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Home My WebLink AboutMCKINLEY VIEW ESTATES BLK 2 LT 7McKinley View Estates Block 2 Lot 7 #051 -792-i1 SMItt Municipality of Anchorage Community Development Department Page On -Site Water and Wastewater Program 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: 08P151063 PID Number: 051-792-11 ❑ New ✓Upgrade 1 of 3 Name: DAVID & JOYCE DAVIS ABSORPTION FIELD ❑ Deep Trench ✓ ❑ Other Shallow Trench ❑ Bed ❑ Mound Address 22485 CENTURION DR, CHUGIAK, AK 99567 Phone Number of Bedrooms 3 Soil Rating - 0.6 GPD/SF Total depth from original grade 8.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision Block Lot MCKINLEY VIEW EST 2 7 Fill added above original grade 0 Ft. Gravel length 75 Ft. Township Range Section Gravel width C Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 750 2 Ft Number of trenches 1 Dist. between trenches N/A Ft. Well 200+ 200+ N/A N/A 200+ TANK 0 Septic • S.T.E.P. ■ Holding ■ Other Manufacturer ANCHORAGE TANK Capacity 10OOGaI. Surface Water 100+ 100+ N/A N/A NA Material STEEL Number of compartments 2 Lot Line 51.2 26.2 N/A N/A Foundation 16.0 32.2 N/A N/A LIFT STATION Manufacturer Capacity Gal. Curtain Drain N/A N/A N/A N/A Remarks. 1,,C) E -11Th 1av r zA_, T- -Reo, 1— Pump on level at in. Pump off level at in. High water alarm at in. Ft •fir T i TG aesabiAn., . 0 Lb ells44 K A OW Dia w -D. Pump make and model Electrical Inspections performed by Installer to PIPE MATERIAL House to tank 3034 Teld 3034 drainn field Drainfield 3034 CO/MT 3034. Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100ft Inspection 1st dates: 05/12/15 2�a 05/13/15 Location and description Northeast corner of house trim egt,--,--rt,,,,.r . 3,d 4th COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Conditional Approval: Date Enginee s Stamp _'4.. . mAk 01 $wen t'.'-annorae�O rl) .•.. 8149 j • 4j Flgp t 1 Mer Date 6:- 8 ../5-- Approved�� „ / 70.A71 i /%Ail nspection Report_1-1-12.doc g0 — aN / QL / / UPGRADE DRAIN FIELD (P) 10 / / — 7 / SEPTIC AREA (E) / G G � 6 DRAIN FIELD (E) IN FAILURE RE—USE AS RESERVE / 75LF x 5'W x 4'ED x 8'TD 1000g SEPTIC TANK (6) VERIFY INTEGRITY AND REPLACE W/ 1000g SEPTIC TANK (P) IF FOUND TO BE LEAKING INSTALL DCO AND DV (P) "LOT 7 W DRIVEWAY 11 / co DV oco FC CO G SEPTIC AREA (6) / NOTES: RECORD DRAWING SEPTI AREA (E) TH-1 MTt2 / SEPTIC AREA (E) PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 DRAWN JR L PLAN McKINLEY VIEW ESTATES, BLOCK 2, LOT 7 DAVID (Sc JOYCE DAVIS 22485 CENTURION DRIVE CHUGIAK, AK 99567 / SEPTIC AREA (E) 2 '• re*y�P.� OF A�gS� • Date 05/14/15 P.I.D. NO 051-792-11 Steven A. Pan er*o / PERMIT NO. � CE 814941.1. 05P151063 So Sheet 2 OF 3 A 8 C FC 17.7 6.8 C01 18.6 22.9 ' T1 19.2 24.8 T2 22.9 30.8 DCO 24.2 32.6 DV 26.0 34.8 CO2 27.6 35.8 CO3 35.4 53.8 MT1 36.7 55.3 C04 61.6 45.7 MT2 61.9 47.2 '• re*y�P.� OF A�gS� • Date 05/14/15 P.I.D. NO 051-792-11 Steven A. Pan er*o / PERMIT NO. � CE 814941.1. 05P151063 So Sheet 2 OF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION PE ON-SITE WASTEWATER DISPOSAL SYSTEMS AND ATTACHED SPECIAL PROVISIONS. 2. SCOPE OF WORK: VERIFY INTEGRITY OF EXISTING 1000g SEPTIC TANK AND INSTALL NEW 1000g SEPTIC TANK IF FOUND TO BE LEAKING. INSTALL DOUBLE CLEAN OUT, DIVERTER VALVE, AND SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 14 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 14 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. TH-1 EL.95.9 FILTER FABRIC 4" 0 DRAIN PIPE DRAIN ROCK 6" ABOVE PIPE INV z 0 0 z 0z Z 0w OJ L,_ U CLEAN OUT EL.100.0 CLEAN OUT DIVERTER VALVE —0.5 —14.0 —OR— GM/ SM 40 40 60 0 J U M SECTION EL.91.9 EL.87.9 FILTER FABRIC 4" 0 DRAIN PIPE DRAIN ROCK 6" ABOVE PIPE INV MONITOR TUBE CLEAN OUT ATTACH TO MIDPOINT OF FIELD EL.94. 1000g SEPTIC I `EL.93.9 TANK DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1000 PERC RATE: 12.8 MPI - SOIL RATING: 0.6 GPD/SF AREA ROD: 750 SF SYS. TYPE: WIDE TRENCH 4.0'50 RF: 0.50 MIN LENGTH: 75 LF USE: 75 LFx5'Wx4.0' E.D., 8.0' TD TOTAL AREA: 750 SF EL.91.9 EL.87.9 PROFILE LEGEND W WATER LINE/ WELL RADIUS - SS — NEW SEPTIC EL.91 .9 EL 879 ABBREVIATIONS CU COPPER DIP TN FC T# C# M# R.I. DCO DV FS BFG OG FG TS&V NIC DUCTILE IRON PIPE TEST HOLE FOUNDATION CLEAN OUT TANK CLEAN OUT NO. CLEAN OUT NO. MONITOR TUBE NO. RIGID INSULATION DOUBLE CLEAN OUT DIVERTER VALVE FLOW SPLITTER BELOW FINISH GRADE ORIGINAL GRADE FINISH GRADE - TOPSOIL AND VEGETATE NOT IN CONTRACT NOTES RECORD DRAWING PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 DRAWN JRL DESIGN DETAILS McKINLEY VIEW ESTATES, BLOCK 2, LOT 7 DAVID & JOYCE DAVIS 22485 CENTURION DRIVE CHUGIAK, AK 99567 /' 5st• • OAF 4 %if -'to Steven R. Pannone /PERMIT N0. , ;F.•. CE 8149 .�5 OSP151063 ll� PVE� Sheet l`41 ` x.4k°F 3 OF 3 Date 05/14/15 Scale NTS P.I.D. NO 051-792-11 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP151063 Tax Code Number: 05179211000 Work Type: Septic Upgrade Permit Effective Dates: April 09, 2015 to April 08, 2016 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: MCKINLEY VIEW ESTATES Site Legal Address: MCKINLEY VIEW ESTATES BLK 2 LT 7 G:1459 Owner/Address: DAVIS DAVID L & JOYCE A PO BOX 671470 CHUGIAK AK 995671470 Site Mailing Address: 22485 CENTURION DR, Chugiak Lot Size in Sq Ft: 26645 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: /J /Dj� - Date: Issued By: MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-792-11 Property owner(s) David & Joyce Davis Mailing address P.O. Box 671470, Chugiak, AK 99567 Site address 22485 Centurion Drive Day phone TAI MAR 31 2015 Gretchen Steller Legal description (Sub'd., Block & Lot) McKinley View Estates, Block 2, Lot 7 Legal description (Township, Range & Section) Lot Size 26,645 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (01 all that apply) Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage ❑X APPLICATION IS AN: Initial Upgrade Renewal TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Multiple Dwellings (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: ❑x I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. lgnature of property owner or authorized agent) Permit/Rush Fees: 5ll-f- _ Waiver Fees: Date of Payment: 3/3i/!5 Date of Payment: Receipt Number: 0327gReceipt Number: Permit No. fSPI5I1X03 Waiver No. Permit App_:;- : • ::..mac: Pannone Engineering Services itc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com March 27, 2015 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Rd. P. 0. Box 196650 Anchorage, Alaska 99519 Subject: McKinley View Estates, Block 2, Lot 7 Septic System Upgrade Permit Request Ladies and Gentlemen: I am writing request a permit to construct an upgrade three (3) bedroom septic system on this property. Currently the lot is developed. The existing drain field is in failure and will be re -used as a reserve. An upgrade drain field will be constructed. The existing 1000g septic tank will be verified and if it is found to be leaking a new 1000g septic tank will be installed. This lot and the surrounding lots are served by a Class 'A' water system PWSID# 210697. There are no wells within 200' of this system. Soils. P.E.S. performed one test hole in the vicinity of the drain field in March of 2015, and groundwater was monitored for seven days. Ground water was not observed to a depth of 14.0 feet below the ground elevation in the test hole monitor tube after the seven day monitoring period. It is my opinion, based on the results of the soils tests and overall soils appearance; an application rate of 0.6 gallons/day/square feet should be used for a conventional wastewater system. 1. Soil Absorption System Design. a. See Sheet 2 of the design package. 2. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and d drainage ditches. 3. Topography: The existing topography slopes generally from south to north at approximately 5% in the area of the proposed drain field. There are no steep slopes within 50' of the proposed drain field location. 4. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no surrounding wells within 200 feet of the proposed septic location. If you have anyquestions or concerns, please contact me at 272-8218. Sincerely, gyp.,,.e.tr... • �i II TH IS is •Steven R. Pannone ••� CE H149'k �.*b.L;.... Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 r r –Co?) /7- — 7 , / SEPTIC AREA (E) 6 t UPGRADE DRAIN FIELD (P) / 75LE x 5'W x 4'ED x 8'TD 1000g SEPTIC TANK (E) VERIFY INTEGRITY AND REPLACE W/ 1000g SEPTIC TANK (P) IF FOUND TO BE LEAKING INSTALL DCO AND DV (P) ---- (-7 C7 n 'LOT 7 n yV 3BR DRIVEWAY- HOUSE – SEPTIC AREA (E) 7 , NOTES: FOR CONSTRUCTION 3 V 8 (E) / 25.0 SEPTIC AREA (E) TH-1 DRAIN FIELD (5) IN FAILURE RE–USE AS RESERVE cre /451 A7:0 �� ' SEPTIC AREA (E) 7 39.5 SEPTIC AREA (E) PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 PLAN McKINLEY VIEW ESTATES, BLOCK 2, LOT 7 DAVID & JOYCE DAVIS 22485 CENTURION DRIVE CHUGIAK, AK 99567 %17 4-4-. • OF AC�s�v�l j*:49?TH '.*'l, 18 Date 4/7/2015 r ST tevve�i R: Pannone CE 8149 ;,;`` VRO."C Ct=r PERMIT NO. 05P151063 Sheet 1 OF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS AND ATTACHED SPECIAL PROVISIONS. 2. SCOPE OF WORK: VERIFY INTEGRITY OF EXISTING 1000g SEPTIC TANK AND INSTALL NEW 1000g SEPTIC TANK IF FOUND TO BE LEAKING. INSTALL DOUBLE CLEAN OUT, DIVERTER VALVE, AND SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 14 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 14 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. g0 o od C C LAJO 0 00 D -0.5 -14.0 TH- GM/ SM 40 40 1 60 CLEAN OUT M FILTER FABRIC 4" 0 DRAIN PIPE DRAIN ROCK 6" ABOVE PIPE INV SECTION FILTER FABRIC 4" 0 DRAIN PIPE DRAIN ROCK 6" ABOVE PIPE INV MONITOR TUBE CLEAN OUT ATTACH TO MIDPOINT OF FIELD DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1000 PERC RATE: 1-2.8 MPI SOIL RATING: 0.6 GPD/SF AREA RQD: 750 SF SYS. TYPE: WIDE TRENCH 4.0'ED RF: 0.50 MIN LENGTH: 75 LF USE: 75 LFx5'Wx4.0' E.D., 8.0' TD TOTAL AREA: 750 SF PROFILE LEGEND W WATER LINE/ WELL RADIUS SS NEW SEPTIC ABBREVIATIONS • CU DIP TH FC T# C# M# R.I. DCO DV FS BFG OG FG TS&V NIC COPPER DUCTILE IRON PIPE TEST HOLE - FOUNDATION CLEAN OUT TANK CLEAN OUT NO. CLEAN OUT NO. MONITOR TUBE NO. RIGID INSULATION DOUBLE CLEAN OUT DIVERTER VALVE FLOW SPLITTER BELOW FINISH GRADE ORIGINAL GRADE FINISH GRADE TOPSOIL AND VEGETATE NOT IN CONTRACT NOTES: DESIGN DETAILS PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 McKINLEY VIEW ESTATES, BLOCK 2, LOT 7 DAVID & JOYCE DAVIS 22485 CENTURION DRIVE CHUGIAK, AK 99567 .— OF A&4k , ,1*:49TH /\ •.*4l I •7 Stevenannone F.. CE 8149 % .•fie 414S4' c.•'i 1 0'o�ssioNP �= Date 4/7/2015 Scale NTS P.I.D. NO 051-792-11 PERMIT NO. OSP151063 Sheet 2 OF 3 2 3 4 5 6 7 B 9 10 12 13 14 15 16 17 18 19 TEST HOLE 1 OR GM/ SM BOH ORGANICS BROWN SILTY GRAVEL AND SAND DATE PERFORMED: 3117/15 SOILS LOG - PERCOLATION TEST SLOPE X TH WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? ---- DEPTH TO WATER AFTER MONITORING? -DRY DATE: 3/26/15 SLOPE TH X READING DATE TIME CLOCK NET TIME WATER LEVEL READING NET DROP 1 3/17/15 12:25 --- 3.75 --- 2 12:55 30 MIN 6.57 2.82 3 12:55 --- 3.75 --- 4 1:25 30 MIN 6.14 2.39 5 1:25 --- 3.75 --- 6 1:55 30 MIN 6.09 2.34 PEROLATION RATE 12.8 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 4 FT AND 5 FT COMMENTS: Test hole excavated by JR'S SEPTIC PUMPING. Prec hole was presoaked. Test run for at least one hour. Last 3 readings reported PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: FORCONSTRUCTION PANNONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SOILS LOG McKINLEY VIEW ESTATES, BLOCK 2, LOT 7 DAVID & JOYCE DAVIS 22485 CENTURION DRIVE CHUCIAK, AK 99567 Arse. OF A�gSI1) i4"' x'.57 To 4 j*.49TH )' * R. Pannone • CE 8149 ','ll�\\\�tss Ste Date 4/7/2015 Scale NTS P.I.D. NO 792-11 PERMIT NO. OSP151063 Sheet 3 OF 3 VIC ,=l -"I' sit, -- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTI I 81 ENVIRONMENTAL PROTECTION ENVIROPeIMENTAL ENCIINIF.F.RING DIVISION 825 I. Street - Anchorage, Alaska 991501 '1 elephone 261-4720 ON-SITE SEWAGE MSPOSAL sysTEM AND/OR WELL Nf3PECTWN REPORT NAME '( (12=4/1,`) /- KC' 4' 7, 4,-.',-- //)6.',(AzIA/e;i6c) PHONE 1 _ ,.......,„_. L-^A N EVV ri UPGRADE MAILING ADDRESS /(7/: ,'2Y/ L:7 r 9:/,',5 77 LEGAL DESCRIPTION 7 .7/7/E kr- z„,', C6'(„,r (C,,/ LOCATION NO. OF BEDROOMS - ) 4, '2 • SEPTIC TANK Well I Tbsorption a rea DISTANCE TO: [/.1;w2.,,,;/7 ,,ii7<, (' T Dwelling / PERMIT NO. Manufacturer 1 Material. -/ , :)(-- e No. of compartments Lig. capacity in gallons /00 .0 IF HOMEMADE: Inside length -- Width Liquid depth a DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons TILE DRAINFIELD TRENCH DISTANCE TO: II .- z21t2 7A 04,3 Foundation, Total length of lines ....2.N Nearest lot line Trench widthDistance .3(.inches PERMIT NO. between lines No. of lines / Length of each line rs,-; ,'1.'' . Top of tile to finish grade -4-7/(7..2 ' Material beneath tile irre+rm Total effective absorption area w Ca Length Width Depth PERMIT NO. sot. I— Type of crib Crib diameter Crib depth Total effective absorption area 1.11 c.n DISTANCE TO: Well Building foundation Nearest lot line --I J i47 (.C..ts;'is'; 'Cl'';1;147---/2-1//yr'i Dep X- Driller Distance 10 lot line PERMIT NO. t" DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER Mill PIPE MATERIALS IU SOIL TEST RATING /e26),0 Lio , .). I11I1 REMARKS K.Z/,,-4Ci z.7. ip .c. .VckA I .... f,.,„--4 16„ hfl,...,6--:_=(,- ft NS1-41.-Ac1r- '4F te (2 .SL-1.47td ) 1, k),,:. 401<20,),c+c,i r) \ s, 1 ,,, ii , • 1.,., I I! APPROVED DATE LEGAL ,.•- /V /7..-3 /1.4-4---( 72-013 (Rev. 3/7B) [�� VI LI �� z �� `/0:c1]�� DEPARTMENT ( HEALTH AND ENVIRONMENTAL JTECTION h1��/ '� 825 .� -_.___ ANCHORAGE, AK. .9501 / '�° o�—��i»� ��ww�� r�I )�'4~ 4 PERMIT NO. ( 820918 ) LOCATION LEGAL L7 B2 MCKINLEY VIEW EST LAT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/8R)= 100 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: IDIEEFF11-0= 1.....EEPAGI-11-H1== L-72.-;2 ��1-1.-1== THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE 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 TBEMCHEa THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). -1FIFINK 17,;I:22E2.-= .fILEguDe 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 -11-94 F" EE N73:1- I KEN FE. FR! 01U I E3:11 BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTIOU MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H 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. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. uxF-xFz�� me:EDI--z: iLsge2 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 THE CQDEa 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS. ISSUED /` _ _ __ __ APPLICANT A&S CONST (SHL HPELL8) O & E ENG.dJIEERING & DEVELOI 1v1ENT CO. Russell Oyster 694-2774 Performed for: Name. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 FoalGals: SOIL LOG 688-22b0 Tel. No. Mailing Address: Legal Description: Depth (feet) Soil Characteristics 1 2 3 4 5 6 7 8 9 10 _ 11 12 13 14 15 16 Ground Water Encountered: Yes __ No If yes, what depth Proposed Installation: Seepage Pit Drain Field Comments. PLOT PLAN PERC. TEST ter ter e . ®*n° t., ��OFA��9A mOa.o vmep� a!, • �m...m. ..m°moo� • pal.. m. .ban• .1. i®m Earl P. Ellis • • 4, ®� NO NO. 1745-E ,•'c;�� tetpROFESSIPN•••,4P Performed by: Date: JI '.e z (),' ; 1./.,-.7,-'-- 1.•- ' , t (74 '; ? (-, , d ) i li)1- / i o--6A- v_) 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 OFFIEALTF1 AUTHORITY APPROVAL FOR A SINGLE F/`.Iv1ILY DWELLING Parcel I.D. # 0 .3 / HAA # /77--/ / I ///zY 1. GENERAL INFORMATION Complete legal description Lot 7; Block 2; McKinley View Estates Location (site address or directions) 2;485 Centurion Drive Chugiak, AK Property owner Carl Rutz Day phone 265-8142 Mailing. address C/O Seattle Mortgage 4300 "B" Street Suite 107 Anchorage AK Attn: Jennifer Smith; Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 XXX RECEIVED APR 21 1997 Municipality of Anchorage. Dept, Health & Human Serv,c: NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer XXX NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA#21 T.S'TA-1117.1".:,•.'.1-1" OF K113PEOIVIII As cert.; hy my seal a ifixt:11 hereto aild inyestiiiai.• .11 cfl this I loalth Ohm ppri i• anritypo ; hor6i fileF1LflI;.• •if icherf•ciii.: files ow rroi 3tipply Fil'.1/or.„-•‘!„ ; orclinaric• and Mg; !i.ij )fl 1 efierl the fr, Name •;To _ f?.1). • inf11"; • ;;.. ANL.: Address ir , I o F;1.1o)rir!1 HQW,1 )re;rif;,,r hif I fn.. nri st ipp1\,• ; I : (lbt; 11"n1 ;1 • Irives•tkRttici,,, 1.1 • :HI firdi;)1 1!1 11 ird ;.• ;1taio !his • ' iVed. -nil; 101 ,ornif ; _ ••• .•. . , in •;;.;;i ihe : •,,.••••;rir, iinerii I1;,;;,d1;r ,i !Hri;w1 : ;1)111 ;: Alffliority Approlial corm:if ,,..-„y3 5TT1 c);11, tT-/ 1iiiIJ 1TT1. Tt1:1V 111(1Pf:14111I11- i-4.c.)r(-sionalerliliiirierrogi!•;Noreri in IN.1.1i•Itc,.. iii';111.1111rIoe,, ,.) pori-Nyri)rs Of homes, thc)ir lenciio;.; ; (1.,/,1•1ir(nin-li., irr- .;)yrie., or HI do ill)) IIlT is no) .....7,0oilsihic) for c,•• orni.)-.•,ioi i,, fri.,11 , Condu ct 1-w)fore Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Legal Description: )-o 7- A. A. WELL DATA Well type c -M S5 4 If A, B, or C, attach ADEC letter. Log present (Y/N) Total depth Sanitary seal (Y/N) Wi Health Authority Approval Checklist. r4r. Parcell.D.: QS-/ —'9 "`'r$'I. 144% rok• ADEC water system number F v Date completed �� Jsy�y v/L� ct Cased to Casing ght (above ground) ��e ,off properly protected (Y/N) AT INSPECTION Ids -6(,K. Y X S Date of test Static water level Well production WATER SAMPLE RES Coliform FROM WELL LOG g.p.m. g.p.m. Nitrate Other bacteria Dat •f sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed /o f l )-/?1 Tank size J c G o Number of Compartments tl Cleanouts Q/N) Y4 Foundation cleanout(9m) Y Date of Pumping' � 7 r `' 7 C. ABSORPTION FIELD DATA Date installed /® / l S Length. Width 3 Effective absorption area Depression (Y Pumper 'fr. '� /' " °' I' C1 - High water alarm (Y/j '" ' Soil rating (g.p.d./ft2 or ft2/bdrm3 Ivo System type !- `t''t^' `- Gravel thickness below pipe Y ! 7 Total depth 3 `f '1.4- Monitoring Tube present N) Ygu Depression over field (Y 2 Date of adequacy test � 44.7 `+ 7 Result (PasJFail) PA 5S For `3 bedrooms / Fluid depth in absorption field before test (in.); v '/ Immediately after' S `� O gal. water added (in.): °/ Fluid depth S ,)' (ins) Minutes later: / 0 Absorption rate = "r 5- 'S 1- g.p.d. Peroxide treatment (past 12 months) (Y3 i' v ^"t- k �c .1':✓ If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Size in gallons - Manhole/Access (Y/N) "Pump on" - - "Pump off' level at* High water alarm level at' *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot On adjacent lots Absorption field on lot OJ adjaCt lots Public sewer main Public sewer manhole/cleanout SewerrJseptit serves ice line Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation c f Property line /o t Absorption field '7 ( /'f'4 '" f r ,2c r Water main/service line /0 i Surface water/drainage ) ° ° + Wells on adjacent lots v<< SEPARATION DISTANCE FROM AI3SORPTION FIELD ON LOT TO: ( rw s`007 r Property line LC). /-,3uilding foundation i ° t Water main/service line /0 (- Surface water /co 14- Driveway, parking/vehicle storage area S-0 .1 - Curtain drain r'o://1.- rCfJ4w,✓ F. ENGINEER'S CERTIFICATION Wells on adjacent lots ` Va'n'e` I certify that I have determined thru field inspections and review of Municipal recdfaKtIrreseAv., /Q tems are in conformance w th,}M�AAAA idelines in effect on this date. c9�a,E Signature Eingineer's Name a 4' zrz � c +''4,./ Date (J) -o / q % HAA Fee $ (90 Date of Payment Receipt Number 72-026 (Rev. 3/96)* 7l I jj� /,may ..,.. Waiver Fee $ Date of Payment Receipt Number SENT BY: SMC*JEN SMITH; 5- 1-97 14:26; 9077623246 => 9076941211; x/� "retro r. . AS•6171LT I hereby certify that L have Surveyed the fnll,nciltj d scri1ed property; 4,4°-. 7.:t - r 1114Ktr .t y/ �! i4 11t 1 �-.+� * ' 4 1 Anchorage Recording Precinct, Alaska, and that the improve- ments situatad thereon are within the property lines and do not overtop Or encroach on the property lying adjacent there, to, that no tmprovementa on property lying adjacent theretc encroach on the premixes in question and that there are nc roadways, trat»mtasion lines or other visible easements or paid properly except as indicated hereon. Dated at eagle Rifler, .Alaska thia14is „�_tlayot� r, 194' notieuT C, JOHNSON ” - SCALE' Registered rand Surveyor No. 940-1»5 P' 54 r. Box 456, F:awle River, Alaska Phone 'J07)1;94-2543 APPLI( NT FILLS OUT UPPER HAI. ONLY Property Owner ,L•%Ka�> .;% e "V Mailing Address f. r f /f7,-- ! l-9 "1i4- v Zip Code e�'-'" f 7 Phone �e1- ff c -97)7 Buyer /' Address a -" j Zip Code ?IT'," ,[ Phone ..,77/-r)117 _5(7Gj1.-,74.,„ Lending Institution r ! a r `,_ �''/">. / ,4, .fes ,` •-7_^ Yvj f xr G:`i v.:=; ca -t°< / f Address �C% 7 ,a" < � a ..4e-/7 Zip Code r .. Realty Co. & Agent lfd -4,-,, �-f C j:> --Ti7e f i` ' K.. � ifs l"� L��-8 Address , /z' /-r." ,dt .fi: / ,.2ip Code r'5 `.2 „2.19-76; f/ /,�. Legal Description /, 7 / .,3 i. '` „�/f� �a�.e--0 Street Location /7f f-fitl t,....c>�'V...._ r..c, f ,b -'7 4 -7 -gr 5-- ( -- lam', r'.':..... Type of Residence ' Single Family 2 ❑ Multiple Family No. of Bedrooms Inspector ❑ Other Water Supply ❑ Individual ., Community ❑ Public Utility ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available). Sewer Disposal Individual-.'�E..)('11C,S 1 ,.., t i= ) --:'; 0Public Utility 0 Holding Tank Year Individual Installed. 0 / -- Connected to Public Utility. When NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time ;I Date Date Date Date r Inspector Inspector Inspector Inspector }} \\ 1J'S6f,-t- Field Notes: auil_i IIC'PAI.ITY OC APIC�',OIR;=.Gii Mdlf) , :, . _ Cil )ir ( 7) APPROVED BEDROOMS ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL` DATE /2. -.,7 —4' 'CONDITIONS OF APPROVAL BY: p_. __Q`. 659 Soils Rating Date Sewer Installed / f; ^ `;‘ L- Well To Absorption Area Well to Tank Well Log Received Septic Tank Size / ;Co C`, 72023 (3/82) b from the desk of Ken OaEo -tq-1b1►