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Home My WebLink AboutT15N R1W SEC 19 LT 32T15N RIW Sec. 19 Lot 32 #051-241-15 Garage M 28.8' 34.2' Anchor Rock Drive Parking 0 Power Pole I Raaf Line— Mi 0 0 0 0 [0;4 Z LOT 15 0 PCC Pod Roof Line aWok 24 4 0) 25.2' 't p 6' N X12.2 1—Level Wood Frame L6 0! House a • eq Wood Pole 38.2' Over Head Utility Cables Garden Area 6.0' x 8.0' Plastic Green House — ---i) Anchor 33' BLM Patent R.O.W. Reserve KLONDIKE STREET Lee Kk • No. Well OR), Wood Rail Fence 0r. 285.65 1P A LOT 14 LOT 32 NW1/4, N€1/4, SECTION 19, T15N, R1W, S.M. Riser Pipe (Typ. 8.z' x 12 2' Wood Shed /cf Chain Lin Fence Asphalt Surface SCALE : 1 " = 30' 0' 15' 30' 60' I hereby certify that an accurate survey of the following described property: LOT 32 NW1/4, NE1/4, SECTION 19, T15N, R1W, S.M. was made on JUNE 25. 2013 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. Easements other than those shown on the record plat may not appear on this drawing. Anchorage Alaska, this 15th day of July 2013. PREPARED FOR: WAYNE & DEBORAH HUGHES AS -BUILT OWN. DATE GRID JSP 7/15/2013 NW 955 FILE NO. F.B. 2013 JOB NO.. 1328 PG: 27 1346 KARABELNIKOFF SURVEYING (ee7) 897-8184 Inspection Report_1-1-1 .d Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http:/Avww.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131021 PID Number: 051-241-15 ❑ New ❑✓ Upgrade Name: Wayne & Deborah Hughes ABSORPTION FIELD ❑✓ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 19435 Klondike Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 0.45 GPDfsF 10.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 5 0 Ft5 Gravel depth beneath pipe OR Subdivision Block Lot 32 Fill added above original grade 0 Ft. Gravel length 50/50 Ft. Township Range Section 15N 1W 19 Gravel width 3.OFt. Beds: Number ofLines NIA Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 1000 Fej 2 12.4+ Ft. well (E) 150.1 N/A N/A 84.4 TANK ❑+ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Existing Capacity Gal. Surface Water (E) 100+ N/A N/A Material Number of compartments Lot Line (E) 25.0 N/A N/A NA Foundation (E) 10+ N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain (E) 50+ N/A N/A N/A Gal. Remarks Pump on level at in. Pump off level at ln.1 High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank (E) dra n k to 3034 JR's Septic Pumping Drainfield 3034 C01MT 3034 Inspector Pannone Engineering Services LLC. BENCHMARK (Assumed elevation) 100n Inspection 1 6/5/2013 dates: a 2^ 6/6/2013 Location and description 3r' 6/10/2013 0 Corner of Deck COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: it *fir Date ke sn T Pariname' Approved Date �pz�"" Inspection Report_1-1-1 .d SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. SCOPE OF WORK: INSTALLED NEW SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS NOT ENCOUNTERED AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 16.0 FEET BELOW EXISTING GRADE. FILTER FABRIC 4" 0 DRAIN PIPE M-1 'RAIN ROCK 6' ABOVE PIPE INV 84.9 oR/ a -2.0 5.0 90. GM/ 0'S 4 89.4 SIA 5.0 y -84.9 DRAIN ROCK 50 6.0 -16.0 78.9 —1- w w SECTION s ss' m a o o wZE a u > o s• oH L 4 949 4 tTA4NK(E)!L /�/� 90.4 89.9 84.9— PROFILE DESIGN PARAMETERS LEGEk, PRIMARY SEPTIC SYSTEM W WATER LINE/ TH NO. BEDROOM: 3 (450 gpd) WELL RADIUS FC FOUNDATION CLEAN OUT TANK SIZE: 1000g (E) T# TANK CLEAN OUT NO. PERC RATE = 35.7 MPI SS NEW SEPTIC C# CLEAN OUT NO. SOIL RATING: 0.45 GPD/SF M MONITOR TUBE N0. AREA ROD: 1,000 SF # SYS. TYPE: DEEP TRENCH 5.0' E.D. R.I. RIGID INSULATION MIN LENGTH: 100.0 LF DCO DOUBLE CLEAN OUT DV DIVERTER VALVE USED: FS FLOW SPLITTER (2)EA 50LFx3'WIDEx5.0'EDxlO.O'TD BFG BELOW FINISH GRADE TOTAL AREA: 1,000 SF OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL AND VEGETATE PANNONE ING SVC, LLC`pF A(�1 RECORD DRAWING "D P.O. BOX 100217 ANCHORAGE, AK 99510 .� � .•'•'•. ate 6/13/13 l� PHONE (907) 272-8218 FAX (907) 272-8211 /A�tpp !y+, Scale *: [}9TH •.*I/ NTS �.... ......... P.I.D. NO T15N, R1W, Sec19, LOT 32 051-241-15 WAYNE & DEBORAH HUGHES �teven R. Pannone PERMIT NO. 19435 KLONDIKE DRIVE ,r'Pcyf•, '49'r OSP131021 DESIGN DETAILS CHUGIAK, AK 99567 �l' •••••'P�r sheet 3 OF 3 16 (E) DRAIN FIELD IN FAILURE ABANDONED PER CODE GARAGE (E) LOT 32 4\ 150.1 W R.O.W.-Esmf C4- M4- C2 M2 U ol \C1� 1? T2 (E)-, M T1 (E)� DCO (E)� BT OUSE3 BR / E 25.0 DRAIN FIELD (P)_ (2EA) 50.OLFx3'Wx5.0'EDx10.O'TD W- N k TH-1 2� C3t. CRIB(E) IN FAILURE FS ABANDONED PER CODE co co- _. DCO \- 1000G SEPTIC TANK (E) ! ' INSTALLED DCO 104.3 \1 O� WELL (E)qq o`� /3 ! NOTESPANONE ENG SVC, LW �+.��OFAi Date RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 ? C�• " ' q�+<<� 6/13/13 PHONE (907) 272-8218 FAX (907) 272-8211/�rij�Q �yf+ Scale *; TH 1^=50 .... .. .. .:.. P.I.D. NO T15N, R1W, Sec19, LOT 32/ 051-241-15 WAYNE & DEBORAH HUGHES Steven �. P¢a�nn om e•� PERMIT NO. CE 19435 KLONDIKE DRIVE '(itPCj • BVD � OSPI31021 PLAN CHUGIAK, AK 99567 �lr ••••• P� sheet kwzWs ' 2 OF 3 A B DCO (E) 17.80 42.0 T1 (E) 20.5 44.6 T2 (E) 26.8 50.5 DCO 30.4 53.1 FS 64.5 78.3 Cl 61.9 74.7 M1 63.9 76.6 C2 100.6 103.7 M298.3 2.2 C3 74.1 8109.0 M3 77.0 90.9 C4 115.7 122.7 M4 113.8 120.9 NOTESPANONE ENG SVC, LW �+.��OFAi Date RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 ? C�• " ' q�+<<� 6/13/13 PHONE (907) 272-8218 FAX (907) 272-8211/�rij�Q �yf+ Scale *; TH 1^=50 .... .. .. .:.. P.I.D. NO T15N, R1W, Sec19, LOT 32/ 051-241-15 WAYNE & DEBORAH HUGHES Steven �. P¢a�nn om e•� PERMIT NO. CE 19435 KLONDIKE DRIVE '(itPCj • BVD � OSPI31021 PLAN CHUGIAK, AK 99567 �lr ••••• P� sheet kwzWs ' 2 OF 3 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP131021 Tax Code Number: 05124115000 Work Type: Septic Upgrade Permit Effective Dates: March 12, 2013 to March 12, 2014 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: T1 5N R1 SEC 19 Site Legal Address: T15N R1 W SEC 19 LT 32 G:0955 Owner/Address: HUGHES WAYNE & DEBORAH J 19435 KLONDIKE DRIVE CHUGIAK AK 995676784 Site Mailing Address: 19435 KLONDIKE DR, Chugiak This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank Lot Size in Sq Ft: 52708 Total Bedrooms: 3 N Privy N Private Well N Water Storage 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 (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By, MUNICIPALITY 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. 051-241-15 Property owner(s) Wayne & Deborah Hughes Mailing address 19435 Klondike Drive, Chugiak, AK 99567 Day phone Site address 19435 Klondike Drive Legal description (Sub'd., Block & Lot) Lot 32 Legal description (Township, Range & Section) T15N, R1 W, Sec 19 Lfi 3 2 Lot Size 52,708 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial F] Single Family (SF) 0 (w/wo ADU) Septic Tank ❑ Upgrade ❑X Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (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. property owner or Permit/Rush Fees: cJ Waiver Fees: Date of Payment: �/iZ ��[ Date of Payment: Receipt Number: i% 81 at i Receipt Number: Permit No. asP/3/del Waiver No. Perm@App__-> :_..:cs Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve(a)panengak.com February 22, 2013 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: T15N, R1W, Sec 19, Lot 32 Septic System Upgrade Permit Request Ladies and Gentlemen: I am writing to request a permit to upgrade the septic system be issued for this property. The proposed systems will serve an existing three (3) bedroom house. Currently the lot is developed. The existing trench and crib are in failure and will be re -used in tandem as a reserve. This lot is served by a private well that is over 100 feet from the existing and proposed septic system. The surrounding lots are also served by private wells. There are no wells within 100 feet of this system. 1. Soils. One test hole was excavated by Pannone Engineering Services in February of 2013, and the ground water monitored for seven days. Groundwater was not observed in the hole monitor tubes after the seven day monitoring period. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance in TH-1; an application rate of 0.45 gallons/day/square feet should be used for a conventional wastewater system. A diverter valve will be installed and the existing drain field will be re -used as a reserve. 2. Soil Absorption System Design. a. See Sheet 2 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The topography is flat in the area of the proposed drain field. There are no steep slopes in the area. S. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Mailing: F.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501, Telephone: (9037) 272-8218 FAX: (907) 272-8211 Page 2 of 2 Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone . CE 6149 . Steven R. Pannone, P.E. Owner/Civil Engineer Attachments -Soils Log -Septic System Design Mailing: P.O. Box 1001217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 --- (E) DRAIN FIELD IN FAILURE 35.3 64LFx2'Wx4'EDx9'TD -, RE -USE AS RESERVE p DRAIN FIELD (P) IN TANDEM W/ CRIB (E) p '�° (2EA) 50.OLFx3'Wx5.0'EDx1o.O'TD N0 W W� i Ns GARAGE �ip TH-1 a (E) of 0 \ CRIB(E) - v7 FS 8'Lx8'Wx6'EDWFAILURE RE -USE AS RESERVE IN w rn = TANDEM W/ TRENCH (E) INSTALL MT DRIVE M ___M 146.3 1y y DV 3 BR DCO C� �/ l" HOUSE 102.2 1000G SEPTIC TANK (E) (E) (TO REMAIN) INSTALL DCO, DIVERTER VALVE, \ AND FLOW SPLITTER _ 1 SEE DETAIL 'A' l i LOT 32 WELL (E) TANK (E) ai EN°N<Pl s � � 5 \ 0 0 AO CR/ �i DCO 3S e (FJ 3y/ DV FLOW ~� SPLITTER ,,��77��7777�� 77��77�V��—��7w �r -� /i� DETAIL 'A' NOTES: PL]L�IlVONE L'N SVC, LLI� �OF A/,., �� Date FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 r C�• .1920 3/11/13 PHONE (907) 272-8218 FAX (907) 272-8211 4'*COAP' �y+� Scale i *; ni * l� r' =so' �.... .. ... ....... P.I.D. NO T75N, R1 W, Sec19, LOT 32 % 051-241-15 WAYNE & DEBORAH HUGHES Steven Pannone PERMIT NO. 19435 KLONDIKE DRIVE CE 8149i/ OSP131021 PLAN CHUGIAK, AK 99567 (ll SheetOF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 2. SCOPE OF WORK: INSTALL NEW SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS NOT ENCOUNTERED AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 16.0 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATLY. TH-1 GM/ SM 2 FABRIC DRAIN PIPE IN ROCK 6' ABOVE PIPE INV 1000g SEPTIC TANK (E) DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1000g (E) PERC RATE = 35.7 MPI SOIL RATING: 0.45 GPD/SF AREA ROD: 1,000 SF SYS. TYPE: DEEP TRENCH 5.0' E.D MIN LENGTH: 100.0 LF USE: (2)EA 50LFx3'WIDEx5.0'EDx I O.O'TD TOTAL AREA: 1.000 SF PROFILE TRENCH SEE DESIGN LEGEND W WATER LINE/ WELL RADIUS SS — NEW SEPTIC ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE ""'" DRAIN ROCK FOUNDATION CLEAN OUT o TANK CLEAN OUT NO. C# CLEAN OUT NO. 4.0 R. 1. RIGID INSULATION DCO -16.0 53.5 SECTION DIVERTER VALVE FS FLOW SPLITTER BEG BELOW FINISH GRADE OG 0 'o 5 FINISH GRADE TS&V o o wow z m� 30 5 i zr z oFILTER FABRIC r40 r a DRAIN ABOVE PIPE INV nn nn DRAIN PIPE 1000g SEPTIC TANK (E) DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1000g (E) PERC RATE = 35.7 MPI SOIL RATING: 0.45 GPD/SF AREA ROD: 1,000 SF SYS. TYPE: DEEP TRENCH 5.0' E.D MIN LENGTH: 100.0 LF USE: (2)EA 50LFx3'WIDEx5.0'EDx I O.O'TD TOTAL AREA: 1.000 SF PROFILE TRENCH SEE DESIGN LEGEND W WATER LINE/ WELL RADIUS SS — NEW SEPTIC ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R. 1. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BEG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL AND VEGETATE FOR CONSTRUCTION O:N PANNONE ENG SVC, LLC OF 1%� Date /13 P.O. BOX 100217 ANCHORAGE, AK 99510 N •'•" '• 9S �) PHONE (907) 272-8218 FAX (907) 272-8211 %gip fy�, Scale j*: 49TH .*�� NTS �.... .. ...... P.I.D. NO T15N, R1W, Sec19, LOT 32 •,,, „•, •,,, 051-241-15 WAYNE & DEBORAH HUGHES Steven R. Pannone j PERMIT N0. 19435 KLONDIKE DRIVE �`� •. CE 8149 �/ OSP131021 DESIGN DETAILS CHUGIAK, AK 99567P�� Sheet 11 ` Po?OFESSION<< 2 OF 3 TEST HOLE 1 SOILS LOG - PERCOLATION TEST SITE PLAN SLOPE OR! ORGANICS/ 16 R.O.W.)Eemt" 1 OL ORGANIC SILTS 2- 3 W 4— 5— GARAGE (E) 6 X SILTY GM/ TH 0 7— GRAVELS AND sw m �41 SANDS a22— 9- 3 SIR HOUSE 10 (E) 11 12 3: 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? N 15 IFYES, ATWHAT TH 16 DEPTH? -DRY-, X BOH 17 DEPTH TO WATER AFTER MONITORING? -DRY- 18 DATE: 2-22-13 19 CLOCK WATER READING DATE TIME NETTIME LEVEL NET DROP READING DATE PERFORMED: 2-15-13 1 2-15-13 1:00 3.83 - 2 1:10 10 MIN 4.28 0.45 1:10 3.83 - 4 1:20 10 MIN 4.14 0.31 5 1:20 3.83 6 1:30 1 10 MIN PEROLATION RATE 35.7 (minfinch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 4 FT AND 5 FT COMMENTS: Test hole excavated by FLINTSTONE ENTERPRISES. Prec hole was presoaked. Test run for at least one hour. Last 3 readings reported PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PAMONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 OF A, q� 1!ki It 00 49 TH A, .... . . . ...... Date 3/11/13 FOR CONSTRUCTION Scale NTS P.I.D. NO 051-241-15 T15N, RIW, Sec19, LOT 32 WAYNE & DEBORAH HUGHES 19435 KLONDIKE DRIVE ...... ... R ... Steven . •Panno.ne CE 8149 6" #0 N. PERMIT NO. OSP131021 SOILS LOG CHUGIAK, AK 99567 WED* Sheet 3 OF 3 4.17 0.28 Municipality of Anchorage Page 1 of 3 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: �_�✓ � 0-3311 • • PID Number: _Q�L_ 1 �� Name: RWastewater 012G/�N 02e�7't}E System: El New Upgrade Addreaa-- 0 a _ q •�� ABSORPTION FIELD Phone: No. of 1Z ms: Deep Trench O Shallow Trench DEI D Mound D Other LEGAL DESCRIPTION Soil eating: / Total Depth from original grade: f • (� GPD/Sq. Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe 3�- Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: L( Ft. 6 ! Ft. WELL ❑New ❑Upgrade Gravel UaylY:l Vid 2 Number of lines: Distanc_e—batween lines: Ft. Ft. Classificatiorr(Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: , Ft. Ft. Z.,- SQ. Ft. P 910 Driller: Date Drilled: Static Water Level: Installer: Date installed: Ft. Yield: Pump Set at:Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES Septic 71 Holding 0S.T.E.P. TO Septic Absorption Lift Holding Public/Private Manufacturer:/ Capacity in gallons: From Tank Field Station Tank Sewer Lines t I,` 0_eL1`�) WellMaterial: 08 Ito Number of Compartments: Water N/ 1-0,ii- LIFT STATION Lot ± y Size in gallons: Manufacturer: Line Q ro Foundation 3s "Pump on" level at: 'Pump off' level at: High water alarm at: Curtain r4/^ Pump Make &Model Electrical Inspections performed by: Drain 7 '.� Remarks: BENCH MARK lit- 79 Location and Description: / O� v 10 to CI^Ir, e—ej '�% ✓ / H{ Assumed Elevation: _ ENGINEER'S SEAL-. Inspections performed by: Dates: 1st- st 2nd f�l� 2nd Department of HgAIt and Hu Services aper a Reviewed and approved by: Date: 1 —1 72-013 (1/91) MOA 25 1 / MfI / 77 I i I cd 4- 004, C 04, I / I / well / I /I / 25 0 25 50 75 100 195 150 / SCALE: 1' = 50 FT. I IUBBLN ZFeUKKLAND F.L.SEPTIC SYSTEM DESIGN 203 W 15TH, AVENUE LOT 32 SECTIO 1 953 ANCH. AK. 99501 DOROTHY F MORGAN DATE+ XT, 26, 1 , - - ,,,,,, SHEET, 2/3 GRID, NW955 I--- 64 — _ Monitor I— Clean Out Standard Frenches; N Double Clean Outs I toCr;b P' Wide 64' Long 9' Deep 4' Sewer rock 3' Cover 1000 gal Septic tdm(z�oob/z- C.G1(s NO SCALE MiraF! 140 Cleanout Monitor Exist. Ground 90,3 4 Pt of Septic Rock 1000 got, septic tank c+„� NO SCALE A oieln .'raw k 85 BOTTOM TESTNOLE I BK. TOBBEN SPURKLAND P.E. LOT 32 SECTION 19, T15N R1 W SEPTIC SYSTEM AS BUILT 203 W15th Ave DOROTHEY F, MORGAN DATE: OCT 26, 1993 Anchorage Ak 99501 1-911rTAk' I I SHEET 4/.? GRID. NW95 /< 3z PAGE 1 OF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930436 DESIGN ENGINEER:MOUNTAIN ENGINEERING OWNER NAME:MORGAN DOROTHEY F OWNER ADDRESS:P.O.BOX 87-4996 WASILLA, AK. 99687 PARCEL ID:05124115 LEGAL DESCRIPTION: T15N R1W SEC 19 LT 32 LOT SIZE: 52708 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: qhl' lD-c`1_ " 93 DATE ISSUED:10/19/93 EXPIRATION DATE:10/19/94 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 ENGINEER.MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 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: THE UPGRADE TR REVISED DESIGN DEPARTMENT APP RECEIVED BY: ISSUED BY MUST BE INSTALLED IN ACCORDANCE WITH THE D 10/18/93. INSTALLATION MUST BE BY A AND -.PERMITTED EXCAVATOR. TO I DATE DATE: O 1 RECEIVED MOUNTAIN ENGINEERING 3868 Shannon Circle OCT 151993 Anchorage, Alaska 99508 (907) 562-1500 Ot '3opt. Health & Human Services DESIGN CRITERIA AND NOTES Project Scope : On -Site Septic System Replacement Legal Description : Klondike Subdivision, Lot 32 Date of Report: October 18, 1993 DESIGN CRITERIA << ''.•, Cr _ 7760 On November 8, 1989 a permit was issued for the replacement of the septic system on the above referenced lot. The homeowner soon thereafter discovered that the failed/failing system was due in part to a plumbing leak that was fixed, and the problems were at least temporarily resolved without replacing the septic system. An adequacy test of the system this month revealed that the existing crib is in failure. This permit application is essentially to renew the old permit, making modifications where necessary due to changes in the MOA ordinances. The home on the lot is a single family, 2 bedroom residence. The test hole that was excavated on 10/12/89 had a percolation rate of 25 min/inch, which translates into an application rate for deep trenches of .6 GPD/SF. With a 300 GPD design flow, the area required would be 300/.6, or 500 SF. The monitoring tube from the 1989 hole was dry at the end of the monitoring period, but the tube has since been removed. A new tube was installed to a depth of 13 FT on 10/15/93. This tube was dry as of 10/18/93. Using a gravel thickness of 5 FT,`the required length would be 500/10, or X40 FT. This will also require a 1" thick layer of extruded polystyrene insulation in addition to 2 FT of cover material. Total depth of the gravel is not to exceed 7 FT The topography in the area of the replacement system is nearly level. Jo �� , n V � C J v D � \ J I J � � T U 9 O •� i:fS d a7G�.� _ �• v� 1j v O •� i:fS d a7G�.� _ �• MOUNTAIN ENONEF r4INO w, ft o sa 1CQ01 CGIESTVIEW Er 9T EAGLE MVER, ALASKA '-9877 c P071 0884700 fax z (900 47"101 Wk i �. �(�J��/'p�p � r ��Gi I r '�}■j..� �r.._•'f. `. f+fa.}i i f e .J rl,•�,• �a�.l .du ��.✓t,.....�� _1 �..._ 1l C k;✓, FY} a � t I- 77 41 LAI F.11� 4; 1fl + y ?� ^l I#°� —i i� r �I' 4 1� Yt F1 7 iis Z49 QAM f .r.6s� MS_ i{ �T-.i-•i y+/f17.�....i.»,... ...<.. .{}.i—.. _ I..... ...i._ x ft Y �� if ALI to WIT Tel� , ¢_{apt 1 ...._. e z� 1 P� + «:.. .._..�,.-r- ,.'j .."..,.-.....�....� .+. . _...�.v. a... I�i r ! lift r> I�f�+►�ei w; gy fft ale too ; 1 ,"'�� '� r i... • ". y,s,� r ! 83 11 his a :.� ! ' t ' - Wi. A 4 ti. ... 1 0+4 t I 9 )t r s "31 /9+�7��r.i`✓a iq�r4tiqgd+A i 'v 'i .; y •, ..<s, r a4,'i''. ,, .t. �..:ir1.a4f3" ": , .'{yi, {.�.,iaakra r.., „• .�,.>;a :rp - MunicfpafJfy of Anctweps DEPARTMENT OF HEALTH A HUMAN SE' /ICES W. 025 "L" SOW, Anchorage, Alaska 99502 350 yn�c , 7760 a wv SOILS LOG — PERCOLATION Ti ST q�s'� _ .xA ; t PEPipone"D FOW �� 1�'16L cta.4 _—DATE PEnPoitmam ,3 6EOAL OEaCNI►TION: wf Jz�i V–,g Township. Rai s, Section: i ELOPi - filT€ILAN ,r fly„ �- I -T; 1-1 10e Ti" "am "z >o a S4 .. n 31t g� e, 6i%%%i► So Si q 4r>” ACCO MMM"IHALLPAINANDINUF"ALO11EDt1*1tINIffLC1ONTNI'!)Alt DATE 1"L Ti" "am `. - Drop >o a S4 .. n 00 6i%%%i► 00 00 ACCO MMM"IHALLPAINANDINUF"ALO11EDt1*1tINIffLC1ONTNI'!)Alt DATE 1"L Ti" "am `. - Drop >o a S4 .. n 00 00 00 +� r •.- i, WAS DROUNDWATER {'1 t (. ENCOMEREDi IP YES, AT WHAT L DEPTN? P wm yp ACCO MMM"IHALLPAINANDINUF"ALO11EDt1*1tINIffLC1ONTNI'!)Alt DATE 1"L Ti" "am `. - Drop >o a S4 .. n 00 00 00 +� o ACCO MMM"IHALLPAINANDINUF"ALO11EDt1*1tINIffLC1ONTNI'!)Alt DATE 1"L E OF - - +.- terv�llvete>aecnLtI • a„ Municipality of Anchorage 0 .� •� :,.,. DEPARTMENT OF HEALTH & HUMAN SEIIVICES W. EARSON i 825 "L" Street, Anchorage, Alaska 99502-0650 �°p�•y CE • 7760 Er 'v; SOILS LOG — PERCOLATION V ST PERFORMED FOR:�E,J ,t' lC-4 Jam'` DATE PERFORMED: Iola 1(5 cf LEGAL DESCRIPTION: Township,-Rar:ge, Section: �r�N . R IyJ,i C�' ICI (F 6ET) i Swl 51 z 3 1 5 C. 7 7 � GI f?�✓t'-� 8- 9- 10 a c� 12 13 14 15 16 17 18 19 WAS GROUND WATER I� ENCOUNTERED? N IF YES, AT WHAT DEPTH? OePth to Water Aker, I _,' I D`j Monitoring] nate: _ S L 0 P E Reading Date Gros; Time Net Time Depth to Water Net Drop u l o .z e5 c:hc o ■■ 5 3.z,r rZ-�" IF "F ISCc y fit(54 .3C°" E 3�cc to ■ ��.• - r i4(_0C 1c S„ yam„ ENE E ■■■NINE■■■■ NIN �■ ■■N■EEEN■■ ■■ ■ ■■■■EEEE■■ WAS GROUND WATER I� ENCOUNTERED? N IF YES, AT WHAT DEPTH? OePth to Water Aker, I _,' I D`j Monitoring] nate: _ S L 0 P E Reading Date Gros; Time Net Time Depth to Water Net Drop u l o .z e5 c:hc o 5 3.z,r rZ-�" IF "F ISCc y fit(54 .3C°" E 3�cc to LJ•Zrl ��.• - r i4(_0C 1c S„ yam„ 20Ll �l.C\i whi s (Ser ctv4 - ' Pre- -SU�_.F"J PERCOLATION RATE V m:nutes.mch) PERC HOLE DIAMETER AA TEST RUN BETWEEN 1 AND �FT A COMMENTS -Jabg. ��C� �S = Z:5.1 rv...•/rtC I-� 4 Z5' ---vim. -(Zi {'c 1r, Cf Cy PERFORMED BY: A)CXVJ! �V' C�"T1'vv'124tr'C- �'� ^`� 5`w� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. 1412-16'-f 70- . I.- I..., MOUNTAIN ENGINE =RING 10251 CRESTVIEW LAST EAGLE RIVER, ALASKA 99577 [9071 696-1700 1E3001478-0101 uzctrA I Lc7t �w K:-Lcc 7+e5'eI L) 6 Iz- c( .. - I /. cm; vv .3vrwi o�vTz 4D -t-L"w GF.e-f+Lid Lo"'f-d of lb� (5 .3-(f z z;-&, -4/t?,e 7- P,k') .7: S a I" LAA)'l (c N -Id qZ,-7 5 4 fly 6AI'-(bc i 1, 1 �-es iIII L) I (> c &I'l - J� .».-..._.,aa�:,:..5-h:'S.w—mt3.ar,.-ate r._.-�3.-.b- .. '.. ir-:an:.rv--•+-....,r�i: ;:e :..:. .. .:.::,� :�:.-e.:;: .: �. sr.:. _ - c_�_ ,,.,. �.�, _.,. .+. _.. __., -'___. Municipality of nchorage Department of Health and Human Services dhh5 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 January 8, 1990 Dorothy Morgan HC 02 Box 7341-B1 Palmer, Alaska 99645 Subject: T15N R1W Section 19 Lot 32 Permit #890258, PID #051-241-15 The subject permit, issued,by this office for a single.family well and/or on-site wastewater system has expired as of December 31, 1989. Permits are issued on a calendar year basis by authority of the Municipal Code of Regulations. A new permit must be obtained from this office for an well and/or on-site wastewater system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as -built inspection report (three-part form) must be sent to this office for review, approval and documentation. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely, John Smith, P.E. Program Manager On-site Services JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" ^ ` ICIPALITY OF A14CHORA BL Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 CN`SITE SEWER PERMIT Permit Number: 890258 Upgrade Date Issued: 11/08/R9 Engineer Designed Owner Name: DOROTHY MORGAN Day Phone: Owner Address: MCO2 7341-B1 746-3066 PALMER, AK 99645 Parcel Id: 051-241-15 Lot Legal: Subdivision; N# Lot: 32 Block: NA Sections Ad\lTownship: 15N Range: 1W Lot Size 52708 (sq.fL" or acres) Max Bedrooms: This Permit: 2 Total Capacity: 2 SEPTIC TANK: Minimum total septic tank capacity: 1,000 gallons. Each septic tank must have at least 2 compartments. Depth to top of septic tank(o) < 4^0 feet requires insulation over tank(s)" PERMIT EXPIKw DECEMBER 31, 198g. NOTIFY DHHS OF INSPECTIONS AT 343-4744 OR 343~4680 ENOINEER MUST VERIFY INTEGRITY OF EXISTING SEPTIC [ANK. [ CERTIFY THAT: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality oF Anchorage (MOA) and the State of Alaska" 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria o[ this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public . sewerage system on this or any adjacent or nearby lot. 4. l understand that this permit is valid for a maximum of 2 bedrooms. I also understand that the capacity o/ the total system is 2 bedrooms ancl any enl i e an additional permit" Signed: DA�|�, ^-:::^_-^___^__-__-___~'--� __-_�~_ _ (Owner) DOKOTMY �1ORUAN issued By: DATE: / / - ?~,�r E I N?7 m� Q) 0 E� N F- t F N � Municipality of Anchorage o 9 �� .x• �a� DEPARTMENT OF HEALTH & HUMAN SERVICES i 1 ; M ...C.W EARSON tv2 A 825 "L" Street, Anchorage, Alaska 99502-0650 Fc • CE - 7760 SOILS LOG — PERCOLATION TEST8�44�gpFo p• o`la��a PERFORMED FOR: 22J?3lPwr tV GL'-ga tDATE PERFORMED: c 10112l�_i LEGAL DESCRIPTION: , pOV1jiLe Township, Range, Section: TISN I R.11�J� (9 r1 SLOPE SITE PLAN 2- 3 3 , 4 !} 7,. 8l Wn 9 0• / / 10 '�, . 11 V / 12 13- 14- 15- 16- 17 314151617 18 19 20 COMMENTS 5 VA J i R-� S" vvL WAS !0 t ■■■■■■■■■■ moMM�O,,.MMMEM ■■■NE.■■■■ .■■■■■■■■■ IF YES, AT WHAT DEPTH? - Depth to Water A Monitoring? er cNw— Date: Reading Date Gross Time Not Time Depth to Water Net Drop 1 11261 0:00 O '7�1/ p Z SiDtJ S 2Jtl `FI) ,511 3 10100 S 3`g'I 4 19,00 3r6` 3�`1 y 2,'7:00 S' 416° ,Z 30,0o 10 Lj,Zu 40:0 to S I SU'1 -O>afo to S3v 3P7 0r o0 IC) `>� 411 Su 2 PERCOLATION RATE �J ` (minutes/inch) 0PERC HOLE DIAMETER TEST RUN BETWEEN FT AND 4 FT .. r,, x'7_'77.1 N"'^/v,rL. . 2CZ�"L=.- , *iv-, 6-r179i of ci PERFORMED BY: , v l V' e'"%Vwwlr� I Ma,/1-_ 1eZ6"�'V\ CERTIFY THATTHISTEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: i41,7_169 72-008 (Rev. 4/85) N4`r`'iNCi, 0 ZO 13• Z ZG. _ ZIo.3 7EJ Zb, 3 z0J MOUNTAIN ENGINEERING 10251 CRESTVIEW EAST EAGLE RIVER, ALASKA 99577 [907] 696-1700 [BOO] 478-0101 I I TF I I -�LF. - — -I �_I jW r I - --r— L -17 IF T — I �_ - r r -�- �II�. �_r t , V44 - - � I �_�-��of � I ala I vin I ✓© I (rk��I---�� 1 ZIbK/_�i��= e o '' :s rQ,1 t 1'�� — h� �' --- r— — ---�I Pvx Z"7tT -��F�-'�I--!i�-i__ii�- �II _ __.I._ —�' I V.. _ L �`�✓i la GI � Cif- dib r — - - _I� -i _.----- jo- ,- I � - I -, - {-- - I -'-- I I I � I crane Ro.lGR ITER ANCHORAGE AREA BOROL 'm ` DEPARTMENT OF ENVIRONMENTAL DUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME SEPTIC TANK: MAILING AL DESCR E DISTANCE FROM WELL 1061 MATERIAL 5t&l IC ',-'>feet NUMBER F COMPARTMENTS LIQUID LIQUID CAPACITY IWO GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH — SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS // 6 OUTSIDE/J DIAMETER OR WIDTH 17 ,LENGTH ZD ,DEPTH LINING MATERIAL -4 tp'f X f"' J X � , DISTANCE FROM WELL 1 15 J ,, BUILDING FOUNDATION/�]]77, NEAREST LOT LINE I TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 444- SQ. FT. TILE DRAIN FIELD DISTANCE FROM NUMBER OF LI TOP OF TILE TO FINISH G DA LINES SQ. FT. LENGTH OF EACH LINE NEAREST FILTER MATERIAL BENEATH TOTAL LENGTH OF LINES_ IN. TOTAL EFFECTIVE WELL.TYPE CI�i I 1 _ P(=.�, DEPTH 5f / DISTANCE FROM BUILDING FOUNDATION. �5 i WATER SAMPLE '— NEAREST NEAREST LOT LINE , I SEPTIC/ , or SEEPAGE SYSTEM CESSPOOL OTHER ,SOURCES_ DISTANCES: N OTE NU STAND Pine ON CVA) AT TIi176 OF iivraPECi ION DIAGRAM OF SYSTEM DATE 11/�4 19171 Mg NAME OF APPLICANT INSTALLATION LOCAT LEGAL DESCRIPTION n � GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT PERMIT NO. MAILING ADDRESS i cj/C PHONE INSTALLATION OF: SEPTIC TANK SEEPAGE PIT A , DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TOBE SERVED t/ °�� w% '& LL�ZL�'e(,w" 2 t�U(lVL�(V FINANCED THROUGH-*�-' TO BE INSTALL BY/�T` SOIL TEST RESULTS -�"�"'2 - NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE��))SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE /al -10 SFal) LLLG!/ 1;/F - SEEPAGE AREA SIZE L( �l TYPE MINIMUM DISTANCES, REQUIREMENTS i FOUNDATION TO SEPTIC TANK � f FOUNDATION TO SEEPAGE PIT G DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL J gG SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. /lam P `� ff'� / /a) WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK, SEEPAGE PIT leo DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO ANO OUT OF SEPTIC TAdK AND INTO CRIB GROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON_SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER 4_ DIAGRAM OF SYSTEM 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE�� APPLICANT'S SIGNATUREd^' %`��'C} % Y� GRA1111ER ANCHORAGE AREA BOROUGH ` > DEPA 1ENT OF ENVIRON 1,1, 1-- L CUA _Y CASE A- 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 PERMIT #1793 Performed For Charles Dison Date Performed 9/2/71 Legal Description: Lot Block Subdivision This Form Reports Soils Log Xe�`colatlon est Lot 2, Section 19 Depth Feet Soil Characteristics Brown silty sand (SM) Gray poorly graded sand (SP) and silty sand (SM), layered w/scattered fine -coarse gravel Was Ground Water Encountered? NO If Yes, At What Depth? Reading Date Gross Time Net Time ;Depth to H2O Net Drop i erco ati on Ratp M ,note Proposed Insta atT1— o — Seepage Pit X Drain Field Depth Of Inlet Depth To Bottom Of Pitr Trench— COMMENTS:. ench_ COMMENTS: 200 sq. ft. of drainage area is required per bedroom. ertormed By R. E. Carus e ata erti ie By: National Testing ervices, Inc.. Date: September 26, 1977 Everett Tucker, Jr. Box 187 Klondike Street Chugiak, Alaska 99567 Subject: Permit Expiration Dear Air. Tucker: A permit issued by this department for well and/or on-site sewer installation on T1SW RIW Section 19 NE4 Lot 32 has expired since the issue date exceeds one (1) year. in the event you still plan to install the well and/or on-site sewer system, a new permit is required. The original soil test may be used to obtain a current permit. if the well has been drilled, a well log should be sent to this department to document the installation date. if you have any questions regarding the above matter, please do not hesitate to contact this office immediately at 264-4723. Sincerely, Robert C. Pratt, R.S. Sanitarian RCP/ljh GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 ,�/ TELEPHONE 274-4561 µam �..w SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT ✓v-.�..vw INSTALLATION LOCATION �y�n LEGAL DESCRIPTION �^i Asn INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED MAILING ADDRESS SEEPAGE PIT TO BE INSTALLED PERMIT NO. cai- - PHONE DRAIN FIELD OTHER THIS�ERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLIMe OF A S STEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL B€ SUBJE O PROSECUTION. A \ SEPTIC TANK SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK f FOUNDATION TO SEEPAGE PIT �4 SEPTIC TANK TO SEEPAGE PIT WALL - SEPTIC TANK , SEEPAGE TO NEAREST LOT LINE. C) O f WELL TO SEPTIC TANK DRAIN FIELD DRAIN F DRAIAARIA ALSO CONSIDE WATER MAIN TO SEPTIC TANK SEEPAGE PIT , DRAIN FIELD / n9 //t�� SEPTIC TANK.. SEEPAGE PIT V V ' DJRAINFI TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDIN STALLATI ON.. G.A.A.B. OR LICENSED DESIGNER SIZE TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE 'APPLICANT'S SIGNATURE X/�V`CI�<` ✓�� " .- • Municipality of Anchorage =� On -Site Water and Wastewater Program (907) 343-7904 e = Certificate of On -Site Systems Approval Parcel I.D. 051-241-15 Expiration Date: _ I 7" 1,3 1. GENERAL INFORMATION Complete legal description T1 5N, R1 W, Sec 19, Lot 32 Location (site address) .1 , sKlondike Drive /Cf 213 5 Current Property owner(s) Wayne & Deborah Hughes Day phone Mailing address 19435 Klondike Drive, Chugiak, AK 99567 Real Estate Agent 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual i] Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ PuUl1 VVaterJyJtelll ❑ Public JGWCI ❑ Waiver/Variance request for: Distance: Date: rO a7/) Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ LfgC _ Waiver Fee $ Date of Payment t ?J Date of Payment Receipt Number LI 34 t 3 G1 Receipt Number COSA# 0,C_13iaCon Waiver# 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date l3C�?6`2,C/ 6. DSD SIGNATURE System #1 Approved for 3 bedrooms 0 System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: Original Certificate The p$uhicipa* of �44e Development Services Division (DSD) issues Certificates of On -Site % upon the representations given in paragraph 5 by an independent professional civil engineer registered in , of Anchorage is not responsible for errors or omissions in the professional engineers work. 7. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA blue sheet f c Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSAChecklist# 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: T1 5N, R1 W, Sec 19, Lot 32 A. WELL DATA Well type Private Date completed Unk Total depth Unk ft Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (Y/N) Y Cased to Unk ft FROM WELL LOG ft. Parcel ID: 051-241-15 Well Log (YIN) N Wires properly protected (Y/N) Y Casing height (above ground) 18 in. AT INSPECTION 3/14/2013 43 ft. g.p.m. 4.7+ g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate �• 608 mg/L Arsenic N t) ug/L Date of sample: Vt `/Af 3 Collected by: P B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/ Steel Date installed 10/25/1993 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (Y/N) N Date of pumping 5�f �/ Pumper Z Pt" C. ABSORPTION FIELD DATA Date installed 6/5/13 Soil ratio z 0.45 gpd/sf Deep Trench g (g.p.d./ft ftz or System type Length 50 150 ft. Width 3 13 ft. Gravel below pipe 5 15 ft. Total depth 10110 ft. Eff. absorption area 1000 fe Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) New For 3 bedrooms Fluid depth in absorption field before test New in. Water added New gal. New depth New in. Elapsed Time: New min. Final fluid depth New in. Absorption rate >= New g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons _ in. "Pump off' level at Cycles tested _ Manhole/Access (Y/N) in. High water alarm level at Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manholelcleanout 100+ Sewer /septic service line 25+ Holding tank 100+ Animal containment areas 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone Date 6/13/13 COSA brown sheet 10-10-12.doc Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 10+ in. Parcel I.D. 051-241-15 Municipality of Anchorage QR s h J ti-gZ On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: :Z- �2_' / 3 Complete legal description T15N, R1 W, Sec 19, Lot 32 Location (site address) 19345 Klondike Drive Current Property owner(s) Wayne & Deborah Hughes Day phone Mailing address 19435 Klondike Drive, Chugiak, AK 99567 Real Estate Agent 2. TYPE OF DWELLING: I] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual I] Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $_ '1� 51U , Waiver Fee $ Date of Payment c31113 Date of Payment Receipt Number tu, ab 3 6 Receipt Number COSA# Q SG i3/l of Waiver# 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Alk. 99510 Engineer's Printed Name Steven R Pannone Date f5�7 6-_ VY 49TH 6. DSD SIGNATURE _ - System #1 Approved for bedrooms even 12.'lfan'' j System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: /S By: Original Certificate Date: o2—I Theuni ipali y of nchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r i c If more than 1 septic system is on the lot: COSA Checklist # _L_of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: T1 5N, R1 W, Sec 19, Lot 32 A. WELL DATA Well type Private Date completed Unk Total depth Unk ft Date of test Static water level Well production If A, B. or C provide PWSID # Sanitary seal (Y/N) Y Cased to Unk ft FROM WELL LOG ft. Parcel ID: 051-241-15 Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) 18 in. AT INSPECTION 3/14/2013 36 ft. g.p.m. 4.7+ g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate E1 IoDritng/L T Arsenic Lb ug/L Date of sample: 3 r' t 3 Collected by: t"�S B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/ Steel Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping C. ABSORPTION FIELD DATA Date installed 10/25/1993 Pumper Date installed 10/25/1993 Cleanouts (Y/N) Y High water alarm (Y/N) N Soil rating (g.p.d./f:2 or ftZ/bdrm) 0.6 gpd/Sf System type Deep Trench/ Crib Length 64 / 20 ft Width 2 / 17 ft. Gravel below pipe 4 / 6 ft Total depth 9 / 9 ft. Eff. absorption area 956 ft2 Monitoring tube Y Depression over field N Date of adequacy test 3/14/2015 Results (Pass/Fail) Fail For 3 bedrooms Fluid depth in absorption field before test 50 in. Water added 200 gal. New depth 50 in. Elapsed Time: 1440 min. Final fluid depth 50 in. Absorption rate >= 200 d. 9 p. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off' level at in. High water alarm level at Datum E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 100+ Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS *See Conditional COSA Request. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone Date I/ 2( COSA brown sheet 10-10-12.doc Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 110+ in. Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com March 25, 2013 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: TI 5N, RI W, Sec 19, Lot 32 Conditional COSA Request Ladies and Gentlemen I am writing to request a conditional COSA be issued for this property to accommodate its sale in the near future. A permit was issued to construct an upgraded septic system, however due to time constraints the system cannot be installed before the sale. Residential Mortgage LLC has stated that they will place 2X the highest bit into escrow once the Conditional COSA is approved for construction. 1. COSA. The Owner is in the process of selling this property. The existing system was located and inspected. The system was tested for operation and was found that it could not accept the required 150 gallons per bedroom per day (450 gpd). The system is able to absorb approximately 200 gallons per day. The intent is to install an upgraded septic system in the spring of 2013 by July 31, 2013. This system will not affect the health or welfare of anyone on this lot or the surrounding lots. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218 Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer NAi 39mg: P.O, Box 100217, }it?t;-ii(Jk"agc, AK 99-51.0 01211 physic 'a::>:' 1/2 Fast Ira Eor A r. dl�i,:.i;C' f:�E', AK 9)')01 'relephone: (901) Z72-8211> FAX: (90 7) 272.-82 11 rL,.oResidential ®e MORTGAGE, LLC K700052 11901 Business Blvd., Suite 203 Eagle River, Alaska 99577 (907) 694-8801 phone (907) 694-8802 Fax wmm,. residendRInug,com March 22, 2013 To Whom It May Concern: RE: 19435 Klondike Drive If approved, funds will be held in escrow for the installation of an upgraded septic until the unconditional COSA is issued on or about the middle of July. Je nne Mee RESIDENTIAL MORTGAGE LLC AK License #AK195206 Prlcespoec Nat include: 1. Engineering I Permits 3. Utilities not located by located center 4. Survey S. Removal of any material from site All work will be In accordance with M.O.A. and State Guidelines All Material Is guaranteed to he as Specifled All work will be performed as per.Engincering Plans and Specifications Any alterations or deviallons from above spat flcations involving extra cost will he executed only upon written orders and will become an extra charge over and above the estimate All work will be done in a workmanlike manor In accordance with standard Construction Practices Payment A 50% down payment is required before start of work. Balance due within 15 days after completion. Down payment may be reduced or waved if prior arrangements are make. Acr`eptance afthic Prnnnsal Is a legal bidding contract between owner and fr's Septic Pumping! AM collection fees and Anorney Is cost, late fee's plus a ISY. rate of interest will be applied to all Accounts puss 30 days Both parties acknowledge this is right to lien the property This Proposal may be withdrawn if not accepted in 15 days Work can not commence until contract is signed, Accept of Proposal /Contract Owners Signature Contractors Signature Date: Date: b b'd T128212:01 T286bb£Z06 9NIdwnd OIld3S S.af:woaj ab:9T £T02-ST-bdW M "S SEPTIC PUMPING P.O. BOX 773415 EAGLE, RIVER ALASKA 99577 Date: 212412013 Phone. 694-6454 Fax., 344-9821 PROPOSAL ,Submitted To: Rayne llughes Job Location: /98435 Klondike Drive Summer Consrructlon No Chuglak, AR 99567 Job Dcscrintionr Install new leach Jreld as per Engineer's Design Price, IpOuti s: 1. New leach field two trenches 50 feet long 3 feet wide with 5.5 foot of. Septic Rock 10 feet deep 2. Install Double clean outs in front of tank and behind tank 3. Install flow Splitter Value 4. Install Diverter Value 5. Grade all disbursed Area's �G Cost for above work Topsoil Disbursed areas $1.135.00 Toosoil is optional b/E'd TT282L2:01 T286"aw qNIdwnd OIld3S S.Jf:WOdd 0b:0T 2T02-Si-dCW P.O.Box 111373 Anchorage, Alaska 99511-1373 Phone:907-242-9650 Fax 907-868-1019 March 1, 2013 To: Pannone Engineering attn.. Steve Pannone Re: 19435 Klondike Ave Email danbeekl@gmail.com Dear Steve, this is my proposal for this address. We would connect to the existing septic tank via a diverter valve and construct a new drainfield in accordance with your design dated March 11, 2013. Price includes all labor, materials and equipment. Cost for doing in the winter $15,150.00 (includes ground thawing of estimated $3,000) Cost for doing after May 15, 2013 $10,400.00 Note: The above price does not include topsoil and seeding. If this is requested, add $1,200.00. Dan Beek Beek's Contracting, Inc. ef: Lx"s✓ rw?^ a� � } 1 �y 5 If -�wE`aW3 .tSf - 4' r F Hereby certify that. I-) ave autveyed the 'fn92d'W!it descriiied property, ...—vii itn'Prov, itnprOYQnE*SktS situated thirebn o'e -1V}f ' lines end da-nnt ctv sl$ ax ;eneroaoh cin the pra eFt = lying, at%`aCent theseta,- at no itnomottaetets �iS7..,Pr'o' r • _ z Z r ezty, ' eN' thereto euckdabbion tie`prerAi1 'S ]x - Iquest oil Arid i xat `there are no roadxed s, trrs`ns r isa8� TInes or other visible aaseawais on Said property OmV as MIQatod, het$, { OEM: z Daied at Eagle -River, Almon- -n this 4�Lk'day oON SCALE! - Regioto `ed Land SLrveyor No, ru, , DZ 456. Rag River, Alaska ` .. ... Phone 694=25 - -. 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 Pprcel l.D.# HAA# IAQ01?lin 1. GENERAL INFORMATION 1 Complete legal description Lo'L 32 Se—,— 19 Location (site address or directions) �^ p Property owner �% ro r HO Day phone Mailing address p'd F>Q% 87-49 gG Lending agency Mailing address. Agent S 46L Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: P�_ V 3. 4. TYPE OF WATER SUPPLY: f/I Individual well Community well Public water Day phone Day phone 6(99 — V939 P-36 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 V/ NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. A 72-025 (Rev. 1/91) Front MOA 921 , 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 furtherverify 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 / S� u ✓ (-� C Phone Address o 3 U% l5 v203 Engineer's signature Date l zb A3 by -. r 6. DHHS SIGNATURE Approved for 2 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments M_ It1TIC 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. Municipality of Anchorage Department of Health and Human Services / HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lo?< 5,2 , —OP- LI91 10 U9� Parcel I.D. C)51— gy 1— /s- A. Well Data Well type ip, If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump levell Date completed I t7 I Driller Cased to Casing height FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Wires properly protected (Y/N) AT INSPECTION /o.06-43 3.7 Septic/holding tank on lot I D R ; On adjacent lots 14 D Absorption field on lot 115 ; On adjacent lots 7 / w u Public sewer main "/R Public sewer manhole/cleanout IA K Sewer service line i / t7 Petroleum tank N ` J _0 tr C __J N cc WATER SAMPLE RESULTS: Coliform 0 Nitrate 3 •—Other bacteria Date of sample: /0-0 7- R3 Collected by: J B. SEPTIC/HOLDING TANK DATA I fvolog3 j Date installed Tank size —Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) N Depression (YIN) r% High water alarm (Y/N) ,�_� Alarm tested (Y/N) Date of pumping l e)T 1 �i"�"�� Pumper �3 e SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot to On adjacent lots Z /,;Lwt7 Foundation e2,0 To property line qJ Absorption field 0 Water main/service line X5 -D Surface water/drainage {`4N Pt -e— CONTINUED ON BACK PAGE 72-026 (3/93)` Front C. LIFT STATION NIA - Date /^ Date installed Manufacturer Size in qallons Manhole/Access (Y/N) Vent(Y/N) High water alarm level "Pump on" level at "Pump off" Level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed L0'aSl 9 3 Soil rating (GPD/Ft) 6.6 System type y I fi Length % y Width o2 Gravel thickness Total depth q — Total absorption area J/ 2 Cleanout present (Y/N) _Depression over field (Y/N) y Date of adequacy test r�� Results (pass/fail) 771 for � Bedrooms Water level in absorption field before test N�P After test Peroxide treatment (past 12 months) (Y/N) 61 SEPARATION DISTANCE FROM ABSORPTION FIELD TO: If yes, give date Well on lot / Is- On adjacent lots > I `-'y Property line 4 O To building foundation _;1�5 To existing or abandoned system on to On adjacent lots ;>10'0Cutbank I V o"2 Water main/service I Surface water N D v --,,Driveway, parking/vehicle storage area Curtain drain � G t7 E. ENGINEER'S CERTIFICATION t /5 ine >,F0 (9 O I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. HAA Fee $ Date of Payment t 0 �o ` Receipt Number a `J �J 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received April 21, 1976 Time of Inspection ��,�r%� / Date of Inspection J� Lo �Q REQUEST FOR APPROVAL OFod INDIVIDUAL SEWER & WATER FACILITIES FOR V.A. 1. Approval requested by: Security Pacific Mortgage Corporation Mailing Address: 319 west 5th Avenue 2. Property Owner: Mailing Address: Charles Dison Phone: 272-9501 Phone: 688-3232/694-9524 3. Legal Description: T15N Rlw Section 19 Lot 32 Klondike Court 4. Location: NHN Klondike Court 5. Type of facility to be inspected Single Family No. of bedrooms 2 6. Well Data: Individual A. Type /"�)Z//�,-o B. Depth S �J C. Construction S r4} u D 4 /�, D. Bacterial Analysis 7. Sewage Disposal System: On-site system A. Installed B. Installer C. Septic Tank: 1. Size 0 00 2. Manufacturer .S�/%C — D. Seepage Pit: 1. Absorption Areag'/9Y 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area ` Z S , Sewer Lines , Nearest lot line % S Other contamination ✓ �> B. Foundation to septic tank I `2 Absorption area '7/ C. Absorption area to nearest lot line / �5' EQ -034 (1/74) Page 1 of two pages GREATER ANCHORAGE ARL;', BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 274-4561 DATE: 4/16/76 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO _ VA xx '_-HA CONV 2. Property Owner: Charles Dison " ail'"ing,Address: i_-- _)ay Phone 3. Name„ of Buyer: Tucker, Jr. Everett Y and Viva Rena Mailing Address: 7800 Debarr Rd., Lt. 71 Day Phone 752-3714 Anchorage, A . 9J`U4 4. Name of Lending Institution: �SSECURITY PACIFIC MORTGAGE CORPORATION Mailing Address: 319 WEst 5th Ave., Phone 272-9501 -- Anc�rage , A c%9-9= 5. Name of Real`,or or Agent: _J4mes Clark SELECTIVE REALTY) Mailing Address: 1515 East Tudor Rd., Phone 279-8624 -Anchorage, A . 6. Legal Description: T -15N, R1W, Secl9, Lot 32, KLONDIKE COURT Location: (NHN) Klondike Court --see attached plat copy 7. Type of Facility to beinspected: 1 family No. Bdrms. 2 8. Water Supply Type of Supply: Public Utility Individual xxx If Individual, number of dwellings presently served, 1 (?) If Individual, depth of well (unk) 9. Sewage Disposal System Type .of System: Public Utilitv ,� Individual (on-site) xx If Individual, date of installation (UNK) CALL FOR APPT. TO MAKE INSPECTIONS: 688--3232 or 694-9524 ---PLEASE SEND REPORTS TO: - Security Pacific Mortgage Corporafion 319 NEST 5TH AVENUE ANCHORAGE, ALASKA 99501 Sincerely yours, J,Page 2 of two pages - Re( -'st for Approval of Individual r—`pr & Water Facilities Legal Description T15N R1W Section 19 Lot 32 Klondike Court Comments ApprovedDisapproved Date V1971,76 Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM L cert,rry Lmal, uie imurmauiuu UUII6a1IMU 111 6",a 104YGJb .., wrr-•,•••. accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. 61[01 EQ -034 (1/74) Da to