HomeMy WebLinkAboutSKYWAY PARK ESTATES BLK 6 LT 17ASkyway Park
Estates
Block 6
Lot 17A
#019-151-20
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CONNECT LOCATION: ~' ~ ,~ ~, ~PO ~C COMMENTS: ~~'~
" ~ ' '~ , INSPECTED BY:: I ~A~E',_ '.: ' ·
!. : ,.,
Owner
1221 Shore Drlve
Anchorage, Alaska 99502
June 20, 1979
Subject: Soils investigation for sanitary sewer system on Lot 17A, Block 6, Skyway Park
Estates Subdivision, Anchorage, Alaska.
Dear Owner:
At the present owners request, I conducted a soils investigation at the proposed location
of a new drain field on the subject lot. This investigation, which was accomplished on
June 19, 1979, consisted of the inspection of soils removed during the drilling of a
15.5' deep test hole, using 6" diameter solid flight augers, powered by a Nodwell mounted
CME 45 drill rig.
After completion of drilling, Test Hole No. 1 was filled with water and a percolation test
performed. The results of 'this test are tabulated on an accompanying sheet.
The soils encountered are graphically shown on the accompanying test hole boring log. The
soils consisted of a surficial layer of organics 0.5' thick, overlying an orqanic silt
with some gravel 2.0' thlck, overlying a sandy gravel with some silt 2.5' thick, underlain
by a gravel with some sand and a low trace silt to a total depth of 15.5'.
A water table was encountered while drilling at 13.5'.
The topography of the subject [Lot is flat with no discernible drainage.
Vegetation present on the lot consists of dense tall spruce and birch, with some iow
bushes, and a low ground cover of mosses and some short grasses.
An accompanying sketch shows the subject lot with the approximate locations of the test
hole, the sanitary sewer system cleanouts, and the buildings in relation to the property
lines.
I appreciate tile opportunity to be of service. Please contact me if there are any questions
regarding this soils investigation.
Very trulI yours,
~ichael B .., g~8~mann
Consulting Geologist
/
Attachments: Drawing of test hole boring log with location sketch, and tabulation of
percolabion test results.
xc: Department of Health and Environmental Protection
June 20, 1979
Lot 17A, Block 6, Skyway Park Estates Subdivision, Anchorage, Alaska.
Percolatio test performed on June 19, 1979, using Test Hole No. 1. The 6" diameter, 15.5'
deep test hole was filled with water and the water level drop measured periodically for
one hour.
TABULATION OF PERCOLATION TEST ~SULTS
TIME LEVEL(inches) DROP(inches) ET(min)
1649 23.0" start start start
1659 54.0" 31.0" 10 0.3
1709 61.0" 7.0" 10 1.4
1719 66.0" 5.0" 10 2.0
1'729 70.0" 4.0" 10 2.5
1739 72.5" 2.5" 10 4.0
1749 74.5" 2.0" 10 5.0
RATE(min per inch)
Average percolation rate for last one half hour of test = 3.5 minutes per inch.
~Michael B./~se~g~ann
Consulting Geologist
S69°40' 00"E 80.06'
Seepage pit
y cle nout
5 ' Utility
Easemen~
NOT TO SCALE
Distances are approximate and have not been
measured by surveying methods as to location
of test hole, well or cleanouhs.
Topography is essentially flat, wi~h no
discernible drainage.
Michael. B. Bergmann
Consulting Geologist
Box 191, Star Route A,
Anchorage, Alaska 99502
(907)344-9150
Test ltolo No. 1
6-19-79
anJcs: moist, loose,
~greon and brown.
%- ~ -- 0.5'
Drganic Silt: w/some Gravel,
.~, loose, bm.
\ (OL)
%- ..... 2.5
~andy Gravel: w/some Silt,
dry, dense, brn.
~ (G~)
~ ~5.0
;ravel: w/some Sand, low trc
Si].t, vy dense, dry to wet,
scat Cobbles & Boulders,
gray.
(GW-GM)
· 5 ' WD
15.5 'TD
Water table encountered at 13.5'
Test hole boring log represents soils
encountered on Lot 17A, Block 6,
Skyway Park Estates Subdivision,
Anchorage, Alaska.
GAAB-HD I
GPr'~,TER ANCHORAGE AREA BOROn' ~H
HEALTH DEPARTMENT
327 EAGLE s'r. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
/~ jL/~ d MAILING
NAME__ /~, /v',Cy ADDRESS
LOCATION LEGAL DESCRIPTION
SEP'rlC TANK:
DISTANCE FROM WELt J'~ [~>~ MATERIAL
LIQUID CAPACITY__ /~)_O,~ GALLONS. INSIDE LENGTH
~O/g ~4~1...,OC lC: NUMBER OF
, COMPARTMENTS
LIQUID
..~ I(~ t~ INSIDE WIDTH ~' t DEPTH "~
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAl
NEAREST LOT LINE
SEEPAGE PIT:
- I OUTSIDE DIAMETER_
OR WIDIH
. D,STANCE FROM WELl /$8
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
,LENGTH__ ~ ,DEPTH. ~'~'~' ,
/
BUILDING FOUNDATION J ~ ,
2~('~ O SQ. FT.
TiLE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION AREA__
FOUNDATION
DISTANCE BETWEEN LINED
SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
, NEAREST LOT LINE
TRENCH WIDTH
TOTAL LENGTH
_, OF LINES
IN. TOTAL EFFECTIVE
DEPTH OF FILTER MATERIAL BENEATH TILl:
IN. ABOVE TILE
WELL:
LOT LINE
T Y P E ~,~/')'~ '///.~ ,~ DEPTH
NEAREST
., SEWER LINE
1/(~I DISTANCE FROM
,BUILDINO FOUNDATION._
SEPTIC ~ C)~'~ I SEEPAGE
TANK__ , SYSTEM
WATER
_SAMPLE .... NEAREST
OTHER ~'j.. /
, CESSPOOL , SOURCES_'Li'~
DIAGRAM OF SYSTEM
DISTANCES:
,,g- C= JOG'
DATE
APPROVED
9 -2
WATER WL@DRILLERS LOG
05�� . ".
Drilling CoR fl M T q v Mu��Oz
D " le
Well OwnerA
T&2?�t;; rPanje
No
Area
of Wel
qEDL �04?q
OT FILL IN
(if known); distance from.road:
Lee
N - f I tr T�IOCA__ V_ - .g - , -1 - = I - - - - i . j
Size of Casin, epth of'Hol _d
1 r3 () f e e t. C.I.
Static water level__� —5feet (above) LbSIzo land,surface. Finish of well
(check one) open end Screen Perforated
Describe screen or perforations: Kv%x� ygVOq'aED
Well Pumping test at, _L_Q_gallons per (hr) (min) for__L�_ftours w1Zn
T:j Vp- ' feet -of drawdown from Static level.
RemarkS`NqK\11 \NVAS'�ZZK05�4'M /yM%juq 'Rglbn
al W'03(5 V, rxyc,-V\
WELr bo'd
..___�epth in
ground
feet from
surface
to
J5
to
30
to
to
t o
12
to
to
to
to
'to
to
to
to
Give details of formations penetrated, size of material,
color, and hardness.
t�
ILI
to
GREATEx,
327 Eagle St.
ANCHORAGE AREA ~,OROUGd~i° c.seNo.
IIEALTH DEPARTMENT
Anchorage, Alaska 99501 279.2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANT
RESIDENCE ADDRESS
NO~77-- ;M-F;~
LOCATION OF INSTALLATION.__5)g4-,C ~Z/,
APPLICATION TO INSTALL: SEPTIC TANK_ / , SEEPAGE PIT_ / ,[)RAIN FIELD__ ,OTHER.
FINANCEO THROUGH
,ELO;TO,E F,L'EO OOT,¥ HEA'T. DEP, .TMENT /AW
THIS IS TO SERVE AS
· SEPTIC TANK SIZE
61~TANCE~:
~)~ ~,~.A_~) , PERMIT TO INSTAkL A ~g~-~
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
'E d~ SEEPAGE AREA. ~ 8~ L~_TYPE
DIAGR OF SYSTEM
I certify that I am familiar xvith the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
?
\/
ALASKA GEOLOGICAL CONSULTANTS
2227 SPENARD ROAD
ANCHORAGE. ALASKA 99503
May 23, 1969
Hmrcy and Marie Jones
Lot 17-A
Skyway Park Estates
Anchorage, Alaska
Dear Mr. and Mrs o Jones:
Pnrsuant to your request, we have performed a percolation test
on your property described as Lot 17-A, Skyway Park Estates o
The test was conducted at the eight-foot depth in the excavation
which you provided. The sol~~the foltowing:
0 - 1' Organic topsoil and forest litter
1'- 3' Gravelly silt of low porosity
3'-8' Gray, dense silty gravel with considerable porosity
The test was conducted in a six-inch diameter hole one foot deep.,
After saturation, tbe percolation rate was constant at o~2~2ne i~
.~dro. g12_per one and one-half minutes. We anticipate no problems
in sewage dis¢'~s-~T'~t--~.'~ gravels from a depth of three
feet to nine feet.
HJM:js
Very truly yours,
ALASKA GEOLOGICAL CONSULTANTS
By:
Consulting Engineering Geologist
Mr.. ~licha.~l
Star Route A Box 191
A~chorag~, Alaska 99507
to Lot 17A Block 6 Skyway ParCh
available within seventy (70) f~t o~ th~ nearest lot line o~.
$:'he ~4unicipali~y o~ Al~u~rag~D~pa~:tul,~nt of Pm~lx(- ?~o~k~
to V=:uifv that th~ ~-~-~ctur~(s) is o~ J,s 1~o%~ ¢~on~ect~l ~u~d notify
any ancl all st~u(:tur~ located On the subjot~t prol~ertY to pub].ic
YOU must apply for a conn~c~ion p~r~ait from th~ p~rmit officer
for th~a f~u~icip;~lity of ~chora~e, 3500 East ?%~dor ROad. If you
have any questions r~gar~[%in~7 th~ above, ploas~ do not ltesitat~
to contact tile p(~r;nit office al: 279-8686, ~x~e~sion 259 or
MUNICIPALITY OF AN Allec ."Ok 111111111d
ArRUSI"
Development Services Department : a 1\\.1 ' .ne: 907-343-7904
On-Site Water & Wastewater Section Fax: 907-343-7997
h
cu
Certificate of On-Site Systems A No pygl L g�
Parcel I.D. 019-151-20 Expiration Date: (-3O -(
1. GENERAL INFORMATION
Complete legal description Skyway Park Estates Block 6 Lot 17A
Location (site address) 1221 Shore Drive
Current property owner(s) Kenneth Zogas & Katherine Coone Day phone
Mailing address 1221 Shore Drive, Anchorage, AK 99515
Real estate agent Day phone
2. TYPE OF DWELLING:
O Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Private Well El Private Septic ❑
Water Storage ❑ Holding Tank ❑
Community Well ❑ Community ❑
Public Water System ❑ Public Sewer El
Waiver request for: Distance:
Received by: aD/2-f7/4/ Date: g/1d��
COSA to be released to the engineer,unless othe 'se requested by the engineer.
COSA Fee $ t E-1/11.32 Waiver Fee $
Date of Payment C Qa 6 I O Date of Payment
Receipt Number_ Receipt Number
COSA# 06C17 LW? Waiver#
5. STATEMENT O'= INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigatio ase•
on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows t t 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 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.
Name of Firm Forge Engineering Phone 907-522-7773
Address 1399 W. 34th Ave Suite 203, Anchorage AK 99503
Engineer's Printed Name Benjamin Schiller, PE Date 8/28/18
9Fslii
6. DSD SIGNATURE
?C'
S stem #1 A roved for 3 bedrooms •
y pp / Benja Schiller .92
System#2 Approved for bedrooms r`lilfiF9 P� �aaKS"��?,��
Disapproved i>>xxxNES
Conditional approval for bedrooms, with the following stipulations:
S
•
ON-S1 f E
WATER AND
9 WASTEWATER c`"
pROGKANI
By: . , tn. - Original Certificate Date:
T3I �I
The Municipality of Anchorage Development Services Division (DSD)issues Certificates of On-Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: Skyway Park Estates Block 6 Lot 17A Parcel ID: 019-151-20
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 6/25/69 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 120 ft. Cased to 120 ft. Casing height (above ground) 36 in.
FROM WELL LOG AT INSPECTION
Date of test 1969 8/14/18
Static water level 45 ft. 100.9 ft
Well production 10 gpm 6.75 g p m
WATER SAMPLE RESULTS:
Coliform Neg colonies/100 mL Nitrate ND mg/L
Arsenic 6.01 ug/L Date of sample: 8/8/18 Collected by: Forge Engineering
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material N/A Date installed
Tank size gal. Number of Compartments Cleanouts (Y/N)
Foundation cleanout (Y/N) Depression over tank(Y/N) High water alarm (Y/N)
Date of pumping Pumper
C. ABSORPTION FIELD DATA
Date installed N/A Soil rating (g.p.d./ft2 or ft2/bdrm) System type
Length ft. Width ft. Gravel below pipe ft.
Total depth ft. Eff. absorption area ft2 Monitoring tube Depression over field
Date of adequacy test Results (Pass/Fail) 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.
Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot >100' On adjacent lots >100'
Absorption field on lot >100' On adjacent lots >100'
Public sewer main >75' Public sewer manhole/cleanout >100'
Sewer/septic service line >25' Holding tank >75'
Animal containment areas >50' Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
10' >5' >5'
Building foundation Property line Absorption field
>10' >10'
>100'
Water main Water service line Surface water
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
Property line >10' Building foundation >1 Water main >10
Water Service line >1Surface water > �� Driveway, parking/vehicle storage >10'
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION _+``��xx\
I certify that I have determined through field inspections and --=-.79t ,?t4
review of Municipal records that the above systems are in Ole...
• ` TH , *+��
conformance with MOA COSA guidelines in effect on this date. ::;.,. 01•. ,":•r',
Engineer's Printed Name Benjamin Schiller, PE gennSchiller
8/28/18 1.7f.,•••• C 12592 •`5./�
Date °I```\\`fes o ``'
COSA brown sheet 10-10-12.doc
Note: Alaska Water and Wastewater Consultants, lnc. shall bo paid ,~"~ at, or pdor
to closing for the engineering services provided.
4. STATEMENT OF INSPECTION BY ENGINEER
As cerb'fied by my seal affixed hereto and as of the validation date shown below, I verify that my , ;
investigation, baseri on procedures outlined in the Health Authodty Approval Guirielines forthis application,
shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and ariequate
for the number of bedrooms and type of structure indicated herein. I further vedfy that based on the
information oblained from the Municipality of Anchorage files and from my invesEgation and inspe~'on, 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.
Name of Firm ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone 357-6179
Address 690;I DEBARR ROAD, SUITE 2B * ANCHORA(~E, AK 99504-
Engineer'~ Printed Name JEFFREY A. CARNf~SS, P.E.
Engineer's Comments:
In conducting this evaluation, AWWC, Inc. attempted to provide a thorough,
conscientious engineerfng analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily Identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being sen/ed by the system.
These conditions are 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
there are no hidden defects or encroachments. A WWC, Inc. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal fight whatsoever.
Date
5. DSD SIGNATURE
Approved for / bedrooms.
Disapproved.
Conditional approval for
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
bedrooms, with the f]lowing stipulati.~.~.~ .r'.. .....
'-.
~.
,
Manitenance Agreements
Supplemental Engineers Reo~
Other
Original Certificate Date:
(Rev. 12,~0)
Municipality of Anchorage
Development Services Department
Bufldlno Sa;~ty
On-~te Wster & Wastewster Pn~mm
4700 ~xlth Bragaw St.
p.o. Box 196650 Anchorage. AK 99519-6650
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Des~ption:
WELL DATA
Weft bl~ PmVA~
Date completed *1969
Tofaldapth *118 fl.
SKY~AY PARK {:.~h S/D; LOT 17A~ BLOCK 6~
*PER M.O.A. (DA.A.B,) RECORDS
If ~ B. or C pro,da PWSID~ N/A
San~ry seal fi/N) YES
Cased to 40+ fl.
Parcel ID: 019-151-20
We;~ Log fi/N) NO
Wlres pmpe~ protected (Y/N) YES
Casing height (above ground) 12+
FROM WELL LOG
Date of test G /
Star, water lever ~ ~.,.~'~"~ fl.
Well i~:~uctlon .~ 9.p.m.
WATER SAMPLE RESULTS:
ATINSPEC~ON
10/31/2001
49 ,fl.
6.0+ g.p.m.
Coliform 0 colonies/100 mi. Nitrate 0.5 mg./L. Other bacteria 0
Date of sample: 10/31/2001 Collected by: AWWC~ INC.
B. SEPTIC/HOLDING TANK DATA
PUBLIC SEWER
Date installed
colonle~100ml.
Tank Type/Matedal.
Tank size . gal. Number of Com~
· ~r tank(Y/N) High water alarm (Y/N)
C. ABSORPTION FIELD DATA PUBLIC SEWER
Date installed Soil rating (g.p.dJff=or ft~odrm) System type
Lengt~ '" fl. Width ,ft. Orav~
fi.
Date of adequacy test ~Fall, . y. or . ..bedrooms
uvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
D. UFT STATION
Oate installed Size in gallons ~
"Pu~p on" level at in. "Purop off" n. High water alarm level at in.
~ Cycles tested Meets alarm & circuit requirements?.
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot N/A
Absomtion field on lot N/A
Public sewer main'k "~ ~9'+
Sewer/septic service line 25'+
On adjacent lots 100'+
On adjacent lets 100'+
Public sewer manhole/deanout~ .lDO / "~'+
Holding tank N,/A
SEP~TIO. O,S~ANCES FROM SE~nC~HOU~.G TANK O. LOT TO: P U B LIC S EWER
Building foundation Property llne~ AbsorptJonfleld
Water main Water se~n~ water
PUBLIC SEWER
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line Building foundation Water main ~
Water service line Surface water nveway, perking/vehicle storage
Wells on
F. COMMENTS
· ~ ~ ~ A,~w~ ~ ~.~-
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field Inspections and
review of Municipal records that the above sy~tero8 ere in
conformance wEh MOA HAA guidelines in effect on this date.
Engineer's Printed NaPte
,~EFI-REY ~ GARNESS
HAA Fee $
Date of Payment
(~. 1~)
Waiver Fee $,
Date of Payment
Receipt Number
/
/
/
I /
(64-120)
WE
105.12
103.87 Beor
16
/
/
/
/
1 7
, 17A
/
HOV--$O--20~I 1~=22 ~ R£$ZD£HTZ~L NO~TG~G[o ~00~00~ P.02
APPLI(..NT FIILLS OUT UPPER HAL ONLY
Address /.~'? // {.?//'~ ~' Zip Code
ngle Family
Water ~upply
~ Communlly ~-~ For wells drilled prior to that date, give well depth (attach log if available).
~ivldual Yoar Individual Instagod:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time
Time
Date Date Date
Inspector Inspector Inspector
Field Notes:
Time
Inspector
APPROVED BEDROOMS
I I D~SAP~ROVBD
( ) CONDITIONAL APPROVAL'
DATE_ E-- ! ~
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENfAL PROTECTION
JLII 2 6 "' "~
RECEIVED
'CONDITIONS OF APPROVAL
Soils Rating
Date~werlnstalled
LWell To Absorption Area
Well to Tank
Well Log Received
Septic Tank Size
72.023 ¢182)
ALASKA I UIROIqm T1TAL CO[/TROL S RUIC $, linC.
~qineerinq ~, ~nuieonmenlol $1udies
JULY 26 1983
MICHAEL BERGMANN
SRA BOX 191
ANCHORAGE AK 99502
SELLER - BUYER-
SUBDIVISION-SKYWAY PARK BLOCK-6
LOT-17A
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A PIT/CRIB WITH AN UNKNOWN AREA,
THE SYSTEM IS CAllABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 569 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
THE SEPTIC TANK WAS PUMPED ON 7/26/83 .
MUNICIPALITY OF ANCHORAGE
DEPT. OF HE/,,LFH ~'~
ENVIRONMENIAL PRO [ECFION
RECEIVED
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF
THIS 3 B~I~.HOUSE.
~, .,:~ ~....~.,..~..~
~', No 2251.E ~ ,~ ~
~?0 ESS~'~~
1000 IS ADEQUATE FOR
1200 LUesl 33rd/~uenue, SuJle [/ · J~nchoroqe, /~lnskG 99503 · (907) 276-136~
GRI::AT~:R ANCHORAGE AR~A BOROUGH
0 Department of Environmental Quality
0 Tudor Road, Anchorage, Alaska 99507 ~79,-8686
' Date Received
REqUHST FOR APPROVAL OF / ~F ~.~
INDIVIDUAL S~WER & WATSR FACILItieS /
lq
. , . , (J
Address: , ~ Phone: ~~7~t' ~q'/t/
. ~ ' ~. . ~ ~ ~ '
5. Type of Facility to be . __~~
Number of Bedrooms:
,,
Well Data:
'D, 'l/J
A. Type '/ , B, Depth .....
C. Construction D. Bacterial Analysis
Sewage Disoosal System:
C. Septic Tank: 1.
D. Seepage Piti 1.
Disposal Fteld~
Be
Distances:
A. Well To:
Septic Tank_J_~1
, Nearest, Lot Line
t
Absorption Area , Sewer Lines
, Other Contamination
B, Foundation to Septic Tenk
"~ Absorption Area
C. Absorption Area to Nearest Lot Line__ __ ....
R~quest for Approval oi .ndividual l~ewer & Water Faotliti,~,
Page Two
Comments.,
Aporoved
fsapproved Date .......
Approval Valid for One Year From Date Signed
Greater Anchorage Area Borough, Department of Hmvironmenta] Quality
DIAGRANI OF SYSTF~..
I certify that the information contained in this request for appreval to be a true
and accurate representation of the subject sewer and water facilities located at:
Signed Date