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Home My WebLink AboutSPENDLOVE VIEW HEIGHTS BLK 3 LT 8 Municipality of Anchorage Page \ 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 Name: ~ k~ ~~ Wastewater System: D New ~ Upgrade Address: ~ ~ ~~ ~. ~ ABSORPTION FIELD LEGAL DESCRIPTION Sol, ~in~: Total Depth from original grade: LOI: ~ ~ ~l°ck: ~ ~~Subdivisi°n: ~ ~'Depth Io pipe b01tom from original grade: ~Fi~.~1 depth beneath pipe Ft~ Township: Range: Seclion: Fill added above original grade: Gravel le~ Ft.~ Ft. WELL: D New D Upgrade ~ width: Number ol lines: D~tween lines: Classification (Private, A,B,C): Total Depth: Cased To: Total abs~rp;~n area: Pipe material: Driller: Dato Drilled: Static Water Level: lestaller: Date h3stalled: SEPARATION DISTANCES ~eptic ~] HoldinD ~ S,T,E.P. To Septic Absorption Lilt H~lding ~ublic;Private Manufacturer: Capacity in galloes: Well ~1 ~ ~ / / ~ ~ Material:~~ Number of~Compartmenls: Water ~ ~. ~ ~ ~ LIFT STATION Lot Remarks: BENCH MARK Location and Description: Assumed Elevation: ENGI~AL Inspections performed D~7~ Ea¢~ ~i~ i.oop Roa~[es. 1st ,o-~>-~ Department of Health and Human Services approval 'a:~2,,~ Reviewed and approved by: ~~ Date:~ _~ ~%~ ....... 72 013 (Rev 9/91) MOA 25 Permit No, /~-~\~ ~1 'Z-- ~ ~t~ Page ~ of ~ Municipality of Anchorage 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 Legal Description: 1 ~,-~''(' t~ '~:~[--,Y..,'% ~/~:;~c;¢~ %{I,~v-~ ~¢~"-'I¢, PID No.: ,~:;:'-z--~¢. ~\L~ 72-013 A (Rev. 9/91) MOA 25 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 (UPGRADE) PERMIT PERMIT NUMBER:SW920345 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:WASSERMAN ERIC M & OWNER ADDRESS:13441 SPENDLOVE DRIVE ANCHORAGE, ALASKA 99516 DATE ISSUED:10/13/92 EXPIRATION DATE:10/13/93 PARCEL ID:02102116 LEGAL DESCRIPTION: SPENDLOVE VIEW HEIGHTS BLK LT 8 LOT SIZE: 52547 (SQ. FT.) NUMBER OF BEDROOMS: 6 THIS PERMIT: 6 THIS PERMIT IS FOR THE CONTRUCTION OF: SEPTIC TANK 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 (iSAAC80). 3. THE FOLLOWING SPECIAl, PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: DATE: O~tober 12, 1992 ROBERT SHAFER P E ROGER SHAFER, P.E CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 8; Block 3; Spendlove Vi~ Heights Request you issue a permit to replace the septic syst~ serving the six bedroom r~idence located on the referenced property. In an effo~ to find the septic tank cleanouts to allow access for pumping, the owner has excavated to the top of the septic tanks. The original 1250 gabon septic tank was found to be of poor integrity with several small holes and a partially collapsed top. We propose the installation of a n~ 2000 gallon (STANDARD SIZE) septic tank to replace the existing ~o tanks. The owner, with the h~Zp of a friend have performed the excavation work thus far and wish to continue with the installation of the n~ tank. This is opposed to contracting with an excavator on your approved list. Your expedient revi~ will be appreciated. Sincer~Zy, ROGER J. SHAFER, P.E. RJS/gm ATTACHMENTS 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 SCALE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES Address ~ SEPTIC ABSORPTION LEGAL DESCRIPTION Township~e, Section ~/~ ~ ~ AS-BUILT DIAGRAM (Show location of well, septic system, property lines, fou~dati;~, .. , driveway, wa~er bodies, etc.) TANKS N Manufacturer Capacity in gallons , Material No. of Compa~ments TYPE OF SYSTEM ~TRENCH ~ BED ~ W, DRAIN ~ OTHER Depth to pipe bottom from Total deplh from odgina~ grade original grade ~ FT /~ FT Gravel length Gravel width Number /°f lines I Soil /~ SO FTrating Pipe~/~material ~d~ ~ ~ PRIVATE ~ OTHER fldentifv) fo FT FT ~ Inspections Pedo[med by: Municipal and 81ale ouidelines in effecl on this dale: ~ ~ 72-013 (3/85) li!:["~c:! i I'l(,.,)(??P ])es :i. griecl 2'76,....,,5,,5~?<? ALASKA eUlROnmeTAL COnTrOL Se UIC S, InC. ~n§ineerinq & (~nuironmentd FOR ~ -· v - "v) FkF~C : ~E ?{ASTENATER t)}SPOSAL qv~T ~ s] (;rjf'Jcati .'ti] !llaherJa'ls and i~or'kmanahJp '~.;hal] iileeL \he pequ~rempntx~ of the $itm~cfpal~y o~ Anchorage, Department o~ Hea]~h & Iiuman SemrJcea (I)IIIIS), the COlldikiOlll; of khp pppliNiil, ~.lld a]] appiJcab]e 1.3 At! e!evat:ioim and depths ai'e advi'.~oi'y, aud are to be vpi'JF'[ed , ~ ~ eld by the en[{ nero' or inspecl, in~ ag'ency. [[~ [s llhe 'rc'.;pon.';:ib:llii;y of the ~WIlep oP ~ns[allep Lo ,,ci%f~,~ apppoved desiffa:; for [ns'Lallation, lnaJI~tail~ kite specified sepapation dJsEalloes, ~ ' a.~l(~ have Lhp atppPopPiake ilHipC~C[[OiIS. ].5 If klm iP, stailatJon is aot Jnspacied by r,n AECS eng'Jneer, AECS will not be pesponaiblp for the Jm~talled syste]n. An pn~fJm,er al Al{CS shottJd be co~lstl][ed i)l'iop to coilstPuctiol~ [o deLel'litilie the ~}umhep of' J. il:~i]CCLJOIlS f?i] ] ~iIVO].VO. 9.0 SEPTIC The ~n;pt:ic ',.anh .shall be i~ UPC Approved U, qo-com]~ap[Jl!ei1k I:ank, constructed or i2 gauge si'~ml with bi i'umastic coating allCJ SPt ],r,.'p] un umlit:i;u, rbed :mi!. 'If the Nm!< ia buried at ;~ dpp[h of ! F~'ol or l,u~x, Jt must be insulated with an overlying layer of 2 inch 2.3 The aeptic tank and tpellch Ella] i be a IllJl/illitllll OY 100 feet fpOlll ally pz'Jvate welL] o;.' bed)/ of waker., 150 fepi: From C;tass C wells, and 20(I f'eet fiPnm C].ass A op B ~,eJ]s, L!IlJess othcpwJse gl)cci, lied, l,e~s [hsn ithp requ[i'ed sPpapaCion distance mus(. have pt'ioc apl)povat or wa:ivcP by AI}EC of }IOA, 2.4 The ~..:ep[[c raid,', shall be it m:inJmtlm of 5 fppt [rom the house fottndation, aiid a IllillJll}Llli! Of 5 f'eoi: f'POlll I:he absorpkion areu. on the outlet and lnleL oi~ the septic tanl:. Piping shal] be 4-i~ch solid PrO ASTM I)3034 o~' cask :iron, sloppd a ~littimt!m el' !/i inch puc lineal foot. if the p:ipJng is bupJed at a del)th nf 4 feet op less, 1200 LUesl 33rg Auenu¢, Su,¢ B o^nchora% Al~sk~ 99503'(907) 561-50~0 2.6 (lieaimuLw~ shell be Jna'~aiied aa deE;ignaL:ed and capped wi~h air-~ish'L Pain caps (Jim caps op equJwdm~t), and extended ~ }~lJ. liilllt!H', of ] feet ~))OVe }~l'Oitil(~ level. 2.7 if ii 3Jfi station Js r'equJred it shall be a combination liF~: s~ahJon sepi;Jc tank pec Anchorage Tank and Welding', Inc. design. '3pec[ficati Jena ape a~Lach~:d, :3.0 Ab,'.;orpL[on Area~ 3.] Tim Sravci for klm LPench sha]l bc 0,5 h~ 2.5 [nd'~, ~;creenod rock with lesa than 3% paasJnS ~200 sieve residual. All substitutes nu!st l~ave pr|et DIIIIS approval. 3.2 The botl:om and sides of the excavation shall be raked with thc backhoe blade Co instl're Lhat[. it has llot beell colilpacked (htPJllg excavation. The bottom elevation shall be ].evcl, 3,3 Monii:of sNuldpJpe(s) shall be placed as shown tn hlm draw:ings, and mh::~]l be 4 inch Pig.id PVC ASTN B3034, o~' cast JPon. The section ahuwl~ w[Lh ho~es may be 0.5 inch Ilo[es drJ]l[ed on 6 inch cenhers oi~ opposing :,~J. dus of the pipe, oPa l't~gulaP section of perfoPated sewoP p:lpc clamped to a solid sechion with ei'Eh(n' a no hub coupling o:p a solvent joint. A rubber pai. n cap (,lint cup or equJvu]ent) st'w]] be instai]ed .ve~" the iop of the pipe, 3,4 The distribution pipe shall be perforated 4 inch t'JgJd PVC with a flliilJ)llU}ll cFush sLrengt:h of 1500 lb~-: and shall ]neet the app~'ovul of DH|IS for use as drainfield pipe. A]] di~*t*'Jbut/on pJpos shall be !aid !ew>i . T[.oucht;s may })o par'alle]ed, but mug[ }lave a minimt!m sepal'al;ion dJstiance between the trenches of 10 feet of 2 times the ~U'ave] depth of any trench. 3.G insulation Js required, using burial type polystyrene rigid board so J] less than the rcqnired 4 feel: of' cower, but there mu~t be at solid pipe ex~cndinN fPom the sepi;Jc ?ank to the drainfie!d shall prevunt fl'eexJlls of the ]iRe. Iai, aP i-,f ltOltWOVelt GeoiextJ]e f'ab]'ic (aucli a.'~ MJl'aftti, FJbPetex 200 eom'eot depth and meet m~nJmum specified design parmneter's. The ?a;cond 5n',-;pcccion wJJL1 be a£te: p!acelneni: o? the gravel, mon:itoc Thc, inspection of the septic tank Jnsta]]atioi~ cai: be incoppop~tl:ed ~,~i'ih ~qa>? one of Che above ]:[:.~ked Jnspeci:ioll',-;. ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. ].200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 56].-5040 ! SHEET NO, " OF CALCULATED ay ?)' DATE CHECKED EY DATE SCALF LEGAL DESCRIPTION: ~(~"" ,~,~ t'S SEAL Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES # 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PER V/gig ,4/~"~ Township, Range, Section: ""~/~ ,,~-~) ~'""~L ~"~ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18, 19 20 COMMENTS SLOPE WAS GROUND WATER ENCOUNTERED? SITE PLAN IF YES, AT WHAT DEPTH? Depth to Waler After ,,~,,m ,/ Monitoring? ~,~ ~ Dole: Reading /./-/~t) 1, ~.o Date Gross Time Net J Depth to Time Water ,~?-,37 Net Drop ,~, PERCOLATION RATE ,,/~ (minutes/inch} PERC HOLE DIAMETER T.~,.,UN ~ETWEEN r,..:¢' F~ AND ? FT PERFORMEDI3Y: ,~"'¢~',~ /' '~/~-'-"t'// I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85} O~ ~0 Ill ~° ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. ].200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 56].-5040 SHEET NO. 4 OF CALCULATED BY £~ ' DATE. CHECKED BY DATE_ SCALE ,W U > OOO. H ~jO~ § o t~ o 0 0 0 O, 0 J 4 H 0 0 0 0 0 O0 0 0o DEPARTMENT (IF I'"lEt~ 8,:::. L STIR (31',1 PERMIT NO: 840514 UPGRADE /~ DATE .[,~,~LII:D ~ 06/27/84 AF:'F'L I CANT, BOB NIE]:L~ON ~'~ ADDRESS: ~RA BOX 738()'-W ~ ~ ~NCHOI~AGF, AK 9C ~ CON IA(.., I PHONE: 243-3z1.:%4 ~ ~ I_EGAL DI...~LF~IF, SUBD:CVISIEIN: SPIEI~ ' oIZE: I. 25A (oQ.F-T. CiG - ' wells a~s set , o~ Alaska , amd ]:F A L. II=T STATION J.o ]NSTAI. IFD IN MB CODI::o, THEN (1) AN E:LE:L]RtCAL PERMIT AND ........................ , o~: tJ~I~J, NED; (2) AB-BUILTS WIL.L N[)T BIE APF'ROVED WITHOUT AN ELECTRICAL INSI=,I~CTiON REPORT; AND <2~) THE =.LE:CIR.I.(,A.. WORI< MUST BE DONE BY A LfLENL~ED ELECFRI[,.I. AN, SIGNED DATE: APPLICAIqT: BOB Nb~SON ' BLL1CI.:: :: ~ DEFARFhlE-NT OF HIEALTH AND ENVIRCINIqENT~L F'ROTECTION 825 L SJR[CEI ~ AIqCHORAB[~ Al< 991501 264'--4720 PERIdIT NO: DATE ISSUED: APPLICANT: ADDRESS .~ CI]N"I~ACT PHONE: L..EGf~L DESCR :1: P:: L. CIT S:I:ZE: 8400:33 UPORADE 06/R6/Et4 BOB NI=..LL~ON SRA BOX'"?.::,B~ ~.. -W ANCHORA(iE., AK 995 :t6 uLtBD.[V.[ :[[IN: SF'I-]NDLOVE VIEW HI,:~. SECT I C)l~ 30 :L ].. 25A LOT." 8 BLE)CK: "¢ I cePtii'y that t. I am £amilia~* w.~', r(~r, th by ~.l'~e Mur .... I wi].]. :Lnsta].]. and itl .c:on'lp 1 :i. an 3. I wi'l), adher, e s(aweP age IF A LiFT ~]AfION I~ INSTAL. I ]'HEN (1) AN ~EL. ECTRICAL F'I~RM] AND WZLL NO]" BE AI~I~ROVI::.D WI]']- I:.L..E:[,tI.~ICAL WORK MUST BE DONE BY ~ LICENSED EL. and ~ells as set {he SCaCe o¢ Alaska. MOA cod~_s and ~egulations, [~his pe~'mi~.. "equi~ements i'oP' the set back dispersal sys{em of I;~ublic ear~l:)y l~t, D BY 1'40A BUILDING CODES.~ ;T BE: OBTAINED; (2) AS:~.BIJIL.~S FREI::'OF~T; ~lqD (~) '1"HE TlR ]: C :[ AN ,, S I GNED AF'F'I_ I CANT: BOB ~:t: LSON ]S'~LI[ D BY~..~ ......... DATE: GI~ "~TER ANCHORAGE AREA BOROI' '"H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 .L'~? 887 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM _.,,/~,,/:/.;,:¥: MA,'ING : ,:~: ,':: ADDRESS -) 7~' / ,~ ' ' '~X PHONE. '- ~.~ LOCATION. SEPTIC TANK: ..._. _ _ ~-~._ _ .... . - ~ COMPARTMENTS 2 ::, ') WIDTH DESTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF P~TS / / NEAREST LOT LINE ~3~~-'~:' 2. ~_? TILE DRAIN FIELD: ./ OUTSIDE DIAMETER OR WIDTH /~ ~- ~ ~:'" /,/~: LENGTH .... DEPTH ~ DISTANCE FROM WELL. ABSORPTION AREA. - ~ , FOUNDATION . NEAREST LOT LINE .DISTANCE BETW"~EN LINES~'' TREN~'H-WtDTJ~ SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE TOTAL LENGTH OF LINES. EFFECTIVE IN. ABOVE TILE_ WELL: LOT LINE DISTANCES: TYPE ?(' ('~ ~r~,' DEPTH _~B_UILDING FOUNDATION· WATER ' SAMPLE NEARESTSEPTIC('- , , BEWER L,NE . TAN ,:,(',:;CESSPOOL D~AO~A~ O~ SYSTE~ NEAREST OTHER , SOURCES GR '~ER ANCHORAGE AREA BOROUGF~ DEPA ,~ENT OF E~VIRnNM~,T~ QUAL 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For Alas-can Enterp,rises Date Performed 10/18/71 Legal Descripl-~on: Lot 8 81ocr ~vision Spend Love This Form Reports Soils~.-~-g x'~ ~t-~-[~-6~~ Depth __Feet Soil Characteristics Brown silty sandy gravel (GM) with occasional sandy gravel seam (GW) Was Ground Water Encountered? If Yes, At What Depth? Date Reading Gross Time Net Time Depth to H20 Net Drop Proposed Insta]-]a--~r'Gn-' Seepage Pit .x Drain Field Depth Of Inlet Oep~-h T---~-~ COMMENTS: Bottom Of Pit 210 square, feet of drainage area is requi,~e.,d~per bedroom. a a er '~ le Y:Na-J-~onal Testin~ Svs Date: ..... ~'~ ~ m -W DRILLING,. Inc. P. O. Box 4-1728 '~: ~", 2811 Dawson A C 907-~79-1741 ANCHORAGE. ALASKA 99509 DRILLING LOG Location, (adGress ~f: Township, Bange, Section', if knoWh~ or distance main road · ?. ~.." ... :. ..... -.,,'..-:;,...?..,:.. ~ (below) .land's~rfa~e. ~inisk of well (cheek one) open end ( '~ ~: [');' <"% ' ,Static water level .~ ,ft. '(above) Screen ( ); Perforated ( ). : ' ' ' Describe screen or perforation ' ~J~;J~' '" W~ll pumping test at__~' gallons per (h6ixt) (minute) for--':./ hours with " of drawdown from static level. Date of completion .~_? htr~li ~.J ., WELl, l,OG . . Depth in feet from :' ground surface Give details of formations penetrated, size of material, color and hardness ¸TO .TO .TO. .TO. .T°' .TO. .TO. TO__ 3 -- Contractor PO ~-I 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOW~ ES MA YON OEPAWCMENI' OF HEALTFI AND ENVIRONMENTAL PROTECTION June 28, 1984 Mr. Bob Neilson SRA Box 7380-W Anchorage, Alaska 99501 RE: Lot 8, Block 3, Spend].ove View Heights S/D Dear Mr. Neilson: As we had discussed with you by phone 28 June 1984, the permit for upgrading your septic tank issued 27 June 1984 has been revoked based on the fact that your system currently serves more than a single-family residence° This information was not related to us at the time of permit issuanceo Any approval for an upgrade must come from the State Department of Environmental Conservation (DEC). Their phone number is 274-2533° A review of the subdivision file also indicates that the absorp- tion field is under-sized for a 6-bedroom complex, and that approval for your Class C water system was never received from DEC. We are aware of your present claim against the Municipality surrounding your well and septic system, and it is unfortunate that a permit was issued under the circumstances. However, in issuing any permit, this Department relies to a certain extent on the informat~ion provided on the application and discussions with the applicant. We apologize for any inconvenience this may have caused you° The fee for your permit will be refnndedo You must at this time contact personnel at DE(] and receive further instructions on how to proceed with the upgrade of your system. Sincerely, Keit:h E. Bandt Environmental Engineering Manager KB3/ej/D17 cc: Robert W. Robinson, Department of Health and Environmental Protection Bill Lamoreanx, State Department of Environmental Conservation (DEC) Brenda Gaffney - Property and Facility Management Department ~ Risk Management Division Laura Seely - Corwin & Associates~ Inc. MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) CERTIFICATE OF INSPECTION FOR HEALTH' AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Location (address .or:directions) (b) Property, pwner ~ 7"~//, Telephone: (home) . Business (c) Lending Institution - #x,'~,d¢,,¢,~., Telephone Mailing Address (d) Real Estate Company and Agent Address ~¢-'~ ~'~ Telephone 2z-7~, - .7---'2~ / (e) Mail the HAA to the following address: (or check here'!~ if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family"~ Number of bedrooms ~-~ 3. WATER SUPPLY Individual WelI'IZL 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'c. Public [] Community [] Holding Tank [] Nole: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATI~)N As certified by my seal affixed hereto and as of the validation date shown below, lverifythat my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional .and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm /4~T'~ ~ Telephone ~? ? - Address /~/'/~ t.,-) J}~'~ /'~¢zz'' /f"~- Approved for ~ bedrooms by Approved ~ Disapproved Conditional Terms of Conditional Approval The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health Authority Approval cerificated 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 issuedl The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) 8.ck Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 A. WELL DATA Well Classification Well Log Present(~'~?~N) Total Depth~5/'/Cased to /¢, Static Water Level ~ ~// Casing Height Above Ground / ,-/- Electrical Wiring in Conduit ~1¢~'N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot Date Completed -- Depth of Grouting If A, B, C, D.E.C. Approved (Y/N) / Yield ~ ..5~.~ Pump Set At _ ~//'~ -- Sanitary Seal on Casing (~)'N) Depression Around Wellhead (Y~__.)) ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot /~--o/,t-- To Nearest Public Sewer Line _ /.)//~ To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments _(:~;~ /;'J~cZ~ ,,c:~:~J To Nearest Public Sewer Cleanout/Manhole / ; On Adjoining Lots ; Date B. SEPTIC/HOLDING TANK DATA Date Installed ¢, ~'-;F¢' Size Standpipes ~'N) Depression over Tank Pumping/Maintenance Contact on File (Y/N) / ~- .~ ~"¢~' No. of Compartments Air-tight Caps~C~/N) / -Foundation Cleanout (Yin) - Date Last Pumped /~ '-/2'-~o't~/ /,///4- ;for__ ,w'/~ Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROI~ISERTIC/HOLDING TANK: To Water-Supj~ly Well_ To Property Line /O ! To Water Main/Service'Line_, ' To Stream, Po~d; Lake or Major~D~ainage Course /¢z~ /4- Comments ' ' : ' ' Temporary Holding Tank Permit (Y/N)_ /dh / To Building Foundation _ _ To Disposal Field /./, 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata . Z.-IO /// f/¢_5" Type of System Design Date Installed ¢_,8/~ /~*z.b-?//'7'-~¢-,de// /o-~~,¢'¢'_ Length of Field Width of Field ~£/,~ /~//¢ Square Feet of Absortion Area ¢-~//J Depression over Field (Y,~ Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: ! Depth of Field Gravel Bed Thickness %',q~,dO/ 5,~¢' Statndpipes PresentON) Date of Last Adequacy Test To Water-Supply Well / To Building Foundation Lot _ / To Water Main/Service Line /o .¢-- To Property Line _ To Existing or Abandoned System on ·; On Adjoining Lots V To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area /'~ ;y'~ Comments $¢'~J~R //tCB~z.'~ .,¢~R ~/e/,¢ :~/~,~)~' D. LIFT STATION ~stalled Size in Gallo "Pump On" Level at High Water Atarm Level at Tested for Meets MOA Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Comments **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, veriflied, or conformed to all MOA and HAA guide.li~.esjn effect on the date of this inspection. ~ ~~ ~-~: ~.~~ Signed :C: ~"~7~9~. ':~'t Engineer's Seal Company Reoeipt No. ~ -~ ~ ~ Receipt No. ~-~ Date of Payment ~O - 5~3 - ~C5~, Waiver Fee: $ Amount: $ ~ ~ O, C30. Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 Alpine Drilling & Enterprises Domestic -- Commercial c Pump & Water Systems P.O Box 110496 borage, Alaska 99511 (907) 345.0202 TO: INVOICE 2160 Job.Name / Loca~ / ~' PHONE QUANTITY DESCRIPTION AMOUNT LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR I PAY THIS AMOUNT ~'~O Thank You SIGNATURE (I Hereby Acknowledge [he Sa~isiaclory Cornpiehon of the Above Described Work.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RAI'E OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION !1, GENERAL INFORMATION APPLICATION FOR ON-SITE WATER AND SEWER SYSTEM APPROVAL Applicant Name City, State and Zip Code Send Approval to: ' ~'Applicant Other: (Give Name & Address) IApplicant iS: (Check one) ~ ~=~ Bank ~-~Certified Installer NO. J~ Owner/Builder Type of Residence Tote o. of Bedrooms I-~Single Famit¥ ~ Multi-Family II. WATER SUPPLY SYSTEM Source of Water and Containment (Check all that Apply', Type of Water Supply System Treatment of Water (Check all that Apply) []Well (Drilled or Driven) [] Surface (identify) ~]Privete r--]None J--]Chlorination [] Roof Catchment [] Other (Identify) []Public (Serves more than one []Filtration r-]Mineral Removal [] Holding Tank family) [~Other: Is the Height of the Well Casing more than 12" above the Ground? [] Yes [] NO Is a sanitary seal installed on the well casing? [] Yes [] NO Date Drilled Depth of Well {Feet) Static Water Level (Feet) Yield (if Available) Pump Rate (If Available) -, [] Buyer [] Engineer [] Banker ~] Government Official [] Satisfactory · ~)ate: [] Unsatisfactory - gate: C°mme"ts' Rec°mmendati°ns: ~ft/E~ ~'~YJ/ i~ ~r}~ II certify that the above information is correCt, r,'yped/Printed Name Title 'Signature ., J Date NO TE: Must be signed bi/aCertified Instal/er, Professional Engineer, Department of Environmental Conservation or the Owner/Builder / ~TEWATER DISPOSAL I Package Treatment: J~ Septic Tank/Absorption System [] (Specify Brand Name or Proces.) Holding Tank - 1Capacity of Tank I Where Waste is Disposed Frequency Of Pumping [] Specify: / Septic Tank Outfall I Other (Specify): [] Discharged TO: [] {Outhouse, Incinerator, etc,I ~ Certified I n~tallor Type/Manufacturer Septic Tank Size (Gallons) Number o~ Compartment~ Sell Type or Rating Separation I ~[] ~ LOt Distance ,o: ~ ~ ~Z~ Feet ~ ~ee, +/~ Feet ~0~Feet ~ Feet ~omments/Recommandat[on$ ~ ~ ~ ,~ certify that the a~ve inf~n is correct: ~ ~ NO TM: Must ~ signed by a certified instal/er, professional engineer or DEC Staff, [] Existing System ~-qCertified Installer [] Other: Type/Manufacturer [] Owner/Budder Septic Tank Size (Gallons) Number of Compartments Soil Type or Rating Type Soil Absorption System Dimensions/Size Soil Absorption System Type/Quantity Backfill Material used for Soil , ~] Pass [] Fail Minimum Ground Cover over Absorp- Minimum Ground Cover over Feet [] Yes [- No Feet [] Yes [] No _l certify that the above information is correct: Signature [Typed/Printed Name Title. Reg,/Cert. No., Inst. No. Date NOTE: Must be $ignod by a professional engineer. ~"~"*~"~ ~ ~ t~ . ~f~'~'~ ;,',',',',',',',','~& IV. DIAGRAM OF SYSTEM(SI ~ INSTRUCTIONS FOR DIAGRAM ~ 1. In a plan view, locate and identify each of the following: aJ Well b) All Structuree c) Septio Tank d) Soil Absorption Svstem e} Surface Water f) Sources of Contamination g) Property Line (Include Dimensions) h) Closest well on an adjacent property i) Closest septic tank on an adjacent property j) Closest edge of an absorption field on an adjacent property 2, Show distances between the well and each of the other items listed in 1. 3. Show distances between water bodies and each of the other items listed in 1. 4. In a cros~ section view of the soil absorption area, identify each component and show the depth {thicknese) of the following: a) Soil Cover b) Absorption Materiel c) Water Table d} Bedrock e) Discharge Pipes APPLi( ',.IT FILLS OUT UPPER HAl ONLY Code ~ip Cede Mailing Address Buyer :t'V:](':" Phone · -:,?/. Lending Institution Phone Address Zip Code Realty Co. & Agent PhOne Address Zip Code Type of Residence ~ Single Family Multiole Family No. of Bedrooms_ ~> Other '- Water Supply ]~, Individual Community E] Public Utility ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior 1o that date, give well depth (attach log if available). Sewer Disposal ~ Individual 'BI Public Utility Lq Holding Tank Year Individual Installed: /¢'~_ ] When Connected to Public Ulility: NO'rE: THE INSPECTION FEi-" MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Date Date Inspector Inspector Field Notes: Time ( ) APPROVED BEDROOMS ( ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE "" ~] '"',::' ':: ' ~ Time Time Date Date Inspeclor Insp~tor ~<~ ~,CIPALITY OF ANCHORAGE ~ ~ / ............. -"TAL PROTECtiON RECEIVED 'CONDITIONS OF APPROVAL , : ~ ' ~.,,~ Soils Rating Date Sewer Installed 72.023 (3182) IWell To Absorption Area Well to Tank Well Log Received Septic Tank Size APPLIC NT FILLS OUT UPPER HAl, ONLY P~operty Owner (Y~ Ct F' ~. Address ,, Zip Oode Lending Institution ~ Am'~. Phone Address~ / Zip Code Legal Description L~ ~ , ~ ~ K -~ Street Locali~ ~'~Z~ ~ ~¢J ~' ~ ~ ~) Type of Resi~nce ~ 8ingle Family ,~ Multiple Family No. o~ Bedrooms ~ ~ Olher W~ler Supply ~ Individual ~ ~ ~_2_~/. ~-~J-~ ~ ATTACH WELL LOG. A w~l Icg is required for all walls drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Utility Sewer Disposal ~ Individual Year Individual Installed: ~'Tj Public Utility When Connected ~o Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Date Date , Dale r Insp~tor Insp~lor Insp~lo~ ./ Insp~tor ~i~:~ ' ( ) APPROVED BEDROOM8 'CONDITION8 OF APPROVAL ( ~ ) CONDITIONAL APPROVAL* ,... ( 'J,-='~ DATE Soils Rating Dale ~wer Installed Well To Absorption Area Well Log Received ALASKA I~FIUIROFImeF1TAL COFITROL SI~RUICI~S, IIqC. I~nqineerinc~ 6 J~nui~onmenlal Studies lo/6/82 MUNICIPALITY OF ANCHORAGE DFnT Cr ,,,-: ~-, :~ g~C~V~D FIRST ALASKA MORTGAGE/LINDA 207 E NORTHERN LIGHTS ANCHORAGE AK 99503 SELLER - MARK NUTT/ROMONA VELLA SUBDIVISION-SPENDLOVE BLOCK-8 ADEQUACY TEST FOR SEWER SYSTEM BUYER-BOB NEILSON ~ ' i ~ LOT-3 THE TYPE OF ABSORPTION SYSTEM IS A CRIB WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 900 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 2000 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 6 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF ~12'50~GALLONS IS INADEQUATE BY 1220 J. JJesl 25lh Auenue · Anchorage, Alaska 99503 · (907) 276-1361 INSPECTION APPOINTMENTS ~~~, TIME TIME TIME DATE DATE DATE ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND S DIRECTIONS: Complete all parts on page 1. Incomplete r~quests will not be proce~d. Please allow ten (10) days for processing. PROPERTY R,E~IDENT Hf d fferent from ~ow~ PHONE MAILING ADDRESS 3~ LENDING INSTITUTION ~ PHONE I MAILING ADDRESS 4. R~LTOR/AGENT ~ PHONE MAILING ADDRESS 51 LEGAL DESCRIP, TION STRE~;~OCATION ~.' ~ , 6. TYPE'OF RESIDENCE - NUMBER OF~BEDROOMS ~ [] One [] Four [] SINGLE FAMILY [] Two [] Five ~ MULTIPLE FAMILY [] Three .J~ 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 J~-.. INDIVIDUAL/ON-SITE~ PUBLIC uTILITY 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 [] INDIVI DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED ' 31 SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified. INSTALLER []Septic Tank or F-I Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: I Absorption Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~'~ISAPPROV E D DATE 72-010 (Rev. 6/79) MUNICIPALITY OF ANCHORAGE DEPT, OF i::AL1'H & PROTE~NMENTAL DEPARTMENT OF HEALTH & ENVIRONMENTAL I)~,OTEC~ION 825 L Street - Anchorage, Alaska 99501 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on pale 1. Incomplete requests will ,~t be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE ~AIklNG ADDRESS ~ROPERTY RESIDENT ( f d ffe'ent from above PHONE 2, BUYER PHONE MAILING ADDRESS 3. LE~DI~GINSTITUTION I PHONE I MAILING ADDRESS ~. ~EALTOR/AGE~T PHONE MAILING ADDRESS 5, LEGAL Di~SCRIPTION STREET LOCATION S, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] Other [~ SINGLE FAMILY [] Two [] Five ~ MULTIPLE FAMILY ~OQO/..~.,~, ]~ Three 7, w AT E R S.R.R.R.R.R.R.R.R~ P L Y E~' 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 UTI LITY depth (attach log if available,) 8. SEWAGE DISPOSAL SYSTEM · *If , · I~~ INDIVIDUAL/ON-SITE** individual/on-site, give installation oate Iq'~ \ If system is over two (2) years old an adequacy test ~s required E~] PUBLIC UTI LITY Dy this Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY - DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2. WATER SUPPLY PERMIT NUMBER ~1~] 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 ~)c_.~' Connection Verified INSTALLER ~Septic Tank or ~HoldngTank Size: ~,~ IfTank is homemade SOILS RATING give dimensions: ~ ~ , TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS G ~ CONDITIONAL APPROVAL (letter must accompa~ ce~ificate) ~- DISAPPROVED~_ DATE i~ ~ ~ ~ 'BY(Title) LEGAL BE8C~IPTION 72-01 0 (Rev, 3/78) (~iiOR{;I M, SUL !)ii' ii",N;~,~l ('N i il'/~l lit /\N[) ti'd\/tI-iONMI!N fAI,PliO'IFC]ION May 2!, l!? !. [{arllOi~a Y,. P,t./ il Post: ():[f i! J.ce ii, o;,: ]_0-062 All(;hoFage, Alaska 99 51]_ Subjech: LoL 8 Block 3 Spendlove Vi.ew Neighks Suhdiviston ApprovalL fo:r' ti;e indivJdna], sewer and water facilLit.i_es cannoE be gr-ar~Lod unL-.:i.], hhe foil. owing' :i_hems have been ~ completed: l. ne sham:lpi, l)e'{~ i:.o t;he sewer r't~g~l;ir'emenks are met between the weal. and sewer sysl-.em. 2) Anohher appo.i.nLmenl: needs I;o be made in order Lo obt:ain S i n r.;: e r (; il. y, Nc}_'/] j w September 11, 1979 R&MNo. 951277 Dynamic Realty, Inc. 501 W. Northern Lights Anchorage, AK Attention: Shirley Dewherst Re: Adequacy Test on Existing Sanitary Sewer System; Lot g, Block 3, Spendlove View Heights Subdivision, Anchorage, Alaska Dear Ms. Dewherst: Per your request we conducted a test of the sanitary sewer system on the above described property. The septic tank was pumpe~' prior to the performance of the test on the seepage pit. During the test the liquid level in the seepage pit was measured before and after the addition of 2000 gallons of water. All liquid levels were measured below the top of the standpipe and are shown in the following table: Initial Water Second 24 hour Total Reading Added Reading Reading Drop (gallons) 5.50' 2000 3.20' 5.90' 2.7' The water level rose 43 inches with the addition of 2000 gallons of water, indicating a capacity of 46.3 gallons per inch. Twenty-four hours later the liquid level was again measured and found to be 5.90 feet. It had dropped 2.7 feet or 32.4 inches. This indicates an average effluent acceptance rate of 1490 gallons per day for the surrounding soils. If the 6 bedroom duplex on the property is to house 12 people, the average load on the system can be expected to be 720 gallons per day. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 6 bedroom duplex. We appreciate this opportunity to be of service to you. Please contact us if you have any questions regarding this letter or if we can be of additional service to you. Very truly yours, R&M ~ONSULTANTS, INC. Gary ~/ Smith Seniok/ Geologist GS/dj/AT&SI-A