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HomeMy WebLinkAboutROBERT AUBREY LT 8 Municipality of Anchorage Page / of DEPARTMENT OF HEALTH 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 Permit Number: '~c)c/O'~>/ PID Number: c9~'//02,3c2 Name: J~ U pg rade C,9,¢o~6 ~. C,9~-~ vz-~ Wastewater System: [] New Address: ~.~o~0 7-u~-,~ .';~.o~' zqv~. . ABSORPTION'FIELD ~ No. of Bedrooms: 0.,9,O6.I~./r_ t /4~t~ _~ [3 Deep Trench E] Shallow Trench .,~Bed rqMound E3Other LEGAL DESCRIPTION so, Rating: Total Depth from original grade: ~.~-GPD/Sq. Ft. Lot: C'.~c~: Subdiv~iom Depth to pipe boffom from original grade: Gravel depth beneath pipe ~ ~ ~Y [.~ Ft. ,~ Ft. Township: Range: Section: Fill added above original grade: Gravel length: ~ -- / Ft. ~ Ft. WELL: Q New D Upgrade Gravel width: Numberof lines: Oistance between lines: ~ Ft. ~ G, ~ Ft. Classification (Private, A,B,C):~Z/~ Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: Static Water Level: Installer: Date installed: Yield: GPM Pump Set at: Ft. Casing Height Above Ground:Ft. TAN K SEPARATION DISTANCES ~ s~ptic ~ Ho~di.g ~S~T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~H~ ~ WelF ~% zOO ~ ~O ~ ~E~ Materia~P~ Number°fc°mpa~ments: Sudace ~r vOO'~ rOO'~ ~'~ ~ LIFT sTATION size in gallons: ~ Manufacturer: Lot / ~ une /O' /O ' /~O "Pump on" level at: "Pump off" level at: High water alarm at: Foundation ~G' ~G / ~P ' ~ ~Z" ~" Pump Make & Model I Electrical Inspections pedormed by: CudainDrain ~O~ ~ 3~ .... ~/ ~J ~.~ ~C'~/C Remarks: BENCH MARK Location and Description:  Assumed Elevation:~o~. ~D ~, EN~ SEAL . 17034 Eagle River Loop Road, No. 2~ Inspections performed by: ,~=~. Iv.,, A~.ba gg~77 Dates: 1st Department of Heal~d Hu~ices approval Reviewed and approved by:/' Date: / Permit No.~w94°581 Page 2 of Municipality of Anchorage DEPARTMENT OF HEALTH 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 Descriptior~.OBERT AUBREY SUBDIVISION, LOT 8 PID No.: 05110239 ',IEW 1250 SCALE f' = 40'i TUNDRA ROSEiAVENUE LOT 8 · 92.3' WATRR FOUND 9-16+94 dot 5.0 28.? ~02 10.0 25.6 MH 11.2 25.5 MTI 35.1 46.0 MT2 45.5 53.4 MT3 42.5 29.0 2RESSURE DISTRIBUTION BED ROBERT C. COWAN CE-8801 ED'S ELECTRIC INC. 31M COMMERCIAL DRIVE ANCHORAGE, ALASKA 99r,;01 VALDEZ ANCHORAGE (~(~?) 2)2-4591 Fax 2?4-6265 17054 EAGLE R~I/ER LO0~ SUBJECT LIFT STATION AT FAGLE RIVER ALK. 25040 TUNI)RAROSEAVE THE ELECTRICAL IqIRING ON THE LIFT STATION ON SUBJECT JOB IS INSTALED IN ACORDENCE IqlTH LOCAL + l~c. COE~JS$ SIN 'CERELY ED~h~ STROb~ 0t~R. MM~A~ PAGE 1 OF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940381 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:CARLYLE CAROLE E OWNER ADDRESS:23040 TUNDRA ROSE AVE DATE ISSUED:10/03/94 EXPIRATION DATE:10/03/95 PARCEL ID:05110239 LEGAL DESCRIPTION: ROBERT AUBREY LT LOT SIZE: 7500 (SQ. FT.) ~ER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE MAXIMUM TOTAL DEPTH OF THE BED MUST NOT EXCEED 2 FEET. ipality of Anchorage ROBERT SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 September ~qOT, 1994 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN DEPARTMENT OF HEALTH ANDHUMAN SERVICES 825 "L" Street P. O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 8; Robert Aubery Subdivision Request you issue a permit to upgrade the septic system serving the three bedroomhouseonthe referenced property. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plant. At the time of excavation, water was encountered at 9 feet and after fourteen day ground water monitoring, water was found at 7 feet. Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. There are no protective well radii which encroach upon the property. If you have any questions, or require additional information for your review, please contact us. Sincerely, . an, P.E. RCC/JA/lt 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 w Z Z ~02CW o~ <o I I BIVOB 3O¥~19dFI ,0~ : ,~ I ]..~ (.:u~,) .c '-IIVI':!(3/N 0113 3 S- X ] Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 1 2 4 5 6 7 8 10 11 14- 15- 16- 17- 18- 19- 20- (ENGINEER'S SEAL) ~ 'i:~~ 'i'.';'" ~ ' DATE PER ~J-~ ;~, SI~PLAN "'"" * ~¢t~-~..-~' ~"~E.~wnship, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? iF YES, AT WHAT DEPTH? nepth lo Water Alter Monitoring? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE I '~,'~ (minutes/inch) PERC HOLE DIAMETER COMMENTS TEST RUN BETWEEN ~'''~' ~''' FT PERFORMED BY: ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ' -~34 Eagle Ri~r L~op Road ~o, _ de Riv~, Alaska 99577 ~ / ACCORDANCE WITH ALL STA~E AND MUNICIPAL GUIDELINES I~EF~ ON THIS DATE. DATE: ROBERTSHAFER, P.E. ON-$ZTE ~ASTE~ATE~ ~$POSAL SYSTEM CONSTRUCTZON PRACTZCES MATER~AL $PECIFZCATIONS CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECT[ON ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SO[LTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN REFERENCE: Lot 8; Robert Aubery Subdivision GENERAL: Thc scope of this project includes the installation of a 1250 gallon septic tank effluent pumping (S.T.E.P.) system and a pressurized absorption bed to serve the three bedroom r~sidence located on thc referenced property. The existing 1000 gallon septic tank is to be excavated, pumped, crushed, and abandoned. Construction shall 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 Wast~wat~r Disposal Regulations. 3. The contractor shall be r~sponsibl¢ for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be r~sponsible for final grading areas subsequently depressed from soil s~C~ling. On all leachfi~d mound systems, the property owner shall be r~sponsible for ensuing a satx~factory vegetation growth over the mounded area. Contractors installing wastewat~r disposal systems must be e~rtified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEFFIC TANK II~STALLATIOI~: A septic tank is to be constructed by a c~rtified septic tank manufacturer. Construction shall include two 4" cl~anouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. $. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577 Lot 8~ Robert Aubery Subdivision September 20, 1994 Septic tanks installed with less than 4' of cover shall be insulated. A foundation ¢leanout shall be installed one to four f¢~t from the building foundation. In the line b~tween the tank and the leachfield there shall be two adjacent ~l~anouts (unless an effluent pumping system exists within the septic tank). Th~se cleanouts shall be located on undisturbed soi~ not more than 10' from the tank. The first cl~anout, in line, shall be to clean toward the leachfi~ld. The second ~leanout shall be to ~ean toward the septic tank. Final grading over the septic tank sh~ be such that a positive slope exists away from the septic tank. PRE~S~IZE~ ~OU~ S¥$TE~I ZNSTALLATION: I. Any peat or organic matter m~st be removed from the elevated mound site. 2. The bottom of the basal bed area as well as the top of the sand filter is to be within two inch~s of level. 3. The distribution piping is to be of PVC (ASTM D3034 or equal). All joints are to be solvent cemented. 4. The side slopes of the top layer of the mound system must not be steeper than 33% (3:1). 