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Home My WebLink AboutLAKEWOOD HILLS LT 9Onsite File Lakewood Hills Lot 9 #015-312-06 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201302 PID Number: 015-312-06 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New W Upgrade Name Louis & Barbara Kralick ABSORPTION FIELD ❑ Deep Trench ❑Wide Trench El Bed El Mound Site Address 7341 O'Malley Rd ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Lakewood Hills 9 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 i Absorption Lift Station Holding ; Sever Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 82.9'* i i 25'+ TANK 91 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1000 Gal. Surface water 100'+ Material Number of compartments Lot Line 51+ ± NA HDPE 2 Foundation 10'+ LIFT STATION Manufacturer Capacity Remarks *waiver for 70' Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank Tank to 3034 drainfield Installer Beeks Contracting Drainfield CO/MT 3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 840.5 ft Inspection im 10/3/20 10/3/20 Location and description 2nd 3,d 4t" garage bottom trim ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp F A�qs Oco Conditional Approval: Date�P 4 Steven F. Pannone CE 8140 .Q p`' Septic System�p Approved C11.� 66Xze# �' (�Date Note: this approval does not include well permit requirements. tnev uoluu Ion -u ocmFnocn NX z FTI CID Met [— NOTES xsCnxo onmmwo DRAWN I ACP SITE PLAN 00 Mw + _ � � 0 mf DAIL .NG SVC LLC (C.I. 1088) REVISIONS 745-8200 FAX (907) 745-8201 REV 1: 11/24/2020 SCALE Lar\r-vvuuu n/LL--) L�J LOUIS &c BARBARA KRAUCK 7341 O'MALLEY RD ANCHORAGE, AK 015-312-06` St— R. Ponno- CE-8149 PERMIT NO '302 SHEET T N 89'56' 15" E 132.0' T House Detail z z 1 =40' 0 '0 0 0 1 -0 Cn Greenhouse ;> Cn Septic Lift Sh ds Cn 4h. Stchon-� 411 W P 'bo 00 co F-4 f', T C, Cb 4- 22.1 T 2nd Story Deck Well N 89-56'15" E 132.0' Qj TP TI-) :J TP 0• . F At, TQ LO M, co . Dec. Fed. ey F—ud' 49TH V ' Edge f ROGd .... OMalley Road MICHAE•L HORNE.•*,��•,,ijo� NOTES LS -5318 0 AW Aft, 1. Bearings and distances are record per referenced plat unless otherwise noted. WESSIONK0Y 1 Sufficient boundary evidence was recovered to establish the subject parcel on the ground. Not all controlling evidence is shown hereon. \SKA arl2oint Land ServicesLEGEND LLC Found Primary Mon SURVEYING, MAPPING, LAND PLANNING, GIS Found iron Pipe 1 131 E. 7Gth Ave., Suite 101 Anchorage, Alaska 99518 0 T,P Tel. Pedestal farpointAK.conn - (907) 522-7770 - 5urveygfarpointak.com 1--O-)Power pole ASBUILT SURVEY OF: SURVEY CERTIFICATION: FARPOINT has conducted a physical M Gas Meter Lot 9, Lakewood Hills Subdivision, survey of the subject property, the improvements situated 0-0 Electric Meter Plat No. P-342 thereon are within the property lines as shown. n Septic Vent Anchorage, Alaska EXCLUSION NOTES: Itis �the owners responsibility to determine PREPARED FOR: the existence of any easements, covenants, or restrictions which WORK ORDER No DATE: SCALE: ZONING: circumstances do not appear on the Plat used for this survey. NOTE: Under no Beek Construction Oct. 14, 2020 1 "=50' R6 should any data hereon be used for construction 20183 GRID No: FB BOOK/PAGE: JMD I ME SW2539 154/06 or for the establishing of property lines. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road r. Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 � http://www.muni.org/onsite e 11) a r RI el 11 t On -Site Wastewater Disposal System Permit Permit Number: OSP201302 Effective Date: 8/21/2020 Work Type: SepticTank Upgrade Expiration Date: 8/21/2021 Tax Code Number: 01531206000 Site Legal Address: LAKEWOOD HILLS LT 9 G:2539 Site Mailing Address: 7341 O'MALLEY RD, Anchorage Owner: KRALICK LOUIS L & BARBARA A Lot Size in Sq Ft: 33660 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3 El Disposal Field 0 Septic Tank El Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: Any new piping routing under the driveway shall be insulated. Received B) Issued By: Date: �11d_, A I Date: Municipality of anchorage P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services ®eparfirnent On -Site Water and Wastewater Section p�cnt S eparn»ent * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV201047 COSA#: Permit#:OSP201302 PIDM 015-312-06 Legal Description: Lakewood Hills Lot 9 Engineer: Pannone Engineering Services Applicant: Louis & Barbara Kralick Your request for a waiver of the required 100 feet horizontal separation from the absorption field and septic tank to the private well has been approved. The approved separation distance is 90.0 feet and 70.0 feet, respectively. See engineer's waiver request for justifications. This waiver approval applies to the existing absorption field and proposed septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: v� b 6.2 Q Approved by: Name of Reviewer **** VARIAN C E/WAIVER REVIEW **** Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201302, Rebecca Carroll, 08/21/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201302, Rebecca Carroll, 08/21/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201302, Rebecca Carroll, 08/21/20 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 PHO~ ,,~'UPGRAD E MAILING ADDRESS EGAL DESCRIPTION DISTANCE TO: J Well LOCATION Absorption areaMaterial Dwelling W dth Manufacturer ~"~i~¢~' /~ 9 Liq. cai ty in gallons IF HOMEMADE: I Inside length Well IDwelling NO. OF BEDROOMS PERMIT NO. No. of compartments Liquid depth PERMIT NO. DISTANCE TO: Manufacturer Material Liquid capacity in gallons Well Foundation Nearest lot line PERMIT NO, DISTANCE TO: No, of lines Length of each line Total length of lines Trench width Distance between lines inches Top of tile to finish grade Material beneath tile Total effective absorption area inches Depth Length Width Crib diameter Depth Building foundation Crib depth Building f ou~.,a ,~n Driller Sewer line Type of crib DISTANCE TO: Total effective absorption area Nearest lot line Distance to lot line Septic tank PERMIT NO. Absorption area(s) Class DISTANCE TO: OTHER PIPE MATERIALS SOl L TEST RATING NSTALLER REMARKS APPROVED DATE LEGAL C~Ei.l::q:!li:!"l"IE.~i"CJ F' ,f-iEF:!LTH Fil"~!D EBIV ! iRC!NMEEI",JTFii.. .':ff';:.'ErTEE:T i EIj"-J. iE-.'h'2~5 "L '" STF'..'EEiT., F:!N(.'-'HCIF.:i:;i(]Eb R,f(. ;;~t~,f; d....., d. 7 2 Ei ,f:IF~!::' L ]] i]:,f:;i!'-;l'? L, ,fi C: f::i: T ! 0 N L..l~i,f]i F!L. !._ S~ !...F:I,.k;'EH(3,f)D I--i I L.L..$ LCT S~ME '.-~4E£ L. EI'-!r:J'TH ,E, ii',IE:I'-]'.ETEi'-,I ,-c. THE _'.",, ,~.-i ": .......... :: ............. : .... El'Il iN F~::-'~'::'"i''OF EFIC:H S~[;,E i:::'C!F;'. ,f::l '::::.:'I:::'P:::I'."'iE F']'"r' THE DEF'TH OF R 'TI:?.E;i'-,IC:H OF4: F'i'T ),;f~; THE ,f)!ST!":!N,f~:E E~ET!.,.!E;EN THE; SL.IRFF!C:E C)F THE; GF-.:C~Ltl'-,E:, RND 'rH.'L;: BOTTOM C!F 7'H.',,fE E'XCRVWf'ION (!N .';:',fEET). T,f.-iE G,fq:FiVEL DEPTH ! S T!--IE i'"! i h! I M,f..IH ,f),fEF'TH OF !.3F, LqbLEL BETHEEN THE E!Lr'rF:F!,LL Pi I::'E i~N'.;) THE BOTTOM OF 'TH, E E>~%;Fi","FtT!CJi",! (].fl",! FEET). PEFi:i',! i T F!.F::'F:'L. I CI::!I'.,iT ie;RS THE RESF'ONS i B ! L. i T¥ TO I,,"-~F:'ORI'"I TH ! S !.')EPF!RTHEI'-,IT DLtt:,'~i I NG THE :J,fI'.,ISTR!_L.,f::IT;!;OI'.,i !NSPEC:T];O.K!S OF FI!'.,!¥ HEL. L.S RD.jrF!,f'~:ENT T,f] THIS F:'r.~'.OPEP. T'?' FINE:, THE NUI',iE',ER OF:' RESi,f)ENC:ES THRT THE HFL'LL !.,.I!LL SERVE. PERFORMED FOR: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST DATE PERFORMED; XSOILS LOG [] PERCOLATION TEST LEGAL DESCRIPTION: LOT q ; LAt/-.~_.. ~¢'¢o~ /-ill-/... SITE PLAN 1 2 3 4- 5- 6- 7 8 9- SLOPE 10- 11 12 13 14 15- 16 17, 18- 19- 20- COMMENTS WAS GROUND WATER ~,j S ENCOUNTERED? ~ ~ L O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~"~"" T. EST RUN BETWEEN CERTIFIED BY: PERFORMED BY: ~FZ, O0 Anchorage P~C°rflLng' Precinct,' :Alaska,.: ~nd .that improvements situated thereon are within the .property: lying adjacent thereto, that no. improvements on prop--; eriy lying adjacent thereto encroach on the premises in' question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchoragel Alaska this_ /'.-~"~ :day of_.~? n~.IT. V. L,,o~,.,[,~-,,, & /:SSOC:.".'YJ:-:' iicgist,~:',.'d Stair Land St~!'vc>'ors : CONSULTING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 June 21, 1982 Municipality of Anchorage Department of Health and Environmental Protection 825 L Street Anchorage, AK 99501 Subject: Permit No. 820510 Lot 9, Lakewood Hills Gentlemen: On June 16, 1982 the existing tank on this lot was pumped. Total liquid removed was 1,250 gallons. Very truly your.s, TOBBEN SPURKLAND, P.E. lmg Date D2iiled ~ Static Water Level J6~ feet Gallons Per Minute Draw Down ~/A feet Total Feet of Umsing Type Material Drilled: 0 feet to to Estimated tFe]1 proHuce~ ~ gpm, We]] de~h ~s ~" ft, .]~s, to ~ tO to Ed aqd Caro!vn Cro,,cb 10701Pras~ect Drive A~cboraso, Ak. 995J6 Hefty Drilling S.R.A. Box 1553 H Anchorage ,Alaska 99507 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVlRONIVlENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORIVlATION (a) (b) (c) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) 'T"ao ac O~ALU~I'' '0,o ~v~ Applicant Name J~A~K_ ' 0,,I.4 ~_ A "' _ Telephone: HO me "~ q (::,- O._CJ H I Applicant Address ~- C~. &O* ~]!_0 ? Z A.~,C.~/ A ~- Applicant is (check one): Lending InstitUtion [] :'Owner/ly~r ~[; Buyer []; Other [] (explain); Business (d) Lending Institution Address Telephone (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family~ Multi-Family [] Number of Bedrooms __~ Other WATER SUPPLY 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. 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. 72-025 (11;84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage tiles 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. NameofFirm AC)~f~.N~ F,~'q C-I~'~.tt'.~ Telephone Date ~'- I0 Seal DHEP APPROVAL Approved for ,'~'~¢~'¢bedro0ms by ~ '~'~' '~"~ Approved ~ "Disapproved Conditional Terms of Conditional Approval Date 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. A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: - Well Classification [,~ O; V~ oCr~ t~ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) ~ Date Completed ?~_~to,.,,/~ Yield ~oo-e Total Depth u~/~,~ Cased to '7 ~ ¢ Depth of Grouting Static Water Level I ~ ~ z Pump Set At '~. Casing Height Above Ground 0. ~ ~¢' Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot ~ l To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments Depression Around Wellhead ; On Adjoining Lots [ f')'~" ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date ~ B.~OLDING TANK DATA Date Installed [~'~, 'JPf~¢6Size !"2_ Standpipes (Y/N) Y Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ~ 1./ To Property Line ~, l O To Water Main/Service Line (~- Course l'~ Comments O .¢2 t &~.,,J^ g No. of Compartments Foundation Cleanout (Y/N) Date LaSt Pumped ;for Temporary Holding Tank Permit (Y/N) ~./.A __ To Building Foundation ( ~, ~ / To Disposal Field ~ 7. ~ ¢ To Stream, Pond, Lake, or Major Drainage Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~//~ '~. Width of Field Square Feet of Absorption Area L..( O ~ ' Depression over Field (Y/N) ~ Results of Last Adequacy Test A O ~_~L)~. 1' 6_ Separation Distance from Absorption Field: To Water-Supply Well ( O 3 · To Building Foundation ~ l · Lot Ih-{ //A To Water Main/Service Line ¢k2//~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~~% Type of System Design Length of Field Depth of Field _ Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test 't' To Property Line To Existing or Abandoned System on ; On Adjoining Lots .~ 2~ To Cutbank (if present) ./^ D. UFT STAT O. 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 t h at~. ,~a,~c'. h ec k~:~v~r/j,~./,ed,.~ conformed to all MOA and. HAA guidelines in effect on the date of this inspection, Signed ~~,v/~ ~ Date ~- ~ ' ~ ~ Receipt No. ~OO / OO J ~ Date of Payment ~¢/%- ~ ~ Amount: $ ~ Od~ Engineer's Seal Page 2 of 2 72-026 (11/84) MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL ~EALTH DEPARTMENT OF ~.ALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application (a) Legal DescriRt~on (inclqdg,lot~_block, subdivision, section~ tow~shlpj range) Location (address pr dlr~cti(~ns), (b) Applicants Name Applicants dress (e) Appli~'ant: i~' (cheek. one) Lending Institution · Buye. r [----[ (d) Lending Institution ^l,J,¥~r~l /~'r~k Telephone (e) Real Estate Co. &'Agent Address (f) Telephone Mail the HAA to the following address: 2. Type of Residence Single-Family.~. Number of Bedrooms 3. Wa.ret Supply Multi-Family~--~ '3 Other (describe) 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. Sewage Disposal 0nsite ~ Public ~--U 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] e En~ineerin~ Firm Providing Inspections~ Tests~ File Search~ Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm DHEP Approval Approved fo r 7~/P~- ~/bed room s (ENGINEER SEAL) Approved ~ Disapproved __ Conditional __ Terms of Conditional 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 ALASKA. 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 CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) ae CHECKLIST - FEBRUARY 1984 R E C ElY E D WELL DATA Legal Description: Well Classification P~d'~,/~ If~l, B, ,~r C, D.E.~. App~oved(Y~) ~ Well ~ ~esent ~~ $~ ~C~leted ~~ i~/I/~Yield ~ Total ~p~ ~~ Ca~d t~ ~~ ~pth of G~out~ng ~~ Static Water Level l~ ' Casing Height Above Ground Electrical Wiring in Conduit ~N) Separation Distances f~om Well: ! TO Septic/Holding Tank on Lot 7/ TO Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ~u/~ C leancut/Manhole Wate~ Sample Collected By Water Sample Test Results Sanitary Seal on Casing O/N) Depression Around Wellhead (Y~. ; On Adjoining Lots >lOC ") ; On Adjoining Lots ~10o~ ~') To Nearest Public Sewer Nearest Sewer Service Line on Lot 47/>+ Date Date Installed __ __ Size / Standpi s Air-tight Caps No. of Compartments Foundation Cleanout (Y/~ Depression over Tank (Y~ Date Last Pumped /O/~,/f ~ Pumping/Maintenance Coht~act on File .(Y/N) ~J//% ; for ~/~ Holding Tank High-Water Alarm (Y/N) ~J/.A Temporary Holding Tank Permit (Y/N) Separation Distances frcm Septic/Holding Tank: To Water-Supply Well ~/ ' ' To Building Foundation /6 ,,$' To Property Line p. lO! I,b To Disposal Field ~.~'/ To Water Main/Service Line ~tJ/~ To Stream, Pond, Lake, or Major Drainage Course Receipt ~ Date Paid: ~ount: [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in ~J~sorption Strata Date Installed Width of Field /'7 Square Feet of Absorption A~ea Type of System Design Length of Field / Depth of Field ~ '~ Gravel Bed Thickness ~.~ t~') Standpipes P~esent ~/N) Date of Last Adequacy Test Depression over Field (Y~ Results of Last Adequacy Test ~E "~2q~'zf~ ..~?~ Separation Distance f~om ~sorptio~ Field: To ~te~-Supply ~11 /~3 ~ To ~o~rty Li~ To Building Foundation ,~f/ /') To Existing or ~andor~d System Lot ~/J ; ~ Adjoining Lots To Water Main/~rvi~ Line ~/~ To Cutba~(if pre~nt) ~/~ To Stre~ond~ke/~ Majo~ ~aina~ Co, se ~/~4 . To ~iveway, Parking ~ea, ~ Vehicle Stora~ ~ea D. LIFT STATION Date Installed Size in Gallons /~,/~ "Pump On" Level at High Water Ala~mLevel at Tested for Electrical Codes(Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ~. ~ing Cycles ~ing Adequa~ Test. ~eets MOA Corauents ** Check Permitted Bedroam Rating Against HAA Request I certify that I have checked, verified, or conformed to all MOA HAA C~didelines in effect on the date of this inspection. Signed Date | Co~3any ,~-C ~' ~C MOA No. KB1/dL/s 2-15-84 ALASKA IiUII OnmffITAL COFITI OL SI I UlC S, IFIL ~nqineemq 6 ~nuironmenlal ED CRCUOt 5¢2 W 2ND AVENUE AkCIiZRAGE AK 99501 NDVE~ER 11 198/+ MUNICIPALITY OF ANCHORAO~ DEPL OF HL~.LTH 8, ENVIRONMENTAL P,~OiTcTION NOV ~' ,c, RECEIVED SELLER - ED CRO, XZH BUYER - SUBDIVISION - LAKE VgX)D HILLS BLOZK - 0 LOT - 9 TEST FCR SEWER SYSTEM THE TYPE OF ABSO1LPTION SYSTEM IS A PIT WITH AN ~ 3REA. THE SYSTEM IS CAPABLE OF tUI$EPTING ArS0 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 1500 GALLONS. BASED UPON THE TEST DATA THE SYSTF_M IS AE]CEPTABLE I~ A 3 BEDROZM HO~.. THE SEPTIC TANK WAS PU~ED ON 10/31/8# . SEPT IC TAINK ADEQU/~CY THE EXISTING SEPTIC TANK VOLLA, E OF 1250 IS ADEQJATE FOR THIS 3 BEDROOVI I-DUSE. ' ' IVI-W DRILLING.INC. 0/5' ~ ~ z ~' ~ N-° P.O. BOX 110378 UNIT ANCHORAGE. ALASKA 99511 CITY. MATERIALS PRICE AMOUNT PHONE 349-8535 NAME LEGAL DESCRIPTION TOTAL MATERIALS DESCRIPTION OF WORK DATES /~ &' . ~' prior to drilling. The customer shall pay inr ~Jj~ J/ nq 3O I ~ o O- ~,. retest at the rate of 1 ~ Yo per month on any OTHER CHAR pay may result in a lien against the prope~. : CUSTOMER ~IGNATURE . DATE RECEIVED ,- , INSPECTION APPOINTMENTS ~IME' TIME TIME DATE DATE DATE I NSPECTOFr~ I NSPECT/~ INSPECTOR ~.,~.(:~ .~ ./' / MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 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. PROPERTY OWNER I PHONE I Carl Bonomo MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE Bill & Bev Fronterhouse 349-1561 2. BUYER PHONE Unknown at this time. MAILING ADDRESS 13. LENDING INSTITUTION I PHONE Unknown at this time. I MAILING ADDRESS 4. REALTOR/AGENT I PHONE Elliot C. Lawson - Jack White Company1277-1553, MAILING ADDRESS 3201 "C" St.~ Suite 100, Anchorage, AK 99503 NOTE: Send all information & reports to Elliot Lawson, Jack White Co. at. above address. 5. LEGAL DESCRIPTION LOT 9~ LAKEWOOD HILLS ;TR EET LOCATION Mile 4~ O'Ma!ley Roac~/ (Just past Hillside Park Subd. entrance) 6. TYPE OF RESIDENCE ' NUMBER OF~BEDROOMS / [] One [] Four ~]X SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [~] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled · since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY Unknown YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []HoldingTank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS [~"~ APPROVED FOR _.~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~DiSAPPROV ED DATE BY April 29, 1982 ~4r. Carl Bonomo Elliot C. Lawson, Jack ~ite Company 3201 "C" St., Suite 100 Anchorage, AK 99503 Subject: Lot 9, Lakewood }Iills Approval for the lndlvlou¢.l sewer and water facilities cannot be granted until the following items have been completed: ~ne well casing needs to be extent]ed twelve (12) inche--s above ground level. The water analysis report needs to be submitted to this .office from the C~nem Lab, 5633 B Street, for our review. The septic tank pumped with a receipt ~- ~ '~ _ ~ubm~ated to this department. Th~ septic tank pumped with a receipt submitS, ed to this department, %!ge total number of gallons pur~ipad need~ to be on the race{pt a~¢t verified by a registererS' engineer aa to the actual num'?er of gallons pumped. This .i~ to verify %]i~ size of the septic t~nk. Expose the septic tank manhole to verify its ~xishence. A four (4) inch Cast iron cleanout needs to ]~e installe(l to the septic tank and/or leaching area. An adequacy test needs to ~.~e performed on the existing leaching area. This' test W~ll determine if i%he system is adequate according to Nationaa Standards. A listing of private firms performing the t~s% is enclosed. This needs to be submitted to this o~ffice for Please notify this department for ar~. .i~sDe~tion- ~ ~_ %~zhen the noted discrepancies have been corrected'.. If there are any further questions, please call this offiu~e at Sincerely,