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GRENIER LT 210
Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 . On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~'v"~¢'O~ ~ 5 PID Number: ¢-~:~-/-k'~ Name:/~t~,¢,¢' ~ ~ /~,"~ ~C~r Wastewater System: ~New ~ Upgrade Address:~ No 0f Bedrooms: -- Phone: ~ ~ ~ ~ / ~/ ~ ~ Deep Trench ~Shallow Trench ~ Bed ~ Mound 0 Other LEGAL DESCRIPTION soi,,~,,.~: ¢' ~' GPDISq Ft ~' original grade: LoI:~ ~¢ Block: ~ Subdivision:~/~ Depth lo pipe bottom~ from original grade: Ft. Gravel depth~¢~beneath pipe Ft~ Township:[ ~ Range:il ~ Section: ~ Fill added/above_/,~°riginalgrade: Ft. Gravel~¢¢~/=length:~ Number of bnes: D~slance between lines: WELL: ~ew D Upgrade Gravel w~dth: ~ Ft D /~ Ft. Classification (Private. A,B.C) Total Deplh: Cased To: Tolal absorption area: Pipe material: Driller: Date Drdled: Stahc Water Level: Installer: Date installed: Yield: ~t ~'~ ~ Pump Set at: Casing Height Above Ground: ~ GPM ~ ~0~ ~,. ~ / ~,. TANK SEPARATION DISTANCES ~s~p~c ~ Holding ~ S.T.E.P, TO Sepbc Absorpl~on Lia Holding =ubhc/Prwale Manufacturer: Capacity iR gallons: Well ~ ~ ~1 ~7~ ~ //~ ~¢ Malerial:~/ Number of Co~partments: Su~a~e ' / I Water +/¢~ *¢~ ~/¢¢ LIFT STATION ~// Lot , Size in Line ~ I ' . "Pump on" revel aE ~ at~ ..... ~i~.~t~r alarm at: Foundation /¢' ~' W/y Curtain ~ lectrical Inspections performed by: Dram ~/~ ~ ~ ~ .... ~ Pump M Remarks: ~r z,J~ ~J~ o~*,~rZ BENCH ~ARK Location and Description: ENGINEER'S ~AL Inspections perf0rmedby: ~5 Dates:lst¢'¢"~2 ~ * ........... " Department of Health and Human Services approval ~,,~!~.',. Reviewed and approved by: / Date: /~ -2 ~ -~ ~ ,, - ,~ Permit No. SW96026 P~ge ~ Huni ci pciity oF' Anchorcge DEPARTivlENT ElF HEALTH AND HUMAN SERVICES ENVIRONHENTAL SERVICES DIVISION P.B. Box 196650, Anchorage, A~aska 99519-6650 ,Tetephone'. 343-4744 On-Site Wostewoter Disposo[ Leg,[ Descniption'.LOT i~lO T15N R1W oF ~ System and/or We[[ Inspection Report SEC. 8 PID No.: 05115443 Z N 89°53'1' E 300.43 NO SEPTIC SYSTEMS SCALE 1' =60' Well 280.48 Grenier N 89°53'0, E ~ 30' RDW Ave. i ELEVAT [DNS (NDT TD SCALE) GAR CONC. SLAB ORIGINAL GROUND 1 LEVEL AT~ 0 ,',~o ~ ., ~.~ ,~., "-..~ SWING TIES A-C = 57.4' B-C = 15.7' A-D = 68.5' B-D = 76.7' A-E = 88. O' B-E = Sa, 4' 10/13/97 ENGINEER'S SEAL ~,& vv ......... PERFORMED FOR: ~'~ ¢*f~ rl LEGAL D ESCR IPTION:~(-~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED; Township, Range, Section: 7-/~,-~ ¢/,,¢ 1 2 3 4 5 6 7 8 9 10 11 12 13- 14 15 16 17 18 19 2O T,~4' Hol~_ SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, ATWHAT O DEPTH? p E 8eplh to Water Afler Monitoring? Date: 1' _ Reading Date Gross Net Depth to Net Time Time Water Drop COMMENTS ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: PERCOLATION RATE __ tmmutes/mch) PERC HOLE DIAMETER TEST RUN BETWEEN ~/ FT AND jL-- F'F Rick Mystrom, Mayor Mun cipal W of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 October 10, 1997 Lou Butera, P.E. Eagle River Engineering Services PO Box 773294 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 210 Grenier (Ti5N R1W Sect&nn 8 Lot 210) Waiver Request #WR970062, PID #051-154-61, SW960296 Dear Mr. Butera: Your request for a waiver of the required 10 foot separation between an on-site wastewater disposal system and a lot line has been approved. The waived distance is 1 foot from the leachfield to the south property line. This approval applies to the existing on-site wast~water disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval from this department. If there any further questions or concerns regarding this waiver, please call our office at 343-4744. Sincerely, Donna Mears Oivil Efigineer On-site Services ljw #7 Grenier MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~ WR970062 Date Received: PID~ .051-154-61 New # HA~ 951-154-43 01d # October 1, 1997 Permit #_SW960296 Legal Description: Lot 210 Grenier Subdivision (T15N R1W Section 8 Lot 210) Engineer: Lou Butera, P.E., Eagle River Engineering Services PO Box 773294, Eagle River, Alaska 99577 Applicant: Mark H Grenier Waiver Requested: Lot line waiver Of 1 foot from the leachfield to the south ~roperty line. Criteria: Points: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: 3. Other: Waiver is Granted: A Waiver is NOT Granted: List Conditions or Reasons for above: ' ~a~e of RevLewe:~ Rec #: 03317/ Amount: $ 115,00 Date Paid: 10-1-97 Eagle River Engineering Services Louis Butera, P.E. P.O. Box 773294 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax September 30, 1997 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Lot 210, T15N, R1W, Sec.8, permit #960296 Narrative for waiver Application OCT 1 1997 Municipality of Anchorage Dept, Health & Human Services Dear Mr. Cross: We are applying for a 1' distance to lot line waiver on the installed septic system for the above referenced lot. The system was installed in August of this year and was placed in the most favorable area of the lot but due to an eh'or in determining the 30' easement the leachfield was not set back the usual 10'from lot line. Each of the lot lines borders an 80' roadway easement that does not contain a constructed roadway. There is no development on either lot that adjoins the property. As the roadways are not constructed and there is no development to the south and East there will be no impact on adjacent properties or future development by allowing this waiver. Thank you for considering our request. If you have any questions please call our office at 694- 5195. Sincerely, Louis Butera, P.E. \199?\95 NEIGHBOR'S WELL +100" FROM SEPTIC NEIGHBOR'S SEPTIC 100' FROM WELL WELL N 89d53'1' E 300.43 / SYSTEMS ~ ~; PROPOSED ~/ELL /T HI~~ = ~ ~ q~o. ~' ~ SEPTIC +lO0' 30' ~~ ~ - TEST HOLE GRENIER AVE 50' · - MONITOR TUBE UNDEVELDPED ~ o -- SEWER CLEANOUT NO SURFACE WATER~ ~ - WELL NO KNOWN CURTAIN DRAINS m- LEACHFIELD ..... EASEMENT WELL/SEPTiC S~TE PLAN ~_EGAL: GRENIER LOT 210 OWNER: GRENIER CONTRACTOR: N/A JOB~ 95-100A/DATE: 09/50/97J SCALE 1" = 60' EAGLE RIVER ENGINEERING SERWC~S ~' ,~ ' ' ~'"~" P.O. ~ox 773294 ~I~'<',~¢}"~ ....... :~,~.~ff v EAOLE RIVER, AK. 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960296 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:GRENIER MARK H & RITA D OWNER ADDRESS:PO BOX 772481 EAGLE RIVER AK 99577 PARCEL ID:05115443 LEGAL DESCRIPTION: T15N R1W SEC 8 LT 210 PAGE 1 OF 1 DATE ISSUED: 9/11/~~'~1 EXPIRATION DATE: 9/tl/97 LOT SIZE: 90380 (SQ. FT. NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM 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 (18AA072) AND DRINKING WATER REGULATIONS (18AACS0) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: DATE: fY 2//~~d' Ea 'le River Engineerin Louis Butera, P.E. ?.©. Box 773294 Eagle !~iver, I~K 99577-3294 ervices (907) 694-5196 tel (907) 694-3297 tax August 30, 1996 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Grenier, Lot 210 (previously Lot 210, T15N R1W Section 8) Narrative & Permit Application Dear Mr. Cross: The proposed well and septic system will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance. 3. Reserve space is adequate, due to absorption capacity. 4. Drainage will not be affected and is not a major consideration in our design. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \1996\95-100A-NAR.DOC SPECIFICATIONS FOR ON-SITE SYSTEM LEGAL: Grenier, Lot 210 (previously Lot 210, T15N RlW Section 8) 08/30/96 A. General 1. The well and septic plan are for a single family residence only. 2. The drawing and/or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health (MOA- DHHS requirements. 4. All soil tests are advisory to the design and are to verified or modified in the field by the Engineer. 5. All excavations and depths are advisory and are to be verified in the field by the Contractor to meet MOA-DHHS requirements. 6. It is the responsibility of the Owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. It is the responsibility of the Contractor to secure all utility locates prior to construction. 8. The excavation is to be exactly in the area shown on the site plan, any deviation requires Engineer approval. 9. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. 10. Any remaining open test hole excavations shall be filled. Septic Tank Septic tank shall be a 1,500 gallon, MOA approved design. 3. 4. 5. 6. Leachfield The leach is to follow the natural contour to maintain uniform total depth of the trench bottom. The bottom of the leach shall be level, plus or minus 1.5". The total depth of the leach excavation is not to exceed 6' at any point. The effluent line in the trench shall be laid level within 0.03'. The leach gravel is to be covered with typar fabric material. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. The area over the trench is to be finish graded to prevent ponding of surface water runoff'. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200' to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH: 6' GRAVEL DEPTH = 4' under pipe, 2" over pipe LEACH LENGTH = 94' LEACH WIDTH- 5' SOIL RATING = 0.8 gpd/ft2 BEDROOM CAPACITY = 5 SEPTIC TANK SIZE = 1,500 gallons minimum Twenty-four (24) hours notice required for all inspections 1996\95-100a-spc.doc N 89d53'¥' E 300.43 I TH3 I N SVdSS'O'" E x~v ~ I ~ TEST HOLE · MONITOR TUBE o SEWER CL~OUT UN~VVELBPES + WELL NO SURFACE WATER PROPOSED LEACHFIELD NO KNOWN CURTAIN DRAINS ~- EXISTING LEACHFIELD ~SEMENT WELL/SEPTIC SITE PLAN LEGAL: GRENIER LOT 210 OWNER: GRENIER ~ EAGLE RIVER, AK. 99577 ' ~ (907) 694-5195 FAX: (907) 694-3297 EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 95-100 Calculated By: LB Date: 8/29/96 Legal: LOT 210 Single Family 5 Bedroom Dwelling TEST HOLE I Deep Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 750 gallons Percolation rate = 19.2 minutes per inch Wastewater application rate = 0.6 gallons per day per square foot Required absorption area = 1250 square feet Trench width (VV) = 3 feet Gravel depth (D) = 5 feet Required length = Required absorption area / 2 / D Required length = 1250 / 2 Required length = 125 feet Total Excavation Depth = 7.0 feet / 5 EAGLE RIVER ENGINEERING SERVICES P.O, Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 95-100 Calculated By: LB Date: 8/29/96 Legal: LOT 210 Single Family § Bedroom Dwelling Shallow Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 750 gallons Percolation rate = 14.5 minutes per inch Wastewater application rate = 0.8 gallons per day per square foot Required absorption area = 938 square feet Trench width (W) = 5 feet Gravel depth (D) = 4 feet Required length = Shallow trench factor* Required absorption area/W Shallow trench factor = (W + 2) / ON + 1 +2 D) Shallow trench factor = 0.50 Total Excavation Depth = 6.0 feet Required length = 94 feet PERFORMED FOR: Municipality ot Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" ~treet. Ancl~orage, Alaska 99502-a650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~.,.o. Township, Range, Section: 77// I 2 3 ,4. 5 6 7 8 9 10 11 12 13 14 15- 16 17 18 19 2O COMMENTS WAS GROUND WATER ENCOUNTERED? SLOPE SITE PI_AN S IF YES, ATWHAT ,~.~ ~ DEPTH? p E Ra~cllng Date Grass Net De'D Jh to Net .... ~fe /.~ ....... PERCOLATION RATE / ~" ~' [mmute~,ncn) PERC HOLE DIAMETER ~' /'" TEST RUN BETWEEN ~ FT AND g/ FT PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anct~orage, Alaska 99502-0§50 SOILS LOG -- PERCOLATION TEST OATE PERFORMED: 8 9 lQ 11 12 13 15 16 17 18 19. 20 Township, Range, Section: WAS GROUND WATER ENCOUNTERED? L Il: YES, ATWHA~' ,, DEPTH? -~ [2_ ,5'~;..( pO E Reading Oa~e Gro~ Net Deoth to NeT T~mo "l'~me WaTer Drop - ?r-_ .~/:~/ ...... " / /o- ~-~r 7',~4 ~ ~i ~ ~.'/) I0 ~,. 6I '~//~ ,'~b" ~ B'3¢ /o .... ¢~ '~o "n ~ -- I PERCOLATION RATE TEST RUN BETWEEN )'4. ~"' (m~nule~mct~) PERC HOLE DIAMETER ~ FT AND o/ FT Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 625 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DESCRIPTION: Township, Range, Section: 7-/.C.z./ .~' / ~.' ~.~ ¢ SLOPE SITE PLAN I 2 3 4 6 7 8 9 10 11 12 13 15 16 17 18 19- 20 WAS GROUND WATER ENCOUNTERED? IF YE~, AT WHAT ./V/.,~ DEPTH ? Alta', Relcl|ng Da~e Grosa Net Depth to Ne~ 'r~me ~me Wa£~' Oro[~ PERCOLATION RATE TEST RUN BETWEEN 2-_.~-~'~ (mmute~,',ncn) PERC HOLE DIAMETER FT AND FT PERFORMED BY: ~ '~'/-~" '"¢ I -¢~_~.7~>.-.~.~ CERTIFY THAT T~"IIB TEST WAS PERFORMED IN 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. # -/") ~'-/- /~'-~/"-~"/ ' HAA# ~,~\ ('~O~.-"~//-'~d-~,L~/'-'~, 1. GENERAL INFORMATION Complete legal description ~-~"/~ -~:/~' ~ ~-~ Location (site address or directions Property owner Mailing address Lending agency Mailing address. 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 reculat~nS~as, le ]~dveri'n effect.~ ....°n the date of this inspection. Name of Firm P.O. Bo~ 77~94, ~¢!~ ~: .... ,~- ........ Phone Address Engineer's signature Date //~ ,-:~ J-- ¢ '? DHHS SIGNATURE Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date ///--2d- ~',7 "f4'JIJ. ii 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 purohasers 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. 72~25 (Rev. 1/91) Back MOA ~1 WIRONM[NTAI, SERVICES DIVI$1(J~ Municipality of Anchorage JOV DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division R 825"L" Street. Room 502 · Anchorage, Alaska 99501J (907) 343~4744 Legal Dcscripuon: A. WELL DATA Health Authority Approval Checklist ;['/J'fv' /p / t/./ 5'~' ~ <~ Parcel I.D.: Well type /:~,/~l&4,r/~ IfA. B. or C. attach ADEC letter ADEC water system number //v~ Log present (Y/N). /I/ Date completed ~-~///-- .9' ? Total depth //.¢'/ Cased to /,6// / Casing height (above ground) ~ / Sanitary seal fY/N) Wires properly protected (Y/N) /!/' FROM WELL LOG AT INSPECTION Date of test Static water level Well production \ g.p.m ~- g.p.m WATER SAMPLE RESULTS: Coliform ~ Nitrate ~9, 2) .~,-..9/~ Other bacteria / Date of sample: //- ,~e) '- ~ 2 Collected by: ~e" ~trx~f- B. SEPTIC/HOLDING TANK DATA Date installed ? ~ ~ ? Tank size /~'3 ~ ) Number of Compartments Foundation cleanout (Y/N) .~ Depression (Y/N) ~1/ High water alarm (Y/N) zt~/,z/ Date of Pumping /l/.~ ,yea., Pulnper (2. ABSORPTION FIELD DATA Date installed ~:%-5* ? Soil rating (g.p.d./fl2 or ll2/bdnnl ~, ,~' System type _ ~ c¢,e~ Length ~ ' Width ~- ~ Gravel thickness below pipe ~/ Total depth ~/ Effective abso~tion area ~ Monitoring Tube present(Y~) ~' Depression over field (Y~ ~7 For '--' bedrooms Date of adequacy test ?,/L4 ,q~.,,, Results (PassfFail) Fhfid depth in absorption field before test (in.): ~ humediately afier .~-~gal. water added (ill.): Fhfid depth ~' (ins.) Minutes later: .... Absorption rate = ~--~ g.p.d. Peroxide treatment (past 12 months) (Y/N) ,~/~'t~,,,' lfyes, give date Do LIFF STATIO~xx Date mstalled N~ Manhole/Access (Y/N) ~X Size in gallons ~'Pump on" level at* *Datum 'Pamp ofF' level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot / ~-o~- ~ Absorption field on lot / .7,.2- / Public sewer nmin dy /,~, Sewer/septic service tine .-r ,,9_ $- ~ : On adjacent lots : On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation /z) / Property line ~/ '? ~ Absorption field ,~/~) /' Water ~nain/scrvice line ~"//-) / Surface water/drainage "'/-/aTe / Wells on adjacent lots ~,~/e.) / SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation '~g' / Surface wuter ~P/o ~) t Curtain drain /V/,4 ENGINEER'S CERTIFICATION Water nmin/service line Driveway, parking/vehicle storage area Wells on adjacent lots Property line / t~o, t/e f. I certiJ.? that 1 have determined thrufield inspections and review of~klunicit in conJbrmance with MOA IL.M guidelines in effect on this date. Signature ~~~ Engineer's Name Zo/~e.] /~,~r=~ HAAFee $ ~fffZ). 29-69 Date of Payment /[/2~/~ '~ Receipt Number ~q ~D ~-~ ( ~] t~--) Rev. 8/95 eSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number AHCHORA(]E 9075~15~01 P,0~/03 CT&]~ Re{,# 97? 161001 . . CUent Name Eagle Riwr En~fing ClOt ~e ~ ~t 210 Matrix Ori~ng Water PW~ 0 Sample Remarks: NitrBte-H Water~ ~epar~nen: AnaLyses TotaL coLiform PqL Units 0.200 U Client Printed II.teaTime 11/?,4t97 14:48 Colk~exl ])ate/Time 1 L/20/9"/ 14:00 Received Date/Time 1 I/g0197 15:00 Technical Director: Stephen C. Ede for TC/F¢ i~r 100 mL Method AlLo~abLe Prep AnatysT~ Lfm|ta Date pate In(t 0.200 nll/L EPA $00.0 10 max $1/20/97 GCP ll/ZO/g? T~ NOLY-24-1997 17:31 C~T~,E ESI ANCHORAGF 9075G15301 P. 0J/0~ CT&E Environmental Semites lac, Labora:ofY Division r~fjj~~~~~~~~ Anchor=~e, AK 9951~-1605 ~AD iJ~ST~UCTiO~'$ ON ~E~ SIDE ~EFO~ COLL~CTI:WG SA~PLE Tel: (907} t'l .%nd Result 0 ,genff Im,oice Fax: (907] 561,5301 TO BE COMPLETED BY' LABOKATOKY .~.nalT$is showa thb Water $.~MPLE S~isCa~:ory. t2 Unsatisfactory Sample over 30 hou~ old. resuh~ may bc unreliable 5ample too long in tta.'~it: sampl.~ s~ould not be owr 48 hours old at to indlca~ t~llab[e result. Plea~ s,nd n~w sampl~ via s~ci~l dcilw~ maiL, Analytir~t i',lethod: U Membrane F[Itcr 41~ MMO- MUG · Numbec O,ecoionies/lO0 mi, Lab Re[, No, Res.h* Month Day .... 5AMPLE TYPE; .............. L-~ Routine l~ Treated 'Water Fa~td G RcpcalSampl~(~orr0utine~mPlc ~ UntreatedWa~cr whh lab cer. no. ) O Special pu~ase Time Collected C/ienl notified of un~atiSfaelo~' r~uHs: $A~ LE LOCATION Collecre~ By BACTERIOLOGICAL WATER ANALYSIS I:LECORD aMembran¢ Filler: Direct Coupe Coloni~l]O0 mi 'Fecal Coliform BCB ~-' COLIFIKbl Colitormll g0 mi /~% e--.e,~ e-..~ TOTAL P, 0~ Rick Mystrom, Mayo. r Mtmicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 October 10, 1997 Lou Butera, P.E. Eagle River Engineering Services PO Box 773294 Eagle River, Alaska qq577 Subject: Waiver Request for Lot 210 Grenier (T15N R1W Sect&an 8 Lot 210) Waiver Request #WR970062, PID #051-154-61, SW960296 Dear Mr. Butera: Your request for a waiver of the required 10 foot separation between an on-site wastewater disposal system and a lot line has been approved. The waived distance is 1 foot from the leachfield to the south property line. This approval applies to the existing on-site wastewater disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval from this department. If there any further questions or concerns regarding this waiver, please call our office at 343-4744. Sincerely, Donna Mears Civil E~gineer On-site Services ljw #7 Grenier LLI MUNICIPALITY OF ANCHORAGE MEMORANDUM DATE: December 18, 1995 TO: FROM: SUBJECT: Department of Community Planning and Development Zoning/Platting Section &~~~ ~ Health and Human Servicest Quality Section Request for Con~ents on Subdivisions December 15, 1995 The Department of Health and Human Services, Ehvironmental Services Division, On-site Services Section has reviewed the following cases and has these co~nents: S-9586R: Huntwood Park Estates Subdivision - Time Extension No objection. S-9764A: S-9852: S~9853: Glen View Estates Subdivision No objection. Eastbrook Subdivision No objections provided all development is serviced by public sewer and water. "L" Street Slide Replat Phase 2 No objections provided all development is serviced by public sewer and water. S-9854: S-9855: S-9856: Lot 1 Woronzof South Subdivision The existing port-a-potty serving the existing temporary facility on this property shall be permitted by DHHS. A plat note shall be added stating: "Any development on this property shall be served by public sewer." East Addition No objections. Lot 210 Grenier Subdivision No objections. MUNICIPALITY OF ANCHORAGE COMMUNITY PLANNING AND DEVELOPMENT OFFICE USE P.O. Box 196650 / REC'D BY: Anchorage, Alaska 99519-6650 PRELIMINARY PLAT APPLICATION Please fill in the information requested below. Print one letter or number per block. 1. Vacation Code 2. Tax Identification No. 3. Street Address [C> /II I LI I I I]lllllli]lllllllllJlll I-1 4, NEW abbreviated legal description (1'12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34). 5. EXISTING abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOTS 34) full legal on back page. 6. Petitioner's Name (Last - First) Address ,/¢~ ~C, X' 7 7 ~ ~ City ~'-,/~Z/~'- ~ ~ ~'~d' Stats ~2'//~/ Phone# ~¢/- ~?~? (-c,f~ Zip ~-?? 7. Petitioner's Representative C~y ~~ State Phone ~ ~F~- ~ Z ~ Zip 8. Petition Area Acreage 9. Proposed Number Lots 10. Existing 11. Grid Number 12. Zone Number Lots 13, Fee $ 14, Community Council I hereby certify that (I am) (I have bean authorized to act for) the owner of the property described above and that I desire to subdivide it in conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic subdivision lee is nonrefundable and is to cover the costs associated with processing this application, that it does not assure approval of the subdivision. I also understand that additional fees may be assessed if the Municipality's costs to process tl3is application exceed the basic fee. I further understand that assigned hearing dates are tentative and may have to be postponed by Planning Staff, Platting Board. Planning Commission, or the Assembly due to administrative reasons.~~ ~ ,/~/~~~ ? Signature *Agents must provide written proof of authorization. Please check or fill in the following: 1. Comprehensive Plan -- Land Use Classification Residential Commercial Parks/Open Space Transportation Related Marginal Land Commercial/Industrial Public Lands/Institutions Alpine/Slope Affected Industrial Special Study 2. comprehensive Plan -- Land Use Intensity Special Study Dwelling Units per Acre Alpine/Slope Affected Environmental Factors (if any): a, Wetland 1. Developable 2. Conservation 3. Preservation b, Avalanche c. Floodplain d. Seismic Zone (Harding/Lawson) Please indicate below if any of these events have occurred in the last five years on the property. Rezoning Case Number Subdivision Case Number Conditional Use Case Number Zoning Variance Case Number Enforcement Action For Building/Land Use Permit For Army Corp of Engineers Permit Legal description for advertising. Checklist 40 Copies of Plat (l_~ng Plat) 30 Copies of Plat (Short Plat) Reduced Copy of Plat (8 ~,~ x 11 ) Certificate to Plat Aedal Photo Housing Stock Map Zoning Map Water: Sewer: ~' Private Wells ¥, Private Septic Fee Drainage Plan Topo Map 4 Copies Soils Report 4 copies Pedestrian Walkways Landscaping Requirements Community Well Community Sys. Waiver Public Utility Public Utility VACATION OF RIGHT-OF-WAY OR EASEMENT APPLICATION Municipality of Anchorage DEPARTMENT OF COMMUNITY PLANNING & DEVELOPMENT P.O. Box 196650 Anchorage, Alaska 99519-6650 A. Please fill in the information requested below. Print one letter or number per block. OFFICE USE REC'D BY: VERIFY OWN: AFFIDAVIT: POSTING: Case Number t~F 7771 Street Address ITIIIIIIIIII /1111111111 1. Vacation Code Tax I.D. Number Abbreviated Description of Vacation (EAST 200 FEET SOME STREET). Existing Abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOT 34). II~lltl!llll /I IIIIII!IIIILLi Petitioner% Name (Last - First). I~1~1~ I~1 ~l,~kl I I I I I I I'] IqllllllllllllllllllJ Petitioner% Representative. I/llllll[llllllllllllll Address: ~ /~¢~1v 77-~¢/~ / city: ~¢ ,¢¢'~¢~,,4' state: Zip Code: ~2~J~'77 Phone No. 6. Petition Area Acreage. 7. Proposed Number Lots. 11. Zone. I,~-14 I I 10. Gdd Number. Address:. ~/~¢' '4~'"/~/~'/¢','¢'~'/'¢'~"" ,,/~'-¢¢/¢f¢' City: ~, ,,~/~'~',~ State: Zip Code: ,.~'..5"7.~' Phone No. 8. Existing Number Lots. 9. Written Justification. 12. FeeS 13. Community Council_ B, I hereby cadify that (I am) (I have been authorized to act for) the owner of the property described above and tl~at I desire to vacate it in conformance with Chapter 21 of the Anchorage Mu nicipal Code of Ordinances. I understand that payment of the basic vacation fee is nonrsfundable and is to cover the costs associated with processing this application, that it does not assure approval of the vacation. I also understand that additional fees may be assessed if the Municipality's cost to process this application exceed the basic fee, I further understand that assigned headng dates/are tentative and may have to be postponed b~P{a~ng Staff. Platting Board, Planning Commissi~l' the AsseT/p[j~tive~,~,s~r's. Date: Signature 20-019 (Rev. 9/92)' Front "Agents must provide wdtten proof or authorization. C. Please check or fill in the following: 1. Comprehensive Plan - Land Use Classification 63 Residential (D Commercial ~ Parks/Open Space :3 Transportation Related 2. Comprehensive Plan - Land Use Intensity: 63 Marginal Land ID Commercial/Industrial 63 Public Lands/Institutions Special Study Dwelling Units per Acre: 3. Environmental Factors (if any): Alpine/Slope Affected a. Wetland 63 1. Developable 23 2. Conservation D 3. Preservation :3 D. Please indicate below if any of b. Avalanche 63 c. Floodplain ID d. Seismic Zone (Harding/Lawson) ID Alpine/Slope Affected 63 Industrial 63 Special Study these events have occurred in the last five years on the property. ID Rezoning Case Number: :D Subdivision Case Number: ~D Conditional Use Case Number: :3 Zoning Variance Case Number: 23 Enforcement Action For ~ Building/Land Use Permit For Legal Description for Advertising. G, Checklist ID 30 Copies of the Vacation Request ~ Reduced Copy of Vacation (8 1/2 x 1 1 ) ~ Certificate of Plat ID Fee ¢3 Topo Map 4 Copies 63 Soils Report 4 Copies ~ Aedal Photo :3 Housing Stock Map ID Zoning Map E3 Water: :3 Private Wells [~ Sewer: ¢3 Private Septic 20-019 (Rev. 9t92)' Back Attached written statement in accordance with AMC 21.1 5.130.B. stating reasons in support of the vacation. Waiver ID Community Well :3 Community Systems 63 Public Utility :3 Public Utility Municipality of Anchorage DEPARTMENT OF HF_ALTH & HUMAN SERVICES 825 "L" Street. Anchorage. Alaska 99502-~650 SOILS LOG -- PERCOLATION TEST Township. Range. Section: 77// 1 3 4 5 7 g 10 11 12 l~t 15 16 17 18 lg- 20 ~ ,.., ) SLOPE SITE PL.AN WAS GROUNri WATER ENCOUNTERED? LII i I~-.i i-.Ii' L/ I/I t I I i J I Iii' /1ilFI i i L/ ) !j !i i- Pt~+ ;~,~ ... J i . I /~-~"~~:~ [ ~7 ~' PEFICOI...ATION RATE / ~' ~ (m,nules/,ncn) PEFIC HOLE OIA,METER TE~T AUN BETWEEN ~'- FT AN0 i-- FT ............. _,e',--'~ ~r ~-.Z-' . -.._~ Munk:ipailty of Anchorage DEPARTMENT (DF HEALTH & HUMAN SERVICES 825 "L." Street. Anc~larage, Alaska 99502-~650 SOILS LOG ~ PERCOLATION TEST PERFORMED OATE PERFORMED: ,/F LEGAL O ESCRII~'TIDN: 2 8 12 13 14. 17 20 Township, Range. Section: WA~ GROUNO WATER ENCOUNTERED? SITE PLAN PERCQL,~TION RATE TE~T RUN BETWEEN t~/' ~ (m~nules/mcr~l PF. RC HOLE DIAMETER ~' FT ANO o/ FT Munlcil:~iity of Anc. Jlorage OEPARTMENT OF HEALTH & HIJMAN SERVICES 825 "L." Street, Anct~orage, Alaska 99502-~650 SOILS LOG m PERCOLATION TEST PERFORMED: IO-d'--¢~C'' Townsmp, Range, Section: 7-/?.,,c/' ,~'/~' ..~-~ ~' 4 7 8 9 lO 11 12 13 15 18 17 18 19 20- COMMENTS SLOPE WAS OROUNO WATER ENCOUNTEREO? /~'O I -'.i - I II Rea~ling Olde T~me 'FTme Warm' Oroo PF-.RCOLATION RATE ~ (mmutes~mcn) RFJ::IC HOLE OIAME'rE~I m TEST RUN BETWEEN ~ PT AND PT ! I 259.0 / / 242.0 249.8 239.0 5 2 55.7