HomeMy WebLinkAboutTONJESS ESTATES BLK 3 LT 6Onsite File
#051-831-05
Municipality of Anchorage
On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP181262 PID Number: 051-831-05
Dwelling: ❑■ Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑■ Upgrade
Name:
Christine Carsten
ABSORPTION FIELD
❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
Address
21666 Tony Circle Chugiak, AK 99567
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
ExistingGPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
Tonjess Estates 3 6
Fill added above original grade
Ft.
Gravel length
I Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ftz
Ft.
Well
>100'
N/A
N/A
N/A
>25,
TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage Tank
Capacity
11,250 Gal.
Surface Water
>100'
N/A
N/A
N/A
Material
Number of compartments
Lot Line
>10'
N/A
N/A
N/A
Steel
2
NA
Foundation
>10'
N/A
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
None
Noted
Gal.
Remarks Tank only replaced under this permit.
Pump on level at
in.
Pump off level at
in.
High water alarm at
in.
Absorption trench found in good condition.
Pump make and model
Electrical Inspections performed by
Installer
PIPE MATERIAL House to tank D3034 Tank to
drainfield D3034
Denali Excavating
Drainfield N/A CO/MT D 3034
Inspector J. Millette
BENCHMARK (Assumed elevation) 100 ft
Inspection i5' 10/5/18 nd
Location and description
2
3m 4th
Bottom of siding
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
OF AC llA
Conditional Approval: Date
��Q'�� • • �l,�
* ' 49 TH��
......................
• Michael E. Anderson
�G 4381-E �
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Approved Date 3 31 X00
1/10/20 -'���
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PROFILE AS-BUILT
(NO SCALE)
86.4
86.9
91.9
87.7 FCOSV1SV22CO1,250 GALLON
SEPTIC TANK
86.1
86.3
PERMIT # OSP181262 PID #051-831-05
TONJESS ESTATES, BLOCK 3, LOT 6
Michael E. Anderson
4831-ER
E
GISTEREDPROFE S S I O N A LENGINEERTANK ONLY REPLACED UNDER THIS PERMIT.
2/17/20
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PLOT PLAN ___ AS BUILT _X_ SCALE _1" =60__ GRID __NW 1462__ Project
No.
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates inc. (907) 522-6476 Phone
pO00p
�i
(907) 522-4625 Fax ors
Professional Land Surveyors kenOlangsurvey.com
y jonathanOlangsu rvey.com
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oo�o F A X44
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I hereby certify that I have surveyed the following described property:
o�PF..
01K'
LOT 6, BLOCK 3, TONJESS ESTATES (PLAT No. 81-72)
• • • • • • • • • • •'�
Anchorage Recording District, Alaska, and that the improvements situated thereon are
within the property lines and do not encroach onto the property adjacent thereto, that
(7
no improvements on the property lying adjacent thereto encroach on the surveyed
t7o'•;'I(ENN G
premises and that there are no roadways, transmission lines or other visible
�, oG
0� 3 i't-�(?A�
easements on said property except as Indicated hereon.
s,,'• ,•'�
dt
Dated this the _^'C�_Day of ___ r�Li��S_�.______, �_'`_�_U at Anchorage, Alaska
_,
D�PFo •.LS -5202.•' yooO
� p . • • • •" �O d
�44�'OFESSIONA� o�
It is the responsibility of the owner to determine the existence of any easements,
Q4pppoo�
covenants, or restrictions which do not appear on the recorded subdivision plat.
AECC963
milip
0CIFAI_ MUNICIPALITY OF ANCHORAGE
�I •
�� On-Site Water&Wastewater Program ��� ,v.> ';;.`„`S
r • (1 PO Box 196650 4700 Elmore Road y•
' .
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 - r,
' http://www.muni.org/onsite ihrit it_:::)
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On-Site Wastewater Disposal System Permit
Permit Number: OSP181262 Effective Date: 8/16/2018
Work Type: Septic Upgrade Expiration Date: 8/16/2019
Tax Code Number: 05183105000
Site Legal Address: TONJESS ESTATES BLK 3 LT 6 G:1462
Site Mailing Address: 21666 TONY CIR, Chugiak
Owner: CARSTEN CHRISTINE A Lot Size in Sq Ft: 51601
Design Engineer: FORGE ENGINEERING Total Bedrooms: 3
This permit is for the construction of:
El Disposal Field El Septic Tank ❑ Holding Tank 0 Privy 0 Private Well 0 Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
tusSpecial Provisions: A test hole shall be provided prior to construction of the drainfield to confirm percolation
rate and separation to groundwater and impermeables. Construction may proceed at your own risk prior to 7-
day groundwater monitoring. If the results require a design change, construction of the drainfield shall stop
pending On-site review and approval of a change order. Please submit soils log with inspection report.
Received By: ViAbli(, :Q, Date: a /
•
Issued By: Rdnek Qg..yvu,-UDate: g 16 18
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On-Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 051-831-05
Property owner(s) Christine Carsten Day phone
Mailing address P.O. Box 672634 Chugiak, AK 99567
Site address 21666 Tony Circle Chugiak, AK 99567
Legal description (Sub'd., Block & Lot) Tonjess Estates, Block 3, Lot 6
Legal description (Township, Range & Section)
Lot Size 51,601 Sq. Ft. Number of Bedrooms Three (3)
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
((A all that apply)
Absorption Field !XI Initial ❑ Single Family (SF) IX1
(w/wo ADU)
Septic Tank U Upgrade X Duplex (D) (J
Holding Tank Renewal
Multiple Dwellings L
Privy ❑ (SF and/or D)
Private Well
Water Storage I
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: [S1)"I•00 Waiver Fees:
Date of Payment: g/ I 0 I(S Date of Payment:
Receipt Number: 0857 D Receipt Number:
Permit No. _ USP l�'!2Z Waiver No.
Permit App_ ::..c
GE
• ENGINEERING
PO BOX 240773
ANCHORAGE,AK 99524
522-7773 677-7766(FAX)
August 15, 2018
MOA Development Services Dept, On-Site Water& Wastewater Program
4700 Elmore Rd
Anchorage,AK 99507
Subject: Tonjess Estates, Block 3, Lot 6—21666 Tony Circle
Septic System Design
Dear On-Site Services Engineer:
The septic system on the subject lot has failed and must be replaced. We are submitting this
application for the construction of a new septic system to be constructed as soon as possible. The
attached site plan identifies the location of the home and the existing well and septic system and
the proposed system. No conflicts exist between this proposed system and any other well or
septic system,whether on this lot or adjacent lots.
The ground surface on the lot slopes toward the west at a shallow grade. Drainage arrows are
shown on the site plan indicating the grade and direction of flow. Storm water drainage will not
impact this septic system. The new trench will be constructed parallel to the slope as much as
possible.
Wells on this and adjacent lots are shown. The new system will be a minimum of 100' from all
wells and surface water, and more than 5' away from the septic tank and 10' from the existing
absorption trench. A test hole will be completed prior to construction to verify subsurface soil
conditions. Groundwater will be monitored to determine the stabilized level.
Please refer to the attached test hole log from the system file and the plan and profile sheets for
the septic design. If this design is followed, there will be no adverse impacts to adjacent
properties.
Sincerely,
-"b- OF
pF Aqs\i
Michael E. Anderson, P.E.
Michael E.Anderson
�ri •• 4381-E .•����
c�stF•� /moib•••
Attachments 'ktt`\`0 ESS
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TONJESS ESTATES, BLOCK 3 , LOT 6
PERMIT # OSP181262 PID # 051-831-05
I
itSV
SC0 \
0
THREE BEDROOM • /
�_ �% 1,250 GALLON HOME /
_ _ _ _ _ _ 15' UTILITY EASEMENT SEPTIC TANK . FCO fi . ,Q-1 J /
f 38'LONG x 5'WIDE x 4' S•� J� f v�
EFFECTIVE DEPTH S ij► Q4'- 0+
•
ABSORPTION TRENCH CO 2C1• 1 Ct'
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Lot 5 �, ` . . * • d---. V
/ • to ;
/ / �Q-
/ PROPOSED TH •<•'
/ EXISTING 4 0
/ Lot 7 ABSORPTION TRENCH
/ v
so
/ i \ DECOMMISSION
/ / CHAIN—DAV FENCE EXISTING SEPTIC
/ / N TANK PER MOA CODE.
/ \ /
/
/ \ // / \
�,q� >>il NOTE: LEGEND
.,�Q�.•' . .l+ NO SLOPES>25%WITHIN 50'OR SURFACE WATER WITHIN 100'OF THE PROPOSED SEPTIC SYSTEM CO-CLEANOUT
-.A,*:49 TM i� *9 2C0-DOUBLE CLEANOUT
/ .' ... ... ....r ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN.NO CONFLICTS WITH FCO-FOUNDATION CLEANOUT
��46
ra WELLS OR SEPTIC SYSTEMS. FD-FLOW DIVERTER VALVE
rA
ra '. Michael E.Anderson : / MH-MANHOLE
1 li'.... 4831-E •�, 0 50 100 MT-MONITORING TUBE
Olt e,'•4FES �� GE _ MI IN FEET SV-SEPTIC VENT
\\\Xt���~ ,NG,„E,.,MO 1"=50' TH-TEST HOLE
TONJESS ESTATES, BLOCK 3, LOT 6
DESIGN FACTORS: SYSTEM REQUIREMENTS:
450 GPD PEAK FLOW 5' WIDE TRENCH SYSTEM
PERK RATE: 1-5 MIN/IN 1,250-GAL SEPTIC TANK
APPLICATION RATE: 1.2 GPD/SF
450 GPD/ 1.2 GPD/SF /5' WIDE * .5 RED. FACTOR = 37.5 LF TRENCH REQUIRED (38 LF SPECIFIED)
BOTTOM OF TRENCH: 7.5' BELOW GRADE
FLOW LINE ELEVATION: 3.5' BELOW GRADE
TOP OF TRENCH: .5' ABOVE GRADE
6"
- -III-III-III=ll=III-
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3' 1-1 I -111=1 I I-I 11-1 11=1
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6"
1111:::11:11:::::::::::::::: ::.
4 PERFORATED PVC (HOLES DOWN)
::::�:::� ::�_: ;..:;•;,_I:.
DRAINFIELD ROCK
5
51IffiGE
1H 41n El liw4
TYPICAL WIDE TRENCH SECTION i
(NO SCALE) /Aw��P' '•f- t
/*.49TM �� •*�/
NOTES:/ -(.��11•• /
1. GRADE AREA OVER TRENCH TO DRAIN AWAY % Lf`^ j '
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' . Michael E.Anderson .
