HomeMy WebLinkAboutROBIN HILL #1 BLK 2 LT 3Robin Hill #1
Block 2
Lot 3
#017-442-07
as
- Fare water Prductt
302 E. international Airport Rd.
Anchorage, Alaska 99526
(907) 563-3770 Ph (907) 563-5502 Fax
171 M A w 011101
�Ky; [ &t4eti--NP,
WORK ORDER NUMBER
5589
_
'.. '..•_ sMERNAME
MODEL
ATE COMPLETE ADDRESS
lo LcA C... i
-
NUMBERSERIAL
•.. CONTACT.
PHONE
LTL..
START STOP
■ ■ •
CC •
`�_ ■0 RENTAL COMPLETE
�-
���
m s mmzm-
F
V�Ni���l1� ► is
ai +
_,
Fro
NOR
1
TOTAL PARTS & SUPPLIES
[I ESTIMATE ONLY —TOTAL EST.
�
�MODEL
SERIAL
LABOR LUIS III,
PARTS AND SUPPLIES
ESTIMATE CHARGE
•
DATE DELIVERED
USTOMERSfGNATURE
REMOVEDDATE
L
•':OTHER
jW, NTY IS FOR ACTUAL WORK PERFORMED WITHIN 30 DAYS
-
ArT�11 DATE COMPLETE sDATE SIGNED, WHICHEVER IS LATER.
PAYMENT
0 CK # El CASH$
CUSTOMER SIGNATURE DATE
MWb reins)
On -Site Water 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: OSP121261
Tax Code Number: 01744207000
Work Type: Well Initial
Permit Effective Dates: August 30, 2012 to August 30, 2013
Design Engineer:
Subdivision: ROBIN HILL #1
Site Legal Address: ROBIN HILL #1 BLK 2 LT 3 G:2838
Owner/Address: FRIEDMAN JILL R
12750 FLORAL LN ANCHORAGE AK 995163137
Site Mailing Address: 12750 FLORAL LN, Anchorage
This permit is for the construction of:
N Disposal Field N Septic Tank N Holding Tank
Lot Size in Sq Ft: 104980
Total Bedrooms: 4
N Privy N Private Well Y 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
Parcell.D.
Property owner(s)
Mailing address )
Site address
ANCHORAGE
Mayor Dan SulAvan
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section)
Lot Size C� Sq. Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
IS all that apply)
Absorption Field
❑
Septic Tank
Asonumommoubmuso
Renewal
Privy
A
❑
Private Well
❑
Water Storage
Phone: 907-343-7904
Fax: 907-343-7997
Day phone 2$_61-7
THIS APPLICATION IS AN:
Initial
56
Upgrade
❑
Renewal
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
that the above information is correct. I further certify that this application is being made
lgle family Dwellingylfid is in accordance with applicable Municipal Codes.
owner or
Permit/Rush Fees: la -n
Date of Payment: S1.1 -11a,
Receipt Number: {n1l
Permit No. 0XII-1 .b l.
WBui1dingl0n Sitaft ms\Cllent FormsTermit App_010411.doc
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
(Rev. 1/11)
Fol -Da -Tank Collapsible Tanks for Water Shuttle and Storage - Foldatank
XR-3 PW potable water
shown
ISR -3 PWD
Geomembranes for Potable Water Applications
Including clearwall curtains. Roars and floating covers
Showers
Physical Membrane Specifications (Gray Water)
Base - Type
Fabric - Weight
Finished Coated Weight
Method 5041
Tongue Tear
Method 5134
Polyester
6.5 oz. / sq. yd.
28 +2 -1 oz. / sq. yd.
220 / 220 lbs.
Page 3 of 5
http://www.fol-da-tank.comlpagelCollapsible%20Tanks%2Ofor%2OWater%2OShuttle%20... 8/16/2012
Fol -Da -Tank Collapsible Tanks for Water Shuttle and Storage - Foldatank
(8" x 10" sample size)
Trapezoid Tear 6
Method 5136 5 / 65 lbs.
Grab Tensile
PW -800
Method 5100
540 / 540 lbs.
Strip Tensile
660
Method 5102
400 / 350 lbs. / in.
Adhesion (min.)
Method 5970
10 lb. / in.
Hydrostatic Resistance
Method 5512
500 psi
Dead Load
2" seam
Room Temperature:
210 lbs.
106F/71 C
105 lbs.
Cold Crack
83 379 15 7
MIL-C20696C LTC
Pass -40 F
Page 4 of 5
Part No.
PW -800
Part No.
10'x 6'x 2'
800
660
Gray
42
Chemical
Imp.
Water
Resistant
Gals Liters Lbs. Kg.
GW -100
PW -100
CR -100
4'6" x 4'10" x 16"
100
83 379 15 7
4300
58
26
1.4 x 1.5 x.41M
GW -275
PW -275
CR -275
6'6" x 6'x 16"
275
230 1000 23 10
GW -1340
PW -1340
CR -1340
2x 1.8x.41M
1340
1100
GW -800
PW -800
CR -800
10'x 6'x 2'
800
660
3000
42
19
3x 1.8x.60M
GW -1140
PW -1140
CR -1140
12'x Tx 2'
1140
950
4300
58
26
3.7 x2x.60M
GW -1340
PW -1340
CR -1340
14'x Tx 2'
1340
1100
5000
64
29
4.3x2x.60M
GW -1500
PW -1500
CR -1500
14'11" x 9'5" x 2'
1500
1249
5670
67
31
4.6 x 2.9 x .6M
GW -2000
PW -2000
CR -2000
10'5" x 12'x 2'
2000
1650
7500
82
37
3.2 x 3.7 x .6M
GW -2500
PW -2500
CR -2500
127" x 14'x 2'
2500
2080
9460
90
44
3.9 x 4.3 x .6M
GW -3000
PW -3000
CR -3000
11'10" x 14'x 2'6"
3000
2500
11300
104
47
3.6 x 4.3 x .7M
http://Www.fol-da-tank.com/pagelCollapsible%20Tanks"/o2Ofor%2OWater%2OShuttle%20... 8/16/2012
ITT
COMPONENTS
Item
No.
Description
1
Mechanical seal
2
Pressure switch
3
Casing
4
Impeller
5
Diffuser (Guidevane)
6
Diaphragm
7
Stainless steel shaft
8
Noule dean -out plug
9
Motor adapter
10
Motor
11
Noale
12
Venturl(diHuser)
DIMENSIONS AND WEIGHTS
2
GOULDS PUMPS
Residential Water Systems
3 6 54 1 2
8
Model
J5s
J55HjjW1
1155
Wt. (tbs.)
43
43
60
Length
171/4
17'/.
19%
Width
Height
HP
'A
h
Ph
"L" Mas.
8'h8'h
10'h
- -- 51h - --'•r--- 41/4
IA' NPT STICTION '
4•.c nrtrunorc
3'h --.. 3 1 k-.:
8
(ATI dimensions are in inches and weights in lbs. Do not use for construction purposes.)
0,- J'��
AAROW PUMP & WEU SEROCE, LLC WOO OCIF.
P.O. Box 110496 1
Anchorage, AK 99511 bi"(1 f -L, No. 9511
Office: (907) 346-9355 - Fax (907) 345-0202
Eagle River: (907) 622-9335
I.P7,50 P,r,3i
)%a Aic
CUSTOMER 'JOB SITE
r'le
_J L
_1
_4NMW#2A__,�_4a0o _fal�_ &nc
AANk-4W Aff AW
j
NV, DATE
I OICE
WELL DEPTH
SWL
CHLORINATED
PUMP DEPTH SALE SON
J04"
W UA_
ANTITY
ITY
DESCRIPTION PRICE
AMOUNT
. . .. .. .. ..... -- -------------_--- --------- -
--- ---
---- -
- --------- --- ------------
- ------
- - ----- - --- ------
------------
-no _- ---
-
5'
- ---- ------------ -
--- ----
LABOR
HOURS
RATE
AMOUNT
TOTAL MATERIAL
✓
TOTAL LABOR
#
WORK ORDERED
DATE COMP.
TOTAL
T
LABOR
PAY THIS AMOUNT
Thank You
SIGNATURE
(I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that if above work is not paid for in 90 days I agree to allow Aarow,
Pump & Well Service, L.L.C, the Tight to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment.)
TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE.
SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS.
-----------
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
a�l Day of aria c of 2013, by and between >Paul Light
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Memorandum of Understanding agree as follows:
1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (AWWTS), described as (A;0j r✓ S located
at � a6 n L- -3� Anchorage, Alaska.
2: Definitions.
A. Alteration. Any change to the design or function of an A W WTS that
Includes the installation or removal of any parts, components or pieces not
included in the original construction permit and design. Prior to
performing any alterations to an AW WTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "AMC') 15.65.
B. Certificate of On -Site Systems Approval. An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with AMC 15.65.
perform as designed,
E. Pertaitt'Gunstruciiaai An On -Site Wastewater Disposal System
Construction Permit as defined by AMC 15.65.
E Permit ((h ating) An Advancer] Wastewater Treatment System
Operating Permit. An annual permit, issued by the Municipality, that
Allows the Owner to operate an AW WTS, upon meeting all the
requirements of this agreement, the conditions of Operating hermit, the
requirements of the On -Site Wastewater System Construction Permit and
all relevant provisions of AMC 15.65
3. F;te. Owner -shall pay to Municipality an annual fee of
(�Utl), payable on or before the issuance of the operating permit and annually
thereafter. The annual fee is due on or before the anniversary date of -the approval by the
Municipality of installed system.
4. J&m The term of this Memorandum of Understanding shall be for the life of the
AWWTS:
A. Throughout the term of this Memorandum of Understanding, the twiner shall
maintain AW WTS in good repair. In addition, it shall be the responsibility of the
Owner daring the term of this Memorandum of Understanding, and any extensions or
renewals thereof, at the owner's sole expense, to pay for any and all: (1) repairs) (2)
maintenance, (3) adjwtment(s), (4) replacement costs, and (5) inspection cam.
Further. Owner agrees to comply will all applicable ordinance, laws, regulations,
miles and orders for the`AWWTS.'
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terms and conditions contained in the owner°s AW WTS operating Permit. This
schedule shall be submitted m the Municipality annually upon the renewal of the
permit The schedule of maintenance and repair contained in the owner's AW W'TS
Operating Permit is. _T'; t -t, % 4'
C Owner acknowledges that the fine schedule for failing to maintain and repair an
A W WTS are codified in AMC 14♦60.
I
for AW WTS is the governing professional guidelines for the construction
MaIntettangeaml repair of the Owner's A W TS.
7. Nonwaiveir: The f ukMe of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of the provisions,
nor in any way effectthe *validity of the Memorandum of Understanding or any part
hereof, or the riot of Suva party thereafter to enforce each and every prov€ w _
fieieot:
8: epdment:
A. This Memorandum of Understanding shell only be amended, modified or changed
by a writing, executed by authorized mpresentativos ofthe parties, with the same
- formality of this Memorandum of Understanding was executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
H. For the purposes of any amendmentrmdification or change to -dire tenets and
conditions of this con et, the only authorized representatives of the parties are:
The feregoing instrument as ack Q� ledged before me this day of�
20g by
a)c) d{
IC FOA ALASKA
E
L
eSEMACKWAMM SEIR'x
I
I
I
I
1
I
I
I
I
I
I
1
I
I
I
I
I
LOT 1
V6�.3
0p,,
i
)T 2
C.
I
fo./ v
MANHOLE' /
! V
!
ISTINC HOUgE
♦ 1 ' 4 r(
1
LOT 4
UNDERNO CIRCUMSTANCES SHOULD
__..._.. THE SURVEYOR TAKE CIRCUMSTANCESS—BUILT BE USED
INITIAL ONLY AND ASSUMES OR FOR
FOR THE INj ;Y OR PENCE ONES.....
LISTED DISTANCES AREVAI ONLY FOR THE COST OF THE SURVEY.
EV L OVER SCAUNG. REPRODUCTION MAY CAUSE ERRORS IN
LOT suAvcT
SURVEY TYPE - L-
SCALE.
-�--
r'ouNbanoN As-eulLr i
SYMBOLS
FINAL 57RUC7LYte AS-BLILT
❑ PLOT PLAN
' SET REBRR rvr��m
r ORAlNAGE,' ASPHALT
, . , AS -ALT , , , LDT SIRY�K ... TCPOGRAPMT
s -WILT ... rtb trrteRs sFT '
>
o FOUND REBAR "W ff
'0'-0—e- WOOD FENCE ..:i "" ] CONCRETE
aamr 1 T^'
PLOT PLANS & LOT SURVEYS
�� ASSUMED ELEV. y v 7�sn
--+c METAL FENCE Cry b.rJ 1VO� DEC
IT IS THE RESPONS181LITY OF THE BUILDER OR OWNER, PRIOR TO
CONSTRUCTION, TO VERIFY PROPOSED BUILDING ICRADE RELATIVE
TO FINISHED
NOTE:
ONLY THOSE IMPROVEMENTS ABOVE GROI ND AND VISIBLE
AND 70 DETERMINE
GRADE AND UTILITY TS, COVENANTS
THE EXISTENCE OF ANY EASEMENT'S, COVENANTS OR 'RESTRICTIONS
WHICH
KILL, BE
SHOWN. FENCES, WELLS, SEPTIC CL.EANOVtS„ SIDEWALKS, DRIVEWAYS,
£TC., ARE SHOWN IN THEIR APPROXIMATE, LOCATION, ONLY.
NO
OO NOT APPEAR ON THE REcoRDED SUBDIVISION PLAT.
SNOW
MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED,
ALL
SURVEY CERTIFICAT)ON
DISTANCES ARE RECORD UNLESS dTHERWISE: NO7E6.
PLOT PLAN OF %vjIr41p
1... +'t
Prepared by
Robert �. Johns J,r. Assoc.
.; .: ��4A�E.a
��mle.e♦varm. mw. 4Om
c�
ProfessionalLand Surveyors
�"_,•' AI"
1.w.s.eee mi/ ' Y !'
"1p"`0 TM"♦ "^" m�L #
'1700 Brink Drive.
ANCHORAGE, ALASKA 99504
JIF FOUNDATION AS -BUILT 40, i"
L Foes a .u.y a. e..er eery uat I T1s/
•.�
$cola II =601 Ree, Lot S.F. IRee. Plot Flie No.
rewmtta°""�'Mmk "w 0"A ' I
gin° ""x °� "'° „0
d meimxmroa w4t P,9 ROBERT- HNS.
Date Surveyed:
10/04/12 Drown by. }� ] Checked bylA,�
'�. R �.,1
ww.,
*
Data
FINAL STRUCTURE AS—BUILT `��. '••• 2j•- -\of
°te •
Drown: '� aIV4I�
Grid:rZQ�Q
V C7 fa 2-437
.!, '•.+••e
R♦n♦r ewuryt 1 ♦ - a
next P•Man••d m siwx ..,ey et ur. r `Pn •••, • 5p1 �+
IMtr R. ed ••........ �..••
Lagal Description:
.
°•'beu.. fi.+ n:n�". +rR pyofessiooat L°c���
ROBIN HILL* 1
.
t►�ax� r
BLOCK 2 LOT 3
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program, 4700 Bragaw St, r -:
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage,ak.us (907) 343-7904 Page 1 of 3
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SW070245 PID Number: 017-442-07
Name:
Wastewater System: ElNew ■ Upgrade
JILL FRIEDMAN
Address:
*ANCHORAGE,
ABSORPTION FIELD
13041 FLORAL LANE AK
Phone: No. of Bedrooms:
(907) 344-8820 ¢
❑Deep Trench ❑Shallow Trench ■Bed ❑Mound ❑Other
LEGAL DESCRIPTION
Soil Rating:
1.0 GPD/Sq. Ft.
Total Depth from original grade:
2.45 TO TOP OF SAND Ft.
Block: Lot: Subdivision:
Depth to pipe bottom from original grade:
Grovel depth beneath pipe:
2 3 ROBIN HILL #1
SEE DWG. Ft.
0.55 Ft.
Township: Range: Section:
Fill added above original grade:
Gravel length:
— — —
SEE DWG. Ft.
30 Ft.
WELL: ❑ New ❑ Upgrade
Gravel width:
20
Number of lines:
4
Distance between lines:
5
Ft.
Ft.
Classification (Private, A,B,C): Total Dep
G
Cased To:(BEDROCK)
Total absorption area:
600
Pipe material:
D 3034/ F-810/SCH 40
\ NFt
Ft.
so. Ft.
Driller. \S� Date Drilled:
Static Water Level:
Installer.
GEG, LTD.
Date installed:
10/12-17/2007
Ft.
Yield:
fF��Casing
Height Above Ground:GPM
- TANK
1-t.
Ft.
SEPARATION DISTANCES
❑ Septic ❑ Holding ■ S.T.E.P. ■ Other*
To
Septic
Absorption
Lift
Holding
Public/Private
Manufacturer.
GREER TANK
Capacity in gallons:
1500
From
Tank
Field
Station
Tank
sewer Lines
Well
100°+
100'+
100'+
—
25°+
Material:
STEEL
Number of compartments:
2
Surface Water
100'+
100'+
100'+
-
-
LIFT STATION
Lot Line
5'+
10'+
5'+
—
—
Size in gallons:
1500
Manufacturer.
QUANICS
Pump on level at:
Pump off" level at:
High water olorm at:
Foundation
5'+
10'+
5'+
—
—
TIMER
TIMER
46"
Pump Make k Model:
Electrical Inspections performed by:
Curtain Drain
NONE KNOWN
P—TE-30—PLUS
M.O.A.
Remarks: OLD TANK AND SEEPAGE PIT PUMPED
BENCH MARK
Location and Description:
AND COMPLETELY ABANDONED PER MOA CODE.
TOP OF MANHOLE
*AEROCELL TREATMENT SYSTEM
Assumed Elevation:
96.35
Ft.
Inspections performed by: GEG, Ltd. Dates: 1st 10/12/07
ENGINEER'S SEAL
00o6o40p�
2nd 10/16/07
0 ....� S
3rd 10/17/07��
Development Services Department Approval
D 49TIV �0
Conditional Date:
``�,
approval:
QO y •• •• •.Jeffs$ A. Garness.,
12'E-7953 mph
uofP� •�.i�s/GS:��Ao
44'01Professto�°ate
Reviewed and approved by: i" Date: %0
�QO�D�o�
(Rev. 4/06)
PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER:
SW070245 017-442-07
\
\
\
\
\
\
\
\
\
\
ALTERNATE SITE \
NEW
DRAINFIELD I _I\ \
I�TH#2 \
LJ �
TH#1 L J
QUANICS 650
AEROCELL UNIT
/ s
UNDOCUMENTED CONCRETE RINGS.
(APPROX. LOCATION) SEE ATTACHED LETTER.
/ JANDY VALVE BASIN
0 700,
/ wFC
I
I EXISTING WELL
EXISTING 4 BEDROOM HOUSE
t _
GAR NESS ENGINEERING GROUP, Ltd..
;,..,.. CONSULTANTS $ GENERAL CONTRACTC �2S r..a
3701 E TUDOR ROAD, SUITE 101 • ANCHORAGE. AK 99507 a PHONE (907)337-6179 " FAX (907)336-3246 • WESSITE: wMw.gamaeesngineerinq.com
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JILL FRIEDMAN 1 344-8820 1 2 OF 3
LEGAL DESCRIPTION:
ROBIN HILL S/D ##1, LOT 3, BLOCK 2
OF WORK:
AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE
(Rev. 01/05)
J.L.M
IN 1506 GALLON
S.T.E.P. TANK
C I
S. I
N
SCALE:
/ 1" = 50'
0
4 TH y*I
r
\.Jeffrey arness:°
0 l '° '' CE/ -79`53 e�
REVISED �4���arofess*1o�°���
2/14/2008
A
B
C
ST1
87.57
54.13
82.66
POD 1
86.51
54.07
83.98
PGD2
85.99
54.23
84.95
MH
85.51
55.34
87.36
JV
89.02
58.15
89.47
C01
83.76
67.39
104.84
CO2
86.74
71.16
108.79
CO3
90.28
76.19
113.93
C04
93.60
80.15
117.92
MT1
83.46
1 66.55
104.04
MT2
116.641
95.68
1131.21
\
\
\
\
\
\
\
\
\
\
ALTERNATE SITE \
NEW
DRAINFIELD I _I\ \
I�TH#2 \
LJ �
TH#1 L J
QUANICS 650
AEROCELL UNIT
/ s
UNDOCUMENTED CONCRETE RINGS.
(APPROX. LOCATION) SEE ATTACHED LETTER.
/ JANDY VALVE BASIN
0 700,
/ wFC
I
I EXISTING WELL
EXISTING 4 BEDROOM HOUSE
t _
GAR NESS ENGINEERING GROUP, Ltd..
;,..,.. CONSULTANTS $ GENERAL CONTRACTC �2S r..a
3701 E TUDOR ROAD, SUITE 101 • ANCHORAGE. AK 99507 a PHONE (907)337-6179 " FAX (907)336-3246 • WESSITE: wMw.gamaeesngineerinq.com
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JILL FRIEDMAN 1 344-8820 1 2 OF 3
LEGAL DESCRIPTION:
ROBIN HILL S/D ##1, LOT 3, BLOCK 2
OF WORK:
AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE
(Rev. 01/05)
J.L.M
IN 1506 GALLON
S.T.E.P. TANK
C I
S. I
N
SCALE:
/ 1" = 50'
0
4 TH y*I
r
\.Jeffrey arness:°
0 l '° '' CE/ -79`53 e�
REVISED �4���arofess*1o�°���
2/14/2008
D
O
F_
a 1 Om
Z II
y D< �z
)00 m z � co
r
O
n II
r oW
N O N m
CA z -o
9< 0_1 —
I C)
0
3 _U *mo
D =MD
;;u r-
_
m =HOZ D
�
O G-)
D
Z 0
fTl
° II
a
r
< J
m
CO C/) O
Z v ci
cn O O
II �z
O In
ri_
O mm
M
O
co
00
O 00
O v K 00 4. t....• ', • n I I I O
QD
O,
Tj
co 0
O . Zty D —DI
lW) rnO rn�
ti ' Vin' �..,'• O Z
(n —
D\Dm
m QO
O> �O O "r r.' p Z N
�m cnw -� D Z
W Z W ',t.•
D� O O DD
zo 0o Oz mco
o z o r cDi�
z
o �z
K m
z 11
m cp = O _
oma o II =D
C 0 C7 N M f
Z
m0GO O N�G-)000�oOp
D o z D p -0D �F
o
�o �
zxx, G o0 S
ova /'f' D
DATE:�.......
DRAWN BY: .. {�. �'....... ...........O
REVISED - 2/14/2008 K.D.M. Q
LEGAL DESCRIPTION: �J
# BLOCK 2 ` . •., effre A. G mess..
ROBIN HILL 1, LOT 3,
TYPE of WORK: GARrEESS ENGINEERING GROUP, Ltd �0 9, ` c -- 3 4 o
-: CONSULTANTS&GENERALCONTFACTORS „.,, o44`ht i/' L (3
AS—BUILT PROFILE DRAWING .370E c Twos nuw. surf E9E. m ceomm Ac. 99507 E'MNF- (99» 337-9E79/FAII: (907) 338 3246 • WEB911E .... �°� .... . • • �` O
PR PARJILDFRIEDMAN PAGE: ��� fess*%O'o �
PHONE NUMBER:
344-8820 3 OF 3 O000
GA.RNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
February 14, 2008
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907)343-7904
Ref: On-site Sewer/Well Submittal Comment Sheet for Robin Hills S/D #1; Lot 3, Block 2,
Ms. Wockenfuss:
The following is a response to your comments regarding the as -built package submitted to you for the
referenced property:
1. The old septic tank and cribs were abandoned per MOA code.
2. An undocumented pit with concrete rings was found during the excavation of the new drainfield. The
undocumented crib was found to have no drainrock around it, that it was not in use and was also found to
be completely dry. Prior to the installation of the new drainfield, we contacted Joe Goodall with your
department and discussed the existing conditions. We proposed to fill the entire area with MOA approved
sand filter and install the new drainfield next to the undocumented concrete rings. Mr. Goodall approved
our proposal and we proceed with the installation.
3. Points A, B, and C are shown on the attached revised as -built drawing.
4. Prior to the installation, as stated, we contacted Mr. Goodall about the undocumented crib. During this
conversation, we discussed the groundwater conditions. Since the crib was found to be dry and that we
were in the middle of the high groundwater season, we proposed to use the bottom of the crib as the most
accurate way of monitoring the groundwater level. Since the crib was dry, we proposed to install the new
drainfield 4+ feet higher than the bottom of the crib elevation. Mr. Goodall approved our proposal and we
proceed with the installation. Attached is a revised profile as -built drawing showing the elevation of the
bottom of the crib/no groundwater level.
5. The approximate location of the undocumented crib is shown on the attached revised as -built drawing.
6. This item has been addressed.
If you any questiio s, please feel free to call us at 337-6179.
S c�rely, t
Jeffrey A. ess P.E., M.S.
Presidl�ht
V' 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com
Inspection Report
Municipality of Anchorage, Building Safety Division
4700 South Bragaw
INFO & HELP (907) 343-8211
INSPECTION: VOICE (907) 343-8300 • FAX (907)249-7777 www.muni.org
Name Kevin
Company Rising Son Eleotric /
Address 12750 FLORAL LN
Lot 3 .
Subdivision ROBIN HILL #1
Grid SW2838
Comments or Directions Lift station
A
Inspection Type Electrical: Retro Electrical
Comments (for inspector use only)
c L` .
Inspector
Permit" -7-9563
Inspection Date 2 -De 07 AM
Phone 250-1100
t
r
Date
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Sep 12, 2007
Expiration Date: Sep 11, 2008
Permit Number: SW070245 Parcel ID: 017442-07
Legal Description: ROBIN HILL #1 BLK 2 LT 3
Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 012750 FLORAL LN
Owner Name: JILL FRIEDMAN Lot Size: 104980 SO. FT.
Owner Address: 13041 FLORAL LN Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE. AK 99516-3140
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
-THE UPPER SIX INCHES OF THE MOUND SYSTEM MUST CONSIST OF TOP SOIL AND THE MOUND MUST
BE VEGETATED SUFFICIENTLY TO PREVENT EROSION.
Received By:
Issued By:
�F2A)GL)I CV\t(iJRATlMj* e//)lL)
Date: U
Date: t2 42-7
Municipality of Anchorage • .
• -- Development Services Department
�a
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw St.
P.O. Box 196650
Anchorage, AK 99519.6650
www.cl.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. dlrl "uN�1"0
Property owner(s) JILL FRI DMAN Day phone 344-8820
Mailing address 12750 FLORAL LANE • ANCHORAGF AK
Site address _ 1 � tic5i) Ro Q — I AN) E — Zip Code 99516
Legal description (Sub'd, Block & Lot) ROBIN HILL #1 10T BLOCK 2
Legal description (Township, Section & Range) N/A
Lot Size ��u t VI �V Sq.FL
THIS APPLICATION IS FOR (gall that apply):
Absorption Field
❑
Septic Tank
g
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Number of Bedrooms
THIS APPLICATION IS AN:
Initial
❑
Upgrade
g
Renewal
❑
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.
GARNESS ENGINEERING GROUP Ltd.
Permit/Rush Fees:v / , 0 • o(D
Date of Payment: O I p%- a"' 0
Receipt Number: a �o -f 7
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:
GARNESS ENGINEERING GROUP, Ltd.
u,.. _ _.^. _,:,_ , _w.,,_ ., CONSULTANTS & GENERAL CONTRACTORS ■-- t -- -- '
REVISED DESIGN
September 11, 2007
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907)343-7904
Ref: Proposal for revisions to septic system upgrade for Robin hill #1; Lot 3, Block 2,
To whom it may concern:
The existing 4 bedroom house is served by a private well and septic system. The septic system is in a state
of failure and needs to be upgraded. Because of the tight soil conditions, we are proposing to install a
Quanics 650 Aerocell unit with a 1500 gallon septic tank, a recirculating 36 inch pump vault, and a 20 x
40 foot bed type drainfield. Two test holes were excavated on the property. The drainfield will be
designed around the 30 foot radius of test hole #1. Comments regarding the design are summarized as
follows:
1. SOILS: See the attached logs which show the soil classifications, groundwater monitoring, and the
percolation test results.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE RATERS: There are no surface waters within 100 feet of the proposed septic system.
4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography below the
drainfield is an 8-10 percent slope running approximately east to west.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems.
If you have any quAtions, please contact us at 337-6179. Thank you for your assistance.
:E., M.S.
NOfB: Attached is a site plan drawing, a design drawing, one soil log, which are all part of die design package for
this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.)
3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507-1259
Ph: (907) 337-6179' Fax: (907) 338-3246' Websitc: www.gamcssenginccring.com
NUMBER OF BEDROOMS:4
GALLONS PER DAY (CPD): 600
PERCOLATION RATE/: 60 MIN./INCH
PROPOSED APPLICATION RATE: 1.0
MINIMUM DRAINFIELD SO.FT.: 600
MAXIMUM DEPTH:2.5 FEET
WIDTH: 20 FEET
LENCTH:30 FEET
M.OA APPROVED SAND FILTER:2 FEET
EFFECTIVE: 0.5 FEET
REDUCTION FACTOR: N/A
ACTUAL SO.FT.: 600
LETTER THAT PERTAINS TO THIS DESIGN.
TO OBTAIN A COPY OF THE LETTER
CONTACT GEC. BY PROCEEDING FORWARD
WITH THIS INSTALLATION, THE ENGINEER,
WELL DRILLER. CONTRACTOR AND
PROPERTY OWNER AGREE THAT THEY
HAVE READ THESE SPECIFICATIONS AND
AGREE TO ACCEPT THE TERMS AND
NOTE: THE CONTRACTOR
SHALL HAVE THE NORTH h
EAST LOT LINES. AND ALL
WELL RADII FLAGGED BY A
REGISTERED LAND SURVEYOR
PRIOR TO CONSTRUCTION.
MNDED ORAINFIELD SFva
SOU
TOPSOILED AND SEEDED
Cs,iRFl+
REVISED DESIGN
ALTERNATE SITE
DRAINFIELD I I
20 x 30%-8-x �+/ ERROOCIEU. urII�`TNj2JPNDY VALVE L_JLTH/1 L. OLIANICS
PUMP VAULT
/ ez
/
/
EXISTING CRIBS.
PUMP AND FILL WITH SOIL
/ 7 ,
I 's
I
I
EXISTING 4 BEDROOM HOUSE
TANK. PUI
WITH SOIL
GARNESS ENGINEERING GROUP, Ltd. FCONSULTANTS d GENERAL CONTRACTORS V1 G TN011 FAV% WAM 101 • MCR LL " W • lli01L (WW3 In • FM (W1)]lO • �
O
PREPARED FOR: PHONE NUMBER: PACE NUMBER:
JILL FRIEDMAN 344-8820 2 OF 2
LEGAL DESCRIPTION: DRAWN BY:
ROBIN HILL #1, LOT 3, BLOCK 2 1 K.D.M.
TYPE OF WORK:
PROPOSED
(R"v 01105)
SYSTEM UPGRADE
9/11/2007
MOUN"N PARK EST.
LOT 2� BLOCK 12
1 I
I I
MOUNTAIN PARK EST. n
LOT 3. BLACK 12 i
/ I
\\ 1
MOUNTAINI PARK EST.
LOT 4. KOCK 12
1 I
100' WELL RADIUS I C;EPTI I
I
MOUNTAIN PARK 9ST. I
LOT 5. BLOCK /12 1
MOUNTAIN PARK EST.
LOT 8. BLOCK 12
(VACANT)
J` MOUNTAIN/PARK EST.
LOT 7, BLOCK 12
MOUNTAIN PARK EST.
LOT 8. BLOCK \ 2
7.._
I
REVISED DESIGN
I
ROBIN HILL #1.
LOT 1. BLOCK 2
(VACANT)
I
/ os
ROSIN
I I
ROBIN HILL #1, /
LOT 2, BLOCK 2
CSFpTIC
rr�
i TM# LJ ILJ
�rT"� S/
I Q
ROBIN HILL #1,
LOT 1, BLOCK 3
PROPOSED (NO CONCERN)
/ t"Y
/ SEPTIC SYSTEM
1 `
I ROBIN HILL #1.
/ LOT 4. BLOCK 2
GARNLSS ENGINEERING GROUP, Ltd
- •-�..--•--•�-�+-� CONSULTANTS 3 GENERAL CONTRACTORS
Tfldt f . fort 101 -
• fut
PARED FOR: PHONE NUMBER: PAGE NUMBER:
JILL FRIEDMAN 344-8820 I 1 OF 4
LL DESCRIPTION: DRAWN BY:
ROBIN HILL #1• LOT 3, BLOCK 2 1 K.D.M
OF WORK:
PROPOSED
SYSTEM UPGRADE
ROBIN HILL #1. `\
LOT 2A. BLOCK 3 \
/
APPROXIMATE /
LOCATION /
—\ \ N—
I 1100 WELL RADIUS
J�� 1 EXISTING 4
;Y�
B=DROOM HOUSE
�'n
/
I ROBIN HILL #1.
/ LOT 4. BLOCK 2
GARNLSS ENGINEERING GROUP, Ltd
- •-�..--•--•�-�+-� CONSULTANTS 3 GENERAL CONTRACTORS
Tfldt f . fort 101 -
• fut
PARED FOR: PHONE NUMBER: PAGE NUMBER:
JILL FRIEDMAN 344-8820 I 1 OF 4
LL DESCRIPTION: DRAWN BY:
ROBIN HILL #1• LOT 3, BLOCK 2 1 K.D.M
OF WORK:
PROPOSED
SYSTEM UPGRADE
ROBIN HILL #1. `\
LOT 2A. BLOCK 3 \
/
APPROXIMATE /
LOCATION /
—\ \ N—
rB
OUNDED DRAINFIELD SHALE TOPSOILED AND SEEDED
GRADE
FILTER FABRIC
U-12
2.5'
Jl
GRADE
GARNESS ENGINEERING GROUP, Ltd. p;?`It
.............
CONSULTANTS 6 GENERAL CONTRACTORS + """"
"I L TIOOiI Ib'p. fMl[ 101 AVpWAL Mf )M (107)&3�120
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: '•"' '
JILL FRIEDMAN 344-8820 3 OF 4 OO p fF A. Ga ess:
DRAWN BY: OO E-79533 ' `FG
LEGAL DESCRIPTION: K.D.M. Q e '•.�Z'�!••C�"l`ppp
ROBIN HILL fl, LOT 3, BLOCK 2 dPrp fes a(°c0\
TYPE OF WORK: DATE. OQOOO��Ooo
PROPOSED DESIGN SEPTIC SYSTEM UPGRADE 8/20/2007
(Rw. 01105)
I
N
O
r
m
z
O
F;
rJ
'E: ORAWN BT:
8/20/2007 K.D.M.
DAL DESCRIPTION:
ROBIN HILL #1, LOT 3, BLOCK 2 CARLESS ENGINEERING GROUP, Ltd
'E OF WORK: �CCNSULTANTB d GENERAL CONTFACrOFs
IESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE „�, c �..� +.R a..o ....� �n u•. rn.. �n i. m. •..*n...-..---+—
EPARED FOR: PHONE NUMBER: PACE:
JILL FRIEDAM 1 344-8820 4 OF 4
• ,, p"m
ey A. orness:
CE -7913 ei
GARNLSS ENGINEERING GROUP, Ltd.
^+�+•- --- CONSULTANTS 3 GENERAL CONTRACTORS -".���.�.�..........
SOIL LOG
— PERCOLATION TEST
LEGAL DESCRIPTION: _ ROBIN HILL /1
SUBDMSION; BLOCK 2 LOT 3
PERFORMED FOR: JILL FRIEDMAN
DAl
DEPTH
8/10/2007
_
feet
:a== ORGANICS
ITEST HOLE T
1»�
3:00
30
SOIL CLAS IFICATIONS
2
3
ML
:b ao;; GW ==== ORG
3
GP ML
4
GM CL
4
GC OL
0.50"
°" 000 0., SWMM MH
5
"� `'• S SP CH
6"
' OH
6
SC
7
8
9
10
11
12
13
14•
15-
16-
17-
18-
GM/ML
DEPTH TO
GROUNDWATER
DATE
SEEPS 5',7',8',11
7/10/2007
9.08'
8/3/2007
6.50'
8/10/2007
6"
-
TMs:
N,
EXISTING WELL
/ l
/ O
/
1
I
EXISTING 5
I
DATE READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
8/3/2007 1
2:30
-
6"
-
2
3:00
30
5.25"
0.75"
3
3:00
-
6"
_
4
3:30
30
5.50"
0.50"
5
3:30
-
6"
_
6
4:00
30
5.50"
0.50"
19� PERCOLATION RATE 60 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 4.0 FT. AND 4.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO
SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: PIERCE BLEWETT
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 6 I -1 07
GARNESS ENGINEERING GROUP, Ltd.
• • `°'• -^STM- _ CONSULTANTS 6 GENERAL CONTRACTORS
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION:
PERFORMED FOR: JILL FRIEDMAN
DEPT) �--"'
( ORGANICS
I I I I I II TEST HOLE 2
1 JIM
SOIL CLASSIFICATIONS
DATE
DRY
7/10/2007
ML M GW
• •
DRY
IIII11111
ML
11:111!11ISM%////,CL
2
3:02
GCHNN
5.50"
•
3
IIIIIIIII
-
_
//%CH
4
11!♦♦,��f�♦♦t,��l�SM4.48,
Sc
•
5.75"
0.25"
GM/ML
DEPTH TO
GROUNDWATER
DATE
DRY
7/10/2007
DRY
8/3/2007
DRY
8/10/2007
6•
_
7
TMJ:
ul
EX NG WELL , I
/ Q
I
I
I
I EXISTING 5
I
DATE READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
8/3/2007 1
2:32
—
6•
_
2
3:02
30
5.50"
0.50'
3
3:02
-
6"
_
4
3:32
30
5.75"
0.25"
5
3:32
-
6"
_
6
4:02
30
5.75•
0.25"
PERCOLATION RATE 120 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 6.5 FT. AND 7 FT.
A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO
SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: PIERCE BLEWETT
COMMENTS:
PERFORMED BY CEG, Ltd. I, JEFFREY A. GARNESS. CERTIFY THAT THIS WAS PERORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ' I 0
~"~f~") MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
MAILING ADDRESS
LEGAL DESCRIPTION
PHONE
LOCATION
Well
DISTANCE TO:
Manufacturer
q. capac tV ga IF HOMEMADE:
L
n
Ions
DISTANCE TO: IWell
Manufacturer
Well
DISTANCE TO: It.:>/-~'
I N°'°flines ILength°fea'~,~'~
Top of tile to finish grade
Length Width
Type of crib Crib diameter
Class Depth
D STANCE TO: Building foundation
Absorption area Material Dwelling
Insidelength W dth
NO, OF BEDROOMS
PERMIT NO.
No, ofcompartments
Liquid depth
Dwelling PERMIT NO.
Liquid capacity in gallons
Material
Nearest lot line
Foundation ..~ ~ L~ 0
Total length of lines I Trench width
Material beneath tile
/~.. inches
[] NEW
,~UPGRADE
Depth
Crib depth
Building foundation
PER, MIT NO.
HAm D u~,IAI-FT ~ ~/
Distance between lines
Total effective absorption area
PERMIT NO.
Total effective absorption area
Nearest lot line
Driller Distance to lot line PERMIT NO.
Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
REMARKS
APPROVED
DATE
LEGAL
MUNICIPALITY OF ANCHORAGE
Department i~ Health and Environmental~?otection
825 ~ ~1 j Street, Anchorage, AK. _ .501
, ~. ' 264-4720
* * * HANDWRITTEN PERMIT * * *
PErmit ~SO~\ ~R ON-SITE SEWER PERMIT
Applicant:
L~eation: Phone Number: ~ g ~-/30~
Legal Description: L ~ ~ ~O~ ~ Lot Size:
Type of Soil Absorption System Is:
Trench: Drainfield: Seepage Bed: ~ Holding Tank:
Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is: '
DEPTH ~ LENGTH ~ GRAVEL DEPTH ~ ''''/ WIDTH /~/ 3~/,
T~e 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(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).
* * REQUIRED SEPTIC(H~P:DC-NG) TANK SIZE = /~ GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
~f residences that the well will serve.
* * *
* * * TWO(2) INSPECTIONS ARE REQUIRED
Backfilling of any system without final inspection .and approval by this departmen
will be subject to prosecution.
Minimum distanCe between a well and any on-site sewage disposal system is 100 fee
for a private well or 150 to 200 feet from a public well depending upon the type
~f'pubtic well. Minimum distance from a private well to a private sewer line
is' 25 feet and to a community sewer line is 75 feet. Well logs are required
~nd'must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
~vailable to insure proper, installation.
* * * PERMIT EXPIRES DECEMBER 31~ 1 9 8 3 * * *
I'.certify that:
t) 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 codes.
3) I understand that'the on-site sewer system may 'require enlargement if
the residence is emodeled to include more that 3 .b~rooms.
Date:
SWP/024 (1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4-
5
7
8
SLOPE
DATE PERFO.MED:
SITE PLAN
10
11
12
13-
14-
15-
16-
17-
18-
20-
COMMENTS
2225-E
25, &971
WAS GROUND WATER
ENCOUNTERED? H ~;) I~
O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
PERFORMED BY: ~"~* '~ CERTIFIED BY: ~g DATE: "~h ~1~/~8~,~
GRF' !ER ANCHORAGE AREA
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEN~
NAME
LOCATION
SEPTIC TANK: ~'~/~"'?
D~STANCE . ,, NUMBER OF
FROM WELL ~ //' MANUFACTURER ,~'"~Z'z,g~/'~ '-'C'/dZ/~ MATERIAL 3"f~'g~ COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH ~ LIQUID DEPTH -- LIQUID CAPACITY //~ GALLONS.
NUMBER OF PITS // . DIAMETER- OR WIDTH~'¢, LENGTHO'~, DEPTH ¢'/
LINING MATERIAL~'~/~/-"v,.~.,/~;/¢'~ B SIZE: DIAMETER ~"~'E~EPTH ~' DISTANCE FROM: WELL
BUILDING FOUNDATION'~ / M TOTAL EFFECTIVE
NEAREST LOT LINE ~ f-/ ABSORPTION AREA (WALL AREA) '/~ ~4~ SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
CONSTRUCTION
NEAREST NEAREST
LOT LINE 4/~/'~,/'
· , SEWER LINE
OTHER SOURCES
DEPTH /'~" ,~ / DISTANCE FROM:
SEPTIC / SEEPAGE
TANK ~/ SYSTEM
APPROVED DISAPPROVED
REMARKS
DISTANC ES:
INSTALLED BY: ~--->"~¢¢/~"~Y ~'
PIPE MATERIAL: ~--~6~--~.'~M~)
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
DATE
?
App R OV E D/~-~-~c-
G.A.A.B. / -
: .... ~.::_
GREATER ANCHORAGE AREA Borough
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-456I
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
NAME OF APPLICANT~//~z~ ~ /~"~X"~'~'~ MAILING ADDRESS~/;~
iNSTALLATION LOCATION ~:~ ~- - ~~
PHONE
INSTALLATION OF: SEPTIC TANK ~f~//~ SEEPAGE PIT ~ DRAIN FIELD , OTHER
FINANCED THROUGH TO BE INSTALLED BY
SOIL TEST RESULTS NOT~ TBI~ PE~I~ I~ NOT ~LIB WITBOUT ~OiL TE~
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.
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT ~ / , DRAIN FIELD
SEPTIC TANK TO SEEPAGE Pit WAll ~ ~
, SEEPAGE PIT ~ ~
SEPTIC TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
, DRAIN FIELD
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TaNK , SEEPAGE Pit ~'~
DRAIN FIELD
SEPTIC TANK, SEEPAGE PIt ~/~ , DRAIN FIELD
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GaP OF
EXCAVATION 5 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.
OR
SEEPAGE AREA SIZE~'~/''~'~''?/~-~'';~'~/-- ~" -- TYPE
DIAGRAM OF SYSTEM
/ GREi' 'ER. . ANCHORAGE AREA BOPS'UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME -"~/'~, ~/~/~/~// ~/~ ~ S~D~,//~'/~AILING ADDRESS //~/~ /~//~/~7- acfZ~'/~ PHONE
LOCATION
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL c/¢ / / . MANUFACTURER ~'~/¢{f~ ¢¢/¢-///~ MATERIAL
INSIDE LENGTH ~' INSIDE WIDTH ~ LIQUID DEPTH
NUMBER OF
COMPARTMENTS
__.LIQUID CAPACITY /~¢~/~) GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER __
LINING MATERIALS~:/~ 2¢~/2~ CRIB SIZE:
.OR WIDTH
DJ-A~4 ET Ed~
BUILDING FOUNDATION ~5~/ NEAREST LOT LINE ~/~ / .
ADDITIONAL ABSORPTION
__.DEPTH DISTANCE FROM: WELL /
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) /~x SQ. FT.
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION _/~
NEAREST ,¢ / NEAREST
LOT LINE/¢/~/~¢/ //¢¢ SEWER LINE
DEPTH /~"~ / DISTANCE FROM:
SEPTIC SEEPAGE
TANK ~/// SYSTEM
OTHER SOURCES
DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY: D,d/////¢~
/
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
DATE ,?'~////4~,~ APPROVED
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TL.~L3OR ROAD POUCH 6-650
SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT
__ PHONE
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT--
~ ~'¢~ NOTE: THIS PERMIT IS NOT VALID WITHOUT ~IL ~T
SOiL 'rEST RESULTS I
COMPLETION DATE ANTICIPATED
pFI~MTT VAI Tr) ONF YFAR
FINAL INSPECTION, 24 HOUR NOTICE: REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INIBPEGTION BY TH[
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE /
MINIMUM DISTANCES, REQUIREMENTS
5
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT 20 ft. DRAIN F;ELD
SEPTIC TANK TO SEEPAGE PIT WALL 15 ft ,
SEPTic TANK 5 f~b, SEEFAGE P,T 20 ft. , ~.~,...~
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD lO fro
TypE~t~} ~' cnrlc~'RtJ~SEEPAGE AREA SIZE
SEEPAGE PiT --
ALSO CONSIDER AREA WELLS.
10 It, . SEEPAGE PiT 10 £%- ,
SEPTIC TANK, 25 ft., SEEPAGE P,T 100 ft., DRA,N FIELD 50 ft.,
TO RIVER, LAKE. STREAM. ~Ih)M]H ~EI.L
CAST IRON iNTO AND OUT OF BEPTIC TANK AND iNTO CRIB CROSSING GAP OF ......
TYPE
DIAGRAM OF SYSTEM ~'.~
EXCAVATION 5 FEET INTO UNDISTURBED SOIL,
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
O[~JkVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
'~ HEALTH AUTHORITYOR
LICENSED DESIGNER
~/G'GRA Vt~L (JACKFI Lt
l;[!E [_~LL n r Lint. ., .
I CERTIFY THAT I AM FAMILIAR WiTH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED/~j SYSTEM IS_ ,~lN ACCORDANCE,~.~- WiTH SAiD CODE. =~/~ ~ ~ //~ ~2~ "~ ~
3~7 EAGLE STREET
ANCHORAGE, ALASKA 99501
pA-formed For [~c::o ~o~ e_~ Date Performed
" -~-~f?~%-%-. o~-,, ~e---o~t~, a: so~-13'~Log ' .... X-~ -. '. ': ~t-~.~--~(~L.' ' ' _ .....
Location Sketch
' " i~__ ~_JT-.tZD ~ ,
Rea~ing Date G~'oss Time [ Net Time Depth To H20 ,N'e~ Drop
~rco±atzb'n '.ka"~/ 1 / "~,[inute i ~. ._ ,
Pmo~sed Installation: Seepage Pit Dpain Field /
Depth Of Inlet ])ep%h To"B~'ttom O~'P'i~ O~ T~ench %~ +
. ~/..A' ~a%%~" ,p qram. lc ~ ~' ~:'(,~oc~ b~?,'fl,'o~.~n co~~ ,'-'",
Data Certified By; ...........
Datel ~
R~E~"'~ER ANCHORAGE AREA BOROUGH:~"~
DE,~' .~ENT OF ENVIRONMENTAL QUA[ /
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE #
Performed For M.V. Maus Date Performed 8/7/72
Legal Descrip~'ion: Lot 3 Block 2 Subdivision Robin Hill
This Form Reports Soils-l['6'g x 'Percolation Test
Depth
Feet
Soil Characteristics
'1--
7
8~
9 ,
10--
Brown and gray silt sand mix. (ML)
With occasional sand pockets
W/silt seams below 4'
Was Ground Water Encountered? no
If Yes, At What Depth? ---
Reading Date Gross Time Net Time Depth to H20 Net Drop
'Percolation Rat~ M~...+^ I
nu
Proposed InStallation: Seepage Pit Drain Field
Depth Of Inlet Depth 1o Bottom Of Pit Or Trench
COMMENTS:,,We cannot recommend an on site sewer system as the required drainage '
~r~ wm~ld be 285 Sn. Ft. ~er bedroom which exceeds GAAB standards
?est Performed By, Carlisle ' D'ata Certified By: mac~onai %escin~
Date:
6REAIER ANCHORAGE AREA BOROUGH~.~
D~Px~-~MENT OF ENVIRONMENTAL QU~~ TY
3500 TUDOR ROAD :
ANCHORAGE, ALASKA 99502
CASE's#
Performed For M.v. Maus Date Performed 8/7/72
Legal Description: Lot 3 Block 2 Subdivision Robin Hill
This Form Reports Soils Log × Percolation Test
Depth
Feet
4~
6,1
7-'
8---
lO~
Soil Characteristics
Brown and gray silt sand mix. (ML)
With occasional sand pockets
W/silt seams below 4'
Was Ground Water Encountered?
If Yes, At What Depth? ---
Reading
Date
~ate
t Gr'oss Time
Net Dro~
Net Time
Depth to H20
Percolation Minute
Propo ed Installation: Seepage Pit Drain Field
Depth Of Inlet Depth To Bottom Of Pit ~r Trench
COMMENTS:, We cau~ot recommend an on site sewer system as the required drainage
~rpm wonld be 285 ~, Ft. per,bedroom which exceeds GAAB standards.
Test Performed B~ Carlisle
Oa-~-~Y~-f-~l l~ By: ~a[ionai Testing
Date:
Municipality of Anchorage G
On -Site Water & Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I . D. 017-442-07
1. GENERAL INFORMATION
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
Expiration Date:
ROBIN HILL #1; BLOCK 2, LOT 3
12750 FLORAL LANE *ANCHORAGE. AK
JILL FRIEDMAN Day phone 351-7903
12750 FLORAL LANE *ANCHORAGE AK
BONNIE MEHNER W/ PRUDENTIAL Dayphone 762-3110
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
N
Individual On-site
Individual Water Storage
X dle
IndividualHolding tank
❑
Community Class Well
ElCommunity
On-site
❑
Public Water System
❑
Public Sewer
❑
Received by: / Date: �//7 3.�/ 3
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ —Hilo ' Waiver Fee $
Date of Payment a /3 Date of Payment
Receipt Number cog -70 Receipt Number
COSA # OSC 1,9? 1 b 3�1 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.
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LtD. 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 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 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. GEG, LTD, 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.
6. DSD SIG TURE
System #1 Approved for bedrooms.
System #2 Approved for bedrooms.
Disapproved.
337-6179
Conditional approval for bedrooms, with the following stipulations:
f CE� 53 .•'
53 eco
Pro f esslo�°oo
ON-SITE
WATER AND
WASTEWATER o^
PROGRAM
The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State ofAlaska.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTCHMENTS: /
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory —
Well Flow Advisory Other
i
By: Original Certificaf2 Date., 3
(Rev. 11/05)
If more than 1 septic system is on the lot:
COSA Checklist # _of_
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: ROBIN HILL #1; BLOCK 2, LOT 3 Parcel ID: 017- L192-67
A. WELL DATA *PER AAROW PUMP & WELL SERVICES (SEE ATTACHED)
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) NO
Date completed PRE -1973 Sanitary seal (YIN) YES Wires properly protected (YIN) YES
Total depth *248 ft. Cased to *150+ft. Casing height (above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test NO WELL LOG 8/7/12
Static water level ft. 142 ft.
Well production g.p.m. 0.12 _9-p Sa$�rnae
1�+aier S��NP<
WATER SAMPLE RESULTS: tiS4gl kd
Coliform n colonies/100 ml. Nitrate0_•53 mg./L. Collected by: GEG. Lid,
pier
Arsenic: &A0 ug./L. Date of sample: 1/22/13
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEP/STEEL Date installed 10/12-17/07
Tank size 1500 gal. Number of Compartments 2 Cleanouts (YIN) YES
Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) YES
Date of pumping /vd� !hire Pumper / hnly-Ad +A e. C b Cly
Ai- is
C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE
Date installed 10/12-17/07 Soil rating (g.p.d./ftbr /bdrm 1.0 System type BED
Length 30 ft. Width 20 ft. Gravel below pipe 0.55 ft.
Total depth *3.58 ft. Eff. absorption area 600 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 8/7/12 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 0 in. Water added 745 gal. New depth .0 in.
Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE If yes, give date
*SEE ATTACHED MAINTENANCE REPORT
D. LIFT STATION
Date installedl0/12-17/07 Size in gallons 1500 Manhole/Access (YM) YES
"Pump on" level at TIMER in. "Pump off' level atTIMER in. High water alarm level at 46 in.
Datum BOTTOM OF TANK Cycles tested * Meets alarm & circuit requirements? YES
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 1 oo'+ On adjacent lots 100'+
Absorption field on lot 100'+
Public sewer main N/A
Sewer /septic service line 25'+
Animal containment areas 50'+
On adjacent lots
Public sewer manhole%leanout
Holding tank N/A
Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Properly line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Properly line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
coMormance with MOA COSH guidelines in etfsct on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date O1- 1 tq
(Rev. 11105)
)
�yim
,• 1aF
I1141r
ottsMeatDmaDr
I
i
I
I
_ I I
r
I
FI
I
w Lu
01
O
yWI
U) N
a�
bl
1
I
I
I
I
I
I
1
I
I
I
I
I
I
i
I
I
I
I
1
1
I
1
I
LOT 1 /
w www
www w 100,
www
ww w\\\
ww w
w
LOT 2
0
ti \
fi ww
M1aNHOLE•S ; /
IS71ra0 NDUSE oI'
s �y s yss CO
e d.
�7
r
I f
1 T14
w r Iii i
30,
UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDA
THE SURVEYOR TAKES -RESPONSIBILITY FOR. THE INITIAL.. TRANSACTION ONLY AND ASSUMES_FINFOREANCIAABUSHIUASILJTONLY FOR
LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE.
Lor DATIONSWVEY - SURVEY TYPE __ ..-----L__ —_--
FINA
TOPOGRAPHY - - —
FaNnanoN AS -MILT q�w SYM
PLOT LANSTft... AS -8-T
TT LOT SURVEY .. li N 7 �__. ASSUMESET D
/�._., -'—
PLOT PLAN , , , 'V--' ORAINAC
A WILT, COM02 51 BAR S WOOD FE
JT PLANS & LOT SURVEY _A 0°s ELEV.
v. ^ --^ METAL Fj
IT IS THE RESPONSIBILITY OF THE
CONSTRUCTION, TO VERIFY PROPOP
TO FINISHED GRADE AND UTIUTY Cf
THE EXISTENCE OF ANY EASEMENTS
WHICH DO NOT APPEAR ON THE
SURVEY CERTIFICATION
PLOT PLAN
Ia,. w°erar.nP"d
'r
Ae•an..,a a,er I �
N..a •�Mraai+wdana Lawm4i.n ♦A x
N
'FDUNDAndN AS-BWLT Jr..a.�:
I, eatla.c C aw.,m i_ I.rWI a.ary Gat I
^ePN*-. � Ar. �..stl . of eM
ane amt
evil^• somas h�avm B.a.
NNAL STRUCTURE AS -BUILT sIF� a
M.r" arury GM I
ab..,Nn,a ora fitwnpaoa a M+o.m bvon
� �a.• M�avehnn4 dart ..�Iw
p'o
OR
FENCE LINES.,,,.
COST (?F THE SURVEY,
ASPHALT
CONCRETE
MOO DEC
PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE
RELATIVE SHOWN, FENCES, WELLS, SEPTIC CLEANOUTS. SIDEWALKS, DRIVEWAYS.
IETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW
TRICTIONS MAY PREVeA1T SOME IMPROVEMENTS FROM 13 EINC SEEN AND LOCATED.
UN PLAT. ALL DIST ANCE5 ARE RECORO UNLESS OTHERWISE No-rED.
Prepared by
Pe®� Robert E. Johns, Jr. Ll,c Assoc.
Professional Land Surveyors
Y v i700 Brink Drive, I
I ANCHORAGE. ALASKA 49504
'I Scale: -.A'kI ��% Rea. Lot S.F. Ree. Plot Flee No.
...� 1
QDate Surveyed: Qrown byl. Checked b§TR+I
re 10/04/12 REJ
Y YL
,a �i Date Dream,: 10/04/12 Grid: W U
SW2338 12-437
Legal Description:
.•s ROBIN HILL '# 1
BLOCK 2 LOT 3
SII
- ApPLI( " I,, T FILLS OUT UPPER HA£'"ONLY
Buyer
Address Zip Code
Lending Institution ~'~' B._j.Oj . Phone
" & ~ Zip Code
Address ¢ OUt'-\ \ '~ "~'4~1:'~ Phone
Realty Co. & Agent
Address Zip Code
Type of Residence
Single Family
[] Multiple Family No. of Bedrooms j
[] Other
Water Supply
..~lndividual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
Community For wells drilled prior to that date, give well depth (attach log if available),
Sewer Disposal
~,.~lndividual Year Individual Installed:
~1 Public Utility When Connected to Public Utility:
[] Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time
Inspector inspirer Inspirer Insp~lor
( )DISAPPROVED
(X~) CONDITIONAL APPROVAL* ~i1Zed i~ ~b 9=~eZ, =ock o= otbe= impe=~ious
DATE Sept 29, 1983 material. The casing cut off at or below
ground level and a ~" plate welded to the casing.
Date ~wer Installed Well To Absorption Area /,~ Well Log Received
Soils Rating
( ~ 0
September
Saul R. and Jill R. Freidman
SRA ~ox 374-T
Anchorage, AK 99507
Subject~ Lot 3, Block 2, i<obin Hills SuDdiviszon
Approval for the individual sewer and water facilitzes canuot
be granted until tile [ollowing items have been completed:
~ Exposed electrical wires to the well [lead are in violation
~' of the Municipality of Anchorage codes and must De encased
in conduit.
The engineer's as-buiits, which have been submitted to
this o~zlc~., are not within tile parameters of the on-site
installation permit issued by th~s department.
discrepancies will need to be corrected before this
department can accept the submitted engineer as-builts.
'~be old crib. will need to be collapsed and filled with
~..~ vy soil.
The o'.l,d well will need to be p~ope~"ly abandoned and
filled with gravel, rock or o~ue~ impervious n]ateriai.
The casing cut of~ at or Oelow ground level and a 1/~I"
plate welded to the casing.
Please notify this Department for a reinspection wi]eh the
noted discrepancies have been corrected. If there are any
furti]er questions, please call this o~ice at 264-472U.
Sincerely,
JR33/ej/E2
Jim Roberts
Associate Environmental Specialist
