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Home My WebLink AboutTENGBERG TR B2A GJ ER ANCHORAGE AREA BORO' ~ DEPARTMENT OF ENVlROBIMEr~ITAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM SEPTIC TANK: /~r'" DISTANCE FROM WELL~O,/'~'~- LIQUID CAPAC ITY__z/~') ~ .GALLONS. NUMBER OF MATERIAL ,.~,~J~J~/-~ '~"r~,~C'~.'~'z'~%''~2~'-- COMPARTMENIS_ INSIDE! LENGTH_ ___ '-~'~INSIDE WIDTH z'~ LIQUID DEPTH__ SEEPAGE SYSTEM: SEEPAGE PI1: NUMBER OF PITS_., /., _. OUTSIDE DIAMETER ~1~ k',/'~ ~"~'-~';- C~'/~' __OR WIDTI'I~ , LENGTH~'''?~''z , DEPTH DISTANCE FROM WELl /~'"~"Z~/"~':)'"~::Z-~ BUILDING FOUNDATION NEAREST LOT LINE__ /7' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) '~/',--4¢~ .SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL_ ~//.__~.-,.-F~JI~J);~TrOI~ __, NEAREST lO1 LINE NUMBER OF~ DISTANCE BETWEEN LINES___.~--~TRENCH WIDTH__ ABSO~ ARFA____ SQ. FT. LENGTH OF EACH LINE__ DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE TOrAL LENGTH ___ , OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE WELL: TYPE.....~.~'~..~-~r'~.'~-~ -, DEPTH , BUILDING FOUNDATION ...... SAMPLE , NEAREST DISTANCES: DIAGRAM OF SYSIEM GRE:A1 ER ANCHORAGE AREA BOI']uUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCh 6-650 ANCHORAGE. ALASKA 99502 TELEPHONE 279-8686 pERMITNO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME O' A'PL'OANT MA'LING ADDRESS PHONE LOCATION ~ ' ' INSTALLATION OF: SEPTIC 'rANK ~/~ SEEPAGE PIT ¢/- ., D~AIN FIELD , OTHER . TYPE AND SIZE OF FACILITY TO BE SERVED ~ ~J~)~ ~/~/~///~J~-- ~~ FINANCED ThrOUgh TO be [~StALLED bY SOIL TEST RESULTS , . _ ' NOTE~ THIS PERMIT IS NOT VALID WITHOUT ~OIL FINAL INBPECTION= 24 HOIJR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECIJTION. SEPTIC TANK SIZE /~<~;]~ ./ TYPE /~1~4~/~ SEEPAGE AREA SIZE ¢~7 , TYPE ~/~/~ . SEEPAGE PIT ./~] DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK /~ / . SEEPAGE Pit /~ ~ CAST IRON INTO AND OUT Of SEPTIC 'rANK 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. HEALTH AUTHORITY OR LICENSED DES[GNER I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DATEDE$CR[BED SYSTEM IS IN ACCORDANCE W~TH SAID CODE'~//~ 2~// APPLICANT'S SIGNATURE __ ~ {~/~ ~ ~}~ , Performed GREAFkR ANCHORAGE AREA BOROUGH DEPAF NT OF' E~i\'IRC]N:qE~'~\L 3500 TUDOR ROAD ANCItORAGE, ALASKA 99502 CASE Legal For Roland Bishop Date Performed 10/8/71 Descrip~: Lot Block Subdivision Soils I.~o'g x - PT.~-~-c~i~n Test · This Form Reports G,-~: E 1/2 of Tract B of Tengberg subdivision '~' ,Depth Feet Soil Characteristics ~!~ ~ Tan silty sand !S:-? ~'iI~y sandy gravel and dark gray sand ( o M) (SW) interbedded Encountered? no Depth? ; 'iWas Ground Water "If Yes, At }/hat Time Net Time Depth to H20 ~lltlte Seepage Net Drop Pit x Drai~ Field .Depth Fo Bottom Of Pit Proposed I ns t a~l~-~-~ on: · DePth Of Inlet COMMENTS: Or Trencfi~ 163 square feet of drainage area is required per bedroom, LAh'D ' SE i-: ' ': '~ GREATER ANCHORAGe- 'ARE~'~OROUC~tE~, ~ ~ j~P OS T ] N A C ON S P ] CUOUS,~.LAGE GRI~, .~ ~ · DATE ~ ' FEE , ' ~''~_ 1. Property ~ner P~one~' 3. Legal Descrlp.~ion ' ~.-~"¥~--'~' ~'"~' Description of~EW ALTERATION ADDITION OTHER Use of New Structure 5. 6. 7, A. Residential: ~ngie-Famlly__Two-Family__~lultt.Famlly ___Accessory Buildl~%g C. Industrial: D, Other: __Re tai 1-Who 1 ssa 1 e~Of fice-Pro less lonal ~Comb lnat lon__Other __Ma nu fac tu ri ng__S t orage__p rocess lng I hereby affirm that the above information and that sub-. mitred In application for this permit is true and correct to the best of my knowledge. I understand that this permit is issued on the basis of that information and is subject to compliance with all pertinent codes aa~ordinances of th.e'~re%ter Anchorage Signature of Applicant //~ Tills PEILMIT EXPIRES SIX MONTI S .... I! }'ROM DATE OF ISSUE UNLESS CONSTRUCTION, ~ I ~ AS DEFINED IN THE ZONING ~RDI~A~NCE, / / fL.--' ~Ignature of zoning officer I. z MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015 231 81 1. GENERAL INFORMATION Complete legal description TENGBERG TR 132A Location (site address) 12100 HILLSIDE DRIVE Current property owner(s) Mailing address Real estate agent NOKELBY 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Expiration Date: l I Day phone Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Fx� Private Septic 0 Water Storage ❑ Holding Tank', ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer: ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5-S'0 Waiver Fee $ _ Date of Payment -123/Iq Date of Payment Receipt Number01;M46 46 Receipt Number �c COSA # CA 1,530 Waiver # 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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 (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm C&M ENGINEERING Phone 8545558 Address 20182 TULWAR Engineer's Printed Name CHARLES BALZARINI Date 7/2/02019 -,,t}1►1)1) W)N1'. Original Certificate Date: 7—J f _ / 2_ The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory X. Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet O `-`t, •:va 49 TH 6. DSD SIGNATURE �-- 4_1 System #1 Approved for3—bedrooms r • • '�/'�• • 1 • . •„ . CHARLES G BALZARIM ��f �F��.• System #2 Approved for bedrooms -13854 ..0� • Disapproved •CE • ROFESV Conditional approval for bedrooms, with the following stipulations: fV ... '-r: _ I/li } /VD m `•- 11.— Ar,, ` 1, "./`I 7 -ma r, -,,t}1►1)1) W)N1'. Original Certificate Date: 7—J f _ / 2_ The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory X. Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: TENGBERG TR B2A Parcel ID: 015 231 81 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled LINK Total depth LINK ft Cased to 44 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12 in. Date of flow test for COSA 7/15/19 Static water level at beginning of test 32 ft. Comments BOLTS IN WELL CAP REPLACED. B. TANK DATA Age of tank(s) 48 years Tank type/material CONC. ❑ Standpipes/foundation cleanout per record drawing Date of pumping 8/20/18 D. ABSORPTION FIELD DATA SEEPAGE PIT Which system tested (date installed) 1971 ❑ ALL standpipes present per record drawing Total measured depth from grade 16 ft (max) Measured depth to pipe invert from grade NA ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of drainfield. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced NA gallons Comments/Deficiencies: FOUNDATION CLEANOUT INSIDE HOME COSA Checklist yellow sheet Well production at time of test +6.3 gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 7.13 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by C&M Engineering Date of Sample 7/18/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station NA years Lift station material NA Comments: SINGLE COMPARTMENT CONCRETE TANK. Adequacy test date 7/15/19 Results 4❑ Pass For 3 bedrooms Fluid depth prior to test 48 in Water added 450 gal New depth 54 in Elapsed time 10 min Final fluid depth 54 in Absorption rate 450 gpd Any rejuvenation treatment (past 12 months) NO If yes, enter date NA E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' 72 if No Community Sewer Manhole/Cleanout > 100' Yes if No ft ® Yes if No ft Neighboring Tank > 100' ®Yes if No ft Private Sewer/Septic Line > 25' ®Yes if No ft Absorption Field on Lot > 100' Yes if No 80 ft Holding Tank > 100' ®Yes if No ft Neighboring Absorption Fields > 100' ® Yes if No ft Water Main > 10' Animal Containment > 50' Q Yes if No ft Q Yes if No ft if No ft Water Service Line > 10' ®Yes if No ft Manure/Animal Excreta Storage > 100' ® Yes Community Sewer Main > 75' QYes if No ft QYes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' QYes if No ft Driveway/Parking > 0' ® Yes if No, comment Absorption Field > 5' ®Yes if No ft Wells on Adjacent Lots: Private Wells > 100' ® Yes if No ft Water Main > 10' 4Q Yes if No ft Private Wells > 100' QYes if No ft Water Service Line > 10' ®Yes if No ft Community Wells > 200' ® Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' QYes if No ft Driveway/Parking > 0' ®Yes if No, comment Property Line > 10' ® Yes if No ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' 4❑ Yes if No ft Community Wells > 200' ®Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS CRIB IS DOCUMENTED AS BEING 48 YEARS OLD. MAY BE ADVISABLE TO PREVENTATIVELY REBUILD CRIB. WELL TO SEPTIC SEPARATION DISTANCES HAVE BEEN PREVIOUSLY WAIVED. � G. ENGINEERS CERTIFICATION I �®®a� m. OF A(, k\ Aw ...... QS, its I certify that l have determined through field inspections and review ,'WAP of Municipal records that the above systems are in conformance with 'LQ MOA COSA guidelines in effect on this date. 7/20/2019 •j • y6i•, CHARLES G BALZARINI /® r� �'F • CE -13854 ��F�PROFESSIONP�'�� COSA Checklist yellow sheet DEVELOPMENT SERVICES DEPARTMENT On -Site Water and wastewater Section www.muni.org/onsite -- Nitrate Advisory Certificate of On -Site Systems Approval # OSC191330 Subdivision: Tengberg Tr B 2A 907-343-7904 Fax: 343-7997 A water sample revealed a nitrate concentration of 7.13 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. ate, ��eMcl�g1T255P {��6�}=�C101s"f�I 9Si�C1fil�i 1[I 10� ,:v.