The URL can be used to link to this page

Home My WebLink AboutTHUNDERBRUSH LT 9 Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: C~ _o~_~(~E:>~-~ PID Number: (::~/,~" /~/';~, ~ N~: Wastewater System: ~ New ~pgrade Address:~r ~ //~ ABSORPTION FIELD I No. of Bedrooms: ~Other Phone: ~ ~_ ~ ~q~ ~ ~ Deep Trench ~ Shallow Trench ~ Bed Total Depth from ori inal grade: Soil Rating: /~ LEGAL DESCRIPTION ¢ - ~ Lot: 8lock: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: ] Range: ] Section: Fill added above original grade: Gravel length: I I -- O- Ft. ~¢ Ft. Gravel width: Number of lines: I Dista.ce~eenlfnes: WELL: New Upgrade ~ ~ Ft. II Ft. Classification (Private, A.B,C): Total Depth: Cased TO: Total absorption area: Pipe material: Driller: Date Drgled: StaticWater Level: Installer: Date ~tal~ Yield:~ Pump Set at:~ C~sing Height Above Ground: TANK SEPARATION DISTANCES ~Septic ~ Holding U S.T.E.P. From Ta.k Field Statfo. Tank Sewer Lines ~ ~ / ~ Surface Water ~[~ -~ ~ LIFT STATION LineL°t ~1 /~ . ~[~ __ _ Size in gallons:~[ ~.I Man~er: Foundation ~' /~ ~[~ ~ "Pump °""'eve' at: I "Pump °'"' 'eve' at: IHi'h water ~'a'm at: Curtain ~[~ ~/~ ~ Pump Make & M°del I Electrical Inspections performed by: I Remarks: BENCH MARK EN6;NtER'S StAL Inspections performed by: Dates: 1st~ _%......_ Departmont o[ Hoalth~ H~a~ S~i~,~appro~al 72 Or3 (Rev. 9/91) MOA 25 Permit No. 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: L.~ /.'T'~¢,~'~,a::~'~C_c.)~SF ~]b, 72-013 A (Rev. 9/91 ) MOA 25 Permit No Page 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: Lb/ 'T~d, vrv~t:~c~--~Pv$~ PID No.: 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:SW930007 DESIGN ENGINEER:USKH ARCHITECTS ENGINEERS OWNER NAME:HAAKENSON TIMOTHY W & OWNER ADDRESS:5601 E ll5TH AV ANCHORAGE, AK 99516 DATE ISSUED: 1/28/93 EXPIRATION DATE: 1/28/94 PARCEL ID:01514262 LEGAL DESCRIPTION: THUNDERBRUSH LT 9 LOT SIZE: 11114 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 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 (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: ri ! ANCHORAGE AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-,SITE ,SEWAGE DISPOSAL SYSTEM SEPTIC TANK: FROM WELL MANUFACTURER MATERIAL /---/ COMPARTMENTS / INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH ~ LIQUID CAPACITY GALLONS. /]0 SEEPAGE PIT: NUMBER OF PITS [ DIAMETER ~ OR WIDTH ~ LENGTH ~ DEPTH /O / LINING MATERIAL ' / BUILDING FOUNDATION~, NEAREST LOT LINE ~ / / TOTAL EFFECTIVE __ ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: TYP ~.. ' ~ CONSTRUCTION 2 ~.~O~DE~P~t ~0~ ~ _ . _ DISTANCE FROM: BUILDING ~.~ / NEAREST ~ / NEAREST FOUNDATION~ LOT LINE SEWER LINE TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DIAGRAM OF SYSTEM I "~po~ ~ ~ DATE ~/~/- ~g- /~-~ APPROVED ~A~ .~mm/~ G.A.A ~ ~ ;I ' ANCHORAGE AREA BL Department of Environmental Quality 3500 Tudor Road An~:horage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM" NAME , - ,. ~ MAILING ADDRESS LOCATION // // , '/~ ~ ~ ' ' / LEGAL DESCRIP'FION SEPTIC TANK: DISTANCE FROM WELL / ~' MANUFACTURER __ MATERIAL INSIDE LENGTH ~" INSIDE WIDTH LIQUID DEPTH ¢, , , ,COMPARTMENTS LLIQUIO CAPACITY/~'2':° ,-]2 GALLONS. SEEPAGE PIT: ~ .' ". NUMBER OF PITS -DIAMET-E'~ _ OR WIDTH , LENGTH LINING MATERIAL ~?/~ '/ CR B S ZE:';':!: iDIAMETER DEPTH BUILDING FOUNDATION ') ,', NEAREST LOT LINE DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ' ~ '~ ABSORPTION AREA (WALL AREA) f'~'"' I,,., ADDITIONAL ABSORPTION __ SQ. FT. t WELL: TYPE BUILDING FOUNDATION CONSTRLJC:EION NEAREST .' CESSPOOL APPROVED NEAREST $~WER LINE OTHER SOD RCES ....... DISAPPROVED DEPTH SEPTIC ~ ,/' , .TANK __~ REMARKS /" , / DISTANCE FROM: SEEPAGE (/~.1 Z-" SYSTEM / f DISTANCES: INSTALLED BY:_ PIPE MATERIAL: DIAGRAM OF SYSTEM LOT SLOPE: G.A.A.B. Form PW*026 I Greater ANCHOrage Area Borough PERMIT NO.. SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT NAME OF APPLICANT 7'~1~ INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT ~ DRAIN ~IEED ~ OTHER ~ TYPE AND SIZE O~ FACILITY TO be SERVE~ ~ FINANCED THROUGH TO BE INSTALLED/B SOil TEST'ReSULTS COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQU. IRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SEEPAGE PIT Tf/~Ot~///Ct ~NEAR T LOT~vj~)~'/LINE' ~__ff r WELL TO SEPTIC TANK - DRAIN FIELD ., DRAIN FIELD DRAIN FIELD SEPTIC TANK. ., SEEPAGE PIT f~¢9 TO RIVER, LAKE, STREAM. DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOil. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. TYPE DIAGRAM OF BYSTEM I CERTIFY THAT [ AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM iS [N ACCORDANCE WITH BAlD CODE. R&M Civil Engineers ENG., EERING & GEOLOGIC ,: CONSULTANTS 229 EAST 51st. AVE. - P,O. BOX 6087 -- ANCHORAGE, ALASKA 99503 TELEPHONE 907--279-0483 TELEX 090-35419 Geologists Land Surveyor~ JAMES W. ROONEY. P. E. MALCOLM A, MENZIES P.E., L.S. JAMES H. WELLMAN, P.E. June 18, 1973 RALPH R. MIGLIACCIO Engineering Geologlft No. 36621 Mr. Tim Haakenson 434 10th Ave., Apartment No. 1 Anchorage, Alaska Re: Test Hole and Soil Log Report for Sanitary Lot 9, Thunder Brush Subdivision System, Dear Mr. Haakenson: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of June 18, 1973, and %hose procedures outlined in a letter dated September 13, 1971 by Mr. Roll Strickland of the Greater Anchorage Area Borough Department of Environ- mental Quality. A single test hole was put down within the Lot 9 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended to a total depth of 13.5 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS James W. Rooney JWR:ph xc: GAAB ANCHORAGE FAIRBANKS JUNEAU T.H.-I 6- 15-73 0.O' ORGANIC SANDS AND SOME SILT I.O' SILTY SAND TRACE GRAVEL (SM) SILTY SAND TRACE GRAVEL , Dense (SM) 4.0' 13.0' No Water Table T.D. Engineering ~ Geological Consultants Tim Haakenson Property LOG OF TEST BORING Anchorage AIGska MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROV^, FOR ^ S NOLE F^M.Y DWE,UNO 1. GENERAL INFORMATION Complete legal description Location (s!te, add¢&s¢' ~h;directions) Prop~dg:,ow~er Mailing '~ddress ,' .... : Day phone "~ '-/~,-~o.~ Lending agency Mailing address Agent Day phone Day phone Address 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well ~(' Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4, TYPE OFWASTEWATER DISPOSAL: NOTE: 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. 72-025 (Rev. 1/91} Front MOA#21 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 Approvai application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm -~',/~-~ ~-~/~o~J~- Phone 'z-T&-q~9-~ Address ~.~,~o~ /~o~ ~e~/~ I~ ~/~ -~o~ signature~~~ v, - Date ~o/~ Engineer's DHHS SIGNATURE Approved for /'~¢~/"J~) bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: 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. 72~25 (Rev. 1/91) Back MOA#21 ! Municipality of Anchorage ~'~ Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /.-~ -7-/Ju,,~"~,~o-~ %~ Gl/ Parcel I.D. A. WELL DATA Well type''-~t ~J~ ' ~- Log present (Y/N) '7' ~ Total depth ~--ocJ ~ Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed -.-'~u~ ~ I~-~, Driller/~l-~DcZ~L~.-t,'c~ Cased to Date of test Static water level / ~'-~/ Well flow "~"'~ Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot / Absorption field on lot / Public sewer main Sewer service line FROM WELL LOG -~oo ~c (_~.,.,.,.,.,.,.,.,.~'~s') Casing height Wires properly protected (Y/N) AT INSPECTION / ~' g.p.m. ~ ~ / ~ On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~ O- Date of sample: l --J"~-~3 Nitrate ~, /v~ L. Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed C - ~J?... Tank size / '2_,5-o ~ ~ Compartments ~ Cleanouts (Y/N)~ i- ~-~ "~ '- Foundation cleanout (Y/N) ~-% Depression (Y/N) ~1-o High wate~larm (Y/N) ~o Alarm tested (Y/N) ~/& Date of pumping {.--.5'-~ ~ Pumper IA ~ cbc ce-ss'Pc,0 C '-Po,-~'-P<-"J ~, SEPARATION DISTANCEs FBOM SEPTIC/HOLDING TANK TO: Il( ) We s on lot,. · ,:, ."2_, To property line Surface water/drainage On adjacent lots Absorption field l O ~ 't- -'~-'T Foundatk.. ¢¢ ~T .% 4)-'C Water main/service he '""( ¢ 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed /~"('~ Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~- Length '~ '~--~-c Width Total absorption area -'~'~ Depression over field (Y/N) f",~ o rRosults (pass/fail) Peroxide treatment (past 12 months) (Y/N) Soil rating Gravel thickness -5z A~- Cleanouts present (Y/N) Date of adequacy test for System type ~¢~.c. rZ[t~ ~,'-P~ -~- Total depth ~',5'~ ~T If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot / oO ~O-c- On adjacent lots [c'°-t6'~b'r- Propertyline To building foundation ! ~-- .,b-,:- To existing or abandoned system on lot On adjacent lots Surface water Curtain drain Cutbank /~(A 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. Signature~~ Engineer's Name Date HAA Fee $ -7~/--~ ~ Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number Municipality of Anchorage Department of Health and Human Services Environmental Services P.O. Box 196650 Anchorage, AK, 99519-6650 ATTN: Mr. Dan Bo~les RE: Lot 9, Thunderbrush Subdivision January 28, 1993 RECEIVED JAN 2 9 199,t D Mut~icipality of Anchorage ept. Health & Human Services Dear Mr. Bo'~les I am writing concerning the Health Authority Approval Number HA930041. The original approval I submitted to you on January 25, 1993 was for a two bedroom house. After the approval was given to the owner, it was discovered that the house actually has three bedrooms. Per our discussion this afternoon, I re-ran the area for the pit, and re-ran the calculations for the area required. The area available is greater than the area required for a three bedroom house. The reserve area available is marginal. We are bounded on the west side by an utility easement and on the east side by the existing seepage pit, The existing seepage pit is located 15 to 20 feet from the west property line. We are required to have five feet of clearance from the existing pit. The exact location of the existing seepage pit wall will need to be located when the time comes for the installation of a new system. If the pit wall is less than five feet from the new deep trench wall, then a waiver will need to be obtained. I feel that a five foot deep by ~ wide by 80 feet long trench can be installed to meet the requirements of a three bedroom h0~§~.' Please find enclosed a site plan showing the reserve area on the lot, the calculations for the area required and available, and the reserve area calculations, Also enclosed is a new application and check-list for your approval for a three bedroom house. If you have any further questions, please give me a call. Sincerely, Steven R.Pannone, P.E. P.O. Box 142025 Anchorage, AK 99514-2025 (907) 274-0308 (907) 276-4245 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 ParcetI.D.# Cp/,~- /z./Z ~,,~.. Hr 1. GENERAL INFORMATION Complete legal description Location (site address or directions) ~-~¢~ /~'~ j/~,~, ch /~t4. ¢9~-/~ e Property owner Mailing address Lending agency Mailing address Agent -T-I'r.q ,¢A AIz~d ~5 c, .~../ Address Unless otherwise requested, NUMBER OF BEDROOMS: TYPE OF WATER IndividL well Corn , well Pi NOTE: 4. TYPE O will be held for pickup. NOTE: Day phone Day phone Day phone ' ,. water / well system, provide written confirmation from State ADEC attest- , and status of system. TEWATER DIsPOsAL: 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. 72-025 (Rev. 1/91) Front MOA ~2~ 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 Addres~ ~. (9 -~o ~ /~z¢'~--~'-- / Engineer's\signature DHHS SIGNATURE ,¢~_ Approved for be~r.?oms. Disapproved. '" Conditional approval for ~x~ooms, Additional Comments Phone with the following stipulations: [ - -- 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. Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: .L. c[ (."~-~,~5~'p_q~izog.~l ~ Parcel I.D; A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system n nber Date completed Cased to -~. c,~ Wires Log present (Y/N) y Total depth '~_ c,~ Sanitary seal (Y/N ~ FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot /~. Absorption field on lot Public sewer main ~'"~/~ Sewer service line '"" ('--~o '~ ~) Casin ht / ¢ · On adjacent lots ; On adjacent lots man hole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform --C)~ Date of sample: L -- l'q' - Nitrate Collected by: Other bacteria . ~ ,~'~,,,,/.~c,,,~ B. SEPTIC/HOLDING TANK Date installed ,.~ ,. Tank size / : ~" ~":i~'Fo,.undation cleanout (Y/N) Date of .... 1 ' '"- "~?~ On adjacentlots / Well(s)~onlot ~',. ., To property line --~-=)z ( Absorption field Surface water/drainage ,,,v'('~ Compartments Depression (Y/N) ,,~/,~ Alarm tested (Y/N) Pumper TANK TO: /C~O 1- Foundation ~ '~"C' · ~ ~ Water main/service line /V 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at "Pump off" level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FxIELD DATA Length ~ idth ~¢-' % ravelthickness '~"~- ~ Total absorption area ~.i~'~ Cleanouts present (Y/N) Depression over field (Y/N) ~.,.i~kO Date of adequacy test Peroxide treatment (past 12 months) (Y/N) %.,. 1"4,0 If yes, give date SEPARATION DISTANCE FROM ABSORPTIO~-F. IELD TO: To building foundation On adjacent lots Surface water Curtain drain Soil rating co ~ ~P~,~/~[::~ System type '~='~'¢ ~'~--~ Total depth t ~'~ I - ~ ---~ On adjacent lots"'.. / 2_. ~ To exi! /¢c~ -f'- Property line 3r abandoned system on lot ~/service line bedrooms Driveway, parkin! storage area E, ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines ate of this inspection. Signature~~ Engineer's Name Date /- ~,~h ~fl~ven ~. Parma1* HAAFee$ /7E:) ' Date of Payment /" Receipt Number ~/,4/~ .2 r2 ~'-~'~ /) 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number Permit No, Page 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: L.~ / PID No.: ~'2-013 A (Rev. 9/91) MOA 25 ,] 7r / , .... I1;O'-0 Steve Pannone Anchorage AK Attn: NORTHERN TESTING LABORATORIES, INC 3330 INDUSTRIAL AVENUE 2505 FAIRBANKS STREET FAIRBANKS, ALASKA 99701 ANCHORAGE, ALASKA 99503 (907) 456-3116 · FAX 456 3125 (907) 277-8378 · FAX 274-9645 Report Date: 01/20/93 Date Arrived: 01/18/93 Date Sampled: 01/17/93 Time Sampled: 0745 Collected By: 8RP Our Lab #: A122011 Location/Project: L9 Thunderbrush Subd. Your Sample ID: Kitchen Tap Sample Matrix: Water Comments: Lab Number Method Parameter * Definitions * B = Below Regulatory Min. H = Above Regulatory Max. E = Estimated Value M = Matrix Interference D = Lost to Dilution MDL = Method Detection Limit Units Date Date Result * MDL Prepared Analyzed A122011 EPA 353.3 Nitrate-N mg/1 <MDL 0.1 01/19/93 R~ported By: Susan C. Tifental Microbiology Supervisor R O. BOX 190708 · 2921 INTERNATIONAL AIRPORT ROAD · ANCHORAGE, ALASKA 99519-0708 TELEPHONE 243-2455 Order No. Date . C~') 19. .ame //,~ /:>~,,~.~/ ~-~ :~. · Address · OLD By C.O.O. CHARGE ON ACCT. MDSE. RETD, pall) OUT QUAN. DESCRIPTION PRICI d~' AMOUNT TOTAL aims and returned goods MUST be accompanied by this bill PAST DUE ACCOUNTS SUBJECT TO 1%°/° EERVICE CHARGE PER MONTH. 7 2 6 2 8 ..'. b~ TOOL RENTAL & SALES, INC. 9760 OLD SEWARD HIGHWAY, ANCHORAGE, ALASKA 99515 RENTAL (907) 349-4425 SALES (907) 349-699g FAX (907) 349-9683 Kom/sTSU STIHL' PAGE i i)A'I'E OU-I i: ~,"~/~Z~ I /(:)2 El~: ] 7 AM - DAlE ii,J:: 0~?,i03/9;':'. 08:t6 Al4 -i'DT TJ. HE~ ./I)YS 23HRS 59HN IJSFD A'I': 1/5-[ii & h:-f LI-'~ L I PlZRIOD RA'I'E: ANOUNT :t ,'I.)~',Y ,', .u :, i:' 5J?~(/L OV FD-R .qDOVE'-' ITEl'l) THIS IS A COPY OF ORIGINAL PAYMENT SUMMARY CONTRACT TOTALS have read the rental contract printed on the ,verse side hereof, and agree to the terms ated therein. GNED,, F~i,lOi~tq'l' I:'P, i D . 00 PREV, I:'(~]i) . 00 {3(:'d ('d,IC[: D~JF' ',Ti 1 (:). 50 1 PLOT PLAN AS BUILT SCALE I"'-'~o~ GRiD Z6~'/ JOB No. '99-07 1731 George Bell Circle Anchorage, Alaksa 99515 (907) 345-6476 I Hereby certify tha~t I have surveyed thc following described property: ~~ Recording District, Alaska, and that thc improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the ~ Day of ~Oag~ , 19~., at Anchorage, Alaska It is thc rcsponsibility of thc owner to dct~rminc thc existence of any casements, covcnants, or rcstrictions which do not appear on thc recorded subdivision plat. Weil Owner NEW ADDRESS BOX ,4-1224 ANCHORAGE, ALASKA 99~)9 M-W DRILLING, Inc. P. O. Box 4-1728 · 2811 Dawson A C 907-279-1741 ANCHORAGE, ALASKA 99509 DRILLING LOG Timothy Haakenson Use of Well Dom Location (address of: Township, Range, Section, if known; or distance main road · .. Lot 9, Thunderbrush Sub. ll~th off Birch, Anch. '6 Size of casing Static water level Screen ( ); Describe screen or perforation None Well pumping test at ~5 gallons per (~) of drawdown from static level Depth of Hole 200 feet Cased to 200 feet l~4~ft. (aVoY~) (below) land surface. Finish of well (check one) open end ( X Perforated ( ). (minute) for l hours with 100% Date of completion 19 June WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO ~ Surface Organics ~ TO 10 Sand 10 TO X~ 20 20 TO 40 ~o TO 75 7_5 TO 79 79 TO lo5 TO 1/~0 TO~' 178 178 TO ~95 TO TO TO_ TO_ ); ft. Silty Gravell small Sandy Gravell small to medium Silty Gravel Silty Gravel 1--CUSTOMER NOTE, VICINITY MAP I" I MILE SURVEYOR'S CERTIFICATE, the unrters~ned tegJafered lurveyor, hereby carl[fy fi'=f DTI002008