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HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 9 LT 5AMountain Park Estates Block 9 Lot 5A #017-441-53 Municipality of Anchorage Page I old_ DEPARTMENT OF HEALTH 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 Permit Number: SVJ CI3 0 a-) k PID Number: 4D I-7 4 4 15 Name Wastewater System: ❑ New Upgrade Address:5 in e- ABSORPTION FIELD I Phone: 3 .-` / _ No. of B erms: eep Trench O Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: (li GPD/Sq FI Lot: Block: Q. -hr � inion Depth to pipe bottom from originaylq ride: Gravel depth beneath pipe �1 -'� O Ft b Ft. Township: Range: Section: Fill added above original q-ade:Ft Gravel length: ,G.. , WELL: ❑ New ❑ Upgrade Gravel ae�Ms: lA� / Number of lines: Distance beMen liner. .— Ft Classification (Private. A•B•C): Total Depth: Cased To: Total absorption area: 10 Pipe material: �• CL FI. Ft. S7-60 Ft. �C 3 r' U I Driller. Date Drilled: Static Water Level: Installer. Date iris ailed: 7 7// Ft [l ►� / - L, 7 3 Yield:Pump Set at: Cuing Height Allure Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES i7eptic ❑Holding 0S.T.E.P. To split Absorption Dh Holding blic/Prirate Me fact . _� Capacity in gallons: From Tank Field station Tank sewer Lines 0 Wellt Material: Q Number of Compts: s an 1:± I ts4 ci Surface N WA. LIFT STATION Water lot, / I O Size In gallons: Manufacturer. Line D Foundation 3 LI "Pump on" level at: "Pump off' level at: High water alarm at: Curtain�/A N Pump Make d Model Electrical Inspections performed by: Drain BENCH MARK Remarks: 1 O ca Location and exnption: Q �% 1 C/ Vol F1�LL! C1 ,�•Q aM Assumed Elevation: ate" ENGINEER'S SEAN 9 �! t�+•• Ali l -•f :T Inspections performed by: �5 Dates: is 2nd ib �':��,. T9«,S­„s:nnd ; r% l` lCr �115 `�'�`,'• Department of Healt ices approval ;,.. ••,',`•.``"' Z67jry t•(U Reviewed and approved by: te: 72-013 (1191) MOA 25 TUBBEN SPURKLAND P.E. LUT 5A BLOCK 9 MOUNTAIN PARK EST. SEPTIC SYSTER SBUILT 203 W 15TH. AVENUE SEG 26 WN R3V DATE JULY 18, 19 A — AK. e 99501 DAVID PEACH 5901 BRISTOL DRIVE SHEET- 213 GRID, 2838 84' Long 9' Deep 6' Sewer rock 3' Cover NO SCALE Mira F! 140 6 ft of Septic Rock Cleanouts Monitor 4' Topsoil CALE 42 y 3 Monitor 44 0 [ C 0 _W C V r .CO w V�yo s a 3 p A � ��♦ \ 1250 gal Septic tank 853 TEST HOLE 78+ Exist. Ground 1250 gat septic tank 10BBEN SPURKLAND P.E. JIJOT 5A BLOCK 9 MOUNTAIN PARK ES SEPTIC SYSTEM AS •BUILT 203 W15th Ave SEC. 26, T12N R3V DATE, JULY 16 -1993 Anchornge Ak 99501 DAVID PFACK .59171 RRISTf11 DRIVE SHEET. .?/? GRID. PR38 PAGE 1 OF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930211 DATE ISSUED: 7/13/93 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. EXPIRATION DATE: 7/13/94 OWNER NAME:PEACH PATRICIA L OWNER ADDRESS:5901 BRISTOL DR ANCHORAGE AK 99516 PARCEL ID:01744153 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES BLK 9 LT 5A LOT SIZE: 47284 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY ISSUED BY:y"t'TN CJvviI'l H DATE: 70NS DATE: -7413/q3 C sr=2b3Ii MK"AveQN, 1?te 201'- OCHGRAGE, ALASKA 99501 (907) 279-3916 SEPTIC SYSTEM DESIGN L O T SA B LOC K 9 MOUNTAIN PARK ESTATE DAVID PEACH No Ground Water or Impervious Layer to 16 ft. Use Standard Trench Soil Rating. From test May 25, 1993 20 min/in ==.6 gal/sq.-Ft. Required Area per Bedroom: 150/.6 = 250 sq.ft.. House Foundation 0 100.00 Assumed After tank cleanout invert 95.0 Ground 0 Testhole 81 96 Ground 0 Testhole 43 93 Edge of Lawn 9e Testhole Total Depth 15 Less 6 feet 9 Les S 3 feet Cover 6 Rock: Depth C7 Number of Bedrooms 4 Previous system permitted for 3 bedrooms Show replacement system Length of Trench 250 x 4 / 12 = 133.3 ft. Septic Tank 1250 gal. SYSTEM CONFIGURATION Septic System Design Lot Bloch STANDARD TRENCH TOTAL LENGTH TOTAL WIDTH TOTAL DEPTH ROCK DEPTH COVER SEPTIC TANK 84 FT. 3 FT. 9 FT. 6 FT. 3 FT. 1250 GAL. PUMP AND CRUSH EXISTING TANK LEAVE EXISTING CONCRETE CRIB INTACT. pq.l The installation of this septic system will not prevent wells from be installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Fending and/or concentration of surface runoff will not result from this installation. Septic System Design Lot Block pg.?. e .. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST (ENGINEER'S SEAL) }, \ L',i CL._; , PERFORMED FOR:kL Ltx.c� �-i f DATE PERFORMED: 3/O 3 ' LEGAL YH 0064a", 21 3 MS 4 5 S:11� e(uCP. H4 10 11 12 13 14 15 16 17 18 19 Township, Range, Section: 65 WAS GROUND WATER ENCOUNTERED] S L IF YES, AT WHAT 0 DEPTH? P E Depth to Witer Atter Monitoring] Date: SITE 20-� I It IL_JI PERCOLATION RATE —4;90—(minutevinth) PERC HOLE DIAMETER /I 11 TEST RUN BETWEEN-7—FT AND —7a FT Dr et- [al ; H COMMENTS PERFORMED BY: v .1�3 1 7.7S CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4,85) 40 O�- PERFORMED LEGAL DESCRI 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST o>�etiA 6Kq upG NS ML L QA_I (&ul (ENGINEER'S SEAL) lj r r t k GATE PERFORMED:— Township. ERFORMED~Township, Range, Section: e 3 Vit/%�a G WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Wrier cher Monitoring? Date: S L O _P E SITE PLAN PERCOLATION RATE Immmevmch) PERC HOLE DIAMETER � FEST RUN BETWEEN ( FT,AND /z --FT, COMMENTS "cn 1 4 PERFORMED BY; • 1 J CERTIFY THA THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1193 a 72-M (Rev. 4185) j� 116161 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST -' (ENGINEER'S SEAL) PERFORMED FOR: bayi Citt'ea � DATE PERFORMED:yip � '/�C[� LEGAL DESCRIPTION: LOG SH r7ijq Township, Range, Section: "r1 a �3 V/ D.¢.0 -00"o p� cTT SLOPE SITE PLAN FT=7T 2- 3- 4- 5- 61 3 456 T 10 I WASGROUND ENCOUNTERED?ATER NO 11 12- 13- 14- 15- 16- 17- 18- '9 213141516171819 20 COMMENTS IF YES, AT WHAT DEPTH? Depth to Water Alter monitoring? Dalt u PERCOLATION RATE --'.<,L(minutevmch) PERC HOLE DIAMETER 14,- r RUN BE;WEEFL � FT AND - FT PERFORMED BY: CERTIFY T AT IS TEST WAS PERFOR E IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4; a5) VLL[/ L 5A \ \ rV4C4N7- X01 18 � 19 /20 VACANT 2 / 3 \� l VACANT \ 4 50 0 50 100 150 200 250 300 SCALE: P = 100 FT. TUBBEN SPUkKEAND N.E. LOT 5A BLOCK 9 MOUNTAIN PARK EST. SEPTIC SYSTEM DESIGN 203 W 15TH, AVENUE SEC. iK T12N R3V DATE- MAY 28, 1993 ANCH_ AK. 99501 DAVID PACK 5981 BRISTOL DRIVE SHEET, V3 GRID 2838 0 Pronary Trench 4' Concrete Rings FA it Replace 1000 gal Concrelte with 1250 go! lank Replacement Sys$enTes�'hc O / O / #2 N TOBBEN SPURKLAND H.E. LOT 5A BLOCK 9 MOUN AIN PARK EST. SEPTIC SYST DESIGN 203 W ISTH. AVENUE SEC. 26, T12N R3V 11 DATE- NAY M 19 ANCH_ AK, 99501 DAVID PEACH 5901 BRISTOL DRIVE SHEET, 113 GRID 2838 84' Long 9' Deep 6' Sewer rock 3' Cover i 0 Monitor Cl eon Out Clean Out 3 Mira fi 140 NG SCALE Cleonouts 4' Topso � 3' Cover 3 O h t• C o' a a C m a j O O 3 1250 gat Septic tank Exist. Ground 6 ft of Septic Rock' 1250 gal. septic took NG SCALE IOBBEN SPURKEAND N.E. OT 5A BLOCK 9 MAOUNTAIN PARK ES SEPTIC SYSTEM DESIGN 203 W15th Ave11 SEC. 26, T12N R3 DATE, JUNE 8, 1993 Anchorage Ak 99501 DAVID PFA/714 s9ni DRI.CTni DRIVF SHEET, ?/? GRID. 2838 i N , � �I V a N z s V M r-1 N �j W ,Y i li � �I V a z =c < V O C U o..Z . � ■ J N z � s J � � • p /" LU m N n i LU 6 y w w NN Z Z u lz I s- r-1 N �j U c W ,Y i li � �I a z =c < V O C U H F a Q Q rn C Q U i j j n i w 6 y w w NN cj lz O O O O O O U c 1+♦ W ,Y i li � �I =c < F F F H F w b= c): ♦1f?, i j j n i w 6 y w w O O O O O O w w w w w' w 1+♦ W ,Y i li � �I w€ iii U: c): ♦1f?, i 0 n i w w w w w 7' Lo rid rf iii U: c): ♦1f?, i ri Uj j U: T•f _. j > j j•c, CN V-: v r ; o i �-f i f r•1; N; CJi ri: N: N: O O O O O O O O O O O O F F F F E F F F F F F F O N�p 4 E Oj. ri: N: p: r- j Oj 74 r'I : N : N: r C i r i r i n n n n n i O O O O O O O O O O O O O w G G C C C G G G C G G G w w w w w w w w w w w w w 0 Q I 7' Lo MUNICIPALITY OF ANCHORAGE Aak • DEPARTMENT OF HEALTH & HUMAN SERVICES 1 Division of Environmental Services it On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D. M Of %— '1YI— 53 1. GENERAL INFORMATION Complete legal description 4 O �_ 5 Location (site address or directions) VVITMIE• S U - r - , •� w Property owner � 2ncL C (, f c� r i L► Day phone 3 j ��6 Mailing address ' 5 9 l( ?> r 1 s r i "/ z Lending agency Mailing address Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: - 3. TYPE OF WATER SUPPLY: / Individual well V Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 1. 72-025 (Rw. 1/91( Front MOA 921 ...... _... . a L w root vm tmdt •�ut smu •Njom s roaul6ua Ieuolsse;ad ayl ul suolsslwo Jo sjaJa jo; elglsuodsai lou sI 96ejoyouV ;o Allledlolunw ayl •ponssl sl eleoggiao a ejo;aq elep ez(leue Jo suolloodsul lonpuoo IOU op SHHO;o saaAoldw3 •sluawannbai owis pue IeJapa; ulevao A;slles of Japjo ul suolinilisul 6ulpual rayl pue sawoy;o siaseyoind of Rsalinoo a se slyi saop SHHa eyl'L'MselV;o GICIS eyl ul paiaisl6aj jaaul6ua leuolssa;ad luapuedepul up Ag anoge 9 ydei6uJed ul uan16 suolleluosaidai eyl uodn�(luo pa s9le0!3!1Ja3 lenaddy A4!joylnV yileaH sans! (SHHO) saolniaS uewnH pue tMEGH;o 1u0w11edap 06eJoyouv;o /Illledlolunyl eyl muogelndlls 6ulmollol eyl yllm 'swooJpaq •swooJpaq sluaulwo0 Ieuolllppy Jo; IenoJdde Ieuoll!PuoO •panaddeslQ Jo;.panaddV 3Hf11VNJIS SHHO , gaul6u3 ssGUppv ` / r 25 r ,,.7 p ulild;o eweN .Z •uolloadsul SIM ;o elep ayl uo loa;;a ul suolleln6a, pue'saoueulpJo 'sopoo elelS pup luclaunV4 Ile yltm eouetldwoo ut sl walsAs lesodslp Jalemalsem Jo/pue lllddns Jalem ells-uo ayl'uolloadsul pue uolle6llsanul Aw woJ; pue sail; 96eJoyouV;o dllledlolunV4 ayl waJ; paulelgo uollewJo;ul ayl uo paseq leyl l4!JOAJaylJn; i •ulaJay paleolpul emloruls;o adAl pup swooJpaq;o Jagwnu all Jo; olenbape pup leuopoun;'e;es sl walsAs lesodslp Jalemalsem Jo/pup Alddns Jalem ells-uo eyl leyl smogs uolleolldde IenaddV Al!JoylnV ylleaH s'41 10 uolle6lls0nul Aw leyl Ajuan I 'molaq unrolls elep uollepllen eyl;o se pup olaJay Paxil;e leas Aw Aq paggiao sV •9 U331NION3 AG N01103dSNl d0 1N3W31V1S 'S 1. Municipality of Anchorage ArML AQM Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST ) Legal Description: �a� `6A .739 Q Parcel I.D. �1% — YL 15 A. Well Data ` Well type �,_,, 11 If A. B, or C, attach ADEC letter. ADEC water system number N/A Log present (Y/N) IV Date completed Q%% Driller Total depth Cased to Casing height Sanitary seal (Y/N) 1 Wires properly protected (YM) Y FROM WELL LOG AT INSPECTION Date of test 1301�f Static water level rn c0 go Well flow g•p.m. 5 g.p.m. ZZ; _< rn Pump levelt k u vi C) SEPARATION DISTANCES FROM WELL TO: Z m Septictholding tank on lot Io b } le- ; On adjacent lots � ! j�_y Absorption field on lot 10-0 ; On adjacent lots Public sewer main N�� Public sewer manhole/cleanout ►� �04 Sewer service line > / (- / Petroleum tank � T n Zi -e— WATER SAMPLE RESULTS: Coliform J Nitrate �_ 11-3 Other bacteria Date of sample: 3a Collected by: �S B. SEPTICIHOLDING TANK DATA Date installed -7116113 Tank size Cleanouts (YM) Foundation cleanout (YM) High water alarm (Y/N) �f Date of pumping SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: _Depression (Y/N) tested (Y/N) NIA r n'/A Well(s) on lot %�y On adjacent lots /l �� Foundation 3 To property line Absorption field S Water main/service line Surface water/drainage N O tit P 72-026(M3)*Fwi CONTINUED ON BACK PAGE C. UFT STATION ►. 