HomeMy WebLinkAboutSOUTH HILLS BLK 3 LT 2South Hills
Block 3
Lot 2
#017-072-24
Inspection Rep)D i-1-12.doc
Municipality of Anchorage
Community Development Department Page 1 of 4
On -Site Water and Wastewater Program
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP121280
PID Number: 017-072-24 ❑ New ❑✓ Upgrade
Name:
William & Dolores Duty
ABSORPTION FIELD
❑ Deep Trench EI Shallow Trench 2 Bed ❑✓ Mound
Address
7700 Our Own Lane
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
0.7 GPD/SF
0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
+.5 Ft.
Gravel depth beneath pipe
0.5Ft.
Subdivision
Block Lot
South Hills
3 2
Fill added above original grade
3.0 Ft.
Gravel length
41 Ft.
Township Range Section
Gravel vddth
23Ft.
Beds: Number of Lines
4
Distance between lines
5Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
943 Fe
N/A
N/AFt.
Well
100.7
111.0
111.0
N/A
83.9
TANK ❑ Septic p S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage Tank
Capacity
1250Gal.
Surface Water
103.2
105.0
105.0
N/A
Material
Number of compartments
Lot Line
65.2
16.5
65.2
N/A
Steel
2
NA
Foundation
12.3
15.8
12.3
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
N/A
N/A
N/A
N/A
Anchorage Tank/ Orenco
250 Gal.
Remarks
Pump on level at
43 in.
Pump off level at
40 in.
High water alar at
45 in.
Pump make and model
P005
Electrical Inspections performed by
Installer
PIPE MATERIAL Housetotank 3034 Tankto
drainfeld 3034
Anderson Construction
Dralnfield 3034 CO/MT 3034
Inspector Pannone Engineering Services
BENCHMARK (Assumed elevation) 100ft
Inspection ,r
dates: 1 11/13/12 2nd 11/13/12
Location and description
V 11/13/12
a 11/14/12
Corner of House
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
Conditional
Approval:
Date
#erti` �atnope�
LApprve(Date
al 4
Inspection Rep)D i-1-12.doc
NOTE:
EXPOSED BOTTOM OF BED IS NOT TO BE DRIVEN ON.
\ OUR OWN LANE
i '77
10' UTILITY ES MT g
3
WELL (E)
> II Lo
w WELL (E)
w
�3
\ J
102.0` I _�
115.8 TH-1
NOTES: PANNONE ENG SVC LLCof a\\ Date
RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 C� •"" gS+ll� 6/17/2013
PHONE (907) 272-8218 FAX (907) 272-8211 /�Cppy+� Scale
TH
.. ....
SOUTH HILLS, BLOCK 3, LOT 2 .... ... . P.I.D. NO
n-02-24
• teven •R. •Penna-ne• /
WILLIAM 8c DOLORES DUTY / PERMIT N0.
.•. CE 8149 OSP121280
7700 OUR OWN LANE tt+cys,•
PLAN ANCHORAGE, AK 99516 1�'�'•••---- Sheet
ll\� owss 2 OF 4
A
•
4BB
M1
FC
28.5
�
C1
21.7
HOES
(E)
T1
20.7
26.6
T2
-
19.3
LS
A
M2�
M1
VI\
39.7
M2
M1
M3
M3
IV,
C1
s
...
�1
.5
1 67.7
'
�w
,.::
T1
ABANDONED COLLAPSED 1250g TANK
T2 -�-
AND LIFT STATION (E) PER CODE
NEW DRAIN FIELD ,
(BY REMOVAL)..,
`,
M4
REMOVED ALL BIOMATTED MATERIAL
INSTALLED NEW 1500g S.T.E.P. TANK
/TH-2
WITHIN 10' OF NEW BED.
3
103.2
TH-1984
(LEE REID)
41 LF x 23'W x 0.5'ED, O.O'TD
W/ 2' SAND, AND t3' MOA TYPE II FILL
\
AS NECESSARY TO REPLACE BIOMATTED
MATERIAL AND CREATE SEPARATION `
--`DISTANCE
TO GROUND WATER.
REEK
/5
2
v�
NOTES: PANNONE ENG SVC LLCof a\\ Date
RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 C� •"" gS+ll� 6/17/2013
PHONE (907) 272-8218 FAX (907) 272-8211 /�Cppy+� Scale
TH
.. ....
SOUTH HILLS, BLOCK 3, LOT 2 .... ... . P.I.D. NO
n-02-24
• teven •R. •Penna-ne• /
WILLIAM 8c DOLORES DUTY / PERMIT N0.
.•. CE 8149 OSP121280
7700 OUR OWN LANE tt+cys,•
PLAN ANCHORAGE, AK 99516 1�'�'•••---- Sheet
ll\� owss 2 OF 4
A
B
M1
FC
28.5
0.0
C1
21.7
29.5
T1
20.7
26.6
T2
15.9
19.3
LS
15.2
16.4
M1
18.4
39.7
M2
21.8
30.9
M3
51.6
64.0
M4
1 9.4
1 67.7
NOTES: PANNONE ENG SVC LLCof a\\ Date
RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 C� •"" gS+ll� 6/17/2013
PHONE (907) 272-8218 FAX (907) 272-8211 /�Cppy+� Scale
TH
.. ....
SOUTH HILLS, BLOCK 3, LOT 2 .... ... . P.I.D. NO
n-02-24
• teven •R. •Penna-ne• /
WILLIAM 8c DOLORES DUTY / PERMIT N0.
.•. CE 8149 OSP121280
7700 OUR OWN LANE tt+cys,•
PLAN ANCHORAGE, AK 99516 1�'�'•••---- Sheet
ll\� owss 2 OF 4
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE
STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE
WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK WAS IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS.
3. SCOPE OF WORK: INSTALLED NEW 1500g S.T.E.P. TANK AND SOIL ABSORPTION SYSTEM.
4. GROUNDWATER WAS OBSERVED AT A DEPTH OF 6.0' AS EVIDENCED BY THE SOIL TEST HOLE, AN APPARENT WATER
TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 6.0 FEET BELOW EXISTING GRADE.
OL 9]4
—3.5
GM I
—7'5 BOH
t3' MOA NPE II TO REPLACE'
REMOVED BIOMATTED MATERIAL
AND CREATE SEPARATION DISTANCE
TO GROUND WATER
'o
1500g S.T.E.P.
TANK (P)
DESIGN PARAMETERS
PRIMARY/RESERVE SEPTIC SYSTEM
NO. BEDROOM: 4 (600 gpd)
TANK SIZE: 1500g S.T.E.P.
PERC RATE = <1 MPI
SOIL RATING: 0.7 GPD/SF
AREA ROD: 858 SF
SYS. TYPE: BED 0.5' E.D.
RIGID INSULATION
FILTER FABRIC
1Ya" 0 DRAIN PIPE W/ X" HOLES
8" O.C.
DRAW ROCK 6" ABOVE PIPE INV TOPSOIL AND
DRAIN ROCK VEGETATED
102.4
TH-1984
90.5' LEE REID)
—1.0 OL
9].4
ML
—5.0
GW
SECTION _7.5 BOH $9/24/1984
w� m�
Fz �z
RIGID INSULATION i
o i FILTER FABRIC o
o DRAIN ROCK 6" ABOVE PIPE INV o
r
¢ t84" 0 DRAIN PIPE W/HOLES
18" O.C.
_102.4 10
99.4-
"
97.4 97.4
TRENCH SEE DESIGN
PROFILE
LEGEND
W WATER LINE/
WELL RADIUS
— SS — NEW SEPTIC
USED:
REPLACED EXISTING 41 LF X 23' WIDE, 0.5' E.D., 0.0' TD
2' SAND
TOTAL AREA: 943 SF
ABBREVIATIONS
CU
COPPER
DIP
DUCTILE IRON PIPE
TH
TEST HOLE
FC
FOUNDATION CLEAN OUT
T#
TANK CLEAN OUT NO.
C#
CLEAN OUT NO.
M#
MONITOR TUBE NO.
R. 1.
RIGID INSULATION
DCO
DOUBLE CLEAN OUT
DV
DIVERTER VALVE
FS
FLOW SPLITTER
BFG
BELOW FINISH GRADE
OG
ORIGINAL GRADE
FG
FINISH GRADE
TS&V
TOPSOIL AND VEGETATE
NOTES: PAMONE ENG SVC, UCs'�' OF q� \kDate
RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 .... '•...4,9 1 6/17/2013
� '
PHONE (907) 272-8218 FAX (907) 272-8211 /�g�p �y�+ Scale
*; 4911.1 *,� NTS
�... .....:.. P.I.D. NO
SOUTH HILLS, BLOCK 3, LOT 2 „% 017-072-24WILLIAM & DOLORES DUTY j••Ste've'n R. Pannone % PERMIT NO.
�r.
!] '. CE 8149 %
7700 OUR OWN LANE OSP121280{mss, r
DESIGN DETAILS ANCHORAGE, AK 99516 1� �A� ••••• Pr sheet
3 OF 4
TEST HOLE 2
ORGANICS
1
CLOCK
TIME
WATER
NET TIME LEVEL
READING
NET DROP
FILL/
<1 MPI
2
SEPTIC
2
Scale
NTS
MATERIAL!
SOUTH HILLS, BLOCK 3, LOT 2...
WILLIAM & DOLORES DUTY
7700 OUR OWN LANE
ANCHORAGE, AK 99516
3
BIOMAT
4
4
SOILS LOG
Sheet
eOF 4
ML
SILT
6
GW
6—
s
RAVEL-
GRAVEL-
LOOSE
BOH
7
s
9
10
11
12
13
14
15
16
17
18
19
DATE PERFORMED:
11/13/12
SOILS LOG - PERCOLATION TEST
SLOPE
X
TH
10' UTILITY E MT
D_
SITE PLANLLJT
L
TH-1
s
4BR
HOUSE
(E)
TH-2
WAS GROUND WATER
ENCOUNTERED? N
IF YES, AT WHAT
DEPTH? --
DEPTH TO WATER AFTER
MONITORING? -
DATE: --/--/--
SLOPE
TH
X
READING DATE
CLOCK
TIME
WATER
NET TIME LEVEL
READING
NET DROP
1 11/13/12
<1 MPI
1/;;/2013
RECORD DRAWING
2
Scale
NTS
SOUTH HILLS, BLOCK 3, LOT 2...
WILLIAM & DOLORES DUTY
7700 OUR OWN LANE
ANCHORAGE, AK 99516
3
P.I.D. NO
n-672-24
PERMIT NO.
OSPI21280
4
SOILS LOG
Sheet
eOF 4
5
6
PEROLATION RATE <1 (min/inch) PERC HOLE DIAMETER 6 inches
TEST RUN BETWEEN 5 FT AND 6 FT
COMMENTS: Test hole excavated by ANDERSON CONSTRUCTION, Prec hole was presoaked
After the hole was ore -soaked a readine was unable to be taken due to the Dercolation rate.
PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES:
PANNONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
����
r of kNkk
i '��•'•' '•'9S (�
/ry�P ?y+�
tri
�.... ... ....
/ Steven R. Pannone /
(�+P '• CE 8149 ��
,� i'P
1/;;/2013
RECORD DRAWING
Scale
NTS
SOUTH HILLS, BLOCK 3, LOT 2...
WILLIAM & DOLORES DUTY
7700 OUR OWN LANE
ANCHORAGE, AK 99516
P.I.D. NO
n-672-24
PERMIT NO.
OSPI21280
SOILS LOG
Sheet
eOF 4
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP121280
Tax Code Number: 01707224000
Work Type: Septic Upgrade
Permit Effective Dates: September 13, 2012 to September 13, 2013
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: SOUTH HILLS
Site Legal Address: SOUTH HILLS BLK 3 LT 2 G:2940
Owner/Address: DUTY WILLIAM D & DOLORES K
7700 OUR OWN LN ANCHORAGE AK 995163821
Site Mailing Address: 7700 OUR OWN LN, Anchorage Lot Size in Sq Ft: 46790
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage
All construction must 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 must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Special Provisions:
The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation
test. The Engineer needs to do an additional percolation test prior to the construction of the septic
field. Please submit stamped and signed results with the As -built Inspection Report. If the results
require a design change, construction of the system will stop pending On -Site review and
approval. AMC 15.65.060.8.3
Received
Issued By:
I?—
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
Mayor Dan Sullivan
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. (2 072- u/
Propertyowner(s) IJI1LIy44d-0CyLo2cS fa)j j� Day phone
Mailing address 11020 WK b,d V
Site address 7700 0JK OuYy Lg ir�z'
Legal description (Sub'd., Block & Lot) ffwT/l#JLLS,&ax 3, 1or2
Legal description (Township, Range & Section)
Lot Size _710 Sq. Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
THIS APPLICATION IS AN:
(® all that apply)
Initial ElAbsorption
Field
Septic Tank
Upgrade UL
Tank
❑
Renewal ElHolding
Privy
❑
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
I certify that the above information is correct. I further certify that this application is being made
for a Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized
Permit/Rush Fees: $536 -
Date
53bDate of Payment: 'y1Rg11D
Receipt Number: 0a5_0 / -p
Permit No. 616PI2/a2
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GABuilding\On SiteTorms\Client FormsTermit App_010411.doc (Rev. 1/11)
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve0paneneak.com
September 13, 2012
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject: South Hills, Block 3, Lot 2
Septic System Permit Upgrade Request
Ladies and Gentlemen:
I am writing to request a permit to upgrade the septic system be issued for this property. The proposed
systems will serve an existing four (4) bedroom house. Currently the lot is developed. The bed will be
removed and replaced. The existing collapsed 12508 septic tank and lift station will be abandoned per
code, and a new 1500g S.T.E.P. tank will be installed. This lot is served by a private well that is located
over 100 feet from this system. The surrounding lots are also served by private wells. There are no wells
within 100 feet of this system.
1. Soils. A single test hole was excavated by Pannone Engineering Services in August of 2012, and the
ground water monitored for seven days. Groundwater was observed at 6.0' in the test hole monitor tube
after the seven day monitoring period. Bedrock was not encountered in the test hole. It is my opinion,
based on the results of the percolation tests and overall soils appearance; an application rate of 0.7
gallons/day/square feet should be used for conventional wastewater system.
2. Soil Absorption System Design.
a. See Sheet 2 of the design package. Due to the space constraints a bed width of greater
than 15' is necessary. Installing contractor is experienced and will use appropriate
equipment to prevent driving on bed.
3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain
field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage
ditches.
4. Topography: The topography slopes from northeast to southwest at approximately 8%-10% in
the area of the proposed drain field. There are no steep slopes in the area.
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
Page 2 of 2
5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification
that the review is complete and that there are no further comments is received from MoA On -Site
Department, the note will be removed and 'Issued for Construction" drawings will be issued.
The proposed installation will not affect the future development of the surrounding or existing lots. There
are no wells or septic systems within 100 feet of the proposed septic location.
If you have any questions or concerns, please contact me at 272-8218.
Sincerely,
Steven R. Pannone, P.E.
Owner/Civil Engineer
Attachments
-Soils Log
-Septic System Design
Mailing: P.0, Box 1.00217, Anchorage, AK 99510-0217
Physical: 332 East Manor Ave, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX. (907) 272-8211
EXPOSED BOTTOM 0FBED |SNOT TO8EDRIVEN ON.
OUR OWN LANE
HOUSE 108.0
13.9
ss
ss vv�
ABANDON COLLAPSED 1250g TANK (E) DRAIN FIELD (E) (P)
AND LIFT STATION (E) PER CODE TH 1984 REMOVE ALL BIOMATTED MATERIAL
INSTALL 1 500g S.T.E.P. TANK (P) (LEE REID) WITHIN 10' OF NEW BED.
100.0 105.0 AS NECESSARY TO REPLACE BIOMATTED
MATERIAL AND CREATE SEPARATION
DISTANCE TO GROUND WATER.
MEAN ANNUAL FLOOD LEVEL
NOTES: PAMONE ENG SVC, IM Date
FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 ...... 9/13/12
PHONE (907) 272-8218 FAX (907) 272-8211 10v
SOUTH HILLS, BLOCK 3, LOT 2 017-072-24
WILLIAM & DOLORES DUTY St Pa no.* PERMIT NO.
7700 OUR OWN LANE 1p, 1. 8149 OSP121280
PLAN ANCHORAGE, AK 99516
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON-SITE WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS.
3. SCOPE OF WORK: INSTALL NEW 1500g S.T.E.P. TANK AND SOIL ABSORPTION SYSTEM.
4. GROUNDWATER WAS OBSERVED AT A DEPTH OF 6.0' AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER
TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 6.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER
IMMEDIATELY.
H-3.5
Y
-7.5 BOH
33' MOA TYP
REMOVED BIOM
AND CREATE SEPAR
TO
'o '9
z i
L�l Fa
v E
15008 S.T.E.P.
TANK (P)
DESIGN PARAMETERS
PRIMARY/RESERVE SEPTIC SYSTEM
NO. BEDROOM: 4 (600 gpd)
TANK SIZE: 1500g S.T.E.P.
PERC RATE = <1 MPI
SOIL RATING: 0.7 GPD/SF
AREA ROD: 858 SF
SYS. TYPE: BED 0.5' E.D.
R FABRIC
0 DRAIN PIPE W/ M" HOLES
O.C.
IN ROCK V ABOVE PIPE INV
IN ROCK
SECTION
mz
z�
=8
o�
z
PROFILE
ML
GW
-7.5 9/24/1984
TRENCH SEE DEIGN
LEGEND
W WATER LINE/
WELL RADIUS
— SS — NEW SEPTIC
USE:
REPLACE EXISTING 41 LF X 23' WIDE, 0.5' E.D., 0.0' TD
2' SAND
TOTAL AREA: 943 SF
WITCURAWIVIIISPIN
CU
mz
DIP
z�
TH
i8
FABRIC
o
t
J ROCK 6" ABOVE PIPE INV
zo F
0 DRAIN PIPE W/1§" HOLE
�na
O.C.
11
TRENCH SEE DEIGN
LEGEND
W WATER LINE/
WELL RADIUS
— SS — NEW SEPTIC
USE:
REPLACE EXISTING 41 LF X 23' WIDE, 0.5' E.D., 0.0' TD
2' SAND
TOTAL AREA: 943 SF
WITCURAWIVIIISPIN
CU
COPPER
DIP
DUCTILE IRON PIPE
TH
TEST HOLE
FC
FOUNDATION CLEAN OUT
T#
TANK CLEAN OUT NO.
C#
CLEAN OUT NO.
M#
MONITOR TUBE NO.
R.I.
RIGID INSULATION
DCO
DOUBLE CLEAN OUT
DV
DIVERTER VALVE
FS
FLOW SPLITTER
BFG
BELOW FINISH GRADE
OG
ORIGINAL GRADE
FG
FINISH GRADE
TS&V
TOPSOIL AND VEGETATE
NOTES: PANNONE ENG SVC LLC '��"""N� Date
P.O. BOX 100217 ANCHORAGE, AK 99510 r C� °F A�Asli� 9/13/12
FOR CONSTRUCTION � .�
PHONE (907) 272-8218 FAX (907) 272-8211 /�g�py�� Scale
NTS
�.... ... :..
P. 1. NO
SOUTH HILLS, BLOCK 3, LOT 2 •......... % on -072-24
WILLIAM & DOLORES DUTY Steven Pannone PERMIT N0.
PF;CE 8149 j
7700 OUR OWN LANE �� �s • .. OSP121280
DESIGN DETAILS ANCHORAGE, AK 99516 Sheet
2 OF 3
TEST HOLE 1 SOILS LOG - PERCOLATION TEST SITE PLAN
OR ORGANICS SLOPE
10' UTILITY El MT
ORGANIC SILT
3 OL MIXTURE
WELL (E) 3 3
4 J
p E-
5 TH-1
GM SILTY GRAVEL \�
6 XTH 46R
\
HOUSE I,
8 BOH
\ \ w
10 W-� W �1
TH-1984
12 (LEE REID) `
13
WAS GROUND WATER SLOPE
14 ENCOUNTERED? Y
15 IF YES, AT WHAT TH
16
DEPTH? -6.0-' X
17 DEPTH TO WATER AFTER
MONITORING? -6.0'-
18 DATE: 8/23/12
19
DATE PERFORMED: 8116/12
PEROLATION RATE <1 (min/inch) PERC HOLE DIAMETER 6 inches
TEST RUN BETWEEN 3.5 FT AND 4.5 FT
COMMENTS: Test hole excavated by A+ HOME SEVICES. Prec hole was presoaked.
After the hole was pre-soaked a reading was unable to be taken due to the percolation rate.
PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES: PAM
7�7� LLC .����
FOR CONSTRUCTION Pl1L\1\Ol\i'i ENG SVC, LLti. .�". QF A(\\`� D9/13/12
P.O. BOX 102954 ANCHORAGE, AK 99510 r �� q@ ��
PHONE (907) 272-8218 FAX (907) 272-8211 j g�p 9��� s.a.
W: NTS
....... ... ....* P.I.D. NO
SOUTH HILLS, BLOCK 3, LOT 2 .....- •, •••••• 17-072-24
Steven R. Pannone
WILLIAM & DOLORES DUTY PERMIT NO.
9� : CE 8149 � OSPI21280
SOILS LOG ANCHORAGE, OAK 99516 WN LANE�till�\0.`=`� Sheet 3
READING
DATE
CLOCK
TIME
NATER
NET TIME LEVEL NET DROP
READING
1
8!16/12
<t MPI
2
3
4
5
6
�^
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE
NEW
L L 1 A
❑ UPGRADE
MAILING ADDRESS
7 ®C3 OUR 0 W&I L4 N L
LEGAL DESCRIPTION
Lot '�-50U_t14iLLS56C . 3
LOCATION
NO. OF BE ROOMS
B �2 tl
L�
UY
DISTANCE TO:
Well
tQ�
Absorption arear
loo
Dwelling �.
P�7
NO.
PER'W686
o®6•Z
h QManufacturer
-
A) C HOR 4 GC
Mater'
No. of co rtments
yI-
Li . capacity in gallons IF HOMEMADE:
Inside length
Width
Liquid depth
Y
DISTANCE TO: Well
Dwelling
PERMIT NO.
JAZ
2 Z F
Manufacturer
Material
Liquid capacity in gallons
0
w=
DISTANCE TO:
Well
Foundation
Nearest lot line
PERMIT NO.
j LL Z
No. of lines
Length of each line
Total length of lines
Trench width
Distance between lines
1=- Z
inches
F
Top of tile to finish grade
Material beneath tile
Total effective absorption area
inches
Length l n
Width t
Depth S s
PERM6
O
T
tj
w�
Type of crib
Crib diameter.
Crib depth
Total effective absorption area p, I
T'
N
DISTANCE T0:
Well �'
Building foundation
Nearest lot line 1 1
J
Class a .
Depth
Driller
Distance to lot line
PERMIT NO.
wRII`
71
DISTANCE TO:
Building foundation
Sewer line
Septic tank 1 O3 t
Absorption area(s) P ® f
1 C7
OTHER
PIPE MATERIALS
03o34
SOIL TEST RATING I
IS
c�
INSTALLER
GEAG-E E - q
REMARKS
FJG. i > •'PAN 4 ' GJAJ d r
FAillAic
PLiGep 1AD 13ED A3 DEsifveo 57-84
J 11
'/V!; ZCI D 4V.' 611--u CA'r,:r
C'
a
v
L Fr Z. 2r
If
APPROVED DATE LEGAL
%/1ib1g¢ G 14, LLS t11N R A W 5 cc T
72-013 (Rev. 3/78)
J
m H._J 1%,A I C:'::IL: P` if--* L_ Xi _T"V t �' >t . PA (. ' V-1 CJ Fes" rN C-ti ✓E r
DE!"'AR.TMEN'T' OF' HEEAL:TH AND ENVIRONMENTAL PROTE:MT:I ON
825 1.._ S'T RE•-: ET a ANCIFIORAGE., AK 99501:
264-4720
C] ih A — - ::,, I "T"' E�: �; � � W. i1��11� �� fix.,,: 1 �1 f 1._.1 � `EE 1 ":1{1�1; .1 . � .. '
PERM TT NO e 841-0862 t862 ENGINEERED DES I GN10t
i)A'1`E": Tf'tGIfEI},; D"),/10/04
AF'F'LICANT a WI1 I.._IAM DUTY J
ADDRESS,, 7.700 OUR OWN LANE
ANCHORAGE v Ar05:!.6.,
CONTACT PHONE -3*454547
LEC:it-?!.... l7ESCRIF SUDDIVIISION. SOUTH HILLS LOT. ^ BLOCK- _
SECTION: = TOWNSHIP: 1,11\1 RANGE: .3W
LOT SIZE. 1.25A (SO. FT. OR ACRESD
'I: certify that..
I- :1: Rm familiar with the requirements for bri-site sewers :,ant`! VJEa.!..1.'s as set.
forth by the Municip ality of Anchorage (MOA) and the State cif' Alaska.
2. T will install, the system in accordance with all. MOA c:o(Jes and regulations.,
and in compliance with the design criteria of this permit..
I will. adhere to all MOA and State of Alaska requirements for the set back
distances from any existing well., wastewater dit:posal system or putblic
sewerage yst..E:?tit on this or any adjacent. or nearby lot..
IF" A 1__IF7 STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
I`HEN (:I.) AN ELECTRICAL PERMIT AND INSPECTION MUST RE OBTAINED; (`.?) AS--I"� IJ i LTS
WIL._I.- NOT BE APPROVED WITI...!OUT AN L:LI...:CTRTCAL INGF'ECT:I:ON RI-71ORT-,, AND (1-1r) Tl-IE"
ELECTRICAL WORK ,MUciT BE. DONE BY A LICENSED ELECTRICTAN.
fi.T.fihIED 1') ,,., I}ATE-
.__...---....
t-PPLICf-'NTc WILLIAM DUTY
I'>>,""..`UED BY DATE„
� 1
Ir 5IR 5Z � y til- w i�
ji
sa�7�d
MUNICIPALITY OF ANCHORAGE
Department �,,f\Health and Environmental,.x�rotection
825 'Street, Anchorage, AK. 501
264-4720
Permit # # # HANDWRITTEN PERMIT # # #
L AND -m-SITE SEWER PERMIT
Applicant: / (;,G /gMn
Ti Mailing Address : r%��d Qv� aoq �it�,
Location: 407- ,� Qlz .laud l��c f6o✓ Phone Number: S SC/ice
Legal Description - / N - Lot Size: %
Type of Soil Absorption System Is: /
Trench: Drainfield: Seepage Bed:y Holding Tank:
Maximum Number of Bedrooms: Soil Rating(sq.ft/br) /9J
The Required Size of the.Soil Absorption System Is
DEPTH 9J LENGTH 4-0 GRAVEL DEPTH G WIDTH
The.length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE / a GALLONS # #
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve. '
# # # TWO(2) INSPECTIONS ARE REQUIRED # # #
Backfilling of any system without final inspection.and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 3
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more tha 3 bedroo
Signed: Issued by:
Applicant
iS o,�.G/ vi�t o2
0 Date:
ir�s� lc�ea�
SWP/024 (1/81)
7C /v2 S X /•,S / � J' o�'l Gbf'o.- J�€1�1 �/ `�
9
TO / !
S w1
FROM
¢a.nCyvr�//Y�//.��a i..v. niv�Tah€'l'aiT�".a�C�S�4u#+43Y
-k SUBJECT! r g 13//x`° *3 0v% !/`s ! DATE
I- MESSAtirE
REPLY
Redlrm9 4S 471
Poly Pak (50 sets) 4P471 SEND PARTS 1 AND 3 WITH CARBON INTACT -PART 3 WILL BE RETURNED WITH REPLY
DATE
SOILS LOG
' MUNICIPALITY OF ANCHORAGE
a� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
r
PERFORMED FOR:
LEGAL DESCRIPTION:
2 �{ w�Q�� rou
,r
3
[y,, �e�
4 t ,, f� ars ukk-
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
PERFORMED BY:
72-008 (6/79)
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
DATE PERFORMED:
n a t
S
L
O
P
% E
Z
Reading.,Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
PERCOLATION RATE
TEST RUIN BETWEEN FT AND
oz�r! e-trt L'jyd,
MON s�=oa
CERTIFIED BY:
(minutes/inch)
__ FT
DA
~1 SOILS LOG'
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264.4720
1SOILS LOG — PERCOLATION TEST
PERFORMED FOR: �t `I Mm I/j Lot
PERFORMED: .Y� (�� r� I� /
LEGAL DESCRIPTION: sootk I-�(�S Lot Z' 8),ck-3
SLOPE SITE PLAN
IF EIT I &L- &rjNhlL Sty' -1
1
( P5 S
ENCOUNTERED?
` L
2
O
ML(k
3
t r� E
DEPTH?
4
o rL e(
5
C-iv� grR�e)
6
®
6
6t. ty
100V l
7
. r
8
9
10-
11
12
13-
314151617
14-
15-
16-
17
81920 18-
19-
20
COMMENTS Soy`
WAS GROUND WATER
( P5 S
ENCOUNTERED?
` L
Depth to
Water
O
P
IF YES, AT WHAT
t r� E
DEPTH?
o rL e(
ZN
■o
c U1
NEENNEEMEN
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND FT
3(% v: S ✓ally d `^_ -19bt:1
PERFORMED BY:�a<t� MDA S`r O`( o11/ CERTIFIED BY:
72-008 (6/79)
/�° Z/*/7
�o ,s1,144 U*14-v
GREAOIER ANCHORAGE AREA BORO'v,�H
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
10P 7
SEWAGE DISPOSAL SYSTEM — APPjdC/ATION AND PE
NAME OF APPLICANT
INSTALLATION LOCATION
LEGAL DESCRIPTION
C !' e v MAILING
Z' h; Z LJ
PERMIT NO. � 9
INSTALLATION OF: SEPTIC TANK�,/ SEEPAGE PIT DRAIN FIELD , OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED i,>
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
TO BE INSTALLED BY
E
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
MINIMUM DISTANCES, REQUIREMENTS
/
FOUNDATION TO SEPTIC TANK �_
FOUNDATION TO SEEPAGE PIT
ze'/
DRAIN FIELD
SEEPAGE AREA SIZE
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK f , SEEPAGE PIT ` DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK `� R , SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT -
DRAIN FIELD
P J /
SEPTIC TANK, '� / � SEEPAGE PIT 00 DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
4 HEALTH A THORITY
OR
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
CERTIFY
��%f fNC N6 THAT THE
1 CERTIFY THAT 1 AM FAMILIAR WITH/THE REQUIREMATS OF GREATER A HORAGE AREA BOROUGH O D ANCE NO. 28.68 A THAT THE ABOVE
DESCRIBED %Y�iSTEM jS IN ACCORDANCE WITH SAID CODE. 4
DATE `- ( PLICANT'S SIGNATURE
'i
L,eceab,er 4-0, 1 J7
Mr. Jit,,I PickneY
: t. Rt. At box 400"
Anehur-a(,Te, Alaska 9Q-507
SuLj,c-ct: Installation of on-site sewakC systeli, Lot
Clock '3t "uUtIl dills Subt;iVisioll.
Dear Otr. Pickney:
ot', February 2�, l972, you ubtiAined a perv;,i t to instal I, all un -site
sewage systLi, on,block 3 Lot South fills SUbqivisiorl which
is still outstanin in uur'files.'...
In our telephone conversation edrTier this wotith you stated that a
cessi)ool was still being use", oil the property.
j
Si rets
cesst)ools are illeg,�l wit;jin thi! Borou�ih, this office
Will allow you until July 15, 1973 to Put in d septic tank
and seepage pit (u'r'drainfi�,I,) vjjjich will conforti, to Borough
specifications. To j first 9 this./you First need a stils test
Laken by a 3eolo5ical firl'...'
Upol, receipt of tile soils test, we -all estirjjjte the pit size needed
for the existing building on the property and you will then be
able to co,,,Iplete installation. final inspection aiiust be iijade
on the installation before backfilling is Completed.
F4ilurL- to copply with 5orough re�--,ulatiuns %tay result in court
action to be taken aainst you.
Any questions may be directed to this offiee.
Sincerely,
D.A. Darr
Levi vironoental Control Officer 1
m
Hefty Drilling
S.R.A. Box 1553 H
AnchorageAlasks,
.. {j
WELL LOG
wii Lam Duty
Lot 2 Blk. 3
Date.Drilleds
6-9-84
South Hills''Subd,
Static Water Level 5 gpm
feet
Gallons Per Minute 30+
Artesian
Draw Down
N/A
feet
Total Feet of Caesing,,53
ICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
NOV 2 2984
Tvne Material
Drilleds
RECEIVED
0 feet
to 20'
Sandi gravel
II
20 feet
to 27.
Surface water
22 feet
to 50
clay (Prev) gravel
I
5n feet
to 53
gravel w/water
to
- -
to
I
Hefty Drilling
S.R.A. Box 1553 H
AnchorageAlasks,
.. {j
MUNICIPALITY OF ANCHORAGE
ox
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 017-072-24
1. GENERAL INFORMATION
Expiration Date: l ` / — 2--Z--
Complete legal description SOUTH HILLS BLOCK 3, LOT 2
Location (site address) 7700 OUR OWN LANE, ANCHORAGE, AK 99516
Current property owner(s) WILLIAM & DOLORES DUTY Day phone
Mailing address 7700 OUR OWN LANE, ANCHORAGE, AK 99516
Real estate agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
®
Private Septic
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 5 Waiver Fee $
Date of Payment l (7 a Date of Payment
Receipt Number 1 �q r 51 Receipt Number
COSA # 0 sc a Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater
disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in
effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Address 13030 SUES WAY, ANCHORAGE, AK 99516
Engineer's Printed Name CURTIS HUFFMAN, PE Date 7/16/22
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting & FWCS
6. DSD SIGNATURE
System #1 Approved for _q_ bedrooms
System #2 Approved for bedrooms
Disapproved
�A l
l
• .& i
. _ ....•..
.... ...V�.1.':
. Curtis Huffman
CE 128991
c�s�Fq' . ,7/16/22. •���,��`��
1,\,DPROFESSION�� r
Conditional approval for bedrooms, with the following stipulations:
QP��TY 0)z..
IX
ON-SITP
WATER AKin m
By: � N11__
Original Certificate Date: — l
The Municipality of Anchorage Development Services bivision (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
Legal Description: SOUTH HILLS BLK 3 LT 2 Parcel ID: 017-072-24
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
® Well log is filed with Onsite (or attached)
Date drilled 6/9/84
Total depth 53 ft
Cased to 53 ft
® Sanitary seal is functioning correctly
® Wires are properly protected
Casing height (above ground) 24 in.
Date of flow test for COSA 7/15/22
Static water level at beginning of test ARTESIAN 4 ft.
Well production at time of test 6+ qpm
Comments
Structure served by this system
Water storage tank volume NA gallons
Well disinfected for coliform test? ❑ Yes ® No
® Coliform bacteria is Negative
Nitrate 1.06 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ® Arsenic less than MRL (ND)
Collected by FES
Date of Sample 7/15/22
B. TANK DATA C. LIFT STATION
Age of tank(s) 10 years ® Required maintenance completed
Tank type/material S.T.E.P / STEEL Age of lift station 10 years
Measured operating fluid level in septic tank * Lift station material STEEL
® Standpipes/foundation cleanout per record drawing Comments: *MOA STEP MAINTENANCE
Date of pumping 7/13/22
D. ABSORPTION FIELD DATA
Which system tested (date installed) 11/13/12 Adequacy test date 7/15/22
® ALL standpipes present per record drawing Results ID Pass For 4 bedrooms
Total measured depth from grade 4.1 ft (max) Fluid depth prior to test 0 in (DRY/MOIST)
Measured depth to pipe invert from grade _ft (min) Water added 600 gal
® N/A — pressurized field
New depth 0 in. (DRY/MOIST)
® Monitor tubes go to bottom of effective. If not, state
depth into effective MOA IR SHOWS 0.5'ED Elapsed time 180 min
® Code -required soil cover over field Final fluid depth 0 in (DRY/MOIST)
❑ System presoaked Absorption rate 600 gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N
date of test) Ifes, enter date
Gallons introduced gallons y
Comments/Deficiencies: ALL 4 MTS WERE DRY/MOIST FROM START TO ADEQUACY TEST END
Nirs
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
® Yes
if No ft
Community Sewer Manhole/Cleanout > 100'
® Yes
if No
ft
® Yes
if No
Neighboring Tank > 100' ® Yes
if No
ft
Private Sewer/Septic Line > 25' ® Yes
if No
Absorption Field on Lot > 100' ® Yes
if No
ft
Holding Tank > 100' ® Yes
if No
Neighboring Absorption Fields > 100'
Surface Water > 100'
® Yes
Animal Containment > 50' ® Yes
if No
® Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ®Yes
if No
ft
® Yes
if No
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' ® Yes if No ft Surface Water > 100'
ft
ft
ft
ft
Mil
® Yes if No ft
Property Line > 5'
® Yes
if No ft
Wells on Adjacent Lots:
Absorption Field > 5'
® Yes
if No ft
Private Wells > 100' ® Yes if No _
Water Main > 10'
® Yes
if No ft
Community Wells > 200' ® Yes if No _
Water Service Line > 10'
® Yes
if No ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
® Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
® Yes
if No
_ ft
Wells on Adjacent Lots:
Water Main > 10'
® Yes
if No
ft
Private Wells > 100' ® Yes if No _ ft
Water Service Line > 10'
® Yes
if No
ft
Community Wells > 200' ® Yes if No
Surface Water > 100'
® Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATIONi�k�1
1 certify that l have determined through field inspections and review ,,!,�Q� • • `
`
of Municipal records that the above systems are in conformance with /' aj •; i� I
MOA COSA guidelines in effect on this date. : `
• Curtis Huffman
�¢� �'F; •, CE 128991 .*,4 i
��l<c • . 7/22/22.. • •�.s
��1�� pROFESS10Nt�.aAW
M
ft
OUR OWN LANE 8503S
CD 0
L0 to
_ S89057'05"W 152.53
10' Utility Easement
I
Well W Shed
'i > _N
'a Wood fence (typ)
> I
2.0 OH 4.5-
C6 24.0 Y +
1 1/2 Story o
Frame House N deck I� 'I
38. 48.0 ° shed N_
�p deck c0 ° I M
Lot 3 N oO °
V_ it
M`Manhole I Lot 1 SCALE: V= 50'
Sauna a ( O
Chain link fence Septic vent (typ) J ( 00
CD ( 00
EO I C:)
OF • q�qs 1
A.
oa I �'?' 49th • • � �d�
Z Shed I j
E 00 .
ai ®i ':'Elizabeth L. ftotka . R 00
(uj �` -�F • • 8036 - LS , • •Jew®
F ..r
OT 2 W 0FESSI OtAp,\_
r AS -BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's inspection
in accordance with ASPLS Standards of the following
described property: LOT Z BLOCK 3
_ SOUTH HILLS SUBDIVISION
Anchorage Recording Precinct, Alaska, and that the
S85052110"Eimprovements situated thereon are within the property lines
O 152.90] and do not overlap or encroach on the property lying
to adjacent thereto, that no improvements on the property lying
adjacent thereto encroach on the premises in question and
O that there are no roadways, transmission lines or other
OLD RABBIT visible easements on said property except as indicated
- CREEK ROAD hereon.
--- Dated at Anchorage, Alaska
`-- — -- this 12th day of AUGUST , 2022.
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED FRED WALATKA &ASSOCIATES, L.L.C.
PLAT ARE NOT SHOWN HEREON BEEngineers and Surveyors
UNLESS OTHERWISE NOTED. FB 22-2, pg 61-62 907-248-1666
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original
client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered,
the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.
MUNICIPALITY OF ANCHORAGE
' DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information Application Date
i
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Applicants Name to; j. (_ ;;
Applicants Address "7'7
hone - Home. < ; `' business
(c) Applicant is (check one) Lending Institution ; Owner/builder
Buyer � ; Other E_:�j (explain); .�
(d) Lending Institution
Address
(e) Real Estate Co. & Agent
Address
Telephone
(f) Mail t(h��e(� HAA to the following address:
5 �- -
2. Type of Residence
Single -Family Multi -Family
Number of Bedrooms L1.
3. Water Supply
IndividualWell L� . Community
Other (describe)
Public E
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
Onsite EEJ Public [-::I Community E::l Holding Tank El
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]
Jk as.
9
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 regula-
tions in effect on the date of this inspection.
Name of Firm %� LSC �,� Telephone i - 4r-,';
Address1
% ��• %JF 44`4$�p
Date.,� ��7 !„/ J.j `� ��A• "*4to
No.'a�7;ti��gnt,`T�`aT"�•�e
0,0
e �
r� �f s • t
(ENGINEER SEAL) ir.00 "O.” a gas *Cos.. «f
v C. Reid, Jr.
G�
6. DHEP Approval ®�-09� o%2
Q•51UE.¢�•�
A
Approved for bedrooms By -
Approved 'yL Disapproved Conditional
Terms of Conditional Approval
CAUTION
THE MUNICIPALITY 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 ANDI
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE 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/D18
[Page 2 of 2] 7-19-84
MUNICIPALITY OF ANCHORAGE -
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
ap MUNICIPALITY OF ANCHORAGE (MOA) NOV 2 11984
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984 RECEIVED
A. WELL DATA Legal Description: Lot Z_ ,t ry _3
�a�fiM le'LLs tt/lb i( �Gy1 S'"�z 3
Well Classification r/?t . V/AtC If A, B, or, C. D.E.C. Approved(Y/N) .,U
Well Log PresentDate Completed Yield30tGP.,A-1
Total Depth 53 Cased to 53 � Depth of Grouting
Static Water Level ARTE,51� N Pump Set At t 1 /c1LNOcc�.ai
Casing Height Above Ground 2` Sanitary Seal on Casing iI)_
Electrical Wiring in Conduit CYyN) Depression Around Wellhead (Y
Separation Distances from Well:
To Septic/Holding Tank on Lot On Adjoining Lots � /u}
To Nearest Edge of Absorption Field on Lot !/a ; on Adjoining Lots > oo
To Nearest Public Sewer. Line To Nearest Public Sewer
Cleanout/Manhole A)/Y-A- To Nearest Sewer Service Line on Lot �rrs
Water Sample Collected By ; Dat 57/fif
Water Sample Test Results 5 17 ®S f;'4C-T'C'x Y
Comments PAR a2aLe_ Ln 6 A AJ' -1 6 5901tT� vt eTc //12�as oti�
c ons
B. SEPTIC/HOLDING TANK DATA
6
Date Installed 111j1,fp�4 Size 1, ZS -0 No. of Compartments
Standpipes CVN) Air -tight Caps fYN) Foundation Cleanout YXt�7)
Depression over Tank (Y& Date Last Pumped A✓t.&I
Pumping/Maintenance Contract on File (YM)A)/)4,for
Holding Tank High -Water Alarm (YM) A� A� Temporary Holding Tank Permit (Y ),o
Separation Distances from Septic/Holding Tank:
To Water -Supply Well 103 ° To Building Foundation r
To Property Line ) 7 ` To Disposal Field 1S'
To Water Main/Service Line, To Stream, Pond, Lake, or Major Drainage
Course -
Comments tri �cfe riea �y fi� ✓� su
Receipt #Q�{1 b 7
Date Paid:
Amount: yet y�
(Page 1 of 21 2-15-84
- < 2 13 3 /4,-u5
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata J5p'�� Type of System Design d3& n
Date Installed Length of Field Lf,/
Width of Field 23Depth of Field .S'
Gravel Bed Thickness ,5
Square Feet of Absorption Area 9 f-3 a� Standpipes Present N)
Depression over Field (Y& Date of Last Adequacy Test ,y/14
Results of Last Adequacy 'lest
Separation Distance from Absorption Field:
To Water -Supply Wall //$ ' To Property Line /l /
To Building Foundation /S To Existing or Abandoned System on
Lot On Adjoining Lots 1,) 3o
To Water Main/Service Line AJ/to, To Cutbank(if present) ata
To Stream/Pond/Lake/or Major Drainage Course jc)5- r
To Driveway, Parking Area, or Vehicle Storage Area i.) 'Z 8'
Comments 1NFO,eA4A1-i0AJ' pL,,w �5%sU•� r I.�PP/( �=�iL�? Ni suet -�t Gam
D. LIFT STATION
Date Installed (I/l letsq Dimansions 36" o A,
Size in Gallons - /6 7 15&//yo_d. Manhole/Access CO/N)
"Pump On" Level at 4Z'"Pump Off" Level at
High Water Alarm Level at 4(4 Vent Y )
Tested for Pumping Cycles during Adequacy Test. Meets MOA
Electrical Code (_N)
Cormnts I .SEE ATIAC H t L"LFC rR04L A L_ I/USPc-r_r:
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or corformvd to all MOA HAA Guidelines in effect
on the date of this inspection.
OF
Signed lo, Date jy�P••••HM••000%i����
CompaXV[R $ MOA NO. SThi -02�{ ERS+y�,
KB1/d5/s
[Page 2 of 21
t
2-15-84
Soils Rating in Absorption`Strata Type of System Design
Date Installed Length of, Field
Width of Field Depth of Field
Gravel Bed Thickness
Square Feet of Absorption Area Standpipes Present (Y/N)
Depression ovek%'dld (Y/N). Date of Last Adequacy Test
Results 'of:LastrAdequacy;;Zbst
Separation Distanee',frcm Absorption Field:
To Water -Supply Well'" To Property Line
To Building•Foundation To Existing or Abandoned System on
Lot on Adjoining Lots
To Water Main/Service Line' To Cutbank(if present)
To Stream/Pond/Lake/cr Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
ComTents
D. LIFT STATION
i
Date Installed Dimensions
Size in Gallons Manhole/Access
"pump on" Level at, Z%� "Pump Off" Level at
High Water Alarm Level at',- qC09 `l Vent (YM)
Tested for Pumping Cycles during Adequacy Test. Meets MDA
Electrical CodesfY ),
;
Caaments
i
i
* Check Permitted Bedroom Rating Against HAA Request ** j
I, certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect
ENGINEERS
SEAL
2-15-84
ALASKA bUInOMPTAL COnTnOL SRUS, 1110.
engineering & Enuironmenral Studies
SPECIFICATIONS FOR SUBSURFACE ELEVATED BED ALTERNATIVE WASTE
WATER TREATMENT SYSTEM — SOUTH HILLS SUBDIVISION, BLOCK 3 — LOT
2
1.0 GENERAL
1.1 THE DRAWINGS, SHEETS 1 THRU 4, SHALL BE A PART OF THIS
SP E CIFIC A TION.
1.2 ALL MATERIALS AND WORKMANSHIP SHALL MEET THE
REQUIREMENTS OF ANCHORAGE DEPARTMENT OF HEALTH AND
ENVIRONMENTAL PROTECTION PERMIT.
1.3 ALL EXCAVATIONS AND DEPTHS ARE ADVISORY AND ARE TO BE
VERIFIED OR MODIFIED IN THE FIELD BY THE ENGINEER.
1.4 ITIS THE RESPONSIBILITY OF THE OWNER TO OBTAIN ALL
NECESSARY PERMITS. OR EASEMENTS.
2.0 THE LIFT STATION
2.1 THE STOCK MATERIAL FOR THE LIFT STATION SHALL BE EITHER
GALVANIZED STEEL (ASTM A-4444-76), OR ALUMINUM CULVERT,
CAPABLE OF BURIAL TO 10 FT.
2.2 THE 36" DIAMETER PIPE FOR THE LIFT STATION SHALL HAVE A
WELDED WATER TIGHT BOTTOM OF THE SAME THICKNESS AND
COMPOSITION AS THE CULVERT.
2.3 ALL PENETRATIONS OF THE LIFT STATION SHALL BE WELDED
AND WATER TIGHT. ALL WELDS SHALL BE CLEANED OF SLAG.
WELDS ON GALVANIZED STEEL WILL BE SPRAYED WITH ZINC
RICH PAINT OR COATED WITH BITUMASTIC.
2.4 THE TOP CAP SHALL BE RAIN TIGHT AND SECURELY FASTENED
WITH SCREWS. A TWO INCH LAYER OF POLYURETHANE FOAM
SHALL BE GLUED TO THE INSIDE OF THE TOP CAP.
2.5 ALL ELECTRICAL FITTINGS AND CONNECTIONS IN THE LIFT
STATION SHALL MEET THE REQUIREMENTS FOR A WATER TIGHT
SER VICE.
2.6 THERE SHALL BE A HIGH LEVEL ALARM, PEABODY BARNES 6147
OR EQUAL SET AT THE LEVEL OF THE SOIL PIPE FROM THE
SEPTIC TANK. THE BUZZER SHALL BE LOCATED NEAR THE
ELECTRICAL CONTROL PANEL OR IN A LOCATION DESIGNATED
BY THE HOMEOWNER.
2.7 THE SUMP PUMP SHALL BE CAPABLE OF DELIVERING 10 GPM AT
A HEAD OF 20 FEET.
2.8 PROVIDE A CALDER COUPLING AT THE CONNECTION OF THE 4"
SOLID PVC INFLUENT PIPE AND 4" STEEL NIPPLE.
2.9 THE PUMP SHALL BE CONTROLLED BY A DIFFERENTIAL MERCURY
FLOAT SWITCH, ADJUSTED TO ALLOW A TWO FOOT SPAN BETWEEN
'ON' AND 'OFF', AS SHOWN IN THE DRAWING. ALL RELAYS
AND ELECTRICAL CONTACTS SHOULD BE LOCATED OUTSIDE THE
CHAMBER TO PROTECT THEM FROM CORROSION, PREFERRABLY
IN A DRY LOCATION WITHIN THE HOME.
2.10 COAT THE INTERIOR OF THE CHAMBER WITH BITUMASIC PAINT
OR TAR TO APROXIMATELY 3.5 FEET ABOVE THE BOTTOM.
1200 West 33rd Auenue, Suite 13 • Anchorage, Alaska 99503 • (907) 561-5040
2.11 MOA BUILDING CODES: WHEN LIFT STATIONS ARE INSTALLED
WITHIN THE MUNICIPALITY, AN ELECTRICAL PERMIT AND
INSPECTION ARE REQUIRED. IN AREAS NOT COVERED BY MOA
BUILDING CODES, THE SYSTEM SHALL BE INSPECTED BY A
LICENSED ELECTRICIAN TO INSURE THAT THE ELECTRICAL
INSTALLATION IS IN ACCORDANCE WITH APPLICABLE CODES
AND REGULATIONS.
3.0 SEEPAGE BED
3.1 THE GRAVEL FOR THE BED SHALL BE SCREENED TO THE SIZES
INDIC A TED.
3.2 THE SAND SHALL HAVE AN EFFECTIVE SIZE OF 0.4 TO 0.6 MM
AND A UNIFORMITY COEFFICIENT OF NOT MORE THAN 4.
3.3 THE BERM AROUND THE SEEPAGE BED SHALL BE CONSTRUCTED OF
IMPERMEABLE MATERIAL, AND ON A SLOPE OF 1 FOOT VERTICAL
PER 3 FOOT HORIZONTAL.
3.4 THE BOTTOM OF THE EXCAVATION SHALL BE RAKED WITH THE
BACKHOE BLADE TO INSURE THAT THE BOTTOM HAS NOT BEEN
COMPACTED DURING EXCAVATION. THE BOTTOM ELEVATION SHALL
BE PLUS OR MINUS 2".
3.5 TWO OBSERVATION PIPES SHALL BE PLACED AS SHOWN IN THE
DRAWINGS. THEY SHALL BE RIGID PVC, ASTM 3033 D-3034.
THE SECTION SHOWN WITH HOLES MAY BE EITHER DRILLED 0.5"
HOLES C 6INCH CENTERS ON OPPOSITE SIDES OF THE PIPE
OR A SECTION OF PERFORATED SEWER PIPE MAY BE CLAMPED
TO THE SOLID SECTION WITH A NO HUB COUPLING OR
SOLVENT JOINT. A RUBBER RAIN -CAP (JIMCAP OR EQUAL)
SHALL BE PLACED ON THE TOP OF THE PIPE.
3.6 THE INSULATION REQUIRED SHALL BE DOW EXTRUDED
BLUE STYROFOAM INSULATION BOARD OF THE THICKNESS
SHOWN ON THE DR A WINGS.
3.7 THE TOP AND SIDES OF THE BED SHALL BE PLANTED WITH A
WHITE CLOVER AND RED FESCUE MIX.
ALASKA ENVIRONMENTAL
CONTROL SERVI(?'�, INC.
1200 West 33rd Avenue Suite B
ANCHORAGE, ALASKA 99503
Phone 561-5040
JOB 6'/7&� W f
SHEET N0. OF
CALCULATED BY 'K 2!: '/ DATE
CHECKED BY DATE_
u
SCAIF
MOW 2041.,li�ve%w I.x. G�, *a 01411
/0 3 7
ALASKA ENVIRONMENTAL
CONTROL SERVIQ�, INC.
1200 West 33rd Avenur Suite B
ANCHORAGE, ALASKA 99503
Phone 561-5040
JOB
SHEET NO,/j�, OF.
CALCULATED BY VIA= DATE- & -o r ?y
CHECKED BY DATE
ALASKA ENVIRONMENTAL
CONTROL SERVIO`--'�, INC.
1200 West 33rd Avenues Suite B
ANCHORAGE, ALASKA 99503
Phone 561.5040
JOB--�C�c...iF`l "t
SHEET NO. OF
CALCULATED BY V A��y DATE
CHECKED BY DATE
0204.! M s Inc., GMu Mw. 01471 0 Z/&/ r
ALASKA ENVIRONMENTAL
" '
_-
CONTROL SERVICES, INC.
SHEET NO. OF
1200 West 33rd Ave` Suite $
IROS 8/30/84
ANCHORAGE, ALAb:.A 99503
REVISED BY •si DATE
Phone 561.5040
CHECKED BY DATE
L /FT STATION DETAIL
GALVANIZED OR PAINTED
I%4"D/A PULL-PIPE CONNECTED TO ,
METAL COVER
NEMA 4 2" URETHANE FOAM P/TL ESS ADAPTER FOR
ENCLOSURE GLUED TO COVER PUMP REMOVAL
GROUND LEVEL
POWER AND PUMP
i
l
CONTROL LINES
/ -4 DIA STEEL PIPE
it
1�
PITLESS ADAPTER
j ItCONDU/T _
PUMP
CONTROL
I =2" COUPL ING
PUMP
4' MIN 2"SOLID P. E OR AB
:P-OWER
TO ABSORPTION
AREA
FIL LET WELD
_.: AROUND PAPE
HEAT TAPE
_
GALVANIZED STEEL
,%'(ASTM A-4444-761
4 "DIA SOLID PVC PIPE
ALARM
OR ALUMINUM CUL VERT
CORD
FROM SEPTIC TANK
-T ALARM LEVEL
s„
"ON "
— —
PUMP LEVEL
CALDER COUPLING
%
CLAMP
DIFFERENTIAL MERCURY
FLOAT SWITCH
\
t� o 0
PUMP TOFF"LEVEL
_
PUMP
s1_.
Pv
-,--,- v GALVANIZED OR
INSIDE OF PITSHALL
RE COATED W/TH
PAINTED STEEL PLAT
91TUM/NOUS PAINT U4_7AR 36"
..
e 3 � a
r 1A0.CfAH �K. 6gOl Ya 1071