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HomeMy WebLinkAboutCONTOUR ACRES #3 BLK 3 LT 2Eix #017-451-10 f Municipality of Anchorage Department of Health and Human Services aullft Safety Melon On-Ske Water and Wastewater Program, 4700 South aregew Street P.O. Box 19eb50 Anchorage, AK 995IM50 Page 1 of 2 www.d.andiorage.ak.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW W040415 PID Number. 017.4514 IM,nnis IL Mpligga Mitt -hal Wastewater System: ❑ New ® Upgrade "1d " araABSORPTION FIELD phone: warardBaaoane: ill 13 13DW Tmnoh a ehwowrmam 09ad O MMM M cow: Tank LEGAL DESCRIPTION ` Tad D"M rrmr saga" Vada stick Lot 31AWYM : 3 2 Contour Acres #3 Dephe•MPeaoaomeemaimnd Vadr. PL orwd"0 ov"aM OR: FL Toeeaho: Rwyp: eactlen: Waddodahow odW"aarade: ft. Dmvd Lwger: FL Well: ❑New ❑Upgrade o'""�: rwmbwdkm: DrhrwlaMwenawa: FL R CW+awtlon LPdwb, A, a. C): Told Daper: Caaedta Tard atewplbn arca: Pipe Macaw: Exi • Pe 3034 PV Draw: Dde D~. swowWr Lard: ache,. Home Services Dd•srwwad: 10/112004 R A± wM: wmpeaat DwnawWardAb"QMnd: TANK OPM R, R SEPARATION DISTANCES ® septic ❑ Hdding ❑ S.T.E.P. ❑ OBxr. To From Septic Tank Absorption Field Ukt station Hdding Tank biwAivars sewer Lina M""'�"'r Anch Tank caoaeer: 10000W. W09 104.4 100+ 9b Steel ramh«dcamPwan.a.. 2 aw.w.w 100+ 100+ LIFT STATION Lafthw 115.8 50 Sin: QW. Mwxarmaw 22.3 10+ 1k"Vo'adat Tu"Verwdd: wowdwdamat FoundMm WL ti in 100+ 100+ Pure Mdwa Mods EMtldal ►np.etlaa Prtwar.a ay. C"WrD"In Tank Replacement only. Installed 2Inches rigid BENCH MARK Lwaem and Daw"W: Insulation over tank. Installed double clean -outs Front Porch at Threshold before & after tank installed no diverter valve. Awunad Ewaden: 100.0 R Engineer's Stamp .�X�sssara,,• OF Inspections performed by: Pannone Eno. Svc Dates: 1"10/1/2004 OF 491H 10/0 /2004 Department of Health a d Human Services approval _ - Steven R. Pannone i Reviewed and approved by. Date: X No CE �[�9�� . .6, I .-., ---- ------ 1 SI AT sur +CDP 1 +001W., wr ! kil ca up I Of +CDP 1 +001W., 'Y11% bvA v Of I A - Ai r IA ...... .. ... .... ...... . . ...... ... ........... - ---------- - 'Y11% bvA v PERMIT NO:SW040415 RECORD DRAWING WASTEWATER DISPOSAL SYSTEM Lot 2, Block 3 Contour Acres #3 Subdivision ;.135A"111 � NOTES: 1) All work was performed in accordance with AMC15.65. 2) Materials used was in accordance with those specified in AMC15.65, Wastewater Disposal. 3) Connected post tank line to new diverter valve & exist'g fields. 4) Installed double clean -outs before & after tank. EXIST'G I L-- P.I.D. NO: 017-451-10 INSTALLED DOUBLE C.O. BEFORE TANK 25.6 104. \ L -IN � XIST'G 3 BR HOUSE CRIB \ \ 100' WELL' "- RADIUS NO WELLS W/IN 100' OF NEW TANK �AQUF\ �RO CO A B OVER TANK T1 22.3 28.5 80.8 84.5 T2 28.2 34.6 T -I 14.0 7.0 a� DESIGN HOUSE �'] NEW 10008 3 OUSE TANK REPLACEMENT ONLY R 3Et'TICTANK 1000 GAL. SEPTIC TANK Dennis & Melissa Mitchel 5001 Vaquero Road Anchorage. AK 99516 PANNONE ENG. SVC, LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fox NTE_ 10-2-2004 RECORD v 2 O NEW 1000g SEPTIC TANK CC INSTALLED DOUBLE m CLEAN-OUT & NEW Z BALL -TYPE DIVERTER VALVE Q 168.5 in NO WELLS WAN 10(r ;.135A"111 � NOTES: 1) All work was performed in accordance with AMC15.65. 2) Materials used was in accordance with those specified in AMC15.65, Wastewater Disposal. 3) Connected post tank line to new diverter valve & exist'g fields. 4) Installed double clean -outs before & after tank. EXIST'G I L-- P.I.D. NO: 017-451-10 INSTALLED DOUBLE C.O. BEFORE TANK 25.6 104. \ L -IN � XIST'G 3 BR HOUSE CRIB \ \ 100' WELL' "- RADIUS NO WELLS W/IN 100' OF NEW TANK �AQUF\ �RO CO A B OVER TANK T1 22.3 28.5 80.8 84.5 T2 28.2 34.6 T -I 14.0 7.0 a� DESIGN HOUSE �'] NEW 10008 3 OUSE TANK REPLACEMENT ONLY R 3Et'TICTANK 1000 GAL. SEPTIC TANK Dennis & Melissa Mitchel 5001 Vaquero Road Anchorage. AK 99516 PANNONE ENG. SVC, LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fox NTE_ 10-2-2004 RECORD Municipality of Anchorage Awe Department of Health and Human Services 825 "L" Street Tom Fink, Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 January 8, 1990 Donald Peterson 5001 Vaquero Road Anchorage, Alaska 99516 dhhs Subject: Lot 2 Block 3 Contour Acres 3rd Addition Permit #890254, PID #017-451-10 The subject permit, issued by this office for a single family well and/or on-site wastewater system has expired as of December 31, 1989. Permits are issued on a calendar year basis by authority of the Municipal Code of Regulations. A new permit must be obtained from this office for an well and/or on-site wastewater system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as -built inspection report (three-part form) must be sent to this office for review, approval and documentation. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely, John Smith, P.E. Program Manager On-site Services JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name O h R ld �� e -r" D DISTANCES TD FROM SEPTIC TANK ABSORPTION FIELD WELL Address I-001 1% ✓t e ry �o ac� /i� 9 / 6 WELL LOT LINE Phone(s) J — 36©S Permit No. 100016 No. of Bedrooms 3 LEGAL DESCRIPTION Lot 0 2 Block Subdivision 3�� p. reA FOUNDATION g O Township, Range, Section 1,2A) 2-3" 51a.3 — r/ _/a AS -BUILT DIAGRAM driveway, water bodies, (Show location of well, septic system, property lines, foundation, etc.) TANKS l SEPTIC�s�� ❑ HOLDING T2 ee Manufacturer Capacity in gallons o7' % >< A c •21011 C ;7, 1jr • _ � Z I 0 1►N a! Material No. of Comp ants TYPE OF SYSTEM ❑ TRENCH ❑ BED lZ W. DRAIN ❑ OTHER Depth to pipe bottom from original grade FT Total depth from original grade 7 � FTL �' T�/ ! e� jcj Cf _ If Fill added above original grade FT Gravel depth beneath pipe , IT. S^ FT Gravel length 11-6- FT Gravel width S FT Total absorption area �Q SQ FT Distance between lines FT GO lup 31 e Number of lines Soil rating SQ FT Pipe material S*V jt 3S' "/O Installer �x , Sym � Date Installed �y WELLS PRIVATE El OTHER (Identifv) Classification (A,B,C) JoWDepth FT Cased to FT Installer Date Installed: REMARKS: %%eNe(1 Z� eePer z.� �gn a �� a X l 7 M,.L-4, 7y.A�ir_4;1, t I Lgll p—Q�Z ENGiNEER'SSEAL Iections Performed by: Date: ZVN9 a certify that this inspection was performed according to all e Municipal and State guidelines in effect on this date: fD Health Department Approval: Date: Z4,l 72-013 (3/85) MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & 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: SW040415 Legal Description:10ONTOURACRES #3 BLK" 3 LT 2, Design Engineer: 0062 Pannone Engineering Services Owner Name: MELISSA & DENNIS MITCHEL 16/1/6� /:t5ppqn Date Issued: Oct 01, 2004 Expiration Date: Oct 01, 2005 Parcel ID: 017451-10 Site Address: 012746 BAINBRIDGE RD Lot Size: 97574 SQ. FT. Owner Address: 5001 VAQUERO ROAD Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516-3015 This permit is for the construction of. ❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must 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 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. 5. The following special provisions. New septic tank must meet the current setback requirements of AMC 15.65 Received Issued Date: rd (t I Q V Date: 1 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 1 {S ( ^40 Permit Number SW Property owner(s)._M& I 'V)a--k- "Ztk5 &A1c11& A\ Day phone Mailing address Sdot Vks rpy Zip Code 4 4,9-1.6 Site address /162 Nw akoi;Cq&, LtA _Zip Code Legal description (Lot, Block & Sub'd.) X13 3 �' Otyza NL Ac R #k 3 Legal description (Section, Township & Range) Lot Size 97 Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade -r jVjh ov o- 9 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 Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees:''A,o(`1 00 Waiver Fees: Date of Payment: Date %�f I Date of Payment: Receipt Number: f1! 1ry 1fs Receipt Number: (Rev. 09/04) � i ,. w_ e�• •e Slite.f 2 ��yl VIV,GIt A�AM,s 04 f S -2251 • �i r eeweo c�,t ,I� p#vcrsr.O &life• e w�,vu+�eov09 p ae �e - /I o 0 Sao* oNLV • • reg � S 0y NOft• The lot 11 4 . • 'Z�rz�'�ss asp +P.yA404-tow fir41 49� / :* ♦ t_407L4% • {•..•....� ,• ..........$0 /aN Rtb WS ��Ot.• ; STEVEN R. Pp*ONE a�� STAC(u.J4 TE% ~ � .4,Z too' otuRr0.TsuS sce.e r.so � I,tPRO ESS10`p��� eaeer �...ti...,e�. l�w Win• J Mr w...�.e •o r•d pos"11• UL -1 am X MANire�rnrw ear' +1 �►' . Ireee, ueeedip hrdrt4 AMekw •neI Mee M. • M Mt posoll WAN •Amd M•NM. Mee ".08 Ye e+•wdr Vw 04me eeW4- M Nn �IMYIN M MM�Me M/ "M•re •M M e -A -k4 ewewe %W et .. 4&W jb&h ONOW" M god ero'wer ewer r e a..bt UM& Amc%soovs .ei a ti A pre 1 191x- Vp 0 a. H? 4Cutk . r•N�d �,`•°'w'��r'^^'^"'�ruv.u...n+o a i nvsm...u.T. vw«nw,nn.r �" 'T1 "i j •P ova x.`a ,�,+ `� �tYT,: D Mr«.';� ,..w.�."fit , h.',d �ryr' f i A .l .^. rY' `• �p t a Ga s i R 'rnrc rA , �-.......,,,."e� � Nr .• •, I-�"a ff� 1S C ,r ¢ *It T.1 s .V?:•S:frY 4M+YYdi°,..4 M1+F �, :d ��!":.a f � L.3,: A,.. 22 k,.t>x.k� TL f8 4Dr :SA N •P ova x.`a ,�,+ `� �tYT,: D Mr«.';� ,..w.�."fit , h.',d �ryr' f i 4 rY' 4 ,r ¢ *It T.1 s .V?:•S:frY 4M+YYdi°,..4 M1+F �, :d ��!":.a f � L.3,: A,.. 22 k,.t>x.k� TL f8 4Dr :SA N MUN�C1PAL1lY OF ANCHORAGE Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 ON - SITE 8EWER PERMIT � )/m Permit Number: 900016 Upgrade "°`~A'��^/�l��'=~ Date Issued: 12/19/89 Engineer Designed Owner Name: DONALD PETERSON Owner Address: 5001 VAQUERO ROAD ANCH, AK 99516 Parcel Id: 017-451-10 Lot Legal: Subdivision; CONTOUR ACRES 3RD AD Section: 27 Townshipx 12N Range: Lot Size 97574 (sq.{t. or acres) Max Bedrooms: This Permit: 3 Total Capacity: Day Phone: 345-3605 Lot: 2 Block: 3 3W SEPTIC TANK: Minimum total septic tank capacity: 1,000 gallons. Each septic tank must have at least 2 compartments. Depth to top of septic tank(s) < 4.0 feet requires insulation over tank(s). DEVIATION FROM APPROVED ENGINEER'S DESIGN REQUIRES DHHS APPROV- AL PRIOR TO CONSTRUCTION. NOTIFY DHHS BEFORE ALL INSPECTION" EXCAVATIONS MUST BE OPENED/CLOSED THE SAME DAY OR BE HEATED OVERNIGHT. THIS PERMIT IS FOR A 3 BEDROOM SF RESIDENCE ONLY, AND EXPIRES ON 12/31/90. A LIFT STATION REQUIRES THE APPROPRIATE ELECTRICAL INGPECTION., I CERTIFY THAT: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms. l also understand that the capacity of the total system is 3 bedrooms and any enlargement will require an additional permit. Szgned: uwTIE : -~S________________�_______________..... (Owner> DONA| Issued By _ DATE: ..... ..... ..... --..... -..... _------..... ..... ----------~���- --r7--�------ .. ' MUNICIPALITY OF ANCHORAG£ Department o[ Health & Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 ON-GITE SEWER Permit Number: 890254 Upgrade Date Issued: 10/30/89 Engineer Designed Owner Name: DONALD P�TERSON Owner Address: 5001 VAQUERO ROAD ANCH, Al,". 99516 PERMIT J Day Phone: 345-3605 DEVIATION FROM APPROVED Parcel Id: 017-451-10 AL PRIOR TO CONSTRUCTION. NOTIFY DHHS BEFORE ALL INSPECTIONG. DRAINFIELD EXCAVATIONS Lot Lega1: Subdivisimn: CONTOUR ACRES .3RD AD Lot: 2 Slock: 3 OVERNIGHT. Sectionx 27 Township: 12N Range: 3W BEDROOM GINBLE FAMILY LotSize 97574 (sq.{t_ or acres) Max Bedrooms: This Permit: 3 Total Capacity: 3 SEPTIC TANK: Minimum total septic tank capacity: 1,000 ga1lons. Each septi� tank must have at least 2 compartments. Depth to top of septic tank(s) ieet requires insulation over tank(s>, DEVIATION FROM APPROVED ENGINEER`S DESIGN MUGT HAVE DHHS APPROV- AL PRIOR TO CONSTRUCTION. NOTIFY DHHS BEFORE ALL INSPECTIONG. DRAINFIELD EXCAVATIONS MUST BE OPENED AND CLOSED ON THE SAME DAY OR BE HEATE� OVERNIGHT. THIG PERMIT TS FOR A 3 BEDROOM GINBLE FAMILY RESIDENCE ONLY, AND EXPIRES ON 12/31/89. I CERTIFY THAT: 1. I am 4'ami1iar with the requirements for on-site sewers and wells asset forth by the Municipality o{ Anchorage (MOA) and the State o[ Alaska. 2. I will instaIl the system in accordance with all MOA codes and regulations, and in compIiance with the design criteria of this permit. 3. 1: will adhere to all MOA and State o[ Alaska requirements [or the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid {or a maximum o[ 3 bedrooms. I also understand that the capacity of the total system is 3 bedrooms and anyer"il ment ill iari additional permit. SignIlk- ed: (Owne ) DONA Issued By DATE: � _..... ..... ..... A EC ALASKA RUIROMMAL COnTROL SRUIUS, InC. Enqineerinq & Enuironmenial Studies 1200 West 33rd Auenue, Suite B * Anchoroqe, Alaska 99503 9 (907) 561-5040 TO DAT .. ... ..... .. . ....... ... ......... - . ....... . SUBJECT . ......... Y-Irld If./4, A EC S ALASKA RUIROWnTAL COnTROL SCRUICCS, IN. Q Engineering & Enuironmentnl Studies SPECIFICATIONS FOR A FIVE -WIDE WASTEWATER TREATMENT SYSTEM LEGAL DESCRIPTION: LOT 2, BLOCK 3, CONTOUR ACRES 3RD ADDN. 1.0 GENERAL 1.1 The Drawings, sheets 1 thru 4, shall be a part of this specification. 1.2 All materials and workmanship shall meet the requirements of the Municipality of Anchorage, Department of Health & Human Services (DHHS), the conditions of the permit, and all applicable rules and regulations currently in effect. 1.3 All elevations and depths are advisory and are to be verified or modified in the field by a DHHS approved inspector. 1.4 It is the responsibility of the property owner or installer to adhere to approved designs for installation, maintain the specified separation distances, and have the appropriate inspections. 1.5 It is the responsibility of the property owner or installer to report to the engineer any observed conditions which would put the system in violation of state or Municipal regulations. 1.6 If the installation is not inspected by an AECS engineer, AECS will not be responsible for the installed system. An engineer at AECS should be consulted prior to construction, to determine the number of inspections that will be required and to explain what these inspections will involve. 2.0 SEPTIC SYSTEM 2.1 The existing septic tank may be used, if it meets the capacity requirements for the residence and the approval of DHHS. Older systems may need tank integrity verified. If not, then specifications 2.2 through 2.6 apply. 2.2 The septic tank shall be a UPC -approved two-compartment tank, constructed of 12 gauge steel with bitumastic coating, set level on undisturbed soil and insulated with overlying layer of 2 inch burial type polystyrene. 2.3 The septic tank shall be a minimum of 5 feet from 1412 W6St 33R6 Avenue 0 AnchoaaGe. Alaska 99503 0 (907) 279-5553 the house foundation, and a minimum of 5 feet from the absorption area. 2.4 The septic tank and drainfield shall be a minimum of 100 feet from any private well or body of water, 150 feet from Class "C" wells, and 200 feet from Class "A" or "B" wells, unless otherwise specified. Less than the required separation distance must have prior approval or waiver by Alaska Department of Environmental Conservation (ADEC). 2.5 Piping shall be fitted with a mechanical watertight calder coupling of the inlet and outlet of the septic tank. Piping shall be 4 inch ASTM D-3034 or cast iron, sloped a minimum of 1/4 inch per foot from the house to the tank and 1/8 inch per foot from the tank to the trench. 2.6 Cleanouts shall be installed as designated, capped with air -tight rain caps (Jim Caps or equivalent), and extend a minimum of 2 feet above ground level. 2.7 If a lift station is required, it shall be a combination lift station septic tank per Anchorage Tank and Welding, Inc. design. Specifications and design drawings are on file with the Municipality and the engineer. 3.0 DRAINFIELD 3.1 The gravel for the drainfield shall be 0.5 to 2.5 inch, screened rock with less than 3 percent passing the No. 200 sieve. All substitutes must have prior DHHS approval. 3.2 The bottom and side of the excavation shall be raked with the backhoe blade to ensure that it has not been compacted during excavation. The bottom elevation shall be level. 3.3 Monitor standpipes(s) shall be placed as shown in the drawings, and shall be rigid PVC ASTM D-3034, or 4 inch cast iron. The section shown with holes may be drilled 0.5 inch holes on the 6 inch centers on opposite sides of the pipe, or a regular section of perforated sewer pipe, clamped to a solid section, with either a no -hub coupling or a solvent joint. The perforated section of the monitor tube shall be located in gravel only. A rubber rain cap (Jim Cap or equivalent) shall be placed over the top of the pipe. 3.4 The distribution pipe shall be 4 inch rigid PVC with a minimum crush strength of 1500 pounds or equal. All distribution pipes shall be laid level. 3.5 If the final grade of the drainfield is less than 4 feet from the gravel, insulation is required using burial type polystyrene rigid board insulation. There shall be 1 inch of insulation for every foot of soil less than the required 4 feet of cover, but there must be at least 18 inches of soil cover even though insulation is used. The solid pipe extending from the septic tank or lift station to the drainfield shall also have a minimum of 4 feet of cover or an equivalent layer of insulation to prevent freezing of the line. 3.6 Filter fabric is required on top of rock. 3.7 It is recommended that the area excavated and the area in the vicinity of the drainfield shall be planted with a white clover, red fescue mix, or with Kentucky bluegrass. 4.0 INSPECTIONS 4.1 A minimum of three inspections are required for installation of the trench. The first inspection will be of the excavation to verify that the installation will be in the proper soil. 4.2 The second inspection will be after placement of the gravel, monitor standpipe(s) and distribution pipe to verify proper installation before backfill. 4.3 The third inspection will be after final backfill, grading and seeding to ensure that adequate soil cover has been proved over the drainfield. 4.4 The inspection of the septic tank can be incorporated with any one of the above listed inspections. 4.5 The lift station will require either an MOA electrical inspection or certification by a licensed electrician depending on whether the building code applies to this part of the city. ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561.5040 JOB /02 03 c0�-7L7v4� 4cro-r SHEET NO. / bb OF CALCULATED BY Ct'`� DATE CHECKED BY DATE SCALE 3 0n_ sttc size -:_ /000 Crl_b J a./� 1,_ adQp�2 ...... , /eS'A . :..._.......Vf9/_.(.Sol / .d.tim-A Ar Z A /44s ._..B..i v ["D�� ti ��G.�.S 7v'o,,..�. P�r�T•2 Cry �2n.......5=f_Syf.�Jnte�fa�ow. ........ ........So. is r . ..7 %Q.Ic ... ..... ... sa. ......... SZ? bo. _ ....... . ..... ... . JJ�Gzvst° 41� TGIE �rlG e t %2n d� e--4 e- I �rl�� .�.f` V� // i vaC..ve a1►ver.%`., 0ow 7AG pl.,e4j c ...... .... rr,�.a�e OF A goo .... ............ .. PROM 2041ees Inc., Gorton. Mea 01471. U i 1J at s e • kv +�o.e � iaa 3 � 7• vz. •� OF A,0009*9 4��► I � •.•.• ...fit i LE C. REI;, JR. R 0% E - 225140 41 see 4 profeword% . 0 0 ,. 194. ! t d Sa7' G ,c5' �,] A4V- . Re,ene Co T/i - �., .. 00 r t-:.o",r tip. 4 wo. sR. Nte JI ver -s Ion --- 0 � O C f, 16.11 r I 7 4 in -- { It •09 i s°'� ed09 rte AIIso. aZ 2.2¢ Acros Node: ?he /ote�e,�dj wc�/ � l 000, �jtyond end •e.�7�re��..t �oe,'�'f, �' s� j • �i � vc2•r s, 1 • 4V ' SCI•• so' � �p Ar.F AS aatLr .— I hereby certify that 1 have wmeyod the following described property, Lot 3 - Awd` 3 AddiIL Aceta • TO SVP - A K t o - recording Precinct, Alaska, and tenet tM Impro"menti situatedthereon. are• within the property {Ines and `do nor overlap Or encroach on the properly lying adjacent thereto, that no hnprovsmenb'on property Iying adjacent thereto encroach on the prembes In • question and that there ore no roadways, tronsn►isior► *48 Or Othw vbibb easements on said property except as indicated hereon. Anchorage. Alosica t A p r - i O .•.'_SAF A i - U 71 D U JZ m QHa D Z a m � O Z N L � O W In � U Q 2W O M m w z „ L U O .. OE> Q m o H p a >W C2o ❑ H Z (n u J W J z U) <0 3 wYQ O m m w o In F- Z m N ❑ QZ ui I to 1~jJ QOQ JH (UN w ❑ .. N I U ❑ J IL w H W F- a c Q Y ❑ ° Q o H V U Q J y m X O Z O w Ill IA Q O 6 H H > AM a 4) 000 0 3 N Cl Y w L C9 U H LO = m ow IL ❑ ''- H H F H Q C U Z ZZ"♦` O Ill Qa I��i wj wo IL ❑ MH U O Z II U.H O IL O w IL d O >- f- ¢ Q H Cl w to F-Q O J a s O U lr } j w 0 Q Q H N O m a �, a Q J O 3 Q H w w w Q N U (U ILH � o� H ❑ m H F- N N lL H ❑ H N p N Z U) ❑ ❑ H ❑ H Z Q w F Z ❑O (0 ❑ F- O H H Cl w > o Q ED ❑ Q F- Cl HU ❑ 3 X p Q in Q H In w J U 5'A e eyt A� of e Municipality of Anchorage u•;9 DEPARTMENT OF HEALTH &HUMAN SERVICES �r . ���� �����.�• . A 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST y . RIND, JR. ; r PERFORMED FOR: R�� �Fcr,rerr DATE PERFORME�y� '416 LEGAL DESCRIPTION: ZR 63 Cvn' ur 4e--r-es .4,4,E 3 Township, Range, Section: j/a v �3w sad ,T�y DEPTH O SLOPE SITE PLAN u _ ctl 9 L 10 �� 7 '�I,-�Z F( WAS GROUND WATER �'' w1 ENCOUNTERED? Na s IF YES, AT WHAT OL 12 DEPTH? p E 13- 14- 15- 16- 17 314151617 18- 19- 20 81920 L_ COMMENTS _ / 2T A'/,&,C. Depth to Water After Monitoring? _T_ Date: /o (FEET) Depth tea[ Water .. 2 1 �� r,s �z„ hr7tw/ Nmmmwg-a— 3 . ' Sand 4 i szr � 4 5 r `'. 7tFz 6 8 u _ ctl 9 L 10 �� 7 '�I,-�Z F( WAS GROUND WATER �'' w1 ENCOUNTERED? Na s IF YES, AT WHAT OL 12 DEPTH? p E 13- 14- 15- 16- 17 314151617 18- 19- 20 81920 L_ COMMENTS _ / 2T A'/,&,C. Depth to Water After Monitoring? _T_ Date: /o PERCOLATION RATE `s (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND t 72 FT PERFORMED BY: I ' ke ri4 I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Depth tea[ Water .. Nmmmwg-a— . ' PERCOLATION RATE `s (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND t 72 FT PERFORMED BY: I ' ke ri4 I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) GAAB-HD-I G` -'SER ANCHORAGE AREA BORO' " -1 t,..,,RTMENT OF ENVIRONMENTAL QUAL,. 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING _?4 NAME eqe- ADDRE SROX-/43-3 Sef3 .—PHONE 346 LOCATION SEPTIC TANK: LEGAL DESCRIPTION 3 f7il_j'S NUMBER OF DISTANCE FROM WELL r��,F =�P<� MATERIAL -5 TI90K S Te -17 L- COMPARTMENTS— / I qoZ -7 OMPARTMENTS /7goZ-7 LIQUID LIQUID CAPACITY LO—O0 QQk _GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH J6 , , LENGTH / e / , DEPTH 6 / ! LINING MATERIAL �� ��-fig — DISTANCE FROM WELL , BUILDING FOUNDATION,—'R' NEAREST LOT LINE aAeL 120 / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 1S2f3 SQ. FT. TILE DRAIN FIELD: DISTANCE FROM NUMBER OF LINES ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADE , FOUNDATIO STANCE BETWEEN LIN SQ. FT. LENGTH OF EACH LINE NEAREST LOT LINE TRENCH WIDTH TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE DEPTH OF FILTER MATERIAL BENEATH TILE - IN. ABOVE TILE WELL: /U/ -o DSV_ct DISTANCE FROM WATER TYPE , DEPTH BUILDING FOUNDATION. SAMPLE NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE SEWER LINE , TANK SYSTEM_ CESSPOOL SOURCES DISTANCES: SOIL TF.Si ZOO 02ST I PbN P I! t7 TeAos i To PiP,e. Ca ST- Iftr� Aip-e, q l6rOm seprio _Tof,r leodtii --it Prr Ow, 1wu Clean - OA4T AAOt ,e& dT h *use eonrRolian Con11-01401o2 ! TCL) C'2�m�r� DIAGRAM OF SYSTEM T4 %� >4 �- fes• ce�b c�no�' �i r�commua DATE Ia�1�IlAPPROVED '�--�:`�l% C�rrw�'f�J G.A.A.B. GREH 1 ER ANCHORAGE AREA BomuUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 2G X�l 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 iy TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME OF APPLICANT _� MAILING ADDRESS k � PHONE ry �1+ INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT ✓!/ DRAIN FIELD OTHER , TYPE AND SIZE OF FACILITY TO BE SERVED -• �����®�� f���GtT �/ /�/" /Gy ��/�r`���/� FINANCED THROUGH L./ TO BE INSTALLED BY SOIL TEST RESULTS S�2 6l/ t7 �'��v '�GD/'may 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 /Q �` "� TYPE -r/SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS �s FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT �A DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT '� DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD s7 f �y SEEPAGE PIT ALSO CONSIDER AREA WELLS. f WATER MAIN TO SEPTIC TANK /Q SEEPAGE PIT /p w DRAIN FIELD SEPTIC TANK, --'Z-45'- 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 XUTHORITY OR LICENSED DESIGNER 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 DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. /7 - DATE �` "� APPLICANT'S SIGNATURE Donald veitoeriiaki - A sail teat preforwriee or, April 22., 1972 Show the following; SOIL CUMCMP.I.I.Me's 'I peal: uoptio1l 2 3 4 silty sands 5 G. 8 poorly graded sands 9 I.C. 13M Cround vqi, r was raot armount,.-Ired, ,tar rit Lot 2,,Bk.3 Contour Acres S�' A I:E' Q I to CZ wick -G C' Tk ho C- 200 square feet p2r bedracm nbould be go ag, . . cp, m, For a three bedroom house, a hole 251x251 was recommended. m 10 v m Lu O 0 O U.14e Ila N, t: 310, 5M,- . 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # CY-1 _ N - \0 1. GENERAL INFORMATION Complete legal description Lo .2 6k A o LA Ia-r�,>73 Location (site address or directions) 500 © i GL 0 i= Y- O Q- 0 Property owner Dor\AI..D I i= I i= P_So&I Day phone 3i-15- 36C5 Mailing address � 0-0 t L/Ao u L;zpl0 Q_ t� Lending agency Day phone Mailing address Agent a C6L Y -C Day phone 2_76-,27&j Address A C-0 'r✓°L Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: .3 3. TYPE OF WATER SUPPLY: Individual well x Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site 25' Holdingtank 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 5. STATEMENT OF INSPECTION BY ENGINEER 6. By: 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 furtherverify 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 nh�� 2p e-, i�>1=- Phone��- 5�'`�� Address 7 / L41 • � i w� c+t9f' �� Engineer's signature DHHS X__ SIGNATURE VON Date �4 %x.11 i Approved for _, bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 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 DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto 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 MEMORANDUM TO: All Interested Parties SUBJECT: Lot 2 Block 3 Contour Acres Subdivision #3, PID #017-451-10, HA910142 Health Authority Approval Certificate #HA910142 dated May 1, 1991 was approved by the Department based on field inspections and tests conducted by the private sector civil engineer. All parties concerned are hereby advised that the steel septic tank on the subject lot has been in service for over nineteen (19) years. Based on the typical service life of a steel septic tank, it is possible that this tank has some internal and/or external corrosion which would limit the future performance of the tank. Since the septic tank was not visually inspected by the engineer during the recent field inspection and testing, there is no way of predicting or assuming its present condition nor its remaining useful life. RWR/ljm:364 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: I•. v 1 .Z. i3 u 3� L01,40vY- A M.A4Parcel I.D. APR 26 199 RECEIVE D A. WELL DATA Well type 2G�S If A, B, or C, attach ADEC letter. ADEC water system number ly/A Log present (Y/N) X Date completed 5 ' L3. 7Z Driller /'D s s �r, l ►1< Total depth a09 Cased to a -o q Casing height /5 � Sanitary seal (Y/N) Date of test Static water level Well flow Pump level Wires properly protected (Y/N) FROM WELL LOG > 7y SEPARATION DISTANCES FROM WELL TO: AT INSPECTION 7-/0 -91 1(0"0" 5, b g.p.m. 1760 Septic/holding tank on lot /649 ; On adjacent lots )! X0-0 Absorption field on lot 156 ; On adjacent lots > Public sewer main NIA, Public sewer manhole/cleanout N�Q Public sewer service line ZA Petroleum tank HSA WATER SAMPLE RESULTS: Coliform / Nitrate N'D Other bacteria >) Date of sample: Z! `, t Collected by: i B. SEPTIC/HOLDING TANK DATA Date installed April 1412- Tank size I&0_0 Compartments 9- Cleanouts (Y/N) Foundation cleanout (Y/N) ^ Depression (Y/N) N High water alarm (Y/N) N /J Alarm tested (Y/N) TYZA Date of pumping �, 2 S- 9 / NO rl,� SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: f Well(s) on lot I 0'0 On adjacent lots i /49-0 Foundation To property line (00 Absorption field Water main/service line Z Surface water/drainage r/F� % em,4 tA 72-026 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE 74-41, C. LIFT STATION NZA Date installed Size in gallons Vent (Y/N) High water alarm level — "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" level at Cycles tested Surface water _ Date installed 1�6 I 14 O Soil rating 1 Z50 System type Ioyli d{ T 4.tW eA Length 5 Width 5� Gravel thickness ✓- 5 Total depth e i Total absorption area 6'0 1 Cleanouts present (Y/N) FJ Depression over field (Y/N) N Date of adequacy test NIA Results (pass/fail) NIA for N%. bedrooms Peroxide treatment (past 12 months) (Y/N) If yes, give date VSA SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot / 5 o On adjacent lots % [u -y Property line '30 To building foundation 8-0 To existing or abandoned system on lot 50 On adjacent lots , Ip--> Cutbank Water main/service line > O Surface water M`A Driveway, parking/vehicle storage area /0-0 Curtain drain P -1/A E. ENGINEER'S CERTIFICATION 1 certify that I have checked, verified, or conformed to all MOA and HAA guidelinesjn effect on the date of this inspection. Signature i Engineer's Name ! n 66< H 0 Du J �1!tP Ap�Fi® ¢u C kfy` A "k Date HAA Fee $ Waiver Fee: $ Date of Payment461-d6-1? Date of Payment Receipt Number c2r 3 2 Receipt Number 72-026 (Rev. 3/91) Back MOA 21 M E M O R A N D U M TO: All Interested Parties SUBJECT: Lot 2 Block 3 Contour Acres Subdivision #3, PID #017-451-10, HA910142 Health Authority Approval Certificate #HA910142 dated May 1, 1991 was approved by the Department based on field inspections and tests conducted by the private sector civil engineer. All parties concerned are hereby advised that the steel septic tank on the subject lot has been in service for over nineteen (19) years. Based on the typical service life of a steel septic tank, it is possible that this tank has some internal and/or external corrosion which would limit the future performance of the tank. Since the septic tank was not visually inspected by the engineer during the recent field inspection and testing, there is no way of predicting or assuming its present condition nor its remaining useful life. RWR/ljm:364 r�, • A E o s Q 90130 ALASKA RUIR0WnTRL C0nTROL SRICES, InC. Engineerinq & Enuironmeniol Studies 2-2-90 DON PETERSON 5001 VAQUERO ROAD ANCHORAGE AK 99516 SELLER—SAME LEGAL:LOT 2 BLOCK 3 CONTOUR ACRES #3 FLOW TEST ON WELL WELL FLOW DATE -7-10-89 A FLOW TEST WAS PERFORMED ON THE WELL. 762 GALLONS OF WATER WAS PUMPED AT A RATE OF 5.6 GPM OVER A DURATION OF 2.3 HOURS. THE DRAWDOWN WAS 10 ' WITH A RECOVERY TIME OF 5 MINUTES AND THE STATIC WATER LEVEL WAS 168 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. %SOF A4 �•.,. ..;:ter o.;;. ....... .. •.i C. JR. ; t _ 251 See ♦t`R�ewCi%� 1412 W65G 330 dv6nue 0 AnchogaGE. dlaSka 99503 0 (907) 279-5553 CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALYSIS REPORT BY SAMPLE for WORKorder# 33251 Date Report Printed: APR 15 91 @ 13:01 Client Sample ID:POTABLE WATER L2 B3 CONTOUR ACRES Client Name :TOBBEN SPURKLAND, P.E. PWSID :UA Client Acct :TOBBENS Collected APR 12 91 @ 11:45 hrs. BPO # PO # NONE RECEIVED Received APR 12 91 @ 13:02 hre. Req # Preserved with :AS REQUIRED Ordered By Analysis Completed :APR 12 91 Send Reports to: Laboratory Sup isor : EPHEN C. EDE 1)TOBBEN SPURKLAND, P.E. Released By : C ;;� 2) .................................................................................................................................... Chemlab Ref #: 911421 Lab Smpl ID: 3 Matrix: WATER Allowable Parameter Tested Result Units Method Limits --------------------------------------------------------------------------------------------------------------- NITRATE-N ND(0.10) mq/l EPA 353.2 10 Sample SAMPLE COLLECETED BY : T. SPURKLAND Remarks: .............................................................................................................. 1 Tests Performed See Special Instructions Above UA -Unavailable ND- None Detected "" See Sample Remarks Above NA- Not Analyzed LT -Less Than, GT -Greater Than CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. —� TELEPHONE (907) 562-2343 5633 B Street 4, Anchorage, Alaska 99518 u �°�• Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY E) PUBLIC PUBLIC WATER SYSTEM I.D.# I I 1 X11 PRIVA E�F SYSTEJ, Name Mailing Address City State Phone No. Zip Code SAMPLE DATE: CE�] Mo. Day Year S MPLE TYPE: Routine Check Sample (for routine sample with lab ref. no. ) ❑ Treated Water El Special Purpose El Water SAMPLE Time Collected NO. LOCATION Collected By Lor Aai 3 1 2 co-tA �0U,r AU I - vs 3 1 1 4 1 I .5 I _I Analysis shows this Water SAMPLE to be. >rSatisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received %Z Time Received ✓' 3� Analytical Method: Membrane Filter No. of colonies/100 mi. I Lab Ref. No. Result* Analyst i, 1421 m m � 1 m � I m BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS Membrane Filter. Direct Count O Coliform1100 ml BEFORE verification: LTB COLLECTING SAMPLE Final Membrane Filter Results Reported By TNTC = Too Numerous To Count OB = Other Bacteria BGB Coliform1100 mi mate �3^9/ Time: a.m. p.m. PART ONE OF TWO REMAINDER TO FOLLOW