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HomeMy WebLinkAboutT15N R1W SEC 17 SW4SE4SE4Onsite File 4 ibNccuuli mtePut i-1-i-ic.aoc Municipality of Anchorage Community Development Department Page 1 of 2 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191101 PID Number: 051-221-26 ❑ New Z Upgrade Name: Martin Mall ABSORPTION FIELD ❑ Deep Trench El Shallow Trench ❑Bed ❑Mound Address 18134 Mail Cir. El Other Phone of Bedrooms Soil Rating Total depth from original grade [Number 4 GPDISFi Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot ** Fill added above original grade Ft, Gravel length Ft. Township Range Section 15N 1 W 17 Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption i Holding Lift Station j Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank I Line Ft' Ft. Well 100+ i TANK El Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1250GaI. Surface water 100+ Material Number of compartments i Lot Line 5+ Steel 2 NA Foundation 10+ i LIFT STATION Manufacturer Capacity Curtain Drain 50+ i i Gal. Remarks **SW4S E4S E4 Pump on level at in. Pump off level at in. High water alarm at in. _ Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Jr's Septic Services Drainfield COIMT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 510..0 ft Inspection5, dates: 5/1/19 211d 5/31/19 Location and description 3'd ------ 4`h - NW Bottom House Trim COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date ,� SOF:. steveri A..01 nInone ' Approved J 11rUsV'__------ Date'9?OFESS10!aP.� �. •' C 8149.-. ibNccuuli mtePut i-1-i-ic.aoc 0 -m-�D�j 1 \ m z p XCo �K-n-1nT;,3=D O \ \ \ \ z m m \ \ \ \ O Ln \ 1 \ I C \ �m m C \ m 'D �m -CprOr X X7 m 'Dz OC mN O (n ? O W p W 07 W W N rn D D a v o) CO -� W�Oz DX~ W N N N Z m Z m $ �m O c m D r 0 n cm 0 -m-�D�j 1 \ m z p XCo �K-n-1nT;,3=D O \ \ \ \ z m m \ \ \ \ O Ln \ 1 \ I C \ �m m C \ m 'D �m -CprOr X X7 m 'Dz OC mN O (n 1 0� \ \ I+ \ \ D ~ 1 \ Isi 1 n 0 C-) M of \ 1 0 W�Oz DX~ 0 -m-�D�j 1 \ m z p XCo �K-n-1nT;,3=D O 0 co 03 m 'D �m -CprOr X X7 m 'Dz OC mN O (n r A m O C) m O Crr*t 0 W�Oz m�c�0 r U) Z Z 2 Z m Z m $ �m O c m D r 0 n cm Lo" \ i OOu©LE CLEAN OUT cn N \ \ \ N \ \ \ CD CLEAN our \ \ \ \ \ \ \ O z� Tm _0N \ \ \ \ r \ n f l CLEAN OUT\ �'A \ \ \ \ \ m \ \ v \ X \ CLEAN OUT \ Ln Ll No `\ oQ \ \\ \ `l! \ \ \ `V NOTES: \ PANNONE ENG SVC, LLC �����\\1 REVISIONS DATE RECORD DRAWING P.O. BOX 1807 PALMER, AK 99645OF•AL:, 6/3/2019 PHONE (907 745-8200 FAX 907) 745-8201 �r�<P Fir SCALE T15N R1 W S17 SW4SE4SE4 % *' �t 1" = 60' 18134 MALL CIRCLEP.I.D. NO 051-221-26 DRAWN/-iCf I � $'teven 'R' • onnode- � SITE PLAN MARTIN1 PERMIT NO. P0BOX 670465EN ALL /r+�i`j���$'ar SHOEP191101 I CHUGIAK, AK 99567 ��\\����� 2 of 2 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:/lwww.muni,org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP191101 Effective Date: Work Type: SepticTank Upgrade Expiration Date Tax Code Number: 05122126000 Site Legal Address: T15N R 1 W SEC 17 SW4SE4SE4 G:1057 Site Mailing Address: 18134 MALL CIR, DUPL B, Chugiak 4/15/2019 4/14/2020 Owner:. MALL MARTIN -C--&-KAREN_ _...._ ._........ _ ._....... _.._, __..Lot -Size in Sq,-Ft:-,-- Design q_Ft: _Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: ❑ 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 Received By: Date: 4 V,t Issued By: _ca�JQ Date: '7 1 5 I UNIC PUTT OF ANCHORAGE - Community Development Department`' Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-221-26 Property owner(s) MARTIN & KAREN MALL Day phone Mailing address PO BOX 670465, CHUGIAK, AK 99577 Site address 18134 MALL CIRCLE, CHUGIAK AK Legal description (Sub'd., Block & Lot) T15N R1 W S17 SW4SE4SE4 Legal description (Township, Range & Section) Lot Size 435,600 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: (El all that apply) TYPE OF DWELLING: Absorption Field ❑ Initial [] Single Family (SF) ❑X Septic Tank ❑X Upgrade n (w/wo ADU) Holding Tank ❑ Renewal ❑ Duplex (D) ❑ ❑ Multiple Dwellings ElPrivy (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / 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: 0�A5- Waiver Fees: Date of Payment: L111210 1210 Date of Payment: Receipt Number: nlg l3GReceipt Number: Permit No. o01)1g II 6 I m Waiver No. Permit App_:- :- :-.,:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191101, Rebecca Carroll, 04/15/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191101, Rebecca Carroll, 04/15/19 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 ! [~l NEW LEGAL D ESC~TION LOCATION,~ ~ ~ - ~- ' ~~S ~ . I """ mo,.t,o, m,,,n, ° NZ Manufactu r Mate' ~ ~ INo, of compartments ~ [Li~.~ca~a ~V OhS F HOMEMADE:~ Inside ength.~ I Width Liq~ ~.~pth Well DISTANC Well DISTANCE TO: /, ~,~) Foundation NO, of lines Length of Total length Top of tile to finish grade ~ Material beneath tile Length Depth TNO, li?,~ Trench width inches gallons PERMIT NO. Class Depth Driller DISTANCE TO: Building foundation Sewer line OTHER PIPE MATERIALS SOIL TEST RATING/ INSTALLER REMARKS RO D DATE LEGAL Distance to lot line PERMIT NO. Septic tank /~, Absor p t ion a r/~a (s~?(~ Z-lO F:!F:'F:'L Z CF:ff',!T L CIC: FI T ]: 0 Iq LEi33FtL. 'T"~'"F;'E: OF: ZO]:L F:IEL?J;OF?.F'T]:OP',t :~J?~"!5'TE:I'"I :[Z: I'"IF~hC!:P'IL.IH I",IUHE:[~FR OF' DEii:DFROOH:i:5 ....... :1. THE: SO I L FIB'_:i~;O!:~¥:'T :[ ON :iS'Y~5"I"[E!~I :[ S: THE: LENGTH E):[ HENS ]: ON ]:~; THE LEN(:~iTH ,:: _T. N F:'E~E:"F ;:, OF' 'T'H[E "FI:~rE:NC:H O~: DRFI:( NF:::I: EL.I). 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Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Performed for: SOIL LOG Mailing Address: ~ ;~ ~- Legal Description: ~-~/~,'/~/ ~--~',~0/ ~;~,~ -~"/~/~, %~-'(- ~3epth (feet) Soil Characteristics Earl 688-.2280 9__ -- 10 __ I1 __ 12 13 PLOT PLAN PERC. TEST 14 15___ ~n~/cd ~_ 16___ Ground Water Encountered: Yes No ~// If yes, what depth Proposed Installation: Seepage Pit Drain Field -~"'~ Comments: ~'-~ Z-/b,~' '~-~-~ Performed by: CONSTRUCTION AND OPERATION CERTIFICATE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION PUBLIC WATER SYSTEM APPROVAL TO CONSTRUCT Plans for the construction of ~ approved, -Lf-~;i' '~?-J ~'---~'/" .JJ?~-~ public water system located , Alaska, submitted in accordance with 18 AAC 80.100 have been reviewed and are ~ [3 conditionally approved {see attached conditions). If coushuction has not started within two years of the approval date, tiffs certificate is void and new plans and specifications must be submitted for review and approval before construction. APPROVED CHANGE ORDERS Change (contract order no. Approved by Date or descriptive reference) ]'he "APPROVAL TO OPERATE" section must be completed before any water is made available to the public. APPROV~AL TO OPERATE The construction of the. b! ~:- ~,A_!~)_U. ~-~_ ~4 '-I _C/_/,9 S~c~ public water system was completed on. i/o I/7-- ~:)---- '~-~'o' The system is hereby granted interim approval to operate for 90 ~lay~ s folio--wing the completion TITL[2 ~-ATE As-built plans submitted durin9the interim approva period, or an ins ection b theD r Confir ~ed the s stem was co ' P y . epa trr ent has fin,~2 . Y nstructe.c.I according to the approved plans. The system ~s hereby granted '.~.~Ym)P~oval to o~.r, ate~ t~ ...... - & ': ,-::-i .~ )~ , / , ..'~ . . .-. TELEPHONE (907)-279.4014 274-3364 ANCHORAGE INDUSTRIAL CENTER 5633 B Street Drinking Waler Analysis Report for Total Coliform~ Bacteria To COMPLETED Sy W^TE. SUP.', R CHEMICAL & GL,~LOGICAL LABORATORIES JF ALASKA, INC. I.D. NO. Maih dress City State Zip C~ MO. Day : Year SAMPLE ~PE: [] Treated Water J~' Untreated Water [] Routine [] Check Sample (for routine eample with lab ref. no. __ E3 Special Purpose SAMPLE NO. LOCATION Time Collected Collected TO BE, COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~Satisfactory [] Unsatisfactory [] Sample too long in transit: sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date,Race ved ?~// [ ,,, ~'~ ,vF, '~ -J 'F Analytical Method: ' ~'~L~ ~ Fermentat on Tu~ ~M~mbrane Filter READ INSTRUCTIONS BEFORE $-1220 (b) BACTERIOLOGICAL WATER ANALYSI5 RECORO ¢'='"~~ DATE RECEIVED I.NSPECTION APPOINTMENtTS (~ TIME - TIME \ \ ~,~ TIME INSPECTOR INEPECTOR ,NSPECTOR~yf~t MUNICIPALITY OF ANCHORAGE ~UNICIPALI~ OF ANCHO"AGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH 825 L Street - Anchorage, Alaska 99501 ENVIEONMENTAL } ENVmONMENTAL SANITATION DIVISION APE 9 ]981 Telephone 264-4720 DIHEOTIONS: Complete all parts on page 1, Incomplete requests will not be proce~ed. Please allow ten (10) days for processing, 1. PROPERTYOWNER ROBERT AND KAY FLEMING ~9~47 MAIL DDRESS ~ 45, CHUGIAK, ALASKA 99567 PROPERTY R~SIDENT (If different fro~ abo~e) PHONE Same 2. BUYER PHONE MARTIN AND KAREN MALL 694-2095 MAI LIN G ADDR ESS 9OX 465, Chu~a~ Alaska 3. LENDING INSTITUTION PHONE ~20~A~ HO~GAG~ 277-0543 MAILING ADDRESS 320~ -- C S~eet Su~e 25e¢ A~cho=a~er Alaska 9950[ 4, REALTOR/AGENT PHONE GREAT LAND REALTY=~ARIANNA KOEHLER MAILING ADDRESS P. O. BOX 633, Eagle River, Aalska 5', 'LEGAL DESCRIPTION SW25, SE 25, SE25, Section 17, TownshiF 15 North STRE..~T LO.C~.TION . Denalng Birch Drive 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [~ SINGLE FAMILY [] One [] Four ~-- Two [] Five [] MULTIPLE FAMILY ~(- Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY ATTACH WELL LOG. A well log ~s reouired for all wells dri led since June 1975. For wells drilled orior to that date, give wel depth (attach log if available.) YEAR ON-SITE SYSTEM WAS INSTALLED, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. DAVID A. SLENKAMP ROBERT A. SHAFER MECHANICAL ENGINEER 694-9055 May 17, ~981 CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAGE DEPT. OF H: I, & ENViRONMEix, T ,~ i CTtON Greatland Realty ATTENTION: Mary Ann Box 279 Chugiak, Alaska 99567 RECEIVED Dear Mary Ann, Reference: Robert Fleming property~ SW¼: SE¼~ SE¼ of Section 177 T15N: R1W A sewage system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The seepage pit 4~1 located nearest the septic tank was full of water at the eglnnlng of the test. Seepage pit ~2 was charged with approximately t000 gallons of water and after a period of 24 hours seepage pit ~1 was still full of water, however, all the water that had been added to seepage pit %2 had percolated out of the crib. It can be concluded from this test that the septic System serving the three bedroom residence located on this property is currently functioninq adequately. However, it cannot be guaranteed against subsequent failures. If we may be of further SSlstance Sincerely, ~OB~RT A. SHA~ER, P.E. AS/ss / cc: Spokane Mortgage please do not hesitate to call. Robert Fleming Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA / HEMICAL & C.....~LOGIC~L LABORATORIE~ J£ ALASKA, INC.~i Drinking Witer Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: Water System Name I.D. NO. Pl~one No Mailing Address City State Zip Code Mo. Day Year SAMPLE TYPE: ID Routine [] Check Sample (for routine sample with lab ref, no. D Spe(~ial Purpose [] Treated Water [] Untreated Water SAMPLE NO, t 2 LOCATION Time Colleoted Collected By TO BE COMPLETED BY LABORATORY ~,na vs~s snows this Water SAMPLE to be: ,FT, Satisfactory r- Unsatisfactory [] Sam 31e too long in transit: sample shoulcJ not De over 48 hours old at examination to inOlCa[e reliable results Please send new samole Date Received Time Reeelvec~ Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No, Result* Analyst r I *Nc 31COlOneS/~OOml orNo <3IPosr~l¥eoor[io~s READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 Rev, 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Sburce Date Received Time Received Prelumptlve ],Omi 1Omi 10mi 10mi 1Omi 1,0mi 0 J. rnl 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 NUMSER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ~1~/~ APPROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY