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Home My WebLink AboutMCMAHON BLK 2 LT 19 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program 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 Permit Number: OSP231324 Work Type: SepticTank Upgrade Tax Code Number: 01704120000 Site Legal Address: MCMAHON BLK 2 LT 19 G:2835 Site Mailing Address: 3701 FURROW CREEK RD, Anchorage Owner: LIPINSKI RICHARD & JANET M Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: �ll�cnr S1 c_ l DeI)III* till ell t 9/22/2023 9/21/2024 30380 ❑ Disposal Field Q 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 Received By: S S Cs Issued By: IL Date: Date: 2 2 2 rJ L 3 5 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. 017-041-20 Property owner(s) Richard Lipinski Day phone Mailing address 3701 Furrow Creek Road, Anchorage, AK 99516 Site address 3701 Furrow Creek Road Legal description (Sub'd., Block & Lot) McMahon, Block 2, Lot 19 Legal description (Township, Range & Section) Lot Size 30,380 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X Septic Tank Q Upgrade (w/wo ADU) p9 ❑ Holding Tank ❑ Renewal ElDuplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ 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. (Signature of property owner or authorized agent) Permit/Rush Fees: Z Z S Waiver Fees: Date of Payment: Date of Payment: Receipt Number: Receipt Number: Permit No. OS P, 32 `% Waiver No. Permit App_-'- : :-'.,'c Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E‐mail: steve@panengak.com Mailing: P.O. Box 1807 Palmer, AK 99645 Telephone: (907) 745‐8200 FAX: (907) 745‐8201 21 September 2023 Municipality of Anchorage Development Services Department On‐Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: McMahon, Block 2, Lot 19 Septic System Upgrade Permit Request This is a design narrative for a permit to install a 1,500‐gallon septic tank to replace an existing 1,250 gallon and 500 gallon septic tank to be issued for this property. The existing tank has collapsed and created an open hole full of raw sewage, it will be abandoned per code. Currently the lot is developed. The proposed replacement will be connected to the existing drain field. This lot and the surrounding lots are served by private wells. There are currently no wells within 100’ of this upgrade. 1. Upgrade Tank Design. A foundation clean out installed if needed. The tank will be located: 5’+ from any property line. 5’+ from any deck/stair support. 10’+ from building foundation. 10’+ from any water line. 100’+ from any surface water. 100’+ from any private wells. 200’+ from any public wells. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at (907) 745‐8200. Sincerely, Steven R. Pannone, PE, F. ASCE Owner/Civil Engineer Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231324, Curtis Townsend, 09/22/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231324, Curtis Townsend, 09/22/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231324, Curtis Townsend, 09/22/23 .~.-.~UNICIPALITY OF ANCHORAGE~, HeJ ' and Environmental Prote' .on Fourth.Floor West 825 L Street Anchorage, Alaska 99501 264-4720 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION ~"~ \~ ~ SEPTIC TANK: DISTANCE ~ FROM WELL ~\~) INS, DE L ENGTH__~'~ /~_____ MANUFACI'U R E A _ MATERIAL '~'~Nc-=t~- L LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY_~lb GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL %_~_O FOUNDATION_ $~ ABSORPTION AREA__~I~) SQ. FT. LENGTH OF EACH LINE ~ DEPTFt OF FILTER DEPTIt: TOP OF TILE TO FINIStfl GRADE ~ MATERIAL BENEATH TILE I ~I TOTAL LENGTH NEARES1- LOT LINE _~...~ .... OF LINE '~.~ TOTAL_ EFFECTIVE fiN. ABOVE TILE ~, IN. SEEPAGE PIT: DIAMETER __OR WIDTH__ Log Crib Rings Crib Size: DIAMETER BUILDING FOUNDATION , NEAREST LOT LINE__ Well INP Class: ~r~TE Depth: Well Distance To: Lot Line Bldg: Sewer Line:.¥%%o Pipe Materials: ~ of Bedrooms: ~ Installer: ~o~%~ ~.-,~u~G Remarks: LENGTH ., DEPTH DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. APPROVED DEF'F-IRTMENT OF HEFILTH FINE:, ENVIRONMENTFIL PRFI]'ECTION 825 '"L"' STREET., FINCHORFI.i. JE., FIK. 264-4720 PERMIT NO. RF'PL I CFINT L 0 R FI T I 0 N L. EGFIL MIKE HOLLRND FUF.:ROW CREEK ROR[:, L19 B2 MCMRHON SUB ri~ ~ SRR E:.,":, i564.-S LOT ': -'"' 2:.':000 SQI_IFIRE FEET T'¢F'E OF SOIL RBSOF.:BTION S'¢STEM IS' TRENCH MRXIMLIM NI..IME:ER F'~F E:EDF.:GOMS = 5 SOIL F..HTIN.~ ':SQ FT,.."E:F.':)= 0 THE RE2;UIF.'ED SIZE OF THE SOIL RBSORPTION _-T.:,TEfl IS: THE LENGTH DIMENSION tS; THE LENGTH (IN FEET) OF' THE TRENCH OR DRFIINFIELD. THE DEPTH OF FI TRENCH OR PIT IS THE DISTFINCE BETWEEN THE SURF'RCE OF THE GROUND RND THE BOTTOM OF THE EXCFI',,,'FITION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRFIVEL BETWEEN THE OUTFRLL PIPE FIND THE BOTTOM OF THE EXCRVFITION (IN FEET). IF4:F_-:C.~,J Z ~:EE:, 'SF'PT -r C:- TRNP-:.' :_--_: z ZE= 5~-Z,E-, F'RC:~-:::R,]-~E F'LRt'-.I]- C,F"T I C,['-.! R PRCKFIGE PLFINT MFI'¢ BE INSTRL. LED RT THE F'ERMITTEE'"S OPTION SUBJECT TO THE FOLLOWING CONDITIONS: :1_. EITHER R CLFISS I OR II NSF RPPROVED PLRNT MFI'~' BE INSTFILLED. 2. R CONTINUOUS MRIN'TENFINCE FIGREEMENT IS REQUIRED. IF R MRINTENRNCE FIGREEMENT IS NOT KEPT CURRENT "r'OU I"IFI'¢ BE REQUIRED TO ENLRRGE THE SOIL RBSORPTION S'T'STEM FIND/'OR 'YOU MFI'¢ BE SUBJECT TO PROSECUTION. T[-.IC, .:' --" ':. .'[ f-.I'.=-]F"E£C:T 'r ,-,P-.I::'] RRE F-:EL---:.,L, Z BRCKFILLING OF RN'¢ S'¢STEM WITHOLIT FINRL IN:,FE_.TION RN[:, FIPF'ROVRL B"r' THIS [:,EPFIRTMENT WILL BE SUBJECT Ti] PRO'"-;ECLITION. MINIMUM DISTFINCE BETWEEN R I.,.IELL RND RN'¢ ON-SITE SEWRGE DISF'O"']FIL S"r'STEM IS :LOR FEE]' FOR R F'RI',,"RTE WELL OR 2F'~C~ FEET FOR R PUBLIC WELL 07'HER REQUIREMENTS MR'¢ FIPPL.'¢. SPECIFICRTIONS FIND CONSTRUC:TION DIFIGRFIMS FIRE FI',/FIILFIBLE TO INSURE PROPER INSTRLLFITION. I CERTIF'¢ THRT :L: I FIM FRMILIRR WITH ]"HE REQUIREMENTS FOR ON-SITE SEWERS RN[." WELL. S RS SET FORTH B'¢ THE MUNICIPFILIT'¢ OF' RNCHORRGE. 2: I WILL INSTFILL THE SYSTEM IN FICCORDFINCE WITH THE CODES. ~';: I UNDERSTFIND THFIT THE ON-SITE SEWER S"r'STEM MR'¢ REQUIRE ENLFIRGEMENT IF' ]'HE F.'.ESIDENCE IS REMODELED TO IN'DE Mr-iRE THFIN 5 BE[:,ROOMS. 7 FIPPL I CRNTHIKE HOLLFIN[:, =,,.., : ........... ',':'. GRE/ " R ANCHORAGE AREA BOI ';IGH Department of Environmental Quality, 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS /'"~?/ /'-~,~o.~ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE /'~/Z2 / NUMBER OF FROM WELL/~/~///'~//'~2MANUFACTURER -C'/~.'~/~/.~Z ,/-~',/-~/ MATERIAL d'~-~'' COMPARTMENTS ~ INSIDE LENGTH ~ INSIDE WIDTH LIQUID DEPTH ~ LIQUID CAPACITY J'~-~c/~ GALLONS. SEEPAGE PIT: , / / / z / / NUMBER OF PITS / . DIAMETER ~ OR WIDTH ~ LENGTH~ , DEPTH ~ g~,~/~. ,~ / / LINING MATERIAL -~/'~'g'~ CRIB SIZE: DIAMETER ~/'DEPTH ~' DISTANCE FROM: ~/?~ TOTAL EFFECTIVE BUILDING FOUNDATION~,~/~, NEAREST LOT LINE . ABSORPTION AREA (WALL AREA) WELL ~',~c~ SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE .~2~:~'~f/ CONSTRUCTION. BUILDING ~/~" NEAREST FOUNDATION ~ LOT LINE /~/ SEWER LINE CESSpOO, ' . OTHER APPROVED DISAPPROVED REMARKS / DEPTH /~/ DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: ~.¢~_--,~/~.-/c~ /~'~'/~/,,~//'~ Form No. EQ~031 DIAGRAM OF SYSTEM GREATER ANCHORAge AReA BOROUC~'h PERMIT NO. DEPARTMENT OF ENVIRONMENTAL QUALITY $330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-456I SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION Of: SEPTIC TANK ~/~ . SEEPAGE Pit ., DRAIN FIELD ~ . OTHER . FINANCED THROUGH ---- TO BE INSTALLED_ BY ~J ~ ~ ' ~~ =OIL ~T SOIL TEST RESULTS - /~ _Ld,;. '- 2 --< .. .N~ TJi$ PERMIT ,S NOT VALID WITHOUT FINAL INSPECTION: 24 HOUR NOT'CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, . , .;/ ?, ....... ~__./ MINIMUM DISTANCES, REOUIREMENTB FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT , DRAIN FIELD /,0 / SEPTIC TANK TO SEEPAGE PIT WALL / sePtiC TaNK ., SEEPAGE PIT TO NEAREST LOT LINE. WELLTO SEPTIC TANK ///U~7/' SEEPAGE PIT DRAIN FIELD /~ 0 WATER MAIN TO SEPTIC TANK drain field SEPTIC TANK. ~0 / , seEPAGE PIT TO R~VER. LAKE. STREAM. ALSO CONSIDER AREA WELLS. SEEPAGE PIT . DRA'N F'ELD d CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED BOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTEd WITH AIRTIGHT REMOVABLE CAPS. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE 1 ~ ~ ~" ~{~b APPLICANT'S SIGNATURE ~~ ~~ FORM NO, KG-016 DEPARTMENT OF HEALTH AND ENV RONMEN'rAL. PROTECTION (825 "L" Street) Decembeir 21, 1977 POUCh 6-650 ANCHORAGE, ALASKA 99502 (907) 279-2511 GEORGE M. SULLIVAN. MA YOR First National Bank of Anchorage P.O. Box 4-2090 Anchorage, Alaska 99509 SUBJECT: Lot 19 block 2 Mc Mahon The adequacy tests on the sewer system failed to pass therefore the following upgrade information is provided. A. Upgrade for a 4 bedroom residence Length = 58' Gravel depth = i0' Approximate depth: 15' B. Upgrade for a 5 bedroom residence Absorption trench Length = 78' Gravel depth = 10' Approximate total depth = 15' Installation of a 500 gallon septic tank to supplement the existing septic tank. A $20.00 permit 'is required prior to excavation. Conditional approval can be -: .... " granted if funds are escrowed for the upgrade and to cover any interim pumping.. Any questions, please contact Les Buchholz, 264-4761. Sincerely, CC: Leonard Reality 5~,0 East 4th Avenue Anchorage, Alaska 99501 R&M ENG.: 'EERING & GEOLOGIC. _.t.. CONSULTANTS 229 EAST 51st. AVE. - P.O. BOX 6087 - ANCHORAGE, ALASKA 99503 TELEPHONE 907-279-0483 TELEX 090-35419 Civil Engineers Geologists Land Surveyor~ JAMES W. ROONEY, P. E. MALCOLM A. MENZlES, P.E., L.S. JAMES H, WELLMAN, P,E, RALPH R, MIGLIACCIO Engineering Geologist October 17, 1973 Hofseth Construction Box 1552, Star Route A Anchorage, Alaska R & M No. 36686 0GT DEPT. OF ~e~ ~o[e a~d So~[ [o~ ~e~o~ ~o~ Sa~a~7 STs~e~ [o~ ~[oc~ 2, H~ Dear Mr. Hofseth: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of October 11, 1973, and those procedures outlined in a letter dated September 13, 1971 by.Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 19 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended to a total d~p_th~ffl7.~feet below ground sur- face. The final log prepared for the test hole has been included in Drawing A-O1. Ground water was not encountered in the test hole. We appreciate being given 'this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS JWR:ph xc: GAAB ~/ (gC "~57g (907)'-'344-9692 DYESs & ZIEGLER EXCAVATING CO. EXCAVATING CONTRACTORS PAUL ZIEGLER Owner 8850 RUNAMUCK pLACE ANCHORAGE, ALASKA 99502 ANCHORAGE FAIRBANKS JUNEAU T.H. 1 10-12-73 Sandy Silt, Trace Organics Gravelly Sand (SW) Silty Sand w/some Gravel (SM). Sandy Silt, w/some Gravel (ML) Silty Sand (SM-Mi) Silt, Tract to some Sand (ML) Sand, Trace Silt (SP) Sand, Trace Silt w/Layers of Silt 6 Inches to 1 Foot Thick 0.0' 3.0' 4.5~ 7.0' 8.5' 11.0' 12.0' NOTE: No Water Table Test hole excavated with tractor-mounted backhoe. 17.0' T.D. Fngineenng ~, Geological Consul fonts ANCHOmAGE FAIRBANKS ALASKA 'JUNEAU HOFSETH CONSTRUCTION COMPANY LOG OF TEST HOL. E Anchorage Alaska '227;$DATE 10--12--73 SCALE 1"=3' IDWNBY JRS ICHKDBYWED IPROJ'NO' 36686 IDW(~NO. A-01 ~0 '~-~, - ~-~MUN l C l PAL ! TY OF ANC,HOR,qu~-~ Time I sp 2 o REOUEST FOR APPROVAL OF INDIVID AL SEWER AND WATER FACILITIES ~Pro ~ert Owller: Mailing Adclress: 4: Single Family Residence- ~-~) Number of Bearoomsl: ~ ~b Multiple Family Residence: ( ) Number ef Bedroo~.fi~.:~/ Well System: Permit # Construction Individual Well {~) Colmmunity/Public System ( ) Depth of Well Well Log on File ( ) Bacterial Analysis ¸7. Sewage Disposal System: Permit # Septic Tank Size Absorption Area Distances: Well to Septic Tank _ ~OO to Sewer Line Nearest Lot line On-site System q~) Public Utility ( ) Installed /q~3 Installer Manufacturer~, Soils_ . ~ Material to Absorption Area Absorption Area to Nearest Lot Line Department of Health and Environmental Protection Request for A,.epreva! ef Individual Sewer and Water Facilities Co~ents: Disappro red: ___k~_ Department Worksheet: Municipality of Anchorage ,l DEPAR~' -NT OF HEALTH & ENVIRONN1ENTAL P~. ;ECTION POUCH 6-650 ANCHORAGE, ALASKA 99502 279-2511 DEPT. OF HEALTH ENVI~,oNMENTAL pROTEC[ION OV 1 1977 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. TYPE OF LOAN .... i ½~",'~,~'E~'~;{~;' ~I~CEL NUMBER D vA [] F...A. coNv [] / 2. LENDING INSTITUTION 4. REALTOR ORAGENT First National Bank of ~c~rage ~ ~: ~n~d R~lty '~-~-~ P. O. ~x 4-2090 /~Lq~']:': 530 E. 4~ Av~ue ~c~rage, ~ask~ 99509 ~chorage, ~ 99501 '~:: Flor~ce W~ ~?~ :: 274-1521 AT~Y~ ~ Holl~d ?'~[: 274-7594 5. SELLER 6. BUYER ~: ~: ~ke Holl~d ~':/~;:~:: ~c~d Lip~ski ~-g[~ ~:;: S~ ~x 1561X ~%~h:.~2~< 237 Yale Way ~c~rage, ~ 99507 Fa~ ~ 99701 ; ,~.,q 349 3260 ~' ~ ?~ 276 0113 7. LEGAL DESCRIPTION 8. LOCATION/STREETADDBESS ~t 19, Block 2, Mcan S~ivision ~ ~row Creek Road 9. TYPE OF DWELLING 10. WATER SUPPLY 11. SEWAGE DISPOSAL SYSTEM ~ SINGLE FAMILY RESIDENCE 5 8DRMS ~ PUBLIC UTILIIY ~ PUBLIC UTILIIY ~ ~ULTI-FA~ILY RESIDENCE__ 8DR~S ~ P81VATE ON-SITE ~ 0N-SITE YEAR INSTALLED INSTRUCTIONS TO 8EB~ESTOR I. Complete Items 1 to 11 above 3. Send to address above 5. Response will be returned to {endi~g 2. Remove the carbon 4. Please allow 10 days for processing i~stitution DATE RECEIVED DAlE 0F INSPECTION TI~E OF INSPECIION INSPECTOR TYPE DEPTH YEA8 DRILLED PER~IT REFERENCE ~ FT. ~ CONSTBUCTION BACTERIAL ANALYSIS LAB REFERENCE YEAR INSTALLED INSTALLER TANK SIZE ~ANUFACTUBER ~ DIMENSIONS CBI8 CONSlRUCTION ~ ~ PIT ~ ~ DISPOSAL FOTAL LINE LENGTH I TRENCH DEPIH GRAVEL DEPTH ~ FIELD m FT. FT. FT. TOTAL ABSORPTION ABEA PERMIT REFERENCE S8. FT. 72-010 (11/76) 96-1220(a) Rev. 1979 · DATE DEPARTMENT OF HEALTH AND SOCIAL S~... ,~ES DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS Lab No. OFFICE INDIVIDUAL [] NAME SEMI-PUBLIC [] CHLORINE RESIDUAL PPM REPORT RESULTS TO ADDRESS CITY ZIP CODE ADDRESS - ~ -", ~ OF SOURCE _~ t.t/ , ~ /- COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY DATE COLLECTED - TIME gOLLECTED Sample Collected From ~1' IGtchen Tdp :[] Bathroom Tap [] Basement Yap _ [] Other (List) Well- [] Dug [] Driven [] Drilled E Bored SOURCE: [] Spring [] Cistern [] Other Dug Well or Cistern Construction: Walls--[~ Wood [] Concrete [] Metal [] Tile Brick or Top --' [] Wood [] Concrete [] Me~al [] Open Top [] Concrete LOCATION: [] In Basement [] Basement Offset [] Under House []ln Yard [] Other Building Sewer Septic Tan~' Feet, DISTANCE TO: or Other Drainage Pipe Feet. Tile Seepage Cess- Field_ Feet. Pit Feet. Pool Feet. Privy .__Feet. Other Possible Sources of Contamination MATERIAL: Building Sewer- ~ Cast Iron [] Wood [] T[le [] Fibre [] Asbestos Cement [] Plastic Joint Material - Type GENERAL: Does Water Become Muddy or Discolored? [] Yes [] No When? D;ameter of Well Depth l:eet. Well Casing Material Diameter Depth Length of Water Depth Drop Pil~e From Bottom _ Feet· Offset in In Ut~llty PUMP LOCATION: [] In Wel [] Basement ~ In Basement [] Room On Top [] Of Well [] Other PURPOSE OF EXAMINATION: Illness Suspected? [] Yes [- No New Source of Supply? [] Yes ~ No Repairs to System? [] Yes [] No Signature READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Analysis shows this Water SAMPLE to be: [] Safisfaclory [] Unsatisfactory [] Questionable [] Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. [] Bottle broken i, transit, please send new sample. SANITARIAN'S REMARKS 06-1220 Cb) BACTERIOLOGICAL WATER ANAL~YSIS RECORD Rev. 1973 Lactose Broth 10CC 10cc 10cc 10cc 10cc 1.0cc 1,0cc 24 Hours Brilliant Green ?' r 48 Hours EMB - · AGAR Lactose Broth, 24 hrs. 48 hrs. Gram's stain Coliform Density (Most probable No. per 100cc) MF Results Reported by Date, i,: i ! /'.i i :i~ ~a'm'p.m.: This analysis indicates Coliform Organisms fo be: ~se~nt~ Present GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 3. Legal Description: ~ //¢ ~ .X. ,~/c. ,5 ]~~ 4. Location: 5. Type of facility to 6e inspected ~/~ mo, o~ ~earooms 6. Well Data: A. Type ~~z~~z,. B. Depth C. Construction ~~-~ D. Bacterial Analysis 7. Sewage Disposal System: ~~ / , / A. Installed /~~2~ B. Installer C. Septic Tank: 1. Size ~2 ~ 2. Manufacturer~/~ D. Seepage Pit: 1. Absorption Area 2, Material [. D~sposal [~eld: lotal length of l~nes Distances: /_/z,,,i o_. 3-/' A. Well to: Septic tank /~p/ , Absorption area /~? Nearest lot line /O , Other contamination B. Foundatiqn to septic tank ./~ / , Absorption area C. Absorption area to nearest lot line , Sewer Lines~"5~,~- EQ-034 (1/74) Page 1 of two pages Page 2.of two pages - Request for Approval of Individual Sewer & Water Facilities !~1 Description ~ //~ ~ ~z~ ~ ~/.~c~/~ ~'~. , Comments Approved _.~-~_~_~_________________~/~ Disapproved Date ~x~/xx~/~- Approval Valid for one year from date signed Greater Anchorage Area. Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I 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. /x~/~ f~~ ~/,/ /~/~ Date SI GNED EQ-034 (1/74) !EATER AI'!CHORAGE Alii:/, BOR[ .~,~ Department of ~nvironmenta'~ Quality 3330 "C" St., Anchorage, Alaska 99503 274L. 4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mailing Address: NHN Furrow Creek Road 3. Narae of Buyer: Torulf Hofseth Mailing Address: NHN Furrow Creek Road 4. Name of Lending Institution: Ci ~RO VA FHA McMahon Subdivision and Torulf Hofseth CONV X Da.y Phone D$_~ P ho ne 3Nh-3518 Alaska Mutual Savings Bank P h o n e 274-3561 Phone f,iailing Address: P.O. Box 1120 Itame of Realtor or Agent: none Mailing Address: Legal Description: Lot 19, Block 2, McMah°n Subdivision L oca ti 0n: Huffman Road Area, Turn off Huffman Road to Furrow Creek Road (Right) go around bend and the subject is located on lefthand side of Furro~ Creek Road. Tri-level N o. ~ d r p4 s. ~ 7. Type of Facility to be inspected: 8. ~ater Supply Type of S~pply: Public Utility If Individual, number of dwellings If Individual, depth of well 9. Sewage Disposal'System Type .of S~stem: Public Utility If individual, date of installation Individual presently served Individual on-site) Please approve the above as soon as possible and return the certification directly to m~ attention. Thank you for your cooperation in this matter. -~ 'l I. Grant Mortgage Loan Closer 06-1220(a) Rev. 1973 DATE INDIVIDUAL [] ALA~..,, DEPARTMENT OF HEALTH AND SOCIAL SEI~HCES DIVISION OF PUBLIC HEALTH Lab No INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS NAME ADDRESS CITY ZIP CODE ADDRESS OF SOURCE ~.-.- 4,' ' i-~.-[ OFFICE An.alysJs shows this Water SAMPLE to be~ I~-'Satlsfactory [] Unsatisfactory ~] Questionable ~1 Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. [] Bottle broken in transit, please send new sample. SANITAR IAN'S REMARKS COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY' ....... "':~ ' SAMPLE COLLECTED BY ' : '-:" DATE COLLECTED TIME COLLECTED - - ' Sample Collected From [] Kitchen Tap [] Bathroom Tap [] Basement Tap [] Other (List) Well-- ~1 Dug [] Driven []-Drilled [] Bored SOURCE: [] SprTng [] Cistern [] Other Dug Well· or Cistern Construction: Walls-- [] Wood [] Concrete [] Metal [] Tile Brick Top -- [] Wood [] Concrete [] Metal [] Open Top [] Concrete LOCATION: [] In Basement [] Basement Offset [] Under House Flln Yard [] Other Building Sewer Septic DISTANCE TO: or Other Drainage Pipe Feet. Tank .Peet. Tile Seepage Cess- Field_ Feet. Pit Feet. Pool Feet. Privy Other Possible Sources of Contamination MATERIAL: Bu~ldlng Sewer- ~ Cast Iron [] Wood [] Tile [] Fibre [] Asbestos Cement [] Plastic Jolnt Material - Type GENERAL: Does Water Become Muddy or Discolored? [] Yes [] No When? Diameter of Well Depth Feet. Well Casing Material Diameter Depth Length of Water Depth Drop Pipe From Bottom - .Feet. Offset in In Utility PUMP LOCATION: [] In Well [] Basement [] n Basement [] Room On Top [] Of Well [] Other PURPOSE OF EXAMINATION: Illness Suspected? New Source of Supply? [] Yes [] No READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING 5AMPLE [] Yes [] N~. Repairs to System? [] Yes [] No Signature o~,-12:~o cb) BACTERIOLOGICAL WATER ANALYSIS RECORD Bev. 1973 · Date Received / ! ~::.'~: ? ' t%~ Time Received ~' ~L'a~. No. ' Lactose Broth - 10cc 10cc 10cc 10cc 10c¢ h0cc h0c¢ 24 Hours 48 Hours EMB AGAR r Lactose Broth, 24 hrs. 48 hrs. Gram's slain . Coliform Density (Mosl probable No. per 100cc) MF Results " ~cember 21, 1977 First National Bank,of Anchorage P,O. Box 4-2090 Anchorage, Alaska 99509 SUBJECT: Lot 19 block 2 Mc Mahon 910 The adequacy tests on the sewer system failed to pass therefore the following upgrade information is provided, Ao Upgrade for a 4 bedroom residence Length = 58' Gravel depth = lO' Approximate depth = 15' B, Upgrade for a 5 bedroom residence Absorption trench 'Length = 78' Gravel depth = lO' Approximate total depth = Installation ~f a 500 gallon septic tank to supplement the existing septic tank. A $20.00 permit is required prior to excavation. Conditional approval can be grante granted if funds are escrowed for the upgrade and to cover any interim pumping, Any questions, please contact Les Buchholz, 264-4761. Sincerely, Les N. Buchholz Senior Environmental Specialist CC: Leonard Reality 530 East 4th Avenue Anchorage, Alaska 99501 AT ,.~,~f~/.4~/~'~--'/ ~,~/~' ~ DATE "'7 ,/ r ... /- /'7 . DATE SIGNED Redifprm ® 4 SEND PARTS 1 AND 3 WITH CARBON INTACT 4 3.:o~,.t.~.,~.4. PA.. w.,~ . ~.u.... ~,T. ... DETACH AND FILE FOR FOLLOW-UP DecamP)er 2, 1977 Mike Holland % Ricl~rd Lipinskt Star Route A Box 1561K Anchorage, Alaa~k 99507 Subject: Lot 19 Block 2 ~-~c Mahon Subdivision Your request for sewer and water facilities 0~% not be approved at this time. Before approval may be granted the following must be eomomplished. (1) Add on a 500 gallon septic tank to the existing 1,250 gallon tank so that it meets the five(5) bedroom requirement. (2) }~ave a percolation test ~an on the e~isting s~epage pit to see if it is adequate for a five(5) bedroom re~idence. (3) Before the-percolation test, hav~ the standpipes to the seepage pit exposed, If an upgrade is necessary, a permit must be obtained fr~m this office befor~ any construction begins. If the~e are any further questions, please contact this offioe at 264-4720° Sincerely, Robert C. Pratt~ Sanita~ian RCP/ljh cC: Leonard Realty % Beth Holland 530 East 4th Avenue 99501 First National Bank of Anchorage % Florence Wagner