HomeMy WebLinkAboutMCMAHON BLK 1 LT 6McMahon
Block 1
Lot 6
#017-041-47
Municipality of Anchorage . Page 1 of 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SW940286 PID Number: 01704147
Name. Elizabeth Ann Komarek
Wastewater System: EJ New ❑ Upgrade
Address: 3830 E. Huffman, Anchorage, AK
ABSORPTION FIELD
Phone:
345-0340
No. of Bedrooms:
5
❑Deep Trench ❑Shallow Trench Need []Mound❑Other
LEGAL DESCRIPTION
Soil Rating:
0.8
Total Depth from original grade:
5'-4" West 8'-41' East
GPD/Sq. Fe.
Lot: Block: Subdivision:
Depth to pipe bottom from originalgrade:f�
Gravel depth beneath pipe
6 1 McMahon
4'-6" West 7'-6" `SF.
0.83 Ft.
Townshl
Range:
Section: 28
Fill added above original grade:
Gravel length:
3W
Ft.
64 Ft.
WELL: ❑ New ❑ Upgrade
Gravel width:
15
Numberoflines:
3
Distance between lines:
1 4.7
Ft.
Ft.
Classification (Private. A,B,C):
Total Depth:
Cased To:
Total absorption area:
Pipe material:
Ft.
Ft.
so. Ft.
HDPE ASTM F810
Driller:
Date Drilled:
Static Water Level:
installer:
Dale Installed:
Ft.
A—Plus Home Services
8119194
Yield:Pump
Set at:
Casing Height Above Ground:
TANK
GPM
Ft.
Ft.
SEPARATION
DISTANCES
M Septic ❑ Holding ❑ S.T.E.P.
To
Septic
Absorption
Lift
Holding
ublic/Private
Manufacturer:
Capacity in gallons:
From
Tank
Field
Station
Tank
Sewer Lines
Anchorage Tank
1500
Well-
100.8'
103.6'
NIA
NIA
NIA
Material:
Steel
Number of Compartments:
2
Surface
NIA
NIA
NIA
NIA
NIA
LIFT STATION
Water
Lot
40.0'
17.0'
NIA
NIA
NIA
Size in gallons:
Manufacturer:
Line
Foundation
57.5,
79.0
NIA
NIA
NIA
"Pump on" level at:
"Pump off' level at:
High water alarm at:
Curtain
NIA
NIA
NIA
NIA
NIA
Pump Make a Model
Electrical Inspections performed by:
Drain
BENCH MARK
Remarks:
Location and Description:
Existina arade at foundat' '
east corner.
Assumed Elevation:
'ino Ft
ENGINEER'S SEAL
• e
Richard Vield, E.I.T. 8118194
�' a� • a•_ -
•.
Inspections performed by: Dates: 1st
T ..
2nd 8119194
... ............
Department of Health and Human Services approval°ti
, ..:�,-, p,�. .. .
�C52 7KAN
��p '
Reviewed and approved by: D' - Dater-y
*° ° ° ° ° '• `��'®
72-013 (Rev. 9/911 MOA 25
Permit No. SW940286 Page 2 of 3
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: L6,BU, MtMbhon SD, TS 12N, R 3W, S 28 PID No.: 01704147
50.00'
72-013 A (1/93)
HUFFMAN ROAD
WELL
f � I
.103 'sI � / /
.......... i .....................................
�. I.......................................................................
ABANOCNED 1250 GALLON
3
SEPTIC TANK'.(CRUSHED) I /
I %
...... ....... .,. CLEAN/3UTS
I_ ly ENG®��@ E
A.
NEW 64'x 15 � ®® J` `V�
AUSDRDTION Edo [qp�P O ��Af /1 � S!
„• Las
i 4' NONITORING T➢ E � CO� � - _ � • °o
-*:4°
.
rte^°°. AR P,HUR N : 4
CE -5227
S �C�
Permit No. SW940286
Page 3 Of
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
I
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 e Anchorage, Alaska 99519-6650 # Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: L6,BLK1, McMahon SD, TS 12N, RN, S28 PID No.: 01704147
.................................. ................................... .................................... .... ..............................................................
.................... ...........................................
.............................. .........
BENCHMARK AT EASM0 GRADE AF FOUNI ATION
SOUTHEAST COF TER. ASSUMED EL - 30('
...................................30D.. ....
.............. .................. - .................... .........................
... . ......................................
.......... ......................
-
INV EL = 295 35,
jjjj
TANK INLET INV. EL. =2 WW/
TANK OUTLET INV. EL- 2 14.21-/
INV. FIL, =
9105'
10 gEPAGE PIT
..................... - ..... ............. - .......
............
........... ....... ..
- ........ ......... ...................... .................
MONITORING WELL INV. F
NO GRGUND WATER T
...................................285
... ..
.......... ............. ....C
................................
1 4 00
2
00
SCALE: 1" - M' HORIZONTAL
= 5' VERTICAL
........... ...................... . . ...................... .. ..... ............. ....... ....... ..........................
....
ENGINE
OF.444
AV
Cj
OF IZ
Av* '49TH
06
001
WPHiUKAN
AR
AR
CE -&227
iQ low
72-013 A (1/93)
e Municipality of Anchorage
t DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: F3 ( t \1 �-0 P/ klz F `<-
LEGAL DESCRIPTION: L oc,T 6 13L.k 1, N\cMN
+f�cG• 7Q ARC:ANiC
7-( ET
Ct RowIA
1 � •+ SPNoy 51GT u�/sr oQQ�FS
+O .
D
2
,
3 �.
4 D
5
6-
7 c�
8 \
9 \
10-
11
12
13-
14-
15-
16-
17
314151617
18
19
GR M / B Row N
SILT+I 5NND
\Nr IT 1-1
C-0R"z(-s_S
G.RN`I
5NNDy SILT'
��,� t rr �tg��SQ
..
:... ...
.
UKAN
t
DATE PERFORME
z�
5.UTownship, Range, Section:
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT �� O
DEPTH? P
E
Depth to Water After
Monitoring? 0 Date:
Reading Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
11xl(6rr
It
25-
25
1" II%
y
7S
2.S
13516'
PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND 10 FT
?r
COMMENTS r%lAC4F?rR ti7�( cl koOp g0PK
Vi 9
PERFORMEDBY: CH A(�D }.\ • �; F sa I IL rc-.mol CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE r
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502 (J/�
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW940286
DESIGN ENGINEER:PHUKAN & SORENSON CONSULTING
OWNER NAME:KOMAREK ELIZABETH ANN
OWNER ADDRESS:3830 HUFFMAN RD
ANCHORAGE, AK 99516
PARCEL ID:01704147
LEGAL DESCRIPTION: MCMAHON BLK 1 LT 6
LOT SIZE: 33925 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT: 5
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
DATE ISSUED: 8/11/94
EXPIRATION DATE: 8/11/95
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS) .
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
A CONFIRMING SOIL/PERC TEST MUST BE TAKEN NEAR THE EASTERN
END OF THE BED TO CONFIRM CONTINUITY OF THE SOIL.
DATE : �N
DATE : l�
RECEIVED BY:
ISSUED BY:
DESCRIPTION OF KOMAREK PROPERTY
The Komarek residence is on a 33,925 square foot lot with good drainage. The lot slopes away from the
residence toward the south at about 3%. There is also a slope toward the center of the lot from both the
east and west property lines. In the middle of the lot, near the location of the existing septic tank, the
grade changes to a 2 - 3% grade to the southwest. The overall drainage from the lot is to the southwest.
The site of the proposed drainfield is a relatively level area between grade changes.
The only well or septic drainfield within 200 feet of the proposed septic system is on the property directly
to the west of the Komarek property. On this adjoining parcel, the well is approximately 150 feet from the
property line, with the septic drainfeld between the well and the Komarek's property line. The proposed
system should have no impact on the water quality or the septic system performance of the adjacent
property.
A 4" diameter perforated pipe monitoring tube installed to a depth f l=Nwvater
seven days.
P`h7 a
),,,, 05-1 �c
V ., CZJe ,
�-� y tje0L,4
It / / i
7/t- � sat Ill4o-r 1,�--rl a�l <
i^o, src f @ � el?<!� -12�
a sassacicnes, Inc.
Civil • Geotechnical
Surveying • Environmental
FIELD
203 W. 15th Ave., Suite 104 Office (907) 272-7111
Anchorage, Alaska 99501 FAX 277-3177
KOMAREK SEPTIC - DESIGN NOTES
1. All solid pipe used in this system shall be cast iron, ductile iron, high density polyethylene, or PVC
rated by the American Society of Testing and Materials (ASTM) and labeled D3034, or an approved
equal pipe.
2. A minimum 2% slope will be maintained in all solid piping from the residence to the septic tank, and
from the septic tank to the distribution system.
3. The septic tank shall be of 1500 gallon capacity and two compartments. A minimum four inch
diameter standpipe with an airtight cap shall provide effective access to each compartment. The septic
tank must be fitted at the inlet and outlet with watertight couplings approved by the Department of
Health and Human Services of the Municipality of Anchorage. An insulated tank is required for this
installation.
4. A cleanout shall be installed one to four feet from the building foundation. Cleanouts shall also be
installed between the tank and the distribution system, arranged to provide cleaning both toward the
tank and the distribution systems. Cleanouts shall also be placed at each end of the horizontal
distribution pipes in the absorption bed.
5. The excavation for the bed bottom must be within two inches of level.
N
50.00' HUFFMAN ROAD
/
/
�
I � 100' RADIUS-
FROM WELL \
I / I
DRIVEWAY
\
I I
SINGLE FAMILY I '
FIVE BEDROOM WELL. '
\ I u I
SHED
\
\ 100' RADIUS FROM WELL SLTE = 11.59,SLOPE _ $5% I 230.00' I
ON ADJACENT LOT
\ EXIS 1250 GAL I /
SEPPI C TANK
\ SLOPE = 3.1% I /
\ TEST PIT #3
4" DIAMETER�
I,'ONITORING WELL \ � ! I SLOPE = 3.6% I
\�
I I TEST PIT /j1 Z� �\\ EXISTING F
AND CSI OGAIIN[ ON,TYpkr /
EXI TING 17'.17' I 7 / \
OAPIBACKU I I
' I TO REfAINS
TEST PIT
$2
/ SLOPE = 4.2% �\ v
ILS--
25
/
/ ADJACENT GRAINFIELD 147.50'
AM
\`Y I
° �
0*- 49T FIGURE 1: SITE PLAN
...e°..
�.......
....................
�....
D HUKAN ,<<
KOMAREK RESIDENCE
®��°°•° CE-5227
e#Iii LOT 6' BLOCK AHON UBDIVISION
0 pROF�sso� �� CHORAGEM ALASKA
W.O. 94732.1 lCOMP. FILE 732SITE scALE 1" = 50' DATE 7/25/94 By RAF
-10.G0, HUFFMAN ROAD
100' RADIUS I� \
1 FROM ',','ELL \
DRIVEWAY
SINGLE FAMILY fi{
�I I FIVE BEDROOM WELL I !
I\ � I SHED � � 1 111
\ I — 4� 0" MAX.
CLEANGD7 r
\ 100' RADIUS FROM WELL / \
\ N AD„'ACENT LOT \ I I /
\
I \ 62 } PROPOSED 1500 GAL\ t I /
172.7
} SEEP'IC TANK
\ , 131.7' T$ST PIT ){3 I
1 , DIAMETER I
AONITORING WELL
TEST PIT #1
DIVEFSION VALVE
---
EXISTING
EXISTING STAGE PIT
AREA TO WEST SOUTH
SOUTH
1 RESERVED FOR EXPANSION 1
TO FIVE BEDROOM CAPACITY 1_
I
TEST PIT $2 �I 17*
I
4' MONITORING TUBE
/ PROPtJC_FD NEW 64'C 15
KUHUN BES—
/ 11'�
I�
r IGVRE- 2: SEP TIC S 1 S T Ei��I LAYOTJT 1
KOMAREK RESIDENCE
LOT 6, BLOCK 1, McMAHO-NT SUBDI17TSIONT
ANCHORAiTE, ALASKA
W CIA 7z711rn1AP GOP 7Z7nQtlCr41: 9" — rin'IFIATC 7/7S/QdI RY QAC
PROPOS1500 GAL.
SEPtIC TANK
I
II
DIVERSION VALVE
I
I
L
PROPOSED NEW 64'x 151
ABSORBTION BED
-- -- 1.rT--
PIPING DIAGRAM
15' 0'
17'
4" MONITORING TUBE
BETWEEN GRAVEL 8ED
AND SAC;
ABSORBTION BED CROSS—SECTION
FIGURE 3: SEPTIC SYSTEM DETAILS
KOMAREK RESIDENCE
LOT 6, BLOCK 1, McMAHON SUBDIVISION
ANCHORAGE, ALASKA
W.O. 94-732.? COMP. 'FILE 732DSN I SCALE NTS DATE 7/25/941 By RAF I
\ 14�
\4'
DIAMETER HOPE PIPE I
APPROXIMATELY 80' TO RESIDENCE
/)
I•/
CLEANOUT$
4' DIAMETER PERF. PI
LATERALS
L
PROPOSED NEW 64'x 151
ABSORBTION BED
-- -- 1.rT--
PIPING DIAGRAM
15' 0'
17'
4" MONITORING TUBE
BETWEEN GRAVEL 8ED
AND SAC;
ABSORBTION BED CROSS—SECTION
FIGURE 3: SEPTIC SYSTEM DETAILS
KOMAREK RESIDENCE
LOT 6, BLOCK 1, McMAHON SUBDIVISION
ANCHORAGE, ALASKA
W.O. 94-732.? COMP. 'FILE 732DSN I SCALE NTS DATE 7/25/941 By RAF I
0
PERFORMED
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
$E -t -TY I<C`KN M
LEGAL DESCRIPTION: L_D 1 Com, b(_0C_1< 1, N.cMAliopl 5.0TON
5 �,..
\ l
7 ♦..
Row.t/G R,py
Sic.Ti 5fi„��
`N l r11 CDBw.i � �
$ b l\
\
\ U
10 , \ p(ZbwN /U2Ay
11 � SIcTy sH1aD
12 4 JC
13-
314M06
K11
DEPTH
Gross
Time(w
14-
(FEET)
Net
Drop (�n�
1
�
I Ma
15
�PV�)�'•
° )a r
Z
3a
2
k 4
DROWN
3
..._
('0
3
35A6 9/It
z.�s
4I
� `.
,
30
Zi
(ENGINEER'S SEAL)
+.r Municipality of Anchorage
t DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: 3&Ti`J 1e'®h\AR.P-l6 DATE PERFORMED: V\ z-',,\ 94
LEGAL DESCRIPTION: LT b &LIc 1 1`>\c N'-kQN 5•D, Township, Range, Section: TI-ZN Raw SEc Zf3
DEPTH SDD SLOPE SITE PLAN
13-
14-
15
314 15 t;!!, C9-:",t�' : o V
16 *,........a '
17 ID PHUKAN 7
CE -522719
FM
COMMENTS If
% 2
Depth to Water After
Monitoring? Date:
Reading
Date
Gross
Time(mi-)
Net
Time (n,ln)
1
I
Dkkk-,bRUWN 51LT
'7\Zl\9 I
'7
2
I3 Y8 I�(�/�
\dtCF! gra BCILF_S
6 3
u1
tl
Zo
S
13 � I�I�y
5
�r
25
6
lava 1y 3//c
1.688
lO
7
3V
S
1]`/a 11 1/6
8
7
35-
9
$ I '1 "/6
I.')5 0
10
WAS GROUND WATER
N
n
ENCOUNTERED?
S
13'B lye/a
I.�au
S
11
L
IF YES, AT WHAT O
DEPTH? P
12
E
13-
14-
15
314 15 t;!!, C9-:",t�' : o V
16 *,........a '
17 ID PHUKAN 7
CE -522719
FM
COMMENTS If
% 2
Depth to Water After
Monitoring? Date:
Reading
Date
Gross
Time(mi-)
Net
Time (n,ln)
Depth to
Water(-;,,�
Net
Drop( h)
1
'7\Zl\9 I
5
S
I3 Y8 I�(�/�
I - -?So
u1
tl
Zo
S
13 � I�I�y
I. 6ZS
�r
25
S
lava 1y 3//c
1.688
lO
ll
3V
S
1]`/a 11 1/6
175b
7
35-
57
$ I '1 "/6
I.')5 0
n
KS
S
13'B lye/a
I.�au
10
9
PERCOLATION RATE 2 I' (minutes/inch) PERC HOLE DIAMETER to
TEST RUN BETWEEN 3 FT AND 'I FT
PERFORMED BY: RICIA NPp A • (-- 1 F7 Lb I R±ILA�4 Q>• TCERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: -7 1/Z��l
72-008 (Rev. 4185)
(ENGINEER'S SEAL)
Municipality of Anchorage
t DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG R-- PERCOLATION TEST
PERFORMED FOR: B-T'l`J DATE PERFORMED: 7\I \94
LEGAL DESCRIPTION: I.T. 6,, Qt,--, I, N- V%NON 5,D, Township, Range, Section: -f-I-zN p,3W $ac• Z6
DEPTH
SLOPE SITE PLAN
��
(7-t
1
'�NIr-oRN� N
2 Cifzov, N :.} Ty
3 - rT o)�--
6 \
7
8
9
10
11
12
13-
14-
15-
16-
17
314151617
18
19
sa'T-r; gra�4 Alb
A
�9 � .✓ e•e°ee°
CSO p � • �c�: 1
G9� c AR\
p '°• CE -5227 ,• a 9
°pFntrS�)Q\
WAS GROUND WATER t� O
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? P
E
Depth to Water After
Monitoring? Date:
S
Reading
Date
Gross
TimeC�,''))
Net
Time Cita)
Depth to
Water
Net
DropGh)
1
7/Is/9i
S
S
v)6
x-813
z
to
S-
'2' ly%6
z.ssa
3
is
S
11 Ye 14-U
Z. B13
�I
11
20
y—
II°/a 14ye
z, 4,o
30
S
IIS/0 Iy'/6
2.7i
$
\'
`10
5
11 /e ISI,/g
z. 750
20Lj
2 B, PERCOLATION RATE (' F, (minutes/inch) PERG HOLE DIAMETER
TEST RUN BETWEEN S FT AND �° FT
COMMENTS IZ-" DF G-ONF— 111 IQ KIN01F'.�
S0AICQ_11) ttpi Q(`r 30 (*•gelNUTES �N-��?_t��f Fu��4/j','afiTF� EL f, ?—
PERFORMEDBY: RIC lI �Rb. A' F C D /�� Q'" `"' CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 2A -5-6
72-008 (Rev. 4/85)
Gh``4TER ANCHORAGE AREA BORO` %vH
HEALTH DEPARTMENT N? 836
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME 11,128clej"!/IA1 Fk
MAILING
ADDRESS 7100
!':l )/Jh'P
Sr 'PHONE
WATER
SAMPLE
NEAREST
LOCATION //v%(,m V) /V fid,
LEGAL DESCRIPTION 4•
43bt / %+1
` /T19Hc>N
SEPTIC TANK:
OTHER
, SOURCES=
�yfI NUMBER OF
DISTANCE FROM WELL s) / MATERIAL �Ikk 2i c >`ff %?� %Cq COMPARTMENTS
LIQUID CAPACITYGALLONS. INSIDE LENGTH INSIDE WIDTH
SEEPAGE SYSTEM: SEEPAGE PIT:
LIQUID
DEPTH_
� , I
NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH i LENGTH, DEPTH_,
LINING MATERIAL_` / ,`;,//2iLl, DISTANCE FROM WELL 01& BUILDING FOUNDATION��
_ (9'a )
NEAREST LOT LINE— � ri7 >:> TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)XI01F SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES
ABSORPTION
DEPTH: TOP OF TILE TO FINISH GRADE
FOUNDATION , NEAREST LOT LI
BETWEEN LINES
SQ. FT,, LENGTH OF EACH LINE
TRENCH W
TOTAL LENGTH
TOTAL EFFECTIVE
OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL:/
TYPE 1.2i?�IlLb DEPTH
111
DISTANCE FROM
BUILDING FOUNDATION.
.72-2
WATER
SAMPLE
NEAREST
NEAREST
LOT LINE' %> f- - , SEWER LINE
SEPTIC
TANK
I SEEPAGE
.9i/ , SYSTEM
)
�2�'
CESSPOOL ._
OTHER
, SOURCES=
DISTANCES:
DIAGRAM OF SYSTEM
GRE.-. rER ANCHORAGE AREA BOxJUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
,(
SEWAGE DISPOSAL SYSTEM - APPLICATION �AND PERMIT )) (/(lg
NAME OF APPLICANT _ /.�teLto��f/�� 6 MAILING ADDRESS "'� �� /7 PHONE
INSTALLATION LOCATION /r-/fJ'J��r"'�//N may ,
LEGAL DESCRIPTION '^�/y' • --/",
INSTALLATION OF: SEPTIC TANK ^ SEEPAGE `PIT X /,7 DRAIN FIELD OTHER ,
TYPE AND SIZE OF FACILITY TO
BE SERVED 5�,. R "�+' W`ye l J,N+�7/,♦� _
If
FINANCED THROUGH - .//^'f TO BE INSTALLED BY
SOIL TEST RESULTS�r NOTE: 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
HEALTH DEPARTMENT
�� AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE V® TYPE 4OU41LI-4c� SEEPAGE AREA SIZE TYPE '"
MINIMUM DISTANCES, REQUIREMENTS
1 i
FOUNDATION TO SEPTIC TANK Ji
FOUNDATION TO SEEPAGE PIT /S DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK S SEEPAGE PIT /i DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
S ()-8
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEEPAGE PIT /VQ /
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
r
SEPTIC TANK, L5 , SEEPAGE PIT lei L* 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.
HEALTH AUTHORITY
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
DESCR SYSTEM IS IN ACCORDANCE WITH SAID CODE.
G
DATE / 71 APPLICANT'S SIGNATURE
GRQATER ANCHORAGE AREA BOROUGY�,.
DEP( '"TENT OF EN`?=IRONIMEii AI (�J,� "T" CASE #
3500 TUDOR ROAD
^' ANCHORAGE, ALASKA 99502
Performed For Harold Komerek Date Performed 10/4/71
Legal Description: Lot 6 Block 1 Subdivision McMahon
This Form Reports Soils Log x ercoat on est
Depth
Feet Soil Characteristics
Tan sandy silt (ML)
Gray & brown sandy gravel (GW)
with gravelly sand (SW) inter -
Bedded
Was Ground Water Encountered? no
If Yes, At What Depth?
Reading Date
i Gross Time Net Time
iDepth to H2O Net Drop
I
I
i
w
I
Mn;;
@re6
M,a.
Reading Date
i Gross Time Net Time
iDepth to H2O Net Drop
w
Mn;;
@re6
M,a.
Proposed Insta atT1 on: Seepage Pit x Drain Field
Depth Of Inlet Depth To
COMMENTS: Bottom Of Pit Or Trench
120 square feet of drainage area is required per bedroom
Test Per orme y R. E. car is e a a ertl le
Y*National Testing Sys
Date:
Inc.
Municipality of Anchorage
w On -Site Water and Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 017-041-47
1. GENERAL INFORMATION
Complete legal description McMahon Block 1 Lot 6
Location (site address) 3830 Huffman Road
Expiration Date: _1
Current Property owner(s) Stiassny Day phone 252-0254
Mailing address Same
Real Estate Agent Buyers Real Estate Day phone 252-0254
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class C Well
Public Water System
5
TYPE OF WASTEWATER DISPOSAL:
®
Individual
❑
Holding Tank
❑
❑
Community
❑
❑
Public Sewer
❑
Received by: Date:_ it
COSA to be released to the engineer, unless oth4se requested by the engineer.
COSA Fee $ �Z - 6V / Date:
Date of Payment �_IJ?1 1/ Date of Payment
Receipt Number ���� Receipt Number_
COSA # 05G/6 / Z-2 y 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 NorthRim Engineering Phone 694-7028
Address PO Box 770724, Eagle River
Engineer's Printed Name Steve Eng Date 6/11/2016
6. DSD SIGNATURE
7T System #1 Approved for 15-- bedrooms.
System #2 Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following
By—=_ Original Certificate Date: 4a
The Municipality of Anchorage Devlopment 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-1-12.doc
_ If more than 1 septic system is on the lot:
COSA Checklist # _of _
Structure served by this system
Certificate of ®n -Sate Systems Approval Checklist
Legal Description: M0,1 4444 art -6.1 1— ro Parcel ID: 40/764'l zl 7
A. WELL DATA
Well type _P If A, B, or C provide PWSID #
Date completed /97/ Sanitary seal (YIN)
Total depth &--ft. Cased to _ 4ft.
FROM WELL LOG
Date of test.
Static water level
Well production
WATER SAMPLE RESULTS:
ft.
Coliform _Q_colonies/100 mL Nitrate 29. TSC
Jmg1L
Arsenic/ _ ug/L Date of sample: 5 Z7 /6
B. SEPTIC/HOLDING TANK DATA
Well Log (Y/N) d
Wires properly protected (Y/N)
Casing height (above ground) % in.
AT INSPECTION
$ Z 7/6
51=5 ft.
Sf g.p.m.
Collected by: A e_tllo.r F o
Tank Type/Material cS EencG S fEe_t_ Date installed' / 9i
Tank size oogal. Number of Compartments Z Cleanouts (Y/N) Y
Foundation cleanout (YIN) epression over lank (Y/N)-AHigh water alarm (Y/N) 14Z
Date of pumping 6 . / Pumper
C. ABSORPTION FIELD DATA
Date installed y Soil rating g.p.d./ftZ rft2/bdrm) System type .656
Length ft. Width /S ft. Gravel below pipe 6 23 ft.
Total depth. ft. Etf: absorption area ?4C6ft2 Monitoring tube _ Depression over field Al
Date of adequ2Wtest Results (Pass/Fail) _� For bedrooms
Fluid depth in absorption field before test in. Water added gal. New depths in.
Elapsed Time. mirl Final fluid depthr. in. Absorption rate >_ 7SQ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) A40 If yes, give date
D. LIFT STATION AIA
Date installed Size in gallons
"Pump on" level at in. "Pump off' level at
Datum
E. SEPARATION DISTANCES
WELL ON LOT TO:
Cycles tested
Septic tank/lift station on lot
Absorption field on lot _azo O r ,
Public sewer main ®O
Sewer /septic service line �_ S 'f
Animal containment areas.. 5t3 `fi
SEPTIC/HOLDING TANK ON. LOT TO:
Manhole/Access (Y/N) _
_ in. High water alarm level at
Meets alarm & circuit requirements?
r
On adjacent lots lQa F
On adjacent lots T(j a ' r
Public sewer manhole/cleanout 1,0C rt
11
Holding tank /0 Q <�
Manure/animal excrete storage areas Mg3 ( f -
Building foundation `�� �'� Property line /61 Absorption field S
Water main /D �� Water service line .�G `f Surface water r4'
Wells on adjacent lots /!J'O
ABSORPTION FIELD ON LOTTO:
Property line �0 rf Building foundation ZQ rf Water main /4 r�
Water Service line _ Surface water _rOQ Driveway, parking/vehicle storage Jed
Curtain drain o5' d `f Wells on adjacent lots Ile-
F.
fi
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
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name'S zF✓E
Date
COSA yellow sheet_2-6-15.doc
0
U)
LOT 5
-._
LOT 15 I
E 'RUFF -MAN ROAD
EAST 147.50
1112 Story Frame O
House '6WELL
a
Coy 7
2.0 l>FN
LOT 6 CLF-
10' UTILITY EASEMENT
EAST 147.50
LOT 16
i �Q,� OF A4gs
>} 49 TH�
Fred Welatka
k
No. 3255-S 1
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED Fb 07$, jig 1
PLAT ARE NOT SHOWN HEREON.
0
O
C
N
F
IX
O
z
LOT 7
SCALE: 1'= 40'
8320S
—^---^--
LOT 17
A"UILT NO CORNERS SET THIS DATE
1 hereby certify that I have performed a Mortgagee's inspection
of Iia following desaibed property: l ATB BLOCK 1.
McMahon Subdivision
Anchorage Recording Precinct, Alaska, and that the
Improvements situated thereon are within the property Ones
and do not overlap or encroach on the property"
00,
adjacent thereto, that no improvements an the property MM
adjacent thereto encroach on the premises in question and
that there are no roadways, transmission Enos or other
visible easements on said property except as Indicated
hereon.
Dated a1 Anchorage, Alaska
this 13th day ofae2feMbff=7
FRED WALATKA a ASSOCIATES
BE (907-248-1666) Engineers and Surveyors
f���
Municipality of Anchorage
Development Services Department
• 4�
Building Safety Division -• .-'
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 017.041-47 COSA # Q ? 0 R 2 C6
Expiration Date: a- — O 7
1. GENERAL INFORMATION
Complete legal description MCMAHON BLK 1 LOT 6
Location (site address) 3830 HUFFMAN ROAD, ANCHORAGE, AK 99516
Current Property owner(S) ELIZABETH KOMAREK Day phone
Mailing address 3830 HUFFMAN ROAD, ANCHORAGE, AK 99516
Lending agency Day phone
Mailing address
Real Estate Agent Lori Hackenberger / Dynamic Properties Day phone 907-727-4444
Mailing Address 3111 C. Street, Suite 100, Anchorage, AK 99503
Unless otherwise requested, COSH will be held by DSD /or pickup.
2. NUMBER OF BEDROOMS: 5
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
✓❑
Individual On-site❑
Individual Water Storage
❑
Individual Holding Tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of Onsite Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of Onsite 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 Watkins Engineering, Inc. Phone 907-349-1851
Address P.O. Box 110443, Anchorage, AK 99511-0443
Engineer's Printed Name Cindy W. Ellis, P.E. Date 924107
6. DSD SIGNATURE
_XClApproved for r bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following
49THW
Wy W. Ellis
CE -lose
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: v Original Certificate Date*_9 " oZ7 — 0 7
Municipality of Anchorage
Development Services Department
J Building Safety DMston
Onsite Water 6 Wastewater Program
4700 8ragaw Street
P.O. Bar 198850
Anchorage. AK 99519850
www.munLorglorsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: MCMAHON BLK 1 LOT 8 Parcel ID: 017.041.47
A. WELL DATA
Well type PRI It A, 8, or C provide PWSID 0 _ Well Log (YAC N
Date completed 1971 Sanitary seal (Y/4) Yes Wires property protected (YAC yes
Total depth 111 ft. Cased to 111 1t. Casing height (above ground) 21 n.
FROM WELL LOG AT INSPECTION
Date of test 812BW
Static water Ieve1 R. 53 fl,
Well production g.p.m. 5.1 9 -p.m -
WATER SAMPLE RESULTS:
C01110M 0 colonleaM00 mL Nitrate 0.741 mg& Other bacteria 0 cotoniesM00 mL
Arsenic: :2._005 mgfi Date of sample: 917107 Collected by: Rodry Trainor
B. SEPTICiHOLDING TANK DATA
Tank Type/Material STEEL SEPTIC TANK Date nata5ed 8119/1994
Tank ' (f81. Number of Compartments? Cleanoula (YIN) YES
I Ar
l!dMd18tl0n dean0ut (Y*6 Depreaalon over tank (YA4 NO High water alarm (YIN) NO
,',Date of pumping 8/28107 _ Pumper A+ HOME SERVICES
C$ ABSORPTION FIELD DATA
r. r
;pate installed9M9M994 11611 rating (g.p.dAt?orR=Ibdnn)0-8 System "BED
LdOpth 64 R Width 15
It. Gravel below pipe 0.83 R.
Total de BppL A..ft: Ell. absorption area 980 ft= Montiorkp tube YES Depression over field NO
Date of adequacy teat &28rAW Results (Pass/Fan) PASS For 5 bedrooms
Fluid depth in absorption field before test 3.75 in. Water added 1308.3 gel. New depth 7.25 in.
Elapsed Tine: 60 min. Final fluid depth 6.0 in. Absorption rate >a 750 g.p.d.
Any reluvenatlon treatment (past 12 mo.) (YIN 6 type) NO If yea, give date
D. UFT STATION
Data installed NA Size in gallons ManhoWAccess (YAV)
'Pump on' level at _ in. 'Pump of level at _ in. High water alarm level at in.
Datum Cycles tested Meets alarm 8 cimA regwraments?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAifi station on lot 100.8 On adjacent lots 1004
Absorption field on lot 103
Public sewer main 1004
Sewer /septic service line 30+
Animal containmentareas 100'+
On adjacent iota 100'+
Public sewer manholeldeenout IW+
Holding tank 100'+
Manurelanimal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
Building foundation 58 Property line 40 Absorption field 5+
Water main 100'+
Water service line 100'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 11 Building foundation 70+ Water main 100'+
Water Service line 100'+ Surface water 100'+ Driveway, paAmgheh;de storage 90+
Curtain drain NA Wells on adjacent lots 100'+
F. COMMENTS: After test, Diverter valve was switched to old drakMeld. DV should be switched annually.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
contorrnance with MOA COSH guidelines in effect on this date.
Engineer's Printed Name Cindy W. Ellis, P.E.
Date 9/124107
COSA Fee $ 3 D
Date of Payment — — 0-7
Receipt Number 6 4
(Rev. ripe)
Waiver Fee $
Date of Payment
Receipt Number
W
MY W. Ellis
CE . henr
0
1n
O
O
0
M
N
F
It
O
Z
LOT 5
LOT 15
E HUFFMAN ROAD
R1
EAST 147.50
wan
O
36.0
O
1112 Story Frame o M
House ,'� WELL N
o =
64.0
CO2.• O
0 OFY
7 Z
LOT 6 CLF—/'LOT 7
s�
• l iC, hOjhe
�U
.
10' UTILITY EASEMENT
EAST 147.50
LOT 16
OF q
/ Co�PqE,.. .. (gs�91
49TH
Fred Walatka
No. 3255-S
1
O��ffS�l(1N61v=
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED Fb 07 8, (0g 1
PLAT ARE NOT SHOWN HEREON.
8320S
SCALE: 1'= 40'
LOT 17--------
AS-BUILT NO CORNERS SET THIS DATE
I hereby certify that I have
I performed pectio.
n
oMg described property: OOCK 1
Subdiv sion
Anchorage Recording Precinct, Alaska, and that the
Improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying
/ adjacent thereto, that no Improvements on the property ging
adjacent thereto encroach on the premises in question and
i
that there are no roadways, transmission Ines or other
visible easements on said property except as Indicated
hereon.
Dated at Anchorage, Alaska
this 13th day ofSeoternber.s007
FRED WALATKA 6 ASSOCIATES
BE (907-248-1666) Engineers and Surveyors
SCS Ref.N
1074705001
Client Name
Watkins Engineering
Project Name/Al
McMahon Dlk 1 Lot 6
Client Sample ID
McMahon Dlk I Lot 6
Matrix
Drinking Water
PWSID
0
Sample Remarks:
All Datesfl'imes are Alaska Standard Time
Printed Date/time
09/202007 12:28
Collected Date/Time
09/07/2007 13.40
Received Datefrime
09/072007 14:00
Technical Director
Stephen C. Ede
Allowable Prep Analysis
Parameter Results POL Unita Method Container ID Limits Date Date [nit
Metals by ICP/MS
Arsenic ND 5.00 ug/l, EP200.8 C (<10) 09/17/07 09/18/07 TK
Waters Department
Total NitmtelNitritc-N 0.741
Microbiology Laborato
Total Coliform 0
s
r
0.100 mg/l. SM204500NO3-F R (<I0)
0o0100mL SM209222B A (<0
09/11/07 1DS
09/07/07 SDP