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Home My WebLink AboutPATRICIA BLK 1 LT 4Pa'l'r'icia Block 1 Lot 4 #012-464-31 �,,,L,,,`"`uf MUNICIPALITY OF ANCHORAGE On-Site Water 8 Wastewater Program . ;� PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone: (907)343-7904 Fax: (907)343-7997 = %, http://www.muni.orgionsite `1. I)4t;iritnLnt 4.vc RORo't On-Site Water System Permit Permit Number: OSP171242 Effective Date: 8/29/2017 Work Type: Well Upgrade Expiration Date: 8/29/2018 Tax Code Number: 01246431000 Site Legal Address: PATRICIA BLK 1 LT 4 G:2528 Site Mailing Address: 10111 SOUTHPORT DR, Anchorage Owner: ERWIN-SAHR ROBERTA C Lot Size in Sq Ft: 36856 Design Engineer: Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field D Septic Tank D Holding Tank ❑ Privy 0 Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing lSpecial Provisions: iseawTo close out this permit, please provide the following: 1)Well log 2) Pump install log 3)Water sample results for total coliform, nitrates and arsenic 4)Well decommissioning log for existing well Received By: Date: Issued By: 1- ,k ,:.;1,111\,(1q Date: iS ( )1 1 4011 I9INICEIPALEITY OF /kNC —, • ?-; AGE r � s • Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. - V - 3/ Property owner(s) /444- 1"// .7 Day phone 27 a-23. 65af Mailing address f /lax //°6,14 9 9 5/, Site address /a "/ f ST J ./ E P-/ 42e- 447,-.,-1,0.--7A- 4 995/,5 Legal description (Sub'd,, Block & Lot) 431-ic i Lor ,. -if k t�hd•✓rs�� Legal description (Township, Range & Section) �1 Lot Size Sq. Ft. Number of Bedrooms 1 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: ( all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) `— Septic Tank ❑ Upgrade `moi (w/wo ADU) Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well \c- Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE 1 WAIVER REQUEST FOR: Distance: I certify that the above infor -i J: is correct. I further certify that this is in accordance with applicable Municipal Co --• a ure of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: ' Date of Payment: Receipt Number: Receipt Number: Permit No. cysen a-(0. Waiver No. Permit App 9-1-12.doc • • • • I SOUTH ANCHORAGE BAPTIST CHURCH (SERVED BY AWWU PUBLIC WATER) N I30' DRAINAGE EASEMENT // PROPOSED �,/ EXISTING "BIOCYCLE"`, T o ,� 10UTILITY , • ` Q I NEW WELL .c1--- EASEMENT TREATMENT UNIT \\ EASEMENT N DECOMMISSION EXISTING , o� f 1 EXISTING i WELL PER POLICY W.03 301 LONGx5' WIDE ..kQ / j ` ! SOIL ABS. DRNFLD. O f o r— o'E /1" O \ \ / -_fix{rrr A • \ \ r-. N r/rr i Q- I o LOT 4 \ LOT 5 o ACrr i (VACANT) ` ABANDONED / 1 FORMER EXISTING 4 BEDROOM HOUSE SEPTIC TANK / RETAIN EXISTING 15 DRAINAGE & UTILITY SOIL ABS. BED / EASEMENT /yam a F— \ LL] j . I ,� GGA / 2t:E FP LOT 1 LOTf- r HOMEOWNER' 8.� (VACANT) (VACANT J SIGNATURE: �� d!i.v� �� 1 REF DMC NO REFERENCE DRAWING DESCRIPTION NO R[MSIOM HISTORY n A/FR DATE ISSUED FOR NO CUMIN!MOON ISSUED FOR PERMIT yb - - _ 1 REVISED PER AAOA REVIEW COMMENTS MRS NL .8/28/17 PERMIT •• �S FOR PEWIT DATE I8/I7 i BOBBI ERWIN & NATE LAVALLEY °" NRS IAP" " NEW WATER WELL PROJECT „ ,A?t IED; • LOT 4, BLOCK 1, PATRICIA SD WELL UPGRADE SURF' LSD 1 SITE PLAN DOCUMENT IDOMER REV C-0 t 2 Municipality of Anchorage Development Services Department Building Safety DMsion On-Site Water and Wastewater Program. 4700 S. Bragaw $L, P.O. Box 1~50 Anchorage. AK $951~6850 Page www.d.anch0rage.ak, us (907) 343-7~04 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. ~ ~ OI {~ ( ,~ ..~ PID Number:. O ! "'"" t'l~r-y Dct~,Cr Wastewater System: [] New J~Upgrade '~""I0/I/ .~oc,/l, po~-/ D~'. A,,c4 ~9~-/_c ABSORPTION FIELD LEGAL DESCRIPTION ~. o ~, q. 9 ,,. I. ~ Well: ~-t-.CT' []New []Upgrade S- n ~,"/.t' ~<ta,-oF,'~2 &//~/~, t SEPARATION DISTANCES [3 septic I-~ Holding I-~ $.T.E.P. f~ Other. Septic An$oq3fiOn Lift Holding Tank Field Station Tank ~ Se,~l.~ * ~t'~,¢~¢ [ ~~ w., I0~' 1¥0' ID?' - ~_s-, F',~,.e?,l~,4r LIFT STATION "'o r~'",,~t,~ I _c~A'~ ~', ~ ~,~,~,~o~o,,~' tr BENCH MARK 7 Engineer's Stamp ~,,.."% .. Inspections pefformed by: ~'tc,,/-/~ 7-~c~,~;m/' J'~,'.,.- Dates: 1" ~/I,5/o! Development Services Department Approval ,*~~" ';'";'*~'~ Reviewed and approved by: t/~"~~- / ~' P~T' Date: 7-,~ '"" ':"' PERMIT NO: SW010183" - PID NO: 012-464-31 LOT 4 NEW"BIOCYCLE" AEROBIC TREATMENT UNIT PAGE 2 OF 3 DRIVE ,' ORIGINAL ,' SOILABS. BED · NEW 5' WIDE x 30' LONG ," RESIDUAL DISP. DRAINFIELD SWING TIES: FROM: COR. "A" COR. "B" TO: "BIOCYCLE" "D'° 38' 61' DRAINFIELD M.T. "E" 58.5' 70' DRAINFIELD M.T. "F" 76.5' 76' LOT 4, BLOCK 1, PATRIClA S/D SEPTIC SYSTEM UPGRADE AS-BUILT PLAN VIEW FLATTOP TEClINICAL SEP, VIC£S j SCALE: 1" = 30' 14530 ECIIO STI~£ET J DRAWN BY TFM ANCIIOI~,GE, ALASKA 99516 JULY. 2001 PERMIT NO: SW010183 PAGE 3 OF 3 PID NO: 012464-31 4" DI~ D-3034 DISCHARGE PUMP "BIOCYCLE" TREATMENT UNIT BIOCYCLE COVER )MPRESSOR L1 1/4" SCHEDULE 40 PVC DISCHARGE LINE TO SOIL -' ABSORPTION DRAINFIELD ~--SAND OR GRAVEL BACKFILL FOAM INSULATION ON EXTERIOR OF B1OCYCLE 3OARD INSULATION -- SAND LEVELING COURSE MONITOR ~ TUBE ,~/' 3' BAND & LOAM I *~.~ ORIGINAL ~ GROUND I ~'~ FILTER -'-~q"'~ '""-FABRIC ~ W. ~1~ HOLES '~ X ~ SPACEDI~ X X S~ER GVL ~ 2' FILTER SAND ~ BOSOM OF ~CAVATION ELEV. ~.9' RESIDUAL DISPOSAL D~INFIELD LOT 4,'BLOCK 1, PATRICIA S/D SEPTIC SYSTEM UPGRADE AS-BUILT PROFILE VIEW I~LATTOP TECI [N]CAL SERVICES SCALE: 1" = 5' 14~30 ECIIO STREET DRAWN BY TFM ANCIIORAGE, ALASKA gO~ 16 JULY, 2001 '1 Municipality of Anchorage Btflldtng Safety D~vssion P.O. Box 196650 * 4700 S. Bragaw Street Anchorage, Alaska 99519-6650 * (907) 843-8301 http://www.cl.anchorage.ak.us - ~epartment o~ Public Works 6/13/2001 Flattop Technical Services, Theodore F. Moore, P.E. 14530 Echo St. Anchorage, AK 99577 Subject: Waiver Request for Patricia Subdivision BloCk 1 Lot 4 Waiver Request #WR010036 Parcel ID//012-464-31 HAA# or Permit # if applicable Dear Theodore F. Moore: Your request for a waiver of the required 10 feet'horizontal separation from the on:site wastewater disposal system to properly line has been approved. The approved separation distance is 3.0 feet. This waiver approval applies to the existing on-sitewastewaterdisposal system to . property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, ,~ Daniel J. Roth Civil Engineer On-Site Water & Wastewater Program MUNICIPALITY OF ANCHORAGE Development Sen/ices 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: Jun 12, 2001 Expiration Date: Jun 12, 2002 Permit Number: SW010183 Legal Description: PATRICIA BLK I LT 4 Design Engineer: 0019 Flattop Technical Services Owner Name: Mary Davis Owner Address: 10111 SOUTHPORT DRIVE ANCHORAGE , AK 99515-2516 Parcel ID: 012-464-31 Site Address: 010111 SOUTHPORT DR Lot Size: 36856 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 Ail construction must be in accordance with: 1. The attached approved design. 2. Ail 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) 643-7904 ( 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: 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 ON-SITE SEWEPJWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O / Z - yd'¥ -'~ ! Permit Number sw_..~0_.LO_.~ Property owner(s) Pl,~,-y Mailing address (1) tottt Mailing address (2) A~aAor~. Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range} Lot Size ~G~ Acres/Sq. Ft. Day phone Zip Code 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 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. (Signature of proper17 owner or authorized agent) Permit Fees: ;:~ Z:~ ~ Date of Payment: Receipt Number: ~ .~ (Rev, 12/00) Waiver Fees: I I,.~ o~ Date of Payment: ~"! '7 / ~)! CIVIL & ENVIRONMENTAL ENGI~NEERLNG * ENERGY CONSERVATION & ANALYSI~ THEODORE F. MOORE. P.E. 14530 ECHO ST. PIh (907) 345.1355 June 7, 2001 ANCHORAGE, ALASKA 99516 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose ofthis letter is to provide the required design narrative in support ofour application for a permit to upgrade the wastewater disposal facilities on Lot 4, Block 1, Patricia S/D, located at 10111 Southport Drive. The existing soil absorption bed is no longer able to accept the wastewater load generated within the residence. A soils log, pete test results, a site plan, design drawings and specifications are enclosed for your review. We are also requesting a lot line waiver allowing the proposed drainfield to be installed within 3 feet of the east property line common with Lot 5. The lot line waiver is necessary in order to maintain a minimum of 8 feet separation between the new drainfield and the pre-existing bed. Since Lot 5 is undeveloped and will ultimately be served by AWWU public water and sewer, granting of the requested waiver should have no effect on soil absorption systems on that lot. In an effort to maximize longevity ofthe system the proposed upgrade will include a "Biocycle" advanced treatment unit discharging into an oversized residual disposal trench. Provision have been made to allow periodic switching of the "Biocycle" effluent back to the present bed after it has had a chance to dry out and partially rejuvenate itself. The proposed residual disposal drainfield will be constructed in the vicinity of test hole # 1. As can be seen from the soil logs, the native material between 4.5 feet and 7.5 feet below ground level is slightly silty sand with a measured pere rate of 2 minutes per inch. Using a soil application rate of 4.0 gpd/sq, ft. as called for in currently accepted guidelines for Category II Advanced Treatment Systems, this 3-bedroom residence requires an effective absorption area of(3 x 150)/4.0= 113 square feet. The proposed 30-fuot long by 5-foot wide drainfield has a bottom area of 150 square feet which corresponds to a soil application rate of 3.0 gpd/sq, ft. To further promote the longevity of the residual drainfield, it will be underlain by 2 feet ofcoarse MOA filter sand and the backfill above the sewer gravel will be three feet of sand without rigid insulation to encourage oxygen transfer down through the soil. The topography ofthe lot in the area of proposed construction is generally level. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space-surface and subsurface, or on drainage. PIease give me a ca!l at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. i SOUTH ANCHORAGE BAPTIST CHURCH I (SERVED BY AWWU PUBLIC WATER) , ,, 30' DRAINAGE EASEMENT 'x~, t : /~NSTALL "..EW ,, X CONSTRUCT NEW I ~ WELL ENT I ~ i SOILABS. DRNFLD. i. o ", /'. -- ~~,: / ~\/;.u\ (VACANT) ,/, ABANDON / / / :/,',, _~ EX~ST~NO,-':---/ /X "' \ · ,, DRIVE · ' l..', '-., .. ...-- ~~,'~r';~-~'~'- \ """" '"" :- ', LOT, LOT2 (VAC~l..._....,_,, ~.. ! (VACANT) (VACANT) ~_~ ~-'~..t',;:. V ,,-OOv /' , ~__,,.,:: . ,, 'f,~.~....~.. ~, , ~.'~... CF.~-358g · LOT 4, BLOCK '1~ PATRIClA S/D ; SEPTIC SYSTEM UPGRADE SITE PLAN I~J~TTOP TECII~ICJ~, SI~P, VIC .F_S 1 INCH = 50 FEET 14530 £CIIO STRF~T DRAWN BY TFM ANCIIOP,~GI~, ALASI~A 995 ! 6 JUNE. 2001 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. "BIOCYCLE" TREATMENT UNIT DIST. PIPE. W 3/16" HOLES SPACED 18" 8 4" D~. D-3034 -- INLET FROM DWELLING 1/4" PVC LINE TO OLD BED RESIDUAL DISPOSAL-- DRAINFIELD PLAN VIEW 4" Db~ D-3034 INFLUENT LINE FROM HOUSE BIOCYCLE COVER COMPRESSOR DISCHARGE PUMP _1 114" SCHEDULE 40 PVC DISCHARGE LINE TO SOIL ABSORPTION DI~JNFIELD ~--SAND OR GRAVEL BACKFILL FOAM INSULATION ON EXTERIOR OF BIOCYCLE ? BLUE BOARD INSULATION -- SAND LEVELING COURSE CROSS-SECTION MONITOR TUBE 3' SAND COVER ORIGINAL GROUND FILTER FABRIC 1.25" D~L PVC W. 3116" HOLEE SPACED 18" 1/'Z' - 2 1/2" SEWER GVL. 2' FILTER SAND BOTTOM OF EXCAVATION LOT 4, BLOCK 1. PATRICIA S/D ,~ ~. SEPTIC SYSTEM UPGP, ADE ,6,~ PLAN AND CROSS-SECTION ., F~..