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Home My WebLink AboutDEER PARK #1 BLK 2 LT 3Deer Park # 1 Block 2 Lot 3 #051-042-64 Municipality of Anchorage Development Services Department BuildingSafety aterPiision On-Site Water &Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.sk.us (907) 343-7904 Page 1 of 3 Onsite Wastewater Disposal System and/or Well Inspection Report Permit Number. SW070141 PID Number: 051-042-64 Nome: JOHN ASCHENBRENNER Wastewater System: ❑ New ■ Upgrade Address: PO Box 671521 a CHUGIAK, AK 99567 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 688-3330 q ODeep Trench ■Shallow Trench OBed OMound OOther LEGAL DESCRIPTION Sob RoUng: 0.8 Told Depth from odglnW gnW : 9 MAX rL GPD/SR. FL Block: Lot: Subdivision: D.Wh to pipe bo " from ariglnpl grass: Gmvl depth beneath pier. 4.04 2 3 DEER PARK'I SEE DWG. rL ft Township:Range: Section: — — M added above orlonal gross: Grew) lwwh: 102+ (2 051)rL — SEE DWG. rL trawl wean: Nwnw. Of w.: Dktanc. bebeea roue: 10+ WELL: ❑ New ❑ Upgrade 5 rL 2 r< ck e f a4on Privet., A.B.c : iota) abeoTao^ dna: Pb. material: D 3034/ F-810 R 800 SO. rt. DIGGER mea 8/27-30/07 pria.r. G\S-��1G om. oriuw: soba wet.. L««:�.DAKOTA rt TANK bove Twd: ✓� Pump Set A,:GaWV HNght Aaround: CPM n FL SEPARATION DISTANCES aseptic OHolding OS.T.E.P. aOther* To Septic Tank Absorption Field Lift Station Holding Tank ubk/PrNate S.." ones Nanda`tve. ANCHORAGE TANK apocar b gwkne. 1250 From 150'+ 150'+ — — 25'+ Mal.rbl: STEEL lhenber of oumpoHmenle: 2 Well Surface water 100'+ too'+ - - - LIFT STATION Sr. b, gopony: Monufaatanr. Lot Line 5'+ 10'+ — — — p en MvM at: ump o11 at: High wet« alarm a: Foundation 5'+ 10'+ — — — 11 Pump Moes I: awtrkai ewpe wns WamwC b/. Curtain Drain NO NE KNOWN Remarks: OLD SEPTIC TANK PUMPED, FILLED WITH __ BENCH MARK lacaian and De ippon: • . I,. ..I "l : I I ,) � l SOIL AND COMPLETELY ABANDONED. BOTTOM OFa+SIDING BY FCO "" Mwmes Erwtbn 100.00 FL ENGINEER? SEAL Inspections performed by: GEG, Ltd. Dates;;l,st, n,-B/27/07 2nd 8/29/07 of gS4p0 3rd 0 Development Services Department Approval a, Or ... •.. . • Conditional approval: Date: • fr A. C rness- X OQ4�j CE— 53 \1Op ' •. qo �Op� P.ofeeela^°oma Date: Reviewed and approved by, �4000p00 )R«. a/oe) PSRM070141 AS -BUILT DRAWING PARCEL ID NUMBER: •SW070141 051-042-64 FINAL GRADE - 97.04-97.06 STI ST2 ATTOP NLETFTANK � 2.04 ' '� IAT OUTLET TOP OF TANK 92.06 f I I NEW 1250 CALLON I I\ INVERT OF BUNG SEPTIC TANK `INVERT OF BUNG AT INLET - 91.89 AT OUTLET - 91.66 FINAL GRADE - 96.73+ GRADE - 95.08 -\ORIGINAL GRADE rFILTER FABRIC INVERT • PIPE - • 'f `R �BOTTOMI OF TRENCH - .: ELEVATION OF BOTTOM OF TEST HOLE - 78.08 GARNLSS ENGINEERING GROUP, Ltd. ,,.....-... -... CONSULTANTS 6 GENERAL CONTRACTORS - MI L 1\Od1 MN. PAL wl FAVI fFn3Y-.Vw . gSRL w..�w�•p,enn PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JOHN ASCHENBRENNER 688-3330 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: DEER PARK SUBDIVISION #1. LOT 3. BLOCK 2 J.NT. TYPE OF WORK: DATE: PROFILE AS -BUILT 9/22/2( It v, 01105) GRADE - 95.53+ FABRIC :RT OF PIPE - 90.12 )M OF TRENCH I 86.08 0 VY co7- 2 RECERTIFIED tsl, I 1i�r Lot 3 , Block. 2 05'ZO' w //6.00' SEP Tic ' � 8 �i S7ANO P,�S 407-4 a� 39' E ?44 EX/ST/NG' - �� STRUCTURE �v Q� weLL 04 . a7- at N NO°05y 20" w N OAK KNOLL��,, ^� Deer I%Irk, Adcln. / 10.1 Anchorage Recording Precinct, Alaska LOT SURVEY CERTIFICATION LEGEND 4 I hereby Cartity that l have surveyed the property shown and described 121 - Brass Capped monument recovered hereon,ond that the improvements situated thereon are within the prop- o = Iron pipe and/or rebor recovered erty lines Ord do not Overlap or encroach on adjacent property and that no o _ 2x2 hub B tack recovered improvements on adjacent property overlap of encroachan the premises • = Wx 3p'rebor set this survey in giesticn and that there ore no roadways, utility lines or other visible easements on said property except as indicated hereon. ' MLButtn JF '.