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HomeMy WebLinkAboutSOUTHFORK BLK 3 LT 1Q zc ,��A V\ 6-,4*c # C),W=)'R.. CL Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211415 PID Number: 078-021-06 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name JOANNE FOSDICK ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 1625 SOUTH RIVER DRIVE, EALGE RIVER ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot SOUTHFORK 3 1 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 1 00'+ __ 25'+ TANK ® Septic ® S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 1500 Gal. Surface Water 100'+ -- Material Number of compartments Lot Line 10'+ __ NA EPDXY -STEEL 2 Foundation 10'+ __ LIFT STATION Manufacturer GREER / ORENCO Capacity 1500 Gal. Remarks Epoxy -coated steel septic STEP. Alarm location FIRST FLOOR / BACK ROOM Electrical installed by CAPSTONE Installer JRS PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Drainfield CO/MT 3034. Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection 1" 6/20/22 2nd 10/1/22 da ation and description [BOTTOM 3`d 4t OF SIDING ON -SITE WATER AND WASTEWATER SECTION APPROVAL Conditional 4 of A�1�1 Approval: Date .� ••, •••• ••••• :• Septic System Approved -L 1 2 r z Date ZU43 �� �•, Curtis Huffman j Fc •. CE 128991 �� y�'l�A• , 12/20/22 . • �t�C\r ll�\ pROFESSIO.,r Note: this approval does not include well permit requirements. ,Ixuv-1-110) PID:078-021-06 PERMIT: OSP211415 vq d C vq A—C=52,3' B—C=50,4' A—D=53,6' B—D=54,3' A—E=54,3' B—E=61,3' d� 2,41 � o w 4.6' NovS 100, K'ELL RAD/us G� �E T INSTALLED NEW 1500-GAL EPDXY -COATED STEEL STEP TANK C D DCO MH MH E RECONNECTED TO EXISTING FIELD ® O EXISTING FIE SEPTIC SECTION LD LOT 1 BLK 3 SCALE, NTS SOUTHFSUPPORT ORK BLK 3 LT1 1 SERVICES:®® ® PREPARED FOR: A7' OF A, JOANNE FOSDICK C 5 AV,--,�` � 1625 SOUTH RIVER DRFew-it ✓ ®* 9TH EAGLE RIVER, AK 99577 FIRST WATER CONSULTING 'o 41tu�� DATE: 12/19/2022 rtis Huffman ,�'w 13030 SUES WAY SURVEY: JLS DRAWN: FWCS � CE 128991 Alf ANCHORAGE, AK 99516 SCALE: 1" = 30' ®L 12/19/2022 vAV 907-350-9566 firstwaterAKOgmail.comsst°�® M,,10,90 . .9s jlC ....... . . . 41 1 kO-696—a ti G M Lo 0) os CS12 0 W CQ E, (Z ;-- — Z- oe It 0 co 0 M— .10 co d 00 Aw 00" E- 0' 0-- 0 Lo x i �� R En 4k - 1— Q� co 00 V) X — 13 UJ > zl_ V) m E U ci .2 C> c 0 s C� o., 0 Cd 0 It LO 0 Ul 0 > g o 10 Nb U0 'Cl C-4 'o C,4 ro CA o ',� Cl Z- oo 0 V� .0 0) 17 LZ 9 o 0> r6 0 Lz 'w z o 2L) z 00,2 2 go,q L. LS.a N > .2 >R J,-- � cq o Cj un a) cc MUNICIPAUTY OF ANCHORAGE 011 -Sita Water & Wastewater Program FD Box 19hti-C 4700 EMnom Rued Anchorage, AlaSka 99519-5654 Phorm; (BDZ) 343-7944 Fax: (9117),343-7997 htlp)fw&w.munLvrgkx-alte On -Site Wastewater Disposal Systern Permit Permit Number. GSP211415 Work Type: SepticTank Upgrade Tax Code Nurnbar_ 07502106000 Site Legal Address; SOLITHFORK ELK 3 LT 1 G:1059 S i to Ma i I in 9 Address; 1625 SOUTH R IVER IDR, Eagle River Owner= FOSDICK JOANNE K Design Englneer: FIRST WATER CONSULTING ThI$ permit Is for the construction of: ❑ disposal Fleld Rf Septic Tank ❑ Holding Tank 0 Privy EfP-Dctive Data: Expiration Date: L -Qt Size in Sq Ft: Total Bedrogrn5; 1(M2021 197022 82147 11 Priaate Werl IJ Water Storage All constructlor< shall be in accondanco with: 1. The aMsehed approved design, 2. All Mquirements specified in Anchorage Municipal code Cha pliers 15.55 "d 15.65 and the State of Alaaka Waste rater :Disposal Regulations (1SAAC72) grid Drinking Water Regulations (I8AA 80) 3. The wastcwatorcode requires inspections during the installation. The engineer shall nc�fy the Deveropmem Services Department per AMC 16,65, Provide notification by calling (907) 343.79D4 (2417)- 4. From October 15 to April 1E, a subsurface soil absorption systern under oonsbuotion during fneozing weather shall be either, a. Openod and Closed on the same day, or b. Covered, sealed, arid )heated Co prevent freezing Received By-- Issued y_ Issued By; A� - 1OR120 1 date: Cate: MUHMPAUTY OF A H C H 0 RA GEE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/VVELL PERMIT APPLICATION Parcel I.D. 078-021-06 Property owner(s) JOANNE FOSDICK Day phone Mailing address 1625 S RIVER DRIVE, EAGLE RIVER, AK 99577 Site address 1625 S RIVER DRIVE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) SOUTHFORK BLOCK 3, LOT 1 Legal description (Township, Range & Section) Lot Size 82,147 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank El Upgrade X (D) ❑ Holding Tank ElRenewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. gnature of property owner or authorized agent) Permit/Rush Fees: 22c5' Waiver Fees: Date of Payment: 9/2772 ( Date of Payment: Receipt Number: 2.6crI I Receipt Number: Permit No. O5/0 2 II q Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com September 27, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: SOUTHFORK BLOCK 3, LOT 1 The owner has requested that we obtain a septic permit to upgrade the existing aged steel STEP tank on the above referenced lot. We propose to install a 1500-gallon HDPE STEP tank per the attached design to serve the existing 3-bedroom residence. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211415, Deb Wockenfuss, 10/07/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211415, Deb Wockenfuss, 10/07/21 �.1 1 (lriir.i c 2116 'i + S w• iii .. T t 7 t. r, AS -BUILT ify that IJth/ave surveyed the following described property/: i o r f 3 &J I K t L4_ - Anchorage Anchorage Recording Precinct, Alaska, andthatthe improve• ments situated thereon are within the property lines and do not overlap or encroach on the properly lying adjacent there- to, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Eagle River, Alaska ROBERT C. JOHNSON ,,+� SCALE: Registered Land Surveyor No. 8�0-LS I" -,r-o' Box 456, Eagle River, Alaskri _. Phone (907) 671-3513 I^ l >t J \O ' i �.1 1 (lriir.i c 2116 'i + S w• iii .. T t 7 t. r, AS -BUILT ify that IJth/ave surveyed the following described property/: i o r f 3 &J I K t L4_ - Anchorage Anchorage Recording Precinct, Alaska, andthatthe improve• ments situated thereon are within the property lines and do not overlap or encroach on the properly lying adjacent there- to, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Eagle River, Alaska ROBERT C. JOHNSON ,,+� SCALE: Registered Land Surveyor No. 8�0-LS I" -,r-o' Box 456, Eagle River, Alaskri _. Phone (907) 671-3513 I^ l J \O ' i �.1 1 (lriir.i c 2116 'i + S w• iii .. T t 7 t. r, AS -BUILT ify that IJth/ave surveyed the following described property/: i o r f 3 &J I K t L4_ - Anchorage Anchorage Recording Precinct, Alaska, andthatthe improve• ments situated thereon are within the property lines and do not overlap or encroach on the properly lying adjacent there- to, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Eagle River, Alaska ROBERT C. JOHNSON ,,+� SCALE: Registered Land Surveyor No. 8�0-LS I" -,r-o' Box 456, Eagle River, Alaskri _. Phone (907) 671-3513 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERV�'ES D 78 G 2 / a� Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES 'P>\ TO FROM SEPTIC TANK ABSORPTION FIELD WELL Address ?.D. -&� 'I-7 `Fb�•� Permit No. No. of Bedr Phone(s) ooms WELL Z�&�-b 1 LOT LINE LEGAL DESCRIPTION Lot Block Subdivision `1.oJ�}{ L_ FOUNDATION Township, Range, Sectioonn �J AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, driveway, water bodies, etc.) ANKS SEPTIC ❑ HOLDING r"4 ;z Manufacturer Capacity In gallons �2soLL Material��r/� No. of Compartments TYPE OF SYSTEM i g 5 H fl>✓� ❑ TRENCH BED ❑ W. DRAIN E) OTHER 10 IPA I y1 10 Depth to pipe bottom kern Total depth from original grade FT , FT � Fill added above original grade Gravel depth beneath pipe f D 2 l7/���1L�LFT FT Gravel length Gravel width FT �� FT Total absorption area Distance between lines.) it �O SO FT LD FT o r ca A Number of lines Sod rating Pipe maaterial I� %iLA I-L-VOSQ FT 'Ie c t'Fe "'` ' -2l } r -r m }� Installer �Il �Q C) Date Installed / 7.. Cy Lam] WELLS h PRIVATE ❑ OTHER (Identifv)Ift I '( 'Cl assilic—at on (A, B, C) Total Depth Cased to girt FTI FT Installer Date Installed: 0 REMARKS: lift r _ ��`.�11JGt l�riFFFI'L�L� O ��• LI If -T- Inspections PerfoLmed by: ENGINEER'S SEAL ....♦„.o,�� Date:��. �3—�';.•.♦• S & S ENGINEERING J ho ........♦... .•0 � 17011 Fade River LOOP Road Wn 204 certify that this inspection was performed according to all _. ........:.,...• .. �i�n s .Alp1ska 9i5 6 �Z > Municipal a a ect on this ale: p an ul Ines'In Date:=111 gSI�..y. �FE-0111 Health Department Approval: _____�� 72-013 (3/85) | MUNICIPALITY OF ANCHORAGE Department o� Health & Human Services 82� L. Streeet, AOCh6rage, Alaska; 99501 75 it3~47;20 ON`SITE SEWER PERMIT Permit Number: 880068 Upgrade Date Issued: 06/01/88 Engineer Designed Owner Name: BILL JOHNSON Day Phone: Owner A6dress: 17'. 0. BOX 774627 694 ... 2388 EAGLE RIVER, AK 99577 Parcel Id: 078-021 06 Lot Legal: Subdivision: SOUTHFORK GOBD" Lot: 1 Block: 3 Section: 9 Township: 13N Range: 1W Lot Size 82147 (sq. ft, or acres) Max Bedrooms: This ��ermitX 3 Total Capacity: 3 SEPTIC TANK: Mini0-m 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 Weet requires insulation over, tank(s)" ` INFORM D"H"H,S, PRIOR TO IST & 2ND INSPECTIONS BY ENGINEERv IF AFTER OFFICE HOURS CALL 343~4681 AND LEAVE A MESSAGE CONSTRUCT PER ENGINEERS ATTACHED APPROVED DESIGN THIG PERMIT EXPIRES 12/31/88 THIS PERMIT FOR A SINGLE FAMILY RESIDENCE ONLY I CERTIFY THAT: 1^ I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska" 2" I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit" 3. I will adhere to all MOA and State o4, 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 u'nderstand that this permit is valid for a maximum of 3 bedrooms. I also understand that the capacity of the totcil system is 3 bedrooms and any enlargement will require an additionatl permit" Signed: DATE: (Owner} BILL �OHNSON DATE Issu�d By: : �� �� Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST IL,L PERFORMED FOR: r.�l•F�JSTbr � DATE PER FORMED'+� LEGAL DESCRIPTION: Township, Range, Section: T 1-32Pc�.✓t,.,G• SLOPE SITE LAN c� 2 3 ' ;O 4 5 `!J 6 d/ r✓ s el 7 V- s 7s� o• - 9 11 e' p 10 cod 11 12 13- 14- 15- 16- 17 314151617 81920 18- 19- 20 COMMENTS VlKtf It - y 61-1 rI Zo C2 i WAS GROUND WATER _ r' ENCOUNTERED? �Y"�`j IF YES, AT WHAT /J DEPTH? Depth to Water After r Monitoring? Date: Reading Date Gross Time Net Time Depth to Water Net Drop 1} ZL62- to •� �j S 5 �i:oZ io 4z a" � It PERCOLATION RATE —S (minutes/inch) PERC HOLE DIAMETER Le TEST RUN BETWEEN 2 FT AND FT River Loop Road No. 204 Eagle River, wtasKa srai s PERFORMED BY: CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI EFFECT ON THIS DATE. DATE: ��60 72-008 (Rev. 4/85) �s .114 i I�p 6 Y U y r+�dc�c�bbi ma�li'`bW Noiyplitd Ad 1'iIh c oa Ib'bL Sl -h�tA . 0 T 9 0 Y U Iz Q3: Jir 0 fi 31yos S i3 Eli i ¢ O Z UI O S 1 0ZO I I I 1 00 lJ I I I I N I I 1 I I I m I I I I I LP C1\ I I i I O I I I I I I I Q \I U ^I 00 rvJ mil M - W O F I- F-• U Z Z U I p) co 1 I I I O M I 1 1 I O 1 I I I 1 I I 1 I M M I 1 I I M LO I I I I M I I 1 1 I I I J O]r 1 N. -I I I I 1 NlO 1 1 1 I co I I 1 I I I 1 I ¢ Q \ I 11 I 11 I ]G ¢ O J U E N ::D O C W =O Jr• I O O 1 I I I O C) 1 I I I O I I I 1 I I I d S O\ 1 rl rl I I 1 1 ri rl 1 1 I I .-•i 1 1 I 1 1 11 1 Cl) I— In O) 1 0 0 I I 1 1 0 0 1 I I I O I 1 1 1 I 1 1 I I C) to E , I I I 1 1 I S O v v v v v d t3 O Z W W ---• O O O O O C7 J r- Ln O N O \ I OO I I 1 I O O t I 1 I O I 1 1 1 I d ' O N IT 1 I 1 1 I I I 1 I I 1 I I I 1 F- Z Vj E I v I I 1 I v v I 1 I I 1 I v I 1 I { I 1 1 I 1 1 z o 0 z w C'3 CO J- COM OO O 0 C) C)\ I O M I 1 1 I .--I ti I I 1 I r1 I 1 I I I I 1 C Z N I 1 I I I • • 1 1 1 I • 1 1 I I 1 1 F- N E V) .i 1 I { 1 I v v I I I 1 v I I I I I I 1 I 1 1 I I 1 I I 1 I Z O W U N U z E to N I 1 1 1 0 0 I 1 I I O 1 I 1 I I 1 I h-1 U N I M O) 1 1 1 1 0 0 I I I I 1 1 1 U O O I N N I 1 I 1 co L c I I I I l 0 I 1 1 1 I 1 I W O 1 1 I OL Z U O ¢ Ln a I 1 1 I 1 1 I I I I ¢ Z 1 00 n I 1 I 1 lD I 1 I 1 1 1 I I I 1 I 1 I 1 I I 1 1 I I I- 1 I 1 I 1 1 1 N = N n 'Y w r - J O E ¢ Li Z 0 U O O I O O I t I 1 00 0 1 I I 1 C) I i i I 1 I 1 W J _I ri I I I 1 I I I I 1 1 I I 1 I I 1 I I 1 L� O O I I 1 U U = Z S O W W KU— N N Q) N co N N co In LD a L) Ili QJ N to LD N t� C7 ¢ I— O .- O Ol r- lo M d'r-- O NOl N N N O UO) j- LP LO ct LL W '.i' (.. f- :� M � co M CY- O O O O O Cn 00 t-- 0')0') pl z 3 W 4- V- r-1 .-1 rl ti '-i ri N 4- •F- 4- +- W O =) U- ^y ,..y .� F J N —1 3 m LO - l0 LL) Lf) LO M M U) LO Lf) LLQ Ln Lo t.0 LO Ln Lf) LO Lf) L!) LD •k 00 - 00 00 co co N N OO co 00 00 00 00 N - 00 N OO OJ N co W J N M _ rl O) O N .--I d' 00 r, M N CO .-ti N .--I rt ti 2 M rl -zj- 00 t� -zd' N N .--I .-{ �--I co -:I- M n ,--1 N N ti .--1 cY Cl) I� O N —i LO - _ 3 M L.() LO '-I ti M M M 01 00 ti Gt OO r-1 it MONITORING WELL WATER LEVELS Date Well# Locatti�on Hl* H2* H3* Comments 1. l ; 0: 0v�.Z Ll i v-e.e V D0 IZ-7 Ice_3. C,, - l%• 26 16.2 7 OL i o r (51 a�////k7 ,Z2A , �� 333 .z2-�,!l 2'e/ 3 q 9, 0Y `f, J' 23.,'7 24. *H1=Distance *H2=Distance *H3=Hl-H2 Sheet2/22587 from top of pipe to H2O surface in Feet. from ground surface to H2O surface in Feet. I m00 m �ti-I •I tea' \1 '_ l V ti 'VT AA - y W NU H-LnOS iyc,•££�.1 !4"09£=8 „62,Ibo8C_ 112.97 -- 100.00 Iws3y sa;. N T°60. ,j -R=323.14 NOO°55.00••E =119.Ss 100.00 (NR) 00 ac69°q?•51•• X0.w 96 - R, O R H �S T'9,77� 6_66 _ _ 38.90 90 O U�� 0 40Z , N tP o V 0/ 1`1.20 /Sb • OX 00 90 ti i„S .1 . L/ 3n O,. 4b 40•SpS;y yQ 00 O / C �v V1 i Lp ZD c / 9yo9`N i / N W / / / 5 I`1 / Y ° Wcb \ O X11 T v N / " fp yom \ / \ \ 112.97 -- 100.00 Iws3y sa;. N T°60. ,j -R=323.14 NOO°55.00••E =119.Ss 100.00 (NR) 00 ac69°q?•51•• X0.w 96 - R, O R H �S T'9,77� 6_66 _ _ 38.90 90 O U�� 0 40Z , N tP o V 0/ 1`1.20 /Sb • OX 00 90 ti i„S .1 . L/ 3n O,. 4b 40•SpS;y yQ 00 O / C �v V1 i Lp ZD c / 9yo9`N i / N W „i MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL_ ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 AIV-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ” FJ i.iC'c'i} PHONE 6?5`(-3Zc( EW ❑ UPGRADE MAI LING ADDRESS Cie, n' C JC -/ LEGAL DESCRIPTION Ll 13,3 LOCATION NO. OF BEDROOMS Uy DISTANCE TO: Well DU /fit Absorption area 7 Dwellin 7 PERMIT NO. :)B a ZQ W- Manufacturer Material No. of compartments w Liq. capacity in gallons IF HOMEMADE: Inside length - Width E-_- Liquid depth OJ z DISTANCE TO: Well - Dwelling PERMIT NO. = z H Manufacturer Material Liquid capacity in gallons w= - DISTANCE TO: Well ( �vL 74- Foundation Nearest lot line PERMIT NO. J LL z Z W �-� No. of lines Length of each line Total length_of lines Trench width ( inehes Distance between lines cc F O Top of file to finish grade Material beneath file / P I inches Total effective rptio area W a Length Width Depth PERMIT NO. Q F Wa Type of crib Crib diameter Crib depth Total effective absorption area W DISTANCE TO: Well Building foundation Nearest lot line CI Depth Driller e< Distance t of line PERMIT NO. 8adr DISTANCE TO: Buildingoundation C"uJyl Sewer line f Septic tank ! - Absorption area(s) OTHER 4 l �Le PIPE MATERIALS ` SOIL TEST RATING INSTALLER //((.��..�! t L-� LJ� JIi"C C. i CAL, REMARKS L G. J 0 i i fP �APPROVED /DATE LEGAL 72-013 (Rev. 3/78) il-) U THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM IS� �KE V bi �EE E41 0 -T 9- A ��F��� � �������������L-A THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DR�INFIELD --ug- GROUND HND THE BOTTOM OF THE EXCHVGTfON (IN FEET). DEPHRTMENT r HEHLTH IF�� �3[� L:N, _B ."K� HND ENVIRONMENTHL OTECTIQN DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIPE `7L-ID.�1 � THE GRHYEL /STREET/ HNW THE 8OTTOM OF THE EXCHVHTIN (IN FEET). HNCHGPI�GE, FK «v� k1 'l: W 10 mQ So W 1: 2: EK= A. lHo W K21 �K U U K3 Ovi S: -.z: PERMIT HPPLICHNT HAS: Thin'�RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE INSTHLLHTION INSPECTIONS OF HNY WELLS HDJHCENT TO THIS PROPERTY HND THE NU�BER OF RESIDENCES THHT THE WELL WILL SERVE. ` U^1 K U T... Fop 141 Es BHCKFILLING OF HNY SYSTEM WITHOUT FINAL INSPECTION HND HPPROVHL BY THIS ��W K DEPARTMENT WILL BE SUEJECT TO PROSECUTION n_(D ER1�T NO� ( 82G�]5 ) 100 FEET FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL - MINIMUM DISTHNCE FROM H PF! IVFIT E WELL TO H PRIVHTE SEWER LINE IS 25 FEET HND TO H COMMUNITY SENER LINE IS 75 FEET. NELL LOGS FARE REQUIRED HND MUST BE RETIJRNED TO THE DEPHRTMENT Hl. THIN 30 DHYS RPM. IMAW' DEHN~DE Litz IH BUILDERS OTHER REQUIREMENTS HND CONSTRUCTION DIHGRHIMS PO BOX 2]4 E. R. S9577 HVHILHBLE TO INSURE PROPER INSTHLLHTIO� 0 LOCHTION I CERTIFY THHT 1: I HM FHMILIHR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND NELLS F`!S LEGHL L1B] SOUTH FORK Sy) 2� I W.L.L. INSTHLL THE 5YSTEM IN HCCORDHNCE NITH THE CODES LOT SIZE 999999 S8UHRE FEET TYPE OF DRHINFIELD MHXIMUM NUMBER SOIL RHTING (SQ FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM IS� �KE V bi �EE E41 0 -T 9- A ��F��� � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DR�INFIELD THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BET4EEN THE OF THE GROUND HND THE BOTTOM OF THE EXCHVGTfON (IN FEET). IF�� �3[� L:N, _B ."K� DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIPE THE GRHYEL HNW THE 8OTTOM OF THE EXCHVHTIN (IN FEET). 'l: W 10 mQ So W 1: 2: EK= A. lHo W K21 �K U U K3 Ovi S: -.z: PERMIT HPPLICHNT HAS: Thin'�RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE INSTHLLHTION INSPECTIONS OF HNY WELLS HDJHCENT TO THIS PROPERTY HND THE NU�BER OF RESIDENCES THHT THE WELL WILL SERVE. �������������� 1"A FG: E� ������������� W BHCKFILLING OF HNY SYSTEM WITHOUT FINAL INSPECTION HND HPPROVHL BY THIS DEPARTMENT WILL BE SUEJECT TO PROSECUTION MIJAIMUM DISTH@CE BETWEEN Ft WELL H -1D MY ON-SITE SEWHGE DISPOSHL SYS��M IS 100 FEET FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTHNCE FROM H PF! IVFIT E WELL TO H PRIVHTE SEWER LINE IS 25 FEET HND TO H COMMUNITY SENER LINE IS 75 FEET. NELL LOGS FARE REQUIRED HND MUST BE RETIJRNED TO THE DEPHRTMENT Hl. THIN 30 DHYS OF THE WELL COMPLETION OTHER REQUIREMENTS HND CONSTRUCTION DIHGRHIMS HRE HVHILHBLE TO INSURE PROPER INSTHLLHTIO� ��R BI -1 'Y K X F" l: R! BEL' ���2-p; E3 Lr.,E� I CERTIFY THHT 1: I HM FHMILIHR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND NELLS F`!S FORTH GY THE MUNICIPHLITY OF H��CHORHGE 2� I W.L.L. INSTHLL THE 5YSTEM IN HCCORDHNCE NITH THE CODES �r //mnEp�T�un ��AT TH� O����TF ��UFg SY5TEM MHY REQUIRE E�LHRGEMENT I� THE .`�^...,~ ....� ��� ��~ � ���� � � � �� RE5IDE E REMQDELED TO INCLUDE MORE THHN ] BEDROOMS ... .... .... H DELUCI....DERS DHTE__ ---��----------�T�-���� - V40 Russell Oyster 694-2774 ® & E ENCS -VEERING & ®EVEL®1-I-HENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LOG Earl Ellis 688-2280 Performed for: Name: ��;�a .� `' ` J«f��' Tel. No.4" Mailing Address: Legal Description: Lam¢ i �'—°`� , ��'�'T en�" 1,W Depth (feet) 0 Soil Characteristics 4 R7 <4-&- 5 6 7 �3 -3 LO 4b4t-r149 9 10 !�D Cc= 11 12 13Q�� 14 15 PLOT PLAN PERC. TEST � ej .zs'"P OF At %I f. OF 4.c-. . a P ' • ° - Ground Water Encountered: Yes tf!!'� No If yes, what depth;' � �,e�:GJ7R l e .std+ a hoc oeaso c,t ao• Proposed Installation: Seepage Pit Drain Field Comments: L. Performed by: , r t2a� (oy Date:j If AA e-: / %''eZ- SOILS LOG J MUNICIPALITY OF ANCHORAGE / DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ,JAI PERCOLATION TEST 4 525 L. Street, Anchorage, Alaska 99501 264.4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: C t^1 C.• <{ DATE PERFORMED: ' LEGAL DESCRIPTION: 'r- SD (3 L I SLOPE SITE PLAN - - u �OF �q4od ->s Reading Gross Date Time Net Time �H Depth to Water rt- Net Drop �'t. O 20.31 /o:s-7_ 65 07 a .S/p ,OS O ///:07:3 a tp O +N o 30 0 2 .01( B 10 /; K3 o 11:5-g:30 -tH o 6 + N o PERCOLATION RATE PERFORMED BY:/ uc1yAZ,,, i4 e CERTIFIED a,- 72-008 (6/79) DATE: �-, z /- rz � " � M89°59'49"E 329.99' N 36.01' u y /40,721 u 3.23 0 J %rad A 3 49,47Lsf. 1 .g �, IAIgIG'r� z A14Ac, 1J V I L L %- 5 2¢.70 -ti 1 y7 e 0 See Defai/ '6 " p O p' 5S'0a 3� 90.0/ 30.0/' CO O \ 3'ZZ"lam 390.04' Al 89°g8'3&"W-,- `)9.9.73' 379.37'30.00 raoo' 0 1 loftI a e 79,8/7 8.F. b 1Z' 87,3/1B.F /.83 Ac. 1 Z.00 Ac. 82,14-7 8G°39'48"E /.89 Ac. o�� 35 4 7 �` g� 7 34.39' 84,720 S.P. 5'� Z90. p� o �r /.94 Ac. Ge' 9 �0 cP (! N i . it •�, ° � �„ ? � ° o s Greek Mea�dus , U3 84.42 cf 6 70 YY3 s.F GS.ZG 264 S.F. 9/ 475 S. 7ra /.,G3 Ae. Z_/O Ar— 'L. 10 Ae 1,733 275 S. P. 39.79 Ac. k75 �• 248.99' (A/A 73, 467 SF. BZ.74' 2c 1.69 sic. 1J 89'5 '40" 329.92. `N8 N 39'27'02"W 1 /5.94' I 5See oe>d/l if � 72,5925.P. /.67 Ac. � N 89'94'22"E 20.00, 7 NOG'37'/B"E^�4 'Q b /' N P;.o. w� 34.1!' 98, 832 S.F. 35149 2.27 Ac.. 24.78' i Set 2'z"A/um.".Poa 1J 20°3B"55 � A. N. Gr. vwi I'h Will', /49.78' h P/9. 60, o 7'50'W 329.73' NB9°57'23"/,/ 3Z9.&3' '/85•Dg 39 W o tz, Z 0 0 O g S 0 0 i t 1 ., �; j � a' ��l � f ^fir 1.;� r �` h 1 7 r Tb43r tItby � DOC Co. dt)aaa F SULLIVAN WATER ER WELLS P.O. BOX 272, CHUGIAK, ALASKA 99567 • TELEPHONE 688.2759 OWNER OF LANA 12/.C<. V O N'%JS rrA '.l ADDRESS p /?,) X -7314 r DEPTH OF WELL td "% STATIC LEVEL OF WATER FT. 3n LEGAL DESCRIPTION 1 -?e-?< 3 S.5y7 A "U,c'0AW DOWN FT DATE • Started -- Ended ­ 6— GALS. PER HR KIND OF CASING __6 _:p o�u PERMIT NUMBER MND OF FORMATION: ,7 0 a From O Ft. to a Ft. 4-2 UC 'e �3y Q r7'"j FFr�rom( Ft. to Ft. From 2 Ft, to 30 Ft. Ft. to Ft. From--2-0LFt. to 75" Ft. �� y �i4,5iVr_ 4 From Ft. to Ft. From Ft. to Ft. /,?C,m Lixy Fro Ft. to Ft, From-7—f—Ft. tor_1 /m Ft. �'�"�� l r'�" From—Ft. to Ft. From Ft. to Ft. "� d ` �-s From Ft. to Ft. From. Ft. to Ft. TL 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. 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 f�� --- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 4� x�' 1. GENERAL INFORMATION (a) Legascription (include lot, block, subdivisio section, township, range) Location (address or directions) (b) Applicant Nam d —9'"`� Telephone: Home ������� Business Applicant Address (c) Applicant is (check one): Lending Institution ❑ ; Owner/b,69der 0; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution-ZL�r Telephone Address (e) Real Estate Company and Agent Address TPflpt/heHAA e (f) to the following address: M 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms 3. WATER SUPPLY Individual Well X Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. i 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank El Note: If/community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11/84) Page 1 of 2 5. ENGINEERING FIRM PROVIDIN"SPECTIONS, TESTS, FILE SEARCH, DAi .4ND INFORMATION , As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Date f�� : V,57 Telephone e (`. ,kms ' n,�yo .,t _j F• 6. DHEP APPRO -- -- � � Ir Approved for edrooms by Date Approved x Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) J1NICIPAL17> OF Ai CHORF,G /► DEPT. O` HEAD R MUNICIPALITY OF ANCHORAGE (MO"R�VIRONNhENIAL PPc= O d HEALTH AUTHORITY APPROVAL (HAA) n CHECKLIST - FEBRUARY 1984 264-4720 A. WELL DATA Well Classification S•r Legal Descn tiRE4 iS r1.S S o If A, B, C, D.E.C. Approved (Y/N) Well Log � PresentCDN) Date Completed LP ' 132 Yield • S 4 t Total Depth 99> Cased to©� Depth of Grouting Static Water Level Pump Set At 0"�- Casing Height Above Ground is. Electrical Wiring in Conduitjj:�YN) Separation Distances from Well Sanitary Seal on CasingCYN) Depression Around Wellhead (Y/JV t To Septic/Wek rr§ Tank on Lot t met Sr ; On Adjoining Lots l �o To Nearest Edge of Absorption Field on Lot 14' ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer t Cleanout/Manhole 0 To Nearest Sewer Service Line on Lot Water Sample Collected by S G_�+—t^� t+- ; Date ati- ?tel S� r Water Sample Test Results Comments A�.6ka.A, Fw.,� c>'Z� c.--3 B. SEPTIC/H0L-8 N6 TANK DATA Date Installed '1-V5f13Ot Size \ CPCM!n�— No. of Compartments z Standpipes4�PN) Air -tight Capso:YN) Foundation Cleanout (DN) Depression over Tank (Y40 Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ; for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/F-"Wwg Tank: ` 1 To Water -Supply Well To Building Foundation' r To Disposal Field S To Property Line To Water Main/Service Line Course Comments Page 1 of 2 72-026(11184) To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption StratalS� I'' (� Type of System Design XD Frr= > Date Installed —23 - $-li Length of Field �a Width of Field `5 Depth of Field Gravel Bed Thickness Square Feet of Absorption Area Standpipes Present 6)N) Depression over Field (Y/JSP Date of Last Adequacy Test I a -23' SS _ Results of Last Adequacy Test 9Ar-!%-_ L.��1 Separation Distance from Absorption Field: 1 To Water -Supply Well ( 4_x � To Property Line To Building Foundation To Existing or Abandoned System on Lot t -S /� ; On Adjoining Lots -2 b l� - To Water Main/Service Line t b I -� �outbank (if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at "Pump Off' Level at High Water Alarm Level at Vent (Y/N) _ Tested for Pumping Cycles during Adequacy Test, Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Ns Signed _� Gt_ Date Icc .1) - �s w-"Nl ;��t u� rE o 0 3 Company �'-(i,.'svt}P ',`3! MOA No. Receipt No. ' 7 Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) X0 /),, f/ Time APW kNT FILLS OUT UPPER Hp- '= ONLY Property Owner William ' - - \� .Johnston Phone , Mailing Address P. 0. Box 334, Eagle River AK zip Code 99577 694-9766 o CJ Date Date Buyer William Johnston Date Address P. 0, Box 334 Ea le Riv AK Zip Code 99577 Lending Institution 1st. '. t� National Bank o A.�c_orage; Attn: Lita Field Notes: „/-f /t , 6.6 Address P. 0. Box 548 Eagle Rive �iKl Zip Code 99577 2103 FPhone Really Co. & Agent Commonwealth AREA, inc. My na Johnston Address P. 0. Box 249 Eagle River K Zip Code 99577 694-9555 Legal Description Lot 19 Block 3, Southfork Sub ( ) DISAPPROVED _3 Street Location South River Drive off Hiland Rd. Ea le River Type of Residence - BY: Single Family - 3 Date Sew �lnst�d ❑ Multiple Family No. of Bedrooms ❑ Other V Well to Tank Water Supply ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. IN Individual - For wells drilled prior to that date, give well depth (attach log if available). El Community ❑ Public Utility Sewer Disposal X Individual Year Individual Installed: i 9811 ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. X0 /),, f/ Time Time Time Time/C, o CJ Date Date Date Date Inspector Inspector - Inspector Inspector Field Notes: „/-f /t , 6.6 ur MEM Z 61983 �+ kMAY r 0. "MUniciPalitY of Anchorage" [..:b "Dapt. of Health & ( 4<APPROVED BEDROOMS 'Z 'CONDITIONS OF AP t�REmental Protection,, ( ) DISAPPROVED _3 ( ) CONDITIONALAP RO AL' DATE 0 BY: Soils Rating Date Sew �lnst�d Well To Absorption Area Well Log Received V Well to Tank Septic Tank Size 72023 (382)