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Home My WebLink AboutLOMA ESTATES BLK 1 LT 2Lorna Estates Block 1 Lot 2 #020-092-28 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name -TA/� 7' T'f « �^/ -�= DISTANCES Tp FROM SEPTIC TANK ABSORPTION FIELD WELL Address 6O rr a P A Jr;'.WELL / �l o' C - Phone(s) 3 L{ � p /o 914 Permit No. StIO /79 No. of Bedrooms LOT LINEr //n r LEGAL DESCRIPTION Lot Block 0 Subdivision LOPAA rf, 7"F FOUNDATION �r Township, Range, Section '��/� a, 1 ru AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, driveway, water bodies, etc.) TANKS >r SEPTIC ❑ HOLDING Manufacturer 4 ire "' el;n Capacity in gallons sq ,{ f'Z 60 Material No. of Compartments TYPE OF SYSTEM ❑ TRENCH ❑ BED 9 W. DRAIN ❑ OTHER Depth to pipe bottom from original grade FT Total depth from original grade % FT / I I � r , B 1 m`t Fill added above original grade 0 FT Gravel depth beneath pipe —3 FT Gravel length � S FT Gravel width 5 FT Total absorption area ,5-&o SQ FTJ I Distance between lines FT Number of Innes Soil rating 135 SQ FT Pipe material pUG Installer L>t� l a�rFns Gonsr �,. Date Installed /0 � WELLS V PRIVATE ❑ OTHER (Identity) Classification (A,B,C) Total Depth 250 FT Cased to 70 FT Installer Date installed. /� pJ WELL O' REMARKS: Scale: /If = 601 Inspections Performed by: ��1 yy r W, ,``QiJs% ,�R �° - .- �r'-^��r'e� &,• i,�� Date: ,. k _.. I{fj \: 1)::J R/d�A1Gf�['�C/]/x'1/4 19 Ono JH 6�h�4� Pnichoel P. Anderson l Fi inspection was erfortned according to all (o" 0 3t 'r= P P 9 Date: I � �� ` DC7L� certil that this Y Municipal and State guidelines in effect on [his date: Health Department Approval: �Y�� WELL LOG Date Drilled: 9 -11 -RR Static Water Level 70 feet Draw Down N -A feet Type Material Drilled: 0 feet to 18 gravel L O% Z BLOC,e / C o mf/ �57/9�E5 Gallons Per Minute 1.:5 Total Feet: of Casing ...7D 18 ft to 68 clay and -aela! tir� .-. to fractures at 230 ft. water 15roducing to to to to to HEFTY DRILLING 3540 AKULA DRIVE ANCHORAGE, AK 99516 (907) 345-0593 MUNIc/PAL//.,, EN�IRO OP fAL�cNO� HQE MENTA[ PRO e4 C77O/Y JA 1989 RECEI V E® MUNICIPALITY OF ANCHORAGE Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343~4720 ON~SITE SEWER & SEPTIC TANK & WGlL PERMIT Permit Number: 88O179 Date Issued: 09/01/88 Engineer Designed Owner Name: JAMES &ESTHER BUMGARDNER Owner Address: 5740 E. 172 AVE. ANCHORAGE5 AK 99516 Day Phone: 345-1098 WELL: Log must be submitted to Municipality of Anchorage Department of' Health and Human Services within 30 days of well completior-). INSTALL PER ENGINEERS ATTACHED DESIGN, PROVIDE ADDITIONAL SOILS LOG WITH AS~BUILTq TEST HOLE SHOULD BE NEAR BEGINING OF 1. THIS PERMIT IS ISSUED FOR A SINGLE FAMILY RESIDENCE ONLY AND EXPIRES 12/31/88" NOTIFY DHHS PRIOR TO EACH INSPECTION" I CERTIFY THAT: 1. I am �amiliar with the requirements for on --site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations� and in compliance with the design criteria of this permit" 3, I will adhere to all MOA and State o{ Alaska requi1'eF1eOt!5 for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot" 4w. I understand that this permit is valid f*or a fmaximum of 4 bedrooms. I also understand that the c,t-,Y of'the total system is 4 bedrooms and � any enlargement kill requi"~n additional permit. Signed: (Owner)��AMES ��ESTHER BUMGARDNER 010 DATE: Issued By: DATE: ev- Parcel Id: 02O~092-.28 Lot Legal: Subdivision: LOMA ESTATES Lot: 2 Block: J. Section: 3 Township: 11N Range: 3W Lot Size 45356 (sq"f't" or, acres) Max Bedrooms: This Permit: 4 Total Capacity: 4 SEPTIC TANK: Minimum total septic tank capacity: 1,,250 gallons" Each septic tank must have at least 2 compartments. Depth to top of septic tank(s) < 4"0 feet requires insulation over tank(s)° WELL: Log must be submitted to Municipality of Anchorage Department of' Health and Human Services within 30 days of well completior-). INSTALL PER ENGINEERS ATTACHED DESIGN, PROVIDE ADDITIONAL SOILS LOG WITH AS~BUILTq TEST HOLE SHOULD BE NEAR BEGINING OF 1. THIS PERMIT IS ISSUED FOR A SINGLE FAMILY RESIDENCE ONLY AND EXPIRES 12/31/88" NOTIFY DHHS PRIOR TO EACH INSPECTION" I CERTIFY THAT: 1. I am �amiliar with the requirements for on --site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations� and in compliance with the design criteria of this permit" 3, I will adhere to all MOA and State o{ Alaska requi1'eF1eOt!5 for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot" 4w. I understand that this permit is valid f*or a fmaximum of 4 bedrooms. I also understand that the c,t-,Y of'the total system is 4 bedrooms and � any enlargement kill requi"~n additional permit. Signed: (Owner)��AMES ��ESTHER BUMGARDNER 010 DATE: Issued By: DATE: ev- PERFORMED FOR: ��A/2/ /L/ �_'12,y5i, G O, DATE LEGAL DESCRIPTION: L Z Township, Range, Section: 'S3 T//Al /�3w DEPTH SLOPE SITE PLAN (FEET) O":Z'6 RJI0 - I I 1-7 1 2 3 r_a 4- Poeh `> 5 /, -'1) is 6- 7 7 8 E 10 WAS GROUND WATER ENCOUNTERED? A10 11 S IF YES, AT WHAT L �a 12 DEPTH? - P E 13 0"M Is Wur ANx MmIti ing? uo wAreIL U7te 44/Z-/8-8 14 15 3:35 3 3� 16 3: <(L 08 17 1a 19 20 L—j PERCOLATION RATE G (minutewinch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND Z 22- FT Ml?N J/JP, Fr l Z !�/c"i 7 Nk=° > r o � -� 1-.. a .- °' COMMENTS � C [/f,NOUi l--'('�7_.l 1; i=7..-nrrt. >._J^/i�`" �• - ? PERFORMED BY: LAI 'Y'y^: ` i, -A t" w -h,! I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE ==mmmm 72-008 (Rev. 4/85) Aw ��O�EIV•4Q��LI,) Municipality of Anchorage 6 e. 499 fm DEPARTMENT OF HEALTH & HLIMAN.SERVICES 825 "L" Street Anchorage, Alaska 99502-0650 0090c 0000 04.0 4.006 000.0e00• •• � i0, 00.0 . .0.0 a0 SOILS LOG — PERCOLATION TEST 0 ;Michael E. Anderson �A `4_ 8381-E o 'N® PERFORMED FOR: ��A/2/ /L/ �_'12,y5i, G O, DATE LEGAL DESCRIPTION: L Z Township, Range, Section: 'S3 T//Al /�3w DEPTH SLOPE SITE PLAN (FEET) O":Z'6 RJI0 - I I 1-7 1 2 3 r_a 4- Poeh `> 5 /, -'1) is 6- 7 7 8 E 10 WAS GROUND WATER ENCOUNTERED? A10 11 S IF YES, AT WHAT L �a 12 DEPTH? - P E 13 0"M Is Wur ANx MmIti ing? uo wAreIL U7te 44/Z-/8-8 14 15 3:35 3 3� 16 3: <(L 08 17 1a 19 20 L—j PERCOLATION RATE G (minutewinch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND Z 22- FT Ml?N J/JP, Fr l Z !�/c"i 7 Nk=° > r o � -� 1-.. a .- °' COMMENTS � C [/f,NOUi l--'('�7_.l 1; i=7..-nrrt. >._J^/i�`" �• - ? PERFORMED BY: LAI 'Y'y^: ` i, -A t" w -h,! I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE ==mmmm 72-008 (Rev. 4/85) 72-008 (Rev. 4/85) n a2 25 23 0.00 3 No 0 0 z N j C � Np�Sa� rl _ nB9°S4'Sa, •E X00.00 ' Ti ,•r . N 5t eeb N O 500 NB9°5454" "4.29.88 N89°54'S�'E N8905316"W 288.31 (N R) 03000 '2000 1.31 75.00 / -- ep•�O° W Ap / tI N / IJ /1lL/00r h / n h aW TEST n M /iOCF O O Z p N � O > h o E O n N W = 45 ° O 17 r / '.00 9.8 '-- ___N_0_9 ,3°4 26. W 299.¢4- 3 0 O i0\J IY $I- z I 4 o � J N 1 \� N66o 31 0 a_ 28L ;;10 s w Z 0N16 Q 0 nLLJ 0 N O i o W . pp S � ' ._ --l0. 0944, 0H104tion Tr911WIL[/mlr + ' !l / nM1 TF RV DESCRIPTION JDATE BY I- W On\o; o' o. � I N00002'58"W .-- 100.00 / � I a � � a a I 230.07 2 Zg'ZZ£ 73- ,(-4 -°LON 30 O N O m aF EX c AV, — @ 7 wm 40 N H?0°0 Q' enl5r4E L 9 1# / Q/` a N �— 125-0CFlLCP°J 3.,tj F �ND = I!D s BOPCD ` Z11 OD A 0) OVIVE eNsra« p E X/5TINCnl s i,_r �1 T� F_ /� LV ELL i i ® ' O!/O o' a WEC 2/JO/U O � wHLL 10°U111. Es 1. ' T 3 30.0 7 I 1"= 60' 1055.30 N-> 500003'110E 1 0.31 m W N 4 O Colo) 4 Q Municipality of Anchorage t r:4 Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 April 17, 1989 Wayne Mc Fadden Anderson Engineering PO Box 240773 Anchorage, Alaska 99524 Subject: Waiver Request for Lot 2 Block 1 Loma Estates S/D Waiver Request #WR890016, PID #020-092-28 Dear Mr. Mc Fadden: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. T e waived distance is 5 feet. /0e- re L /Ai ,o,y f. l_ /5 3 74�'et7'. 20/3 Go$1� This approval applies to the existing septic system4lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, ,8- '(� _0� Daniel J. Roth Civil Engineer On-site Services DJR/ljw#7 Municipality of Anchorage Department of Health and Human Services dh Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 April 17, 1989 Wayne Mc Fadden Anderson Engineering PO Box 240773 Anchorage, Alaska 99524 Subject: Waiver Request for Lot 2 Block 1 Loma Estates S/D Waiver Request #WR890016, PID #020-092-28 Dear Mr. Mc Fadden: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 5 feet. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services DJR/ljw#7 ANDERSON 2uC V1GeJlCI 7JS ( J6 JtYWfiAUTY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION APR 1 31989 ENGINEERING P.. 0. Bog 240773 RECEIVED Anchorage Alaska 99524 907 337-8367 APRIL 12, 1989 DHHS Environmental Health Division 825 L Street Anchorage, Alaska 99501 Attn: Dan Roth Re: L2 B1 Loma Estates - 17000 Bettijean Dear Mr. Roth, This letter is in regard to a request for a lot line wavier for the absorption system on the subject lot. Following the completion of house construction on the lot a survey was performed which indicated the cleanout at the far end of the absorption system was constructed 5 feet from the west property line. This distance should not effect any future development on either Lot 2 or Lot 3 due to the lot sizes, soils and topography (see attached). Space is easily available to establish reserve areas for on-site wastewater systems for each lot. If you have any questions please contact Wayne McFadden at 561-5829, or myself at 344-4551. Yours Truly, -1kJf'4Czt'6Gc � Michael E. Andserson, P.E. 3 \ .05 Ac. e~ M 0.9 A h n moo°• I 4N 1.45 0 o� CO 11 22.84` l 100.00 1 .001 1 8 Cp 3 9.84 I S ago 26,1299.84, I r cs 7 I I , 10, 1.5 A j W �1.14 z Ac 1 ,o 6 � ;' g 5� 8 1 _ M 1.16 Ac. 1 I 114 0 z o 299.93' + t 1 ! 29.8 o Il N 053 6 W �SE - 1 � I LJ( U' > I M� Owe. 6 288.31' 13. 0 75.00--.- 5.00-_-19 19 .20 6 1 , j 40 5 m 4 a �, N N 2 N ~ A 6 ; 1.09 A. fa.15 Ni tr .38 Ac.; L0 c. 0. 8 Ac. a° ; o I' BLOC I 1 9� I 0 o� CO 11 22.84` l 100.00 1 .001 1 8 Cp 3 9.84 I S ago 26,1299.84, I r cs 7 I I , 10, 1.5 A j W �1.14 z Ac 1 ,o 6 � ;' g 5� 8 1 _ M 1.16 Ac. 1 I 114 0 z o 299.93' + t 1 ! 29.8 o Il N 053 6 W �SE - 1 � I LJ( U' > I M� !!!T=_�RL.- 1 1 , 4O� LOMA ESTATES SUBDIVISION LOT 2 BLOCK I IR 900 55' 16 to IN LOT 2 hEPTIc SY51£M LV�nt pipes) � I , 2°ali 2°-x y? I •� BAY Nh Do GAN r 4A NT• P.f- 470, r� o, � h IboI �' 75�zh= ► °o (� vr= N Z. EX�sT ING- � Q 33UtLDINGr udE p0 I O `pc; r � wet -'-- JD' -fi 4 I T Y 4' 2o" W 199.464 iZ Q w ti #AE Municipality of Anchorage On -Site Water and Wastewater Program(907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. o zo - 09 2 - z-& Expiration Date: 7' 7 1. GENERAL INFORMATION Complete legal description L.a f 2, vo c &- 1. Location (site address) 17, &ca a cif,' vcr n i c. ....... ,.Current Property f�oScrf t 09,1Jct .FP/mer _Day phone 3 Mailing address +�aoO Cat ��ar Sf.. hne4. 99s/4 teAgent Decd lI/,rolJcyr Day phone 7'z7-33C3,s. 2. TYPE OF D LUNG: Singl mify(w/woADU) w107WsC>r to +las k- C4 , r'r ❑ Duple Ca1p u rwe-vi �- P .,_k - «P, El Mutfiple ellings (Single Family andlor Duplex) 3. NUMBER. BEDROOMS;_ 4.. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Received by: ) '� °;,�t t _._. Date: - COSA to be released to the engineer, unless othervOse requested by the engineer. COSA Fee $ 411�0 _ Waiver'Fee $ Date of Payment / I Date of Payment ell Receipt Number 01.15'50 Receipt Number COSA # Waiver 4 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affaed hereto and as of the validation date shown below, I venlythat my investigation, "based on prooedures outlined`irf the. Certificate of On -Site Systems Approval Guidelines for this application; Shows that the onsite'water supply andloe 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 Municioality of nchoraee files and from my investiaatiowand InSDOCUon. the on-site water 'supply andlor wastewater disposal system 1s(are) in compliance with all applicable Municipal and State codes, ` ordinances, and regulations in effect at the time of installation. NameofFirm Flgypktop TeeA/7,r,9l S[r.:rcer Phoner3ss- Address IKS3G •"^tiro Canoes !;alb //.,cti.y /f4 9s/� Engineer's Printed Name Tlt a ooloee r, n ao -e Date Y / 24!r, Y CC��3 M £ Y t x • .. .. .. q ;�, i�.nrV},@pry, O "i l i. ti. DBD -SIGNATURE 1� System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations:. - A By:Original Certificate unDate: The' icioalit o ichorago Development Services Division (DSD) issues Certificates of Onsite 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 engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory _.� Other If more than 7: septic system is on the lot: COSA Checklist#_of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description..- L -o f.2, (j �pc k / L cy„�ct r!zr?6 , r Parcel ID: 0 W -092 - Ze A. WELL DATA Well type P ✓ t If A B, or C provide PWSID # — Well Log (Y/N) 7 Date completed / I t / 89 Sanitary seal (YJN) Y Wires properly protected (YM) Y . Total depth 2" ft Casedao g g Casing height (above ground) '92 in. FROM WELL LOG AT INSPECTION Date of test Static water, level 70 fL 6 9 ft. Well production l• S g.p.m. O• VY g:p:m. WATER SAMPLE RESULTS: Coliform ..; D oolonies/100 mL 7 Nitrate 2. 2 Z mg/L Arsenic < S .ug/l_ Date of sample: '119,113 . Collected by: B. SEPTICIHOLDING TANK DATA Tank Type/Material tic / Ste / Date installed /o /6 /68 • .. _ - . ; Tank size 1 ?SG. gal. Number of Compartments 2 Cleanouts (YIN) 7 Foundation cleanout (YIN)'r Depression over tank (Y/N) . N High water alarm (Y/N) A A. Date of pumping _d / 2 0"/! Z Pumper A+ /}6.»e Ce C. ABSORPTION FIELD DATA Date installed t0/8 SB Soil rating(g.p.d./fOorfftdrm) 134- 0lBORn- System type. s -wide Ortea,f,p/o( Length 6S. ft. Width .C' ft . Gravel below pipe 3 ft Total depth 7 fl Eff. absorption area S60 fe .Monitoring tube S' Depression over fieldAwr Date of adequacy test 7/19/17- Results (Pass/Fail) Pou..( For 4L bedrooms Fluid depth in absorption field before test �0 in. Water added 10'010 , gal. New depth23/'/ in, - Elapsed Time: 2 U min. Final fluid depth G in. Absorption rate >= 6 oG g•p•d• Any rejuvenation treatment (past 12 mo.) (Y/N & type) titan¢ na wn tf yes, give date. Ni , * D. LIFT STATION N•.A Date installed Size in gallons Iantioleftoass (YIN) 'Pump on" level at in. `Pump off level at in. High water alarm level at in. Datum Cycles tested Meets alarm &'circuit requirements? P. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 1.10 On adjac ent lots >100 ' Absorption field on lot 12 t On adjacent lots > 100 ' Public se war main N • k. Public sewer manhole/cleanout N• .A. Sewer /septio service line 2 Z,6' + Holding tank N • II Animal containment areas No e = 5.t Go ' Manure/animal excrete storage areas uo a8 = 7 ICw SEPTICMOLDING TANK ON LOT TO: Building foundation Property fine Absorption field S ' Water main N• : Water service line ? ra'. Surface water Wells on adjacen# lots > t two ' ABSORPTION FIELD ON LOT T0: Property line 3 * Building foundation ZZ., Water main N Water Service line �U +.. Surface water > lar ' Driveway, paMngivehide storage Curtain drain tJ&,w 5,o0,1 Wells on adjacent lots F. COMMENTS WAr++! ilxr1u¢d„rlac..,n9 o(rGI'JC41ce p - r f nLr. Sc[rvey jn o/e[q bri 1^++ai 6ar!.1�ca/ c/v /crn cU K 3. A/c l j > l�pIlly ;; .a relaLl.� con f'Ircf u.rFh +wtnf o•• �ufc:+r^t wet/r oi' -r'l 'c ,5%7+ryrf'lyA. Clp(J(tiflAf AUT•. Pt- j'Cllp/iDno-lD . - thN ItrGr�vs� ['6tn 1'L�✓+tom 01i ho aolol'Atcno/ !CJ'f' +. %�+�/+t•-.j aerrnl� G. ENGINEER'S CERTIFICATION 1 certify that I have detemtined through .field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineers Printed Name •TAeeo!orp F.I`ttio+F Data 5r / 2 6/ 20 COSA brown sheet 10-10.12.doc e- ;.ra e...�sse�eie8•®®eoeo sF - :, iTdi;r;pRE F. IdQORE e . C: - 3589 4 cam. Municipality of Anchorage R , Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # 131152 During a recent COSA on-site inspection and test of the potable water supply well on Block 1, Lot 2 of Loma subdivision, the well's productivity was determined to be 0.44 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is 0.42 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. I LUNIA L51AI%5 jUijL;i IVIIJ LOT e_ SLOC;i I The location, of the structure(s) as shown on,this record drawing (as -built) co:r:alles with TIUe 21, AMC. By;�� 40, N S90 551 IV W ?5.00' 1 . LOT Z SEQrIc SYSi£M CV�nt p;peS) Ap . cd I 7e o4 exlg+i y road w r Iw m M 0 30 6AY NIIrJDDY/ 2'x 5.' A1/. 0 CA HT, • F.p. DANT 41.a, I Q m 40" W b� 50.0 \ to 16" a N DRV E 0 01 5b = E-- N .Zr I_)( 5-f I N Gr $UkLPINGr r IO N WEAL O Q to' UTI L_ I T Y EWTy 54' 26" W AS BUILT HEPARED BY: JEFF A. GASTALDI, R.L.S. 3011 BETTLES BAY LOOP ANCHORAGE, ALASKA 99002 TEL. 344- 4272 DRAWN BY: J.A.O. CHECKED By% FIELD BOOK: DATE, 2-10-89 GRID: 3337 JOB NO. r soA\ . 1 HEREBY CEB�TiFY THAT I HAVE SURVEYED THE w \\ FOLLOWING DESCRIBED PROPERTY: r%OF,A4,� Lot 2 Block 1 Loma Estates Su}jivision i�P• ,. AND THAT NO ENCROACHMENTS EXIST EXCEPT , AS INDICATFDAT IS THS RESPONSIBILITY OF / * . 4 A ..._ THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS `� •• ��•• •f WHICH DO NOT APPEAR ON THE RECORDED SUB- ` b ,y A Gestald DIVISION PLAT. UNDER NO CIRCUMSTANCES • Lg.bp9j SHOULD ANY DATA HEREON BE USED FOR CON- �/ jp •.,•�...... STRUCTIN LOO FOR ESTABLISHING BOUNDARY �``1o4asaN, ORFEN ANCHORAGE RECORDING DISTRI4, AK. MUNICIPALITY OF ANCHORAGE +�t • Department of Health & Human Services w DIVISION OF ENVIRONMENTAL SERVICES —� 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # ��()- (DOIA- -:71S HAA # �A A9"0LSl 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) LoT Z B(.ocK 1 COMA ESTATES 53 T1/1,1 1Z3IkI Location (address or directions) (b) Property owner AmEs E gETT� guln6ARpNE2 Telephone: (home) 395-/0118 Business Mailing Address .57z/o c. 177- nJ ABLE (c) Lending Institution 41/IAA e c BAAJle-'- - Telephone 057 - 32 7Z. Mailing Address 5061A]. 13En.( son/ (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here Off hold for pick up.) List contact person and day phone number below: A111AMCE SAM K. In7-6,Z2,4yD,5PE 500 u/ ,BEN S0-0 ,4n(Ci4OeACYE, AK! 5775D3 /,-Tru' C'/�rtoLyi✓ Sm; -Al 2. TYPE OF RESIDENCE Single -Family OQ Number of bedrooms 3. WATER SUPPLY Individual Well( Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site K Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 - 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, 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 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 !NOCl1S;O J L- N 6 +IJ(fM- rJ Telephone SS7- 6A% Address /00, gC)x ZVO -77-? ANg1 pH pf,L 14tL qqS Ly Date Gnc r>L l •-91 1 °t4 Pa• h • nay,.--" Michacl E. Anderson Vj�`e9e 4381 • H o `aCj F a 6. DHHS APPROVAL Approved for bedrooms by L� Date f�Plru2�� Approved )c Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Mun icipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) Lj • Health Authority Approval (HAA) EI4ECKLIST - FEBRUARY 1984 – is r 343-4744 Legal Description: 0 Z S/ g A. WELL DATA Well Classification P1oly4rr If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Date Completed Yield 116" Total Depth,2�D Cased to 76Depthof Grouting 444 Static Water Level 76 Pump Set At —bklll Casing Height Above Ground Z �A Electrical Wiring in Conduit (Y/N) _— SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot Sanitary Seal on Casing (Y/N) — Depression Around Wellhead (Y/N) ; On Adjoining Lots /00' t ; On Adjoining Lots 100i�_ To Nearest Public Sewer Line M i L c To Nearest Public Sewer Cleanout/Manhole m I L E s To Nearest Sewer Service Line on Lot q8 Water Sample Collected by 0) tY) crAT�:E>Etil ; Date /-- Z 5--- Of Water Sample Test Results jut cc 4d&3i Xae Z44Ay Comments B. SEPTIC/HOLDING TANK DATA Date Installed /f� Size 1050 No. of Compartments Z Standpipes (Y/N) Air -tight Caps (Y/N) x Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) N Date Last Pumped ME11d on&-Rucr1QtJ Pumping/Maintenance Contact on File (Y/N) NEF1,0 ,J ; for Holding Tank High -Water Alarm (Y/N) /V/# Temporary Holding Tank Permit (Y/N) A414 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well %/O/ To Building Foundation To Property Line To Water Main/Service Line To Disposal Field To Stream, Pond, Lake or Major Drainage Course NLotiE r a Comments 72-026 (Rev. 7/88) Front Page 1 of.2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /35 Type of System Design /,L mak%//AJ Date Installed _ _��H�fi Length of Field 6 5 Width of Field Square Feet of Absortion Area 5610 Depth of Field Gravel Bed Thickness — 1 Statndpipes Present(Y/N) Depression over Field (Y/N) ki Date of Last Adequacy Test A)EW Con s?-no,v Results of Last Adequacy Test LJFv) COnsTl2U mon – �'�s a SEPARATION DISTANCE FROM ABSORPTION FIELD: 'T'o Water -Supply Well iz To Property Line Co07 'To Building Foundation ZZ, To Existing or Abandoned System on Lot AIME OLt Lor ; On Adjoining Lots Z0,o) To Water Main/Service Line % To Cutback (if present) niol(/c /-I 'To Stream, Pond, Lake, or Major Drainage Course ivol?& i.� Ai2f 9 To Driveway, Parking Area, or Vehicle Storage Area So/ Comments ,4La,so2/Qt-idnr HELD /s ADEcQUAI:f iar T STATION Date Insta Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent(Y/N) '"Check Permitted Bedroom Rating Against HAA Request" I certify that I have checked, verified, or conformed to all MOA and H inspection. Signed Company GinlcM7LJW Date MOA No. Receipt No. Date of Payment Amount: $ t/ Receipt No. Pumping Cycles during Adequacy Test. effect on the date of this Waiver Fee: $ °'1wlichael E. Andel&,M 4-A - (: 'a Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 Engineer's Seal 0!AT Rb boa a.nnba.G Waiver Fee: $ °'1wlichael E. Andel&,M 4-A - (: 'a Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 Engineer's Seal CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FEDERAL TAX ID # 92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order # 11436 Date Report Printed: JAN 26 89 @ 15:43 Client Sample ID:17000 BETTIJEAN PWSID :UA Collected JAN 25 89 @ 13:00 his. Received JAN 25 89 @ 15:00 his. Preserved with :4 DEGREES C. Analysis Completed :JAN 26 89 Laboratory Supervisor STEPHEN C. EDE Released By Special HOLD FOR PICK UP AND PAYMENT. Instruct: Client Name MCFADDEN, WAYNE Client Acct MCFAWC P.O.# NONE REC D Req # Ordered By Send Reports to: 1)MCFADDEN, WAYNE 2) Chemlab Ref #: 4061 Lab Smpl ID: 1 Matrix: WATER Allowable Parameter Tested Result/Units Method Limits --------------------------------------------------------------------------------------------------------------- NITRATE-N 1.0 mg/1 EPA 353.2 10 Sample ROUTINE SAMPLE Remarks: SAMPLE COLLECTED BY W.M. 1 Tests Performed See Special Instructions Above UA=Unavailable ND= None Detected See Sample Remarks Above NA= Not Analyzed LT=Less Than, GT=Greater Than fU ZONING BOARD OF EXAMINERS & APPEALS REQUEST FOR COMMENTS ON VARIANCE RETURN COMMENTS TO: DEPARTMENT OF ECONOMIC DEVELOPMENT AND PLANNING ZONING & PLATTING DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4267 DATE: March 1, 1989 CASE TO BE HEARD: April 13, 1989 The Municipality of Anchorage has received applications relating to the following: CASE ,#89-008 XXXX A request for variance from Section 21.10.080.G to permit a 3 foot encroachment into a 50 foot rear yard requirement. A request for change of use An appeal for Attached are copies of the proposed variance. Please submit your comments in writing, specifying any requirements that your department or agency may need. Comments MUST reach our office by March 20, 1989 in order to be included in staff recommendations. SPECIAL DISTRIBUTION: CASE: 89-008 PETITIONER: Richard Lindgren REQUEST: A Variance to permit a three foot encroachment into the 50 foot rear yard requirement (AMC 21.40.080.G.3). LOCATION: Lot 2, Block 1, Loma Estates; located west of Bettijean Street and south of Davis Drive. CURRENT ZONE: R-6 (Surburban Residential District (Large Lot) RABBIT CREEK COMMUNITY COUNCIL ' ® - o r U) r -. 1F- -LL10 Lu Q. f �l A ra - m 162 nd 4 q - LLA 2 8 r �1 4 ih Ave w �: 11 z.. Averee T 38 _ 4 IWI 38 R-3 SL '..0 84-z1 72nd Ave io) ) ! - ae l� ILLI 10, iR 4. .AiLL 4 5 3 1 .J a e R - sq' PLI N �_ n 4- _ y i I I i i - '04' :j i . APFRU- B y VVI• KWR Date LEGEND: „ r, Bran Cap Monument O Iron Pip • 5/8"x30" Raba Ail co"na_rS Q Survey Hub & Tack - I hereby certify that 1 have surveyed Lot Block i L.0 .,, � '-� k a 4e.s Subdivision, Anchorage Recording Precinct, Alaska, and have replaced all lost corners with 5/8" x 30" rebar. It is the responsibility of the owner, prior to construction, to verify proposed building location on lot, grade, and utility connections, also to determine the existence of any covenants or restrictions which do not appear on the recorded plat. Dated at Agchorage, Alaska this -� day of A CONSTRUCTING ENGINEERS, INC. ? 9601 Buddy Werner Dr. Anchorage, Alaska 346.2000 694.9098 xc- d,aaaa ,aRa�s/iady�SaJ��i , 1-j•iaglgi tF f•'pi trYl' ' ' •° NO. 3062-5 00 LVA •08.2•946 v�'9W L,NQS`� PLOT PLAN SCALE 1" = !POST IN CONSPICUOUS PLACE ALL WORK MUST RE INSPECTED A 24 HOUR NOTICE IS REQUIRED FOR INSPECTION SERVICE BUILDING PERMIT DESCRIPTION OF WORK PERMIT NO.:: ' DATE_ ZONING DISTRICT CITY LICENSE NO. _ STATE LICENSE NO. _ NEW 4 ALTERATION C ADDITION _- REPAIRS OTHER IF OTHERS, SPECIFY USE OF STRUCTURE SINGLE MULT. RESIDENTIAL FAMILY i/ DUPLEX OWL. - COMMERCIAL RETAIL _ INDUST. _ PROP. - OTHER _ REMARKS _ T�CLEAAN -SND MAINTAIN- - S BUR` ROUT 11GTION OF YOl7R N� G O SECT pGRMITTED All work in strict conformance with plan INSPECTION REQUIRED OF check requirements as per job prints. FOUNDATION EXCAVATION PRIOR FIELD INSPECTION REQUIRED TO PLACING ANY CLASSIFIED FILL APPRO.-ALS SIGNATURE - DATE BUILDING SAFETY DIVISION` MUNICIPALITY OF ANCHORAGE ERNAT4Q4AL-4P* FORKS AND 407 --WANT INSPECTION REQUEST 563-3464 BUILDING ADDRESS ;iAT=:SS'JEO PERMITTEE OWNER FRFAt!NG ::FEL FINAL LOT BLOCK SUB. CONTRACTOR ADDRESS DESCRIPTION OF WORK PERMIT NO.:: ' DATE_ ZONING DISTRICT CITY LICENSE NO. _ STATE LICENSE NO. _ NEW 4 ALTERATION C ADDITION _- REPAIRS OTHER IF OTHERS, SPECIFY USE OF STRUCTURE SINGLE MULT. RESIDENTIAL FAMILY i/ DUPLEX OWL. - COMMERCIAL RETAIL _ INDUST. _ PROP. - OTHER _ REMARKS _ T�CLEAAN -SND MAINTAIN- - S BUR` ROUT 11GTION OF YOl7R N� G O SECT pGRMITTED All work in strict conformance with plan INSPECTION REQUIRED OF check requirements as per job prints. FOUNDATION EXCAVATION PRIOR FIELD INSPECTION REQUIRED TO PLACING ANY CLASSIFIED FILL APPRO.-ALS SIGNATURE - DATE E OCA'ION FORKS AND FOUNCAT ION RE:NFORC!NG ;iAT=:SS'JEO °=R��1-"EE FRFAt!NG ::FEL FINAL -OTA,- A�,AT.OU PLAN -_-E-. Ea.1,1' '.SES IN . - .,ORF: 5 NOT CONtI_CEC r �.r .• - . l -- SIGNATURE OF PE-%IITTE' OR AGEN a4-008 (Rev 2 85; PERMITTEE _OT 2 BLOCK I NV055' 1 V W 75.00' N b%)- 7 4 -4.b w 1 j �• D-1 LOT 2 PREPARED BY JEFF A. GASTALDI , F.L.S. 3011 SETTLES SAY LOOP .+NCHCRAGE, ALASKA 99902 TEL. 314-.272 DRAWN BY. J.A.O. DATE'% 2-10-89 V) THE OWNER TO DETERMINE THE EXISTENCE OF GRID: 3337 FIELD BOOK: m.. JOB H0. A. 3ae:AIN p / •�''. DIVISION PLAT. UNDER NO CIRCUMSTANCES 6EPrIc svSrEN� SHOULD ANY DATA HEREON BE USED FOR CON- STRUCTION OR FOR ESTABLISHING BOUNDARY �•••o• .•' 7J`� OR FENCE LINES. o i dAV r/IN;-GY/ 2-e5- 4U CAN [4NT� T 4?.a, ro O 6` SD.o � a h Ib9 5 DE<Y u N �� SJR.•JL O 50 N Z E7(1STINCr $U1t_DIN6 t` VTI L I T Y ESM7: N b%)- 7 4 -4.b w 1 j �• D-1 I HEREBY CERTIFY THAT I HAVE SURVEYED THE �`��-��\\, FOLLOWING DESCRIBED PROPERTY! ..` .... OF A \ AS BUILT PREPARED BY JEFF A. GASTALDI , F.L.S. 3011 SETTLES SAY LOOP .+NCHCRAGE, ALASKA 99902 TEL. 314-.272 DRAWN BY. J.A.O. DATE'% 2-10-89 Ch ECKEO BY: THE OWNER TO DETERMINE THE EXISTENCE OF GRID: 3337 FIELD BOOK: J;�`,V„ JOB H0. I HEREBY CERTIFY THAT I HAVE SURVEYED THE �`��-��\\, FOLLOWING DESCRIBED PROPERTY! ..` .... OF A \ L,ot 2 Block 1 Lnu Estates aundi-.1slon 'w Q- L %P ••'� AND THAT NO ENCROACHMENTS EXIST EXCEPT 000' '.'4 0 49TH AS INDICATEDAT IS THE RESPONSIBILITY OF k THE OWNER TO DETERMINE THE EXISTENCE OF / ANY EASEMENTS, COVENANTS, OR RESTRICTIONS/ J;�`,V„ WHICH DO NOT APPEAR ON THE RECORDED SUB-JhiFsf A. 3ae:AIN p / •�''. DIVISION PLAT. UNDER NO CIRCUMSTANCES •° .iS-61391 �� SHOULD ANY DATA HEREON BE USED FOR CON- STRUCTION OR FOR ESTABLISHING BOUNDARY �•••o• .•' 7J`� OR FENCE LINES. %A�,�� RECORDING DLSMIC,, AK. Municipality of Anchorage DEPARTMENT OF COMMUNITY PLANNING P,O. Box 196650 • Anchorage, Alaska 99519-6650 ZONING VARIANCE OFFICE USE RECEIVED BY Verify Owner ICAa- Post/Affidavt A. Please fill in the information requested below. Print one letter or number per block. C shaded blocks. 1. Case Number (IF KNOWN) 2. Petitioning for 5R o08 i ay M o 3. Abbreviated legal description (T12N R2W Sec 2 Lot 45 or Short Sub Blk 3 Lot 34 full legal on back page. 4. Petitioner's Name (Last - First) Address 11751 Mary Avenue City Anchorage, State AK Phone No. 344 8101 Zip 99515 6. Current Zoning linsmOlson i!91 -qiil 10. Hearing Date 13. Fee $ 7. Petition Area Acreage Principal Tax No o not write in the �i 27 Igcr� 5. Petitioner's Representative or Contact Person Address 3003 Minnesota Dr., Suite 200 City Anchorage, State AK Phone No. 276-4979 Zip 99503 8. Grid Number 9. Traffic Analysis Zone 14. Community Council Rabbit Creek B. I hereby certify that (I am) (I have been authorized to act for) the owner of the property described above and that I desire a variance in conformance with Chapter 21 of the Anchorage Municipal Code of Ordinances. I understand that payment of the basic variance fee is nonrefundable and is to cover the cost associated with processing this application, that it does not assure approval of the variance. I further understand that assigned hearing dates are tentative and may have to be postponed by Planning Staff or the Zoning Board of Examiners and Appeals due to administrative reasons. .IT 2-2-7-e3 DATE SIGNATURE 3e�6 Pfi 'Agents must provide written proof of authorization. 20-032 (Rev. 6/87) Page 1 s, C. Additional documentation submitted: X_ 1. As -built or proposed site plan to scale 2. Building floor plans to scale 3. Building elevations X 4. Photographs X 5. Topography map of site X 6. Building Permit X 7. Other items D. Date discovered variance needed 02 / 1 n / go E. Code citations involved: AMC 21. 40 080 G AMC 21. 15 010 _ AMC 21. AMC 21 AMC 21 AMC 21. F. The existing situation is northwest corner of house projects 3.0 feet into rear yard set -back. G. Granting this variance would permit obtaining a Certificate of Occupancy H. Please indicate below to the best of your knowledge if any of these events have occurred in the last three years on the property. Rezoning Case Number Subdivision Case Number Conditional Use Case Number Zoning Variance Case Number Enforcement Action for XX Building/Land Use permit for construction of subject structure I. Full legal description for legal advertisement (use separate sheet if necessary). Lot Two (2), Block One (1), LOMA ESTATES SUBDIVISION, according to Plat No. 76-262, records of the Anchorage Recording District, Third Judicial District, State of Alaska. 20-032 (Rev. 6/87) Page 2 The Zoning Board of Examiners and Appeals may only grant a variance if the Board finds all of the following six (6) conditions are met. Each condition must have a response in as much detail as it takes to meet the condition. Please use additional paper if there is not enough room here for your response. The applicant hereby alleges that: 1. Special conditions exist which are peculiar to this land, structure, or building involved are which are not applicable to other land, buildings or structure in the same district. These special conditions are: As a result of an error on h v !Eor,s1p_ot plan, grrurt-ure was played approximately 10 feet north of appropriate location Owner/build r discovered Prrnr only upon rerpipt of as -built survey at completion of construction (2/10/89). A variance must be obtained to legalize the existing condition and obtain Certificate of Occupancy. 2. Strict interpretation of the provisions of the Zoning Ordinance would deprive the applicant of rights commonly enjoyed by other properties in the same district under the terms of the ordinance. These rights are: Because the 3 foot encroachment is a portion of rhe h,iilding itself, as well as the decK the situation cannot be rorrPrtPd wi*ti,,.,- a Inning tari3nrp, 3. The listed special conditions and circumstances do not result from the actions of the applicant and such conditions and circumstances do not merely constitute a pecuniary (monetary) hardship or inconvenience in that: -The builder/owner located the house in reliance on surveyor's erroneous plot plan. Because the house is now completed it cannot be relocated to bring it into compliance with AMC 21.040 080 G 4. Granting the variance would be in harmony with objectives of the Zoning Ordinance and not injurious to the neighborhood or otherwise detrimental to public welfare for the following reasons: The 3 foot encroachment is into a 50 foot rear Yard set -back The lot below is oversize, and its topography such that suitable building site is considerahly further 50 feet from adjoining lot line. Only a corner of the building and decking encroach the set -back. 5. Granting the variance will not permit a use that is not otherwise permitted in the district in which the property lies in that: The highest and best use of the subJect property family _residential. The requested variance involves a single family residential structure. 6. The variance granted is the minimum variance that will make possible a reasonable use of the land, building or structure in that: The 3 foot encroachment involves only a corner of rhe strurture and deck which lie in the rear set -back. It will create no hardship to ad:iarpnr pr perty nor will it affect use or aesthetics. 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