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HomeMy WebLinkAboutMCKINLEY HEIGHTS BLK 2 LT 19McKinley Heights Block 2 Lot 19 #051-213-33 Municipality of Anchorage Development Services Department - y• \�- Building Safety Division On-Site Water and Wastewater Program, 4700 S. Bragaw, Sl. P.O. Box 196650 Anchorage, AK 99519-6650 PageI of 3 www.d.anchorage.ak.us (907)343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: Swologgi PID Number. 051 -oQ 13 - 33 Nam• ^ I 01 rq Wastewater System: [I New ❑Upgrade n r A°"" ABSORPTION FIELD O Deep TlarcA O Snalbw Trerch 0 Bed O Ma.W o Dew inona % Natbr a Betrarm LEGAL DESCRIPTION sat R«n7 Taal Dept han apeW grade P F FI Bloat. La' slkdiN.ipn' • • Deembpry•Odlan halo •d01^•I Trade' e. eepm brr. ppe: �nls s Ft 7pw p Range. sedicrr Faaddedebaeaynelaada: ♦♦ Gra.„Lerglh'V` FI. Fl. Well: El New ❑tIP9 rade c,w :V 1 ..: v CI..„acelm (P M. A B, CL Tar Dopm: cooed w TdM tlaap srer Ppa Materia' E _ /•v4 Ft. Ft F Drew oMa Paled SIMC Wet. Law: bpner /• _ DMe YtnWd 0 _ V YrolO p 5N M. Atme Awa' TANK GPM FI. FL SEPARATION DISTANCES I% Septic []Holding [I S.T.E.P. ❑ Other. TorSepticAbsorption Lift Holding PubRuPrival M. dxMer./.copa�lL'/aFrom Field Station Tank Sewer Une /P� ia, 000 Go]. Wee a � MalaW- MOPE'Nt a Canp„Imen * .E�7stlae.W„„ LIFT STATION aa. MaMx ve La L:r •Poop on NtM M. 'Pulp M HVM Mrm M. wnM . fa.tdMpM 7 M N. Cwaln Nom %i _ Ptmp Maw s Mat^ Elecucal ft.p.cEm. Wol led by OAe w R'°1MYe opoBENCH C Arlt MARK P✓r",4 o CoOvSH94 And AJ1)tA-WjiP, ^ LacMbM er�d M.aplm'. 1-op �0 of deck • lI Ll A.. EN than. pa A of 100 Ft Eng mp 4.Q —�FqkA OF q S R S HNGINZER r Loop Road, No. 404 17034 Eagle River „ 1 Inspections performed by: Dates: 1 Development Services Department Approval'' y ROBERT C. COWAI, CE • 6801 Reviewed and approved by: Date: -7 2 Ll 0 1y�nctr�� PERMIT No. SIND10291 PAGE 2 OF 3 municipalityof Anchorage DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Te'lephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 19, BLOCK 2, McKINLEY HEIGHTS P.I.D. NO. 051-213-33 EXISTING 3 BEDROOM JA HOUSE \ TBM FI NEW 1000 GALLON K 5T2 DBL2- EXISTING \ GRAINFIELD HOPE SEPTIC TAN DELI h LOT ARCTIC ENTRY B 8 ' WELL RADI DECK / GRAVEL / PARKING / AREA / � A V \ SCALE: V - 00' 13 I RPv Pj�� T1 rf \ ROAICE G CO1 , CE .8801 �4��; 9f PERMIT NO. SW010291 PACE 3 OF 3 Municipalit of Anchorage DEPARTMENT OF HE AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 •Anchorage, Alaska 99519-6650 • Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 19, BLOCK 2, McKINLEY HEIGHTS P.I.D. NO. 051-213-33 ST1 ST2 99.9' FINAL GRADE 2" INSULATION NEW 95 9. 1000 GALLON POLYETHYLENE 1795.6' SEPTIC TANK N. T. S. N f ,,......... w. i ROBERT C. COWAN Y,Z ll�/��Q ) 8801 ii r A B FCO 23.0 22.0 ST1 24.5 23.5 ST2 25.5 25.0 DBL1 27.0 26.5 DBI -21 27.57 1 27. C 0 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 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SWO10291 Legal Description: MCKINLEY HEIGHTS BLK 2 LT 19 Date Issued: Aug 02, 2001 Expiration Date: Aug 02, 2002 Parcel ID: 051-213-33 Design Engineer: 0003 S & S Engineering Site Address: 018045 AMONSON RD Owner Name: AI Oliveira Lot Size: 17860 SO. FT. Owner Address: 18045 Amonson Rd Total Bedrooms: 3 Permit Bedrooms: 3 CHUGIAK , AK 99567-0000 This permit is for the construction of: Disposal Field Q,/ Septic Tank ❑ Holding Tank ❑ Privy 0 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. Received By: Issued By: Date: Irv` % Date: S — Z —ol -f -\ Alunicipality.of Anchorage ,> 1 Development Services Department Building Safely Division On -Site Water and Wastewater Program , A; .'7 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.cl.anctiorage.ek.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 057 /- a_ S Permit Number SWO/021/ Properly owner(s) 1t t 01;yP; rA - Day phone Egg— d / Mailing address (1) I/4e045 14fn0/1501? Pouf!! p Mailing address (2) Ll� f/1 q /R- p Q Zip Code 19'&!/ 7 � Legal description (Lot, Block & Sub'd,) L -r 61 oe C/ D, A- "fde.y l/6/rG5 Legal description (Section, Township & Range) Lot Size 04P— Acr q.F . Number of Bedrooms =5 I78(oD THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Not 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 Dwdlling and is in accordance with applicableMunicipal d nicipal Codes. RING '0' 17034 Eagle River Loop Rad No. 204 (Signature of property owner or authorized agent) Permit Fees: 3 .� 0. • Waiver Fees: Dale of Payment: -1 /,)..-7 /a I,,,�{j Dale of Payment: Receipt Number: O C'7 V, H I SOX Receipt Number: (Rev. 12100) 41 Ei1GIneeRInG ROBERT C. COWAN, P.E. CMLENGINEERS (907)694-2979 FAX (907) 6944211 July 26, 2001 F4IUHAWHGSTY APPROV"A MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 SEWERAWATER Anchorage, AK. 99519 MAINEI(TENSgFB REFERENCE: Lot 19, Block 2, McKinley Heights Subdivision SEWER 6 WATER ` INSPECTION It is requested that you issue a permit to upgrade the septic system serving the existing three bedroom dwelling on the referenced property. ENGINEEFUNGSTMES We do not anticipate any adverse effects on neighboring wells, septic systems, reserve ANDREPORTS areas or drainage patterns by the installation of the proposed septic tank. The construction of this system will not prevent any future development on any of the adjacent properties. WELLINSPECTION If you require additional information, please contact us. 8 FLOW TEST Sincerely, SITE PIANS `1,40 , Robert C. Cowan, P.E. RCC/bjj ROADDESIGN Enclosure 500. TEST PERCOLATION TEST STRLICTU ALB MECFWACN. INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577 7': = 40' DESIGN SITE—PLAN SuAi t oCo oyF msy �ns� A O `fin 1 •� �VK I � �tlN9 b = I �4•op�Op. 4T/ONJig�€ xu O c r I � .,..ss 6� goy I n NA_ / m00 c zwo\/\ l CZ H c�� o L Yx coh6 0 7 m I N g o, o I O r ry I� M N I N 2 p•F10, Esb i,� O M UJ 4Tf A4plel051 4l (C iONJ O \ I Zoo y \ 0 A /I MC3. no M.r1 ?Tif sit %ice ^?�' ' :,� •�� •i GP'r ITER ANCHORAGE AREA BOROI'�H HEALTH DEPARTMENT I NO 78 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279.2511 . " INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL A72(7 /;0 Z910'oJ MATER 3o33 - MAILING ADDRESS//�,� P���� PHONEY ADDRES /7S; scffi, i LIQUID CAPACITY 10 GALLONS. INSIDE LENGTH INSIDE WIDTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITSOUTSIDE 6/l DIAMETER H / OR WIDTH�G^?, LENGTH . DEPT LINING MATERIAL L ~s XJ ETXh JISTANCE FROM WELL /�7 47(4m/i) BUILDING FOUNDATION334=L, / / G NEAREST LOT LINE J TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) —SO. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF ES ABSO TION AREA DTH: TOP OF TILE TO FINISH GRADE LINES SO. FT. LENGILI OF EACH NEAREST LOT TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: TYPE DEPTH 4/ DISTANCE FROM WATER , BUILDING FOUNDATION. SAMPLE-. NEAREST NEAREST vKPTIC &/ SEEPAGE �/ v OTHER LOT LINE , SEWER LINE TANK , SYSTEM , CESSPOOL , SOURCES_ DIAGRAM OF SYSTEM DISTANCES: DATEZ � 100,a GAAB-11D-2 GREATEI'ANCHORAGE AREA r"J UGH i IIEALTII DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 T. pIT � 79.2511 SEWAGE DISPOSAL SYSTEM - APPLICATION A PERMIT Case No. t NAME OF APPLICANT �o�rC'� �yntuuie�n MAILING ADDRESS 116 N ?-Ay PHONE N0� RESIDENCE ADDRESS S A m e LOCATION OF INSTALLATION Al"611SO K1 Ko 8 D LEGAL DESCRIPTION I-cT I 11 T3 C. O �'F STo APPLICATION TO INSTALL: SEPTIC TANK 'SEEPAGE PIT '� , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH 0 A TO BE INSTALLED BY PERCOLATION TEST RESULTS �_ ' (ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT / THIS IS TO SERVE AS �� _r Mf1?tli 7 PERMIT TO INSTALL A �ti P� ��Az M AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED 3 g Dp SEPTIC TANK SIZE DODO TYPE n?MP SEEPAGE AREA Z 'TYPE DIAGRAM OF SYSTEM DISTANCES: 66u Fo1zro is all, -serova-.t QegvJQeMe�Ts J (� ov# C 1.ti C -;-EDTH AUTHORITY OR LICENSED DESIGNER I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ord' ce No. 28-68 and that the above described system is in accordance with said code. &3 CTT V a t_I b 4O 67 `SD/G i.,5 % DATE 2 �� APPLICANTS SIGNATURE ; � lisi l C2 Ut t (`S, GREATER ANCHORAGE AREA EOROUG!r-� s . HEALTHDE'AkTE'.1 CASE N • 327 EAGLE STREET ANCHORAGES ALASKA 95501 Performed For �'�r"rY Br>�'JiTJIr� i Date Performed J�Vt 2j, IAj� Leral DcscriPtlons Lot 161 Block 'i Suydlvision P/i: vlt'Rx� 1�;1^✓ This Fc -m, Reports a: Sols Lof. ✓ rerco�•' lath Test ).a q, [am `G 3 De^.th Fect Soil Characteristics ZP .1 Br!4J SAAN ►mss - �JD (sr L.r�rl Sl✓ � St'%'JL; ��j Was Ground 'dater Encountered? �!✓7 A y� If Yes, At What Depth "- Location Sketch Reading Date i Gross Tine Net Tire i Depth To H2O �t1_ Depth Of Inlet 1:5T % Depth To t t I I ► I I t I a c�� r�.•,r�yF;- iii I ! � CrCOlai lOP. lCdte 1 ..,�e,r:. +1 1 r Reading Date i Gross Tine Net Tire i Depth To H2O Net Dr o? Depth Of Inlet 1:5T % Depth To t t I I ► I I t I a c�� r�.•,r�yF;- I ! � CrCOlai lOP. lCdte 1 ..,�e,r:. Proposed Installatio —Seepage Pit rI--" Drain rield Depth Of Inlet 1:5T % Depth To bottom Of Pit Or Tr c Trench COHNL'NTS: !1 �.: �- irJ2r. �, ^ = IYIi ✓IisG r�i, r� 1 .1 r cl -IPA, ',. 4 pr,,�,�r.,:-r�.�r. .•c �ir ar nrz a c�� r�.•,r�yF;- Test Performed By: rl. iij!(.!i Data Certified By:Date: I 7 Municipality of Anchorage Development Services Department t Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.a�chorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-213-33 HAA # 05 I' A) I "J Expiration Date: 6 -• 1-7 - O 6' GENERAL INFORMATION Complete legal description Lot 19; Block 2• McKinlev Heights Subdivision Location (site address or directions) 18045 Amonson Rd ChuPiak Current Propertyowner(s) Shannon Basn X Day phone ARR-5g;9?— Mailing address Lending agency Mailing address Real Estate Agent Mailing Address same 'Greg Erkins Day phone Day phone 562-3382 3820 Lake Otis Pkwy. Anchorage, AK 99508 Unless otherwise requested. HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: -1 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ s. a�• HAA # 05 I' A) I "J Expiration Date: 6 -• 1-7 - O 6' GENERAL INFORMATION Complete legal description Lot 19; Block 2• McKinlev Heights Subdivision Location (site address or directions) 18045 Amonson Rd ChuPiak Current Propertyowner(s) Shannon Basn X Day phone ARR-5g;9?— Mailing address Lending agency Mailing address Real Estate Agent Mailing Address same 'Greg Erkins Day phone Day phone 562-3382 3820 Lake Otis Pkwy. Anchorage, AK 99508 Unless otherwise requested. HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: -1 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site PK Individual Holding tank ❑ Community On-site ❑ 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/water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval t 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-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm S & G RnginPPring Phone --64r( 2979 Address17034 N. Earle River Lonp SrP 9n4 FAg1P River, AK 99577 Engineer's Printed Name Robert C. Cowan Date— 3 hs -/o S— 5. DSD SIGNATURE Approved for _3 bedrooms. Disapproved. OF OF ROBERT C. COWAN CE -8801 Conditional approval for ' bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By4���� %A� Original Certificate Date _3 " % " 0,7 (R" OLOI( Municipality Anchorage • y o Development Services Department Building Safety Division On -Site Water & Wastewater Program •" "` 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: f' eT1 —�j. /1!L Kj&&ULy� S Parcel 16: A. WELL DATA Well ty �vmr__ Date completed J2&K Total depth>N-26t. ft. If A. B, or C provide PWSID # = Well Log (YAD- �4c' Sanitary seal (MN) _)TS Wires properly prdtected®N) �g / u Cased to �1t. Casing height (above ground) l t -in. FROM WELL LOG Date of test >uKAJOV 1J Static water level ft. Well production 9 P•m• WATER SAMPLE RESULTS: Coliform � colonies/100 ml. Nitrate .Z. B mg./I. Arsenic: mg./l. Date of sample:05 AT INSPECTION 3 r q Lo r 3 ft. Other bacteria 0 colonies/100 ml. Collected by: � b' � n_%lxDrC JK.)(a B. SEPTIC/HOLDING TANK DATA C / Tank Type/Material S6?-T(C_ / iforn Date installed 8fi IF o Tank size /OBD gal. Number of Compartments Cleanouts(ON) 14r -g Foundation cleanout(6)N) �S Depression over tank (Y((M _10 High water alarm (Y/N) Date of pumping 2, 117/05 Pumper J" S ruw,Pr>--'t-v C. ABSORPTION FIELD DATA '� Date installed Soil rating (g.pAA2 or /bdr System type 'SMA46 r /T I � Length « ft. Width tri ft. Gravel below pipe _ft. Total depth _! SG_ ft. Eff. absorption area _911 ft2 Monitoring tube _�tS Depression over field _lyj(Z Date of adequacy test OS Result as ail) f*55 For 3 bedrooms Fluid depth in absorption field before lest JE in. Water adde4f"gal. New depth in. Elapsed Time: ki min. Final fluid depth 3 "In. Absorption rate >= 14sn-+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Ye& type) NO If yes, give date D. LIFT STATION Date installed `Pump on' level at — in. Datum E. SEPARATION DISTANCES Size in gallons 'Pump off" level at in. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO ManholetAccess (YIN) _ High water alarm level at Meets alarm & circuit requirements? Septic tank/lift station on lot _ 1 10v t On adjacent lots 10o 14 Absorption field on lot 1L01+ On adjacent lots t ©O t f Public sewer main — Public sewer manhole/cleanout ,5owerlseptic service line 25 i Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: � I Building foundation �' Property line Absorption field 15 Water main _ Water service line I b r+ Surface water /D6 r% Wells on adjacent lots 1 60 I{, SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: � Property line IT Building foundation 3L Water main Water Service line f fi I f Surface water 1 0� r'- Driveway, parking/vehicle storage Curtain drain _NrVX- kkit?, Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name l` g gi•2r' C. COc✓NJ Date 3 1 l r/0 S' HAA Fee $ r'I ✓v Date of Payment Receipt Number fDU�33 (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number, 1 ROBERT C. COWAN / ti ��'. CE -8801 �� ; 1=ED-04-2005 04:19 PM Greq.Erklns�Emall.Realtw 4197153596 T RAAM wow tow M1eAN[ RUM OMAN[ L;. o� O P.01 AmON50N RVAL N89* 5,9,00-w 303.20' H 13 00 �aS MRZ XI T/Alb 4� L j, USE /r r�+ '►- 19 M A• 1qs c.a 1 / `1 0 Ooiv��' SURVEY CERTInCATION'++IB,, Prepared by PLOT PLAN ((r►r�r* �. ,.. 41 Robert E. Johns, Jr. & Assoc A.•. o.pl M I ".. »r..._.....T " wl •�N'Ti, P0T,.......... •• .• �� Profeeslonal Land Surveyors 400 o A�i.n.. i «... i `w`r~. �'i.. ••` �{i fl L: � 1. M7 L 12 ASL AR ALASKA IUCI S. 9 T . l {i sm"' 1" a 4 0 1 Roo. Lot 7.F. RAI, ret IIP No. FOUNDATION AS -!JILT M,� . .y AAAA ••/' •• rwC+u".. 'PIM, +» Det. Sunt/„C: Onwl X Chookod by. '” UST 13 2003 PEJ MLJ aN1 w•''23232 `TIARA&-gMT 4121—S .'�= •'•.. AUGUST 13, 2003 1058 FNA SRIUCNR[ AS -NAT_ •��yo p owpUonl ..• �aA ♦e;` � ':SS»1 sob�d�•e�d� LOT 19, BLOCK 2, IAcKINLEY HEIGHTS SUBDIVISION wTRN[MY SURVEY TYPE 0 AS -PAT SYMBOLS rvm gTMN O AS- AS -NAT • SET RESAT DRAINAOC +�._ AlMALT KOT LAM.T.. O Plan POI ... A4MLT ...Lar tLwKr ... tl►oeAAFNY a FOUND REBAR 1� ^1 �-f-e• YAD00 F'►!IC[ •:•:... CONCRETE COFA> AS91M[D ELtV...�_q. METAL FtNLY WOW prf PLOT PLANS t LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF THE BLRLOtA OR ONNER. PRIOR TO CONSTRUCTION, 70 VERIFY PROPOSSO SUILDINO ORAOE RELATIVE ONLY THOSE YAPROVCMENTS ABOVE ORWNO AND w"LC WILL BI OHOMN. TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE FENCES. WELLS. SEPTIC CLCMC JM WDCWALNS. DRIVEWAYS CTC.. ARC ONOWN IN THEIR AP►ROMMAYC LOCATION. ONLY. SNOU THE C1aSTCNCC OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY ►REVCNT SOME IMPROVEMENTS FROM BEINO SEEN AND LOCATED VftCH 00 NOT Ale CAA THE RECORDED UBDIVISION PLAT, I ALL OI UNDER NO CKVU37ANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLIIMNC BOUNDARY OR rENCE LINES. THE SURAYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST Of THE SURVEY. USTEO DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS M SCALL Municipality of Anchorage —. Development Services Department e Building Safety Division :. / On -Site Water and Wastewater Program • «� 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. t✓7/-2/5_ 3�; NAA# Expiration Date: / D - A 4- 1. GENERAL INFORMATION Complete legal description L19 B2 McKinley Hts S18 Location (site address or directions) 18045 Amonson Rd Chur.iak Current Propertyowner(s) Al Oliveria Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Dayphone 688-2946 18045 Amonson Rd Chugiak AK 99567 Unless otherwise requested, NAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone 74Y TYPE OF WASTEWATER DISPOSAL: Individual On-site El Individual Holding tank ❑ Community On-site ❑ 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 5 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. lCertificates 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 less than 30 days old. (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-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm S s S Engineprinp Phone 694-2979 Address 17034 N.Eagle River LP RD Suite 204 Eagle River AK 99577 Engineer's Printed Name Robert C. Cowan P.E. Date 17July 2001 rte, ROBERT C. COWAN I , 5. DSD SIGNATURE it f;1 C..c-8801 ,' A Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory K— 9N-S17F WAT-�: PROGRAM Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: -7-24-03 (Rev. 11100) Municipality of Anchorage Development Services Department Building Safety Division s 1 On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: -r J"I BLOG-K Z_.,}M�KJa/�-G"1 �iS Parcel ID: A. WELL DATA Well type If A, B, or C provide PWSID # = Well Log (YIN) /Y Date completed(1A& Sanitary seal (YIN) Y Wires properly protected (Y/N) ,1 � Total depth>�Z ft. Cased to `TD4ft. - Casing height (above ground) IZ+-in. FROM WELL LOG Date of test Static water level J.ff. Well production 9 P•m• WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml Arsenic: = mg./I. AT INSPECTION � 03 31 ft. Nitrate mg./I. Date of sample: TLt 0 J 03 B. SEPTIC/HOLDING TANK DATA ]j t� Tank Type/Material "�x�lfrl ✓P� Tank size f COV gat. Number of Compartments _7i 1/• 67/ g.p.m. Other bacteria I colonies/100 ml. Collectedby: `1'r �GJNEC—yt/vtT Date installed 1 I Cleanouts (YIN) Y Foundation cleanout (Y/N) —.Y— Depression over ta�n7k-(Y/N) �` High water alarm (YIN) r'� y Date of pumping _5Pumper(j-( S C. ABSORPTION FIELD DATA Date installed 1Y Soil rating (g.p.d./ft2 o< ft'/b LAO System type % Length S57 ft. Width Gravel below pipe Total depth 10 ft. E�ff..a��bsorpption area �ft` Monitorin tube � Depression over field Date of adequacy test f / 1'+10f l!,tiResults (Pass/Fail) For .3 bedrooms Fluid depth in absorption field before test, in. Water addemgal. New depth!5A�Inr. Elapsed Time: Mmin. Final fluid depth I! in. Absorption rate >= 4�0 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) I S,IHAS 66W JAJ (.*vy o A/ If yes, give date Jit ct/n pelorlM et <YSreA1 D. LIFT STATION Dale installed N 'Pump on" level at _ in. Datum E. SEPARATION DISTANCES Size in gallons Pump off" level at _ in. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift on on lot /00 t+ Absorption field on lot 1 O O 4 Public sewer main '`r A ,/ 9� 1 T'e' /septic service line [n i Manhole/Access (YIN) High water alarm level at Meets alarm 8 circuit requirements? On adjacent lots t o O On adjacent lots 10 O l y Public sewer manhole/cleanout h Holding tank AJ/* SEPARATION DISTANCES FROM SEPTIC/HOLDPieTAff ON LOT TO: Building foundation 45 le- line Absorption field T I Water main N Water service line -tSurface water 6 Wells on adjacent lots 00 t in. SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: t Property line I O + Building foundation 10 -F Water main Al A- / 1 Water Service line 1 0 + (Surface water Driveway, parking/vehicle storage ({� (+- Curtain drain I110NL-KSI Vells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections anpF d +r r �' review of Municipal records that the above systems are in conformance with MOA HAA � guidelines in effect on this date. 12t!I Engineer's rQOBtter �. ca eoeCEw cowrw �w 9 �� C�-8801 f,\y.�j Date 7 1710, t HAA Fee $ Date of Payment •7 117 /'0 3 Receipt Number 0 7 4 (6 7 `I (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage • '� Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Health Authority Approval # 030341 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block 2, Lot 19 of McKinley Heights subdivision, the well's productivity was determined to be 0.62 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. io \t\ 6.11 Weil9.5 Pl.t' 9.9' 25 Imo' EXISTING HOUSE I 19 0 — ° 6 d \9y SLiRc, L-tlG.4T�ONS ° .4OOGO $Y ° SgS ENC'iNlC�t/oG POMEN ATIO IVx --x eo• e� DECK y STD. PIPE �i �c trt/ x ROWM hJ ("LI hP% f LItMI NL fvtvt y oa 7/11/0( (1-s-s-)7�J (D"tt5I=-so 7-(0-1 i n o,�stt�f�t 3:1�in1 7 - I 1$ ILuS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION S26 L Street • Andwrepa, AW" 99601 . • ENVIRONMENTAL ENGINEERING DIVISION Telephone 2844720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complen YI Pens on Page 1. Ina NnPleu rpune,Nt' not W ProaaaMd. Please Blow ten (10) days for weaning. 1. PROPERTY OWNER PHONE ❑ MULTIPLE FAMILY 688-3 17 MAILING ADDRESS PROPERTY RESIDENT If dlrrerent from etwrel [DxxINDIVIDUAL' 1 BUYER ❑ COMMUNITY MAILING ADDRESS ENDI O INSTITUTION PHONE Rank of Alaska 276-1132 saA1LINGADDRES4 4 REALToR/AOENT MAILING ADDRESS IL LEGAL DESCRIPTION Lot 19 Block 2 Mc Kinley Heights Subdivision STREET LOCATION R TYPE OF RESIDENCE - - NUMBER ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ®c Three ❑ Six 7. WATER SUPPLY [DxxINDIVIDUAL' ' ATTACH WELL LOG. A well lop is required for all wells drilled ❑ COMMUNITY since June 1976. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 0. SEWAGE DISPOSAL SYSTEM XX)MX INDIVIDUAL/ON-SITE" "If individual/on-site, give installation date . 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 INITIATEDL 72.0/0(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 ❑ PUBLICUTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3 SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED l INSTALLER SOILS RATING ❑Septic Tank or ❑ Holding Tank Size: 10 0'3 If Tank is homemade give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 1 4. DISTANCES WELL T0: Septic Ho ding Tank Absorption Area r Line Nearest Lot 1.1he Abnorption Area to nearest Lot Lina 5. COMMENTS W APPROVEDFOR 2 BEDROOMS V �CONDITIONAL APPROVAL (letter must accompany certificate) Qt ,,DISAPPROVED DATE � � � � r� V (Trttel LEGAL DESCRIPTION MUNICIPALITY OF ANCNORAGL , epartment of Health and Environmental Protection 825 L Street, Anchorage, Alaska 99501 264-4720 for Approval of Individual Sewer and Water Facilities 1. Property Owner: Carl W. & Brenda N. Stanberr Mailing Address: Mile 1, Amonson Rd. Phone: 688-3317 Chugiak, A as a 99jul 2. Name of Buyer: Y Alden N. & Pamela Oliveira Mailing Address: 801 Airport Hts. Sp. #86 Phone: 277-3345 Anchorage_ Alaska 99504 3. Lending Institution: National Bank of Alaska Mailing Address: Pouch 7-025 Anchorage, Phone: 276-1132 99510aska 4. Realtor/Agent: *T/A Mailing Address: Phone: 5. Legal Description: Lot 19, Block 2, McKinley Heights S/D Street Location: Mile 1 Amonson Rd. 6. Single Family Residence: (X) Number of Bedrooms: 3 Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well (X) Public/Community System ( ) If Individual Well, well depth unknown If Community System, name of system N/A B. Sewage Disposal System: *'On-site System (X) Public System ( ) If On-site System, date of installation: unknown *NOTE: A well log is required on ALL wells drilled since 6/75. **If on-site sewer system is over two(2) years o T FLkLlm &d& -Uy test is required by this department. ENVIRONMENTAL PkOItCy A fee of $25.00 must accompany each request before processi'Tig can be initiated. JU1'j 2 s 1978 3/77 RECEIVED Ri STEVEN A. JOHNSON and Associates PO. Box 76 • Chugiak, Alaska 99567 • (907) 6883085 August 3, 1978 Carl Stanberry Mile 1 Amonson Drive Chugiak, Alaska 99567 Dear Mr. Stanberrys Transmitted herein are the results of a percolation test performed on an existing septic system for a three bedroom home located on Lo�19� Block 20 of t,'cKInlev Heights Subdivision. The test procedure used was as followst an initial reading(RI) was made of the effluent depth in the seepage pit. Five hundregallons of water was then added to the seepage pit and another reading (R500) was made. The septic tank was then pumped to prevent effluent from entering the seepage pit from the septic tank during the test. A final reading (RP) was then made of the water in the seepage pit 24 hours after the R1000 reading. The test data and results are shown belows Dates July 31, 1978 Times 1833 Rls 51 in. R500s 72 in. Dates Aug. 1, 1978 Times 1833 RFs 45 in. System Capacity (SC) = .500 iral _ 00 pal = 24 gal/in. 500 1 --in.-____5l in. Water Lost = (R500 - RF) x SC = (72 in.- 45 in.) 24 gal/in. = 648 gal/day Perc Rate = 648 = 216 gal/day/bedroom 3 bedrooms As shown, the perc rate for this system as tested is 216 gallons per day per bedroom. Should you have any questions regarding the results of this test or the procedure used, please contact me. Sincerely, A�' Steven A. John on SAJ/kcj Consulting services for: On-site water and sewer systems, geotechnical and mineral exploration programs, site suitability studies MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA 2. Property Owner: //~1C Az //- /~ Z) E. 5~ /~ K 'T O ,AJ CONV ~ Mailing Address: Name of Buyer: /o $' ~ / ,'~oX / 7 .~ / E~/~,vz>~.~' Day Phone Mailing Address: 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: Day Phone Phone Phone 6. Legal Description: ZoT- /~ /~ LoC,< ~ t~ 7-- 7~l~_/~l¢vZC y /77-5 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: L~OCz-~ No. Bdrms. Public Utility Individual * If Individual, number of dwellings presently served If Individual, depth of well / Sewage Disposal System Type of System: 0,¢ ~/?~ Public Utility Individual (on-site) If Individual, date of installation EQ-037 (1/74)  REATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "c" Street, Anchorage, Alaska 99503 274'4561 Date Received  ~ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Approval requested by: Mailing Address: y~/~ ' Phone: Property ?o Pho.e: Mailing Address: ~)~0-~I {/~r~/Iqal ?..I m , jm O qqA~n Legal Description: ~L~ Iq Location: ~J~ ?tL~ Type of facility to be inspected No. of bedrooms Time of Inspectio Date of Inspection Well Data: A. Type I ~r~r~,~r.~ C. Construction B, Depth ..... ', ~]]' ' D. Bacterial Analysis Sewage Disposal System: ~]]~_c~ ]'ii~ A. Installed ~/5'~ - B. Installer C. Septic Tank: D. Seepage Pit: E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line 1. Size ~0 ~//o~Y 2. Manufacturer B~/~ 1. Absorption Area Y~4~5 2. Material Total length of lin.es ~~ ~~/~,~~.+ /~ ,~AbSorpt~on area /~ ~ ~ . , Sewer , Other contamination B. Foundation to septic tank ~! , Absorption area C. Absorption area t© nearest lot line /~' LQ-034 (1/74) Page 1 of two pages Page 2 o.f two.pages - R~st for Approval of Individual ~_~x}r & Water Facilities legal Description ~ ~L~ ~\~c ~) ~). ~ ~c__~_~_~ ~, ~. Comments Approved _~ Disapproved Date //L2/-7~ Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satis.~f~actorily.~/~ EQ-034 (]/74)