HomeMy WebLinkAboutMCMAHON #1 BLK 3 LT 39 Municipality of Anchorage Page__
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: .~ ~ f/OlD? PID Number: all7 11,.('"
r
Name: ~'~£~/~ ~ C Wastewater System: D New ~pgrade
Address: / ~ ~ /~ ¢/] ~ ¢ ~ ABSORPTION FIELD
~ No. of
Phone: '~ ~/ ~ ¢ ~ ~ ~ ~ Bedrooms: q ~ Deep Trench ~ Shallow Trench ~ B Mound B Other
LEGAL DESCRIPTION S°ilRating: ~,~ GPD/Sq. Ft. T°talDepthfr°m°riginalgrade:~,7
Lot: ~ ~ Block: ~ Subd~n~~ Depth to pipe bottom from original grade: - Gravel depth beneath pipe ~,~ Ft.~,~ Ft.
Township~/~ ~ Range: ~ Section:~ '~ ~ ~ ~ Fill added above original grade:~l~ Ft. Gravellength: ~ Ft.
WELL: ~/~ ~ New B Upgrade eravel~~ ~ Number of li~: Ois ancebelweenlines:
Ft. ~ Ft.
Classification (Pr~ate, A,B,C): Total Depth: Ft. Cased To: Ft. Total absorption are~ ~ ~SQ. Ft. Pipe~/~aterial: .~
Driller: Date Drilled: StalicWaterLevel:Ft. Installer~ ~ ~ ~ Dateinstalled:~.~ _ ~/
Yield: GPM Pump Set at: Ft. Casing Height Above Ground:Ft. TAN K
SEPARATION DISTANCES ~eptic U Holding ~ S.T.E.P.
TO Septic Absorption Lift Holding Public/Private Ma~ufacturer:~
From Tank Field Station Tank Sewer Lines ~0
Well ~3 //~ /~¢ ~ ~ Material: ~
s"d~;;~~ ~ ~ ~ ~ LIFT STATION
Line Lot 70 ~7 ~ ~ / Size in gall°ns: I Manufacturer: ~O A
Foundation. ~0' ~ ~ ~ /, / "Pump on" level~/a~ "Pump off" level at:~/~ I H~at~larm at:
Cu~ain / ~ / ~ ~ ~ake&Model Ele,t[icallnspectionspedormedb,:
Remarks: ~ O~ ~0 ~ 4G~,~ BENCH MARK
~ ~ ~ 4~0 ~ ~ ~ ~i~ Location andDescription:~
ENGineS SEAL
Inspections performed by: ¢¢'~¢ ~¢~ ~ Dates: 1st.
Department of Health and Human Services approval
Reviewed and approved by: ~- ~'~ Date:
72-013 (1/91)MOA25
Permit No.
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
LegalDescription: /'' 3¢~ ,~'~ ~C'/~"~'~¢~b~ ~- ,~' PIDNo.: 01,7~113~-
72-013 A (2/~I)MOA 25
Permit No.
Page
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legal Description:
0
* · * * ' · · · ~. · POST IN A CONSPIC~UOU~ ~....~
ELECTRICAL -':' '-
APPLICATIONAND PERMIT ~ ~ ....
MUNICIPALITY OF ANCHORAGE ~.
3500 East Tudor Road Phone 786~8376
o~ ~ ,~- [~u~/~.~- ~ ' ~ ~ 'EL~C~C~PE~T F~;S~ NO. ~ FEE
~Ca~PT~ON O~ WOrK -- ' A~IllO~( WiRJN~
R£MARK$
PI~RMiT EXPm£~ rN 360 DAYS IF WORK
IS NOT COMMENCED
SIGNATURE OP PEDM,TTEE OR
X
.;?0 ','. '~ ,~-,.
84-009 IRov. 4188)
INSPECTION REPORT
MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION
3500 EAST TUDOR ROAD '-
INSpEcTIONS (907) 563-3464 I,,r,~NDRMATION (907) 786-8211
FOOTING [] ELEC. TEMP. __ [] PLBG. UNDGR. []
FOUNDATION __ [] ELEC. SERVICE ~1--I, PLBG. ROUGH ~ []
BOND BEAM -i I ELEC. ROUGH ~ '~' GAS TEMP. []
FRAMING [] ELEC. FINAl' GAS []
INSULATION [] OTHER ~ MECHANICAL ~ r-l.
SHEETROCK [] MECH. FINAL __ []
STRUCT. FINAL __ [] FIRE FINAL [] PLBG. FINAL []
OTHER [] ZONING [] OTHER []
~O NONCOMPLIANCE OBSERVED [] CORRECTIONS ESSENTIAL AS
EXPLAINED BELOW
[] WILL REEXAMINE AT NEXT INSPECTION [] DO NOT CONCEAL UNTIL REINSPECTED
COMMENTS
DATE
~"IEN CORRECTIONS ARE MADE, PLEASE CALL FOR INSPECTION
DO NOT REMOVE THIS NOTICE
84-002 (Rev. 11/87)
Tom Fink,
Mayor
nicipaHty of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
May 20, 1992
Bernie F. Leas
PO Box 110767
Anchorage, Alaska
99511-0767
Subject: Lot 39 Block 3 Mc Mahon Subdivision #1
Permit 9SW910109, PID 9017-361-15
The subject permit, issued May 20, 1991 by this office for a
single family well and/or on-site wastewater system, has
expired as of May 20, 1992.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $200.00 for an
on-site wastewater permit; $75.00 for a well permit and
$275.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sincerely, ~ ~
~?hn Smith~ P. E. ~/
Vrog~am Manager~
On-site Services
eric: Copy of Permit
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF 1
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW910109
DESIGN ENGINEER:ROBERT KNIEFEL, P.E.
OWNER NAME:LEAS BERNIE F &
OWNER ADDRESS:PO BOX 110767
ANCH. AK. 99511-0767
DATE ISSUED: 5/20/91
EXPIRATION DATE: 5/20/92
PARCEL ID:01736115
LEGAL DESCRIPTION: MCMAHON #1 BLK 3 LT 39
LOT SIZE: 60106 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
SEPTIC SYSTEM DES1GN'
l/l= I00/ Kniefel Engineering MOA CE 90-030 .
[149 ~ E
SYSTEH DESZGN GUZDELZNES AND NARRATZVE
LOT 29, BLOCK 3, NCNAHON SUBDZVZSZON
System Design = 4 bedrooms x 188 sf/bed, : 752 sf required
Actual Design : Absorption Bed = 15' x 52' : 780sf provided
All materials, construction methods and required inspections
to follow MOA rules and regulations, The contractor is
responsible for notifying the Engineer and the MOA at least
four hours in advance of all inspection needs. The
Contractor is responsible for the obtaining all electrical
permits and electrical inspections involved with the lift
station and alarm installation.
Contractor will insure no additions or changes have been
made to the location of wells and septic systems on the
adjacent lots prior to the time of construction of this
system. If any changes to those systems have occurred, the
engineer should be immediately contacted for review to
determine if possible changes are necessary·
The OB/Fill material will be removed to the underlying
gravelly sand material under any portion of the bed area.
The lot is generally flat, The installation of the system
will have little or no effect on the surface drainage,
ground water, or adjacent systems in the area.
LQI ..................
Q~E,~...~B.E..,.LQ.Z.....~Q..".~B.E~`.~8~,B,E~.....D.B~,I.~A~.E.~..Q.~......E;..~AI.L.....,.8~.BEE~ ....
The septic tank system should be properly maintained to
include septic tank inspection and pumping on an annual
basis as necessary. If a garbage disposal is used within
the house, the tank size should be increased to 1,500 gal.
The tank should be a two compartment tank, with an
additional lift station and alarm system as approved by the
MOA-DHHS.
The existing tank and system are failing and need to be
properly abandoned· The tank should be pumped and properly
removed,
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
7
8
9
11
12
14
15
DEPTH
17
18
19
20
LO ~ "~ ~! ~ .(./Jc-t¢.-_..~ Township, Range, Section:
SLOPE
SITE PLAN
WASGROONDWA~ER y ~
ENCO~NTERED~
,F YES, ATWHAT I S ~ ~
DEPTH? ~ pO
E
Oepth t° Water After/"~ 0 4"'/'~/~
Monitoring? ~' ,," ~ flare: !
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE __
(minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN -- FT AND -- FT
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 3 ,/~' .~/¢ /
72-008 (Rev. 4/85)
PERFORMED FOR:
1
2
3
4
6
7
8
9
~(~r~'~l ~,~S~E A L)
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
so,~s ~o~ - .~.co~.~,o. ~s~
'
~0 ~1~ ~ Township, Range, Section
S ( 9 s~o.~ S~T..~AN
W^SG"OU.DW^TER
ENCOUNTERED?
S
IF YES, AT WHAT ~3'-" ~9 ~}
DEPTH?
P
Monitoring? ~ Dote:
Reading Date Gross Net Depth to Net
Time Time Water Drop
a..~
(minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN
FT AND '~ FT
11
12
13
14
15
17
18
19
20-
COMMENTS
"E"FORMED BY: /L. /O" ~ C-CC_-- , /(- /:.~, J-rc-~n-. CE.T.. T.A~.T.IS T~T W^S.ERPOR.~D i.
^OCOBDA.OE W,T. ^.~ ST A,B AN~.UN,O,.A. ~U,OE.,N~,N ~OT ON ~..~ DATE. O^TE: '~
72-008 (Rev 4,85)
~./~7.:~. JlUNIClPALITY OF ANCHORAGE
e//~'='J~ ~\\ ~ 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 lPH°NE
LEGAL DESCRIPTION
LOCATION NO, OF BEDROOMS
lell Absorption ~r~ D~ll~n~ PE~IT
o ~ No. of ~artments
~ ~ DISTANCE TO: ~ell D~eHin~ PERMIT ~0.
0 ~ ~ Manufacturer Material Liquid caOacitg in ~allons
No. of lines Z Length of~ne Total length of lines Trench width Distance~etween lines
~' ~ ~ ~ inches
Top of tile to finish grade ~-, Material beneath tile ¢C ¢ inches Total eff~sorption area
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
Class Depth DriUer Distance to lot line ' PERMIT NO.
~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS ~ ~
SOIL TEST RATING ~
REMARKS
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
.-il'" r" L..L ,..,"irq ]
L. O E: F! T ! 0 N
[ F ':iF:IL
"rH~;' RI:9.-..:RJIi::::E[:, : .... L OF TI-lIE ':-;" II RFc. -[;.'F'"f'lOlq S'¢STEM IS:
TI,..!E LENGTH I>II"IENSION :l:S THE L. ENGTH (IN FEET> OF' "['PIE TRENC!-..i OF:: DI::-:-.'F:iINFiELi::'.,.
TH, E: ['.,EPTi-4 01::' R TRENCIq OR PZ"I" ZS "!-HE [:-'ZST!::~iNC:E BETi4EEN THE SL.ii:;;:FRCE O1::' THE
GROL!N[:, FII".-'.:D THE BOTTOM O1:'-': THE EXCRVRT);ON (i!'-,! I::rEET).
THERE ZS I'40 SET 141'DTH FOR TRENCHES.
TI,-'!E GRRVEL.. DEPTH :i:'.:; THE MI Ni'f'I!..IM DE:PTI.'! OF GRFI',,,'EL BETt.,.IEE:N "['HE: OtjTFFiL..L.
i::!l'q[::, TH.E BOTTOi"I O1::' '[".FIE E',:.,',OFIg'F:iTIOi'-,i (iN FEET).
F:'EI,-';:i"i i T FIF'F'L ]: E:!::Ii'-4T l.-li-.qS THE
.... ~L ..... fir.:,.:rl:::i :::Ei'.,F!" 'FO T .4 'r '::; :'P "' F:'E'E'T"r' I':iI'.,ID THE
INS'f'!:IL.L.!':ITiE!i'.~ TN':.F'E'TTi"ZiqS CF
I~...!IE¢:.R OF' F..E.:,I[.;':.~...E_-, THI::I'i ["HE !.-.'E.L~ ...... !.,....~._. SERVE.
M]:i",ilMU.ki [:,!:'3'f'FtNCE B[i:"F!qEEN R klELL. FiND RN? ON-%;~;TE SE!4RI.;iiE [:-'I'..:.;POSFiL. S"r'S]"EM
±(i~¢3 FEET FOR FI PR!',/RTE !.'.fELL..;
~SE~ TO 2E!Ei FEET FRO["1 a F'UBLZC I-'-IELL. DEPENDiN(3 (JF'ON THE T'¢!::'E ,gF I.:'UBL.~:C !4ELL..
kIEL.L.L. OC~?-' FIRE: REg!UiRE['.:' faN[:' I"iLIL:;T [3E F.:I.'CTUF..'NED TO THE [>E:I:::'FiRTI"IENT
Of::' THI'E NELL. C:OI"iPLETION.
OTHER F,;:EI:;¢.JiREi"IEIqTS hil::i'?' FiPPL.?. ."~;F'!:ECIFII:i::I:'-ITIOi?:.E; l:t.i'4[.', C:OI:.!L:'~;TF:LiCTION
FI',,"FiIL. i:~BLE TO INSURE PROI::'ER
:i: I::::L::I:;;:T l l.:'"r' THi::iT
j..: 'i.~ I:tl',i !:;:'I::it"ilL. ll:':iF.: PJ"TPI t H,:::. ,~F ..... i~:b,'k..t.,. ] .-, FO[il .......
.................. L.h '-.: i ~,:. ".;'E. : .........'r' IE'l I ':-';
F:ORTH B'¢ THE I:'!LIN ~ C; ~ PFiL. i 'T"¢ OF Fff-!C:HC~RI:aGE.
:;-::: 1' I.,.!I....L. I i'-t':JTi::ILi... THE ~,"r':~; l'E.i'! !:N i':i(X::Ot:,-.'F.:'i::iN:'C:E Pi I"I'H THE E:(3i~:'E::::;.
2i:: 'r l i~l'.~:'[;,,..'::TF[Jr. THFfT THE: L-.i~.~-.'_;ii~TE -' .... i-, ....... .'(!::
. .::,::.!..!Em ':~;'-,.":;TF.'!,I i-'!H"r' iq'F'.'7 ~"'-"~- ...... '""-'"'*'~"'" '"' ,
....... ~..,.._,. ............................. ih.~:, r.:.~,L. !~....~::.
I"' ..... '-" "" '"" ., .... 1 r"d'"it ,~
': .'..' "' ....,[':.N. ,.:' '~ '::; RE. MO[:,EL.ED 'f'O :i;i"4Cl,..!J[:,l~t hi;':.RE "' ' -" d
FLPI':'I__.:I'QFiNT E:I.) I,-i~)C~ --
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
~/_¢~.,~2~ MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch ~-550, Anchorage, Alaska 99502 276-222~
SOILS LOG- PERCOLATION TEST
OILS LOG
[] PERCOLATION
TEST
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
DATE PERFORMED:
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN
t/
FT AND -- FT
/
72-008 (7/76)
SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF
DRILLED AT THE rate of $18o00 PEr FOOT.
PROPERTY OwNEr
LOCATION Of WELL SITE 2. 59 Bd~o ~ S~: ~ ~ ~~ ~'~
DRILLER B~ ~"~
WELL LOG:
0---26' ~ ~
84
55--81' szot~. ~ a~.i.~ 30%
co~.t, o~ 9aiJ. t..o~: $1512.00
lde. Z.L Ca.g: $10.00
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING.
WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF
THANK YOU VERY MUCH.
BERNIE~TJ-AUS OF RAMPART DRILLING WORKS
DATE
SERVICE CHARGEOF 1~/a% PER MONTH WILL BE AssEssED ON PAST DUEACCO~~
'~: MUNICIPALITY OF ANCHORAGE ii'i,:, :;., ,~. ~ , ,, '~ .... '
~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
) 825 L Street - Anchorage, Alaska 99501 !i~]/: ~
ENVIRONMENTAL ENGINEERING DIVISION ,
Telephone 264-4720 ~ i
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER I PHONE
Ed HerzogI 277-3166
MAI LING ADDRESS
2418 East 20th Avenue
PROPERTY RESIDENT (If different from above) PHONE
2. BUYER PHONE
MAILING ADDRESS
3. LENDING INSTITUTION I PHONE
I
MAILING ADDRESS
4. REALTOR/AGENT I PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
Lot 39 Block 3 Mc Mahon Subdivision
',TR EET LOCATION
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] One [] Four [] Other
~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
7. WATER SUPPLY
3~[] 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.)
8. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
**If individual/on-site, give installation date
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPEcToR I NSPECTO R
DIRECTIONS:
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO ~'/FOU R [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[~ INDIVIDUAL/ON -SITE DATE INSTALLED
Connection Verified INSTALLER
[]Septiq Tank or [] Holding Tank
Size: ~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTUREI~ . . .
TOTAL ~%~.O~1~O N AR EA MATERIAL
4. DISTANCES Septic/Ho]ding Tank Absorption Area Sewer Line I Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5. COMMENTS
[~--~¢r-fiROVED FOR ~:~ BEDROOMS
[] CONDITIONAL APPROVAL {letter must accompany certificate)
[] DISAPPROVED
LEGAL DESCRIPTION
72-010 (Rev, 3/78)
