HomeMy WebLinkAboutSOUTH HILLS BLK 5 LT 7Onsite File
x
Municipality of Anchorage
Community Development Department Page 1 of 2
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: OSP171178 PID Number: 017-071-18❑ New 0 Upgrade
Name:
ROBERT & MARILOU CHAPMAN
ABSORPTION FIELD
El Deep Trench R Shallow Trench F-1 Bed 0 Mound
Address
7436 OLD HILLSIDE WAY
0 Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
0-8GPDISF
7�5 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
3.5 Ft.
Gravel depth beneath pipe
4.O Ft.
Subdivision Block Lot
SOUTH HILLS 5 7
Fill added above original grade
0.0 Ft.
Gravel length
29/29 Ft.
Township Range Section
Gravel width
5.0 Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION DISTANCES
Tol
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
580W
2
10+ Ft.
Well
107.2
210.3
109.6
j N/A
109.6
TANK El Septic [D S.T.E.P. [3 Holding 171 Other
Manufacturer
ANCHORAGE TANK
Capacity
15000a1.I
Surface Water
100+
100+
100+
N/A
Material
Number of compartments
Lot Line
54.1
0.2-
56.8
j N/A
STEEL
2
NA
Foundation
11.4
63.7
20.1
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
50+
50+
50+
NIA
ORENCO
500 Gal.
Remarks* LOT LINE STAKED AT TIME OF
Pump on level
40 =in.
off level at
Pump 36 in.
High water alarm at
45in.
CONSTRUCTION
Pump make and model
P2005
Electrical Inspections performed by
I MOA BUILDING SAFETY
Installer
PIPE MATERIAL Housetotank 3034 Tank to
drainfield 3034
ISAACS
Drainfield 3034 COIMT 3034
Inspector PANNONE ENGINEERING SERVICES
BENCH MARK (Assumed elevation) 917ft
InspectionLocation
dates: V' 8/02/17 Z' 8/04/17
and description
Sd 8/12/17 4'h 10116/17
SE BOTTOM HOUSE TRIM
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
O: Ak
Conditional Approval: Date
=,,<
... ... .. ..
"
Leven
even a'n'n'o'R* e*
E 8141
low,
Approved Date I&
k — .. * I
PR
DESIGN PARAMETERS
,PRIMARY SEPTIC SYSTEM
NO. BEDROOM: 3(450 gpd)
TANK SIZE: 1500g STEP
PERC RATE: 6.6 MPI
SOIL RATING: 0.8 GPD/SF
AREA ROD: 562.50 SF 2"R.1, OVER LINE UNDER HOLDING TANK(E)
REDUCTION FACTOR: 0.5 DRIVEWAY \,- ,PER MOA CODE
ADJUSTED AREA ROD: 281.25 WE L L \
SYS. TYPE: WIDE TRENCH 4.0'ED�'902
MIN LENGTH: 57 LF/dVg`o�lr_ - -
DRIVEWi�',Y
904;
USED:
30fjn
(2EA)29LFx5.0'Wx4.0' E.D_ 7.5' TDj 7
TOTAL AREA: 580 SF LO T 7
T2
4,0
Cd
m_LS-
a ��4j
F C
8 V z
4. Fb -7-
INSTALLED 1500q STEP
E TANK
�20 W BEFORE
A
D- :9221-
A B D E 9_2
92.i
FC 36.5 9.8 925,
/mi FS
i926!
_C1
Qlit'
M3
C/.
T
DRAIN ROCK 6"
ABOVE PIPE INV
S
(2EA)29LFx5.0'Wx4.0'E.D.,7.5'T.D.
W1 FS BEFORE FIELD & MT
AND CO @ EACH END
INOTE: LOT LINE STAKED AT
ITIME OF CONSTRUCTION
Lo w
I
Z)
0 0
z
<
O.G./F,G. 0
TI -925.0
T2-926.0
TI -921.
