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THUNDERBIRD FALLS LT 4
I .- Thunderbird Fulls Lot 4 #051-411-03 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw SL 1 ` P.O. Box 196650 Anchorage, AK 99519-6650 Page of JZ www.cLanchorage.sk.us (907) 343.7904 ON-SITE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT 1WASTEWATER Permit Number. W 01 0 0 6 L/ PID Number. 051-4//-03 Nama: (� Kn n d R I -* Me I • 55tA _�arrjf'ofrdWastewater System: ❑ New )4 Upgrade Addr '5as P 4,>I \ Lone— 11-11/03 ABSORPTION FIELD P' -'R35 --LI 93 I f4wbe, of ewtooma O Deep Trend, bLsrerom rr«vat pew p MouraSod p otnar LEGAL DESCRIPTION �W` 0e y.Sp Fta Twat Depen rrom "nal peas. /, F D ll d Ld: q 6 h�n�t/ J .rN DpNbpWbW=1nxnarpn`X5 Gt" eeph beeM pipe: TOr7• 1L✓.F Townshq Range: Secbort CFI. Fa a0aea abate «ignat p+r'a' �, J FI. 1'«/gyR /��/� /�/}�F L&V N.'OL�L� I ill.! 1 FI. Well New E] Upgra caw «wc 5 Nw dlin Dwancewwe«,ikes: 5 Ft. Ft. CMsuacabm P.M.(t A B. Gu, , E �e TOW Daptn: GW ro: Tdal abwpnanam �{)�/ky/�] 006 PP"MatenY: c, 00 'I,/ HC 157M M x13 /1 1 i Ft. FL Ft" Onpar Date Draed St«k Wat« Levet Installer. , Date Ineenw 1 I1-4 FI 1.✓ev_f ,; ca V01 YeM: Pump sat K Caug HaVA Ateve C mma TANK GPM Ft. FL SEPARATION DISTANCES ji� Septic ❑ Holding i8 S.T.E.P. ❑ Other. To Septic Absorption Lift Holding PublivPrivat M«"^an" era , ; c+w—ao ;h1000 I ooO From Field ld Station Tank Sewer Line �- ri at Was 6'a" 11 , I lot a5+ "stee Nmw«d Nth �_� solace Wal« 0�t 1G0+I�r/j+ LIFT STATION Lot LM 4l /1 / Sae. .Wxty« {//� Gat Fomaatm �� 13l ail -"Wawata TR wr ., Niphwat«atamat n h Como Dnatn k, r)e q �) t `� Pump Make a E;;- aepecbere pwomed bra R*w BENCH MARK (t Locum and Desa"M gcfbro ; d 1KJ O _.;;X1713 ; 17 . , 11 \ >,umed Eevauao: m l I o0 FL Vit\ f�r�til f ••+��,tj 5 & S ENGINEERINGreq Inspections performed b :17034 Eagle River Loop Road, No 204 P P YRouDates: 1.t 2 nd �f T•� ROEERT C. COWAN�ti r Development Services Department Approval Ittglti� ce-rs01 Reviewed and approved by: Date: �o' o tt `;I . •• . •C' �"- +tt, ••vr (aev.1:A0) Jt- • meq~ PERMIT No. SW010064 PAGE 2 OF 3 Municipalit of Anchoraqe DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 *Anchorage, Alaska 99519-6650 • Telephone= 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 4, THUNDERBIRD FALLS P.I.D. NO. 051-411-03 J £k�gTiNG OR�N�•NP� B NOUSEOM r .4;\- tHgzA ^ q TI EXISTING �( MT3 SEPTIC2.a��' M TI TANKS rP'v DIVERTER VALVES INSIDE LIFT STATION EXISTING TRENCHES .. Sg4LF✓1- - 40' % AN ,OE 8801 f�, LOT 5 PERMIT No. SW010064 PACE 3 OF 3 Municipalit of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 *Anchorage, Ataska 99519-6650 • Tetephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 4, THUNDERBIRD FALLS P.I.D. NO. 051-411-03 FINAL GRADE 1 ST2 98.0' MH 92.3'X EXISTING 1250 GALLON S.T.E.P. SYSTEM MT3 = 98.8' MT2 = 97.6' 2" INSULATION 2" INSULATION 92.1' MT1 = 100.1' i -FINAL GRADE 2" INSULATION DISTRIBUTION _ SR !�"" SR PIPE C'1'1-1') DISTRIBUTION PIPE MT3 = 90.1' MT2 = 91.4'• PRESSURE DIST. DATA: 2 LATERALS 1058'; 1038' 58' LAT.=18 HOLES 38' LAT.=12 HOLES I A 8 3/16"0 HOLES ST1 30.5 26.5 3.4' HOLE SPACING MH 38 0 31 5 A NO WATER FOUND 82.9' B.O.H. MT1 44.0 18.5 MT 86.0 69.0 MT3 71.5 43.5 MTI = 91.0' N. T. S. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage. Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR:DATE LEGAL DESCRIPTION: LcT�/-fsl n/OHZrS /vL��,$ DEPTH SLOPE (FEET) 1 2 3- 4 5 6 n L SM 8 9 10- WAS GROUND WATER ENCOUNTERED? it IF YES, AT WHAT ^ 12 DEPTH? 13 Depth to Water After--' Monitoring? Date: 14 15- 16- 17- 18- 19- Reading 51s171819 ROBERT C. COWAN Reading Date Gross Net Depth to Not Time Time Water Drop � r n r �• ?o ♦n �C � e 20 / a PERCOLATION RATE 30 (mmutesw nchh1 PERC IIOLE DIAMETER rtl TEST RUN BETWEEN 5-1 AND SFT COMMENTS S & 5 ENGINtLKINV PERFORMED BY:-t7034Ea0"jyK.-jppp-$7par�IC.ZQM1 �.✓ti CERTIFY THAT THI TEST WAS PERFORMED IN ACCORDANCE WRF4f 81WE AN�}E�IMI7nL GUIDELINES IN EFFECT ON THIS DATE. DATE: ��� 72 008 (Rev. 4r85) MUNICIPALITY OF ANCHORAGE Development Services Department On-SiteWater& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SWO10064 Legal Description: THUNDERBIRD FALLS LT 4 l I -):Oo, f:00 I., Date Issued: Apr 12, 2001 Expiration Date: Apr 12, 2002 Parcel ID: 051-411-03 Design Engineer: 0003 S & S Engineering Site Address: 026525 PARADIS LN Owner Name: RANDAL L. & MELISSA L. SANFORD Lot Size: 30006 SO. FT. Owner Address: 26525 PARADISE LANE Total Bedrooms: 3 Permit Bedrooms: 3 CHUGIAK , AK 99567-5103 This permit is for the construction of: G Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. AT THE TIME OF CONSTRUCTION THE ENGINEER SHALL PERFORM ADDITIONAL SOILS TESTING IN ACCORDANCE WITH AMC 15.65. AND SUBMIT THE RESULTS WITH THE INSPECTION REPORT. Received By: Issued By: �z Date: y -1c — of Date:4 —/� —�� MUNICIPALITY OF ANCHORAGE Department of Health 8 Human Services OnSlte Services Waiver Review Worksheet WR#: WR010017 PID#: 051411-03 HA#: Permit#: SW010064 Date Received: 4112/01 Legal Description: THUNDERBIRD FALLS SUBDIVISON LOT 4 Engineer. Applicant: MILISSA .;. Waiver R,-Turrted: 4BSO?PMVTREIVCVT Criteria: 1. Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: 2. Special Conditions: 3. Other. .......... Waiver Is Granted: Waiver Is not Granted. List Conditions or Reasons for above: SEF EiV&WAF6Z1 Jf /91—rACRZO _L.r--W)W D47P0 P11MCw 20 200/. Date: * — 12 -01 By • PAN Name of Reviewer .......... Rec#: &877 Amount: $115.00 Date Paid: 4/12/01 4/12/2001 Municipahty of Anchorage George P. 11'uerch, 31uyor Btt9lding Srdety Division P.O. Box 19GG50 • 4700 S. Bragaw Strcet Anchorage, Alaska 99519-6G50 • (907) 343-&301 h tl p://nitir.cl.ancltorage.ak.ns Robert C. Cowan, PE S & S Engineering 17034 Eagle River Loop Road No. 204 Eagle River, Alaska 99577 Subject: Waiver Request for Thunderbird Falls Subdivision Lot 4 Waiver Request #WR010017 Parcel ID #051411-03 Permit Number SWO10064 Dear Mr. Cowan: Department of niblic Works Your request for a waiver of the required 10 feet horizontal separation from the on-site wastewater disposal system to property line has been approved. The approved separation distance is 2.0 feet. This waiver approval applies to the existing on-site wastewater disposal system to property line 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, '. o Daniel J. Roth Civil Engineer On -Site Water & Wastewater Program Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 05-1 — Lilt —03 Permit Number SW 0/0004 Property owner(s)�'5� FDe7 Day phone &619 &7 Mailing address (1) Mailing address (2) �� Zip Code a/ e7 5-4 Legal description (Lot, Block & Sub'd.) 1-07-4 1' 77f2//V0&'r_-S/0_4 AL,Gs Legal description (Section, Township & Range) Lot Size ?0,006 THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. 