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HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 2 LT 1 Fab 25 20 10,51a A!ichcraye',Ale l & PL^gyp Sar 907^43074- p.1 Legal Description 1 I ,P�r•-ocperty Owner Name & address: �O��c Mc�Dr l� L2SY-al— t1V41 �C VViL�O+I� Purnp Installation Date: Pump Intake Deeds Below Top of Well Cashigy. /5 -5 -"feet Puivp Manufacturer's Nanae: -,&Lfi-D M I Pump Model. qV �E-- Nine Size L�'- hp Piticss Adapter Burial Depth: l-5, feet Pitiess Adapter Manufacturer's Mame: Pitless Adapter Installer: Well Disinfected Upon Completion? Yes No _"Method of Disinrection: I Comments: Pump lustaller lanae: I� Attention i t The pump i:astaller shall provide a pump installation log to the DSD vvithin 30 days of pump installation. y 5 ))k app �+ r t� 4 11? 1 M P m=x:t ;,:#"s�4e'`al" ;: � :�" r. �• �9,«�;-,G°'32 , ��t i,{ •_ 47 Flmore `',`'�.a y �• D.0. BO;( r -•r' mark 3egich %: ���r,�nf� AX' 995)Gi' S �. E r t �-- t �ViBa'OY w�ttu.tr:[ni_Crni on5rti: }e'�yg, o n ,fig PumpInstallation Weil Dril9ing Permit Nuin6er: c;NYnate of Lssue: Marcel Ideutiticfation Number: 015" titi 3^ U l Legal Description 1 I ,P�r•-ocperty Owner Name & address: �O��c Mc�Dr l� L2SY-al— t1V41 �C VViL�O+I� Purnp Installation Date: Pump Intake Deeds Below Top of Well Cashigy. /5 -5 -"feet Puivp Manufacturer's Nanae: -,&Lfi-D M I Pump Model. qV �E-- Nine Size L�'- hp Piticss Adapter Burial Depth: l-5, feet Pitiess Adapter Manufacturer's Mame: Pitless Adapter Installer: Well Disinfected Upon Completion? Yes No _"Method of Disinrection: I Comments: Pump lustaller lanae: I� Attention i t The pump i:astaller shall provide a pump installation log to the DSD vvithin 30 days of pump installation. (~ MUNICIPALITY OF ANCHORAGE ,~ ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAILING ADDRESS ~GAL DESCRIPTION . NO. OF BEDROOMS DISTANCE TO: IWell ~ ~ Inside length Wid[i~ Liquid dept~th ~ ~ Well Dwelling PERMIT NO, DISTANCE TO: ~ Well Foundation ~earesl i~t'line "~BMIT ~0. ~ DISTANCETO:~ -- -- ~ ~ ~ No. of lines Length of eacl~ line Total length of lines Trench width Distance between lines ~ ~ Top~f tile to finish grade MateriaT beneath tile Total effective absorption area Lengtl~ Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective sbsorptlon area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ ~ Class Depth Driller Distance to lot line PERMIT NO. ~ ~ ~uilding foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS I NSTALLERtj~C ' Department 825 App-licant: ~] [~..A~ Location: MUNICIPALITY OF ANCHORAGE f Health and Environmenta ~rotection ~ Street, Anchorage, AK. ~9501 264-4720 * * * HANDWRITTEN PERMIT W~E~=~ND/OR ON-SITE SEWER PERMIT Mailing Address:~k~_ Phone Nun~er: Legal Description: ~]~/ r~' Type of Soil Absorption System Is: Trench: Drainfield: ~- ~aximum Number of Bedrooms: ~ Lot Size: Seepage Bed~ Holding Tank: Soil Rating (sq.ft/br) ~ The Required Size of the Soil Absorption System Is: DEPTH _.LENGTH GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~> <) GALLONS * * ~ermit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any sys.~em without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 1 9 8 2 * * * Z certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I~u~derst~nd t~t the p~p-~te sewer system may require enlargement if ~he/res~/is~ .~x rei~'~,. , ./ tO include more that ~]bedrooms. ~ / /'~/ , ,....".~ .. [~/ Date: " " S~P/024 (1/82L) _R ANCHORAGE AREA BOR. Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-51TE SEWAGE DISPOSAL SYSTEM SFPTIC TANK: DISTANCE FROM WELL__ INSIDE LENGTH._ MANUFACTURER INSIDE WIDTN MATERIAL . LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY__ _ GALLONS. DISTANCE FROM WELL NUMBER DP LINES . ABSORPTION AREA DEPTI{: TOP OF TILE TO FINISH GRADE FOUNDATION ..... NEAREST LOT LINE DISTANCE BETWEEN LINES _-- TRENCH WIDTH TOTAL LENGTH _OF LINES __ · IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE DEP1H OF FILTER MATERIAL BENEATH TILE . _ IN. ABOVE TILE _ IN. WELL: TYPE CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST FOUNDATION --, LOT LINE NEAREST SEP'rlC SEEPAGE , SEWER LINE TANK ___ SYSTEM.. CESSPOOL ..... OTHER SOURCES ....... APPROVED DISAPPROVED L)ISTANCES: -- REMARKS DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: LOT SLOPE: REMARKS: GRE~, R ANCHORAGE AREA B¢)F 'G'H~/~ / SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERM~ DRAIN FIELD INSTALLATION OF: SEPTIC TANK SEEPAGE PIT. TYPE AND SIZEOF FACILITYTO Be SERVED- ~ ~ ~ ~ ff FINAL INSPECTION: 24 HOUFl NOTICE REQUIRED, BACKFILLING CE ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTNOR[TY WILL BE SUBJECT TO PROSECUTION, ypE SEEPAGE AREA SIZE . SEPTIC TANK SIZE FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT TB NEAREST LOT LIKE, WELL TO SEPTIC TANK DrAIK FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT ALSO CONSIDEr AREA WELLS. SEEPAGE PIT . DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIb3 CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT ~ITTED WITH AIRTIGHt REMOVABLE CAPS. INSPECTION ,<EPORT ON-SITE SEWAGE DiS, .,)SAL TAN¼: ~OO ,._,....'~ LFf~Clft! OI LAC[I ~INE .DE.P r H DIS1ANCE FI~OM; 6 .ER ANCHORAGE AREA BORC ~ DEPAR'rMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHOFIAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: ( ,~-'7-2 /,,,4ZC/--'f/; ~*~:~ ~ NUMBER OF DISTANCE FROM WEt. L ,zCz~,~,,¢~¢~ ,,~&c'~_'_,/~-'~'_~.__/~C_'_.__MATERIAL ,..,.¢~7~--.z~--.~- COMPARTMENTS "-'~' LIQUID LIQUID CAPACIfY~/''~''2~') GALLONS. INSIDE LENGTH '~"~NSIDE WIDTH "'"" DEPTH SEEPAGE SYSTEM: SEEPAGE PI[: NUMBER OF PITS ........... ~. _ OUTSIDE DIAMETER LINING MA.oN ....... · ..... OR WID1H , LENGTH__ /~ ~.DISfANCE FROM WELL ~~ 8UILDING FOUNDATION NEAREST LOT LINE_._ ~ ¢ ! TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ ,~ ~ SQ. Ff. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL ...... FOUNDATION. NEAREST LOT LINE , OF LINES ABSC)RPTIO~A SQ. FT. LENGTH OF EACH LINE / DEPTH: fOR OF TILE fO FINISH GRADE DERTH OF FILTER MATERIAL BENEATH TILE. IN. ABOVE TILE___ WELL: ,/'/z.¢~'~-c,:.'-',~- ,~.,~,/:/~,.~- DISTANCE FROM WATER TYPE ¢¢'I.~//.c,~ , DEPflJ__ ,z..--- _, BUILDING FOUNDATION. ~'~-'~- SAMPLE '-'~'- , NEAREST ~ NEAREST ~.~ SEPTIC ~- SEEPAGE ,......~ ~ OTHER LOT HNE , SEWER LINE ., TANK , SYSTEM. , CESSPOOL_ , SOURCES DIAGRAM OF SYSTEM DISTANCES: GREATER ANCHORAGE AREA BOROUGH DEPAI:~TMENT OF ENVIRONMENTAL. QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE. ALASKA 99502 TELEPHONE 279.8686 PERM]T NO, SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT :,¢'/,--"-x..,.. i INSTALLATION LOCATION ~.