HomeMy WebLinkAboutEKLUTNA HEIGHTS #1 BLK 3 LT 1Onsite File Eklutna Heights #1 Block 3 Lot 1 #051-061-31 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201502 PID Number: 051-061-31 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name A6,SORPTION FIELD Gina Treesh ❑ De T{� rench F-1WideTrench El Bed El Mound Site Address 21516 Rock Ptarmigan St Chugiak �,❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 D/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original d t t. Gravel depth beneath pipe Ft. Subdivision Block Lot Eklutna Heights #1 3 1 Fill added above original grade Ft. r vel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Di `nce between lines Ft. SEPARATION DISTANCES To Septic Absorption I Lift Station I Holding Sewer Total absorption area Number of trenches Dist. betwee renches From Tank Field Tank Line Ft' Ft. Well >100' NA t�' I VA NA ( TANK K Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer greer Capacity 1250 Gal. Surface Water >100' NA NA NA Material Number of compartments Lot Line >10' NA NA NA NA plastic 2 Foundation >10' NA NA NA I '2El,, TATION Manufacturer Capacity Remarks Gal. Alarm location Elec r stalled by PIPE MATERIAL House to tank 3034 drainfield Tank to 3034 Installer ARM Services Drainfield CO/MT3034 Inspector Curtis Townsend BENCH MARK (Assumed elevation) 100 ft Inspeection 1m 6/30/2021 9/4/2021 Location and description ction 2�a 3d 4th bottom of siding near point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date Aor®=A��� • < t urns l,Townsend2 .IV 7 9/ -iJ l• � �DieApprovedDate Septic System IWO 9 13 O2 ? f Note: this approval does not include well permit requirements. �RCv uuluz/ 10) M N 0 0 J J M C+') Y Y 0 M0 W W NEW 1250 GALLON TANK, PLACED 10' AWAY FROM FOUNDA TION AND WATER LINE AND 5' A WAY FROM EDGE OF FIELD NEIGHBORING SEPTIC IS > 10' FROM PROPERTY LINE 1 1 I I co; g ' Z I 1: C L V/� ' f :1 I SHED Y 1 :U i SUMP U 1 1 j EXISTING 40' x 36" x 5' I I EFFECTIVE DEPTH TRENCH ICO 1 CO LARGE ROCKS HAVE BEEN PLACED TO PROTECT THE TANK AND PREVENT PARKING OF VEHICLES 3 OVER THE TANK LOCATION 1 I I THIS PROPERTY IS SERVED BY AWWU AND THERE ARE NO WELLS WITHIN 200'. WATER LINE ALIGNMENT WAS VERIFIED PRIOR TO CONSTRUCTION. WATER UTILITY IS AK2211431 UNIFIED ALASKAN UTILITIES—HOMESTEAD DIVISION. x -f -,— SCOPE OF WORK 1. REMOVED EXISTING SEPTIC TANK. 2. PLACED NEW 1,250 GALLON PLASTIC SEPTIC TANK AND TIED INTO EXISTING ABSORPTION SYSTEM. THE TANK WAS PROVIDED WITH MINIMUM 20" 0 MANWAY RISER SERVING THE FIRST COMPARTMENT. 3. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. Record Drawings Prepared for Gina Treesh 21516 Rock Ptarmigan St, Chugiak Alaska 99567 EKLUTNA HEIGHTS #1 BLOCK 3 LOT 1 OSP201502 EKLUTNA ENGINEERING, LLC 19162 MOUNTAIN ROAD CHUGIAK, ALASKA 99567 (907) 406-1058 DATE: FC:1 9/9/2021 CLT SCALE: 11,= 40' PID: 051-061-31 SHEET 2 OF 3 I 11 11 1 I I 4 1'1 g 11 1 1 1 1 IWC OF �`.S♦♦♦i Aw '••:`�9 J 4 06TH ♦0 ............ .....................:.....j .......... ................ � CURTIS TOWNSEND. ♦�i� ; No. QV 1 904 '�_i MARK A B STI 16'-10" 18'-6" ST2 20'-11" 21'-2" DCO2 22'-2" 23'-4" N Record Drawings Prepared for Gina Treesh�� ,. 21516 Rock Ptarmigan St, Chugiak Alaska 99567 •' �0 EKLUTNA HEIGHTS #1 BLOCK 3 LOT 1 49T OSP201502 % ....:............ ........................% 0................ �.. .............. .0 EKLUTNA ENGINEERING, LLC DATE: 9/9/2021 0,- CURTIS OWNSEND'Y' 19162 MOUNTAIN ROAD DRAWN: CLT •���J�'•, No�Cy1 •AV � CHUGIAK, ALASKA 99567 SCALE: 1" - 5' (907) 406-1058 SS PID: 051-061-31 SHEET 3 OF 3 A 0 0 0130 OSS PAVED 2O> b Y CHUGIAK DRIVE ............................... :..:. N89055'20"E 88' ' -OU- - - OU - --'•v0U- - -OU- - -OU- - u LEGEND FOUND REBAR ELECTRIC METER GAS METER r SEPTIC CLEANOUT / SEPTIC SYSTEM L O /T / q MANHOLE cp :. �•' •• Ou UTILITY POLE 16.2' KX XX XX RECORD DATA PER PLAT P -215A SHED �f ' 0 —XX— ti :w BLOCK NUMBER �o to7.0W FENCING CSVi t I-- - —ou — — - OVERHEAD UTILITY ; 1. • ' '• LINE 3 t (n —_X --_X- --)If J 1 / n T n 88' AS -BUILT OF . /�:.4. '..�. 0•'o�•• TRAMS J. BARIL • •� ®��••• LS i,123J4 40,s • • •• .• I• MCCLINTOCK LAND ASSOCIATES, INC. 16942 NORTH EAGLE RIVER LOOP ROAD EAGLE RIVER, ALASKA 99577-7801 (907) 694-4499 LICENSE No. AECC596 i N k* ) C07 l nT A A ):SI ; u,► I hereby certify that I have, or someone under my supervision has, inspected the property described as: LOT 1, BLOCK 3 EKLUTNA HEIGHTS SUBDIVISION, ADDITION No. 1 (PLAT No. P -215A) Anchorage Recording District The improvements situated thereon are within the property lines and do not encroach or overlap onto adjacent properties, nor do any improvements from adjacent properties encroach or overlap onto this property, except as indicated hereon. No lot corners have been set. The property dimensions shown ore from the record plot and are not necessarily as we may hove measured. The improvement locations ore approximate and hove been determined only to the extent that enables us to determine if there ore any encroachments onto or off of the lot. Drafting and reproduction may produce graphic inconsistencies; therefore scaling should not be attempted to O determine unshown dimensions. This drawing is not adequate for additional Z construction or for determining the exact location of property lines. Only easements from the recorded subdivision plot noted above ore shown hereon and it is the responsibility of the owner to determine if any other easements, covenants, or restrictions exist. ® McClintock Land Associates, Inc. (MLA) 2021 This document is copyrighted and is authorized to be used for one real property transaction or project only. Any copy is to be considered unauthorized unless it bears an original surveyor's signature (usually in blue ink) or a stamp showing recorder's office data. Copyright restrictions (but not re -use restrictions) are waived if this document has been officially recorded. Lending institutions may also .oke additional copies for their own records. Liability to MLA is limited to fees received for this project. FIELD WORK DATE: 8-11-21 PARTY CHIEF: DW FIELD BOOK: LL PLOT SCALE: 1"=40' DRAWN DATE: 8-25-21 DRAWN BY: JC GRID: NW 1461 DWG NAME: A821-212 JOB N0: 21-212 0 y ' U / O o co�Co 0 IL. Q W r — 3 (6 2B 3' � .. ..... tLJ a Q �)I AT �)_7� WZ 13 p 1 ' W I W •,'I 't' I..L I X ,) I o FENCE ENCROAC6E5 3.3' ONTO LOT 2175' E 24.2• I ^ ' '' L.• LL X I BOO 1 I `O&\ I X XIX, p�' �• �•�; �', c X FENCE ENCROACNE5 1 I5.6' ONTO el(rHT-OF-WAYI X X O1 FENCE ENCROACHE5 —01X X x �Q oC '�• 11.7' ONTO LOT 2 X -X--v 1 ; —_X --_X- --)If J 1 / n T n 88' AS -BUILT OF . /�:.4. '..�. 0•'o�•• TRAMS J. BARIL • •� ®��••• LS i,123J4 40,s • • •• .• I• MCCLINTOCK LAND ASSOCIATES, INC. 16942 NORTH EAGLE RIVER LOOP ROAD EAGLE RIVER, ALASKA 99577-7801 (907) 694-4499 LICENSE No. AECC596 i N k* ) C07 l nT A A ):SI ; u,► I hereby certify that I have, or someone under my supervision has, inspected the property described as: LOT 1, BLOCK 3 EKLUTNA HEIGHTS SUBDIVISION, ADDITION No. 1 (PLAT No. P -215A) Anchorage Recording District The improvements situated thereon are within the property lines and do not encroach or overlap onto adjacent properties, nor do any improvements from adjacent properties encroach or overlap onto this property, except as indicated hereon. No lot corners have been set. The property dimensions shown ore from the record plot and are not necessarily as we may hove measured. The improvement locations ore approximate and hove been determined only to the extent that enables us to determine if there ore any encroachments onto or off of the lot. Drafting and reproduction may produce graphic inconsistencies; therefore scaling should not be attempted to O determine unshown dimensions. This drawing is not adequate for additional Z construction or for determining the exact location of property lines. Only easements from the recorded subdivision plot noted above ore shown hereon and it is the responsibility of the owner to determine if any other easements, covenants, or restrictions exist. ® McClintock Land Associates, Inc. (MLA) 2021 This document is copyrighted and is authorized to be used for one real property transaction or project only. Any copy is to be considered unauthorized unless it bears an original surveyor's signature (usually in blue ink) or a stamp showing recorder's office data. Copyright restrictions (but not re -use restrictions) are waived if this document has been officially recorded. Lending institutions may also .oke additional copies for their own records. Liability to MLA is limited to fees received for this project. FIELD WORK DATE: 8-11-21 PARTY CHIEF: DW FIELD BOOK: LL PLOT SCALE: 1"=40' DRAWN DATE: 8-25-21 DRAWN BY: JC GRID: NW 1461 DWG NAME: A821-212 JOB N0: 21-212 MUNICIPALITY OF ANCHORAGE �Ir�,,t On -Site Water & Wastewater Program do PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite Department On -Site Wastewater Disposal System Permit Permit Number: OSP201502 Effective Date: 1/13/2021 Work Type: SepticTank Upgrade Tax Code Number: 05106131000 Site Legal Address: EKLUTNA HEIGHTS #1 BLK 3 LT 1 G:1461 Site Mailing Address: 21516 ROCK PTARMIGAN ST, Chugiak Owner: TREESH GINA B Design Engineer: EKLUTNA ENGINEERING, LLC* This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Expiration Date: 1/13/2022 Lot Size in Sq Ft: 26127 Total Bedrooms: 4 ❑ 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 �Q 1 � I� move c� -� o w\g_j 5� �;0� -%o uDa�� Se rvi ce (1 vie, 2- Received Received By: Issued By: , V� Date: _ Date: 3 0? Dom? MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-061-31 Property owner(s) GINA TREESH Mailing address PO Box 671795 Chugiak Site address 21516 Rock Ptarmigan St Chugiak AK 99567 Day phone Legal description (Sub'd., Block & Lot) EKLUTNA HEIGHTS #1 BLK 3 LT 1 Legal description (Township, Range & Section) Lot Size 26,127 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (© all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank Z Upgrade Q Duplex (D) ❑ Holding Tank El Renewal- ❑ 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. 1z (Signature of property owngr or authorized agent) Permit/Rush Fees: $168.75 (COVID-19) Waiver Fees: Date of Payment: 12/D/zo Receipt Number: 07gIOD Permit No. OSP201502 Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and WastewaterTorms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201502, Rebecca Carroll, 01/13/21 PROVIDE NEW 1250 GALLON TANK, ENSURE IT IS 10' AWAY FROM FOUNDA TION I REMOVE EXISTING TANK N O J co v U O m NEIGHBORING SEPTIC IS > 10' FROM PROPERTY LINE FCO Q SUMP It J I EXISTING 40' x 36" x 5' I EFFEC TI VE DEPTH TRENCH 4 U O O J 'I V U O f C0 MODIFY DRI VEWA Y SO THAT PARKING OF VEHICLES IS NOT ALLOWED OVER THE NEW TANK LOCATION. THIS CAN BE ACCOMPLISHED WITH BOULDERS PLACED AROUND END OF TANK TO THIS PROPERTY IS SERVED BY AWWU AND PROTECT IT. THERE ARE NO WELLS WITHIN 200', WATER LINE ALIGNMENT WAS RECENTLY VERIFIED PRIOR TO CONSTRUCTION. WATER UTILITY IS AK2211431 UNIFIED ALASKAN UTILITIES -HOMESTEAD DIVISION. I I SCOPE OF WORK 1. REMOVE EXISTING SEPTIC TANK. 2. PLACE NEW 1,250 GALLON PLASTIC SEPTIC TANK AND TIE INTO EXISTING ABSORPTION SYSTEM. THE TANK IS TO BE PROVIDED WITH MINIMUM 20" 0 MANWAY RISER SERVING THE FIRST COMPARTMENT. 3. ALL CONSTRUCTION TO BE IN ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. Tank Replacement Design Prepared for ®®�� Gina Treesh 0 ®® 21516 Rock Ptarmigan St, Chugiak Alaska 99567 ®�? `v # EKLUTNA HEIGHTS #1 BLOCK 3 LOT 1 0 9TH a.....::. .....................:. OSP201502 ("""' EK�UTNA ENGINEERING, LSC DATE: 2/16/2021 .CURTIS T04�/NSEND� No. CE 11904 19162 MOUNTAIN ROAD DRAWN: CLT ® s CHUGIAK, ALASKA 99567...SCALE: 1" = 40' Z ` •p\�® (907 ) 406058 PID: 051-061-31 SHEET 1 OF 1 h4rsby certify that a survey of lot 1 Olock 3 tgWT%A H110111 Subdivision was Mad n May 6, 1995 and that the improvements situated thereon are within the propert Ines and do not overlap or encroach on the property lying adjacent thereto, that r mprovements on property lying adjacent thereto encroach on the premises in questic nd that there art no roadways, transmission lines or other visible assaments on sal roperty, except as ehovn harem. it is the responsibility of the owner to determine 0 xistenc* of any eas~ts, covenants or restrictions which do not appear on 0 scordrd subdivision plat. Under no circumstances should any data hereon be used tc onstruction or for establishing boundary or fence lines. ited in Anchorage, AK, nay 17, 1993 CONSTRUCTING ENGINEERS AS -BUILT SURVEY 9601 Buddy Werner or Anchorage, AK, 99516 346-2000 694--9090 uw. 1• • w t A NAME MAILING ADDRESS ,LEGAL DESCRIPTION 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 PHONE LOCATION Liq. 3acity in gallons IF HOMEMADE: DISTANCE TO: Well ~~_ Well DISTANCE TO: Inside lengt, h__. Manufacturer NO. of lines / Length ofq~h, ne Top of tile to finish grade ,~ ! Length Width crib Crib diameter Well DISTANCE TO: DISTANCE TO: Depth Building foundation OTHER PIPE MATERIALS /91/ SOIL TEST RATING INSTALLER REMARKS ZNEW [] UPGRADE v'g y Gooo _Co,/,, Dwelling ~ Foundation Nearest lot line Total length or, lines I Trench width¢.. z/O- / ~ inches Material beneath tile NO. OF BEDROOMS ¥ PERMIT NO'oo" /O0 Liquid depth PERMIT NO. Liquid capacity in gallons PER MLT NO, Distanoe betwe;¢?/ Total effective absorption area zX'OO Depth ~ PERMIT NO. '~" fe-"~itive absorotion rea Crib ~ ectiv ab p ' a Sewerl~O~,,~ I S~tank~¢ ~ Absorption area(s) 72-013 (Rev. 3~78) ¢'"---} DATE LEGAL PERMIF NO. APPLICANT MYERS CONST LOCATION CHUGIAK LEGAL LT. 1 BLK 3 EKLUTN8 HTS LOT SIZE LI[~[..',ER".?.T'R[-.~[-TM THRT 'THE C, t. lI. Jt-~ I ~2: I F' [:,EF'SF.:TMENT I~"--HEAL. TH AN[:, ENVIRONMENTAL F-'<:!TECTION :325 "L. :STREET., ANCHORAGE., AK. 99L 264-4 ," ,-~ , , _ i][-~--~ I -rE =,E~-IEF. i 25000 SQUARE FEET TYF'E OF :,ELL RBSORF'TI]N =,~_TEfl : TFEN.,H - ... i"lH,:.:,II"l_l"l NLIMBER OF EEDF..UUfI_, 4 --. ' .... ~- .. ' ', IZE OF 'THE SOIL HE, z..I_F..FTIOE~ =,'rz, TEM IS: ~- ~,~,'~(..) ]"HE RE'.:,~ IRE[. '--] - "-] ' ' A '-"¢- ' l .....-..... L~-. IE':. E ~ T H == THE LENGTH DIMENSION IS THE LENGTH ,::IN FEET) OF THE TF'.ENCH OR [:,RRINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE E',:qCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF RRRVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION <IN FEET). RED SEF"T I C: TRI"-~=:: S I ZE== PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY 8ND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. Tl.,.lO ( 2 ::, I I'-.ISF"EC:T I C~ I'-,!'--:-~". RF:E E:E~=~.L.I I RE_'D, BACKFILLING OF ANY SYSTEM WITHOIJT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL. BE SLIBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSRL. SYSTEM IS 100 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM 8 PUBLIC NELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE NELL TO 8 PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE 8VRILABLE TO INSURE PROPER INSTRL. LATION. F"E~.'~-I I T E::-::F' I F~: E_~.], DEC:Ef. IE:FiR _?---:1 ...... I CERTIFY THAT i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BM THE MUNICIPALITY OF' ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SVSTEM MR9 REQUIRE ENLARGEMENT IF' THE RESIDENCE IS REMODELED TO INCLLIDE MORE THAN 4 BEDROOMS. O & E ENGINEERING & DEVELOI'-MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Performed for: Name: SOIL LOG Tel. No Earl Ellis 688-2280 Mailing Address: Legal Description: ~-~'~' Depth (feet) Soil Characteristics 0 1__ 2__ 3__ 4__ 5__ 6 7__ 8__ 9__ 10__ 11__ 12__ 13__ 14 15__ d~.P % '~,I PI~OT PLAN ~/~ ~_.W-~t ~ 161 PERC. TEST Ground Water Encountered: Yes No ~ If yes, what depth Proposed Installation: Seepage Pit Drain Field__ Comments: Performed by: December 29, 1978 Smiley~s Realty Box 1086 Eagle River, Alaska 99577 Subject~ %780160 Lot 3 Block 3 Eklutna Heights Subdivision %7~0_~5~8~L~t 1 Block 3 Eklutna Heights Subdivision %780159 Lot 2 Block 3 Eklutna Heights Subdivision A permit issued by this department for well and/or sewer system has ~xpired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If there are any further questions, please contact this office at 264-4720. Sincerely, Les Senior Environmental Specialist LNB/lJw eno ~ copy of permit F:II:::'F'I.... I C:I:::II",IT L..CIC:I:::t'T I ON "l"Hl:!i: L...I:Ni::ii'T'H [::, :t: t"ll:i:N'.::_:i :1: I:::ll'.,I ]: '.:.:.'; 'T'HI!.::: I....I:N[::i"!"H ,:: :I: 1'.,1 t:::'J:l::':"l" ::' 01::' THE 'T'REi:NC'.H 01:;:'. [:)l:;::l:::1:1: NI:::' ]: E:L..D. THE: [::,Jii!:I:::' T H GI-'~:(::ILtN[::, F:II",If.::~ 'T'HE:: Ji:i,:::l"r'ToJ','t [:i:lF::' "J"l...IJiii: E:',:<:C:I::I',/F:fT' ]: ON (]:l'.,I ::::::::::::::::::::::: 'T' H I~!: t:',::1~!: :1: THE: GI:?.t::IVI!:::t... P~ii:J:::"l"l...I :1: ~i: THE!: t,'t :[ N ]: i','tUt'"I DIi:.::F:'TH i:::11:::' GI;::I:::I',,,'L:.::L.. E:t~:"t"I,J:::[!:I'.~ THE OI...I'T'I::'F:IL_L.. F:' ]: J:::'lii!: I:::lJ'.,J[::, "J'J...Jl:!i: J!i::(:)T'T'I::)J','I CiF' "['Hi:i: Ji:'::::.::l::::l:::i',,,'i:::l"J" 3: [:::lJ'.,J c: :[ J,.,J J::'Ji!i:J:i!:T :). Rick Mystrom, Mayor June 18, 1998 Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak,us Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 1 Block 3 Eklutna Heights Subdivision #1 Waiver Request #WR980025, PID #051-061-31 Dear Mr. Cowan, Your request for a waiver of the required five(5) foot separation from a foundation to a septic tank has been approved. The approved separation distance from the foundation to the on-site septic tank on the referenced property is 2.3 feet. This waiver approval applies to the existing on-site septic tank and foundation only. Any future upgrade of the on-site septic tank will require all separation distances be met or another approval from this office. If there are any further questions regarding this waiver, please call our office at 343-4744. Sincerely, ,/7 Daniel J. Roth Civil Engineer On-Site Services Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~ WR980025 PID# 051-061-31 HA~ Date Received: June 16, 1998 Legal Description: Lot 1 Block 3 Eklutna Heights #1 Engineer: Permit Applicant: Waiver Requested: Robert C. cowan, PIE., S & S Engineering 17034 Eagle River Loop Road, Suite 204~ Eagle River~ Alaska 99577 John P & Sheena P Coble Garage foundation from the on-site septic tank of 2.3 feet Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: t~a ~m~/~6.~S ~77/~f/~[L Date: ~-/~ --~ By: ~ Rec #: N/A 3m'lount: $ N/A Name of Reviewer Date Paid: N/A ROBERT C, COWAN, P.E. CIVIL ENGINEERS HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN June 15, 1998 (907) 694-2979 FAX (907) 694-1211 Municipality ofAnchorage Department ofHealth and Human Services P.O. Box 196650 Anchorage, AK99519 REFERENCE: Lot 1; Block 3; Eklutna Heights #1 21516 Rock Ptarnrigan RECEIVED JUN 1 6 1998 MUrliCJpality of ^ncnorage Dept, Health & Human Services Request that you issue a waiver for the horizontal separation distance between the septic tank and the foundation at 2 feet. The mitigation factors involved which support the issuance of the waiver are as follows: The garage is constructed with a concrete slab at ground level. Thc elevation of the concrete slab is higher than the grade elevation at the location of the septic tamk. This would prevent any effluent that would surface at the septic tank from running back towards the garage. The attached garage is located between the septic tank and the house. The closest point to the house foundation is more than 20 feet away frmn the septic tank. The encroachment between thc tank and the foundation is only at one end of the tank and to a corner of the foundation as shown with the sketch below: If you reqnire additional i~fformation, please contact us. Sincercly~ Robert C. Cowam P.E. RCC/jsf 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72°025 (Rev. 1/91) Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application 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 C°~'g'~-Y~°'l~7~ ~-~,,-~o_~'¥-~ . Phone ~. -7__cz~o /'~94-90.~B Address ~c~,~ ~ ~Sl~ ~C~ ~S~ Engineer's signature ~~~ -~ ~ DHHS SIGNATURE Approved for ¢ __' Disapproved. Conditional approval for bedrooms. .: bedrooms, with the fol'lowing stipulations: Additional Comments '/: 'll[fll The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS 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. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST 'Legal Description: Parcel I.D. O5~ O~ol ~1 A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) . f~,B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to Casing height Wires properly protected (Y/N) / FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on Iot~ Absorption field on lots Public sewer main AT INSPECTI~/ ' MUN c!PALITY ~F ANCHORAGE i:HVi~,oNMENTAL SERVICES DIVISION Public sewer manhole/cleanout g.p.m. / ; On adjacent lots g.p.m. RECEIVED Petroleum tank Collected by: Sewer service line / / WATER SAMPLE RESULTS: Coliform / Nitrate Date of sample: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed ~r--~t Cleanouts (Y/N) ~ High water alarm (Y/N) Date of pumping Tank size I"Z.~o ~ Compartments Foundation cleanout (Y/N) ~" Depression (Y/N) ~ ~ Alarm tested (Y/N) $-'5-9'5 Pumper ~TI-E ' ~ ~'~ ~ ~o ~-,r~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot + ~.4..~o ' On adjacent lots -+-/-4:)0 / Foundation To property line -+7.o' Absorption field S" Water main/service line Surface water/drainage 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons ,, Manhole/Acces~J._ ~ Vent (Y/N) Pump on" level at I_ ~..~..---"~ "Pump off" level at ~i~t sW~t;rAa le~ rliecVa~ lc od es (y/N ).~..~.~.%~ ' Cycles tested __ SEPARA~LIFT STATION TO: Well ocr'rot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length Total absorption area Depression over field (Y/N) Results (pass/fail) Soil rating __ Width -~' Gravel thickness ~" ~' System type Total depth I o Cleanouts present (Y/N) Peroxide treatment (past 12 months) (Y/N) Date of adequacy test for If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water Curtain drain On adjacent lots ¢r7.Oo ' Property Ii ne 10 ' 1 ~ 1 To existing or abandoned system on lot hJ Cutbank ~J f~r Water main/service line '+ Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name Date ,.~-'- 6. HAA Fee $ /'~ --"-~- Date of Payment ':%--~ ~-~'/ 72-026 (Rev. 3/91) Back MOA 21 - Waiver Fee: $ Date of Payment Receipt Number NEW CONSTRUCTION DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NS P ECTOR,-.,, MUNICIPALII¥ ur ~, ...... MUNICIPALITY OF ANCHORAGE DEP'L OF HEAL'~il & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~,~(I~NMENI'AL  825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION ,JUL !. 1981 Telephone 264-4720 R E C ~-, i V Fl, D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE ,PAIIT, V.. ~ ART.'R.'E,~ ~. MYF, R.q 694-2980 -M~AI LING ADDRESS P.O. Box 351, Chugiak, AK PROPERTY RESIDENT (if different from above) PHONE NHN Chugiak Drive, Peters Creek, AK None 2. BUYER PHONI= TOM W., AND PHYLLIS A. SPEAR 278-2202 MAILING ADDRESS 3444 E. 19th Ave., Anchorage, AK 99504 3, LENDING INSTITUTION [ PHONE I MAILING ADDRESS 4. REALTOR/AGENT I PHONE I None MAILING ADDRESS 5. LEGAL DESCRIPTION Lot 1, Block 3~ Eklutna Heights Subdivision STREET LOCATION NHN Chu~iak Drive, Peters Creek 6. TYPE OF RESIDENCE ~-I SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five [] Three [] 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 1981 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 NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SiX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/H°lding Tank IAbs°rpti°n Area ISewer Line INearest L°t Line Absorption Area to nearest Lot Line 5. COMMENTS t~"~APPROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79)