8 5 ENGINEERING 1 IVZ / /�✓ 17034 Eagle River Loop Road No. 204`_— (Signature of proper owner or authorized agent) Permit Fees: '3X0- y Waiver Fees: _ Date of Payment: 3/Z g /o I Date of Payment: Receipt Number: o o a 3.(_ 4 Receipt Number: (Rev. 12100) ROBERT C. COWAN P.E. CML ENGINEERS (907)694-2979 FAX(907)694.1211 March 20, 2001 IEALTHAUMOtlTY APPROVALS MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 M MEILfETS EKN6 Anchorage, AK. 99519 REFERENCE: Lot 4, Thunderbird Falls Subdivision SEWERBWATER MPECTM It is requested that you issue a permit to upgrade the septic system serving the existing three bedroom dwelling on the referenced property. A waiver of 2' between each of the proposed trenches and the west property line is also requested. ENCINEERWGSTIAIES ANOREPORTS One test hole was excavated and a percolation test was performed on 3/6/01. The approximate location of the test hole is located on the attached site plan. Ground water was monitored and after seven days the hole was dry as shown on the attached soils logs. WEU*MECTWN S ROW TEST p,, App,rlp„AA, rAsr NiLt 6 PR.OPos4O TD at peeio.tn,LO DL4,. r_ Co,•,PTA..c>/a.1, We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system Will not prevent any future development on any of the adjacent SITE PLANS properties. If you require additional information, please contact us. ROAD DESK;! Sincerely, SO&TEST ,�We A -Y- Robert C. Cowan, P.E. RCC/bjj PERCOLATION TEST Enclosure STAWL)RA13 MECK40M MPECTKM 01517E WASTEWATER OtSPOSALSYSTEM DESIW 17034 NORTH EAGLE RIVER LCOP • SURE 204 • EAGLE RIVER, ALASKA 99577 1" = 40' DESIGN SITE—PLAN C 0 �y= -nWWWN N Ln -N O®O=0! ~ II>� 2 r>-'m : os�AC p4Zm rOvO kv r2rqV xj NN 10- N OD W r- 1• �.y .r m m A --1 I �""� n u 9 N J b aoN2Slip � n0 20 00 f<'1 cZ 00 r=im 00 r Id `3• O N NCA L4 d �1 vi o r, v t27 I C•� C Ln _ 0O s F Ln 0 c./a c C" d�• I� AII�4 m C) i 1o• u L a ?. by O II 7 L o�N ; SX .. I i I I A m N r.� \ \ Zy - I.. 000 � + mo N r<o ayNm yON I yN0 n s o " I r� c= !� Z rte, o0 n o, T I o b F '`O I N !! I C X90 C'� I O \ I \ I fm00 Oamo AO � ` I x02A \ _ > O y y I>;p X O A <> tiC Dmy O SIA \ Z O 1.101.\ e 4 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST - USS \ 4{1 �> T��� PERFORMED FOR: %%G <+ . 7A'!j TZ'� DATE P. LEGAL DESCRIPTION: L 4t'7dAl ri '6-4114% Township, Range, Section: 7 14 , 15 16 17 19 19 20 COMMENTS M X'm IF YES, AT WHAT DEPTH? Depth to Weltr After �Q.y Mmitaring? '�LDalc C. COWAN =A'TfT— 'SI S� mommommomm mommmomomm .■■■■■■■■■ ■■■■■■■■■. =®®m (ET)) OQGAM64 t 075=50110. 2- 3- 4- 45 5 6 7 14 , 15 16 17 19 19 20 COMMENTS M X'm IF YES, AT WHAT DEPTH? Depth to Weltr After �Q.y Mmitaring? '�LDalc C. COWAN =A'TfT— 'SI S� mommommomm mommmomomm .■■■■■■■■■ ■■■■■■■■■. =®®m 075=50110. PERCOLATION RATE AD (mmutesnnch) PERC HOLE DIAMETER TEST RUN BETWEEN '5 FT AND —SBFT S & S ENGINEERING PERFORMED BY: I CERTIFY THAT T IS TES , WAS PERFORMED IN 17034 Eagle Iver oop Roado. / ACCORDANCE WITEyfa%K*7f Ah&k& ft6ML GUIDELINES IN EFFECT ON THIS DATE. DATE O 724)08 IF". 4/85) ROBERT C, COWAN, P.E. CML ENGINEERS (907) 694-2979 FAX (907) 694-12t I ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 4, Thunderbird Falls Subdivision March 20, 2001 GENERAL: The scope of this project includes the verification of two existing I000 gallon septic tanks, installation of a 1000 gallon minimum septic tank and lift station (if required), and installation of new trenches to serve the existing three bedroom residence located on the referenced property. Construction ~hall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing ~vastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 7034 NORTH EAGLE RNER LOOP · SUITE 204 · EAGLE RIVER. N. ASICA 99577 Page 2 Lot 4, Thunderbird Falls Subdivision March 20, 2001 2. The septic tank shall be sufficiently bedded to prevent settling or shifiing of the tank. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Septic tanks installed with less than 4 fi. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to dean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCIUDRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (rafted-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page 3 Lot 4, Thunderbird Falls Subdivision March 20, 2001 Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of P pe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the/t200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. Page 4 Lot 4, Thunderbird Falls Subdlvl,lon March 20, 2001 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation ofany gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, grovel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing ~vork on this project or the failure of the contractor to can3' out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONIIL~CTOR / INSTALLER n m N N " � Q OY N ♦ V c V x U W crW cn W i '✓ : SCC aF a w• w : of as we : 3 co q i .7 q; W O fi : z 3 O W ,Z 3 S y Q U r C p � W O E LLJo Q 3 I 0 � c � � F•/G I. .QC.1. uNi• W C W ce wa Yom. z O H a: h U r C LLJ I 1 1.. 1w..icc I. I �; ce Cd Yom. W W �; i •a a: Q R cz N: >i H' a: > >i U r u: O 1.. 1w..icc N. O\ : .r: N N: f'1 .Q; �D : •O: n : W q; O O O O O O O O O O O O QO: N : Ol: .