HomeMy WebLinkAboutMCMAHON #1 BLK 3 LT 40O6/LO/z 02 2
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP241310 PID Number: 017-361-16
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade
Name
DAVID &ANN HALE
ABSORPTION FIELD - EXISTING
❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
12900 KILLEY STREET, ANCHORAGE
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
MCMAHON #1 3 40
Fill added above original grade
Ft.
Gravel length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ft'
Ft.
Well
100'+
__
25'+
TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER
Capacity
1500 Gal.
Surface Water
1001+
--
Material
HDPE
Number of compartments
2
Lot Line
10'+
--
NA
Foundation
10'+
__
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks Tank insulated. Deep burial HDPE tank.
Alarm location
Electrical installed by
Tank to
PIPE MATERIAL House to tank 3034 dra afield 3034
Installer MICHEAL N ANDERSON, PE (MNA)
Drainfield CO/MT
Inspector FWCS & MNA
BENCH MARK Assumed elevation) 100 ft
Inspection
1'` 10/25/24 d 11/05/24
Location and description
2
3rd 4'h
TOP OF MANHOLE
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
�
�� •••'•� l�
Conditional Approval: Date
Ae
.. .. .........
�J' •' •••• '•••":••'�
Curtis Huffman
Septic Syste�
Approved, P ' �-
Date
�F• CE 128991
r
.,.
lF • .12/04/24 aG ,U.
,,.
�il
PROF ESSI
,fit\�1`�'�
/Note: t is approval does not include well permit requirem nts.
(Rev 05/g2/18)
PID:017-361-16
1500 -GAL DPL
PERMIT:
OSP241310
DEEP BU IAL
I
I
x
RECONNECTED TO FC
99.54
CO6M
EXISTING LD W/
1
EXISTING DCO.
XI
r
I
x
C?LTJ
A—D=39,7'
I
LJ
u
1.3
�
Q
GRN
�
X�x
Z
HSE ni
B—D=29,7'
H
I
i
WELL RADIUS
AT CONST.
W
LLJ
u
EXISTING
BM:
1,500 -GALLON
U
—
A—E-38,0'
DCO
O
DEEP BURIAL
P\\"0
x E
O
o
•00
USED EXISTING DCO
NEAR BEGINNING OF
CO
i O
EXISTING SHORT
DECOMMISS
NED �• MH
°
EXISTING
-T-D
CD
�
&INSTALLS
NEW C
FCO
FIRCV D
I
A 26.0'
PAVED
D/ W
MH N
Y
U In
Li
ca Lo 1' CANT
31,3'
J
EXISTING 0 30'
4BR 'i u
HOUSE N
1 7,0' N
I �
DECK 't LLJ
LJ
o �
BW CANT o
O }
30,5' j� LLJ
O J
J_
FP CANT CD Y
Z
LOT 40
BLK 3
N89°53'00"E 95,00'
TAIGA DRIVE
6D
WELL
0
A—C=41,2'
1500 -GAL DPL
DEEP BU IAL
SEPTIC T K &
RECONNECTED TO FC
99.54
EXISTING LD W/
W
EXISTING DCO.
W
r
I
x
A—D=39,7'
I
96.94
u
I A
�
Q
X�x
Z
B—D=29,7'
STAKED 100'
WELL RADIUS
AT CONST.
r
96.36
1,500 -GALLON
9619
—
A—E-38,0'
DEEP BURIAL
P\\"0
EXISTING FIELD
B—E=41,9'
•00
USED EXISTING DCO
NEAR BEGINNING OF
FCO
FIRCV D
I
A 26.0'
PAVED
D/ W
MH N
Y
U In
Li
ca Lo 1' CANT
31,3'
J
EXISTING 0 30'
4BR 'i u
HOUSE N
1 7,0' N
I �
DECK 't LLJ
LJ
o �
BW CANT o
O }
30,5' j� LLJ
O J
J_
FP CANT CD Y
Z
LOT 40
BLK 3
N89°53'00"E 95,00'
TAIGA DRIVE
6D
WELL
0
A—C=41,2'
BM
99.54
B—C=24,7'
A—D=39,7'
96.94
4• of INSUL
B—D=29,7'
96.36
1,500 -GALLON
9619
—
A—E-38,0'
DEEP BURIAL
EXISTING FIELD
B—E=41,9'
HDPE TANK
USED EXISTING DCO
NEAR BEGINNING OF
EXISTING SHORT
TRENCH k CLOSE TO
NEW TANK, WHICH
ALLOWS SYSTEM
MAINTENANCE. LINES
SEPTIC SECTION
WERE JETTED.
SCALE: NTS
MCMAHON #1 BLOCK 3 LOT 40
PREPARED FOR:
DAVID & ANN HALE
12900 KILLEY STREET
ANCHORAGE, AK 99516
FIRST WATER CONSULTING
13030 SUES WAY
ANCHORAGE, AK 99516
907-350-9566 FirstWaterAK@gmail.com
CO
SUPPORT$ SERVICES: 400
OF ALS
l✓l� * 9 TH�
DATE: 12/3/24
rtis Huffman
SURVEY: JLS 1 �rJ,� CE 128991Ao
`y
DRAWN: FWCS t �12/3/2024e o
SCALE: 1" = 30' \ssto�Ay i
S88°05'00"E 174.68' /
10' UTILITY ESM- °
— — x—x--x—x—x—x—x_ x _x __—X3 —
1—
��I
I
I 9.7'
y;
X
ILOT 40 I a
BLK 3 I o
1"=30' I O
0 21.0'
i— x v FIREWOOD
w Cn I
W GRN o 26, o'
W Z i NSE v PAVED N
c— z D/N
LLI w x
ry `'J ~ II
(! W U I N J
O M X
Q
J O
Y n
Q Q SEPTIC • L 1) 1' CANT 31.3'
~ I PIPE MH 15.0'
Z_ O ;tCL m)
X EXISTING 0 30'
SOLARIUM HOUSE
X • 3.5'
N
1 X DECK LTJ
1 I LTJ
XF0
Y lY
I O r) 3: (n
BW CANT
O
O Ld
x_
"x 30.5' j_ J
O _J
FP CANT O Y
I
7 -
CD o
II o
a; In -
WELL
OO N89°53'00"E 95.00'
o I
r�
TAIGA DRIVE
ANCHORAGE RECORDING DISTRICT, ALASKA o T
AS -BUILT OF:
McMAHON SUBDIVISION IST ADD
LOT 40 BLOCK 3 PLAT 71-317
SURVEY CERTIFICATE: I, John L. Schuller, Have conducted. a
physical survey of this property as shown on this drawing and that the
improvements situated hereon are within the property lines and no
enchroachments exist other than noted. Under no circumstance shoulc
any information on this drawing be used for construction of fences,
structures, improvements, or for establishing boundary lines.
EXCLUSION NOTES: It is the owners responsibility to determine
the existence of any easements, covenants, or restrictions which
do not appear on the recorded subdivision plat.
WORK ORDER NUMBER: DATE: SCALE: E -Mau
NOV 5, 2024 1"=30' schullerak®gmall.corr
24-107 DRAMA! BY: CHECKED BY GRID NUMBER: BOCK/AGE:
JLS SW2835 240335
ALS®®
f
V0' C�' 49TH y
••J N L. SCHULLER - c
LS -10408 "o�
AIW
\\w fesslonot _�2'
4suwV4'�I
1831 Talkeetna Street
Anchorage, Alaska 99508
(907) 227-1455 office
(907) 274-4992 fax
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
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241310
Work Type: SepticTank Upgrade
Tax Code Number: 01736116000
Site Legal Address: MCMAHON #1 BLK 3 LT 40 G:2835
Site Mailing Address: 12900 KILLEY ST, Anchorage
Owner: HALE DAVID & ANN
Design Engineer: FIRST WATER CONSULTING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
9/13/2024
9/13/2025
29733
❑ 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: t S '-� �✓ Date:
Issued By: Date:
�3�
4
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 017-361-16
Property owner(s) DAVID & ANN HALE Day phone
Mailing address 12900 KILLEY STREET, ANCHORAGE, AK 99516
Site address 12900 KILLEY STREET, ANCHORAGE, AK 99516
Legal description (Sub'd., Block & Lot) MCMAHON #1 B3, L40
Legal description (Township, Range & Section)
Lot Size 29,733 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(Z all that apply)
Absorption Field
❑
Initial
Single Family (SF) RX
(w/wo ADU)
Septic Tank
RX
Upgrade 0
Duplex (D) ❑
Holding Tank
R
Renewal R
Multiple Dwellings ❑
Privy
and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES
A 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: _� 2 2-5 Waiver Fees:
Date of Payment:
Receipt Number:
Permit No. 0—f?,0 %'q
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
!
!!
September 13, 2024
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC TANK UPGRADE PERMIT
LEGAL: McMAHON #1 BLOCK 3, LOT 40
The owner has requested that we obtain a septic permit ASAP to upgrade the existing failed &
aged steel septic tank on the above referenced lot. As septic tank permits were previously issued
by simple letter and although not currently normal, we urgently request issuance of this simple
tank upgrade permit. Multiple attempts were made to have a surveyor complete, but were
unavailable to do so, the western side of this property is served by public water and all private
wells are 100 from the proposed tank. The subject 100’ well radius will be staked prior to
construction. As standard, a survey will be completed after install.
We propose to install a 1500-gallon HDPE deep burial septic tank per the attached design to
serve the existing 4-bedroom residence. No groundwater was noted in the MOA on-site file, but
if groundwater is encountered during installation an epoxy coated steel septic tank or other
actions may be required. The lot and area are served by private water and public water and any
encroaching wells, easements, … must be staked prior to construction. The design will not
impact any of the neighboring properties. Please contact us if you have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241310, Curtis Townsend, 09/13/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241310, Curtis Townsend, 09/13/24
GREA,ER ANCHORAGE AREA BOR
Department of Environmental Ouality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATION
MAILING ADDRESS /~¢.)~ L/ ~/5~/~> ~/I/~'/¢- PHONE
LEGAL DESCRIPTION
SEPtiC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER
INSIDE WIDTH
NUMBER OF ~
MATERIAL ~ COMPARTMENTS
LIQUID DEPTH LIQUID CAPACITY/~ GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL/<~"~" FOUNDATION
NUMBER OF LINES / DISTANCE BETWEEN LINES
ABSORPTION AREA
DEPTH:
NEAREST LOT LINE /¢ t TOTALOF LINES LENGTH~
/~///]- TRENCH WIDTH?g IN. TOTAL EFFECTIVE
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH TILE /~ ! IN. ABOVE TILE IN.
WELL:
BUILDING
FOUNDATION__
CESSPOOt
APPROVED
CONSTRUCTION DEPTH
NEAREST NEAREST SEPTIC SEEPAGE
LOT LINE SEWER LINE__., TANK SYSTEM
, OTHER SOURCES
DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES:
INSTALLED BY: /~~~
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT 5LOPE:
REMARNS:
D AT E//'-~ - ~,~ APPROVED
G.A.A.B,
Form EQ-032
SIX INCH WATEr WELL DRILLED AND CASED OUT TO THE DEPTH OF
DRILLED aT The raTE of ~lSe00 PEr FOOT.
86 feet.
ProPErTY OWNEr I4~_~ ~f~ _l~u~ha 2?2-?088
LOCATION OF WELL SITE Lt.~. ~} Rlk. _3 Sub~
WELL LOG:
0---~2' Sandy Gravel,,
32--85' Gravel ~_th a X~ % _~!-_y bi. er.
85--87' Water Bearing gravel producing XO GP~ ~ater recovery to ?0 feet of surface.
Pump should be installed five feet off eased bottom.
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.
BERNI~CLAUS OE RAMPART DRILLING WORKS
SERVICE CHArgeof I~% Per mONth WiLL bI~ ASSESSED O PASt~JEACCOUNTS. --
I~..OT SIZE ::.;';i.:.~':.~'~[ll2~ SLz.!I.JFIF.".E F:EET
'T'"r'F:'E OF SOIL faE:SCtF.'.E:TIIL'IN S~r'STEM I';T,: 'FRENCH
I'"I¢:~::.:',:t:I"IUt"'I NUMBEF..' OF BEDF?.OOMS = 4 SOIL F:FtTZF,tG ,::SF.-:! FT,-"BF::: .... :L;.::'.'.5
'THE REC.:!IJIf4tEI:::' SZE:E OF THE ~.iOIL. RE',SORF'TZON S'T'STEH
.ri:::::, lEE-.': Ii='` "'tF' Ifil ::-~ :1...~4t. _ ~ L_ I~Z
:"HI.:_' LENGTH I)II"IEI'.,ISION IS THE LEI'.,IGTH (IN FEET:)) OF' THE ]'REI'qC:H i]ll:;.: t}RFIII',IFI'I:ELI],.
THE DEF'"i"H OF FI TREi'-,IC:I:-I OR F'IT I:::-'; THE E.',ISTRNCE E:ETtJEEN THE L'SURFFIE.'E OF THE
13ROUND t:~t'.,ID THE BOTTOM OF THE E:-'::CFt',,,'FITION ,::IN FEET::,.
TI:.iiEI:;?.E ]:'_:; NO SE'F I.,.tI[:,TH FOF..: TF.:ENCI:4E':T,.
'I"HE GF;:Ft',,,'EL [>EF']"H IS :"HE MINIMUH [.:,EF']"H OF' GRRVEL BETI,.IEIEN THE OUTFI'-:ILL. PIPE
F:ll'.,l[)) THE E,'OT'TOH OF' THE E:,.::CFI',,,'RTION ,:.'IN FEE]"::'.
T' ~....ii K::, .:: ;:='~'.: '::, ][ P-,ii ~-~'~; F' IE:Z ,:Z:: 'T' ]: ,:;, li'-41 :i-~; Fit F-: E: tF-': FZ'Z ,: .T.:.~ ILJt % IF;J: E:
E~IZlCI<F I EL. ]: NG OF' I:iN'-? '_'?'STEH !,.I I THOUT F.'[ I'.,IF:IL I N::-PECT :1: ON FI I'.41:::, FIF'F',q:(]VFIL E~"r' 'T'H
C, EF'F:IR'T'MEi",IT I.,.I I EL. BIE SUELTECT 'T'O F'F.:O~;ECIJT :t: O1",1.
I:'ilN]:MLiM [:'IST'F:INIL':E 8ETNEEN R NELL FIt",IP Flf',t"r' CIN-:E;ITE SEWRGE C, I SPCIL"-:;FII_ S'T"Z:;TEM tS
FEET F(::IF4: FI PRI',,,'FITE 1.4ELI_ OR ;.:.'i'.l.~l,~il F'I."-.'E'T FOR FI PUBL. II]: I.,.tELL.
t.'.IELL LOGS RF.'.E REQUIF.'.E[:' laNE:' MUST BE F~:ETUF..'NED TO THE I)EF:'RF4.':TMENT I.,.tlTH]:N SE~ DFI'¢E;
THE I,.IEL. I_ COHPI_ETION.
SF'EC ]: F: I CFIT' I OI",IS Ri"4E:, CONSTRUCT :1: ON .F.)) I FIGF..'FIM:5 FIRE l::l',/FI I I._RBLE TO I N'.'SUF,'E F't~:OF'EI;i:
t",ISTRL L R T ]: ON.
I CEf;-':T I F:"T' THFtT
::L: t FIH F'RMIL. IFII;-'. NITH THE tREQI_IIF4'.EMENT'S FOl:~'. ON-SITE SEI.qER::J laN[:." NEL. I_?5 las SET
F'OF:TH E?~" THE I"IUNICIF'RLIT"¢ OF RI",tCHOF.':IaGE.
2: i I.,.III_L INE;TFtLL THE S'¢STEM It"4 FiC:CC~RE))FINCE I.,.IITH THE COC'ES.
]: F' T'Fa E
l"i!:::iF:;Ij"ii..ti'"i i itcl l I"ii-:: [i~IEDI:;~:CIOM!~; = 4
..... ; ..... (iF' THE SO:IL i:;:lE'::"l:;?l:::'"rtF'ltq S"r':E;"i"EM
!'H!E i:;UiD;:&.! ]Z RED :E;~ ,:;
THE i...ENEiTH D Z[ F'iEtqS; ); ON 121 ]'FIE LIENEi"f'H ,:: ); I'.,t f:"EE'T ::, O1:::' THE 'I"F-.'%NC':H [)R DRI:::I ! NF:' I iEL. D.
THiE [)iil}:F:']"H OF I::1 TI-;::ENCH OR PIT ZS THE [:,ZSTRt'-,!CE BIETb. IEEI'.,I 'I"HE SLIIq:I:z'FII]:E;_' (;jIF:' THE
dil:;::Ol..li'.,![::, FII'.,t[:, THE E=EF/"TEtM Eq.:r THE E',:.:',CFIVI::ITIEd",t <iN FEET).
THi~]:;;:E ;l::ii!; I'.,IO SET i.,.i :[ [:,TH I:::'O1:;i: TREi},ICHES.
TI..li;i!: Gl:;;:l:::i'vqiii].... DEP'I'H :.r.S THE; HI I'-,IIi',tt...IM [:,EI:::'TH ('.'il::" GI;?.FI',,,'EI_ E',ETHEEN THE: OUTFFtl....I...
I::iNi], THE Ein]Fi"TOM [)F THE E]:':iCFI',,,'FqT~ 0I",1 < ]:t",1 FEET ).
E Z!;'l"l..ll:ii:R F:! CL..F:I'Z';S .t; EIR ]Z I 1'.4:.-];1::' Hi-r'l: .... I:':[ F'L. FII",FI" l"'ll:::l'v' BE :[I"4STF:IL.L. IE[:'.
!:::1 T:r')i'.,!"i- 7 i'.,Ii If'il ICj; MF:I I I'.,i't"ENF:!t'.,t(::I~:J: FIGE:EEFIE:]q'I" i E; t:4:E~;!t_t I lq:ED, t F:' F:I FtF:t :[ NTE]",II::II",ICIE
i:::i[~i:;;:iEI!H"IH:N'T ~:~i; I"tf"T I<EPT Ci...iI:~:REIqT VT_ MFI"r' BE RE[-:!LtIRE[:' T'.] EI"4Lf:IRGE THE '.E;E~:[I
F:IE!~:!i!;Eff~:PT'.r ')N . ::1[:.~t I:qt"JD,.'"OF;: "r'"'. MFI"r' I':!~E SL.IEn]EE:T '1"El I:::'I:;;:I.]'JSECIJ'T'Z ']1",I.
);F:' F:i (]LFY.:SS ;i; :,'r::,][.lt IS I...tS;LED TIqE Lkl',l:~fl' I'Z'; ]:::5:. 1::!I F;'EET.
Z i::' i::I E:I....F:I!5.':}; ~[ ]; :"SVSTEM :IS USED THIE LIE!",!(]i"I'H I:.'.:.'; 4]i:. Et F:'EET.
Eiff::iCKF]:Li.._]:F,I(:~i ']I:::' F:IN"r' S"r'STEM H:[THOIJ]" I";' :i: I',iF:IL. ]~N:E;F'ECTZON !::11",11} I'-FI:"I:~_,t'I... 'l'l"'i :f: '_:ii;
DiiEI:::'I:::IF?.Ti"li!!]'-,IT H Z[ LL E[E ~};I._iEI..)'['ZCT ]"1]]1 F'F;i:OSF£Ci...IT t O1",!.
k'l :l: I'.,I )Z HL.iH D :i: :i!;'I"F:Ii",ICE li.i:ETHEEI'.,I I:::1 HELL. Ftt'-,II} ffll"4"r' (]l",t-S Z TE ':'SEI4F:IGE [:' I SPO:E;FIL :'Z"r'S'I"IEN Z( S
:i.E!n;!~ FLEET I:::Oi:;~: t:::i I::'I:;;:]:',,,'FI]'E HELL. OR ;2:EiI.Zt F[.:.:ET FOI:;;: I::1 I:::'LIE[LIC HELl. ....
HIEI...L. LEft:ii:E; F:IF4:E F;:E~(;;!LIII:RED F:IND I"llJ:!~iT E:IE RE]'LIIq:I",tE[> TO THE [:'EF:'I::IRTIqE:I",!T I.,.I ]; TH ]: I",I ]i:O [)l::l"r':~;
Eft::' 'I"HiE i'.IEL. L.
:i!i;F:'E]]:i: ]: F:' ]: Ci:::IT ]: ON:i~; I:::IND COI",ISTf;;:I...ICTICff4 [:' ]: FIGFi:FIt"IS RI:;i:E I::I',,,'F:IILF:ltT-.,'L.E: TO ;l:l",t'_::i;L.II:;i:liE i:::'REII::'[.~]:;?.
Zi: t'.,i:E; T f::i L L.I::~'i" :[ 0 N.
I CiERT :IZ F"r' THF:IT
::i..: :t: I::11"t FI:::iI'4ZL]:FIR 14ZTH THE t:;;:Eg!U:(REi"IEI"dTS FOF:: Ed"d"-'.:5ITE SE!-,.II'_:(I:;;% F:IN[:, 1.4EI...I....S Iq:E; SET
i:::'[)l:;¥/"H Eft' 'i'HE I"iUNZ[CZI::'F:tL.!T'9 OF F:INC:H(:)RF:iGE.
2: ]: H .'i.' L.L ]: NSTFIL.L THE S"r"ZTEM i I",! I::ICC::OI:;;:[:'f:~,I",tCE [,.! I TH THE CO[:'ES.
ii:: ;1: Ui",I[)EI:;;:STFII",!D 'I'HFiT TH[i Ot",i-L:;I']'F2 S[EI.,.IER S"r'STEH MF:I"r' RE(;!LtII:~:E EI"&..f::IF::GEHEi",I]" Z i::' 'THE:
I:;;:IES): I}IEi'.,IE:E ~4OI:::,E[..E:BM il'O ~ NCMJ[::,E HE,,~;;:E: THRi'.,I 4
:::, .t.I.,riJ",d::.~..:: ...... .7.~{....'_~.,_~ .......... ..,~._.~_..r2 ......................................
'~j~ ~(::]:::Ii",FT' 'T'I:::I {;;?. I {"'{I.J C H t::1
]] :iiJ;:iii;l..,IE:]') E','T', ............................... [)ffl'l"lili'..... ...........
Lo~ of Test
TH1
Organics (p)
Gravelly sand, w/trace
silt (sp)
Sand w/some wilt (sm)
0.0t
1,0'
4o0T
Silty sand - sandy silt
(sm ml)
25O
Sand w/some wilt and trace
gravel (sm)
7°~t
10.0'
No watertable
18.5' TD
TH1
Ex is t lng
house
Yaro Mucha
Property
Lot 40 Block 3
McMahon Subdivision
No scale
TH 2
SILT, SOM~ SAND (SM)
SILT, TRACE SAND
AND GRAVEL (ML)
0.0t
GRAgELLY SAND (SP)
4.5~
No Scale
SAND W/SO~
SILT GRADING TO
SILT W/SOME SAND
(SM-MA)
No Water Table
1~.0' T.D.
Log Represents
Location of Test Hole
Lot 40 Block 3
McMahon Subdivision
OWN: VRZ
CKD: WED
DATE: 5-25-76
SCALE: 1"=3 '
INC.
Log of Test Hole
Falcon Masont-_v
Anchorage, Alaska
IPROJ'NO. 656236
,..~DWG. NO. A-01
TH 1
ORGANICS
SILTY SAND (SM)
GRAVELLY SAND
SOME SILT
(SP-SM) 200 sq. ft
0.0~
1.0'
3.01
6.0~
SAND, TRACE GRAVEL
TRACE SILT (SP)
13.5'
TAIGA STREET
NO Scale
SANDY GRAVEL
GRADING TO GRAVELLY
SAND {SW-SP)
140 sq. ft/bedroom
No water table
18.0'
Log Represents
Location of Test Hole
Lot 12 Block 7'
McMahon Subdivision
VRZ
CKD: WED
DATE: 5-25- 76
· SCALE: 1"=3'
Log of Test Hole
Falcon Masonry
''Anchorage, Alaska
I PROJ. NO. ~56236
ID',~.~O.' A-01
October 26, 1976
Mr. Yaro Mucha
P. O. Box 4-1515
Anchorage, Alaska 99909
Re: Test hole and soil log for Lot 40, Block 5,
McMahon Subdivision
Dear Mr. Mucha:
In accordance with your instructions, one test hole was
drilled and logged at the predesignated location on Lot 40,
Block 5, MeMahon Subdivision. The drilling was initiated
and completed on October 22, 1976.
The soil profile as disclosed by the drilling is illus-
trated on the accompanying log.
The test hole was advanced with a 6 inch auger to a total
depth of 18 feat below ground surfac~.
Ground water was not encountered in this test hole.
Very truly yours,
Paul L. Jackson
PERCOLATION TEST
Yaro Mucha
October 26 and 27
ELAPSED DROP
TIME TIME INCHES
2:00 0
2:01
2:02 1
2:05 1 .3
2:04 1 .25
2:03 1
2:10 3 1.0
2:15 5 1.0
2:20 3 1.0
2:23 5 .79
2:50
2:53 3 1,0
2:40 5 1.0
2:45 3 .73
2:50 5 1.0
2:53
3:00 5 .75
60 Minutes 12.00
CONSULTANTS, INC.
ANCHORAGE
FAIRBANKS
JUNEAU
~49_ .E~ST 51ST AVENUE ' P.O. BOX 6087
ANCHORAGE. ALASKA 99503
TFLEPHONE 907-279-0483 · TELEX 090-354~D
May 25, 1976
R & M No. 656236
Falcon Masonry
P.O. Box 4-1513
Anchorage, Alaska
99509
RE: Test Hole and Soil Log Report for Sanitary System
Lot 40 Block 3, Lot 12 Block 7 McMahon subdivision
Dear Si'r:
We are submitting herewith the boring logs, percolation results and our
comments regarding s0il conditions encountered at the subject iste. This
investigation was performed in accordance with your request of May 17, 1976
and those procedures outlined in a letter dated July 15, 1976, by Mr. Rolf
Strickland of the Municipality of Anchorage, Department of Environmental
Quality.
A single test hole was put down within Lot 40 Block 3 and Lot 12 Block 7
for the purpose of defining general subsurface soil conditions and
conducting percolation tests for the proposed sanitary system. Excavation
was accomplished with a auger type drilling rig and the test hole was
extended to a total depth of 18 and 17 feet below ground surface. The
final log prepared for the test hole has been included in Drawing A-01.
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 CONSULTANTS, INC.
James W. Rooney~_~
Vice President
JWR/WED/pe
xc: Municipality of Anchorage
PERCOLATION TEST
FALCON MASONRY
R & M NO. 656236
TIME
6:30
6:31
6:32
6:33
6:34
6:35
6:40
6:45
6:50
6:55
7:00
7:05
7:10
7:15
7:20
7:25
7:30
ELASPED
TIME
60 Minutes
DROP
INCHES
.75
.25
.25
°25
.'25
.50
1.0
.75
· 75
.50
· 50
.25
125
.25
.25
.25
.25
7.0 Total
Drop
i::)?-: .- · .'~ ,:.:.;'-%,. ;...-~.,:.(t.:~l~,'~.,~'/'='T'"--x DEpARTMENt:OF HEALTH & HUMAN. SERViCES . ~'
_ .... ~--~,-:.: .... :Divi$ion:ofEnvironmentalServices . ~ -':.[:--V)L~ ) '
.... - '~ :.~- -:CERTIFICATE OF H~LTH AUTHORI~.. ~'..~-- . ...----~ ,.. - - ..
' ~APPROVAL FOR *SINGLE FAMILY DWELLING
Parcel I.D. ~
Complete legal'description:: "::'U°:~--~ ~D' ~¢ ~ ~ Mc~ ~ '~'
.... :?ropertyowner ' I ~ ~. ~ .... Day phone -~¢- 5'z~ "-'?'~'
"- .'- ;: NOTE: If communi~:well-system,':provide
' - . 4. .WPE OF WASTEWATER DISPOSAL:-
proHde wri~en confirmation from
- NOTE: If communi~ wastewater system,
' 5. STATEMEN~i~OF.INSPECTI~N BYEN,~INEE.R;, .- ' '.:'_:= ~:.:-.' · :"- ' '.
...... ' ' ~ "' · G. ~'-,~ -. · - ,-' 4"~., .;~ ~.,~- " ' ' -%:', ~." · .~ .~.. - . · .
As certified bymy sea affixed hereto and as of the validation date shown below, I verify that y ".
investigati6n ~f this Health Authority Approval'application shows that the On-site water supply
and/or Wastewater disposal system is safe, functional and adequate for the number of bedrooms '~:ii) ,'.
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my invest, i_gation and inspection, the on-site water ·
supply and/or wastewater disposal system is in compliance with al Municipal'and State codes.
ordinances, and regulations in effect a n the ¢ ate of this ]spection.
~ . .Na~;:~;'F'i;rh,'i"~:~.~:,('~uA--~- ~(' CU,~4/_rr..~u~,-~.~'/5Vc~..~'Ph0~e ~.?~7~/'77 ."....'.
.. ';' .:'.':.,!:'{: ::"::.'!' i:i T: ......... ::.... :. : .:.:.. .! .:: .. ....
,'' ' ' ':;" ~'~?".::'".~ ~...,',':'~ . 'v :-.'.-::" '.' ..... · "-'" ~ .. · -...~,~~~.":?,' "
· L.L~ ":':': ....... , .~. :. ,,.]~%,:.:.,~ .... 'r'.: --'. ........................ p~~~ ~:~..; .
-~ ~,. ~:;:~ :,:" '. ,,Cond t on~L approval 'for-~ · .... ~" .':~ ~.~b~room~'4with:':~e ~0 I°win~st~pulat~0n~: ?'
...... ,} .... ,~ .... ,~,. .... ,, ;~. ....... , , ....... - .... .,... ,_....~,...
/",~.,{ ~'~.~'I'~;}~;,:~L'~]~), /':~'JL.-;.~: ~:~,?/.:{-,~,_,"/-~, b'.,~'~,."..',,':; ,....' ."' - .' · ,, · . " ':..' .... . ~ '. :'~': '
Date
The MU~ic~.!palit~'of AnChorage Department of Health and Human Services (DHHS) issues Health Authority
Approval .,Certificates based only upon the representations given in paragraph 5 above by an independent
professi~)ri~l enc~ neer, f~jistered in the State'of Alaska. The DHHS d0e~'{his as A Co'r{esy to purchasers of homes
and their i~nding institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct'inspections or analyze data before a certificate is issued. The Municipality of Anchorage ~s not
-responsible f(~r errors or omissions in the professional engineer's work.
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
A. Well Data
Well type
Log present (Y/N)
If A, B, or C, attach ADEC letter. ADEC water system number ~J/,~'~
~ Date completed Iz-/,/~fo ~ Driller
Total depth ~G ~
Sanitary seal (Y/N)
Date of test
Static water level
Well flow
Pump level1
FROM WELL LOG
Cased to ~ ~ Casing height
~ Wires properly protected (Y/N)
AT INSPECTION
g.p.m, g.p.m.
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer service line
;~ac~
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Date of sample: ~/~ -~'
B. SEPTIC/HOLDING TANK DATA
Date installed
Cleanouts (Y/N) ~'~-(~ ~'
Nitrate
(~a ~':~ 7~ rr~/.~ Other bacteria ~
Collected by: ~_--~X
Tank size ~ '~'~'-O '~'
Foundation cleanout (Y/N) ',~.~__~-~
Compartments
Depression (Y/N) l'J 0 (~
High water alarm (Y/N) l,J
Date of pumping
Alarm tested (Y/N) ~,J
Pumper
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s)onlot lO-7/ '~ 50 c ~ tc:~ Foundation 1~
To property line ~ C) ~+ Absorption field lO Water main/service line ~ IO' oPPo~ ~
Sudace water/drainage ~o ~ ,~ 0~',~ P,~ ~ ~
~-o2e(~)*Fr~t ~ ~o p~u~ous ~, NO ~, CONTINUED ON BACK PAGE
C. LIFT STATION .
Manufacturer
Size in gallons'~'~ _.~ Manhole/A~
Vent'(Y/N) ~"'""'-~q~mp on" level at ~ "Pump off" Level at
High water alarm level -- ~ v,'~Cycles tested
Meets MOA electrical codes (Y/N) ~
SEPARATION DISTA~FT STATION TO:~ ~
W~), On adjacent lots . ~
Soil rating (GPD/Ft2)
Gravelthicknes~ I'ZD ~c~-~ Total depth
Cleanout present (Y/N)
1'7--~'~-~' System type ~T2E-*J 0/-/-
ABSORPTION FIELD DATA
Date installed
~,'~" ~ Width
Length
Total absorption area
Date of adequacy test ~,/
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y/N)
Results (pass/fail)
-1 ~' After test
If yes, give date
~.~ ,z~. Depression over field (Y/N)
'~A~£--E for ~o
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Wellonlot [~-¢ + &vcvC---y' O~k~~ ~.> ~co Propertyline
To building foundation ~o/% ~ To existing or abandoned system on lot
On adjacent lots
Sudace water
Cutbank ,',,J (,A,- Water main/service line
f~ ~,.¢ o,o 612+/,~- Driveway, parking/vehicle storage area
Curtain drain
ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or~:onformed to all MOA and HAA guidelines in effect on the date of this inspection.
,--, // /I / ~ ~4',~,~,'.....;...o..'v.o'~,//
//// / '// \ _
S,gnatu,'e ( 4///,/, ---r
cd~_ ~/z~/e~; .~~ ..... ..CF]
HM Fee $
Date of Payment
72-026 (3/93)' Back
Waiver Fee $
Date of Payment
Receipt Number
,-? °o5'oo"£
174.
LOt 41'~ . Block
Anchorage Recording District, Alaska
R. L. Button
LS-1 ]92 .,'
LOT SURVEY CERTIFICATION
hir~on, ond thai the ImFro~ement= situoted tnlreon ore wllhln the I~'op-
In q~#llon and flint thee ore no roadways, ut]lily lin#, o~ other vi.ibis
Brass or Aluminum capped monument recovered
iron pipe and/or robot recovered
~ x ~ hub & tack recovered
5/8"X'~0" rebar set this survey
Prepared by:
(~0;~)279- 62.00
t~. L. BUTTON
Regi~Mr~d Lond Surveyor
Eighth Ave. Anchorage AI~#~ ,, '
J Prol3erty of; .""~..../...J.--, '~,~'"',~'~.
r
" D/iCi'i: RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO, I~UNiciPALITy OF ANCHORAGE
825 L Street - Anchorage, Alaska 99501 DEPT.
ENVIRO~MZNTAL ~;~G FECTION
ENVI RON~ENTAL SANITATION DlVlSlO~
Telephone 264-4720 r
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER ~CI~ITIES
~lg~lO~$; Oompl~t~ all parts on pag~ ~ Inegm~l~t~ ~ues~ ~ill not ~ ~toe~ed. Please ~11o~ t~n (~0) days for processing.
1. PROPERT~WNER PHONE
MAILING ADDRESS
PROPERTY RESIDENT (If different from above) PHONE
PHONE
MAILING ADDRESS
3. LENDING INSTITUTION I PHONE
MAILING ADDRESS
4, REALTOR/AGENT ~ I PHONE
~AILING ADDRESS
5. LEGAL DESCRIPTION
STREET LOCATION
6. TYPE OF RESIDENCE NUMBER OF~BEDRO~S
j~ [] One L~ Four
SINGLE FAMILY [] Two [] Five
[~ MULTIPLE FAMILY [] Three [] Six
[] Other
7. WATER SUPPLY
,,~' INDIVIDUAL* *ATTACH WELL LOG. Awell log is required for all wells drilled
COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
~. INDIVIDUAL/ON-SITE** /'//..~/7~" YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROONIS
[] SINGLE FAMILY [] ONE E~] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] 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
[] I NDIVI DUAL/ON -SITE DATE iNSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septip T~L~N or []Holding Tank
Size: ~ ~_~tD If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line
I
WELL TO:
Absorption Area to nearest Lot Line
5, COMMENTS
[] APPROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
~ DISAPPROVED
DATE BY
72-010 (Rev. 6/79)
DATE RECEIVED
*_ INSPECTION APPOINTMENTS ~~_~.) ~_~
T,~ME ~ TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR I NSPECTOJ;N,
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~I~clPALITY OF ~N,C,H&ORAGE
DEPT. OF
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL F;,O ~ECTION
ENVIRONMENTAL SANITATION DIVISION
Telephone 264-4720 {'J~A"I' 1 2 I980
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEt~FEI~[I~VlJ~~
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER PHONE
MAI LING ADDRESS
PROPERTY RESIDENT (If different from above) PHONE
2. BUYER PHONE
MAI [.I~JG ADDRESS
3. LENDING INSTITUTION I PHONE
I
MAILING ADDRESS
4. REALTOR/AGENT I PHONE
I
MAILING ADDRESS
5. LEGAL DESCRIPTION
I STREET LOCATION
I
I 6. T~PE OF RESIDENCE
NUMBER OF~BEDROOMS
~; ~ One ~ Four
S NGLE FAMILY ~ Two ~ Five
~ MULTIPLE FAMILY ~ Three ~ Six
[] Other
7. 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.)
8. SEWAGE DISPOSAL SYSTEM [~' INDIVI DUAL/ON-SITE~
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY .
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] 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
E~]PUBLIC UTILITY I ~ --"""~ (.~
Connection Verified INSTALLER
[]Septic Tank or []Holding Tank
Size: I~-O---~:) If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line
WELL TO: / 00
I
I
Absorption Area to nearest Lot Line
5, COMMENTS
[~'~PROV ED FOR / BEDROOMS
[] CONDITIONAL APPROVAL (better must accompany certificate)
[] DISAPPROVED
72-010 (Rev. 6/79)
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
May 16, 1980
Rick D./Marjorie Brown
Star Route A Box 1553-V
Anchorage, Alaska 99507
Subject: Lot 40 Block 3 Mc Mahon Subdivision
Approval for your individual sewer and water facilities
can not be granted until the following items have been
completed:
(1) The water analysis report be delivered to-this
department from Chem Lab, 5633 B Street, for
our review.
(2) A well log submitted to this department for our
review.
(3) The septic tank pumped with a receipt submitted
to this department
If there are any further questions, please contact this
department at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
-RCP/ljw
cc: Coast Mortgage Company
4797 Business Park Boulevard 99503
