HomeMy WebLinkAboutAMBER HEIGHTS LT 1
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 Water & Wastewater System Permit
Permit Number: OSP231198
Work Type: WellSeptic Upgrade
Tax Code Number: 01825136000
Site Legal Address: AMBER HEIGHTS LT 1 G:3034
Site Mailing Address: 14501 LAKE OTIS PKWY, Anchorage
Owner: KAY BARNEY KENNETH & MARY E
Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date:
»�cnt S
G
n
Department
Lot Size in Sq Ft
Total Bedrooms:
7/12/2023
7/11/2024
44357
Q 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
Special Provisions:
A test hole is required prior to construction of the absorption field, in the location shown on the site plan, to
confirm minimum separation to impermeable soil and seasonal high groundwater, as well as percolation rate.
Construction may proceed at your own risk prior to 7 -day groundwater monitoring. If results require a design
change, construction shall stop pending approval of a change order. Please submit results with the inspection
report (or change order, if required).
Received By: 5,S r-,-2- s-9,
Issued By:
Date:
Date: / Z_/ Z�o L 3
4
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 018-251-36
Property owner(s) BARNEY
Mailing address 14501 LAKE OTIS PKWY ANCH AK
Site address SAME
Legal description (Sub'd., Block & Lot) AMBER HEIGHTS LOT 1
Day phone
Legal description (Township, Range & Section)
Lot Size 44,357 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
Initial ❑
Single Family (SF) 0
(w/wo AD U)
Septic Tank
0
Upgrade Q
(D) ❑
Holding Tank
❑
RenewalDuplex
❑
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: S Z Waiver Fees:
Date of Payment: /�� 2 Date of Payment:
Receipt Number: C 9 Receipt Number:
Permit No. OS. F Z 3 119 Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
JULY 5, 2023
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Septic permit
Legal: AMBER HEIGHTS LT 1
To Whom it may concern:
This is a request for a new septic permit for the above referenced lot. The
soils log from the MOA file have been used for design but a new test hole
will be done prior to the installation. A simple deep trench which matches
the old design has been copied with the old test hole data from the file. If
the new test hole is different the design will be revised with a change
order per your review. The slope around the area is around 5 percent with
no cut-banks within 50 feet. No open water or existing wells within 100
feet of the site and the neighboring lot to the east is vacant. The permit
will not impact the any of the surrounding lots.
Please call me if you have any questions.
Sincerely
Michael N. Anderson, P.E.
4661 Natrona
Anch, Ak 99516
Ph 727-8864
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231198, Curtis Townsend, 07/12/23
SEPTIC FIELD SECTION
DESIGN CRITERIA:
5.5' EFFECTIVE
4 BDRM X 150 = 600 GPD
SOILS = 600/0.8 = 750 GPD
750 GA/11 = 68'
2.0' WIDE
68.2' LONG
(1) TRENCH
8.5' DEEP
16
(TH#1)
4
GW
SM
1.
0
'
2.0'
-8.5
-3.0
MOUND OVER
FILTER FABRIC
SEWER ROCK
3,3(
GRADE
1"=200'
PROPERTY LINE
EXISTING HOUSE
-NUGGET LANE-
PROPOSED
DRAINAGE FIELD
SCALE:
DJRDRAWN:
DATE:
AMBER HEIGHTS, LOT 1
Anchorage, Alaska
BARNEY & MARY KAY
6/17/2023
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EXISTING WELL
100' RADIUS
EXISTING
DRAINAGE FIELD
WATER @ 13.5', 4/15/80
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231198, Curtis Townsend, 07/12/23
1"=50'
EXISTING
DRAINAGE FIELD
WELLDRIV
E
W
A
Y
EXISTING
HOUSE
EXISTING WELL
100' RADIUS
AMBER HEIGHTS
LOT 1
SCALE:
DJRDRAWN:
DATE:
AMBER HEIGHTS, LOT 1
Anchorage, Alaska
BARNEY & MARY KAY
6/17/2023
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AMBER HEIGHTS
LOT 2
MADDUX PARK
LOT 3
EXISTING SEPTIC
TANK
NEW SECONDARY
FIELD, ADVANTEX,
APPLICATION
2GPD/SF, 5X2X30
PROPOSED 1,250
GALLON PLASTIC
SEPTIC TANK
TH#1
EXISTING
RETAINING WALL
EXISTING
RETAINING WALL
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10%
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10%
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P
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NO SLOPES > 25%
WITHIN 50' OR
OPEN WATER
WITHIN 100' TYP.
NEW TEST HOLE
REQUIRED PRIOR
TO EXCAVATION
MT
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231198, Curtis Townsend, 07/12/23
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N 89 56' 40"E 137.46
OF q jq�;4p
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THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY
CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES ANDIOR EASEMENTS; AND IS
NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES.
EASEMENTS OF RECORD OR OTHER RIGHTS OF WAY, OR ANY ENTITY NOT ON THE RECORD PLAT
ARE NOT SHOWN HEREON, UNLESS NOTED.
NOTE. FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE
PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE.
ONLY VISIBLE IMPROVEMENTS ARE SHOWN HEREON
THESURVEYDATA AND MEASUREMENTS HEREONAREPREPARED FOR THE
OWNER OFRECORDAS
OF THEDA TE OF THIS SURVEY
ANYUSE OF THIS DRAWING BY THIRD PARTIES IS PROHIBITED UNLESS
WRITTEN PERMISSION IS PROVIDED.
AS BUILT SURVEY 11' =30'
NO CORNERS SET THIS DATE
I HEREBY CERTIFY THA TI HAVE PERFORMED A SURVEY
OF THE FOLLOWING DESCRIBED PROPERTY
LOT I AMBER HEIGHTS SUB
A NCHORA GE RECORDING DISTRICT, ALASKA, AND THAT THE
VISIBLE IMPROVEMENTS SITUA TED THEREON ARE WITHIN
THEPROPERTYLINESANDNO VISIBLEENCROACHMENTS
EXIST OTHER THAN NOTED.
DATED ATANCHORAGE,ALASKA THIS 15TH DAYOF
JUNE 2023
HOLT LAND SURVEYING
9309 GROVER DRIVE
ANCHORAGE,AK 99507
\11j5825 232-12 "3-8615
MUNICIPALITY OF ANCHORAGE
~ ~ ~. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE_~C~ION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME PHONE I []NEW
MAILING ADDRESS
LEGAL DESCRIPTION
~,S~A,C.~O: lw~"/Oi' I Absorption area+ O't Dwelling ~01 PERMITNO,~O
~ ~ Manuf.cturer Material No. of core. merits
Liq, capacity in ga{Ions Inside length Width Liquid depth
j ~ ~'O IF HOMEMADE: ~
~ ~STANCE TO: Well Dwelling PER~}~ NO.
O Z ~ Manu~ Material Liquid capacity in gallons
~ Foundation Nearest tot line ~ PERMIT NO.
~ m ~ ~o. of lines ~en~th o[ e~~ Total Ion~th of lines Trench ~dth Distance between lines
~ ~ m~ inches
~ ~ Top of til~to finish grade ~ beneath tile Total effective
absorption
area
Q ~ ~ ~ inches
Length Width Depth (V/~ PERMIT NO.
Type of crib Crib diameter Crib depth n area
m~ DISTANCE TO: Well Building foundation ~est ~ li~
~ Class Depth Driller Distance to lot line PERMIT N~
~ ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption ~(s)
OTHER
PIPE MATERIALS
SOIL TEST RATING
INSTALLER
72-013 (Rev. 3/78)
/~ 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/2 ~ I -- EW
LEGAL DESCRIPTION
LOCATION~r) NO. OF BEDROOM8
IV
[ I Well I Absorption area Dwelling PERMIT NO.
DISTANCE TO:
I
~:1- ~ Manufacturer ~ "~. i ~::)"'~l' ~j~"~ Materia~ No. of compartments
Liq, capacity in gallonsIF HOMEMADE: Inside length Width Liquid depth
D,STANCE TO: W.,, Dw.,,in, PERM,T NO.
~O _ ~ Manufacturer Material Liquid capacity in gallons
I~ Well ,~. ' ~r'"'~ Foundation _j Nearest lot I~1i~/5 ! PERMIT
~ No. of lines / Length ~e~h~ ine ! Total l~.~g~ ,f lines Trench~::~ .~:> D i sta nc. be~e]~l i n es
· 1-- ! /-~ inches effect~n are~. ~.~ ~
~ ~ ~. Top of tile to finish grade L/ Material beneath tile Total
Length Width Depth PERMIT NO.
~: I- Type of crib Crib diameter Crib depth Total effective absorption area
'" Well Building foundation Nearest lot line
~ DISTANCE TO:
. Class Depth Driller Distance to lot line PERMIT NO.
LU
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
SOl L TEST RATI~}?~ f
INSTALLER "~ ')L ,1~.~,,, ~7}
REMARKS
A~ DATE LEGAL
72-~ lev. 3~78)
I'.ILII"-.! I ,-: I PAL I T"T' OF
DEPARTMENT OF HERLTH RND ENVIRONMENTAL PROTECTION
825 "L" STREET., RNCHORRGE., AK. 9950±
264-4720
O[4--S I TE SEWER PEAr'1 I f
PERMIT NO. ( 800065 ;)
RPPLICANT BARNEY AND MARY KAY SRR bOX 4008P
LOCATION NUGGET LN & LA!S~,AI~
LEGRL ~;i~
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
LOT SIZE
~44-27~i
90000 SQUARE FEET
MAXIMUM NUMBER Of BEDROOMS
SOIL RATING <SQ FT?BR>= 85
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
[:.EPTH= -~- LEN"-]TH= 26 13RR'.~'EL [~EPT~'I= 5
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) Of THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET>.
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
R El_---~..i_l I I~'E[:, SEF"T I £: tRr-IK S I ZE= 1OOO GRLL~.3N'=:
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF RNY I, ELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
TL.~O (2> I ~SF'ECTIO~S ARE REC41J IRE[:,
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR 8 PRIVATE WELL OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM R PRIVATE WELL TO 8 PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS 8ND CONSTRUCTION DIAGRAMS ARE
8VAIL. ABLE TO INSURE PROPER INSTALLATION.
PEF.:["I I t E:~:p I RES [:,ECEI'IBER ----~--l~ 198~--~
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTAND THRT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS.
SIGNED'
SOl LS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6650, Anchorage, Alaska 99502 276-2224
SOILS LOG - PERCOLATION TEST
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION: ~'-~" ~'~ \
SLOPE
SITE PLAN
10
11
12
13
14
15
16
17
18
19
2O
ENCOUNTERED?
,F ,'ES. AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
COMMENTS
CERTIFIED
72-008 (7/76)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
GENERAL INFORMATION
Complete legal description
Location (site address or directions)% -~ ~(~'/ /~ ] (/,'42'~"/' ~"-/:- ~-'~£~ ~
Propertyowne~ _/~,~.~,/?~Y~ /~."~/4F f.'r"~,~? Dayphone
Mailing address -~-~(¢¢ /' ~/b/E',~",~..'-/E~-(_z~,~'-/J,~.~.'~,.
Lending agency ~'-~'/"~'-/' ,A//~c~,~_~f '~'" Dayphone
Mailing address
Agent
Day phone
Address
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Unless otherwise requested, HAA will be held for pickup.
NOTE:
Individual well
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
NOTE:
Individual on-site
Holding tank
Community on-site
Public sewer
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
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm ~-.J'~'~/'Z'/~-,'~ ,~- -~-~aF/'/¢'/'~ ,~/~(~ . Phone
Address ~/~ ~ ~/~/~/~/'}~.7~
Engineer's ~ignature ~~ ~ ~ ~~/2
..... ~ ~ ~ /- -~ ~ Date
DHHS SIGNATURE
X Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
By: ~ ~ Date //- ~'~' ~ c] !
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 order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/91) Back MOA
Sanitary seal (Y/N) Y
( Municipality of Anchorage ~i~
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:/-A?TL~/~~ ~/)5'~'~ 7-/~/~/v/~-~ [/~ Parcel I.D. ~ / ~- ~
A. WELL DATA~: _L~ ~~ ~
type --I' ~ ~ If A, B, °r C, attach ADEC letter. ADEC water system number
Well
Log present (Y/N) ~(~[~ ~ ~tocomploted ,~ //
Cased to [ ~ ~ ~
. Casing height
Date of test
Wires properly protected (Y/N) ~/'
z
AT INSPECTION ~ ~
/l ?I °
g.p.m. ~ g.p.m.~ ~ ~ ~
; On adlacent lots ~ /~/[~ ~F~ ~
sewer manhole/cleanout ]~~ ~
Petroleum tank ~~ '/'
FROM WELL LOG
,q
Static water level
Well flow '~- --~ ~//~/~
Pump level ! d~'~) /~
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot '~' ~"~ /
Absorption field on lot I / -~ /
Public sewermain J"~(~[~' Fmc/~/~'~' ~'/~7/p~ul~,ic
Public sewer service line //~ ~'2 ~
WATER SAMPLE RESULTS:
Coliform
Date of sample: ]/ ..... l (
SEPTIC/ ..........
Date installed ,~ -- [ -~ ~--~7'"~
Nitrate
Collected by: ~-/ ~
Other bacteria
Tank size / ~-~ .~ (~'~/ Compartments
Cleanouts (Y/N) Y Foundation cleanout (Y/N) y Depression (Y/N)
High ~wa~ter alarm (Y/N) ~ Y~ Alarm tested (Y/N)
Date of pumping ~ (~ (,~ / ') ~/
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot ) (~ ~
To property line ~.'~ / Absorption field -.~' Water main/service line~ ~v///~
Surface water/drainage
72-026 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Manufacturer
Size in gallons Manhole/Access (Y/N)
Vent (Y/N) "Pump on" level at
High__oval ~_~cl~l'~ted ~__
Meets MOA electri~ra.L~¥/N)
S EPARATi ~-~'(~-~
Well on~¢lo~ On adjacent lots "§urface water
D. ABSORPTION FIELD DATA~.~ _~-'b
Date installed / ~
Length ~ ~ '~ ~Width
Total absorption area
Depression over field (Y/N)
Result~fail)
Peroxide treatment (past 12 months) (Y/N)
Soil rating ~'~ -~z~.//~/~ System typeL
Gravel thickness , ~" Total depth
Cleanouts present (Y/N)
Date of adequacy test ,/~/~ Ly~'~ //
for
If yes, give date
bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot / / J / On adjacent lots ~"//(-~ ,~ Property line
To building foundation ~ ~'~! To ex~tin~ or abandoned system on lot
/ T~r~'~'~ ~
Onadjacent I°ts~/~/(~p~ .... 7~ .... ~x ~~ C~/~
. _ _ ~utDanK H~, K. ~..~ Water maid/service line
Surface water ~.J~ ~
Curtain drain ~¢~ ¢'
/
Driveway, parking/vehicle storage area ~'~.~
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signature ~_ _ ~ ~-~ .~--~
Enginee s~Name
HAA Fee $ / 7{~ ~
Date of Payment '//"'- l g"'-C~' /
Receipt Number ('~ ///,~'~' ) ~ 3 -'~ G
72-026 (Rev. 3/91) Back MOA 21
Waiver Fee: $
Date of Payment
Receipt Number
NORTHERN TESTING LABORATORIES, INC.
2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277-8378 · FAX 274-9645
3330 INDUSTRIAL WAY FAIRBANKS, ALASKA 99701 (907) 456-3116 · FAX 456-3125
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY CLIENT
[] PUBLIC WATER SYSTEM I.D. #
pRIVATEWATER SYSTEM
Zip Code
Mo. Day
SAMPLE TYPE:
[] Routine
[] Special Purpose
Phone ~--~-2~,~-"7/~ 7 ~---~
Purchase Order No.
[] Treated Water
J~' Untreated Water
[] Check Sample (for original contaminated
sample with lab reference no.
Sample Time
No. Location Collected
2
3
4
5
6
7
8
9
10
Signature of Representative ~-
)
Collected by Laboratory Ref. No.
CASH CHARGE
FOR LABORATORY USE ONLY
HOLD FOR
PICKUP
TO BE COMPLETED BY LABORATORY
Received at: ~Anch. [] Fbks.
Date Received //-- t ('-q I
Time Received J -~
Next Sample Due
COMMENTS:
SATISFACTORY (~
UNSATISFACTORY U
RESAMPLE R
OTHER BACTERIA OB
TOO NUMEROUS TNTC
TO COUNT
DATE ANALYZED 11/11 16:45
MEMBRANE FILTER
Direct Verification Final
Count LSB BGB Result*
Comments
Date
Time
NORTHERN TESTING LABORATORIES,, INC.
3330 iNDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 456-3116 ,' FAX 456-3125
2505 FAIRBANKS STREET ANCHORAGE~ ALASKA 99503 (907) 277-8378 · FAX 274-9645
James Sizemore
6410 Switzerland Drive
Anchorage AK 99516
Attn: -
Our Lab #:
Location/Project:
Your Sample ID:
Sample Matrix:
Comments:
Al15244
2601 Nugget Lane Lot 81
Water
Method Parameter
Units
Report Date: 11/14/91
Date Arrived: 11/11/91
Date Sampled: 11/11/91
Time Sampled: 1100
Collected By: JS
Definitions
MDL = Method Detection
Limit
B = Below Regulatory Min.
H = Above Regulatory Max.
E = Below Detection Limit
Estimated Value
Date
Result Flag MDL Analyzed
EPA 353.3 Nitrate-N
mg/1
0.2 0.1 11/12/91
Reported By: William ~'-Bu. chan
Anchorage Operations Manager
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
Tom Fink,
Mayor P.O. BOX 196650 Anchorage, Alaska 99519-6650
November 25, 1991
Mr. and Mrs. Barney Kay
2601 Nugget Lane
Anchorage, Alaska 99516-0599
Subject: Lot 1, Amber Heights
Dear Mr. and Mrs. Kay:
Attached is a signed Certificate of Health Authority Approval
for the above property. This certificate has been approved for
a four (4) bedroom single family dwelling. It is understood
that this approval is valid only for the current refinancing
action.
As we have discussed, our records indicate that the existing
absorption trench was installed in 1980 and was sized for a
three bedroom dwelling. Although it was actually constructed
slightly larger than necessary for three bedrooms, it is still
not large enough to meet requirements for~_a__four bedroom
system. The septic tank, replaced in 1985, is adequate for a
four bedroom dwelling. It is apparent that the intent in 1985
was to bring the system into compliance with four bedroom
requirements.
This department is issuing the HAA with the following
stipulations:
1. DHHS accepts no responsibility for possible premature
failure of the existing system attributable to
undersizing.
2. Upon sale of this property, the absorption trench must
be upgraded to meet design standards for a four bedroom
dwelling. A valid permit is required prior to
initiating work on an upgrade.
If you have any further questions, please contact me at 343-4718.
Sincerely,
Susan Oswalt
On-Site Services
so/431
VACATION OF RIGHT-OF-WAY OR OFFICE USE
EASEMENT APPLICATION
Municipality of Anchorage REC'D BY:
DEPARTMENT OF COMMUNITY PLANNING VERIFY OWN:
P.O. BOX 6650
Anchorage, Alaska 99502-0650
A. Please fill in the information requested below, Print one letter or number per block, Do not write in the shaded blocks.
0. Case Number (IF KNOWN) 1. Vacation Code
2. Abbreviated Description of Vacation (EAST 200 FEET SOME STREET)~
3. Existing abbreviated legal description (T12N R2W SEC 2 LOT 45 OR SHORT SUB BLK 3 LOT 34).
4. Petitioner's Name (Last- First)
Address ~..{~ 0 I ~ U ~.~ ~ r~"'~ ~{
City ~nC.~OV¢~¢.~ State~ ~{~
Phone No. ~ ~ ~ Bill Me ~
6. Petition Area Acreage 7, Proposed Number
Lots
5. Petitioner's Representative
Address
City AI~,
Phone No. '"~'(~'='~-,~,0"7 Bill Me
8. Existing Number 9, Traffic Analysis Zone
Lots
1
10. Grid Number
11. Zone
12. Fees
13. Community CounCil
Bo
Date:
I hereby certify that (I am) (I have been authorized to act for) the owner of the property described above and that I desireto
vacate it in conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of
the basic vacation'fee is nonrefundable 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 costs to
process this 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.
20-019 Front (4/85)
Signature ~
*Agents must provide written proof or authorization,
NOV
1987
VACATION APPLICATION SUPPLEMENT
LOT .81, SECTION 33, T12N,. R3W
This request for vacation involves property adjacent to the
State Department of Transportation Project No. QF-031-2(57),
Rabbit Creek Interchange.
The State will realign existing Nugget Lane as shown on the
vacation request map. The area which is being requested for
vacation has been determined as exess'to thier requirements.
The State has already deeded thier interest in the subject
property to the petioner. (see copy of Commisioners Deed.)
5C~ 250 5q. Ft. ~
°' I"
TO E~ V'~T~D
NUGGET LN.
III A
COMMISSIONER'S DEED
U 14 3
THE GRANTOR, STATE OF ALASKA, acting by and through its
COMMISSIONER OF TRANSPORTATION AND PUBLIC FACILITIES, under the
authority of Alaska Statutes, Section 19.05.070, for and in
consideration of Ten and no/100 -
Dollars ($ 10.00 ), in hand paid, conveys and quitclaims to
Barney Kenneth Kay and Mary E. Kay
address is 2601 Nugget Lane, Anchorage, Alaska 9~5~ose mailing,
its interest in the following described real estate, located in
the State of Alaska, to witt
A portion of Lot 81, Section 33, Township 12 North, Range 3 West,
Seward Meridian, records of the Anchorage Recording District,
Third Judicial District, State of ~laska, described as follows:
Commencing at the southwest corner of said Lot 81;
thence N 89°50'44"E along the south boundary of said
Lot 81, a distance of 72.00 feet to the True Point of
Beginning; thence continuing along .said south'boundary a
bearing of N 89°50'44"E, a distance of 87.71 feet;
thence N 59°44'17"E, a distance of 65.79 feet to the
north line of the south 33 foot easement for said
Lot 81; thence S 89°50'44"W along said north line of the
south 33 foot easement, a distance of 160.67 feet;
thence S 26°04'47"E, a distance of 36.69 feet to the
True Point of Beginning.
Containing 4,098 square feet, more or less.
A portion of Lot 112, Section 33, Township 12 North, Range 3
West, Seward Meridian, records of the Anchorage Recording
District, Third Judicial District, State of. Alaska, described as
follows: .
Commencing at the northwest corner of said Lot 112;
thence N 89°50'44"E along the north boundary of said
Lot 112, a distance of 72.00 feet to the True Point of
Beginning; thence continuing along said north boundary a
bearing of N 89°50'44"E, a distance of 87.71 feet;
thence S 52°16'59"W, a distance of 62.00 feet; thence
N 45°43'56"W, a distance of 54.00 feet to the True Point
of Beginning.
Containing 1,658 square feet, more or less. The total
combined area for the two described properties is 5,756
square feet, more or less.
Dated this ."~---'-'~/ day of
STATE Or ALASXA
DEPARTMENT OF TRANSPORTATION
AND PUBBIC FAC~LI.TI~'
~.'1> /~; (/' ,.. , ~ :. > ; /"/, (
By.. .....
DepUty Director
Central Region
ACKNOWLEDGEMENT
STATE OF ALASKA' )
THIRD JUDiCiAl, D STR CT )
ON THIS __~2~. day of ~ 19~, before me,
the undersigned, a Notar~-:P~lic in and ~or t'ne said State,
persOnally appeared ~/~/~ ~~// , Deputy
Director of Transpor{ati°n and Public Facilities for the State of
Alaska, known to me to be the identical individual who executed
the foregoing instrument 'and he acknowledged to me that he
executed the same. for and on behalf of the State of Alaska, with
full authority so to do and for the uses and purposes therein
mentioned. _ , .........
my o i :the~F~~ ~oo~w~
J NOTARY PUBLIC ; /.-//
H~ Co~ss~on S~p~=~NiEL MAXWE~ ~~
o~n4o~ Nh. ~w-Oql-2f57}/53325 _Parcel No. El9