-• : N: N C1: 7 : •O: �O : n q: p W L600 0 L6 W z W L6 W U. W U. W a W o x W o z Is. c L6 W z W 's w W s. ,L W z Y M U N 1 C 1 P A L 1 1 Y U F- A N L H U R A G !_ Department of Health & Human Services 82b L Street, Anchorage, Alaska 99bul 343- • 4�yy O N- S I T E WELL P E R M I T Permit Number: 900065 Upgrade JW 10L -UD Date Issued: i)4/ri9/90 Owner Name: A.H.F.C. Day Phone: Uwner Address: 520 E:.34 AVE. 694-4200 ANCHORAGE, AK 99503 Parcel Id: 051-411-03 Lot Legal: Subdivision: THUNDERDIRD FALLS Lot: 4 ELlock: - Section: 36 Township: 16N Range: 1W Lot Size 30006 (sq,ft. or acres) Max Bedrooms: This Permit: 3 Total Capacity: 3 WELL: Log must be submitted to Municipality of Anchorage Department of Health and Human Services within 30 days of well completion. INSTALL PER ENGINEERS APPROVED SITE PLAN. NOTIFY DHHS IF WELL LOCATION IS CHANGED. THIS PERMIT IS ISSUED FOR THE EXISTING 3 EEDROOM SINGLE FAMILY DWELLING ONLY AND EXPIRES ON 12/31/90. I CERTIFY THAT: 1. 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. 4. 1 understand that this permit is valid for a maximum of 3 bedrooms. I also understand that the capacity of the total system is 3 bedrooms and any enlargement will require an additional permit. Signed: DALE: �f �C �---------------- -- -- JJ --r V --- (Owner) A.H.F.C. 1 ssiucd Ry: - �� ----- DATE: ._, MUNICIPALITY OF ANCHORAGE DE' ':ITMENT OF HEALTH AND HUMAN SER~ES Environmental Health Division ~, 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES Address . TANK FIELD WELL Phone(s) Permit No. No of Bedrooms WELL /¢~ ¢ [ BlOCk [ Subdivision Township, Range, Section AS-BUILT DIAGRAM (Show Iocstion o~ well. sep[ic system, property hnes, tou~dahon, TANKS ~ SEPTIC ~.~ x~ ~ HOLDING / TYPE OF SYSTEM t.' ~ ~ / °nginalg[ade /~ ~ F~ ~ /~FT Number oi linesSoft rating P,pe ma~edat ~ ~;; WELLS ~ PRIVATE ~ OTHER (Idenlilv) Class~fi~ahon (A,B,C) Total Depth Cased to Date Installed: REMARKS: I ~~ cefliiy Ihat this inspection was peflormed according to all Heallh Depadment Approva~ ~ ~'1' 72-013 (3/85) F:'ERf4 i T NOx DATE ~. ~:~,::Id E ...... AF::'PL t CANT: ADDRES!:; ~ CONTAC"., F'H OI',IE L_ E:G,/:iL. DESCR I F:': :I: I::er'E J ~y that JL!DY t.'.'.~ ROE)l} /ERES 9~0 W. ]:N'FERNA]']:ONAL AiRPORI' RD. ANCHORAtSE~ AK 995 !8 561- 1655 SECfION= 36 'I'OWNSHIF:'[ :I. 6N RANGE= :I.W ......... ) ....... ~ ......... [)R ACRE:S) ! am fami ]. :i. ap ~z~:i.t.h t. h8 I'el:lL~iP~?f¥i~F/'l.,!~i fop i:)l!'"'~[4J.'~_.e s~.ewECr's ai]d t~e]. ].~ as set ~oPth by the Mm-l:i.c:ipal:i.'[y o¢ AnchoPage (MOA) arid the Si'_a'Le of Alaska. I ~/.~J.].l Jr'/EFLa].~. 'LhE, sys~:.(a['r~ J.n ac:c:c::,p,:daf]c:e~ (with all MOA c:odes arid r'egL~]l, at;[OFiE;~ ar'ici in compl:La['Ic(e v.d.t.h 'Lhe d~esign criteria o¢ th:i.s pepmit. distances Er'om any exis'L:Eng ~/¢e],l, was'Lewa~.en d:i. sposal syst:.em or public 'f'FIEN (1) ~t,, I.,_J:.CIId. u, AL. F:'ERMi'T AhID !NSF'ECTIOfq MUST [,. OB'IAINED~ (2) AS-I:~IIIiL.TS ~I.L~.. NOT BF AF'PF~OVED Wi'FHOLFF AN ELECTRICAL INSF'EiC-I"ION Fd._FURI, AND (..:,) THE ). c c~, EJ] .o ~ I])A"['EE il EAGLE RIVER ENGINEERING SERVICES EAGLE RIVER, AK 99577 P. 0. BOX 773294 694-5195 Lot 4 Thunderbird Falls swing tie locates all, '. C.O. C.O. 62 Ro ... o. .•........ s.., C/.2 71yG �'. C' 6705 r ( irlGiviCl'rALITY OF ANCH.'.,A- a C:?T. O. HE:.LTFI F. EAGLE RIVER ENGINEERING SERVICES ENWONMENTAL FROTECTlO.I P.O. BOX 773294 EAGLE RIVER, ALASKA 99577 1 ?1986 694-5195 RECEIVED SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Lot 4, Thunderbird Falls A. GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the requirements of the Anchorage Department of Health and State D.E.C. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet MOA, D.E.0 require- ments. 6. It is the responsibility of the owner'to obtain all necessary permits or easements and to locate any adjacent multi -family wells. 7. The excavation is to be exactly in the are shown on the site plan, any deviation requires engineer approval. S. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. B. DRAINFIELD 1. The drainfield is to'follow the natural land contour to maintain uniform total depth of the trench bottom. 2. The bottom of the trench shall be level, plus or minus 1.5% 3. The total depth of the trench excavation is not to exceed 10' at any point. 4. The new sewer line is to replace the existing sewer line that leads to the existing trench. 5. The trench gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the drainfield. 7. An approved 1250 gallon combination tank/lift station from Anchorage tank with watertight manholes is to be intalled in series with the existing septic tank. 8. The septic effluent is to be discharged to the trench at the higher elevation in such a manner that this trench will overflow to the second trench. 9. The area over the trench is to be finish graded to prevent ponding of surface water runoff. 10. The septic tank and leachfield must not be closer than 100 feet to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH= 10' GRAVEL DEPTH= 6' TRENCH LENGTH= 47' TRENCH WIDTH= 30" 3 Bedroom MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street. Anchorage, Alaska 99S01 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 WAS GROUND WATER S ENCOUNTERED? /t//~ 5' L O P E IF YES, AT WHAT DEPTH? ]~ /,~FT~W /~ Gross Net Depth to Net Reading Date Time Time Water Drop ~o,4/{ 16- 17 18 19. 2o, COMMENTS PERCOLATION RATE (minutes/inch) ~ ! '~E e~5~'~/~ TEST RUN BETWEEN 7 FT AND ~ FT .- ,,--~ /,;~' .t' 'f~ ~',,;.-,, . PERFORMED BY: 72-008 (6/79) Eagl~ River F. 0. 6gx Eagle R)ver, AK 694-51S5 CERTIFIED BY: .~ ~7~ ~ DATE: GREA,.cR ANCHORAGE AREA BORt- JGH Department of Environmental QuaJity 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION F"~ ~/} W~' L,'~/~W'~_ LEGAL DESCRIPTION~'°rKF/ F--~m fO~'~ W ' TANK: DISTANCE FROM WELL INSIDE LENGTH NUMBER OF MANUFACTURER J~. ~(,~,~o MATERIAL ("'~ '"'/"~'~'"~'~ ~ COMPARTMENTS INSIDE WIDTH_ LIQUID DEPTH LIQUID CAPACITY GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL /&&/-~ FOUNDATION O~.~ { NUMBER OF LINES / DISTANCE BETWEEN LINES ~ ~/ DEPTN OF FILTER OEPT~ TOP OET~LE TO F~ISH GRADE MATERIAL QENEAT~ T~LE TOTAL LENGTH TRENCH WIDTH-2~' IN. TOTAL EFFECTIVE ~ t' ~I~t~'ABOVE TILE ~ IN. WELL: TYPE_ CONSTRUCTION BUILDING NEAREST NEAREST SEPTIC FOUNDATION LOT LINE__ SEWER LINE , TANK__ CESSPOOL , OTHER SOURCES APPROVED __ DISAPPROVED REMARKS DEPTH SEEPAGE SYSTEM DISTANCE FROM: DISTANCES: INSTALLED BY: -/.)"'(! SEWER LINE DEPTH: PIPE MATERIAL' LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM McKay Well Drilling P.O. Box 557 Wasilla, Alaksa 99687 Phone 376-5058 Well Owner (-- i7e, "- ���' � �� Date ' Well Location —7'�" "I ✓<-A'./ • Phone- hone DIV, D %d. Size Casing Depth of Hole `� Cased to •? o .feet Static Water Level_� �_ feet Well Test Gal per Minute for Hours ;-/i( oo Date of Completion WELL LOG AUTHORIZATION TO DRILL hereby authorize McKay Drilling to proceed with the above work. Payment shall be made in the following manner: Rig up Minimum feet. @ L� per foot Balance due upon completion. / 7 if r'� (� o, o 0 In the event it is necessary to institute legal proccedings to collect any amounts due on this con- tract, 1 agree to pay an additional sum of Ten percent (10%) of the original contract price as attorney's fees, plus costs, for legal proceedings. Name Date Address LL. L:H J. LiN F;"HRF:I~f~E [_.Ei. iiHL I...4 " I~" ; ", ..... _-,I,_E H_ 4t~:l E,!N'[. FFILLS ':;tlE::[:, LOT '- -;':' 68B-2:::L64 FEET i'tF~;;.;;)MLIFt NUME;b.R OF EEEF. UUi'L = 2; :,_ iL RF:ITING ""-- F I,. 6R.. :-.'n!-, ~F.iE LENEitH Dit'IEN~,ION iS THE LENGTH ,::IN FEE]-) OF' THE TRENCH OR DRI~INFIEL[:,. iFi[-: [.:,EPTH [:il-:' R TN:ENL:H OR PIT IS THE [>IS'TRNCE BETWEEN THE ~;URFFICE OF THE 13ROUI'.4D F:iNK:, ']lYE E:O'T'TOM OF' THE EXCAVATION (IN F'EE'F). I'HERE J::E; iqO SET HID'IH FOR TRENCHES. IHb (Ji<FIVEL [)EPTH ]:S THE MINZMUH DEPTH OF GRRVEL BETHEEN THE OUTFIRLL PIPE F~NL:, THE h~O'I"iOM OF "IHE EXCRVRTION (IN FEET). Ei iHEh: Ft ~.L_H=,=, I _[4. ii NSF HPrF._,E[. F'I_RNT i"IR'Y .BE ].iq=, I-.LLEE. i:~ L:Or-,li t?-,tUZ~'E- i',iRIi'.,!IENRNCE RGREEHENT IS REL;.!UIRED. IF' R i',IRIi'.,ITENFINC:E HGR:i:::EMENI' tS NO-I KEPT _.LRRENf 'T'EIIJ MR'¢ E,L REL.::!UIRE[:, TO ENLLRRGE THE ,:;r-iTL -Ib:.LL. F ilLi4 ~T_,IEfl FtNE:',2OR '¢3LI HF:I'¢ E,E --UBJE_.I ]-O PF'F'~;E. CJTZCN. ]:H H C:LFISS I --,t--,]Ei'l I_~ II':;E[:, THE LENGTH tE; ~' 0 FEET. J.i'"' ' [:l-.LH=,:,'~'- ):.~ C_,~_' 'c; - Ei]' I=,' ,~- _'Z;E[') ]'HE LENG"FH l"-=, ._,,_,.=.,z, O FEET. c ,,- .... , _ ' '- ': ........ RPPF:O',,,'RL ,2HCI<}~ :£ LL ~i NG OF Ftr.4'-r' _,"r =, FEll w'r THO. UT F t),hi]-;'t.:ll-,::ivID_N'i W:[LLb,E'"'- ~;IJBJECT TEl PR-':;E- i,lzN].P1Lir,'l DiS]FINCE BE]'t-4EEN Fl HELL RND RN"r' ON-2;ITE SEI.,.IRGE DISPO.SRL. S'¢S"f'EM IS J.~l~d P~.EI FOR R PR]',,,'FI"I'E WELL. OF..' 200 FEET FOR FI PUBLIC HELL i.'.!tCL. L. LU~.3b FIRE REQUIRED RND HU~T BE RETURNED TO ]"HE I]:,EPlaR-t-MENT 14ITH~N 2:O DRYS UP IHb] HELL COHPLETION. ::::,H'~"]CJ:F].JZ:FYI'iON':2; FIND C:ON$'fRUC't~ON DtRGRRi"iS RRE R¥'RiLFIBL. E TO INSURE PROPER iNS [FIL. LH I Iul'4. i:q3k:lH b,'~ THE i"iUt-,IIC:IPRLt]¥' OF FINC:HORIRGE. HiLL INSTt::ILL THE _.,~_, EH :IN FICCOR[:,IRNCE !..IITH THE CODES. I..h',ILE_ II:]i",t[:, YHFr'r THE ON-SI]E _,ELIbR :~IEi'l }',IFI'~' RE[:.!IJIF~'.E ~:E'_-.,~[:,ENL:E 2% N:EI',tCE:,ELE[:, TO INcLIJC, E i',IORE THFIN 5: EEl:" '" '" E.J_i'I.:."F - ' '~' ENLFIRGEPiEN'T' IF THE -i. 7"'>' *Septic plan only No affe¢-ted wells qD:ad'j,aaent OE~E 694-2774 Soils Et Foundations Perfomed for: Name:_ Legal Description: Depth (Ceeb), GEOI"~'CHNICAL ~ DEVEL("~MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 SOXL LOG E,~rl Ellis 688-2280 Lan~ Development $oi_]_~h)racter_ji~t~tJc_j. 1 2 4 5__ Ground Wai~er EnCoun'te~ed: Yes ....... No____~'/ If yes, what depth_~ Propo_sgd- Installpi~on: Seepage Pit ._ Drain Fle~d ~ Co~ents: -- ' ~ ~'~ Performed by. '~J ~>~ k~4 ..... Date:~ Municipality of Anchorage �,�✓ '• - �-1 Development Services Department ll ••'�• ' ! Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw SL ' " ` `• P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ek.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-411-03 HAA # U19 ()/0209 Expiration Date: —g-/ & - o / 1. GENERAL INFORMATION Complete legal description Lot 4, Thunderbird Falls Subdivision Location (site address or directions) 26525 Paradise Lane Current Propertyowner(s) Melissa Sanford Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Day phone 26525 Paradise Lane, Chugiak, AK 99567 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Day phone Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site El Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family cn-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority 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 less than 30 days old. (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 Health Authority 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 to effect at the time of installation. S & S ENGINEERING =• Name of Firm 17034 Eagle River Loop Road No. 204 Phone .G. q y - -�-9 79 Eagle River, Alaska 99577 Address Engineers Printed Na me, Robert C. Cowan, P.E. Date Jr f o ROBERT C. COVIAN 5. DSD SIGNATURE �It�iZ"` C8•EE01 �, t f�•4Y i t\�J � t/ Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: a'41_ U z. /J " Original Certificate Date: I (P - O (Rev. 12,U) r Municipality of Anchorage • �'� Development Services Department Building Safety Division ` On -Site Water 8 Wastewater Program 4700 South Bragaw St. P.O. Box 186650 Anchorage, AK 9951&6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: le-r4l: Ft+ ?^ o t,'- 6 /2? f-�* L C S S '� Pwcel ID: A. WELL DATA Well type F/2,1 %,'A T7- If A. B, or C provide PWS,, IID/D # _ Well Log (YIN) Date completed-SI�/9140 Sanitary seal (YIN) L; Wires properly protected (YIN) _ H� -r -r Total depth ,Lft. Cased to Aft. Casing height (above ground) M in. FROM WELL LOG AT INSPECTION Date of test Static water level /Z ft. -�2�- �/ ft. Well production g.p.m.—'— g.p.m. WATER SAMPLE RESULTS: Coliformcolonies/100 ml. Date of sample: B. SEPTICIHOLDING TANK DATA Tank Type/Mate- l K Tank sizeNumber of Compartments 1 �L Foundation eanout (YM) 51 pression over tank (YIN) Date of pumping 19/0 o u Pumper �T1 I S C. ABSORPTION FIELD DATA Nitrate-6Y3mg.11. Other bacteria % colonies/100m1. Collected by:G- Date installedTTTT-Cha' -9� e h7z,- Cleanouls (Y.N)— High water alarm (YIN) Date Date Installed S i/ C/ Soil rating (g.p.d./fe or fl=/bdrm)� System type SI f 77t'lvGlf'� i Length 7lL ft. Width ft. Gravel below pipe it. Total ('e th ft. Eff. absorption area/Got., ft' Monitoring tube � Depression over field A..0 Dale of adequacy test NL" -IJ Results (Pass/Fail) For — bedrooms Fluid depth in absorption field before lest Water added_ gal. New depth_ In. Elapsed Time: _ min. at fluid depth _ in. Absorption rate >= g.p.d. Any rejuvenation tree (past 12 mo.) (YIN 8 type) If yes, give date D. UFT STATION Date installed Size in gallons Manhole/Access (YIN) _. "Pump on"levet at '1I in. -Pump ofr level at a2 in. High water alarm Wave! at �' %� in. Datum Ibrton Cycles tested _ v Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAlft station on lot /er - On aQacent lots /tom f— Absorption field on lot /00,-/-- On adjacent lots / UP Public sewer main ��i>r Public sewer manholeldeanout A- S /septic service line z S �W-- Holding tank SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation Property line S Absorption field Water main Water service line Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 1 Property line 7 Building foundation / Q Water main /V /k" Water Service line In /* Surface water i- Driveway, parkkigNehide storage /C) *- Curtain drain Wells on adjacent lots _Z2� :/e - F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections end T r nv review of Municipal records that the above systems are in conformance with MOA HAAguidelinesin effect on Ws date. EI9 Engineer's Printed Name C.CpwrQ r 1 ���^■ WWI ; t y Date::............ �k] 1•Y I" -A fT.Tx- Date of Payment 300.&4 7O©.r4 S—/Is—/or Waiver Fee E Date of Payment Receipt Number o 143 b / Receipt Number (Rev. I V00) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # 1, GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY · APPROVAL FOR A SINGLE FAMILY DWELLING Lot 4; Thunderbird Falls Subdivision Location (site address or directions) 26525 Paradis¢~La~e Chugiah, AK 99567 Property owner Mailing address Lending agency Mailing address Ke~h Howard Day phone 688-6267 26525 Paradise Lane, Chu~iak, aK 99567 Day phone Agent Sharon Minch/REMAX EAGLE RIVER Address 16600 Cente~fi¢~d Drive Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: NOTE: Day phone. 694-4200 Individual well XXX Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer XXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. NOTE: 72-025 (Rev. 1/91) Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. s & S ENGINEERING Phone Name of Firm i:,'6~4 Ea[/ie River Loop Road Ne. 204 Address E~le River, Alasl(a 9~5~","/ ' Engineer's signature Date '¢¢¢¢~J~-'~ DHHS SIGNATURE Approved for ~'~/,,,,/z/~.':~ ~) bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: . Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72~025 (Rev. 1/91) Back MOA#21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST A. WELL DATA Well type ~'~"J ~ If A, B, or C, attach ADEC letter. Log present ~N) %f Date completed Total depth ~'/ Cased to Sanitary seal 8/N) FROM WELL LOG Date of test Static water level Well flow \ Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot \ ~ L~ ~ ~ Absorption field on lot Public sewer main Sewer service line Parcel I,D. \\~ g.p.m. "7 ,~-4- g.p.m. ADEC water system number ~"-'I~/~D Driller ::3~,~ Casing height Wires properly protected~)/N) ~/ AT INSPECTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~.~ ~'~'/~3 .,,J- Nitrate Date of sample: '~--/~ '~ Collected by: B. SEPTIC/HOLDING TANK DATA - Date installed ~ L. -' Tank size ~ ~.5--c. Cleanouts fi~N) \1 Foundation (YN~ cleanout High water alarm (Y/~ ~ Date of pumping Z~ _..-/~ ~. Other bacteria S & S ENGINEERING E~le Elver, Alaska ~577 Compartments DepresSion (Y~ Alarm tested (Y/N) Pumper '~"-_[Z SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~,OC) ~''~ To propertyline Surface water/drainage 72-026 (Rev. 7/91) Front On adjacent lots Absorption field Foundation Water main/service line CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent ~N) ~ High water alarm level Meets MOA electrical codes~_~, N) "Pump on" level at 'Manufacturer Manhole/AccessiON) -¢ /-fl" "Pump off" level at __ Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot /~O ~ 4- On adjacent lots /co /4-- Surface water __ /~o /¢- · D. ABSORPTION FIELD DATA Date installed Length '~'7 ~ Total absorption area Depression over field (Y,~ Width Results ,~/fail) Peroxide treatment (past 12 months) (Y,~) Soil rating /SS ~"/'~'/-- Gravel thickness /--¢ ' Cleanouts present (~/N) Date of adequacy test for "~/~--&~¢- /..~ /~o~ If yes, give date System type Total depth / bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ,/~O I ¢- On adjacent lots To building foundation /-/"¢ / / ¢) o ''¢'' Property line__ To existing or abandoned system on lot On adjacent lots Cutbank Water main/service line__ Surface water (' o O / '~ Driveway, parking/vehicle storage area Curtain drain /"//~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. $ & $ ENGINEERING Signature 110~4 Eagle River Loop Road No. 204 Engineer's Name Date HAA Fee $ / '70 ¢ ED-Z} Date of Payment'// Receipt Number Waiver Fee: $ Date of Payment Receipt Number Parcel I.D. # _~ - L~\ - {~)~ 1. GENERAL INFORMATION Cdmplete legal description MUNiCIPALiTY OF ANCHORAGE: DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section ' P.O. Box 196650 Anchorage;Alaska 99519-6650 · ; ' 343-4744 ,: -?: ' CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA # Lot 4~ Thunde2tbird Fal~ Subdivision; Location (site address or directions) NHN Property owner A.H.F.C. # 7!7! Dayphone 56!