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HomeMy WebLinkAboutLAMPERT ESTATES BLK 2 LT 15 • UJ a, LFT ; Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231185 PID Number: 051-791-16 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade Name DONNA SCHWARTZ C/O ARM SEPTIC SERVICES ABSORPTION FIELD Site Address ❑ Deep Trench ElWide Trench ❑Q Bed F-1 Mound 22452 LAMPERT CIRCLE, CHUGIAK, AK 99567 Phonef Bedrooms 7�_M�4 907-688-9433 LEGAL DESCRIPTION Subdivision Block Lot LAMPERT ESTATES 2 15 Township Range Section SEPARATION DISTANCES To Septic Absorption Holding Sewer From Tank Field Lift Station Tank Line Well NIA N/A - - N/A Surface Water 100'+ 100'+ - - Lot Line 5' 10'+ - - NA Foundation *91+ 10'+ - - Remarks *45 DEGREE ANGLE OF REPOSE FROM BOTTOM OF FOOTER DOES NOT ENCOUNTER TANK (SEE PAGE 3 OF 3) n Other Soil Rating Total depth from original grade 0.8 GPD/SF SEE DWG. Ft. Depth to pipe invert from original grade Gravel depth beneath pipe SEE DWG. Ft. 0.5 Ft. Fill added above original grade Gravel length SEE DWG. Ft. 58 Ft. Gravel width Beds: Number of Lines Distance between lines 15 Ft. _3 5 Ft. Total absorption area Number of trenches Dist. between trenches 870 Ft2 - - Ft. TANK N Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity INFILTRATOR SYSTEM IM -1530 Gal. Material Number of compartments PLASTIC 2 L ATION location JElectn ailed by Gal.l PIPE MATERIAL House to tank D3034 drainfield Tank to Installer D3034 ARM SEPTIC SERVICES Drainfield D3034 CO/MTD3034 Inspector GEG CONSULTANT, JODY MAUS BENCH MARK (Assumed elevation) 100.00 ft Inspectiondain 9/19/23 2�d 9/19/23 Location and description 3`d 9/20/23 4"' 9/22/23 BACK DOOR THRESHOLD ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp OF oQo60O/DO 4 Conditional Approval: Date Septic Syste 00 ;f, E A. G3 Hess, Approved Date 5 a0p�f� V...��3� Note: this approvales not include well permit requirements.#aeccsaa���00as 10(\ Rev 05/02/18) PERMIT NUMBER: PARCEL ID NUMBER: OSP231185 RECORD DRAWING 051-791-16 _,-1-\--------- I ----------- I ---------- - I' STORM DRAINAGE PATH DRY ON 6/6/2023 1 -�-r----------- INSTALLED DOUBLE ' CLEANOUTS (DBL1 & DBL2)- RESERVE SITE FOR 4 -BEDROOMS - 2 - 15' WIDE i I BED TYPE DRAINFIELDS BY 29 -FEET LONG EACH (58-FEETTOTAL)� i A B i' FCO 55.5 9.3 I MH 55.6 15.8 OVERHEAD i ST1 46.5 22.8 ELECTRIC DBL1 47.9 24.4 DBL2 48.5 25.0 MTI 48.4 31.4 C01 49.7 30.4 i I CO2 54.6 27.2 CO3 59.4 24.9 MT2 61.0 25.3 i I MT3 88.6 82.0 C04 89.1 81.7 C05 91.8 80.5 C06 94.3 79.4 MT4 94.9 79.1 i (NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS i TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE - GENERATED IN AUTOCAD. LAMPERT CIRCLE y� syFo SHED 0 44 O 10' UTILITY EASEMENT PER THE CONTRACTOR, THE OLD SEPTIC TANK WAS DECOMMISSIONED PER UPC AND THE OLD DRAINFIELD WAS DECOMMISSIONED IN PLACE ----------- I - ASSUMED WATER LINE LOCATION BASED ON MOA RECORDS -NEW IM -1530 2 -COMPARTMENT INFILTRATOR SEPTIC TANK -NEW DRAINFIELD N SCALE: ' 1"= 40' ' \-STORM DRAINAGE PATH DRY ON 6/6/2023 - ENGINEERING - SALES - CONSULTING 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, ALASKA- PHONE (907) 337-6179' WEBSITE: w .gamessengineedngxom PREPARED FOR: DONNA SCHWARTZ PHONE NUMBER: PAGE NUMBER: C/O ARM SEPTIC SERVICES 907-688-9433 2 OF 3 PROJECTILEGAL DESCRIPTION: DRAWN BY: LAMPERT ESTATES; BLOCK 2, LOT 15 J.L.M. TYPE OF WORK: •.