� LS -1192 10 OfESS.,ON hLV Scale /7-y _ ' Date Q i Q —V Prepared by: BUTTON Registered Lond Surveyor OJ � (907)279-6200 519 W Dg4ffi Ave. Anchorage, Alaska 9950/ Ref/ V\/ /5� F.B. No. �7_/(5 Property of: ^ �1nhn Asc%enbrenner MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT \ Upgrade Date Issued: Jul 03, 2007 Expiration Date: Jul 02, 2008 Permit Number: SW070141 Parcel ID: 051-042-64 Legal Description: DEER PARK #1 BLK 2 LT 3 Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 022636 OAK KNOLL DR Owner Name: JOHN ASCHENBRENNER Lot Size: 40020 SO. FT. Owner Address: PO BOX 671521 Total Bedrooms: 4 Permit Bedrooms: 4 CHUGIAK , AK 99567 - This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by catling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: Zlt>h 7 Issued By: Date: 313/0-7 Municipality of Anchorage --1 Development Services Department . Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Q 51 — (3ga- & Property owner(s) JOHN ASCHENBRENN R _ Day phone 688-3330 Mailing address kBa W15211 a CHUGIAK AK Site address r2a Dag OK ka /) i i fy - (' U4j LL — Zip Code 99567 Legal description (Sub'd, Block & Lot) DEER PARK #11- LOT 3 BLOCK 2 Legal description (Township, Section & Range) Lot Size 140,D" Sq.FL THIS APPLICATION IS FOR (® all that apply): Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 4 THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP Ltd. Permit/Rush Fees: / �� 00 Date of Payment: / 0 Receipt Number: (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS ,+ June 25, 2007 Municipality of Anchorage Development Service Department On -Site Water R Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Deer Park Subdivision #1; Lot 3, Block 2, To whom it may concern: The existing 4 bedroom house is served by a class C well and septic system. The septic system is in a state of failure and needs to be upgrade. We are proposing to install a 1250 gallon septic tank and a dual deep trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE RATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography in the vicinity of the drainfield is Oat. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questMs, please contact us at 337-6179. Thank you for your assistance. M.S. NOTE: Attached is a site plan drawing. a design drmring, one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507-1259 Ph: (907) 337-6179 " Fax: (907) 338-3246Website: www.gamcsscngincering.com / LOT S• BLOCK 2. I I I DEER PARK ADON. 11 I I LOT 8, BLOCK 1, / ( I DEER PARK ADDN. 12 / / I LOT 4, BLOCK 2, / DEER PARK ADDN. jt LOT 7. BLOCK 1, `Si REAS // I I i \\ ER PARK ADON. 12 a I \ BED DOMN HOUSE PROPOSEDSEPTIC 2. I \ DEERT PARKLADD NZj 1 ARS \\ \ \ / / LOT 8, BLOCK 1, ~I \ \\ �� DEER PARK ADON. j2 L WELL ON THIS LOT --------- IS NOT A CONCERN LOT 1, BLOCK 2, / DEER PARK ADON. jl / Yuppp yuyu f mY / wig 'a g: E' s o 1' - 100' I I o o40F � o°o LAW t v� ��'' ..... •...S�pp GARNGSS ENGINEERING GROUP, Ltd. o * CONSULTANTS d GENERAL CONTRACTORS ........0 ... .. ..,. - _. ��w---�-�-^��-�• Q� • • • • • • • • • """' O )QI G TIDOe IIbD. 9JIIC 101 . YR]dlf.L II( Pahl � IIgK (e0�.117�e1)b . I.V 07)1N-OtN � e'fBLR: rw. em�,n wln .ern O PREPARED FOR: DRAWN PHONE NUMBER: PAGE NUMBER: •. '••' D a.... :... ... 0 JOHN ASCHENBRENNER 688-3330 1 OF 2 O�p a ;J A. ass: ` 0 E-795/3 .v LEGAL DESCRIPTION: K.D.M.pp Jae '•'•6%=��p� oAov DEER PARK SUBDIVISION #1, LOT 3, BLOCK 2 Q TYPE OF WORK: GATE: 4O�d P�olesel0^�o"� DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE 6/26/2007 °O40000�� (Rev. 01M) NUMBER OF BEDROOMS:4 GALLONS PER DAY (CPO): 600 PERCOLATION RATE/S: 7.5 MIN./INCH PROPOSED APPLICATION RATE: 0.8 MINIMUM DRAINFIELD SO.FT.: 750 MAXIMUM DEPTH:9 FEET WIDTH:5 FEET LENGTH: 100 (2 O 50 FEET) M.OA APPROVED SAND FILTER: N/A FEET EFFECTIVE:4 FEET REDUCTION FACTOR: 0.50 ACTUAL SO.FT.: 800 I DEER PARK ADDN. /1. / LOT 4, BLOCK 2 / / LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COM OF THE LETTER CONTACT GEC. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND NOTE: THE CONTRACTOR SHALL HAVE THE SOUTH PROPERTY LINE / AND ALL WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. PROPOSED 24' X 24' ADDITION ISO ALTERNATE SITE+US WILL REQUIRE AN ADVANCED INSTALL FLOW TREATMENT SYSTEM SPLITTER T PROPOSED DRAINFIELDS INSTALL FLOW NSTDrVERTEALLRDOUBLE — J BE ROOM / C CLEIANOUTS A^ I HOUSE :..':� •'1 '1,:. WTI 2 MT4 i �__ Cfi ZC3 IXNG l — — —TM+— 1CLEANOUT — COt INSTALL CLASS FOUNDATION I 'C' WELL RESERVE SITE 1 PROPOSED 1250 / GALLON SEPTIC TANK DUSTIN SEPi1C TANK TO BE PUMPED. CRt`{SHED AND. / PER MOA RECORDS THE ABANDOItED DRAINFIELD IS ORIENTED 90 DEGREES AS TO WHAT IS SHOWN. \ PER OUR SITE EVALUATION. WE BELIEVE THE DRAINFIELD TO BE \ ORIENTED AS SHOWN. WILL CONFIRM DURING CONSTRUTION. \ /N \ LSE\ 1- - 40' \ DEER PARK AEON. /1. LOT 2. BLOCK 2 I!AA hw�r11_`. Dov ��••:... `�S��ol GARNESS ENGINEERING GROUP, Ltd. ..,..,_..,_....-.,..,, CONSULTANTS& GENERAL CONTRACTORS----- """ •""' ......•••• IA. G T1000 NW& o1+R fol - N1CMM.GL Nf w:m • hU0[ (oDn+++-o1T . F" 001}3]o 0 - KC - PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ... • ••... '"'•";"' JOHN ASCHENBRENNER 688-3330 2 OF 2 O m i t . G rness: LEGAL DESCRIPTION: DRAWN BY: oo a GE -7 DEER PARK SUBDIVISION #1. LOT 3. BLOCK 2 K.D.M. o� ewe' (7�ZJo • Fcoo TYPE OF WORK: DATE: 4O dl'�olsssTaee\o DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE 6/26/2007 (R"v OIM5( GARNESS ...-...�_.�v..••..+-•+.-..-� ENGINEERING GROUP, CONSULTANTS & GENERAL CONTRACTORS-...........:,»,....�.''- R.YD, A.AE 101 • M,CHQM�LF, AIL "W7• Rq,{: DO) )—!in • F"' i0) —M" • WFBLfi SOIL LOG — PERCOLATION TEST 00600 _o OF. A ppp Ltd. "-'O a - •• pn•r«ti^w.K.. ......... . .. . .. .......... O ])01 E 11.00N LEGAL DESCRIPTION: DEER PARK, LOT 3, BLOCK 2•.J r A. rness.. u CE -7953 PERFORMED FOR: JOHN ASCHENBRENNER DATE: 6 op 13 2007 pl. •• SFO �e .''6 f.?7�P•�'. DEPTH oho pp eOProfessiono\ (feet) 1.5' TEST HOLE 1 1 �3Z ORGANICS 6" 2 SOIL CLASSIFICATIONS /- DEER PARK ADDN. /1 30 2' CM do GW - -- ORG SEPTIC i ��, POCKETS " `" GP ML --' 3 LENSES OF GW CL 2:37 30 2" GM EXISTING 4 GC OL , BEDROOM HOUSE 4 0 0 0 0SW MH TMT 5 •:0 SP CH SM i i OH --- g SC l i 7 DEPTH TO DATE GROUNDWATER LOT 2, BLOCK 2. ' 6 DEER PARK ADDN. /1 +i r, 9 GM 3CALE:--- -- 10 11 12 13 14 5 2:07 — 6' — 15 16 CM W/ POCKETS do 17-1LENSES OF GW .O.I I. 18 PERCOLATION RATE 7.5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 7.0 FT. AND 7.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: BENNY MAUS COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: -Lo 17. DATE READING DRY 6/13/2007 H2O O 14' 6/20/2007 6 14/2007 1 1:07 — DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 6 14/2007 1 1:07 — 6' — 2 1:37 30 1.5' 4.5' 3 1:37 — 6" — 4 2:07 30 2' 4" 6 2:37 30 2" 4" 72013 (Rev. 3/78) Ir MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 \ ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME 1PIJONE ❑NEW / 7 9SI–Z97f UPGRADE MAILING A ESS , /-' / jr%C..O•Hw s JC �e� /i LEGAL DESCRIPTION L /.3 Z Pe PJ /+,Pz ct - l / LOCATION O ! /wl � f NO. OF BEDROO MS ) J U DISTANCE TO: Well �t v Absorpuo ear Dwelling ( 7 OSS PE I O. Y i2 W Q ~ Manulaclurer P—� M n. No. of omparimeMs C� N iq„c gytysig�allOns 7X-555 � CACI IF HOMEMADE: 1 Inside length 1 � Width Liquid depth d >l DISTANCE TO: Well Dwelling PERMIT NO. ,OZ 0 Manufacturer Material Liquid capacity in gallons OWell m= DISTANCE TO: Foundation Nearest lot line, - PERMIT NO. M 2 No. of lines Length of each line Total length of lines Trench width Distance between lines 2 W P inches S ac H Top of rite to finish grade Material beneath rile Total effective absorption area p inches us Length G Width Dep I �r(� sr��J t� PEH TN iType of crib Crib diameter - Crib depth, Tota effectiye absorption i YO W t" H DISTANCE TO: Well % C'/ / Buildin dation Nearest lot line �d ->-- J Class Depth Driller Distance to lot line PERMIT NO. J • W DISTANCE TO: Building foundation, Sewer line • Septic tank Absorption area(s) .. ' OTHER GI S PIPE MATERIALS '! v SOI L TEST RATIN INS R REMARK$ . L /6)41 AWe ;1 oLI G 3 �a �... cc C/arj C /-'`rtia•ayV i Ia i a ,a 1 • '�97 yY• r•7 � -•: bk,ed A. :bel., r APPHOV 10^~ 1°GX �"�+,. [>� T:'.' EG t . SR3 ., _ +. x at E FuvEa. ALF s c1 L.