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HomeMy WebLinkAboutMCMAHON #2 BLK 9 LT 17Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191128 PID Number: 017-362-24 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ®Upgrade Name: MARTIN & BETHANY WEISER ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 3535 AKULA DR, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 4 JTotal GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot MCMAHON #2 9 17 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line FtZ -- Ft. Well 100'+ NA NA NA NA TANK N septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface water 100'+ NA NA NA ANCHORAGE TANK 1 1250 Gal. Material Number of compartments Lot Line 5'+ NA NA NA STEEL 2 NA Foundation 10'+ NA NA NA LIFT STATION Manufacturer Capacity Curtain Drain NA NA NA NA Gal. RemarksExisting septic tank decommissioned. Pump on level at in. Pump off level at in. High water alarm at in. New septic tank per old MOA code. Pump make and model Electrical Inspections performed by Installer PCN PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspdeates: ctionpsi 6/19/19 2nd 6/20/19 Location and description 31d 10/24/22 4th TOP OF 1st TANK CLEAN OUT COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL 01 At Conditional Approval: Date TH .. Curtis Huffman Approved Date 0 268991./ u mr�.�uvii 1-pu -­ I - IG uuV PID: 017-362-24 I Lot 1 — i 10.1' A—C=12.9' B—C=18.6' A—D=20.2' B—D=26.4' A—E=21.9' B—E=28.2' PERMIT: OSP191128 VA Lot 2 CHAIN—LINK FENCE WOODEN FENCE X N 89°53'00"E 200.47' 1 7 UTILITY EASEMENTS MT "��SArVG DCO INSTALLED 1250 LANG DRAWN: E GAL STEEL TANK 1 " = 30' CO D PER PREVIOUS i NEW SEPTIC TANK Co MOA CODE VERIFIED 5' TO '-� CO C®� EXISTING FIELD & 10' TO FOUND AT BM: TOP OF PIPE CO C 17 CONSTRUCTION. r FCO, 28,860 S.F. ,100' WELL RADIUS *DECK V/ � 4EN�S EMT.O9.9 ,2.6'xO2 a_ a�•] 8.2'x14.5' SHED INSTALLED PER PREVIOUS MOA CODE. MCMAHON #2 BLOCK 9, LOT 17 PREPARED FOR: BETHANY & MARTIN WEISER 3535 AKULA DR ANCHORAGE, AK 99516 FIRST WATER CONSULTING SEPTIC SECTION SCALE, NTS 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 FirstWaterAK©gmail.com DATE: 10/26/22 SURVEY: LANG DRAWN: FWCS SCALE: 1 " = 30' / e v OF ALBA * 9 TH rtis Huffman CE 128991 Zlof 10/26/202V nssiovp Lot 1 10' UTILITY EASEMENTS Its 10.0 Lot 18 1 Lot 2 Lot 3 CHAIN-LINK I / FENCE WOODEN FENCE N 895300"E 200.47' / - �='j-SEPTIC I 1 PIPES x 4.4 U o aJ 38.7• N �i Q APPROXIMATE. N ' STORY RE 34.0. w/? OAo DNCE r8SMT' 2) REFER TO (Doc. No. 2006-053660-0) LIGHT *- zo B v� THE ENCROACHEMENT DISPUTE Z ro N O 4g 9' GRID _ SW 2835Project No. 2.6x11.0' V CANT DECK 11500 Daryl Avenue, Anchorage, Alaska (907) 522-6476 Phone 99515-3049 Professional Land S u ry eYors (907) 522-4625 Fax dc�O ^�� ken®longsurvey.com © C� Qp _ 2.0'x15.9' CANT O � p C j PO EC IVE RADIUS ¢' WELL S 89'5300"W 134.96' Leaf 17 28,860 S.F. j k' U LEAN-TO „ 8.2x14.5SHED Lot 1 J O `/ WOODEN FENCE ' I SEE NOTE 2 L=25 01' . R=330.00' , I hereby certify that I have surveyed the following described property: LOT 17, BLOCK 9, McMAHON SUBDIVISION – SECOND ADDITION (PLAT No. 72-87) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the __'' – _ _ Day of ___t��L--------- �'2.-'%at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. ?* ; 49TH y KENN G. LAN 4CL i�-- � �44�'Fo ••.LS -5202. yJ©G �4nROFessIONA�- `A ao AECC963 NOTES: 1) DUE TO SNOW & ICE COVER, SOME SURFACE LEVEL FEATURES ARE APPROXIMATE. 2) REFER TO (Doc. No. 2006-053660-0) FOR INFORMATION REGARDING THE ENCROACHEMENT DISPUTE BETWEEN LOT 16 & LOT 17. PLOT PLAN ___ AS BUILT _X_ SCALE _1 _=40' GRID _ SW 2835Project No. 22-1701R1 Lang & Associates, A S S o c i a t e S inc. 11500 Daryl Avenue, Anchorage, Alaska (907) 522-6476 Phone 99515-3049 Professional Land S u ry eYors (907) 522-4625 Fax dc�O ^�� ken®longsurvey.com © C� Qp jonathan0langsurvey.com . • SV4 I hereby certify that I have surveyed the following described property: LOT 17, BLOCK 9, McMAHON SUBDIVISION – SECOND ADDITION (PLAT No. 72-87) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the __'' – _ _ Day of ___t��L--------- �'2.-'%at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. ?* ; 49TH y KENN G. LAN 4CL i�-- � �44�'Fo ••.LS -5202. yJ©G �4nROFessIONA�- `A ao AECC963 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.orglonsite On -Site Wastewater Disposal System Permit Permit Number: OSP191128 ,X-acnt Sir i 'ti V rep, I•tIII ettt Effective Date: 4130/2019 Work Type: Septic -ank Upgrade Expiration Date: 4/2912020 Tax Code Number: 01736224000 Site Legal Address: MCMAHON #2 BLK 9 LT 17 G:2835 Site Mailing Address: 3535 AKULA DR, Anchorage Owner: WEISER MARTIN & BETHANY A Lot Size in Sq Ft: 28860 Design Engineer: I)RIbERSON CQtJSTR(ACT) o.t -t ENGIN i=L-R 11�G Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field LSI 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 By: Issued By: Date: �s� Date: 3b l re__1'10CLJIyJO%1�101'' MUHM1 AUT l! OF A (!\JC(111LJ11tiAGE 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. 017-362-24 Property owner(s) MARTIN & BETHANY WEISER Day phone 9072231632 Mailing address 3535 AKULA DRIVE, ANCHORAGE, AK 99516 Site address 3535 AKULA DRIVE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) MCMAHON #2 B9, L17 Legal description (Township, Range & Section) Lot Size 28860 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) (w/wo AD U) Septic Tank ® Upgrade ® Duplex (D) El 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. FC s m Brent Western (Signature of property owner or authorized agent) Permit/Rush Fees: 57K Waiver Fees: Date of Payment: V�2YA9 Date of Payment: Receipt Number: 131 of $ D Receipt Number: Permit No. 05P/L?1/1128 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 / Fax 345 -1391 Support Services Brent M. Western 907-440-4601 April 22, 2019 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: McMAHON #2 BLOCK 9, LOT 17 To whom it may concern: The owner has requested we proceed forward to obtain a septic permit to upgrade the aged septic tank on the subject lot. The proposed upgrade will serve the existing 4- bedroom house. The lot and area is served by a private water and will not impact any of the neighboring properties due to the lot layout. Please contact Brent M. Western or me if you have any questions. Sincerely, Michael N. Anderson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191128, Rebecca Carroll, 04/30/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191128, Rebecca Carroll, 04/30/19 GREif ER ANCHORAGE AREA BOk JGH Departmen_.t of?n¥ironmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM PNONE o SEPTIC TANK: DISTANCE FROM WELL ~)~'"~ INSIDE LENGTH MANUFACTURER ,~,,~L~.~ INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY /~"~-~ GALLONS. TILE DRAIN FIELD:~-"~.. DISTANCE FROM WELL NUMBER OF LINES J DEPTH: TOP OF TILE TO FINISH GRADE FOUNDATION DISTANCE BETWEEN LINES NEAREST LOT LINE TOTAL LENGTH OF LINES '~"~O TRENCH WIDTH ~, IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE ABOVE TILE ~ IN. WELL: TYPE 'J'~c~-t''~ BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE_ OTHER SOURCES DISAPPROVED NEAREST SEWER LINE DEPTH SEPTIC SEEPAGE , TANK SYSTEM REMARKS DISTANCE FROM: DISTANCES: INSTALLED BY: L/'~.. ~ SEWER LINE DEPTH: PIPE MATERIAL: O_.~.~'j · LOT SLOPE: REMARKS: ~)1~ DIAGRAM OF SYSTEM DATE G.A.A.B. Form EQ-032 WATER WELL LOG ~ h FOSS DRILLING 133~ Ing~a Street Anchorage, Alaska 99501 I~iUNICIPALITY OF ANCHop/,.,~2 DEPT. OF HEALTH ENVIRONt,!EN I/~L HAY RF. CF. IVED FEET OF DRAWDOWN. FT. /J REMARKS PUMP TO BE SET AT to ____to to , .._..to ___.to _.__to __t o _.._to to 'i"HEi;RE ]::~;; NO :iii;ET H:[E:,TH F'O'R Ti-iR; Gi::;:~::;¢,/EL. [:,E~;P"i'H Z:~; THE CONSULTING GEOLOGIST BOX 476-lv1, STAR ROUTE A - ANCHORAGE, ALASKA 99507 PHONE 344-7071 SOILS LOG ~_e.~th (£eet ~ :~ Soil ~escrip'bion' -20- · otal Was groundwater encountered Depth to bedrock £eet i~ ~ ? What depth~-- How determined~4J ~ Respectfully submitted Gary F~ Player Consulting Geologist ? ? MUNICIPALITY OF ANCHORAGE ~)7 '~ DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL 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, sectior~ township, range) 1'7 Bt<q 2, ! Location (address or directions) (b) Property Owner ~, o I~J,l,./'~. Telephone: Home Mailing Address (c) Lending Institution E.E'~,I F~.tJ~ i'". ~,~,L,~,,~ IJ/~.~,~,3-elephone Mailing Address (d) Real Estate Company and Agent ~'~ Address Telephone (e) Mail the HAA to the followino address: or: Check here~ii~, if hold for pick up. List contact person and day phone number below. / Business TYPE OF RESIDENCE Single-Family~ Number of BeOrooms WATER SUPPLY Individual Well~ Community [] Public [] Note: If community 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 Environmental Conservation attesting to the legality and status. 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AGE HUN .. ~.~vIC~S~NIOtPALITY OF ANCHORAGE (MOA) EN,.,/iRONI'A.~NTA~' ~ HEALTH AUTHORITY APPROVAL (HAA) AUG 9 !987 CHECKLIST-264.4720FEBRUARY 1984 RECeiVe,0 LegalDescription: ~.Or,'T, ~ WELL DATA Cased to 1,2," Well Classification Well Log Present (Y/N) Total Depth '"7~ Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) If A, B, C, O.E.C. Approved (Y/N) Date Completed /7~/'~2 ~/~ '~7 Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer i',~ O ~,~l. ~'~ To Nearest Sewer Service Line on Lot ~-' -'~ ;Date o h Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) ~1~///~ ;for Holding Tank High-Water Alarm (Y/N) ~'//-~ Separation Distances from Septic/Holding Tank: Size //;~2~ NO. of Compartments Tt,~'O Air-tight Caps (Y/N) '~ Foundation Cleanout (Y/N) ,~ ~ Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream. Pond. Lake, or Major Drainage To Water-Supply Well [ 0 7 To Property Line /7 To Water Main/Service Line Course Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Date Installed Rating in Absorption Strata. Width of Field To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Square Feet of Absorption Area Z/z'~¢'C) Depression over Field (Y/N) /~.___.~ Results of Last Adequacy Test ~'~*~ Separation Distance from Absorption Field: To Water-Supply Well / ~2"3 Type of System Design Length of Field '~ ¢-~ Depth of Field /."~,' '~'' Gravel Bed Thickness ~ Standpipes Present (Y/N) Date of Last Adequacy Test TO Property Line / ¢ To Existing or Abandoned System on ; On Adjoining Lots ~ ¢'~ '~ To Cutbank (if present) ('~ 0 ~ ~-~ Comments D. L, STA ,O. NoN - Date Installed Size in Gallons "Pump On" Level at High Water 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. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified,.¢¢ conformed to all MOA and HAA guideli nes in effect on the date of this inspection. Signed '~-~ Date ~//~/~' '~ / Company MOA No. Receipt No. Date of Payment 00'- / ~" -~ 7 Amount: $ //(.20 o O Page 2 of 2 72-026 (11/84) Engineer's Seal CONSULTING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOT 17, BLOCK 9 McMAHON LOCATION: OWNER: TYPE O~ WELL: WELL LOG AVAILABLE: INSTALLATION REQUIREMENTS MET: WELL YIELD FROM WELL LOG: 3535 AKULA S. WHITE SINGLE FAMILY YES YES 4 GALLONS PER PUMP YIELD: 6.5 GALLONS PER MINUTE DATE OF INSPECTION: AUGUST 12, 1987 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 6.5 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED TILL THE DRAWDOWN STABILIZED. AT THE BEGINNING OF THE TEST WATER LEVEL WAS FOUND TO BE 65 FEET BELOW TOP OF CASING. AFTER 15 MINUTES OF PUMPING WATER LEVEL WAS AT 77 FEET. THE WELL WAS PUMPED FOR AN ADDITIONAL 2.5 HOURS WITH NO ADDITIONAL DRAWDOWN. A TOTAL OF 1000 GALLONS. WERE WITH DRAWN. TEST FOR COLIFORMS AND NITRATES: WATER WAS TESTED ON AUGUST 14, 1987. 0 E. COLI, 324 NITRATES. TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR MORE THAN FOUR HOURS. The Municipal requirement for well flow is.150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. CONSULTING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOT 17, BLOCK 9, McMAHON LOCATION: 3535 AKULA OWNER: S. WHITE RESIDENCE: SINGLE FAMILY, FOUR BEDROOMS WELL: PRIVATE, ON SITE SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: GREER STEEL, TWO COMP. 1250 GAL. ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 480 SQ. FT. SOIL RATING: 110 INSTALLATION DATE: 'APRIL 1977 DATE OF PUMPING: AUGUST 15, 1987 DATE OF TEST: AUGUST 12,1987 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH 3.3 FEET OF COVER AND 51 INCHES OF LIQUID. CLEAN OUT TO TRENCH WAS FOUR FEET DEEP AND DRY. 6-INCH SUMP WAS 12 FEET DEEP AND HAD 50 INCHES OF LIQUID. 1000 GALLONS OF WATER WAS ADDED TO THE TRENCH CLEAN OUT AT A CONSTANT RATE OF 7 GALLONS PER MINUTE WHILE THE WATER LEVEL IN THE TANK WAS MONITORED. NO WATER WAS OBSERVED TO BACK UP INTO TANK. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. ~O?../.~%~' ~.~% ... ...~'~:~. MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF I{EALTH AND ENVIRONM]~NTAL PROTECTION APPLICATION FOR REALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (includ. e lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicants Name~O~ ~O~/~VC~. ~- 7~£ 7 Telephone - Home Business (c) Applicants Address__~ ~ ~O~- Appliqant ~is (check one) Lending Institution ~ ; 0wner/J~m~r.~----~ ; Buyer ~-~ ; 0ther~ (explain); (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent.d~,~ ~/~ Address ~0 ~ ~ __~/~-ZD~/ ,/.