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Home My WebLink AboutTHUNDERBIRD HEIGHTS BLK 1 LT 4Thunderbird Heights Block 1 Lot 4 #051-721-02 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131058 PID Number: 051-721-02 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade Name: DAVID & CHRISTINA MORRISON ABSORPTION FIELD - EXISTING ® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address PO BOX 671443, CHUGIAK, AK 99567 ❑ Other Phone Number of Bedrooms Soil Rating. Total depth from original grade 3 -- GPD/SF -- Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade -- Ft Gravel depth beneath pipe __ Ft Subdivision Block Lot THUNDERBIRD HEIGHTS 1 4 Fill added above original grade -- Ft. Gravel length -- Ft. Township Range Section Gravel width -- Ft. Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist, between trenches From Tank Field Tank Line -- Ft' -- Fl. Well 200'+ 200'+ -- __ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 1 1000 Gal. Surface Water 100'+ 100'+ -- __ Material STEEL Number of compartments 2 Lot Line 5'+ 10'+ __ __ NA Foundation 54 10'+ _ __ LIFT STATION Manufacturer Capacity Curtain Drain NA "50'+ NA -- ----------------- Gal. Remarks Existing septic tank decommissioned Pump on level at in. Pump off level at in. High water alarm at in. per code. New tank insulated. S/D served by public water. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034 D3034 Installer JRs / Flintstone dTainkto field Drainfield -- CO/MT -- Inspector ARCTERRA BENCH MARK (Assumed elevation) 100 ft Inspection 1� 5/20/13 5/20/13 Location and description dates: 2nd 3r° a"' Garage slab COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL o��►\ r Conditional Approval: Date OF A } , aCE ?its Approved Approved Date Inspection Report -9-1-12 copy.doc AS -BUILT TANK DETAILS/SITE PLAN , , , THUNDERJ3IRD HEIGHTS B1, L4 15' POMRUNE EASEMENT LOT 4 27.584 S.F. LOT 3 N SHED 0 SUM 10% A -C=44.8' B -C=16.8' A -D=46.0' B -D=22.2' 99.4( 0 SEPTIC va OF.AL��' 1 TH KLWMTH M. S., CE -7116 $ j AW \ '• SSIOt3QY Aw N I-MrIIld LOT 5 SCALE, NTS 3,BR + RE�ENOE Permit, OSP131058 PID# 051-721-02 EXISTING TRENCH PREPARED FOR; DAVID & CHRISTINA MORRISON PO BOX 671443 CHUGIAK, AK 99567 FIELD BOOKS COMMM: BOUNGARr..BOUNDARY ORANN: KMD STAKMQ. STAKING -CHEc%EO: KMD ASBUar. LANG OAS' 5/20/1 OM. FILE: GM. NW1865 ACAo n' FILE JIB Na: 13-123 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP131058 Tax Code Number: 05172102000 Work Type: Septic Permit Effective Dates: April 23, 2013 to April 23, 2014 Design Engineer: ARC TERRA CONSULTING INC Subdivision: THUNDERBIRD HEIGHTS Site Legal Address: THUNDERBIRD HEIGHTS BILK 1 LT 4 GA 865 Owner/Address: MORRISON DAVID G & CHRISTINA L PO BOX 671443 CHUGIAK AK 995671443 Site Mailing Address: 25122 THUNDERBIRD DR, Chugiak Lot Size in Sq Ft: 27564 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By MUNICIPALITY OF Community Development Department Development Services Division --� On -Site Water & Wastewater Program ANCHORAGE Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-721-02 Property owner(s) DAVID & CHRISTINA MORRISON Day phone Mailing address PO BOX 671443 CHUGIAK, AK 99567 Site address 25122 THUNDERBIRD DRIVE CHUGIAK AK 99567 Legal description (Sub'd., Block & Lot) THUNDERBIRD HEIGHTS BLOCK 1, LOT 4 Legal description (Township, Range & Section) Lot Size 27.564 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) Septic Tank ® Upgrade (w/wo ADU) (D) ❑ Holding Tank ElRenewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Permit/Rush Fees: X00— -rxw%k Q* Date of Payment: � 11%I1 3 P�n Receipt Number: 001S534`1 Permit No. C6? j b j OJS SCIMITAR TANK copy.