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ZODIAK MANOR ALASKA BLK 3 LT 17
Zob iA K /~l 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 ~ PHONE ED ~ILING ADDRESS ~GAL DESCRIPTION ~ Z Manufacturer ~-Z~]M Material ~ ~ Liq, cap~cit~min 9aliens Inside length Width Liquid depth /Z~O IF HOME'DE: ~ ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity in gallons ~ DISTANCE TO: Well //~/ Foundation ~O/ Nearestl°tllne /~/ PERMITNO'~~ Total length of I'n s ~ inches ~ ~ Nc. of lines .~ ~/y~ , ~ Trench width N ~ ~ ~ Top of tile to finish grade ~/ Material beneath tile ~ inches Total effective ab~r~ Length Width Depth PERMIT NO. ~ p Type of crib Crib diameter Crib depth Total 0ffective absorption area ~ Well Building foundation Nearest lot llne ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO, ~ Building foundation Sewer llne //~ / Septic tank //~ / Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS REMARKS !1 ~ .. ~ ~/ DIi:PAR"FIqIENT OF:' HEAI...TI'( AND E!]qVIROIxIMI!!I',ITAL~ B2',5 L. STIRIEE"F :, ~IqC, I'IOF~A(~]E 264-4720 F::'E F~_M :l: T NO: Df:~'T'IE :1: SSUE::O: AF:'F>L :[ C~ixlT :: A D D IR E S S '.' CONTAC'¥ F:'HOIxlIE: JANIE Bf:)ESE 8830 SOI..AF:: DF;:IVE ~H',ICHORAGE, Al< 99',507 346-37 12 L.E:GAL. DIESC;I::~ :1: I=' ~ I.,.[IT S :1: :E: L 0'1" L.OCAT :1: ON :: I"'1 ~ X Ii:dEDF:/001¥1S: BI....OCK: 3 I.,:i. sted be:l, ou.~ ape 'Lh~::~ syi:ii't',(:.~m. Choc~:::(::: the (:ll;it:i. Cll: that best £:i'Ls yc)t.tr' si:i. te,, 'T' I1::::;;: lEE Il'r41 Il::::: IFil :l:E4', E:E ]1::::~' It¢",,1I .,, :II,::::,~' It:::::: ¢:'~: ]1:: !1':'!', DIEF:'TH TO F:' ]: I:::'IE KIE)'f'TOM (l='f' ,, ) 4. () 4,, 5 q. ;I GRAVIEL DEF:'TH (I::'T.) Zl ,, 5 0,, 5 3,, 5 GRAVI:L W :t:DTH (I:::'T.) 2,, 5 2(). 0 5,, 0 GRAVEl... VOI..UMIE (CU. YDS. ) ~)9.7:~. ~ 28. 48,, © SOIl_ RATIIxIG (SE;l,, FT,, /BR) 142 125 :1.5C> a-.:+ 'TAIxlI< I'qt. lST HAVE: AT LEAST TWO Ei[IMI:;)AI:;~]'T'IEI',ITS 1: cer'tit'y tha:L: 1.,, :1: a;n f'am:i, liap with .l:.ln6! r'equipel~len'l:.::i for' [)FP'"!:ij, tG)) sewer's and wells as set fop'l:l'~ by the Municipa].ity o¢ Anchor'age (IflOA) and 'f:he State o~' Alaska. 2,, :1: w:i.l:l, :i, nstal:l, the system in acccmdanc:e ~i'[.I-i a:l.:l. MOA codes and and in coml:)],iance wi'{'.ll tile design c::l':i.'Lor'i¢: o~' Ll"li:~ per'mit,, 3. I wi],:l, adhepe 'Lo a].l Ifil:IA and State of Alasl<a J",:~qLI:J. Pi-~IItE'H']tEi fOP ti'He ~::¢3'~. back d:i. ti:'[,ances from any 6:xisting ~e:l. 1, was'LeJxa'Ler disposal, system op pul:::l, ic !:i(.~w(:~l'i:l(,J¢~ sy:.i't:.E¢ffl orl 't, ln:i.s op any adjaci.2nt op n(::ar't:)y ].ot. 4., 1: LH]f::16:r':,:Fl'.arlcI 'Lhat I'.l]it: l::16~l"rfiit: :i, Ei va].J.d roi' a Iil~;i~<:J, lflMifi E>{' 4 I:)o:~df'ocitlls a n y (:)n 1 a i' g (,~m e n'L w i ]. :1. r' (7%) c]t.t :i, p e a n a d d i 'L :i. o n a :l. p c:~ r' m i t ,, ]:1= A T'HEIq W ]: I.&., IqO'T' BE AI='I='F'~OVE:D W :1: 'I"HOI.,J'F AN IEI...EC"FIR :1: CAi.. :1: IxlSF'IEC'f :1:01',1 FilEI:::'OFi'.T EI...IE[;TF;U:CIAI._ Mt:ll::;~l.::: MUST BE DONI:: BY ~ I..];CE]',ISIEi) ELECTRICIAN. I.,..]'FT STATIOIq :t:S II',I<S]'AI...I_.IED ]:lq AI',I ARIEA C. OVIEI::i:IED BY MOA E~t,I:I:I.,,.D:I:I',IG f,',[]DIE,Ei:~ (1) AN EL,IECTFi:I:CAL. F:'IEF/MIT AND II',ISPE[Tr'I[:IN MUST EIE (]BT~INEDii (2) AS.-BLI:I:I..TS ANI} (3) THIE ,r..:~ I GlqlE D AF:' P I,. I C AI',IT: :t: S SLI[ED BY GRE ANCHORAGE AREA BOF 'It LOCATION Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM CO~S_OV~, MAILING ADDRESS ~) / 5- ~ __~ SEPTIC TANK: DISTANCE FROM WELL ~ MANUFACTURER MATER AL '( ' ~'~'L(~?? NUMBER OF COMPARTMENTS INSIDE LENGTH DISTANCE FROM WELL NUMBER OF LINES_. ABSORPTION AREA DEPTH: TOP OFTILE TO FINISH GRADE_ INSIDE WIDTH __ LIQUID DEPTN .._ LIQUID CAPACITY /2-'~[~ GALLONS. FOUNDATION [O'~l ~), TOTAL LENGTH NEAREST LOT LINE OF LINES ~T DISTANCE BETWEEN LINES '- TRENCH WIDII-I :~!~ IN. TOTAl_ EFFECTIVE ~'~' SQ. FT. LENGTH OF EACH LINE ~)' ~J'/ - -- DEP'FH OF FILTER ,I MATERIAL BENEATH TII E .~,~ I~L ABOVE TILE ~ IN. WELL: TYPE IAI2 '~ ~,¢-',~ ~ ~2~_ ~ _CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST FOUNDATION LOT LINE SEWER LINE SEPTIC TANK SEEPAGE SYSTEM CESSPOOL OTIIER SOURCES APPROVED . DISAPPROVED REMARKS DISTANCES: ~'~ - INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: (~'}),~+ }¥"8~' LOT SLOPE: ~h :FV ...... _.~ ~ DIAGRAM OF SYSTEM APPROVED G.A.A,B Form LQ-032 GREATER ANCHORAGE AREA BOROUGH'/ / ~ DEPAI TMENT OF ENV,RONME.TAL Q'JALITY 0 ,TVl SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT TYPE AND SIZE Of FACILITY TO bS SERVEd SOIL 'rEST ~ESULTS /,5-~ -- --~¢/ /~ ~¢'~,~ / ["INA[. INSPECTION: 24 HOUR NOTICE: REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. I~IINIIVlIJM DI~'TANCE-¢J', REQUIREMENTS FOUNDATION TO SEPTIC TANK _ i ,~ TO NEAREST LOT LINE. SEPTIC TANK, ~//~'-~ / SEEPAGE PIT DRAIN FIELD-" ,. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION § FEET INTO UNDISTURBED SOIL. G~AVEL BACKFILL CONFORM TO BOROUGH REGULAT[ONS REGARDING INSTALLATION. [ CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATE R GE REA BOROUGH DATE ~ -- APPLICANT'S SIGNATURE ORDINANCE NO. 28-68 AND TI-[AT THE ABOVE June 20, 1975 R & M No. 562051 Rainbow Enterprises 715 L Street Suite 4 Anchorage, Alaska RE: Test Ho].e and Soil Log Report for Sanitary System Lots 17 and 18, Block 3, Zodiak Manor Subdivision Gentlemen: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This inves- tigation was performed in accordance with your request of June 17, 1975, and those procedures outlined in a letter dated December 19, 1974, by Mr. Rolf Strickland of the Greager Anchorage Area Borough Department of Environmental Quality. A single test hole was put do~ within the Lots 17 and 18 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test holes were extended to a total depth of 15.0 feet below ground surface. The final log prepared for the test holes has been included in Drawings A-01 and A-02. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. JWR/WED/sc Enclosure xc: GAAB 12.5' W.D.v T.H. NO. 1 6-19-75 ORGANICS SILT, SO~.IE SAND (ML) SAND, SO~'~ GRAVEL (SP) SANDY GRA%~L (SW) SAND, TRACE SILT (SP) 0.0~ 1.0' 3,0! 12.5' Log Represents Lot 17, Block 3 Zodiak Manor Subdivision Engineering E~ Geological Consultants inc. ANCHORAGE FAIRBANKS A LA SK A JUNEAU Rainbow Enterprises Log of Test Hole Anchorage, Alaska MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONM]~NTAL HEALTH DEPARTMENT (~ I~ALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR []~ALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directious) (h) Applicants Name Applicants Address (c) Applicant is (check one) Lending Institution Buyer ~] ; Other ~ (explain); (d) Lending Institution Address Telephone - Home Bnsiness 7~,'-~zj~f ~; Owner/bu~iJ~ ~<; Telephone (e) Real Estate Coo & Agent Address Telephone (f) Mail the HAA to the following address: _ 'JA~w~~ I:5¢~:~ 2~ ~ype o__f Residence Number of Bedrooms ~ 3. Water~Su_p_~l_z Other (describe) Individual Well ~[ Community ~ Public ?_--] Note: If community wall system, must have ~itten confirmation from the State Department of Environmental Conservation attesting to the legality and status. Sewage Disp_~a~l Onsite ~ Public ~-i Community [~ Holding Tank ~ Note: If community well system, must have written'cort~irmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] E__n_~'.l.~e__erin____~ Firm Pro__v~.idin__~.ns~tion_~r_ests~ File Searc_ha~.Data and Info~ati~ As certified by my seal affixed hereto and as of the validation date sho~ below, I verify that my investigation of this Health Authority Approval shows that the on-'site water supply and/or wastewater disposal system is safe~ function~ and ~equate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Nunicipality of Anchorage files and from my investigation and inspec~ion~ the on-site water supply and/or wastewater disposal system is in compliance ~th ~1 Municipal and State cedes, ordinances, and regula- tions in effect on the date of this inspection. Name of Fir~ ~'-5 Telephone Approved for Approved bedro~ Disapproved Te~ns of Conditional Approval Cond: CA~fION THE bfONICIPALITY OF ANCHORAGE DEPARI~E~r OF HEALTH AND ENVIRONbLENTAL PROTECTION (DHEP) ISSUES I~AI,TH AUTHORITY APPROVAL CERTIFICATES BAS?iD SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQNIRE- MENTS. EMPLOYEES OF DHEP 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. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19,-84 ae WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: Well Classification Well Log P~esent _(Y~ Total Dept~.~. ~ IL~-' Static Water Level -~.%~, ?~'1 I Casing H~ight Above Ground /, Electrical Wirfng in Conduit ~/N) Separation Distances f~om Well: If A, B, o~ C, D.E.C. Approved(Y/N) Date Completed -7(~P~ /gTJ-- Yield Depth of Grouting Pump Set At q~u ~- Sanitary Seal on Casing ~73z5 Depression Around Wellhead (Y~)'/.'U~ To ~ptzc/~ ....... ~ Tank on _ ; On Adjoining Lots ~_~'F/OO To Nearest Edge of Abso~ptio~ ~Field on' Lot~fTg~ ,.~j6//~J On Adjoining Lots To Nearest Public F~wer Line _ A j4- To Nearest Public Sewer Cleanout/Manhole Water Sample Collected By Water Sample Test Results .. /u~ To Nearest Sewer Service Line on Lot ~ ~.o'~u¢,u ; Date B. SEPTIC/HOLDING TANK DATA Date Installed~ 7" ]-~ - '/~- Size -~ ! Z ~' 0 ~1~:/ No. of Compartments'~ Standpipe ~) ~')' At,-tight Caps ~5 ~> Foundation Cleanout JY~ ~pression ove~ Ta~ iY~ ~u O Date ~st P~d Pu~inG~aintenan~ Contract on File (Y/N) ~ ; for ~. Holding Tark High-Wate~ Ala~ (Y~) ~o~ Tem~ra~y Holding Tank Permit (Y~) Separation Distance f~ ~ptic~olding Tank: To Wate~-SupplyWell Y¥[I~ ! TO Property Line,e/o' To Water Main/Service Line Course ~-71o o To Buildin{ Foundation M?~ ~, I~ ¢ To Disposal Field '~ /~- ! TO Stream, Pond, Lake, or Major Drainage Receipt 9 Date Paid: Amount: [Page 1 of 2] 2-15-84 Ce ABSORPTION FIELD DATA s 4- oils Rating in Absorption Strata / /~flg~/.Type of System ~sign Width of Field ~ ~ ~,~1 ~pth of Field Gravel ~d Thickness ~ ~p~ession ove~ Field ~, -- ~te of ~st A~qua~. Test Separation Distance f~cm ~sorpt~n ~eld: To Water-Supply ~i1 ~ ~/' / i I~i ~ ~ To ~o~cty Line Lo~ A)~_ ; ~ ~joining Lots ~F/oc~/ To Wate~ Main/~vi~ Line ~ To Cutbank(if pre~nt) TO St~e~ond~ke/o~ Majo~ ~aina~ C~se ~-7-/ ~ o ~ To ~ivsway, Pa~ki~ ~ea, o~ Vehicle Stora~ ~ea D. LIFT STATICN Date Installed ~Q ~ 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 Cor~ments ~ ** Cheek Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this ir~peetion. Signed ~ __~_~____. .Date z-I Ocli- ~ ~ i Co~any __ ~_~7____ _ MOA No. Z q'- 0 ~ ~ KB1/d5/s [Page 2 o~ 2] 2-15-84 ALASKA EE1LIIigOFImEFITAL COFITROL St RUICE$, IFIL ~fl~linecrinq $ ~nuironmcnlal $1ur]ies NOV 20 1984 JANEBOESE 8830 SOLAR DRIVE ANCHOtAAGE AK 99507 SELLFJ[ - CONCI CUT,¥,ER BUYER - SUBDIVISION - ZODIAK MANOR BLOCK - 3 LOT - 17 ADtgQUACY TEST FOR SEWER SYST~/~ THE TYPE OF ABSORPTION SYSTEM IS A TRENC3I WITH AN AREA OF 621 SQFT. THE SYSTEM IS CAPABLE OF ACCFJPTING 130 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 19 GALLONS. THE SYSTEM IS UNACc~.'F~ABLE BF~3tUSE THE SURGE CAPACITY IS LESS THAN 75 GALLONS. RSIE SYSTEM IS NOT CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. A FLOW TEST WAS PREFORMED ON THE ~EI~L. 779 GALLONS OF WATER WAS PI~4P~D AT A RATE OF 7.03 GRM OVER A DURATION OF 4 HOURS. THE DRAWDOWN WAS 3.52' WITH A RECOVERY TIME OF 40 MINUTES AND THE STATIC WATER LEVEL W~S 85.34 F~'I% TH>] ~LL IS ADEQUATE FOR THIS 4 BEDROOM HQME. SEPTIC TANK ADEQUACY T~{E EXISTING SEPTIC TANK VO~JME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. 1200 ~¢sl 33rd Ausnu~, $~i1~ B, Anchoro% Alesb 99503.(907) 561-5040 ALASKA e[1UIROf I11eflTAL COI TROL S RUICeS, I[1C. ~nflineerinq ~- ~nuironmcnlol $1udies OCTOBER 6 1984 CONCI CULLER 8830 SOLAR DRIVE ANCHORAGE AK ?9507 SELLER - OANE BOESE BUYER = SUBDIVISION - ZODIAK i~IANOR BLOCK LOT -. 17 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM ZSA TRENCH WITH AN AREA OF 5?4 S~T, THE SYSTEM ZS CAPABLE OF ACCEPTING 130 SALLONS OF WA~ ~R DAY, THE SURGE CAPAC.fTY OF 7'HE SYS~M IS 17 GALLONS, THE SYSTEM ZS UNACCEPTABLE BECAUSE THE SURGE CAPACITY IS LESS THAN 75 GALLONS, THE SYSTEM Z5 NOT CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY, SEPTIC TANK flDEQUACY THE EXIST£NG 5EPTIC TANK VOLUI~.- OF 1250 Z5 ADEQUATE FOR THIS 4 BEDROOM HOUSE. 1200 LUesl 33rd A,¢,u¢, Suite [~. Anchor~q¢, Al,~sko 99503 ,,{907) 561-50z10 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Date Received 1. Approval requested Mailing Address: 2, Property Owner: Mailing Address: _~c~ Phone: ~q~l-%r/~q~_ Phone: c~r~(~~ ~C~_ 5. Type of facility to be inspected_ ~c~ No. of bedroom~ _-~l, ~..~ '__c.~ 6. Well Data: ~C.~ ~ ~ A. Type /~ ~\.t.~>,r~I(~ ~' -~-~7 Depth I~ I C, Construction ~2a~' ___ D. Bacterial Analysis 7. Sewage Disposal System: A. Installed _ /01~,.~ _ B, Installer 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, Absorption area to nearest lot line __ EQ.-034 (1/74) Page 1 of two pages Pag~ 2. of two pages - Re st for Approval of Individual ~ er & Water Facilities Legal Description ~F Comments Approval(~alid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify 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 (1/76) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA 2. Property Owner: '~'- Mailing Address: ~O~ 3. Name of Buyer: ~" Mailing Address: 4. Name of Lending Institution:. FHA CONY J Day Phone Mailing Address: Name of Realtor or Agent: Mailing Address: //~'~' Day Phone Phone ~.;2 .~,~/¢ Phone _ ~2~?~' ~'~.-;~ .CC Legal Description: .~/~ / /'~ Location:~ ~ .~'~'~¢'~/~/ [' Type of Facility to be inspected: Water Supply Type of Supply: IL~-~/~-/(~- ,//d¢*e _ No. Bdrms. y Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well /',-~.~'"- / Sewage Disposal System Type of System: Public Utility If Individual, date of installation t-/~?'- Individual (on-site) E0-037 (1/74)