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Home My WebLink AboutMADDUX PARK LT 2Maddox Park Lot 2 #018-251-02 GREV. rER ANCHORAGE AREA BOk,.UGH e I� Il. I II�jl�j� Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECT�IION REPORT ON -SITE SEWAGE DISPOSAL SYSTEM NAME, %+�• � f-^�'t.lu MAILING ADDRESS '� �" "", " PHONE c) 1(i' r LOCATION 1L4Y11�ut ��''LEGAL DESCRIPTION - SEPTIC TANK: DISTANCE NUMBER OF FROM WELL 3 -1 MANUFACTURER MATERIAL. COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY/'.)� GALLONS. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELLr FOUNDATION NEAREST LOT LINE t� �1 OF LINES ' NUMBER OF LINES _ DISTANCE BETWEEN LINES TRENCH WIDTH1_I1\1. TOTAL EFFECTIVE ABSORPTION AREA `/� SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER >i DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE IN. ABOVE TILE _� IN. WELL: TYPE_ CONSTRUCTION DEPTH - BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE —,SEWER LINE , TANK , SYSTEM_ CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: - Z;'� SEWER LINE DEPTH: i PIPE MATERIAL:—�' LOT SLOPE: REMARKS: DISTANCE FROM: DIAGRAM OF SYSTEM Lr�' DATEa', 7' -'11 APPROVED FroaVtt)47-1ah Fnrm FO-O-AP W-11 "1 a owl ��4 37 00 1 11FD, IF-1 il-_1 01* "n, K:11 F` ��F-1 C]'.i E---'- DEPHRTMENT "T HEALTH AND ENVIRONMENTAL -ROTECT - -// 825 STREET, ANCHORAGE, AK. S. 01 �</ y��. 279-2511 ' Eli ?,I --- too 1 -T- NEE �NEE �F_*, �NEE ��'-1 � � PERMIT NO. ( 77262 ) ^,! y ` APPLICANT 2804 WEST NORTHERN LGT BLYD 276-2804 LOCATION 144TH & LAKE OTIS LEGAL L2 MHDDUX Pk: LOT SIZE 19000 SQUARE FEET TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BR)= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ��5 H= :1. 01 �BE: 10 "r VA= :22! ��Hot �9.__ E-_-.F`9_"H--A= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION ON FEET) THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFHLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). ��F�,_, ��-T- I K0 �ho:H RJ ��To, 1E=:= :1. on: 15 C3 C3 FA L. L. CA Iq� 0- 14 1:1 Q sk.': DO :1 1 1110413 0=1 IT! 1EE! FT! EF1 Nis 1-i I Fit 107 ED; BHCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON -SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE9ROPER INSTALLATION. ' ��1� �� I CERTIFY THAT' 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON -SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I UNDERSTAND THAT THE ON -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED:_ v4v" > -__________ HPPLICHNT WILLIHM SCHRECK CONSULTING GEOLOGIST BOX 476-M, STAR ROUTE A - ANCHORAGE, ALASKA 99507 - PHONE 344-7071 Date `�i 71 SOILS LOG Pe --,-formed for S7C%�\Ue ci\ Legal Description �+ ctdclUic -paiy� Depth (feet) Soil. Description Uj -'12-- --'14 -20-- S'cv�ld ) SJ< ) ) a �(A (e `-�c1 a f t fit(P V Qaj C S 4� Total Depth ! \� feet in It Was groundwater encountered Depth to bedrock ICJ �� W '"Vt ? What depth ? How determinedj � Ule L� s Respectfully submitted, Gary F. Player Consulting Geolo-ist �1 C-i 04 1 IT: 3 fol K.. I _T_ "w, c1H 1` 10 R44 0 f - kv! 1=1 10 FE DEPARTMENT ~ HEALTH AND ENVIRONMENTAL ]TECTION 825 'L' STREET, ANCHORAGE, AK. 99501 279-2511 14 K R_1L_ O'K K Ki 11-� PERMIT NO. ( 77086 ) APPLICANT WILLIHM R SCHRECT 2804 WEST NORTHERN LIGHTS 276-2804 LOCHTION LHKE OTIS & 144TH LEGAL LOT 2 MHDDUX PRRK LOT SIZE 19000 SQUARE FEET MINIMUM DISTANCE BETWEEN H WELL AND ANY ON -SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION �K to? KH I _T_ RF:R, L.- :1. FDA 1— 110 K 1:p p"A EET: "T" HE: 4 F:�� I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON -SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE, 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ` SIGNED�_�� APPLICANT WILLIHM R SCHREClk � /g_77 we Log l: of CaS�n V,7-9 ,unce,''to" wtt, ......,.,. e .... at rate from to .r A q 7 �P' .. � 'k � ��' ^� . ,+� ,sn ,x x;'°.y?„r°� ..... a�% d:£. .N`�...•� „l'..:^"d" .+`�`it ��°" Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program S A E T Y 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON -SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. (A - Z51 - 0 2- COSA # DISC �5 Expiration Date: 1. GENERAL INFORMATION Complete legal description . M t A A oX RA � L o 12 Location (site address) U'ZO No Dr,. An,-_�onow, A 775116 Current Property owner(s),�-'Mark. keep 4r) Day phone 3 5 - '250q Mailing ,address ,,; Lending agency Mailing address — 5AME — Day phone .Real Estate Agent -R-lek Ta4r(\* Day phone MajliKA,d&6ss- - Unle4 oihervViso,,r6,l4bsted,'t,*SA will be held by DSD for pickup. 2. NUMBER, BE�7ii0pms: 3. TYPE OP, WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Indivi d 010611 Individual On -site Individual Water Storage El Individual Holding Tank n Community Class Well E] Community On -site E] Public Water System n Public Sewer 1:1 The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site System . s Approval are required for the transfer of title (except between spouses) for properties served by a single-family on -site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or 6 wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON -SITE SYSTEMS APPROVAL CHECKLIST Legal Description: 014OX RIAL L61 Parcel ID: 018'"-5f'0 A. WELL DATA Well type .'i le_ If A, B, or C provide PWSID # Date completed 5 1.3 �� Sanitary seal (Y/N) % Total depth ` 5 ft. Cased to �i ft. FROM WELL LOG Date of test 13 41 Static water level -15 _5 ft. Well production WATER SAMPLE RESULTS: la Coliform JV4�Ll colonies/100 mL Nitrate K,17 mg/L r Arsenic: AJ D ug/L date of sample: af 1 B. SEPTIC/HOLDING TANK DATA Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) t ) 2 in. AT INSPECTION 5tZ �IJ g.p.m. Collected by: A uti �uh Tank Type/Material s1, Greg— Date installed 6/3! 77 Tank size 7-50 gal. Number of Compartments 2 Cleanouts (Y/N) Foundation cleanout (Y/N) i' Depression over tank (Y/N) High water alarm (Y/N)� Date of pumpinr� Pumper A { No= S'. Ui «%.a C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2 ft2/bdrm 12 Z System type Pei P Irei=� Length 23 ft. Width Y ft. Gravel below pipe `3 ft. Total depth f_ 2 ft. Eff. absorption area 369 ft2 Monitoring tube Y Depression over field A/ Date of adequacy test i) i2 zu 11 Results (Pass/Fail) Ptts5 Fori`: _bedrooms Fluid depth in absorption field before test wU in. Water added �� gal. New depth ba in. Elapsed Time: il) min. Final fluid depth ,�_L in. Absorption rate >_ q56' g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) �c If yes, give date — R F A EASEMENTS OF RECORD, OTHER Q THOSE SHOWN ON THE RECORDED FF_ 7-7-C, PLAT ARE NOT SHOWN HEREON. this—/-3-t4day of 19= FRED WALATKA & ASSOCIATES Engineers and Surveyors MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON -SITE SEWER AND WATER FACILITY 264-4720 1. GENERAL INFORMATION Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) L.0T z 41)DOX; 'AP, `7 12N R 3UJ sF-c 33 Location (address or directions) (b) Applicant Name B. C HREC Telephone: Home 3 (/ -- 3 3 3 (7 Business _2___76_—_A Applicant Address 2_5 2—T (3 t)U E 13EA'S V A0, s F, A NC(va�/i},e 9 (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder X ; Buyer ❑ ; Other 11 (explain); _ Telephones'` (d) Lending Institution rr Address ��Z �' � � -740 (e) Real Estate Company and Agent j p Address S L'•` 7,. L' ` ? .tf� 1_ a c f ct e D ` Telephone (f) Mail the HAA to the following ad_0ress: 70 2. TYPE OF RESIDENCE Single -Family 0 Multi -Family /❑ Other Number of Bedrooms "� 3. WATER SUPPLY Individual Well R Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL OnSite;M Public ❑ CommunityEl Holding Tank O Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11,84) z z- fi b-Ak 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION R1 As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on -site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on -site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm A C C S INC, Telephone 67�L "Sp yo Address 1200 W ,3 3 ,bJ S7E. G 141VC f-10k11C,6 14X ? 950 Date OF A AW Ar co �...... ....�, sees.:.. � ,• sees.. • }t I.ER C. REID, A 'e 4- ^ 2251 00` q'�` Ar • a DHEP APPROVAL `- �""� Approved for e'�°�'C- bedroom by _"' Approved Disapproved Conditional Terms of Conditional Approval ul CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the 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 requirements. 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, o.,,.,, n _f n MUNICIPALITY OF ANCHORAGE DEPARTME� OF HEALTH AND ENVIRONMENT PROTECTION 825 L Street, Anchorage. Alaska 99501 264-4720 / Date Received: March 6, 1978 #1: Time 9;30 a.m. #2: Time #3: Time Date 3-9-78 Thursday Date Date Insp Pratt Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: First National Bank of Anchorage Mailing Address: Post Office Box 720 99510 Phone: 276-6300 2. Property Owner: William R/Patricia A. Schreck Mailing Address: Star Route A Box 4029-Z 99507 3. Legal Description: Lot 2 Maddux Park Subdivision 4: Single Family Residence: (x) Multiple Family Residence: ( ) Phone: 344-7745 Number of Bedrooms: Four Number of Bedrooms: 5. Well System: Individual Well (x) Community/Public System ( ) Permit # Depth of Well 85' Well Log on File (xj Construction 1CC Bacterial Analysis`s 6. Sewage Disposal System: On -site System (x) Public Utility ( ) Permit # Installed 1977 Installer Septic Tank Size Manufacturer J _. Absorption Area Soils Rate Material 7. Distances: Well to Septic Tank Y)I to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 2 Maddox Park Subdivision Comments: Affadavit Attached: .-.) Approved: Letter Attached: ( ) Date: 3 Disapproved: Date: Department Worksheet: r r EBL-096 �o zes; oar 11VW 1VNOIIVN831NI 803 ION IL6I 'ady (apis J8440 aaS)—flInIAMI 39MAG3 39NvHnSNI ON 009E WJ04 4d ....................................(pej!nbaj eej D,4xa) A83AI130 1V103dS -- --- — �OS- """"""""'•""".""•""""'""•""" AlNO 33SS3HOOV OOt/ Ol il3All30 99g A1u0 aassaippe 0; A.JaAllap 4;IM S3 IMS 09E - PowA11aP aJ24M PUT 80P '0104M 0; SM04S 'Z' 1d130 " 099 """"" AjU0 aassaAppe 0; AJaAIIaP QM3g 091 """""' PaJOA!IOP 21eP Poe w04M 01 SM04S 'l 533d 1VN011100V HOd S301AHS 1VN011dO 3000 dIZ ONV 31VIS "0'd 'ON ONV 133N1S 31V0 HO MywlSOd l 1N3S O (93elsod snld) 00£-11VW 031AI1833 ?IO-4 Id13038 ANCdi3►i E/WESTE€N DISTRICT OFFICE 437 "E" STREET, SUITE 303 A NCMRAGE, ALASKA 99501 May 13, 1986 ids. Gwen Turowr Alaska Environmental Control Service 1,200 West 33rd Avenue Suite 9 Anchorage, Alaska 99503 274-2533 SWWECT: Waiver Horizontal Separation between Well and Septic Tank, Lot 2, Maddox Park Subdivision - Anchorage, Alaska 8521-WA-152 Dear Ms. Turner: The Department has reviewed the subject waiver request and hereby waives the horizontal separation between the well and septic tank to 81 feet and well to absorption trench to 97 feet on the subject property for a single family residence only. This waiver is contingent upon information showing the septic tank is equipped with cal der couplings or the equivalent. SE/do r� ci,�wft,i�f 1 ( t� s�1rs tr`~� Sincerely, 5 St a Eng, P.E. District Engineer a r 2 !J lit /k�'C- C- A ALASKA ENVIRONMENTAL JD® 7`vx AA K .. CONTROL SERVICES, INC. SHEET NO OF 1200 West 33rd Avenue Suite B CALCULATED 13Y. T-arrLZe- - DATE ANCHORAGE, ALASKA 99503 Phone 561-5"0 CHECKED BY DATE SCALE- MUNICIPALITY OF ANCHORAGE Department of Health and Environmental Protection 825 L Street, Anchorage, Alaska 99501 264-4720 ,-�'equest for Approval of Individual Sewer and Water Facilities 1. Property Owner: Mailing Address: ��-PV-1- Phone: re 2. Name of Buyer: Mailing Address: 3. Lending Institution: Mailing Address: 4. Realtor./Agent: Mailing Address: 5. Legal Description: A Street Location: ; vN Phone: Phone : -1111--Al a (I _( I - 0 rd T#Vy# =_ 6. Single Family Residence: Number of Bedrooms: Multiple Family Residence: Number of Bedrooms: i 7. Water Supply:-- *Individual Well Public/Community System If Individual Well, well depth _2�_ If Community System, name of system 8. Sewage Disposal System: *bn-site System Public System If On -site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. **If on -site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77