-!cnn Mailing address 520 East 34th Avrnu~ Anchorage, Ak. 99503 Lending agency Day phone Mailing address Agent Sharon Milch RE,MAX OF EAGLE RIVER Day phone 694-4500 Address 14400 ~a~a~f~aYH ~. #¢01 Eag£~ R~u~. Ak.99577 ; :,"' ' - .., Unless otherwise requested, HAA will be held for pickup. XX NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. :' -:" ". TYPE OF WASTEWATER DIspOsAL: nd v dua omsite ;., xx ..... · , : . ~ .: · ' ' ?' :~ , . ,' i!. : ~ , ':, -; .. '~ ,,,,.~, : ~.,.'..,-,. · ..... Holding tank ~. :: , Community on-site -, : ~ ' Public sewer ,, . , .. NOTE: If community was}ewafer s'ystem, provide Written Confi}'rnation f~om State ADEC attesting to the legality and status of system. 72-O25 (Rev, 1/91) Front MOA#21 s~ue~uwoo lUUOg!ppv ,.\ i..\ I.' :.',';( ~ :suo!~elnd!ls bu!N~OllOJ eq~, qi!~ 'sLuooJpeq JoJ leAoJdde [ed~)!~!puoo''- 'peAoJddt~s!Q . . 'sLuooJpeq ~oj pe^o~ddv ~ ~n.LVNOIS SHHa '9 'sepoe eTe~S pue led!olunv~ lie q~!M eoueild~uoe u! s! ~ue~sXs lesods!p Jel. e/v~@~se~A Jo/pue 41ddns ~e~e/~ el!s-uo eq~ 'uo!~oedsu! pue uo!~eS!~se^u! ,~u Luo4 pue Selg eSeJoqouv jo ~!led!o!unR ~uo4 peu!elqo uo!~eu~oju! eq), uo peseq ~eq~/~jpe^~eqMnj I 'u!e~eq pe),eo!pu! eJn~on~s jo ed~ pue suuoo~peq ,to ~eq~unu eq~ ~oJ. e~enbepe pue leUOl~Ounj 'ejes s! ~ueTs~s lesods!p ~e~e~e~seM ~o/pue ,~lddns ~e~ el!s-uo eq~ ~q~ st~oqs uo!~eo!ldd~ le^oJddv ,~lpoq~n¥ q~leeH s!q~ jo uo!~e6!~se^u! /,uu ~eq~ ,~jpe^ I 't~oleq u~oqs e~ep uo!~ep!le^ eq~ jo se pue o~e~eq pexgje lees ,~Lu ,~q P@!J!~eo s¥ Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~--~-~ Z~ "'~!AO~.c._~z~.~ ~',~.u.% Parcel I.D. A. WELL DATA Well type ~2~pj ¢,~¢~.~ Log present (~N) Total depth ~ ~' ~ Sanitary seal ~N) If A, B, or C, attach ADEC letter. Date completed Cased to Y FROM WELL LOG Date of test Static water level Well flow Pump level ADEC water system number r'"~/~' ~'_ ~c~ .,~ C:) Driller ~:~,~~5~-.~(~ ~ ~' ~ Casing height ig..¢ 4- Wires properly protected ~N) V g.p.m. AT INSPECTION ~.-~.~j..~2,~\ · FNVi&0NMENTALSE~VICESOt¥1sJON SEPARATION DISTANCES FROM WELL TO: Septic/holding ~ank on lot Absorption field on lot ~,~:~ Public sewer main Public sewer service line ~ J~'- ; On adjacent lots ; On adjacent lots Pubiic sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~ ~"~'~/tc~ ~-. Nitrate Date of sample: .~- -' ~-~ "~ J SEPTIC/HOLDING TANK DATA Date installed ~/'~ - Cleanouts ¢,N~ High water alarm Date of pumping ~'- Collected by: Other bacteria /~o ~ ~ ~ & S ENGINEERi'NG ...... ,- ~,~ 17034 Eagle I(~.ver Loop ~u~ ,,~. ~ Ea~le River, Alaska 99517 Tank size Foundation cleanout ~ , /~ Depression /J Alarm tested (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot I C:~C> To property line ~1~ I Surface water/drainage On adjacent lots Absorption field Compartments 72-0~6 (Rev. 3/91) Front MOA 21 Water main/service line ~ CONTINUED ON BACK PAGE Foundation C. LIFT STATION Date installed Size in gallons Vent~TM) ~ High water alarm level "Pump on" level at Meets MOA electrical codes(C~N) sEF;ARATION DISTANCE FROM LIFT STATION TO: Well on lot ~, r~o ~ '~' On adjacent lots D. ABSORPTION FIELD DATA Manhole/Access ~/N) y "Pump off" level at Cycles tested Surface water Date installed Length '¢~"~ Width Total absorption area Depression over field (Y/~ ResultCail) Peroxide treatment (past 12 months) (YJ~ Soil rating L)I4- \ ~,~, '~/E,¢-- System type Gravel thickness L~'. Total depth Cleanouts present ~N) Date of adequacy test ~ - I ~- for ~ If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot I o(:::, To building foundation On adjacent lots '~ Surface water Curtain drair~ On adjacent lots \ oc.~ Property line To existing or abandoned system on lot Cutbank J,~' Water main/service line __ Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA Signature $ & s ENGIH!;~ERING 170~4 I.~31~ ~ivar t~oop P, oad I'~o. 204 Engineer's Na~q'~Jle River~ Alaskn g¢5;/~' o.t of this inspection. HAA Fee $ D a ~0~ Payment R~ceipt Number 72-028 (Rev, ~/91 ) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES ' 343-4?44 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Lot 4; Thunderbird Fa~ls Location (address or directions) NHN Paradise Lane (b) Property owner Mailing Address (c) Lending Institution Mailing Address A.H.F.C. # 7171 Telephone:(home) 520 EaA~ 34~ Auomlo: A~a~n~aga: Ab. 99503 Telephone _ Business (d) RealEstateCompanyandAgent ~F/M~X OF F,~I F Address Telephone ~q4-420g (e) Mail the HAA to the following address: (or check here ~if hold for pick up.) List contact person and day phone number below: ~k. ~7.7 $ & $ ENGINEERING f~agJe River, Alaska 99577 · 2, TYPE OF RESIDENCE Single-Family E~z 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 th legality and status. 4. SEWAGE DISPOSAL On-sitej~ 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 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION " As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of th is Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein, I further verify that based on the information obtained from the Municipality of Anchorage fi[es 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 Address Date S & $ ENGINEERING ~t7034 ~ag e River Loop Road No. 204 Eagla River~ Alaska 99577 Telephone 6. DHH,3 APPROVAL Approved for ,_,~ _bedrooms by Approved ~...-"~, Disapproved Terms o~ Condition~J Approval Conditional The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 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 M unicipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. A. WELL DATA Well Classification Well Log Present~'/N) "-f Total Depth ~"~ Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit ~1) MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHE CKLIS_T. ,~FE BR UARY 1984 ~.