HomeMy WebLinkAboutMCKINLEY VIEW ESTATES BLK 2 LT 9•
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Municipality of Anchorage
On -Site Water and Wastewater Program • (907) 343-7904 f ge of
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ON-SITE WASTEWATER INSPECTION REPORT �J
NOV 2 0 2017'
Permit Number: OSP 171268 PID Number: 05179213000
Dwelling: ❑■ Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ■❑ Upgrade
Name:
TERRY VENTERS
ABSORPTION FIELD
❑ Deep Trench ■❑ Shallow Trench ❑Bed El Mound
Address
22507 CENTURION DRIVE
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
854-5233
3
0.6 GPD/SF
8.9' Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
4.8 Ft.
Gravel depth beneath pipe
4.1 Ft.
Subdivision Block Lot
MCKINLEY VIEW ESTATES 2 9
Fill added above original grade
0.3 Ft.
Gravel length
75 Ft.
Township Range Section
Gravel width
5 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
750 Ft2
1
-- Ft.
Well
__
__
__
__
__
TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Greer
Capacity
1000 Gal.
surface water
+100
+100
--
__
Material
Steel
Number of compartments
2
Lot Line
+5'
+10'
--
--
NA
Foundation
+5'
+10'
--
__
LIFT STATION
Manufacturer
--
Capacity
__ Gal.
Curtain Drain
+50'
+50'
--
--
RemarksOld Tank Abandoned per Moa Code.
Pump on level at
-- in.
Pump off level at
-- in.
High water alarm at
-- in.
Old Leachfield Abandoned in place
Pump make and model
Electrical Inspections performed by
PIPE MATERIAL House to tank exist Tank to
drainfield 3034
Installer
John's Excavating
Drainfield 3034 CO/MT 3034
Inspector Charles Balzarini
BENCH MARK (Assumed elevation) 100 ft
Inspection 15 9/24/17 9/25/17
Location and description
da2nd
3rd 41h
Stair Landing Pad
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
�1ar
�... t1�
�,���, ;4 q
Conditional Approval: Date
,�.'�• '•;s��j
49.L 0-70
• ..
..................ru
G�• 6S &t1 ItiRi ; MOW
14
Approved C�yc� Date /0//0//,?
Inspection Report_9-1-12.doc
LEGEND
A/,.4
* CLEANOUT OF
AS:Ft2j�k.S- - . q
* MONITOR TUBE AOV'A,' . - �
i Jam_
TEST HOLE 49
ARLES G BALZARINI
LOT 8
LOT 9
DRIVEWAY
2
BM: STAIR
3 BR 0, LANDING PAD
HOME
1000 GAL
SEPTIC TANK
DOUBLE CLEAN TS
D LOT IS FLAT
AT SEPTIC
5'x75'DRAINFIELD A
WITH 4' EFFECTIVE / 7kl� TH-1 LOCATION
EWER ROCK. 12
Fb-
Sl�ANGTiFS G
1 2
A 23.3 26 9 LOT 10 51',
B 27-2�
c 29.71 32-24 375POWERLINE
D 29.74 33.13 EASEMENT
E 19,a9 41.14
P 19-35 54.72
G 6196 71.52
H 65-12 S3.S5 SEPTIC AREA
pi AKI - 1"= IfY
- +100.0' STAIR LANDING PAD
99.5-\ MONITOR TUBE
'0
CLEANOUT --l% r99,1 FINISHED GRADE
+4'COVER TESTHOLE
94.6 98,8' ORIG. GRADE
COVER TESTHOLE ELEVATIONS BASED
ON TESTHOLE 1. NOTE THAT GROUNDWATER MONITOR
1000 GAL TANK REVEALED NO GROUNDWATER DURING CONSTRUCTION.
94.4 94.04 29! 94,0 (9124(17)
AO O AC O
B4O,H L -----J 83,8
SCHEMATIC ELEVATION - SCALE: NTS
LEGAL DESCRIPTION: MCKINLEY VIEW EST. BLOCK 2 LOT 9
C&M ENGINEERING SERVICES OWNER: TERRY VENTERS DATE: 10/18/17 1 REV: 11 DRAWN: CB I REF:
907-854-5558
SEPTIC RECORD DRAWING
' MUNICIPALITY OF ANCHORAGE
On-Site Water& Wastewater Program ,S.;
- PO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
http://www.muni.org/onsite
•
On-Site Wastewater Disposal System Permit q -2-3 -
q-24 - 64
Permit Number: OSP171268 Effective Date: 9/22/2017
Work Type: Septic Upgrade Expiration Date: 9/22/2018
Tax Code Number: 05179213000
Site Legal Address: MCKINLEY VIEW ESTATES BLK 2 LT 9 G:1459
Site Mailing Address: 22507 CENTURION DR, Chugiak
Owner: VENTERS TERRY JOSEPH Lot Size in Sq Ft: 21283
Design Engineer: C & M Engineering Total Bedrooms: 3
This permit is for the construction of:
Q Disposal Field El 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: If letters of non-objection are not submitted prior to trench bottom-of-hole
inspection, existing trench (located within easement) shall be abandoned.
Received By: Date:
Issued By: ( ajrt rC% Date: 1
MUNICIPALITY OF ANCHORAGE
Community Development Department "' Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On-Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 051-792-13
Property owner(s) TERRY VENTERS Day phone 854-5233
Mailing address 22507 CENTURION DRIVE
Site address 22507 CENTURION DRIVE
Legal description (Sub'd., Block & Lot) MCKINLEY VIEW ESTATES BLOCK 2 LOT9
Legal description (Township, Range & Section)
Lot Size 21 ,500 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(0 all that apply)
Absorption Field Initial ❑ Single Family (SF) 111
(w/wo ADU)
Septic Tankx❑ UID de
Duplex (D) ❑
Holding Tank ❑ Multiple Dwellings ❑
Privy ❑ E P t SD (SF and/or D)
SE '/ �, i! �
Private Well ❑ �� ti
Water Storage ❑ ,�`�
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
S'. atur- o property owner or authorized agent)
Permit/Rush Fees: 5(P'1 Waiver Fees:
Date of Payment: q 1) 3)11 Date of Payment:
Receipt Number: 0 e tit) Receipt Number:
Permit No. cGf' +i 12 c8 Waiver No.
Permit App_ • :: c
C&M ENGINEERING SERVICES
Ph:907-854-5558
Municipality of Anchorage
Onsite Water&Wastewater Program
4700 Elmore Rd Anchorage, Ak 99507
RE: Proposed Septic System Replacement for McKinley View Estates Block 2 Lot 9
Dear Reviewer,
The above referenced property is currently served by an older 3 bedroom septic system. The original
leachfield is saturated and the septic tank is partially collapsed and is no longer suitable to provide
wastewater disposal for the residence. The owner is currently using a portable toilet to dispose of waste.
We are requesting a permit to replace the septic tank and leachfield. The old system will be connected
with a diverter valve in the event that the owner is able to secure letters of non-objection from the local
utility.
The proposed design will place a new system in the back yard. The system is shaped to keep it out of the
power line easement.
Installation of the proposed system will not negatively impact adjacent lots. Drainage is not a major
consideration in this design as the site topography will not be altered.
Included with this letter is a permit application, plans, specifications, and calculations.
Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854-
5558 or by email cgbalzarini[a)gmail.com with any questions or concerns.
Sincerely,
harles Ba . rini, P
C&M ENGINEERING SERVICES
907-854-5558
Septic Design Calculations
Kcs,icicnce: MCKINLEY VIEW ESTATES BLOCK 2 LOT 9
RESIDENCE/LOT INFO
number of bedrooms 3 br
Water usage/bedroom 150 gpd/br
Water Usage 450 gpd
DRAINFIELD
system type: Conventional
type: Shallow Trench
Application Rate 0.6 gpd/sqft
required absorption area 750 sqft
trench width (W) 5 ft
gravel depth (0) 4 ft below distribution pipe
Shallow Trench Factor 0.5
Min Required Length: 75 ft (Shallow trench factor * Required
absorption area/W)
Total Excavation Depth: See cross section
Cover: 4 ft min
Insulation: 2" blueboard
Use Length: 75 ft
Effluent Pipe: 4" ASTM 3034
Design Summary
System type: Conventional
Tank: 1000 gal
New Drainfield: (1)5'X75'X4' W'xL'xD' shallow trench
Total absorption area: 750 sqft
See cross section prior to excavating
Calc By: CGB Date: 9/7/2017
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Nii 'ARLES G BALZARINI
I��?'E •. CE--113854 .••(Z./
-� PROF ESS\O\s\- +
SEPTIC AREA
o 9-, LOT 8
O�
O= 11��� LOT 9
4.
2� C..
40
=', DRIVEWAY
J`
DISPOSE OF
,``) 3 BR EXISTING TANK
HOME PER MOA
REQUIREMENTS
1000 GAL
`V� SEPTIC TANK
���i DOUBLE CLEANOUT
•!" LOT IS FLAT
5'x75'DRAINFIELD ���;+ DIVERTER AT SEPTIC
WITH 4'EFFECTIVELOCATION
SEWER ROCK /6 TH-1 .
12'
lal' lip 4111111
10"MIN
12 .
LOT 10 EXISTING 3x70
sr DRAINFIELD
TO REMAIN
37.5'POWERLINE
EASEMENT
SEPTIC AREA
NOTES:
1.THE PROPOSED SEPTIC SYSTEM IS GREATER THAN
100'FROM ANY PRIVATE WELLS
LEGEND 200'FROM ANY PUBLIC WELLS
O CLEANOUT 100'FROM ANY SURFACE WATER
50'FROM ANY STEEP SLOPES
• MONITOR TUBE 10'TO ANY PROPERTY LINE OR FOUNDATION
® TEST HOLE 5'TO ANY TEST HOLES
2.NEIGHBORING LOTS SERVED BY COMMUNITY WATER
0 5% \SLOPE INDICATOR
SCALE: 1"=30'
LEGAL DESCRIPTION:MCKINLEY VIEW ESTATES BLOCK 2 LOT 9
C&M ENGINEERING SERVICES OWNER:TERRY VENTERS DATE:9/07117 I REV:0 I DRAWN: CB REF:
907-854-5558
SITE PLAN
'401
Municipality of Anchorage i P ,.11 At-lif t
Development Services Department s."‘")...
•.• , 1• I
Building Safety Division # ' 49IB ..-sr A
I Aime On-Site Water and Wastewater Program �, r
I.
f l 4700 Elmore Road i
o
��S•�— P.O. Box 196650 Anchorage,AK 99507 "" '•• •
•
www.ci.anchorage.ak.us f • G.Balzarini
tom. (907)343-7904 ,1 ••• CE-13854 ...ex'
Soils Log Percolation Test 1 9+0• l4,4v.,• � '
I •
fII, ;
Performed For: TERRY VENTERS Date Performed (74,1%t ,/17
Legal Description: MCKINLEY VIEW ESTATES B2 of Township, Range,Section:
Slope Site Plan
Depth
Feet
TD er/01{,.4 /
1 - ' 4-t1
2-~ et. f�,-E R,
c/."`
3- (. .
4- jL igtttty Gj,i.j cf
5wlei Sov,ie .
5-
6-
7-i, ,
8-
WAS GROUND WATER NO
9- c ,' ENCOUNTERED?
S
10- IF YES,AT WHAT DEPTH? NONE t
0
t
Depth to Water Atter •P
11- I Monitoring? �0A' E _ •
12- 1 I Date:/JL/'7
13-
14- - Reading Date Gross Time Net Time Depth to Water Net Drop
1__1 1 `q[e-T /
15--t SRn/'p- 0e'n, _ 1 9/9/17 4:02 0 8' 0
16- 2 4:28 24 12" 4
17- 3 4:29 0 8" 0
18- 4 4:58 29 12" 4
•
19- 5 4:59 0 8" 0
20- 6 5:28 29 12" 4
PERCOLATION RATE 8 (minuies.',nchj PERC HOLE DIAMETER 6
TEST RUN BETWEEN 4 FT ANDS FT
COMMENTS PER HOLE PRE-SOAKED PER MOA REQUIREMENTS. NOTE: ONLY 4" OF WATER ADDED TO
PERC HOLE DURING TEST, HENCE READINGS <30 MINUTES. PREVIOUS SOILS LOGS SHOW 5l ot_,.•E iZ
PERFORMED BY: I , L�. bL- r4J2 �1- l ERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: qI07
C&M ENGINEERING SERVICES
Ph: 907-854-5558
SPECIFICATIONS FOR ONSITE SEPTIC SYSTEM - MOA CERTIFIED INSTALLER
LEGAL: Mckinley View Estates Block 2 Lot 9
September, 2017
A. GENERAL
1. The septic design is for a 3 bedroom, single family residence only.
2. The site plan and drawings shall be a part of this specification.
3. The Wastewater system shall be installed by a certified installer in accordance with
moa requirements. All materials and workmanship shall meet the Anchorage
Department of Health and State Department of Environmental Conservation
requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field
by the engineer. The engineer shall perform percolation tests and groundwater
monitoring prior to finalizing design..
5. All excavations and depths are advisory and are to be verified in the field by the
contractor to meet Municipality of Anchorage, Department of Environment of
Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and
to locate any adjacent multi-family wells. A licensed surveyor should locate all
nearby lot lines, easements, exact 100' radius from the existing and neighboring on-
site wells, and any nearby surface water.
7. The excavation is to be exactly in the area shown on the site plan, any deviation
requires engineer approval.
8. Any remaining open test hole excavations shall be filled and monitor tube removed,
after construction of the Drainfield.
9. The contractor shall provide the engineer with adequate notice to perform
inspections.
10. Insulate the sewer line where it passes under the driveway, with a minimum of 2"
extruded board insulation, rated for burial, and on the moa approved list.
B. SEPTIC TANK
1. Septic tank shall be a fiberglass or steel, 1000-gallon tank capacity of MOA
approved construction. Installed to meet MOA requirements.
2. Install 2 after tank cleanouts between the tank and drain field.
3. Install a diverter valve to allow alternate use of the old system.
4. A combination of soil and 2" minimum of insulation shall be placed over the tank, to
prevent ponding and promote drainage. The insulation shall be rated for burial and
meet moa requirements.
C. DRAINFIELD
1. The Drainfield is to be located as shown on the site plan. Notify Engineer of any
changed site conditions.
2. The total depth of the initial drainfield excavation is to be at maximum 9' deep
Bottom of excavation shall be level +/- 1.5" max. If bedrock or inconsistent soils are
encountered, notify the engineer immediately.
3. In the event of over-excavation, a moa filter sand shall be used to maintain the 6'
separation distance from the bottom of each trench to the bottom of the test
hole(s).The top of the sand layer shall be level, plus or minus 1 .5", and raked, prior
to placing sewer rock. Care shall be taken to not compact the sand.
4. A 48 inch effective layer of sewer rock is to be placed in the each trench. The
effluent piping is to be set on top of this layer and buried within the gravel layer with
2" of sewer rock cover over the piping.
5. The Distribution pipe shall be 4" perforated pvc pipe conforming to ASTM D3034.
6. The complete Drainfield gravel and piping is to be covered with a geotextile filter
fabric.
7. Soil or combination of soil and extruded board insulation to a depth of 3' or
equivalent is to be placed over the drainfield. Mounded side slopes shall not to
exceed 3:1. The minimum insulation thickness shall be 2". Insulation shall be moa
approved and rated for burial.
8. The septic tank and leachfield must not be closer than 100' to any existing private
well, 150' to any Class "C" well, or 200' to any community well.
Design Summary:
Excavation Depth: 9' Gravel Depth: 4.0' under distribution pipe, 2" over
pipe. i.��v»%it
Drainfield Length: 75' Drainfield Width: 5' .1
49�
TH
Soil Rating: 0.6 gpd/sqft System Capacity: 3 Bedrooms .' • •s
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MUNICIPALITY OF ANCItORAGE
DEPARTIVIENT OF HEALTH & ENWRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING D~VlSION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE D~SPOSAL SYSTEM AND/OR WELL ~NSPECT~ON R~PORT
~) "'~ ..... I~,~*,'; ~ () J [~ UPGRADE
NAME
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
t/Veil
DISTANCE TO:
Manufacturer
~ rLqcapacty nga onsl MEM DE
I ~ [)()~) IF HO A
~ I D,STANCETO: I '
~ Manufacturer
~ J Ne. of lines ~ I Length of each line
~ ~ ~Top of t~le to flmsh grade
~ ~ I Type of crib
~ J~SS Depth
ption area
Dwelling
|Material
NO. OF BEDROOMS
PERMIT NO.
No. of compartments
Inside length Liquid depth
Dwelling PERMIT NO.
Liquid capacity in gallons
f Material
Foundatio~;~ ~ Nearest lot line ~ ~.
Material beneath tile
1~7 ('~ inches
Depth
Crib depth
Building foundation
Driller
Sewer line
QTHER
PIPE MATERIALS
i" 'q C
SOIL TEST RATING
INSTALLER
REMARKS
PERMIT NO.
~!,, ~_('~ q ':ii
Distance between lines
Tobal effective absorptign area
7'~i~ ~:2~'
Total effective a~bs_orption area
t line
Septic tank [ Absorpti~n a-rea (s)
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
PERMIT NO.
~--'l LI t'-~ Z C: Z "-' A L..1[ 1- %-" C~ F Ft ~-~ C: ~-~ '"~ F~: ~ ('.~ E
DEP~RTMENT , HEFILTH FIND EN'./~RONMENTAL . ,OTECT~ON
825 'L." STREET, RNCHORFIGE, FIK.
2,54-4~20
( 8209i:F )
FIPPL I CFINT
[..C)CFIT I ON
LEGFIL
WFIYNE KUBRT CONST. PO BOH 206 EFIGLE RIVER ~9577 694-36t3
L9 B2 MCKINLEY 9IEW ESTFITES LOT SIZE 99DDV~ SQUFIRE FEET
'TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD
MANIMUM NUMBER OF BEDROOMS
SOIL RFITING (SQ FT,,'BR)= f45
THE REQUIRED SIZE OF THE SOIL FIBSORPTION SYSTEM IS:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF ]"HE TRENCH OR DRFIINFIELD.
'THE DEPTH OF FI TRENCH OR PIT IS THE DISTFINCE BETI4EEN THE SURFACE OF THE
GROtJND FIND THE BOTTOM OF THE EXCFIVRTION (IN FEE]').
THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVEL BETI,.IEEN THE OUTFFILL PIPE
FIND THE BOTTOM OF THE EMCFIVFtTION (IN FEET).
PERMIT FIPPLIC:FIN'¥ HFIS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTFIL. LFITION INSPECTIONS OF FINY WELLS FIDJ8CENT TO THIS PROPERTY FIND 'THE
NUMBER OF RESIDENCES THFIT THE WELL WILL. SERVE.
E.'FICKFILLING OF FtN¥ SYSTEM WITHOUT FINFIL INSPECTION FIND FIPPROVAL BY THIS
DEPI=IRTMENT WILL BE SUBJECT TO PROSECUTION.
HINIMUM DISTFINCE BETWEEN Iq. WELL FIND FINY ON-SITE SEHFIGE DISPOSAL SYSTEM IS
±EIE1 FEET FOR FI PRIVFITE NELL OR f5C4 TO 2L=IO FEET FROM FI PUBLIC 14ELL DEPENDING
UPON THE TYPE OF PUBLIC I.,.IELL
MINIMUM DISTFINCE FROM FI PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET FIND
TO FI COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQIJIREMENTS MFIY FIPPLY. SPECIFICFITIONS AND CONSTRLtCTION DIFIGRBMS FIRE
FIVFIILFIBLE TO INSURE PROPER INSTFII.~LFITION.
I CERTIFY THFfF
±: I AM FRMILIFIR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND NELL. S FIS SET
FORTH BY THE MUNICIPFILITY OF' FINCHORFIGE.
2: I WILL INSTRLL THE SWSTEM IN ~CCORDRNCE WITH THE CODES.
3: I UNDERSTFIND THFIT THE ON-SITE SEWER SYSTEM MFIY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODEI...ED TO INCLUDE MORE THFtN ]: BEDROOMS.
, · j~ .... /---
I . , / ~' '
.:, J, ~r~zb: .... ~2~._~ ......... : .... J .................................... ~ ~/~Z~ ' ")
AF'F'LICRNT/ NRYNE KUBRT CONST. '{~ ~ ~S: ': 3'/
.Z'W . ,.¢' / .--.,/ ,: ., :7 Lt - '-'
.................. ~ ........ ~ ........................ [.HTE_: .................... ~ ,,:,,, ¢ ..... 4.-
PERMIT NO.
DEPRRTME1",IT OF' HERLTH RND ENYIRO1",IMENTRL. PROTECTION
825 "L'" STREET., R1",ICHORRGE, BK. :~.950±
2,?.',4-4720
C~li"-4---:'S; % T'E: :~ EIt,.-.~ EE F~,'.' F' EIF~.,,-.:If'"ll .'[ 'T
( 8205~S~:L )
FIPPI_ I CFlNT
LOCFIT I ON
LEGAL
CHFlRLES 8, F:'OGRNY DE',,,'. PO BOX 32]: EFtGLE RIVER RK 9957 688-;2~2'.:?E~
L.D B2 MCKINLEY VIEH EST S,-."D LOT SIZE SCa.'sLgS~L:~ S(.::!UF:IRE FEET
TYPE C)F SOIL. F:IBSORP]"IOiq SYSTEM IS: TRENCH
MFI;.",iIMLIM I'.,IUME~ER OF BEDROOMS = 2-':
SOIL RFIT t NG
THE REQUIRED SIZE: OF' THE SOIL I::IBSORPTION SYSTEM IS:
Ir:::, E.:: F- T' IHI ..... :STa b. E: IP,,tl ,]-~ ]" 114 -= ~-; '_:..:~: C~ F~: FI %-" E.F_ iI._ EX:, E P' ]- H == ~-.'T,
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRIBINFIELD.
THE DEPTH OF FI TRENCH OR PIT I'.E; THE DISTFlNCE BETHEEN THE SURFFlCE OF THE
GROUND FIND THE 80TTOM OF ]"HE EXCFIVFITION (IN FEET).
THERE IL=.; NO SET k!IDTH FOR TREt'.,ICHES;.
THE: GRRYEL. DEPTH IS ]'HE:.:.' MINIMUM DEPTH OF GRR',,,'EL E:ETklEEN THE OUTFRLL. PIPE
RND THE; BOTTOM OF THE: EXCRYRTION (11.4 FEET).
PERMIT RPPLICIqNT HI:tS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE
IN:STRLLFITION INSPECTIONS OF RNY klELLS RDJRC'ENT TO THIS PROPERTY RND THE
NUMBER OF: RESIDENCES TNFIT THE klELL WILL SER',?E.
.......... -'IF i~.,.il Ct ,::: 2 :) ~: t'-4 5'; F" E C: T Z El If'-,] S; F~ f~ [:C ~: E ~;:~ ~.J Z F;;: EE [2:, ........
8FIC:KFIL. L. ING OF' RNY SYSTEM I.,.IITHC~UT FINRL INSPECTION RND RF'PROYRL EIY THIS;
DEF'RRTMENT HILL BE SUBJECT TO PROSECUTION.
MIN:£MLIM DISTF!,NCE BET!.4EEN Ft HELL. RND FINY Ot",I-SITE SEI.'.IFIGE DISPOSFIL SYSTEM IS
::L00 FEET FOR R PF.:IYFITE k!ELL OR .!.50 'TO 200 FEET FROM Ia PUBLII.'? HELL DEPENDING
UPON THE TYPE OF PUBLIC HELL...
MINIMUM DISTFINCE FROM FI PRIYFITE klEI._L TO Fl PRIVFITE SEHER LINE IS'"; 25 FEE]' AND
TO Fl C:OMMUNITY SEt.,.IEF.'. LINE IS 75 FEET.
OTHER REQtJIREMENTS MFlY RPPLY. S;PECIFICATIONS RND COI",!STRUCTION DIRGRFII'"IS RRE
R",,'R I LRSLE TO 11",ISURE PF.'.OPER INSTALL. FIT 101'.4.
I CERTIFY THAT
:1..: I RM F'RMIL. IFIR t,.IITH THE REgILIIREMENTS F'OR ON-SITE SEklERS FIND HELLS FIS SE:T
FORTH BY THE MUNICIPALITY OF ANCHORRGE.
2: I HILL INSTALL THE SYSTEM IN RCCORDRNCE HITN THE CODES;.
2-:: I U1",IDERSTAND THFtT TNE ON-SITE SEHER SYSTEM MRY REg!UIRE ENLFtRGEMENT IF THE
RESIDENCE IS REMODEL. ED TO !1'.,IC:LUDE MORE TFIRN ::~: BEDROOMS.
._- ..,..-- ,¢ ' , . ., ' , ..
FIF'F'L I CFINT CHFIF.:LES ,!i:: POGFINY DEY. . ,,,,, ,,~-t'
Oyster
694-2774
Performed for:
Legal Description:
E ENL~INEERING & DEVELO,
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Name.'
Mailing Address:
SOIL LOG
~2
MENT CO,
I~epth (fe~t)
Soil Characteristics
4
5
6
8
10__
11__
13 :
14__
15__
16 .__
Ground Water Encountered:
Proposed Installation: Seepage Pit__
Comments:
PLOT PLAN
PERC. TEST
Yes____ No'*/*v' If yes, what depth
Drain Field____
~u~s®ll Oyster
694-2774
Performed for:
& E ENGINEERING & DEVELOk,VlENT
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
SOIL LOG
Legal Description:
Mailing Address: /~'
CO,
Earl
688-2280
//'/b'vt./ ~s
Depth (feet)
0
Soil Characteristics
10__
11__
12__
13'
PLOT PLAN
PERC. TEST
14__
15__
16m
Ground Water Encountered: Yes__ No V/' If yes, what depth
Proposed Installation: Seepage Pit Drain Field_
Comments:
Performed by:
APPL (. MT F LL$ OUT UPPEF HAL. ONLY
Propert. Owner //i'/ ~ ~ ~ ? ~]? ,' ': ."~ -
, ' " ' Zip Code ' ' ,'
Mailing Address / ~ . ' ·
Address : : . ~ ~ : ,, , , ~ Zip Code
Lending Institution .......... -:=~=~'~----~: .......... ~ 4:.,'; ;~/~'-~ ./ .~,-~- ~ ~' ..~,;',~ ', Phone
Address Zip Code
Phone
Realty Co. & Agent , ' '
Address ';" '''r / * Zip Code
Legal Description '~ : ..
Street Location
Type of Residence
~] Single Family
~ Multiple Family No. of Bedrooms '
~ Other
Water Supply
~ Individual ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975.
~ Community For wells drilled prior to that date, give well depth (attach Icg if available).
[] Public Utility
Sewer Disposal q~ .~i ~(.1~_\\/ ~ ,_~ ,~- ,/i/ .~ '
~'~ .,4 , t .% ~ Year Individual Installed: ''~ '~
[] Individual
[] Public Utility ~ . ~ When Connected to Public Utility:
[~ Holding Tank ( ; . 'I(_')-\(r
NOTE: THE INSPECTION FEE ['/IUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Insp~tor Insp~tor [nsp~tor Insp~tor
Field Notes: ~')FnT C
(~ APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL*
B~: ~(
Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received
72-023
DATE:
TO:
FROM:
SUBJEC'T:
M EIV1ORANDUIVI
October 27, 1.982
Laura Crow
Senior Office Assistant
Request for Refund - Account #2460
Please make the necessary arrangements for the following
refunds. It is a duplicate permit and they had a private
engineer do the inspections in lieu of this department
Lot 9 Beck 2 Hc Kinley View Estates Subdivision
Wayne Kubat Construction Permit tt820937
Post Office Box 206 On--site Sewer Permit ~- $20.00
Eagle River, Alaska 99577 Receipt ~202048
Wayne Kubat Construction
Post Office Box 206
Eagle River, Alaska 99577
Permit #820991
On-site Sewer Permit - $20.00
Receipt # 206067
Total Amount: $40.00
Thank you.
Laura J. Ward
Senior Office Assistant
Sewer and Water Program
LJW
attachements
91-010 (5/78}
'~O
MUNIGIPALITY OF ANGHORAGE
~ Department of Health & Human Services ~ · °~"V/c~s~?
DIVISION OF ENVIRONMENTAL343.4744 SERVICES
TY APPFIOVAL
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
NAA#
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
LOT 9, Block 2, McKINLEY VIEW ESTATES SUBDIVISION
Location (address or directions)
(b) Property owner A.H.F.~.#43977
Mailing Address
(c) Lendin9 Institution
Mailing Address
Telephone: (home)
520 F~AZ 34~h Au¢.~u¢_; Ancho~a?.; AK
Telephone
Business 561-1900
(dj Real Estate Company and Agent JACK WHITE COMPANY Ms. Lori Crowder
Address 10728 Eage River Road, Eagle River, AK. 99577
Telephone 694-5500
(e) Mail the HAA to the following address: (or check here [], if hold for pick up.)
List contact person and day phone number below:
S & S ENGINEERING
17034 Eagle Ri~er Loop Road
Eagle River, Alaska 99577
2. TYPE OF RESIDENCE
Single-Family~ Number of bedrooms
3. WATER SUPPLY
Individual Well [] Community~Y' Pub c. ,1~
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site,[~( Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legailty and status.
72~025 (Rev, 7/88) Page 1 of 2
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NOI.LVIAIblO::INI (]N'¢ ¥.LYQ 'HOEI¥=IS ~'11:1 'S.LS~I.L 'SNOI.LO=IdSNI 9Nl(]lAObld IAIHI-I E)NltJ=I~NIONq 'S
A. WELL DATA
Well Classification
Well Log Present (Y/N) __
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
SEPARATION DISTANCES FROM WELL:
MUNICIPALITY OF ANCHORAGE (MOA)
Health Authority Approval (HAA)
~ CHECKLIST - FEBRUARY 1984
SE,riViCES DiVISIO~,I
Dnte Oompleted
343-4744
Legal Description:
If A, B, C, D.E.C. Approved (Y/N) Y
Yield
Depth of Grouting
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
To Septic/Holding Tank on Lot -"~L¢ ,;4j,/4- ; On Adjoining Lots
To Nearest Edge of Absorption Field or~ Lot -~.?~.~-.,c:::. t .~,. ; On Adjoining Lots
To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole
To Nearest Sewer Service Line on Lot
Water Sample Collected by
Water Sample Test Results
Comments ~ ~x"~
; Date
B. SEPTIC/HOLDING TANK DATA
Date Installed ~Size
Standpipes (Y/N)
DepreSsion over Tank (Y/N)
Pumping/Maintenance Contact on File (Y/N)
No. of Compartments
Air-tight Caps (Y/N) ~ Foundation Cleanout (Y/N) ~/'
~ Date Last Pumped
; for
Holding Tank High-Water Alarm (Y/N) M .?? Temporary Holding Tank Permit (Y/N) AJ//1
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-Supply Well
To Property Line
To Water Main/Service Line
To Stream, Pond, Lake or Major Drainage Course
Comments
To Building Foundation
To Disposal Field
72-026 (Rev. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Type of System Design
Square Feet of Absortion Area "~(~ ~
Depression over Field (Y/N) 10
Results of Last Adequacy Test .... ~¢¢_¢0~,~¢_c~ ~
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well __
To Building Foundation
Lot [ -~ ~
To Water Main/Service Line __
Length of Field ___~l_O '
Depth of Field
Gravel Bed Thickness
Statndpipes Present (Y/N) __
Date of Last Adequacy Test
I
To Property Line / ~
To Existing or Abandoned System on
; On Adjoining Lots "~:*~¢~' ''~
To Cutback (if present) _~N~, ~'q~-/L~.q't
To Stream, Pond, Lake, or Major Drainage Course ~J Q2¢~ _lO e~"~
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION,.
Date .nstalle'd
Size in Gallons
"Pump On" Level at _
High Water Alarm Lew~l at
Comments
~Chock Pormittod Bedroom Batin~ A~ainst HAA ~equost~
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
inspection.
Signed ~ S E. NGiNEERI~G
17034 Eagle River Loop Read
~ 7
(.,om party
MOA No.
Receipt No.
Date of Payment
Amount: $
72 026 (Rev. 7/88) Back
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this
STEVE COWPER, GOVERNOR
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN DISTRICT OFFICE
3601 C STREET, SUITE 316
ANCHORAGE, ALASKA 99503
563-6775
DATE: June 16, 1989
PWSID: 210697
To Whom It May Concern:
According to the records on file in this office, the MCKINLEY VIEW
S/D water system is in compliance with the State of Alaska Drinking
Water Regulations.
sincerely,
Environmental Field officer