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MCMAHON BLK 4 LT 10
NAME MAILING ADDRESS LEGAL DESCRIPTION MUNICIPALITY OF ANCHORAGE 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 IPHONE ¢~,~--~z' ~NEW UPGRADE / LOCATION ,¢ ~ .) NO, OF BEDROOMS ~ DISTANCE T~: We / I Absorption area Dwelling PERM T NO ~ Manufacturer ~ / ~ Material No of compartments ~ lLiq, capacity in gallons IF HOME~D~ Inside length ~ Width Liquid depth ~ ~ ~ DISTANCE TO l Well Dwelling PERMIT NO, ~ ~ ~ Manufacturer ~ Material Liquid capacity in gallons ~ I Well ~ ~ Foundat on ~ / z INearest lot ine . PERM T NO ~ ~ [ DISTANCETO: [ /{~ ~ ~b I /~) ''¢ ' ~ L/~) ~ ~ Type of crib Crib diameter Crib depth I Total effective absorption area ~ DISTANCE TO Well Building foundation Nearest lot line ~ [Class Depth Driller [ Distance to lot line I PERMIT NO, ~ / DISTANCE TO Building foundation Sewer line Septic tank Absorption area(s) OTHER PiPE MATERIALS P i/c SOIL TEST RATING 'NSTAELER /~ ~D REMARKS APPROVED DATE LEGAL 72-013 (Rev. 3/78) :/-~..~,~ MUNICIPALITY OF ANCHORAGE i~t 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 JPHONE EW LEGAL DESCRIPTION ~ ~ Manufacturer ~r Liq/~9alj°ns IF HOME'DE: Inside length Width Liquid depth ~ ~ Well Dwelling PERMIT NO, DISTANCE TO: ~ Manufacturer Material Liquid capacity in gallons ~ Foundati~ Neare~i~ PERMIT NO. ~ DISTANCE TO:/ ~ ] Well/~o ' ~ ~ ~ C~ r inches Total eff~rption No. of lines ~ ] Length of~h lin~ Total leng~f lin~s ~ Topoftilofofinisbflrade ~' Matedalbeneatht~ inches~ area kenflth ~idth Depth ~BMIT ~O. ~ ~ Tgpe of crib Crib diameter Crib depth Total offectivo absorption area m ~ell Buildin~ foundation ~earest lot line ~ DIST~Cfi TO: ~ Class Depth Driller Distance to lot line ~[SMIT ~O. m Building foundatioo Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS SOIL TEST RATING REMARKS " DATE LEGAL 72-013 (Rev. 3/78) DEPBRTMENT OF HEBLTH RND ENVIRONMENTBL PROTECTION 825 L STREET, BNCHORRGE, BK 9950t 264-47~0 PERMIT NO: DOtE ISSUED RPF'L I CRNT: HD~ ~.E:,:,. ,]~-I--S I TE SE~-~ER PER~'I i T CONTBCT PHONE: LEGRL DESCRIP: ~UBDI~ISION: MCMBHON SECTION: 28 TOWNSHIP: t2N LOT SIZE: --", 525~5 (.SQ.F~ OR-BCRES)' MRX BEDROOMS: 5 06,""22/84 .~-- - '' ~'-" ~ - . - 11~ W. NLRTHERN LITE:, ' / ~ t RN}HORBGE, BFq ~9595 276-8888 LOT: RRNGE: 5t.4 BLOCK: 4 LISTED BELOW RRE THE I]F'TIONS BVRILRBLE TO "r'OU 'IN DESIGNING YOUR _EFTIC SYSTEM. CHOOSE THE OPTIAN THRT BEST FIT""] YOUR S'I'TE. DEPTH TO'PIPE'BOTTOM (FT. ) 5:0 GRRVEL DEPTH (FT. ) 2. 5 TOTBL DEPTH (FT.) 7. 5 GRBVEL WIDTH (FT.) 2.5 GRBVEL LENGTH (FT.) 259. 0 ~ ~L;.~.F__..-'~F~."R Z ~'-.~ 6.0 5.0 0.5 1.5 6.5 6.5 -,. ,'.0 5.0 54. 0 202. 0 GRBVEL 'v'OLUME ,.'.C:U, ":'"- 'r[ =,. ) 71. 9 54. 0 74. 8 TRNK SIZE '..UHL_) % 000. 0 :+::+: 1., 000. 0 1., 000.- 0 SOIL RBTING <St]. FT. ,-"BR) ........ " ....... 43:.'L ~24 43:t :+:* GRRVEL LENGTH ]> 75 FT. REQUIRES MULTIPLE RUNS (NOT E;:..ICEEDING 75 FT. ERCH) Ic ¢,':¢,': TRNK ML_,T HR'v'E RT LERST TWO COMPRRTMENTS I CERTIFY THBT: i. I BM FBMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS BND WELLS RS SET FORTH BY THE MUNICIPBLITY OF RNCHORBGE (MOB) BND THE STBTE OF 8LRSKR . 2. i WILL INSTBLL THE SY~T~R IN BCCORDRNCE WITH RLL.MOR CODES BND REGULBTIONS~ ~ND IN COMPLIRNCE WITH THE DESIGN CRITERIR OF THIS PERMIT. 5. I WILL RDHERE TO 8LL MOB RND STBTE. OF BLRSKB REQUIREMENTS FOR THE SET BRCK - DISTBNCES FROM 8NY EXISTING WELL, NRSTEWRTER DISPOSBL SYSTEM OR PUBLIC SEWERRGE SYSTEM ON THIS OR BNY BDJBCENT OR NEBRBY LOT. 4. I UNDERSTRND THBT THIS PERMIT IS VBLID FOR R MBXIMUM OF 5 BEDROOMS BND BNY ENLBRGEMENT WILL REQUIRE BN BDDITIONRL PERMIT. IF B LIFT STBTION IS INSTBLLED IN BN RRER COVERED BY MOB BUILDING CODES, THEN (±) RN ELECTRICRL PERMIT RND INSPECTION MUST BE OBTRINED; (2) BS-BUILTS WILL'NOT BE,RPPROVED WITHOUT RN ELECTRICRL INSPECTION REPORT; BND (5) THE ELECTRICRL WORK HUS~ BE DONE BY R LICENSED ELECTRICIRN. DBTE' i:::ij:;::Ol.ii'4i:::, ?ffqi:::, "r'H!:: E',O'f'TCd'¢I C!F' '1"HE: E;:.::CRVFI'f' :i: Ohl ,:: :i: ?4 F'E!::T ::,. TI..iEI:::i:: :[:5 NO :::;l::::'i" !.,.i :: :::,-r'l .i i:::o!:::: i'HE GF::F:IVE:L. DEF:"T'H :i:::::; THE H :!:I",i :!: HUH ,:::iF,i[::, 'TI-IE: Eu:)T'"i~'Ei!',! 0¢:: "i"H[:: !::F:',Ci::I',,,'!::fT ]: ~::)J",! ,:: :i: i'.,J F'..'.:::E:"I" ). MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL. PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG--PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 2 3 4 7 10 _13 '17 '18 2O COMMENTS PERFORMED BY: 72-008 (6/79) SLOPE SITE PLAN I ~:~C.4~.so~4 L Grb~L ENCOUNTERED? O P E IF YES, AT WHAT , , _ DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop J. (~-~"~ 11;~.3 IO ,~Z o.10 ~O Il:q3 -- ,qZ O,O~ ~ ~1; ~3 /O .8a ~ IZ io5 rO ,~z PERCOLATION RATE vl, bb u: ~..~ G (minutesJfnch) TEST RUN BETWEEN II Vt..- FT AND CERTIFIED BY:. SOILS LOG PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-222'1' SOILS LOG - PERCOLATION TEST DATE PERFORMED: SLOPE SITE PLAN [] PERCOLATION TEST 10 11 12 13- 15- 16- 17- 18- 19- 20- COMMENTS WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE [minutes/inch) TEST RUN BETWEEN FT AND ~ FT 72-008 (7/76) CERTiFiED By: ~-~i~' ' , WATER WELL LOG FOSS DRILLING ASSOCIATED 909 CHUGACH DR. #37 ANCHORAGE, ALASKA 99503 WELL OWNER Charles E. Jackson USE OF WELL WELL LOCATION Lot 10 Blk. 4 McMahon Subdivision Domestic SIZE OF CASING 6" STATIC WATER LEVEL REMARKS DEPTH OF HOLE 117 FT. CASED TO 53 FT. G. P. M. 6 WITH 62 117 FT. FT. OF DRAWDOWN. DATE COMPLETED 11/3/79 PUMP TO BE SET AT 115~ 0 to15 Alluvium; grey color and soft 1_~_5 to30 Till; grey and hard 30 to 55 55. to 57 .57 to60 Alluvium; grey color, medium hardness Silt; grey and soft Sand and gravel; grey color, medium hardness, with water (3 a.P.M. ) Till; grey color and hard Sand and gravel; grey color, medium hardness, with water (4 G.P.M. ) %O 60 to75 _75__t o 77 ~to .77 to115 Till; grey color and hard 115to117 Sand and gravel; grey with water to to to to to to MUNICIPALITY OF ANCHORAGE DFPT n~ IJFALTH & ENVIRONMENTAL PROTECTION NOV 8 1979 RECEIVED to ALASKA L~.;UIROnmenTAL CONTROL Se,.~IC~$, InC. PERCOLATION TEST DATA SHEET CLIENT ADDRESS ZIP CODE TOTAL DEPTH OF HOLE ~.~ ft. ZONE TESTED ~ ft TO ',-_~ ft READING # CLOCK TIME NET TIME DEPTH TO NET DROP RATE (min/in) /~/~ DATUM '?/.'7~ ,. ~'7 /-//~ b- I //-',mm' I0 . ~-~ ,0 / F~.~L PERCOLATION P~TE '- PERFORMED BY /'~"O/ ,~-~"?J~'~C~'~'~ (min/in) Alaska 99503 · (907) 276-1361 ' ALASKA II~C, C,,UIROnmenTAL COIqTROL ADDRESS PERCOLATION TEST DATA SHEET ~/7~4 F 4/X~//;~--7~., DATE__ ~/~ Z?c~/.//~/ Z1P CODE LEGAL LOCATION .... TOTAL DEPTH OF HOLE ~,~. ft. ZONE TESTED L$I ft READING # CLOCK TIME NET TIME DEPTH TO NET DROP RATE (min/in) DATUM 1~ . ~ /0 ,~/ , FINAL PERCOLATION RATE PERFORMED BY {min/in) Parcel I.D. # MUNICIPALITY OF ANCHORAGE · DEPARTMENT OF HEALTH & HUMAN SERVICES_ ':. Division of Environmental Services .',-.:," - ..~' ;:',~'~- On-Site Services Section; P.O. Box 196650 Anchorage,Alaska..99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERALINFORMATION · coni~lete legal description cot. 10: Block 4; McMahon Sul:x~'vision Location (site address or directions) 12400 Braqaw ( Elmore Roi'); Anchorage, AK Pro perty owner Mailing address Lending agency . Mai!!ng address ' :..:~,:Ag~nt ..... :'. : - ->.- :. .,. - .- . . .... .? :.i;;"-"~;:i~ res$' -'-::''- ..... Day phone 261-3415 Day phone 2.--,~':NUMBER OF BEDROOMS: 3 -' · ~: 3, TYPE OF WATER SUPPLY: Individual well Community well Public water ".' - '~';; NOTE: If commu~it~'~ell system, provide written confirmation from State ADEC attest- ' "';~ ~; '"~; ~"" "'ing to the legality and status of system. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows ~hat the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verifythat based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance .with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~' '~' J' F~ ,v~. ~,~ ~ ~,,,~r,vd- Phone Address 17o ~ ~ ~,v~ ~oo~ ~a.~ ~¢c~ Engin~fssignature ~~: ~ Date DHHS SIGNATURE '~/~ Approved for DisapprOved. Conditional approval for bedrooms, with the following Stipulations: Additional Comments :". '~he Municipality of'Anc~h'orage Department of Health and Human Services (DHHS) issues Health Authority ,"!,:,~'~p~oval (~'~rtifice~t'b~:b~sed only upon the representations given in paragraph 5 above by an independent ~r(~f.~s~i~l ~n{~'i'n~r i"egistered in the State of A~aska. The DH HS do, this as a cou~esyto purchasem of hom~ an~ {h~ir'~nding ~t tut ohs in 0rderto ~tis~ ce~ain f~eml and s~te requirements. Employ~ of DHHS do not codduct inspections or ana[~e data before a ce~ifi~te is i~ued. The Municipali~ of Anchorage is not ~e~nsible for errom or omi~ions in tl~e p'rof~ional, engin~fs Work. ,~.,~. '~'.~'~:-~,:.~...~:.'.':' ,'--. , ' ' · · ,',L: '~ '-'.: ':" ~ :. : ':; . ' ' '~ ' ' .'" -.'.. .'..' -,~'::V'-~ .b :: ', · · ' - ' '. ' ' : ' ' , ";,:;'~"~:~' ~ ~.~ - .... .. : · . , .- . Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST A. Well Data Well type ~-'z_\tJ-~-"7~-- If A, B, or C, attach ADEC letter. ADEC water system number Log present~l) F~.~ Date completed // /~//-~¢/ Driller ,~C.~ Total depth I¢-~,r~ ' Jr Cased to I ~ '~' ~' Casing height Sanitary seal (~) /~/,, I/~k~DECL' J~-~-~_~_ ~OvF---~ Wires properly protected (~N) FROM WELL LOG AT INSPECTION Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/l~ tank on lot I O0 Absorption field on lot 1, 1 0 Public sewer main Sewer service line .g.p.m. ; On adjacent lots ; On adjacent lots / Public sewer manhole/cleanout /V//~ Petroleum tank ~J'd~a~- z WATER SAMPLE RESULTS: Coliform Date of sample: /I//,~/~/ B. SEPTIC~-I~ TANK DATA Date insta,,ed Cleanouts High water alarm (Y~)~ Date of pumping Nitrate /~/0AJ-//~zi~-~.7'~,'P Other bacteria Collected by: Tanksize ~/c~.~)~-c- Compartments -~ Foundation cleanout (~N) /~' Depression (Y~[~ ~ ~ Alarm tested (Y/N) ~J //~ ~/~ Pumper ~ ~ ~~ SEPARATION DISTANCES FROM SEPTIC/t~ TANK TO: Well(s) on lot /(_~' On adjacent lots To property line {0 ,t- Absorption field ~ Water main/service line Surface water/drainage 72-o26 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Vent (Y/N) '"'"'""'"'""~" ump on" level at Manufacturer Manhole/A~ High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DIST~FT STATION TO: On adjacent lots D, ABSORPTION FIELD DATA Dateinstalled /~ /¢~ /~ j Length .~'~ ~ , ~/' Width .~' Total absorption area N¢-o )~/s'-f~ rrCleanout present(~C~'N) Date of adequacy test //~/~2./'~c/ Results (pass/fail) Water level in absorption field before test Peroxide treatment (past 12 months) (Y/S-- ~ .-----""~Cycles tested Soil rating (GPD/Ft2) /.,r_.¢ £¢~2_,, :?¢¥ ~','~,System type ;,~ Gravelthickness P~,~' Total depth ~ Depression over field (Y/~. ~% for ~ Bedrooms After test If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /05 To building foundation On adjacent lots Surface water Curtain drain On adjacent lots ,/00 Lf- Property line /-/0 C.p To existing or abandoned system on lot __ /d ~-~ Cutbank k.~,~4z- Water main/service line /(.JO ~'7L Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the of this inspectien. Signature ~ Engineer's Name /~3~ ~p~ 4 ~ (" .. ~-¢ ~J ¢/¢ Date 1) / ~ -/ / ~ ~ , -:~ ROBERT C, COWAH ~, CE - 880 ] HAA Fee $ ,.r)(Z.)" Date of Payment /f" .~'-~/~ Receipt Number >--f/Z('"7¢~~) 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number COMMERCIAL TESTING ~ 90?6941211 Commercial Testing & Engineering Co. N0.027 Environmental Laboratory Services LABORATORY ANALYSIS REPORT CT&E Ref.~ ~4.5870-1 Olie~t Sample ID LZ0 BLK4 ~CMRNON S/D Matrix WATER Client Name $ & S ENGINEERING WORK Order Ordered By R,J,8. Printed Dabe ~ro~ect Name Colle~t~ Dmte Projec~ ReceiVed Date ~WSID UA TeChnical Director STEPR~N d, EDE Released By sample Remarks: ROUTINE SAMPLE COLDECTED 10958 11/18/94 e 12:30 11/1~/~4 ~ 15!30 UA ~ Unavailable :::.: See Sample Remarks Above NA - ~05 ~naly~ed U~detecte~, Reported value is the praoCioal quantlficat%on limit. SeoOhda~ d~lution. GT = Greater ~a~ __ 5633 B Street, Anchorage, AK 99518-1600 -- Teh (907) 562.1343 Fax: (907) 56J-5301 ENVIRONMENTA~ FACILITIES IN A~SKA. COLORADO, rLORIOA, ILLINOIS. MARY~ND, NEW JERSEY, OHIO, UTAH, WES~ VIRGINIA 21:J4 COMMERCIAL TESTINS ~ 90?6941211 Commercial resting & Engineering Co, [nvironmental La )oratory Services Drinking Water Analysis!Report for Total Coliform Bacteria ~ [~vsr~acrzo~'s ONm~xS~ W~zro~ cO~,cr~o NO. 027 D04': MUST BE COMPLETEI)-BY WATER SUPPLIER Il "Ill I.l ~.._PRIVATE WATER SYSTEbI &nd Re*~ 0 $od ln~o~e Mouth Day Year sAMPLE TYing: Rout[ne 0 Repeat Sample (for mut~e sample Mih lab ref. ~o. ) O Special PurpOse Treated Water [] Uutreated Water Time SAiV[PLE LOCATION ; Collected :.~ CoUected 5633 G Street Anchorage, AK 9951B-1600 Tel: {907} 562-2343 Fax: (907) 561.5301 TO BE CO~L~ED BY LABORATORY Analysis ~hows tl'd~ Water 9uMPLB to J7 2d~acto~ I over 30 ho~s old, resu[~ may 0 $~p e, ' be not bc over 4~ to ~cat¢ new s~ple via Date Received --. / ' Number of colonJe*/lO0 m.1. lraxed Lab Ref. No- Result* Sent to A.D.E.C. Anch Fbt~ Datc: Tithe; Clieut notified of uusatisfacto~' results: Pholaed Spoke '~ith Foxed Dele: . Time: B'ACTERIOLOGICAL WATER A, NkLYSIS RECORD //, 17 Colonize'lO0 mJ COLIFIRM. MMO-MUG Rezult: Total CoUform Membrane Filter: Dh-oct Count VeHficeCluu; LTB BGB Fecal CoUfomt C'aufirmaHou Fiu~I Membrane Filter Re~ulu . "' Reported By · / ' .- Dat~ Commen~: ".~~ Member of the sGS Group [Soci~t4 G~nbale de Surveillance] ~J'~/~W,"~Nf~AI ¢ACILITI~S IN ALASKA, COt, ORADO FLOR DA LL NOI$ MArYLaND. NEWJER$t[Y. OH O, uTAH, WEST VIRGINIA MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING /~"-~- ~l~b~.~-~\ HAA# ~c~ _~/(--¥.~ ~ LI 1. GENERAL INFORMATION Complete legal description. Location (site address or directions) 12400 BragcJ~, Anch0rag¢ Property owner Mailing address Lending agency Mailing address Charles Wentworth 12400 Bragaw: Anchorag~J Alaska Day phone 345-4119 Day phone Agent Address 4105 Tudor Centr6 Drive. Anchorage. Alaska Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Day phone 561-2488 72-025 (Rev. 1/91) Front MOA g21 Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. NOTE: 4. TYPE OF WASTEWATER DISPOSAL: XXX NOTE: Individual well XX× Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of 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 and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S & S ENGINEERING Name of Firm ,-,,,~ ~....,~ ~,: .... , ~,,~ o,,~,~ ~^ ,~,~ Phone Eagle River, Alaska 99577 Address Engineer's signature DHHS SIGNATURE Approved for ,'~J~,'_/~.'~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality 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 independgnt professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending 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 is not responsible for errors or omissions in the professional engineer's work. 72~)25(Rev. 1/91) Back MOA#21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST A. WELL DATA Well type 1 Log present(~N) Total depth Sanitary seal (~N) If A, B, or C, attach ADEC letter. ADEC.water system number /t///~ Date completed 11/3/~ Driller ~o.S~. Dmlu~,~ As.~co Cased to ~ Casing height /S'// -- Wires properly protected ~)'N) ~.~' Date of test Static water level Well flow Pump level FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot / Public sewer main Sewer service line g.p.m. ; On adjacent lots /~0 ~ ; On adjacent lots /0o / Public sewer manhole/cleanout. Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: !/~/~ Nitrate V/ j Other bacteria C-~/ Collected by: B. SEPTIC/~I~i~h~I'TANK DATA Date installed Cleanouts ~N) High water alarm (Y/(~ Date of pumping Tank size /~.~'C' Compartments Foundation cleanout (~N) ~'~'5'- -' Depression (Y/~ Alarm tested (Y/~ ,'k'////~ Pumper ,/~ Ho/HE ~E/LV{~ -" SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot \ ~ On adjacent lots To property line 2-0 Absorption field Su rface water/drainage ~b~E Foundation Water main/service line 72-026 (Rev. 7/9t) Front CONTINUED ON BACK PAGE Size in gallons _ Manhole/Access (Y/N) ~ %1;i (wY~e,r a~-a r m levei "Pu~~....~.~ ~of f" level at_ ~ ~'"~-~-~ycles tested Meets MOA electr ~__ ~ SEPA~,~TANCE FROM LIFT STATION ~O: W.c..~ChGn lot On adjacent lots Surface water / Total absorption area ¢.¢'('2? / 4'.¢~° Depression over field (Y(~) Results ~/fail) /c;~,.¢-.~. '~ Peroxide treatment (past 12 months) (Y/N) ,Mo'r D. ABSORPTION FIELD DATA Date installed Length d'*/Z-z-/ Width Soil rating / ¢o ~'"/$2' 4~ System type _/'/~'~c~f//:~-~ _,/ Gravel thickness Y~ ¢' Total depth // ~ 1 Cleanouts present (~N) ~% Dateofadequacytest I/1~/¢~ ~ for ~ ~ If yes, give date /t,///~ bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellon lot /OO/'/'' To building foundation On adjacent lots Surface water Curtain drain .,4/'~ E. ENGINEER'S CERTIFICATION On adjacent lots /OO~- Property line /O To existing or abandoned system on lot IVO~J¢ CutbankA''°/4¢ P~E~=/J7- Water main/service line ~:-~/~- Driveway, parking/vehicle storage area .5' / I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. S & SENGINEERING Signature 17034 Eagle River I~oo[¢ Eoa~ No. 204 Eagle River, Alaska 9~577 Engineer's Name Date 1 ~ / '~ ~'¢~ HAA Fee $ / Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET Chemlab Ref .# :93.0147-5 Client Sample ID :LiO B4 MCMAHON S/D Matrix : WATER ANCHORAGE, ALASKA99518 TELEPHONE (90~ 562-2343 REPORT of ANALYSIS FAX: (907) 561-5301 Client Name Ordered By Project Name Project~ PWSID :S & S ENGINEERING Collected :01/11/93 @ li:57 hrs. :RAY Received :01/i2/93 @ 16:20 hrs. : WORK Order :62261 : Report Completed :01/13/93 :UA Technical Director :STEPHE~ C. EDE Released By :~~~ Sample Remarks: ROUTINE SAMPLE COLLECTED BY: S.S. QC Allowable Extract Analysis Parameter Results Qual. Units Method Limits Date Date NITRATE-N 0.10 U mE/1 EPA 353.2/300.0 10 01/13/93 01/13/93 See Special Instructions Above UA = Unavailable See Sample Remarks Above NA = Not Analyzed Undetected, Reported value is the practical quantification limit. LT = Less Than Secondary dilution. GT = Greater Than CO~ 3.¢ERCZAL TESTZNG & ENGINEEZ{ING CO. AK DIV Ci/,'EMZCAL & GEOLOGICAL LABORATORY TELEPHONE/,~07} 562-2343 5633 B $1reet ^n~orage, Alaska 09,518. Drinking Water Analysis Repeal for Total Coliform Bacteria SAMPLE bATE: b~.._J~_/~._i Mo, D~y Year SAMPLE TYPE: .,/J~'Ro uttne E3'-Check wlth i~b ~ 9p~c TO BE COMPLETED t3Y t.ABORATORY Anelyals ~how9 lhle Wr~ter SAMPLE to be: $~tidactory rD Unsatbfec~ory ~.~ 88rcp~e le~ bng Ir~ tr~nstt; ~ample should not ~ over ~0 hour~ old al ox~min~t~n !o indicate reliable re.suit*, Please send new s~mpl~ via spoebl dollve~ mall. t Tim, Received .... Analytical ~thod; Lab Ret. Nc,. i [_ ......... J READ INSTRUCTIONS gembr, n, ~:ui~r: 0t,~ C~u~t B EFO R E ¥~rttl~atlon; LSB BG B ........... Fecal Coll~'o~m Confirmation COLLECTING SAMPLE F~n~ ~b~ rt,~ ~,,,,~ ......... .~_ TNTC = Too Numerous To Count n~,: OB Other Bacteria G.~llforrrvlgg mi Coliform/100 ml PART ONE OF TWO REMAINDER TO FOLLOW 1. General Information MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE Application Date ~/~¢~ (a) Legal Description (include~ lot, bl~ock, subdivision, section, township, range) ( add~ess'.om:~¢,~ect ~ons) Location . / (b) Applicants Na~ Applicants Ad.ess Telephone (c) Appliqant is (check one) Lending Institution ~; Owner/builder ~-~; Buyer ~ ; Other, ~ (explain); ~-'r~,J. (d) Lending Institution Telephone Address (e) Telephor~ 2. ~fpe of I~esidence Single-Family~ Number of Bedrooms 3. Water Supply Individual Wall['~. Multi-Family~-~ Other' (describe) Co~,~nity ~-~ Public ~-~ Note: If cotm.~nity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Is the well adequate for the number of bedrooms specified in this HAA 4o ~Sewage Disposal Onsite ~ t%]blic ~ Co~anity ~ Holding Tank ~--~ Is the wastewater disposal system adequate for the number of bedrocms [Y~N) [Page 1 of 2] 2-15-84 5. Engzneerlng Firm Providing Insl~ections, ~sts, Data and Information I certify that I have cb~cked, verified, c~ conformed to all MOA HAA -Guid~line. s in effect on the date of this inspection. Naxe of Firm-. Telephone S igrmd by Date "~ ? ~" ~ ( F~NGINEER SEAL) 6. DHEP Approval Approved for Approved ~ Disap~oved~ Terms of Conditional App~ovaI:i'.~.. Conditional~ The Municipality of Anchorage Department of Health and Enviro~nental Protection dces not guarantee the continued satisfactory p~rformance of the water supply and/or the wastewater disposal system. This approval indicates that, as of th~ validation date shcwn above, based on the data and info~mnation furnished by an engineer registered in the State of Alaska, the water supply and wastewater disposal system is safe and func- tional fo= the p£u~ber of bedrocks and type of structure indicated. ( SEAL) 7. Mail the HAA to the follcwin~ address: ) ,, KB2/d5/s [Page 2 of 2] 2-15-84 A® WELL II~TA Legal Description: ~ ~C~%~On 6tlb. ,. to Well Classification ~q~k~ . If A, B, ~ C, D.E.C. ~o~d(Y~) Well ~ ~esent ~) ~,~ ~te ~leted ~-~-~ Yield ~.~a~ Total ~p~ ~' ~ ~d to ~ ~pth of ~outing Static Wate~ ~1 ~ ~ ~t At Casing ~ight ~ G~nd ~' · Sanit~y ~al on ~sing Elec~ical Wi~ing in ~n~it ~) ~ ~p~eSsion ~nd ~l~ead ~p~ation Distance ~ ~11: To ~ptic~oldin~ Ta~ ~ ~t I~' ; ~ ~joining ~ts To ~a~st ~ of ~so~ption Field on ~t [ ~/~' ..; ~ ~joining ~ts To Newest ~blic ~ Line ~f~ To ~est Public Clean~t~a~ole ~{~ To ~8st ~ ~vi~ Li~ on ~t ~/~ Wate~ S~le Collected By ~.-~qa~ ; ~te ~a{ ~ Wate~ S~le ~st ~sults Mu,~,~.[~., 07 D~PT. OF HEALTH & ' C~t~S ~NVIRONA',~N~ PROTECT~o~ ,JUi'! 2 't 1984 Date Installed t©-Zq-~7~ Size IZ~©..~n/jo.v, No. of Cu,~nts Z Star~i~s ~1) ~Z~ Ai~-tight Caps (~) ~5 Foun~tion Cleanout ~)~ ~p~ession o~ Ta~ ~) ~_5 ~te ~st P~ ~- 7-~ P~ing~intenan~ ~n~a~ File (Y~) ~/~--, fo~ -- _ Holding Ta~ High-Wate~ Ala~ (Y~) ~/~ Te~a~ Holding Tank ~r~t (Y~) ~p~ation Distance ~ ~ptic~olding Ta~: To Water-Supply Well To P~operty Line To Water Main/Service Line Course ~ I~' TO Building Fotlndatio~__ To Disposal Field To Stream, Pond, Lake, c~ Major D~aina~e [Page 1 of 2] 2~15-84 Ce Soils Rating in Absorption'Strata ~l~O-~-~*-~ Type of System Date Installed ~k~-~Q--~--' ~;.-~.-~'f~/ Length of Field ~-~F~ Width of Field .~-~---~J~ ~9~-~~ Depth of Field ~ ~--~ Grail ~d ~ick~ss S~e Feet of ~sorption~ea /z/[~~'y Sta~i~s ~ese~t (Y~) ~p=ession o~= Field (Y~) ~0 ~te of ~st A~a~ ~st Results of ~st A~a~ ~st Separation Distance f=om Absorption Field: To Wate=-Supply well To Building Foundation Lot TO Wate~ Main/Service Line To Stream/Pond/Lake/or Majo= D~ainage CoL~se To D~iveway, Parking Area, or Vehicle Storage Area I~-I~~ To P~ope~(y Line . To Existing or Abandoned System cn ; On Adjoining Lots To Cutbank(if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Wate~ Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. M~ets MOA C©~t~f~nts ** Check Permitted Bed~com Rating Against, HAA Request I certify that I have checked, verified, o~ conformed to all MOA HAA Guidelines in effect on the date of this inspection. ~.~---~_ ~%%~- ~ [Page 2 of 2] 2-15-84 ~HEMIC.4L & GEt,~ TELEPHON Drinking Wat~ .,OGICAL L.dBORATORIES 6. ~iLASKd, IN~ ANCHORAGE INDUSTRIAL CENTER 562-2343 5633 B Street .~ ~j A~lysis Repo~ for Total Colifor~ Bacteria TO BE COMPLETED BY WATER SYSTEM: Water Swter~/Narlle '; j~ Mailing ~re~ t ~ ,. SAMPLE ~ATE: ~ ~ ~' SAMPLE TYPE: ~'Routlne Check Sample (for routine with lab ref, no. E] Special Purpose SAMPLE NO. 1 2 3 4 LOCA'flON I ~/ATER SUPPLIER P'none No. 1 1'reared Water -, ' Untreated Water . Time Collected Ilected i . By READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Rev. 1983 ' TO BE ~OMPLETED BY LABORATORY Analys~s shows this Water SAMPLE to be: ,,~ Sati~actory [] Uns,.~sfactory [] Sample too long in transit; sample should ffot I~e over 30 hours old at examination to · indicate reliable results, Please send new s~rr~le via special delive~ mail. Date Recelv~ Time ~eceived ~ ~ Fermentation Tu~ ~.~ Membrane Filter / I J I m BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filter. Direct Count Verification: LTB_ 3 I Results ~ / I~nal Membrane Filter 'r'~lT~;, To0: N umemp~ To Count :,-, ALASKA eiiLIIROFIIll FITAL COFITI OL $ kuIC $, IFIC. ~r,§ineerinq 6 I~nuironmer, lal Studie$ MAY 15 1984 MI TCH FAULKNER ANCHORAGE AK SELLER - ANCHORAGE HOMES BUYER - SUBDIVISION - MCMAHON BLOCK - 4 LOT - 10 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 450 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 10 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 241 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A HOME OF 3 BEDROOMS. FLOW TEST ON WELL THE WELL FLOW RATE WAS 5.6 GPM FOR 1.5 HOURS. SEPTIC TANK ADEQUACY ~--~'":IS~ THE EXISTING SEPTIC TANK VOLUME 50 EQUATE THIS 3 BEDROOM HOUSE. FOR C. f~eicl, Jr. ~ ',' ~' 1200 LUest 33r(I Au~nu~. Suii¢ B, Anchor,9~. Alosk~ 99503 ,(907) 561-5040 DATE RECEIVED TIME TIME~ . /~t~ .. TIME DATE '~ DATI DATE INSPECTOR INSPI INSPECTO MUNIClPALI~ OF ANCHO~GE MUNICIPALITY OF ANCHORAGE DEPT. OF I:TXLTH DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~NviRONMEt.jT/,L 825 L Street - Anchorage. Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten {10) days for processing. PROPERTY RESIDENT (If diCferent from a~ov~} ' PHONE 2, BUYER PHONE MAILING ADDRESS 3, LENDING INSTITUTION I PHONE I MAILING ADDRESS I PHONE 4. REALTOR/AGENT ~()1/~ .~ .~f~ ~ ~77 MAILING ADDRESS 5. LEGAL DESCR,PT,O, ,_ /'(2 6. TYPE OF I~ESIDENCE ~INGLE FAMILY [] MULTIPLE FAMILY '-~NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five ~"'~hree [~ Six [] Other 7. WATER ~SUPP~A~ ~ INDIVIDUAL* *ATTAOH WELL LOG. Awell lag 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.) 9. SEWAGE DIS.~AL SYSTEM E~ INDIVIDUAL/ON-SITE** ,,~yT~;~ 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) /t 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 []PUBLIC UTILITY lO--I ~ Connection Verified INSTALLER []Septic Tankor [~] Holding Tank 2,~'~ ~,c~'~0r_, Size: ~.'~.~ If Tank is homemade SO, LSRATING give dimensions: TYPE OF TANK MANUFACTURER ~4_~/. - -.~' TOTAL ABSORPT,ON AR EA MATER,AL ~'~ jJm~' 4, DISTANCES Septic/Holding Tank Absorption Area Sewer'Lin~ ~ I Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Line 51 COMMENTS PPROVED BEDROOMS [~] CONDITIONAL APPROVAL {letter must accompany certificate) [] DISAPPROVED ~/~ DATE BY 72-010 (Rev. 6/79) CHEMICAL & GEoLoGICAL LABORATORIES ~F ALASKA, INC. TELEPHONE (g07)-27g-4014 ANCHORAGE INDUSTRIAL CENTER · 274-3364 5633 B Street ' Drinking Water Analysis Report for Total ColifOrm Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO. ,. ~,,~ ~;~ ~ ..,~" ~? .,~. ~ ,.L,,~,~ ~ .~,~ ~,..,~, ........ ~!~:' '~.!.,~.o. ~,'~,'~:~; J"; Phone No. Water System Name Mailing Address City State Zip Code Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. I 3 I I LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Sample Too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please sene new sam ole. Date Received Time Received Analytical Method: [] Fermentation Tube [~, Membrane Filter Lab Ref, No. Result* Analyst I I I *No. of colonies/lO0 mi or No. of Posttwe portions READ INSTRUCTIONS BEFORE COLLECTING SAM PLE 06-1220 (b) Rev. 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source 10mi I 10mi 1Omi 10mi 1.0mi 0.1mi Presumptive 10mi 24 Hours 48 HOURS Confirmatory 24 Hours 48 Hours EMB Broth 24 hours: Multiple Tube Report: Membrane Filter: Direct Count Verification: LTB Final Membrane F ter Results Broth 48 hours: 1Omi Tubes Posltlve/"Total lOml Portions Collforrn/100ml BGB . Coliform/100ml Date MUNICIPALITY OF ANCHORAGE DF. OARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION Environmental Health Division CASE REVIEW WORKSHEET CASE NUMBER: DATE RECEIVED: COMMENTS DUE BY: 84-097 July 10, 1984 July 16, 1984 SUBDIVISION OR PROJECT TITLE: A reque, st for final approval of a conditional use to permit a child %~y c~&[_center prog~ in the R-6 zone~ { ) COMMUNITY W,~TER AVAiLAble.. COMMENTS: MUNICIPAL PLANNING DEPART;.[m.~i Zoning and Platting Division Pouch 6-650 Anchorage, Alaska 99502 264-4215 request to rezone approximately to request to amend Title 21 to acres from A reques, t for ~final approval of a conditional use to permit a ~L~ in the~_A zone. A request for an amendment to a conditional use A site plan review for CO,,h.IE,~TS: Planning & Zoning Commission Public Hearing Date: DISTRIBUTION: STANDARD DISTRIBUTION (Public Projects) Urban Beautification Commission (Ordinance Amendmen. ts)_Municipal Attorney's Office · /~'~F'/[~A,~t/~'~---~F--~__~,~. Community Council r #~ ~ Federation~ Community Councils gbl/ng6 CASE: PETITIONER: REQUEST: TOTAL AREA: LOCATION: CURRENT ZONE: ~AILOUTS COMMISSION ASSEMBLY Mailed Favor A~ainst Unclaimed Other g b 1/ng 7 4 5A TR ~ Z, TR ~ TR ~ ..,Z~ ~,.~ TR I TR ?G TR ~ CLEO Ave ', £ '] ' ~ 7C - I'itJFF MAN PARCEL DRIVE Tn E-I 0-2 DRIVE - D '? ,I ~.j ~ ~8 $ ') .':~3 6 7 j~, FtNAL CONDITIONAL USE APPLICATION Municipality of Anchorage Planning Department Pouch ~-650 · ' ~, Anchcrage~.Alaska-29502~~ ~,~,~ ~. OFFICE USE Case File NO. Data Received ,/~, Fee Verification of Ownership .... ~:cm.~.'O~a Assembly P.H. Date AplaroveC monied I. The undersigned hereby applies to the Municipality of Anch'(~rage f~or final approval of: check one (X) new conditional use ( ) amendment to a conditional use I1. Description: (uae additional paper if necessary) Legal description of the area requested for the conditional use Lot 'LO, Blk 4, HcHahon Subd. Area (square feet or acres) of the petition area 32,595.65 s.f. Current zoning of the petition area R-6 Scheduled closing to Diane Pederson, Present ownershipofthepetitlonareaCvnthia Cox. Patricia D~nlap, Christine Application Information: (uae additional paper if necessary) Section or subsection Of ordinance under which conditional use is authorized 2.L. 40. 080 (0)8 Exp!ain the planning objectives to be achieved, including a description of the character of the Proposed developme~,tel~~ ~c~ ,~;,lan.tion of the factors that determined the particular Provide the starting and completion dates for construction (for each phase, if applicable) Parkin~ loc and fencin~ co be started ~u~.l, completed Au~.20 Provide a statement of intent as to final ownership Final ownership as lis ted above IV. Conditional Usa Pindings: (use additional paper if necessary) A resolution grandJng final approval may be adopted only if it includes the following findings. Explain how your proposal satisfies these findings, ~hat the proposed construction and ~ae of the conditional use will not I~e detr r~eotal to the general welfareofthecommunity This center proposes to provide ch1 ~(3 care rot families in the nearby area and does not compete with any s~milar type of business in the vicinity. that the conditional use meets the standards and requirements prescribed by the zoning regulations Huffrnan ~oad f~ a P.]as~ ! co,lector street;. The bui]dinq ~s further than the 50' minimum setbac~ required from the right-of-way, The lot size is areat~r than the 14.000 s.f. reouired. that there are adequate existing sewage capacity, transportation facilities, energy supply and water, , supply to se~,e the proposed, conditional, use Code. compl i ance was compTeted Hay 1, 1984. Adequate parking w~ll be provided as shown on the site Pl~, Wa~er supply is based on a 6 gallon per minute well capacity. Sewer capacity is 1250 gallons. that the conditJonal use conforms to the intsnt of the zoning district Zone R-~ yard area required 14,000 s.f., actual 32,595.65 s.f.. Lot width required 100 ft. ac~.al lR7.R5 ft. x 1~0.00 f~, that t.he uae or uses proDosecl ara ap~ro0riate to the character of the area in which will be located ~bere ~s no similar business ~n the v'icinit:/ which wou~dthejar°jeCtcause an increase in vehicular traffic. The center intends 'co service families in the nearby ~rea and the buildinq will remain residential in appearance with only slight improvements 'co develop the da,ycare center. See copy of inspec~ion repot= in exhibit, that the development will not have a substantial negative aesflletic effect on the locale of the project TN~ ~¢~H~n+~al ~.np~a~nn~ nf th~ exi~tina house will be conti hued wi th as 1 i rtl e co~nerci al ization of the property' s appearance that t~e conditionat~u~e is,im~c~ord~ew[tn.t~e'Gom~enen~ve ~lan:-' Th~g · proposed, ~se. p~o~ec~s ~he ~es~den~a] ch=~ac~e~ of ~he ~tg.~y c~.~,~c~ fn eh~ ~denc~ ~n the a~ea. that t~e proposed use will not subie~ surroundinqprope~ies and pedestrians to h~ardous traffic conditions Lo~ [0. on Huff~an Road and B~agaw v. At least 18 copies of a detailed site plan must besubmitted with the application. The site plan must show: o vicinity map showing the proposed development in relation to surrounding development, streets and utilities - topography showing contours at 10' intervals (if applicable) - exact location of all buildings and structures (existing and proposed) - existing and proposed vehicular acces~ circulation and parking, storage, service, and loading areas (if applicable) - any pedestrian circulation - any fencing, landscaping, and buffering VI. Petitioner's Agreement: I understand that payment ot the fee(s) specified is to defray the costs of handling and investigation of th is application and the cost of the necessary hearings by the Plan ning Commission; and that payment of the fee(s) does not entitle me to, nor does it assure approval of this application, End that no refund of the fee(s) will be made. I hereby affirm that the above information is true and correct to the best of my knowledge. I also affirm that I am the true and legal property owner or the authorized agent thereof for the property subject herein. Diane Pederson Pa=ricia Dunlap SiGNATURE(S) OF THE OWNER(S) OF THE SIGNATURE OF AUTHORIZED AGENT" OATE AOORESS PHONE NO. FINAL CONDITIONAL US~[ APPLICATION Municipality of Anchorage Planning Department Pouch 6-650 ,. Anchorages. Alaska 995.02~,.: :,~,~ - ~. OFFICe USE Case File NO. ~ ~'~,! / Oate ~ece[ved_ [~/~ /~-/ Received by Verification af Ownership ~-/~ Assembly P.H. Oate Approved Denied I. The undersigned hereby applies to the Municipaiity of Anchorage for final approval of: check one (X) new conditional use ( ) amendment to a conditional use II. (Description: (use additional paper if necessary) Legal description Of the area requested for the conditional use Lot 10, Blk 4, HcMahon Subd. Area (square feet or acres) of the petition area 32,595.65 s.f. Current zoning of the petition area R-6 Scheduled closing to Diane Pederson, Present ownership of the petition areaCv'nthia Cox. Patricia Dunlao. Christine Myers iii. Application Information: (use additional paper if necessary) Section or subsection of ordinance under which conditional use is authorized 2[. 40. 080 (D) 8 Exp!ain the planning objectives to be achieved, including a description of the character of the proposed developme0t ~nd ~ exclaniation of the factors that determined the particular sci~eme proposed Keter A'dtacnment Provide the starting and completion dates for construction (for each phase, if applicable) Parkin~ lot and fencing to be started Aug.1, completed Aug. 20 Prcvide a statement of intent as to final ownership Final ownership as listed above Conditional Use Findings: (use additional paper if necessary) A resolution granding final approval may be adopted only if it includes the following findings. Explain how your proposal satisfies these findings. that the proposed construction and ~se of the conditional use will not ~e detriri%e0tal to the general welfare of thecommunib/ This center proposes to prowde ch~c care ~-or families in the nearby area and does not compete with any similar type of business in the vicinity. that t~e conditional use meets the standards and requirements prescribed by the zoning regulations Huffman Road is a ~lass I collector street. The buildinq is further than the 50' minimum setback required from the right-of-way. The lot size is creater than the 14,000 s.f. reouired. that there are adequate existing sewage capacity, Iranspo~ation facilities, energy sup9f~ and watersupprytose~etheproposed conditionaluse ,Code compliance was completed May 1, 1984. Adequate parking will be provided as shown on the site ~l~n. Water supply is based on a 6 ~allon per minute well capacity, Sewer capacity is 1250 gallons. that the conditional use conforms to the intent of the zoning district Zone R-6 yard area required 14,000 s,f., actual 32,595.65 s.f.. Lot width required 100 ft. actual lR7.~5 ft. x 180.00 ft. that the use or uses proposed are appropriate to the character o f the area in,which the~roject willbelocated There is no similar business in the vicinity wnich would cause an increase in vehicular traffic. The center intends to service families in the nearby ~,rea and the building will remain residential in appearance with only slight intprovements to develop the daycare center. See copy of inspection report in exhibit, thatthe development willnothave asubstantialnegative aestheticeffectonthelocale ofthe proiect The ~m¢~amnflal app~aranrP nf the existinQ house will be continued with as little commercialization of the property's appearance thatthe conoitionatuseia, in'accorda~cewi~nthe'Comprenenalve P{an: Th~s proposed, use protects the residential character of the area. it also provides a that the proposed use will not subject surroundin~prope~iea and ped~striaDs to ~azardous trafficcondifions Lot 10. B]~ 4, McMahon Su~d. is a corner ~ot ~rontlng on Huffman Road and Bragaw Street, which are both collector streete. SIGNATURE(S) OF THE OWNE~($) OF THE NO ~N ~mON~=~; X~ ~/.Z~.~~-~ If a~pl~cant is not owner of the V. At least 18 copies of a detailed site plan must be submitted with the application. The site plan must show: - vicinity map showing the proposed development in relation to surrounding development, streets and utilities - topography showing contours at 10' intervals (if applicable) - exact location of ail buildings and structures (existing and proposed) - existing and proposed vehicular acces~ circulation and parking, storage, service, and loading areas (if applicable) - any pedestrian circulation - any fencing, landscaping, and buffering VI. Petitioner's Agreement: I understand that payment of the fee(s) specified is to defray the costs of handling and investigation of this application and the cost of the necessary hear ngs by the Planning Commission; and that payment of the fee(s) does not entitle me to, nor does it assure approval of this application, and that no refund of the fee(s) will be made. I hereby affirm that the above information is true and correct to the best of my I<nowledge. I also affirm that I am the true anti legal property owner or the authorized agent thereof for the property subject herein. Diane Pederson Patricia Dunlap FHONE NO. SIGNATURE OF AUTHORIZED AGENT" DATE AODRE$~ FHONE NO. Christopher Robbins Bragaw and Huffman June 27, 1984 City of Anchorage Planninq and Zoning Dept. Dear Sir: I, the undersi~ned~being the tenant and employee of the owner of said property, do hereby affirm that I and the owner (Garrioan) are aware of the conditional use permit application by future owners (Cynthia Cox, Patti Dunlap, ~iane Pederson, and Christine Myers) for the purpose of openinq a child care f&cility. I have the power of attorney for the o~ner and will participate in the closing. IV APPLICANT'S STATE~ENTS ON CONDITIONAL USE: We are requesting that Lot 10, Blk 4 of McMahon Subdivision be allowed to o. perate as an~]T~am~ly Childhood Center for/t~e-~urpose of providing education and car~o 5~0 neighborhood children, /~s~aff members.. The property adjoins~ child V only one other residence. The lots to the West and to the East of Lot 10 are vacant. The residential appearance of the 2700 square foot facility will be continued. with as little commercialization of the property's appearance as possible. Play- grounds will be located near to the house to minimize noise impact on the area. See daily schedule for projected use of playground. Information on the schools' design, program and philosophy is attached. We have surveyed the owners of McMahon Subdivision and find owners to be in need of services the center could provide. We would anticipate that 90% of the center's enrollment (based on preregis- tration) come from nearby residents and therefore would not bring additional traffic to the area. Code compliance inspection was completed May 1, 1984. Recommended modifications will be completed by August 13, 1984. T' TT"~-,-T'?-T, 'T' I ;Ii: ........ , .-I~ ~-: · l, . I :l. , . ,.. ! ...... , ~ ~ ff . . 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P R 0 S P E C ~ U S CHRIS~O?HEB ROBIN CENTER Earlv Childhood Learr, in9 and Achievement Summary of Broposal--A day-care facility which stresses early learr, inq and achievement will be 6pened in August of 1984 at the corner of Huffmar, and Bragaw. Earnest money has been submitted on three quarters of mn acre~ , o~ land w~th existing ~,700 square foot residential Innovation--Most existin'9 day-care facilities in Anchorage do not stress extensive child education opportunities, provide for trained staff, and provide .definite learning curricula. In. addition to providing these, Christopher Aobin Center will design written learning plans for each individual student with parent quarterly report conferences. Mark. etinq Plans--The center is located within four blocks of Hurdman School on the school bus pick-up route. Huffman currently enrolls 425 students, grades K - 6, so that there is a potential market of 70 students at each aqe level. Newspaper advertising for registration, as well as written materials to all area- residents, will be utili:ed to reach the available market. Pinancial Needs/Pro~ected Budget--S50,000 cash reserves of individual partners are on .deposit in addition to value o~ existing plant ar, d land. $59.000 for initial equipment and Capital imorovemer, ts are needed to begir, operation. Gross collection of $183.500 is anticipated for period August 1, 1984 to August 1, 1985 based or, 00% enrollment with a net ooeratin9 profit of $38,000 (before taxes) after expenses, which includes mortgage and loan payments. Key Manacement Personnel--Licensed operators of the facility include fo,Jr certificated teachers with master's degrees in v~rious areas of education, Key management positions will be staffed by college trained employees. Daily Schedule-Christopher Robbins Center 6:30 Arrival-Self selected play (blocks, puzzles, etc.) 7:30 Breakfast- Brush teeth 8~15 Social Circle- Listening, sharing, group story Plan for morning, overview of learning activities, expec- ted behavior 8545 Music- Songs, dance, rhythm band, creative dramatics 9:20 Outdoor or Indoor Play 10:00 Snacks- Social groups 10:15-11~45 Academic Development Group 1-Fine motor development Group 2-Language development Group 3-Readiness-Prereading,. pre math Group 1 Group 4-Art-Drawing, painting, modeling, arts and crafts Group 5-Accelerated Academics-Reading, Math, Critical Thinking Group 6-Science Center-Directed science activities Plants, animals, space, pagnets, etc. 11:45-1:00 Get ready for lunch (Group A and B will alternate order) Lunch Outdoor Play 1~00-2:45 Rest time (Story/music listening) 3=00-3:30~ Get up; Snack, Review language concepts from A.M. 3~30-4~15 Outdoor or Indoor play 4~15-4~45 Unit film connected to A.M. science or language unit 4~45-5~30 5:30-6~30 Build with blocks, clay models, or art project (Accelerated activities avail-hie) Get ready to go home, selected play activities Bathroom- For under 3, children will be taken to the bathroom. For 3 and older this will occur on an hourly basis. Christopher Robbins Center Early Childhood Learning & School Bragaw at Huffman Dear Moms and Dads; Welcome to Christopher Robbin's Early Childhood Learning and Achievement Center. Our address is 12400 Braqaw- on the corner of ?{uffman and Bragaw. The phone number is The hours at Christopher Robbin's are 6:30 a.m. to 6:30 p.m. Monday through Friday. Children 3 years to 5 years along with before and after school children are enrolled. Fees to attend are: $350 per child which includes lunch and 2 snacks daily. Breakfast is $1.50 per day extra. A $50 per month discount for more than one child in a family is provided. Infants to 2 years are $495 each. For this fee, excellent TLC is provided. Parents provide crib, bedding, diapers, and mild. Before and after school care is $200 per month with afternoon snack. All fees must be paid in advance. Registration is $40. Your child will need a physical form completed by your doctor and shot records with all shots up to date. We need to know of any allergies your child may have. Our policy is to send ill children home (children who are running a fever and are not under a physician's care). It is important for us to have two(2) emergency numbers of a friend who can pick your child up in case of accident or illness if we are not able to contact you. Supplies your child will need: Appropriate outdoor clothing--boots, gloves, hats for winter play Change of clothes Blanket, pillow and pillow case--clean bedding will be required every week Tooth brush-toothpaste For infants to 2 years-personal crib, bedding, diapers, formula, change of clothing, feeding directions, cremes, lotions you prefer. For disciplineat Christopher Robbin's, children are taught rules and logical consequence for breaking them. For example- hitting another child will result in losing 2 minutes of play time. Good behavior will always be praised and rewardedl Maximum learning can only take place in an atmosphere of good behavior and cooperation. Our basic rules are: Be considerate of others-students and teachers Take turns and share Do what teachers ask Do not hurt others Throw only frisbees, balls or other things safe to throw. Use polite language, participate and cooperate, have a positive attitude in school. Parents are asked to contribute to good behavior and learning patterns by: 1. Providing a consistent schedule for children at home, particularly an early bedtime so that students come to school rested and alert. 2. Providing consistent behavior expectations at home. Establish a plan that compliments what is expected at school. 3. Following through on specific developmental tasks at home- potty training, eating habits, etc. 4. Attend to health problems right away. 5. Letting staff members know of any problem we can follow through on- ie: Child up late needing mor- ning nap, problems at home which could spill over into school behavior Parents and friends are welcome and are encouraged to visit Christopher Robbins Center at any hour. Rest time, of course, is less interesting to visitors than busier times. Your ideas and suggestions based on what you see and hear are welcomed and encouraged. He will ask that you meet with us for scheduled conferences three times yearly to compare notes on your child's development and to help decide on educational emphasis for each third of the school year. Parent groups are also available and will meet monthly. See the bulletin board for these announcements. WELCOME TO OUR SCHOOL!! Sincerely, Patti Dunlap Cynthia Cox Nancy Sweat Diane Pederson Christine Meyers Patti Dunlap Philosophy of Christopher Robbins Center Increasing appreciation of the pre-school period as the major factor in a child's development of language, thinking~ personality and attitudes has lead to rapid expansion of preschool programs. Some of the programs are based on nurturing care with various learning and play activities (traditional day care or nursery school)° Some are based on development of thinking, learning potential using specific predesigned programs or techniques-(Montessori). Some are based on an unwritten contract between home and school to teach certain values to preschoolers while learning (church-related programs). Christopher Robbins program will be based on the following ideas: (1) Certain preschool educational issues should be decided by the child's parents. For example,some parents believe in emphasizing achievement and early development in young children while others believe totally in the early years as a relaxed time of play and self discovery with a smcr~rinq of s'chool preparation. These and other value issues of the child's home should play a major role in determining a coordinated home/school program for the child's early years. It is the responsibility of an excellent preschool program to provide a wide variety of enrichment options for preschoolers. These options should include at least the following areas: Music - Beginning with infants, preschoolers should listen to a variety of types of music, should hear and learn songs, rhymes, rhythm routines. Children in the 3 to 5 year old range should participate in creating music-playing simple songs on keyboards or rhythm instruments, associatinq music with simple musical notation, creating simple songs and recording them. Children should as early as possible use music to enhance gross motor development by at first simple, and then more complex dances, musical games, individual and group. Language/Literature Beginning with infants, children should listen to the various sounds of language-talk, poems, stories, rhymes, songs. Children should learn to talk early and use progressively correct sentence patterns and more colorful and complex vocabulary to express themselves. Children from 14 months to school age should be exposed to all the literature available in our culture from nursery rhymes and folk tales to Walt Disney nature films, from Jabberwocky to information about historical and scientific subjects. They should learn to express themselves with confidence in group settings~ askinq questions, takinq turns, listening to others, and contributing to what is said. They should learn to hold conversations with other preschoolers, not Just with adults. They should master most basic communication skills-eye contact, body language and acting out ideas during the preschool period. Before school age~ children should read as they are ready and interested and should take an interest in the printed symbols which are the source of many of their language experiences. Many preschoolers who develop fine motor skills early will. begin to write simple words, messages, songs. All children should be very interested by school age in the printed word and should understand and appreciate the connection between oral and written languages. Visual Media/Arts- From earliest infancy a child should be exposed to objects which are stimulating, interesting, and aesthetically pleasing. As early as 12 or 13 months children can close their eyes and visualize a favorite toy. Children should be encouraged to develop this skill throughout preschool years and make it into an aesthetic and learning tool which allows them to recall words, letters, and images. This skill is basic to learning as well as the use of creative faculties. Children should see a variety of picutres, films and plays, as well as experiencing first hand, direct visual experiences- flowers, insects, etc. Beginning with manipulating simple mobiles in infancy, children should be exposed to an endless variety of putting together, making, doinq exper- iences. They should build, design, assemble and disassemble tinker toys, blocks, lincoln loqs, sticks, rocks, cardboard, etc., and watch others doing these. They should draw, paint, color, model with clay and watch others working. By school age children should be cutting, pasting, drawing, coloring, building and more importantly creating their own visual images. By school age children should be visualizing and acting out their own stories, songs, and puppet shows. Thinking Skills/Basic Academics- From Plaget's work we know that earliest infants begin to develop cognitive skills both taking in the environment and adapting it to their individual perceptions. Pre-schoool experiences of children should be designed to promote development of higher level thinking skills as well as the creativity involved in problem solving, in artistic design, and expression. Through a variety of first hand as well as literary and media based experiences, children should be given the opportunity to practice the thinking skills-comparing, contrasting, discovering, translating, demonstrating, questioning, discussing, estimating, evaluating and so forth. Content areas are ideal to provide these experiences. Sceince centers, Nature walks,maps, graphs, surveys, studies of other cultures, observations of the natural world are excellent vehicles for exercising cognitive muscles as well as for expansion of general knowledge and vocabulary. Mathematical concepts so essential to cognitive development should be taught with hands on experiences and in conjunction with other subjects so that math concepts flow naturally as a part of the total learning process. By school age, all children should be adding and subtracting easily and naturally, should have basic cognitive understanding of measurement, daily and hourly time constructs and beginning experience with money and fractional parts. Beginning reading, writing, and math are normal developmental byproducts of good cognitive programming. Children should be given every natural opportunity to acquire these skills, including phonics, sight vocabulary, handwriting, and early spelling experiences. Social Skills- Beginninq in infancy a child should begin to enjoy warm positive relationships with others beginning of course with their own parents, siblings, and grandparents.Upon entering a preschool center, the child's social world is filled with a variety of' new adults and children. During this period, children begin to explore the major tasks of early learning-learning to control their own bodies, to explore the world without destroying it, to interact positively with others. They should be given a wide variety of models and practices in productive behavior patterning, self expression, and sharing feelings and ideas. Good preschool programs should reinforce positive and productive behavior with compliments, hugs, discussions, and as a last resort with tangible reinforces. Good preschool programs should actively teach good behavior and encourage parents to do the same. The social skills of playing, working, sharing, conversing with others and cooperating (3) (4) with adults of their world should be monitored and encouraged. By school aqe children should be effective social participants in a small democratic world in which decesions are discussed, made, and accepted, in which feelings are shared and accepted. By school age, goals for better behavior patterns should be partially set by children themselves with assistance from adults. It is the responsibility of an excellent program to provide sequentially these educational experiences. It is the responsibility of an excellent preschool program to identify the specific developmental skills of preschoolers and plan with parents how and how rapidly to encourage their development based on needs of children and wishes of parents. It is the responsibility of preschool programs to provide educational leaders and teachers/teacher assistants who care about children and will recognize and support the positive qualities of each young individual. Educators should consistently provide curriculum, materials, settings, climate which promote the childs' growth and development, taking into account each child's individual physical, emotional, cognitive, and creative stages. (5) It is the responsibility of an excellent preschool proqram to promote a productive home/school partnership in the earliest, years of a child's away-from-home education. The school and staff should assist parents in clarifying their own priorities for children as well as in establishinq optimim realistic expectations to promote child development and life achievement. Parent Meetings Parent Meetings will be conducted throughout the year. A typical meeting schedule will be: 8:00-8:40 Overview of child development issues (Lecture~ film, or video tape of information) Topics may include normal development of 2, 3, 4 year olds, parenting teckniques to promote good behavior, potty training issues, options for the gifted preschoolers, how to promote creativity in your child or other~ 8:40-9:25 Parent discussion of relevant issues in informal setting. 9:25-9:30 Parent plans for future parent group topics Topics, data and times will be posted on the center bulletin board. We hope you can attendl Christopher Robbins Fire Drills Periodically we will be holding drills to evacuate the building. These are held to promote an efficient procedure to move children safely out of the building in case of an emer- gency. A master plan has been developed and a route chart is located in each room giving the exit routes of the respective rooms. Earthquake drills will be practiced as well. Earthquake Drill Rules for Keeping Safe: 1. If indoors, stay indoors 2. Hide under sturdy furniture-tables, etc. 3. Move toward the center of the building 4. Stay away from windows or other glass objects 5. Do not use candles, matches, or other open flames if lights go out Firedrill Rules for Keeping Safe 1. Walk quietly to the fire exit door 2. Do not talk or push 3. Walk all the way to the edge of the fence and stand quietly until you are told to come back into the building. Inspection Report Date of Inspection: Purpose: Legal Description: Street Address: Name/Address of Owner: Use Zone: Type: Type Structure: Occupancy: Occupied: May 11, 1984 Code Compliance Lot 10, Blk 4, McMahon Subd. 12400 Bragaw Lew McGinnis % Bill Liker 115 W. Northern Lights Blvd~ Anchorage, Ak 99503 R-6 V Single Family R-3 Yes OBSERVATIONS: The single family structure was inspected for code compliance on May 11,1984. The structure is fairly new and is in compliance with most applicable codes.. The following violations were found and will be required to be corrected. 1o Door required between garage and crawlspace for crawlspace access. Sec. 503 (d) Fire ratings for occupancy Separations. In the one-hour occupancy separation between a group R, Division 3 and M occupancy, the separation may be limited to the installation of materials approved for one=hour fire-resistive construction on the garage side and a self-closing, tight-fitting solid wood door - 1 3/8 inches in thickness will be permitted in lieu of one-hour fire assembly. Install light in crawlspace. Title 23.30.210-70(d) Local Amendment to the 1984 National Electrical Code. Secure loose "P" trap under kitchen sink. RECOMMENDATIONS/ACTIONS: 1. Correct all vi61ations listed above. Page 2~ Inspection Report Lew Mc Ginnis 2. Ail work to be accomplished within (30) days of Notice. 3. When corrections are made, please call for inspection. Lou Ellis Code Enforcement Officer cc: Nancy Sweat 6610 Roundtree Anchorage, Alaska 99516 9O01,001£C]