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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--{ I � 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. — — — — — -----_ I I I w h,0wn this rep rt' daIII {; � I I I I I 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 O O p DIGITIZED DMS ASB. X Qr� o O 0cc) W m O Z I O 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 Vr cel ! 2 �1 t r S ,1 II ra = b L = ,DB P12t: U 55 '43 LOi 3 B SHEET NO. OF CALCUUTEO BY G � DATE CHECKED Br DATE ......- 1 j1=20 ' 1o.yS I 1�. A%OTG'S= %%IUO KAbaJAl S MRrw 1 /✓ATG' .gym 2)NO Kob.,IN G42741A. � AkhrN5 � (� 3i FvQ, CMeRhEwG`j TA -mc- Rt,pc4cem6i /1 e.9.f' R. V-1 N Ir" 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 � o 4 O o 5 _v 7 1A. o 8 P a 1,' 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 � a SCALE K1 10 dm V x • �il o A 0 o D r G) Z r r. I a v fir: • i • o 0 C a v I I � i 1 k o fir: • i • ° e• h� 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)