Press Alt + R to read the document text or Alt + P to download or print.

No preview available

The URL can be used to link to this page

Home My WebLink AboutKASILOF HILLS BLK 7 LT 14K iloff Hill Block 7 Lot 14 #015-132-10 Municipality of Anchorage Page ,/ et / DEPARTMENT OF HEALTR AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report ~ame~ ~/~ ~ ~/~ ~astewater System: ~ New ~ Upgrade _ ~~/~~d~ ~ ~CW ABSORPTION FIELD. Phone:,¢~/~ /~/ 'No. of B~oms: ~ Deep Trench XShallowTrenc, ~Bed ~Mound OOthe,_ Sgi[ Raling: Total Depth Irom oriainal grade: /~ Subdiv~ion: 0epth Io oleo bollom from original grade: Graval de,ih beneath p~pe ~T~wnship~ . ¢ ~Range: ~ ~ Section:~g¢ / ~ Filladdodabo~. originalpgrade: FI. Gravellenqth: /~ FI~ WELL: ~ ~/~ ~/~ Upgrade ; Gravel widlh: ~ FI. /O )riller: Static Water Level: I Ins Casing Heighl Above Ground: SEPARATION DISTANCES ~p~i~ u Holding ~ S.T.E,P. Materi~l: Number of CnmoadmeQIs: Sudace w~t.~ /A ~A ~ ~ ~ LIFT STATIC N "Pump o~" levd at: "Pump off" le~l at: ~ High wa~er alarm Pump Mak0 & ~del Electrical Inspections porforme~y; Remarks: O~/~/~ PE~/~ ~5' BENCH MARK Loc~tion and Description: ~ / Inspections performed by. ~ ~ ~bates lsL Reviewed and approved by: Date: ~ '¢ %~ %'~=%~::~ .......... Permit No. SW940440 Page 1 of 4 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519 6650 Telephone: 345 4744 On-Site Wostewater Disposal Sys[em and/or Well Inspection Report I TBM-2: Top 5/8 ! , ,_ .,ir7 Rebor El 75.55 : L () ~ /:,' 10' CEA i i~o i (UndevelOped)Easement--~ ~ ~ ~ : : s 5I'50'00" E / "~l~"k~'~'~ : ~ ~'~ ~ ; ~ ~ ~ '; ...... ; ~~d 500.Gai Orenco T~ .... ~ ~ Add-on Tank ~ Inlet INV.= 75.26 - Outlet Inv.~ 75.44. :: ~ln, ~rQ,~ Dive,er Valve Ra( ' Frama 't ~ROmse for new: 100' Well rive ?owed' Str~ Drive RECORD DRAWING ~HEET 2 OF 4 FO~ LAYOUT DIM£NS~IDNS FOR TRENCHES, EXISTING 10OO GAL. TANK ABANDONED IN :PLACE SEE ~HEET 2 OF 4 FOR LOCATIONS OF* 'IRENCH CL[ANOUTS Install Drop-Connect EXiSting service Line. _. ~ \\ Cautionl -lies ~_ c~5 coNTRACTOR S~ALL v~.,n T.^T i I NEW SEPTIC .TANK IS LOCATED ./~ IOUTS~DE 100 PROTEClVE WELL RAO. × , I ~ ......................... ~;~'~'~'L ....................... _ ~_~.~.~ i ~.A. ~. ZL ~,~ -n o/o Meoor El- 100.13 JOB #: 94026 FILE:940220SP PLOT SCALE:f'=30' DATE: 7/24/94 Permit No. SW940440 Page 2 of 4 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On-Site Was~ewater Disposal System and/or Well Inspection Report Legal Desc: Lot 14, Block 7, Kosilof Hills Subd., T12N, RSW, Sec. 15 PID No.:01515219 ........................ ......... ...... 2.'7' ~ 4" MON, TUBE Swing Ties from Sheet 1 of 4 i B 56.5' 48.8' 64.0' 45.5' 74.0' 87.5' A 51.;5' 47.8' :: C 102.8' 82.5' 83.0' 57.5' 52.6' 36.0' iLS I 9S.0'~102.1' Notes: 1. This detail Is Intended to show fha relative position of the Distribution Trenches per new swing fie info recelved 8/18/95. The orlenfation of fha trenches is Intended fo be parallel fo the contours of the lot. (TYP. EA. tRENCH) 6"PVC W/CAP I'PVC INSIDE (TYP. EA. TRENCH) © 8 Z 51.5' -- 101.0' 2. The length of the Dralnfleld Trenches can be varled fo accomodate actual slfe contlfions. 5. The bottom of fha dralnfleld trenches must be level. 4. The trench which has been dug fo within 10 ft. of the exlsflng drainfleld trench must be terminated af fha 10 ff. offset line with an approved soll whlch will provide a barrier fo flow of effluent between this design & the exlstlng trench. A tight Silt or Clay soll Is requlred. Fill the entire overexcavatlon, fo fha exlsflng ground surface. 4. CAUTION! The bottom of fha 1" laterals shall be set af fha fop of fha soll layer shown as Sand w/ Slit, on Parc Log No. 2, performed on 7/29/95, and stamped 8/6/95. The fop of fhls layer is approx. .............. 4L..!!.' ..be!?~....?!.S.~...?~d.e!..!~ ~.~ ...r~.Y...'?.r~: ................................................... JOB #: 94026 FILE:94022GSP PLOT SCALE:I"=30' DATE: 7/24/94 Permi~ No. SW940440 Poge ~ o[ 4 Municipolity of Anchoroge DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorege, Alosko 99519-6650 Telephone' 343 474.4- On Site Westeweter Disposol System end/or Well Inspection Report Legoi Description: Lot 14, Block 7, Kosilof Hills Subd., F12N, RSW, Sec. 15 PiD No.: 01515219 /'~'- .0 ,~6'k JOB #; 94025 FILE:g4022GSP PLOT SCALE:I"=50' BATE: 10/8/94 Permit No. SW940440 Page 4 of 4 Municipality of Anchorage DEPARTMENT OF HEAL'TH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telepk, one: 54.5 4744 On Site Wostewater Disposal System and/or Well Inspection Report Legal Description: Lot /4, BIk. 7, Kosilof Hills Subd., T12N, RSW. Sec. I5 PID No.: 01515219 II ~ o u-} II II z Date: JoB #: g4026 FILE:g4026PRO PLOI SCALE:I"=IO' DATE: 5/5/96 FROH H[:,R EItm~IHEERIHG, IIIL':. C11.25. 19'9~, PAGE 1 OF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940440 DESIGN ENGINEER:ROBERT W. WRIGHT, P.E. OWNER NAME:DAVIES EARNEST W JR & DONITA F OWNER ADDRESS:10321 STROGANOF DR ANCHORAGE, ALASKA 99516 DATE ISSUED:il/29/94 EXPIRATION DATE:il/29/95 PARCEL ID:01513219 LEGAL DESCRIPTION: KASILOF HILLS BLK 7 LT 14 LOT SIZE: 30000 (SQ. FT.) ~ ~ Do~a~'~am NUMBER OF BEDROOMS: ~THIS PERMIT: ~'/ THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 DHH8 AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: ~~ August 7,1995 Municipality of Anchorage Dept. of Health & Human Services On-site Services P.O. Box 196650 Anchorage, AK 99519 Attn: Mr. Dan Roth EC IV D AUG 8 1995 r~ea~th & Human Ser¢lces Re: Lot 14, Block 7, Kasilof Hills Subd. Septic System Redesign Dear Mr. Roth, Attached with this cover letter are 9 sheets of updated design drawings, calculations and a Percolation Log for a new perc hole dug at the revised site location. A set of these drawings has been previously forwarded to you for review & comment. This set has been stamped & signed. A set of these sheets has been forwarded to Mr. Carl Abrams, site observation engineer, to transmit to the contractor, to begin immediate installation of this design. As you are aware, we are under a tight time frame for completion of this project with the escrow agreement at NBA. These drawings represent some small changes. I have received information from Mr. Abrams that the existing 1000 gal. septic tank is structurally unsound. Therefore it will be abandoned in place. A 1500 gal. tank has previously been transported to site for the previously proposed gravity system. It will be utilized, in conjunction with the 500 gal. Orenco add-on pump tank to provide adequate storage and retention time of the effluent. The contractor has been cautioned to check the 100 ft. protective well radius, to endure that neither the tanks nor the field piping infringes. I have also indicated that a pumping receipt will be required to verify that the existing tank has been pumped prior to abandonment. The system will be tested to verify orifice jet head prior to placing orifice shields, and covering with sewer rock. Should you have any questions, or require additional information, please call me at (360) 698-7769 or (360) 613-1610. Permit No, SW940440 Page 1 of 5 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: On-Site Was~ewater Disposal System and/or Well Inspection .545 4744 Report ~.~.1.. Des.c! I~?t 14,.E~lc~ck 7, l~.os!lof H!!l.~.Subd:, ?]2N, RSW,..SCc. 15 PID No.:01515219 I'BM-2:: lop 5/8 .... ?~ Rebar. El= Y5.55' L (}~ Z ,' IO'~CEA *o (Undeveloped) Eosemen(~ ~ .... -c ~ ~ ~ (Undeveloped Zx X -- -- Eun Valve ~ - 500 Ga Orenco .... Add-on Tank :~, ~ ~ Inv,= 75.4 :'-- ~ ' Outlef Inv.= 75.22 :, J Fin. Grd.= 80.25 ~ ~ ~ ~ ~E ~EET 2 ~ 4 F~ LAY~T ~ ~ ~ ~ BIMEND~S F~ ~ENCHES. ~ ~ D~II~ 1/8 .~IH~S AT 3'-0' O.C. ~0 ~ ~~C~( ~ ~ lB ~IFI~S PER ~RAL. ~ ~ ABAND~ EXIS~NG 1~ ~ TANK.: ~ ~ ~ REP~ W/1500 ~AL 2 C~- ~ , ~ ~ ~ ~- ~ .~' ~P~cPAR~ENTT~K.AN~A~ TANK -Insfoll Drop-Connecf Frame from Existing 'Se~iCe Ra( '~: ~" ~ousc .... ~ Line. ~ ~ ~ / ~ ~ m NEW ~P~C ~ANK IS L~A~D ; ~ ~ / , ~ ................. ~i-~-~. ................... :: ~ ~ ?owed - & ~ ~ROUERT W. WRIGHTI ~ ~ / ~ ~*~.% ~ ~ ~ :: I / ~ ~.~ e, Cc 8156 e- ~ ......................................................................................................... ~ ............... ~ ........ ] .......................... JOB J: 94026 FILE:94022GSP PLOT SCALE;I'I:50' DATE: 7/24/94 Permit No. SW940440 Page 2 of 5 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 Legal Desc:Lot 14, Block 7, Kasilof Hills Subd., T12N, R3W, Sec. 13 PID No.: 01515219 NDS 12" x 17" RECT. "VALUE" VALVE BOX OVER 1" PVC :C.O. SEE DETAIL AT RIGHT. "PVC BALL: VALVE W/ · BY(; RISER & .JIM.CAP. SEE DETAIL AT RIGHT. : E 'ACi(F~ILL 3.0# Mono ~ filament ~ 1/4" x Larg x dia. Washer x 6.5" wMON. TUBE fFII~TER FABRIC ~ PVC LATERAL /L~- SEWER ROCK Oalv. Bolt & Nu 6" Rigid Insulation PVC Riser 1/4" ~< ko,ge dia, Washer JIM CAP 4~' PVC vB RISER 1" PVC LATERAL W 1/8" ORIFICES @ 5'-0" C.C. AT CROWN OF PIPE. NDS RECT. HAND HOLD FIN. GRADE 6" RIGID INSUL. PLUG 1" PVC BALL VALVE 1" PVC SCREW ON ADAPTER 4" RIGID INSUL. LONg SWEEP PVC 90° BEND 5' x 47' OR 50' TRENCH 1/8" WEEP HOLE~ FILTER FABRIC ORIFICE SHIELD SEWER ROCK DETA k 1 OR. ,cE o' oc ON PIPE W/ORIFICE SHIELD OR SEE DETAIE AT RIGHT. 