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Home My WebLink AboutSTELIOES LT 2 /'~ MUNICIPALITY OF ANCHORAGE ,'~"~ ( DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 'i 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE ,~ NEW MAILING ADDRESS LOCATION P [,;ck 3 ~5& / No. of compartments ~ ~ Manufacturer Material ~--~ O Z ~ Manufacturer Material Liquid capacity in gallons ~ Well Foundation~ ~ Nearest lot J[ne PERMIT NO, ~0' Of I'nes ~ ken~th[~ °f each~./~line,~ Total l en~th~ofl,~es Trench ~o~'dth inches Distance between lines ~/~ ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area m Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO, ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS INSTALLER REMARKS APPROVED LEGAL *Oq/ ~; 72-013 (Rev. 3/78) PERMIT NO: DRTE ISSUED: MUNICIPRLITY OF RNCHL .aGE DEPRRTMENT OF HERLTH RN[:, EMVIRONMENTRL PROTECTION , 825 L STREET, 8NCHORRGE, 8K 99501 840485 RPPLICRNT: SRLLYE L. NERNER 8DDRESS: 520 TYEE CIRCLE RNCHORRGE, RK 9958~ CONTRCT PHONE: 279-~869 LEGRL DESCRIP: SUBDIVISION: STELIOES LOT: 2 SECTION: 25 TOWNSHIP: 12N RRNGE: ~W LOT SIZE: 49280 (SQ.F'T. OR 8CRES) MRX BEDROOMS: ~ BLOCK: NR LISTED BELOW ARE THE 8PTIONS R.AILRBLE TO YOU IN DESIGNING YOUR SEPTIC ~-~TEM. bHOO=.E THE JFTION THRT BE--.T FITS YOIIR SITE. DEPTH TO PIPE E:STTSM (FT,) lt. 0 ~ GRRVEL DEPTH (FT,) ~. 8 ~ GRRVEL WIDTH (FT.) 2, 5 GRRVEL LENGTH (~T.) , 75. 0 ~ ~ GRRVEL VOLLIME (Gl_l, YDS .... 24. ~ . ./ SOIL RRTING :~0 FT /ER) i50 ~ - t / ~ ./ .................................... I CERTIFY THRT: i. I RM FRMILIRR WITH THE ~E~UIREMENTS FOR ON-SITE c, ENER~ RND WELLS RS SET FORTH BY THE MLINICIPRLITV OF RNCHORRGE (NOR> RND THE STRTE OF I WILL INSTRLL THE SYSTEH IN RCCORDRNCE WITH RLL MOB-CODES RND REGLILRTIONS~ RND IN COMPLIRNCE WITH THE DESIGN CRITERIR OF THIS PERMIT. ~. I WILL RDHERE TO RLL MOB RND STRTE OF RLRSKR REQUIREMENTS FOR THE SET DISTRNCES FROM RNY EXISTING WELL, WR=,TEWRTER DI_,PO=,RL SYSTEM OR PUBLIC EWERH~E _,~c, TEH ON THIS OR RNY RDJRCENT OR NERRBY LOT. I UNDERSTRND THRT THIS PERMIT IS VRLID FOE R MRXIHUM OF ~' BEDROOMS RND RNY ENLREGEMENT MILL RE~LIIRE RN R[:,DITIONRL PERMIT. IF R LIFT STRTION IS INSTRLLED IN BN RRER COVERED BY MOA BUILDING CODES, THEN ~.±]:, RN E~TRICRL PERMIT RND INSPECTION HUST BE OBTRINED; (2) ~-BUILTS WILL NOT BE RFFROVED WITHOUT RN ELECT~ICRL iNSPECTION REPORT; 8N~t ~ THE ELECTRZCRE W,~K~I_IS~ ~E ~E By R L~NSED ELECTRZCZRN. ~ '~ ! ......... ................. ~PF'LIC:RNT: SRL~y W~:~ER ' , ... ....... . POUCH 6-650 ANCHORAGE, ALASKA 99{~,',}? ~)550 (907) 264-411I ~Permit #: 820415 January 31, 1983 TO: Permit Applicant Subject: Lot 2 Stelioes subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of.December 31, 1982o Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw eric: Copy of Permit swP/057 PERMIT NO. I::IPF'L i CRNT LOCR1-Z ON LEGf;IL SAL_',?E L. i.FRI',.ER "I"FIL I'Zq"!FIN R() ._,1 b.L l U .... 5SE~ T'-?EE 7' IP 2 .E 995'CF;J: LOT E;IZE TRENCH MFg:':;IMUM I'-.I'"ffEF'F' '£~F:' BE[:,RC.3M21 = 3: _,t.!L RF!TING '::E;Q F 1, r: .... %¢.:.. "FH,c' ............ E'F:':~ IPE[, =,i,~_.'