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Home My WebLink AboutSUMMIT ESTATES BLK 1 LT 11Summit Estates Block 1 Lot 11 #015-072-29 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 545-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Numben SW000429 PID Number:. 015-072-29 Nom'~HOMAS JOHNSON Wastewater System: [3 New · Upgrade 5421 E. 99th AVENUE ANCHORAGE, AK 99516 ABSORPTION FIELD (907) 536-5000 5 rlDeep Trench IShollow Trench rlBed mblound mother LEGAL DESCRIPTION o.s a,o/s~ rt 1.6-2.4 11 1 SUMMIT ESTATES 1.5-1.4 ~ 1.0 rownship:-- iRange: -- isoction: _ m~,~o~,,~.,:.-~,~l .o-2.o r~ °~'~00' (2 WFI I · [] New I-I Upgrad 5 ~ 2 15 ~, ~. ~. 575 S~. I1, D 3034/ F-810 $CH 40 ~ DENALI 11/17/00 - 11/21/00 SEPARATION DISTANCES as. puc =,o,~ng II S.T-r P- To Septic Abloq~tion Lift Hold;ng Publlc/Pd~U From Tank Irield Station Tank ~ U~ ANCHORAGE TANK 1250 w,~ 100'+ 100'+ 10o'+ - 25'+ STEEL 2 sumac, lOO'+ ~oo'. ~oo'. - - LIFT STATION Water Lot 5'+ 10'+ 5'+ - - 1250 ANCHORAGE TANK/ORENCO SYSTEMS Foundation 5'+ 10'+ 5'+ -- -- 41" 41" 45' Curta;n NONE KNOWN " J20 OSl 05 HHF M.O.A. Dm;n ~ I Remarks:' OLD SEPTIC TANK WAS ABANDONED BENCH MARK PER THE UPC. TOP OF NUT ON GAS METER. Inspections performed by: AWWC, INC. Dates:lst 11//17/2000 ~;-" :fr~/~l~jt~,~ '".77.~ 2nd 11/2o/2ooo 3rd 11/21//2ooo ).~,..~.. Department of Health and Human Services approval '~."~. ' ... y .,.~ ~./ ~.:~/'~-~'~ Reviewed and approved b //,/_ ,/4~/-, Dote: ~ ' ~ro ~ J ,,-o,, ~,,..~,~ ,~, ,, ~// '"~'~:~:~"~"~ D]~~G p£RMIT NUMBER: AS B~I 015-072-29 SW000429 - ~ ~ A B C I ~ M. ~.~ ~.4 - X I I~ MT1 47.5 29.8 44.5 ~ ~ ~ ~ ~ ~ ~0~ ~o Crab w~ ~2 - 33.2 29.0 ~ ~ i ~ / ~,~ P~ u~. ~3 - 14.7 1~.2 ~ ~~ ' ~ ~ ~4 - 59 6 45.1 ~ ~ I1~ ~ ' ~ / ,, ~__~ ~.,.~. ~ i ~ ,,~X~~' > % . ~, ~ , MASI~ WATER & h~ASTE~ATER THOMAS JOHNSON (907) 556-5000 2 OF SUMMIT ~STATES SUBDIVISION; LOT 11, BLOCK 1, ~[ O~ WORK: AS-BUILT OF SEPTIC SYSTEM UPGRADE '~%~ DRAV~NG ,.M~.uu..: AS BUILT 015-072-29 SW000429 - fOR ,,.f~N~,--X / Af Ol.~f 92.0'~ ~u~/ N~W 12~0 dALI. ON ~'.~o~ ~ 5.f,~.,r, lANK Af JkLEf o 91.~D J Af OU/1.~ o 91.4~ NORTHERN TRENCH SoIYrHERN TRENC~t J!! .... ,,, , J " [ ~fO~ ~ ~ ~ ~ (AVG.) . ~0") ~.10 (AV~.) ~ K.D.W. AI~SI~ WATER & ~STE~%kTER ~ r~:'-~t: ~ '[~ j~.~ ..... CONSULTANTS. INC.' ~ ~;J ..... t~ 4.Y ....... PR~ FOR; PHONE NUMBER; P~E NUMBS: THOMAS JOHNSON (907) 356-5000 ~ O~CmP~ON: SUMMIT ESTATES SUBDIVISION; LOT 11, BLOCK 1, ~[,," ............ '~ AS-BUILT PROFILE OF SEPTIC SYSTEM UPGRADE Alc~n Electrical En~inecrinff, Inc. 6670 Arctic Spur ~ Anchornge, A~.~lr*_ 99518 Fax Cover Sheet DATE: ~,~-~r 15, 2000 TIME: 9:4~ AM TO: AVWVC PHONE: 337-617g FROM: ~ ~l~c PHONE: ~787 RE: ~ 11, ~ 1, S~ E~ Mcgan- : In toga;ds to the sewage ILR ststion Ont Alca~ connectcd st thc above mentioned location. All electrical work performcd by Ak:nfl wns done to 1999 National Electrical Code,. If you have any questions plcase contact me. Thank youl Number of pages Including cover sh~t: 1 L 'd O~9'ON 01H£03~3 NV~qY ~:6 'O00~'~t '030 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 06, 2000 Expiration Date: Oct 06, 2001 Permit Number: SW000429 Legal Description: SUMMIT ESTATES BLK I LT 11 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Thomas Johnson Owner Addrass: PO Box 111985 Anchorage, AK 99511- Parcel ID: 015-072-29 Site Address: 005421 97TH AVE E Lot Size: 17350 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not requtred for a Water Supply Permit only ). 4. From October 15 to April 15, 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. Date: ~/~_.~ Date: ALASI WATER $TEWATER. ~ , CONSULTANTS, INC. September 25, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Septic System Upgrade for Lot 11, Block 1, Summit Estates Subdivision To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The existing septic system consists ora 1000 gallon septic tank and a log crib type drainfield. The existing drainfield is in a state of failure and will need to be upgraded. A test hole was excavated by Tobben Spurkland, P.E. west of the existing septic system on 9/10/1997. A additional test hole was performed by our company southwest of the existing septic system on 7/2112000. The proposed septic system upgrade will be designed around the 30 foot radii of these test holes. We are proposing that a new 1000 gallon septic tank or a 1250 gallon S.T.E.P. tank and two five foot wide drainfields be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached are the soil logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that due to the overall appearance of the soils, an application rate of 0.8 gallons/day/ft2 should be used. 2. TRENCII DESIGN: a. Percolation Rate: 7.3 minutes/inch b. Allowable Application Rate: 0.8 gallons/day/fl2 e. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 563 fl2 f. Total Depth: 3 feet (maximum - at any p. Eoint) g. Effective Depth: I feet ~.~ h. Width: 5 feet i. Minimum Length: 100 feet long ~ ~ 50 feet long each) j Effective absorption area = 575 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: The area for the proposed septic upgrade is to be installed on a slope that is a 5 to 10 percent running from approximately southeast taYnorthwest; ~ short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179, or 244-9612. Thank you for your assistance~ ~!P.E., M.S. Presiitefit kJ NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, two soils logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com T12N, R~ ~m~ ~/* ~--~-~ ....... L r ......... ~ ............................. LOT 20 BK 1, ~ /WILSON S/[ , / -- / '-~ I X LOT 9, BK 1, ~5~- ~-'-~ i '~ ~T ~o..~ ~.~ II ~ ~ , t,~~,. ~-~/~ ~~ ; .~ ........ . ........... . .... - ~ ~/D ~ ~ "~ ! I ~. ..~ LOT 10, B , [~ 11, BK 2. ~~_~ AVENU~ ' __ ~ 98th WENUE . , , ..... , CONSULTANTS, INC. 1" = ,R~,~o to. ~o,~ .u.B~,: ~ ,u.~: ~...~., ~. K..[.., ......... THOMAS JOHNSON (907) 5~6-5000 1 OF 2 SUMMIT ESTATES SUBDIVISION; LOT 11, BLOCK 1, SITE P~N FOR SEPTIC SYSTEM UPGRADE I ~ 40TE: THE CONTRACTOR SHALL INSTALL THE DRIANFIELDS I I -gRST IN ORDER TO DETERMINE IF A GRAVITY FLOW SYSTEM 2AN BE OBTNNED. IF A GRAVITY FLOW SYSTEM IS NOT I I ~OS$1BLE. A 1250 GALLON S.T.E.P. TANK IS TO BE INSTALLED. I I I ,-N~TALL F~OW Di~RTER I ~ '. / ~.~. H.L co ~ ~ i I ~ / / / $13~c TANK OR A 1250 ~ ~ ...J I ~ / / / GN.LON S.T.E.P. TANK · // __ i ' l'/~,~_.~_l,~ I ,: i / EACH (100 FE~T ~OTAL I~:NC'TH. /'~ I ~ I / ~,c,~ P,~ ~o comm. ~ /., . r ': / .