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Home My WebLink AboutTOILSOME HILL LT 2 Permit / MUNICIPALITY OF ANCHORAGE/ ~ Departmen%~f Health and Environmenta~rotection 825 L Street, Anchorage, AK. 99501 264-472,0 ~oa~O7u~/ * * * HANDWRITTEN PERMIT * * * ~ON-SITE SEWER PERMIT Mailing Address: Phone Number: Applicant: _~//~ ~ Location: Legal Description: ~0~ Type of Soil Absorption System Is: Trench: Drainfield: Maximum Number of Bedrooms: Lot Size: Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) A)/~ The Required Size of the Soil Absorption System Is: DEPTH _ /0~/~- LENGTH /"Y/~ ~. GRAVEL DEPTH ?U/~ WIDTH ~J/D The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = 2&~O GALLONS * ~ermit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number Df residences that the well will serve. ~ TWO(2) INSPECTIONS ARE REQUIRED ~ackfilling of any system without final inspection and approval by this department ~,~ill be subject to prosecution. '4inimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type ~f public well. Minimum distance from a private well to a private sewer line Es 25 feet and to a community sewer line is 75 feet. Well logs are required ~nd must be returned to this department within 30 days of the well completion. )ther requirements may apply. Specifications and construction diagrams are ~_vailable to insure proper installati~n.~- ~ ........... * * * PERMIT EXPIRES DECEMBER 31, 1 9 I certify that: ~ .... (1) I am familiar with the r~quirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I wil~install the system in accordance with codes. (3) I understand that the on-s~te sewer system may require enlargement if the 9~si~ence~i-~ remodeleJ/to include more that 3 bedrooms. Signed: Issued by: App Date: ~ 7/~ SWP/024(1/81) GAAB-HD-I OR"' 'TER ANCHORAGE AREA BOROUX'~q D~Lew,~RTMENT OF ENVIRONMENTAL 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~:~/~ ~----~"~"~/-~'~ ADDRESS ~'~J~O ~, o~-/.-~, ~'?~'~-~-- PHONE __ LOCATION ~"~/'d_~'Z2/~'~ //7~/~-~-~ ~:~ LEGAL DESCRIPTION ~'~,( ~'--~/~D~-'~//~r~-).~',, SEPTIC TANK: DISTANCE ~©M WELL ~-~'~ LIQUID CAPACITY /~ O('; GALLONS. NUMBER OF / MATERIAL ._g-,.7--.~-~/~ COMPARTMENTS LIQUID INSIDE LENGTH ~ INSIDE WIDTH ~ DEPTH__ SEEPAGE SYSTEM: SEEPAGE Pit: NUMBER OF PITS // OUTSIDE DIAMETER ~ OR WIDTH~'%/~ '., LENGTH /~' /, DEPTH LINING MATERIAl .,-'~.4/~ ~'~'~-"~2~.~'~/~- . DISTANCE FROM WELL /~...~...~,..c.~,q~, , BUILDING FOUNDATION. NEAREST LOT LINE ~O /~' ~m ~'~- TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: ////.~ TOTAL LENGTH DISTANCE FROM WELl .--~, FOUNDATION ~ . NEAREST LOT LINE . OF LINES NUMBER OF LINES .-'""'/DISTANCE BETWEEN LINES x,~ TRENCH WIDTH IN. TOTAL EFFECTIVE ABSO SQ. ET. LENGTH OF EACH ~ / DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE. IN. ABOVE TILE WELL: .~-~/~-~/~r/'~/z-./~/~.~z_ TYPE ~--~/~ , DEPTH. / DISTANCE FROM ~ WATER ., BUILDING FOUNDATION SAMPLE ~ , NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE ~ , SEWER LINE ~., TANK ~ , SYSTEM ~- , CESSPOOL ~ , SOURCES__ DISTANCES: DIAGRAM OF SYSTEM G.A.A.B. DATE .~..