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HomeMy WebLinkAboutSUNSET HILLS BLK E LT 824/ MUNICIPALITY OF ANCHORAGE (2/{~ 24 Bt RTMENT OF HEALTH AND HUMAN SER' ;ES Environmental Health Division [~,~,..~.~. 825 "L' Street, Anchorage, Alaska 99502, Yelephone 264-4720 ON-SITE SEWAGE DIS~PP.OSAL SYSTEM AND/OR WELt. INSPECTION RI=PORT Nsme Address TANKS SEPTIC E~ HOLDING Cap,city in gallons V'Z.~ o DISTANCES ~- T0 SEPTIC ABSORPTION FROFtl '~ TANK FIELD WELL WELL lot / ~'~ ~.~ LOT LINE FOUNDATION TYPE OF SYSTEM TRENCH [~ BED L~ W. DRAIN (-~ OTHER WFLLS F'r FT L~ PRIVATE ~j OTHER (Identifvl I ~%L~P ~. ~ ~'~ ~%~ certily that this ir,sliection was p¢fl~r m~d aGc,r~i~lg to all Mtmicil)al ami State Guid¢ines in effect on I~i~te: Health Department ApprovaP. ~~/ 12-013 (3/85) 2 uni¢ip .tyof Anchorage P.O, BC 96650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES October 23, 1987 Oliver Tovsen Jr. 2320 Dennis Way Anchorage, Alaska 99515 Subject: waiver request for Lot 8 Block E Sunset Hills Subd. Waiver Request Nu~erWR87-063 Dear Mr. Tovsen: Your waiver request for the above mentioned parcel has been approved. The required 10 foot setback from a lot line to a septic system has been waived to 3 feet~. This approval was given since the lot line being encroached upon is in the front of your property against a 50 foot right of way(Dennis Way). This will insure that proper separation from other septic systems on neighboring lots will be maintained. This waiver approval is for this upgrade of the absorption field only and any future upgrades will be subject to another waiver approval from D.H.H.S. oerely, Daniel J. Roth civil Engineer On-Site Services cc: Gus Andress, P.E., Manager On-Site Services/Water Quality Programs Oct.15, 1987 Municipality of Anch. Department of health & human services 825 L street Anchorage Alaslta 99502-0650 I hereby request a variance for lot 8 blk. E Sunset. ]~ills that would allow me to upgrade my septic system agjacent to the road easement of Dennis Way. It is nesessary that I utilize the area up to my property line in order to have adequate room for the proposed upgrade. No other property set-backs will be encreached upon other than the road ~!;asement. Thank You Oliw~r Tovsen Jr, "'.'~'C/-iON OC ~ 1 O 1987 RECEIVED Lot Survey OerffBcmlon Jh~rebycertifyfl'*atlho~s~,v- ! ./,~. ;. eyedthepropertyshownond I r-v,-'." , 6~4:fibodhereo~,ondthCth~ /~ .' I '. , - ~, orewirninlt~proped~l~e~ond I¢¢r .' ~., ~ t'x ., ~ ~ odjocenlpropertyondfhotno 1~ ;, ;~' ", , 'J ._ -- 1. ~ ertyo,,~toporencrocx:hontbe -:~. ,~ ~' s- ,. Prepored by BENCH MARK INC. Professionol Lond Surveyors Scale: I" : 30' Dote Drawn: id} - 2. [:kCoAo-I~ll~ I0- 2 q-85 Dm~Drown: Field Book: Legal De,w. riMlon: Lot 8, Blol t~O. # ;k E, Sunset Hills Subd. Proporod for: '<.4 ; ~,~'/~' ~ ,: " .... I ' ",, "', ~ b ~ ~ ~'~'%'~.~ * '~j~ E R ' S SEAL, MuRicipallty of Anchorage ~~_~~ 825 "L" Street, , Anchorage, A aska 99502-~ 0~5~~~~ SOILS LOG -- PERCOLATION TEST ~ ... DATE PERFORMED: ~ Township, Range, Section: ~C SLOPE SITE PLAN 9 10 WASGROUNDWATER Reading Date Gross Net Depth to Net Time Time Water Drop · - ,v ~ ~ -~- ~ I~'~''~ ~' O~ ~ ~ %t 17- 18- PERCOLATION RATE .-' ~__ (m,nutes, mch) PERC HOLE DIAMETF~R~--~ ' N MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchora§e, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELL INSPECTION REPORT ~/'~ ~ol./~'~ [] UPGRADE ~AIUNGADDRESS LEGAL DESCRIPTION ] Well ~ Absorption area l Dwellings DISTANCE TO: ] I (/O / Inside length /Width U..f~.~)in gallo.s IF HOMEMADE; DISTANCE TO: [Well NO. OF BEDROOMS PERMIT NO. Dwelling PERMIT NO, Manufacturer Material Liquid capacity in gallo~]s PERMI~'~O ~3 0 l'rencb ~c~.~]// Distance between lines inches DISTANCE TO: Well No. of lines I ~ Len~tl~)~/each line / Top of tile to fimsh'grade ~-~' ---- F°und~°i~/ Tota~e,9.~t~} of lines Material beneath tile Total eff~ti~a~.~orption area L0ngth Width Depth PERMIT NO, Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation DISTANCE TO: 31ass Depth Driller Building foundation Sewer line DISTANCE TO: Nearest lot line Distance to lot line Septic tank OTHER PiPE MATERIALS C, 27. EOIL TEST RATING INSTALLER REMARKS =~PPROVED DATE LEGAL Absorption area(s) 72-013 (Rev, 3/78) PERMIT NO, ( '?00438 FIPPL I CF1NT LOCFIT I ON LEGFIL i',ILli'-~I 1[ t=: .l: [:,pi_ [ DEPRRTMENT OF RI.TH FtN[) ENVIRONMEN"FRL 8,25 'L~' STREET, f~NCHORFIGE.. ()LIVER TOUSEN DEENNIS 1.4RY 6~4~ TERRY PLACE L 8,, B E SUNSET IIILLS SUB I'YF'E OF SOIL RDSORBTION SYSTEM IS: TRENCH f'lfi~4~Mt.IM NUMBER OF BEDROOMS SOIL F',RTING '{,S~. FT/E)R)=: :1.'15 THE REQUIre. ED SIZE OF THE SOIL FIB2qORPTION SYSTEH IS: THE LENGTH DIMENSION IS THE LENC~TI"I <IN F'EET) OF' THE TRENCH OR DRf'~INFIELD. THE DEPTH OF R TRENOt4 OR PIT IS TIlE DISTRNCE BETWEEN THE SURFACE OF 'f'IJE GROUND RNO I'HE BOTTOM OF THE E~<CRVRTION (IN FEET..':'. TIIERE I5 NO SET WIPTt4 FOR TRENCHES, THE 6RRVEL DEPTH IS THE MINIMUM DEPTI4 OF GRFIYEL DE'FWEIEN THE OUTFRLL. F'IF:'E RND THE BOTTOH OF THE EMCRVFITION KIN FEET). F:'ERMII' RPPLICFINT t.tfiS THE RES~PONSIE:ILITY TO :[NFORH THIS DEPRF.:I'MENT DURINt3 I'HE IN'-STRLLFITION INSPECTIONS OF RNY WELLS RDJRCENI' TO THIS PROPERTY FIND THE NUMBER OF RESIDENCES THRT THE WELL WILL SER',/E. BF'ICKFILLINI.3 OF RNY SYSTEM WITHOUT FINRL INSF'ECTION RND RF'PROVRL B'¢ THIS; DEPBRTMENT NIL[, BE: SUBJECT TO PROSECUTION. MINIMUM DISTF1NCE BETHEEN FI WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR Fi PRIVATE WELL~ i50 TO 208 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC HELL. WELL LOGS RRE REQUIRED RND MUST BE: RETORNED TO 'file DEPARTMENT HITIIIN ~0 DFIYS OF THE WELL COMPLETION. OTHER REf~UIREMENT5 MAY APPLY. SPECIFICRTIONS AND CONSTRUCTION DIRGRRf'IS RRIE RVRILRBLE TO INSURE PROPER INSI"RLL, RTION. CERTIFY THFIT I RM FBMILIAR P.IITH TME P, IS~UIREf"IENTS FOR ON'"':~,II'E SEWERS RND I4EI...LS FIS SET FORTtl BY TIlE MUNIC]PRLITY OF Rf'tCltORRSE. I NILL INSTFILL THE SYSTEM IN RCCORDRNCE 14ITIt THE CODES. ~ UNDER~TRND THRT TME ON-SITE ~;EI4ER SYSTEM MRY REG~UIRE ENLRRGEMENT If: THE RE;S~DENCE IS REMODELED l'O INCLUDE MORE TItRN 4 BEDROOMS. SI~NED: __, ~ _ RPPLICFINT ~LIV~]~ ~OUSEN ISSIJED D __DFITE_ _ '¢3:. 2 IKEN'S COMPANY WATER WELL DRILLING (~) ~.78~ ~!~ ~IND~N ~IY~ August 14, If/3 WA£ER ,~'ELL Oliver Tovsen Sunset Hills Sub. O' to Zl' Gravel and brown silt 21' to 33' Glacial till, ~u, v,.!l ~,nd ?'ay sil~ 33' to 43' same, but ~,ore ~r'~vel ( fil'm ) ~3' to l~?' cement -r~v~! (,,,,:.~y ti'hr ) $7' to 50' Boulders ( b.:.~-l~ ) ~0' %0 56' oe~ent -5ravul with cobb]. 's ~6' %o 58' large boulJer ( b-,..:a]t ) '...e off :'~uddinS bit put on bu~tcn ~it ~% ,",~': .... d:'il] hole thru boulder & :~hout 58' tO 89' cement ~r. vel ( 89' to 95' Glacial till ( 95' to 108' Sandy silt with 108' to 113' Sandy silt with ~23' to 116' clean sand and cont. drilling ti ~,ht ) ti'hr, but dri]l:~ open ) fravel mixed brown ,~eat :?i~avel, reed, 10' water... e~;tablish more head 1~6' to Clean ;,:ed, sand and .:,ravel, 17' of water water bear in~ test bailed one hour ;~t I0 SEro no drawdo~% and clearin~ Set test Pump&d one huur ;~t 8 GPA,: No drawdown Clean and clear in ~5 l~:in, Set pump a't ML 31PALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION SOILS LOG - PERCOLATION TEST PERFORMED FOR: Executive ~ l~,,~,ea~_~ LEGAL DESCRI?TION: 1 2 3- 4 ( John L. Kumb ) Sunset Hills sub. DATE PERFORMED: 3:0/__7Z'7 7 SLOPE SITE PLAN Reddish Silt Sandy Gravel occasional Bolders Gravelly Sand 11 12 13 WAS GROUND WATER ENCOUNTEREO? IF YES, AT WHAT DEPTH? 14 Reading Date Gross Net Depth to Net ]~C)'b. tOfQ Of ~ces~ Time Time Water Drop 15 16 17 18 19 20 PEF~COLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND ......... FT ~d 125 ~e Feet fr~n -7feet Lo 14fee~. 72-008 (7/76) MUNICIPALITY OF ANCHORAGE ': ~';~'' : DEPARTMFNT OF HEALTH & HUMAN SERVICES ' ' '~' DIVISION OF ENVIRONMFNTAL SERVICES · CERTIFICATE OF INSPECTION FOR hEALth aUthORiTY APPROVAL OF ON-S TE SEWEB WATEB ' ' 264-4744 GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section,'township, range) (b) Location (address or direction~,~A,~ Property Owner ~ 0£[U1~12.' -r~¢..~-elephone. Home "i~4..~""O~1~"~ Business Mailing Address ~k~ ~ ' ' Lending Institution Telephone Mailin9 Address (c) (d) Real Estate Company and Agent Address (e) Telephone Mail the HAA to the followinq address: or: Check here~ if hold for pick up. List contact person and day phone number below. l'b 'S4- f- 4 &7 TYPE OF RESIDENCE Single-Family J~ Number of Bedrooms __~...~ WATER SUPPLY Individual Well J~ Community [-I Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL ' ()nsiteJ~ Public [] Community [] Holding Tank [] Note; If community ~vell system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 77-025 fRev ~/8§1 Front ' leUO!~!puoo · '// '9 uo loolie u~ suo!~e e6oj pu~ ,seoueu~pJo ,sopoo ellis pue redlo~un~ e ql M ooue~ld~OO U. si melsAs l~sods]P Ja~e~s~ Jo/pu~ ~lddns JO[~M Olig-uo eql 'uo!loodsu~ pue uo!lBDllsoAui Am moji pu~ sel!J e6~Joqouv jo AHl~dio!un~ emi peum~qo uo.~emjo~ul eql uo peseq i~ql ~peA ~eq~nl I 'u[eJeq pel~mpu{ eJnjon~is ~o ed~ pug smooJpeq jo jeq~nu eql ' i~uo~iounj 'ejes si ~e~s~s lesodstp Jej~Mel~M ~o/pu~ ~[ddns Je~eM eHs-uo eq~ igq~ SMOU9 leAoJddv ~lpoqlnv menbep~ pug . . · ,q~ieeH s!q~ jo uo!l~6!~se&ui Am ~q~ ~lueA I 'MOlaq UMOqS elup UO!leP~leA e~l jo s~ puu oleJeq pexille lees ~m ~q pe!l!Peg sv NOI~OJNI ON~ ~d ~HOBV~S ~llJ 'S~ ~SNOI~O~SNI 9NlalAO~d ~lJ 9Nl~t~Nl~t .§ .... ,~c,~ MUNICIPALrrY OF ANCHORAGE (MOA) __,¥~.,¢ of A~tL.~,,~,~.,,,/:,~'F~kI,,,'T~4 AUTHORITY APPROVAL (HAA) .~L '-~L~ O ~ CHECKLIST- FEBRUARY 1984 .- Legal Description: ~ )~ ~ ~~ ~[{. WELLDATA ~~''~ Well Classification ?~IU~ . If A, B, C, D.E.C. Approved (Y/N) M/& Well Log Presen(~N) Total Depth I I ~. I Cased to I I ~ Static Water Level I CO ~' Casing Height Above Ground r'~,1~ Electrical Wiring in Conduit~__.~N) Separation Distances from Well: TO Septic/Holding Tank on Lot _ J (~) ~ TO Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line I¢//~ Cleanout/Manhole J~/A Date Completed g1~0¢1~7 Yield _ Depth of Grouting Pump Set At Sanitary Seal on Casing(~N) Depression Around Wellhead (Y/O- t ; On Adjoining Lots 1~7 ;On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Water Sample Collected by ~" '~[). ~U~-'-.~'['~T' : Date Water Sample Test Results sA'ri s~,~(~::["~l~.V , ¢ {T~,~_~I~*~ comments ~ ~¢ ~f q~ B. SEPTIC/HOLDING TANK DATA Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well I 0 To Property Line I To Waler Main/Service Line ~J/A Course N /A OIA ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72 026 fRev 8/861 Front ABSORPTION FIELD DATA Soils Rating in Absorption Strata I ~'~ Date Installed Width of Field ~ .'~ ! Square Feet of Absorption Area Type of System Design Length of Field ~¢"'~ .""7 Depth of Field I ~ ! Gravel Bed Thickness ~ O t Standpipes Present(~N) Depression over Field (Ye · Date of Last A~quacy Test Resultsof Last Adequacy Test ¢"~,"~ ~ f~-~ ~ ~e/. ~ ,% Separation Distance from Absorption Field: TO Water-Supply Well To Building Foundation Lot I ~1 TO Water Main/Service Line ~4~/A To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line To Existing.42/: Abandoned System ; On Adjoining Lots To Cutbank (if present) ~/,~ on I0! Comments Dat "~. Size in Gallons "'"--. "Pump On Level at ~-~, High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ~-"~'~ ..... Vent (Y/N) %~'~% Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify tha.,~ha, ve checlged~.ve.A~ed.or.c.~nformed to all MOA and HAA guidelines in effect on the date of this inspection. S i g n e d~_,~'~'l ~/~'/,~~ e Company~'~.~(~ ~OA NO. ST ~ n c iptNo. CO Date of Payment Amount: $ ,/ ~ O a~ ~ ,~ Engineer's Seal Page 2 of 2 7~-026 (Rev 81861 Back A.W. MURFITT COMPANY, INC. Consulting Engineers & Testing 13810 Venus Way, Ancho ~., AK 99515 eoU ¢ S~.T p,l LLS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAl. HEALTH CERTIFICA~ E OF INSPECTION FOR HEAL'FH AUTI-tORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264~4720 / ,] Application D ate GENERAl. INFORMATION (a) Legal Description (include lot, block, subdivision, sectioa, township, range) L0catlon'. ~;~,d. r~es or directions) 7 ,~v~(b App cant s chebk'o[~e): Lending Institation [-_]; Owner/builder~; Buyer []; Other [~ (explain); (d) .,:'Eend~n~ Inst~!tt~ Add'~gs§ (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: L}- TYPE: OF RESIDENCE Single-Family~t,.~ Multi-Family Number of Bedrooms Other WATER SUPPLY Individual Well'~/ Community E'_J Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and states. 4. SEWAGE DISPOSAl. Onsite'/~ Public [.3 Community L-q Holdirlg Tank L~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 ENGINEERING FIRkq PROVIDING INSPECTIONS, TESTS, FII. E ,:,EARCH, DATA AND INFORMATION ~ As cedified by rny seal affixed holeto and as of the validation date shown below, I verify that my investigation of this Hea~th 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, tho 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 /¢ ~'~'~ Telephone ~'~'~'~'~ ~0: Address /¢00 ~ ~ 6. DHEP APPROV,~,~ ( ~,- J~ / Approved for ~zT' "bedrooms by ~ --.._ Date Approved Disapproved CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DNEP 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 7P-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) i¢,UNiClPALITY oF ACi~.i~C3~IllEAUTHORITY APPROVAL (HAA) D~PT. O~: HE^I3'H &C_H,i~CKLIST- FEBRUARY 1984 ENviRONM~N'fAL PRO'f EcTIrJN' 264-4720 OEO 1 8 '~!~ Legal Description' ,~a7"'- ~ WELL ATA RECEIVED Well Classification f A, B, C, D.~ Approved (Y/N) Well Log Prese~) ~_ Date Completed ~-/T ~ Yield Total Depth ~_ Cased to ~ //~ Depth of Grouting ~ Casing Height Above Ground Electrical Wiring in Conduit~N) Separation Distances from Well: To Septic/Holding Tank on Lot /ol To Nearest Edge of Absorption Field on Lot Sanitary Seal on Cesing(~N) Depression Around Wellhead (Y(~ / On Adjoining LOtS ./ I1~.- ' : On Adjoining Lots To Nearest Public Sewer Line ,4/'//~' To Nearest Public Sewer Cleanout/Manhole W~',,///¢ _ To Nearest Sewer Service Line On Lot Water Sample Collected by /~"~ /¢'/x)/~/ . Date Water Sample 'rest Flesults Date Installed ¢'/¢"70~' Standpipes~")N) Depression over Tank (YN~ SEPTIC/HOLDING TANK DATA Size /~-~'~ '"~"~"' No. of Compartments Air-tight CapsCN) Foundation Cleanout~) Date Last Pumped Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line ~o .,water Mai?TSer~ ce Line /o Y- rnporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field ~ / To Stream Pond. LaKe. or Major Drainage "., pa~) '"" ' elof2 , ,,, ¢ 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~'~/~} Date Installed Width of Field Square Feet of Absorption Area Depression over Field (YN~ L Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well //~T''/- To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field / Depth of Field _ Gravel Bed Thickness Standpipes Present(~) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots .~"O / "/" To Cutbank (if present) Comments "Pump On" Level at ~ High Water Alarm Level at ~ Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ~"~"'"'R ur:Q~e~.s during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I ha.v.c~eCCed, verifle~d, or conformed to all MOCand,HAA guidelines in effect on the date of this inspection. Signed _~--~''/ ~tM'/'/~"~" Date /~/[r/ compa,y MOA,o. Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) ALASKA eDUIROrlmeDTAL cOrlTROL SeRUlCeS, IlqC. ~nqineerinq 8 ~nuiPonmenlol Studies i2/18/85 OLIVER TOUSEN 2320 DENNIS WAY ANCHORAGE ALASKA 99515 50825 SELLER-OLIVER TOUSEN OLIVER TOUSEN 2320 DENNIS waY DEPT, OF HEALrH& ENVIRONMENTAL PROTECTION OEO 1 8 1985 RECEIVED LEGAL:SUNSET HILLS BLOCK E LOT 8 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-12/16/85 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 570 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 89 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 89 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A HOME OF 3 BEDROOMS. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 10/28/85 . FLOW TEST ON WELL WELL FLOW DATE-12/16/85 A FLOW TEST WAS PERFORMED ON THE WELL. 622 GALLONS OF WATER WAS PUMPED AT A RATE OF 6.9 GPM OVER A DURATION OF 1,5 HOURS. THE DRAWDOWN WAS 1.5 ' WITH A RECOVERY TIME OF 5 MINUTES AND THE STATIC WATER LEVEL WAS 99.6 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME, 1200 LUcsl 33rd ~u~nus, ~uil~ ~,Anc~ord§e, Aloskd 99503'(907) 56~-5040 ALASKA ENVIROh ;NTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite [3 ANCHORAGE, ALASKA 99503 (907) 561-5040 CHECKED BY DATE D~PT OF HEALTH & MUNICIPALITY OF ANCHORAGE ""' R- 'E DEPARTMENT OF HEALTH 8{ ENVIRONMENTAL PRCTEDTIO~I~¥ ~JNM NTAL PROTECTION 825 LStreet-Anchorage, AlaskaBB[i01 OCT l, 3 1978 ENVIRONMEN'rAL ENGINEERING DIVISION Te,e,bo,e 26 -"720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10} days for prDcessinS, 1, PROPERTY OWNER MAILING ADDRESS PROPERTY,~ARESIDEN'r_ . ill different/fromr':--~"''~-' above) //. ?- ,~ ~-~ /~'/'~ cZ~ "/"~J:c~'~t/("/t PHONE 2. BUYER PHONE MAILING ADDRESS 3. I. ENDING INSTITUTION PHONE MAILING ADDRESS REALTOR/AGENT ...... I PHONE MAILING ADDRESS E. LEGAl. DESCRIPTtOF, STIq ~ET L. OCATIOK 6. TYPE OF RESIDENCE fi~ SINGLE FAMILY ~ MULTIPLE FAMILY 7. WATER SU.~PpLY .~ INDIVIDUAL~ ~ COMMUNITY ~ PUBLIC UTILITY 8, ,~SWAGE DISPOSAL SYSTErvl "~ INDIVIDUAL/ON-SITE** ~ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BE[FORE PR DCESSING CAN BE I ~JITIATED. 72-010(3/78) NUMBER OF BEDROOMS r-- On(! ~ Four ~ Other_ ~ Two [] Five [] Three ~ Six ATTACH WFLL LOG, A well log is required for all wells drilled since June 1975, For wells drillec or,or to that date, give well depth (attach log if available,) ~°lf individua/on-s~te, §~ve installation date ,. If system is over two 121 gears old an adequacy test Is raquired THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TiME TIME TiME DATE DATE DATE INSPECTOR ~NSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE iNSTALLED []PUBLIC UTI LITY '-'~ I cf_? ~ Connection Verified INSTALLER []Septic Tank or []HoJding Tank ~,,-,./:~/3 ,,~ Size: !,~<'-O If Tank is Homemade SOILS RATING give dimensions: / /~ TYPE OF TANK MANUFACTURER~ . . TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line B. COMMENTS ~PPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev. 3/78)