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Home My WebLink AboutMOUNTAIN PARK ESTATES #2 BLK 3 LT 24Onsite File Mountain Park Estates #2 Block 3 Lot 24 #017-022-36 As updated as-built survey is required at time of future COSA or field upgrade (waived to close out OSP181297) Mountain Park Estates Block 3 Lot #017-022-36 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181297 PID Number: 017-022-36 Dwelling: [E Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑ Upgrade Name: C.L Clawson & Delores Catherino ABSORPTION FIELD ❑ Deep Trench ❑Shallow Trench ❑Bed ❑Mound Address 15231 Snowflake Dr. Anchorage, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 947-3822 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Subdivision Block Lot Mountain Park Estates #2 B3 L24 Ft. Fill added above original grade Ft. Gravel length Township Range Section Ft. 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 Ft. Well >100' N/A N/A N/A >25 TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 11250 Gal. Surface water >100' N/A N/A N/A Material Number of compartments Lot Line >5' N/A N/A N/A Steel 2 NA Foundation >10' N/A N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted Gal. RemarksTank replacement only. Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank D3034 Tank to grainfield D3034 A+ Home Services Drainfield Exist. CO/MT Inspector J. Williams BENCH MARK (Assumed elevation) 100 ft InspectionX51 g/24/18 Location and description dates: 2nd 3`tl 4th Bottom of back door jam. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: OF Date + 9 � •AV 49th ••� �®�� ................................................ MICHAEL E. ANDERSON d v X00. �. No. CE -4381 ��® Approved n CtI� Date j p.4/23...... P\ ��® t., o..+;.... o,,..,..+ b U_JJ Stk71cr�a�tdo� 1� il�Le ole C�Sfl �Z MOUNTAIN PARK . i i ENGINEERING P I D # 017-022-36 SOUTH PARD DRIVE `- NEW 1,250 GALLON SEPTIC TANK EXISTING TRENCH I (EXACT ORIENTATION UNKNOWN) 1 PLAN AS -BUILT A B FCO 27.9 4.8 SV1 34.7 15.3 SV2 39.0 23.0 2CO 40.8 1 25.7 0 100 RIM FEET1 LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE PERMIT# OSP1 81297 E R I N G PID # 017-022-36 PROFILE AS -BUILT (NO SCALE) CI PA Li_r.0,. MUNICIPALITY OF ANCHORAGE / On-Site Water&Wastewater Program �� ''' ^"-41:'"'S r -4...e'‘ PO Box 196650 4700 Elmore Road ' £' * Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 `� httpa/www.muni.org/onsite '` r. N + tiraliii Dcpartmcnt 4"' HORPV� On-Site Wastewater Disposal System Permit Permit Number: OSP181297 Effective Date: 8/30/2018 Work Type: SepticTank Upgrade Expiration Date: 8/30/2019 Tax Code Number: 01702236000 Site Legal Address: MOUNTAIN PARK ESTATES#2 BLK 3 LT 24 G:2839 Site Mailing Address: 7200 SOUTH PARK DR, Anchorage Owner: CLAWSON C L & Lot Size in Sq Ft: 20130 Design Engineer: FORGE ENGINEERING Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field II Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Obtel-/WiLt* A� Date: i . / Issued By: -ate,,,, Q Date: R 30 1$ MUNICIPALITY OF ANC • • : AGE 6� • 10 77 'I Community Development Department l ' -: 907-343-7904 Development Services Division AUG 2 7 201u : 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT e8 �.,1 •, II 5 Parcel I.D. 017-022-36 Property owner(s) C.L. Clawson & Delores Catherino Day phone 947-3822 Mailing address 15231 Snowflake Drive Anchorage, AK 99516 Site address 7200 Southpark Drive Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Mountain Park Estates #2, Block 3, Lot 24 Legal description (Township, Range & Section) Lot Size 20,130 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field [l Initial Single Family (SF) IXI (w/wo ADU) Septic Tank xi Upgrade Duplex (D) n Holding Tank ) Renewal n Multiple Dwellings Privy I 1 (SF and/or D) Private Well I Water Storage (-1 THIS APPLICATION INCLUDES A VARIANCE 1 WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. CL— (Signature of property owner or authorized agent) Permit/Rush Fees: a /5 Waiver Fees: Date of Payment: gig Va Date of Payment: Receipt Number: ti( lD Receipt Number: j Permit No. S p10�� U ?- Waiver No. Permit App__.:• ::...:c; Mir ,) ' GE tENGINEERING PO BOX 240773 ANCHORAGE.AK 99524 522-7773 677-7766(FAX) August 27. 2018 Municipality of Anchorage Development Services Dept.- On-Site Water& Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Mountain Park Estates No. 2 , Block 3, Lot 24—7200 Southpark Drive Septic System Design and Permit Application Dear On-Site Services Engineer: The septic tank on the subject lot are leaking and must be replaced prior to the issuance of a COSA for the property. The attached site plan identifies the location of the home and the existing well and septic system. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The septic tank is located partially under a deck approximately The new septic tank will be placed a minimum of 5' from all deck or stairway foundation supports and the south property line. The existing well on the lot is shown. The placement of the new septic tank will not encroach into surrounding protective well radii. Please refer to the attached plan sheet for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely OF AL„std fes • No. 7�� Michael E. Anderson, PE 0 ir; 49 TH 3*(LI. Michael E.Anderson : �e''.• 4381-E • ,�;/�}�C9�o 8/27/18 .•<',• MOUNTAIN PARK ESTATES #2, BLOCK 3, LOT 24 N \ / SOUTH MK QRIVE \/ �, -j-I- t I// /I- I I 7- \ / — /\ l / l) , / � /1 / \ il /� i ./ f � / ) / •� / i' / \ \\ I/i 1 EXISTING'�BSP RP NIOC / EXI TIfiG /� I 1 I \o I I \ ( ( / I ELk � ® l I I Q \\l `\ \\ \} 1 I I I EXISTI/G 1 \� \ 1 11 / O \ SOT�4 I I SEPTITANK \ N / CC 1 1 1 1 `\ 11 (\ \ /1 `\ fl V l 1 I \ 1\ \ / F- I i / / 1 I I 1 \ 4-f DRM HOM \ I ' \ 1 1 I ` I \ \ \ / \ 0 11 11 I I < < l '\ � I \ LI ` / \ / / \ l ' \ N eco 51,�`SV 1 �� - , . } \ \ \� _ / 1 \,J 1 \\ \\ \ I i / 11,250 C�sLLO \ \ SEPTIC TANK 10'UTILITY EASEMENT / LOT 23 I VACANT I I 1 1 NOTE: \ DECOMMISSION EXISTING SEPTIC TANK IN \ ACCORDANCE WITH MUNICIPAL CODE. \ "Few. ,) I. GE NOTE: 4,4•` v"i,iALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS •.."\ -..(.-.).:..../.14% PROPERTY ARE SHOWN.NO CONFLICTS WITH WELLS OR SEPTIC LEGEND .,-;,, •••• 4O SYSTEMS. CO CLEANOUT �� •s: �� 2C0-DOUBLE CLEANOUT 49th ••.. •` % FCO-FOUNDATION CLEANOUT •,• (- -� �-• FS-FLOW SPLITTER VALVE F,L MICHAEL E. ANDERSON 0 50 100 MH-MANHOLE .j�-'•., Na CE-4381 d•:moi � �, ,.. MT-MONITORING TUBE *A$•., 8/30/18 ••'�''• = II. FEET .�F-P••••..„..., P:••• 1"=50' SV SEPTIC VENT �� ROFESS TH-TEST HOLE 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 NAME PHONE I NEW ] Well Absorption area ~ Dwelling~ ~ ~ PERMIT NO. ~< Manufacturer ~~~ M~ No. of~artments Liq. c~ i~ons IF HOMEMADE: Inside length ~ Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. · --~OZ ~ Manuf~ ~ ~ Material ~ L?~u~d ~2~:c~ ons D Well Foundation_ · Nearest lot line PERMIT NO. ~Z~ N°'°flines~ ~/ Length of each I~e ~ Total length of l~ Trenchwid3~ inches Dista~F~nlines ~ ~ ~ ~ Top o~ tile to finish grade Material beneath tile ~ ~ ~__ ~ / ~ ~ Total e~fective abs ea Length Width Depth , PERMIT NO. ~ ./ Well Building fo~n Nearest lot line ~ DISTANCE TO: . . ~ Depth Driller Distance to lotline PERMITNO. SIOO S ~ ~ DISTANCE TO: ~~' Sewer line Septic tank./~ d Absorption are,) [ d~ OTHER PIPE MATERIALS ~ ~ ~X S~I L TES~RATING'~ ~ ~ PPROV~ ~c~ DATE LEGAL ~ ~ 72-01 [Rev. 3/78) (907) 243-7893 KEN JOHNSON D & B GENERAL P.0o BOX 10343 Anchorage, Alaska 99511 RE: KEN'S COMPANY WATER WELL DRILLING PUMP SALES & SERVICE 3163 LINDEN DRIVE ANCHORAGE, ALASKA 99502 APRIL 7, 1981 349- 6965 Lot 24 Block 3 Mountain Estates ~ 2 WATER WELL LOG 0 ft. to 2 fto 2 fto to 8 fro 8 fto to 28 fto 28 fto to 47fto Frozen organic silt Brown silt with some gravel Course gravel and brown silt Course gravel and graysilt ( tight ) 47 ft. to 65 fto Decomposed Bedrock ( dry ) 77 fto to 98 fto Firm rock with occasional fracture.. Weeps water.. ( 1,5 Gpm ) over night static 44 fro 98 fto to 100 fto Soft rock 100 ft. to 118 fro Hard rock 118 fto to 120 fto soft rock 120 fto to 158 fto Hard rock Static water level 44 fto ( 171 Galo reserve ) Yield 1.5 Gpm 100% drawdown ( 1.5 Gpm recovery Total depth 158 fto ( ground level ) Total casing 161 fto Set pump 153 fto Well to be lined with 5" perforated liner F'ERMIT NO. £:'EF'RF. rTMENT ,_.,-' HERLTH RND ENVIF.'DNMENTRL, ROTECTIC'I"' 2C t/D 8'25 '" L. '" STREET., RNCHOF:RGE., RK. '9'95C~J. ~D LL/.S - FIF'F'L I F:FtNT L -I C R T I O N L..EGRL 264.-472Ei C~ ~'-.~ ~ "-- :, 1. -rE F'O E:OX i0-1]:49 D&E: P' '~ aENEF-.HL INL': SO. F'K & FUz, TEF.. RD LOT 24 BLK 2: MT. PK. EST. LOT SIZE '2±i2:~a SQURRE FEET T'.r'PE OF SSIL RBL:,OF.:F'TION S'¢STEM IS: TRENCH MRX'IMLIM NUMBER OF BEE,F.'C:MS = 4 qOTL RRTING ,.'.S..]. FT, E,R..,- ica THE REQUIRED =,I~_~: OF THE SOIL RBqF~F.'PTTF~N =T_-T=I'I "-: [::, EF" TH := 9 L E P-,li3'T H-' ~i-_'; ¢:a L3 R Ft"-,,' E L E:, EZ P 1- I-4 == 5 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETHEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRBVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). F:E¢::.~Lt 1' F.: E[~-, SEF'T 1' C: TRP-~F<: :5 I ZE= 1250 13RL LC, i%l"Z.~; F'ERMIT HFFLI_.HNT HRS THE REz, F_N.:,IE, ILIT~ Ti] INFRF.'M THIS DEPRRTMENT DURING ]'HE '- ''-"T' -I '- ' '1-1 ' ' ' ~ INSTRLLRTION INz, FEL.. ILN.:, OF RN'¢ WELLS RDJRRENT ]'0 THIS PR_FER]~r RN[:, THE NLME:EF.' OF RESIDENZ:ES THRT THE HELL HILL SERVE. -r[.~c, ,:: L-zZ }, 1' P-~.';F'EEZ: T 1' ,T.,i'-~"_z. RF-:E F-:E~]].[J 1' F.:E[:. BH_.kFILLINU OF RNY '=;'¢STEM WI]'HOUT F'INRL INSPECTION RN[:, RPF'ROVRL B'¢ THIS DEPRRTMENT HILL BE SUE:JECT TO PF.:ESEZ_TI]N. MINIMUM DISTRNCE BETWEEN R WELL. RND RN'-t ON-SITE SEWRGE DISPOSRL S"r'STEM IS 1F',-.'~ FEET FOR R PRIVRTE WELL OR ±SE~ TO 2a~-'"~ FEET FROM R PUBLIC HELL DEPENDING L.IPON THE T'¢PE OF PLIBLIC WELL. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEE-r RND TO R COMMUNIT'-r' SEHER LINE IS 7'5 FEET. WELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 3:0 DRYS OF THE HELL COMPLETION. OTHER REQUIREMENTS MR"'r' RPPL'¢. SPECIFICRTIONS RND CONSTRUC]'ION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F"ERE.1 1' ~' E~F" 1' RES £.EE:E~E:EF: 2:i~ iL~Si I CERTIF'¥ THRT ±: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEHERS RND HELLS RS SET FORTH BY ]'HE MUNICIF'RLITY OF RNCHORRGE. 2: I HILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. 3: I UNDERSTRND THRT THE ON-SITE SEWER SSSTEM MR~¢ REQUIRE ENLRRGEMENT IF ]'HE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST [] SOILS LOG [] PERCOLATION TEST LEGAL DESCRIPTION: /.-", O'T ~'g~ ~ t ~.z Y ~'~ 2 3 6 7 8 ._'. ..... 9 10 11 12 13 14 15 16 17 18- 19- 20- SP ~ 0 '/TO IJ, o~EL SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE COMMENTS TEST RUN BETWEEN FT AND /.-0'7~ ,z-/'/t S good s tM o ~_'.~ /~l~,,q ~. ~ /4. PERFORMED BY: ~ CERTIFIED BY: ~--~:,'~'- 72-008 (6/79) ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 June 9, 1986 Municipality of Anchorage Department of Health and Environmental Protection Division of Environmental Health 825 L Street Anchorage, AK 99501 Subject: Lot 24, Bk 3, Mountain Park Estates ~2 Gentlemen: On June 9, 1986, Mark Holum, P.E., inspected the subject property and found that the surface depressions which were noted on the current conditional health authority approval had been filled. The surface grade in the vicinity of the wastewater disposal area conducts precipitation away from the disposal area and is acceptable. The review of the subject property indicates that the item noted on the conditional health authority approval has been corrected. Please call if we may provide additional information. Sincerely, ALASKA SOIL TESTING AND ENGINEERING Mark Holum~ PoEo Manager Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. ~i-/-- C) ~- '7o(~ 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Expiration Date: Current Property owner(s) Mailing address Lending agency Mailing address SouTH Day phone Real Estate Agent Mailing Address Day phone Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: '~ 3. TYPE OF WATER SUPPLY: ' Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority Approvai 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 Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(aro) 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 flies and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(aro) in compliance with ail applicable Municipal and State codes, ordinances, and regulations in effect at the time Name of Firm Address 8:2. o '~ ¢ Engineer's Printed Name i DSD SIGNATURE Approved for L)r Disapproved. Conditional approval for Phone bedrooms. bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Wetl Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: (Rev01/02) ,IL3~N-I1-~2 C4:17P~ FRO~-CT~E ENUIROfl~ENTAL SRV ,t~ CT&E Environ~nantal~ervices Inc, T-243 P.02/O3 =-g59 CT,e, ~ Ret'.# 1023196001 Client' N~m~ Tobben Spmkland P.E. Prujeet N~rne/# MPE 24/3 ~ ~ Client ~mple 1D MPE 24/3 Matrix Dfi~g Watt:~ Ordered By PWSID 0 All Dates/Times are Al~ka Standard 'l'lra e Frint~l Date/Time 06/10/2002 I6:09 Colleetefl Da~elTime 06/05/2002 14:00 ~cetved Dnt~in~ 06/05/2002 17:25 Tec~lc~ Director St ephe~Ede PQL Unim Me$od Ailo~able Prep &~aIysis Limit~ Dare Dale lnir 2.0! 0.200 mg/L EPA 3a0.o (<t0) 05/06/02 JDT Total Coliform 0 co[/1O0mL SM18 9222B (<1) 06/05/02 KAP MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 24 t{].ock 3 Mountain Park .Estates Subdivision #~- Location (address or directions) 7200 South Park Drive (b) App~;oant Name Mark WEkler Telephone: Home 345-5930 Business 265-8016 Applicant Address 7200 South Park Drive (c) Applicant is (check one): Lending Institution []; Owner/builder 1'~¥ Buyer []; Other [] (explain); Alaska State Bank (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Number of Bedrooms Four(4) Other WATER SUPPLY Individual Well'I× 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 [~xx 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~)25 (11/84) ENGINEERING FIRM PROVIDIN~ ,NSPECTIONS, TESTS, FILE SEARCH, DA'i,-, AND INFORMATION , As cert f ed 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 dh-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 Alaska Soil Testing & Engineering Telephone Address Date Engineer's Seal This department has received written confirmation from the engineer regarding the Conditional Approval of March 7, 1986. The corrections have been accomplished and an inspection has been completed by the e~gineer. The subject property meets with Municipal standards and is now approved. DHEP APPROVAL for four (4) bedrooms Approved Approved XTE(~X Disapproved Terms of Conditional Approval ' '~/,~ ~"-~'--"-~ Date Conditional June 16, 1986 CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers ol homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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 (11/84) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH C~RTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4721) GENERAL INFORMATION (a) Application Date LegalDescription(includelot, block, subdivision, section, township, range) Lot 24, Bk ~ Mount. Park ~states #2 ~ Sec. 26~ T12N, RSW. $.H. Location(addressordirections) 7200 South Park (b) Applicant NameNark ~elkdz' Telephone: Home .3~5-5930 Business 265-8016 Applicant Address 7200 South Park Drive ~ Anchorage, AX 995].6 (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain); ~. (d) Lending Institution ^la~ka State Bank Telephone 277-~661 Address _~,'10 ~. Northern Lights Blvd. ~ Anchora. ge~ AK 99503 (e) Real Estate Company and Agent N/AX Address Telephone (f) Mailthe HAAtothefollowingaddress: Hold for pickup TYPE OF RESIDENCE Single-Family;[~] Multi-Family [] Number of Bedrooms Four Other WATER SUPPLY Individual Well IX'I 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 [] 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 (11/84) EN(~'INEERING 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 s. afe, 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. Alaska Soil Testing and Engineering 561-7h5~ Name of Firm Telephone Address 6100 A Street, Anchorage, AK 99502 Date 2-27-86 ST85-260; CE 57~4 DHEP APPROVAL Approved for '~""~,~. bedrooms by App~ed Disapp~,~ed Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data befo.re 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 WELL DATA Well Classification Well Log Present (Y/N) Total Depth Static Water Level /MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) ,MUNICIPALITY OF ANCHOP. A~E DEPT. OF HEALTH &CHECKLIST - FEBRUARY 1984 JENVIRONMENTAL PROTECTION, 264-4720 Lot 24~ Bk 3, Mntn. Pk. Est. #2; Le g~al Desc..rj. ptio~n: 2 1986 eo. ,-o, S.M. RECEIVED Ii A, B, G, D.E.G. Approved (Y/N) ¥ Date Completed 4-?-81 Yield 1.5 gDm(Ref. Comm. 1) 61 ft Cased to 54 £t, Casing Height. Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot :].11 ft To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line 100+ ft lO0+ ft., Cleanout/Manhole ~ 2 1/2 ft. Depth of Grouting N/A. Pump Set At 155 ft 'Sanitary Seal on Casing (Y/N) ¥ Depression Around Wellhead (Y/N) Water Sample Collected by Water Sample Test Results Comments ; On Adjoining Lots 105+ ft 109 ft ;On Adjoining Lots 85 ft (Ref Corem 2) . To Nearest Public Sewer 36+ ft To Nearest Sewer Service Li'ne on Lot Mark Holum, P.E. 2-14-86 ; Date S~t~ ~faetory 1) Well yield confirmed at 600 gal/day per four hour drawdown test 2/11/86. 'B) Refer to attached separation distance, waiver request. B. SEPTIC/HOLDING TANK DATA Date Installed 4-3-81 Standpipes (Y~N) Y Air-tight Caps (Y/N) Depression over Tank (Y/N) N' Pumping/Maintenance Contract on File (Y/N) N/A, Holding Tank High-Water Alarm (Y/N) N/A~ Separation Distances from Septic/Holding Tank: 105+ ft To Water-Supply Well 20+ ft. To Property Line 14+ £t To Water Main/Service Line Size 1250 gal No. of Compartments 2 Y Foundation Cleanout (Y/N) Date Last Pumped 9-5-85 ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field 12 ft 10 ft. Course ' 100+ ft To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84! ABSORPTION FIELD DATA 2 Soils Rating in Absorption Strata 1.,50 ft / bdrm Date Installed 4-3-81 Width of Field 3 £t 620 ft2 Square Feet of Absorption Area Depression over Field (Y/N) (¥/) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well 10,5 ft. To Building Foundation 2.5 :['t Lot To Water Main/Service Line 2~+ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Trench Type of System Design 62 ft, Length of Field Depth of Field 9 £i; Gravel Bed Thickness .% £t Standpipes Present (Y/N) Y Date of Last Adequacy Test 2/10-12/86 ~;atisfactor,y ( J~xoeeds 600 gal~da,y) To Properly Line 20+ £t To Existing or Abandoned System on ; On Adjoining Lots ].OO+ £t To Cutbank (if present) ]_00+ £t 100+ ft 25 £t Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify thatJ have checked., verified, or conformed to all MOA and HAA guidelinesin effect on the date of this inspection. Signed //~, .,.~~ Date Company Ak Soil Testing & EngrMoA No. 5T8.5-260; CE Receipt No. ~ --] ~--] Date of Payment '~),.-D~-- Amount: $ ~o ~-.~, Page 2 of 2 72-026 (11/84) Municipalityof Anchorage P.O. BOX 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES March 10, 1986 Mark Holum, P.E. Alaska Soil Testing.and Engineering 6100 A Street '~ Anchorage, Alaska 99502 Subject: Lot 24 Bl~ck 3 Mountain Park Estates Subdivision #2 Waiver REquest, WR86-028 Dear Mr. Holum: Your request for a waiver of the 100 foot separation distance required between the well on the subject lot and the seepage pit on Lot 1 Block 3 Mountain Park Estates Subdivision #2 has been granted. The separation distance as required by 18 AAC 72.021 has been waived.to 85 feet in this case. This waiver is valid for a four bedroom single family dwelling only. Sincerely, Stephen S. Morris Civil Engineer. On-site Services SSM/ljw ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 RdmquocW Test Job Address tocmtion: Lot 2R, Bk 3, Mountoin Pork TWpe: Septic tonk ond Tmench .-=-- ...... ~qdELcms~_: 7POO Southpock Dc. INk ,CE 020277, R AND DRAIN "~ ~ ~ CLEANING SERVICE P.O. BOX 4-2841 PHONE 345-2513 ANCHORAGE, ALASKA 99509 ROTOR ROOTER SERVICE CALL HRS. STEAM THAWING HRS. TRIP CHARGE HRS. OVERTIME CHARGE HRS. ADDITIONAL LABOR CHARGE PUMPING SERVICE PLUMBING REPAIR CHARGE MATER T~R ~- ~_ STOMER ORDER# HRS. HRS TOTAL BLADES USED_ LINE CLEANED [] JOB NOT GUARANTEE[~FOR FOLLOWING REASON WORK ACCEPTED BY [stores ~8 Depth Below Level in Smptic Tonk [Inches] isting tmench e fac the four ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 Municipolitw of Anchomoge Oepoctment of ~eolth ond Envimonmentol Pcotection Bivision of Envimonmentol Heolth Application rom Woivem of Seporotion Oistomce, Lot 84, Bk B, Mountoin ?ork Estotes ~B. 8entlemen: This letter, with the ottoohed supporting documents~ constitutes o request ~or o woiver of the minimum homizontol seporotion distonce between on existing well on ~ot ~4, Bk Mountoin Pork Estotes ~8 Subdivison omd the seepoge pit on Cot 1, Bk ~ of the subject subdivision. The woivec request pertoims to the seporotion distonce of BS feet between the mell on Lot 84 ond the se~epoge pit on Lot 1. In occordonoe with the ADEC memorondum o~ Jonuorw ~, 1BBS, which pertoins to seporotion distonce woiver guidelines, severol documents omc ottoched which mow cid in WOUr evotuotion of the woiver request. These documents include o well log with o revised cosing depth, o woter quolitw repor~ o soil log, ond o septic sWetem inetmllotion inspection report for Lot 84. Municipol ~iles olso oontoin the inspection report ~or the septic sgstem on Lot 1. The report on Lot 1 provides informotion concerning the subsurfooe dimensions of the seepoge pit. ~he woter level in the well wos 54 feet below grode on ?ebruorW 11, 1888. The ground sumfocm ct the mstl loootion is opproximotelw 4 feet lowem thon the sur~oce ct the seepoge pit locotion. ?leose coil if I mow provide odditionol ossistonce in gout considerotion o~ the ~oiver request. Respectfullw submitted, ALASK~ SOIL ]JESTING AND ENGINEERING Mork Holum, ~.E. .- DATe RECEIVED -~ INSPECTION APPOINTMENTS , T~ME TIME TIME - DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR0 MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEL0hT~NMENTAL P~OTECTION 825 L Street - Anchorage, Alaska 99501 (~) ENVIRONMENTAL SANITATION DJVJSlONTelephone 264-4720 JUL 1981 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEI~/~'R~I~IJ~IJ~/S DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER J PHONE MAILING ADDRESS ,,~ PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAI LING ADDRESS 3. LENDING INSTITUTION J PHONE MAILING ADDRESS 4. REALTOR/AGENT J PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One ~ Four [] Other ~'~ SINGLE FAMILY [] Two [] Five [~] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. Awell Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY YEAR ON~SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE~v~ST ~CCOMPANY EACH REQU SF-~EFORE PROCESSING CAN BE INITIATED. 72-O10 (Rev. 6/79) ,~ ,,~.~ ! ,~ l/- THIS SIDE FOR OFFICIAL USE ONLY 1, 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 [] INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified . INSTALLER []Septic Tank or F-I Holding Tank Size: I ~_~1~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 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 ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev. 6/79)