HomeMy WebLinkAboutPREUSS #3 BLK 5 LT 3Onsite File
Preuss #3
Block 5
Lot 3
#050-571-36
A to-scale as-built survey shall be
submitted with any future field upgrade
permit or COSA (4/1/2021)
I
I
25' R/W--{
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0
0
N
3
o'.
0
o
z
1.9' ' FROM
BNDY
I
4.6' FROM
BNDY 3s,,
L25' R/W--
I I
LOT 2
22,890 SQ.FT.
m.qQ• ,o'F l can 75%'
N89'59'E 190.75
LOT 7
22,890 SQ.FT.
— — — — — -----_
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w h,0wn this rep rt' daIII
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LEGEND
LOT BOUNDARY
— — — -- ADJACENT LOT BOUNDARY
R/W CENTERLINE
-------- EASEMENT
------- EDGE PAVEMENT
= ZI CONCRETE
----------------- GRAVEL EDGE
ROCK WALL
--0 CHAINLINK FENCE
❑ WOODEN FENCE
BUILDING
-------- DECK
QCO
SANITARY SEWER CLEANOUT
®
SANITARY SEWER STAND PIPE
,.FMB
MAILBOX
14
TELEPHONE PEDESTAL
L
UTILITY POLE W/ TRANSFORMER
DRAINAGE
�a
WELL PIPE,
__.
NOTES
i p
1.
RECORD DATA SHOWN HEREON IS PER PLAT 71-91,
PRUESS SUBDIVISION NO. 3, ANCHORAGE RECORDING
LOT 8
DISTRICT.
22,890 SQ.FT.
2.
DIMENSIONS FROM THE BUILDING TO THE BOUNDARY
SHOWN HEREON ARE MEASURED FROM THE FOOTPRINT OF
THE MAIN STRUCTURE.
3.
THIS SURVEY WAS CONDUCTED WITHOUT THE BENEFIT OF A
TITLE REPORT. ADDITIONAL EASEMENTS MAY EXIST THAT
ARE NOT SHOWN HEREON.
4.
IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE
THE EXISTENCE OF EASEMENTS, COVENANTS, OR
RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED
SUBDIVISION. THIS AS —BUILT SURVEY SHOULD NOT BE
USED FOR CONSTRUCTION.
— — — —
5.
THIS SURVEY IS IN ACCORDANCE WITH ASPLS MORTGAGE
SURVEY STANDARDS.
6.
THIS SURVEY IS NOT A BOUNDARY SURVEY AND IS
LOT 9
SUBJECT TO ANY INACCURACIES A BOUNDARY SURVEY MAY
DISCLOSE.
22,890 SQ.FT.
SURVEYOR CERTIFICATE: AS -BUILT
I HEREBY CERTIFY THAT I HAVE PERFORMED AN AS —BUILT
SURVEY ON THE PROPERTY SHOWN HEREON AND THE
IMPROVEMENTS EXIST AS SHOWN. FIELD SURVEY:10/28/24
7 �Dmck 10/29/2024
TAYLOR L. DOSCH, PLS 189892
OWNER, BLUE ARROW SURVEYS, LLC
00-1- ' t
of !4Lgst>11
AW_ 1
/g.• .9 I
j *: 49 TH ..:*
.... ...'..........
Taylor L. Dosch
F• 11 o 29/24. 0'
�tk ,'OFESSIONkoy -
Q:9 L2) KJO U H U bH31 L
Municipality of Anchorage MAN 2 2 2021
On -Site Water and Wastewater Section • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: SW050015 PID Number: 050-571-36
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade
Name
PATRICIA MONTAGUE-BAILEY
ABSORPTION FIELD - EXISTING
❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
10209 GEORGE PLACE, EAGLE RIVER
❑ Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
3
GPD/SF
JTotal
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
Fill added above original grade
Ft.
Gravel length
Ft.
PREUSS #3 5 3
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ft2
Ft.
Well
100'+
--
25'+
TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
ANCHORAGE TANK
Capacity
1000 Gal.
Surface Water
100'+
--
Material
STEEL
Number of compartments
2
Lot Line
5'+
--
NA
Foundation
10'+
__
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks DOCUMENTATION PER ATTACHED LETTER
Alarm location
Electrical installed by
PIPE MATERIAL House to tank 3034 drainfield Tank to
3034
Installer ,1RS
Drainfield CO/MT 3034
Inspector ERES -1st Inspection FWC — 2"d Inspection
BENCH MARK (Assumed elevation) 100 ft
Inspection V1 2005 2/9/2021
Location and description
2nd
ection
3`d 4`h
CEMENT LANDING
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Conditional Approval: Date
Ads,,�Q.� • " ' • :�,f��
.. - ........
.'
r " Curtis Huffman
�.. .:�
��
Septic
A
PP ro edstem
Date 31 A��Z�
F •. CE 128991 • `�
�s1F�•.3/2o/2t .•�v�i
kl, OPROFESSO
Note: this approval does not include well permit requirements.
(Kev ub/uuiss)
PID: 050-571-36
PERMIT: SW050015
DOCUMENTATION OF PREVIOUSLY INSTALLED SEPTIC TANK
A -C=35.4'
B -C=72.0'
A -D=43,1'
B -D=75.6'
A -E=46,3'
B -E=77,6'
N89 59'00"W 190.75'
SEPTIC SECTION
SCALEi NTS
PREUSS #3 BLOCK 5, LT 3
PREPARED FOR:
PATRICIA MONTAGUE-BAILEY
10209 GEORGE PLACE
EAGLE RIVER, AK 99577
FIRST WATER CONSULTING
13030 SUES WAY
ANCHORAGE, AK 99516
907-350-9566 firstwaterAK@gmoil.com
�urrvK I StKVILtJ:
� ' —
TH* 17,* -1 e
, ,
DATE: 3/20/2021 rtis Huffman.
SURVEY: DMS CE 128991 '
DRAWN: FWCS 3/20/21 ti�'��
SCALE: 1" = 30,FEsslo��'
N89 59'00"W
DMS ASB DOES NOT
SHOW THIS PIPE
I—X—X—X—X—X—X—X
CORRECTLY (SEE PHOTOS)
x
EXISTING
\ 100' WELL RADIUS
I
TRENCH
PER DMS ASB
x
e
A
28.2'
O
DIV D C
I
O
0
El
O
EXISTING DCO CO CO
N
N
CRIB •
28.2'
I
.-
W
U
T
v
J
�
I
1000 -GAL STEEL TANK
BM W
w
INSTALLED IN 2005. IR
(n
BASED ON VISUALI
O
W
OBSERVATIONS, PER MOA
O
O
0RECORD
DOCS,
w _
=
00
�
DISCUSSION W/ JRS &
I
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O
p
DIGITIZED DMS ASB.
X Qr�
o
O
0cc)
W m
O
Z
I
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z
v
0
O
GRAVEL
Z
D
x
28.2'
B .
12.0'
w
GREENOUSE
H 4
x
[X -X
-X -X
-X -X -X -X
A -C=35.4'
B -C=72.0'
A -D=43,1'
B -D=75.6'
A -E=46,3'
B -E=77,6'
N89 59'00"W 190.75'
SEPTIC SECTION
SCALEi NTS
PREUSS #3 BLOCK 5, LT 3
PREPARED FOR:
PATRICIA MONTAGUE-BAILEY
10209 GEORGE PLACE
EAGLE RIVER, AK 99577
FIRST WATER CONSULTING
13030 SUES WAY
ANCHORAGE, AK 99516
907-350-9566 firstwaterAK@gmoil.com
�urrvK I StKVILtJ:
� ' —
TH* 17,* -1 e
, ,
DATE: 3/20/2021 rtis Huffman.
SURVEY: DMS CE 128991 '
DRAWN: FWCS 3/20/21 ti�'��
SCALE: 1" = 30,FEsslo��'
0
FIrst Water
C 0 N S U L T I N G
aC2 PPi 9a � ,�:. s>Ea N NG
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
March 20, 2021
Municipalities of Anchorage
On -Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC TANK DOCUMENTATION — PERMIT #SW050015
LEGAL: PREUSS #3 BLOCK 5, LOT 3
The owner has requested that we document the septic tank installed in 2005 to close out permit
of the above referenced lot. The inspection report is based on MOA record documents,
conversations with Mero (JRs), visual observations and Mark Seward (DMS) hand -drawn
& digitized as -built s rvey. One of the pipes is incorrectly shown on the DMS as -built survey as
noted on the inspectio report drawing and the attached photo. Please contact us if you have any
questions.
1�aVel
Sincerely, - p'v- roe
09�A6L/%'1_
Curtis Huffman, P.E.
Attachments: MOA Inspection Report
DMS As -Built Survey
Photo
�yy OF SUtiING ufl.li E�
�, '' all FP�'t �Cikv NIN6
MUNICIPALITY OFANCHORAGE
Development Services Department
Onsite Water d Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SW050015
Legal Description: PREUSS #3 BLK 5 LT 3
Design Engineer: 0024 Eagle River Engineering Services
Owner Name: GARY -BAILEY
Owner Address: 10209 GEORGE PLACE
EAGLE RIVER. AK 99577-8759
Date Issued: Jan 26, 2005
Expiration Date: Jan 26, 2006
Parcel ID: 050-571-36
Site Address: 010209 GEORGE PL
Lot Size: 22890 SO. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field Q✓ Septic Tank Holding Tank ❑ Privy Private Well E] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements speed 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 engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By.
Date:
/ I26/05--
Issued By. TJX Date: / Z
09/03/03 11:27 FAX 9073438437 MOA .M. USE ENFORCEMENT
121001
Municipality of Anchorage
• a- Development Services Department
Building Safety Dh6lon
On -Site Water and Wastewater Program •,
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-665D
www.c1.anchorsge:ak.us
(907)343-7904
ON-SITE SEWERIWELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 0 6'0 - S 71 - 3 6 Permit Number SW
Property owner(s) 4i A R f - 13/7'ury • • Day phone
Mailing address (1) 10?o -i tifx/1kr af&z=
Mailingaddress(2) e,4C\L/.__2itMX1- A'C 77577 Zip Code T) 77
Legal description (Lot, Block S Sub'd.) f r Co s 3 `116 93—
Legal
3'Legal description (Section, Township & Range) T AfV /2/ 1V 5e Lg{i
Lot Size O. S 3 Acresr-40
Number of Bedrooms 3
2z. 1370 sq FT -
THIS APPLICATION IS FOR:
Sewer Only
❑
Weil Only,
❑
Sewer and Well
❑
Water Storage
❑
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
❑
Jacuzzi
❑
Swimming Pool
❑,
Water Softening Unit
❑
Therapy Pool
❑
I certify that the above information Is correct I further certify that this application is being made for a
Single Family Dwellr4. nd�Is in a rdance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees: 0 Waiver Fees:•
Date of Payment: J/2, v ' Date of Payment:
Receipt Number.• GZIV7 Receipt Number
taw. zoo)
Eagle River Engineering ,Services
Christopher R. Wood, P.1~.
10421 VFW Road Suite 201 (907) 694-5195 tel
Eagle River, AK 99577 (907) 694-3297 fax
January 26, 2005
Dan Roth
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Preuss #3 Lot 3 Block 5
Emergency Tank Replacement Permit request
Dear Mr. Roth:
The septic tank on the lot identified above has collapsed, causing effluent to daylight on the
ground. The proposed emergency septic tank replacement will have very limited impact on
adjacent properties for the following reasons:
1. The surrounding lots are all of adequate size, allowing sufficient room for septic
sites if planned accordingly.
2. Immediate neighboring septic systems are all +30' distance, and wells +100'.
3. This permit is for replacement of the septic tank only.
4. Drainage will not be affected and is not a major consideration in our design.
5. Septic Tank will be moved to outside of 100' radius of onsite well.
The existing septic tank is collapsed, is daylighting, and needs to be replaced immediately.
Drainage will not be affected, and is not a consideration in our design. Existing leachfield
appears to be functioning adequately.
This work will not affect the reserve area on adjacent lots. If you have any questions please call
our office at 694-5195.
Sincerely,
EAGLE RIVER ENGINEERING SSERVICES
!�
Chnstopher R. Wood, P. .
\2003\05-004SEPTIC iARRAnvE.Doc
EAGLE RIVER ENGINEERING
10421 VFW Rd., Suite 201
Eagle River, Alaska 99577
(907)164-5295
Fax (907) 694.3297
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Eagle River Engineering ,Services
C(rrietopker R. Wool, P.E.
10421 VFW Rd. Suite 201 (907) 694-5195 tel
Eagle River, AK 99577 (907) 694.3297 fax
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: Preuss #3 Lot 3 Blk 5
January 26, 2005
A. GENERAL
1. The septic tank replacement plan is for a 3 bedroom single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Ilealth and State Department
of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi -family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
B. SEPTIC TANK
1. The sewer piping from the house shall be 4" PVC 3034 laid at 2% grade maximum — 1% minimum
and insulated with 2" of burial foam if shallower than 3 ft., with 2 ft. minimum.
2. Septic Tank shall be a minimum of 1,000 gallon tank of MOA approved construction, insulated, or
place with 4' of soil cover, min.
3. Install opposing 4"double cleanouts between septic tank and leachfield.
4. Connect tank effluent line into leachfield. No 90 -degree bends shall be used. Double 45 degree
elbows shall be used in lieu of 90 degree elbows.
5. Utilize a bull run type diverter valve after double tank cleanout and keep old seepage pit connected to
system.
Twenty-four (24) hours notice required for all inspections.
\\Ercs\DOCS\WPDOCS\2005\05-004tankonly- spec.doc
IVIUIVII..IF'ALI I Y Ur ANUMUMAUL
DE..11 aTMENT OF HEALTH AND HUMAN SER, _; ES
�1�
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON—SITE SEWAGE DISPOSAL
SYSTEM AND/OR WELL INSPECTIONPR?_..-
Name
�
DISTANCES
TO
SEPTIC
ABSORPTION
WELL
Address
TANK
FIELD
r
Phones)
Permit No.
No. 01 Bedrooms
WELL
7
t
Sze
z
3
LEGAL DESCRIPTION
LOT LINE�._--
Lot
3
Block
I
Subdiwginp,
S
FOUNDATION
Township, Range, Section
AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation,
driveway, water bodies, etc.)
ANKS
fzW SEPTIC ❑ HOLDING
ManufacturerCapacity
in gallons
\\
I (-
Material
No. of Compartments
\`�
TYPE OF SYSTEM
TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER
Depth to pipe bottom from
Total depth from original grade
original grade ") 15 FT
q 1 (OFT
Fill added above original grade
Gravel depth beneath pipe
0-0 FT
Gravel length
Gravel width
�
VI -1 nFT
2-5 FT
L
\
Total absorption area
Distance between lines
a
(O O%8Q FTI
FT
f:
Number of lines
Sod rating
Pipe material
\
ZsQFT
Installer
Date Installed
L
Fa -3- ub
WELLS
wVl 111-
C -PRIVATE ❑ OTHER (Iden ifvl
�-
�J
r
)
Cl -as sdicaton (A, B. C)
Total Depth
Cased to
1i %V� I
FT
FT
.'
Installer
Date Installed:
f
J
REMARKS:
If 1 W
I S
�i'IL
LOIN
I
ENGINEER'S SEAL
T CS\
Inspections Performed by:
Date'
S&S ENGINEERING
'°�Ilfxs0
� t1B,aM
.4
SR B 796X
certify that this inspection was perlonned according to all
IEAGLE NIVL-H, AK
Municipal and Stale guidelines in effect on this date: AI lji
'
ko 1}'9fI A. FIA
Health Department A
P Approval ate:
r •° Imo. ;"�7 t •••
k �;. _, �� f
•.
72-013 (3/85)
L4'� •, o,. „. ,^�.:
�..
ji A,��� �� ����������-311
' ' DEPARTMENT OF HEALTH AND ENyIRONMENTAL PROTECTION
,^ 825 L STREET� ANCHORAGE� AK 99501
264- 4720
PERMIT NQ: 860249
DATE ISSUED: 07/30/86
APPLICANT: TOM STEWART
ADDRESS: % S&S ENGINEERING SS 196X
EAGLE RIVER� AK 99577
CONTACT PHONE: 694~2979
LEGAL DESCRIP: SUBDIVISION: PREUSS
SECTION: B TOWNSHIP: 14N
LOT SIZE: 22890 (SQ"FT" OR ACRES)
MAX BEDROOMS: 3 '
Listed below are the options available to you
system. Choose the option that best f' its your
.... .... ... ..... ���
7FFIZ.XEN1 P.
DEPTH TO PIPE BOTTOM (FT") 3.0 **
GRAVEL DEPTH (FT.) 6.0
TOTAL DEPTH (FT,) 9,0
GRAVEL WIDTH (FT.> 2.5
GRAVEL LENGTH (FT.) 57"0
GRAVEL VOLUME (CU"YDG.) 344
TANK SIZE (GALS) 1�000.0 **
SOIL RATING (SQ"FT"/BR) 225
LOT: 3 BLOCK: 5
RANGE: 1W
in designing
your septic
site.
THEN
(1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE
~..... ... ^����
4^0
4"0
0 5
3,5
4.5
7"5
22"0
5,0
44"0
73"0
35.9
54"1
1,000,O
213
225
** DEPTH TO PIPE BOTTOM < 35 FT" REQUIRES INSULATION
** DEPTH TO PIPE BOTTOM < 4,0 FT" MAY REQUIRE A LIFT STATION
** TANK MUST HAVE AT LEAST TWO COMPARTMENTS
I certiyy that:
�amiliar with the requirements Ior on^site sewers and wells as set
�orth by the Municipality of, Anchorage (MOA> and the State of, Alaska"
2, I will install the system in accordance with all MOA codes and regulationsp
and in compliance with the design criteria of this permit"
3" I will adhere t� all MOA and State o� Alaska requirements �or the set back
distances �rom any existing well, wastewater disposal system or public
sewerage syso
tem on this r any adjacent a
jaent or nearby lot,
4, I understand that this permit is valid �or a maximum o{ 3 bedrooms and
any enlargement will require an additional permit"
IF A
LIFT STATION IS INSTALLED IN AN AREACOVERED BY
MOA BUILDING CODES�
THEN
(1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE
OBTAINED; (2) AS�BUILTS
WILL
NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTI8N
REPORT; AND (3> THE
ELECTRICAL
WORK MUST BE DONE B ELECTRICIAN.
� SlGNED
--
DATE:
_~^___~
__.*�-.~����~_�y�/
APPLICANT:
TOM c..TEWART
ISSUED BY DATE:
r���
��^�
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
_11
PERFORMED FOR: TOM>G�h/-->'� DATE PER
LEGAL DESCRIPTION: L�� 72
1 7
2 J p
3
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4 O
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5
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7 1A. o
8
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9 v v
10 �9` 0
i'
12 o
13 �u
14-
15-
16-
17
4151617
81920 18-
19-
20-4
COMMENTS
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
c
IF YES, AT WHAT t
DEPTH? F
F
E
Depth to Water After
` Monitoring? Fla V) Date:
S & S ENGINEERING
ral
PLAN
PERCOLATION RATE -LV (minutes/inch) PERC HOLE DIAMETER _
TEST RUN BETWEEN —k-==�T AND -7 FT
PERFORMED BYSR S 196X
GLE RIVER, AK 99577
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELIfj1
72-008 (Rev. 4/85) (�
CERTIFY THAT THIS TEST WAS PERFORMED IN
EFFECT ON THIS DATE. DATE: J1 2 7 Ian
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GAAB-HD I GR; TER ANCHORAGE AREA BOR04' 4
Dt ARTMENT OF ENVIRONMENTAL QUALII
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
NAME �OGcrs G'r/i'f,>�� --ADDRESS e/XS
LOCATION Dr�� � /Z- .�-'�'d LEGAL DESCRIPTION
SEPTIC TANK:y/r"/�'s
DISTANCE FROM WELL % / NUMBER OF
MATERIAL ST��� COMPARTMENTSLIUID
-�
/��� .lTf� 3��G �O•� GfG NO. /�S�i9-L
LIQUID CAPACITY GG _GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
/
NUMBER OF PITS-
OUTSIDE DIAMETER
ci OR WIDTH /
LENGTH DEPTH/
'Zo'�_- c rt/O
'-gives
/
LINING MATERIAL
DISTANCE FROM WELL ���
BUILDING FOUNDATION_/
NEAREST LOT
TILE DRAIN FIELD:
DISTANCE FROM W
NUMBER OF LINES
/��� SQ. FT.
TOTAL EFFECTIVE ABSORPTION AREA (V�AII AREA)
/l/�
TION , NEAR
DISTANCE BETWEEN LINES
FT. LENGTH OF EACH LINE
TRENCH
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL: 6�/C�f/N� p�`��x DISTANCE FROM WATER
TYPE �'2/l/�'� DEPTH SSU , BUILDING FOUNDATION, SAMPLE Z64�� NEAREST
i NEAREST SEPTIC i SEEPAGE i OTHER
LOT LINE -2 0 SEWER LINE -Z2 ¢ , TANK SYSTEM- CESSPOOL���/fir SOURCES�/0h//`
DISTANCES:
A77V a 77 '
.4-7v c = /// '
DIAGRAM OF SYSTEM
novo
�iUJJ�LGs9T%�iv
GG�N LTi".i%�
y�,dr sfv✓v�.y
LoT�G�iori
DATE APPROVED 6 -7 -
TRENCH
-7 -
A A
GRbk ER ANCHORAGE AREA BORvUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
NAME OF APPLICANT 'I -'" PC
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK
PERMIT NO. Jq 1
MAILING ADDRESS ��I/ L� I+�! `—'• ' ' PHONE�"v
r
SEEPAGE PIT
DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH IV tT'I' TO BE INSTALLED BY
so1L TEST RESULTS !/LL NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE t�✓'� 7 TYPE �kZ L7�
MINIMUM DISTANCES, REQUIREMENTS
Z
FOUNDATION TO SEPTIC TANK L'
SEEPAGE AREA SIZE
FOUNDATION TO SEEPAGE PIT -:;?—o % , DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL r'
SEPTIC TANK , SEEPAGE PIT' lT DRAIN FIELD
TO NEAREST LOT LINE. 7/ r `•-
WELL TO SEPTIC TANK ✓ C% SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEEPAGE PIT
SEPTIC TANK, SEEPAGE PIT , DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
HEALTH AUTHORITY
OR
LICENSED DESIGNER
c
TYPE
DIAGRAM OF SYSTEM
I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIjSYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE/ �� APPLICANT'S SIGNATURE
MATER ANCHORAGE AREA BOROU
DEQ-XRTMENT OF ENVIRONMENTAL QUALITY CASE #
c 3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
Performed For uAm'L6m E y r—A u d-rj rja Date Performed G _1_7
Legal Description: Lot 3 Block Subdivision QEFt��AR� %*Ak
Q— .Q�+i+ieiwN
This Form Renorts Soils Loq_x Percolation Test':
Death
Feet
1 To(>soi�
2 �/ SlIfy Sated
3
Characteristi
n "
-S and V.:+,L+ s; SP- SM It
5 �j ckv�cl C rays 7-00
6%0%0% r-orvvly cjra►a1
7 se�
T��a+�y pae.1[.d
0
7
1hus Ground Water Encountered?-bLQ J'j
�b
[Plyes, At what Depth?
i
Proposed Installation: Seepage Pit Drain Field
Depth of Inlet Depth To Bottom Of Pit Or Trench
COMMENTS:
r
Test Performed By
Data Certified By:'
Date:
\moi'
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
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 3 Block 5 Preuss Subdivision
Location (address or directions)
(b) Applicant Name Tom Stewart Telephone: Home 694-3328 Business 428-2831
Applicant Address SRB 5213 Eagle River, Alaska 99577
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder QX Buyer ❑ ; Other ❑ (explain);
(d) Lending Institution Alaska USA Federal Credit UniMephone
Address
(e) Real Estate Company and Agent
Address
Telephone
(f) Mail the HAA to the following address:
SRB 196X
EAg'le River, Alaska 99577
2. TYPE OF RESIDENCE
Single -Family a Multi -Family ❑ Other
Number of Bedrooms three (3)
3. !MATER SUPPLY
Individual Well QX 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 CK Public ❑ Community ❑ Holding Tank [l
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)
5. ENGINEERING FIRM PROVIDIK-,aINSPECTIONS, TESTS, FILE SEARCH, Di--rAAND 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 S & S Engineering Telephone
Address
Date
Engineer's Seal
This department has received written confirmation from the engineer
regarding the Conditional Approval of November 15, 1986.
The corrections have been accomplished and an inspection has been
completed by the engineer. The subject property meets with Municipal
standards and is now approved.
6. DHEP APPROVAL
Approved for three (3) bedrooms by ate August 6, 1986
Approved XXXXXXXXXXXXXDisapproved 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 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)
7C
ALF RIVER.At S
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
W ELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
August 5, 1986
Mun i ci,patit y o4 Anchorage
Department o4 Heatth and Human Se vices
825 L StAeet
Anchorage, A.2asha 99501
ATTENTION: Steve Morn,%s
REFERENCE: Lot 3; Btock 5; Preuss Subdivision
ROBERT A. SHAFER
CIVIL ENGINEER
694-2979
i�
J
JO YQ ly
4, ', dpi
Dean Steve,
You .issued a Heatth Authon.ity Appnovat on the neJeneneed pnopenty .in
O toben, 1985. This appnovat was eond.iti.onae pending the upgnad.ing
o4 the ab6onption area. The absorption area was upgraded under permit
0860249 and a copy o6 the on-site .inspection report is attached.
Requat,,yv-u---4ow .issue the b.ina.2 HAA dor thi.6 property.
66
. SHAFER, P.E.
GLrrl6,/86.
SRB 196X EAGLE RIVER, ALASKA 99577
� MUNICIPALITY OF ANCHORAGE 11_1/
e. A 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 AA
Application Date <6 A.)
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range
Location address or directions)
(b) Applicant Name Telephone: Home y"3��� Business
Applicant Address
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder,; Buyer ❑ ; Other ® (explain);
(d) Lending Institution �� / /� lig Telephone
Address
(e) Real Estate Company and Agent
Address
yyT.��eleptthhone
(f) fiche HAA to the following address:
At f. C' ',1 'Rr!r77
Fjl
2. TYPE OF RESIDENCE
Single -Family 0 Multi -Family ❑ Other
Number of Bedrooms �?
3. WATER SUPPLY
individual Well q Community ® Public EI
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 p 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.
72-025 (11i84)
Page 1 of 2
5. ENGINEERING FIRM PROVIDING-,—.4SPECTIONS, TESTS, FILE SEARCH, DAIi-4 dD INFORMATION <
As certified by my seal affixed hereto and as of the validation date shown below; I verify that my investigation of this",w,h
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
Addre
Date
n
6. DHEP APPROVAL l�
Approved for^ bedrooms by Date
Approved Disapproved Conditional K
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 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)
ENVIRONMENTAL PROTECROM
MUNICIPALITY OF ANCHORAGE (MOA) NOV 1 Z
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
RECEIVED264-4720 Legal Description: L a S
�R s. sIr>
A. WELL DATA
Well Classification If A, B, C, D.E.C. Approved (Y/N) a/A
Well Log Present (Y/(ODate Completed ffZlon_ k9g2 Yield �t•P7 Ut''"'�'i
1�
Total Depth 4So Cased to �'� Depth of Grouting
Static Water Level j ®L71 Pump Set At
Casing Height Above Ground ��� Sanitary Seal on Casing 4$/N)
Electrical Wiring in Conduitk'N)
Depression Around Wellhead (Ya71
Separation Distances from Well:
1
To Septic/. 4o4ng Tank on Lot On Adjoining Lots
To Nearest Edge of Absorption Field on Lot On Adjoining Lots >
To Nearest Public Sewer Line J �' To Nearest Public Sewer
Cleanout/Manhole tA To Nearest Sewer Service Line on Lot
Water Sample Collected by 'S I.s .SL. ; Date 1 0- " e5
Water Sample Test Results '5A -n-, n "/
Comments ° \,J& -t- Prow —rt5:16T-_ ='"Ck� TFlw V"Jy4a_►-' —ro Ito
E5�s vG 4 T 6 P)LA l �S � J-1 I'_�V7 2_
B. SEPTIC714MUMIG TANK DATA
Date Installed Size AC» No. of Compartments �-
Standpipes(PN) Air -tight Caps4PRN) Foundation Cleanout (Y�W
Depression over Tank (Y/Q
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High -Water Alarm (Y/N)
Separation Distances from Septic/+4&k4ki1g Tank:
To Water -Supply Well _r1'7
To Property Line
To Water Main/Service Line
Course !`3
Comments
Page 1 of 2
72-026(1 1184)
Ei
t4 -
Date Last Pumped
;for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field
-z,c+ 1
To Stream, Pond, Lake, or Major Drainage
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata 2•r -2t2 '/�� Type of System Design C-¢-i'ES
Date Installed to - to - rl Z Length of Field
Width of Field V �' Depth of Field
Gravel Bed Thickness �
Square Feet of Absorption Area Standpipes Presento/N)
Depression over Field (Y)Q Date of Last Adequacy Test l rte- 3 1 -
Results of Last Adequacy Test -4 Pim-, L✓��
Separation Distance from Absorption Field:
To Water -Supply Well Ill ( To Property Line
To Building Foundation/ t'iP To Existing or Abandoned System on
Lot On Adjoining Lots I+
To Water Main/Service Line 1 o I To Cutgank (if present) N �'
To Stream/Pond/Lake/or Major Drainage Course N 11+
To Driveway, Parking Area, or Vehicle Storage Area
2-G t t.
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Comments A M31Sc>2pn,.-��
15g,A,
>2 .�,�. ,r7� ,
-ri A &d-a� >-yi>-t 1 L/ �s
�AF t-i✓t-
l "f I raf
wt �J,.�TI v- �(�2A r,X� �Jt ►-�
/' ��Pl�, 21�c>?
D. LIFT STATION - I>
f
%
r Date
�J
ye
Installed
Dimension
oF.i
Size in Gallons Manhole/Access (Y/N)
"Pump On" Level at "Pump Off" Level at
High Water Alarm Level at Vent (Y/N)
Tested for
Electrical Codes (Y/N)
Comments
Pumping Cycles during Adequacy Test. Meets MOA
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed Date
Company MOA No. ,-6
Receipt No.
Ok
F
Date of Paymentapv.
f
%
Amount: $
F
oF.i
Page 2of2;'Fr
tk ` f S�".
72-026 (1 t/84)
JWS CESSPOOL PUMPING
BOX 56 MERCY DR.
EAGLE FIVER, ALASKA 99577
(907) 694-6454
JR08 CESSPOOL PUMPING
BOX. 55 MERCY DR.
EAGLE RIVER, ALASKA 99377
(907) 694-6464
DEPARTMENT HEALTH AND EPdVIRONMEi. W TECTION
825 L Street, Anchorage. Alaska99501
264-4720
Date Received: October 11, 1977
#1: Time #2: Time Ct I 3 0 #3: Time
Date Date 0.- / O® Date
Insp LL_)1_L Q,rS. Insp � Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: Lomas and Nettleton Company
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4449 Business Park Boulevard
Richard L/Janice Hankins
Place
Phone: 274-7661
Phone: 699-2371
Lot 3 Block 5 Preuss Subdivision #3
4: Single Family Residence: {c)
Multiple Family Residence: ( )
Number of Bedrooms: Three
Number of Bedrooms:
5. Well System: Individual Well (x) Community/Public System ( )
Permit # Depth of Well _I �y Well Log on File
Construction Bacterial Analysis
6. Sewage Disposal System: On-site System (X) Public Utility ( )
Permit # Installed L, /7 2 Installer L4 �o
liwc_ k
Septic Tank Size ( O p Manufacture
Absorption Area L4_ Soils Rate 2cU _ Material.--. >. i
7. Distances: Well to Septic Tank
to Sewer Line
to Nearest Lot Line
Nearest Lot line
to Absorption Area
Absorption Area
Page Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description:
Lot 3 Block 5 Preuss Subdivision #3
Comments: e QST
Affadavit Attached: ( )
Approved:
Disapproved:
7hF"OMES "
GAUERy OF HOMES
CHUCK JOHNSON AIV
17 p ASSOCIATES INC.
09 Bragaw St., Anchorage, Alaska 99504
Res. 337-1383
Bus. (907) 276-2766
BOB BOOTH, REALTOR
Sales Associate
Letter Attached: ( )
Date:
Date:
Department Worksheet: % L v a tj c�/rte^
.I
, cj 4 s-
11
0 lJ�cJ (O00
Ll
�4
/ Z qh"
E
1.
2.
3.
4.
i NONdIEPTITY OF A6HF"s ;C3�
MUNICIPALITY OF ANCHORAGE gWIRONMENTnk PRQTEC71®M
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION OCT 1977
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 OC 1
REQUEST FOR APPROVAL OF �ECEIV ED
INDIVIDUAL SEWER and WATER FACILITIES
Type of Inspection: CMRO VA�FHA CONY
Property Owner:��
Mailing Address:
Name of Buyer:�� �1���� - /&- ,li4j
Mailing Address:4 k &_X 1-1%*'
Name of Lending Institution:
Mailing Address
5. Name of Realtor or A
Day Phone:
X77
'y/ rJ
Phone:
Mailing Arlrlracc:
6. Legal Descripti
Location:
7. Type of Facility to be Inspected: No. Bdrms.
8. Water Supply
YX
Type of Supply: Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility Individual (on-site)
If Individual, date of installation
72-003(3/76)