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Home My WebLink AboutT12N R3W SEC 21 LT 32CMunicipality of Anchorage On- ite Water and Wastewater Section • (907) 343-7904 of ON-S TE WASTEWATER INSPECTION REPOR y, �n6 AUG .�5 Permit Number: PID Number: 0 - � 2022 Dwelling: ® Singl amily ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name GAELAN GRAVES &BRITTANY JOHN ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 11050 ELMORE RD, ANCHORAGE, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot T12N R3W SEC 21 32C 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 Ft 2 Ft. Well 100'+ -- 25'+ TANK ® Septic E]S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1500 Gal. Surface Water 100'+ -- Material HDPE Number of compartments 2 Lot Line 5'+ __ NA Foundation 10'+ __ LIFT STATION Manufacturer Capacity Gal. Remarks LARGER 1500-GAL S.T. INSTALLED PER EX. DECOMMISSIONED EXISTING CRIB & S.T. Alarm location Electrical installed by Installer DENALI PIPE MATERIAL House to tank 3034 drainfieldTank to 3034 Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection 1't 5/16/22Location 5/16/22 and description dates: 2"d 3'd 4t TOP OF MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL A Conditional Approval: Date AW, *: 497H ....�.. "." "" """:;"/ j Curtis Huffman Septic System Approved -, 0 �.. V Date (� ��c •, CE 128991 • �`�/� -. • lsjFe 8/8/2022 . Aw OpROFESSION 1 Note: this approval does not include well permit requirements. (Rev Ub/U2/18) PID: 015-273-34 PERMIT: OSP221006 N bs ) 55 L LyU.0b 10' C.E.A. EASEMENT---ZSUMP No. 1980-043605-0) AM nnr-r1111 if -A[ 1c1r- 11 EXISTING/COLLAPSED / CRIB DECOMMISSIONED. BM: MH TOP \MH D / `100' WELL STAKED PRIOR TO CONST. 14J 5' S.T. 7/26/22 CO TO FEILD LANG CONFIRMED DFCO AT EX. W/ V, = 30' NO FIELD A COMPROMISE. CW 03 (T1 O Z— rn DECK Lot 32 47,954 S.F A -C=6.5' B -C=21,5' A -D=30.1' B -D=43.9' A -E=34,2' B -E=48.4' A -F=36.8' B -F=51.2' DENALI EX INSTALLED 1500 -GAL HDPE SEPTIC TANK. GRAVEL WELL SEPTIC SECTION SCALES NTS T1 2N R3W SEC 21 LOT 32C PREPARED FOR: GAELAN GRAVES & BRITTANY JOHN 11050 ELMORE ROAD ANCHORAGE, AK 99516 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 FirstWaterAK@gmail.com 3UPPORT SERVICE DATE: 7/26/22 SURVEY: LANG DRAWN: FWCS SCALE: V, = 30' Adw ��.�, OF .AL��, g T1' tis Huffman. � CE 128991 7/26/2022e 'p)?01Mss10)30 N NOTE: THE EAST 5' ALONG ELMORE ROAD WAS TAKEN BY AKDOT&PF (Doc. No. 1982-047330-0) Lot 3A I I I 10' UTILITY EASEMENTS I I I rA r • IN Lot 1A ( I Lot 32C 47,954 S.F. Lot 32B Lot 32D 10' C.E.A. EASEMENT (Doc. No. 1980-043605-0) N 89.55'E 290.56' r 40.0' _ I I 100' PROTECTIVE WELL RADIUS oz STORAGE SEPTIC PIPES -L— MANHOLE---- GREENHOUSE SEPTIC-\- EPTIC 8.0'x12.2' SHED COOP � PIPES_�� O ASPHALT-. . 1 ..STORY RESIDENCE w/ DAYLIGHT BSMT.� S 89'57'30" W 290.57 I DECK 2.0x21.3 O CANT p -3.4'x22.0' OD PORCH t*1 -COVERED Qy STAIRS ar -'2.0'x9.0' •:CANT • 5.3'x17.0' . `-WELL P ."DECK90 GRAVEL -; I � j I � Lot 32A PLOT PLAN _ AS BUILT _X_ SCALE _ 1 _ = 50' GRID SW_ 2_635 Project No. _A_ 22-0091A2 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & As s o c i a f e s, inc. (907) 522-6476 Phone (907) 522-4625 Fax of A Professional Land Surveyors ken®longsurvey.com C jonothan®langsurvey.corn I hereby certify that I have surveyed the following described property: LOT 32C, SUBDIVISION LOT 32, SECTION 21, T12N, R3W, S.M., AK (PLAT No. 70-227) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as Indicated hereon. Dated this the __ ��? Day of LJ LL ------ �' Z r _, of Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. - 49TH KENN�TH eG. LAN o .�Its ctl- J� � .LS -5202. pG 4�nR��•SSIONA� � Q� AECC963 M U N IC IPALITY OF AN CHORAG E On -Site Water & Wastewater PIrogram PO Box 196654 47(10 Elny)r4 Rood An horags, Alaska 99519-6f55n Ph�xw; 007} 343-7904 Fax= {907) 343-iCAr h1tF;rlwvww_muni.a VomIto On -Site Wastewater Disposal System permit Permit Number: OSP221006 WDrk Type: SepticTank Upgrade Tax Code Nurnhor: 01, 27334000 Slti� Legal Address: T1 2N R3VV SEC 21 LT 02 :2635 Site MaiIJ ng Address: 11050 E LIVIC)RE Ra, Anehoriage Owner: GRAVES GAELAN 50% $ D$sign Engineer; FIIRS T WATER CC)HSULTING Theis permit is for the construction of; Effective Date: Expiraktion 'Date Lat Size In Sq r#: Total Badroom!5= Cr,Jr, 4CI)+3rtmtnt 1r24/2-022 112412025 47953 ❑ DIsp06aI Field 21 Septic Tank 11 Holding Tank ❑ Privy ❑ Privateweli ❑ Water Storage All eonstrLictlon ;Shari be in accordance with; 1. The attached approved design. 2. All req uirements :Specifiied In Anchorage Mu nicipal code Chaptoru 15,55 and 15.65 and th a State of Alaska Waslewater D isposal Reg ulalipns (16AAC 72) and Dei eking Water Reguis iona (18AAC60) 3_ The Yveslewatercode requires inspections during the installaUon. The engineer shall notify the IDevelopment Services Cepartmeni per AMC 15.65_ Provide notikcation by idling (007} 34 3-7904 {24{71. 4, From October 15 la April 15, a subsurface sail absorption spst-am under construction during freezing weather shell be either: a- Opened and Qoeed on the sa me. day, or b_ Covered, sealed, and heated to prevent freezing ' p ial Provisions: Lie the edge of the trench and seepage pit Io ensure that the lank will meet tho required 5' separatton. V24I2022 Deceived By: Date_ Issued By: Date; "2- 3 MUHMPA UTY OF H C H0RA G E 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. 015-273-34 Property owner(s) GAELAN GRAVES & BRITTANY JOHN Day phone Mailing address 11050 ELMORE ROAD, ANCHORAGE, AK 99516 Site address 11050 ELMORE ROAD, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T1 2N R3W SEC 21 LOT 32C Lot Size 47,953 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank El Upgrade El Duplex (D) El Holding Tank El Renewal El 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: a ? ,�2 5 Waiver Fees: Date of Payment:X11 ` a- Date of Payment: Receipt Number: 5/53107 Ll Receipt Number: Permit No. Q S 1012.2 l 60 6 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Clie nt Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com January 18, 2022 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT T12N R3W SEC 21 LOT 32C (11050 ELMORE ROAD, ANCHORAGE) The owner who bought this property 5 years ago has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1000-gallon HDPE tank per the attached design to serve the existing 3-bedroom residence. The existing steel septic tank is approximately 80 to the well on the lot. The proposed tank location is shown to maintain 100 to the existing well. The required 5 separation to the field and crib will be verified at construction. The existing absorption fields (crib and trench) are both sized for 3 bedrooms. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221006, Deb Wockenfuss, 01/24/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221006, Deb Wockenfuss, 01/24/22 NAME I · OCAT,O, h -FI J Absorption area O_ v DISTANCE TO: oz~ LU MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 284-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT P H~O N E / E~NEW Liq. capacity in gallons IF HOMEMADE: DISTANCE TO: I Well Manufacturer I Well . D,STANCE TO:I ~' X ~'%'T-, k.~r~ ,o. of,ne, / ILength%(C~,ne - Top of tile to finish grade Width I nside length Dwelling Foundation Total ler~h~f ~ines Material beneath tile Depth Length Type of crib Crib diameter Crib depth Well Building foundation DISTANCE TO: Class Depth Driller Building foundation Sewer line OTHER DISTANCE TO: PIPE MATERIALS SOIL TEST RATING REMARKS APPROV E~-~. . /~ DATE LoT Dwelling Material Width Material Nearest lot line Trench ~ inches ~.~'~ inches NO. OF BED~OMS PERM,TNO. ?ool No, of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. Distance b et~e~,~e s Total effe~sorption area PERMIT NO. Total effective absorption area Nearest lot Jine Distance to lot line PERMIT NO. Sept c tank Absorpt on area(s) LEGAL PERMIT NO. ( 800i5'& ) RPPL I CRNT LOCRT I ON LEGRL DEPRRTMENT ,.-.. HERLTH RND ENVIRONMENTRL , ,eOTEETION ~¢o~._~-~ 925 '"L" STREET., RNCHORRGE., RE. ~501 ~:h~]. I TE SEP~E~: L~F"GRRDE F'ERr.1 I T ~-~-~0 STRR ROUTE R BOX 17~7D 99507 }14 771z~ 'm'r:,~,,..., L PRRKER BRR=RH STREET Ti2N R~W SEC 2± LOT 2:2C: i LOT SIZE 47000 SQURRE FEET TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS = 2: SOIL RRTING (SQ FT/BR)= 95 =,OIL RBSORPTION _¥:,TEM : THE REQUIRED SIZE OF THE ~ q"- IS T. ,.-- -- _6 RR%-'EL C. EPTI"~= 4 C, EPTH= 6 L E~-~6 ""--- F~: ~_; THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE E~CRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). R .F... _f;-4L] T RF[) SEPT I C TC:tr-~K S I ZE= 1E~.~0 GRLLC~N--'~ PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY HELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE WELL HILL SERVE. T [-.IO ,,:] 2-- .:', T ~'-~_'_'_'_~.F' E L--: T I l]~4S. RF-:E REQ. L~ I REC, BRCKFILLING OF RNY =S=,TErl WITHOUT FINRL INSPECTION RND RPPROYRL BY THIS ~-, R,..TII~NT WILL BE SUBJECT TO PROSEF:I TIrlN. MINIMUM DISTRNCE BETWEEN R WELL AND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS ±00 FEET FOR R PRiVRTE WELL OR 150 TO 200 FEET FROM R PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC HELL. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F'E~:Y'~ Z t E~::P I RES B.E~]Ef4BER I CERTIFY THRT 1: I RM FBMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRQE. . 2: I WILt_ INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 3 BEDROOMS. SIGNED: .............................................RF'PLICRNT JERRY L PRRKER ISSUED BY. -DRTE-~-~'~-&'~¢~-- V4. 0 ' ~1, · ,~-;I'-JE:' OI'-I--S I TE SEI--II=-:R F'ERI"I I -1'- PERMIT NO. ( ) RPPL I CFINT LOCRT I ON LOT SIZE Lf-~O-O0 SQURRE FEET LEGAL ~] TYPE OF SOIL RBSORBTION .~_TEM IS: MRXIMUM NLIIdBER OF BEDROOMS SOIL RATIN (SQ ? s-- THE REQ_IRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: [)EPTH: ~ LENGTH: ~-/ ~ 8RAVEL [)EPTH: ~ THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE 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). F-:E~_---~IJ I RE~. :SEPT I C TRr~K S I ZE: /~ ~O ~3RI L,]FJS PERMIT APPLICANT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS ~ROPERTY RND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ../ / T[~C~ (~_'_) I f-~'--.~F'EOTI~]f~'~~. ,"],RE REC~L~[RE[~, BACKFILLING 0F ANY SYSTEM WITHOLIT FINAL INSPECTION AND APPROVAL BY.THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELb OR ±50 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION] OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERP1 I T E~-:F' I RES [)EOFMBER --~-:---{.. I 9 80 I CERTIFY THRT l: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FOR-TH BY THE MUNICIPRLITb' OF RNCHORAGE. 2: I WILL INST8L. L THE SYSTEM IN ACCORDANCE WITH THE CODES. ): I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRV REQUIRE~..__~_~ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN GIF~,TER ANCHORAGE AREA BORO?'%H HEALTH DEPARTMENT ~ ~* .O 83~ 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ADDRESS LEGAL DESCRIPTIO~ DISTANCE FROM WELb~ /~'d)~)l/~.~ Y~ LIQUID CAPACITY 1~)0 GALLONS. MATERIAL ~P~-/~ ]~7~,:~ ~. ~V£L) NUMBER OF COMPARTMENTS INSIDE LENGTH ~-' INSIDE WIDTH. ~ LIQUID DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS J OUTSIDE DIAMETER NEAREST LOT LINE.~ ~'* 72 ORWIDTH /,///I, , LENGTH /¢1 , DEPTH ~..I DISTANCE FROM WELL //~O'~ /~'~./)J~ '~/'~ , BUILDING FOUNDATION ,~1 TOTAL EFEECT~VE ABSORPTION AREA /WALL AREAl j~,~ 6' SQ. ET. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE ..-'1"6'~'E N GT H '~~ON NEAREST LOT LINE / ,OF LINEI DISTanCE BETWEEN %FT. LENGTH OF~NE ' ~~ TRENCH WIDT.~ IN. TOTAL EFFECTIVE D E p TH OF-~"FT,~=R~TC~ATE RIAL BE N EAT H TILE IN. ABOVE TILE-- WELL: TYPEJ~/:20~'~/D. ~ DEPTH ~. NEAREST LOT LINE , SEWER LINE DISTANCE FROM ~ WATER · BUILDING FOUNDATION. SAMPLE SEPTIC .~ , TANK ~"~ I~'~//¢i;'l), SYSTEM J ~iK'~. CESSPOOL NEAREST OTHER SOURCES~ DISTANCES: DIAGRAM OF SYSTEM t ..;.. ~ DATE GrEA, ER ANCHORAGE Area BOkCUgh DEPARTMENT OF ENVIRONMENTAL QUALITY -- 3500 TUDOR ROAD POUCH 6*650 ANCHORAGE. ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS PHONE / SEEPAGE PIT, ,DRAIN FIELD , OTHER TO BE INSTALLED BY , .. NOTE: THIS PERMIT IS NOT YALID WITHOUT SOIL COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL iNBPE(::TION BY THE Hi~ALTH DEPARTMENT AUTHORI~i~ WILL BE SUI~JECT TO PROSECUTION. SEPTIC TANK SIZE //~--(--~ TYPE PAGE AREA SIZE TYPE DIAGRAM OF SYSTEM MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~ FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGe PIT WALl · DRAIN FIELD SEPTIC TANK , SEEPAGE PIT TO NEAREST lOT LINE. WELL TO SEPTIC TANK DRAIN FIELD / WATER MAIN TO SEPTIC TANK, DRAIN FIELD SEPTIC TANK, ., SEEPAGE PIT TO RIVER· LAKE STREAM. DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 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. LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-6S AND THAT THE ABOVE DESCR,bED SYSTEM IS IN ACCORDANCE WiTH SA,D CODE. -: / . , ..... . Performed For ~r/~ Legal Description This GRE~R ANCHORAGE AREA BOROUGH DEPAR! ~NT OF ENVIRONMENTAL QUALI' 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Lot ~2-6B 1 ock Form Reports Soils--[-~g ~ Date Subdivision J~TT,~I ~ ~3~, ~'~, Percolation Test Depth Feet Soil Characteristics lO~ Was Ground Water Encountered? If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H20 Net Drop Percolation Rat~ ~ .,... + ^ N Proposed Installation: Seepage Pit A/ Drain Field Depth Of Inlet Depth~To Bottom Of Pit Or Trench COMMENTS- ~ ~ ~x?-~/~/ Test Performed By~~ Data Certified By: Date: k l !S TO pROpERTY ATTAcMED'rLEAsM CALL R~.ALTOR ~OR APPT~. · '~ ~-' ~° ~ APPLICANT FILLS OUT UPPER HAF~'-', ONLY Property Owner" John W. & Susan M. Michalski Phone Mailing Address SRA Box 1737 D, Anchorage, A~ zip Code 99507 349 8186 Buyer None yet Address Zip Code lending Institution None yet Phone Address Zip Code Realty Co. & Agent Totem Realty - Konni Snyder . , agent Phone PLEASE CALL AGENT FOR ALL APPTS. & TO P~ICK UP APPROVAL 272 0571 Address 724 E. 15th Avenue, Anchorage, AK ~ ZipCode 99501 legal Description Lot 32C, Sec 21T12N, R3W - Copy of Asbuilt attached street Location 11050 Bragaw Street (Off O'Malley Rd,) (Approx 3rd house in on right side) Type of Residence [~ Single Family 3 [] Multiple Family No. of Bedrooms [] Other Water Supply [~ Individual ATTACH WEll LOG. A well log is required for all wells drilted since June 1975. [] Community For wells drilled prior to that date, give well depth (attach log if available). ' [] Public Utility Sewer Disposal 6'o/0~t C~.l~ t.2[/~j t~u..~.~l,.~,v? 19so Year }ndiv{dua{ {nsta}{sd: I~' Individual .~?/ ?/ /~/~/~/]~/~// When Connected to Public Utility: [] Public Utility ....... [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Inspector Inspector Inspector Inspector Field Notes: ( ~'~ ) A~PROVED BEDR60~S 'CONDITIONS OF APP.OVA/ ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* Soils Rating Date Sewer installed Well To Absorption Area ,_~ o Well Log Received ~ ~ ~'"'~P~d//~ 7 / WelltoTank / ~ SeptJc Tank Size ~., MUNICIPALITY OF ANCHORAGE ' -, ~' MUNICIPALITY OF ANCHORAGE DEPT. OF ~ ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~NVIRONML;~,T/!L 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION ~A'f 5 1980 Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be processed. Please allow ten (10) days for processing. ~1. PROPERTYOWNER ~ PHONE : P~OPE~Y ~SIO~T Iff ~ifferen~ from above~ 2. BUYER PHONE MAILING ADDRESS 3, LENDING I~STITUTION PHONE MA~I ;? ADDRESS MAI LING ADDRESS ,, ~'~ ,~ , ~ ~ · 5. LEGAL DESCRIPTION LoT- 2-// ;TREET LOCATION 6. TYPE OF RESIDENCE [~'SI NG LE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY ~ INDIVIDUAL* ~),~' [] COMMUNITY [] PUBLIC UTILITY NUMBER OF BED~,~r [] One [] Other I I' F~ve e ~ Six * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date r~qL£ If system is over two (2) years old an adequacy test is required [] PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78)~¢~Z-- ~ ~--3_~.~~-~'~ THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TiME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: I. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic~T~a~n~k or [] Holding Tank Size2~/~6~ce~ J,f Tank is homemade SOILS RATING 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS ~ APPROVED FOR [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED L ~ G~rL~ji~ ES 0 R i PTi 0 N~. " 72-010 (Rev. 3/78) 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M, SULLIVAN, MAYOR May 19, 1980 DEPA,~]TMENT OF I-IEALTH AND ENVIRONMENTAL PROTECTION Jerry L. Parker Star Route A Box 1737D Anchorage, Alaska 99507 Subject: T12N R3W Section 21 Lot 32C The application request shows the number of bedrooms exceeds the number the sewer system was originally designed for. An upgrade of the septic tank will be required. A permit will need to be obtained from this department prior to the upgrade. If there are any further questions, please ~all this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw CC: Alaska Mutual Savings Bank Mortgage Loan Department Post Office Box 1120 99510 Larry Eaton % Polar Realty 1101 East 76th Avenue - Suite B 99502