HomeMy WebLinkAboutBERGGREN LT 2
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Municipality of Anchorage
Community Development Department AUGAgg2o!8f 2
On-Site Water and Wastewater Program
4700 Elmore St. • P.O. Box 196650 Anchorage,AK 99519-6650• http://www.muni.org/onsite• (907)343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP181177 PID Number: 017-092-35
❑ New ✓❑ Upgrade
Name:
LYNCH REVOCABLE TRUST, MAURICE &ALICE ABSORPTION FIELD
Address
❑ Deep Trench ❑ Shallow Trench [' Bed III Mound
14050 PICKETT STREET ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
4 GPD/SF Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot Ft. Ft.
BERGGREN 2 Fill added above original grade Gravel length
Township Range Section Ft. Ft.
Gravel width Beds:Number of Lines Distance between lines
SEPARATION DISTANCES Ft. Ft.
To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist.between trenches
From Tank Field Lift Station Tank Line Ft2 Ft.
Well 105.4 N/A N/A N/A N/A TANK El Septic ❑S.T.E.P. ❑Holding 0 Other
Manufacturer Capacity
Surface Water 100+ N/A N/A N/A Anchorage Tank 1250Gal.
Material Number of compartments
Lot Line 63.4 N/A N/A N/A STEEL 2
NA
Foundation 22.0 N/A N/A N/A LIFT STATION
Manufacturer Capacity
Curtain Drain 50+ N/A N/A N/A Gal.
Pump on level at Pump off level at High water alarm at
Remarks TANK REPLACE ONLY
in. in. in.
Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tank 3034 drainfielTank tod 3034
Installer
A+ Home Services Drainfield CO/MT
Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 832 ft
Inspection „ Location and description
dates: 1 8/2/2018 2nd 8/9/2018
3r° 4th AT HOUSE POINT A
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp
Conditional Approval: Date ,r 4 •�F��g61kt
iiiTH i\ .*'
ii
teven .Wannorae
CE 8149
Approved P-CkstfiCA aUtrt,e-Q) Date 8 -2 ' 1' Nc0A?o s�P�
Inspection Report_1-1-12.doc
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INSTALLED 1250g SEPTIC TANK I 60
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NOTES: PANNONE ENG SVC, LLC Date
RECORD DRAWING 08/9/18
P.O. BOX 102954 ANCHORAGE, AK 99510 �'�•'' i .
PHONE (907) 272-8218 FAX (907) 272-8211 Scale
*.:49 Th. i N %.* 1" = 50'
BERGGREN LOT 2 .1 ,( / P.I.D. NO
LYNCH REVOCABLE TRUST -40111S 'n..one 017-092-35
ft.•PannPERMIT NO.
DRAWN ACP MAURICE AND ALICE LYNCH /sititCE 8149 .;g
OSP181177
14050 PICKETT ST •.
SITE PLAN ANCHORAGE, AK •. ' Sheet
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ASBUILT-NO CORNERS SET THIS DATE. SEWARD & ASSOCIATES LAND SURVEYING 694-0829
I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE.
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FOLLOWING DESCRIBED PROPERTY: .r% OF AL �Ni
,G2ET,r „ -v s✓ ,---", ,7---Z' DATE: �.46..t,._\.•• ;.
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AND THAT NO ENCROACHMENTS EXIST EXCEPT AS 9 ��4 6 �'� . `• ,;;. • - _
INDICATED. IT IS THE RESPONSIBILITY OF THE i« 4n• •
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID `'''" ' '"° __474
EASEMENTS, COVENANTS, OR RESTRICTIONS _.?c,_?,:f' i l�/ -
WHICH DO NOT APPEAR ON THE RECORDED SUBDI- , Duane Mark Sewer ' '/
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB: �+ A l 18 •• `A
ANY DATA HEREON BE USED FOR CONSTRUCTION
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OF FENCE LINES, OR FOR ESTABLISHING BOUND- `+.4 Mi;Vcx,„,1'�s`4..•
ARY LINES. DRAWN ��� �,,,.,
N\C1PA"rY MUNICIPALITY OF ANCHORAGE
On-Site Water&Wastewater Program ��� S
.a„�, PO Box 196650 4700 Elmore Road v
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
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9NCHURAV'•
On-Site Wastewater Disposal System Permit
Permit Number: OSP181177 Effective Date: 7/10/2018
Work Type: SepticTank Upgrade Expiration Date: 7/10/2019
Tax Code Number: 01709235000
Site Legal Address: BERGGREN LT 2 G:3038
Site Mailing Address: 14050 PICKETT ST, Anchorage
Owner: LYNCH REVOCABLE TRUST Lot Size in Sq Ft: 49610
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4
This permit is for the construction of:
❑ Disposal Field El Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: • 0 CO `� ate: 1
it
Issued By: CL AI Date: 0 i$
MUNICIPALITY OF ANCHORAGE
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Community Development Department l� Phone: 91 . •43 t�04 6j �� _;
Development Services Division Fax: 9.r.- 43"-7 `" ,\)
On-Site Water& Wastewater Program 12, h\
ON-SITE SEWER/WELL PERMIT APPLICATION 4 �
01 6 8 L9
Parcel I.D. 017-092-35
Property owner(s) Lynch Revocable Trust Day phone
Mailing address PO Box 113281 Anchorage, AK 99511
Site address 14050 Pickett St.
Legal description (Sub'd., Block & Lot) Berggren Lot 2
Legal description (Township, Range & Section)
Lot Size 49,610 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(0 all that apply)
Absorption Field ❑ Initial ❑ Single Family (SF) ❑X
(w/wo ADU)
Septic Tank ❑X Upgrade ❑x Duplex (D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
l'W ‘re__---
(Signature of property owner or authorized agent)
Permit/Rush Fees: 215-00 Waiver Fees:
Date of Payment: 1 ( 51'1018 Date of Payment:
Receipt Number: Oto (181 1 `c Receipt Number:
Permit No. OS 19181111 Waiver No.
Permit App_.• ::..c
Pannone Engineering Services uc
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail:steve@panengak.com
June 15, 2018
Subject: Berggren Lot 2
Tank Replace Permit Request
Design Narrative
This is a design narrative for a permit to install an upgrade 1,250g Septic Tank to replace an existing
1,250g Septic tank to be issued for this property. The existing tank is collapsing. It will be decommissioned
per code. Currently the lot is developed. The proposed system will utilize a replacement 1,250g septic
tank that will be connected to the existing drain field. The existing tank is located approximately 100'+
from the well. The proposed tank will be placed outside the existing well radius. All required separation
distances will be met.
1. Upgrade Tank Design.
A foundation clean out installed if needed. iex.
The tank will be located: 5'+from any property line building foundation or drain field
10'+from any water line
100'+ from any surface water
100'+ from any private wells
200'+ from any public wells
The proposed installation will not affect the future development of the surrounding or existing lots.
If you have any questions or concerns, please contact me at 907.272.8218.
Sincerely,
• i
�♦ik Steven R.Pannone �
♦/ ••••40'149
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Steven R. Pannone, P.E.
Owner/Civil Engineer
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
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ASBUILT-NO CORNERS SET THIS DATE. SEWARD & ASSOCIATES LAND SURVEYING 694-0829
I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCBE .- o®�s�
=Yew •a„' A,
FOLLOWING DESCRIBED PROPERTY: -{, OF A j z
,��.Q�ci �i/rU� l�7'z DATE: .o s k
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS y "•��� ."'� •' • -'r
INDICATED. IT IS THE RESPONSIBILITY OF THE -.(:).:. y-`' r"�- :1 -
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: r '" � '
EASEMENTS, COVENANTS, OR RESTRICTIONS -34.-.Po" I .....e-....& u
WHICH DO NOT APPEAR ON THE RECORDED SUBDI- 4 t)uen., Merk Seward . kis
VISION PLAT, UNDER NO CIRCUMSTANCES SHOULD FB'G��S a �,'. IS-5918 `_f.) "
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ANY DATA HEREON BE USED FOR CONSTRUCTION 3 nr� '. . cJ ,�.
OF FENCE LINES, OR FOR ESTABLISHING BOUND- 1'V.C.;... ..' \-`',-
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ASBUILT-NO CORNERS SET THIS DATE. SEWARD & ASSOCIATES LAND SURVEYING 694-0829
I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE.
�. =yo __agog o Aa
FOLLOWING DESCRIBED PROPERTY: �{, OF AL)k Ar �
lE:��G ;/ y�� �6T z DATE: ,o P. ,• •• Si j
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS S,7%....7•":9‘ sr •' ,;,7 •'•'�_?
INDICATED. IT IS THE RESPONSIBILITY OF THE 9 J7 •' f ;
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: . ;..• ""' "� "'
EASEMENTS, COVENANTS, OR RESTRICTIONS 7D-Pc' 0, .// �
WHICH DO NOT APPEAR ON THE RECORDED SUBDI- 41,', Dene Mark Seward ; "k$
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB'���� `- + I:.. LS-6918 ••'`
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ANY DATA HEREON BE USED FOR CONSTRUCTION r c,
OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN: 11k '1 \..,��r
ARY LNES. �s 'A �.•.'r
cc,ia910 71
Municipality of Anchorage cv
On-Site Water and Wastewater Program ail I $
(907) 343-7904
Certificate of On-Site Systems Approval 2<< 01 6 431-c'
Parcel I.D. 017-092-35 Expiration Date: NOv o? 8) a o1
1. GENERAL INFORMATION
Complete legal description Berggren Lot 2
Location (site address) 14050 Pickett Street
Current Property owner(s) Lynch Revocable Trust Day phone
Mailing address PO Box 113281 Anchorage, AK 99511
Real Estate Agent Day phone
2. TYPE OF DWELLING:
Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request or: Distance:
� •
) 'I °I-% � — Date: 21 d!1
Received b � A. .'411..
COSA to be released to the engineer,unless otherwis - -sted by th- gineer.
COSA Fee $ � Waiver Fee $
Date of Payment 512R/16 Date of Payment
Receipt Number OLIU 1 '6) Receipt Number
COSA# d t L M37 Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, 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.
In conducting an adequacy test.I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations.The reported results describe the performance of the system under the conditions encountered at the time of the test,
and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil
condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system.These conditions
are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone Date 5/23/2018
.416.% OF A' I~K1SIi" P �o .
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6. DSD SIGNATURE
v System #1 Approved for 11 bedrooms .Seven cR.. }�'anno e•'
System #2 Approved �i tom.• CE-8149 i
/
for bedrooms } s • �,
Disapproved i�l `��OFESS10Ntr
Conditional approval for bedrooms, with the following stipulations:
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By: `6,666f"k Ctivieel T;'m rc`c/K n d Original Certificate Date: 0,9 028 aO 1?
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory X
Well Flow Advisory Other
COSA blue sheeti' •. ,.
If more than 1 septic system is on the lot:
COSA Checklist# 1 of 1
Structure served by this system I
Certificate of On-Site Systems Approval Checklist
Legal Description: Berggren Lot 2 Parcel ID:017-092-35
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 9/2/1977 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 141.2 ft Cased to 141.2 ftCasing height(above ground) 24+ in.
FROM WELL LOG AT INSPECTION
Date of test 9/2/1977 5/11/2018
Static water level 101 ft. 99 1 ft.
3.6
Well production 3 5 g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate ND mg/L
Arsenic 17.1 ug/L Date of sample: 5/11/2018 Collected by: PES
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 8/9/2018
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) N/A
NEW Pumper N/A
Date of pumping
C. ABSORPTION FIELD DATA
Date installed 9/23/1977 Soil rating (g.p.d./ft2 or ft2/bdrm) 165 SF/BORN System type Deep Trench
Length 47 ft. Width 3 ft. Gravel below pipe 8 ft.
Total depth 11 .5 ft. Eff. absorption area 752 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 5/11/2018
Results(Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 17 in. Water added 600 gal. New depth 23 in.
Elapsed Time: 360 min. Final fluid depth 17 in. Absorption rate >= 600+ g.p.d.
N
Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date
' D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100+ On adjacent lots 100+
Absorption field on lot 100+ On adjacent lots 100+
Public sewer main 75+ Public sewer manhole/cleanout 100+
Sewer/septic service line 25+ Holding tank 100+
Animal containment areas 50+ Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 10+ Property line 5+ Absorption field 5+
Water main 10+ Water service line 10+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+ Water main 10+
Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
G. ENGINEER'S CERTIFICATION .�`OF A V�
Q'�• �gcSlt�
I certify that / have determined through field inspections and ,�'y'<.•• •�.9�#
review of Municipal records that the above systems are in *; ] •.*f,
conformance with MOA COSA guidelines in effect on this date. liA
Steven Pannone
Engineer's Printed Name ..: lever.K.0anriorie:
8/10/20186 • CE-8149 ��
1
Date �� 9� •
COSA canary sheet_2-6-15.doc
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT j. �' 907-343-7904
On-Site Water and Wastewater Section ; Fax:343-7997
www.muni.org/onsite
Arsenic Advisory
Certificate of On-Site Systems Approval # osc181237
Subdivision: Berggren , Lot: 2
A water sample revealed an arsenic concentration of 17.1 micrograms per liter
(ug/L). The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While
private wells are not subject to this regulation, EPA standards are based on existing
health information and can therefore be used to gauge the relative quality of water
from private wells. information on arsenic is available from the On-Site Water and
Wastewater Program website (www.muni.org/onsite) or at 343-7904.
This advisory must be attached to all copies of the subject Certificate of On-Site
Systems Approval.
Mailing Address: P.0. Box 196650* Anchorage,Alaska 99519-6650 *www.muni.org
MUNICIPALITY OF ANCHORAGE
He ,h and Environmental Prote Lon
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
264-4720
INSPECTION REPORT ON-SITE SEWAOE DISPOSAL 5¥$TEM
SEPTIC TANK:
DISTANCE ~
FROM VVELL__I~O ..... MANUFACIURER ~_:~(~I:A¢--I/' M/VI-FRIAL
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH
NUMBER OF '~,
COMPARTMENTS
LIQUID CAPACITY! ~-~GALLONS.
TILE DRAIN FIELD:
I I I
DISTANCE FROM WELL I~)O~' FOUNDATION.. ~O .L. 1C.3 J~-
.......... ' NEAREST LOT LINE
~ of Lines ~ DISTANCE. BETWEEN LINES '¢/_~ TRENCH WIDTHS____~' IN.
ABSORPTIO;4 AREA ...... -~- ~ ~ SQ. FT, LENGTH OF EACH L_INE
DEPTt4 OF FILTER
IDEPTIt: TOP OF TILE TO }'"!I',115~t GRADE
OF LINE
TOTAL. EFFECTIVE
MATERIAL BENEATH TILE <:~(~;~ IN. ABOVE TILE ~-- IN.
SEEPAGE PIT:
Log Crib Rings
BUILDING FOLJNDATION .__
Dh,-\METER ~ OR WIDTH__, LENGTH__, DEPTH
Crib Size: DIAMETER ..... DEPTH .... DISTANCE FROM: WELL
TOTAL. EFFECTIVE
NEAREST LOT LINE_ ABSORPTION AREA (WALL AREA)
SQ. FT.
Class....~-~,¢¢. Dept.
Well Distance To: Lot Line
'
Bldg: !O+ Sewer nine:
¢ of Bedrooms:
¢,
Remarks. ~'% !1~,5~
STREET., HNL. HI_IRHI.~E.,
F'ROTECT I ON ~,'_~]
[:,EF'ARTMENT OF HEflLTH AN[:, ENVIRONMENTFIL T- C'~.'
F E~.F11 7' ~'
=, E IL4 E F-:
._,'_4.41 RRCT I C: BLVD.
LOT =, I ~.E 4gSFIA S
RPPLICFINT :~GGREN
LOCRT I ON F ! L. KETT ST.
LEGRL LOT #2 BERGGREN SUBD.
- '~ - -I ~ ~
T'¢PE ,~,~ ~OI~ ~B=.,z,R~TI~N =.~TEM IS' TRENCH
MR',:.:',IMLIM Nt[MBER OF 8EDREUM_ = 4 SOIL RflTZNG ,::SQ FT,.."E:R>=
THE,:~6~UIRED SIZE OF THE SOIL HB~ORFTION _.Y_'~TEM IS'
E:,EF"TH= 12 L.E I"-:1 mS TH = 42 I3 R R',,,' E L E:,EF"TH=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRfllNFIELD.
THE DEPTH OF fl TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRL. L PIPE
8ND THE BOTTOM OF THE EXCRVRTION (IN FEET>.
RE[:' SEF'T I C: TRI"",IF:.~ S I ZE=
PRC:~RI]E F'LRFIT C~PT I [~--I["'d
fl F HI_.Kfli.~E F't. RNT Mfl"r' BE INSTflLLE[:' fiT THE PERM ITTEE'"S OF'T ION SUE:.]'ECT TO 'THE
FALLOWING CONDITIONS'
E. LH=,;;, I UR II NSF RF'PROVED PLRNT MRS' BE INSTRLLED.
i. EITHER R -' -,-c - ,
2. R uONTINUOUS MRINTENRNCE RGREEMENT I$ REQLIIRED. IF 8 MRINTENRNCE
RGREEMENT IS NOT KEPT CLRRENT YOU MRS' BE REQUIRED TO ENLRRGE THE SOIL.
- ' - -I ' ~1 c,
FIE,5[LRFT ILN _,T--,TEM FIND,,"OR 'T'OU MRY BE SUBJECT TO F'ROSECUTION.
Tt. JCm ,:: 2 ::, I I'.ISF"Em_-:T I 01-45 RRE RE6:_--!LI I F.:E[:,
BRC:KFILLING OF FINer' SYSTEM 14ITHOUT FINflL INSPECTION FIND FIPPROVRL B'¢ THIS
E EF HR. TMEN r wi LL BE ~11B.TEC.:T TO FROsEL, UT ION.
MINIblUM DISTRNCE BETWEEN fl WELL fiND tiNY ON-SITE SENRGE DISPOSRL SYSTEM IS
i00 FEET FOR R PRIVBTE WELL. OR 200 FEET FOR R PUBLIC WELL.
OTHER REQUIREMENTS MR~ 8PPLY. SPECIFICRTIONS 8ND CONSTRUCTION DIRGRRMS RRE
RVRILRBLE TO INSURE PROPER INSTRLLRTION.
F"EF-:f-1 ][ T E~-:;P I RES E:,Em-:Ef"IBEF-: ?=::.t.,
I CERTIFY THFIT'
st.: ! RM FRMILIFIR WITH TItlE REQUIREMENTS' FOR ON-SI':FE SEWERS RNE:, WELLS RS SET
FORTH B'¢ THE MUNICIPBLIT~r' OF RNCHOR. flGE.
2: I WILL INSTRLL THE S~r'STEr'I IN FICCORDRNCE MI.TH THE CODES.
~:: I UNDERSTfiND THflT THE ON-SITE SEWER S~'STEf'I MR'T' REQUIRE ENLRRGEMENT IF ~THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEr.:,ROOMS.
ISSUED E:~r' .... ..~'~---'~ ~'.'~z.~E:'FITE_--C2~---'~--_~.---~--Z~
WILSON 'WELL DRILLIN
1305 W, 45TH STREET
ANCHORAGE, ALASKA 99503
PHONE 272-9343
Size of casing
Depth of Hole
feet
Static water level I ~) J ft. (above) ~) land
Screen ( ); Perforated ( ).
Describe screen or perforation
Well pumping test at~,-_~, gallons per (hour)
of drawdown from static level.
Cased to /~t ~ feet
surface. Finish of well (check one) open end ( /~);
for ~/ MUNICIPALITY, OF
~Ev/. ~J~ ~L~LI~ ~ ''
ENVIRONMENTAL PROTECTION
~-JUL i. ? 1987
Depth in feet from
ground surface
WELL LOG
RECEIVED,
Give details of formations penetrated, size of material, color and hardness
' ' TOi l~
, ~o SI
To Io~
.'1"0.
, TO .
TO
.TO
.TO
~TO.
_TO .
~0.
PE. RH I 'T' Nil].
DEF'FIRT' ql" OF HEFILTH FIND EN',,,'IF;i:ONPIlS' =t.. PF..'OTECTION
:.=.,~.5 -" L.. '" STIE'.EET., FINCHOI~'.RGE., Ih, ..
fl--J E L... l ..... IR F..E: I~-'.". I"-1 ]:: ""# ....
( 7'7",:~'5,:$ )
RPPL 1 CF~N"['
L. OCR'T' I ON
L. EGRL.
· ]' OHI'-,I E:~GGRF~'4
PICKETT ST.
L."f'. 2BK. i BEGGREN S,.."[:,
7SO:1. C:HRDE ST.
LO'T' SiZE
0 SQURRIE F'E[::'T
HINIMUM DIS'I"RNC:E 8E"f'WEEN A WELL. RND ANY ON-SITE SEWRGE [)I'=;POSRI... SYS"t'EFI iS
:1. O0 FEET FORt R PRIVR"I"E WELL (:JR 200 FEE']" FOR'. F~ PUBLIC WELL..
WELL LOGS RRE REQUIRED RN[:, HUST BE RE]"UR':NED TO THE DEPFIR'T'MENT WITHIN 2:0 DR"r'S
OF THE WEL. L C:OMPLE'I"ION.
OTHER REQUIREHEN"I"S HR~r' RPPL¥. SPECiF'ICF~TiONS RND CONSTRUCI"IC~N DIFtGRtFIP1S I::~Fi'.E
F]MRIL..F~SL..E TO INSURE PROPER INSTRLLt~TION.
I CERT I F"¢ I"HR"f-
l: I RM F'RMILIRR WITH THE REQUIREHENTS FOR ON-SITE '=;EWERS; RND WELLS RS SE'T
F'OIE'."f'H B"¢ THE NUN I C I PRL. I 'l"'.r' OF 8NC:HORRGE.
2: I WIL. L I. NS"I'RLI... I"HE S"r'STEP1 IN RCCORDRNCE 1.4~T'H THE CODES.
S I GNE[:,: .................................................................................
IRPPLICRNT .TOHN BEGf~REN
ISSUE[:, B'-r' ................................................... I::.',RTE ........................... ',,,']!: ";.~
INSTALLATION OF: SEPTIC TANK
GREATER ANCHORAGE AREA Borough
~-_w---~:_. :_::-57-~'~A-'_ 5'~'~'.J~ -- APPLICATION AND PERMIT
.A,'ING ADDRESS f
PERMIT NO.
SEEPAGE PIT , DRAIN FIELD
OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
TO BE INSTALLED BY
SOIL TEST RESULTS
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PiT WALL
SEPTIC TANK ., SEEPAGE PIT .
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK / 00( DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK, , SEEPAGE PIT
TO RIVER, LAKE, STREAM.
SEEPAGE AREA SIZE
DRAIN FIELD
. DRAIN FIELD
SEEPAGE PIT lOOt
ALBO CONS,DER AREA WELLS.
SEEPAGE PIT
., DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION § FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL ///~
CONFORM TO BOROUGH REGULATIONS REG/~RD~ INSTALLATION.
//
OR
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATer ANCHOl~AGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
~2~M NO. ED-01'6 APPLICANT'S SIGNATURE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
~ ~ - ~q~- - 3.5- HAA# ~,~ ,-
GENERAL INFORMATION
Complete legal description
Lot 2; Berggren Subdivision
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
14040 Pickett Street
Anchora~e~ AK
C~ill~am g Sharon Bartel Day phone
C/O REAL ESTATE SUPPORT SVCS. 8200 H~boldt Ave. S.
345-2327
Minn~aplis, MN 55431
Day phone
Suite
204
Agent
Address
· .', Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: ~
3. TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
XXX
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
· Individual on-site
Holding tank
'Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72..025 (Rev. 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
Name of Firm ~"" .... Phone C ~/'/- ;)-q 79
...... ,~f~,e ~,;wr L~p t<oa~ No. 204
Address Eagle River, Alaska 99577
E ngineel~s signature ~//~/*~ ~-~/~'~'~ Date ~ //7 /~ ~
DHHS SIGNATURE
--~ Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms,
with
the following stipulations:
Additional Comments
The Municipality of Anchorage Department of Health and Human Services (DHHS~ issues Heslth 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
IN¥1RONMENTAL ~iERVICJ~$ DIVISION
Municipality of Anchorage , xAU$Ci:
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division D
825 L Street, Room 502 · Anchorage, Alaska 99501 ° (907) 343-474 ~'
Legal Description: L07- ~
Health Authority Approval Checklist
(bi~,~CCR£~ 5'/z) ParcelI.D.: ~ 17""(3 ~J ~"'~""'
A. WELL DATA
Well type
Log present ~N)
Total depth I ~/ I
Sanitary seal (j~N)
If A, B, or C, attach ADEC letter. ADEC water system number
]
Date completed
Cased to I H I
Casing height (above ground)
Wires properly protected ~/N)
I t .../.
Date of test
Static water level
Well production
FROM WELL LOG
AT INSPECTION
/
log
g.p.m.
WATER SAMPLE RESULTS:
Coliform 0
Date of sample: "7 / 7 )
B~HOLDING TANK DATA
Date installed ~ / ~- 3 / '7 7 Tank size
Foundation cleanout (~N) YE .5'
Date of Pumping C//~ 5'-
Nitrate
Collected by:
O
Other bacteria
S & S ENGINEERING
i ~-0~4 ,-agie i<iver Loop Road NO. 204
Eagle River, Alaska 99577
I 3..5"0 Number of Compartments ,,3_ Cleanouts ~/N) ~'gJ'
Depression (Y~ ~ G High water alarm (Y/~ ,~v O
Pumper
C. ABSORPTION FIELD DATA
Date installed c{ / ;~ ~ ]'7 7 Soil rating [g.p.d./fF o~ ! (::' 5"- System type T,'~ ~'c-,,"-/
' / ' '
Length ~-! '7 Width Gravel thickness below pipe
Effective absorption area ~'?-.-'-
Momtonn Tube resent N
' ' g p, (~)/). Depression over field (Y/N)
Date of adequacy test r~ / ~.,/~/k~ Results (Pass/Fail) /=,~ ~'J' For ~ bedrooms
Fluid depth in absorption field before test (in.); ,'~ ~ ~ ' "
/o Immediately after//J~ 7 gal. water added (in.):
Fluid depth ~ //'/ (ins) Minutes later: ~, o/ Absorption rate = ~ O o ~ .g.p.d.
Peroxide treatment (past 12 months) (Y/N) ~v 0,,,~_ ~'"~' ~ If yes, give date
72-026 (Rev. 3/96)*
D. LIFT STATION
Date installed Size ~ ~ ~~~~"~"~
Manhole/Access (Y/N) ~ . "Pump off" level at*
~;gc ,he; tate~;ea;arm~ *Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
~holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
On adjacent lots /~) o -/--
On adjacent lots / 0 (.1 ' '-J-
Public sewer manhole/cleanout ,,~ ,/A
Lift station ~.,
SEPARATION DISTANCES FROM ~~HOLDING TANK ON LOT TO:
Foundation ~ /'/o Property line 5" -/'- Absorption field
Water main/service line ~ ~' j'/'* /~)0 ~
Surface water/drainage
/O
Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line
Surface water
Curtain drain
Building foundation ~'-0 -f'' Water main/service line
g'7o
Driveway, parking/vehicle storage area
/.¢'~ a ,~ ~ Wells on adjacent lots )0 0 -/"-
F. ENGINEER'S CERTIFICATION
I certify that I have determined thru field inspections and review of Municipal
in c°nf°rmance w~.ith~Mz//~A/~ gu~ i~effect °n this date'
Signature .,~.~,
Engineer's Name
Date
HAA Fee $
Date of Payment _~/~/~ ?,
Receipt Number
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
D,v,s,o. OF E.V,.O.ME.T^L SERV,CES
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4744
Application Date ~ ~
1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL)
(a) Legal Description(include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) .. propeh~' Owner '~,//'-*,~ ~*~/' Telephone: Homo ~yr-7~2 Business
(c) 'Lending Instit6tion' /~'~,~~ ~,'~ Telephone
Mailing Address
(d) Real Estate Company and Agent
Address
Telephone
(e)
Mail the HAA to the followina address: or: Check here~]~"'~old for pick up.
List contact person and day phone number below.
,. -7-, ,t c' 2 "7
TYPE OF RESIDENCE
Single-Family,~
Number of Bedrooms
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.
SEWAGE DISPOSAL
Onsite.J~, 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 2 72-025 (Rev 8/861 Front
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 ~ ~'-c" ~
Address / ~:?-.~'~ C~ Z~
Date i~///'/?,//~
DHHS APPROVAL
Approved for -'~c,,-,,~,' ~"~-) bedrooms by ~~ ,,~.
Approved ~ Disapproved
.,-'t.__/>/7~.,..,.~ Date '.~"'-/'~/ '~' / ) / ?' ~ '~'
Conditional
Terms of Conditional Approval
CAUTION
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
certificates based only upon the representations given in paragraph 5 above by an independent professional engineer
registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in
order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data
before a certificate is issued..The Municipality of Anchorage is not responsible for errors or omissions in the professional
engineer's work.
Page 2 of 2 72-025 (Rev 8/86) Back
Of ^, 0
I'AUN~OI)~ S~.i~VtCl~$ ~I~IPALITY OF ANCHORAOE
~O~ HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 19~
J gL 1 7 1987 264-4720
WELL DATA
Wel Classification
Well Log Presentt~)/N) Date Completed .~,,//~z/? ~ Yield
Total Depth ./rTx/~_.t, Cased to /~///';~" Depth of Grouting L~,~&,~,~ ~,,.,
Static Water Level ,/O/' Pump Set At /O ~ /
~,,~ / Sanitary Seal on Casing ~N)
Casing Height Above Ground
Electrica Wiring in Conduit ~N)
Separation Distances from Well:
If A, B, C, D.E.C. Approved (Y/N) /u/."..~
/. ?
Depression Around Wellhead (Y/~
To Septic/Holding Tank on Lot ,///
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments
· On Adjoining Lots ,/o o
/;z ,/ 'On Adjoining Lots
' /~J-,."'"~- To Nearest Public Sewer
/t///x~- To Nearest Sewer Service Line on L~ot ~-~
/~-'/-'J/~' ~. ;Date ~/~'/c~"~Z~
/ '
B. SEPTIC/HOLDING TANK DATA
Date Installed
Stand pipes ~N) Air-tight Caps ~/N)
Depression over Tank (Y/~
Pumping/Maintenance Contract on File (Y/N) "~//'~
Holding Tank High-Water Alarm (Y/N) ~'.',,,'/4~-
Separation Distances from Septic/Holding Tank:
To Water-Supply Well /7~ ,/
TO~ Prope~y Line '~ ?
To Water Mai~_~er~vice Line .~' ~. O ~
Course~ ' /b~,,~,,~_. /.~ r
(~6mm~nts
c"/'/'P-.3/~ ~ Size //o~- ~0 NO. of Compartments ~
Foundation Cleanout ~N)
Date Last Pumped ~' '-'//~ ~' ~'
',for ~.//'~
Temporary Holding Tank Permit (Y/N) "~'"~'
To Building Foundation
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Page' 1 of 2
72-026(11/84)
ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed 7,/'-= 3/?.?
Width of Field -~ /
Type of System Design
Length of Field ~'/'~ '~
/
Depth of Field ,/Z
Gravel Bed Thickness ~r' /
Square Feet of Absorption Area
Depression over Field (Y/~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well /~.~ /
To Building Foundation
Lot ,xt~o-~
To Water Main/Service Line .~/ -/-
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Standpipes Present~N)
Date of Last Adequacy Test
To Property Line ~
To Existing or Abandoned System on
· On Adjoining Lots .~ Z~
To Cutbank (if present)
lC'
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level.at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
· "Pump O~
/~~'~ent (Y!N)
Pumping Cycles during Adequacy Test· Meets MOA
Commen~...~ ~
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I~k/~d, verified~,~r conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed ~~//-~--,-~ / Date
Date of Payment
Amount: $
72-026 (11/84)
INSPECTION APPOINTMENTS DAT'E RECEIVED
TIME TIME TIME
bATE DATE DATE
'iNS'PECTOR INSPECTOR I NSP Ec'r..o R
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE(I~J~I~tPALITY OF ANCHORAGE
825 L Street - Anchorage, Alaska 99501 DEPT. OF HEALTH &
ENVIRONMENTAL PF, OTECTION
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720JUL 3 0 1980
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE~Bfl/F.~QIL'Tr~E~
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1; P "E.TYOW E. o PHONE. '
MAI LING ADDRESS PHONE
PROPERTY RESIDENT {If different from above) ' ~ '
MAI LIN-G ADDRESS
~. LENDING INSTITUTION~ ' ' ' ~ PHONE
MAILIN6 ADDRESS
4. REALTOR/~GBNT
5, 'LEGAL DESCRIPTION '
STREET LO~;ATION
6. TYPE OF RESIDENCE ' NUMBER OF~BEDROOMS
[] One ,~,, Four
~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
7. WATER SUPPLY
~ INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTI LITY
[] Other
* ATTACH WELL LOG. A well Icg is required for all wells drilled
since June 1975. For wells drilled prior to l~hat date, give well
depth (attach Icg if available.)
8. SEWAGE DISPOSAL SYSTEM
'~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
I
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev, 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
~ SINGLE FAMILY
[] MULTIPLE FAMILY
2. WATER SUPPLY
INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
~] IN DIVI DUAL/ON -SITE
[]PUBLIC UTILITY
Connection Verified
'[~Septic Tank or [] Holding Tank
Size: ~ ~I~ If Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
[] ONE
[] TWO
NUMBER OF BEDROOMS
[] THREE [] FIVE
"EEl FOUR [] SlX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
q-R
INSTALLER
SOl LS RATING
MANUFACTURER
MATERIAL
Septic/Holding Tank IAbsorption Area
Absorption Area to nearest Lot Line
,
5, COMMENTS
Sewer Line
[] OTHER
Nearest LOt Line
DATE
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVEDIBY~ C ~
72-010 (Rev. 6/79)
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264.-4111
GEORGE M, SULLIVAN,
MAYOR
DEPARTMEN'~ OF HEALTH AND ENVIRONMENTAL PROTE~CTION
August 4, 1980
Gerard/Elizabeth A. Allard
Star Route A Box 460-A
Anchorage, Alaska 99507
Subject: Lot 2 Berggren Subdivision
Auproval for your individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1)
~(2)
The top of the well casing sealed with a sanitary
seal so that it is water tight. If there is a seal
there, it needs to be tightened so that it is water
tight.
The cleanout to the trench should be twelve(12) inches
above ground level and capped.
_ The septic tank pumped with a receipt submitted to
this department.
(4) The water analysis report be delivered to this department
~-from Chem Lab, 5633 B Street, for our review.
Please notify 'this department for a reinspection when the
noted descrepancies have been corrected. If there are
any further questions, please call this department at
264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Alaska Bank of Commerce
3230 C Street 99503