~.,~~- ~ / ~-~ ¥ I I / ~ qOT£: 'TH'; CONTRACTOR SHALL HAVE THE WEST =ROPERTY UNE AND THE 100 FOOT WELL RADIUS ~ ~ "9 I I X F1..AGGED I~' A REGISTERED LAND SURVEYOR -~ I I I \~R:°R To A~ co.~u~o.. 9/25/2000 ~ Ur.A/ ALASKA WATER & WASTEWATER ............. C.J.G./J.L.M. ~/"'~-~' [ ?'-~] .,r ' ..... CONSULTANTS, INC. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .ooo...~ ** ...... ooo, THOMAS JOHNSON (907) 5~6-5000 2 OF 2 [ '...Jd[fr ¥ ~J Ga SUMMIT ESTATES SUBDIVISION; LOT 11, BLOCK 1, ~e. '". .......... "~.e~ DESIGN OF SEPTIC SYSTEM UPGRADE ALASKA WATER. & WASTEWATER. CONSULTANTS, INC. ~.~.. ,.Q?.. 6901 O[BARR ROAD. SUITE: 2B ' a.NCHORAC£. AK. 99504. IsoIe LOG - PERCOLATION T£STI ~'~.::'~,'.;~J/~'~_ \'...~ LEGAL DESCR,PTIO": S.."~ ~S~S S..O~S,O.: ~OT 11..'OC.. II~ PE, FORVED FOR: ~0~ ~O,,SO, !~AW'/'"~" ...... .'"'" D^TE PERFORMED: 7/21/:000 ¢O~,,~.X..' Ct[-7,5~ ....:~ ; ORCmlCS I TEST HOLE # 1 ] ~A~:~o. DEPTI:I ~ ~ GW ~ ORG GM CL ~G~-~ o, '--,,/-..,<' / SP CH SM ]OH I / ., OM GROUNDWATEIq ~ 9.5'7/21/00 7.0'7/24/00 / I \1 ~ 7.~../1./oo , "-------- -~-~ ..... i \ u~.,~..~ ,. I ,' r--r ..... 11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 1,~JB.O. 7/24/00 1 4:00 6" '1 2 4:30 50 MIN. 2 1/8" ~ 7/8" 13 3 4:31 6' 4 5:01 ;~0 MIN, 1 7/8" 4 1/8" 14 5 5:01 ~ 6' 6 5:31 30 MIN. 1 7/8' 4 1/8' 15 16 17 18 19 PERCOLATION RATE 7.3 (HIN,/INC~) PERC, HOLE DIA, 6' (INCHES) 2 TEST RUN BETWEEN 5.5 FT./_A~ 6,0 FT, PERFORMED BY ALASKA WATER &WASTE'WATER I.{ .,-,.J~/<~'-~'"~ .CERTIFY'THAT THIS WAS PERFORMF.~ I~N/ACCORDANCE WITH ALL STAT}[ ~N[ MUNICIPAL GUIDELINES I, E. FI-EC, ON THIS DATE. DATE: ~TIZS ~) GI'IM. F ~ R~o PROTE:CT ~ ON Ti-/ l MunlclpaYl¥ PI Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICF. S 825 "L" 6(reel Anchorage, Alaska I)9502-0680 SOILS LOG ~ PERCOLATION TEST P.04 fERFORMJO TOWRShiI:). Range, 4. S' G. 7 8 ~ 11- 12 13 14 1S 16, 17' 18' 1~- WAS GROUND WATER TL-4 ul PERCOLATION RATE ~ im,nule¥inchl PJAG HOLE DIAMETER ~.~ II TEST RUN eE~WEEN ..~ FT ^NO ~ FT OISCLAIItLR-' RenJl~Ldwa. L~nndtt(nn~ In,tear,ri are for the date~ ~howq 9~1y. Past and future presence and/or depth of groundwater can not be predicted ~o~.. q-l~F -oo ~L GIU'~TER ANCHORAGE AREA BOROU"-H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 N? z53 . ;-* INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION SEPTIC TANK: MAILING ADDRESS LEGAL DESCRIPTION DISTANCE FROM WELL c'~~)" LIQUID CAPACITY /~ ~ ~2 GALLONS. NUMBER OF MATERIAL_ -,~'~ ~-'~z~ COMPARTMENTS INSIDE LENGTH ~'"~NSIDE WIDTH ~z-'"~'~ DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS ./ OUTSIDE DIAMETER L,N,NGMATER,AL/ ' : NEAREST LOT LINE ~"~'~'~ / TILE DRAIN FIELD: / OR WIDTH .//~' '/ LENGTH /"~' / , , DEPTH ~ '~' DISTANCE FROM WELl //'~)" , BUILDING FOUNDATION. ~-'~, / IOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~-~/'~ SQ. FT. ~N ~ TOTAL LENGTH DISTANCE FROM WELL NEAREST LOT LINE .OF LINES NUMBER , TRENCH WIDTH EFFECTIVE ABSO ION AREA SQ. FT. LENGTH OF EACH LINE ",~ ~)~No~R~E TO FINISH GRADE. DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYPE ~,~'.~-//~ , DEPTH /~).,~- ~ DISTANCE FROM · BUILDING FOUNDATION· LOT LINE //O '~' NEAREST ~ SEPTIC ~) ~' SEEPAGE · SEWER LINE ., TANK , SYSTEM WATER SAMPLE /~' (-,'" , NEAREST THER , CESSPOOL ~, SO~URCES DISTANCES: ~ _~ ~=//~ ~ DIAGRAM OF SYSTEM GAAB-HD-2 GREATE~L~ANCHORAGE AREA i~ROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-25 ! 1 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT~~5~/~ RESIDENCE ADDRESS /~ LEGAL DESCRIPTION MAILING ADDRESS /'~L~ ~7 LOCATION OF INSTALLATION PHONE NO.~77 APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY '~/~'~ ~- FINANCED THROUGH PERCOLATION TEST RESULTS~°~('~0~'' BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT , SEEPAGE PIT Aj/ , DRAIN FIELD ,OTHER TO BE INSTALLED BY ANTICIPATED DATE OF COMPLETION THIS IS TO SERVE AS /-'/4'~ /¢d~J' , PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ~ '/~DY~ .. SEPTIC TANK SIZE '~,~-0 TYPE SEEPAGE AREA TYPE DIAGRAM OF SYSTEM ~ L2J e-,, .--' z'-- "--. X DISTANCES: with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. ~~~~ ..... '~ ........ T CASE' ~ ....... ~,A 99501 ~- '--~ ................................ Location Sketch 9-- I0~ Was Ground }!ater En¢ountemed? 'q 0 Depth To H20 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) /_.~T'- // 4~/_,~' / Eu~,~T EsTATF--~ ~c..."r' I,~ T/'~.''~1 Location (address or directions) (b) Applicant Name /'¢ {'/~-~-- Telephone: Home Business ~'~/- Applicant Address po z~o ,X 1~12_.. ~> ,,'¢'~ C , (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other.~ (explain); (d) Lending Institution /,5/~/~- -~,,¢ V/*',/~ S. Telephone ~- ~7- O~Z-o° : Address (e) Real Estate Company and Agent ~ ~A :;E'.~'A L'r-~ ~'~'~u~r=.~-. Address ~/O~ /q~ ~'t'~.~d..~ ~,z~ (f) Mail the HAA to the following address: "~IEA6E CALL TYPE OF RESIDENCE Single-Family j,~ Multi-Family[Z] Number of Bedrooms ~- Other WATER SUPPLY Individual Weir ~ 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 ]~ Public [] Community [] Holding Tank [] Note: If corn munity 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} 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. Address ~/~ Date DHEP APPROVAL Approved for ~-- bedrooms by&~/¢' Approved ' ' ~/~ Disapproved Terms of Conditional A~proval ~ Date Conditional 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 engineer's work. Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) MUNICIPALITY OF ANCHORAGECHECKLIST - FEBRUARY 1984 ENVIRONMENTAL SERVICES DIVISION 264-4720 tVI,(~V ~. 0 ]988 Legal Description: L~' // z¢'~,~:/ ,EL,.ATA RECEIVED Well Classification ..~.~ltf.,,Ot'~ If~A, B, C, D.E.C..~pproved (Y/N) Well Log Presen~v/N) ~ --,~Date Completed ~?~ -~ Yield Total ~ /~J2 C~sed~ ~ '/' Depth of Grouting /&/¢//~ Static W~C~-L-~ -~//' Z" Pump Set At Casing Height Above Ground ?f'* Sanitary Seal on Casing (Y/N) Electrical Widng in Conduit (Y/N) ,~ Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot _ //¢' ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot /~' ~' ; On Adjoining Lots To Nearest Public Sewer Line '~f/g'~$ To Nearest Public Sewer Cleanout/Manhole /P2~' ~E'.5, To Nearest Sewer Service Line on Lot Water Sample Collected by I&) t'o.~'6'/~b~:'~M ; Date ~-7-,~ Water Sample Test Results ~ll}"'~,l~-r'~* /. ~ j~*/I /"~/.L IF~.'~ ~ I0 Comments It~--.-LL t..~ ~C)EE~,I9~'~ B. SEPTIC/HOLDING TANK DATA Date Installed 1¢?~2 Size /O ~O No. of Compartments / Standpipes (Y/N) ~/ Air-tight Caps (Y/N) ~/ Foundation Cleanout (Y/N) Depression over Tank (Y/N) ~ Date Last Pumped e~-fo-~ Pumping/Maintenance Contract on File (Y/N) ~/ ; for t~,,~<~ Holding Tank High-Water Alarm (Y/N) /[/~4, Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply We~l /fo' To Building Foundation To Property Line ~' TO Disposal Field To Water Main/Service Line '~' To Stream, Pond, Lake, or Major Drainage Course Page 1 of 2 72-026(11/84} C. ABSORPTION FIELD DATA Soils Rating 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 ~-o Building Foundation Lot ~/o~ o,~ &or .z/pr Length of Field /¢' Depth of Field ¢ ' Gravel Bed Thickness -- Standpipes Present (Y/N) Date of Last Adequacy Test To Water Main/Service Line ~' ~' To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments .~/¢' /..¢ /¢z~-~,/¢~--~__ ~ Ty~e of System Design To Property Line Z 5-/ To Existing or Abandoned System on ; On Adjoining Lots ,--¢"? ' To Cutbank (if present) ~ ~'~.~,,~ 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 that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Date Company MOA No. Receipt No. Date of Payment ~_~""~ Amount: $ o Page 2 of 2 72-026 (1~/84) CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. ANALYSIS REPORT BY SA}dPLE for Work Order # 6537 Date Neport Printed: MAY L0 SB @ 10:02 Client Sample ID:5421 SUld}dlT PWSID :UA Collected MAY @ 88 @ 14:30 h~s, Received MAY 9 88 @ 08:00 hrs. Preserved with :4 DEG. C Client Name : XCFADDEN, WAYNE Client Acer : MCPAWC P.O.~ NONE REC'D Req # Ordered By Analysis Completed :MAY 9 88 Send Repozts to: Laboratory Supervisor :DANIEL J. BACON 1)MCPADDEN, WAYNE Released~By : ~ ~ ~i~ Chemlab Ref ~: 9961 Lab Bmpl ID: I Xatrix: Wate~ Allowable Pazameter Tested Result/Units ~ethod Limits Sample ROUTINE SAM?LE Nemazks: SAMPLE COLLECTED BY WAYNE MCFADDEN. 1 Tests Pe~fozmed See Special Instzuctions Above UA=Unavailable ND~ None Detected '* See Sample Remarks Above MA: Not Analyzed LT=Less Than, GT:Ozeatex Than APPLI[~NT FILLS OUT UPPER HA[~]i!ONLY Prope~6j Owner TOm and Billie Mates Mailing Address 9720 ~mil Anchorage Zip Code 99504 34$-~08 suyer Wi~iam T. Ramsey & CinSy T. Shoil Address BO~X 6926 A~chorage zip Code 99502 Lending Institution Alaska Mutual Bankd Phone Address Zip Code 33~890 Realty CO. & A~nt C-2[ Address 20? ~. No~the~n ~[Fh~s ~. &nchora~e zip Code 9~503 276-[~ Legal Description ~O~ [[~ ~L [, ~t ~ststes street Locati~ 9720 ~it (97th & ~mit) Sewer Disposal ~ PubHo Utim Time Date Inspector Time Date inspector~(~ ~ Time MUNICIPALITY OF ANCHOP'AGf: DEPT. OF HSALT[- & ENVIRONMSNTAL pROTECTION, RECEIVED ( ~ APPROVED BEDROOMS ) DISAPPROVED ) CONDITIONAl- APPROVAL* DATE /,. '! *CONDITIONS OF APPROVAL Soils Rating Date Sewer Installed Well To Absorption Area Well 1o Tank Well Log Received Septic Tank Size ALASKA UIROrlmerlTAL COIhTROL ~{nqmeerinq 6 ~nuironmenlol $ludies APRIL 27 1983 TOM YATES SRA BOX 78-E ANCHORAGE AK 99502 SELLER - TOM YATES BUYER- SUBDIVISION-SUMMIT ESTATES BLOCK-1 LOT-10 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A CRIB WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 445 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 2 BEDROOM HOME, THE SEPTIC TANK WAS PUMPED ON 4/27/83 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 2 BEDROOM HOUSE. i000 IS ADEQUATE FOR 1200 [ilesI 33rd Au~nue, $uite [~ ·/~nchord§e, Al.sE, 99503 * {907) 276-1361