WITH 2" OF INSULATION �� �;• 4831-E • .•
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER � IiF�PROFESSI��P` INV
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY \\������
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/ DECK
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�� 15' UTILITY EASEMENT ;t.` i 2
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ci Lot 6 SEPTIC PIPES J��'..
Lot 5 ct
N 51,601 s.f. . AQP.,.
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PLOT PLAN AS BUILT X SCALE 1" = 60' GRID NW 1462 Project No. 18-357/A1
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates , inc . (907) 522-6476 Phone 400OpO�
(907) 522-4625 Fax o OFA /�NI1
Professional Land Surveyors kenOlangsurvey.com ,�
jonathanOlangsurvey.com o' . S Q
I hereby certify that I have surveyed the following described property:
(1,_•-•( Q i\ -7
LOT 6, BLOCK 3, TONJESS ESTATES (PLAT No. 81-72) V(!).• 49TH �� '.*�a
Anchorage Recording District, Alaska, and that the improvements situated thereon are g V
within the property lines and do not encroach onto the property adjacent thereto, that Q 0
no improvements on the property lying adjacent thereto encroach on the surveyed KENNETH G. LANG 0
premises and that there are no roadways, transmission lines or other visible O c, . ; off
easements on said property except as indicated hereon. '
Dated this the Dayof D ,,,••••. 5-52N.••• c.p,
, , at Anchorage, Alaska 44Q,? •S..... ,00
It is the responsibility of the owner to determine the existence of any easements, X4000'
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963
Municipality of Anchorage ss
,,me On-Site Water and Wastewater Program ,� 1
' ) P.O. Box 196550 4700 Elmore Road •
� "" Anchorage,Alaska 99519-6650 Phone: (907)343-7904 Fax: (907)343-7997 ^,
/' http://www.muni.org/onsite
4NcNOg No. epartment
Review Comments
Engineer: FORGE ENGINEERING 8/14/2018
Legal Description: TONJESS ESTATES BLK 3 LT 6
Parcel ID: 05183105000
Permit: OSP181262 Septic
Report Type: On-Site Review Completed By: R.Carroll
The application has been reviewed and the following comments have been generated. These are to be satisfactorily
addressed prior to MOA approval:
11./Provide current as-built survey.
�2. Narrative and site plan indicate that site slopes to the east. MOA topo mapping show the site sloping to the west.
Please confirm.
W. Under"Design Factors"on trench section, bottom of trench is noted as 8 ft. Section shows bottom of trench at 7.5 ft.
Please address.
1.Under"Design Factors"on trench section, flow line elevation is noted as 4 ft. Section shows flow line elevation at 3.5
ft. Please address.
5. The soils log on file for this lot(attached to permit application)does not have groundwater monitoring or a percolation
test. In addition, it is not deep enough to demonstrate separation to impermeables. The soils logs from the Tonjess
Estates subdivision file do not show consistent soils(also do not do groundwater monitoring and minimal perk tests). For
these reasons, I am not comfortable granting a special provision to do a test hole at time of construction. Please provide
a test hole to demonstrate separations and percolation rate.
0 As Built Survey is attached. — no+ S% S',ced , u.f,dO -ed oma-Lik.SLA Swwe j w/ =2.
.2( There is very little slope on the surface of this lot. We have revised the documentation to show a shallow slope to the we
3!Revised.
Revised.
5. We have worked extensively in the Tonjess Estates Subdivision and have recent test hole log and percolation test
information. This data shows consistent soils throughout the area with percolation rates between 1 and 5 minutes per inch.
Groundwater or impermeable soil lenses were not encountered on any of the lots. Historic data on the surrounding lots also
indicates consistent subsurface soils. Percolation testing was completed during the subdivision phase in 1978 with all lots in
Block 3 having percolation rates near 5 minutes per inch. Copies of our research is attached.
We are confident neither groundwater nor impermeable soil lenses will be encountered on this lot. We are willing to complei
a test hole and percolation test prior to the start of construction and will submit the results to the City before construction stars
for review. The additional cost to complete a test hole prior to issuance of a permit creates an extreme hardship on the
financially strapped owners of the property.
` . .. .
. . . 7- yr 4/• ` . ?;
• •,
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Municipality of Anchorage rr ,•.•MICHAEL E AN'1DERSCN •w r
Department of Health&Human Services t�'c�•. CE-4331 ;'••�',;,'
825 L Street,Anchorage,AK 99502-0650 t 'rif.•.• •.•`.Vqr
SOILS LOG-PERCOLATION TEST t1 x(40 • •...
p,. r►
1` Pk`t\ °FESStrte.�‘ ''
Performed For: fetMBM Contracting Date Performed: 4/11/01
Legal Description: tot 8 Block 3 Toniess t�tat
SLOPE SITE PLAN
North
1 OG/OL
2 .
3
TESTHOLE NQ. A
4 See Site Plan
GP/GW
. 5
Well Graded
6 to
Poorly Graded
7 Gravel
• - South .
8
• Was Groundwater
9 Encountered? No S
If Yes,What Depth? I
10 Depth to Water 0
After Monitoring None P
11 Date: 4112101 E
12 Reading Date Gross Net Depth To Net
Time Time Water Drop
13 1 11-Apr 5:30 .75'
2 5:40 3.5' 2.75'
14 3 • 5:50 615' 2.5"
Bottom of 4 5:51 1'
15 Test Hole 5 6:01 3.5' 2.5'
6 6:11 6' 2.5'
16
17
18
Perc.Rate: 4 Min./inch Perc.Hole Diameter:6'
21 Test Run Between 8 FL and 9 FL
Comments: Pere.Cavity Presoaked Prior to Test Same Material as TH2.
Performed By: Mike Anderson. I,Michael.E Anderson Certify That This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Date: 8/11/01
/u' t7' , wgc/L1ti) 6 Lo 7--
MUNICIPALITY OF ANCHORAGE sogisnwimaii_
DEVELOPMENT SERVICES DEPARTMENT .t...
4 `.' '' ''''''•• S
14700 BRAGAW STREET ANCHORAGE, AK 99519-6650 AV's
a ..
lk.... %
S011...S LOG - PERCOLATION TEST / 49th \ %
r
• r t t
MICHAEL E. ANDERSON Irt
.C‘ • : W
odr,-p;., No. /....,410
LEGAL DESCRIPTION: Lot 7 Block 1 Tonjess Estates CE-438I
..%S
..., ......-ote
PER FORMED FOR: Lance (lull .
o ii.
DATL 614;13 PROTECT No.: --
PARCEL]D :ID#. TECHNICIAN:JR
DI 1'111 [JEST 110LE I
1 1 1 st..0i I c;! I 1-: .11.,•1 ,i
3
4
See Site Plan
6
7 ,, . ....
8
:. ,.. ... .
. . -
. 1
W.-,1 IR I\(F1'Vi 1-D11 P No
1()
H. YI.S a MIA I DITIlr
1 1 Di 1,) Of V+.A i IA if H-R MO\110121 Nt.i. None !•,:;
oAn:of moNHoRIN,,. 6.114/13
12
I . 1 I
1130.11.
kr, c, ., -.-:-) : !'i: .......1 11.. : Vi-jI'l i
3 .
1,4 1 '4.;L.: PPES'il!`ED
15 I 6413 1 12:05 6.50"
1 11:35 30 13.50" 7.00"
16— -
3 12:36 6.00"
17—i
4 106 oI 12.75" 6.75"
18— 1 :07
i 1
10 6 1 :37 30 13.00" 6.75"
20-
PliRCOLA'HON RATE:4.4 (MIN/INCH) PERC. HOLE DR. 12 (INCHES)
5,4 rA.yr ittutri4 ISI'RUN BEM f IL N: 7 FT. and 8 FT.
•-----__P
COMMENTS: . '. .' •
TEST PERFORMED BY ANDERSON I.NG INF! RI NG. I. MICHAEL E. ANDERSON CERTIFY TI-IAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL .;-1..A.IT AND ME\ICIPLI.GUIDELINES IN EFFECT ON THIS
DATE: 614/13
___
_
MUNICIPALITY OF ANCHORAGE .v��r+rrrri,,
DEVELOPMENT SERVICES DEPARTMENT : � s•1��
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 •49th - . ; •*�
��
SOILS LOG - PERCOLATION TEST i i
';MICHAEL E. ANDERSON Lzijir
LEGAL DESCRIPTION:
Lot 12, Block 5, Tonjess Estates ��..s� ,, No. CE-4381 4, :
PERFORMED FOR: Dee Hunt/Aron Crowell w•�ta•••. ...'P,- .•.
DATE: 8/21/14 PROJECT No.: ���Ai ES„ ���
PARCEL ID#: TECHNICIAN: A. Harala Professional Engineers Stamp:
DEPTH TEST HOLE 1
(feet)
1 OB/OG SLOPE SITE PLAN
2
3
4
5 k
See Site Plan
6
7 GW/SW
8 WELL GRADED GRAVEL
WITH SAND
9 _
10 WAS GROUND WATER ENCOUNTERED? NO
IF YES(rte WHAT DEPTH?
11 DEPTH OF WATER AFTER MONITORING: None
DATE OF MONITORING: 8/30/14
12
GROSS TIME NET TIME DEPTH TO NET DROP
13 DATE READING (MINUTES) (MINUTES) WATERR (INCHES)
(INCHES)
14 TEST HOLE PRESOAKED PRIOR TO TESTING:
15 8/21/14 1 11:36 .75"
16 B.O.H. 2 12:06 30 8.25" 7.50"
3 12:07 .50"
17 4 12:37 30 8.00" 7.50"
18 5 12:38 .75"
19 6 1:08 30 8.25" 7.50"
2
PERCOLATION RATE:4.0 (MIN/INCH) PERC. HOLE DIA. 12 (INCHES)
—�'j° tar-S
LA-) A y TEST RUN BETWEEN: 4 FT. and 5 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. 1, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 8/30/14
I i
j MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH St ENVIRONMENTAL PROTECTION
I
1: 1----•
�i ENVIRONMENTAL ENGINEERING DIVISION
825 L Street-Anchorage,Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME ` PHONE NEW
4V111 /18
1111 18 JPGRADE
MAILING AODRES C `/ &_7__ _____47:Liiraioe'
} l/��
LEGAL DESCRIPT ON _
LOCATION i 4 NO.OF BEDROOMS
ul?....SS 1 E1 L P v.. C id-
.
Well Absorpu a Qweilin. PERM
DISTANCE TO: too
( '1 /')"1 0
Use
wa2 Manufacturer A l M(7ic; �� No,of er�npartments
Liy.ecpgcitr Ballon IF HOMEMADE: Inside length Width Liquid depth
c• Sr
a V Z DISTANCE TO: Well Dwelling PERMIT NO.
I z Manufacturer Material Liquid capacity in gallons
Well Foundation Nearest l0 1r i PERMIT w= DISTANCE TO: /QQ l7" i/ !6 7 y
-k 2 No.of lines t Len °�ea/h line Total n �h rIj lines Tre n t Distance nes
t`Q a ! i ! ( I inches
Top of tile to finish r fe Material beneath tile . area
Cc
O i�aL.c;L Qvo
Length Width Depth PERM 7 NO.
W
0
a I- Type of crib Crib diameter Crib depth Total elective absorption area
W
w Well Building foundation Nearest lot line
DISTANCE TO:
Class Depth ,Driller Distance to lot line PERMIT NO.
IA'
DISTANCE TO: Building foundation Sewer line Septic tank Absorption areals) •
OTHER
PIPE MATE LS
i7U % - _ .
SOIL TES7R TING
t
INSTAL
� _ s C ' '
,-REMARKS
_____.4s-i
•
416
. ... ....erl.:
APPROVED
DATEEGAL
476' t/ if/ /i
72-01 Rev.3/781
•
\ SOILS LOG
•
~ •5-26, `T MUNICIPALITY OF ANCHORAGE
0 PERCOLATIOP
(pc-
,�i DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST
825 L. Street, Anchorage, Alaska 99501 264.4720
-- SOILS LOG -PERCOLATION TEST
PERFORMED FOR: /97a Q
1/ a117 S DATE PERFORMED: 2-/V--8
T0-Aij e...rS -5 lb
LEGAL DESCRIPTION: 47 :07 SLOPE SITE PLAN
forlaii / c/fiz-- -7
I
2 - --.1 0,"--V-
.
4 ` Gt) '
,_--c
5 - VI `1
O' IS
(), t) 64) / b//‘ie ..
7 0 '
8 _ o L/(r1 -I .S ..-r /j 1 l; to ROA-1 d C (o r-
9 - 6 1.1
10 - t
n l
I r`' .WAS GROUND WATER ././0
Y S
11 -l G ENCOUNTERED? L
O
P 7- ,
12 - T � 1`�,s�v�,, E
T' tF YES.AT WHAT
�F..�.•.A��Qs��i DEPTH?
13 - 1
' 2 : ••'-r
�,^ iih.c �•t j� Gross Net Depth to N
tq /� ,�•, Reading Date Time Time Water Di
� j44 /. . �
15 - , .ai'
'abort •
A. Shof.r • 4
'• No. 1457•a
4441)(4'4./"4 i'l;0.•F"E 5.;0.**1..r i.:l'.4eC PC r...*:'
17 - .,41
..........,..-
//2.
18-
19 -
20-
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT -- FT
COMMENTS
i r
_ _ .. ..,.•wi.irrdttt^t .. i A / n
e 4040 "B" STREET . ;/�i r
ertnZB ANCHORAGE, ALASKA 99503
';'j0 . • . (907) 278-1551
September 13, 1978
W.O. #D1076 •
6
Mr. .Jesse L. Prince Jr. and
• Mr. Tony Schaff .
..1 P.O. Box 467
i, Girdwood, AK 99587 '
r Subject: Subsurface Information for Tonjess Acres
'=' Gentlemen: •
. 1 The recommendations which indicate the suitability of each lot
.J in the above subdivision' for individual waste water treatment
systems , are organized as follows:
tt • •
.; Lot and Block Report Color
T" Numbers Date Code
Block 1 . - All 9-11-78 White '
• 'Block 3 Lots 1-5 9-11-78 White
Block 2 - All • 7-5-78 . , . Blue
on Block 3 - Lots 6-24 • 7-5-78 Blue
$
. . Test..hole logs with accompanying reports are color coded •
,,! •as follows:
.
Test Hole Report .' Color
. Numbers Date Code
[A 26-39 9-11-78 White
14-25 6-28-78 Gold
1-13 5-2-78 Green
Idealized soil profiles are near the back of the 6-28-78
,,1 (gold) rnprt. Test holes locations are shown on the •
;1 accompanying preliminary plat.
t Very sincerely, •
!)] .
ALASKA TESTLAB
4
.4114-1,11 ' •
. Mark Hansen
`.. RMH:rb
PAEnclosures .
•
•
APPROVED
. Iktitig. o cikoi, . :
, •
tl Melvin R. Nichols, P.E.
(.1 Laboratory Manager -
_" • :.r. :1c;L:.:l; L. I icc, Jr. and • . .
• " Mr. Tony Schaff
LI
• ' September 11 , 1978 •
Page 2
•
.L BLOCK 1
Recommended Design
Lot # Test Bole # Percolation Rate
a'. 1 17; 18, 26, 27
28 Not Recommended
)j 2 22, 23, 29, 30 10.0 minutes/inch
�,� 3 24, 25, 31 5. 0 minutes/inch •
ti's .
4 • 32 15.0 minutes/inch*
5 33 27. 0 minutes/inch*
6 34 15.0 minutes/inch*.
'il 7 20, 21 5.0 minutes/inch
i
r BLOCK 3 , .�,1�-�n�l c-- a Lo e) -
1 8, 35 5.0 minutes/inch ,
2 8, 36 5.0 minutes/inch
ILI 3 37, 38 5.7 minutes/inch
4 38, 39 5.0 minutes/inch
5 39 • 5.0 minutes/inch
fl * We expect these values to be cons ► - . After the
absorption trench is excavated, we recommend inspection
of the trench walls and a possible reduction of the area
dependinri on the soil type encountered.
Subsurface investigation was conducted on August 24-29, 1978
x: and consisted of 14 test holes . A Nodwell mounted Mobile
Drill D-50 rig equipped with a solid flight auger was used
for the exploration: Test holes were logged and located in
the field by Mr. T.L. Barber, geologist with Alaska Testlab.
LI Percolation tests were performed by Mr. Barber and Mr. T.A.
Sexton, geologists with Alaska Testlab.
KI
f. The soil most generally encountered was a silty sandy gravel.
This material was quite dense and contained occasional
cobbles. Thus, it offered considerable resistance to drilling.
P Test holes #32 and #34 did not have percolation tests 'run
because the holes caved in after withdrawing the auger.
•
kir . 1'.,11Y . .:1�.�Ii �,
•
,September 11 , 1978
9 Page 3
r'3 When drilling was completed a 3/4" slotted PVC pipe was
�, inserted in the hole to aid in determining the water level.
The hole was filled with water and left overnight to saturated.
i., On returning the next day the hole was refilled with water
and the water level in the hole carefully monitored for the
L next 60 minutes. The observed minimum percolation rates are
tabulated above.
c
:1 We trust the above meets your present requirements. If you
have any questions or if we may be of further assistance,
q please do not hesitate to contact us.
1 '
Very sincerely,
ALASKA TESTLAB
•
0.1$%.41 .
Mark Hans n
i''i ' RMH:rb •,
�� - Enclosures •
1 APPRRO��V••EttD . .
61
frt kUOIS .
Melvin R. Nichols, P.E. •
•
!t; Laboratory Manager
• .
•%;
•
L.' (0.-•
I
•
4 4
a
A
i
1 i.
1
NAME
MAIL'NGADDRE~'O/ ~0--,"/"' '~¢ ~
LEGAL DESCRIPTION
L.~"{'" ~ ~ I.k ~ "~,~ J~r~'
LOCATION v ·
o_~ D,STANCE TO: I 1/~~
Liq, capacity in gallons { Inside length
~ 'Z-~' O IF HOMEMADE: Dwelling
~30 ~ DISTANCE TO' I Well
O Z ~ Manufacturer
~ w- DISTANCE TO:
DISTANCE TO:
DISTANCE TO:
('- ~ MUNICIPALITY OF ANCHORAGE ~
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage. Alaska 99501 Telephone 2644720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
[] UPGRADE
NO. OF BE D~OOMS
D~l,~.~ //· PERM,T NO.~2' O3,5"~'
Width Liquid depth
PERMIT NO.
PER O.
Trench wid~ Distance ~l~en Fines
PERMIT NO,
Nearest lot line
Distance to lot line
Septic tank
OTHER
PiPE MATERIALS
SOIL TEST RATING
INSTALLER j ~ ~.
REMARKS
APPROVED DATE LEGAL
7:2-013 {Rev. 3/78)
OWNER OF LAND
ADDRESS ~ 7
LEGAL DESCRIPTION
DATE - Startad
PERMIT NUMBER --"
SULLIVAN WATER WELLS
'~ '~' P.O. BOX272. CHUGIAK, ALASKA 99567 · TELEPHONE688-2759
:~ 7=ff ~.~dC~./ c-t'~ _~"O.3STATiCLEVEi~OFWATERFT.
£
~"? Ended
DRAW DOWN FT.
GALS. PER HR
KIND OF CASING'
From--Ft. to
From
KIND OF FORMATION:
From ~' Ft. tn ~ Ft. ~u~.~~'~,~-~,J ',From
~ a ~t. to/~' ~t. ~ ~ ~.om
From ~t. to F~. ~ ~ ~ ~' ~-~ From __
Ft. to~ Ft. ~ ~o~4 From__
. Ft. ~C~ ~ ~ t ~-~ From Ft. to
FL ~Z ~ ~ ,- ~/~ 0~ .., From Ft. to
From_
From Ft. to
From ~
From Ft. te.
From Ft. to '
F~m~O Ft.t0 ~D~Ft.
Fr~ Ft. to Ft.
From'~q 0 Ft. to ~ OFt.
Fr~__Ft.t ' Ft.
F~m ' _Ft. to ~ Ft.
Ft. to ' Ft.
Ft. to Ft.
Ft. to Ft.
Ft. to Ft.
Ft
Ft.
Ft.
· Ft. t~,~.~,l!C:p~lY 0t: ANC~OF, AGt -
DEPT. OF HE,~LTH ~'
Ft. to ~t
Ft. to ' Ft.
Ft. to Ft.
Ft. to Ft.
Ft. to Ft.
Ft. to '
'Ft.'to Ft
MISCL. INFORMATION:
DRILLER'S NAME ~" ~ .
APPLICANT JOHN SHORT 401 E. 36 AVE
'LOCATION JESSE LEE ST.
LEGAL LOT 6 BLK 3'"T~ngeSs Estates
TYPE OF SOIL ABSORPTION SYSTEM IS: DRRINFIELD
LOT SIZE
279-0491
43000 SQUARE FEET
MAXIMUM NJMBER OF BEDROOMS
SOIL RATING
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= ? LENGTH= 44 GRR%~EL DEPTH-----
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH Or DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET>.
THE TRE~CH I~IDTH IS 5. 0~ FEET.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION <IN FEET>.
REQUIRED SEPTIC TRNK SIZE= l~ GRLLO~-~S
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT-DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
TldO (2) I~SPECTIOr~S ARE - REQLIIRED
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND RPPROVR~ BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM A PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND
TO R COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND ~IUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMEMTS MAY APPLY. SPECIFICRTION~ AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERrqIT EXPIRES DECEMBER
I CERTIFY THAT
i: I AP1 FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY ;Of ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
_?.: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO I~ICLUDE MORE THAN 3 BEDROOMS.
SIGNED: ......
~PLICRNT JOHN SHORT ........
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 I. Street. Anchorage, Alaska 99501 264~4720
SOILS LOG - PERCOLATION TEST
~ SOILS LOG '~
[] PERCOLATION
TEST
PER.ORMEO FOR:
LEGAL DESCRIPTION:
1 ~ or~Jan;c
SLOFE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
DATE PERFORMED: ~.'~""'* ~'~'" ' ,~--
SITE PLAN
S
L
O
P
E
14-
15-
Reading Date Time Time
Depth to
Water
Net
Drop
16-
17-
18-
lg-
20-
PERCOLATION RATE
(minutes/inch)
COMMENTS
PERFORMED BY:
TEST RUN BETWEEN FT AND . FT
CERTIFIED BY: Y DATE:
72-008 (6/79)
Parcel I,D, # {'-'~--~ - ~ ~ \" ~'~',"--~ HAA #
1. GENERAL INFORMATION (Must be completed prior to submittal)
MUNICIPALITY OF ANCHORAGE ~
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744 ;
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Property owner ~
Mai!lng Address
(c) Lending Institution
Telephone: (home)
Telephone
Business
Mailing Add reP's
. (d) Real Estate Compan, y and Agent ~'~J'-J~ ~-~, ~
Address \c:>°[''Z~ ~:::~~~'~' 3
Telephone ~::)c,~ ~ - ~' ~ ~
(e) Mail the HAA to the following address: (or check here'S, If hold for pick up,)
List contact person and day phone number below:
$ & $ ENGINEERING
17034 Eagle River LeeI~ Read Ne. 204
Eagle River, Alaska 9957Z
2. TYPE OF RESIDENCE
Single-Family~''''~ ' Number of bedrooms
3. WATER SUPPLY
IndividuaIWell,~ Community ID Public[3
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
' On-site'~ Public [] Community [3 Holding Tank ID
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status. ...
Page I of 2 -'
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATIOI~[ .
AS certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this
Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe,
functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that.
based on the information obtained from the Municipality of Anchorage files and from my investigation and
inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and
State codes, ordinances, and regulations in effect on the date of this inspection.
Name of Firm
$ & $'EHCINE£RING
17034 Ea~lle Rivet' Loop Road No. 204
Address
6. DHHS APPROVAL
Approved for
Approved '
Terms of Conditional Approval
bedrooms by Date
· Disapproved Conditional
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
cerificated based only upon the representations given in paragraph $ 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 !ssu ed. The Municipality of Anchorage is not responsible for errors or omissions
in the professional engineer's work; . ' ' :' ' . '. ~ ·
If A, B, C, D.E.C. Approved (Y/N)
Well Log Present ~)' ~ Date Completed ~ * "- Yield
Total Oepth~°' Cased~ ~ Depth of Grouting -
Static Water. Level. ~ Pump Set At ~' / ' '
Casing Height Above Ground ·
. Electrical Wirifig In'Conduit ~?N) , ~t
SEPARATION DISTANCES FROM WELL:
Sanitary Seal on Casing '{~1) y
Depression Around Wellhead (Y~
To Septic/Holding Tank on Lot ~ ~ ~, ~,~t '
To Nearest Edge of Absorption Field Dp Lot ' I ~ ~ ~ A-. ; On Adjoining Lots
To Nearest Public Sewer Line ' To Nearest Public Sewer CleanoUFManhole
To Nearest Sewer Se~ice Line on Lot
Water Sample Collected by ~ ~~ ;Date 5--.~
Water Sa mple Test 'Results- ' ~-'~'~'~
B. SEPTIC/HOLDING TANK DATA ......
' DatelnstalledG'~''~'Z'' Size ~"~.~"o - No. of Compartments
' Standpipes~:~/N) "~ ' ' Air-tight Caps
Depression ove~:Tank (Y~j, '
. PumPing/Maintenance Contact,on File (Y/N)
· H'Ol,Cliig :.T.~,n~.~.!ih.~at'er%Aiarm (y/N)''' ~/~'
Foundation Cleano~t~/N) '7'
Date Las{ Pumped G--~,Z..~ -
Tempora~ Holding Tank Permit (Y/N)
.SEPARAT ON DISTANCES FROM SEPTIC/HOLDING TANK ~ ~ . · ~ , . , . ,.. ...... ,
· ' '. . '-',. ;.. ~ .... "~-~- ' .... ~,, ,';I ": ....
~::; ' To Water-Supply Well. ~ ~. I,o ' To Building Foundation , ~t, -. :,'.:
· .: ....... ,,' Le "·
i.. . ', . ~To Property Line , ,' ~-~ To Disposal Field
i ,' ,,~ , ToWater Main/Service Line ....
'" .: To Stream, Pond, Lake or Major Drainage Course [ ~
'comments ,"~'-~-'~ C~---'~r-~'c::x=>~.--- ~._3,'~1.~. '
P.age I of 2
C. ABSORPTION FIELD DATA ~ ....., , -:~,,,, ,'..,** ', ....... . ~' "' · ' '
Soils Rating in Absorption Strata ~ \ ¢::c>;=P~-~'*~ ':: Type of System Design
Date Installed ~' ~5,.-. ~_~t-'-~1~'7 ~ '" Length of Field
. Width of Field.' ' ~ ~-t , "' Depth of Field '
-:-..: ~ ' ,~.~.'. '*:/.-..i'*'Gravel Bed Thickness .... ~,~. w
Square Feet of Absortion Area Statndpipes Present (~?N)
.. Dep~'ession over Field (Y~), ~-~ Date of Last Adequacy Test
Results of Last ,Adequacy Test
~ FRoM
( SEPARATION DI TANCE ABSORPTION FIELD: ~. ,, .~_.'
'To Water-Supply'Well ' * ~ ' ~ ' ' ; : ....
'" To Property Line ~
To Building Foundabon -- · ~..t "' : .... To Existing or A~and~ned s~,stem on
//~. .' ,-~ Ij,~ .
,' ~ ;.~,":,-, ~ -, ~ v. ,.; On Adjoining Lots ~ .- ., ~,, !i~ ~,.
-~- Lot ' '
-. ToWater Main/Service Line ' .... ~.~ t4'- ' To Cutback (iftpr.e~ent)''
To Stream, Pond, Lake, or Major Drainage Course ~ ~ - ~ ........ ' .........
.~o Drivewa~,, Parking Ar?a, or. Vehicle Storage Area ~ ' ' ' ' ~ ~
Comments ' ' ' - -
D. LIFT STATION ~ . ' -
'* Date.~stalled* .. I1"'"' i Dimehsions ' '
S~zein~! ...... Manhole/Access (Y,/N) "' . '
- "Pump On" Level at~'"'~ :' ."Pun~p*Off" L~vel at '* ~ ~ "· -* ; ': -;' ' ~ '':
. . High Water Alarm Level at -~- Vent (Y/N)
.. _Tested for ~ Pumping Cycles during Adequacy Test.
Meets MOA Electrical Codes (Y/N) ~ .............
Comments
· *Check Permitted Bedroom Rating Against HAA Request*°
I certify that I have checked, verified, or conformed to all MOA and H'AA g~i;:lelines in'efie~'t on the date of this
Signed $ & SENGINEERING _ ..... - ~. , . . ; -
Company r~.~ River ,&l~*l~I ~577 ,
__.,...,
..,. ....... ,,..,
.... '
' / ' :: l ....... ' ~' .t~,~,'... '
05 - "-
· - · , ~ _,., , . '"~. ..... ~_.~
ReceiptNo. ~ ' r "'/ :/ ' ReceiptN'o.'" ':': - '
Date of Payment ~ - ~'~ /~"~' . Waiver Fee: $
Amount: $ /' ~ of_JT_) Date of Payment
3'2-02~ (Re~.?/88} e~k Pa~e 2 of 2 '
CAL & GEOLOGICAL LABORATORIES OF AIASKA, INC.
~~'~ 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343
,~,.,,~..~.~ FEDERAL TAX ,D # 92-0040440
Client Sampla ID:L6
PS, ID
Collected
~ecelved
O~d.ed B7 :
ina[yell Completed :J(A! 25 89 San~ Reports to:
Laboratoz! Supe~viso[ :~EH~I C. EDE . 1)$ & $ EH~,
Special
Ir~t:uct:
Chemlab Rsf l: 5425 Lab Smpl I0: ! iht:ix: WATER
Ed:alto: Tested Result/Units ~ethod Ltm~te
IITRATE-! 2.0 ~/! Z~A 353.2 10
Sample RO~TI~ SAJ~LE,
RsMckt: $1~LE COLLECTED BT RJ$.
I Tests ~etfozMd * Sao Special Irdt:ucttona AbaTe UA-Unavailable
J~- lone Detected "See Sample ReMake Aboyo
CA- lot Analy~ed LT-Le. ?~an. CTeCzeate: Than
T
PrG~orty'Owner
APPLIC~Y FILLS OUT UPPER HAIS~. NLY '
[.ending Institution
Realty CO. & Agent
No, of Bedrooms
Ty~e of Residence
[~.'Singte Family
n Multiple Family
i-I Other
Water Supply
,g~ Individual
ri COmmunity
~ Public UUllty
~ewer Disposal
~" Individual .
n Public Utility
n Holding Tank
/
Zip Code
A'FrACH W~LL LOG. A well log Is I'eduRed for all wells drlled since June 1975.
For wells d~tlled prior to that date. give well depth (attach log if available).
Year Individual Installed:
When COnnected to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN SE INITIATED.
q
Time Time Time
Date Date Date
Inspector Inspector Inspector
Field Notes:
(.,~ } APPROVED BEDROOMS
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
BY: ,~
'CONDITIONS OF APPROVAL
Time
Date
Inspector
/v~UNICIPALITY OF ANCHORAGE
~'F.'T CT iQ.1,T.t 9.
SEP 8 1982
ECEIVED
~OIIs Rating I Oala~Sewer~.~ ~--/Inatalled I Well Io TaflkWell To Absorpllon Aree
IWelt Log Receive4
Septic Trak Size