~A'I'I'OP TECIINICAL SERVICES SCALE: 1' - $'-0" ~$30 ECtlO STREET DRAWN BY: TFM ~ANCl IORAGE. AK, 99516 .I[~E, 2001 TEST HOLE LEGAL DESCRIPTION: DATE PERFORMED: PERFORMED FOR: (feet) 1- 2- 3- 4- 5- FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST Lot 4, Block 1, Patricia S/D May 23, 2001 Mary Davis SLOPE Pt. Black peat ML Brown sandy silt SP Slightly silty, medium sand Gray color, becomes blue below 6' nsition MH Blue Clay Dense, cohesive Depth to Groundwater Date _No~lro_u n_dwate_Lsee n 5/23/01 .~/eter ~ 8'-9" b.ol. 6/1/01 Data Reading Clock Net Time Percometer Net Drop Time (minutes) Reading (inches) 5/23 12'' Presoak 27 lr2 R.e~_o_ak 2~1t2 Resoak 37_!/2 Stal~ 12:36:50 23 3/8 #1 12 ~4 "l ."l ."l ."l ."l ."l ."~50 5 19~J/16 4 1/16 Add water 12:42:25 23 3/8 #2 12~,7:25 5 19-1/2 3 7/8 Add water 12.'~50 23_3-~5 #3 12~-50 5 19~,/8 3 3/4 ^d~tvater 12~53~30 23fl~/16 #4 12-58~-30 5 19 13/16 3 3/4 PERCOLATION RATE 2 (minutes/Inch) PERC HOLE DIAMETER §" TESTRUNBETVVEEN 5.75 FTAND 6.0 FT COMMENTS: "'~__. PERFORMED BY FLATTOP TECHNICAL SERVICES. I__~,~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: q:fattop eTec[inica£$ervices 14530 ~Ec~o Street, )tncIiorage, )t1~ 99516 (Pftone (907) 345-1355 Lot 4, Block 1, Patricia S/D 10111 Southport Drive Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of abandonment oran existing septic tank and installation of a "Biocycle" aerobic treatment unit that discharges effluent into a 30-foot long by 5-foot wide soil absorption drainfield. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. Ail separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Llnless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Existing Septic Tank and Lift Station: 2.1 The existing septic tank must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. 3.0 "Biocycle" Aerobic Treatment Unit 3.1 The new 1500 gallon "Biocycle" aerobic treatment unit shall be manufactured, furnished and equipped by Pegasus Engineering in accordance with the Municipal and State approved design. 3.2 The contractor shall be prepare a suitable site for the "Biocycle" unit and install it as follows: The location of the unit shall be chosen to maintain a separation distance in excess of 100 feet from the well serving this lot and all neighboring private wells. The depth ofthe excavation for the "Biocycle" treatment unit shall be sufficient to allow connection to the 4" waste line leaving the house at a minimum slope of ¼" per foot, but no deeper than 8'-9" below finish grade in the vicinity ofthe unit. A eleanout shall be installed within 5 feet of the building foundation. Ail pipe connections to the "Biocycle" shall be equipped with waterproof mechanical couplings. The bottom of the excavation for the "Biocycle" treatment unit shall be carefully leveled and smoothed by the placement ora layer of clean sand. Two inches of rigid, burial type, insulation with a minimum compressive strength of 30 psi shall be placed on the sand prior to installation ofthe "Biocycle" treatment unit. The space between the sidewalls of the excavation and the "Biocycle" unit shall be carefully backfilled with sand. The top of the manhole riser shall extend 4" above finish grade, and the final ground surface graded as necessary to provide surface drainage away from the "Bioeycle unit. 3.3 The contractor shall be responsible to obtain the necessary electrical permit and inspections. 3.4 The control and alarm floats shall be set and their proper operation verified by the "Biocycle" supplier. The high level alarm shall be installed inside the residence at a location selected by the owner. 3.5 The discharge line from the "Biocycle" treatment unit to the soil absorption system shall be 1.25" dia. Sched 40 PVC. A second discharge line shall be installed from the "Bioeyele" unit and connected into the existing soil absorption bed. Provision shall be made allowing future switching between discharge lines inside the"Bioeycle" unit. All pipe connections in the distribution system shall be glued, and the ends of all pipes capped. 4.0 Soil absorption system: 4.1 The soil absorption system shall be constructed by excavating a 30-foot long by 5-foot wide long trench to a depth orS.0 feet below existing ground level at test hole #1. 4.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. Sand for leveling or serving as filter material shall comply with Municipal specifications. 4.3 A total of 2.0 feet of coarse, clean, Municipally approved filter sand shall be placed in the excavation and compacted to bring the top of sand elevation up to 3 feet below original ground surface. 4.4 A total of 0.75 feet of approved sewer gravel shall be placed in the bottom ofthe excavation with the 1.25" diameter schedule 40 PVC perforated distribution pipes laid level such that the pipe inverts is no less than 0.5 feet above the bottom ofthe sewer gravel. 3/16" diameter holes shall be drilled in the bottom of the distribution pipe at 18-inch intervals. AIl PVC pipe joints shall be glued and the end of the distribution lateral shall be capped. Sewer gravel shall be 0.5" - 2.5" washed and screened gravel, with less than 3% passing the #200 sieve. 4.5 Monitor tubes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion ofthe monitor tube extending through the sewer gravel shall be perforated. 4.6 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 3 feet of pit-run sand cover material is to be placed over the filter fabric without insulation. 4.7 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 4.8 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement ofadequate topsoil and seed to promote rapid revegetation ofall areas disturbed by the construction. 5.0 Inspections: 5.1 A minimum of 5 engineering inspections will be required during the course ofthe project: (I) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the filter sand has been placed and compacted, (4) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (5) after rough backfill and grading is complete. The "Biocycle" unit requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any ofthe above inspections. 5.2 The installer shall coordinate the timing ofthe inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~J ~'"Z-OLlt'I Ur- PID Number: OJ Name:Wastewater System: ~ New ~ Upgrade Address:~ ~[[ ~O~?0~ ~. ~& ~~ ABSORPTION FIELD / Phone: ,~.~¢ IN° °~edr°°ms: ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other ' Total Depth from original grade: LEGAL DESCRIPTION so~, Rating: ,~ GPD/Sq. Ft. Block: Subdivision: Depth to pipe bottom from original 9rade: Gravel depth beneath pipe Township: ~ Range: Section: Fill added above original grade~ Gravel length: Ft. ~ Ft. I Number of lines: I Distance batten lines: WELL: ~ New ~ Upgrade Gravel width: ~ Ft. ~ ~ Ft Classification (Private. A.B.C): Total Depth: Cased To: Total absorption area: Pipe material: Date Drilled: Static Water Level: Installer: Date instal~d~ , Driller: Ground: Pump Set at: Casing Height Above TAN Yield: K ~ ~ GPM ~ Ft. l, ~ Ft. SEPARATION DISTANCES ~Septic U Holding ~ S.T.E.P. To Septic Absorption Lift Holding ~ublic/Private Manufacturer:~/ Capacityt in gallons: From Tank Field Station Tank Sewer Lines ~~_ [~ Material: Number of Compartments: Surface Water N~ ~ LIFT STATION Size in gallons:~ Manufacturer: Lot ~ I ~' Line "Pump on' level a~ump off" level at: ~ High wafer alarm at: Foundation ~1 ~f Curtain Drain ~ ~¢ ¢ '~ r Pump Make & M°del I~ Electric~i°ns perf°rmed by: Remarks: BENCH MA~K _ocation and Description: Assumed Elevation: [oO ~, EN GI~R:-~L Inspections performed by: ~~%~~% Dates: lst¢l*S ~ 2nd ~¢~q$ 5~ ~, ..~ '~, ¢~*.:~ w. ~,~:,:~,ON r~,"~;" .'~ Department of Health and Human Services approval Reviewed and approved by:_~Ot~ _~'~ Date: {L/b~/~, , ,. 72-013 (Rev. 9/91) MOA 25 Permit No. %W~'Z'(>q~IL~ Page '~- of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: I.,o-r L(I F~cK- I PID No.: r-pl~Ur~Ur~ ( 72-013 A (1/93) Permit No. 5v'Jfl'Z°q'lq~ Page "~ of '~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: [~..tc~ 5~-~ Do'r- ur I i~ c<~r..r-- I PID No.: o17..~ {oL~ ./ 72-013 A (1/93)' C MARK W. PE'~,E':ON CE- 7760 Date Drilled: June 12 1993 Static Water Level 19 Draw Down N/A ..feet WELL LOG feet Bill Davis Patr$cia Subd. Lot 4 Blk. 1 Gallons Per Minute Total Feet of Casi.ng ~9' ' Type Material Drilled: 0 feet to 5 fl- p~mt 5 ft. to 35 f~, Clay 35 ft. to 40 ft. Silty Sand w/H20 40 ft. to 49 ft. Gravel w~H20 to to to to to HEFTY DRILLING 3540 AKULA DRIVE ANCHORAGE, AK 99516 (907) 345-0593 RECEIVED 'DEO 1 199 Munic~p&li~Y Oi ~,,~cno, age Dept. Health & Human Services MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920414 DESIGN ENGINEER:MOUNTAIN ENGINEERING OWNER NAME:JAMES WM P & IDA LOU OWNER ADDRESS:#H, 19111 DES MOINES MEMORIAL DRIVE SEATTLE, WA 98148 PARCEL ID:01246431 LEGAL DESCRIPTION: PATRICIA BLK 1 LT 4 PAGE 1 OF DATE ISSUED:12/ll/92 EXPIRATION DATE:12/ll/93 LOT SIZE: 36856 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / WELL SYSTEM 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: INSULATION REQUIRED IF LESS THAN 3.0 FEET COVER OVER SYSTEM. DATE: ~ ~'~?'-~ DATE: /~ - / / --9 ~ MOUNTAIN ENGINEERING 3868 Shannon Circle Anchorage, Alaska 99508 (907) 562-1500 October 31, 1992 Municipality of Anchorage On-Site Services P.O. Box 19-16506 Anchorage, AK 99519 Dear Sirs: Re: Patricia Subdivision, Lot 4, Block 1 The purpose of this letter is to provide the required design narrative in support of our application for a permit to install a septic system on the above referenced lot. Attached for your reference are the soils log, percolation test results, a site plan, and design drawings. The owner intends to build a 3 bedroom single family home on the lot. We have performed a soils log and percolation testing at the locations indicated on the design drawing. The resultant percolation rate was 3.2 min/inch. Perched groundwater was encountered at the top of the clay layer in each hole, and the water levels did not rise during the monitoring period. A bed/mound drainfield design was chosen in order to best use the sand layer beginning at 4 FT depth. Using a backhoe and a tracked drilling rig with split spoon samples, we were able to confirm the presence of the sand layer in a variety of locations on the east side of the lot. An application rate of .8 GPD/SF was used. The house has three bedrooms, and the required absorption area is 3 X 150 / .8 = 562 SF. We have elected to use a bed length of 40 FT, and a gravel width of 15 FT. Total depth of the gravel below existing grade is not to exceed 2.5 FT in order to maintain a 6 FT vertical separation distance between the clay and the bottom of the bed. A sand levelling course will be installed between the top of the sand (4 FT) and the bottom of the gravel at 2.5 FT. The topography of the lot is nearly level. Please contact me at 562-1500 information. if you will need any additional Sincerely, MOUNTAIN ENGINEERING ~'} C VICTOR ROAD 0 0 Fq ITl 0 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG m PERCOLATION TEST PERFORMED FOR: 1 2 3 4 5 6 7 11 12 13 14 15 17 WAS GROUND WATER ENCOUNTERED? SITE PLAN Township, Range, Section: SLOPE 18 19 20 _. 7 S IF YES, AT WHAT ~) DEPTH? ~,~.1 P E Depth t0 Waler Atterz~ ,,.... , Monitoring? ~:~ c::> Dale: Reading Date Gross Net Depth to Net Time Time Water Drop JO~- ~ ,~ ~'H" ~ I O/~ ~ ~ ~7~' ~ ~1~ COMMENTS- PERCOLATION RATE TEST RUN BETWEEN ~" (minutes/tach) PERC HOLE DIAMETER f --~ FT AND~:) FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 1 2 3 4 8 9 10 11 12 Township, Range, Section: SITE PLAN SLOPE WAS GROUND WATER ENCOUNTERED? 13 14 15 16 17 18 19 2O s IF YES, AT WHAT (~,~1 OL DEPTH? p E Deplh to Water Alter8 .~. ' Monitoring? Dale: Reading Date Gross Net ~ )1, Depth to Net Time Time ~ Water Drop I C~/-'~/ ~ D ~ q '~z?/ ¢ fl,+'Lc) t ~l~ " ~6~ ~'1~'~ k,~ .,.. ff Io~ ~/6~ k ~,j_ ,, PERCOLATION RATE ~"{~f- (m,nutes/mch) PERG HOLE DIAMETER gO t I ~ - I - - PERFORMED BY: ~*~m* ~~~ ' ~¢ e~~ CERTIFY THATiiTHISTESTWASPERFORMEDiN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THiS DATE DATE:., ,O/~,j,~ 72-008 (Rev. 4/85) Parcel I.D.*-,'"Ot ~- - 'Y~y - 3/' Municipality of Anchorage Development Services Department · . . Building Safety Division .~ On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 1966~0 Anchorage. AK 99519-6650 www.ci.anchora ge.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AuTHORITY'APPROVAL FOR ,A SINGLE FAMILY DWELLi'NG -- ". '. - .,~. Expiration Date:, ,/O - ~'"'-D I 1. GENERAL INFORMATION Compl~te legal description /~,, ~ Location (site address or directions) Curreflt Property owner(s) ["/c, ~,y Lending~gen~ ~r,~o~t Oo~ C~.~,e~ Oayph0n~ Real E6ta{e Agent C~ ~ fla..To~roQ, bICo. o~/G Day phone. &6~- 2. NUMBER OF BEDROOMS: ~ ~e~/~r ~ TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] Individual Holding tank Well [] Community On-site [] Public Sewer 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class. Public Water System The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HA,A) 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 private 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 far 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 outIined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) 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 flies 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 lime of Installation. Engineer's Printed Name ~4¢~o~_ ~. ~oo~ Date. 5. DSD SIGNATURE ~ . Approved [or "~ Disapproved. Conditional approval for ..... ', · bedrooms. :.. ~:, % CE. 3589 bedrooms, with the fo owing slipu a~'s:'" Additional Comments ~ ;. WASTEWATER : ~ '.. PROGRAM '~ .. ..'z,,.~ ~.-.~ .. .... .- .~ Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date:~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Sauth Bmgaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907) 34~7~4 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /..eF ¥, t~ /~ c ~ I , A. WELL DATA We"type jeuf' If A, B, or C provide PWSID # Date completed &'/I~//f~_~ . Sanitary seal (Y/N) 'r' Total depth '/f ~t. Cased te y~ ft. FROM WELL LOG Date of test ~'/1~./ Static water level I~ ft. Well production "~' + g,p.m. ParcallD: ~/Z,- ¥~'Y- 3'/ we, Log (Y/N) ¥ Wges pmpedy protected (y/N) C~sing height (-bore ground) AT INSPECTION I~' fl. ~, ,~- -1'* g.p.m. Y in. WATER SAMPLE RESULTS: Coliform Q colonies/100 mi. Date of sample: O~' / I~ / ~ / Nitrate 40..S-mg./t. Other bacteria ~ colonies/100 mi. B. SEPTIC/HOLDING TANK DATA TankType/Material t4 T t. t. /' 5' ,e ~yc /¢ / Tanksize l$~ gal. Number of Campartments Foundation deanout (y/N) ~ Depression over tank (Y/N) .. Date of pumping M.~I. ~N~..,) Pumper C. ABSORPTION FIELD DATA Date installed ~'/tq Length ~ ~ fl. Soil rating (g.p.dJfl~ or ~/bdrm) ~ ~ Width 5' ft. Date installed f'//q Claanouts (y/N) High water alarm (Y/N) ~/' System type .~"' Gravel below pipe 43,, d~' ft. Total depth ~.~ ft. Eft. absorption area IS-C~ ft= Monitoring tube Date of adequacy test N. ,4. (' N · au.) Results (Pass/Fail) Fluid depth in absorption field before test C" in. Water added ~.~ gal. Elapsed Time: min. Final fluid depth ~ in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) __ Depression over field For '~' bedrooms New depth in. ~$ ~ g.p.d. If yes, give date M. ,4. D. UFr STATION Date installed ~'/19/o! Size in gallons ~',.,.~.~t! ~ Manhole/A__rce_ss(Y/N) 'Pump on" level atT.3'~; in. 'Pump off" level at ~"/~ in. High water alarm level at Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot I 0 ~ ' Absorption field on lot Public sewer main Sewer/septic service line 7' Meets alan~ & circuit requirements? "~ in* On adjacent lots '~ On adjacent lots ~3. ( oo , Public sewer manhole/eleanout ';> too ' Holding tank h/. ,~. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~.? ' property line "~ C, ' Water main ~> ~.~" Water service line ~> ~...C' Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~ ' Building foundation .C¥ ' Water main Water Service line '2 Curtain drain ~=,^~ Absorption field Surface water Surface water ~, ; o¢::, ' Driveway, parking/vehicle storage ",> -<'~. ' Wells on adjacent lots "2 ¢o=), F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field Inspectfons and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this data. Engineer's Printed Name Date ~-'~' ly. ¥., ~0~, ! Date of Payment Receipt Number (Rev. 12/00) Waiver Fee $ Date of Payment Receipt Number Klatt Bog 21 4-920703 EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED AS-BUILT ~ CORNERS SET THIS DATE I hereby certify that I have performed a Mortagee's in- spection of the follo~ving described property: LO7' ~. · 6~' £~;C I~ I Anchorage Recording Precinct, Alaska, and that the improve ments s~tuated thereon are within the property lines and dc not overlap or encroach on the property lying adjacent there to, that no improvements on property lying adjacent theret~ encroach on the premises in question and that there are n roadways, transmis-~lon lines or other visible easements ox said preperty except as indicated hereon. Dated at Anchorage, Alaska - ~ .- ~-. ~.~ ,/~. this .'~ - "day of .... 19 FRED WAL.~.TKA & ASSOCIATL Er,!.,.tneers and Surveyors 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 HAA # GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address tOtll Day phone Day phone Day phone ' Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev, 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or 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 inves.ti_gation 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 ~ou' Address "'5 $1o~; Engineer's signature Phone ~--'b'b ~ [~--DO Date ' DHHS SIGNATURE X Approved for "~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments · -...~0 t-tN ~,/'"/-¢ Date By: 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. 72-025 (Rev, 1/91) Back MOA #21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Parcel I.D. Well type Log present (Y/N) Total depth Sanitary seal (Y/N) ~" If A, B, or C, attach ADEC letter. ADEC water system number Date completed (~],~]q~ Driller ~--~ Cased to L.{-~ / Casing height Wires properly protected (Y/N) ~ Date of test Static water level Well flow Pump level1 FROM WELL LOG g.p.m. AT INSPECTION MUN aP^UT¥ OF l l/{~ Icr,.~ ~NVIRONMENTAL SERVICES DIVISION' "'P'% r clVED SEPARATION DISTANCES FROM WELL TO: / Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate .t Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) '1' High water alarm (Y/N) Date of pumping Tank size Foundation cleanout (Y/N) Compartments ~- Depression (Y/N) Alarm tested (Y/N) H,I '~ Pumper ~1~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot [ iD t On adjacent lots I',J,~,~_ To property line ~-"~- ~ Absorption field Surface water/drainage Foundation I'~ Water main/service line 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed ~,.~ ¢-v--e.- Size in gallons Vent (Y/N)_ __ _"Purr~n" level at High water alarm level Meets MOA electrical codes (Y/N) SwEei~ION DISTANCE FROM LIFT STATI~on adjace~o:ts Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested Surface water D. ABSORPTION FIELD DATA Date installed Length ~-(7 ~ Width t ~ Total absorption area ~'(~' K~-~ Date of adequacy test l',~,J T~v,,$~t,[ Water level in absorption field before test Soil rating (GPD/Ft2) Gravel thickness Cleanout present (Y/N) "r' Results (pass/fail) System type ~ w~ ~ ~ l~.,- Total depth ;~/ ~ / Depression over field (Y/N) I~ for Bedrooms After test Peroxide treatment (past 12 months) (Y/N) If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot [ [ To building foundation '~'~/ On adjacent lots Surface water On adjacent lots I~c~,--~ Property line To existing or abandoned system on lot Cutbank ~%~.,-~v--~ Water main/service line Driveway, parking/vehicle storage area ~ I O / 7_.-Z.I Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to afl MOA and HAA guidelines in of this inspection. Signature v Engineer's Name Date HA,& Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back PROPERTY OWNER MAL'~L~NAKCE AGREEMENT ON-EFI'E WASI'EWATER DI$1~SAL TAe properzy owner(s) 8~ee t.o the ~oll~wm{: