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Home My WebLink AboutSWISS AIRE LT 3OIq 321 HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION ADDRESS PHONE SEPTIC TANK: DISTANCE FROM WELL C,C~ ~u~,i4h~l'J'(4 LIQUID CAPACITY J 00~), GALLONS. INSIDE LENGTH. NUMBER OF COMPARTMENTS ~' SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS I LINING MATERIAL ~lP~t)~"~'~l-~'~ NEAREST LOT LINE ~)~(") ~ OUTSIDE DIAMETER ~'~ OR WIDTH ~j,~t~,~ ~_~ DISTANCE FROM WELl ~0~ ~ i J~ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) · LENGTH ~ DEPTH BUILDING FOUNDATION .SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH , FOUN , NEAR T LINE --, OF LINES. DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE · '--~ DISTANCE PROM WATER WELL: TYPE ~/)l~(~l~)tl , DEPTH ., BUILDING FOUNDATION, SAMPLE , NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE , SEWER LINE ., TANK , SYSTEM , CESSPOOL , SOURCES__ DISTANCES: DIAGRAM OF SYSTEM n'ro APPROVED ' H~ALT~ AUTHORITY 327 Eagle St. HEALTH DEPARTMENT Anchorage, Alaska 99501 279-2511 UaseNo. '' - SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT OF APPLICA NAME RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESULTS '/{t~, ,~: . ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT LOCATION OF INSTALLATION SEEPAGE PIT. ~ , DRAIN FIELD. , OTHER .I,t I J C~ ~ -,L~ ..' TO BE INSTALLED BY_ ?L'~.Z~lc:Y}&~,)/./ ' AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ;~-~ ,I"~:~ · SEPTIC TANK SIZE /"~c'~~'L~) TYPE '('./(~-~'.'&Y- SEEPAGE AREA~TYPE DIAGRAM OF SYSTEM DISTANCES: ' / ~'~EALTH AU?HO. IT¥ I certify that I am fmniliar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above describe~, systen) is in accordance with said code. / / ADAMS · CORTHELL · LEE & ASSOCIATES CONSULTING ENGINEERS WINCE April 27, 1965 Work Order No. 6189 Mr. Dave Droegc Box 952 Anchor age, Alaska Project: Percclation Tests - SwisS. Aire Subdivision Gentlemen: Fiv~t test holes were augered and four· p~rcolation tests were performed on the subjeCt~ct. Thc soils loqs and test data are shown On the attached sheets. rn,? ~,~rcolation rates were· determined to be as follows: ?i2L'. Lot, 1' 3 2 5 3 8 4 10 % 15 Rate i(min, per 'l-inch) less than 1 Not determined because of high water table, Very truly yours, ADAMS, C ORTHELL, LEE ,WINCE & ASSOCIATES FI~rW: sc Frank W. Wince, P.E. Eric S · L,~,~'~R AT O,R I r'., PER ~TION DATA ~~~ ........ ~CATION SKETCH TE $'i' NOL£ LEGEN APP. TOPO~. FROST MET TIM~ DEPTH TO H~O NET DI~OP 9 MUNICIPALITY OF ANCHORAGE '~/ DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION A~FLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE L. General Information Application Date (a) Legal Description (include lot, blpck, subdivision, seqtion, township, range) Location (address or directions) (b) Applicants Name ~/~ ~O~ Telephone - Home ~usiness (e) Applicant ts (cheek one) Lending Institution Buyer ~; Other ~ (~plain); (d) Lending Institution A~ ~fl~ Telephone A~ss (e) Real Estate Co. & Agent .bk/~f (f) Mail the HAA to the following address: 2'. Type of Residence Single-Family ~ Multi-Family ~ Other (describe) Number of Bedrooms ~ 3. Water Supply f ~ · Note. If community well s~g~t have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. .?'. Sewage Disposa_~ Note. If communtL~ system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. ['~age 1 of 2] 3. En~iueerin$ Firm Provldtn~ Inspections~ Tests~ File Search~ Data and Informatio~ 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 wsstewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein.. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this tm~aa~i~ installation. Date (ENGINEER SEAL) Telephone DHEP Approval Approved focal bedrooms Approved .