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SUNSET HILLS WEST BLK 4 LT 11
MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SFRVICES Environmental Heallh Division ~.) / cC~ '~ ~-) ~ 825 "L" Street, Anchorage, Alaska ggs02, Telephone 264-4720 SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~ L.~ C_. ~ C~ ~ DISTANCES L~ ~ J~c~_ ~.c J~J]g~ ~ TANK FIELD _'WELL . t . . , TANKS ~. SEPTIC [] HOLDING TYPE OF SYSTEM TRENCH '~. BED J~ W. DRAIN E~ OTHER WELL Depth to pipe bottom hem Nunlb~ol I~n~'- Soft ratulg /~ PRIVATE [] OTHER fldentifv) FT FT O C-ED, Scale: h]$pections Performed by Menicipal alld State guidelines in ellecl on Ihis date: __ Health Department Approvat: '~/J'-~'~ __ cerlily that Ihis inspection ~',as perlormed accorflinll lo all -013 (3/85) Tom Fink, Mayor / unicipality Anchorage Department of Health and Human Services 825 "L" Street P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 30, 1988 Richard C. Button, P.E. Engineering Evaluation & Investigation Service 200 West 34 Aveneu, Suite Anchorage, Alaska 99503 267 Subject: Waiver Request for Lot 4 Block 11 Sunset Hills West S/D Waiver Request ~WR88-059, Permit #880210 Dear Mr. Button: Your request for waiver of the required 10 between a septic system and a lot line has waived dis-tance J.s zero (0') feet. foot separation been approved. The This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, Daniel J.~oth Civil Engineer On-site Services DJR/ljw97 8~,:Y,:.~, L St r' u!et ~, Anti,or ac!c.'~, A 1 aska 9950 1 343,...47~.~0 0 N S itl E ~3 E W E R F' E R M I '1 F:'e~'~m:i.i', Number.: CI~3()2]() H.I:[;I-IAlii:L. D. L~LICKNEF': 168() :1. I::~! AlxJ S [)lq F~ II]iii Fi AI,,II.;tII]I'(AiiE, AK 995 J 6 [)ay J::'J~ C)I"J ~?! ~ B 1 Cl C: ,h: ~, ]. i:.;I-I~: I :I:I:::Y fHA I J,,, ] ~:dh [';,~miJ idll' b.l:J. Lh 'It, hE) PI~:)CILIJ. I'C)I1H:.!I]t!a 'J'[)l' c]r]..,,,iBJ.'~..({) sewems and weI. J.s i(:)r'~',.l'l I::)y [IH'-) IqLu'l:i.c~pa].:i,'l',.y OJ' /~l']c;hl:~l'c:~ge) (IqJ]A) and i:.he Stat(.~) ot A:lasl<a. ;2,, :[ u,]:L],J. :i. nsi'.a]J Lhe ~ByEitl..Hil :i.n ~u:::c:clpdal'lcc~ ~,~'[.i~ E:~].]. MOA c;cH::le~i al"H]J :.:~.. :1: ~J;L].:J.aclher'e 'L(;:~ all VJOA and Si'.a't.e o{' Alaska I"CH]L.t~.['(~)ffi6:e~'~ts f'c)P 'Lh(:~.) [~e't. back (Owen.m) M.~:CI'IAEI. D. B~IU, I<:NEFR Tom Fink, Mayor / unicipality Anchorage Department of Health and Human Services 825 "L" Street P.O. Box '196650 Anchorage. Alaska 99519-6650 343-4744 September 30, 1988 Richard C. Button, P.E. Engineering Evaluation & Investigation Service 200 West 34 Aveneu, Suite 267 Anchorage, Alaska 99503 Subject: Waiver Request for Lot 4 Block 11 Sunset'Hills W~st S/D Waiver Request $WR88-059, Permit $880210 Dear Mr. Button: Your request for waiver of the required 10 between a septic system and a lot line has waived distance is zero (0') feet. foot separation been approved. The This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval front this department. Sincerely, Civil Engineer On-site Services DJR/ljw$7 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION.: HII.I-~' 1 2 3 4 5 6 7 8 9 10 11 TOwnship, Range, Section: SLOPE 13- 14- 15- 17- 18- 19- 20 COMMENTS PERFORMED BY: SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Deplli lo Waker Aller Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE -- TEST RUN SETWEEN ~'~' . (mlnules/~nch) PERC HOLE DIAMETER FT AND ~'~ FT CERTIFY THAT THiS TEST WAS PERFORMED iN ACCORDANCE WIT'H ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) -- unldpallty of Anchorage DEPAR.T. ,,MENT OF 825 L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL D~SCRIPTION: ~6~' ~[~ ~ff~ ~ownship, Range, Section: WAS GROUND WATER ENCOUNTERED? 6 7 8 9 10 11 12 13 14- 15- 16- 17- 18- 19- 20- S L IF YES, AT WHAT C~ DEPTH? ~ '-'~ E Oepih to Water After Monilarinl]? Bate: COMMENTS PERFORMED BY: ACCORDANCE WI~H ALL STATE AND MUNiCiPAL GUIDELINES iN EFFECT ON THIS DATE. 72-~8 [Rev. 4;85) Gross Net Depth to Net Reading Date Time Time Water Drop ~"te Ft...~,-5-' ~, ',"",", ~,~ ~,0~ tz..,,~-? ' to ,,,,,,~ ~'0~ lt~' ~o~,~ ~,o~ ~EST RUN BETWEEN ~1~ FT AND ~ F~ unJcipality of Anchorage DEPARiI',,MENT OF HEALTH & HUMAN SERVICES 825'L Street, Anchorage, Alaska 99502-0650 ~' SOILS LOG -- PERCOLATION TEST gATE PERFORMEOb~ ~ LEGAL D~8CRIPTION: ~ W~ Township, Range, 8eotion: ~ ~.~ SLOPE SITE PLAN I' N 3 4 5 7 8 9 10 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT Del)th t0 Water ADer 13 - Moniloring? Dale: Reading Date Gross Net Depth to Net Time Time Water Drop ~,~ ~,~:~o i~,4 .,.. I 14- 15- 16- 17- 18- 19- 20- PERCOLATION RATE __ (m~nutes/inch) PERC HOLE DIAMETER ~-~ [( _ TEST RUN BETWEEN (~"~ FTAND J~ FT ' -~ //~o~4,1wj ~O~l~ COMMENTS ~ ~ ~t~ ~ ~ ~ ~' * I~ ~ PERFORMED BY: ~L~ ~ I '~C~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. OATE: [O[,~ ~ 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ~ ~*~ C-..(~f-J ~.