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Home My WebLink AboutMYERS LT 1Myers Lot 1 #017-112-70 suftc....r:. t nrrr, n n Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page / of Z ON-SITE WASTEWATER INSPECTION REPORT Permit Number: V bP I I t 5[ 3 PID Number: VQ — i 12 Dwelling: rSingle Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑ Upgrade Name: L��, Sgl�t� ��G4 Yu ABSORPTION FIELD ❑ Deep Trench [.Shallow Trench El Bed El Mound Address I ro (I-ry, rtyj Pr ❑ Other Phone Number Bedrooms Soil Rating Total depth from original grade uof / / [ r Z GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1 , (' FL Gravel depth beneath pipe / Ft. Subdivision Block Lotu Iy &Y-.$ l Fill added above original gradeGravel t — 2d Ft. length e A5_ 9� Ft. Township Aange Section Gravel width rj Ft. Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Numberof trenches Dist. between trenches From Tank Field Tank Line 5-00 Ft% ` ! Ft. Well !(9e � too'.,`(° w� -/ 1`r A, SD{ TANK eptic ElS.T.E.P. ElHolding [IOther Manufacturer N. h r (A Capacity I l I 9:�_Q Gal. Surface Water t IL /UO 1- Material lj Number of compartments Z_ Lot Line ZJIk NA Foundationrp'� ZOI f LIFT STATION Manufacturer Capacity Curtain Drain NI Gal. Remarks ,t 11 �CV Pump on level at Pump off level at High water alarm at �L� (A'Gi aT211m Rif5Jyey in. in. 1 f%'tl. 4-tn.h ID tN rn (? T� I- h4S�e cf •i -h P/ yCvi rtmii Q Q�,ir Pump make model Electrical Inspections performed by �Y LS Installer PIPE MATERIAL House to ank Tankto 3� � drainfield 31ii N!1 t n /�,Q �r�.ga P, L, Drainfield TU CO/MT 7031-1 Inspector A BENCHMARK (Assumed elevation) (UD ft Inspection dates: 1 i Y 2ntl (e, Location and description 3m am COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Vis, Stamp ��Eggie OF0 Conditional Approval: Date �Ae'•'' t �.J • .. ..... a 4".. eV• o . •............. 3 �^•• MICHAEL N. ANDFRbGN '� CE �� J,• -94 /f�v Approved `t%• Date 3'�%"�sD inspection Report_9-i-be.d{rcA Permit No. OSP1111313 Page 2 of 2 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: LOT 1, MYERS S/D S/D PID No.: 017-112-70 -- THL2_ TH#3 -- TH#1 1 C06 MT1.— \�---- V\ /X, �ti / _ >,— BENCH, TOP OF DECK MARK A B cot ao ' s SCALE: 1"=30' FAB. h IN9N . toxo a Low STEEL iRNR 0O2 41:' 9 TCO2 --46 15 CO3"-'" 50 21 c04 51 23 C05 105 90 MT 130 120 C06 142 136 SCALE: 1"=30' FAB. h IN9N . toxo a Low STEEL iRNR r 49TH MICHAEL N. ANDERSON: ..MICHAEL No. E 469 ��1♦�D _r�-SSS\•=i I r 49TH MICHAEL N. ANDERSON: ..MICHAEL No. E 469 ��1♦�D _r�-SSS\•=i Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchoraoe ak us (907) 343-7904 Solis Log - Percolation Test ✓ ire"—.. —,�� ': q Ar 491 tj u '• a •• •• '.6 n: MICHAEL N. ANDERSON•; CE - 96 "'' Performed For: <ja ( ( r -c - P 1 o g i- Y e Date Performed: Legal Description: /YA et Y U 9 Lt/ % / Township, Range, Section: TY *J-( e ^q ohr Z 5 (,'1 y'0 4'' \ L- a ry c-- (7o 2 h 5 'P WAS GROUND WATER �U C7-P-.'� ✓, ENCOUNTERED? (4d le— Mt Ok IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? Date: S L 0 E til . r L_ n a %L 41 L .4. Reading Dale Gross Time Net Time Depth to Water Net Drop ro It 3/ i! /Ljr /ti sv 1 n G rr aj rl 5 PERCOLATION RATE 2„ (minOeslnch) TEST RUN BETWEEN 3 FT AND ERC HOLE DIAMETER (! 514 FT 171. rr PERFORMED BY: CERTIFY THAT THIS TESTAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: t2/ S .L 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: OSP111313 Tax Code Number: 01711270000 Work Type: Septic Upgrade Permit Effective Dates: June 22, 2012 to June 22, 2013 Design Engineer: ANDERSON CONSTRUCTION & ENG'G Subdivision: MYERS Site Legal Address: MYERS LT 1 G:3137 Owner/Address: PLASTER SALLIE 3705 ARCTIC BLVD #423 ANCHORAGE AK 995030000 Site Mailing Address: 15116 GOLDEN VIEW DR, Anchorage Lot Size in Sq Ft: 49633 Total Bedrooms: 4 This permit is for the construction of: Y 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. Special Provisions: 1. Small surface water puddles will be filled in order to meet the 100' separation to surface water. 2. The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation test. The Engineer needs to do a percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. AMC 15.65.060.6.3 Received 7 Issued By: /CSG �� ,� Date: Z �Z MUNICIPALITY O_ F Community Development Department Development Services Division *--7 On -Site Water & Wastewater Program ANCHORAGE Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Phone: 907-343-7904 Fax: 907-343-7997 Parcel I.D. Property owner(s) rtoll a b5 i y r- Day phone Mailing address Site address /S/( (A r o re 1/&YLJ Legal description (Sub'd., Block & Lot) Psi a Tv c v Legal description (Township, Range & Section) Lot Size 1-11745Sq. Ft. Number of Bedrooms- THIS edrooms- THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) - Absorption Field Initial 0 Septic Tank � Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. of property owner or Permit/Rush Fees: S 0 Date of Payment: W17-60111 9a`ia Receipt Number: Permit No. 05 Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:\Building\On Site\Fonns\Client FormsTermit App_010411,doc (Rev. 1/11) Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 May 22, 2012 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Myers S/D Lot 1 , 2nd review comments. To Whom it may concern: The reason the site drawing has been changed was my electronic file was corrupted therefore I had to redraw the complete package. Test hole log #3 has been added to the drawings showing the buried organics and a stamped soils log will be submitted once this design is accepted. The asbuilt drawings do not clearly show the exact location of the old bed system but it has been moved closer to the north property line per your request. The neighboring 15 acre lot to the north will not be impacted by this new septic system addition due to the large lot size and the good soils. The old bed system has been located only 10 to 14 feet from the north property line without any issues for the past 20 years with not impacts or issues. There are no neighboring wells, cut banks for other concerns which exist within 200 feet of the new proposed system that I'm aware of at this time. All of the land slopes gently towards the creek with a few small mud -puddle size wet spots west of the proposed septic system. These will be filled by hand to keep the 100 foot separation distance from any open water per the regulations. Due to the upgrading of the system from a 3 bedroom to 4 bedroom, the old bed system will be shown as the reserve area for the new secondary system. A note has been added to the site drawing with a proposed bed of 15 x 40 per the soils requirements. The square on the north end of the house is the shed and has been clarified in the site drawing. Please call me if you have any questions. SinielN. Minderson,P.E. DESIGN CRITERIA: OUND OVER (TH#3) (TH#2) (TH#1) oRADE 4 BDRM X 150 = 600 GPD 1 ORG 1 ORG 0 5 ORGER FABRIC & SOILS = 600/1.2 = 500 GPD LATION 500 GA/5 = 50' PIPE 7SEWER (1) TRENCH BURIED GP GP ROCK 5.0' DEEP4.0' EFFECTIVE H2O®4' H2O®9' . 5.0WIDE 5/18/12 5/16/12 50' LONG 81 1 81 1 10 Lj SEPTIC FIELD SECTION t PARK HILLS TRACT B II�: --------`\\ II -' EXISTING SEPTIC \ r PROPOSED SEPTIC EXISTING SHEI - _\� SEA OT — EXISTING HOUSE BLOCK 2, B \I — 4166C-— �1 I I � " >100�:"MDZUS I ------ 52.1 / 4 �� MYERC LOT 1 -� — SIT-- WELL• zl \I t �\ / CEA TURN BLOCK 2, LOT 7 CREEK EASEMENT PROPERTY LINE I' R LOT2 \\ \ i — - -----------c------ SEPTIC -- EXISTING WELLIXISIIN 100' RADIUS L _ `--' L --- SUBSTATION I CEA HILLCIDE TRACT A} FAIRMOUNT LOT a FAIRMOUNT LOT 9 I MUNICIPAL ROW I REVIEW TERRACE TRACT A I I I I JP I I I I I SPG Septic Design Prepared for SALLIE PLASTER p�E OF q4 MYERS LOT 1 Anchorage, Alaska • w„ 49— TH : ♦/ /• / M �............... .............. / / /"��"11'MxICHAEL """"' / I♦C�':MICHAEL N. ANDERSON; i Michael N. Anderson RE DATE: 5/2212012 ' 4661 NATRONA AVE. ANCHORAGE, ALASKA 99516 DRAWN: DJR ♦ No. C7 9 9 ♦j♦ •., �� 345-3377 / FAX: 345-1391 SCALE: 1"=100' il'tit i,,q Elf7`7�`. .�� SECONDARY RESIGN CRITERIA: 4 BDRM X;150 = 6QO GPD -1 SOILS = 6`00/KQ-- 666 GPD I -75k GA/f5 1) BED�SYSTEM a ' 0 EEP; 0.5' �CTNE 15' WIDE e7-Pvn dark C'eor�'1 tYe i r'r i -t i\ a �';• I \ it J' • t -T- --x 1 MT EDGE OF �\ WETLANDS AREA \ \ W \ \ l SMALL OPEN WATER SPOTS TO BE FILLED �J 52.1' EXISTING BED TO—'' REBUILT PER 10' uTLITY EA�EM 1 1 10' 1'LF( EASEM EXISTING 1000\GALLON TANK TO BE REPLACED / 1250 TANK i CREEK EASEMENT' o I I o L--- ---o I` I 0 a DECK EXISTING — — — — — — — — — — \----i O \ EXISTING WELL 100' RADIUS 4:11( PROPERTY LINE f J � IN \ W 771 I � Septic Design Prepared for SALLIE PLASTER �EOF q<qb♦ MYERS LOT 1 �• . P,..• ............. S ♦♦ ♦♦, Anchorage, Alaska ; -v 49 '" 0"'�'��.. ...;.jjjjjj��---...' :MICHAEL N. ANDER50N;= Michael N. Anderson RE DATE: 5/22/2012♦ 4661 NATRONA ANCHORAGE, AVE. ALASKA 99516 DRAWN: DJR AW ♦♦js ' N U9�: ♦♦ «•'' .� SCALE: 1"=30' ��,1,;'�• 345-3377 / FAX: 345-1391 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www. ci. a n ch o rag e. a k. us (907) 343-7904 Soils Log - JPercolation Test Performed For:��I f d 2 L lr OIlly �yo— Date Peri( Legal Description: h4y'TI 1_0- / Township, Range, Section: 11 COMMENTS m�d►912Lj P P od"r ('j 4 0 A r' 4 rvve- c. WAS GROUNDWATER ENCOUNTERED? {•�P IF YES, AT WHAT DEPTH? Depth to Water After If f3.o #0W? onitoring? S' Dale: .4-* I? 9TH ............. �. MICHAEL N. ANDERSON CE 946,/ o rmed: � Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop r rr PERCOLATION RATE Z (minWeslinch) PERC HOLE DIAMETER co I ST RUN BETWEEN z FT ^ ANDFT —. :rr i r!i h PERFORMED BY: o / V A e CERTIFY THAT THIS TEST VAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www ci anchorsoe.ak.us (907) 343-7904 s b� AY 49TH `' .e ....• • .. yc»•- MICHAEL N. ANDERSON', CE - 94A9 Soils Log - Percolation Test i p Performed For: 4yy,zy v u \o pi Lrr • Date Performed: Legal Description: .ey % L c,+ 11, Township, Range, Section: Slope msctonu S 1 COMMENTS WAS GROUND WATER ENCOUNTERED? 'r s IF YES, AT WHAT DEPTH? V.10 L0 Depth to Water AfterO r p Monitoring? E Date: I ?/ Site Plan PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND _FT PERFORMED BY: I `" & 4 1 CERTIFY THAT THIS TEST AS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: * ; % Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci. anchorage. ak.us (907) 343-7904 s. �W ;I�vrrM a,�reyL ist 49TH*; v0-- MICHAEL N. ANDERSON .� CE -9469 Soils Log - (IPercolation Test 1`�eF'1"%�! t� Performed For:��Jq Date Performed: Legal Description: /ter tt -r VTownship, Range, Section: 3- 5- 6- 7- 8- 9- 11 12- 1 1 1 1 1 TN 3 Depth (Feet) rNJ4L l rut' Init WA WAS GROUND WATER ENCOUNTERED? y V rj S IF YES, AT WHAT DEPTH? u LD Depth to Water After P Monitoring? E Date: Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutesArc) PERC HOLE DIAMETER fT2EST RUN BETWEEN FT AND FT COMMENTS Y.,t "�a 5tuf �I hL o m 7: PERFORMED BY: t'lfl k e, l r, "t,,, ,•r I CERTIFY THAT THIS TEST WA PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: & 2—. MUNICIPALITY OF ANCHORAGE DEPP..,TMENT OF HEALTH AND HUMAN SERV, S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE: SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Joh ��er-g DISTANCES FROM TO SEPTIC TANK ABSORPTION FIELD WELL Addres- - '7-61 L T�rJo," Rt( 5l l 7U /inc%ura e Ir 1i1 0,3 Phone(s) Permit No. No of Bedrooms S,= zBSS -� WELL �— 1 3 z _ ( q q LOT LINE q z. I �' 4 8' LEGAL DESCRIPTION . Lol FOUNDATION Township. Range, Section S eC 3 v/ T ! Z IV R ' t✓� _ � s AS -BUILT driveway, DIAGRAM (Show location of well, water bodies, etc.) septic system. properly tines, IOUndailon, TANKS - T o - — -- -- - - -- - - — - - — - - �\ « - — — -��.. SEPTIC O HOLDING i� Manutacnuer �.7reec• Capacity in gallons 1000 r5 . 5 - Matenal�— S lee! No. of Compartments A TYPE OF SYSTEM E TRENCH Q4 BED ❑ W. DRAIN ❑ OTHER Depth to pipe boltorn nom Total depth from original grade original grade / � .. FT FTI -- _ - I)Ot — tie -� -- 1� r 1 _ fill added above ono mal grade 3 FT Gravel depth beneath pipe i iz FT Garvcl length ---- F1 Gravel width FT Total absorption area S 8 SQ FT I Distance between lines S fo FT Number of Imes Sod rating /�5" Sp FTInstalle Pipe material r C/uLtHf �l: r•Ivr�h �y. —Dat—elnslalleU/,lj �... 11 .r v(—IO �V cq WELLS 0 PRIVATE❑ OTHER (Identify) f r t er " a- T7 ;9 S Cl assih ca non (lI,ff. C) Total Depth FT Gased to FT msfar" Date Inslaned - I REMARKS: _e xrrsVgki 6P/�ij'1�, we docdle-C.hec/Gecl ')-6k'-*11 t^'au' a¢ ,a r e/ee/a. -77-,c �ti ra ti• -Witt_ 4r1 Dr'rl'P.S 'nc� wit(fr- •/-�r6le pr>rs%7'J` rr.fc' .(6 �C _ or> 'Trtt. 3-, 'f leve/. l({r /Le c,.../t, / r61t W'" S>tr7f rrY ` sb -- - - - Scale: Inspections _Ar Date: �1TS Performed by. e — - ENGINEER S SEAL r - — -L-—- rJ ,) cer[Ily [hat this Municipal and Slate guidelines in effect on this da[r,: Health Department Approval: s11... 'd -s inspection was performed according to all Date: 72-013 (3/85) IvAunicipality of December 29,1986 P.O. BOX' 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-411.1 TONY KNOWLES, MAYOR DEPARTMENT Of HEALTH 8 HUMAN SERVICES Mr. John Myers 701 E. Tudor Rd. Suite 170 Anchorage, Alaska 99503 Dear Mr. Myers, On December 2,1986 this office received as-builts for lots one and two of Myers subdivision. As the permits for these lots were issued for both well and septic installation we cannot approve the as--builts until we have received the well logs. As we are sure you wish to handle this matte: as soon as possible, please contact this office at 2644744. Thank you for your cooperation. Sincerely; Daniel N. Bolles Engn. Tech. DHHS ��jr: DEPARTMEN| 6r HEALTH AND ENVIHONMENTAL /.OTECTION 825 L STREET� ANCHORAGE, AK 99501 264-4720 � if DATE ISSUED: APPLICANT: JOHN MYERS ADDRESS: 701 E" TUDOR RD" ST" 170 AIII CHDRAGE, AK 99503 CONTACT PHONE: 562�2855 LEGAL DESCRIP: SUBDIVISION: MYERS LOT: 1 BLOCK: N/A SECTION: 34 TOWNSHIP: 12N RANGE: 3u LOT SIZE: 49655 (SQ"FT, OR ACRES) MAX BEDROOMS: 3 Listed below are the op�ions available to you in designing your septic system, Choose the option that best s your site, DEPTH TO PIPE BOTTOM GRAVEL DEPTH (FT.> 0"5 1.5 TOTAL DEPTH (FT.> 45 5.5 GRAVEL WIDTH (FT") 17.0 5"O �R��EL LENGTH (FT.) 34.0 59"0 GRAVEL VOLUME (CU.YDS.) 21.5 21.9 TANK SIZE SOIL RATING (SQ.FT./BR) 125 125 ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS ^��..... ... ..... ... .... ��`�� [ certi�y that: 1. I amliar with the reguirements {or on�site sewers and ll. as set <orth by the Municirage (MOA) and the State of Alaska 2. I will install the system in accordance with all MOA codes and regul^tions and in compliance with the design criteria o� this permiL � ; 3. I will adhere to all MOA and State of Alaska requirements^�or the set back distances �rom any existing well, wastewater disposal system or public sewerage syst�m on this or any adjacent or nearby lot. 4. I understand ikat this permit is valid lr a maximum o[ 3 bedrooms and any en]argement will require an additional permit" IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDII'll 8 CODES THEN (1) AN EL£CTRICAL PERMIT AND INSPECTION MUST BE O8TAINED; (2) AS~B�ILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) TuE ELECTRICAL WORK MUST BE DONE 8Y A LICENSED ELECTRICIAN. n SIGNED ` DATE: �� APPL[CANT: JOHN MYERS ~ - ISSUED BY ._``_�^'��.... ......�-'�.--�.��m��-��`---',--_-~_---- PERFORMED FOR: Z:)�/7 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOO — PERCOLATION TEST [c" LEGAL DESCRIPTION: llle e -s L.+ V Pe«t Gose of 1 ileo Itla.rny PrtjN��"C S0,1)gfaS,nW, 2 V iLcy p P 3 fr Px-tra n � J S 1' �) r 5 S`4 4 �(om 7 r s U��`�c Swall7 ratce lz5u'/h Cafe 15-{7� n .�. Si�n�1 sRF Seams -{-Able c e 6 e 7 8 9 10 11 12 13 14 15 16 17• 18 19• 20 - DATEPERFC Township, Range, Section: S{� 3 ./ 7-/z )u 9L 3w� SLOPE SITE PLAN VI 0 WAS GROUND WATER ENCOUNTERED? 0 S IF YES, AT WHATL ;�. DEPTH? O P E Depth to Water After r Monitoring? } Date:q-19-E Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN — FT AND _ FT COMMENTS T/) --s fest' /to% Was done 1-1� the cute.- /necL- 15eceu,re TA *St 17C/e waS elope .n /783, -6je wa.)te6d 1u m«kc su.e , 11e.c. -"Ie w -r F— 6/c t� s Ge%.e 1�7S'/Yz//a/>'u, PERFORMED BY: �IcS I� ��'"c�"'�y�'CER'iIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE: AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) ININ ■ Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN — FT AND _ FT COMMENTS T/) --s fest' /to% Was done 1-1� the cute.- /necL- 15eceu,re TA *St 17C/e waS elope .n /783, -6je wa.)te6d 1u m«kc su.e , 11e.c. -"Ie w -r F— 6/c t� s Ge%.e 1�7S'/Yz//a/>'u, PERFORMED BY: �IcS I� ��'"c�"'�y�'CER'iIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE: AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) N� 40 ►J 6q - A(.- 'Zq %pJ D 5 A BID - as - a 4 BO'led_"B areoS ra11u17 Tesf able %nvr 70" /4/.610 t7 ' j=or 6 e d r. o -, &o , e � , Cf /Zs- s o.•tSI a•'71 ► <" <ed /Y-660, '7Pr �(•bB AI ar SCALE INzs0, CIO sG&'. w / / �I .-. �-�_.-"1. _ ems• ��,� I Tyr 29 Cmb+rK r nJ S 1 ra,rD erse-TT'S v��'� V/ l rcl',nla O�Servrrf 6Y 7hrc� o� 'Ty id BBB OO°sLOT 2 r B 9 �® B ®_ e IF.RC Y RF.ID, .1R. 2251 ,.B f•� f 1 HEREBY CERTIFY THAT ALL PROPERTY fol i'/pe' Bep°Bo'`\�,�I CORNERS EXIST THIS DATE AS SHOWN. F POUNOATI%j��!!®SS IT $HALL fE THE RESPONSIBILITY OF THE - dwin tq�^ " at'S•Ca•`�'`�'-• BUILDER OR OWNER TOF VERIFY THAT no F A�� t'ION$ BASED ON _ BUILDING LOCATION SHOWNMEETS ALL �,i(ti�j`:•• �'� '••""�Bz0 DATUM, SUBDIVISION .COVENANTS AND LOCAL �,iAAA•: RED FOR: ZONING CODES AND ORDINANCES.�� r w•i' w d ►1• PLAN DATE 7-T-B•�lo i.' 1GRID 519i ww �J • LOT t I BLOCK AAa LWr<WW f • - JICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 995D1 264.4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Brad sa rJgn DATE PERFORMED: (`�le�e�s s.i.bd;v;sion L.,b-t LEGAL DESCRIPTION: I I ot N. H S W 24 r, a n 1 4- L g L' a 14��{� O� SLOPE V 7 S II I � A® 1 � :� Tw — 2 �....e. brcu.)n vl ' 3- v - 0' 17 B 4 elA 5 ,� o eery aro�� s�r -- 18 0 0 a, �_ �Prolml �®.0,0 o a — 7 Q 4 a I A 8 4 0 4 — q O b -- 10 CSM it� ;'ty grac�,� WAS GROUND WATER `�ii,� 5 L ENCOUNTERED? 0 12 P E IF YES, AT WHAT 13 DEPTH? ��•aej�� SITE PLAN Oite OF rime to Water 14��{� vvov vvv vv4 tJ 0® � A® 15 � :� Tw — �....e. ....'16 J., ' - 0' 17 B vamp oevveJ 000 * LEROY ND, JlR : Q �#. '` O CE - 2251 �' p ! 4rr�•,•1°•evvv°•°• ` 18 a, "S �Prolml �®.0,0 19 SITE PLAN Reading Oite GlossDepth Timeme T— rime to Water Net Drop — ' - A5 "S I Reading Oite GlossDepth Timeme T— rime to Water Net Drop 2O I PERCOLATION RATE l� TEST RUN BETWEEN COMMENTS n. (minutes/inch) �. FT AND ----- FT l---4 C-7 1 • PERFORMED BY: cb3 __ CERTWIED BY: DAT1:_l? 72.00a 16/791 DfvELOWMENTORP REAL ESTATE DEVELOPMENT & INVESTMENTS 701 E. Tudor Suite #170 Anchorage, Alaska 99503 907 563-2855 Mobile 563-0011 Pager 786-0345 MUNICIPALITY Of: ANCHORAGE January 30, 1987 DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION FEB 31997 Municipality of Anchorage �i �� P.O. Box 196550 ED Anchorage, AK 99519-6650 ATTN: Daniel N. Bol -les Dear Mr. Bol -les: RE: Lots 1 & 2 Myers Subdivision Thank you for your letter of 12/29/86. Enclosed please find copies of the well logs for the above referenced lots. Tf you need any additional information, please contact the under- signed at 563-2855. Sincerel.y, Carole S. Myers Encl. OF LAND ......Jahu-1iyera................................................... :..... DEPTH OF WELL .....141.. FT..e............................................................. ?SS..701„E_,Tu.dor Suite 170 Anch.AK 99503 60ft.in hole est. .............................................................................. STATIC LEVEL OF WATER FT......................................................:.... - SITE ... Lot ...I... sand, ..................................................... DRAW DOWN FT....957....................................................................... -STARTED ........ i- 5.-..0.............................................................. GALS. PER HR.. 420 gal; .der.. hour est. ........................................................... -ENDED ............R-25m.Ux.............................................................. KIND OF CASING 141, ft.soh.#40 casino .................................................... )F FORMATION: ROM ......Q ............. FT. TO .....6.............. FT.. overburden ROM ......6 .............. FT. TO .....22............ F'T.... san.i &gravel ROM ......22........... FT. TO .....78............ FT.... hardpan ............... ROM ...... a........... FT. TO ..... 5............ FT.... cobblestone ROM ......35........... FT. TO .....89............ FT.... c1.aY....................... ROM ......133.9........... FT. TO ...11Q............ FT.. sand.F ravel........ ROM ....1.1.3........... FT. TO ...141............ FT.. sand �fraye1.. &..wa1 2r ROM...................... FT. TO ...................... FT.................................... 'ROM ...................... FT. TO ...................... IT.................................... 'ROM ...................... FT. TO ...................... FT. .............................. I.... 'ROM ...................... FT. TO ...................... FT.................................... FROM ....................... FT. TO ....................... FT.............................. FROM ....................... FT. TO ........................ FT. OF ANCHORAGE FROM MUNiCIPALIIY ...................... FT. ENVIRONMENTAL PROTECTION FROM ...................... FT. TO ........................ FT. FROM ....................... iT�1'i�TO :6� �Q��........... FT. FROM ....................j`i1rTCT .�.��.. ....... FT. FROM ....................... FT. TO ........................ FT. FROM....................... FT. TO ........................ FT............................ FROM....................... FT. TO ........................ FT............................ FROM ....................... FT. TO ........................ FT............................ FROM....................... FT. TO ....................... FT............................. ?ROM ...................... FT. TO ...................... FT.................................... FROM FAUCTAL1T- . OF..ANGUoRtTT ... HEALTH & ,. INFORMATION: ENVIRONMENTAL PROTECTION No septic on site of drilling. No warranty or warranties implied.' Ia�7 Hang pump 5ft,off bottom`. - - -7r� A. L_.. - Joe Gielarowski DRILLER'S NAME MUNICIPALITY OF ANCHORAGE 0* DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services Ak On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519=6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE.FAMILY DWELLING Parcel I.D.# HAA# 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner -Dayphone Mailing address Lending agency Mailing address Agent _ Address Unless otherwise requested, HAA will be held for pickup. n 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm r�� L�r� as i ��. c -"Y Phone(9-,' 7 Address Engineer's signature 6. D SIGNATURE 7 Approved for Disapproved. jE�/Lf S bedrooms. Conditional approval for Additional Comments By: Date ;3'(p``)-7 �` ®�• •A, 41, T I •. J �11�1 • £ ! klF ( •�Sw^ (d�Vvh,f��, 1. �i Ew'1; Y {. "''^.gyp CW 6176 z' bedrooms, with the following stipulations: 1uTic The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Ray. 1/91) Back MOA N21 - MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION Municipality of Anchorage MAR 12 1997 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division (,/ 825 L Street, Room 502 • Anchorage, Alaska 99501 • 4 Health Authority Approval Checklist Legal Description: 14 — i Parcel I.D.: -Z4? A. WELL DATA Well typeIf A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Total depth z .y/ Ff. —Cased to Sanitary seal (Y/N) Date of test Static water level Well production FROM WELL LOG 9 -P.M. WATER SAMPLE RESULTS: Coliform ell Date of sample: �' /— B. B. SEPTIC/HOLDING TANK DATA Casing height (above ground) � -- %x J Wires properly protected (Y/N) _ Y AT INSPECTION Nitrate _ /" % Other bacteria Collected by: 14-"v 4Yi� _ Date installed /.%%, Tank size X -4'` -Number of Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) Depression (Y/N) AJ High water alarm (Y/N) _ Date of Pumping y��`/� _ Pumper lJ've� C. ABSORPTION FIELD DATA Date installed �' &�s'Z Soil rating (g.p.d./ft2 or ft2/bdrm) i2 '� _ System type Length _y�f� Width Gravel thickness below pipe 6;ti _ Total depth Effective absorption area Monitoring Tube present (Y/N) Y Depression over field (Y/N) Date of adequacy test �/: o�i7 Results (Pass/Fail) _�� For � bedrooms Fluid depth in absorption field before test (in.); Immediately after/" -4 -gal. water added (in.): _ Fluid depth XZ' (ins) Minutes later: '*Y Absorption raterte? `1'� O_g,p.d. Peroxide treatment (past 12 months) (Y/N) N _ If yes, give date _ 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* o f" level at* High water alarm level at* _ `Datum Gyefes'tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot �GD'Ff On adjacent lots Absorption field on lot On adjacent lots Public sewer main �/ Public sewer manhole/cleanout �lv Sewer /septic service line '` Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation i�'Gf. Property line Absorption field Water main/service line ZJ_f�,_ / Surface water/drainage /e'U / Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line �o � Building foundations f Water main/service line Surface water %dam `/f Driveway, parking/vehicle storage area Bo �Ff Curtain drain Wells on adjacent lots F. ENGINEER'S CERTIFICATION q I certify that l have determined thru field inspections and review of Municipal recor i Fndz t(��ab )YY yYA� ns are HAA Fee $ j"/ < <�—e Date of Payment 3 f 7 /42 _� Receipt Number5:2/7 iY19 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number CT&E Ref.# Client Nome Project Nnule/# Client Sample TD Matrix Ordered By PWSID 3ampleRemarks CT&E Environmental Services Inc. r�iisr,�►im�rrioii�,vr�yrisiri.� 9709/8001 Douglas Kenley P.E. L1 Meyers Subd, L1 Meyers Subd, Prinking Water Client, PO# Printed Date/Time 02/28/97 01:45 Collected Date/Tinxe 02/25/97 1.3:14 Received Date/Tillie 02/25/97 14:50 Technical Director; Stephen C. Erle Released By ALtowable Prep Analysis Parameter Results POL Units Method Limits pato _ Date snit Nitrate -N 0,100 U 0,100 mg/L sm18 4500-03F 10 max 02/26/97 J13L ToteL Coliform 0 col/100mL SM16 92226 02/25/97 RAM 02. 2'7. 9'7 09 : 33AM *AVANT I 907 SE 2 35449 14 Lti.I-, G i A r d Sol, r: , . ... .. ... F 17 '2 r SCALF '+1 1� Lt IN HrNtbY DERT1rY THAT AN AtCURATS RURVEY or THC PROPERTY SHOWN HEREON WAR nt)E bN ''I - '[, 0 - Y AND TNAI THE IMPROVEMENTS SITUATED THEREON ARE RITHIN THE PROPERTY LIt1EE A110 DO NOT ENCROACH ON THE 'ADJACENT PROPERTY, THAT u,',•'", `I' ` 10 HIPROVE6tENT8 bN AI+JACCNT PROPERTY ENCROACH ON THE PROPERTY SHOWN HEREON, INV THAT THERE ARE NO ROADWAYS, UTILITY LINE4, OR OTHER VISIBLE EASEMENT$ ON ,'" \ x, :AIV PROPERTY EXCEPT AS INDICATED HEREON, ("�' ;�•r�•r 'REPAREp Pont • A5 -BUILT RAWN VATS HECk OP.ID�• owl•, I.S RI'.� Jot L'C. jBil LOT S � � , BLOCK 1 F, , I, k , .y �'• tr'm, 1vn1T�' .k'kru lr t+,'P -"J , • � ti.`i•-L .,.I '--�//t t •` ...1 I 1 , i � �.... r.... � 'r ( .rC ` .G. 1'O location of the struoture(s) Ai as shown on this recon) drevAng(as-b r . ) mpll wllh Title 91, A I ; r 1 Date',.' , . ... .. ... F 17 '2 r SCALF '+1 1� Lt IN HrNtbY DERT1rY THAT AN AtCURATS RURVEY or THC PROPERTY SHOWN HEREON WAR nt)E bN ''I - '[, 0 - Y AND TNAI THE IMPROVEMENTS SITUATED THEREON ARE RITHIN THE PROPERTY LIt1EE A110 DO NOT ENCROACH ON THE 'ADJACENT PROPERTY, THAT u,',•'", `I' ` 10 HIPROVE6tENT8 bN AI+JACCNT PROPERTY ENCROACH ON THE PROPERTY SHOWN HEREON, INV THAT THERE ARE NO ROADWAYS, UTILITY LINE4, OR OTHER VISIBLE EASEMENT$ ON ,'" \ x, :AIV PROPERTY EXCEPT AS INDICATED HEREON, ("�' ;�•r�•r 'REPAREp Pont • A5 -BUILT RAWN VATS HECk OP.ID�• owl•, I.S RI'.� Jot L'C. jBil LOT S � � , BLOCK 1 F, , I, k , .y �'• tr'm, 1vn1T�' .k'kru lr t+,'P 1187-6309 MUNICIPALITY OF ANCHORAGE U DEPARTMENT OF HEALTH & HUMAN SERVICES/ DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) /�jyc�zs s'�t6 iiz ;�, ss 7�- 3y Location //(address or directions) 4 1 J d ' v 3 c eY /'e-T-ti/� 0v il.'Zr C—_ �i i2 f` � !� r' ��i % C?�-er•. � l2o2.i (b) Property Owner N! yv: s<vc4+�tiuoi Telephone: Home — Business Mailing Address (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and,Agent Address Telephone (e) Mail he HAA to the following address: or: Check here ❑, if hold for pick up. List contact person and day phone number below. 2. TYPE OF RESIDENCE Single -Family,® Number of Bedrooms 3. WATER SUPPLY Individual Wel Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite 5� Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (Rev 8/86) Front 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm c9 5 5:,-c Telephone SZ / — �-Z' 9, C" Address �Z ° �� 3 PZ ID 4-c,L Date 0 A4 9 yt � : • '•e; �,gvm 0. •a•s •. •.•.• a e� tE C. RED, JR. c•• • CE - 2251 A Cs' 't7 6. DHHS APPROVAL Approved for 74 '20`(3)0edrooms by / � A' �!Y%b+–w Date Approved &_� _ Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (Rev 8/86) Back MUNICIPALITY OF ANCHORAGE (MOA) MUNICIPALITY OF ANCHORAEALCCTH AUTHORITY APPROVAL (HAA) GE ENVIRONMENTAL SERVICES DIVISIOEVHECKLIST - FEBRUARY 1984 264-4720 JUN 16 1987 Legal Description: / N PP 5 S'V t [ I �z ,v A. WELL DATA RECEIVE® Well Classification %//Y-1Lie ./I- If A, B, C, D.E.C. Approved (Y/N) A)llt Well Log Present 6( N) Date Completed — zs ��' _ Yield Total Depth 2 �41__ Cased to . Depth of Grouting Static Water Level l Pump Set At Casing Height Above Ground — Electrical Wiring in Condu (1N) Separation Distances from Well: To Septic/Holding Tank on Lot Sanitary Seal on Casing Depression Around Wellhead (Y VD ; On Adjoining Lots > le 0 To Nearest Edge of Absorption Field on Lot /� _ ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by « ; Date Water Sample Test Results %sTI3FT9�� Comments Ay,'4,4.'s – .SfrY7SFitc7a�� B. SEPTIC/HOLDING TANK DATA Date Installed 2Z'Ar 7 Size zO o v Standpipes &N) — Air -tight Caps�Y)N) Depression over Tank (Y/F No. of Compartments 7_. Foundation Cleanout f,/N) Date Last Pumped /'P'^ Pumping/Maintenance Contract on File (Y/N) lt�119- ; for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) _ A)k Separation Distances from Septic/Holding Tank: To Water -Supply Well —2- ,32-/ To Property Line To Water Main/Service Line 4/,? / Course /00-y 17 Comments Page 1 of 2 72-026(11/84) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design f3�b Date Installed Length of Fieldy Width of Field Depth of Field e'`2'°^�/ � ,g fWt.1, 3447 Gravel Bed Thickness /Z Square Feet of Absorption Area 5- 2 ?�l Standpipes Present ,?N) Depression over Field (iNN)j Date of Last Adequacy Test Results of Last Adequacy Test A;ZJ Separation Distance from Absorption Field: To Water -Supply Well To Property Line "C) To Building Foundation To Existing or Abandoned System on Lot A1'Lw' ; On Adjoining Lots �> lcc 2 To Water Main/Service Line �� f To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course /F To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments — Dimensions Manhole/Access (Y/ "Pu Y' Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have ecked, verif' d, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed —�� Date Company KEYS MOA No. �, ®F A<�6.(��eF Receipt No. �U U�U ••••••a •o ( V< Date of Payment + G� a CarA; yt*&&r eal ; yz Amount: $ ••••••• Page 2 of 2 72-026 (11/84) •a aa• 0aW-4 ienae..r"-fi; U Y C. R@ID, JR. P.. AV CE - 2251�,� A7 �(J40 Ot4ArofeeS 10,4\ 010 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC V, 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FEDERAL TAX ID # 92-0040440 'Mp !)« ««r«. uG« fwcr.lul Uri rip I'Mili, 1 n fu c.oi/ i0clill] V r a