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HomeMy WebLinkAboutT12N R3W SEC 33 LT 169 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231288 Work Type: SepticTank Upgrade Tax Code Number: 01828201000 Site Legal Address: T1 2N R3W SEC 33 LT 169 G:3135 Site Mailing Address: 3450 SHANDY CT, Anchorage Owner: CLADOUHOS JOEL & GRETA Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: O�',A�: is �` �•'Sn I .I■ J Uepai,tnlent 9/15/2023 9/14/2024 108900 ❑ 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 C' r Received By: � ✓ �`� � G Issued By: Date: Date: MUMUPAUTY OF ANCHORA, GE �. _�. •fin--''---^``-`-�s-.':'r_ _ „_ ..,. __ _'_..., _ Develo meat Services Department �' P P °� =:= Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 018-282-01 Property owner(s) ERIC HAAS Mailing address 3450 SHANDY COURT *ANCHORAGE, AK Site address 3450 SHANDY COURT *ANCHORAGE, AK Day phone 907-230-0941 Legal description (Sub'd., Block & Lot) T1 2N R3W SECTION 33 LOT 169 Legal description (Township, Range & Section) Lot Size Sq. Ft. APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank 0 Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 4-5BEDSEPTIC APPLICATION IS AN Initial' Upgrade Renewal ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: TYPE OF DWELLING: Single Family (SF) 0 (w/wo AD U) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) 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: 2 Date of Payment: S(I T9 207 Receipt Number:CIS Permit No. / Z Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\ Forms\Client Forms\Permit ApplicationAm rel Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231288, Curtis Townsend, 09/15/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231288, Curtis Townsend, 09/15/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231288, Curtis Townsend, 09/15/23 (~ 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' PHONE__ [] NEW MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO, OF BEDROOMS I Well '' ~Absorption~,ea Dwell~n~g; PER~ITNO, -- p Z Manmfac[urer~f= C~ MateriaJ~ N No. of compartments '~ O O IF HOMEMADE: ~ ~ DISTANCE TO: ~ DISTANCE TO: W0tl ~ ~O Foundation ~O Nearest lot line PERMITNO. ~ - ¢~ Mater~ beneath tile Total effective absor,tion area OTHER PiPE MATERIALS SOIL TEST RA~I G INSTALLER __ _ APh~VED ~ DATE LEGAL 72 013 (Rev. 3/78) MUNICIPALIIY Ur ANUHUKA~ Department ~ Health and Environmenta? '~rotection 825 ~ Street, Anchorage, AK. 264-4720 * * * HANDWRITTEN PERMIT * * * Permit ~ ~l/~o<~ ~C-L~L~AND/OR ON-SITE SEWER PERMIT Location: Phone Number: Legal Description:~F/~3~c~% ~T/6~ LOt Size: Type of soil Absorption System Is: Trench: y,. Drainfield: ~aximum Number of Bedrooms: Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) SWP/024 (1/81) % The Required Size of the Soil Absorption System Is: DEPTH ~) _.LENGTH /5~(~J) GRAVEL DEPTH ~ WIDTH '~(~)'-/- The length dimension is the length(in feet) of the trench or drainfield. The depth of a 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). ~DDA~* REQUIRED SEPTIC~:~-~4~) TANK SIZE = ~-'OO GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. · * * TWO(2) INSPECTIONS ARE REQUIRED * * * 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 a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well legs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and Construction diagrams are available to insure proper installation. · * * PERMIT EXPIRES DECEMBER 31, 1 9 8 2 * * * ! certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchoralge. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the res ifence is re~odeled t2 include moire thDt ~ bedro9~.,, Ap{licant ~~p ,,~ ~, ~/b~ Date'/ . ?: F)/"~,.q) ~/ /$~_" MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL pROTEC-FION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST 7 8 9 10 11 12 13 14 15 16 17- 18 19 2O DATE PERFORMED:_ SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? "©',,, 'F~,-c ~¢, 3'/Z'' Gross Net Readin9 Date Timo Time ~ ~o~ ~o 5 ~o:~ .~ Depth to Net Water Drop ,Sfi PERCOLATION RATE ____ 2.CJ (minutes/inch) 72-008 (6/79) GR':&TER ANCHORA~b AI,[~A ~m(u~ ~n HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 T INSPECTION REPORT ON-SITE SEWAGE DISPpSAL SYSTEM SEPTIC 'rANK: DISTANCE FROM WELL_ LIQUID CAPACITY '~'~ ~-~__ , .COMPARTMENTS GALLONS. ~NSIDE LENGTH .... INSIDE WIDTH. DEPTH__ SEEPAGE SYSTEM: SEEPAGE Pti: NUMBER OF PITS _ LINING MATERIAL . NEAREST LOT LINE_ OUTSIDE DIAME~ OR WIDTH ~,~ DISTANCE FROM WELL_ TOTAL EFFECTIVE ABSORPTION AREA (WAIL AREA)_ lENGTH_ DEPTH. BU1LD~NG FOUNDATION SQ. Fl. TILE DRAIN FIELD: ! D,S~ANCE PRO*,' WELL--/''5~¢ NUMBER OF LINES _ '~ ABSORPTION AREA ,.~/'~ __ SQ. FT. DEPTH: TOp OF TILE TO FINISH GRADE_ ~,~ I WELL: LOT LINE FOUNDATION___ DISTANCE BETWEEN LINES ~ ~ TRENCH WIDTH ~/~ IN. IOTAL EFFECTIVE ~ D~S~c~ :~o~ /~ ~ WA~:~ ~ ~A~:S~ ~SAMPLE , NEAREST DISTANCES: GREATEK ANCHORAGE AREA ~)ROUGH HEALTH DEPARTMENT ;.~:~ t 327 Eagle St. Anchorage, Alaska 99501 ,. 279-2511 SEWAGE DISPOSAL SYSYEM - APPLICAI'ION & PERMIT NAME OF APPLICANT~'~ 0 RESIDENCE ADDRESS ~) ~1~ LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY. L ~ ^]~.. LOCATION OF INSTALLATION. ~%'~ L)t~(-~) ,~lq~[J , SEEPAGE PiT_ ;DRAIN FIELD_. , OTHER E,NANCED T,R0 GN TO BE INSTALLED BY._ ~-, i C ~/k.)~ ~'-- ~ ANmmTED OATE GF COMPLE'rmN. ~:~')~ ]'} t" A)O t I aln familiar with the reqt kements of Greater Anchorage Area B, prough Ordinance No. 28~6~and thgt the I certify tha ........... above described system is m accordance wire sam corm. BELOW TO BE FILLED OUT BY HEALTH DEPAOTMENT AS DESCRIBED BELOW, SIZE OF UNITTO RESeRVEDlY, _. SEPTIC TANK SIZE./~ ~ ~) TYPE ~,f . SEEPA6E AREA. TYPE DI~6~I OF SYSTE~ GR':&TER ANCHORA~b AI~ ~t~m(u~ ~n HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 T INSPECTION REPORT ON-SITE SEWAGE DISPpSAL SYSTEM LOC^TIONSN'0W '+t LEG= SEPTIC 'rANK: DISTANCE FROM WELL_ LIQUID CAPACITY ~__ , .COMPARTMENTS - GALLONS. ~NSIDE LENGTH .... INSIDE WIDTH. DEPTH__ SEEPAGE SYSTEM: SEEPAGE Pti: NUMBER OF PITS _ LINING MATERIAL . NEAREST LOT LINE_ OUTSIDE DIAME~ OR WIDTH ~,~/ DISTANCE FROM WELL_ TOTAL EFFECTIVE ABSORPTION AREA (WAIL AREA)_ lENGTH_ DEPTH. BU1LD~NG FOUNDATION SQ. Fl. TILE DRAIN FIELD: DISTANCE FROM WELL--/ NUMBER OF LINES _ ABSORPTION AREA ,.~ __ SQ. FT. DEPTH: TOp OF TILE TO FINISH GRADE_ ~,~ I WELL: LOT LINE /' --, NEAREST LOT LINE __, OF LINES /~) POUNDATION___ d~ // ~:~ ~- TOTAL LENGI~ ,~ , DISTANCE BETWEEN LINES ~ ~ TRENCH WIDTH ~J~ IN. TOTAL EFFECTIVE NEAREST ~ SEPTIC ~1 SEEPAG: ~ ~ I ~' s~w:~ u~:_ ~.~A~:%'I . SVS~:~ ~-~_ _ C~SSPOO~ sou~c~s~ DISTANCES: //-7 · ! - HEAL]II ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of thi Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is sar( functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify th~ based on the information obtained from the Municipality of Anchorage files and from my investigation an inspection, the on-site water suppl~ and/or wastewater disposal system is in compliance with atl Municipal an, State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~'~'~" -~ c: Telephone 6. DHHS APPROVAL ~ /~¢.. Approved for ~-.~ bedrooms b / ' ' Approved ~isapproved Conditional Terms of Conditional Approval Date 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 flies and from my investigation and inspection, the on-site water suppl~ and/or wastewater disposal system is in compliance with atl Municipal and State codes, ordinances, and regulations in effect on the date of this inspection· Name of Firm /~¢~-~C_C ~ (: Telephone 6. DHHS APPROVAL ~ /~.¢.. Approved for %.G bedrooms b / ' ' Approved ~isapproved Conditional Terms of Conditional Approval Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 DH HS do not conduct inspections or analyze data before a certificate is issued. The Mun icipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72 025 (Rev 7/88)8ack Page 2 of 2 MUNICIPALITY OF ANCHORAGE i Department o! Health & Human Sen~ices DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel i.D. # _~/-') \ O-r~, ~ r.~ ~ ~'~ - ~) \ HAA# ~'/ /'~ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (a'4t '~ss or d r.e, ctions} - ; ' ' ' $ ~F - p/o/ Prnnertv ~'¢~e~' ~J~'~'~'~r~4'~ ~' ~r Telephone: (home) (c) Lending Institution,_. ' :,~ Telephon~ Business Mailing Address (d) Real Estate Company and Agent /o ;/'6/,d ~-~ Address Telephone (e) Mail the HAA to the following address: (or check here,i~a~', if hold for pick up.) List contact person and day phone number below: 2, TYPE OF RESIDENCE Single-Familyjg] Number of bedrooms 3. WATER SUPPLY Individual Well,~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site ~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025(Rev ?/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my sea[ affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functiona .and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the tvlunicJpaJity 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 Stats codes, ordinances, and regulations Jn effect on the date of this inspection. Name of Firm /~--~"-¢ -/~- Telephone Address ~¢ ~ ~¢¢~ ~~ ~ / / ~. ~~al_/ 6. DHHS APPROVAL Approved for Approved / . Disapproved Conditional / . Terms of Conditional Approval The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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. 7/88) 8ack Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: "'T"'/,~A) A. WELL DATA Well Classification pr/ ,'~[-¢ If A, B, C, D.E.C. Approved (Y/N) ~' Well Log Present (Yi~)~ _._D ate Completed "" I??R Yield Total Depth ~' ? Cased to ~2 _Depth of Grouting ~'~ . Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (~) /¢/ SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot / To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ,_ /U/~} To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments 7~,~ [5__ Iv-g// _ To Nearest Public Sewer Cleanout/Manhole Sanitary Seal on Casing ~N) Depressi°n Ar°und Wellhead ~(N) ~, ; On Adjoining Lots ; On Adjoining Lots B. SEPTIC/HOLDING TANK DATA Date Installed IZ-/J/,C~_Size ~..~0 ~¢2 No. of Compartments Standpipes (y~, N) _~Air:{i~'ht'~s~Ni _- -"% Foundation Cleanout C/N) Depression over Tanl<(~;)N)/~l(~· )Oate Last Pumped , ,5~'/,,~/~,¢' Pumping/Maintenance Cor~.ct on FC~lil~ ~Y~N?'/~L/¢/ ;,,~ _;for Holding Tank High-Water Alarm (Y/N) ~- Temporary Holding Tank Permit (Y/N) ScEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: .~-o Water-Supply Well l ~ ,!i To Property Line ,5'~ ¢/ ~ To Water Main/Service Line ~ ~ / To Stream Pond, Lake or Major Drainage Course ,.,.b /¢0 / To Building Foundation ,5'"¢ ~ ~ To Disposal Field // / Com.ments C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ! ~-/$/'8' ~ Width of Field ,cc- / Square Feet of Absortion Area Depression over Field (Y/~ Results of Last Adequacy Test Type of System Design Length of Field / Depth of Field Gravel Bed Thickness / Statndpipes Present ((¢~/N) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Property Line 21~ / To Existing or Abandoned System on ; On Adjoining Lots ,P ~, 5-0" To Cutback (if present) '~ loel D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Dimensions M a n h o I e/A c c e~.(N'/)~'~ "Pg~p~'f" Level at A) /,/~>.. ~¢'~ Vent (Y/N) Meets MOA Electrical.~~ Comments . Pumping Cycles during Adequacy Test. inspection. Signed Company Date MOA No. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this ReceiptNo. c::~/ ?' "~ ~ ¥7; ~ ~ ) ReceiptNo. Date of Payment -~ -,--.~ - '~ C~ Waiver Fee: $ Date of Payment ~-o~ (R~ 7/~)~o~ Page 2 of 2 IJEI-t~.I~,II'I(:I Il' IIkAL.{II AND 825 ~, Stsc'et, Anchorage.',. Alas,la Insp Jken ~ ~dy Date Roeeived: Time Date PROTEc:FION '{'~' ~'" 99501 September ] 3, 1977 Da he Insp ........... tnsp REQUEST FOR APPROVAl, OF INDIVIDUAL SEWER AND WATER FACII,I'i'IES Lending Institution Request: Alaska U.S.A. Federal Credit Union Hailing Address:I 777 Juneau 8kree¢ 99501 Pheue: 276-645d Property Owner: I4ailJ. ng Address: Barbara J. Wilkinson 1410 West 27, Apar%ment 15 Phone: 278-2027 Legal },~scri }tion- T12N R3W Section 33 Lot ] 69 Single ?emily Residence: Nu]tiple Family Residence Number of Bedrooms: Five Numbe] of Bedrooms: 5. Well System: Individual Well ~'. ) Commun[ky/Pub].ic System ( ) Permit: I! Depth of Well 67' well Log on ]:'Ale ( ) Construction __~)~zpt~?l ......... Bacterial Anal ysis ,.l_~l__~m .o_L'£1-¢ ,~ Sewage Dispesal System: On-site System (x) Public Utility .( ) Permit ~i Septic Tank Size Absorption Area Installed 1970 In,~.a].le~. P~anu lecturer Soils Rate Haterial Distances: Well to Septic Tank to Sewer Line Nearest Lot. ho Nearest Lot Line line tO Absorption Area ~ ........... AbsorptJ on Area MUNICIPAEITY OF ANCHORAGE DEPARTMEN'r OF HEAL'Tlr84 ENVIRONMENTAt. PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Streel · Anchorage, Ah~skr~ 99501 Tolephon0 264-4720 CE,~tTIFICATE OF INSPECTION SEWER AND WATER FACILITIES 1. PROPERTY OWNER Thomas/Alia Schmidt SEar Rout_e A Box 485W 9950? 2. LEGAL DESCRIPTION {].2:1 R3N Section 33 Lot 1. o9 3. 'IYPE DWELLING .tiE*:, SINGLE FAMILY RESIDENCE Eli OTHER (Describe) E2 MUI_IIF'LE FAMILY RESIDENCE 4. WATER SUPPL\' -~,*( INDIVIDUAL El] COMMUNITY/PUBLIC 5, SEWAGE OISPOSAI. :Jig.::': INDIVIDUAL/ON SITE Il PUBLIC LJTILtTY [l-'J HOLDING TANK (Maintenance Required) :'(~ APPROVED FOR.~_~.~ ........ BEDROOMS ~_] CONDITIOr4AL APPROVAL (See Attached) ,r ,~ DISAPPROVED ! DATE RECEIVED INsPEcTION APPOINTM, ENTS TIME TIMEi ~ TIME INSPECTOR INSPECTOR INSPECTQR ., .... MUNICIPALITY OF ANCHORAGE ) DEPARTMENT OF HEALTH & ENVIRONMENTAL PRoT~ALI~ OF ANCHORAGE 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264;4720 M~ ~ ~ l~J~0 DIRECTIDNS: Compiet0 all parts on page 1, Incomplete requests will not he processed, Please allow ten (10) days for processing, 1, PROPERT~WN~R PHONE PROPERTY RESIDENT (If dif~er~nt from above) / r f PHONE 2. BU FE - MAILI ~G ADDRESS MAILING ADDRESS 4. RE~L~OR~AGENI' , ~ -- - j PHONE ~AILI~6 ADDRESS f f B. LEGAL OE~CRi 3TiON : ' I~, TYPE OF RESIDENCE ' NUMBER OF ~ Two ~ MULTIPLE FAMILY /~- ~ Three 7. WATE~PPLY ~ INDIVIDUAL* ~ COMMUNITY PUBLIC UTI LITY 8, 'SEWA~E~ISPOSAL SYSTEM ~ INDIVIDUAETON-SITE~ ½EDROOMS i~. Four [] Other Five [] * ATTACH WELL LOG. A w~ll log is required for all wells drillecl since June 1975. For wells drilled prior to that date, give well d0pth (attach log if available.) ~'~ '~,) ~ / ~ ? ~'~ .YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Roy. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E~]INDIVIDUAL/ON -SITE DATE INSTALLED []PUBL,C U IL,TY G Connection Verified · INSTALLER []Septic Tank or []Holding Tank Size:-./~"~ - If Tank is homemade SOILS RATING give dimen~iO'ns: TYPE OF TANK MANUFACTURER ~----7__~AA , , ._'. TOTAL ABSORPTION AREA MATERIAL ~, ~ J ' Nearest Lot Line 4. DISTANCES Septic/HoldingTank Sewer Line WELLTO: /~-~' Absorption Area to nearest Lot Line 5. COMMENTS ~'~'APPROV ED FOR ~" BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~ DATE 72-010 (Rev. 6/79) April 4, 197,0 ?boreas/Alta S d-mil{it Anchor~gg, AJ..aske 99507 Su. bject: 'lq.2/! R3','! Sec',tio~l 33 Lot 16!) Al~}?roval for your individual sew,ar and w~¥ger ~acilitios ca~ not be granted until th~ following items havn been r3ompleted ~ (!) ~'~'~ water analvs] ~ repor~ be deliver~d tO tills [ ;~fl(~e frol~ Ch~RI t, ab~ b633 .~3 ~'{.Ieet~ roi ou~ ~ review. , '~ (2~ 'l'he septic 'ban];. put, ti)ed v~J.tt~ a reGeipt sttbn~ltted ~ ~ ' tO 'iq~JS office. (3) An adequa~y test be performed, on the ~,i{istJ. ng ~ lea(]hin~i area. '.]~]%Jo~ test wi],l cleter~line if thn '/ A ll~ting of private firms pezforming 'th(, test is enc]_osed~ ?his report needs to be submitted. to this ,'{epartment for our r,~view~ ~ if there are any f~z-Lher qt%estions, pl~.~ase contact this offico at 264-4720,, As~oc:iate SpecJ alist. 4619 Spe};ard Road 99503 Tobben Spurkland 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243-5302 Mr. Jim McCourt Yukon Realty 4619 8penard Rd. Anchorage, Od. asks 99503 April 13, 1980 SEWER ADEQUACY TEST LO T I 6 9 , SEC. 3 3 , T I 2 N, R~ W Residence: Water Sewer Date of ].est· Test Procedure: 2 storey, single family, full basement, 5 bedroom~~' On site well From Municilml records: Installed in 1969 Tank: 1250 gal. concrete, Espifioza Drainfield: 4 lines total length 190 fe~t, No cleanouts or observation pipies April 10, 1980 On inspection tank was fgund full and the following measurements were taken~ ~ Distance to tank bottom; 8'~8" Distance to bottam of stand pip~; 2~-7'' Depth of tank: ~'~1" Water at the rate of 4 gal. per miniute was introduced into the system via a tub in the basement and the following rea~ings 9f the waterlevel in .the tank taken. · D is distance to water surfac~ using t~e stand pipe as ref. Time Del. t Del Q D! Del D 9.40 0 0 41~ 0 9.45 5 ~0 41~ ~ 9.50 5 20 39~/4 1~ 9.55 5 20 38~ 1~ ~O.00 5 20 37' 1~ 10.02 2 8 3~ 3.75 10.O3 Water shut off ~ Disregarding outflow every 20 gal caused a 1/* inch raise in the tank. This checks with the stated volume if the tank. Absorption Rate: The house water was shut down for 60 min. and the following readings of the water surface level of the tank observed. Tobben Spurkland P.E. J~ McCourt Yukon Realty. April 13, 1980 Time Del t D de D Del Q 10.30 28 39 5.75 28 10.45 15 39.5 0.50 8 11.00 15 40 0.50 8 11.15 15 4o.5 o,5o 8 11.30 15 40.75 0.25 4 5.15 41.25 These readings show that the system is absorbing 32 gal per h~ur or 768 gal per 24 hour. The municipal requirement for h 5 bedroom house is 750 gal per 24 hottrs. ~ These observations show that the syst~ is operating in a overloaded mode. This may be caused by faulty installation, saturated ground, high water table, or by the sytem having reached the end of its operatihg life o During the test both the inlet pi~ and the outlet pipe of the septic tank were submerged, and at one )~int of the test water was raising in the standpipe which shows tat water was being stored in the house sewer line. If this backup is caused by saturated ground, overloading and poor operation of the system can be expected during breakup and in periondssofheavy rain.. If the problem is caused by faulty inst~llation or because the end of the life of the system is appraaching~the problem of proper operation will become progressively worse and ultimately require replacement of the system. This system was tested by R&M Engineers in Oct. 1977. t~M measured an absorption rate of ~6 gal per hour, however, the system was tested twice, presUmably because 'the first test indicated the system was failing. CONCLUSIONS: The system meets the municipal!absorption requirements. [~oblems must be expected during breakup and during periods of heavy rain~ The system is 11 years old,' itlshould not be expected to last more thdn 5 more years.~ Note. The stand pipe to the septic tank is loose and should be replaced. kobben opurkla~l l°.F,. III: Time Date Insp DEPARTMEN' 825 MUNICIPALITY OF ANCHORAGE )F ltEALTII AND ENVIRONMENTf L Street, Anchorage. A]iaska 264-4720 Date Received: PROTECTION 99501 .~ 13, 1977 10:30 a.m. #2: Time #3: 'rime 9-~77 ~amh~; ~]x~,%. Date Date Jkennedy Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska U.S.A. Federal Credit Union Mailing Address: 777 Juneau Street 99501 Phone: 276-6454 Property Owner: Barbara J. Wilkinson Mailing Address: 1410 West 27, Apartment 15 Phone: 278-2027 Legal Description: T12N R3W Section 33 Lot 169 Single Family Residence: (~ Number of Bedrooms: Five MultJ. ple Family Residence: ( ) Number of Bedrooms: Well System: Permit Il Construction Individual Well ~) Co~tlunity/Public System ( ) Depth of Well 67' Well Log on File Bacterial Analysis ( ) Sewage Permit # Septic Tank Size Absorption Area Disposal System: Installed On-site System (~ Public Utility 1970 Igstaller Manufacturer Soils Rate Material ( ) Distances: Well to Septic Tank ~o Absorption Area to Sewer Line Nearest Lot line Absorptioa Area to Nearest Lot Line .1UNICIPALITY OF ANCHORAGE Department of Health and Environmental Protection 825 L Street, Anchorage, Alaska 9950]. 264 - 4720 o Property Owner: _, D zA~ ~., ~ Mailing Address: /~Z~ ~) A~ ~PI~'~-- Phone: Mailing Address: _ff~ ~{~m~e' Phone: Legal Description: 2A~- /$P X/~ ~iPZ{~ ~Y-b~ Single Family Residence: (~ Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well (/~JPublic/Community System ( ) ill Ilndividual Well, well depth ~ ~ If Co~mnunity Syshem, name of system 8. Sewage Disposal System: On-sihe System (~ublic Sys'hem ( ) If On-sihe System, date of installation: ~ l.p'~ *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 Page Two Depar[ment of Reques[ for Approval IIealhh and Environmental Protection of Individual Sewer and Water Facilities Legal Description: T12N R3W Sec'hion 33 Lot 169 Comments: Affadavit Attached: ( ) Letter Attached: ( ) S89059'1 9"E 329.53 7558C SHANDY COURT o 33' Road Reservation co �---- ----- Shed ------ I Storage �j 04 _ coop--Q:.��cshalt ;. EAST 329.47 NOTE: Bearings and distances shown Lot 184 hereon are record per adjacent Plat No.84-260. SCALE: V= 60' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON UNLESS OTHERWISE NOTED. OFAW •q��S '`�Ir�.•• 49th.* 00 00 ....................... / 00 00 00 00 A'. Elizabeth L. Walatka : yf �,s�F • • 8036 — LS '�, • • C:; op�� tai W T4FgsSloNpA_ 'A 4► FB 23-2, pg 28-29 BE FB 77-6, pg 30 RECERTIFIED 8-03-23 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 169, SECTION 33, T12N, R3W, S.M, AK Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 26th day of September , 1977. FRED WALATKA & ASSOCIATES, L.L.C. 907-248-1666 Engineers and Surveyors This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. O I O N 2.3 O I 9 2 ch CC I e ^ M 222. 8.0 � deck Z ? 7 W Z I I Septic vent (typ) l o w o deck LO Cj o I LOT 169 3�0 9 r" o _ ti W I : o 0 � E co OIPhali ° Z Z C0 �I to Z I - CO . e40Y 60 e Shed - I I - o Well EAST 329.47 NOTE: Bearings and distances shown Lot 184 hereon are record per adjacent Plat No.84-260. SCALE: V= 60' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON UNLESS OTHERWISE NOTED. OFAW •q��S '`�Ir�.•• 49th.* 00 00 ....................... / 00 00 00 00 A'. Elizabeth L. Walatka : yf �,s�F • • 8036 — LS '�, • • C:; op�� tai W T4FgsSloNpA_ 'A 4► FB 23-2, pg 28-29 BE FB 77-6, pg 30 RECERTIFIED 8-03-23 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 169, SECTION 33, T12N, R3W, S.M, AK Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 26th day of September , 1977. FRED WALATKA & ASSOCIATES, L.L.C. 907-248-1666 Engineers and Surveyors This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. ' : · : : ' , : ' , ~ r ' ~a ' ; · AS.BUILT NO CORNERS SET THIS DATE . ~-~ ..' ~ '.'~ ~a , s~c~on ~ the ~oHo~g des~ p~per~ ........ ,, ' ~', ~ : ~ ~ s .~, ' ' : : . ~, ~ ~ ~,~ Wo~atka ~ ~ not overlap ~ en~oad~ on the property lying a~3acent · · ~ - ~ ~. , ~ ~ ~ · · to, that no ~provemen~ on prop~y lying adjacent thereto ~ . ~ o~> % ........ ~, .~.~ en~oa& on ~e ore~ses ~ question ~d that thee ~e no ~ · ' -~ P~OF~ .....~L~ ~ ' said prop~ except ~ ~dica~ hereon. ' [ - '' ~'~ ' Dated at ~orage, ~ka THOSE SHO~N ON TH~ BEOO~DED F~ W~ ~ ASSOC~TES P~T AR5 NOT SHO~N HEREON. Engineers and Su~eyo~ -2 '4 ~ : . ... ..... .:. :::.::: · : : ' ' ' : ; ':-": :'~ : : j : (V:- ~ ' ~ : d",~ ~ _ ' _ ' : ' ' .' ':': ' ' t I : : V.6~ · i ' ' , · t I ................. l .... ~ .... ....... ~ .... . ~ ~ : ' j ~ '. ' '. : I ~ ~'~: ~:=~ ~: : . ...._, .- .... .....,_ ,~.~ ......, . . ,. ~ 'r'.. ~-/--,.' ,- ; -..- -:'--: -:=~: · ~ . : , · : , , ~ . ; , "'l ~ ': I , ': ,~C 6~ ~ ~ , ' . · ; · , ~L,, ':'~ ;"~':.:~ :'' ~'' ~ ]:'~ ;:;'--j, ~ ,"~-:.-:~ : :,":~ ~~ ;:: :':.~W-~ ~ : ~ :~'..: '-;'. ~' .... ; ' "i'~:~'~'~': .... ." ': '.'" :':'"': ~'L F~'":"; x -~ ~::'~)'~"': : :":"-'7 .... : ' " ..... ~ ~' ]'~ ~ As-gu Il' · NO CORHEn8 SET '~ .S DATE / :~· i : [ · . : .... ; ' ~. ¢'', ~,~ ~. /d'~ff - : to lhat no improvemenls on property lying adjacent .{ ' [ · , - 4~ >~ % ~" ~<-~;~ ' ; . encroach on Ihe pren~ses m quesaon anp l),at tlc e . -~D~ [ ' ' ' '~ ~ '*,.. ..~%% ~-'~ ' roadways tran:m xsion ]in~ or other visible 0527 - ~0. Dept, .Date_ ', '" / , Name - 4/, (~ '~._'~-' ~ ~' SOLD BY CASH C.O. D,CHARGE ON ACCT, MOSL RETD. PAID OUT QUAN. DESCRIPTION PRICE AMOUNT 5H 32 October 5, 1977 R&M No. 751529 Mrs. Barbara Wilkinson 1410 W. 27th Avenue, Apt. 13 Anchorage, Alaska 99503 Subject: Adequacy Test on Sanitary Sewer System, Lot 169, T12N, R3W, Sec 33, Anchorage, Alaska. Dear Mrs. Wilkinson: On Septen~er 21, 1977, at your request, we conducted a test of the septic system on the above described lot. This test is described in our letter to you dated September 26, 1977. Due to heavy rainfall conditions at that time, it was requested that we repeat the test, on a clear day. We returned to the site to do so on October 4, 1977. During the test, the liquid level in the septic tank was monitored at regular intervals, through the standpipe, as water was added to the system. The following table summarizes these measurements. SUMMARY OF MEASUREMENTS Time Depth to Liquid Level pelow Top of Standpipe Water Meter Reading in Gallons 9:38 5.40' 7757.0 9:45 4.50' 7782.0 9:51 4.30' 7797.0 9:56 4.50' 7797.0 10:06 4.95' 7797.0 10:15 3.75' 7837.0 10:31 4.95' 7837.0 The meter used during the test was a Rockwell 5/8" standard water meter which had been previously calibrated by R&M Consultants, Inc. The drawdown measurements indicate that the system'accepted 40 gallons over a 25 minute period. The indicated effluent acceptance rate is 1.60 gallons per minute during the test. Ass~ning that the five-bedroom residence on the lot will house ten people, the average load on the disposal system can be expected to be 750 gallons per day or 0.52 gallons per minute. October 5, 1977 Mrs. Barbara Wilkinson Page -2- As a result of the second test performed, it appears that the system is performing adequately to meet the effluent demands of a five bedroom house. It should be noted that the degree of saturation of the soil may significantly affect the efficiency of this s~stem. Problems may occur following spring break up or periods of heavy rainfall. It should also be noted that the system has a fairly low surge capacity. We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or letter, or if we can be of additional service. Very truly yours, R & PI CONSULTANTS, INC. Richard W. Burg, Jr. Staff Engineer Head, Earth Science Depart~nt RB:JMB/rds September 26, 1977 R&M NO. 751529 Mrs. Barbara Wilkinson 1410 W. 27 Avenue, Apt. 13 Anchorage, Alaska 99503 Subject: Adequacy Test on Sanitary Sewer System, Lot 169, T12N, R3W, Sec. 33 SM, Anchorage, Alaska. Dear Mrs. Wilkinson: On Septer~ber 21, 1977 at your request, we conducted a test of the septic system on the above described lot. During the test, the liquid level in the septic tank was monitored through the standpipe as water was added to the system. The following table summarizes the measurements. Time Level of Liquid Below Top of Standpipe Water Meter Reading in Gallons 1:42 5.45' 6964.0 1:52 4.5' 6989.0 2:32 5.35' 6989.0 2:35 4.7' 6999.2 3:10 5.25' 6999.2 3:25 3.9' 6999.2 3:40 4.75' 6999.2 The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, Inc. The drawdown measurements indicate that the system accepted less than 0.5 gallons per minute between 1:42 and 2:32 and lens than 0.26 gallons per minute between 2:32 and 3:10. This indicates ah average effluent acceptance rate of less than 0.43 gallons per minute during the test. An unexplained surge in the system occurred betweenl 3:10 and 3:25, when the water level rose 1.35 feet. This could possibly have been produced by a sump pump within the house or by groundwater entering the system. It should be noted that the test was performed during an unusually heavy rainsto~n. The level of saturation in the leach field is not known since the residence on the property was not occupied at the time of the test. Assuming that the five-bedroom residence on the lot will house ten people, tbe average load on the disposal system can be expected to be 750 galloas per day or 0.52 gallons per minute. We conclude that the system in question is not perfornling adequately for a five-bedroom house. We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or this letter, or if we can be of additional service. Very truly yours, R&M CONSULTANTS, INC. Stephanie Hoag ~' Jim McCaslin Brown, Ph.D. Staff Geologist Head, Earth Sciences Dept. SH/JMB/mu