5. The top of the mound shall be covered with a minimum of 6 inches of topsoil and vegetated sufficiently to prevent erosion. The distribution pipes are to be embedded in sewer rock. Care should be taken to backfill in such a way as to prevent d~mage to the piping system. Silt barrier material must be installed b~tween the final gravel layer and thc native so.U., backfill. Ensure thc silt bar~r covers the entire gravel surface before placing backfill. Page Three Lot 8~ Robert Aabery Subdivision September 20, 1994 Any septic tank proposed for installation must be constructed by a Mu~cipally approved septic tank manufacture. The following pipe materi~Is are approved for use in septic system installations in the Municipality of Anchorage: e Pipe 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 l~ast 2" thick extruded dire~t burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N, or equal) must be installed b~tween the final leachfield gravel layer and the native soil backfill. All leachfield grav~ (sewer rock) shall be 0.5"-2.5" s~reened gravel with less than 3% passing the #200 sieve. When sand is b~in~ used as a filter material, its gradation specifications must conform to ¢~rrent M.O.A. or D.E.C. requirements. Page Four Lot 8; Robert Aubery Subdivision September 20, 1994 IHSPECT I OHS = Typically there will be a minimum of three (3) inspections required during the installation of the wastewater dispos~ system. These inspections will occur as fo~ows: I. The first inspection must be conducted after the excavation of ditches, pits, trench~s, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and ins~lation, but before the placement of any other backfill. 3. The final inspection is to oc~ upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trench~s, sand filters, pressurized distribu~on 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 contractor's 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.0.A. permit. There will be no contractual arrangement existing b~tween 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 contractor's activities. Final acceptance of the contractor's 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 work on this project or the failure of the contractor to carry 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. CONTRACTOR/INSTALLER GR r -TER ANCHORAGE AREA BO' 3UGH · _ Department~ ~ of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION MAILING ADDRESS ~ ~/g//f:~' ~.. ~'~y/k"~ c~,';Z., PHONE LEGAL DESCRIPTION ~ ~2 ~f ~4~'~' ~'g/ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH /C NUMBER OF / MATERIAL ~--C2 :~C'~ COMPARTMENTS INSIDE WIDTH LIQUID DEPTH , LIQUID CAPACITY /~)~ GALLONS. SEEPAGE Pit: NUMBER OF PITS / · DIAMETER LINING MATERIAL ~ BUILDING FOUNDATION ~-//'t~' ADDITIONAL ABSORPTION OR WIDTH CRIB SIZE: DIAMETEI~ NEAREST LOT LINE .LENGTH DEPTH DEPTH DISTAN ,CE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. WELL: TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DEPTH NEAREST SEPTIC SEWER LINE TANK · DISTANCE FROM: SEEPAGE /Z~__2' SYSTEM REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAL: REMARKS: Form NO. EQ-031 DIAGRAM OF SYSTEM ,r_ ,,,~ 'T NO." F,:.RI ,]., DATE Z S.SUED ." DEPARTMENT 0, ,h~.ALTIq AND ENVIRONMENTAL F'ROTE.."CTION Eh-.:'.._,' '"":-: L. STIREET, Af',IC;HORAGE, AK ~=,-9,..,.'=,:":~ 1 '~ 84C';671 UF'GRADE 08/07/84 APPL I CAN]" ADDRESS: CONTACT PHOt'qE: K IRK I J,.J..,..MAN % S&S ENGII'4EEIRING EAGLE RIVER, Al< 99577 694-2979 LEGAL DE':SCF~tF': L.[IT ~ ..... ,~IZE: SUBDIVISION: ROBERT AUBREY SECTION: 9 TOWNSHIP: :[5N 43560 (SQ. F'T. OR ACRES) LOT: 8 BLOCK: NA RANGE: 1W I certiFy.that: :l.. I am familiap ~;ith the requirementi, s ~'(]r on-site seweps and weils as set ¢on{h by {he Municipality o¢ Anchopage (MOA) and the State o¢ Alaska. 2. I ~ill instaI1 the system in accordance with all MOA cedes and pegulations, and in compliance with the design cnitepia o¢ this pepmi'L. 5. I will adhere {o all MOA and S{ate oF Alasl<a requirements eof the set bacI< distances er'om any exis{ing well, wastewa'Len disposal system of public sewepage system on this or any adjacent ~r neaPby lot. IF A LIFT STATION IS INSTALI..ED IN AN AREA COVERED BY MOA ~¢UILDING []ODES, THEN (1) AN ELECTRICAL. PERMIT AND INSPECTION MIJS]'. BE OBTAINED; (2) AS.-~BUILTS WILL NOT BE APPROVED WITHOUT AN EI_EC"FRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORt< MUST BE 1]CtI'4E BY A LICENSED ELECTIRICtAN. APF'L. ICANT: KIRK F~I_L~IAN ......... .... Aun c[paaty / POD. 16-650 ANCHORAGE, ALASKA 99502-0650 (907) 264 4111 IONY KNOWL£S. MA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Permit #: 840671 January 31, 1985 TO: Permit Applicant SUBJECT: LOt 8 Robert Aubrey Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site.sewer system, the original as-built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. S incer ely, Keith E. Bandt, Supervisor Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 Performed For Legal Oescrintion: Lot ¢ This Form Re~orts Soils Loq "One ~es~ is worth a ~hm~sand o~iniot~s" Date Performed Block Subdivision Aubme7 - ..... .~?~ :f~ Percolation Test 8eDth Feet Soil Characteristics Silty Gravel GM (225) Bootora of i'esb Nole {~ --i~' Was Gro!lnd Water Encountered? i'~ Yes, fit what Denth? Reading Date Gross Time Net Time .................... --'r ......... ~ ...................... ~- ............ Percolation Rate Hinute 2 ':' Proposed Installation: Depth to H20 Net Dron SeeDaqo Pit_~,~es Drain Field ::", :.~ ';: Deoth of Inlet , . TS: Depth To Bottom Of Pit OF 100 squ~.Pe'~6e-~ requ. z~ecL per, bedroora-dra]_nage area Data Certi;Fi ed By:~onst;:euc:b:kon T(.~_~i;kC~,:': On-Site Services Section , .'. i ~'. . ~, , Box 196650 Anchorage,'Alaska 99519-6650 . 343-4744, Parcel I.D. # .¸ GENERAL INFORMATION ;Oomplete legal description ", CERTiFiCATE OF HEALTH AUTHORiTY .:,' ~ i.: .: i' APPROVAL FOR A SINGLE FAMILY DWELLING ' ' .~ ' HAA#: t'/Aq /oSqO Lot 8; Rob~' Aubr~q Sub~v~ion Location (site address or directions) Property owner Mailing address Lending agency Mailing address Ca,to£¢ Carlyle 19909 Unimak Circle 23040 Tundra Rose Chugiak, AK Eagle River, Day phone AK Day phone 552-4660 (w) Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well Community well Public water XXX NOTE: ing to the legality and status of system. If community well system, provide written confirmation from State ADEC attest- 4. TYPE OF WASTEWATER DISPOSAL: Y, XX Individual on-site Holding tank Community on-site .' . NOTE: Public sewer :', ' 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 5~ STATEMENT OF INSPECTION BYi ENGINEER As certified by my seal affixed hereto and as'of the validation date shown below, I verif:~;,., t~t 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. ~ '~ ~ Phone Name of Firm s [ ~ =~=;N~i~5 : 17034 Eagl~RJv~r Address "' '"l~/i~'S~ "" Engineerssi'g~at~re ~ ~: ~~ Date DHHS SIGNATURE Approved for bedrooms, Disapproved. Conditional approval for ~.~ ROBERT C. COWAN bedrooms, with the following stipulations: Additional Comments 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'of analyze data before a certificate'iS issued. The Municipality of Anchorage is not' responsible for errors or omissions in the professional engineer's work;/~: :- ' '. :i".: ~ ' 72'025(Rev. 1/91) B~ck MOAt21 1' :' ": "'" : ' ' r'l ' ' Municipality of Anchorage ,~ Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ,~o~E,~-?