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HomeMy WebLinkAboutPROSPECT HEIGHTS #1 BLK 2 LT 23Onsite File Prospect Heights #1 Block 2 Lot 23 #015-091-22 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211336 PID Number: 015-091-22 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ®Upgrade Name KENNETH & ANN CZAJKOWSKI ABSORPTION FIELD - EXISTING Site Address '150 f SLALOM D ,1JNCH0lLf16E �,I n ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound El Other PhoneJNumber of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Block Lot Ft. Ft. ros ec� K 2 23 Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field �Lift:Station Tank Line Ft2 Ft, Well 100+ -- 25' NK ®Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 100'+ __ GREER 1250 Gal. Material Number of compartments Lot Line 5'+ -- NA HDPE 2 Foundation 10'+ __ LIFT STATION Manufacturer Capacity Remarks Tank insulated. Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to Installer A+ drainfield 3034 Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection 1 st g/g/2021 2nd 10/11/2021 Location and description dates: 3rd 4`h BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVALOF A Conditional Approval: Date ' • •'' ��� ... .. ....•:' 0 Septic System • • . • • • • • ....�..�.`... Approved - Curtis Huffman �' �� �Fc • CE 128991 Date 117 2� �sT4*. 1�6no2z .•ti�U0,� F�pROFESSIO�P Note: this approval does not include well permit requirements. (Rev 05/02/18) PID: 015-091-22 A—C=29 6' B—C=14 8' A—D=32 2' B—D=19 4' A—E=33 7' B—E=21 6' PERMIT: OSP211336 Co INSTALLED NEW 1250 -GAL HDPE SEPTIC TANK WITH NEW DCO. SEPTIC SECTION SCALE1 NTS X I X PROSPECT HEIGHTS #1 B2, L23 SUPPORT, SERVICES: ' O� � 111111 PREPARED FOR: Idw F AZ4s KENNTH & ANN CZ5 9501 ESLA OM DRIVE AJOWSKI Fo .' C.�� TH c� * 9 ANCHORAGE, AK 99507 FIRST WATER CONSULTING DATE: 12/22/21 I` rtis Huffman / SURVEY: JLS 1 CE 128991 w 13030 SUES WAY DRAWN: FWCS 'N 12/22/202le of ANCHORAGE, AK 99516 SCALE: 1" = 30' \ p'�FEssIO��'ti i 907-350-9566 firstwaterAK®gmail. com \\_'� m M w ry0 0 J Q JI W LO N N z 30' 30' ANCHORAGE RECORLXl. tT L11J 1 lilt. 1 9 1'&Xj1'&LjX%_ i AS -BUILT OF: PROSPECT HEIGHTS SUBD ADD Nol LOT 23 BLOCK 2 PLAT 67-23 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE. SCALE E—MAIL JAN 7, 2022 1 "=50' schuller®ak.net 21-115-2 DRAWN BY: CHECKED BY GRID NUMBER: BOOK/PAGE JLS SW2441 220116 Alft~���•����I V �..,.....,A,L y�p•L ANDS jow '0 49TH �a6%. IPA . . . . . . . . . . . . . . . . . . . . ■ . . . . . . . U Q �?,A •.J HN L. SCHULLER.• 0 • / d 1` LS -10408 1 c�,, • . , . �t / 1831 Talkeetna Street 1 �� • ..:�; . 1 6 Anchorage, Alaska 99508 Ar ot, `\ O fes nab �' '�" (907) 227-1455 office \\\ s;``��'� (907) 274-4992 fax MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program RQ Box 1966W 4700 Elrrz1rt Road Anchorage, AlaEAa 99519 -Fid Phone= (997) 313-79M Face {W7) a43-7997 http:eA%w r.munl_4rgM%11e On -Site Wastewater Disposal System Permit Perm I E N umber, 0 SP211336 Work Type; Sop0cTank Upgrade I ax Code N r, mbeit. 01509122000 SIte Legal Address: PROSPECT HEIGHTS #1 BLK 2 LT 2� C:2441 S I to MaIll ng Address= 8501 4,LALO M D R, Anchorage Ownar: CZA.JKOWSKI KENNETH J & ANN 5 Dinslgln Engine ar: FIRST WATER CONSULTING This perm it is for the constru etio n of: Ef a c"o Date Expiration Data: yt#{rFfi Y' Yt n "1'r Lot Size in Sq Ft Total Redroorrms= 811 8021 all V2022 104000 ❑ Disposal Fie4d Q Sap& Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All coristructi" shall be Irl accordance with; 1, The attached approved desl9n. 2. All requirements specified in Anchorage Mktnicipal cc4e Chapters 15-55 and 1-5.&5 and me State of Alaska Wastewater Diaposa I Reg ulalirons (1 BAAC 72) a nd Drin king 'mater Rego letions (1 SAAC80) 3. The wastewater code requires inspections du ring the I nstaalatlon. I h e engine@r shall notify the Uavoloprne nt Servloes Department per AMC 15,65, Provide no9ication by Galling (907) 343.7904 (2417). 4, From October 15 to Aprll 15, a subsurface soil absorptlon system under construction during freezing weather shall be either_, a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Recelveo B y, Issued By: 811 W(121 Date: 11 1 Date; 1 0 4 MUNIMPALITY OF ANCHORAGE Development Services Department Phone: 907-343-790,4 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-091-22 Property owner(s) KENNETH & ANN CZAJKOWSKI Day phone Mailing address 9501 SLALOM DRIVE, ANCHORAGE, AK 99507 Site address 9501 SLALOM DRIVE, ANCHORAGE, AK 99507 Legal description (Sub'd., Block & Lot) PROPSPECT HTS. #1 132, L23 Legal description (Township, Range & Section) Lot Size 104,000 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo AD U) Septic Tank 0 Upgrade El (D) El Holding Tank ElRenewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A 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 authorized agent) Permit/Rush Fees: 1P 22 5 Waiver Fees: Date of Payment: Date of Payment: Receipt Number: 1131y'1 Receipt Number: Permit No. Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com July 30, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: PROSPECT HEIGHTS #1 BLOCK 2, LOT 23 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1250-gallon HDPE tank per the attached design to serve the existing 3-bedroom residence (4-bedroom system). The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211336, Rebecca Carroll, 08/19/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211336, Rebecca Carroll, 08/19/21 ANCHORAGE RECORD,A -L . <J L11J i l\i\1 3 9 -C-X u17,Z1 AS -BUILT OF: PROSPECT HEIGHTS SUBD ADD Nol LOT 23 BLOCK 2 PLAT 67-23 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE: E-MAIL AUG 1, 2021 1 "=50' schuller0ak.net 21-115 DRAWN BY: CHECKED BY GRID NUMBER: BOOK/PAW- JLS SW2441 210252 0 LANA . o .� Air ,�j /.• 4 9TH ?A VA PA rn ••.JgHN L. SCHULLER.• 0 ` LS -10408 � • .a / •.«..., ..«sem"' ,, • . , , . • �� 1831 Talkeetna Street � pry ' • :. ,,r Anchorage, Alaska 99508 \,�%fessjbno\�°�(907) 227-1455 office `�e• (907) 274--4992 fax 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 [] UPGRADE LEGAL DESCRIPTION LOCATION Well DISTANCE TO: I ~ Manufacturer Li q.j,~.~;~i n gal [%[ o~nsns ~1 Fi F N'O M E MA D E: DISTANCE TO: IWell Well I Top of tile to finish grade Length Width Type of crib Crib diameter DISTANCE TO: Well DISTANCE TO Building foundation Absorption arga DwellT~ ! Materi:a~J W dth '- Inside length Dwelling Material Foundation i Nearest lot line Total lengthier.of ilines Trench width~ ~. t inches Material beneath tile Depth NO. OF BEDROOM~ PERMIT NO, No. of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. ~)'~;~0 ¢ ~"/ Distance between~ Total effective absorption area PERMIT NO. Building foundation Nearest lot line Driller Distance to lot line Sewer line Septic tank Absorpt on area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTAELER REMARKS APPROVED /J/ DATE LEGAL · ,. APPL. Z{;ANT ROtBERT' B,, CAI:Rt~ON PO. BOXlO,..-9(35 LOCA-FION BLOHAFI LEGAL LO]" E~B BLK E~ PROSPECT H'FRS SUB LCTT' TYl:)e c;.p ---~', ..... · ..... -. ~.o.,..,_ ~u=,ul p ~l, system :L~ .... ..... TR Ei]".iC:H ~,~...~.1 ra't:L'ng (S(:,) l"'t/J::.l.,~)= 100 The length .d:i. mensic, n ~.s the :!.eng'tl"~ (in ·FeEt) o-F tt",e ','::rench or' The dep'th o.F. a 'tr"e'.qch or t:,J.'i: J.s 'tl'~e d~.s-~.ance be"b. deen 'the sur~.i'.ace o{- 'the gru::,u, nd and 'the betton'i o¢ 'the ex,:::avat~.on (J.i't 'Fe,.-:.:,'t). 'T'hepe :is ¥'io set raj. al'th .FoP '(:Pencl"~e,:¢, The gravel dei:,th :i.s 'the m:Ln:i, mLm-~ dep'th o~:. gr'evet be'tv.~een ",:he out{:all pi. pc and ",:l"m be'item o'F 'the rexcavai:J, on <J.n Tee't:),, · ' . .... '~'-~ ~"',~..~::.. . , ~.: ..... '~,...J ..~,.. E:~ EE E"-'.'~ ...................... l!:JacR'F:i.!!.{ng o.F any sys"l:eT.~ v,d.'tho_r': T.:i.i"~a! :i.'nspect:i.c,'ri ,.'arid al:,pr'c, val I::,y th:i.s d e 1::' a r' tm e n t ~,,..~ :i. i 1 b e s u.b j e c t .i.. c p r' o s e c: u. t :i. o n ~ I~J:L f'i J.'mLm'., ;j :L ............ ¢ "' ,: ............... ].00 " ...... T'e~::~,:. 'For' a !}r'J.~/,,1'~*.., ........ v,¢e't.t of '1.~:.','' to EeO0 t."'__'t¢.,,.,, .F.r, ema p{~b'l j ............. r. v.,t¢,l '!. ',:tepeTi/,:tiTig' t.q::,o?'., ...... ~. e +,1,_,'', ¢~ o¢. pub].&E .well,, M :i. i"., :i. mu'rn ,,:.1 :L s i:an ~-,-"~ 'F. r em a 1::' r' .~. ~ ,~ :.~: we 11. i tn a p p J. va 're s ,evce r' 1.4. iq e :i. s :::'q.' 'ti::, ai com'im..~nj.i:y sewep ].J.',:"~e &s "75 ': ...... O',*.:he~ ~ ..... ; .... ~. -' · · -. · :!~v~:.~;i.].ab].e !:o J.f'isu. r,,F.:', ppopc, r'. f' I certi.Fy that :1...i I ami ~Fa'mJ.]..<ar. v.~.i:t": the I'e£iLl:i.r~emeTt!:s .F. or'. on'...-~:i.'te se~,,~eps a'nd wells as set · F o r' 't: h b y t h e h'lu'n :i. c J. I:) a 1 :i. t y o ~:- .An ,:: h o r a g e. ~',: I ~/,hi.!l J. nstall i:he system :Ln accor'<:lanl::e v,JJ.i:h i:he codes,, ~: ]1 L!rider's'i:~a'nd i:l"~a't '(he on-s:i."~e sewer, sys"i:em mg~y regu:i, re (en].aPgeffiei'i-t J.~:. the r'esJ..def'ice J.s r. emo<:Jeled tO J. Tti::].U.<Je TROPe 'iZi-~a/i A be-dr, oo-ms,, V.q-, 0 LEGAL DESCRIPTION: ~'~ ~ ~ DEPARTME~'r--~F HEALTH AND ENVIRONMENTAL PROT.,~TION /~ ~h 6.650, Anchorage, Alaska 99502 276-2221' SOILS LOG- PERCOLATION TEST ,.: ( ?/ 7~ f/v~.' PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 5LOPE SITE PLAN .... ~----~ , - ~ .....: .... I- 1-,;''" WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN ,r ~ FT AND ~ FT COMMENTS PERFORMED BY: (':;/'"/~';/ J~ (~'? ~:'' ': '-"~? CERTIFIED BY; ('~_/'"'~ ~'I */~t' '~'/'~d" DATE: _-.- j~ J/ 72-O08 (7/76) Certified Well Vor...._.K.~__.Q~&~__._Q!~_~.K..! ............................................ ~......~._~_Z.~ ....... Date completed ....... ._S..gp.~ ....... ~....~.9.7..~._.: ........................................... ....: ........... Depth of well.......~. Q Distance to water.__.._l;:'5..~.$.,.....'. . ' .' Distance to water while pumping .~.0 -~t; ' ' ':; "~t :rate' of .............. 2~0.0. ........ ~ ............ gallons per hour. Description of Formation Feat & Top. Soil Hard Pan . · -'~.. 4 Bedrock - . , '" ~ 21 [ /30 ~ '' · - _. : , ,:~ :.- ' .. I,certify the above true and correct.. - , - _ - ' /'~ ' '.' :,i '5~-'· '.. ~ _:'-'. ........................ '~Si:iit~r':''.~' ' T" ........ :":~ ............ - 'DOTTEN DRILLING CO. John's Road SPENARD, ALASKA We advise you to attach this certificate to your .deed. PERMIT NO. DEPRRTMEI'TI" O~HERL.'rFI RND EI'.,tV I RONHEI',IT~L ? -':)'TECT 101'.,! 825 '"L S]"REET., FII"~CHORFIGE., FIK. 5.~5,5... :L g')S 4 - 4 ?;i:'.0 ~...-~ ~:S': L_ II. .... ti=" EEL' IF~7 F"lt :~,~ 'T ( ?80E, G2:: ) FIPPL I C:SWI" LOCRTI ON LEGFIL I<ENNETH CZRJKOP.ISKI SF.'R BOX ]::I.B F-INCH ~5~507 SLFtLOi'd DR L2'Z.': DR PROSPECT HTS FIDE:, :f$± LOT SIZE '_']:44 G255 0 SQUI::IRE F'EI!ET' MINIMUM DISTRNC:E BETWEEN R HELL F-iND FINY ON'-SITE SEHFIGE DISPOSFIL SYSTEM IS 100 FEET FOR R PRIYRTE 14ELL; OR :;L50 TO 288 FEET FROH FI F'UBLIC 1.4ELL DEPENDING UPON "['PIE TYPE OF PUSL. IC: WELl .... HELL L. OGS F!RE REQUIRE[:, FIN[:, HLIST BE RETURNED TO THE r':,EPRRTHEhtT P.IITHIN :.-]:0 [:,W.?S OF THE WELL COMPLE'FIOI'.L OTHER REQUIREHENTS HFfY F~F"PLY. :SPECIFICRTIOhlS RN[:, CONSTRUC]'ION [:,IF:IGRFtMS F~RE RYRILFIBL. E TO IN:SURE PROPER INSTRL. LRTION. ! CERTIFY THRT :[.: I I~M FRMILIRR HI]"H ]"HE REQUIREMENTS FOR ON-SITE SEI.,.IEF.:5; RND HELLS I'.:~S SET FFF:'TH BY THE HUNICIPALITY i~[::' FIIqC:HORFtGE. · :2:I WILL it'4STF~LLiTI--~;~'ST~H IN RC:IZ:ORE:,RNCE WITH THE CClDES. FIF' 'H CZFiJKOI,.ISK I ............ .... ; DATE RECEIVED INSPECTION APPOI NTM ENTS E~,~~ff~ 'i~lM~ TIME T DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR( \~ . ~ DEPT. OF tJ~'.LT;I & MUNI CI PA LI TY OF ANCHORAGE ENVIRON,~irJNTAL ;,.O F~CTION  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 I ~ ~-. ~ E~VI RONMENYAL SANIYATIO~ DIVISION Telephone 264-4720 ~EOUE~T FOR APPROVAL OF INDIVIDUAL ~ATER AND SE~E~ FAglLITIES DI~EgTIONS: Oomple~e all parts ou page ~. Incomplete raquests will no~ be pro~essed. Please allow ~en (~0) days for processing. PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAI LING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS I MAILING ADDRESS STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four [] SINGLE FAMILY I--I Two [] Five [] MULTIPLE FAMILY ~' Three [i~ Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY PUBLIC UTILITY *ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY / YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1, TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX [] OTHER 2, WATER SUPPLY INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3, SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: /~ ~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER MATERIAL INearest Lot Line 5. COMMENTS DATE BEDROOMS CONDITIONAL APPROVAL (letter must accompany certificate) DISAPPROVED 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPAR 1-MENT OF t!EALTH AND ENVIRONMENI'AL PROTECTION January 27, 1981 Robert D. Carleson Post Office Box 10-905 Anchorage, Alaska 99511 Subject: Lot 23 Block 2 Prospect Heights Subdivision #1 Approval for your individual sewer and water faci].ities cannot be granted until the following items have been complted: A well log submitted to this department for our review. The water analysis report n~eds to be delivered to this office from the Chem Lab, 5633 B Street~ for our review. If there are any further questions~ please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw CC: Alaska Statebank Mortgage Loan Department 310 East Northern Lights Boulevard 99503