� ! j % �, PH. f�:2_73 72013 (Rev. 3/78) Ir PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: M.� MUM I C I F -'AL I TY OF ANCHOF�%AGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 ON—S I TE SEWEFc 840570 07/13/84 SCHMIDT BROS CONST. SRB 196X EAGLE RIVER, AK 99577 694-2979 LEGAL DESCRIP: SUBDIVISION: DEER PARK#1 SECTION: 10 TOWNSHIP: 15N LOT SIZE: 40020 (SQ.FT. OR ACRES) MAX BEDROOMS: 3 Listed below are the options available to system. Choose the option that best fits Fes•EZFRM I -I- LOT: LOT: 3 BLOCK: 2 RANGE: 1W you in designing your septic your site. - - - - - - - - - - - - - - - - - - - 113 E=- T R E N C H DEPTH TO PIPE BOTTOM (FT.). 4.0 GRAVEL DEPTH (FT.) 3.0 TOTAL DEPTH (FT.) 7.0 GRAVEL WIDTH (FT.) 2.5 GRAVEL LENGTH (FT.) 43.0 GRAVEL VOLUME (CU.YDS.) 13.9 TANK SIZE (GALS) 1,000.0 *� SOIL RATING (SQ.FT./BR) 85 Fes•EZFRM I -I- LOT: LOT: 3 BLOCK: 2 RANGE: 1W you in designing your septic your site. - - - - - - - - - - - - - - - - - - - 113 E=- W - nFIZA I N 4.0 4.0 0.5 2.0 4.5 6.0 14.0 5.0 28.0 36.0 14.5 16.6 1,000.0 ** 1,000.0 ** 85 85 ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and_State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED APPLICANT: ISSUED BY -- ��--------------- DATE: SCHMI BR CONST. / DATE: --------------- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 26414720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME J PHONE NEW / c20S C 9 2� 7 OUPGRADE MAILI �Ft LEYL DESCRIPTIO Z. 3 ,-k-r 'il LOCA:fV/O TiS � ti Lv. NO. OF BEDROOMS -3 DISTANCE TO: Well /v / Absorp6n are/Dwelligg / /� P M�fJ /j 'Ci �f- Tl D Y Manufacturer No. of compartments 0 Wf .� w Uq. a a�� m Ilons IF HOMEMADE: Inside length Width Liquid depth o Y DISTANCE TO: Well Dwelling PERMIT NO. JO2 _ Manufacturer77t/ Material Liquid capacity in gallons O W = DISTANCE TO: Well Foundation Nearest lot fine PERMIT NO. _,M2 No. of fines Length o ch 1 + Total length of lines Trench width Distance between lines F ? W inches Top of the to finish grade Material beneath file Total effective absorption area o inches W Length l 33 Width s Z o th / I PE T ,s Z mpdc. 'rS Q. Type of rib Crib diamevr Crib tle0.t� Total effe westen / W ) CJJ (/ y DISTANCE TO: Well 0,11 s /JV Building uy�,jtionr y'LJ Nearest lot yrY4 / CJ J ClassDepth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic lank Absorption area (s) OTHER � PIPE MATERIALS -C i ( , SOIL TEST RATING INSTALy� ��++ REMARKS ZV0 !o c D4'er slog c4Ela a (7 1eln .UfL(L f) 7cr% Ld! s !.! o y� 2 " oac)r 1 L---4 y.b.;1 A. slat., 1417.E %-,o s^ No. v 0 aIt' e.) ... � ... ;:: --� APP F JVED DATE LEGALZr' EI�[Ea .IC lr...7LF— RIVEcl.ALAS!�1 z 1 CERTIFY THAT: i. I API FAMILIAR WITH THE REOUIRENENTS FOR ON—SITE SEWERS AND WELLS AS SET FORTH BY THE NUNICIPALITY OF ANCHORAGE (hIOA) AND THE STATE OF ALASKA. 2. I I -JILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS, AND IW COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. _. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA P.EQUIRENENTS FOR THE SET BACK DISTANCES FROM ANY EXISTING WELL, WASTEWATER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. 4. I UNDERSTAND THAT THIS PERMIT IS VALID FOP A h1A:;ItJUt1 OF 3 BEDROOMS AND ANY ENLARGEMENT I -JILL REQUIRE AN ADDITIONAL PERMIT. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY .MOA BUILDING CODES, THEN <1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED, (2) AS—BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED RPF'LIC:ANT: ISSUED BY _CHI' DATE: cit (� �SX � ---,'—�I`- ----------- --- LLL �7— i'1 Li t -J I i= I P F=i L i T' -r �_� F= A t•� �� H C� �: t1 �.� E DEPARTMENT OF HEALTH AND EhJ':'IRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, HK 99501. 264-4720 i=et-.1— I TE -••FIJI=fR F'EFit•i 3 T' FERHIT NO: 8400:=6 DATE ISSUED: 0=/28/84 AFF'LICANT: SCHINDT PROS CONST. ADDRESS: 5835 ENGINERRING EAGLE RIVER.- AK' 99577 CONTACT PHONE: 6!94-2979 LEGAL DESCPIP: SUBDIVISION: DEER PARK LOT: = BLOCK: 2 SECTION: 10 TOWNSHIP: 15N RANGE: 114 ) LOT SIZE: 400- :4 C.•G!. FT. OR ACRES) MAX BEDROOMS: LISTED F=ELON ARE THE OP'TION'S AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC _YSTEIT CHOOSE THE OPTION THAT BEST FITS YOUR. SITE. — —3�01 — — — — — — — — — — — — — — I J _ C• F_� r=t I t -J DEPTH TO PIPE BOTTOM CPT.) 2. O »* GRAVEL DEPTH (FT.) 1. 5 TOTAL DEPTH <FT.) -. 5 GFA' -.-'EL WIDTH (FT.) 0 GPA':+EL LENGTH ':FT.) 40. 0GFA)EL trOLUME (CU. YDS. ) 14.8 TANK. SIZE (GALS) 1, 1, clC,cl. 0S IL EATING CSG. FT. /BF:) 85 r:+ DEPTH TO F'IF'E BOTTOM < _<<•. 5 FT. REQUIRES INSULATION rr DEPTH TO PIPE BOTTOM < 4.O FT, MAY REQUIRE A LIFT STATION »+ TANK RUST HAVE AT LEAST — — — — — — — — — — — — — — TWO COMPARTMENTS — — — — — — — — — — — — — — — — — — — — — — — — — — 1 CERTIFY THAT: i. I API FAMILIAR WITH THE REOUIRENENTS FOR ON—SITE SEWERS AND WELLS AS SET FORTH BY THE NUNICIPALITY OF ANCHORAGE (hIOA) AND THE STATE OF ALASKA. 2. I I -JILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS, AND IW COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. _. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA P.EQUIRENENTS FOR THE SET BACK DISTANCES FROM ANY EXISTING WELL, WASTEWATER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. 4. I UNDERSTAND THAT THIS PERMIT IS VALID FOP A h1A:;ItJUt1 OF 3 BEDROOMS AND ANY ENLARGEMENT I -JILL REQUIRE AN ADDITIONAL PERMIT. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY .MOA BUILDING CODES, THEN <1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED, (2) AS—BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED RPF'LIC:ANT: ISSUED BY _CHI' DATE: cit (� �SX � ---,'—�I`- ----------- --- LLL �7— PERFORMED LEGAL DESCRIPTION DEPTH Oj ?OMN� C>a SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG — PERCOLATION TEST DATE PERFORMED: 7 7 /61-- / SLOPE SITE PLAN 1 � 2 Oe 3- 4P u ' u 4 d. 5 U� O 6 J 7 W / 8 ,b 9 0 `/ 10 So 11 /? 12 13 14 15 16 17 i 18 19 20 WAS GROUND WATER ' ,/� j7 ENCOUNTERED? /'-7j/V IF YES, AT WHAT �J DEPTH? G .�Trd�/oFhG LP }LF,er •t A.:ke leo � is �LFESS a~w Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT /l PERFORMED BY:S Q El1Qtgnx IhS� CERTIFIED f LE R1V; Auts . PH. s01 -27;;j 72.008 (6/79) DA PERFORMED ��qn ///fin LEGAL DESCRIPTION: `' '/C el 1 a 2 '• U 11 l� C�jn 3- 4- 5- 8 4 5 8 /• 9 v 10 11 WASGROUND ENCOUNTERE 12 IF YES, AT WH 13 DEPTH? 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST 14 Date Gross SOILS LOG �y - ' �,..; MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST PERFORMED ��qn ///fin LEGAL DESCRIPTION: `' '/C el 1 a 2 '• U 11 l� C�jn 3- 4- 5- 8 4 5 8 /• 9 v 10 11 WASGROUND ENCOUNTERE 12 IF YES, AT WH 13 DEPTH? 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST 14 Date Gross Net 15 Net Time Time Water OF tit s b �F, 16 • ya, 18 r .., , ��r-o � RsSeA A. SanNr No 47 �r SLOPE ��D")ATE PERFORMED:.3 2 / [.� (— ■■■■■■■■■■ Reading Date Gross Net Depth to Net Time Time Water Drop ya, �r 20 tk Hpp�.�.5t..,<Y' yr�"�w4 PERCOLATION RATE—/-/(minutes/inch) TEST RUN BETWEEN FT ANS FT PERFORMED BY:. `$RF: '19E%L CERTI 72.008 (6/79) - `Try M -W DRILLING, Inc. • PP.O. Box 10-378 • 1G300 Old Seward Highway (907) 349-9535 ANCHORAGE. ALASKA 99511 DRILLING LOG Well Owner Mr'• Censbertr Use of Well Dortlestic Location (address of: Township, Range, Section, if known; or distance main roarl Tnt- I Rink 2 Dr r Park .c GSW7EL'M MWY SGC. 14 7 -11q -1V, I? JW &2) Size of casing 6" nepth of Hole 262 feet Cased to 261.5 Static water leveP-'-0-"-n4 1 F"(005) bo , land surface. Finish of well (check one) open end ( XX ) Screen ( ); Perforated ( ). Describe screen or perforation N=n _-- Well pumping test at 20 gallons per (ARM (minute) for 1 hours with 1007 _ _tt. of drawdown from static level. Date of completion- Febrttary 1, 1983 WELL LOG Depth in feet from r ground surface Give details of formations penetrated, size of material, color and hardness 0 TO 2 Casing stickup _ ---LTo 4 4 TO 20 _2D -To 45 �5_TO 5 loo —lnn_TO 16n— L6LTO 164 --JSA_TO 193 Silty sand, wet Islay 1 qfi TO 255 Si T ryc=rnrl __ --j'Qt- _255_TO �F2 _1 . Ir�rhpnr�M T mrl an aVol Arlyn', rtitied , �evliti .1le r l:o,, r••_: -TO- -TO— TO O _ �> TO — .TO —TO- 71? O — IJi►1 /_ r n rte-+ / / 1 -CUSTOMER / 1 -CUSTOMER i", ele'e, CONSTRUCTION AND OPERATION CERTIFICATE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION PUBLIC WATER SYSTEM APPROVAL TO CONSTRUCT Plans for the construction of = =' public water system located in Alaska, submitted in accordance with 19 AAC 80.100 by-' AZLI f t have been reviewed and are 6] approved. ❑ conditionally approved (see attached conditions). If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. APPROVED CHANGE ORDERS Change (contract order no. or dexHotive reference) Approved by Date The "APPROVAL TO OPERATE" section must be completed before any water is made available to the public. .r APPROVAL TO OPERATE The construction. of the /;f,'' c« '. ,��;�?�; C1i f. rr.: r�rr t; ? {,.7k1 public watertystem was completed on (date). The system is hereby granted interim approval to operate for 90 days following the completion date. By TITLE DACE As -built plans submitted during the interim approval period, or an inspection by the Department has confirmed the system was constructed according to the approved plans. The system is hereby granted final ((approval to operate. By TITLE DATE 0 MUNICIPALITY DEPARTMENT OF H ALOTH &NHUMAN SERVICES 0997 D L/-13 DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date 4 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property Owner P#Ce n Telephone: Home Business Mailing Address (c) Lending Institution ��'r ��o�" « i//nf�.�� Telephone �2- 3-1133 Mailing Address `�� / �^' 3G y s /o/ 99.f/ o (d) Real Estate Company and Agent Address Telephone fi: 3 —/ / 3 3 (e) Mail the HAA to the following address: or: Check here 0, if hold for pick up. List contact person and day phone number below. 2. TYPE OF RESIDENCE Single-Famil y/ Number of Bedrooms 3. WATER SUPPLY 3 Individual Well ❑ Community/O 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 Ld Public 13 Community O 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 72-075 (Ar 8161 Fwl r`, e0. 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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. l 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 T1Z-f Telephone Address 2Z Lo TA 7 F -a N� Date 6i��8-7 Engineer's Seal vt O 1�v1••N••••0• 1. J Colo R. f.'.errO No. =55-E •' V l 6. DHHS APPROVAL Approved for 7 Aia—Q edrooms by A' °"`"� Date fay/8 Approved Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an Independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 . 72 025 iRw 8 661 Bark n MUNICIPALITY OF ANCHORAGE (MOA) .-• HEA(((...TH AUTHORITY APPROVAL (HAA) MUNICIPALITY OF ANCHORAG uECKLIST - FEBRUARY 1984 ENVIRONMENTAL SERVICES OIVISI 264-0744 AUG 2 51987 Legal Description: L 3 /3 z A. WELL DATA RECEIVED P. N Well Classification G�Gss G If A, B. C. D.E.C. Approved (Y/N) Well Log Present (Y/N) Y Date Completed Yield 2,5'; l" Total Depth u2'D4� Cased to 2b/, -r4y' Depth of Grouting "vc Static Water Level 4+ FP Pump Set At w'074'n~� Casing Height Above Ground % qtr Sanitary Seal on Casing (Y/N) y Electrical Wiring in Conduit (Y/N) y Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot /r'-7 On Adjoining Lots /So Ott To Nearest Edge of Absorption Field on Lot /IC4- : On Adjoining Lots I To Nearest Public Sewer Line ffr fr To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by Wo S�"Jr'/``�`'� ; Date Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed 9/ 8¢ Size /000 -7a/ No. of Compartments Z Standpipes (Y/N) Y Air -tight Caps (Y/N) i Foundation Cleanout (Y/N) Depression over Tank (Y/N) Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ^��' ; for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank To Water -Supply Well To Building Foundation /OSCt t To Property Line '¢r Irl To'Disposal Field L1 To Water Main/Service Line Itr f r To Stream, Pond, Lake, or Major Drainage Course Comments Page 1 of 2 , 77-0761Fvv 6166 Roni C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata FY Z%IrA� Type o1 System Design _ROW Date Installed 911411BQ- Length of Field Z 4(f' Width of Field �' �t Depth of Field Gravel Bed Thickness V• S�� Square Feet of Absorption Area 39y S. 4, Standpipes Present (Y/N) y Depression over Field (Y/N) Date of Last Adequacy Test Results of Last Adequacy Test Stens s ate, n . Separation Distance from Absorption Field: To Water -Supply Well 14 7,1f` To Property Line To Building Foundation io S -/V 4- To Existing or Abandoned System on Lot To Water Main/Service Line o0 -ft f On Adjoining Lots /.5'0 +coc- To Cutbank (if present) ^41114 To Stream/Pond/Lake/or Major Drainage Course .0J1g To Driveway, Parking Area, or Vehicle Storage Area �1 Comments li/% ro r✓a�, </.��1�1t ��-.� orai,4+�ir•i 1>../�.s� dry ..r'd D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off' Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA " Check Permitted Bedroom Rating Against HAA Request •• I certify that l 6v checke a or conformed tto11 MOA and HAA guidelines in effect on the date of this inspection. Signed Comp MOA No. Receipt No. ZO — O U Date of Payment �'� �`— �/� �P�EOF Al.gba+ •..Me...... Amount:$ X00• > Gj ngieAl I:p �e MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION V., TH •. ; �' 0 •.�.,�'l Page 2 of 2 AUG 2 5 1987 /I '� : Dole R. M Hell ?? -On (p.. 8 N1 aaokRECEIVED 1�`iPJ'.. No. 2055- 055,z- ��ate\ `'%" m n e% n 3 UE OF RUM DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 3601 "C" STREET. SUITE 1334 ANCHORAGE. ALASKA 99503 DATE: __ August 31, 1987 PWSID #: 'Mass C To Whom It May Concern: STEVE COWPER, GOVERNOR 563-6775 According to the records on file in this office, the __I.ot-3,- Block 2, Deer Park S/d--------- Water System is in compliance with the State of Alaska Drinking Water Regulations. Sincerely. Ronald S. Klein Environmental --Field Officer by: /Uaaf irul Steve Eng, P District E gineer -• :SUNICIPALITY OF ANCHORAGE DIVISION OF ESVIROMShTAL HEALTH DEPARTMENT OF HEALTH AND EIVIR01ME AL PROTECTION APPLICATION FOR IMALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date Z -le -s-r� (a) Legal Description (includlot, block, subdivisn, section, township, range) Location (address or directions) of (b) Applicants Name Applicants Address //0/ r %6- =y !;�ei fiN G l^. Gl-sU Z (c) Applicant is (check one) Lending Institution Q ; Owner/builder ; Buyer [= ; Other E=j (explain); (d) Lending Institution /U O /J '�= Telephone Address (e) Real Estate Co. h Agent SU `%� P Address 11 - Telephone� (f) V the HAA to the following address: -r_ a, 2. Type of Residence Single -Family Multi -Family Number of Bedrooms v 3. Water Supply Individual Well Other (describe) Comaunitq WZ-4 Public C L -A -SS M 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 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 21 5. Engineering Firm Providing Inspections, Tests, File Search, Data and Information 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 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 Fmuicipality of Anchorage files and frov, 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 regula- tions in effect on the date of this inspection. Name of Firm. Address ;;y -`•w r�' n ....�• ......,,, •:�;,. gm. Telephone 6. DHEP Approval ' ::' 6 [S� Approved for bedrooms By Approved Disapproved Conditional Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIROS=. AL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY All INDEPENDE2Tf PROFESSIOMkL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHE? DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZ'DATA BEFORE A CERTIFICATE IS ISSUED. THE MITNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS 1111 THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 21 7-19-84 ANOMgM MUNICIPALITYDEPT. FOAEALTH .r E„ RONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA5 HEALTH AUTHORITY APPROVAL (HAA) f Ea 2.}��:1 CHECKLIST - FEBRUARY 1984 RECEIVED 11 / A. WELL DATA Legal Description: Z Dee, Oafs /4AL �i Well'Classification Ifs, B, or C, D.E.C. Approve ( ) ,.l' Well Log Present NN) Date Completed Z-1- 8 3 Yleld /9�at)l Total Depth Cased to 7� / -- Depth of Grouting � Static Water Level C%/bur✓Jkai1 Pump Set At G[ Casing Height Above Ground 30 Sanitary Seal en Casing (Y ) Electrical wiring in Ccr:duit (Yt) Depression Around Wellhead (6 1 Separation Distances from Well: To Septic/HeieiiM Tank on Lot �6 $' On Adjoining Lots To Nearest Edge of Absorption Field on Lot A8/ / ; On Adjoining Lots /-SV f To Nearest Public Sewer Line AIIA- To Nearest Public Sewer Cleancut:/4arhole /i Ayj To Nearest Sewer Service Lire on Lot/ Water Sample Collected By S+ S fliflle<r f9f ; Date Water Sample Test Results S01-71 s GTc rar-1 Comments B. SEPTIC/HftDH 6 TANK DATA Date Installed /yam p �i Size /000 No. of Compartments Standpipes /N) Air -tight Caps S2 ) Foundation Clearcut m) Depression over Tank WINV Date Last Pumped Pumping/Mainterance Cont Tact on File (Y /A' ; fcr Af 41- Holding Tank High -Water Alarm (Y/N)1V /� Temporary Holding Tank Permit (Y/N) N 74 Separation Distances from Septic/Holding Tank: To Water -Supply Well To Building Foundation %OJ' To Property Line /d ' r To Disposal Field S1-1 To Water Mair/Service Lim /0-/- To Stream, Pond, lake, or Major Drainage Course N N Comments e Receipt 8 Date Paid: 1) Amount: LISE50. (Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata CYS G Type of System Design Srb Date Installed I/VIP Y Length of Field _� If Width of Field Depth of Field ` Gravel Bed Thickness77 Square Feet of Absorption �AArea 3 92 Standpipes Present Q%N) Depression over Field (ar )' Date of Last Adequacy Test N Results of Last Adequacy Test N G✓ Separation Distance from Atiscrpticn Field: To Water•: -Supply Wall /t/ ` To Property Line To Building Foundation I/ ` To Existing or Abandoned System on Lot 3o f ; On Adjoining Lots X30 'f - To Water, Main/Service Line /o Y— To Cutbank(if present) .0 o n/ of To Stream/Pond/Lake/cr Major Drainage Carse N 0 ,✓ !_= To Driveway, Parking Area, or Vehicle Storage Area�— Carments N 0 �J c D. ':LIFT STATION Date Installed Dimensions Size in Gallons — Manhole Access (YM) "Pump On" Level at a / /yPtl " Level at -High Water Alarm Level at ��.� /' Vent (YM) Tested for Pumping Cycles daring Adequacy'Test. Meets MOA Electrical Codes(Y/N) Comments :Check Permitted Bedroom Rating Against HAA Request '* I certify that I have cheedced, verified, or conformed to all MCA HAA on the date of this inspection. r—' Signed Date 2— 2 Company z..i= T'JVcR. ALASXN '='77 MOA No. 1 4 1.. r'J-. I r KBI/d5/s [Page 2 of 21 in effect sa pmt A. jh"{et 1+.. 1457.E 2-15-84 The location of the Anj as shown on this rcc (as- By: a aM =Ls 1 AECERT/F/ED AS �,UILT �% 1 " SEPTIC C. 8 STAND PIPES to •' " co / 4 C}. (/6) CY) 39� EX/STING -STRu�uRE /05 of 4 12= Q } wet,_ f O i Of A/ 0" 05" 20 w N OAK K/VO L L Lot. 3 , Block. Deer lir/; Aa&n. No.1 Anchorage Recording Precinct, Alaska • LOT SURVEY CERTIFICATION LEGEND �� 1 hereby certify that I have surveyed the property shown and described = Brass capped monument recovere •. R' .' hereon, and that the improvements situated thereon are within the prop- o = Iron pipe and/or rebar recovered /� ��F ••. LS -1 192 o erty lines and do not overlap or encroach on adjacent property and that no o = 2 x 2 hub ✓3 tack recovered t,9Fpp••..��••••.••�p`oJ� improvements on adjacent property overlap orencroach on the premises • = 5/8" x 3d' rebor set this survey in �, A�FfSS10NA� �P`` question and that tnere are no roadways, util , , lines or other visible easements on said property except as indicated hereon. 09 •7 secs Scale tl _ Date/ Prepared by: R. L. BUTTON _ • 09-18-67 Registered Land Surveyor (907)279-6200 519 W. Eighth Ave. Anchorage, Alaska 9950/ r*1\1 �/ /�� I FB.No. ��,/� I Property of:oh_. _ Un Asche4renner