HomeMy WebLinkAboutMCKINLEY VIEW ESTATES BLK 3 LT 7A��
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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: OSP221468
Work Type: Septic None
Tax Code Number: 05179238000
Site Legal Address: MCKINLEY VIEW ESTATES BLK 3 LT 7A G:1459
Site Mailing Address: 21349 BARON DR, Chugiak
Owner: STEWART STEPHANIE H
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
d v.
Department
12/1/2022
12/1/2023
60093
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
��q: �S St4e �O l� Date:
Issued By: ,� �� 12 � r Date:
3
MV UHMPAU o% AmCHORAGE ,
Aw
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 051-792-38
Property owner(s) STEPHANIE STEWART Day phone 907-854-0132
Mailing address 21349 BARON DRIVE, CHUGIAK, AK 99567
Site address 21349 BARON DRIVE, CHUGIAK, AK 99567
Legal description (Sub'd., Block & Lot) MCKINLEY VIEW ESTATES; BLOCK 3, LOT 7A
Legal description (Township, Range & Section)
Lot Size Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Date of Payment:
Absorption Field 0 Initial ❑
Single Family (SF)
Permit No. 10SPlei �q 14(A
(w/wo ADU)
Septic Tank Q Upgrade RXDuplex
(D) ❑
Holding Tank ❑ Renewal ❑
Multiple Dwellings ❑
Privy ❑
(SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that
this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: ,Zq �S�
Waiver Fees:
Date of Payment: %t�'49'a
Date of Payment:
Receipt Number: 022-m6
Receipt Number:
Permit No. 10SPlei �q 14(A
Waiver No.
GADevelopment Services\Building Safety\On Site Water and WastewaterTannslClient FormslPermit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221468, Deb Wockenfuss, 12/01/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221468, Deb Wockenfuss, 12/01/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221468, Deb Wockenfuss, 12/01/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221468, Deb Wockenfuss, 12/01/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221468, Deb Wockenfuss, 12/01/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221468, Deb Wockenfuss, 12/01/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221468, Deb Wockenfuss, 12/01/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221468, Deb Wockenfuss, 12/01/22
Inspection Neport-1-1-12.doc
Municipality of Anchorage
Community Development Department Page 1 of 2
On-Site Water and Wastewater Program
4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite - (907) 343-7904
ON-SITE
WASTEWATER INSPECTION REPORT
Permit Number: OSP181388
PID Number: 051-792-38❑ New Z Upgrade
Name:
KATHLEEN DAY
ABSORPTION FIELD
El Deep Trench El Shallow Trench R Bed [] Mound
Address
21349 BARON DRIVE
2 Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
0.8 GPD/SF
5.5 Ft,
LEGAL DESCRIPTION
Depth to pipe invert from original grade
4.5 Ft.
Gravel depth beneath pipe
1 .0 Ft.
Subdivision
Block Lot
McKINLEY VIEW ESTATES
7A
Fill added above original grade
0.0 Ft.
Gravel length
49/49 Ft.
Township Range Section
Gravel width
5.0 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To'
Septic
Absorption
Lift Station I Holding
Sewer
I
Total absorption area
Number of trenches
Dist. between trenches
From
ITank
Field
Tank
I Line
490 Ft2
2
10 Ft
Well
I
N/A
N/A
N/A N/A
I
N/A
TANK [I Septic E) S.T.E.P. E] Holding El Other
Manufacturer
Capacity
Gal.
Surface Water
N/A
100+
N/A N/A
jjj
Material
Number of compartments
Lot Line
N/A
17.5
N/A j N/A
NA
Foundation
N/A
65.8
I N/A N/A
LIFT STATION
Manufacturer
capacity
Curtain Drain
N/A
z 50+
N/A N/A
Gal.
Remarks FIELD UPGRADE ONLY
Pump on level at in.
Pump off level at in.
High water alarm at in.
Pump make and model
I Electrical Inspections performed by
Installer
PIPE MATERIAL Housetotank Tank to
drainfield 3034
JR'S SEPTIC SERVICES Drainfield 3034 COIMT 3034
Inspector PANNONE ENGINEERING
SERVICES BENCH MARK (Assumed elevation) 336.Oft
InspectionLocation
dates: 13' 11/9/18
and description
2d 11/9/18
3" 11/12/18
411' SE BOTTOM HOUSE TRIM
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp
Conditional Approval:
Date low
even an one
Q 149
A
Approved
Date
Inspection Neport-1-1-12.doc
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RECORD DRAWING PHOOE (9Q7}Q2954 27282t80F�XA(9tJ7K27958 it ��PCaFAL��}+ SCA E16/2018
1„ = 60'
McKINLEY VIEW ESTATES, L7A � � -- - -- - — P.I.D. NO
..M....i' .014 ..
051-792-38
DRAWN ACP KATHLEEN DAY �'
CHUGIA21349 BA BARON
9 5167 �'��{t �oCi a ' ®r
SHEET
P18PERMIT �388
SITE PLAN 2 of 2
' 1 C<��"T"" 0-FA!N'0`40RA e �=
{)n'8i'mV�fa�er8,?Vastewatet rogram
^� PDBox 19O85O *r00Elmore Road
Anchorage, Alaska 98518'O05O Phone: Q* Fax: (90r)343-7VS7
»:p://wm"v.muniorg/onoite
Wasr ��������/ �v�1��� Per. it
�� ^ _�--_ - _
OennitNurnber: OSP181388
Work Type: Septic Upgrade
Tax Code Number: 05179238000
Site Legal Address: K8CK|NLEYV|EVVESTATES LT 7A G1459
Site Mailing Address: 2134QBARON DR, Chuyiek
Owner: DAY KATHLEEN MLIVING TRUST
Design Engineer: PANNONEENGINEERING SERVICES
This permit is for the construction of:
2 Disposal Field 1771 Septic Tank 0 Holding Tank 0 Privy
E:ffective Date
Exp|ratnn Date:
11C2/2O18
11C2CZO1Q
Lot Size �r Sq F,: 60093
Total Bedrooms: 3
-
1771 Private Well El Water Storage
All construction shall balnaccordance 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
VVaai*wa1or Disposal Regulations (1 8AAC'72) and Drinking Water Regulations (1 8AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.85.Provide notification bycalling (QO7)343'7Q04(24/7).
4. From October 15 to April 15, a subsurface soil absorption systern under construction during freezing weather
shall beeither:
o. Opened and Closed onthe same day, nr
b. Covered, sealed, and heated to prevent freezing
Received B\
Issued By:
Date:
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 051-792-38
Property owner(s) KATHLEEN DAY
Mailing address 21349 BARON DRIVE, CHUGIAK, AK 99567
Site address 21349 BARON DRIVE \1zC'L&j
Day phone
Legal description (Sub'd., Block & Lot) MCKINLEYSESTATESW L7A
Legal description (Township, Range & Section)
Lot Size 60,093 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field 0 Initial ❑
Single Family (SF) n
Septic Tank ❑ Upgrade❑ X
(w/wo ADU)
(D) ❑
Holding Tank F1Renewal ElDuplex
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: d. q (a •i,.DJ
Date of Payment: It) 10(o ( l D
Receipt Number: 0429
Permit No. is P 1 y B'SY
Permit App_:- : • :'_._c
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP181388, Deb Wockenfuss, 11/02/18
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP181388, Deb Wockenfuss, 11/02/18
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP181388, Deb Wockenfuss, 11/02/18
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Municipality of Anchorage
Community Development Department Page 1 of 2
On -Site Water and Wastewater Program
4700 Elmore St. - P.O.
Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite - (907) 343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP1 31255
PID Number: 051-792-38 El New El Upgrade
Name:
KATHLEEN DAY
ABSORPTION FIELD
M Deep Trench F-1 Shallow Trench El Bed F-1 Mound
Address
21349 BARON DRIVE CHUGIAK AK 99567
El Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
1 3
GPD/SF1
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision
Block Lot
MCKINLEY VIEW EST
7A
Fill added above original grade
Ft.
Gravel length
Ft.
Township
Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
FC
Ft.
Well
100+
N/A
N/A N/A
200+
TANK Other
El Septic E] S.T.E.P, El Holding F
-1
Manufacturer
ANCHORAGE TANK
Capacity
1 1 00OGal,
Surface Water
100+
N/A
N/A N/A
Material
Number of compartments
Lot Line
63.7
N/A
N/A N/A
STEEL
2
NA
Foundation
12.0
N/A
NIA N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
50+
N/A
NIA N/A
Gal.
Remarks
Pump on level at
in.
Pump off level at
in.1
High water alarm at
in.
Pump make and model
Electrical Inspections performed by
Installer
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
JR'S SEPTIC
Drainfield CO/MT 3034
Inspector Pannone Engineering Services
BENCHMARK (Assumed elevation) 337ft
Inspection �1
dates: 1 08/6/13
2nd 05/15/18
Location and description
3d
4u,
1 SW BOTTOM TRIM
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
Conditional Approval:
Date
co
w TH
tteven f. �'annorae
PUApproved
Date
CE 8149
_/O
I. 1Jycuuuf I ntpul t— I - 1 - 7 e.uuu
O'�z
O=
3BR
DRIVEWAY HOUSE
�? A
/ LOT 7A DECK
A B
T1 21.3
28.5
T2 25.40
31.7
DCO 27.6
32.4
NOTES:
RECORD DRAWING
DRAWN BY:
PLAN
TANK WITH DCO AFTER
SEPTIC AREA (E)
9/\
1 000g SEPTIC TANK
ABANDONED PER CODE
Sg DRAIN FIELD
SS'
O O
Z Z w O
J Z
W W m W
J J p J
O OG./FG. O o v
337
4.0
332.4 1000 g SEPTIC 332.2
TANK
PROFILE SCALE: 1"=10'
PANNONE ENG SVC, LLC
P.O. BOX 100217 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
SEPTIC AREA (E)
Date
01 A�-q 5/23/2018
f � Scale
49 TH
........ P.I.D. NO
ACP McKINLEY VIEW ESTATES, BLOCK 3, LOT 7A �... 792-38
KATHLEEN DAY teveCER8149 no % PERMIT NO.
21349 BARON DRIVE �
F6—' OSP131255
CHUGIAK, AK 99567 �1l�ppR FESk � sheet
2 OF 2
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP131255
Tax Code Number: 05179238000
Work Type: Septic
Permit Effective Dates: August 06, 2013 to August 06, 2014
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: MCKINLEY VIEW ESTATES
Site Legal Address: MCKINLEY VIEW ESTATES LT 7A G:1459
Owner/Address: DAY KATHLEEN M LIVING TRUST
DAY KATHLEEN M / TTE PO BOX 670276 CHUGIAK AK 995670276
Site Mailing Address: 21349 BARON DR, Chugiak Lot Size in Sq Ft: 60093
Total Bedrooms: 3
This permit is for the construction of:
N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received
Issued By
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 051-792-38
Property owner(s) Kathleen Day Day phone
Mailing address P.O. Box 670276, Chugiak, AK 99567
Site address 21349 Baron Drive
Legal description (Sub'd., Block & Lot) McKinley View Estates, Lot 7A
Legal description (Township, Range & Section)
Lot Size 60,093 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field ❑ Initial ❑
Single Family (SF)
❑X
Septic Tank NUpgrade 0Duplex
(w/wo ADU)
Holding Tank ❑ Renewal ❑
(D)
❑
Privy ❑
Multiple Dwellings
❑
(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: oZ�
Date of Payment: $I Iv 113 P
Receipt Number: D 115aG
Permit No. 0'00 2
Permit App_-'-:.;L..:c.
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
August 5, 2013
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
Anchorage, Alaska 99519
Subject: McKinley View Estates, Block 3, Lot 7A
Emergency Septic Tank Replacement Permit Request
Ladies and Gentlemen:
I am writing to request that a permit to install a new 1000 gallon septic tank be issued for this lot.
The proposed system will serve an existing three-bedroom house. Currently the lot is developed.
The existing septic system was designed and installed for a three-bedroom house and is operating
adequately for three bedrooms. The existing 1000 gallon septic tank has collapsed and is
exposing raw sewage to the environment. The existing 1000 gallon tank will be abandoned per
code. This lot is served by a private well that is over 100' from the septic system. This lot and
the surrounding lots are served by AWWU.
1. Upgrade Tank Design.
a. See Sheet 1 of 1 of the plan set
2. Surface Water: There is no surface water within 100 feet of the proposed system. The
proposed systems will maintain at least 100 feet from all surface water and drainage ditches.
3. Topography: Lot 7A slopes from east to west at approximately 2% in the area of the
tank replacement. The proposed installation will be located in the central portion of the lot next
to the existing septic tank and absorption system.
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 1/2 East Manor Ave, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
Page 2 of 2
The proposed installation will not affect the future development of the surrounding or existing
lots. There are no wells within 200 feet of the proposed septic location. If you have any questions
or concerns, please contact me at 272-8218.
Sincerely,
Steven R. Pannone, P.E.
Owner/Civil Engineer
Attachments:
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 1/2 East Manor Ave, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
/ 10
1 / SEPTIC AREA (E) —
/
/ SEPTIC AREA
/ 9
1000g SEPTIC TANK (E)
ABANDON PER CODE
2
3BR
DRIVEWAY H �E� E
70 SS DRAIN FIELD (E)
�./ SS
�h Q 64.9
/ 1000g SEPTIC TANK (P)
WITH DCO Q 23
LOT 7A
SEPTIC AREA (E)
�I<
NOTES:PANNONE ENG SVC LLC ���•A1'k� °°`e
EMERGENCY TANK REPLACE P.O. BOX 100217 ANCHORAGE, AK 99510 � ~ OF :4sl,t 8/5/2013
PHONE (907) 272-8218 FAX (907) 272-8211�yt� Scale
*: -y 1"=50'
.... .. .... P.I.D. NO
McKINLEY VIEW ESTATES, BLOCK 3, LOT 7A / 051-792-38
KATHLEEN DAY Steven R. Pannone OSPXXXXXX PERMIT NO
PF.•, CE 8149 j
21349 BARON DRIVE tt+��s�
PLAN CHUGIAK, AK 99567 +i>t `� OFFS` '
Sheet
1eOF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONIVIENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME , ~, ,
MAI LING ~DDt~ESS ~
! ~.:7. ~ ~ ~' .. .
LEGAL DESCRIPTION '~ '
LOCAT~Od ' Y .
/ ]~ell ¢ Absorpt on area
~ ~ I Manufacturer~" /
[,~ ~ {]~ ~.~: IF HOMEMADE:
~ ~ N~ ~es r., ~ Length of ~ach i ne~A , 'rota~ ~en~tb of ~ines
Top of tde to hmsh grade '/ ~ :' ,/ Mater~al beneathtde
Width Depth
~ ~ ~pe o~rib ~
Dwelling
IWidth
inches
[~UPGRADE
NO, OFBEDROOMS
PERMIT NO,
No, of compartments
Liquid depth
PERMIT NO,
Liquid capacity in gallons
PERMIT NO, ,
Distance between lines
Total effective absorption area
Nearest lot line
Distance to lot line PERMIT NO.
Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOl L TEST R/ATING
INSTAELER
REMARKS
DATE
APPROVED
72-013 (Rev. 3/78)
LEGAL
PEF.:MI T NO.
DERRRTf'IENT ( HERLTH RND ENVZRONMENTRL , ..OTECT~ON
825 *L¢ STREET, RNCHORRGE, RK. ~5n59!
264-4728
C,~-~--S Z TE E;EE~..4EF: PE:~:f't Z 'T
( 82:LEd. i )
RPPL I CANT
LOCRT t ON
L. EGRL
P.IRYNE KLIBRT E,U,:, 2~E; E. F.:.
L?-:8-< MCKINL. E'¢ VIEW
LOT _, I ,~..E
TYPE OF .::,UIL HE,_URFTIUN .=, ',- =,TEM IS: TF..Et',I_.H
I"tRF::IMIrJM NJMBEP OF EEE:,RF~Fff'IS =
E;~4-]:6t]:
SQUARE FEET
SOIL RFITING ,'S..] F'T,,"E:R)=
]'HIE REQU:f.F.:E[:, SiZE OF 'FHE SOiL HE, z,..RFTION SYSTEM IS:
'THE: LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF 8 TRENCH OR PIT IS THE DISTRNCE BETHEEN THE SLIRFRCE OF: THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THERE I'.S NO SET P.IIDTN FOR TRENCHES].
THE GRF¢¢EL DEPTH IS ]'HE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE E:OTTOM OF THE EXCFiY8TION (IN FEET).
F'ERMIT RF'F'LICRNT HRS THE F..E=,FLN::,IE, IL..,.T¢ TO INFOF.:M THIS DEPRRTMENT D, JRING TNE
.... rH!=, .... '- ""'
INSTFfl_I_FITIGN INSPECTIGNS OF FIN'¢ HELL.S RE, TFI-ENT ~f'O" '~' F F _FEF. T~ FIND TNE
MUI1E, ER OF RESIDENCES THFIT THE I.,.!ELL HILL SERVE:.
· _ . IH_FEUTIUhl RND RF'F'ROVRL B'¢ THIS
BFt']KFILt lNG OF RNY SYSTEM NITHOUT FINRL '--'--' '' -
DEPRRTMENT WILL BE SUBJECT TO F'R. OSECUTION.
I'dlNIMUM DISTFiNC'E BETWEEN R NELL RND RNY ON-SITE SEP. tRGE DISPOSF"IL SYSTEM IS
18El FEET FOR R PRIVFITE HELL OR ±5C1 TO 2E1Ci FEET FROM Ft PUBLIC HEL. L DEPENDING
UPON THE TYPE OF PIJBLIC WELL.
MINIMUM DISTANCE FROM R PRI',,,'RTE P.IELL TO R PRIVATE SEI.,.IER LINE IS 25 FEET AND
TO R COMMUNITY SEI.,.tER LINE IS 75 FEET.
OTHER REQUIREMENTS MRY FIPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE
R'¢RIL. RBLE TO INSURE PROPER INSTRLLRTION.
I CEF.:TIFY THFIT
..... Et.,-!ER_, FIND I.,.IELLS F:IS .:,E"I'
l: t RM FRMIL..IRR WITH TNE REQUIREMENTS FOF.: FIN-'-]ITE '= .... "= '-''
Ft.F..TH E,~' 'THE MUNICZPRL. ITY OF RNCHORRGE.
;?.: I I.,.IILL INSTFtLL THE SYSTEM IN RC:C:ORDRNC:E HITH THE C:OE:,ES.
]:: I UNDERSTRND THFtT THE LN-:,ITE SEWER SYSTEM MRY REQUIF.:E ENLRRGEMEN'T' IF THE
RESIDENCE IS REMODELED TO i'NCLUDE MORE THRN 3: BEDROOMS.
,/~ ) t / ;
SIGNED: ~' / ]: '_ ..... ~ ..............................
FIPPI_ I C'FINT NRYNE KUE;RT
.'r. SSLE[, B'¢ ..... ~/:L~¢'_'. ..... L: ...... Z,:L,]Q_L:Z':::'_:_L.L ..... [:,RTE___¢2'- ...... Z. 2::__ V4. e
~ussell Oyster
694-2774
ENG
.,lEERING & DEVELOi
Box 90, Davis St,, Eagle River, Alaska 99577
694-2774 or 688~2280
SOIL LOG
Performed for: Name: ~/i/~/>:-A' L' -~' Z%
Mailing Address:
Legal Description: ~ ~'~ ~- ~ ~ ~>~
.~IENT
CO.
688 2280
Depth (feet) Soil Characteristics
1
3__
4__
5__
6__
8__
9__
10
12
14__
15.__
16___
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit__
Comments:
No v If yes, what depth
Drain Field
Performed by:
PLOT PLAN
PERC. TEST
Date:
Parcel I.D.�1D. ~ .-/92-oo
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Expiration Date: _Nov i 6 11 )Of cl
Complete legal McKinley View Estates B3 | 7A
Location (site address) 21349 Baron Drive
Current Property owner(s) Kathleen Day Living Trust
Mailing address PO Box 670276, Chugiak, AK 99567
Real Estate Agent
2. TYPE OFDWELLING:
El Single Family (w/woADU)
L] Duplex
Ej Multiple Dwellings (Single Family and/or Duplex)
�
3. NUK8BEROFBEDROOMS: ~
Day phone
4. TYPE OFWATER SUPPLY:
TYPE OFWASTEWATER DISPOSAL:
Individual Well
El
Individual
�]
Individual Water Storage
0
Holding Tank
�l
Community Class M Well
54
Community
Fl
Public Water System
[l
Public Sewer
Fl
Waiver/Variance request for: Distance:
Received by: Date:
As certified by my seal axed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined
in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater
disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that
based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply
and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at
the time of installation.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test,
and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil
condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions
are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future
performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC Phone (007) 745-8200
Address P.O. Box 1807 Palmer, Aid 99645
Engineer's Printed Name Steven R Pannone
System #1 Approved for 3 bedrooms Sievert :ancone
to, �. CE -8149
System #2 Approved for bedrooms
Disapproved ES9
Conditional approval for bedrooms, with the following stipulations:
I -REM
10
Lamm
By: . A Original Certificate Date: t�cry �1 ( 11 �()1�
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet—E '- ..
RJR= 110111171-3-M W11
Legal Description: McKinley View Estates []3 L7/\
A.WELL DATA
Well type Community |fA.8.orCprovide PVVS|D#A
Date completed Sanitary sea] (YYN)___
Total depth ft. Cased to ft.
FROM WELL LOG
Date of test
Static water level
ft.
Ifmore than 1septic system isonthe lot:
COSACheckist#1o�__
Structure served by this system 1
Parcel ID: 051-792-38
Well Log (YYN)_______
Wires properly protected (Y/N)_______
Casing height (above ground) _in.
AT INSPECTION
Well production 9 -pm.
WATER SAMPLE RESULTS:
Coliform co|unies/100 mL Nihub+ mg/L
Arsenic ______ ug/L Date ofsample: Collected by:
B. SEPTIC/HOLDING TANK DATA
ft.
TankType8Nateria| Septic/ Steel Date installed 8/6/13
Tank size 1000 -al. Number nfCompartments 2 [] `/
�
Foundation cleanout (Y8N) Y Depression over tank (Y8N) Kj High water alarm (Y8N) N//\
Date ofpumping 4/2/18 Pumper ]R'S �
C. ABSORPTION FIELD DATA
Date installed 11/9/18 Soil rating (Q.p.d. /ft2orft2/bdnn)0.86pD/3F System type wide trench (x2
Length.49 /X2\ ft. Width 5 (X2) ft. Gravel belmwpipe 1{V1.0 |t
Total depth 5��� ft. Ef[absorption area 490 fe Monitoring tube `/ Depression over field k]
Date nfadequacy test New Resu|ts(Pasa/Fui}) P8SS For 3 bedrooms
Fluid depth inabsorption field before test in, Water added_______gal. New depth_____in,
Elapsed Time: min. Final fluid depth in. Absorption rate g,p.d-
Anyn4uvenatk/ntrea8nont(paat12mn.)(Y7N&t/pe) K]OD8 KDOVVD |fyes, give date________
D. LIFT STATION
Date installed N/A
"Pump on" level at_
Datum
_ Size in gallons __
in. "Pump off"Ieve|a1
— Cycles tested
— (Y/N)
in. High water alarm level atin.
__ Meets alarm & circuit requirements?
_______
E. SEPARATION DISTANCES
WELL ONLOT TO:
Septic tank/lift station onlot Kj/4 Dnadjacent lots
Absorption field on lot Onadjacent lots
Public sewer main Public sewer manhole/cleanout
____
Sewer /septic service line Holding tank
Animal containment areas Manure/animal excrete storage areas
SEPTIC/HOLDING TANK ONLOT TO:
Building foundation 10'f Property line 10'+
Water main 25'+ Water service line 254'
Wells on I adjacent lots 100'+
ABSORPTION FIELD ONLOT TO:
Property line 10'+ Building foundation 10'+
Water Service line 254' Surface water 100'f
Curtain drain 50'+ Wells onadjacent lots 1004'
F. COMMENTS
G. ENGINEER'S CERTIFICATION
/oortify that / have determined through field inspections and
review ofMunicipal records that the above systems are in
conformance with MOA C0SAguidelines /neffect onthis date.
Engineer's Printed Name Steven R.Pannone
Date lgra
oosxcanary ohect-2-o15.mm
Absorption field 10'+
Surface water 100'+
1�'f
Water main
ohveway, parking/vehirleomrag* 104'
HE~ZCIPAEITY OF ~NCFO~GE
DIVISION OF ~IRC)N~i?~ H~
APPLICATION ~R HE~%H ~-IORITY
1 Ce~ra! ~ ' ' AOp]..~.~aul. on Date .
(a) Legal ~scription (include lot, blcck~ subdivision, s?cticn~ to~ship, ran~)
Location (ad.ess o~ directions)
Applicants
(c) Applican~ is (check o~) ~nding Ins~itu. tion
(d) Lending Institution Telepho~
Add~ess
· re) f~al Estate
Address
'I?e. le phone
.~jym,'e of }~siden~.,
Single-Family
Num~>~r of
Water
Mul t :[.~t?ami 1y ~._--~
OtJ~er (describe)
Note: If co~'~'~unity ~e!l system, must have ~-itten confirmation frcm ~e State
~pa~'%~nt of F~%viron~ntal Conservation attesting to the legality ~d status~.
!s ~e ~1.1 adequate for the nu~er of ~'~s s~cified in this
~e Dis~sal
Onsite i~ ~blic C-q Country ~f~ Holding TarX ~
~[s the ~stewater disl~sa! system adequate f~ the n~r of ~dro~
[Page i of 2]
2-15-84
_~_q~ir~erinq_~.rm tlrovidin.__~.~ns___pd~__gt--ions~ 1%sts~ lT~ta and Infor~tion
I certify that I haw checked~ verified~ c~ confcmred to all MOA HAA Guid~.Iires in
efze~t on the date of this inspection~
S igne d~~¢~
S ~g~d by
Da tq ........... ~~
( ~NG.~N~.,ER SEAL)
App~zOve d for C~ bedr cor~s
'rer~,s of Conditiona.1 Approval
Disapproved
Lond it lona 1
Date
%he Municipality of Anchorage E~partment of Health arid Environmental Protection dc~s
nct guarantee the continued satisfactory performanc~ of the water supply and/or the
wastewater disposal system° This approval indicates thab~ as of the validation cl~be
shown abo~e ~ based on the dmta and information furnished bi an er~3ireer registered in
the State of Alaska, tile water supply and wastewater disposal system is safe and func-
tional for tile number of bedrou~s and type.-~ of structt~-~e indicated,,
( L~4EP S,~ )
Mail the HAA to the following ad(.~ess:
KB2./d5/s
[Page 2 of 2]
2-15-84
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Well Classification
Well Log Present (Y/N)
Total Depth
Cased
to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances f~om Well:
To Septic/Holding Tank on Lot
To k%arest Edge of Absorption Field on Lot
To Nearest Public Sewe~ Line
If
Date Completed
Pump Set At
B~ c~ C~ D.E.C. Approved~/N)
~:,/{ Yield
~pth of Grouting
Sanit~y ~al on Casing (Y~)
~ession ~ound ~l~ead (Y~)~/~
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
C leanout/Manhole
Water Sample Collected By
Water Sample Test Results
Co,~u~ents
~[3(~ To NeareSt Sewer Service Line cn Lot
B. SEPTIC/HOLDING TANK DATA
Date Installed ~O/[4 p~ .... Size /O O C~ No. of Ccmpartm~=nts
Standpi~s ~) Ai~-tight Caps ~) Fou~datio~ Clea~out ~)
~p~ession o~ TaP~ (Y~ Date ~st P~d ~
P~ing/Maintenan~ ~n~a~ on File ~ '~, ; for
Holding Tank High-Water Ala~ (Y~) ~/>~_ ~ra~y Holding Tank Petit (Y~)/g~ _
Sep~ation Distan~s ~ Septic~olding Tank:
To Water-Supply '~11
To Property Line
To Water MaiD, Service Line.
Cour se t~
TO Building Foundation ~0, ~,~
TO Disposal Field ~/~i
To Stz, eam, Pond~ Imke, c~ Major Drainage
[Page 1 of 2] 2-15-84
C. A}~SORPTION FIELD DATA
Soils Rating in Absorption Strata ~ Type of System Design
Date Installed ~ 0/%. ~ Length of Fie ld / ~/.~/
Width of Field
Sc~ar.~e Feet of Absorption Area
l~pression ove~ Field (Y~)?
Results of Last Adequacy Test
Depth of Field ~ !
Gravel Bed Thickness ~/ '
~ Standpipes Present ~)
Date of Last Adequacy Test ~/~
Separation Distance f~om Absorption Field:
To Water-Supply Well ~U/A- To Property Line
To Huilding Foundation ~ ~7 / To Existing or Abandoned System on
Lot ~ ~ ; On Adjoining Lots ~/~
To Water Main/Service Line ~0¢3~ To Cutbank(if present) ~'~,~
TO Stream/Pond/Lake/c~ Majo~ D~ainage Course
To D~iveway, Parking Area, or Vehicle Storage Area
D. LIFI' STATION
I~te Installed ~;t~
Size in Gallons ~//%
"tkm~p On" ~1 at ~,~
High Water ~ ~vel at ~%/{~
Tested for ~7~
Eleetrical Co~s (Y~)
Dir~ensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N) /%~/~
Pumping Cycles du~ing Adequacy Test.
Meets MOA
Check Permitted Bedroom Rating A~ainst HAA Request
I certify that I have checked, verified, o~ conformed to all MOA HAA Guidelines in effect
on tbs.~ date of this inspection.
KB1/d 5/e
Date ~//~L/~ ~
MOA NO. ~ a/'~pP~
[Page 2 ,Df 2]
2-15-84
D~T. O~ ~NV~RONN~ENTAL CONSeRVaTION
April 5, 1984
BILL SH~.FFIELD, GO~/F_RNOI~
i ~lephone:(90?) 274-2533
~ Address: 437 E. Street
~ Suite 200
Anchorage, AK
99501
To Whom It May Concern:
According to records on file in this office McKinley View Estates Public
Water System is in compliance ~ith the State Drinking Water Regulations.
Sincerely
Anchorage/Western
District Supervisor
JCA/msm
cc: Alaska Environmental
Control Services
1200 W. 33rd Avenue
Suite B
Anchorage, AK 99503
APPL NIT FILLS OUT tiPPER HAl ONLY
/ / , Phone
Address Zip Code
Lending Institution .
Address Zip Code
Realty Co. & Agent
Address Zip Code
Street Locati~
Type of Resi~nce
: Multiple Family No. of Bedrooms .:~"
~ Other
Water Supply
~ individual ATTACH WELL LOG. A w~l log is required for all wells drilled since .June ~975.
~ Community For wells drilled prior to that date, give well depth (attach log if available).
: Public Utility
~., , Year Individual installed:
~ Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Field Notes: ~VdlNIC[PAI.iTY OF
;!i',jVtR
( g~ ) APP~OVEB BEDROOMS *COnDiTiONS OF APPROVAL
( ) D~SAPPROVeD
( )CONBITIONAL APPROVAL*
DATE /J- ---~ '--~ - --
BY: ~('~
Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received
72 023 (3/82)