- /'~u~,~¥ Z07- o~ Parcel I.D. A. Well Data Well type ~u~c Log present (Y/N) Total depth Sanitary seal (Y/N) /¢Y,~?~-~f A, B, or C, attach ADEC letter. ADEC w~  Driller Casing height ~ Wires properly pro~ _ FROM WELL LOG AT INSPECTION Static water level Well flow ,..m. g.p.m. Pump level1 ~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot -"-"~~ ~ Absorption field on lot ~~ Public sewer main ,.-.--~ Public sewer manhole/cl Sewer service line ~ Petroleum tank ~> ~: ~o ~ I._[J WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate ~ Other bacteria Collected by: ~ B. SEPTIC/N~E~I~ TANK DATA Date installed Cleanouts (~N) High water alarm (~N) Date of pumping ~/ Tank size /Z~'© ~-,~z.. Compartments Z_ Foundation cleanout (~1) "/E~ Depression (Y~ Alarm tested (~N) /J~'~ T,~ ,'o/~, Pumper SEPARATION DISTANCES FROM SEPTIC/HQL-~iN~ TANK TO: Well(s) on lot /d/,,~- On adjacent lots To property line /~ ' Absorption field Sudace water/drainage /¢~ '¢- Foundation 2~" /~, ~ Water main/service line 72-026 (3,~93)° Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons / Vent (Y~) High water alarm level Meets MOA electrical codes (~N) "Pump on" level at Manufacturer /~ ¢/-/o,~,4~ t~zJ~ Manhole/Acoess ~N) ~'~-~ Z .... Pump off" Level at T z" Cycles tested ~ SEPARATION DISTANCE FROM LiFT STATION TO: Well on lot ~J/~- ~a~z/~. On adjacent lots D. ABSORPTION FIELD DATA Date installed /o -/~ - ?q Length z-/s- ' Width Total absorption area '~OO '~ Date of adequacy test ~,/',4 ,'d~'~a -~e--z:~ Water level in absorption field before test Peroxide treatment (past 12 months) Surface water /o~ '~- Soil rating (GPD/FF) d. 2-o' Gravel thickness Cleanout present (Y~ Results (pass/fail) /'J'd for After test If yes, give date .System type ~/~-zz/~'/o,,d ~b Total depth -~ Depression over field (Y/~ ¢V0 Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /J,/~- To building foundation On adjacent lots /~' Surface water Curtain drain On adjacent lots /oo '-f- Property line To existing or abandoned system on lot Cutbank ~o ' + Water main/service line Driveway, parking/vehicle storage area (~ ~0/~ E- ~:~ o ~,,J 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. Engineers Name Date HAA Fee $ Date of Payment Receipt Number £j ¢,,,, ,,,,' ,,, '.,.~',-'-.L~ 1,.,// ~¢~¢ ..........., t .*'s · ..; ..:.:.:' · .~. ..... ~ re, .¢:' .~¥"., ,s~j::i."...:::~ ~¢f:~:~:~::' " i~ ~ 5 ROCERT C. COWAN *,~ ~ ~¢ 6~ % CE-880] *.~ ~/ ~ '~ ~[~ II1~ ~r Waiver Fee $ Date of Payme~ Receipt Numar ~ '~ '-- · '-' '¢"- MUIqiCl~Aul¥ 01- ANCHORAGj= Z~"~ "~ . MUNICIPALITY OF ANCHORAGE DEPT. OF t~EALTH & ) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~ONMENTAL P~;OTECTION  825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION JAN 1 2 1979 Telephone 264-4720 .~E~I V~ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWERFA~j[¢~IE~ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. MAI LI~G~DDR ~ /-- ,/ PROPERTY RESIDENT (If different from a~ove) PHONE 2. BUYER /~ PHONE MAILING ADDRESS 3. LENDING I~STITMTION PHONE MAILING ADDRESS 4. REAL~OR/AGENT ~ . PHONE STREET LOCATION B. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~.~/'On e [] Four [~_~SINGLE FAMILY L~ Two [] Five [] MULTIPLE FAMILY ~ Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* *ATTACH WELL LOG. Awell log is required for all wells drilled ~ COMMUNITY since June 1975, For wells drilled prior to that date, givewell [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM []~ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department, , NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-01 O(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [~] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY E~ INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER E~Septic Tank or [] Holding Tank Size: If Tank is homemade: SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS F~;~-~PP ROV ED FOR "-~----- BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) /2 ~EGAL DESCRIPTION 72-010 (Rev. 3/78) MECHANIC;~ ENGINEER DAVID SLENKAMP 694-9055 Mrs. Sager P.O. Box 2347 Anchorage, Alaska M~:CHANICA L ENGINEERS CIVIL ENGINEERS ~94-~05.5 - 694"2979 . MUNICIPALI]'y <DF ANcHO~AO~. 99510 DEPT· OF I!~ALTH & E[~VIRONME. i~Z[Ai. P~OTECTION. .JAN RECEJ_VED 'CIVIL ENGINEER ROBERT A. SHAFER 694-2979 2 January 1979 Dear Mrs. Sager, A sewer system adequacy test was performed on your two bedroom residence located en Lot 8, Robert Aubrey Subdivision, Peters Creek, Alaska, per your request. . The septic tank .was pu~ped on 27 December 1978 andLv~rified to have a capacity of.l,00~0 gallons.' This was also. verified by the Municipal Records.. The system consisting of a seepage pit was charged with 500 gallons of water. Percolation over a 48 hour period as recorded on 28 and 29 December 1978 resulted in the removal of an average of_337~_ gallons per day or.~88 gallons per bedroom. On the basis of the above survey and test, it can be concluded that this system (septic tank and seepage pit) is adequate. However, the cleanout pipe for the septic tank is busted off ~elow ground levei. It will be requested to be extended to above ground level. Municipal Health and Environmental Office Lomas & Nettleton Co. ~/GREATER ANCHORAGE AREA BOROUGH Dl~artment of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Date Received March 12, 1976 Time of Inspection Date of Inspection 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: o 4. 5. 6. Charles A & Jody L. Zimmerman Star Route Box 1080, Chugiak, Alaska Legal Description: Lot 8 Robert Aubrey Subdivision Location: Peter's creek Single family Phone: ~-~_~ . ,-.-~ ,,/ c' ~. ~90o- ~o~ /~co-~.-~'~'~'~ Phone: 688-2196 ?./z-~o~'~' 99567 Type of facility to be inspected Well Data: In '~zdual A. Type ~%~,~.]x~ ~ ,~'-~Jj~_x ~/~ B. Depth C. Construction 7. Sewage Disposal System: No. of bedrooms On-site D. Bacterial Analysis A. Installed July, 1973 B. Installer C. Septic Tank: l. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank , Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line FN-Nt4 (1/74t P~n¢ 1 nC f~,,n Page 2 of two pages - Re' ,st for Approval of Individual ' 'er & Water Facilities Legal Description Lot 8 Robert Aubrey Subdivision Comments ' ApprOved ;~~:~~isap~pro, ved ?ate ~/7~ ~ '~_ ~' ,.- ~'.:. ~: ,~ .:... ,,..,.,.~ ,. . -- v~- ~Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED ~_.~:~ / ~..~j.~.~--~. ~ ' Date MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY ~t~e~t, Anchorag~ Alaska 99503 -- 2-74~4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: ~//,q/?/-~ /4z, Mailing Address: .~, /'~T, 3. Name of Buyer: VA FHA CONV __ /~,~ /~ oc~- C' Day Phone Mailing Address: Name of Lending Institution: Mailing Address: Name of Realtor or Agent: Mailing Address: Day Phone Phone Phone 7. Type of Facility to be inspected: 8. Water Supply Legal Description: Location: ~%* [% Type of Supply: ~-.]~ Public Utility If Individual, number of dwellings presently served Individual If Individual, depth of well 9. Sewage Disposal System Type of System:~/~ Public Utility Individual (on-site) If Individual, date of installation % ~ / ¢~ C~