~7~/~ · TyPE AND SIZE OF FACILITY TO BE SERVED '2 :¢¢'~:''/''~] SOIL TEST RESULTS COMPLETION DATE ANT[CIPA'rED NOTE= THIS PERMIT IS NOT VALID WITHOUT SOIL 'rEst FINAL INSPECTION: 24, HOUR NOTICE REQUIRED. BACKFILLING Of ANY SYSTEM WITHOUT FINAL II~ISFECTION BY THE HEALTH DEPARTMENT AUTHORITY Will BE SUBJECT TO pROSECUTiON. SEPT,O S,: E 7;;"(; T',PE ¢ MINIMUM DISTANCES, REQUIREMENTS ? FOUNDATION TO SEPTIC TANK DIAGRAM OF SYSTEM FOUNDATION TO SEEPAGE PIT , DRAIN FIELD SEPTIC TANK TO SEEPAGE Pit WALL _ -- //% ~/ SEPTIC TANK ,SEEPAGE Pit '~)--~ ': , DRAIN FIELD TO NEAREST LOT LINE. WELl-TO SEPTIC TANK ., SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT 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. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE DATEDESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.~ ~ /~/ :/ / APPLICANT'S SIGNATURE y/~¢~,//~/~ ~ ¢ '~' ~'~ ~ ~/~d"~ ~'/'~(''-~ ~ ~' f~ f' ' ': , ..... ~"~" N ANGHUI~AB~ AREA BUROUG" DEP~ .ENT OF ENVIRONMENTAL QUAL.~ 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For ~._~. ,~cm .~'~,, k[~ Date Performed io~-~.-~ Legal DescripTion: LotL]~_Bi0ck~ Su6divi~'ion ~,~^,, .l~q~,~ This Form Reports Soils [og~ ' ~rc6-T~'Fi"~'~-~rest ' " Depth Feet Soil Characteri.s~tic__s~___ L_LI~ L Was Ground If Yes, At Water Encountered?._/_~ What Depth? Reading Date ~-~r'col att on Rate Gross Time Net Time Depth to lt20 Net Dro ~[Tnute Proposed Insta]-l~at-~l-6-fi: Seepage Pit Drain Field Depth Of Inlet Depth 1'o Bottom Of Pit COMMENTS ~ , . * '-- les~ Performed By_~~ -'~- ~ ~h(h Certified lt~ ....... 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 APPROVAL FOR A SINGLE FAMILY DWELLING 015-043-01 HAA# HA930210 1. GENERAL INFORMATION Complete legal description Lot 1 Block 2 Zodiak Manor Alaska Subdivision Location (site address or directions) 8801 Solar Drive Property owner Julie Cheverton Mailing address Day phone 346-3778 Lending agency Mailing address Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: four (4) TYPE OF WATER SUPPLY: Individual well . xxxxx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XXXXXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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. NameofFirm S & S Enqineerinq Phone 694-2979 Address 17034 EAgle River Loop Road Suite 204 Eaqle River, Alaska Engineer's signature Date 99577 DHHS SIGNATURE ~×××x Approved for four Disapproved. Conditional approval for ( 4 ) bedrooms. bedrooms, with the following stipulations: AdditionalComments As per the letter dated 5-18-93 by S & S Engineering and the Wastewater Connect permit. This property is connected to the public sewer and is now fully approved. Copies of these documents are ~ file in OU~-~Dffice /.I I if there are any questions. Date May ]993 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 DH HS 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 ¢f21 SEWER & WATER MAIN EXTENSIONS SEWER &WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TES1 PERCOLATION TEST S rRUCTURAL & MECHANICAL INSPECTIONS ROBERT SHAFER, P.E. ROGER SHAFER, P E May 18, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES Attn: Robbie Robinson P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot I; Block 2; Zodiak Manor Dear Mr. Robinson, RECEIVED MAY 1 8 199 Municipality of Anchorage Dept. Health & Human Service8 On 4/30/93 you issued a cond~onal Health Authority Approval (H.A.A.). Th~ condition of this approval r~quired th~ existing s~ptic system to be abandoned and th~ r~sid~nc~ connected to public s~wer. Pleas~ be advised that th~s~ conditions wbr6 satisfied and th~ work w~ compt~t~d on May 13, 1993. A copy o~ th~ Wast~ Water Connect P~rmit is attached. Pteas~ issu~ th~ fin~ H.A.A. at this tim~o If w~ may b~, of further s~rvic~, pleas~ contact ~AS/~k ENCLOSURES ON SITE WASTE WATER DISPOSAl. SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 C,O ~ ~,T PERMI D:E oP A PL,CA ,ON .... '~,~------~ ~,,,~,/ SCHEDULED CC ~PLE'rlON DATE ~-93' ___ WATER & WASTEWATER UT LITY ~ SINGLE FAMILY 401 W. INT'L AIRPORT RD. ~ MULTI-DWELLING PHONE: 564-2762 No. APTS_ El COMMERCIAL LOT/TRACT ] .BLOOK 2 SUBDIVISION TAX CODE OI~L-.O43_-Ol S'rREET ADDRESS ---~L SO~_AR _D~_ El MAIN TAP- TO PROPERTV JNE ONLv El MAIN TAP & ON PROPERTY CONNECT CI R-O-W NO. CONNECTION S IZ E __._/t.~_ INSPEC'rlON PERMIT._ REIMBURSIBLE NUMBER .. AS-13UILT No _ PFIONE 99qn7_. MAIL ADDRi:SS 8801 FIOLAR DR A~8~ CONTRACTOR: '~g~D Q REPAIR EXISTING SERVICE / ~ PROPERTY ONLY . . ! J To be levied upon connechon Q Main extension agreement iEl Improvement District ~ Extend connect agreement ~ Pending . _ El Paid CHARGE $ [] CK# ~'NSPECTED BY: DATE: _FEE $_104.019. - FEE $__. 3.,~,, t]O DEPOSIT $__.. TOTAL $~.,~ 3ERMITTEE (Please Print) ~AfL ADDRESS._ HAVE READ THE CONDIT ONS AND REGULATiON,~ ON THE RE~'~ERS/SID~THISPE, R~]~'AND ,~-0--~"1N_,~(,.~. ,,,.0) A CONSPICUOUS PLACE AT THE JOB SIT~- XXX :~J. ON .~e~es o!lqnd e~.ls-uo X].!unLu Luoo :~ ue]. 15u!ploH e]js-uo lenp!^!pul :T¢SOdSIQ I:t~.L'VM_'4.L$'~'M =lO ~dA, J. :3/ON J @~.eM o!lqnd IleM XHunLuLUOO IleM lenp!A!pUl :X'lddnS I:I~t,J. VM :lO ~. ~ :s~ooaa~a ~o a~e~nN · dn)12!d Joj pleq aq i1!/~ VVH 'pelsanbe~ as!A4~eq,~o SSelUf'l '~a./s,4s ./o sn./e./s pue /g!leOel aql o~ .g euoqd XeO sseJpp¥ ssa.~ppe l~Ull!elAI 8LL~-9~C euoqd XeQ L0966 eAeelV 'ebe:oqouv ¢aAT=q =elos I099 euoqd ABa uoq=e^eqo aTIn£ XoueSe 8u!pue'-] sseJppe 8U!l!e!AI .~eUMO/,]4 e d O.~d eAseI'~ ,abe.;[oqau¥ ,eAT2(:] Aelo~ I089 (SUO!].O@J!p JO seeJppe o].!s) uo!].eoo'-] u°TsTAIpqns!/a°ueN ~eTPog :E:,AOoI~ :I qo7 uo!jdposep le6el m. eldLUoO NOI/'VINI~O:INI q~C~I~N~O '~ DNI'lq~MC] ,,L"IIV~V.4 ~-IDNIB V BO:I -IVAOk:lddV X.LII:IOH.LnV H/'I¥~H _-IO ~J. VOI,41/~O 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 waste~vater 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_ s & s ENGINEER N1N1N~G / Phone Address . ~.9f~ ~l~ ~AI~,~q~77' / EngineeCs signatureC/~ ~~ Date~/~ · h~S home%~ onnecbe8 ~o public sewer by,ne 15, 1993. A contrac~has/been signed with TWEED EXCA%9~TING to accomplish the work and the bank will hold a second Deed of Trust to guarantee work is accomplished. BHHS SIGNATURE __ Approved for ~ _ bedrooms. Disapproved. X . Conditional apl)roval for Additional Comments bedrooms, with the following stipulations: Date ~~' The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS 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: Lo?'/ ,,3£/-~ 7~ ;-~_oD/,/4~ ..4.4/~//JJ/&~Parcel I.D A. WELL DATA Well type Log present (Y/~'~ Total depth ~ Sanitary seal',N) ~/~:.~' If A, B, or C, attach ADEC letter. ADEC water system number Date completed E:A,r~&'T ~) ~ __ Driller Cased to '¢()/1~ Casing height /'Z-f' Wires properly protected (~N) Date of test Static water level Well flow Pump level FROM WELL LOG AT INSPECTION g,p.m. ,~,, ~"~ g.p.m, SEPARATION DISTANCES FROM WELL TO: Septic/t'4~Id~j tank on lot ~- ~ Absorption field on lot /O Z~ r Public sewer main .~) ~ Sewer service line ~'?~¢ ' ; On adjacent lots ~O~/¢ ; On adjacent lots /O~'7~ Public sewer manhole/cleanout -~/'/- Petroleum tank /'¢o/~~ WATER SAMPLE RESULTS: Coliform (~//0 c~ ~,.~ Date of sample'. ~ /J'7 / ~ Nitrate Collected by:--.~r~¢"'~ -~FC, t.~G//t~¢¢t-4.//L}G B. SEPTIC/.H~Da~-:;BtNEr TANK r)ATA~ Date installed Tank size / Z~-~ % __ Compartments Cleanouts(~/N) ~7"~'¢¢ . Foundation cleanout ~(.,)N). ~¢/~-,~' . Depression (V~ High water alarm (Y~) ../L20 Alarm tested (Y/N) Date of pumping ~/~-?//¢ L~Lt~Z~ · ~--% P(r~p~r '/O'~'t-T//~-cfl~4-b SEPARATION DISTANCES FROM SEPTIC/~At~-_TANK TO: Well(s) on lot ?~- / On adjacent lots To property line_ ~0 ~¢- _/.bsorption field Surface water/drainage ~L/-/0~/~¢- /'~/~-?Jg/ Foundation "¢ ~>~ ~' Water main/service line '~/-/'~ / 72-026 (Rev. 7/91) F¢ont CONTINUED ON BACK PAGE C. LIFT STATION/u ~.,t~'  Manufacturer Vent(Y/N)-~elat High water alarm level ~s tested Meets MOA electrical code~__ SEPARATIO~FROM LIFT STATION TO: ~ On adjacent lots Surface water o. A-,ORPTION FILL. DATA Date installed ~-~ Length ~/1LC Width Total absorption area ,E~O¢..~ t Depression over field (Y~.~ /V'O Results (pass/fail) ~,..q~'E-,~l Peroxide treatment (past 12 months) (Y/N) Soil rating /()¢' System type Gravel thickness 4,~'/ Total depth Cleanouts present ~'N) Date of adequacy test 3/ for ~ -,~'/.-/o ~J/k/ If yes, give date bedrooms To building foundation On adjacent lots Surface water / Curtain drain SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellon lot /O~/-f' On adjacent lots /~©~ Property line /O ¢?z To existing or abandoned system on lot '"~---~-/(.c,~¢,¢ ../ Cutbank /t./u.zJE- ~,¢~.F~-C'Water main/service line '-~' / Driveway, parking/vehicle storage area /~- / ~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, orqonformed to all MOA end ~AA .quidelines ip effect on,,.t, be date of thisinspection. HAA Fee $ ] ~(~ ~ Waiver Fee: $ Receipt Number ~¢~¢/ ( 7 ~, ¢ ) Receipt Number Ap~il 19, 1993 Juli~ Cl~ever t on 8801 Solar Drive An¢~horage, AK 99507 RE: I~t 1, Block 2 Zodiak Manor, Anchorage, AK The captio~%ed propez'ty is served by an individt~al water~ ~nd ,~epti~: ~yste~, U~.~on yo~ having the sysq~ms tested to obtair~ a current DEC approval~ ~t wa.~ ~]~.t~m~.Lned th&t the s~p~;i¢: sy~i-.em could noL~. be approved in itm curr,~nt condition. A request ha,,~ been made to National Batik o~ A{a.:~ka to allow Engineers ~o hold a private Hots for payment c£ services %~pgrad~ th~ system in lJe. u of National B~nk ef A]a~ka ho]ding escrow. This reqa~e~t 'dill b~ g~n[:ed ha~ed on th~ £ollowing b(~i~q provided. Conditional PRe approval ismued by the Mc, nicipality Copy of Engineers report stating the problem and cure Cos['~ Bid from S&S Erlgine~.rs to, upgrad.% ti%,~ $~pt[c system to meet DEC s~andards Agz'¢em~n~ betw,~en S&S Engin~er,~ and M~:. Cl~eve~:ton regarding paylnent of services A subordination agreement Gubo',Tdinating S&$ inter~st to National Bank of Alaska's first D~d ef Trllst 6, Sighted agreement between National Ba~%k of Alaska and Ms. Cheverton allowing National Bank record 'bh~ completed by July 1~, 1993 National Bank of Alaska will draw comi)le[;e the work. The no'~e rats will be 7.fi% (8% annual p~c~nt'.age r~te). This interest rate is subject this transaction is not c].os~d by June 1, 1993. Dpon wer]~ be~%g completed and an unae,nditional DEC approval received by National Balak of Alaska, rials not:e and sec<,}¥~'.~ Dee. c] Of Trust: will be cancelled. SEWER &WATER MAIN EXTENSIONS SEWER &WATER INSPECTION ENGINEERING STUDIES AND REPOR[8 WELL INSPECTION & FLOW TEST SiTE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ROBERT SHAFER, P E ROGERSHAFER, PE Apr~ 26, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694.121 I Ju~ie Ch~vcrton 8801 Solar Driu~ Anchorage, AK 99507 REFERENCE: Lot I; Block 2; Zodiak Manor Dear MS. Chev~rton, At your request we att~,pted to obtain a H~alth Authority Approval (HAA) for the w~ll and septic located on the referenced property.. How&vet, we w&re unable to locate the mo~toring tube or clean outs for the absorption area. Excavation to lo,ate the absorption area ~ performed and a new monitoring tube i~stalled that would facilitate an adequacy test. At the time the exe.avat~on was performed it was noted that the absorption trench was compl~t~y saturated.. The septic tank w~ pumped and an adequacy test was performed on the absorption ar~a on M~Lch 25, 1993. I regret to inform you that at the t~e that the adequacy test was ~erformed the absorption ar~a failed to respond in accordanc~ with the Municipality of Anchorage (MOA) 9u~dalin~s for adequacy test~ and HAA.. Sinc~ this home ~an be served b~ the publi~ sewer s~st~m that has been Stubbed out to the property lin~, it wi~£ b~ necessary to conne~ to public sewer in lieu of up~radlng the septic system.. Connecting to the public sewer can be performed prior to Jul~ 15, 1993. However before this work ~an be started, permits from the MOA - Dept. of Public Works and Alaska Waste Water Utilities (AWWU) will need to be obtained. The est~,ated cost of connecting the home to public sewer in~uding p~its, inspe~tio~ and a moderat~ r~storation of those disturbed ar~as is $4600. The private w~l loco~ed on ;this property was also inspected for the issuance of a HAA. It was found that the quality of the water m~t all Mu~ip~ standards both for coliform bacteria and nitrates. In addition a w~ll flow test was performed and the w~l was shown to b~ producing appro~imat~y 5.3 ~allons per minute (gpm). Attached is an invoice to cover the cost of th~ adequacy test, well flow test, water an~ysis, monitoring tube i~tallation and the MOA HAA fee which will ~ve~ually be paid to th~ Mu~cipality to obtain the HAA after th~ home has be~n connected to public s~wer. The costs reflected on this invoice and the estimated cost~ shown above for connecting to public sewer shoutd be the total cost which you will be expected to incur for completion of this project.. ON SITE WASTE WATER DISPOSAL SYSTEM OESKtN 17034 EAGLE RIVER LOOP, SUl'rE 204, EAGLE RIVER, ALASKA 99577 Pag~ Two Lot I; Block 2~ Zodiak Manor April 26, 1993 Attached is an agreement b&~w~n S ~ S Engineering and you~egarding' payment for o~ services. As soon as thi~ agre~e~ has been signed we wlll be able to submit all paper work to the MOA to obtain the conditional HAA which is b~ing requ~ed by the Nation~ Bank of Alaska. If we may b~ of fu~her s~vice, please contao.~t uS. C L OS U R ES ROBERT SHAFER1P E ROGERSHAFER, PE CIVIL ENGINEERS April 27, 1993 (9071694-2979 FAX 694.1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECflON & FLOW TEST SITE pLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Juli6 Chev6rton 8801 Solar Drive Anchorag6, AK 99507 REFERENCE: Lot I; Block 2~ Zodiak Manor Dear Ms. Cheverton, s & s Engin6eering agrees to hav6 the r6sidence on th6 ref6renc&d property connected to public s~war through its subordinate contractor ~ ~eed Excavating and Construction with the work to be completed no later than Ju~y 15, 1993., S & SEngrne6rrng' ' agrees to perfo¢~m this work at a total cost of $5,830. - with $1000 to paid monthly in 12 equal payments begin~ng upon compl6tion of work., The a~ove ~,ou~ includes all those costs identified in our £6tt6r dat6d April 26, Robe¢~ ,S~ha~ w~ledged an~,ag~eed upon 17034 EAGLE FiIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 OWNER M Ai~,i:~A~DR~SS ~ CONTI O RE~AIR EXISTING SERVICE J~l~l PROPERTY ONLY J'":) ~ MAIN TAP~; ~ MAIN TAP & ON PROPER~ CONNECTb~ PERMIT ISSUE~ BYe' ~ ~,. · I~AtD ~ D"CK# APPLIC IT FILLS OUT UPPER HAL DNLY  Single Family ~ Other Community For wells drilled prior to that date, (live well depth (attach log il available). Public Utility Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector L -,~ ~: :( MUNICIPALITY O1: ANCHORAGE i'' ~ ' .- P~ C' '-'T"zh ' ,;..~ /::~ ) ENVI~ i! I.i ,o F ," 19d2 RECEIVI !D BY: ~.I ' !4" 4'.' ..~// ~'/ ~' Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received ~ I ~'~- Well to Tank Septic Teak Size ~Lugt,tst 24, ].982 .:,,ub](,ct. I,()t 1 l~lock 2 ?,o(t'La]¢ Manor Apgroval for the ln]]vt(hla.[ ,sewer and watel~ facilitie~ eamtoh be granted until the follow:Lng items have been completed: Ih:. depr~,ssion or pit around th~} well casil~g needs to be fJ ].led '" t.n.d: imporvJoue~ type moil so that J.t si. opes away fro~i~ the we].l casing. l!:x!)oil~'d, e].e(,trical~ "' ', ,,;u as to ti'la well hdac] are in violation of tl'm ~4unicipal~ty of Atlchor~lge code~ and n~LlSt 1)o enc:a~ed in co~tdtlJ, t . 'i'he water arlalysi~i report nee([a to be ,qub~a:Ltted to this office from the Chem Lab, !i~633 ~ ,'31:re~;t, for our review. [1 ~,. ,~m~)t' c tank pumi)ed with it receipt submitted to this (]opartment. An adequacy test needs to ])e per:["ormc;d on the exi,'d;ing leaching area. This test will determine if thc~ sy.'~tem is adequate acco).-ding to National Standards. A listing of private firms performing the test :J.s enclosed. This report ne;~ds to be mlbmitte4 to this office for oar review. standpipe to the sewer .~yste~] need caps on 'thirst. P].ea~ ~etJ.~y thJ.,~ I)epartl(tertt for a rein~q)action whell tho rioted (]iscrepallcies ' ' ~aw, been coffee%ed. If there are ar~y of~.lc.e at 264-4?20. f~rtl'mr ques'tiol!s, please call this EII e ]~Oi~tl L-e Sincerely, ( "'~ , ,,J ~.m Robert ~ ~= ~ , MUNICIPALIYY OF ANCHORAGI: ~ DEr'ARI'MF~ OF IlEAL.TH A~qD ENVIRONMEN', . PROTECTION ~.:~f[[~)~"' 825 LStreet, Anchorage, AJ_ask~ 99501 ~'r, '%ti; 279--251.'1,, eXE. 224 or 225 ',L~'- , ~ Date Re~cel.v~d: ABlest 9~ 1977 'Tir}~e: 9:30 a.:m. ~2: Time ~-O~ ~''~'' ~3 Time . ~-~.-~ ................................... $ ..................... [}ate 87~,- 77 Thursday D,M:e -~ [)ate REQUeSt' FOR APPi,[OVAL OP IND.[VI DUAL SEWER AND WATER Lena:[~g ~)sh,[tut ion Requess: Ma$1in~ A¢td'r'es,~s: ............................................................ Phone 22 Pro~rizy~ 0%vnet Ivan E./Sherry J. Blair Phone; 344-8374 ,ii. Mai~lJ.¢g ~ress: 8801 Sol. ar Drive 99502 ~. ' Leqal Descr~ption: Lot 1 Block 2 Zodiak Manor Subdiviszon Numbez of Bedrooma,' Number of Bedrooms: kx) Commun i zy/Publ i.c Permit ~ .......................... Depth of Wel! ___~li'_~ ........ Well t, og on File ( ) (,ons%,I, tl~t~oll-. ................. ~ ......................... Bact. er iai Anal y~4 6+ Sewage Dispos;~System: On-site Sys~zem (xk Public Utility ( ) , ~, · ~ ~) O(lbq~ Manufacturer Distanc,:s: We1.1. t:o Septic Tank-.__.~X3/ ......... i .... i:.o Sewer Line Nea.~e,.t Lot line to Neazeat Lot Line ._~ to Absorption Area .__~_.(2_0 Absorption Area '~ !. . : '· .~.~ Depar~;ment o:~ Itea].th and E~vi. rcnmenta[ Protection .... Re~ltie, st for Appl:ova't of Individual Sewer and Water Faci.l. Jl;ies {~ ~9al ,besczi. gi.~oa:" Lot ~ Block 2 god,ak .... Manor Subdzv~s~on ' ' ~- ~ ~ , L ~ ~ , _~.ffadavit~ Atl:aohed: ( ) Letter Attached: ( ) Disapp~ovec]: Date: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL. PROTECl"ION 2510 East Tudor Road, Anchorage, Alaska 99504 ~-7e'2221 REQUEST FOR APPROVAL. OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: 2. Property Owner: .'~-'d ~'~ Mailing Address: FHA CONY .... 3. Name of Buyer: Mailing Address: Day Phone:_ 4. Name of Lending Institution: Mailing Address:. 5. Name of Realtor or Agent'. Mailing Address: ,~ 6. Legal Description:_ /~t Phone: 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility No. Bdrms. ~ rlndividual / if Individual, depth of well_ Sewage Disposal System Type of System: If individual, number of dwellings presently served /'7 L, Public Utility If Individual, date of installation. /'~ Individual (on-site) 72-003(3/76) ALASKA eI UlROIqmeFITAL COFITROL $1 RUICe$, IFIC. ~n§ineerin~ ~, ~n~ironmentc~l Stuc~ie~ C2] HERTAGE HOMES 207 E. NORTHERN LIGHTS ANCHORAGE AK 99503 9/7/82 SELLER - WAYNE ALLEN BUYER-RICHARD CHEVERTON SUBDIV IS ION-ZOD IAK MANOR BLOCK-2 LOT-1 ADEQUACY TI']ST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 276 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 700 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTI.~.~,~P~T_IC TANK VOLUME OF 1000 IS ADEQUATE FOR 1220 L,U¢sl 251h Aucnue · A~choraq¢, Aloska 99503 · (901) 276q361 ALASKA enulBonmenTAL COIITI~OL ~nqincerin§ 6 ~nuironmenlal Studies $~I~UIC~S, II'lC. MUNICIPALITY OF ANCHORAGE 1220 UJest 25lh Auenue · Ancl~or~]ge, Aloska 99503 · (907) 276-1361 J U P I TE I;t NEFq UN It~ 152 / / / i/LL// /~/! / / / / / / itnl ! / / / A[~,DOTT ROAD / / I I //// . 'x © / OI 12 151 ~12 158 Hidden Lake Area Reference Map-P12