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HomeMy WebLinkAboutSKY HARBOR ESTATES LT 45 ky Harbor Estates Lot 4 #015-281-82 'UUMI TTA NOV 2 2 2013 Inspection Repotr 1-1-12.doc- 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: OSP131149 PID Number: 015-281-82 ❑ New ❑✓ Upgrade Name: Gregory Svandsen ABSORPTION FIELD ❑✓ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 3590 E. Klatt Road ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPD/SF 10.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.0 Ft. Gravel depth beneath pipe 7.0 Ft. Subdivision Block Lot Sky Harbor 4 Fill added above original grade 0 Ft. Gravel length 38.0 Ft. Township Range Section Gravel width 3.0FL Beds: Number of LinesDistance N/A between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 532 Ft2 1 N/AFt. Well 149.2 174.7 149.2 N/A 122 TANK ❑ Septic 0 S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity I 15000al. Surface Water 100+ 100+ 100+ N/A Material Number of compartments Lot Line 5.1 15.0 5.1 N/A Steel 2 NA Foundation 11.3 44.2 11.3 N/A LIFT STATION Manufacturer Capacity Curtain Drain N/A N/A N/A N/A Anchorage Tank/ Orenco 500 Gal. Remarks Pump on level at 43 in, Pump off level at 40 in. High water alarm at 1 45 in. Pump make and model P2005 Electrical Inspections performed by Installer PIPE MATERIAL Housetotank 3034 Tankto 3034 drainfield A+ Home Services Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 100ft Inspection 1= 7/25!2013 dates: 2^ a 7/29/2013 Location and description Sri 7/29/2013 4" Garage FF COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineers Stamp Conditional Approval: Date �t Steven annome ( CE 8149 Approved Date/2-.2D 1� ttt Rio..... Inspection Repotr 1-1-12.doc- L SEPTIC AREA NEW DRAIN FIELD \ \ � -EAST xumROAD L3E��C&REA |``` n � ' WELL/SEPTIC AREA fo DRAIN FIELD (E) IN FAILURE. REUSE AS RESERVE PLAN PAMONE LNG SVC, LLC p.O.BOX l00ll7 ANCHORAGE, AK0S510 PHONE (9V7)272—D218 FAX(807)272—D211 SKY HARBOR ESTATES, LOT 4 GREGORY SVANDSEN 3590 E. KLATT ROAD ANCHORAGE, AK 99516 11/19/2013 DCO 11.7 48.4 TI 13.8 49.4 LS 22.1 49.2 mi 45.4 59.3 M2 70.9 60.9 L3E��C&REA |``` n � ' WELL/SEPTIC AREA fo DRAIN FIELD (E) IN FAILURE. REUSE AS RESERVE PLAN PAMONE LNG SVC, LLC p.O.BOX l00ll7 ANCHORAGE, AK0S510 PHONE (9V7)272—D218 FAX(807)272—D211 SKY HARBOR ESTATES, LOT 4 GREGORY SVANDSEN 3590 E. KLATT ROAD ANCHORAGE, AK 99516 11/19/2013 Scale 015-281-82 onn6. " PERMIT 8 49 NO OSPI 31149 Sheet 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. 3. SCOPEOFWORK: INSTALLED DRAIN FILED. INSTALLED 1500g S.T.E.P. TANK. 4. GROUNDWATER WAS ENCOUNTERED AT A DEPTH OF 16.0' AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 16 FEET BELOW EXISTING GRADE. FILTER FABRIC 1 1/4" 0 DRAIN PIPE WITH 1/8" HOLES DRILLED 18" O.C. TH-1-1986 DRAIN ROCK 6" ABOVE PIPE INV (THOM FISCHER) /Z//; 0 z o o rc zz a 1w n v� tom u !) n n R 96'8'I 15009 S.T.E.P. TANK (E) PROFILE LEGEND —w—w— WATER LINE/ WELL RADIUS ss NEW SEPTIC ROCK —92.0 SECTION DESIGN PARAMETERS UPGRADE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. PERC RATE = 1-5 MPI SOIL RATING: 1.2 GPD/SF AREA ROD: 500 SF SYS. TYPE: DEEP TRENCH 7.0' E.D MIN LENGTH: 35.7 LF USED: 38 LF X 3.0' WIDE, 7.0' E.D., 12.0' TO TOTAL AREA: 532 SF w m ILTER FABRIC P 1 1/4" 0 DRAIN PIPE WITH of 1/8' HOLES DRILLED 18" O.C. z 0 )RAIN ROCK 6" ABOVE PIPE INV 2 ROCK 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.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE NOTES:PAMONE ENG SVC, LLC Date RECORD DRAWINGP.O. BOX 100217 ANCHORAGE, AK 99510 (�• �gSlti /1s/2o13 PHONE (907) 272-8218 FAX (907) 272-8211/�g�Py+f Scale j*:49TH *ff NTS �..... .. ..... � P.I.D. NO SKY HARBOR ESTATES, LOT 4 015-281-82 GREGORY SVANDSEN Stevens . Panno.ne PERMIT NO. f �P�: 127�� �/� OSP131149 3590 E. KLATT ROAD f 14 l�49 DESIGN DETAILS ANCHORAGE, AK 99516 tit EaPRO ..........sheet 3 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: OSP131149 Tax Code Number: 01528182000 Work Type: Septic Permit Effective Dates: July 01, 2013 to July 01, 2014 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: SKY HARBOR ESTATES Site Legal Address: SKY HARBOR ESTATES LT 4 G:2735 Owner/Address: SVENDSEN GREGORY R 3590 E KLATT ROAD ANCHORAGE AK 995160000 Site Mailing Address: 3590 E KLATT RD, Anchorage Lot Size in Sq Ft: 20000 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank 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. Special Provisions: PRIOR TO.CONSTRUCTION: Additional percolation tests shall be completed prior to construction such that all portions of the proposed drainfield are within 30 feet of a percolation test. If the results do not substantiate the permitted design, an approved change order shall be obtained prior to construction. Percolation test results shall be submitted with the final inspection report. Special Provisions: Groundwater monitoring shall be completed to verify the bottom of the drainfield is at least four feet above the seasonal high groundwater elevation. If revisions are required, an approved change order shall be obtained. Results shall be submitted with the final inspection report. COQ, rev Z -f-" 41.E 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 1. D. 015-281-82 Property owner(s) Gregory Svendsen Day phone Mailing address 3590 E. Klatt Road, Anchorage, AK 99516 Site address 3590 E. Klatt road Legal description (Sub'd., Block & Lot) Sky Harbor Estates, Lot 4 Legal description (Township, Range & Section) Lot Size 20,000 So. Ft. APPLICATION IS FOR: (® all that apply) Absorption Field ❑X Septic Tank ❑X Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 4 APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) ❑X (w/wo ADU) Upgrade ❑x Duplex (D) El ❑ Multiple Dwellings ❑ (SF and/or D) 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. of property owner or Permit/Rush Fees: Sib Date of Payment: Coh`41 t3 C _ Receipt Number: Q a-L*� Iq CI Permit No. OSP l 3 W 1 A 01 Permit App_: Waiver Fees: Date of Payment: Receipt Number: Waiver No. Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@paneneak.com June 13, 2013 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Sky Harbor Estates, Lot 4 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 four (4) bedroom house. Currently the lot is developed. The existing trench is in failure and will be re -used as a reserve. This lot is served by a private well that is over 100 feet from the existing trench and proposed septic system. The surrounding lots are also served by private wells that are located over 100 feet from this system. 1. Soils. One test hole was excavated by Whitewater Engineering Constructor (Thom Fischer) in August of 1986, 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; an application rate of 1.2 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 slopes from west to east at approximately 15% in the immediate 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: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 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, P.E. Owner/Civil Engineer Attachments -Soils Log -Septic System Design Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 uv.jL VVI w— /S E' TIC AREA L SEPTIC AREA DRAIN FIELD (P) 38.OLFx3.0'Wx7.0'ED, 10.0' TD EAST KLATT ROAD UTIL�7�op 1 250g SEPTIC TANK (E) TH-1 ABANDON PER CODE 1 .0 INSTALL 1500g S.T.E.P. TANK (P) WELL/SEPTIC AREA 200'+ "o DRAII FIELD (E) DRI AY IN FAILURE. REUSE AS RESERVE SEPTIC AREA LOT 4 4BR HOUSE N' Im —A4 GREEN BELT (E) (UNDEVELOPED) SEPTIC AREA WELL (E) ry I- TRAt"'T B NOTES: Date PAMONE ENG SVC, LLC 7/24/2013 FOR CONSTRUCTION .... .. P.O. BOX 100217 ANCHORAGE, AK 99510 Scale CHANGE ORDER PHONE (907) 272-8218 FAX (907) 272-8211 1"=50' W: ...... .. ........ P.I.D. NO SKY HARBOR ESTATES, LOT 4 .... . M-251-82 GRAGORY SVENDSEN Teven . Panno " ne PERMIT NO. 3590 E. KLATT ROAD CE 8149...- OSP131149 Sheet PLAN ANCHORAGE, AK 99516 1 OF 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. 3. SCOPE OF WORK: INSTALL DRAIN FILED. VERIFY INTEGRITY OF SEPTIC TANK, AND REPLACE IF FOUND TO BE LEAKING. 4. GROUNDWATER WAS ENCOUNTERED AT A DEPTH OF 16.0' AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 16 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. FILTER FABRIC 1 1/4" 0 DRAIN PIPE WITH 1/8" HOLES DRILLED 18" O.0 986 DRAIN ROCK 6" ABOVE PIPE INV (THOM F (THOM ISCHER) ROCK SW 12508 SEPTIC TANK (E) PROFILE LEGEND —w—w— WATER LINE/ WELL RADIUS ss NOTES: FOR CONSTRUCTION CHANGE ORDER NEW SEPTIC DESIGN DETAILS DESIGN PARAMETERS UPGRADE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. PERC RATE = 1-5 MPI SOIL RATING: 1.2 GPD/SF AREA ROD: 500 SF SYS. TYPE: DEEP TRENCH 7.0' E.D MIN LENGTH: 35.7 LF USE: 38 LF X 3.0' WIDE, 7.0' E.D., 12.0' TD TOTAL AREA: 532 SF PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SKY HARBOR ESTATES, LOT 4 GRAGORY SVENDSEN 3590 E. KLATT ROAD ANCHORAGE, AK 99516 ROCK •►! CU COPPER DIP DUCTILE IRON PIPE 0 TEST HOLE L SECTION T# TANK CLEAN OUT NO. C# CLEAN OUT NO. v MONITOR TUBE NO. 18.0 m m zo t- z DV FILTER FABRIC p o z o ¢ K 0 1 1/4" 0 DRAIN PIPE WITH of OG ORIGINAL GRADE m 1/B' HOLES DRILLED 18" O.C. o /Z:DRAIN n n TOPSOIL & VEGETATE oz n ROCK 6" ABOVE PIPE INV n 12508 SEPTIC TANK (E) PROFILE LEGEND —w—w— WATER LINE/ WELL RADIUS ss NOTES: FOR CONSTRUCTION CHANGE ORDER NEW SEPTIC DESIGN DETAILS DESIGN PARAMETERS UPGRADE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. PERC RATE = 1-5 MPI SOIL RATING: 1.2 GPD/SF AREA ROD: 500 SF SYS. TYPE: DEEP TRENCH 7.0' E.D MIN LENGTH: 35.7 LF USE: 38 LF X 3.0' WIDE, 7.0' E.D., 12.0' TD TOTAL AREA: 532 SF PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SKY HARBOR ESTATES, LOT 4 GRAGORY SVENDSEN 3590 E. KLATT ROAD ANCHORAGE, AK 99516 ROCK •►! 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 BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE !iL,9_N���, Scale *: 49 7H . * �� NTS P.I.D. NO •• / Steven 'R. PannonFe� 015-281-82 11 8149. f, PERMIT N0CE O2e�F13g .- 1k \� TEST HOLE 1 OR ORGANICS 1 2 3- 4— GW 4GW SAND 7- 8- 9 89 10 11 12 13 C 01 SOILS LOG - PERCOLATION TEST SLOPE X TH SITE PLAN EAST KLAT ROAD 19 20 DATE PERFORMED: 7/17/13 TH l-1 4BR HOUSE rT 4 M (E) SLOPE TH X CLOCK WAS GROUND WATER 14 NET DROP ENCOUNTERED? Y 15 IF YES, AT WHAT - 2 DEPTH? -16.0' 16 8.46 5.12 3 10:11 7/24/2013 17 - DEPTH TO WATER AFTER 10:21 BOH MONITORING? -16.0' 18 5 DATE: 7/1712013 19 20 DATE PERFORMED: 7/17/13 TH l-1 4BR HOUSE rT 4 M (E) SLOPE TH X READING DATE CLOCK NET TIME 4 NET DROP 1 7/17/13 10:01 READING DATE CLOCK NET TIME WATERTIME LEVEL READING NET DROP 1 7/17/13 10:01 3.34 - 2 10:11 10 MIN 8.46 5.12 3 10:11 - 3.34 - 4 10:21 10 MIN 8A4 5.10 5 10:21 - 3.34 - 6 10:31 10 MIN 8.44 5.10 PEROLATION RATE 1.96 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS: Test hole excavated by A+ HOME SERVICES. Perc hole was presoaked. Last 3 readings recorded. 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: PANNONE ENG SVC LLC -�oF q �y Date P.O. BOX 102954 ANCHORAGE, AK 99510 FOR CONSTRUCTION ' ts, t 7/24/2013 PF•�"� q ( CHANGE ORDER PHONE (907) 272-8218 FAX (907) 272-8211 Scale * •• *�� NTS '. .... .. .. .... P.I.D. NO SKY HARBOR ESTATES, LOT 4015-281-82 GRAGORY SVENDSEN Steven R. Pannone / PERMIT NO. 3590 E. KLATT ROAD 'fti • CE 8149 fir/ OSP131149 SOILS LOG ANCHORAGE, AK 99516 �ll�oFtsso�p�r Sheet 3 OF 3 MUNICIPALITY OF ANCHORAGE p DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 LStreet -Anchorage, Alaska 99501 Telephone 264.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE -NEW u"f' sy eN�C-�y'��� ❑UPGRADE MAILING gADDRESS 1 \�V6� LEGAL DESCRIPTION C­cr " 4 PRIM LOCATION NO. OF EDROOMS v DISTANCE TO: Well Absorption area / Dwelling „ PERMIT NO. ~a Z Manufacturer Material No. of compartments Liq. apacit gallons LL Inside length IF HOMEMADE: Width Liquid depth DISTANCE TO: Well � Dw (ling _ PERMIT NO. = z M Manufacturer // Material apacity in gallons OJ wy DISTANCE TO: Well I IOU .-t--• Foundation / - Nearest lot line 1%VLrZnQ IL`s G �� PERMIT O. .el��- J a Z No. of lines Length of each line Total leng of lines e Trench width .30 Distance bet een lines hZa -7 inches ccH Top of tile to finish grade l Material beneath the _ `7 Total effective absorption area D inches 54 ©NO. w Length Width __ Depth PERMIT O ab Ila Type of crib Crib er Crib epth Total c albsorption area Lu DI CE T0: Well B Iding f i'oNearest lot line J w w Class Depth ©� Ga Driller— Distance tot line Pi t'W PERMIT„t,VQ.� �y DISTANCE TO: Buildin founa'on Sewer line Septic tan ( Absorption1are�a(st) I+ _ OTHER s _ MATERIALS PIPELp SOI L TEST `RATING 1 v1v\ C INSTALLER -�j S ,Zvim .._ la► ^ t N r,/ r C� 1 REMARKS N c [� f��J F Al � w T fir�'I , ool's ........ • > ..............� {� THOAt A. EISCHER : • Q c;A CE-6793 ." r'� xf -40 1�\ APPROVE DATE EGAL 4,10 lRuv. 01781 munlcipa.l.izy of Anchorage January 9, 1987 P.O. . 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4Aixx TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Greg Svendsen 11600 Cange Road Anchorage, Alaska 99516 Subject: Lot 4 Sky Harbor._Estates Subdivision On-site Sewer & Well Permit #860316 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1986. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as -built inspection report (three part form) must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4744. Sinc rely, �� I 4,1 R.W. Robinson Program Manager On-site Services RWR/ljw enc: copy of permit APPLICANT: ADDRESS: LOT SIZE: MAX BEDROOMS: GRE8 SVENDSEN 11600 CANGE RD. ANCHORAGE, AK 99516 349�8138 SU8DIVISION: SECTION: 21 20000 (SQ"FT 4 SKY HARBOR EST LOT: 4 BLUCK: NA TOWNSHIP: 12N RANGE: 3W . OR ACRES) Listed below are the options available to you DEARTMENT ` P HEALTH AND ENVIRONMENTAL T � �OECTION ~ - 825 L STREET, ANCHt RAGE, AK 99501 ` 2" I will install the system in accordance wiLh ��� P�RMIT ND: 860316 HX�~���*��y DEPTH TO PIPE 8OTTOM DA|E ISSUEU: V8/28/86 ka requirements �or the set back distances <rom APPLICANT: ADDRESS: LOT SIZE: MAX BEDROOMS: GRE8 SVENDSEN 11600 CANGE RD. ANCHORAGE, AK 99516 349�8138 SU8DIVISION: SECTION: 21 20000 (SQ"FT 4 SKY HARBOR EST LOT: 4 BLUCK: NA TOWNSHIP: 12N RANGE: 3W . OR ACRES) Listed below are the options available to you in designing your septic system. Choose the option that best �its your site. and the State o� Alaska. 2" I will install the system in accordance wiLh :Al MOA codes and regulations, and in comp1iance DEPTH TO PIPE 8OTTOM (FT.) ka requirements �or the set back distances <rom GRAVEL DEPTH (FT.) disposal system or public 10.0 0"5 3.5 TOTAL DEPTH (FT") this perm 14^� 4,5 7.5 GRAVEL WIDTH (FT.) permit. 2°5 20.0 5.0 GRAVB. LENGTH (FT.> PERMIT AND 25.V 38.0 54^0 GRAVEL VOLUME (CU.YDS.) REPORT; AND (3) THE 24.4 28.2 40.0 TANK SIZE (GALS} 1,250"0 ** 1,25O.0 x, 'y SOiL RATING (S&.FT./8R> 125 125 125 ** TANK MUSl HAVE AT LEAST TWO COMPARTMENTS I certi�y that: 1. I am tamiliar with the requirements [or on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State o� Alaska. 2" I will install the system in accordance wiLh :Al MOA codes and regulations, and in comp1iance his permit. 3, I will adhero to all MOA and ka requirements �or the set back distances <rom any exisLing wel1, wasiewater disposal system or public sewerage system on this or any adjacent or nearby lot" 4. I understand that this perm maximum oedrooms and any en1argement will require an additional permit. IF A LIFT STATION lS INSTALLED IN AN AREA COVERED BY MOA 81. I1DING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS~BUILTS WILL NOT 8E APPROVEDWI HOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK ���ST I��DONE BY A LICENSED ELECTRICIAN^ R � �k1Jl gmRi1 C'yLt9Jlt f01 /1600 CANGE RD. ANCHORAGE, AK. 99516 (907).545-700a x SOILS LOG ❑ PERCOLATION TEST �1 ` PERFORMED FOR: _�4_4-'�/l '\�-.d�c-,y/�r� DATE PERFORMED: LEGAL DESCRIPTION: �� � ` ��Y _I—�1�i�t4�- .�—' �a -`�"• - -- SLOPE SITE PLAN 1 ll II CA�C� AIN 2 3- 4 - Ar m 6 7 r r 9 10 11 12 13 14- 15- OF 415 AV 17 is - 19 TI10M A. FISCHER CE - 6793 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? r� \,_` S L O P F. Reading Date Gross Time Net Time Depth to Water Net _Drop – --- �— low -M Kim Reading Date Gross Time Net Time Depth to Water Net _Drop – --- �— 20- "professiona��` 40 PERCOLATION RATE 1n _ TEST RUN BETWEEN j -`SFT AND FT -/ COMMENTS_ PERFORMED BY: �l'1`l, DATE: ��. G,.� ">C� Municipality ®f Anchorage MEMORANDUM DATE: September 11, 1986 TO: Accounting FROM: Environmental Services Division SUBJECT: Request for Refund - Account 117.670-9426 Please make arrangements for the following refund the appliccant and the engineer paid for the same permit on different days. Whitewater Engineering Constructors Receipt 114001-0019 11600 Cange Drive Check 415919 Anchorage, Alaska 99516 Amount: 1445.00 Lot 4 Sky Harbor Estates Subdivision Permit 41860316 Thank you. Sincerely, Laura J. Ward Office Associate On-site Services LJW cc: File i PI 9 w w in x d oQ i rr ro fD (D N M M Or�D W (£D H 0 % N� (D v re I� w ro n rD m ro (D w � N O "C) `C G r(D N rt CO N rD x N, D) H rD N O rh I� d Q N• N b b" � Fd , N ;v b PI b 1 rt Ori y goa (D H o n 9 rw( H G w H •d H 5 H rt F� Id• n w err qrt M p a H M ro o 0 N N rt (Djj n H. 0 G rµt r- ro o _. (5D n w tv n rt ro t FA rt L'I '••, (n H rN� L% P M rt I -h H N (D Lei H °' C C- t r H v r n r 1 � H O O N H N• rt r D n N (/, rD nn 4 4 ti H N C CD rD rt PI 9 w ID O H O O N H N• rt r D n N (/, rD nn 4 4 ti H N C CD rD rt r Date Drilleds 6-28-86 Static Water Level feet Gallons Per Minute 30 Draw Down N/A feet Total Feet of Casing 80 1— Ty ne Material Drilleds to 5 feet Peat 5 feet to 23 Wei Clay 23 feet to 59 Dr v Glacial Till 59 feet to 62 Gravel w/clay -- 62 feet to 159 Clay 159 feet to 160 Gravel w/2 g.p.m. 160 feet to 175 Clay 175 feet to 180 Gravel w/water Hefty Drilling S.R.A. Box 1553 H - - MUNICIPALITY OF ANCHORAGE: ` Anchorage#Alaska CEPT OF HEALTH & ENVIRONMENTAL PROTECTION. 99507 NIIAR 1987 RECEIVED r MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date R -B i4 1 � c,% 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, semen_, township, range) L.J ; 4 S,`. r ?,I . "TI z Location (address or directions) tJ.A-7T- SSC-4,4SC-4,4-1,t s rlt Dc F -D / (b) Property Owner �Y-CCr�`��"� �� Telephone: Home d - 46 Business Mailing Address Jlzg � �u-_� at vT', 1rt4=:,IZW41 ftr-, (c) Lending Institution Yv I Telephone Mailing Address NIS (d) Real Estate Company and Agent Address W':1 j rA Telephone 1 ' fIrr (e) Mail the HAA to the following address: or: Check here if hold for pick up. List contact person and day phone number below. 67 --ccs 3A ---- ?--,) 4-----?--,) �� 34ct 67c 2. TYPE OF RESIDENCE Single -Family 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 the legality and status. 4. SEWAGE DISPOSAL Onsite, 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. Page 1 of 2 72-025 (Rev 8/861 Front 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 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 i-NT"Ey4i('JVL G14Cn Cytv�My­ Telephone Address `� 6 CAiCr�E- fZ.-� Date 4E�(—_`Z__ ( J S % E 0AL &WTH 00 • • THOM A. FISCHER • • JY �Q'�tly�'•, CE- 6793 :'�` p Engineer's Seal Q••.... 8 41 VP afd 6. DHHS edforAPPROVAL _ ��% � � , l Approved for � bedrooms by Date r � Approved Disapproved Conditional Terms of Conditional Approval CAUTION 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. Page 2 of 2 72-025 IRev 81861 Back MUNICIPALITY OF ANCHORAGE (MOA)��1�, HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 NOISIAKI 33DIAd33 1WN3V4NONIAN3 264-4744 /r 1 VNOHJ VI JO AlI1VdIDIN(1W Legal Description: 1�=�1k-`i �1�1LS�- A. WELL DATA Well Classification_L F t� fl1 If A, B, C,.D.E.C. pproved (Y/N) A Well Log Present (Y/N) Date Completed Yield CT?vn ` °^ Total Depth I Cased to V Depth of Grouting N ot i Static Water Level i �- a Pump Set At - I C�(� Casing Height Above Ground �� Sanitary Seal on Casing (Y/N) Les Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot 3 j` On Adjoining Lots I To Nearest Edge of Absorption Field on Lot On Adjoining Lots To Nearest Public Sewer Line JA 'To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot / Water Sample Collected by Date��I/ Water Sample Test Results � cLt is. rl o_*0 i V I Comments B. SEPTIC/HOLDING TANK DATA • Date Installed e �' ��� Size (LF��) No. of Compartments Standpipes (Y/N) YCS Air -tight Caps (Y/N) `\' w S Foundation Cleanout (Y/N) yam_ Depression over Tank (Y/N) Date Last Pumped 1vQ1E,_) Pumping/Maintenance Contract on File (Y/N) for N �t Holding Tank High -Water Alarm (Y/N) ✓)-Temporary Holding Tank Permit (Y/N) NIr! Separation Distances from Septic/Holding Tank: To Water -Supply Welles 4"t" To Building Foundation (C / To Property Line �� / i� ��'4��-T To Disposal Field j r To Water Main/Service Line '�� I \- eY-� �.e N To Stream, Pond, Lake, or Major Drainage Course r5/n- Comments Page 1 of 2 72-026 (Rev S'W Front - C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata/cam Type of System Design Date Installed c� s/e,(, Length of Field ii Width of Field 2�' Depth of Field % L Gravel Bed Thickness � 7z Square Feet of Absorption Area � Standpipes Present (Y/N) Y� Depression over Field (Y/N) 1.10 Date of Last Adequacy Test Results of Last Adequacy Test U Separation Distance from Absorption Field: To Water -Supply Well f o�z 1' k- To Property Line I I / To Building Foundation To Existing or Abandoned System on r c / Lot i� J ; On Adjoining Lots � r To Water Main/Service LineSEYwc� 110 Cutbank (if present) To Stream/Pond/Lake/or Major Drainage CourseKi /�}/A i To Driveway, Parking Area, or Vehicle Storage Area Z Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y Comments ,::_-'�Dim Bions Man le/Access(Y/N) Pump Off' Level at Vent(Y/N) Pumping Cycli ring Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I ha checkk�e verifie , or 'onformed to all OA and HAA guidelines in effect on the date of this inspection. Signed fir, Date-% Company 04.r--6-,a`QiIOA No, Receipt No. �0/ Date of Payment 11 - :Z G AV ••• Amount: $ �L� Engineer's Seal Page 2 of 2 72-0261Rev 8861 Back * : 497rf1 e agY9 �etee• .eee. ••a � yt�tf THOM mak' fi A. FISCN R • CF • 6793 ,�' m� �� pie O.NVIS A2. A -F 7- ROA E) 10 071 P0 t113 L res. I) or v";-" on 1:10 /V 89, '5Y 113" F_ rp i;i I /00,00/ heru oslal I be M^A 11-' il ct for chino bDkllldlly 01 lcllco finn. 'I me location of tile structure(s) as ,jtjown on thiE record drawing (as -built) COMPHE S With Title 21, AMC, By; P0 C)RN6 04CI 0 '/ 7 4 0 QI/0 `421 0/ Of Zvo pt6K- 7—vvo- L196 Of hb V's 6 7- Dc Iv< N//6 \0