HomeMy WebLinkAboutSKY HARBOR ESTATES #1 LT 3Sky Harbor
Estates #1
Lot 3
#015-272-66
1%S00° 07' 49"E 80.04'R=20.00'L=31.37'S89° 59' 43"W 175.04'S00° 07' 49"E 100.00'N89° 59' 43"E 195.00'17.4'4.0'7.7'4.0'17.3'40.4'16.0'25.6'10.0'46.3'36.4'112.3'10' UTILITY EASEMENT10' TELECOMM. & ELECTRIC EASEMENT 11.5'11.7'34.7'EXISTINGHOUSELOT 31%LOT 2TRACT B30'
30'25'25'BARR ROAD
EAST KLATT ROADNSW
EGARAGE46.0'LOT 3,SKY HARBOR ESTATES FIRST ADD.AS-BUILTLEGEND:NOTE:THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLANWITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH.DRAWN DATE:DRAWN BY:SCALE:CHECKED BY:6/3/2019SCAP1" = 30'PLAT:WORK ORDER:1903085-161FB/PG: 814/27GRID:SW2635LEGAL DESCRIPTION:ORDERED BY:MARK MEEHLEISSURVEY CERTIFICATION: LCG LANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF THEPROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE IMPROVEMENTSSITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO APPARENT OR VISIBLEENCROACHMENTS EXIST OTHER THAN NOTED OR SHOWN.EXCLUSIONARY NOTE: IT IS THE OWNERS' RESPONSIBILITY TO DETERMINE THE EXISTENCEOF ANY EASEMENTS, COVENANTS, RESTRICTIONS OR RIGHT-OF-WAY TAKINGS WHICH DONOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCESSHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTYLINES, OR FOR PLOT-PLAN PURPOSES.CLEAN OUTWATER WELLFENCEAsphaltConcreteOverhangBrick250 H StreetAnchorage, Alaska 99501Survey DepartmentPhone 562-5291MainlinePhone 243-8985AECC 668ADDRESS: 11565 BARR RD. PARCEL #: 015-272-66-000REF: 07L56FOUND REBAR
Municipality of Anchorage,'
Development Services Department ;
Building Safety Division
On-SAa Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 4
www.cl.anchorage.sk.us (907) 343.7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW070041 PID Number: 015.272.66
Nene
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Wastewater System: ® New ❑ Upgrade
Aaa,..,
—P.O. Box 110603, Anchorage. AK 99511
ABSORPTION FIELD
Phone Numoer of B.d,o
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LEGAL DESCRIPTION
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Engineers Stamp
Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1'1817/2007 -
2nd 81712007PSE.,
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P.O. BOX 102954 ANCHORAGE, AK 99510
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PANNONE ENG SVC, LLC REVISED Date
��OFA(gs�l) P.O. BOX 102954 ANCHORAGE, AK 99510 11/14/07
PHONE (907) 272-8218 FAX (907) 272-8211 Scale
Lot 3 Sky Harbor Est. 41 P.I.D. NO
5feJeri' 'rinone
/ Mark Meehleis PERMIT
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9 • CE 8149 �/ PO Box 110603 PERMIT N0.
a, .11/14/07--' g DESIGN swo7ooal
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Anchorage, AK 99511
?� ("2D'......,� Sheet
(k� (907) 349-2004 DETAIL 3 of 4
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. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS.
3. SCOPE OF WORK: 4—BEDROOM HOUSE, NEW DRAIN FIELD AND SEPTIC TANK. INSTALL PRIMARY FIELD.
4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST
HOLE INFORMATION. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 12 FEET
BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY.
5. CONTOUR INTERVAL IS 4FT BASED ON MOA 1997 MAPPING.
DESIGN PARAMETERS
NO. BEDROOM: 4
TANK SIZE: 1,250 gallon
PERC. RATE: 1-5 MPI
SOIL RATING: 1.2 gpd/SF
APPLICATION RATE: 125 SF/BR
AREA ROD: 500 SF
SYS. TYPE: DEEP TRENCH, 5' ED
MIN LENGTH: 50 LF
USE:
5OLFx2'WIDE, 5'ED, 9' TO
TOTAL AREA: 500 SF
ABBREVIATIONS
CU
COPPER
DIP
DUCTILE IRON PIPE
TH
TEST HOLE
FC
FOUNDATION CLEAN—OUT
T#
TANK CLEAN—OUT NO.
Cy
CLEAN—OUT NO.
M#
MONITOR TUBE NO.
DCO
DOUBLE CLEAN—OUT
DV
DIVERTER VALVE
RESERVE FIELD
DESIGN PARAMETERS
NO. BEDROOM: 4 (600 gpd)
TANK
SIZE:
1,500 gallon
FERC.
RATE:
1-5 MPI
SOIL
RATING:
3.0 gpd/SF
AREA
ROD:
200 SF
SYS.
TYPE:
DEEP TRENCH, 5' ED
MIN LENGTH:
20 LF
LEGEND
—v—v— WATER LINE/
WELL RADIUS
—ss —ss — EXIST'G SEPTIC
—tt —ss — NEW SEPTIC
CHAINLINK FENCE
RECORD DRAWING
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VL��� PANIVONE ENGINEERING SVC, LLC REVISED Date
OFA�.4 ,>!I P.O. BOX 102954 ANCHORAGE, AK 99510 rt/t4/D�
/i g • y (I PHONE (907) 272-8218 FAX (907) 272-8211 Scale
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Lot 3 Sky Harbor Est. #1P.I.D. NO
5Ceven'R. 'none Mark Meehleis PERMIT NO.
4r CE 8149 AAWPO Box 110603 SW070041
( �( Anchorage, AK 99511 DESIGN
�1 ,9?MD — (907) 349-2004 NOTES el 4
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10871
,'•;•��' WATER WELL RECORD
•,""•••• •' STATE.OF ALASKA
DEPARTMENT OF NATURAL RESOURES�``;• •`
Division of Geological a Geophysical Surveys`'
Drilling Pe,w 11 Ns.
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Addr•ts:
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2. WELL LOG
Material TIP,
Feel Bele.
B+,fee•
Teo Balled
4. WELL DEPTH! (fool)
?�Qr% ft.
0. DATE OF COMPLETION
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Municipality of Anchorage
• -�1 Development Services Department
Building Safety Division
On -Site Water and Wastewater Program °
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519.6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
TO: PES
Legal description: Sky Harbor Estates #1. L3
❑Permit ❑C.O.S.A. ®Inspection Report
The attached paperwork has been reviewed and Is being returned for the following reasons:
,41. The well may not be located in a driveway. V LQ tb aj)_--Vz:,nkci a -v A :'
0*2. The well needs to be documented. SCS We tt CcQ .
vQ. Why was the "Special Provisions" submitted with the inspection report? T::�a 17C,,seszvu P, L-i.I)
Q.,AC�ui.A77dN,t st
Name of reviewer: Deb Date: 12/13107 �T�vANt
"T7t-(AILS ,
w,
D
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Permit Number: SW070041
Legal Description: SKY HARBOR ESTATES #1 LT 3
Design Engineer: 0062 PANNONE ENGINEERING SERVI(
Owner Name: MARK MEEHLEIS
Owner Address: PO BOX 110603
ANCHORAGE. AK 99511 -
Date Issued: Apr 25, 2007
Expiration Date: Apr 24, 2008
Parcel ID: 015-272-66
Site Address:
Lot Size: 19414 SO. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of.
Q Disposal Field ❑✓ Septic Tank Holding Tank ❑ Privy Private Well E] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specked 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 DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
8I-1 lo'I Pay -"n -t y I?E til DSS X11,/ c�1��+ E. T'Q, r -n-.' T -;e
Z K Z( -Irk 41"- 5 . flcSrfrV tyro-oma/'M
Received By 5 vAsnEr__ Date: 04--ift, *07
Issued By. _
Date: 2
Municipality of Anchorage
�- Development Services Department ,t
Building Safety Division "�
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
www.muni.org/onsite
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FORA SINGLE FAMILY DWELLING
Parcel I.D. N-6- a__Ta-tn &
Property owner(s) Mark Meehleis
Day phone 349.2004
Mailing addressP 0 Box 110603 Anchorage
AK
Zip Code 99511
Site address NHN Barr Road
Zip Code 99516
Legal description (Sub'd., Block & Lot)
Sky Harbor Est Not Lot 3
Legal description (Township, Range & Section)
Lot Size 19,414 Sq. Ft.
Number of Bedrooms 4
THIS APPLICATION IS FOR (® all that apply):
THIS APPLICATION IS AN:
Absorption Field
®
Initial
- Septic Tank
®
Upgrade
❑
Holding Tank
❑
Renewal
❑
Privy
❑
Private Well
❑
Water Storage
❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
Pannone Engineering Services, LLC
(Signature of property owner or authorized agent)
Permit/Rush Fees: 'riD(7 Waiver Fees:
Date of Payment: 4 Date of Payment:
Receipt Number: % Receipt Number:
(Rev. 11/05)
Pannone Engineering Services, LLC P.O. Box 102954
Consulting Engineers Anchorage, Alaska, 99510
rom1 272-8218 (907) 272-8211 Fax
April 20, 2007
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject: Lot 3 Sky Harbor Estates, No. 3
Septic System Permit Request
Ladies and Gentlemen:
I am writing to request that a permit to install a new septic system be issued for this lot. The proposed
systems will serve a new four-bedroom house. Currently the lot is undeveloped. The surrounding lots are
served by private water systems and are over 100 feet from the proposed soil absorption system. There is an
existing well on this property that was drilled in 1985. The existing well is located in the northwestern
comer of the lot, greater than 100 feet from the proposed system and from the neighboring septic systems.
1. Soils. See the attached soils log. Ground water was monitored for two weeks. No ground water was
monitored in the test holes. Bedrock was not encountered in the test hole to a depth of 14. It is my opinion
that the overall soils appearance of the soils, an application rate of 1.2 gallons/day/square feet should be
used using a standard treatment system.
2. Trench Design.
a. Percolation Rate:
b. Application Rate:
c. Number of Bedrooms:
d. Design Flow:
e. Min. Absorption Area:
f. Total depth:
g. Effective Depth:
h. Width:
i. Reduction Factor:
j. Minimum Length:
k. Design Length:
1. Effective Absorption Area:
m. Septic Tank Size:
1-5 Min Per Inch
1.2 gpdpsf
4
600 gallons per day
500 sf
9 feet
5.0 feet
2 feet
0.00
50 feet
500 feet
500 sf
1250 gallon
Pagel of 2
Page 2 of 2
3. Surface Nater: There is no surface water within 100 feet of the proposed system. The proposed
systems will maintain at least 100 feet from all surface water and drainage ditches.
4. Topography: Lot 3 slopes to the southeast at approximately 1 to 5 percent based on 1994 mapping.
The proposed installation will be located in the southeast comer of the lot, along the south property line.
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:
C:\Work\Letters\3 Sky Harbor Est No 3.001.doc
"7
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P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
Lot 3 Sky Harbor Est. 111
Mark Meehleis
PO Box 110603
Anchorage, AK 99511
(907) 349-2004
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Lot 3 Sky Harbor Est. R1
Mark Meehleis
PO Box 110603
Anchorage, AK 99511 DESIGN
(907) 349-2004 DETAIL
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REVISED
�P.OI BOXO10 4E'ANCHORAGE.NCK 995I0
PHONE (907) 272-8218 FAX (907) 272-8211
Dole
oa-23-07
Scote
NTS
Lot 3 Sky Harbor Est. R1
Mark Meehleis
PO Box 110603
Anchorage, AK 99511 DESIGN
(907) 349-2004 DETAIL
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PERMIT xx
SW07xxxx
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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. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS.
3. SCOPE OF WORK: 4—BEDROOM HOUSE, NEW DRAIN FIELD AND SEPTIC TANK. INSTALL PRIMARY & RESERVE
FIELDS.
4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST
HOLE INFORMATION. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 12 FEET
BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY.
5. INSTALL 3—WAY, BALL TYPE, DIVERTED VALVE BETWEEN THE TWO FIELDS.
6. CONTOUR INTERVAL IS 4FT BASED ON MOA 1997 MAPPING.
DESIGN PARAMETERS
NO. BEDROOM: 4
TANK SIZE: 1,250 gallon
PERC. RATE: 1-5 MPI
SOIL RATING: 1.2 gpd/SF
APPLICATION RATE: 125 SF/BR
AREA ROD: 500 SF
SYS. TYPE: DEEP TRENCH, 5' ED
MIN LENGTH: 50 LF
La1u
50LFx2'WlOE, VED, 9' TD
TOTAL AREA: 500 SF
ABBREVIATIONS
CU
COPPER
DIP
DUCTILE IRON PIPE
TH
TEST HOLE
FC
FOUNDATION CLEAN—OUT
TJ(
TANK CLEAN—OUT NO.
C#
CLEAN—OUT NO.
M#
MONITOR TUBE NO.
DCO
DOUBLE CLEAN—OUT
DV
DIVERTER VALVE
LEGEND
—v—w— WATER LINE/
WELL RADIUS
ss —ss — EXIST'G SEPTIC
—ss—ss— NEW SEPTIC
CHAINLINK FENCE
ISSUED FOR CONSTRUCTION
PANNONE ENGINEERING SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
*:49T W '*y
�za��' Lot 3 Sky Harbor Est. 41
Y�keMlo ---% Mark Meehleis
Steven nnone / PO Box 110603
1101•. CE 8149 �
oa-25—.Q Anchorage, AK 99511
(1►oi�s9n�`r (907) 349-2004
NTS
SW07xxxx
DESIGN She—et
Sne
NOTES 4 o1 4
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SOILS LOG -PERCOLATION TEST
pF 41)
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PANNONE ENGINEERING SERVICES
: S;�
49
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ANCHORAGE, AK 99510
(907) 272-8218
•
0O�j :•Steven R. onnone i
0 ' CE 6149 '`
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1� 4/23/07 •di
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PERFORMED FOR: Mark Meehleis DATE PERFORMED
4-6-07 •.
♦•♦����kuz � •••
LEGAL
DESCRIPTION: LOT 3 SkyHarbor Est. S/D No. 3
TEST HOLE 1 SLOPE
SITE P8
C
Poorly graded
I
1
GP Grovels - Fill
2
ML
T'
EXI I
grown Silts
3
�
4
O
Q.
5
3
6
Q
rH I
7
ED
Poorly graded
g
SP/ SAND 6GRAVEL /
I
KLATT ROAD
9
TEST 1
HOLE
41
IO
Il
1
12
13
WAS GROUND WATER
SLOPE
14
ENCOUNTERED7 N
15
BOH
IF YES. AT WHAT
TH 1
DEPTHI ------
l6
DEPTH T❑ WATER AFTER
17
MONITORING? - Drv-
DATF, 4-19-07
IB
19
20
f•7Q�1
a
R
R
PEROLATION RATE ' 2
(min/inch) PERC HOLE DIAMETER 6 inches
TEST RUN BETWEEN
5 FT AND 6 FT
COMMENTS: Test hole excavated by Mike Spendlove Test Hole was presoaked before perc test.
N
P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
PERFORMED BY: Steven R. Pannone
E
WITH ALLSTATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
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January 10, 1986
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A'1C;NC�-tiAG" ALASKA :?9502-C66�
9071264-1111
DEPARTMENT OF HEALTH & HUMAN SERVICES
TO: Permit Applicant
Subject: Permit # 850026
Lot 3 Sky Harbor Estates Subdivision #1
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
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 264-4720.
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/ljw
enc: Copy of Permit
0-HUT411 :1 oil I MWOL- I -V, 17P 0
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET, ANCHORAGE� AK 99501 �
264~4720
PERMIT NO:
DATE ISSUED:
APPLICANT:
CONTACT PHONE:
LEGAL DESCRIP:
LOT SIZE:
MAX BEDROOMS:
850O26
01/31/85
JON D. JANSEN .
2754 E, 20TH
ANCHORAGE, AK 99508
345-0593
SUBDIVISION:&HA&OR EST" ADD 11 LOT: 3
SECTION: 12 TOWNSHIP: 12N RANGE: 3W
12500 (SQ.FT. OR ACRES)
4
Listed below are the options available to
systemChoose the option that best fits
DEPTH TO PIPE BOTTOM (FT.) it.
GRAVEL DEPTH (FT.) S.
TOTAL DEPTH (F i'.. 12"0
GRAVEL WIDTH (FT.) 2,5
GRAVEL LENGTH (FT,> 23.0
GRAVEL VOLUME (COU YDS. 18^2
TANK SIZE (GALS) 1,250'0 **
SOIL RATING (SQ.FT,/BR) 90
you in designing your septic
your site.
5^0 5"5
0.5 2�5
, 5"5 8.0
16,0 5^0
32.0 44.0
19.0 24.5
1,250.O
85 85
** TANK MUST HAVE AT LEAST TWO C8MPARTMENT3
`
I y that:
1" I am �amiliar with the requirements [or on-site sewers and wells as set
|orth by the Municipality o[ Anchorage (MAN ) and the State oy Alaska,
2" I will install Me system in accordance with all MOA codes and regulations�
and in compliance with the design criteria o� this permit.
3. I will adhere toall MOA and State �� Alaska requiremenLs {or the seL back
distances [rom any existing wellr wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot"
4. I understand that this permit is valid I'or a maximum o[ 4 bedrooms and
a�y enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2> AS B�ILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (71) ME
ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. n
SIGNED
D0TE:
APPLICANT: �---`~-~-���^--
ISSUED BY `
- L ......
-
' ^
SOILS LOG
MUNICIPALITY OF ANCHORAGE
\ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOI_Al"ION
ii TEST
j' 625 L. Street, Anchorage, Alaska 99501 264.4720
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: G�V✓1 � C, EF � --DATE PERFORMED:A1 -s
T- fti
LEGAL. DESCRIPTION: _ l
( �j .—.� OP`Ems-- IIE PLAN - _�_
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COMMENTS
ORCTAWCS
CvrRA\lEU (cvw)
'SAN�� \V)
12.E SP ��ai�Y/�
—
��'
WASGROUND WATER S
ENCOUNTERED? L
0
P -- — IF YES, AT WHAM E
DEPTH?
® �i'1 11 T9
OF A4C 1
��®090 Yor• '7
o �(
e'r
o
ts�YH
Reading
Date
- Gross
Net
Depth to
Net
Time
Tirne
Water
I;
I
.9 k
90
A7
—
��'
WASGROUND WATER S
ENCOUNTERED? L
0
P -- — IF YES, AT WHAM E
DEPTH?
® �i'1 11 T9
OF A4C 1
��®090 Yor• '7
o �(
e'r
o
ts�YH
Reading
Date
- Gross
Net
Depth to
Net
Time
Tirne
Water
Drop
.9 k
90
A7
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN .e... FT AND FT
PERFORMED BY: ,� CERTIFIED BY: EQ W iR t�� �I' 1 /-�tr�. pATE G/33
io.nnn ,r, i?n.