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Home My WebLink AboutEAGLE RIVER VALLEY RANCHETTES LT 27C MUNICIPALITY OF ANCHORAGE ' ' ~ {d~ ")-,"'/ DEr~,TMENT OF HEALTH AND HUMAN SERV'""~S ~ '7, , .? Environmental Health Division "" 825 "L" Street. Anchorage, Alaska 99502. Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ,am. DISTANCES _,~)/.)?IE ~IX¢O ~4 14~&.,( ~ SEPTIC ABSORPTION ~,e~,e~s TANK FIELD WELL TANKS Matenal ~ NO Of Compa~menls TYPE OF SYSTEM or~g,nal grade~pth to p~pe bottom Irom~ i_ ~ t FT 1oral Depth lrom ongmal TOtal 8.SOrpt,O. a,ea ~/b SO FTI o's:ance ~lween hnes Installer ~ Date WELLS D PRIVATE ~ OTHER Ildentilv) , .~ ' / , · [ Inspechons Pedormed by./ ' I , ~/d~ ,edily that ~is inspe~ion was psdormed according lo al, ' ",~ "-013 (3/85) nchora e p.G.~JX 196650 ANCHORAGE, ALASKA 99519-6650 (9O7) 264-4111 TONY KNOWLE$, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES June ll, 1987 Dixie D. Dixon Remax Properties, Inc. 2600 Cordova, Suite 100 Anchorage, Alaska 99503 Subject: Lot 27C Eagle River Valley Ranchetts Dear Ms. Dixon: Pursuant to your inquiry of why D.H.H.S. would not issue a Health Authority Approval until the septic system on the subject property was brought into compliance with Municipal Code is as follows. An absorption trench with perforated pipe in it that is not level may cause premature failure of the absorption trench. At the time of failure, septic tank effluent could come to the ground surface and flow to a nearby well, entering into the water aquafer supplying that well and other wells in the area causing a potential health problem. This is in addition to the fact of the later discovered water line closer than the minimum setback requirement from an absorption trench causing an immediate health risk. If you have further questions please feel free to contact me a~ 343-4744. Sincerely, Daniel J. Roth civil Engineer On-Site Services cc: Gus Andress,P.E. On-Site Services/Water Quality Program Manager Hay 21~ 1987 Mr. Joe Bell HUD Office Eagle Rlver Area dixie d. dixon home: (907) 349.8771 MUNICIPALITY OF ANO"IORAc~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION UUN R[£EIVED Dear Mr. Bell: Enclosed please find the bill from Eight Star Construction covering work done on Eagle River Valley Ranchetts, Lot 27C. HUD sold this home in December, 1986. The home was sold as a four bedroom. The septic system was not adquate for a four bedroom home. Pat Brown was the contact person for HUD at that time. It was agreed that tIud would escrow $3,500.00 for the upgrade of the leach field from a 3 bedroom home to a 4 bedroom home. In order to save money the work would be completed in the spring and if more monies were needed BUD would furnish the funds. In March,! contacted Eight Star Construction who had done leach field upgrades for me in the past. Through Ak9~' Environmental Control Services they proceeded to expand the system at the above location. The ground was removed and a new larger septic tank was placed in the ground per engineers specs. The backhoe operator then went to the end of the existing leach field and dug the proposed extensions. At that time the operator examined the existing leach field and it was found not to be level and was running uphill. It was determined that sewage was not flowing properly. The engineer was notified. The en~gineer then instructed the operator to level the existing leach field. When the task was completed the leach field was found to be 12 inches short of leach field rock. The engineer was called again and he then instructed the operator to extend the leach field for a second time. At this time, since so much ground had been violated, the engineer instructed the operator to locate the water line. The water line was ~ocated after m~ny hours of searching. The waterline was difficult to find due to lack of records and cooperation on the part of the community water personnal . When locate(] and e×amined (due to the location waterline was suspected to be in the direct path of sewer lines) the water pipe was determined to haw. a joint existing in the pipe out:;ide code by State of Alaska [or septic areas. The pipe had to be ~/,~I~ properties, Inc. 2600 cordova, suite 100 anchorage, alaska 99503 ~,**~,.,." phone: (907) 276-2761 ['age Two HUD Nay 21, 1987 replaced with a 20 foot section of solid sewer pipe. To accomplish this the sewer tank had to be removed and moved. Due to encroachment of septic to water line an 8 foot section of existing leach field had to be removed and replaced with virgin soils. To preserve orginal landscape and prevent further cost overruns, the leach field was redesigned again. Extension of the remaining leach field was required due to water line location. The leach field was extended again for a total of four unavoidable redesigns of the leach field. It was then completed and filled in and a final inspection by municipal officals was completed. Owners, engineers and contractors stayed in constant contact. No duplication of trips were logged. The engineer was often at the site after 6:00 P.M. on his way back to Anchorage from other job sites. Equipment was left at the site to avoid extra transporting when delays were encountered waiting for the engineer, waterline information and inspections. Numerous conversations were held by phone at night with the owners by the contractor,land of course by the contractor with the engineer. All of these efforts enabled work to proceed during the day with little or no dead time being charged. Ali parties worked toward a timly completion of project with respect, for the cost overuns. No work was ordered or completed that was not specifically called for in municipal or State Codes. If you should have further questions please feel free to contact myself or Eight Star Construction, Randy llahn at 562-2076. The work has been completed, permits issued, required work.completed. Please issue a check as soon as possible. Sincerely, Dixie D. Dixon Real Estate Agent .. A'LASKA"en onm hT ,L conT[ od seRu s, Inc. DIXIE DIXON C/O 2600 CORDOVA ANCHORAGE ALASKA 99503 SELLER-HUD DIXIE DIXON C/O 2600 CORDOVA ANCIIORAGE ALASKA 99503 12/12/86 60646 LEGAL:EAGLE RIVE~ VALLEY RANCItETTS LOT 27C ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-12/ll/86 THE TYPE'OF ABSORPTION SYSTEH ~S A TRENCH WITH AN AREA OF 600 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF MATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 694 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A B BEDROOM HOME. SEPTIC TANK ADEQUACY Tile EXISTING SEPTIC TANK VOLL")IE OF 1000 IS ADEQUATE FOR THIS B BEDROOM HOUSE. THE SEPTIC T~NK/PACKAOE PL~%~ MAS PUMPED ON 12/12/86 . THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR MASTE~ATER SYSTE~. Anchorage Office. Region X 701 C Stxe~. Box 64 Anchorage. AJ~k~ 99513 ~-O00__1 ,JUN Dixie D. Dixon RE/MAX Properties, Inc. 2600 Cordova, Suite 100 Anchorage, AK 99503 Dear Ms. Dixon: SubJ cc/: Your letter dated 5-21-87 regarding old FIIA case #111-025519(2)-203, new FHA case ~111-040237-203 204 Twenty Grand Rd. Eagle River, AK 99577 Purchaser(s): Leonard and Charlotte Combs We have reviewed your letter regarding the subject property. And in response thereto certain documents in our file have been reviewed'. We propose that the contractual agreement form, HUD~ 9548, Standard Retail Sales Contract, dated October 28, 1986, between the U.S. Department of llousing and Urban Development and the Combses was and still Is the controlling document to what we agreed to do or not to do in this transaction. I direct your attention to the contractual agreement cited above: Under "Conditions of Sale" paragraph B., it specifically states that "Purchaser will accept the property in the condition existing on the date of this contract. Seller does not warrant the condition of the property or compliance with code require- ments and will make no repairs to the property after execution of this contract". HUD subsequently agreed to correct deficiencies at the location should the Department of Health and Environmental Protection report show that the system is unsafe or hazardous. The application dated January 5, 1985 was approved. The Depart- ment of Health and Environmental Protection approved three (3) bedrooms because that is what was asked for in the application. It has never stated that the existing system was deficient or inadequate, t It is not known who concluded that the septic system was inadequate. However, in good faith, HUD opted to escrow $3,500.00 to defray cost to the buyers should any deficiencies occur. HUD did not commit itself to any cost above that amount. Therefore IIUD does not assume any additional responsibility to this property. Chief, Mortgage Credit/Loan Management/Property Disposition F'ERMI]' NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT F'H[]NE: LEGAL .DESCRIP: LOT SIZE: I certil'y that: MUIq I C I F'AI I -F'Y' 0t--- AI~C~-iO~ABE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 OI~ ' 'S ]~ ]-Il---'~'~.~]EI;JER 870065 UPGRADE 04/29/87 F"E]-~M 1] '1- DIXIE DIXON C/O A.E.C.S. 1200 WEST 33RD AVE. SUITE B ANCNORAGE, AK 99503 561-5040 SECI'ION: 7 TOWNSE~IP:'"i'4N .... RANGE: 1W 17955 (SQ.FT. OR ACRES) 1. I am ~amiliar with the requirements £or on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State oF Alaska. ~Z. I will install the system in accordance wi~.h all MOA codes and regulations, and in compliance wi{h the design criteria of this permit. 5. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well., wastewater disposal system or public sewera~)e system on this or any adjacent or nearby lot. IF A LIFT STA]ION IS INS]'ALLED IN AN AREA COVERED BY MOA £UILDING CODES, ]HEN (1) AN ELECTRICAL~PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REF'ORT; AND (3) THE ELECTRICAL WORK MUoT BE DONE ~ A ~NSED ELECTRICIAN. ALASKA IiVIROFI FITAL COFITROL $ gulC[!S, Irl£. J~nqin¢~rinq ~ J~nuironm~nlal April 20, 1987 Municipality of Anchorage Department of Health & Human Services 825 L Street Anchorage, Alaska 9950! Re: L~t 27C, Eagle River Valley Ranchetts Subdivision This lot consists:of a 4 bedroom home with on-site sewer and public water. In 1984, the sewer system was upgraded for 3 bedrooms. This upgrade has a total absorption area of 600 square feet. The permit shows a soil rating of 166 sq.ft./bedroom. This would require 664 square feet of area for 4 bedrooms. The trench contains 5 feet of gravel depth which would require an additional 6.5 feet of length. The existing septic tank is 1,000 gallon capacity. An additional 500 gallon tank will be added. Refer to the attached diagram for proposed upgrade locations. On 12/11/86, an adequacy test was performed on the existing trench. 694 gallons of water was introduced with no rise in the system. It is currently working adequately for 4 bedrooms. If you have any questions, please call. Sincerely, Alan C. Wien Engineering Technicina Approved by: 1200 LU¢$1 33rd/~u¢nuz. Suil{ [~ ·/~nchoraq¢. /~loska 99503 · [907) 561-50z{0 ,1 :q · DEPT OF HrALTH &-'~'"'~ RECEIVED · ...F~ P o .5' 9 '2.¢' "~' '% MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME IPHONE [] NEW ' DISTANCE TO: i/~y~y~,/.,IC. T ManufacturerX' / 7'/,4J/-- Liq. capacity in gallons I I F HOMEMADE: DISTANCE TO: J I Well . Manufacturer ~ No. of lines/ 1'Length of ~h~n, ¢ Top of ti~e to finish grade Length Width Type of crib Crib diamet~J DISTANCE TO: Inside length DISTANCE TO: Dwelling / ~'~ Material Foundation Nearest I ot~, Total len~ ~ine~ Trench w~b /, inches Material beneath tile ~-~ /( inches Depth 1~.~ depth Building foundation Driller Sewer line PERMIT NO. Nooofcompartments~ Liquid depth--..-_ PERMIT NO. Liquid capacity in gallons Total e~orp~rea PERMIT NO. Total effective absorption area Nearest lot line Depth Distance to lot line PERMIT NO. Building foundation Septic tank Absorpt on area(s) OTHER PIPE MATERIALS INSTALLER REMARKS APPROVED ~ & ~ ~ WH. 69~79 72~13 {Rev. 3/78) DATE MUNICIPAl iTY 0~- AtqCHORA'GE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET~ ANOHORAGE~ AK 99501 PERMIT NO: DATE ISSUED: APPLICANT:· ADDRESS: CONTACT PHONE: LEGAL DESCRIP: 4os44 10/04/84 SITE 264-4720 SE~JER , 'PERMIT SUBDIVISION: E R VALLEY' RANCHETTE LOT: 27C BLOCK: NA SECTION: ~7' TOWNSHIP: 14N RANGE: 1W ~/0 S & S ENG'G. BRAD BRANNON SRB 196X EAGLE RIVER~ AK 99577 694-2979 LOT,SIZE: 1_~-~55 (SQ.FT. OR ACRES) MAX BEDROOMS: 5~_~~ ,Li~ted below are the options available to you .in designing your sep~tic '.system. Choose the option that best fits your site. TRENCH DEPTH TO PIPE BOTTO~ (FT.) 4.0 iGRAVEL DEPTH (FT.) 5.0 'TOTAL DEPTH (FT.) '9.0 GRAVEL WIDTH (FT,) 2.5 GRAVEL LENGTH (FT.) 50.0 GRAVEL VOLUME (CU.YDS.) ' 25.5 TANK SIZE (GALS) 1,0;)0.0 ** SOIL RATING (SD.FT./BR). 166 ** TANK MUST HAVE AT LEAST TWO COMPARTME~TS BED · 4.0 0.5 4.5 17.0 54.0 21.5 1~ 000.0 '*'* 125 ~.DRAIN 4.0 5.5 7.5 5.0 60.0 '44.5. 1~000.0 ** 185 I certify t~at:. ' 1. I am familiar with the requirements fop On-site sewers and wells as set forth by the MunicipaIity of Anchorage (MOA) and the State of Alaska. 2. I will install .the system in accordance with all MOA codes and. regulations, and in compliance with the design criteria of this permit. 5. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing.well~ wastewater disposal system Or public sewerage system on this o~~any adjacent or nearby lot. 4. I understand that this permit'is valid for a maximum of ~ bedrooms and any enlargement will ~equire an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES~ ~ THEN ¢1) AN ELECT~ PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS ~ILL NOT BE APPROVED ~ITHOUT AN ELECTRICAL INSPECTION REPORT; AND (5) THE ELECTRICAL WOR~'~ MUST/B~ DONE BY A LICENSED ELECTRICIAN. · ISSUED BY ~~_~ DATE: PERFORMED FOR: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST SLOPE 6~ 7- 8 9, 10- 11 12 13 14 15 16 17 18 19 20 WAS GROUND WATER ENCOUNTERED? SOILS LOG PERCOLATION TEST IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE .(minutes/inch) TEST RUN BETWEEN ~ FT AND ~ ' 72-008 (6/79) FT GRE/-'7-~, ANCHORAGE AREA Department of Environment Quality .3500 Tudor Road Anchorage, Alaska 99507 NAME LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL /~0r~' MANUFACTURER INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM INSIDE WIDTH INSIDE LENGTH MATERiAL/~ ~f~r NUMBER OF / COMPARTMENTS/. LIQUID DEPTH LIQUID CAPACITY/~:~ GALLONS. TILE DRAIN FIELD: Cu-'%./.>~/t DISTANCE FROM WELJ~ FOUNDATION //0' 7z- NUMBER OF LINES J DISTANCE BETWEEN LINES ABSORPTION AREA ~O~ SQ. ~. ~,~T, O~ E~C, U,~ ~ ~ ~J~ ¢ DEPTH OF FILTER ~.. ~ DEPTH: TOP OF TILE TO FINISH GRADE - MATERIAL BENEATH TILE , TOTAL LENGTH NEAREST LOT LINE.//~) OF LINES ~ /1~//~ TRENCH WIDTH ~ ~N. TOTAL EFFECTIVE ABOVE TILE ,./-)/ IN. WELL: ~, TYPE BUILDING FOUNDATION~ CESSPOOL APPROVED ~ DISAPPROVED CONSTRUCTION . DEPTH NEAREST NEAREST SEPTIC SEEPAGE , LOT LINE , SEWER LINE__, TANK , SYSTEM , OTHER SOURCES . REMARKS DISTANCE FROM: DISTANCES: ... DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: /~ ~ ~'~'~ REMARKS: Form PW-027 DATE .2- ~7~7~)~PPROV ED GRe,/~D~ ANCHORAGE AREA ~. P,....TMENT OF ENVIRONMENTAL QUALI 333.1 "C'* STREET ANCHORAGE. ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION (,/..~. ,/e~.~ ~//~ /~ LEGAL DESCRIPTION ~:~ ',~' ' - ,NSTAL~TION OF: SEPTICTANK ~~' ) SEEPAGE PIT '~ DRAIN FIELD OTHER FINANCED ~HROUGH ' TO BI INSTALLED BY , /. ~ C ~ ~ ~ /~ . MA,L'NG ADDRESS /':",~'J':-~/'2' </'~'C',, ~""~ -~~ PHONE /--/,7_ ,/-~.~'T NOTE; THIS PERMIT IS NOT VALID WITHOUT SOIL 'TE:ST FINAL INSPECTION: Z4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT .FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE _f/~/~) ~/~-~' TYPE ~/~/ SEEPAGE AREA SIZE TYPE ~~ MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK~ SEPTIC TANK ~ SEEPAGE PIT ~' .. DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS, WATER MAIN TO SEPTIC TANK , /~ SEEPAGE PiT . . SEEPAGE PIT /~ . DRAIN FIELD GRAVEL. BACKFILL, CONFORM TO E~OROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF' SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA FIOROUGH ORDINANCE NO. 28-66 AND THAT THE ABOVE DESCRIBED SY$TEM IS IN ACCORDANCE WITH SAID CODE. DATE '. 7~'~/~/ APPLICANT'S $1GNATU RE ~//~1~.~.~_ ~~ ~/~ _ FORM NO. EQ'OI6 ~ GR£ATER ANCIIORAGIZ AREA I~OROUb,, Department of [nvironmental Quality 3330 "C" Street Anchorage, Alaska 99503 SO11,$ !,O(i - I'I']ROI,ATION TEST Perfornw~d for ~__~ Legal This rom reports:- Soils 16g / --~ Percolation test Depth Feet 4- 5- 6- 7- 10- 11- 12- 13- 14- Was ground water encountered? Reading Date Percolation '~ate ....... -Proposed installa~ Depth of Inlet COMMENTS: Gross Time minute. ,If yes, at wi~at depth? Net Time~ Depth to Water Seepage Pit .__ Drain Field Depth to bottom of pit or trencl, Net Drop Performed By: /(~t,~ -~- ~_J. EQ-040 (6/74) Certified By: Date: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) ~.- ~... ,. . ....', ...... .~.'~'Location (address or directions) ~'..~ .. ~.., ~ · .:/ . -...zzz,~?' '7~..~r/' 6,~,~,/~ ,<72. ["',~, Mailing Address~/~f~' ~xJ,"'~/ ~.,F,4~J ~7": );. ~' '";- . ~.[~ ~endin Ir~titutjS~,' *~,,.' . .' ,'~. (d) I~eal E~ta~e,O"o~mpany and Agent 7~';/~X Telephone: Home Telephone Business (e) Address Telephone _.~5/~T ' 5q~ Mail the HAA to the followinc~ address: or; Check here r-]. if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family'~ Number of Bedrooms WATER SUPPLY Individual Welll-I Community'S[ Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite~:~. Public I-1 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. Page 1 of 2 ?2-0;'s (Rev 8'86~ Fronl ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal atfixed 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 ,/~'~'~'~' Telephone Address /~'~J ,~j ,ffl~.,Z /h/__~ ..,~ll T'E' ,~ ,/~/. /'~ Date Approved for ~ bedrooms by Approved ~ Disapproved Terms of Conditional Approval Date Conditional CAUTION 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 omission, s !n the professional engineer's work. Page 2 of 2 72-025/Rev 8/861 Back WELL DATA Well Classification , Present (Y/N) Total De MUNICIPALITY OF ANCHORAGE (MOAi HEALTH AUTHORITY APPROVAL (HAA) I~UN'CIPALI1y OF ANCHC~KLiST' FEBRUARY 1984 i ? 1987 'RECEIVED Legal Description: ,~'2.?,t- ,~X' ~ ~-'7~z~" If A, B, C, D.E.C. Approved{~) /"~ ,e~ ~.lc~?.~.~ Date Completed Yield to Depth of Grouting Casing Height Above Electrical Wiring in Conduit Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot. To Nearest Public Sewer Line 'Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) To ; On Adjoining Lots n Adjoining Lots Sewer Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA ?o.~O- ?'~' Date Installed .K'-/5'-~7' Size Standpipes ~1~) Depression over Tank (Y~ .5"'~,'o No. of Compartments / Air-tight Caps{~) Foundation Cleanoul~) Date Last Pumped Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water*Supply Well ~---,~fH- To Property Line ..' To,Water Main/Service Line ,/d *"' : Course' ; for Temporary Holding Tank Permit (Y/N) · To Building Foundation ~ ·. To Disposal Field .... ~ To Stream, Pond, Lake, or Major Drainage Comments '* :." 'Page l of 2, ';; 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed /d"/O'~'~f / ~/~,~ .~""/~"~'7 ! Width of Field Square Feet of Absorption Area Depression over Field (Yl~ Results of Last Adequacy Test ,~4;~u4u~r'~' Separation Distance from Absorption Field: To Water-Supply Well ~'"'~/"~/ ! To Building Foundation Lot TO Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present ~,1) Date of Last Adequacy Test ?'~",//' ~'~' To Property Line To Existing or Abandoned System on ; On Adjoining Lots /d To Cutbank (if present) ,,~//~ D. LIFT STATION Size in Gallons '"-.., ? '' "Pump On" Level at ~ High Water Alarm Level at ~ Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ~'"~ Pumping Cycles during Adequacy; Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I~.~ c~ke~d,ye..rified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~_..~:----~../4..~/....~--- Date ~' -'~"' -~ ~' Company ,~,ff.~r~ ~' MOA No. Receipt No. o~' ~ (:~ 0/'~ 0 O0 / Date of Payment ~ ' /'~-- °C'7 Amount: $ f ~ 0 ~ Page 2 of 2 72-026(15/84J DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA ggS01 ~T'EVE COI4/I~-R~ GOVERNOR Telephone: (~°07) Address: 274-2533 DATE: May 7, 1987 PWS I.D.# 210875 To Whom it May Concern: According to records on file in this office the I~I~OiKUTILITIES Ranchettes E.R. Valley , Water System is in compliance with the State Drinking Water Regulations Sincerely, ~r .MUNICIPALITY OF ANCHORA~Z DIVISION OF ENVIRONMENTAL ~ALTR DEPARTMENT OF ~.ALTH AND ENVIR0~fENTAL PROTECTION APPLICATION FOR m~.ALTR AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (include lot, bloc~, subdivision, section, township, range) ! Location (address or directions) (b) Applicants Name ~~ '~w'N]f~Ot~ Telephone - Home Bus,ness (c) Appli¢_ant is (check one) Leading Institution ~--~; Owner/builder~; Buyer ~-~; Other ~-~ (explain); . " (d) Lending Institution ~/OAJ ~- Telephone Ad~_. ss (e) Real Estate Co. & Agent Address (f) Telephone. ~ the HAA to the following address: 2. Type of Residence Number of Bedrooms Water Supply Individual Well~1 Multi-Family ~-~ Other (describe) Community ~-~ Public~_ Note: If COmmunity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Sewage Disposal Onsite~ Public ~ Community ~-~ tlolding Tank ~--~ ,, Note: If community w~ll system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 5. En~ineerin~ Firm Providin~ Inspections~ Tests~ File Search~ Data and Information As certified by my seal affixed hereto and as of the validation date shown below, l verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or vastewater 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 tnformaiion obtained froa the Municipality of Anchorage files and froa 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 regula- tions in effect on the date of this inspection. Name of Yirm~ ..... SRB 19~X - Telephone __ . ~ne~t J DHZ? Approval ~~ <":- ~'~ '""'~'" Approved Disapproved Conditional Terms of Conditional Approval CAUTION THE HUNICIPALITY OF ANCHORAGE DEPARTMENT OF ~n~ALTH AND EI~IROI~IEI~AL PROTECTION (DHEP) ISSUES m~.ALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGEAPH 5 ABOVE BY AN II. PENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND TEEIR LENDING IN$TITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUL~E- MENTS. EMPLOYEES OF I~EP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CEI{TIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS 01~ OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. ' (DHEP SEAL) [Page 2 of 2] 7-19-8~ Well Classi~ication We]/ Izx] e=esent (Y/lq) Total ~pth C~d to If A, B, ~ C, D.E.C. Date ~~d ,, Yield ~p~ ~ ~ti~ Static water ~evel Pum~ Set At Casin~ Height Abo~~ Sanita=~ Seal ~ Casing (Y/N) Ele~L~ical Wiring in Conduit ~ D~pxessicn A~ound W~llhead (Y/N) Separation Distances f=c~ Well: / / ' To septic/~oZetng Tenk c. cot 200 ~ ~ On Adjoi~tng cots To Nearest Edge of Abso~tion Field ~ cot Z.6~ 7t } On Adjoining cots .To Nearest Public Sewe= Line Cleancut/Mar~ole Wate= Sample Collected By Water SamDle Test Results To Nea=est Public Se~r To Nearest Se~= Service Line cn cot ~ Date -' C~nts s. SEm~C~ ~ ,raTA rote Xr~c~Zed ¢/-250- ,-/_<' si,e /~d ~o. of co,~ents Standpi~e-~'/U) Ai--.-ti~t C~ ~}~, ) r~Ci~n Clean, ut P~m~i~/~ainte~ O~lt~ect c~ File½~, fO= Holding.Tank High-Wate= A/a=m Y )~ Temporary Receipt % °o~'71~ Date Paid: ~-'7- ~'~ Amount: ~t~ [Pa~ 1 of 2] 2-15-84 Soils Rating in Absc~ticn Strata ~ Type of System Design Width of Field ~&)/! Squa~ Feet of Abs~ption A=ea ~90 ~ De~=ession ore= Field ~ Date of Last Adequacy Test Results of Last ~eguacy Test '- A Depth of Field ~ Gravel ~ed Thickness Standpipes l~esent Separation Distance iran A~s~pticn Field: / To ~ildi~ F~n~ti~ ~ / TO ~isti~ ~' ~d S~m ~ ~t ~ / ~ ~ ~Joini~.~ ~ To ~ ~i~i~ Li~ ~ ~ ~ ) To ~i~y, ~ki~ ~ea, ~ Vehic~ S=a~ ~a Date Installed Dim~nsions Size in Gallons ~ Manhole/Access 'Pum~ On' £evel at ________~'P~ Off' level at High Water Alarm Level at ~ Vent (Y/N) Tested fo=' Pu~ing Cycles du~ing Adequacy Test. ~cts Electrical Codes(Y/N) ** (~eck Permitted Be~.ocm Rating AGainst ~AA ~quest ** .... I certify that I have checked, verified, c~ c~nf,=,=d to all ~OA }]AA Guidslines in effect on ,d ts c _this'inspecticn. . . [Page 2 of 2] ' . "~7;~"- '.,~' 2-15-84 DEPT. OFENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA ggs01 BILL .SHEFFIELD, GOVERNOR Telephone: (907] Address: 274-2533 To Whom it May Concern: According to records on file in this office the,~. ~A. ~ U~]L~ ~0~ Water System is in compliance,with the State Drinking Water Regulations Sincerely,