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Home My WebLink AboutP & S LT 2Onsite File P & S Lot 2 #015-142-37 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 3434904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Water System Permit Permit Number: OSP211107 Work Type: Well Upgrade Tax Code Number: 01514237000 Site Legal Address: P & S LT 2 G:2637 Site Mailing Address: 11245 OUR RD, Anchorage Owner: BOSTER GORDON V& Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: 4/16/2021 4/16/2022 22086 ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: To close out this permit, please submit the following: 1. Well log 2. Pump install log 3. Water sample results for total coliform, nitrates and arsenic 4. Decommissioning logs for two existing wells. Received By: Issued By. 0. Date: Date: MUNICIPALITY OF ANCHORAGE Development Services Department '° T Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-142-37 Property owner(s) DIANE DUVAL Mailing address 11245 OUR RD, ANCH AK Site address SAME Day phone Legal description (Sub'd., Block & Lot) P & S LT 2 Legal description (Township, Range & Section) Lot Size 22,086 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank ElUpgrade 0 Duplex El (D) Holding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 0 Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 2-Z5+ 135 Date of Payment: �h�-/� - 2 Receipt Number: OLz Permit No. 0SP2-1 1107 Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc April 16, 2021 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: WELL Permit Legal: P & S LT 2 To Whom it may concern: This is a request for a well permit on the above referenced lot. The lot has two existing wells which have failed, both will decommissioned per the On-site requirements. The proposed new well location has been surveyed to not encroach into the septic area, see the attached site plan. The new well installation will not impact any of the neighboring properties. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211107, Rebecca Carroll, 04/16/21 1"=50' PROPERTY LINE -OUR ROAD-(2) WELL TO BE DECOMMISSIONED PER MOA CODE 100' WELL RADIUS SCALE: DJRDRAWN: DATE: P & S LT 2 Anchorage, Alaska DIANE DUVAL 4/15/2021 4/15/2021 100' WELL RADIUS 100' WELL RADIUS 100' WELL RADIUS PROPOSED NEW WELL, LOCATION TO SURVEYED, PRIOR TO DRILLING EXISTING SEPTIC TANK Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211107, Rebecca Carroll, 04/16/21 a • OF A G 49 TH* '%yG u a SHANE A. HOLT �4 P LS -6914 4�a d o On,°fessionsl o0 THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN HEREON ( UNLE55 INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. THIS WELL IS INOPERABLE THIS WELL IS OPERABLE AS -BUILT SURVEY 1" = 30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 2, P & S SUB.( PLAT P - 617) ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS _26TH DAY OF _JULY , 2017 13641. FB 178-22 HOLT LAND SURVEYING 9309 &ROVER DRIVE ANCHORAGE,AK 99507 345-5513 Municipality of Anchorage 1 of 3 Community Development Department OCT On -Site Water & Wastewater Program Z�� 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171229 PID Number: 015-142-37 ❑ New 0 Upgrade Name: GORDON BOSTER ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ■ Bed ❑ Mound Address: 11245 OUR ROAD *ANCHORAGE, AK 99516 ❑ Other Phone: No. of Bedrooms: 748-6758 3 Soil Rating: 0.4 GPD/Sq. Ft Total Depth from original grade: (SEE DWG) FL LEGAL DESCRIPTION Depth to pipe invert from original grade: SEE DWG. FL Gravel depth beneath pipe: 0.5 Ft. Subdivision: Block: Lot: P & S - 2 Fill added above original grade: SEE DWG. FL Gravel length: 57 Ft. Township: - Range: - Section: - Gravel width: Beds Number of lines: Distance between lines: 20 FL 4 5 Ft. SEPARATIONDISTANCES Total absorption area: 1140 SOL Ft. Number of trenches: - Dist. between trenches: - Ft. To From Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Lines Well 100'+ 100'+ 100'+ - 25'+ TANK ❑ Septic ■ S.T.E.P. ❑Holding ❑ Other Manufacturer: Capacity: Surface Water 100'+ 100'+ 100'+ - N/A ANCHORAGE TANK 1500 Gal. Lot Line 5'+ 10'+ 10'+ - Material: STEEL Number of compartments: 2 LI FT STATION 'SECOND COMPARTEMENT OF 1500 GALLON STEP TANK Foundation 5'+ 10'+ 5'+ - Curtain Drain NONE KNOWN Manufacturer: Capacity: ANCHORAGE TANK "500 Gal. Remarks: PER CONTRACTOR, OLD SEPTIC TANK AND LIFT STATION WERE "Pump on' level at: 44" Pump off"level at: 40" High water alarm at: 46" DECOMMISSIONED PER UPC Pump Make & Model: Electrical Inspections performed by: PF200511 MUNICIPALITY OF ANCHORAGE PIPE MATERIAL 1785/ House to tank EXISTING/D3034 Tank to D3034 drainfield Installer WILCO EXCAVATION, LLC Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 100.24 FL Inspection Dates: 1st 2nd 9/1?/2(117 9/19/9n17 Location and Description: 3rd 9/14/2017 4th - TOP OF STEP TANK MANHOLE LID ENGINEER'S SEAL Community Development Department Approval Conditional approval: Date: ILIL ,* SF ��♦♦ ��'• '' ♦j �...4 ...' .......... ...... r �Ass ' cvi ♦#�J; CE -79 3 ,' LICENS�111ROFESS�� .• #AECC884 1114 Talk Approved: Date: I « ab2 Inspection Report _1-1-12.doc )- 1 n n O f �� O n 4 P X I G 4i rn r. e W +D e— 0,didircoo nt� CcA8-2-i O S PZ j( 1 O r7 , PERMIT NUMBER: OSP171229 A B C FCO 46.3 15.7 9.7 ST1 48.4 15.1 14.4 MH 49.9 15.0 24.6 MT1 74.9 42.0 28.0 C01 75.7 42.7 28.7 CO2 80.2 46.7 33.9 C 33 84.6 50.8 38.9 C04 89.0 54.7 43.8 MT2 89.0 54.6 44.2 MT3 82.2 54.3 67.8 C05 81.3 53.7 67.7 C06 75.6 49.0 64.4 C07 71.5 45.5 61.9 20867.11 42.1 59.1 MT4 65.91 41.3 1 59.2 RECORD DRAWING � Ii SOUTH & WEST LOT LINES AND WELL / RADII WERE FLAGGED BY SHANE HOLT, I I P.L.S. PRIOR TO CONSTRUCTION, / RETAINED BY OTHER/S THAN GEG. / I / 100' WELL RADIUS P&S;LOT1 / I / \ 'A ° d DRIVEWAY F� LINE CONVERTS FROM 1.25° PRESSURIZED TO 4' D3034 10 SHED FEET PRIOR TO FLOW SPLITTER 0 O M Q A Ir O SCALE: 1'=40' OWNER HAS YET TO PROVIDE DOCUMENTATION THAT THE WELL WAS DECSIONEDTOCODE - -� 3 BEDROOM HOUSE MT41- \ C08 C07/ PHONE NUMBER: C06/ _ 7t C05 MT3 c /C 2 OF 3 _ DRAWN BY: P & S; LOT 2 cc L.K.B. T; NEW 1500 STEEL STEP TANK SHED { m ° D <n m d.. $ m DRIVEWAY I Z T1 )1 �4, �2 ° \. 3 d A. •' PARCEL ID NUMBER: 015-142-37 EXISTING BED _ REBUILT IN PLACE / cs-EPTIC AREA /Tl 2N, R3W, SECTION 22, LOT 37 \ ---------- - A. _ --------------- GARNESS ENGINEERING GROUP, Ltd ____-__ CIVIL & ENVIRONMENTAL ENGINEERS -----_�__ - 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507' PHONE (907) 337-6179' FAX (907) 338-3246' WEBSITE: www.garnessengineering.00m PREPARED FOR: PHONE NUMBER: PAGE NUMBER: GORDON BOSTER 748-6758 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: P & S; LOT 2 L.K.B. TYPE OF WORK: DATE: RECORD DRAWING 10/112017 nn .. .... ........ .....uu\ n •��' ff CE -79 a �ness .F / AW � = ♦J' C� #1� AFD .10� I z (,: �� 4"-%FESS�� LICENSE I11�„``�� #AECC884 i PERMIOSP 171229 T NUMBER: RECORD DRAWING FINAL GRADE = 99.59 - 99.83 TOP OF TANK ST1/ ST2 MH AT INLET= 93.61 --\m d m / NEW 1500 GALLON S.T.E.P. TANK INVERT OF BUNG J (PER CONTRACTOR, RATED FOR AT INLET = 92.94 10' BURIAL) FINAL GRADE _ 101.93 -103.74 MT CO CO CO BOTTOM OF ORIGINAL (1990) BED= 98.71 - SEE NOTE ON MOA INSPECTION REPORT DATED 3/3/1995 REGARDING SEPARATION TO GROUNDWATER BOTTOM OF BED INSPECTED BY MOA ONSITE EMPLOYEE TIM ECKLUND ON 9/12/2017 2.5' 1 5' 1 5' WIDE 5' PARCEL ID NUMBER: 015-142-37 TOP OFMH=100.24 - TOP OF TANK AT OUTLET = 93.51 — 2° HIGH DENSITY BLUEBOARD (FIELD VERIFIED BY GEG ON 9/13/2017) CO MT 4R e r— FILTER FABRIC TOP OF SAND = 98.81 INVERT OF DISTRIBUTION LINE = 99.31 2.5 BOTTOM OF EXCAVATION = 97.15 - 98.29 GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS— 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, AK 99507 -PHONE (907) 337-6179 -FAX (907) 338-3246' WEBSITE: www.garnessengineering.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: GORDON BOSTER 748-6758 3 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: P & S; LOT 2 L.K.B. TYPE OF WORK: DATE: RECORD DRAWING 10/11/2017 •®®. ......... �F 111 . :... ..... ......... * 0 ..�. �..................0 .JJA Gess.;= CE -795 eke®F•QF�••..g ®�l �z ;��.o' ®/� PROFESS\ONP �• LICENSE ®I1li ;;*** #AECC884 / 411:101 • • • License/AP#: RETROE171458 Parent AP#: Inspection #: 477399 Type: DPRETRO Status: Closed Address: 11245 OUR RD Parcel: 01514237000 Inspector: M.Green Project: Resp Party: Descr: Municipality of Anchorage \ Development Services Department Item: P.O. Box 196650 - 4700 Elmore Road Evaluation: Anchorage, Alaska 99519-6650 Result Notes: Info and Help: (907) 343-8211 ANCHORAGE INSPECTIONS: Voice: (907) 343-8300 Fax: (907) 249-7777 411:101 • • • License/AP#: RETROE171458 Parent AP#: Inspection #: 477399 Type: DPRETRO Status: Closed Address: 11245 OUR RD Parcel: 01514237000 Inspector: M.Green Project: Resp Party: Descr: Lift station power and controls. Inspection Electrical (Electrical Inspection) Item: Evaluation: Approved Result Notes: Please Call Curtis 30 Min Prior to inspection. 9073548710 Requested by: Devin Rafeedie 9076028893 devin@capstoneelectricak.com Inspection Item Item Description Evaluation MUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program . St PO Box 196650 4700 Elmore Road r Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ;, http://www.muni.org/onsite 1)k1)k lidt :Mt ni 4NCHORPGO On-Site Wastewater Disposal System Permit Permit Number: OSP171229 Effective Date: 8/21/2017 Work Type: Septic Upgrade Expiration Date: 8/21/2018 Tax Code Number: 01514237000 Site Legal Address: P & S LT 2 G:2637 Site Mailing Address: 11245 OUR RD, Anchorage Owner: BOSTER GORDON V & Lot Size in Sq Ft: 22086 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 3 This permit is for the construction of: 0 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 1. Contractor shall not walk equipment over the area of bed excavation prior to placement of sand. 2. To close out this permit, resolution of inactive well must be addressed. If decommissioned, submit decommissioning log. If converted to agricultural well, submit pump install log and water sample results. Received By: 40, Date: / Issued By: 1-,�1� COLIMA Date: M2017 t Municipality of Anchorage .`. - I cpartmexl P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 a Fax (907) 343-7997 http:l/www.muni.orglOnsite Development Services Division On-Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Walver#: OSV171086 COSA#: Permit#: OSP171229 PID#: 015-142-37 Legal Description: P & S Lot 2 Engineer; Garness Engineering Group Applicant: Gordon Boster Your request for a waiver of the maximum 15 foot width for,a bed type absorption field has been approved. The approved width is 20.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all code requirements be met or another approval from this department. E The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. Z Adjacent properties are not affected by this waiver. 1 Waiver is Granted: X Waiver is not Granted. eivzsolir: , Date: 3/2 .20l 7 Approved by: kelitt'ea Name of Reviewer *' 'k* VARIANCEIWAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE /., fry Community Development Department A6 4_ Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On-Site Water & Wastewater Program Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 015-142-37 Property owner(s) GORDON BOSTER Day phone 748-6758 Mailing address 11245 OUR ROAD*ANCHORAGE,AK 99516 Site address 11245 OUR ROAD*ANCHORAGE,AK 99516 Legal description (Sub'd, Block& Lot) P&S; LOT 2 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family (SF) Absorption Field ® (w/wo ADU) Septic Tank ® Upgrade Duplex (D) ❑ Renewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: WAIVER BED WIDTH Distance: 20 FEET I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: a ts- Date of Payment: 811 tji Date of Payment: `y c, ) l i Receipt Number: O$Li&4 Receipt Number: ostra8.6 Permit No. 05e)--)05e)--) ‘22-61Waiver No. DV. (Rev.01!11) • • gifiallICS: . GARNESS ENGINEERING GROUP, Ltd ''``Y"'`t'd T.ta"`rt-'' CIVIL&ENVIRONMENTAL ENGINEERS 17ealer August 10, 2017 Municipality of Anchorage Development Service Department On-Site Water&Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for P & S Subdivision; Lot 2 To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The existing drainfield is in a state of failure and needs to be upgraded. We are proposing to install a new 1500 gallon steel S,T.E.P tank, excavate out all contaminated material, import MOA approved sand as needed and rebuild the proposed bed to an elevation equal to or higher than the existing bed. Per the existing code, a soil that percolates at 20 min/inch requires an application rate of 0.4 GPD/FT2. The previous engineer used an application rate of 0.5 GPD/FT2. In short, the existing bed is slightly undersized per MOA code. We are therefore proposing to expand the existing drainfield from 18 feet in width to 20 feet. The drainfield is designed in the vicinity of an existing 1990 testhole (see page 2/2) performed by Robert Shafer, P.E. Comments regarding the design are summarized as follows: 1. SOILS: See the attached 1990 soil log which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached topography drawing, the average topography around the proposed drainfield is flat. 5. WAIVER: We are requesting that your department issue a variance from the maximum bed width of 15 feet to 20 feet. The existing bed is approximately 18 feet wide per the 1990 inspection report. Extra care should be taken during the excavation to not walk equipment over the excavation prior to placement of sand. Please note this as a special provision on the permit. We are unaware of any adverse impacts this installation or waivers would have on adjacent wells or septic systems. If lou have any questions, please contact us at 337-6179. Thank you for your assistance. -ly, 1 --rey '. q %r .E., M.S. Presid 3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com WAGERS;LOT 24D T12N,R3W,SECTION 22,LOT 25 S396 T12N,R3W,SECTION 22,LOT 26 W110 E. 112TH AVE. - - - - - - - - E. 112TH AVE. 1 _ -... 3Er1lcAREA I `\\ i� ^ _`� \ GREENLAND; GREENLAND; // \ BLOCK 1,LOT 2A BLOCK 1,LOT 1 i // i\ \\ / P&S;LOT 1 / I \\ P&S;LOT 3 1 P&S;LOT 4 FtcA // . . -ll -I ' 100'WELL RADIUS A IL ter' ��- . I /// 100'WELL eyDIUS j \\\ / / 1 1 / / \• 1 i \I / 1 / / ��I ( I• \ 11 // / a 1�\\ ,/iiii�iiiiiiii •/01/ `-, I r/ I 100 WELL RADIUS -, r PEF MOA RECORDS Ce ' '•.•:4' �k� ��‹ / � 1 � h� a. 0 p ci ---,e, t\ / \\ \ / j,,1A1L7 i/ ' \ -- X7--1 J -L _� i1 E. 113TH AVE. r / // \\ iCARE J / \ I I \ GREENLAND; GREENLAND; / \1 T12N,R3W,SECTION 22,LOT 37 BLOCK 2,LOT 2 BLOCK 2,LOT 1 I I I 1 I. VVELLRADIUS .1 I 1 I N 1 / \ / \ / SCALE: / -- \ I _--� \ // 1"=100' /� �� ... / / I \ - OFt •41...mss\f\\\4, .•-\ .......r ...... GARNESS ENGINEERING GROUP, Ltd _'•_. - • CIVIL&ENVIRONMENTAL ENGINEERS �• • '. * r 3701 E.TUDOR ROAD,SUITE 101*ANCHORAGE.AK 99507'PHONE(907)337-6179'FAX(907)336-3246'WEBSITE.www.garnessengineenng.com �• •' Y % , PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 t ley x G ffl@SS C•W. GORDON BOSTER 748-6758 1 OF 3 ��J,, ' CE-79 3 •'-i PROJECT/LEGAL DESCRIPTION: DRAWN BY: v♦(��••• 48 110 r '••e4p P & S; LOT 2 L.K.B. ♦ ;Q P'•••••••• ryv�`.�P\... . TYPE OF WORK: DATE: LICENSE , ,ROFESS\ •t• 4. SITE PLAN 8/7/2017 #AECC884 , �� J J / 1 \ / / / P&S;LOT 1 -_1— \ DESIGN CRITERIA: ! • GEG,Ltd.HAS A 8 PAGE SPECIFICATION --- ) ~ \ NUMBER OF BEDROOMS:3 LETTER THATPERTAINS THIS DESIGN.TO COPYLETTERCONTACT NOTE:THE CONTRACTOR SHALL HAVE THE GALLONS PER DAY(GPD):450 OBTAIN A OF THE CONTACT GEG.BY PROCEEDING FORWARD WITH THIS SOUTH&WEST LOT LINES,AND ALL PERTINENT - - PERCOLATION RATE/S:*20 MIN/INCH INSTALLATION,THE ENGINEER,WELL DRILLER, WELL RADII FLAGGED BY A REGISTERED LAND PROPOSED APPLICATION RATE:0.4 CONTRACTOR AND PROPERTY OWNER AGREE SURVEYOR PRIOR TO CONSTRUCTION. MINIMUM DRAINFIELD SQ.FT.:1125 FT' THAT THEY HAVE READ THESE *1990 TESTHOLE BY ROBERT A.SHAFER,P.E. SPECIFICATIONS AND AGREE TO ACC&T THE DRAINFIELD DESIGN: TERMS AND CONDITIONS OUTLINED. \ I MAXIMUM DEPTH:AS NEEDED FOR / / REMOVAL OF CONTAMINATED MATERIAL / / EXACT LOCATION OF 1975 SEEPAGE PIT IS UNKNOWN.IF WIDTH:20 FEET THE SEEPAGE PIT IS ENCOUNTER DURING EXCAVATION LENGTH:57 FEET / / (EXPANDING 1 FOOT NORTH&SOUTH)THE CONTRACTOR M.O.A.APPROVED SAND FILTER:AS SHALL INSTALL A 10 FOOT DIRT PLUG BETWEEN THE NEEDED TO REBUILD THE EXISTING BED PROPOSED DRAINFIELD AND THE ABANDONED SEEPAGE PIT AT AN ELEVATION EQUAL TO OR HIGHER / / N THAN THE EXISTING DRAINFIELD 1I \ EFFECTIVE:0.5 FEET / I f, l� J PBS;LOT 3 ACTUAL SQ.FT.:1140 FT' 1 / /- ._ J EXISTING 3 � INACTIVE WELL TO BE EXISTING BED TO BE REBUILT AT AN ' _ BEDROOM /' /' DECOMMISSIONED OR _ ELEVATION EQUAL TO OR HIGHER THAN '? HOUSE ,e CONVERTED TO A e 4•'• e' JFUNCTIONAL AGRICULTURAL THE EXISTING BED;APPROXIMATE I. e. 4 < ,1---- LOCATION OF EXISTING BED BASED UPON c �t�s INSTALL DOUBLE CLEANOUT WELL PER MOA CODE IIDRIVEWAYt PRIOR TO TANK IF FCO IS EXISTING CLEANOUT AND MT LOCATIONS l 1 e - \\. _ NOT PRESENT �p 121 pi, ..\\f L.., <� F<< / , Q SHED: � e: �GN O/S // o J / P CK/ APPROXIMATE LOCATION OF V D a EXISTING SEPTIC TANK AND LIFT ',,-STATION.BOTH SHALL BE REMOVED / / a AND REPLACED WITH A NEW 1500 — - ------ , ----, _ •A STEEL STEP TANK i a - e-• • ° : •• PARKING AREA' _ / =tMom APPROXIMATE LOCATION OF 1990 TESTHOLE BY --- -- — — 1 ROBERT A.SHAFER,P.E.PER MOA RECORDS N PROPOSED DRAINFIELD N \ SEPTIC AREA SCALE: / T12N,R3W,SECTION 22,LOT 37 j 1 1 / / 1"=40' \ -,A/ l / 14/ / b^ a, 5! !O r �7G' o \\ / ` Jo V4'=rfl-.-ro A16 1-T14 .Boor \\111 i• P *4, ♦♦ GARNESS ENGINEERING GROUP, Ltd,• ;: 4 F. • • CIVIL&ENVIRONMENTAL ENGINEERS k • 3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE,AK 99507•PHONE(907)337-6179'FAX(907)338-3246'WEBSITE:www.garnessengineenng.com • •, PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .- ey A. - mess GORDON BOSTER 748-6758 2 OF 3 •♦% C 7953 .' _� • PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦ ' P &S; LOT 2 L.K.B. ♦♦FQ• f" (_�-P�' •• TYPE OF WORK: DATE: } LICENSE 1♦FESS\_"••' SITE PLAN 8/ 6/2017 #AECC884 J 8'x- 0 4 EXISTING GRADE /— MT V* MT FABRIC MT MT wins)i2 q2 2"60 PSI HIGH DENSITY INSULATION ,.,,,,,, ,,,_,,,_,, _,,,,,,a,, •l,fl,,,,,t, s i„ . 0'141 P.:00.10;;• 10.7;rtI.71;1:;_I./.III. �I.fI 1 -- — -- • INVERT OF PIPE=0.5 FEET ABOVE TOP OF NEW SAND TOP OF PROPOSED SAND SHALL BE 711 MOA SAND AS NEEDED TO ....77- EQUAL T0,OR HIGHER,THAN THE REPLACE CONTAMINATED BOTTOM OF THE EXISTING BED. MATERIAL THAT IS REMOVED 5 FEET— --5 FEET}+5 FEET—6.— BOTTOM OF EXISTING BED IS 2 FEET BELOW ORIGINAL GRADE PER MOA RECORDS 2.5 FEET 2.5 FEET 1 20 FEET NOT TO SCALE +.%a .Iaaa> „, OF • n. ilr• �;•• Ii. GARNESS ENGINEERING GROUP, Ltd • 4'• ': =* • • CIVIL&ENVIRONMENTAL ENGINEERS. • 3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE,AK 99507'PHONE 190 71 337-6 1 79'FAX(9071 339-3246'WEBSITE www.gernessengIneering.com • ••• •• , PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • •0 •• '• e`'�-y .Gar.ess• ,Lj• GORDON BOSTER 748-6758 3 OF 3 •.0 %. f CE-795 /� PROJECT/LEGAL DESCRIPTION: DRAWN BY: • '•.'•.,• g r P & S; LOT 2 L.K.B./DJG 1. 0�''• �D ••• „41'”P\, 47 K TYPE OF WORDATE. LICENS 44k 1 AI E `.i‘.444 S`\4 SEPTIC SYSTEM DESIGN UPGRADE PROFILE DRAWING 8/21/2017 #AECC884 i MUNICIPALITY OF ANCHORAGE ~' ~ DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division ~ . · · 825 "L" Street, Anchorage. Alaska 99502. Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~r~e DISTANCES (:~ ~1~ ~----'"'~' ~ SEPTIC ABSORPTION AddreSs TANK FILL0 WELL Phone(s) Permit No. J No. of Be~.~oms z:~c,"Z--. ~ ~o~ ~ LOT LINE ~ ~1~ ~~ ~~ . ~ ~ driveway,AS'BUILT DIAGRAM (Show location of well, septic system, prope.y lines, foundatiOn,water bodies, etc.) ~EPTIC U HOLDING ~7 i~ .I t'~f A; ~' TYPE OF SYSTEM / ? ~ k~ ~ k'~ ~ TRENCH ~ED ~ W. DRAIN ~ OTHER f ~ ~ ~ I~[~ ~ Depth to pipe bottom from ~tal depth from origina?rade Fill added above original grade ~avel depth beneath pip~ ~ O~e,,ength ~7 FT "~¢ FT ~SgFT ~ FT ~ wELLS / Inspections Pedormed by: I ~ & [ ~]~j;~ cedily t~ inspe~ion was pedormed according to all ........ ' ...........Ea~le Rive~~~' ..........Appr ~~~ .-~ ,.v, ~ ~~~ ~ ~ ..... :" ~; %'% Heallh Depad Dat 72-013 (3/85) INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETYDIVISION 3500 EAST TUDOR ROAD INSPECTIONS (907J 563-3464-- INFORMATION (907) 786-8211 FOOTING [] ELEC. TEMP. [] PLBG. UNDGR. __ [] FOUNDATION [] ELEC. SERVIC~ ._~_~ [] PLBG. ROUGH [] BOND BEAM [] ELEC. ROUGF¢::~ '~ GAS TEMP. [] FRAMING [] ELEC. FINAL .. {) [] GAS . [] INSULATION __ [] OTHER [] MECHANICAL [] SHEETROCK [] MECH. FINAL _. [] STRUCT. FINAL [] FIRE FINAL [] PLBG. FINAL [] OTHER [] ZONING [] OTHER [] O NONCOMPLIANCE OBSERVED [] CORRECTIONS ESSENTIAL AS EXPLAINED BELOW [] WILL REEXAMINE AT NEXT INSPECTION [] DO NOT CONCEAL UNTIL REINSPECTED COMMENTS 84~o2 (Rev. 11/87} DO NOT REMOVE THIS NOTICE Tom Fink, Mayor Municipality of Anchorage 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 June 30, 1993 CERTIFIED MAIL Mr. Gordon Boster P. O. Box 90203 Anchorage, Alaska 99509 Subject: Lot 2, P & S S/D Dear Mr. Boster: In 1990 you applied for and were granted a permit to upgrade the sewer system on the above lot. When the permit expired and we had not received an inspection report, this department sent you a letter notifying you of the omission. You did not respond to that letter. Currently we have a complaint that your system has been discharging sewage onto the surface of the ground. A notice of violation was issued by this office on May 28, 1993, instructing you to stop the dicharge and chlorinate the area. In speaking with your engineer, I found that repairs were made to the system recently, thus ending the overflow problem. However, your system remains out of compliance since we do not have a stamped, signed inspection report of the original installation in 1990. Furthermore, we will require a letter from the engineer detailing the repair work that was done. Within ten (10) days you must submit a stamped, signed inspection report to this office, and a letter of explanation from your engineer. Should you fail to do this, this office will proceed with legal action against you. Call me at 343-4744 if you have questions about this order. Sincerely, Susan Oswalt On-Site Services cc: John Smith, Program Manager Tom Fink, Mayor un c pal ty Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 January 10, 1991 Gordon Boster Box 90203 Anchorage, Alaska 99509 Subject: P & S Subdivision ~ ~ Permit #900079, PID #015-142-37 The subject permit, issued by this office for a single family well and/or on-site wastewater system has expired as of December 31, 1990. 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 needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as-built inspection report (three-part form) must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days-of construction completion. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 3 4 5 6 7 8 9 10 11 12 14 1§ 16 17 18 20 Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E / Depth to Water Alter ~ ~ -.~Y'~/O Monitorino? \ ~, Date: z~_ '~,C~ -'~ C> SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~FT AND__~ FT COMMENTS $ & $ ENG;NT..:R:NC 17034 Ea,le Ri.er Loop Road NO, 204/////-.-/ Eagle River, Alaska 99577 -.Y// )// / PERFORMED BY: I/// ~ (/ CERTIFY THaT ~IS TES~WAS 72-008 I~ev. 4/85) PERFORMED IN GRF; ANCHORAGE AREA BOP" GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME .D O _),.. LOCATION MAILING ADDRESS ¢/2f~- '~c~ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE /t~ FROM WELL~- INSIDE LENGTH MANUFACTURER ~_~C~ ~L~.g/ MATERiAL~7~,/ NUMBEROF COMPARTMENTS ~' INSIDE WIDTH , . LIQUID DEPTH LIQUID CAPACITY /~:~:)~ GALLONS. SEEPAGE PIT: NUMBER OF PITS I DIAMETER __ LINING MATERIALC~'ZC ~/~)C'/~ CRIB SIZE: DIAMETER BUILDING FOUNDATION NEAREST LOT LINE__ ADDITIONAL ABSORPTION ~'~/~ / ~ t~ ~' ~.~ '~ ~/~ ~' LENGTHDEPTH DEPTH d~' DISTANCE FROM: WELL / '~ ~)' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ''~ 5¢ SQ. FT. 15 ' ~ I ~- ~ '~ ' ~' a,,~ WELL: TYPE fr; V~¢< CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION -- LOT LINE SEWER LINE CESSPOOl OTHER SOURCES APPROVED_ DISAPPROVED REMARKS DEPTH ,)~) DISTANCE FROM: SEPTIC /~ ! SEEPAGE TANK '--" SYSTEM ./ ~' (~ DISTANCES: A~ - ')g2/'dC--- = }Z~)' PIPE MATERIAL: ~C'// LP"~,~ ~ Form No, EQ-031 DIAGRAM OF SYSTEM NAME Of APPLICANT GreaTEr ANChOrage ArEa Borough DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-/~561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PHONE INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS ~~ SEEPAGE PIT DRAIN FIELD TO BE INSTALLED BY COMPLETION DATE ANTICIPATED NOTE: THIS pERMIT 15 NOT VALID WITHOUT BOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WlTHqUT FINAL INSPECTION bY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION: TYPE MINIMUM DIBTAN(::E$, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT. SEPTIC TANK TO SEEPAGE PIT WALL ~-- f SEEPAGE PIT SEPTIC TANK TO NEAREST LOT LINE. DRAIN FIELD WATER MAIM TO SEPTIC TANK DRAIN FIELD DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIG TANK AND SEEPAGE PIT FITTED WiTH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING iNSTALLATION- OR SEEPAGE AREA sIZe TYPE DIAGRAM OF $Y$TEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAge AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DATE FORM NO. EQ-016 RAM EN 'qEERING & '-' 22~ iT 51st. AVE. -- P.O, BOX 6087 - ANCHOr 'E, ALASKA 99503 '~ELEPHONE 907--279-0483 'i~X 090-35419 'Civil Engineers Geologist~ Lane Surveyors JAMES W. t}OONE¥, P. E. M~LCOLM A. MENZIES, P.E., L.S.' JAMES H. WELLMAN, P.E. April'9, 197~ Mr. Don Dahl Star Rt A Box 78. Anchorage, Alaska 99507 Re: RALPH R. MIGLIACCIO E~nglrleering Geologist. Test Hole and Soil Log Report Lot 2 Gove~muent Block 36 P.N.S. Sub-Division Dear Mr. Dahl: We are submitting herewith the test boring results and our co~en~s 'regarding soil conditionsencountered at the subject site. This investigation was performed in accordance with your request of April 8, 1974'. A single test hole was put down within the Lot 2 area for the purpose of defining general subsurface soil conditions. Excava- tion was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 20.0 feet below ground surface. The general soil profile, as disclosed by the borehole information was found to consist df a~surface layer of Bilt with some sand overlying stratas of medium dense silty sands with some gravel which extended to a depth of 10 feet below ground surface. Below this' level a stratum of medium dense sand grading to a silty sand was encountered a~d extended to the depth of investigation. The final lo§ prepared for the test hole has been included in drawing A-01. Ground water was not encountered in the test hole. We appreciate being given the opportunity to be of service to you. Should you have any questions with regards to the above information please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS am'es W. Rooney JWR:rb . ANCHORAGE FAIRBANKS JUNEAU . 0.0~ ORGANICS 0.5 ' SILT, Some Samd 2.5' SILTY SAND, w/ Trace to Some Gravel Medium Dense to Dense (SM) C 10.0' SILTY SAND, Gray Medium ~ 5--~f~ Dense (SM) - 13.0' SAND, Trace to Some Silt, Tan Medium Dense (S?) No Water Table 20.0' T.D. Note: Test hole extended with auger type drilling unit. gineering ~ Geological Consultants Inc. o.~ FA,..A"XS ALASKA juu~u o~r~ 4-9-74 SC~L~ 1" = 5' OWN e¥ .IRS BY WED DON DAiIL PItOPE~f LOG OF TEST BO~IlNG Anchorage Alaska NO. 462009 owe ~o. A-01 DRILLING, INC. DRILLING LOG Well Owner ~:. ,.~,~, ...... i ,," ?~.~.~ J (J Use of We]l Location (address of: Township, Range, Section, if known; or distance main road Lot 2, B~ ' 'o x'~ ," ,'"'~' .~ C. -' ~. o U,OC~ A'£ C]~O)·T~_r' Size of casing_ Static water level '] 0(' ft. (above) Screen ( ); Perforated ( Describe scr Well pumping test at of drawdown from static level· · Date of completion .5 / 2 4 / '7 $ Depth of Hole 3 (50 feet Cased to .~ 2. ~,. d:~ feet ~,~h,~e~.9~Q~{land surface· Finish of well (check one) open end ( ). A-o~, L.[.,I:,,~ FRO~'~ 360' ~329.$5 ' Depth in feet from ground surface (minute) for 1 hours with ],007,, WELL LOG Give details of formations penetrated, size of material, color and hardness ); 0 TO 2 TO ~; TO '" TO I0 TO ]d~ TO 20 .TO '/0 .TO ~ 6 TC 92 .TO 109 TC ].25 .TO ]' -~ "~ TC iSOTo 200 TO. 2 3 4 2.0 18 20 ~.0 36 92 109 ]_25 Casing Organics Silt-',,' ~,r avel Sand Silty ~ravet Silty sand and ~ravet $:tl~:V. ~,ard. pan Blue ' ' 200 2 -- STATE DRILLING, INC. DRILLING LOG Well Owner J' ~- ~..3. ..... Use of Well Location (address of: Township, Range, Section, if known; or distance main road Size of camng static water level Screen ( ); Perforated ( ). Describe screen or perforation Well pumping test at gallons per (hour) of drawdown from static level. Date of.completion Depth in feet from ground surface .Depth of Hole feet Cased to feet ft. (above) (below) land surface. Finish of well (check one) open end ( (minute) for hours with WELL LOG Give details of formations penetrated, size of material, color and hardness ft. 220 TO 262 ,~, TO. 2o7 287 TO. 303 303 .TO. 307 307 TO 319 3'19 TO 320 320 TO 33~, ~30 TO 360 _TO TO TO TQ TO_ TO TO ~et ~erufied 2--STATE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES 31RECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for pr, ocessin9, 1. PROPERTY OWNER /z.~ - / ].~/ /~] I PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) / PHONE 2, BUYER J PHONE MAILING ADDRESS MAILING ADDRESS~-~ PHONE PHONE 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] Other ~, SINGLE FAMILY ~,.~ Two [] Five [] MULTIPLE FAMILY E~ Three [] Six 7. WATER . S~U PP L Y ~,, INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells dril!ed prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~., INDIVIDUAL/ON-SITE** L-] PUBLIC UTILITY **If individuaUon-site, give installation date .. If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS TIME DATE INSPECTOR '-~IRECTtONS: D)~_,,,,~C EIV ED i TIME TIME IDATE DATE INSPECTOR INSPECTOR NUMBER OF BEDROOMS 1. TYPE OF RESIDENCE ~.~_' l SINGLE FAMILY E] MULTIPLE FAMILY 2, WATER SUPPLY ,, '¢..~xlNDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM ~NDIVI DUAL/ON -SITE ~J PUBLIC UTILITY Connection Verified E~Septic Tank or []Holding Tank Size: If Tank is homemad~ give dimensions: ~:] ONE ::l THREE F:] FiVE '~,. TWO [] FOUR [~] SIX P-~,RMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED ~-STALLER SOILS RATING OTHER TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/H°lding Tank IAbs°rpti°n Area lSewer Line INearest L°t Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR ¢C5~' BEDROOMS CONDITIONAL APPROVAL (Fetter must accompany certificate) DISAPPROVED /BY(Title)/'~_-~]-/vf'¢~, ~? /~,~, /~i//~/'/~'~ ~ DATE LEGAl. DESCRIPTION 72-010 IRev. 3/78) ~0~ ~ ,, MUNICIPALITY OF ANCHORAGF ~-~,~X.' ' D~PARTMFp_~ OF HEALTH AND ENVIRONMEN'x_~- PROTECTION ~-~9}} } 825 L Street, Anchorage. Alaska 99501 fLd ~ ~//' I 264-4720 n% ~ ],~ , ~ ~~ Date Received- '~q~O ~ ~ ~ ~ . FebruarY 23, 1978 91: Time ~j~ ~2: Time ~ ~ ~3: Ti~e ~'.~ [~/ Date ~--;~ /~ ~q ~~Date ~ Date 1. Lending Institution Request: United Bank Alaska ~ &~ ~L~ Mailing ~dd~ese: 6~5 G S~eet 99501 ~o~e: 276-1911 Property Owner: Mailing Address: Frank La Fazio 4455 Juneau 99504 Phone: 276-2979 3. Legal Description: Lot 2 P & S Subdivision 4: Single Family Residence: (xk Multiple Family Residence: ( ) Individual well (xk 5. Well System: Permit # ConstrUction Number of Bedrooms: Two Number of Bedrooms: Community/Public System ( ) Depth of Well Well Log on File ( ) Bacterial Analysis e Sewage Disposal System: On-site SYstem (x~ Public. Utility ( ) Permit ~ Installed ~-~ Installer ~~~ Septic Tank Size Absorption Area Manufacturer Soils Rate Distances: Well to Septic Tank i O~, to Sewer Line Nearest Lot line Material to Absorption Area { ~ Absorption Area to Nearest Lot Line Page~ Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 2 P & S Subdivision Comments: Affadavit Attached: ( ) Approved Letter Attached~ ) Date: ~--%~ ~ Worksheet Department MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES · j 1. Type of Inspection: CMRO 2. Property Owner: Frank LaFazio VA FHA CONV x Mailing Address: 4455- Juneau, Anchorage, AK Name of Buyer: Gordon & Mary Boster Day Phone: 276-2979 Mailing Address: 8961 Golovin, Anchorage, AK 4. Name of Lending Institution: Mailing Address: 645 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description: Location: United Bank Alaska Day Phone: 264~5614 "G" Street, Anchorage, AK Phone: 276-1gl] Jerry Dewhurst 501 W. Northern Lights ..Phone: 279-7611 Lot 2~ P & S S/D NHN Our Road, Anchorage, AK 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: SFR Public Utility. No. Bdrms.. 2 Individual X If Individual, number of dwellings presently served If Individual, depth of well. Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) x 72-003(3/76) 4. 5. 6. e GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330~"C" Street, Anchorage, Alaska 99503 274-4561 / Date Received ~L~ "'" ..~ "' ~ Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Approval requested by: F/~x4'.~::~r ' Mailing Address: .~ Phone: Legal DescriptiOLoca~ion: n'~~ ~~~, ~ ~}) ~ ~ Type of faci:lity to be inspected ~0 ~ No. of bedrooms We11 Data: ." '"~~ B. Depth / ©0 / A. Type C. Construction Sewage Disposal Sys{em: C. Septic 'Tank': 1. Size /~ 2. ManufactUrer -~--4~- D. Seepage Pit: 1. Absorption Area ~ 2, Material E. Disposal Field: Total length of lines Be Distances: A. Well to: septic tank Nearest lot line B. Foundation to septic tank / ! / , Absorption area /%~ ., Sewer Lines Other co'htamination , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages ~Page 2 of two pages - Ret · Legal D~cription for Approval of Individual ¢ xWater Facilities Comments Approved Disapproved Approval Valid for one year from date signed Greater Anchorage Ar~a Borough, Department of Environmental Quality Date_~~~ DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) ~e?axt,ment of ~nv~xonmental 6ua~'~ty 3330 "C" St., Anchorage, Alaska 99503 274-.656i RcQu~S, FOR APPROVAL OF iNDIViDUAL S~,~R & WATER FACILITIES ., G o. o Type of Inspection:~,.,.,~,m°°n VA ,x"r'n,, CO~V ~ . D .. '- ~ . . ~ .- ~ ' ~ -- ~'~ , ' ~7 ' Name of Buyer: ,~ _ ~./ inane o~ Lending ='~" ' ~, ' ~,,suitut~on: . Mai 1.ing Address: ., Water Supply Type Of Supply: , up ic "-'--~iity individual If Individual, ' ,,'.'~o'~ dw iiings 'iy se n b~,.,,_ ~ oi: e presen'c rved / if individual, depth of 'welt , Sewage Disposal'~, . Sys+~.~,,, ~~ Type ,of System: Public Utii==' ' ~ uy 'indiv~duai (on-sit~ If indiv'idual~ date of installation ~.,~ GREATER ANCHORACE ^REA BOROUGH Bepartment of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received %- Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Mailing Address: ~X~ ~- ~~ ~one:~-- Mailing Address: .~ 3. Legal Description: 5. Type of facility to be inspec~ 6. Well Data: ~ A. Type C. Construction No. of bedrooms B. Depth D. Bacterial Analysis Sewage Disposal System:~ ~-~'-~5 A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot-line EQ-034 (1/74) Page 1 of two pages :~.pB'F'OV ecl ~.. S3 p[S'F'oVed ~m)ro,/al Va] id for ohs year from date sioned Grea'cer~l,C..Ol'uj..~ ~ "nF',2 Area Boroum-~. De~.,artment of EnviFonmemtal Quality a i'"} .,,_, dulJ~, GREATER ANCNORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: eMRO VA 2. Property Owner: ~-~ D~ ~ Mailing Address: /~7/, ~ ~'-~ FHA CONV Day Phone ~/-- ~-7~ 3. Name of Buyer: ~-'-~V ~:>~-/~~_x~ 4. Name of Lending Institution: Mailing Address: Name of Realtor or Agent: Mailing Address: ~'/~ Phone Legal Description: Location: Type of Facility to be inspected: Water Supply/~7 Type of Supply: Public Utility ~i~? Individual If Individual, number of dwelling~presently served If Individual, depth of well ~ No. Bdrms. 9. Sewage Disposal System Type of sYStem: Public Utility Individual on-site) If Individual, date of installation £ -037 (]/74) ~?~ ~0~- ~/