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HomeMy WebLinkAboutFLAT TOP VIEW #1 BLK 2 LT 6Flat Top V #1 Block 2 Lot 6 iew #018-391-30 \ !�' MUNICIPALITY OF ANCHORAGE n 1 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264.4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑ NEW S CQAJ GRADE MAILING ADDR . C7 • -- �? GSE �. � ✓C i�IG. � Si LEGAL DESCRIPTION s 6, 73LX-Z r'� r�r ToP LOCATION NO. OF BEDROOMS YS � Well / Absorption area A Dwelling �Z ( . N PERMIT NO-✓ o DISTANCE TO: J Y WQ Manufacturer Material No. of Compartments Z ~ fR Liq, t p#ity� gallons IF HOMEMADE: Inside length Width Liquid depth 6W -10 Z TO: ell Well Dwelling PERMIT NO. I? F Manufacturer Material Liquid capacity in gallons 1A O Well / Foundatio / �-Q Nearest lot line S PERMIT NO. w= DISTANCE TO: d� t _,ZZ No. of lines Length ofea i / Total len h IAes Trench wi Distance between li es VA = W f — InthBS 6 finish Material beneath rile Total all atjp area R t– Top of lila to grade . a inches 1 Length Width epth PERMIT NO. W f7 6 F Type of crib Cribdiameter bpth Total effective absorption area Wd W v' Well Building foundation Nearest lot line DISTANCE TO: Class Pepth Driller Distance to lot line PERMIT NO. –1 WW 3 din tountlation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER N PIPE MATERIALS V ` YL /� SOIL TEST RATING Ohl, Z SO 4 CM INSTALLER Su� 5 s REMARKS —fit 15-1In/ Ar • " ••• y e JLJ I • ...... t • fiabert A. Shafer a+ Mi `" I: „ ��.: • .•.+rte•. c'7f I L APP D D ELEGAL 0. ` E`IOINC-EFiPIG AL'&A 6:577 rr;.01,E RIVER. 72-013 dcev. 3/781 1 / MUNICIPALITY OF ANCHORAGE , Departmento`f Health and Environmenta 'Protection 825 =y Street, Anchorage, AK. j9501 264-4720 Permit # EA * * * HANDWRITTEN PERMIT * * * (� ON-SITE SEWER PERMIT Applicant: (-A z S Cnnj ST" Mailing Address: Pa. ?3Ox P -t) -it Er- (Z. Location: _S_ry r`'7 S hll L_ _Z_i . Phone Number: Legal Description: 1 _,T L, T5X-\G Z FL.rkr —top Isk Type of Soil Absorption System Is: Trench: X_ Drainfield: __ Seepage Bed: _ Maximum Number of Bedrooms:_ Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System DEPTH —I' Z LENGTH 45 z . GRAVEL DEPTH S I 'r Lot Size: HoldingTank: Is: n� WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(W)L-94-NG) TANK SIZE _ � � � GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * *.* TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection.and approval by this departmen will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 19 3 3 * * * I certify that: f iliar with the requirements for on-site sewers and wells as (1) I m am a set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may requ the residence is remodeled to include more t at 3 b Signed: Issued by: Applic t /y/Ql Date: SWP/024(1/81) �A\UEQ_ �O L-,!5r�( VIEEti- S � IFR_Qru3el-L -M enlargement if oms. S sv-n c_ -rRt-,k K. F(2_0YVN, P2oP��` L-IN7- MUNICIPALITY OF ANCHORAGE Department Health and Environmentalr=,rotection 825 Street, Anchorage, AK. -501 264-4720 c�* ^HANDWRITTEN PERMIT Permit #S1t _ �T40ARn ON-SITE SEWER PERMIT—U-10g94& App.licant: ryqPtT) of) 1, L Mailing Address: $fes S Sr Ark Location: Phone Number: ?W—UUlo9 Legal Description: o Fc #1 � a f (o Lot Size: IL��( — Type of Soil Absorption System Is: Trench: Drainfield: Seepage Beds !/ Holding Tank: Maxi_ -num Number of Bedrooms: 3 Soil Rating(sq.ft/br) ? 39 4 The Required Size of the Soil Absorption System Is:, DEPTH Sr LENGTH 50/ . GRAVEL DEPTH .5, WIDTH 2�r The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). /00 0 * * REQUIRED SEPTIC(HOLDING) TANK SIZE _ L5_90_Q GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of'residences that the well will serve. * *.* TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection.and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a.private well or 150 to 200 feet from a public well depending upon the type of:public well. Minimum distance from a private well to a private sewer line is.25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 3 I' certify that: (1) I am familiar with the requirements for on—site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on—site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. Issued by: A pli ant Date: "In the event that a lift station Is Installed an SWP/024 (1/81) electrical permit and Inspection must be obtained. As-builts cannot be approved un- til the electrical Inspection Is received In this office. The electrical work must be per. formed by a licensed electrician." �1 ` ❑ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: 61S ( y e)A 5- 2 d(=%JO/V ; DATE ,/PERFORMED: P' -3 � 53 LEGAL DESCRIPTION: Fl.- /,T -M l_y i r -W �' t3 LK Z LdT 6 _ [vTgAq-v4f4-IV IG SLOPE — SITE PLAN 1 ftd Gross Time 2 Net Drop 3 : b ° S1z.7-y SpAloy s4 5 O �• l �M / 6 at, z� v 7' 46 e, 7- 8- 10- 11-' 8 10 11 F •I• M• ^.•.• I 12 J' :4� 1 �' • 'f/.9. a.. * - 13 ; �N ••rc G Robert A. She r• 14 c �• No. 1457-E • s. 9F.'•. : • F r • � s 15 l 1 � %%����"� �. 16 /101:Y6 6o•rrarv` a1• 17 18- 19 WAS GROUND WATER S ENCOUNTERED? 'V O P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop s4 / 33 83 r o?a 0 Z Q: Op 2z N � � 3 0: n 10 It 3 1a0A '' 13ZF ~ 8 20 PERCOLATION RATE7-!+ (Inutes/inch) TEST RUN BETWEEN 7 FT AND FT COMMENTS PERFORMED BY: , : S & P V10INEERING CERTIFIED Y. DA Qhu (1C.a1LE RIVER, ALASKA 6:ST1 PH. 674-2970 72-008 (6/79) -- - ALASKA enuiuf1wTAL COIITROL SERUM, Inc. Enginearinq 6 Enuironmotal Studies PERCOLATION TEST DATA SHEET CLIENT _l1 (AYV I\IOII DATE ADDRESS - ZIP CODE LEGAL LOCATION TOTAL DEPTH OF ZONE TESTED ft TO '7llz- ft 1 TH 0 Iotl tlio m ofev- 1�OFi. wDl o . READING f CLOCK TIME NET TIME DEPTH TO DATUM NET DROP RATE (min/in) a HZU 0mi/1. /Dmin• • ov /D/nirl • .V7 •bz + 40M%7- ; .Ul FINAL PERCOLATIONRATE / Lp (min/in) S PERFORMED BY Lin C7(�PS mol 5T83 — 02A ,AQd Z o�Z West 33rd Auenue. Sm•:•.F• Anchorage. Aloska 99503 • (907) 276-1361 MUNICIPALITY OF ANCHORAGE Aak O DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services low On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. p 1 -391-3 HAA tl 1A QXC1L0 1. GENERAL INFORMATION Complete legal description_r—L4Pj- _MP /0T_ , Location (site address or directions) 3 9y 7-0 Property owner 2E IJ 0 U D`I A . Day phone � r V — _7CO' Mailing address Q �J �1 ` S�l� rl Lending agency M�T ' G+re.'c,! Day phone — �� 3 ' i5 O Mailing address Agent N 1� Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water X NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site k Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-=(F�A/91) Fmm MOAR21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my 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 inspection. Alaska Water & Wastewater phone Name of Firm ()0n9sutcssm,;8e. Address 7320 East Chester Hts. Circle Anchorage, Alaska 99504 �� 8 Engineer's signature Date CO �paNut a �SScS,�S WA- f L �;Sf ZJc„ 12FE �,- 7744-__� A fklaVi0F_1D w: t�-t� S cFJZ--ri f� i✓4-'TF 6. ' DHHS SIGNATURE M X Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Note: The well for this property meets existing State and Municipal Codes. performed to insure the wells continued suitability. Current nitrate concencraclon is 5.b mg maximum concentration is 10.0 mg/l. More information on nitrates is available from the On-site Services program, DHHS, 343-4744. Additional Comments • Date 129-2 — 96 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 orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. rd.