^�'�� I Eascr.:en-� i I �ZZ, I { b 1 �'``, Tr. � - 2 •z v. � � �• 111 ' I ti I of i i i �i LEGEND A ��vv00000eoe�"`4�`a��3 • da t'1 •"'2.:s s � �� C3 S ii,..e l.Q,r �y•r ��a'quaaamoo.•rfa �ooc•ea ne+� �..... 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 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLI= FAMILY DWELLING ' Parcel I.D. # 0/~-- ~.~ / --- o°/ HAA # '~'~'lt~I'C~'~:~ ~-~ ~ Tra~ B2A; T~ngb~rg:Sub~v~ion Location (site address or directions) Property owner Mailing address ' l.ei~dih~ ,agenby Mailing address Agent 12100 Hillside D~v¢ Address Anchorage, AK Cindy Valasqucz 12100 Hi.side Driv~ Anchorag~~ Day phone. AK 995/6 Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 5 TYPE OF WATER SUPPLY: NOTE: TYPE OF WASTEWATER DISPOSAL: NOTE: Individual well Community well Public water If community well system, provide written confirmation from State /~..DEC attest: lng to the legality and status of system. Individual on.-site XXX ,,,~ ,~;~. :.: ~._ : -~ Holding tank ' </-~, '- -' ~' .-' Community on-site Public sewer ', -' If community wastewater system, provide written confirmation from State ADEC attesting to the legality and statue of system. 72-025 (Rev. 1/91) Front MOA#21 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 $ ~ _ 17034 Eagle River Loep~Road Address :aUl. ~;~.r.~ ~.~5~ Enninee~s slonature Phone Date ) O /J ~ /q ~/ . DHHS SIGNATURE ,'~'~, Approved for Disapproved. __ Conditional approval for bedrooms. bedrooms, with the following stipulations: AdditionalO0mments,' Note: The well for this property meets existinq State and MuniCipal Codes. There are nitrates present. Tt is .-"' ~-' con~nued suitability. Nitrate concentration is 5.16 mg/1. EPA ; C: B ~ ~ , Date /O/~ )-~ ' ~he Municip~ll~ of Anchorage DepaAment of Health and Human Se~ices (DHHS) issues Health Authori~ Approval Ce~ificates 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 cou~esy to pumhasers of homes and their lending institutions in order to ~tis~ ce~ain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a ce~ificate is issued. The Municipali~ of Anchorage is not responsible for errors or omissions in the professional enginee~s work. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST A, Well Data Well type /0/4 Log present (Ye Total depth Sanitary seal If A, B, or C, attach ADEC letter. ADEC water system number Date completed '~J~"?~ ro ~//'73 Driller ~',-,~,~'o Cased to z/' ~, / Casing height Wires properly protected Date of test Static water level Well flow Pump level1 FROM WELL LOG SEPARATION DISTANCES FROM WFLL TO: Septic/holding tank on lot Absorption field on lot -v ~' 0 Public sewer main ! Sewer service line -v 3 0 AT INSPECTION I,,, ; On adjacent lots / 0 o ; On adjacent lots lO O Public sewer manhole/cleanout Petroleum tank /v /4 .4- WATER SAMPLE RESULTS: Coliform O / ! co "~ -~- Nitrate Dateofsample: /0//I /~ ~/ ( 5", /G .',',,~. ~_Otherbacteria O Collected b~ ..,¢ z~ ~' ~ ,,v (,,, ,,,,-/¢. ,¢.4 c,',~ G R. SEPTIC/HOLDING TANK DATA Dateinstalled I) / Iq/"fl Tanksize /OeO Cleanouts ~'~/N) Foundation cleanout (Y/~ High water alarm (Y/N) Date of pumping C. 4- c Compartments .Depression (Y~i) Alarm tested (Y/N) A,//,4 Pumper /'OO z'O '- SEPARATION DISTANCES FROM SEPTIC/HebD,,.~ TANK TO: / .~.,- / Well(s) on lot 7 ~.' On adjacent lots /0 ~ 'O"- To property line ~" ~ S'" Absorption field '~'- ~ ' Surface water/drainage ~v / 4 72'026 (3/93)' Front 0 )-- ') ~ / '~' % ,] ~' 7 , ~ Foundation ~/service line CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical co~ SEPARATION D~C, NDE FROM LIFT STATION TO: Well on Io[,,,/ On adjacent lots D, ABSORPTION FIELD DATA Date installed II / ! ti / Length ~ O ' Total absorption area Date of adequacy test Manufacturer /.~ Manho~'~s (Y/N) "Pump on" level at J "Pump off" Level at Cycles tested Soil rating (GPD/Ft2) Width ;;)- o Gravel thickness /-/~ (2 Cleanout present (~N) ! O / '"//¢/~/ Results Cfai,) Water level in absorption field before test Peroxide treatment (past 12 months) Surface water Systemtype /-o~. ¢4J~/ ~ / Total depth ~ ~ Depression over field (Y~ for ~ Bedrooms After test ~ ~ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~ ~ O ~ On adjacent lots / O 0 / -¢- Property line To building foundation :~o / ,J,C- To existing or abandoned system on lot /4- On adjacent lots ,) 0 ,¢ Cutbank N / 4 Water main/service line Sudace water /v- [ ~ Driveway, parking/vehicle storage area /0 / Curtain drain ,'v' /~ · ~- ?gCv/o ~'¢- ¥ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to afl MOA and HAA guidelines ~.~?~..~,.. ~ ~date of this inspection. ~/ ~ ,9¢ ,' ~ Signature ,,,~~ ~::: ::: , Eng neer's Name ~O ¢ ~ ~ - ~ 0 ~ ~ ~ I¢, ~ ~ R~'ERT C :~O~:~ '] ~- ~ Date )0 /) ~ / ~ y {~¢ o¢?~.%. ...,' ,'::' ~5 H~ Fee $ ~OE) * ~ Waiver Fee $ Date of Payment /~'- /~- Date of Payment Receipt Number ~/2- ~'~ Receipt Number 72-026 (3/93)* Back MUNICIPALITY OF ANCHORAGE c,.J ~- DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEAL.TH /~ '~¢~. o_u~'4A/C,~ CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 (a) Cecal Doscription (inclu~o lot, block, subOivis~on, section, township, ranoo) Location (address or directions) (b) Applicant Name ~[ - ~ Telephone: Home Business Applicant Address (c) Applicant is (check one): Lending institution []; Owner/builder []; Buyer []; Other,~ (explain); (d) Lending institution _~.~eu:,~'r~o%'f ~nO TC*A (.~ Telephone Address ~0~ ~o ~=.~Q_D ~ (e) Real Estate Company and Agent ~,*10~ ~( - ~,,, ¢c*~,¢*~0~,~2 Address (f) Telephone ,~ ~" Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family~ Multi-Family~ Number of Bedrooms ~' Other WATER SUPPLY individual Well~_.. Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite~ Public [] Community F'] 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 (11/8,1) ')~JOM $,JeeU!~ue leUO!SSejoJd eL~j u! ~uo!ss!uJo Jo ~JoJJe JoJ elq!suodseJ lou s! ebeJoqouv ,to Al!led!o!un~l eql 'pens$] s! @leo!J!lJ@O e eJojeq elep Jo suogoedsu! ~onpuog lou op d3Ha Io saeAoldUJ3 'B:luetJJeJ!nbeJ elejs pue leJepej u!B:lJe9/~,!S!],eS 0:1JepJo U! bu!puel J!eql pue seuJoq Jo SJeseqoJFid 0:1 ~se~JflOO e Se S!q] seop d3NO eq.L 'eHSel¥ Jo e~el~,3 eqi u! peJels!~eJ leuo!ssaJoJd luepu@depu! ue Aq e^oqe ~ LldeJl~eJed u! ue^!~ suo!~elueseJdeJ eql uodn/~lelOS peseq se~eo!j!lJeo le^oJdd¥ Al!Joqin¥ qlleeH senss! (d3HO) uo!loeloJd lelueLuuoq^u3 pue qll~eN ~o lueuJpedeQ el~eJoqou¥ ~o Al!led!oun~ eql N 01.1.1'1 ¥~) I~UOpjpuoo pe^oJddes!O ,/ ,~) peAoJddv ~ .~o~ F~^oJdd¥ lYAObldcl¥ d3HO '9 lees s,Je@u!eu3 'uo!]aedsu! s!~] ~o elep a~ uo ]oejle u! suo!]elnee~ pue 'seoueufpJo 'sepo9 Jo/puB ~lddns ~e]e~ e]!s-uo eq] 'uo!]3adsu! pue uo!]ee!isaAu] ~ ~o~j pue sel!~ eeeJoqauv ~o ~]!led[a!unR e~] ~oJ~ peu!elqo uo!]e~Jo~u! e~enbape pub IBUO!~aunl qll~eH sl~] ¢o uo!]ee!]eeAu! NOIZV~aOJNI QNY V~VO 'HO~YBS 3qlJ '8$S3~ 'SNOIZO~dSNI ONIOIAOBd ~MId 9NIM3~NION~ .g WELL DATA MUNICIPALITY OF ANCHORAGE (MO~,/ HEAt. TH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: ~,,~-.~~ Well Classification _ ~r,~ otvt o~,~ L. Well Log Present (Y/N) ~ Total Depth /-~ 4.A / _ Cased Static Water Level ~ 1, Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from We!l: __ If A, B, C, D,E.C. Approved (Y/N) Date Completed [O,.'7 [ ~ (~ ?."~ Yield Depth of Grouting Pump Set At ~r-t Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) To Septic/Holding Tank on Lot .'-' '~ O / ; On Adjoining Lots [. CO ""~ To Nearest Edge of Absorption Field on Lot __ ,'~ '80t ; On Adjoining Lots To Nearest Public Sewer Line. 1,4~/~"~ To Nearest Public Sewer Cleanout/Manhole I-4/~, To Nearest Sewer Service Line on Lot ,,, '~ o ' Water Sample Collected by _UO.'r', H.A,V~'~.~-Y ;Date_ Water Sample Test Results (?-OL~6~CZ,,~ (~) .¢ (~[_ ~'rr~,te-',.% Cornments B. SEPTIC/HOLDING 'rANK DATA Date Installed Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm [Y/N) f'~,/,~ Separation Distances from Septic/Holding Tank: To Water-Supply Well _ To Property Line To Water Main/~_ ,-v.'~ 0" Course Size ~L0~0~L~.._L} No, of Compartments ~ _ Air-tight Caps (Y/N) __ Y Foundat on C eanout (Y/N) Date Last Pumpeo . L~Z t4,/A : for Temporary Holding Tank Permit (Y/N) ~A/,'./~ __ To Building Foundation To Disposal Fielc ~-~.-'~ ' To Stream. Pond. Lake. or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ I-iCI ~'~ [ Width of Field ~ O Square Feet of Absorption Area /'[ ~¢) Depression over Field (Y/N) J"'( Results of Last Adequacy Test ,%' ~%' ("') ,., ,*, o(. Separation Distance from Absorption Field: ~ ~ To Water-Supply Well To Building Foundation Lot To Water Main/Service Line Length of Field .?. ~) z Depth of Field ¢,.5" Gravel Bed Thickness 6" Standpipes Present (Y/N) Date of Last Adequacy Test Type of System Design To Property Line L '~" ; On Adjoining Lots t "Z.- t S, .- ~ 7 To Existing or Abandoned System on To Cutbank (if present) N ,/A To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~-,:',~-r ~ t4 ~¢-. v'6.¢ ¥' 0 ~ ¢:_~ D. LIFT STATION Date Installed Size in Gallons "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) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify tha~,~,~/~ che_~/C~rifie,~r conformed to all MOA and NAA guidelines in effect on the date of this inspection. Signed ~.i~'~' Date /2'~¢~ 7 Company ~¢¢~'~ ~'~¢~ MOANo, <~¢~ Date of Payment / ~--~ ~ A~oont: $ ¢~ ~ ~, ~¢'~//f~ Engineer's Seal Page 2 of 2 72-026 (11/84) CT&E Ref.# Client Sample ID :TRACT Matrix :WATER Commercial Testing & Engineering Co. Environmental Laboratory Services REPORT of ANALYSIS 5633 B Street Anchorage, AK 99518-1600 : 94. 5224-1 Tel; (907) 562-2343 Fax: (907) 561-5301 Client Name :$ & S ENGIN~,~RING WORK Order :10008 Ordered By :R.J,S. Printed Date .-10/14/94 @ 15:24 hrs. Project Naive t Collected Date :10/11/94 @ 18:10 hrs. ProJect~t : Received Date :10/12/94 @ 15:30 hrs. PWSID :UA Technical Director :S~PHEN C. EDE Released Sample Remarks: RO[~rINE SAHP[,E COLLECTED BY: S.S. Allowable Ext, Anal Parameter Results Qual Units Method Limits Date Date Init, N [trate-N 5.i6 ~/L ~i~A 353 o2/300,0 10 [0/12 MCE * See Special Instructions Above UA = Unavailable ** See Sample Remarks Al~)ve NA = Not Analyzed U~ = Undetected, Reported value .ts the prsct[ce~ quantification limit. [,T = ~ss Than q = Seco~ary dilution. GT = Greater Than Member of the SGS Group (Soci~t~ G~n~rale de Surveillance) ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA ENGINEERING INNOVATION IN '[HE FAR NO, IH ARCTIC ENGINEERS, INC, ENGINEERING STUDIES · DESIGN · OONSI~UCTION MANAGEMENT " SURVEYING December 15, 1987 AEI #8%00%00 Century 21 Realty Bill Flannigan/Stephanic Pashck Anchorage, Alaska SEPTIC SYSTEM ADEQUACY TEST LEGAL: OWNER: HOUSE TYPE: WATER: SEPTIC SYSTEM: TEST DATE: PROCEDURE: Tract B2A, Tengberg Subdivision S 23, T 12N, R 3W, S.M. Mt'. Neville 3 Bedroom, 2-Story, Single Family On-Site Well, Individual Tank: 1000 Gallon Concrete/Espinosa, Top 6' BGL Absorption Level: 20' x 20' x 6' D Seepage Pit w/8' x 8' x 6' Log Crib Absorption Area: 480 Ft.2 Approval Dates: Nov. 19, 1971; September 5, 1980 12-15-87 Honse water use was kept at a minimum on 12-15-87, prior to the adequacy test, which was started at 11:30 A.M. Water from a tank truck was dumped into the pit in 100 gallon increments with liquid rise in thc pit measures after each increment. Initial water depth in the pit was 18". Depth increase per 100 gallons averaged 4". A total of 1100 gallons were input into the system. The calculated rate of rise in the pit was 588 gallons per foot. 3901 P~Tla~C~A LN~E o ANCHOR^G~ A~^SK~ 99504 o 90'11333-9428 (AGcourl Adequacy Test 87-007-00 Page 2 PROCEDURE: (Cont'd.) RESULTS: COMMENTS: Absorption monitoring was carried out at 10 minute intervals for 90 minutes after pumping the septic tank. After 90 minutes, the system had absorbed 200 gallons. The plot of absorption vs. time yielded a daily absorption capacity of 550 gallons per day. The required absorption capacity for a 3-bedroom house is 450 gallons per day. The soil absorption system meets Municipality of Anchorage requirements. The standpipe on the seepage pit bad shifted from its original location at about four feet below ground level. It is recommended that this be repaired during Summer 1988. The standpipe on the septic tank had a restriction where it enters the tank, necessitating the use of' a 2" diameter hose to pump the tank. It is recommended that this be repaired during Summer, 1988. The absorption system is very deep because it has had approximately 10 feet of fill placed over it since initial construction. (SNO'r'I¥9) N 0 I J.d bi 0 S E:J ¥ December 15, 1987 ENGINFERING INNOVATION IN THE FAR NORTII ARCTIC ENGINEERS, INC. ENGINEERING STUDIES · DESIGN 0 CONStRUCtiON MANAGEMENT, SURVEYING AEI #87-007-00 Century 21 Realty Bill Flannigan/Stephanie Pashek Anchorage, Alaska WELL YIELD TEST LEGAL: OWNER: HOUSE TYPE: WATER: WELL DEPTH: Tract B2A, Tengberg Subdivision S23, T12N, R3W, S.M. Mr. Neville 3 Bedroom, 2-Story, Single Family On-Site Individual Well 44' - From Dave Harper, Alpine Drilling, 12-19-87 CASING DEPTH:44' - From Dave Harpcr, Alpine Drilling, 12-19-87 Approximately 42' B.G.L. PUMPINTAKE: STATIC WATER LEVEL: TEST DATE: PROCEDURE: 31.5' B.G.L. 12-15-87 RESULTS: Following determination of initial water depth using a well probe, water was turned on at a hose bibb and let run at full blast. Water level was monitored in the well at 10 minute intervals. Pressure in the 42 gallon pressure tank was also monitored. After 70 minutes, water was turned down to approximately I/2 gallon per minute flow rate and let run for a total of four hours. During the 90 minute full blast run, the well produced a steady yield of 6-2/3 gpm. During that time water level iu the well dropped 2 feet and stabilized. The pump produced a steady pressure of 30 psi during the initial phase of the test. During the remainder of the test, the well level increased approximately 2 feet and stabilized. The pump and pressure tank system cycled properly. ARCTIC_.__..______ENGINEERS, INC._ 4r/s ruoo, CEN,*E S"J"" 10'° 3901 P~TRICIA LAdlE * Ar~c~,')l~,^OI' At ^SK*X 99504 o 9071333 9428 Well Yield Test 87-O07-O0 Page 2 RESULTS: Over the course of the entire test, the well produced about (Cont'd.) 675 gallons. 450 gallons per day are required by the MOA. Thc well meets flow requirements. COMMENTS: Due to the excessive amount of snowfall, it was difficult to determine actual casing height stick-up above ground. Stick- up appears to be less than 12", more like 8". If casing height is less than 12", it should be extended. The well did have a sanitary seal, and all wiring was in conduit, ltowever, the saaitary seal was old and loose, and should be replaced. It was difficult to determine if the well was located in a depression, although it did not appear to be. Well to septic tank standpipe separation was 72'. Well to seepage pit standpipe was 91'. Nitrate and coliform analysis results are attached. ACHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET ANCHORAGE,FEDERALALASKATAx ID ~9951892-0040440TELEPHONE (907) 562-2343 Cl[on( PU! lent Smpl :Imple Rec"d : [)I",C 15 87 8end ;~ork Ord~;r Ilo, : ,!347 11,,,4 qhenllab Ref f!: 06I,t Lab $~pl !i): t ~,latrix: ~later Parameter Tested Rosult/Unlt~ I]at',od I, ilni ts Ud~OPATOIeT SUPblRVlSOlh S'I'I~PlIEft C, E1]~; h~;~"~/:" ( (;~/~:' I. '~ost's Performed ~ See Special l[mtructlons above un cip lity P.O., x196650 ANCHORAGE, ALASKA 99519-6650 O~~ (907) 343-4200 Anchorage MA DEPARTMENT OF HEALTH & HUMAN SERVICES December 28, 1987 William T. Hawley, P.E. Arctic Engineers, Inc. 4175 Tudor Centre Drive, suite ].02 Anchorage, Alaska 99508-5917 Subject: Waiver Request for Tract B2A Tengberg Subdivision Waiver Number WR87-079 Dear Mr. Hawley: Your waiver request for the subject lot has been approved. The required iL00 foot separation between a residential absorption field and private well has been waived to 80 feet. As a result of the very detailed waiver study performed, it was determined that the water table gradient slopes from the well towards the absorption field. This was a large factor in the approval of this waiver. Our records indicate that the high nitrate level in the well water is an area wide condition. In my opinion this well to absorption field separation is not impacting this condition further. This waiver approval is for the existing septic system/well separation only. Any future upgrade of either will require all separation distances be met or another waiver approval from this department. Sincerely, civil Engineer On-Site Services cc: Gus Andress, P.E. Manager, On-Site Services/Water Quality Programs Municipality P.O,, x196650 ANCHORAGE, ALASKA 99519-6650 O~ (907) 343-4200 Anchorage MATONYK OWL S'YOR DEPARTMENT OF HEALTH & HUMAN SERVICES December 28, 1987 William T. Hawley, P.E. Arctic Engineers, Inc. 4175 Tudor Centre Drive, Suite 102 Anchorage, Alaska 99508-5917 Subject: Waiver Request for Tract B2A Tengberg Subdivision Waiver Number WR87-079 Dear Mr. Itaw].ey: Your waiver request for the subject lot has been approved. The required 100 foot separation between a residential absorption field and private well has been waived to 80 feet. As a result of the very detailed waiver study performed, it was determined that the water table gradient slopes from the well towards the absorption field. This was a large factor in the approval of this waiver. Our records indicate that the high nitrate level in the well water is an area wide condition. In my opinion this well to absorption field separation is not impacting this condition further. This waiver approval is for the existing septic system/well separation only. Any future upgrade of either will require all separation distances be met or another waiver approval from this department. Sincerely, civil Engineer On-Site Services cc: Gus Andress, P,E. Manager, On-Site Services/Water Quality Programs ARCTIC ENGINEERS, INC. December 15, 1987 Municipality of Anchorage Dept. of Health & Human Services On-Site Services P. O. Box 196650 Anchorage, Alaska 99519-6650 RE: Tract B2A, Tengberg Subdivision S23, T12N, R3W, S.M. Request for Separation Distance Waiver Between Well and Seepage Pit Site History The above described property is a 2-1/2 acre parcel located at the top of Huffman Ridge on Hillside Drive. The address is 12100 Hillside Drive. The septic system consists of a 1000 gallon concrete "Espinosa" septic tank, and a log crib seepage pit. It was constructed by the original Owner, and inspected by the GAAB on November 19, 1971. The well was drilled between Nov. 17, 1971 and April, 1973. Well depth is 44 feet, cased to the bottom with no perforations, and static water level is 31.5 feet. Both the well and septic were reapproved by the GAAB on 4-5-73 for the purpose of obtaining a home loan to replace a mobile home which was previously on the property. On Sept. 3, 1980 the absorption system was tested for adequacy by Alaska Environmental Control Services. It was determined to be capable of accepting 600 gallons per day. On December 15, 1987, Arctic Engineers, Inc. tested both the well and septic systems and found them to be operationally adequate. When originally constructed, the well was placed 72 feet away from the septic tank cleanout and 91 feet from the absorption system standpipe. This places the well approximately 70 feet from the nearest edge of the septic tank, and 90 feet from the nearest edge of the seepage pit. No snrrounding systems are within a 100 foot radius of either the subject well or septic system. ARCTIC_.._.__--..-IEN~glNIEER[i,..__~NC. 4175 Tuoo,, CENmE DR,VE. Su, r~ 102" ANC.O~V, OE A, ASK^ 99508-5917~: 90'//561..1345 3901 PA/RICI^ LANE o ANCtlORAGE Al ;,SKA 99504 r, 9071333-9428 (AOCOU',J m4c;) Municipality of Anchorage Dept Health & Human Services December 15, 1987 Page 2 Aoproach Well logs and soils logs, where available, for this property and surrounding properties were obtained from DHHS. Only a soils log was found for this tract, well and soils logs were found for lots in Hillside View, Chickadee Slopes, Breitzman, and Alpine Terrace Subdivisions. This information is summarized and attached as Appendix A. Dave Harper, of Alpine Drilling, was hired to determine well depth. casing depth, and whether or not the casing was perforated. Well depth and casing depth were found to be 44' B.G.L., and the casing was nor perforated. The 11/19/71 GAAB Inspection Report (in Appendix B), a topo plat by J.L.S. Surveys (Figure 1) and field measurements to determine horizontal locations of system components. preliminary were used A cross section of thc straight line distance between the well and seepage pit was drawn, using known and assumed information. This is attached as Figure 2. The information was assimilated, and conclusions were drawn in re'der to evaluate the feasibility of obtaining a waiver. The State of Alaska Waiver Guidelines (1-3-85) were used to evaluate feasibility. Conclusions Water Table Static water level in the well on Tract B2A was measured at 31.5' B.G.L. Maximum drawdown was measured at 33.5' B.G.L. Review of surrounding well logs indicated that where gravel overlies bedrock. it is typically water bearing. It was assumed that this well draws from that aquifer, and that the casing terminated at or near bedrock surface. Further review of surrounding well logs indicated that bedrock depth is typically about 40' B.G.L. General knowledge and Figure I led to the conclusion that ground surface slope in the area if generally from east to west, and is roughly 10%. It follows that bedrock dips similarly at about 10% from east to west. Thc depth of the bottom of the seepage pit was measured and found to be 20' B.G.L. Plotting of this on Figure 2 revealed that the lowest part of the septic system was approximately 17' above static water level. Municipality of Anchorage Dept. of Health & Human Services December 15, 1987 Page 3 Thus, we attributed 2 points to this category from the ADEC guidelines. Soil Sorption Review of well logs and soil logs (see Appendix A) indicated that soils were predominantly sands, silty sandy gravels, and layers of hardpao/ silt/clay. We assumed a sand with clay for a representative soil stratum. From the ADEC guidelines, we assigned 2.5 points in this category. Permeability Again, review of well and soils logs led us to assume a permeability of sand with clay. From the ADEC guidelines, we assigned 1.25 points in this category. Water Table Gradient Based upon the summary given under the heading "Water Table" and the plotted information on Figure 2, we assumed a water table gradient of +10% We assigned 6.0 points to this category. Horizontal Separation Using the original inspection report (see Appendix B), field measurements, and our best judgement, we assumed a separation distance of 80 feet from the seepage pit to thc well. We assigned 2 points to this category. Results The total point value we developed was 13.75. We feel that bacterial contamination of this well by this seepage pit is unlikely. Separation distances to surrounding systems are satisfactory. We recommend that a separation distance waiver be granted for this particular case. Municipality of Anchorage Dept. of Health & Human Services December 15, 1987 Page 4 If you should have any questions about our assumptions or other information, please call Ted Hawley at 561-1345 or 243-7782. In general, points assigned were intended to be conservative. Sincerely, ARCTIC ENGINEER~$~INC. EW~ v iraon nle n tl~l~Ee'r WTH:smv Enclosure I I I I I I I I i I I I t I ~J f'z-/¢,- GREATER ^NCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date ReceivedL .j" :- Time of Inspection Date of Inspeotion__~_~--~3 REQUEST FOR APPROVAL OP INDIVIDUAl, SEWER & WATER FACILITIES FOR Aopro,,al Requested ~y~ Phone: Phone: 5. Type of Facility to be Inspected: Number of Bedrooms: Well Data: A, T¥~e ///~/~-._-~4~) B. Depth__~.~TC C. Construction D, Bacterial Analysis . Sewage Disoosal System: A. C. Septic Tank: 1, Size~ . Manufacturer ~:~=3~:~ _ Disposal Field: Total Length of Lfnes~ /-~/~ _ Well To: Septic Tank ~ / , Absorption Are~ ~// , Sewer Lines /D /~ , Nearest Lot l, ine~ /~- , Other Contamination ~/,. B, Foundation to Septic Tank f// C. Absorption Area to Nearest Lot Line Request for Approval of Ir idual Sewer & Water Facilities Page Two 9. Comments: Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities located at: Signed Date , . DAI'E RECEIVED TIME - ~ TIME T -~ATE DATE DATE ~SPECTOR INSPECTOR INSPECTO -- MUNiCiFALiTI' OF MUNICIPALITY OF ANCHORAGE DEPT. OF I!'-Al.Til & DEPARTMENT OP HEALTH & ENVIRONMENTAL PROTEDTI~/~IV)RONMENPAL [..OIECTION 825 L Street - Anchorage, Alaska 99501 Iv1AY 2 . 1980 ENVIRONMENTAL SANITATION DIVISION Te,...o. e26. 0 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: 0omplete all parts on page 1. Incomplete requssts will not h, processed. Please allow ten (10I days for processing. ~-. PROPERTY OWNER PHONE MAILING_ADDRESS ~OPERTY RESIDENT (If different from above) PHONE ~. BUYER PHONE ~AI LING ADDRESS ~'. LENDING INSTITUTION ' PHONE ~'AI LING ADDRESS ~'. REALTOR/AGENT [ PHONE I MAILING ADDRESS ~'. LEGAL DESCRIPTION STREET LOCATION ~'. TYPE OF RESIDENCE NUMBER OF~BEDROOMS -~ One E] Four ~ SINGLE FAMILY ~ Two ~ Five [] MULTIPLE FAMILY ~ Three [] Six [] Otner 7, WATER SUPPLY INDIVIDUAL* E] COMMUNITY [] PUBLIC UTILITY ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give wel ,.)z~ depth (attach log if available.) / ~-~ (~ 8. SEWAGE DISPOSAL SYSTEM ~ NDIVIDUAL/ON-SI'FE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED, NOTE: THE-: INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE//~ RESIDENCE NE~TUMBER OF BEDROOMS I~ SINGLE FAMILY [] ONE HREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. ~R SUPPLY iv, i INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED NWAGE DISPOSAL SYSTEM PERMIT NUMBER DIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER ~]S?'eptic Tank or [] Holding Tank Size: /0~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK ~ MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCESwELL TO: Septic/Holding Tank A ' r a Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS [] CONDITIONAL APPROVAL (letter must accompany certificate) 72-010 (Rev. 6/79} ', ALASKA eFIUIROFImeFITAL CO[1TROL SeRUIC~$, IBC. ~n§inecrin~I ~ ~nvironmcnt(ll Slu~Jics ~AUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION SEP 5 1980 RECEIVEI) 1220 UJcsl 25lh ~venu¢ '" J/nc}lorc~§¢, J~lcJsJ;d 99503 · (907) 276-1361 825 "L" S'[R EET ANCHORAGE, ALASKA 99501 (90?) 264 4111 May 28, 1980 Roland L./Norma S. Bishop Star Route A Box 2395A Anchorage, Alaska 99507 Subject: Block 2 Tengberg ,~ubdzvxslon Approval for your individual can not be granted until the completed: sewer and water facilities following items have been (1) (2) (3) The water analysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. The septic tank pumped with a receipt submitted to this office. A four(4) inch cast iron cleanout needs to be installed in the leaching area. An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing, the test is enclosed. This report needs to be submitted to this department for our review. Please notify this department for a reinspection when the noted descrepancy has been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholz, R.S. Senior Environmental Specialist LNB/ljw cc: Curt Carley % Totem Realty