• l//•'�'. 7/14/2023 EXISTING 4 -BEDROOM HOUSE y� syFo SHED 0 44 O 10' UTILITY EASEMENT PER THE CONTRACTOR, THE OLD SEPTIC TANK WAS DECOMMISSIONED PER UPC AND THE OLD DRAINFIELD WAS DECOMMISSIONED IN PLACE ----------- I - ASSUMED WATER LINE LOCATION BASED ON MOA RECORDS -NEW IM -1530 2 -COMPARTMENT INFILTRATOR SEPTIC TANK -NEW DRAINFIELD N SCALE: ' 1"= 40' ' \-STORM DRAINAGE PATH DRY ON 6/6/2023 - ENGINEERING - SALES - CONSULTING 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, ALASKA- PHONE (907) 337-6179' WEBSITE: w .gamessengineedngxom PREPARED FOR: DONNA SCHWARTZ PHONE NUMBER: PAGE NUMBER: C/O ARM SEPTIC SERVICES 907-688-9433 2 OF 3 PROJECTILEGAL DESCRIPTION: DRAWN BY: LAMPERT ESTATES; BLOCK 2, LOT 15 J.L.M. TYPE OF WORK: DATE: RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 7/14/2023 wo lig E 7953 4. 1.Q 4V L 6 .�••''•• �i ' •...... Q �� LICENSE , `E,�•• #AECC884 r��"` PERMIT NUMBER: D A OSP231185 RE(;"6'UAo`RD UINION'twiNuo"'A PER THE CONTRACTOR, THE OLD SEPTIC TANK WAS DECOMMISSIONED PER UPC] wilo10 11 95a, I Im i&*J I w-14 " — s 9 too = a - I ORIGINAL GRADE AT LOWEST POINT = 94.44 mw 0.5' OF PARCEL ID NUMBER: 051-791-16 CONNECTED IN CENTER OF GEG TH#1 FINAL GRADES = 96.66 -97.23 - TOP OF TANK = 95.31-95.32 ORIGINAL GRADE AT HIGHEST POINT = 94.94 - CONTRACTOR, 2" OF INSULATION CO's Mrs –PER CONTRACTOR FILTER FABRIC fl fl "L—INVERT OF DISTRIBUTION LINES = 93.94 TOP OF MOA APPROVED LEVELING SAND = 93.44 LIMITS OF EXCAVATION = 92.84-92.94 RELATIVE GROUNDWATER AT 87.27 ON 6/7/2023 RELATIVE GROUNDWATER AT 85.61 ON 9/19/2023 RELATIVE ELEVATION OF BOTTOM OF TEST HOLE = 80.44. luarlWi dlil lar NEW IM -1530 2 -COMPARTMENT SEPTIC TANK -- m I 11111 ir lllj�� A mailillroill 9 0/ ,0/ oz BOTTOM OF FOOTER ELEVATION "1 07 95.07 o/ CONTRACTOR REROUTED PLUMBING IN CRAWLSPACE AND CORE DRILLED NEW HOLE IN FOUNDATION FOR NEW SEWER LINE SCALE: 1"=5' w N Wf% W J F- 0 F - (IN CY) w m 0 < uj co 2N LL z < co co Lu 0(0 co 04 LU Z co 0 0 z 0 Z w 0 w o 90c.) z ui CY) n ui T- o) CL (L IQ r. *wi Sy 4 1. Zi IOU CDC, CL ujg a - D w Lc) zg F- U) ui:-1 z W zd U - ca o c/) W 0Z NO, IM IM- -- Z cow 0 EL W raft.0Oto ui LL ry 0 w Lu CL 0. ui W > AV *,4: Ransoms ffinmem 0"a mommolummom onnommonamumme n Banos vana-val al ' Ar 0, kn- eyA.----Ga Ga ess 4�j AW CE�.­79 3 #to 12. # ***#Are *says ROFESS\ LICENSE *114, "llilm #AECC884 MONONA LOT 16 LOT 14 ; ; ; ; ; ; ; ; ; ; ; ; ;;;;;;; ; ; ; ; ; ; ; ; ; ; ; ;;; ; ; ; ; ; OHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHUOHU OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U ℄ LAMPERT CIRCLE OHU OHU OHU OHU OHU OHU 25 . 0 ' 25 . 0 ' EDGE OF PAVEMENT 10' UTIL. ESMT. SHEDS GRAVEL PARKING GR A V E L P A R K I N G S89° 58' 50"E 90.00 N0 0 ° 0 0 ' 2 0 " E 2 2 0 . 0 0 N89° 58' 50"W 90.00 S0 0 ° 0 0 ' 2 0 " W 2 2 0 . 0 0 G E 26 . 3 40.3 40.3 23.8 24 . 3 23.8 1. 0 1. 0 8.1 6. 0 9. 9 8.2 20.0 12 . 7 1.0' CANT. (TYP.) 7.6 27 . 1 18.3 2.9 60 . 9 60 . 7 43.8 30.8 TARP SHED Lot 15, Block 2 Lampert Estates Subdivision 19,800 Sq. Ft. +/- 22452 Lampert Circle 2 Story Wood Frame House With Attached 2 Car Garage S S SS S S S SS SSSSS SS PROFESSIONAL SEAL Date:Frontier Surveys, LLC Project No: 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 As-Built Survey of: www.frontiersurveys.com Frontier Surveys, LLC I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or under my direct supervision on Plat:Grid:Ordered By: 907.460.1686 - info@frontiersurveys.com This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. October 4th, 2023. Legend: Scale 1" = 30' Gas Meter Electric Meter/Outside Power Deck Septic Telephone Pole Fence Overhead Utility Lot 15, Block 2 Lampert Estates Subdivision General Notes: 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. All dimensions to property lines are plus/minus 0.1ft. ARM Septic Services 23-405 10/04/2023 72-207 NW1459 SS Concrete G E S [ Oct 04, 2023 R E GISTEREDPROFESSIO N A L L A N D S URVEYORPierre M. Stragier No. L.S. - 9812 Septic Cover 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231185 Work Type: Septic Upgrade Tax Code Number: 05179116000 Site Legal Address: LAMPERT ESTATES BLK 2 LT 15 G:1459 Site Mailing Address: 22452 LAMPERT CIR, Chugiak Owner: SCHWARTZ DONNA RUTH & Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date: pticnt S `o r, V. r 1f N Department Lot Size in Sq Ft: Total Bedrooms: 7/14/2023 7/13/2024 19800 Q Disposal Field Q 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 -REcdvLad=gy: G r Date: Issued By: Date: 27 Z' r Id -aTz2--•""."-"�...,=a-�'"-..�a^.:?,,; `^..,.a-�'�"n' _s._�.� ,�""Yccsnr= s:�r,.. '-: y! i, �^-�c.-F,^—._..__- -F'-- 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. 051-791-16 Property owner(s) DONNA RUTH SCHWARTZ C/O ARM SEPTIC SERVICES Day phone 907-688-9433 Mailing address 17933 OLD GLENN HIGHWAY, CHUGIAK, AK 99567 Site address 22452 LAMPERT CIRCLE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) LAMPERT ESTATES; BLOCK 2, LOT 15 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (lZ all that apply) Absorption Field E] Initial ❑ Single Family (SF) Septic Tank Fx� Upgrade RX (w/wo ADU) Holding Tank ❑ Renewal ❑ Duplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (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. (Signature of property owner or authorized agent) Permit/Rush Fees: S> j Date of Payment: �3 Receipt Number: O2 R 7R Cr Permit No. 0_ -1 311 � S Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231185, Deb Wockenfuss, 07/14/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231185, Deb Wockenfuss, 07/14/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231185, Deb Wockenfuss, 07/14/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231185, Deb Wockenfuss, 07/14/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231185, Deb Wockenfuss, 07/14/23 uj ct Q) LLJ CL '`—' it 4) CL 'A 2 .. 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" { "" 3 0 LA 75M c c 0 2 0) i .�u �-• =3�-+ 4-+ CL 0 0C � C M (v -0 Cl. m E � 4 c I f r 4 w vi 14 ct3 V to C M tt3 tall C v1 C tai tU C` © � 4W N©•C tU D C3. 0 E _p iia C A 0 0 0 0 � � E ;gZ4 i4 Q ta7 fl� 3+`- 0 4> R3 >+T) LC o > tib - o. ° cu 70c0 c .."'V to .G . ` C3. o "Now o tt7C oV ` © C U) cc ,_. _ 70 -C C3 0 0 -� ...J {� Cep -c L 3 -v >t c/1 (D cry to C U a`' t o CTS 0E:E j (D•- 0 0 0 A c CoO)o Z'0 Ln C , E C3 °w '' vi tU mtjoOL CO > - J Ci1` 0 t! ¢ >` 2 (D cv ....1 Qj f"i > .sn `"." ` C E J w L- 0 cr -0— C � 4 0 •- -� cv Ln 4C M cc E �- E .0 m o (U .L ¢ s ,cu (Da�00 0 4-J kO rq � Q C: 4) r-� a�E Q 4-J civ C 04 4-J 0 GL L- Ln !-- 0 .c ti ' Lj— w C31 MUNICIPALI'FY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIP, ONMENTAI. PROTECTION ENVIRONIV]ENTAI. ENGINEERING DIVISION 825 [. Street - Aitchorage, Ala,~ka 99501 Telephop. e 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM ANr)/oR WELL INSPECTION REPORT i Absorptio~ar~'~ Inside length Dwelling Material Width ~_~O. Or.~E D ROOMS I No. of c,~artments Liquid depth Dwelling PERMIT NO. Liquid capacity in gallons Foundation~ est Total l ength~¢ ~/~ M~e. Hal beneath tile Depth Distance betw~i nes Total effect, Lye absorption area PERMIT NO, Crib depth Total effective absorption area Building foundation Nearest lot Hne Driller Distance to lot line PERMIT NO. Sewer line Septic tank Absorption area(s) LEGAL DESCRIPTION I LOCATION f_ / ~ I Manufacturer~' ~ ~ ~ l DISTANCE TO: ~ ~ I DIS~NCE TO: I ~ ~ngth Width ¢ P ~ Type of crib CFib diamoteF ~ IC'~s Depth OTHER PIPE MA-FERIALS ~) ¢_~"~ ~'~ ~ ,'7~[~ / SOIL TEST RATING REMARKS 72-013 (Rev. 3/78) ALASKA ENVIRONS'- 'TAL CONTROL SERVICE.., ,NC. 1200 West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 Phone 276-136]. SHEET NO. OF CALCULATED BY DATE C,ECKED SV ~ D/~'~ ~^TE- ~//~/~ "/ CONTROL SERVIC£ INC. 8.~.T.O. oF 1200'West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 CAL~ULATEO,BY DATE Phone 276-2~6! c. Ec~o e~ ~/)~? D~ "FH!!ii: I...EJ',lfSiTIq D ;[ l"'!lZb!S :[ Ot",! I Ei; "i"HE LE~!',KHH ,( ;[ I',! I:::'EET ) (;;IF;:' 'T'FII]!!7 TF~:~iiJI',IC:H OF, i: Df~:i:q ;i; NF ;I; El_E). THE DEF'TH OF FI 'T'F4:E;NC:H ()t:;~: PiT ];S THE D J~S"Ft:::!I'.,ICE ~?,ET'!.4EEN 'l"kl!J~ SI...If;i:FFI(;;:E OF "I"H~}~ I;¥;;:()l...II'.~[:, I::IND "F'J...!~; E',()"FTCIF! OF TF-iE~J ~?,:':;([;:FI',/fzI"~" Z[ ON ,:Z ]Zl',~ I:::!!',~D THE{ I3~:O*T'TOFI OF THE E;:.:;IX:FI'v'F:IT J; ON ( ;~ N FEECf'). I:::'Ii~'1:;?1"1 ........ f::II:::'PL. ;12 CITIt',!T I*lf;l!iii; "i"i-ll~!i; I';;:EEi;I::'O!",I::':; '.' F: ;[ .. ~ '."~" "Fi;;:! ); NFOI;;:f'"I .... I l"~ ......... 'r ,::' DIiii;I::'I:::!!:;C'i"tEi',!"i' r:. ~: :.' i'.! ;3 '1"I...!!!!~5 Zi; NSTf::ILM:::IT T -i'.! T I",!'~: P!i:-:; 2;; T ;[ Oi",IS OF:' FII",I"? t41ZM...:~ F!D..)'!::V2:E!'.,tT 'i'O TH )_' :!ii; I:::'P 5 F'!!!iR'f"T' FIND THE I'.!Ui"lf!::l:!i'.:~: O1:::' "'.FX:"; 35 L':,EI',!(2:ES q'H!qT THE I.,.tli~Z.L. I,.I T! ]; (;;:!~;[¥:T];FV THI::I'T' :1..: ]; I::!I"! I'::'O!?.TH Bh" TI'"I~Z I'tUN ;;;?.; :[ 14 ;I; L.L '_1: i",bS'!'f::d..X... "!'HE S'?':~i;TEI'"I ]i: N FICC':OPI2:,Iti",!C:E N :1; 'f'H '!"b!E CODES. Z]i:; X L.IN[:'E:Zf;i:;i!!;TI:qI',!D THI::IT THE OH""'::7][TE SIZb.!EF:: S"r'ST..F:.';!"! i-'tFl'v' !;?.t~i}X;;!LI];I;:E l:;i:li.q E}; ;!; [:;'IE I',!(];: E & E ENC,NEERING & DEVELO, Box 90, Davis.St., Eagle River, Alaska 99577 694-2774 or 688-2280 MFNT CO. Russell Oyster 694-2774 SOIL LOG Mailing Address: ~)~ /~,< '~"~ Legal Description: ~--~¢~;-' /~ ~ v_.~c~.r:~¢_/zL :~'~_/ .--?/1 /~---~' , C,.-/C - Depth (feet) ~ Dc Soil Characteristics Earl Ellis 688-2280 0 2__ 4__ 7__ 9__ 10__ '12, 13 14___ PLOT PLAN PERC. TEST 15__ 16 ____ Ground Water Encountered: Yes ¢'~ No Proposed Installation: Seepage Pit Comments: /./.,~. ~Z~/d'~ C Performed by: -~--,/~, '~ ~' -% Drain Field MUNICIPALITY OF ANCHORAGE ~) ~// DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL_,A / 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) Location (address' or.direciions) Z-,,~/~ ~z,'~. (b) .Proper~y Owner' ,/'/'/cf, ~, ~, Telephone: Home Business ':'Ma'ili~g Address (c) Lehding In~'tit~tion "~.,~/T,~f ¢'7~ Mailing Add'ress ' :. . Telephone (d) Real Est'ate Company and Agent ../~/;z;~,~' ~r,,~7'~'/' /~_.,,~'// Address Telephone (e) Mail the HAA to the followina address: or: Check here [], if 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 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. Page 1 of 2 72-025 fRev 8/861 Front '~JONX s,Jaau!bua leUO!SSa~oJd eq~ u! suoiss!uuo Jo sJOJJ@ JOj elq!suodsaJ ~ou s! a6eJoqauv jo/%!led!a!unR aqj 'p@nss! s! a),ea!J!Hea e aJojaq amp aZ,~leUe JO suo!~oadsu! ionpuoo ,tau ap SHHQ jo sea/,oldLu3 's~uecueJ!nbeJ emro pue leJepa~ uleiJea ~s!~es o~, Jap Jo u! suo!inNsu! bu!puel J!aqi pue SeLUOq ~O sJeseqoJnd al/,selJ naa e se s!q~ saop SHHQ aq.L 'e~selV ~o e~e~S eq~ u! paJais!baJ ~eeu!bue leUO!SSa~oJd ~uapuedapu! ue /~q e^oqe S ttdeJi~e~ed u! ue^!5 suo!m~ueseJdeJ eq~ uodn /[lUO paseq sa~eo!J!l~@o le^oJddv/%jJoq~n¥ q~feeH senss! (SHHQ) saoi^JaS ueudnH pue q~,leaH jo ~uauupeded ebeJoqouv ,to ,%!led!o!unl/'d eql NOliR¥O leUO!Upuoo le^o.~ddv leUO!Upuoo jo SLUJa/ pa^oJddes!Q ',)Cf pe^oJddV Xq scuooJpeq ~ Joj pe^oJddv -IVAO~dd¥ SHHQ '9 'uo!Toedsu! ua loej~e u! suo!1elnead pue 'seoueu!pdo 'sepoo e~ulS pue led!o!un!AI lie Jo/pue Xlddns Jele/~ aUs-uo aqT 'uo!1oadsu! pue uo!),e~!lsa^u! ,~LU UJOdJ pue sel!J e6eJoqauv pau!eTqo uo!muudo~u! eq1 ua peseq mqT/~!Je^ ~aqpnl I 'u!emq pama!pu! adn),ond~s ~o ad/;~ pue sudoo~peq ~o ~eqLunu aqT ~o~ amnbape pue leUO!lounI 'ajes s! LUe~SXS fesods!p Jem~aise~A Jo/pue Xlddns Ja]eAA aT!S-UO eq~ leqi sMoqs leAoJdd'¢ Xlpoq~nv q~leaH s!q~ jo uo!~ee!],saAu! ,~LU ]eq~ A,t!JaA I 7Aoleq UA~OqS amp uo!mp!le^ eq~ jo se pue olaJeq pax!lie lees ,%u Xq pei~!peo sv NOI/¥1,NI:JO:INI QNV V.l.¥a 'HOt:IV:IS :~'11-1 'SIS=II 'SNOIJ. O~dSNI 9NlalAOl:Jd 'S ItU . .~, ~E~.',/iC~.., CHECKLIST - FEBRUARY 1984 ~.~'ql?,ON~E~r''~ 264-4720 JUN 2 19 7 Well Classification &~/~f'~ If A, B, C, D.E.C. Approved~) /.~  esent (Y/N) Date Completed Yield ~ Cased to ~ Depth of Grouting __ ~ ~_ Pump Set At ___ Casi~ Height Abo~d ~ Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit ~ ~//M Depression Around Wellhead (Y/N) Soparafio~ Dis~a"ces ,rom ~ell: ~ ~ S~H~di~ T~ ~ ~ ; On Adjoining Lots ~ To Nearest Edge of Abs~ption Field on Lot %_ ; On Adjoining Lots _ __ To Nearest Public Sewer Line ~ T~t Public Sewer Cleanout/Manhole ~ To N~ S~ice Line on Lot Water Sample Collected by _ ; %~ Water Sample Test Results ~ Comments ~ B, SEPTIC/HOLDING TANK DATA Legal Description: Date Installed ~' '~-¢~"' Size /¢"~ No. of Compartments Standpipes~,l) Air-tight Caps~/~) Depression over Tank Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~//"~ Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line ¢~/ Course /~) Foundation Cleanou~..;N) Date Last Pumped /.J//,t ;for Temporary Holding Tank Permit (Y/N) '4~//,~ To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11t84) C. ABSORPTION FIELD DATA Soils Rating ia Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y(~h Results of Last Adequacy Test Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present~) Date of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well gc'~//P/, To Property Line To Building Foundation ~/~ Z~~-~¢ /¢~,¢/'44-7,~¢- ;.~"7~' ~,¢~ ,,~,¢'z~,~', To Existing or Abandoned System on Lot y/,'"~ ; On Adjoining Lots /0 To Water Main/Service Line ~-~'// ~ /~'~//~X To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course /~'/O To Driveway, Parking Area, or Vehicle Storage Area ,~,'¢4'7~- ¢¢? ;2)6~.~,,/ ,¢~.,~&~-¢ ,,~/v'¢-'~J,,~'/~ Comments LIFT STATION / ,.S i::: ~ GO :1,1, °LneSv e, a t~/~'~ High Water Alarm Level at ~ Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Tested for Electrical Codes (Y/N) Comments _~'~- ~cles during Adequacy Test. Meets MOA Company '~ ' '~'-/¢ MOA No. ~2'¢Z~/ ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ' ~(~ ~L'~z"-~ Date Receipt No. / Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) l. /5~ 3~..-~ z.awp~-,et' . ..... : L~pz~t ALASKA 8 UlROIqmSBTAL COiqTBOL S(!Ftu C S, IrlC. ~n§incerinq $ ~nvironmenld ~luclies June 23, 1987 Municipality of Anchorage Department of Health and Human Services 825 L Street Anchorage, Alaska 9¢501 Attn: Steve Morris Lot 15, Block 2, Lampert Estates Dear Steve: The subject lot absorption trench is partially under the driveway. On 6/19/87, the trench was excavated to tim top of the distribution pipe. Refer to the attached diagram. The depth of the pi. pc ranges from 3' to 3.5' due to the minor slope of the driveway. The sewer rock was found to extend up to the footer of the garage slab floor. There is no crawl space under the garage. The gravel is 8 feet from the house foundation. The standpipe is 4.4 feet from the garage door. The trench extends up the driveway 15 feet from the standpipe and with a 90 degree elbow, turns towards the septic tank. Four inches of insulation was placed on top of the trench under the driveway and over U feet of trench beyond the edge of the driveway for protection from frost. The standpipe {s protected with a wood frame and ll.d level with the driveway surface. We feel that the location of the sewer rock wl]l not pose a problem due to nnd{sturbed native so{1 under the garage floor aad betweeu the trench and house foundation. We request your approval olJ tim trench locatJon. If you have any questions please call. Sincerely, Approved by: Alan C. Wien gngineer'ing Technician . CE - 2251 .,,~ 1200 UJcsl 3Sra ~uc,ue. 5uile ~. ~,~chora% Alaska 99503,(907) %1-50a0 MUNICIPALITY (DP ANCHORAGE DIVISION OF ENVIRONMEWCAL HF_~tL'IIi DEPAIYi%IENT OF HEALTH AND ~NVIRONMENTAL PROTECTION APPLICATION FOR HEAL1H AUTHORITY APPROVAL CERTIFICATE 1. General Infomnation Appli¢~ation Date ~(a) legal Description (include lot, block, subdivision, section, township, range) Lot 15 Block 2 Lam_j3ert Estates Subdivision Location (adcl~ess o~ directions) (b) Applicants Nara~ David Caine 1% lephone Applicants Address Finis Realty (c) Applicant is (check one) Lending institution ~..~ O~n. er/builder (d) r~nding Institution _, J~s_t _Na_t:%o~q!~%,,~.~o_~%k_.pf,~Aj3~.~%Q_ffi~effeoho~ Address % Marion (e) I~eal Estate Co. & Agent Address three Other (describe) Indiv:[dual ~%11 _.~--~ Con~a]nity [~ t~b].ic ~ Note: If co,~unity wall system, must have ~it~n ~nfir~tion ~ the State ~pa~z~nt of ~viro~ntal Conservation attesting to t~ legality and status. Is ~e yell adequate fo~ the n~r of ~dr~ s~cified in this H~ (Y~) 4, ~wage Onsite L~ ~blic {y~ O~,m~nity C~ Holding Tank ~[ Is the wastewater dis~sal system adequate f~ the ~mm~r of ~s (Y~) [Page 1 of 2] 2-15-84 5. ~...)S.. ~ ~n ~ neerlnq Fi~n Providinct.~c_tj~o_ns, Tests, Data and Information ! certify that I have checked, v~rified, or conformed to all YOA }IAA C~idelines in effect on the date of t]'~is inspection° Signed Date N~ne of Firm 2blephone Address Signed by Date ( F.~GINEER SEAL) This Department has received written confirmation from the engineer (A.E.C.S.) regarding the conditional and this has been completed as per required. This is now fully approved. DHEP Ap/or ova 1 Approved for three bedrc~,~s Approval 117~.~[ Disapproved E/2[[ Terms of Conditional Approval Conditional Date June 5, 19~ l~ne Municipality of Anchon-ag~. Dapartm~nt of [balth and Environnmntal Protection dces not guarantee the continued satisfactory perfo,~.~qmnnce of the watez~ .suppl~ and/or the wastewater disposal system° 1his approval indicates that, as of the validation cl3te shc~;n above, based on t}~ data and infor,mtion furnished ~!; an englander registered in the State of ;klaska, the water supply and wastewate~ disposal sTstem is safe and func-. tional for the number of bedrooms and type of structure indicated. ( )~EP SEAL) 7. Mail the HAA to the following address: KB2/d5/s [Page. 2 of 2] 2~15-84 D~PT. OF HEALTH ENVIRONMENTAl. PROTECTION MUNICIPALITY OF ANCHORAGE ~P'~ D]MSION OF 5IXrVIRONMENTAL HEAL~{ DEPARTMENT OF t. '~ALTH ~kND ~%NVIRfINMENTAL PROTECT~ C E J V E D APPLICATION FOR HBALTH AUTHORITY APPROVAL CE/ITIFIC~TE 1. General Information Applic~tion Date (a) Legal D~sc33iption (include lot, b].ock, subdivision, section, to~ship, range) Location (address or directions) Applicants Ad~ess (c) Applicant is (che~ o~) ~nding Institution ~; ~er~uil~r (d) ~nding Institution Te lepho~ Address Te le phone 2. [[3!pe of l~,sJ.dence Single-Fmnily ~_~--~ Numbe~ of ~edrooms 3. Wa te~._.Su_pp~y' Multi-Family Other (describe) Individual We][.]. V--~I Cc~m~nity ~---~ Public ~i~ Note: If ccramunity ~11 system, must have written confirmation fi. an the State Department of ~vironr~ntal Conservation attesting to the legality and status. Is the ~ell adeq~ate fo~ the number of beclroams specified in this HAA ~./N) Is the wastewate~ disposal system adequate fc~£ tJ~e nmnber of b~drooms ~/N) [PaGe 1 of 2] 2-15-84 5. En.__g_ir~erin.q Firm Provid~ ~.qsp~__ctions, Tests, L~ta arid Information I c~rtify that I have checked, verified, or conforned to all MOA HAA Guidelines in effect on the date of this inspection. adeess Z' (3 3 3 ' ' S ig~d by Date 6. DHEP Air,royal Apueove d for ::5 ApP,'Ow.~d l:edrcx:~s Disapp, oved C-~ Conditional The Municipality of Anchorage Department of }iealth and Envircn~ntal Protection dc~s not guarantee the continued satisfactory pe~:formance of tb'e wate~ supply and/o~ the wastewate~ disposal system. This approval indicates that, as off the validation date shown stove, b~sed on the ¢%s. ta and information ft~nished by an engineer registered in the State of kIaska, the wate~ supply and wastewater disposal system is safe and func~ tional fo~ the number of be¢l~oc~s -and type of structure indicated. ( DLEP SEAl.) 7. Mail the HAA to the following addre.~s: KB2/dS/s [Pa~.~ 2 of 2] 2~15-84 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 WELL DATA Well Classification ~f/L~?, Well Log P~esent (Y/N) fJ/;~ '- Total D~pth Y~)//~ Cased to Static Water Level /LT//~ Pump Set At Casing Height Above Ground Electrical Wiring in Conduit (Y/N) · Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ~.~/N '~ ,ii?~ If A, B, or C, D.E.C. Approve ) Date C~leted . ,,t~/~ Yield Depth of Grouting. '~/~ Sanitary Seal on Casing (Y~)~ ~ession ~ound ~l~ead /Y~) ~/~ ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole Water Sample Collected By Wate~ Sample Test l~esults C~ents P~.~_. ~. ~[(~,~ ~_~'/~ /g f/C TO Nearest Sewer Service Line on Lot ~J//{ B. SEPTIC/HOLDING TANK DATA Date Installed ~/~2~ Size /.~ dc) No. of Cc~a~ttments Standpipes ~/N) Air-tight Caps'/N) Foundation Cleanout ~/N) Depression over Tank (Y~ Date Last Pumped_ ~/~/~ Pumping/Maintenance Contract on File (Y/N)~t~z{- ; for Holding Tank High-Water Alarm (Y/N) ~ Temporary Holding Tank Permit (Y/N')X3/~ Separation Distances from Septic/Holding Tank: To Water-Supply Well ~/~c To Building Foundation To Property Line _ ~/ To Disposal Field To Water Main/Service Lin~. ~f/ ~ ~ To Stream, Pond, Lake, c~ Major Drainage Course [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~/~ 2_ Width of Field $ ~ //O~ Type of System Design Length of Field ~7/ Depth of Field ~! Gravel Bed Thickness ,~.~-/ Square Feet of Absorption A~ea Depression over Field (Y~ Results of Last Adequacy Test Separation Distance from Absorption Field: &te Standpipes P~esent (Y/N) . of Last Adequacy Test. , fi To Water-Supply Well ;g//c To P~ope~ty Line To Building Foundation /~ ! To Existing or Abandoned System on Lot A)/~ ; ~ ~joining ~ts To Wate~ Main/~vi~ Line ~ To ~t~(if p~e~nt) To St~e~ond~ke/~ ~jo~ ~aina~ C~se ~/~ To ~iveway, P~ki~ ~ea, ~ Vehicle St~a~ ~ea D. LIFT STATION Date Installed Dira~nsions Size in Gallons "Pump Oa" Level at Y~//~ "Pump Off" Level at ~/~ High Water Alarm Level at ~//~ Vent (Y/N) Tested fo~ ~(/~- Pumping Cycles du~ing Adequacy Test. Electrical Codes(Y/N) Manhole/Access (Y/N) 4///~ Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request I certify that I have checked, verified, o~ confound to all MOA HAA Guidelines in effect on the date of this inspection. Company MOA NO. ~7/-~P ~ KB1/d5/s [Page 2 of 2] .~%~i W`°y C. Re;d, .h',, 2-15-84 DATE RECEIVED INSPECTION APPOINTMENTS TIME 'TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NSP ECTOR ,;, :,- ..... , ..... ~'-- ANCHO~,AGF- MUNICIPALITY OF ANCHORAGE~[LJt41C'J,~,Al' ' ~ 'ANCH~b 825 L Street - Anchorage, Alaska 99501 ~Vl~ ENVIRONMENTAL SANITATION DIVISION JU;'~' ~' ~~: Telephone 264-4720 DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed, Please allow ten (10) days for processing, PROPERTY OWNER PHON~ 1. MAILING AD~S~ P~OPE~TY ~ESIDENT (If different from above) PHONE PHONE MAILING ADDRESS 3, LENDING INSTITUTION PHONE PHONE 4, REALTOR/AGENT MAILING ADDRESS 5. LEGAL DESCRIPTION STREET lOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four [~]"~ SING LE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* ~ COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well 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 [~'~ INDIVIDUAL/ON'SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION I:EE 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 2. WATER SUPPLY PERMIT NUMBER [] 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 ~, __~_~_ Connection Verified INSTALLER []Septic Tank or []HoldingTank Size: l{:~:z¢) IfTank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line ] Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Line 5, COMMENTS []~"/'APP ROV ED FOR -~ BEDROOMS [] CONDITIONAL APPROVAL {letter must accompany certificate) [] DISAPPROVED DATE BY ~ 72-010 (Rev. 6/79)