Loading...
HomeMy WebLinkAboutSPENDLOVE VIEW HEIGHTS BLK 2 LT 2 Municipality of Anchorage Page I of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~[)~/'~10-~2--- PIDNumber: O~'~l"d;)~[- '~ ] -- N.~: ~/0~ / ~~ Wastewater System: ~ New ~Upgrade. ,, Address: 1~3~ ~~ ~ ABSORPTION FIELD Phone; ~ No, of Bedrooms: ~ ~ ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other_ J LEGAL DESCRIPTION .- Soil Rating: ~ ~ GPD/Sq. Ft. Total Depth~/from~ °riginal~ grade: .. Lot: Block: Subdivision: Depth to pipe bottom fr~m original grade: Gravel depth beneath~ipe Township: Range J Section: Fill added above original grade: Gravel length: - WELL: U New U Upgrade ~ ~ ./ Ft. ~ Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: Static Water Level:Ft. installer: ~~ Date Yield: Pump Set at: Casing Height Above Ground: TAN K GPM Ft. Ft. SEPARATION DISTANCES u septic u Holding U S.T.E.P. To Septic Ab~ption Lift HoYden9 Public/Private Manufacturer: Capacity in gallons: From Tank Field Stal[on Tank Sewer Lines Material: Number of Compartments: w~, It O I O ~ Surface Water [~t%~ ~ LIFT STATION LineL°t ~ ~ ~ Size in gallons: Manufacturer: . _ Foundation ~ O ~ "Pump on" level at: ~ "Pump off" level at: High water alarm at: Curtal. Brai~ ~,/~ ~/~ Pu~p Make & Model ~ Electrical Inspections per,ormed by: Remarks: BENCH MARK ~,~ ~ ~ ~ ~*~2~ Location and Description: __ ' ~ Ass.meal Elevation: ~ ~ [~. ; - , , f Inspections performed by: ~* Dates: 1st Reviewed and approved '(_ ~ , Date: 72-013 (1/91) MOA 25 97.9 £HU6ACH D,H, ELEC CHU6ACH EASEMENT 600 SO, FT 100,~ 368 £O. F[ AD£ED O0T I WELL ABANDDNED ! I ! / / I I I I I I I I I i I I ! N £5 0 85 50 SCALE; LOT £ BL£CK 8 SPENI~LOVE VIEr HEIGHTS DIMITRI ~ADER 13341 CANYDN RDAD l' = 50' lO0 1£5 I$0 REVISED, .'J, UL Y 8, 1998 SEPTIC SYSTEM Ag BUILT DATE, JUL Y 8~ 1998 SHEET, 2/3 GRID, 2942  3ZO0 ~ 140 12' o£ £epttc rock 20.00 ~ 6AL ANCH££A6E TAN~ 0 TUBBEN SPURKLAND P,E. 6751 W, DIHOND BLVD. ANCH, AK, 9950~-3904 LOT 2 ~LOCK ~ SPEN~LDVE VIEW HEIGHTS DIHITRI ~A~ER 13341 CANYON RIJAD JUL Y 8, 199~ SE.PT-~C SYSTEH. A+SBU]LT D~TD JULr O, SHEET, 3/3 GRI'B, ~94£ 675; I,L t)fflOlll) (~1)7) 248-5095 D~:._q:)artm(md;: o.F Ik.'.~a! th ~..u'lcl Soc:i al Sl.';,rv:i. } ~ ,-.'O ill Alic.:Ilor.:.u.'lc, ,~ A1 a~:.l-::.'::~ din I f ~1. ][IEI,.',] l.,lliiill-:4'l c:~ ,J t.t [[ 'y c) '; Si. '::? (? RECEIVED IIJL 9 199 Municipality of Anchorage Dept, Health & Human Services t.t p ~::' ]. i.Z' <:':'t 5!3 C? :i. 5}~ !i}S L.t f.>:' ~5i;l't I.t i/fei C],I'I C:[ [} 'k ii C}ll f::'t ]. I! ('>l a. Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAl.. SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Address: ~ ~ t~ ~ ~o ~ ~ / ABSORPTION FIELD Phone: I No/~ Bedrooms: / ~,~.~ m~ I// ~, .t ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other - LEGAL DESCRIP~i~ ~ SoilRating: Total Deplhfromoriginalgrade: Lot; Block: Subd~ws~on: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township:~__~ Range: ~ ¢--I~ Section~ Pill added above original grade: Gravel length: ~ O -- ~ Ft. ~ D Ft. WELL: ~ New ~ Upgrade Gravel~h~ ~4~ Num~er~lines: Distance between lines: Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: Static Water Level: Installer: Date installed; Yield: Pump Set at: 1 Casing Height Above Ground: TAN K GPM Ft. Ft. _ SEPARATION DISTANCES ~Soptic n Holding ~ S.T.E.P. To Septic Absorption Lift Holding ~ublic/Privale Manufaclurer: Capacity in gallons: From Tank Field Station Tank S .... Lines ~ T~ ~ Number of Compartments: Materiel: 5~,~ Surface W~te~ I qO I~, MFT STATION.. lot Sizo in oallons: ~ ~anutacturor: Line ~0 I ~ ~ ~ "Pump on" level at: "Pump ;~f" level at: High water alarm at: Foundation Gurtain ~mp Mak* ~ g~dal [loctdcal Inapactions pedormod Remarks: .~ ~ ~. BENCH MARK ~~ ~ [~ ~ Location and Description: ENGINEER'S SEAL Inspections performed by: ~' Dates:lstlo'~'~q'2nd !o ,O'q, : Department of Hea~ a~d H~an Services approval Reviewed and approved by: ate: ~. 72-013 (1/91)MOA 25 CHUGACH ZZH, ELEC CHU6ACH EASEMENT WELL ABANDDNED EXIST, ABANDONED / / / / / / I I I I I I I I I I N 25 0 25 50 75 100 125 150 SCALE, 1' = 50' TOBBEN SPURKLAND P,E, POS W 15TH. AVENUE ANCH, AK. 99501 (907) ~7~i9-39 lB SEPTIC SYSTEt4 AS BUILT DATE, NDV, 23, 199I SHEET: £/3 GRID,£94~ ,© - j I o~ o GAL ANCHDRAGE TAN/( Miro£1 141~ TQBBEN SPURKLAND P,E, 6751 ~. DIHQND BLV3, ANCH. AK, 99502-3904 .C~07) 248-5095 LET £ BLDCK £ SPENJ?LDVE VIEW HEIGHTS ~IMITRI 13341 CANYDN SEPTIC SYSTEM ASBUILT DATE, N£V. 2,I, 1991 SHEET, 3/3 GRI]), £94P PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910332 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:DUNAGAN LENORA K & OWNER ADDRESS:13341 CANYON RD. ANCHORAGE, AK 99516 DATE ISSUED:10/17/91 EXPIRATION DATE:'10/17/92 PARCEL ID:02102131 LEGAL DESCRIPTION: SPENDLOVE VIEW HEIGHTS BLK LT 2 LOT SIZE: 59850 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST 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 (ISAACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: _/~--~ ~~-~ 203 ~ 15fL Aven~e, ~ui~e'206 ANCHORAGE, ALASKA 99501 (907) 279-5916 LOT 2 I]L O{~K SEPTIC SYSTEM DESIGN 2 ,~ SPENDLOVE V ! E~I DIMITRI BADER HEIGHTS Water' at 6 .f:t:,, A.Fter" heavy rain ancl prc)ba ..... ,, '?',:.;; mi n/:[ n =::: Sarlc:l F::':L ]. 'I:.(.~:.H-'=~ :[ i;:lal /.F t: ,, :~Fq. :1.50/:1. ~:: t50 ~q.~:'l:.,, ~r(::)m 9:3 'LcD ?5 E].E, vatiori Bct:t:c:irH o'[: I*l(:)r"~:['[C)l'" ID~],E,;,vai::icDrl crF Higlx.:)Ed: Nc:rLi?d U, la'E[~r I...[:wE~l 87.5 E.)r'(:D~..u'x:l I.,.(.:.]v[,)]. at [5.[i~{FE:in(,] SE, l::)tic 'l"ank 97'~ ...... }~R::)i:'l:(:)m [:)~: Tank :1.0.5 ~:'1: :l. 2.50 gal. EJL~rl~i:et [::'].asstJ. c:: Diam. 5 'T'anl.=: (::)LuE ]. et a.t: El. E.~vat. J. (.x"~ (:)~: Di ~d:r' :i I::H..ff. J. con I:::':i. ix.) ~?2.. 0 SYSTEM CDNF [ 8UR6T IDN BED TOTAL LENGTtt TOTAL NIDTH EI_EV. AT BOTTOM TOP OF SAND ELEV. TOP OF ROCK TOP OF COVER SEPTI~ TANK lNG 40 FT. 15 FT. 89.5 91o5 95.5 1250 GAL. EXIST- ABANDON EXISTING SYSTEM 'l'h~)r'(.~e ar'ca i"l(:~ (:J(.:~v~:.~]. c:)p[~x:J c:)r" r'~a'Lur'a:L ~sLu'".~: a(::(~:-) / ~a.d::~ S~L.U'"'~ ac:(::.~ dr'aJ. I...c:)'l: 2 B:I. c:)c:l< 2 Sl::)enc:t]. c:)ve Vi. (i:.)w I.'-I~e:i, CHUGACH fi, H, ELEC CHUGACH EASEMENT EXIST ]~56 SUNSET PLA EXIST, C£I~ A~AN~gDN AN9 ~00,00 × ~M TOP DF U / / / Hg~SES I I I I I I I I DDME~S TIC/ k'A TE£ ~ SCALE,' I." -- SO' TBBBEN SPURKLAND P,E, 203 W 15TH. AVENUE ANCH, AK, 99501 LOT 2 8L£CK £ SPENgLDVE VIEW HEIGHTS ])IMIT£I ]3341 CANYDN SEPTIC SYSTEM DES'[GN SHEET, ~/3 GRI]),2942 TDBBEN SPURKLAND P.E, 203 ~/ 15TH. AVENUE ANCH, Al<, 99501 Ill_ 7 £ L/~D C K / / \ \ 3 SEPTIC SYSTEM DESIGN DATE, OOT, iL i991 SHEET, l/3 GRI1),2942 -F ~ 4~00 ~ 4' F 810 PLAN VIEW PR#P£$E~ BED 4' ,4$TH 3034 TOBBEN SPURKLAND P,E, 6751 W, DIMUND BLVD. ANCH, AK, 99508-3904 Lilt B BLOCK B SPENBLffVE VIEW HEIGHTS 13341 CANYON ROAD SEPTIC SYSTEM DESIGN BATE, OCT, 15, 1991 SHEET, 3/3 GRID, £94£ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST (ENGINEER'S SEAL) LEGAL DESCRIPTION: ~'~'/,~ 3 4 5 7 12 ~3 ~4 ~7 ~8 2O Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ~./ 7' ENCOUNTERED? S IF YES, AT WHAT & / OL DEPTH? p E Oeplh Io Water Alter . ~' ¢/ I ~/ . i MonitorinB? ~ /~' Bale' ~J Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE '~, I (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ,1~ FTAND FT COMMENTS °--~M c~ PERFORMED BY: ~7~'~&'¢~''~C''~ I ~/- ~---/--- ERTIFY THAT/THIS TEST WAS PERFORMED IN ACCORDANCE WiTH ALL STATE AND MUNiCIPAL GUIDELiNES IN EFFE '(~/T ON THIS DATE. DATE: ~('~' ~/ /~'~/ 72-008 (Rev. 4/85) ARCTIC SPECIALTIES AND SUPPLY Serving Alaskan Engineers with Well and Septic Adequacy Tests and SoY Percs since 1986 P,O. BOX 771747 · EAGLE RIVER, ALASKA 99577 · TELEPHONE (907) 694-7112 WAS GROUND WATER ENCOUNTERED? L IF YES, AT WHAT DEPTH? ~" ~ ' " to Water ^ller Monitoring]? . Dale: R adi/ng/~ Date Gross Net Depth to Net ~ Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN ,.~'T . (minutes/inch) PERC HOLE DIAMETER FI AND -~ FT o,~ <"..: , ,~ ARCTIC SPECIALTIES AND SUPPLY Serving Alaskan Engineers with Well and Septic Adequacy Tests and Soil Percs since 1988 P.O. BOX 771747 · EAGLE RIVER, ALASKA 99577 · TELEPHONE (907) 694-7112 C;b-"~ ': !/,' WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p .Depth Io Water AIler 1'4onltorlng? Dale: Reading Date Gross Net Depth to Net Tims Time Water Drop PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER FT AND FT ARCTIC SPECIALTIES AND SUPPLY Serving Alaskan Engineers w/th Well and Septic Adequacy Tests and Soil Percs since 1986 P.O. BOX 771747 · EAGLE RIVER, ALASKA 99577 · TELEPHONE (907) 694-7112 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? , Deplh Io Wa0r AIler ~onllorlng? Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE ,r~/~, (minut6s/inch) PERC HOLE DIAMETER ~" TEST RUN BETWEEN . .FTAND FT 203 WI5Th, Ave, Suite 206 ANCHORAGE, ALASKA 99501 SPECIFICATIONS FOR SEPTIC SYSTEM INSTALLATION LOT 2 BLOCK 2 SPENDLOVE VIEW HEIGHTS SEC 50 T12N R3W 1.0 GENERAL Owner i~ Dimit. ri Bader,, J. 3341 C. ar~yon Road ~ Ancl"lc::,r'age~ A'.f. ast::a 99516. I:::'l"lor'le 345--.2.160. 1,,2 Engineer :Ls the person or ent'.i'!