HomeMy WebLinkAboutBIRCH TREE ESTATES BLK 1 LT 14 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
NAME IPHONE oC~ ~] NEW
MAI LING ADD.SS
LEGAL DESCRIPTION
~ Manufacturer ~ceec Material ~e( No. of com~ments
Liq, ca,actaeons IF HOME.DE: Inside length Width Liquid depth
~O ~ DISTANCE TO: Well L~ Dwelling PERMIT NO.
~ Manufacturer ~ Material Liquid capacity in gallons
~ Well Foundation Nearest lot line PERMIT ~0~
~ ~ No. of ~s S~[ength ~[°J each line~ Total length o~ Trench wi~ inches Distance~t~ lines
- Material beneath tile Total effective~s~ area
Q ~D Top of tile to finish flrade~ ~ ~ inches
Lenflth ~idth D~th ~BMIT ~0.
~ Type of crib Crib diamete[ -~ Crib depth Totel effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Clas~ . ~ Depth Driller Distance to lot line PERMIT NO.
~ DISTANCE TO: Building foundation~ Sewer line ~ Septic tank [ ~O '~ Absorption area~)
OTHER
PIPE MATERIALS
SOl L TEST RATING
REMARKS
,
APPROV~ DATE LEGAL
72-013 (Rev. 3/78)~
L.E(:!iI:~! .... L:t,,$ E',:t B Z:r.~:C:H TF'.~.T.E!; E:?T'
T!...I[: !. E:NGTH !:::, ! HE:NS ! ON i S THE t,..E:NC~TH ,:: ! N FEE'T' > OF THE: 'r'F~:ENC:H OF?.
........ '~ ' E,l::. ~.,~.~:.~ ,~ THE: 5~;L]{:;~:F:fft(::E~:
'r... z' DE:F:'TH OF f~ 'TRE:N(::H OR PIT zE; THE [.:,IS'TF:!NCE: " .... ' '"~'""
3 R ': i.. N[':, Fff',![:, 'T'HIE 5 '"iT'T' "H OF 'THE E'.:'. 15~',,'FiT I F N < i N .::'E:E:T >.
THE:RE: !S H3 S[:T !,!![::q"H FOR TR[:N:
THE'. GF?.f:i'v'E'L DEFTH i S THE: H I N i HUH DEPTH OF (3t:i:lg'v'E[.. E'&:'T'!,!EEN THE:
F:!N[> THE F:O'rTOH OF "!"Ht~: E[NC::F:?v'i~T ! ON ( ! N F'E:ET >.
i:::'[:f;:?! i "I" F[F:'F'L '! (?,:::I'%FF Hf::i'.:~; THE t;~:ES[t-:'ONS; l [:-'[ I L.. I T;'r' "FC! i NFOF::!"1 TH ! :.::'; DE:F:'RF:THE!',!T D. ~!:;' ')' ?' ~xi THE
}: i",t ::i!; "!" i:;~ [ .. [_ i:i T '.( O ?',! I f'~':~ F' Fi: f[ T I: t" !'~'~ :f P' F! 1"~ "r' I., J E I.... L. 5/ IZ! [:' ,! F:! F.~: EL.I"4 T T 0 T H ]: 5:'; F:'F :C F:' ['-: ~;;: T "r' F:!1'4 D 'i'H E.'
........... '"I ' I ~-'t'- F
I'-&.ff'IF?4:~:R OF RE:::-:,Ir',I::'N-:ES~: TI-.,IFf!' ,~'..IE [,tE!~L b.l t....1._. :,: .... :...
! CE!;RTIF"/ THFIT
;I..: ! FIN FI::~F!iL.]'F:IFi: [,.!t'.T'H THE REQLiIFi:[EMENTS. i; F'OR ON...-:F!;iT!i: SE'HEI:;($ F:ff'~[:' HELL. E; fT.:ii
FOf:i:TH ilia'-.-'..' THE i"iUN ! C: ! F:'Ft[. I Th" O!:::
;?: ! !4 ! I...L. ! N. 5~iTFf!....I... "['H.E-] 5.: "r' Si "[' !E N ! F,! Fa(:'.:CORDFII-',!C:[< !,! ! TH THE:
X: I L.!N. DE!:tSTI::ff,!D '!"H!a'T' THE ON"'<::..:;ITPi Ei!("'.'HE:F~: 5:;"~'STEH HR"r' i'q:E:(;!UII:;.':E I:i:NLF:IF::GI:FI[':F4T iF THE
F:E'::,:; t DE.:f.,!C:E ! 5:; [-::,EHCiDE:LE[::, "t"O ! .I'.4I.".::L.!..J[)J~::: ?'J(:)J"~:[:: !'l-..!Fff:: :!. E;EiE:,F:OO.h!S.
January 3, 1977
Joseph Hearns
Post Office Box 202
Anchorage, Alaska 99510
Subject: Lot 14 Block 1 Birch Tree Estates
Permit #77603
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 doc%ument the installatio~ date.
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Les N. Buchholz, R.S.
Senior Environmental Specialist
L /lJh
GARY PLAYER VENTURES
CONSULTING GEOLOGIST
BOX 476-M, STAR ROUTE A · ANCHORAGE, ALASKA 99507 · PHONE 344-1071
! '
Performed for
Legal Description
De_pth (feet),
SOILS LOG
Soil Description
----6--
-16-
-18-
-20-
Total Depth
Was groundwater encountered
Depth to bedrock ~ ~ O'
feet in C~
~ ? What depth ~ ~
· How determined ~-~ .~.,.,,, we ~.
?
?
Respectfully submitted
Gary F. Player
Consulting Geologist
F~nish or ~ell~ (~ screen, perforated, open-hole, other)
t3escr"ib~ intervals and size:
for' _~ .... hours with ,~0 ft. of drawdo~ frm~ static level.
Depth below 'land
surface
Give description of strata penetrated (size of mat~:rial, corIoJ'i hardness of
drilling, and water content)
to
?~O~:~ALITY OF ANCHORAOE
~IKJ'V'J~ONMENTAL PROTECTION
F £ .,.LZgZZ
Pli.:.':RM :1: 'T' f",tO.
M I I",t :1: MUM I} i S"f]::llqCli~: li~:I.T. TI.,.IEli.:.']",I t::1 I.,.IEI_L I:::11'.,1[:, l::ll",l"r' ON-'S I TIE:
::t..lli!Kii~ I:::'EET 1:::'O1:;:: F:I Pi:;~:I",,'FITE I.'~IEI_I .... OR ;ili:~;i!K:."~ I::'EET t:::'(]R I::1 I:::'UBI....IC I.,.IEt....I ....
I.,.tlE]_I .... I....O(:~i:i~; Rt:;.':E I;:'.I!!!:(i:!UIRE[.':' I::1t",t[:' MU'Z:;T [:}E IRIF::TIJI:;.".I",tE[:' ]"O THE [:,EI::'F:II:;.':Tt'"iENT NIT'Hif",I :::~:~ii:.~ [:'l:::l"r'S
O1:::' 'T'HE t.'.tELI .... COI"IF:'I_tiii:TION.
:i!i;l:::'EI]: I I:::' I CI:::I]" t ON:iii; l:::ltq[:' (:)Otq'.E;'T'Rt...IC"I" :l: Ol",t [) I I:::IGRF~M"2; I::tRE I:::J',,,'l::l ;[ I....l::l[.:.',l_[i!: "I"O I t'-,J:iii;IJt:;.'.E Pt;i'.OPER
I I",l:i!i; T I::tJ_ L t"::IT I O 1",1.
I C E I:;:'. 'T' I I:::'"r' "F H F:t'T'
::L: I I:::IM I:::'I::~tMIL]:i:::iI:;.': I.,.I]:"I"H 'T'Hli~: RI!ii]QUIREMli.::]"~!T':':':; FOR Ot",I-'SI]"E ':'!i;EI.,.II.'.CR:ig; I:::I1",11} I.,.IELt_:ii!; I::IS :iii;E'T'
t:::OI:;~:TH E:"r' THE Mt...tI"41 C: I Pt::~L.. t 'T"T' OF:' 1::II"4C:HOi:;::t::IGli.:.:.
2: I I.,.t i I_1 .... ]: I",ISTI:::II....I .... Tl'"tli.:.: S'T'STEM Z I",1 F:ICCOI:;::[:,I::II",ICE 1.'.1 i TH THE C:O[:'ES.
APPLIC..NT FILLS OUT UPPER HAL ONLY
Property Owner Joseph P./Judi A. Kearns Phone
Buyer
Address Zip Code
Lending Institution Phone
Address ~/~,~'~c'~. ~"~ ~G~ ~¢'/:/~ ~.-,~c~ ~ ZipCode ~'"~? ~, ~. ~ ~ ~O
Realty Co. & A~nt Phone
Address Zip Code
Street Locati~ .>~fi ~/ ~- /~ ~
Type of Resi~nce
~ Single Family
~ Multiple Family No. of Bedrooms ~
Q Other
Water Supply
~ndividual A~ACH WELL LOG. A wall log is required for all wells drilled since June 1975.
~ Community For wells drilled prior to that date, give well depth (attach log if available).
~ Public Utility
Sewer Disposal ~ ~ ~ ~
~dividual Year Individual Installed:
Q Public Utility When Connected to Public Utility:
Q Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE. EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date /
Inspector Inspector Inspector Irrigator
Field Notes:
( ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL
{ ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
DATE
BY:
Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received
Well to Tank Septic Tank Size
72.023 (3182)
Qcipality of Anchc,
MEMORANDUM
DATE:
January 25, 1984
¥O: Laura Crow
FROM:
Environmental Health Division
SUBJECT: Request for Refund - Account # 2460
The following is a request for refunds, please make the
necessary arrangements:
Ron Downey
211 Mc Carrey Street 917
Anchorage, Alaska 99504
Receipt # 257047
Amount $30.00
Account # 2460
Lot 13 Block 3 Aspen Highland Subdivision
Sewer and Well Permit
A private engineer completed the inspections in lieu of this
office.
Joseph P. Kearns Receipt # 275453
Star Route A b x 335-C Amount $65.00
Anchorage, Alaska 99507 Account ~ 2460
Lot 14 Block 1 Birch Tree Estates Subdivision
Sewer and Water Other
Lending agency does not require the health authority approval
to be done at this time.
Laura J. Ward
Office Associate
LJW
cc: file
attachements
91~010 (4/76)
' MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTICI~PT. OF HEALTH &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL P~C)T~CTION
ENVIRONMENTAL ENGINEERING DIVISION NOV 9 1978
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SI~~I~,J~IJ~S
DIRECTIONS.' Complete ali parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PRO~Y OWNER
MAILING ADDRES~ '
PROPERTY'RESlDI~NT (If different from'above) PHONE
2. BUYER ~PHON E
MAI LING ADDR ESS
3. LENDING INSTITUTION PHONE
MAILING ADDI~ESS ' "',
4. REALTOR/AGENT I PHONE
I
MAI LING ADDR ESS
5. LEGAL DESCRIPTI'ON
STREE~T LOCATION ' ~ '~
6, TYPE OF RESIDENCE NUMBER OF BEDROOMS
~ One ~ Four
~ SINGLE FAMILY ~ Two ~ Five
~ MULTIPLE FAMILY ~ Three ~ Six
Other
7. WATER SUPPLY
~ INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTI LITY
* ATTACH WELL LOG. A well log is required for all wells drilled
s~nce June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
'~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTI LITY
**If individual/on-site, g've installation date
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
NUMBER OF BEDROOMS
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
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: f~-~"'~ If Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SiX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
MANUF~
MATERIAL
Septic/Holdin~ Tank ~Absor~tion Area
I
[] OTHER
ISewer Line [ Nearest Lot Line
5. COMMENTS
[~'~ISAPPROVED
BY (Title)
DATE
LEGAL DESCRIPTION
APPROVED FOR BEDROOMS
CONDITIONAL APPROVAL (letter must accompany certificate)
72-010 (Rev. 3/78)
March 19, 1973.
WILLIAM A. [.6AN, GOV£R~'OR
SOUTHCENTRAL REGIONAL OFFICE
MACKAY BLDG.
338 DENALI STREET
ANCHORAGE 99501
Mr. Ib. nny R. Wilson
4308 Be~xter Road
Anchox-age, Alaska
S[Z~CT: Lot 14, Block 1 --Birch Tree Bstates
Dear Mr. Wilson:
%\% have reviewed your situation in light of the interpretation of
the 40,000 Sc[. Ft. -20,000 Sq. Ft. requirement contMned in Section
18 AAC 72.030 of the Department of Environmental Conservation Waste
Water Regulations. It is our finding that since you had oYmership
of the lot on or before February 5, ]973 and that you intend to
constnmt a private residence for your personal use, that this particu-
lar Section of the Uaste Water }~egul~tions is not applicable in your
CaSe.
We would ho-~,~ever advise you that of course all existing Borough
Regulations are ~n effect and are applicable in all cases except
where State requiremen.ts are more stringent.
Yours truly,
R~.ronment~/Eng h~eer
cc:
MUNICIPALITY
OF F ANCHORAGE
Development Services Department
;'
j Phone: 907-343-7904
On -Site Water & Wastewater Section
,-'
Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 017-141-24-000
Expiration Date:
Legal description BIRCH TREEESTATES BILK 1 LT 14
Site address 5061 E 145TH AVE Anchorage AK 99516
Current property owner(s) BEAM ANDREW T
10/24/2025
X The On-site system(s) is/are approved for 4 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
Original Certificate Date: 11/8/2024
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory X
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval—June 2022
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 017-141-24
Complete legal description Birch Tree Estates Block 1 Lot 14
Location (site address) 5061 E 145th Ave, Anchorage, AK 99516
Current property owner(s) Andrew T Beam Day phone
2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS
3. TYPE OF WATER SUPPLY: ■❑ Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units ❑ Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: ■❑ Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ❑ Community Septic or Public Sewer
5. SEPTIC TANK: ■❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass
Age 16 - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench A Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: ■❑
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $ Q Waiver Fee $
Date of Payment ZC Y Date of Payment
COSA # 5 C' Z cl% y t b Waiver #
COSA Application—June 2022
N/A
Benjamin Schiller, P.E.
3*
Waiver SWO70233*
(907) 522-7773
MUNICIPALITY OF ANCHORAGE
47
DEVELOPMENT SERVICES DEPARTMENT
l
On -Site Water and Wastewater Section
www.muni.org/onsite
Well Water Advisory
Certificate of On -Site Systems Approval # OSC241466
Subdivision: Birch Tree Estates, Block: 1, Lot: 14
907-343-7904
Fax;343-7997
This well's productivity was determined to be .6 gallons per minute. The minimum
well productivity required under (AMC 15.55) for a 4 -bedroom residence is .41
gallons per minute or 150 gallons per day per bedroom. Although the well
production does meet this requirement, water storage has been provided to meet
minimum code requirements.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.