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HomeMy WebLinkAboutSCHROEDER EAST BLK 1 LT 20Schroeder East Block 1 Lot 20 #050-063-04 Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP121208 PID Number: 050-063-04 ❑ New ❑✓ Upgrade Name: Kenneth and Sylvia Hanks ABSORPTION FIELD ❑Deep Trench 0Shallow Trench El Bed ❑✓ Mound Address 12744 Spring Brook Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 0.8GPD/SF 5.O Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1.0 Ft Gravel depth beneath pipe 4 0Ft Subdivision Block Lot Schroeder East 1 20 Fill added above original grade 2.0 Ft, Gravel length 80.0 Ft. Township Range Section Gravel width 5.OFt. Beds: Number of Lines N/A Distance between lines N/A Ft, SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 800.0 Ft2 Number of trenches 2 Dist. between trenches 10.8Ft. Well N/A N/A N/A N/A N/A TANK ❑ Septic O S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity I 15000al. Surface water 100+ 100+ 100+ N/A Material Number of compartments Lot Line 39.9 11.3 39.9 N/A NA Steel 2 Foundation 5.3 27.6 5.3 N/A LIFT STATION Manufacturer Capacity Curtain Drain N/A N/A N/A N/A Anchorage Tank/ Orenco 250 Gal. Remarks Pump on level at 43 in. Pump off level at 40 in. 1 High water alarm at 45 in. Connected lift station to existing electrical control panel. Existing 6" casing on lot abandoned by excavator. Pump make and model P005 Electrical Inspections performed by T rtrCT/?IC <L�. Installer PIPE MATERIAL Housetotank 3034 Tankto drainfield 3034 JRs Septic Pumping Drainfield 3034 COmnT 3034 Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 10011 Inspection " 6/24/2013 � dates: 1 2 6/25/2013 30 6/26/2013 0 Location and description Top of Deck COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date �, 4 ,.'� s �+ , '41even 'A° onnoae 9s 8149 / Approved Date C1 � 7 J/ -13 Inspection Report_1.1-12.d \ U 20 'o � "u 2 �T EXISTING 6" CASING M4 ABANDONED PER CODE s 5 NEW UPGRADE DRAIN FIELD m (2EA) 40LFx4.0'EDx5'W, 5.0'TD TH-2 EXISTING 6" CASING ABANDONED PER CODE 4BR HOUSE (E) 19 o� NEW 1500g S.T.E.P. TANK.\ DRAIN FIELD (E) REUSE AS RESERVE TlT2 LS NOTES: PANNONE ENG SVC, LLC DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SCHROEDER EAST, BLOCK 1, LOT 20 KENNETH AND SYLVIA HANKS 12744 SPRING BROOK DRIVE PLAN EAGLE RIVER, AK 99577 1 SEPTIC AREA (E) f6 G.q ill 7/9/2013 s9++� Scole P.I.D. NO f 050-063-04 A B C D FC 13.7 14.8 - - T1 21.6 11.0 - - T2 29.4 12.7 - - LS 31.1 13.8 - - M 1 - - 37.6 65.2 M2 - - 64.1 92.3 M3 - - 60.5 87.3 M4 - - 36.3 58.0 f6 G.q ill 7/9/2013 s9++� Scole P.I.D. NO f 050-063-04 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. SCOPE OF WORK: INSTALLED NEW 1500g S.T.E.P. TANK AND SOIL ABSORPTION SYSTEM, 3. GROUNDWATER WAS OBSERVED AT A DEPTH OF 11.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 11.0 FEET BELOW EXISTING GRADE. FS 0 F Qz o of OU U 1500g S.T.E.P. DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. (E) PERC RATE = 14.6 MPI SOIL RATING: 0.8 GPD/SF AREA ROD: 750 SF SYS. TYPE: WIDE TRENCH 4.0' E.D. MIN LENGTH: 75 LF TH-2 OL/ I m I SECTION PROFILE LEGEND W WATER LINE/ WELL RADIUS — SS — NEW SEPTIC USED: (2EA) 40 LF X 5' WIDE, 4.0' E.D., 5.0' TO TOTAL AREA: 800.0 SF D INSULATION ER FABRIC 0 DRAIN PIPE W/ 1/8" HOLES 18" O.C. N ROCK 6' ABOVE PIPE INV ROCK 88.9 —89.7 (W) TRENCH SEE DESIGN 88.9 (E) ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE INsuunoN TEST HOLE _R FABRIC FOUNDATION CLEAN OUT 41N ROCK 6" ABOVE PIPE INV O � i 0 DRAIN PIPE W/ '8' HOLES 18" O.C. i 96.7 (W) 95.9 (E) M# 94.7 (W) R.I. RIGID INSULATION 93.9 (E) DOUBLE CLEAN OUT DV -----���� 93.4 (E) 1 94.2 (W) FS FLOW SPLITTER 93.7 (W) BELOW FINISH GRADE OG 92.9 (E) —89.7 (W) TRENCH SEE DESIGN 88.9 (E) ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE NOTES: PANNONE ENG SVC LLC OF A t Date RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 r CE ••• �gSll� �/s/2013 PHONE (907) 272-8218 FAX (907) 272-8211 /raj�P �9�+ Scale 49TH *l� NTS SCHROEDER EAST, BLOCK 1, LOT 20 �W P.I.D. NO 050-063-04 KENNETH AND SYLVIA HANKS seven Fannowe j PERMIT NO. PF.'. CE 149 % OSP121208 12744 SPRING BROOK DRIVE �� qs .7,?..•��i DESIGN DETAILS EAGLE RIVER, AK 99577 .q 'No ", Sheet 13 OF 3 J ELECTRIC LLC 6732 E. 99th AVE. ANCHORAGE, AK. 99507 t July 10, 2013 Flintetone Enterprises 1300 Oren St. Anchorage, Ak. 99515 RE: Sylvia hanks 12744 Spring Brook Dr. Eagle River, Ak. 99577 This letter is to certify that J Electric LLC wired a septic lift station at the above address in accordance with the NEC and MOA Codes. Jane Saggs- Owner J ELECTRIC LLC Contr. Lie # 34469 T/T'd TT282L2:Oi T286bb2466 9NIdWnd DIid3S S,Nf:Wl)dA 22:TT £T02-6T--1nf On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121208 Tax Code Number: 05006304000 Work Type: Septic Upgrade Permit Effective Dates: July 31, 2012 to July 31, 2013 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: SCHROEDER EAST Site Legal Address: SCHROEDER EAST BLK 1 LT 20 G:0352 Owner/Address: HANKS KENNETH D & SYLVIA E 12744 SPRING BROOK DRIVE EAGLE RIVER AK 995777550 Site Mailing Address: 12744 SPRING BROOK DR, Eagle River Lot Size in Sq Ft: 22248 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received II //Z MUNICIPALITY OF Community Development Department Development Services Division 0* On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Phone: 907-343-7904 Fax: 907-343-7997 Parcel I.D. -o 4/ Propertyowner(s) Kz�-VA)6-rffyIn 14RJ k Day phone Mailing address P2jyQ '�PP4,G)6- ctc laaetj)',gS66� &I V&A 414. Site address 122ZW 5f'P_I rJ& f_�,P_oag rapl Legal description (Sub'd., Block & Lot) Scod2 ire COY I Gc&z.< I, ".r 2c> Legal description (Township, Range & Section) Lot Size 92-.2-41 Sq. Ft. Number of Bedrooms !— THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) Date of Payment: Initial 1:1 Absorption Field ( Waiver No. Septic Tank Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. owner or autnonzea agent) Permit/Rush Fees: $ 53(x- Waiver Fees: Date of Payment: Z&9`/2 Date of Payment: Receipt Number:i)/, Receipt Number: Permit No. ®S pia` oZQ Waiver No. GABuilding\On Site\FormsUlent FormsTermit App_010411.doc (Rev. 1A 1) Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: stevelcapanengak.com July 18, 2012 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. 0. Box 196650 Anchorage, Alaska 99519 Subject: Schroeder East, Block 1, Lot 20 Septic System Permit Upgrade Request Ladies and Gentlemen: I am writingto request a permit to construct An upgrade septic system be issued for this property. The proposed systems will serve an existing four (4) bedroom house. Currently the lot is developed. The existing drain field is in failure and will be re -used as a reserve. The new drain field will be built along the south-west property line. The lot is served by public water. The surrounding lots are also served by public water. 1. Soils. Two test holes were excavated by Pannone Engineering Services in July, 2012, and the ground water was monitored for seven days. No water was monitored in TH-2. Bedrock was not encountered either. This system will be installed in the silty gravel layer encountered in test hole 2. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 0.8 gallons/day/square feet should be used for a conventional wastewater system. 2. Soil Absorption System Design. a. See Sheet 2 of the design package 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The topography slopes at approximately 10%to 15%to the east in the area of the proposed drain field. S. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 Fust Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 )apartment, the note Will be removed and "Issued for Construction" drawings The Proposed installation Will not affect the f are no Will be issued. -11s " se will systems within future development Of the surrounding or existing We u 100 feet Of the proposed septic location. If YOU have any questions or concerns, Please contact me at 272-8218. Sincerely, Steven R. Pannone, p.E. owner /Civil Engineer Attachments -Soils Log -Septic System )'sign 114a""'g' %0 Bax 1002171 Anchlra' ge; AK - 9 - 95 - 10 ---------- Phy"Icah 3� East _021 7 Teleph...: h4anorAve Anchor -age 907)27 -8218 'FAX: Of �, AK 99501 (907) 272,8211 SPECIAL PROVISIONS TO SPECIFICATIONS - 1 . PECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALL NEW 1500g S.T.E.P. TANK AND SOIL ABSORPTION SYSTEM. 4. GROUNDWATER WAS OBSERVED AT A DEPTH OF 11.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 11.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. (E) PERC RATE = 14.6 MPI SOIL RATING: 0.8 GPD/SF AREA ROD: 750 SF SYS. TYPE: WIDE TRENCH 4.0' E.D. MIN LENGTH: 75 LF TH-2 -1.0 OR GM -9.0 GM/ CL -13.5 , .. 4.0 8.0 SECTION m i PROFILE LEGEND W WATERLINE/ WELL RADIUS — SS — NEW SEPTIC USE: (2EA) 40 LF X 5' WIDE, 4.0' E.D., 5.0' TD TOTAL AREA: 800.0 SF NOTES: PAMONE ENG SVC, LLC FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SCHROEDER EAST, BLOCK 1, LOT 20 KENNETH AND SYLVIA HANKS 12744 SPRING BROOK DRIVE DESIGN DETAILS EAGLE RIVER, AK 99577 INSUTATION t FABRIC DRAIN PIPE W/ 1/8" HOLES 18' O.C. ROCK 6" ABOVE PIPE INV ROCK m INSULATION � ,R FABRIC 0 41N ROCK 6' ABOVE PIPE INV i 0 DRAIN PIPE W/ s TRENCH SEE DESIGN ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE P,�(G 7/25/2012 A �••' 9,frj Scale NTS ....... .... . .. P.I.D. NO .. 050-063-04 ........ even R. Panno...n.e. PERMIT N0. IPFQ. CE s 8149 � OSP121208 �il rOFESSIOCNP�"� Sheet 2 OF 4 TEST HOLE 1 SOILS LOG - PERCOLATION TEST SLOPE SITE PLAN 2— GM/ FILL VV/ SIM SOME DEBRIS 3 20 4 OR ORGANICS 'Z� 5 4BR HOUS 6— x TH (E) 7 — CIL CLAY -0, 9 T -1 A, 10 TH 2 11 BOH 12 — 13 — WAS GROUND WATER SLOPE 14 — ENCOUNTERED? Y 15 IF YES, AT WHAT TH 16 DEPTH? -10.0-1 x 17 DEPTH TO WATER AFTER MONITORING? 18 DATE: CLOCK WATER DATE PERFORMED: 7/9112 READING DATE TIME NETTIME LEVEL NET DROP READING NO PERC 2 3 4 5 6 COMMENTS: Test hole excavated by FLINTSTONE ENTERPRISES. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PAMONE ENG SVC, LLC Date FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 7/25/2012 PHONE (907) 272-8218 FAX (907) 272-8211 Scale # OV, NTS ..... .. . P.I.D. NO SCHROEDER EAST, BLOCK 1, LOT 20 ...... 050-063-04 KENNETH AND SYLVIA HANKS even on*no ' ne* PERMIT NO. CE 8149 12744 SPRING BROOK DRIVE OSP101208 SOILS LOG EAGLE RIVER, AK 99577 .......... Sheet 3 OF 4 TEST HOLE 2 SOILS LOG - PERCOLATION TEST SLOPE SITE PLAN OR ORGANICS 0. 2- 3 4— 20 5 — 413R 31 HOUSE 6— GM SILTY GRAVEL X TH (E) 7 8 9 T -1 CLAYEY 10 SILTY GRAVEL TH- 2 11 GMI CL 711712012 12 — 13 — WAS GROUNDWATER SLOPE 14 — BOH ENCOUNTERED? N 15 — IF YES, AT WHAT TH 16 DEPTH? -IDRY-' X 17 DEPTH TO WATER AFTER MONITORING? -11'- 18 DATE: 7/18/12 READING DATE CLOCK WATER DATE PERFORMED: 719112 TfME NETTIME LEVEL NET DROP READING 1 7/9/12 9:31 -- 4.00 -- 2 10:01 30 MIN 6.11 2.11 3 10:01 -- 4.00 -- 4 10:31 30 MIN 6.09 2.09 5 10:31 -- 4.00 -- 6 11:01 30 MIN 6.06 2.05 PEROLATION RATE 14.6 (minlinch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS: Test hole excavated by FLINTSTONE ENTERPRISES. Prec hole was presoaked. Test run for at least one hour. Last 3 readings reported PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PMNONE ING SVC, LW Date FOR CONSTRUCTION 7/25/2012 P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 Scale NTS .... ... P.I.D. NO SCHROEDER EAST, BLOCK 1, LOT 20 ........... . ........ .050-063-04 KENNETH AND SYLVIA HANKS Steven R. annone — FERMIT NO. CE 8149 OSP1 21208 12744 SPRING BROOK DRIVE PROFES90� Sheet SOILS LOG EAGLE RIVER, AK 99577 11ii't .......... 4 OF 4 ` 2 Municipality of Anchorage Page of _ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 5 ck) 9Zo Z46 PID Number: OSo b 4 Name: Wastewater System: ❑ New IW Upgrade Address: ABSORPTION FIELD 17_ F S�1Q)rJC P�Lop�_ ��ztfL-- — Phone: No'of Bedrooms: O Deep Trench ❑ Shallow Trench 14 Bed o Mound O Other s Soil Rating: Total Depth grade: LEGAL_ DESCRIPTION O S Zmooriginal GPD/S . Ft. Lot Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth berpath pipe 7-o 1 I, Z' FL a - _ Ft. Township: Range: Section: Fill added above or?inal grade: '- Gravel length: R -f-i.J S I - Ft. Ft. •1•�_ Gravel width: Number of linos: Distance between lines: WELL: 0 New 0 Upgrade - Z5 Ft. 4 6 Ft. Pipe material: Ne- 5< 4-a Classification (Private, A,B,C): Total D pt : Cased To: Total absorption area: Ft. Ft. 9:�5 So. Ft. (A5-i-m p 1-+ S) Driller: Date Drilled: Static Water Level: Installer: Date installed: 9-It- 97. J� Ft. MMPI r�Te Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding ) S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer. Capacity in gallons: From Tank Field Station Tank Sewer Lines _e _ Material: Number of Compartments: -- s Well- ell --- -—-------- Surface Surfer a -}t©a' I LIFT STATION +(� LotSize IoF 37' 4 in gallons: Manufacturer: 1500 A,)CHoye t+E Tnv< Line -- , "Pump on" level at: "Pump off" level at: High watgr alarm at: Foundation 11 ' 5 I 4-) 9" _ 5)" Curtain Pump Make d Model Electrical Inspections performed by: Drain 4-50, of PT, N TIkS tLacT21 5 BENCH MARK Remarks: N>=w ELS„ fl rW �� � buLY I -' B mow Location and Description: Q121-ovN`j� 1rv5"1'�LL W lil�r �1'LF1cEi SL - 1�dYCWRy. v\/u-'W L-lFP" S"S'Y�-TlAoi C}21 %rIN �'t- G12bvNY� � s_e - Assumed Elevation: (00 � ENGINEER'S SEAL TG 4�Eet �t1n)M�m zVL-4 u> -' 1 i"�f-rF �� [�� Cl•, J Inspections performed by: _ -'^ �mN4 Dates: 1st s 2nd 8"74� Department of Health and Huma( �ervices aper verl F', by: , Date: Reviewed and approved 72-013 (Rev 9/91) MOA 25 PERMIT # SW920246 PAGE 2 OF 2. MUNCIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES ENVIRONMENTAL SERVICES SECTION ON-SITE WASTEWATER DISPOSAL SYSTEM INSPECTION REPORT LEGAL DESCRIPTION: LOT 20 BLOCK 1 SCHROEDER, ADD #1 PID 050-083--04 �q P; 190 v \ 4 BEDROOM FRAM HOUSE \ � 9 \SCALEEll 1500 GAL LIFT STATIONBUILT BY ANCHURAGE TANK / V ND = 10(x. 00 FINISHED GRADE EL - 99,3 INV = 95, OTTDM OF SEWER RUCK EL _hNV EL = 95.0 s' BOTTOM OF TANK = 91.00 1 1/4' F . GRADE a 90.3 .4 PIPE EL =97.1 BOTTOM OF TEST HOLE - BB.O NO WATER OBSERVED W/ 1/8' HDLES 8 3' CENTERS GRADE EL - 99.3 P(944e o Municipality of Anchorage Page i of I' DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 995196650 0 Telephone: 3434744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 5 W 9Zp 7_4�1 PID Number: _ o50 063 C4 Name:P-5 i-}-arc� 1 � �h -, f i Wastewater System: K New ❑ Upgrade Address: 4^ S y) no brookf r C— l�t�.we,. _ ABSORPTION FIELD Phon:No®t Bedtooms: Q!. ❑Deep Trench 1-1 Shallow Trench C$ Bed 1:1 Mound ❑Other LEGAL DESCRIPTION Soil Rating: O ® Total Depth Z ;m original grade: 8 GPD/Sq. Ft. Lot:Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe ) -JD t 54%11 B C i, Z ' Fl. Ft. Township: NX _17 11+n) Range: 7-7-k-,% Section: '/9 5 t _ Fill added above original grade: 1. 5, Gravel length: �9' NW Ft. Ft. NVELL: ❑ New ❑ Upgrade Gravel tlefelh:W 1071:4 I S �� Ft. 0 Number -of lines Distance between lines: 4 ®� Ft. Classification (Private, A,B,C): Total De Cased To: Total absorption area: Pipe material: ,00" Fl. Ft. 9-1 SQ. FL 'C VG.. &chd 410 (ASiIM P _ Driller:?9L�1.� Date Drilled: Static Water Level: _ Installer: Date installed: e QJ� FL &V\ C.6o. VK.. 5 P 7,J&,1927- Yield: Pump Set at: Casing Height Above Ground: TANK— TAN K GPM FL FL SEPARATION DISTANCES ° Septic o Holding�� S.T.E.P. Manufacturer: Capacity in gallons: To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines Well ® Material: Number of Compartments: Surfac Water tic7®' "til +100' a *toq' _LIFT STATI®N Lot+�� Line t I� �, � r$b-rS Size(iw6ns: Manufacturer: Foundation .JP 191 s ' 5 "Pump on" le, el at: 4'7 "Pump off' level atHigh water alarm at: Curtain , r , Pump Make & Model Electrical Inspections performed by: Drain ®� +' SO ¢eNc,o N07.T%+5-ri C. (rt_B JJC%L Remarks: fveW Czt rs ori,,., BENCH DARK Location and Description: 1®� RZLA�,ay 0k iG.iN G�ccr�^ � +NSTr4 CT/a.R,q<.C�£t nv% Ar pauRwh`( Wi TYr N13"j a Assumed Elevation: I lip B L nVhl"A r.P ,..rcet yay rr fir, . Ni v r , >"r, er r+�tirita AG34u 5 i4 6' Inspections performed by: �^S �-�� I�axs Dates: 1 st 2-'1- 2nd-��e_ar. onna ae9 uaa aev en�rou-5n ne n'fo�u n Department of Health and Hyman Services approval'."' Reviewed and approved by: �� '__ Date:— l �''� ' �'• �' --K-41i 72-013 (1/91) MOA 25 Permit No, 5W 97-c)7_4(, _ Page Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.C. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System anal/or Well Inspection Report Legal Description: 4--7-0 Bt Kc.hrve.4rev has'?' PID No.: 05006-Sa9- v �Faoc.l! I40J5$ I — " UN WS A'R8 3Su CAPF'ffV -er I ND OFWvrkrvvYq i+1 LCe ?�N1Slt�rsELr3V � �u ------------- Gwr�o� Nt HNHoLC/ rNMP J*4(.e$S �. L •r Its HfA INCd Wgry'1p,.1 &uw 91 O 72-013 A (2191) MOA 25 Z" v c- MINN 1 F0410 L1'/4" yvc LA•'n"4c <�vv) w/ 1/g' iao�as S' �eNrzrls ON M Z"nloonv%i.vu 1 1141, Pie.-elzosow Li—L'� 1�AY - •-bit-- / 98 - - - 66 Gtr 96 s Piye ITLeo' 971 mON1ra1t Tn l M to The 1G.- M. L" A -D I NTu F#EAL. 'N S1 l:Y: a ' y � 51 • GAJ �J.� �� �;(n •.d j -Orr ^awh! z.YE6RVr<k�fi�l'v C � jy.iry �.£ s•n ,ryj 'r. 0>"r R9h♦il rth+rwffb "i0.U� P .rah 1111• :ri 4I��. I[�lii/(��I•tp •,,�,�f+A. i A0, � v PAGE I OF 1 MUNICIPALITY OF ANCHORAGE _5 ` DEPARTMENT OF HEALTH AND HUMAN SERVICES n {h P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE: WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW9202.46 DESIGN ENGINEER:CONSTRUCTING ENGINEERS, INC OWNER NAME:PHILLIPS HAROLD DEAN & OWNER ADDRESS:12744 SPRING BROOK DR EAGLE RIVER, ALASKA 99577 PARCEL ID:05006304 LEGAL DESCRIPTION: SCHROEDER EAST BLK 1 LT 20 LOT SIZE: 22248 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 8/26/92 EXPIRATION DATE: 8/26/93 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: DATE: `91 J�2� ISSUED BY: - (�J�t G�/�� DATE: 0)` ,I"(y' C SITE i� USQ `Ri'T.y OM SYSTEM r1 g �J t F ��i YF '. rs 1� xY• [ C Ga , 3r9 NO. 17:31 ENGINEER'S SEAL. PROPOSED i',ASTrti;WX?4'TER RBSOFRPTION =�Tgld LOT 20 BLOCK I SCC ROEDEFRr EAST AC9DXTXON PREPARED POR; HA.ROLI) PHILLIPS C/O DON MCKENZIE REAL ESTATE HACLE RIVER, AK, 9957 S, -ALE: 1" - 1CO' DRAWN BY CAI. (,',OSTgS'.C'kty�ylyCq�R`yy�''��vv���x G �F11,�E3sSGINEyk"�RS 34h6-2000 ER ANCHORAGE, 11K. 99516 8--17--91. DRAWING 4 92-S1-08-3 1 _ � I J ;.. II Q) IzS:'1"<i1'fCFt �'p1�p'j'1N(% �L�`�G.-\4. .4^Tetl / ! _ 'i1) �` [ =iTl =� �,.1 {lt il"VB I_ 1�i% pW / I�OJ6Q. R4�Oap 0A PP�6PetL/ Jam} MiDON Fy 2t jT lNF� 1Y�4V \\C / s 1 / / �%� � (?,y1 tP ,// Ek i�S-�",.�t` .2 �Sc�•. ``�n��,��, {=l i.'�cl 1.,,/ v�e�.0 al9Sa-•y� ,�-: 47ci1. i ((''++ l 1• i crn f w i I -� / V � �� � j. L•�`.5$; kctabTPT7n„1 1 � I r1 g �J t F ��i YF '. rs 1� xY• [ C Ga , 3r9 NO. 17:31 ENGINEER'S SEAL. PROPOSED i',ASTrti;WX?4'TER RBSOFRPTION =�Tgld LOT 20 BLOCK I SCC ROEDEFRr EAST AC9DXTXON PREPARED POR; HA.ROLI) PHILLIPS C/O DON MCKENZIE REAL ESTATE HACLE RIVER, AK, 9957 S, -ALE: 1" - 1CO' DRAWN BY CAI. (,',OSTgS'.C'kty�ylyCq�R`yy�''��vv���x G �F11,�E3sSGINEyk"�RS 34h6-2000 ER ANCHORAGE, 11K. 99516 8--17--91. DRAWING 4 92-S1-08-3 P Rl"( DaS):GNDETAILS RROPOSFD Y TEVIATER A-MO]ini 0p4 M;TEM BR � a� 20 ScHeoc-cee EAkSr - �I��°�'rn:<_.,nr, ?rte •�n �.e�A _----- _ C/O DON MCKEN2,IF R.F.AL ESTATE EAGLE RIVER, AKf 99577 Y DRAG BY CAI. r CON STk2UCTIOG EE`ICINERR.a 346-2000 s -nib 9IiQJ. flUDDY WERNE R 011 694-9098 kWCll0RA,(4Ee FDIC, 99516 DaS):GNDETAILS RROPOSFD Y TEVIATER A-MO]ini 0p4 M;TEM 20 ScHeoc-cee EAkSr PREPARED FOR. 'HAROLD PHILLIPS C/O DON MCKEN2,IF R.F.AL ESTATE EAGLE RIVER, AKf 99577 S:AU.: 'I" _ 30' DRAG BY CAI. a CON STk2UCTIOG EE`ICINERR.a 346-2000 s -nib 9IiQJ. flUDDY WERNE R 011 694-9098 kWCll0RA,(4Ee FDIC, 99516 DRAWING li 52-53-08 3 A ABSOPPT,10'� �jYSTEM 4qSIGH III ii io xrd I mvnr, ovw,. '�l ?Fr5 -z' USE H, JI V (9 IX"OPT? OF' PROJECT' This e)J-,wrptJt.on field is designed for a four (4) bedroom coystem. 'Lot is served by public water. Duc k1. -.o diffi�-Ireylce iu elevat-ian between proporied house plumbing and septic system locctlon, it; IF)- proposed, to install a lift. star -Jon I:o ac -cuss the absorption bc.,cl -,y;;tcm. ABSORPTION ARER CKLCUTJITXQWS Minimum Required: 4 Bedrooms x J.50gpd/bediroom =- 600 gpd ci-tpacil-,y Soils -cat--iDg, proposed addition, 0.8 gpd/sf Minimum sizing, 600 gpd 0.8 gpd/sf - 750 sf absorpUon area Use 20'W x 381L x 11 D 760 sf miniimuLi for b,,. -d.. XMPhCT OW ADJACENT LOTS. Tlicxc, are no private or pub ' ti.c wells within 200, of this absorption system. The propo-4:,d absorption sy-sLei.ii hc)Ei no J.Il,Ipcl(:t upon any adjacent logs as shown on at diagr.-IM, ATISOPTXON SYSTEM D93IGN DETAILk; I'ROPOSED WASTEWATER ABSORPTIOW SYSTSM, LO'S.' 20 Bi-OCN 1, rjCJHRC)?-'DFXZj EAViT, "REPARE 1 -F) ��OR: HAROLD Pfllf�l IPc0 (I --/0 DON MCKE-N�,IE RHAI, E'O'TATE EAGLE RIVER, AKI 99577 N)T TO SCALE DRA14N B-,' CAL r)1WP1EXXU '1146-2000 9601- BUnDY VIBUNER DR 694-9090, RUCTIORAGEt but 995,16 8-17-92 DRAWING 11 92- S2--08--3 C:+ ,rt 1 -VII, T Ululairlpalit 09 f rtnc�lrac s�° �I a DFF'Ail l PIAN f 0I.. {1L_Al.-fit I-IUPAAN EL.UIf E ; 825 "L." i, nRt horagc, All 9').'02-0650 g�L PERI ORNIED POR: DA FF PER FOi'; RAED: c°, `>•:� `i 7..: _ ` 1ownshti p, Ranc Section: rV '-J ` / LEGAL De,CRII TION ' I )- (G- DLPTlI i�vc1,_i '1'e SLOPc SITE PLAN (FF.FTi 3 I Ci I ir�2n't,2. 1 1 1 i 12 i3 !WAS GROUND WATER INCOUNTERFO? (\)� r- g I IF YFs, A-1 v11 -IAF I I DLP rH F. Brplh to i`;alu After tdaoi(orinp7 ----Ll 0 Bate Reading I � I —i i - - � � --__.__-------- Orae C9ros5 Not TDepttl to Nct f ime Till r;— Water Drop I ---- 0 �_,., , a i Ufa, - ,. --�- -. ---- ;>(Yn --- r.,, > 20- I i -l.. r,2 ? , PERCCLATIQN RATE __.�_._ Iminutos•inch) PERC HOLE DIAMEFLH __.,t,1._-_ T F'iT RUN GE_TIN[EN J__=.____ IT AND ll COMMENTS ___'J'�¢', ;,el � ? : ,�y , „-i_. LES: �.4: �,� e,h.A4� u rl _•=_: __ e)r �=.?:�.I.i._ / -�1 r�U - - ------ - -- --------- ---- -------- PERFORMED©Y--_�',r�'LyyV 7f-it+C �7-^`Z'"',: C>r?L?'i._ ry��.s4 ri.RM� ._— C,ERIIFY TrIA7 IRIS 1LSl WAS PERFCRMt.O RJ ACCORDANCE WITH ALL STATE AND MUNICIPAL OUIDLLINES I'`: F.f-FFCT ON THIS DATE. DATE Municipality of Anc :r)raga DE!"AR'TMENT OF HEALTH & HUMAN St RVICI:S 825 "l." Street, AnchoraTagyrn:,eAlaska &99502-p0650 'Fi34Cf7,.E ��..F„��.'!. d�l��¢d PEW ORMED FOR.: `•I)�-\-o"N1)r/'lj *� LEGAL DESCRIPTION t,-ZJ�_j BIC I IFPTH (FceTI 7 PLL. r 4 D4TG PU',f OFIMFD:_ T oWnship, flange, Section: ;I OPE SII E PLAN 3- Int kVAS GROUND VIx{TLH ENCOUNTIRED? « _ I ` Df l" H �' i l !'-a'1 +' - (kph lo 4daler Mer _1 II 13 idmitorim? -------- O — Hale -- 1 _ '- L._ it' L t'l - Raading I Datr, "_ I N t di to im Water L i erne J 1 me f)rop Ii, y C> I 5 — _, - —. �i` qM tn.{� Fad '1 CJ 1',"ra�r vp i-.^.'�C�t jn 20 t.., I'FRCOLP,l ION HAI E - `-�-'---. u`ninutes.ie,Tricn) PERC HIOI_E DIAML-TE: ('1 1 EST RUN EF 1 F ANO -. FT WEEN -- ".�COMFNTS U P[RFORMED BY. n' :`tY'>>S '' _rljirit"In-7"<Q-45_._ �>(�S�-i- �-,^�.�4.A _..____. CEC+TiFY THAT THIS TEST WAS f'EF.FOHM[:D Ifs! ACCORDANCE WITH ALL. STATE AND MUNICIPAL. GUIDEI. iNLS IN EFFLCT ON THIS DATE- DATE_J-3,61 MUNICIPALITY OF ANCHORAGE \1 DEPARTMENT OF HEALTH & E=NVIRONMENTAL. PROTECTION ['NVIRONMENTAL ENGINEERING DIVISION II25 L Street - Anchorage, Alaska 99501 Telephone 264 4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL. INSPECTION REPORT NAME / sPHONENEWTf UPGRADE MAILING ADDRESS Al ,p LEGAL DESCRIPTION LOCATION �- NO. OF BEDRO MS /✓lam � O/C Well Absorption area DISTANCE T0: Dwelling , PERMIT NO ¢. Z Manufacturer Materialr.�.No, of compartments allons Liq. / capacitJyyy d g � IF HOMEMADE: Inside length Width Liquid depth tj Y DISTANCE TO: W Dwelling PERMIT NO. __ — �� Z Q F- Manufacturer Material Liquid capacity in gallons m 9 w 2 w 1° LL Z ell DISTANCE TO: d '� No. of lines Length of each li Foundation Q Nearest 4-117 PERMIT NO. Total length of lin s Trench width Distance between lines Z w / — inches F - Q h 0 -_ - Top of tree to finish grade p _ _ Material beneath ti{e „ Total effective a�sor`p� � area `-�.-_(T/6/ inches c� �- Length - Width Depth PERMIT NO. LU c�- Q h Type of crib lame -- Crib depth — Total effective absorption area a0. LU N ell Building foundation Nearest lot line DISTANCE TO: _ s a Class CdA% Depth Driller Distance to lot line -- PERMIT NO. - — LU DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS l r SOIL TEST RATING mil li r INSTALLER -' REMARKS I - - i N_ n DATE APP O`E�Y"� �E=�����2� � J�/�/LJEGAL 5 t o �ti yrrAfirb Urt t _ by DOC Co. dba SULLI N WATER WELLS P.O. BOX 272,-CHUGIAK,•ALASKA 99567 0 TELEPHONE 688-2759 OWNER OF LAND e ADDRESS STATIC LEVEL OF WATER FT. LEGAL DESCRIPTION « DRAW DOWN FT. — DATE - Started Ended GALS. PER HR ' DEPTH OF WELL PERMIT NUMBERKIND OF CASING Y, KIND OF FORMATION: From Ft. to—;Ft.