-~'~F (]iF THE SOIL. RE¢~;ORF'TION '},';"r'S'TEM IS: .......................... l ~ ~5 ~ C~,~ %~/~ THE LENG-i"H [:,ZMEI'.,I~;iON ]'5 THE LE!",I6TH ,'IN F'EET) OF THE TRE'N'"H "ZiP C, RF!INFZEL. C,. THE [:,EF'TH OF !:::I fREN2H OR PZT IS THE E:,ZST!gNCE BETkiEEN THE SURFFIC:E OF THE GROUNE:, FINE:, THE E"TT-M OF THE E.~.., 'F Z_hi ,::ZN FEET::,. THERE ~:E; I'-~O SET !.,.!IDTH THE I]F:FIVEL DEPTH ~:E; THE M~N~HI...IM DEPTH OF' GRF¢,,,'E(... 8ET(,.!EEN THE OUTFRLL F'ZPE FIN::, 1'HE BOl"T:M OF THE EF-).ZR/RT!ON ,::ZN FEET', h-~:,Rlt.f. 1 RPF'LZCRNT HH_ THE P-" .......... T ' "c -- ..... [:,.:,F-~L':,!E, ZL,£, r TO INFORM 7HZ...., E:'EF'RRTMENT E:'URZNG THF !NSTF!LLRTION IH. F ...... L OF RF,!'¢ (4EL.LS FI[:'..I'FIC:ENT TO rrli:, FE.P_~ r~ RN[:, "FHE NUI','iSER OF RESIDENCES THFIT THE .,tELL NILL SERVE. EFIC:KFZLL !JNG OF' F!N'¢ '--,'.db lEM ........ .t,JYTHAIF'F ........ FZf',IFg.. ZN:~;F'EC:-FION FIND RF'F'ROVPqL k.,~':"' lh.Z' -:, [:,EF'FIRTMENT 14'[_L E,E --,t_tE,.JEL.] TO pRZISECI. TIEd'.,L MINII'dL!t'! [:,I5;T,q. NCE 8ET'(,!EEN R WELL ,'aND FtNM ON-'SITE SEP.!RGE DISF'OSRL. S'¢STEM IS :t.e.3 FEET FOR R-F'RI',,,'FITE NELL OR &59 TO 21;~)C1 FEET FROM R PUE:L. IC NELL DEPENDING UF'ON THE T'¢F'E OF PUBLIC NELL idINIP'!UM DIS;TFINCE FROM R F'Ri',,,'WI'E NELL TO a PRI',,,'R"FE SENER LINE I:S 25 FEE'( RN[:, TO FI COP'IMUNZT'¢ SEHER LZNE Z~S 75 FEET. 1,4E(.J_ LOGS RRE REQUIRE[:, FIN::, MUST BE RE'TURhiE[:, TO THE [:,EPRR'rMENT I.,.IIT'HZN SEI [)WES OF I'HE HELL. C:OIdPLETION. OTHER REQUZREMENT:5 MR'¢ RPPL?. :E;PEC~F'ZCRTZON% RND CONSTRUCTZON DIRGRFff'IS RRE RVR!LRE:LE TO INSLIRE PROPER IN:{;TRLLRT!ON. ! C:ERT!F'¢ THRT f: I Fffd FRMiLi'R.R (4i"FH THE REQLIIREMENTS FOR (]M,!-5;ZTE SEMER% FIND HELLS R~; SET FORTH B'T' THE MUNiE:!PRL. I]"Y OF ~NCHORRGE. 2: ! WILL INS'I"RL.L THE S"?STEM IN FIC:C:ORDRNCE HZTH THE CODES. 3: ! LINDERSTfiNC, TI-iRT TI.gE ON-SITE 'E;E].,.IER ?¢S!"EM MR'¢ RECiUIRE ENLRRGEMENT iF THE RESIDENCE Z~ REMCIDELEC, TO ZNCLUE:,E MORE 'THRN Z: BEDROOMS. RPPL. ICFP.,FF ZFd_Lh.% L NERNER ~ ~ 4 ~ ,...-,, ~/ ,_ A-. ~.. ~ ~ ,~. **~'7 :~d/(,) _ ~, ~ . ~.~., f' . ., .. ,. _ as' ~c, -, '/ - /' ,->' v .4. LOt '= MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 92E L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG -- PERCOLATION TEST SOILS LOG [] PERCOLATION TEST 5 6 9 r- StOPE WAS GROUND WATER SL ENCOUNTERED? hO o 13- IF YES, AT WHAT DEPTH? SITE PLAN P E 18 20- COMMENTS Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE minutes/inch) PERFORMED BY: ~J~'-~(~-~-f~ CERTIFIED BY: 72-008 (6/79) ALASKA ENVIRONMrd~TAL CONTROL SERVICE~ ~NC. 1200 West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 Phone 276-1361 JOB- SHEET NO. CALCULATED B~ CHECKED BY SCALE OF DATE DATE ALASKA ei dlRO[lme[1TAL CO[1TROL ~n§ineerin§ InC. October 9, 1984 Department of Health and Environmental Protection 825 t Street Anchorage, Alaska 99502 Subject. Lot 2, 5telioes 5ubdzvzszon; T12N R4P/ Section 22 Attention: John Kennedy The soil test was performed July 1, 1982, and soil was found suitable (150 sq. ft/bedroom) at 11-18 feet below ground surface. Prior to the installation of the on-site septic system, the top six feet of soil had been removed from the lot. This established a new ground surface at six feet below that represented in the 1982 soils log. Relative to this new 'surface', a depth of 8 feet would achieve the same installation, in the same soils strata, as represented by the 1982 ground surface, at a depth of 14 feet. That is, the same strata was utilized, with the same gravel deptO as the permit. The only alteration was cha~ging theground surface by removing the top six feet of soil. The 'top of tile to finished grade' portion of the MOA inspection report was specified as 5 feet. This represents the system (at a total depth of 8 feet relative to the new ground surface) that has 3 feet of gravel under the distribution pipe, the pipe (itself) end surrounding 9ravel, 2 inches of gravel over the pipe, and barrier material. The 5 feet represents the backfill of the system, from barrier material up to the 'new' ground surface (4.5 feet), plus 0.5 feet of 'mounding' over the system. If this office can be of further assistance, please contact us at 561-5040. Sincerely, Larry O. Montgomery Approved By: 1200 LUesl 33r(I Auenue, Suite [~. ~uchor~§e, Al sk 99503 ,{907) 501-5040 Box 11169, ~.~TAR ROIPI"E A ANCHORAGE, ALAli~KA 99502 ~_~-?~4 ,(] ~!/~ I':13:1 ~1~ SIX INCH WATER WELL DRILLED AND CASED OUT TO,THE DEPTH OF .-: , , DRILLED AT THE RATE OF ~?,00 PROPERTY OWNER Sq.C~'!._. ~:~P~CP, PER FOOT. NOIIDi~/O~d 'tV-LNi~NO~IAN:I gO'~dOh~NV =lO AIIIVdDINrlI8 LOCATION OF WELL $1TF £J-- 2 /o/t/gq t?,ct,te.~ ~h.m,se~ a.L~o.o~ c.%,..~'~.L c. Lec~ on. ~.2.r~c~L 92mu.~z~gc Nmpa'~. COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF ~'175. O0 THANK YOU VERY MUCH· H/~ Q~) ~/ / Th~E ~og~ / BERNIE CLAUS ~MPART DRILLING WORK~ ~ERVICE CHARGE O F I~% PER MONTH WILL BE AOSES~ED ON PA~T DUE ACCOUNt, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date_ ~'~--" / GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) . ,~ (b) Applicant i~ame ' ~,h '~.1' ~ ~3~' ~¢ ~¢~ Applicant Address ~ ~/~// -/~~ '~ ~ (c) Applicaot is (check one): Lendin'g Institution~; Owner/builder ~; Buyer ~; Other ~ (explain); ~.~ (d) Lending Institution Address Telephone '~Z **~ ~ *~-'~'~ '¢~'~ (e) Real Estate Company, and Agent Address Telephone (f) Mail the HAA~_to the following address: TYPE OF RESIDENCE Single-Family ~Multi-Famil~ Number of Bedrooms _'~ Other WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ¢~/ Public [] Community [] Holding Tank Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. 72-025 [11/84) Page 1 of 2 ENGINEERING PIFIM PRO¥iDING INSPECTIONS, TESTS, FILE SEARCH, D~TA 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 regulations in effect on the date of this inspection. Name of Firm Address Date Telephone Approved for ~-¢-~\.,./ b e d r o o m s ~~~.~..-~,,---~. ~ Approved ~ Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph $ above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy.certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 MUNICiPALiTY OF ANCHORAG~ DEPT. OF HEALTH & I:NVIRONMENTAL PROTECTION APR 16 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HA,~) CHECKLIST - FEBRUARY 1984 REC, EIVED. Legal Description: ~' WELL DATA Well Classification Well Log Present'N) Total Depth ,-'~ ~" Cased, to Static Water Level, Casing Height Above Ground Electrical Wiring in Conduit~)N) Separation Distances from Well: If~A, B, C, D.E.C. Approved (Y/N) Date Completed ~-7~ ~ ~'~ ~ Yield /9 I · Depth of Grouting Pump Set At 54~ / ~ Sanitary Seal on Casing Depression Around Wellhead (Y~:~) To Septic/Holding Tank On Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer i~ine' Cleanout/Manhole Water Sample Collected by Water Sample Test Results ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer TO Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Date Installed ~-~ [(/-~F Size standpipes (~N) A r-tight Caps~N) Depression over Tank (Y/~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) No. of Compartments Foundation Cleanout ~'N) Date Last Pumped · ///¢¢~ ;for Tempbrary Holding Tank Permit (Y/N) Separation Distances from Septic/Hol~ding Tank: To Water-Supply Well /'(~' To Prope~:ty Line "'~r-~' ~ To Water Main/Service Line Course [~0 TO Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72 026f11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 8 Width of Field Square Feet of Absorption Area Depression over Field (y/~l Results of Last Adequacy Test Type of System Design Length of Field ~"~' ~ Depth of Field ~ Gravel Bed Thickness .~ r Standpipes Present (Y/N) Date of Last Adequacy Test .,~ Separation Distance from Absorption Field: f (' To Water-Supply Well ] f'(~ To Properly Line ~-~ To Building Foundation ' ,-~'; / To Existing or Abandoned System on Lot ,,~/'"~ ; On Adjoining Lots To Water Main/Service Line ¢'~-~ 'f To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course f/~ 7E To Driveway, Parking Area, or Vehicle Storage Area /C? Comments D. LIFT sTATION Date Installed Dimen>si no'ss Size in Gallons / /A. Man~b edl'~/Access (Y/N) "Pump On" Level at I / //~---'/~"Pump Off" Level at High Water Alarm Level at //~/Y __ Vent (Y/N) Tested for J Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) J Comments J ** Check Permitte B(~edroom Rating Against HAA Request ** I certify that I have che&ked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~ Date , ' Company ¢¢~'~-'~5._~'~x~- MOA No. ¢~'.--o,~6¥ '" Receipt No. Date of Payment bi -- ) Io - ~'~, Amount: $ Page 2 of 2 72-026 811/84) ALASKa, ENVIRONMENTAL CONTROL SERVICES, INC: 1200 West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 Phone 276-1361 SHEET NO, Ol~ CHECKED BY MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONmeNTAL HEALTH DEPARTMENT OF HEALTH AND ENVIROh~MENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE i. General Information Application Date (a) Legal Description (include lot, block, subdivision, section, town,hip, Location (address or directions) (b) Applicants Name -~,,//,~Z~ ~)~.~,~/¢rF~ Applicants. ~dress_~z~-I '~w4.g}~.~,~ ~'~ (c) Applicant is;.(~6~ck one) Lending Institution Buyer ~ ; ~her ~ (explain); (d) Lending' Instit~f~on Address ~' Telephone ~ ; Owner/builder,.~; Tele~e (e) (f) Real Estate Co. & Agent Address Telephone Mail the HAA to the following address: 2. Type of Residence Single-Family r~. Number of Bedrooms 3. Water Supply Individual Well~ Multi-Family~--~ Other (describe) Community~-~ Public~-~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation 'attesting to the legality and status. 4. Sew~age Disposal Onsite~ Public~ Community~-~ Holding Tank~ Note: If community well system, must have written confirmation from the State d Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 5. Engineerin~ FirmProvidin~ 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 Fir /~.f~L Address ~ 2~DC~ /xJ 3'~*~' 7~/IJC~4o,?~¢~-_~_~L/~J/f'. (ENGINEER SEAL) 6. DHEP Approval Approved for_~_~bedrooms Approved ~ Disapproved __ Terms of Condiltional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES EASED 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 OP 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 A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN T}~ PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 Well Classification Well LoG P~esent ~N) Total Depth ~ ~ ~ ' ~d to Static ~te~ ~1 ca~i~ig~t' ~ ~nd Elec~i~l Wiring in ~n~it ~p~ation Distan~s ~ ~11: MUNICIPALITY OF ANCHORAGE (MOA) REALTH AUTHOP~ITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: If A, B, c~ C, D.E.C. Approved(Y/N) Date Completed 19' Pump Set At ~/~/~ ~ yield Depth of G~outing ~lO' Sanitary Seal on Casing (~N) Depression Around Wellhead (Y~ To Septic/Holding Tank on Lot /(9S! (~ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot //C)~ ; On Adjoining Lots To Nearest Public Sewer Line SJ//~ To Nearest Public Sewer Cleancut/Manhole ~3/F% To Nearest Sewe~ s~rvice 'Line on Lot Wate~ Sample Collected By ~iFL~ ~- ; Date Water Sample Test' P~sults B. SEPTIC/HOLDING TANK DATA Date Installed ~/~?/~g. ' Size /~O¢_~ No. of- Co,~a~tmsnts Stan~i~s ~) f / Ai~-tight ~ps ~) Foundation Cleanout ~ession o~ Ta~ (Y~ ~te ~st P~d P~ing~intenan~ ~n~a~ ~ File (Y~)~3/~ ; fo~ Holding Ta~ High-Wate= ~a~ (Y~) ~/~ ~y Holdi~ Tank ~t (Y~) . . ~p~ation Disbands ~ ~ptic~olding Ta~: ~,, To Water-Supply Well /6)G ~ To P~operty Line ,) ~-8' To..War. er M~i.n~Servi'ce Li~ ~/~ To Building Fcundation ! To Disposal Field To Stream, Pond, Lake, c~ Major Drainage J [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption A~ea Depression over Field _(Y~ Results of Last Adequacy Test Date of Last Adequacy Test /O~O~! Type of System Design Length of Field ~& / Depth of Field '8 ' ~ Gravel Bed Thickness 3~ Standpipes P~esent ~N) To I~ter-Supply Well To Building Foundation Lot 4~,/F~ ' To Water Main/Se=vice Line Separation Distance f~om Absc~ption Field: ! I0 / To P~ope=ty Line ~ ~ ! ~_~ ' (-~ To. Existing or Abandoned System cn ; On Adjoining Lots /~J,/F~t To Cutbank(if p~esent) To St~eam/Pond/Lake/c~ Majo~ D~ainage Co~se To D~i. veway, Pa~king A~ea, o~ Vehicle Sto~age A~ea D. LIFT STATION ~ /~//~/i/~/ ~ Date Installed nsions Size in Gallons % Ma~ccess (Y/N) "Pump On" Level at . ,~ Off" Level at. High I~l~ter Alarm Level at / ~ Vent (Y/N) Tested for jPu~ing ~cles du~ing Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request I oe~.tify that I have checked, verified, o~ confo~mad to all MOA BAA Guidelines in effect on the date of this inspection. KB1/d5/s [Page 2 of 2] Date~ MOA No. 2-15-84 ~"ewi/t Id £oun~bury ~ En~/nser$ -- SUrveyo£s ,~nchor~g~, . Alaska . DE.~CHI.°TI .~il I?pe, co/or, texture. 5~rnpl~r drlvin~ d~,ph~s clrculol/o.~ lo5I, b/ts u~ed, etc. S t, ~ 7 cc~ ~ ~n-to S~657 FEB 1_ 1978 o ~ S~GS? FEB ~ 1978