~ (f) Mail the ~ to the following ~dress: 2. T__y. pe of Residence Single-Family~--~ Number of Bedrooms 3. Water Supply- Individual Well~ Multi-Family ~-~ Other (describe) Community ~ Public ~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal 0nsiteF , Public C11 Oommunit --q Holding Tan f--q Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status° [Page 1 of 2] 5. Engineering Firm Providin$ Inspections, Tests, File Search, Data and Information 0 As certified by my seal affixed hereto and as of the validation date shovm below, I verify that my investigation of this 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 A~chorage files and from my investigation and inspection, the on-site ~zater supply and/or w~astewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm ~--~ ~ ~ ~ ~Lm~ ~ Telephone ~7~-~ ~/~ Address Date / DHEP Approval Approved for ~/ bedrooms Approved ~ Disapproved __ Terms of Conditional Approval CAUTION THE ~JNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- M~NTS. ~MPLOYEES OF DHEP DO NOT!'CONDUCT INSPECTIONS OR ~NALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/Di8 [Page 2 of 2] 7-19-84 ae ,,.J~NICIPALITY OF ANCHORAGE ~ DEPT. OF HEALTH & eNVIRONMENTAL PROTECT/ON MUNICIPALITY OF ANCHORAGE (MOA) AUG 2 0 lm~J - R E C E i V F_ D Legal Description: &Or 17~ ~ /t¢,FtANoN i s~ca~ TI~N: 1~$~/ =eld Depth of Grouting N o Well Classification ~E~I~IT/~L If A, B, c~ C, D.E.C. Approved(Y/N) Well Log P~esent (Y/N) ~F Date Completed Total Depth 7~/~' Cased to 7&~r Static Water Level ~ ~ Pump Set At Casing Height Above G~ound ~ I1 Electrical Wiring in Conduit (Y/N) y Separation Distances f~c~ Well: Sanitary Seal on Casing (Y/N) ~/ Depression A~ound Wellhead (Y/N) ~ To Septic/Holding Tank on Lot I O ~ ~ TO Nearest Edge of Absorption Field on Lot To Nearest Public Sewe~ Line C leancut/Manhole /%//~ Water Sample Collected By Water Sample Test Hesults ~cents ; Date ; C~ Adjoining Lots... I~~c ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Se_~vice Line on Lot 10o ~' tOO IV/A B. SEPTIC/HOLDING TANK DATA Date Installed '~11~]77 Standpipes (Y/N) (~ Size , I~SO No. of Cu,~artmants T~-~O Air-tight Caps (Y/N) y Foundation Cleanout (Y/N) ~F . Depression over Tank (Y/N) ~ Date Last Pumped ~ Pumping/Maintenance Contract on File (Y/N) ~/~ ; for /~//~ Holding Tank High-Water Alarm (Y/N) /~'/~ Temporary Holding Tank Permit (Y/N) W/~ Separation Distances from Septic/Holding Tank: To Water-Supply Well ~ To Building Foundation ~ 5 ~ To P~operty Line To Water Main/Service Line cou~ Comments To Disposal Field ~ ~ To Stream, Pond, ~_ake, c~ Major D~ainage [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Abso.~ption Strata Date Installed Width of Field Square Feet of Absorption A~ea Depression over Field (Y/N) ~ Type of System Design Length of Field ~O Depth of Field Gravel Bed Thickness Standpipes IhTesent (Y/N) Date of Last Adequacy Test ~//7/~ Results of Last Adequacy Test Sep~ation Distan~ ~ ~so~pti~ Field: To ~te~-Supply ~11 /~ To ~o~rty ni~ To Building Foundation ~/ Lot NON~ ; ~ ~joining ~ts To Water Main/~=vi~ Li~ N/~ To ~t~(if pre~nt) To St~e~ond~ke/~ Majo= ~aina~ C~se To ~i~way, Parki~ ~ea, ~ Vehicle St~a~ ~ea D. LIFT STATION Date Installed Size in Gallons "Pump On" Ievel at High Water Alarm Level at Tested fo= Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. Meets MOA Co~v.~ents Signed ** Check Permitted Bed~oc~ 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. ~. . .'. ,-: ~ C2P~L. .~ .. ~. MOA No. ~-$~'-~)¢1 KB1/d5/s [Pa~e 2 of 2] 2-15-84 CONSULTING ENGINEER 203 W. 15th AVE 'C' SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 JACKIE LUXMORE CENTURY 21, AWARD REALTY 209 W DIAMOND BLVD. ANCHORAGE, ALASKA 99515 AUGUST 20,1984 SEPTIC SYSTEM ADEQUACY TEST LEGAL LOCATION OWNER RESIDENCE WATER SYSTEM SEPTIC sYSTEM DATE OF TEST TEST PROCEDURE TEST RESULT ~.' A '.,?~ ~ .~ ~o. 2225-E LOT 17, BLOCK 9, McMAHON 3535 AKULA RON BURRAYCHAK SINGLE FAMILY, FOUR BEDROOMS ON SITE WELL FROM MUNICIPAL RECORDS: TANK: 1250 gal. Greer Steel ABSORPTION SYSTEM: Deep trench,30 feet long, 8 feet of rock ABSORPTION AREA: 480 sq.ft. SOIL RATING: 110 INSTALLATION DATE: April 1977 8/17/84 Drainfield was charged with water at a steady flow of 9 gpm. A total of 600 gallons of water was added to the trench. The water level in the sump could not be monitored because the sump was full of wAter, Water depth was more than 10 feet. The sump was a 6 in. diameter pipe, indicating that the sump was not hydraulically connected to the drain- field. However, adding 600 gallons of water to the drainfield resulted in no backup in the tank or in the 4 inch clean out between the tank and the drainfield. This system meets the requirements of the Municipality of Anchorage as of the day the system was tested. There is no quarantee that the system will continue to meet these requi- rements. The operational life of all septic system depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. CONSULTING ENGINEER 203 W, 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 JACKIE LUXMORE CENTURY 21, AWARD REALTY 209 W DIAMOND BLVD. ANCHORAGE, ALASKA 99515 RESIDENTIAL WELL AUGUST 20, 1984 INSPECTION LEGAL Lot 17, Block 9, McMahon LOCATION 3535 Akula Drive OWNER Ron Burraychak TYPE OF WELL Residential WELL LOG available Yes INSTALLATION REQUIREMENTS MET Yes WELL YIELD FROM WELL LOG 4 gpm DATE OF TEST TEST PROCEDURE August 18, 1984 On August 18 the well was pumped at a rate of 9 gpm. for a total time of 75 minutes. A total of 600 gallons of water was pumped from the well. The waterlevel in the well was not monitored, but there was no reduction in pressure nor any discoloration of the water to indicate that the well was being over pumped. TEST FOR COLIFORMS The well water was tested for Coliforms on August 15. Test was negative. TEST RESULTS This well meets all the requirements of the Municipality in effect on this date. This assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, changes in land use and other factors that may impact the conditions of the aquifer feeding the well.  MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAQE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF I!ZALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENVIRONMENTAL ENGINEERING DIVISION ~ ~ ~ Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE~J~ DIRECTIONS: Complete all parts on ~age 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY.OWN ER PHONE MAiLING ADDRESS PROPERTY ~ESI~EN~ (If different from above) PHONE 2. BUYER PHONE ~AI~Q ADD~ E~ 3. LENDINGINSTIT~TION I PHONE MAI LING AD,SS 4. REA~TOR/AGENT[ PHONE MAI LI~AD6~S~- 5. LEGAL DESCRIPTION STR EE'T LOCATI ON 6. TYPE OF RESIDENCE [~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One I~ Four [] Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** **If individual/on-site, give instaltationdate~{~/,.c, ]~.. If system is over two (2) year~ old an adeq-'~u cy t'~est is required [] PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-91013/78) I THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TI~ME TIME DATE DATE - - GATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [~ FIVE [] OTHER [] MULTIPLE FAMILY ~ TWO [] FOUR [] SIX ~ERMI~' NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY }ATE DRILLED [] PUBLIC UTILITY Connection Verified _____ LOG RECEIVED PERMIT NUMBER 3. SEWAGE DISPOSAL SYSTEM [] INDiVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY 4 "'~ Connection Verified INSTALLER []SepticTankor E~]Ho,dingTank . Size: ~ ~ if Tank is homemade SOILS RATING give dinlensions: [ L(~) TYPE OF TANK -MANUFACTURER 4, DISTANCESwELL TO: Septic/Holding! ~.-..)~..~ Tank jJAbs°rpti°n/~'~('")Area Sewer LineiJ Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS E~;~"APPROVED FOR _"r~" BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE- ~ BY {Titl~ - /' LEGAL DESCRIPTION 72-010 (Rev. 3/78) ~~ .~-~ MUNICIPALITY OF ANCHORA~ /o~-~- ~ DEPART~'i 'Y OF HEALTH AND ENVIRONME !~L PROTECTIO~ ~~tl i 825 L Street, Anchorage, Alaska 99501 ~/ I I ~ / 279~2511, ext. 224 or 225 ~ ~ .~.~~ Date R~ceived: July 1~, 1977  #3 Time ~]_: Time~ 3:.! ~~/~~ ~:~ : Date 7-~ ;-77 Wedgie9 D~e Date Insp Buchholz ~% ' Insp Insp REQUEST FOR APPROVAL ~F INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Amfac Mortgage Corporation Mailing Address: 705 West 6th Avenue Phone: 277-8588 2. Property Owner: Charles E. Jackson Mailing Address: Star Route A Box 1582N 99507 Phone: 344-0491 3. Legal Description: Lot 17 Block 9 Mc Mahon Subdivision 4: Single Family Residence: (x) Number of Bedrooms: Four Multiple Family Residence: ( ) Number of Bedrooms: Well System: Individual well (x) Community/Public System ( ) Permit # ~A Depth of Well 79' Well Log on File Construction ..~~ Bacterial Analysis ~¢ ~ ~-~3 Sewage Disposal System: On-site System (x~x Public Utility ( ) Permit # ~?~& Installed 1977 Installer Septic Tank Size /~O Manufacturer Absorption Area _~L2 Soils Rate _//~ Material ~ . . Distances: Well to Septic Tank /~/ to Sewer Line ~__~'~ Nearest Lot line to Nearest Lot Line .lol'~ to Absorption Area ~__ ._ /~ Absorption Area ~ Pa~ Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 17 Block 9 Mc Mahon Subdivision Comments: Affadavit Attached: ( ) Disapproved Letter Attached: ( ) Date: Department Worksheet: ~= ~ MUNICI PAI_ITY OF ANCHORAGE t~CUNIC!PALIT¥ OF AWCIIOf~AGE ii' ~ Department of Health and Environmental Protectl~'o'noF ~~~ 825 L Street, Anchorage, Alaska 995~:~ ~:%~MF~; 279-2511, ext. 224, 225 ~~~. JUL 1 .... ~ ~equest for Approval of Individual Sewer and Water Facilities 1. Property Owner: ~ }e~ W - Mailing Address: ~ /~ ~ ~ ~r /~-~Phone: e Name of Buyer: Mailing Address: Lending Institution: Mailing Address: Realtor/Agent: Mailing Address: Legal Description: Street Location: Phone: Phone: Phone: Single Family Residence: Multiple Family Residence: (~Number of Bedrooms: ( ) Number of Bedrooms: Water Supply: *Individual Well If Individual Well, well depth If Community System, name of system (~Public/Community System 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. 3/77