~T~ c~~') (~ LEGAL DESCRIPTION: ~5~ ~[~5 ~ 1 2 3 4 5 -- 6 7 8 9 10 11 12 13 14 15 16 17' 18" 19- 20- Township, Range, Section: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? SLOPE Depth [o Waler Aller MonJlorJng? Dale: SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop ~, / ~ I',o~ lu ~,,~ 0,~~ 1,0~ ~ ,0~ , .i,, . ,J"~ .... )0~ ),O~ COMMENTS PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) TEST RUN BETWEEN ['~ FTAND ~oO FT m .~.¢ 6v~ CERTIFY THAT THIS T~ST ~A~ PER~ORME~ b LoT' L.~v¢l. V.,'~o c, . I/"/, ' '~ N..4-8 ' 07' LOT 17. .¢ ',o1't CE _A PLOT PLAN OF.: LOT II ~,LC:K 4- · SUN$~ HIIJ.,~ WEST 5uBO. )Topof foundot~wallele~llon · 103.0 elevatl~s are ~d ~ ~UP)EO datum. It s~all ~ the r~pon~lblllt~ of the ~[lder or ow~r to verily l~at lhe building ~tlon e~own m~t~ aH eubd[vl~Jon ~ ~ I~al zoning ~ e~ ~dl~n~e.. PREPARED FOR: PLOT PLAN / .... J- I~,t~ND ~_ / / ~ ~ ~ ' ~ . . ,./" , ~ ~ o .I - '~,~: ~~"'°'~'~'''''~'''/':-'~0~'~- ~' ~,~, ' ,,.~ '' ,~ -~" ""~ :,-.. ~' ' '~~~ '~,~.. ' ~ ==~' , ~ ' ~" , / / I~~ ~'~:; : ..":.:~.:::~?.:.~:,.:U:, ~/~o~, I I ' I~t X ~E~o~ ~ '-,:./~:~' ': ',, ~'/~ / / / .~~ ~ . ~ /.X , ,,~.. I r. , I. I ~:~_ ~ ~' Z'~ ~' ~ ~ .......... ~t~ , ~. Z , ~' ...:;~ ~ j9 , · 'P"~~~'--', of foundat~.all,le,hon. ,o~.o _ PLOT PLAN ~ ~% ~ ~31 ff .V/>) /It shall be the r~pons b y of the ~ilder or o~r to verlf~ 4a-d~.% cc u .. :'J~ / thai the building b~tion shown m~ll all subdlvlsl~ co~ G£O· FIGURE 7-10 TYPICAL MOUND SYSTEMS Straw, Hay or Fabric-~ Cap-~ /--Distribution Lateral ~':.,Z~,.,----~'~--~, .-'~-~Rock Strata or Impermeable 5o~1 Layer~?-~-: ~'~ '~--~- (a) Cross Section of a Mound System for Slowly Permeable Soil on a Sloping Site. Straw, Hay or Fabri Cai Distribution Lateral ption Bed 'er of Top S'oil Permeable Soil (b) Cross Section of a Mound System for a Permeable Soil, with High Groundwater or Shallow Creviced Bedrock 24O FIGURE 7-11 DETAILED SCHEMATIC OF A MOUND SYSTEM Layer of Straw or Marsh Hay Sandy Loam Soil 1 ~A" Perforated Laterals Diversion for S u r f'.a.c.e.. Water 3A,,_ 21/2" Clean Flock · Sand Fill' ~ ,. ~. ,:.-.~.. Slope Sod Lay . ..~ Broken Up'.-.~--~,;' ~ 7.2.4.2 Application ao Site Considerations Site criteria for mound systems are summarized in Table 7-7. These criteria reflect current practice. Slope limitations for mounds are more restrictive than for conventional systems, particularly for mounds used on sites with slowly permeable soils. The fill material and na- tural soil interface can represent an abrupt textural change that re- stricts downward percolation, increasing the chance for surface seepage from the base of the mound. 241 M-W DRILLING, Inc. P,O. Box 110378 · 10330 Old Seward Hlghwey (907) 349.8§3§ ANCHORAGE, ALASKA 99511 87-202 DRILLING 1.0~ WeU Owner' Bob Smith _UseofWall Domestic Leeation (address of: Township, Range, Section, if known; or distance main road Lll B4 Sunset Hills West Subdivision Size of casing 6" Depth of Hole_ .,107 ' Static water level 70 ft, (.a~b..l~i!:,~. ~17~ ) Screen ( ); Perforated ~( .,~ ~ Describe screen or perforation , ~ Well pumping test at .[0 gailohs Pet of drawdown from static ~el,,. }~! ,; · Dare of complatto. 3o Ootop? s7 Depth in feet from , ::. ,:;, ~ ground surface 0 TO 2 feet Cased to 106.90 ' feet land surface, Finish of well (check one) open end (XXX); (minute) for 1 _hours with-- 100% It. WELL LOG Give'd~tatls Of formations penetrated, size of material, color and hardness 2 TO 4 4 TO 7 5 gravel gravel 75 .TO 100 ravel (wet) _100' TO 105 __TO __.~TO .TO .TO 105 107 ¥~lJ~lC ~At 'l.v 'OF ANCHORAO~ ?ROTECIION .TO .TO .TO .Ta __,TO .TO I./ Certificate No's, 814 & 973 1 -- CUSTOMER Anchorage P.O, BO.. i96650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 ~T~{R~X~R& Tom Fink, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 12, 1988 Victor C. Smith PO Box 92705 Anchorage, Alaska 99503 Subject: Lot 11 Block 4 Sunset Hills West Subdivision Permit #870288, Tax ~018-203-24 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1987. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report (three-part form) must be sent to this office for review and approval, and for documentation. Effective January 1, 1988, a new fee schedule is in effect. When re-applying for a new permit, the new fees are; $90.00 for an on-site sewer permit; $50.00 for a well permit; $140.00 for a combined sewer and well permit. If there are any further questions, please call this office at 343-4744. Program Manager On-site Services RWR/ljw enc: Copy of Permit MUNICIPALITY OF ANCHORAGE Department ~ Health and Environmenta2 rotection Pouch 6-650, Anchorage, AK 99b02 ~- 4744 On-site Sewer/Water Permit HANDWRITTEN Permit No: ~.~,~ Date Issued: _/~--~ Applicant: Address: ~,~ Legal Description: s/m: /////< Lot: // Block: Section: Township: Range: Lot Size: /~_,~ .~0~ (Sq. Ft. Lot Location: Max Bedrooms Listed below are the options available to you in designing your septic system. Choose the option that best fits your site. TRENCH BED W. DRAIN Depth to pipe bottom(ft.) Gravel depth (ft.) Total depth (ft,) Gravel width (ft.) Gravel length (ft.) Tank size (gal.) Soil rating (sq. ft./hr) ** Gravel length 75 feet requires multiple runs (not exceeding 75 feet each) ** Tank must have at least two compartments I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage(MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for the maximum number of bedrooms stated above, and any enlargement or modification will require an additional permit. IF A LIFT STATION TS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVER WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL W0j~k MUSTfq~ DONE ~YA LICENSED ELECTRICIAN. SIGNED: fL~/~ ~W~/k.~. ~/~' .... DATE: /~) ~ ~ ~? Applicant ~-- ~ ~/ ~ /~ SWP/024 rev.1/85 Municipality of Anchorage DEPARTMENT OF HEAL'rH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION 'rEST PERFORMED FOR: L~GAL DATE PERFORMED Township, Range, Section: ~__ ~ ~i ~ ' SLOPE 1 2 3 4 5 6 7 8 9 10 11 13- 14- SITE PLAN WAS GROUND WATER ENCOUNTERED? 16- ' ~ 17- 18- 19- :q .-, ¢ 20 - ~ ')~.~. ' '~i~,?- IF YES, AT WHAT -..~-~ O DEPTH? p E Del)ih lo Water Aller Meniloriflg? I)ate: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ TEST RUN BETWEEN __ COMMENTS PERFORMED BY: _"~C',"f~'G¢ (minutes/inch) PERC HOLE DIAMETER FT AND ~-~ FT ~ [/T'[ff''~'J CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, [)ATE: 101 (~ I~'] 72'~08 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 '~L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TES't 5 6 8 9 10 ~,',:-~" ,~ ~ '~ Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? 11 12 13 14 15 16 17 18 19 20 COMMENTS S L IF YES, AT WHAT O DEPTH? p E Deplh to Water After M0eiterinD? Dale: Reading Date Gross Net Depth to Net Time Time Water Drop · , , ," PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TESTRUN BETWEEN _ ~,t~ FTAND 'J~L~__FT _.~.~.L, t/ ~O~"",.) PERFORMED BY: 4~- [~-~ ~-) I "~1C'~¢~ ~Ji'~..) CERTIFY '[HAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE: ?2-008 (Rev 4;85) MuRicipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 4 10 Township, Range, Section: 11 12 13 14 15 16 , 17 SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 0epth to Walar Altar Monitoring? SITE PLAN Data: Gross Net Depth to Net Readin9 Date Time Time Water Drop PERCOLATION RATE __ TEST RUN BETWEEN COMMENTS ACCORDANCE WITH ALL SSATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE· 72-008 {Rev 4/85~ t' '~' (minutes/tach) PERC HOLE DIAMETER ,L, ,'[Ru ,/ / 1 Bulletin 101-C EFFLUENT PUMPS SEWAGE EJECTORS effluent Solids Discharge Weight with Cable Rated Speed Size Operating Connection Cables Length HP RPM Inches Voltage Hertz Phase Inches Lbs. Ft. SEVH-4W 4/io 3450 ¥4 115or230,208 60 1 11/2 35 15 SESH-5W 1/2 3450 % 115/230,208 60 1 2 or 3 61 15 SESH-I~]W 1 3450 % 208,230 60 1 2 or 3 66 15 SESH-I(]D 1 3450 3/4 208,230/400 60 3 2 or 3 54 15 SESH-20W 2 3450 % 208,230 60 1 2 or 3 75 15 SESH-2gD 2 3450 ¥~ 208,230/480 60 3 2 or 3 73 15 SJV-4W 4/lO 1750 2 115 or 230,208 60 1 2 40 15 SJS-SW I/2 1750 2 115/230,208 60 1 2 or 3 66 15 SJS-5D 1/2 1750 2 208,230/480 60 3 2 or 3 61 15 SJS-IOW 1 1750 2 208,230 60 1 2 or 3 78 15 SJS-IOD 1 1750 2 208,230/460 60 3 2 or 3 68 15 SJS-15W 1V2 1750 2 208,230 60 1 2 or 3 87 15 SJS-20D 2 1750 2 208,230/480 60 3 2 or 3 83 15 SJE-IOW 1 1750 2V2 208,230 60 1 3 83 15 SJE-IOD 1 1750 2V2 208,230/460 60 3 3 76 15 8JE-15W 1V2 1750 2~,~ 208,230 60 1 3 88 15 SJE-20D 2 1750 2t~ 208,230/480 60 3 3 85 15 SJE-30D 3 1750 2V2 208,230/460 60 3 3 92 15 pumps solids] standard sewage ejectors ('Z' solids] engineered sewage ejectors (21/2'' solids) ABS SCAVENGER pumps utilize a special cutter inlet which allows the leading edge of the impeller to tear and shred stringy type material. The outward spiralling groove in the base of the bottom plate prevents wedging of fibrous material by passing it to the discharge. SEVH and SJV models utilize a recessed Vortex impeller. ABS SCAVENGER pumps are ~-. ~ also supplied as complete ,. i~,~% packaged systems including an 18" x 30" basin, cover, check valve, piggyback float and appropriate pump, Standard 4/10 or 1/2 H P simplex package shown; many variations and sizes are available. ~ffluent pumps (3/~, solids) standard sewage ejectors (2" solids) engineered sewage ejectors (2~/2'' solids) 0 40 80 120 S~WAGEEJECTORS I ~1 IIII II II ~ ~1 I~111 II I1~ --I I I I I I I I I I I I [ I C CONSTRUCTION DETA. II~ MODEL 50 1'~ -3" MODEL 208 MODEL 408 T T I! ~ ! T T~$~amlessSteeiBolls MODE 8 LL CHECK VALVE TECHNICAL INFORMATION ,J A B C D Nominal Maximum Maximum Ball Weight Part No. Size Width Length Diameter (Pounds) 2141 I ~" 4 ~" 5" 1 ~" 4.5 2142 2" 6" 6~" 2 ~" 9 The valve can be used at temperalures up lo 80°C (1760F) MODEL 408 BALL CHECK VALVE TECHNICAL INFORMATION A B C D E Bolt * Bolt Number Pail Nominal Range McDdraum Ball Ch'cie Hole of Weighi No. Size Diameter Width Lenglh Diameter Diameter Diameter Bolts (Pounds) 2144 3" 7 ~" 9 ]~" l0 ~" 3 ~" 6" ~" 4 45 2145 4" 9- Il ~" 11 ~" 4 ~" 7 ~" ~" 8 65 2146 6" 11" 15 ~" 16 ~" 7 ~" 9 ~" ~" 8 132 2147 8" 13 ~" 19 ~" 21" 9 %- Il ~" ~" 8 218 2148 10" 16" 23 ~" 26 ~" 11' 14 ~" 1" 12 355 2149 12" 19" 28 ~" 32 ~" 13" 17" 1" 12 624 2150 14" 21" 32 ~" 38 ~" 15" 18 ~" 1 ~" 12 882 This is center line of bolt holes in flanges. The valve can be used at lempercrlures up to 80°C (17601:) SPECIAL ADAF['ATION, All Model 408 valves can be equipped with Eleclrlc Row Sensor. ; AASS PITLE. S ADAPTERS -- A full range of weld-on adapters fram 1 to 4 inches WISCONSIN STATE APPROVED MICHIGAN STATE APPROVED PATENTED MODEL J 21/2" 2sI I 1/2" 3II 4II MAASS MODEL J PITLESSES ARE SANITARY AND EASY TO SERVICE Recommend to your customers the Maass Model J p~desses--unlts create easy well service for you because they are manufactured only of RUST-PROOF materials and designed to eliminate all obstructions in well casing. Pump is easy to pull because of non-rusting components. Water contacts only 304 stainless steel and bronze to COM- PLETELY ELIMINATE ANY RUST and/or ELECTROLYSIS. The Maass pltless connection is sealed by using a bronze 8 degree non-locking taper wedge with O-ring forced against 304 non-magnetic stainless steel flanged nipple pressed into steel housing and welded on outer side. Model J Pitless Adapter is non-pressure Jifting and is de- signed for deep wells, higher working pressures, and where plastic pipe Ps used and high water levels. No lock necessary. Stock only two ldnch outlet size Maass Model J p[tlesses to fit ali well casing slzes. Pitless steel housing is permanently installed by welding onto well casing. MODEL JJ MODEL JJ models below are for suction pumps. Lateral can be pressurized to meet state codes. WATER -- WELL OUTLET & CASING DROP PIPE SIZE MODEL SIZE 4"-5" JJ 1" outlet 2" lateral 6"-7"-8" JJ 1" outlet 2" lateral 4"-5" JJ 1 ~,'~" outlet 2" lateral 6"-7"-8" JJ 1V4" outlet 2" lateral WELD-ON UNITS WATER WELL OUTLET & CASING DROP PIPE APPROXIMATE SIZE MODEL SIZE WEIGHT 4".5" J 1" 6# 4"-5" J 1V4" 7# 4".5" J 11/2" 8.5# 5" J 2" 12# 6"-7"-8" J 1" 6# 6"-7"-8" J 1 V4" 7# 6"-7"-8" J I V2" 8.5# 6"-7"-8" J 2" 12# 6"-7"-8" J 2 I/2" 18# 8"-10"-12" J 3" 32# 10"- 12" J 4" 50# MODEL JJ SEE YOUR DiSTRiBUTOR OR REPRESENTATIVE FOR ADDITIONAL INFORMATION m MAASS Division of Surinak En¢ineering & Manufacturing, Inc. MUSKEGO INDUSTRIAL PARK S82 W19246 Apollo Drive Muskego, WI 53150 (414) 679-3922 TANK ALERT® I .larm System ~~ II The TANK ALERT® I Alarm System warns of high or low liquid levels. It is designed specifically for use in lift pump chambers, sump pump basins, holding tanks, and water and sewage systems. This dependable alarm system consists of a NEMA I (indoor) control panel and a Sensor Float. · Loud horn plus panel light warn of undesirable liquid level · Plugs into receptacle or can be direct wired · Operates on low voltage and is isolated from the 120V power line _~ . to reduce the possibility of shock · Internally weighted Sensor Float (with 15 ft. cable) can be used in liquids up to 1400 F (600 G) TANK ALERT® II Alarm System The TANK ALERT~ II is an alarm system designed t.o provide residen- , rial and commercial customers with a dependable high or low liquid level warning device. It comes complete with NEMA 4X (indoor or outdoor) control panel and a Sensor Float. · Flashing red light and loud pulsating horn instantly attract attention · Alarm system operates even if pump circuit should fail · Includes Senso~c Float (with pipe clamp attached to 20 [t:· cable) which can be used in liquids tip to 140o F (600 C) SENSOR FLOAT® Control Switch SENSOR FLOAT® control switches ac- curately monitor li- quid levels. They are commonly used to activate alarm aud pump control panels, solenoids, and relays. Three models are available: JUNCTION BOX This NEMA 4X, non-corrosive PVC junction box pro- vides a home for various electrical connections in- eluding those that may require water- proof protection. It is easily modified in the field. The JB10 may he ordered An economical, easy-to-install complete NEMA I (indood liquid level a/arm system. ADVANTAGES * Warns of high or Iow liquid levels by activating horn and warning light. * Easy to install. Epoxy encapsulated switch and cord conductors protect against leakage problems. Operates even if pump circuit fails (when pro- perly Installed). * Metal alarm panel. *Dlrecf wire option. Operates on Iow voltage and is Isolated from the 120V power line fo reduce the possibility of shock. * EN'rlRE UNIT is UL Listed and CSA Certified. DESCRIPTION The Tank Alert I alarm system Includes the follow- ing components: At. ARM PANEL: This NEMA ] metal panel features a bright, red warning light, push-fo-test alarm switch, and a horn silent switch. SENSOR FLOAT®: The Sensor Float control switch is SJE's model 15SWl. SPLICE KIT: The splice kit provides a safe means to make a strong, waterproof splice connection if additional cable length is required. The Sensor Float is lowered into the tank and secured af the desired level. When the liquid level rises (Model 101HW) or lowers (Model 101LW) the internally weighted Sensor Float f/ps and activates a loud horn in file alarm panel. In add/f ion, a red, solid-state warning light will be activated. The horn can be turned off, but the warning light will re- main on until the condition is remedied. SPECIFICATIONS * Two-year limited warranty. APPLICATIONS The Tank Alert I is a revolutionary high or Iow liquid level alarm system designed specifically for lift pump chambers, sump pump basins, holding tanks, sewage systems, and water systems. FEATURESJ This Tank Alert I alarm system is economical and easy fo install. The thick-walled PVC plastic float is non-corrosive and encapsulates an omnidirectional heavy-duty mercury switch. The float operates on Iow voltage and is Isolated from the power line fo reduce shock hazards. When used with a pump application, the Tank Alert I should be connected to a circuit breaker other than the pump circuit. This allows the Tank Alert I fo operate even if the pump circuit should fall. MODEL: VOLTAGE: WATTS: ALARM PANEl.: SENSOR FLOAT® : 101HW (high level alarm) 101LW (Iow level alarm) Waterproof cable splice klt Included Primary 120V. 60 Hz. Secondary 12V 80Hz. 5 Waft Alarm Condition NEMA 1 6in.(15.24cm) x41n. (10.16cm) x 2.5 in. (6.35cm) metal enclosure with 6ft. line cord and electrical knock out for direct wire. S.J. ELECTRO SYSTEMS, INC., Sensor Float (Model 15SWl) HOUSING: 3.18" (8.07cm) diameter x 3.875" (9.842cm) long, high impact resistant, non-corrosive PVC plastic with Internal stabilizing weight. For use in liquids up to 140°F (60oc) MERCURY TIL'F SWITCH: Heavy duty mercury-to-mercury contact tilt switch manufactured by S.J. Electro Systems, Inc. CABLE: 15' (3.65m) 16 gauge, 2 conductor, (UL) SJOW-A-SJOW (CSA), Neoprene- wafer resistant. INSTALLATION INSTRU TIONS '--- TANK ALERT® Alarm System WARNING · HORN LIGHT ~l SILENT WARNING: Turn off power source before installing or adjusting this J turn off power cou,d resu,t in serious or tara,I MODEL 101HW (high level alarm) 101LW (Iow level alarm) MOUNT ALARM PANEL INSIDE BUILDING TO TEST PUSH ( FLOAT WIRING DETAIL STRAIN -- RELIEF ~' MOUNTING ALARM PANEL 1. Determine an Indoor location for mounting fha alarm panel. NOTE: The alarm panel plugs Infoasfandardhousehold 120V,A.C. socket. When used with a pump ap- pllcaflon, the Tank Alert I should be connected fo a circuit breaker separate from the pump cir- cuit. This allows the Tank Alert I fo operate even If the pump drcuif should fail. OPTIONAL INSTALLATION: The Tank Alert I alarm panel comes with knock out holes which allow for optional direct wlring. 2. Insert screw (supplied) at desired wall location. Hang alarm panel using predrilled keyhole on panel back. MOUNTING SENSOR FLOAT 1. Determine alarm level. 2. Pass Sensor Float cable through strain relief (Component of tank) allowing seven inches from bottom of float fo defermin* ed alarm level. 3. Secure Sensor Float to strain relief. NOTE: If additional cable is required, installer must supply. Cable used underground must be approved for underground usage. EXAMPLE: 14-2 Type UF (See directions below for underground splice connection). JCAUTION: At this point, make sure power to a,arml panel is disconnected. J 4. Conned Sensor Float cable to the scl'aw terminals located at the bottom of the alarm panel. 5. Check your installation by manually tipping the float. When the float is tipped the alarm panel should indicate an alarm condition. DIRECTIONS FOR UNDERGROUND SPLICE CONNECTION This splice kit ls approved by UL for use with the Tank Alert I only. MODEl. 101HW INSTALLATION MODEL 1011_W INSTALLATION NOTE: S.J. Electro Systems, Inc., can not be responsible for damages caused by fha faulty or negligent Installation of this control. We recommend fhaf you engage the ser- vices of a competent plumber, electrician, or qualified serviceperson fo install this product in accordance with the national and local electrical codes. I -- Make Wire Nul Connections 2 -- Wrap Electric,31 Top~ Around Y/ire Connections This product has been carefully designed and manufactured using only materials of the hlghesf qualify. S.J. ELECTRO SYSTI--MS, INC. cares about the CONSUMER and stands behind this product with a Two-Year Limited Warranty. ~S.J. ELECTRO SYSTEMS, INC., P.O. Box 784, Detroit Lakes, Minnesota 56501 U.S.A. Telephone: 218/847q317 Telex: ITT 494-9370 3 -- Slide Sleeve Over Taped Connecflo~ ©S.J. ELECTRO SYSTEMS, INC. TA ~87 Printed In U.S.A. 100 ~,cc,/Controls 1,1966 Ar ~umpslnc; .. 14u.,-ond View Drive Meriden, Connecticut 06450 (203) 238-2700 ' SCAVENGER UUNCTION BOX 1V4" PVC EXTENSION FOR . A'fTACHMENT TO BASIN WALL FII-rlNG ~~iBLE GLANDS~:~ O © POWER CABLE GLANI O~ STAINLESS STEEL CAFq'URED SCREWS (TYPICAl. SIMPLEX SHOWN PART NUMBER .-" Simplex 6002602.:1 NOTE:: )ens to allow clear access to all connebtions. Simplex Junction Box in Noryl material· )lex Junction Box not hinged. : ~EMA 4X, upersedes Scavenger 1983 Duplex 6002002.2 1 CHM PART NO. --,~'G S )-83 DRAWING TITLE JUNCTION BOX CHM ! ~.R _ 7/81 ,,,., o... 6002002 AGS 7181 -'ND HANCOCK D R, '2. L~V~L V,~ D LO Mo~lqo ~'. A PLOT PLAN OF: :! LOT II (~l. OcK 4- · ,SUN~E"~ HILL3 WE~q' FOR: Richard C Top of foundatkm ~tall slevolJon . 103'. 0 Elsvatl~s <~re ba~d on /~$74(.)/~'~) ,.datum Il shall be the responsibility of the builder or owrer Io verify Iha! the building ~cction s[~own moets ell sub~Jv[l]~ ~ PI. OT PLAN 12.. 8V 3Q33 LoT' L-CT 1.0~: ~ '/f4' PT~ ..u~,SPHPi L"r.. Eichc.'d ( CE ~A PLOT PLAN OF: Lo"r II [~L~K 4- ~N$~'r I'fll. l.~ WEST' Top of foundation wall elevation Elevations are boned on .datum. It shall be Ihe responsibility of the builder or owner to verify ,hot the building location shown me, ts all subdivision covenonf~ PREPARED FOR: PLOT PL. AN DWi7 ~. DATE ~RID fl, ~..e-r ~o..~ (:.H K. F.B. dOB NO. 9ol- 21 87z~ HANCOCK O R. PROPOSF-O ~ I-.EVEL, N 4'~0"1' Vy ;. F. LEI, NIMG~II~T No, A'PLOT PI. AN OF.: LOT' II ~.LOCI( ~ 5U~$E'T I'ftLt. 5 WIE.S"r' Top of foundation wall elation = I0~. 0 Elevatis~ ~,~UH)~ datum. are on It shall be thl r~aonflblll y of the builder or o~r o var fy that the buIHing ~tion s~own m~ts all subdivision cove~n~ and Iocol zoning ~s a~ ordinances. PREPARED FOR: PLOT PLAN ~ ~¥AItABEL#IK~FF j SURVEYIN6 ~r-~,~ .4 o~ w H~rTI~ .':_;Et;=65. ' '~' [IELT~= i2,38it ~'=270,0008 :$9 586? T=2'}, 9 H9 7988 L=98,5049 8~a' 94:25:4$ t: ~,,; ~. 7552 MUNICIPALI'P/OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmentat Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL. FOR A SINGLE FAMILY DWELLING Parcel I.D. # O/ ~' -'~o'~ - ~ 1. GENERAL INFORMATION Complete legal description Lot 11; Block 4; S~nset Hi~s west Location (site address o'r directions) 14291Jarvi Andhorage, AK Property owner'. R~th Jacobs Day phone 345-5104 Mailing address Lending agency C/0 Prudent, iai Reloca~on Ho~5ton, TX 77042 2500 ¢.bCy W¢.s~ ~Zvd. Day phone Mailing a~d _d.f~ss. Agent Address Day phone _ Unless otherwise requested, HAA will be tTeld for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATr!R SUPPLY: NOTE: Individual well X~vX Community well - Public water If community well system, provide written confirmation from S~te ADEC lng to the legality and status of system. 4, TYPE OF WASTEWATER DISPOSAL: individual on-site _ Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~025 (Rev. 1/91) Front MOA ~81 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 flies and from my inves'¢_gation and inspection, the on-site water supply and/or wastewater disposaJ system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING 175;4 ~'.~;. =N.r ~ ~.,~,-' N~, 2~4 Phone ~ ¢~ ~ - ~ ~ 7 ~/ Address ,~'~ ~ ~/i~ /~ ~ Engin~¢s signature . Date DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: By: 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 (ROY, 1/91) ~ck MOA Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:/-//,,/~ .~,,~.¢¢/~/'/..1~ ~-/~¢,~/%?,~ _Parcel I.D. A. Well Data Well type /~," Log present (Y/N) Total depth Sanitary seal (Y/N) / FROM WELL LOG Date of test / o .~ _~ o ,- ~ '7 Static water level Well flow / 0 Pump levell (-///~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main __ Sewer service line If A, B, or C, attach ADEC letter. ADEC water system number Date completed /0 --- ,~: 0 -~ 7 Driller ~ -- L./ z2~-,-/~',;_~ Casedto / O -? ' Casing height _ Wires properly protected (Y/N) yc., ~ / oo g.p.m. AT INSPECTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petr01eurn tank WATER SAMPLE RESULTS: Coliform '-1~Y'~ Date of sample: _Nitrate ,/0 ¢~¢//.. Collected by: __ B. SEPTIC/HOLDING TANK DATA Cleanodts (Y/N) y'~£ Date of pumping .~' %'/? -q-~-- Pumper SEP/~RA~iON DISTANCESFR, I~M SEPTIC/HOLDING TANK TO: Well(s) ohlo~ · ~q,/O On adjacent lots /o0 / / Tanksize // ;-~J-"'~ '~ / Foundation cleanout (Y/N) _.y d.£ Sudace water/drainage Other bacteria -"'~" Alarm tested (Y/N) Absorption field Comparlments .Depression (Y/N) ..~ o Foundation / Water main/service line 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level {/ / Meets MOA electrical codes (Y/N) ~.' C i / SEPARATION DISTANCE FROM LIFT STATION TO: .Manufacturer .~'~ c o. ~ ~".2~ '~-'-' Manhole/Access (Y/N) }/~ ,.C "Pump off" Level at ~'" .Cycles tested P £ Well on lot ./~2 o On adjacent lots Surface water /~ ~ ' '/- D. ABSORPTION FIELD DATA Date installed /dP -'/- ,:~ ,.~ Soil rating (GPD/FF) / '~'~-~ Length ,~' / Width Z '-/ ' Gravel thickness Total absorption area 7~' ~ /~ Oleanoutpresent(Y/N) Date of adequacy test ~:-- 9 -- ~_~ Results (pass/fail) ,,.~ Water level in abSOrption field before test Peroxide treatment (past 12 months) (Y/N) .System type /~z ¢~¢,~ c'/ / ' Total depth ¢ / Depression overfield (Y/N) /? ¢) for ~ Bedrooms After test If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots .~O Surface water Curtain drain On adjacent lots /o(>" ~' Property line /~- To existing or abandoned system on lot Cutbank ~(//V Water main/service line E. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area /~' "¢- I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in e~nspection. H~ Fee $ ~ - ~ Waiver Fee $ Date of Payme~ ~~ ~ Date of Payme~ Receipt Numar ./~ F(~) Receipt Number 72-026 (8/93)' Back 08/15/95 10:11 COMMERCIAL TESTING ~ 90?6941211 NO. 15? Q02 CT&E Environmental Services Inc. Laboratory Division Laboratory Analysis Report CliChE Name M & 8 MN~INEMRINO WORK Order 16995 ordered By ~. ~OWAN Prin~ed Dat~ 08/15/95 ~ 09:59 hrs. Undetected, Reported value As the pr~io~i~a] quantification limit. LT - be~ Th~ll 200 W, Potter Drive, Anchorage, Al( 99518-1605 -- Tel: (907) 562-2343 Fax: (907) 56%5301 [NVIRONMENTAL FACiLItIES IN ALASKA. CALIFORNIA, FLORIDA, ILLINOIS. MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY. OHIO. WEST VIRGINIA 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 11; Block 4; SunSet H~s West Subdivision Location (site address or directions) 14291 Jarvi Drive Property owner Mailing address Eugene & Pc~ia Ju Vette Day phone 14291 Jarvi Drive Anchorage, Alaska Lending agency Mailing address Agent Ken Kanshiro FORTUNE PROPERTIES,INC. 3000 A 3tre~t Suite #101 Address Anchorage, Alaska 99503 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 N TYPE OF WATER SUPPLY: Individual well XX Community well Public water NOTE: Day phone Day phone 562-7653 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: XX Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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. Name of Firm Address Engineer's signature DHHS SIGNATURE ~_ Approved for Disapproved. S & S ENGINEERING 17034 Eagle River Loop Road Eagle River, AlasEa 99577 bedrooms. Phone Date "7-/-~'Z~ Conditional approval for bedrooms, with the following stipulations: Additional Comments Date 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 Legal Description: LoT A. WELL DATA Well type ~UJP~q'E Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST If A, B, or C, attach ADEC letter. ADEC water system number Log present (~N) Total depth Sanitary seal(~N) YES Date completed /0-'~-8 ~ , Driller/~ '~ i0¥ ' . Cased to /O~ Casing height Wires properly protected ~) FROM WELL LOG Date of test / Static water level w ll flow Pump level g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/~4~44~2 tank on lot /00 ; On adjacent lots Absorption field on lot [00 t~. ; On adjacent lots Public sewer main ¢")/"~ Public sewer manhole/cleanout .A.)//I Sewer service line ¢'~5 ~'4- __ Petroleum tank J~,JO/~J~-- WATER SAMPLE RESULTS: Coliform ~ Nitrate _ ~O~/~ ~-.fi'E~TI~5~ Other bacteria Date of sample: ~- [~-c~2- ' Collected by: ~-~' B. SI~".PTIC/HOLDING TANK DATA Date installed lO- I-f~ _Tank size [~)..C=~(~ (27t~ Compartments Cleanouts (~N) ~ Foundation cleanout - ~or. Depression (Y/~ High water alarm (~'N) ~/F--.% Alarm tested (Y/N) Date of pumping ,/~- -~'-' 9 ~- Pumper_ A4- /JO/gE. SEPARATION DISTANCES FROM SEPTIC/I;tt~B~I~G TANK TO: Well(s) on lot IC-~O On adjacent lots To property line ~o ¢ 4- Absorption field Surface water/drainage [ O0 ~ ~ Foundation _Water main/service line 72-026 (Rev 7/91) Front CONTINUED ON BACK I AGE C. LIFT STATION Date installed Size in gallons Vent ~,~N) High water alarm level Meets MOA electrical codes(~'N) "Pump on" level at ~, ~ ~ "PUmp off" level at _ ~,0 ' Cycles tested ~ o ~ Manufacturer SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot /f~O' '/'o ~E,~tl~s~ . On adjacent lots _ D. ABSORPTION FIELD DATA Date installed /~) -/- ~ Length ~, J ~ Width Total absorption area ':~L~c~ Depression over field (Y/~J) Results (Cs/fail) Peroxide treatment (past 12 months) (Y/~) Surface water Soil rating / 6 ~ SF System type ./'~M~DF=O Gravel thickness /~" Total depth Cleanoutspresent(~N) ~, C,O/ Date of adequacy test ~-¢~' for ~ bedrooms ~0u'J~ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot_ To building foundation On adjacent lots Surface water /00 Curtain drain _On adjacent lots /C)O '¢- Property line.~_O To existing or abandoned system on lot Cutbank_ /V/~ 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 effect on the date of this inspection. $ & S ENGINEERING Signature __ Eagle River, Alaslca 9~577 Engineer's Name HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Bsck MOA 21 Waiver Fee: $ Date of Payment Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907)562-2343 ANALYSIS RESOLTS for INVOICE t 54944 Chemlab Ref,[ 92.2EB4 Sample { 11 Matrix: WATER FAX: (907) 561-5301 Client Sample ID PWSID Collected Received Preeorved with Lll B4 SUNSET HILLS ~IEST 3/D JUN 16 92 6 16:45 hrs, JUN 17 92 ~ 16:50 hzs. AS REQUIRED Client Name :3 & S ENGINEEBIMG Client Acet :SNSENOP BPOt : Ordered By :R, SNAFER PO# :NONE RECEIVED Analysis Completed : JUN 20 92 Send Reports to: Laboratory Supervisor : STEPNEN C. EDE L)S ~ S ENGINEERING Releeeed By: ~"~~_.____, 2) Parameter Results Units Method Allowable Limits NITRATE-N ND(B.IO) mg/l EPA 353.2 10 Sample ROUTINE SAMPLE COLLECTED BY: J.M, I Tests Performed ' See Spenial Instructions Above UA=Unavailable ND- None Detected "See Sample Rolmrks Above HA= Not Analyzed LT=Less Than, GT=Greeter Than ~'~.'~ ~.~F~S Member Of the SGS Group (Soci~tO G(~n~rale de Surveillance) CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AN[) WATER F'ACILITY 264~4744 1 I~ ' App,ioat,on Date--- h GENERAl. INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Properly Owner .~.~{v~_~_.~ ~O'~_ $~l,~¢-'~l~,~Telephone: Home Mailing Address ~,0, ~ ~10~ ~~, (c) Lending Institution _~ON ~. _: Telephone Mailing Address Business (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the followino address: or: Check here,~ if hold for pick up. List contact person and day,phone number below. TYPE OF RESIDENCE Single-Family'~ Number of Bedrooms WATER SUPPLY Individual Welling, Community [] Public [] Note: If comm unity well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. SEWAGE DISPOSAl. Onsite~. Public [] Community [-1 Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 fRev 8/861 Fronl ~ ~o 8 eaed leUO!SSejoJd sql u! SUO~SS~LUO. . JO sJoJJa JoJ elqrSuodseJ, lou s~. eBBJoqouv jo Xj.led .mun~. aqz 'penss~ s. also .1.Meo ~ eJoleq e~ep eZXleUe Jo suo!ioadsu! ~onpuo3 lou op SHHQ 1o seaXoldm3 'slue~eJ!nbaJ' ale,s pub leJepaJ u!e~eo XJslies oj Jap Jo uf suo!lnlj~su! bu~pueI J~aql pub se~oq ~o sJeseqoJnd ol ~se~Jnoo e se s!ql seop SHHQ aqZ 'e~selV jo alelS aql u~ peJals!6eJ Jeau!bua leUO!SSajoJd ~uepuedepuf ue Xq eAoqe ~ qdeJBeJed uf ueA!B suofjejuesaJdeJ eqj uodn AlUO peseq seleoJ~!peo leAoJddv AlJ~oqlnv qlleeH senss! (SHHQ) seo~AJeS ue~nH pub qileaH Jo jue~edea abeJoqouv 1o ~l!led!olunR sql NOI~ IBUO]~.ipuoo le^oJddv leUO!l!puoO ,~o swJel p@^o~ddes!c] ,X pa^oJddv ~~ XqcuJoo, peq ~ JoIpoAoJOdv l'¢AObldd~ SHHQ '9 lees s. JeeufBu~ .___~.¢~ ~ ,~kl-~J~,~,, ~,¢'~l.J~i~ ¢/~117~.~1¢1~'~J- LUJI-I joeuJBN uo ~OelJB U! SUO!iBin§sj pUP '$eOUBU!pJo 's~poo SlB1S pub IBd]o!unV~ lie qj!M SouB!IdUJo3 u~ m UJe~S,~s Jo/puB ,~lddns JeJBM Sl!S-UO eq~, 'uo!loedsu! pub UOp, B6!ISaAU! /(LU UJOJJ pUB ssr!~, eOBJo~o'uv ~o /~l]lBd!o!un~ sql uJoJj psu!B~qo UO!IBLUJOJU! alii UO pssBq lSql ,~lpS^ Jeq~Jnj I 'u!aJsq pe~Bf)!pu! sJnlonJis Jo sd,~l pub SLUOOJpeq sienbspB pUB IeUO]~Sunj 'S,!BS s! LU eJS,~$ IBsods!p JSjBMei$BM JO/pUP ,~lddns JSlBM S~IB-UO sql 1Bql SMOqS IB^oJdd qilBeH s!q~ ~o uo!lBl~!Jss^u! XLU IBql ,~J]JS^ I 'MOlaq UMOqS SiBp UO!lSp!IB^ sql JO Be pUB OlSJaq pSX!JJB I~SS XUJ ,~q pe!JJ~J@g SV NOI-L¥1~IEIO,4NI CINV vJ. va 'HOt:IV:IS 311-I 'SJ.$3 1 'SNOIJ. O::IdSNI 9NIQIAO~Jd Fibll-I 9NII::I:3::INION::I 'g MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: A. WELL DATA Well Classification ~ Well Log Present (Y/N) ~ _ Date Completed Total Depth Static Water Level Casing Height Above Ground ~I-O''~ Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot [ ~--~ ~ 4- Casedto [O'-~_ Depth of Grouting [OI ~ Pump Set At ~;~.O f Sanitary Seal on Casing (Y/N) "'r'" If A, B, C, D.E.C. Approved (Y/N) Yield I~,_j r ~'I Depression Around Wellhead (Y/N) ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ~ {~ To Nearest Sewer Service Line on Lot _ [ DO~- Water Sample Collected by Water Sample Test Results Comments [f~°t ~[- ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ;Date_ B, SEPTIC/HOLDING TANK DATA Date Installed ~~Size Standpipes (Y/N) 7 Air-tight Caps (Y/N)_ Depression over Tank (Y/N) _ ~-) Pumping/Maintenance Contact on File (Y/N) ~ Holding Tank High-Water Alarm (Y/N) ~.3 [ ¢~ I '~-'-'~"~ No. of Compartments ~-~ Foundation Cleanout (Y/N) Date Last Pumped ~J ! ~- ; for Temporary Holding Tank Permit (Y/N) ~/~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well I6)OI4~ To Property Line ?:,~ "t To Water Mai'n/Service Line ~%<~-I 'l- To Stream, Pond, Lake or Major Drainage Course Comments ..i:' To Building Foundation 72-026 (Rev 7/88) Fron~ Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field '2- Square Feet of Absortion Area '~ '~ ~ Depression over Field (Y/N) I~ Results of Last Adequacy Test 1.3 ( Cf Type of System Design Length of Field ~ ~ Depth of Field (Ct Gravel Bed Thickness I (~ c~ Statndpipes Present (Y/N) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well [~¢) ~ To Building Foundation ~ Lot ~ /~ To Water Main/Service Line ~-o~ 4- To Stream, Pond, Lake, or Major Drainage Course tJ ( To Driveway, Parking Area, or Vehicle Storage Area To Property Line ¢~-" To Existing or Abandoned System on ; On Adjoining Lots ~ I' ~ To Cutback (if present) ~/P~ Comments D, LIFT STATION Date Installed Size in Gallons ,,~'-~c~ ~g_[[~-~ . "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments ?'~d vVl ~ Y Dimensions z~ I~¢) 4 DI~i "K' C r_~,¢ Manhole/Access (Y/N) Y "Pump Off" Level at ~¢ ~ Vent (Y/N) ~ Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection,,-~ ~ [ ,~ /~ Signed '".~ L JL'~ ,~ ~-- Compan , z - .~' '~ ~ Date /0~&~ Engineer's Seal MOA No. Date of Paym, er)t ,. y,'/) '7~.~'¢2~'~¢/' 12-026 (Rbv57/88) B~ck ; *~'.,~) Receipt No. ,.,,c ... Waiver Fee: $ Date of Payment Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 4ORAGE, ALASKA )9518 TEL FEDERAL TAX ID # 92-0040440 A NAL,SIS,E,URTE¥ UA~['LE £o, Date ~epo~L P~inted: OCT 10 88 ~ 08:54 Client Sample ID:Lll, ~4 SUNSET HILL WEST PWSID :UA Collect ~d 10 S 88 ~ 1~ 40hz~' ~ecmived OCT 5 88 @ 16:00 hr~. Client )la~o : Egis CO)IDULTING E}I¢I~IEERS Client Acct : EZISCOTB P.O.~ NONE NEC'D Req ~ Ordered By : Analysla Completed :OCT 7 88 Send Report~ to: Labozato~y Supervisor :STEHiEN C. gUg I)EEI$ CONSULTIIIG ENGINEERS / Special I~truct: .. Chemlab ~o~ ~: 2898 Lab Smpl ID: I ~atzlx: WATER Pa~ametez Te~ted Result/Units Method Limits NITgATE-N ND(O.IO) ~/1 EPA 353,2 Sa~pl~ ROUTINE DAM~PL g I Tests Performed ' See Special Instzuetlone Above UA=Unavailable ~D- None Detected "See Sample ~o~arks Above NA= Not Analyzed LT-Les~ Than, GT-G[eatez Than