~ Disapproved Conditional Terms of Conditional Approval CA~TION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON TH~ REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN 'fH~ STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQULRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/eJ/D18 [Page 2 of 2] 7-19-84 Well Classification Well Log P~esent (Y/N) /%/ Total Dept~. ~ Cased to Static Water Level Casing Height Above Ground Elect3zical Wiring in Conduit (Y/N) Separation Distances f~cm Well: To Heptic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Hewer Line C leancut/Manhole Water Sample Collected By Water Sample Test Hesults k.,..~' ~ D~PT. OE HEALTH & M~ICIP~I~ 0f ~C~GE (MOA) ~4U''I " '~ H~ ~O~TY ~PROV~ (~) '~. .?~[l/~' C~CKLI~ ~ F~RU~Y 1984 .~ Legal Description: ~3 ~;~ If A, B, ~ C, D.E.C. ~p~o~d(Y~) Date ~le~d ~ ~ Yield ~ ~pth of G~outinq -- ~ ~t At .. Sanit~y ~al on ~sing (Y~) ~ ~p~es~ion ~ound ~l~ead (Y~) ; On Adjoining Lots ~,/~ ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewe~ Service Line on Lot~ Comments Date Installed Size No. of Compa~tr~nts Standpipes (Y/N) Air-tight Caps (Y/N) Foundation Cleanout (Y/N) Depression over Tank (Y/N) Date Last Puntped Pumping/Maintenance Contract on File (Y/N) ; for Holding Tank High-Water Alarm (Y/N) Temporary HoldirxJ. Tank Permit (Y/N) Separation Distances frcm Septic/Holding Tank: To Water-Supply Well " To Building Foundation To Property Line To Disposal Field To Water Main/Se~vine Line To Stream, Pond, Lake, c~ Major D~ainage Course Cor~aents 2-15-84 Soils Rating in AbsorDtion Strata" Date Installed Width of Field Square Feet of Absorption A~ea Depression over Field (Y/N) Results of Last Adequacy Test Type of System Design Length of Field Depth of Field Gravel Bed Thick,ess Standpipes P~esent (Y/N) Dete of Last Adequacy Test Separation Distance f~c~Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To P~operty Line To Existing or Abandoned System ; On Adjoining Lots To Cutbank(if pre__sent) To Stream/Pond/Lake/c~ Major D~ainage Course To D~iveway, Parking A~ea, c~ Vehicle Storage A~ea Cormrents Date Installed Size in Gallons "Pump On" Level at High Water Alaz~mLevel at Tested for Electrical Codes(Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequac~f Test. Meets MOA ** Cheek Permitted Bed~ocm Rating Against HAA Request ** I certify; that I have checked, verified, c~ conformed to all MOA HAA C~lic~ on the date of this i~pection. KB1/d5/s in effect [Page 2 of 2] 2-].5-84 DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVERNOR 274-2533 November 13, 1984 Mr. Michael Morey Swiss Aire Subdivision 8639 Swiss Place Anchorage, Alaska 99507 SUBJECT: Waiver Horizontal Separation between Well and Manhole/Cleanout Lot 3, Swiss Aire Subdivision Dear Mr. Morey: The Department has reviewed the subject waiver request and hereby waives the horizontal separation between the well and manhole to 80 feet on the subject propert~ for a 5 bedroom single family residence only. This approval is based on a 25 October 1972 letter from our Department authorizing approval based on the old 1972 regulations. Any alteration or upgrade to this system will require meeting current State of Alaska Regulations. As a Class "A" system, monthly well water sample analysis is required, l, later analysis was received for October and November 1984 indicating satisfactory results. Sincerely, Environmental Engineer II SWE/msm Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER ,.o..o. d Water System Name Phone No. ~-2~u Z:-'''~'L~-- ~,v~ , C~ty State Zip Code Mo, Day yem' SAMPLE TYPE: E~outlne Cl Check Sample (for routine sample with lab ref. no. [] Special Purpose ) [] Treated Water [] Untreated Water AMPLE NO. , I 2 I I I LOGATION L~ Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ,J~ 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 //-- ~ ' r ~/ Analytical Method: [] Fermentation Tube j~[~,Mem brahe Filter Time Received Lab Ref. No. Result*: Analyst I ICI I I-i-] I I r-c1 BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Membrane Flllen Direct Count Vedllcatlon: LTB BGB Final Membrane Filter Results '~ ~ Reported By ~~ '~-~ Date 'q Time: TNTC = Too Numerous To Count CoiHorm/100ml Colllormll00ml s.mo DEPARTMENT OF HEALTH & ENV RONMENTAL PROTECTION,~.. Ir¥~-?-.~ . ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 APR 2 5 9 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SI~:'FCFE~/I[IJ~ :)IRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing. ,. p. OPE.TY__OWNER MAILING ADDRESS PROPERTY RESIDENT (l~fferent fr:m a~)/ 3, LEN~G INSTITUfld~ MAILIN ADDRESS / MA~G ADDRESS -- / PHONE PHONE PHONE PHONE STREET LOCATION 6. TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROO S~ [] One ~0~ Four [] Two .j~',~ Five [] Three ~'[] Six [] Other WATER SUPPLY [] [NDIVI DUAL* * 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 UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** PUBLIC UTILITY if ~nd~vldual/on-s~te, give installation date If system is over two (2) years old an adequacy test is required by this Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) TFIIS SIDE FOR OFFICIAL USE ONL; DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: NUMBER OF BEDROOMS 1. TYPE OF RESIDENCE [] SINGLE FAMILY MULTIPLE FAMILY 2. WATER SUPPLY INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Comroction Verified 3. SEWAGE DISPOSAL SYSTEM [] iNDIVIDUAl/ON -SITE []PUBLIC UTILITY Connection Verified. []Septic Tank or []Holding Tank Size: If Tank is homemade give dim0nsions: [] ONE [] THREE [] FIVE [] TWO [] FOUR EJ SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATING [] OTHER TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to *~earest Lot Line 5, COMMENTS DATE LEGAL DESCRIPTION [~ APPROVED FOR ~ CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED (Rev, 3/78) Department of Environmental Quality 3330 "c" Streets Anchorage, Alaska 99503 274-4561 Date Received /,~ Time of Inspection ~~,-fl~,. Date of Inspection FO~ 1, Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: Phone: Phone: 5. Type of facility to be inspected 6. Well Data: A. Type C. Construction Sewage Disposal System: A. Installed C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines Distances: A. B. C. No. of bedrooms B. Depth D. Bacterial Analysis B. Installer 2. Manufacturer 2. Material Fo,nda~n tol septi/~ank ~ Absorptio~/~ ~/ption are'a'~to nearest lot lirle %~.~ . EQ-034 (1/74) Page 1 of two pages TO: Greater Anchorage Area Borough Department of Environmental Quality 3330 "C" Street Anchorage, Alaska 99503 ATTN: Susan Oswa~ PROPERTY: 8652 Swiss Place, Anchorage, Alaska Lot 3, SWISS AIRE s/d August 13, 1975 99507 Dear Susan 0swale, Request is~made for approval on hook-up to central sewer The old ~,gnk 'is made of concrete and can not be caved ino Thank you for helping us with this matter° Sincerely, Mac Mael Assto Vo Pres° ~age. 2 of two pages - Re¢' 3t for Approva! of lndlvloua~ Legal Description Comments Approved×~-~ ~ ~Disapproved Date ./J? ?~. Approval Valid for one year from date signed Greater Anchorage Ar~a Borough, Department of Environmental Qual!ty DIAGRAM OF SYSTEM certify' that the information contained in this request for approval tO be a true a,ld accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily., Date SIGNED EQ-034 (1/74) 3330 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality "C" St., Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV 3. Name of Buyer: Mailing Address: Day Phone 4. Name of Lending Institution: Mailing Address: Phone 5. Name of Realtor or Agent: Legal Description: Type of Facility to be inspected: ~t~L~ No. Bdrms.'~-~ Public Utility Individual Water Supply Type of S~pply: If Individual, number of dwellings presently served If Individual, depth of well Individual (on-site) Sewage Disposal'System Type,of S~stem: Public Utility If Individual, date of installation REATER g?~O~ORAGE AREA BOROUGH !!EAL~I DEPART, EST 327 EAGLE STREET ANCHORAGE, ALASKA 99501 279-2511 DATE PECEIVED. INSPECT: TI 'm. REQUEST FOR APPROVAL OF INDIVIDUAL SELVAGE FdhD IVATER FACILITIES FOR Phone 7 ~, '/x-~ ~ 2. Property O~er ~~ Phone Number of Bedrooms Well Data: B. Depth C. Size D, Construction E. Bacterial ,~alysis 6. Sewage Disposal System: Ao Septic Tank (If homemade, show diagram on back) 1. Si~e._, Age. / 4. Installer .... Approval Request for SeL, ,e ~ Water Facilities Pa~e Two B. Seepage Pit 2. Lining Z ~ ~'_~ C._ Disposal.Field 1. ~umb es 2. Total Lengtl~ Required Measurements A. Wel~to Septic Tank. X B. Well t~eepage Pit C. lPell to Se~r Line \ D. Well ~o Prope~ Line E. Well to Other PosY~ible F. G. H. Contamination Foundation to Septic Tank Foundation to Seepage Pit Seepage Pit to Property Line 8. CO~MENTS: APPROVAL VALID FOR ONE YEAR FROH DATE SI6NED, DISAPPROVED: GREATER ANCHORAGE AP. HA BOROUGH HEALTH DEPARTMENT EDll70 HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SE\A/AGE DISPOSAL SYSTEM PART I.--TO 6E COMPLETED BY FI'lA INSURING OFFICE MORTGAGEE ~R-I~ NO. Anchorage First Federal~ Savings & Loan Assn.L MORTGAGOR OR SPONSOR JPROPERTY ADDRESS 8682 Swiss Place D.A. Droege SUBDIVISION NAME Swiss Aire Subdivision ~OCK NO.: LOT NO~ TOTAL NUMBER: BASEMENT F~] Yes [] No ~New installation WAYER SUPPLY BY~ [] Public system ~ Community system SEWAGE DISPOSAL BY: I I~[ Public system [] Community system (If Yes, how many~} SYSTEM DESIGNED FOR Individual X~ Individual 3 [] Yes )[~] No PART II.--TO BE COMPLETED BY HEALTH DEPARTMEI~T HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [] State [] County X[~ Local Department of Health that this individual water-supply system [] is [] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the [] State tern with proper maintenance: 1~"] Can be expected to function satisfactorily, and is not likely to create an insanitary condition OATE I SIG ,NATgRE ~ June 4, 1971 J ~ "-]County [] Local Department of Health that this individual sewage-disposal sys- ]Cannot be expected to function satisfactorily J TITLE ~anitarian NOTE: Tho health authorltyshouldcomplete the appropriate opinion statement above and affix date, signature mhd title in the spaces provided. Uso of the above grid ~or Health Department Inspector's sketch as well as use ofthe back of this form is at the option ortho health authority, PART Ill.--FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the Individual water-supply system be considered [] Acceptable [] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. ] CHIEF ARCHITECT ] DEPUTY FOR CHIEF ARCHITECT DATE SIGNATURE HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev. July 1958 REPORT OF INSPECTION--INDIVIDUAL SEWAGE-DISPOSAL SYSTEM $~ptlr Tank~ Distance from weU.__ Total liquid capacity, Inside length, Distance from: Well __ Inside diameter, _feet. Material lc'et. Inside width,. gallons. Capacity inlet compartment ........... gallons. fleet. Liquid depth, feet. feet; foundation, __ feet; nearest lot line at [] front, [] side, [] rear. leer. Depth, feet. Liquid capacity, gallons. Lining material SICONDflRY TREATMENT consists of [] Tile disposal field [] Seepage pits. Other Tile Disposal Field: Distance from: Well, Total length of tile lines. Trench width, Length of each line._ Type of filter material: [] (;ravel. feet; foundation, feet; nearest lot line at [] front, [] side, [] rear, feet Number of lines, Distance between lines, inches. Total effective absorption area in bottom of trenches. feet. Depth. top of tile to finish grade,___._ [] Broken stone. Other Depth of filter material beneath tile., inches. Numbar of pits .... Outside diameter. ~eet. Depth. Disuance from: Well ..... feet; building foundation~ Ins~ctlon mud~ by: [] State. [] County, [] Local Health Authority. Inspected by- ____inches. Depth of filter material over tile. feet. Lining material feet; nearest lot line at [] front. [] side, [] rear, inches. REPORY OF IN§PECTION--INDIVIDUAL WATER-SUPPLY SYSTEM Distance to nearest public water main, feet. Size of main, inches. Individual wells [] are [] are not customary in neighborhood. Give most recent record of failure of wells in immediate vicimty to furnish adequate supply of water Properues in neighhorh~md [] are [] are not being developed with both individual water-supply and sewage-disposal systems. Lot size- feet wide,_ feet deep. Dwelling set back from front property line,, feet. Indivkhla[ water supply lbam: [] Drilled well. [] I)riven well. [] Dug well. [] Bored well. Building fl)undation cast iron sewer, feet; tile sewer. seepage ptt, feet; cesspool, .feet; nearest lot line at [] front, [] side, [] rear.. feet; septic tank .... feet; disposal field, feet~ other sources of possible pollution, i'eet. Depth of casing .gallons per minute. Diameter, inches. Total depth, feet Type of easing, Approximate depth to pumping level of water in well, feet. Approximate yield, Sealed watertight to depth of feet. Exterior space around easing sealed with: [] Cement grout. [] Puddled clay. [] Ordinary backfill. Well cover: [] Concrete. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. [] No. Pump~ [] Shallow well. [] Deep well. Length of drop pipe, feet. Pump capacity, Located in: [] Basement. [] Pumproom off basement. [] Pumphouse above ground. [] Pump pit. gumproom properly drained: [] Yes. [] No. Pump mounting watertight: [] Yes. [] No. Type of storage: [] Pressure. [] Gravity. Capacity, .gallons. Has bacteriological examination of water been made? [] Yes. [] No. If answer is "yes," give date Quality of water [] is [] is not satisfactory for human consumption. Installation [] does [] does not comply with approved exhibits, if any. Inspection made by: [] State. [] County. [] Ltxal Health Authority. Inspected by Date of inspection __ 19 .gallons per minute. feet. GPO 089-08B _ ~,~ ,~EATER ANC!!OR,a. GE AREA BOROUGH /-~//'~ !!EALTh DEP/~RT!,ENT · /~' N 327 EAGLE ST~ET ~ ~NCHORAGE, ALASKA 99501 DATE RECEIVED INSPECT: REQUEST FOR APPROVAL OF INDIVIDUAL SEIqAGE AND hATER FACILITIES FOR 1. Approval Requested By C~ d~ ~ Address ~& ~ fi/-'- ~b~fi~ fi ~~ 2. Property O~er ~ ~~ Phone 4, Type of Facility to be Inspected ~~ STREET: Number of Bedrooms ~ ~C{ / ~'1 / ~ Well Data: A. Type B, Depth C. Size D. Construction E. Bacterial Analysis Sewage Disposal System: Septic Tank (If homemade, show diagram on back) 1. Size /ZPco6> 2. Age /77~ 5. Nanufacturer .5~7./X/f~..: 4, Installer ~ Approval Request for Sew~ ~ ~ater Facilities B. Seepage Pit 2. Lining. ..C. _ Dis~al Field 1. ~of Lines 2. To~al L~ngth Req~,red, t~easurements A. ~1 to Septic Tank B. P/ell~o Seepage Pit \ C. l*Jel 1 t o~ewer Line D. Well to Pretty Line E. ~Vell to Other XRossible Contamination F. Foundation to Septic Tank ~,~ Foundation to Seepage Pit ~O H. Seepage Pit to Property Line 8. CO~g~ENTS: APPROVAL VALID FOR ONE YEAR FROH DATE SIGNED. GREATER NNCHORAGE AREA BOROUGH HEALTH DEPARTP.~Eb~ BDll70 DATE ~.,' DIVISION OF PUBLIC HEALTH · ,~ BACTERIOLOGICAL WATER ANALYSIS OFFICE NAME ADDRESS SAMPLE COLLECTED BY am DATE COLLECTED. TIME COLLECTED pm MATERIAL: Bui~dlng Sewer [] Cost [] Wood [] Tile [] Fibre ~ Careen1 G~NERAL: Does Water Become Muddy or Discolored? [] Yes [] No When? Offset In ~ In BasemenJ (~] Room PUMP LOCATION: [] In WeLL [] Basement Records in this office indlcale this WATER SUPPLY to be of: Satisfactory [] Question~ble [] Unsatisfactory Sanitary Status. ~ an "Unsal~slaclory" or "Quesl~onable' stalus is indicated above you should take immediate action as recommended __1. Notify consumers water is polluted. Boil or chemicaBy treat this waler as outEned in the enclosed leaflet "Drin~ It Pure." 2. Increase chlorination suUiclently to meet recommended residual s~andards. Determine source o~ contamination and take aclion necessary to malnfaJn a sa~e water supply at all limes. 3. Check chlori~afinn and other mecbanica~ equlpmen~. Make cerlain it is functioning proper~y. --4. If alter checking equipmenl a d~sinfecting residual is hal obtained, p~ease wlre 1his o~hce '~or emergency assistance or advisory services. S. This is a surface water source and subject to pollution by man and animals. An approved wa~er supply source should be developed. 6, rmproveyour [~ spring [] dug well [] driven well [~ drilled well [] cistern. 7. Relocate your well to a sa~e location in relationship to your sewage -- disposal system. [] see enclosure 8. Sample too long in ~ransit; sample should not be over 48 hours ord at examinallon to indicate reliable results, please send new sample. [] Bo~tle Broken Jn lransil, p~ease send new sample. 9. Contacl your nearest [] Local HeaBh Deparlment or [] Alaska Division of Public Health, sanilation office for bulletins, consultation and SANITARIAN'S REMARKS Signalure READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE BACTERIOLOGICAL WATER ANALYSIS RECORD ~Jm 17V7. Lactose Broth 1Oct 10cc 1Gcc t0cc J 10cc 1.0cc 0.1cc I 24 hours 48 hours Brilliant Green 24 hours 48 hours EMB AGAR Laclose Broth, 24 hrs. 48 hrs.- Groin's stain Coliform Density .IMost probable No. per 100cc ) MF .-esuhs ~ Reported by This analysis indicates Coliform Organisms ~o be: Date Absent Attentio~: ~4ac Maei This office has v~rified the connection of the above property seepa9~ pit, we do not require caving in of the pit. I regrat the delay in getting ~i~ info~Jatton back to you. Sincerely, susan E. Oswalt Sanitaria% July 8, 1974 Skell Goons AR£A REALTORS 3300 "C" Street Anchorage, Alaska 99503 SUBJECT: Sever and uater ,facilities serving Lot 3h SWISS Atre Subdivision Dear Mrs. The on-site sewer system on the subject lot can not be approved as public sewer is now available and connection is mandatory as per Greater Anchorage Area 2orough Ordinance Approval frail this deparbnent will be granted upon ¢~pletton of the connection. This mandatory connection must be done v4thtn 60 dmys efter receipt of this letter. If you have any questions, please feel free to contact me a~ ~74-4561, extension 1~3. ~tnc.rely, Les B:chholz, R.S., Sanitarian LB/ko Certified ~o. 740332 RECEIPT FOR CERTIFIED MAIL--30~ (plus postage) POSTMARK SENT TO OR DATE STREET AND NO. P.O., STATE AND ZiP CODE I~ -- ~[ SERVICES FOR ADDITIDNAL FECS i~Shows to whom and date deliverefl~-6¢ RETURN ~ With delivery to addressee only ............ 65d RECEIPT 2. ShowsA~ whom, ,~ate and where delivered .. 35~ DELI~£R TO ADDRESSEE ONLY ...................................................... ~0-~ PS Form NO INSURANCE C0VERAGE PROVIDEO-- (See other side) Apr, 1971 3800 NOT FOR INTERNATIONAL MAIL * o~o :l~ o- ~o-~.i~ ~here del~ver~u"~e and address .... ceived tim .u red ~ti describe ~.~r, ~)avtd A. Drog~ !3652 S~vtss Place Anchorage, Alsska 9950.3 Subject: Availab~lity of Lots 1,3,5,9,1DQ14 to the Swiss Airs Subdivi~;ion Come,unity 5'~ater Supply. Dear ~'~r. Oro$e: the subject %~a~er system is ap~roved by this office. Lynn a. Co~-'! ky