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HomeMy WebLinkAboutT12N R3W SEC 33 LT 247TI 2N R3W Section 33 Lot 247 #018-332-18  Municipality of Anchorage ":r.'~.. ,,% Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 Page of www.ci.anchorage.ak, us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number:. 5V, J ~ I (~/~f~--~ PID Number:. ~/~'~-- "--:/~'/""._/~-----~ ~-/~'3;(~h~/'~'~ WastewaterSystem: I--INew [~Upgrade ~'" 5 74 t -~ ABSORPTION F~ELD LEGAL DESCRIPTION ], ~.- ~, Je~' ~r · ~,.., I ~,.~s..: c..,n..~.~ c..,~ TANK SEPARATION DISTANCES [] septic [] Holding I-I S.T.E.P. [] Other. Tank Field Station Tank Sewer Line c~. s~,w,., /'Vo ~'~~ '~ / LIFT STATION ~..llJr~?prqy ~)-}x ~-~)C(~c-~.~y'2,~7' BENCH MARK ~' ' ~ :~. Inspecti°nspeff°rmedby~''~~~. Dates: 2~ Development Se~lces Depa~ment Approval PERMIT NO, SW010420 /\ AS BUILT 'PLAN 0 LOT 225A LOT 225B 0 0 Road Easmt. NE w Wide Trench 5 x 4.5' x 60'with 2" rOT! ~ ~ffective Depth--x Road Ea~ :mt. ~ ~en B ~ 32.0 J~S SIZEMORE & ASSOCIATES C}VIL ENGINEERS & SURVEYORS FROM TO DIST. A COl 44.5 B C01 169.6 A MTI 46.2 B MTI 71.7 A NLq 34.6 B MH 32.0 PERMIT NO. SW010420 AS BUILT PROFILE t JAMES SIZEMORE & ASSOCIATES CIVIL ENGINEERS & SURVEYORS MUNICIP,4UTY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK g9519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 05, 2001 Expiration Date: Oct 05, 2002 Permit Number: SW010420 Legal Description: T12N R3WSEC 33 LT 247 Design Engineer. 0027 James Sizemora & Associates Owner Name: Jeff Brigham OwnerAddress: 3741 Ptarmigan Ten'ace ANCHORAGE, AK 99999-9999 Parcel ID: 018-332-18 Site Address: 003741 PTARMIGAN TER Lot Size: 108900 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 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 calling (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: Issued By: Date: Municipality of Anchorage Development Services Dep. artment Budding Safety Division On-Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 ON-SITE SEWERfWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLI'NG Parcel I.D. Pr0perty owner(s) Mailing address (1) Permit Number SW O IO420 Day phone 5I,T'?. , .,.., -7/.// "~_L~ r · - ;' ~ ,-,~'1 ~"~('f~,. -"' ~..Zip Code Ma:,;,-,g address (2) -~ ~ ~ ~ · r-, _ ii~ ' Legal description (Section, Township & Range) Lot Size '~'5 A~cr~ ·. Number of Bedrooms ~' THIS APPLICATION IS FOR:~' Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool · Therapy Pool ,,~ Well Only [] [] Water Storage [] [] [] Jacuzzi [] [] Water Softening Unit [] I certify that the above information is correct. I further cedify that this application is being made for a Single Family Dwelling a~l~ is in accordance with applicable Municipal Codes. , ~'~gnature of property owner ~'"authorized agent) Receipt Number: /~'//"~ (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: PROBABLE IMPACTS TO ADJACENT PROPERTIES A) WELLS The proposed wastewater disposal system is designed in accordance with current Municipal Wastewater Disposal Regulations. The proposed 5' x 62.5 Absorption Trench is greater than 100 1~. from wells on this and surrounding lots. Theretbre, there should be no adverse impacts on wells from this system. The construction of absorption system will not preclude construction of systems on adjoining lots. B) WASTEWATER SYSTEMS The system is designed in accordance with current Municipal Regulations, and construction will comply with current regulations. There should be no adverse impact of adjacent disposal systems. C) RESERVED SPACE/SURFACE AND SUBSURFACE There is adequate space on the lot lbr a replacement disposal system, and still maintain the protective radiuses around wells. The placement of the septic system on this lot should not preclude building replacement systems on adjacent lots. D) DRAINAGE The topography on this lot and the surrounding lots is sloping varying from level to25 %. The area disturbed during construction of the system will be graded to prevent ponding of water. Construction of this system should not adversely affect drainage. LOT 225A LOT 225B 0 0 ' Road Easmt. ' Proposed Wide Trench 5' x 60' x4.5' with 2.0' LOT1 ~ Effective Depth o ~ ! Existing Bed ~ ~ Lift S, tation Septic Tank~ I Road Ea~m~. . }.well..~ ~o¢ ~. s~. ¢¢~. ~w. s.~. ~~'~' ~s s~z~oR~ ~ ~SSOC~T~S  CIVIL ENGINEERS & SUR~YORS ~,, .~.~ TEL. 907-345-1572 F~-345-9669 New Absorption Field inch line to exist, bed~\/~ New Manhole ->~ Existing Lift Station~DhV~J~e4h'~+ :?:e~g _'h .~ LOT 247, S33, T12N, R3W, S.M. ~~ PROPOSED SEPTIC UPG~E .,.~ ~ DETAILS ~4:~,~,~0~~ J~S SIZEMORE & ASSOCIATES ~'""~'~-~' CIVIL ENGINEERS & SUR~YORS TEL. 907-345-1572 F~-345-9669 - cZ- Municipality of Anchorage. DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORM LEGAl. DESCRIPTIOn7 ~- '~'7 1 2 3 4 ~vnship, Range, Section: SLOPE SITE PLAN 8 WAS GROUND WATER ENCOUNTERED? 11 IF YES, AT WHAT DEPTH? 12 13 - I~onitoring? Gross Net Depth to Net Reading Date Time Time Water Drop /l- iv-z.. 14- 15- 16- 17- 18- 19- ~o ~, '?.,. · PERCOLATION RATE ~ (m,nutes/mch) PERC HOLE DIAMETER 7,, WASTEWATER DISPOSAL SYSTEM LOT 247, S33, TI2N, R3W. SM 1.0 GENERAL 1.0 This project will involve the following: A) The existing Septic Tank and Lift Station were examined on Sept. 30, 01. He septic tank is concrete and is in good condition. The Lift Station was examined and found no sign of rust. Six feet from the existing lift station, a manhole will be installed and a "T" will be placed in the existing 2" line from the Lift Station to the existing bed. A 2" line will be ran from the "T" to the new absorption field. Two valves will be installed within the new manhole, allowing switching between the old bed and the new absorption field. B) A replacement Absorption Trench 5' x 60'x 4.5 ' deep with 2.0' of sewer rock beneath the Perf pipe shall be constructed. 1.1 Construction shall be in accordance with: the approved site plan and design drawings and specifications, Municipality of Anchorage permit with any special provisions or conditions. Deviations from the approved design drawings shall be coordinated and approved by the engineer conducting the inspections. 1.2 All construction procedures and material used to construct the system shall comply with Municipal and State Regulations. 1.3 The homeowner shall be responsible for finish grading and seeding disturbed areas after the system is constructed and soil is compacted and mounded over the absorption trench. 2.0 DISPOSAL FIELD 2.0 The subsurface disposal field shall consist ora wide trench, 60.0 feet long, 5.0 feet wide and 4.5' deep with 2.0' of sewer rock beneath the perforated pipe (the effective depth of the trench). Thc ire&ch shall be excavated 4.5 Feet deep from Existing ground surface. ~t of filter sand shall be placed in the trench bottom. 2.1 A total of 2.5 fl. of sewer rock shall be placed after the filter sand is placed in the bottom of the excavated trench. Two feet of rock shall be beneath the drain pipe in the trench. A minimum of 2 inches ofsewer rock shall be placed over the perforated pipe. 2.2 Sewer rock shall be 0.5 - 2.5" screened gravel with less than 3 % passing the #200 sieve. 2.3 Cleanout pipes and monitor tubes shall be 4" diameter and installed as shown on the plan. The portion of the monitor tube extending through the sewer rock shall b perforated. All monitor tubes and cleanout pipes shall have waterproof caps conforming to Municipality of anchorage Specifications. 2.4 Filter fabric shall be placed over the sewer rock, and then 2 inch "blue board" direct burial insulation will be placed over the filter fabric. A minimum of 2 feet of unclassified backfill shall cover the insulation. 3.0 ENGINEERING INSPECTIONS 3.0 A minimum of four engineering inspections will be required during construction of the system One after the septic tank is set prior to backfill, one after excavation of the trench prior to placement of sewer rock, one after placement of sewer rock and all distribution piping, cleanouts and monitoring tubes are in place. The final inspection shall be after the filter fabric is placed , the trench backfilled and the final grading is complete. 3.1 The contractor shall coordinate with the engineer at least 24 hours prior to start of construction. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT N.~.e DISTANCES ^dd~e~s TANK FIELD WELL Township. Range. Section FOUNDATION ~ ~ ~ ~ ~ ~ d,ivew,y.A~'BUILTOIAGRAM (Show location of well. se,ticsystem.,ropedylines, foundatiOn.wate~ bodies, etc.) TANKS N TYPE OF SYSTEM l ~ TRENCH D ~ W. DRAIN ~ OTHER ~ Fill added above original grade G,avel depth beneath pipe -~ 'J Num be~s Soil rating Pipe matebal WELLS IVATE ~ OTHER [ldentifv) REMARKS: 72-013 (3/85) Pi U N ! C ][ P A L. I ¢/ · ,,,a' ~..~~ ~,:~., ,~. ~, F:'ATF')' :ftc R~ MA I 'TL.AND O~,,.irier' Addr-6!s'~.~ .~':'"?z. , .,' F I ~,.rd't.U. AN I c.l'.t~.~ AN,-.HC.,~A~:J,,::~ [}il'::: 995:1.6 I-:'a p c e :!. :1: d x 0 :! 8-::i!;32-. ! 8 Lo'L I...ega].ll Subdivision~ '- L.c~t.: - B].ockll - JJ~ect.:i. on: ~;:3 'T~wr"nahip~ i~'.N Range: '.3W BL.M L..OT 24'7 Lcd:. ~ize 1()89()0 (sq,~ f't~ c)p acpe~Q Max :E:(~,dpcxr~ms: Th:i.s F:'er'mit.: 3 1"oral Capacit. y, :3 SEF:'TIC 'T'ANK~ M:i.n:i. mum 't. '.:' ": ~7 ]. septic: tal'"~k c:apac:i.t.y~ 1~00C) gal:Lon~s~ Each sept.:i.c: tank mu. st have at. ].[east. JZ c:clrapaP'f, merl'[.s,, DepCh 'Lo 'Lop of' septic:; t. anl.;:(es) ':::4.0 fef:.~Y[L Pf::.H::IL.kiP6,~ :J. nsulat, ion ovep '[.artk (s) , NOT]:i:::'Y DHHS F'RIOR&CX)NSTRUI]TIOIq. oY~rl::dq SHA..L ~:[:. ].N~IRLJ...I::.D F:'ER ....... ] I--,..~ I ,..~ THE ENGINIF'I::'I::~S AI:::'I:::'ROVED ])l::cl..bhl,, ADDITIONAl- f-E. RCL)LAI .[ .11 ~,lb.l BE. I-~:d~Fdr'~M~..D, AF'TIZR CO[ff AL, r'ION OF THE FtL.I...~ TO FNSURE THAT THE BI~i:D "S ,-~uJl E.RL.F ~ .~..Zl::.b~ BED MUST BE 1Cx:)' F'RR)M [...~..~..~ I.I. I IL D.~. L,~I T'O NOFtTH AND WES'i~ NOTICE: ~(.1111 ...IANCI... DATE TO INS'IALL. Ic~ SAT,, =lj.:.. ,I.J ,- :J~ 2501, ~.989,, fL'.EF?/i' 1: F:'Y THAT: ! ~/:J. i ]. ins'~.a]. 1 the system in acccn"-dance with a:l. 1 MOA c::cx::lc~.~ I w~:i.l! adhepe to all Iq[)A and St. at.e) of' Alaska r~equ:i, pemer'YLs .{(::m t. he s~M:. back cJ i~5'[:&ul(:f]s f PCl~ri &~.iiy EO< i ~t. J. lql~;I t4E,]. ]., was'Lev,~at, er' cl J. sposal system c:H" !::)tJ. 13 ]. ic :[ t.tr~dePs't:.arM:] 'U-iai. t. his pepmit. :i.s valJ..'J ['op a ataximufri any ~;:,r'1 ].ar'oemen'L ~,lJ. 1. ]. pec L.t:J "~k, ali ~: J~.. 3. [. Z,.) I ~.. pE, Pffiit ,, .. .~._ ~ ........... -.~-- ............. (Ot,~r~e:,p ', [':'~['I:'R:~',::. .... :. l-~ t'~:!:1~ "1'~- .,. ,, ..AqD-, , r HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ROBERTSHAFER, P.E. ROGERSHAFER August 30, 1989 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 Mu~cipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.0. Box 196650 Anchorage, Alaska 99519-6650 ATTN: Dan Bolles MUNICIPALITY OF ANCNOP.~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECI'IO~ RECEIVED REFERENCE: Lot 247; Sec. 33, T12N, R3W, SM. Dear Dan, Thi~ letter is to provide the additional information requested by you in a telephone conversation with Roger of this office on August 30, 1989. I. As you have requested, we will excavate two additional test holes on the Northeast and Southwest sides of the proposed absorption bed to verify a total fdll depth of 6~ ft. If the fill depth varies, the location of the absorption bed will be adjusted. 