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Hills
Block I
Lot 8
#015-173-8
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program. 4700 S. Bragaw SL
P.O. Box 196650 Anchorage. A~ 995196650 Page of
v.-,vw.ci, anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: ~OIO ~-~ PIDNumber:
""~: '~EO-- GOTIq~ D~_. wastewatersystem: [-INew [~[~Upgrade
Well: [] New [] Upgrade ~ n. o~-I n
SEPARATION DISTANCES ~;3~septic ri Holding rl S.T.E.P. r-I Other.
Septic Absorption Lift Holding PublicJPdvate ·
"'~"~ BENCH MARK
Reviewed and approved by: te:
0
tlc tank
Stan
Monlgor Cle~nout~
B. OEffectiveFt oF Sepglc Rock / ~ ~flflfl ~at ~eptlc tank
NO SCALE
~03 ~lSth Ave 4431 T~PUNE DRIVE DATE, SEPT. ~ 2001
Anchorage Ak 99501 ~ ~t SHEETm ~/J GRID, ~636
P79-39~6
Pt~lT ~ $WOtOJSt PAf~tL I~ [ 0~5-~7J-08
MUNICIPALITY OF ANCHORAGE
Development Services Depai'fment
On. Site Water & Wastewater Program
4700 South Bmgaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Aug 16, 2001
Expiration Date: Aug 16, 2002
Permit Number: SW010321
Legal Description:~HOMESTEAD HILLS BLK 1 LT 8 -
Design Engineer:. 0007 Tobben Spurkland, PE
Owner Name: Peter Guthrie
Owner Address: 4431 TRAPLINE DRIVE
ANCHORAGE, AK 99516-1539.
Parcel ID: 015-173-08
Site Address: 004431 TRAPLINE DR
Lot Size: 25073 SQ. FT.
Total Bedrooms: 6 Permit Bedrooms: 6
This permit is for the construction of:
[] DisposalField [] SepticTank [] Holding Tank .[~] Priw
[] Pdvate Well
[] Water Storage
Ail construction must be In accordance with:
1. The attached approved design.
2.
3.
4.
All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Ddnking Water Regulations ( 18AAC80 ).
The engineer must notify DSD at least 2 hours pdor to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
From October 15 to Apd115, 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: __ --'
,ssuedB,: ~~ /~'"~' .~~ \
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 SEWEPJVVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Permit Number SW
Property owner(s)
Mailing address (1)
Mailing address (2)
Legal description (Lot, Block & Sub'&) /...~,7' ~; B ~L I
Legal description (Section, Township & Range)
Lot Size ~ ;~ C)'7 ~ ..Acres/Sq. Ft. Number of Bedrooms
.. Dayphone ~,qt.-
. Zip Code
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPI~'P, TY 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 certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
.
(Signature of p~ ~
Permit Fees: J~ ~)~,.lg ~
Date Of Payn~ent: ~/'~'7/0 I
Receipt Number: ~ 3 ~ ~
(Rev. 1~00)
Waiver Fees:
Date of Payment:
Receipt Number:
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 8 BLOCK 1 HOMESTEAD HILLS S/D
PETR GUTIIRIE
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
Anchorage, Alaska 99519-6650
Aug 3,2001
We are submitting an application for the upgrade the septic system for this lot. The submittal
consists of three (3) drawings showing the present improvements on the lot and the adjoining
properties, (sheet I/3), the proposed improvements of the lot, ofwhich only the septic system is
subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3)' Soil
logs and percolation tests of applicable testholes are also enclosed. The septic system design is
based on the following:
No Ground Water or Impervious Layer to 17 ft.
Use Standard Trench
Soil Rating. From Testhole 07/'26/01
24 mirdin = 0.6 gal per sq.Pdday
No. of Bedrooms 6
Required Area per Bedroom: 150/0.6 = 250 sq.ft.
Total area required: 250 x 6= 1500 sqt~
· Testhole depth 17 feet
Bonom Rock At I I feet
Top Rock At 3 feet
Rock Depth 8 feet
Minimum Trench Length 1500 / 16 = 94 ft.
SYSTEM CONFIGURATION
STANDARD TRENCtl
TOTAL LENGTII 95 FT
TOTAL WIDTtl 2 FT
TOTAL DEPTII II FT
ROCK DEPTH 8 FT
COVER 3 FT
SEPTIC ANK 2000 GAL
Thc installation of this septic system will not prevent wells and septic systems from being installed on the adjacent
lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoffwill not result from this installation.
P
3
$ 4
£IRC~ARK
I
I
~;PURKLAN~)
SCALD I' = I00 FT.
J
IO$$EN SPURKLAND P.E.
203 W I§TN. AVENUE
ANCH. AK. 9950!
(907) 279-3916
LOT B BK I HOMESTEAD HILLS S/D
4431 YRA£UN£ DRIV£
PETER GUTHRIE
SEPI'/C SYSTEld DESIGN
DARE: AUG. 3, 2001
SHEET: I/$ GRID: 2636
PERMIT it S~/OIOXXX ElD ti XX HSHOIOSI. DVG
3
~ooo GAL
FEET LONG
FEET DEEP
IO iFT
CLA~S .4 ~
2f1~69
4
SCALE, l' = $0 FT,
m m m m m
I SPURKLAND
SEPTIC SYSTEM DESIGN
DATE: AUG. $, 2001
SHEET: 2/3 GRID: 2635
HSHOIOBB. flVG
PERMIT # SVOIOXXX PID tl 015-17S-08
O0 0 0 0
0 ~ £000 ~! Septic tank
~' ~i~e
~5' Lo~o
II'
,P"" .....~ .......................... ~].
~ ..~ .............. .~
~ ~onlgor
Oeanout~
8.0 F* o~ Xep*Ic Rock ~
Eff~clive ~flOfl Qat %eptlc tank
N~ 2CATE
~03 ~15th Ave 4~1 T~PUNE OR/YE ~ATE, AU~. J, 2001
Anchoroge Ak 99501 ~ ~mE SHEET~ ~/~ GRID, ~3~
'~?" ,i-.~..
,
Municipality of Anchorage
Development So.ices Depa~ent . ~' ~ .' ~.~ ~ ~ ~J '
On-Site Water and Wast~ter P~m
¢.0. 8o~ ~0~50 ~om~. ~
~.~n~o~ae*k.us t[~ ~o~be~Spurtland ~ ~,~
[~'~7'... ...."~'L~ .
Soils Log - Percolation Test /
Da,e PedDled: ~/~e ? I
T~ship, Range. Section:
Si~e Pian
3-
4-
5-
6-
7-
8.
9.
10-
11-
12-
13-
14-
15-
16-
18-
19-
20-
COMMENTS
WA~OROUNOWATER
ENCOUNTERED?
IF YES, AT WHAT DEPTH?
Monitoring?
Reading Date Gross Time Net Time Depth to Water Net Drop
/0¥,./ %,1o/ - - --
PERCOLATION RATE (n~nu~es,'~ch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~;) FT AN0 '7 ' FT
PERFORMED BY: ~'~ .,~ I "~'~ --~ CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~'.,,,,/t.///~) /
GREAT,.,, ANCHORAGE AREA BORO
Depsrtment of Environmental Quality
3330 C Street
Anchorage, Alaska ggs03
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
MAILING ADDRESS S~~
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL
MAN U FACTU R E R ~___~ "~
MATERIAL
INSIDE LENGTH
INSIDE WIDTH
LIQUID BEPTH
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY.__ GALLONS,
TILE DRAIN FIELD: ~
DISTANCE FROM WELL FOUNDATION
NEAREST LOT LINE OF LINES
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH__IN. TOTAL EFFECTIVE
ABSORPTION AREA~¢~¢~ SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OFTILE TO FINISH GRADE ~ ' DEPTH OF FILTER ~ t ~f
MATERIAL BENEATH TILE ~ ABOVE TILE 14~.
WELL:
TYPE _
BUILDING
FOUNDATION
CESSPOOL _
APPROVED
CONSTRUCTION DEPTH
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE , SEWER LINEI TANK__ SYSTEM
OTHER SO, U RCES
DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES:
INSTALLED BY: L, ~
SEWER LINE DEPTH:
PIPE MATERIAL:~2(~ ~
LOT SLOPE~
REMARKS:
DIAGRAM OF SYSTEM
G.A.A.B.
GREA¥ ANCHORAGE AREA bor~''
DEPARTMENT OF ENVIRONMENTAL QUALITYMIT NO.
3330 "O"STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION LOCATION
NSTALLAT ON OF: SEPTIC TANK SEEPAGE PIT x, /-
TYPE AND SIZE OF FACILITY TO BE SERVED . ~/~ ~
TO BE I STALLED BY
FINANCED THROUGH ~:
=~'.4-~ /: '-~ i~- '
SOIL TEST RESULTS ~ ~ ~~ ~ [) F~:~ / NOTE; THIS PE.MIT IS NOT VALID WITHOUT SOIL
COMPLETION DATE ANTICIPATED
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.
SEPTIC TAN~IZE ~ ,~ TY~ ~ ~ . ~ ~, ~SEEPA~E AREA
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK ~ SEEPAGE PIT
TO NEARES LOt L NE.
~V~LL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
· SEEP~E PIt
ALSO CONSIDER AREA WELLS.
SEEPAGe PIT
Se.T,C TANK/~'~ ~ /~'~ ~'
, SEEPAGE PIT;/~?~ , DRAIN FIELD
TO RIVER, 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 SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WiTH AIRTIGHT REMOVABLE CAPS.
'--/
LICENSED DESIGNER
[ CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF G~ ANCHORAGE AREA
DeSCTeDSYSTeM'S'NACCOR ANOeW'THSA'DCODe' /
ROUGH ORDINANCE NO. 28-6B AND THat THE ABOVE
/
CONSULTANTS, INC.
ANCHORAGE
FAIRBANKS
JUNEAU
249 EAST 51ST AVENUE · P.O. IBOX 6087 · ANCHORAGE, ALASKA 99503 · TELEPHONE 907-279-0483 · TELEX 090-35419
July 28, 1975
R & M No. 562072
Mr. Art Snowden
Administrator Director
Alaska Court System
303 K Street
Anchorage, Alaska
RE: Test Hole and Soil Log Report for Sanitary System
Lot 8 Block 1, Homestead Hills Subdivision
Dear Mr. Snowden:
We are submitting herewith our comments regarding ground water conditions
encountered at the subject site. This initial investigation was performed
in accordance with the request of Mr. Ken Nix on August 9, 1972.
A single test hole was put down within the Lot 8 area for the purpose of
defining general subsurface soil conditions for the proposed sanitary system.
Excavation was accomplished with a tractor-mounted backhoe and the test hole
was extended to a total depth of 12.0 feet below ground surface.
Ground water was not encountered in the test hole. During excavation and
the logging of test hole, there was no indication of ground water below the
immediate base of the test hole which was terminated at the depth of 12.0
feet. Since the soil was relatively dry, we do not feel that the water
table is located within the upper few feet below the test hole base or to
a depth of 15.0 feet.
We appreciate being given this opportunity to be of service to you. Should
you have any questions with regard to the above, please do not hesitate to
contact us.
JUL ,5 1875
Very truly yours,
R & M CONSULTANTS, INC.
Vice President\~ /
JWR/j a
r ~ GREA'
R ANCHORAGE AREA BOR' GH
O Department of Environmental Quality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME/O¢~lJ/k~l~/~ ~L~d~-~ MAILING ADDRESS /~'/ /~)Z/Cft'~ ~,
LOCATION /~ ~;~, ~p/c- ~)//~/~/Z(-~ LEGAL DESCRIPTION
PHONE -~'~.:~ "~
SEPTIC TANK:
DISTANCE NUMBER OF
FROM WELLLC~/f~/UI~/MANUFACTURER ~toJ( ~°'~(b~/_ ~t~. MATERIAL ~-~'~*/-- COMPARTMENTS ~
/
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /¢"~7~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER _
LINING MATERIAL~C~'/~-t?r~ ~(~-'~; CRIB SIZE:
OR WIDTHI'~] ~,)0 LENGTH/2//,~' DEPTH
DIAMETER DEPTH
__ . DISTANCE FROM:
BUILDING FOUNDATION ~O~ ,
TOTAL' EFFECTIVE
NEAREST LOT LINE
WELL ('~¢-~?/'.~¥ /~-.], .
ABSORPTION AREA (WALL AREA) .~¢-/Jr~ SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE
BUILDING
FOUNDATION
C ESSPOO L~z'
APPROVED
CONSTRUCTION
/
DEPTH DISTANCE FROM:
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE SEWER LINE TANK SYSTEM
OTHER SOURCES
DISAPPROVED
DISTANCES:
INSTALLED BY: /~/'h,n,'&~',,/~t
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
DATE/~',~,W, ~4 /¢1~ APPROVED ~/~/4/,~',
G.A.A.B.
GRHATER ANCHORAGE: ARE:A BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-6§0
ANCHORAGE, ALASKA 99502
TELEPHONE: 279-8[586
SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT
PERMIT NO. ,,-
INSTALLATION OF: SEPTIC TANK ..... ~ . SEEPAGE PIT ~ , DRAIN FIELD
TYPE AND SIZE OF FACILITY TO .E SERVED- - J ~ ~-- <~ . ~
COMPLETION DATE ANTICIPATED,
OTHER
NOTE: THIS PERMIT iS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION~ ;14 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE:
HEALTH DEPARTMENT AUTHORITY WILL ESE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE . ,/ .,~ L/ TYPE J!C/ C~J/~ ~' SEEPAGE AREA SIZE TYPE
MINIMUM DIS'rANCEB, REQUIREMENTB
FOUNDATION TO SEPTIC TANK __
/
FOUNDATION TO SEEPAGE PIT
, DRAIN FIELD
/
SEPTIC TANK TO SEEPAGE PIT WALL
4'/
SEPTIC TANK .. $E"PA~E PIT
TO NEAREST LOT LINE.
WELL TO SE~IC TANK
DRAIN FIELD
. s~P*G~ .~i --~ ., DRAIN ~LO
, DRAIN FIELD __
.. SEEPAGE Pit
ALSO CONBIDER AREA WELLS.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIS CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SO/L,
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
DIAGRAM OF SYSTEM
GRAVEL, BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION,
DESCRIBED SYSTEM IS IN ACCORDANCE WiTH SAID CODE
R&M
Civil Engineers
ENGL EERING & GEOLOGIC;-..L CONSULTANTS
229 EAST51st AVE. - P.O. BOX 6087- ANCHORAGE, ALASKA 99503
TELEPHONE 907-279-0483 TELEX 090-35419
Geologists Land Surveyors
JAMES W. ROONEY, P. E.
MALCOLM A. MENZIES, P.E., L.S.
JAMES H. WELLMAN. P.E.
August 14, 1972
-R & M No. 26540-17
RALPH R. MIGLIACCIO
Engineering Geologist
Mr. Ken Nix
Peninsula Excavating
I71 Place Street
Anchorage, Alaska 99504
RE: Test Hole and Soil Log Report for Sanitary System
Lot 8, Block l, Homestead Hills Subdivision
Dear Mr. Nix:
We 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 August 9, 1972 and those procedures outlined in
a letter dated September 13, 1971 by Mr. RoI'~ Strickland of the Greater Anchorage
Area Borough Department of Environmental Quality.
A single test hole was put down within the Lot 8 area Eot the purpose of defining
general subsurface soil conditions for the proposed sanitary system. Excavation
was accomplished with a tractor-mounted backhoe and the test hole was extended
to a total depth of 12.0 feet below ground surface. 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 you
have any questions with regard to the above, please do not hesitate to contact us.
Very truly yours,
R & M ENGINEERING & GEOLOGICAL CONSULTANTS
James W. Rooney
Jw R: w'b
E nclo sure
RECEIVED'
ANCHORAGE AREA BOROUGH
Greater Anchorage Area Borough
T.H.-I
8-9-72
ORGANICS
ORGANIC SILT
W/SOME GRAVEL
0.01
1,5j
SANDY SILT (SM)
W/SOME GRAVEL SOME
COBBLES, Medium Dense
Note: Coarse to Medium Grain
Sand Seams I to 3" Thick
Found From 1.5 to 12.0'.
No water table
12.0'
Note: Hole excavated with tractor mounted backhoe.
~ Engineering ~ G~,ologicol
Peninsula Excavating Property
LOG OF TEST BORING
Anchorage Aleska
j: I
PATE 8"11-7~. .SCALE = 2' OWN aY GAW CH~<D BY WED ~od. NO. 26540-17 OWO NO A ~01
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
O
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
1.
GENERAL INFORMATION
Complete legal description l-O-i"'.~ ~-~¢.. t . '{--~o 14 F__.~,Tt~-AI:~
Location (site address or dire.ctions) t~ t4 '~ I '-["l~A~t_J-/4 ~
Current Property owner(s) 'i~E'~'~_~_ /~ ~'i'~-~ GA t~, Day phone
Mailing address
Lending agenc~
Mailing address
Real Estate Agent
Day phone
Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: ~
TYPE OF WATER SUPPLY:
Individual Well []
Individual Water Storage []
Community Class ~ Well []
Public Water System []
TYPE OF WASTEWATER DISPOSALr
Individual On-site Z'
Individual Holding tank []
Community On-site - []
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 4 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. (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 cf 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 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.
Address
Engineer's Pdnted Name
bedrooms.
DSD SIGNATURE
I....-'''''~ Approved for
Disapproved.
'Conditional approval for' __
Date
.. ,,,%..
bedrooms, with the following sti~ulations:
............................
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
'Other
Original Certificate Date: /"'/- .0,~../_ ~ 3
(Rev
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program ~
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www. ci,anchorage, ak,us
(907) 343-7904
HF. ALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: _
A. WELL DATA
Well type I'~~
Date completed.
Total depth ~
If A, B, or C provide PWSID # ~/~ Well Log (Y/N)
Sanitary seal (Y/N) Wires properly protected (Y/N)
Cased to ft. Casing height (above ground)
FROM WELL LOG AT INSPECTION
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform colonies/lO0 mi.
Arsenic: mgJI.
B. SEPTIC/HOLDING TANK DATA
g.p.m, g.p.m.
Nitrate rngJI. Other bacteda ~
Date of sample: Collected by:
Tank Type/Material ~~..L~-~.~,I
Tank size =~,~e~, gal. Number of Compartments,
Foundation cleanout (Y/N) '~/ Depression over tank (Y/N)
· in.
colonies/100 mi.
Date installed
Cleanouts (Y/N),.
High water alarm
Date of pumping ~O.e ~- Pumper .l'~Z.~ te
ABSORPTION FI~ 'iLO DATA '
Da~ ~s~ll~ '~-I~ ~il m~ng (g.p.d.~ or ~/bd~)
Leng~ ', ~ D ~ fl. ~d~
Total depth /~ ~ ff. Eft. abso~fion ama l&
System type "~,4.z~4 ~/4
Gravel below pipe ~:~ ft,
Monitering tube ,L. Depression over field. I~
Date of adequacy test '/7/-/b- ~:) '~ Results (Pass/Fail). "~
Fluid depth in absorption field before test ~O~kln. Water added
Time: / ? ~
Elapsed .~. Final fluid depth n. ~ Absorption rate >=
Any rejuvenation treatment (past 12 mo.) (Y/N & type)
For ~) bedrooms
New dept~_.~in.
