The URL can be used to link to this page

Home My WebLink AboutMCMAHON #1 BLK 7 LT 2 Scale · / I" = 30' ( _u?Hu~NI_NN _ AVF N 88° Well -- 61.1' I0.0' Utility Easement S 88° 05'00" E I hereby certify that I have surveyed the following .described property, Lot 2_. Block 7 Mc MAHON SUBDIVISION ADD. NO I Recording Precinct, Alaska, and that the ;mt}rsvemen~_s situat, ed thereon are within the proDerby ~_.~ uVm, i~p OF e;qcroach Onu,e'L' prope~y a~agorl~ [he~eto, flint r~9 irnp,'ovemerltS on prop- : ¢;i~.}a('rit thereto enCrOaCh O~ the premises and that there are nn ro;;~woy¢, (rams- :,2i2G c,: other ,;isib~e 035E'raerl[S or1 s:~id : 1:5 --_dayof December ANCHORAGE AREA BO 'tjGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ADDRESS LEGAL DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL ,~ NUMBER OF COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY F~'~"<:) GALLONS. SEEPAGE .[lii]~:"¢t~El,~¢ H~ NUMBER OF PITS __ LINING MATERIAL BUILDING FOUNDATION 2h~.~ ADDITIONAL ABSORPTION DIAMETER CRIB SIZE: NEAREST LOT LINE OR WIDTH LENGTH DEPTH DIAMETER__DEPTH TOTAL EFFECTIVE I ABSORPTION AREA (WALL AREA) ~"~ ~' -~ DISTANCE FROM: WELL'~ ":'"/~ SQ. FT. WELL: BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION (~ ~- NEAREST NEAREST LOT LINE SEWER LINE OTHER SOURCES DISAPPROVED REMARKS. DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK __ SYSTEM PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ-031 DIAGRAM OF SYSTEM DATE ~/~/)~ APPROVED ~ G.A.A.B. GRE, R ANCHORAGE AREA BOi' ~GH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 'C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-/~56 ! //~//~) SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION ~/~{9 ,~/~Aq/ MAILING ADDRESS LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK / TYPE AND SIZE OF FACILITY TO be SERVED FINANCED THROUGH SOIL TEST RESULTS SEEPAGE PIT TO BE INSTALLED BY /~_-C ~7/ ~/'--/;~ ~ DRAIN FIELD j OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMFLETION DATE ANTICIPATED ~4'~'~} q~'~ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. J~__~ ~?/~C TYPE SEEPAGE area SIZE tYPE SEPtiC TANK SIZE DIAGRAM OF SYSTEM MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FouNDATION TO SEEPAGE ~' ~:2 / ~-/z.~ SEPTIC TANK ~ / , SEEPAGE ~' TO NEAREST LOT LINE. WELL TO SEPtiC TANK / ~ / DRAIN FIELD DRAIN FIELD O(~ ,DRAIN FIELD / 7~. / , SEEPAGE ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK. / ~ / · SEEPAGE ~-~ TO RIVER, LAKE, STREAM. · SEEPAGE PIT ~ /DRAIN , FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GR~EE~R~ A~ORAGE AREA BOROUGH ORDINANCE NO. 28-6S AND THAT THE ABOVE DATE V//~- APPLICANT'S '/GNATUR~~ ~_~/~~:/ GREATER ANCtlORAGE AP, LA BOROL Oepartment of EnvironmenLa] Quali 3330 "C" Street Anchorage, Alaska 99503 S¢)ILS IX)(1 - PEROI,ATION TEST Performed for ~u~) This form reports: Soi'~s ~,og_ Depth Date Percolation test Feet 7- 10 - ll- ~ ~ 12 -' - Was water encountered? If yes, at Wight depth? Reading Date Gross Time Net Time ~Proposed installation: Depth of Inlet ..... Seepa'ge Pit Drain Field DeptI~-~-o'-b~h~-F-pit or trenci, COHMENTS: ........................................................................................ EO 040 (6/74) SlX INCH WATER WELL DRILLED AND CASED 'OUT TO THE: DEPTH OF DRILLED AT THE RATE OF $~_?e00 PER FOOT. l~i~, l~a_uk Korrell 3~0 W 71st 92~2 PROPERTY OWNER 98 feet. Lt. Blko Sub. LOCATION OF WELL SITE Bornie ~us of F~p~-rt Drilling l',brks DRILLER WELL LOG: _0---38' ~r~ved ?S--91 ' Gr~vel w~_th 30% ,cl6Xo Sqme si~ns of wa_ret ~t 9~ feet.: ?1--97' S~ndy Gravel, Broke into good lmter bearing gravel at 9? feet. ~?~-99' ¥1zter bozring_gravel producing 8 G~,[ l..~th 42 feet of w~ter standing. Pump . ~hould be instslled 5 feet off bottom. 1/2 Horse sub,: COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLI:..'iIION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF $i666,00 DATE THANK YOU VERY MUCH. Zugust SERVICE CHARGE OF BERNIE CLAUS OF RAMPART DRILLING WORK~ PER MONTH WiLL BE ASSESSED O~ -PAST DUE ACCOUNTS. . , :.' ,:,'.: .-.:~}, - MUNICIP~,'EITY OF ANCHORAGE " Department of Health & Human Se~ices DIVISION OF ENVIRONMENTAL SERVICES 343-4744 ' "~-' CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # _(~\"-~ - .~6D\ - \?~ HAA# ~P~, ¢/ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description,(i~¢lude lot, block, subdivision, section, township, range) (b) (c) (d) ~elephone: (home) Z~'-g--~'//Bt~siness'-~--~¢~p Lending Institution Mailing Address Telephone Real Estate Company and Agent Address Telephone Mail the HAA to the following address: (or check here.~', if hold for pick up.) List contact person and day phone number below: (e) 2. TYPE OF RESIDENCE Single_Family/~~ . Number of bedrooms. ,, 3. WATER SUPPLY Individual Well~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site,~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025(Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, Iverifythatmyinvestigati°n of th is Health Authority Approval 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. Name of Firm /z~2/~ <-3 _.~.,-.L. Telephone Address /~,,~z,,.~ .~,~"~, .44¥~,¢:..~ ?~ ~,'~, ~¢/~ ¢~ 6. DHHS APPROVAL . - / Date Approved for -v bedrooms by ; Approved ~approved Conditional Terms of Conditional Approval ./'~~ " Note: The well for this property meets existing State and Municipal Codes. There are nitrates present, however, it is suggested that periodic testing be performed to insure the wells continued suitability. Nitrate concentration is 7.9 mg/1. EPA maximum concentration is 10.0 mg/1. , , The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in ordertosatisfycertain federal and state requirements. Employees of DHHSdo not conduct inspections or analyze data before a certificate is issued. TheMunicipality°fAnch°rageisn°t responsible for errors or omissions in the professional eng'neer s work. 72-025 (Rev 7188) 8ack Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) Health Authorily Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: A. WELL DATA Well Classification Well Log Present,N) _ Date Completed TotalDepth ~/ Casedto Static Water Leve ,,~-,,~ Casing Height Above Ground Electrical Wiring in Conduit~N) SEPARATION DISTANCES FROM WELL: ' To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Pump Set At Sanitary Seal on Casing ~N) Depression Around Wellhead (Y/Lt~ ; On Adjoining Lots /~ ~ ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by /--' ~¢ ~/ Water Sample Test Results -/:~c?/," ¢ Comments B. SEPTIC/HOLDING TANK DATA Date Installed ¢'//J,/.?J~ Size Standpipes (~N) Air-tight Caps Depression over Tank (Y/~ Pumping/Maintenance Contact on File (Y/N) Holding Tank High-WaterAlarm (Y/N) No. of Compartments /¢'¢/ '~¢~°/ ~''~ Foundation Cleanout Date Last Pumped ~/'./¢'0 ; for Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIO~HOLDING TANK: --"/ ,..~:1. 'J~'. ,,~ , Zz-' TO Water-Supply Well ~t5 ~ ~4~r'~¢' To Building Foundation To Property Line ' '/~?¢- ( To Disposal Field To Water Main/Service 'Line ~ ~t- / / To Stream, Pond, Lake or Major Drainage Course .~ Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~//t,J-//?.~- Width of Field z:} Square Feet of Absortion Area Type of System Design Length of Field Depth of Field "~ /2 / Gravel Bed Thickness Statndpipes Present ~,~N) Depression over Field (YL~ Results of Last Adequacy Test /¢J~-. o p~¢C SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well /~ .~ / Date of Last Adequacy Test To Building Foundation Lot A~,///~z To Water Main/Service Line ,~ Z~-( To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line To Exi_st~ng or Abandoned System on ; On Adjoining Lots .~ Z$ To Cutback (if present) / Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Dimensions .' Manhole/A.¢ces~ '(Y/N) ~ .;~P'(Jmp Off" Level at .... Vent (Y/N) Tested for Meets MOA Electrical Code..s-('Y?N) Comments Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Company Date MOA No. Receipt No. Date of Payment Amount: $ 72-026 (Rev. 7/88} Back Y//,% g,neer's Se,,, Receipt No. '~ ~ ~~ f Waiver Fee: $ Date of Payment Page 2 of 2 ALASKA 6rluIRoFImEFITAL COFITROL linC. ~nclin¢~ri,cI ~, ~uironm~nlal $1udics 8/22/90 RANDY DAWSON 3~16 DOROSHIN ANCHORAGE AK 99516 SELLER-SAME 00084 LEGAL:LOT 2 BLOCK 7 MCMAHON #1 FLOW TEST ON WELL WELL FLOW DATE-8/21/90 A FLOW TEST WAS PERFORMED ON THE ~ELL. 1860 GALLONS OF WATER WAS PUMPED AT A RATE OF 7.7 GPM OVER A DURATION OF 4 HOURS. THE DRAWl)OWN WAS 7 ' WITH A RECOVERY TIME OF 10 MINUTES AND THE STATIC WATER LEVEL WAS 57 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. ~o~z c.o U ........................... .-, .............. [907) 279-5553 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET · ANCHORAGE, ALASKA99518 · TELEPHONE (907)562-2343 FEDERAL TAX I.D. #92-0040440 ANALYSIS REPORT E¥ SAMPLE for Work Order ~ 26430 Date Report Pxinted: AUG 20 90 ~ 08:29 Client Sample ID:L2 B7 MCMAHON %1 TAP WATER PWSID :UA Collected AUG 14 90 @ 16:30 h~s. Received AUG IS 90 @ 11:00 hfs, Preserved with :AS REQUIRED Client Name : A E C S Client Acct: AKECSRP P.O.% NONE RECEIVED Req { O~de~ed By : L. REID Analysis Completed :AUG 17 90 Send Repoxte to: Laboratory Supezvisox :STEPHEN C. EDE 1)A E C S Special Instzuct: Chemlab Ref #: 903048 Lab Smpl ID: 1 ~atrix: WATER ~.~_-<-'"'"~ Allowable NITRATE-N [ ~/' EPA Sample ROUTINE SAMPLE. SABLE COLLECTED BY L. REID. Re~arks: I Tests Performed See Special Inst=uctions Above UA-Unavailable ND= None Detected "See Sample Ren~rke Above NA- Not Analyzed LT-Less Than, GT~Greatez Than Tom Fink, Mayor unicip lity of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 August 23, 1990 Lee Reid, P.E. Alaska Environmental Control Services, Inc. PO Box 240668 Anchorage, Alaska 99524-0668 Subject: Waiver Request for Lot 2 BLock 7 Mc Mahon S/D ~1 Waiver Request ~WR900031, PID ~017-361-18, HA900350 Dear Mr. Reid: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 85 feet from well to septic tank. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Since~ly, ~ Robert W. Robinson Civil Engineer On-site Services Concur: ~ '_! Smzth~aP~;Er- ljm:¢6 ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 / SHEET NO. / OF. ~- ~ALCULATED BY DATE CHECKED BY DATE SCALE. ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 12OO West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO. CALCULATED BY CHECKED BY SCALE DATE OATE i~ 825 264-4720 ' I~q ~ec d: March 17, 1978 #1: Time /k%~ ~. : me #3: Time Date ~-~ ~k~/~. Daqe Da%e Insp ~D~ Insp Insp :-~MUNICIPALITY OF ANCHORAGE~ - DEPARTME~ ~OF HEALTH AND ENVIRONMENt' ~ PROTECTION L Street, Anchorage. Alask~ 99501 Lending Institution Request: First National Bank of Anchorage % Cindy Adamson Mailing Address: Post Office Box 720 99510 Phone: 276-6300/572 Property Owner: Frank M/Patricia J. Morrell Phone: Mailing Address:Post Office Box 520 Medford, Oregon 97501 3. Legal Description: Lot 2 Block 7 Mc Mahon Subdivision #1 4: Single Family Residence: ~x~ Number of Bedrooms: Three Multiple Family Residence: ( ) Number of Bedrooms: 5 Well System: Permit # Construction Individual well (x) Community/Public System ( ) Depth of Well Well Log on File (~/ Bacterial Analysis Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System (x) Public Utility ( ) Installed Installer ~ Manufacturer Soils Rate /~ Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line P~ge T~o~ Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 2 Block 7 Mc Mahon Subdivision #1 Comments: Affadavit ~ Attac : (') Approved: ~ C> ~/~'~ Disapproved: Letter Attached: ( ) Date: Date: Department Worksheet: ~ 'MUNICIPALITY OF ANCHORAGE , ~Y~Q-~ Department of Health and Environmental Protection ~~~ 825 L Street, Anchorage, Alaska 99501 -~-~~ st for A--royal Of Individual Sewer and Water Facilities - -.~-~equ e ~ , Property Owner: Frank M. & Patrin~ .1. ]vrn'r-r,,~l ! Mailing Address: P.O. Box 520 Medford, Ore. 97501 Phone: Unknown e o e Name of Buyer: Rand D. & Kathryn E. Dawson Mailing Address: 7800 Debarr Rd. Sp# 88 Phone: 333-6845 Anchorage, Alaska 99504 Lending Institution: First National Ban~ of An~hmr~gm( Cindy Adamson ) Mailing Address: P.O. Box 720 Anchorage~ Ak 995]0 Realtor/Agent:. Century 21 - Bryan Ellsner Mailing Address: 207 E. Northern Lights Phone: 776-6300 ~=t 572 Phone: 276-1333 Legal Description: Street Location: NHN Doroshin Ave.~ Anchorage, Alaska Single Family Residence: ~X~ Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Lot 2, Blk 7, McMahon Subdivision Addition #1 Water Supply: *Individual Well ~ If Individual Well, well depth If Community System, name of sYstem 'Public/Community System ( ) o Sewage Disposal System: On-.site System If On-site System, date of installation: Public System *NOTE: A well log is required on ALL wells drilled since 6/75. MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION N1AR 1 7 'J978 RECEIVED GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 1. ApprOval requested by: Mailing Address! 2. Property Owner: e Date Received January 26, 1976 'rime of Inspection Date of Inspection ~_.~- REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR ConY. First National Bank of Anchorage Post Office Box 720, 99510 Phone: 279-4481 Frank M. Morrell Phone: Mailing Address: 3220 West 71 .Avenue Legal Description: Lot 2 Block 7 Mc Mahon Subdivison~l 272-4485 Location: Doroshin Avenue Type of facility to be inspected Single Family No. of bedrooms Wel 1 Data: Individual A. Type .p~ B. Depth 97' C. ConstrUction ~/'~}~- D. Bacterial Analysis Sewage Disposal Sy~: On-site system-~-C~(~-i~]~~ - A. Installed August, 1975 B. Installer e C. Septic Tank: l~ Size .D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank 2. Manufacturer 2. Material , Absorption area , Other contamination , Absorption area , Sewer Lines , C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2' of two'pa§e~ - Re~-'~st for Approval o~ Individual ~er & Water Facilities L'~al 5escripti0n Lot 2 Block 7 Mc Mahon Subdivision Comments Approved r~~ "~/~ Disapproved Date ~ · Approva]~Valid for one year from date signed Greater Anchorage~/r~a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-O34 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNJCI;~ALITY OF ANCHORAG~ DEPA~,~TM~NT OF HEALTH & ENVIRONMENTAL PROTECTION J^N 2 6 1§76 RECEIVED 1. Type of Inspection: CMRO VA FHA 2. Property Owner: MOtLt~r.T., Fraz~ M. Mailing Address: 3220 West 7Zst Day Phone 3. Name of Buyer: Same as Prope~L--y- owner Mailing Address: $~¢~e Day Phone Same 4. Name of Lending Institution: First Nat±onal Bank of A~choraqe Mailing Address: P.O. Box 720, Anchoraqe, AK 99510 Phone 279-4481 5. Name of Realtor or Agent: None Mailing Address: Phone CONV 272-4485 6. Legal Description: Lot 2, Block 7, McMahon Subdivision Location: Doroshin Avenue runs in front of house Type of Facility to be inspected: AJngl~ f~rn-~ly r]wpll~t~9 Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served No. Bdrms. 3 Individual If Individual, depth of well Sewage Disposal System Type of System: If Individual, date of installation 97 Fee~ Public Utility Au~ ~.~t 1975 Individual (on-site) EQ-037 (1/74)