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HomeMy WebLinkAboutMADDUX PARK LT 1Onsite File At a 11 a ~,J"Omm 11 Ma6 j Dy Pirk b 2) *OIS- l5lea OI Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191086 PID Number: 018-251-01 Dwelling: X Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New [N Upgrade Name: Stewart Barnes & Kim Moats -Barnes Trust ABSORPTION FIELD ❑ Deep Trench ❑Shallow Trench El Bed [:1 Mound Address 2600 Ivory Drive, Anchorage, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 632-2400 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Maddux Park 1 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist, between trenches From Tank Field Tank Line FtZ Ft. Well 90' N/A N/A N/A >25 TANK [01 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1'000 Gal. Surface Water >100' N/A N/A N/A Material Number of compartments Lot Line >5' N/A N/A N/A Steel 2 NA Foundation >10' N/A N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted Gal. Remarks Tank to well waiver OSV191012. Pump on level at in. Pump off level at in. High water alarm at in. Tank only replaced under this permit Pump make and model Electrical Inspections performed by Exist. Tank to D3034 PIPE MATERIAL House to tank drainfield Installer PCN Drainfield Exist. CO/MT Inspector J. Williams BENCH MARK (Assumed elevation) 100 ft Inspectes: 15` tion4/16/19 Location and description 2d 3rd 4°i Bottom of siding @ point A. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OF q� '•� Conditional Approval: Date •`pe,,.••° !AW • 49th •'�,® 5.....F. .......... .... .....i.....0 /.......................................... ., MICHAEL E. ANDERSON 'IJ Air •�°; No. CE-4381 _AV Appro I� Date 'R0FES-S.\Q\ +•• m5pecuon neport_y-i-it.00c EASEMENT FOR R.O.W, (IBK. 1660, PG 3-93) MADDUX PARK LOT 1 PERMIT # OSP1 91086 PI D # 0 18-251 -01 E. 144th AVENUE EXISTING WELL 0, > m /LOT 1 1 00'WELL ri, 6. RADII 0 Z2 > ;a B 1 00'WELL RADII > svi < SV2 2CO EXISTING WELL NEW 1000-GAL TANK EXISTING ABSORPTION TRENCHES LOT 2 A B svi 25.4 26.8 SV2 29.8 30.0 2CO 33.4 32.7 0 50 100 ilm m FEET I"=50' LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE F XCINFFRIXG (NO SCALE) s 3.1 Carroll, Rebecca M. From: Kenneth Lang <ken@langsurvey.com> Sent: Monday, April 22, 2019 12:09 PM To: Carroll, Rebecca M. Subject: Re: MADDUX PARK LT 1 Follow Up Flag: Follow up Flag Status: Flagged Becca- Based on our survey notes, the center of the well is exactly on the easement line, so half of the well encroaches into the easement. I believe the well was there prior to the taking.�i Ken t I OM t M rl Virus -free. www.avq.com On Mon, Apr 22, 2019 at 11:33 AM Carroll, Rebecca M.<rebecca.carroll@anchorageal<.gov> wrote: Hello Ken, It is hard to tell if the well is outside the ROW Easement (recorded in Book 1660 Page 593). Could you confirm whether or not it is in the easement? Thank you, Becea Carroll Onsite Water and Wastewater Municipality o1'Anchorage 343-7908 1 4lIb1(9 T�� MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www,muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP191086 Work Type: SepticTank Upgrade Tax Code Number: 01825101000 Site Legal Address: MADDUX PARK LT 1 G:3034 Site Mailing Address: 2600 IVORY DR, Anchorage Owner: BARNES STEWART A TRUST 50% & Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft Total Bedrooms: ,r 1)ehartn�,ent 4/12/2019 4/11 /2020 12907 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 Special Provisions: If the as -built survey shows that the well is within the ROW easement, a ROW encroachment permit will be required. Received By: Issued By: Date: `�t' / G //,q Date: 12-f 9 3 Municipality of Anchorage �_ Ucpartment P.O. Box 196650 m 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section x x x x VARIANCE/WAIVER REVIEW x x x x Waiver#: OSV191012 COSA#: Permit#.OSP191086 PI D#. 018-251-01 Legal Description Maddux Park Lot 1 Engineer: Forqe Engineering Applicant: Stewart Barnes & Kim Moats -Barnes Trust Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 90.0 (-eet. See engineer's waiver request and calculation for justifications. This waiver approval applies to the proposed septic tank only. Any future upgrade to the on -site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted. Date: 2119 Approved by: Name of Reviewer ■■■■■■■■■■■■■■w■■■■■r■■■■t■■■■■■■■u■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■t **** VARIAN C EMAIVE R REVIEW **** MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program ANCHORAG Ph6h" : 9'034 907-343-7997),j ON -SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 018-251-01 Property owner(s) Stewart Barnes & Kim Moats -Barnes Trust Day phone 632-2400 Mailing address 2600 Ivory Drive, Anchorage, AK 99516 Site address Same Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Lot Size 12,907 Sq. Ft. Number of Bedrooms Maddux Park, Lot 1 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo AD U ) Septic Tank ❑X Upgrade ❑X Duplex (D) ❑ Holding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Well to Septic Tank Distance: 90, I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 0225 Waiver Fees: go Date of Payment: q/S/l9 Date of Payment: g4t5t 9 Receipt Number: 6; �?q q) Receipt Number: a;L? 9q.A Permit No. K Sld l916 & Waiver No. V 1910 la Permit App_ - . April 12, 2019 MOA Development Services Dept, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Maddux Park, Lot 1— 2600 Ivory Drive Septic System Design and Permit Application Dear On -Site Services Engineer: The owner of Lot 1, Maddux Park Subdivision intends to sell the property. A COSA cannot be issued because the septic tank has exceeded its life expectancy. We are submitting this design and permit application for the replacement of the septic tank. The existing absorption system has been tested and is in good working condition. The attached site plan identifies the location of the home and the existing well and septic system. Well and septic systems on adjacent lots are also shown. The existing septic tank is 90' from the well on the lot. A waiver has been in existence allowing the tank to be at this location since April of 1985. A waiver request is attached to allow placement of the new septic tank at the same location. The new tank will be a minimum of 90' from the well on this lot and 100' from all wells on adjacent lots, 100 from any surface water, and more than 5' away from the absorption trench. Please refer to the attached Site Plan for the septic design. if this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Michael E. Anderson, PE 111107 w z '11W ArTAMIXIM"m A& &1, 111109 EASEMENT FOR R.O.W. (6K. 1660, PG 593) REMOVE & DISPOSE OF EXISTING TANK PER MOA CODE & REPLACE W/ NEW EXISTING I OOD-GAL TANK IN SAME LOCATION. ABSORPTION TRENCHES LOT 2 h, NOTE: NO SLOPES >25% WITHIN 50'OR SURFACE WATER WITHIN 100'OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. 0 50 100 SLOPES > 25% FEET SLOPES > 46% 111=50' LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE 2 GE E N G I N E E R I N G PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) April 12, 2019 MOA Development Services Dept, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Maddux Park, Lot 1— 2600 Ivory Drive Septic System Design and Permit Application Dear Onsite Services Engineer: The existing septic tank on Lot 1, Maddux Subdivision is located 90' from the existing well on the lot. A waiver was issued by ADEC in April of 1985 allowing the septic tank to remain in this location. Recent water quality tests taken from the well indicate the septic tank is not a source of contamination to the well. The existing septic tank must now be replaced to obtain a COSA for resale. We are requesting a waiver be issued to allow the new septic tank to be placed 90' from the well The well on the lot is 156' deep with 6" welded steel casing to a depth of 154'. The static water level is noted at 117' on the well log. The soils encountered during well placement consist of sandy gravel with silt and a clay lense from 76' to 96' below the surface. The well is located at the northwest corner of the lot and is approximately 5' higher in ground surface elevation than the septic tank. Septic effluent would flow away from the well in the event of tank failure. We are confident based on the long term performance of the existing septic tank and the water quality from the well that contamination from the new septic tank is not likely. We therefore request that the waiver allowing the proposed septic tank to be constructed 90' from the well be granted. ADEC POINT ANALYSIS Bottom of Tank to Highest Water Table — 100' 7.0 Points Soil Absorption Type — Sand/Gravel w/Silt 2.50 Points Permeability — Silt or Sandy Gravel 1.00 Points Water Table Gradient - +5% Horizontal Separation — 90' 4.50 Points 2.60 Points 17.6 Almost sure to be free from any form of contamination from household sewage. Sincerely, Michael E. Anderson, PE F �0 49 th I MICHAEL E. ANDERSON t%jo. CE-4 (''I ........... 41IN MUNICIPALITY OF ANCHORAGE w DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON -SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE Q NEW ! 'i / ❑ UPGRADE +�fLiZf _ MAILING ADDRESS 2— LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS We Absorption area Dweflling PERMIT NO, U v DISTANCE TO: l S t �% ? tS JG I5_6/b/ F- Z a.w Manufacturer - Material No. of compartments -� k Z co Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth DISTANCE TO: Well Dwelling PERMIT NO. O Z Q 2 F- Manufacturer Material Liquid capacity in gallons D DISTANCE TO:Lu Well Founciption Nearest lot line PERMIT NO. w= u- Z No. of lines Length of each line Total len th of lines Trench width Distance between lines a= z w ' 5 i ncHes— s i 1< as Top of the to finish grade Material beneath tile / Total effective absorption area Length Width Depth PERMIT NO. w C^ Q Type of crib Crib diameter Crib depth Total effective absorption area !j! Lu a w y Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO, W Lu DISTANCE TO: Bui ing foundation Sewer line - Septic tank Absorption area(s) C1 t / OTHER PIPE MATERIALS SOIL TEST RATING �7 INSTALLER iL s- REMARKS L APPROVED y DATE LEGAL S� , ' ` ��HAP. I !F-:,' I F=- n-- L_ I C: I-A����� . DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 ' PERMIT NO: 850101 ENGINEERED DESIGN DATE ISSUED: 04/15/85 APPLICANT: STEWART BARNES ADDRESS: 70 PEARL DR. ANCHORAGE, AK 99502 CONTACT PHONE: 349-4651 LEGAL DESCRIP: SUBDIVISION: MADDUX LOT: 1 BLOCK: NA SECTION: 33 TOWNSHIP: 12N RANGE: 3W LOT SIZE: 13500 (SQ.FT. OR ACRES) I certify that: 1. I am familiar with the requirements for on -site sewers and wells as set Jorth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes And regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public' sewerage system on this or any adjacent or nearby lot. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; ANE (3) THE ELECTRICAL WORK MUST B DONE BY A LICENSED ELECTRICIAN. SIGNED --------------- APPLICANT: STEWAR BARNES ~~ ISSUED BY /7-���------�--7------------�� ----- - ` DATE: DATE: _- � SO I LS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG D9:0f%r't1 ATInhi TEST PERFORMED FOR: ILI 12 "'E 5; DATE PERFORMED: LEGAL DESCRIPTION: Lj-)+j M4JA1-L1v i� - 3t,0 s�,rc SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 NOR 0 MEN MEN M El"EM ME mom as M OMEN MENN SEEM MEMO I MEMO No MENEM INEMOMMOMME M INN IMMELIN91 Ems MEN 9011010ROMMEN 001101=5 BEMIS I WAS GROUND WATER S ENCOUNTERED? L v P �l L. IF YES, AT WHAT E DEPTH? t I Reading Date Gross Time Net Time Depth to Water Net Drop AQ1 s. 20LJPERCOLATION RATE (minu�eslinch) TEST RUN BETWEEN "-FT AND COMMENTS 4-OZ-/ CERTIFIED BY: DATE:: PERFORMED 8Y:LjN1y1 72.008 9 EPZAIVS MUNICIPALITY OF ANCHORAGE Development Services Department t Phone: 907-343-7904 On -Site Water & Wastewater Section l-- Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 018-251-01 1. GENERAL INFORMATION Complete legal description Maddux Park Lot 1 Location (site address) 2600 Ivory Drive Expiration Date: 7-22--1q Current property owner(s) Stewart & Kim Barnes Day phone 632-2400 Mailing address 2600 Ivory Drive, Anchorage, AK 99516 Real estate agent 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic ED Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5-67) Date of Payment q11-7-/lq Receipt Number %,2b COSA # (WAI 143 Waiver Fee $ Date of Payment Receipt Number 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone 907-522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage AK 99503 Engineer's Printed Name Michael E. Anderson, P.E. Date 49th �0. 6. DSD SIGNATURE 0•h 5.�-•� System #1 Approved for 3 bedrooms � ��'; MICHAEL E. ANDERSON 006, No. CE-4381 •' Z`v! System #2 Approved for bedrooms 6. �_i__�__ • �.,,.••��� pP••.........• Disapproved h��R�;;s;�=.•• Conditional approval for bedrooms, with the following stipulations: 12 '�/I11l111 " Original Certificate Date: q -Z Z —/ q 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 Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: Maddux Park Lot 1 Parcel ID: 018-251-01 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA X Well log is filed with Onsite (or attached) Date drilled 4-13-85 Total depth 156 ft Cased to 154 ft 7 Sanitary seal is functioning correctly 7 Wires are properly protected Casing height (above ground) 26 in. Date of flow test for COSA 3/20/19 Static water level at beginning of test 115 ft. Comments B. TANK DATA Age of tank(s) New years Tank type/material seP"`s-1 Measured operating fluid level in septic tank New 0 Standpipes/foundation cleanout per record drawing Date of pumping New D. ABSORPTION FIELD DATA Trench Which system tested (date installed) 5/8/85 V ALL standpipes present per record drawing Total measured depth from grade 7 ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field Fff� Monitor tubes go to bottom of effective. If not, state depth into effective Well production at time of test 5•1 gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes 0 Nc X Coliform bacteria is Negative Nitrate .290 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L X Arsenic less than MRL (ND) Collected by Forge Engineering Date of Sample 4/2/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: NA Adequacy test date 3/21/19 Results ❑Pass For 3 bedrooms Fluid depth prior to test 0/0 in Water added 3001118 gal New depth 5/0.5 in Elapsed time 1440 min X Code -required soil cover over field Final fluid depth 0t0 in ❑ System presoaked Absorption rate >450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) _ date of test) 1125/1200 If yes, enter date Gallons introduced gallons Comments/Deficiencies: North/south trenches respectively. COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' 9� Community Sewer Manhole/Cleanout > 100' Yes if No ft IT Yes if No Neighboring Tank > 100' Yes if No ft Private Sewer/Septic Line > 25' [jo Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' X] Yes if No ft �f Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ft ft ft ft ft K Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 91 Yes if No ft Private Wells > 100' [ Yes if No Water Main > 10' EN Yes if No ft Community Wells > 200' 51 Yes if No Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10'] Yes if No ft Wells on Adjacent Lots. - Water Main > 10' Yes if No ft Private Wells > 100'Z] Yes if No Water Service Line > 10' ® Yes if No ft Community Wells > 200' [] Yes if No Surface Water > 100' j Yes if No ft F. ENGINEER'S COMMENTS Waiver on file for well to septic tank distance 4/9/85. G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet +�x\\\\UNOF �, • AV c 49th t �� .............. ,... ..ti..... 10. T C 099 .ounun.9... uuu.. uonnnn1 un nn•; 0� -'; MICHAEL E, ANDERSON W my AIF No. CE-4381 J Ar 4/18/19 AP ft ft ft ft i EDGE 01 100' PROT[ E. 144th AVENUE p \ � ROAD N 90'90_00"E 70.00' WELL sr `ASPHALT ,' \ ©� THE RADIUS DRIVEWAY.-,• :.p 8.0'x12.1' SHED?O ro WOODEN Z OR FENCE QPz o Al PCH ` F M 0 EASEMENT FOR R.O.W. (BK. 1660, PG. 593) 70 Lot 1 13,549 s.f. ' 6.6'x18.1' O ( CANT / C7 2.0'x4.4' 011 CANT i.0'x9.o' CANT SEPTIC PIPES Lot 2 ' ( CHAIN -LINK FENCE 33.0' EDGE OF ROAD PLOT PLAN AS BUILT X SCALE 1" = 40' GRID SW 3034 Project No. 19-113/AZ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & A S S Q Ic i a f e S inc. (907) 522-6476 Phone (907) 522-4625 Fox O F Professional Land Surveyors ken0langsurvey.com • ,,,,• (,�sQq jonathandlangsurvey.com ©�''� ,• Q 1 hereby certify that I have surveyed the following described property: LOT 1, MADDUX PARK (PLAT No. P-554) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the I`:� Day of API t t at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTiON DIVISION OF ENVIRONMENTAL HEALTH CERTIFICAI E OF INSPECTION' FOR HEALTH AUTHORITY APPROVAL OF ON-S!'T E SEWER AND WATER FAC I LITY 264-4720 a4e Appiication.- D 1, GENERAL INFORMATION (a) Legal Descin pti6\20ndludelct, block, subdivision, section, township, range), Location (address or direc:tions) TV (b) Applicant Name elephorle: Home susiness vim' Applicant Address ------ (c) Applicant is (check one): Lending Institution i o Owner/bui!der;q; Buyer 0 C�o'er i.exp;'aM,)-, (d) Lending Telephone Address (e) Real Estate Comlpany and Agent . ..... Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family 0 Multi -Family El Other Number of 3. WATER SUPPLY Individual Weil Community 0 Public El Note: If communitywell system, must leave written confirmation from the State Departmenstof EnvrcnmentaC'enservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite,ETPublic 0 Community 13 Holding Tank Note: If community well system, must leave written confirmation from the State Departmentof En-vironmental Cortser%rafiorl attesting to the legality and status. Page 1 of 2 3) As certified by my seal affixed hereto and as of the validation date: shown besuw_ I venfythal -,-yirvp��nga, or cl- s Authority Approval shows that tale on -site water supply and/or wastewater disposal system ns Safe, fUnCticI­"_-,az- : aseq_a­, for the number of bedrooms and type of structure indicated herein. I fur Sheer verify that c,asee cn *N;e:,­. ,—,az_cr, r�&:: from the Municipality of Anchorage files and from my investigation and inspection, tl7e Ana site waer wastewater disposal systems is in compliance with all Municipal and State codes, ordinances- and regufa.rneffe—,zt, the date of this inspection. flame of FirmA-E-( Telephone c! 'UN Address Date ,W Cj J10 C: 2-, V ZA �ma® 6, DHEP APPROVAL ( et� Approved for _15) bedrooms by Date Approved Disapproved Conditional Terms of Conditional Approval M The Muncipality of Anchorage Department of Health and Environmental Protection IDHEP) issues Heaiv-; Aa�at.ektoy Approval certificates based solely upon the representations given in paragraph 5 above by an indepe;nd&rat profess engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their le_nd�rvg_ institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not cordtxtink analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or onnisisiones ikn, the professional engineer's work. Page 2 of 2 72-025 (11/84) OF AN RAGE IJ� 1 DEPT. OF NEAITh • [iyd1RONM�NTP.I. PROTECT►ONMUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 CyqVD Legal Descrip 'on: Nzcwx L) L I A. WELL DATA Well Classification _Ri u C'Jrc_ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Date Completed—� �� �5�� n J,r1 Yield Total Depth Cased to i Depth of Grouting Static Water Level i�% Pump Set At f 1 f �] Casing Height Above Ground — Electrical Wiring in Conduit Y/ ) Sanitary Seal on CasingCY Depression Around Wellhead (y ., Separation Distances from Well: 1 To Septic/Holding Tank on Lot C�' ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot '7 ; On Adjoining Lots i 06't To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by �� 1 ; Date 7 Water Sample Test Resultsi- ► 5 TaiC'TC;f�V Comments t ` ►I lei 1� �r �is� ` � �! � �o � ��n�-�' •,�-r�,�l �J-�1-8 S B. SEPTIC/HOLDING TANK DATA Date Installed' t' Size 1 or>61 No. of Compartments Standpipes h) Air -tight Caps&) Foundation C,AllelIanou (Y�) Depression over Tank (YCJ ^^ Date Last Pumped lY Pumping/Maintenance Contract on File (Y/N) T ;for 1< Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well _ �� To Building Foundation' To Property Line To Disposal Field To Water Main/Service Line �4� A To Stream, Pond, Lake, or Major Drainage Course 11�" Comments Page 1 of 2 'i V 72-026(11/84) LOCATION OF WELL (Please complete either lo, lb or Ic.) Ia�Borough L Subdivision I Lot Block � 'I Tb- V4 Citfill - of— of _of 1, 1 DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS --w Street A:dr-ss and Area of Well Location WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling Permit No. A.D.L. No. Section No. Township No � Range EM Meridian I WC) 5. OWNER OF WELL: Address: V 2. WELL LOG Feet Below Su rfoce Material Type Top Bottom -4" r 4. WELL DEPTH: (final) 5. DATE OF COMPLETION /'ft. Q - _za_ - _ZZ 6, f-1 Cable tool E) Rotary F1 or; van C] Dug 11 Auger C3 Jetted C] Bored E] Other: 7. USE: El Domestic [3 Public Supply C] industry C3 Irrigation 0 Recharge 0 Commerical n Test Well C] Other: 8. CASING: [] Threaded Welded diam, 6 In. to ft. Depth W.ight tx lb../ ft, diam.— in, to ft. Depth Stickup ft. 9. FINISH OF WELL: Type: Diameter: Slot/Mash Size: Length: Set between ft. and ft. Backfilling Gravel pack 10. STATIC WATER LEVEL: day ft. Above or n Below land surface Date Equipment used surface cnd-FIELD L 1 1 PUMPING LEVEL below land D 4 2 ft, ofte r Ara. PUT -z� g.p-m ft, after hrs. pu - 12.GROUTING Well Grouted: Yes No Material: 0 Neat Cement Other: 13. Pump: (if available) HP Length of Drop Pipe ft, copacl . ty Q.p Subm, Q Jet 0 Gentrified C3 Other 01 Z0 14, REMARKS: 16, WATER rVEi" CONTPACT3R I S CERTIFICATION: 15. Water Temperature I Tn.'s e,l w6s dr!,!eq 'J,lrder my jyrisdicfion and Ire best, pf my knowledge and belief; _/11 report is true to ,mess Nam*" Contract Number ,�cense -2 Date: A t o,-ize Representative �rrm 32o,R i, Copy 'WHITE -State DGGS, PINK - Driller, CANARY- Customer 0 F [] C JOB . -j �- on ef � x ALASKA ENVIRON`NTAL SHEET NO. OF CONTROL SERVICE,,, INC. 1200 West 33rd Avenue, Suite B CALCULATED BY DATE ANCHORAGE, ALASKA 99503 CHECKED BY DATE (907) 561-5040 SCALE- '3e>' iKTW,-;l I- Gmtm, Mm 01471 ALASKA ENVIRON'-'-NTAL CONTROL SERVIC, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 JOB ma"oy- Lo 7 SHEET NO. OF--. CALCULATED BY DATE zz-./ CHECKED BY DATE SCALE... PKW,'T 204-1 'esI Gmw, ALASKA ENVIRONI ,VITAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561.5040 JOB M , I b -/ SHEET NO, OF CALCULATED BY --- DATE Z'j Z CHECKED BY DATE SCALE- e 4 JOB /fl ALASKA ENVIRON' '-NTAL SHEET NO. OF CONTROL SERVIC-0, INC. 1200 West 33rd Avenue, Suite B CALCULATED BY DATE ANCHORAGE, ALASKA 99503 CHECKED BY DATE (907) 561-5040 SCALE- -:14! JOB -M 4 d ALASKA ENVIRONS -NTAL SHEET NO. 5� OF �^ CONTROL SERVICL-, INC. _ 1200 West 33rd Avenue, Suite B CALCULATED BY �4. ` DATE ANCHORAGE, ALASKA 99503 CHECKED BY DATE (907) 561-5040 SCALE PP,07.F.121k1/'�/= f -: Lv;:'- N,:. .. S7A7F dF ALASKA BILL SHEFFlELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 274-2533 April 9, 1985 Alaska Envirionmental Control Services 1200 West 33rd Avenue Suit B Anchorage, Alaska 99503 SUBJECT: Waiver Horizontal Separation between Well and Septic Tank, Lot 1, Maddox Subdivision, Anchorage, Alaska 8521-WA-132 Dear Sir: The Department has reviewed the subject waiver request and hereby waives the horizontal separation between the well and septic tank to 90 feet on the subject property for a 3 bedroom single family residence only. Sincerely, Steve Eng, P.E. District Engineer SE/dd t { f ( t i L U i �� l l i� a / BILL SFlEFftELO, GOVERNOR DEPT. OF ENVIRO NM. ENTAL CONSERVATION ANCHORAGENESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 April 9, 1985 Alaska Envirionmental Control Services 1200 West 33rd Avenue Suit B Anchorage, Alaska 99503 274-2533 SUBJECT: Waiver Horizontal Separation between Well and Septic Tank, Lot 1, Maddox Subdivision, Anchorage, Alaska 8521-WA-132 Dear Sir: The Department has reviewed the subject waiver request and hereby waives the horizontal separation between the well and septic tank to 90 feet on the subject property for a 3 bedroom single family residence only. Sincerely, Steve Eng, P.E. District Engineer SEldd �-11.1�'.! 11 12 h. 11- 1 "1 A.. 1 -1, 170 QU0 tvK'A co F1 e � �nE DEP�RTM�NT OF HEALT� Ai|� ��YI��K��[NT�� P�3TECTI[!� 825 L STREET, 2AA-472' 850101 ENGINEERED 2ESlGN 04/15/85 8TEWART BARNES 735 PEARL DR. ANCHORAGE, AK 99502 349-4651 SUBDIVISION: MADDUX LOT: 1 BLOCK: NA SECTION: 33 TOWNSHIP: 12N RANGE: 3W 13500 (SQ.FT. OR ACRES) IF A LIFT STATION IS INSTALLED IN AN AREA C]','ERED BY MCA BUILDING CDDES, THEN (1) AN ELECTRICAL PERMIT (MAD INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AM ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BQ DCNET BY A LICENSED ELECTRICIAN. SIGNED DATEc A _ __-___________ APPLICANT: STEWAR ARNES �= ISSUED BY DATE: ~— � � , �1 � �� �����!F C3 El DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 ��� ����� � ���� iF I� �� / ^/}� \/\\U�/ PERMIT NO: 850O19 / DATE ISSUED: APPLICANT: WILLIAM R SCHRECK ADDRESS: 2601 BLUEBERRY ROAD `' ANCHORAGE, At::. 99503 CONTACT PHONE: 276-7048 LEGAL DESCRIP: SUBDIVISION: �ADDUX PARK LOT: 1 SECTION: 33 TOWNSHIP: 12 N, RAN8E: 3W LOT SIZE: 13500 (SQ.FT. OR ACRES) MAX BEDROOMS: 3 Listed below are the options available to igning your se��ic system. Choose the t Lh t b t1. _ _ _ DEPTH TO PIPE IDOTTOM (FT.) GRAVEL DEPTH (FT.) TOTAL DEPTH (FT.) 5.5 8.0 GRAVEL WIDTH (FT. N 5\ 17 5.0 GRAVEL LENGH GRAVEL VOLUME I c U YDS. 1.5 28.6 TANK SIZE "GA * 00.0 ** 1,000.0 ** SOIL RATING (SO. Fli./BR) 125 125 `��` ** TANK MUST HY.E. AT LEAS TWO �uMPARTM TS - - - - - - -,- -\- - - - -|- - - - - -�~ - - - - - - - - - - - - - - - - - - - I certi{y that: �amiliar ents {or on -site sewers and wells as set forth by the Mu a nchorage (�OA) and the State o[ Alaska' 2. 7 will install the sy ccordance with all MOA codes and regulations, and jn compliance wit �esign criteria o[ this permit. 3. I will adhere to all and State o{ �laska requirements !or the set back distances �rom any exi�ting wsll, wastewater disposal s;stem or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid [or a maximuo o[ 3 bedrooms and ^ any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRL ICAPERMIT AND INSPECTION MUST BE OBTAINED; (2} AS-BUILTS WILL NOT BE APPROVED WITHOUT ANELECTRICAL INSPECTION REPORT; AND (3> THE ELECTRICAL WIRK MUST 3E DO E 9Y A CENSED ELECTRICIAN. SIGNED DATE: -~----- ----------------'---------- --'^1-��� -'--- APPLICANT WIL ISSUED DATE: {� ". - --�f------- -�.��------'' — -`�-/��-y' -' .4_�� ��- ���X = :1 I= 6-1 !-- 1 _'TJ_ 'Y' 0� 9:::- ���VA. 111:11F--c ql'!" TEEE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 112 lvd--- �1 -T_ EEFT zc ���� �r--�:: 40-1. :1 7 -' PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: LEGAL DESCRIP: LOT SIZE: MAX BEDROOMS: 8500192 01/18/85 �^ WILLIAM R SCHRECK 2601 BLUEBERRY ROAD ANCHORAGE, AK 99503 276-7048 SUBDIVISION: MADDUX PARK LOT: 1 BLOCK: NA SECTION: 33 TOWNSHIP: 12N RANGE: 3W 13500 (SQ.FT. 4 OR ACRES) Listed below are the options available to you in designing your septic system. Choose Lhe option that best fits your site. . ..... ..... ..... ...��������� -�15z Q 141 1-i E'.�! I : 1D ��K".9 DEPTH TO PIPE BOTTOM (FT.) 5.0 5.0 5.0 GRAVEL DEPTH (FT.) 4.0 0.5 3.� TOTAL DEPTH (FT.) 9.0 5.5 8.0 GRAVEL WIDTH (FT.) 2.5 20.0 5.0 GRAVEL LENGTH (FT.) 63.0 38.0 59.0 GRAVEL VOLUME (CU.YDS.) 26.3 28.2 38.3 TANK SIZE (GALS) 1,250.0 ** 1,250.0 ** 1,250.0 ** SOIL RATING (SQ.FT./BR) 125 125 125 **,TANK MUST HAVE AT LEAST TWO COMPARTMENTS I certify that: 1. I am Familiar with the requirements for on -site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot- � 4. I understand thaL this permit is valid for a maximum of 4'bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A 11CQNSED ELECTRICIAN. SIGNED /< %�L� //K -~^ DATE: -------------------------------------- APPLICANT: WILLIAM R SCHRECK ' ISSUED BY DATE� ������������--------------- ----------------- SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTIMENTOF HEALTH AND ENVIRONMENTAL PPOTECTION TFPRCSTOLATION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG PERCOLATION TEST PERFORNMED FOR: DATE PER FORMED: LEGAL DESCRIPTION: SLOPE Sil"E PLAN 1 2 3 5 12 13 14 12 20 C 0 1'01 PA E N T S ill; qi- 41 rg--fwl f- 01 L) VY AS G R 0 i - 3r,WD WATER L ENCOUNT 0 IF YES,, AT WHAT Gross I Net i Depth to Ne- Reading Dalp Time Time wiler Drop OF T '4 roy C. Reld, Jr. No. 2251 -E f CO LATI 0 N RA r E TLST F-',!,,JN BE-F VVEEN FT A N D T L4 PE": R F 0 R M, E D 'a Y cr.-.R-riF-'tF--o Rv� - I' DATE: 11Y 72 , -OOF� (,/19)