~y hired by the Owner 't~o inspc~c:yb. 'l.:.hi~!:; project~ The Engineer rnust be rc.)c:c)~4nJ, xe:..,d by t. he Servi c: e;?s. :1.,,3 Contractor :i.s the persc, n c)r entity hired by the) Owner '~':.c:~ :i.r'~sta].]. t. his I:)rc:Lject. The Contractor rm..tst be rec.:c)61nized by ti'lc tvh..ll"li c:~. pal :L ty of Ar'lcl"~orage ,1 l}(g;'p-;~d'"tiJi¢'~l'¥E o'F Heal. 'kl'] aJ")d J"'JLtffl6~r'/ ~.~1* V :i. C; ~.~. :L ,, 4 The Draw:i. ngs,, sheets il. tlarc)L~611"l 3,~ shall be part o-F th:i.s s p e c:: i f :L c a t i o n ~ ~. ,m J%:].~ Al 1 mater:i.a], c~ and wc:m'l::man~l"l:L p shal ]. meet. the r"eqLci, re .... app].:i.c:able rules an(::t regulai::i, ons c:urr'ently :i,n eYfect,, 1 ,, 6 Ail. ]. excavat:L c)n clel::)'t:l"u:; ar"e ac:Iv:i, sor'y ,, ar-,d are to be ver:L.F:i, ec:l arid may be modi .t: :L ed :i.n the field by the Engineer,, It is the i'"esl::>orY.~:Lbility o.f the Owner or" the Contractor adhere to the approved design,~ to ver:i, fy that the spec:i .... ed Se~l:)al"i:':vJ]:J.c:)n di st,ar'ices ar"e cne~t ,~ arid that the r"c-)qL.t:L I"~e~d :1.,,8 'T'he Contractor or the Owner shall i"'epor"t to the Engi- neer any obs~rved cond:i, tion ~.~hich would put the septic system :Ln violatic)n o.~ State or Mu.n:Lc:ipal regulations. 2.0 SEPTIC TANK 2. 1 I.F tl"Jer"te. :Ls an ex:i. st:i. ng sept. ic tank~ it. may I:)e used :L-F i t:. .~c~,l,,=~ t=m,~e capac:L ty r'equ:L r~.)ment .f(::)l'" the r'esi cJ~:al'a(ze,, 'The t. ank sl'hs'.l. ]. I:)e :i. r'lspec:'t:ed by the Engineer ,~ ~l"ld i tS ~'~tl)~r tightness and structur"al :i. nteDritY shall be ver~,fied~ 2.2 A ne~ septic tank sha].l be.? (::~r]e -fal::)ricatecl by either" Anchorage Tank and Welding or by Greet Tank tank.~ constructed o.F :L2 gaug~:?~ or bett~.,u~',~ steel, t~ith bitu sc)il ,,The '['.ank shall be covt~.)red witl'~ the equivalent (:)'f if <:~ tilt ~'r' .feet o.F ~oi].. 2 ,. 3 The ~,lfl:::d': :i. c 'Lan I-:: f~fl-ial i be i r~stal l ecl a m:i. n i mum (::,'t: .f ive .{:eet. .{:r-cml '!:h~)~, I"l(:::,u~t:.:: .t:c)url(:lat:J.c~r~ al-icl ,r,. re:Ltl:in'lure o',t: ¥ive -{:r~)~:'c.t. 2,,4. 'l"h,a sept:i.c tar'if:: sl'",a].]. I:;l(~'..~ a min:i, mum o'f :1.00 .Feet ~from any ¢~e].l ser"viriqjI a s:i.n~.l:l.e r'es:[dc~nce; :[CIO feet .f:rc]m any I:)c]dy ~a'l:.~:.:,r",~ c:reel.::~i~i or dr'a:i, na~;;Ie ditchcas w:i. tl'~ .f]l.o[~o:irlg [.oa'l".er'-¢ :l, 50 .Feet .From Class "(]" wel:l.~i~ ar'id 2()0 .fe(.~¥1.:, Tr"om C].ass A C1 ass B vo(~.:-,1 l s ,, 2,, 5 Al, I p:i. I:)e connec'lz:i.(::)n~; to 'l:',he 'l]q}.u'iJ-:: sl"lal I be mechani cai. wateJ'"'l:i q. Jjht ca:l. der' cc]up], i i'~(]s. Cl. ~)ar'lciuts si]al ], I]t~ J. rlsta]. ]. ed as c:les:i,(..;lnated and Cal::H:~i~d t~:i.'l:.:l"i air...t:i, ght, ra:i. rl caps. Clean .... ouT:s sl"}al ]. extend a m:i, nimum c.¥~ :[2 :i.t~ches above 'F :[ hal el ~>vat:i. on ,, F'r'ov:i, s:i. c}ns sha]. 1 I::l(.:~) mal:Je.? .Fc)r ]. arldsca[:iJ, I"1[I arid 2.6 I...j.~l:t station sl-ia:l.l I::i~:~, as~ mariu'factur-ed l::ly Anchorage Tank and Welding 3.0 ABSORPTION FIELD 3,,:1. Gl'"av(:~a:l, used in the absorpt.:i, cn"l 4::i,e:l.d shall 3,,2 Sar~c:l~ used .Fi:)t" :l, evel:i,r'i~;i (::ir' ~()r" -l::i,].'l:erir'~g~ shall have an e~:~Fe(:::t:i, ve gra:i, rl size I:)e~'l:w(.:~en l'qo, 40 sieve and I',lo, :1.8 sieve, Uni .F ormi ty ['.'o[~.F .F ;i. c:i. ~.arr!: shall. :1. I:)e ]. (~:,~i~2-; 'l':l"iL';~r'l 4. Ixlo'l:. more 'l::han 5% I:)y ~,,m!:i. ght shall pass '1::1"~(~:, Iq(::,. 2C)0 ~:¢ieve,, :::.~;,, 3 4...-i nth per'.F clratcad p:i, I:)e shal I I:)e AS'T'M I::rS:l.O. I::[~r pres .... sure c:li str:[ but.t c:)ri,j pip~:.:, sl'lal 1 be Scl'ledu]. e fi.C) PVC c~r ABS. 3,,4 So].J.d 4-...iru:;;h pipe shall :]!;,, 6 Geo'[:[.?x'['::i ], e sba]. :1, be Mi r"a.f i ;I, 40,, :::,!;. 7 Insu]. at:Lon sha]. 1 be extrud(:z~cl cl:i.r"ect: bur"J, al, pc]l ystyrer}e. ::5. [!~ 'Tc.)pscd, 1 shal 1 be a mi;.:ture o'{: 40.....60% c:n'-gan:L(:: ma'l::ter, [ilp e(::: J. { :i. c a'[:. :i. o n s .f (;:ir !~i(:.:~ p t :i. i::: !~s y s'l': e m J. n s'L: a ]. 1 a t :i. c) ri I,..,,::rl.: 2 B],l:)ck 2 Bp(.~)nd].clve V:i.e~¢ I...le:i. qlhts 20-30% sand and more thaE 20% siil. t. All quantities are measured by volume. Grass seed shall I:)e I<entt. u:l::y blue(jr'ass~ 4.0 INSTALLATION 4.,, ~1. Locate all underqr"13und ut:L1 :i.t:i. es~ prOl3ert, y 1 :Lnes,~ ponds,~ and all cH:her .Fac:i.l:Lt:i. es r~)~q,...~ir:i.r~g separ'a'J:.:i, cH"l dis- 'l;'.f.l'~rif:lf;~,~]~ fl"i:Jrll thE.) pr'c¥:)r)sed sept:i.c sys'L'.~.,:,m. Notify Owner or Engineer c).f any (:)l::)servod I:)(::)s~d. bi e con-.F ). i c'J',. Stake ail.:i, gnmerrE o.F system v, cLth markers show:i, ng the 4.3 Establish an elevat:i, on bon(::hmark. "l'h:i.s BM shall, be easily :i. dc.~,r*vE:i..Fial::)le,~ stabl(:.:.) al]d f:)(~.H"m~.~l]erl'J:. Ali arl:)~.'Erary el evation o.F iI. O0 can I:)e ass:i.(]rl(~x;:l, Top a~: ~,x~.~:l. :1. c:as:i.l"l(;] has xt.~,4 ]instal], the 'bank as sh(::)u,~n on the ch'"a~^ci.r'~gs. F~ecorcl :i.m].c~t and i:)utle'E i~le:.!wr:vl::J.(:~r'is o-~: 'l'.h(.:! tank~, Tank shall be 4,, 5 Exc:avatI~:~ t.l'i(~) al:)sor"pt :i. (:)ri .F i iai (::1. Bo'Ltom (:)'F excavati on shal 1 I:)e ]. (~?ve]. and scar":i. 'F i (;)(:] ,, :[ 'F si (::l(;~v,~a ]. 1 s smears ~ they ~i~d'~.a ] iL al so be scar :i. ~F i ed ,, Rec:or'd (::?l evat :[ on ~::~ beg :i. nr'l:i, ng ,j m:i. dd].e ar'i(:] eigcl o'~: '[:r~z,)l"~ch,, J::~'.(~(::c31'"d (.:~].~?vat. ic:)F~ o'F eac:h operate on the 'F :1. c:~(::l-' (:~,F 'L:hi;s, ex c:aw~t :i. ar'l. Ar'iy illa'['.'.el'" i al corn- pac:'Lr.~d by 'EI'~[.:.~ operat:i.c~r'~ (::).f th~:.:~ corlstr"uc'bic~n ectuipme,)nt sha].l I'"((,)fflc)vc.)d ¢:&I'H::I rep ]. ,'~:u:::(ad ~.¢j, ~f'i ut']c:(:]nU::)ac:te:,)d m~?.'ber J. a.]. ,~i. 4,. 6 Plac:[~ the foci.:: to the dep'l:l'~ spec:i.~iec:l,, Do riot contami- t'~a'(:.(:~ rock t,,~:i,'l~:l"'t rhi';vl:J.¥e mate:)ria].s tlr st::lc]J.].-:~ ,From the exc:a, va ..... t:i. on. I....c.:,vc;:,l the rock sur'.~:acc, (,I ..... :1," ) be.fcir"e :i. nst. a~ ]. i n(;l the per'f (::ir" at(ed p :i. po ,, 4.7 Ir~stal]. the d:i. str"ibu'L:i.c)n pipe. R.~c:ord the e].evation each .jO)iht,, I:::'cu'" pr'(::~,ssur'e systc-)m sc)lvent weld the 4.[') Cover the d:i.s'L'r"ibut:i.c)r'~ i::)J.p,]! w:i. tl'a r"oc:l.::~ and c..~xc::avati on v. ai t.h ~jeotex t:i, :1. c.~ I:)ca~:c:~'"~:? ba.c:k.F :J..1. :1. J. rlsu], at :i. or'~ ,~ :i. -F r(::~,qu:i, r"ec:l. a n d p 1 a c :i, n 4.9 I:Re(::ord the -F:i. ni,:~hed qrour'id e]f:.::,va'Ei()n at the beg:i, nn:i, nq,~ rni d(:J ]. ~:,:~ al'id end (::~'f: tre,.:,nch. I::(e(::c)rd the .F i n i sh grciuncl el. eva- t:i. on at each c:orrler" and ~,!~:, 'l.:l']~.) lllj.('Jl:)(:)J.l'i'l: o,f tho bed. 4,,:[C) Furnisl"l a c:oi::~y o.F a].]. survey notes '1::o the Engineer,, !'};p~.~c :i. ~: :i. cat i c)ns .[: (:)l'" sel::rt:: :i. c system :[ £'i~'[':.a]. ]. at :i on t.,o'[:'. 2 B1 o(:::k 2 Sper"~d). c:)v(~, V:i. c,!w Hei i:)(j ,, 3 5.0 INSPECTIONS 5.. 1 A mi ni mum o~F 'hhr'ee :i, nSl]ecti OhS are r'equi r"ed ,, 'l"l"t~;, -F :i. rst i nslx)ec:'L i on w:L ]. 1 ~)(}~ cl~: th~ C]I::IEH"I t~i.~ cavat i on, At th i s t i me the ~il::)~, ]. col"ld:J, t :i, (:)lqS ~t.~:i. ]. ]. [')e c)l:)sC~)l'"ve~d ~'~1'1(::1 cc)mpared to di~!Bi gl'] as~L,Illtpt i oils. Gr"(::lund v~ate:.~r" c:oncli t :i, ons or" i:)l'"eSel]Ce 'TI'I~.~ second insl:~ec:t, ion wi :1. 1 13e a~ter p].a(::ement [ilyLal"ldl:iip('.,z,!F,,~ c:list:ributior] i::i:i,I]:i.r]~i] ,~ t:arlk (s) arid nen'l':s as speci ~: :i 0:.:d. gl'" av~ 1 ,~ comp o .... T'l"le third :[n:spectiorl will bc~ a.Fter coml:~le'h:i, ori o,F the work. Any cle.t:ici(.~ncies will be r'l(]'l.:(<~cI ..'a. FIcI '[:.h~;.~ Contractor Such cte,Fic:::[enc:i, es shall be c:c)rrected w:i, thin 't:en days,, 5.2 All e].ectr:i, cal work requires e;i. ther an MOA electrical J. i]?;pec:t i on or c:c.)l'"t J..t: i c ~':/t. J. C:ll"i I]y al'l 1 :[ c: i.'.~n sl.:~?d e)], ((-~c.' ~: r J. c J. ali. Sul::)m:i,t proc).f (::)~[ :i, ri!si:icc:ti or] or c: er t. :i. .F icat:i, orl to the Engineer ~ 5.5 Subm:i,t cata],og data o~: all mec:han:i, cal eq(..d, pment,, 5.4 Ixloti~l:y Engineer at least 24 hours in advance o.f begin I"1J. ri !~1 al"l ¥' S p ec J..F :i. c: a t :i. c) n s '[: (::)['" s ap t :i. c s y s t (~:,m :i. n s t a ]. ]. a t :i. Lot. 2 Block 2 Sl:)endlove~, View He:i. ghts QGRE rER ANCHORAGE AREA BO' Department of Environmental Quslity 3330 C Street Anchorage, Alaska 99503 UGH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /~/-/ /~)././/~/~/~,¢/b) MAILING ADDRESS ~,//~/'g¢ ,~¥~'¢~/zj t. ,~_~'/ PHONE ~ 7~//-/¢/~/~z LOCATION /~¢../2~Z/t ,~¢./(~/'~/(~r4./U/ LEGAL DESCRIPTION /('/ o~ ~ ~, ~2Y~/~9~<t:.///ZZ; ~//~/~ SEPTIC TANK: DISTANCE FROM WELL /~ INSIDE LENGTH MANUFACTURER .5"Z~,"~W¢' /~,O,,;5"/./c¢ MATERIAL NUMBER OF COMPARTMENTS / INSIDE WIDTH ~ LIQUID DEPTH ¢' LIQUID CAPACITY /,2J~',/'-~ GALLONS. SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL ,/-~,~-g' BUILDING FOUNDATION ADDITIONAL ABSORPTION WELL: DIAMETER -~ OR WIDTH -- LENGTH -- DEPTH ~ / CRIB SIZE: DIAMETER -~-- DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE ~O ¢ ABSORPTION AREA (WALL AREA) ,,'5"~/~e'~- SQ. FT. / BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION ~ r? 62~/J~ ~' NEAREST NEAREST LOT LINE /6 m' SEWER LINE OTHER SOURCES /k//2/b/,s7 ·.'