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KENO HILLS BLK 4 LT 4
Onsite File 1 i *j tiah` \ `4Jf &RIDGE CENTERLINE STREAM '�) Z'tx� 61- Xtyp.) V ELLq\\\ i V GRAPHIC SCALE: I Inch = 50 Feet 25 12.5 0 12.5 25 50 100 f FOR: Date 5 V, 12-14-00 1" = 50' Lan!blatk Grid AS -BUILT Digincer-ing 8 Surveying, Inc.. 3438 5631 Silverado Way, Suite H-201 Drawn by Field Boo] Anchorage, Alaska 99518 (907) 562-6050 RJB 166 I hereby certify that the property described hereon has been surveyed by me, or at my direction, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto unless otherwise shown. That no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other easements on said property except as shown. It is the responsibility of the owner or builder, prior to construction, to verify proposed building grade relative to finish grade and utility connections and to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. Listed distances prevail over scaling. Reproduction may cause distortion. Legal Description Lot 4 1 Block 4 KENO HILLS SUBDIVISION OF ,44qto ��t AW 4 gjyr•+� /^�f m CHARLES E. FORBES o s LS -7326 •J 8 �4fessiono� 1..S. Municipality of Anchorage Page 1 of 3 `- DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 ® Anch.):age, Alaska 99519-6650 ® Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: swq-i [)-& PID Number: OaO - 17/— ©t..( Name: L C t2 mA, N , Wastewater System: X New ElUpgrade Address: rl ABSORPTION FIELD Phone: No. of Bedrooms: ❑ Deep Trench ) Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPD/ 1 i=`lz Lot:�yy Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe "t IF—tai D l S- 0. _ Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: 7 Ft. 3?.5 Ft, WELL: IXNeW ❑ Upgrade Gravel width: Number of lines: Distance between lines: Ft. t Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: R+ VAT E:' .9,b 5 Ft. E D Ft. Static Water Level: �f.G 107. .5 SO. Ft. Installer: F q 10 Date installed: !o ,oVZ Driller: Date Drilled: t z/3. q7 FL ! a.1- z - t' ill Yield: Pump Set att:'� ! 1 Casing Height Above Ground: TANK GPM 130' 4 Ft. FL SEPARATION DISTANCES ❑ Septic ❑ Holding OS.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines Well- 11 Material: Number of Compartments: �- Surface Water ,2 � 10 � ) LIFT STATION ,_Ot Size in gallons: Manufacturer: Line (ate 01 ( 020 4 0,�ZN C Foundation _ "Pump on" level at. "Pump off' level at: High water alarm at: !3 13 63 if L49 Curtain Pump Make & Model Electrical Inspections performed by: Drain I Remarks: BENCH MARK � t Location and Description: S GAY" Assumed Elevation: •-• X 'aw Inspections performed by:Dates: 1st—� f" 2nd!° meq" , �� ;'r„a `t?r ' lv o ",wur!<)anCi rr-; Department of Health and Human Services approval 4r Q Reviewed and approved by: / Date: 11- i� 72-013 (Rev. 9/91) MOA 25 TOP VIEW 96.5 'URNER MARKER TYP, t -INCH PIPE 30 M; 1 PVC Liner OF...,• 49th �;• TJIBBEN SPURKLAND .C�® f % No, CE -2225 J' r ®®®s PEA GRAVEL 93.9 =o 0 0.0.0.0 0 0.0.0.00 0 0=0.0 0=0.0=0-0 93.4 Filter Sand `A7 CIN€ »`.'•`-`•'•'.`»'.'.'.'.`•'.`.'.'»'.'. 91.9 0++'�```� ''`v'�+``0++.+�O�Ov,00u,00�.�OU- 0. -u0 0��+ 91.35 0 90.80 PEA GRAVEL \— LINER ALL ARUUND SIDE VIEW BENCH MARK.- GARAGE SLAB ASSUMED ELEVATION: 100.00 FT TOBBEN SPURKLAND P.E. I I I8x20 SAND FILTER SEPTIC SYSTEM AS BUILT 203 W 15TH. AVENUE DATE: AUG. 13, 1998 ANCH. AK. 99501 LOT 4, BLOCK 4, KENO HILLS (907) 279-3916 RUVIN LERMAN SHEET: 3/4 GRID: 3438 ®® 1 PERMIT # SV970263 PID # 020-171-04 KEH04043. DWG 1 /i:_MWWA 5 FT WIDE 40 FT LONG 1 FT TOTAL DEPTH 0.5 FT OF ROCK 3 FT OF COVER 2000 GAL STEP TANK 40 •-- O Sample Access. 8 -Inch Sump �\V F 0 Cc NO SCALE A P 98. 97. /E 9 1 4 U U U U U U/� �U .�O^O^O^O^O^7w 6" Sewer Rock 4" Distribution Pipe Mirafi 140 7 /E �OUOUOU ^ 2 FT. GROUNDWATER 5.0 -T 0 fi 96.5 KI )FAj �a 90.80 2000 Gal STEP BENCH MARK - GARAGE SLAB ASSUMED ELEV. 100.00 FT IUaacry JrU/TALAIVU r.c. LOT 4, BLOCK 4, KENO HILLS SEPTIC SYSTEM AS BUILT 203 W151hage Ak 99501 Ave Anchora e RUVIN LERMAN DATE. AUG. 13, 1998 SHEET. 414 GRID: 3438 PERMIT # EV970263 PID # 020-171-04 KEH04044,DDWG Fi--ori ALP I HE DR! LL '31-71( 34'5". t--12 -712 LOCATION OF WELL Dec. 12. 1997 12: 17 k'l Pol STATE OF ALASKA DEPARTMENT OF NATURAL RESOI)RCES DIVISION OF MINING & WATER MGMT WATER WELL RECORD BOROUGH AURDIVISI N LOT BLOCK SECTION QTAS SECTION TOWNSHIP FLAWE MERIDIAN "I C1 N 0E I [Is 17 W LOCATION(SKETCH: WELL OWNER: DEPTHS MEASURED FROM4Qcasing top _aground surface WELL DEPTH: DATE OF COMPLETION Depth of hole: ft BOREHOLE DATA., — — Depth Material Type and Color From To <DEPTH TO STATIC WATER LEVEL: --ft below 'Q -top of casing 0 or6und surface Date: METHOD OF DRILLING: RZ:4ir rotary D cable tool 4-4 F -1 other USE OF WELL, domestic 0 irrigation D monitor public supply D other • ell CASING STI ft. Diam: r" in. tuft Casing type: WELL INTAKE OPENING TYPE: 0 open end 0 screened perforati3d /8- open hole Depths of apanings, _ to _ ft SCREEN "PE. Diam: in, S lotl�4 3ize: Length: ft I GRAVEL PACK TYPE: Volume used Depth to top: �rGXp vas 0�.GROUT �Iavo km� �2 ,D2, ; TYPEDepth: frc-m ft to It DEVELOPMENT METHOD:!!�Jth Duratiow. PUMPING LEVEL AND YIELD! -(fafter .._2,-. hrs pumping opm PUMP INTAKE DEPTH,, ft Horsepower: WELL DISINFECTED UPON COMPLETION? -E;4ES n NO A N CONTRACTOR INFOIR;IML! egist�Ved Busine,"s arna Sion-ture o utgonzi3d Respreser ive Ate REMARKS: PI-124SE MAIL WHITE COPY OF LOG TO: DNR/DIVISION OF MINING & WATER MGMT 3601 C St, Sulta 800 ANCHORAGE AK 99503.5935 ?hong (907)762-2538,rox 1907)562.1384 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:SW970263 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:LE~ RUVIN OWNER ADDRESS:2550 DENALI ST 604 ANCHORAGE AK. 99503 PAGE 1 OF 1 DATE ISSUED: 8/19/97 EXPIRATION DATE: 8/19/98 PARCEL ID:02017104 LEGAL DESCRIPTION: KENO HILLS BLK 4 LT LOT SIZE: 101059 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONSTRUCTION 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 (18A_AC72) AND DRINKING WATER REGULATIONS (18AAcS0). 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 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: /~ 203 W 15th. Avenue. Shire 203 ANCHORAOE, ALASKA 9950 (90?) 279-3916 F~c (907)-276-60 ! 3 SEPTIC SYSTEM DESIGN LOT 4 BLOCK 4 KENO HILLS RUVIN LERMAN Municipality of Anchorage Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 July 9, 1997 We are submitting an application for the installation of a well and an Intermittent Sand Filter (ISF) waste disposal system for this lot. The submittal consists of four (4) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/4), the proposed improvements of the lot, of which only the well and waste disposal systems are subject to this permit application, (sheet 2/4), plan and profile of the ISF, (sheet 3/4), and a schematic of the ISF system, (sheet 4/4). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following: High groundwater conditions, limited usable area due to creek drainage. Standard system not possible. Use Intermittent Sandfilter. Test 'hole is located at the toe of a slope. Ground water at 2 feet at MT, 4 feet or more at toe of slope. Ground Water at 3 feet Soil Rat'mg. 8 min/in = 4 gal per sq. fl/day No. of Bedrooms 5 Required Area per Bedro0m: 150/4 =37.5 sq. ft.. Total area required: 5 x 37.5 = 187.5 sq.ft. Use 5-Wide. Total Length: 187.5 / 5 = 37.5 ft. SYSTEM CONFIGURATION 18 x 20 Orenco Intermittent Sandfilter 5-Wide Trench Total Length 37.5 ft Total depth 1 ff Total cover 3 ff 2000 GAL STEP WITH 4 FOOT RISER MUNICIPALITY OF ANCHORAGE ENVIROI~gENTAL SERVICES DIVISION JUL. '/4 1997 RECEi /ED The installation of this septic system will not prevent wells from being installed on the adjacent lots. The proposed installation will be located more than 100 feet from the creek. Road ditch drainage will be diverted or placed in closed conduit. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoffwill not result from this installation. \ N \ .-~Y fYell L ZiZ C 3 .. L~T I ® / L[ZT 3 N LDT 4 APPRDX. L£CATIDN SEPTIC CREEK 5O 0 50 i00 i$0 200 250 300 SCALE; 1' = 100 FT. TOBBEN SPURKLAND P.E. 205 W 15TH, AVENUE ANCH. AK. 99501 '~07~ 279-,~916 LOT 4, BLOCK 4 KENO HILLS ASHLAND DRIVE / SPAIN DRIVE RUVIN LERIdAN SEPTIC SYSTEM LOCATION DATE: JUNE 25, 1997 SHEET: I/.4¥ GRID: $455 ' I PER~IT ~ PID // KEH0404 l.dwg TOBBEN SPU£KLAND P.E. 205 W 15TH. AVENUE ARCH. Al(. 9950! (£07) 279-$916 ~URKLAND ~ NO, CE-2225 SCALE~ 1" = SO FT, i5~ I I ~LOT 4, BLOCK 4 KENO HILLS S/D ASHLAND DI?IVE / SPAIN DI?IVE I?UVIN LEI?MAN I I SEPTIC SYSTEM DESIGN DATE: JULY 2, 1997 SHEET: 2/J GRID: $4,~s PERMIT # PIZ9 # KEHO4042. dwg Air Line ~o 0 C 0 0 0 0 0 0 IIIIIII III I .... _ ..:~,~ 0 o ~'""~ ~ 49th ~ ~ ....... ~ From SEEP [onk O. CE-2225 TOP V/EW L in CORNER MARKER TYP, .5' PEA GRA VEL ~ Fi ISer Sand 2' LINER ALL AROUND SIDE VIEW 20.5 W 15TH. AVENUE ANCH. AK, 99501 i'~075 279-3916 18x20 SAND FILTER LOt 4, BLOCK 4, KENO HILLS RUVIN LERMAN i j SEPTIC SYSTEM DESIGN DATE: JUlY 2, 1997 SHEET: ,_9/4 GRID: 34?8 PERMIT # PID # KEHO4043, DWG © DRAINFIELD 5 FT WIDE 40 Fl' LONG ! FT TOTAL DEPTH 0.5 FT OF ROCK $ FT OF COVER Sample Access, 2000 0AL STEP TANK NO SCALE 5.00 BENCH MARK: ASSUMED ELEV. 100.00 FT ,, 2000 Go/ STEP SPURKLAND P.E. WlSth Ave Anchora Ak 99501 LOT 4, BLOCK 4, KENO HILLS RUVIN LER~AN SEPTIC SYSTEM DESIGN DATE: JULY 2, 1997 SHEET: GRID: 3438 PE£NIT if PID # KEHO4044, DD~/6 PERFORMED FOR: LEGAL. DESCRIPTION; 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS Municipality of Anchorage DEPARTMENT OF HEAL.TH & HUMAN SERVICES 825 "L" Street. ~nchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED:. Township, Range, ~.~ction: WAS GROUND WATER .~ / ENCOUNTERED? S IF YES. AT WHAT 9' oL DEPTH;' p E Oepth to Water Alter 3 } I ~ ~o.,or~.o? ~ _OaXe: II "7-- SLOPE SiTE PLAN C{eading Date ~ross Nat Depth to Net t'~/,~/-I ' Time Time Water Drop PERFORMED BY: · ! ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev, 4/85} PERCOLATION RATE i~ (minutes/inch) PERC HOLE DIAMETER , . TEST RUN BETWEEN -~ ~ FT AND ~ OFT -- CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. ARchorage, Alaska 99502-0650 SOILS LOG m PERCOLATION TEST 5 6 7 8 9 10 11 12 13 14 15 16- 17- 18- 19- 20- Township, Range, Section: SLOPE SITE PLAN Reading Date Gross Net Depth to Net ~, Time Time Water Drop PERCOLATION RATE '~ .~ tmm'~te$/inchj PERC HOLE DIAMETER TESTRUNBETWEEN ,./~ FTAND ~ FT DISCLAIMFR: ~r~undwater con, ditions indicated are for the dates Past and future presence and/or dept_h of groundwater can not be trom these ol~s~r~at~ons. PERFORMED BY: ~ . shown only. predictod I ' CERTIE¥ THAT TH S TEST WAS PERFORMED IN ACCORO^NO~ W,T. ^L~ STAYE ^,~0 M~N,C,P^L ~,D~L,NE~ ,N EFFECT ON TH,S DATE'. DATE: .. H, I ¢ ~/ 7 72-008 (Rev. 4/85) PROPERTY OWNER AGREEMENT F£ R TI:fE MAINTENANCE OF AN ON-5~TFE WASTEWATEtt. DISPOSAl, SYSTEM This agreement, dated ./ff/~/~ 199d, is n:ade between the Municipality of Anchorage Depmtmem of i~lealth and Human Services (DHHS) and the property owner(s) of: LOT' '41 l~l..Okl~, ql ~.~.END ~ ikke.~ This agreement is made for the purpose of maintaining an on-site wastewater disposal %'s~m~on-~e subject-propezry. - - ~ - The' property owners agree; to the following: Submit to the Municipafity ( f Anchorage, on an annum basis, an mspection and operation statement from a z egistered professional eng~.t, eer. This inspection and operation statement shall verify that the engmeer has impected all effluent and air pumps, timers, and alarms, ,:,nd that any deficiencies ha'~e been repaired and that the system is functioning as designed. (Signature) (Printed Name ~ (Printed Name) ................................ Iq:tarize Here ........................................ ~K~ ~C/T~ pe :sonally appeared befo' e me, ~ who is perso':mlly known to me whooe identity I proved on the basis of whose identity I proved on the 6ath/affirmation of , s credible witness to be the signer of the above document, ~ OFFICIAL SEAl. } i NOTARY PUBLIC ] i STATfi 'OF ALASKA ~ ~ CAROLYN S.d~6/I,TTL. i and he/she acknowledged that he/she signed -- ~Not4{y Public My commission expires ~/7~/~) it.