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HomeMy WebLinkAboutMCMAHON #2 BLK 9 LT 9Onsite File McMahon #2 Block 9 Lot 9 #017-362-16 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211457 PID Number: 017-362-16 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New FE1 Upgrade Name Rhoades Kenneth & Lynn ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 3850 Tiaga Dr Anchorage, AK 99516 ❑ Other Phone 907-529-9500 RNumber of Bedrooms ating Total depth from original grade GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe in rom original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot McMahon #2 9 9 Fill added above original grade F Gravel length . Ft. Township Range Section Gravel width Ft. Beds: Number of Line Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. betwe renches From Tank Field Tank Line Ft2 Well >100' >100' N/A N/A >25 TANK FEI Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1250 Gal. Surface Water > 1 00' > 1 00' N/A N/A Material Plastic Number of compartments 2 Lot Line >5' >10' N/A I N/A NA Foundation > 10' > 10' N/A N/A TATION Manufacturer Capacity Remarks Gal. Alarm location Electnc ailed Installer PIPE MATERIAL House to tank D3034 drainfield Tank to D3034 A+ Home Services Drainfield D3034 CO/MTD3034 Inspector J.Millette BENCH MARK (Assumed elevation) 100 ft Inspection �s` 4/18/22 4/18/22 Location and description dates: 2�d 3rd Bottom of Siding at FCO 4'" ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date TH . :: .. 4 Septic System Benjarrn;Schiller Approved L Date 122 �G's�F.C5/24/222 titi ��'°ROfESS10N Note: this does approval not include well permit requirements. `I \G V VJlVL/ 1 VI 1 \..V �N�/) M 1 f�- 0 I J / W t X w \ / W,- J J 0 z H U) X w 1 z z W I0 C) J ir 5; W J p W (n U)C) QO Z 0 _ z f— Z w co W CC W F- z I w O 0 w 1 w r n'� w Qf CIO Q m r M _1 �r O _ o O •O) U N z Y 0zz LO CD N W F— \4 co O Q � a I t Y� O w H z J O J LU > m ¢zw F- L9OP (D — f— U �= W = Z W Lu Q� J R W J O CO D O 0 U 0 W O O 0 z z 0-w � U W w H O OLLI ' O O = H - U NLUi����H O� I` O N -7 m f� co M O O N MCl) et V' m m C V O O� Q M 1—O CO m co Cl) M OU L.L_�cnNU PERMIT # OSP211457 ENGINE FR�NG PROFILE AS -BUILT (NO SCALE) PID # 017-362-16 FOAM INSULATION 7 �H ; .J�� .......... • ' . • • Benja Schiller , • . . P��csjF�.• of 12,2023 12692•.��� ���®� pROFESSIONP�'.� SCALE: 1 "= 50' Ok/ Lot 8 p� 0 Chain link fence Lot 12 Lot 11 19 O 90 \ 0 SepBc vest l�ypl r� ( Q Marho\e e E�; O1\ QF Q" o ' CO ,ek 3.0 OH� Wood fence / Z Shea Lot 9 1.00HJ N89057'49"W �&%Xxx%A of • ��qS of 49th '®00 oO �, •: Elizabeth L. Walatka IIII, �'",, • • 8036 - LS • • AW AW '0?OFESsIot4pN-•0®® EASEMENTS OF RECORD, OTHER THAN �` 1 --2- l32 THOSE SHOWN ON THE RECORDED FB 22-1, pg 6-7 PLAT ARE NOT SHOWN HEREON Recert 7-15-94 BE UNLESS OTHERWISE NOTED. CE c'? 20' Utility Easement — — — — — — — — — — -- 10' Utility. Easement 335.37 Lot 10 3� 7� 0 L RECERTIFIED 4-27-22�'� AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 9 BLOCK 9. 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 23rd day of APRIL , 1988. 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 On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211457 Work Type: SepticTank Upgrade Tax Code Number: 01736216000 Site Legal Address: MCMAHON #2 BLK 9 LT 9 G:2835 Site Mailing Address: .3850 TAIGA DR, Anchorage Owner: RHOADES KENNETH A & LYNN M Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: n�enx ftlmali"t tneiit 10/27/2021 10/27/2022 37606 ❑ Disposal Field 2 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Veronica Pope GE 2021.10.27 Received By: 09:00:53 -08'00' Issued By:► Date: Date: 7 Zdz l 0 Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-362-16 Property owner(s) Kenneth Rhoades Day phone (907) 529-9500 Mailing address 3850 Taiga Drive, Anchorage, AK 99516 Site address 3850 Taiga Drive Legal description (Sub'd., Block & Lot) McMahon #2 B9 L9 Legal description (Township, Range & Section) Lot Size 37,606 Sq. Ft. Number of Bedrooms 3 beA room Sqi c� APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) (w/wo AD U) Septic Tank Fx] Upgrade Q ❑ (D) Holding Tank ElRenewal r-1Duplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. ii y (Signature of property owner or authorized agent) Permit/Rush Fees: t '� 5 Date of Payment: / 01-n Z a?0; Receipt Number: 03390b Permit No. 0 S P 21N 5 1 Waiver Fees: Date of Payment: Receipt Number: Waiver No. Permit App_'- : ,-..:c; LT October 26, 2021 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 10/26/21 Subject: McMahon #2 B9 L9- 3850 Taiga Drive Septic Tank Replacement Dear On-Site Services Engineer: The owner of the above lot has a septic tank that has reached its end of useful life, we are submitting this permit application for its replacement. The attached site plan identifies the location of the home as well as the wells and septic location. No conflicts exist between this proposed system and any other wells or septic system, whether on this lot or adjacent lots. The home has 3-bedrooms, but the original septic design was sized for 4-bedrooms. We are replacing the septic tank with the same size. The new septic tank will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the absorption field. Please refer to the attached plan for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211457, Rebecca Carroll, 10/27/21 // EXISTING ABSORPTIONTRENCH TO REMAIN INSERVICENOTE:NO SLOPES >25% ARE WITHIN 50' OF THE PROPOSED SEPTIC SYSTEM. NO SURFACE WATER WITHIN 100' OFTHE SEPTIC SYSTEM.ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITHWELLS OR SEPTIC SYSTEMS.CO - CLEANOUT2CO - DOUBLE CLEANOUTFCO - FOUNDATION CLEANOUTFD - FLOW DIVERTER VALVEMH - MANHOLEMT - MONITORING TUBESV - SEPTIC VENTTH - TEST HOLELEGEND1"=50'3-BDRM HOMEEXISTING WELL1,250 GALLON SEPTIC TANKMAINTAIN 100' SEPARATIONFROM WELLMcMAHON #2, BLOCK 9 LOT 9FEET050 100Benjamin SchillerCE 1259210/26/21TAI G A D RI VE 10' UTILITY EASEMENTDECOMMISSIONEXISTINGTANK PER U.P.C≥5'2CO2COEXISTING WELLEXISTING WELLEXISTING WELL Municipality of Anchorage On-site Water and WastewaterREVIEWED FOR CODE COMPLIANCEOSP211457, Rebecca Carroll, 10/27/21 ~-MUNICIPALITY OF ANCHORAGE-~, Hea_ ~h and Environmental Prote, ion Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 INSPECTION REPORT ON-51TE SEWAGE DISPOSAL 5¥STEM MAIUNG ADDRESS p O' ~ ISX C/--J~O-~ ~Ar._.k , PHONE LEGAL DESCRIPTION C--~ 2--~ ~ ~~ SEPTIC TANK: DISTANCE ~x~ FROM WFLL ~V//4~(~'A INSIDE LENGTH MANUFACTURER _~ INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS . LIQUID CAPACITY/,)----~ GALLONS. TILE DRAIN FIELD: DISTANCE [:ROM WELL FOUNDATION ('/'~L'f ~. of Lines DISTANCE BETWEEN LINES ABSORPTION AREA DEPTIt: TOP OF TILE TO FINISH GRADE TOTAL LENGTH NEAREST LOT LINE __OF LINE TRENCH WIDTH (1~- IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER ( //" MATERIAL BENEATH TILE__ ~ ' ..1~. ABOVE TILE IN. SEEPAGE PIT: Log Crib Rings BUILDING FOUNDATION__ DIAMETER OR WIDTH ., LENGTH DEPTH Crib Size :~ DIAMETER___DEPTH.-- DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE__ ABSORPTION AREA (WALL AREA) SQ. FT. Well Class: Depth: Well Distance To: Lot Line Bldg: Sewe~ L~ne: Pipe Materials: ~ # of Bedrooms: Installer:~~ Remarks: DATE t..,iH'h'i. ,L L.:HIN i L. UI~i;H I .[ EiJ'.,j i.. E:. 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H CIjlNll J:NtjULi~; MFIiNiENRNCE FIGREEFtENI" 1[2!; REL.:!UtREI..:'. 1[ kl 14 MF~iF,IiENHNL:b: PIt;ii,::E:EPtENi i.'.':, Nt]'l [::i~J~[;'l' C:tJI<.'I4:ENI' '¢CIU f"lf:i'~; BE ~.'Et~:!UIF..'E['., ill~I ENI...I:-tR"I.3E i'1-.il..':: SLJIL. F'iBL-A]K'.'f:'i-iLtN %'~."_':;IEM :4r4[::,,-'"Oi:~:: 'T'ILIiJ r,i[.~'.r' BE SUI:iL)[EC'[' i'(iI bIHIi:J:K}:J.L[I..INL] I. JF I~N'T' ::;"r'~;'ibf'~ Iq]. iHOU[' [.)~:]-'lfl¢:: iPlb:f,Ji [4 1 i_.L.. Biz; Si..iEI3 IEC i 'llU i.:'[4:.t.t~¢ECU i¥iIF~II"iL.IP1 C,i:::,'ihlNL:E~ tz~b'IHP. EN R NELL :t.~JO k'J~Z.! FUR f~ P:'N:LVffl'iE NEL..L Oi4'. ;2'.00 FEEl FOi.;?. R F'Li~3LiL~: PJELi.... Nb.t...!. L_U~]~ fffN~b. F::E~:.~UIH'.tC[) I'.~NE:, Ht. JS"i ~]JE Nk.'I'LINNEL:, iU THE [:,EI.:'F]f~:tI"IEN'T Hi 'il."JiN 2;~::J L)F.iY~E, t]F iHE:~ Nb]....i.. C:L)f'IF'L_b.'i iON. IJIH[zb: t-?.~::.MLiL!',¢tz.I"iEN'IS l"1~'¢ ~;ff-'H...'¢. :::,i.;'iECLhiCI:Ii~UNE; HNL:, CCtNSiNI..IC:iJ. UN L:,~FIL~iN'.HH::~, HNb. iL i:';' t :- <. - '- -'. -?..:[:_". ,, :... :- D~ rtment_o~ Health and Envlronmer: "P~ot'e0tion i:;'., - - ..... -- ~ ..-: ~-~ - ~ : -. -, Anchorage', Alaska 99507'. ..... ? '. :. S()II,S I,()(; -- I'EI~()I,ATION- .. · Performed for ~ ~ '. ~ ~lvt C70 "' ,),.re ~ Legal bescription:_2 ~[Z~_~ .... ~- ~*~ .................... :-' :Ttlis form relJorts: Soils log ~ Percolation Lest '~' Depth] ' ' ;~.:.-.:, F~ -" ' ' ' '" ~/ :~ ']0 - 13 ::-.~3~s 9round ~a[er encountered? If yus, at -what depth7 Net Time Depth to Water fiet Urop Percolation race Readi rig Da te Ini nu -Proposed install~tq-6iF:--'~bb~'ge Pit Gross Time '-'C:TM ....... [}rain Field ____: ........................ '.. 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 Parcel I.D.# ~'-~ 1. GENERAL INFORMATION Complete legal description Lot 9; Block 9; McMahon Subdivision #2 Location (site address or directions) Property owner Mailing address Lending agency Mailing address Larry Bevil 3850 Tai_qa Drive Anchoraqe, 3850 Taiqa Drive Anchora.qe, AK Day phone. AK 99516 Day phone 345-5004 Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well NOTE: xxx Public water If community we//system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank "' Community on-site NOTE: XXX Public sewer 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 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 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. Name of Firm & s ~ J Phone S "'NGiNEE/~IN~~ Address 17034 Eagle River JL~ o DHHS SIGNATURE )~ Approved for ¢ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date 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 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 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 Anch,orage is not responsible for errors or omissions in the professional engineer's work. 72-O25(Rev. 1/91) Back MOA~21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Well type Log presenl~) Total depth Sanitary seal(~N) ~(._/~- ,~ /~(_//4~4J~c~J Parcel I.D. If A, B, or C, a~ach ADEC le~er. ADEC water system number ~ ~ Date completed ~/?? Driller ~~ ~'~/~/~' Wires properly protected~) ~ FROM WELL LOG AT INSPECTION / Date of test /(b ?'~ o Static water level /.~ r /~ ~ Well flow [ ~ .g.p.m. ~' ~ Pump level1 ~ SEPARATION DISTANCES FROM WELL TO: Septic~tank on lot ~/~ ; On adjacent lots Absorption field on lot /~ ~ r~ ; On adjacent lots Public sewer main ~ / ~ Public sewer manhole/cleanout Sewer sewice line ~ [~ Petroleum tank ~ WATER SAMPLE RESULTS: ColEorm ~/~ ~ Nitrate Date of sample: ~/7 ~ ~ SEPT,C;.='-=::,' A.K D^T* Date installed ~-~//(~ / ? Cleanout~[~N) High water alarm (Y~) Date of pumping Tank size / ~"~(--~ ~-~/,~(--- Compartments ~-- Foundation cleanout(~) ~-~ Depression (Y~) '/',-/~ Alarm tested (Y/N) ~//?~ / ~ ~ Pumper,. ~ SEPARATION DISTANCES FROM SEPTIC/H~L-BfN~ TANK TO: Well(s) on lot ~'.~ / On adjacent lots To property line / O ['~ Absorption field Surface water/drainage /©O ~ 72-026 (3/93)* Front Foundation Water main/service line /O/-/- CONTINUED ON BACK PAGE C. LIFT STATION ~ ~/"'J~"- /'~/¢'"~-J'~'J~ Date installed Size in gallons Vent (Y/N). "Pump on" level at High water alarm level .....--'"'""-Cycles tested Meets MOA electrical codes (Y/.~..?...--''''''~ SEPARATI~OM LiFT STATION TO: Well..g~ On adjacent lots D. ABSORPTION FIELD DATA Date installed ~ //(~ / ? Length ~F,.~ / Width Total absorption area Water level in absorption field before test Peroxide treatment (past 12 months) (Y/Ni Manufacturer ~ Manhole~ at Soil rating (GPD/FF) ,/.~'-O "-'/'/~/L._ Gravel thickness Cleanout present(~) Results~ail) Surface water System type y-,'LL--'~C faze Total depth / Depression over field (Y/~. for ~0~ (~ Bedr~ms After test y s, give aat SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellon lot /O~ To building foundation On adjacent lots Sudace water Curtain drain On adjacent lots ,/O~/?/ Property line To existing or abandoned system on lot Cutbank ~-Cb Water main/service line Driveway, parking/vehicle storage area ~ E. ENGINEER'S CERTIFICATION Engineer's Nar'¢~~ ~--..-'d .".'c, 20" HAA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (3~93)* Back MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a.) Legal Description (include lot, block, subdivision, section, township, range) Locatio~ (addres~ Or directions) p-~? ~ .~ , (b) P;operty Owner J~ .,/¢.-//~:~ b~1'~-"~L/ Telephone: Home · Mailing Address -~,~,-~"~ (c) Lending Institution '"//X'~(//~//~/'0~c)/~/' Mailing Address " .'~, ,/'"~' (d) Real Estate Company and Agent Address ,_'~-~ / /J-,.~ (e) Telephone Business Telephone Mail the HAA to the followinq address: or; Check here ~ hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family ~[ Number of Bedrooms WATER SUPPLY Individual Well~ Community [] Public[] Note: If comm unity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite.~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. Page I of 2 72-025 fRev 8/861 Front '~po~ s,~esu!bus leUO!SSejoJd sq~ u! suo!ss!u~o Jo sJoJ~s ~o~ elq!suodseJ ~ou s! eBeJoqou¥ jo ,q!led!o!un~ sql 'panss! s! e~eo!~!Pso s sJo~eq e~ep sZ,~leUS Jo suo!~osdsu! ~onpuoo ~ou op SHHQ ~o see,~oldLUB 's~us~ueJ!nbeJ s~e~s pue le~spsj u!epso ,~JsBes o~ Jep~o u! suo!~n~Bsu! 5u!puel J!sq~ pue SSLuoq Jo s~essqomd o~ ~sspnoo e ss s!q~ ssop SHHQ eq/'s~SSlV ~o eie~S sql u! pe~s~s!leej ~asu!Bue leUO!SSe~oJd ~uepuedepu! ue ,~q e^oqB q qde~Cie~ed u! us^lB suoBe~uesa~ds~ le^oJddv ,qpoq~nv q]leeH senss! (SHHQ) SSS!AJaS ueu~nH pue qlleSH NOlin¥o leAOJddv ISUO!l]puoO ,to stJJJS/ ISUOB!puoo ps^oJddes!~ ~ psAoJddv .g WELL DATA MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE (MOA)~NVIRONMENTAL SERVICES DIVISION HEALTH AUTHORITY APPROVAL (HAA) MUNICIPALITY OF AI~I~I~sT- FEBRUARY 1984 }~JA~/ 6 ]988 DEPT. OF HEALTH & 264-4744 LegalDescription: /-m'/'~ ~/~'"'-""'~'""J'" ---- ENVIRONMENTAL PROTECTION 6 t988 Well Classification Well Log Present~}N) Total Depth /~'- 6~ Cased to Static Water Level ~! /"~' / Casing Height Above Ground RECEIVED Electrical Wiring in Conduit(~yJN) Separation Distances from Well: To Septic/Holding Tank on Lot If A, B, C, D.E.C. Approved (Y/N) Date Completed / 4~ "''~%' '? ~z Yield /b~., ~ Depth of Grouting Pump Set At ;'~' ? Sanitary Seal on Casing~.~N) Depression Around Wellhead (Y~i / / ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ~) / ~,J ; On Adjoining Lots To Nearest Public Sewer Line ~/'~- To Nearest Public Sewer Cleanout/Manhole '/~//~ To Nearest Sewer Service Line on Lot Water Sample Collected by /¢2Z~-?~.5 /~,~. /~.,';z?.z/ ; Date Water Sample Test Results ~'¢~- ~''' '"~' ~ ..... ~" ' B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes L(~'}N) Air-tight Caps,(~qN) Depression over Tank Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Foundation Cleanou~Y)'N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well 9e~' / To Building Foundation ,- To Property Line /¢~ ''''~ To Disposal Field / To Waier Main/Service Line /o '~-~ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026 fRev 8/86) Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y~) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line /~', ~-f- To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Des.ign -7',~'Z./V~/.'// Length of Field "~/~ / Gravel Bed Thickness Standpipes Present ((?.)N) Date of Last Adequacy Test To Property Line /'~, To Existing or Abandoned System on ; On Adjoining Lots /'('~ / To Cutbank (if present) Comments D. LIFT STATION "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) -"'"""'"~Pu ~~ during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** '~-' I certify that I ha~,,./~.)~e.~d, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection· Signed ~'~-~ ',' /J~ Date .~""~ ~ Company .,/'~L-C,f' 5 MOA No. , Receipt No. //C~ ~' ~ Date of Payment k-~~ Amount: $ ///~ Page 2 of 2 72-026 fRev 8/86~ Back Tom Fink, Mayor N unicxpality Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 May 26, 1988 Alan C. Wien Engineering Technician Alaska Environmental Control Services, Inc. 1200 West 33rd Avenue, Suite B Anchorage, Alaska 99503 Subject: Waiver Request For Lot 9 Block 9 McMahon #2 Subd. Waiver Request Number WR88-021 Dear Mr. Wien: Your request for waiver of the required 100 foot separation of a private well to a septic tank has been approved. The approved waived distance is 95 feet. The septic tank is down slope from the well which should assure that any surface contamination from the septic tank will most likely not reach the well. Also, the well is supplied with water from a confined aquifer that is under pressure. With the confining layers of sandy clay and solid well casing through these layers, chances of surface contamination entering this water aquifer are unlikely. This waiver approval applies to the existing septic tank to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-Site Services cc: Gus Andress, P.E., Manager On-Site Services/Water Quality Programs ALASKA u UIROnm I TAL CONTROL S I UIC $, Inc. ~n(lin~erin(I $ ~nuironmCnlaI $1ucli~$ MUNICIPALITY OF ANCHOP,.A~E DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION April 28, ~988 MAY6 t988 Municipality of Anchorage Department of Health & tiuman Services 825 L Street Anchorage, AK. 99501 Re: Lot 9, Block 9, McMahon Subdivision Waiver Request RECEIVED During the Health Authority inspection, we found the septic tank cleanout pipe to be 95 feet from the well. The tank was installed 9/16/77 and the well drilled ~0/5/77. The well is 166 feet deep and cased to the bottom. A flow test on 4/25/88 showed static water level at 149 feet, a yield of 5.4 6PM and a total drawdown of 5 feet. The septic tank is downstope from the well. Water samples taken 4/25/88 are satisfactory. We request that you grant a waiver of 95 feet from well 'to septic tank. If you have any questions, please call. Sincerely, Approved by: Alan C. Wien Engineering Technician 1200 LJJest 33rcJ J~ucnu¢, $ui1¢ B oAnchoraqe. Alaska 99503.(907) 561-5040 ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO. OF CHECKED BY OATE ii!iii ~i~! ~ i iil ....... ....... i ......... ; ..... i ........ i ....... i .... !:,, i.: ~¢~!:.i i.. ! :: ...... i .... ! ~ii i/! ! i~ i ...... i i i ....... i i ~ ........ i':'"'ir ii:'ii ..... ........ ..... i~'"i !i}!ii' ..... .......... ............ ......... ........ ....... ....... ..... ....... .... .... ...... ....... ....... ..... ....... ..... ........ ........ .......... .... ......... ...... ............ .......... ....... ..... .... ...... .......... ...... D/~ rE RECEIVED DATE DAT~ DATE DEPT. OF H:ALTH & MUNICIPALITY OF ANCHORAGE ~NVJ~ONMENT,~L ',q:OTECTION  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 LStreet-Anchorage, Alaska 99501 ~l/ii~Y 2 1 198i ENVIRONMENTAL SANITATION DIVISION · e,e..o.. R E C [ I V fi D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts oo page 1. Incomplete reques~ will not be proce~ed. Please allow ten (10) days for processing. PROPERTY OWNER I PHONE PROPERTY RESIDENT (If different from above) PHONE PHONE MAILING ADDRESS I PHONE 3, LENDING INSTITUTION ~ . ~ MAILING ADDRESS 4. REALTOR/AGENT~~ ~ I PHONE ' I MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE ~' NUMBER OF~BEDROOMS [] One [] Four ~ SINGLE FAMILY [] Two [] Five [~] MULTIPLE FAMILY {~ Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY *ATTACH WELL LOG. Awell log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM I]~ INDIVIDUAL/0N-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1, TYPE OF RESIDENCE NUMBER OF 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 '-:'t~,~- ~) '~ Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: /~L.~'(~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER ~/ TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENT8 [Z~"/APPROVED FOR _~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~] DISAPPROVED .~ DATE BY 72-010 (Rev. 6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION f.~l ~1~_% 825 L Street- Anchorage. Alaska 99501 · ' ENVIRONMENTAL ENGINEERING DI~VISION , Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DI RI~CTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER , . PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE PHONE MAI LI ~G ADDR ESS c 3, LENDING INSTITUTION ~ t v I 'PHONE MAILING ADDRESS 4. REALTOR/AGENT ] PHONE I MAILING ADDRESS STR?.~T LOCATI ON i~ J~, ' SINGLE FAMILY [] MULTIPLE FAMILY WATER SUPPLY, 7. [~ INDIVIDUAL* D COMMUNITY [] PUBLIC UTI LITY 8. SEWAGE DISPOSAL SYSTEM NUMBER OF BEDRL~MS [] One ~[~ Four [] Two .-- [] Five ~ T!;~ee [] Six [] Other~ * ATTACH WELL LOG/A well Icg is requ'ir~d for all wells drilled since June 1975, For~.ellsdrilled prior to that date, give well depth {attach log if a}~ilable.) If ~ndlwdual/on-s~te;.;.. .... ,~ ~;~o~n d ~ _. ' , ~ INDIVIDUAL/ON-~ ..... '~ ~ ' TM ....... I~_ ' -I~]' puBLIC UTI-I~-I-T~'! ~..- . RECEIPT FOR CERTIFIED MAIL--30~ (Plus postage) · , SENT TO POSTMARK '1 NOTE: THE ~NSPECTION FEE OR DATE STREET AND NO. . 72-010(3/78) _~.) ~A~AN~-ZIp CODE --~,~Shows to whom and date deliv~.....,.~.. ~ With delivery to addressee only 65¢ .RECEIPT · 2. Shows to whom, date and where delivered .. 35¢ SERVICES p- With delivery to addressee only ............ 85¢ DELIVER TO ADDRESSEE ONLY ...................................................... ~ ~ SPECIAL DELIVERY (extra f. -- f; .,.0,.,,oo ._ Ap~'. 1971 NOT FOR INTERNATIONAL MAIL * Gm. Jg?30 - 460-?43 THIS SIDE FOR OFFICIAL USE ONL~ '~ DATE RECEIVED' · INSPECTION APPOINTMENTS TIME TIME TIME DATE ' DATE DATE ':il )IRECTIONS: 1,' TYPE OF RESIDENCE : NUMBER OF BEDROOMS E~SINGLEFAMtLY [] .ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [J;;~"~FO U R [] SIX PERMIT NUMBER 2. WATER SUPPLY '-~ -7 ~) / ~ INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, ~/AGE DISPOSAL SYSTEM PERMIT NUMBER []~DIVIDUAL/ON -SITE DATE INSTALLED [] PUBLIC UTI LITY ~- ~ ~'7"7 Connection Verified INSTALLER " ptio Tank Siz~e; __/~'t,4'~ If Tank is hommade SOILS RATING ?b~ve dimensions: ' TYPE~ MANUFACTURER' ' ,~t~_~ TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES ~ptic/Hotding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: -'~.. ~'~0 Absorption Area to nearest Lot Lin~ '. 5. COMMENTS [] APPROVED FOR ~ BEDROOMS ,,,. [] CONDITioNAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) ~. LEGAL DESCRIPTION 72-010 {Rev. 3/78)