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EKLUTNA HEIGHTS #1 BLK 3 LT 3
Onsite File Eklutna Heights #1 Block 3 Lot 3 #051-061-29 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 o; 3 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221133/OSP211307 PID Number.- 05106129000 Dwelling.- Fk Single Family (SF) [I with ADU [I Duplex (D) El Two Single Family Project: El New A-1 Upgrade Name HIBPSHMAN STEPHEN ABSORPTION FIELD *Deep Trench i Wide Trench F-1 Bed 0 Mound Site Address 21509 SETTLERS DR, Chugiak 0 Other ❑ Phone Number of Bedrooms Soil Rating Total depth from original grade 688-0404 13 1.2 GPD,,Sd 91 F1, LEGAL DESCRIPTION Depth to pipe invert from original grade 4 Ft. Gravel depth t>pneaih pipe 5 Ft. Subdr.-sion Block Lot EKLUTNA HEIGHTS # 1 B LK 3 LT 3 Fill added above original gracip- - Ft. Gravel [Prigth 40 Ft. J ow ns t i: p Range Section Gravel width !Beds_Number oft_;nes 2.5 Ft. SEPARATION DISTANCES To, Septic AbsorpzIcn Lift Station Holding Sewer Total absorption area JNum' r of trenches Dist. hetween tren-Ches From Tank Field Tank Line 400 Ft] t Well 100'+ 100'+ na I na 100'+ TANK W Se 0 S.T.E.P. E] Holz�ifiq Other Manufacturer Capacity GREER 1 000 Gall Surfacewater 100,+ 100'+ na na Material Nlurnber of a:orn�>�artrf� rats Plastic 2 NA Lot Line 10'+ 10'+ na na Foundation 101+ 101+ na na LIFT STATION Manufacturer C a Picity Remar-�s 2 Permits Gal. remains Alarm location Elect nciA installed by PIPE MATERIAL House to tank existing TiO o Installer Dean Const Drainfield D3034 COTOTD3034 inspector NorthRim Eng. BENCH MARK (Assun-.ed elevation) 100 ft Inspection8/26/21 dates: Location n— d e s ch p i o n � 2d6//22 3�': 6/3/22 4th ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date OF A� 144 4�'� A, Jrc. , .49 a* wk Steve Eg 01; Septic System CE-62W• 3-0-/ 2Y Approved Date Note: this approval does not include well permit requirements. (Kee un"u/t -I o i Q 0j P 0) V) Flat Slope Chugiak Dr Driveway Flat Slope 3 BdrM Diverter "moo c J N -P C3 Septic No COrltflicts Flat Slope VaeM T1 New 1000 Gallon T2 Septic Tank w/DCO's o Decommissioned Old Septic Tank _ PER UPC 4D Flat Slope � s ti U Flat Slope Flat Slope A B ST1 13 26 ST2 17 28 olco 20 30 DV 25 34 C01 34 49 CO2/MT 72 82 NORTHRIM OF EKLUTNA HTS #1 1 40 ENGINEERING ='� • ' SteveEng.com * 9m •*• BLOCK 3 LOT 3 RECORD PO Box 770724 ...... LAYOUT ogle Rhvr. 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'.en `" a E �.c W O E:E uaE�ocu258 a`io'_o. a .N. sr O sO C C c tl 0 — s I- 0 0 0 2 no_ �"Eau E. O o = m ' o � w � Ll c v//��+�pAt' HiNON L CS a0 1 00 U > (��; } 0 OOn U °c O 'U V Jrnrn0 Are LLJ Q WN<A O N .s(n U 4�J`OZ N I ,�r I WAW cq z Lq U o �Lq v 9 �a MUNICIPALITY OF ANCHORAGE �»cnt On -Site Water & Wastewater Program oQ S , PO_Box-196650 - -4700 Elmore Road --- -� - — Anchorage,—Alaska 9951-9=6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite + u CH �C Department artent naPV� On -Site Wastewater Disposal System Permit Permit Number: OSP221133 Effective Date: 5/23/2022 Work Type: Septic Upgrade Expiration Date: 5/23/2023 Tax Code Number: 05106129000 Site Legal Address: EKLUTNA HEIGHTS #1 BLK 3 LT 3 G:1461 Site Mailing Address: 21509 SETTLERS DR, Chugiak Owner: HIBPSHMAN STEPHEN N & SANDRA J Design Engineer: NORTH RIM ENGINEERING This permit is for the construction of: Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Lot Size in Sq Ft: 26127 Total Bedrooms: 3 ❑ 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 Special Provisions: • 2021 tank permit to be closed prior to Inspection Report approval for the field. Received By: Issued By: Date: 5/23/22 Date:/2?�ZZ MUNICIPALITY OF ANCHORAGE Development Services De artment p p � Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-061-29 Property owner(s) HIBPSHMAN STEPHEN Mailing address 21509 Settlers Dr Site address same Day phone 688-0404 Legal description (Sub'd., Block & Lot) EKLUTNA HEIGHTS #1 BLK 3 LT 3 Legal description (Township, Range & Section) Lot Size 26,127 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial_ ❑ Single Family (SF) 0 Septic Tank ❑ Upgrade 0 (w/wo AD U) Holding Tank ❑ Renewal ❑ Duplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (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 Mun' ' es. (Signature of property owner or authorized agent) Permit/Rush Fees:// q S Waiver Fees: Date of Payment: Date of Payment: Receipt Number: ©�((o y Receipt Number: Permit No. Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc SteveEng.com Steve Eng, PE, PH 907-694-7028 SteveEngPE@gmail.com Date: 5/10/22 Number of Pages: To: MOA On-Site Services Subject: Eklutna Hts #1 Block 3 Lot 3 New Trench Design The septic tank was replaced last 8/21. The owner now wants to have a new seepage trench. The existing seepage trench to be connected via Diverter Valve. Please issue a permit so the trench can be constructed. Please review as soon as possible. This is a large lot with no nearby neighbor conflicts. Elevations in vicinity flat. If there is need for additional information or clarification please give me a call. Thanks-Steve Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221133, Deb Wockenfuss, 05/23/22 SteveEng.com Eklutna Hts #1 B3 L3 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: The current septic tank was replaced 8/21. The owner has now decided to install a new trench, connect the old trench via Diverter Valve This lot is fairly large and on community water system. No adverse impacts are expected from trench addition. No easements are present on the lot. The slope is indicated in the area of the septic system. No conflicts to neighbor properties. An application rate of 1.2 GPD/FT². Trench Length = 375 FT²/5 x 2 = 40 trench, 5 effective. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. of cover or insulation is required for trench; an equivalent of 1 insulation for 1 foot soil cover. Tank & solid pipe must be set on well compacted, stable soil. 10 minimum between the tank trench, tank to house. 10 to property lines, 4 diameter cleanouts with airtight caps are required 1 to 4 from foundation wall, prior to any 90 degree bend in 4 inch line, in 2 nd tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10 from the tank positioned to provide cleanout access towards the tank and towards the absorption field. Manhole Riser required in 1 st tank compartment. All cleanouts must extend to at least ground level. In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. Trench to be placed level, minimum of 4 to groundwater, 6 to bedrock from drain- rock. Drain rock to be ½ inch to 2 inch screened. Drain rock to be distributed uniformly throughout the trench. Perforated pipe to be installed level with perforations down. Silt barrier (filter fabric) to be installed above the drain rock. Smeared trench sides must be raked or scarified before drain rock placement. The finish grade must be mounded to promote drainage away from trench. Insulation must be placed over any pipe installed under driveways or parking areas. Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, Sewer Service Line is minimum 2% slope. Septic Tank to be pumped every two years or when required. Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221133, Deb Wockenfuss, 05/23/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221133, Deb Wockenfuss, 05/23/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221133, Deb Wockenfuss, 05/23/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221133, Deb Wockenfuss, 05/23/22 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://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211307 Work Type: SepticTank Upgrade Tax Code Number: 05106129000 Site Legal Address: EKLUTNA HEIGHTS #1 BILK 3 LT 3 G:1461 Site Mailing Address: 21509 SETTLERS DR, Chugiak Owner: HIBPSHMAN STEPHEN N & SANDRA J Design Engineer: NORTH RIM ENGINEERING This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft Total Bedrooms: cn llepartment 8/2/2021 8/2/2022 26127 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 3 Date: �� I Date: ON-SITE SEPTICMELL PERMIT APPLICATION Parcel I.D. 051-061-29 Property owner(s) HIBPSHMAN STEPHEN Mailing address 21509 Settlers Dr Site address same Day phone 688-0404 Legal description (Sub's., Block & Lot) EKLUTNA HEIGHTS #1 BLK 3 LT 3 Legal description (Township, Range & Section) Lot Size 26,127 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank 0 Upgrade M Duplex (D) ❑ Holding Tank ❑ 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 applicable Municipal Codes. =a C," I further certify that this is in accordance with (Signature of property owner or authorized agent) Permit/Rush Fees: fta 2 5 Waiver Fees: Date of Payment: Dat Date of Payment: Receipt Number: 66 �[� Receipt Number: Permit No. D SP o2 1130 7 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\FormsUient Forms\Permit Application.doc SteveEng.com Steve Eng, PE, PH 907-694-7028 SteveEngPE@gmail.com Date: 7/22/21 Number of Pages: To: MOA On-Site Services Subject: Eklutna Hts #1 Block 3 Lot 3 Septic Tank Failure The subject septic tank has failed- a new tank will replace the old one. The existing seepage trench appears to be working OK. Please issue a permit so the tank can be replaced. Please review as soon as possible. This is a large lot with no nearby neighbor conflicts. Elevations in vicinity flat. If there is need for additional information or clarification please give me a call. Thanks-Steve Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211307, Rebecca Carroll, 08/02/21 TH IM FE,ZINEERING SteveEng.com Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211307, Rebecca Carroll, 08102/21 Eklutna Hts #1 B3 L3 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: The current septic tank has failed- the seepage trench still functions. This lot is fairly large and on public water. No adverse impacts are expected from tank replacement. No easements are present on the lot. The slope is indicated in the area of the septic system. No conflicts to neighbor properties. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. • New 2- compartment, 1000 gallon septic tank. Watertight couplings on inlet & outlet. • 5' minimum between the tank and trench. 5' to property lines & 10' to house. • 4' of cover or insulation is required for tank; an equivalent of 1 " insulation for F foot soil cover. Tank & solid pipe must be set on well compacted, stable soil. • No large rocks for tank bedding. Plastic/fiberglass tanks require special bedding per MOA- sand or pea gravel. • 4" diameter cleanouts with airtight caps are required 1 ' to 4' from foundation wall, prior to any 90 degree bend in 4 inch line, in 2nd tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10' from the tank positioned to provide cleanout access towards the tank and towards the absorption field. Manhole Riser required in 1 st tank compartment. • All cleanouts must extend to at least ground level. • In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. • Insulation must be placed over any pipe installed under driveways or parking areas. • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, • Sewer Service Line is minimum 2% slope. • Septic Tank to be pumped every two years or when required. • Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal) OF i* :49TH �♦ Steve Eng ���CE E--6256 �= Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211307, Rebecca Carroll, 08/02/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211307, Rebecca Carroll, 08/02/21 06, ry / n'7 C L( ) c4 \ _ J n LJ_ IN\,\, \ ZZ C L( ) c4 _ J n LJ_ D L W w q0 a Of U WC CL ON O D Z W U c]:�a- Y Z = U H LLJJ O F- U U W w W W U' (n w Cl. m Iwc O J P-5 X 8 0 0 o X[ t�] �� J I o �/ I X i I I I w R b N T, CJ C� � J LO :l,^', A6 n&, M(j-[n�❑.CN —no—————no—————no—————no— — ❑ lda � dkJ �• ` ") :.......::...: ...... �:,L.:.............n iia s���ll3s:. • ........... .........:::::::.. -7 L�l)< L, bt_ iV IC I j A / /I A / / 7 �7 n ^ l ^ -7 A A L_/A / / n -7 \ / -7 VV� v t, i (� l l V/vl/ I/ / /moi 1�i_J/VI V / V1/ / li l_J 1 C iA O d 11.1 C C O- TN 0 t T^+ c U O N O N_0O 00 0...0--- ._ �N0 C — u 0 E«.v o_O_.-• v N 3 0 ow •�_ _ c V �.V+.+ N O N N N TO N •> r C> L� y 0 N N C C d C QQ M GJ rt+ ^ 0 O Liz O C O C ' 0 0 E m W d L OJ L Eo i o v«•o o- 7 O NO N o- Nv ..to 1 v rn Z ny- E Z d N D `o d o i O OL0 >a•_oo00y mc¢ Z L N O L C ~ C �++ 0 O O c ++ 0 0 '- •_CrnL Nm� N++ mt aOm'CCyT• C•• '-' ++UNt o~ -coot va cam_ O N M N •- o o v a C C • d cv x - N o o o ac 0 E O Z 3-0 N N E m m o •- o v >. o >.�.� - ov UPON a� o a.-• •_ 00 �.t..m Oo -vm= J IA O I Ccn a- 0 04 0 0 0 O L C w y N a O C U00 o L c c v o��0 %o `o U m O Ort+ C u u..w ` O N v T N ^ N d N j U > T UIQ �I > M m Z L O O V 4Tg O O M L r+ N y Q N O C 1 .LLJ V C --I Lij Q +r NO J LCt1 3N rno UZ -0>d c•° - V) J O LU O E O On /) E U OwNrO F- O X J 3 iL1 T UQU NT�CN-N mLO �L>'TUN a •i c c- .-• m o -0 m t u uE c m_ WL '- �o i - L Y- a fn Ort+ L m- O NN Q N C E o ct Vto «.T+� •- ac m�o N ++ Z E N N •- U U a_> a«. o o— N > O c 00tc Eoa v ., o.t .�N co .-. T d O O L W m = ow N c E c 0oL.. o U) J L c O_ •- `0 0 »- 0 w -- c o ❑ o N w a Et o N o ._ .- c v W o-- o -o om N >..-• - �. t m c o> m 'y O L C C Co Q� cTc.� C rn m N •y o o •- �ccc U -t r- O O O zo.O-�Evuaoi� �.-•a�3E� p 0 Z � o HINON 3 V � U O ~ Q�= m (/j cr 000 (D O �►i �� Q O r, o a o / o J In AP �Q Q: •mMo% J • :Q■� 1N � • � fr ■ tC O lil r� I Lam'Air .-� z UY �s■ear NC.53 0 o Cn v� w � o ~i~ 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 LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS '""~7 ~_v /DISTANCE TO: ~a~7 Absorpt~ea¢ Dwelling ~ ''Z PER~7~ ~ ~ Manufacturer ~~ , ~ _M i ~ / No, ofco~partment;~ Li~a~it~n~llons IF HOMEMADE: Inside length Width Liquid depth ~_~O ~ ~ Manufacturer~ ~ Material Liquid capacity in gallons ~ ~ F ou ndat~ ~ Neares~ine~ No. oflines / ken~thofe~l~ ~ Totallen~l,ne~ Trenc~,~h ~' Distance~as -- inches ~~ ~OP oCer aish grade~ ~,: ~¢~,/ ~*ci~, beneath tile ~:~ ~ t'inches Total effec,vo absorption area ~ Length Width Depth / . PERMIT NO. ~ ~ Tgpe of crib Crib diameter ~r[b depth Total effective absorption area m Well Building foundation Nearest lot line ~ DISTANCE TO: m~ Class Depth~/~ Driller I Distance to lot line PERMITNO. Buildihg f~n~ation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: PIPE MATERIALS OTHER I I '~ INSTALLER (~ 72/4 13 (Rev. 3/78) F'ERHIT NLq. DEPF~RTHEI'.,IT OF HEFIL'T'H FIND ENVIR. OI'-,IMENT'RL F'ROTECTIOI'.,! 825 '" L '" STREET., FINCHORFp3E., F-:lf.:::. ;;? 64 - 4';:"'2.0 ~:'.'~ 11"-4t ........ :~E;; ::Il.: qr" E '-"~ ES II.-.!I EC .11:. F .t I _.I'- N F L 0 C FI T 101",1 L..E G F-iI.~ H'¢ERS CONST . ., ,~"0. E OX -"='~' 'ETERS ,CREE '.: LOT 2: E, IEL .7: '. L. OT SIZE ~:1~1'9(10 S(;:IURF.:E FEET T'¢F'E OF SL'IL REqf"~F;'F'TION .-.,t.z. TEM IS TF.:ENC:H HRXIMUH NUME:ER OF E:EE:,F. pZuZff'tS = z',L IL RRTING ,.c .3 F I,- E,F... -. THE REQUIRED z,I,.:E -'~F TFIE SOIL hE,.:,_F.F lION SYSTEM IS: THE LENGTH DIHE'NSION IS 'THE L. ENGTH (IN FEEl'::, OF THE TRENCH OR DF.:RINFIELD. THE DEPTFI OF R TRENCH OR PIT IS THE DISTRNCE BETHEEN THE SIJRFRCE OF' THE GROUN[:, RND TNE BOTTOM OF THE EXCF¢,/RTION (IN FEET). THERE IS NO SET HI[:,TH FOR TRENCHES. THE GRFI'v'EL DEF'TH IS THE MINIMUH [:,EPTH OF GRFI',,,'EL BETWEEN THE OUT'FRLL F'IF'E RND THE BOTTOM OF' THE E',4CR'v'RTION <IN FEET). F'ERMIT RF'F:'LIC:RNT HR'.:.; THE RESF'ZNSIE:IL. IT"r' TO INFORH THIS [.EFHF..TflENT [:,LIRING 'T'HE FF .FEF. I -r FIND THE INSTRLLFYTION I[LFE_.TIONS OF RN"r' WELLS FtE,,I'RZ:ENT TO THIS '"' ..... '"" NUP1BEF.': OF' F.':ESiIE:,ENC:ES THRT THE I.,.IELL HILL _-,EF..,,E. .............. .. .. u N :. R F: E F~:: E,:;-, U .~ F;.'. E D, T' t..,.! C, ,:" ;F2 ":, ]: f-~ S; F' E C: l' I - ' ..... E:F~C:KFZLLING 3F Fff.,l'¢ :,~: FEll WITHOtJT FINRL INSPECTION RND RF'F'RCWI:~L D'¢ THIS C, EF'RRTMENT HILL E:E SIJBJEC:T TO F'F'ZSEC:UTION. MINIMLIH DISTRNC:E BETI.,.IEEN f~ HELL RND F]N"r' ON--SITE SE.WRGE [:,ISF'OSRL SYSTEH IS :I. OR FEET FOR F~ F'R.I'v'RTE HEL. L OR t50 TO 200 FEET F'ROf'I R PUBLIC WELL DEPENDING UPON THE T"r'F'E OF' PUBLIC HELL. MINIHUH [:'ISTRNCE FF-'.OM f't F'RI'v'RTE FIE[..[. TO R PRI',/RTE SEWER LINE IS 25 FEET RND TO F! COHMUNIT"r' SEWER LINE IS 75 FEET. OTHER. REQUIREMENTS MFI"r' RPPL¥. SPEC~F'ICRTIONS RND CONSTF'.IJCTION [:."IRGRf~HS RRE R'v'FI:[LRDLE TO INSURE PROF'EF: INSTRL. LRTION. t CEF..'TIF:"t' THRT Z: I RM F'HHILIRR .b.tITH THE REQUIREMENTS FOR ON-SITE SEHERS F~N[:' HELL. S RS SET F'ORTH BY THE HUNICIF'RLIT~t' OF RNCFIORRGE. 2: I WILL INSTRLL THE S't'S'TEf'I IN RCC:OR[:'RNC:E P.IITH TNE C:ODES. ]~:: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MR'¢ REQUIRE ENLFIRGEHENT IF:' THE RESI[:,ENC:E IS REFI]D[:,ELE[:, TO INCLUDE HORE THRN :~: BE[:,ROOHS. ., O ~ E GEP~ECHNICAL 8- DEVE~-'~PMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 6952774 or 688-2280 Russell OVster Earl Ellis 694-2774 SOIl. LOG r~-22~o Soils Et Foundations Land Development Performed for: Tel. No. Mailing Address: .... Legal Descrlptton:.~(~m-~ Depth (feet) So1) Ch)ractertst!cs 3 4 5__ 6 7 8 9 10 11 14 15 16 Ground Water Encountered: Yes__ Proposed Installation: Seepage Pit , Co~ents: No P:' If yes, what depth Drain Field Perfo~ed by: Date: December 29, 1978 Smiley's Realty Box 1086 Eagle River, Alaska 99577 Subject= #780160 Lot 3 Block 3 Eklutna Heights Subdivision %780158 Lot 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 expired. 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 N. Buchholz, Senior Environmental Specialist LNB/ljw enc~ copy of permit L..X}CFIT ]] 01',1 (]~:IN[:, I..,' .[ ... I~.,}EIF:]:;' LEGFII .... L.:Fi: I}F:]~: FZKL.J..rT]'.,IFI FiT:iii; TYPE OF::' :Fi;OIL I:::lliF::iF;i]F;i:li:"::TI()N '.:F;"r'S:;"l"l~i]vI :[':'~;: I_.OT 'S t T R E N C H I'"IFIXIHLIH NLIMBEF~: 01::' IF~:IZ[)F;~:OOH:~!; = THE L..Et",tG'T'H [)! ME]",t::F; I ON I S 'T'H[E LENG"I'H ( t P,t F:'EE:71" ) OF 7]'"lieF: TF;~:EP',IE:H OF;i: [:,I:;i:FI ]1NF:: I IEI....t]:,. "f'H[!!: [::,E[::'TH O!:: FI TRENCH OR PI'T' :IS:, 'T'H[!~: I:::,IS'i;TI::INCI!E li'?ETI.,.IEE']",I THE :i!.:,I...IF;~:F::'I:::ICE OF::' 'T'HIL:: GF;:OtJN[:, I:::11",11} THE liii,:3'r'TOM OF:' THE IEXCi:::IYI:::I'T'IOI',I ,:: I I'-,t F::EET). ]"HERE :[:Fi; t'.,10 SET I.,.III}TH F::OR TRENCHES. THE (:ii!:;i:I:::I',,,'EL. [:,EPTH I:E; THE MtNthILtM [)EF:'TH (::il:::' (Fi[;.:I::I',,,'EL.. E:E'T'HE:EN THE QI...I'I"F::FII....[... FIN[:, THE liF',OT'T'OH OF::' ]]-.Il!iF EX(:::FI'v'i:::ITIOt',I ,::IN FEET). l:::'l~i:l:;i:l','1:1: '1" I:::IF:'F::'L I CI:::II'.,FI" I-..I[::IS THE RE:E;F'ONS~; t I!F: I I.... :1: "1' r' T '"l ]' i'.tF::ORM "I"H I :E; [)EF::'I:::IF;i:TMENT [)1...t~:;?. ]: I'.,~l]i THE I I'.J:F!;'T'FIL...I...FiT I (]1'.,I I I'.,1'.::: F::'IFi:CT I Ol',t'.:il; OF [:i;'.,IY I-,.IE:L..L'.E; I:::t[':, tT.:ICENT 'T'O "1"1...I I S I.. I... F I F I I:::1;'.,][) THE I'.,I!...II"'tI~F~Ii~:t:~-: OF::' RESII}EI',IC!S:iF; "I"HI:::I'T' THE t,.tEL. L. t.,.tIL. L. '/:i;E:I:;5,,'IE. IFi:FfCI<F::' I L.L I NG OF::' I::INY '.:F;Y'."F;T[i!]'"t t.'.I I TH(]liT F: I i",!FIL I I",I:!~;I::'ECT I ON F:tI',t[:' I ~ I. , I "I"H ]'. S E:,IiF]:::'F:IF;i:TME]',IT L,.I I I....I._ F.:i',IZ iF~;I...Ili::':.3'ECT ]"f.} F::'F;' '" '::: F_'L"'I IT I ON. MI I'.,tIt'ILIM [:,]::F!;TFII'.,ICIE BIFi:TI.,.IIEL:EN F:I k!EL.L. FIN[:, I::INY ON.....:ii!;!'T'E S:,Et,.IFIGE D ISF'OSF:IL. SY:Fi;'T'EM !:Fi; ::l..Eir/; F::'EIlF:T F::'OR I::[ F:'RI'v'I::tTE I.,.tEL. L..;~,OF~'. ::l..SEI ]"O ;288 F:'EET FROM I::1 F::'LIE~L.I~: I.,.lliF:t....L. [)EF:'ENIZ)ING UF:'OI'.,I THE TYF::'E OF::' F::'I..I[F:L. IC !.,.tEL.[ .... CCI"HIEF;i: I:;i:IFiX;:tLI I I:;i'.[EMIii:I'.Ft"::~; Ht:::IY F:IF::'F'L..Y. :Fi;PEr.':: ]: F:: I CF:II" ]: (]I",I.S I::tN[) E:C~i'.,IS"I"I:;i:I...ICT :1: ON [:, I I:::IGF;~'.I:::ti"I:F!; I:::IRE F.:I',,,'I:::iII._FIE',LE TO II'.,t:!il;LIF;:..'E F:'F;::CIF::'EI;i: INS]"Fil..J....I:::ITION. C Et:;;:'T' I F:' Y T I'"11:::1T :1: t::11"1 F::!::iI'"! I L. I I::tR I,.1 t 'T'H THE F;~:I~F:(;:!LI I F;i:I!F]"IEI"~"I":!F; F::OR ON-:Fi; t TE S:;EI.,.IEI'X'::!:.:; F:II",I[:' t.,.!lFi:L...I....:iii; Fl:Fi; ':: E T I I:::' TI'"IIF}: NEW CONSTRUCTION DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NSPECTO MUNICIPALITY OF ANCHORAGE NIUNICIPALffYoF OFH r_-AtZi IANCHORAGF'& DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT' ~25 L Street - Anchorage, Alaska 9950] ~V~RONM[NTAL p[~OT~CTJO~ ENVIRONMENTAL SANITATION DIVISION j ~. ~ ~9~ Telephone 264-4720 DIRECTIONS: Complete aH parts on page 1, Incomplete reques~ will not be processed, Please allow ten (10) days for processing. PHONE 1. PROPERTY OWNER 694-2980 ~AI LING ADDR ESS ~.0. ~ox 35[, Chu~a~, ~ PROPERTY RESIDENT (If different from above) PHONE PHONE 2. BUYER MAILING ADDRESS PHONE 4. REALTOR/AGENT None ~A~UNG ADDRSSS 5. LEGAL DESCRIPTION Eklutna Heights Subdivision Lot 3, Block 3, xC~R'-~-m~x~x~P~ext~x~X~k~ ;TR RET LOCATION Chugiak Drive, Peters Creek, AK 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four [] Other~ ~] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six 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** 1981 YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY 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 I--I 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: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line Septic/Holding Tank IAbsorption Area ISew§r Line JNearest Lot Line 5. COMMENTS DATE [~'"'~APPROVED FOR .-~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79)