HomeMy WebLinkAboutTHUNDERBIRD HEIGHTS #1 BLK 6 LT 19(� I \ VWJq\j:6AkknJ 4kcr.X 6VXAS A 051- 54a -.o Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231257 PID Number: 051-582-10 Dwelling: FQ1 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name LOUIS AND SHERRY HUCK TAORPTION FIELD Trench E]Wide Trench E]Bed ound Site Address 27608 MALLARD COURT, CHUGIAK, AK 9956Other Phone Number of Bedrooms Soil RatingTotal grade 907-688-3253 3 /sF !::��original Ft. LEGAL DESCRIPTION Depth to pipe invert from original g- de Gravel depth beneath pipe Subdivision Block Lot THUNDERBIRD HEIGHTS #1 6 19 Ft. Fill added above original gr Ft. G el length Ft. Township Range Section - - Gravel width Ft. Beds: Number of Lines Dis a between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total a,4rorption area Number of trenches Dist. betweenches From Tank Field Tank Line Ftz - - well N/A EXIST. N/A - 25'+ TANK ❑ Septic 9 S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER TANK Capacity 1500 Gal. Surface water 100'+ EXIST. 100'+ - Material Number of compartments Lot Line 5'+ EXIST. rj'+ - NA PLASTIC 2 Foundation EXIST.. 10'+ - LIFT STATION Manufacturer Capacity 110'+ Remarks *2ND COMARTMENT OF STEP TANK GREER TANK/ANCH.TANK *500 Gal. Alarm location Electrical installed by . INDOOR z Installer PIPE MATERIAL House to tank D3034 `, rank to EXIST. "d rainfield JR'S EXCAVATION Drainfield EXIST. CO/MT N/A Inspector GEG CONSULTANT, JODY MAUS BENCH MARK (Assumed elevation) 100.00 ft Inspdection v, 9/8/2023 - Location and description nd 2 31d - 4th _ BOTTOM OF SIDING AT FOUNDAITON CLEANOUT. ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp Qo�000044 Conditional Approval: Date -95,40 ooP� p ......,/..........0 Septic Syste • V J.effrey A. Garness:- , Q -- p CE -7953 Approved Date cOp 4d Pre 'a'•`'..�•(�0 Note: this approv does not include well permit requirements. ��p°'Pr0fesslo�o�� DD�Qp�� #AECC884 trcev 0510u -i6) IPERMIT NUMBER: R E C O R D D R! l V 11 �9 V PARCEL ID NUMBER: 1 OS P231257 051-582-10 i O Go\"x THUNDERBIRD HEIGHTS #1; -APPROX. WATER SERVICE LINE AND KEY BLOCK 6, LOT 20 BOX LOCATION PER 1998 RECORD DRAWING 0 hs 1980 DRAINFIELD NEW 1500 -GALLON GREER STEP TANK WITH TWO (2) DISTRIBUTION LINES. 1 t t I � t i � EXISTING 1998 DRAINFIELD t 1" = 40' 40 - NET'S EMANEERI Iff UVROUPP,Ltd ....,: ENGINEERING SALES CONSULTING 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, ALASKA • PHONE (907) 337-0179' �BSITE www.gamessengineering.com ®:l..aa.r:. . ' :............ ................. m jo PREPARED FOR: PHONE NUMBER: PAGE NUMBER: o hJ ffr-ey.,p,,,GarneSS 4-ci Ix LOUIS &SHERRY RUCK907-688-3253 2 OF 3 �0 / CE -79 3 PROJECT/LEGAL DESCRIPTION:DRAWN BY: #••.,•� 1 IZ THUNDERBIRD HEIGHTS #1; BLOCK 6, LOT 19 J. L. M. ®� Fp •'q1�• •• P�, ®® TYPE OF WORK: DATE: LICENSE RECORD DRAWING OF SEPTIC TANK UPGRADE 9/15/2023 #A CC884 ®� G a , , 48.0 15.5 LMH251.9 14.4 NOTE: THE SHED IS NOT ON A PERMANENT MT 54.8 15.8 FOUNDATION (ON SKIDS/MOVABLE). DISCUSSED NOTE: PIPE LOCATIONS ARE WITH DEB WOCKENFUSS AND CURTIS SHOWN PER GEG SHOTS TOWNSEND WITH MOA ONSITE DEPARTMENT, , � TAKEN WITH LEICA DISTO AND SHED CAN REMAIN IN PLACE. 1 Q S910 LASER DISTANCE -� METER. SWING -TIES TO i HOUSE CORNERS WERE GENERATED IN AUTOCAD. THUNDERBIRD HEIGHTS #1; BLOCK 6, LOT 16 1" = 40' 40 - NET'S EMANEERI Iff UVROUPP,Ltd ....,: ENGINEERING SALES CONSULTING 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, ALASKA • PHONE (907) 337-0179' �BSITE www.gamessengineering.com ®:l..aa.r:. . ' :............ ................. m jo PREPARED FOR: PHONE NUMBER: PAGE NUMBER: o hJ ffr-ey.,p,,,GarneSS 4-ci Ix LOUIS &SHERRY RUCK907-688-3253 2 OF 3 �0 / CE -79 3 PROJECT/LEGAL DESCRIPTION:DRAWN BY: #••.,•� 1 IZ THUNDERBIRD HEIGHTS #1; BLOCK 6, LOT 19 J. L. M. ®� Fp •'q1�• •• P�, ®® TYPE OF WORK: DATE: LICENSE RECORD DRAWING OF SEPTIC TANK UPGRADE 9/15/2023 #A CC884 ®� I PERMIT NUMBER: RECORD D RA „ , I N G PARCEL ID NUMBER I OSP231257 V\v/ 051-582-10 IN1 C 'ANK = 95.44 'T PLUGGED DNTRACTOR (GlANESS ENS l EP, Ltd 0 .......... ....... ....;....... � r ENGINEERING SALES CONSULTING C 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, ALASKAPHONE (907) 337-6179' WEBSITE. m+ w.0amessengineering,wm ®•.�.�.. .. �� �.... .............. PREPARED FOR PHONE NUMBER: PAGE NUMBER o w,�J$ rfF dyAQ G�arness : 'ti W LOUIS & SHERRY HUCK 907-688-3253 3 OF 3 16�G� ' i�TTii C7 79 3 '•��® PROJECT/LEGAL DESCRIPTION: DRAWN BY: ®�(�` 1713913 g 2 ii`THUNDERBIRD HEIGHTS #1; BLOCK 6, LOT 19 J.L.M. FD • •'' P�, �� TYPE OF WORK: DATE: LICENSE ��' OFESS� RECORD DRAWING OF SEPTIC TANK UPGRADE 9/13/2023 LICENSE NOTE: THE LOT IS SERVED BY A COMMUNITY WATER SYSTEM. Lot 20 Lot 9 Lot 10 Lot 11 PLOT PLAN AS BUILT -1- SCALE 1 " = 50' GRID _ NW 1865 Project No 23-352/A2 44,' Associates, H 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 & Lang S S a c 1 a t e S, I n c. (907) 522-6476 Phone ken®longsurvey.com��� Professional Land Surveyors Jonathan*langsurvey.com OF At,�l� trovisOlongsurvey.com ®'` . • ' ' ' ' tS I hereby certify that I have surveyed the following described property: ����'jP•• •� LOT 19, BLOCK 6, THUNDERBIRD HEIGHTS SUED. - ADDN. No. 1 (PLAT No. 78-201) ; 49TH Anchorage Recording District, Alaska, and that the improvements situated thereon are• • • • • . • • . • • .. within the property lines and do not encroach onto the property adjacent thereto, that 0 no improvements on the property lying adjacent thereto encroach on the surveyed• • • • • • • • • .. • • premises and that there are no roadways, transmission lines or other visible KENNETH G. LANG easements on said property except as indicated hereon. �,•, o No. 52/02 Dated this the 1`�{� Da of ����i�t.� ?L: ��9•'•ti((12{•'c,�l�AW Y at Anchorage, Alaska EDA •1.. d• ��p AOFFSStONA�I„. It is the responsibility of the owner to determine the existence of any easements, j��SS�HO covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963 vs i oQ i R `150 :�0 ®l rylMp oo nRi�F� � •- ` Q RETAINING . e"6 9� r WALL Ln (� 1�o , PORCH o \� 2.0'x72.3' CANT 2.5'x7.3' CANT zo N ® 30 'x-10' UTILITY EASEMENT NOTE: THE LOT IS SERVED BY A COMMUNITY WATER SYSTEM. Lot 20 Lot 9 Lot 10 Lot 11 PLOT PLAN AS BUILT -1- SCALE 1 " = 50' GRID _ NW 1865 Project No 23-352/A2 44,' Associates, H 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 & Lang S S a c 1 a t e S, I n c. (907) 522-6476 Phone ken®longsurvey.com��� Professional Land Surveyors Jonathan*langsurvey.com OF At,�l� trovisOlongsurvey.com ®'` . • ' ' ' ' tS I hereby certify that I have surveyed the following described property: ����'jP•• •� LOT 19, BLOCK 6, THUNDERBIRD HEIGHTS SUED. - ADDN. No. 1 (PLAT No. 78-201) ; 49TH Anchorage Recording District, Alaska, and that the improvements situated thereon are• • • • • . • • . • • .. within the property lines and do not encroach onto the property adjacent thereto, that 0 no improvements on the property lying adjacent thereto encroach on the surveyed• • • • • • • • • .. • • premises and that there are no roadways, transmission lines or other visible KENNETH G. LANG easements on said property except as indicated hereon. �,•, o No. 52/02 Dated this the 1`�{� Da of ����i�t.� ?L: ��9•'•ti((12{•'c,�l�AW Y at Anchorage, Alaska EDA •1.. d• ��p AOFFSStONA�I„. It is the responsibility of the owner to determine the existence of any easements, j��SS�HO covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963 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: OSP231257 Work Type: SepticTank Upgrade Tax Code Number: 05158210000 Site Legal Address: THUNDERBIRD HEIGHTS #1 BLK 6 LT 19 G:1865 Site Mailing Address: 27608 MALLARD CT, Chugiak Owner: QUARTZ CREEK TRUST Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date: i»cnt y�, 0 � d Department Lot Size in Sq Ft: Total Bedrooms: 8/28/2023 8/27/2024 24609 ❑ 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 *o � G Issued By: l� Date: Date: 3/2 cS�Z 3 3 IWUMCIPALITY OF ANCHORAGE Development Services Department% �i Phone. 907-343-7904 On -Site Water & Wastewater Section Fax: 907-34.3-7997 ON-SITE SEPTICIWELL PERMIT APPLICATION Parcel I.D. 051-582-10 Property owner(s) LOUIS AND SHERRY HUCK Day phone 907-688-3253 Mailing address 27608 MALLARD COURT, CHUGIAK, AK 99567 Site address 27608 MALLARD COURT, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) THUNDERBIRD HEIGHTS #1; BLOCK 6, LOT 19 Legal description (Township, Range & Section.) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: (® all that apply) TYPE OF DWELLING: Absorption Field ❑ Initial ❑ Single Family (SF) x❑ Septic Tank Q Upgrade x pg (w/wo ADU) Holding Tank El Renewal Renewal ❑ (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: 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: *zZ S Waiver Fees: Date of Payment:. Date of Payment: Receipt Number: 05/650&' Receipt Number: Permit No. 05,02--Z,12_97 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231257, Deb Wockenfuss, 08/28/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231257, Deb Wockenfuss, 08/28/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231257, Deb Wockenfuss, 08/28/23 .01 SEPTIC PIPES O tb qsp �. a 3 RETAINING q1' • X1 WALL 120' V� PORCH o per= �A 2.0'x 12.3' CANT C • 5-7.1 X.3 •� 2.5'x7.3' CANT 1 � ..• ` —10' UTILITY EASEMENT NOTE: THE LOT IS SERVED BY A COMMUNITY WATER SYSTEM. Lot 20 76• � Lot 9 4g Sg 225- i , 8.2'x12.2' SHED ' --SEPTIC PIPES- O L®t 19 `�`. CHAIN-UNK 3 Lot 0 24,609 S.F. \ PENCE N LO tf) 234` . r Lot 18 ��--- 1 Lot 11 I PLOT PLAN __ AS BUILT X SCALE 1., = 50' GRID NW 1865_ Proiect No. ___ 23-352/A1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & A 5 S o c 1 a f£ s, inc. (907) 522-6476 Phone ken0langsurvey.com Professional Land Surveyors jonathanOlangsurvey,com ..► r� OF At ,..,"�' k trovisOlangsurvey.com ,.:'"' , • • ' • , I hereby certify that I have surveyed the following described property: LOT 19, BLOCK 6, THUNDERBIRD HEIGHTS SUBD. — ADDN. No. 1 (PLAT No. 78-201) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on sold property except as indicated hereon. �z Dated this the Day of at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 9 !. 4 H. TH W. KENNETH �G. LANG ,' 4 '• p r 0.5202 cv / j'• "J AN •'yam State of Alaska AECC963 Municipality of Anchorage Page of z DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SL,1 `i Ro'f55 PID Number: 051 Name: LoviS iiuc.K. Wastewater System: ❑New 9Upgrade Address: 2� oe CoJrLT Cuuct>�. AtG9T.56 ABSORPTION FIELD Phone: to 98 - 7-.2-53 No. of Bedrooms: 3 O Deep Trench • Shallow Trench O Bed O Mound O Other LEGAL DESCRIPTION Soil Rating: Z Total Depth from original grade: Sa3Z — . GPDfS Ft. (.85 a Block: Subdivision: 1 Lot:1-1 6 Depth k1 pipe bottom from original grade: _Z Gravel depth beneath pipe Ti:J IILO W&Ii I - -z. f9 Ft Alf. O(— Ft. Township:,-,-• Range: Section: Fill added above original gg�redef: Gravel lengtn: *0 '—' 1.03 -" I. Ft. Ft. WELL: 6Kr N`w ❑Upgrade Gravel width: St Numberoflines: DistanpbeMenknes: Ft t Ft. Classification (Private. A.S.C): Total Depth: ed To: Total absorption area: Pipe material: CoMMJ IT'1 FL FL DO SO. Ft. Q le Scki Y• Driller. ate Drilled: Stahc water Level: Installer. EAC•k.t ~uTAI•J Datelnstalled: Ft. ZX4rdAlrrtG 12hh6 Yield: Pump Set at Deng Height Above Ground: TANK GPM FI. Ft. SEPARATION DISTANCES 0Septic ❑Holding ,� To Septic Absorption Lift Holding PublltlPrirst# Manufacturer. Capacity in gallons: From Tank Heid station Tank Sever Lines A acNeCAC.e 7;01K 1250 welt zoo+ �,'+z5't Material: 5Tele m a Number of CST wai re 106'4 odd. iod LIFT STATION Lot s+ z0_ 1 Iof in gallons: Manufacturer. Line Zp± IZSO i\Size A}•tc6rLAdt 1Ard1CC&,k. S.k O rsnlr Foundation 14 I I I l+ ' �. "Pump on" level at: 'Pump off' level at: High water alarm at: 11— — II to a}1• 1}Sw Curtain O{y1� Pump Make & MOW Electrical Ii�spections performed by: Al Drain rDE Z. all Or W -e -A0 tL.ee_TrtlC- Remarks: etrH ENP OP BENCH MARK 2 0 f �T� sop INsU EP Location and Description: -1r sP 6O .r.k .e Sl�tru� FR�e+3 11 of 1 NSJLaT IOyt o✓1 If kl •� • . 1 WAapG�L- sesbitl� L.INe_TD 010 ��1Ghl Assumed Elevation: /Ob.O Ft y ENGINEER'SSEA C 1 T o is l FR n t�. 1 1 r ••S Inspections performed by: A•�•�•�• Dates:ts IZ i tri . •� � •••°•• •~ ••~•�� •• �1►►C--• 2nd / ld .. ........� 3rA/7_1 Department Health Human Services it i` •••bffr A. Garn �� `� "O3 of and approval •"°: lt // /-�-99 Reviewed and approved by: � Date: ttp��PROFESSIO�A+„_ ,a�`e`�� 72-017 (Rev. soul) MOA 25 0Ltktd c C `i(. ley), L�r,t_ t_ t.�A PERMIT NUMBER: AS -BUILT DRAWING PARCEL IO NUMBER. SW9804550455 - 051-582-10-10 WATER LINE EXISTNG DRAINFIELD TO BE r -r -o -tis C/0 15 KEY BOKUSED AS A RESERVE SITE. 1 PSA• `rte„( MT/� 4 /-NEW l o'r l'baE ' y l / N S.T.E P. SYSTEMN W ►�rtT�rt.�r<.T�rr� qurl + I II //}/ I THe 2+ 1 I TOP OF SLOPES I I I ,1I I A MT2 NEW ��oao �®ovo ��ii>L1lS>�i000 Mv �� ®ooa� �, rc��a�oo -t"01(NX @D) • ��000 qurl + I II //}/ I THe 2+ 1 I TOP OF SLOPES I I I ,1I I A MT2 NEW I I KEW 1250aaam I I I #ElI(1 MmL?FIT NZop 01'T--9,90 S,f.E.f'. TANK Nvro a�+� uvY�ry.v5m KOXX-9461 T-) -191.98 V \ / 9omom of Ma7!Lt}4 T.21-127.72(") ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD. SUITE 20. ANCHORAGE. AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-7246 .LGAL OLSCR�PIION: THUNDERBIRD HEIGHTS SUBDIVISION, LOT 19, BLOCK 6 IYPL OF WORK: DESIGN OF SEPTIC SYSTEM UPGRADE 'NLPARLU 10R: PUUNL NUMULN: LOUIS HUCK 688-3253 JAlc JNAWN or: 12/7/98 A.C.G./J.L.M. 1 = 40' 2 OF 2 fast EffiI r vL aaR - osa0- Mv �� �, -t"01(NX @D) .IN.97 101, orwgt MACR"R-99A4 -9990 sr. f rzra TNA mr op rNJ, Kkr-9942 KOVIL`T-99.Y1 I I KEW 1250aaam I I I #ElI(1 MmL?FIT NZop 01'T--9,90 S,f.E.f'. TANK Nvro a�+� uvY�ry.v5m KOXX-9461 T-) -191.98 V \ / 9omom of Ma7!Lt}4 T.21-127.72(") ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD. SUITE 20. ANCHORAGE. AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-7246 .LGAL OLSCR�PIION: THUNDERBIRD HEIGHTS SUBDIVISION, LOT 19, BLOCK 6 IYPL OF WORK: DESIGN OF SEPTIC SYSTEM UPGRADE 'NLPARLU 10R: PUUNL NUMULN: LOUIS HUCK 688-3253 JAlc JNAWN or: 12/7/98 A.C.G./J.L.M. 1 = 40' 2 OF 2 fast EffiI Alcan Electrical EtWneering, Inc. 6679 Arctic SmRd. Anchorage, Alaska 99514 Fax Cover Sheet DATE: December23.IM- TWE: Y1:Ot1AM TO: AWVJC HONE: Jenny FAX: 338-g24C FROM. Aluan Electric PHONE: 583-3787 Skip Bingmarm- FAX. 5E2-6296 RE: ' Thunderbird Heights, Lot -18 , Block -6 Jenny - In regards to the sewage lift station that Alcan connected -at the above mentioned location. All electrical work performed by Alcan was done to 1996 National Electrical Code, (NEC) standards. If you have any questions please contact me Thank you! Number of pages including cover street: 1 I M -Li nicipah- r of Anchorage Department of Health and Human Services,�� 825 Street cehlysrcc. P.O. 30::'.96650 ancncr;e. Alaska dlayor January 7, 1999 Jeff Garness, PE Alaska Water & Wastewater Consultants, Inc. 6901 De Barr Road, Suite 2B Anchorage, Alaska 99504 Subject: Waiver Request for Lot 19 Block 6 Thunderbird Heights "I Waiver Request #NVI1980Iof Parcel ID 9051-582-10 SW980455 Dear \fr. Garness: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 1.0 feet. This waiver applies to the abosorption field and the west property line. This waiver approval applies to the existing absorption field to property lire separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-3744. Sincerely, %b4 Daniel J. Roth Civil Engineer On -Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet PID# 051-582-10 HA# Permit # SW980455 Date Received: December 29, 1998 Legal Description: Lot 19 Block 6 Thunderbird Heights #1 Engineer: Jeff Carness, P.E., Alaska Water S Wastewater Consultants, Inc. 6901 De Barr Road, Suite 2B Anchorage, Alaska 99504 Applicant: Louis Huck Waiver Requested: Lot line waiver of 1 foot to absortion field and west property line. Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: x Waiver is NOT Granted: List Conditions or Reasons for above: SEE f4iI+iUEEt4!J #ITAej,,,ED LEITER OF )RsTJFICATIov Date: 1-6-42 Rec #: 0440?/ 9651 By: g4v Name of Reviewer Amount: $ 115.00 Date Paid: 12-29-98 Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B — Anchorage -- Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 RECEIVED December 21, 1998 Municipality of Anchorage Department of Health & Human Services P.O. Box 196650 Anchorage, AK 99519-6650 REFERENCE: Lot 19; Block 6; Thunderbird Heights Property line waiver request DEC 29 1998 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION Request you issue a zero (0) foot property line waiver from the existing absorption field on the referenced property to the north property line. The water service line is 10 feet + from the last cleanout on the old trench. We do not anticipate any adverse effects to the neighboring property (Lot 20) with the issuance of this waiver. The water service line on Lot 20 is significantly more than 10 feet from the referenced property existing trench. JAG/gk please contact us at 337-6179. Permit Number. SW980465 MUNICIPALITY OF ANCHORAGE Department or Health and Human Services - `J 2L - Sa`S On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Nov 23, 1998 Expiration Date: Nov 23, 1999 Parcel ID: 051-582-10 Legal Description: THUNDERBIRD HEIGHTS #1 BLK 6 LT 19 1 Design Engineer. 0041 AK Water & Wastewater Consulta Site Address: 027608 MALLARD CT Owner Name: LOUIS HUCK Lot Size: 24609 SQ. FT. Owner Address: THUNDERBIRD DR Total Bedrooms: 3 Permit Bedrooms: 3 CHUGIAK . AK 99567-0000 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either. A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. AT THE TIME OF CONSTRUCTION ENGINEER WILL LOCATE WATER LINE IN RESPECT TO THE EXISTING WASTEWATER ABSORPTION FIELD. ENGINEER SHALL APPLY FOR A LOT LINE WAIVER FOR THE EXISTING ABSORPTION FIELD IF ONE IS REQUIRED. Received By: Issued By: Date: Date:// -24-176 Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 213 — Anchorage — Alaska 99504 (907) 337-6179 — Fax (907) 338-3246 Consulting EngineersCvP November 16, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Upgrade Design for Lot 19, Block 6, Thunderbird Heights Subdivision To whom it may concern: The existing 3 bedroom house is served by a community water system and private septic system Our client would like to upgrade his septic system Comments regarding the proposed design are summarized as follows: 1. SOILS: Two test holes were excavated and two percolation tests were performed in the test holes. Test hole 91 was found to be marginal for a septic upgrade site. The 30 foot radius around test hole 42 will be used the proposed septic upgrade. The soils in test hole #2 below the organics is a SM/GW material to a depth of 8 feet. At 8 feet, the soils transition to a SP/SW material to a depth of 17 feet (bottom of test hole). A percolation test was performed between 5 feet and 6 feet, and found the percolation rate was <l minute/'inch. It is our opinions that the insitu sand that is below 8 feet will act as a sand filter. 2. TRENCH (PRESSURIZED) DESIGN: a. Percolation Rates: <1 minutes/inch b. Allowable Application Rate: 1.2 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 375 ft2 f. Maximum Total Depth: 7 feet (on uphill side) g. Effective Depth: 4 feet IL Width: 5 feet i. Reduction Factor = 0.50 j. Minimum Length: 40 feet k. Effective absorption area = 400 112 (375 ft2 OK) The pressurized distribution line is to be 1.25 inch schedule 40 PVC pipe with 1/4 inch diameter hole spaced 2 feet on center (hole faced downward). 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY AND WAIVER REQUEST: As can be seen on the design, the slopes in the area of the proposed septic system are a 3% to 5% slope running from approximately east to west. There is a slope greater than 25% approximately 20 feet to 30 feet west of test hole #2. We request that your department issue a waiver to install the proposed trench 35 feet from the top of the slope. The trench is to be installed parallel to the slope contours. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerely, amen P. Williams, P.E. Civil Engineer 1 i �e I LOT 6, BLOCK 6 i THUNDERBIRD HEIGHTS \ \ e I GO, i LOT 20, BLOCK 6 LOT 9. BLOCK 6 THUNDERBIRD HEIGHTS THUNDERBIRD HEIGHTS STING SEPTIC 1 OI p, THf LOT 10, BLOCK 6 , l 1 ` TH12* THUNDERBIRD HEIGHTS �• LOT 1, BLOCK 7V-- THUNDERBIRD HEIGHTS PROPOSED SEPTIC UPGRADE ; ,1 (SEE DESIGN, PACE 2 OF 2) i Y 1 ` LOT 18. BLOCK 6 LOT 11, BLOCK 6 1 '} THUNDERBIRD HEIGHTS THUNDERBIRD HEIGHTS 1 ` I LOT 2, BLOCK 7 THUNDERBIRD HEIGHTS 1 I 1 11 'I j LOT 17, BLOCK 6 I i I THUNDERBIRD HEIGHTS LOT 12, BLOCK 6 THUNDERBIRD HEIGHTS i LOT 3. BLOCK 7 1 THUNDERBIRD HEIGHTS NOTE ALL PROPERTIES SHOWN ARE SERVED BY A COMMUNITY WATER SYSTEM AND THUNDERBIRDO EIGHTS BY PRIVATE SEPTIC SYSTEMS. ALASKA WATER AND WASTEWATER CONSULTANTS, INC. O F q 7320 E AN CHESTER HEIGHTS CIRCLE. CHORAGE• AK 99504 PHONE (907) 177-6179/FAX: (907) 338-3248 . ••�s�1r�/ LEGAL DESCRIPTION: THUNDERBIRD HEIGHTS SUBDIVISION, LOT 19, BLOCK 6 TYPE OF WORK" n� SITE PLAN FOR SEPTIC SYSTEM UPGRADE . 4!1 ................ .1... PREPARED FOR: PHONE NUMBER: ',JAMES P. WIWAM$-' LOUIS RUCK 688-3253 `3: NO. 9608 CE DAIL' DRAWN BY: SCALE: PAGL: (,tl'o-o ••••••"'••••••icc 11�16�98 J.L.M. 1 = 100' 1 OF 2 ��1��p� o►eseit 1 Z 11 PROPOSED PRESSURIZED GRAINFIELD PROPOSED 1250 CAI1DN 7' DEEP BY S' WIDE BY 40' LONG. 1 1 ST.E.P. SYSTEM ADD 4' OF CLEAN. WASHED SEWER \ DRAINROCK. ALL PRESSURIZED PIPE SHOWN ARE APPROXIMATE.AND 03 EXISTING SEPTIC SYSTEM LOCATIONWAS TAKEN FROM AN 1 PIPE WITH 1/4 DIAMETER HOLES AT AS -BUILT SURVEY DONE BY ROBERT C. JOHNSON. L.S. AS -BUILT SURVEY HAD CONFLICTING MEASUREMENTS FOR \ 2.0. ON CENTER (FACED DOWNWARD) THE HOUSE LOCATION. 1 TRENCH IS TO BE INSTALLED PARALLEL 1 1 TO SLOPE CONTOURS. / 1 NOTES: /AEXISTING DRAINFIELO TO BE 1 1. THE CONTRACTOR IS REQUIRED TO HAVE THE SOUTH PROPERTY UNE ADJACENT / 1 USED RESERVE SITE (/Vjf4N TO CONSTRUCTION, V'' 1 2. A NEW AS -BUILT SURVEY BY A REGISTERED LAND SURVEYOR WILL BE REQUIRED I 1 AFTER THE COMPLETION OF THE SEPTIC SYSTEM UPGRADE IN ORDER TO DOCUMENT 1 THE NEW SEPTIC SYSTEM. /MT INSTALL CO EXISTING SEPTIC TANK TO BE ABANDONED COMPLETELY c ALASKA WATER AND WASTEWATER CONSULTANTS, INC. o0 OFA 1 7320 E. CHESTER HEIGHTS CIRCLE. ANCHORAGE. AX 995040 PHONE: (907) 337-6179/FAX: (907) 338-3246 LO^`�•"'•••• ��s4o / THI1 11 I � Z �Ct:� H --zu� 111 X �O D 5_5 f ILS MN �I FCO .2531_ I I I 1� \ TOP OF SLOPE (APPROX. LOC.) 1 I L.AR 1 I G 1 1 Z 11 PROPOSED PRESSURIZED GRAINFIELD PROPOSED 1250 CAI1DN 7' DEEP BY S' WIDE BY 40' LONG. 1 1 ST.E.P. SYSTEM ADD 4' OF CLEAN. WASHED SEWER \ DRAINROCK. ALL PRESSURIZED PIPE 03 1 IN DRAINFIELD IS TO 1.25 PVC (SCH 40) 1 1 PIPE WITH 1/4 DIAMETER HOLES AT \ 2.0. ON CENTER (FACED DOWNWARD) O 1 TRENCH IS TO BE INSTALLED PARALLEL 1 1 TO SLOPE CONTOURS. 1 NOTES: 1 1. THE CONTRACTOR IS REQUIRED TO HAVE THE SOUTH PROPERTY UNE ADJACENT 1 1 TO THE PROPOSED DRAINFlELD FLAGGED BY A REGISTERED LAND SURVEYOR. PRIOR TO CONSTRUCTION, 1 2. A NEW AS -BUILT SURVEY BY A REGISTERED LAND SURVEYOR WILL BE REQUIRED I 1 AFTER THE COMPLETION OF THE SEPTIC SYSTEM UPGRADE IN ORDER TO DOCUMENT 1 THE NEW SEPTIC SYSTEM. ALASKA WATER AND WASTEWATER CONSULTANTS, INC. o0 OFA 7320 E. CHESTER HEIGHTS CIRCLE. ANCHORAGE. AX 995040 PHONE: (907) 337-6179/FAX: (907) 338-3246 LO^`�•"'•••• ��s4o THUNDERBIRD HEIGHTS SUBDIVISION. LOT 19. BLOCK 6. TYPE OF WORK: DESIGN OF SEPTIC SYSTEM UPGRADE LOUIS HUCK JHAWN UY: 11/16/98 J.L.M. 688-3253 1 = 40' 1HAGL:2OF2 49 ...... .. d IL... . IAMES P. WILLIAMS.-- NO. 9608 �. CE Nd .•. ..... 0 e4v I SOIL LOG — PERCOLATION TEST I LEGAL DESCRIPTION' THUNDERBIRD HEIGHTS SUBOMSION; LOT 19, BLOCK 6. PERFORMED FOR: LOUIS HUCK DATE PERFORMED: 11/3/98 Tti (feet ORGANICS TEST HOLE #:l:] 1 ,• 000 2 3 B� III I(COMPACT •.•.°• .••°°o ��•c°< DRY 11/3/98 SPiSw SOIL CLASSIFICATIONS GW '>•.GP iTr I ORG ML 11/4/98 1 4:20 6' — I' I U 1 GM CL 4—! 5 3/8' 5/8' GC OL 6' — SW MH 5 5 1/2' 1/2' ' .. • ;• • SP CH ', — SM ' �.'OH 5:52 611 5 1/2' 1/2' SC ML—SILT 1 LD �) 9 10 11 12 13 14 mm== I[. DEPTH TO GROUNDWATER DATE DRY 11/3/98 DRY 11/7/98 11/4/98 1 4:20 SITE PLAN 1' = 100' ISTINC SEPTIC SYSTEM 1Tr/T �y d , THj21 II PROPOSED SEPTIC UPGRADE (SEE DESIGN, PACE 2 OF 2) 1 � I DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 11/4/98 1 4:20 6' — 2 4:50 30 MIN 5 3/8' 5/8' 3 4:52 6' — 4 5:22 30 MIN 5 1/2' 1/2' 5 5:22 6' — 6 5:52 30 MIN 5 1/2' 1/2' PERCOLATION RATE 60 (MIN./INCH) PERC. HOLE DIA. 6' (INCHES) 20 I�—JI TEST RUN BETWEEN 4.0 FT.2. 4.5 FT. COMMENTS: PERO HOLE PRESOAKED FOR 4+ HOURS RIOR TO THE PERFOMED BY ALASKA WATER & WASTEWATER I, CERTIFY THAT THIS WAS PERFOR ED IN ACCORDANCE WITH ALL TE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: �'� 9 INC. I SOIL LOG - PERCOLATION TEST I LEGAL DESCRIPTION: THUNDERBIRD HEIGHTS SUBDIVISION; LOT 19, BLOCK 6, PERFORMED FOR: LOUIS HUCK DATE PERFORMED: 11/7/98 (EPrH feet) ITEST HOLE #2 1 ORGANICS 2 p>i ° °°oO DRY SOIL CLASSIFICATIONS ppe O : po0 II �1TI9g._ 11/7/98 OO e GW ORG 3 oao GP 71 MT ML 2 TIMES. DRUNED lope SP/Sw P 16, GM CL 4- 0 `°ip 'OOo SW/GW 4 GC OL �i•000 LOOSE WITH SW I MH 5- �. e0i ° SOME SLUFFING ••; • SP CH ° •: 4 SM OH SC 16 16- { OCi oai 7 o.?oeo° . DRY 11 ppe O : po0 II �1TI9g._ 11/7/98 OO e a.m. •.• OCi FILLED PERC CA 2 TIMES. DRUNED .• 000 ••••°°o SP/Sw 13 �• oo i TIME IN 9 • •o°o �i•000 14- •'•ppe 10 �. e0i ° DEPTH TO GROUNDWATER •'�ppe DRY 11 ••••o°o II �1TI9g._ 11/7/98 �.• o0 0 a.m. •.• OCi FILLED PERC CA 2 TIMES. DRUNED .• 000 ••••°°o SP/Sw 13 ;•p0° • •o°o" TIME IN S THAN 2 MINt TES. ••• oa o 14- �• opo •:•000 5 15- 16 16- 17 17 B.O.H. DEPTH TO GROUNDWATER DATE DRY 11/7/98 DRY_ II �1TI9g._ 11/7/98 - 10:3 '.� SITE PLAN 1' = 100' i' _tv,rnur erp PROPOSED SEPTIC (SEE DESIGN, PAGE DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 11/7/98 - 10:3 a.m. FILLED PERC CA 2 TIMES. DRUNED EACH TIME IN S THAN 2 MINt TES. 19� PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6' (INCHES) 20 TEST RUN BETWEEN 5.0 FT. AND 8.0 FT. COMMENTS: INSITU SAND BELOW 8 FEET WILL SERVETA SAND FlaR. I I PERFOMED BY ALASKA WATER do WASTEWATER I. THIS WAS PERFO M IN ACCORDANCE WITH ALL DATE. DATE t L p CERTIFY THAT 7 ON THIS fzV 14 ItlaV. J//bl '1 MUNICIPALITY OF ANCHORAGE ! DEPARTMENT OF HEALTH 8t ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION \ 825 L Street - Anchorage, Alaska 99501 Telephone 284-4720 ON I E SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME 49PN E, NE_ NEW b+ ee �J r T �G� OUPGRADE MAILING ADDRESS n LEGAL DESCRIPTION L !� 6 A/77 LOCATION / ✓! ^ NO. OF B BROOMS � O Wall �J/Z DISTANCE TO: Absorption area .J Dwellings f PERMI N SS Y Qanufacturer Mat No, of compart ents 7 Manufacturer —r p— W f.. !� w Liq. c acit in,gallons U IF HOMEMADE:d T1na length Width Liquid depth 0Z Z DISTANCE TO: Wall ling PERMIT NO. O H Manufacturer Material Liquid capacity in gallons D w= DISTANCE TO: .it i��/V/ Foundation/ I j ,3 Nearest lot line PE IT �S j j W Z No. of lines / Length o ch nc/ Totalynpthiol lipes Tren width/ r Distance t een ge{. FZw � -- Cii 22ff Z ) inches I F- Top of ble t ivsh grade ._-. ; teyal be r ath le / / L I/�/ Total effective absorption area O �JC� inches W Length Width Depth PERMIT NO. o F• W 1 Type of crib Crib diaffyV Crib depth Total effective absorption area rn DISTANCE TO: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building n ati n Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS G SOIL TEST RATING Z Zd' n INSTALLER v fJ REMARKS 13 _ � gyp.•.°".;,..,, _. , u ••Robert ''•s A. jf•�..`•,••. No. 115 APPHOV DATE LEGAL Engineezia� fzV 14 ItlaV. J//bl TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING <SO FT/SR)= 225 THE REQUIRED qSIZE OF THE SOIL ABSORPTION SYSTEM IS: 5� C?EPTH= / ^ ILEtVGTH= GRFiVEL QEF> -r THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND A14D THE BOTTOM OF THE EXCAVATION (IN 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 (IN FEET). REQU I REQ SEPT I C -rnNF< SIZE= :1-C-1130 GnLLQ"nF PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TWQ <2> I "SPECT I Qt -7S FIRE REQU I REI7 --- 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 WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERMIT EXPIRES Q E C E M E3 E R 1 r 1 5 13 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODFLEQ T" NCLUDE MORE THAN 3 BEDROOMS. SI ISSUED CONST. �l JQ555' MUt4 I C I PHIL I TY QF' nNCHQRnQE= DEPARTMENT p'k� HEALTH 825 'L STREET, AND ENVIRONMENTAL P'--OTECTION ANCHORAGE, RY,. 95 .1 n 264-4720 " QtJ-S I TE SEWER PERM I T " PERMIT r0. C 800557 ) APPLICANT KLEIN CONST. BOX 2524 PALMER AK. 745-2731 LOCATION THUNDERBIRD_DP.IVE LEGAL i,LOT 19 BLK6 THUNDERBIRD HTS SU' LOT SIZE 81000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING <SO FT/SR)= 225 THE REQUIRED qSIZE OF THE SOIL ABSORPTION SYSTEM IS: 5� C?EPTH= / ^ ILEtVGTH= GRFiVEL QEF> -r THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND A14D THE BOTTOM OF THE EXCAVATION (IN 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 (IN FEET). REQU I REQ SEPT I C -rnNF< SIZE= :1-C-1130 GnLLQ"nF PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TWQ <2> I "SPECT I Qt -7S FIRE REQU I REI7 --- 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 WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERMIT EXPIRES Q E C E M E3 E R 1 r 1 5 13 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODFLEQ T" NCLUDE MORE THAN 3 BEDROOMS. SI ISSUED CONST. �l JQ555' S MDA:"- -ENGINEERING SOILS LOG - RERC: TEST soils 109 1. j4 percolation t; Performed for: - date, o%�P.s. Aav 3 1�4. J' 6• 7- 8. 9- 10 SII 12 13- 14, 15 617I816- 17- Is. 19. 20 w.9r�r` STS/ ground water `� pert. rate —�% 8 mm./ in. between ft. �ft. .� : srformed ��iy: ,certified - b • w � G PA" r WA pert. rate —�% 8 mm./ in. between ft. �ft. .� : srformed ��iy: ,certified - b • w � G PA" r 5. LEGAL DESCRIPTION DATE RECEIVED ��.vD Blued < INSPECTION APPOINTMENTS TIME / -r TIME TIME DATE ❑ One ❑ Four ❑ Other DATE DATE 01 ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY ai /o-k'I 111S. INSPECTOR ' ATTACH WELL LOG. A well log is required for all wells drilled INSPECTOR INSPECTOR ❑ PUBLIC UTILITY MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE 8. SEWAGE DISPOSAL SYSTEM DEPARTMENT OF HEALTH 6 ENVIRONMENTAL PRO &T• OF P-ALTH & 1 •�I 825 L Street - Anchorage, Alaska 99501 Ilk"iCi00:+NMENTAL P.",CTECTION ❑ PUBLICUTILITY ENVIRONMENTAL SANITATION DIVISION MAR 2 5 1981 NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Telephone 264-4720 {{�� F (('[[ ��CC (n� REQUEST FOR APPROVAL OF &S INDIVIDUAL WATER AND SEf�l�R�F�dI1L DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 1101 days for processing. 1. PROPERTYO ER PHONE rel0 5-a73/ MAILING ADDRESS oa u PROPERTY SIDENT Ilf different from above) - PHONE 2. BUYER DU C 697- 3a 73 MAILING ADDRESS - 3. LENDING INSTITUTION PHONE tPfO N MAILING ADDRESS 4. REALTOR/AGENT PHONE 07FAI -O S MAILING ADDRESS . 5. LEGAL DESCRIPTION elT / ��.vD Blued < STREET LOCATION 19P / -r 6. TYPE OF RESIDENCE NUMBER OFsBEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY 1:1 INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE" r 9�a YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72 010 (Rev. 6/79) 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 ❑PUBLICUTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank.-+ Size: /000 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holtling TankAbsorption Area Sewer Line Nearest Lot Line Absorption Arca to nearest Lot Line - - - 5. COMMENTS O --APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72 010 (Rev. 6/79)