HomeMy WebLinkAboutPANORAMA TERRACE BLK 2 LT 7
.~. Municipality of Anchorage Page
'" 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: ~,,) ~'~O~(Z:)~-~ PID Number: (~)~ ~'-~c~,~.~::~
~l~ ~ ~ ~[ ~ ~ ~ Wastewater System: ~New D Upgrade
Address: I~IO ~ ~j ~ ~ ~1~ ABSORPTION FIELD
Phone: ~~ No. of Bedrooms: ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other
LEGAL DESCRIPTION so,, Rating: , ~ GPD/Sq. Ft. Total Depth f~ original grade:
Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe
Lot: 7 Block: ~ ~~ ~ ~ ~[~, ~t. , ~ Ft.
Range: Section: Gravel length:
Township: Fill added above original grad~ Ft. ~ Ft.
Number of lines: Distance between lines:
WELL: ~ New ~ Upgrade Gravel width: I O Ft. ~ ~ Ft.
Classification~t~(Private, A,B,C): Tot~l~h: Ft. Cased}~To:~ Ft. Total absorption area:~¢ SQ. Ft. Pipe~~material:
~.~d,,ed: ~t.,ioW.ter..v~,:,nsta,,e¢:_ ~,ei.~e¢~.
Driller:
Pump Set a~: Casing Height Above Ground: TAN K
SEPARATION DISTANCES ~eptio ~ Holding ~S.T.E.P.
Capacity in gallons:
To Septic Absorption Lift Holding ~ublic/Private Manufacturer:
From Tank Field Station Tank S .... Lines ~~ (]~ ~,~
we, I1~ I~t ~ --
Surface ~ (~
w~t~r NO~' - ~ ~ LIFT STATION
Lot Si~n g~lons: Manufacturer:
. ~ ~ Pump Make & Model ~, n~y:
Curtain ~ ~ -- 0~
Drain
Remarks: ~ ~~(~ ~ BENCH MARK '
Location and Description: /
ENGI~
~ ~ ..., .......
~ ~ .............. . ~
72-013 (Rev. 9/91) MOA 25
/
Perm. No, 5~ ~CO00~~- Page
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
~oo
PID NO.:
Z
MARK W.
CE - 7760
72-013 A (Rev. 9/91) MOA 25
'Permit No.
Page '~ of ~
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:
PID No.:
iEAL
CE-7760
72-013 A (Rev. 9/91) MOA 25
I~tJNICII:'ALI'~Y O~~ ANCHOI~AG~, 8U:f. LBING SAE'~I~Y DIVISION
3500 EAS~; ~UDOR BOAD
]'.NSI:'EC'.~IONS (907)563-3464 iN~ORi,~A'.~ION (907)786.,-82].
NAME: BESCOH ELEC I:,~Riq:[~' ,~: 92-0385
AI}DI?ESS= 7661 G[~IFI~']iI'H S'I:?'? PHONE ~:: 3,qS-lOi:!EI
LOT: '7 BLOCI<: 2 SUBD: PANORAHIC DA'rE: 10/27/199'2,
'.lTYf~', OE~ INSBEC':flON: ELI:JC'ZRICAL
0 0
EXI:"I.,A INEI) BEI.,OW
I.~ :'.1 WILL i~EEXA~qlNE A'.r NEX'I' INS}"EC'JttON [: ;:1 DO NO'it CUNb}..,AI,, UNTIL
.............................. : ............ ~.~ .......................................................................................................................... i..~%.
WHIteN COBBEC'~IONS ARE ~AEIE~ L,~.,A,.~L CALL E'OB INSPEC'I~ION
OEIq'Hlll M~RED FROM.'Ocasing top [~)~round surface
BOREHOLE DATA: De~th
Mmd~l TWe en~ Color From To
Qrl~O'
16r v6L.
&~TATE OF ALASKA
DEPARTMENT OF NATURAL
DIVISION OF WATER
WATER W~I. RECORD
o~I owl ,,,
INTAKE OPEIq~IG TYPE: ~]~ ~ end ,0 sc, feened
PLEASE MAIL WHITE COPY OF LOG TO:
DNR/DIVI.~ON OF WATER
PO 8OX 772116
EAGLE RIVER AK 99577-~11G
CONTRACTOR INFORMATION;
SiCk.re of A'ut~d'ResprCtative DMO
RI;MARKS:
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
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW920007
DESIGN ENGINEER:MOUNTAIN ENGINEERING
OWNER NAME:TANAKA JAMES M & MIRIAM M
OWNER ADDRESS:1310 WEST 77TH APT A
ANCHORAGE, ALASKA 99518
DATE ISSUED: 1/28/92
EXPIRATION DATE: 1/28/93
PARCEL ID:01509261
LEGAL DESCRIPTION: PANORAMA TERRACE BLK
7
2 LT
LOT SIZE: 85378 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD / 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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
ISSUED BY:
ENGINEER TO PROVIDE ADDITIONAL TESTHOLE AT SOUTH END
OF BED DURING CONSTRUCTION. MUST VERIFY CONSISTENCY
OF SOIL IN ALL PARTS OF BED.
ENGINEER MUST CERTIFY THAT UNDERLYING ML MATERIAL WILL
DATE:
DATE:
,,/
36
THIS DEED, made this c..~,-~-,C, day of January, 1992, by and between
ROSE S. TANAKA, whose address for all purposes heroin is 9441 Nettleton Drive,
Anchorage, Alaska 99516, (hereinafter referred to as "Grantor"), and' JAMES M.
TANAKA and MIRIAM M. TANAKA, husband and wife, whose address for all purposes
herein is 1310 West TTth Avenue, Apt. "A," Anchorage, Alaska 99518, (hereinafter
referred to as *'Grantee"),
WlTNESSETH:
THAT for and in consideration of the sum of Ten Dollars ($10.00) and
other good and valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the Grantor hereby CONVEYS and QUITCLAIMS to the Grantees, as
tenants by the entireties with full rights of survivorship, all of her fight, title, and interest
which Grantor has in and to the following-described real property, located in the
Anchorage Recording District, Third Judicial District, State of Alaska:
Lot Seven (7), Block Two (2), PANORAMA
TERRACE, according to the official map and
plat thereof, located in the Anchorage
Recording District, Third Judicial District,
State of Alaska.
TOGETHER WITH, all and singular, the tenements, hereditaments, and
appmtenances thereunto belonging or in anywise apperminlng.
IN WITNESS WHEREOF, the Grantor sets her hand and seal on tl;e day,
month, and' year first above written.
ROSES. TANAKA
STATE OF ALASKA )
:SS.
THIRD JUDICIAL DISTRICT )
The foregoing Quitclaim Deed was acknowledged before me this
~qd¢ day of January, 199'~ by ROSE S. TANAKA.
Notm-~, Public in and foS_a¢,qf.~ ..
My commission expires: "///.2.;/,~6-' '.. '.. .. ~
'...Ut;'/,~ .,'
RECEIVED
JAN 2 7 1992
Municipality of Anchorage
Dept. Health & Human Services
~b~VATI ~kJ (F T")
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORMED:__
LEGAL DESCRIPTION: ~Jr~"j ~10Cl~--~ ~l~-~/V[4~tc- Township, Range, Section:
~t C~ ~:~-' '~"*~J ~, C~ "'[-~ ~"'~ SLOPE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17,
18-
19-
20-
WAS GROUND WATER
ENCOUNTERED?
C,i
SITE PLAN
S
L
IF YES, AT WHAT O
DEPTH? p
E
Deplh to Waler After ,~
M0.it0dfl,? [x/~~v'' Date:
Reading Date Gross .F~re~ ~/tivx~ Depth to Net
Time e Water Drop
PERCOLATION RATE O1'~/~' (minutes/inch) PERC HOLE DIAMETER ,~,~'"-~
TEST RUN BETWEEN I~.':~ ' ~. I
FT AND FT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: I,"'0'~t"'::~ ~P~OC~2 ~)~v't'o'r .Township, Range, Section:
I / ~.O'r?-~ sLoPE S,TE PLAN.
6-
8
9
10
12
13-
14-
16-
17
18
19-
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Monitoring? Date:
Gross Net ( ') Depth to Net
Reading Date Time Time ~t ~'~ Water Drop
to 1:07-?~ I~ ~,~~ Z,~"
· ~o t',¢q Io W, ff .~ z,6"
PERCOLATION RATE '~' ~O (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~' FT AND '~' ET
PERFORMED BY: ~~v~, ~__~ , ~iCN,f2_.~¢.._ ~__.~4~.¢..~J OERTIFY THATTHISTESTWASPERFORMEOIN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: l{ f*~-OlotI
72-008 (Rev. 4/85)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: ~ ~, ~-,~,i~.~ , F~f-~~
(¢'1 o~C~
1
2
4
5
8 }
10
11
12
13
14
15
16
17
18
19
2O
DATE PERFORMED:
Township, Range, Section:
SLOPE
WAS GROUND WATEI~
ENCOUNTERED?
SiTE PLAN
IF YES, AT WHAT "71 O
DEPTH? / p
E
Ilepth to Water Alter ~=,~v. ,-
Gross Net ( ~%a.') Depth to Net
Reading Date Time Time '1~/~, Water Drop
' ,Ol,'~` ""P¥'~ ,, ~ ~ ~, ,"
PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~'~- FT AND "~ FT
PERFORMED BY: ~~ , ~ ?~~. CERTIFY THAT THIS TEST WAS PERFORMED IN
72-008 (Rev. 4/85)
I
· .l
I
l
MOUNTAIN ENGINEERING
3868 Shannon Circle
Anchorage, Alaska 99508
(907) 562-1500
Ms. Susan Oswalt
Municipality of Anchorage
825 "L" Street, Room 502
Anchorage, Alaska 99519-6650
June 24, 1992
Regarding:
Dear Susan:
' ECEIVED
JUN 2 5 1992
"°erWcee
Well & Wastewater Permit ~SW920007
Panorama Terrace, Lot 7, Block 2
Owner: Matt & Miriam Tanaka
As we have discussed, the owner of the above reference lot would prefer to install
a lift station for the system to ensure that the liquid in the drainfield is well dosed and
evenly distributed. The system would function under conventional gravity flow with
a dosing tank, however the owner is attracted to the assured dosing and even
distribution of a pressure distribution system.
In absence of any definitive reason not to install a lift station, and due to the potential
for extended life of the bed, we are submitting the attached revised design.
Please contact Matt at 561-5829 or me at 562-1500 if you have any questions, or
if you will need any additional information.
Sincerely,
MOUNTAIN ENGINEERING
Mark Pearson, P.E.
,O0'gc3~ J '4 .00.~0.00 S
Z
~VATI~kl
OUl s]aau!6uq 6uRn~oo
~awo~]uolAI 1~ sawe? ~
James M Montgomery
Consulting Engineers Ino
.,, ':-,¢~ ,,..~_¢~-.cL,...------ ,,..
-- CHKD. BY DESCRIFTION~2~7'..~ ¢¢.z2C;4~ f/~c.,)¢p/~/)¢~ ~E~',~ J~ NO.
................ ~_.._~_., .................. i ............... ! Fz.o:~4)~ ~ ............ : ................. i ........................
i i i , ,, ! : ~ ~ ~ ! ....... ; ...................... ! .............
' %1"1' ; :
CE 7754
EN 18 (10/78!
James M Montgomery
Consulting Engineers Inc
CHKD. BY
EN 1S (t0/78)
James M Montgomery
-'CE f754
EN 15 (101781
. ~ James M Montgomery
Consulting Engineers Ino
7754
EN 1S (10/78)
H£~ IN £EEf
James M Montgomery
EN 18 (10/78)
10:~8 ....
/
;1/2' pVG sWING CHBGK
VALVf~
/ \
/
FLOW
S~H 40 \
PVC TI~J~,
J
HOSE & VALVE ASSEMBLY w/anti.siphon valve
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage. Alaska 99519-6650
343-4744
Parcel I.D. # 01 509261
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
1. GENERAL INFORMATION
Complete legal description Panorama Terrace, Lot 7, Block 2
Location (site address or directions)
Property owner James & Miriam Tanaka
MaJlingaddressl310 West 77th, Apt. A,
Lending agency
Mailing address
Day phone 349-19.31
Anchorage, AK 99508
Day phone
Agent
Address
Day phone
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Unless otherwise requested, HAA will be held for pickup.
4
NOTE:
Individual well x
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
NOTE:
Individual on-site x
Holding tank
Community on-site
Public sewer
If community wastewater system, provide written confirmation from State AD£C
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA #21
o
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 of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm Mountain Enqineerinq
Address 3868 Shannon Circle
Engineer's signature
Phone 562-1500
Date 10/26/92
DHHS SIGNATURE
~_____ Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
By:
Additional Comments
Date
~r.4LIl / [~] ~
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72~)25 (Rev. ~/91) Back MOA #21
Legal Description:
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
SW 920007 "' Parcel I.D. 01509261
A. WELL DATA
Well type Private
Log present (Y/N) Y
Total depth I ~, 3
Sanitary seal (Y/N)
If A, B, or C, attach ADEC letter.
X Date completed
Cased to ! 8 !
Y
ADEC water system number
7/!6/92 Driller
Casing height
Wires properly protected (Y/N) Y
Alpine
FROM WELL LOG
Date of test 7 / ! 6 / .92
Static water level 157
Well flow I 2
!75
Pump level
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot 1 ~. 7 '
Absorption field on lot 240 '
g.p.m.
Public sewer main Non~
Sewer service line None
WATER SAMPLE RESULTS:
Coliform 0
10/13/92
Date of sample:
Nitrate
AT INSPECTION
HEW
; On adjacent lots 190 '
; On adjacent lots 180 '
Public sewer manhole/cleanout None
Petroleum tank None
Collected by:
Other bacteria 0
3ames Tanaka
B. SEPTIC/HOLDING TANK DATA
Date installed 7/31/92
Cleanouts (Y/N) ¥
High water alarm (Y/N) N/A
Date of pumping New
Tank size i, 250 gal Compartments 2
Foundation cleanout (Y/N) ¥ Depression (Y/N)
Alarm tested (Y/N) N/A
Pumper
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot 117'
To property line 60'
Surface water/drainage
None
Onadjacentlots G? 200'
Absorption field 150'
Foundation 7'
Water main/service line None
72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed 7/31/92
Size in gallons 250 qal
Vent (Y/N) '~ "Pump on" level at
High water alarm level L~'lO't
Meets MOA electrical codes (Y/N) ¥
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot 117 ' On adjacent lots
D. ABSORPTION FIELD DATA
Date installed 7/31/92
Length 75 ' Width 10 '
Total abs.orption area 750 SF
Depression over field (Y/N) N
Results (pass/fail) New Construct±on
Peroxide treatment (past 12 months) (Y/N) N
Manufacturer Anchorage Tank
~e/Access (Y/N) Y
U(~'~ "Pump off" level at
Cycles tested IJ,~,J (.~v~c,/T..R~"t~,v.-~
GT 200 ' Surface water None
Soil rating · 8 GPD/SF System type Mound
Gravel thickness 1 ' Total depth 4'
Cleanouts present (Y/N) Y
Date of adequaCy test New
for
If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot 240 '
To building foundation 140'
On adjacent lots None
Surface water None
Curtain drain None
On adjacent lots 150 ' Property line 50 '
To existing or abandoned system on lot None
Cutbank None Watermain/serviceline None
Driveway, parking/vehicle storage area 200 '
bedrooms
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signature~ ~
Engineer's Name Mark Pearson
Date 10/26/92
HAA Fee $
Date of Payment
Receipt Number c~ ~./'.~J',~'"'-
72-026 (Rev, 3/91) Back MOA 21
Waiver Fee: $
Date of Payment
Receipt Number
Matt Tanaka
7661 Griffith Street
Anchorage AK 99516
Attn: -
NORTHERN TESTING LABORATORIES, INC.
3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 456-3116 ..FAX 456-3125
2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 27L8378 · FAX 274-9645
Report Date: 10/16/92
Date Arrived: 10/14/92
Date Sampled: 10/13/92
Time Sampled: 1230
Collected By: MT
Our Lab #: A120992
Location/Project: -
Your Sample ID: L7, Blk 2
Sample Matrix: Water
Comments:
MDL = Method Detection
Limit
Flag Definitions
B = Below Regulatory Min.
H = Above Regulatory Max.
E = Below Detection Limit
Estimated Value
Date
Method Parameter Units Result Flag MDL Analyzed
EPA 353.3 Nitrate-N mg/1 0.9 0.1 10/15/92
Mid. biology Supervisor
NORTHERN TESTING LABORATORIES, INC.
3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 907-456-3116
2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 907-277-8378
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY CLIENT
[] PUBLIC WATER SYSTEM I.D. #
CPRIVATE WATER SYSTEM
SAMPLE DATE://0
Mo. Day
SAMPLE TYPE:
ltoutine
[] Special Purpose
[] Check Sample (for original contaminated
\C~ sample with lab reference no.
Sample Time
No. Location Collected
2
State
Year
Purchase Order No.
[] Treated Water
[] Untreated Water
)
Collected by
3
4
5
6
7
8
9
Signature of Representative
CASH CHARGE PREPAID
Zip Code
Laboratory Ref. No.
MAIL
HOLD FOR
PICKUP
TO BE COMPLETED BY LABORATORY
V~Deceived at: ~ Anch. [] Fbks.
ate Received ///fi t/~ -~
Time Received 1~~.
Next Sample Due
COMMENTS:
SATISFACTORY ~)
U N SATISFACTORY U
RESAMPLE R
OTHER BACTERIA OB
TOO NUMEROUS TNTC
TO COUNT
Direct Verification Final
Count LSB 9GB Result*
--~f Total Coliform Colo, gies per 100 mis.
",ate
Time