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. a �EZCTERRq „ :i 'ya R 5,✓CNSUL eBNG,��a l� April 16, 2013 ARCT 1CRRA CONSULTING, INC 212E. 51' Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Tank Upgrade Permit — Thunderbird Heights Bl, L4 The owner has requested we proceed forward to obtain a septic permit to upgrade the failed septic tank on the subject lot. The proposed upgrade will serve the existing 3 -bedroom house. The adjacent lots are served by public water as noted on the design. There is no surface water within 100' of the proposed tank. We do not expect there to be any adverse effect on adjacent lots by the development of this tank. If you have any questions, please contact me at 868-3792/FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Attachments: On -Site Sewer Application Wastewater Absorption System Details /Site Plan 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLA SUB] NO PUDLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. ND PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. OF * 9 TH* 0 KENNETH S.,/ Atv -WC /7111} / 43 Aw �F'E39IOK= DESIGN DETAILS PAGE 1 OF 2 DECOMMISSION EXISTING SEPTIC TANK PER CODE INSTALL NEW 1000 -GALLON SEPTIC TANK INSTALL FCO AND POST TANK COs - CONNECT TO EXISTING SYSTEM NOTES, 1. INSULATE TANK IF <4' COVER. 2. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 3. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS & SEPTICS. PREPARED FOR: DAVID & CHRISTINA MORRISON PO BOX 671443 CHUGIAK, AK 99567 FIELD BOOKS ICOMPUTED: BOUNDARn80UNDARY DRAM41 BMW SwaNG: STAKING CHECKED: KMD ASDUILT: i Anir DAIS: A He /17 DWG. FILE GRID: NW1869 ACAD FILE` FILE ""m; 13-123 WASTEWATER DISP❑SAL SYSTEM DETAILS THUNDERBIRD HEIGHTS Bl, L4 A+ i4 S.F. 3, x 10.0, :D OF Z4 * TH� *,/ KENNETH M. D .� CE 7116 �a I' y�/ OFESSIOSIQ�' �``-ft:40, PREPARED FOR: DAVID & CHRISTINA MORRISON PO BOX 671443 CHLIGIAK, AK 99567 FIELD BOOKS COMPUTED: BOUNDARY. E30UNDARY DRAW BMW sTfa STAKING mmxm: KMD AssU" LANG DATE: 4/16/1 DM. P" E: CAD: NW1865 ADHD Fly` FILE " No, 13-123 '4 n Scale) 1'= 30' PAGE 2 OF 2 ll`i"7■■11111 111MUM ��ll '' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION X � � _ 825 L Street • Anchorage, Alaska 99501 Telephone 264.4720 ' ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME '- WIESE PHONE NNEyy ❑UPGRADE MAILING ADDRESS S'ZA ox 157Z- 41/. ArKr1, LEGAL DESCRIPTION ' LOCATION NO.OF BEDROOMS C �BTi':'2� �EE� DISTANCE TO: Well Gc;.n Absorption area /ter Dwelling t PERMIT NO. r, !?5 U �; tlNl'�V Y 2 Manufacturer / Material _ No, of compartments r. length Width Liquid depth Liq. capacity in gallons IF HOMEMADE: Inside In On b YISTANCE Jzz T0: Well .. Dwelling ._ PERMIT NO. O = < �F Manufacturer Material Liquid capacity in gallons 2 O W= DISTANCE TO: Well Ir,PAN IIN1T1 Foundation „ r Nearest lot lige r PERMIT NO. LL Z No. of linesLength I of each line ' Total length of lines ' Trench width Distance between lines 2 W _,.• ,r +. ; =; l Inches Top finish Material beneath tile Total effective absorption area Fes- of tile to grade �- " „ ^--,=' _17 Inches Length Width Depth PERMIT NO. W 61— Type of crib Crib diameter Crib depth Total effective absorption area Wd W H Well Building foundation Nearest lot line DISTANCETO: 'Distance Gass Depth Driller to lot line PERMIT NO. , J J W 9DISTANCE Building foundation Sewer line Septic tank Absorption areals! T0: OTHER PIPE MATERIALS –/�GI "T SOI L TEST RATING t I — AA rJF et-:> INSTALLER Ir REMARKS .) -� 1 . L,.S- �: �Pr<V•?1� ?'V t'n Mss VArrTr Wry/ d PPnx I�[4 !✓llL F,>np/ `. I 1� r r. -,c n. - I t I I 5 ' Ilo 51 +71 nil v APPROVED DATE LEGAL L GK -� 72-013 IRev. 3/781 � i i ' '� MU" I C I PFtIL I TY OF FitJCHORFt(3E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET. ANCHORAGE, AY.. 99501 264-4720 OtJ -SITE SEWER P E R M I T PERMIT NO. C 780490 ) APPLICANT WIESE CONST SRA BX 1572-W ANCH 344-0145 LOCATION PETER CREE LEGAL LT.4 BK.1 THUNDERBIRD HTS. LOT SIZE 27000 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER. OF BEDROOMS = 3 SOIL RATING (SO FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= S LLEfJGTH= 3S CGRA%6--EIL DEPTH= S THE LENGTH DIMENSION I5 THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT I5 THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN 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 CIN FEET). FREGlU I REE> SEPTIC TFiMFC SIZE= ..1O011D GFlL_L_OtVS PERMIT APPLICANT HAS THE RESP014SIBILITY TO INFORM THIS DEPARTMENT DUPING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TWO C 2 ] I "SPECT I OYJS ARE RaGZ1U I REE> --- 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 WELLi OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I RES t7ECEME3ER 31. 19?L: 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 THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED APPLICANT WI ISSUED BY ------ �-------- DRTE__v „�/__�d V3.2 December 29, 1978 Wiese Construction Star Route A Box 1572-W Anchorage, Alaska 99507 Subject: #780490 Lot 4 Block 1 Thunderbird heights Subdivision #780491 Lot 6 Block 1 Thunderbird Heights Subdivision A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If there are any further questions, please contact this office at 2G4-4720. Sincerely, Les M. Buchholz, R.S. Senior Environmental Specialist Lim/l jw enc: copy of permit I�L SOILS LOG MUNICIPALITY OF ANCHORAGE O PERCOLATION • .�, DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST GL i Pouch 6650, Anchorage, Alaska 99502 2763221 SOILS LOG - PERCOLATION TEST PERFORMED FOR. bi D % QOS4 DATE PERFORMED: !. h5!%SJ LEGAL DE 1 3 4 5 W 6 G 7- 8- 9- 10-- 11 891011 12- 13- 14- 15- 16- 17- 18- 19- 20- Comm 21314151617181920 COMM ey Sad ue 1(G r.1C,S� ('O �1�i.rc jam, J,:�J:•�... 5[i3i,�L c C9 W GROUND WATER ENCOUNTERED? v� N�rn ,,ee L.K ......... Lev Schebeo, Jr. �•. NO. 1842-E 40�;OFESS1ovr. IF YES, AT WHAT DEPTH? E PLAN PERCOLATION RATE TEST RUN BETWEEN FT AND (minuses/inch) FT PERFORMED BY: �� _ CERTIFIED BY: DAT Gross Net Depth to Net Reading Date Time Time Water Drop �e ci, 47 OMNI V�or NONNI o ■� ■iiia PERCOLATION RATE TEST RUN BETWEEN FT AND (minuses/inch) FT PERFORMED BY: �� _ CERTIFIED BY: DAT Gross Net Depth to Net Reading Date Time Time Water Drop �e ci, 47 V�or 0 PERCOLATION RATE TEST RUN BETWEEN FT AND (minuses/inch) FT PERFORMED BY: �� _ CERTIFIED BY: DAT MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # �� 1 - 1 1 - (1'� ___ HAA # W C\SC� aA I 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Thunderbird Hts. Lot 4, Block 1, T16N, R1W, Sec. 25 Location (address or directions) 107 Thunderbird Drive %l,►� (b) Property owner Secretary of HUD . Telephone: (home) n/a Business 271-4665 Mailing Address 701 "C" Street Box 64 Anchorage, Ak. 99513-0000 (c) Lending Institution n/a Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here$], If hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single -Family ® Number of bedrooms 3. WATER SUPPLY Individual Well ❑ Community IR Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site CSI Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the Iegaiity and status. 72-025(R". 7/88) Page 1 of 2 5. 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 inspection. Name of Firm Eagle River Engineering SvcsTelephone (907) 694-5195 Address P.O. Box 773294, Eagle River, Ak. 99577 Date �• c. Att .. ..aaa t<w rI A �.;-.....:j t+iL i '�i y i Louis A. Cutera C'cfi776 6. DHHS APPROVAL Approved for -? bedrooms by Date 141,11 Approved Disapproved Conditional Terms of Conditional Approval CAUTION ��. ..t: •q ',.� The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 oranalyze databefore acertificate is issued.The Municipalityof Anchorage is not responsible forerrors oromissions in the professional engineer's work. 72425 (Rw.7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) • Health Authority Approval.(HAA) O CHECKLIST- FEBRUARY 1984' Y Mill . - J" 01 tvislOtO43-4744 ENVIRUCUAEN�AE SERVICES Legal Description: r VjtrA VA+S ( ED 161930 !� s/ L31nr_k -- 716 &clr A. WELL DATA Well Classification A If A, B. C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Date Completed Yield Total Depth Cased to Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: Depression Around Wellhead (Y/N) To Septic/Holding Tank on Lot -I- Z00' ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by +200 w On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole Date Water Sample Test Results Comments PL}, I i F_ U.*,e t Svgi e. - -r 1 '" V 11610 B. SEPTIC/HOLDING TANK DATA - �G/j3 Date Installed 01 Size 1,000 No. of Compartments Standpipes (Y/N) YES Air -tight Caps (Y/N) YCb Foundation Cleanout (Y/N) yE/s 2 Depression over Tank (Y/N) NO Date Last Pumped 1 13 / `+ n '(CJ R1 Pumping/Maintenance Contact on File (Y/N) for ^/14 Holding Tank High -Water Alarm (Y/N) n /A Temporary Holding Tank Permit (Y/N) n 1 A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well -- F -7 nog To Building Foundation to, To Property Line 0- / n ! To Disposal Field r Z r To Water Main/Service Line Bio r To Stream, Pond, Lake or Major Drainage Course N / A Comments nax (RW. M) From Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating In Absorption Strata 125 0/ e,. Type of System Design Tr+•+cam Date Installed �,�> TI`7 -7q Length of Field �2 Width of Field �•' Depth of Field `7 Gravel Bed Thickness L Square Feet of Absortion Area S'oy_sq►r Statndpipes Present (Y/N) V6 s Depression over Field (Y/N) ►bDate of Last Adequacy Test 3�4 n Results of Last Adequacy Test PA55SQ 94 t i r 7C< A-7 At'dr.-,4,y ;7,P1..tee �- J e. -e SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well h Zon To Property Line V., To Building Foundation �� • To Existing or Abandoned System on Lot n.1 A ; On Adjoining Lots 3� To Water Main/Service Line o To Cutback (if present) n JA To Stream, Pond, Lake, or Major Drainage Course n I A To Driveway, Parking Area, or Vehicle Storage Area �o Comments Sy��-� re . .•+l +' L•� r� /_ ✓ D. LIFT STATION Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at " "Pump Off",Level High Water Alarm Level at (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments "Check Permitted Bedroom Rating Against HAA Request" I certify that I have checked, verified, or conformed to all MOA and HAA Inspection. • • �� Signed ,; � E2910 Aivu Enpineannq Somees - /M Company P. o_ Pw nT°97 O Espy P.iver. AK 9957' I �' Date//r�9U a4e_5195 �.: MOA No. Receipt No. o21 /I3/ 377 Date of Payment Amount: $ �7Dvv 72-M (R•.. 7/99) Beck Receipt No Waiver Fee: $ _ Date of Payment Page 2 of 2 eslR.eiect on the date of this Ji. 4 4u'� ••�• •= 14gineer's Seal ................. a Louis A. eulero CE -6736 d;;R`4 SSIV4 r or a�a��a STEVF COWPER, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE WESTERN DISTRICT OFFICE _563-6775 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 January 19, 1990 FOR: EAGLE RIVER ENGINEERING ATTN: SANDY PWSID: #211156-- According to the records on file in this office, the Eklutna Thunderbird Heights Water System is in compliance with the State of Alaska Drinking Water Regulations. Sincerely, VERA E. CRAIG Environmental Fie Officer VEC:bas Eagle River Engineering Services 11940 Business Blvd, Suite #205 P.O. Box 773294 694-5195 Eagle River, Ak. 99577 Fax 694-3297 Legal: L y /Yrr Owner: o-iw b Date:. Type of test: O Well now Test g Septic Test Only o Well do Septic Test O Other: Time Meter Reading MonitorE.,.Level Level Tank Level GPM PSI Remarks .7000 C//,N O 04-" • ,i06s00 n 'If Ve7370 ;Lo 7Sso X1:/6 a07 Sic /41 S! i0 Si: aL 5.7r u.'z if fs.., O r, • 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 Dale lam`' _31!� 1. GENERAL INFORMATION (a) Legal Description finclude lot, block, subdivision, section, township, range) Location (address or directions) d M'&A (b) Applicant Name COhAIA17 Lj!n6:ff4 Telephone: Horr��?r, 0 Business i Applicant Address JHC K v v r7 (c) Applicant is (check one): Lending Institution ❑ t (d)' Lending Institution Address (e) Real Estate Company and Agent Address Telephone (1) Mail the HAA to the following address: S & S Enyinatrwo SRB 196X rslm-T"'477 2. TYPE OF RESIDNCE Single -Family Multi -Family ❑ Other Number of Bedrooms _,3 3. WATER SUPPLY Owner/builder ❑ ; Buyer ❑ ; Other V (explain); Telephone 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. 4. SEWAGE DISPOSAL Onsite 1� Public ❑ Community ❑ Holding Tank ❑ Note: It community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11,84) 0 r r� n 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, l 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 inspection. Name of Firm Telephone Address3RnT Engineering Date Alaslra99= OF 4t Selowi A. s%w%w Ne. Iri)J DHEP APPROVA Approved for l bedrooms b / Date Approved Disappro d Condit I Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. 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 engineers work. Page 2 of 2 72.025 (1 1184) r, `4 • ` • � U U U� l5 U Q � �j � � Q BILL SHEFFIELD, GOVERNOR DEPT. OF ENVI BONI" ENTAL CONSERVATION Te/ephone:19071 Addnn: ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 274-2533 ANCHORAGE, ALASKA 99501 DATE: .1 PWS To Whom it May Concern: According to records on file in this office the Water System is in compliance with the State Drinking Lj Water Regulations Sincerely, r - NI MUNICIPALITY OF ANCHORAGE (MOM) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Descries�tton: %ilr4NOL.y3.wC /tf'rS A. WELL DATA Well Classification 7_10L% 4-- If A, B, C, D.E.C. Approved Well Log Present (Y/N) Date Completed Yield Total Depth Cased toDoh of Grouting Static Water Level - Au Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot O� + ;On Adjoining Lots To Nearest Edge of Absorption Field on Lot 7X:>o"*F ;On Adjoining Lots _ To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by _ To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date Water Sample Test Results Comments _Pws 1,7 -1� 'ZI 11 S - '13. 'i3. SEPTIC/MSG TANK DATA Date Installed ZZ29 Size,"0 No. of Compartments Standpipes4Pk'J Air -tight Caps®/f_ Foundation Cleanout 49"< Depression over Tank (A0 Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ��— ; for "— Holding Tank High -Water Alarm (Y/N) N� Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well A20 r� f tiB�.�G To Building Foundation 1�1 To Property Line 10� To Disposal Field 1 Z To Water Main/9erwee Line To Stream, Pond, Lake, or Major Drainage Course Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 1Z 5 I �� Type of System Design ,f Date Installed ^4?20 Length of Field YJ —Sora Width of Field Z �2 Depth of Field 90 Gravel Bed Thickness s" Square Feet of Absorption Area '��D Standpipes Present Depression over Field 049 Date of Last Adequacy Test 3-13-91110 Results of Last Adequacy Test 1 SCArL'TDQ-�! Separation Distance from Absorption Field: i To Water -Supply Well z-4:%=�1 —tPiAm LA* To Property Line 7,0 I To Building Foundation `' To Existing or Abandoned System on Lot d ; On Adjoining Lots 20 t)G�1 L To Water Main/6eniee Line fir; To Cutbank (if present)44 To Stream/Pond/Lake/or Major Drainage Course :,rte To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed _ Size in Gallons . Dimensions Manhole/Access(Y/N) "Pump On" Level at "Pump Off' Level at High Water Alarm Leel at Vent (YIN) Tested for I �" Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) 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 date of this inspection. Signed 5 8 S newft Date Company MOA No. $,6703 Receipt No. -7 5 7a ll Date of Payment Amount: $ t c� — ttol . * A. shefw Na 14{74 . Page 2 of 2 72026 111,641