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HomeMy WebLinkAboutMCMAHON #2 BLK 8 LT 14McMahon
Lot 14
Block 8
#017-361-55
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: OSP221222
Work Type: SepticTank Upgrade
Tax Code Number: 01736155000
Site Legal Address: MCMAHON #2 BLK 8 LT 14 G:2835
Site Mailing Address: 3845 TAIGA DR, Anchorage
Owner: FARNSWORTH GARY T
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Disposal Field Q Septic Tank Holding Tank Privy
Effective Date:
Expiration Date:
Lot Size in Sq Ft
Total Bedrooms:
7/8/2022
7/8/2023
27241
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
Received By:
Issued By:
Date:
Date: 2
l
5
1�11�1 UHICC FA L� T 7 OFX0RI „ G E
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel 1. D. 017-361-55
Property owner(s) Farnsworth Gary T & Michelle
Mailing address 3845 Taiga Dr, Anchorage, AK 99507
Site address 3845 Taiga Dr, Anchorage, AK 99507
Day phone 907-240-9501
Legal description (Sub'd., Block & Lot) McMahon #2 Block 8 Lot 14
Legal description (Township, Range & Section)
Lot Size 27,241 Sq. Ft. Number of Bedrooms
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑ Single Family (SF)
Septic Tank
❑x
Upgrade x❑ (w/wo ADU)
Holding Tank
❑
RenewalDuplex (D)
❑
Privy
❑
Multiple Dwellings
(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 Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: Waiver Fees:
Date of Payment: ��� 3��6 Date of Payment:
Receipt Number: G 5'7 & Y_b Receipt Number:
Permit No. d 5p _�'a 1 as � Waiver No.
Permit App__- : :-'.,:c
El
June 22, 2022
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: McMahon #2 Block 8 Lot 14 - 3845 Taiga Dr.
Septic Tank Replacement
Dear On-Site Services Engineer:
The owner of the above lot has a septic tank that has reached its end of useful life, and we are
submitting this permit application for its replacement. The attached site plan identifies the location
of the home and existing septic location. No conflicts exist between this proposed system and any
other wells or septic system, whether on this lot or adjacent lots.
The new septic tank will be a minimum of 100’ from all wells and surface water, and more than
5’ away from the absorption field. Please refer to the attached plan for the septic design. If this
design is followed, there will be no adverse impacts to adjacent properties.
Sincerely,
Benjamin Schiller, PE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221222, Deb Wockenfuss, 07/08/22
// // // Benjamin Schiller
CE 12592R
EGISTEREDPROFES S I O N ALENGINEER
1"=50'
DECOMMISSION EXISTING
TANK PER U.P.C
1500 GALLON
SEPTIC TANK
W/20" MANWAY
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
McMAHON #2, BLOCK 8 LOT 14
FEET
0 50 100
NOTE:
NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE
PROPOSED SEPTIC SYSTEM
ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS
PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC
SYSTEMS.
3-
B
D
R
M
H
O
M
E
6/21/22
GREENHOUSE
DECK
WIRE FENCE
SHED 10' UTILITY EASE
M
E
N
T
T
A
I
GA
D
R
I
V
E
EXISTING ABSORPTION
TRENCH TO REMAIN IN SERVICE
(DESIGNED FOR 5 BEDROOMS)
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221222, Deb Wockenfuss, 07/08/22
/._~UNICIPALITY OF ANCHORAGE/\
Hea', a and Environmental Prote( !on
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
279-2511, x 224, 225
iNSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTE~A
LOCATION ¢--'"" " ~
MAILING ADDRESS /'~' "/V ~ PHONE
SEPTIC 1-A N ~,~
FRo ELL
MANUFACTURER
INSIDE WIDTH
MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMENTS ~
LIQUID CAPACITY"~ GALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELL
# o£ T,Znes
ABSORPTION ARE* ~'~
FOUNDATION.__
DISTANCE BETWEEN LINES
sq. FT. LENGTH OF EACH L'INE __
DEPTH OF FILTER
DEPTI t:
TOTAL LENGTH
NEAREST LOT LINE /~) ¢ OF LINE
£
TRENCH WIDTH~IN. TOTAL EFFECTIVE
TOP OF TILE TO FINISH GRADE_
MATERIAL BENEATH TILE 6 F (..~-,'r
_ IN. ABOVE TILE IN.
SEEPAGE PIT:
Log Crib Rings__
BUILDING FOL;NDATION .
DIAMETER -- OR WIDTH __, EENGTH DEPTH
Crib Size: DIAMETER ___DEPTH.__ DISTANCE FROM:
TOTAL EFFECTIVE
NEAREST LOT LiNE
WELL.
