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HomeMy WebLinkAboutOLSON HEIGHTS BLK 2 LT 5• Municipality of Anchorage Development Services Department :+ Building Safety Division On -Site Water and Wastewater P,rag- " P.O. Box 196650 Anchorag ,, AK 995119-6650 aw Sl. www.ci.anchorage.ak.us (907) 343-7904 Page / of ?, ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW030406 Name: PID Number: 018-231-13 Richard & Susan Foley Wastewater System: ❑ New ew❑Upgrade 4400 East 135th Ave., Anchorage, 99516 ABSORPTION FIELD Phone: 345-2529 Number of Bedrooms: 5 ❑ Trancn ❑Shallow Trench ❑aed ❑Mous ❑other: LEGAL DESCRIPTION Soil Rabng Total Depth fr —79 -Ml �grade BIOU: LDC 5 Subdivision: Olson Heights GPD/Ft2 Depthlo pry• bottom from on Igrade: Gravel dept TownahiP NA Range: Sea m: Ft. Fill added above original grade: Gavel LerK W� ❑ New ❑ Upgrade Ft. Gravalvndth: Numbx i C113550"M Bal (Prlvale. A, Total Depth; Cased lo: Existing Ft. Total absorption area: Ft. FL Pipe Materia Drabr. Data Static Water Laval: Installer, FI' ' ( C- Date Install• Yield: at Casing Haigh Pump set at HaighGround: jrVi GPM Ft, TANK SEPARATION DISTANCES Aseptic ❑Holdin 9 S.T.E.P. To Septic Absorption Lift Holding ubiielPrivate From Tank Field Man aau er Station Tank Sewer Line Anchorage Tank wen 103 Matenat: steel Surface water 100+ Ol LIFT STATION LM Line 70+ S In. anti adurer. V Gal. Foundation 10 Q -Pump on. Ievel at: 'Pump oM bust at. N. q Curtain Dram NA Pump Make d Model Emir" Inepeotlms Pedomrod b Remarks: Old tank was abandoned in place. BENCH MARK New tank installed with double LaC80onand Ue3Cop1im cleanout. Bottom of tank No change to drainfield. Inspections performed by: Watkins Engineering, Inc. Dates: tat 9/30/03 2nd 10/9/03 Development Services Department Approval Reviewed and approved by: Date: l r IJ (Rev. IZVO) I beneath pipe: G ❑ Other: apaoty: 1500 Gal. 2 87.02 FL Engineer's Stamp 49LH'' . 72 -7; 7:;'; - C,lfidy W. Ellis CE -10577 Bros: FL in. Permit No. SW030406 Date: 10/20/03 Anchorage DEPARTMENT uOFfHEALpality f HEALTH AND HUMAN SERVICES ENVIRONMENTAL P.O. Box 196650 nchorage,A aska 99519-6650 S1 elephone: On—Site Wastewater Disposal System and/or Well Inspection Page 2 of 3 343-4744 Report Legal Description: LOT 5, BLOCK 2, OLSON HEIGHTS SUBDIVISION om .i_ _ 01f2 -7z1_ ,z r Permit No. SW030406 Page 3 of 3 Date: 10/20/03 Municipality of Anchorage 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 Legal Description: LOT 5, BLOCK 2, OLSON HEIGHTS SUBDIVISION Pin Nn • 018-231-13 MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW030406 Legal Description: i'OLSON HEIGHTS BLK : 2 LT "'.'5,1 Design Engineer: 0844 Watkins Engineering, Inc Owner Name: Richard & Susan Foley Owner Address: 4400 E 135TH AVE ANCHORAGE, AK 99516-3603 Date Issued: Sep 29, 2003 Expiration Date: Sep 28, 2004 Parcel ID: 018-231-13 Site Address: 004400135TH AVE E Lot Size: 49500 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit is for the construction of: ❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 Ataska 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. Received By: Issued By. Date: 14— 3-03 Date:Z ? 