1" Pvc BALL VALVE FOR ADJUSTMENT OF ORIFICE DISCHARGE HEAD. dOB ~: 94022 FILE:94022GSP PLOT SCALE:I"=30' DATE: 10/8/94 Permit No. SW940440 poge 5 of 5 Municipality of Anchorage DE13ARTMENT OF HEALTH AND HUMAN SERVICLS ENVIRONivlENTAL SERVICES DIVISION 13.0. Box lg6650 Anchorage, Alaska gg51g-6~50 Telephone: 343-4744 On--Si[e Was[ewa[er Disposal System and/or Well Inspection Repor~ Legal Description; Lot 14, BIk. 7, Kasilof Hills Subd., T12N, RSW. Sec. 13 PID No.:PID 01515219 ° ° ~ ° ~ ~z 0 ~/ 940440 Permit No. Legal Description: 4 of 5 94026 7/24/95 ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH CHAPTER 15.65. WASTEWATER DISPOSAL REGULATIONS OF THE MUNICIPAL CODE AS CURRENTLY AMENDED. INSTALL NEW 1500 GAL. SEPTIC TANK & 500 GAL. ORENCO, INC. ADD-ON SEPTIC PUMP TANK AS SHOWN ON THE DRAWINGS. RECORD INLET & OUTLET ELEVATIONS OF TANKS. BOTH TANKS SHALL BE PLACED LEVEL ON UNDISTURBED NATIVE SOIL. SITE TOPOGRAPHIC SURVEY CONDUCTED ON 10/20/94. EXISTING STRUCTURES, WELLS, SEPTIC SYSTEMS OBSERVED ARE SHOWN ON DESIGN DRAWINGS. ANY DEVIATION FROM THE DESIGN MUST BE AUTHORIZED BY THE ENGINEER PRIOR 1'0 ITS INCORPORATION INTO THE SYSTEM. CONTRACTOR SHALL LOCATE ALL UNDERGROUND UTILITIES, PROPERTY LINES, EXISTING WELLS, WATERWAYS, SURFACE AND SUBSURFACE DRAINAGE FACILITIES, LAKES, PONDS, AND OTHER FACILITIES REQUIRING SEPARATION DISTANCES FROM THE PROPOSED SEPTIC SYSTEM. CONTRACTOR TO STAKE PROPOSED SYSTEM PRIOR TO CONSTRUCTION. NOTIF'Y THE ENGINEER OF ANY OBSERVED CONFLICTS PRIOR TO CONSTRUCTION. CONTRACTOR SHALL NOTIFY THE ENGINEER AND DHHS 24 HOURS PRIOR TO COMMENCING WITH CONSTRUCTION. A MINIMUM OF THREE INSPECTIONS ARE REQUIRED. THE F'IRST INSPECTION SHALL BE OF THE SUBGRADE PRIOR 'FO PLACING THE SEWER ROCK. THE SECOND INSPECTION SHALL BE AFTER THE PLACEMENT OF GRAVEL, DISTRIBUTION PIPING, STANDPIPES, TANK, AND OTHER COMPONENTS AS SPECIFIED. THE THIRD INSPECTION SHALL BE AFTER THE WORK IS COMPLETED. CONTRACTOR SHALL DELIVER TO THE ENGINEER A SET OF RED-LINED, AS-BUILT DRAWINGS SHOWING ALL DATA AS SPECIFIED IN SEC. 15.65.150.F.2, 5, 4, 5, 6 OF MUNICIPAL WASTEWATER DISPOSAL REGULATIONS WITHIN FIVE DAYS OF THE FINAL INSPECTION. INVERTS SHALL BE MEASURED TO THE NEAREST HUNDREDTH OF A FOOT. SWING TIE LOCATES SHALL BE MEASURED TO THE NEAREST TENTH OF A FOOT. THESE AS-BUILTS SHALL BE USED BY THE ENGINEER TO PREPARE AND SUBMIT RECORD DRAWINGS TO DHHS. 8 ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER IF ACTUAL FIELD CONDITIONS VARY FROM THOSE USED TO PREPARE THE DESIGN. 0 11 12 13 14 15 16 EXCAVATE THE ABSORPTION TRENCH. BOTTOM OF EXCAVATION SHALL BE LEVEl._ AND SCARIFIED. RECORD ELEVATIONS AT BEGINNING, MIDDLE, AND END OF TRENCH BOTTOM. CONSTRUCTION EQUIPMENT SHALL NOT OPERATE ON THE FLOOR OF THE EXCAVATION. ANY MATERIAL COMPACTED BY THE OPERATION OF EQUIPMENT OR BY FOOT SHALL BE REMOVED AND REPLACED WITH UNCOMPACTED MATERIAL. PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE SEWER ROCK WITH NATIVE MATERIAL OR SPOIL FROM EXCAVATION. LEVEL ROCK SURFACE TO J: 1" PRIOR TO INSTALLING THE PERFORATED PIPE. ALL PIPE SHALL BE PVC CONFORMING TO ASTM D5054 OR ENGINEER-APPROVED EQUAL. MINIMUM SOIL COVER SHALL BE ,3 FEET OVER THE PIPE AND 4 FEET OVER THE SEPTIC TANK. ONE INCH OF INSULATION MAY BE SUBSTITUTED FOR 1 FOOT OF SOIL COVER. (SEE NOTE 12) ALL INSULATION BOARD SHALL BE 2" THICK DOW H1-,35 INSULBOARD OR ENGINEER-APPROVED EQUAL. CENTER INSULBOARD WIDTH OVER SEPTIC TANK. GEOTEXTILE SHALL BE MIRAFI 140S OR ENGINEER-APPROVED EQUAL. LAP ALL dOINTS 2' MIN. COVER THE DISTRIBUTION PIPE WITH A MIN. OF 2" OF SEWER ROCK, AND COVER WITH GEOTEXTILE BEFORE PLACING INSULATION AND BACKFILL. MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AN[} CONSTRUCTION DEBRIS. SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MIN. SLOPE, AND 5:1 MAX SLOPE, AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION AS PER MUNI. SPECS. DRESS AND SEED ALL AREAS DISTURBED DURING EXCAVATIONS ON SITE. 17 RECORD THE FINISH GROUND ELEVATION OVER TBE BEGINNING, MIDDLE, AND END OF SYSTEM. 72-013 A (2/~1) MOA 25 C. Fi~e: DHHSNOTE Permit No. Legal Description: ,, /!.9 Pdge 5 of 5 940440 ~ ' W,O. 94026 Lot 14, BIk. 7, Kasilof Hills Sul ~¢_\ .~OBERTW, WRIGHT ~,¢'(,~-,~ Date 7/24/95 ~ ~'~', ~ .."~ ,~,' OTE ' 18 AS A CAUTIONARY NOTE TO IHE CONTRACTOR: THE PERCOLAIION HOLE SHOWED SEVERAL BOULBERS TO 5±' IN DIAMETER. IT MAY BE NECESSARY TO IMPORT NFS FILL FOR AREAS AROUND THE TRENCH. ANY FILL USED BELOW THE TOP OF THE SEWER ROCK MUST BE AN NFS SAND. 19 BACKFILL USED TO FILL OVER THE TOP OF THE WEST TRENCH MAY HAVE TO BE IMPORTED TO SITE. BACKFILL FOR CONTOURING CAN BE ANY NON FROZEN, NON-ORGANIC SOIL, FREE OF TRASH, ASH OR DEBRIS. 20 PUMP SYSTEM SHALL BE ORENCO, INC. ADD-ON PUMP TANK W/50 OSI HHF 05 HHF- 5 STAGE PUMP, W/1.25" DISCHARGE AND 5/8" FLOW CONTROLLER. 1/2 FIP, 115V, t ¢, 50A FUSE. PUMP CONTROL PANEL SHALL BE ORENCO SIMPLEX CONTROL PANEL, W/ EVENT COUNTER, PROGRAMMABLE TIMER AND CURRENT SENSOR PUMP OPERATING MONITOR. FLOAT ARRANGEMENTS SHALL BE ORENCO MF-2AR, NIGH WATER ALARM, LOW LEVEL OFF AND REDUNDANT OFF. PUMPING SHALL BE CONTROLLED BY PROGRAMMABLE TIMER SET FOR 'OFF' CYCLE= 175.14 MIN., 'ON' CYCLE= 4.86 MIN. HIGH WATER ALARM SHALL BE WIRED TO AUDIBLE ALARM AT CONTROL PANEL. AUDIBLE ALARM SHALL REQUIRE MANUAL RESET TO TURN OFF. 21 CONTRACTOR SHALL ADJUST 1" BALL VALVES AT MANIFOLD TO OBTAIN MIN. 5 FT. OF HEAD AT THE ORIFICES IN EACH TRENCH. SYSTEM SHALL BE TESTED IN THE PRESENCE OF THE ENGINEER PRIOR TO PLACING THE ORIFICE SHIELDS AND COVERING GRAVEL. 22 PLACE BOTTOM OF 6" INSULATEO VB PLUG LEVEL WITH TOP OF 1" BALL VALVE iN 4" PVC RISER IN DISTAL END OF TRENCH. 25 CONTRACTOR SHALL PROVIDE OWNER WITH 1 VALVE KEY SIMILAR TO BULL RUN VALVE KEY, SIZED TO ALLOW OPERATION OF 1" BALL VALVE AT END EACH TRENCH, FOR CLEANING PIPE. 24 INSULATE HANDHOLD BOX W 4" RIGID DOW HI-35 INSULBOARD ON ALL SIDES, AND BOTTOM OF LID. MARK BOX W/ 5/8" x 50" REBAR DRIVEN FLUSH WITH GROUND, TYP EA. BOX. CONNECT 50# MONOFILAMENT LINE TO 1/4" x 6.5" OALV. BOLT &: SECURE TO 1/8" HOLE DRILLED IN TOP OF VB RISER TO ALLOW EXTRACTION OF INSULATED PLUG. 25 INSTALLATION OF CONTROL PANEL & SYSTEM ELECTRICAL MATERIALS SHALL BE BY AN ELECTRICIAN LICENSED IN THE STATE OF ALASKA. A LETTER OF CERTIFICATION SHALL BE PROVIDED BY ELECTRICIAN AT COMPLETION, CERTIFYING THAT ALL ELECTRICAL COMPONENTS HAVE BEEN INSTALLED IN ACCORDANCE WITH STATE OF ALASKA REGULATIONS AND GUIDELINES. 26 CONSULT MANUFACTURERS REPRESENTATIVE: ANCHORAGE TANK, FOR PROPER ELEVATIONS FOR SETTING FLOATS. 27 CONTRACTOR SHALL PROVIDE ENGINEER WITH A RECEIPT FOR PUMPING SEPTAGE FROM ABANDONED 1000 GAL. SEPTIC TANK. AS-BUILT REQUIREMENTS RECORD INLET AND OUTLET INVERT ELEVATIONS OF SEPTIC TANK RECORD BEGINNING AND END INVERT ELEVATIONS OF ALL RUNS OF SERVICE PIPING rECORD BEGINNING, MID-POINT AND END ELEVATIONS AT THE DRAINFIELD FOR THE BOTTOM OF TRENCH, DRAINFIELD PIPING INVERT AND FINISH GRADE FROM AT LEAS} ONE TANK STANDPIPE AND AT LEAST ONE DRAINFIELS STANDPIPE, RECORD DISTANCES TO 1/lOTH FOOT TO AT LEAST TWO POINTS READILY LOCATABLE UNDER WINTER CONDITIONS RECORD FINISH GRADE ELEVATIONS AT EACH POINT WHERE SERVICE PIPING CHANGES DIRECTION OR GRADE 72-013 A (2/91) MOA 25 C. File; OH)4SNOTE Wright-Alaska Engineering Services 6004 Glenkerry Dr. · Anchorage, AK 99504 · Telephone: (907) 338-6230 Fax: (907) 337--5182 Percola±ion Log Reporf/ Soils Log Performed for: Bill & Don,to Davies Hole No: 2 Dote: 7/29/g$ Legal Description: Lot 14 Block 7 Tract NA Subdivision: Kasilof Hills Townsh!p_, Ronqe, Section'. T12N, R3W, Sec. 13 Sheet 1 Groundwater -- Gross Net. Depth to Net Adiusted Encountered? No Reading__. Date Time Time (min.) Water (in.) Drop (in.) Rate (_rnin./in~ - Hole stoked by rc,n over~ Load hole at 15:00. At what depth?NA 1 ---7/29/95 1619 30 __ 15~ 2-7/8" T0.43 Water level after 2 7/29/95 1651 50 15" 2-5/8" /1.42 Monitoring? None 4 7/29/~ 1755 .50 15" 2-.~/8" 12.65 Date: 8/5/94 _5 7/29/95 1824 ~0 15" 2 5/8" 12.65 Percolafion Rare Certify that this test wgs perfor~::).~e,C'.,~i~;x~_~o.c~rdonce with oll State &: Municipal guidelines in effect on this date. Date: ////~'//,~- 1 Dk. Brn, Dry, Organic Silt t [ I______L____J L-- I I I I I I I --J-I-L---J 6 '...:". Level Perc'd-- 5 ' ' , , , , , , , , , o, , , :.,...:to 5.5 , , , , , , , , , , , , 9 .... :..- Slope Site Plan I1 .'... P ,~T---, , , , , , , , Project: Lot 14, Block 7, Kasilof Hills W.O.: 94026 Date: 7/24/95 Drainfield System Computations: Percolation Rate: 18.83 min/in. Application Rate: 0.6 Gal./s.f./day No. of Bedrooms: 5 Average Daily Flow: 150 GPBD Total Daily Flow: 5 Bedrooms X 150 GPBD= Required Drainfield Area: 450 GPD/0.6 Gal./s.f.= Drainfield Length= 750 s.f./5 ft. Trench Width= 750 GPD 1250 s.f. 250 I.f. Drainfield Size Reduction: (W + 2)/[W + 1 + 2DJ Where: W= width= 5', D= depth= 3' (5 +2)/[5 + 1 + 2(3)]= 0.5833 150 ft. X 0.5833 := 145.83 (Use 150 ft. Total Trench) Therefore use three trenches approximately 50 ft. long each, 5 ft. wide, with 3 ft. of gravel below the distribution piping. Sheet1 Project: Lot 14, Block 7, Kasilof Hills W. O. :94026 Date: 7/24/95 Piping Sizing Calculations: Orifice Flow Rate: f= 11.79d2h°'5 d= 0.125 inches h= 5 'feet f= 0.4119 gpm Orifice Diameter Orifice Discharge Height Total Orifices= (Lateral length/3) + 1: 15.667 Number of Laterals= Total Orifice Flow= Number laterals X Orifices/lateral X Orifice Flow Rate: := 19.772 Maximum Flow per Orifice per Cycle (Orenco, Inc.)= 2 gals +/- Time of Flow per 'ON' Cycle= Max. Allowable Flow/Orifice Flow Rate .: Total Flow per Cycle= Total Orifice Flow X 'ON' Time Number of Cycles per Day= Total Septic Flow/Total Flow per Cycle ': 7.8125 Per data Sheet size Manifold= 1.5" PVC, Laterals= 1" PVC Pipe & Fittings Losses: Formula: f= (L) x (Q/K)~-8~ Where K= 147.5 for 1.5" Schd 40 P · = 47.8 for 1" Sched 40 PV Page 1 Sheet1 Pump to Manifold: Size= 1.5" Riser= 3 Transmission Pipe= 51.9 Subtotal= 54.9 ft Fittings in Equivalent Pipe Lengths: Fitting Number Eq. Length 90 Bend 5 4 G. Valve I 0.93 Subtotal Total 2O 0.93 20.93 ft Transmision Losses: L= 75.83 ft L= Q= 19.8 gpm Q= K= 147.5 K= Manifold Losses: Lateral Losses: 15.2 ft L= 48 ft 19.8 gpm Q= 6.6333 147.5 K= 47.8 Total Dynamic Head: Transmission Losses= 1.85 ft Manifold Losses= 0.37 ft Lateral Losses= 1.24 ft Elevation Lift= 8.35 ft Residual Head= 5 ft (Add 3/8" flow controller to reduce high head) Choose Pump which can lift 19.8 gpm for 67 ft. Select Orenco, Inc. 30 OSI 05 HHF- 3 Stage Pump, w/1.25" discharge, and 3/8" flow controller. 1/2 HP, 115V, I phase, 30 amp fuse. Page 2 5/25/95 Municipality of Anchorage Dept. of Health & Human Services P.O. Box 196650 Anchorage, AK 99519-6650 RECEIVED MAY 5 0 79,95 Dept. life ~,h .... ', Orage Attn.: Mr. Dan Roth Re: Lot 14, Block 7, Kasilof Hills Septic System Upgrade Design Change [)ear Mr. Roth, Following this cover letter are a letter to the contractor of record for this project, addressed generically as the contractor may change according to Mi'. Bill Davies, the client for this upgrade, and the previous owner of the lot. Also included are a new set of design calculations to size the new 5 bedroom system, two drawing sheets revising the trench layout, and giving the contractor layout dimensions, and lastly, a copy of the catalog cut for the Zabel Z200 Flow Divider, as requested. I have spoken with the new owner, and he has agreed that if elevations of the new tank outlet and the existing trench invert will allow, an American Mfg. Co. Bull Run Diverter Valve will be installed to allow use of the old system after a couple of years rest. The contractor will verify elevations prior to installation. Please issue a new Conditional Health Authority Approval, or modify the exiting one to reflect the changes in the design. The inspections for this project will be handled by Mr. Carl Abrams. Mr. Abrams can be contacted at 274-2049. 2 ~'~'--~,fi~-,¢ Should you have any questions, or require additional information, please feel free to contact me at (360) 698-7769 during business hours or (360) 613-1610 before 7 AM or after 5 PM Anchorage time. Sincerely, Robert W. Wright, P.E. 5/25/95 To: Contractor of Record for Lot 14, Block 7, Kasilof Hills Septic System Upgrade Dear Sir, Following this cover letter are two design sheets which supersede those contained in the existing design package for the above noted lot. The reason for the design change is an increase in the size of the system, to accommodate additional bedrooms. The system has been increased from 3 bedrooms to 5 bedrooms. It is important that the system be laid out prior to beginning any excavation, to avoid situating the trenches within the easement to the north, or the 10' lot line offset to the east. The new owner, Mr. Claire Doig has requested that, if possible, an American Mfg. Co. Bull Run Diversion Valve be installed after the new septic tank to allow use of the old trench in the future. Mr. Doig may be contacted at 346-3395. It is important that the elevations of both the tank outlet and the existing trench invert be verified prior to purchasing the Bull Run Valve. -I"o my knowledge, as of January 1995, no distributor for the Zabel Z200 Flow Divider was available in Anchorage. These dividers are available from Custom Tank Co. of Seattle, Wa. at (206) 334-8263. They may be ordered through Mr. Les Eldridge. In December of 1994, shipping time was two days, and the cost of the unit was $33.00 plus shipping. A study of the Percolation Log, and the drawings will show that large boulders to 3+ ft. in diameter were encountered during the perc test. The contractor should be aware of this condition during bidding, as sand may have to be imported to fill boulder voids, and boulders may have to be disposed of off site. Coordinate with new owner on boulder disposal. Should you have any questions, or require additional information, please feel free to contact me at (360 698-7769 during business hours or (360) 613-1610 before 7 AM or after 5 PM Anchorage time. Sincerely, Robert W. Wright, P.E. Project: Lot 14, Block 7, Kasilof Hills W.O.: 94026 Date: 5/25/95 Drainfield System Computations: Percolation Rate: 18.83 min/in. Application Rate: 0.6 Gal./s.f. 5 No. of Bedrooms: Average Daily Flow: 5 Bdrm X 150 GPBD= 750 GPD Required Drainfield Area: 750 GPD/0.6 Gal./s.f.= 1,250 s.f. Drainfield Length= 1,250 s.f./5 ft. Trench Width= 250 ft. Drainfield Size Reduction: W + 2/W + 1 + 2D Where: W= width= 5', 5 +2/5 + 1 + 2(3)= 0.5833 250 ft. X 0.5833= D= depth= 3' 145.83 (Use 146 ft. Total Trench) Therefore use two trenches approximately 73 ft. long each, 5 ft. wide, with 3 ft. of gravel below the distribution piping. Use Zabel Z200 Flow Divider to attain even flow distribution between the trenches. Permii No. PERMITNO Page ~ of 9 Municipality of Anchorage DEPARTMENT OF HEAL[H AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519 6650 TeLephone: 545 4744 On- Site Wostewo(er Disposal System end/or Welt Inspection Report Legal I)escripUon: Lol. 14, BIk. 7, Kmsilof Hills Subd., T12N, RSW. Sec. 15 PID No.; PID I / / / _o~ o~- JOB //:94026 FILE:FI.E PLOT SCALE: 1"=20' DATE: DATE Permit No. Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 543 4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Desc: Lot 14, Block 7, Kasilof Hills Subd., T12N, R3W, Sec. 1.3 PID No.: Lot 15 Well R( ~-fOfOO I 0 O' :: tive Well ~s P°~e6 Dr\,~¢ Strogenof Side Lot Offset Bedroom Drain- field Trenches s 31'30'oo" E ~5o.oo' TBM-I' Top:. Drive 5/8 Rebor El= 100.13 ~Do~: Possible New Perc Hole (if Req, by DHHS) -- 1500 Gal l'onk ~eROBERT W. WRIGHTS' CE 8156 JO8 #: 94022 FILE:g4022GSP PLOT SCALE:I'=30' DATE: 10/8/94 Zabel Z200 F10w Divider* Zabel Z200,D F10w Director BRAND NEW FOR 94- The Zabel Flow Divider replaces old fashioned distribution boxes and pipe manifolds and The Zabel Flow Director replaces expensive, old fashioned Y-valves. They are also more effective and easier to install. All Zabel products are manufactured from high quality injection molded PVC and carry Zabel's Lifetime Warranty if parts fail due to manufacturer's defect in material or workmanship. The warranty does not include replacement parts not sold by Zabel and does not include labor for removal or reinstallation. 1. The Floxv Divide distributes effluent leaving the 1. septic tank by means of a patented central weir design that insures the flow is evenly divided even if the Flow Divide,' is not perfectly level. The Flow Director is a Floxv Divider with a pat- eared sleeve vah, e installed to distribute the efflu- ent flow to a primary field of your choice and allows the secondary field to rest until needed. The inlet pipe of the Flow Divider is constructed so that effluent will floxv from it and down into the effluent into txvo equal portions. Distributes flo~v better than D-boxes and mani- folds that are subject to frost heave or ground settling. Testing shows that even with a level discrepancy of 1/8" or more between the right and left port, the division of the flow xvas atmost 50/50. A standard D-box or manifold distorts the flow under these same conditions. · Manufactured from injection molded PVC. · Always insures an even flow. · Doesn't create solids build up. · Will not clog. · Lifetime Warranty. Laboratory Test Results using 1000 ml samples @ 3 gpm Level Right Port Left Port 1/16" Tilt Right Port Left Port 1/8" Tilt Right Port Left Port Average Distribution 50.03% 49.97% 50.2% 49.8% The Flow Divider automatically back flows from the primary to the secondary f(eld and does not depend on the homeowner to change the sleeve valve in tl~e Flow Director. A standard Y-valve is dependent on the homeoxw~er to change the flow direction at the proper time. Unfortunately, this usually does not happen and a problem develops such as an effluent break out resulting in ground water contamination. At the time the septic tank is normally serviced, the septic tank service company can redirect the flow allowi,~g the primary field the oppormnit,,' to rest. .I 51.3% Questions concerning Z200 Flow Divider · Zabel Z2OO-D Flow Director please call 1-800-221-5742 or Fax (502) 267-8801 for fltrther information. Z200-O I- 11194 Wright-Alaska Englnce].ing Services * 6004 Glenkerry Dr. * Anchorage, AK 99504 MUNICIPALII Y OF AN~.H~J~: ~NVIR©NMENTAL SERVICES DlVl,SlON November 7, 1994 W.O. 94026 Municipality of Anchorage Department of Health & Human Services On-Site Services Division P.O. Box 196650 Anchorage, AK 99519-6650 Lot 14, BIk. 7, Kasilof Hills Subd. Health Authority Approval & On-Site Wastewater Disposal System Design Re: RECEIVED Dear Sirs, Attached with this cover letter are two submittals. A 3-bedroom, On-Site Wastewater Disposal System Upgrade Design and a Health Authority Approval Blue Sheet for the on- site well. The present 3-bedroom septic system is in failure at this time. The owners are selling this house, and will require a Blue Sheet on the well for the lending agency. A new 3- bedroom septic system has been designed to replace the original system. On October 21, 1994, a four hour well flow test was conducted on the site. The well was flowed at a rate of 1 GPM for four hours. The owners are herewith requesting that the Blue Sheet and system design be reviewed and approved at the same time to expedite the closing of the house. Should you have any questions or require additional information, please feel free to contact me at the numbers listed. Sincerely, Wright-Alaska Engineering Services Robert W. Wright, P.E. Telephone (907) 331}-6230 * Fax (907) 337.5182 11-20-1994 Oi:~gPH FROM WRIGHT-ALASKA ENG. SVCS. TO 343478G P.O1 Wrlght-Aleska F~rad~eertng Serrie~s · 6004 ~l~d~erry Dr. * Aneh~rage, 4~ 99504 i FAX MEMORANDU.M_ · November 20, 1994 W.0.!94027 To: On-Site Services Division' !..P.O. Box: 1'96650': ' : An~h0rage, AK 995196650 Fax: 343~4786 Lot 14, BIk. 7, Kasilof Hills Subd. .C0nditiortal Health Authority Approval ' Municipality of Anchorage · Department of Health & Human Servi=sS Attn: Mr. Dan Roth Per our conversation in the DHHS office on 11/18/94, the owner of the above noted lot is' requesting that the paperwork currently under review for a Health Authority Approval and On-Site Wastewate! 'Dlsposa[ System Upgrade permit be granted a Conditional ': ·Health Authority ApproVal for installation of' the'designed system in the spring. :. This firhi has foxed the proposed design to 4~ certified contractoi's to request bids for the' · work to be effected in the spring. We should' have a set of bids available at:the time.the · HAA:and permit are granted to allow the lending agency t0 determine the required funds to be :escrowed' fc~r this Work, If .you have any questions, or would like additional Information, please feel free to:call or fax me. · Sincerely, Wright,Alaska Engineering Services .. '::%:' :Robert'W. Wright,' P.E. : ~ (907) 3366230 · TOTAL P. 01 Wright-~klaska Engineering Services · 6004 Gle~rkerry Dr. · Anchorage, ~kK 99504 October 29, 1994 W.O. 94026 Re: Lot 14, BIk. 7 Kasilof Hills Sub. Site Narrative The following site narrative describes the probable impacts of an on-site wastewater disposal system upgrade for the existing 3 bedroom home on the above noted lot, located in T12N, R3W, Sec. 13. The lot is located on the upper hillside, access is directly off Stroganof Drive. The lot contains 0.69 Ac, more or less. The lot has been cleared of most of the natural vegetation, having some scrub Alder and Willow remaining on the lower portions. The majority of the lot is covered with wild grasses. The lot slope is generally flat in the area from the street to the rear of the house. A short, steep bluff drops approximately 6-7 ft. to the lower portions of the lot, which appear to be fairly constant at a slope of 15%. The lot is bounded on the north and west by undeveloped Lots 13 & 27. Lot 15, to the south is developed, and has both well & septic system. The well radius for Lot 15 is well away from the area to be used as the upgrade site (See upgrade design sheet 1 of 9). Lot 10, across Stroganof will not be impacted by this upgrade. All Municipal separation distances and protective well radiuses have been complied with. Lots 15 & 27 contain sufficient acreage that they will not be adversely impacted by the required 100 ft. separation from the upgraded system. Site drainage for lots to the east of Lot 14 is intercepted by Stroganof Drive. Drainage from Lot 15 runs to the west, and has minimal effect Lot 14. The finished grade around the upgraded system will be graded to provide positive drainage away from the field and tank, and prevent any ponding. No adverse impacts from the upgrade of the septic system for this lot are forseen. Sincerely, Wright-Alaska Engineering Services Telephone (907) 338-6230 * Fax (907) 337-5182 WrighL-hlaska Engineering Services 6004 Glenkerry Dr. · Anchorage, AK 99504 , Telephone: (907) 338-6230 Fax: (907) 337-5182 Percolation Log Report/ Soils Log Performed for' Bill &: Donita Davies Hole No: 1 Date: 10/21/94- Legal Description' Lot. 14- Block 7 Trac[ NA Subdivision: Kasilof Hills Township, Ranqe, Section: T12N, R.3W, Sec. 1,3 Sheet. 1 Groundwater -- Gross Net Depth ~to Net Adjusted Encountered? NO Reodinc~ Dote Time Time (min.) Water,~in.) Drop (in.) Rote (min./in, At what depth?NA 1 10/21/94 1555 10 1 14/16 Beoln ~ hour ore,, )ok oeriod Water level after ~ 10/21/94 1955 :~0 ~ 1-11/16 18.13 10/21/94 2017 20 5 1-10/16 18.83 Monitoring? None _~. 10/21/94 2059 20 ~ 1-15/16 17,49 10/21/94 2100 20 5 1--11/16 18.85 Date: 11/,3/94 .~ 10/21794 2123 20 5 1-10/16 18.83 Percolafion Rote Certify that this test was perfor~ed./iQ.~accordence with oll State & Municipal guidelines in effect on this date. Date 2_~ ', ',~', ', ', , v-~, , , , , , >,~, , ... ... , ,_, , , , , , , ~t---',t , ,~', , - , /Z~, , , , , , , o, , , 6 .'. Level Parc'd= 4, '"':"; fo 4.5 , , , , , , , , , , , , ~,, ,, :' .: ,, ,, ,, ,, ,, , , , ,15 9 ' Slope Site Plan 10 .. .. IIL--J---L--1--J-I IIl--il ~ ~ll I ' ~ I I---L--1--J---L---JI I I I 14 ~ ° e° ~ ~'~v eeeeeeee ~v~, Percolation Test Rate Adjustment All percolation tests conducted for this project have been completed using a 4" diameter tube in a 6" diameter hole. The annular space between the tube and the hole walls is filled with 3/8" pea gravel. The following adjustment has been made to all readings to account for the volume occupied by the annular gravel pack. h: 8 d := 5.25 h d - 0.344 h P :: 0.344 The porosity of the gravel has been determined using two identical 64 oz. containers. One filled with water, the other with gravel. The depth of water (h) was measured. Water was poured into the gravel container. The depth of the remaining water was measured. P= (h-d)/h. The correction factor'R' was calculated using the formula from page 76 of Dr. O. Benjamin Kaplan's book "Septic Systems Handbook": fl: 2 r2 :=3 1 r2.~ = 1.5 radius of 4" diameter perctube radius of 6" diameter perc hole C: 1.5 I~P'~2 1~ =0.636 C2 R: 0.64 R= V1N2 gravel. Example: where Vl is the total water vol. in the hole, and V2 is water volume with no 6" water drop in 2:13 min. 2.22 - 0.37 6 0.37 min/in with gravel pack. 0.37 - 0.578 0.64 0.57 min/in without gravel pack in 6" hole. October 29, 1994 W.O. 94026 Lot 14, BIk. 7, Kasilof Hills Subd. Absorption Area Calculations: Soil percolation rate is 18.83 min./in., See Percolation Log. Application Rate is 0.6 GPD/SF. Use a shallow Trench design, where tremch width is 5 ft. Number of bedrooms= 3, Gals. effluent per bedroom/day= 250 3.150 = 450 gals/day 450 - 750 s.f. 0.6 Assume a wide, shallow trench where width= 5 ft. 75O - 150 I.f. 5 Reduce required length by width-depth adjustment: 5~2 = 0.583 5 + 1 ~ (2.3) W+2/W+l +2D 0.583.150 = 87.45 L.F. Use 88 ft. of trench. Use 2 trenches, each 44 I.f, 5 ft. wide and 3 ft. deep. Permit Nm Page 1 of g Municipality of Anchorage DEPARTMENT OK HEALTH AND HUMAN SFRVICES ENVIRONMENTAl_ SERVIC£S DIVISION P.O. Box lgB650 Anchorage, Alaska gg51g-.6650 Telephone: 34-5-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Lot 14, Block 7, Kosilof Hills Subd., T12N, RSW, Sec. 13 PIB No,: I I TBM-2: i Top 5/8 IRebar. El= 73.35' :. !...:.:i ::;.::.~10,,,CEA i i~o i Jnde clop Ea..met ' : ~% ' ,¢% I, ~ ~.. :~ ~ ....... ~' ..~.~.~.~~1 '/;'~' IU.') o5. ~ _ ~ ~ J 1'~ ~ ~ : , ~ ~ ~ · Lot 15 Fr:oroe ....... ) / ........ ......L 100' 5 tire ~.- . TBM-1, Top Drive 5/8 Rebar anof B= 100.13 o~,.: ///~/¢~ JOB J: 94022 FILE:94026TOP PLOT SCALE:l"=30' DATE: 10/25/94 Permit No. Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-,6650 Telephone: On-Site Wostewoter Disposal System and/or Well Inspection Legal Description: Lot 14, BIk, 7, Kasilof Hills Subd,, T12N, R3W, Sec, 13 PID No,: Page 2 of 9 34.3-4744 Report r-T i / -T- / r-~- / III/ I /I// II ifi.~1 /17/ S: 58'30'00" E / ~ / 200.00, ./ I// ROBERT W, WRIGHT CE 8156 ,JOB ~: 94026 FILE: 94026SYS PLOT SCALE:I"=20' DATE: 11/3/9~r Permit No. Page 3 of 9 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: On-Site Wastewoter Disposal System and/or Well Inspection Legal Description: Lot 14, BIk. 7, Kasilof Hills Subd,, T12N, R3W, Sec, 13 PID No,: 34,3-4744 Report / / / / / / / .JOB ~: 94025 FILE: 9402601M PLOT SCALE:I"=20' OATE: 11/3/94- Permit No. Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: On-Site Westewoter Disposal System end/or Well Inspection Legal Description: Lot 14, B]k. 7, Kasilof Hills Subd., T12N, RSW. Sec. 13 PID No.: Page 4 of 9 545-4744 Report eUl'l qO~lO~ 0'09+0i -t- i oJ ! ~1 ~l ~ au[~ qolo~ 0'09+01. o15 J.... ~ ~ JROBERT W, ~IGHTe n~ De~e: JOB ~: 94026 FILE: 94026PR0 PLOT SCALE:l"= 10' DATE: 11/3/9~- Permit No, Page 5 of 9 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,O. Box 196650 Anchorage, Alaska 99519-.6650 Telephone: ,34,3-4744 On-Site Wastewater Disposol System ond/or Well Inspection Report Legol Description: Lot 14, BIk, 7, Kosilof Hills Subd,, T12N, R.3W, Sec.15 PID No,: (.~.> PLOT SCALE:l"= 3' DATE: Permit No. Poge 6 of 9 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-,6650 Telephone: On-Site Wostewater Disposol System and/or Well Inspection 545-4744 Report Legal Description: Lot 14, Block 7, Kasilof Hills Subd., T12N, RSW, Sec. 13 PID No.: Z Z JOB ~: 94026 FILE:94026TNK PLOT SCALE:l":3' DATE: 11/,~/g4 Permit No. Poge 7 of 9 Municipality of Anchor(]ge DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: On-Site Wosf, ewoter Disposol System ond/or Wel Inspection 543-4744 Report Legal Description: Lot 14, Block 7, Kosilof Hills Subd,, T12N, R3W, Sec. 1.3 PID No.: bJ / / ,108 ~: 94,020 FILE:94,O26FIN PLOT SCALE:I/16"=1' OATE; 11/4,/94- Permlf No. .~' '/ /',9th ~ "'.."~'~ 94026 ~.~ ......... ~.,,~..,~. ____ Legal Description= Lof 14, BIk. 7, Kasllof Hills Subd. l~~~~fe 11/3/94 1 ALL CONSTRUCTION SHALL BE IN ACCORDANCE ~TH CHAPTER 15,65. WAS?~.WATER~;DISPbSAL REGULATIONS OF THE MUNICIPAL CODE AS CURRENTLY AMENDED. 2 INSTALL NEW 1500 GAL SEPTIC TANK AS SHO~ ON THE DRA~NGS. RECORD INLET AND OUTLET ELEVATIONS OF THE TANK. TANK SHALL BE PLACED ON UNDISTURBED NATIVE SOIL, 3 SITE TOPOGRAPHIC SURVEY CONDUCTED ON 10/20/94. EXISTING STRUCTURES, WELLS, SEPTIC SYSTEMS OBSERVED ARE SHOWN ON DESIGN DRAWINGS. 4 ANY DEVIATION FROM THE DESIGN MUST BE AUTHORIZEO BY THE ENGINEER PRIOR TO ITS INCORPORATION INTO THE SYSTEM, 5 CONTRACTOR TO LOCATE ALL UNDERGROUND UTILITIES, PROPERTY LINES, EXISTING WELLS, WATERWAYS, SURFACE AND SUBSURFACE DRAINAGE FACILITIES, LAKES, PONDS, AND OTHER FACILITIES REQUIRING SEPARATION OISTANCES FROM THE PROPOSED SEPTIC SYSTEM. CONTRACTOR TO STAKE PROPOSED SYSTEM PRIOR TO CONSTRUCTION, NOTIFY THE ENGINEER OF ANY OBSERVED CONFLICTS PRIOR TO CONSTRUCTION. 6 CONTRACTOR TO NOTIFY THE ENGINEER AND DHHS 24 HOURS PRIOR TO COMMENCING WITH CONSTRUCTION. A MINIMUM OF THREE INSPECTIONS ARE REQUIRED. THE FIRST INSPECTION SHALL BE OF THE SUBGRAOE PRIOR TO PLACING THE SEWER ROCK. THE SECOND ~NSPEOTION SHALL BE AFTER THE PLACEMENT OF GRAVEL, DISTRIBUTION PIPING, STANDPIPES, TANK, ANO OTHER COMPONENTS AS SPECIFIED, THE THIRD INSPECTION SHALL BE AFTER THE WORK IS COMPLETED, 7 CONTRACTOR SHALL DELIVER TO THE ENGINEER A SET OF RED-LINED, AS-BUILT DRA~NGS SHOWING ALL DATA AS SPECIFIED IN SEC. 15,65.150.F. 2, 3, 4, 5, 6 OF MUNICIPAL WASTEWATER DISPOSAL REGULATIONS WITHIN FIVE DAYS OF THE FINAL INSPECTION. INVERTS SHALL BE MEASURED TO THE NEAREST HUNDREOTH OF A FOOT. SWlNO TIE LOCATES SHALL BE MEASURED TO THE NEAREST TENTH OF A FOOT, THESE AS-BUILTS SHALL BE USED BY THE ENGINEER TO PREPARE AND SUBMIT RECORD DRAWINGS TO DHHS. 8 ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER IF ACTUAL FIELD CONDITIONS VARY FROM THOSE USED TO PREPARE THE DESIGN. 9 EXCAVATE THE ABSORPTION TRENCH. BOTTOM OF EXCAVATION SHALL BE LEVEL AND SCARIFIED. RECORD ELEVATIONS AT BEGINNING. MIDDLE, AND END OF TRENCH BOTTOM. CONSTRUCTION EQUIPMENT SHALL NOT OPERATE ON TilE FLOOR OF THE EXCAVATION. ANY MATERIAL COMPACTED BY Tile OPERATION OF THE CONSTRUCTION EQUIPMENT SHALL BE REMOVED AND REPLACED WITH UNCOMPACTED MATERIAL. 10 PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE SEWER ROCK WITH NATIVE MATERIAL OR SPOIL FROM EXCAVATION. LEVEL ROCK SURFACE TO + 1" PRIOR TO INSTALLING THE PERFORATED PIPE. 11 ALL PIPE SHALL BE PVC CONFORMING TO ASTM 03034 OR ENGINEER-APPROVED EQUAL. MINIMUM SOIL COVER SHALL BE .3 FEET OVER THE PIPE AND 4 FEET OVER THE SEPTIC TANK. ONE INCH OF INSULATION MAY BE SUBSTITUTED FOR 1 FOOT OF SOIL COVER. (SEE NOTE 12) 12 ALL INSULATION BOARD SHALL BE 2" THICK DOW HI-35 INSULBOARD OR ENGINEER-APPROVED EQUAL. CENTER INSULBOARD WIDTH OVER SEPTIC TANK. 13 GEOTEXTILE SHALL BE MIRAFI 140S OR ENGINEER-APPROVED EQUAL. LAP ALL JOINTS 2' MIN. 14 COVER THE DISTRIBUTION PIPE WITH A MIN. OF 2" OF SEWER ROCK, AND COVER WITH GEOTEXTILE BEFORE PLACING INSULATION AND BACKFILL. 15 MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS. 16 SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MIN. SLOPE, AND ;3:1 MAX SLOPE. AND IN SUCH A MANNER THAT PONDINC AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION AS PER MUNI. SPECS. 17 RECORD THE FINISH GROUND ELEVATION OVER THE BEGINNING, MIDDLE, AND END OF SYSTEM. Permlf No. Legal Description: Lot 14, BIk. 7, Kasilof Hills Subd. NOTES: 18 19 Page 9 of 9 W.O. 94026 Dale 11/5/94 AS A CAUTIONARY NOTE TO THE CONTRACTOR: THE PERCOLATION HOLE SHOWED SEVERAL BOULDERS TO 5+' IN DIAMETER, IT MAY BE NECESSARY TO IMPORT NFS FILL FOR AREAS AROUND THE TRENCH. ANY FILL USED BELOW THE TOP OF THE SEWER ROCK MUST BE AN NFS SAND. BACKFILL USED TO FILL OVER THE TOP OF THE WEST TRENCH MAY HAVE TO BE IMPORTED TO SITE. BACKFILL FOR CONTOURING CAN BE ANY NON FROZEN, NON-ORGANIC SOIL, FREE OF TRASH, ASH OR DEBRIS. AS-BUILT REQUIREMENTS RECORD INLET AND OUTLET INVERT ELEVATIONS OF SEPTIC TANK RECORD BEGINNING ANO END INVERT ELEVATIONS OF ALL RUNS OF SERVICE PIPING rECORD BEGINNING, MID-POINT AND END ELEVATIONS AT THE DRAINFIELD FOR THE BOTTOM OF TRENCH, DRAINFIELD PIPING INVERT AND FINISH GRADE FROM AT LEAST ONE TANK STANDPIPE AND AT LEAST ONE DRAINFIELS STANDPIPE, RECORD DISTANCES TO 1/101 FOOT TO AT LEAST TWO POINTS READILY LOCATABLE UNDER WINTER CONDITIONS RECORD FINISH GRADE ELEVATIONS AT EACH POINT WHERE SERVICE PIPING CHANOES DIRECTION OR GRADE Olympic Engineering 3472 NW Byron St, Ste. 202 Silvordale, WA 98383 F_ax Memor=nd_u.n.l Mol~day, J,ne 26, 1995 4:23 PM To: Municipality of Anchorage Dept. of Health & Human Services From: Bob Wright Re: Lot 14, Block 7, Kasllof Hills Subd. Mr. Dan Roth, Per our telephone call this morning, I am getting back to you with the information on the contact person at NBA, and the telephone number to lax the revised Conditional Health Authority Approval to. As you may recall from our conversation, the contractor has encountered water in a portion of the excavation, and the design may be required to be changed to ensure the installation of a workable system, with a reasonable lifetime. The contractor has been called out of town, and will finish the project when he returns. Since we are required I~y the Conditional Health Authority Approval, and the bank escrow to have an approved system Installed by July 1, we are requesting an extension of the CHAA be faxed to NBA, extending the finish date to August 1, 1995. Please send a copy of the revised CHAA to NBA, attention: Myrtle & Christy Wells ~ 257.3335. You can call me at (360) 696-7769, or fax me at (360) 698-64Z7. Please Indicate on the CHAA that the owner is Mr. Claire Doig. Should you have any questions, or require additional information, please feel free to call us. Rinc~r~ty, Olympic Engln. a?pn~l Robert W. Wnght, P.E. Telephone: (360) 898-7789 C:~ISOFFICE~WINVVORD\OLYFAX.DOT (360) 698-6427 0/26/95 TO: Affn.: Re: Municipality of Anchorage Dept of Health & Human Services On-Bite Sel¥ices Division P.O. Box 198650 Anchorage, AK 99519-6~50 Mr. Dan Roth Lot 14, Block 7, Kasilof Hills Subd. Request for Extension of Conditional Health Authority Approval F ECEIVED JUN 2 6 1995 M~mc~Pality ct ,~nchorage Dopt, Health & Human Services De~r Mr. Roth, We are requesting an extension of the existing Conditional Health Authority Approval for the above noted lot. We sro in the process of installing the system as shown in the revised design mailed to you June 7, 1995. The contractor has encountered water in the north end of the site, which may irnpa~ the noted design. As of 6/22/95, the; contractor is out of town, and it is not known when he will return. Since the installation i~ not complete at this time, and the escrow agreement with th~ honk i.~ ~.nming due at the end of this month, we will need an extension to complete the project, and submit record drawings. We are requesting an extension until July 31, 1995, Please fax a ~opy of the revised Conditional Health Authority Approval to the bank, to allow the completion of the installation. The fax should be sent to the same person as the last update. Should you have any questions, or require additional information, please feel free to contact rne at (360 698-7769 during business hours or (360) 613-1010 before 7 AM or after ,5 PM Anchorage time. Thanks Very Much- Robert W. Wright, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVfRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPQRT [PHONE NAME MAILING ADDRESS LEGAL DESCRIPTION LOCATION Well ~ I DISTANCE TO: ( O (~ IManufacturer ~ [ Liq. capacity in gallons ] _ l,o ............ F m-~ [Manufocturer ~l ~ [Well ~ m ~ INc. of lines I Length of each ~ ~ Top of tile to Jjnish grade, ~u Length Width Depth ~ ~ I Type of crib / ~ib diameter ~ ~[a]s ~ Depth ~ ' DISTANCE TO: Building foundation OTHER PIPE MATERIALS SOIL TEST RATING REMARKS ~PP~V~ ~,, D~ATE Dr--, Absorption area Dwelling Inside Iongth__.~ LWid~ ' :T''¢~---- ~ ~ Dwelling -[ Material Foundation "/Nearest-lot line Total length of lines q (/Trench~_.~t Material beneath tile NO, OF BEDROOMS PERMIT NO, of compartn~. Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO, Distance ~1 ~ffective absorption area PERMIT ~0. Crib depth I~T..Q,,t~J PffPetJ_v~_9.~orption area Bu~undation I Nearestlot line / Drille~ I DistanCe to ot ~ne ~RMIT NO,..~ ,~a .... Sewer lille Is~i0 tank [Absorption area(s) LEGAL 'J"Hq: I I:::'1'.,I '! '!"1-'1 !'::, ]: !"ll:='i'.,!:!:i; ]; ON '[ ::i!; TI'II':: t..fi:N(iiTH ( Zt; I",I !:::'~!;!:i;'l [:, OF: Till: '!'I:;U::]",I(::H !:If;i: !::'?Rt:::I ]: i",!F' ]' E:! I::,. 'i'i'IE [:,EF'TII OF:' I'::1 'I'Iq:I:N(::H O1:;;: I:::' ;1' ];::!; 'F!"h:.';' D '!i1:;"31 1"4[', 1=11",1[:, t'IIF f30'f'f'O["l Of:: '!'lql:!; I!:i;;:':;l::l::'l',,,'i::l'l f'f'IEI:;:E; :1: :i!i; I",h' '::;I:"T I,.l ;i; DTI ! I:::' ')F: 'r':;i:[::;l'.l ;: "l"t..ll::: I ...... . .. - ,, t. i I, I I. !)I:]::'Ttl ;I;'::!; 'I'HF:' I'"l;[t'-,IZ[h'![.IH [:,E:i':"l H OF:' ~1.1f ,,!.:.1.. i?,t: I i':L,':Ii!;N '!'! tl:il I'It I FF";::~ I F:"!.F:'I: !:::lh!D '/I'll:i: l:::',l'; I'T: r"l I:iF: 1 !"If!; ::'X['; .:::1","1:::. I' ]; Ell",! "' :[ 1",1 F::'EI::T ::'. J::'i![t:;i:l'"i ...... f I" t=ll:::'l::'l....i: I::l::li",lT I"ll:::l!i; TILE:: I:;i'.f::i:i;F:u:3i:',!!!i!; [i; I!: i[ J.." 't", '[1:) ]: NI::"I:)I:ii'H ?1! :[ :!!:; [)l::F:'l:::!i;i;'l h![fi",F! [:,t t1:;i: j Nl!i '1 I...: :[ h!:i:;"!'f:li..l .1::1'1-Z[ OIq i[ N':i;l:::'Fi:r' '1: Ot",!:ii; 131-: f::ll",t"r' I,.If:l !. ::i; !::ff:'..:f!:::ll::!::!?',!'T 'J'O I1"1 [11 'i!i; II .t. I 'F'I. I : !::lJ",!O 'Till:: I".II.IHE l:i!:i;il OF: l;ir[!Z:iii; ]Z l::'ti:i",f(::E:!:; li"IF'J'I THF[ I.'.f!iZ!..I... !.4 ): I...L :[ t::!:: !;;: 'l ' ]: l:::' "r' 'TI'II:::I"I' :!..: ;i[ ¢::!t"i F;'I:::tf'!]iI..]t::iI:;;: !.,I;I;'1'tt 'l'f'!~i: I';i:lii:!:;:!l.l;t;l:;i:l:iZ!'"lf::;!",t"l'ii!i; FOI';i: t:::OI:;;:TI"! I:;"¢ "[1'11~{ l"!l. IN ;[ (';: Z[ F:'l::d. ;I; '! "r' ['iF:' F:ll",!Cl'lO!;?.F:!(iil:ii;. 2': ]: I,.t ]; i...1~ :17 t"ff!;Tf::I!..L. TI'Il:!{ ::?'r"~:;'l'!::H :11J",l F:IE:C[:If:~:I3'I:::!I",If31: 14 ;~:: [[ Iq",![[:'[~:[;;:':~;T~::lNl":' TNI:::IT 'File ON":~; I;1!::; %E].'.~:~I:;?. ~:;'~'::~;'1'~[1"! I'"lF:l"r' I:;:![]QI.I)]t:;;:~:[ ?:;Ni.!:::!!;;:(':iEHE[N'~ ;IF: 'i~'~F t:;~:t:;':; [[ t::'l:i",l[)E:. ;f ;:~; f;;%!~l~[:'t:;I .t::~::' '10 ]~ i",!([:!._1.11;:'1: i"!OI:;;:E '1 I Ii:::11",! ::::: l:::l!:::'J:='~:~:'d',IT .I ':::;'i FIN ['il::l[;:'[:q I~':.;'::; :[ :h;'.f:;I..l[:l';:, l:',"r' . .......... ;: t:~'1'~:: IVILJNICtP/~,EFf Y (.)F: AklCHORAGEi SOILS LOG PEHCOLATION : :,,' EST 1 2 /:2/':5o:; ,'--/' ....~.¢ ~'1":"~, o 12" FI\ICOUNTEHED? 9 10- 11 12 13 .-: ' :' 1,5 !6 18 19 20- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services 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.# 015-132-19 HAA# HA040618 1. GENERAL INFORMATION Complete legal description Lot 14 Block 7 Kasilof Hills Subdivision Location (site address or directions) 10321Stroganof Drive Property owner Mailing address Lending agency Mailing address Bill Davies Day phone 561-1081 10321Stroganof Drive, Anchorage, Alaska 99516 National Bank of Alaska : Day phone 257-3434' 301 West Northern Lights Boulevard, Anchorage, Alaska Agent Bob Campbell % 2001 Realty Day phone 276-2001 Address 2600 Denali Street, Suite 400, Anchorage, Alaska 99503 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: Three(3) TYPE OF WATER SUPPLY: Individual well Community well NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site SSSSS Public water ;' .-' ~j; :-: . If community well system, provide written confirmation h'ot~fi:State ADEC ¢'ttest~ lng to the legality and status of system. " :, ,, ~ .J ' ',, .,,i ~,, ,, ,. . -~,,/~,,; ,,,". ..,, ',, /, ~,- ~. ¢~/'~ > SSSSSS Public sewer NOTE; If community wastewater system, provide written confirmation from State ADEC attesting to the legaliO/ and status of system. 72-025 (Rev. 1/91) Front MOA #21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Location (site address or directions) /~/ ~~-~ ~, Property owner Mailing address //~ ,--~,/ Lending agency /"~'/,'~ Mailing address ::~E~)/ Agent _/~/'~/~ ~-~'-~,~,&:~--~'/---'/~ / Unless otherwise requested, HAA will be held for pio~op. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water .5' ?, NOTE: If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site 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. 72-025 (Rev. 1191} Fronl MOA/f21 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. Name of Firm..~/~~-~' ~/~,.~,~ ~-.,/k/'~', ~Y~ Phone[~)~/~/~/~ Engineers--signature ~~~ ~~~ Dato ~/~ ~/ ¢~¢¢ DHHS SIGNATURE '~ Approved for Y Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations; Additional Comments The Muriicipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91] Back MOA/~21 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. Name of Firm Wright-Alaska En~ineerin~ Services Phone 338-6230 Address 6004 Glenkerry Drive, Anchorage, Alaska 99504 Engineer's signature Date Attached are copies of the installation of the new on-site wastewater disposal, i system. This upgrade has been installed and inspected by the engineering firm, Wright-Alaska Engineering Services. DHHS has reviewed and accepted these as-builts this installation is now approved. This property is now in compliance with the AMC reguzat2ons and¢i~meats this. departments approval. If there are any questions please call our office at 343-4744. DHHS SIGNATURE xxxx Approved for three (3) Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional COmments Date April 1, 1996 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph' 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA Parcel I.D. # . MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEAETH & HUMAN SERVICES. Division of Environmental Services On-Site Services Section P,O. Box 196650 Anchorage,Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION /,%,, Location (site address or directions) /.//~¢¢~' Mailing address//L::~.¢~,/' q~'"~/~dZ:)~cC'A~¢/ Lending agency/'~,,~/'~,/~/,z¢~.. ,,~'/¢¢¢t//¢ d/ Agent~ ~ ~~¢~¢¢/~/Day phone Unless othe~ise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Commun!ty well Public water lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site 72-025 (Rev. 1/91) Front MOA#21 NOTE: If community well system, provide written confirmation from State ADEC attest- NOTE: If communi~ wastewater system, provide wri~en confirmation from State ADEC 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 ~hat 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 verifythat 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 J~//'~/~'/~- ,z~,'~r-~/~/'~ ~"/V/4~' ~'{/'~"-%' Phone ~- ~ 2~ Address ~~ ~/~~ ~', ~~~ ~ ~ ~P~ 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for ~ bedrooms, with the following stipulations: ,/~ll/Y.~" SHIILZ ~E ~}-/tdEz2 I,,U £~¢/~o~.; 7'0 ¢owSZ~xcT 7'/Y£ Additional Comments To ~" ~'~'"""~ .¢(v ' ", / "~"'~ ,~y:.,/ / ~l .. .y. / ?~- ~_ ,/ Date conduct inspections or anal~e data before a ce~ificate is i~ued, The Municipali~ of Anchorage is not responsible for errom or omi~ions in the profe~ional engin~(s work. :: ~(R~.1~1) ~ck MOA~I ' ' : '" ' Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~-/z'~/~ ~ ,/~,,~-'"/¢42/z"///[_,g,~Parcel I.D. A. Well Data Well type Log present (Y/N) Y Total depth ,~¢,~ ~' ~'~, Sanitary seal (Y/N) Y If A, B, or C, attach ADEC letter. ADEC water system number Date completed ,_~'/~,,/~2 Driller ,.~' ~",4~¢ Cased to ~//~//~' Casing height ~..':¢// Wires properly protected (Y/N). FROM WELL LOG Date of test ,,.~/~/ Static water level ~'(~) Well flow Pump level1 ~//V/'~ AT INSPECTION /ol //q4 g.p.m. / g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot //4 Public sewer main Sewer service line /k,//'~ ;On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ,d Nitrate <~, 7//)"/~,//~ Other bacteria Colleoted by: "~:~ ~ B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size Compadments Foundation cleanout (Y/N) Depression (Y/N) Alarm tested (Y/N) Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot To property line Sudace water/drainage On adjacent lots Absorption field Foundation Water main/service line 72-026 (31937 Front CONTINUED ON BACK PAGE C, LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD'DATA Date installed Length Width Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Sudace water Soil rating (GPD/FF) System type Gravel thickness Total depth Cleanout present (Y/N) Depression over field (Y/N) . Results (pass/fail) for Bedrooms After test If yes, give date Well on lot To building foundation On adjacent lots Sudace water Curtain drain E. ENGINEER'S CERTIFICATION On adjacent lots Property line To existing or abandoned system on lot Cutbank Water main/service line Driveway, parking/vehicle storage area I certify that I have checked, verified, or conformed to all MOA and HAA guidelines Engineer's Name ,~r'~~ Date HAA Fee $ ¢ Date of Payment Receipt Number in effec_L4~'~a~. ~f~ this inspection. ,,~\ ~- ........... ~--~/ % ~*'., CE-8156-- ,/A~, Waiver Fee $ Date of Payment Receipt Number CT&E Ref.~ Client.Sample ID Matrix Commercial Testing & Engineering Co. Environmental Laboratory Services ~,'~'.~.~.~-~-.4-.~-~-.~-.,~.~.~-.g.~-~.a~.~.c~,'~-JJJ~J~fjjjjjJ~ 9~.~-~ LABORATORY ANALYSIS REPORT L14 BIJ<7 F~SILOF HiLLS-HOSE BIB E SIDE * WATER Client Name WRIGHT-A3=AS~A ENGINEERING WOP~ Order 10336 /' Ordered By BOB WRIGHT Printed Date 10/26/9~ ~ 12:5~~ hrs. Project Name Collected Date 10/24/94 ~ 11:00 hrs. Project~ Received Date 10/2~/94 ~ 11:20 hrs. PWSID UA Technical Director STEPHEN C. EDE Sample Remarks: ROUTINE SAMPLE COLLECTED BY: BOB WRIGHT. *HOUSE. QC Allowable Ext. Anal Parameter Results Qual Units ~4ethod Limigs Date Date Inig Nitrata-N 0,71 mg/L EPA 353.2/300.0 10 10/25/94 5ICE * See Special Instructions A~ove UA = Unavailable ~* See Sample Remarks Above NA = Not Analyzed ~U = Undetected, Reported value is the practical quantification limit. LT = Less Than .%3D = Secondary dilution. GT = Greater Than 5633 B Street, Anchorage, AK 9951 8-1600 --Tek (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA. COLORADO, FLORIDA. ILLINOIS. MARYLAND. NEW JERSEY. OHIO. UTAH. WEST VIRGINIA MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Lot 14; Block 7; Kasilof Hills Subdivision; Location (address or directions) 10321 StJ~o.qanof Drive (b) Property owner Jc..mes S. & Billee ..lean Marqff~phone: (home~¢'~'), G741 Business Mailing Address 24234 134th Court S.E. Kent, Washington 98042 (c) Lending Institution Telephone Mailing Address Real Estate Company and Agent FORTUNE PROPERTIES ATTN: Geri Crowley .,v' Address 3000 A St~e~ ~I01 Anchorage, Ak. 99503 Telephone 562-7653 Mail the HAA to the following address: (or check here~, if hold for pick up.) List contact person and day phone number below: (d) '(e) S & S ENGINEERING Eagle River, Alaska 90577 2, TYPE OF RESIDENCE Single-Family~ Number of bedrooms % 'N 3. WATER SUPPLy Individual Well ~ Community [] Public [] .No!e: !fco. mmunity.well system, must have written confirmation from the State Department of Environmental Conse'fvation attesting to th legality and status. 4, SEWAGE DISPOSAL On-site I~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 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, Iverifythat my investigation of th is 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 flies 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 5 & S ~NGINEE. R!NG 17034 Eagle River Loop Road No. 204 Address F~gle River, Alaska 99577 Telephone Date 6. DHHS APPROVAL Approved for ~ bedrooms by Approved ~'/~_ Disapproved Terms of Conditional Approval Conditional Date Note: The well serving this property currently meets the Municipal standard of 0.31 gpm for a three (3) bedroom dwelling. Storage capacity of the well is 270 gallons. This is 60% of the daily requirement for a three (3) bedroom dwelling. Additional water storage may be required for high demand periods. 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 DHHSdonotconductinspections or analyze data before a certificate is issued. TheMunicipalityofAnchorageisnot responsible for errors or omissions in the professional engineer's work. 72-025 (Rev, 7/88) Back Page 2 of 2 A. WELL DATA Well Classification MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST- FEBRUARY 1984 343-4744 Legal Description: ~o-~//-;/ ', Well Log Present (Y/N) ~Date~ Completed Total Depth .2-Z~ Cased to. /---/6) ¢- Depth of Grouting / Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot / If A, B, C, D.E.C. Approved (Y/N) ~- ~'~¢-~?_Yield Pump Set At (---) l~' / 2 '/- Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) -~- ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line /,.) / P, · / To Nearest Sewer Service Line on Lot Water Sample Collected by __~..~ ~[ ~ z~L.-"~//,2~.¢d-.¢'i .k)~.; Date Water Sample Test Results ~-~q '~l ~ '-~ Comments~ ~L'd---'t.A~ "~¢---,~,~'~~-~ ~1 ! (DO '/' ' On Adjoining Lots / 62(D To Nearest Public Sewer Cleanout/Manhole A J//A B. SEPTIC/HOLDING TANK DATA Date Insta,ed Si 'e l No. Compartments Standpipes (Y/N) L.( Air-tight Caps (Y/N) Depression over Tank (Y/N) ~ Foundatio~ Cleanout (Y/N) Date Last Pumped'~ ~¢%~/ Pumping/Maintenance Contact on File (Y/N)/ /~/f./~ ;for ~/~ Holding Tank High-Water Alarm (Y/N) /g//,A Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Wate[-Supp y We ! ©O -/- To Property Line { C~) ~ To Water Main/Service Line [ O To Building Foundation To Stream, Pond, Lake or Major Drainage Course Comments ~ ,,A ''~ ~,~(~ ~e--~ 6__2~X, To Disposal Field 72-028 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed __~ - ~- - -'~ ~ Width of Field ,z.¢ ~)" Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: Z Z C) ¢~/~':;~ Type of System Design Length of Field Depth of Field Gravel Bed Thickness "~ ~. f~ z~ Statndpipes Present (Y/N) /',J Date of Last Adequacy Test To Water-Supply Well ( To Building Foundation Lot ,,,j / v~ ! To Water Main/Service Line ! © -)L TO Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line ( ( To Existing or Abandoned System on · On Adjoining Lots ~ O To Cutback (if present) Comments D. LIFT STATION Date Installed '~ Size in Gallons % "Pump On" Level at '~ High Water Alarm Level at f.,.~%~'~-~ Tested for Meets MOA Electrical Codes (Y/N) % Comments '%% Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. %. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect inspection. Signed Company !;,',:~,?e p!,~c-r: klf,~,i;~, f¢95Y:¢ Date . ~-'2_¢-- ~," Amount: 72 026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING 5633 B STREET ANCHORAGE, ALASKA99518 TELEPHONE (907)562-2343 ANALYSIS REPORT BY SAMPLE for WOgKorder# 32527 Date Report Printed: MAR 14 91 ~ 09:36 Client Sample ID:L14 B7 KASILOF HILLS PWSID :UA Collected t~%R 11 91 0 14:15 hrs. Received HAR 12 91 ~ 13:50 hrs. Preserved with :AS REQUIRED Analysis Completed :MAR 13 91 FAX: (907) 561-5301 Client Name Client Acer BPO $ Roq ~ Ordered By :S & S ENGINEERING :$NSENGP PO I; :R. SH~FER Send Reports to: 1)S & S ENGINEERING Chemlab Ref 8:910896 Lab $mpl ID: 1 Matrix: WATER Allowable Parameter Tested Result Units Method Limits NITRATE~N 0,64 ms/1 EPA 353.2 10 Sample ROUTINE SAMPLE COLLECTED BY: RJS Remarks: i Tests Performed ' See Special Instructions Above UA-Unavailable ND~ None Detected "See Sample Remarks Above NA~ Not Analyzed LT=tess Than, GT~Greater Than HEALTH AUTHORITY APPROVALS SEWER &WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SiTE WASTE WATER DISPOSAL SYSTEM ROBERT SHAFER, P,E. ROGER SHAFER March 22, 1991 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 Ms. Ge~i Crowley FORTUNE PROPERTIES, INC. 3000 A Stre~ Suite #I01 Anchorage, Alaska 99503 REFERENCE: Lot 14; Block 7; Kasilof Hills Subdivision; 10321 Stroganof Drive Dear G~ri, RECEIVED MAR 2 7 1991 Municipah~y of Anchorage Dept, Health & Human Services At your request a production test was p~rformed on the well serving the referenced property on March 15, 1991. Due to the low flow rate of the w~ll a continuous pumping, four hour flow test could not be p~rformed. Instead, a series of recovery rate tests were conducted. The static water level was measured within the well at 48 ft. below the top of the casing. The flow was turned on full and the water level drawn down to the pump intake at 241 ft. At that time the pump was turned off and the water level in the w~ was allowed to recover. After approximately I. 5 hours the pump was turned back on and the water level drawn down to the pump while the flow quantity was m~tered. This procedure was repeated 3 times again with consisten~ results. From this data we have found the well to currently produce approximately 20 gallons per hour (GPH). This flow rate is not guaranteed to remain constant, subsequent variations can occur. If you have any questions, of if we may be of further service, contact us. oleas e INSPECTION APPOINTMENTS , .- TIME TIME - ~'~ // TIME DATE DATE '\ F' / ~ DATE INSPECTOR 'NSPEOTO ' NSPEOTO~ MUNIOIPALITY O~ ANOHORAGE ~_Vi~EPT, OF HEALTH & D~PARTMENT O~ H~ALTH & RNVIRONM~NTAL PROT~BTI~ ONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ALI0 ~ i 198i ENVl RONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND 8EWER FACILITIES DIRECTIONS', Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing. I, PROPERTY OWNER ~PHONE EI N~Dn ESS ' Y ~blDENT (If different from above) PHONE NG ADDR E88~ 3, LENDIN~ INSTITUTION PHONE M~ILING ADORESS 4, REALTOR/A~ENT ~ PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION ,¢ STREET LOCATION ,.t~ SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY NUMBER OF~BEDROOMS [] One [] Four E] Two E] Five ~ Three [] Six [] Other * ATTACH WELL LOG, A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUFST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [~-"SING LE FAMILY [] ONE [~"~TH R E E [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY ~'I'N DI V I DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified. LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~INDIVIDUAL/ON -SITE DATE INSTALLED E~PUBLICUTILITY ~ ' '" ~'~ Connection Verified ~NSTALLER [~]Septic Tank or [~] Holding Tank /<~ ~ v ~, ~' /',/~- ~,., o.~~/~' Size: ~/~ -t~ .~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line I Nearest Lot Line WELL TO: I I Absorption Area to nearest Lot Line 5, COMIVIENTS FOR BEDROOMS PROVED DATE "~ A N (; Ii O P, A (~ E, A l A S i~ A 9 9 !5 0 1 September 3, 198] J. Stan Marquiss Post Office Box 10-2214 Anchorage, Alaska 9951], Subject: Lot ]_4 Block 7 Kasilof Hills; Subdivision Approval for the individual sewer and water facilities cannot be granted m~til the following items have been compleLed: (2) The water analysis report needs to be submitted to this office for our review. The cleanout to the septic tank needs to be raised above ground level and reinspected by this office. If there are any further questions, plea~e call this office at 264-4720. Sincerely, James S. Roberts Associate Environmental Spec]al.]st JSR/ljw cc: First National Bank of Anchorage Post Office Box 720 9951.0 · /'~ DATE RECEIVED INSPECTION APPOINTMENTS MONIC PALITY OF ANCHORAGE MUNIC PALITY OF ANCHORAGE J DEPT DEPARTMENT OF HEALTH & ENVIRONMENTAL P~R~,~NT~L 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVtSION Telephone 264-4720 DIRECTIONS; Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. PHONE 1. PROPERTY OWNER ~AILI~G ADD~ES~~ PROPERTY RESIDENT (If different from above) PHONE 2, BUYER PHONE MAILING ADDRESS 3, 'LENDING INSTITUTION I PHONE I MAILING ADDRESS 4. R~ALTOR/AOENT I PHONE MAI LING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION' 6, TYPE OF RESIDENCE I / t~ SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY NUMBER OF~BEDROOMS [] One [~]~ Four [] Other [] Two [] Five ~ Three [] Six ATTACH WELL LOG. A we~l log is required for a)l wells drilled since June 1975, For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~) INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE iNSTALLED []PUBLIC UTILITY Connection Verified INSTALLER I ~]Septic Tank or []Holding Tank Size: /~)(~) If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCESwELL TO; Septic/Holding~ ~) ~ Tank AbsorptionE ~ ~Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS PROVED FOR ,_~2 BEDROOMS [] CONDITIONAL APPROVAL (letter must accom/p~any certificate) // [] DISAPPROVED 825 "l." STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 f:FPAf] fMFNI Of HI Al TI( AND ENVIf]ONMENTA[ PROFECTION August 15, 1980 J. Stan Marquiss Post Office Box ]_0-2214 Anchorage, Alaska 99511 Subject: Lot 14 Block 7 Kasilof Hills Subdivision Approval for ycur individual sewer and water facilities cannot be granted until the following items have been completed: (1) A well log submitted to this department for our review. (2) The water analysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska Pacific Bank Mortgage Loan Department 101 Benson Boulevard 99503 ~',~C.,L~ C~_~) n%.~. . ~JUNICJPALITY ~UNIOIPALITY OF ANgHO~AG~ ' DEPT. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~J6~ON;,",; 825 L Street- Anchorago, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION BEQUEST FOH APPHOVAL OF INDIVIDUAL ~ATER AND SE~ER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be procossed. Please allow ten (10) days for processing, 1. PROPERTY OWNER -- J PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from ebove) PHONE 2, BUYER PHONE MAILING ADDRESS 3. lENDING INSTITUTION PHONE MAILING ADDRESS 4, REALTOR/AGENT PHONE' MAILING ADDRESS 5, LEGAL DESCRIPTION Lot 14 Block 7 Kasilof Hills Subdivision STREET LOCATION NHN Stroganof Drive TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four :J~ SINGLE FAMILY [] Two [] Five [] MULTIPLF FAMILY ::~× Three [] Six [] Other 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 Icg if available.) WI~,T,T, LOG A-rgTAC[-I~,D 8, SEWAGE DISPOSAL SYSTEM ~ iNDiViDUAL/ON.SiTE-* **If individual/on-site, give installation date 1979 . f system is over two (2) years old an adequacy test is required [] PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [~ TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E~]INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Line [~APPROVED FOR BEDROOMS ...GONDITIONAL APPROVAL (letter must accompany certificate) L~ DISAPPROVED ~/~,~.~ DATE ),~)._ ,~ '~ '-j ~' ~L.,~ BY (Title) LEGAL DESCRIPTION 72-010 (Rev, 3/78) v, UI,IICIPAL1T r)F ANCHORAGE ~.-'-I~ DcFartment o_F Ilealkh al',. !:nvtronmontai ,~:ol-ecl:ion ~~ 825 ]', St'-oet, A~ci~orago, Alaska~' 99501 ~ 2 6.1 - .! '1 2 0 <~quest Eot Approval et Indiv :'~al Se'.,er and Wat,.~r J/.'ac~lities Property Owner: Mailing Address: J. Stan Marquiss and Billee Jean Ma~q~_iS_s_ 10008 Marmot_Court, Anch.,Ak _9_9_5.Q2__PhOne: 344-877.1 2. Name of Buyer: Owner-Builder o o Mai].ing Add~-ess: Lending Institution: Mailing Address: Realtor/Agent: Mailing Address: Legal Description: Street Location: Same as above Alaska Pacific Bank Ph()ll (!: 99503 101 East Benson Blvd, Anch,Ak Phone: None Nho;~e: Lot 14, Block 7 Kasilof Hills Subdivision NHN Stroganof Drive 274-9661 x217 6. Single Family Residence: (X) Number off Bedrooms: 3 Finished Multiple Family Residence: ( ) Numbeu of Bed:eons: 7. Water Supply: *Individual Well ( ) Public/Community System ( ) If Individual Well, well dephh 245 feet If Community System, name of system 8. Sewage Disposal System: *bn-stte System (X) Publ. ic System ( ) If On-site System, date of installation: *NOTE: A well log is required on ALL we]is drilled since 6/75. ** If on-site ~;ewer system is over two(2) yearn old, an a(lc~luncy tesb is requJ, red by this department. A fee of $25.00 must accompany each request before precesstnq can be in.~ tiated. 3/77