ABSORPTION AREA (WALL AREA)
SQ. FT.
Well
Class: Depth:
Well Distance To: Lot Line
Bldg: Sewer Line:
Pipe Materials:~
~ of Bedrooms: ~
Installer: ~(~ ~
Remarks: II
DATE
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GAi::::IY PLAYEI:::I VENTUi:::IES
CONSULTING GEOLOGIST
BOX ,~76-M, STAR ROUTE A · ANCHORAGE, ALASKA 99507 · PHONE :344-7071
i
WATER WELL LOG
FOSS DRILLING
1336 Ingra Street~
Anchorage, Alaska 99501
SIZE OF CA~ING ~ "DEPTH OF HOLE/~?PT. CASED TO / ? ~
STATIC WATER LEVEL /.//gQ FT. YIELD /c~ GAL.PER.MIN. WITH
FEET OF DRAWDOWN. -.- ~'': -
FT.
REMARKS
DATE COMPLETED /J-.//- ~ ,~ PUMP TO BE 5ET AT /
· to
to ,
~to
to
to
to
to
to__
___to
, tO___.
__to
/v~UNICIPALITY OF ANCHo,xv,,O,::
DEPT, OF HEALTH
~1 ,l'v ,~;ul~-ixl iAL PROT~.c;toN
' 5Eu o I977
Parcel I.D. #
MUNICIPALITY OF ANCHORAGE ,,,/~.~
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O, Box 196650 Anchorage, Alaska 99519-6650
(907) 343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILLY DWELLING
017-361-55
1. GENERAL INFORMATION
Complete legaldescription M~MAHON SUBDIVISION ~/2: LOT 14. BLOCK 8,
Location (site address or directions) 5845 TAIGA DRIVE ANCHORAGE. AK 99516
Property owner
Mailing address
Lending agency
Mailing address
DAN ROBERTSON
5845 TAIGA DRIVE
Day phone (907) 545-0215
ANCHORAGE. AK 99516
Day phone
AgentBRUCE BURNETT W/ BURNETT COMPANY REALlY(Day phone (907) 279-9555
Address 4-640 SAND BEACH DRIVE ANCHORAGE. AK 99502
Unless otherwise requested, HAA will be held for pickup.
2, NUMBER OF BEDROOMS: 4-
3, TYPE OF WATER SUPPLY:
Individual well xxx
Community well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site x××
Holding Tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
lng to the legality and status of system.
724)25 (Rev, 1/91) Front MOA #21 Computer Version
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $400.00 at,
or prior to, closing for the engineering services provided.
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 of this Health Authority Approval application 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 inspeeJ~ion, the on-site water supply and/or wastewater
disposal system is in compliance with all ,Municip,a}~'r~d State codes, ordinances, and regulations in effect
on the date of this inspection. /'j/,/~' [
IH/HI
///
Name of Firm ALASKA W~ & V(/A~.T~ATEI~ CONSULTANTS, INC. Phone (907)337-6179--
/'///////~/ ,' /
Address 6901DEBARR/ROAD?SMfTFC2B ~AI:C3~(;;~p, AGE, ALASKA 99504 , / _
Engineer's S,gnature (---~-'q~', ----.'~"~ ~,.._ ..-} Date_ 7/1 7./o~ _
,. conducting this evaluation. AWWC. ,.~.. ~ftenC¢ed ,o provi~de a thorough, conscientious engineering analysis of ,he
system in accordance with ADEC and MOA DHI~S Guidelines & Regulations. The reported results described the
pedormance of the system under fha conditions bnceuntered at the time of the test. and separation distances
measured to readily identifiable features. The operational life of ali wells and septic systems depend
on the local so/is conclit/on, ground water levels that may fluctuate during the year, and the water
usage of the family being served by the system. These conditions are outside the control of ~=,~'
the evaluator of the system. Satisfactory test results do not guarantee future performance ~v .
of the system, nor do they guarantee that there are no hidden defects or encroachments. ~%%~..~'" ~//~,,'~Y..',-~
AWWC, Inc. can therefore notprot4de any warrantyforfuture estimate ofhowlong the d~."~,~ /j~"~'/~ "../-
system will continue to meet the operational requirements of the ADEC or MOA DHHS. ~. ~. [;. ?. .,~
The content of this report is for the sole benefit of the owner listed above. Any (~ ,
relianca upon or use of th~s report by any other p erson or party ls not authonzed, . .......... F .... : ........ -
t~ ~ff ¢ A Oarness
nor will it confer any legal right whatsoever. ~ ~.,
~ m_ L~t¢ .,'~' .......... '"¢~_,~
J--"" Approved for -T- bedrooms ~
Disapproved
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
Date
The Municipality of Anchorage Department of Health and Human Services (DHHS)issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers o~
homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of
DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
72~025 (Rev. 1/91) Back MOA #21 Computer Version
, rCElVl:U
· ' ra e JUL ,°5 2000
Municipality ofAncho g
DEPARTMENT OF HEALTH & HUMAN SEf~/~r.~ o~
Environmental Services Division ""~kIMENT, a,L SERVICES
825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744
Health Authority Approval Checklist
Legal Description: McMAHON S/D; LOT 14, BLOCK 8, Parcel I.D.:
017-561-55
A. WELL DATA
Well Type PRIVATE
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
Date of test
IfA, B, or C, attach ADEC letter. ADEC water system number
177'
YES
Date completed
Cased to 177'
YES
11/11/77
Casing height (above ground)
Wires properly protected (Y/N)
FROM WELL LOG
1 ~/41/77
N/A
'10"
Yes
* THERE IS POSITIVE
DRAINAGE AWAY FROM
AT INSPECTION WELL HEAD
5/17/00
Static water level 140' 135'
Well production 15 g.p.m.
6.4- . g.p.m.
WATER SAMPLE RESULTS:
Coliform
Date of sample:
B. SEPTIC/HOLDING TANK DATA
Date installed 9/12/77 Tank size.
Foundation cleanout (Y/N) YES
Date of Pumping 5/17/00
Nitrate
/' ~ / /~/~' Other bacteria
Collected by: A.W.W.C., INC.
1500 Number of Compartments 2 Cleanouts (Y/N)
Depression (Y/N) NO High water alarm (Y/N) N/A
Pumper. OLD MCDONALDS
YES
C. ABSORPTION FIELD DATA
Date installed 9/12/77
Length 40' Width
Soil rating (g.p.d./f12 or ff2/bdrm) X System type TRENCH
4' Gravel thickness below pipe 6' Total depth 11'
Effective absorption area 480 SQ. FT. Monitoring Tube present (Y/N) YES Depression overfleld (Y/N)
Date of adequacy test 5/17/00 Results (Pass/Fail) PASS For 4
Fluid depth in absorption field before test (in.); 0" Immediately after 860
Fluid depth 0" (ins) Minutes later: 25 Absorption rate =
Peroxide treatment (past 12 months) (Y/N) NONE KNOWN If yes, give date
72.026 (Rev. 3/96)* Computer Vemten
gal. water added (in.):
6O0+
NO
Bedrooms
22"
D. LIFT STATION ~'
Date installed_ ~ ~__
Manhole/Access (Y/N) ~~J~lF-on" level at* "Pump off' level at*
High water alar~ leve.....I.l.l.l.l~~ /'Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot_
Absorption field on lot
Public sewer main
Sewer/septic service line_.
O
100'+ On adjacent lots_ 100'+.
100'+ On adjacent lots 1 o0%
N/A Publio sewer manhole/cleanout
50'+ Lift station N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation 10'+
Water main/service line 25'+
Property line 10'+ AbsorpUon field
Surface water/drainage 100% Wells on adjacent lots
7'+
100'+
SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO.'
Property line 10'+ Building foundation 10'+
Water main/service line 50'+
Surface water 100'+
Cudain drain
F. ENGINEER'S C/ES
I certify that I~aw
of Municipal//'acer
with MOA ~AA gL
Signature
Engineer's Na~
Date
NC
KNOWN
,JEFFRE~ A. GARNESS
~ld inspections and review
/stems are in conformance
)n?q.~his date.
Driveway, parking/vehicle storage area __40'-{.
Wells on adjacent Iot=~._.~.~.©
HAA Fee $ ',~'-'~-"~-~,
Date of Payment _
Receipt Numbor_~/
72.-020 (Rev. 3/95)* Computer Veto[on
Waiver Fee $
Date of Payment
Receipt Number
,.lul -24--00
h
03: 33P
<7 e-c4' ~. ~,~
P.02
EASEMENTS OF RECORD, OTHER THAN
THOSE SHOWN ON THE RECORDED
PLAT ARE NOT SHOWN HEREON.
AS-BUILT NO CORNERS SET THIS DATE
I hereby certify that I have performed a Mortgagee's in-
spection of the following described property:---
Anchorage Recording Pre~inct, Alaska, and that the improve-
meets situated thereon are within the property lines and do
not overlap or encroach on the property lying adjacent there-
to, that no improvements on property lying adjacent thereto
encroach on the premises in question and that there are no
roadways, transmission lines or other visible easements on
said property except as indicated hereon.
Dated at Anchorage, Alaska
this ____~lay of "',
FRED WALATKA & ASSO~IATE~'
Engineers and Surveyors
=~MUNICIPALITY OF ANCHORAG~
DEPARTME ~'OF HEALTH AND ENVIRONMEN; ! PROTECTION
825 L
Street, Anchoraa~. Alaska 99501 264-4720
Date Received: February 24, 1978
91: Time ~!/~ ~9% #2: Time #3: Time
Date ~-;~f ~3~[ Date Date
Insp ~ Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: Alaska .Pacific
Mailing Address: Pest ~fficc ~c~ ~20 995!~ Phone:
Property Owner: Charles E. Jackson
Mailing Address: Star Route A Box 1582N 99507
3. Legal Description:
4:
Phone: 349-5200
e
Lot 14 Block 8 Mc Mahon.~Subdivision
Single Family Residence: (x)
Multiple Family Residence: ( )
Number of Bedrooms:
Number of Bedrooms:
Well System:
Permit #
Construction
Individual well (x)
Depth of Well
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
Community/Public System ( )
156' Well Log on File ( )
Bacterial Analysis
On-site System (x)
Installed
Manufacturer
Soils Rate
Distances: Well to septic Tank
to Sewer Line Nearest Lot line
to Nearest Lot Line
Public Utility ( )
Installer
Material
to Absorption Area
Absorption Area
Page T'~o ~'
~ Department of Healkh and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 14 Block 8 Mc Mahon Subdivision
Comments:
Affadavit Attached:
Approved: ~L
Disapproved:
Letter Attached: ( )
Date: ~ [ Q ~7 ~'
Date:
Department Worksheet:
.o
(e~Selsod snld) ~O£--'IIVlN 031JIL83::) ~lOJ /d1303U
' MUNICIPALITY OF ANCHORAGE
~'1 Department of Health and Environmental' Prot'ecti°n
/~~~ 825 L Street, Anchorage, Alaska .99501
IIk~21,~ 264-4720
~uest for ApProval of Individual Sewer and wJ~er F~cit~ities
Property Owner:
Mailing Address:
Charles E. Jackson (c/o Frank Bethard)
Phone: 344-8006
Name of Buyer:
Daniel Rober tson
Mailing Address: P.O. Box 4-1957 Phone:344-0074
Anchorage, Alaska
Lending Institution: National Bank of Alaska c/o Matra Goodson
Mailing Address: Pouch 7-025 Anchorage, Alaska Phone: 2882
Realtor/Agent:
Mailing Address:
RRatly Center c/o Jackie Propp
Phone: 344-0501
Legal Description:
Street Location:
Lot 14 Block 8 McMahon S/D ~/2 Anchorage, Alaska
000Taiga Strmet Anchorage, Alaska
o
Single Family Residence:
Multiple Family Residence:
( k Number of Bedrooms:
( ) Number of Bedrooms:
(x)
Water Supply: *Individual Well
If Individual Well, well depth unk
If Community System, name of system
Public/Community System ( )
Sewage Disposal System: *~n-site System (x) Public System
If On-site System, date of inStallation: . unk
*NOTE: A well log is required on ALL wells drilled since 6/75.
** If on-site sewer system is over two(2) years old, an adequacy
~est is required by this department.
A fee of $25.00 must accompany each request before processing
can be initiated.
3/77
· ' · i MUNICIPALITY OF ANCHORAGE
~~ j Department of Health and Envmronment 1 Protection
[[O/?~l~/ 825 L Street, Anchorage, Alaska ~99501 . '"
I1% ~i¥~ ~ .411,' 264 - 4720
~uest for Approval Of IndiVidual Sewer and Water Facilities : )
1. Property Owner: ~. ~/'W~5~' ~-~/~' 3~(~ '~/'~/L/
Mailing Address:~ ~ ~ _~.~,.~% .~ /~5 ~// Ph°ne:~~'~O~
2~
J
o
Name of Buyer:
Mailing Address:
Lending Institution
Mailing Address:
Realtor/Agent:
Mailing Address:
5. Legal
Phone:
Phone:
Street Location:
Phone:
Single Family Residence: ~'"~umber of Bedrooms:
Multiple Family Residence: ( ) Number of Bedrooms:
7o
If Individual Well, well depth /~'
If Community System, name of system
8. Sewage Disposal System: *~n-site System
If On-site System, date of installation:
Water Supply:.~~*Individual Well (~Public/Community System ( )
~/~ublic System ( )
*NOTE: A well log is required.on ALL wells drilled since 6/75.
** If on-site sewer system is over two(2) years old, an adequacy
.test is required by this department.
A fee of $25.00 must accompany each request before processing
can be initiated.
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