~ 0~..~ g.p.d.
If yes, give date
D. UFT STATION
Eo
Date installed
'Pump on' level at in.
Datum
SEPARATION DISTANCES
ize in gallons ,, M~3~hole/Access ~/N)
Cycles~sf'~ Meets alarm & circuit requirements?
in.
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot / On adjacent lots
Absorption field on lot /. On ad;ace.~__
Public sewer main / ~sewer manhole/cleanout
Sewer/septic service line / ./~Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation "i C~ Property line ~ Absorption field
Water main J~/~A- Water service line ~-. ~ Surface water
Wells on adjacent lots I~J//~' (
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
Water Service line
Curtain drain
Building foundation
Surface water ~
Wells on adjacent lots
Water main ~///~.
Driveway, parking/vehicle storage
Go
COMMENTS
ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name
I,
Date
Date of Payment
Receipt Number
Wa ver Fee $,
Date of Payment
Receipt Number
·APR. 16.SD03 8:08PM FORTL~E PROPID~TIES NO.B?~'
MUN,C,.ALITY OP ANC.ORAGE
OEPARTME.T Or .EALT. & .UMA. SERV, CES
DIVISION OF ENVIRONMENTAL SERVICES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744
Application Date
GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Property Owner"~c~FC !Z-~J.~*~/~lT/l~-p~one: Home
Malting Address
(c) Lending Institution Telephone
Mailing Address
(d) RealEstateOompanyandAgent ~o_c,,.J~ [~[,~'t'4"~./
Address "~ ~-(3 IV ~-- --~ ~
(e)
Business
Telephone ~'" ~' '~- f:~ ~'"~¢'~"~
Mail the HAA to the followino address: or; Check here/(~ if hold for pick up.
List contact persOn and day phone number below.
TYPE OF RESIDENCE
Single-Family ¢
Number of Bedrooms
WATER SUPPLY
Individual Well [] Community ~/ Public []
Note: If community well system, fnust have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite ~' Public [] Community [] Holding Tank []
Note:/rt community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Pag~ 1 of 2 72-025 fRev 6/86~ Front
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 inspe~n
Name of Firm
Address
Telephone
Engineer's Seal
DHHS APPROVAL
Approved for ¢
Approved ,~
bedrooms by Date
Disapproved Conditional
Terms of Conditional Approval
CAUTION
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
certificates based only upon the representations given in paragraph 5 above by an independent professional engineer
registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in
order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or anatyze data
before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional
engineer's work.
Page 2 of 2 72-025 fRev 8/861 Back
~O,~:.~.~<:) MUNICIPALITY OF ANCHORAGE (MOA)
, O~ *,.~':\'~ ,t HEALTH AUTHORITY APPROVAL (HAA)
~0~.~' ~ ' ~.~) 264-4720
~'~- ~ ~.~ Legal Description: ~0 / ~ ~
A. WELL DATA ~v
Well Classification ~ ~ If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) Date Completed Yield
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation D stances from Well:
To Septic/Holding Tank on Lot ¢~-- ~:~ ~,
To Nearest Edge of Absorption Field on Lot ~'~
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
; Date
Comments
SEPTIC/HOLDING TANK DATA
Date Installed f~/~ Size
Standpipes (Y/N) ~::~t,¢-~ "~-~¢-~ Air-tight Caps (Y/N)
Depression over Tank (Y/N) /'"7/
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N) )t//,-~_
Separation Distances from Septic/Holding Tank:
No. of Compartments ~ '~'
y Foundation Cieanout (Y/N)
Date Last Pumped U/"I
/~ 'for
Temporary Holding Tank Permit (Y/N) .
To Water-Supply Well
To Property Line
To Water Main/Service Line
Course
Co m ments:t~¢ '~/~--~'~
To Building Foundation 4~
To Disposal Field ~
To Stream, Pond, Lake, or Major Drainage
Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed I '~//,.~
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well ,.~ ~
To Building Foundation cC, O
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
Type of System Design 'T'Jc-IE'/~CI¥'
Length of Field ~)-~
Depth of Field ~ ~
Gravel Bed Thickness ~
Standpipes Present (Y/N) 'Tc/~' o
Date of Last Adequacy Test I O/,~ ~//,.~ ~
To Property Line /
To Existing or Abandoned System on
; On Adjoining Lots ~
To Cutbank (if present)
N oN 1.~
· ,FTSTAT, O. h/O N E
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the
Signed '~~ Date ~'/~"~/~e'7 date of this inspection.
Company MOA No.