~"~ ~. /'~:~ APPROVED · [i? / /~¢"R~A""r'ER'"iANCHORAGE AREA BOR'~'UGH F SEWAGE DISPOSAL SYSTE~ ~ APPLICATION AND PERMIT PERM IT NO. INSTALLATION Of: SEPTIC TANK ~' SEEPAGE PIT ~ j DRAIN FIELD -, OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST TYPE AND SIZE Of FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS L--I ~OMPLETION DATE ANTI~IPATED MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPT]C TANK ~ / FOUNDATION TO SEEPAGE Pit ~L~' DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL /~ ¢-~ SEPTIC TANK,'~'~'~ ,, SEEPAGE PIT /~2~)., DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF S~PT]C TANK AND INTO CR[13 CROSSING GAP OF EXCAVATION 5 FEET INT~BED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTI~ TANK AND SEEPAge PIT FIT+ED WITH A[RT[(~HT REMOVA~3LE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE GREATER ANCHORAGE AREA BOROUGH DEPA~ iNT OF ENVIRONMENTAL QUALI~ ~ 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # P'erformed Legal Description: L~t Block This Form Reports Soils--[-~g,,,,~O -- ~ J Date Performed /o--1~-7/ Subdivision ~P~" Percolation Test Depth _Feet Soil Characteris~ics_~_____ 2 4 Was Ground Water Encountered?,/~/d~ If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H20 Net Drop Percolation Rate ~41 .,,~o Proposed Instal--lation: Seepage Pit Drain Field Depth Of Inlet Depth To Bottom Of Pit ~ TrenCh COMMENTS' · ~ ~ ~ ~ ~ Date:" ~'~'~'~'~, GREATER,~ANCHORAGE AREA ~--,bROUGH ' HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 ~F/ 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT ~'-~r~d ~'~m/~)~nr~ MAILING ADDRESS/~/~'~/Z ./~'~ PHONE NO. -. // -- - LEGAL DESCRIPTIO~ ~ ~,~ APPLICATION TO INSTALL: SEPTIC TANK ~ ,SEEPAGE PIT , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY ~,~/e ~ ~ G~ 'FINAN CED TH ROUG H ~.~mh ~a C~'~/~,~ TO BE INSTALLED BY ~ob~ PERCOLATION TEST RESULTS ~ ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPART~ENT ~OU~ T. S TO SERVE AS , PERMIT TO INSTALL A ~-~¢~,,~- ~-4~k~¢~ AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ~ 6~d?Z'~-~7~"~ · SEPTIC TANK SIZE ~,~'~ TYPE ~EEPAGE AREA ~'~ ~ TYP~~/~/¢T ~l DIAGRAM OF SYSTEM rS Authority I certify that I am familiar with the requireme above described system is in accordance with said code. DATE ~-/~ ~J' APPL'CANT$ S'~NATU"E 'of Greater Anchorage Area Borough Ordinance No. 28-68 and that the Municipality of Anchorage REQUEST FOR VOUCHER CHECK Dept. of Health & Human Services FROM: (DEPARTMENT) TO: MUNICIPAL CONTROLLER DATE: January 5, 1995 .37464 THIS SECTION FOR ACCOUNTS PAYABLE USE ONLY VOUCHER NO. PAYMENT DT. V VENDOR NO. REFERENCE NO. INVOICE {)ATE iNVOICE NO. CHECK NO. I CHECK DATE REP APPR REQUEST THAT A MUNICIPALITY OF ANCHORAGE CHECK BE ISSUED TO: Name Douglas T. Kenley Address HC01 Box 6034 Palmer, AK 99645 2. THIS PAYMENT IS FOR THE FOLLOWING (SUBSTANTIATION ATTACHED): Well to tank waiver not required as the system was built in 1972 prior to 1973 ruling requiring 100 feet from well to septic tank. Please refund the waiver fee of $625.00 and the Health Authority Fee of $300.00 for this property. Receipt #00211 dated 08/19/94. (Lot 2, Toilsome Hills S/D) 3. DISPOSITION OF CHECK: (1) [~ MAILTOPAYEE (2) [] MAILTO PAYEEW/ATTACHMENT (3) [] NOTIFYPAYE:ETOPICKUPINTREASURY Name: Phone NO.: 4. ACCOUNTS TO BE CHARGED: AUTHORIZED USE ONLY (6) [] NOT[FY DEPARTMENT EMPLOYEE WHEN CHECK IS READY IN FINANCE Namer Org. NO.: __Phone NO.: ITEM ENTER AI.L POSITIONS OF ACCOUNTING DISTRIBUTION NO. DESCRIPTION O~ /CC Acer/Ob Task Opt cost Ctr. WA/WO AMOUNT 1 2 3 1 5 8 R 6 flu n d 2 5 7 019 4 2 6 925 ' 5. TOTAL AMOUNT OF CHECK ._~ $ 925 )0 Emp Phone No. Approving Authority 7. INSTRUCTIONS a. To be used only when payment cannot be made by purchase order, travel expense report, travel authorization or petty cash. b. Must be approved by department head unless approval authority is delegated in accordance with Policy and Procedure 24-7. c. Retain carbon copy for your file. 4(~001 (Rev. 2/91) MOA#15 Municipality of Anchorage MEMORANDUM To: From: Date: Subject: DHHS Accounting & Budget On-Site Services, DHHS January 5, 1995 Request for Refund - Account #2570-9426 Please make the necessm'y an'angements for the following refuad. A well to tank waiver was not required as the system was built in 1972 prior to the 1973 rutiog requh'ing 100 feet from well to septic tank. Please refund $625.00 for the well to tank waiver fee and $300 for the Health Authority Fee and send to the address listed below. Thank you. Douglas T. Kenley HC01 Box 6034 Pahner, AK 99645 Receipt # 6350/00211 Amount: $ 925.00 Account # 2570-9426 Legal Property Description: Lot 2, Toilsome Hills Subdivision Kathy Bouschor On-Site Services cc: File MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL $1:RVICE8 DIVI$1ObI DEC,, 3 0 1994 RECEIVED December 30, 1994 Municipality of Anchorage Dept. of Health & Human Services On-site Services P.O. Box 196650 Anchorage, AK 99519 GeutJelnell: Re: Lot Two, Toilsome Hill Subdivision, Anchorage, Alaska owned by Mike I',~PLmd~n', phone 345-2640 This letter is to request a refund of $9~35.00, $625 of wl~ich was paid for a well to tank waiver and $300 of which was paid for a Health Authority Approval application on the above property. Payment was made on August 19, 1994, reference #OS-00211. It was later discovered that a well to tank waiver was not necessary as the system had been built in 1972, prior to the 1973 ruling requiring 100 feet from the well to the septic tm~k. At the same time, Dan Roth determined that a well to field waiver was needed. It was decided to take the $300 paid for the Health Aurhorily Approval application and apply it toward the well to field waiver fee, which is $925.00. The house is no longer for sale so the well to field waiver is not needed at tiffs time; therefore, I request a refund of the $925.00 paid to the Monicipality. Please mail our refund to Douglas T. Kenley, HC01, Box 6034, Palmer, Alaska 99645. FWK/kk Sincerely, Douglas T. Keniey, P.E. JJ Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR% WR940054 PID# 017-411-19 HA# Date Received: 10-11-94 Legal Description: Lot 2, Toilsome S/d Engineer: Douglas Kenley, P.E. 7920 Honeysuckle Permit Applicant: Mike McFadyen Waiver Requested: Well to Field (79 ft). Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: Points: 3. Other: Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: Lo7 Name of Reviewer Rec #: 00211 Adjusted Amount: $ 920.00 Date Paid: 08/19/94 see ~'i±e Note MUNICIPALITY OF ANCHORAGE P.O. BOX 196650 ANCHORAGE, ALASKA 99519-6650 REFERENCE DATE-- PLEASE REPLY IN AREA BELOW Tl~anl~ Yowl · REPLY DATE FROM 91-008 {Rev. 6/86) Municipality of Anchorage /~ Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /: '~' '~,~- -<,~.'~'>~,'~'~--'-~' ~/,~/,YParcel i.D. A. Well Data Well type ,~', M~' ~'~" If A, B, or C, attach ADEC letter. ADEC water system number Logpresent (Y/N) ~,~5' Datecompleted-~/~Y' ~'~' /¢?,a Driller Total depth / d-Z,'" / Cased to .;g ~ · Casing height Sanitary seal (Y/N) ,,t.J~ , Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Static water level ,~o / ,C',¢ ' SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 7/ ~ / ; On adjacent lots ?~ z~ Absorption field on lot ~? ? x ; On adjacent lots / ~ Public sewer main ,z~.~..,:) Public sewer manhole/cleanout Sewer service line ,~2//,,~ Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Date of sample: Nitrate -~, / ~ Other bacteria Collected by: '~--~'~"~ ~' .-~' B SEPTIC/HOLDING TANK DATA ~' '. Tank size / '~ ,o 5) ~/~ ~. Compartments Date installed ./? 2 ~.~., Cleanouts (Y/N) / . :~ -,FOundation cleanout (Y/N) AJ Depression (Y/N) ~"?/,~ Alarm tested (Y/N) ,','~,~ H gh water alarm (Y/N) . i' ,~, ,,· Date of pumping' -~' .': /~ z/ Pumper SEPARAT DisTA~C~:[~M SEPTIC/HOLDING TANK TO: Well(s) on lot ?~ ~ On adjacent lots /~,P ~/:~/ Foundation To property line / ¢~ ~' / Absorption field / ~/' / Water main/service line Sudace water/drainage /M~,~,~ 72.026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Manufacturer Vent (Y/N) "Pump on" level at High water alarm level / Cycles testb~:l Meets MOA electrical codes (Y/N) ...... /~//~ / SEPARATION DIST~ANGEFI~bM LIFT STATION TO: Wel of~ lot On adjacent lots Manhole/Asoess (Y/N) "Pump offf~Level at- Sudace water D. ABSORPTION FIELD DATA Date installed Length / ,~/;/' Total absorption area Dateof adequacy test '~ · ~ ' ~' :~ Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) '/z Soil rating (GPD/FF) Width / 5/"/' Gravel thickness ,:, ?~, ~ ~ Cleanout present (Y/N) Results (pass/fail) -4~ .System type ,'~ / ~' ~,~- Total depth Depression over field (Y/N) -': for .5' Bedrooms After test ~' p~-~'~'- If yes, give date SEPARATION DISTANOE FROM ABSORPTION FIELD TO: Well on lot ,/~/ To building foundation On adjacent lots Sudace water Curtain drain On adjacent lots / ~/~ '~ Property line .2. ?.~ To existing or abandoned system on lot Cutbank /'~ / Water main/service line Driveway, parking/vehicle storage area [;-~ E. ENGINEER'S CERTIFICATION I certify that I ha ve checked, verified, or conformed to all MOA and HAA Engineer's Name ~o.,,.~-z_.~,._~ Date ~' [~ '~"~ HAAFee$. ,.~ ,¢/'D Date of Payment ~-/~)~ ~,Z~ Receipt Number ~'// ('"-g ~ ~ 72-026 (3/93)* Back Waiver Fee $ ~--~ Date of Payment Receipt Number INVOICE SEWER AND DRAIN ",~..,,~v.~ ~ ~ CLEANING sERvICE RO. BOX 112688 PHONE 345-2513 ANCHORAGE, ALASKA 99511-2688 Job Address DATE SALESMA TERMS -- 30 DAYS ROTO-ROOTER SERVICE CALL HRS. @ STEAM THAWING HRS. @ : TRIP CHARGE HRS. @ . ' OVERTIME CHARGE HRS. @ ADDITIONAL LABOR CHARGE HRS. @ PUMPINGSERVICE .~.}Y~'~} (GAL.)HRS. / @ HYDRO-J ET SERVICE HRS. @ · '~MATERIALs :/,//),~z,s $ '~ )- PLEASE PAY ~:~M THIS INVOICE TOTAL TOTAL FOOTAGE CLEANED OR THAWED BLADES USED __ PROBA"LECAUS FSTO'PPAGE LINE CLEANED [] J O B N CT G UA RA ~ T~E E.[~ F~)~-F QL/LO~/~/t~ ~.R~ASO N/~/ ? WORKAOOE~TEDB',' % , "/- ' CT&ERef.# Client Sample ID Maffix ClientName Ordered By ProjectName Project~ PWSID Commercial Testing & Engineering Co. Environmental Laboratory Services ~~,j~jj~-~-~'fJJ~-~e'~'J~-J~,:, LABORATORY ANALYSIS REPORT 94.2646-1 12600 TOILSOMEHILL DR WATER KENLEY,P.E., DOUGLAS UA WORK Order 79023 Printed Date 06/07/94 607:42 hrs. Collected Date 06/01/94 621:30 hrs. Received Date 06/02/94 609:00 hrs. Technical Director STEPHEN C. EDE Sample Remarks: SAMPLE COLLECTED BY: FRED W. KENLEY. QC Parameter ResuRs Qual Units Method Allowable Ext. Anal Limits Date Date Init Nitrate-N 2.16 mg/L EPA 353.2/300.0 l0 06/03/94 CMR * See Special Instructions Above UA = Unavailable ** See Samp lc Remarks Ab o ve NA = Not Analyzed ,, U = Undetected, Reported value is the Practical qaantificati°n Iimit. LT= Less ~lhan o, D = Secondary dilution. GT = Greater Than 5633 B Street, Anchorage, AK 99518-1600 --Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO. FLORIDA, iLLINOIS, MARYLAND NEW JERSEY, OHIO. UTAH, WEST VIRGINIA LOCATION OF WELL BOROUGH LOCATION/SKETCH: STATE OF ALASKA DEPARTMENT OF NATURAL RI:SOURCES DIVISION OF WATER WATER WELL RECORD D~PTHS MEASURED FROM:Dealing top [~groLted sLn-foca BOREHDLE DATA: ,,..O~ ~ ~a~erial T~ Color F~ To WELL .DEPTH: Depth of hole: ~ Dep:~l of ceA[nD:.,'/...~ ' DATE OF COI~IPLETION ft DEPTH TO STATIC WATER LEVEL: A./_O ft below ~ top Bt ceslng oo~: _A_._~ 12: ~ ~¢/ [] ground surface METHDD OF DRILLING: [~. air rotary {~] cable tool USE OF WELL: [~' domestic .i-I irrigation [] monitor [] ~ablio. supply [] other .. CASING ft, ,Diem: Casing WELt. I~I'AKE.OPENING TYPEF E] open end I"l screened [] per/orated /v[~ open hole ~ Depths of openings: . .,, . to ft :gCREEN TYPE: Diem: ...... in. Slot/Mesh Size: ft RECEIVED O0T 5 lgg4 Munici Dept. Hea Hun GRAVEL PACK TYPE: ,, Volume used: ' '-- Depth ~ topr" - '"' ':' ' GROUT TYPE: Volume: Depth: from ft to .. ft D VELOPM Duration: pUMPING LEVEL AND YIELD: '.~?, ~;/ _. b...u~,!.-o 7.¢' .~.~ PLEASE'MAll. WHITE ~nPY O; LOG:~O: DNA/DIVISION OF WATER ~:"" __ , :~__ TOTRL P.O? TIME DATE INSPECTOR DATE RECEIVED TIME DATE /INSPECTOR MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH pR©TECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~ONMEHTAL~ 825 L Street - Anchorage, Alaska 99501 007 4 980 ENVl RON~ENTAL SANITATION DIVISION Telephone 264-4720 R E C E i V E REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts oil page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. PROPERTY RESIDEI~T (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS i I/PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION · STREET LOCATION J 6, TYPE OF RESIDENCE ~ SINGLE FAMILY ~ MULTIPLE FAMILY 7. WATER SUPPLY I NDIVIDUAL* COMMUNITY [] PUBLIC UTI LITY NUMBER OF~BEDROOMS [] One [] Four [] Other__ [] Two [] Five ~ Three [] Six * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE** ~YEAR__ ON-SITE SYSTEM WAS INSTALLED. · [] PUBLIC UTI LITY 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 NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE E~ FIVE E~] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMrT NUMBER 2. WATER SUPPLY [] 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 []Septic Tank or [~] Holding Tank Size: /F'~4:~)O If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER ~_~ TOTALABSORET,ONAREA MATER,AL 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line._ Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS OVED FOR '~ BEDROOMS [] CONDITIONAL APPROVAL (letter mL)~t.~ccompany certificate) [~DISAPPRQVED 72-O10 (Rev. 6/79) ALASKA enUIROnme[1TAL CONTROL SeRUICeS, I~n§ineerincl 6 ~nui~onmental Studies InC. NOVEMBER 5 1980 GII_E, ER [ I:,OSWORTH SRA BOX ~Z395-G ANCHORAGE AK 99507 SELLER -' GILBERT BOS~ORTH SUBOi~VISION-TOILSOME HILL BLOCK-O LOT-2 THE TYPE OF ABSORPTION SYSTEM IS A PIT ~ITH AN AREA OF 5Y6 SQFT~ TIlE SYSTEM IS CAPAE:LE OF ACCEPTING 45Q GALLONS OF WATER RER DAY~ THE SO~L.S RATING OF THE SYSTEM AT CONSTRUCTION NAS ~25 ANO NON IS 1~2 SQFT/ BEOROOM~ BASEO UF'ON THE TEST OATA THE SYSTEM IS ACCEPTABLE FOR A 3 E:E~ROOM HOME, THE SEPT ANK NAS PUMPED ON OCTOBER :L7 1979 , 1220 ~es! 25th Auenue "AncDm'a% Alaska 99503 · (907) 275-1361 Department of Environmental Quality street, Anchorage, Alaska 99503 274-4561 Date Received May , 13 Time of Inspectio~ 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1976 10:30 a.m. 5-14-76 Frid. Les Gerard & Caroline Garland Phone: Phone: 344-6354 Star Route A Box 395G T12N R3W Section 25 SE~ NE~ NW~ NE¼ Legal Description: Location: Toilsome Hill Type of facility to be inspected Single Wel 1 'Data: Individual A. Type ~')y~ C. Construction [ L.,~J:~..-~.~,~ ~>-~: ~ Sewage Disposal System: A. Installed 1972 (Lot 2 Toilsome Subdivision Family No. of bedrooms B. Depth //155 (( / D. Bacterial Analysi~j?r?( On-site system B. Installer C. Septic Tank: D. Seepage Pit: E. Disposal Field: 1. Size 1. Absorption Area Total length of lines 2. Manufacturer 2. Material 8. Distances: A. Well to: Septic tank Nearest lot line , Absorption area Other contamination , Sewer Lines __ B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGE ~1~!,,.,,[~o~,~,[~,!-~.~,~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2, Property Owner: ~"cr'r;u~r) Mailing Address: ~/~ Name of Buyer: -~ ~ . / ~ Mailing Address: Name of Lending Institution: FHA CONV D~V Phone: -~/~ ~ ~' Mailing Address: Phone: Name of Realtor or Agent: , .~. : Mailing Address: Phone: Legal Description: Z(;~L z' Type of Facility to be Inspected: CZ? Water Supply Type of Supply: Public Utility. .Individual If Individual, number of dwellings presently served / / If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation ,./CcJTC' Individual (on-site). 72-003(3/76) ;..-Pag~_e. 2 of two pages - Req._.