2. Once the proposed seepage bed has been excavated and the bottom area compacted, we witl perform two additional percolation tests in the bottom of the bed to verify the soils rating. If necessary, the size of the absorption bed will be increased.at that time. 3. The proposed absorption area will be installed no ~loser than 100 ft. to the open drainage ditch observed along the north and west property lines. ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION: 1 2 3- 4- 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Township, Range, Section:'~-~2_ld ~LA~AN"' SLOPE SITE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Waler Aller J I Monitoring? I...~ ,, ~ Gross Net Depth to Net Reading Date Time Time Water Drop ~ ~'-~ t~ ~, ~J~ ~/~ 20 - __ PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN:~/~-~ FT AND ~ FT COMMENTS ~ & ~ EN,~INEERIN~i ' ' '- CERTIFY THAT~HIS TE~ WAS 72-008 (Rev. 4/85) PERFORMED IN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 4 5- 6- 7- 8- 9- 13- 14- 15 17 ~z DATE PE¢ Township, Range, Section: "~\~ SLOPE S,TE WAS GROUND WATER ENCOUNTERED? ,E YES, AT WHAT '- DEPTH? E Oeplh to Water Alter Monitoring? Oale: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE ~'~ ''~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND "~ FT GO'~'~ENTS '~,~-~,~ ~ ~ ?::~ , ~ '~~ ~ S & S ENGINEERING /// ~// / PERFORMED BY: ............ GERT FY THAT TH EST W S PERFORMED N ACCORDANCE WIT~g[~~'~ G UI;~N EFFECT ON THIS DATE. DATE' /~ //~/~ 7 72-008 (Rev. 4/~) ~ ~R'S SEAL) Municipality of Anchorage t~ ,..~ DEPARTMENT OF HEALTH & HUMAN SERVICES ~,~ ~ 825 "L" Street, Anchorage, Alaska 99502-0650 SO,LS -- PE.CO T O. TEST LEGAL DESCRIPTION: ~ ~? TownshiP,sLopERange, Sectio~SiTE ~LAN 3 6 7- 8- 9- 10 WAS GROUND WATER ENCOUNTERED? 11 IF YES, AT WHAT DEPTH? z~ ~? pO E Depth to Waler Aller 13 - Monitoring? Date: Reading Date Gross Net Depth to Net Time Time Water Drop 14- 15- 16- 17 18 ~ cD t, j 20 PERCOLATION RATE '~'~' (minutes/inch) PERC HOLE DIAMETER ~._~ , TESTRUNBETWEEN ~r'-~TAND '~ FT PERFORMED BY: 170:4 Ea_0,e ]~[velc [.i~.~ ,o~__~ ?,,. ~jZ/~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN Tom Fink, Mayor Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 September 19, 1989 Mr. Patrick R. Maintland 2741 Ptarmigan Terrace Anchorage, AK 99516 Subject: Septic system upgrade for Lot 247, Sec. 33, T12N, R3W. Dear Mr. Maintland; On August 31, 1989, this department issued an upgrade permit for the septic system on the subject lot. AS stipulated on the permit the septic system upgrade must be installed no later than Saturday, September 30, 1989. This requirement is as such must be met. Bolles, at 343-4744, a valid restriction on permit #SW890195, and I therefore recommend you contact Mr. Dan if there are any questions. Sincerely; hn W. Smith, P.E~ Manager On-site Services Certified mail. db/93 ROBERT A. SHAFER August I, 1989 CIVIL ENGINEER 694-2979 HEALTH AUTHORITY APPROVALS SEWER &WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES ^NO REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, ~laska 99501 REFERENCE: Lot 247; Section 33; T12N; R3W; S.M. 3741 Ptarmigan T~rrace, Anchorage, Alaska TO WHOM IT MAY CONCERN: Patrick Richard Mai~and, owner of the referenced property, has retained the services of t~s firm for purposes of r~solving the septic system s~fa~ng probl~s observed on ~s prop~rty. R~ol~on of th~ probl~ wi~ in~ud~ ~in~on of th~ curr~ w~t~r viol~o~. Sinc~r~y, ROBERT A. SHAFER, P.E. RJS/ss ACKNOWLEDGED: 3741 Ptarmigan T~rraee Anchorage, Alaska 99516 RE¢ IVF. D. ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 TWEED EXCAVATING & CONSTRUCTION 17034 N, EAGLE RIVER LOOP ROAD, SUITE 204 EAGLE RIVER, ALASKA 99577 TELEPHONE {907) 694-2979 OR 694-1373 September 28, 1989 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAl. PROTECTION Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Stre~ P.O. Box 196650 Anchorage, Alaska 99519-6650 ATTN: Dan Bolles RECEIVED REFERENCE: Lot 247; S¢c. 33; T12N; RSW; S.M. Mr. Maitland contracted with us to upgrade his septic syst~n in accordance with o~r proposal dated Sept~nber 2, 1989, the upgrade was to be performed in accordance with permit no: 890195, issued by your office. At the time we contra~ted with Mr. Maitland we fully expected to be able to complete the upgrade of h~s septic system prior to the expiration date which you established on the permit. (September 30, 1989) However, due to the extensive rains which we have encountered over the last 30 days, we have been unable to maintain ouA schedule. We feel strongly committed to satisfying all of our clients and have been unable to move Mr. Maitlands project ahead of other co~itt~ents. AS you realize excavation work can become extr~nely diffic~t when the soil~ reach high saturation leve~, which ha~ been the case here recently. We propose to continue on our present sched~e and hope that the weather wi~ cooperate so that we ~an finch all of our project~ prior to freezing, in~uding the referenced project. Request you grant a 30 day extension to the permit issued to Mr. Maitland. So that we may perform his upgrade and satisfy the requirement~ which dictated thi~ upgrade be performed. We hope to have the work done we~l ahead of this new expiration date, however, the weather will no doubt continue to play a major role. If you require addition~ information, please contact