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HomeMy WebLinkAboutHOMESTEAD HILLS BLK 1 LT 8Home read 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