~t for Approval of Individual S~_?r & Water Facilities Legal Description T12N R3W Section 25 SE~ NE¼ NW¼ NE¼ Comments Approved,-~,~.,~~__ Disapproved Date~-~/.. ' ;1 Valid for one ear from date si ned aPP~gYQ k Y g 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 Date EQ-034 (1/74) FROM: DEPARTMENT: NITIATED BY: GREATER ANCHORAGE AREA BOROUGH TO: DEPARTMENT: DATE ANSWER · . REQUESTED: RECEIVER: REQUESTED ACTION SCHEDULE FOR INFORMATION ONLY PREPARE BACK-UP INFORMATION FOR IMMEDIATE ACTION ~ CALL ME BEFORE YOU ANSWER FOR YOUR CONSIDERATION i~- NEED YOUR RECOMMENDATION OTHER /~ .~-,j 'x~..,,REATER ANCHORAGE AREA BOROUGH I !~AL~] DEPARtmENT 327 EAGLE ST~ET - ~CHO~GE, ALASKA 99501 279-2511 :~ ~' 'QUEST FOR APPROVAL OF ~ . I] ' INDIVIDUAL SEWAGE AND WATER FACILITIES Address ~ ~~ ' Fhone 77 -GU/Cf Property Owner ~~ Legal Description %~J/~ /~/~-//~ T~e of Facility to be Inspected Number of Bedrooms Well Data: C. Size D. Construction E. Bacterial Analysis 6. Sewage Disposal System: Ao Septic Tank (If homemade, show diagram on back) 2. Age 3, Manufacturer Installer Approval Request £or Se¢~..~ ~ Water Facilities B. Seepage Pit 1. Size C...Disposal Field 1. Number of Lines 2. Total Length Required Measurements A. Well to Septic Tank B. Well to Seepage Pit C. Well to Sewer Line D, Well to Property Line /~ r~- E. Well to Other Possible Contamination F. Foundation to Septic Tank G. Foundation to Seepage Pit H. Seepage Pit to Property Line~'~ 8. CO~4ENTS: ~ ' ~q~ ~/. APPROVAL VALID ~0~ ON~ GREATER ANCHORAGE AREA BOROUGH HEALTH DEPART~E~ EDll70 22,, 1971 ~41ss Jean ~ith, Realtor 746 "F" Street Anchorage, Alaska 99501 Subject. Sewer and Water Systems on SEI/4 NE1/4 NWl/4 NE1/4 Sec. 25 T12N R3~. Oorald Garland, owner. Dear IiiSs SmiCh: Upon inspection of tho subject property it ~as discovered that the well ~as buried. Also, our records show that a permit to install a seb~er syste~ w~s issued o)) the subject property, how- ever, the system did not receive a final sewer~inspectton from our office. Before approval can be given by this office on the well, the ~vell casing needs to be extended above ~)~und. Before approval by this office can be given on the sewer sys~m, a final inspection by tht~ off(ce ts needed. If there are any questions regarding this matter, please do not hesitate ~o contact us at 279-8686. Sincerely, Lynn S. Coed Sanitarian cc: Mr. Gerald Garland ky NORTHFRN TESTING LABORATORIES, iNC. 600 UNIVERSITY PLAZA WEST, SUITE A FAIRBANKS. ALASKA 99709 907-479,3115 2505 FAIRBANKS STREET ANCHORAGE. ALASKA 99503 907-277,8378 t~lq ¢! //¢i Municipality of Anchorage DHHS - Water Quality Control P.O. Box 196650 Anchorage, Alaska 99519-6650 Attn: Dan Bolles Date Arrived: 5/03/88 Time Arrived: 1036 Date Sampled: 5/03/88 Time Sampled: 1000, 1023 Date Completed: 05/04/88 Source: - Sample ID#: A050388-15,16 Parameter Units A050388-15 A050388-16 ADEC MCC* · 410 W. 92nd I' ~2 Toilsome Hill .. Nitrate-N mg/1 <0.10 17.1 10 MUNICIPALITY OF ANCMO~E DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAY 9 1988 RECEIVED Francois Rodigari, Anchorage Operations Manager * MCC = Maximum Contaminant Concentration