03 Municipality of Anchorage • Development Services Department Building Safety Division .4 On -Site Water and Wastewater Program ` 4700 South Bragaw St. ' " P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 018-231-13 Permit Number SW O 30406 Property owner(s) Richard & Susan Foley Day phone 345-2529 Mailing address (1) 4400 E. 135th Ave. Mailing address (2) Anchorage, AK Zip Code 99516 Legal description (Lot, Block & Sub'd.) Olson Heights, Block 2, Lot 5 Legal description (Section, Township & Range) Lot Size 49,500 g Fr J THIS APPLICATION IS FOR: Number of Bedrooms 5 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade Tai1L Only (] THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. 10 (Signature Permit Fees: G owner or authorized agent) Waiver Fees: Date of Payment: 7 Date of Payment: Receipt Number: CReceipt Number: (Rev. 12/00) Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis®gcl.net September 22, 2003 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Olson Heights, Block 2, Lot 5 Septic Tank Replacement To Whom It May Concern: Attached please find an application to install a new 1500 gallon steel septic tank at the referenced 5 bedroom house in Anchorage. The existing 1500 gallon steel septic tank was installed in 1980 and will be abandoned in place. Mechanical problems have been experienced in the piping from the house to the drainfield. To correct these problems, excavation near the tank is necessary, and a double cleanout is required after the tank. Although no problems have been experienced with the tank, it is proposed to replace it due to its age (23 years). In addition, the existing tank encroaches upon the protective 100 ft well radius for the subject lot. The drainfield appears to be in good condition and no work is proposed for it. There are no surface water concerns, and the new tank will be placed more than 100 ft away from any private wells. I am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851 or 360-3389 (cell). Yours truly, Cindy W. Ns, P. E. President OLSON HEIGHTS BLOCK 1 LOT 4 LW 4 1 I I 1 1 / i i i i i EXISTING SEPTIC TANK BE ABANDONED IN PLACE EXISTING DRAINFIELD TO BE RETAINED T12N, R3W, SECTION 27 LOT 17 i i i J HEIGHTS BLOCK 1 .LOT 5 fEXISTING WELL 100' RADIUS — TYPI —APPROXIMATE WELL LOCATION — TYPICA I I / / i OLSON HEIGHTS BLOCK 1 LOT 6 —EAST'\135TH AVENUE - I 21OLSON HEIGHTS BLOCK 2 1 LOT 6 i EXISTING HOUSE T12N, R3W, SECTION 27 LOT 16 EXISTING W LL I---- `100' RADIUS TYPICAL ----_ Septic Design Prepared For RICHARD AND SUSAN FOLEY LOT 5, BLOCK 2 OLSON HEIGHTS SUBDIVISION Prepared By: DATE: Watkins Engineering, Inc. PID N0. Cindy W. Ellis, P.E., M.S. SCALE: P.O. BOX 110443 DRAWN: ANCHORAGE, ALASKA 99511-0443 CHECKED: PHONE: (907) 349-1851; FAX: (907) 349-1934 EXISTING WELI ----100' RADIUS TYPICAL .1N SEPTIC TANK 1 1 1 1 / r � 1 � 1 I I 1 T12N, q3W, SECTION 27 1 \LOT 15 /1 \ ' OF, ACq k1 i*.- 49TH *I 9/22/03 W• •�Z .. . 018-231-13 / •• ••• 1"=100' / �'�^•• in N C•W' Ellis • • �r ''i. 10577 •,�-, o CAV O����, WS � �PROFESSIONP��`" —EAST 135TH AVENUE — :PROPERTY LINE i i WELL r i r r r r r i i i i i i i i i i i EXISTING 5 BEDROOM HOUSE EXISTING FCO 1� ,, NEW 1,500 GALLON — 1 ' J STEEL SEPTIC TANK EXISTING WELLJ -�—NEW DOUBLE C.O. 100' RADIUS EXISTING SEPTIC TANK TO BE ABANDONED i IN PLACE EXISTING DRAINFIELD TO i BE RETAINEDUJI ; EXISTING SUMP i =1 r I � I � r I r I ' f i i Septic Design Prepared For �`_�F A�\��l RICHARD AND SUSAN FOLEY ,,� �� . • • • • • :9S LOT 5, BLOCK 2 /Aww'�P' �9I� e* . ...7 OLSON HEIGHTS SUBDIVISION j 49TH �� ����; Prepared By: DATE: 9/22/03 Watkins Engineering, Inc. PID N0. 018-231-13 4�C'inn­ / W.Elli'Cind W. Ellis P.E. M.S. Y � � SCALE: 1"=30' c W. Ellis ��•, No. 10577 .•� �/� 43 N ANCHORAGE,99511-0443 DRAWN: DJR �`ll`F�pROFE$$10 � � NORAGE�ALASKA - PHONE: (907) 349-1851; FAX: (907) 349-1934 CHECKED: CWE `� Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net April 5, 2005 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Olson Heights, Blk 2, Lot 5 Documentation of Septic System Repair To Whom It May Concern: In October 2004, 1 supervised a repair job on the septic system on the subject property. A video camera had shown that a portion of the drainfield pipe was submerged, which was creating improper drainage. The sump at the end of the field indicated that the drainfield was not full. The lateral pipe in the drainfield was exposed and found to be out of level. Approximately 25 ft of pipe was replaced and set level with the lateral in the sump at the end of the trench. In addition, we installed a steel monitoring tube near the beginning of the trench, with the bottom 5.32 ft below the invert of the lateral. Yours truly, to Cindy WUEllis, P.E. President MUNICIPALITY OF ANCHORAGE 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 �,_—'_'PHONENEW 'l/U --- ------ �1 UPGRADE MAILING ADDRESS c>9�iu�-—��� LEGAL DESCRIPTION LOCATION g f Well U Absorption areaDwelling 1 DISTANCE TO: j ( 9/J � 1 � o5 L X F- ZQ Manufacturer Material (t rn NO. OF BEDROQIyIS PERMIT NO, No. of cgmpartments �Liq. calja in Ilons t O IF HOMEMADE: Inside length �_ Width A Liquid depth 1 DISTANCE T Well Dwelling PERMIT NO. 0 FQ- Minufac r Mate squid capa nett'tfs O T DISTANCE TO: Well � `7�."y Found ion Nearest lot line PERMIT NO, ®�j t a u z ~ Z w Q b No. of lines Length. of each lin (j ---�� Top of We to finish grade t K Total length of lines Trench width r ,�� � inches Material beneath tile uses Distance betwe n Ines }oh ea l(j� 8 Total effective bsgrpt w Length Jfi4dti Depth PERMIT NO. Qg 1- Wa Type of cr C diameter rib depth l tal effective abs � ion area We w DISTANCE TO: ou ndation ar of line J J Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER LEGAL �1iri PIPE MATERIALS Per SOI L TEST RATING r I LER - OO REM KS CU- _ lot Q> Y V 1 C APPROVED ` �� DATE Q -1 L.1 0,-J :C a I F -i L_ I -r 1-r " C, i F-- F=F VA C! i C o --N Fes_ n 0 E DEPARTMENT HEALTH AND ENVIRONMENTAL OTEC:TION 82 'L.'STREET: ANCHORAGE. AK. :=9501. 264-4721.0 �-A EEI L_ F=:F rI l E> Iia B"-4" o I '"T- ITS = FEK' 4 EE F." F=° �- F;;:.n t'q I ? �, PERt YY(� GGS'YPERMIT NO. �: 8001,88�8001,88 APPLICANT LES THATCHER 100 08 MARMOT CIRCLE 'a9`5,02 349-8149 L.Crt:ATION 13:5TH/BRAGAW LEGAL LOT w BLOCK 2 OLSEN HEIGHTS LCAT SIZE 49500 SQUARE DARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH 11Ai<; I f'UJhi NUMBER OF BEDROOM'S = 5 SOIL RATING (SO FTf- BR) r 1.25 THE REQUIRED SIZE OF THE SOIL ABSORPTION 'SYSTEM I S : IIS a F=--- F=" 7r " = A. c- 11.— EE i' -A 0 _r"- !=5 . 0 F= F# "°°•° FE L_ E:" 1-= F:�° T [A a° THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT 15 THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET::. THERE IS NO 'SET WIDTH FOR TRENCHES. THE GRAVEL. DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE ExcA'v'ATION (IN FEET). fR F-= N7'a LJ : E FR" E: I- " � L=" F�,, "IF 11 C,: 74:1 .F.. F :11"-.A l< F-:; 1 � E t:-:- = - :lL. ".:.�i !-..� REN (3 n I L_ Ca r -A PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS, DEPARTMENT DURING THE INSTALLATION IN SPECTIONS 01: ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. -F 14 10 < _-2 :a I Ir -J:—=. F=° E= I"__ -F Ir 0 rA F= F F -P E: FR: E-7 0 N...F :1 F-:" E-_ BAC KF i LL I N•aG OF ANY SYSTEM WITHOUT FINAL IN'aSPECTICiba AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND At•a'r' Ot•a•-SI"rE SEWAGE DISPOSAL SYSTEM IS 1,00 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL. DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM D I'STAN•aC:E FROM A PRIVATE WELL TO A PRIVATE: SEWER LINE IS 25 FEET FIND TO A C:OMtII 19ITY SEWER LINE IS 75 FEET. klELL LOGS ARE REQUIRED AND N•11,.1=•T BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO It•,ISURE PROPER INSTALLATION. I CERTIFY THAT 1.: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON --SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. : I WILL INSTALL TALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE 0114 -•SITE: 'SEt•••IER SY'ST'EH MAY REQUIRE ENLARGEMENT IF THE RESIDENCE I' � REMODEL -ED TO INCLUDE MORE THAN 5 BEDROOM:-. APPLICANT LES THATCHER ISSUED V4. 0 9' 16._o E`•a a r I F-' F71 R..._ :L I ° a' CD FF1 P -A C-.. --If .o F=° f- C� DEPARTMENT HEALTH AND ENVIRONMENTAL 'OTFC:TION 825 `L`' STREET, ANCHORAGE) AY•,'. 99-,:-)o 264-4720 a s a_ L__ F:1 r.a L, a-) r -a -- 1' —F FE °� FE7. s_•.a a-- a, b F-, E :: � r-1 1 1 - PERMIT NO. C ) a r�0T �rF 3-d'o`t APPL.ICfifdT `P S / GSC{ ��1� �,r- _ / 0 o CD � /-)I c? LOCATION L.-EGAL. i- 5 62- 0(50/-) �(er jh'1 S j�l� LO -r SIZE q? S-00 SQUARE FEET TYPE OF SOIL ABSORBT I ON SY'STE;M I S : OF 1 �p �� �� 6> W �'� / 2 S MAXIMUM NUMBER BEDROOMS � ` SOIL RATING �:Sc>! I="f.•'BEZ)-= THE REQUIRED SIZE OF THE =OIL ABSORPTION SYSTEM IS: � Fes. r�E t_a -tl- a --i :.�_ � � p--3 F�: Fl- "%s E: E.:- 6 =" i 8•-$ THE LENGTH DIMENSION IS THE LENGTH C IrJ FEET) OF THE, TRENCH OR DRAII'IFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE: GROUND AND THE BOTTOM OF THE EXCAVATION (11-4 FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). r - IF' V=: Q LJ I F-" ILS G^ 'rte L~- E `r' I C-- -I- Fa P -A Eti_ 5�,7 1 Z FE D C -m f-) a_ a._ Ca I�J:E PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPEC•TION'S OF ANY WELLS ADJACENT TO rHI'S PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE, __..� •-T- 8 4 C:p o ?' > I FA F`' Fes, r" -T- I cl r.4 !E> FA Fti EF Fa° LE 01 LJ I F -z FE K.-> BACKFILLING OF ANY SYSTEM WITI-IOUT FINAL_ INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON --SITE SEWAGE DISPOSAL- SYSTEM IS 100 FEET FOR A F'RI'GATE WELL; OR 150 TO 200 FENT FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED FIND MUST BE RETURNED TO THE DEPARTMENT WITHIN 3.0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAIIS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F' E: Fes-'. P I X -"9'" E.: -: F=' :C F--? F— Cti E=: 4=.. a=te fvl ED u- F' •7::::I..:. :JL !: l 8 0 I CERTIFY THAT I.: I AM FAMILIAR WITH THF-_• REQUIREMENTS FOR ON. -SITE SEWERS AND WELLS AS SET FORTH BY THE MUN I C I FAL. I TY OF ANCHORAGE. �? : I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RES I DE1JC:E IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED:___.__-._-_____._. 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' ill"�IEi i'Yf .l._i��..5 f(lr�.TF �a i'tr# [{-� tT_} er-�4a (�+�t.r�t IfiP `�t ritF"�'!�S,'IS ' k pips IfwE (t_IKP—,,,�T H t =`i t. 1 i 11111, s - g • 'fl, _y_ '�-.._ 1�f�,t (..)t-#'•�5 f. I t� �[.. t'ti'�t-h� I !f Ft ; i ,4 l #F t Tti,°1"r Cr = wa_t_ 't 1 t.t s r_f2L�� - 11L -1 �` Ff—, f -'OR fi 1Sfg yn't !'last (.,I 17IR 1, Ci -'P f WY Y k f tt i,l .: y ON l-NdfI't_lt3f{ 111 T4 Tf-! . tai=tkVtt;t €')t t11 1 t 1� t;!,� S�ITs ` t.t'}1== "IND '17ig'r# F;tYx i , ? t t!_IF� i 1:: f f'i fit.,. t f li; Fy{t'" ii; �C'f"ii11t:t t 1 t I1.t Md i lil_i 3 l : #-.°�'ix 1' r4 I f# t it::t::!`IPOiSr i1 '.`.: q 1 Ti4 FlAii e ; I 11}•#!7 1,": I';-iPita TWO' rF#' : J."W -'sf ri= ii ro _ la;l_t_DE 1 it"!fi 3111=,t Vis: CtF`.1114ht' . r r t� %s {E3 t'e(!;..._rr�//) 131 W 03 a._� Cc lot2N 1 F-4G>Foe;: I` �: ( `� € v f'Ef� 'F, t 3 [ r ,t tt_I.1 1- 10 10F MY . ,Y'. Tf_.M 1,41 fFll..!W r [!#t'I(__ [P4 .: f t' f It")p,+ t�ll� FiiE'�` t!:'!'�1 ;i, Ely i'! 1s; t111s.PNiR"1`#°iT._I.#"T 1411-,t_ FB ` TO f'f4r,1-:i }:•l11 Itetl#. (t_IKP—,,,�T H t =`i t. 1 i 11111, s - g • 'fl, _y_ '�-.._ 1�f�,t (..)t-#'•�5 f. I t� �[.. t'ti'�t-h� .a i ( �1 (. 1 I�'.�. t-�i-_. "'47E ' �.S ��(� h' - 11L -1 �` Ff—, f -'OR fi 1Sfg yn't !'last (.,I 17IR F n� i,*ti ro my Imm, FROM H .x'1,!R. $ (c 1.1t='0N fl-*` "j'' PT, OF :Ply€�tt,_ G i'EIAA_. . >- 1#'Ti_t._ U335 FOE pt'-FIFI.tIRE—r$ TiND 1't135,'T C01. Ft (1,I.'N'7() Tri Tri+� WITHIN O OR Cy- THE MIJs 1~Y 9 t'1'f1Y 8r`7'LY, vi tt-.�tA: �f'F�A:f"!r�1t_1#d'E 4V-10 {,-.9 NS FR4_KrIOU 3fSs*GUTF1.1i_JIEu{ .{�!r)Vryjq r1/1f t1 E %.i'i't,.�`` t�r4 � tt14, f.1i 51� f''i*ii:{f'',��. if � t'<`'�, Ft�€t,.t. ki l• 1 4�1j� 1 T-=.'�.`'tr i"J'r _11-. i" ._f_'�c _t},'. t.,_ [:. ., F[�b f'.: .6 _- 80 1, Ci -'P f WY Y k f tt i,l .: y ON l-NdfI't_lt3f{ 111 T4 Tf-! . tai=tkVtt;t €')t t11 1 t 1� t;!,� S�ITs ` t.t'}1== "IND '17ig'r# F;tYx i , ? t t!_IF� i 1:: f f'i fit.,. t f li; Fy{t'" ii; �C'f"ii11t:t t 1 t I1.t Md i lil_i 3 l : #-.°�'ix 1' r4 I f# t it::t::!`IPOiSr i1 '.`.: q 1 Ti4 FlAii e ; I 11}•#!7 1,": I';-iPita TWO' rF#' : J."W -'sf ri= ii ro _ la;l_t_DE 1 it"!fi 3111=,t Vis: CtF`.1114ht' . r r t� %s {E3 t'e(!;..._rr�//) 131 CONSTRUCTION TEST LAB "One Test is worth a Thousand Opinions" 2204 Cleveland anchorage, Alaska 99503 277-0231 Performed for Les Thatcher Legal Description: This For_n reports: Lot 5 Block SOILS TEST Yes/V Depth Soil Characteristics Feet Peat, red.'Isilts, top soil & organics Brown Sandy Gravel 2 isual Light brown sandy gravel w/ cobbles & boulders - GW -GP 125 SF/bedroom 14' Was Ground 07ater Encountered If YES, What depth? lim Date PerFor-ned 6/3/80 Subdivision OLSON HEIGHTS PERCOLATION TEST No - - - 1-7 V� T44-. tt: _7 Reading Date f Gross Tim Net. Depth to H2O Net Drainage Percolation gate Minute Proposed Installation: SEEPAGE PIT DRAIN FIELD___ _________ Depth of Inlet _ De,Dth to Bottom of Pit or Trench _ COAMENTS:_-trata frc2m - 4 5 feet to 14 feet rated at 125 SF bedroom est Per-ior;ned.z R_.o�ert Jam. Peters T Data Certified Bv: James R. R Date : 680 T E NE -w Nome Si-rr- Porz L -c -s & MARSHA Tf4ATCHCR. N W �- H U rFM, "R A 'A h R: pal THATCHER CONSTRUCTION IOOC,C Marmot Cir, Anchorage, AI&J Q 349-%609 R, Avcvvl� m m 0 0 0 E-4 E4 H E-1 H t" E-4 10 l.D Q) LU H E,4 P Em H E-4 Em FEi H E-4 1. C J! W0 ANA W WWI W ca wW W4 IN MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES j 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # n\9t – A L_ t D HAA # ilQq QC:i°1 _ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) LSA $2 0L55N FFEI68TS _ Location (address or directions) 00 E 13gS 4 AVF ANcd, Ak 99.5/ (b) Property owner _ KARL 4- JAN MAKI Telephone: (home) 3q, _S9N7 Business 69q-3SSS Mailing Address 4400 E . 135 4l AVr ANr'd, 99x/6 (c) Lending Institution GMAC. Telephone 56z- 2 18 1 Mailing Address —701 E • 1 ODOR Rb r RNCH. AK CN503 (d) Real Estate Company and Agent 01 -MINE %1 L. m avis r C2 FoR" wNF FR0PE%'T IES _ Address 3000 A ST• ANco. AK 99503 Telephone 5(02. 7653 (e) Mail the HAA to the following address: (or check here if hold for pick up.) List contact person and day phone number below: 0PRI S OR TED (�I.Arrop TEcN. Svcs-) 2. TYPE OF RESIDENCE Single -Family' 6 Number of bedrooms S 3. WATER SUPPLY Individual Well X Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legalityarid'status. 4. SEWAGE DISPOSAL On-site Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 Z ;o Z abed MOOS (eeit ney) 9a0-zL •>laom s,aaaulfte leuoissa;oad ay} ul suoissiwo ao saoaaa ao; epsuodsai }ou si 96ejoyouy;o A}lledloiunW ayl -panssl si a}eol;l}aao a aao;aq e}ep azAleueao suol}oodsul }onpuoo }ou op SHHQ;o seeAoldw3 •s}uawaainbaa a}e}s pue leaapa; uie}aao �(;sl}es o}aapao ui suoi}n}l}sui bulpuai .)day} pue sawoy ;o saaseyoand o} Asa}anoo a se sly} saop SHHQ OU'E)lsely ;o a}e}S ay} ul paaa}sl6ei aaaul6ua leuoissa;oid }uepuedepui uv Aq anoge g 4de.i6eied ul u9n16 suoi}e}uasaidaa ay} uodn Aluo paseq pa}eol;laao lenaddy A}ljoy}ny y}leaH sanssi (SHHd) saoiAJ9S uewnH pue y}leaH;o }uaw}aedaa a6eaoyouy;o A}llediolunN ayl 'T/bui 0'O1 sT uoTgpaquaouoo uin)uTxeui vaa •T/bui T'S sT uoTgpaquaouoo agPaq-TN �gTTTap4Tns panuTquoo sTTOm auq- eansu, oq pauwzojaad aq buTgsaq oTpoTaad q-2t}q paq-sabbns sT qT . 'zanamou 'quasaad sagpaq. aap azauy sapoo T-edToTunyl pup aq.egg buTgsTxa sgeatu Agzadojd sTT44 ao; TTOm auy :aq-oN lenoaddy Jeuoi}ipuoO;o swaal, ieuol}lpuoO panoiddesi.(] Pano.rddy ao; panoaddy.' ale aG'�'�C.!f/! �v �Cq swooapaq 1VA98ddV SHHa ;9 r- r i//f ® �' :�Qua!ssaloldp 0 689C -3D :•3aoow •4 3aoa03Hi•• leas s,199ui6u3 ...:................:. �A�`�•. Hl6J©; 0 �. •....... • I S6 6 y! 0 C.5 �7 ► ssaa PPb SSS I - Sh S auoydelal wj!d;o OWEN •uoi}oadsul siy};o a}ep ay} uo 4090 u suol}einbei pue 'saoueulpjo 'sepoo a}e}S pus lediownlni lie y}im aoueildwoo ul si wa}s�(s lesodslp aa}ema}sem ao/pue � lddns as}em a}ls-yo ay} 'uoiloodsul pue uol}e6l}s9nui Aw woe; pue sell; 96eaoyouy ;o A}llucipiunn ay}'woa; pauie}go uol}ewao;ul au} uo paseq }ey} A;laan jay}Un; I -uiaaaq pa}eolpul Wn}ona}s;o ads(} pue swooapaq;o aagwnu ay} jo; a}enbepe pug jeuoi}oun; 'a;es si wa}sAs lesodslp aa}ema}sem ao/pue Alddns as}em a}ls-uo ay} }ey}.smoys ienoiddy A}!aoy}ny y11e91-1 siu};o uol}e6i}sanul �Cw }eyj �(;iaan l 'moleq umoys a}ep uoi}eplIen ay} ;o se pue o a�ay pail;;e leas /w �(q pal;l}aao sy NOl1VWd0dNI aNV V1Va `H01dV3S 31Id `S1S31 `SNO11O3dSNl ONIMAOUd Wldld ONIH33NION3 '9 OF PhC EO �\J S\60 � VSk%4\(- ow %4\`o M A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) a Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: LCL OLStnl_ NTs Well Classification _ PR I yA Te' If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Y95 Date Completed �)t'80 _ Yield 7.5 GPM MEAS 74&A0 Total Depth 63 Cased to 63 7 Depth of Grouting Static Water Level �S — Pump Set At Casing Height Above Ground 33 't Sanitary Seal on Casing (Y/N) YEs Electrical Wiring in Conduit (Y/N) YES Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL NO r r To Septic/Holding Tank on Lot 103 To C.o On Adjoining Lots To Nearest Edge of Absorption Field on Lot 113 ; On Adjoining Lots — /DO To Nearest Public Sewer Line 2100, To Nearest Public Sewer Cleanout/Manhole -/(00' To Nearest Sewer Service Line on Lot - 9S r Water Sample Collected by FLATTOP TEcd s vcs ; Date — 7b3 J90 Water Sample Test Results O C®(IiarM //Gbit / vht!/ Q n�¢rrxFe /y( Comments Darinr _we(( Poev 4J opt 7/Id to 9a 1, Kir_ ins of ocoeo- Zvel o a((anr Ccf fAa r"CAK!MKi" e"M'e ®�e//'%u! o/e'-ey P" e-crgye Ae &G'0(Aek_ Inside �e Cc�(i7 Ab ive draw,'l derv,* �0 -hry�` y�cf no uric, - B. SEPTIC/HOLDING TANK DATA Date Installed 4180 Size 1-500 No. of Compartments 2 Standpipes (Y/N) YE5 —Air -tight Caps (Y/N) _YE5 Foundation Cleanout (Y/N) YE5 Depression over Tank (Y/N) — NO Pumping/Maintenance Contact on File (Y/N) Date Last Pumped -T /F-6-/90 6v 8olo Roo lr,r ;for N, 4. Holding Tank High -Water Alarm (Y/N) K.(. Temporary Holding Tank Permit (Y/N) N.A. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well 103 FROM C•0, To Building Foundation $ FPon 0-0. To Property Line - 60 To Disposal Field 10, To Water Main/Service Line U To Stream, Pond, Lake or Major Drainage Course _ton ` Comments 72-026 (Aev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 125 n, /BDRM Type of System Design T RENCY Date Installed (o &/l o Length of Field —i Ll Width of Field 4 Depth of Field 10 Gravel Bed Thickness Square Feet of Absortion Area 6qs 0' Statndpipes Present (Y/N) �ES Depression over Field (Y/N) lip Date of Last Adequacy Test 711ro�90 Results of Last Adequacy Test AD6-QyA-rF 'FoR S 6DRM SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well 1137 To Property Line Id + PER 6�6�So INsP, REPORT To Building Foundation To Existing or Abandoned System on Lot N,A ; On Adjoining Lots 7 60r To Water Main/Service Line 70 To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course 7 ! OD ' To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION N -A, Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. "Check Permitted Bedroom Rating Against HAA Request" I certify that I have checked, verified, or conformed to all MOA and HAA i,4kAM"q effect on the date of this inspection. //,I. iol>� F° A TO Company �u�y 20 /990 01°"°`°°°°°°°°°°°'°° 6 Engineer's Seal Date ? MOA No. 90 —0(9 � �`°°THCODORE K. rnoORE CE - 3589 •' Receipt No. 0°� — '��� Receipt No. Date of Payment '� `— q Waiver Fee: $ Amount: $ '(� �o:"� Date of Payment 72-026 (Rev. 7788) Back Page 2 Of 2 CHEMICAL &WOLOGICAL LABORATORIES OF ALASKA, INC. — TELEPHONE (907) 582.2343 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform(Bacteria COLLECTING SAMPLE,. ' AlFinal Membrane Filter Results TO BE COMPLETED'13Y WATER SUPPLIER TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D.ff Date s shows this Water SAMPLE to be: IX PRIVATE WATER SYSTEM Timq: -- �� FSa isfactorydtisfactory Name Phone No. i I ❑ Sample too long In transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send — Mailing Address TNTC - loo Numberous Tta Count new sample via special delivery mail. city '. State Zip Code SAMPLE DATE: 4 7 ( 3 9 D' Date Received �'�'�3^�� Mo. Day Year Time Rejelved i SAMPLE TYPE: Analyticrii Method: Membrane Filter 12 Routine ❑ Check Sample (for routine sample with lab ref. no. �) ❑ Treated Water ❑ Special Purpose Gil Untreated Water No. of colonies/100 ml. SAMPLE�Rt9hix) Time Collected NO. LOCATION ! Collected By Lab Ref. No. Result" Analyst 1 95-o 2f ; !2 A& Zr 1 '90.2423 �y ED ED 3 "` L-41-1 ELI se 4 -- --J — —J FTW 5 BACTERIOLOGICAL WATER ANALYSIS RECORD Awe READ INSTRUCTIONS!. t embrane Filter. Direct Count -j _ Collform/1100mt BEFORE _ eHticatlon: LTB BGB COLLECTING SAMPLE,. ' AlFinal Membrane Filter Results cotnorm/tooml ;{Reported ByN7� Date Timq: -- �� a.m. i I P.M. TNTC - loo Numberous Tta Count # -) ;'7``� �,. OB = Other Bacteria 'iairit' - ss ►'e,rl'£ ALAkMOAATORIE. CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKAA, IINIVC 5633 B STREET ANCHORAGE, ALASKA 99518 - TELEPHONE(07)562-2343 FEDERAL TAX I.D. #92-0040440 �Fl V, iif yo, (1 11, 1 F. ��11�i Y -, " I ! � ; 0 unl',D� t � 0 v Supr'!4 o), i ;' 0 zi!J, 3 v 111� "I k1cl CL I T E.1 71:T «ndlo 1) u posillu m U L" 1"co.0o6 9w s NT'DAJ t: J e!Tz Me"), F, Com. CSS t_ Lam` C_iY1 M DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME NUMBER OF,BEDROOMS DATE DATA (� DATE INSPECTOR INSPECTOR INSPECTOR 7. WATER SUPPLY MUNICIPALITY OF ANCHORAGEDEPT.OF IIEALTH & HEALTH PROTECTION"�I�I VIRQNMENTAL PEOTECTION' DEPARTMENT OF & ENVIRONMENTAL 825 L Street - Anchorage, Alaska 99501 • ,;law ,3 o 19x81 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED ECEIVE REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 00) days for processing. - 1. PROPERTYOWNER PHONE MAILING ADDRESS - - - PROPERTY RESIDENT (If different from above) �— PHON� 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION MAILING ADDRESS 4. REALTOR/AGENTPPHONE �J � ._ � i � rte' � � ; �'' � f� _.�...,, � �'�''I -• �''(-:� MAILING ADDRESS JJ + 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY _ E]Two �< Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY INDIVI DUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available,) B. SEWAGE DISPOSAL SYSTEM '<J INDIVIDUAL/ON-SI-rE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. �. 72-01 Y (Rev. 79) e(r�".�,n3 A ➢. t cCe �, '_. 79_nin rR.v R/791 THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ SINGLE FAMILY ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ MULTIPLE FAMILY ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY PERMIT NUMBER ❑ INDIVIDUAL DEPTH OF WELL ❑ COMMUNITY DATE DRILLED ❑ PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ❑INDIVIDUAL/ON -SITE DATE INSTALLED ❑PUBLIC UTILITY Connection Verified INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS r APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE (,., i BY J 79_nin rR.v R/791 5. LEGAL DESCRIPTION DATE RECEIVED _ INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE ; -C) MLINSPECTOR 6. TYPE OF RESIDENCE INSPECTOR - INSPECTOR�,r (a MUNICIPALITY OF ANCHORAGE II NNvv�RRDEPT. OF HEALTH & & PROTEIJW6NONMEN'I'AL PROTECTION - DEPARTMENT OF HEALTH ENVIRONMENTAL ❑ Two E�T Five 826 L Street - Anchorage, Alaska 99501 CI Three ❑ Six 7. WATER SUPPLY -- OCT 2 4 1980 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C E I VED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 00) days for processing. 1. PROPERTYOWNER PHONE S%//d Uz a�J MAILING ADDRESS - S71CA do x / 5 6 / 6; - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE L FlILINGADDRESS'(J 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION - - 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS�� SING LEFAMILY ❑ One ❑ Four ❑ Other' ❑ Two E�T Five ❑ MULTIPLE FAMILY CI Three ❑ Six 7. WATER SUPPLY -- -� /,X, INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM - INDIVIDUAL/ON-SITE** 15 BDYEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) av THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑ INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY—� Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: i '500 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL nom.--rh�---- 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS VYAPPROVED FOR ..S BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE la -Sl -60 BY 1�11 C