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Home My WebLink AboutT12N R3W SEC 23 S2NW4SE4SE4NW4 PARCEL 24BTI2N W Section 23 Parcel 24B ,52, NW4, 5E4, 5E4, NW4 #015-491-08 Christine ~. Mo~ette 907-344-8802 p.1 ,or ,:~1~ ~?,E .":.TA'I'E C.F ¢,L~.:;Kt',. I...'I'I£,E"R tis 46,1Y$. ?lie ~I.¢~,¥KA' I~P, TI'-'R IJ.~'E tr.'II? TI...'C i{EGOI. ATI:OH~ t-','.'.OP. TEI)' tl~OE~: ZT, C-RANTF 'rf~:. 'I'~) ~ hRI..YN APICHOI:~A~,E. Al.',, '9'~5{ ;, · THE rC[;;I..'.T TD I..,..L~"" !.~I,YI,'EI? FPOi". '"111: i?f31. LOI4ZN[;. .EOISRC.~.:.'.:.: . .,. .,OC,~O ~l;/l)tlY.'.'/ · '~GR 'glHI;L.E DW'E:LI~:Ni; .' .'OAI,~;'C;.~'-:TI:.IRU D~C ;5~. .. ?HE'I.DCATZDN TO ~I-IICH 'I'1~:t,5' :;h'~l'[l~' RZC.'-IT AF'PERTg£1~'$' l,.{"~'.. : ~,.OCATION' [~,F TILE' UP.T?rc ~'O:JI~C'E J.5 [~ .Ok:fl.t ',:3) WELl.., fiPF'POX'tHATI.~LY'.":'.~."~2. .'EET DEEP, UT. TI-II;I THE $,]):)vF-r, E3'Cl,::tIq:[, I:','d;~CEL OF F'ROF'£g:TY. '~.;.:i-j · ./ THh' q:~:,lD'i"rrON£ 9'HAT':AF'P ..Y Tr., 'r;iI.'; AF'r'ROIY:!ATIOi'4 ARE FOUND :IN ATTACH-'.'...: . I "'," ,'~'~;'~[ "'"'"' "'" °;F<fiNTF. I) SU?l~:r'!' ri) THF' ~'E'PTY. HENT STATUTDr<Y LI~'.,/'~:D','JC~H.S' 'TN i-'~$ 46,,1'.,:,, IiNI) /:-.,1.,)'i].H.~.gTR~iT.'fYL" I'.~I:.,.ULAT'TOI~,,t; IN .t', A,.C ':'7" ': ' ,-, - . · . ' ' r C~C,,~. Municipality of Anchorage t e Development Services Department .-'~ .: Bu, I On-Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 19~650 A~chorage, AK I~51~-6850 www.cl.anchorage.ak.us (907)3437904 Poge On-Site Wastewater Disposal Syetem and/or Well Inspection Report Permit. Number:, $W010,~63 PID Number:, 015--491--08 LARRY HOUSTON Waetewater System: [:3 New II Upgrade 6421 ROCKR]DGE DRIVE * ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooml: (907) 346-2961 4 nD.ep Tr, nch ""She~w ?r, nch abed nUound nO,er LEGAL DESCRIPTION '~' '~ o.6 ~/~ n- 6.3~ - PARCEL 24B; S 1/2. NW 1/4. SE: 1/4. SE 1/4. NW 1/4 2...%3 -- 4.9:~ eL 4 eL rownsh;p: 12N Ronge: ~W Sec~on: 23 ~1 added .ao~ .~gm~ ~ r, nr~ I.~gth: 0.5 - 2.0 eL 100' (2 WELL: [] New [] Upgrade 5 eL 2 / eL eL 1000 so.n. D 3034/ F'-810 eL A+ HOME SERVICES 9/24-26/2001 SEPARATION DISTANCES .s. pu~ a ~old~ng a S.T.E... mOther I'o SePUCTonk Abll~ier~dfl°n StationUft HoldingTonl( ~/P~'~ ANCHORAGE TANK 1250 we, 100'+ 100'+ - - 25'+ STEEL 2 ;u,o¢, wotor lOO'+ lOG'+ - - - LIFT STATION Lot Une 5'+ 10'+ ~o~k=: T.E DaSmNC SEPTIC TANK ANO CR~9 BENCH MARK WERE ABANDONED COMPLETELY PER U.P.C. CONCRETE POST FOR NORTHWEST CORNER OF DECK. J~'"~ ~ 100.00 eL Inspections performed by:. AWWC, INC. Dates: 1st 9/24/01....... ,~,' ~ ..... 2nd g/25-26/01 ...... [.... IJh~ / '... U ...' D;partrn;nt of H;alth and Human Service,s approval, ~ ' '~'" =~--" R~vlewed and approved by: /)~.~,(/, ./[,_/. ~-~ Date: l o '~,4- o( ~ o, ........... ;////-7' ...~.u..~: AS-BUILT DRAWING ;W010363 015-491-08 t A B C $T1 55.52 62.04 -- ST~ 63.86 68.65 59.63 D~L1 66.25 70,76 57.54 ~ 67.18 71.54 56.51 F~ 113.18 129.01 42.85 ~Q1 101.18 110.99 28.67 ~T~ 99.90 110.16 30.34 C02 126.62 148.15 66.46 ~ 'c' ~TZ 128.48 149.70 66.00 / ~ ~ CO~ 119.31 125.51 12.84 ' / ~ ~ MT~ 118.13 124,91 14,45 ~ / ~OB~ ~-- CO~ 139.53 158.37 63.10 . 5,' '7 / ~DBL1 ,/-- MT4 141.23 159.75 6~14 ,,,, I ROCKRIDGE ROAD ~ ~o/22/2oo~ ............. J.L~. ..,~..,....~,,..,,...~,o,~,,.,,...-,,,~.-,,,,~S~ WATER & WASTEWATER ~' = 4o' GONSULTANTS, lNG ............ ~,~,~ ~'~ ...... , ....... ~RRY HOUSTON (907) ~46-2961 2 OF ~ AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE ~ ~"~ AS BUILT DRAWING $W010563 ~ 015-491-08 TOP OF TANK I = ~ ~-TOP OF T~K I~ OF ~NO - 81.02 ~) - ~.12 ~.) 5' ' ' 10'+ 5'~ ~w. ~S~ ~TER & WASTE~VATER ~ ~o.~,~.,.~ .......... ,,..,~. .......... ~.~ ~o~: ~o~ .u..~: p~ .u~: ~, ~ ] ~,../..L...,.., ........~ ~RRY HOUSTON (~07) 346-2961 3 OF 3 , PROFILE AS-BUILT DRAWING OF $EPTIO $YDTEM UPGRADE MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & 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: Sep 10, 2001 Expiration Date: Sep 10, 2002 Permit Number: SW010363 Parcel ID: 015-491-08 Legal Description: T12N R3W SEC 23 S2NW4SE4SE4NW4 PARCEL 24S Design Engineer: 0041 AK Water & Wastewater Consultant Site Address: 006421 ROCKRIDGE DR Owner Name: Lany Houston Lot Size: 54450 SQ. FT. Owner Address: 6421 ROCKRIDGE DR Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE , AK 99516-1836 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: Date:~ Municipality of Anchorage Development Services Department Building Safely Dtvlslon On-Site Water & Wastewater Program 4700 South Bmgaw SL P,O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us (907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Permit Number LARRY HOUSTON 6421 ROCKRIOGE DRIVE * ANCHORAGE. AK Property owner(s) Mailing address (1) Mailing address (2) Zip Code 99516 Legal description (Lot, Block & Sub'd.) S 1/2. NW 1/4. SE 1/4. SE: 1/4. NW 1/4: Legaldescrlption(SectJon, Townshlp&Range) SECTION 25. T12N. RSW Lot Size ,~-/-~ ~-~ ~ {2} Acms/Sq.FL Number of Bedrooms 4 Day phone 346-2961 THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade Well Only ~E] Water storage THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Jac~ r~'~l Water Softening Unit 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. ALASKA WATER &: WASTE'WATER CONSULTANTSI INC. Data Recelpt Number:. Waiver Fees: Date of Payment: Receipt Number. ALASKA WATER & WASTEWATER CONSULTANTS, INC. August 23, 2001 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650, Anchorage, Alaska 99519-6650 Reft Septic Design for S2, NW4, SE4, SE4, NW4; TI2N, R3W, Section 23, To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system consists ora 1000 gallon septic tank and a crib type drainfield that is in a state of failure. A test hole was excavated west of the existing septic system. The septic system upgrade will be designed around the 30 foot radius of this test hole. We are proposing that a 1250 gallon septic lank and a dual five foot wide drainfield be installed. The homemvners have requested that the septic system be sized for 4 bedrooms. Comments regarding the design are summarized as follows: I. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that due to the overall appearance of the soils, an application rate of 0.6 gallons/day/ft2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 24 minutes/inch b. C. d. Des!gn Flow: 600 gallons per day e. Mimmum Absorption Area: 1000 ft2 f. Total Depth: 9 feet (max.) g. Effective Depth: 4 feet Allowable Application Rate: 0.6 gallons/day/ft2 Number of Bedrooms: 4 h. Width: 5 feet i. Reduction Factor: 0.5 i. Minimum Length: 100 feet total length (2 ~ 50 feet long each) j Effective absorption area = 1000 ft2 3. SURFACE WATERS: There is no surface water within I00 feet of the proposed upgrade. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akxvxvc.com 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average topography of this property in the vicinity of the septic system upgrade is approximately 15% running from approximately southeast to northwest; in short, there are no slope concerns. We are una~vare of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179, or 244-9612. Thank you for your assistance. Presid~nt~ NOTE: Attached is a site plan drcm,ing, a design drmving, a topography site plan, a soils logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: ak~wvc.com ............... iI \\ ~ r~ BUBBLING BROOK CIRCLE I~oo' I- I I ~R~K ,, / ~,. B~K ~ XX I '~- -~ ROCKRIDGE ROAD -- (S~ D~ P~E 2 OF 20 ~ ~ I I //~-- -~k I --.~. ---.~ ~, ~I~ ~TER & W~TEWATER CONSULTANTS. INC. ~.~' c · ": ..... ~RRY · ARLYN HOUSTON 345-2961 1 OF 2 S2, NWl, SE4, SE4, NWl, T12N, R~W, SECTION 2~, SITE P~N FOR PROPOSED SEPTIC SYSTEM UPGRADE~,' ;. THE TANK IS TO BE 5'+ FROM FOUNDATION NOTE 'rile CONTRACTOR 'rile TANK IS TO BE 5'+ FROM DRAINFIELD SH~LL .~v~ 'mE 100 FO01. WELL RADIUS AND THE NORTH THE TANK IS TO BE 5'+ FROM LOT UNE LOT LINE FLAGGED BY A ' THE DRAINFIELDS ARE TO BE 10'+ FROM FOUNDATION REGISTERED LAND SURVEYOR THE DF~NFIELDS ARE 1'0 BE PRIOR TO CONSTRUCTION. J THE DRAJNFIELDS ARE TO BE 107 FROM EXISIIN~Ti.i~I: THE DRAINF1ELDS ARE TO BE 10 + FROM EACH 0 E ~ NOTE: THE SEPTIC SYSTE ~ ~---EXIS~ING cma TO I~. IS TO BE SIZED FOR FOUR / US~ AS A R~SDW[ sr~ ~ j / (-/- ~ r_~_m ,~// ~4~ ~- I ~ I ~ BE ~DONED COMP~-rgLY ~,._;~/~ ~ .... = ~'~., , - · ,Y/ --p~oPosm DP~.nEU)S. EXmVAT~ \ , ~ r / ~ 1RENCHES THAT ARE 9 tt~.l % .egJ.,"" DEEP t,~X~UU~ BY $ ~ mDC ~ .,Y'* I ~ m' ~o ~u~, ~No ~ (too x / l \ ADD 4 FEET OF CLD~. WASHEO \/ ~ ~RI~ICHI~S pARAL~R TO SLOPE \ ] t'"'-.---.__ I \ co~ou.~ \ I I ~ / j ROCKRIDG£ ROAD ~ I I / I / ~/2 ~/~ o o, ............................ c.j.m ALASKA WATER & WASTEWATER~ ~) , ~.,l*~ t,K *..~ co,su.,,,,~.,,o.~ ~- = ,,o' ? ..... :' '1 ~J ............. 690~ ~ ROAD~ ~ L~ · AN~RA~t N~ q~SO~ · I~0~ ~07~357-6i7~ · FAX .ARRY ac ARLYN HOUSTON ~4~-2g$1 2 OF' 2 (/0~"... c~_-~ .....?~ LEGAL s2. NW~. SE~. SE~4. HWY. T~:,N. e~W. SECTION ~. ~.." ............. '~.o~ DESIGN DRAWING OF PROPOSED SEPTIC SYSTEM UPGRADE ALASKAwAT~ER&W~ASTEWATER ,~...~.~~Lo...f~! CONSULTANTS. IN~. · -- ISOIL LOG PERCOLATION TEST[ ..~ .................... PERFORMED FOR: LARRY & NtLYN HOUSTON DATE: 8/10/01 ____.===- :: [TEST HOLE # 1 [ "~-~'~'~ 2-- ~ GW ----~=: ORG ,... !".~:.+ ~'! GP ML ,/,/' ,,,.''' .., ?;,,, GM CL // 4-- ~';,,' GC OL , ,~_ s~ ~ ,,~ .~~ · ,., DEPTH TO DATE \ 7 ~ ..~, GROUNDWATER , o.., SP/SM 8-- :,:.:~! DRY 8/10/01 t ROCKRIDGE [q'(YAD DRY I ,..~,, 8~13/(~1 · .- ,. 9-..... o,~ e/',-Vo~ " 'o'~!/ J 1'-10o' J 10~ "'~' 11__~* DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TIldE (MINUTES) READING (INCHES) ,°.~ 8/13/01 I ,3:18 - 6" - 12-- ;'~,'~ 2 3:48 30 5" 1' ""* 3 3:49 -- 6" - 13--i~':'~.o.o 4 4:18 30 4 3/4 1 1/4 14-- i',~? 5 4:19 _ 6' - 6 4:49 30 4 3/4 1 1/4 15-- B.O.}I. 17-- 18- PERCOLATION RATE 24 (HIN./INCH) PERC. HOLE DIA. 6' (INCHES) 1 9|--- TEST RUN BETWEEN 7.5 FT. AND 8.0 FT. 2O COHHENTS: PERC HOLE WAS PRESOAKED FOR 4+ HOURS. PERC WAS PERFORMED BY BRAD GARNESS PERFORMED BY ALASKA WATER & WAs'~EWATER I. dEYYaEY A. GARNESS, CERTIFY THAT THIS WA~ PWFORMED IN ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ~/Z.,~/OI ~ ~-~ ~'-ska 99503 ~\ ~ ', Anchorage, ,~,~ INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL /~t~.~,,~. INSIDE LENGTH NUMBER OF MANUFACTURER ~ MATERIAL '~"~ INSIDE WIDTH LIQUID DEPTH-- _LIQUID CAPACITY /~'0 D .__GALLONS; SEEPAGE PIT: NUMBER OF PITS-- / --- DIAMETER-- OR WIDTH /~,! MAT ER iAL~ ~ / L~)~ RI B SIZE' DIAMETER- LINING -- -- " ' D H~ LINE '~ BUILDING FOUNDATION 'Z'O , NEAREST LOT LENGTH 2~,/ DEPTH /2-" ! -- -- .DEPTH.~_~ DISTANCE FROM' WELLj/¢¢~' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)~/2" ._SQ. FT. ADDITIONAL ABSORPTION - DISTANCE FROM: _ DEPTH TYPE CONSTRUCTION - '~:;~ ~ SEEPAGE ,~.o SEPTIC / / / ~.~ / BUILDING NEAREST NEAREST TANK /~' , SYSTEM-- -- --' SEWER LINE--~, FOUNDATION ~, LOT LINE ~, CESSPOOL - OTHER SOURCES-- APPROVED _ DISAPPROVED - REMARKS-- DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: ~7~/,/,t,/ ~"~/~.C LOT SLOPE: REMARKS: - DATE APP OVLU- /~-~'~ G.A.A.B. Municipality of Anchorage Development Services Department Building Safety Division On-SEe Water & Wastewater Program 4700 South Bragaw BL P.O. Box 196650 Anchorage. AK 99519-6650 www.ci.anchorage.ak, us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY ~,PPROVAL FOR SINGLE FAMILY DWELLING Parcel I.D. 015-491-08 1. GENERAL INFORMATION Complete legal description 'PARCEL 24B, S 1/2, NV/ 1/4. Sr. 1/4, SE 1/4, NW 1/4: T12N, R3W, SECTION 23 Location (site address or directions) 6421 ROCKRIDGE DRIVE * ANCHORAGE, AK 99516 Current Property owner(s) Malling address Lending agency Mailing address Real Estate Agent Mailing address LARRY HOUSTON 6421 ROCKRIDOE DRIVE Day phone 346-2961 * ANCHORAGE, AK 99516 Day phone Dayphone Unless o~herwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site [~ Individual Holding tank Communlty On-site ~r~ Public Sewer The Municipality 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 fl'ansfer of flue (except between spouses) for properties served by a single family on-site wastewatar 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 private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be relssued for a period of up to one year with valid water samples.) Certificates are valid for one year for proper'des 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. I Note: Alaska Water and Wastewater Consultants, Inc. shaft be paid $ I~?~ at, orpdor closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal a~T~xed hereto and as of the validation date shown below, I ved[y that my investiga§on, based on procedures outlined in the Heafth Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, func~onal and adequate for the number of bedrooms and type of structure indicated herein. I further vedfy that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-sfte water supply and/or wastewater disposal system is(are) in compliance wi~h all applicable Municipal and State codes, ordinances, and regulations in effect at the time of inslaftation. Name of Firrn ALASKA WATER &: WASTE'WATER CONSULTANTS, INC. Phone, 337-6179 Address . 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE. AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducUng this eValuation, AWWC, Inc. allempted to provide e thorough, conscientious engineering analysis of the system in ecco~ance with ADEC and MOA DSD Guidelines & Regula#ons. The reported results described the performance of the system under the conditions encountered et the time of the tes~ and separation distances measured to readily Identifiable feature& The operational life of all v,,ells end septic systems depend on the Iocal solls condition, gmundwater levels that may fluctuate durtng the year, and the water usage of the family being served by the sysfem. · These conditions em outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that them am no hidden defects or encroachments. AVV14~, Inc. can therefore not provide any waman~y ~r future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this roport is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other pemon ~r porty Is not authorized, nor wlll lt confer any legal dght whatsoever. DSD SIGNATURE J,/ Approved for L~ bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowtng stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advlson~ ' Manitenance Agreements Supplemental Engineer's Re~rt Other Original Certificate Date: .! O ° ~' 6 ' O ! Municipality of Anchorage Development Services Department 8u~xllng S,;,~f ~ On-~t~ Water & WsalewaW t~ 4100 Sou~l 8ragaw St Legal Da~dp~o~ A. WELL DATA Well type ~VA~ Date completed 19747 Totel depth Be HEALTH AUTHORITY APPROVAL CHECKLIST PARCEL 24B. Sl/2. NY/ 1/4, SE 1/4, SE 1/4, NW 1,/4; T12Nt R~N~ SECTION 23 ParcellD: .015-491-08 **PER BRIAN WILLE w/ ARROW PUMP & WELL SERVICE *e*IN PIT IN BASEMENT Date of test SteUc water level If A, B, or C provide PWSlD# N/A S~n~te~y s~d (Y/N) ~gs Casedto 40+ ~. FROM WELL LOG N/A N/A ~ AT INSPECTION lO/lO/2OOl *73 ft. "t~*.3,48 g.p.m. Wen production N/A WATER SAMPLE RESULTS: Coliform 0 colonies/100 nd. Date of ~amp~e: lO/1 o/2om 8EPTICMOLDING TANK DATA Tank Type~llSJ STEEL Tank~lze 125o gal. Number of Compartments 2 Oats of pumping NEW, ABSORPTION FIELD DATA Oats Instelled Length lOO' (2 o r,o')lt. NO YES *?'18 in. 8oll raUng ~ ft'Axkm) 0,6 Toteldepth*e.¢-g,6lt. Eff. absmptlonamalO00 It' Monltedngtube YES Oate of adequacy te~t NEW Results (Pas~Fall), - Fluid deplh In absoq)flon field before test - in. Water added - gal. Elapsed Time: - min. Final fluid deplt) - In. Ab~on rate ~ rejuvenation ~'eatment (pa,~ 12 mo.) (Y/N & ty~)) - Date Installed 9//24-26/2001 C~nou~ (Y/N) Y~S Hlgh water ~lann (Y/N) 8ystemqtpe 5-W~DE DRNNRD. DS Gravel below pipe 4 It. Depression aver fleH NO For 4 bedrooms Newdepth - In. - g.p.d. If yes, give date - Depression overtank (Y/N) NO Pumper. g.p.m. *I~ER BRIAN WILLE ~Vl.l.l.~ ARROW PUMP & Wrll CE ~**FOR 2,35 MINUTES I 818 GALLONS Nltmte 0.50 mgJL. Otherbaclmla o Co~lected by:. AWWCt INC. D. UFT STATION "Pump o~" level at In. "Pump ~.. High water alarm level at I~. ~ Cyde~ lgsk~ Meets alarm & circuit requlmments? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: On adjacent ~ lOO'+ On adjacent lots 100'+ Public ~ewar manholefdeanout , HNcllng tank , N/A. N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Bulldlng foundation 5'+,. Properly llne 5% Absorption field 5'+ Waterma~n N//A , , Watersen~lcellne 10'+ Surracewater. 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FI~I n ON LOT TO.' Propertyllne 10% Bulldlngfotmdalion ,10'+, Watermaln N/A Water~ervlce line 10'+ SuEace water 100'+ Driveway, pafldng/vehlcle ~orage 50'+ CUrtalndmln NONE KNOWN Welbonedjacentlote 100'+, F. COMMENT~ I cerUfy nat I have determined {brough field Inspecfform end rev w or unlc eat o.te ,,,.4..,/o,. Receipt Number WaiVer Fee $ Date of Payment Receipt Number 0CTol?-01 I?:$$ FROM-CTAE ENVIRONLENTXL SRV ZTE CT&E EnvlronmentalSer~iceslnc. 9015615301 T-942 ~.02/01 CT&ERd.~ 1017029001 Client Name AK Water & WasXewater Client Samp~ ID ~oc~d~e & ~all Mn~il D~g~g Wa~cr Order~ By ~WSID 0 Sample Remarks: Legal II): S2, NW4, S F..4, SE4, NW4, TI2N, R3W, Sec 23 units Olent Printed Dnteffime 10/17/2001 17:39 Collnet~d Dntefflme 10/10/2001 8:28 Received Pstefflme 10/10/2001 11:30 Allowlbla Prep Analysis Limits Da~e Date Init Nitrntn-N 0300U O.'~0O m~z/L EPA 300.0 (<10) 10/10/0t SCI. Coliform 0 ¢ol/100mL SMI$ 9222B (<1) I0/10/01 KAP ~1: Time Date Insp ,/'-', MUNICIPALITY OF ANCHORAG,?', DEPARTM~h~ OF HEALTH AND ENVIRONMEN~ C PROTECTION 825 L Street, Anchorage. Alaska 99501 264-4720 Date Received: September 7, 1977 3:30 p.m. #2: Time #3: Time 9-9-77 Firday Date Date Willis Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: State Veteran's Administration Mailing Address: Phone: 2. Property Owner: Robert Hawkinson Phone: 344-8834 Mailing Address: % Jack V. Porter, 274-2521 (will hand carry) 3. Legal Description: T12N R3W Section 23 S½ NW~ SE~ NW¼ Parcel 243 Single Family Residence: (x) Multiple Family Residence: ( ) Well System: Permit ~ Construction Number of Bedrooms: Three Number of Bedrooms: Individual well (x~ Community/Public System ( ) Depth of Well Well Log on File ~,%_~~ ~ Bacterial Analysis 6. Sewage Disposal System: On-site Permit ~ Installed Septic Tank Size I dl 69 C> Absorption Area ~ ~ ~ Soils Rate ~stances: Well to Septic Tank [~0[ to Sewer Line ~'~ Nearest Lot line to Nearest Lot Line ~(~ 4- System (~x ,- Public Utility ( ) ~ ~ ~ q Installer Manufacturer ~ Material to Absorption Area'/~0 ~-~ ~O~ Absorption Area i r'~", /% %,. ~0 · ~. / MUNICIPALITY OF ANCHORA6L ,~(~'~ ~ Department of Health and En~i~a'~,~i~"P~'t~ction //~%/ ' 825 L Stree%, ~c horag~,' ~1~,~$] ~'. 995~0,1 "" ~~uest for approval of znaiviaual se~Pan~ ~(er Facilities 1. Property Owner: , _.~.~ 2. Name of Buyer: Mailing Address: Phone: o Lending Institution: Mailing Address: Realtor/Agent: ~ Mailing Address: ~ Legal Description::~f~ Phone: Street Location: Single Family Residence: (~ Number of Bedrooms: ~--~ Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well ~) Public/Con, unity System ( ) If Individual Well, well depth If Community System, name of system 8. Sewage Disposal System: On-site System (~) Public System ( ) If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities.~ Legal Description: T12N R3W Section 23 S½ NW¼ SE~ NW~ Parcel 24B Comments: Affadavit Attached: ( ) Letter Attached: ( ) Disapproved: Date: Date: Department Worksheet.: