The URL can be used to link to this page

Home My WebLink AboutPRATOR BLK 9 LT 3Prator Block 9 Lot 3 #017-091-34 SUBMITTAJ JUL 0 92013 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page ( of ON-SITE WASTEWATER INSPECTION REPORT P q— Permit Number: 09 13 ( ( (o 6P PID Number: C-9(7"Oa ( —3y Dwelling: KSingle Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New KUpgrade Name: 01(11—ABSORPTION FIELD [�-Deep Trench ❑Shallow Trench E] Bed E] Mound Address ❑ Other Phone Number of Bedrooms Soil Rating J Total depth from original grade �• D GPD/SF It. � Ft. LEGAL DESCRIPTION Depth to pipe invert from originalgrade S_. C)Ft. Gravel depth beneath pipe (" Ft. Subdivisi�Q)n 1 Block Lot f %` t. ~n `' 1.3 Fill added above original grade 0-(P Ft. Gravel length % 0 Ft. Township Range Section Gravel width 2.0 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 7 S(o Fe Ft. Well ! 00r� iV t'4- 1,/A / I 54 TANK &Septic ❑ S.T.E.P. ❑ Holding ❑ Other Capacity Manufacturg II Surface Water /()D/r r (Vilf.F a J'''^r'h -'^&L-- 1 2 S 0 Gal. Material Number of compartments Lot Line Zo NA Foundation LIFT STATION Manufacturer Capacity Gal. Curtain Drain t./ g JE Remarks � �.yr� �-<Pe.nnttStynr Pump on level at Pump oft leve High water alarm at C7iul in. in. Pump make octet ��AAA Electrical Inspections performed by Installer Tank to PIPE MATERIAL Housetotank 70 q dranfield 3U3y r /{ n 1JI/In-C %4( 4Y. 9LeV46N {'r Drainfleld j031-4 CO/MT 303 Inspector lam! C 4110 BENCHMARK (Assumed elevation) / 0 P It Inspection 1" rri / �{' 6-0 dates: % / ^ i �f - Location and description 3'" COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL _�G p�XkW h•' 91r Conditional Approval: Date e * • 49 H • Irl �.. ............... �...................... , III V�•• MICHAEL N. ANDERSON "t 10 r , . CE -9 9 `.' Approved [/V Date 7 1 ,i` RpfESSIOH��— inspection Report 9- i- i z.aoc Permit No. OSP131166 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 3, BLK 9, PRATOR S/D PID No.: 017-091-34 �ENCH, DECK I VALVE CO3 o a 012 04 TC02 TO 1 MT2� i COW I I 11 I � 11 }SMT / bJ C05 \ ASBUILT MARK A B cot 22 51 CO2 22 51 TC01 26 51 TCO2 26 52 CO3 27 52 C04 50 43 C65--- 75 90 MT 56 ' 65 MT2 75 `,90 C06 56 65 uii� iIL1W fABPoC 0.5 IXiG i t} : 49 TH IUIU SP : 1.258 GALLPoN STEEL TANK Bq] 3.0 i ers cPo 00�;MICHAEL .N. �1��No. 90.] o. -18, 80H. ELEV. 78 .7 28 On -Site Wastewater Disposal System Permit Permit Number: OSP131166 Tax Code Number: 01709134000 Work Type: Septic Permit Effective Dates: July 01, 2013 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 to July 01, 2014 Design Engineer: ANDERSON CONSTRUCTION & ENG'G Subdivision: PRATOR Site Legal Address: PRATOR BLK 9 LT 3 G:3039 Owner/Address: GOODWIN MICHAEL L & REZABECK CATHERINE A 14500 FERNHILL CIR ANCHORAGE AK 995164411 Site Mailing Address: 14500 FERNHILL CIR, Anchorage This permit is for the construction of: Y Disposal Field y* Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 48841 Total Bedrooms: 4 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: The location of an abandoned crib is unknown. If, during construction, the crib is located, construction of the system will stop and a design change is to be submitted for On -Site review and approval. Received Bv: 1�A r MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. Property owner(s) Mr G,9uct utf,n Day phone Mailing address 144 S a O Erre Site address Legal description (Sub'd., Block & Lot) u v (3 Ct L 3 Legal description (Township, Range & Section) Lot Size 4i �41-f ( Sq. Ft. Number of Bedrooms_ APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank Upgrade I.T91 Holding Tank ❑ Duplex (D) Renewal ❑ ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / 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 authudi Permit/Rush Fees: 53 ArIN U Waiver Fees: Date of Payment: to 2S 7 3 Date of Payment: Receipt Number: 1 �y"'iC) Receipt Number: Permit No. M(2 131) b- Waiver No. Permit App_.; : �..:c Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 June 25, 2013 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Prator S/D, Blk 9, Lot 3 To Whom it may concern: This is a request for a septic permit on the above referenced lot because the existing system has failed. A test hole was excavated to 18 feet revealing sandy gravel in the top 3 to 4 feet then silty gravel for the remaining depth. The perc rate was 12 minutes per inch with no water observed during excavation or after the 7 day waiting period. A simple deep trench has been designed for the replacement field to match the old system. The current 3 bedroom system is located in the 30 foot Right -of -Way but the new system will be constructed outside of this easement. The owner has requested a 4 bedroom which is an upgrade and the secondary system can be installed parallel to the easement. The owner is requesting that the old system also be upgraded to a 4 bedroom system by extending it 15 feet but its in the easement, please advise. The lot slopes gently to the west at about 3 to 4 percent with no cut banks or slopes greater than 25 percent within 200 feet of the site. The contours on the site plan are two foot typical. This new system will not impact any of the neighboring properties due to the large lot sizes and good soils. Please call me if you have any questions. Sincerely Michael N. Anderson, P.E. T C �17 G/S `.6. tLgln l3 Td SU8DN1� RIDGE �{ � {l i � �; A �5 � SPRING POND 55 5 --------- AREA v1 r 5' r r EXISTING 1000 GALLON TANK TO BE REPLAC W/ ` I �_— 3-4x / 150 GALL . ; ^Q, +o4#{r J EXISTING HOUSE i — — - ALVE / G FC WeLL iii i bRN,v�' fill TMy, 1 1R CONTOURS j IMT 53-4X - .l 30.0' \5 �_ I ---ROW EASEMENTL_.___._ \ f/ i I I _ / I I I ! Septic Design Prepared for MICHAEL & REZABECK GOODWIN PRATOR BLOCK 9, LOT 3 Anchorage, Alaska Michael N. Anderson, P- E- DATE: 4661 NATRONA DRIVE DRAWN: ANCHORAGE, ALASKA 99516 345-3377 / FAX: 345-1391 SCALE: PROPERTY 6/20/2013 DJR 1"=50' 41 ate;:- � -••..�' 49 !H- MICHAEL H MICHAEL N. No. GE DESIGN CRITERIA: #1) 4 BDRM X 150 = 600 GPD ,f2 ORG SOILS = 600/0.8 = 750 GPD 750 GA/14 = 54' SP 3.0 (1) TRENCH 11.0' DEEP 7.0' EFFECTIVE GM 2.0' WIDE 54' LONG 18.0 Z_ ( SEPTIC I I ASPEN RIDE I I I I_ /PROPEMYINE / EXISTING HOUSE _ / t I � }. `` \ PROPOSED DRAINAGE FIELD i l i PRATOR.BtbCK 9 �J SEPTIC II II / I � \ ! 1 / 1 I I I � I I f ! OVER ROCK I SPRING RUN-OFF POND, STANDING MLY WAATER N EARLY -------- ------ j I 1 I z —I U J _ F E R N H I L L _A V E -_ x z xl w w I Septic Design Prepared for MICHAEL & REZABECK GOODWIN PRATOR BLOCK 9, LOT 3 Anchorage, Alaska Michael N. Anderson, P.E. DATE: 4661 NATRONA DRIVE DRAWN: ANCHORAGE, ALASKA 99516 345-3377 / FAX: 345-1391 SCALE: 49 612012013�j ;MICHAEL N. 1.!o.•.. No. CE DJR 1"=100' I 0 II II OVER ROCK I SPRING RUN-OFF POND, STANDING MLY WAATER N EARLY -------- ------ j I 1 I z —I U J _ F E R N H I L L _A V E -_ x z xl w w I Septic Design Prepared for MICHAEL & REZABECK GOODWIN PRATOR BLOCK 9, LOT 3 Anchorage, Alaska Michael N. Anderson, P.E. DATE: 4661 NATRONA DRIVE DRAWN: ANCHORAGE, ALASKA 99516 345-3377 / FAX: 345-1391 SCALE: 49 612012013�j ;MICHAEL N. 1.!o.•.. No. CE DJR 1"=100' I 0 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 OF AC``q y.�• fd(NNEE • �gl *.-'40TH Solis Log - Percolation Test I ' Performed For: Kn G 400 d W ,., Date Performed: Legal Description: P/N LW (3 4 L 7 Township, Range, Section: 1C 11 12 13 14 15 16 17 18 19 l `(Z Od•�omG S s P/ W( � ( 4urnc 6toW-_((lQu4 WAS GROUND WATER ENCOUNTERED?� Date Gross Time S IF YES, AT WHAT DEPTH? L Depth to Water After Monitoring? O P dHt/ E Date: ................... MICHAEL N. ANDERSON .'cc CE -9469 Site Plan ot'V40afe, LFI,tc Reading Date Gross Time Net Time Depth to Water Net Drop fv tt It L PERCOLATION RATE '2-- (minutesfinch)�,11 PERC HOLE DIAMETER Ce TEST RUNBETWEEN_ FT AND �FT COMMENTS �-E-Yt' rK � Sd1, ! 4+ W G( ` PERFORMED BY: P'fIll -eA I CERTIFY THAT THIS TESTPVAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Q1110! MUNICIPALITY Community Development Department ;-' Right of Way Section Development Services Division Phone: 907-343-8240 Fax: 907-343-8250 Mayor Dan Sullivan November 4, 2013 Michael Goodwin & Catherine Rezabeck 14500 Fernhill Circle Anchorage, AK 99516-4411 RE: Encroachment: Septic System in Right of Way Reserve Easement Prator Subdivision, Block 9, Lot 3, Grid SW3039, 14500 Fernhill Circle, Anchorage, AIaska The Right of Way Division has reviewed a request for a letter of non -objection to an existing and proposed extension of the septic system, which encroaches 10 feet into the 30 foot Right of Way Reserve Easement. On the as -built survey dated June 20, 2013, submitted with the request, the petitioner has shown the existing and proposed extension of the septic system. This letter of non -objection is issued with stipulations, and by using it the petitioner is agreeing to the following Municipality of Anchorage (MOA) will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachments. 2. All applicable codes and regulations will be observed and maintained within the easement. 3. This letter of non -objection will in no way preclude MOA from full use and enjoyment of its rights within any portion of the easement. 4. Additional and extraordinary costs incurred during any future required construction, repair or reconstruction of MOA improvements to accommodate any or all of the encroachments shall be paid by the property owner. 5. Maintain letters of non -objection from the following utilities: ® Anchorage Water & Wastewater Utility ® Alaska Communications Systems ® Chugach Electric Association, Inc. ❑ Matanuska Telephone Association ❑ Matanuska Electric Association, Inc. ® Enstar Natural Gas Company ❑ Municipal Light & Power ® GCI Cable of Alaska ❑ Eyecom (Girdwood Cable TV) ❑ No letters required All letters of non -objection should be retained in your permanent files. If you have any questions, please call me at 343-8240. Sincerely, Aack L. Frosf, Jr. i Right of Way Supervisor Malilin�(�`Kddlt ss P Off: Box 19665Q An.`claora{`Je ,Alaska 95 9 65U *tw wmiani or�) .. ""mr�.. :..e .�.a a . r`.., n'�1,.:: � .�s.r�..d- .aXT— . ..w'k-^v"h --7'-. src»�s, P .-d:;.'V� su 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 C - LL PHONE a[�� ' EW ❑ UPGRADE MAILING ADDRESS a60is LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS 3 OY DISTANCE TO :� W II Absorption area /6/Lhxps�:A Dwe 'ng PERMIT NO. 83 �3a a Q w I.- Manufacturer Material, No, of compartments co Liq. capacity in gallons Z —CD IF HOMEMADE: Inside length Width Liquid depth O Y JCDZ DISTANCE TO: Well Dwelling PERMIT NO. 2 z Manufacturer Material Liquid capacity in gallons w= DISTANCE TO: Wp eO Fo dation cF Nearest lot line >/v/ PERMIT NO t' G 3t�� LL LU z Z w No. of lines Length of each line 5C� Total length of lines . �(� Trench width ', inches Distance between lines ^- F p Top of tile to finish grade t4 L Material beneath tile 96inches Total effective absorption area w C7 Length Width Depth PERMIT NO. < F a. Type of crib Crib diameter Crib depth Total effective absorption area LU DISTANCE TO: Well Building foundation Nearest lot line J J CIs Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER N PIPE MATERIALS CC,4sf I SOI L TEST RATI NG INSTALLER EWf .._ G, REMARKS O v L I� } o 0SE 32 SLv M4PK vW V n% APPROVED ,ST9,5- fnW DATE LEGAL L6'-r,3 72-013 (Rev. 3/78) /fp_ r .L:0 fiq Daae Drilled: 7-5-83 Static Mater Level 44 feet Draw Down n/a feet Type Material Drilled: WELL LOG n 0 feet to 55 feet Sand Cravel 55 feet to 75 feetClav Gravel 1 Gallons Per Minute 10 Total Feet of Casing85 75 feet to 85 feet "Red Sand Craves Water to to to Hefty Drilling S.R.A. Box 1553 H A nchorage,Alaska 99507 Thankvou. DEPARTMENT 0 HEALTH AND ENVIRONMENTAL P"OTEC:T I CSN 825 ' L STREET: ANCHORAGE, AK. _a' l 264-4720 PERMIT NO. ( 830329 APPLICANT ALAN EWELL 2808 IRIS #4 243-5926 LOCATION LEGAL ILOT _ BLK 9 PRATM R SUB LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM I S : TRENCH MAXIMUM NUMBER OF BEDROOMS — _ SOIL RATING (SQ FT/BR) = 232 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: THE LENGTH DIMENSION I S THE LENGTH (IN FEETj OF THE TRENCH f R DRA I NF I ELL: . THE DEPTH OF H 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 GR1=#',''EL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE P•d#_#MBER OF RESIDENCES THAT THE WELL WILL SERVE. BACKFILLING OF ANY SYSTEM WITHOUT FINAL I[' SPEC:TICEN AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. H I N I P'1#_#M DISTANCE BETWEEN A WELL AND ANY ON—SITE SEWAGE DISPOSAL SYSTEM I 100 FEET FOR A PRIVATE WELL � �R 150 TO 200 FEET FROM A PUBLIC: WELL DEPENDING #_#PCN THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY -EWER LINE IS 75 FEET. WELL L013S. 19RO REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ZO DAYS C �F THE WELL COMPLETION. OTHER REQUIREMENTS t'it=#Y APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAI' S ARE AVAILABLE Ti i INSURE PROPER INSTALLATION. I CERTIFY THAT 1: I AN t Ft=#MILItib: WITH THE REQUIREMENTS FOR ON—SITE SEWERS AND WELLS AS. SET FORTH BY THE MUNICIPALITY CIF ANCHORAGE. : I WILL INSTALL THE SYSTEM IN ACCORDANCE CE WITH THE CODES. i: I UNDERSTAND D THAT THE ON—SITE SEWER SYSTEM P'1AY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE CL..UDE MORE THAN `: BEDROOMS SIGNED: ------------------------------------- --- APPL I i_ - •dT ALAN EWELL ISSUED BY—_ � —._ --DATES _ � r� _ — V4.0 A.. 825 264-472a 17,N, 8303-29 :z IRLA14 EWELL 2808 IRIS 414U:�T SIZE FEET `fi �FSUIL ASSORPTICtfl t.Vi-TE 3S: TRENCH t UUKE.ER OF l liQUI ED SIZE OF THE SOIL k _-',6F*F-Tl0N _qY T - IS: i E� F T F;)m<2 f _�' i3��IEN�•IC1 t I-25 IsHt LENUTH ON FEET;? Cif THE T E EPI#i OF il 7RENC:H OR PIT 3S THE DISTRUfDE C TJ4 % POT10P, Of IM fXVf ffTlCf �Ift FEET,. ERE 15 NO t -T WIDTH FQ_R TF Nr fjE:F.. - �GRZA rEL DEPTR IS THE HINI�#oti DEA=TH OF r$F-AyE -'�# THE # T `E _TI 90TTOM OF 744EE-XC:AVRTl0N %07N FEET;<<. T FIFIF-LIC. IT HAS Tk Is e ] I I ` �r' TO If,;PW 1 TSI S tSfiRI# i;4'T ��,�, � THE LLPTIfik INSPE1�:IJON �E NV WELLS 33£��rCE T �C� 741 �I iE�� k�&, T#I I RESIDENC 714FIl THE RELL WILL SUe.? . i KLING OF ANY SYSTEM WITHOUT FINRL I SPECTION FIND APPROVAL BY THIS itq ty3�TANC€ BETWEEN A WELL RN13 ANY ON-SITE SEPIRGE DISPICrSFIL YSTEtq IS E -T FOR H FR I VRTE WELL OR V5,@ TO x£414 FEET FROM H PV&L J .-- WELL DEPENN O SHE T'R'EE OF PUBLIC IIE€..L. AlPII TANCE FROM R €`RJYPTE HELL TO & P�,JvriU SENER Llt4E IS k5 F EE -T At4LY �-CKVUN1 T4' SE14ER LINE 15 75 FEET® t"s FfFE REQUIRED iel~� MUST BE E7URN D TO 'IRE fEPARTMENT WITHIN 30 URY 't 14ELL COMPLETION. KRY APPLY. SPEC IF I C-FITIONS RND COU TRUC710N DIRGRA S ARE i&LE TO JNSSURE PROPER I NSTRUAT I ON. 'IFY IHFIT Fi FRt4lL ] HR CJI 7H THE REPUI REMENTS FOR &N-E.I TE BENE 5 ' THE i' UNI C I PAL 17 Y OF ANCHORAGE. TILL INSTHLL THE SYSTEM IN AC=CIsfRDA14CE WITH THE CODES. 14VERSTRUD THRT THE QN-51TE SENER VIRY FEQuIRE =SCE 15 REMODELED TO INCLUDE MORE TNRN 3 BEDFiOOM& ------------ fiFLICT AL RN EWELL Ile_ RW? NEL.L_S AS SET ENLfiPOEMENT IF THE SOILS. ' aIUNICIPALITY OF ANCHORAGE' r DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION 'I 825 L. Street, Anchorage, Alaska 99501 264-4720 TEST SOILS LOG — PERCOLATION TEST PERFORMED FOR:_ K I l7 Y'.,Q Y DATE PERFORMED: LEGAL DESCRIPTION: L.3 , C3 MATO it �l F P SLOPE SITE PLAN 1 co S .. 2- 3 5 6 7 8 9 + 10 11 �%�� WAS GROUND WATER S 4 - ENCOUNTERED? A10 L �- 12 P IF YES, AT WHAT E 13 DEPTH? L0 1 Q G ross • Reading Dare Net Depth to Net Time Time Water fi Drop I J T AA 17 Z .Z® t0 Z . 07." 3 Z• ` �' 07 18 019 d d6 20 D Yi . 04 PERCOLATION RATE " 3 ( vtgs/inch) TEST RUN BETWEENAND i - PERFORMED Bl':.C_4"AfoP r M V&N CERTIFIED BY-'� ,• �+C�f� }r r —� �`� `.DATE: 72-008 (6/79) y}�s1++ GARB -HD-1 GRr "TER ANCHORAGE AREA BORON 7H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING 33e, NAME ��-�f/✓lL� i�� /*J1'.� ADDRESS PHONE i LOCATIO LEGAL DESCRIPTION�vJ v S9 SEPTIC TANK: , DISTANCE FROM WELL Z�2,9NUMBER OF / MATERIAL COMPARTMENTSCOMPARTMENTS LIQUID CAPACITY GALLONS. INSIDE LENGTH INSIDE WIDTH SEEPAGE SYSTEM: SEEPAGE PIT: LIQUID DEPTH- NUMBER EPTH_ NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH LENGTH / ` DEPTH LINING MATERIAL C' DISTANCE FROM WELL / / BUILDING FOUNDATION S / l NEAREST LOT LINE `5' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE TOTAL LENGTHOF LINES NUMBER OF LINES DISTANCE BETWEE LINES TREN IDTH �'" `�IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LE GTH OF EAC E C DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE_ IN. ABOVE TILE WELL: ' DISTANCE FROM TYPE .�� DEPTH BUILDING FOUNDATION. SAMPLE -,NEAREST NEAREST SEPTIC / SEEPAGE OTHER LOT LINE SEWER LINE TANK�� SYSTEM �� ¢, CESSPOOL SOURCES DIAGRAM OF SYSTEM DISTANCES li�Gli��t s, cuu4/70m 171� "-I ?,a DATE cl.�� e ' O%��' APPROVED HEALTK AUTHORITY GAAB-11D-2 GREATETL' ANCHORAGE AREA )ROUGH HEALTH DEPARTMENT 4 327 Eagle St. Anchorage, Alaska 99541 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION 8 PERMIT NAME OF APPLICANT �( /) f�d�> MAILING ADDRESS IDENCE ADOR PS LOCA ION OF INSTALLATION LEGAL DESCRIPTION 17e Case No. & PHONE NO. APPLICATION TO INSTALL: SEPTIC TANK4&"., SEEPAGE PIT , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY__7 FINANCED THROUGH TO BE INSTALLED BY PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION- BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED SEPTIC TANK SIZE TYPE SEEPAGE AREA DIAGRAM OF SYSTEM DISTANCES: Health Authority TYPE I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE APPLICANTS SIGNATURE REATE'R ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT � LASH 3271 EAGLE STREET ANCHORAGE,, ALASKA 99501 Performed For ! a l i �� ! r Date Performed --a ' i� Legal Description: Lot Block__]. Subel',-isionprl This Form Reports a: S _!r s L,og� '�`ercolation on .,. Depth Feet Characteristics TSoil / I)e 1P7Crekj('s [,u; fh deprh. T/1,e ler fa GJ -e cleirl'e5 u,; f� 3 f ' fn /c ccs i!'ovi iS G k� to ih e e c,s / i'/ie s eel�a y e /ccs //011 f h e a�9c� C'Pi7li 7U lllcreese 5 6m NlD Was Ground 'slater Encountered?�o ZO If Yes, At What Depth� Location Sketch Proposed Installat— io Seepage Pit / Drain Field Depth Of Inlet !- `_ Deptt, To Eottom Of Pit Or Trench c._ COMMENTS: �"" h— 5��ri - – ..e Ger, �s r_P" _` i " �.<) - ./- ��--23 � .,%� _ _ �wlL7AfJ Test Performed B� : arm�- Data Certified By: Dat ` 19 - B/,:: 1c/C /D - 19 i RECEIVED DEQ 2 0 1993 IMun C;I;&I;i i of Anchorage�� Dela. Health Hurnan Services ( � r� '' � `•, T jj Fred Wala6a c •% I `- �.: NO. 3255-S A- � ASEMENTS OF RECORD, OTHER THAN HOSE SHOWN ON THE RECORDED LAT ARE NOT SHOWN HEREON. AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortagee-s in- spection of the following described property - Anchorage Recording Precinct, Alaska, and that the improve- ments situated thereon are within the property lines and do not overlap or encroach on the property Iying adjacent there- to, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska r� - - this ` day of — ' 19 FRED ZVALATK-k & ASSOCIATES Engineers and Surveyors I ®I 0 "c w �., m � ani o ct� M c>J CD SAO Q co i NCP 118 EAST INTERNATIONAL AIRPORT RD. ANCHORAGE • ALASKA • 99502 (907) 562-2283 �C�j OF N. ClaiMme Parker, Jt - o -,,, - 3441-A / N. CLAIBORNE PORTER. JR. AIA • AICP • CSI OF N. ClaiMme Parker, Jt - o -,,, - 3441-A / N. CLAIBORNE PORTER. JR. AIA • AICP • CSI • rroperty Owner Time Phone Mailing Address Zip Code Time + _�_ Buyer �. (LI' IG 4 _E."L !tJ F'C_f ( 1 % Address �; - i_( r-',. �E "� �:' .7 3 I n -(i ; Zip Code Lending Institution_ �,-` ;- �� ,� •, r - Phone Address Zip Code Inspector Realty Co. .& Agent Phone - Address - Zip Code- Legal Description i._ �.� l r• i� \ t �_t r e rll -h'� •� (�{ 1.. • r k Street Location Type of Residence Single Family edrooms ❑ Multiple Family No. of Bedrooms— [] ❑ Other `t L --- 2- Water Supply Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. Community For wells drilled prior to that date, gibe well depth (attach log if available). ❑ Public Utility - 'CONDITIONS OF APPROVA Se er Disposal - -_ Individual Year Individual Installed: Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. "� Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes:,�.�„,i/ `t L --- 2- 3 ( >09PPROVED BEDROOMS ( ) DISAPPROVED r' 'CONDITIONS OF APPROVA ( ) CONDITIONAL pAAPPROOVVAL' ' 1 L7 `e � - DATE 7 Soils Ra ting Date Sewer Installed Well To Absorption Area ! 69� 1-t Well Log Received Septic Tank Size �- lv •- - ��i Well to Tank 72023 (3132) W 0 LL (4 V � LL 0 U Z LL we J Q/ �o I..V U U) Q Z o� U V)lNn � L c � E 0- o > C/) a) c 00 0 Q Q N U) T C: 0 4- 0 N N U N 10, L" N O N 0 co LO m c 0 ca .Q x w O O O i co r ACD 1 _ CD m U N a_ co N 0) m L- 0 U co j rn U J J m = 0 0� O O LOC 0 Q N U U aa) rn a) J UJ i W W Q U Y W m N W 06 J J W 2 >Z_ 0 0 a) c 0 () 0- 0 a c 7 U c 0 Q c N orn o c o o a) .c L � C a 0 0 > 0 a) Q � Q 0 a� cu cn L o o cn U) CU 0_ a u� c � o O � � U m E O A M m X 0 U) U LL 0 O c Q U o (1) 0) Q /^ Q Z ,V(J ^` Q -lZ W W 0 E U Q I— O 2 U H F - Q O`` 00 O O � Y � }i a _n. O 3 L Q: p (DQ% O -O � 0 V Q U) 0 U d O L O C •� ai d O N d ° c a •C N _L '_ Ep v 00 .(on m t Q Cl) +� C a) OL N O O U_ 3 0 E CL' ,, 7, N •E fCV O fC d p a) O O L 0. C Q U) Q N E O V d V C — C L N A O O N N U) co CL O ai A -0 o U) O 0 a) Q. U) a) L O U) U N E O U) U) ns o t v Q N O L L co Lo t v Q X 0 U) U LL 0 O c Q U o (1) 0) Q /^ Q Z ,V(J ^` Q -lZ W W 0 E U Q I— O 2 U H F - Q 0 0 (A O7 W 0cL O LL C) /n LL Q O 2 U Z U.y o Q c U O O U �L _ Q� a)U) U Cb co L E Q O 00 z O� Q c? �r O 1o1, r` Z O Z J Q � LU Z U LLI TMI C'7 J U Y J J m z O w Q LL O O L(7 o � N U U) N N m -O a) N c a 0 O U U O t Q co w —119 r1 `YJ A 69 a) LL a) cu G 0 lI A•+I W O E LL a O O m 0 U 0 U U n C L N O 7 a) d O Cl) N N () O a) A CV Q -E L (o V L 0 N 75 3 U 0U) N ❑-"= N U c O a) > V c O cu ❑ a) U) rn d O U U) N _ ❑ ❑ c O Y IL U m > + (7 Q Q) c ❑cn 2 �_ a) 0) O a) 0N O cu a a) CD Q N (D O a) c O U N a c c i > LU _2 0 El U CL m N U) (n J ❑ N ❑ O Q O > j U Ocu N a O U)a) r ❑ ¢ ❑ c LV J w N a d w F- N O N ❑ N t r Q ami � N Cn U) cu 0 d �, 2 w w N a) W N ua LU a) VJ F- Lo-: ate) L s L N r VI Y Z o _ U �/� < O W we N Q c \I- M ui LL LL a. H O O U O I— H W Q m Q > M m U) N M L6co W m � 69 a) LL a) cu G 0 lI A•+I W O E LL a O O m 0 U 0 U COSA Checklist Legal Description: PRATOR BLK 9 LT 3 Parcel ID: 017-091-34 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA X Well log is filed with Onsite (or attached) Date drilled 7/5/83 Total depth 85 ft Cased to 85 ft ❑ Sanitary seal is functioning correctly ❑� Wires are properly protected Casing height (above ground) * 0 in. Date of flow test for COSA 5/22/24 Well production at time of test 4+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes H No X Coliform bacteria is Negative Nitrate 0.566 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L fi❑ Arsenic less than MRL (ND) Collected by Static water level at beginning of test 45 ft. Date 5/22/24 Comments ; WELL IN DRIVEWAY W/ COVER AND SUMP DRAIN PIPE B. TANK DATA Measured operating fluid level in septic tank 48 Date of pumping 5/8/24 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 7/1/13 0 ALL standpipes present per record drawing Total measured depth from grade 11.3 ft (max) Measured depth to pipe invert from grade 6.3 ft (min) ❑ N/A —pressurized field. ❑ Per record drawings, field is insulated. ❑� Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: ` NEWER SYSTEM TESTED COSA Checklist June 2022 MNA C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 6/2/24 Results Q Pass Fluid depth prior to test 24 in Water added 600+ gal New fluid depth 47 in Elapsed time 1440 min Final fluid depth 24 in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 75 in Effective depth used 24 in Effective depth remaining 51 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Fi Yes if No _ it Neighboring Tank > 100' g Yes if No _ ft Absorption Field on Lot > 100' E Yes if No ft Community Sewer Manhole/Cleanout > 100' Yes if No _ ft Private Sewer/Septic Line > 25' Q Yes if No _ ft Holding Tank > 100' 9 Yes if No _ ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑E Yes if No _ ft Q Yes if No _ ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑s Yes if No _ ft []i Yes if No _ ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑E Yes if No _ ft Surface Water > 100' 9 Yes if No _ ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' 0 Yes if No ft ❑� Yes if No _ ft ❑� Yes if No _ ft ❑� Yes if No _ ft Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' El Yes if No _ ft Q Yes if No _ ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS OLD SEPTIC TANK WAS PUMPED AND FILL DURING INSTALLATION OF NEW SYSTEM G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm h /I, �, c Q 16 , Phone 6/26/24 Engineer's Printed Name COSA Checklist June 2022 Date 2 �........... .Lt......... > MICHAEL ANDLRSCN :4 I0 CE 9 69. �N., V OF.A CO 49 R `9 h'Ae�— s SHANE A. HOLT �� G LS -6914 ,\,°fessiona� �-Qo THESURVEYDATA AND MEASUREMENTS HEREONAREPREPARED FOR THE OWNER OFRECORD AS OF THEDATE OF THIS SURVEY. ANY USEOF THIS DRAWING BY THIRD PARTIES IS PROHIBITED UNLESS WRITTEN PERMISSION IS PROV/DED. THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOD/ ANY CONFLICTS BETNEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO SE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOUN HEREON ( UNLESS INDICA TED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAYING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHONN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNON AND/OR ICE. AS-BUILTSURVEY 1" =30' NO CORNERS SET THIS DATE /HEREBY CERTIFY THA T / HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY L 0 T 3 BLOCK 9 PRA TOR SUB. A NCHORA GE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLEIMPROVEMENIS SITUATED THEREON ARE WITHIN THE PROPERTYLINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATEDATANCHORAGE,ALASKA THIS 31ST DAYOF MA Y 2024 iAllIT-WA "A HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 223-8615