('/,-'~,'r-x~,'~/ DISAPPROVED , REMARKS DEPTH ,.~ ~-~ / DISTANCE FROM: SEPTIC SEEPAGE TANK /¢~ / SYSTEM /~ / /' D I STA NC ES: 4~//¢¢~~2 INSTALLED BY: 29,2' ~W,,'J~/2/.-] PIPE MATERIAL: LOT SLOPE: REMARKS: ~ 7.¢¢.,¢./~,,~/,/¢~_ Form No. Eo-oal DIAGRAM OF SYSTEM / . / / ,..-¢t~c~.,e_¢ o'-. ,) G.A.A.B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, Al, ASEA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM .... APPLICATION AND PERMIT LEGAL DESCRIPTION PHONE INSTALLATION OF: SEPTIC TANK ~/¢~ ~O SEEPAGE PIT TYPE AND SIZE OF FACILITY TO BE SERVED-- ~/~ ~.~'~J~Y'J-- SOIL TEST RESULTS ..... -~J1/~ .) 0' NOTE~ THIS PERMIT I~ NOT V&LlB WITHOUT 801~ TES~ FINAl. INSI:W~CTION: 24 FLOUR NOTICE: REQUIRED. BACKFILLING OF dkNY SYSTEM WITHOUT FINAL INSPECTION BY THE /DE.:PAF~TMENT OF ENVIRONMENTAE, QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. /.S-/ WELL TO SEPTIC TANI( -- / 0 (3 I ! SEEPAGE PIT --~0(~ ALSO CONSIDER AREA WELLS, SEEPAGE PIt CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNBISTURBED SOIL, 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. G~AVEL 1~3ACK FI LL CONFORM TO BOROUGH REGULATIONS REGARDING I~ALLATION. LICENSED DBSIGNER DIAGRAM OF SYSTEM , CERTIFY THAT. Am EAMILIAR WITH THE REQUIREMENTS DE GREAt.~NCHORAgE AREA BOROU~INANCE NO. 28-68 AND THAT THE A.OVE DESCRIBED SYSTEM IS IN ACCORDANCE WlTI4 SAID CODE. ~ I . ~ // / FORM NO. EO-016 "One tesl is xuorth a iho~sand opinions" Hole 'No. ~ Loca~xon Lo~ ~ Block S..p.e__.nd%,q ve Hei~h'~ S Sheet of W. Oo ~ _ O-'-~erator_Jim Ma. ok Date 1Q-29-Y3 Client_ M~: L_~r~y Ta,y_lo~ '-- Projec~?~ivate Dwellings Cu ss r zck zen Fi:.~I' SY~M DATA 2 3 ' ~ Slightly Silty Sandy G~avel, Gravel 4 0 ' Fin~ to Medium size, Moist ~ GW-GM 6 0 Sand 9 /// ,-- 10 f~// Dense G~avely Sil~-ML-moist Silt /,/, 13 .~' Dense Gravelly Silty Sand- ~, moist-SM Clay 14'~ Bottom of Test Pit - ~ . Notes: No ground water was Organic encountered ~ntent 17 lS lOO s~. rt. d~aina~o area required per bedroom for 1~ seepage pit. No bedrock or Pea~ ~0. water table 4 ft. below intended seepage pit. 22 ~ ~ros% 25- Table "One ~es~ is ~orth a ~housa.d o'pinions" October 30, 1973 Mr. Larry Taylor 6451 Carlos Drive Anchorage, Alaska Project: Lots 2 & 3 of Block 2 Spendlove View Heights Subdivision Subject: Subsurface Soils Investigation Dear Mr. Taylor: Transmitted herewith are the results of the soils investigation performed on the Subject Project as per your request, Test pits were excavated on each lot with a backhoe to a depth of minus 14 feet. Sandy gravels with raring amounts of silt were found to a depth of minus 9 feet in each test pit. Dense gravelly silts occur below the gravels. A ground water condi'~ion was encountered between 8 & 9 feet in Lot # 3. This ground water is most likely due to the adjacent stream channel and could probably be eliminated by construction of a channel to the adjacent gully on the higher portion of the lot. No ground water was found on Lot # 2. The sandy gravel layer above minus 9 feet can be used for seepage pit construction on both lots if the ground water condition is. eliminated. These gravels are most suitable for founda- tion subgrades. If you have any questions, please contact our office. Very truly yours, Cames D. Mack ' Lab Manager JDM/em encl: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING eC.l-o;Zl - 'si NAA# GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: q Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: Public sewer If community wastewater system, provide written confirmation from State AD£C attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA I121 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my 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 ~l ~,~ ~'"~ ~ a ~- ~:.~,.a.~g,~' P L~. Phone Address 20% ~ [C~ ~ ~ Engineer's signature DHHS SIGNATURE / Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska, The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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. 72-025 (Rev. 1/91) Back MOA/t21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On,Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ~',2./ --0¢)- '% I NAA # GENERAL INFORMATION Complete legal description [-O Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. ,/ NUMBER OF BEDROOMS: L-// TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If commonity wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOAt¢21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my 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 '~ ~ ~ '~.~¢ £~4~4,-~/(<~,. Phone Address ~2. E~ _'-'% (.~/ Engineer's signature ~ ~/-~-U~/~--~flx4-~-b~ Date DHHS SIGNATURE Approved for bedrooms. Disapproved. ~ Conditional approval for ~ bedrooms, with the following stipulations: ,,.-v Additional Comments ~ ~,~ ~h/~' ~/~~/ ~¢ ~ Date ~:~LIJ I [~]~ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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. 72-025 (Rev. 1/91) Back MOA#21 205 WESI iSIH, AVENUE SUITE 206 ANCHORAGE, ALASKA 99502-5904 (907) 279-~916 John Smi th Munic:ipality o~: Ar',chc, rage i Divie;:lc, n ~-F [[:invJ. l,"c)r~.'~tal Heal'th [)ep~[d"tlll~:~,Fit (5¥ Hea].ith arid ~oc:Lal Services 8:2} I_ Str'eet Ar'~c:l",orage~ Alaska 995C)1 HAA Lot 2 Block 2 Spend].ova~ View Height December 1:2, 1991. RECEIVED DE0 1 1991 Muni0ipatity o! An0h0rmOe D~pt.. Health & Human Services Dear- ,]c)hr'~; An error' was cc)l]'~rr~J. ~]'['.~,d J:)y Ih~ dur i rl~}] 'l'2hE~ :Jge~si gl] 'J; Qr' this instal ]. a- · Izi(]n. A ].oaclir~q rate o¢ 1 9a]L:lon per sq. .ft. per day was used in c:OrllpLl~ir](] 'khe2 r(aquired absor'pt, il:x'~ area. ]'his ].oadir]g I'~t:e is 'El'lC correct one ~(:]r' i:renches~ but n(~i: ~or' beds~ which finis installa- tion is. The (:orrect lc)ad,rig rate ~s .7 gp.ftpd.. Un~ortunately~ thi~ error was nat discovered until the system h~d been ins'tailed and an HAA ~of a 4. bedroom I'](::)t.lt~e was applied ~or. The end r-esul'l.': :Ls that the ins-[':allCed a~b~SiDl'p~iol'] system i~ slightly Lu]der sized ~cc)r' a tl'",r'ee bec:lroc~m hoL/~6;.. ] J~[~[]l..[~'~ ~J']BJ': a c:oJqcJiti onal approval b~ issued ¥or a '~OLU' bed- room hcJuse~ w:i.t:.h the condi'EicT~r'~ 'Lha~ ~unds be put in an escrow acc:ouni: to cover- 'the c~si: (~ expanding the bed next season, Legal Description: Log present (Y/N) Totat depth Sanitary seal (Y/N) Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST A. WELL DATA Well type '~')-~- ?~ If A, B, or C, attach ADEC letter. ,.~~/ Date completed Cased to Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line ~///--~ ADE. C water system number ~'Z~. q/,¢~,.~-Driller Casing height Wires properly protected (Y/N) AT INSPECTION ; On adjacent lots ; On adjacent lots g.p.m. Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ¢~ C--'~ Date of sample: Nitrate (~, V Other bacteria J E/~( Collected by: B. SEPTIC/HOLDING TANK DATA Date installed J O/°~-¢i' / ~I Tank size / (~ ~'"~-- C'~ Cleanouts (Y/N) y Foundation cleanout (Y/N) ,~ High water alarm (Y/N) Date of pumping Compartments Depression (Y/N) ¥"'///~ Alarm tested (Y/N) ~/'/A Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot I J To propertyline ~0 Surface water/drainage On adjacent lots Absorption field J~"~"' Foundation Water main/service line_ 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION 'J 7'/Z~. Date installed Size in gallons Vent (Y/N) High water alarm ~evel Meets MOA electrical codes (Y/N) "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Lengt ~h ~O~ Width Total absorption area Depress on over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) ~ Soil rating Gravel thickness [ °~ ~ I~¢'4;'z- System type I ~ '~' Total depth /-I/ Cleanouts present (Y/N) Date of adequacy test ~///-~ for L7// If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: I Well on lot To building foundation On adjacent lots Surface water Curtain drain On adjacent lots '~//(-~':) Property line To existing or abandoned system on lot Cutbank '['~?/-~- Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in ¢fect on,the, c/ate of this inspection. HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 8/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number ~NDHOR~GE~ ALASKA 99502-390~ {907I 279-~916 Hun .i. c:: i p a t :i. t y o.f A n c h o r' a g e DJ. vi si. C,l'-~ o.f: Envi rc)r'imer'i~.:'.a]. Heal th Depar'tn'x.>:~r'rt:: o.~: Heal'Kin and Soc:i. al Services 820 L. S'[:r'ee'h Ar'~choral;]e~ Alaska 99501 December 9,, 1991 Ll:)'t 2 B].ock 2 Spencllowa View Hei Dear John', An ~r"r'c)r' was committed by me wher'~ I prepared the As Built Report -For this ins'hallation,, I indic:atect that the :[nstal].at:Lon ~as a t:ree bedroom I'~ome and showed a 100() gal. t'.ank as ins'hailed. ]"he i:)er'm:[t was .Fc~r a ~:our bedrc]om house and a .f.m.,u'" bedroom system ~,,~as :i. nstalled. 'T'hc~) at'.tac:hecl copy o'~ an invoice ~rc)m Ant:he)rage '['anl.:: shows that a :[25C) gal tank was clel:[vered C]l] site prior Oc'['.ol::)er' 31, 1991. ]''lr'/E? HAA 'f:Of th:i. ~ proper'by r"e~:l et_ted tine m:i. stake done on 'hhe As Buil't:. 'T't'~e Own(er cH:~'t:a:il'~e:d a thr'ee bedroom approval ~ I~u'[: r'leeds a -four I:.)e':,d¥"cx::m~ appr'c)val. I have cc>r'recte:d my mist:ake c:)n the at.'l'.'.ac:l'ied NAA -for'ms anti reclue~st 't:l"h':~'t: a NAA -,~:ol'" a .four' be)dr'oom system be issued. [' [:) b b 0~/[~ 13 Lt I~' k :1 a In d I:::' .~:. CHUCK ~''.B 9RC:I-~HOE ~NC. INVOICE 3452566 P.02 ANCHORAGE TANK & WELDING~ INC. 2700 PORCUPINE ORIVE ANCHORAGE, ALASKA 99501 BILL TO: CHUCK'$ BACKHOE 15345 OLD SEWARD HWY. ANCHORAGE, ALASKA 99516 I N V 0 i C E SHIP TO: END OF UPPER DEARMON I,OT 2, BLOCK 2 SPENDLOVE VIEW $/D CUSTOHER 73 QUANTITY 4 P.O, 9 .......... SHIP VIA .. TERMS INV DATE ZNVOI O/T 9:00 AM NET 30 10/31/91 00015 ZTEH DESCRIPTION S~P]'IC TANK 12S0 GAL SEP]'~C COUPLING, FERNCO, 5 X 4 RICE TOTAL $945,00 $945.0C $8,00 Inv ~o~al: $977.00 Pre-Paid: Total DUe: $977.00 · Lua./s,,(s ./o sn./e,~s pue X~!lefal aLl~ o~ 6u!~sa~e 0-2(2V a~e~S ~uo~] uo!~eLug]uoo ue~p/~ apl.~oJd 'u./a/sXs ../e,/e.44,a./se~ ,(,u. unLu~uoo ]1 JeMes o!lqncl el.!s-uo Xl.!unwwoo :3J. ON :,t u'el. 8u!plOH @:Hs-uo lenP!^!pul :-I¥SOdSla I:I~liYM~I.I. SYM JO ~ldAJ. · Lua/sXs ./o sneers pue/g!le6el aq$ o~ -¢sa~e 03QV a~elS uJo&~ uo!~eLuJ!iuoo ue~!J~ ap!Ao~d 'Lua~e/(s Ila~ /Q!unu~uJoo .~1 j 8:),.1BM o!lqnd Ile~ Xl!unwwoo ::lION IleM lenp!A!pul :Alddl'lS I:l~lJ.¥M .-!0 :idAZ :S~OOl::la=lEI JO ~N · dn~o!d ~o~ ~I~LI ~q I1!,~ VVH 'p~s~nb~.~ ~s!/~.~Ll~O s~lu~ ss~Jppv auoqd Xea ~ueS¥ sse~ppe 8u!i!eR euoqd XeCl euoqd AeC] .Xoueb'e Ou!pueq (suoRoaJ!p Jo sseJppe e~.!@) uo!:),'eoo"l uop,.dposep le6el el. eldLUOO NOI.J.'V~I:iO4 NI "'1~1:! ~1N ~t ~D 9NI'I'I=IMQ A'-IIJAIV._-I 3'qgNIS V ~O.4 -1VAOblddV A/IMOHLRV H.L'-IV'aH 40 '=l/VOl.=llJ.~30 # 'CFI leoJed 0999-61. g66 e:~SelV'eBeJoqouv 09996J- xo~3 'O'd uo),oes sao!^Jes m,!S-uo seo!AjeS lelUeLUUOJ!AU3 t0 UO!S!A!C] S~OIABgS NVIAIflH ~ HI-IVqH :tO IN:I!MII~¥cI~C] ~9VI~OHONV -JO ktlqVdlOINnR 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my 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 t C::~P-~-~.,'? ~¢~,",-.L~.c,,.¢/~'~,~ Phone Address ~.~0 Engineer's signature ~-'--~. ~ Date DHHS SIGNATURE /~ Approved for r ?q- q l k, bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Hestth and Human Services (DHH$) issues Health Authority Approval Certificates b~.sed only upon '(he representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHH$ does this as a oou rtesy to purohasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHH$ do not conduct inspeotions or analyze data before 8 cerBfi¢ste is issued. The Munioipality of Anohorage is not responsible for errors or omissions in the professional engineer's work. 72~25 (Rev, 1/91) Back MeAtY21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST If A, B, or C, attach ADEC letter. Date completed Cased to ~ / Legal Description: A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) FROM WELL LOG Date of test 7/~q/~' ..~ Static water level ~ Well flow /, Pump level ~/O ~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot ~ I O Absorption field on lot Public sewer main Sewer service line ADEC water system number '7/~., / ~ Driller Casing height Wires properly protected (Y/N) ATINSPECT ON. g.p.m. /.2-/;¢ ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ('~ Nitrate / Date of sample: _ ' ¢ Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed I O/..¢..¢j/q ~ Cleanouts (Y/N) y High water alarm (Y/N) Tank size I 0 ~ Compartments Foundation cleanout (Y/N) y Depression (Y/N) ~'~ Alarm tested (Y/N) ' Pumper Date of pumping SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ] I 0 To property line 70 Surface water/drainage On adjacent lots ~ /¢O Foundation Absorption field ! ~ Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA. electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed I 0/3 Length '~ O Width Z.. ('~ Total absorPtion area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Soil rating l ~:;::> ~4. System type Gravel thickness ~ ~ Total depth Cleanouts present (Y/N) Date of adequacy test for ~ bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Engineer's Name Date HAA Fee $ Date of Payment Receipt Number 72-026 (Rev, 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number 203 WEST 15TH. AVENUE SUITE 206 ANCHORAGE, ALASKA 99502-3904 (907) 279-39t6 RESIDENTIAL WELL iNSPECTION LEGAL: I...c)t 2,/ Bl(::)(:::k 2 Sper~d:l. ove V:L ew He:i. ghts LOCATION: OWNER: TYPE OF WELL: Di mi tr" i WELL LOG AVAILABLE: Yes INSTALLATION REQUIREMENTS MET:Yes WELL YIELD FROM WELL LOG: Ga].:l. or"~s per' Id:i. nLtt. e PUMP YIELD FROM TEST: 1.5 Ga:l. 1OhS per' M:L nut'.e DATE OF INSPECTION: Oc:tober' 1, 1991 TEST PROCEDURE:: We:L1 was pumped at a <:::onstar~rL rate while 'l:he drawdown was monitor'ed wi tl"~ an acoustic probe. At t'.he beg:Lrirl:Lng o'f the) t~.?~l~. ~.~':~'[:.~,:~J" ].~::.:,v~:l. was foLtr~d at. 68 .Feet be:Low top c).F c:as:i.r]~], At a I:)umpir~g rate o.F 5 ga:Lions per' minu'Ee t:he water' le:,vel dr'oppe(::l to t:he puml:) int:ake a'~ter' 2.5 hour-s, A total cH: 62(.) ga]. ]. ol'~s we21'"e pumped, The rec:overy was monitc~r'exJ for 2 hour'!i~;, lbLu'-ing the fir'st 20 [)L.Ir" i I"1(]~l '[]I]E' 1 asr 20 mi nL.ttf:f~s 'LI]~? r"f,~c:c~ver¥ was:. 1.2 gal ]. m :i. r'l ~..( t (,~ ,, TEST FOR E.COLI AND TOTAl_ NITROGEN: Water was t.e:,.,sted for E.Col:i. and tota:L nitr'c)gen on Nov. 1., :L991 E. Col i 0,, ]'ota]. Jqit~r'c]g(.~l"~ 2.4 i'rlg~/:J, . Max. a l ]. c:)~al:) ]. (~ ]"ot:.al Nitrogen :LC) 'rEST RESULTS: This wel:L meets the r'e:,qu:Lrements of the Murl i c: i pa'.l. :i. ty o.F THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR MORE 'rHAN FOUR HOURS 'l"l"n:z, Mun:i.c:i. pal requir"e:,mer'fl: .For we:l. 1 flow is :1.5() ga:l. lor'ns (::)./: water per' bedrc)om per day,, ]"h:i s tgel :1, exceed th:L ,':'I~SEL, EB~J~(¥'i(E~R ~'. (:3-F t:h({(.) c:cirn::l:i, t i Ol'i o'f the wel :1. app 1 :i. e:,s on:l. y 'l:c) the cor)d:i.'l:'.:Lc)r'n~s as o'F the day tested,, 'The .J:low i'",'at~>~ rflay ~LIb?;L.~r"~aCE.:' c::~r'H:]it~ic:)r'~>~ 'J:.hat. may riot: be I:3b~BE.)r'vE(,d .~:r'E)~J'l t.h(.:.:~ aqL~i f~3l'' '~:E'E,?diI')~:I thE:' ~'~(~'.:]1 1 . CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ~'~ SGS Member of the sas Group (Soci~t~ G~n~rale de Surveillance) · / - DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALIT~ ~NCHORAGE MUNICIPALITY OF ANCHORAGE ~NVIROkMr. </,- ..... ~ CTION  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 0 ENVIRONMENTAL SANITATION DIVISION 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. PROPERTYOWNE~ A PHONE PROPERTY RESIDENT (if different from above) ( MAILING ADDRESS ~ ~ , ~ ~,~ / ~ / 3. LENDING INSTITUTION ' /I PHONE MAILING ADDRESS ~ ¢ ~ ~ I PHONE MAILING ADDRESS 5, LEGAL DESCRIPTION TYPE OF  ~ One ~ Four ~ Other SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six ?, WATE~R ~IPPLY E~. INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. Awell log is required for all wells drilled s~nce June 1975. For wells drilled prior to that date, give well depth (attach log'if available' . )~--"'~'"')h-J'""---~'"'"Ii'-. 8. SEWAGE DISPOSAL SYSTEM INDIV DUAL/ON-SITE*~ [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MtJST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-e10 (Rev, 6/79) ~.~(/ ~ RE2 REID ENVIRONMENTAL ENGINEERING 5RA BOX 1584R ANCHORAGE, ALASKA 99507 (907) 344-1205 .~,'~U,~IC PARITY OF ANCHORAGE dUi'-IiEi: ,q' :L "z ~'~ ..... DEP?. OF HE.>,LTI-I & [NVIRONME,NI'AL F::OEECTION u u i,] 5 1980 RECEIVED 825 "L" STREET ANCHOHAGE, ALASKA 99501 (90'7) 264-4111 Cil:()t?(iE M. SULLIVAN, MAYOR fU:I'ARIb, I[ NI O[ ti[ Al llt,'\lXiD ENVIP, ONMENTAL PROTECTION May 22, 1980 Lenora Dunagan Star Route A Box 381-L Anchorage, Alaska 99507 Subject: Lot 2 Bloc]< 2 Spendlove View Heights Subdivision Approval for your individual sewer and water facilities can not be granted until the following items have been completed: (1) (2) The septic tan]< pumped with a receipt submitted to this department. An adequacy test be performed on the existing leaching area. This 'test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this department for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw CC: First National Bank of Anchorage Mortgage Loan Department Post Office Box 720 99510 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 .:,~ 'REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 4. 5. 6. FOR Date Received /~, Time of Inspection Date of Inspection ~/ Pho/ne: Legal Description: Location: Type of facility to be inspected,, Well Data: ~ (/ ' A. Type ~/~Z>~.:x.:" / ' c. Construction Sewage Disposal System: A. Installed C. Septic Tank: 1. Size No. of bedrooms / B. Depth ,~-~ D. Bacterial Analysis B. Installer 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , 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 Legal DesCription ~st for APProVal. of Individual · ,er & Water Facilities Comments ,J ZZm ~ Disapproved Date / App~l,Valid for one year from date signed Greater Anchorag6 Ar6a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM ce~t'ify 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. EQ-034 (1/74)