Receipt No. //(:~) 0 /
Date of Payment ~'//
Amount: $
Page 2 of 2
72-026 (11/84)
Engineer's Seal
DEPT. OF ENVIRONMENTAL CONSERVATION/
ANCHORAGE/WESTERN DISTRICT OFFICE //
3601 "C" STREET, SUITE 1334
ANCHORAGE, ALASKA 99503
STEVE COWPER, GOVERNOR
563-6775
DATE:
PWSID #:
August 27, 1987
211669
To Whom It May Concern:
According to the records on file in this of?ice, the HOMESTEAD
HILLS Water System is in compliance with the
State of Alaska Drinking Water Regulations.
Sincerely,
Ronald S. Klein
Environmental Field OFficer
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date
GENERAL INFORMATION
(a) Legal Description (inctude lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Applicant Name ~ ~me~ Telophone: Home Business
Applicant Address ~~ ~t
(c) Applicant is (check one): Lending Institution ~; Owner/builder ~; Buyer ~; Other ~ (explain);
(d) Lendinglnstitution po-~..- ~.~oC~./d~,~
Address
Telephone
(f) Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family[~ MulIi-~ Other
Number of Bedrooms
3. 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. ,,, \ \ t.~' ~ i ,,
4. SEWAGE DISPOSAL I ~ ,, i i i I , ~ ~ ! ~
Onsite~ Public [] Community [] Holding Tank [~
Note:flf community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
' ' 72-025'(11/84)
Page 1 of 2
'ENGINEERING FIRM PROVIDI~INSPECTIONS, TESTS, FILE SEARCH, D... A 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 i~~.¢.,~ ~
Name of Firm Telephone
!
Address ~-~- ~ /
Date / O/~ ~/~::~
Seal
DHEP APPROVAL '~'"-"' ~-' /"/~ - ate
Terms of Conditional Approval
CAUTION"
The Muncipality of Anchorage Department of Health and Environmbntal Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representa~i.on,s Cj.iven ;ir~ paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP do~e/s, this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state require~nents. 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
WELL DATA
JV~UNICIPAt. IIT ~..~r r~, ...........
DEPT. OF HEALTH &
~'~/EN¥1RONIV~NTAL PROTECTION
MUNICIPALITY OF ANCHORAGE (MOA) 0C-[ ! 5 t0~
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
264-4720 RECEIVED
L~I Description: /:~r ~ ~ / ,~~
Well Classification ~ [.,8~,..c,..~, ~ If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) Date Completed Yield
Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot ~?.O O
To Nearest Edge of Absorption Field on Lot ~,~:O~.~
To Nearest Public Sewer Line Cleanout/Manhole
Water Sample Collected by ~
Water Sample Test Results
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
; Date
Comments
SEPTIC/HOLDING TANK DATA
Iooo ¢¢
Date installed /0/~,..~ Size 7.:'to ~/~//..- No. of Compartments ,,~.
standpipes (y/N) / '/~/~c./~.~/) Air-tight Caps (Y/N) Y' Foundation Cleanout (Y/N) /~
Depression over Tank (Y/N) //~// Date Last Pumped 4t ~'H,~U~
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N) ,~//.'¢~
./ ,
Separation Distances from Septic/Holding Tank:
To Water-Supply Well
/
To Property Line ~..~
To Water Main/Service Line
Course
; for .~.://~
Temporary Holding Tank Permit (Y/N)
To Building Foundation z~'/
To Disposal Field ~ ~
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
C. ABSORPTION FIELD DATA
Soils R, ating in Absorption Strata
Date Installed
/ /'
Width of Field -
Square Feet of Absorption Area ~ ~:~
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well ..~ Z
To Building Foundation ~.,,'0~
Lot --
TO Water Main/Service Line ~/,-!L.'
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Type of System Design
Length of Field c-¢~'J I
Depth of Field
Gravel Bed Thickness
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots
To Cutbank (if present) /~/4
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify th~ecked~v, er~ified, or/~nformed to all MgA an~d HAA guidelines in effect on the date of this inspection.
/
Company MOA No.
Receipt No.~:,-~,/ ~ ~) O /.//
Date of Payment
Amount: $ ~'~'"~'
Page 2 of 2
72-026 (11/84}
Engineer's Seal
~"'~03 W. 15th AVE "C' SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279-3916
SEPTIC SYSTEM ADEQUACY TEST
LEGAL:
LOT 8, BLOCK l, HOMESTEAD HILLS
LOCATION:
OWNER:
RESIDENCE:
WELL:
SEPTIC SYSTEM:
DATE OF PUMPING:
4431 TRAPLINE DRIVE
MRS. SNOWDON
SINGLE FAMILY, FOUR'BEDROOMS
COMMUNITY, CLASS A
FROM MUNICIPAL RECORDS:
TANK: TWO !TANKS, 1000 GAL & 750 GALL
ABSORPTION~SYSTEM: TRENCH
ABSORPTION AREA: 996 SQ. FT.
SOIL RATING: 250
INSTALLATION DATE: SYSTEM UPGRADED IN 1975
UNKNOWN. TANKS EMPTY ON OCTOBER 13, 1986
DATE OF TEST:
OCTOBER 13, 14,. 15
TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED ON OCTOBER 13,
1986. 1000 GAL TANK WAS FOUND 65 INCHES DEEP AND WITH 8 INCHES OF
LIQUID. THIS TANK IS PROBABLY AN ESPiNOZA CONCRETE TANK. THE 750
GALL TANK WAS 72 INCHES-DEEP AND WITH- 7.5 INCHES OF LIQUID. THIS
IS-PROBABLY A STEEL TANK. CLEAN OUT .T~ ~TRENCH WAS 28 INCHES DEEP
AND HAD 3 INCHES OF WATER IN-IT. 50 GALLONS OF WATER WASADDED
TO THE TRENCH VIA THE ~CLEANOUT. THE WATER LEVEL IN THE 750 GALLON
TANK ROSE 3 INCHES, NO WATER WAS MEASURED OR NOTICED IN THE SUMP.
50 GALLONS WERE THEN ADDED TO THE SUMP. THE LEVEL IN THE SUMP
ROSE 6.5 INCHES, NO CHANGE IN CSEAN OUT OR TANK.
ON OCTOBER 14 THE 750 GALLON TANK WAS FILLED WITH WATER
AND THE PERFORATED PIPE IN THE TRENCH ROTO-ROOTED. BLOCKAGE OF
THE LINE WAS FOUND AND REMOVED. CLEANING TOOL DID NOT ENTER THE
6-INCH SUMP, INDICATING THAT THE SUMP WAS NOT TEED TO THE PERFO-
RATED LINE. 300 GALLONS OF WATER WAS ADDED TO THE SYSTEM. NO
WATER WAS NOTED IN THE SUMP. WATER LEVEL IN TANK REMAINED CON-
STANT.
ON OCTOBER 15, 2240 GALLONS WERE ADDED TO THE SYSTEM.
NO WATER SHOWEDUP IN THE SUMP. WATER LEVEL IN THE 750 GALLON TANK
ROSE 4 INCHES, THE LEVEL IN THE 1000 GAL. TANK REMAINED CONSTANT
AT 8 INCHES. 10 MINUTES AFTER ADDING THIS WATER THE TANK LEVEL
WAS 1.75 INCHES HIGHER THAN AT THE START OF THE TEST, INDICATING
THAT THE WATER WAS FLOWING INTO THE TRENCH.
: - Tobben Spurkland P.E, "-"
Septic System Adequacy Test
Lot 8, Block 1, Homestead Hills
October 16, 1986
Pg. 2 of 2
TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF
THE MUNICIPALITY OF ANCHORAGE.
NO INFILTRATION RATE WAS ARRIVED AT. THIS HOUSE HAS BEEN VACANT
SINCE MARCH OF 1986 AND THE SYSTEM HAS RESTED SINCE THAT TIME.
THE FACT THAT THE SYSTEM ACCEPTED 2500 GALLONS OF WATER INDICATES
THAT IT IS SUITABLE FOR THE RESIDENCE.
The operational life of all septic systems depends on the local
soil conditions, groundwater levels that may fluctuate during the
year, and the water usage of the family being served by the
system. These conditions are outside the control of the evaluator
of this septic system. We can therefore not g~ve any estimate of
how long the system will continue to meet the operational requi-
rements of the Municipality and State.
DATE RECEIVED
INSPECTION APPOINTMENTS
T'JME TIME TIME
DATE DATE DATE V
INSPECTOR INSPECTOR I NSPECTO~R
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL P~OTECTION
( x~.~_ _~/~/, ) ENVI RONMENTAL SANITATION DIVISION 5i.ii' 1981
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE~ E/~-I'I~E D
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten {10} davs for processing,
1. PROPERTY OWNER I PHONE
Diana SnowdenI 344-0000
MA~L~NG ADDRESS
SRA Box 1735-M, Anchorage, AK 99502 ~,~
PROPERTY RESIDENT (If different from above) PHONE
2. BUYER PHONE
Unknown at this time,
MAI LING ADDRESS
3. LENDING INSTITUTION I PHONE
I
Unknown at this time.
MAILING ADDRESS
4. REALTOR/AGENT I PHONE
Elliot C. Lawson, Jack White CompanyI 277-1553
MAI LING ADDRESS
3201 "C" St., Suite 100, Anchorage, AK 99503
NOTE: Send all reports & information to Elliot Lawson at above address.
5. LEGAL DESCRIPTION
Lot 8, Block 1, Homestead Hills
STREET LOCATION
NHN Trapline Drive
6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS
[] One ]~ Four [] Other~
~] SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
7. WATER SUPPLY
. ~_~N DI VI D~L~UA L*
"~-"~-~rEFC-OT1 LI mY
* ATTACH WELL LOG. A well [og 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
~' INDIVIDUAL/ON-SITE** ~'~¢~'~"~" '7'~YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 ( R er' 6/79) ~'~~Z ~ ~~ ,/~..
THIS SIDE FOR OFFICIAL USE ONLY
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
[~DIvIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY '7 ~ .~"/.-'~ '
Connection Verified -,,'~ 7
INSTALLER
[]Septic T~ank or~¢[~] HJ3~Li~q~Tank
S[ze:~) ,~.~'[~l~omemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line I Nearest Lot Line
I
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
[] APPROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[[~,-~'DISAPPROV ED
DATE BY
825 "L." STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPAR'rMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
June 18, 1981
Diana Snowden
Star Route A Box 1735-M
Anchorage, Alaska 99502
Subject: Lot 8 Block 1 Homestead Hills Subdivision
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1) The septic tank pumped with receipt submitted to
this office.
(2) An adequacy 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 private firms performing the test is enclosed. This
report needs to be submitted to this office for our
review.
If there are any further questions, pleaSe call this office
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
CC:
Elliot C. Lawson
% Jack White Company
3201 C Street, Suite 100
99503
Elliot Law,on :
Jack White Co.
3~01 C Street
Anchorage, A~uka 99503
MUNICIPALITY'OF ANCHOP~GE
DEPT. OF HEALTH &
ENVI£ONMENTAL PROTECTION
NOV 5 1984
.RECE| ED
SEWER ADEQUACY TEST
Locstton
Owner
Res~denoe
Water
Sewer
Date of Test
Test Proce dume
Lot 8, ~look 1, Homestead Htllu
O~ Trapline
Snowden
Four ~edroem., T~o 6t~rey
Community Well
Tsnk 1OOOgal * 7~ ~. Steel
Abortion S~em Tre~h 83 feet 1~, 6 feet of ~avel
Aboo~ti~
So~ ~t~
~lation ~te Oct. 1~
Sy~
obee~ed
tb ~p. Ap~tely ~7~ ~ d~ r~oud fr~ ~he t~ t~.
Water co~d
~re ~o~d.
t~ de~ite ~ ~ter ms~E mct~v~ty ~ t~ hour.
~ J~ 19th ~ter
~r ~. After
flow~
~r ~m ~v~oed to red~e
gi~n a o~ce to
of ~ter ~ ~ded to t~ ~noh ~th mo ~i~ of o~rfl~ ~to
t~. On
~th ~
~ t-pk ~ch ~o le~ thru. ~f f~l.
On oheekiog with the owner it was Learned that a toilet had been lea~ing water
for more than a year, but it had been fled afZer the fi~at negative test.
Test Result
This ~yatem was found surcharged when f~rst ihopected. The reason for this oon-
dition seems to be a faulty toitett rather than a failing absorp~tion system.
When tested after resting for two d~ys the system accepted 1[~0 gal over two da2s.
This a~sorption rats meets the ~unicipal requirements.
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received ~_~- ~/)- :?~J
Time of Inspection ~.~.~)
Date of Inspection _T~/Z//~
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1 Approval requested by:
Mailing Address: ~b
2 Property Owner: t:~~
.
Mai 1 i ng Address: ~::"~'~
3. Legal Description: ~'~~~~--'
5. .ype o~ TaC~l~y ~0 ~e lnspec~e~
6. Well Data: c.~
A. Type
C. Construction
Sewage Disposal System:
B. Depth
D. Bacterial Analysis
A. Installed /~?~-,~
C. Septic Tank: 1. Size J~Poo
B. Installer (~(~4"mo~ !1
2. Manufacturer
2. Material .,~.~
D. Seepage Pit: 1. Absorption Area ~
E. Disposal Field: Total length of lines
8, Distances:
A. Well to: Septic tank
, Absorption area ~-~(>~, Sew~er Lines
Nearest lot line ~o , Other contamination
B. Foundation to septic tank ~ , Absorption area
C. Absorption area to nearest lot line ~'~
EQ-034 (1/74) p~n~ 1 ne + .........
GREATER ANCHORAGE ARk,', BOROUGH
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 - 27z~-6561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACiLITiES
M
Type of Inspection: C~RO
Property Owner:
Mailing Address: ~ ~6K /~
Name of Buyer:
Mailing Address:
Da.y Phone
Mailing Address:
Phone
Name of Realtor or Agent:
Mailing Address: Phone
o
Legal Description:
Type of Facility to be inspected:
Nater Supply
Type of S~pply: Public Utility _ Individual
Individual, number of dwellings ~resen. tiy served
If
If individu~l, depth of we'll
9. Sewage Disposal-System
Type of S~stem: Public Utility
If Individual, date of installation
Individual (on-site)
~ge 2 of two pages - Re '~t for Approval of Individual ~,r & Water Facilities
kegal Description ~f~/ ~/ ~/~/~ f/~x~j~ ~,~~.~~
Approved Disapproved '~.~ ~' Date /~/~-/~'~
Approval Valid for one year from date signed
Greater Anchorage Area 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)
two b~m ho{u~, you ~ h~ve fou~ b~d~s. A fou~ b~om
llob~rt C. t~att
tlCP/Iw