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HomeMy WebLinkAboutMAJESTIC VIEW BLK 1 LT 15Onsite File Majestic View Block 1 Lot 15 #011-222-31 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201116 PID Number: 011-222-31 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name VINCENT &BEVERLY RYAN ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 9537 KAVIK STREET, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot MAJESTIC VIEW 1 15 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line FtZ Ft. Well 200'+ -- I 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1000 Gal. Surface Water 100'+ -- Material HDPE Number of compartments 2 Lot Line 10'+ -- NA Foundation 10' __ LIFT STATION Manufacturer Capacity Gal. Remarks Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to 3034 Installer A+ drainfield Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspdection IM 6/22/20 6/22/2020 Location and description 2�d 3rd 4'" BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL OF Ak_N a [� Conditional Approval: Date TH tri•..-- Septic System Pp Ljg'a Ltd Date 3 y �o1 Curtis Huffman.. ����s�'•. 3E320991•,.,��� � k OPROfESStO��'- ' ' �®��� Note: this approval does not include well permit requirements. (Rev u5iu2ri 8) P I D: 011-222-31 PERMIT: OSP201116 A -C=25.8' B -C=37.3' A -D=28.4' B -D=38.8' A -E=29.0' B -E=41.4' S89 45'26"W 70.04' 30' (N89 55'00"W 70.00' R) EXISTING FIELD a0' 5.7' SHED PANED Day/ A 24.0' O g O O O E D C " o 04 w pDD • Pco BM w 04 LOT 14 r w 00 MH a H? b w w BILK 1 Y NEW 1000 -GAL X = p in > o HDPE S.T. W o iv Q O 00 Y O cc U) (n O N APPROX. WATERLINE LOC. ..i KEYBOX B 24.0' 2' DECK LOT 15 BILK 1 EI N S89 45'26"W 70.05' (N89 55'00"W 70.00' R) BYRD LANE N SCALE: 1" = 30 MAJESTIC VIEW BLOCK 1, LOT 15 PREPARED FOR: VINCENT & BEVERLY RYAN 9537 KAVIK STREET ANCHORAGE, AK 99502 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 firstwaterAK®gmail.com SCALEi NTS SUPPORT, SERVICES: —�_` OF AL4 F.w.c 5 c� 9 TH �71# * DATE: 3/3/2021` rtis Huffman i 04 SURVEY: JLS 2021 1 r� CE 128991w DRAWN: FWCS 1N 3/3/21G� SCALE: 1" = 30' \OFESSIO�At S89'45'26"W 70,04' 30' (N89'55'00"W 70.00' R) I SEPTIC VENT (tyA) 8.0' N SHED PAVED D/w 24.0' O 0 a N w :• LLIi,�H ZW Ld b to o V) LO 0 O Ln x� 0 W Q LOT 15 BLK 1 i KEY60X 24.0' DECK I S89'45'26"W 70.05' i (N89'55'00"W 70.00' R) _ BYR❑ LANE ANCHORAGE RECORDING_ DISTRICT, ALASKA AS -BUILT OF: MAJESTIC VIEW SUBDIVISIOIN LOT 15 BLOCK i PLAT 69-169 SURVEY CER'T'IFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should any information on this drawing he used for construction of fences, structures, improvements, or for establishing boundary lines. EXCL-USTON NOTES: it is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NLYMO R: CAM sau.e E -WAIL JAN 11, 2021 1 "=20' 21-009 MAA+ Or 04Ea¢n BY oro MAMM aoac X JLS 2424 210109 49TH L HN L. SCHULLER,: � I,s-10408 a; c� fesSion 6 -�L- U) N n <Y 0- 0 0 00 Cj 0 N 0 �N w U-) ern N 0 N P0 0 Cn 0 (n 1-1 LOT 14 BLK 1 ' % LARD � �5� 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274--4992 fax MUNICIPALITY OF ANCHORAGE 0 n -Si to ala ter & was tewater Krog ram K Bax 196660 470D RM010 Rbad Armherage, Alaska 99519-815:5D Phone: (907) 343.79M Fax: {947} 313.79x97 hSCColhWM. MUN.OrWOrrsiG9 Ori -Site Wastewater Disposal System Permit Permit Number: OSP201116 Work Type: $ap€icTaPk Upgrade Tax Code Number, 01122-231000 -Site Legal Address: MAJESTIC VIEW BLK 1 LT 15 G_2424 Site Mailing Address. 9537 KAVIK ST. Anchorage {owner: RYAN VINCENT D & BEVERLY A DQsign Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date: Expiration Date; Lot Size in Sq Ft Total 9edrooms; f DL:1)03'li[34tlP 5/1 M020 SM &2021 8400 © Disposal (Field 0 Septic Tank 0 Holding Tank 0 Privy E1 Private Well 0 Water Storage All constructlon shall be In accordance with: 1_ The attached approved dwsigri. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State -of A3iaSka Wastewater Disposal RegulatOns (18AA 72) and Drinking Water Regulations (1-8AA080) 3_ The wastewater code requires inspections during the installation_ The engineer shall notFfy the Developmeni Servl,es Department 1 rAMC 15.65. Provide notification by Calling (907) 343-79D4 (2417). 4. Frum October 15 to April 15, a subsurface soil absorptiion system under oanstruction during freezing weathef shall be either_ a_ Opened anal Closed on the same day, or l)- Covered, sealed, and heated to prevent freezing 5/19J20 Raneived By: a Issued By: Date: _ r 3 13030 Sues Way, Anchorage, AK 99516 907-350 -9566 / firstwaterAK@gmail.com May 14, 2020 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: MAJESTIC VIEW BLOCK 1, LOT 15 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1000-gallon HDPE tank to serve the existing 3-bedroom residence. The lot and area are served by public water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201116, Rebecca Carroll, 05/18/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201116, Rebecca Carroll, 05/18/20 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street -Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE 7~J)~> []NEW MAILING ADDRESS LEGAL DESCRIPTION LOCATION DISTANCE TO: Manufacturer Liq. capacit DISTANCE TO: Manufacturer /~A V//¢ IF HOMEMADe: Insi~Jelength /~ Wdth We Dwelling Well DISTANCE TO: ~"Oz~'///¢)'~)//")/ No. of lines / Length of each line¢~;~ f Length Top of tile to finish grade ,~ .~,L Y Width Material Foundation ~,~_~ ~' Nearest lot line /(_+~ f Total length of ~.p~s///~ ! Trench width · ~0 inches Material beneath tile Depth Type of crib Crib diameter Crib depth Well Building foundation DISTANCE TO: Class Depth Driller DISTANCE TO: Building foundation Sewer line OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER ---./0//,4) REMARKS APPROVED 72-013 (Rev. 3/78) NO. OF BEDROOMS PERMIT NO. No, of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO.~4~) 4~:~ ~.;: Distance between lines Total effective absorption area PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line PERMIT NO. Sept c tank Absorption area(s DATE LEGAL F'ERMI T NO: [:'~ITE I :,:,I~IE~: FIF'F'L I CFINT: BE:,DR,ESS: CONTlaCT FHLNE i'"lbil'-.t i C: ][ !F :IL I: 'T'T' C~F:' "FIi'-.IC:H~. DEF'FIRTMENT OF HEFILTH RND ENVIRONMEN]'FII_ F'F::TEf:TION ,:,,-~.~ L STREET., J FICI-.:: KEEL 95]:7 KFIVIK FINCHORFIGE., FINCHORFIGE., I-.-~ I-,:: 9.95 El::L "=-3 EE 1.4 EC ~: LEGFIL [:,ESC:R IF': LOT SIZE: LOT LOCFITION: I',iFi><.: BEE:,RCIOI',IS: SUBDIVISION: HRJESTIC VIEW SECTION: .'15 TOWNSHIP: 840C4 ('SC,!. FT. OR RCRE'_-]) KFI'v'IK Bf',ID BYRE:, ,::FIKR '.=]UMNER) LIlT: ~5 RHN~E: 414 ELOf::I<" .& LI,~TE[:, BELOW FIRE' THE OPTIONS F¢¢FIILFIE:LE TO 'T'l:dJ IN DESIGNING YOLII~: :,EFTI_. :5"¢STEi"i. ' "CHOt]SE THE OPTIOI",I THFIT BEST FITS YOIJR SITE. DEPTH TO PIPE BOTTOH (F'T. > GRRVEL DEPTH (FT.)' TOTRL DEPTH (FT.) GRR~,'EE: WIDTH (FT.) GRRVEL LENGTH (FT.) GRRVEL VOLUHE (CU. 9DS. ) TRNK SIZE (QRLS) SOIL RRTINO (SQ. FT./BR) E:E[':, I.,.l.E::,RR I 4.0 4.0 0.5 ~:.5 4.5' 7.5 ~9, 0 5:0 36. 0 4.~. 0 25. ~: 3~6. 2 :~.. 00C4, 0 :+=:+, J.,000. 0 :+::+: ~50 T F-: E ~'~ 5.0 5.0 :1.0. 2.5 ' 45. 22. :1., 000. :+::+: TFINk: i','lltST HFI',,,'E FIT LEFIST TI. dO COHPFtRTMENTS I C:ERTIFY THFIT: "L. i"-RM' FFiHILI'FIR WITH TFIE REQUIREMENTS FOF.: ON-qlTE_ :,E.LII:F..:,'- , - "- FIND WELLS FIS; SET FJF. fH BY.THE HUI",IICIF'FII_ITY OF FINCHORRGE (:MOR) FIN[:, THE STFITE OF FILFISKFI. 2.. I .!.4ILL INSTFILL TI:4E '.~5"STEH IN FICC:OF.'[:,RNCE WITH FILL HOR CODES FIN[:, REGULRTIONS., FIN[:, IN COMPLIRNCE WITH THE [.Ez, It~N ..RITEF. IH OF THIS FEF..fI1T. ~'~ I 14ILL FI[.',HERE TO FILl_ MOFI FINE) STRTE OF RLRSKFI REC..!UIREHENT'=; FOR THE SET E,H_.k'-"' [:,ISTI:~'F'.Ii~:ES -~F.>OM_ FII'.,!'-¢ IEXIS;.,TING WEI_L, I-!Rz, TE,LIHIEF.., '- ', - ' ' [.I:,F_m_FII_', "' ,i-q SYSTEH 'F.'. FI.E, LIL.' ' -' SEP-IEF.~!SE..SYSTEH ON THIS L'IR FINY FI [:' .J FI E: E N ]] IDF: NERF.:BY LOT. 4. I LIN[:,E~..STFIND~' THFIT THIS PERHIT IS 'v'FILID FOR R MFINII"IUM OF ]: E:EDF.:O01"iS FIND FINY ENLFIF.:CiEHENT 14ILL. REQUIF:E FIN ADDITIONF~L' PERHIT. IF A LIF~:STFITIOF&:~IS.(t.,~.4~i.:,i-' _=~'-:...:;:._:INS'FFILLE[:' IN Ri"..I FIREFI CO",,'ERED E:Y HO, F:I BUILDING C:ODES., ,- · THEH ELECJh;'~.~,:id'b, PEF.'HIT FIND INSPECTION HUST E:E OE, TRINE[:,.~ . (:2::, FtS--BUILT~ 14ILL I'.; W BE' HFFROVED I.,.IITHOUT FIN ELECTRICFIL IN=,FE_.TION REPOR]-) FIN[:, ,'2') THE ELEC:TRICFIL !.,.IOF.:K i'IUz, T !;:E I)CU'.,IE EiY Ft LICENSED ELEC. TRI..IHN. S I ~3 NE[:, IRPF'LICFINT: JFIC:K KEEL lc;SUE[:, E'Y_ [:,laTE: [:'EF'FIRTMEN.T OF' HERLTH RN[:, ENVIRONMENTRL F'ROTE:CTION ,-;; ..], ~=. .... ~ L STREET., RNCHOF.:RGE., RK 9350:t. ~_,4-4r'~M F EF..t II T NO: DRTE I .... UE[.,. 84040_:.': LIF'~3RR[:,E 05/'3 ¢~,.."84 RF'F'L I C:RNT: HI.. [,RE_-,:,: CONTRCT PHONE: JRCK KEEL L~. 53:7 KRVIK RNCHORRGE., 242-70_96 RI< '~'~5±0 LEGRL DESCRIP: SUBDIVISION: blRJESTIC VIEW LO SECTION: ±5 TOWNSHIP: ±2N RR : 4W LOT SIZE: 8400 (SQ. FT. OR RCRES) LOT LOCRTION: KRVIK RND BYRD (RKR SUMNER) E,L dL.K: :L CERTIF'T' THRT: d.. I RI'"I FRMII_I RR WITH THE F.:EQUIREMENT,=; F.'F.' 6 TE SEWERS' RN[:, WELLS RS '--";ET FORTH E:'¢ THE MuNICIPRLIT,¢ OF RNL. HJRRBE~ c " FIND ]"NE '-=,THTE- OF RL. FISKIR. WILL INSTRLL ]''HE S'¢STEM IN RC:CORDRI WITH RLL MOW r':nDE~.. _ RN[:, F..EOLILHTIuN=,.,' " - - '- RND IN ]CMF'LIRNCE WITH THE DESIGN 'ERIR OF THIS PERMIT. WILL RDHERE TO RLL MOR RND STR] OF RLRSKR F.:EC!UIREMENTS FOR THE SET BRCK I-TRNCE:, FRF~M FINV E,..,I=,TINb L WRSTEWFITER [:'ISPOSRL SYSTEM OR FLE, LI.. =,EWEF..HGE _,~r",TEM ON THIS OR RN' OR NERRB'T' LOT. IF.R LIFT STRTION IS INSTRLLED THEN (~) RN ELECTRICRL PERMIT WILL NOT BE RPPROVED ELECTRICRL WORK MUST BE D~ -, I UNE[., RPPLICF RN RRER COVERED B'¢ HOR BUILDING CODES., INSPECTION MUST BE OBTRINED.= (2) RS--:BUILTS ELECTRICRL IN""qPECTION REPORT.; RND (-?,) THE Btr' R LICENSE[, ELE':::TF.:ICiRI"L ISSUE[:' B~'' [:'RTE: MUNICIPALITY OF ANCHORAGE Department ~f Health and Environmental Orotection 825 Street, Anchorage, AK. 501 264-4720 * * * HANDWRITTEN PERMIT * * *----~ Permit # ~ ~O~ Applicant: ~ ~ Mai. ting Address: Location: ~D~ ~c~ Phone Number: ~3-~ Legal Description: Type of Soil Absorption System Is: Trench: ~ Drainfietd: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: ~ Soil Rating sq.ft/br) The Required Size of the Soil Absorption System Is~ _DEPTH o. ~ LENGTH I/¥' ~ _. GRAVEL DEPTH ~.. u WIDTH ' __ ~The 1' ength dimension is the le~gEh(~'"n feet) of th- e trench or drainfield. ' Th~ depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches° The gravel depth is the minimum depth of gravel between th~ outfall pipe and the bottom of the excavation(in feet). ~~ * * REQUIRED SEPTIC(HOLDING) TANK SIZE = / ~'~ G,,~I/__LONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED ~ ~ * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled'to include more that 3 bedrooms. Signe~: Applicant Issued by: Date: SWP/024(1/81) [~'"'"SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 09501 264-4720 SOILS LOG- PERCOLATION TEST [~"' PER CO LATIO N TEST 5 6 7 8 9 SITE PLAN 11 12 13 15 16 17 18 19 2O COMMENTS C. Reid, Jr. No. 2251-1i WAS GROUND WATER S ENCOUNTERED? . k0 OL P E IF YES, AT WHAT DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND Il FT PERFORMED BY: ]~l.~..~"~ 72-008 (6/79) CERTIFIED BY: ~Permit II: 820412 January 31, 1983 TO: Permit Applicant Subject: Lot ]_5 Block 1 Majestic View Subdivision A permit issued by this department for an individual well and/or one-site sewer system has expired as of December 31, 1982o Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and ho close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If khere are any further questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 "!'l...!i!!i: L[i!:NG'T'H I:::, :[ I"'lEi:i'.~:!!; :!: (:)N !: :~i; THE: t....[ii:t'.,tGTH ,' 1.: N F::'Ei:E:T ::, OF: "['I..IE: "I"F:I:~:NCI..! OF: 'FH[!: [)Ei:F:"]'H Cfi:' f::l 'I'F:.~:f. tCH OF~: I:::"J:"l" ]::}:~; T.-I.~}' [::, :i: :~;'i"I::IF,fC:I[~: !3E:'I"~,.IFJ:[}~:N "1'1..I[~ '::~. F~?I::.F.F O1::: 'f'Hl~: GF;:C~L.It'.,![::, Fli'-!f': THE: E}',CFi'-T'CW! OF:: "!":...F' E:Z,;C:F!'v'F:I~!"T:"N ,:::[i'.;] 'FI~I[~: G[~:FI',/[~:L I::, E: F:' "[' H :i:F~; XI...IE~ H:[F,I:[H..H [::,E~F'TH C~I::' (3!:~:FP,/[~::L E:E:TH[~:E~N THE: C~I...I'?F'FIL..L. H :!: i'.,! :[ i'"!1JH ::LC. iIi!) F' E!:E~"[' I.jF'I::)N THE: "l'~'r'l::'l~!i: Cfi:::' F:'IJ[!i',L:[C ['][i:L.[ .... H :!: I"~! ]: HUH ?0 F! COHHUH:[T"r' :i!!;Ei:!,.![!!:F: L.:l:H[ii: :[:~i; ';:~!5 [::'Iii:I:::'['. i::l V Fl :[ L F:I[3 !... [~: /l: cr.::I~?T:[I:::'~.' THFtT ::!.: I: FIH I::'1~i','1:f:1...:1:1::11.;i: I.,.!):TH F::'C!Fi:T'H iii!',')'I'!..I[E: HI..Ji'.,I:[C::£1.:'FII....:[T'./ ;i;i:: :[ [,.! :i:!...I.... :!: HSTFtL.I.... THE: :ii:~:: :i: I. JHDE:I:i::'ii;"I'I:::!I'.~!:::, 'I"HF!"I' PERFORMED FOR: LEGAL DESCRIPTION: 1 9 ~'10 11 12, 13 14 ,15 16 17 18 19 2O COMMENTS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST PERFORMED BY: SLOPE IF YES, AT WHAT DEPTH? ,,~ SOILS LOG PERCOLATION TEST .... S~TE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop ,,, -~ ~ ~,'a/ /~,~ ,, ~' ~ ;.'~ ~ , ~.s~ ,0 ~ .. .'~F) ~D~' PERCOLATION RATE '~ (minutes/inch) TESTRUJNBETWEEN ~ FTAND,~.~/Z~ FT 72-008 (6/79) N CI1PAL]TY OF ANCHORAGE POST OFFIC£ BOX 400 ANCIIORAGE , A/tlSI~A 99,510 ANCH,ORAGEWATER&W_ASTEWATEr 'TiLiTY ~'~'£-4 ' , 3000 Arctic devard ~,f, Mail: Pot, ch 6-650 ~.' Anchorage. Alaska 99502-0650 Telephone (907) 277-7622 MUNICIPALITY OF ANCHORAGE SKIPEDINGER Assessmont$ Supervisor Les Bucholz Municipality of Anchorage Department of Environmental Quality 3330 "C" Street Anchorage, Alaska William Armstrong Municipality of Anchorage Water Pollution Control Engineering 3000 Arctic Boulevard Anchorage, Alaska 99503 November lO, 1975 Dear Mr. Bucholz: We have researched the problem of serving Lot 15, Block l, Majestic Subdivi- sion, with sanitary sewer service, and we found, that due to the topology and shallowness of the existing line that the lot 'in question cannot be ser- ved by an extension of the existing line with normal gravity flow. The op- tions available for providing sanitary sewer service to Lot 15, Block 1 Majestic Subdivision are: , ('1) Parallel the existing 8" 'line and lay the pipe deeper than ~he existing line. (2) Install a lift station or pump, and connect to the existing line. Both options would be constructed at owners expense.. Sincerely, WA:cj WILLIAM ARMSTRONG P./~. Acting Chief Engineer - Sewer 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELl. lNG Parcel I.D. # C> t ( '~ ~- ~ ~/' 1. GENERAL INFORMATION Complete legal description Lot 151 Block li Maj'~t~c Vi~ Location (site address or directions) "' ' ' 9537 Kavik Property owner Mailing address Anchorage, AK 2a~k Keel Day phone_ 9537 Kavik Anchorage, AK 99515 243-7096 Lending agency Mailing address_ Day phone Agent PRUDENTIAL RELOCATION attn: .Nancy Lanh~Dayphone.' (713) 781-5100 Address _. 2500 C~q West Blvd. Sure 400 Houston, Texas 77042 Unless otherwise requested, HAA will be held for pickuP. 2. NUMBER OF BEDROOMS: 3 '" 3. TYPE OF WATER SUPPLY: Individual well Community well Public water . XXX '4. NOTE: lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: If community well sYstem, provide Written confirmation from State ADE,C attest- Individual on-site Holding tank Comm unity on-site Public sewer ?. XXX NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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. Phone 6. ~ DHHS SIGNATURE '" :' '*~pp~,~ed for '~' :~ bedrooms .... Conditional approval for 'bedrooms, with the following stipulations: Additional Comments '~- '("~,'~e ~u~ic~ality off"~'~[~;3rage Department of Health and Human Se~ic~ (DHHS) i~ues Health Authori~ -c~nduct ·inspect ons'or anal~e, data before a ce~ifi~te is i~ued. The Municipali~ of Anchorage is not : ,.responsible for errom or Omi~ions in the prof~ onal engine,s wo~,-:~ ::~..::~. ~'~:. ,:',"~: :~ .... .. -..,.~.:~...-, '.. ~..:': ;~'":".":,.,. ,:": :': ~:~:. 7'.. . . · ~:;': '.'- ,-.. ~--': ' [..-. i L'"~": '-'~"?" '~' ' ' ' : ': : ' ~1,,.: ,.. v -,: .::..:,r,. -F'.'-:..'. -': ~(~.1~) ~ck MOA~ . . , '., : , ' .... . : ' '. '. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescription: /--~/5¢'/~/ / /Y/R~7-/C ~//,~¢d ParcelI.D. A. Well Data Well type _(~.W1WCC//v'/?/ If 9, B, or C, attach ADEC tatter. ADEC water system number Log present (Y/N) /b///¢ Date completed AJ/~ Driller Total depth ?~ Cased to /'b///¢ Casing height Sanitary seal (Y/N) ~ Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test ~v////?- ~,~ Static water level 1 / Well flow g.p.m. Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main ~/,,~F Sewer service line ~U)/,/~ ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate / ~/~f/- Other bacte~a Collected by: B. SEPTIC/I,~i~t~r TANK DATA /0oo Date installed /'~6/~ Tank size Compartments Cleanouts (~) ,7 Foundation cleanout (Y,~ ~ Depression (Y/¢,~ High water alarm (Y/~ /©///~ Alarm tes~d (Y/I~ SEPARATION DISTANCES FROM SEPTIC/i TANK TO: Well(s) on lot To property line /0 Surface water/drainage On adjacent lots ~kOO ~-/~ Foundation 5 Absorption field ~0 ~¢-' Water main/service line ~'~,(~ 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons ~ Manh_..oJe/-A'd~s (Y/N) Vent (Y/N) "Pump on" level~ "Pump off" Level at MeaN)High water alarm level _ ~__ __ ..~--SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water Date installed Length ':~ / Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/¢ D. ABSORPTION FIELD DATA Width z/-5~- %~ Cleanoutpresent~[:~) Resu,ts Ipass/fai,/ Soil rating (GPD/FF) Gravel thickness System type //~C~/---/ Total depth (.~ Depression over field (Y/I~ for -~ Bedrooms After test --~ ~' If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on Iot__/d//'~. To building foundation On adjacent lots Sudace water Curtain drain /L)//~- E. ENGINEER'S CERTIFICATION __On adjacent lots 4;~ 0::~ ''¢ Property line ;~/ / /(~ ~ To existing or abandoned system on lot ~'~ Cutbank /x~/~ Water main/service line Driveway, parking/vehicle storage area ~-~ I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect _oj-4._~, ¢ this inspection. Signature Engineer's Name ~', Date / / HAA Fee $ tJ~¢ Date of Payment Receipt Number ,_.~./ 72-026 (3/93)* Back Waiver Fee $ // Date of Payment Receipt Number Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O, Box 196650 Anchorage, Alaska 99519-6650 December 12, 1994 Mr. Robert W. Cowan S & S Engineering 17034 Eagle River Loop Road, Suite 204 Eagle River, AK 99577 Subject: Waiver Request for: Lot 15, Block 1, Majestic View Subdivision Waiver Approval: # WR940067 Dear Mr. Cowan: Your request for waiver(s) of the required 10 foot horizontal separation of an absorption field to a lot line has been approved. The approved separation distance(s) are: Absorption Field to West Property Line 1 foot This waiver approval applies to the existing absorption field to lot line separation only. Any future upgrades to either will require all separation distances be met or another approval be obtained from this department. Sincerely, Daniel J. Roth Civil Engineer On-Site Services kb MUNICIPALITY OF ANCHORAu~ Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~ WR940067 PID~ 011-222-31 Date Received: 11-28-94 HA# HA940654 Permit Legal Description: Lot 15, Block 1, Majestic View Subdivision Engineer: S & S Engineering 17034 Eagle River Loop Road, Suite 204 Eagle River, AK 99577 Applicant: Jack Keel Waiver Requested: Absorption Field to Wes% Property Line - 1 foot Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: Date: ~ame of Reviewer' ' Rec ~: 00519 (7938) Amount: $ 115.00 Date Paid: 11-28-94 ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN E~TENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN November 26, 1994 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street PO Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 15 Block 1, Majestic View 9537 Kavik Street, Anchorage Request you issue a Health Authority Approval on the referenced property and grant a waiver for the horizontal separation distance between the leachfield and 'the west property line at 1 ft. The referenced property and the surrounding properties are served by a community water system located over 200 feet from the referenced property. We do not anticipate any adverse effects on neighboring properties since the west property line borders Kavik street (See copy of As-built attached). ~JAMES P. WILLIAMS, C. E. ROBERT C. COWAN, P.E. 17034 NORTH EAGLE RIVER LOOP ' SUITE 204 o EAGLE RIVER, ALASKA 99577 IOd NUB£:60 P66I S2 'n°N 06Bt~ £P2 286 : 'ON BNOHd 'DAS 9NIABfl~f]S 9NINB]4 : WO~J~ GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality ~ ~ ~ "C" Street, Anchorage, Alaska 99503 274-4561 ' "~ ~_ .'~ Date Received ~. Time of Inspection Date of Inspection ~Q[,~ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 2. Property Owner: ~-~L~ Mail~ing Addres~s: 3. Legal Description: 4. Location: 5. Type of facility to be inspected 6. Well Data: A. Type ~ B. Depth C. Construction Phone: Phone: 7. Sewage Disposal System: No. of bedrooms D. Bacterial Analysis e A. Installed C. Sept.ic Tank: D. Seepage Pit: E. Disposal Field: Distances: B. Installer 1. Size 1. Absorption Area 2. Material Total length of lines A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination , Absorption area , Sewer Lines C. Absorption area to nearest lot line EQ-03~ (1/74) Page I of two pages Page 2, of two pages - R~ Le Descript n \ mc~_ / C emro e n t s'~,{i ?? 'st for Approval of Individual er &, Water Fac.,ilities , '.,.-?~ ~!' ~ , , ' ', , ,. ~ .: ~pproved ~_ '~~~ Disapproved ...... D~t~ ,'i'3, ,~"~ t")(~'A~,~O.~,~ Valid for one year from date signed "' G~t'br An~'h~'r~g~A~'ea Borough, Department of Environmental Quality DIAGRAM OF S~TE~ ~. ~ 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) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received /(~c~_i ~ ?~2 ~~--- Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 4. 5. 6. t Phone: Property Owner: ~ ...... Phone: Legal Description:. ~/~/~ // ~/x~/~/m~xJ~_~u Location: ~.~ ~~~ v p~t T~pe of facilit~ to be ins ed No. of bedrooms Well Data: A. Type B. Depth C. Construction Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: 1. E. Disposal Field: Distances: D. Bacterial Analysis B. Installer l. Size 2. Manufacturer Absorption Area Total length of lines A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination C. Absorption area to nearest lot line 2. Material , Sewer Lines , , Absorption area EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Requ Legal Description Comments for Approval of Individual Se' & Water Facilities Approved Disapproved Date Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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) REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA 2. Property Owner: _ 3. Name of Buyer: Mailin9 Address: 4. Name of Lending Institution: FHA CONV ~' Day Phone D.ay Phone Mailing Address: Name of Realtor or Agent: Mailing Address: Phone Phone 7. Type of Facility to be inspected: 8. Water Supply No. Bdrms. -~ Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual depth of well '~ ~ ~ 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation _~N/~U,._~ EQ-037 ()/74) MUNICIPALITY OF ANCHORAGE POST OFFICE BOX 400 ANCHORAGE , ALASKA 99510 William Armstrong Municipality of Anchorage Water Pollution Control Engineering 3000 Arctic Boulevard Anchorage, Alaska 99503 November 10, 1975 Les Bucholz Municipality of Anchorage Department of Environmental Quality 3330 "C" Street Anchorage, Alaska Dear Mr. Bucholz: We have researched the problem of serving Lot 15, Block 1, Majestic Subdivi- sion, with sanitary sewer service, and we found, that due to the topology and shallowness of the existing line that the lot in question cannot be ser- ved by an extension of the existing line with normal gravity flow. The op- tions available for providing sanitary sewer service to Lot 15, Block 1, Majestic Subdivision are: (1) Parallel the existing 8" line and lay the pipe deeper than the existing line. (2) Install a lift station or pump, and connect to the existing line. Both options would be constructed at owners expense.. Sincerely, WA:cj WILLIAM ARMSTRONG P.£. Acting Chief Engineer - Sewer