The URL can be used to link to this page

Home My WebLink AboutMCMAHON #2 BLK 7 LT 7Onsite File #017-361-57 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221271 PID Number: 017-361-57 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name Howard & Debra Golden ABSORPTION FIELD KDeep Trench ❑ Wide Trench EJ Bed El Mound Site Address 3741 Taiga Dr ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 4 125 GPD/SF JTotal 11 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4' Ft. Gravel depth beneath pipe 7 Ft. Subdivision Block Lot McMahon #2 7 7 Fill added above original grade 0-21 Ft. Gravel length 36 Ft. Township Range Section Gravel width 3 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 605 Fe 1 Ft. Well 100'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface water 100'+ Gal. Material Number of compartments Lot Line 13' NA Foundation 10'+ LIFT STATION Manufacturer Capacity Remarks ALL PIPE IS PVC SCHEDULE 40 & CONFORMS TO ASTM 3034 Gat. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank Tank to 3034 drainfield A+ HOME SERVICES Drainfield 3034 CO/MT3034 Inspector ANSON MOXNESS, PE BENCH MARK (Assumed elevation)100' ft Inspection 1°' 8/3/22 21d 8/3/22 da Location and description 3rd am Backdoor concrete ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp �4�•� Conditional Approval: Date .�4F �•.• 9th ' � �: �.......... ........................... .!..... ; ... ..;.ANSO S � AV Septic System Approved L Date -� ®1�®;•.. No. C£-103906 V ♦ ��'P:�s®•r Note: this approval does not Include well permit requirements. eat'p* ose kruiv varucu io/ LINE TO SFR EXISTING DOUBLE Deep Trench, CLEAMUTS' 2' vide J 36' Long ` 11' Max Depth Q 0 ---�} 7' Sewer Rock 4' Cover EXISTING 1250 CALLDN SEPTIC TANK F NQ SCALE Trench Elevaflon (TyP) Cl ea r►L,L4 Monitors O.G. G/ V. 99.2-98,0' 9.ry -38.0p/Silt Barrier TH1 A 11 1.1 �il 4' Cover Fr, r\ �a �' PIPE INV ELM 95.6 BOT TRENCH ELM 88.6' 7.0 Ft OF Septic Rock 801TOM TNI ELEV• -82' NO GROUNDWATER 0BSUM ON 8/3/22 FGrWBATIaN INV CUM 99.3' CL£AhWT PIPE INV EUX 95.6' 1 1 EXISTING 1250 GALLLW HBPE SEPTIC TANK SEPTIC SYSTEM ASBUILT BATE, AUG 4 2022 SHEET, 3/3 GRID, 2835 PERMIT # OSP221071 PID #017-361-57 HCHAHON2B7LM ASBOVG I \ ALTERNATIVE SITE, WING n£S A B \ \ FIELD. 36° LONG TRENCH WITH t F C.O. C 35.5, 32.0+ ,� �0 7' ROCK AMO STEP TANK OR LOT 6 Or M.T. D 36.5 335 sAMP STATION / F C.0 E 32.5" 50.0' F M.T. F 34.0' 51.0'SePt�c� � \. MCMAHDN #2 SID (Area �' \ \ BLOCK 7 �J \ 1 �L LOT 8 / 3 BDRM SFR LOT 7 l ABANDONED MnNG OWN FIELD INSTALLED 4-80ROOM DRAINFI£LD CONNECTED TO EXISTING SEPTIC TANK TRENCH LENGTH 36 FEETf TRENCH W/DTH 2 FELT MAX EXCAM70N DEPTH 11 FEET ��.�� ♦ ROCK DEPTH 7 FEETOF �� ............. ♦®♦ COVER 4 fE£TAF ®�P ;.••' s NOTE.' SLOPES EXCEEDING 25% WERE NOT OBSERVED 0�'49th •:� A..............:WITHINETDOWN GRADIEM OF THE PROPOSED ""AZZMON RELD LOCAnON.0.y . ,. ..: ....;. ..� �, .. ANQi# M XNESS NOTE: THIS 15 NOT A SURVE7£D PUT. WELL & SMC , r No.CE-103906 •° o LOCATIONS TAKEN fROM ON-SITE WATER AND WASTE WATER ♦ LA * ~ o DEPARTMENT DOCUMENTAnON, ALL LOCAWNS SHOWN ARE I N `•• •?;�:.�``'• •�® APPROXIMATE B�•p'e' 441,' 25 0 25 50 75 1011 125 150 SCALE., I' = 50 FT ANSON MOXNESS PE KHMONAff 7 LOT 7 SEPTIC SYSTEM ASBUX ,�1,2 2439 DOUGLAS DR 11` ANCHORAGE AK 99517 HOWARD AND DEBRA GOLDEN DATE: AUGUST 3 2022 907 242 5995 3741 TAIGA DR ANCHORAGE AK 99518 SHEET.• 1 1 GRID. 2835 PERMIT # OSP221271 PID #017-361-57 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax, (907) 343-7997 http:Nwww.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221271 Work Type: Septic Upgrade Tax Code Number: 01736157000 Site legal Address: MCMAHON #2 BLK 7 LT 7 G:2835 Site Mailing Address: 3741 TAIGA DR, Anchorage Owner: GOLDEN HOWARD & DEBRA Design Engineer: MOXNESS ANSON This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: n�cnt S 1°t � �4f I ep:u•t�nEut 7/27/2022 7/27/2023 25978 Q Disposal Field ❑ 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 (2417). 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 B Issued By: y Date: Date: 71Z'7 4 MUNICIPALITY OF ANCHORAGE Development Services Department �� Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 017-361-57 ON-SITE SEPTIC/WELL PERMIT APPLICATION Property owner(s) Howard & Debra Golden Day phone Mailing address 3741 Taiga Dr Anchorage AK 99516 Site address Same Legal description (Sub'd., Block & Lot) McMahon #2 Block 7 Lots 7 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) El(w/wo Single Family (SF) Absorption Field n Initial ADU) Septic Tank ❑ Upgrade 0 Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF 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. (Siafla'fure of prop y owner or authorized agent) Permit/Rush Fees: >! Waiver Fees: Date of Payment: 1 5 0 Date of Payment: Receipt Number: Receipt Number: Permit No. Waiver No. G:\Development Services\Building Safety\On Site Water and WastewaterTorms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221271, Deb Wockenfuss, 07/27/22 Wells: There are no wells within 100 feet of the proposed system location. The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. There are no developed or natural surface /sub surface drainage courses within 100 feet of the proposed septic system location. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. ifv ou have any questions or are in need of additional information please contact me at 242-5995. Sincerely Je Anson M xness, P.E. 2439 Douglas Dr, Anchorage, AK 99517 (907) 242-5995 anson.moxness@gmail.com Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221271, Deb Wockenfuss, 07/27/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221271, Deb Wockenfuss, 07/27/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221271, Deb Wockenfuss, 07/27/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221271, Deb Wockenfuss, 07/27/22 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: 0SP191408 PID Number: 017-361-57 Dwelling: 9 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade Name Howard & Debra Golden ABSORPTION FIELD ❑ Deep Trench El Wide Trench ❑ Bed E] Mound Site Address 3741 Taiga Dr ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 113 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot McMahon #2 7 7 Ft. Ft. Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 100,+ TANK IN Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1250 Gal. Surface Water 100'+ Material Number of compartments Lot Line 10'+ NA HDPE 2 Foundation 10,+ LIFT STATION Manufacturer Capacity Remarks ALL PVC IS SCHEDULE 40 & CONFORMS TO ASTM 3034 Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank PVCTank to PVC drainfield A+ HOME SERVICES Drainfield CO/MT PVC Inspector ANSON MOXNESS, PE BENCH MARK (Assumed elevation) 100' ft Inspection 15t 9/30/19 Location and description dates: 2nd 3rd 4th Backdoor concrete ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp _�®0®•apQ OF A��s, Conditional Approval: Date "�� J. Aioximo .. . Date 30 Zo21 . �� 9Fc,'..No. . == �sl • No. CE 103906 Septic System , p y (1 CIA14 Approved I �(, ,A V Date (o 17� /20�� • �, � Note: this approval does not include well permit requirements. N, /0' � LOT 6 Areaic� / . MCMAHON #2 S/D BLOCK 7 a INSTALLED NEW 1250 GAL HDPE SEPTIC TANK CONNECTED TO DRAIN FIELD �\ INSTALLED NEW MONITORING TUBE & CLEANOUT T LOT 8 / ^ B ,+ ouKM 1/ A SFR l LOT 7 / ABANDONED EXIST/NG SEPTIC TANK DOUBLE CLEAN / 4t FEET COVER CONNECTED TO EXIST DRAINFIELD ANSON MOXNESS PE 2439 DOUGLAS DR ANCHORAGE AK 99517 (907) 242 5995 1250 GALLON HDPE TANK FOUNDATION CLEANOUT .: 49.th '';' 71 . - ... ' .................. �n ..ANSON MfOXNESS s ►��5,':� NO, CE -103906 e;iFi►i►Sis►;. BENCH MARK.- CONCRETE 0 BACK DOOR ASSUMED ELEVATION 100 FEET MCMAHON 12 BLK 7 LOT 7 HOWARD AND DEBRA GOLDEN 3741 TAIGA DR ANCHORAGE AK 99516 SEPTIC TANK ASBUILT DA TE' OCT 5 2019 SHEET. 1/1 GRID: 2835 PERMIT #- OSPI91408 PID # 017-361-57 MCMAHON2B7L-4SB7,DWG PER MOA 25 0 25 50 75 100 125 150 CODE REOU/REMENTS SCALE, I' = 50 FT, SWING TIES A B NOTE.- THIS IS NOT A SURVEYED PLAT. VIELL & SEPTIC S T. M.H. C 18.0' 21.0' LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER S T. C.O. D DBL. C- 0- E 22.0' 25.5' 24.5' 27.0' DEPART'VENT DOCUVENTATION. ALL LOCATIONS SHOWN ARE APPROXIAfATE. DOUBLE CLEAN / 4t FEET COVER CONNECTED TO EXIST DRAINFIELD ANSON MOXNESS PE 2439 DOUGLAS DR ANCHORAGE AK 99517 (907) 242 5995 1250 GALLON HDPE TANK FOUNDATION CLEANOUT .: 49.th '';' 71 . - ... ' .................. �n ..ANSON MfOXNESS s ►��5,':� NO, CE -103906 e;iFi►i►Sis►;. BENCH MARK.- CONCRETE 0 BACK DOOR ASSUMED ELEVATION 100 FEET MCMAHON 12 BLK 7 LOT 7 HOWARD AND DEBRA GOLDEN 3741 TAIGA DR ANCHORAGE AK 99516 SEPTIC TANK ASBUILT DA TE' OCT 5 2019 SHEET. 1/1 GRID: 2835 PERMIT #- OSPI91408 PID # 017-361-57 MCMAHON2B7L-4SB7,DWG Lot 8 X10 �70 �S9 000' �fi�lL 001x, Lot 6 \F n- X06 r9 Wood & wire fence (typ) < r --x 1-1 1-1 OM a.5 OIC deck 0 38.0 �j Manhole ti 2 Story Frame o House o CO N�23801 N Op pert 00) Seg Gacp°�� 0 '59o0 0 i n r 69 Aj \ ' qln SCALE: 1 "= 40' /fl � 1 a / Conc. block ret. wall N74 o 2001 /VV 10' x 20' Anchor Easement Chimney ail Gazebo & Spa Well o Lot 7 / 8502Q 30 / 4,89 03 30 `33820 'l ��O AS-Rttll T NO f:(1RNFRS SFT TUIQ MATH ®0N%XX1% w�. OF • A4qsARW f 49th •.-9 ® 00 . * ••• 01 i •. lizabeth L. Walatka ow ®�1P, • • 8036 - LS • • kl® AW aFESSIONAt•�®0 I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 7 BLOCK 7 SECOND ADDITION TO McMAHON SUBDIVISION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 14th day of JUNE 2022. EASEMENTS OF RECORD, OTHER THAN iD' O ^ Z071 THOSE SHOWN ON THE RECORDED FRED WALATKA &ASSOCIATES, L.L.C. PLAT ARE NOT SHOWN HEREONEngineers and Surveyors BE UNLESS OTHERWISE NOTED. FB 22-2, pg 22-25 907-248-1666. This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and Is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka Is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services In preparation of this product. • ,4„.,,,'rMUNICIPALITY OF ANCHORAGE • ,,,.,.__.....,,o, ^11,,Cnt / On-Site Water& Wastewater Program S '; PO Box 196650 4700 Elmore Road _ f . " Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 E. r http:/Iwww.muni.orglonsite r � epartincnt c NoRAO. On-Site Wastewater Disposal System Permit Permit Number: OSP191408 Effective Date: 9/13/2019 Work Type: SepticTank Upgrade Expiration Date: 9/12/2020 Tax Code Number: 01736157000 Site Legal Address: MCMAHON #2 BLK 7 LT 7 G:2835 Site Mailing Address: 3741 TAIGA DR, Anchorage Owner: GOLDEN HOWARD & DEBRA Lot Size in Sq Ft: 25978 Design Engineer: MOXNESS ANSON Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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 Special Provisions: The septic tank shall be at least 5 ft from any carport supports. ::::: By: Date: : icuclLL'"�h" ( Date: I®! MUNICIPALITY OF ANCHORAGE ® ( Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 061 Property owner(s) 1464, Day phone 21 Mailing address 37k ,cA.A. *C H -h-/ck '? I L Site address S A i t e • Legal description (Sub'd., Block & Lot) AcMatit,tJ x12 3 2--- Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 12' (w/wo ADU) Septic Tank Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF 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. • ( •na ure of prope 'y owner or authorized agent) Permit/Rush Fees: ORS CO Waiver Fees: Date of Payment: VW 2447 Date of Payment: Receipt Number: 02545 ✓ Receipt Number: Permit No. Os Ptql462 Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Appiication.doc Anson Moxness, PE 2439 Douglas Dr Anchorage, AK 99517 September 10, 2019 Municipality of Anchorage Development Services Department Building Services Division On-Site Water and Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: SEPTIC TANK PERMIT APPLICATION McMahon#2 Block 7 Lot 7 I am submitting an application to upgrade the septic tank for this lot.The existing septic tank serving the above referenced lot has been compromised and the owner would like to replace it.The owners wish to upsize to a 1250 gallon tank to replace the existing 1000 gallon tank.The submittal consists of one (1) drawing showing the present improvements on the lot and the proposed improvements of the lot, of which only the septic tank is subject to this permit application. The installation of this septic tank will not prevent wells and septic systems from being installed on the adjacent lots. There are no developed or natural surface/sub surface drainage courses within 100 feet of the proposed septic tank location. The proposed septic tank will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or are in need of additional information please contact me at 242-5995. Sincerely, /' / -_ 'Anson Moxness, P.E. 2439 Douglas Dr, Anchorage, AK 99517 (907) 242-5995 anson.moxness@gmail.com ....'...\./ ip. LOT 6 � \ Grl � Septics / \€N, MCMAHHN #2 S/D I / . \� . BLOCK 7 / / / / INSTALL NEW 1250 GALLON HOPE SEPTIC TANK \ \7 CONNECT TO DRAIN FIELD --- LOT 8 / I' �--- / 3 ORM / / / SFR / • .0401. / ,. LOT 7 NOTE:ENSURE TANK IS LOACATED l I >5' FROM CARPORT SUPPORTS & 1 - >10' FROM FOUNDATION / I \ Ili \ .---} \ \ ABANDON EXISTING I SEPTIC TANK PER MOA m-m-.. ••• CODE REQUIREMENTS 25 0 25 50 75 100 125 150 SCALE: 1' = 50 FT. NOTE: THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 4 FEET COVER DOUBLE CLEANOUTS NEry= ' FOUNDATION _ I- ir4LE n=u=11=11=11:=II;II'-11="` CLEANOUT 11=11-11:-11=�I f=11==II-11=11=11=11=11=11=�'- II II�I 11==I11:I 111 II 11=11 1111011'"11-11 -11=11-11=1=11=11=11— IIJI II��.11:=�II?:I1—" E a = E 4 = .WI�S`U\\�� OF 47 4*c ' 49th �\ •• #0 • ••, CONNECT TO 1250 GALLON HDPE TANK • -1_---- / � EXIST DRAINFIELD ♦ '; Y' • mils ANSON♦ ANSO MOXNESS .: 4/m ♦O- % No. CE-103906 • -\ .S‹eF •••••.,,e-1 /1 /7. <c, 4 •BENCH MARK • • •'4-11'asw��0"4•' ASSUMED ELEVATION 100 FEET ANSON MOXNESS PE MCMAHON 12 ELK 7 LOT 7 ' SEPTIC TANK 2439 DOUGLAS DR ANCHORAGE AK 99517 HOWARD AND DEBRA GOLDEN DATE: SEPT 11 2019 (907) 242 5995 3741 TAIGA DR ANCHORAGE AK 99516 SHEET: 1/1 GR/D: 2835 PERMIT #: OSP191408 PID # 017-361-57 MCMAHON2B7L 7 D WG GRE,-,,ER ANCHORAGE AREA BOL .UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 NAME t~/' LOCATION INSPECTIONREPORT ON-SITE SEWAGE DISPOSALSYSTEM L?r, LEGALDESCR,PT'ON ZOf 7 7 SEPTIC TANK: DISTANCE / ~ ,~..~.~..,.~::..~/' NUMBER OF INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH ../'~'~'LIQUID CAPACITYOOOALLON$. TILE DRAI N~'FIELD: / D,STANCE FROM WELL/OD FOUNDAT,ON Z 7 NUMBER OF LINES 1 DISTANCE BETWEEN LINES ABSORPTION AREA Z/ ~ DEPTH: TOP OF TILE TO FINISH GRADE NEAREST LOT LINE 2S/oFTOTALLINEsLENGTH ,~::, f P/~-~ TRENCH WIDTFL/~IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE / /~¢'~ ~ '¢~ ¢ /* WELL: CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION__ LOT LINE__ SEWER LINE__ SEPTIC , TANK __ CESSPOOl , OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH SEEPAGE SYSTEM DISTANCE FROM: DISTANCES: ~/~"~"'"'~- INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: ?]AGRAM'OF SYSTEM G .A .A. B:~./~ Form EQ-032 START TIME DRILL LOG CASING C.U, SELF' DRILLING 914 East 78th Avenue ANCHORAGE, ALASKA 344-9242 COMPLETE DATE NAME tNo. ADD?ESS __ CITY /PHONE JOB LOCATION TIME WELL LOG DEPTH WELL LOG GPM - YIELD STATIC LEVEL PERMIT N0. FIF'F'L I CRNT L. OCRT I ON LEGRL W D ITTE:F.:ENt';,ER _,F..H E:FO.:: 476"r' T FI I G R [:'R I V E L7 87 MC:MFIHON SUBD RD[:'N ~2 LOT SIZE :?.E)k-3E;8 SQURRE FEET T"¢F'E OF c;, '- I L HB_,UF..BT I ON S"r'STEM I S: TRENCH MRXIMI_IM NUMBER OF BE[:,ROOMS = S SOiL RRTING (SQ FT,.-"BR)= ]"HE REQLIIRED SIZE OF THE SOIL IRBSORF'TION S'.r'STEM IS: THE LENGTH DIMENSION IS ]"HE LENGTH (IN FEET) OF THE TRENCH OR [:,RRINFIEI..D. 'THE DEPTH OF R TRENCH OR PIT IS THE DIS'TFINCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOH OF THE E'XCRVRTION (IN FEET). ]"HERE IS NO SET WIDTH FOR TRENCHES. ]'HE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFFIL.L F'IPE FIND THE BOTTOM OF THE EXCR',,,'R]'ION (IN FEET). ~j P-~ _--_. F-.'. E Q L~ ~ EE:: LEE '1- ~.~ C~ ,:." ':: ][ t'-.i'_.~;F"EC:-F ]E -- "'-- RRE BRCKFILL. ING OF RN'.¢ =,Cz, TEll NITHOLIT F!NRL INSF'ECTION RN[:, RPF'R]',,,'RL B"r' THIS [:,EPRRTMENT WILL BE SIJBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RN'¢ ON-SITE SENRGE DISPOSFIL S~r'S'TEM IS :1.0~ FEET' FOR R PRIVFITE WELL OR 2E~E~ FEET FOR R PUBLIC WELL. WELL LOGS FIRE REQUIRED FIND MUST BE RETURNED "FO THE DEPRRTMENT WITHIN 3".E~ DR'CS OF THE WELL COMPLETION. SPECIFICRTIONS FIND CONSTRUCTION DIFIGRFIMS RF.'.E FI',/FIILFIBLE TO INSURE PROPER INSTRLLRTION. I CERTIF"¢ THRT i;: I RM FRMILIRR 14ITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WEI_LS RS SET FORT'H 8'¢ THE MUNICIPRLIT'¢ OF FINCHORRGE. 2: I WILL. INSTRLL THE S'¢STEM IN RCCORDRNCE WITH THE CODES. Z::: I UNDERSTFIND THRT THE ON-SITE SEWER S'¢S]"EM i"IRM REQUIRE ENLRRGEMENT IF TNE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 3: BEDROOMS. S I GNED ' _ ...................... RPPLICRNT W D I T TE, F..ENDEF.. _ _ ~ ..... DRTE ............................ , De~rtment of Health and Environment-~', Protection A[tchorage, Alaska 99507 ....... 2.- ~Z~II .";()II,S 1,0(3 PIHI()I,ATION r|'I~S'I' Performed fo~ ..... .~._.~_~r~_ .................................. ;~ate Pcrformu.J Legal Uescrip~tion: .form reports: Dep th - Feet 9- '10 - 11 'Ce- ~ T F< c-:-~ D ~o ,b. Was ground wa~er encountered? If yes, a~ wna~ de,;th? Reading Date Gross Time ' ~. 'F~et Time ' f Depth t°_~ate;~ Net i)ro!~::;~.,,, CZ_ZZZZV. LT_-.'-_Z_-_-ZJ-:LL.Z '_ --~ ......... ' ....... ,Proposed installa~'n-~-]"~b-eh~'ge Pit Drain Field MUNICIPALITY OF ANCHORAGE Q Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-361-57 1. GENERAL INFORMATION Expiration Date: 1 9 r 2� Complete legal description McMahon #2 Block 7 Lot 7 Location (site address) 3741 Taiga Dr Anchorage AK 99516 Current property owner(s) Debra and Howard Golden Mailing address same Real estate agent Teresa Bell 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 240-7612 Day phone 240-2248 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic ❑ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ yy� Waiver Fee $ Date of Payment Date of Payment Receipt Number / Receipt Number COSA # 0 S C 22 1 3 Waiver # 5. 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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 (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Anson Moxness, PE Phone 242-5995 Address 2439 Douglas Dr, Anchorage, AK 99517 Engineer's Printed Name Anson Moxness Date • 7SY\"j4r(7-7e� ` 9t 6. DSD SIGNATURE r..... ... ....................... r _)!C, System #1 Approved for bedrooms •..ANsaN MOXNESS•• No System #2 Approved for bedrooms �� s` :,. . E-143906 : ti �y Disapproved ®��♦�.SP. Conditional approval for bedrooms, with the following stipulations: \PNLITY 0 �m W ER v ��FRVI CES\��\ By: Original Certificate Date: C The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheat Legal Description: McMahon #2 Block 7 Lot 7 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1977 Total depth 161 ft Cased to 161 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 7112122 Static water level at beginning of test 160 ft. Comments Well log unreadable, Well inspection previously filed B. TANK DATA Age of tank(s) 3 years Tank type/material HDPE Measured operating fluid level in septic tank 56 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 8/2/22 A D. ABSORPTION FIELD DATA Which system tested (date installed) 8/3/22 ❑ ALL standpipes present per record drawing Total measured depth from grade 7 ft (max) Measured depth to pipe invert from grade 4 ft (min) ❑ N/A m- pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective NO Code -required soil cover over field Parcel ID: 017$361-57 Structure served by this system 1 Well production at time of test 10 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 2• mg/L ❑ Nitrate less than MRL (ND) Arsenic: ug/L ❑ Arsenic less than MRL (ND) Collected by Anson Moxness Date of Sample 7/13/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date New Results ❑Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 34 days prior to Any rejuvenation treatment (past 12 months) date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' C] Yes Community Sewer Manhole/Cleanout > 100' [J✓` Yes if No ft M Yes if No ft Neighboring Tank > 100' Q✓ Yes if Na ft Private Sewer/Septic Line > 25' El Yes if No ft Absorption Field on Lot > 100' E✓ Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' ❑✓ Yes if No ft Water Main > 10' Animal Containment> 50' Q Yes if No It E] Yes if No It Q Yes if No ft Water Service Line > 10' [✓ Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway comment below Community Sewer Main > 75' 0Yes if No ft ✓Q Yes if Na ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' C] Yes if Na ft Surface Water> 100' Yes if No ft Property Line > 5'✓Q Yes Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' [✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' C] Yes if No ft if absorption field is under driveway comment below Property Line > 10' 21 Yes if No ft Wells on Adjacent Lots: Water Main > 10'no' Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' Q Yes if No ft Community Wells > 200' Q Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet Lot 8 Hca �ro�s9- 00' 00', Lot 6 \\� 706 7 Wood & wire fence (typ) �f `g W .!Z?4.5 OH 38 EMT 0 eck oQ) Manhole S 2 Story Frame So House o CO N `2 CD 38.01 NO 00 dk deck \ geP�ic vent 00 1 Sig° a f Conc. block rte• ret. wall 000'l,, Stj Jf rq,�q <.,89 4,Q7� 03 fi ,J. SCALE: 1 "= 40` N74ops \ 54.92 10' x 20' Anchor Chimney Easement / / 8502Q / 30 41 O U 78. Gazebo & Spa (V O CC/ l Well o h 4 Lot 7 z 30 RECERTIFIED 8-04-22� AS -BUILT NO CORNFRC SFT THTC nATF ®LXXX\ I t of + A4qS ,l 00 _49th00 00 00 0 !V,,'. Izabeth • alatka �� F • , 8036 - L5 . • AM ttP o i O pRaFESSIONA� W •\ym' � EASEMENTS OF RECORD, OTHER THAN�Zra THOSE SHOWN ON THE RECORDED i G - PLAT ARE NOT SHOWN HEREON FB 22-2, pg 58 BE UNLESS OTHERWISE NOTED. FB 22-2, pg 22-25 I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 7 BLOCK 7 SECOND ADDITION TO McMAHON SUBDIVISION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 14th day of JUNE 2022. FRED WALATKA & ASSOCIATES, L.L.C. 907-248-1666 Engineers and Surveyors This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. 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. GENERAL INFORMATION Complete.legal description HAA # Location (site address or directions) Property owner Mailing address Lending agency Mailing address '~t~o Agent ~.~,¥ ~_~,- ~J Address ¢-&,o O Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: Day phone .~ ¥~-- 5~,u-~ Day phone Day phone TYPE OF WATER SUPPLY: Individual well Community well NOTE: Public water If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 sluewwoo leUO!~!PP¥ :suo!~elndRs 15U!MOIIO~ egl~ LI~!M 'SLUOO~peq ]o~ leAo~dde leUO!l!puoo 'peAoJddes!Q 'SLUOO~peq /& '&/./4 al. aa .~o~. peAo.lddv ~,~ :II::IrlJ.'VN~DIS SHHa '9 e~n~eua!s s,~eeu!au3 / -~z~ o/ sseJ ppv I:EI:iNIgN:I A8 NOIIO:IdSNI -10 J.N:~:I.L¥1$ Legal Description: A, WELL DATA Well type ~ Log present (Y/N) Total depth Sanitary seal (Y/N) Municipality of Anchorage '~,~, Department of Health & Human Services HEALTH AUTHORITy APPROVAL CHECKLIST '~c~,~;4,..,~.~ if A, B, or C, attach ADEC letter. ~ _/"~o-~'~ ~'-~.) Date completed I (~ I Cased to I (~ ! 1~I77 -~ Driller C. Casing height Wires properly protected (Y/N) Date of test: Static water level Well flow Pump level FROM WELL LOG AT INSPECTION cia. ?/ g.p.m. ~' ' g.p.m, SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot // Absorption field on lot /~ Public sewer main Public sewer's~'rvice line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout ~//,Ar Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate ~). ~ ~ Other bacteria Collected by: ~--~' ----~- ' B. SEPTIC/I |CLD;;;G TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size I0~o Compartments ~ Foundation Cleanout (Y/N) ~/ Depression (Y/N) '/~//~ Alarm tested (Y/N) ' ~//~A, SEPARATION DISTANCES FROM SEPTIC/HeEDING TANK TO: Well(s) on lot //7 To property line '~ Surface water/drainage On adjacent lots ~/OC~ AbSorption field / 7 Foundation Water main/service line 72-0~6 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE C, LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Manufacturer Manhole/Access IY/N) "Pump off" level at Cycles tested Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed / ?77 Length ~ Width Total absorption area ~, / Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) System type Gravel thickness ~,, ' Total depth Cleanouts present (Y/N) ~" Date of adequacy test ~/¢~//? for J~/ If yes, give date Soil rating I0o bedrooms SEPARATION DISTANCE. FROM ABSORPTION FIELD TO: Wellon lot //'7/0'~-' On adjacent lots Prope(ty line ,~-~' To building foundation ~--~ ~ , To existing or abandoned system on lot On adjacent lots ~ ~ ~ Cutbank I'Y'//'A~, Water main/service line ~ -~--~ Driveway, parking/vehicle storage area Surface water Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. . ~ ~ ,-~,;%¢¢~ ,,,,o.~..~., ~: ,..~. ~',tI . HAA Fee $ /~ Waiver Fee: $ Date of Payment ~ ~ ~-~/ Date of Payment Receipt Number ~ ~ ~ ¢ '-- ¢/¢~ Receipt Number 72-026 (Rev. 3/91) Back MOA 21 gSl L DiNDND BLVD. ~N~HOR~GE, ~L~SK~ ~02-~V04 (~07) 2~B-50V5 RESIDENTIAL WELL INSPECTION LEGAL: LOCATION: OWNER: L. ot 7.~ Block 7 McMAhor'~ 3741 'f'ai Cather'ine Hart TYPE OF WELL: f::'rivat~ Single F:'amily WELL LOG AVAILABLE: Yes INSTALLATION REQUIREMENTS MET:Yes WELL YIELD FROM WELL LOS: Ga].lons per Minute PUMP YIELD FROM TEST: 6 Gal 101qS per Mi flute DATE OF INSPECTION: April 18,~ 1991 TEST PROCEDURE: Well was pumped at a constant rate while the drawdown was moni tol'-ed wi th an acoustic probe. A'k 'khe beg:Lnning o~~ the test water level was .~ound at 112 feet below top of casing. At a pumping rate o~: 6 gallons per minute the water level dropped to 116 feet a~ter 8 minutes o4: pumping. The water level stabilized at this depth and did not change cluring the next 60 minutes c:)-~ pumping. The well recovered 1Cx}% in 2 minutes. A totai of 207 gallons were pumped. TEST FOR E.COLI AND TOTAL NITROGEN: Water' was tested 'for' E.Coli and total nitrogen on April 19,~ 1991. E,Coli 0, Total Nitregen 0,68 rog/1, Max, allowable T'otal Nitrogen 10 rog/1, TEST RESULTS: This well meets the requir'ements c,.F the M u.n i c: i p a 1 i 'k y c:,.F A n ,::: h,::)r a g e. THIS WELL WILL PRODUCE MORE THAN ! ~ALLONS PER MINUTE FOR MORE THAN FOUR HOURS The Mur~ic:i. pal r'ectu:[remer~t .for well flow is 150 gallons o~: water per bedroom per day. This well exceed this requirement. The assessment of the cond:i, t i on of the we]. 1 app:l, i es on 1 y to t:he c:onditions as o.f 'khe day testecJ, The .Flow rate may change due to ~SL.d:)sLlrfac:e CC)l"ldi'~:.ic)l-r&s tJ"iat: tn~y I"tlD~] be ebfise:,Fvec:J t:l"C:)m '[7. he and changes in the lafld LH~;~)~ al"HJ other fac:'kors 'khai: may impact: the acluieer' .feecting t. he well, 6751 ~, ~IHDN~ BLV~, ~NCHOR~BE~ ALASKA 99502-3~0~ (907) 26B-5095 LEGAL: LOCATION: OWNER: RESIDENCE: WELL: SEPTIC SYSTEM: SEPTIC SYSTEM ADEQUACY TEST []att her' J. i']e Hart ~,~ ,. ' . ' ~, S:i. nqle f:'amiI , ~ 3 Bedrooms ' ~" F'ROM MI.JNICtF'AL. RE[lORDS: 3 Bedroom System TANK: Greet Steel 1OOO Gal. 'T],¥o Compar't,s. Ai}:{SORPT I ON SYSTEM: "French ABSORF:'TZON AREA: 312 Sq. F:t. SO ]: L RA]" I NG: 10C) I NSTAL..L.A]" I ON DATE: 1977 DATE OF LAST PUMPING: A+ Home ~',.~','~,,'', .[c'-~=~... Jan/Feb 1991 DATE OF TEST: Apr':[1 ].8~ :[99:1. TEST PROCEDURE: Sys'Eem was inspected and measured. '/"ank was .Found with 3 ~eet o~ cover and with a liquid level e,F 48.5 inch- es. Trench c:lean out was deep and dry. Trench mor~itc)r tube was 6 .Feet deep with 12 inches of water. 72C) gallons e.F clean water was added i:o the trench while ~l")e water lev(.:~,!s il"~ the tank al'id the filC)l]it(]r tt.~be ~,.Jere mc)nitored. ]"he ~,a't:,er l~ve]. :i.n the '~:al]k did l]ot c:hange~ v~h:[].e the ].evel in i:'.he m(]nit(:)r rose 30 :i. nches.. The next day the vaai:er level in the monitor tube was c:hecked. The water lew:,z, 1 had dropped 27 inc:hes~ :i. rldicatin(:~ thai: 650 gal l(:)ns ~4:: water had heel'1 TEST RESULT: 'l"h:i.s ....... t.,..m meets the code? the Health and Depal."'tment e~: thce Munic:ipa].ity c, 4: Anc:hc) r'age. r eqL.ti r emel"Y~.s o4: S o c i a I S e r v i (:: e s NOTE The operational l:[,z.e <:)~ all sep'Lic systems depends [)n 'the :[ (3C:~.], S(:)i I (::(3rid i t i c3r]s ~ (.:jrc)ur')dv~a'L:er 1 eve]. s tha't: may ~: 1 uctuate clur:i.r)g the year"~ and the wa'l:er usage o~ t. he eamily be:Lng served by the system,, These c:(:~nditi(:)ns are outside the contrc:~Z o~: the eMa].L[atc)r o~ th:[E; sep~.~(: ~;F. yste[[~. [~]e (::ar'~ there.Fete riot c~]:i, ve any esi:imai:e o~: how lon(:j tl'l:Ls system /~~--~ ~, MUNICIP~TY OF ANCHORAGe.. ~o'~,~ . - DEPARTM? ~ O.F/~A~L'[/I-J~IDfENVIRONME~~ '),L PROTECTION ~1: Time~ fl:00 a.m._~~ Time ~3: Time Date 7-14-77 Thursday Date Date Insp ~chhc!z /~~ Insp Insp REQUEST FOR APPROVAL ~F INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska Bank of Commerce Mailing Address: Pouch 7-012 99510 Phone: 279-5641/350 Property Owner: Wilber W./Gloria Dittbrender Mailing Address: 3. Legal Description: Lot 7 Block 7 Mc Mahon Subdivision 4: Phone: 349-2235 Single Family Residence: (x) Multiple Family Residence: ( ) Number of Bedrooms: One Number of Bedrooms: 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 1977 Installer. Manufacturer Soils Rate Material Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Pag~ Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 7 Block 7 Mc Mahon Subdivision Comments: Affadavit Attached: ( ) Letter Attached: ( ) Approved: ~.~~~_t Date: Disapproved: Date: Department Worksheet: ...... MUNICIPALITY OF ANCHORAG ~/~..~.'~2.~ -, ~ Departmenh of Health and Envlronmenta± Prot~:~.lo:n "[/~'~"~i~:'"~"i; 825 L Street, Anchorage, Alaska ~ ~'""~/~ 27~-2511, e..t. 224, 225 " z~<-m:'f~-%~&quest for Approval of Zndividual Sewer aha Water Facili%ies [~ 1. 2~ope~ty Owne~: Nilber N. & Gloria Dittrend~ NaiIing ~ddress: Star Route Taiga Dr. Phone: N~me of Buyer: Mailing Address: Marshall & Kathryne A. Har~e SRA Box 1670 Anch. Phone: 349-1173 Lending Institution: Mailing Address: Alaska Bank of Commerce Pouch 7012 Anchorage, Ak. 9951-Y -- Mary Lou Cacy Realtor/Agent: Mailing Address: 2804 W. Northern Lights Pholle: 279-56~1, x350 Phone: 277-3511 Legal Description: Lot 7, Block 7, McMahon S/D #2 Street Location: NHN Taiga Dr. Anchorage, Ak. Single Family Residence: (X) Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: Water Supply: *Individua'l Well (X) If Individual Well, well depth If Co~mmmity System, name of system Public/Community System ( ) 8. Sewage Disposal System: On-site System (X) Public System If On-site Syshen, date of installation: *NOTE: A well log is required on ALI, wells drilled since 6/75. 3/7'/