HomeMy WebLinkAboutWYATT LT 3Wyatt
Lot 3
#051-221-05
MOA has confirmed that system has not been
installed
Jlayor.lark Begich
10/7/200.1
Ahmicipality of Anchorage
ICO. Box IEXi(;7,0 • Andhomgc, Alaska SY,)519difM 0 7dcphonc (4X)7) 343.13;301 • Fac (907) 343.(a(X) • ' '
37(X) Bragaw• 5trcct • Anchomgc, Alaska 99507
nsme.mnni.ngr
Difl](tln.g Snfcty Division
Mike Polyefko
14911 West Lakeridge Drive
Eagle River, AK 99577
Subject: Expired On -Site Water and/or Wastewater Permit.
Permit Number: SW030007
Legal Description: Wyatt Lot 3
Dear Mr. Polyefko:
An On -Site Water/Wastewater Permit, number SW030007 issued by this office for a single-family
system, expired on January 09, 2004. The permit %vas valid for 365 calendar days.
If this was a well permit and the well has been drilled, a well log must be sent to this office for
documentation of the installation and to close the permit.
If this permit was for a wastewater disposal system, an original as -built inspection report must be
sent to this office for review, approval and documentation. This as -built inspection report must be
signed by the licensed Professional Engineer who inspected the installation of the system. As -built
inspection reports are required to be submitted within 30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or wastewater
disposal system, a new permit must be obtained from this office. When applying for a new permit,
the fees are: $460.00 for a wastewater permit and $175.00 for a well permit.
If you have any questions, please call this office at 343-7904.
Sincerely,
otc
Daniel J. Roth
Manager
On -Site Water and Wastewater Program
Enc: Copy of permit
Conintunity, Security, Prosperity
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water& Wastewater Program
4700 South Bregaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW030007
[LegaiDescription WYATTLT 3.i
Design Engineer: 0070 KND Engineering
Owner Name: MIKE POLYEFKO
Owner Address: 14911 WEST LAKERIDGE DRIVE
EAGLE RIVER. AK 99577 -
Date Issued: Jan 09, 2003
Expiration Date: Jan 09, 2004
Parcel ID: 051-221-05
Site Address:
Lot Size: 10275 SO. FT.
Total Bedrooms: 2 Permit Bedrooms: 2
This permit is for the construction of:
[l Disposal Field [?] Septic Tank Ej 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.
ONLY A CERTIFIED CONTRACTOR CAN CONSTRUCT THIS ADVANTEX ALTERNATIVE WASTEWATER
DISPOSAL SYSTEM.
Received By:
Issued By:
Date:
Date: 9 Z0,3
Municipality of Anchorage
Development Services Department •'� `' °'
Building Safety Division 11-.
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
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. DSI — 2 21 - 01 Permit Number SW 030007
Property owner(s) Mike Polyefko
Mailing address (1) 14911 W- Lakeridge Drive.
Dayphone 696-0658
-River- AK 99577
Mailing address (2)
-Eagle
Zip Code
Legal description (Lot, Block & Sub d) Wyatt
Lets 2 & 3
Legal description (Section, Township & Range)
Lot Size 10275' Acre q.F
Number of Bedrooms 2
THIS APPLICATION IS FOR:
Sewer Only ®
Well Only
❑
Sewer and Well ❑
Water Storage
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑
Jacuzzi
Swimming Pool ❑
Water Softening Unit
Therapy Pool ❑
1 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: SSD Waiver Fees:
Date of Payment: /2f�l Z Date of Payment:
Receipt Number: 2-92711 Receipt Number:
(Rev. 12/00)
ACITNIDENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-8111
December 17, 2002
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: New sewer/water storage permit— Wyatt Subdivision Lots 2 & 3
Gentlemen:
The owner has requested we proceed forward to obtain a septic/water storage permit
on the subject lots. On December 2, 2002 one testhole was performed on Lot 3 for the
proposed system. The results of this test are attached. The general slope of this lot is
from southeast to northwest at a grade of approximately 3-8%.
We have designed our system utilizing the existing testhole that was excavated for the
existing 2 -bedroom house on Lot 2. We propose to install an AdvanTex Orenco Package
System. This system will be manufactured by Anchorage Tank & Welding to meet
Orenco Systems, Inc. latest design criteria and in accordance to MOA requirements.
The Drainfield Design is based on the following:
• 2 -Bedroom Design Flow: 300 gpd
• Percolation Rate: <1 min/inch
• Application Rate: 3 gpd/sf
• Minimum Absorption Area: 100 sf
• Effective Absorption Area: 100 sf (5' wide by 20' long)
• Effective Depth Below Pressurized Distribution Pipes: 0.5'
Potable water for an individual storage tank will serve Lot 2, located in the crawl space.
We propose to install one 5' wide shallow trench. Water was encountered during the
excavation at 5', and during monitoring at 6.2'.
The owner, Mike Polyefko, owns Wyatt Lots 2, 3, 4, 5 & 6. Mr. Poly efko will execute an
ingress and egress easement to accommodate the septic system on Lot 3, which as
proposed will serve the 2 -bedroom house on Lot 2.
Subject* Wyatt Lots 2 & 3
December ]7, 2002
Page 2 of 2
There are no public or private wells within 200' of our proposed system location except
as noted. There is no surface water within 100' of the proposed system and there are no
known curtain drains within 50'. We do not expect there to be any adverse effect on
adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
>IiI�I� Engineering, Inc.
Kenneth M. Duffus, P.E.
Attachments: On -Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
WELL & WASTEWATER
DISPOSAL SYSTEM DETAILS/STTF Pi o
DESIGN D TAI Ci
2 BDRM X 150 GPD = 300 GPD
APPLICATION RATE= 3 GAL/DAY/SQ.FT,
MIN. ABSORPTION AREA= (300 GPD/3 GPD/SOFT)=100
100 SOFT. / 5 FT. WIDE = 20 FT TRENCH
USE 1 TRENCH 5' W x 20' L x ,5' D
TOTAL DEPTH OF EXCAVATION IS 2'.
ADD 2' SAND LAYER BELOW FIELD
TOTAL EFFECTIVE DEPTH IS 0.5'.
ORENCO PACKAGE SY T Mi
1. INSTALL S.T.E.P. TANK W/ INTEGRATED ADVANTEX
TANK WILL BE SIZED PER ANCHORAGE TANK FOR
2. INSULATE TANK, EXCEPT BELOW ADVANTEX PADS
3. NO AIR LINE REQUIRED.
TO PUBLIC YELLS VTTHIN ear OF
PROPOSED SYSTEM
IO PRIVATE VELLS MIND/ Epp• 6'
PROPOSED SYSTEM EXCEPT AS NOTED,
NO SEPTIC SYSTEMS WRMiN Ear OF
PROPOSED YELL EXCEPT AS NOTED.
SOFT,
SYSTEM,
A 2 BDRM RESIDENCE.
TO ALLOW HEAT TRANSFERENCE.
NOTESi
1. INSULATE TRENCHES WITH 2' HD BURIAL FOAM.
2. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK.
3. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REQUIRED.
4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS.
PREPARED FORT
MIKE POLYEFKO
14911 V. LAKERIDGE DR.
EAGLE RIVER, AK. 99577
(907) 868-3793
FlELO BOOKS
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CONFUTED:
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Scales 1'= 100'
PAGE 1 OF 4
ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
11
WASTEWATER DISP❑SAL SYSTEM DETAILS
WYATT SUBDIVISION LOT 2 AND 3
V�
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K L
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11
d-
0
6'
PROPOSED
AX -10 SEF
LOT
55'
DVANTEX
3
PREPARED FORT
MIKE POLYEFKO
14911 W. LAKERIDGE DR.
EAGLE RIVER, AK. 99577
(907) 868-3793
FIELD BOOKS
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PAGE 2 OF 4
LLS.1V LW ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
1
WASTEWATER DISPOSAL SYSTEM DETAILS
WYATT SUBDIVISI❑N LOT 3
4' MON
4' MONITORING TUBE
311 SLOPE MAX
FINAL GRADE
PLYWOOD BARRIER —
AROUND TRENCH
ORIGINAL GRADE
BRACING AS NEEDED
2.0' DEEP
REMOVE ALL ORGANICS
r4' CLEANOUT
+� FINSULATION
r -FILTER FABRIC
WIDE
2' MIN COVER
FINAL GRADE
ORIGINAL GRADE
SEWER ROCK
2' MIN M.O.A.
APPROVED
SAND FILTER
PROFILE VIEW
LEACHFIFLD D TAI S
NOTE, BOTTOM OF SEWER DRAINROCK MUST BE 4+ FEET
ABOVE GROUNDWATER AND 6+ FEET ABOVE BEDROCK,
PREPARED FORT
MIKE POLYEFKO
14911 W LAKERIDGE DR.
EAGLE RIVER, AK. 99577
(907) 696-0858
FlEU) BOOKS
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02087
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PAGE 3 OF 4
LL\�d\a LW ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
11
AdvanTex Treatment System
AX' 10 Series - Mode Ib
Inlet—.
-
2' Di
Inlet
Inlet -
View
Discharge Pump Basin
Discharge roMe
Ipening
.i ��.�F'.41
% 4*' �r9
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'.
KENNETH Y.
`1 CE -7116
AfF
'•�u'ESSIO�
I Side View
PREPARED FOR,
MIKE POLYEFKO
14911 W. LAKERIDGE DR.
EAGLE RIVER, AK. 99577
(907) 868-3793
FlnD BOOKS
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PAGE 4 OF 4 scale r NTS
L❑CATION OF PROPERTY,
WYATT SUBD
LOT 2 AND 3
141d�i!!1J ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
ITYD ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
SOILS PERCOLATION TEST
Performed for: Mike Polyefko Date
Project:_ Wyatt Lot 3 TEST HOLE N 2002-01
Depth
11-
12-
13-
14-
15-
16-
17-
18-
19 -
ORG/OL—black peat and
red/brown overburden
seeps
GP/SP—brown/red, damp
sandy gravel
B.O.H.
HOLE• PRESOAKED
20- PRIOR TO TEST
SEE ATTACHED S=PLANFOR HOLE LOC
Was Cround water encountered? YES What depth? 5'
Depth to water after monitoring? 6.2' Date? 12/9/02
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
12/02/02
1:00
6"
_
2
1:05
5 min
dry
6"
3
'
1:06
6"
-
4
1:11
5 min
dry
6"
5
"
1:12
6„
-
6
1:17
5 min
dry
6"
7
1:18
6"
-
8
1:23
5 min
dry
6"
9
124
6"
_
10
1:29
5 min
dry
6"
11
1:30
6'•
_
12
1:35
5 min
d
6"
"
Water
Added
Percolation Rate- 1 (min/in) Perc Hole Diameter 6"
Test Run Between 2.5 feet and 3.5 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
®2002-099921-0
Recording Dist: 301 -Anchorage
A 12/27/2002 2:11 PM Pages: 1 of 8
K �IIIIIIIIIIIIIIIINIIIgIIINIINIIIIIIIINIIII�nllllBl�llnll
A
GRANT made this day of a eA �Ca'J2 ,between
m, t t 1'0�� e��io of y9// ' ,Anchorage, AK 9srJ?
hereinafter referred to as the Grantor, and Arlt of
151fll W, w.ec I%l L1f , Anchorage, AK99s97 , hereinafter referred to as
the Grantee.
WHEREAS, the Grantor is the owner in fee simple of the following described realty:
Wyatt Lot 3, according to the official Plat thereof, filed as Plat P-- I M in the
Anchorage Recording District, Third Judicial District, State of Alaska,
and,
WHEREAS, the Grantee is desirous of enjoying the use of a certain portion of the
Grantor's land for the sole purpose of ingress and egress to Grantee's land for the
purpose of installing and maintaining a private septic system,
and,
WHEREAS, the Grantor has agreed, in consideration of $10.00 (Ten Dollars and No
Cents) and other good and valuable consideration, the receipt of which by Grantor is
hereby acknowledged, to grant to the Grantee an easement solely for said defined
purposes and no other,
NOW this grant witnesseth that in return said specified consideration paid by the Grantee
to the Grantor, the Grantor hereby grants unto the Grantee, his heirs and assigns, full and
free right and authority to install and thereafter maintain a private septic system with
septic reserve upon a portion of Grantor's land as shown by the "WELL &
WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN" by Kenneth M. Duffus,
P.E. dated December 17, 2002.
This Grant of Easement is intended to be appurtenant to Grantee's above-described land
and touches, concerns and runs with said lands. This is not intended to be an exclusive
easement: the Grantor herein expressly reserves unto himself equal rights of ingress and
egress and all other rights as the owner in fee simple of the described premises.
1
Michael J Polyefko
14911 W. Lake Ridge Dr.
Eagle River AK 99577
Home Phone 907-696-0858
To whom concerned,
December 10, 2002
I Mike Polyelko have over twenty five year experience in the excavation business in the anchorage area,
1 will do the install of the sewer in Wyatt sub. lot 2 & 3, I have all my own equipment to do the job.
Sin ely,
Mi a Polyelko
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
ANCHORAGE RECORDER'S OFFICE
550 W 7TH AVE SUITE 1200
ANCHORAGE AK 99501-3564
(907) 269-8899
REC DATE RECEIPT NUMBER
12/27/2002 1827978
RECEIPT DESCRIPTION
RECORDERS OFFICE FEE
BANK CD/CK NUMBER: 7950 RECORDING RECEIPT AMOUNT: 538.00
SERIAL NUMBER INFORMATION
YEAR:2002 BEGINNING NUMBER : 99921 ENDING NUMBER : 99921
TOTAL PAGES : 8
RECORDING FEES
COPY FEES
PLAT FEES
PLAT COPY FEES
NON REFUNDABLE
OTHER FEES
MICROFICHE COPY FEES
$36.00 FILING FEES
CONFORMED COPY FEES $2.00
CERTIFICATION FEES
OVER SIX NAMES FEES
COPY SEARCH FEES
INFORMATION SEARCH FEES
REMITTER: MIKE POLYEFKO
14911 W.LAKERIDGE DR
EAGLE RIVER AK 99577
COMMENTS:
RECEIPT - DO NOT PAY
NOTE: ORIGINAL RECORDED DOCUMENTS WILL BE RETURNED FROM
MICROFILMING IN 4-6 WEEKS.
If Public water and sewer become available or the subject encroaching septic system is
identified as in failure and cannot obtain a Municipal of Anchorage Health Authority
Certificate, this easement becomes null and void and Grantee will abandon the
encroaching system and connect to the public utilities or install a legal system on
Grantee's property,
3 w y A Sti ✓ib�.uv
Any dispute or disagreement arising under or in any way concerning this instrument shall
be submitted for resolution to the process of binding arbitration in accordance with the
Alaska Statutes made and provided for said arbitration. The jurisdiction of the Arbitrator
shall commence 60 days from the onset of the dispute and shall operate to toll all
applicable Statutes of Limitation.
In WITNESS WHEREOF the Grantor and Grantee have hereunto set their hands the day
and year first above written.
STATE OF ALASKA )
THIRD JUDICIAL DISTRICT )
THIS IS TO CERTIFY that on this day 1 day of OIL.= -
before me the undersigned, a Notary Public in and for the State of Alaska, duly
commissioned and sworn, personally appeared Tn %.yz�Q t'-pf< 0
�IIIIIIIIIIIIII'IIII�IIllllll
2 2002-099921-0
To me known to be the person described in and who executed the above foregoing
instrument, and acknowledged to me that %A_ signed and sealed the same freely and
voluntarily for the uses and purposes therein mentioned.
WITNESS my hand and official seal the day and year in this certificate first above
written.
STATE OF ALASKA )
THIRD JUDICIAL DISTRICT )
4 � Ulu -
Notary Public in and for Naska _
My commission expires
THIS IS TO CERTIFY that on this day day of ,
before me the undersigned, a Notary Public in and for the State of Alaska, duly
commissioned and sworn, personally appeared
To me known to be the person described in and who executed the above foregoing
instrument, and acknowledged to me that _ signed and sealed the same freely and
voluntarily for the uses and purposes therein mentioned.
WITNESS my hand and official seal the day and year in this certificate first above
written.
A�L AW 40
K: L Poly-ealo
ANSI/ w Aaje." 4-V .0/I.
roz/ Ai t2 Ak 9s'f77
Notary Public in and for Alaska
My commission expires:
�IIIIIIII�III IIiIIII�II�I�I
3 2002-099921-0
LL & WASTEWATER DISPOSAL SYSTEM
DETAILS/SITE PLAP
DESIGN DETAILSI 5
2 BDRM X 150 GPD a 300 GPD C,
APPLICATION RATEv, 3 GAL/DAY/SQ.FT.
moo
MIN. ABSORPTION AREA= (300 GPD/3 GPD/SOFT)=100 SOFT.
100 SOFT. / 5 FT. WIDE = 20 FT TRENCH
USE I TRENCH 5' W x 20' L x .5' 3)
TOTAL DEPTH OF EXCAVATION IS 2'. --
ADD 2' SAND LAYER BELOW FIELD �—
TOTAL EFFECTIVE DEPTH IS 0.5'.
OR N -❑ PACKAGE SYSTEM,
1. INSTALL S.T.E.P. TANK W/ INTEGRATED ADVANTEX SYSTEM,
TANK WILL BE SIZED PER ANCHORAGE TANK FOR A 2 BDRM RESIDENCE.
2. INSULATE TANK, EXCEPT BELOW ADVANTEX PADS TO ALLOW HEAT TRANSFERENCE.
3. NO AIR LINE REQUIRED.
MCI POKIC VELI: VTTIDM too• w
PROPOSED SYSTEM.
Ill P ATE WELLS VITHIM EDP 6
PRWUSED SYSTEM ESCVT AS NOTED.
Io SEPTIC SYSTEMS Vmml tDv OF
PRlPOSED WELL EXCEPT AS NOTELL
AV ��' OF•"„S�i
..-Y1All
;
ssle Aw
NOTES,
1. INSULATE TRENCHES WITH 2' HD BURIAL FOAM.
2. CONTRACTOR WILL ENSURE MINIMUM 27 SLOPE INTO SEPTIC TANK.
3. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REQUIRED.
4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS.
PREPARED FOR,
MIKE POLYEFKO
14911 W. LAKERIDGE DR.
EAGLE RIVER, AK. 99577
(907) 868-3793
FIELD BOOKS COMPVT e
Douawr. SEWARD mm
SrA -- acaam
AMMIt DAM
DW*. mm cm
1G1D 1E8 02087.DWGI "N" 02087
Scalel 1'= 100'
PAGE 1 OF 4
ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
WASTEWATER DISPOSAL SYSTEM
WYATT SUBDIVISION LOT 2 AND 3
V� \
L�
KND L
DETAILS
1
n �
0
O 6' °
10 ���M -l�
Qpcj�O � 55' EXISTING
�O CO �Q 2 BDRM HOUS
p�
PROPOSED DVANTEX pQ FCO AX -10 SERI
o �8
0
0
LOT 3
%�4�•OF•A��1�
f
PREPARED FOR,
MIKE PDLYEFK0
14911 W. LAKERIDGE DR.
EAGLE RIVER, AK. 99577
(907) 868-3793
6 of B
2002-099921-0
Scales 1'= 20'
PAGE 2 OF 4
FlE1D Boats oowTm END ENGINEERING
swouir: SEWARD Maws
IT/11Q -- °1EO®' KMD 20441 PTARMIGAN BLVD.
ASKXn__ wm EAGLE RIVER, AK 99577-8736
ow¢ I'm
aim
NW1057 ::.::.......,...,...:.::
Am M`02087.DWG AeN- 020871(907)696-6111/FAX (907)606-811i
WASTEWATER DISPOSAL SYSTEM DETAILS
WYATT SUBDIVISI❑N LOT 3
4' MON
toms ATVA\ITrV
4' MONITORING TUBE
,1 SLOpE NAX
FIpAI- GRADE 3
AROUND TR NCHER —
ORIGINAL GRADE
BRACING AS
2.0' DEEP
REMOVE ALL ORGANICS
r4' CLEANOUT
,TER FABRIC
2' MIN COVER
FINAL GRADE
ORIGINAL GRADE
SEWER ROCK
2' MIN M.O.A.
APPROVED
5' WIDE SAND FILTER 5
�m
PROFILE VIEW = o Q
lEAGHFIELD DETAILS =w
NOTES BOTTOM OF SEWER DRAINROCK MUST BE 4+ FEET �� c
ABOVE GROUNDWATER AND 6+ FEET ABOVE BEDROCK.
PREPARED FOR,
MIKE POLYEFKO
14911 W LAKERIDGE DR.
EAGLE RIVER, AK. 99577
(907) 696-0858
FlEU) BOOKS
B ICA0.1R SEWAR
RA1°'Q STAKIN
Asft&y'- ASBUI
ora M
Am ^'L* 02087
001Wime
MAW BMW
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DAM 12/24.
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02087
Scales NTS
PAGE 3 OF 4
LL&LN1IW ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER,.AK 99577-8736
1
AdvanTex Treatment System
AX 10 Series - Mode lb
Inlet
Top View
D6cMnp Pump &nIn
Dpwn9
Side View
PREPARED FOR,
HIKE POLYEFKO
14911 W. LAKERIDGE DR.
EAGLE RIVER, AK. 99577
(907) 868-3793
FIELD BOOKS
001"A". SEWAF
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Dra ME:
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compv,m:
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affaam KMD
DATe 12/17,
cm NW105
jm *- 02087
PAGE 4 OF 4
scale 1 NTS
A
scale 1 NTS
L❑CATI❑N OF PROPERTY,
WYATT SUBD
LOT 2 AND 3
R&N W) ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
1
11
Municipality of Anchorage .,
Development Services Department
ar Building Safety Division y ;
On•SiteWater and Wastewater Progrant SA IT,
4700 Bragaw Street
p.0. Box 196650 Anchorage, AK 99519-6650
www.danchorage.skus
(907)343.7904
PROPERTY OWNER AGREEMENT FOR THE MAINTENANCE OF AN ON-SITE
WASTEWATER DISPOSAL SYSTEM
This agreement, dated `� – lL,, 2CvL, is made between the Municipality of Anchorage
Development Services Department (DSD) and the property owner(s) of. ,
<< vJvu
This agreement is made for the purpose of maintaining an on-site wastewater disposal system on
the subject property.
The property owners agree to the following:
Submit to the Municipality of Anchorage, on an annual basis, an inspection and operation
statement from a registered professional engineer. This inspection and operation statement shall
verifythat the engine r has ins ect d 1 effluent and air pumps, timers, and alarms, and that any
defiencies have 0 repaired gat the system is functioning as designed.
(Signature)
e�4
.ON PQ IV (Printed ame) (Printed Name)
The Foregoing Instrument was acknowledged bfore me by
Q— on this �Lay of
20 Or? -
Wit s my hand and sea \�"QJ " • k
Notary Public (Signature)
NOTARS
111 zi PUBLIC
(Notary's printed name)
My Commission Expires U OF
II IINII I� Iaillllll I II
a of 9
2002-099921-0
Municipality of Anchorage
�• �- Development Services Department
IBuilding Safety Division
i On -Site Water and Wastewater Program s r
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To: KND ENGINEERING
Legal description: WYATT SUBDIVISION LOT 3
The attached paperwork has been reviewed and is being returned for the following reasons:
❑ Original signature or stamp missing on
❑ Calculation error in design.
❑ Additional soils information needed.
® Water monitoring results inadequate. SYSTEM MUST BE 5 FT. FROM THE WATER TABLE
MONITORED IN DECEMBER THUS EXCAVATION DEPTH SHOULD BE MAX OF 2 FEET AND
MINIMUM OF 2 FEET OF APPROVED SAND
❑ Discrepancy in information submitted.
❑ Topographic information missing or inadequate.
® Incomplete; missing NEED INGRESS/EGRESS EASEMENT NOW
❑ Incomplete; missing
❑ Additional adequacy test information needed.
❑ Water sample unacceptable.
❑ Measured/proposed distances/dimensions missing.
❑ Locations of all soils, percolation and water monitoring tests not shown.
❑ Proposed system too deep for soils information submitted.
❑ Well log required.
❑ Omission in narrative.
❑ Insufficient fill over tank or field.
® Other. 1.) AT THIS TIME ONLY CERTIFIED EXCAVATORS CAN INSTALL THE ADVANTEX SYSTEM
Name of reviewer: DAN
Date: 12/23/02
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK