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SEACLIFF BLK 3 LT 11A
Onsite File Seacliff Block 3 Lot 11A #011-221-38 Septic tank is buried 0.8 ft deeper than what it is approved for. This shall be addressed prior to COSA approval (i.e. decrease cover depth, provide soil density test to demonstrate 4.8 ft burial <600 lbs/sqft, or provide structural analysis). Municipality of Anchorage Community p p Development Department =P 9e, 1 of 3 On -Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 - hup://www.mun*i.org/`ori 907)343-7904 ON-SITE WASTEWATER INSPECTION REPOR` Permit Number: OSP151066 PID Number. 011-221-38 L�jC'New ®Upgrade Name: FRED AND BETTIE OLIN ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench M Bed ❑ Mound Address: 9331 JACLAIRE LANE, ANCHORAGE, AK 99502 ❑ Other Phone: No. of Bedrooms: Soil Rating: Total Depth from original grade: (907) 248-2332 4 0.7 GPD/Sq. Ft. 7.1 FL LEGAL DESCRIPTION Depth to pipe invert from original grade: SEE DWG. Ft. Gravel depth beneath pipe: 0.67 Ft. Subdivision: Block: Lot: Fill added above original grade: Gravel length: SEACLIFF 3 11A SEE DWG. 60 Ft. FL Township: Range: Section: - - Gravel width: Beds Number of lines: Distance between lines: - 15 Ft. 3 5 Ft. SEPARATION DISTANCES Total absorption area: 900 Number of trenches: — Dist. between trenches: — To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines SQ. Ft. Ft. Well *200'+ *200'+ - - 25'+ TANK ® Septic ❑ S.T.E.P. 01 -folding ❑ Other Manufacturer. Capacity: Surface Water 100'+ 100'+ - - INFILTRATOR SYSTEMS 1530 Gal. Lot Line 5'+ 10'+ - - N/A Material: Number of compartments: HDPE 2 Foundation 5'+ 10'+ - - LIFT STATION Curtain Drain NONE KNOWN Manufacturer: Ca y: Gal. Remarks: *COMMUNITY WELL >200 FEET SEPARATION "Pump on" level at: "Pump off' level at: High water alarm at: Pump Make 8 Model' Electrical Inspections performed by: PIPE MATERIAL House to tank D2661 Tank to D2661 drainfield Installer PIONEER PEAK Drainfield 3034 CO/MT 3034 Inspector AGNES MARSZALIK BENCH MARK (Assumed elevation) 100.00 Ft. Inspection Location and Description: Dates: 1st 7/14/15 2nd 7/15/15 3rd 7/17/15 4th 10/5/16 TOP OF NE POURED FOOTER FOR DECK ENGINEER'S.SEAL, Community Development Department Approval.;_ , Conditional approval: Date:, • ' ,: , �H Z: ... V.... "................ :rr � t Approved: \� Date: 1 a � �� 19 Pp /.le 4-ma c cued L L, PERMIT NUMBER: PARCEL ID NUMBER: OSP151066 RECORD DRAWING 011-221-38 -WATER KEY BOX ( LOCATION PER CRW) WATER LINE-/ (ASSUMED LOCATION) +' -0 7. h �411 Cg RPpRiO NOTE: THE OLD SEPTIC TANK/DRAINFIELD WERE ABANDONED PER UPC, PER THE CONTRACTOR. A 1 B DBL1 23.0 40.2 DBL2 24.7 39.4 ST1 39.8 36.7 ST2 49.3 38.8 DBL3 53.3 40.0 DBL4 55.0 40.8 MT1 52.5 20.8 C01 53.5 20.3 CO2 57.6 18.6 CO3 60.2 15.5 MT2 61.3 15.3 MT3 93.9 77.2 C04 93.0 75.9 C05 95.9 76.5 C06 99.3 77.1 MT2 99.7 76.4 NOTE: THE OLD SEPTIC TANK/DRAINFIELD WERE ABANDONED PER UPC, PER THE CONTRACTOR. ? NEW 1530 GALLON INFILTRATOR SEPTIC TANK y�� Sty 3 4f;175t2 oo��a �o F/'st2 C MTS Oq C� 1010T/!/Ty C06 4,q sFM��T LNEW DRAINFIELD N SCALE: 1"=30' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: FREDDIE AND BETTIE OLIN (907) 248-2332 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: SEACLIFF SUBDIVISION; BLOCK 3, LOT 11A J.L.M. TYPE OF WORK: DATE: �,_ RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 9/16/2015 z z w 2 U) J 0 0 F S X10 0) QTH Y� �E • • F� �r F� F ! • BEP h.6tiid R. CHADVVICK • No. CE14341 Alaska Native 0! Tribal Health Consortium Q A Division of Environmental Health and Engineering 4500 Diplomacy Drive Anchorage, Alaska 99508 (907) 729-3600 ? NEW 1530 GALLON INFILTRATOR SEPTIC TANK y�� Sty 3 4f;175t2 oo��a �o F/'st2 C MTS Oq C� 1010T/!/Ty C06 4,q sFM��T LNEW DRAINFIELD N SCALE: 1"=30' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: FREDDIE AND BETTIE OLIN (907) 248-2332 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: SEACLIFF SUBDIVISION; BLOCK 3, LOT 11A J.L.M. TYPE OF WORK: DATE: �,_ RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 9/16/2015 z z w 2 U) J 0 0 F S X10 0) QTH Y� �E • • F� �r F� F ! • BEP h.6tiid R. CHADVVICK • No. CE14341 PERMIT NUMBER: OSP151066 RECORD DRAWING PARCEL ID NUMBER: 011-221-38 FINAL GRADE = 99.80 ST1 ST2 2" OF INSULATION TOP OF TANK PER CONTRACTOR TOP OF TANK INLET = 95.00 OUTLET = 95.00 INLET OUTLET- INV. OF TANK 1530 GALLON INLET = 94.25 INFILTRATOR INV. OF TANK SEPTIC TANK OUTLET = 93.92 TH#1 TH#2 MT CO CO FINAL GRADE CO MT = 99.92 ORIGINAL GRADE = 99.25 INVERT OF 4" PERFORATED 2" INSULATION -5 FEET PIPES = 93.42 FILTER FABRIC -5.5 TO 6 FEET DEEP (REMOVE ALL CONTAIMNATED MATERIALS) 0.67' OF EFFECTIVE ;MOA SAND FILTER - TOP OF SAND -, FILTER - 92.75 r15 FEET WIDE IMPORTED/PLACED MOA APPROVED SAND SO AS BOTTOM OF TO REBUILD TO THE EXCAVATION = 92.17 EXACT SAME HEIGHT AS THE EXISTING DRAINFIELD RELATIVE ELEVATION OF BOTTOM OF TEST HOLES = 86.25 (NO GROUNDWATER) Alaska Native OF ® Tribal Health Consortium C'�� E '•. (rS ® Division of Environmental AV ITH 49 ®� o Health and Engineering: ' ' ' ' ' ' • ' ' ' ' ' i • 4500 Diplomacy Drive Anchorage, Alaska 99508 (907) 729-3600 ' ' ' ' • • ' ' ' • • ' f� BENJAMIN R. CHACINICK. . ``cam '• PREPARED FOR: PHONE NUMBER: PAGE NUMBER: No. CE14341 <` �a FRED OLIN 248-2332 2 OF 3 sT�o• • {0_(7-1 b, •' ���� F LEGAL DESCRIPTION: DRAWN BY: F�p�OFESS'������' SEA LIFF SUBDIVISION; BLOCK 3, LOT 11A J.L.M. V ��� TYPE OF WORK: DATE: RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 9/16/2015 eacliff Block 3 Lot I I A #011-221-38 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: OSP151066 Tax Code Number: 01122138000 Work Type: Septic Upgrade Permit Effective Dates: April 14, 2015 to April 13, 2016 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: SEACLIFF Site Legal Address: SEACLIFF BLK 3 LT 11A G:2424 Owner/Address: OLIN FRED R & BETTY J 9331 JACLAIRE LANE ANCHORAGE AK 995021339 Site Mailing Address: 9331 JACLAIRE LN, Anchorage This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 18033 Total Bedrooms: 4 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 Issued By By ' / : Date: Date: Lf�� MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-334433-77990�,�� Development Services F 9 On -Site Water & Wastewater Program Mayor Dan Sullivan APR 0 3 2015 On -Site Sewer/Well Permit Application �1 For A Single Family Dwelling Parcel I.D. a 1 1 — O�d� l —W Property owner(s) FRED AND BETTY OLIN Mailing address 9331 JACLAIRE LANE, ANCHORAGE, AK 99502 Gretchen Stuller Day phone 248-2332 Site address 9331 JACLAIRE LANE, ANCHORAGE, AK 99502 Legal description (Sub'd, Block & Lot) SEACLIFF S/D; BLOCK 3, LOT 11A Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family (SF) Absorption Field ® Upgrade ® (w/wo ADU) Septic Tank ® Duplex (D) ElRenewal El Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Waiver Fees: Date of Payment: Q'� / Receipt Number. Permit No. 65 P LII L& Waiver No. (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd Nd �d `` ' CIVIL &ENVIRONMENTAL ENGINEERS March 30, 2015 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic Upgrade for Seacliff Subdivision; Block 3, Lot 11A To whom it may concern: The existing 4 bedroom house is served by a community water system and a private septic system. The existing septic system consists of a 1000 gallon septic tank, followed by 500 gallon septic tank and a 60' long by 15 foot wide bed that has 0.5 feet of effective depth. According to the owner, the septic tank pumper/s have mentioned they have encountered gravel/dirt when pumping the tank/s. The pumper has indicated to the owner they believe the tanks are collapsing or have holes in them. Given the age of the steel tanks (44 years and 26 years), this is a reasonable assumption. We performed a site visit and found the monitoring tube in the bed to have 7.25 of liquid in it, but the cleanouts were dry. Based upon this information, it is our opinion that the drainfield is not technically failed at this time, but that it is working at the very upper portion of the designed effective depth and is most likely 90 to 99% saturated. We are proposing that a new 1250 gallon septic tank be installed and that the existing bed be rebuilt. We are proposing to excavate out all contaminated material in the drainfield and import/place MOA sand so as to re -build the drainfield to its existing elevation. Comments regarding the design are summarized as follows: 1. SOILS: See the attached 1989 logs which show the soil classifications and groundwater monitoring. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached design drawing with topography information, the average topography around the proposed drainfield is generally flat. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you havp\any questions, please contact us at 337-6179. Thank you for your assistance. P.a., M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com LOT 12A, SANDY LOT 8, BLK 2; I LOT 1, BLK 2; I I LOT 75A, BLK 3; I LOT 1, BLK 3; I HEIGHTS SID SEACLIFF S/D IiI SEACLIFF SID I I SEACLIFF SID i SEACLIFF S/D I III I I I III I II I_ I------------tl-------------I '------- T' ----------1 ' LOT I IA, SANDY I I I I I I I HEIGHTS SID LOT 14A, BLK 3; LOT 2, BLK 3; I 7 LOT 7, BLK 2; j LOT 2, BLK 2; Z I SEACLIFF SID I SEACLIFF SID i I �I--------- SEACLIFF SID SEACLIFF SID Q I I I I I I I I I LOT 10A, SANDY HEIGHTS SID I I LOT 13A, BLK 3; I I I I I QI SEACLIFF SDI LOT 3, BLK 3;--------- I U I SEACLIFF SID LOT 6A, BLK 2; I I Q' - I ----------- -I I I I I LOT9A,SANDY SEACLIFF S/D I I LOT 3A, BLK 2; I I L _ I : HEIGHTS SID I SEACLIFF SID LOT 72A, BLK 3; I ; I F -I-----____ I I I SEACLIFF SID i - LOT 4, BLK 3; I I I, L� ••� I I SEACLIFF SID -'' \ \ I I I . L---�- � ! PROPOSED 1250 GALLON I H I I LOT BA, SANDY T •�• 1 I SEPTIC TANK W HEIGHTS SID LOT 5A, BLK 2; / ��'\ ��` SEACLIFF SID///j^`� ���•. I r ��-----------� WI I i/% �'• `��\ I APPROX. LOCATION I �' I I -I LL-------- OF OLD CRIB I U) LOT 4A, BLK 2;LOT 5, BLK 3; / I SEACLIFF SID / I •- • ! 1� W 94TH COURT / /• / /�•\ i SEACLIFF SID r } II _ /-- EXISTING. I O ------- / L----------� 4BEDROOM •-� I Q� / HOUSE � NOTE" ALL PROPERTIES IN / r / ILOT 8, BLK 3 Z I LOT 10, SCOTTS SEACLIFF SID ARE SERVED BY / / / EXISTING / '�• ; / / BLUFF S SEPTIC SYSTEM / ` SEACLIFF SID I LLISIDTHE COMMUNITY WATER SYSTEM / r / / �\•• \• I ---------_ AND PRIVATE SEPTIC SYSTEMS. / / / / %�•�.- I I PROPOSED-)-,• �� �, I �\\`\J DRAIN FIELD TO / \- ���•. / / BE REBUILT. / �• I T `\� / / (SEE PAGE 2 OF 3)/ / \\ �� •\- I LOT 71, SCOTTS / LOT 70A, BLK 3; / -•�• �. I I I BLUFF SID SEACLIFFSID / / •n �� I T \�� LOT 8A, BLK 3; LOT BLK 3; % SEACLIFF S/D 1-_. __--- I I SEACLIFF S70 r-__ SEACLIFF r I \ LOT 12, SCOTTS / \ C LOT I7A, BLK 1; / \••��� R\� / / I BLUFF S/D SEACLIFF S/D \`\`F \��```,` / � �••��� \ � �� � / LOT 7A, BLK 3; LOT I8A, BLK 1;SEACLIFF SID / I •\ �� / / r, LOT 13, SCOTTS / SEACLIFF SID / i \ / / / BLUFF SID •� r �K / I LOT 19, BLK 1; / \�� i \ � _ i� / L-__________ SEACLIFF S!0 / ? `,� .\OMMUNITY WELL /� •�,• �� NITS---�� LOT 14, SCOTTS / / / / , �•. �� IN 2 BLUFF S70 / \, SCALE: / / LOT 20, BLK 1; �•• SEACLIFF SID I �.• T� O .3 LOT 21, BLK 1; �� t ----------- r \• / / / I SEACLIFF BID / •\�\ GARNESS ENGINEERING GROUP, Ltd .�' 4 .. 1. �:w :mss D„: ® CIVIL & ENVIRONMENTAL ENGINEERS=ae: - -_ 3MIE. TU�RROAD.SWE 101 'ANCHORAGE, AK83 07-PHONE190133781I0' W(K7)3383N6 WEBSIiE:vmv,.g g ,i 0, % ••,,. •• .......... ........... � PREPARED FOR: PHONE NUMBER PAGE NUMBER: FREDDIE AND BETTIE OLIN ( 907) 248-2332 1 OF 3 �♦ ; •. C -79ar ss LEGAL DESCRIPTION. DRAWN BY: �� J' '•• ��C0 SEACLIFF SUBDIVISION; BLOCK 3, LOT 11A J.L.M. 'pppR����L�y P� TYPE OF WORK: DATE: /,41 ES\\ �•• � SITE PLAN FOR SEPTIC SYSTEM UPGRADE 3/27/2015 jt —WATER KEY BOX ( LOCATION PER CRW) EXISTING SEPTIC TANKS TO BE COMPLETELY ABANDONED PER UPC CODE DRAINFIELD TO BE REBUILT IN SAME LOCATION AND TO THE SAME ELEVATIONS. SEE DESIGN CRITERIA AND PAGE 3 OF 3. GEG, Ltd. HAS A 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. NOTE: THE CONTRACTOR SHALL HAVE THE EAST AND SOUTHWEST LOT LINES FLAGGED! STAKED BY A REGISTERED LAND SURVEYOR PRIOR TO ANY CONSTRUCTION GARNESS ENGINEERING GROUP, Ltd =r = = CIVIL & ENVIRONMENTAL ENGINEERS 3701 E.TUWRROAD.SUIM 101'ANCI E.AKW9 7•PHONE (9 WT 179'F 10n a0z A w All— ...,.........>............0-.-_ PREPARED FOR: PHONE NUMBER: PAGE NUMBER: FREDDIE AND BETTIE OLIN ( 907) 248-2332 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: SEACLIFF SUBDIVISION; BLOCK 3, LOT 11A J.L.M. TYPE OF WORK: DATE: DESIGN OF SEPTIC SYSTEM UPGRADE 3/27/2015 �eyik_�aamess W w C 1-792 �C /'ROFESSO kt'4** FROM NEW 1250 GALLON SEPTIC TANK -------------------- I —, 0-4" MONITORING TUBE 4" MONITORING TUBE—�0 I I 4" CLEANOUT 4" SOLID PIPE ---,.4" PERFORATED PIPE 4' CLEANOUT I 4"CLEANOUT 4"CLEANOUT 15' WIDE 4" SOLID PIPE 14 I4" CLEANOUT 4" PERFORATED PIPE 4" CLEANOUT j 5' 2.5' I - I 0-4' MONITORING TUBE 4" MONITORING TUBE -0 L— ----- 28 FEET LONG LATERALS 28 FEET LONG LATERALS 60 FEET LONG TH#1 FINAL TH#2 MT CO CO GRADE CO MT ORIGINAL GRADE 2" INSULATION -5 FEET FILTER FABRIC -5.5 TO 6 FEET DEEP (REMOVE ALL 1CONTAIMNATED MATERIALS) J_ 0.5' OF EFFECTIVE a ' -'•"MOA SANE)FILTER 15 FEET WIDE IMPORT/PLACE MOA APPROVED SAND SO AS TO REBUILD TO THE EXACT SAME HEIGHT AS THE EXISTING DRAINFIELD NO GROUNDWATER OR BEDROCK TO 13 FEET IN TH#1 v.rFA h " �.,r m >, �,..• GARNESS ENGINEERING GROUP, Ltd " g ` �'� CIVIL & ENVIRONMENTAL ENGINEERS—ins 0 10 3701E TUDOR ROAD, SUITE 101 P HORAGF,AK99507' PHONE (.0 33/-699'FM(90S 3383246-WEBSITEwxx.9ems Wire E—n �. . ... .. ...... ................ 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 �n effre mess : ,4/= FREDDIE AND BETTIE OLIN ( 907) 248-2332 3 OF 3 #j -79713r " Q LEGALDESCRIPTION:DRAWN BY: �♦ i 9ju•,••��C1� SEACLIFF SUBDIVISION; BLOCK 3, LOT 11A J.L.M. 7 . TYPDETAIL OF EXISTING DRINFIELD REBUILD oar3/27/2015 ♦,1�� ��5�� ��• s Municipality o7 Anchorage 1 DEPARTMENT OF HEALTH $ HUMAN SERVICES � 325 "L' Street, ,Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST c 1� ``__z � PERFORMED FOR: /} '(%j %J _ z J%� DATE LEGAL DESCRIPTION: 2U, _ �,Cf}�/(�F Township, Range, Section: , -rL(J( ' DEPTH F7LC 7-LIO �T _ SLOPE s � 10 yi 11 f a� 12, d,FN 14 15 16 17 is 19 20. SITE PLAN WAS GROUND WATERS // - ENCOUNTERED? A10 l L___._sJ/l (FEET) cP_ '- 1 .� F'F ff COMMENTS -Af/ 517 QE D .DUE Tr) DL/2 Z 5 ' y �s'CT = T: �FKri; G �.c'GC �2ose DUNOIr`Ti�7JJ O %v � J ��bL j PERFORMED SY: z""'/ ��i�' 3 o a �_. �W _ GfG-w-�-`1 Sp_v� CERTIFY THAT THIS TEST WAS PERFORMED IN ° ejravetLj 4 o sand - CAV! n d o , , 7 o v e vre SaK T s � 10 yi 11 f a� 12, d,FN 14 15 16 17 is 19 20. SITE PLAN WAS GROUND WATERS // - ENCOUNTERED? A10 l L___._sJ/l PERCOLATION RATE _ (minUeJinch) FERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS -Af/ 517 QE D .DUE Tr) &f UE i'4157 %20 z I Z 5 ' y �s'CT = T: �FKri; G �.c'GC �2ose DUNOIr`Ti�7JJ O %v � J ��bL j PERFORMED SY: z""'/ ��i�' I i7 L .'vV CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Y MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES SrJ Sft/u NC= sTA t� Address FROM TO SEPTIC ABSORPTION WELL TANK FIELD Phone(s) Permit No. No. of Bedrooms WELL 6 q 7 Y '?_�Iav/y I r? LOT LINE I ' LEGAL DESCRIPTION Lot BlockSubdivision 11 //,4 S�a�/,{,l V FOUNDATION 9 Township, Range, Section 1- AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, r driveway, water bodies, etc.) _ TANKS I I I I I I I I I I I F71 0 SEPTIC ❑ HOLDING ManufacturerA Capacity in gallons AZtG �B��r�� l��fF S-6 e) Material No. of Compartments TYPE OF SYSTEM ❑ TRENCH JK BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade original rade ,?.�,e ,,/ S. - 7Hz FT ;//1 —7, Fill added above original grade Gravel depth beneath pipe )`_z FT S` Gravel length Gravel width FT /S Total absorption area Distance between lines fOP SO FT Ir Number of lines Soil rating Pipe material 3 ! 5-0 SO FT F=$/o, 49 30 sy Installer R9 _I( 01 Dale Installed 4ie4r. srn "eA�- OS F WELLS ❑ PRIVATE ❑ OTHER fidentifvl Installer I Date M■Ei ml loomsi ■m■■I �■o■■I 1m■m®l NEW!� MM ,NE0121 womm�oi REMARKS: lif 7' ye t'i 71 ` ,„ /' Scale: cJ �. e S ce JS 17 ! 6n l r� '14 • Ps -1 4 e l , Inspections Performed by: Irl FT �-- Date: o st K Vey, I— � ' pE r `j certify that this inspection was performed according to all Municipal and State guidelines in effect on this date: a;Ll eS l ;�— Health Department Approval: 72-013 (3/85) Date: ^ MUNICIPAL1TY OF ANCHORAGE / Department of Health & Human Services 825 L Street, Anchorage, Alaska 9950:1 343-4720 ON�SITE SEWER PERMIT Permit Number: 890114 Upgrade Date Issued: 07/05/89 Engineer Designed Owner Name: SUSANNE J" STA RR 8wner Address: 9331 JACLAIR LANE ANCHORAGE� AK 99515 Day Phone: 364^2749 Parcel Id: 011-221�38 Lot Legal: Subdivision: SEACL%FFI EMBDIVISION Lot,: 11A Block: 3 Section: 15 Township121',! R�.ange: 4W Lot Size 18033 (sq""t" or acres) Max Bedrooms: This Permit: it Total 4 SEPTIC TANK: Minimum total septic tank capacity: 1,25) gallons, Each septic tank must have at least 2 compartments. Depth to top of septic 'Lank, (s) < 4,0 feet requires insulation over tank(s)" INFORM D`H"H"S. PRIOR TO 1ST & 21AD INSPECTIONS BY ENGINEER, IF AFTER OFFICE HOURS, CALL AND LEAVE A MESSAGE" CONSTRUCT PER ENGINEERS ATTACHED APPROVED DESIGN" [HIS PERMIT EXPIRES 12/31/89 AND VALID FOR A SINGLE FAMILY HOME. I CERTIFY THAT: �amiliar, with the requirements for on-site sewers and wells as set �orth by the Municipality of Anchorage (MOA) and the State of Alaska, 2^ I will install the system in accordance with all MOA codes and regulationsq, 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 that this permit is valid f'or a maximum of AT bedrooms. I also understand that the of the tot -al system is 4 bedrooms and any enlargement will require an additional permit" Signed: `� / � ,��`' �.�`./ DATE: ��.��~~����������� ���...... ..... ... (Owner> S E STARR Issued ~-~~�~���--�~-~~���^~~~~���-~ DATE: ~-��~�-�`�-^~~~ ALASKA RUIROWnTAL COnTROL 56RUICCS, InC. Enqineerinq & 6nuironmental Studies 1200 LUesi 33rd Auenue. Suite B o Anchorage. Alaska 99503 o (907) 561-5040 2.4 The septic tank: and bed shall be a minimum of 100 feet from any private well or body of water, 150 feet from Class "C" wells, and 200 feet from Class "A" Or "B" wells, unless otherwise specified. Less than the required separation distance must Have prior approval or waiver" by DHHS or Alaska Department of Environmental Conservation (ADEC). 2.5 Piping shall be fitt.=d with a mechanical watertight calder coupling on the Outlet and inlet of the septic tank:. Piping shall be 4 inch solid FVC ASTIM D-3034 or cast iron, sloped a minimum of 1/4 inch per lineal foot on the inlet side and 1/8 inch per foot on the outlet side. If the piping is buried at a depth of 4 feet or less, it must be insulated with an overlyinq layer of 2 inch burial type polystyrene rigid board insulation. 2.6 Cleanouts shall be installed as designated and capped with air -tight rain caps (Jim Caps or equivalent), and extend a minimum of i foot above ground level. 2.7 If a lift station is required it shall be a combination lift station septic tank: per Anchorage Tank: and Welding, Inc. design. Specifications and design drawings are on file with the municipality and the engineer. 3.0 SEEPAGE BED 3.1 The gravel for the bed shall be 0.5 to 2.5 inch, screened rock: with less than 3 percent passing the No. 200 sieve. All substitutes must have prior DHHS approval. 3.2 The bottom of the excavation shall be level and raked with the bac}::hoe blade .to ensure thatthe bottom has not been compacted during excavation. 3.� Sand, for leveling, shall have a size distribution which meets the requirements of MOA code 15.65.077. 3.4 The distribution pipe shall be perforated 4 inch rigid PVC with a minimum crush strength of 1500 pounds and shall meet the approval of DHHS for use as drainfield pipe. All pipes shall be laid level, and spaced according to the drawings. 3. 5 Mon i_ torstandpi pr_s shall b:_ placed as shown in the drawings. They shall be 4 inch rigid PVC ASTM D-'•-���?��, Or cast iron. The sec'ti-on shown with holes may be either drilled 0.5 inch holes on 6 inch centers on opposing sides of the pipe, or a section of regular perforated sewer pipe may be clamped to the solid section with a no—hub coupling or solvent joint. The perforated section of the monitor tube shall be located in gravel only. The portion of pipe above the sewer- rock shall be solid. A rubber raincap (Jim Gap or equivalent) shall be placed over the top of the pipe. 3.6 Insulation is required, using burial type Polystyrene rigid board insulation.. There shall be 1 inch of insulation for every foot of soil less than the required 4 feet of cover, but there must be at least 24 inches of soil even though insulation is used. The solid pipe extending from the septic tank to the drainfield shall also have a minimum of 4 feet of cover or an equivalent layer of insulation combined with soil. 3.7 The side slope of the mound shall be slope 1 foot vertical to 7% feet horizontal. 3.8 The bed shall be planted with a white clover- and red fescue mix. or with KentuCk:y bluegrass. 4.0 INSPECTIONS 4.1 This bed will require a minimum of three inspections. The first inspection will be of the open excavation, to assure that the system is installed in the proper soil strata, correct depth and meet minimum specified design parameters. 44.2 The second inspection will be after placement of gravel, monitor standpipes, and distribution pipe, to verify proper installation and position of pipes prior to backfill. 4.3 The third inspection will be after final backfill grading and seeding to ensure that adequate soil cover has been provided over the bed. 4.4 The inspection of the septic tank: or lift station installation can be incorporated with any one of the above listed inspections. 4.5 The lift station will require either an MCA electrical inspection or certification by a licensed electrician depending on whether tiie building code applies to this part of the City. P9LJiamr% cii v inwimmiciv i m. CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 JOB i" i' it SHEET NO. / OF CALCULATED BV DATE_ CHECKED BY P/MP. .+O¢C DATE .3 SCALE PROM 2Mses Inc, Gltl, Ilan 01411. ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 JOB / //// If s S-e2�/, f� 3�/6 FROOI 141Ees Inc. Gm.. Mas 011I1. 2' SHEET NO. OF J CALCULATED BY �"e"�� DATES/�%�i% CHECKED BY 4 ml o lle d DATE SCALE FROOI 141Ees Inc. Gm.. Mas 011I1. ALASKA ENVIRONMENTAL ,., CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 JOB jl/f4 63 Seze-/,{?c 5✓,6 SHEET NO. /':?' OF CALCULATED BY 4 ^e DATE CHECKED BYM2-'�� DATE SCALE RROD=P lEaE Iz, Grtm, Mas 02411. - ., PERFORMED • Municipality of Anchorage /y • TH DEPARTMENT OF HEALTH & HUMAN SERVICES * • 4 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST pt -�1 4 to 00 SITE PLAN G DESCRIPTION:—k jL�/E�G%AL /fl -7( DEET) FllI--T'//f�7 l I7 t7j / So � F Gross f I OL OL/2 I Sp 3 ° ° ° SVJ -- Gjrri va FL 191 4- 20 5 5 C0.V 1 V,q • ° I h albt. 1 1 6 � � o 1 i 7 vre SQK T f`/ 8 I SM 9- �-( 01 s" DATE PE Township, Range, Section: SLOPE X v 10 11 12 13 dryE - WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? o S L O P gate: 14 Reading Date Gross Time 15- 516171819 16- 17- 18- 191 20 E SEAL) A,. Net Depth to Net Time Water Drop I I PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER LI TEST RUN BETWEEN FT AND FT COMMENTS AC—IL17 -E D 7'0E Chi;t)6 iit>S 7 @plel'JbIK OF LGT TD ;2 G"C e 2/2 X21-1ZOV Z 4e c F/'o�z/ C-0 A1&11-1zUJ Cep PERFORMED BY: WL ,4 A/ (�7 G/E7✓ I iy CGo CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) _ MUNICIPALITY OF ANCHORAGE Department of Health & Human Services 825 L Street� Anchorage, Alaska 99501 343-4720 ON - SITE SEWER PERMIT Permit Number: 890114 Upgrade q�\ ' Date Issued: 07/05/89 Engineer Designed Owner Name: SUSANNE J" STARR Owner Address: 9331 JACLAIR LANE ANCHORAGE, AK 99515 Day Phone: 364-2749 Parcel Id: 011�221~38 Lot Legal: Subdivision: SEACLIFF SUBDIVISION Lot: 11A Block: 3 Section: 15 Township: 12N Range: 4W Lot Size 1S033 (sq.fit' or acres> Max Bedrooms: This Permit: 3 Total Capacity: 3 SEPTIC TANK: Minimum total septic tank capacity: 1,000 gallons. Each septic tank must have at least 2 compartments. Depth to top of septic tank(s> < 4"0 {eet requires insulation over tank (s)" lNFORM D.H.H.S. PRIOR TO 1ST & 2NO INSPECTIONS BY ENGINEERr IF AFTER OFFICE HOURS, CALL 343-4681 AND LEAVE A MESSAGE, CONSTRUCT PER ENGlNEERS ATTACHED APPROVED DESIGN, THIS PERMIT EXPIRES 12/31/89 AND VALID FOR A SINGLE FAMILY HOME!, I CERTIFY THAT: 1. I am �amiliar with the requirements {or on~site sewers and wells �s set forth by the Municipality od' 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 weli, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot, 4. I understand that this permit is valid for a maximum of 3 bedrooms. I also understand that the capacity oi the total system is 3 bedrooms and any enlargement will require an additional permit" Signed: DATE (Uwner> SUSA�NE J" STARR v i� ' Issued By: DATE: ~~��a� .�.�. .__���_���_����.��~~~~^~�_ ��~�..7',.���' ` , ' ' 8|A��8 �MN|�M��[�����| ��[YT�M| ��y�U|��� �M� ` ��[/�`���/7 C��l��UlL1|����C��Uyl[ L'U!�i���J� ~�CMi�|L'��`�, ���L. --��'Engineerinq &p=ironmenta| Si"iu SPECIFICATIONS FOR BED WASTEWATER TREATMENT SYSTEM LEGAL DESCRIPTION: LOT 11A, BLOCK 3, SEACLIFF SUBDIVISION 1.0 GENERAL 1.1 The Drawings, sheets 1 through 45 shall be part of this specification, 1.2 All materials and workmanship shall meet the requirements of the Municipality of Anchorage, Department of Health & Human Services ( DINS ), the conditions of the all applicable rules and regulations currently in effect. 1.3 All excavations and depths are advisory, and are to be verified or modified in the field by the Engineer or inspecting a�ency, 1.4 It is the responsibility of the property owner or installer to adhere to approved design for the installation, to maintain the specified separation distances and to have the appropriate insPections. 1.5 It is the responsibility of the property owner or installer to report to the engineer any observed conditions which would put the system in violation of state or Municipal regulations. 1.6 If the installation is not inspected by an AECS engineer, AECS will not be responsible for the instalNO system" An engineer at AIMS should be consulted prior to construction, to determine the number of inspections that will be required and to explain what these inspections will involve, 2.0 SEPTIC TANK 2.1 If there is an existing septic tank it may be used if it meets the capacity requirement for the residence, The structural integrity of the tank must be verified. 2.2 The septic tank shall be a UPC -approved two --compartment tank, constructed of 12 gauge steel with bitumasticcoating and set level on undisturbed soil. If the tank is buried at a depth of 4 feet or less� it must be insulated with an overlying layer of 2 inch burial type polystyrene rigid board insulation. 2,3 The septic tank shall be a minimum of 5 feet from the house foundation� and a minimum of 5 feet from the absorption area. w12WGA wo6 Avenue 0lnchmoolhskanv5mw(vor2rp-5553 2.Z! The septic tank and bed shall be a minimum of 100 feet from any private well or body of water, 150 feet from Class "C" wells, and 200 feet from Class "A' or '/B' wells, unless otherwise specified. Less than the required separation distance must have prior approval or waiver by DHHS or Alaska Department of Environmental Conservation (ADEC), 2.5 Piping shall be fitted with at mechanical watertight calder coupling on the outlet and inlet of the septic tank. PiIning shall be 4 inch solid PVC ASTM D`3034 or cast iron; sloped a minimum of 1/4 inch per lineal foot on the inlet side and 1/8 inch per foot on the outlet side. If the piping is buried at a depth of 4 feet or less� it must be insulated with an overlying layer of 2 inch burial type polystyrene rigid board insulation. 2.6 Cleanouts shall be installed as designated and capped with air -tight rain caps (Jim Caps Car - ), r), and extend a minimum of J. foot above ground level. 2.7 If a lift station is required it shall be a combination lift station septic tank per Anchorage Tank and Welding, Inc. design. Specifications and design drawings are on file with the municipality and the engineer. 3.0 SEEPAGE BED 3.1 The gravel for the bed shall be 0.5 to 2.5 inch� screened rock with less than 3 percent passing the No. 200 sieve. All substitutes must have prior DHHS approval, 3.2 The bottom of the excavation shall be level and raked with the backhoe blade to ensure that the bottom has not been compacted during excavation" 3.3 Sand, for leveling, shall have a size distribution which meets the requirements of MOA code 15.65,077. 3,4 The distribution pipe shall be perforated It inch rigid PVC with a minimum crush strength of 1500 pounds and shall meet the approval of DHHS for use as drainfield pipe. All pipes shall be laid leveland spaced according to the drawings. 3.5 Monitor standpipes shall be placed as shown in the drawings. They, shall be 4 inch rigid PVC ASTM D- 4, or cast iron. The section shown with holes may be either drilled 0.5 inch holes on 6 inch centers on opposing sides of the pipe, or a section of regular perforated sewer pipe may be clamped to the solid section with a no -hub coupling or solvent joint. The perforated section of the monitor tube shall be located in gravel only. The portion of pipe above the sewer rock shall be solid. A rubber raincaF (Jim or equivalent) shall be placed over the top of the pipe, 3.6 Insulation is required�I using burial type polystyrene rigid board insulation. There shall be 1 inch of insulation for every foot of soil less than the required I. feet of cover, but there must be at least 24 inches of soil even though insulation is used, The solid pipe extending from the septic tank to the drainfJi. eld shall also have a minimum of 4 feet of cover or an equivalent J ayer of insulation combined with soil. 3.7 The side slope of the mound shall be slope 1 foot vertical to 3 feet horizontal, 3`8 The bed shall be planted with a white clover and red fescue mitucky bluegrass. 4.0 INSPECTIONS 4,1 This bed will require a minimum of three inspections, The first inspection will be of the open excavations to assure that the system is installed in the proper soil strata. r, correct depth and meet minimum specified design parameters. 4.2 The second inspection will be after placement of gravel,monitor standpipes, and distribution pipe, to verif� proper installation and position of pipes prior to backfill. 4,3 The third inspection will be after final backfill grading and seeding to ensure that adequate soil cover has been provided over the bed. I. The inspection of the septic tank or lift station installation can be incorporated with any one of the above listed inspections" 4.5 The lift station will electrical inspection licensed electrician building code applies require either an MOA or certification by a depending on whether the to this part of the city. ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561.5040 JOB SHEET NO. </ / OF / CALCULATED BV ^ /` Peril DATE �Z! CHECKED BY DATE J © / SCALE - U PROW m i WEBS ice. W.. M. 01471. ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907)561-5040 JOB " //41 e S 22 �/t ILI- 15'./ rROM241Ees Inn. GMMatt 01471. Z SHEET NO. OF 7 CALCULATED BY �"��" DATE_ CHECKED BY DATE SCALE rROM241Ees Inn. GMMatt 01471. ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907)561-5040 JOB F J//T U .3 Sez e- J j7 SHEET NO. 3 OF CALCULATED BY '�' Ef DATE CHECKED BY DATE SCALE Z `s ' �V FROM lees Inc. Ororon, Mm 01471. 0 PERFORMED LEGAL DESCRIPTION: i or A ,4R'S SEAL) Municipality of Anchorage N); 4 4.1 DEPARTMENT OF HEALTH & HUMAN SERVICES „�,� ,.�� �. •�... 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST ' • —.. ' .per . r -r111 ff!! DEPTH ova 4N z / 7 WAS GROUND WATER ��,,// ENCOUNTERED? /VD _ S IF YES, AT WHAT OL DEPTH? P }� E - Depth to Water After Monitoring? F Date: Dj 14 (FEET) OtL Time 15- 5161718 L. 2 III D L/ cM I „Sp 3 ° o o �V� _ 19 fG-V-��� SSOA 20 � 61 r�i ve l l r I �kde�j o o r ((((001111 q 5 ° 0 _ 1 CG V1 V1r1 6` O D O _ l � D I , a a �j / t IT SM 9 st+y S WNW, DATE PE Range, Section: A SLOPE 10 11 12 13 I 1. I I WAS GROUND WATER ��,,// ENCOUNTERED? /VD _ S IF YES, AT WHAT OL DEPTH? P }� E - Depth to Water After Monitoring? F Date: 14 Reading Date Gross Time 15- 5161718 16- 17- 18 19 20 SITE PLAN N Net Depth to Time Water i 'z Net Drop I I PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER �ffJ TEST RUN BETWEEN FT AND FT COMMENTS _ /!/�� � PED 7�Uf= Te) 9-,9 VE ,/tj ,r/ e/1'( Z.5 /_ 7 ' ��5� �� LyprZnJE.G OF LGT 7-0 tic( /� Y ��z/a7ll z ��G� Fi?o"/ Fpy i�i7r�ou C',/p ��. S 5 -/Z6 -L PERFORMED BY: e4 An/ C ", G/E'iL/ I �%�/,J CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: (= -->✓ �— U97- 72-008 (Rev. 4/85) G"' 'tK ANGHOKAOE AREA BORC-"IF- i HEALTH 327 EAGLE sr. ANCHORAGEPARASAKAN 99501 2792511 N? 595 " . INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME ADDRESS✓f/r.'���'<%�3%1/ PHONE LOCATION f< CFDTI!- TAKIV. DISTANCE FROM WELL Calf✓ ZZZ - MATER LIQUID CAPACITY GALLONS. SEEPAGE SYSTEM: SEEPAGE PIT: AL NUMBER OF F _ LIQUID INSIDE LENGTH INSIDE WIDTH DEPTH _ NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH / -a LENGTH �f / , DEPTH LINING MATERIAL S% =� r-� f� •� DISTANCE FROM WELL !:!4 % � 5'z NEAREST BUILDING FOUNDATION , NEAREST LOT LINE � i`' ` TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) �SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL NEAREST LOT LINE OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH ttd TOTAL EFFECTIVE ABSC) P AREA SQ. FT. LENGTH OF EACH DEPTH: TOP OF TILE TO FINISH GRADE DEPTH WELL: LOT LINE DISTANCES: L BENEATH TILE IN. ABOVE TILE tzJ�il�✓�>✓�/% ��� �� DISTANCE FROM WATER TYPE DEPTH 4----, BUILDING FOUNDATION. �— SAMPLE NEAREST NEARESTOTHER - SEWERINE TANKC SYS EME CESSPOOL — SOURCES - DIAGRAM OF SYSTEM DATE!/'��f GAAB-HI3-2 GREATE7 NCHORAGE AREA ;ROUGH Case No.Z54f HEALTH DEPARTMENT 327 Eagle St. - Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT .",7- „�� , �'� MAILING ADDRESS ONE NO. Z4 RESIDENCE ADDRESS —r3'i� LOCATION OF INSTALLATION 7��C-/•�L-- LEGAL DESCRIPTION - APPLICATION TO INSTALL: SEPTIC TANK �� , SEEPAGE PIT z , DRAIN FIELD OTHER — TO SERVE THE FOLLOWING FACILITY__ _- 5//✓�. /�9i :�J,/ �1//rlf FINANCED THROUGH "'s' TO BE INSTALLED BY PERCOLATION TEST TEST RESULTSANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT l/ ✓� THIS IS TO SERVE AS -�� l9C�/�Jf PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED _2����?% SEPTIC TANK SIZEef, TYP47,7��SEEPAGE AREA TYPE DIAGRAM OF SYSTEMIV` 116r�r DISTANCES: oe:72d�-07_ 0 HEALTH AUTHO OR LICENSED DESIGNER I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE y/��,� APPLICANTS SIGNATURE Gc.— m rel 19, 1971 o+ql AusiAdministrationg % G box 480 ` Anchorage, Alasq+! SUBJECT: Sewer and A e r System for Lot Ila, block 35 Seacliff a+dwgm Dear Sirs. - The Seacliff subdi m:TheSadiffsGdWgm water system that will ;&gy G e sU S ct lot is approve6 by this Mpartment. A «mit to Q;GIT a ;mer sYstem for G2 subject lot G5 oner, issued W!¥, Louis Gemma; and an SPmm2 ;Wm can be installed on the low gGam6, Lynn %cg aGd» m c: Louis Viemaq MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES 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. # 1 -QQ �" IS 1. GENERAL INFORMATION 2. 3. 4. a (/I Complete legal description IZ7- 111-41, 161,�sl , CSE CG/GF cs�%g� T26� Location (site address or directions) 9t321 Property owner Mailing address Day phone 79 9-4729 A K 94BD/ Lending agency .NzwT11z,4 ,_o /L%16�6)�eDay phone 274-5150 Mailing address 26c_2,5 Z, -61V,44,/ cS% .4NCff01OA6,eQ-4 Af 99-3 Agent t/fE ��/�%�%�/US Day phone 274 _v`/5_0 Address <S�/�%� Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 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. 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 #21 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 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 R1����7 AG/SKA E16 �Y�C,� Phone 338—� 2 -3 O Address Engineer's signature 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments Date �OFq ¢111 ROBERT W. WRIGHT r �' �0', CE -8156 `�y� PROFESS\�N1'.�+►' bedrooms, with the following stipulations: %UTION 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 (Rev. 1/91) Back MOA 021 r Municipality of Anchorage Department of Health and Human Services 44 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:GOT//% . eat 6, cS� CG/,�G Parcel I.D. A. Well Data Well type �q // If A, B, or C, attach ADEC letter. ADEC water system number 210e�95- Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Date completed Driller Cased to Casing height Wires properly protected (Y/N) m FROM WELL LOG AT INSPECTION C- A Z n t'79 F m :o it 177'11® rl.,) CJ9 m ]�a 9.p -m. g.p.m. CD m A tTt W o Pump levell ® y a SEPARATION DISTANCES FROM WELL TO: </V//J - CD���%�/Ty �E�) m —pZ Septic/holding tank on lot ; On adjacent lots Absorption field on lot Public sewer main ; On adjacent lots sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Other bacteria Date installed 8/8/89 (z) Tank size /ODl' &5`00(2-) Compartments / I/ Cleanouts (Y/N) C') Foundation cleanout (Y/N) CQ Depression (Y/N) /V C�) High water alarm (Y/N) /V/4 Alarm tested (Y/N) NA Date of pumping Z�ZZZ94 Pumper ,Q/Or� �4Avv 0111 /PINY SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot NA On adjacent lots Nei Foundation 201 9 i// To property line 1 Absorption field 23. 256) Water main/service line 5Zt 60 Surface water/drainage / 6ME /> 64?5CeOrr-D /N T/ -PE r-/EGP r2-026(3t93)•Front Z) reol-( D/-FKS' r7/L� s CONTINUED ON BACK PAGE 2J /N�eI4-4 77eA/ F2aN1 OCC,fRAAr C. LIFT STATION NI Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) High water alarm level "Pump on" level at "Pump off" Level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed _ ��� 8�8 9 Soil rating (GPD/Ft2) System type ,grD Length 6 �2 D (7-% Width � Z ) Gravel thickness J� 2 - Total depth 5, O L l Total absorption area _ 00cSF z Cleanout present (Y/N) Depression over field (Y/N) /_ Date of adequacy test 7112 /94 Results ( ¢11 pass/fail) �P for Lf- Bedrooms Water level in absorption field before test ,/ 1 After test 4 ,Y 3L Peroxide treatment (past 12 months) (Y/N) /�If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot AIA .-On adjacent lots /VIA Property line 10 �r (2- _ To building foundatio n / 7 n % 6) To existing or abandoned system on lot 22,-56) �-1 On adjacent lots -1, 5 -r -r �'/) Cutbank IVA _Water main/serviceline_ 6 61 O _ Surface water /y/ Driveway, parking/vehicle storage area 4 2Cr 6 Curtain drain NA E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this insphction. gf�•�tot�a\ria .©. .• A.�S�ap A Gov r `�@0 sir D o Signature A, �'� Engineer's Name ��� PT !�yyy�i'��® ` .......� 9 ROBERT W. WRIG;-IT i Date 't40 cs•.� CE 156 HAA Fee $ Date of Payment Receipt Number 00); -7��- 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number AA MUNICIPALITY OF ANCHORAGE }��Jn, r��y RAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIR NMENTALPROTECTION • 6. TYPE OF RESIDENCE ENVIRONMENTAL ENGINEERING DIVISION AUG 1979 Telephone 264-4720 ❑ MULTIPLE FAMILY REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEVVJ IK IVI DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER * ATTACH WELL LOG. A well log is required for all wells drilled PHONE MAILI G�,DpKESS 0/0 ]d`tX rn Pea l4 y 60, hV6,1 44'"'I"e'd Zvi jrz Wit 4 (/ e - ❑ PUBLIC UTILITY PROPERTY RESIDENT (If different from above) 133 I �j Od giR E ii�N��a2 f 8. SEWAGE DISPOSAL SYSTEM PHONE 2. BUYER I I f ,5j,, A1,v j, 64a n R **If individual/on-site, give installation date 1q7/ —rte PHONE MAILING ADDRESS ❑ PUBLIC UTILITY 3.Lam" orlma '. e-fO 6 e 4; e6erz-1 V 111le,a REq 1,� d®6 N6 NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. PHONE X72-657 MAIL[ NRESS f 'rt. s4 /a7)p' •}-1AAle A �!� Ci9,7e) 4. REALTOR/AGENT hkr-n4 ;,9�,� a �-f�M R�4 l4 ef), hle PHONE a��-a��l MAILING ADDRESS J� 7,2 � J51- l5fti �9 Z 9 Al ekA y � L45 k4 5. LEGAL DESCRIPTION © 7L Il / 1 8 l a e,3 5MC // FIE 51n Ave 4ak g-4) 5 STREET LOCATION X33 Ja�,�aI _ , , AKI 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS G9, SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. W TER SUPPLY INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled IOW COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date 1q7/ —rte If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED �. TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL — DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE� Imo/ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 89504 276-2221 = ID REQUEST FOR APPROVAL OF /F INDIVIDUAL SEWER and WATER FACILITIES r. Type of Inspection: CMRO--__—__—VA -^FHA_ _—CONY.—_._X_�_.._ Arlen and Carol Colclasure 2. Property Gwner: __._---- 9331 Jaclaire Street Arlen 274-4143 Mailing Address: Day 3. H Name of Buyer:_.,—- Mailing Address:._^___ Name of Lending Institution: Mailing Address: --- 5. Name of Realtor or Agent: Mailing Address: G. Legal Description:_— 7 9. Day Phone: ------- Phone: Esther Bumgardner Totem Realty 724 E. 15th Avenue... Phone: 272-1571 Lot 11A Block 3 Seacliff Location:__. 9331 Jaclaire Street Directions: Dimond Blvd turn left on Endicott right on Shorecrest rn theib left on Jaclaire -� Type of Facility to be Inspected: single family No Rdrms 4 Water Supply Type of Supply: Public UtilityiComm. Well individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation_ _ 72-003(3/76) Page V, wo Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 11A Block 3 Seacliff Subdivision Comments: Affadavit Attached: r-)) Letter Attached: ( ) Approved: Date: 7 --2- -? -`�� Disapproved: Date: Department Worksheet: i - > iJ( � MUNICIPALITY OF ANCHORAG %p zDEPARTMErS-s'OF HEALTH AND ENVIRONMEN):TL' PROTECTION ( �4) 225 L Street, Anchorage. Alaskas 99501 264-4720 Date Received:- September 6, 197 #1: Time :0 P•m• #2: Time �(�,?���� #3: Time Date 9- 2-77 Monday Date Date Insp P a t Insp I"ossa ���Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Mailing Address: 2. Property Owner: Mailing Address: Arlen/Carol Colclasure 9331 Jaclaire Street Phone: Phone: 274-4344 27404143 3. Legal Description: Lot 11A Block 3 Seacliff Subdivision 4: Single Family Residence: (X) Multiple Family Residence: ( ) Number of Bedrooms: Four Number of Bedrooms: 5. Well System: Individual Well ( ) Community/Public System (x� Permit # Depth of Well Well Log on File ( ) Construction Bacterial Analysis 6. Sewage Disposal System: On-site System (x4X Public Utility ( ) Permit # Installed Installer Septic Tank Size Manufacturer Absorption Area Soils Rate Material 7. ISistances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line SepterWber 13, 1977 Arlen/Carol Colclasure 9331 Jacla.ire Street Anchorage, Alaska 99502 Subject: Trot 11A Block 3 Seacliff Subdivision This department hasn't any records of your sewer system on rile. Therefore, before we can approve your request you will need to complete the following items; (1) Pump and expose the septic tank to verify its size and existance. (2) Run a percolation test on your drainage area. See enclosed. if these two(2) items fail to meet the minimum requirements, then an upgrade of your system will be necessary. A permit must be obtained from this office prior to any construction if the upgrade is necessary. if there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, F.S. Sanitarian _rrP/l j h cc: Esther Bumgardner Totem realty 724 East 15th Avenue 99501 J j I—A"! 6437 i i J, � �Q 8422 a a5o� N 6526 X21 8626 8726 8767 4727 4 WK 4125 9030 f Roil Illi 54109w b( -51_41 c2o,1 -II611N,I9zoo f 92259224- _...., 930D 5t aRGR <,T Dft. Ss 92 2 0 ( 9250 l 47-S+ r�—Also R7A2 y 9 6 LrI, g241 Z 4315 -9304 , 9300 o I I 93o5 l 9251 80 I 9110 (i 1 9300 1L !h -34 -24 ��6 93ol 9310 7 -Zo (C 9311 I � -20 }i q241 3o i 4320 d 9321 9405 9nol E(p 9351 -50 1v S0 qjl q 331 111,341 V 93-51 (i' -40 14401 5322 .� ` c7�� 9411 9370 .., T_ I� 9421 -90 7 I 5201 !x_31 94to I �••• ci 5117 al: /cFs 522to l�Sr 501 -40 .. 9511 -� 5142 4557 i 9537 ;9480 4434. ( vY P 4934 123 Sand Lake Area Reference Map -P10 140®� 142 Y 153 141 1 ISAACS PUMPING SERVICE (Norm Tibbetts, Owner) 6218 Quinhagak Street ANCHORAGE, ALASKA 99507 Phone 344.0114 14�3L You t SERIES 609