HomeMy WebLinkAboutOVERLOOK ESTATES BLK 2 LT 7
Municipality of Anchorage Page / of
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: J~\t'xq2'~")°/~ PID Number:
Name' Wastewater System: [;~'New [] Upgrade
Address:
7/~ ~ ~W~ ~/g~ ABSORPTION FIELD
Phone: No. of Bedr s:
('~U' ~5~¢ ~5~' o~ O Deep Trench ~ShallowTronch ~ed ~Mound OOther
Total Depth from original grade:
LEGAL DESCRIPTION SoilRating: 0,? GPD/Sq. Ft.
Lot:~ Bfock:~ ~ fi~ ~Subdivisi°n: ~ Depth to pipo bottom ~'fr°m original~ grado: Ft. Gravel depth beneath~P~--~ Ft.
~o~.,,,,: I.a..o: Section: Fill added above or,?l grade: FL Gravel length: ~Z Ft.
Gravel ~ Number of lines: Distance ~n lines:
WELL: ~New D Upgrade ~/~ /~ F,. ~ ~ F~.
Classification (Private, A,B.C): Total Depth: Cased To: Total absorption area: Pipe material:
Driller::~ D~?d: ,,atic Wale, Leve,:~ Ft. ,nstaller:~ Dote instalie~
Yield:
l Pump Set at: Casing Height Above Ground:
TANK
SEPARATION DISTANCES ~eptic ~ Ho~ing ~ S.T.~.~.
TO i Septic Absorption Lift Holding ~Private Manufacturer: Capacily in gatlonsL
Material: Number of Com~ments:
r
Su~ace
Water )/DO ¢/p~ P/DD W/h LIFT STATION
Lot s~z. i. ~a,,o..:
Foundation ~ ~/P W/~ "Pump on" level at: ~t: High water alarm at:
Cu.ain //~ ~ =u~ Electrical Inspections pedormed by:
Drain ~ "
Remarks: BENCH MARK
Location and Description:
~ I Assumed Elevation:
E~E~'~L
Inspections pedormed by: ~'~ Dates:
Department of He ~lth an, Services approval
Reviewed and approved b [~, Date: t
Permit No.
Page 2 of 2
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: OVERLOOK LOT 7 BLK 2 PID No.: 068-041-13
SWING TIES~
A-C =. 41,3
B-C = .~6.7
A-D = 97.7
B-D = 87,5
A-E = 58.1
B~£ = 27,4
EDGE CREEK
TANK
ELEVATIONS
(NOT TD SCALE)
TOP OF WELL CASING
ASSUME[} ELEV = 100,00
ORIGINAL
FINISH FINISH ELEV GROUND
_~~19E~ESV' ..... ~;TT=--99]~'gg+~Y.' .... 1l J / LF'VELTH 9~.~DE[} 93,2AT: ~'7~-~"
NO
G'w'T
88.8
NO DEVELOPNENT
CREEK
ce - MONITOR ~flBE
- SEWER CLEANOUT
+ - WELL
-- - LEACHFIELD
-- -- - EASEMENT
SCALE 1' = 60'
11/07/95
ENGINEER'S SEAL
o
F~F~O.-''' ~9 TH ~ '..~
0CT--27--95 FRI 12:58 PM EAGLE VENTURES 696 5534
( erl fie Ddlliug
by
SULLIVAN WATER WELLS
P.O. BOX 870277.,OHUGIAK, ALASKA 995~? ' TELE~HONE~a~-2759
ADDRE~ STATIC LEVEL OF WATER
~l~ n~lO~ Z~ ~ ~7~- ~o~~°°~ ~s~v~*w oow~ ~.
FERM~ ~MBER
KIND OF FORMATION:
~r~ q FLto~t) Ft.~~~ Fromm. Dr-to.. Ft...
From .~Fcto ~3 F~ ~-~ ~/~ F~m~Ft. to Ft ....
. . ~ Ft._
F~
From Ft. to Fi,_
From F~ to FL From
From .Ft. lo Fl From~ ~ Ft. to , .Ft. -
M~n;c~pahty .
From Ft. to, Ft From
From F{. to ~Ft.. From _FL ~ ,Ft. , oerv/ce~
From. , .FL ~ Ft, From ,Ft. to Ft ....
MISCL. INFORMATION.'
c~ ~ " 'r
DRILLER'S NAMIg ,/.? ~' d d- :.. -/-'--"~ '
SENT BY;XI~NOX I/6 'tUZu
D~i~. OF I~NVIRONMEN~AL CONSEIIVA~ION
Mr. ]obfl Wamts
~ SmcL and C~LVeg
P.O. Box I456
Pl~imm', Al-k- 9964~
Sieve Analysis for Sand ~gtw Mamial; gpedfl~m~ L-view
This Iette' L~ in mspoaae to your ie~ef, reccivM in ~ c~c~ by facsimile on ~ 22, 1~,
which mclo~d the resul~ of s sieve analy~i~ The maly~ was d~ne by M~. Mark I:laamg Plin-
Baaed upon your let~-, the auaiymi~ is for manda fmmmm your pit, that are to be used ~ ~d ~
for ~ ab~o~ ~ (S~).
-msu~ ofyo~ ~ve -,,~ym, Ifu~d ~the mmplaaf.~a~i meets ~e req~i~neUs ef~e
Therefore, ~he Department hu no abje~un to the use-of thla ,--~ ~, ~ far .S,a~. in orde~
to teu~ia '~e Departmenfs non-objcction, a sieve maly~ oa a repre~cnt~ive ~-Tle. ~,kma fxmn
your stockpile will need m be ~itted m this otiice for every 1000 cablc yards smck~ed.
A similar submittal will need to be made ~ year, by M~ I, 1996, if you iamnd to obtain ~he
Depmmmt's zma-obje~ion o~ yau: .and. This no_-objection is for use in ~ ~ which ~e
cm~m, ucmi in ~ Ma~-Su Borough. It is ,~Th~i_'-,~_ _ t~ ~ leeer cf mm~-ob~e~_'~ is for smd
Systems larger thmu 1000 sqmue feet inky requ~ z aepztam ~ aaal _y~_'_. ever~ lOOO square
Thank you fo~ you cooperation wit2 this Dkl~Uemt. Ii'you have any quemdm~ please d~ net
TU£ 08 :~0 QUALIT¥+$A~D+AN~*~RAVEL ~7~7979
Quahty Sand and Gravel
P.O. Box 1456
Palmer, ,AK 99645
Fax: 373-7979
Project: 1995 aggregate tesd.qg
Subjec(: Sieve Anelys~s, Hyer Road
(2en(lemen:
FAX (907) 746-4721
May 20, 1995
Project No: 9524
The following is the mere analys~s of the seed sampled on 5/18/95
Sieve % Passing *.4 Required for OEO Septic Filter Sand
Group A , Group B
85-100 ~5-100
60.~0
25.50
0-15
0.5
1 Max
Coefhc~enl. of Oniform~ty C. 2.2
Coefficient. of Curvature Ce 0.99
The sample conforms to group A and B specifications.
If you have any questions, please do nOl hes~tale to call,
S,nCerel¥,
P=O[
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF 1
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW950099
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:KURZMANN ANDREW K & PEGGY J
OWNER ADDRESS:814 WEST 2ND AVENUE
ANCHORAGE, ALASKA 99501-2031
DATE ISSUED: 6/02/95
EXPIRATION DATE: 6/02/96
PARCEL ID:06804113
LEGAL DESCRIPTION:
OVERLOOK ESTATES BLK
2 LT 7
LOT SIZE: 58182 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
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
THE FOLLOWING SPECIAL PROVISIONS.
5 o
SPECIAL PROVI S IO~,
RECEIVED BY:
/
DATE:
DATE:
NOTICE OF ZONING ACTION
This notice announces that a zoning variance has been duly approved by the
Zoning Board of Examiners and Appeals of the Municipality of Anchorage providing for the
development of the herein described property in accordance with the provisions of Chapter
21.15 of the Anchorage Municipal Code of Ordinances and the terms and conditions of the
zoning variance approval as set forth in the Municipal zoning file 95-105. Under the provisions
of the specified ordinance the subsequent development of the subject property shall be in
accordance with the terms of the approved zoning variance or any subsequent amendments
hereto.
LEGAL:
PETITIONER:
REQUEST:
Overlook Estates, Block 2, Lot 7 (Anchorage Recording District, Alaska)
Andrew Kurzmann (retum to)
Approval of a variance from AMC 21.40.115.F.3. to allow construction
of a single-family structure that will encroach 51 feet (as scaled) into the
required 100 foot setback of the mean high water line of any stream, lake
or other permanent body of water/as~equired under the R-10 (Residential
Alpine/Slope District) zone.
unicipality of Anchorage
Zoning Board of Examiners and Appeals
STATE OF ALASKA )
)
THIRD JUDICIAL DISTRICT )
THIS IS TO CERTIFY that on the 19 day of July, 1995 before me, the undersigned, a Notary
Public in and for Alaska, personally appeared Donald S. Alspach, to me known to be the duly
appointed representative of the Secretary of the Zoning Board of Examiners and Appeals and
acknowledged to me that he had in his official capacity aforesaid executed the forgoing
instrument as an act and deed of the Municipality of Anchorage for the uses and purposes
therein stated.
WITNESS my hand and notarial seal on the 19 day of July, 1995 in this certificate first above
written.
"' .%° ' ' "-~ ~ o ' Notary Pubhc m and for Alaska
,.-.-..: ~' '~;~."~."~-~..:d~ ?~.~ My Commissi0n exr>ires:
... '..~-'r.;~ oeo &~
SEPTIC
PIPES
NO KNOWN CURTAIN DRAINS
· WELL & SEPTIC SITE PLAN
GAL: LOT 7, BLK 2 OVERLOOK ESTATES
OWNER: N/A
CONTRACTOR: EAGLE VENTURES
I JoB # 9`3-o~71 DATE: 05/19/9,31 SCALE 1" : 60'
EAGLE RIVER ENGINEERING SERVICES
A P.O. Box 72'3294
EAO£E RIVER, AK. 99s??
(907) 694-5195 FAX: (907) 694-3297
sa - TEST HOtE
· - MONITOR TUBE
o - SEWER CLEANOUT
+ - M[U.
~t:::::::::- PROPOSED I..EACHDgELD
EASEMENT
OF
TH'~' , .
LOUIS A. BUTERA
· C£-6736 '
Rick Mystrom,
Mayor
Munieipality of AnchCrage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
June 2, 1995
Lou Butera, P.E.
Eagle River Engineering Services
PO Box 773294
Anchorage, Alaska 99577
Subject: Lot 7 Block 2 Overlook Estates Subdivision
Waiver Request ~WR950018, PID ~068-041-13, SW950099
Dear Mr. Butera:
Your request for a waiver of the required 10 foot separation
between a septic system and a lot line has been approved. The
waived distance is 5 feet to the west property line.
This approval applies to the existing septic system lot line
separation only. Any future upgrade to the septic system will
require all separations ~e met or another approval from this
department.
Sincerely,
Civil Engineer
On-site Services
DJR/ljm
'"~/ MUNICIPALITY OF ANCHORA6~=-~
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
WR9 WR940018 PID# 068-041-13 HA9
Date Received: May 24, 1995
Legal Description: Lot 7 Block 2 Overlook Estates Subdivision
Engineer: Lou Butera, P.E., Eagle River ENgineering Services
Permit
PO Box 773294, Eagle River, Alaska 99577
Applicant: Andrew Kurzmann
Waiver Requested: ~ ~ ~ T~£ ~F ~r LI~£
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorptio~
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Waiver is Granted: ~ Waiver is NOT Granted:
List Conditions or Reasons for above: ~ ~/~f~F~ ~6/~F~J
Date: By:
Name of Reviewer
Rec ~: 00922/3411 Amount: $ 115.00 Date Paid: May 24, 1994
Louis Butera, P.E.
Registered Civil Engineer
August 18, 1994
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Overlook Estates, Lot 7 Block 2
SW930110
Narrative & Waiver Request
Dear Mr. Cross:
The proposed septic construction permit change will have very limited impact on adjacent
properties for the following reasons:
1. The area has large lots allowing sufficient room for septic sites, most wells are in
place.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, due to absorption capacity, and lot size.
4. Drainage will not be affected and is not a major consideration in our design.
A waiver of the normal 10' distance from lot line, to five feet is requested. The waiver will help
avoid plach~g the house directly downslope of the leachfield, and will not affect the neighboring
Lot 6 leachfield.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
C:\WPWIN60\WPDO CS\ 1994\93-017A.NAR
P.O. Box 773294 · Eagle River, Alaska 99577 · Telephone (907) 694-5195 · Fax (907} 694-3297
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: Overlook Estates Lot 7, Block 2 - REVISED 08/18/94
Bo
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health
requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the
field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the
contractor to meet Municipality of Anchorage requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements
and to locate any adjacent multi-family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation
requires engineer approval.
8. It is always recommended that a surveyor locate the nearest lot line position and
the location of any easements.
SEPTIC TANK/LIFT STATION
1. Septic tank and lift station to be 1,500 gallon Orenco/Anchorage Tank model OSI
05 20 HHF.
2. Receipt from certified electrician stating the lift station was wired to applicable
codes to be supplied to Engineer.
TRENCH
1. The trench is to follow the natural land contour to maintain uniform total depth of
the trench bottom.
2. The botto~n of the trench shall be level, plus or minus 1.5".
3. The total depth of the trench excavation is not to exceed 9.5' at any point.
4. The trench gravel is to be covered with typar fabric material.
5. Soil or combination of soil and extruded board insulation to a depth of 3' or
equivalent is to be placed over the leachfield.
6. The area over the trench is to be finish graded to prevent ponding of surface water
runoff.
7. The septic tank and leachfield must not be closer than 100' to any existing private
well, 150' to any Class "C" well, or 200 feet to any community well.
I~ECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 9.5' GRAVEL DEPTH = 6.5'
TRENCH LENGTH = 38.5' TRENCH WIDTH = 3'
SOIL RATING = 1.2 GPD/ft2 BEDROOM CAPACITY = 4
SEPTIC TANK = 1,500 gallon with lift
LATERAL SIZING -- 1-1/4" PVC
ORIFICE SIZING = U8" holes at 6" spacing, with holes up and orifice shields installed
Twenty-four (24) hours notice required for all inspections.
C:\WPWIN 60\WPDO CS\ 1994\93~017A.SPC
,~~ELL
SEPTIC , J J ~~%LA
~ - TEST HOLE
$ - MONITOR TUBE
o - SEWER CL~NOUT
~ - WELL
mH',HV, J- PROPOSED LEACHFIELD
NO KNOWN CURTAIN DRAINS ~SEMENT
WELL ~ SEPTIC SITE PLAN
LEGAL: LOT 7, BLK 2 OVERLOOK ESTATES ~p~.....
OWN :
CONTRACTOR: EAGLE VENTURE~ 1"
JOB ff95-O17BJ DATE: 08/12/94J SCALE = 60' ~~~"'~
EAGLE RIVER ENGINEERING SERVICES
A P.O. Bo~ 773294
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (907) 694-3297
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
EAGLE RIVER, AK 99577
(907) 694-5195
J0S Overlook Estates Lot 7, BlOck 2
SHEET NO. OF.
CH 08/17/94
CALCULATED BY DATE
LB 08/18/94
CHECKED BY DATE
SCALE
4 Bedroom Capacity
Tank size - 1,000 gallons + (4-3)- (250) = 1,250 + 250 lift station = 1,500 gallons total
Field capacity = (150) (4) = 600gpd ' ~ ......
Perc rate = 2.2 min/inch = 1.2 gpd/ft2 application xate
600 gpd -¢ 1i2, apPiicationrate ,=' 500 f~ ~:" :
Usetrenchi 6.5 gravel depth, 9.5 tbtalldepth:i i
(2) (6.5) = 13 . -
500ft2 + 14 = 38~5' length
Recommended dimensions:
Gravel width
Gravel depth
Trench length
:=3' ~ .... ~
= 6.5' .
= 38.5; : ~ : :"
C:\WPWIN60\WPDOCS\1994\93-017A.CAL
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
'EAGLE RIVER, AK 99577
(907) 694-5195
JoB OverloohkEstates Lot 7, Block 2
SHEET NO. OF
CH 08/17/94
CALCULATED BY DATE
LB 08/18/94
CHECKED BY DATE
SCALE
PRESSURIZED.SYSTEM SiZING : : : :'"' '
Flow rate.from lift station . = 28GPM i ~ ~ i i.. i ..: :
Single lateral = 28.GPM.per lateral~ ' i' ..' ..'" ..! ........ .. ' "
Lateral length = 38~5' ~ ::' ! i
Lateral distribution holes will be 1/8" (orifice)~
Assuming 5' pressure drop f~om across 0rifiC~
Orifice area (A) ' = 0.00009 fi2 :~
Q = CdA 4- 2gH (orifice equation Cd '= :0.6)
Q = 0.6 (A) 4- 64.4 H : .
Q = 0.6 (0,0009) 4- 64.4 (5)' - i. (5 i hea , 1/8" orifice hole)
Q = 0.0009 ft3/sec
Q = 0.41 GPM
28 GPM per lateral reqmres:
= 1 7"
28 GPM 68 holes per 38.5' latera .@ ~ spacing along 1-1/4" lateral pipe
0.41
Install face up with orifice shields
..... ................... %ft,~.; .... ~
\1 ~)~)4\(?~,-917B.CAL
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
(ENGINEER'S SEAL)
LEGAL DESCRIPTION: O~F--~['''~¢-'~ Lo'~'~ ~,,Od..,~"~, Township, Range, Section:
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17-
18
19-
COMMENTS
H~HYP~oc-lc, fo I$~
Lou~s A. Butera
CE-6736
SLOPE
WASGROUNDWATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
"eplhl°WaterAlteroRY 0ale: '::~'~/~/~
Reading
Date Gross
Time
SITE PLAN
Net Depth to Net
Time Water Drop
PERCOLATION RATE ~--'"~" (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ FT AND ~' FT
PERFORMED BY:~ LL/I¢'~ ~. ,_.,TV ~,,~ I ~.~ ~.~_......--'-~.~r_..-- CERTIFY THAT THIS TEST WAS PERFORMED IN
STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: . '~'///.,f~/'¢'¢¢/
ACCORDANCE
WITH
ALL
72~008 (Rev. 4/85)
PERFORMED FOR:
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
1
2
3
4
5
6
7
8
9-
10-
11
12
13
14
15
16
17
18
19-
2O
Township, Range, Section: ~-/z/,/~, ,~'/~,~ -.~
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT'
DEPTH? ;~'~' '~'/~"~"' P
E
Depth lo Water Af~r/~ ~ ~.,.
Moniloring? /Z.~ /.:.~'( ? Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
Io ~,. ~:ffl ~. o ff~ ' 7~
PERCOLATION RATE '~ O,~'~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~-- FT AND ~' FT
COMMENTS
PERFORMED BY: ~':.t'- I ~~-' CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
CONTINUOUS PRINTING OF ALASKA (907) 277-0446
- Municipality of Anchorage
REQUEST FOR VOUCHER CHECK
I (DEPARTMENT) '
TO: MUNICIPAL CONTROLLER
DATE:
R 33160
THIS SECTION FOR ACCOUNTS PAYABLE USE ONLY
1099 VOUCHER NO. PAYMENT DT. I V VENDOR NO.
I
REFERENCE NO. INVOICE DATE INVOICE NO.
CHECK NO. CHECK DATE PREP APPR
REQUEST THAT A MUNICIPALITY OF ANCHORAGE CHECK BE ISSUED TO:
Name LOul, I s
THIS PAYMENT IS FOR THE FOLLOWING (SUBSTANTIATION ATTACHED):
3. DISPOSITION OF CHECK:
(1) X MAILTOPAYEE
(2) O MAILTO PAYEEW/ATTACHMENT
(3) n NOTIFY PAYEETO PICK UP IN TREASURY
P,O,~o,t 773%993
AUTHORIZED USE ONLY
(6) []
Name:
NOTIFY DEPARTMENT EMPLOYEE
WHEN CHECK IS READY IN FINANCE
7. INSTRUCTIONal/
a. To be used only when payment cannot be made by purchase order, travel expense report, travel authorization or petty cash.
h MIIRt he aol3rnvad hv dee~rlman! hp.~ld lJnlesa eoDroval au/hnritv is daleaated in accnrdance, with Policy and Procedure 24-7.
ITEM ENTER ALL POSITIONS OF ACCOUNTING DISTRIBUTION
NO. DESCRIPTION Or /CC Acct/Ob Task Opt Cost Cfr. WA/WO AMOUNT
2~F7D~%Z~ 11 ~ 3o
5. TOTAL AMOU~ CHEC2 ~. // ~ I~ ~o
Org. No.: __Phone NO.:
Phone No.:
4. ACCOUNTS TO BE CHARGED:
Property Owner Name
Mailing Address
Legal Description
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
On-Site Sewer/~Nell Permit Application
SINGLE FAMILY DWELLING
__ Day Phone ,A,/',~'~,
Zip Code
Subdivision
~¢,,.,- Seclion Township Range
LOt Size ~? /~' ^¢,esisq F, Inspections will be conducted by:
Number of Bedrooms: ,,Z../ Y Approved Engineering Firm
Municipality (permit fee included)
Does your house contain any of the following: Hot Tub, Swimming Pool, Therapy Pool, Jacuzzi,
or Water Softener Unit? If yes. which one?
This application is for: Sewer Only Sewer and Well /~ Sewer Upgrade Well Only ~ .~'
I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwellln~
and in accordance with applicable Municipal codes.
Fees: z¢/~ z¢) ,(..J'O Receipt, ¢'~' ((¢ .~ ;'%'~ Permit,
Torn Fink,
Mayor
unicipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
May 23, 1994
Andrew K & Peggy J Kurzmann
814 West 2nd Avenue
Anchorage, Alaska 99501 2031
Subject: Lot 7 Blcok 2 Overlook Estates Subdivision
Permit #SW930110, PID #068-041-13
The subject permit, issued May 21, 1993 by this office for a
single family well and/or on-site wastewater system, has
expired as of May 21, 1994.
A new permit must be obtained from this office fOr a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sincerely, .. /-~
Robert W. Robinson
Acting Program Manager
On-site Services
Copy of Permit
cc: Eagle River Engineering Services
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW930110
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:KURZMANN ANDREW K & PEGGY J
OWNER ADDRESS:814 W. 2ND AVENUE
ANCHORAGE, AK 99501
DATE ISSUED: 5/21/93
EXPIRATION DATE: 5/21/94
PARCEL ID:06804113
LEGAL DESCRIPTION: OVERLOOK ESTATES BLK
7
2 LT
LOT SIZE: 58 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4329 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:
A TWO FOOT SAND FILTER BED MUSTBE INSTALLED THE SOIL
CONTINUITY MUST BE CONFIRMED AT BOTH ENDS OF THE BED DURING
RECEIVED BY:
Louis Butera, P.E.
Registered Civil Engineer
May 19, 1993
John Smith, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Overlook Estates, Lot 7 Block 2
Narrative
Dear Mr. Smith:
The proposed septic upgrade will have very limited impact on adjacent properties for the
following reasons:
1. The area has large lots allowing sufficient room for septic sites, most wells are
in place.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, due to absorption capacity, and lot size.
4. Drainage will not be affected and is not a major consideration in our design.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
\1993\93-017A.NAR
f~O. Box 773294 · Eagle River, Alaska 99577 · Telephone (907) 694-5195 · Fax (907) 694-3297
~ - TEST HOLE
· - MONITOR TUBE
o - SEWER CLEANOUT
~ - WELL
~;',',~',',$;',- PROPOSED LEACHFIELD
NO KNOWN CURTAIN DRAINS EASEMENT
LEGAL: LOT 7, BLK ~ OVERLOOK ESTATES ~.--.
COMTRACTOR: EAGLE VE~TURES
JOB ff 95-0171 DATE: o5/19/93L SCALE 1" = 60'~
(907) 694-5195 FAX: (907) 694-3297 ~ss~o~
EAGLE RIVER
ENGINEERING SERVICES
P. O. Box 773294
EAGLE RIVER, ALASKA 99577
Phone 694-5195
Jos Overlook Lot 7, Block 2 93-017A.CA!
SHEET NO. OF
CALGULATED BY C _ H. OATE 05 / 19 / 9 3
L.B. 05 19/93
CHECKED BY DATE
SCALE
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: LOT 7 BLOCK 2, OVERLOOK ESTATES
GENERAL
1. The well and septic plan are for a single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health
requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the
field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the
contractor to meet Municipality of Anchorage requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements
and to locate any adjacent multi-family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation
requires engineer approval.
8. It is always recommended that a surveyor locate the nearest lot line position and
the location of any easements.
BED
1.
3.
4.
5.
7.
The bed is to follow the natural land contour to maintain uniform total depth of
the bed bottom.
The bottom of the bed shall be level, plus or minus 1.5".
The total depth of the bed excavation is not to exceed 6.5' at any point.
The bed gravel is to be covered with typar fabric material.
Soil or combination of soil and extruded board insulation to a depth of 4' or
equivalent is to be placed over the leachfield.
The area over the bed is to be finish graded to prevent ponding of surface water
runoff.
The septic tank and leachfield must not be closer than 100' to any existing private
well, 150' to any Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 6.5' GRAVEL DEPTH = 12"
BED LENGTH = 72' BED WIDTH = 12'
SOIL RATING = 0.7 GPD/ft2 BEDROOM CAPACITY = 4 ~
SEPTIC TANK SIZE = 1,250 gallon
NOTE: ( 2' sand filter required under leach gravel. Filter sand must be from an ADEC
'approved source.
Twenty-four (24) hours notice required for all inspections.
IlL !11
P--nc~lneerin9 Services
P.O. Box 773294
Eagle River, Alaska 99577
694--5195 FAX 694-FAXS
To: ~
Re:
Total number of pages ?/~ including this cover sheet.
If you h(3ve any questions or if you c~re missing any pages
please cell us 'et 694-5195.
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGAL: LOT 7 BLOCK 2, OVERLOOK ESTATF$
A. Q~NERAL
1. The well and septic plan are for a single family residence only.
2. The drawing and or site pl~ shall be a part of this
3. Ali mate~s ~d workm~ship sh~l m~t ~e Anchorage Dep~ment of H~th
r~uirementa.
All soil tests are adviso~ W the design ~d ~e to be verifi~ or m~ifi~ in the
field by ~e engin~r.
5. All excavations ~d depths are advi~ and ar~ to be ve~fi~ in the field by
. con.tot to m~t Municipality of Anchorage r~uiremen~.
6, It is the res~nsibility of the owner to ob~in ~1 n~y ~rmt~ or ~sem~t~
and to l~te ~y adja~nt multi-hmily wells.
7. The ex.ration is to ~ ~y in the ~ shown on the site pl~, ~y deviation
requires ~g~r approX.
g. It ia ~waya r~mmend~ that a ~eyor l~te the n~rest lot line ~sition ~d
~e l~ti~ of ~y ~sements.
BED
1.
2.
3.
5.
6.
?.
The bed is to follow the natural land contour to maintain uniform total depth of
the bed bottom.
The bottom of the bed shall be level, plus or minus 1
The total depth of the bed excavation is not to exceed 6.5' at any point.
The bed gravel is to be covered with typar fabric material.
Soil or combination of soil and extruded board insulation to a depth of 4' or
equivalent is to be placed over the leachficld.
The area over the bed is to be finish graded to prevent ponding of surface water
runoff.
The septic tank and leachfield must not be closer than 100' to any existing private
well, 150' to any Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 6.5' GRAVEL DEPTH = 12"
BED LENGTH = 72' BED WIDTH -- I2'
SOIL RATING = 0.7 GPD/ft~ BEDROOM CAPACITY -- 4
SEPTIC TANK SIZE -- 1,250 gallon
NOTE: 2' sand filter required under leach grovel. Filter sand must be from an ADEC
approved source.
Twenty-four (24) hours notice required for all i:~spections.
£0'~ 98£~£~£ Ol '~onS 6u!Ja~u!GuB '~'B WO~ NDS£:£0 SGG~-9~-90
v<39 70 �
i
Municipality of Anchorage
On-Site Water and Wastewater Program
a. 016. � n
(907) 343-7904' 3
ti
Certificate of On-Site Systems Approval
Parcel I.D. 068-041-13 Expiration Date: 2./ - !'
1. GENERAL INFORMATION
Complete legal description Overlook Estates Block 2 Lot 7
Location (site address) 27605 Paramount Dr
Current Property owner(s) Peggy J. Kurzmann Day phone (907) 330-4010
Mailing address 27605 Paramount Drive, Eagle River, AK 99577
Real Estate Agent Lori Lindquist Day phone (907) 242-4272
2. TYPE OF DWELLING:
O Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well Q Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: 12t&'/(fn,(Zet(-Mtelie) Date: U�/L /
9 COSA to be released to the en ineer,unless othse requested by the engineer.
COSA Fee $ � Waiver Fee $
Date of Payment 511c' Date of Payment
Receipt Number C)3? f l DReceipt Number
COSA# Qf l g/ IQ 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 Forge Engineering Phone (907) 522-7773
Address PO Box 240773 Anchorage, AK 99524
Engineer's Printed Name Benjamin Schiller, PE Date 5/21/18
It
44
6. DSD SIGNATURE %it:49TM *��
System #1 Approved for j bedrooms
lI���•• Sonia• • Schiller ; j
Y Approved1� l,J:•c.t�zs `
System#2 for bedrooms �'• � ?II t8•:��r
Disapproved ,
Conditional approval for bedrooms, with the following stipulations:
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By: =FJG Original Certificate Date:
The Municipality of Anchorage 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.
7. ATTACHMENTS:
COSA Checklist X Nitrate AdvisQ7,
Septic System Advisory Arsenic Advis`o'ry C• •
Well Flow Advisory Other
• tY
'Ara, 1t 4—
COSA blue sheet_f '• .. c
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: Overlook Estates Block 2 Lot 7 Parcel ID: 068-041-13
A. WELL DATA
Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed June 1995 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 340 ftCased to 82.5 ft. Casing height (above ground) 18 in.
FROM WELL LOG AT INSPECTION
Date of test June 1995 4/13/18
Static water level 4 ft. 70 ft.
Well production 0.66 gpm 0.66 g p m
WATER SAMPLE1� RESULTS: ``nn�
Coliform ` I colonies/100 mL Nitrate'(� D mg/L
Arsenic ti\C'r) ug/L Date of sample: S-2 j if Collected by: rIP
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 10/10/95
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping 8/08/17 Pumper JR's Pumping
C. ABSORPTION FIELD DATA
Date installed
10/1 1/95 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.7 GPD/SF System type Shallow Bed
Length 72 ft. Width 12 ft. Gravel below pipe 0.5 ft.
Total depth 4'.5 ft. Eff. absorption area 864 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 4/13/18 Results (Pass/Fail) Pass For 4 bedrooms
Fluid depth in absorption field before test 0 in. Water added 745 gal. New depth 0 in.
Elapsed Time: 1440 min. Final fluid depth 0 in. Absorption rate >= 600 g p d
None
Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested_ 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 manhole/cleanout >100'
Sewer/septic service line >25' Holding tank >75'
Animal containment areas >50' Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
>10'Building foundation Property line >5 Absorption field �5
Water main Water service line >10 Surface water >100
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
Property line Building foundation X10 Water main X10
Water Service line 0 Surface water >100 Driveway, parking/vehicle storage >10'
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION s.��t��Nk
-`clot ll i lik
I certify that I have determined through field inspections and rAr •• ` • .,
review of Municipal records that the above systems are in j*; , j *y
conformance with MOA COSA guidelines in effect on this date. •••• /
Engineer's Printed Name Benjamin Schiller, PE % •••.;— ••b ' ;••%
g r • Benjami • flier
Date 5/21/18 ,#,,,i. CE 25 �
COSA brown sheet 10-10-12.doc
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907-343-7904
On-Site Water and Wastewater Section Fax:343-7997
www.muni.org/onsite
Well Water Advisory
Certificate of On-Site Systems Approval # OSC181219
Subdivision: Overlook Estates, Block: 2, Lot: 7
This well's productivity was determined to be .77 gallons per minute. The minimum
well productivity required under (AMC 15.55) for a 4-bedroom residence is .41
gallons per minute or 150 gallons per day per bedroom. Although the subject well
currently exceeds this minimum requirement, the production capacity can
fluctuate.
This advisory must be attached to all copies of the subject Certificate of On-Site
Systems Approval.
Mailing Address: P.0. Box 196650* Anchorage,Alaska 99519-6650 *www.muni.org
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ASBUILT ��� � '� SEWARD & ASSOCIATES LAND SURVEYING 694-0$29
I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE' i ��� R4
FOLLOWING DESCRIBED PROPERTY= /- r.4 __.. rr,/ OF Ai°'N
Ox ad�iY �.rx,x3�`3,�,,J�/0.77,,,,e;Z DATE. , ........_• 0
AND THAT NO ENCRO ENTS EXIST EXCEPT AS S��e .rr�Q,�' �, - 's'(
INDICATED. IT IS THE RESPONSIBILITY OF THE i C.. , 4 -
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: j i •••#
EASEMENTS, COVENANTS, OR RES ...5-‘e./
WHICH DO NOT APPEAR ON THE RECORDED SUBDI•- �- ---- Duane �+te,k se ,a i
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD F& f �;•._ i.S- x
ANY DATA HEREON SE USED FOR CONSTRUCTION " '-' " 't'`'om..• SJ4r
OF FENCE LINES, OR FOR ESTABLISHING BOUND- "R
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