~/ttO~C.t~'~ Legal Description' ~ Date Completed ~-~ ~ ~t -°1-~ Yield ~ Depth of Grouting ~ Pump Set At V~--" "~ Sanitary Seal on Casing ~N) ~-~ Depression Around Wellhead SEPARATION DISTANCES FROM WELL: To Septic/R'o~ Tank on Lot To Nearest Edge of Absorption Field on Lot ~ On Adjoining Lots ; On'Adjoining Lots ~ ~"¥ To Nearest Public Sewer Line ~/~ To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot ~l ~ Water Sample Collected by ~ "~ ~ ~::~'~[~J~-~-~'~. ~,.-,5~' ; Date Water Sample Test Results ,...~,,~,.~\~__~;;;z~ ~ .~/~__.~--, ~ B. SEPTIC/HOLDIN~Gi/T~K DATA ', Date Installed ~/f~[~. Size-~ Depression over Tank (Y/~ Pumping/Maintenance Contact on File (Y/N)~j Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line TO Water Main/Service Line No. of Compartments '2~ ..~--~.T-/,~.l._ Foundation Cleanout (Y~ / Date Last Pumped ; for~,/,~ Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, POnd, Lake or Major Drainage Course Comments ~ 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata \ 0~.~:5 '~/r-~4..- Date Installed Width of Field Type of System Length of Field Depth of Field Square Feet of Absortion Area Depression over Field (Yz~ Results of Last Adequacy Test Gravel Bed Thickness ~---~'¢~' '¢ Statndpipes Present 1'4 Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot I ~:::~ ~ To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~ ~l _~_~.q--~--c~t "~'~E~~r) To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutback (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes~C~N) Comments Dimensions ~ "~"~'-~ ~ '~,-~ ~ .'-~. "l"'~¢1,Manho e/Access~N) V "Pump Off" Level at Vent~¢yN) ~ Pumping Cycles during Adequacy Test. 7 **Check Perm tted .Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection, Signed Company Date MOA No. Receipt No. Date of Payment Amount: $ 72-026 (Rev. 7188) B~ck 5, & S 17034 Eagle River Loop Road Nh. Eagle Rive,', Alaska~,~.~/72L' Receipt No, Waiver Fee: $ Date of Payment Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. TELEPHONE (907) 5622343 5633 B Street f _ 'Anchorage, Alaska 99518 Y Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D.M /.SPRIVATE WATER SYSTEM Name S & S ENGINEERING Phone No. 17034 Eagle Riven Loop Roael No. 264 Mailing AddreEegle River, Alaska 99577 City State SAMPLE DATE: Rull I! u7i Mo. Day Year SAMPLE TYPE: Zip code Routine �j Check Sample (for routine sample with lab ref, no. 1 ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE Time Collected NO. LOCATION Collected By 21=�-L�S 5lo I 3 l I 4 1 I 5 1 I Anal s shows this Water SAMPLE to be: Satisfactory ❑ Unsatisfactory ❑ Sample too long In transit; sample should not be over 30 hours old at examination to Indicate reliable results. Please send new sample via special delivery mail. Date Received LD —1y -9b Time Received Analytical Method: Membrane Filter • No. of colonies/100 ml. Lab Ref. No. Result* Analyst 90.1863 2 M EE U m U m U_J* m BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS Membrane Filter. Direct Count BEFORE Verification: BGS Collform/100ml COLLECTING SAMPLE Final Membrane Filter Results Collform/100mt Reported By= Date (n -11s--50 Time: 4Sar-) a.m. TNTC = Too Numberous To Count PART ONE OF TWO OB = Other Bacteria REMAINDER To FOLLOW CP r • a.woo4•�4. � -_ 9 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASh'A, INC. �°'� �;II{L�� � c 4 .;:� 5633 B STREET •ANCHORAGE, ALASKA 99518 • TELEPHONE (90� 562-2343 •,,"�Ll ''�' FEDERAL TAX I.D. #92-0040440 e 1NALTSIS REPORI BY SAMPLE for Work Order B 22506 Date Report Printed: JON 20 90 0 16:16 Client Sample ID:L4 THUNDERBIRD PALLS Client Name : S & S INGR PMSID :U1 Client lcct : SNSENCP Collected JUN 13 90 4 14:00 hrs. P.O.B MORE RECEIVED Received JON 14 90 4 12:15 hrs. Req i Preserved with :13 REQUIRED Ordered By : R. SHAPER knalysis Completed :JUN 1S 90 Sad Reports to: Laboratory Suportisoo PHEN C. IDE 1)S 4 S RNCR Released By : �j((�..�/G !7� � 2) ...................................................................................................................................... Special Instruct: Chemlab Ref B: 901863 Lab Smpl ID: 1 Matrix: NATER Allowable Parameter Tested Raoult Unita Method Limits ___________________________________________________________________________________________________ NITRATE -M 0.42 try/l RPA 353.2 10 Sample ROUTINE SAMPLE. Remarks: SAMPLE COLLECTED 87 RJS. ........................................................................................................ 1 Teets Performed Sea Spacial Instructions Above DA-Unavallable MD- None Detected " See Sample Remarks Above NA- Not Analyzed LT -Loss Than. CT•Creater Than e^ - .. DATE RECEIVED INSPECTION APPOINTMENTS S TIME TIME TIME DATE _ DATE C, DATE �] SINGLE FAMILY D Two ❑ Five ❑ MULTIPLE FAMILY INSPECTOR INSPECTOR INSPECTOR 10 INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled • \\ QV MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE �\ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOYEPT, OF HEALTH & 1 825 L Street • Anchorage, Alaska 99501 ENVIRCNMENTAL PP,OTECTION • ENVIRONMENTAL SANITATION DIVISION MAR 10 1981 Telephone 2644720 1Ci`II„ YEAR ON-SITE SYSTEM WAS INSTALLED. REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SER&4MiVi& DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE �y rJ to Od —�d�8 MAILING ADDRESS q s PROPERTY RESIDENT (If different from above) PHONE 2. BUYER H MAI LING ADDRESS S G ODO 3. LENDINGINSTITUTI N PHONE A F19C — MAILING ADDRESS yD l e- 9. REALTOR/AGENT 4. PHONE MAILING ADDRESS O J c/ O 5. LEGAL DESCRIPTION , . 1-oT y T.Yi>nr S STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS [3 One ❑ Four ❑ Other �] SINGLE FAMILY D Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY 10 INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM 5R INDIVIDUAL/ON-SITE" 1Ci`II„ YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATED. 72010 (Rev. 6/79) AA _.. ' THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ' ❑ PUBLICUTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE 13 PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER v Q ❑Septic Tank or ❑ Holding Tank Size: ! W<� If Tank is homemade give dimensions: SOILS RATING - TYPE OF TANK MANUFACTURER - TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Sept,c(Holding Tank Absorption Area Sewer Line 77 earest Lot Line Absorption Area to nearest Lot Line - - 5. COMMENTS 41Q J- ALA- d APPROVED FOR 3 BEDROOMS ❑ CONDITIONAL APPROVAL (letter st accompany certificate) [G7�DISAPPROVED C. DATE Y-1 — 72010 (Rev. 6/791 Em i^, ALASKA MINERAL COIITROL SERUIC i -w& OF ANCHORAGE En interin 6 Enuironmental $tadies DEPT. N H_KO 8 9 9 ENVIRONMENTAL Pf.OTECTION MAR 3 1 1981 RECEIVED MARCH 27 1981 PEOPLES BANE: 8 TRUST/LANNING POUCH 7007 ANCHORAGE AK 99510 SELLER — JUDY E LANNING SUBDIVISION—THUNDERBIRD FALLS BLOCK— LOT -9 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 770 SOFT. THE SYSTEM IS CAPABLE OF ACCEPTING 950 GALLONS OF WATER PER DAY. THE SOILS RATING OF THE SYSTEM AT CONSTRUCTION WAS 255 AND NOW IS 257 SOFT/ BEDROOM. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME, Oy G ROK 1220 West 25th Auenue • Anchoragt, Alaska 99503 • (907) 276-1361 A-lunicil.0a.lity Arichomie 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN. MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION March 18, 1981 Judy E. Lanning Star Route Box 1229 Chugiak, Alaska 99567 Subject: Lot 4 Thunderbird Falls Subdivision Approval for the individival sewer and water facilities cannot be granted until the following items have been completed: �(1) The water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. (2) The cepticitank pumped with a receipt submitted to this office. (3) 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 �`-6 of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. (4) A maintenance contract needs to be submitted to:this office on the Jet aerobic unit that is installed in the system. The company that the contract can be obtained is: Consteel Company, 376-5919. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw CONSTEEL CO. i_1 of Wasilla, Inc. HOME 6 COMMERCIAL SEWAGE TREATMENT PLANTS BOX 1490. WASILLA, AK. 99667 - PHONE 376-5919 JET Home Plant Service Policy Lot 4 Current: Judy E. Lanning Proposed: Steven D. Hall Thunderbird Falls This Agreement entitles: Owner r> bornh Y Hall Street Address City- 6#ugial;, Alaska Phone to the following service for XW"" yearg) from the date of acceptance. (one) Upon receipt of this signed agreement and $150.00 XNPW XConcrete Products agrees to perform the following services during the term of the agreement: rAhblEi Concrete Products will inspect the JET plant at the above address twice a year. These inspections will include: PLANT SERVICE • Removal of aeration unit, inspection, adjustment, cleaning of aerator's shaft, field service of aeration unit, if needed, and re -installation. • Inspection, cleaning, and adjustment, if necessary of surface skimmer and/or tube setter. • Examination of final effluent for color and odor, if there is access at time of inspection. • Check of discharge point and wet weather overflow for blockage (if applicable). • Inspection and adjustment of control panel setting and overload protection, if there is access at time of inspection. • Inspection for sludge accumulation with arrangements for removal when build-up warrants removal. r62fdTc'f Concrete Products further agrees to the following: EMERGENCY SERVICE •X��dC7�C.'�4X5IF.�3tr4iix�lXR7�RY.�JFiCrifl9.�R�i3( • There will be no service or labor charges for removal or re -installation of aerator, if required. • If improper operation cannot be corrected at time of service, homeowner will be notified immediately and given estimated date of correction. • If improper operation cannot be corrected at time of service, the Department of Environmental Quality, GARB, will also be notified. • If necessary, the entire mechanical unit or any parts will be replaced according to the manufacturer's warranty program. Freight charges to the factory or to an unauthorized repair at and t2(a pa' charges are not covered under this agreement. ! _ } . Debor h Y. Hall to den , ,alk • Own Signat re Date A epted. r 5dttWJU Co&rrete Products Date /--MUNICIPALITY OF ANCHORAGE/~X DEPARTMEN OF HEALTH AND ENVIRONMENT, ~PROTECTION 825 ~ Street, Anchorage, Alaska 99501 279-2511, ext. 224 or 225 Date Received: August 5, 1977 Time _~/~_~_CD__ $t2: Time Date 3--3~Q.~/ Date Insp ~ ...... Insp Time Date Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska Mutual Savings Bank Mailing Address: Property Owner: Mailing Address: Post Office Box 1120 99510 Grover N/Sylvia D. Huff % 424 West 54th Avenue 99502 Phone: 274-3561 Phone: 688-2164 Legal Description: Lot 4 Thunderbird Falls Subdivision Single Family Residence: (x) Number of Bedrooms: Three Multiple Family Residence: ( ) Number of Bedrooms: Well System: Permit ~ Construction Individual well (x) Depth of Well Community/Public System ( ) Well Log on File Bacterial Analysis ( ) Sewage Disposal System: On-site System (x) Public Utility ( Permit # Installed ~-~-~ ~ Installer ~ Septic Tank Size ~ Manufacturer Absorption Area ~0 Soils Rate Material Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Page ~o ~ ' Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 4 Thunderbird Falls Subdivision Comments: , Affadavit Attached: ~) /~ Letter Attached: ) Appr~ved~ --~~ Date--=.' ~r~~-~ -- Disapproved: ~ ~ Date. ~~D~-~ Department Worksheet: MUNICIPALITY OF ANCHORAGE D~PARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV Mailing Address: ,¢~¢~ ~ ~b-~ ~ Pay Phone: 3. Name of Buyer: ~ Mailing Address: ~ ~/~~ /~ ~/ ~ ~ ~ Day Phone: 4. Name of Lending Institution: ~ ~~ Mailing Address: ~ ~ ~/~ Phone: ~:- 5. Name of Realtor or Agent: /~~ -~ ~ ~ ~Z~ ,~ Mailing Address: ~ ~ ~'~J' ~ Phone: ~- Legal Description: .~ ~' ~~~ ~Z~ ,~ 72-003(3/76) Type of Facility to be I nspected;-~-~,~-~ Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation No.,Bdrms. ~ rlndividual_ ~ Individual (on-site). ~'~ SUBJECT n r .�1AT •L 1/ Ll/r S ^� f�Q DATE i FPLIEASIE RIE Ly / -SIGNED DATE RRdilPrm O 4S 469 re�rr iso.Nauuo SIGNED SEND PARTS 1 AND 3 WITH CARSON INTACT. PART 3 WILL SE RETURNED WITH REPLY.