=Mft. V91) Bfck MOAM RtttIVED Municipality of Anchorage SEP 22 DEPARTMENT OF HEALTH & HUMAN SERVIOS8--asr ut ANcmn� Environmental Services Division tl&WAVI WAL61ItV tiSOMS 625 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: F�U.tt it�,Q V l2Ll� I LOt 6k- Z Parcel I.D.: 0 / 8 -3 9 A. WELL DATA Well type Prl bate. If A. B, or C, attach ADEC letter. ADEC water system number N A Log present (YM) 41 GUG1*14,461f— Date completed P00r fia 077 Total depth .59 Cased to S9 Casing height (above ground) /a f Sanitary seal ((O/N) 46-5 p �4 Wires properly protecte (�1 'N) 25 FROM WALL LOG rr J AT INSPECTION Date of test U 11 r n O wo Static water level C.t n bn 0 W+'I Well production U n k vi 0U-) n 9— p.m- WATER SAMPLE RESULTS: as' 7.3 g.p.m. Coliform Nitrate s' m Q I— Other bacteria �- Date of sample: Collected by: Alaska► B. SEPTIGHOLDING TANK DATA 7320 East Chests' Hte. CiYCI� UV" 99604 Date Installed i? " 3' 8 3 Tank size !� Number of Compartmenis _=q / CleanoutS�M)� • Foundation cleanout®M) e $ Depression (Y(�1 x/d High water alarm (Y6 Date of Pumping 7 c? 9- cl8 Pumper A10r'1A1Qi d &rr a; y C. ABSORPTION FIELD DATA Date Installed 9-3- i 3 Soil rating (g.p.dJtt2 o ft=rodnn R!5 0 System We Le04 T c 1 �� F�e(d meas. Length y Width � Q55&fWJ Gravelthickness below pipe Total depth 1.4-83' Effective absorption area 745 5F Monitoring Tube presen&M)-Y-- Depression over field (Y6 4 Date of adequacy test 19-1q-'78 Resu (P eil) 1005S For —r'h ree_ bedrooms Fluid depth in absorption field before test (in.); _ 5 6 Immediately after'H3 gal. water added (in.): /05.5 " Fluid depth 73 " (ins) Minutes later. 1 ! 90 Absorption rate = x{.50 t' a.p.d. Permdde treatment (past 12 months) (Y6 Of' l% of If yes, give date 1l LA 72-026 (Rev. 31913)' D. LIFT STATION Date installed Manhole/Access(Y/N) High water alarm level at' Cycles E. SEPARATION DISTANCES Size in gallons "Pump off" level at" SEPARATION DISTANCES FROM WELL ON LOT TO: rWQIVed Septiclholding tank on lot 90 tSnelrv�_ On adjacent lots /DO + Absorption field on lot 100 On adjacent lots 100 t Public sewer main/V fi Public sewer manhole%leanout Z A / Sewer /septic service line 4?5 t Litt station /J 1A SEPARATION DISTANCES FROM SEPTIC/hEBMWTANK ON LOTTO: � r i Foundation 5 f Property line S +* Absorption field S r r 2eoort- r r i Water maintservice line 1_ -±—Surface water/drainage 100 4- Wells on adjacent kits 910 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: WO Ned byIf [ Xroperty line _ Building foundation /0, Water main/service line /O +- - B54 Surface water SOD �t Driveway, paridng/vehicle storage area /U t Curtain drain Alone knowy) Wells on adjacent lots 4d 9[0, F. ENGINEER'S CERTIFlCATIONR _d�, y ,(- Esc/©a��..w.. f -) see attached Waiver (eier TION)e,.q �-Ll -. d . -,'rowt AD `C dated I certlly that l�et$rrpined d inspectors and review of Municipal records i �� %)Vt ystems are in conlorma A�1 del es in effect on this date. _+_46 _�...__ _ 4LPs_ Signature Engineer's Name Data / cl HAA Fee S� ' 17 Date of Payment Receipt Number U 72-0213 (Rev. 3/96)• ESS ct c - 4 k` Waiver Fee $ Date of Payment _ Receipt Number _ *: Alaska Water & Wastewater Consultants, Inc. 7320 East Chester Heights Circle — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 August 10, 1998 Reijo Vana P.O. Box 100666 Anchorage, Alaska 99510 p Subject: Well and Septic System Approval: Lot 6, Blk 2, Flat Top View #1 SID a` tr Dear Mr. Vana: Per your request, we performed a well and septic inspection for the purposes of obtaining a Il) to health Authority Approval (11AA). The results of our investigation are as follows. tU J Z WELL FLOW TEST: The static water level on August 6, 1998 was measured within the well at 25 feet below top of the casing (BTC). A flow meter was connected to the water system and the flow turned on full. Water was pumped from the well at a rate of 7.3 gpm for 310 minutes (2246 gallons), during which time the level in the casing dropped 9 foot. Based on this data it _ was determined that the production of the well exceeds the Municipal flow requirements for a 3 bedroom house (0.31 gallons per minute). 3 SEPTIC SYSTEM ADEQUACY TEST: Per Municipal records the leachfield is a 12.5 foot deep trench which is 45 feet long, and has an effective depth of 105 inches (the effective depth r corresponds to the allowable liquid operating depth). The liquid level within the leachfield prior vf� adding water to the leachfield was measured at 39 inches. After the addition of 636 gallons to the leachfield the liquid level within the leachfield rose to 65 inches. Approximately 24 hours later j(1431 minutes) the liquid level had dropped to 56 inches. Based on this data, the system only absorbed approximately 220 gallons in a 24 hour period. Municipal absorption requirements for a three bedroom house is 150 gallons per day per bedroom, or 450 gallons per day. The system will have to be retested in the upper portion of the leachfield since the lower portion does not meet the minimum absorption requirements. The septic tank will have to be pumpgd just prior to testing, or any water consumption from within the house may adversely effect the test results. In addition to another septic adequacy test, the following items must also be resolved. 1.) A Right -of -Way Encroachment Permit must be obtained from the Municipality of Anchorage, Department of Public Works. ( Per As -built survey dated August 10, 1983, the septic system encroaches 6 feet into the right-of-way). 2.) Obtain separation distance waivers from the Alaska Department of Conservation (ADEC) and from the Municipality of Anchorage regarding separation distance encroachments to neighboring well(s), septic system(s), and to the east lot line. In order to verify separation distances to the well and septic system on lot 5, Block 2, Flat Top View 41 S/D, the well and septic system must be located. 3.) A well log must be obtained for the well serving the referenced property, or a certified well driller must probe the well to determine its depth and the depth of the well casing. The Municipality requires a minimum casing depth of 40 feet. Also a sanitary seal must be installed on the well head. Once the above work is complete, a Health Authority Approval may be requested from the Municipality. incerely, I i GVt+nt�. W J es P. Williams, P.E. ivil Engineer SLO-10-1990 16:10 ME ESI ANCHORAGE 905615301 P.01i02 cT&E Environmental Services Inc. Laboratory Division 200 W. Potter Drive Anchorage, AK 99518 Tel: (907) 562-2343 Fax: (907)661.5301 CnemLab Ref. M: 98.5289 cotta• Client PDM: Painted Datemfr.*: Client Name* AK Water S Was.ewa.er Flattop View SID L6 B2 Collected Date/time: Pro!ect Name: Flattop Yew SID LS B2 Regaled DaulTima: Client Sample ID: Technical Director. Matrix: Drinking Water Released 9y: PWSID Na n/a 9/1819816:00 9116198 1SAS 9/1719814:30 Stephen Ede 'ample iP 11 V nom• Ailowable Prop Analys:a _._ n.,m nate Vit Total C0110rM (MF) Atitmte 0 cou100 ml SIA92228 6.626 0.1 nVIL EPA 300 10.0 9117198 KAP 5/17/98 GCP pr�v i duS SA"'' PCS a.6 /No O• g w�4� Coc.i � ��ZS�9g 2l2 No �c�► �- r 1 LJAS AJLOJr4O 9/1 ruls AF -4 W� Jr-�1 wl�� S 00 gH — - Sc�-1 L� Pt., L"a-D 0 SEP-18-Lne 16:19 CT&E ESI ANCHORAGE 9Oi561530: P.02/02 t i CT&E Environmental Services Inc. i Wboratory Division )rinking Water Analysis Report for Total Coliform Bacteria 200 w. Pener Lnre 'L4OINSTRL•47770MONREY£RSESIOEBEFORE CO=Cj7,vGSd,I/p(E A^eherage. AX 99618.160S Tek 19071362-:243 Fax: (9071361-5301 SI US T B E COMPLETRD AV wA rc t su9tr m a 0 Pt13LIC%YAT1RSYSTE.1((.D.s VC PR(YATEWATERSYSTEM 9L. Jtad Areae -.0 Jmd d..h roars A'iNWs N el JeN atwtar Q. SN 1�w•te -. — SAMPLE DATE [a 1t1D! Mtmt► Dry Year SA.'v;PLE TYPE Reatue O Tnatsa Water Repeat Sample (Ibis reeds ramitis O Unwashed Iran► with Iib rei 1` ) a Spseisl Psrpeae Centel SAWLLLOCATION calms" b, L47TW ViE4 - p 16 2 •s; ys JPw AWyris shows this Water SAMPLE to bis Satish"y a vasatislbttery O Saatpte ever 30 bouts old mule may be tttttilable C Sample too long In transit: sample ahoald net be err at bean elq at exami,atias to 1114icau reliable MtYtL ?base sena new SUVls via sotow dtdiven, Ma Deft Received NP? Time Asa re4 /H:i J Aaelysis Rope _ 1-+00 Assiydral Madedt C MMUmcalareas rites, o-Mua 1 v ..�.e.... ..mL Bads• 985289 k',VS# ----•ween. antis FKe J•. Dow Rnat Aaslysr . J♦ rC3 cufat sedtled of uasatbl►ttery t"Glen pm..a spew. ah rad Der — Time RAC MOLOMM WATER ANALYM RECORD aIM04111c Room TOW Coulbrm t cam Membrane Filter; Olem Comer _ ��� tslee+W I00 w1 Yerilkatlnt LT! 50b —�� COurmw� raw CONIbrm Casarmadmat riul 3olembnem Reported By ,Y4 .ommcnu: WIM 440440 ChMreN de SwraManea/ revise.rmft . ret. a .0r4e TOTAL P.(2 -ALASKA WATER & WASTEWATER 7320 EAST DIESM NEIOM GR= • AN04MAM X"A (0504 • PNONC 177-6179 FAIL• 376.3216 SEPTIC ADEQUACY TEST DATA LEGAL DESCRIPTION- `A -r T P Ulaw *I gt6 82 STREET AIpDRESS• 33`►b STAYc_AlL bn. CLIENT: ^EEO VRA'^'4 ,'• NUMBER OF BEDROOMSFs ' TEST DATE START �9g TEST DATE END SEPTIC TANK SIZE• lew 6*` UFT STATION YES / DATE OF PUMPING- -a" 28 PUMPER- )Ajolt?"Ar"D YurwVi�+ SYSTEM TYPE: C. DEEP TRENCH ❑ BED 11 RELn Mc'M 1i-io"Pee+ ❑CONVENTIONAL X63 ❑ DRAINFIELD 9-F— %, ® CONVENTIONAL 1:1 PRESSURI7iFAO ❑ MOUNOBIN.",.....,;qs ❑ PRESSURIZED y1� •• ••,19111 ❑ MOUNDED ❑ OTHER: DEPRESSIONS: YES... log IF YES, WHERE? WHERE ALL STANDPIPES AND WATER HT �.Q�p ,T r • ARE ON THE INSPECTION REPO IT? % t�;i; ft6ii �� IF NO, WHICH ONE/S?. a TIME METER GADDEDS SPLIQUD LEVEL MONITORING BE LIQUID EVEI AMONITORING TUBE LIQUID LEVEL I 5tti – fir. "'- svos IOQ.S 1"To 6A+ 'Tzw F -o 9i�• 7cM1 FE�o le'. T(t0.x,+ 1[ F4t, 6/.101-16 Nft-1 DAY I 1, M' DR,.%P DoHaS o IAWI) ALL W4,1&? AOObo 60 7 6 6rJ'9 OF TiLC—rv_w. RESULTS: F61 PASSED: W9-Afl' +� f S� GPD ❑ FAILED: ,;lo t+t S ZlitnlU-I Mif 1�aSoRP7ij•j Foy A 360rwtta�t ±yEU GPS% MUNICIPALITY OF ANCHORAGE Department of Public Works- De�vue.1 .1 Street Maintenance Division PablicWorks ENCROACHMENT PERMIT 19982543 THIS AGREEMENT, made this 4th day of September, 1998, by and between REIJO AND MARGARETA VANA and their heirs, administrators, and assigns, hereinafter called "PERMITTEE", and the Municipality of Anchorage, a municipal corporation organized and existing under its Charter and the laws of the State of Alaska, hereinafter called the "PERMITTER". WITNESSETH: WHEREAS, PERMITTEE is the owner of the following described real property: LOT 6, BLOCK 2, FLAT TOP VIEW SUBDIVISION NO. 1, according to the official records thereof, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTER owns and/or maintains the real property more particularly described as follows: A dedicated 60 foot right-of-way known as Staysail Drive located to the north, a dedicated 50 foot right-of-way known as Cange Street located to the east, and a dedicated 20 foot alley located to the south of Lot 6, Block 2, Flat Top View Subdivision No. 1, as shown on Plat #P-282, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTEE has placed fence and septic vent pipe upon the above-described real property which encroach(es) upon the PERMITTER'S dedicated 60 foot right-of-way known as Staysail Drive, dedicated 50 foot right-of-way known as Cange Street, and dedicated 20 foot alley. NOW, THEREFORE, it is mutually agreed between the parties hereto that: 1. The PERMITTER, acting through the Director of Public Works, hereby grants to the PERMITTEE the privilege of allowing their fence and septic vent pipe to encroach upon the PERMITTER'S dedicated 60 foot right-of-way known as Staysail Drive, dedicated 50 foot right-of-way known as Cange Street, and dedicated 20 foot alley, as shown on "Attachment A", included herewith. 22.6 u6.00 2. The PERMITTEE agrees forever to indemnify, defend, save and hold harmless, the Municipality, its officers and employees, from any and all lawsuits, claims or actions brought by any person for or on account of damage to property or injury, disease, illness or death of persons, including all costs and expenses incident thereto, arising wholly or in part from or in connection with the existence of, alterations, maintenance, repair, renewal, reconstruction, operation, use or removal of the encroaching , as placed upon the PERMITTER'S dedicated 60 foot right-of-way known as Staysail Drive, dedicated 50 foot right-of-way known as Cange Street, and dedicated 20 foot alley . 3. The PERMITTEE shall not assign or transfer any of the rights granted herein to another individual or company without first notifying and securing the approval of the Director of Public Works. 4. This Agreement and Permit grants PERMITTEE no interest in PERMITTER'S real property whatsoever, except only the encroachment rights described herein. 5. The PERMITTER reserves the right to revoke this permit upon twenty days (20) written notice to the PERMITTEE. The PERMITTEE agrees upon such notice of revocation, to move said encroachment(s) from the dedicated 60 foot right-of-way known as Staysail Drive, dedicated 50 foot right-of-way known as Cange Street and dedicated 20 foot alley in which it is/they are placed. Should the PERMITTEE refuse or fail to comply with said written notice, the PERMITTER, may without further notice to the PERMITTEE, remove or cause to be removed the encroachment(s), and the PERMITTEE hereby agrees to reimburse the PERMITTER for all costs incidental to the removal thereof. In addition to the mutual promises heretofore made, the PERMITTEE hereby promises to pay the PERMITTER a one-time permit fee of one hundred dollars ($100.00). IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seals the day and year first hereinabove written. Grantee: Grantor: MUNICIPALITY OF ANCHORAGE n 1, Ag�:=JGt., �� Ri t of Way Engineer 19982543-09/01/98 =v, 22.E"�lU�.CU STATE OF ALASKA ) )ss. THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this Wl, day of ca5 , 19if, before me, the undersigned, a Notary public in and for the State of Ala •ka, duly commissioned and sworn as such, personally appeared pnald Z 6-n) hnOt)r` , known to me to be the Right of Way Engineer for the Municipalit of Anchorage, Alaska, who executed the foregoing instrument, and he acknowledged to me that he executed said instrument as the free and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and that he was authorized to execute said instrument. WITNESS my hand aVTARY A seal on t day and year rst above written. PUBLIC in and or laska - My Commission Expires:91yCrisWen rn 4.2002 STATE OF ALASKA ) )ss. THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this sfti day of c e„ e , 19before me, the undersigned, a Notary P blit in and for the State of A aska, duly commissioned and sworn as such, personally appeared Notary 1 ; e3r„,./ � a rat• re jlc- I/, e known to me to be the individual(s) named herein who execute the foregoing instrument, and he/she/they acknowledged that he/she/they did so freely and voluntarily for the uses and purposes therein mentioned, and on oath stated that he/she/they was authorized to execute said instrument. WITNESS my hand and official seal on the day and year in written. n an or Alaska My Commission Expires-gi, � P,A 4.2002 this certificate first above 19982547-09/0.1198 2254Na100.i;uY s * 49 x 'j. 3 0 P.. . M. _�V RL % Ai � 11r. M0 A2,00 -W 660.00 ,V tat eq sro tu tz) "I Itszs Ik 0. % % % (j L-12 �O 4 Vt SURVEY TYPE C3 AS -BUILT .................. 8 0 PLOT PLAN 'IQ/- 14 Er ❑ LOT SURVEY RECERTIFICATION AS -BUILT und CI -tmhly 01 the Wilder or owner, prior to LEGEND hub Ek fack:fo set 1,0 1 und -_0 set It It the testions iron rebor 0 m 9 file •found 0 set • contlesic,lon. 10 verify proposed. building grade #6110livIl a a Iron pipe to Imbed Grade and ublitir C0AmcI10A* and to ditermine set W r lr�,cl s cross Cpp found' is or restrictions IPA enitifericir 01 any eassmems, oversin alum. Cop found set which do 061 Wtor on the recorded iubdiv,31011 Plot* 4 Sury cerlIfloclien p�/iRl1 13 L7 >::.;10 OF At 1-4 EIV aw AIC I?6W*tJrV .......1j,),4bycv§fyW4 - Icni.1 3urviyors arsd � - J� ur;t, talbod hocm, ar4 W We A, "''Ill S Co! 3. ISOWliii it WAV so - ,,I bf 1, Outs A11G.5. REJ Will vr; tj vok !r, P1044;'I'lif 4w'-s"t * " * ` a F ...... s, a% a,� 9�.! . !�.: I A 5,--1983 .etrm-A:Ve,t freloodhonew. 1 �4 __121cl s qi, % ,Uld that Vt .� Mimidpality of Anehorage �1 Department of Health and Human Services 825 "L" Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor htip:/lwwwb.anchorage.ak.us October 2, 1998 Jeffrey A. Garness, P.E. Alaska Water and Wastewater, Inc. 7320 East Chester Heights Circle Anchorage, Alaska 99504 Subject: Waiver Request for Lot 6 Block 2 Flat Top View #1 Subdivision Waiver Request #WR980070 Parcel ID #018 39130 HA980305 Dear Mr. Gamess: Your request for a waiver of the required 100 feet horizontal separation from the on-site wastewater disposal system to private well has been approved. The approved separation distance is 90.0 feet. This waiver approval applies to the existing on-site wastewater disposal system to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concems or questions regarding this waiver, please call our office at 3434744. Sincerely, &010ke- r n Daniel J. Roth �T�Y Civil Engineer On -Site Water Quality Program w ;rvd ooa W,9/VER REQUEST FOR 107' WAIVER REQ UEJ r VWMdER WR?800 u00/v/Slew w4lvEIR Requ6Sr FOR PA/ -Lor w6LL r0 TO oARLer sEPrle r4AlIC or 9oPiEr 5E00774 H/STORY- TWE SK BJEc r S E Prtc tnA t &`Af ComfrotkC7Fo /Ao, AUG• / 903, . T//r SEPT p, r"R /f A STEEL 1000 GRLIJA/ TANK, 2 Co•+IAmrmoAr; rl/ts SfFrrL 7MNK WA COwS7RwCTEO A./rl/ INVCKTS 0A/ rNE /AN-LCr-OurLEr Awo CLEgA v,, rj fol! use h.ITN I✓ArEK T1614r eP9APL/u(,1 r0 4rr,4CH )0/POS To 7/•(E YWAt', Tk! SEPTIC TAA'K IS cpA srAKr7ZP /0 SOMS /PATIO Af A 51LrY SAA�OY 6RA0et. ntarL.PFRCS Ar 24 MIv1iA,�f/y rHE TEsr Nate /s IL.S'FfPrDEEP, 774,&wELLI�ON /1Drv/M'A-6 LIT 8/TNwr rKll ro/L r*vr/r4L61'poweD Pot -A, Ta 3S FtEr rx/s Sort Is wary CONOUL/vE ro 7Rc,4r/ab 7-100. lK EPFLK4sr s.v A vg1fY ifm,Ar D/Sr/vA.EE, rNE AITEg /s RFL*+tly&LY FLAT &.v0 rNF_ AormLl. /S LOC*r&V ow 77,eE iAatL' //Ys7Rl►ALIC e#A-*ro,./t At THE SCPrsc- 7.4 A,19 Av QwssTrow- WELL Para - Tllt WFLI /.v 0WEs7710iv w#,S PAILLEP /A/ OL7- /!7B- TNiRO Is NO WELL LOB AvAiLA&E. A /4ECENr 9.61-L #Low r6sr Re-o6igLg0 /¢ TOr1/L PEPTNor OR 50&. 10 C14S60 A.CLL so f9FEEr- prK6R rs4r- I}REA APPEAR To VE IN g DEePER oFquieElq /90 ; A.E" f+A(PLEt /A/OICArE r/i/f IVE/bH60R/.v6 oft)PtR I'0'LL HIN N/r/ti:r6J o. .Irc My�f, 7'NE 5avr6cr S/vALur,bR wilt Hor-E✓BR Nl1r .v/rr.ol-A, oP 2 �,�f r//r ApTo/A..A.G Ot6PER w6LL H*.f A WELL 44* rH-4r I:,,LI er UJ9,0 Fox P„&r CA'LCcu LA77PA1 PuKP03lS, rNE P*sr P0 of rKIS bEL Lo(, CowrrsrS OF ?R/oµRltr SIL r wim 69,*vE[ T fRA�o rNrS "Wra slfiL Is E►rutK CO.VL/ANIN( rA(E 04"lPEA PRIM ruvp4CE CoNT/►MI.rATrON toe# r (it 9'U)OR o�sRlwG PAW / 904A.atE rleC*r7kxw7 or SEOTic Thw, EFPLIKF.vr POTE.wriAlLY REA=CIu—b TFlE �4Q„uasp LWA LlR TA0[e SEonc t4oLt'' — 37 sss r�r PERM /o- /car ' SO/L SoReTlow NNN /3/zt�i>�3� NYDRAuL/c GRAO/ENT �4.(iO)�' ^S r sss r�r PERM /o- /car ' rrr /3/zt�i>�3� NYDRAuL/c GRAO/ENT ASSKKE Ca�vs�K�ar/�E O� SEP/�R�r/dN >7isr��.cE W 19 leer C. R. PO/NTS 4.0 4.7 2.% 2.9 2.6 6#?o,vG rorAL 16.3 " �ONCLKf/oAl i £T IS rmli fivil 'EEIQS 86L/Er THAT r/ -!E mr*yor6 (tvr4 / Peg WELL /5 COMM/A+(, FRO•M dfF-S/rr ANV NOr TI4F_ SE/tic ro.V*IAI Qa ES 7-1 #.V. TK/S AREA MAX NRO ELfv/4TEO Alit?AN7-Sl fvR 4641 SoµE T/µ F_ A -*P . rA, PgcT TF(E N/TRAT63 FoR TH_r fuB cr t o w Ko+Y 22, n's 8./..911 AA00 roCAY r>trrAPAE s�My/l Alaska Water & Wastewater Consultants, Inc. 7320 East Chester Heights Circle—Anchorage —Alaska 99504 Phone (907) 3376179 — Fax (907) 338-3246 2S SeptemberZ, 1998 RECEIVED Municipality Of Anchorage Department of Health & Human Services P.O. Box 196650 Anchorage, AK 99519-6650 Attn: Dan Roth SEP 251998 Municipality of Anchorage Dept. Health & Human Services REFERENCE: Lot 6; Block 2; Flat Top View #1. Request the waiver from 1983 be re -approved for 1998. Per your direction, we are applying for a waiver of the separation distance between the septic tank and well which serve the subject property. The separation distance is approximately 90 feet, which was noted on the approved 8/83 inspection report. The encroachment has existed for over 15 years. There is no well log or history of any kind on the well serving the referenced property, but according to Alpine Drilling (Dave Harper, 345-0202), the well is drilled and cased to 59 feet. The only well log available is for the adjacent property (Lot 8, Bk 2), which appears to be tapped into a deeper aquifer. The nitrate levels for Lot 8, Bk 2 were .156 mg/l (sampled 8/25/97). There are no previous water analysis records, for Lot 6, Bk 2, to use as a comparison with the current water samples submitted. Recent analysis of the water indicated no bacteria, and nitrate levels of 5.6 mg/I. A sample taken on 8/7/98 indicated a nitrate level of 6.07 mg/l. In short, the aquifer that the subject well is utilizing has elevated nitrate levels. In the future, if nitrate levels were to exceed 10 mg/I, it would be necessary to deepen/case the well into the deeper aquifer. It is my recommendation that the subject waiver be approved with the standard nitrate advisory. If nitrate levels increase then the well should be deepened. This letter should accompany the Health Certificate. If you need additional jnformation, please contact us at 337-6179. M.S. DAILY PR LUNG LOG SYREN BROS. DRILLING, INC. (g8?OF I` PlTn ¢ 10N .. ...1 2701 Eagle Street Anchorage; Alaska 99503 t. • - JAN 31 IN46437 OWNER OF LAND.......___-''�.Z:v �i11L:ar±h_._......____._.._.._ DEPTH OF WELL__....__._.._S2.$..f:„L'.:t_. �.. � .•. �•� ADDRESS..A L.Qe._...A.X..SQ...O.��_.Q4.S11___»...____.......___._.._._. STATIC LEVEL OF WATER WELL—SITE......'. i.A.E.a....cal'.ut:r_..a%..10.18...Ulk...l..............._._ DRAW DOWN FT................................................................. _............._......._ _ -rlat-top View Sub. DATE-STARTED..._...5:).=?”-.=.7.5..........._..__._. .. GALS. PER nit _........3.Q.O.... (S...C:3llarmi...i?.x.r...P.-.w.invlt'.)........... DATE—ENDED ... .......... 1.0=25.-.7$ .... _.......................................................... KIND OF CASING....... L ....... :,rack. ... 3 ... 1.211... s.t.e.el....casing KIND OF FORMATION: FR05L.......... 0 ............ FT. TO ...... 8 ........ _....... FT .I'n...cla�j.,.5F. nd, sml gravel FROM ... ....... a ............ FT. TO. ..... 35. ... _....... FTla .i'l( ".,,::i=.'.!t'.�,.a.�ess claa..y FROM ........... 35 ......... FT. TO ... _.37. ........... FTz.ia'.v..el.,.c.1,n- bane FRO" ........... 3.7 ........ FT. TO ....... 3$Y......._ FTgTllel., ^la�!.,?i2'v' FROM ........... 38Iz...... FT. TO ...... 5Q........... FROM ........... 5Q ......... FT. TO ...... 65. ........... Frjri..:%?: G .... clay FROM ..........10.9 FT. TO ........ 1-01 ......... FT-Sz,-L...grauel., FROM.......... 1.01....... FT. TO.........tQQ........FT..s=l...grivel...clay (dry FROa1.......... .0.9 ....... FT. TO ........ 11B ......... FT.EMj.:. ;r1.Y.el.•.c1ay, wet FROM .......... 1.18....... FT. TO ........ 12.5. ........ FT-sra ...+;Zavol.,.C.layFlit ii G FROM .......... 12,5 ....... FT. TO ........ 12$ ........ FT..gr8Y.e1.a.wit^..wat�r a. sandy clay FROM.......................... FT. TO .......................... FT......................................... FROM ........ ..64 ........ ST. TO..._.C]7............ FTcar_d,.gra.y.... =Ly FROM .......................... FT. TO ............ .............. FT.. ............ .... .................... .- - FROM ........... 6.7 ........ FT. ..,rxz.al.pgnay FROM ..........................FT. TO Fr. c.iay ' FROM. .......... $Z ........ JT. TO.......15..... _.._... FT "_'1..z,ra.Y.e.1.1.01ay FROM .......................... .......................... .............. ................. _..... FT. TO .......................... FT......................................... ' HyJ FROM ........._3.5. C .FT. TO...... �Q.............. FT.:x:,�.�.....`...%:=4.`.�C.l�.-I a� (r1ry) FROM .......................... FT. TO .......................... FT_....................................... FROM .......... QQ........ FT. TO ...... 27.._ .......... FT:.iA..1...",Lx..X£.Z.�.C.1%1:/ FROM .......................... FT. TO .......................... FT. wet ........... _........................... FROM...........O� 7_.......FT. TO. ..... 99 ..... _....... FT.^-=L..graxel,.clay FROM ....... _................. FT. TO .......................... FIT ................... ................... ' MISCLINFORMATION: Firut water, a gallon per Rnute in clay, not suitable for a well. Second water, 1 gallon per minute, too much clay for a well. �� .. DRILLERS NAME ........ RQ.reit...Dj.... Syren...... ............... _.................... _. - . II I I I I III I STARBOARD LANE _ III UNDEVELOPED L07 I SERVEO AND PUBLIC I I WATER ANO SEWER 1 J L_ -i - -J he STAL/VE_\ IIIIIIIII fE9uD UPUc I • ` �I I I I WATER AND SEWER EX STING SEPTIC > 71 I D I APPROXIMATE tOCA I \ J OT EX6RNC SEPTIC S/STEM PER AS -BUILT — — Q SURVEY AND MDL RECORDS. _ En SYSTEM INSTALLED 1968. \ Z 20' ALLEY PER OWNER. UNDOCUMENTED < CLASS 'C' WELL SEAVINO I 'SURVEYORS EXCwWGC I ANO RESNENCE ON LOT B. N I M1 N W I I BLocx 2. MT TOP NEW /1. LOT 0�' Y% ,` 9 O•�` ` ,`TERJED BVP VUBUC WATER AND SEWER I , Wfll Rows DE ARMOUN ROA[4 \ _ _ •� _ _ _ �1 _ — -- — — EEXISTINcL L pWA'Ei�L OC/ATION N.Ell IS N01•�N USE (PEF OUER). I I III I I I III I t ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 8 7320 E CHEM HEIOHM CIRCLE. ANCHORAGE. AK 09504....... ••.... E1 PHONE: (907) 337-0179/FAX: (907) 330-3248 v �.1 GAL DESCRIPTION: '_E 49 FLAT TOP VIEW SUBDIVISION, LOT 6, BLOCK 2 �..:....... �. �I..:..; SITE PLAN REIJO VANA DRAWN UY: 8/26/98 A.C.G. 345-4351 1 = 100' I 1 OF 2 MUNICIPALITYOFANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 89501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE UNEW S i PGRADE MAILING ADDRtS. ['� kvCk? -9q LEGAL DESCRIPTION LOCATION NO BEDROOMS Y DISTANCE TO: Well /✓ Absorption araC 1 Dwelling �� PERMIT NO. N O Y .7 EQ Manufacturer .6 r— Material No. of compartments N~ Z Ltq c p� 6 gallons I IF HOMEMADE: Inside length Width Liquid depth dpZ DIS((TJJANCE TO: Well Dwelling PERMIT NO. S?FQ- Manufacturer Material Liquid capacity in gallons W = DISTANCE TO: Well aD / Foundatio R.� _ /1 Nearest lot line c J PERMIT NO. f2 W No. of lines Length of ee li / Total len h 1Aet Trance wt Distance between Wiles Inches F Top of lila to finish grade Material beneath tila Total effec i rpt' n area D InchesY'.'}' W Length Width epth PERMIT NO. a d L- Mo. Type of crib Crib diameter # ib depth Total effective absorption area to DISTANCE TO: Well Building foundation Nearest lot line J J Class epth Driller Distance to lot line PERh11T N0. W DISTANCE TO: W di foundation Sewer line Septic tank Absorption area(s) OTHER '1 N PIPE MATERIALS SOIL TEST RATING Z SU INSTALLER uc 5r REMARKS Ar ••• •••' f71Q f. or •' ..7 =• ftobert•A•shofer +"� •. a I UFESSM L_ APP D D E LEGAL `JOINEERING UN �7 t N I M, 7 IY.ALE RIVER. ALASKA 69577 )91111 I .., ono r: , O SOILS LOG MUNICIPALITY OF ANCHORAGE • arI DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L Street, Anchorage, Alaska 99501 2644720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: Ca Al 5Tt2(IC7r70r —DATE PERFORMED: �'3—83 LEGAL DESCRIPTION:r _ r L_ AT 1 v � V i nco �' t-3(—,<. Z 47- 6, ®C"P-1 I IG SLOPE SITE PLAN 2 "1a 3 v v 4- 5-0 5 0 7 8- 9 9 bt `0 10- 11 0 11 A $JLT"! SKINOY & ,C A4C L (6m) Z5-0 A( 12 r -'A c i 1 G " • icbertA. Sho o. '., N1457E 14 ' C •• e. 15 {o t 01> ORCFE', 16 17 18 19 20 M Ii WASGROUNDWATER �/� S ENCOUNTERED? L lJ O ?0 .•�� IF YES, AT WHAT E DEPTH? ti. � JACLE Reading Date Gross Time Net Time Depth to Water Net Drop S" / 13 63t • r1 o z- o: up/2-T 1- 3 o: n o 13 teo,A 13g" 8 " PERCOLATION RATE Z ! (nynutes/inch) TEST RUN BETWEEN 7 FT AND 87 FT PERFORMED BY: . S St :1 ElGINEERING CERTIFIED Ono I"A tee= RIVER. ALASKA OW7 ' PH. 604-2970 72408 (e/79I — . ----. ••1J LJ SOILS LOG MUNICIPALITY OF ANCHORAGE ,�{/ • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L Street, Anchorage, Alaska 99501 2643720 /// �J SOILS LOG — PERCOLATION TEST PERFORMED FOR: diolLy � KnDATE' PERFORMED: / 71-2,43 LEGAL DESCRIPTION: �/� J �I•,V� I/�PI�/ r / //W.0 �� „! �] �(!J z sli hily zOLnd s s br0 J pw, �l ,l t .tom Dere Pf� l 7 8 9 10 11 12 13 14 15 16 17 18 19 20 PERFORMED m Far y,SIVy,� _ WAS GROUNDWATER S /��� ENCOUNTERED? L O T WHAT A�//'�/� hn.o�✓�/i E / / PERCOLATION RATE (minutes/inch) TE2T1RUN BETWEEN FT AND f5ye FT CERTIFIED BY: DA ?zoos (sng) V//GG C wrim / / PERCOLATION RATE (minutes/inch) TE2T1RUN BETWEEN FT AND f5ye FT CERTIFIED BY: DA ?zoos (sng) V//GG C ALASKA OIIUiIlOnunTAL conTROL SRUS, Inc. Engineering b Environmental Studies PERCOLATION TEST DATA SHEET CLIENT �'1GVU I\I��� DATE :112918, ADDRESS ' ZIP CODE LEGAL LOCATION TOTAL DEPTH OF ZONE TESTED :2 ft TO ,/Z ft TH 0 Intl 6O✓Y V]N f n . READING 0 CLOCK TIME NET TIME DEPTH TO DATUM NET DROP RATE (min/in) -rHzOQI79i/!. 10:0b :sly /0m1*17. • Ov lOrni/I :6a77 eoz +H2b 4: 0 /771,7. 75 �O' /Omiv7. •7z .0 FINAL PERCOLATION RATE / LD O (min/in) PERFORMED BY Tphn 6rd-gs, MO 5j83 - OWA 1200 West 334 Auenue. Sui:;•,P• Anchorage. Alaska 99503 • (907) 276.1361 Alaska Water & Wastewater Consultants , Inc. 7320 East Chester Heights Drive — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers September 4, 1998 Mr. William R. Rieth, P.E. Alaska Department of Environmental Conservation Division of Environmental Health Drinking Water and Wastewater Program 555 Cordova Street Anchorage, Alaska 99501 Attn.: William R. Rieth Reference: Flat Top View S/D #1, Lot 6, Block 2 Subject: Waiver of separation distance between the septic system serving the reference property and the well located on lot 7, block 2 Flat Top View S/D #I which reportedly serves lots 7, 8 and 9, block 2, Flat Top View S/D #1 ("Surveyors Exchange') Dear Mr. Rieth: The referenced property has a 3 bedroom house, served by a private well and septic system. The septic system was installed in the summer of 1983. Per municipal records, the existing septic system consists of a 1000 gallon septic tank followed by a 12.5 foot deep, 45 foot long absorption trench. The inspection report for this system states that this system was installed 100 feet from the well located on lot 7, however, our field measurements determined the distance to be approximately 90 feet. It is reasonable to assume that the well is in fact an undocumented class C well which serves a private business "Surveyors Exchange" located on lots 7 and 8, and a single family residence located on lot 9, block 2 Flat Top View S/D #1. Unfortunately there is no documentation (well log) in the ADEC or MOA files for the well located on lot 7, however, a well log was obtained from the MOA files for the well located on the adjacent property lot 8, block 2, Flat Top View S/D # 1. The well log for this well indicates that the aquifer is confined by clay layers between the depths of 35 feet and 128 feet (see attached well log). We are requesting a separation distance wavier between the septic system serving the referenced property and the undocumented public well located on lot 7, block 2, Flat Top View S/D. We feel the waiver could be granted without causing any adverse effects to the referenced well based on the following: 1) The well reportedly has been in use for the last 40 years and to date has had no known influence to the aquifer from surrounding septic systems based upon the current water analysis (see attached water analysis by Cr & E Environmental Services). 2.) As can be seen from the well log for the well located on the adjacent lot, lot 8, block 2, Flat Top View S/D #1, the aquifer is confined by numerous clay layers which would prevent effluent from migrating into the aquifer (see attached well log). 3.) The septic system located on the referenced lot has recently passed an adequacy test (last tested on 8/19/98) and meets municipal absorption requirements for a three bedroom house.(see attached septic adequacy test data). 4.) The existing septic system serving the referenced property was installed in relatively tight soils. Per municipal files, the absorption trench was installed in a tight silty sandy gravel (GM) with a percolation rate between 19 and 24 minutes per inch. This poorly permeable type of soil would further impede the horizontal migration of effluent towards the well (see attached soil logs and septic inspection report for lot 6, block 2, Flat Top View #1). 5.) The sell of the house is contingent on obtaining a Health Authority Approval (HAA) from the Municipality of Anchorage which first requires a separation distance wavier from your department. Request that your department expedite this waiver request so we can proceed with obtaining approval form the MOA. If you require any additional information for your review please contact me at 337-6179. incerely 09fttv, k f James P. Williams, P.E. Sr. Civil Engineer . S� (1 (�' U / i TONY KNOWLES, GOVERNOR v LU 11 �` DEPT. OFENVIIIONMENTALCONSF.RVATION FL1A�iD DIVISION OF ENVIRONMENTAL HEALTH / DRINKING WATER and WASTEWATER PROGRAM 555 CORDOVA STREET Telephone: (907) 269-7519 ANCHORAGE, AK 99501 Fax: (907) 269-7650 http://wwwstate.ak.us/dcc&ome&tm September 16, 1998 Mr. James P. Williams, P.E. Alaska Water & Wastewater X07320 East Chester Heights Dr. Anchorage, Alaska 99504 Re: Waiver of Separation distance between the septic systems and the Well on Lot 7, Block 2, Flat Top View SM #1 near "Surveyors Exchange" ADEC # 9921 -WW -251-354 Dear Mr. Williams: I received the submitted plans and information related to the Drinking Water Well on lot 7, Block 2, Flat Top View S/D # 1, to be used to allow a waiver of the separation distances between the wastewater systems on Lots 5 & 6 a distance of 90 feet or more near the comer of DE Armoun Road And Cange Street in Anchorage, Alaska. This waiver of separation distance is granted for up to 90 feet horizontally, per your plan. Please proceed with your plans, and be sure to conform to any and all local codes or ordinances. This approval does not imply the granting of additional authorizations, nor obligate any state, federal, or local regulatory body to grant required authorizations. Any future expansion of the subject project will require additional approval from flus office. All future correspondence should include the above assigned project number. WRR/cf Respectfully, William R. Rieth, P.E. Environmental Engineer Stj(2-\)C� f3xe,wA,J r4--- wr--0 V&'I- I L�G CT&E Environmental Services Inc. CT&E Ref.N Client Name Project Name/K Client Sample ID Matrix Ordered By PWSID 984750002 AK Water & Wastewater Consultants Inc. N/A Surveyors Exchange Drinking Water 0 Client POA' Printed Date/time 09/01/98 18:34 Collected Date/Time 08/25/98 16:00 Received Date/time 08/27/98 11:20 Technical Director: Stephen C. Ede Released By Allowable Prep Analysis Parameter Results POL Units Method Limits Date Date Init Total coliform 0 col/t00m1 SM18 92226 08/27/98 KAP Nitrate•N 0.156 0.100 ag/L EPA 300.0 10 arx 08/27/98 08/27/98 RMV APPLIO"VT FILLS OUT UPPER HALr"ONLY Time Time�meA I e ClC, Property Owner / , r �( /o// C• / ✓ Phone Mailing Address `' �. „/r 21p Code -7 lKy e9 Buyer Inspector Address YJ1 ) //V)/ 1 ., f. /. r; zip Code Inspector Lending Institution _ / ,I/ / ` Phone Address %1 �! i r S�✓v l X�J e74ilp Code r�.-..e!. ( -G. ,!y Beatty Co. a Agent�J , /-/_ vv� /� �J C-:1�iI Jli� �'r�' yL r r'7 i Phone 44 / G '� ! MUNICIPALITY OF ANCHORAGE Address zllpcode Legal Description ✓.j/ / �) L,i�� f /GAJ �P4/ / C.d rB^r- Street Location Type of Residence (-3t APPROVED BEDROOMS 'CONDITIONS OF APPROVAL I ( I DISAPPROVED ( I CONWICNAL APPROVAL* Cl/Single Family ,10` Multiple Family No. of Bedrooms DATE ❑ Other BY: Water Supply Soils Rating Date Sewer Installed Wail To Absorption Area ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. IffIndividual Community For wells drilled prior to that date, give well depth (attach log If available). ❑ Public Utility - Sewer Disposal V Individual Year Individual Installed: ❑ Public utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time�meA I e ClC, Date Date Date Date L Inspector Inspector Inspector Inspector P>s<<44 Field Notes: 44 / G '� ! MUNICIPALITY OF ANCHORAGE I7� 6-n.0 'Q 9 ,T„19 af DEPT. Pt. ENVIRON?A_NTAL PROTECTION .JUN 301 C.d rB^r- MUNICIPALITY OF �AI{N,{CL�HORAGE ENNRf jft- r`Yc �`` Y"ti:DON (-3t APPROVED BEDROOMS 'CONDITIONS OF APPROVAL I ( I DISAPPROVED ( I CONWICNAL APPROVAL* RECEIVED DATE BY: Soils Rating Date Sewer Installed Wail To Absorption Area Well Log Received 1 ^V Well to Tank Septic Tank Size rzms Pen ALASKA MUIROWWAL COnTROL SCS CCS, InC. Enqineerinq 6 Enuironmental Studies A4. `NT Ham( HOTpk9GF JU P,pOTEC` C 2 2 1983 VED JULY 21 1983 DON & MARY NOLL 3713 E. 9TH AVENUE ANCHORAGE AK 99504 SELLER — GARY NOLL BUYER—REIJO VA`tA SUBDIVISION—FLAT TOP VIEW #1 BLOCK -2 LOT -6 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A SEEPAGE PIT WITH AN AREA OF 360 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 40 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 40 GALLONS. THE SYSTEM IS UNACCEPTABLE BECAUSE THE SURGE CAPACITY IS LESS THAN 75 GALLONS. THE SYSTEM IS NOT CAPABLE—OF—ACCEPTING 450 GALLONS OF WATER PER DAY. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. ;E _F _AC _,' Er%Y C. Reid, J% o. 2231-E pROFESSI�NP� 1200 West 33rd Auenue, Suite B • Anchorage, Alaska 99503 • (901) 216-1361 �l ' - DATE RECEIVED INSPECTION APPOINTMENTS �/ TIME TIME TIME DATE DATE_ OAT G INSPECTOR INSPECTOR INSPECTO CK Three ❑ Six 7. WATER SUPPLY MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & \ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEIf "ONMENTAL Pf,OTECr10N 825 L Street • Anchorage, Alaska 99501 1 MAR 2 6 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-0720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete alt parts on page 1. Incomplete requests will not be processed. Please allow ten (101 days for processing. 1. PROPER YOW ER PHONE ❑ PUBLICUTILITY MAILI GADDRESS W jr :46 0r - /G -57 7911 PROPERTY RESIDENT (If different from above) PHONE r O3 s .0QD 2. BUYER N MAILING ADDRESS 3,-713 3. LENDING INS TUTION / PHONE MAILING ADDRESS 4. RE T /AG �o` PHONE -3 Y9-q_2_ r a MAILING ADDRESS 5. LEGAL DESCRIPTION z/(O/ OC STRE T LOCATION �/ O C /Ole UAd 1 6. TYPE OF RESIDENCE NUMBER OF,6EDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY CK Three ❑ Six 7. WATER SUPPLY INDIVIDUAL' *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM Jia INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATED. 7Z 0I0 (Rev.6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLICUTILITY Connection Verified PERMITNUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED �1 / �— INSTALLER ❑Sep icTrjkor ❑Holding Tank Size: b If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line - 5. COMMENTS ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) t5 --DISAPPROVED ' DATE �(-1,7—� ( BY �c 72010 (Rev. 6/79) I ATkunicipaflity of Anchorage April 2, 1981 i`+ 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Nell Clayton Post Office Box 10-2016 Anchorage, Alaska 99511 Subject: Lot 6 Block 2 Flat Top View Subdivision R1 Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. (2) A four(4) inch cast iron cleanout needs to be installed to the seepage pit. This will need to be reinspected by this office. (3) An adequacy test was performed on the existing sewer system approximately,3� years ago. The system, at that time, was not adequate. Therefore, an upgrade will be necessary. Prior to the upgrade, a permit will need to be issued by this department. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska National Bank of the North % Jennifer 3301 C Street - Calais II 99503 MUNICIPALITY OF ANCHORAG� +.r. DEPARTME" OF HEALTH AND ENVIRONMEN PROTECTION r 825 L Street, Anchorage, Alas..a 99501 Lo-fl 279-2511, ext. 224 or 225 q to 1)-,,SS Date Received: _juRe 99 1877 1,1: Time4m. #2: Time �:[]ra qn1MRn _ #3: Time 1/:t Date f,�fJYI Date _L_d5__1] ///cS Date 9-11-77 LL)z- Insp Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Peoples Bank and Trust Mailing Address: Pouch 7-007 99510 Phone: 279-7511 2. Property Owner:' Daniel J/Vickie Lee Tucker Phone: 344-7455 Mailing Address: 3. Legal Description: Lot 6 Block 2 Flat Top View Subdivision #1 4: Single Family Residence: (x) Number of Bedrooms: three Multiple Family Residence: ( j Number of Bedrooms: S. well System: Individual Well (X) Community/Public System ( ) Permit # Depth of Well Well Log on File ( ) Construction Bacterial Analysis 6. Sewage Disposal System: On-site System (Z) Public Utility ( ) Permit # Installed Installer Septic Tank Size Manufacturer Absorption Area Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line 6/20/77 \ MUNICIPALITY OF ANDO`.i.3'_ MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION LNV:'n NaE rL;L F::CiCC11Cy 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 JUN u u 1517 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES RECEIVED 1. Type of Inspection: VA FHA CONV x 2. Property Owner: TUCKER, DANIEL J. AND VICKIE LEE Mailing Address: Day Phone: 344-7455 3. Name of Buyer: CLAYTON, John B. and Nell S. Mailing Address: 1130 E. Bluff, Apt. 506 Day Phone: 272-1541 (Polar Realty) 4. Name of Lending Institution: PEOPLES BANK & TRUST COMPANY Mailing Address: POUCH 7007, Anchorage 99510 phone: 279-7511 5. Name of Realtor or Agent: POLAR Real Mailing Address: 101 E. International Airport Rhone: 272-1541 6. Legal Description: Lot 6, Block 2, Flat Top View Subdivision No. 1 Location:_ (DeArmoun Road area) NRN Rocky Road 7. Type of Facility to be Inspected: single family No. Bdrms. 3 B. Water Supply Type of Supply: Public Utility Individual x If Individual, number of dwellings presently served one If Individual, depth of wel 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) x If Individual, date of installation 72.00313/76) 9 PagQ Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Comments: Lot 6 Block 2 Flat Toa View Subdivision Affadavit Attached: ( ) Letter Attached: ( ) Approved: Date: Disapproved: Date: Departure ksheet: If t4 C�-6 LA- �s� �V September 14, 1977 Peoples Bank and Trust Pouch 7-007 Mortgage Loan Section Anchorage, Alahha 99510 F Subject: Lot 6 Block 2 Flat Top View Subdivision Enclosed are the papers you requested. The sewer system was approved on May 5,11972. Because the system has been in operation well over two(2) years we would ask for a percolation test to see if the sewer system is adequate. Because the percolation test failed, we would not send our approval to any agency until an upgrade has been completed. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Sanitarian RCP/ljh r�. August 26, 1977 Peoples BAnk and Trust Mortgage Loan Section Pouch 7-007 Anchorage, Alaska 99510 Subjects Lot 6 Block 2 rlat Top View Subdivision Q1 Daniel Tucker Property The perc laden test run on the subject property failed to meet the adequacy test. Therefore, before this department can send approval to the lending institution, an upgrade of the sewer system will be necessary. Prior to any construction to upgrade the system, a permit must be obtained through this office. If there are any further questions, please contact hiss office at 279-2511, extension 274 or 225. Sincerely, Robett C. Pratt, R.S. Sanitarian RCP/ljh n Municipality of Anchorage POUCH 6 650 ANCHORAGE, ALASKA 99502 (907) 279 2511 GEORGE M SULLIVAN. MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (825 ••L•• SneeO � G'r t• ;��ZtCts June 28, 1977 Peoples Bank and Trust Mortgage Loan Division Pouch 7-007 Anchorage, Alaska 99510 StA B t:�r7 Subject: Lot 6 Block 2 Flat Top View Subdivision #1 Before this department can approve the above subject property for the sewer and water facilities, we will request a percolation test be performed on the subject property. If the seepage pit is not adequate for a three (3) bedroom residence, then an upgrade will be necessary. Please read the enclosed instructions. If there are any further questions, please contact this office at 279-2511, extension 224 or 225. Sincerely, �z•(. Robert C. Sanitarian RCP/ljh cc: Daniel Tucker % Polar Realty 101 East International Airport Road Anchorage, Alaska 99502 r n MUNICIPALITY OF ANCHORAG.. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Instructions for On-site Sewer System Test The Department of Health and Environmental Protection has been requested to evaluate and approve the sewer facilities serving your property. When your sewer system consists of an absorption pit and possible septic tank, standpipes are required to provide access to each component of the system. Older sewer systems which have septic tanks not documented by an installation inspection must have the manhole exposed. In order to evaluate the sewer system, an absorption rate test is required. The test is conducted by using one (1) of the following two (2) methods. Your inspector will note which one to use. A. The addition of fresh water to the seepage pit and measuring its rate of absorption over a twenty-four (24) hour period. The homeowner has the responsibility of ordering 1,000 gallons of fresh water by contacting a cesspool pumper and requesting the water delivered at a specified time, excluding Fridays. The delivery time MUST BE correlated with the department to insure an inspector is present during the test. The 1,000 gallons of water is discharged into the seepage pit, the septic tank pumped for maintenance purposes and to insure the pit test is not affected during the twenty-four (24) hour period. B. Seepage pits which are nearly full must have ONLY the SEPTIC TANK pumped twenty-four (24) hours prior to conducting the absorption rate test on the pit. The pit test will be conducted by the cesspool pumper bringing 1,000 gallons of fresh water to the site. Five -hundred gallons of sewage will be removed from the pit, measurements taken and the pit filled to the maximum crib height using the five -hundred gallons removed plus a portion of the 1,000 gallons as required by the inspection. Correlation of the cesspool pumper truck and the department to insure an inspector is present during the pit test is the responsibility of the homeowner. In instances where the sewer system consists of a septic tank and drainfield, this department must be immediately notified and the septic tank exposed for documentation. An alternate method of testing is required and will be explained to you. The Health & Environmental Protection Department, Sewer and Water Section, phone number 279-2511, extension 224 or 225. Requirements needed when calling are the legal descritpion, day phone number, and complete directions on how to get to the property. Any further questions or information needed, please contact this office or come to our offices at.825 L Street, Fourth Floor West. 1/77 rev. 3/77 GRED 'R ANCHORAGE AREA BOR` IGH Department of Environmental Quality .' 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME 0429AI 100/1!s MAILING ADDRESS -V-"o 144 E ✓e-'ee" PHONE 'CLICKt nrnTlnnl /Al /."/ Lc.-L'E/J.t"/%?!'[4t/ LEGAL DESCRIPTION //'T- Z - -'Ie --- ��! T-' SEPTIC TANK: DISTANCE / NUMBER OF / FROM WELL ��' �` MANUFACTURER %/.f'F- e"'� MATERIAL �L''4C"iG'E7� COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY /&`� GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER _—OR WIDTH LENGTH �� DEPTH— LINING �^Ic / LINING MATERIAL -E e4d 4444 SIZE: DIAMETER DEPTH_ DISTANCE FROM: WELL -/--2"//— -// TOTAL EFFECTIVE / BUILDING FOUNDATION�v NEAREST LOT LINE _'`��` ABSORPTION AREA (WALL AREA) ll' SQ. FT. C"577. ADDITIONAL ABSORPTION WELL: TYPE CONSTRUCTION CONSTRUCTION DEPTH Eo / DISTANCE FROM: BUILDING / NEAREST / NEARESTSEPTIC / SEEPAGE i FOUNDATION %O LOT LINE la SEWER LINE �� TANK /ro SYSTEM'� CESSPOOL � . OTHER SOURCES NA APPROVED DISAPPROVED DISTANCES: INSTALLED BY: PIPE MATERIAL: 41 11 l/T LOT SLOPE: Xldde"F REMARKS: el'c"'ayeL-' !e� Form PW026 REMARKS DIAGRAM OF SYSTEM tE/iY -,eve FFI T/✓9/tE�i 14 v cY Uzi µiOTE.0 t/.VE SruB fO,C T.CSaiLEiP/ � 'u DATE 'V- i -c APPROVED J/rnv ' c GLS -r G.A.A.B. J C• / �, / � :.. ... j% � � _ - � � � M, - _ �; , �1 , !�' �� _- -� _--- ,..'.�A .. .. �. I . GREAi'ER ANCHORAGE AREA BoR..LJGH • DEPARTMENT OF ENVIRONMENTAL QUALITY ISOO TUDOR ROAD POUCH 6.650 ANCHORAGE. ALASKA 99302 TELEPHONE 279.6686 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT I ju EI LI 4 1 L MAILING ADD] INSTALLATION LO CATIONTl LEGAL DESCRIPTION 1� z GQ L-1EleZ A PERMIT NO. .L.J1L3L- INSTALLATION OF: SEPTIC TANK t_SEEPAGE / PIT � DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED � b M J 1 o.- , FINANCED THROUGH TO BE INSTALLED BY Z3 SOIL TEST RESULTS �/ NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED Ste""'"r�- /� ` FINAL INSPECTION. 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD / SEPTIC TANK TO SEEPAGE PIT WALL /e; - SEPTIC TANK ol SEEPAGE PIT "" DRAIN FIELD TO NEAREST fQ INE./7•y�& �O SOM•n�,<< , 7,r �I WELL TO SEPTIC/TAN HA% s0 SEEPASEP���q//�" DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK /n / SEEPAGE PIT DRAIN FIELD SEPTIC TANK. SEEPAGE PIT le DRAIN FIELD TO RIVER. LAKE. STREAM. AREA SIZE TYPE CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION B FEET AaTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHO TY V OR LICENSED DESIGNER 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEMrIS IN ACCORDANCE WITH SAID CODE. DATE `' ✓J 7� APPLICANT'S SIGNATURE DIAGRAM OF SYSTEM AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE GI ry?ER ANCHORAGE AREA BOROUL 4.• DEN �"1ENT OF ENVIRONMENTAL QUA Y CASE 9 3500 TUDOR .ROAD ' f ANCHORAGE 99502 Performed For a r. Tuckar Date Performed 7/7/72 Legal Descript on: Lot�B ock 2 Suld v sion Flat Ton View. This Form Reports Soils Log_ y erco at on 7est Depth Feet Soil Characteristics ' 1 Grayish Silt (AIL) j N 2_. Silty Sandy Gravel (GM)� f 4— �W �' }�- -- y I I 7_ Sandy Gravel (GT)14 0—m- %� 10— 10— Was f Was Ground Water Encountered? No 00 If Yes, At What Depth? 1 Reading Date Gross Time Net Time Depth.to H2O Net Dro erco at on ate minute Proposed Insta atll o c Seepage Pit y Drain Field Depth Of Inlet Depth To Bottom Of Pit r Trenc COMMENTS:_ iFF , f+ rnr hnArnn 1 l ft I es er orme y L. Fit�natrick a a er 1 le y: Na[ionnl Tes[in� - Date