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EKLUND #1 BLK 3 LT 1
Onsite File Eklund #1 Block 3 Lot 1 #050-531-23 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http:/t%Nww.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP191084 Work Type: SepticTank Upgrade Tax Code Number: 05053123000 Site Legal Address: EKLUND #1 BLK 3 LT 1 G:0702 Site Mailing Address: 4272 LOWER KOGRU DR, Eagle River Owner: FORD DAVID G Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date �pl� 171 �2 Vat ~ Lacl}aI•tt�ii�c•nt` Lot Size in Sq Ft: Total Bedrooms: 4/12/2019 4/11/2020 38410 ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received BN Issued By: Date: ///�' f / Date: I% 3 Gj2/0G'k-1/s MUHMPALITY OF ANCHORAGE Community Development Department F r Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/UVELL PERMIT APPLICATION Parcel I.D. 050-531-23 Property owner(s) DAVID FORD Day phone Mailing address 4272 LOWER KOGRU DRIVE, EAGLE RIVER, AK 99577 Site address 4272 LOWER KOGRU DRIVE Legal description (Sub'd., Block & Lot) EKLUND #1 B3 L1 Legal description (Township, Range & Section) Lot Size 38,410 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) Q Septic Tank Q Upgrade n (w/wo ADU) Holding Tank ❑ RenewalDuplex (D) ❑ ❑ Multiple Dwellings ❑ Privy ❑ (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 authorized agent) Permit/Rush Fees: 'p, �J� Waiver Fees: Date of Payment: t q1(g Date of Payment: Receipt Number:9n2? Receipt Number: Permit No. aspsg16 Bel Waiver No. Permit App_:- "-._c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191084, Rebecca Carroll, 04/12/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191084, Rebecca Carroll, 04/12/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191084, Rebecca Carroll, 04/12/19 MUNICIPALITY OF ANCHORAGE ~--/~=~ q ' i¢ ~' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION /..~--~)~.T~ ~-~ / ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ~__~_.~u~'z-.- ~- t ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT dAME PHONE [] UPGRADE MAILING ADDRESS LEGAL DESCRIPTION LOCATION Well · AbsorPtion area ~-Z I Manufacturer .~, ~ u~ [Liq. capacity in gallons I .~ ,ur...c~.^r.=. Inside length I~ IDISTANCE TO' Well Dwelling J 2 I' I ~O 2~ ~ Man ufacturer ~ ] I Well I /,.~. Foundation ~- ~' I DISTANCE TO: I ~/O ~J'~'~--"' ~' _ u. ~ I No. of lines ] Length of each li~e Total length of lines ~I- Top of tile to finish grade / Material beneath tile Length Width Depth Dwelling./ I W dth Type of crib DISTANCE TO: Class Crib diameter Well Depth Building foundation DISTANCE TO: OTHER Material Nearest I~el Trenc~_~h NO. OF BEDROOMS PERMIT NO. No. of compartments Liquid depth PERMIT NO. Liquid capacity in gallons Distance between lines Total effective absorption area PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line PERMIT NO. Sewer line Septic tank Absorption area s PIPE MATERIALS '"~'.~ ~(./C.- ~t.~ ~'~%--" SOl L TEST RATING INSTALLER~ -- REMA. R~S APPROVED DATE LEGAL 72-013 (Rev. 3/78) PERMIT NO. < s.o-,=?. . APPLICANT LOCATION LEGAL Ir-lLIl'-,i ! C ii. ,- .i'lL.. I. T'"","' mDF i']l'-.l,3:i ,. ,~:~,.--jES DEP'RRTMENT OF HEALTH AND EN',,,'IRONMENTAL F'ROTEC:TIOI'4 ~ .~ ~5 STREET., ANCHORAGE., AK. g950i 264-4720 ~£. %=¢.-E I-.]ER PEF~I'-I I T ROBERT BISCHOFF I KC GF..U DR L1 B3-' EKL. UND S/D ADD _,RB i475 EAGLE RIVER 694 ~270 ~ ~ ._ %~IRRE FEET LOT _I¢:E ~8760 ...... TYPE OF SOIL RB:~URBTION SYSTEM I_. TRENCH P1RXlMUM NUMBER OF BEDROOMS SOIL F:RTING <SQ FTC BR,~~ J. 90 THE REQUIRED SIZE OF THE SOIL ABSORPTION SY:,TEM IS: [)EPTH= 9 LE~Im]TH~'-~- 58 GRAVEL [~--'EPTH=-= 51 THE LENGTH DIMENSION IS THE LENGTH <IN FEET> OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND RND THE BOTTOM OF THE EXCAVATION (IN FEET>. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE E~CAVRTION (IN FEET>. RE6!LI I RED SEPT I C TA~I~-% S I ZE= -1.000 PERMIT APPLICANT HRS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. T'WCm (2> I[4SPECTI BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL. 8~ THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS i0o FEET FOR R PRIVATE WELD OR ,I, t50 TO 200 FEET FROM A PUBLIC: WELL DEPENDING UPON THE TYPE OF PLCLI.. WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'iF~f4 IT E~<PIRES 6, ECEFIBE~: I CERTIFY THAT ,_ ,~ i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE _~ENER=, AND HELLS AS SET FORTH 8Y THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN AL:CURDMN-.E WITH THE CODES. 2;: I UNDERSTHNE THAT THE ON-SITE SEWER S~=,TEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. ................ APPL I CANT ROBERT 81SC~F DATE_ BY O Et E GEC~CHNICAL Er DEVEL-'.."~MENT CO. Russell OYster 694-2774 Soils ~t Foundations Performed Legal Description: Dep.,th (feet). 0 7 Ground Water Encountered: Proposed Installation: Comments: Name: Mailing Address: Yes Seepage Pit Box 90. Davis St.. Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LOG Sotl Characteristics Tel. No. If yes, what depth Drain Field ,. Earl Ellis 688-2280 Land Development Perfomed by: . Date: 40 ~ E GEOTECHNICAL ~ DEVELOPMENT CO. Russell Oyster 694-2774 Soils Et Foundations Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Earl Ellis 688-2280 Land Development SOIL LOG ~/J,'/v'/v~ o ~,d~~" ' Perfomed for: Name: z~'~''d~/j/-f Matltng Address: ~ /~Z, ~0~/~', ~, Legal Description: ~/~ ~ Depth (feet) 0 2 3 5 6 7 8' So11 Charactertstlc~ 9 10 11 12 Tel. No. Ground Water Encountered: Yes~ No ~ If yes, what depth Proposed Installation: Seepage Ptt Drain Fte~d Comments: 1~73 " Perfo~ed DOC Co, dba SULLi AN WATER-WELLS P,O. BOX 272 CHUGIAK ALASKA 99567 · TELEPHONE 688-2759 R"E'CEIVE-D" OWNER OF LAND ~ ,~<.~ '/~t ~,., ,~.~o~,z~ DEPTH OF WELL ADDRESS - ,~ ~ ~'. ? ~ 7 ,?" ~ ~ STATIC LEVEL OF WATER FT. LEGAL DESCRI~ION C , ~ & :~: ' 5 ' fi/( ~°~' 'd'o dODRAW DOWN-FT. , 2~ ' DATE-Started [ 4~/'~ ~q Ended /~//' ~)/'~ ~ GALS. PER HR · f~/~ KIND OF CASING PERMIT NUMBER.; ~/¢ '~'' 7r ~?b 7~ /~o o ~ - Or ORMaWION; From I Ft. tO--Ft. ~4~/~ From g~5 Ft. to ~ Ft. ~m r ~ '~a~,~g From From Ft, to Ft. From Ft. to Ft. Ft. to Ft. Ft. to Ft, Ft. to~Ft .... Ft. to Ft . ' - ' __Ft. to Ft.' Ft. to Ft Ft. to Ft.' ' ' 2' ~ '-. Ft. to Ft. ~. - Ft. to Ft. - - -From /~-/~ Ft. to e- / Ft. O ~D d~'~- ,~ From Ft. to - Ft From Ft. to ~ .,Ft. ~,o,,~F'~ From 'From_ Ft. to ' Ft. From_ From Ft. to Ft. ' From From ' FL to Ft? ' From From Ft. to Ft. . - From From Ft. to Ft. . From From Ft. to Ft, From From Ft. to Ft. - From Ft. to '~ From Ft. to ' Ft. From Ft. to . Ft. From Ft. t0 Ft. From Ft. to Ft. From__Ft. to . Ft.~ .. From Ft. to Ft. · From Ft. to Ft: .,From .Ft. to Ft,' ~' " MISCL. INFORMATION: ' ' DRILLER'S NAME H:!:N:[?'IUH [) :[ :i?['I::tl'.,!E:E E~E:"I"!4EE:N I::! I.,.!E:L.L FIND ::t..Ii!)EI I:::'EIET 1:::'O1:;:: I:::I F:'I:;i::i:VFITE I.,.IE:L.L..; ::i..~!:.iEI "r'o 2E~(?.l .~::'E:IET F'F..:Ed','I Fi I:::'I...IE:L.T.C !.4E:L.L DE:F'E:N[::,:[hI(ii I...tF'Ot'-,I THE: T'T'F'IE Ell:::' F'LiE',L.:[C 14E:!....t .... !.,.!ti!i:L.L.L. OGt!i!; FII:;;:IE F~![.::QIJ:[F:E:E:, FIN[) Ht. Jt!ii;T E:IE F?.ETUF,;:I'.,tliii:D ']"O "f'HtE I:::,E:F'F:!I:;:Tr'tE?.,F!" F.t :I: TH :[ I'.,! ::!i:E~ [::,I:::!'.?:E~; O1:::' 'T'HIii!. HEL.L. COHF'L. ET :[ ON. (y'r'I...E.:.':F?. i:;%(;!1...i ]: I::;flEt',lENTtiii; !"ll:::!"r' !:::!t:::'!:::'L?. ~-:;I:::'E;(::: ].' I:::' F:i',,,q:::I:[L.I:::!Ii!!IL..t!i~ 'T'I::'I :[N~!;I..II:;~'.E: F'I:;itOF'E,r';?. :[ . :: : ~. r ' THt:::IT ::L' :[ FiH F'FIr,I:[L.]:FI!~: k!]:"f'H THE I:::'OF~:TH B"r' "t"HE H I'-I't'" 1'1:::'~:::tt TTV ;;ii: ' :[ i.,.I:1: L.L. ]: i",!'.STFILL THE :?.¢:!~;TE':?! :!: N F:K:::E:OFi~DI:::INCE: H :t' TH "f'r'lE: "' r"~[::,E':E;. PERMIT NO. ( ) IR×IMUM NLMBER OF BEDROOMS = LOT SIZE ~,¢°?~0 SQLIRRE FEET SOIL RRTIHG <SL~ FT,.."BR>= 'HE REQUIRED SIZE OF THE SOIL RBSORP~ION c,~_TEM IS 2'>EP TH === [_ l:-S 1"4 L.-S ]- t-4 = ~3 R F'~ %-' E L E:'EPTH= THE LENGTH DIMENSION IS THE LENGTH (iN FEET) OF THE TREHCH OR DRFIIHFIELD. THE DEPTH OF Fi TREHCH OR PIT I:S THE DISTRNCE BETHEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCFIVFtTION (If,/ FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL E:ETI,IEEN TI4E OLtTFFILL PIPE RND THE BOTTOM OF THE EXCFtVRTION (IN FEET). :4 EL-QU I F4ED SEF"T I C: -FI~I"-41<.' %; Z 2;ZE== :'ERMIT FIFPLI~NT HRS THE RESF'ONSIBII_IT~r' TO INFORM THIS DEPRRTMENT DURINC'i THE :NSTRLLRTION ~NSPECTIONS OF RHY IqELLS RE:,JRC:ENT TO THIS PROF'ERT"r' FINE:' THE ~LIMBER OF RESIDENCES THRT THE HELL [4ILL SERVE T l--J C~ < 2 > I N S P E C: T :[ 0 rq S ~-~ R E R ES L~ U :~ R S .ES.., ::RCKFILLING OF RN~¢ _~bTEI'I WITHOLtT FINRL INSPECTION FIND RF'PROVRL DY THIS · ,EPRRTMENT WILL BE SUBJECT TO PROSEC:LITION. IINIMLIM DISTRHCE BETHEEN FI HELL RND RNY ON-SITE SEF~RGE DISPOSRL S'¢:F.;TEM IS ~00 FEET FOR R PRIVRTE WELL¢ OR .50 TO 200 FEET FROtt R PUBLIC WELL DEF'EHDING UPON THE TYPE OF PUBLIC HELL. IELL LOGS RRE REQUIRED RND MUST E',E RETURNED TO' THE DEPRRTP1ENT HITHIN 20 DRYS ~F THE WELL COMPLETION. . ~THER REQUIREMENTS MFt¢ FIPPL'¢. SPEC:iFICRTIONS FiND CONSTRLICTION DIRGRRMS, RRE 'VRILRBLE TO INSURE PROPER INSTRLLRTION. · PERt,1 I T' E~<F' I RES [:,E C:E F,1E~,EIF4: ..3"::_1._... CERT IF'¢ THRT i I Rtl FRMILIRR WITH THE REQUIREMEhlT5 FOR ON-SITE SEHERS RND WELLS RS SET CmRTId BY THE MUNICIPALITY OF RNCHORRGE. : :. [H]LL ~NST~LL THE SYSTEM IN BC:CORDSNCE WITH THE CODES. : ] UNDERSTBND THaT THE OH-S[TE SEHER SYSTEM P1W¢ RE~U~RE ENLARGEMENT [F THE ES]DENCE ]S REMODELED TO ]HCLUDE MORE THRN ~ DEDROOMS, .... RPPL ~C:RNT ' SSUED B'¢ ......... DRTE__ V~. 2 ApPLI(~'"NT FILLS OUT UPPER HAI~"~'rONLY Mailing Addre~ Realty Co. & A~nt I Phone Address ~, ~ , Zip Code Legal Descript~n ~ Type of Resi~nce Single Family Multiple Family No. of Bedroo~ ~ Other Water Supply ~lndividual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED, Time Time Time Time Date \ Date Date Date Inspector Inspector Inspect} (fl tnspecto(~ ~,~ Field Notes: /~__~ J~INICIPALIT~ OF ENVIR~; &',: .~,. A.. I 3V 2 9 1982 RF. CFIVED ( ~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CO N DITION A~J~ A P.~I~ L * DATE Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received ~ ~ ~ ~/ Well to Tank Septic Tank Size 72.023 (3182) EXCAVATION ROBERT A. SHAFER Robert Bischoff 3404 Greerland #4 Anchorage, Alaska Dear Mr. Bischoff, Reference: Lot 1: 99503 WORK CIVIL ENGINEER 694-2979 November 28, 1982 .MUNICIPALITY OF ANCHORAGE DFPT ©~ ,, .... , ENVIRoi ./,V, :/', ~ A. ,~ ,0. ~3CTION 1982 RECEIVED Block 3: Eklund Subdivision A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and in accordance with Municipality records has a capacity of 1000 gallons. The absorption trench was tested by a continuous flow of waterf-over a period of 48 hours without any adverse effect on the system. It can be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. If we may be of further service, please do not hesitate to call.o ~A. sH~P.E. / s/ss cc: Alaska Pacific Bank Municipality of Ancho=age Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA