is 5 200' Q Yes if No ft Water Service Line 2 10' ❑ Yes if No ft If septic tank is under d;iveway comment below Ffom Absorption Field on Lot to: (Please enrerdistances if lass than requir&d) Building Foundation > 10' ❑ Yes if No ft If absorption field is under driveway comment below Property Line > 10' Q Yes if No ft Wells on Adjacent Lots: Wale Main > 10' Q Yes if ND ft Private wells > 100' 0 Yes if No Water Service Line > 10' ❑v lies if No ft Community Wel Is > 200' El Yes if No Surface Water > 100' ❑r 'des if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S OERTIFICATIION I cer#lFy Mat i have -lefermined thrcogh Field inspections and review of Mun rpM records that the above s}rsfems are ire conformance with MOA OOSA guideiiaes in effect an this dafe. OF i* .49TH* 0... .. Steve Eng AQ J0 � 1I' CE -6256 f • 10/3'%2y ft ft Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 q/,?/c) *A. CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. D5/13'23- /a COSA # 0166" Expiration Date: _ 7131o__l 1. GENERAL INFORMATION Complete legal descripti Location (site address) Current Property owner(s) Pbo)n 1$�_rr 4L r l Day phone Mailing address /ew Lending agency Day phone Mailing address Real Estate Agent iv. M 4u GU, If ✓- Day phone Mailing Address �E ��t- �vs oiyc'r Unless otherwise requested, COSA will be held by DSD forpickup. 2. NUMBER OF BEDROOMS: -3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 50 Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given In paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of Onsite Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 Onsite 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. Name of Address Firm E✓ro . Phone e'=. po Sox %7072 y j�f4i% P,.e- Engineer's Printed Name 57'jn4.,5 g .jj C Date 3/2tr/ a 7 a'• �T:.1'u i. • r, E. f 0 5!even W. Enq ws� 5. DSD�SIGNATURE �+r� c?c....PE 6255'S`�� t/ Approved for 3 bedrooms. •t �iyo�``y, Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: air_ r Original Certificate Date: 3 0 (Rev. IIMS) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: lee, Ql G 2G/YcGO L f Parcel ID: A. WELL DATA Well type P Date completed L412J?,( Total depth 4�5_6 ft. If A. B, or C provide PWSID # _ Well Log (Y/N) Y— Sanitary seat (YIN) __Y_ Wires properly protected (Y/N) Cased to -7L -ft. FROM WELL LOG Date of test t,/ ZZ -7K Static water level 62_ ft. Well production s g.p.m. WATER SAMPLE RESULTS: Coliform _colonies/100 mL Nitrate <034mg/L Arsenic: �_7 uglL date of sample: ;?/z &'/a 7 B. SEPTIC/HOLDING TANK DATA Tank Type/Material c ouGCf i� Tank size lnaa gal. Number of Compartments Casing height (above ground) ie in." AT INSPECTION ,Z/-2,CAS 7 -S g.p.m. Other bacteria O colonies/100 mL Collected by: Imo' .. Date installed i%7/ Cleanouts (Y/N) Y Foundation cleanout (Y/N) _Y Depression over tank (Y/N) h/ . High water alarm (Y/N) Al Date of pumping ell -7 Pumper ,T-9 • J C. ABSORPTION FIELD DATA Date installed 7/7/ Soil rating (g.p.d./ft' or ft'/bdrm) 2/3 System type Se95fWE P/ Length 44--j-, ft. Width /Y ft. Gravel below pipe b -%V ft. Total depth A ft. Eff. absorption area �L42 Monitoring tube __Y - Depression over field AZ Date of adequacy test 2 Z s % Results (Pass/Fail) 2d--Y.Y For .3 bedrooms Fluid depth in absorption field before test/Z in. Water addedsOOgal. New depth /Y in. Elapsed Time: X10 min. Final fluid depth JZ in. Absorption rate >= SGa g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) VA(k- If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y ) 'Pump on" level at in. "Pumpoff lev at _ in. High water al level at Datum Cycles t ted Meets rm ti circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 'PZ Absorption field on lot 5' Public sewer main 66�9 Sewer /septic service line 751* r Animal containment areas/00 + On adjacent lots On adjacent lots Public sewer manhole/cleanout eV Holding tank 64elA Manure/animal excrete storage areaJa 0� SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation S r r Property line L'r Absorption field Water main .4 Water service line /� f Surface water ad 't Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: r r Property line Building foundation 2 4 f Water main ^(14 Water Service line Surface water /,00 'F Driveway, parkingtvehicle storage C1 rr Curtain drain Wells on adjacent lots _ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and E'-::' ; e3 review of Municipal records that the above systems are in ..:.,; conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name STEtIE 6 ( Date COSA Fee 5 �' Waiver Fee $ _ Date of Payment Date of Payment Receipt Number °� 5310 Receipt Number (Rev. 11105) in. soda r - JL red 121.12' R. 331.56' 17.23' R. 14.32' AS—BUILT OF: LOT 1, BLOCK 10 Lake Ridge Terrace Sub. Anchorage eaxxa"obbk PREPARED FOR: IMPROVEMENT LOCATION CERTIFICATE Craig Frichtl I hereby certify that the inprovements on the above described property, except utility connections, are entirely AS—BUII within the boundaries of the parcel, that there are no aw ooh encroachments by improvements on any adjoining parcels, J8L 12/30/C and that there are no roadways, transmission lines or other visible easements on said property except as asW JBL 1"Craig '0 indicated hereon. / / Alaska, this �-3 day of! LrZL 20_0�' MUNICIPALITY OF ANCHORAGE �} • t Department of Health & Human Services M , DIVISION OF ENVIRONMENTAL SERVICES ami 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # HAA # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 1; Block 10; Labe Ridge Tennace Subdivi4ion Location (address or directions) 18128 Fish Hatchery Road (b) Property owner Joan LaRue Telephone: (home) 243-8577 Business Mailing Address 4701 KeAshnex Ave., Anchanage, Afz 99517 (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone - (e) Mail the HAA to the following address: (or check here ff,xif hold for pick up.) List contact person and day phone number below: S & S ENGINEERING 17034 Eagle River Loop Road No. 204 - Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single -Family EXX Number of bedrooms 3 3. WATER SUPPLY Individual Well XX 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 1Xx Public ❑ Community ❑ - Holding Tank ❑ Note: If community 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 Z to Z abed aDug (891L A98) ezo-aL .ilaom e,aaaulbue leuolssaloid all ul suolsslwoio saoaaa aol alglsuodsai lou sl a6eaogouy to /lllediolunyg all,penssl sl aleolllliao a aaolaq elep az Cleue Jo suolpoadsul lonpuoo lou op SHHa;o saaAoldw3 -sluewaalnbai alsis pue leaapal ulelaao llslles olaapio ui suoljnj!lsu! 6ulpual Alall pue sawol ;o saaseloand of Aselinoo a se SM S90P SHHG OU 'e�selV to alelS aUl ul paaalsl6aa aaaul6uo leuolsse;oad luapuedopui us Aq anoge 9 gdej6eied ul uanlb suolleluesaidaa alj uodn Fluo paseq poleoipiao lenoaddy Al!aoUln'd glleaH senssi (SHHd) saolAaaS uewnH pue UlleaH to juawliedaa 96ejolouylo AllledlolunW aUl Miller leuoil!puo0 lenoiddy leuoll!puo0 to swaaj panoiddesia panoiddy GIB(] Aq swooapaq ti ,l, t� -'iso �'sP isj �az t> aleQ 566 wiSRIV �aan2l al�e3 ssaipp`d fft'oN peoa dool aanib'IDO3 b£OLI auoldalal 9i"N-aa-N—tf)N3 s II SIf)N3 s II S Wald to aweN •uoljoedsui s!Ul to apep all uo belle ui suolleln6aa pue 'seoueulpio 'sapoo alelS pue ledlolunW lle l}!M aouelldwoo ul si walsAs lesodslp aaleMalsern ao/pus Alddns aalern ails-uo alj 'uolloodsul pue uolje6ljsanul Aw woal pue sal!3 a6eaolouy ;o Al!led!o!unw all woal poulelgo uollewao;ul all uo paseq jell AjpGA aegljnl 1-ulaaal poleolpul ainlonals to adAl pue swooapaq to aagwnu all aol alenbape pue leuolloun; 'ales sl welsAs lesodslp aaleMalsenn ao/pue Alddns aalum alts-uo eqj lell snnols lenoaddy Al!joUlnd UlleaH s.ql;o Uolle6ilsanuI �Cw lell � jjJ@A I 'Moleq uMols alep uollEp!len all;o se pue olaaal pax!l;s leas �(w �(q pallllaao sy NOI.LVWUOdNI ONV V.LV(3 `HOlid3S 3113'S1S31'SNO1103dSNl !DNIQIAOHd Wald JNIEMNIEM '9 �iA104 C,f -.R+ - y ti ,l, t� -'iso �'sP isj �az t> aleQ 566 wiSRIV �aan2l al�e3 ssaipp`d fft'oN peoa dool aanib'IDO3 b£OLI auoldalal 9i"N-aa-N—tf)N3 s II SIf)N3 s II S Wald to aweN •uoljoedsui s!Ul to apep all uo belle ui suolleln6aa pue 'seoueulpio 'sapoo alelS pue ledlolunW lle l}!M aouelldwoo ul si walsAs lesodslp aaleMalsern ao/pus Alddns aalern ails-uo alj 'uolloodsul pue uolje6ljsanul Aw woal pue sal!3 a6eaolouy ;o Al!led!o!unw all woal poulelgo uollewao;ul all uo paseq jell AjpGA aegljnl 1-ulaaal poleolpul ainlonals to adAl pue swooapaq to aagwnu all aol alenbape pue leuolloun; 'ales sl welsAs lesodslp aaleMalsenn ao/pue Alddns aalum alts-uo eqj lell snnols lenoaddy Al!joUlnd UlleaH s.ql;o Uolle6ilsanuI �Cw lell � jjJ@A I 'Moleq uMols alep uollEp!len all;o se pue olaaal pax!l;s leas �(w �(q pallllaao sy NOI.LVWUOdNI ONV V.LV(3 `HOlid3S 3113'S1S31'SNO1103dSNl !DNIQIAOHd Wald JNIEMNIEM '9 MUNICIPALITY OF ANCHORAGE (MOA) • Health Authority Approval (HAA) j CHECKLIST - FEBRUARY 1984 _ _.. URAGE 343-4744 _:•;'ia:.,�v�cidTkr. SERVICES DIVISION 1 1 .Legal Description: ��•�f A. WELL DATA RECEIVED Well Classification 1 ��� �� ���� If A, B, C, D.E.C. Approved (Y/N) Well Log Present CaN) Date Completed —'L _ -Yield L,..,. 4:::> Total Depth45-6 Cased toZ1�Z—Depth of Grouting ( Static Water Level Le2llt! Pump Set At 0tL_ Casing Height Above Ground \2- Sanitary Seal on Casing (VN) Electrical Wiring in Conduit(WN) Depression Around Wellhead (Y/SP SEPARATION DISTANCES FROM WE$i: r To Septic/Holding Tank on Lot 51- ; On Adjoining Lots To Nearest Edge of Absorption Fielp pn Lot On Adjoining Lots To Nearest Public Sewer Line ►I To Nearest Public Sewer Cleanout/Manhole 1i To Nearest Sewer Service Line on Lot Water Sample Collected by Date -41:b Water Sample Test Results Comment p(S'45<—, ���L'1i + %� 11N� W�A_. vel B. SEPTIC/HOLDINDATA Date Installed '7111 Size 16-:00 No. of Compartments Standpipes$?N) _ Air-tight CapsVN) Foundation Cleanoutd5N) Depression over Tank (Y/(t!P tj i Date Last Pumped Pumping/Maintenance Contact on File (Y/N)� AIA ; for Holding Tank High-Water Alarm (Y/N) Temporary Holding Tank Per SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: r , To Water-Supply Well 02, To Building Foundation 1 0 r To Property Line t t=Dr'k- To Disposal Field 17 r To Water Main/Service Line t d --i— To Stream, Pond, Lake or Major Drainage Course Comments 72-026 (Rev. 7/88) From Page 1 of 2. C. ABSORPTION FIELD DATA -2-4-12�.��� ( q_\ Soils Rating in Absorption S rata Type of System Design Date Installed j Length of Field GkZ-1 I � Width of Field Depth of Field I o Gravel Bed Thickness Lo Square Feet of Absortion Area Z Statndpipes Present 49/N) y Depression over Field (YiNR Date of Last Adequacy Test Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well (03 Iry- To Property Line 1 b To Building Foundatipnj �� — To Existing or Abandoned System on Lot . A ; On Adjoining Lots C�:,r To Water Main/Service Line �)'� To Cutback (if present) A, To Stream, Pond, Lake, or Major Drainage Course ( WI ', To Driveway, Parking Area, or Vehicle Storage Area I� Comments ��ki�P� tai tD.`T1 D. LIFT STATION Gtl��n V31-TIA Date Installed Size allons "Pump On Leve High Water Alarm Level at ��— Tested for Meets MOA Electrical Codes (Y/N) Comments s� 8 M I-TI5-/ Pcz Dimensions Manhole/Access (Y/N) "Check Permitted Bedroom Rating Against HAA Request" "Pump Off" Level at Vent(Y/N) ng Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. ,NGIMIEERING Signed Fniu ,' , Company PAyle Livor, I,laFk-1 9957 Eri ineer s Seal Date / /-� �� g r MOA No. Receipt No. Receipt No. Date of Payment I - 1 -� Waiver Fee: $t� Amount: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 Municipality ®f Anchorage Department of Health and Human Services dl-1rL5 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 January 30, 1991 Robert A. Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 1 Block 10 Lake Ridge Terrace S/D Waiver Request #WR910001, PID #051-323-151 HA91-0009 - -" Dear Mr. Shafer: _ Your request for waiver separation of a septic The approved separation to a septic tank. of the required 100_ foot -horizontal __-- system to a private well has been approved. distance is 82 feet from a private well This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services ljm:#6 Concur: )c� UW ohn Smi h, P.E.ogram Manager - On-site Services �yu9pir^ # & # T,Enginwing 17034 EAGLE RIVER LOOP ROAD, SUITE 204 EAGLE RIVER, ALASKA 99577 Subject Lot 1; Block 10; Laker i.dge Terrace Subd-i.v.i-bion; ATTN: (Dan Roth To: Muaici.pa ty o6 Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 FOLD ROBERT A. SHAFER, P.E. 694.2979 FAX: 694-1211 HEALTH AUTHORITY APPROVALS EXCAVATING /CIVIL ENGINEERING WORK ARRANGED/ADEQUACY TESTS/SOIL TESTS WATER & SEWER LINES & MAIN EXT. ON SITE INSPECTIONS DATE OF MESSAGE ROUTING SYMBOL 2/7/91 SIGNATURE OF ORIGINATOR TITLE OF The well located to the South o6 the .three bedroom hawse on the 6ubject property has been abandoned. The ea42ng waa cut o66 at ground level, the well 6.illed with Sand and the top plugged with concrete. From: REPLY RETAINED BY ADDRESSEE Engineer V, I- v FD FE - O f Il) RECEIVED FEB B iwt L'iUniciPI;ty c`i Anchoraga E)f: IA/ R I v_F/3 FO /'� L a r r ,©L >r /d L 19A -4E /P1DG E 7-h-1?1'13zCE --- --- JLe A!vf k_F :5 Fe,® ball' 82 � 0E_71 -£6 -Al SEPric 1-.IgIY4- -s L. F L L r/c k/s Tom__ 1,971 4 � p T�,E _i3 fF w�LL _DE�aG usEd 417-- lti 7-7- Af j-)?- Nk g_r_ Tlr�rT_1 w --- ---- -- --! F08 S6M E of - /'�,sor%,' 4 at FLA, FL C -t�.R s P_r'lc� Y� T l(!S w ELG b. 4 S p41 LL SfpT/C Ti iy/c jar, - -- -- - All 0oo G$LLdM vA.,f Co1vtpN1?T1c,E.v7-, _ MYtao< �i Al k P6 i? l'3 DE tv 5 L L L 1612 /Ri f} Pfk u lr ---- i�(E tQ i - ----- j, 17 %l�E ivEL L If G �c tFp ty A E f7W OF -/ S -ED 7"0_ 4 f)oRepk. - 70 Z---�'Uc --- ------6c/1,_f-NcokaT,61NE40. -1-1371C i,'nTCR -Z FvFL Ln. r o 4'4 IT_° Ur 7-41 /,q E w 15 /lid tQ i - ----- j, 17 %l�E ivEL L If G �c tFp ty A E f7W OF -/ S -ED 7"0_ 4 f)oRepk. - 70 Z---�'Uc --- ------6c/1,_f-NcokaT,61NE40. -1-1371C i,'nTCR -Z FvFL Ln. r o 4'4 IT_° Ur i� I� I� l/. , •- ©• Gil , Ls , FOP h s• �, �. ©, - -� %gyp/Jt.T S T/9- 14 4 -- -174 - a- 3 7 7 ----is 'i 8a- -------- ----- - I Tc t? TAME 6RNO� - -- - toN.f,lr,�➢,v_r__&.J3'H SkRFgtF 6Jt EV/DEroT TH,Po�Lf! _- -- - ',�BSI,(�lQl`i¢tF illi --------- � / TflA�j'/)1PJpwt J t G J7 gJJJE•a L �_l ---- ---- 2 '--- 0 i z. o ti 719L 5 tPrf--- nvt4. ROBERT SHAFER, P.E ROGER SHAFER CIVIL ENGINEERS (907) 694-2979 January 3, 1991 FAX 694-1211 :URAGE /I •. OmV�LNI-AL SERVICES DIVISION HEALTH AUTHORITY JAN 0 71991 APPROVALS Mune tpatity od Anchorage DEPARTMENT NTnOF HEALTH AND HUMAN SERVICER825 ECEIVED " L it SEWER &WATER P.O. Bax 196650 nq f Anchorage, Alaska 99519-6650 �_LJ A— l Ic(s � r MAIN EXTENSIONS REFERENCE: Lot 1; BR-ock 10; Lake Ridge Tennaee Subdivision; Request you issue the attached Health Authority ApprovaP and glLant a SEWER &WATER waiver bon the 6epatation distance between the went and septic tank INSPECTION .Located on the re4eneneed pnopenty at 824t. The original wett and septic systems were .instatted on the pnopenty .in 1971. In Ap,%t 1976 a new we2t ways dn,itted on ,the pnope)Lty (FOR ENGINEERING STUDIES REASONS UNKNOWN). Un6ortunate2y, this weft was dritted only 82 6t. to ANDREPORTS A the septic tank. A.2so o6 .inteeAe,6t .is an apparent, undocumented, teach6ie2d trench as shown on the attached site pian. Aeconding to the cunnent pnopenty CTION WELOWTES & FLOW TEST owner Joan La Rue this teaeh4ietd tneneh existed prion to heA 7 � purchasing the pn.operty in 1981. Measurements 64om within .the 6" monitoring tube show this trench to be appnox.imate2y 7' deep with an e66eetive depth o4 4'. SITE PLANS Mitigating 4actons .involved which support the .issuance o4 the waiver ane as 4otlows: 1. Only the septic tank .is within the 100' prateeti.ve nad.iu6 o6 ROAD DESIGN the well. A septic tank is not considered to be a "continuous" bounce o4 contamination as woutd a leaeh6.ield. 2. N.itnate and co?i6o4m bacten.ialogi a2 sample results 4nom the SOILTEST well were satiz6aetony. As a matters o6 daet, .the nitrate level was undetectable. Since the septic tank has been .in use since 1971, .i4 the well were to be contaminated, nitrates should at least be detectable by now. PERCOLATION TEST 3. Soils on the pnopenty ane pooh in penmeabit ty. This indicates a high levet o4 contaminate 6itttation as wastewater seeping 6nom the tank tra.Vets through the soil. STRUCTURAL& MECHANICAL - INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 EAGLE RIVER LOOP. SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 1; Block 10; Lake Ridge Tentace Subdivision; Januaty 3, 1991 Attached 4ot your review ane the 6ottow.ing documents: 1. Cot i.$onm and n.itnate anatyzis negetenced weft. 2. Area we.t2 .toga. nesuttz o6 water taken 4tom the 3. A site plan showing the distance between the septic tank and the wet2. It .is out opinion the honizontat sepatati.on distance pneset.ibed by 18AAC72.021 is not tegwited in this case. Ib you %equ.iAe additionat .insonmati.on gat your nev.iew, please contact us. S.ince/.ety, i .RUB T A. SHAFER, P.E. Ry lgm SCALE �L6 �r-r 0 Ola co x r y � P 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS �- 6. TYPE OF RESIDENCE TIME TIME TIME El Two EDFive 1:1MULTIPLE FAMILY Ig Inree ❑ Six 7. WATER SUPPLY DIVIDUAL" DATE DATE DATE ❑ PUBLIC UTILITY IA14- B. SEWAGE DISPOSAL SYSTEM ,INDIVIDUAL/ON-SITE`'* 7 / - E INSPECTOR /�---> A /5?a7-7` INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 • MAR 2 3 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER % PHONE MAILING DDRESS /� —/JD PROP RTY RESIDENT (If different from abo e) PHONE 2. BUYER/ �'7 /4 ' 7 12L, PHONE MAILING ADDRESS 3. LEN�I�G INSTITUTION t �j PHONE lelc MAILING ADDRESS 4. REALTOR/AGENT r 3Axz e' PHON MAI LING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS SINGLE FAMILY ❑ One ❑ Four E-Other El Two EDFive 1:1MULTIPLE FAMILY Ig Inree ❑ Six 7. WATER SUPPLY DIVIDUAL" * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM ,INDIVIDUAL/ON-SITE`'* 7 / - E /( YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) iI1 0{y "P-,3 ,� E /1/11 THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: _1_ If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER J TOTAL ABSORPTION ABSORPTION AREA MATERIAL v � 4. DISTANCES WELL TO: Septic/Holding Tank Absorption lArea Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS lb APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED 12 DATE / % — 4v'— � ( BY (` \ F - MUNICIPALITY 6F ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF H-/%I.TH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIPIWIRONMENTAL "rEOTECTION ` 825 L Street - Anchorage, Alaska 99501 AUG 9 197 ENVIRONMENTAL ENGINEERING DIVISION 6. TYPE OF RESIDENCE Telephone 264-4720 R S yA® REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER LI I DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. I PERTYOWNER ❑ MULTIPLE FAMILY PIH -ONE_ 6'.ead �7JJ� 7. WATERS PLY INDIVIDUAL* MAILING ADDRESS ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well 5Z 7 PROPERTY RESIDENT (If different from4 bove) 8. SEWAGE DISPOSAL SYSTEM PHONE / �7 Dox'o Lw - -7/ **If individual/on-site, give installation date. 2. BUYER ,!�70AI L. F- ❑ PUBLIC UTILITY PHONE MAILI DRE9S �/ /gra GlNTi 3. /L]END NG INSTITUTIO LL /7L SKA 6/AZ '-5 �, TST�I^5 ALL PHONE MAILING ADDRESS /,2-400 14, 2ookT- fl- r rl Ts o - 4. REALTOR/AGENT 'S �eHL-1c. PHONE 796� MAILINGADDRESS C) ev g4 5. LEGAL DESCRIPTI N /O � 11911-11- &Z664- p / C - B" r/i 6 STREET LOCATION .-F/,5/,re- o�� 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATERS PLY INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM 9 INDIVIDUAL/ON-SITE** -7/ **If individual/on-site, give installation date. If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) , orr THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified_ PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED —) INSTALLER �/ n 6---(. � _ ❑Septic Tar* or Eld Holding Tank Sized- If Tank is homemade give dimensions: SOILS RATING / TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS Pn APPROVED FOR _ BEDROOMS ❑LL CONDITIONAL APPROVAL (letter must accompn certificate) LL.IDISAPPROVED DATE (�"BY (Title)�J�' LEGAL DESCRIPTION 72-010 (Rev. 3/78) t," _ATER ANCHORAGE AREA BOROUu.. DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 / DATE RECEIVED:/� -"-7 7( INSPECT: 2 "7% TIME: ��<�e'�.�� �•� �;1�� REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR APPROVAL REQUESTED BY: ADDRESS: PHONE 2. PROPERTY OWNER: ) PHONE: 3. LEGAL DESCRIPTION: % c�/ f�/ �/'v��%�'• ��= 4. TYPE FACILITY TO BE INSPECTED:-S;�)f,/ k:';14STREET: NUMBER OF BEDROOMS: 5. WELL DATA: A. TYPE i B. DEPTH C. SIZE D. CONSTRUCTION e :S•��'i /�" �� E. BACTERIAL ANALYSIS JcUI i �e�� z "t 1-2 6. SEWAGE DISPOSAL SYSTEM: A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK) 1. SIZE IreCJ/ 2. AGE C�%� / 3. MANUFACTURER 4. INSTALLER �t��Y�/'Z _ a - 4:e'1 APPROVAL REQULi FOR SEWER & WATER FACILIi_c'S PAGE TWO B. SEEPAGE PIT 1. SIZE r(�Z r% 2. LINING �fZ.c?�14. C. DISPOSAL FIELD 1. NUMBER OF LINES \LENGTH 2. TOTAL 7. REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK SEEPAGE PIT B. WELL TO C. WELL TO SEWER LINE D. WELL TO PROPERTY LINE j E. WELL TO OTHER POSSIBLE CONTAMINATION F. FOUNDATION TO SEPTIC TANK % I G. FOUNDATION TO SEEPAGE PIT H. SEEPAGE PIT TO PROPERTY LINE s C� 8. COMMENTS: APPROVED q. SAP PROVED: DATE: 21 DATE: APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY