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BIRCH HILLS ESTATES #1 BLK 1 LT 2
Onsite File Bi'arch HImils c,,.:States #1 kk A( 11 1111�� 111-ijq kr v vvivcr io/ Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231018 PID Number: 050-081-09 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New A Upgrade Name Benjamin & Barbara Eaton ABSORPTION FIELD El Deep Trench AWide Trench [:1Bed ❑ Mound Site Address 12008 Lugene Ln ❑ Other Phone (907)947-4187 Number of Bedrooms Five (5) Soil Rating 1.2 Total depth from original grade 9.0 GPD/SFJ Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 6.0 Ft. Gravel depth beneath pipe 3.0 Ft. Subdivision Birch Hills Estates #1 Block Lot 1 2 Fill added above original grade 0.0 Ft. Gravel length 73.0 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines n/a Distance between lines n/a Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 629 Ft z 1 n/a Ft. Well >100' >100' N/A N/A >25' TANK ❑E Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Infiltrator Capacity 1,530 Gal. Surface Water >100' > 100' N/A N/A Material Plastic _ Number of compartments 2 Lot Line >5' >10'_ _N/A _N/A NA Foundation >1 0' >10' N/A N/A 4LT STATION Manufac Capacity Remarks Gal. Alarm location Elec tailed by Installer PIPE MATERIAL House to tank D3034drainf o Tank to D3034 Precision General Contractors Drainfield D3034 CO/MTD3034 Inspector M. Jakubisin & B. Schiller BENCHMARK (Assumed elevation) 100 ft Inspeection 15` 4/3/23 4/4/23 Location and description 2�d Rear lower door threshhold 3'd 4/15/23 4'h ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Fk Conditional Approval: Date ��Q'• ' '9cS�l� ori.• •'9�t� ��•�•. Benjamchiller •:� C5/./23 Septic System Approved pp Date G Z ����f� �,�92 o�r l>�l, PR�FESSl044.a Note: this approval es not include well permit requirements. kr v vvivcr io/ Benjamin Schiller CE 12592R E GISTEREDPROFES S I O N A L E N GINEER 1"=50' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND MT2 PERMIT # OSP231018 PID # 050-081-09 BIRCH HILLS ESTATES #1, BLOCK 1 LOT 2 A B FCO 14.8 MH 25.5 SV 21.3 A B C C 2CO 21.0 CO1 21.3 MT1 19.9 49.5 47.9 CO2 78.8 79.8 33.7 39.3 47.6 50.5 FEET 0 50 100 LU G E N E L A N E 5 - B D R M H O M E 570 5/4/23 GREENHOUSE 10' UTILITY EASEMENTS 560550540530520510500 TH#1 TH#2 PLAN AS-BUILT ALTERNATE SITE FOR 750 GPD: CAT III SYSTEM- 30' LONG x 5' WIDE x 1' EFF DEPTH ABSORPTION TRENCH APP RATE 5.0 GPD/SF MT1 73' LONG x 5' WIDE, 3.0' EFFECTIVE DEPTH ABSORPTION TRENCH EXISTING COLLAPSED CRIB FOUND AND DECOMMISSIONED (>10' FROM FIELD) EXISTING WELLS w/ 100' RADII EXISTING WELL w/ 50' & 100' RADII 1530-GAL SEPTIC TANK w/ 20" MANWAY 2CO GARA G E CO2 CO1 MT2 76.5 78.6 TH#3 BM PROFILE AS-BUILT (NO SCALE) 94.3 90.3 94.9 98.2 FC O MH SV 73' DRAINFIELD ROCK MT 1 TH # 3 NO GROUNDWATER 4/12/23 90.6 93.6 CO 1 CO 2 84.6 90.6 93.6 99.6 ORIGINAL/FINISH GRADE MT 2 2C O 94.1 Benjamin Schiller CE 12592 R E GISTEREDPROFE S S I O N A L E N GINEER 5/4/23 PERMIT # OSP231018 PID # 050-081-09 BIRCH HILLS ESTATES #1, BLOCK 1 LOT 2 1530 GAL SEPTIC TANK 4" INSULATION COVERING TOP OF TANK LEGAL DESCRIPTION: PERFORMED FOR: DATE:PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 3 DATE READING START TIME NET TIME(minutes) DEPTH toWATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING WAS WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING IF YES @ WHAT DEPTH? 2.5 4/5/23 1 2 3 GP (SILTY SAND W/ GRAVEL) Professional Engineers Stamp: No Birch Hills Estates #1, Block 1 Lot 2 4/5/2023 505-081-09 Precision Ex. 4:09 PM 5 0 16 1' OB 30 Benjamin Schiller CE 12592 R E GISTEREDPROFES S I O N A L E N GINEER 4/7/23 TECHNICIAN:m. jakubisin - None 4/12/23 COMMENTS: SITE PLAN > 6 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED 10 9 8 165 0 16 4 8 16 11+ 10 9 1 165 0 16 4 1 16 10 9 0 165 0 16 4 0 16 10 8 15 165 0 16 3 15 16 10 8 15 165 0 16 3 15 16 4 5 6 Lot 9 / / / Ix 10' UTILITY EASEMENTS / / A, ., / .ham h0 / / 11 Lot 1 O / / MANHOLE) / Lot 2 / / 24,829 s.f. (MOA; / , A / i PLOT PLAN ___ AS BUILT _x_ SCALE _ 1___ 30__ GRID—AN-M-3--- Project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone _"� kenOlongsurvey.com 1� �N�` Professional Land Surveyors jonathonOlongsurvey.com �'�OFALq l travisOlangsurvey.com r�P�••• A--010'. I hereby certify that I have surveyed the following described property: LOT 2, BLOCK 1, BIRCH HILLS ESTATES UNIT #1 (PLAT No. 69-186) 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 said property except as indicated hereon. Dated this the --_l ___ Day of ___Q<iL``_'______, ! , 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. *:49TH M •.* ............. 1.1....... P KENNETH G. LANG 202 1'�ll►: � ESS �NA��P"�•i State of Alaska AECC963 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax- 907-343-7997 Parcel I.D. 050-081-09 Certificate of On -Site Systems Approval Expiration Date: 9/6/23 Legal description BIRCH HILLS ESTATES #1 BLK 1 LT 2 Site address 12008 LUGENE LN Current property owner(s) EATON PROPERTY FLIPPING LLC X The On-site system(s) is/are approved for 5 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By Original Certificate Date: 6/6/23 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory X Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval—June 2022 MUNICIPALITY OF ANCHORAGE 4_j - Development j - Development Services Department ` < Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-081-09 Complete legal description Birch Hills Est #1 Block 1 Lot 2 Location (site address) 12008 Lugene Lane, Ea le River, AK 99577 Current property owner(s) Eaton Property Flipping Day phone 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS 3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel 0 Plastic ❑ Concrete ❑ Fiberglass Age < 1 yr - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench X Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 2 �_o Waiver Fee $ Date of Payment Date of Payment COSA # 0S C- 2 3 �� �, Waiver # COSA Application—June 2022 Birch Hills Est #1 Block 1 Lot 2 050-081-09 0.9 6/8/80 380 N/A 0.307 24+ 2/14/23 Forge Engineering 110 5/8/23 & 5/24/23 N/A N/A New Installation 4/15/23 9.0 6.0 N/A N/A N/A NEW > Benjamin Schiller, P.E. (907) 522-7773 Well Water Advisory Certificate of On -Site Systems Approval # OSC231166 Subdivision: Birch Hills Estates #1, Block: 1, Lot: 2 This well's productivity was determined to be .9 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 5 -bedroom residence is .52 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. 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: OSP231018 Work Type: Septic Upgrade Tax Code Number: 05008109000 Site Legal Address: BIRCH HILLS ESTATES #1 BLK 1 LT 2 G:0253 Site Mailing Address: 12008 LUGENE LN, Eagle River Owner: EATON BENJAMIN & BARBARA Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: 11�cnt ,'° S, Departrrment 2/27/2023 2/27/2024 24829 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 5 1. Although the proposed tank size does not meet the requirements of the subdivision plat note #8, it is being approved in accordance with the tank size requirements of AMC 15.65 and what has been approved in the subdivision historically. 2. Although the proposed field location does not meet the requirements of the subdivision plat note #9, it is being approved in accordance with the requirements of AMC 15.65 and what has been approved in the subdivision historically. 3. A test hole is required prior to construction of the absorption field, in the location shown on the site plan, to confirm minimum separation to impermeable soil and seasonal high groundwater, as well as percolation rate. Construction may proceed at your own risk prior to 7 -day groundwater monitoring. If results require a design change, construction shall stop pending approval of a change order. Please submit results with the inspection report (or change order, if required). 4. At one time there was a septic tank draining what is now the garage. Please confirm that this septic tank has been properly decommissioned. CO rYLr„c 1�T- A,iS k 6 t r an -E Received By: S S V �`� t% i� I b (Z—C, C Date: Issued By: Date: t MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division t Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-081-09 Property owner(s) Charlynne Ingersol Mailing address PO BOX 770516 Eagle River, AK 99577 Site address 12008 Lugene Lane Legal description (Sub'd., Block & Lot) Birch Hills Est #1 Block 1 Lot 2 Legal description (Township, Range & Section) Lot Size 24,829 Sq. Ft. Number of Bedrooms 5 Day phone APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field RInitial El Single Family (SF) IR (w/wo ADU) Septic Tank ❑X Upgrade 0 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: Q 5-9u5- Waiver Fees: Date of Payment: 02_210 23 Date of Payment: Receipt Number: 6 L! a2,0 _ Receipt Number: Permit No. P 93 ry lY Waiver No. Permit App_-'- :- February 24, 2023 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Birch Hills Est #1 Block 1 Lot 2– 12008 Lugene Lane Septic system design Dear On-Site Services Engineer: The owner of the above lot is remodeling the home into a 5-bedroom house, and the existing septic system is older and under capacity. We are submitting this permit application for the construction of a new septic system. The attached site plan identifies the location of the home as well as the proposed septic location and alternate site. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot slopes moderately toward the back of the lot, where grades then approach 25-35%. It is in this area where the new septic system is located, in order to achieve required separation distances. Contours are shown on the site plan showing the grade and direction of flow. While there are slopes greater than 25% within 50’ of the trenches and downhill, the attached slopes profile demonstrate that the design meets the steep slopes criteria in code. While the distribution pipe is not 36” below grade per 15.65.210.B.4.a.iv, per Exception B the top of the receiving soils is at 36” below grade on the downhill side of the trench, and the attached slopes profile shows that the 46% slope line does not daylight. The existing trench also shows no sign of daylighted effluent. Stormwater drainage will not impact this septic system. The new trenches will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the septic tank. The alternate site is located more than 6’ away. Please refer to the attached test hole logs, soils lab analysis, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231018, Curtis Townsend, 02/27/23 1 �\ � 500 510 520i 530;; 40 /,. % 550� 509 570 L6T 91 LOi3 TH#3 / \. M , Co' - ," LOCATE EXISTING CRIB, v , , �" REMOVE, & REPLACE w/ MOAN". I 68' LONG x5 WIDE 3:5' f r / SEPTIC SAND IF PROPER j /EFFECTIV'DEPTH / SEPARATION IS NOT POSSIBLE 1 ,ABSORPTION TRENCH EXISTING WELLS 10-UTILITY-AtEf\IIENTSi rw/ 100' RADII -� LC)i 10MT • / 1. rCp X1530 --GAL SEPTIC'TANK f w/ 20" MANWAY . 2G10 DECOMMISSION EXISTING SEPTIC Jr • ` 1 i` TANK & TRENCH PER MOA CODE < < p POSTS FOR FUTURE DECK. TANK TO BE AT LEAST 5; FROM PROPOSED POSTS ' ss.........LO TH#1 j •.— Ljf r� l AL1 ERNATE�SITE-,FOR 750 .GAT 111 SYSTEM- 30' LONG x 5",�.- / WIDE x 1' EFFDEPTH ' f ABSORPTION TRENCH l APP RATE 5.0 GPD/•SEIDLERI :~ GREENHOUSE ` LOT 1 EXISTING WELL w/ 50'& 100' RADII I NOT: SEE ATTACHED SLOPE PROFIL� CONCERT G STEEP SLOPES. N.• 1 ENG 1 N E E R I N G SURFACE WATER ,WITHIN 100' F THT'PRgPOSED SEPTIC SYSTEM or- 44 ',-S ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS LEGEND ,,,�j�•.• PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC CO - CLEANOUT Ole-.� ¢¢ b* SYSTEMS. 2CO - DOUBLE CLEANOUT • SEPTIC PLAN- FCO - FOUNDATION CLEAN( .Schiller • •�FS - FLOW SPLITTER VALVE 1 �Fc •.• • ���i 0 50 100 MH - MANHOLE CE 2592 pROFESSIONP�-� FEET ME 49/23 SV - SEPTIC OVENT ING TUBE 1 -50 TH - TEST HOLE OVIRCH HILLSBLOCK DESIGN FACTORS: SYSTEM REQUIREMENTS: 750 GPD PEAK FLOW 5 -WIDE TRENCH SYSTEM ,�,,� PERK RATE: 2.5 MIN/IN 1500 -GAL SEPTIC TANK C'o APPLICATION RATE: 1.2 GPD/SF 750 GPD / 1.2 GPD/SF / 5' WIDE * 0.54 RED (3.5' EFF DEPTH) = 67.3 LF TRENCH REQUIRED (68 LF SPECIFIED) BOTTOM OF TRENCH: 9' BELOW HIGHEST GRADE FLOW LINE ELEVATION: 5'6" BELOW HIGHEST GRADE TOP OF TRENCH: AT GRADE C1=1=PI QI n= Crlo O'rnon 1-7Ari—ki mm ) PVC SCK TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE T OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY .......... .......... . • • . Benja ' Schiller arms 92 `�l\`�/'ROFESSIONP .o 520.00 525.00 530.00 535.00 540.00 545.00 550.00 555.00 520.00 530.00 540.00 550.00 0+00.00 0+50.00 0+80.00 1"=10' SLOPE CROSS SECTION SEPTIC TRENCHES Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEER2/21/2023 46% AN GL E OF EF F L U EN T INF LU E N C E 3:1 MAX SLOPES (MUST BE SEEDED) BIRCH HILLS ESTATES #1, BLOCK 1 LOT 2 FEET 0 10 20 ~30 % 50.0 5.0 5.0 ~25% 4.0 4.0 ~25% ~20% Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231018, Curtis Townsend, 02/27/23 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 1 DATE READING START TIME NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING WAS WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING IF YES @ WHAT DEPTH? 2.7 --- 1 2 3 4 5 6GM (SILTY SANDY GRAVEL) Professional Engineers Stamp: No Birch Hills Estates #1, Block 1 Lot 2 02/02/2023 505-081-09 Precision Ex. 3:07 5 1' OB 10:18 Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEER2/7/23 TECHNICIAN: B. Schiller - NONE 2/9/23 COMMENTS: 6" DIAMETER TEST HOLE PRESOAKED PRIOR TO TESTING SITE PLAN 6 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED FILL ORGANICS 10:00 10 10:00 9 8 16 10:00 9 4 16 10:00 8 12 16 10:00 8 12 16 5 5 5 5 5 5 4 8 16 4 4 16 3 12 16 3 12 16 BEDROCK 11 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231018, Curtis Townsend, 02/27/23 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 2 DATE READING START TIME NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING WAS WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING IF YES @ WHAT DEPTH? 7.0 --- 1 2 3 GP (SILTY GRAVEL LARGE ROCKS) Professional Engineers Stamp: No Birch Hills Estates #1, Block 1 Lot 2 02/02/2023 505-081-09 Precision Ex. 4:03 6 1' OB 30 Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEER2/7/23 TECHNICIAN: B. Schiller - NONE 2/9/23 COMMENTS: 6" DIAMETER TEST HOLE PRESOAKED PRIOR TO TESTING SITE PLAN 4 4 16 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED 30 9 4 16 30 9 0 16 4 14 16 4 11 16 4 6 16 4 5 16 BEDROCK 10 4 16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231018, Curtis Townsend, 02/27/23 DEPTH (feet) 1 - 2- 3- 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 1 1 (l SOILS LOG AND PERCOLATION TEST 0, `49 7H : E N G I N E E R I N G (• �j Benjan Schiller LEGAL DESCRIPTION: BIRCH HILLS ESTATES #I, BLOCK I LOT 2 +�����'``9Fa Canrza 92,����,® PERFORMED FOR: PRECISION Ex. DATE: 4/5/2023 PARCEL ID#: 505-081-09 Professional Engineers Stamp: TEST HOLE 3 1 1' OB GP (SILTY SAND W1 GRAVEL) No WAS WATER ENCOUNTERED? IF YES @ WHAT DEPTH? DEPTH TO WATER AFTER MONITORING DATE OF MONITORING DATE rnicl vLl� 11VIV KA l r : L.5 READING START TIME NET TIME (MINUTES) DEPTH TO WATER (INCHES) NET DROP (INCHES) 4/5/23 1 4:09 PM 30 56 11+ >6 2 10 5a9s 1 16310 4 8 516 916 416 4 10 56 916 46 5 10 516 8 16 3 �s 6 10 516 816 316 COMMENTS: USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED (MIN/INCH) SITE PLAN TECHNICIAN: M. JAKUBISIN Lot MORTGAGE SURVEY X SCALE —!:—= 30' GRID NW 253 Protect No. 22-655/Ai 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang 8( Associates, inc. (907)522-6476 Phone (907) 522-4625 Fax Professional Land Surveyors kenOiangsurvey.com tonathanOlangsumay.com I hereby certify that I have surveyed the following described property: LOT 2. BLOCK 1, BIRCH HILLS ESTATES UNIT Yt (Plot No. 69-186) Anchorage Recording District, Alaska, and that this Mortgage Location Survey Is a representation of the conditions that were found on the date the survey was performed. This survey does not constitute a boundary survey and Is subject to any Inaccuracies that a subsequent boundary survey may disclose. The information contained hereon shall not be used to establish any lanes, structure, or other Improvements. Dated this the 12 Day of CVG—ohati I1 LL , at Anchorage, Alaska N 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. AECC963 • Y-�� MA I ER ANCHORAGE AREA BOR JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME &P_AL J VL%0S6AJ MAILING ADDRESS Ubqb/ 7 a F,np• P • PHONE r^ •Y LOCATION LIQ o -A jP/ LA -11 12_ LEGAL DESCRIPTION 11:2-611 iv—(JN Wilk- CST -f9 SEPTIC TANK: DISTANCE�r'% v NUMBER OF FROM WELL _1"C41'� MANUFACTURER • MATERIAL '� COMPARTMENTS//��� INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITYIZJ�EALLONS. n ^i•, DISTANCE FROM WELL DO(��----� ZO 1 TOTAL LENGTHS FOUNDATION NEAREST LOT LINE OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES — TRENCH WIDTHI; IN. TOTAL EFFECTIVE ABSORPTION AREA Od SQ. FT. LENGTH OF EACH LINE �.� l DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE • J MATERIAL BENEATH TILE 66 IN. ABOVE TILE 9C _IN. WELL: TYPE CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION_ , LOT LINE , SEWER LINE , TANK , SYSTEM_ CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: fte e- 30.5 q -(- LOT SLOPE:�/-e-- REMARKS: �G�r7 Form EQ -032 DIAGRAM OF SYSTEM c J DATE -3--31-1 APPROVED G.A.A.B. l r'f u rA I iC I F• A L I T'T' O F t=t rJ CA F: f=t +-�i E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AK. 44507 274-2511 CAP4-S= I TE S=EWER F I--- I T PERMIT NO. t 77328 ) DATE OF ISSUE 52377 ClCtiF N APPLICANT ERIC JOHNSON BOX 722 E.R. 644-4734 LOCATION L i� ANE LEGAL L2 B1 BIRCH HILLS EST #1 LOT SIZE 27550 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SO FT/BR:)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: GEF•TH= ED LEt4G1FH= =_.1. GF:Hti:'EL C•EF•TH= L 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 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). F_EG!l_l I FREC> �EF�-r I C TAF-4K ' 12== 12:cCy GALLi=1tJ1 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 DISPO_,AL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR, 200 FEET FOR A PUBLIC WELL. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'EF r1 I T ti:'AL I C• Fr�F: �_it JE YEAR FF:Or•1 I �r_' -ulE I CERTIFY THAT 1: I AM FAMILIAR WITH THE R:EQUIR:EMENTS 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 R:EQUIR..E ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED APPLICANT ERIC JOHNSON ISSUED BY------------------------------DATE--------------- INSPECTION HISTORY - SEWER, 1 0 SEWER 2 C+ WELL INSP 0 WELL LOG DATE 0 DRILLER: r` GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99307 TELEPHONE 274.4361 -11 3 PER Z� SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT /�0 X 22 Elf PHONE NAME OF APPLICANT - ��/' ,V 0� MAILING ADDRESS -/// / INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER 6�#Vi TYPE AND SIZE OF FACILITY TO BE SERVED /- L- V / V V /--I /\[Tlia.c�-C FINANCED THROUGH TO BE INSTALLED BY Ljoe- SOIL TEST RESULTSNOMTHIS PERMIT 15 NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED eZ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEEPAGE AREA SIZE SEPTIC TANK TO SEEPAGE PIT WALL , SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD _ WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, SEEPAGE PIT TO RIVER, LAKE, STREAM. SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS G.A C LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREA AN ORAG REA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS N ACCORDANCE WITH SAID CODE.� 47 77 DATE APPLICANT'S SIGNATURE / FORM NO. 90-0 /6 GREATER ANCHORAGE AREA BOROUGH Z i• DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT No. 3330 '•C•• STREET ANCHORAGE, ALASKA 99503 y TELEPHONE 274.4561 SEWAGE DISPOSAL^^ /SYSTEM - APPLICATION AND PERMIT °F// NAME OF APPLICANT ��C . ��% N14�L' /1/ MAILING ADDRESS !. D Rip 721 �IpnN ON INSTALLATION LOCATION) 2%� • LEGAL DESCRIPTION —/�' •/ f �C I 'T•..yam7` INSTALLATION OF: SEPTIC TANK SEEPAGE PIT - DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED d�Sy m S/ 7-6,10r% FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULT, ! �{� NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED ( 7�` FINAL INSPECTION: 24 HOUR NOTICE EO UIR EU. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. ;1f 9 `N Z S ANK IZE / C� T E 6EEPAGE AREA SIZE TYPE I MINIMUM DISTANCES.REQUI MENTS % DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK I (/ n I FOUNDATION TO SEEPAGE PIT DRAIN FIELD -t , SEPTIC TANK TO SEEPAGE PIT WALL , SEPTIC TANK /•- SEEP` DRA EL f TO NEAREST LO_ T LIN��4 /�� WELL TO SEPTIGTAN/IIFSEEP EPIT LDL'DRAIN FIELD 'Cn ALS CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK ' SEEPAGE PIT DRAIN FIELD / I / /, t SEPTIC TANK. L S� / pAG PI D I TO RIVER, LAKE, STREAM. � I CAST IRON INTO AND OUT /Oy SEPTIC TANHIT CRIB CROSSING GAP OF EXCAVATION B FEET INTOJU DI URRED I 1 I 4 INCH DIAMETER CAST 1 O �d�HMI�IPLTS-�jl I�dFrpTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT416>OVABLE ECCAPS. GRAVEL BACKFILL J ` 7 7 CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. 1� JIro '4J/r LICENSED DESIGNER 11) (, .ftJt� 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BORO QFI QiD ANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ^ DATE APPLICANT'S SIGNATURE — ��L LA's FORM HO. Z"I S _ GRE"kER ANCHORAGE AREA BOF" "UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME MAILING ADDRESS PHONE LOCATION LEGAL DESCRIPTION — r2 &k ZP[/I /0 ZSel S#� SEPTIC TANK: uL"10 17fItM FISTANCE NUMBER OF ROM WELL 9V MANUFACTURER S14CK Slee' MATERIAL COMPARTMENTS 2 INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY leiv GALLONS. SEEPAGE PIT: NUMBER OF PITS. DIAMETER �& OR WIDTHL` I LENGTH/ l DEPTH 7/ / LINING MATERIAL � CRIB SIZE: DIAMETER_( L_ DEPTH HY//Z DISTANCE FROM: WELL 1440, / BUILDING FOUNDATION=, NEAREST LOT LINE +Z7/ ADDITIONAL ABSORPTION WELL: TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) rZ SQ. FT. TYPE �I �et CONSTRUCTION �dve icup DEPTH as0 DISTANCE FROM: BUILDING NEAREST NEA EST SEPTIC Qh/ SEEPAGE O / FOUNDATION -,LOT LINE , SEWER LINE , TANK /l7 SYSTEM. CESSPOOL -,OTHER SOURCES , APPROVED' DISAPPROVED REMARKS DISTANCES: INSTALLED BY: 60 PIPE MATERIAL: LOT SLOPE: REMARKS: 5V OC O Acs /lrw Fo,m No. E0-031 DIAGRAM OF SYSTEM GREATER ANCHORAGE AREA BOROUGH f 0 DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99303 TELEPHONE 274-4361 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT PERMIT NO. �o �K ' MAILING ADDRESS,-- PHONLO7�.J INSTALLATION LOCATION U S 1 LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK Ll— SEEPAGE PIT L' DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULT NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE t(f r in. Ll%ZZ SEEPAGE AREA SIZE TYPE IV MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK yJ FOUNDATION TO SEEPAGE PIT ^- ,DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK _LL—. SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK /O SEEPAGE PIT DRAIN FIELD �0 / SEPTIC TANK, 1"D6 / SEEPAGE PIT � DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHO GE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DAT '/ APPLICANT'S SIGNATURE G' I,RM NO.EO-Olf , r WOODWARD-LUNDGREN & ASSOCIATES,INC. CONSULTING ENGINEERS AND GEOLOGISTS AN AFFILIATE OF WOODWARD-CLYDE CONSULTANTS 9201 Spenard Road Anchorage.Alaska 90503 (907) 272-2407 Dir. Robert C. Johnson P.O. Box 456 Eagle River, Alaska 99577 Dear Mr. Johnson: Reymond Lundgren Lloyd S.Cluff George E.Fierven B.A.Vellerge W-Illam T. Black June 12, 1973 Job No. A12109-9 Seepage Pit Inspection and Percolation Test Lot 2, Block 1 Birch Hills Estates, Unit 1 Eagle River, Alaska At your request, the undersigned inspected and logged the vertical soil profile of the proposed seepage pit excavation at the subject site on June 7, 1973 and performed a percolation test at the loca- tion shown in the attached Figure 1. The soil profile is presented as Figure 2. The results of the percolation test (data on Fig.2) is as follows: Soil Tested Percolation Rate, minutes per inch Grey medium grain sand 4.5 In accordance with the design charts in "Manual of Septic -Tank Practice" by the U.S. Department of Health, Education, and Welfare, the: above rate requires 120.square feet of absorption area per bed- room,.. Accordingly, the maximum rate of sewage application (gallons per square foot per clay) is 2.3. If we can be of any further service to you, please call. Very truly yours, WOODWARD-LUNDGREN $ ASSOCIATES Rodney F? Kinney, P.E. Chief Engineer RPK:nck OAKLAND SAN JOSE SAN FRANCISCO - ANCHORAGE,ALASKA 4f00DVIA RD"�- LUNDGREN' Const' ing Soil Engineers • Log Of PI-�IeC04.1Tl4AJ PI -- $ASSOCIATES and�oologists then 1 of 1 1 .woa<+ ... 9AIA4t Al .Cor E46Gl1 / �'!T.4 •� •-' ,or Z .G /i.�.CJ,� Y./GLS Y�.S' 73 -' i-"x'rxC flo=. /O'noax. tlSt AND TT.[ Of SIT NO. SAY TLES ^ CASING - w.. a+ WATER LEVEL '- <e.. CASING HAMMER: WtID.T D.D.` SAMPLER - Geologist AK SAMPLER HAMMER: W(awT D[ar SAMPLES ��d�a _ SAMPLE -DESCRIPTION x = (drilling u�d..pfh Of d m > � =N'- °� o ja F- casing, casing blows, ww Color, moisture particle ' n.w ww 0 Wo m- — E SIZE, consistency a 0_w wow ondi- fluid loss bit condi- C) oa f- �� aQ© o H N0 tion., crowd, rpm, oic.) o t- 4-6" 1/V, uL, N• V/ 1 Ego ,p Ai Slrr wI-H OA<„f.�JIG LVCt.u:lo.tJ51 � 7225 Z ea -7-r5 Some - SANDY 6.eilVE•L �7•QRCe d ` �T Otov F P�CIG t=l� P o•: GREY MCDIUM i-1P.CF � 10120P)' DE'PT7 4 1112 W�S� SIDS <t DE'FTil � /I ccU/'UZ- +•� l V6- EFIST Slag - WPtf.G.,r 1 `yr PS r� rMl WOODWARD-LUNDGREN & ASSOCIATESIINC CONSULTING ENGINEERS AND GEOLOGISTS AN AFFILIATE OF WOODWAND-CLVCE CONSULTANTS 3201 Spenard Road Anchorage,Ala,ka X9503 (907) 272 2407 Mr. Robert C. Johnson P.O. Box 456 Eagle River, Alaska 99577 Dear Mr. Johnson: Reymond Lundgren Lloyd S.Cluff Geo-ge E. Hemert B.A.Vellerga Wlham T. Bleck ,June 12, 1913 job No. A12109-9 f)r)6 Seepage Pit Inspection and Percolation Test Ler Lot 2, Block 1 r- Birch Hills Estates, Unit 1 rn Eagle River, Alaska W_ - At your request, the undersigned inspected and logged the vertical soil profile of the proposed seepage pit excavatior at the subject site on June 7, 1973 and performed a percolation test at the loca- tion shown in the attached Figure 1. The soil profile is presented as Figure 2. The results of the percolation test (data on Fig.2) is as follows: Soil Tested Percolation Rate, minutes per inch Grey medium grain sand 4.5 In accordance with the design charts in "Manual of Septic -Tank Practice" by the U.S. Department of Health, Education, and Welfare, the above rate requires 120 square feet of absorption area per bed- room. Accordingly, the m-1ximum rate of sewage application (gallons per square foot per day) is 2.3. _1% If we can be of any further service to you, please call. Very truly yours, Ii00D11.'ARD-h0NDGREN f; ASSOCIATES J/ /r/ it Rodney P. Kinney, I',E. Chief Engineer RPh:nck OAKLAND - SAN JOSE - SAN FRANCISCO - ANCHORAGE,ALASKA o -o Sc FP.4GE D/r Sf'f -)C TA V K \` 4-xc4v.4r1oAj 404Irl c,v o'— — -- SrZueru2F P¢oposer) wEtt JLoc,3 TE3r LOCATION .#CCESS .,r/ T c PL A•,v F/!o. SCALA : /" - 30 " 407' 2 GLOG.4l / 8/261-1 N/tC 5 E STAT = 5 UN /T 4A / WOODWARD- LUNDGREN S ASSOCIATES m ^sl •n ^st •st 'n •n ^n m ^sf m 0 0 0 0 0 0 0 0 0 040 { t im c O •i i O O O O O O O O O O o s :CD N •N : { eN { { p0 to L CD :CO -td td i { s : i o :a. ! {ito h o i t io s { i S {•i i ..p m z 0 0 0 2 1 e m m m p "+1 7 a C > r tt7l tt- � { CA m in O o , M p io •n M Z O 1 0 T T e m m m p "+1 7 a C > r tt7l tt- � { a o 3 � ilk io •n M s `o 04 x.' V 0 T T m m m iA P N < m D P m a D x 04 x.' V ` o --JQ� MUNICIPALITY OF ANCHORAGE MUMCIPALRY OF ANOiORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & 825 L Street, Anchorage, Alaska 99501 NVIRONMENTAL PF.OTECTION 279-2511, ext. 224, 225 REQUEST FOR APPROVAL OF OCT 15 1980 INDIVIDUAL SEWER and WATER FACILITIES RECEIVED XXXX 1. Type of Inspection: CMRO VA' FHA. CONY 2. Property Owner: Eric & Shan Johnson Mailing Address: Lugene Lane Day Phone: 3. Name of Buyer: Jim & Charlynne Ingersol Mailing Address: 2480 Tasha Drive Day Phone: 277-1479 4. Name of Lending Institution: Alaska Mutual Bank Mailing Address: P. 0. Box 1120 Phone: 274-1561 ***** 5. Name of Realtor or Agent: Lorraine Miner Mailing Address: Phone: 694-3626 6. Legal Description: Lot 2 Bk 1 Birch Hills Estates # 1 Location: 7. Type of Facility to be Inspected: Single Family No. Bdrms. 8. Water Supply Type of Supply: Public Utility Individual xxxX If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) xxxx If Individual, date of installation ***PLEASE CONTACT LORRAINE MAINER FOR APPOINTMENT*** Attn; Diane Aukamp Alaska Mutual Bank Box 1120 Anchorage, Ak. 274-3561 72.003(176) rwntutrALIfY, Hr At4CHORAEirN 1(• / �, DEPARTME�'OF HEALTH AND ENVIRONMEN PROTECTION °1 825 L Street, Anchorage, Alaska 99501 \ //' 279-2511, ext. 224 or 225 Date Received:7�1y_25,_1977-Z�_ #1: Time 3:00 p.m. #2: Time #3: Time Date 7-26-77 Tuesday Date Date Insp Kennedy Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska Bank of Commerce 8 Marian Lampert Mailing Address: Post Office Box 7-012 99510 Phone: 279-5641 2. Property Owner: Mailing Address: Eric S. Johnson Phone: 694-9734 Post Office Box 722 99 3. Legal Description: Lot 2 Block 1 Birch Hills Subdivision 4: Single Family Residence: (x) Multiple Family Residence: ( ) P1uriber of Bedrooms: Four Number of Bedrooms: 5. Well System: Individual Well (xA Community/Public System ( ) Permit # Construction Depth of Well 235' 47ell Log on File ( ) Bacterial Analysis 6. Sewage Disposal System: On-site System)dx)d Public Utility ( ) Permit # Installed 1977 Installer Septic Tank Size Manufacturer Absorption Area Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line r � � DATE RECEIVED Lot 2 INSPECTION APPOINTMENTS Estate Subdivision #1 TIME ' i TIME TIME I U- NL DATE DATE DATE SINGLE FAMILY ❑ One ❑ Four ❑ Other MAI 1C) C) INSPECTO J\ IN5PECT0 INSPECTO MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & \ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTOWIRONMENTAL PROTECTION 1 825 L Street • Anchorage, Alaska 99501 since June 1975. For wells drilled prior to that date, give well i OCT 15 MO ENVIRONMENTAL SANITATION DIVISION depth (attach log if available.) Telephone 264-4720 R r I YI AD REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER LI i DIRECTIONS: Comptete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER ❑ pHp7 E2 Eric/Shan Johnson `t-- J MAILING ADDRESS NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Lugene Lane PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Jim/Charlynne Ingersol 277-14791 MAI LING ADDRESS 2480 Tasha Drive 3. LENDING INSTITUTION PHONE Alaska Mutual Savnings Bank % Diane Aukamp 274-3561 MAILING ADDRESS Post Office Box 1120 99510 4. REALTOR/AGENT PHONE Loraine Miner 694-3626 MAILING ADDRESS 5. LEGAL DESCRIPTION Lot 2 Block 1 Birch Hills Estate Subdivision #1 STREET LO TION I U- 6. TYPE OF RESIDENCE NUMBER OF,BEDHOOMS Rk SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY IX Three ❑ Six 7. WATER SUPPLY 8I 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" _1A'1-1 YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY !wt Int a�n� NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72.010 (Rev. 6/79) X 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 ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM DINDIVIDUAL/ON SITE ❑PUBLICUTILITY Connection Verified PERMIT NUMBER DATE INSTALLED r _ Yn INSTALLER 'OSeptic Tank or ❑ Holding Tank Size: 1'21 5r�n_ If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER t -f V TOTAL ABSORPTION AREA /�. MATERIAL 4. DISTANCES WELL TO: Septic/Holom9 Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line - 5. COMMENTS LTJ' APPROVED FORBEDROOMS ❑ CONDITIONAL APPR VAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 (Rev. 6/7W 00.�'I !^MUNICIPALITY OF ANCHORAGE~31"`9A'""''I' Department of Health and Environmental Protegtioq,.;;.1 ;i„ 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 lilt request for Approval of Individual Sewer and Water Facie' 1. Property Owner: L S Vlll s'ry\ Mailing Add ressc. �_ (7-,-v 2,_Q �ng1R ,�� Phone:(oqq-q73� 2. Name of Buyer:r� 2 Mailing Address: Phone: 3. Lending Institution: CorrnmprcQ_ WFry (y)or;0. T�o.x+'�perE fYlor4caa�� laox�'�e Mailing AWdress: (�l�;, ��Mh Phone: 4. Realtor/Agent.------ Mailing ealtor/Agent — Mailing Address: Phone: 5. Legal Description: )Q{ a��� ) �1 Street Location: 6. Single Family Residence: Multiple Family Residence: (>er Number of Bedrooms: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well (Public/Community System ( ) If Individual Well, well depthlzal l ea If Community System, name of system 8. Sewage Disposal System: On-site System �Ql -7Public System ( ) If On-site System, date of installation: GI -7 l *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 r i PErg -3-r;:o• Department of FIcalth and Environmental Protection Request for Approval of Individual Sewer and Fater Facilities Legal Description: Lot 2 Block 1 Rich Hills qubd;viaion Comments: Affadavit Attached: ( ) Letter Attached: ( ) Approved: Date: Disapproved: Date: Department 47orksheet: