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TALUS WEST BLK 1 LT 6
Talus West Block 1 Lot 6 #015-201-29 y. F Municipality of Anchorage Development Services Department �, 4 -• Building Safety Division . r — On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number: PID Number. 015— 1—;201 NaT.e 7T JA t— 14 FNDR 1G K �0 til 'f Wastewater System: El New Upgrade Address ,y 7,6' ALV S 1721 ✓rf� ABSORPTION FIELD Phone Number of Bedrooms O Deep Trench O Shallow Trench O Bed O Mound O Other LEGAL DESCRIPTION Sod Rating Total Dep hlr arigral grade P IFtr F}, Block Lot. Suodnision:�%� �- Depth to pipe bottom born original grade: Grave epth beneath pipe: 61 LV tXC/ FI, Ft Townsn-p Range Section: Fill added above original grade: Gravel Length: I. Ft. Well: New Upgrade ❑ vn Gravel dft Number or Imes: Distance between tines FI. F! Classiricabon (Private. A. B. C): Total Depth:Cased Io. Total sbsorpboo area. Pipe Matenal. Ft. Ft fns Driller Data Drilled: Static Water level: Installer Date Installed: Fl. IOM yield Pump Set at Casing Height Above Ground: TANK GPM F FL SEPARATION DISTANCES 9Septic []Holding ❑ S.T.E.P. ❑ Other: To From Septic Tank Absorption Field Lift Station Holding Tank IPublic/Private Sewer Line Manufacturer 4NtlJoa / 1�:' I—Acm IC. Capacity 10 00sal We'I Material�• _ �A .! e, Number or Companmerts iPn Surface Water H�1e LIFT STATION Sao : Manulactunr Lot Line'% Gal. 'Pump on' levet at: 'Pump crr lave, H,gn water alarm at Foundation In m in Curtain Drain Pump Make d Model Els i Inspections performed by: Remarks BENCH MARK t ri Pd� i� Lorabon and Deswption O04 ! 01N 67 - Assumed Emvuel on E,EGi�•e!I'�tj�n P _u. o �q�� .e'0141 41 �1 . Inspections Z/0r t * 49 �I performed by: U 1 Dates: 1" •"aMN •k 2nd ; ... •.�/7 mi t b°" s°1ed°"d Development Services Department Approval •'asset i ~��9 Reviewed and approved by: Date: / 03. 'a.� ••���do Municipality of Anchorage • Development Services Department Building Safety Division \ L� On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.ak.us (907) 343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015 " P -01—'a -La Permit Number SWO30020 Property owner(s) 14 Pc L_ RQNn21C_ Kso?I Day phone Nlailing address (1) 473J 1 AI-jS 7�P,1Vt�s Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) Lecal description (Section, Township & Range) Lo: Size_ R, SU_ Acre , q.Ft. n Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ i certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Sicnature of property owner or authorizet agent) Date of Paymenv Date of Payment: Receipt Number: 3 1 A0L k6 Receipt Number: (Rev. 1200) (1 � T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw St. Anchorage, Alaska 99519 Subject: Waiver Request Lot 6, Block 1 Talus West S/D PID 015-201-29 Gentlemen; February 12, 2003 We are applying for a $5 foot waiver of the separation distance required between the proposed septic tank and the well serving this lot. The existing tank collapsed last week end and is out of service until replaced. The existing tank is 85 feet from the well. As the attached site plan shows, the area outside of the well radius is very limited. The absorption field is a surface mound with tiered retaining walls. French drain has been installed to control the surface runoff from the mound. The owner intends to install a Fiberglass/Plastic tank. The cover over the tank will be 4 feet or less. Water samples collected on February 13, 2003, shown no evidence of well contamination after 30 years of use. No well log has been found for this property, but I have assembled well logs from the general neighborhood. This should assist you in evaluating the contamination potential of granting this waiver. Yours e—' r. T. SpuredP. . 4 W4i�j15li FEE H155a1g19r10.t, FIF_lp r o r- L L Baps. RrC Pr, # 31 ass WZDeo(1 25 0 25 50 75 100 125 150 SCALE+ Is = 50 FT. MUMN arUKA ANU r t. Lt 6 Blk 1 Talus West SID SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE DATE: FEB. 11, 1003 1731 Talus Drive ANCH. AK. 99501 • 907 279-3916 I I HAL HENDRICKSON SHEET.213 GRID. 2736 PERMIT li PID 11 015-201-29 TAW01061.DW6 Municipality of Anchorage Gf 6� Development Services Department 0a • Building Safety Division t s n OeZ6 Uhler ani Wgfeaafer program 4700 Bragaw Street s . P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR#: WR030011 PID#: 015-201-29 HAM Permit#: 5Wo30o20 Date Received: 2112103 Legal Description: Talus West Block 1 Lot 6 Engineer: Tobben Spurkland. PE Applicant: Hal Hendrickson Waiver Requested: 05 Feet from Septic Tank to Well Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: Waiver is Granted: Waiver is not Granted. List Conditions or Reasons for above: Date: By: Name of Reviewer Rec#: 31355 Amount: $800.0 Date Paid: 2112/03 George 1. Witerch, Mayor 3/17/2003 Anchorage Municipa"-r of Anchorage Ind All -America City Building Safcty Division ®' 2002 Tobben Spurkland, PE 203 West 15`h Avenue, Suite 203 Anchorage, Alaska 99501 Subject: Waiver Request for Talus West Subdivision Block 1 Lot 6 Waiver Request #WR030011 Parcel ID #015-201-29 Construction Permit Number SW030020 Dear Mr. Spurkland: Your request for a waiver of the required 100 feet horizontal separation from the septic tank to private well has been approved. The approved separation distance is 85.0 feet. This waiver approval applies to the existing septic tank to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, D� - - Daniel J. Roth Civil Engineer On -Site Water & Wastewater Program P.O. Box 196650 • tnchorage, rUaska 99519.6650 • Telephone. (007) 343-8301 • Pas: (907) 343.8200 4700 South Brnaaw Strcet • Anchorage, Alaska 99507 littp://������•.ci.nnchorngc.nlc.us e.4D KIAIVER I?EQuEST %gLUS NESTS bVI�IVF_n REgUE 5r NumPeR W8030011 V2 w5/ow !3L OGk / LUT 6 W,ifvEl? RpquEST FOR aN- Lar WW-Ele WEL& TO PROPOsEn sE rogwk OF ss" F f_ E T. - S E PTFc r7+NK 1 ArA - THE PkopvSriP STiortc r/4Nk LvIL L j9E A Fies>QG!-J+r� 779Avk M,07 WILL NOT CoRoDE. T I/F SE PtrL I s L oEiaTLn OowN &je Ap/,Fv 7- W.4rg#R WELL IN gU.EST/ON AS k�6,LL AS rHC D/°POS/TE S/DE O F THE OF rHE P 1NELL/a& I=RoM r/41: 14--o>4 rEW WSW IN Q UE.M10M., rME' w *rER wui- /J ALSO LO(Ar4V ON THE SAME /4PLA•»vF H)-OARAaLi, -A)VIEXvT Pit r/4& 44?N i><ER Ale5A wlor45R T lir; Srz�Tic 7RNK TNAi I�I4 s Fir/ sr/�vo- i s EO�.APs/N(r /4/V17 Al SO pAS 6A/CIedA cM/rvb- OA/ rKE rcp)-'c rl9NK /N go rs)-tv#v bvs& fLcsp1 TK A N TI•/E' JOR OPO JSo r/ c Esc TKE t 4MA wr°L.I. IN auEsr/oN DOES Nor li,+Vr- A 'VELE L p6- AVA-/L19 6LE. HoaEvER T UE 49E M?NY weLL L -01- r ON ru T%*T TMIE PRvp1 jeT/ES^SuKRONND"Su8J6'cT LOr: ALL. r14C w6LL Lo6S IwAIuvTE NyµEROuJ L.6YER aF e -VA P1viNb CL J4 yr H/gR0/�A4J HFT«,>:E�, TNF- 6-RO14049 1 TWf_ #QNiFP_le W#r6R a,.rju, NRIICI-I if F_A/(OKn.rF_jegv A -r APPRvA 120 r -&Er FRo.K G/eou4.D 12 S. of A. D. E. C. S. w • . -For S, C. R. O. Po iivTS w�rF-R Tour- . i • X !!7 a " /7 x=.off-7 70/ N N N SOIL SORt9r/M NNN 000 N=0 7/ 90 V /�• �� / y • 75- A fir A aov C/ 7 2.Q t �l7 b - /321 �� /✓ T. AAA �. C4ingh d PEnA4r,- -a/,L TY (/1 7)1.7s + 7 20 4 117 (,v ATS TA LF_ 6RADI ENT Asftcmr. coAlse: eevhFrive —/o % 2 DIQlZONT/`lL S�f�QI4T�piv ..� x .4 t 2.o z. 4 6 -nim -o o rorAL 17.3- C 0416 L U 7.3- 00416LU f/oN 6-)ep+ yr 1v4/✓Ff� MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name All DISTANCES 0/9*— 14! 029 C�2'e TO SEPTI/rN ABSORPTION Address 1/7l 61 i176 FROM TANK FIELD WELL WELL / Phone(s) Permit No. No. of Bedrooms K 0 ,y/ >G LOT LINE r /� LEGAL DESCRIPTION Lot 6 Block / Subdivision u5.r s Svc FOUNDATION s r Township, Range, Section P.�10 5 Z2 AS -BUILT DIAGRAM (Show location of well, septic system, property lines. foundation, 'Z driveway, water bodies, etc.) TANKS SEPTICA {�- O HOLDING Manufacturer Capacity in gallons yJ l0 r Material No. of Compartments TYPE OF SYSTEM ❑ TRENCH �° BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total de th from original grade original grade 4s -be 4 -3's- FT i 1'_ FT Fill added above original grade Gravel depth beneath pipe 4l 40 3,<O FT 'S FT r5 rlc S{a r Gravel length a5— Gravel width G' � F I FT FT Total absorption area Distance between lines J E� 1� 00 SO FT S FT f' 7 ei Number lines Soil rating Pipe of `— 7 material 3 SO FT 5A2.1f Se 6'70 1=0 0 Installer ff 7� Date Installed 7 (` �c Gd-✓ 2- Int . WELLS ❑ PRIVATE ❑ OTHER (Identify) Classification (A,B,C) Total Depth Cased E' ? >t FT FT Installer Date Installed: REMARKS: 5SeC_ des-'vL diI In r EVP 5",s;kb I _)"_>' /�l T'f •�rjU-lJ�J<2j; Scale: �VT Inspections Inspections Performed by: - ENGINEER'S SEAL 'r©d,dLr�l})sd, z'o' /.s;Ve_s C'L9 ice Date: ,� �.�e kAs �'�Yto,. d'7// 2e 4,1 d' certify I PP, e J ' certify [hat This inspection was performed according to all Municipal and State guidelines in effect onthis daatte:- /0/.z Health Department Approval: r°''_'�`�' ✓�' Dace: /0—A&—Y 72-013 (3/85) ` MUNICIPALITY OF ANCHORAG� Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 ON`SITE SEWER PERMI| Permit Number: 890201 Upgrade Date issued: 10/06/89 Engineer Designed Owner Mame: MICHAEL SCHALLOcK Day Phone: Owner Address: 4771 TALUS DRIVE 257-1679 ANCH, AK 9950 Parcel Td: 015^201-2V Lot Legal: Subdivisions TALUS NEST Lots 6 Block: 1 Section: 22 Township: 12N Range: 3W Lot Size 18536 (sq^{t. or acres} Max Bedrooms: This Permit: 2 Total Capacity: 2 SEPTIC TANK: Minimum total septic tank capacity: 1,000 gallons. Each septic: tank must have at least 2 compartments. Depth to top of septic tank(s) < 4^0 feet requires insulation over tank(s)" DHHS MUST 13E PRESENT DURING EXCAVATION TO VERIFY SOIL RATING AHD GROUNDWATER LEVEL, THE SYSTEM MUST BE INSTALLED IN ACCORg4NC� WITH THE APPROVED ENGINEER'S DESIGN AND ANY DEVIATION THEREFROM MUST BE APPROVED BY DHHS PRIOR TO CONSTRUCTION` THIS PERMIT IS FOR A 2 :EDRDOM SINGLE FAMILY RESIDENCE ONLY, AND EXPIRES ON 12/31/89. A LIFT STATION REQUIRES AN ELECTRICAL INSPECTION. I CERTIFY THAT: I. I am familiar with the requirements for on-site sewers and wells as set. forth by the Municipality 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. 3. 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 or any adjacent or nearby lot, 1" I understand that this permit is valid for a maximum of 2 bedrooms. I also understand that the capacity of the total system is 2 bedrooms and any enlargement will require an additional permit, Signed: DATF: {) /�� `~_-' ^r''��~7 (Owner) MrC| Issued 8 DATE: ' llIf (�°-j-�ril--( �✓d+//COS .Gi�'I _002' Y!J/T/-.- /�'/JJ��J 4A !Sr' �• Z11' le VPi/ 6�`7 �C/wic4)e�-` i� � 7L`-1 /J/�7/JU'f�t c� `j1Zd/ ✓�-rrl �" /!0l_ OJ xal-VPI 6Y/-1 "/0%__�� 41) QRc�UcSc� THHT wt-. —iii----- ----- MUNICIPALITY OF ANCHORAG9 DEPT. OF HEALTH & A ENVIRONMENTAL PROTECTION °5 ALASKA MIROIlmCWL COIITROL AOR US,"�P�n� 2 $ 'f989 a 6ngineerinq & enuironmental Studies RECEIVED 1200 West 33rd Auenue. Suite B • Anchorage. Alaska 99503 • (907) 561-5040 _`.. ..r,...,� d .., -4W�18 TO DATE SUBJECT _4 L,?l!f.y �oP �Pa Nla_r� Jo _....�zs_.l1-�,..c�,.s_cp_rm..te,+�.Sd�_....s'/�,a.4...._Orer?-fl_,S/�9_,�...%r/t..,,5.___�,5�•?.„.�s�,..zl/___/_caf. a-3:C�._..__._ tom..___._ S-, v _....�zs_.l1-�,..c�,.s_cp_rm..te,+�.Sd�_....s'/�,a.4...._Orer?-fl_,S/�9_,�...%r/t..,,5.___�,5�•?.„.�s�,..zl/___/_caf. a-3:C�._..__._ A ALASKA RUIROWnTAL COnTnOL SCUM, InC. 5 a Engineerinq & 6nuironmental Studies SPECIFICATIONS FOR BED WASTEWATER TREATMENT SYSTEM LEGAL DESCRIPTION: LOT 6, BLOCK 1, TALUS WEST SUBDIVISION 1.0 GENERAL 1.1 The Drawings, sheets 1 thru 4, shall be part of this specification. 1.2 All materials and workmanship shall meet the requirements of the Municipality of Anchorage, Department of Health & Human Services (DHHS), the conditions of the permit, and all applicable rules and regulations currently in effect. 1.3 All excavations and depths are advisory, and are to be verified or modified in the field by the Engineer or inspecting agency. 1.4 It is the responsibility of the property owner or installer to adhere to approved design for the installation, to maintain the required separation distances and to have the appropriate inspections. 1.5 It is the responsibility of the property owner or installer to report to the engineer any observed conditions which would put the system in violation of state or Municipal regulations. 1.6 If the installation is not inspected by an AECS engineer, AECS will not be responsible for the installed system. An engineer at AECS should be consulted prior to construction, to determine the number of inspections that will be required and to explain what these inspections will involve. 2.0 SEPTIC TANK 2.1 The existing septic tank may be used, if it meets the capacity requirement for the residence and the approval of DHHS. If not, then specifications 2.2 through 2.6 apply. 2.2 The septic tank shall be a UPI' -approved two-compartment tank, constructed of 12 gauge steel with bitumastic coating and set level on undisturbed soil. If the tank is buried at a depth of 4 feet or less, it must be insulated with an overlying layer of 2 inch burial type polystyrene rigid board insulation. 1412 WM 33R6 Avenue 0 cAnchow\ge, dtdskd 99503 • (907) 279-5553 2.3 The septic tank shall be a minimum of 5 feet from the house foundation, and a minimum of 5 feet from the absorption area. 2.4 The septic tank and bed shall be a minimum of 100 feet from any private well or body of water, 150 feet from Class "C" wells, and 200 feet from Class "A" and "B" wells, unless otherwise specified. Less than the required separation distance must have prior approval or waiver by DHHS or Alaska Department of environmental Conservation (ADEC). 2.5 Piping shall be fitted with a mechanical watertight calder coupling on the outlet and inlet of the septic tank. Inlet piping shall be 4 inch solid PVC ASTM D-3034 or cast iron, sloped a minimum of 1/4 inch per lineal foot. Outlet piping shall not be less than 1/8" per foot slope. If the piping is buried at a depth of 4 feet or less, it must be insulated with an overlying layer of 2 inch burial type polystyrene rigid board insulation. 2.6 Cleanouts shall be installed as designated and capped with air -tight rain caps (Jim Caps or equivalent), and extend a minimum of 1 foot above ground level. 2.7 If a lift station is required, it shall be a combination lift station septic tank per Anchorage Tank and Welding, Inc., design. Specifications and design drawings are on file with the Municipality and the engineer. 3.0 SEEPAGE BED 3.1 The sand shall have an effective size of 0.4 to 0.6mm and a uniformity coefficient of not more than 4. 3.2 The gravel for the bed shall be 0.5 to 2.5 inch, screened rock with less than 3 percent passing the No. 200 sieve. All substitutes must have prior DHHS approval. 3.3 The bottom of the excavation shall be level and raked with the backhoe blade to ensure that the bottom has not been compacted during excavation. Equipment must not be driven on the excavated area. 3.4 The distribution pipe shall be perforated 4 inch rigid PVC with a minimum crush strength of 1500 pounds, and shall meet the approval of DHHS for use as drainfield pipe. All pipes shall be laid level, and spaced according to the drawings. 3.5 Monitor standpipes shall be placed as shown in the drawings. They shall be 4 inch rigid PVC ASTM D-3034, or cast iron. The section shown with holes may be either drilled 0.5 inch holes on 6 inch centers on opposing sides of the pipe, or a section of regular perforated sewer pipe may be clamped to the solid section with a no -hub coupling or solvent welded joint. The perforated section of the monitor tube shall be located in gravel only. The portion of pipe above the sewer rock shall be solid. A rubber raincap (Jim Cap or equivalent) shall be placed over the top of the pipe. 3.6 If the final grade over the bed is less than 4 feet above the gravel, insulation is required, using burial type polystyrene rigid board insulation. There shall be 1 inch of insulation for every foot of soil less than the required 4 feet of cover, but there must be at least 24 inches of soil even though insulation is used. The solid pipe extending from the septic tank to the drainfield shall also have a minimum of 4 feet of cover or an equivalent layer of insulation combined with soil. 3.7 If insulation is not necessary, then the gravel must be covered with a layer of a nonwoven filter fabric. 3.8 The top and sides of the bed shall be planted with a white clover and red fescue mix, or with Kentucky bluegrass. 4.0 INSPECTIONS 4.1 This bed will require a minimum of three inspections. The first inspection will be of the open excavation, to assure that the system is installed in the proper soil strata, correct depth and meet minimum specified design parameters. 4.2 The second inspection will be performed after sand fill is installed, but prior to placement of gravel and distribution pipes. This inspection will verify that the filter is properly installed, that it meets specifications and that it fulfills the intention of the design. 4.3 The third inspection will be after placement of gravel, monitor standpipes, and distribution pipe, to verify proper installation and position of pipes prior to backfill. 4.4 The inspection of the septic tank installation can be incorporated with any one of the above listed inspections. 4.5 The lift station will require either an MOA electrical inspection or certification by a licensed electrician, depending on whether the building code applies to this part of the city. ,„ 5%1 QR f- Y o'���� eae••ea I R'S SEAL) e • 0 *cue 49 40 Municipality of Anchorage ga••ase •cease se••ae '..y DEPARTMENT OF HEALTH & HUMAN SERVICES + / 825 ••L" Street, Anchorage, Alaska 99502-0650 '••°O6°° °' L"�" •; •••+ $ • LER C. REID, JR SOILS LOG — PERCOLATION TEST ��•; E • 2251 •.• �4- o 9 rP •• •,°•• tis .r PERFORMED FOR: DATE PER ORNIEd:» ♦///// �% LEGAL DESCRIPTION:/ 6 B T I,S �Jf Township, Range, Section:7/2 A) /2,�v 5-22 DEPTH SLOPE SITE PLAN (FEET) L02rH . rTTT—I 1 2- 3- 4- 6- 7 3467 v 86 Sr /< M<) 9 10- 11 12- 13- 14- 15- 16- 17 21314151617 18 19 20 COMMENTS WAS GROUND WATER ENCOUNTERED? er IF YES, AT WHAT ! DEPTH? 8 Depth to Water After I Monitoring? -3, 1? Date: 9 /8 ? - Reading Date Gross Time Net Time Depth fo of Water Net Drop 079 !' lrzf O /0 it?� iY0 D /'D 0.G O, 7a /I Yd iRz /o O.L O.zS P S -Z /yas A§1 /O 0'• 0,7 0.71- PERCOLATION RATE a • e2 (minutes/inch) PERC HOLE DIAMETER g TEST RUN BETWEEN /°0 FT AND f's FT %/J ✓G /IN O'k 5'a/td Yell '2L21e11 7�1 PERFORMED BY: — ��P , - I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 4 °"J 72-008 (Rev. 4/85) ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 JOB /6 4/ 7p /✓es' SHEET NO. L OF CALCULATED BY �' i2ef� DATE CHECKED BY DATE&90/$L �TAK'� 0��4 4qm Ws OI1R l; Seer i a SoO�z �Ociea�fei: if�l: /:4wcid/i�iiytaf NO. 953-S 5 ✓fTc SEeJeQ 1 S�S7EM I Stow t 1" air — t h&r_� a&rftfy that on aCCLraft Wrvil a• the fpfa.)np a&&artp&p a•opa.r7 LOT 6, ,BLOI�/ `° T•4LU.S fYfST S!/BO/Y/S/�?/'r .d& Made onOcle6ei9 /9Tp and that trot +mprovan)ants attuctN thef~ ark .atwm tM Wop&r fy 4"" and do not overtop a• &,,,poor 'on tM vopfrty Iymp adloC&nt thereto, that m tel,mveme"t= °r) p1mm tt ft•^i aataaertt tns*s � an tn& orfawfaa w awafwd r, raad�a7rs, "WhI fnfaron fm&7 or .�4 emsmawanas matrcaudt,&rt& aw fad*tt +rnp 10 a> t� ;nc97R2•�///�//%%//%%• A!a&a�, jhIll _ /4 .. day of 'TC•RI NYMAN IS NAYES. ENGINEERS s SURVEYORS ' :•JACK P/.No oF At oaa 4 � o3oo r� ° e e ��• bt ° sous& o+a•o aase� ° r; ® v oe e soeo• o•, •oo.es IEROY C. REID, JR. a° plof + D / — t h&r_� a&rftfy that on aCCLraft Wrvil a• the fpfa.)np a&&artp&p a•opa.r7 LOT 6, ,BLOI�/ `° T•4LU.S fYfST S!/BO/Y/S/�?/'r .d& Made onOcle6ei9 /9Tp and that trot +mprovan)ants attuctN thef~ ark .atwm tM Wop&r fy 4"" and do not overtop a• &,,,poor 'on tM vopfrty Iymp adloC&nt thereto, that m tel,mveme"t= °r) p1mm tt ft•^i aataaertt tns*s � an tn& orfawfaa w awafwd r, raad�a7rs, "WhI fnfaron fm&7 or .�4 emsmawanas matrcaudt,&rt& aw fad*tt +rnp 10 a> t� ;nc97R2•�///�//%%//%%• A!a&a�, jhIll _ /4 .. day of 'TC•RI NYMAN IS NAYES. ENGINEERS s SURVEYORS O r m D C �� N � � o r O O Ul 0 D H D OO r mm H m m z -4 A�rn: M 313> X m D -i m :uo OH C C m 33 i N rn m r O O Ul 0 D H D OO r mm H m m z -4 A�rn: M 313> X m D -i m :uo OH C C m 33 o N rn m - Z Op D rn O H m UI ago b rn rn H Dn yL00HO > 0Z 0. mmmNm 0 H }� z m Zr a 0 A HM zD 3O M Z U D mm H m m i Ul -4 H M 313> II 3 m -! D -i m :uo OH C C m 33 o OZ xO m 0 O H m UI In m it 0 H m Spurkland En�ineerin� Environmental Consulting and Design May 14, 2007 Karen Hendrickson 4731 Talus Drive Anchorage, AK 99516 Subject: Talus West Block I Lot 6 Well Flow Test 4731 Talus Drive Mrs. Hendrickson: On May 10"', 20071 inspected and tested the well on Lot 6 Block I Talus West S/D. A four hour well flow test was conducted. A static water level of 85 feet below the top of the well casing (btc) and a production rate of 6.3 gallons per minute (gpm) was recorded. A complete well report is included for your review. If you have any questions,pleasecontact me at 279-3916. Sincerely, Lars Spurkland, P.E. Spurkland Engineering 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEng*gci.net rr-11) �))PHTNand Enu"fla ing Environmental Consulting and Design Talus West Block I Lot 6 Karen Hendrickson 4731 Talus Drive TYPE OF WELL: Private, single family Residence WELL LOG AVAILABLE: No INSTALLATION REQUIREMENTS MET: Yes WAIVERS GRANTED: Well to septic tank 85' WELL YIELD FROM WELL LOG: Unknmmi WELL YIELD FROM TEST: 6.3 Gallons per Minute STATIC WATER LEVEL FROM TEST: 85 Feet BTC 49 TH* �LARSE.SPURKLAND,-;' � 51, Y1011500 F_' t k�PO " "Op - .. . 'I HSN DATE OF INSPECTION: May 10, 2007 TEST PROCEDURE: A review of the well and septic system file at the On-site Water and Wastewater program was conducted. The original well log could not be located. The well was referenced on the original septic system Z� permit and it appears that it was drilled prior to 1973. Records of two well flow tests were located. Both were conducted in conjunction with the re -certification of the septic system. A flow rate of 5+ gallons per minute (gpm) gp was recorded in March of 1986 and a flow rate of 6.3 gpin was recorded in August of 1989. A four hour well flow test was conducted on May 10, 2007 to confirm the well production rate. The well was pumped at a constant rate of 6.3 gpm while the draw down was monitored with an acoustic probe. At the beginning of the test water level was found at 85 feet below the top of casing. After 23 minutes the water level stabilized at 101 feet below the top of the casing. The well was pumped for 240 minutes. A total of 1570 gallons was pumped. The well recovered to it initial level 85 feet below top of casing 15 minutes after the water was shut off. TEST FOR TOTAL COLIFORM, NITRATE NITROGEN, AND ARSENIC: Water Samples were not collected at this time. I Total Coliform col/100 ml Other Bacteria OB/100 ml Total Nitrate -N mg/l Arsenic ug/l. Max. allowable Total Coliform 0 col/ 100 ml, OB 10 col/ 100 ml. Total Nitrate -N 10 mg/l, Arsenic advisory issued if above 10 ug/l ND- None Detected TEST RESULTS: This well meets the minimum code requirements of the State of Alaska. Dim The Municipal requirement for well flow is 150 gallons of water per bedroom per day. This well exceeds this requirement. The assessment of the condition of the well applies only to the conditions as of the day tested. The flow rate may change due to subsurface conditions that may not be observed from the surface, and changes in the land use and other factors that may impact the aquifer feeding the well. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEng*gci.net SPURKLANDEN(3NEER|NG 2O3WEST 15TH.8TE 203 ANCHORAGE, AK 99501 Talus West Block I Lot 6 Well Flow Tesi Date: May 10th, 2007 Time Flow Meter Gallons Well Water Level Flow Rate 11:39 184020 O 85 63 11:40 184670 50 98 6.3 11:54 184720 100 100 63 12:02 184770 150 101 6.3 12:10 184820 200 101 &3 12:19 184880 260 101 6.3 12:27 184920 300 102 S3 12:53 185090 470 101 6.3 2:23 185670 1050 102 8.3 3:42 188190 1570 102 6.3 3:44 88 3:4K5 86 3:4O 93 3:47 91 3:48 SO 3:4S 89 3:5O 88 3:51 87 3:62 0 3:53 87 3:57 86 /O f it q/ ,L f �! 1�T J / �V �/gy/p d-s'G�[JLCE�_J_ � (///'1 `��L✓B 4�G�- _-. _._ _ II L�/ I _ L1L'EG��e-L_ !%'lF^.- �✓l Cl7 ��`- �/ +N'41iG� ----- i i' /O GAAB-HO1 Gf,,.)TER ANCHORAGE AREA BORON -H DEPARTMENT OF ENVIRONMENTAL QUALN--� 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 � %-sINSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING 130,<N NAME 140 UJtc.�-t� Mu-�i�2 ADDRESS //S �� /PHONE -/ LOCATION - __ _ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL y / LIQUID CAPACITY /0C)0 J4(IG S>L2 LIt /&7// 3/ NUMBER OF TERIAL r COMPARTMENTS INSIDE NSIDE WI LIQUID SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH -_LENGTH , DEPTH / LINING MATERIA!r-lvh z� ✓u -u'''/ . DISTANCE FROM WELL BUILDING FOUNDATION 3�'', NEAREST LOT LINE '20TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) !T-1 v SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL ,FOUNDATION -,NEAREST LOT LI _ NUMBER OF LINES DISTANCE BETWEEN LIN TRENCH WIDTH TOTAL LENGTH OF LINES , IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE -- A c - P OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYPE -ZM eityid a i, I-%- NEAREST LOT LINE SEWER LINE Orl °i DISTANCE FROM DEPTH ,BUILDING FOUNDATION. SEPTIC i SEEPAGEOTHER 0 a , TANK Xy , SYSTEM ! WATER � � SAMPLE __._ , NEAREST � SOURCES KOt � / / � CESSPOOL DISTANCES: - -- A c - Plpv,- U/.i- Tlme �hsp.�•h�r 2. Seal ex; P Iv sepl;L Sen 0,1 (,I? (I C126"ai En' 1�'h/ell 0 � ra DATE%�- DIAGRAM OF SYSTEM yCc� .70'._ � J �f, Hru Tt�lc_ GREATER ANCHORAGE AREA B&-, JUGH -� DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6.650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION '^ INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH L%1 SOIL TEST RESULTS COMPLETION DATE ANTICIPATED PERMIT NO. --- MAILING ADDRESS ��`// /J -/ / A 31 PHO/�-3 -HONE -3-9--y PIT DRAIN TO BE INSTALLED BY NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTIONI 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE-'J%Cd7R�7 SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS tv a� Q / /a /- FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD _ /' � SEEPAGE PIT 36y , DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK /GAJ SEEPAGE PIT DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT DRAIN FIELD TO RIVER. LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET IN OUNDISTURBED COIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK ANO SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING /INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REOUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRI55P SYSTEM IS IN ACCORDANCE WITH SAID CODE. --- C-�DATE tJ APPLICANT'S SIGNATURE Y T. H.-1 8-11-72 2.5 8.0' 8.5' 18.0 No Water Table Nole Hole excavated with tractor mounted backhoe. Howard Nugent Property Engineering a Geological Consultants LOG OF TEST BORING AN CRORAAE FAIRBANNs ALASI<A 31��_e_ JUNEAU Anchorage Alaska IpATE 5-14-72 1 SCALE I r 3 10WN BY GAW ICHKD BY WED IpRoj. mo. 255$0-19 OWG No. A-01 ORGANICS ORGANIC SILT ti o o., 0 0 /o, SILT W/SOME SAND, :SOME GRAVEL (SM) o� 0 Medium Dense o� o SAND, EINE GRAIN (SP) o SILTY SAND W/TRACE (SM) GRAVEL, Medium Dense O ._ 0 .X r �o: O. �q- SILT W/SAND , SOME GRAVEL Dense ( ML) 0. r.: 2.5 8.0' 8.5' 18.0 No Water Table Nole Hole excavated with tractor mounted backhoe. Howard Nugent Property Engineering a Geological Consultants LOG OF TEST BORING AN CRORAAE FAIRBANNs ALASI<A 31��_e_ JUNEAU Anchorage Alaska IpATE 5-14-72 1 SCALE I r 3 10WN BY GAW ICHKD BY WED IpRoj. mo. 255$0-19 OWG No. A-01 6 R&M ENG EERING & GEGLOGIb-,)L CONSULTANTS 229 EAST 51st. AVE. — P.O. BOX 6087 — ANCHORAGE, ALASKA 99503 4 t. TELEPHONE 907-279-0483 TELEX 090-35419 Civil En ti7�e�'s - Geologists Land Surveyors JAMES W. ROONEY,P. E.�d RP uo - - RALPH R. MIGLIACCIO MALCOLM A. MENZIES, P.E.> L S i;F�r�' Engineering Geologist JAMES H. WE LLMAN August ��;�1 972 R & M No. 26540-19 Mr. Howard Nugent Star Route A. Box 1591 - N Anchorage, Alaska RE: Test Hole and Soil Log Report for Sanitary System Lot 6, Block 1, Talus West Subdivision Dear Mr. Nugent: We are submitting herewith the test boring results and our comments regarding, soil conditions encountered at the subject site. This investigation was performed in accordance with your request of August 10, 1972 and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchor- age Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 6 area for the purpose of defining general subsurface soil conditions for the props sed sanitary system. Excavation was accomplished with a tractor -mounted backhoe and the test hole was extended to a total depth of 18 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with -regard to the above please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS Gv✓� James W. Rooney JW R:w'o Enclosure xc: Greater Anchorage Area Borough ANCHORAGE FAIRBANKS JUNEAU Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 01C - 2G1 - 7-9— - COSA # ase► a t t 5q Expiration Date: g a 3 % �-2- 1. GENERAL INFORMATION Complete legal description L,of 6, 1310C4 1. - a lw U/-vc/ � Location (site address) y73 I Talus Drives Current Property owner(s) Prcc rsq )-}trnol r i c ks on Day phone 3't 56 3 Y Mailing address Lending agency Mailing address Real Estate Agent _Mailing Address_ �.a. 3ox t(o 698 �}nehey rayQ Ake 99s1/ Day phone Dotvt W;ndso 1 Rt Plc.y Dayphone -1z'7-3y06. Community On-site /to W 48+" IF�s 4t(C4�1. )}ncho�ecpe /4cc 99S`tl Unless otherwise requested, COSA will be held by DSD for pickup. f t sore cu It f3-' c 1 /- i C -� e --nae h,n, L-9 windcor @ alas ka. ne t r-vhe" 2. NUMBER OF BEDROOMS: %- 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Individual On-site IR Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. NameofFirm Ftc.tle-,p Phone 3Y5 -136 -6 - Address 11-IS30 i='ctio 62AI o Ra AIcll o A 4r 99S re Engineer's Printed Name- Th rto BPo rn )', Moa - r Date 5. DSD SIGNATURE __kz Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Pi45ODOP€ f. A40ORE Yan CE - 3584 e Attachments COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: a Original Certificate Date: 73` /2- r (Rev. 11105) Municipality of Anchorage • Development Services Department fi ° Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ko 1. 6 >3/oc k 1, -rte, /c, WOr/ S /b Parcel ID: O' -C - 2�Of - 2-9 A. WELL DATA Well type Pv f If A, B, or C provide PWSID # 0-A. Date completed 6F/72. Sanitary seal (Y/N) `r Total depth ^_ /2S ft. Cased to > k0 ft. FROM WELL LOG Date of test Static water level ft. Well production WATER SAMPLE RESULTS: Well Log (Y/N) Wires properly protected (Y/N) Y Casing height (above ground) min. AT INSPECTION /10/01 B 7 ft. 9.p -m. 7.6 t g.p.m. Coliform O colonies/100 mL Nitrate Log- mg/L Arsenic: /_S' ug/L date of sample: ,LIS /Z.or 2 B. SEPTIC/HOLDING TANK DATA Collected by: iffmHop Tccfi S. e Tank Type/Material Sen ti c / F e S o! 9' 1arf Date installed 2 12- 2. /0 3 v Tank size )610,9 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N)'F Depression over tank (YM) N High water alarm (Y/N) N• A. Dateofpumping 5:/17/20/1 Pumper Norr*lAnd( Pcomet* C. ABSORPTION FIELD DATA Date installed 101 23/B9 Soil rating (g.p.d./82 orft2/bdrm) 1257 0' System type M+0"c a( r3oRr+ Length 2.' ft. Width / ft. Gravel below pipe Q-3- ft. Total depth 3.5' ft. Eff. absorption area W& ft2 Monitoring tube `+ Depression over field At Q i t?. Date of adequacy test Results (Pass/Fail) For -�2- bedrooms Fluid depth in absorption field before test O in. Water added2Saga[. New depth_ oY in. Elapsed Time: ) min. Final fluid depth O in. Absorption rate >= >7 3R0 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) /J If yes, give date N • A D. LIFT STATION Date installed 1017.6/89 Size in gallons S00 Man hole/Access(Y/N) Y "Pump on" level at 30 in. "Pump off' level at 2Y•S in. High water alarm level at _ 314 in. Datum 130 HO- Cycles tested '> 10 Meets alarm & circuit requirements? Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: 1 Septic tankAift station on lot $S Absorption Feld on lot 7 wG ' Public sewer main N• a• On adjacent lots > 10o On adjacent lots > 1Ge ' Public sewer manhole/cleanout V. A Sewer /septic service line > 2..s 1 Holding tank N • A. Animal containment areas V& Ae Manure/animal excrete storage areas 100, A 4 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5' Property line 3S- Absorption field > IG' Water main N• A. Water service line > 10 ' Surface water > 1f70 ' Wells on adjacent lots > 100' / 2tio 1 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line to ' Building foundation SO Water main N• A . Water Service line > to' Surface water 7 eci6 ' Driveway, parking/vehicle storage Curtain drain Nona S &O A Wells on adjacent lots '> e00 1 2oG F. COMMENTS -V taR03Wt1 1((400! 3/17 /G G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name —rAeo aCove t=. "V.0.a haw e'4e.R.gaonaoaooeea,es, �,� N r. asooae ,° B / 1S / Ir Date 9116'1 rZ '• n� " ' COSA Fee $ Y909 °- Waiver Fee $ _ Date of Payment 51 17 !j2 Date of Payment Receipt Number 01'53 It C Receipt Number (Rev. 4/10) Page I of I Poet, Jeff W. From: Ted Moore [tgmoore@gci.net] Sent: Tuesday, May 22, 2012 2:41 PM To: Poet, Jeff W. Subject: Lot 6, Block 1, Talus West SID Jeff— Here are my answers to the questions you posed regarding the COSA submittal. (1) Based on my observations during the course of the adequacy test, I can confirm that the unperforated well casing depth does exceed 40 feet. (2) There are no animal containment or excreta storage areas within 100 feet of the well on this property. I hope that this e-mail response will be what you need in order to issue the requested COSA certificate. If necessary I can provide a new brown COSA sheet that contains this additional information. Please give me a call if you need anything more in addition to the information provided by this e-mail. Thanks, Ted Moore, P.E. Flattop Technical Services 345-1355 5/22/2012 j t I .i. �.. 