HomeMy WebLinkAboutTHUNDERBIRD HEIGHTS BLK 3 LT 4Thunderbird
He'D
ights
Block 3
Lot 4
#051-711-08
Municipality of Anchorage
Community Development Department Page 1 of 2
On-Site Water and Wastewater Program
4700 Elmore St. • P.O. Box 196650 Anchorage,AK 99519-6650 • http://www.muni.org/onsite• (907)343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP191049 PID Number: 051-711-08 ❑ New ❑✓ Upgrade
Name:
TIMOTHY&AMY STONE ABSORPTION FIELD
Address
❑ Deep Trench ✓❑ Shallow Trench ❑ Bed ❑ Mound
27345 GOLDEN EAGLE CT, CHUGIAK AK 99567 ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
3 6 GPD/SF 5.0 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot 1.5 Ft. 3.5 Ft.
THUNDERBIRD HEIGHTS 3 4 Fill added above original grade Gravel length
Township Range Section 2 Ft. 65 FI
Gravel width Beds:Number of Lines Distance between lines
SEPARATION DISTANCES 5.OFt. Ft.
To Septic Absorption I Holding Sewer Total absorption area Number of trenches Dist.between trenches
From Tank Field Lift Station Tank Line 601.9 Ft2 1 Ft.
Well N/A N/A N/A N/A N/A TANK p Septic 0 S.T.E.P. 0 Holding ❑Other
Manufacturer Capacity
Surface Water 100.0+ 100.0+ N/A N/A ANCHORAGE TANK 1000Ga1.
I Material Number of compartments
Lot Line 5.0+ 5.0+ N/A 1 N/A STEEL 2
• NA
Foundation 10.0+ 10.0+ N/A 1 N/A LIFT STATION
Manufacturer Capacity
Curtain Drain 50.0+ 50.0+ N/A N/A Gal.
Pump on level at Pump off level at High water alarm at
Remarks SUBDIVISION ON COMMUNITY WATER
in. in. in.
Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tank 3034 Tank to 3034
Installer drainfield
DIRT DIGGERS Drainfield 3034 CO/MT 3034
Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 101.411
Inspection 1s 04/11/19 2.° Location and description
04/12/19
3rd 04/13/19 4" THRESHOLD GARAGE MAN DOOR
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp
......0,-.6.-40.•;\v,
OF A� i1
Conditional Approval: Date r415Q• �• , .s��il
* 49TH i\ .*94
-------- -- -------- ••tteveri E�. f�annorae
1. CE 8149, .
� �14s'�l QVA:eApproved ‘.... t` 4, h{ -a �t �
Date � ����4�
\\\�
Inspection Report_1-1-12.doc
•
DESIGN PARAMETERS - , cr, co
PRIMARY SEPTIC SYSTEM G // / I
N - /� i2- - N� \\\` \.\ m 0 �0 o
NO. BEDROOM: 3(450 gpd) \\ o'- Z2
TANK SIZE: 10009 I / / / i \ \\ \ I \w z 1 o
PERC RATE: 6-15MPI ire+,. �/ // i � / � \ \\\�N.
1 ) QO <•10 0o =N
SOIL RATING: 0.8 GPD/SF ; * '/, 1 I / I \ { o d 0. ,n
AREA ROD: 562.5 SF 1'� . *** / -'II I 1 / I \ N\\ \ CO
REDUCTION FACTOR: 0.54 .. ** 'yr W / o \ \ N
ADJ ABSORPTION AREA:302.9 1 / v I 1c0 N \ z
ct
SYS. TYPE: WIDE TRENCH 3.5'ED , I- ` __4_'_ I I 1� • --t • 1\ - \\ F
MIN LENGTH: 61 LF ('a-.�`�:�'\ ) I �' I 1 1 \ `\. ����
ix
T E NORTH • SCALE :\r=6/1• // / 'TNT INSTALLED REPLACEMENT DRAIN FIELD 1__L
�O 65LFx3.5 EDx5'W,5'T0
65.OLFx5.0'Wx3.5' E.D., 5.0' TD I / / / / �./ �� Ii 1 INSTALLED CO AND MT AT EACH END
DRAIN FIELD(E) I CONNECT AT MIDPOINT TAE \\• `
TOTAL AREA: 325 SF I I I I 44LFx5'EDx3'W, 6.5 TD - - - '\\\ �-p#.: "�`LL1�)
I I I TOT BE REUSED AS RESERVE / ,'ti' I 1 \\\ ,ico. f, '•.-
I 1 \ \ �s _ 15.7 - \ Il Q��� : sl�/
RESERVE SEPTIC SYSTEM / 1 \ \ \ /� -: 150.5 1111 •
Sr
NO. BEDROOM: 3(450 gpd) / / \\ \ \` I A4� -• \X111 'l . .f..E° .
TANK SIZE: 1000g I I / 3 \ / / 32.7 _ ( � ��
PERC RATE: 1-S MPI 1 1 } 41%4 / / 3BR - 11111 'Ikl s , °" obi
SOIL RATING: 1.2 GPD/SF \ / 1 ` - - ,_ .,SFO(E) � INSTALLED 1000g SEPTIC TANK (N) ��\\�� -• •
AREA ROD: 375 SF > \ \,/ \ / \ - - , W/FCO BEFORE& DC,AND DV AFTER
SYS. TYPE: DEEP TRENCH 5.0'ED o \\ I 1 1 ` \ • \'utl"�
MIN LENGTH: 37.5 LF 0 1 1 \ ' ,r // - ,►Ii111 O
D 1 I \ - • / , ....' ,�: Q REMOVED i000g� \ 1)///0/ - J I-
44LFx2.5'Wx5.O' E.D., 6.5' TD = I \ 10'uT, \ // / / `SEPTIC TANK (E) , ` II// / // V i'i w
TOTAL AREA: 440 SF i \ \ I�TY AS / I / I \ 11,111110 Jav Y Z O r\
L__ \ \___s.
.fNfNT 1 I / 100 OFFSET TOJ ALL MEASURMENTS t 1.0' JpCiN. (� 0 U (p
-r+ -w _ WATER LINE/ \\\\ \ \ 11 1 I I // // EKLUTNA RIVER A B fJ Q rn -I J 0/
WELL RADIUS COtz \ \ \ • \ 1\ I I i \ I T1 23.6 31.5 i yam"• m }' O CI)
-ss -SS - NEW SEPTIC eN EA-LE CT \ \ \\ \ \ \\ 1 \\ T2 29.5 31.5 �a LL Q w Q
ABBREVIATIONS \1 \\ \ ' \ \\ \ \\ \\ I DC1 30.9 36.7 Izli _ ,� Z
TH TEST HOLE / \ \ • .1\ 1 \ \ N. - - ' DC2 29.8 38.9 z' - o <
(P) PROPOSED \ 1 • I \ . nX� 1-1-I r -I Q
/� / N I DV 27.8 42.3 0� 2 2 O 3
(E) EXISTING / I I \ \ -- - Zmo I- C�
CO CLEAN OUT NO. ,/ / / \ \ \ \ \
-:•"---
` Cl 48.1 82_.8 Qoo p n i
NFC FOUNDATION CLEANOUT \ \ \ - - M1 46.3 81.5 p•aw = m Lf') 0
FS FLOW SPLITTER •-...____
V \\ \ „ \ o m H
PO
MT MONITOR TUBE NO. /------ \\
% _ `� N
_ _ _ C2 46.5 34.5 = U.
TYP TYPICAL �� --� \ 1\ \ I 1 M2 44.9 33.1 Q (\I
6"TOPSOIL ANO VEGETATE Z
D
.".ORAN TAPE I
Y I-
o• i FILLER FABRIC
> > W
IAg r R.I. DRAIN ROCK r
j �' m F.G.97.6 -_- ABOVE PIPE INV
o
d Ci u SCI FILTER FABRIC TN-1 2.0 - ' 0
O 2 o O.G.95.6
EL.100.0 6 E DRAIN ROCK 6"ABOVE PIPE 1W o A -1.5 ORGANICS 0.5,•'7--x^-M 1,5 li'TI I z -' Z
iiin iii ,-.., ,"•GRAIN PIPE s Ei 1 1 iiiiidilu 11 �l
�-- -..0:•-•:•.•:•.:• DRAIN ROCK u Cl_
O
0.0. 95.6 I N CRAY SILir SAND •:•••:•:•: O
10009 -�r_ - _ ^ _ -______.____._ _ 1 r/SOW GRAVEL I-5.0-I Z LC Li
EJ
TANK(E) EL94.1/ ' - TRENCH uE oEsrN :4. 6.0 O z I-
LAI
in
PROFILE BOH/BR
401117 0 SECTION x o
,....‹,.:::;:.2.,, ,,,,-?7,7;\ MUNICIPALITY OF ANCHORAGE
/ , - ` On-Site Water& Wastewater Program ��� 5(,.
PO Box 196650 4700 Elmore Road %.
IAnchorage.Alaska 99519-6650 Phone:(907)343-7904 Fax (907)343.7997
httpa/ti^ntinv.muni.ora/Onsite '�`\ ; ` d�'�/ Ucl]arrnicnf
. c.on>GE
On-Site Wastewater Disposal System Permit
Permit Number: OSP191049 Effective Date: 3/19/2019
Work Type: Septic Renewal Expiration Date: 3/18/2020
Tax Code Number: 05171108000
Site Legal Address: THUNDERBIRD HEIGHTS BLK 3 LT 4 G:1965
Site Mailing Address: 27345 GOLDEN EAGLE CT, Chugiak
Owner: STONE AMY K & TIMOTHY G Lot Size in Sq Ft: 27187
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3
This permit is for the construction of:
0 Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well 0 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
(-----_____ .--------- —3A//9.
Received By: (� I .,� Date: q
Issued By: /(X- r Date: 349/ I
11.
EPLMS
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On-Site Water& Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 051-711-08
Property owner(s) Timothy & Amy Stone Day phone967-TS9--(3)ACI
Mailing address P.O. Box 671581, Chugiak, AK 99567
Site address 27345 Golden Eagle Ct.
Legal description (Sub'd., Block & Lot) Thunderbird Heights, Block 3, Lot 4
Legal description (Township, Range & Section)
Lot Size 27,187 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field ❑X Initial ❑ Single Family (SF) E
(w/wo ADU)
Septic Tank Upgrade ❑ Duplex (D) ❑
Holding Tank ❑ Renewal Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE/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: R15 Waiver Fees:
Date of Payment: 3171!9 Date of Payment:
Receipt Number: 0a416;26 Receipt Number:
Permit No. 05 pig 16114 Waiver No.
/UCu/ Code cc✓iew
�lu5
Permit App__-: ._..:<: 01431`16--
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191049, Deb Wockenfuss, 03/19/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191049, Deb Wockenfuss, 03/19/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191049, Deb Wockenfuss, 03/19/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191049, Deb Wockenfuss, 03/19/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191049, Deb Wockenfuss, 03/19/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191049, Deb Wockenfuss, 03/19/19
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP121032
Tax Code Number: 05171108000
Work Type: Septic Upgrade
Permit Effective Dates: April 13, 2012 to April 13, 2013
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: THUNDERBIRD HEIGHTS
Site Legal Address: THUNDERBIRD HEIGHTS BLK 3 LT 4 G:1965
Owner/Address: STONE AMY K & TIMOTHY G
27345 GOLDEN EAGLE CHUGIAK AK 995675125
Site Mailing Address: 27345 GOLDEN EAGLE CT, Chugiak Lot Size in Sq Ft: 27187
Total Bedrooms: 3
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received
Issued By
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
Mayor Dan Sullivan
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Phone: 907-343-7904
Fax: 907-343-7997
Parcel l.D. 09-711-00o
Property owner(s) ' AAi9,r -4 AVo hA y S-r4OA16 Day phone
Mailing address X5&/6 (rotcE,) eA6,L4 GTS CNOG-o f . AK q 4567
Site address 27395' 6bobp6,✓ Ef�t6•c7
Legal description (Sub'd., Block & Lot)-MUAJDCR,51Aa I&JC-NIS, SLK3, 1 -07 -
Legal description (Township, Range & Section)
Lot Size 27, 1407 Sq. Ft. Number of Bedrooms
3
THIS APPLICATION IS FOR:
THIS APPLICATION IS AN:
(® all that apply)
Initial ❑
Absorption Field
Septic Tank
�
Upgrade
Tank
❑
Renewal ElHolding
Privy
❑
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
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
(P
Permit/Rush Fees: 530•—' Waiver Fees:
Date of Payment: 3-1(0-12 Date of Payment:
Receipt Number: 63ay5(q Receipt Number:
Permit No. 6S P l a )630 Waiver No.
G:SBuilding\On Site\Forms\C lent Forms%Permit App_010411.doc (Rev. 111)
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@paneneak.com
March 15, 2012
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject: Thunderbird Heights, Block 3, Lot 4
Septic System Permit Upgrade Request
Ladies and Gentlemen:
I am writing to request a permit to construct an upgraded septic system be issued for this property. The
proposed systems will serve an existing three-bedroom house. Currently the lot is developed. The existing
drain field is in failure and will be re -used as a reserve. The lot is served by AWWU Public Water. The
surrounding lots are served by AWWU Community water.
1. Soils. A single test hole was excavated by PES in March of 2012, and the ground water monitored
for seven days. Not groundwater was monitored to a depth of 11 feet. Bedrock was encountered at
eleven feet in the test hole. It is my opinion, based on the results of the percolation tests and overall soils
appearance; an application rate of 0.8 gallons/day/square feet should be used for a conventional waste
water system.
2. Soil Absorption System Design.
a. See Sheet 2 of the design package
3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and the
existing drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water
and drainage ditches.
4. Topography: The topography in the area generally slopes to the north and east at 18 to 20% in
the area of the proposed drain field.
Mailing: P.O. Box 100217, Anchorage, AK 33510-0217
Physical: 615 East 82"d Ave, Cuite B6, Anchorage, AK 99503
Telephone: (907) 272-8218 FAX: (907) 272-8211
Page 2 of 2
5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification
that the review is complete and that there are no further comments is received from MoA On -Site
Department, the note will be removed and "Issued for Construction" drawings will be issued.
The proposed installation will not affect the future development of the surrounding or existing lots. There
are no wells or septic systems within 100 feet of the proposed septic location.
If you have any questions or concerns, please contact me at 272-8218.
Sincerely,
Steven R. Pannone, P.E.
Owner/Civil Engineer
Attachments
Mailing: P.O. Box .100217, Anchorage, AK 94510-0217
Physical: 615 East 82"" Ave, Suite 86, Anchorage, AK 99503
Telephone: (907) 272-8218 FAX: (907) 272-8211
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON—SITE WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS.
3. SCOPE OF WORK: INSTALL NEW SOIL ABSORPTION SYSTEM.
4. GROUNDWATER WAS NOT OBSERVED AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS
OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 11.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER
IMMEDIATELY.
a
2"
TH-1
SM/ GRAY SILTY SAND )-6.0--
GM I W/ SOME GRAVEL
SOIL AND VEGETATE
DRAIN PIPE
ER FABRIC
AN ROCK 6" ABOVE PIPE INV
ROCK
10009
SEPTIC
TANK (E)
REPLACEMENT SEPTIC SYSTEM
NO. BEDROOM: 3 (450 gpd)
TANK SIZE: 100og
PERC RATE = 6-15 MPI
SOIL RATING: 0.8 GPD/SF
AREA ROD: 563 SF
RF: 0.54
SYS. TYPE: WIDE TRENCH 3.5' E.D
MIN LENGTH: 60.8 LF
USE:
65 LF X 5' WIDE, 3.5' E.D.,
5.0' TD
TOTAL AREA: 601.9 SF
PROFILE
LEGEND
W WATERLINE/
WELL RADIUS
SS — NEW SEPTIC
CU
COPPER
DIP
DUCTILE IRON PIPE
-11'O`J
TEST HOLE
FC
FOUNDATION CLEAN OUT
T#
TANK CLEAN OUT NO.
C#
S" BOH/BR MONVORED
M#
MONITOR TUBE NO.
R.I.
RIGID INSULATION
DCO
DOUBLE CLEAN OUT
DV
SECTION
FS
s�
o
o
wo
ORIGINAL GRADE
FG
FINISH GRADE
6
6
m
a
m
v
06
v
50
FILTER FABRIC So
0
0
0
DRAIN ROCK 6" ABOVE PIPE INV
0
2
/ i-4" 0 DRAIN PIPE
10009
SEPTIC
TANK (E)
REPLACEMENT SEPTIC SYSTEM
NO. BEDROOM: 3 (450 gpd)
TANK SIZE: 100og
PERC RATE = 6-15 MPI
SOIL RATING: 0.8 GPD/SF
AREA ROD: 563 SF
RF: 0.54
SYS. TYPE: WIDE TRENCH 3.5' E.D
MIN LENGTH: 60.8 LF
USE:
65 LF X 5' WIDE, 3.5' E.D.,
5.0' TD
TOTAL AREA: 601.9 SF
PROFILE
LEGEND
W WATERLINE/
WELL RADIUS
SS — NEW SEPTIC
CU
COPPER
DIP
DUCTILE IRON PIPE
TH
TEST HOLE
FC
FOUNDATION CLEAN OUT
T#
TANK CLEAN OUT NO.
C#
CLEAN OUT NO.
M#
MONITOR TUBE NO.
R.I.
RIGID INSULATION
DCO
DOUBLE CLEAN OUT
DV
DIVERTER VALVE
FS
FLOW SPLITTER
BFG
BELOW FINISH GRADE
OG
ORIGINAL GRADE
FG
FINISH GRADE
NOTES: L '� C ` OF lNkk E3/2O/2PANNONE ENG SVC, LLCDateFOR CONSTRUCTION P•O. BOX 100217 ANCHORAGE, AK 99510r�q(PHONE (907) 272-8218 FAX (907) 272-82119*
/49—
THUNDERBIRD HEIGHTS, BLOCK 3, LOT
TIMOTHY & AMY STONE
27345 GOLDEN EAGLE COURT
DESIGN DETAILS CHUGIAK, AK 99567
2
........ 51-711-08
W PERMIT N0.
CE 8149 �� OSP121032
Sheet
9�OFESSON�
�""�� 2 OF 3
SOILS LOG - PERCOLATION TEST
SLOPE
X
TH
//
WAS GROUND WATER
ENCOUNTERED? N
IF YES, AT WHAT
DEPTH? -0-'
DEPTH TO WATER AFTER
MONITORING? -DRY-
DATE: 3/15/12
READING DATE
TEST HOLE 1
NETTIME
1
NET DROP
OR
ORGANICS
---
2
--
2
2:20
10 MIN
3
1.78
3
2:20
—
4
---
4
2:30
10 MIN
5
1.57
5
2:30
6
4.00
—
GRAY SILTY SAND
2:40
10 MIN
SM/GM
VVI SOME GRAVEL
HARDER DIGGING
7
W/ DEPTH
8
9
10
11
BOH/BR
BEDROCK
12
13
14
15
16
17
18
DATE
PERFORMED: 3/8/12
SOILS LOG - PERCOLATION TEST
SLOPE
X
TH
//
WAS GROUND WATER
ENCOUNTERED? N
IF YES, AT WHAT
DEPTH? -0-'
DEPTH TO WATER AFTER
MONITORING? -DRY-
DATE: 3/15/12
READING DATE
CLOCK
TIME
NETTIME
WATER
LEVEL
READING
NET DROP
1 3/8/12
2:10
---
4.00
--
2
2:20
10 MIN
5.78
1.78
3
2:20
—
4.00
---
4
2:30
10 MIN
5.57
1.57
5
2:30
---
4.00
—
6
2:40
10 MIN
5.86
1.86
PEROLATION RATE 5.4 (min/inch) PERC HOLE DIAMETER 6 inches
TEST RUN BETWEEN 3 FT AND 4 FT
COMMENTS: Test hole excavated by ALASKA DIVERS. Prec hole was presoaked.
Test run for one hour. Last 3 readings reported
PERFORMED BY: Steven R. Pannone. P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL
GT�U�ID7L�IINNES IN EFFECT ON�THE
/�DATE OF THIS TEST.
NOTES: PAMONE ENG SVC, LLC .�' OF A(\ k 3/20/2012
llll Date
FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 � �•"' ... 1'
PHONE (907) 272-8218 FAX (907) 272-8211 AW. TH t Scale
NTS
"•' ...... P.I.D. NO
THUNDERBIRD HEIGHTS, BLOCK 3, LOT 4 051-711-08
TIMOTHY & AMY STONE' S't e've'n 'R: 'Pannone PERMIT NO.
Pte'. 8j
27345 GOLDEN EAGLE COURT f� �s .• CE 149.-OSP121032
SOILS LOG CHUGIAK, AK 99567 ,�1� �Ro ssoN=�=' SheetOF 3
\�\��
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP121032
Tax Code Number: 05171108000
Work Type: Septic Upgrade
Permit Effective Dates: April 13, 2012 to April 13, 2013
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: THUNDERBIRD HEIGHTS
Site Legal Address: THUNDERBIRD HEIGHTS BLK 3 LT 4 G:1965
Owner/Address: STONE AMY K & TIMOTHY G
27345 GOLDEN EAGLE CHUGIAK AK 995675125
Site Mailing Address: 27345 GOLDEN EAGLE CT, Chugiak Lot Size in Sq Ft: 27187
Total Bedrooms: 3
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received
Issued By.
MUNICIPALITY OF
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
Mayor Dan Sullivan
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Phone: 907-343-7904
Fax: 907-343-7997
Parcel l.D. 09-7111-0S
Property owner(s) "rjA6-fVq A.UO 1W STb f1E Day phone
Mailing address 275 16 froLces.J EAG 26G7i coae-tAlf . Al( 94 "67
Site address 273//9' bo[,yew 057,9 .CT
Legal description (Sub'd., Block & Lot) -MOXpe'R51AP 111SY,'}'f5, SLK3, Lo r
Legal description (Township, Range & Section)
Lot Size SZ 187 Sq. Ft. Number of Bedrooms 3
THIS APPLICATION IS FOR:
THIS APPLICATION IS AN:
(® all that apply)
Initial ElAbsorption
Field
Septic Tank
Upgrade
Holding Tank
❑
Renewal ❑
Privy
❑
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
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
Permit/Rush Fees: 4-536-e— Waiver Fees:
Date of Payment: 3 -lb" LA Date of Payment:
Receipt Number: 03IDg664
Permit No. 6S P I a 163D
Receipt Number:
Waiver No.
G:\Building\On Site\Forms\Client FonnsTennit App_010411.doc (Rev. 1 /11)
Pannone Engineering Services «c
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve(a)paneneak.com
March 15, 2012
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
P. 0. Box 196650
Anchorage, Alaska 99519
Subject: Thunderbird Heights, Block 3, Lot 4
Septic System Permit Upgrade Request
Ladies and Gentlemen:
I am writing to request a permit to construct an upgraded septic system be issued for this property. The
proposed systems will serve an existing three-bedroom house. Currently the lot is developed. The existing
drain field is in failure and will be re -used as a reserve. The lot is served byAWWU Public Water. The
surrounding lots are served by AWWU Community water.
1. Soils. A single test hole was excavated by PES in March of 2012, and the ground water monitored
for seven days. Not groundwater was monitored to a depth of 11 feet. Bedrock was encountered at
eleven feet in the test hole. It is my opinion, based on the results of the percolation tests and overall soils
appearance; an application rate of 0.8 gallons/day/square feet should be used for a conventional waste
water system.
2. Soil Absorption System Design.
a. See Sheet 2 of the design package
3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and the
existing drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water
and drainage ditches.
4. Topography: The topography in the area generally slopes to the north and east at 18 to 20% in
the area of the proposed drain field.
Mailing: P.O. Box 1.00217, Anchorage, AK 99510-0217
Physical: 615 East 82'd Ave, Cuite 136, Anchorage, AK 99503
Telephone: (907) 272-8218 FAX: (907) 272-8211
Page 2 of 2
5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification
that the review is complete and that there are no further comments is received from MoA On -Site
Department, the note will be removed and "Issued for Construction" drawings will be issued.
The proposed installation will not affect the future development of the surrounding or existing lots. There
are no wells or septic systems within 100 feet of the proposed septic location.
If you have any questions or concerns, please contact me at 272-8218.
Sincerely,
Steven R. Pannone, P.E.
Owner/Civil Engineer
Attachments
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 615 East 82"` Ave, Suite B6, Anchorage, AK 99503
Telephone: (907) 272-8218 FAX, (907) 272-8211
X
57.8
REPLACEMENT DRAIN FIELD (P)
65LFx3.5'EDx5'W, 5'TD
DRAIN FIELD (E
44LFx5'EDx3 W, 6.5'TD
TO BE REUSED AS RESERVE
H1
144.7
94.6
38R10.0
HOUSE
;o
ff
1 DOSEPTIC iAANK (E)
ZO' 027ory
INSTAOgLL DCO AND DV
100' OFFSET TO—l""'
EKLUTNA RIVER
..V
NOTES:
PAMONE ENG SVC, LLC
P.O. BOX 100217 ANCHORAGE, AK 99510
-�w %Nk- 'k�
OF A�
.......•. 4 �"N
Date
3/20/2012
FOR CONSTRUCTION
Scale
PHONE (907) 272-8218 FAX (907) 272-8211
co
P.I.D. NO
THUNDERBIRD HEIGHTS, BLOCK 3, LOT �6 .
...
=411-08
TIMOTHY & AMY STONE
27345 GOLDEN EAGLE COURT
S.teven R........ . �01
annoae CE 8149
PERMIT N0
OSP121032
Sheet
PLAN
CHUGIAK, AK 99567
klIl PROFES9
1 OF 3 -j
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON-SITE WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS.
3. SCOPE OF WORK: INSTALL NEW SOIL ABSORPTION SYSTEM.
4. GROUNDWATER WAS NOT OBSERVED AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS
OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 11.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER
IMMEDIATELY.
m
2"
TH-1
SM/ I GRAY SILW SAND I I--5.0--
GM W/ SOME GRAVEL
1000g
SEPTIC
TANK (E)
DESIGN PARAMETERS
REPLACEMENT SEPTIC SYSTEM
NO. BEDROOM: 3 (450 gpd)
TANK SIZE: 1000g
PERC RATE = 6-15 MPI
SOIL RATING: 0.8 GPD/SF
AREA ROD: 563 SF
RF: 0.54
SYS. TYPE: WIDE TRENCH 3.5' E.D
MIN LENGTH: 60.8 LF
USE:
65 LF X 5' WIDE, 3.5' E.D.,
5.0' TD
TOTAL AREA: 601.9 SF
PROFILE
LEGEND
W WATERLINE/
WELL RADIUS
SS — NEW SEPTIC
NOTES: PAMONE ENG SVC, LLC
FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
THUNDERBIRD HEIGHTS, BLOCK 3, LOT
TIMOTHY & AMY STONE
27345 GOLDEN EAGLE COURT
DESIGN DETAILS CHUGIAK, AK 99567
SOIL AND VEGETATE
DRAIN PIPE
ER FABRIC
AN ROCK 6" ABOVE PIPE INV
ROCK
m
DIP
F
So
—11.01 NO GROUNDWATER
1
ROCK 6" ABOVE PIPE INV
z
T#
TANK CLEAN OUT NO.
BOH/BR MONITORED
s 2
F=
5
5
5
DCO
SECTION
�o
0
o
wo
BFG
BELOW FINISH GRADE
H
ORIGINAL GRADE
FG
m
O N
too
I��I
IIII ll�
U Z
1000g
SEPTIC
TANK (E)
DESIGN PARAMETERS
REPLACEMENT SEPTIC SYSTEM
NO. BEDROOM: 3 (450 gpd)
TANK SIZE: 1000g
PERC RATE = 6-15 MPI
SOIL RATING: 0.8 GPD/SF
AREA ROD: 563 SF
RF: 0.54
SYS. TYPE: WIDE TRENCH 3.5' E.D
MIN LENGTH: 60.8 LF
USE:
65 LF X 5' WIDE, 3.5' E.D.,
5.0' TD
TOTAL AREA: 601.9 SF
PROFILE
LEGEND
W WATERLINE/
WELL RADIUS
SS — NEW SEPTIC
NOTES: PAMONE ENG SVC, LLC
FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
THUNDERBIRD HEIGHTS, BLOCK 3, LOT
TIMOTHY & AMY STONE
27345 GOLDEN EAGLE COURT
DESIGN DETAILS CHUGIAK, AK 99567
SOIL AND VEGETATE
DRAIN PIPE
ER FABRIC
AN ROCK 6" ABOVE PIPE INV
ROCK
2TWITNITINE.Avirs►Q
CU
m
DIP
F
So
FABRIC
�
ROCK 6" ABOVE PIPE INV
z
T#
TANK CLEAN OUT NO.
DRAIN PIPE
s 2
2TWITNITINE.Avirs►Q
CU
COPPER
DIP
DUCTILE IRON PIPE
TH
TEST HOLE
FC
FOUNDATION CLEAN OUT
T#
TANK CLEAN OUT NO.
C#
CLEAN OUT NO.
M#
MONITOR TUBE NO.
R.I.
RIGID INSULATION
DCO
DOUBLE CLEAN OUT
DV
DIVERTER VALVE
FS
FLOW SPLITTER
BFG
BELOW FINISH GRADE
OG
ORIGINAL GRADE
FG
FINISH GRADE
—CG e/zo12
*: 49*r� P.I.D.T
R NO
51-711-08
Steven F�. •�annone•� PERMIT N0.
'9'% CE 8149 . R
2 OF
8
9
10
11
BOHf BR BEDROCK
12
13
14
15
is
17
18
DATE PERFORMED: 3/8/12
SOILS LOG - PERCOLATION TEST
SLOPE
X
TH
WAS GROUND WATER
ENCOUNTERED? N
IF YES, AT WHAT
DEPTH? -0.'-
DEPTH TO WATER AFTER
MONITORING? -DRY-
DATE: 3/15/12
SLOPE
TH
X
READING DATE
TEST HOLE
1
WATER
LEVEL
READING
OR
ORGANICS
2:10
2
4.00
---
2
2:20
3
5.78
1.78
3
2:20
4
4.00
--
4
2:30
5
5.57
1.57
5
6
--
4.00
GRAY SILTY SAND
5
2:40
SM/GM
W1 SOME GRAVEL
1.86
HARDER DIGGING
7
Wl DEPTH
8
9
10
11
BOHf BR BEDROCK
12
13
14
15
is
17
18
DATE PERFORMED: 3/8/12
SOILS LOG - PERCOLATION TEST
SLOPE
X
TH
WAS GROUND WATER
ENCOUNTERED? N
IF YES, AT WHAT
DEPTH? -0.'-
DEPTH TO WATER AFTER
MONITORING? -DRY-
DATE: 3/15/12
SLOPE
TH
X
READING DATE
CLOCK
.IME
NET TIME
WATER
LEVEL
READING
NET DROP
1 3/8/12
2:10
---
4.00
---
2
2:20
10 MIN
5.78
1.78
3
2:20
---
4.00
--
4
2:30
10 MIN
5.57
1.57
5
2:30
--
4.00
---
5
2:40
1 10 MIN 1
5.86
1.86
PEROLATION RATE 5.4 (min/inch) PERC HOLE DIAMETER 6 inches
TEST RUN BETWEEN 3 FT AND 4 FT
COMMENTS: Test hole excavated by ALASKA DIVERS. Prec hole was presoaked.
Test run for one hour. Last 3 readings reported
PERFORMED BY: Steven R. Pannone. P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES: PANNONE ENG SVC, LLCA�l Date olz
FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 i . • • ..• qS (�
PHONE (907) 272-8218 FAX (907) 272-8211 j*� TM �y*+t Scale
NTs
/ .� ......... P.I.D. NO
THUNDERBIRD HEIGHTS, BLOCK 3, LOT 4 Steven • R. .FSannorae• 051-711-08
• •�
TIMOTHY &AMY STONE � /PERMIT N0.
f PF.•. CE 8149 //
27345 GOLDEN EAGLE COURT OSPI21032
� �s .• �.
SOILS LOG CHUGIAK, AK 99567 ++�I Fl�OFE`=�' Sheet
3OF 3
\ MUNICIPALITY OF ANCHORAGE
�\ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
I ENVIRONMENTAL ENGINEERING DIVISION
825 L Street • Anchorage, Alaska 99501 Telephone 264-1720
ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
MAILING ADEK3 SS
654
Qv,
PHONE lz ohm
L/2 —7S-131 ❑UPGRADE
LEGAL DESCRIPTION
L
n
LOCATION Qt
//alt
NO. OF BEDROOMS
O
DISTANCE TO:
Well v
Absorption area
(a t
Dwelling t
1
PERMIT NO
%
sc
Ea
Manufacturer
Materia
No. of compartments2
N~
Liq, capacity in gallons
IF HOMEMADE:
Inside length
—&
Width
Liquid depth
f3 te
JVZ
DISTANCE TO:
Well
Dwelling
PERMIT NO.
_? f
Manufacturer
Material
Liquid capacity in gallons
o
w=
DISTANCE TO:
Well
�.
Foundation I
'Q
Nearest lot line
'1:10
PERMIT NO.
J LL Z
F 2 W
No. of lines
1
Length of each line
Total length of line
Trench width
Inches
Distance between lines
H
p
Top of the to finish grade' it
1
1Y1
Material beneath hie 2 f
Total e�ctve absorption area
W
Length
W.dtn
Depth
PERMIT NO.
f7
d H
W L
Type of crib
Crib diameter
Gib depth
Total affective absorption area
W
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
J
Class
Depth
Driller
Distance to lot line
PERMIT NO.
W
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area
OTHER
PIPE MATERIALS
SOIL TEST RATING
v
\
INSTALLER
REMARKS
Al
t
it
APPROVED
_c
DATE LEGAL
s- 8'
&J.IZ( r
72-013 (Rev. 3/78)
► T
P1 L -T rpt I C I F 1 L_ I T'T' RD F t r4 r_ H V T-: r --i r E
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
225 'L' STREET, ANCHORAGE, AK. 99501
264-4720
C' r-4 I TE = EF4ER 1 F'EF.r•7 I T
PERMIT N0. ( 780217 )
APPLICANT STUART GUSTAFSON 6544 LAKEWAY DR #> 7513
LOCATION GULDEN EAULE ul
LEGAL L4 E3 THUNDERBIRD HTS LOT SIZE 28000 SQUARE FEET
TYPE OF SOIL AB_ORBTION SYSTEM IS: TRENCH
MAi:IMU'J NUMBER OF BEDROOMS = 3 OIL EATING CSO FT/BF.)= 125
THE P.ECIIIF.'ED'E� �C �iPO i4 SYSTEM IS:
UEF TH= �• LEr+FGTH= �GF:FF'•:'EL C-•EF'TH=
THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR: DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION CIN FEET).
2E TJ I F?EC> �rEF'T I C TFir4K GHLLlDr}!E
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
IN_•TALLATION IN'SP'ECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
--- TF40 t_ ^ > I rA -F'ECT I Or.IE f=l FR- E FzEC-IU I FZ EG ---
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELLi OR
150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON'THE TYPE OF PUBLIC WELL.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F C- Ft rl I T 1-=XF• I F -EE C7 ECErr1F3EF. 2 1: -�4 7 L
iI CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWEF:S AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
I l•JILL IN'=TALL THE SYSTEM IPJ ACCORDANCE WITH THE CODES.
=: I UNDERSTAND THAT THE ON-SITE SEWER. SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED:
PPLICANT
ISSUED BY -j
---��t-
-----------
f�
!STAFSON �/D•�_
----------DATE-1 ------------- V42
• M �_� t -.J I r' I f^ L I T'r r-1 F 1� t -.I � H �_: H G E
DEPARTMENT OF HEALTH AND ENVIRONMENTAL F'F:•_+fECTION
825 'L' STREET, ANCHORAGE, AK. 99501
264-4720
QF.1—'c I TE E4•1EF; F•EF<_t'1 I T
PERMIT NO. C 780195 )
AP'P'LICANT STUART GUSTAFSON 6544 LAKEWAY DP.
LOCATION GOLDEN EAGLE CT
LEGAL L44B3 THUNDERBIRD HTS 5/1) LOT SIZE
TYPE OF SOINQBSORSTION SYSTEM IS: TRENCH
243 7513
SQUARE FEET
MAXIMUM NUMBER BEDROOMS = 3 SOIL RATING CSC?FT DP.)= 150
THE REQUIRED SIZE ;F THE SOIL ABSORPTION SYSTEM IS:
EnE=F IF V4 ,IL CA Eor4CATH= it GF - �,L E�EF•TH= r.
THE LENGTH DIMENSIOF IS THE LENGTH CIFJ FEET) OF rHE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENC OR PIT IS THE DISTANCE TIEEN THE SURFACE OF THE
GROUND AND THE BOTTOM THE EXCAVATION CIFJ � T1.
THERE IS NO SET WIDTH F TRENCHES.
THE GRAVEL DEPTH IS THE h FJIMUht DEPTH OF :A+i - BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCA'ATION CIFJ FEE �.
F :EGL
!1 I F<:E? c -
EU TIC\\TFit-almr\ - I .-'E= 1 C-1 CA CA GRLLcxt-1E
PERMIT APPLICANT HAS THE RESPONSIBKILL
TI,J INFORM THIS DEPARTMENT DUPING THE
INSTALLATION INSPECTIONS OF RNN t•lE.ACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WDILSERVE.
Tl_JO C �2 ]/4ELL
F I _ t 15 HRE FOErC> _J I F.EE] BACKFILLING OF RFJ'r' SYSJT �FJ�L IPJ: EGTION RED RF'PF.'Ob'AL BY THIS
DEPARTMENT WILL BE SUBPROS l ION.
MINIMUM DISTANCE BETWEEN RND AtdY ON-\31
ELJAGE DISF'USRL SV'=TEh1 IS
100 FEET FOR A PRIVATER150 TO 20C+ FEET FF,OM RWELL DEF'Et9DIFJJE TYPE OF PUBLIC WELL.
OTHER REQUIREMENTS MAYSPECIFICATIONS AND ONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PRTALLATION.
F'EsF P1 I T E= ' I F7E-• EsECEMEDKFO K<? W"CE.
I CERTIFY THAT
1: I AM FAMILIAR. ITH THE P.EOUIREMENTS FOR ON-SITE SEWER.: AND WELLS AS SET
FORTH BY THE MUN CIPRLITY OF ANCHORAGE.
2: I WILL INSTA L THE SYSTEM IPJ ACCORDANCE WITH THE CODES.
3: I UNDERSTAN THAT THE ON-SITE SEWER, SYSTEM MAY REQUIRE EPJ ARGEMENT IF THE
RESIDENCE IS 1MODE101D TO JWQUDE MORE THAN 3 BEDROOMS.
SIGNED
ISSUED
I
AFSON
-- --- - `
--- DATE --
0
0
V3. 2
r'`
® BOMFIOFF & ASSOCIATES, INC.
Engineering - Planning • Surveying
1020 West International Airport Road
April 26, 1978
r'^
Anchorage. Alaska 99502 Telcphone(907) 279-5522
Joe Blair, R.S.P.
Environmental Service Manager
Environmental Sanitary Section
Department of Health and Environmental Protection
Municipality of Anchorage
825 "L" Street
Anchorage, Alaska 99501
RE: Thunderbird Heights Subdivision
Lot 4, Block 3
Dear llr.;Blair:
Our firm has conducted a soils investigation on the above mentioned
property. It is our intention that a trench type system be installed
on the location of the test pit. Rock outcroppings to the southeast
and to the north indicate that natural sub -surface drainage'to the
northeast will occur. Our calculations indicate that the trench should
be three (3) feet wide, six (6) feet deep and 50 feet long. The soils
data would indicate a perculation rate of 125 sq. ft. per bedroom. Due
to the occurrence of bedrock and ground water, no excavation will occur
below minus six (6) feet level. The spoil from the excavation shall be
placed on top of the trench for insulation to protect against freezing
and sloped to deflect natural drainage away from the trench.
The side wall area provided is 600 sq. ft.. The soils indicate the
side wall area required would be between 375 sq. ft. to 450 sq. ft..
Because of this over design we are asking that a permit be issued for
a single bed. Adequate space is available for a second system if required.
It is proposed to install a 1000 gallon dual compartment septic tank.
Please note the attached site plan and soils log. If you have any
further questions, please call Jack Felton in our Palmer Office (745-4201).
Thank you for your time and consideration.
Elal: JTF: be
Very truly yours,
BOF & JISSOCI TES/
E n K.tcMillan, P.E.
Chief Civil Engineer
highways . airports • drainage . planning . shopping centers • subdivisions • streets •water . sewage
t=1t1. 262.�i \
ex.2a2.s .
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BOMHOFF &ASSOCIATES,1\C.
Engineering -Planning -Surveying
1020 West International Airport Road Anchorage, Alaska 09502 Teleplione(907) 270.552
LOCATION: TN UN �a 2312a H81 G HTS
BORING NO. 1"PI•T 1Z BORING N0. PIT l g
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04-08-1997 03:24AM 9-S CORP. BOB J.MISON
P.02
AS -BUILT
I hereby ;-certity� tthat�.I have atux od •tie following
Anchorage Recording Prectnc4 Alaska; wd that the
vementa situated thereon are within the
ptopetty
wand do not overlay or encroach 0n the pcapert7
lying adjacent thereto, that no �t�v�ments an
emir lying adjacent thereto enroach on the promisee in
g Aftuon and that than are no toadwaps, transtnisdon
Lnes or other visible easements on said 1,20M V exoegt
as indicated hereon.
Dated at hY�y�y River, Al-Amtht.c lv of J�la�
ROBEAT C JOM�MqN
SCAM: Registered L�
V =�, Phone w' al �# ka
Y /21G� TOTAL P.02
£PLANS
MUNICIPALITY OF ANCHORAGE
Development Services Department , Phone: 907-343-7904
On-Site Water & Wastewater Section �--' Fax: 907-343-7997
Certificate of On-Site Systems Approval
Parcel I.D. 051-711-08 Expiration Date: L( 2.91, 2.6 2 0
1. GENERAL INFORMATION
Complete legal description Thunderbird Heights B3 L4
Location (site address) 27345 Golden Eagle
Current property owner(s) Timothy & Amy Stone Day phone
Mailing address PO Box 671581, Chugiak, AK 99567
Real estate agent Day phone
2. TYPE OF DWELLING:
Single Family(w/wo ADU)
El Duplex
❑ Multiple Dwellings(Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Private Well ❑ Private Septic 0
Water Storage ❑ Holding Tank ❑
Community Well ❑ Community ❑
Public Water System 0 Public Sewer ❑
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ 226 Waiver Fee $
Date of Payment q 1rgo//iq Date of Payment
Receipt Number 0014L E Receipt Number
COSA# o5ciq(((9 Waiver#
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, based on procedures
outlined in the Certificate of On-Site Systems 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.
In conducting an adequacy test, I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA
COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the
time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems
depend on the local soil condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by
the system.These conditions are outside the control of the evaluator of this system.All systems eventually fail and satisfactory test results
do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments.Therefore
we cannot provide any warranty for future performance,nor can we estimate remaining life of the system.The content of this report is for the
sole benefit of the owner listed above.
Name of Firm Pannone Engineering Services Phone (907) 745-8200
Address P.O. Box 1807 Palmer, AK 99645
Engineer's Printed Name Steven R. Pannone P.E. Date 4/17/19
OF
6. DSD SIGNATURE
* 49Di % :it0.. .� t �
System#1 Approved for 3 bedrooms / ••Woven• t :t.anno e
System#2 Approved for bedrooms CE 8149 .�
Disapproved gill.
Conditional approval for bedrooms, with the following stipulations:
rw-
.-462
ON-SITE Vm�
WATER AND
7. WASTEWA I tli z
PROGRAM o
i
,, yi� NTS pG ,,,
By: � k"'� Original Certificate Date:
94r
The Municipality of Anchorage Development Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist. X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
COSA Checklist
Legal Description: Thunderbird Heights B3 L4 Parcel ID: 05-711-08
If more than 1 septic system on lot: COSA Checklist# of Structure served by this system
A. WELL DATA
❑Well log is filed with Onsite (or attached) Well production at time of test gpm
Date drilled Water storage tank volume gallons
Total depth ft Well disinfected for coliform test? ❑Yes ❑No
Cased to ft ❑ Coliform bacteria is Negative
❑ Sanitary seal is functioning correctly Nitrate mg/L 0 Nitrate less than MRL(ND)
❑Wires are properly protected Arsenic ug/L ❑Arsenic less than MRL(ND)
Casing height(above ground) in. Collected by
Date of flow test for COSA Date of Sample
Static water level at beginning of test ft.
Comments
B. TANK DATA C. LIFT STATION
Age of tank(s) NEW years
❑ Required maintenance completed
Tank type/material 5`"K151" Age of lift station years
Measured operating fluid level in septic tank Lift station material
Standpipes/foundation cleanout per record drawing Comments:
Date of pumping
D. ABSORPTION FIELD DATA
Which system tested(date installed) 411119 Adequacy test date NEW
❑■ ALL standpipes present per record drawing Results ❑Pass For bedrooms
Total measured depth from grade 770 ft(max) Fluid depth prior to test in
Measured depth to pipe invert from grade 15 ft(min) Water added gal
0 N/A—pressurized field New depth in
❑� Monitor tubes go to bottom of effective. If not, state Elapsed time min
depth into effective
Q Code-required soil cover over field Final fluid depth in
❑System presoaked Absorption rate gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months)
date of test) If yes, enter date
Gallons introduced gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> 100'
❑Yes if No ft ❑ Yes if No ft
Neighboring Tank> 100' ❑Yes if No ft Private Sewer/Septic Line>25' D Yes if No ft
Absorption Field on Lot> 100' ❑Yes if No ft Holding Tank> 100' ❑Yes if No ft
Neighboring Absorption Fields > 100' Animal Containment> 50' ❑Yes if No ft
❑yes if No ft
Manure/Animal Excreta Storage> 100'
Community Sewer Main > 75' ❑Yes if No ft ❑Yes if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations> 10' ❑✓ Yes if No ft Surface Water> 100' Q Yes if No ft
Property Line> 5' ❑✓ Yes if No ft Wells on Adjacent Lots:
Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' 0 Yes if No ft
Water Main > 10' ❑✓ Yes if No ft Community Wells>200' ❑ Yes if No ft
Water Service Line> 10' ❑✓ Yes if No ft If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' ❑✓ Yes if No ft If absorption field is under driveway comment below
Property Line> 10' ✓❑ Yes if No ft Wells on Adjacent Lots:
Water Main> 10' ✓❑ Yes if No ft Private Wells> 100' 0 Yes if No ft
Water Service Line> 10' ❑✓ Yes if No ft Community Wells>200' 0 Yes if No ft
Surface Water> 100' ✓❑ Yes if No ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION �d�.
p�P��OF �qS��k$
I certify that I have determined through field inspections and review e''co.' •9 134
of Municipal records that the above systems are in conformance with B*: 4• r AL * 4
MOA COSA guidelines in effect on this date. 1.14
''' 0��•
�• f•
4/1 7/1 9 V 1
,: . i..lC._�1
6..,. .Zvi
COSA Checklist yellow sheet
N Frontier Surveys,LLC Project No:19-026 Date:4/16/2019
4 Ordered By: Elise Yaremkiv Plat:77-226 Grid: N/A
•
Scale 1'=30'
I
rfSi
•
•
-- (K1--
/ •
ELECTRICAL ourLE,--r f--•
tt Ssr ^"'..Si -
LOT3^� •
50 a 0
•
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0.7 `�C,.��Jv
P 1 •.. ND ,,h p— 34.3
6 Jcc«J
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t0 UT/triEp56MENT `E, --q•
IL A
�E_ c• Lot 4, Block 3
o P. w\ 4 Thunderbird Heights
A LT \ 27,187 Sq. Ft.
q27345 Golden Eagle Court
3 Story Wood Frame House
G�� • With Attached 2 Car Garage
�FN9r;GFcoURr
PI'
7JS59
X Electric Meter/Outside Power ra, Telephone Pole ;,, Satellite Dish
�",y Gas Meter IN Deck -0- Fence -3*- Light Pole
$) Septic Q Water Valve B Mailbox —oo—Over Hanging Power
General Notes: 0 15-30 60
1.This document is created for the purpose of a single property transaction and is subect to Federal Copyright Laws. I 1_i
2.Excepting for gross negligence.the liability for this survey shall not exceed the cost of preparing this survey. Scale in Feel
3.All measurements/setbacks are to the visual/apparent building footprint
4.All dimensions to property lines are plus/minus 0.1ft
•LN
This
s with the
S
e
�� `0 F `A�t 111 l f conditions at tney P me of the survey This bdocumeLocation
does not constitute s.The
boundary survey and ise subjectto arty Is and
`'( •.••.QS !f7 inaccuracies That a subsequent boundary survey may reveal.0 is the responsibility of the Owner to determine the
.t,Q'•'• � 77 existence of any easements.covenants.or restnction which do no appear on the record plat.Under no circumstances
Lj `. '.•9 ,7 should this document be used for construction or for establishing a boundary or fence line.
*:' 49111" .* i As-Built Survey of:
y _.a_ Lot 4, Block 3 Thunderbird Heights
trader'w.
�1.Arec••, No.I..s..9sasoxr •: = I,Frederic Wagner,hereby certify that this Mortgage Inspection Survey was performed by me,or
"ir�4�F••• 4/16/2019 = under my direct supervision on April 16th,2019.
:- Frontier Surveys,LLC
rfl MAR-FEssIONA;;. �_ 650 W.58th Ave.Suite E Anchorage,Alaska 99518 FRONTIER..
907.460.1686-info@frontiersurveys.com
PROFESSIONAL SEAL www.frontiersurveys.com
Municipality of Anchorage
.•` 6
•• Development Services Department
f� Building Safety Division '
On -Site Water and Wastewater Program $, T,
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. Q151- 311-102 COSA# 61001Q I
Expiration Date: 3— 3 O — P-7
1. GENERAL INFORMATION
Complete legal description Tr/�d Ei /Ra Eta7T f SL/✓ 3 aCearq
Location (site address) Z 73y5 COLA "t E.4GGF_ Cnci 10 r -
Current Property owners) l IQXI.I a D(,1) A,,, Day phone
Mailing address
Lending agency
Mailing address
Day phone
Real Estate Agent �_5 t(4 La LeE.ti1' Day phone oe,-_ePP-1 q 74-
Mailing
!Mailing Address PRO TJ.4G- yisr.Q of RIV,9:7/-.e
Unless otherwise requested, COSA 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
TYPE OF WASTEWATER DISPOSAL:
❑
Individual On-site
Q
❑
Individual Holding Tank
❑
❑
Community On-site
❑
APublic
Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered In the State of Alaska. Certificates of Onsite Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined In the Certificate of On -Site Systems 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 Alo ein, En �_ Phone <�? V 7 oZcr-
Address joc
Engineer's Printed Name STWAt6 Esau' Date _747-7/0c
GF A�=L9
I . 'ti F1 •�. V 7
t� Steven w. E
5. DSD SIGNATURE PE 6s6
.........
Approved for 3 bedrooms. ,AL
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: �%�� Pef-� Original Certificate Date: 3 -
(Pa . flIOS)
Municipality of Anchorage
Development Services Department
Budding Safety Division '
Onsite Water 3 Wastewater Program : • • ,
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 995198650
www.muru.orglonsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Z2VuAtQFi (ZA ,'�F_mo= 82 cy Parcel ID:(95-1- -771-08
A. WELL DATA PO BC ICr �A/,47'600- 3TF-0%
Wed type _ If A. B, or C provide PWSID # _ Well Log (YM)
Date completed _ Sanitary (YIN) _ Wires properly protected
Total depth ft. C to ft. Casing height (a ground) in.
FRO ELL LOG AT INSPEC N
Date of test
Static water ft. ft.
Well g.p.m. g.p.m.
WATER SAMPLE RESULT
Coliform nies1100 mL Nitrate mg1L Other bacteria colonies/100 mL
Arsenic: mgA Date of sample: Coll
B. SEPTICMOLDING TANK DATA
Tank Type/Material �C)eI5F11 77Fi5% Date installed 5Z7d'
Tank size O O gal. Number of Compartments 2 Clearwuts (Y/N) y
Foundation cleanout (YIN) Depression over tank (Y/N) 14 High water alarm (YM) A(
Date of pumping • ti Pumper �Gn jP, wt.Le✓ .1
C. ABSORPTION FIELD DATA
Date Installed 21CJ:7,P Soil rating ( or fe/bdrm) 1.25 System type 7—Z15t,4 H
Length Qy q ft. Width 3 ft. Gravel below pipe � ft.
Total depth /. J ft. Eff. absorption area 3 7it� Monitoring tube Depression over field
Date of adequacy test3� ? Results (PasslFad) 04S,r For 3_ bedrooms
Fluid depth in absorption field before test _4 in. Water added aSQgal. t New depths in.
Elapsed Time:��Q min. Final fluid depth 0 in. Absorption rate >= SQ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN 8 type) //.t1(r_1 If yes, give date
D. LIFT STATION
Date Installed
'Pump on' Ievel _ in.
Datum
E. SEPARATION DISTANCES
Size in gallons Manhole/Aocess (YIN
'Pump otr level at in. High water alarm in.
Cycles tested Meets alarm 8 ettuO�Zts?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankfift station grik
Absorp/
Public sewer nfain
Sewer /s tic service line
Ani containment areas
PuBG k, LJfFr�Z
On adjacent
On
Public 466er manhole/cleanout
tank
excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation S rt Property line -Lk.6 f Absorption Heid / a
Water main �(Water service line /u �+ Surface water OrJ �t
Wells on adjacent lots a00'+,
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line /� rt Building foundation Orr Water main
Water Service line /O rf Surface water /6o t Driveway, parking/vehicle storage
Curtain drain I/N1i- Wells on adjacent lots 200 of
F. COMMENTS
G. ENGINEER'S CERTIFICATION'�
• �•• :; �9 -a1
I cerBly that I have determined through field inspections and
review of Municipal records that the above systems are in
�• �•� ,;,,,
conformance with MOA COSA guidelines In effect on this date.
j
... ............
d� �� `3*•
Engineer's Printed Name S %irt/f �. 1 i
; W. ;. 14
Date%27/0
I;r:, re a:sa .
1] 30 •tD
�
COSA Fee $ Waiver Fee $
e
Date of Payment 3 �0 �% Date of Payment
Receipt Number Receipt Number
(Rev. 11105) '�.I
ASBUILT
.✓B%'tib E 6.��
,11rr .
I I HEP.EBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY
rASEMENTS,COVENANTS, OR RESTRICTIONS
'CH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
ANY DATA HEREON BE USED FOR CONSTRUCTION
Oc FENCE LINES, OR FOR ESTABLISHING BOUND-
ARY LINES.
SE6IARD h
SCALE=
DATE:
GRID:
FB:
DRAWN:
.30 -
E
Municipality of Anchorage (jti
• 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
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLINGf�DLI MwSV /�
Parcel I.D. 051-711-08 HAA#
1. GENERAL INFORMATION Expiration Date: a - a s O.r
Complete legal description THUNDERBIRD HEIGHTS SUBDIVISION BLOCK 3, LOT 4
Location (site address or directions) 27345 GOLDEN EAGLE COURT *EAGLE RIVER, AK 99577
Current Property owner(s) ROB & JENNINE SMITH Day phone 688-5404
Mailing address 27345 GOLDEN EAGLE COURT *EAGLE RIVER, AK 99577
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
❑
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
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/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (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.
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or prior
to closing for the engineering services provided.
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 ALASKA WATER & WASTEWATER, CONSULTANTS, INC.
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE. AK 99507
Engineers Printed Name JEFFREY A. GARNESS, !P.E:
Engineer's Comments:
In conducting this evaluation, AKW WC, Inc. attempted to provide a thorough,
conscientious engineering analysis of the system In accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the lime of the test, and separation
distances measured to readilyldentifiable features. The operational life of all wells and
septic systems depend on the fecal soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
Phone 337-6179
Date 71& 7,oc4
Approved for _ bedrooms.
Disapproved.
Conditional approval for bedrooms, with the fllowing stipulations:
�J. -
`� WATER AND
PROGRAM
Attachments:*'
HAA Checklisty Manitenance Agreements ``
Septic System Advisory Supplemental Engineer's Reort
Well Flow Advisory Other
By: �4 i //(/. /"o ��t Original Certificate Date: �" 2 S"O t{'
(Rev. 17101)
Municipality of Anchorage
• '� Development Services Department
Building Safety Division
On -Site Water 8 Wastewater Program
4700 South Bragaw, St.
P.O. Box 198650 Anchorage, AK 99519.6050
www.cl.anchorage.ak.us
(907)343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: THUNDERBIRD HEIGHTS BLOCK 3. LOT 4 Parcel ID: 051-711-08
A. WELL DATA
Well type
Date completed
Total depth
Date of test
Static water level
Well production
WATER SAMPLE
If A, B, or C provide PWSID# _ Well Log (YIN)
Sanitary seat (Y/N)_ Wires properly
ft. Cased to ft. Casing heol4t6ove ground) in.
FROM WELL LOG
N
colonies/100 mi. Nitrate mg./L.
ft.
p.m.
Other bacteria colonies/100 ml.
4a enic: mg./L. Date of sample: Collected by:
B. SEPTICIHOLDING TANK DATA
Tank Type/Material STEEL Date installed 5/78
Tank size 1000 gal. Number of Compartments 2 Cleanouts (YIN) YES
Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A
Date of pumping 2/2/04 Pumper JR'S PUMPING
C. ABSORPTION FIELD DATA
Date installed 5/78 Soil rating (g.p.d./Wor /bdrm 125 System type TRENCH
Length 44 ft. Width 3 ft. Gravel below pipe 4.5 ft.
Total depth '9.17 ft. Eft. absorption area 387 ft' Monitoring tube YES Depression over field NO
Date of adequacy test 2/2/04 Results (Pass/Fall) PASS For 3 bedrooms
Fluid depth in absorption field before test 0 in. Water added 583 gal. New depth 2in.
Elapsed Time: 5 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date —
D. LIFT STATION
Date installed -
Size in gallons Manhole/Access (Y/N)
'Pump on" level at in. "Pump off" level at _in. High water alarm
Datum Cycles
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM
Septic tank/lift station on lot
Absorption field
main
requirements?
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Sewer /septic service line Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 200'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line *
10'+
Building foundation
10'+
Water main 10'+
Water service line
10'+
Surface water
100'+
Driveway, parking/vehicle storage 5'+
Curtain drain NONE KNOWN Wells on adjacent lots 200'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and *V 4
review or Municipal records that the above systems are in "' ... ......
conformance with MOA HAA guidelines in effect on this date.
Je re A. Carnes:'
Engineer's Printed Name JEFFREY A. GARNESS � -7953
<SrL
p'
Date 2`4].004 4�R�aP�
HAA Fee $
Date of Payment
Receipt Number
(Rev. 12101)
Waiver Fee $
Date of Payment
Receipt Number
JRs Pumping
PO Box 773415
Eagle River, AK 99577
(907) 694-6454,
Bllling Information
AWWC
3701 E Tudor Rd
Suite 101
Anchorage. AK 99501
(907) 3176179
Meagan
V1 b Sna—fnformatlon _
Calso
27345 Golden Eagle Court
Chugiak. AK 99567
(907) 3376179
Service Type
Septic Service Under 2k
Addl6onal Location Comments:
Job Description: 1000g
P.O. Number.
Service Agreement
Number. 012332
Order Date: 29 -Jan -2004
Servlca Date: 02 -Fab -2004 12:00 am
Technician; Tony
Terms: Net 30
Salesrep: Nikole Job Type: Repeal
Map Book: Map Grid: 7 - -
Cross Streets: Thunderbird Drive
Job Comments: jL;6i service 0912L02 106bg
Meet wl Caleb of Sam—
Tax Pan: L ITNK AfLtSS D�trf s.t�
0
City Price Each x 2 Men Tax
1 $95.00 No No
1st left OM of Thunderbird Drive right past
malbdxes .3 story wood contemporary home
Pipes visible by back deck
(ksk ID w oe\. �eS -
Diagram:
I
... _ .....
by earAle-
Extension Actual
$95.00 q<
Ganong Planned: /1000
Gallons Actual: _ 1
Mose Length: ,3
Double Tank: ❑
Pump System: ❑
Baffles Inlet! O
Baffles Outlet: ❑
NonTaxable Total Taxable Total Tax Total Grand Total
Estimated Charges: $95.00 $0.00 50.00 395.00
Actual Charges: '%
Customer agrees t0 the terms and conditions printed on the beck. THIS IS A BINDING AGREEMENT
Signature and Title of Customer Representative Date
oral/9 -2
Accepted by JRS Pumping Date Accepted
For your added convenience we now can take credit card payments over the phone.
After 30 Days 1.5% will be charged
02/04/2004 14:22 FAX 907 688 5405 JEN\INE SMITH
By: NINE J CORPORATION; 907 694 0210; Fab -4-04 4:1CPM;
27 3 4-S
Q01
Page 1/1
AS -BUILT
I hereby certify that I Lave surveyed llje following
describedropertY• LOT - :S e¢-
0--11� pr �Lf ��- /L it1, Rf sof SA•I/L it1, Rf w SH.
Ahchorage Aacording Prednct. Alaalc. and that The
lmprovemot:nts atNatd thereon aro within the property
linea and do nmt overtop or encroach on the property
lying adjacent thveto. thatm 1myiOvwnmts on prop
arty lying adjacent thereto euowoL oa the promisee E;
quaetion and that there are no roadways• transmission
linea or other visible sae nwnts an said property except
as Indicated hereon.
Dated at Ea River. Alaska
a os! xeTZ
Rog C. ead 15 s x or
ReQtetsred Lead Bva+eyu• !a6• ga0-LB
t'• �(f0 tioa Ob
sea Ruwr- Alneks
Phone
:1294133-
r
MUNICIPALITY ANCHORAGE
• '-' DEPARTMENT OF HEALTH 5 HUMAN SERVICES
Division of Environmental Services
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 I.D. # 051 711 08
1. GENERAL INFORMATION
HAA #
HA 970083
Complete legal description Lot 4• Block 3; Thunderbird Heights
Location (site address or directions) 27345 Golden EAgle
Chugiak, AK
Property 6%finer Marilyn Ecck Day phone 688-9177
Mailing address 27345 Golden Eaale Chuaiak AK 99567
Lending agency" Vista Mortgage Day phone
Mailing address
Agent
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual well
Community well XXX
Public water
Day phone
562-6444
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 XXX
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 -MMR.. 1/91) front MOAM
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.
Name of FirmS & 5 ENGINEERING Phone
Eagle Iver Loop RoadNo. 404
Address EagleRiver„AlaskM77
Engineer's signature
Date C / 3 /`f 7
REQUEST YOU ISSUE A NON—CONDITIONAL HEALTH AUTHORITY APPROVAL AT THIS TIME.
ALL REQUIRED WORK HAS BEEN SATISFACTORILY COMPLETED. Aed1••►hr
a
>� ROBERT C. COWAN/r
6. DHHS SIGNATURE `"oma, ` CE-8801
Approved for - bedrooms. �F':.prEs-y.004P,
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
Date 1 ?
•
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 purchasers of 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-M Rw. 1N1) Rack MOA m
,
e y, Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division it
825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744
Health Authority Approval Checklist
Legal Description: Ler `) !, &-ocx 3. T vw-*4&4o Parcel I.D.: 051 ^ '111 -06
A. WELL DATA
Well type CLA. Apt If A, 8, or C. attach ADEC letter. ADEC water system number
Log present (Y/N)
Total depth
n ry seal(Y/N)
Date of test
Static water level
Well production
Date completed
to
FROM WELL LOG
WATER SAMPLE RESULTS:
Casing height (above ground)
Wires property protected (Y/N)
AT INSPECTION
g.p.m. 9 -
p.m -
Nitrate -------- — Other bacteria
Date of sample: Collected by:
B. SEP IC/HOLDINOTANK DATA
Date installed 5bb 57bTank size 1000 Number of Compartments Z Cleanouts (YYN) ` Es
Foundation deanoute/N) YES Depression (YQ) 14 0 High water alarm (Y/6)
Date of Pumping 3 - 11- 17 Pumper .; K ?VM%*1 4-
C. ABSORPTION FIELD DATA .
Dati instailed 15/ -it Soil rating (g.p.d," o /bdr ) 11'i System type I R E"c "i
Length ` 44 Width ga Gravel thickness below pipe q. s 1 Total depth S� _ 9 �
Effective absorption area 38714 Monitoring Tube present 49N) YE ss Depression over field (YB)
Date of adequacy test _
3 -11 -v -t
Results (/Fail) PASS For 3 bedrooms
Fluid depth In absorption field before test (in.); Or Immediately after7iO gal. water added (in.): 2 ��
Fluid depth O (ins) Minutes later: O Absorption rate = r -15O r a.p,d.
Peroxide treatment (past 12 months) (Y/N) tlaol k00A If yes, give date tIll t-
72-026 (Rev. 3MG)'
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm
E. SEPARATION DISTANCES
Size in gallons
'Datum _
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
line
"Pump off" level at"
On adjacent lots
_ On ad ets^�
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation 51 } Property line 1014. Absorption field 1z I
Water main/servioe line _I a It Surface water/drainage )ao l f Wells on adjacent lots ZQer'F
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line 10 1P Building foundation 10 1 + Water main/service line to I t
Surface water 1001+ Driveway, parking/vehicis storage area 2s ' -f
Curtain drain /A Wells on adjacent lots Zeol t
F. ENGINEER'S CERTIFICATION
I car* that I have determined thru Held inspections and review of Municipal
In conformance with
HAA gui allose in effect an this date.
Signature
Engineer's Name Rr B �� C- Cd "1411
Date
HAA Fee $
Date of Payment _
Receipt Number _
72-026 (Rev. 31913)"
C b c)
Waiver Fee $ _
Date of Payment
Receipt Number
y�
p ROORRT C. COWAN f
`(y CE - � 1
s 'Seg
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
O 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 -
Parcel LD. HAA#
1. GENERAL INFORMATION
Complete legal description Lot 4; Block 3; Thunderbird Heights
Location (site address or directions) 27345 Golden Eagle
Chugiak, AK
PrbQerty owner ,• ••Marilyn Bock Day phone 688-9177
s�="• ' ' `27345 Golden Eagle Chugiak, AK 99567
} Ma)Img:a.dress'
%•Lending agency. o.CT4 14t Day phone
'Mailing address
Agent Jerry Duhurst/ Recax Properties Day phone 276'2761
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual well
Community well xxx
Public water
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 Xxx
Holding tank _.
t
f
Community on-site \ ;'
�t1
Public sewer
r
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
n-025 (R". 191) Front MOAFYI -
5. ;STATEMENT OF INSPECTION BY ENGINEER.
As certified by my seal affixed hereto and as of the validation date shown below, I verity 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 fu -ther verify that based on the information obtained from
the Municipality of Anchorage files and '.,)m my investigation and Inspection, the on-site water
supply and/or wastewater disposal syste;n is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
S & S ENGINEERING
Name of Firm Phone —Cq 41- ;1-9 7q
r
Address Eagle River, Alaska 99577
Engineers signature�% �- //�2/' Date 3 '2- q
QE4•+41T Ccn A, r, a, 4L 09-OPRC y?G near a It'—C -rV At 70 6f %>'74e.Oi.0
qro F,et. rt&ctd o v LEdcoc,e.0 TA( -Cd To Peav,ty net87ive Dej^p d
k0 H(AL TW HA -"A-0 / 10,fIt51 , 7- Cc—*,r/C-/✓• QF A/ _
6. DHHS SIGNATURE
Approved for bedrooms.
CE -8801
Disapproved.
Conditional approval forF r-6E�3 bedrooms, with the following stipulations:
F-XTe,Jn 11/1o,�)zoiL 7uBc Awo 7a r'CAcE 111)o171awtc Tie -c- ov6R
Additional Comments MONIES To �r AW rim Escauw
THIS
_�T
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 doesthis as a courtesy to purchasers of homes
and theirlending 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-= VW 1101) Beck MOAM
. . WjlucwAun Of NCtORAGI
D"MjWUt"=0"Jj
23
Municipality of Anchorage ms's u -
DEPARTMENT OF HEALTH & HUMAN SERVICEIIAR 13 1997
Environmental Services Division
825 L Street, Room 502 • Anchorage, Alaska 99501 • (907i�13•ME p
Health Authority Approval Checklist
Legal Description: Lor ri BWck 3, T avoaftf3=ao 149ZgrSParcel I.D.: 091 7// Oe
A. WELL DATA
Well type C Ifte, "Al If A. B, or C, attach ADEC letter. ADEC water system number 1\\5(0
Log present (Y® Date completed
Total depth
FROM WELL LOG
Date of test
Static water level
Well production
WATER SAMPLE
Coliform i
sample:
B. SEPTIC/HOLDING TANK DATA
Nitrate
9 -
p.m -
Casing height (above ground)
Wires properly protected (Y/N)
AT INSPECTION
Other bacteria
9 -
p.m -
Date installed 61 -IS Tank size 1000 g.\ . Number of Compartments 9- Cleanoutsf@l)YeS
Foundation cleanoutION) Y•s Depression (Y® Wel High water alarm (Y(O �
Date of Pumping B -t1=4`]'- Pumper %752 PNMPTNG
C. ABSORPTION FIELD DATA
Date installed 51-S Z Sal rating (g.p.dJW o<� 12's System type J 2ow-H•
Length LILA Width "?L" Gravel thickness below pipe 1i .5 ! Total depth
LO!V r!4-4
Effective absorption area 3$1 Monitoring Tube present �1) Yes Depression over field (YCVl ' - ><c a. nc o
Date of adequacy test 'S-11-9 `7 Results(§R/Fail) PA --5 For bedrooms
Fluid depth in absorption field before test (in.); O', Immediately atter 7Zgal. water added (in.): O � !
Fluid depth Q" (ins) Minutes later: 0 Absorption rate = Viso * c.p.d.
Peroodde treatment (past 12 months) 06 if yes, give date
!
72-026 (Rev. 3196)•
D. LIFT STATION
Data installed
Manhole/Access (V/N)
High water alarm level at"
E. SEPARATION DISTANCES
'Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
line
Sim in gallons
"Pump off" level at"
On adjacent
adjacent lots
Public sewer manhoie/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation 5 It. Property line j0'+- Absorption field la
Water main/service line )0''' Surface water/drainage IOo' + Wells on adjacent lots aw 'f'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10' r Building foundation lo' a Water main/service line /o't
Surface water Oo' t Driveway, parking/vehicle storage area
Curtain drain IV14 Wells on adjacent lots .200 t
F. ENGINEER'S CERTIFICATION
I certify that I have determined thru Held inspections and review, of Municipal rico ms are
in conformance '�qr puidellin ect on Mls date.
Signature
.y
Engineer's Name /C r/t £ c r rd
j e 1 axEer c Enweri /fie
Date / r Z q-7
HAA Fee $ 6V Waiver Fee S _
Date of Payment ���A? 7� Date of Payment
Receipt Number _ 2672 14 Receipt Number
72-028 (Rev. 3/98)•
r`t
rt
S. LEGAL DESCRIPTION
DATE RECEIVED
INSPECTION APPOINTMENTS
Iieights Subdivision
TIME
TIME
TIME
NUMBER OF,BEDROOMS
e
DATE
DATE
DATE
2ER Three ❑ Six
7. WATER SUPPLY
L .
INSPECTOR
INSPECTOR
INSPECT
v
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
\ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROfWff;6WENTAL P:.0=TION
825 L Street - Anchorage, Alaska 99501
•
1
APR 14 1981
ENVIRONMENTAL SANITATION DIVISION
Telephone 264.4720
RECEIVED
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DI RECTI DNS: Complete al I parts on page 1. Incomplete requests will not be prxessed. Please allow ten (10) days for processing.
1. PROPERTYOWNER
PHONE
Stuart W. Gustafson % First National Bank of Anchorage
276-6300
MAILING ADDRESS
Post Office Box 720 99510
PROPERTY RESIDENT (If different from above)
PHONE
2. BUYER
PHONE
Gary/Marilyn Bock
MAILING ADDRESS
2740 Kingfisher Drive
3. LENDING INSTITUTION
PHONE
First National Bank of Anchorage
276-6300
MAILING ADDRESS
Post Office Box 720 99510
0. REALTOR/AGENT
PHONE
Marianna Koehler % Greatland Real Estate
694-9125
MAILING ADDRESS
Post Office Box 633 99577
S. LEGAL DESCRIPTION
Lot 4 Block 3 Thunderbird
Iieights Subdivision
STREET LOCATION
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
❑ One ❑ Four 1:1 Other
X(fj:}S SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
2ER Three ❑ Six
7. WATER SUPPLY
❑ INDIVIDUAL'
' ATTACH WELL LOG. A well log is required for all wells drilled
RX COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
S. SEWAGE DISPOSAL SYSTEM
P9C INDIVIDUAL/ON-SITE"
1976 YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLICUTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72010(Ray. 6/79)so/I \ 1
THIS SIDE FOR OFFICIAL USE ONLY
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
DATEINSTALLED
S ^ 1 Y
INSTALLER
SOILS RATING
❑SepticTankor ❑Holding Tank
Size:O! 0L) If Tank is homemade
give dimensions:
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
I
4. DISTANCES
WELL TO:
SepticlHoldmg Tank
Absorption Area
Sewer Line
Nearest Lot Lina
Absorption Area to nearest Lot Line
5. COMMENTS
0 --APPROVED FOR 2_ BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
BY
72010 (Rev. 6/79)
S & Sl ROBERTC.COWAN, PE.
ROBERTA. SHAFER PE.
jineeRtnG
/ CML ENGINEERS
May 3, 1997 (907)694-2979
FAX(907)694-1211
W .ALTNAITHDWTY
RECEIVED
APPROVALS
MUNICIPALITY OF ANCHORAGE JUN 4 1997
Department of Health and Human Services Munici
DepkHe Ph1& Human
Anchorage, AKO 99519 Sengices
MMRR&WNATTERR
REFERENCE: Lot 4; Block 3; Thunderbird Heights
SEWERSWATER
A Conditional Health Authority Approval (HAA) was issued on 4/9/97
V4SPECTION
for the referenced property. All work required for the Conditional
HAA has been satisfactorily completed.
Please issue a full Health Authority Approval at this time.
ENGINEERINGSttIDIES
ANDREPORTS
If you require additional information, please contact us.
Sincerely,
WELLWSPECTION
aP>_oWTEsr
Robert C. Cowan, P.E.
WTEFL"
RCC/gk
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRL CTU AL &
MECHANICAL
14KCTIM
ON SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577
r^
r^)
MUNICIPALITY OF ANCHORAGE
• DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276.2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
AHFC
1. Type of Inspection: CMRO VA FHA CONY
2.
Property Owner: FIRST NATIONAL BANK
OF ANCHORAGE
99510
Mailing Address: P 0.
BOX 720. Anch..Ak
Day Phone:27;6-6300
3.
Name of Buyer: GARY AND
MARILYN BOCK
Mailing Address: 2740 Kingfi
aher
DR Anc-- Day Phone:
FIRST NATIONAL BANK OF ANCHORAGE
4.
Name of Lending Institution:
P. O.
Box 720,
Anch.,AK Phone: 276-6300
Mailing Address:
GREAT LAND
REALTY—Marianna Koehler
5.
Name of Realtor or Agent:
P. O.
Box 633,
EAGLE RIVE 694-9125
Mailing Address:
hone:
Lot 4,
Block 3,
THUNDERBIRD HEIGHTS SUB.
6.
Legal Description:
Mile 26
Glenn'Hwy,
Chugiak, Alaska
Location:
7. Type of Facility to be Inspected: single family residence No.Bdrms. 3
8. Water Supply
Type of Supply: Public Utility X Individual
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
X
Type of System: Public Utility Individual (on-site)
If Individual, date of installation
72 003(7/76)
Thunderbird Heights Subdivision - Thunderbird Drive to the
intersection of Thunderbird Drive and Golden Eagle Court, turn
right into the cul-de-sac, lot 4 is the second lot in on the
left; lot 3 is on the left corner, lot 4 next one in.
r
y
rid
Iw�1Y�A�11��!_ T £325 "1. :;1 REr r
��� ANCHORAGE, ALASKA 99501
'*\j! (907) 264 4111
DrPAR T%" NT Of 00 -ALT I!A":nr."a'•+'I�R n/"!`.+Cf: rAL PPOiECT 10:1
April 16, 1981
Pi.rst ^Iational Bank of Anchorage
(Stuart 1'1. Gustafson Property)
Post Office Box 720
Anchorage, Alaska 99510
Subject: Lot 4 Block 3 Thunderbird IIcights Subdivision
Anmroval for the individual sewer and water facilities
cannot be granted until the following item has been
completed:
(1) The septic tank pumped with a receipt submitted
to this office.
Tf there are any further questions, please call this
office at 2.64-4720.
Sincerely,
robcrt C. Pratt, R.S.
Associate Specialist
I?cr,/ljw
cc: Marianna Koehler
% Greatland Realty
Post Office Box 633 99577
