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HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 9 LT 7AMountain Park Estates Block 9 Lot 7 #017-441-36  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 , . '~ UPGRADE MAI LInG ADDRESS L~AL DESCRIPTION LOCATION NO. OF BEDROOMS Well ( Abs.~t~on area I Dwelling ~ ~ DISTANCE TO: ( D ~ ~-- ~ ~ Manufacturer/- Material ~ / No. of compartments ~ ~ Liq. caf~acity ~ gallons Inside )enDth Widtl~ Liquid dept~ /~f~, ~F HOMeMAde: , = = ~O ~ Well Dwelling PERMIT NO. DISTANCE TO: O Z ~ Manufacturer Material Liquid capacity in gallons Q Well~' .~~ F~undation "~ Nearest lot line PERMI~O. ~ ~ ~ No. of lines Length of each line Total length of lines Trench width Distance between Ih~es Z ~ inches ~ ~ ~ Top o~ tile to finish grade Material beneath tile Total effective absorption area  -type of crib Crib diameter Crib depth Total effective absorption area Well Building lo,clarion Nearest lot line DISTANCE TO: ~ ~ Z,~ f ~ Class Depth~" Driller Distance to lot line PERMIT NO. ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PI~ MATERIALS INSTALLER R EMAR KS 72-013 (Rev. 3/78) 0 0 0 0 0 0 0 0 0 0 0 MUNICIPALITY OF ANCHORA6t Health and Environmental rotection Department 825 = Street, Anchorage, AK. >JE01 264-4720 * * * HANDWRITTEN PERMIT * * * Pe'rmit ~ c<¢ ~')(~'~-t[-,,,¢ h WELL AND~ ON-SITE SEWER PERMIT Location: ~A/~O~N~7~ Phone Nun~ber: Legal Description: &7~ /~/~ ? /~,;~./'~-~"-/ .//~'~/ ~_~<3-- 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 ~ystem Is: DEPTH k ¢ LENGTH _r~_~ GRAVEL DEPTH WIDTH /'$ The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(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(HOLDING) 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 Df residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public 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 and must be returned to this department within 30 days of the well completion, Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 1 9 °o 3 * * * I certify that: (1) 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 re/quire enla/~ment if the residence is re modeled to include more t h~ybedr S igne~: IS sued by: ~/~.~C~ Applicant //~/~ Date:, SWP/024(1/81) ~'- SOILS LOG PERFORMED FOR: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND~ENVIRONMENTAL PROTECTION j~ PERCOLATION ..... TEST "' 825 M:'Street, Anchorage,~Alaska~99501 -264:4720' · :,.v. SOILS LOG - PERCOLATION TEST E A'OESC.,PT O.: I._..o-k q- 1 lnnx q SLOPE· SITE PLAN 10 11 12 13 14. 15 16 17 '18 19 2O COMMENTS PERFORMED BY: 72-008 (6/79} WAS GROUND WATER f/VO SL ENCOUNTERED? O P E IF YES, ATWHAT DEPTH? Gross Net Depth to ~ Net Reading Date Time Time Water Drop · ~: G~ /0 F/FI'/'/. -~; '7/ ~.'o,4 /0,,,'7//~7 % ,Tz . 4_'Hz , MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATI-- OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # (~'"~L.~L(~, ~L© NAA# 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) lb} Property owner Mailing Address ~C'L-q~, (c) Lending Institution Mailing Address ~/~-~ (d) Real Estate Company and Agent Address Business ~5~-~'/~ 71 70 Telephone ~'~/~/,~ , . Mail the HAA to the following address: (or check here [~, if hold for pick up.) List contact person and day phone number below: (e) 2. TYPE OF RESIDENCE Single-Family/~ Number of bedrooms 3. WATER SUPPLY Individual Well)~' Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site/~f' Public [] Community [] Holding Tank [] Note: tf community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 ~ j.o ~ @6ed · ~Jo~ s,JeeU!bUe leUO!SSejoJd eq~, u! SUO!SS!LUO JO S JO J J@ JOJ elq!suodseJ 1ou S! ebeJoqouv Jo ,~]!led!olu nlAI eql 'penss! s! eleo!j!lJeO e eJojeq el~p eZ,~leUe JO suo!ioedsu! lonpuoo ~ou op SH HQ ~o see/~OldLU3 'slueuJeJ!nbeJ ele~,s pue leJep@j u!e~Jeo ,~jsRes o~, JepJo u! bu!puel J!eql pue seuJoq ~o sJeseqoJnd ol/,selJnoo e se s!q), seop SHHQ eql 'e~Sel¥ jo elelS eqi u! peJelS!l~e~ JeeU!l~ue leuo!ssejoJd luepuedepu! ue ,~q @^oqe S qd~J6eied u! ua^!6 suo!lelueseJdeJ eqi uodn ,~lUO peseq le^oJdd¥ Xlpoq~,nv q~,leeH s@nss! ($HHQ) seo!^JeS ueLunH pue q~leeH jo iueuJ1JedeC] ebeJoqouv jo ,~l!led!o!unlA! eqJ_ le^oJddv leUOl~!puoo jo sLuJej. leuo!~!puoc) pe^oJddes!C] ~ pe^o~ddv ~ .loj. pe^o~ddV 'l'~'AOl:lcld¥' SHHa '9 MUNICIPALITY OF ANCHORAGE (MOA) Health Aulhority Approval (HAA) CHECKLIST- FEBRUARY 1984 343-4744 Legal Description: ,/'~.,-,>~ If A, B, C, D.E.C. Approved (Y/N) A. WELL DATA Well Classification Well Log Present (Y/N) ""// Total Depth Z / -/ Cased to ~(~; ~ .-t- Static Water Level /-~'--'~-~ ~ Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot ? Z ~ ' To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by "~o~) Water Sample Test Results Comments Date Completed /¢/~;/2.7; Yield Depth of Grouting ///a/~ no~ Pump Set At ~/'~ ~*~¢~ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) To Nearest Public Sewer Cleanout/Manhole ; On Adjoining Lots ~'~/FFc~ ~ ; On Adjoining Lots --'~ /(2C~ ' B. SEPTIC/HOLDING TANK DATA Date Installed /~'~' Size,~.~F-?),~-, / Standpipes (Y/N) \/ Air-tight Caps (Y/N) Depression over Tank (Y/N) ~.,~ Pumping/Maintenance Contact on File (Y/N) /~/,//~ Holding Tank High-Water Alarm (Y/N) ~_//~ No. of Compartments ~'~ / Foundation Cleanout (Y/N) V' Date Last Pumped ;for Temporary Holding Tank Permit (Y/N) /~/,~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well /~-(~ ' To Building Foundation To Property Line ~¢~ ' To Disposal Field .~-~ To Water Main/Service Line ,~f:(') ' To Stream, Pond, Lake or Major Drainage Course ~//,-¢I Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed /~'~ 7~ Width of Field~ ' /~ ' Square Feet of Absortion Area Depression over Field (Y/N) Type of System Design Length of Field ~f-~ ~ Depth of Field _5- ' Gravel Bed Thickness ~," Statndpipes Present (Y/N) Date of Last Adequacy Test //:~I/~' Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well /~ %' ~ To Building Foundation // ' Lot /(,(. To Water Main/Service Line 6fO To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line f'~¢"} ' To Existing or Abandoned System on · On Adjoining Lots ~_5~ ~ To Cutback (if present) Comments D. LIFT STATION //_~ Date Installed '% Size in Gallons ~'~ "Pump On" Level at High Water Alarm Level at TMet~sdMf°(~A Electrical Codes (Y/--~). Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroo,/~ Rating Against HAA Request** / I certify that ~tyech(cCed,~erified, or conformed to all MOA and HA, inspectiom it/, ~ .. Signed //¢ ~ MOA No. 6~ & ',~- Receipt No. 4~-~ Date of Payment Amount: $ 72-028 (Rev 7/88) Back Receipt No Waiver Fee: $ Date of Payment Page 2 of 2 ~es in effect on the date of this § - Engineer's Seal CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. ~~:' '~-\ 5633B STREET ANCHOR~,GE, ALASKA 99518 TELEPHONE (907) 562-2~43 FEDERAL TAX ID # 92-0040440 APPL~C ~T FILLS OUT UPPER HAl ON1,Y Property Owner /i ~' L: , ~,,, , j~' Pllone Address Zip Code Realty Co. & Agent Phone Address , /~./., ~_ Zip Code Legal Description Street Locati~ Type of Residence ~t;Single Family : Multiple Family No. of Bedrooms ~ Other Water Supply ~: Individual ATTACH WELL LOG. A well Icg is required fo~ all wells drilled since June 1975. ~ Community For wells drilled prior lo that date, give well depth (attach Icg if available). ~ Public Utility Sewer Disposal ~ Individual Year Individual Installed: / ~ Public Utility When Connected to Public Utility: Q Holding Tank ; ~,,.~ NOTE: THE INSPECTION FEE MUST ACCOMPANY EAC~ RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Date Inspector Date Inspector Date Inspector Date Insp~,/~ Field Notes: APPROVED BEDROOMS )DISAPPROVED ( ) CONDITIONAL APPROVAL' IOATE ~- ~/' -- 'CONDITIONS OF APPROVAL Date Sewer Installed Well To Absorption Area Well lo Tank / Well Log Received Seplic Tank Size Soils Rating Mountain Park Estates #S- 108 ! 7 Municipality of Anchorage Development Services Department Building Safety Division MEMORANDUM O DATE: 08/23/01 TO: /Q/~rry T. Weaver, Jr., Platting Officer, CPD FROM: ~es Cross, PE, Program Manager, On-Site Water & Wastewater / SUBJECT: ' Comments on Cases due August 30, 2001 The On-Site Water & Wastewater Program has reviewed the following cases and has comments: S - 10769 DeBarr Vista Subdivision. No objections. S - 10817 S - 10818 Mountain Park Estates. No objections. Discovery Heights Phase 3. these No objections. MUNICIPALITY OF ANCHORAGE ECONOMIC DEVELOPMENT AND PLANNING P,O. Box 196650 A~ho~age, Ala~ka'~9~19~6650 PFIEI,,IM A PPt, IOATIOFI OFFICE USE A Please fiji in ~e information requested below. Print one le~r o)r ~mt~r per block, D~3 not ~rite ~ ~e s~d bJoc~. ~. Vacation Code 3. Tax Identifica~en ~ 3, NEW abbreviated ~egal description (T12N R2W SEC 2 LOT 45 OR SHO~T SU~ B~ 3 ~TS 34), 4. EXISTING abbreviated legal description ~12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34) full ~egal on back page. 5. Petitioner's Name (Last- First) Ci~ ~C~ State ~ Phone~ -~--' ~4~ Zip ~~5-~G -31OI 6. Petitioner's Representative Address ~'/4 ;~'~ 0£1'~ City J-~l~J("/~ State Phone# ~.~'7- ~,,~'~::~ Zip 7. Petition Area 8. Proposed 9, Existing Acreage Number Number Lots Lots 10. Grid Number 11. Zone 12. B. Date: 20-003 (Rev 6/89)MOA-24 FeeS 13. Community Council t hereby cerlity that (I am) (I have been authorized t~o act for) the owner of the property described above and that conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances, I understand that payment of the basic subdivision fee is nenrefundable and is to cover the costs associated with processing this application, that it does not assure approval of the subdiyision, I also understand that additional fees may be assessed if the Municipality's costs to process this application exceed the basic fee. t further understand that assigned hearing dates are tentative and may have to be postponed by Planning Staff, P~atting Soard, Planning Commission, or the Assembly due to administrative reasons. Signature *Agents must provide written proof or authorization. C. Please check or fill in the following: 1. Comprehensive Plan -- Land Use Classification Residential Commercial Parks/Open Space Transportation Related 2. Comprehensive Plan -- Land Use Intensity Special Study Marginal Land Corn mercial/Industrial Public Lands/Institutions Dwelling Units per Acre Alpine/Slope Affected Alpine/Slope Affected Industrial Special Study 3. Environmental Factors (if any): a. Wetland b, Avalanche 1. Developable 2. Conservation c. Floodplain 3. Preservation __~-~_.__ Rezoning Subdivision Conditional Use ~ , Zoning Variance d. Seismic Zone (Harding/Lawson) Please indicate below if any of these events have occurred in the last three years on the property. Case Number Case Number Case Number Case Number Enforcement Action For Building/Land Use Permit For Army Corp of Engineers Permit Legal description for advertising. Checklist 30 Copies of Plat Reduced Copy of P;Jat (8V2, x 11) Certificate to Plat Fee Topo Map 3 Copies Soils Report 4 Copies Aerial Photo Housing Stock Map Zoning Map Water: Sewer: Private Wells Private Septic Waiver Community Well Community Sys. ~ £EFI'~ sySTl~'~l Public Utility Public Utility 20-003 Back (Rev, 6/89)MOA-24 •.• No. 3143-S •, I / 9 / / BLOCK /0 LOT 7A 46.001 SF h � • 1.056 AC R. � N� 10' 1/11117Y. �T&E Esmt. y`� / { W I (See Notes I i 16 BLOCK 9 /4 /%N�/// l0 { I NOTES: 1. There are existing electric facilities Installed under General Easements recorded in Easement Book 3. Page 262 and Volume 76. Page 275. not being dedicated this plot. 2. T&E - Telecommunication and Electric. J. The purpose of this plot is reversion to acreage. TAX CERTIFICATE. All real property taxes levied by the Municipality of Anchorage on the area shown on this plot have been paid In full, and If approval is sou9'M between January I and the tax due date, there is on daposlt with the chief financial officer on amount sufficient to pay estlmated real properly tax for the currentyear. C: iJbrized Offic%1 IL VEYOR'S CERTIFICATE e Korabelnikoff,professlonal land surveyor.do hereby PLAT APPROVAL•that this Is a true and correct representation of lands TMs plot was approved by the.MunlC)po/ Platting ,�n,...sa,.-:Ms.e..R...v,�a......r..��x.......:.u.i�.e...icn...........,... ACCEPTANCE OF DEDICATION. p2oa - 69 a V1 oraI2REC DIST 0 — DeAe, %/aZ 20� Requested By M 0 !'-} The MunlcIpathy of Anchorage hereby accepts for public uses and for pubic purposes the real property dedicated on this #at Including. but not limited to the easements.rlgMs of way. alleys. roadways thoroughfares, and parks shown hereon. ,,/��y � Doted of Anq ©0 Alaska this�aay of 7� .20 02.