1 }._.I 57/,o s9 p W i �k, hay ON o /'fid 2-S roRIr' 6- ' PSP c,% FRFl ME No,V SE 4y I LJ SGA L E y .. .:. • j Q � r � O D S F_6,SPAINTS OF PF^O�D, 01HER N 0'1 THE R.CORDa) 'O'f/ PLA, ARE N ♦T ShOWN H�RLON.' vF As Built r � N4rkiryy::: f i Alp Corners Set This Date Book NO•�fILE rag@ No' I hereby cart that r have grveyad the following described property, Lot! Block T'LUS W 5r OUP3 Anchorage recordjnq Precinct, Alaska, and that the impro"itn"Tt Situated thereon are within the property lines and do not oWrlap or encroach on the property lying adjacent thereto, that no ineprovemanti on property lying edlecent thereto encroach on the premises In question and that there Ire no roadway$, transmm Wn lines or other visible asesments on said property except as indicted hereon. Anchorage, Alaska 20 C,C %. /98 y ,R,CC c K r! Fl EL0 4- AUG. 2003 MUNICIPALITY OF ANCHORAGE Aim, Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # f j :z -Qn ' � 9 HAA # k` Lt t j 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) t A/ T Location (address or directipns) (b) Property owner " It/��*''e S�{� Telephone: (home) — Business X127 1 -IX% Mailing Address (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here if hold for pick up.) List contact person and day phone number below: 1-C S 2 ?9 - 2. TYPE OF RESIDENCE Single -Family L Number of bedrooms 3. WATER SUPPLY Individual Wel Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site Public ❑ Community ❑ Holding Tank ❑ Note: if community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (R.v. 7/88) Page 1 of 2 _ _ 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm J�C7S 7; Telephone ;27 —LEC3 Address A) �apj v2 Yo (�� 4C//ff-2y Date /0 6. DHHS APPROVAL Approved fort�bedrooms by Approved �< Disapproved Terms of Conditional Approval Conditional '.CAUTION A411 kk. b r �� I4 CTH r Lf... Seal 0 •1..• •....IIII N.1 OY C. REID, JR. •F 1',• CE -2251 `•• cw r 90A �f ••.......^ �. . Piro ,4o� Date /0— a7— 7 The Municipalityof Anchorage Departmentof Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipalityof Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 I pC ., p P�60 E J\ A. WELL D TA Well Classification MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) j CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: L 6 !a / T /us we s t Sv✓ 7_1aA-ti /2-71J .!520 A.) If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y / Date Completed �/Y 72 Yield C ,3�•J°, 6_V ) Total Depth i2d 1 Cased to Depth of Grouting ,Lf4q Static Water Level -0 Casing Height Above Ground Electrical Wiring in Conduit &/N) Pump Set At Sanitary Seal on Casing/N) Depression Around Wellhead (YO SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot TT /oT ; On Adjoining Lots >�Oo /3y� ; To Nearest Edge of Absorption Field on Lot On Adjoining Lots To Nearest Public Sewer Line Nin To Nearest Public Sewer Cleanout/Manhole A/� To Nearest Sewer Service Line on Lot )),14 Water Sample Collected by pe <d ; Date _1c%VrP 9 Water Sample Test Results d luk�4r �2S !xye Comments B. SEPTIC/HOLDING TANK DATA Date Installedy s/�2 Size /° °t' No. of Compartments ;z„d addsd Standpipes )N) -.,gel Air -tight Capst�JN) Date Last Pumped Depression over Tank (Y6 V Foundation Cleanout (Y/N) N Pumping/Maintenance Contact on File_ (Y/N) NZf% ;for Ai//f- Holding Tank High -Water. Alarm (Y/N) T4q Temporary Holding Tank Permit (Y/N) N�� SEPARATION DISTANQtS FROM SEPTIC/HOLDING TANK: To Water -Supply Well t To Building Foundation To Property Line©/ ( To Disposal Field y To Water Main/Service' Lin” To Stream, Pond, Lake cl:M Comments Drainage Course > lee) 72-026 (Rev. 7/68) Front Page 1 of 2 '5—/ C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /n'r1///Yw- Type of System Design Date Installed io.Z,Yd�B % Length of Field ?(- Width of Field Square Feet of Absortion Area t/15 Depression over Field (YO Results of Last Adequacy Test N Depth of Field Gravel Bed Thickness Statndpipes Present (QN) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well /3Y / To Property Line To Building Foundation Lot To Water Main/Service Line On Adjoining Lots To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area �� a l3e.✓ Ne,-, /`/6-9. To Existing or Abandoned System on To Cutback (if present) 'VZ Comments b6is /s Pl? Pfi- ,k.1 �e�% r��,�y ern " 242 / o6 S d D. LIFT STATION Date Installed /0// 1, Dimensions j (cGoreyeT,.(', Size in Gallons 00 Manhole/Access O/N) _ "Pump On" Level at eu �c f�„c� .r��t/a "Pump Off' Level at 4v High Water Alarm Level at 1!rere th c�sr?yeT Vent �N) Tested for Nva Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes(/)/N) _ /� s�ne-6v•,,1 Comments "Check Permitted Bedroom Rating Against HAA Request" I certify that I hrched, verified, or conformed to all MOA and HAA guidelines in gff4aA r he date of this inspection. - /Signed a f P1&iG°®�'�i��tCom an F�j t Datep y �, u•' •d°�::a�b t'Qe c% Seal MOA No. Receipt No. Date of Payment Amount: I2-026 (Rev. ]/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 � � en•e°na+.ago,.. �. •ROY C. REID, JR. e D 4° CE - 2251 i' CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 8 STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 \ FEDERAL TAX ID # 92-0040440 ,NNALY3IS REPORT BY SAMPLE fox Work Order 4 17560 Date Report Printed: OCT 19 89 0 21:51 Client Semple ID:LG B1 TALUS CREST PWSID :UA Collected OCT 16 89 0 13:01 firs. Received OCT 16 89 @ 13:20 has. Preserved :lith :AS REQUIRED Analysis Completed :OCT 19 89 Laboxatoxy SVOQrvisoT STEPHEII C. SDE Released By Special Instruct: Client llama A E C S Client Acct : AFECSRP P.O.B HONE RECEIVED Req u Ordered By : LEE REID Soni Reports to: 1)A ECS 2) Chemlab Ref A: 8069 Lab S::pl ID: 1 Matrix: WATER Allowable Paxamstox Tested Result/Units Method Limits -------------------------------------------- ___'._-'---------------------- PITRATE-11 0.28 my(1 EPA 353.2 .10 Sample P.OUTIHE SOME. SIMPLE COLLECTED BY L. REID Romar.ks - .,.,...........:,.,_,._...,.... _..,.o .,...,: ................................ .�.:..,.. 4 1 Tests Pexfornnad See Specistl Instrrctions Above Uh-Unavailabl.e HI)- alone Detected "' See Sample Remarks Above 11A- Not Analyzed LT -Lass Than, GT -Greater "Than MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH ". DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ITY APPROVAL CERTIFICATE APPLICATION FOR HEALTH AUTHOR 1. General Information Application Dater/ v (a) Legal Description (include lot, block, subdivision, section, township, range) l.t+ 6. Vo,lc 'i. < L, _LO Ks1- /z, i / —Lc 3 Ld s or dir (b) Applicants Applicants Address I �l TuI�S �✓ (c) Applicant is (check one) Lending Institution Buyer E:l ; Other [::] (explain); (d) Lending Institution Address ✓�� (e) Real Estate Co. & Agent Address Telephone ccS`G 3�fs Y57y ne - Home Z 6S-yS7S ' Owner/builder ; (f) Mail the HAA to the following address: )hone 2--5 _'?M 2. Ty2e of Residence Single -Family Multi -Family Other (describ Number of Bedrooms 3. Water Supply - Individual Well Community Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite 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. [Page 1 of 21 5. Engineering Firm Providing Inspections Tests, File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances; and regula- tions in effecton the date/ of this inspection. Name of Firm `O�lSf✓�c�'�� ��SIhR QWS ?dc, Telephone 3 f.-zd m 0 Address y(o0/v�c�y l�C'LV ✓sl��� rv,e !%� �� gels/�o -i0-Ff- M HOQ 1732-S 6. DHEP Approval Approved forbedrooms By Approved * Disapproved Terms of Conditional Approval CAUTION Condi W I. Date 34 R-6 THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS ' AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO 'SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT 'CONDUCT.' INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED.> THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. A. WELL DATA U MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) DEPT. OF HEALTH & V1 ENVIRONMENTAL PROTECTION MAR l i 1 CHECKLIST - FEBRUARY 1984 j"j �y Legal Description: C,(��`4�#C� VfDjGsi a�2Z- I IZt� 23� well Classification PR. I v,+ TIE If A, B, or C, D.E.C. Approved(Y/N) Well Log Present (Y/N) tJ Date Completed 5' -1772= Yield +SAF Total Depth i L Cased toyzS IDepth of Grouting ^J ✓� Static Water Level Pump Set At Casing Height Above Ground /` Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) y Depression Around Wellhead (Y/N) Separation Distances from Well: To septic/Holding Tank on Lot On Adjoining Lots 4/0 To Nearest Edge of Absorption Field on Lot ///0 ; On Adjoirirg Lots + /00 ' To Nearest Public Seer Line AJ, ✓, To Nearest Public Sewer Cleanout/Manhole &.),A , To Nearest Sewer Service Line on Lot too Water Sample Collected By 6C --C ; Date M'4 /o /V /98� Water Sample Test Results /3 TTA.C1.1 -.0 Comments /�-r r/ Or= r.-157-Acc./1-7'1010 5 A? 7-10A-) P/Si 4A -IGC_ f3E j w� G t.J I_: LL lt SEPYic rif n 1K W ""� s So • a. SEPTIC/HOLDING TANK DATA Date Installed �' -/S _ 7 Z Size /000S_ No. of Compartments 2_ Standpipes (Y/N) Y - Air -tight Caps (Y/N) y Foundation Cleanout (Y/N) s✓ Depression over Tank (Y/N) JIJ Date Last Pumped 3-17-96 Pugping/Mainterance Contract on File (Y/N) /V A ; for Holding Tank High -Water Alarm (Y/N) NA Temporary Holding Tank Permit (Y/N) N/+ Separation Distances from Septic/Holding Tank: To Water -Supply Tell FS ' To Building Foundation S To Property Lire 3©To Disposal Field To Water Main/Service Lire �' Z S' Course Jt / o o ' To Stream, Pond, Lake, or Major Drainage Receipt # Date Paid:-aO S Amount: (Page 1 of 21 2_15_84 Soils Rating in Absorption Strata 7-ss- Type of System DesignP) Date Installed S'-/ 5-72. Length of Field C,h .�4 WzII a✓ec�� L `�� Width of o Field Depth of Field' //' - zo 7zo Gravel Bed Thickness 6 ' 1S' Square Feet of Absorption Area 510 Standpipes Present (Y/N) Y- / Depression over Field (Y/N) ^/ Date of Last Adequacy Test Results of Last Adequacy Test �cfzyur�71 e .mor (710 d1 jj Separation Distance from Absorption Field: To Water -Supply Well + I o v ' To Property Line -4 /S To Building Foundation + 3 o To Existing or Abandoned System cn Lot 'U Al ; On Adjoining Lots 30 To Water Main/Service Line Z,S To Cutbank(if present) /J To Stream/Pond/Lake/cr Major Drainage Course F- /00 To Driveway, Parking Area, or Vehicle Storage Area d- '7- Convents ZComments .5'e e?a( & ,0, j4 -,4 irde�ulkp- /ia,f b"5 Ld -r.i- 9-C wLll aVe� D. LIFT STATION •- /J, ✓-} , Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(YM) Comments Dimensions Manhole/Access (_Y/N) "Pump Off" Level at Vent (Y/N) _ Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA on the date o�f/Jthis / �inspecticn. Signed zetr %7 G'u(��� Date Company C0,75 /, 645d-5 h c MOA No. .57- 96 -OZ 3 KB1/d5/s [Page 2 of 2] effect 2-15-84 M 'ci a Kiy O!1 Anchorage September 17, 1984 POUC ;� 650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNO LVLES. MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Nona Coady Alaska Housing & Finance Corp. 235 East 8th Avenue P.O. Box 1020 Anchorage, Alaska 99510 (907) 276-5599 Dear Ms. Coady: I am responding to your letter August 14,1984. Our file for the Talus West Subdivision shows that two holding tank permits have been issued within the sub- division. We do not normally issue holding tank permits except under the following conditions: 1. The existing sewage system has failed and there is no possibility for relocation. 2. Public sewer will be made available to the property within one year. A temporary holding tank permit may then be issued with a letter from Anchorage Water and Wastewater Utility estimating the availability date for public sewage facilities. 3. Commercial establishments with less than 300 gal/day wastewater genera- tion. I hope this answers your questions concerning the area. If I can be of further assistance, please call 264-4761. Sincerely, Catharine Benediktsson Environmental Engineering CB2/ka/D1 Time Time --m-e - Date Date Date 1 Inspectur Inspector Inspector MUNICIPALITY OF ANCHORAGE Comments ���J /J ,��L{/yy✓� V-2--�/Jcz-ect, Conditional Approval 1 -.- ENVI1.:. '::J � yn� N7`7�C'Q�sQ�-1 RECEIVED F_�r P, :_..,'OV�rJ B rooITIS let Date Sewer Installed Permit No. Septic Tank Size j D 0 0 Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner 770-,,-- Pho 3y.ne _ 090 Mailing Address s� /1 C7 ��pV - W �9-� U % O_ ��_ "39?°"K. Buyer Address Lending Institution Phone Address - - �... RealtyCo.&Agent ��//''-� ,.... - .:.'Phone �y,�c.Pi4,f Address ©, iC7 @'�� F_ 6'1y,9/2/ - _ N////✓Oyl Legal Description- i Street Location Type. of Residence :6 Single Family ❑ Multiple Family No. of Bedrooms El Other Wupply individual ATTACH WELL LOG. A well log is required for all wells drilled since June ❑ Community - - 1975. For wells drilled prior to: that date, give well depth (attach log if ❑ Public Utility - available.)- Disposal Be Disposal -. R9 Individual Year Individual Installed: 71 Public Utility - When Connected to Public Utility: ❑ Holding Tank - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. February 16, 1982 Robert & Susan Averill SR Box 1681-M Anchorage, AK 99507 Subject: Lot 6, Block 1, Talus West Dear Mr. & Mrs. Averill^ Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. • The septic tank pumped with a receipt submitted to this department. ° A four (4) inch cast iron cleanout needs to be installed to the septic tank and/or leaching area. • An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. Please notify this department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt Associate Environmental Specialist CC. Totem Realty Enclosure REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Lomas and Nettleton Company Mailing Address: 4449 Business Park Boulevard Phone: 274-7661 2. Property Owner: Joan J. Robinson Phone: 276-2804 Mailing Address: % Collette La Rose, Marston 276-2804 3. Legal Description: Lot 6 Block 1 Talus West Subdivision 4: Single Family Residence: (x Number of Bedroom(Two _ Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: Individual Well ( Community/Public System ( ) Permit # Depth of Well Well Log on File ( ) Construction Bacterial Analysis 6. Sewage Disposal System: On-site System 6cx Public Utility ( ) Permit # ujc) Installed Iq 1 a Installer Septic Tank Size �, � �� 04,E 5 Manufacturer SAnCL Cto Q 0 Absorption Area Soils Rate D`)C)Material -J_q' {uuL�_,_ in' cL_v P4, 7. Distances: Well to Septic Tank to Absorption Area W to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line W DEPARThiE,_,: OF HEALTH AND_ENVIROM N,_ PROTECTION 825 L Street, Anchoraap. Alaska 99501 • 264-4720 A/ / Date Received: March 15, 1978 "3 #1: Time #2: Time W/15. #3: Time Date. Date t4-, Date Insp Insp a& Insp _ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Lomas and Nettleton Company Mailing Address: 4449 Business Park Boulevard Phone: 274-7661 2. Property Owner: Joan J. Robinson Phone: 276-2804 Mailing Address: % Collette La Rose, Marston 276-2804 3. Legal Description: Lot 6 Block 1 Talus West Subdivision 4: Single Family Residence: (x Number of Bedroom(Two _ Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: Individual Well ( Community/Public System ( ) Permit # Depth of Well Well Log on File ( ) Construction Bacterial Analysis 6. Sewage Disposal System: On-site System 6cx Public Utility ( ) Permit # ujc) Installed Iq 1 a Installer Septic Tank Size �, � �� 04,E 5 Manufacturer SAnCL Cto Q 0 Absorption Area Soils Rate D`)C)Material -J_q' {uuL�_,_ in' cL_v P4, 7. Distances: Well to Septic Tank to Absorption Area W to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line W I . 2. 3. 4. 5. 6. 7. MUNICIPALITY OF ANCHORAGL� Department of Health and Environmental Protection 825 L Street, Anchorage, Alaska 99501 264-4720 t for Approval of Individual Sewer and Water Facilities Property Owner: Joan J Robinson (contact) Collette LaRose)Marston Realty Mailing Address: 2804 Northern Lights, A.A. 99503 phone: 276-2804 Name of Buyer: Robert Averill Mailing Address: 2150 Gambell, Anchorage, AK 99503 Lending Institution: The Lomas & Nettleton Compa Mailing Address: Realtor/Agent: 4449 Business Park Blvd., A. A Mike Scott Phone: 276-0939- Work Phone: 274-7661 Mailing Address: 207 E. Northern Lights Blvd.. Phone:276-1333 Legal Description: Lot 6, Block 1, Talus West Subdivision Street Location: Talus Drive Single Family Residence: (X) Number of Bedrooms: 2 Multiple Family Residence: ( ) Number of Bedrooms: Water Supply: *Individual Well (X) Public/Community System If Individual Well, well depth If Community System, name of system 8. Sewage Disposal System: *tn-site System If On-site System, date of installation: (X) Public System ( ) *NOTE: A well log is required on ALL wells drilled since 6/75. **If on-site sewer system is over o/a(2) years old, an adequacy test is required by this departmeenl I�ALITY OF ANCHORA A fee of $25.00 must accompany eN�q j% � jbet�ore processing can be initiated. AL PROTkCiION P4AR 151978 J 3/77 rR RECEIVED el Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description Comments: Lot 6 Block 1 Talus West Subdivision Affadavit Attached: ( Letter Attached: ( ) Approved: Date: Disapproved: Date: Department Worksheet: c6z-09P �`O zher o 0d0 s 11VW 1VNOIIVNN31N1 NOi ION TL61 ',dV (epis iey40 00S) 0301AONd MUM 30NVdfSNI ON 000£ wsud S d .......... .......................... (Pwinbas 0a)oslxe ). A83hI130 ltlI0 (93e}sod Snld) 000-11VW (131d11a33 d03 Id1333a N) 3dS _ pOS """""""""'"""""""AlNO 335S3NOOtl 0{ N3AI130 �5g """""" Aluo aassalppe 01 FsaN,lap yl!M S301Atl3S SSS 059 OSI "Pas aA llap alayw\ pue elep 'wOyM aT sasoyS 'L 1d13O3tl """""" Aluo eassasppe a! 6san!lap yTiM NS013N ........... pauanllaP aleP Pue w04x, of ssAayS _l S33d 1tlN011100tl NOd 53OIAN3S 1tlN011d0 3000 dIZ ON tl1S "0'd 'ON ONtl 133tl1S 01 MS Ma NO MMSOd (93e}sod Snld) 000-11VW (131d11a33 d03 Id1333a N) 6 -OD AL�, r0al�s ck� I-- �,4 /ax d( --.l ::- s- , /, / " -::7 � I qla - r" aa�� )&- I GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 1. Approval Requested Date Received 3 Time of Inspection //: E7 p /9 • //) . Date of Inspection- � o i j REQUEST FOR APPROVAL OF INDIVIDUAL SEINER & WATER. FACILITIES FOR 2. 3. 4. Address; 3 i 5F 6tl. ' Prooertv Owner: SA.-V--1Za. L L%c�Z�-�C�ij�� Legal Description: U$ Locatlon: Phone: -;�- 7 9 5- / Phones 345/- 22-,11 5. Type of Facility to be Inspected:— (J c Number of Bedrooms:__^�_l� 6. Well Data:-c,v -- A. Type B. Depth C. Construction CC--Pt-s—� D. Bacterial Analysis 7. Sewage Disoosal System: A. InstalledS , /G7y B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Size 2. Material E. Disposal Field: Total Length of Lines_ 9. Distances: A. Wo.11. To: Septic Tank OS / , Absorption Area Sewer Lines Nearest. Lot Line Other Contamination B. Foundation to Septic Tank 1, Absorption Area C. Absorption Area to Nearest Lot Line Requast for Approval of individual Page Two 9. Comments: Approved Sewer & Water Faoilite3 Disapproved ----Date- Approval __Date Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subiect sewer and water facilities located at: Signed Date September 26, 1973 Kassler and Co. 319 Nest Sth Avenue Anchorage, Alaska 09501 Attention: Ettie AcGregor Re: Lot 6, Block 1, Talus Nest Subdivision ;:ear hrs. McGregor: The sewer system, on the subject lot.is approved for a two-bedroom dwelling only, instead of a three-bedrooi as requested. The absorption pit is.adequate only for two -bedrooms, but the septic tank is largo enough for three. The :rater report was satisfactory. Siice rely, Susan E. Dickerson, Sanitarian SED/ko Enclosure July 28, 1972 Fir. Janes HcFariand Sticurity Title cog'pany 600 West 6th Avenue Anchorage, Alaska Subject: Un -site sewer and water systems in Talus ;gest Subdivision bear hir. McFarland: Abcording to our files the following lots presently have an on- site sewer and water syste,j which have been approved by this departnic:nt: Lots IU114, !hock 1 Lots 1,2,3,7, Elock 2 Lots 3&13, )lock 3 In addition, Borough records show the following lots acceptable for an on-site system, if the systtius are installed in accordance with established borough regulations: Lots 1-11, 13-15, Ulock I Lots 4-6, 6-13, i:lock 2 Lots 1-2, 4-1L,14, i;lock 3 Lots 1,2, Block 4 Sincerely, Susan L. Dickerson Sanitarian rf b cc. vir. coward t uyent