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Home My WebLink AboutRAYMOND TEDROW BLK 5 LT 2B4 * I C) : 0 -IS, � Lt's MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241031 Work Type: Septic Upgrade Tax Code Number: 05015545000 Site Legal Address: RAYMOND TEDROW BLK 5 LT 213 G:0152 Site Mailing Address: 11340 FIREBALL ST, Eagle River Owner: MCDONALD JASON R & TAWNIA M Design Engineer: NORTH RIM ENGINEERING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 7/3/2024 7/3/2025 is :we Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing R yer By: 1 s5v�� +v /)OrA Issued By: i Date: Date: 5 * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV241031 COSA#: Permit#:OSP241031 PID#: 050-155-45 Legal Description: RAYMOND TEDROW BILK 5 LT 2B Engineer: North Rim Engineering Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1.0 foot. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: �i Approved by: Name of Reviewer ,,' **** VARIANCEIWAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 05015545000 Property owner(s) MCDONALD JASON Mailing address 11340 FIREBALL ST Site address same Day phone 907-278-2800 Legal description (Sub's., Block & Lot) RAYMOND TEDROW BLK 5 LT 2B Legal description (Township, Range & Section) Lot Size 22,800 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field Q Initial ❑ Single Family (SF) Septic Tank El Upgrade F] (w/wo AD U) Holding Tank El Renewal El Duplex (D) El Privy ❑ Multiple Dwellings El (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees:. Waiver Fees: 2 -Z Date of Payment: Z_�;' ZZ V Date of Payment: Receipt Number: 0 Receipt Number: Permit No. to � .1 Waiver No. 0 5 V � L, 10 GMevelopment Services\Building Safety\On Site Water and WastewaterTormsUient FormsTermit Application.doc SteveEng.com Raymond Tedrow B5 L2B SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is an existing 5-bedroom, single family home. This is a developed subdivision. 2-Parallel trenches planned + new 1500 gallon septic tank. No adverse impacts are expected from trench/tank upgrade. No conflicts to the other lots will take place by this septic system construction upgrade. A new soil test reveals SM w/Gravel material. An application rate of 0.8 GPD/FT². Trench Length = 938 FT²/(7 x 2) = 67 trench, 7 effective. A new 1500 gallon septic tank will be installed; Decommission old tank per UPC. Easements depicted in the area, public water serves these lots. Water line present on west side of lot- approximate location noted. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. Two compartment, New 1500 gallon septic tank. Install Double Cleanouts. Decommission old tank per UPC. MOA-Spec Material Under Tank. 10 minimum between the tank trench, tank to house. 1 waiver to property line from replacement trench requested. 3 of cover or insulation is required for trench; 2 Minimum thickness for insulation can substitute for 1 cover. Tank & solid pipe must be set on well compacted, stable soil. 4 inch diameter cleanouts with airtight caps are required 1 to 4 from foundation wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10 from the tank positioned to provide cleanout access towards the tank and towards the absorption field. All cleanouts must extend to at least ground level. In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. Trench to be placed level, minimum of 4 to groundwater, 6 to bedrock from drain- rock. Drain rock to be ½ to 2 screened, distributed uniformly throughout the trench. Perforated pipe to be installed level with perforations down. Silt barrier (filter fabric) to be installed above the drain rock. Smeared trench sides must be raked or scarified before drain rock placement. The finish grade must be mounded to promote drainage away from trench. Insulation must be placed over any pipe installed under driveways or parking areas. Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, Sewer Service Line is minimum 2% slope. Septic Tank to be pumped every two years or when required. Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241031, Deb Wockenfuss, 07/03/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241031, Deb Wockenfuss, 07/03/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241031, Deb Wockenfuss, 07/03/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241031, Deb Wockenfuss, 07/03/24 60 SCALE UcCUNTOCK UND ASSOCIATES, INC. 16942 NORTH EAGLE RIVER LOOP ROAD EAGLE RIVER, ALASKA 99577-7801 (907) 206-5000 LICENSE No. AECC596 I hereby certify that I have, or someone under my supervision has, inspected the property described as: LOT 2B, BLOCK 5, TEDROW SUBDIVISI ON (PLAT No. 72-293) Anchorage Recording District The improvements situated thereon are within the property l ines and do not encroach or over lap onto adjacent propert ies , nor do any improvements from adjacent propert ies encroach or over lap onto this property, except as indicated hereon. No lot corners have been set. The property dirnensions shown are frorn the record plat and are not necessari ly as we my have measured. The improvernent locat ions are approximate and have been determined only to the extent FIELD WORK DATE: 9-26-23 PARTY CHIEF: TW FIELD BOOK: LL PLOT SCALE: 1"-30' DATE: 9-29-23 DRAWN BY: JC GRID: NW0152 DWG NAME: AB23-245 JOB NO: 23-245 o 50 Municipality of Anchorage Development Services Department Building Safety Division .. On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Boz 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 3437904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW040231 PID Number. 050-155-45 Name: Jason McDonald Wastewater System: ❑ New ® Upgrade Addreaa 11340 Fireball St., Esiale Itiver, AK 99S77 ABSORPTION FIELD Pharr: Nunbw of Beoroome: 0 Deep Tmab H Sh aikm Trwcn O Bed 0 Mouth CI ONx. LEGAL DESCRIPTION 5ae Ri11np TOW Deptlt ".m o VhW ptwte: 0.8 GPD/Ft' 7.0 Ft. Block: tool SuedlNaan: DOM W pipe Gomm awn otipnat plow Gravel depth bwwei p": S 2B Raymond Tedrow 3.93 Ft. 3.07 FL Toa^aNa: aw'pe: Sectwl fa addM Move adprW tFade: GravN Lugm: -0.52 to 1.42 Ft. 68 Ft. Well: [:1 New ElUpgrade Coo wam: Nuro 01 k Driwaa ostwen arra: 5.0 Ft. 1 Ft. Cleesllkatbn (PMNs. A B. C): ToW Depin; Coed b: Tole) absorption area. Fps W ler W: B Fh 586 Ft' D3034 & F810 Debt: DNs Qab: SMm Watw LM Mateaer. D" loatebd. Little Bear Const 8/20/04 YkW: PiwD SN at: Cokq HAbv Gtou NpM id: tJ vi- G` aw TANK GPM Ft. Ft SEPARATION DISTANCES O Septic 17 Holding 0 S.T.E.P O Other. To Septic Absorption Lift Holding PliblalPmret "� •t r. From Tank Field Station Tank SewerLirw Fi 1 GN, we, 200'+ 200'+ NA NA 25'+ M.meY. Nvnlrr a Genwam^anls. Sutlw w.tw 100'+ 100'+ NA NA LIFT STATION tour 51+ 10'+ NA NA Foundation 5'+ 10'+ NA NA � al pew "brNw°'°""al' In in culain Dr.ln NA *50'+ NA NA PtimpMwa Blocmal krpacmna pedwnrd tiy: *none known BENCH MARK .Down bpn. FYI - Attached is AWWU waterline Bottom of siding connect permit/drawing Amn,wlF,sgitc,c 100 Fl Engineer's Stamp OF q4 •91�I Inspections performed by: KND ' Engineering. Inc.Dates: 1 Bt 8/20/04 �*J L r / .hood 8/23/0 Ken oth • : Development S rvices Department Approval 3 9115/05 .IIv 4�i% ;•�� Reviewed and approved by: Date: tl d al �i +i 9F � . (Rw. 17/00) _ _ —7�' ,ee•,°,:•••• 11 1111, A-1=77.1' B-1=40.7' A-2=76.3' B-2=41.7' A-3=24.1' B-3=45.3' A-4=22.9' B-4=44.0' AS -BUILT SYSTEM DETAILS/SITE PLAN Permit SW 040231 RAYMOND TEDROW BLOCK 5, LOT 2B PID# 050-155-45 MT 3 BDRM HOUSE 10'Util Esint --------------------- ou <T �a SCALE, 1' - 30' i 68' PREPARED F❑Rs JASON MCDDNALD 11340 FIREBALL ST. EAGLE RIVER, AK. 99577 632-2430 FlELD BOOKS Cauwao: saw.rtr. BOUNDARY DRAW: M %T�Q STAKING O1EOt@ KMD Asom" ASB I T DATE: 10/0 OWM Mr. am NWOV AUD ^`E 04O21.DWG " MP° 04021 78.8 bl SCALES NTS LLUNI LW ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 1 I --12,-'I ZD fr w Q RAYMOND TEDROW BLK. 5 LOT 213 11340 FIREBALL ST. 29' 1 1 z FIREBALL ST MUNICIPALITY OF ANCHORAGE d WATER & WASTEWATER UTILITY 3000 ARCTIC BLVD. PHONE: (907)564-2762 WATER CONNECT PERMIT T.. 9,_ 5- a 3 03-9798 DATE OF APPLICATION 09/03/2003 SCHEDULED COMPLETION DATE 12/312003 BLOCK/LOTITRACT BLK 5 LT 2B SINGLE FAMILY SUBDIVISION RAYMOND TEDROW PAULTI-DWELLING No. AI'T::_ COMMERCIAL TAX CODE 5015545 GRID NW0152 AS -BUILT STREET ADDRESS 11340 FIREBALL ST OWNER MCDONALD JASON R & TAWNIA M PHONE MAIL ADDRESS 11340 FIREBALL STREET EAGLE RIVER, AK 995777867 CONTRACTOR LITTLE BEAR CONSTRUCTION [) Repair Existing Service 0 On Property Only ❑ Clty Tap ❑ Hydrant Only ❑ 5D' or Longer L-] Main Tap - To Property Line Only E] Main Tap & On Property Connect Row No. n Disconnect F] R&R -Main Tap Only CONNECT SIZE 1" REIMBURSABLE NUMBER 11tMAKKS PERMITTEE (Please MAIL ADDRESS SIGNATURE . INSPECTION FEE E 103.00 PERMIT FEE $ 45.20 $ 0.00 DEPOSIT $ 0.00 TOTAL $ 148.20 ASSESSMENTS Main Line Extension [X] Have Been Levied E] To Be Levied Commenta: )Owner _ . _ .. _ . _... -)Stall v ISSUED 191adman [X) PAID )) CASII ". 1XI CIIECK i/ OTHER NSPECTED BY DATE 9' / 5'/o.-1 'SAME AS OWNER'/d^.'•: ,' PHONE ,-�� POST INA CONSPICUOUS PLACE AT TI 11- ,l0()alTr- AW W IJ INSCECT011 1 1. •,[ V .� 05to " t 1 Ao IIS bct4 Q S�` , . ) - I RI n(]K, _ S • J)&00 lg70 v ' SIZE CONN. ❑ TH FIRE &DOMESTIC f�"1SOMESTIC ONLY BO I SIZE CONN BACK -FILL ❑ OPEN BORE FLUSH ON TAPPING SLEEVE CORP. STOP ❑ FIRE LINE ONLY ❑ FIRE HYDRANT ONLY TAPPING VALVE CURB STOP C TO C` 7 16L IBA ❑ DO NOT TURN -ON X X Mi TEE FT. COPPER PIPE DATE OF TAP^ BY' d aiy _LA'J: 1'/." or 2" KEY BOX SIZE MAIN: ❑ ALLEY STREET ❑ EASEMENT MJ VALVE TYPE MAIN: EXCAVATOR:LdL�S.(SJ' ✓j r`� -'� FT D I PIPE FT. THAW -WIRE DISC0tt44NECT9 f ES ❑ NO SIZE OF DISCONNECT S' VALVE BOX COMPLETE THAW-PLATE/NUT KEARNYCONNECTOR COMMENDS: - TIE RODS ESE BOLTS _ :' WASHERS (' NUTS )THER: TEST TAP MAGE ❑ YES ❑ NO OTHER 1 I I I I I KEY BOX.I- 5a,> ± H NORTH y 2 ❑ LINE BLOWN OUT j I - ❑ INSULATED ❑ KB & T W - OK AFTER BACK -FILL ❑ OPEN BORE FLUSH ❑ 200 LB TEST ❑ MAIN CHLORINATED z ❑ CHLORINE FLUSHED % La-I�K_TO TURN-ON/� ❑ DO NOT TURN -ON COMMENTS /q If.' 11 5 Wt, n�^JigU$C ,s C..,KLt..)*,it..2 d aiy _LA'J: r '�F- INSPECTOR 1024A1S DATE MUNICIPALITY OF ANCHORAGE ' Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street I P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jun 29, 2004 Expiration Date: Jun 29, 2005 Permit Number: SWO40231 Parcel ID: 050-155-45 Legal Description:;RAYMOND TEDROW BLK =5 LT - 2B' Design Engineer: 0070 KND Engineering Site Address: 011340 FIREBALL ST Owner Name: Jason McDonald Lot Size: 22800 SO. FT. Owner Address: 11340 Fireball Street Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER. AK 99577 - 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. Received By: Date: z G Issued By. `( �. Date: 6-2c)-05 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.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. b50 -ISS -US Permit Number SW(Ztf.D2-3/ Property owner(s) Jason McDonald Day phone 632.2430 Mailing address (1)11340 Fireball Street Eagle River, AK. 99577 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.)—Raymond Tedrow B5.VR L- 2B Legal description (Section, Township & Range) 113L10 FtQ' gA� Sk2z-r Lot Size -19 `600 —_.Acreoo Number of Bedrooms 3 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 ❑ 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. of property owner or authorized agent) Permit Fees: SS'�1(!� Waiver Fees: Date of Payment: (P12- 3 o y Receipt Number: 1 "I (Rev. 17100) Date of Payment: Receipt Number: K D ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 FAX (907)696-8111 June 23, 2004 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New sewer permit — Raymond Tedrow Block 5, Lot 2B Gentlemen: The owner has requested we proceed forward to obtain a septic permit to upgrade the existing system on the subject lot. On June 15, 2004 one testhole was performed for the proposed system. The results of this test are attached. The general slope of this lot is from east to west at a grade of approximately 0-1270. We have designed our system utilizing the existing testhole that was excavated for the existing 3 -bedroom house. The lot and surrounding lots are served by public water. We propose to install one 5' wide shallow trench. Water was not encountered during the excavation or during monitoring. 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, ]KHD Engineering, Inc. ?4�� Kenneth M. D fus. .E. Attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test Owner/ Excavator Specs WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLA RAYMOND TEDROW BLOCK 5, LOT 2B 3—B 3—C 21 -_L-ane-_I I______ _l --------, !1n NO PUBLIC WELLS WITHD4 200. OP PROPOSED SYSTEM NO PRIVATE WELLS WITHIN 200' Of PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' 6 PROPOSED WELL EXCEPT AS NOTED. K . o DESIGN DETAILS 3 BDRM X 150 GPD = 450 GPD 450 GPD/0.8 GPD PER SQ. FT. (8 MIN/IN.) - 563 SO. FT (563/5'(W)) X .58(RF) (3.0' GRAVEL) = 65.3 FT. TRENCH USE I TRENCHES - 66 (L) X 5' (W) X 3.0'(D) Total depth of system Is 7.0' from original grade. Total depth of gravel below distribution pipe Is 3.0' . NOTES, 1. CONTRACTOR 6 ENGINEER TO VERIFY INTEGRITY OF SEPTIC TANK AND REPLACE AS REQUIRED. INSULATE TANK IF <4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT � WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS. � ��, QF..AL.gS i A 24ATH *� Ab' FESSLON � PREPARED FOR, JASON MCDONALD 11340 FIREBALL ST. EAGLE RIVER, AK. 99577 632-2430 FIELD BOOKS COMPUIa 2A1 2B STAK*00: 22 �� I MME if Am nX. 04021.DWG I 23 }I' lV Ib 2A2 — d '. I o O L -------- Inver [A�e r-------- 5 24 25 I 1A 1B I I I 26 -_L-ane-_I I______ _l --------, !1n NO PUBLIC WELLS WITHD4 200. OP PROPOSED SYSTEM NO PRIVATE WELLS WITHIN 200' Of PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' 6 PROPOSED WELL EXCEPT AS NOTED. K . o DESIGN DETAILS 3 BDRM X 150 GPD = 450 GPD 450 GPD/0.8 GPD PER SQ. FT. (8 MIN/IN.) - 563 SO. FT (563/5'(W)) X .58(RF) (3.0' GRAVEL) = 65.3 FT. TRENCH USE I TRENCHES - 66 (L) X 5' (W) X 3.0'(D) Total depth of system Is 7.0' from original grade. Total depth of gravel below distribution pipe Is 3.0' . NOTES, 1. CONTRACTOR 6 ENGINEER TO VERIFY INTEGRITY OF SEPTIC TANK AND REPLACE AS REQUIRED. INSULATE TANK IF <4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT � WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS. � ��, QF..AL.gS i A 24ATH *� Ab' FESSLON � PREPARED FOR, JASON MCDONALD 11340 FIREBALL ST. EAGLE RIVER, AK. 99577 632-2430 FIELD BOOKS COMPUIa BaMDARY: ORAXN: VBG STAK*00: artCXED: KMO ASBULF. DATE' MME Dao: NW01X. Am nX. 04021.DWG JOS N" 04021 Scale, 1'= 100' PAGE 1 OF 2 &UNI LW ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 I 111 10' WASTEWATER DISP❑SAL SYSTEM DETAILS RAYMOND TEDR❑W BLOCK 5, LOT 2B EXISTING SYSTEM we] 10' 2000 EXISTIN 3 BDRM 0 HOUSE 2 VK —31'— O FLAT 10-12% FLAT �jSTING ------------------------------------- 10'Uti( Esmt PREPARED F❑Ri JASON MCDDNALD 11340 FIREBALL ST. EAGLE RIVER, AK. 99577 632-2430 FlELD BOOKS COMPUTED: sawAMr. purw STAIOK^ CMEacD: KMD Amulr. DATE: 6/23 VVr- 1LE: am: NW01 ° 'SAD ^'E 04021.DWG °B "" 04021 Scale, 1'= 20' PAGE 2 OF 2 111 LU) ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 11 KTO ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 Performed for: Tason McDonald Date Performed: 6/15/2004 Project: Raymond Tedrow Block 5, Lot 2A TEST HOLE a 04-1 Depth (Feet) ia- 14- 14- 16- 17- 18- 19- 20- Grave/Sand w/ some ORG top 2' GM/SM some cobbles to 8" dr increasing sand with depth B.O.H. HOLE PRESOAKED PRIOR TO TEST SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Groundwater encountered? NO Whatdepth? NA Depth to water after monitoring? DRY Date? 6/22/04 Reading Date Gross Time Net Time Depth to Water Net Drop 1 6/15/04 1:00 6" - 2 1:30 30 min 24/16" 312/16" 3 1:31 6" - 4 2:01 30 min 25/16" 311/16" 5 2:02 6" 6 2:32 10 min 24/16" 312/16" 7 8 9 10 11 12 ' Water Added Percolation Rate 8.0 (min/in) Pere Hole Diameter 6„ Test Run Between 4 feet and 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. MUNICIPALITYANCHORAGE • '� DEPARTMENT OFFHEALTH &8 HHUMAN SERVICES AMM Division of Environmental Services low On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 • CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D.#-1�t)�\S� 1. GENERAL INFORMATION Complete legal description Q «,v.-4 Ay X41z14, 7/;,e /?q HAA # 1A Qq C' n ILA Location (site address or directions) -- / / 3 q o bre ko%/ $-rept- S Property owner ('_Ln rles Skee ti,z , Day phone &qq "g608 Mailing address Lending agency Mailing address Agent Address _ Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3.1 3. TYPE OF WATER SUPPLY: Individual well 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. 72-M04v.1191) F, MOAN21 5. 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 of this Health Authority Approval application 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. S& S ENGINEERING G R y- �� T '1Name of Firm --17034 Engle River I aeyR^-•' "'^ "'d Phone Address Eagle River, Alaska 99577 Engineer's signature 6. DHH6 SIGNATURE Approved for TIJ 2 E bedrooms. Disapproved. Conditional approval for Additional Comments L_ Date 7/jh/g9 G RC3ZRT C. COWAN /,C bedrooms, with the following stipulations: Date 7-2 O - 22 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given In paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasersof homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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. 72-075 (PW. VRI) 8. MOA m Municipality of Anchorage Af CEIVE DEPARTMENT OF HEALTH & HUMAN SERVICES JUL 14 1999 Environmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 • (90�epitx sesAN fxylsfoN Health Authority Approval Checklist Legal Description: lor 2 8: 73k" r- 5� Parcel I.D.: �IFyMbNn �E-�TDvJ � � A. WELL DATA Well type U I If A, B. or C, attach ADEC letter. ADEC water system her Log present (Y/N) Date completed Total depth Cased to ing height (above ground) Sanitary seal (Y/N) Wires property protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m. 9— p.m-WATER SAMPLE SULTS: Colfform Nitrate Other bacteria of sampie: Collected by: B. SEPTIGHOLDING TANK DATA Date installed5/ 73 Tank size 1000e— Number of Compartments _(_ Cleanouts,(Y/N)� XC S Foundation cleanout (Y/N Y&S Depression (Y/N) A/0 High water alarm (Y/N) Date of PumpinJ 9 S Pumper % 72 5 C. ABSORPTION FIELD DATA' Date Installed S 3 Soil rating (g.p.dA? or /bdrm g S System type 601 S Length :/ Wldth Z / Gravel thickness below pipe Total depth /O i6 Effective absorption area 45 Monitoring Tube present Depression over field (YoAtO Date of adequacy test 9 q Resu Pt as aiq R S5 For bedrooms �i i Fluid depth in absorption field before test (in.); 3 i O Immediately after r/ gal. water added pn.): 7 Fluid depth -4 (ins) Minutes later: ZOS Absorption rate = Sn a.p.d. Peroxide treatment (past 12 months) (YM) /Vy #j4 k"'a^'If yes, give date — 72-026 (Rev. 3196)' D. LIFT STATION Date installed N //� Size in gallons Manhole/Aocess (Y/N) "Pump on" High water alarm level at* / 'Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: 'Pump off' level at' Septic/holding tank on lot PL,3 L -t C. On adjacent Absorption field on lot Public sewer main Sewer adjacent lots Public sewer manhola/deanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: i Foundation 10 r f Property line /0 /+ Absorption field 1 D f Water mairdservice line —LQ r% Surface water/drainage Wells on adjacent kris /V SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line i 0 /-f Building foundation 10 /4- Water main/service line to / i Surface water I Cf? /-f- Driveway, parldngNehide storage area /4 - Curtain drain NONE- KN 0 .-J rJ Wells on adjacent lots N! lAr F. ENGINEER'S CERTIFICATION I certify that I have detemdned thru /leld inspections and review of Municipal in contonnance Witt MOA HAA guidelines in effect on this date. Signature(rt✓"-- Engineer's Name NB.3taT - CowA.� Date -7 r 4l HAA Fee $ %300 Date of Payment O 7 " /#- Receipt Number a o° V/G� 72-020 72-020 (Rev. 3/913)' Waiver Fee $ Date of Payment Receipt Number ...................._ -Ak ROKW C COWAN'••% Q ��Pil• 'CE -8901 11 • � M-- 11 - r -SEE 15Mt. r •�s�, C oa/1 , a....,•r o e04 -- N OCCK li ,w. ,,a r FRnMC :CP11C./"JO 00 Vim, r� N r' ar I• Ir/ . � f'1 r; r ori _—__- 114.o4' ' Ot J so ;+; ,-,. AS -BUILT I hereby certify that I hive surveyed the following described property:.1413•g,8iocl< S,�R�Np ?�L7Row .�vtt�. r� tEry4J•rv:LM�SEG1,�,�Tt 1� AnimhoT ReCOrding rrecinct, Alaska, and that the lntprovements situated thereon are wlthin the, properly Imes and do not overlap or encroach on tho'property, 1ying adjacent thereto, that no 1mp rovements'an propp- erty Iytn1 ad}o,ent thereto encronch on the premises in qucstlan end that there •are no roadways, transmission' Imes or other viii to easements on said propett, except: as'in,'calod hereon. •• • ., ; Doted at Engle River,'Alaske t '• ROBERT L. JO' IINSON SCALE: Reglsterecl I. Surveyor Nd. 180-a P-3Da Box 4M. Earle River, Alaska Phone 19i•25.13 MUNICIPALITY OF ANCHORAGE EAc'1, IC"L, IEPARTMEe�\ OF HEALTH AND ENVIRONMEN"�_ PROTECTION 825 L Street, Anchorage, Ala:,..a 99501 279-2511, ext. 224 or 225 11: Time Imo. #2: s-� y Date Insp Date Received: May 11, 1977 Time Pm #3 /Time L -/I-77 - / -/</-7 Date o 7 enS Date. Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES X33- Sir & 1. Lending Institution Request: First National Bank of Anchorage Mailing Address: Post Office Box 4-2090 99509 Phone: 274-1521 2. Property Owner: Judith Anderson Phone: 688-2141 Mailing Address: Post Office Box 72 99577 3. Legal Description: Lot 2B Bloick 5 Raymond Tedrow Subdivision 4: Single Family Residence: (x) Multiple Family Residence: ( ) Number of Bedrooms: 3 d K 5. Well System: Individual Wel]_ ( ) Permit # Depth of Well Construction Number of Bedrooms: Community/Public System 6c)a Well Log on File ( ) Bacterial Analysis 6. Sewage Disposal System: On-site System ( ) Permit # Installed Public Utility " Installer Septic Tank Size /000 Manufacturer 5Z '17'W Absorption Area 52� 7 Soils Rate Material 7. Distances: Well to Septic Tank to Sewer Line to Nearest Lot Line Nearest Lot line 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 2B Block 5 Raymond Tedrow Subdivision Comments: Affadavit Attached: (') Letter Attached: ( ) Approved: Date: 7 �7i Disapproved: Date. 7 Department Worksheet: U �� 2 q YP-5 =� CJPA h:UNI EPT.00 kTH tG: MUNICIPALITY OF ANCHORAGE ENVI60Na_.".: E FROlECtIC �j �''l) DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION N 1' ' 825 L Street, Anchorage, Alaska 99501 NAY 1 i 1977 279-2511, ext. 224, 225REQUEST FOR APPROVAL OF jar INDIVIDUAL SEWER a dRECEIVED ECEIVED 1. 2. 3. Type of Inspection: VA Property Owner: Juclith Anderson Mailing Address: P. O. Box -72, Eagle River --Day Name of Buyer: Cletus LaBoe FHA CONY Phone: 688-2141 Mailing Address: 3306 East 17th St. Day Phone: 865-3144 4. Name of Lending Institution:- First National. Bank of Anchorage Mailing Address: P. O. Box 4-2090 99509 Phone: 274-1521 5. Name of Realtor or Agent: Audrey Mason-7btem Mailing Address: 516 E. Fireweed Lane Phone: 272-0571 6. Legal Description: Lot 2B, Block 5, Raymond Tb&ow Subdivision Location: Fireball St., Eagle River 7. Type of Facility to be Inspected: SFD No. Bdrms. 3 8. Water Supply Type of Supply: Public Utility XX Individual If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) XX If Individual, date of installation 72 0030M) GREATER A'iCl 02a0E ARES. EOROUO, Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-"501 Date Received S -SG -7 Time of Inspection _ Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SE'dER & NATER FACILITIES FOR 1. Ap.sroval requested by: NW dncn R--7Ity Mailing Address: Ah"1do2,.n Rnnd Phone: 2. Property Owner: Tlrnei.la M-zms Phone: Mailing Address: 3. Legal Description: Lot 211. Block S. 1;ar^:cnd Todro:r Scbdlvisi.cn _ ;. Lc,: --tion: rir�hall STIPet 5. Typc of facility to be inspected S1C-1e INC. of be rp a:i V. !:e? i Data: Cpn.ITY A. Type C. Construction 7. Sav:ega Disposal System: B. Depth D. Bacterial Analysis A. installed 1973 B. Installer S --If C. Seotic Tank: 1. Size 1000 c;cls 2. Manufacturer D. Seepage Pit: 1. Absorption Area 50 sq ft 2 E. Disposal Field: Total length of lines E. Distances: Stack Szccl Material Log A. fell to: Septic tank , Absorption. area Se::er Lines Nearest lot line Other contamination B. Foundation to septic tank 5' Absorption area 621 C. Absorption area to nearest lot lire 19, -; 1 /741 Pa c: c• 1 of t•; -,Legal Description Cc --,ants 7N 1 Approvl,d G!, ,r Ila z� 4 • y. Disapproved Date _ Approval;Valid for one year frca date signed /Greater Anchorage Area Borough, Department of Environ -en -'al Quality DIAGRAM OF SYSTEM 1 cer n Ty tnat tine inTOMazion conzainea in tm s request Tor approval to Da z roe < accurate representation of the subject sewer and water facilities and these are operating satisfactorily. SKIED Date GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686d 9! Date Receive1 , ^, s-1; IC) -4 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SENER b WATER FACILITIES FOR :1 0A 1. Aoproval Requested By: c ,_k r_ ( +4 n r" o Address: j�> < ,� � r) ci,« C t R (.. Phone: V 2. Property Owner: Sc),_ . L c Phone: 3. Legal Description: 1_0 nOn 4, Location: I—. c k ,v, C--,Q—:zS,--# , 5. Type of Facility to be (Inspected: Number of Bedrooms: r � (_S 6. Well Data: A. Type B. Depth — C. Construction . 7. Sewage Disposal System: D. Bacterial Analysis' `- A. Installed IQ`4-3 : B. Installer 7Sn_L4 C. -Septic Tank: 1. Size I , COU 2. Manufacturer ->{•c, P D. Seepage Pits '1. Size 11'X.2j1 2. Material E. Disposal Field: Total Length of Lines B. Distances: c� A. Well To: Septic Tank — Absorption Area Sewer Lines Nearest Lot Line I, Other Contamination B. Foundation to Septic Tank '4 1 :> Absorption Area „�--,) C. Absorption Area to Nearest Lot Line 1C Request for Approval of Idual Sewer S Water Facilitia a� Page Two 9. Comments: Disapproved Date` ij�� 24;7% Approval Valid for One Year From Date Signed ter Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM i certiry that the information contained in this request for approval to be a true and accurate representation of the subiect sewer and water facilities located at: Signed Date June 14, 1973 Federal Housing Authority P. 0. Box 430 Anchorage, Alaska 99510 Subject: Sewer and water systems for Lot 28, Block 5, Rayriond Tedrow Sub. Dear Sir: The subject lot is served by Sunny Slopes Water Utility which is an approved water supply by this Department. The sewer system is a septic tank -seepage pit arrangement inspected and approved by this Departsent. If 1 can be of further assistance, please call this office at 694-2116. Very Sincerely yours, John R. Lee, R.S. JRL/sh April 17, 1973 redcral Housing Administration A. 0. Eox 403 Mcherage, Alaska 99510 SUBJECT: Lot 28, dock 5, Raymond Tedrow Subdivision, for Daneila Adams. Dear Sirs: A pemit to install an on site sewer systera on the above subject property has been issued by this department. The system will consist of a one - thousand (I 00M) ballon steel septic tank, Unden,riters Laboratories and Greater Aaohorace Area Eorough approved and a seepage pit sized according to an 1 lot soil conditions. This system. properly installed, should be expected to function datisfactorily until public sever is available. Water is supplied by the Sunny Slopes Subdivision water syster, a nater utility approved by this de;artment. very Sincerely. John R. Let R. S. District Sanitarian Eagle River - Chugiak