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Home My WebLink AboutTURPIN #1 BLK 6 LT 10Onsite File Turpin #1 Block 6 Lot 10 #006-096-16 MUNICIPALITY OF ANCHORAGE a WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE:(907)564-2762 BLOCK/LOT/TRACT: BLK 6 / LT 10 I SUBDIVISION: TURPIN#1 TAX CODE: 00609616000 GRID: SW1339 .toe jtik t WASTEWATER CONNECT PERMIT -:1 f4 S151410 DATE OF APPLICATION' 09/04/2015 SCHEDULED COMPLETION DATE: 12/31/2015 STREETADDRESS: 006335 MARKSTROM DR ,AK OWNER: DYSON CHARLES M & CRYSTAL M REVOCABLE LIVING TRUST MAILADDRESS: 2221 YORKSHIRE LN ANCHORAGE, AK 995043369 ® SINGLE FAMILY ❑ DUPLEX ❑ COMMERCIAL ❑ MULTI -DWELLING No. APTS PHONE: CONTRACTOR REMARKS ASSESSMENTS ❑X Repair Existing Service ❑ Main Line Extension ❑ On Property Only ❑ City Tap X❑ Have Been Levied ❑ Hydrant Only ❑ To Be Levied ❑ Main Tap -To Property Line Only Comments: ❑ Main Tap & On Property Connect Row No. ❑ Disconnect ❑ R & R - Main Tap Only bwner CONNECT SIZE 41n ISSUED WWGEH INSPECTION FEE $ 103.00 ❑ PAID ❑ CASH PERMIT FEE $ 72.00 ❑ CHECK# RCC FEE $ 0.66 ❑ OTHER REIMBURSABLE DEPOSIT$ 0.00 INSPECTED BY�O,S NUMBER TOTAL$ 175.66 DATE 9-10-is- -10-IS REMARKS PERMITEE (Please Print) DYSON CHARLES M & CRYSTAL M REVOCABLE PHONE MAILADDRESS 2221 YORKSHIRE LN ANCHORAGE, AK 995043369 SIGNATURE POST IN A CONSPICUOUS PLACE AT THE JOB SITE INSPECTOR COPY DATESCHEDULED 12/31/2015 TIME 12:00am INSPECTOR Q -I r,S SgS55 SUBDIVISION TURPIN#1 BLOCK/LOTfTRACT BLK6/LT10/ INDICATE NORTH /S SNI`Jlj 4n noW Cl+sln wP� e*ZsA;,s la' pact 04 ynno6,b 3b' - It, e+is+,AS L4 no l�.Ay -co - 14' ei-:sl:nq no �up q EEI j'i'1�.rkS-�rJm Pr SIZE MAIN: TYPE MAIN: Ac— DEPTH AT MAIN: AT PROP. 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't...... .�f` ' +i7 .A.J-#��..�' *._ i . �# I _r .. a'• f [ '� i ..+€_ _ _ _ r, r • 0 Nr ""A \ * * � 1 r wr t . 1 ,740. t/ sir _+i3_SS- a H z Im GREA'ANCHORAGE AREA BOR(~H Departme;t5;f0 .~;i;~n?/andtal Quality Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM v ID ~r DISTANCE 4~ NUMBER OF INSIDE LENGTH ~ INSIDE WIDTH /~ LIQUID DEPTH '~'~'"~ LI(~UID CAPACITY/~')/---') GALLONS, SEEPAGE PIT: ~ )~ ~)~--~:"t~ ~'C ~t' ~ NUMBER OF PIT DIAMETER _ OR WIDTH LENGTH DEPTH LINING MATERi~ce~.~I ~ CRIB SIZE: DIAMETER DEPTH DISIANCE FROM: WELL BUILDING FOUNDATION ~/'~ NEAREST LOT LINE ~/ TOTAL EFFECTIVE ~/(~/'t: ~(/~'/~(:JZ~ ABSORPTION AREA (WALL AREA) FT. ADDITIONAL ABSORPTION WELL: TYPE ~'//;//* '//' CONST R U CTIO N ~4'//)~) (*) ~'~/ DEPTH U,LD,NG i ,f. NEAREST FOUNDATION , LOT LINE , CESSPOOL OTHER SOURCES APPROVED /~ ~ DISAPPROVED NEAREST SEWER LINE DISTANCE FROM: REMARKS SEPTIC )~ ~-- / SEEPAGE TANK ~' ~ , SYSTEM DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: //~ ~'/ LOT SLOPE: REMARKS: Form PW-026 DATE ~/'~' G ~:~A.B. GR.R.R~ATER ANCHORAGE AREA BORO~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 ~, ~-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ~'/~ /~ ~ MAILINg NAME ~/,//( C, ,~.~ c/~'~ .,b x~.~/2 / .~ ADDRESS LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELl LIQUID CAPACITY ! 6 ~" MATERIAL //O(~ (~ GALLONS. INSIDE LENGTH NUMBER OF COMPARTMENTS INSIDE WIDTH '/"~" DEPTHLIQUID SEEPAGE SYSTEM: SEEPAGE PIT; NUMBER OF FiTS / OUTSIDE DIAMETER OR WIDTH LINING MATERIAL '~JOC/~/ DISTANCE FROM WELL 9~ NEAREST LOT LINE c~ ~) TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) / .LENGTH ~ ,DEPTH BUILglNG FOUNDATION SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELl , FOUNDATION. · NEAREST LOT LINE TOTAL LENGI'H , OF LINES NUMBER OF LINES ABSORPTION AREA DISTANCE BETWEEN LINES TRENCH WIDTH SQ. FT. LENGTH OF EACH LINE IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE 1ILL ' DISTANCE FROM I (,~1 WATER WELL: TYPE ~},g.,//e ~ . DEPTH , BUILDING FOUNDATION. SAMPLE LOT LINE l~'l NEAREST SEPTIC SEEPAGE SEWER LINE. .TANK ~ ~ , SYSTEM CESSPOOL · NEAREST OTHER SOURCES DISTANCES: DIAGRAM OF SYSTEM APPROVED HEALTH AUTHORITY GAAB-H D,g GREATE ANCHORAGE AREA .OROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-25 ] 1 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT Case N o. -,~---~ NAME OF APPLICANT /C~,~//~ ~ .,~/~¢TZ.d¢~#~/~ MAILING ADDRESS PHONE RESIDENCE ADDRESS ~0 ~ ~ ~ ~ ~ LOCATION OF INSTALLATION ~,~ ~ LEGAL DESCRIPTION ~ ~ ~ ~ 0 %/~ ~,.~, ~ ~,, ~ ~. APPLICATION TO INSTALL: SEPTICTANK~,SEEPAGEPIT~,DRAIN FIELD , OTHER ~ ~ ~ / T0 SERVE THE FOLLOWING FACILITY ~ PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION /0 ~ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS '~,~- /~[/2 d~,,-,,5/~ , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE./~R~ED · SEPTIC TANK SIZE {~O(3 TYPE ~:-'-'-'-'-'-'-'-'~, ,,SEEPAGE AREA TYPE //DIAGRAM OF SYSTEM DISTANCES: Haalth Authority I certify that ! am familia~ with the ~equirements of Greate~ Anchorage A~ea Borough Ordinance No. 28-68 a~d that the above described system Js in accordance with said code. DATE (~//,)~, APPLICANTS SIGNATURE. GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE~ ALASKA 99501 CASE This Fomm ReDoPt$ a: Soils Log / -Pefco/at,on Test · , , Depth Feet Soil Cha~act eris~ics Was Gmound Wate~ Encountemed?, If Yes, At What Depth Location Sketch ........ pth H20' ' Net Time De To Net D~op Reading e m h'oTaiT6~ ~'7 alnute Pmop.osed Instal~Seepage Pit ~ DPain Field Depth Of I~nlet ~ i f. Depth To Bottom Of Pit Or Fmench /~ y¥ co~r~.~ ~ .. ~. · ~ ." .... ' .... . Test Pe~fo~d By:.~ }O~:~ o . Data Certified Sy:~~g~ Date: ~ ~ ~ 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. 006-096-16 Expiration Date:UIJI l c�1 901 � 1. GENERAL INFORMATION Complete legal description Turpin Sub #1, Block 6, Lot 10 Location (site address) 6335 Markstrom Drive Current property owner(s) Day phone Charles & Crystal Dyson/Chester Dyson/Kendra Dyson (907) 229-3359 Mailing address 6335 6700 St Ives, Anchorage, AK 99504 Real estate agent Chris Swires 2. TYPE OF DWELLING: ❑■ Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 Day phone (907) 830-0073 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Q Private Septic ❑ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑■ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 200 Waiver Fee $ Date of Payment 5/5 1.aO2 I Date of Payment Receipt Number. () 5.5 Receipt Number COSA # 0! C % I 12-2 l 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone (907) 522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503 Engineer's Printed Name Benjamin Schiller Date 5/4/21 `oAQ TH 6. DSD SIGNATURE System #1 Approved for bedrooms` Benjarri(l'chiller System #2 Approved for bedrooms �� isT . CE 12592 ��k�'0 AW , PROFESSION _ Disapproved Conditional approval for bedrooms, with the following stipulations: k . % lT V A11 W/. _ By: Original Certificate Date: 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: y COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist yellow sheet COSA Checklist Legal Description: Parcel ID: If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) years Tank type/material Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA ______________________ Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. 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 gallons Adequacy test date Results Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: Turpin Sub #1, Block 6, Lot 10 006-096-16 2.5 Unknown N/A 70 40+* 7.62 16 Forge Engineering 4/8/21 48.9 4/8/21 No well log available. *Casing depth and integrity verified by camera 4/28/21. Public Sewer Public Sewer Public Sewer COSA Checklist yellow sheet 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’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft F. ENGINEER’S COMMENTS G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 5/4/21 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904 On‐Site Water and Wastewater Section Fax: 343‐7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org Nitrate Advisory Certificate of On‐Site Systems Approval # OSC211221 Subdivision: Turpin #1, Block: 6, Lot: 10 A water sample revealed a nitrate concentration of 7.62 milligrams per liter (mg/L). 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. Since nitrates are known to slowly increase, we recommend you monitor the water quality. 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. Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as “blue baby” disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a medi a with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several “wet chemical” methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive “screening test”, and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. survey ordered by: CHRIS SWIRES REMAX PROPERTIES THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOWANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOTONES ANDIOR EASEMENTS, AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD OR OTHER RIGHTS OF WAY, OR ANY ENTITY NOT ON THE RECORD PLAT ARE NOT SHOWN HEREON, UNLESS NOTED. NOTE FENCELINES THAT MAYAPPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAYBE APPROXIMATE DUE TO EXCESSIVE SNOW ANDIOR ICE. AS -BUILT SURVEY 111 =201 NO CORNERS SET THIS DATE 1 HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT1O, BLOCK6, TURPINSUB FIRSTADD'N. ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED ATANCHORAGE,ALASKA THIS STI -1 DAYOF APRIL 2021 FB 212-35 HOLT LAND SETRVEYINi 9309 GROVER DRIVE ANCHORAGE,AX 9950 Time ! Time Date Date Date Inspector Inspector Ihspector Comments Conditional Approval Date Sewer Installed Permit No. Septic Tank Size Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY . Property Owner /A~/,~/f//~.~ 6 .~7~/~)(~ Phone Mailing Address Lending Institution ~_ ,~ ~.~ ,./-'~r.//:~..~ ~ ~--~ ~.~- Phone Address S/d/4:7 ~ ~,-?_~ Realty Co. & Agent Phone Address Legal Description //<:?/~ 7~d~)/~.' Street Location Type of Residence /~ Single Family Multiple Family No. of Bedrooms [] Other Wat~,P Supply ~ Individual ATTACH WELL LOG. A well log is required for all wells drilled since June ~ Community 1975. For wel~drilled~Ddor t,~t~ha,~t ~te,/give well depth (attach log if [] Public Utility available./ Sewage Disposal ~,~ Individual Year Individual Installed: ~[3 Public Utility When Connected to Public Utility:_ [] Holdin~l Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER Donald W. Holland PHONE 337-7924 MAI LING ADDR ESS Post Office Box 4-2625 PROPERTY RESIDENT (If different from above) 2. BUYER PHONE PHONE Michael Grotting MAILING ADDRESS 3. LENDING INSTITUTION Teamsters Federal Credit Union PHONE MAILING ADDRESS 4. REALTOR/AGENT Barbara Holland PHONE 276--7777 MAILING ADDRESS 2810 C Street 99503 5. LEGAL DESCRIPTION Lot 10 Block 6 Turpin Subdivision #1 TR~%~o(~strom Drive ~ ~u~ ~--~ ~;~4,,~ y 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] Other [] SINGLE FAMILY [] Two [] Five :E~ MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY X:~ INDIVIDUAL* * ATTACH WELL LOG. A well log is requ'ired for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required J~ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~'~$T BEFORE PROCESSING CANOE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONL DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR I DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DR,LLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER J INDIVIDUAL/ON []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] HoJding Tank Size: If Tank is homemade SOILS RATING give dimensions: 4. DISTANCES Septic/Holding Tank Absorption Area 5. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) DATE [] DISAPPROVED 72-010 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE ' ;~ ' ' DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTIONP' ........ 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 - :- , REQUEST FOR APPROVAL OF - INDIVIDUAL SEWER and WATER FACILITIES : 1. Type of Inspection: CM RO VA FHA . CONY 2. Property Owner: Donald W. Holland Mailing Address:P.O. Box 4-2625 3. Name of Buyer: Michael Grotting Mailing Address:. 4. Name of Lending Institution: Mailing Address: Day Phone: 337-7924 Day Phone:, Teamsters Credit Union Phone: 5. Name of Realtor or Agent:_ Barbara Holland Mailing Address: 2810 "C' Street 6. Legal Description:__ Lot 10, Block 6, Turin Location: 6335 Markstrom Drive Phone: 1st Add. 276-7777 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Duplex Public Utility No. Bdrms. J ndividua~]ell 3/2 If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Appro×i~.ate!y 65 f~et Public Utitity}G~3~¥ . Individual (on-site). If Individual, date of installation 72-003{3/76) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 I I Date Received September 29,1976 ~u~- ~1,.- I /~ ,~~ Date ~ Inspection ~ I~IVIDUAL SEWER & WATER FACILITIES ~.~ ~ FOR ~ ~ - ~ ~ ~ ~ ~cho~~~l. Approval requested by: i s~ ' ~ g ~ Mailing Address: Post Office Box 720 Phone: 279-4481 x 482 2. Property Owner: Jae Yon Greening Phone: ...... 9 Mailing Address: 6335 Markstrom Drive /- ~ ~ ' 3. Legal Description: Lot 10 Bleck 6 Turpln Subdivision #1 4. Location: 6335' Markstrom Drive cility 5. Type of fa to be inspected 6. Well~.Da%~:~''~ Individual A. Type Duplex No. of bedrooms 5 B. Depth C. Construction D. Bacterial Analysis Sewage Disposal System: on-site system ~.~ ~&A A. Installed B. Installer ~. ~p C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area ., Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorotion area to nearestlot l~ne EQ-034 (1/74) Page 1 of two pages /'%UNIClPALITY OF ANCHORAGE DEPARTMENT OF EN~/IRONMENTAL QUALITY 3330 'C' Street, Anchora(Je, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES Type of Inspection: CMRO ' VA FHA CONV 7; Property Owner: Jae Yon Greenin_~ Mailing Address: 6335 Markstrom Drive Day Phone 279-7969 .Name of Buyer: Donald W. & Barbara A~n Holland Mailing Address: Box 4-2625 Day Phone 272-1320 Name of Lending Institution: First National Bank of Anchora_~e Mailing Address: P,O. 720 A~chora~e. Alaska 99510 Phone 279-448~ g×~ z'g2 Name of Realtor or Agent: Tanner Magowan Mailing Address: Phone 274-2521 Legal Descriptibn: Location: Lot 10 Blk 6 Turpin Sub. 1st Addn. 6335 Markstrom Drive 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility If Individual, number of dyvellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation No. Bdrms. ~ Individual Individual (on-site) X EQ*O37 (1/74) Page 2 of two.pages - Re~t for Approval of Individual S~.r & Water Facilities ~gal Description Lot 10 Block 6 Turpin Subdivision #1 Comments Approved y~i sapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM c'ertify that the information contained in this request for approval to be a true and accurate rePresentation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (!/74) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686. Date Received Time of Inspection Date of Insnection 1, 3. 4. 5. REQUEST FOR APPROVAL OF INDIVIDUAL SE~NER & WATER FACILITIES v~P OR Approval Requested By: ~-~¢/~ ~a )~/~ / Property O~ner: Legal Description: Type of Facility to be Inspected: ~ ~?0., Number of'Bedrooms: Phone: Phope: 6. Well Data: A. T pe 7. Sewage Disposal System: Bacteria] Analysis· Installed ~-/~/' /~. ]~bstaller C. Septic Tank: l, D. Seepage Pit: 1. E. Disposal Field: Size~_~. ~anufacturer Total Length of Lines Distances: A. Well To: Septic Tank , Absorption Area~ , Sewer Lines , Nearest Lot Line /~ , Other Contamination Foundation to Septic Tank ,/~_ "~ AbSorption Area Absorption Area to Nearest ~t. Line ~ ' ) Recap, est ~for Approval of Individual Sewer & Water Facilities '--~' Pa~e Two Approval Valid flor One Year ~z'o~ ~ate Signed Greater Anchorage Area Borouqh, Deoartment of Environments] Quality D!AGP~^~ OF S,STF. N: I certify that the information contained in this request for approval to be a true and accurate representation of the subject sawer and w~ter f~cilities located at: S&gned Da~e July 21, 1972 Veteran's Administration 429 "D" Street Suite 214 A~¢horage, Alaska Subject: Block 6, Lut lO, Turptn Subdivision Dear Sir: The sewer system serving the subject property is approved as is. After conferring with the inspector who made the final inspection August lg, 1969, it was discovered that the size of the seepage pit crib was (~easured instead of the size of the pit itself. The contractor and the original inspector both agree, that the sewer system is aaequately sized and therefore no further work is needed on t~e system. Sincerely, Lynn S. Coad mb cc: Faith Ahercrombie GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY ! ~- 3500 TUDOR ROAD I,,I ANCHORAGE, ALASKA 99507 279-8686 INSPECT: ~QU~S~ ~o~ ~oW~ o~ INDIVIDUAL SEWER AND WATER FACILITIES ~. ~OVA~ ~EQUESTE~ ~V: PHONE: 2. PROPERTY OWNER: ~ lC PHONE: 8. LEGAL DESCRIPTION: ~_~_~_~_ ,UMBER OF BEDROOMS: WELL DATA: ,~ ~ . A. TYPE~ C. SIZE ~ C~e;n D. CONSTRUCTION E. BACTERIAL ANALYSIS 6. SEWAGE DISPOSAL SYSTEM: SEPTIC TANK 1. SIZE 2. 3. (IF HOMEMADE, SHOW BIAGRAN ON BACK) 4. INSTALLER APPROVAL REQUEST FOR SEWER & WATER FACILITIES PAGE TWO B. SEEPAGE PIT 1. SIZE C. DISPOS~FIELD l. NUMBER~INES 2. TOTAL LENGTH REQUIRED MEASUREMENTS A. B. C. D. E. F. G. WELL TO SEWER LINE WELL TO PROPERTY LINE WELL TO OTHER POSSIBLE CONTAMINATION FOUNDATION TO SEPTIC TANK ~4~-x FOUNDATION TO SEEPAGE PIT H. SEEPAGE PIT TO PROPERTY LINE APPROVAL VALID FOR ONE YEAR FROM EATE SIGNED· GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALIT February 4, ] 972 Hrs. Faith Aber=rombte Z5~ ~ed~ood Street ~nchorage, Alaska 99504 Subject: Lot 10, Block 6, Turptn SubdJvlston, Dear ~lrs. Abercrombie: A retnspectton of the subject property revealed that the ~ell has now been properly sealed. The sewer system st~11 needs the additional square feet of s~epage area added to ~t. Temporary approval wtll be gtven pendtng the escrow of funds to add the additional 360 square feet o¢ seepage area to the sewer system. Three- hundred stxty square feet of seepage area for thts sewer system would constst of an additional seepage ptt t$ square w~th 2 concrete perfor- ated rtngs, Thts pit ~s to be at least 25 feet away from the extsttng seepage ptt. If you have any questions regardlng the above, please do not hesttate to contact thts offJce. Sincerely, Lynn S, Coed £nvtronmental Spectallst S~ cc: Veterans Administration Lynn S. Cond Environmental Sp~cf~llst st cc: VA Admtnlstrat~on A Form ~NSUR~NO OmCE ~LMoRTGAGOR OR SPONSOR Form Approved HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.--TO BE COMPLETED BY FHA David L. V~ugbn B l~.~~ / 633~; Me~ket;zom D~J. ve NAME TOTAL NUMSIR: 1 3 1 WATER SUPPLY BYz .{~ Public system BASEMENT ~--] Yes ' [] No -]New installation '-']Community system Individual SEWAGE DISPOSAL lYz --1 Public system [] Community system [] Individual PART II.--TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH Yes [] It is the opinion of the '[~] State [] County [] Local Department Of Health that this individual' water-supply system [~] is. [] is not ~tisfactory as a domestic water 'supply for the subjeft property. · It is the opinion of the [] State [] County [] Local Department of Health that ·this individual sewage.disposal sys- tem with proper maintenance: [] Can be expected ~o function satisfactorily, and [] Cannot' be expected to function satisfactorily is not likellf to creat~e an/insanitary conditio~m NOTE, ,he/ealth .othority should ~.mpl/,; ;he appropriate .pillar .titirnen~ above ;fid .fflX'd~-.~si~"atur' ahd tlt, e ,. th. spaces ~rovide4. · Us¥~ of t~ above grid for Health Department Inspector's sketch as weU as use Of the back of this form is at the optla, of the PART III.~FOR USE OF FHA'OFFICE TO THE CHIEF UN~RWRI~R: ~ have ~ev~ewed the ~o~egoing and ~be ~m{nem ~HA Complim:ce Xns~on Repom~ and zecommend chac che Individual writer-supply system ~ considered ~ Acceptable ~ Not Accepuble ~wage dis~sa} ~ considered ~ Acceptable ~ Not Acceptable. I Sentor Environmental SpeCtal DATE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM ]CHIEF ARCHITECT