1500g S.T.E.P . T2-922,5 421�.55
TANK
PROFILE SCALE: 1"=10' 9. 1.0 c� ttaro-2vcm
0NOTES:
NOTES:
PAMONE ENG SVC, LLC
P.O. BOX 102954 -ANCHORAGE, AK 9951010/12/2018
Date
RECORD DRAWING
T1
39.3
'13.1
Scale
I" = 50'
T2
45.2
20.5
P.I.D. NO
---,!Z-071-18
LS
46.7
21.9
D
FS
SITE PLAN
41.6
44.5
C1
0
40.8
36.5
M 1
0
lcz O.G./F.G.
45.1
40.9
C2
INSOLATION , i-925.0
46.7
50.0
M2
47.4
51.7
C3
Tr
69.3
58.5
M3
909,011
n -i
67.9
58.3
C4
72.6
67.3
MAI
73.4
69.2
TH
68.3
61.1
/mi FS
i926!
_C1
Qlit'
M3
C/.
T
DRAIN ROCK 6"
ABOVE PIPE INV
S
(2EA)29LFx5.0'Wx4.0'E.D.,7.5'T.D.
W1 FS BEFORE FIELD & MT
AND CO @ EACH END
INOTE: LOT LINE STAKED AT
ITIME OF CONSTRUCTION
Lo w
I
Z)
0 0
z
<
O.G./F,G. 0
TI -925.0
T2-926.0
TI -921.
1500g S.T.E.P . T2-922,5 421�.55
TANK
PROFILE SCALE: 1"=10' 9. 1.0 c� ttaro-2vcm
0NOTES:
NOTES:
PAMONE ENG SVC, LLC
P.O. BOX 102954 -ANCHORAGE, AK 9951010/12/2018
Date
RECORD DRAWING
PHONE (907) 272-8218 FAX (907) 272-8211
Scale
I" = 50'
SOUTH HILLS B5 L7
P.I.D. NO
---,!Z-071-18
ROBERT & MARILOU CHAPMAN
7436 OLD HILLSIDE WAY
P*a*n*n*o*R' e*
CE 8149
D
z0-
SITE PLAN
ANCHORAGE, AK 99516
5 -
0 af
<0
0
0
z
<
o
z< z
0
lcz O.G./F.G.
u 2
INSOLATION , i-925.0
LIUT2-926.O
Tr
O.G./F.G.
909,011
n -i
/mi FS
i926!
_C1
Qlit'
M3
C/.
T
DRAIN ROCK 6"
ABOVE PIPE INV
S
(2EA)29LFx5.0'Wx4.0'E.D.,7.5'T.D.
W1 FS BEFORE FIELD & MT
AND CO @ EACH END
INOTE: LOT LINE STAKED AT
ITIME OF CONSTRUCTION
Lo w
I
Z)
0 0
z
<
O.G./F,G. 0
TI -925.0
T2-926.0
TI -921.
1500g S.T.E.P . T2-922,5 421�.55
TANK
PROFILE SCALE: 1"=10' 9. 1.0 c� ttaro-2vcm
0NOTES:
NOTES:
PAMONE ENG SVC, LLC
P.O. BOX 102954 -ANCHORAGE, AK 9951010/12/2018
Date
RECORD DRAWING
PHONE (907) 272-8218 FAX (907) 272-8211
Scale
I" = 50'
SOUTH HILLS B5 L7
P.I.D. NO
---,!Z-071-18
ROBERT & MARILOU CHAPMAN
7436 OLD HILLSIDE WAY
P*a*n*n*o*R' e*
CE 8149
DRAWN ACP
PERMIT NO.
OSP 171178
SITE PLAN
ANCHORAGE, AK 99516
Sheet
2 OF 2
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve(@panengak.com
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road
P. 0. Box 196650
Anchorage, Alaska 99519
Subject: SOUTH HILLS B5 L7
ABSORPTION FIELD TO LOT LINE SEPARATION DISTANCE Waiver Request
Ladies and Gentlemen:
os� g1W
A)�5
?a�A tAj��hs
94,z, 4� 1� oog 5 5 C
6 April 2018
We request a waiver to zero point two feet (0.2') to the lot line from the drain field. The initial layout of the
proposed system was incorrect and not verified by the installer. During construction ensured the installer had a
surveyor stake the lot line to ensure system was located within the bounds of the property. Granting this waiver is
not likely to cause damage to the structures now or in the future.
If you have any questions or concerns, please contact me at 907.272.8218.
Sincerely,
•.•�E OF AC<
even R. Pannone
'� i
! _ 0 41� c
IFE
ss�cz �'•••
Steven R. Pannone, P.E.
Owner/Civil Engineer
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
-Municipality of Anchorage_
P.O. Box 196650 0 4700 Elmore Road
Anchorage, Alaska 99519-6650 0 (907) 343-7904 e, Fax (907) 343-7997
hftl2://www.muni.org/Onsite
Develoloment Services gp22rtment
On -Site Water and Wastewater Section
Mii , 11,11r� ;�ffilli��ti���ll
A
WN E i oal
Waiver-#: OSVI81015 COSA#: Permit#: OSP171178
PID#: 017-071-18
Legal Description: South Hills Block 5 Lot 7
Engineer'. Pannone Engineering Services
Applicant: Robert & Marilou Chapman
xl stat
Lhrpartmcnt
Your request for a waiver of the required 10 feet horizontal separation from the absorption field
to the property line has been approved. The approved separation distance is 0.2 feet. See
engineer's letter for justifications.
This waiver approval applies to the existing absorption field only. Any future upgrade to the on-
site wastewater disposal system will require all separation distances be met or another approval
from this department.
H M U H 0 a a a a 2 K a 2 M N a a M a a a M U H M at a ff a a U M Z a M M 2 a a a a U a M a a M a 9 a 0 a M a 0 M U M H 0 M 0 a a In a M U a a is a K a a a 0 it I
Waiver is Granted: X Waiver is not Granted:
Date: Approved by:
Name of Reviewer
2 Z H a M M W N 5 a a a N a a B 2 a a 2 a H 8 M M a a 2 a 0 a 0 M 0 0 a 2 a I
,H`" "
"" '`0, MUNICIPALITY OF ANCHORAGE ,rnr
4On-Site Water & Wastewater Program `�,n I `��;
PO Box 196650 4700 Elmore Road
f.
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax (907)343-7997
http:!/www.muni.org/onsite
r
I ehartmen t
On-Site Wastewater Disposal System Permit
Permit Number: OSP171178 Effective Date: 7/19/2017
Work Type: Septic Upgrade Expiration Date: 7/19/2018
Tax Code Number: 01707118000
Site Legal Address: SOUTH HILLS BLK 5 LT 7 G:2940
Site Mailing Address: 7436 HILLSIDE WAY,Anchorage
Owner: CHAPMAN ROBERT M & MARILOU Lot Size in Sq Ft: 38045
Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3
This permit is for the construction of:
I1 Disposal Field Il Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well El 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
i �, ',) . I 0 ►
Received By: l� r Date:
Issued By: rl ' 'Eel Date: 7 19 020 1 7
MUNICIPALITY OF ANCHORAGE
0 Community Development Department or, Pho-e; :$ - • .1'6 ' ,o
Development Services Division A . •, - =•7
On-Site Water& Wastewater Program D
x ja102017
ON-SITE SEWER/WELL PERMIT APPLICATION 12+
6
It �
Parcel I.D. 017-071-18 of 6 Q L c
Property owner(s) Robert & Marilou Chapman Day phone
Mailing address 7436 Old Hillside Way, Anchorage AK 99516
Site address 7436 Old Hillside Way, Anchorage AK 99516
Legal description (Sub'd., Block & Lot) SOUTH HILLS B5 L7
Legal description (Township, Range & Section)
Lot Size 38,045 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(El all that apply)
Absorption Field 0 Initial ❑ Single Family (SF) ❑x
(w/wo ADU)
Septic Tank ❑X Upgrade 0 Duplex (D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Cod-
lir INOSIPP —_____
(Signature of property owner or authorized agent)
Permit/Rush Fees: tj(e Ii ` Waiver Fees:
Date of Payment: 7)10111 Date of Payment:
Receipt Number: o556 Receipt Number:
Permit No. 712I1 I ti Waiver No.
Permit App_ - ::...c
Pannone Engineering Services Lac
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
July 10, 2017
Subject: SOUTH HILLS B5 L7
Septic System Request
Design Narrative
This is a design narrative for a permit to install a septic system to be issued for this property. The
proposed system will serve an existing three (3) bedroom house. Currently the lot is developed. The
system will utilize a new 1,500g STEP tank with a conventional drain field. This lot and the surrounding
lots are served by private wells. There are no wells within 100' of the proposed septic system.
1. Soils. One test holes was performed in the vicinity of this system by PES in June 2017, and
groundwater was monitored for at least seven days. Ground water was not observed in the test hole
monitor tube in June of 2017. Bedrock was not encountered in the test hole to 15.0'. Based on the
results of the percolation tests and overall soils appearance; an application rate of 0.8
gallons/day/square was used for a conventional wastewater system in the area of the test hole.
2. Soil Absorption System Design.
a. See Sheet 1 of the design package.
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 existing topography on the lot generally slopes from southeast to northwest,
with a slope of approximately 10% in the area of the drain field. There are no steep slopes within 50' of
the proposed drain field. The proposed drain field will maintain 50' separation all steep slopes.
5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that
the review is complete and there are no further comments received from MoA On-Site Department,
"Issued for Construction" drawings will be issued.
The proposed installation will not affect the future development of this or the surrounding lots.
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
DESIGN PARAMETERS w w - W ER LINE / • .r \\
PRIMARY SEPTIC SYSTEM ELL RADIUS
NO. BEDROOM: 3(450 gpd) --'z'TANK SIZE: 1500g STEP —ss —ss NEW SEPTIC E ,t
PERC RATE: 6.6 MPI .r ***** 1 4
SOIL RATING: 0.8 GPD/SF ABBREVIATIONS 9Y ' **
AREA RQD: 562.50 SF TH TEST HOLE 4
REDUCTION FACTOR: 0.5 (P) PROPOSED
ADJUSTED AREA ROD: 281.25 4(E) EXISTING WELL (E)/ '
SYS. TYPE: WIDE TRENCH 4.0'ED CO CLEAN OUT NO. TRUE NORTH e. SCALE : r- sq
MIN LENGTH: 57 LF -- _MT MONITOR TUBE NO. f
USE: TYP TYPICAL /
(2EA)29LFx5.0'Wx4.0' E.D., 7.5' TD 1
TOTAL AREA: 285 SF --
�� -.%ti
HILLSIDE 3 it., — —7___ _____
`
_ /
J
N
T. s
ABANDO
I
HOLDING TANK(E)
W / PER MOA CODE '
• INSTALL 1500q STEP(P)
W/ FC BEFORE TANK
\ I 131.3
/ ,
4 I I �
>< M --------- MAA \
I 2"R.I. OVER LINE UNDER
8 W 0 • DRIVEWAY
/ 38R
138.6
7 SFD
I 6
I L9241
..-f
I
Itm
I / .
WFL L (F)__ I 110-2_ %`.•,,,,006111,,,r
i9291
• // //19291
7 -�T-/ 14.0 /
1 191
\ INSTALL ABSORPTION FIELD(P)
19.2' , (2EA)29LFx5,O'Wx4,0'E.D.,7.5'T.D.
--- • --. ,4 I c 'A W/ FS BEFORE FIELD & MT
\ T AND CO CO EACH END
4 // / , I
f
'
I
NOTES: LLC \ Dote
FOR CONSTRUCTION PANNONE ENG SVC, LLC07/10/2017
P.O. BOX 102954 ANCHORAGE, AK 99510 �'�• '
PHONE (907) 272-8218 FAX (907) 272-8211 ft-.• 1 Scole
*• �` •* 1., = 50'
• �('1t•• P.I.D. NO
SOUTH HILLS B5 L7 ":41:60•41106�. -•-••\g• • - 047-071-18
ROBERT & MARILOU CHAPMAN • P more•
PERMIT NO.
DRAWN JRL • ' IX 8114 •;�
7436 OLD HILLSIDE WAY ^ •JREv:18Jut201.• • 05P171178
SITE PLAN ANCHORAGE, AK 99516 Sheet
1 OF 3
TEST HOLE 1 SOILS LOG - PERCOLATION TEST
SLOPE I SITE • AN
111.11111111
1
OR TOPSOIL
2 ..11411143BR
7 SFDli(1'
3
4
5 INI
4,/,...,....4
6 X TEST9261
7 HOLE
SM Silty SAND 9271
8 W/ COBBLES
9 /
01111 930
10
o/ ,11.
11 �ai
12
_1 Akitirel
13
v 14JUL17 SLOPE
14 - WAS GROUND WATER
ENCOUNTERED? N
15 TH 1
BOH IF YES, AT WHAT
DATF PERFORMED: 20JUN17 DEPTH? —NA—' X
DEPTH TO WATER AFTER
MONITORING? — DRY —
DATE: 29JUN17
;'13.5' ON 14JUL17
CLOCK WATER RATE SOIL TEST RESULTS/ANALYSIS
READING DATE TIME NET TIME LEVEL NET DROP (Mei) • PERCOLATION RATE 6.6(min/inch)
READING (Hydrologic Soils Group: HSG A)
1 20JUN17 1105 5.900" • PERC HOLE DIAMETER 6"
2 1135 30 MIN 10.445" 4.545" 6.6 • TEST RUN BETWEEN 4 FT AND 5 FT.
3 1136 5.900" • TEST RUN FOR OVER AN HOUR, LAST
THREE READINGS PROVIDED.
4 1206 30 MIN 10.425" 4.525" 6.6
5 1207 5.900"
6 12.37 30 MIN 10.421" 4.521" 6.6
COMMENTS:Test hole excavated by ISAAC'S.
PERFORMED BY:Joseph Lawendowski. 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 Dote
FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 et...
07/10/2017
PHONE (907) 272-8218 FAX (907) 272-8211 �• + _•'•� Scale
*�•� ,, \ '.* NTS
•• 'N•• P.I.D. NO
SOUTH HILLS B5 L7 x -D17-071-18
,
ROBERT & MARILOU CHAPMAN •W •�PO""O1"°• PERMIT NO.
uliAwN JRL �•,, CE 8149 OSP171178
7436 OLD HILLSIDE WAY --_
SOILS LOGS ANCHORAGE, AK 99516 ''' Sheet
I ( 2 OF 3
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 AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55.
2. SCOPE OF WORK: INSTALL NEW 1500g STEP TANK, AND SOIL ABSORPTION SYSTEM.
3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 15 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL
TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 15 FEET BELOW
EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY.
4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC
LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED
SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK.
5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED.
6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES.
7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING
AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER.
8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE
CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN.
9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED—LINE AS—BUILT DRAWINGS TO THE
ENGINEER. THE RED—LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND
TANK ELEVATIONS.
10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION,
TOP OF PIPE WITH CLEAN—OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING.
11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE
PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER
(OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE
CONTRACTOR.
12. THE CONTRACTOR SHALL SIGN THE FOLLOWING:
I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE
ORDERS, AND THAT THE AS—BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS
CONSTRUCTED.
CONTRACTOR:
BY: . TITLE:
DATE:
NOTES: PANNONE ENG SVC, LLC '�••" Dote
FUK
CONS1RUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 of
PHONE (907) 272-8218 FAX (907) 272-8211 y 07i3Of20,7
Scole
* � 1.* NTS
.. . " ..... /:... P.I.D. NO
SOUTH HILLS B5 L7 ' `` 017-071-18
DRAWN JRL ROBERT & MARILOU CHAPMAN ' —Often • 15h^"6"°, PERMIT NO.
7436 OLD HILLSIDE WAY ,�Ev�,B� Z• 05P1711]8_
DESIGN NOTES ANCHORAGE, AK 99516 ';, 49 Sheet
3 OF 3
SOILS LOG
13-
14-
15-
16-
17-
18-
19
20
MUNICIPALITY OF ANCHORAGE
PERCOLATION
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION J~
TEST
Pouch 6-650, Anchorage, Alaska 99502 276-222~
SOILS LOG -- PERCOLATION TEST
SLOPE
PLAN
PERCOLATION RATE~'T"I~'~ Z~.~) (minutes/inch)
TEST RUN BETWEEN ~ FT AND 7 , FT
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ ~.\ ~5~' 0 '~ 14
~'VL.)
WAS ~.ou~ WA~..
ENCOUNTERED?
IF YES, AT WHAT
DEPTH? ~ I'~~.
DESCRIPTION OF MA'fERIALS AND ESTIMATE OF COST
c,, fvk ;, z
:27~-- SbW7
MATERIALS
1. PLANS, PERMITS, ARCHITECT'S FEES ....................................
2. BONDS, INSURANCE ..........................................
3. EXCAVATION, BACKFILL FINAL GRADING
4. FOUNDATION--- //O ~. ," C: (- ¢' :q 3-~ C ~ Qa~J-°- "-'%
.... }- - ~ /'V~c ~c~[5 ~' Labor
Wall rnater~a[ Concrete ~ Concrete Block~ Other.
~iles ~ Pie~ ~ I~ Depth
Waterproofing-Describe: ~~' , ~-e~
Into: Sewer~ Drywell~
5. FRAMING,SHEATHING .... ~- - ~-i ..... ~ .......... ~-; ............ Material
Single construction ~ Doubleconstruction~/ '
Posts X Grade Material
Girders X Grade__ Material
Joists__X __Grade Material
Sub FIoor_X Grade Material
Studs ' X__Grade Material
Rafters X __Grade_ Material
Trusses-Describe:
Sheathing: Roof Walls
CODE
CQST NUMBER
~'O
1
1950 ° ~'--' 3
ff ?_5' G, c,.', 4~
6. ROOFINGWaterproofing ............. /~_,---:---~r~-;¢/~ , (:T'~ 11f- ............................... ~.,4.~-~;~
Cedar shingles[] Cedar shakes[] Composition'CJ~ Tile []
7. SIDING ............................................ ' ...... Material
Storm Windows /~/¢ Screens
9. BRICKWORK ......................................................... /~¢~ 9
Fireplace: Brick ~ Heatilator ~ Numberof fireplaces
Brick/Stone Veneer ~ Length: Height:
Retaining walls Other
Entry: Describe_
11. EXTERIOR/INTERIOR PAINT~G& DECORATING ..... --,--- .......... i-- ----~- 11
12. PLUMBING&PLUMBING FIXTURES
(Please indicate if Fiberglass, Stainless Steel or Cast Iron under
"type")
Fixtules:
2nd Bath C,-',cl '~ ~ ~'(' ~-Type Mfgr
3rd Bath ~.¢~ ,--~ 'T~p~ ............ Md'flr~
Kitchen ,~Fc.[¢, (~'~, > Type _Mfgr
Ware, heater~"~-'~-~ize %'~Type 5-'~ Mfgr
13. WATER .....
Public [] Well~[~ Other
14.
15.
16.
I IU ,3
SEWER ..... , ~i;__ ,_- _
sewerbook-u . s pti O ce spoolO
Installed by' ~ 1) ZZ/d--c~T~(
Surface~ Underg~ound~ Amps.
No. of outlets (110) /~% No. of outlets (220)
Fixture allowance _ ~¢'
INSULATIONce ng: Material''-; .......... ~,~q.o¢ *~ /¢,¢ ................. %' Thickness
Walls:Material ~ ~[~: ; ~J ~ ~ ~' Thickness
Floor(over crawl space):
Material~ - Thickness
Bsmt. Walls: Material~/F~¢¢nC~)3~ ,Thickness__
Weatherstripping: Describe ¢¢ ~'~ '¢~¢'q~t"~
Type /~:; /,'~F~ Fuel_ (¢"c~S' BTU Ra(ing //0
Furnace[] Baseboard~ Wall units[] Ceiling cable[]
Electronic air filter [] Air conditioner []
Ductwork insulation__ Thickness__
18. INTER ]O R WA L LS/D R YWA~L/L ....... : ............ ~-~
Describe finish: walls ~ ~f~' ': [<.
Exterior doors:Type-Front ~ Rear ~¢'
Trim:Wood [~ Vinyl Sheetrock
14
20.
GARAGE MATERIALS ......................................................
Garage doors:Describe__
Automatic opener:Describe
Garage finished? Yes No
21. CABINETS ..... .~%'-I ........................................
Mfgr.__ '~ c k~ ,~ ~ (L-
Materials:Plywood'5~ Partiple Board
Veneer:Describe , .
Finish:Materials /-J(:Lvl (~
22. VINYL, FORMICA, TILEWORK ................................
Countertops: Formica :?1'.~ -' Other_
Floor ng Kitchen ' /..~0°/~'~/~.,....~ ~ /f~
Tilework: Kitchen _ ('~,~
Baths
23.
APPLIANCES ......... : ...... '~ ..................... F ...... : ..........
),.' Range ........ ~..__ Make V¢~.~ Model ¢_ ~ ~'~-~: Unit Cost
~ Oven_.&':j.c._.rq_~z,~..~_____ Make Model ¢ Unit Cost
15
~6
?f
/
18
/z~ c./~_~.~.) ~ 19a
__ 23*
Drop in unit Make Model ~ . Unit Cost
Hoodfan ................. Make · ~odel~ ~~ / Unit Cost
~Disbwasher___..~_...Make (-/JF/H~C~=t~/Model ¢ ~'"'/ [.') (/(~ Unit Cost
..¢ Disposal ...... ~ ...... ~Make _ } f Model ¢ Unit Cost
' Intercom ...................... Make Model ~- Unit Cost
.: Vacuum .........................Make__ Model ,=,'_ __ Unit Cost
Teash compactor ......... Make Model ~ Unit Cost
Bath fans .....................Make__ Model ~ __ Unit Cost
Clothes Washer ............. Make Model ¢ _ Unit Cost
C~othes Dryer .............. Makew~Model ~r~ Unit Cost
,)¢Refrigerato[ L.x Makei,dt)~£(/~:'~'1 Model ~ ~ ~-- / Unit Cost
Other ............................ Make Model ¢ Unit Cost
24. UNDERLA;rMENT -- -
· ' .................. ~-~' '' -/ ........ cu. ft.- //< /~"¢/? /- ' 24
padioleboard,[]~PlyvvoodO Thickness~ '
25. FLOORING-(Other than Kitchen & Baths) - - -
Carpet [] Hardwood ~ Other ~ ...................................... L_ ~ 25
26. DRAPES ...................... .
27. ' ............................................ 26
FLATWORK .............................................................. _ ...... ~ 27
Walks~ Drives~ Garage Apron ~ Patio~
28. OTHER DRIVE WORK
Grave ~ Cu verts~ Asphat ~ Extra Concrete~ CurbingO
29. LANDSCAPING -.
Describe ....................................... ~
30. FENCE, RAILS, WROUGHT IRON, MISC. EXTRAS
Describe ................................... _30
31. FINISH CARPENTER
33. F NANC NG Loan Fee $ _Esr. Construction Int.$ ~ / ¢': ~ 31
CLEAN--Up ......................................................... 32
34.
REAL ESTATE COMMISSIONS .............................................. 33
35. PROFITANDOVERHE~D_>_.~ ........................... ~ ~ ~ ~L ~34
36. LOT (Date acquired /C/ ~ o ...... /~ C~ ~ ..................
/~ ~ ~ 36
/ '~-~,~,ase rr~ce ~z - -~-'_) _ __r - -. :/~ .... -,- .... Value ~ - ~ - _35
TOTAL COSTS .......
FLOOR PLAN: Square ft. - Main Level ~
Bsmt. Level ~ 0
INDICATE ROOMS TO BE FINISHED:
MAIN LEVE~L
Living Room
Dining Room ........
Bath {1) ............
Bath (2} ............
Bath (3) ............
Bedroom (1) ........
Bedroom (2) ........
Bedroom (3) ........
Bedroom (4) ........
Kitchen ............
Den/Fm. Room
Utility .............
UPPER LEVEL
Bath (1) ......... []
Bath (2) ......... []
Bedroom (1) ...... []
Bedroom (2) ...... []
Bedroom (3) ...... []
Bedroom (4) ...... []
Utility ........... []
BASEMENT LEVEL
Bath (1} ............
Bath (2) ............
Bedroom (1) ........
Bedroom (2) ........
Bedroom (3) ........
Hail ...............
Den/Fro. Room ......
Garage .............
Utility .............
It is understood and agreed by the undersJgne~ that construction shall conform to bu[ld~n9 codes of City, County, State, de~ending
on location of jo~, and that required inspections will ~e obtained by the proper authorities in that location for construction-
plumbing - wiring - sewage disposal, etc.
It is further agreed the above specifications, together with detailed plans - cost estimates contract and other supporting documents
may be relied upon by the Bank in making a construction loan upon t property described.
.., 2,? .") , ,-.,:
Signature ---
4/77
GREATEr ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME OF APPLICANT
INSTALLATION LOCATION
MAILING ADDRESS PHONE
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
TO BE INSTALLED BY
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE TYPE -- SEEPAGE AREA SiZE TYPE
MINIMUM DISTANCES, REQUIREMENT5
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL .
SEPTIC TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRA{N FIELD-
WATER MAIN TO SEPTIC TANK
SEPTIC TANK, , SEEPAGE PIT , DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB C~OSS]NG 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.
DIAGRAM OF SYSTEM
CERTIFY THAT [ AM FAM]L[AR WITH THE R~QU]REMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2B-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE W~TH SAIl:) CODE.
DATE APPLICANT'S SIGNATURE
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street
ANCHORAGE, ALASKA 99503
Case
Performed For ~. c?~l> <;]l,i_~%~-~~-
Legal Description: Lot~__B1 ock
This Form Reports Soils Lo ~'
- Soil Test Must Be Logged To
Depth
Feet
Dated Performed
Subdivision
Percolation Test
4' Below Proposed
Soil Characteristics
3~
5~
6~
8~
9~
ll~
12~
13~
14~
Was Ground Water Encountered~/_2L c~
If Yes, At What Depth?
Seepage System -
Reading
Date
Gross Time
Net Time
Depth
to H20
Percolation Rate Minute
Proposed Installation: Seepage Pit Drain Field
Depth of Inlet ~ Depth to-~-6ttom~ o~'-Pit or Trenc.h
Net Dro
Test Performed B¥._~//_~_~!_~_~_S_ ~S'~-~z~h~x~ Date Certified BY:
Date:
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIo~VJRONMENTAL PROTECTIO~
825 L Street - Anchorage, Alaska 99501
1 1979,
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720 _R E~E!f~~
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER'-FA~:ILI -
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) dave for processing.
PHONE
/q. '
PROPERTY RESIDENT (If different from above)
PHONE
PHONE
2. BUYER
=^,L,NG ACDRESS
MAILING ADDRESS
4. REALTOR/AGENT
PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTIO
7
6. TYPE OF RESIDENCE / NUMBER OF BEDROOMS
[] One [] Four
[~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY ~ Three [] Six
[] Other
7. WATER SUPPLY
J~ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975, For wells d~illed prior to tha~,c~ate, give well
[] PUBLIC UTI LITY depth (attach log if available.) //--~"~·
8, SEWAGE DISPOSAL SYSTEM
[~ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date lO/Id /~..~
If system is over two (2) years old an adequacy test is required
[] PUBLIC UTI LITY by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or [] Hotding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/HoldingTan[< Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
[~"~ APPROV ED FOR ~) BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED i /~
72-010 (Rev. 3/78)
r TO
SIGNED
SIGNED DATE
Redi~rm · 4S 471 SEND PARTS I AND 3 WITH CARBON INTACT - PART 3 WILL BE RETURNED WITH REPLY
Poly Pak 150 sets) 4P471
I~FTACH ANr) I::116 ~01~ FC)I LOW-UP