-From Ft. to— Ft. € MUNICIPALITY DEPT OF I ILi\LTI I From Ft. to From Ft. to__Ft. _Ft. ENVIR From to Ft. From Ft. to-- Ft. —Ft. From_Ft. to -' Ft._ Froin—Ft, to_ - Ft From Ft. to Ft. From Ft. to— P Ft.— R E C E I V E D From Ft. to ' . Ft. : `' From Ft. to---Ft.— o__Ft.From_ From- Ft. to % ," Ft._ " From Ft. to _Ft. From Ft. to Ft. From Ft. to_ _Ft. _ From -Ft. to Ft. Froin --Ft. to--Ft.— o_Ft.FromFt. From—Ft. to Ft. From Ft. to _Ft. From --Ft. to Ft. _ Froin Ft. to— Ft. From Ft. to Ft From Ft. to ---Ft. From Ft. to Ft._ From Ft. to _Ft. From Ft. to Ft. _ From Ft. to— Ft. From_Ft. to Ft.-_ From Ft. to_ Ft From Ft, to Ft. _ From Ft. to_ Ft. From Ft. to Ft. From Ft. to— Ft MISCL. INFORMATION: DRILLER'S NAME DEPHRTMENT � HEHLTH HND ENVIRONMENTHL /,<OTE�TION ' 825 /L/ STREET/ HN�HORHGE, HK� 99501 �� ��� /L,�j() ��� � L�Jb� x . _ -,,'2 SIZE 264 --1 ` �) PERMIT NO �F.._ 9 ( 810619 �K*.":!,� 11",11 - I F o UE U; �Fr;�!! rell ) h�� jcx` `-� ." u., `''� `��°^� � :r. F' {7 �| ru� J/ry\ HPPLICHNT HHL PHILLIPS BOX 1]0 CHRLH 694—]760 LOCHTION SPRINGBROOK DR. OF H LEGHL LOT 2:0 BLK 1 SCHROEDER SUB LOT SIZE 21780 SQUHRE FEET TYPE OF SOIL HBSORPTION SYST�M IS� DP!HINFIELD MHXIMUM NUMBER OF BEDROOMS = 4 SOIL RHTING (SQ FT/BI`;i!)� 85 THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM IS: lf?. IER] 1"" -V OF �������� �Q �sit too 4" L. ... ���"'1" 9�� � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETNEEN THE SURFHCE OF THE GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FE _F- 11 A ���1 .1 1 R__:o "T 11-11 1: 7 -El ��jr-:7.,�` THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL B.71 TIME17N THE OUTFHLL PIPE HND THE BOTTOM OF THE EXCi-lVHTIOIIA (IN FEET) IT: PRE pit 1-.0 1, OFit" C�- ����_C HIT -T- 10 Phl K ��W E.:,-= 2-M F-1 F L_ III)�� PEAMIT APPLICANT' HAS THE RE5PONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTHLL�TION INSPECT�ONS CIF:' HNY HD-JHC�NT TO T��S PROP�RTY HN� T�� NUMBER OF RESIDENCES THHT THE WELL WILL SERVE. - F" III , I �Do 3: P"! Al K Q HO -T- 3: CH V-4 0 1=1 if! K IT: FIE pit 1.1 1 Fit K via BHCKFILLING OF HNY SYSTEM WITHOUT FINHL INSPECTION HND HPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTHNCE BETWEEN H WELL HND HNY ON—SITE SEWHGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WE'LL- MINIMUM ELLMINIMUM DISTHNCE FROM H PRIVHTE WELL TO H PRIVATE SEWER LINE IS 25 FEET HND TO H SEWER LINE IS 75 FEET. WELL LOGS HF", -:E REQUIRED AND MUST BE RETURNED TO THE DEP8RTMENT NITHIN ]0 C. !E: OF THE WELL COMPLETION OTHER REQUIREMENTS MHY HIFICHTIONS HND CONSTRUCTION DIHGRHMS FARE HVHILHBLE TO INSURE PROP�R INSTHLL�TION �" Q Fit M I -T" Cn ������ ���� ���� I CERTIFY THHT 1: I HM FAMILIRR WITH THE REQUIREMENTS FOR ON�SITE SEWERS HND WELLS HS SET FORTH BY THE MIII-Ill CIPHLITY OF HNCHORHGE. 2� I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES ]� I UNDERSTHND THHT THE SYSTEM MAY REQUIRE ENLHRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THHN 4 BEI:::�ROOMS. ?Ln., SIGNED�����.�������� HPPLICH��F H���PHILLIPS ISSUED ~.~DHTE V4�0 ❑ SOILS LOG 41 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTIO ❑ TERCOLATION 825 L. Street, Anchorage, Alaska 99501 264.4720l/� f� \ Vi SOILS LOG — PERCOLATIONTEST PERFORMED FOR: L--<- G _ DATE PERFORMED: 2 v JG! /U 2 {�JJJJ�����J.....L�EGAL DESCRIPTION: _ DEPT .���j� / SLOPE SITE PLAN (FEE- l/->•' / (,1 ✓'C' 4 a 5 � 6 s ,u 9 10 7 2'1�' `! 11 /VSAS GROUND WATER �.S ENCOUNTERED? L O 12 P IF YES, AT WHAT E DEPTH? 13 14 -W (g' •pNecBan01 � yV 15 17 y 18 Robet3 .L Shafer % k y1 ,gym ra 19 20 COMMENTS PERFORMED BY: 72-008 (6/79) Reading Date Gross Time Net Time Depth to Water Net Drop ON Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) Parcel I.D. 050-063-04 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 s'aex< Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: Complete legal description Schroeder East, Block 1, Lot 20 Location (site address) 12744 Spring Brook Dr. Current Property owner(s) Kenneth & Sylvia Hanks Day phone Mailing address 12744 Spring Brook Dr. Real Estate Agent Day phone 2. TYPE OF DWELLING: Q Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ n..61:.. 1A1 I— Oy_t..... Public vvaLUI v oLcni U n..L.l.. JOWOI Public ❑ WaiverNariance request for: otherwise requested by the engineer. COSA Fee $ Date of Payment Receipt Number COSA# OSC- 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. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE i/ System #1 Approved for bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms Phone (907)272-8218 Date 7/31/13 AW t� f/ Seveni1 Pannone CE -8149 ���� bedrooms, with the following stipulations: 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 Septic System Advisory Well Flow Advisory COSA blue sheet ('- '., 0 X Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # + of + Structure served by this system + Certificate of On -Site Systems Approval Checklist Legal Description. Schroeder East, Block 1, Lot 20 A. WELL DATA Well type Class 'A' Date completed Total depth ft. Date of test Static water level If A, B, or C provide PWSID # AWWU Sanitary seal (Y/N) _ Cased to ft. FROM WELL LOG Well production / g.p.m, WATER SAMPLE Coliform_,,_--� colonies/100 mL Nitrate mg/L ug/L Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P/Steel Tank size 1,500 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping New Pumper Parcel ID: 050-063-04 Well Log (Y/N) Wires properly protected (Y/N) Casing height (abo ound) in. AT ft. Collected by: Date installed 6/24/13 Cleanouts (YIN) Y High water alarm (Y/N) Y C. ABSORPTION FIELD DATA Date installed 6/24/13 Soil rating (g.p.d./ftp or ftz/bdrm) 0.8 GPD/SF System type Shallow Trench Length 80 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth 7 ft. Eff. absorption area 800 ftz Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test New in. Water added New gal. New depth NeW in. Elapsed Time: New min. Final fluid depth New in. Absorption rate , 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed 6/24/13 "Pump on" level at 43 in. Datum Bottom of Tank E. SEPARATION DISTANCES Size in gallons 250 Manhole/Access (Y/N) Y "Pump off' level at 41 in. High water alarm level at 45 in. Cycles tested New Meets alarm & circuit requirements? Yes WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that t 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. Engineer's Printed Name Steven R. Pannone Date 7/31/13 COSA brown sheet 10-10-12.doc Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 110+ LOT 21 Addition Set on Sona Tube Posts 4 d 00\ •yk� Wood She No. Foundation f e\0 �a, o� G� U. Power Pole — \ Wire Fence Ornamental Brick s r, A Woode A Retaining Wall �,� Covered 5 �eyde�c �cP\ Wood Deck \ �' SP�� e Re s 2.0' x 2 -08.4'J Cantilever`` `��- q0/�z. M.rLifH Station a/ �l LOT 12 LOT 20 BLOCK 1 , J `Clean Out LOT 19 !i Chain Link / LOT 13 Fence NV a SCALE 1 " = 20' LOT 18 0' 10' 20' 40' 1 hereby certify that an accurate survey of the following described PREPARED FOR: property: e� SCHROEDER SUBDIVISION EAST ADDITION (71-298) PANNONE ENGINEERING OF ttt LOT 20 i ......... C'q BLOCK 1 ��' 9�0 was made on September 9. 2073 and that the improvements 49r—" '* 00 situated thereon are within the property lines and do not overlap or AS -BUILT encroach on the property lying adjacent thereto, that no • '•" "• improvements on the property lying adjacent thereto encroach on OWN. DATE GRID 0c Lee Knrn6e(nikoff!� the premises in question and that there are no roadways, JSP s/12/2G13 NW ssz 0, No. 3143-S>� transmission lines or other visible easements on said property except FILE NO. F.B. 2013 JOB NO. 'It \j ite �op� 11iP, as recordindicated plat e eon. athis appear Easements sthethan those shown on the 1342 PG. 56 1369 KARABELNIKOFF Anchorage Alaska, this 12th day of September 2013. SURVEYING (so-1)3s7-ssas MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES M� Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # O's c) 06304r ��- HAA# 1. GENERAL INFORMATION Complete legal description Lza 3I Sc4 'O?'aev Location (site address or directions) Z-:�-44 sr�r1 %,G b roo`�hv Property owner}a o�z `'�S Day phone Mailing address Lending agency Mailing add Day phone Agent Dayphone 6945554 Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: + V 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. A. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: 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 421 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 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 furtherverify 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 cz�5+Y.C_�,5C �'n�� Phone 699-9098 Address %ot �o�Z we�v Q �Y car ale 99Si� t Engineer's signature 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments – By:( �% �) ri// < — Date ` l� %UT ON 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 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. 72-025 (Bev- 1/91) Back MOA 421 a Municipality of Anchorage, Department of Health & Human Services �{ _ HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: trZA6iSch ve 1ve k ast Parcel I.D. 3 So66 3o9 - A. WELL DATA Well type Log present(Y/N)_ Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump level If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller- -Cased to Casing height— Wires properly protected (Y/N) FROM WELL LOG ,,V SEPARATION DISTANCES FROM WE Septic/holding tank on lot I Absorption field on lot — Public sewer main — Sewer service line WATER SAMP Colifor Date of sample: RESULTS: B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) Date of pumping _ Nitrate AT INS135eTIONMUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION ; On adjacent lots — — ; On adjacent lots — Public sewer manhole/cleanout Petroleum tank Collected by: Tank size — Foundation cleanout(Y/N) 511` 1 7 1992 -� E 1 V E D Other bacteria nts Depression (Y/N) arm tested (Y/N) — Pumper _ SEPARATIO>DISTANCES FROM S IC/HOLDING TANK TO: Well(s) on lo—On adjacent lots — To propertyAbsorption field Surface wad —Foundation— Water oundationWater main/service line 7/91) From CONTINUED ON BACK PAGE C. LIFT STATION Date installed %' 5 � Sire in gallons "t-50 Vent(Y/N) High water alarm level Manufacturer ATQ 011— }<_r5 � Manhole/Access (Y/N) "Pump on" level at 4 '51 Meets MOA electrical codes (Y/N) Y EtF tiS-rA,0_6� "Pump off" level at _ 4-40 Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot w a On adjacent lots _ 4-100Surface water D. ABSORPTION FIELD DATA Date installed — g -w_ Soil rating _ 0 39� 6_fSystem type Length �*v 39 -Width— Zr Gravel thickness _a I t (� 6 '"'Fl I1epth `'�) r $�" " thickness—Toot-JI d Total absorption area 9� S( Cleanouts present (Y/N) _ IJ?ft��s�zrj 4-100, C.d Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Date of adequacy test for SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot— N f\ To building foundation On adjacent lots * �o Surface water -r-l00 Curtain drain [ 50 E. ENGINEER'S CERTIFICATION If yes, give date On adjacent lots _ it00 Property line__ To existing or abandoned system on lot Cutbank rte __Water main/service line M I'_' Driveway, parking/vehicle storage area 17-, bedrooms I certify that l have checked, verified, or conformed to all MOA and HAA guideliPes rrt ef(edt on f4a; date of this inspection. Signature �— C2>r's T� _ ✓� 3 is Engineer's Name .. Date e HAA Fee $ Waiver Fee $ Date of Payment9"/7 9 ZJ Receipt Number '�� YD -T,5 72-026 (Rev. 3/911 Hark mnA 9, Date of Payment Receipt Number 5. LEGAL DESCRIPTION U, _Fc,7 E D INSPECTION APPOINTMENTS _ `- TIME TIME TIME SINGLE FAMILY 0 Two ❑ Five (0- MULTIPLE FAMILY DATE DATE /�,.'y DATE t1-�1r s1 �i h L�vs INSPECTOR INSPECTOR INSPECTO� (!�E MUNICIPAUTY OF ANUT MUNICIPALITY OF ANCHORAGE DEPT. OF HEALrH & PROTECT'IoENVIRONMENTAL PEOTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL 825 L Street• Anchorage, Alaska 99501 NOVI, C) 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER - - PHONE fluEo e -an _) MAILIN ADDRESS � 130 �° on II L 1 i� /aha %� 7 o PROPERTY RESIDENT (if different fromve) PHONE LO1- o�U &ockL C -ouc(le 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION � C, PHONE JvMmemac 1ae,ra ele 1I MAILING ADDRESS _ 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION _ `- Snrfrxi l� 6. TYPE O RES DE CE - NUMBER OF,BEDROOMS ❑ One 53d, Four E]Other SINGLE FAMILY 0 Two ❑ Five (0- MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER§UPPLY -- INDIVIDUAL* - *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM � 9 INDIVIDUAL/ON-SITE** 1' 1 YEAR ON-SITE SYSTEM WAS INSTALLED. 192'1 ❑ PUBLIC UTILITY NOTE; THE INSPECTION PEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) � „-��-C,.r "l.�f Y '0G'-�" -- 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS ❑ ONE ❑ THREE Cl FIVE ❑ TWO ❑ FOUR ❑ SIX ❑ OTHER 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified_ PERMIT NUMBER A DEPTH OF WELL DATE DRILLED LOG RECEIVED - 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified — PERMIT NUMBER DATE INSTALLED INSTALLER — ❑Septic Tank or ❑ Holding Tank Size: 0 S0 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELLoAbsorption Septic/Holding Tank Absorpti n Area Sewer Line ­ Nearest Lot Line Area to nearesttLot Line 5. COMMENTS APPROVED FOR ❑ CONDITIONAL APPROVAL ❑ DISAPPROVED BEDROOMS ^�! (letter must accompany certificate) DATE BY 72-010 (Rev. 6/79) YI NLD . J �f,,SK e November 20, 1981 Harold Dean Phillips U Box 130 Carla Street % Eagle River, Alaska 99577 / Subject: Lot 20 Block 1 Schroeder East Subdivision Approval for the individual sewer and water faciliLies cannot be granted until- the following items have been completed: (1) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. (2) The seal on the well head needs to be tightened so that it is water tight. I I(3) Exposed electrical wires to the well are in violation /1 of the Municipal of Anchorage codes and must be encased in conduit. Please notify this office for a reinspection when the noted desc.repancies have been corrected. If there are any further questions, please call this offi.c at 264-4720. Sincerely, 0 /J Robert C. Pratt, R.S. Associate Specialist Iz RCP/ljw cc: Alaska Bank of Commerce �IC 3230 C Street, 99501