1 L Date installed Manufacturer Size In gallons Manhole/Access (Y/N) Vent (Y/N) 'Pump on' level 'Pump off" Level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA r_� o Date installed 3 Soil rating (GPD/Ft) o System type CLL7C,,r Length A L Width 3 Gravel thickness Total depth 9 Total absorption area % V S? 2_ Cleanout present (Y/N) Depression over field (Y/N) 1-4 Date of adequacy test ' 7 �i Results (pass/fail) _ for _Bedrooms Water level in absorption field before test After test Peroxide treatment (past 12 months) (Y/N) 7 If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot t' On adjacent lots / U L7 Property line f' U To building foundation3 !r% To existing or abandoned system on lot 0 On adjacent lots t5-0 /Cutbank 3 D l ' ^a c4ater main/service line > D Surface water 0 Driveway, parking/vehicle storage area > O D Curtain drain E. ENGINEER'S CERTIFICATION I cer* that/ have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineers Name Date 7 HAA Fee S Z % v' Waiver Fee $ Date of Payment 9—/2-23 Date of Payment Receipt Number ;W'�' Z?— C7404/92 Receipt Number. 7226 (393)• Back 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 I Application Date 121521R5 1. GENERAL INFORMATION , (a) Legal Description (include lot, block, subdivision, section, township, range) \ \ Tnt 17 811-Ntr Parka E,t Location (address or directions) 5901 Ari atp]„ Anchn"_ gn,Illy (b) Applicant Name David E.- Peach wr Telephone FJome 3115- 1bolt Business 70-11 9 Applicant Address (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ©; Buyer ❑ ; Other ❑ (explain); f.. (d) Lending Institution 86-0 S1711093 & Tnnn Telephone 276-11,51 Address 1001 o 13-nmon Anchir—la Ak 99�4 (e) Real Estate Company and Agent �P Address Telephone (f) Mail the HAA to the following address: ;b1 a fnr ne -k ilpr ril l D TT11? EN!121: r)TY,•ry 97 e,_5311, 2. TYPE OF RESIDENCE Single-FamilylZ Multi -Family ❑ Other Number of Bedrooms nree 3. WATER SUPPLY Individual Well C$ Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ® Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 12-023 (11,84) n k n 5. ENGINEERING FIRM PROVIDINU INSPECTIONS, TESTS, FILE SEARCH, DAIA AND 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 n F1011 1+"1nTEERBIG Telephone 276-531) Address 3605 Arctic Satte 993 Anchoroge, Ak.. 99503 Date 12/27/85 3 I_ 1 { r - DHEP APPROVAL Approved for iJ_— bedrooms by . Approved _X Disapproved Terms of Conditional Approval r ._ r 1 f .S s� Engineer's Seal °i r , d O r8 � Conditional 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 (11/04) A. WELL DATA n r1 MUNICIPALITY MUNICIPALITY OF ANCHORAGE (MOAr DEPT. OF `F�ORITY APPROVAL (HAA) FNVIitONMENTAL P IST - FEBRUARY 1984 264-4720 DEC 2 1 ,5 RECEIVED Legal Description: Int 17 Alk_ 0 Mtn Par k FAt. Well Classification Priv=te-Single Faatily If A. B, C, D.E.C. Approved (Y/N) nor' Well Log Present (Y/N) r Date Completed Yield 5 gpm Total Depth 216 Cased to 21L Depth of Grouting unknown Static Water Level 182 Pump Set At Naw Fl^g 185 got, at 213 Casing Height Above Ground 4° Sanitary Seal on Casing (Y/N) T Electrical Wiring in Conduit (Y/N) Teo Depression Around Wellhead (Y/N) No Separation Distances from Well: To Septic/Holding Tank on Lot 1051 ;On Adjoining Lots To Nearest Edge of Absorption Field on Lot 1 ti- ;On Adjoining Lots 1351+ To Nearest -Public Sewer Line nen To Nearest Public Sewer . Cleanout/Manhole nen To Nearest Sewer Service Line on Lot r. /a Water Sample Collected by Y112112en ; Date _]2,��1/85 Water Sample Test Results Satisfpctory Comments 41 11 p-imoed nt 5 gpm for foar ho 1r. n/ rE cPrTc,e cin A41)t x.1 cwctl eA.51nqc-,are� /a/30/8S B. SEPTIC/HOLDING TANK DATA Date Installed Arril 1971 Size 1000 a-1 No. of Compartments One Standpipes (Y/N) T Air -tight Caps (Y/N) T Foundation Cleanout (Y/N) y Depression over Tank (Y/N) N Date Last Pumped 12/27/85 Pumping/Maintenance Contract on File (Y/N) N (Owner his Pimped ; for once a year) Holding Tank High -Water Alarm (Y/N) -1110 Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well 1051 To Building Foundation U, I To Property Line 701 To Disposal Field 901 +/_ To Water Main/Service Line 601 To Stream, Pond, Lake, or Major Drainage Course Nome Commenis Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Unknown Type of System Design P1 t Date Installed April 1971 y Length of Field Width of Field unknown Depth of Field Pit- 111 below P rd • / Pit 61 deep Gravel Bed Thickness _unknown Square Feet of Absorption Area 'Jnlmown Standpipes Present (YIN) Depression over Field (YIN) Date of Last Adequacy Test 19c1 Results of Last Adequacy Test _ __ ' Satisfactory Separation Distance from Absorption Field: To Water -Supply Well 128t To Property Line 30'+/- To 0'+/- To Building Foundation Lot To Existing or Abandoned System on On Adjoining Lots 1991 +/- To Water Main/Service Line 1251 To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course PIR To Driveway, Parking Area, or Vehicle Storage Area - 1251 Comments lidded 786 Pal tonit in 2.3 hrR W,tpr level' in pit droroed 1 O feet fro, initial re>ding after 21 hours. Initial reading was higher th-n normsl due to owner D. LIFT STATION Date Installed . Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (1 /N) _ Comments Dimensions Manhole/Access (YIN) "Pump Off" Level at Vent (YIN) Pumping Cycles during Adequacy Test. Meets MOA '• CheckRlavech Bedroom Rating Against HAA Request •• Icertify tcked,verified !co ormedtoall MCA and HAA guidelines ir) effect onthe date ofthis inspection. Signed Date L� La7 Company D ra13 F-,. NG MOA No. ST35-295 Receipt No. �lPl0� �� ���� LU Date of Payment (�-�� I�'��+..,"••i•1.(�gsf'* �oS.�� Amount: $ :6'Y. s 0 _ Pae 2 of 2 { bwnw Page 1 ,r �+ •........••�c;� 72-026 (11,84) n ESCRIP,jION 5. LEGAL T // ju DATE RECEIVED. INSPECTION APPOINTMENTS e_ TIME TIME TINM DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE ���wa,1ICIPALITY OF ANCHORAGE & �\ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC7TOR DEPT. OF HEALTH 1 825 L Street • Anchorage, Alaska 99501 INVIRONMENTAL F"OTECTION ENVIRONMENTAL SANITATION DIVISION 1A AY 1 1981 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER€/,C�t� D DIRECTIONS: Complete all pans on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER PHONE MAILIN le—n 8'N Y ' Sld0fer/Int PROPERTY(R�ESIDENT (If from above)) HONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION 16 Ka '3(d—le'ccL2 Gu cc�f PHONE MAILING ADDRESS _,'z) CV--, 0. REALTOR/AGENT - PHONE MAILING ADDRESS ESCRIP,jION 5. LEGAL T // ju /C��Q'�-�Li / to ^r ` r L—.07� 1 STREET LOCATION_/ ��- 6. TYPE OF RESIDENCE R OF,BEDROOMS ❑ ❑ Other FAMILY One Four pP ❑ Five nPLE 0 MULTIPLE FAMILY t� ❑ MULTI — Three❑ Six 7. WATER SUPPLY ®-'� INDIVIDUAL' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGEDI LSYSTEM - 9 7 y INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72010 (Rev. 6/79) 0 72010 f Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLICUTILITY Connection Verified PERMITNUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATING ❑Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line - 5. COMMENTS liJ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) DISAPPROVED DATE BY/ 72010 f Rev. 6/79) a ., David Peach BRA Box 1611 Anchorage, Alaska 99507 Legal: Location: Owner: Residence: Water: Seweer: Date of Test: Test Procedure: Tobben Spurkland P.E. 8155 Cranberry St. Anchorage, Alaska 99502 Phone(907)243-5302 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH 8 ENVIRONMENTAL Pi:CTLCTION July 27, 1981 JUL 2 7 1981 RECEIVED S E W E R A D E k U A C Y T E S T Lot 17, Block 9, Mountain Park Esthte Off Birch, south of Beverly David Yeach Three Bedrooms, Two Store=s On Site Well From Municipal Records: Tank: Pre Con Concrete 1000 gal. Absorption. System: Concrete Ring Pit Absorption Area: Unknown Soil Rating Unknown Installatiod Date: April 1971 July 23 & 24 1981 System was inspected on July 22, 1981. Crib is 11 feet below ground. Tctal depth of crib is 6 feet. Total liquid depth observed 3'-3}'t'. Tank was pumped on the 22nd. On July 23 water was added to the crib at a rate of 5 gal/min. The following readin:,s of the water depth were taken. Time (min..) Depth ( inches) Water Volume. 0 34 10 0 395/4 50 20 3%i 100 30 423:, 150 40 46 200 50 48 250 60 50}z 300 70 80 5134 400 90 53 450 100 54 50'j 110 541, 550 120 543/4 600 Time 4:15 P!1 Time 9:30 Am July 24 40 3/4 • Tobben Spurkland P.E. n, David Peach July 279 1951 Test Result: In a time period of 16 hours this system absorbed 475 Cal of water. Extended to a 24 hour prriod this is 633 Cal. The Municipal Code requires an absorption rate of 450 Cal per 24 hour for a three bedroom houseq This system meets the 11uricipal Requirements. `*. OF A1,gs 1. .. ••L• ... No. 2225-E JUNE 25. 1971 CJ '^ -,,,MUNICIPALITY OF ANCHORAG%-�� �- DEPARTM.OF HEALTH AND ENVIRONMEN PROTECTIO 825 'L Street, Anchorage, Alaska 99501 - X11, ext. 224 or 225 Date Received: May 31, 1 77 #1: Time 3 .m. 42: Time #3: Time Date 6-2-77 Thurs. Date Jlil-?�„ 7 Date Insp Insp I I � — REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES e1 1. Lending Institution Request: 2. Mailing Address: Property Owner: RalphK. Hostetler Mailing Address: Star Route A Box 1611 99507 3. Legal Description: Phone: Phone: 344-7672 Lot 17 Block 9 Mountain Park Estates 4: Single Family Residence: � ) Multiple Family Residence: ( ) Number of Bedrooms: 3 Number of Bedrooms: 5. Well System: Individual Well (x) Community/Public System ( ) Permit # Construction Depth of Well 214' Well Log on File ( ) Bacterial Analysis 6. Sewage Disposal System: On-site System (x) Permit # Septic Tank Size Absorption Area Public Utility( ) Installed 1970 Installer Manufacturer Soils Rate 7. Distances: Well to Septic Tank to Sewer Line to Nearest Lot Line Nearest Lot line Material to Absorption Area Absorption Area _Page, Two ' Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 17 Block 9 Mountain Park Estates Cor:--nents : Affadavit Attached: ( ) Letter Attached: ( ) Approved _\ Date: �J f Disapproved: Date: Department Worksheet: 1A ' ^' � Geo _ 'MUNICIPALITY OF ANCHORAGE Department of Health and Environmental Prot!dCvKiMt1'TYC; ANCH== 825 L Street, Anchorage, Alaska 99501 DE -PT. O, t,a.<<':I ', 279-2511, ext. 224, 225 [rr/j'on:.jer4T.\i. P�OT<CTICN �-- equest for Approval of Individual Sewer and Water Fa 1.. Property Owner: //OSTe7Le� RECEIVED. Mailing Address: 6RA 80X Phone: 2. Name of Buyer: Mailing Address: Phone: 3. Lending Institution: Mailing Address: Phone: 4. 5. Realtor/Agent: 1,)/17-(F,, 7 /fie ✓A1_L Mailing Address: Legal Description: J Street Location: R9,.57,5V_ LA,Je� Phone: 6. Single Family Residence: ()U Number of Bedrooms: .18 Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well (X) Public/Community System ( ) If Individual Well, well depth z/ i If Community System, name of system 8. Sewage Disposal System: On-site System (>O Public System ( ) If On-site System, date of installation: /97d *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 r�AUR MOOIAM AMA MUM 327 EAGU S T= ANCHORAGE, ALASPJI 99SM z79.2S1I DATE RECEIVED X 1- 7% INSPECT: L er— TIS REQUEST FAR APPROVAL. OF INDIVIDUAL MWAGE ANG NATER FACILPTIES FOR V.A. 1. Approval Requested By. AdAdreas Phone Y. opertyOmar ,dQsxc, Fhone 31m 2'��/ _ 3. Legal 4. Type of Facility to be= Number of Bedrooms 3 S. Nell Data: A. Type a C. Size G. CoastTucticn $. Bacterial Analysis $t%t 6. UWSZe Disposal system: A. septic Txn)k (If homemade, show diagram on 1. Size_ /POO Z. Ages,, T 3.. ftnyfa4tilrer Pie 6w 4. Installor ;Sed A ,royal Regnest'for Sa% � 8 Mater Facilities � P$ge Two B. Seepage Pit 1. Site tdwk 2. ming_ Lourtc�/� ICtiUGt C. Disposal fleld 1. Number of Gines��� 2. Total Length ?. Required Measurements A. Melfi to Septic Tank j/3 a. Nell to Seepage Pit /;Zf? C. Mall to Sewer Game 10' D. Well to Property Lino, e. Well to Other Possible ContaminAtJon P. Fo=daTAon7 to Septic Tank tj .. G. Poundatiom to Seepage Pit I H. Seepage Pit to Property tine :90+ 8. CM44MM DISAPPROVED: OATS; jgPROVAL VALID.FOR OUR YEAR PRObt DATE SIGNED. GRL'AM ANC HDRA M AREA SOW= tD:A1,TH DEPAMMIT ED1190 lot 1� April 23, 1971 i4(tuti� ,1.'✓ �xAa rs. Everett K. Rain: Box 101 Anchorage, 1.1aska Dear 11r. Raiast yountain The Water aanple taken by you on April 15t 1971 for Bristol Lane Park Estates vas satisfactory' Sincerely, John Ii. Lee Sanitarian JRLt kI MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION Environmental Health Division CASE REVIEW WORKSHEET CASE NUMBER: 87-075 SUBDIVISION OR PROJECT TITLE: A request for variance a non-residential accessory structure separate lot adjacent to the principal DATE RECEIVED: COMMENTS DUE BY: July 6, 1987 July 20, 1987 from Section 21.40.080.B for permission to allow (garage/storage building) on a structure. ( ) PUBLIC WATER AVAILABLE ( ) PUBLIC SEWER AVAILABLE ( ) COMMUNITY WATER AVAILABLE 71-014/Rev. 5/83) ZONING BOARD OF EXAMINERS & APPEALS REQUEST FOR COM~4ENTS ON VARIANCE RETURN COM~ENTS TO: COM/~UNITY PLANNING DEPARTMENT ZONING & PLATTING DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4267 July 1, 1987 VARIANCE TO BE HEARD August 13, 1987 The Municipality of Anchorage has received applications relating to variance for the following: CASE #87-075 XXXX A request for variance from Section 21.40.080.B for permission to allow a non-residential accessory structure (garage/storage buildSng on a separate lot adjacent to the principal structure. A request for change of use Attached are copies of the proposed variance. Will you please submit your comments in writing, specifying any requirements that your department or agency may need. Comments MUST reach our office by July 20, 1987 in order to be included in staff recommendations. SPECIAL DISTRIBUTION IF ANY: 11s/5.21.87 CASE: PETITIONER: REQUEST: LOCATION: CURRENT ZONE: 87-075 David and Patricia Peach A Variance for permission to allow a non-residential accessory structure (garage/storage building on a separate lot adjacent to the principal resi- dential structure (AMC 21.40.080.B). Lot 5, Blk. 9, Mountain Park Estates; generally located south of Beverly Drive west of Alpine Drive. R-6 (Suburban Residential District- large lot) MID HILLSIDE COMMUNITY COUNCIL / unicipalitYo¥ Anchorage DEPARTMENT OF PLANNING POUCH 6-650 ANCHORAGE. ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES. MA YOR AFFIDAVIT OF NOTICE POSTING CASE NUMBER I. ¢ ~ ~'( ~ ' * :'~'¢ ~- , HEARBY CERTIFY THAT I HAVE POSTED A NOTICE OF PUBLIC HEAR±NG AS PRESCRIBED BY ANCHORAGE MUNICIPAL CODE 21.15.005 ON THE PROPERTY THAT I HAVE PETITIONED FOR ~ ' ' ~ ' ~' ~ ' ' ~, / ?.'~,/ ;~ / WHICH IS AT LEAST THE NOTICE WAS POSTED ON ,~ 21 DAYS PRIOR TO THE PUBLIC HEARING ON THIS PETITION. SIGNATURE DATE SIGNED _ANE ~ 4 4 PENNY 7126 ID RIDGEVIEW TR ~ DRIVE MOUNTAIN TR ,4-1 :,. - % 5 8 PLACE 4 TR ~ DE ARMOU~ ROAD ~RIFFIN Rd 2. Strict interpretation of the provisions of the Zoning Ordinance would deprive the applicant of the rights common- ly enjoyed by other propertie~s irt the same district under theterms of the Ordinance. These rights are: .~.~) 3. The listed special conditions and circumstances do not result from the action of the applicant and such condi- tions and circumstances do not merely constitute a pecuniary (monetary) hardship or inconvenience in that: ~J.-) ~J .. 4. Granting of the variance will be in harmony with the objectives of the Zoning Ordinance and not injurous to the neighborhood or otherwise detrimental to public welfare for the following reasons: '~¢-f-~Jd_/"~J.J.C~ O.~L~¢-~(_~ 5. Granting of the variance will not permit a use that is not othe~ise permitted in the district in which the property 6. The variasce granted is the minimum variance that will make possible a reasonable use of the land, building or ' AppliCant fu~her allege~: (Use ~d~ltion~l sheets il neoees~ for ~ddltional informalionff Signature of Authorized Agent Signature of Land Owner Address Address THE MUNICIPALITY OF ANCHORAGE ZONING BOARD OF EXAMINERS AND' APPEALS APPLICATION FOR VARIANCE Building Permit: Applicant: .~ Address: ~-'~'/ Phone Number: Legal Description of Property Involved: Lot .b Block -' Subdivision //';~TZT;' /'""'0~.'~ ' ~-'< '~'' Present/Future Use of Property SITE PLAN REQUIRED. This is a request for a variance from Section ,/'~[ , ~©. g~'~,~'L'~ ~"~ of the Land Use Regulations Ordinance A. The existing situation: ~. ~;,(_ ,.~j..,_.r- i ©"r"~ .-~ Tax Assessing No.: DO NOT WRITE IN THIS SPACE Date Received: Receipt No,: Z.B.E.A. Case No.: Hea, ring Date: Approved Conditions: Date of Appeal: Hearing Date:. Approved Conditions: Letter Sent:. DISPOSITION Denied Denied (See Minutes) (See Minutes) Permit Issued: B. Granting of this petition would permit: BEFORE A VARIANCE MAY BE GRANTED, THE APPLICANT MUST PROVE THAT EACH OF THE FOLLOWING SIX CONDITIONS HAVE BEEN FULFILLED. ANSWER EACH OF THE CONDITIONS IN DETAIL, USING ADDITIONAL SHEETS IF NECESSARY. The undersigned alleges that: 1. Special conditions exist which are pecutiar to this land, structure of ~uilding involved and are not applicable to other land/structures in the same distrlct. These special conditions are: (4.,..F~,~ P'L~,..~'~.I.~,. ~¥~ ~) (.~-~ ~..~? d;~ (over) II- IL il / ? /! // /I /d ,% /d // 'C 'I~ 5 ,,"3 U i L T " /V'o Co ~ '~ .5~'1' I hereby certify that I have jurveyea the following delcribed property, Lot I 7 /~¢k ~ AddilionM~olZrt~l,tl/)/J£K~..~rgT~.~ ///u~//, recording Precinct, Ala*ka, and that the lmprovementl situated thereon are within the property lines and do no! overlap at encroach on lhe property lying adjacent thereto, that no improvement~ an property lying adjacent Ihereto encroach on the premises in question and that there are no roadways, transmissJan JMes ar other vlslble easemenl~, on mid property except os indlcated hereon. Anchorage, Alaska r I,~ J'Z.//'/ /5;77 A'~'~',~?IFi~D 5' Au'd./ge3i-~'~' ~,',cp ® 360617 TRIP TO R ~~ 4S 472 SIGNED SEND PARTS I AND 3 INTACT . PART 3 WiLL BE RETURNED WITH REPLY. carhonle~ POLY PAK (50 SETS) 4P~72 Pole D. HIGH Engineering `3605 Arctic Blvd. Suite 99.3 Anchorage, Alaska 9950`3 Sc(~le- I:'; 20' , PLOT PLAN LOT 5 BLOCK 9 Mountain Park Estates Subd.