HomeMy WebLinkAboutSTUCKAGAIN HEIGHTS BLK 2 LT 7A'0
tuckagain
Heights
Block 2
Lot 7A
#041-021-70
Was Lot 6 before Replat
Municipality of AnchorageAM
Development Services Department
Building Safety Division
Onsite Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 185550 Anchorage, AK 99519-W50 Page I of 3
www.el.anchorage.ak.us (907) 343.7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SWO40256 PID Number: 041-021-08
Nm.. Karl Bohlin, Jr.
Wastewater System: [3 New E] Upgrade
AOdraaa: 7It 00.to�
ABSORPTION FIELD
Pte' 338-0260 hunter ofBitlon"' 4
Dow Tmwht]&WbwTwKh❑ned ❑Mound O°""nCYib
LEGAL DESCRIPTION
aa'�ti�: 1 2
Total Depth Rem pnalprads:
OPDrFIe
1
11.14 Fl.
910rk: lot &Adyleon:
2 6 Stuckagain Heights
Depth to pipe bottom from aVinal pads:
Gravel depth beneath pipe
4.31 Ft,
5.53 FL
Township: Reqs: section:
RN anted above w4nal pude:
Gavel Lenpth:
0 R.
0 Ft
Well: ❑ New ClUpgrade
Gmval Wath:
4 ft diameter
Number orwee
NA
Daewoo between wee:
Ft.
NA F
Claeslllnalbn (Prlvete, A B. C):
Total Depth:Cased! o:
TOW absorption leas:
Pepe MataMl;
C - on lot 7
Fl. FL
NA Fe
I NA
plNr.
Dae DrOWd: Static Water D.avN:
eaWlar:
tank: CMM Construction
Data beWed:
7/12104
FL
tank
YWd.Fl.
et at Peng l
CaHeight Wrove a7
wq
TANK
GPM
FL
SEPARATION DISTANCES
EISeptic ❑Holding ❑S.T.E.P. ❑Other:
To
Septic
Absorption
LIB
Holding
Ublbprhab,
Monulactenvc
Capeotf.
From
Tank
Field
Station
Tank
sewer U e
Premier
1300 Gel.
well
150+
150+
NA
NA
150+
e
mt.
plastic - HDPE
Numberof Co peanene:
2
sMraoewaer
100+
100+
NA
NA
LIFT STATION
tale"
50+
30+
NA
NA
NA Gal.
Manulach,w.
Pouna.ibn
12
30+
NA.
NA
*Pum
ROmp o1r ewe at:
High water aenn at
a.
,�
in.
Dutatit oraw
I NA
I NA
NA
NA
Pump Malde It Model
Electrical lnsro a pereomed by.
Rernew. Test Hole dug adjacent to crib to verify soils and
BENCH MARK
assess groundwater. No groundwater after 7 days.
LOoetlon.ra
threshold of man door on north side
Perc rate less than 1 minfinch. Soil log attached.
levepwv
of garage.
FL
100.0
Old tank abandoned in place. No change to crib.
Crib confirmed to be properly constructed, 4 ft diameter, 6 it high steel
Engineer's Stamp
fir....QF•••...44
seepage pit set on native soil.
Inspections performed by: Bart Stewart &Cindy Ellis Dates: 1't 7/12/04 tank
* 49TH��*
_.' .":............
^d cdb 6/30/04
2
Developme t Services Department Approval
dy W. Ellis
Reviewed and approved by: Date: �"dF"�
(Rev. i7xa) ( -
i'-
c -1957
''IZ(3,f�•'`�
1
Municipality of Anchorage
Development Services Department
Building Safety Division
.>,ee
On -She Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
WwW.muni.org/onsile
(907) 3437904
Soils Log - Percolation Test
Performed For. Karl Bohlin, Jr. Date Pari<..__
Legal Description: Stuckagain Heights, Elk 2, Lot 8 Township, Range, Section:
Depth
S?
ODA
1.0
Pue
1-7.3
WAS GROUND WATER
ENCOUNTERED? NO
e
IF YES, AT WHAT DEPTH? — L
Depthto Weter or C
111mitc ing? None e
Date: 7/12/04
PERCOLATION RATE 41 (Mhd"&xe) PERC HOLE DIAMETER a
TESTRUNBETWEEN 6.0 FT AND 6.5 FT
COMMENTS SON conslstenq precludes use of sand 66er.
PERFORMED BY: Cindy W. Ellis, P.E. i CERTIFY THAT THIS TEST WIWAS
PERFORMED IN ACCORDANCE NTH ALLSTATEALL STATE AND MUNICIPAL GUIDELIN S IN EFFECT ON THIS DATE. DATE: I-II V4
,
I
I
,
I
,
I
Test Hole
IO
Existing seepage pit inspe ted on 6/30/04
and determined to be acc ptabl�
6.8 ft high, 4 ft daimetert
MT for
tank
Retaining wall installed
Lot 7 - as I in front of tank.
proposed
,
Proposed lot line
I
,
I
CO
V!
Existing tank removed.
New 1300 gal
HDPE tank installed.
DCO
FCO
B
4 BR
House
A B
DCO 14.0 34.5
,
STI 15.7 37.4
ST2 17.7 40.4 Lot 5
Lot 6 Undeveloped
CO 20.0 43.3
MT 14.4 39.7
I
Crib 38.8 1 70.5
Existing lot lines
NEAR MNT DR.
Stuckagain Hts, Blk 2, Lot 6
Septic upgrade Record Drawing
Watkins Engineering, Inc.
OF. A�g3;4�
Karl Bohlin, Jr.
Parcel ID: 041-021-08
.. 49�" '.
....:.......................
4 " `%. ar+ w. euis ; o
fop ` 70�57,�
Cindy W. Ellis, RE P.O. Box 110443
August 10, 2004
Anchorage, Alaska 99511-0443
- • oo'°
Scale 1 inch - 30 ft
Phone: (907) 349-1851, Fax (907) 349-1934
FCO FINAL GRADE
99.98
96.06
1300 GALLON
::95:32 HDPE SEPTIC TANK I I 95.06
by Premier
MT for Tank
Bottom
90.72
N.T.S.
FINAL GRADE
98.31
Top of Seepage MM
Pit ® 94.0
Test Hole Relative Depth 81.00 4 ft diameter Bottom of
No water. steel Seepage Pit
seepage pit. 87.17
AS -BUILT
Stuckagain Heights, Blk 2, Lot 6
Q0000000O
OF At��p
Record Drawing of Septic Upgrade
Karl Bohlin, Jr.
oo�Q� •""•••....•gs�00
00
Watkins Engineering, Inc
Oro:' TH
o � • 49 _ „ o
Parcel ID: 041-021-08
p.... ........... D
Permit No. SWO40256
0.�. .. .. !T . ................0
DY1 77
00 : ., ce - os77
Cindy W. Ellis, RE
P.O. Box 110443
o0
040000,�8.�Z R
August 10, 2004
Anchorage, Alaska 99511-0443
Qoo
000000
Not to Scale
Phone: (907) 349-1851, Fax (907) 349-1934
Watkins Engineering, Inc.
(907)349-1851
Cindy W. Ellis, P.E.
Test Performed by: Bart Stewart
Septic Adequacy Test
Address:
Legal Description:
Date of test:
Client:
Realtor
Number of BR
FCO?
Fill:
9715 Basher
Stuckagain Hts Blk 2 Lot 6
7/12/2004
Karl Bohlin
0
4
yes
Time
Meter
gals
MT level
Inches
16:20
27190.0
84.50
16:50
27350.0 dry
17:06
27443.0
0:05
17:41
27660.0
56.8 81792
18:20
27900.0
79.50
710
71 102240
Total fill: 710.0
Total rise in MT: 5.00
Gallonsrnch: 1 142
Drain:
dry
r�
49k*
CE.
./2.
W. Ellis
Time
Delta It
18:20 hr:min
MT level MT drop Absorption
Inches Inches
gals
Rate
913M gpd
18:20
0
79.50 NA
18:25
0:05
81.50 2.00
284
56.8 81792
18:30
0:10
84.50 5.00
710
71 102240
Fi" "k% lam''
W air -7/0 ViU wl- N
clap" tvma to `►k'VU . 1-�na
N bde?ftaw A4a& > loan 9Pt,( .
0r
alo
3540 AKULA D"E
ANCHQRAGE. ALASKA 99516
(907)345-0593.
r
WAR ,--- - .ToMahiP
w -lAM W.
DEPARTMENT pF NATURAL Ym
M KING, LAND, WATEREYDROLOGI
WATFR WP,LLLOG
Drillinggtuted;f/0/
! A'
Block to property Owner Nutty: A, Addraa::
6 a't�(BasL.�ca�i�,.Q...4►C7�df.9Rso�
_StasioR '/.wf'/id yid -�.
tist)Ri$MZDATA: (from ground snrrses) Depth
Iwtatai: TYPr• �dcwamat Fmm I TO
t 04-Q.Y. h\t,
0
0
meVwd ,Air rotary.11 C&W"003" ------r -'
Wd11uo O Pwie mpPlY. Q Odw
Depth otbole 6
n,dt3RgOddW-
B.IS` iaeLe:
Cssiog dtannder inerts CasbK dnpm -
i inatype Diameter. baba
Ltoo
gy�yter(frmnlopnfes �o�t
Ipimping level & yield: ket after ,hrnttw -- -'.
$Ocovayratc: ax gptn t`Retlndotl�__-j
Develoanic11 mcdwd:
weu htmre RpeniRg W' o OPM 04 PLOPMbolc s
o samed: starescmm VIM- n, smPPw�
It
Opafoarwd'Sta: A "�- -B .
Man: -
e-J.CL .SmYN a lis
Ld
1. _� J►,o l� i8L
{
•,asmvr.mtoatass :: tuctao t�
.=46.13AIDaad AKwttalswwwr
DVAYTMSN'P OF MATUVAL RPSOUM"S
tdleMwg.Ltmd awster Bydrelw& S"",
NOWMAndwwr•go,AX�1�
T+
On 204M mdTAX On96="13gt
Cstout"M L-Xr%un,
Dayft am
pump intake dt*-
Was well diunrected won!
we
vow= L
a
Ilntnd
plajon? dyes, ONo
t-
it is ro Mftvd dad a Ow orma-
widt o tlw City ofd ince widda 60 drys and *4 0006 "O "cif
.cm b the wPmP craer wnWn30 days.
StewcU%gbewrit todtc l�
Pena tNnm :
Damon"=-
FarcesMeodrmftnNwnbcr:.9x OY� o�No
ls.rell located at Mmoved pen
Dy
pAKVMWr OF NA7U "L spnirre
3540 AKULA DRIVE I MINING, -%ND.lvATTZR BYD
ANCHORAGE. ALAS 99516 WAT'F:R WF. A -Lor- /o/�
(90n 3q5 OS93, ning sutWi:-4`� .
Dv
u�"�'; � '.e 4 � � � B ••s l.w'D..4.....1. Olt: 9 4So�
fsiRr�— --rows**.OOL
t..rw _ Od+bted+06�j—
�.
�ps�gOl><DATA: tG+rO'�°d t'� DapV
M.>e.'hpa ttet...r
IBM 17a
yp u
E
OO+er '
w.arr. D rvelcr.
sorra. Y6 " a.:s�Ais
cti.:msQ
wams cow"t
Isa tyFb: U{bne�er. w y I '
Smog
Tti ler<I Srod New
7taouy nom: H.S tPa rtes
Dtadiooc
'� as � tr•asiaii+'ue. r"n'er 7aasm
,,em,.cismi.rrucwsws li Mc+�ue►
p�A>tTI�Nr 0!< NATURAL
p.�.r,Irrawr�rR�+d�
.Ty�100. pal aesa os..+ rAx Oe't1 �-F»r
:d WdT£:t-0 SOW 40 •.{dH
wes Omer
ITacetldmd�"�'mr0° 9�1.� aYe
I L� bored d ippt°"0d P°�
crNm GM 1011 >mj
of
SWUUaHcH aMun: Wld-i
opm CrA ao�mM
+s troy
Wen intake opening
a seva+l=a
D 1
o saw sift..
_-----
scram rm=
Sun:
D 1 sL
Nrc.orow .
valree ��-
� 1e --
Dep dK �
Tamp'
ayiororfed �d„pletios7 liY+• OTIn
wr wcR
'� as � tr•asiaii+'ue. r"n'er 7aasm
,,em,.cismi.rrucwsws li Mc+�ue►
p�A>tTI�Nr 0!< NATURAL
p.�.r,Irrawr�rR�+d�
.Ty�100. pal aesa os..+ rAx Oe't1 �-F»r
:d WdT£:t-0 SOW 40 •.{dH
wes Omer
ITacetldmd�"�'mr0° 9�1.� aYe
I L� bored d ippt°"0d P°�
crNm GM 1011 >mj
of
SWUUaHcH aMun: Wld-i
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Date Issued: Oct 04, 2004
Expiration Date: Oct 04, 2005
Permit Number: SWO40417 Parcel ID: 041-021-08
Legal Description: STUCKAGAIN HEIGHTS SUBDIVISION BLOCK 2 LOT 6
Design Engineer: 0000 None Required
Owner Name: KARL BOHLIN, JR
Owner Address: 9711 BASHER DRIVE
ANCHORAGE, AK 99507 -
Site Address: 9711 BASHER DRIVE
Lot Size: 86684 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 haus ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55.
PLEASE SEETHE ATTACHED SHEET "PERMIT REQUIREMENTS FOR A DOMESTIC WATER SYSTEM". IF
THERE ARE ANY QUESTIIONS PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER
PROGRAM AT 907-343-7904.
Received By:
L G " ( � ; Date: J0 — '—O
Issued By:Date: /ar
IIV
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ek.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. O r I (7) 2-1 ^ Q pl)j Permit Number SW
pt 6�
5A E T Y
Property owner(s) 9)N Q L F 6) N1- / A/ Day phone _?738-L-,%2& 6
Mailing address (1) °! t-( 11 9 Pc �F,p p N G y A k
Mailing address (2) Zip Code 99 S—P �7_
Legal description (Lot, Block & Sub'd.) Z02- 6, 9 S70GK X C, A-/ AJ , Te -
Legal description (Section, Township & Range)
Lot Size %pq Acre Sq. Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms 9 -
Sewer Only ❑ Well Only
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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.
(Signature of property owner or authorized agent)
Permit Fees: ___L_qS=GD
Date of Payment:
Receipt Number: 5$g3
(Rev. 12/00) ir�—
Waiver Fees:
Date of Payment:
Receipt Number:
wo� ss60 . .
G
2J� A v
Well
O As 4A.0CGf
�•a
50 _
N
2 / Septic vents
t31
36.0 20,
deck
i
o�
Co
nn i - I An n4
tLFe.�- QE-pF'STia_ l.L�
CV
00 00
M
no
9SA
8
I- o r rs^e-^ MT
`iil1.31DL4 b2M
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water d Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Jul 12, 2004
Expiration Date: Jul 12, 2005
Permit Number: SWO40256 Parcel ID: 041-021-08
Legal Descriptions STLIbKAGAIN HEIGHTS SUBDIVISION BLOCK 2 LOT 6 f
Design Engineer: 0844 Watkins Engineering, Inc Site Address: 9711 BASHER DRIVE
Owner Name: KARL BOHLIN, JR Lot Size: 86684 SQ. FT.
Owner Address: 9711 BASHER DRIVE Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE, AK 99507 -
This permit Is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
DURING CONSTRUCTION A TEST HOLE NEEDS TO BE PERFORMED WITH GROUND WATER MONITORING
AND PERC TEST TO DETERMINE THE SIZE OF CRIB IS ADEQUATE FOR A 4 BEDROOM HOME
Received By:
Date: /Z J U 4'0+
Issued By: Plkn= Date: ?/I Z /✓y
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 186650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
ON-SITE SEWERMELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 041-021-08 Permit Number SW
Property owner(s) Kari Bohlin, Jr. Day phone 333-2606
QMa�iling address (1) Near Point Dr. (previously 9711 Basher Dr.)
16farh'ng address (2) �9-p/ �as� f ttra- Zip Code 89507
Legal description (Lot, Block & Sub'd.) Stuckagain Heights, Blk 2, Lot 6
Legal description (Section, Township & Range)
Lot Size 86,684 Acres/Sq.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms 3
Sewer Only ❑ Well Only ❑
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade El
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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.
(Signature of prop#ty owner or authorized agent)
Permit Fees: OO Waiver Fees:
Date of Payment: /6 Date of Payment:
Receipt Number. Receipt Number.
(Rev. 12/00)
Watkins Engineering, Inc.
P.0 Box 110443, Anchorage, AK 99511
(907)349-1851 cwellis@gci.net
July 5, 2004
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
RE: Stuckagain Heights, Blk 2, Lot 6
Septic Tank Replacement
To Whom It May Concern:
Attached please find an application to install a new 1000 gallon HDPE septic tank at the
referenced 3 bedroom house in Anchorage. The existing tank was installed without a
permit. In conjunction with the sale of the property, the tank was exposed and found to
have holes in it. It is proposed to remove it and bury it on site.
The new tank will be placed more than 150 ft away from the Class C well serving Lots 6
and 7 and more than 100 ft from any private well or surface water. The crib was
exposed on June 30, 2004 and found to be in acceptable condition, as per Dan Roth.
Documentation of the crib will be provided with the application for the Health Authority
Approval. 1 am not aware of any adverse effect that this upgrade would have on any
adjacent properties' water and wastewater treatment needs.
Lots 6 and 7 are currently being re -platted to move the lot line. The petition, S11232-1,
was approved, with a requirement to upgrade the septic systems to meet Municipality of
Anchorage standards. Work is currently in progress.
Thank you for consideration of this permit application. If you have any questions or
need further information, please call me at 349-1851 or 360-3389 (cell).
Yours truly,
Cindy Ellis, P.E.
President
150 ft well radius -0
Class C Well
Lot 7
be
NEAR p01Nj OR.
Lot 8
Undeveloped
\� Proposed lot ' e
No
/ Existing crib insp
/ determined to be
I Exu
and
HD
3 BR
Hous
Proposed lot line
\ Lot 6
iting lot line
within 150 ft
system
and
g tank to be removed
daced with 1000 gal
tank.
Lot 5
Undeveloped
Stuccagain Heights, Block 2, Lot 6
0 OF A.
� �5�00
Proposed Septic Upgrade
Karl Bohlin, Jr.
Watkins Engineering, Inc.
0��` TH 7
Parcel ID: 041-021-08
` p
....W*'
p0oJul
Cindy W. Ellis, P.6 P.O. Box 110443
5, 2004
Anchorage, Alaska 99511-0443,
•.• o.00
444�0�00000�d���
Scale 1 inch =100 ft
Phone: (907) 349-1851, Fax (907) 349-1934
r
I
3 BR / / No wells within 150 ft
House /� / of septic system
/ I
'Existing crib inspected on 6/30/04
150 ft Class C and determined to be acceptable.
well radius
Existing tank to be remove)
and replaced with 1000 gal
Class C well / HDPE tank. Tank to be
serves Lots insulated. Old tank to be
6&7 Install DCO buried on site.
MT
i
Lot 7 _ XDriveway
cted to FCO
proposedfrom
/g on it.
i
/3 BR
ve House
Proposed lot line
Existing
lines
NEAR POINT DR.
Lot 5
Undeveloped
Stuckagain Hts, Blk 2, Lot 6
0000
Proposed Septic Upgrade
Watkins Engineering' Inc.
��rc OF.A�q Op
shop
Karl Bohlin, Jr.
oo�P..
$ y` 49
Parcel ID: 041-021-08
—TH :9rt�do
CI V W. ELLIS O
000;;.•
Cindy W. Ellis, RE P.O. Box 110443
July 5, 2004
Anchorage, Alaska 99511-0443
E _,o5n
Scale 1 Inch = 30 ft
Phone: (907) 349-1851, Fax (907) 349-1934
�oop000�0000�
07/12/04 MON 12:11 FAX 9075491994 Watkins Ensr IM001
907-34&1851 P.O. Box 110443
Watkins Engineering, /nC. 907-349-1934 fax Anchorage, AK 89511.0443
Email: onreilisftd.net
Fax
o:4oe
Goodall / MOA Onsite
rom:
Indy W. Ellis, P.E.
ax:
49-7847
ages:
L 1_ including cover
hone:
7908
te:
/12/2004
Stuckagain Heights, Bik 2, Lot 6
Change in Design
Karl Bohlin
0 urgent O For Review O Please Comment O Please Reply 13 Pleas Recycle
a Message:
I would like to change the permit application for the subject property to cover a 4
bedroom house, using a 1300 gallon HDPE tank. The existing crib will be tested for
adequacy for a 4 bedroom house. The permit has not yet been Issued.
Call if you have any questions.
Thank you very much,
Cindy Ellis
Watkins Ensr
FP.ED WAL TYA a 0.550
RTMENT OF PLANNING
DearAppncant
On Monday, January 19, 2004, the Pladi ng Authority acted on your petition 311292-1.3tuekag2in
Heights.
The petuttlon was APPROVED.
Special Conditions. in addition 40 those of Title 21. tttachad by the Platting Auttority are on the
enclosed Summary of action. N you have arty questions on these conditions or dwW& please Call
Mw oMcs at 343.4267.
PRELIP ARY APPROVAL IS VALID ONLY FOR 18 MONTHS or as otherwise soted In the
Swwnary of Action. Within do time. you must accomplish In "ggiing to BrtaGze your request
1. Negotiate a subdivision agreement with the Departmerg of PWAO Works. If required.
2. Mixt the eondlions specified by the Platting Authorlty which tyre included In the alladmd
Summary of Action In addition to those of Tine 21 of the AMC.
3. Comply with ON applicable provislorm of the MUAI*al Land Subdivision Regulations.
4. In the case of subdivision. submit to the Department of Planningiii property executed final plat
ready for filing.
If you wish to appeal tilts decision or arty of the condtions, we Will ftnrdsh copies of our appeal
Procedure*. Please not& that all appeals must be made withtn Efteen (15) days of the Platting Boerdi
ornr.n
Slncendy,
DEPARTMENT OF PLANNING
Zoning and Platting Section
Fred Walatka 8 Aseoerates
Fred Walelka
3107 W. 29th Ave.
Anchorage. AK W517
® 001
PAGE 61
4700 S groaaw Street
Anchorage, Alaska 995196650
Telephone: (901.1 343-79W
r
1
Fac (9071343.7927
http /hvww.d.anchorage.9k.us
r
>&Yor Ala* 609kh
RTMENT OF PLANNING
DearAppncant
On Monday, January 19, 2004, the Pladi ng Authority acted on your petition 311292-1.3tuekag2in
Heights.
The petuttlon was APPROVED.
Special Conditions. in addition 40 those of Title 21. tttachad by the Platting Auttority are on the
enclosed Summary of action. N you have arty questions on these conditions or dwW& please Call
Mw oMcs at 343.4267.
PRELIP ARY APPROVAL IS VALID ONLY FOR 18 MONTHS or as otherwise soted In the
Swwnary of Action. Within do time. you must accomplish In "ggiing to BrtaGze your request
1. Negotiate a subdivision agreement with the Departmerg of PWAO Works. If required.
2. Mixt the eondlions specified by the Platting Authorlty which tyre included In the alladmd
Summary of Action In addition to those of Tine 21 of the AMC.
3. Comply with ON applicable provislorm of the MUAI*al Land Subdivision Regulations.
4. In the case of subdivision. submit to the Department of Planningiii property executed final plat
ready for filing.
If you wish to appeal tilts decision or arty of the condtions, we Will ftnrdsh copies of our appeal
Procedure*. Please not& that all appeals must be made withtn Efteen (15) days of the Platting Boerdi
ornr.n
Slncendy,
DEPARTMENT OF PLANNING
Zoning and Platting Section
Fred Walatka 8 Aseoerates
Fred Walelka
3107 W. 29th Ave.
Anchorage. AK W517
® 001
PAGE 61
w
s
08/17/04 THU 18:38 FAX 9073491934
86/01/2084 84:56 9072492801
Watkins Ener IMQ02
FRED WALAIVA S Asso PAGE 02
191,2004
Pwzofz
.r r �•
115-112
Return for VCdesign 4md
1.
... .. n.
2: Resolv'ug with •. Wastewater.. that the. d1spo*aj.
dacdS6 am they h
not beem pdm*ted nor W?provcd by the R.
3. Providing an &*.bunt suivey to zoning
code c*mpEw3&c to envarc
4. Cwd�edfing the Proposed tuft to make proposed Lot 7A
%nom usable.
DMVIMC thatCle lot cxffieur�limna
6- Resobing; the need for a side yard
vadance ft the side yard an propovcd
Aw4i Ell, - 4
Municipality of Anchorage
• Development Services Department
Building Safety Division e`.':.
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onstte
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 041-021-08 HAA # l] rJ Q I
1. GENERAL INFORMATION Expiration Date: _%—- -g
Complete legal description Stuckagain Heights, Blk 2, Lot 7A
Location (site address or directions) 9860 Near Point Dr., Anchorage
Current Property owner(s) Karl Bohlin, Jr. Day phone
Mailing address
Lending agency
Day phone
Mailing address
Real Estate Agent Kieth Facer / Prudential
Day phone
727-5851
Mailing Address
Unless otherwise requested, HAA will be held by DSD
for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER
DISPOSAL:
Individual Well
0
Individual On-site
0
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an Independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage Is not responsible for errors or omissions In the professional engineer's work.
4. 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 Health Authority 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 State natercodssupply
ppl nand/or
wastewater disposal system is(are) in compliance with all app'Municipal
and regulations in effect at the time of Installation.
Name of Finn Watkins Engineering. Inc. Phone 349-1851
Address P.O. Box 110443, Anchorage, AK 99511-0443 /
Engineers Printed Name Cindy W. Ellis Date
5. DSD SIGNATURE Cindy W. Ellis
CE-jos», .
Approved for _ bedrooms. �.
�ssioNrsc !
Disapproved.
}Conditional approval for - bedrooms, with the following stipulations:
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineers Report
Other
By: n Q� (�(% j� Original Certificate Date: 13 ^ 05-
(Ra
S
(aa m=
Municipality of Anchorage
• Development Services Department °
a
Building Safety Division
On-Sfte Water & Wastewater Program •
4700 South Bragaw St.
P.O. Box 198850 Anchorage, AK 995198850
www.muni.orglonske
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Stuckagain Heights Blk 2 Lot 7A Parcel ID: 041-021-08
A. WELL DATA
Well typePri If A, B, or C provide PWSID #
Date completed 10aw Sanitary seal (Y/N) Y
Total depth 186 ft. Cased to 140 ft.
FROM WELL LOG
Date of test 10/5/04
Static water level 115 ft.
Well production 8.5 g,p,m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml. Nitrate 2.83 mg./I.
Arsenic: X0.005 mg fl. Date of sample: &24x6
S. SEPTICIHOLDING TANK DATA
Tank Type/Material HDPE plastic
Tank size 1300 gal. Number of Compartments 2
Well Log (YM) Y
Wires Property Protected (YM) Y
Casing height (above ground) 24 in.
AT INSPECTION
NA - new
Other bacteria 0
ft.
g.p.m.
colonies/100 ml.
Collected by: Watkins Engineering, Inc.
Date installed 7/12/04
Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (YM) NA
Date of pumping New Pumper NA
C. ABSORPTION FIELD DATA
Date installed 1971 Soil rating (g.p.dJI`e or ft?/bdm) 85 System type seepage pit
Length 8.8 high ft. Width 4,0 diameter fL Gravel belowPe i NA
P ft.
Total depth 11.14 ft. Eff. absorption area 395 ft= Monitoring tube Y Depression over field N
Date of adequacy test 7/12104 Results (PaswFalo PASS For 4 bedrooms
Fluid depth in absorption fteld before test 0 in. Water added 710 gal. New depth s.0 in.
Elapsed Time: 10 min. Final fluid depth u in. Absorption rate >= 500 9-p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) no If yes, give date NA
D. LIFT STATION
Date Installed PIA Size in gallons
'Pump on' level at _ in. 'Pump ofr level at _ in.
Datum
E. SEPARATION DISTANCES
Cycles tested
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/Oft station on lot 250+
Absorption field on lot 240
Public sewer main 100+
Sewer /septic service line 100+
Manhole/Access (YIN)
High water alar level at in.
Meets alarm & circuit requirements?
On adjacent lots 100+
On adjacent lots 100+
Public sewer manhole/cleanout 100+
Holding tank NA
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 12 Property line 50 Absorption field 20
Water main 100+
Water service fine 40 Surface water 1100+
Wells on adjacent lots 150+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 20
Building foundation 35 Water main 100*
Water Service line t8 Surface water 100+ Dnvsway, perldnpNehide storage 20
Curtain drain NA Weill on adjacent kits 150+
F. COMMENTS
Seepage pit was exposed on 6/30/04 and documented, per attached asbuin. Test hole dug b confirm soils a groundwater.
G. ENGINEER'S CERTIFICATION
1 cen* that I have detemYned through Reid inspections and fir'
review of mwWdpal records that the above systems are In 9
conformance with MOA HAA guidelines in effect on this date. -
Engineer's Printed Name Cindy W. Ellis - Cin y W. Ellis
Date 4/8/05 CE -lose
HAA Fee Z 4& . `D
Date of Payment '1G/D.S (dn °n$ "��
Receipt Number 40.33
(Rev. 12101)
Waiver Fee
Date of Payment
Receipt Number
57 44'
M_�j
:S Ref.#
1051572001
lent Name
Watkins Engineering
V jest NamdN
lent Sample ID
Stuckaesin ills Blk 2 Lot 7A
Stuckagain His Blk 2 Lot 7A
i°br
Drinking Water
mple Remarks:
All Dates/17mes are Alaska Standard Time
Printed Date/Tim,
04/06/2005 11:25
Collected Date/Time
03/21/2005 11.00
Received Date/Time
03/2.1/2005 11:40
Technical Director
Step! to C. Ede
9rnctcr
Rewlts
POL
Unix
Medasd
Allm*k- Pp Analysis
-.
Container
Llmits
Date Date
We
stale Department
Hardness as CaCO3
134
5.00
mg/L
SM2023408
D
:13/28/05 04/0I/05
SCL
ivate Individual Analvsis
Uumimmn
41.9
20.0
uV
EP200.9
D
kntimony
1.00U
100
n3/28N5 04/01/05
SCL
knenic
5.00 U
up/L
EM00.8
(< 6)
113/28/05 04101105
SCL
3erium
g 00D
vg/L
EM00.8
D
(o-")
(3/28/05 0410)/05
SCL
'admimtt
47.6
3.00
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EM00.8
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(< 2000)
(312S!05 04/01/05
SCL
:alcimn
0.500 U
0.500
bg/L
EP200.8
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( 3/28105 0.531/05
SCL
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39800
500
ug/L
EM00.8
D
(3/28/05 04101/05
SCL
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SCL
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107
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SCL
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250
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(328/05 04101/0S
SCL
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5.58
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291
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SCL
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200 U
200
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0.100
0328/05 04MI105
SCL
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571
mg/L
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03/24/05
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2.83
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072833 04/01105
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(a'10)
03/24/05
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5.00U
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(o-50)
03/28/05 04/01/05
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0.100
mg/L
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(-1) o-
03/24/05
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vg/L
EM00.8
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(o-250000)
03/28/05 04101105
SCL
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3680
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200
ug/L
EM00.8
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01/28/05 04101105
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1.000
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(x100)
03/28103 04101105
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01/28i0S 04101105
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03/24/05
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