HomeMy WebLinkAboutTERRACE HEIGHTS BLK 1 LT 8Terrace
Height
Block
Lot 8
! 7- 074
Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP191368 PID Number: 017-074-23
Dwelling: ❑® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade
Name
Ken Peeples
ABSORPTION FIELD
❑ Deep Trench ®❑ Wide Trench ❑Bed E] Mound
Site Address
7961 Cox Drive
❑ Other
Phone
Number of Bedrooms
Soil RatingTotal
depth from original grade
3
5.0 GPD/SF
2.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
1.0 Ft.
Gravel depth beneath pipe
1.0 Ft.
Subdivision Block Lot
Terrace Heights 1 8
Fill added above original grade
1.5 Ft.
Gravel length
2@16.0 Ft.
Township Range Section
Gravel width
5.0 Ft.
Beds: Number of Lines
n/a
Distance between lines
n/a Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
181.8 Ftz
2
6.0 Ft.
Well
50'+
50'+
100'+
25'+
TANK ❑ Septic ❑ S.T.E.P. ❑ Holding 9 Other
Manufacturer
Advantex/Orenco
Capacity
1500 Gal.
Surface Water
100'+
100'+
100'+
Material
Number of compartments
Lot Line
5'+
10'+
5'+
NA
Fiberglass
2
Foundation
101+
10'+
10'+
LIFT STATION
Manufacturer
Capacity
Remarks
Orenco
250 Gal.
Alarm location
house
Electrical installed by
Capstone
Installer
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
A+ Home Services
Drainfield 3034 Co/MT 3034
Inspector Pannone Engineering
BENCH MARK (Assumed elevation) 1005 ft
Inspection �5ectio` 11/19/19 11/19/19
Location and description
2nd
31d 11/20/19 411' 12/16/19
Concrete patio
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval: Date
0
06>
..
....��
... . . . .�. . . . . . . �n
t�a2n r:. Pannoi e lY��
47.
.
Septic System
Approved Date 3r� x„20
Note: this approval does not include well permit requirements.
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NOTES:
PANNONE ENG SVC, LLC
1807
P.O.P-00 8 PALMER, AK 9645
REVISIONS
DATE
12/18/19
RECORD DRAWINGX
5?782 79
PHONE ( 7) 74 00 FAX (90 ) 745-8201
SCALE
TERRACE HEIGHTS Bl L8
KEN PEEPLESteve
7961 COX DRIVE
. rae
CE 8149
1 50'
P.I.D. NO
017-074-23
DRAWN ACP
RMIT
PEOSPI91368
9
SITE PLAN
ANCHORAGE, AK 99516
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP191368
Work Type: Septic Upgrade
Tax Code Number: 01707423000
Site Legal Address: TERRACE HEIGHTS BLK 1 LT 8 G:2940
Site Mailing Address: 7961 COX DR, Anchorage
Owner: PEEPLES KENNETH W
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
IIA'/1-, (30 -A
i l,Lfl(I`� �wLl
�,
w �
1.)epartr�r�enr
Effective Date: 9/3/2019
7
Expiration Date: 9/2/2020
Lot Size in Sq Ft: 20372
Total Bedrooms: 3
❑ 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
Special Provisions: Due to historically tight soils in this area, On-site shall be present for bottom of excavation
of both the primary and reserve drainfields, to confirm soils are consistent with submitted soils log. Placement of
drainfield sewer rock shall not proceed without On-site inspection. ph -Si {e W OJOlz irv,� c i . tai Ve uA
(W rn vd +o i ro t e ed ,
Received By:
/J
Issued By:
Date:
Date: Oh%
Enurros
MUNICIPALITY OF ANCHORAGE
Community Development Department Y ;. Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 017-074-23
Property owner(s) Ken Peeples
Mailing address 7961 Cox Drive Anchorage, AK 99516
Site address Same
Day phone
Legal description (Sub'd., Block & Lot) Terrace Heights 131 L8
Legal description (Township, Range & Section)
Lot Size 20,372 Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
Waiver Fees:
(® all that apply)
Date of Payment:
Receipt Number: a & U (P4 fJ
Receipt Number:
Permit No. 66 Piq 130
Absorption Field
❑X
Initial ❑
Single Family (SF)
❑X
(w/wo ADU)
Septic Tank
RX
Upgrade ❑X
Duplex (D)
❑
Holding Tank
F-1Renewal
EJMultiple
Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Dis tance:
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 App_-- :.....:c
Permit/Rush Fees: S'aS
Waiver Fees:
Date of Payment: I x.0119
Date of Payment:
Receipt Number: a & U (P4 fJ
Receipt Number:
Permit No. 66 Piq 130
Waiver No.
Permit App_-- :.....:c
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191368, Rebecca Carroll, 09/03/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191368, Rebecca Carroll, 09/03/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191368, Rebecca Carroll, 09/03/19
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this ��} Day of k! u of 20_j_�_, by and between
K Q,n n e `ffi herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as k d V £)C
located at (legal description)
4,
2. Maintenance, Repairs and Alterations.
eris required to read, understand and initial each section)
� Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
�ccordance with the equipment's approval for operation in the Municipality.
it shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
cludes an annual maintenance fee (typically $400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of 3
/� O ner acknowledges that the Municipality re records of maintenance
g P �' may request q and
airs from the manufacturer's representative or maintenance provider.
/� Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
,issessed in accordance with AMC 14.60.030.
� Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without a new
ertifzcate of On-Site Systems Approval.
ZV Owner agrees that the ANVWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
By: (signature) Date:
% r✓ F f/ ?9�,5zz (print name)
STATE OF ALASKA.
ss.
THIRD JUDICIAL DISTRICT }
fi
The foregoing instrument was acknowledged before me this' day of
20 by
n`7N
NOTARY PUBLIC FOR ALASKA
My Commission expires:
Notary Public
U. MIAMMANIVONG
itafQ a'Alaska
My Comms- issicr E; -Fires May 20, 2020
MUICIPALI'>i Y:
B �.QIR si nature
By: �' (g )
GLV -COR (print name)
Date:
Title:
(rev. 05/18/2018) Page 3 of 3
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MUNICIPALITY OF ANCHORA GE
Deve/oprnent Services Department
On-Site Water' & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Renewal
Date Issued: Oct 25, 2002
Expiration Date: Oct 25, 2003
Permit Number: SW020435
Legal Description: TERRACE HEIGHTS BLK I LT 8
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: Ken Peeples
Owner Address: 7961 Cox Dr.
Anchorage, AK 99516-0000
ParcellD: 017-074-23
Site Address: 007961 COX DR
Lot Size: 20700 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
["-] Disposal Field [~ Septic Tank
Holding Tank
Privy [] Private Well [] 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. ~/?- 0'7_4/'- .,7_.. '~
Permit Number SW--~
Property owner(s)
Mailing address (1)
Mailing address (2)
Legal description (Lot, Block & Sub'd.)
Legal description (Section, Township & Range)
Lot Size ,,,9._ o 7o O Acres/Sq. Ft.
Day phone
Zip Code
Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
~ Well Only r'-I
[-I Water Storage []
[] Jacuzzi []
E] Water Softening Unit []
I certify that the above information is correct. I further certify that this application is being made for a
Single Family D.~, and is in accordance with applicable Municipal Codes.
( 'g a ure of 15roperty bwner or authorized agent)
Permit Fees:
Date of Payment: ..
Receipt Number:
(Rev. 12/00)
//"'O ~). O°~¢l/' Waiver Fees:
/O/~-I/~. Date of Payment:
~7 1 7/ Receipt Number:
MUNICIPALITY OF ANCHORA GE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Oct 24, 2001
Expiration Date: Oct 24, 2002
Permit Number: SW010449
Legal DesCriPtion! TERRACE HEIGHTS BLK 1 ET ~8
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: Ken Peeples
Owner Address: F~)~cx 19932~ '7~~'./~¢-~'
Anchorage, AK 99555 5555
This permit is for the construction of:
r-'l Disposal Field E~] Septic Tank [] Holding Tank C~ Privy
Parcel ID: 017-074-23
Site Address: 007961 COX DR
Lot Size: 20700 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
[] Private Well ~-] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. Ail 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B, Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date:
Date:
Parcel I.D.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www,ci,anchorage.ak,us
(907) 343-7904
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
o/-7-o'74' -
Permit Number SW 0/' I~ ~ t~ ~
Property owner(s)
Mailing address (1)
Mailing address (2)
Legal description (Lot, Block & Sub'd.) L_o'T-
Legal description (Section, Township & Range)
Lot Size ¢,.~--.O ,~ "7~:)(_..~ Acres/Sq.Ft.
Day phone
Zip Code
Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
j--J Well Only J'--J
r'-J Water Storage []
[] Jacuzzi []
E] Water softening Unit []
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 ~thorized age )
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Waiver Fees:
Date of Payment:
,~, ~ Receipt Number:
LOT 8
T. P.E.
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
BLOCK 1 TERRACE HEIGHTS S/D
7961 COX DRIVE
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
Anchorage, Alaska 99519-6650
October 15, 2001
We are submitting an application for the installation of a 4000-gallons holding tank for this property.
The existing septic system is failing; the tank is partially collapsed. Test hole information shows
groundwater at shallow depths and impervious soils. A replacement system is not possible.
The installation of a holding tank will not prevent wells and/or septic systems to be installed on the
adjacent lots. The holding tank will be accessible for regular pumping at any time during the year.
The general topography of the lot will not be changed. Existing drainage patterns will not be
changed. There are no developed or natural surface or sub surface drainage courses on this or the
adjacent lots. Ponding and/or concentration of surface runoff'will not result from this installation.
_ _ _~'~%. ....... ~
.... -5 ....
I ' ~<' I
~a4.~ ~ x ~75o % ~
C .~414~8
TOBBEN SPURK~ND
20a W tSr~. AVENUE LOT 8 BLOCK 1 TER~CE HEIGHTS sEPtiC SYSTEM DESIGN
ANCH. AK. 99501 7961 COX BRIVE BARE: BCE 15, ~001
(907) 279-$916 KEN PEEPLES SHE~: 1/2 6MO: 2940
PER~IT ~ 3gOIOXXX PID ~ YY TE~01082,9~5
/---- 1' X 10' CDNDUIT
/ RAIN CAP TYPICA~
. - . ~ ....... 75,5'
STANDARP 4000 GAL. H~LDING TANK
TODGEN SPURKLAN9 P,E, LOT 8 ~LDCK I TERRACE HEIGHTS SEPTIC SYSTEN DESIGN
675~ ~, DIHOND DLVD, KEN PEEPLE~ ~ATE, ~C~ ~5,
ANCH, AK, 9950~-3904
<~o7) ~4e-~o9~ 7960 CD~ 9~]VE SHEET, 3/3 ORZ~,
S~0 I OXXX PlO ~ TEOO 108~,0~G
I u ~ HIGH WATER ALARM
S~nt By: Alaska WateP & Wastewater Consu; 907 338 3246;
0ct-25-99 15:53;
Page 4/6
ALASKA WATER & WASTEWATER CONSULTANTS, INC. _,~,~,~....0. ~..~ ~ ~
[SOIL LOG - PERCO~TION TEST~ ~.c.=-..~.,~v..~ .............
PERFORMED FOR: KEN PEEPLE$ ;~)~]frj~
~., ~ .~ I TEST HOLE ~1I
(~RE WEEPS ~OM ~ ~
BELO~ ~E RLL ~ .... ~ ORG" ,Z~ ....
~YER) ~OIL C~SSIFICATIONS -- ~ ~--~', -'
~ ~w ~=~= / ~ ISITE P~ I
~ ~J~ GP IIIIIIII NL _ · ~ I" = I00' L
~ ML (MO~UNQ) ~ GC ~ OL I= -~'
I WSUALLY ~4 SW II Ul~; MH ~
I APP~ED ~ SP ~ICH , ~ ~
,~p 8ROUNDWATE ~ ~
.....
n~TE ~ READING CLOCK NET TIHE ~ WATER LEVEL N6T DRO~
-~ TIME ~ (MIN~ES) READING (INCHES)
~ o/2o/~9 ~ ,- -~ ...... , ~- -
' J " ~,. ,.
I ~ ~,,,,.-:,'-; ~7~ ....
i , [ -' 'i
PERC~ATION RATE (MIN,/INCH) PERC. HOLE DIA. (INCHES)
20-- TEST R~ BETWEEN 7.0 , FT. ~D 7.5
COHHENTS: SOl~ UNSUff~LE FOR ONS~E SEPTIC
PERFORMED ~ A~ WA~R · W~ATER. I. dE~R~ A. GARNESS. CERTI~ THAT THIS
W~ PERFO~ED/IN ACCORDANCE WI~ ALL STA~ ~D MUNICIP~ GUIDELINES IN EFFECT ON
NAME
EGAL DESCRIPTION
LOCAT]O ~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF NEALTH & ENVIRONMENTAl.. PROTEC'flQN
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telepho~te 264-4720
ON-SITE SEWAGE DISPOSAl,. SYSTEM AND/OR WELL INSPECTION REPORT
IPNONE [ E~NEW
NO. OFBEDROOMS
DISTANCE TO: IWell I Absorption area I Dwelling PERM,,~ NO.
Manufacturer Material No. of compartments
Liq. capacity i~ gallons I IF HOMEMADE: Inside tength Width Liquid depth
DISTANCE TO' Well Dwelling
, ~,o,~,~ ,,.. ~ .... PERM]TNO.
' Well Foundation Nearest lot lin PERMIT NO.
DISTANCE TO: /¢ ¢ ~ ¢,(, )
' - Total length of lines Trench width Distance between lines
inch~s
Top of tile [o finish grade -. Material beneath tile~ Total effective absorption area
~p ~i' ~ fini ~'~/ -__~ ~ inches
Length Width Depth PERMIT NO.
DISTANCE TO: Well Building foundation Nearest lot fine
Class Depth Driller Distance to lot line /PERMIT NO.
Building foundation Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOIL TEST RATIN~
INSTALLER
REMARKS
APPROVED
72-013 (Rev. 3/78)
DATE LEGAL
PERMIT N[].
DEF'RRTMENT ~ HERL. TH RN[:' ENVIRONHENT~aL :'.OTECTION
82~5 ':,_ STREET, RNCHORRGE., FIK.
264-4729
( 880674 )
FIPPI_. I CFIN]"
L..OCF'IT I ON
LEGRL
· .10HN E ESTEY SRFI 80'?/. 4~32-B 99507
CO',,< DRIVE
I_ 8 B '], TERRRCE HEIGHTS S,.'D LOT SIZE
20]:792 SQURRE FEET
T'¥'PE OF SOIL. FIBSORF"rION S'¥'STEM IS: TRENCH
MF:IF,:II','tUM NU[,1BER OF BEDROOMS
SOIL RRTING (SQ FT,,"BR)= 275
TNE REQUIRED SIZE OF' THE SOIL RBSORP'rION S'.r'STEM IS:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF 'rile TRENCN OR DRRINFIELt).
THE DEPTH OF F~ TRENCH OR PIT IS THE DISTFINCE BETk!EEN ]"HE SI.JRFFICE OF 'rile
GROUND RN[:, THE BOTTOI'I OF THE EXCRVRTION (IN FEET).
THERE I:.~; NO SET klI[.',TH FGR TRENCHES.
THE GRRVEL DEPTH ;[2; THE i'flINIMUM DEPTH OF' GRRVEL. BET!.4EEN THE OUTFRLL PIPE
FINE:, 'THE BOTTOH OF THE E',qCR',,,'RTION (IN FEET).
F.'ERMIT FtPF'[..ICi:IN'r HFIS THE RIESPONSIBILIT"r' -ro INI*:ORM THIS
INSTFILI...FITION INSPEC:TIONS OI=' FIN'¥' WELLS FIDJKtCENT TO THIS
NLIME:ER OF' RESIDENCES THFIT THE klEL.[, klILL SERVE.
DEPRRTMENT [)URING
PROPERTY RND THE
BRCKFILLING OF:' FtN~' S~'L-'.;TEM klITHOUT FINRL INSPECTION
[:,EPRRTMENT NILL BE SUBJECT TO PROSEC:UTION.
RPPROVFIL B'-r' THIS
MINIMUM [:,ISTRNCE BET!-4EEN R !.4ELL Ri".,ID RNY ON-SITE SENRGE DISF'OSRI._ Str'S]'EM I'S
d. 00 FEET FOR FI PRIVRTE .WELL. OR .'1.50 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING
UPON THE T'T'F'E OF PUBLIC: 1.4ELL
MINIHLIH DISTI*:INCE FROi'd R PRIVRTE NELL TO R PRIVRTE SEI.4ER LINE IS 25 FEET RND
TO R COMi'"IUNtT~r' SEklER LINE IS 75 FEET.
OTHER RE~]LIIREHENTS i"lR'¢ RPPL'¢. SPECIFICRTIONS RND C:ONSTRUCTION DIRGRRMS RRE
F:IVFIIL.RB[_E TO INSURE PROPER INSTFILLRTION.
I CERTIF'T' '['HRT
:1.: ! t:IM FFtPIILIRR klI'FH THE REQUIREMENTS FOR ON-SI]'E SEklERS fIND klELLS RS SET
FOR'I*'H 8'¢ THE HUNICIPRLI'r'¢ OF F-INCHORRGE,
2:: I NILL INSTRLL THE $~r'S'FEI"I IN RCCORDRNCE 14ITH THE CODES.
]:: I UNDERSTFIN[..', THRT TFIE ON-"'";ITE SEklER. S"r'STEM MR'¢ RE6!UIRE L"]"'~LI::IRGENEI",IT IF:' ]"HE;
RE::.=.;I[:,ENCE IS F'.EMODELED "FO INCLUDE MORE THRN :9. BEDROOMS.
LOT SIZE ¢~Oi~-7,?~-}-S, QURRE FEET
, ;,F '- SOIL RRTING
MR~<IMUM NUMBER OF E, EDL._OM~ =
THE 'Q I;'ED SIZE OF THE SOIL .BBSORPTION _¢:~TEM
I]:,E F' T tH = V L_ E l"-I O T t-I = 63 13 R I=l ".-' E L E:'EP-r H== f
THE LENGTH DIMEHSION IS THE LENGTH (IN FEET) ,DF' THE TRENCH OR. DRRINFZELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETHEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCR'v'RTIOH (IN FEET).
THERE IS NO SET 14IDTH FOR TRENCHES.
THE GRRVEL DEPTH IS THE MINIMUr'I DEPTH OF GRF~VEL BETHEEN THE OLITFRLL PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
Rir~.lJ I RED _'~. E F"T I C T R I'-J h~ S I ;ZE= lO0 0 ,3RL LON'---~
PERMIT RPPLIORNT HRS THE RESPONSIBILIT'¢ TO INFORM THIS DEPRRTMENT DURINO THE
IHSTRLLHTION INSPECTIONS O~ BNY HELLS RDJRCEHT TO THIS PROPERTY mt. It, THE
NUMBER OF RESIDENCES THRT THE HELL HILL ~ERVE.
'FL40 ( 2 ) I r4SPECT I ON~ RRE
BRCKFILLIHG OF RNY ~'¢STEM HITHOLIT FINRL INSPECTION BND RPPROVRI_ B~r' THIS
DEPRRTMEHT HILL DE SUBJECT TO PROSECUTION.
MINIMUM DISTRNCE BETWEEN R ;dELL RHD
10(.) FEET FOR R PRIVRTE HE'LL OR 150 TO 200 FEET FROM R PUBLIC HELL DEPENDIHG
UPON THE T'¢PE OF PUBLIC: HELL
MINIMUM DISTRNCE FROM R PRIVRTE HELL TO R PRIVRTE SEHER LINE IS 25 FEET RND
TO R COMMUNITV SEWER LINE IS 75 FEET.
HELL LOGS HRE REQUIRED RND MUST BE RETURNED TO THE DEPBRTMENT HITHIN 30 DR'CS
OF THE HELL C:OMF'LETION.
OTHER REQUIREMENTS MR~r' RPPL~'. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS ARE
RVRILRBLE TO INSURE PROPER IN~]TRLLRTIOH.
PERIl I T E.':-':P I RES DECEPIBER ~?<--~L.,
I CER'f'IF'¢ THRT
ii IRM FRMILIBR HITH THE REQUIREMENTS FOR ON-SITE SEHERS RND HELLS RS SET
FORTH B',' THE MUNICIPRLIT'¢ OF' RNCHOR. RGE.
2: I HILL IHSTRLL. THE S'¢STEM IH RCCORDRNCE I4ITH THE CODES.
3:, I UHDERSTRND THRT THE ON-SITE ~EHER S'¢STEM MRV REE~UIRE ENLRRGEMENT IF TH~'
RE~iIDENCE IS REMODELED TI INNL DE M-RE THRN 3 BEDROOMS.
N°.
GF'''~TER ANCHORAGE AREA BOROJ'"~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
ADDRESS
LOCATION
SEPTIC TANK:
LEGAL DESCRIPTION. "/~J? ~-'~'J/'~':
DISTANCE FROM WELL r~/
LIQUID CAPACITY
/ NUMBER OF
MATERIAt ~,;'~'~ COMPARTMENTS ~'-
~)~'C~" /~/~'~-~L'~ ~"~ ~ LIQUID
GALLONS. INSIDE LENGTH ~INSIDE WIDTH ~ DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOT LINE
SEEPAGE PIT:
OUTSIDE DIAMETER ~ OR WlOTH~'~'~ /4',--~,~¢ /LENGTH_~-~'~.~'~,, DEPTH ~'~' /
DISTANCE FROM WELL /~).~' '" ., BUILDING FOUNDATION '~' ~,~
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ,.~7..;~""-~(~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE F RO.~//~'-- --~ 'N.
NUMB DE L~ES D,STANCE BETWEEN
BSORPTION AREA SQ. FT. LENGTF
~F 'TILE TO FINISH GRADE·
WELL: TYPE ~//~ DEPTH
NEARES1 / SEPTIC
LOT LINE /~ f ~ ., SEWER LINE , TANK
,NEAREST LOT LINF
4ES TRENCH WIDTH
)F EACH LINE
~EPTH OF FILTER MATERI~EAIH TILE
, BUILDING FOUNDATION
,...~/. / SEEPAGE
, SYSTEM
TOTAL LENGTH
, O~.F~ LIN ES~z
IN. TOTAL EFFECTIVE
IN. ABOVE TILE__
WATER
__SAMPLE ./v.~ , NEAREST
x OTHER ,-~-~--'
/-'~, CESSpOO~ ~'-~', SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
GREATEI
327 Eagle St.
ANCHORAGE AREA.
ItEALTIt DEPARTMENT
Anchorage, Alaska 99501
9ROUGH
279-2511
Case N o..-,~
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK_
MAILING ADDRESS
LOCATION OF INSTALI. ATION~
, SEEPAGE PIT_ __ , DRAIN FIELD , OTFIER_
TO SERVE THE FOLLOWING FACILITY ,-'//fl-'~'/',/.~/~-
FINANCED THROUGH ¢/~--~ U' TO BE'qNSTALLED BY~
PERCOLATION TEST RESULTS ANTICff~ATEO DATE OF COMPLETION
BELOW TO RE FII. LED OUT BY HEALTH DEPARTMENT
SERVE AS-/~/~ ~4~, <~- ,PERMIT TO INSTALL A
THIS
IS
TO
,?
_AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED
Z,cr~.¢,/*(:~ DIAGRAM OF SYSTEM
DISTANCES:
! cert~y that ! am £amJ]J~r with thc re~uQ'emcnts of G~eater Anchorage Area ~orou~h O~d~nce No. 28-68 and that the
above described system Js Jn accordance with said code,
? ? ' ,
]REATER AN¢ .,JRAGE AREA BOROUGH
ItEALTH DEPARTHENT
327 E^GLE STREET
ALAL,KA 99501
ANCHORAGE ~ o
C^$E #
Th.~.s Form keports a: So~ls Log._.._...?.~_.~.----_~_7?ercS'i~.on rest ............
Depth
Feet
Was Ground Watex, Encoun'tez.ed?~..~
If Yes, At What Depth
Reading DaZe G~oss Time Ne~ T~me
Location Sketch
Depth To H20 Net Dr'op
Pmoposod lnstall-~r'~o~-~: Seepage Pit g--~-- DPaln Field
Test Performed B
Certified By: .. ~ ~ -
MUNICIPALITY OF ANCHORAGE
MUNICIPAUTY OF ANCHORAGE
· _,~,.~j.~\ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC'rmrd DEPT. OF 14E~I'FI &
82E L StrGet - Anchorage, Alaska 99E01 ENVIRONMENTAL :OTECT
ENVIRONMENTAL ENGINEERING DIVISION 0C,'1' 2 4 1980
Telephone 264-4720
DIRECTIONS: Complete all [)arts on page 1, Incomplete requ{ist$ will not be processed, Please allow ten [101 days for processinfl,
PROPERTY ~WNER
MAILING ADDRESS
~OPERTY RESIDEN- IIf different from above)
2, BUYER
MAILING ADDI ESS
3. LENDING INSTITUTION I PHONE
PHONE
PHONE
4, REALTOR/AGENT
MA LING ADDRESS
PHONE
~'. L'EGAL DESCRIPTION
STREET LOCATION
6, TYPE OF RESIDENCE NUMBER OF BEDROOMS
,~'~SI NG LE FAMILY [] One [] Four ~] O[her
[] Two [] Dive
[] MU_TIPLE FAMILY ,,~, Three [] Six
WAT R SUPPLY
' NDIVI DUAL' ' ATTACH WI=_LL LOG. A well log is required for all we Is drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY deoth (attach log if available.)
8, SEWAGE DIEPOSAL SYSTEM
~ NDIVIDUAL/ON-SITE'~
[] PUBLIC UTILITY
"If individual/on-site, give installation date
q-f~ste~v8 ~two-(2l)~yea~s-old-an. adeq u acy.~e st[~ reauJred
bwthi~Deear-tment~
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RFQUEST BEFORE PRGCES,~ING CAN BE INITIATED.
72-910(3/78;
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
I NSPECTO R INSPECTOR INSPECTOR
DIRECTIONS:
I1. 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
E~] PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or []Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5, COMMENTS
FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must ecc/ori~"~h ! certificate)
[] DISAPPROVED
LEGAL DESCRIPTION
72-010 (Rev, 3/78)
SURVEY REVIEWI
rid"
I hearby certify thai I have s~ 'veyed the followina
described propccty: __ /~ow" ~.~?/[~..~ /
Aw,'hora~c Recto'dh:: Precinct. Alaska. and that
this ..... ~v
__ .'/d_~_2 '. ..... ~__" L~._ .... x:: ......
tIEWII'T V. !,OUNST~URY & AS~OCL.V~'.~S
825 "L" STREET
ANCHOF~AGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPAF]TME-NT OF IlEAl TFI AND ENVIRONMENTAL PROTECTION
October 29, 1980
John/Shi.rlLey Estey
Star Route A Box 402-B
Anchorage, Alaska 99507
Subject: Lot 8 Block 1 Terrace Heights Subdivision
Approval for your individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1) The water analysis report be delivered Io this
~.~ ~ff%~ d%partment from Chem Lab, 5633 B Street, for
l~;~0ur review.
(2)
(3)
The septic tank pumped with a receipt submitted
to this department.
An adequacy test be performed on the existing leaching
area. This test will determine if the system is
adequate according to National Standards. A listing
of private firms performing the test is enclosed. This
report needs to be submitted to this department for
review.
If there are any further questions, please call this
264-4720.
department at
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RC /ljw
cc: Alaska USA Federal Credit Union
2600 De Barr Road 99504
Bette Trump
% Century 21 -Iieritage Homes
ALASKA eFIUIROI meFITAL COFITROL SeRUICe$, IFIC.
~lll]i[leerinl~ 6 ~nui~'onmental Studies
NOVI...MiS,_R 7 :tc?~:~O
A N (., H(,ll:k A (,,1:'. Al'(
[HEI_I..[::I'~ -,, SI..I:I[F,:I...FZY
[; U Ii[Jl)::C V:][ S :I:(:)N.-.'I'I:: F~ F:~ A f; IE I-IE ]~(; FiT,C.~ E:LOCF(-:I,
'THli~: TYF:'Iii: OF AEJ[~i:)RF'T.'I:ON SY,C.;'TtEM :][!~ A PIT
'rl-Ilii: ~YE$'T'I~:M .'I:S E~APAE:L. IE (:)I::' ACCEF'T:][N(:.; 22(] 6~AL.L. ON,~i~ 01::' NA'I'IER F'E:R
]'l..lti[ ~0:~1..,~] F;:AT::ENC~ (:)F'" 'l'l"lti~ SYE~TIEM AT [:[)N!~'TF~LJE~T::CON NA[~ 27',:S AND NON
:][.[:~ :::':']00 [~C,H:'T I::'FZR ID:F,'.DROC]Ho
E~Sli~:I:) LH::'ON 'TH[i: '¥1'ZST I:)~'1'~ TH[E ~i~Y!~TEH Z8 NOT ~C:(.';EF'T~I~L.E FOR
l'lOf~[[ DI:: :'~ El[Et)l:::i]£JM[~,
THE: ,~BI?L'F'T:ZC T~NI'( N~!~ F:'LIMPE:D ON :1.0'-27'"'[)0
1220 LUes! 25th Auenu¢ · Anchoro§e, ^l sk. 99503 ~' [907] 276-1361