us. RAS/gm Tom Fink, Mayor nicip lity of nchor ¢ Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-8650 HAND DELIVERED September 22, 1989 Mr. Patrick R. Maitla'nd 2741 Ptarmigan Terrace Anchorage, Alaska 99516 Subject: Notice of Violation Dear Mr. Maitland: This letter serves as a second Notice of Violation of AMC 15.65.020 - Wastewater Discharge Restrictions. On July 31, 1989 you were issued a Notice of Violation for discharge of untreated wastewater to an open ditch. The specific details of this illegal discharge have been well documented through dye testing and laboratory analysisl To date you have not taken the necessary measures to correct the illegal discharge which is originating from your on-site wastewater disposal.system. On September 21, 1989 it was observed that you are continuing to discharge untreated wastewater effluent to an open ditch. We have not received any indication that you intend to discontinue this illegal discharge. Therefore, please be advised that by October 3, 1989 the following two items must be accomplished: Your system must be completely and properly upgraded in accordance' with permit number SW890195 issued by this department on August 31, 1989. 2. Disuharge of untreated wastewater to an open ditch must be discontinued immediately. "Kids Are Our Future" Patrick R. Maitland September 22, 1989 Page Two If you fail to meet both of these requirements by 9:00 AM, October 3, 1989, a citation will be issued for violation of AMC 15.65.020. If you have any questions regarding this notice of violation, please contact either myself or Dan Bolles at 343~4744. Program Manager, On-site Services SIGNED REPLY [REDI;C~I~MI® 4S 472 SIGNED SL~ID PARTS 1 AND 3 INTACT - PART 3 WILL BE RETURNED WlI'H REPLY. DATE / POLY PAK (50 SETS) 4P472 GREA .R NCHORAGE AREA BORF ~ D e p a r t melt ;~3E0n~i r~eme: nta I Quality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS ,~-?'~ J'-'~ ~ '~// ~, y~/i~//, PHONE SEPTIC TANK: DISTANCE / ~ ? NUMBER OF ~' FROM WELL ~L/ MANUFACTURER ~ MATERIAL ~ COMPARTMENTS ,, INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY~~ GALLONS. TILE DRAIN FIELD: / TOTAL LENGTH DISTANCE FROM WELL t?> ~t FOUNDATION ./~ '¢' NEAREST LOT LINE "/z/-~ /?'~ OF LINES NUMBER ABSORPTION AREA;~0'? O- ~ ?m- SQ. FT. L~NGTH OF EACH LINE DEPTH: TOP OFTILE TO FINISH GRADE ~ ~ DEPTH OF FILTER MATERIAL BENEATH TILE_~ ~$ ABOVE TILE WELL: BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION ~'-~.z/2 ~ ~'~' ~:: f~l NEAREST NEAREST LOT LINE SEWER LINE OTHER SOURCES DISAPPROVED- DEPTH SEPTIC SEEPAGE TANK SYSTEM DISTANCE FROM: REMARKS DISTANCES: INSTALLED BY: .~-'/.:~r/~.1-¢~- SEWER LINE DEPTH: /~ ) PiPE MATERIAL: LOT SLOPE: REMARKS: Form EQ-032 DIAGRAM OF SYSTEM LEGAL DESCRIPTION GrEa -'F % hOrAgE Area Bor," DEPARTMENT OF ENVIRONMENTAL QUALITY SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT INSTALLATION Of: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOil TEST RESULTS COMPLETION DATE ANTICIPATED PHONE PIT DRAIN FIELD OTHER SEEPAGE /~-~/0{. FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, SEEPAGE AREA SIZE TYPE DIAGRAM OF SYSTEM MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ~*~ ~ ~ ~ ~ DRAIN FIELD SEPT'C TANK TO SEEPAGE PIT WALL / ~ TO NEAREST LOT LINE. DRAIN FIELD t/t~~-~ / ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAge PIT DRAIN FIELD SEPTIC TANK, //~-~ r , SEEPAGE PIT.~ -~ ~ , DRAIN FIELD ~ ~ / TO ~IVER, LAKe, STREAM. 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 ~]PHON PIPES ON SEPTIC TANK aND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. · LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAge ARea BOROUGH ORDINANCE NO. 28-68 AND THAT THE AbOVe DESCRIBED SYSTEM IS IN ACCORDANCE W~TH SAID CODE. ¢~¢~NSULFAN FS. INC. May 15, 1975 R & M No. 562026 Mr. Jim Toering Box 4000E Star Rt. Anchorage, Alaska RE: Test Hole and Soil Log Report for Sanitary System ~t 247 Section 33, T12N, R3W, S.Mo Dear Mr. Toerlng: ~e are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of May 14, 1975, and those procedures outlined in a letter dated Decenfoer 19, 1974, by Mr. Roll 'StricklsAnd of the Greater Anchorage Area Borough Department of Environmental Quality. A glng~e test hole was put down within the Lot 247 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and'the test hole was extended to a total depth of 20.0 feet below ground surface° One sample was recovered form the test hole and retained foe grain size analysis. The results of this sample are enclosed. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should YgD have any questions with regard to the above, please do not hesitate to contact us° Very truly yours, CONSULTANTS, INC. ~a/sc Enclosure T.H. No. 1 5-14-75 0o0~ SILTY SANDY GRAVEL ORGANIC MATERIAL (Peat) Very Wet 5.0' ORGANIC SILT TRACE SAND (~) 6.0' SILTY SAND W/TRACE TO SOME GRAVEL (SM) NOTE: NO WATER TABLE Log Represents Lot 247 Section 33 T12N, R3W, S.M. .20.0' T.D. Engineering ~ Geological Consultants Inc. ~C~.ORAS~ FA,RR~.~XS ALASKA ~u,~u Jim Toering Property Log of Test Boring Anchorage, Alaska · F~-~ ~ LABORATORY TEST REPORT Insitu Material R~M. PROJECT NO. 562026 TEST ON PROJECT NO. ....PROJECT NAME Jim Toering LAB NO 75A-719 SAMPLED FROM Test Hole No. 1 .SUBMITTED BY Duncan .FIELD N.O 1 5-14-75 SOURCE Lot 247. Section 33, T12~, ~3W, S.M. .DATE REPORTED LOCATloN~Anchorage, Alaska DEPTH 8-10' ..DATE SAMPLED 5-14-75 .DATE RECEIVED 5-14-75 GRAIN SIZE DISTRIBUTION CLASSIFICATION COMPACTION %+1o ,' ,-.~" ~/o GRAVEL · M,~X. DRY DENSITY . ' ' :~/4" '~00 FSV NATURAL DENSITY ~o. 61 · _ R£MANN$ Classified #1~ on Gradation . #qo ~7 ~2Do 31 . STATIC IbtMERSION I · ELETERiOUS MATERIAL COARSE SPEC FINE SP~G qRGA;'ilC COLOR MOISTURE - PERCENT '.,'t E 'ngln:~ring E~L~olOgical Conaulfant~ -- de6'O. C",O I hereby certify that I have surveyed the follo~vi:, described property: Anchorage llecording Precinct, Alaska, and Ihat improvements situated thereon are within the prope~ erty lying adjacent therelo encroach on ibc premises lines or other visible easemenks on said property excc ns i~dicaled hereon. Dated ot Anchorage, Alaska . ~dj°/// , (~/Z~ I~ED WAI,ATKA & ASSOCIATES ~ Engineers and Surveyors Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Expiration Date: 1. GENERAL INFORMATION Complete legal'description Lo.tie. (~ite address or directions) Current P;o.~ Mailing Lending agency Day phone Mailing address Real Estate Agent Mailing Address Day phone, Un/ess otherwise requested, HAA will be held by DSD for pickup: 2. NUMBER OF BEDROOMS: '~ 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class ~ Public Water System Well TYPE OF WASTEWATER DISPOSAL:  Individual On-site ~ Individual Holding tank [] [] Community On-site [] [] Public Sewer [] The Municipalit,! of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a pdvate or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 Health Authority Approval Guidelines for this application, shows that the on-site water supply an(For wastewater disposal system is(are) safe. functional and adequate for the number of bedrooms and t,jpe 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. Engineer's Printed Name-J~:~'~C~' .~J/'~/?'"~/~ Date /C2--/~''~-''~/' 5. DSD SIGNATURE Disapproved, Conditional approval for 31NEER'S bedrooms, with the following stip~iationsl Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory. X Maintenance Agreements Supplemental Engineer's Report Other Odginal Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Westewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www,ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST A. WELL DATA Wa, type Date completed Total depth [~C:~ fl. ff A. B, cr C provide PWSID # Sanitary seal (Y/N) 'y Cas.a fo,~qc~ ' ~. Date of test FROM WELL LOG Static water level Well production g.p.m. WATER SAMPLE RESULTS: Coliform (~) colonies/100 mi. Nitrate d),-,~ mg./l. Parcel ID: ~ Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION g.p.m. 7 Other bacteria ~ colonies/100 mi. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material ~'~/'~ C- ~ ~' ~'~__ Tank~.'' ttO~rC-) gal. Number of Com~ Fo~nd~on ~r~ut (Y/N) Y 'D~sion ~ ~nk WiN) C, A~QR~ioN'RE~ DATA. High water alarm (Y/N) /f~/f Data installed Cleanouts (Y/N) Date'i~'sialled 1~~' rating (g.p.d./ftz or ftC/bdrm)/..~__~,,,~ ~/~4Syslem type apl · fl Eft. ab~rpfi a ~ ~ Mon t~ tube ~ q y Results (P~Fail) Any rejuvenation treatment (pest 12 mo.) (YIN & type) Depression over field /'V/ For ,~ bedrooms Fluid depth in absorption field before test __ in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. If yes, give date /- D. LIFT STATION Date installed ~-' "Pump on" lev,.~,~-~-~"'"~ump off"~e'~d~, in. Datum Cycles tested Manhole/Access (Y/N) H~w_ ater_aJ~el at Meet~ alam~ & circuit requirements? in. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELl1 ON LOT TO: Septic tank/lift station on lot .~_L(~ ~ C~lOn adjacent lots Absorption field on lot J I ~ ~ f Public sewer main ~/~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TAI~K ON LOT TO: Su,d,ng,ounda.on , C Proper"ha '/O C , ..pt,on fie,d Water main Water service line :i~ {. ) Surface water Wells on' adjacent lots> !~ /' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Prope,y,ne :3 ~ , Su~d~ng~unda"on 4-~,5' Watermain Water Service line ~) Surface water J~/~ 1~' Dri:eway, parking/vehicle storage Curtain drain ~/A Wells on adjacent lots ~ F. COMMENTS / '~ Io© On adjacent lots ,'"~ / ~ O ! Public sewer manhole/cteanout W//~' Holding tank ~ ~ .~' "' I cedi~ that I ha~ dete~i~ th~h field ins~ons and ~/~9~ ~ ~ * ~ review of Munici~l m~s that t~ a~ve sy~ems am in ~~~. m~ Waiver Fee $ Date of Payment Receipt Number HAA Fee $ Date of Payment Receipt Number (Rev. 12/00) 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 018-332-18 \, 1. GENERAL INFORMATION Complete legal description Lot 247, Section 33, T12N, R3W Location (site address or directions) 3741 Ptarmigan Terrace Property owner , Mailing address Lending agency Mailin. g address Agent Address Patrick Ma~]nnd · Day phone 243-3000 3333 Lakeshore Drive, Unit 7, Anchorage, AK 99517 Day phone Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 4 NOTE: Individual well xxx : Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Xx× Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEO attesting to the legality and status of system. 72~25 (Rev. 1/91) Front MOA STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & $ ENGINEERING Phone ~' ~" ~ ~/ 7 c~ 17034 Eagie R!ver Loop Road No. 204. Address Eagle Rive, r~ Alaskag.9577 ~ Eng,nee ss,gnature Date ,,/,o/ DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with th-e following stipulations: Addition~ Comments Date /2 -.-~ - 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 0' DEPARTMENT OF HEALTH & HUMAN SERVICES ~t~J0!~ Environmental Services Division MUNtCIPALH ~ ,~,~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907.),,3~A s~.w~s owm~o~, Health Authority Approval Checklist LegalDescription: L-OT' 3 ¥ 7 ~ ~r, ~' ~ ~ ~ 'T' l ;z ~/ /f Y ~J ParcelI.D.: A. WELL DATA Well type ~V~u~'r~- IfA, B, or C, attach ADEC letter. ADEC water system number Log present (Y~ /,, o Date completed Total depth I~l ' Cased to t/O '-/- Sanitary seal (~/N) ¥ ~ ~ Casing height (above ground) Wires properly protected ((~N) FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: AT INSPECTION g.p.m.. ~- ? '}' g.p.m. Coliform O Date of sample: IO/~'c3/°l? B. SEPTIC/HOLDING TANK DATA Nitrate © - ~ ~/S- Other bacteria Collected by: S & S ENGINEERING lzu;~4 Eagle River Loop Road No. 204 Eagle RiveG Alaska 99577 Date installed Foundation clean0ut (Y/~__/~ ~ 0 Date of PumPing ~/~/ ~ ; C, ABsoRPTIoN FIELD DATA Dateinstalled Io / ~I/ ?~ Length ~ ~' ' Width i o~ ~ ~ Tank size i oo o Number of Compartments Depression (Y/~ xv cO High water alarm (Y/~). (g.p.d./fF orlff'~d~ ~;L ~" System type Soil rating Gravelthickness below pipe ~ ~-- Total depth Effective absorption area I 3 ~ ~' Monitoring Tube present (~N) ¥ ~'/-Depression over field (Y/I~. /u (p Date of adequacy test' /of2-~/~l~ Results~Fail) /~4-~$ For ~ bedrooms Fluid depth in absorption field before test (in.); pA ¥ Immediately after~'~-{'gal. water added (in.): ~ Fluid depth ~' '/~'" (ins) Minutes later: ~ ~ Absorption rate = b o o -)- g.p.d. Peroxide treatment (past 12 months) (Y/N) Ivo~,~ ~,,,~,~ If yes, give date - 72-026 (Rev. 3/96)* LIFT STATION Date installed Manhole/Access (~/N) High water alarm level at* Cycles tested ~ Size in gallons "Pump on" level at* *Datum '~' o/. ~, ,= "Pump off" level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot / o~ 'r ~ c. o Absorption field on lot / o O On adjacent lots On adjacent hots /oo .+ /8e -~- /0O Public sewer main zv / 4- Public sewer manhole/cleanout Sewer/septic service line ~ &- ~' Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~' Property line 90 ~' Absorption field Water main/service line I0 ~ Surface wateddrainage /o 0 '~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /o ~- Building foundation 3 0 -t- Water main/service line Surface water ! d~ 'L+. Driveway, parking/vehicle storage area ~ 0 Curtain drain /~ o ~., ,~ ~4 ,~.,,~ ,~ ~ Wells on adjacent lots I O 0 '-/- / 0 "/- F. ENGINEER'S CERTIFICATION I certify that l have determined thru field inspections and review of Municipal reco~_,,~,the'abe~..~,~,ms are .- A in conformance/~ / H~A gui~efines in effect on this date. Signature ¢ Engineer's Name ~¢~ ~¢ ~¢'~4~ ~;"~'"~¢["~-~'~%"~~ ' ¢ g ' Date Il /Icl ~ HAA Fee $ (.~ ¢P¢2. Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number ROBERT C. COWAN, RE. ROBERTA. SHAFER, P.E. SEWER & WATER INSPECTION ENGiNEERINGSTUDIES AND REPORTS WELL iNSPECTION & FLOWTEST ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE W~TEWATER D{SPOSAL SYSTEM DESIGN November 23, 1998 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Municipality of Anchorage Department of Health and Human Services PO Box 196650 Anchorage, AK99516 RECEIVED NOV 2 5 7998 M~Jnicipality ot A~.,~orage Dept. Health & Huma~ ~erVice,~ Reference: Lot 247, Section 33, T12N, R3W This is to correct an error made on the inspection report dated 10/16/98 for the referenced property. The depth from original grade was 4 feet. However, 2 feet of sand was installed which would put the bottom of sewer rock at 2 feet from original grade. It is clear this was done to provide 4 feet of separation to ground water which was found at a depth of 6 feet the day before construction commenced. The design which was submitted for permit approval also confirms this intent. Therefore the depth to pipe bottom from original grade should read 1 1/2 feet (rather than 3 1/2 feet) and fill added above original grade should read 2 1/2 feet (rather than 0-1 feet). Please approve the previously submitted Health Authority Approval request. With the above correction, there is no reason to believe the system is encroaching on ground water. Sincerely, Robert C. Cowan, P.E. RCC/skh 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, AL.~BKA 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVlRONMEf~TAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) ~12N R3W SEC33 Lot 247 April 4~ 1985 Location (address or directions) (b) Applicant Name Patrick/Dorthy MaitlafL4ephone: Home Business Applicant Address (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer I-I; Other [] (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family'[ Multi-Family [] Number of Bedrooms 3 Other WATER SUPPLY Individual Well~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite::[~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attestin9 to the legality and status. 72-025 (I 1/84) Page 1 of 2 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 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 Telephone Address Date Engineer's Seal DHEP APPROVAL Approved for Approved bedrooms by ;-~- ..... ~ ,~ '- Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations 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 requirements. 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. Page 2 of 2 APPLI¢ 'NT FILLS OUT UPPER HA!, ONLY Phone Le~dingl~stitution ~ ~ Add~ ap Cod. ~ ~.~ Address ~/~(~ ~ ~ F; ~Z ~ Zip Code ~'~, Legal Description -~)~ ~ ~ ~ ~ ~ ~ ~ ~0~ StreetLocati~ g~ l.~,~J ~ ~ /~¢~/~ Type of Resi~nce Single Family ~ Multiple Family No. of Bedroo~ ~ Other W~ter Supply lndividual ~ ~ A~ACH WELL LOG. A welllogls requiredfor allwells drilled since June lO75- Community ' For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public URlity: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ~CHO~ p~OTECTIQN J~ APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED CON DITIO L A REVAL* DATE Soils Rating Date ~wer 72.023 (3182) June 21~ 1953 (ary and Kitty Mantz SRA [~ox 4000E .iK !)9507 Anchorage, ~ ' Subject: 'i'12N, R3~$, Sec 33, Lot 247 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: ~o~.~osed electrical wires to the well head are in violation O~k,).[~?'the Municipality of Anchora(~e codes asd must be encased )~,,,/ in conduit. - ~. The water analysis report needs t2 be submztte~ to [l.~z.~ office ~rom the Chel~] Lab, 5633 B Street, for our review. ~ The septic tank pumped with a receipt submitted to this . department. ~m adequacy test needs to be performed oa the existing leaching area. This test will determine J.f the system is adequate according- · ' -' to National ~'~tc,xca~ds.' ' -' - A ].isting o~: private firms perfoz'ming the test is enclosed. This report needs to be submitted to this office for our review. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Cory ~illis Enclosure cwg/ej/E2 ALASKA ENVIRONmeNTAL CONTROL SERVI( ~, INC. 1220 West 25th Avenue Suite B ANCHORAGE ALASKA 99503 2764361 279-2917 SHEET NO OF CALCULATED 8Y DATE ALASKA enulRonmenTAL COF1TBOL SeI UIC $, IFIC. ~nqin¢¢rinq 6 ~nuirenmentol Studies JUNE 28 1983 GARY M_ANTZ SRA BOX 4000-E ANCHORAGE AK 99507 SELLER - GARY MANTZ BUYER-PATRICK MAITLAND SUBDIVISION-T12N R3W SECTION 33 BLOCK-0 LOT-247 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT/TRENCH WITH AN AREA OF 784 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 675 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 6/27/83 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 3 BEDROOM HOUSE. 1000 IS ADEQUATE FOR 1200 West 33rd Auenu~, Suite B · Anchorage, Alus . 99503 · (907) 276-1361 ~ .' DATE RECE,VEO · INSPECTION APPOINTMENTS ~~j~ , TIME TIME TIME / DATE DATE DATE INSPEOTDR INSPEOTDR INSPEOTO tvJUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ( ENVIrONmENTAL SANITATION DIVISIO~ APR ~ Telephone 2~4-4720 A...OVA. DIBEOTIONS: Complete all parts on page ~. Incomplete requests will ~ot b~ processed, Please allow ten (10) days for processing. MAI LINg AD DR ESS P~OPEBTY RESIDENT (If different from above) PHONE MAILING ADDRE~S 3. LENDING INSTITUTION ~ PHONE MAILING ADDRESS S. LEGAL DESCRIPTION STREET LOCATION ~6. TYPE OF RESIDENCE / NUMBER OF~BEDROOMS [] One [~' Four L~-- SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six 7. WATER SUPPLY CINDIVIDUAL* COMMUNITY [] PUBLIC uTILITY [] Other * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ iNDiVi DUAL/ON.SiTE~ [] PUBLIC UTI LITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN RE INITIATED. I THIS SIDE FOR OFFICIAL USE ONLY r J 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 DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE iNSTALLED []PUBLIC UTILITY ~._~ ~ ~.,~.~ ..... Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: /~00("~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: SepticlHolding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line -5. COMMENTS E]~"~APPROV ED FOR .~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-O10 (Rev. 6/79) 825 .... <' ~'' ~ ANCH()RAGE, Al ASi<A 99501 (801) 264-,11 II April 28, 1981 Barbara Mickey Star Route 2 Box 9312 Eagle River, Alaska 99577 Subject: T12N R3W Section 33 Lot 247 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (2) Tile water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. The septic tank pumped with a receipt submitted to this office. (3) An adequady test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of ~rivate firms performing the test is enclosed. This report needs to be submitted to this office for our review. iff there are any further questions, please call this offflice at 264-4720. Robert C. Pratt, R.S. Associate Speciali s L RCP/ljw CC: First National Bank of ~cherage Post Office Box 4--2090 David Wirth % Ma~ston Rea] I,sta~ 2804 West Nort:hern Lights Dave Wirth Marston Real Estate 2804 Northern Lights Blvd. Anchorage, Ak. 99503 Tobben Spurkland P.E. 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243-5302 I.I~y 14, 1981 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL ?F;OTECTION MAY 1_ 9 1981 RECEIVED ADEQUACY Tk~T Legsl: Location: Owner: Residence: Water~ ~ewer: Date of Test: Test Procedure: Lot 247, Sec 33, T 12N, R 3W, S.Mo Corner of Loc~omen and Ptarmigan Terace Barbara MJ. ckey One storey house with daylight basement Onsit e well From Municipal Records: J,O00 gale tank, materi~ul and dimensions unknown. Absorption system: Pit with trench addition Absorption Area~ 780 sq. ft. Soil Rating- 250 Upgrade in 1975 May 6th-- Say 13, 1981 System was inspected on May 4th, 1981. Crib is 8 feet below ground with 34 "of liquid. Could not a~ss septic tank. Cap on 6 inch vent was rusted shut. On May 6th cap was forced off pipe and tank inspected. Tank is 8.5 feet below ground. Liquid level- 45 inches. Liquid level in crib- 6~ inches at 9;30 a.m. and 66~ ~at 1:20 p.m. On May 8th the tank was pumped. Liq- uid level in crib went to 41~ inches. Crib was charged with 500 gelo 9f water and the following measurements taken: Crib depth- 4~/~" ~ Tank 34" Water was heard entering the tank and dumping was discontinued. On May 13, 1981 water was again introduced to the crib. Dye was added to chock is water would surface in the wet area north of the system. Water was added at a rate of 6 gal. per min. The following readings were taken: Tobben' Sl~ui:'kland P.E. ~ime ~m~n. ) Water Vol~ne Crib Depth Tank Depth (gal.) (inches) (inches) 0 0 65 39 10 60 66 40 20 120 66~ 30 180 66~ ~ 40~ 40 240 67 41 Stop filling loc 24o 65 3~ 11o 300 65~ 40 120 360 66~ 4o~ 13o 420 67 4o~ 14o 480 68 41 St. op filling 240 Test Result~ 480 65 3~ This system accepted and absorbed 480 gal. in 3 hours° No surface discharge was observed. I do suspect that the sys- tem consists of two cribs in series, without a tank~ however~ the system seems to operate satisfactorily. Ftle: -4-1 1975 Vern Sct~ulte Shen~ ~genc~ 236 Erst 5th Avenue Anchorage, Alaska 99501 SUBJECT: Sewer and water facilities servtng LO: 247, Secttou 33, T1gfl, R3~ Dear ~r. Schulte: On Nay g, 1975 the subject property wes Inspected for a pendtng V.A. loan. The Inspection revealed the well and sewer system fat1 to meet Borough and State health codes. Otsc~epancles are es follo~s: 1) The well ts located tn a ptt beslde the house and must be upgraded by extending the castn9 12" above ground level and ft111ng the plt wlth dtrt. The sewer system must be reconstructed under the folleatng considerations: a) The lot has e lar§e swampy area whtch unsuitable for a sewage dtsposal stte. b) [f two residences ( 1 trailer and 1 house) are to remat~l, the septtc tank must be located 80' from the well and a new absorption area l~stelled 120' from ~e ~e11. c) Zf a single-family restdenc~ remains on the property, the extsttng septtc tank must be exposed for Inspection and a new abaorptton' area Installed 100.~ from the well. d) A sotl test ts requtred on the property before a pewfltt ~ay be granted from thts department. Thts department ls requesting tile well be upgraded and a Boroughapproved se~er system Snstalled prior to granttng erLv t~pe of approval. Zf you have any questions, please feel free to contact me at 274-4561 tension 135. Les Buchholz~ R.S,, Sanitarian LB/ko cc: V.A. 1. Approval k Degartment of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received ~-~ Time of Inspection Date of Inspection requested by: Mailing Address: Property Owner: Mailing Address: REOgEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Legal Description:~_~~ ~2~.> >~..~-,~'~ oca ,o : lype of facility to be inseected zT~.~~No, of bedrooms Well Data: ' ~' z~ ~' A. Type~.Z~- B. Depth C. Construction~)u~ D. Bacterial Analysis Sewage Disposal System:~**~,,~'~-~;~/~'~-_~ .~_]~ ~ A. Installed 9;~ ¢~' 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 ~er & Water Facilities P~g_~ 2 of two pages - ,, .St for Approval of Individual ~egat. a~J~scription Comments Approved ~ ~-7~ Date Di sa pproved ~_~.~~ f Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF sYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) 3330 GREATER ANCHORAGE AREA BOROUGH.. Department of Environmental Quality '~ St., Anchorage, Alaska- 99503 274-4561 -'~,,.R.EQOEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Type of Inspection: CMRO VA · Property Owner: ~'~,.~ ~:~ ~/;~:L{-,~ / Mai-lin9 Address: 3. Name of Buyer: FHA Day Phone CONV Mailing Address': 4. Name of Lending Institution~ DaS Phone Mailing Address: Name of Realtor or.Agent: Phone Mailing Address: Phone Legal Description: Location: 7. Type of Facility to be inspected: ~-~ ~-~-~,,~,~,.,No. Bdrms. 8. Water Supply Type of Supply: Public Utility Individual ioeZ/ If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation EQ-037 (!/74) .0 I hereby'certify that I have surveyed the following described property: ~'" ~c;;~ ~ge Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on prop- erty lying adjacent thereto encroach on the premises in Ruestion and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon· Dated at Anchorage, Alaska th~ ?22'//das of cfZ//)/~P' , FRED WA~A & ASS~IA~S Engineers and Su~eyo~ GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWERFOR & WATER FACILITIES 1. Approval requested by: Mailing Address: Phone: Property Owner: Mailing Address: S,R.A. BOy 4000 Phone: 3. Legal Description: 4. Location: Pt-.a~]rLaan TezTcac~ ~5. Type of facility to be inspected sing%e fanj_ly 6. Wel 1 Data: New Well Drilled 'No; of bedrooms A. Type Individual - B. Depth 121' C. Construction a~oproved D. Bacterial Analysis sa~isfacto~z Sewage Disposal System: ~9z'adad A. ~nstalled 6-6~75 B. Installer Mike Existinc~ C. Septic Tank: 1. Size ~nnn ~] 2. Manufacturer .,~ ].S%ll~ ~, D. 5eepage~vlt: ]. Absorption Area ]~r]~ 2. Material ~,ddi~ional deep ~ench added; ~ . .//~t~l~4L~l 8. Distances: A. Well to: Septic tank Nearest lot line ~0 B. Foundation to septic tank I~J C. Absorption area to nearest lot line Absorption area , Other contamination Sewer Lines , Absorption area ~C)I'p- ., EQ-03~ (1/74)~ Page 1 of two pages ~a~.e 2 of two pages - Req Jr Approval of Individual S Legal Description ]~t 2~7, Sec%ion 33, T].2N, ][%~W Water Facilities Comments 6-6~.76, ~e Seeler svstem up~]raded, 3_ns~ched and approved. A new well was drille¢l and is approved° Approved Disapproved Date 6-9~'75 Appr alid for one year from date signed Greater Anchorag~A/rea 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 (1/74)  MUNICIPALITY OF ANCHORAGE /"~~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION EnvironmentaJ Health Division CASE REVIEW WORKSHEET CASE NUMBER: DATE RECEIVED: COMMENTS DUE BY: S-8140 ~ ~/~ May 1, 1985 May 24, 1985 SUBDIVISION OR PROJECT TITLE: Lots 1, 2 Maitland Subdivision { ) PUBLIC WATER AVAILABLE ~-///'¢~ i,~,~-~. ~.,~5. '~/7~)~UBLICSEWERAVAILABLE ( ) COMMUNITY WATER AVAILABLE ¥/~. ~ ~ ' r MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6650, Anchorage, Alaska 99502 276-222'~ SOILS LOG -- PERCOLATION TEST SOILS LOG pER CO EAT. ION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: F~L~ Lo'C ~7 1 2 3 ---~- 4 6 7 8 10 11 12 13 14 15 16 18- 19- 20- SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? SITE PLAN Gross Net Depth to Net Reading Date · Time 'l~me Water Drop (minutes/inch) COMMENTS