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Home My WebLink AboutGREAT LAND ESTATES #3 BLK 4 LT 5Greatland Estates #3 Block 4 Lot 5 #051-133-19 Inspection Repor&,.T'1-12.doc Municipality of Anchorage NOV f92 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: OSP131362 PID Number: 051-133-19 ❑ New 0 Upgrade Name: Robert & Deborah Singer ABSORPTION FIELD ❑ Deep Trench F1 Shallow Trench [I Bed El Mound Address 19790 Upper Greatland Drive ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original gradeGravel FL depth beneath pipe Ft. Subdivision Block Lot Great Land Estates #3 4 5 Fill added above original grade Ft.Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line I Fe Ft. Well 136.3 (E) N/A N/A 136 TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1 1000Gal. Surface water 100+ (E) N/A NIA Material Number of compartments Lot Line 33.2 (E) N/A N/A Steel 1 NA Foundation 9.3 (E) N/A N/A LIFT STATION Manufacturer Capacity Gal. Curtain Drain N/A I N/A N/A N/A Remarks Tank installation only. Pump on level at Pump off level at in. In. High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield JRs Septic Pumping Drainfield CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100ft Inspdates: t.r 10/10/13 Location and description 2�a 3,a 4M Corner of Porch COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Stamp ;Engineer's ` Conditional Approval: Date teven (.onnorae CE 149 Approved Datea 1 i� Inspection Repor&,.T'1-12.doc 14 \ \� UPPER GREATLAND DRIVE \ i �SEMEFSI / M1 (E) 136.3 DRAIN FIELD (E) D T2 N WELL (E) TO COLLAPSED 10009 SEPTIC TANK C1 �� ABANDONED PER CODE z A INSTALLED NEW 1000g SEPTIC TANK ' w A. WITH DCO 3 BR HOUSE (E) \� \ JI \ A° w 122.9, w _ z 50' CREEK MAINTENANCE EASEMEN u+/ o PETERS CREEK n \ \ o> > > > Qo f 0 o wo \ z� z z Z. z mz WELLS AND SEPTICS OVER 200 100.0 WELLS AND SEPTICS 4.0 OVER 200' MIN 95.5 NEW 95.3 7�7�7 7�T� ENG T LLC 10009 SEPTIC TANK NOTES: PANNODNE7 P�1\GRA�CK LLI. �_��OF AC\gsll, 9/23/2013 Dote RECORD DRAWING PHONE (907) 272-8218 FAX (907) 272-8211 /fid•' q r r. � Scale 1"=50' .... .. :.. P.I.D. NO GREAT LAND ESTATES #3, BLOCK 4, LOT ... / 051-133-19 ROBERT &DEBORAH SINGER / S'te'ven R. 'Pannone % PERMIT NO. 9S• 8149 OSPI31362 19790 UPPER GREATLAND DRIVE PLAN CHUGIAK, AK 99567 �i FAQ •••••�aG Sheet A B C1 12.6 12.3 T1 13.9 12.2 T2 18.7 13.0 DCO 20.2 82.5 M1 (E) 55.5 45.2 14 \ \� UPPER GREATLAND DRIVE \ i �SEMEFSI / M1 (E) 136.3 DRAIN FIELD (E) D T2 N WELL (E) TO COLLAPSED 10009 SEPTIC TANK C1 �� ABANDONED PER CODE z A INSTALLED NEW 1000g SEPTIC TANK ' w A. WITH DCO 3 BR HOUSE (E) \� \ JI \ A° w 122.9, w _ z 50' CREEK MAINTENANCE EASEMEN u+/ o PETERS CREEK n \ \ o> > > > Qo f 0 o wo \ z� z z Z. z mz WELLS AND SEPTICS OVER 200 100.0 WELLS AND SEPTICS 4.0 OVER 200' MIN 95.5 NEW 95.3 7�7�7 7�T� ENG T LLC 10009 SEPTIC TANK NOTES: PANNODNE7 P�1\GRA�CK LLI. �_��OF AC\gsll, 9/23/2013 Dote RECORD DRAWING PHONE (907) 272-8218 FAX (907) 272-8211 /fid•' q r r. � Scale 1"=50' .... .. :.. P.I.D. NO GREAT LAND ESTATES #3, BLOCK 4, LOT ... / 051-133-19 ROBERT &DEBORAH SINGER / S'te'ven R. 'Pannone % PERMIT NO. 9S• 8149 OSPI31362 19790 UPPER GREATLAND DRIVE PLAN CHUGIAK, AK 99567 �i FAQ •••••�aG Sheet Permit Number: Tax Code Number: On -Site Wastewater Disposal System Permit OSP131362 05113319000 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 Work Type: Septic Permit Effective Dates: September 27, 2013 to September 27, 2014 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: GREAT LAND ESTATES #3 Site Legal Address: GREAT LAND ESTATES #3 BLK 4 LT 5 G:1260 Owner/Address: SINGER ROBERT E & DEBORAH G 19790 UPPER GREATLAND DRIVE CHUGIAK AK 995676324 Site Mailing Address: 19790 UPPER GREATLAND DR, Chugiak This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 74488 Total Bedrooms: 3 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. Received Issued By MUNICIPALITY OF ANCHORAGE 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 I.D. 051-133-19 +eta• Robert & Deborah Singer �; Property owner(s) 9 Day phone Mailing address 19790 Upper Greatland Drive, Chugiak, AK 99567 Site address 19790 Upper Greatland Drive Legal description (Sub'd., Block & Lot) Great Land Estates #3, Block 4, Lot 5 Legal description (Township, Range & Section) Lot Size 74,488 Sq. Ft. APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank ❑X Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 3 APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) ❑X Upgrade 0 (w/wo ADU) Renewal Duplex (D) El❑ Multiple Dwellings ❑ (SF and/or D) 1 j 1 THIS APPLICATION INCLUDES A VARIANCE 1 WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. of property owner or 44260-'o Permit/Rush Fees: Waiver Fees: Date of Payment: ?-/L Date of Payment: Receipt Number: Receipt Number: Permit No. cis Waiver No. Permit App_:- :.- Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steveCaoaneneak.com September 26, 2013 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Subject: Great Land Estates #3, Block 4, Lot 5 Emergency Septic Tank Replacement Permit Request Ladies and Gentlemen: I am writing to request that a permit to install a new 1000 gallon septic tank be issued for this lot. The proposed system will serve an existing three-bedroom house. Currently the lot is developed. The existing septic system was designed and installed for three bedrooms. The existing 1000 gallon septic tank has collapsed. The existing 1000 gallon tank will be abandoned per code. This lot is served by a private well that is over 100' from the septic system. The surrounding lots are also served by private wells that are over 100' from this system.. 1. Upgrade Tank Design. a. See Sheet 1 of 1 of the plan set 2. Surface Water: There is no surface water within 100 feet of the proposed system. The proposed systems will maintain at least 100 feet from all surface water and drainage ditches. 3. Topography: Lot 25 slopes from southeast to northwest at approximately 10% in the area of the tank replacement. The proposed installation will be located in the eastern portion of the lot, in front of the house, and next to the existing septic tank and absorption system. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 3321/2 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells 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: Mailing: P.0, Box 100217, Anchorage, AK 99510-0217 Physical: 332 1/2 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 —M' DRAIN FIELD (E) WELL (E) I \ I \ I\ \ '/ I z' \ WELLS AND SEPTICS OVER 200' 14 \ ------------------- UPPER GREATLAND DRIVE PETERS CRS F C C 1USV1 PSE'% '3A.� 1 130.4 COLLAPSED 10009 SEPTIC TANK (E) ABANDON PER CODE A. INSTALL 10009 SEPTIC TANK (P) WITH DCO E (E) \� \ W\ 121.7, �w I50' CREEK MAINTENANCE EASEMENT WELLS AND SEPTICS OVER 200' NOTES: PANNONE ENG SVC LLC ~OF a\� Date EMERGENCY TANK REPLACE P.O. BOX 100217 ANCHORAGE, AK 99510 '(�• • �;4S�i, 9/26/2013 PHONE (907) 272-8218 FAX (907) 272-8211 /r6j�p �yf� Scale *: 49 TM • A 1 "=50' 'W.... .. W P.I.D. NO GREAT LAND ESTATES #3, BLOCK 4, LOT 051-133-19 ROBERT & DEBORAH SINGER Steven pPannone• PERMIT N0. 19790 UPPER GREATLAND DRIVE+t��s. CE 8149x/ ospxxxxxx PLAN CHUGIAK, AK 99567 Sheet 1`\\ OfF``\�.` 1 OF 1 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 r /� PHONE�,�y/ / ® NEW O UPGRADE �� / �r� �"� MAILING ADDRESS y� LEGAL DESCRIPTION 4 eq 6" LOCATION NO. OF BEDROOMS Uy DISTANCE TO: Well 131 Absorption area Dwelling PERMIT NO. el G%2_ss— I- Z LU Manufacturer / y� Material No. of compartments (n Liyz a 6n gallons C� IF HOMEMADE: Inside length Width Liquid depth Well 0+ Dwelling .,� ✓ PE DISTANCE TO: IS -tea Material Liquid capacity in gallons 02< Manufacturer p DISTANCE TO: Well O Foundation p , �� Nearest lot line - PE MIT NO. �'1.7.'S_ w= J LL Z No. of lines Length of each Total length of lines `' Trench width p' �- T inches 6,0 Distance between lines Z w Q f. Top of the to finish grade o yy > Material beneath the � d> - —0 d� inches Total effective_ absorption area ® ry'-. Ja •c 7.0 Length - Width Depth _ PERMIT NO. LU O Q H Type of crib `r ty Crib diameter � ? F' +nib de¢tfi Total effective absorption area W Lu Well F Buildid fodnpatiohi Nearest lot line rn DISTANCE TO: r r _=:- e,yy Class Depth Onller ;__, o Distance to lot line PERMIT NO. Jr J - wBuilding fo ew ru Septic tank Absorption are DISTANCE TO: �ocaama oaea pore Joh,? D. /vb.:Cicllo rr_7 OTHER Cc•+(706 PIPE MATERIALS "-or C SOIL TEST RATING '" �. y �� •�73' INSTALLER ,r-�� x'e1e5W /Cj /,1 j�` L u� �j i%fc��/ . .S 4- �� REMARKS "V<_ - N �> KIN APPROOO DATE LEGAL 72-013 (Rev. 3/78) 174 )CATION OF WELL (Please complete either Ia. Ib or Ic.) Borough Subdivisi=LotBlock Ff—'of /4girt.Anch Greatl_of— DISTANCE ANQ PIIRtECCTIONSFROM ROAD INTERSECTIONS Street Addrais ::and Area of Well Location ITER WELL RECORD STATE OF.ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geologicol a Geophysicol Surveys Drilling Permit No. h 7 n J_'� - A. D. L. No. Section No. Township NC] Range E p Meridian S ❑ W❑ 3. OWNER OF WELL: Mr. Ed Singer Address: SR 2 Box 4273 Chugiak Ak.99567 Feat Below WELL LOG - Surface Material Type - Top Bottom Overburden reenstone Greenstone 7 1 75 1 161 Fracture 1 263 1269 1 4. WELL DEPTH: (final) 8._ DATE OF COMPLETION _.. 495— ft- - --8-- - -2-3- - "8-j'- 6. O Cable tool Rotary O Driven 0 Dug 0 Auger ❑ Jetted ❑ Bored ❑ Other: 7.USE: a?omesile O Public Supply O Industry 0 irrigation 0 Recharge 0 Commerical D Test Well 0 Other: 8. CASING: El Threaded X15� Welded diem. 6 In. to 90 ft. Depth Weight,_ lbs./ft. dl,,._In. to ft. Depth Stickup ft. - 9. FINISH OF WELL: Type: Diameter+ Slot/Meeh Size: Length: Set between ft. and 'ft. Backfilling Gravel pack Greenstone 290 305 raC ure Uree Fractura Greenstone and gray stone 355 385 IO. STATIC WATER LEVEL: ft. Cj Above or 0 Below land surface oaf. Equipment used: - Greens tone 401 425 11 . PUMPING LEVEL below land surface and YIELD ft. after hrs, pumping g!p.m. ft. after hra. pumping g.p.m. ' MWIC)PALITY OF ANCHORAGN • Pi. OF HEALiN & 12.GROUTING Well Grouted: El Yes [] No - Material: E] Neat Cement E) Other: 13. PUMP: (if available) HP - Length of Drop Pipe ft. capacity - g.P.M. O Subm. O Jet O Centriflcaal E) Other - - 14. REMARKS: Production of 1/2 GPM -16. WATER -WELL CONTRACTOR $.CERTIFICATION: - 15. Water -.Temperature :__e ` i ❑ F 0 C.: . This well was drilled under my jur(sdldtlon and this report Is true to the best of my knowledge and belief, - Magnuson Drilling -: AA 5385 .. ... - -.Registered Business Name - - - Contract License Number. - Add ress P.O'Bo x 770504 Eagle River Ake. 99577 Signed:` - Date: -.:. AuthorizedRepresentative Form 02-WWR-01/811 .. Copy Distribution:' WHITE -State DGGS, PINK -Driller, CANARY -Customer -' • - - c cNi r 0 0 Z fWaffm .:sem P.O. E6VA -0650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 DEPARTMENT OF HEALTH & HUMAN SERVICES January 10, 1986 TO: Permit Applicant Subject: Permit # 850255 Lot 5 Block 4 Greatland Estates Subdivision #3 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as -built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/1jw enc: Copy of Permit PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: 850255 06/04/85 ED It DEBBIE SINGER SR 2 BOX 4273 CHUGIAK, At 99567 688~2041 LEGAL DESCRIP: SUBDIVISION: GREATLAND EST. 4*3 LQT: 5 10 TOWNSHIP: 151\1 RANGE: 1W SECTION: ' LOT SIZE: 1.7A Ell. FIT. OR ACRES) LIFT STATION ** DEPTH 13 PIPE BOTTOM < 4.0 FT. MAX BEDROOMS: 3 ' SIIVIED ISSUED BY CATE: -_..--_---'._- -_~/_,/-'�_---- PIPE BOTTOM < 3.5 FT. REQUIRES INSULATION ** DEPTH TO ' MAY REQUIRE A LIFT STATION ** DEPTH 13 PIPE BOTTOM < 4.0 FT. AT LEAST TWO COMPARTMENTS ** TANK MUST HAVE ^ I certi{y that: 1, I am familiar with th qt-tirements or on~site sewers ind wells as set North by the Municipalit; of Anchorage (MOA) and the State oAlaska` 2' I will install the system in accordance with all MOA codes and regulations/ and in compliance with the design criteria o� this permit, 3. I will adhere to all MOA and State o{ Alaska 0Oulu! reneAs for the set back from any existing tewater disposal wysfem op public distances sewerage system on this or any adjacent or nearby lot. 4, I that this permit is valid for a maximum o| 3 and understand any, enlargement ^ permit. IF A LIFT STATION IS INSTALLED IN AN ApEA COVERED 8Y MOA BUILl}ING CODES� AND INSPECTION MUST BE OBTINED; {2) AS-BUILTS THEN (1) AN ELECTRICAL PERMIT WITHOUT AN ELECTRICAL INSPECTIO� REPORT; AND (3) THE WILL NOT BE APPROVED BE DONE BY A LICENSED ELECTRICIAN. ELECTRICAL WORK MUST SIIVIED ISSUED BY CATE: -_..--_---'._- -_~/_,/-'�_---- MUNICIPALITY OF ANCHORAGE Azwj DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TERCOLATION 825 L. Street, Anchorage, Alaska 99501 264-4720 - SOILS LOG - PERCOLATION TEST PERFORMED FOR: C �� 1/1E� DATE PERFORMED: LEGAL DESCRIPTION: Z-<::�,%- 5- L�'�OG.0 �/�✓��—�4� ��T' _� t�f 'i7' /L�c�J' --�� rr)F:PTH, SLOPE SITE PLAN 1 Q•jp 2 �.J 3-0 4 0 5 •, 7 6 G 7 � dv X d 9 10 i c?P� vi L ui"7;,q L YE/Ls" O F 6'E>t &&A 3'� y19 NOF 44"att �,�•a aeaa 11 e�y��H o�WAS GROUND WATER S " AEWOUNTERED? L 12 .esaaeve asa.�.ia.i.3i�lxr` (04 Jchn D. McClellan 14(i go 13 P] % CE • 4706 �$mP oe.eocNa� nom`\ 14 a®�ROFESSIO� ¢ 15 16 17 18 19 20 O P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT —� COMMENTS ��/��/'. ?"esf AM& vEvvfZ r�viylra4� elf //JS�e'c%mit c�i�a � /5'%'�•�/f��r�yse' e�?r'. %a c�%r��-, e l �»�.� � i.-� 2roy�1��.�ar� >� e�� PERFORMED BY: jj�Of�G>!>Tis CERTIFIED BY: DATE: 72-008 (6/79) SOILS LOG MUNICIPALITY OF ANCHORAGE �¢ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION d PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: EtY d�66�� .]//99er DATE PERFORMED:/`%� /9B¢ No M■EN►E■■IN NEON ■■E■MMENNIN - OMEN MEM�lDmwaffin 11 12 ®®� pp ®FeAk � t 13 �►��ee°o eo°e'Q�9 �� Cls; °.°V 14 or ` 9TH ° • °ioees oae°¢¢eeoaao Bo sea°�ee ° 15 e°� hn DoMcClellan e 16 CE -4706 aA 17 +��pROFES510av ��P� - 18 19 C1rctIC Aope COnAftq 20 eNlrl M' PERCOLATION RATE (minutes/inch) &GUB&i W OFARGi1CSLOPEREGIONAL CORMORATONATrc.�P7C.o - TEST -RUN BETWEEN s FT AND FT .OMMENTS Coul��O�fvif PERFORMED BY: CERTIFIED BY: DATE: MEMO M■MM �5 N■M NEVA■ MEAN M■■N M■EN MMEN WAS GROUND WATER S ENCOUNTERED? Zq�O LO 3 P IF YES, AT WHAT E DEPTH? Reading Date Gross Time 4- Depth to Water Net Drop 6 6- ..o e. 7 8 9 �QOCk 10 11 12 ®®� pp ®FeAk � t 13 �►��ee°o eo°e'Q�9 �� Cls; °.°V 14 or ` 9TH ° • °ioees oae°¢¢eeoaao Bo sea°�ee ° 15 e°� hn DoMcClellan e 16 CE -4706 aA 17 +��pROFES510av ��P� - 18 19 C1rctIC Aope COnAftq 20 eNlrl M' PERCOLATION RATE (minutes/inch) &GUB&i W OFARGi1CSLOPEREGIONAL CORMORATONATrc.�P7C.o - TEST -RUN BETWEEN s FT AND FT .OMMENTS Coul��O�fvif PERFORMED BY: CERTIFIED BY: DATE: MEMO M■MM �5 N■M NEVA■ MEAN M■■N M■EN MMEN WAS GROUND WATER S ENCOUNTERED? Zq�O LO 3 P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 72-008 (6/79) �a R PC O V6— � o V s X20 PvaL� q �v Lp j Ose csMr o COT K 54. 0G 44/ �j REQ i B �a —_-- 6 oq S 2 Y 231 WEU- k (._ WOOD, -F2 nmF UK- 5/g R c� , 3+5.0 10E7 -ERS C �. P� M. O. Al. GR+o n/a1 /Z6p / 0 V\ 1 $ W v 5p' �,2GEK MA+N7£NANG� \ �L kB WC_ Is, (_7 C p 9 NOTE: 1. A PORTION OF THE GREAT LAND CIRCLE ROADWAY IS PHYSICALLY LOCATED WITHIN THE PUBLIC USE ESMT. 2. IT IS THE RESPONSIBILITY OFTHE OWNER TO DETERMINE THE EXISTENCE OFANY EASEMENTS,COVENANTS OR RESTRICTIONS WHICH DONOTAPPEAR ON THE RECORDED SUBDIVISION PLAT. 3. A 20' DRAINAGE & GUY ESMT EXISTS 10' EACH SIDE OFTHE BOUNDARY BETWEEN LOTS 4& S. A 10' UTILITY ESMT EXISTS WITHIN LOT 5, FRONTING ONTHER/W LINE. LEGEND O Rebar found, tied -this survey e 5/8" Rebar,. set this survey ® 1/4 Corner Recovered W 0- Witness Corner ( ) Record Data Date of Survey: 08/23/86 Gerald D.Jennings P.O. Box 670729 Job No: 86-16 Ph: 688-3529 Chuglak,Alaske AS—BUILT SURVEY LOT 5, BLOCK 4, GREAT LAND ESTATES, UNIT NO.3 within SEC 10, T 15 N, R 1 W, SM, AK Drawn By: G.J. I Scale: 1'= 100' 1 Date: 08/24/86 �.. 44 %1% 49ii •�p'�E• �.•bN.•N..NN4pNq•.Hu• �+ �`; Gerald O.lennings CERTIFICATE OF SURVEY •�• 15-6477 J �� F9Fo'•.�... 's� I HEREBY CERTIFY THAT I HAVE SURVEYED '.� THIS.LOT AS SHOWN ON PLAT NO. 73-184; AOFFSS!G::i �jl. ANCHORAGE RECORDING DISTRICT AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. NOTE: 1. A PORTION OF THE GREAT LAND CIRCLE ROADWAY IS PHYSICALLY LOCATED WITHIN THE PUBLIC USE ESMT. 2. IT IS THE RESPONSIBILITY OFTHE OWNER TO DETERMINE THE EXISTENCE OFANY EASEMENTS,COVENANTS OR RESTRICTIONS WHICH DONOTAPPEAR ON THE RECORDED SUBDIVISION PLAT. 3. A 20' DRAINAGE & GUY ESMT EXISTS 10' EACH SIDE OFTHE BOUNDARY BETWEEN LOTS 4& S. A 10' UTILITY ESMT EXISTS WITHIN LOT 5, FRONTING ONTHER/W LINE. LEGEND O Rebar found, tied -this survey e 5/8" Rebar,. set this survey ® 1/4 Corner Recovered W 0- Witness Corner ( ) Record Data Date of Survey: 08/23/86 Gerald D.Jennings P.O. Box 670729 Job No: 86-16 Ph: 688-3529 Chuglak,Alaske AS—BUILT SURVEY LOT 5, BLOCK 4, GREAT LAND ESTATES, UNIT NO.3 within SEC 10, T 15 N, R 1 W, SM, AK Drawn By: G.J. I Scale: 1'= 100' 1 Date: 08/24/86 c/ DATE SUBJECT -o 7i_ MESSAGE SIGNED REPLY SIGNED DATE Fg-Eo71E_o_R_m1, 4S 472 SEND PARTS I AND 3 WITH CARBON INTACT - PUY PAK (50 SETS) 4P472 PART 3 WILL BE RETURNED WITH REPLY. DETACH AND FILE FOR FOLLOW-UP \„ 4s MUNICIPALITY OF ANCHORAGE 05_/ 13 DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES k,w- co CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date Feb• /, /,kgs 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Z,::;, /-- S 4 e;/Ze-,47-4A" CSTATES 3 Location (address or directions) TG 4 •t//J Z - A T .nCT �i2S c2 EE,� (b) Property OwnerSd f�,0Eda/-��'s/ 66eTelephone: Home Business Mailing Address S/z Z /3dX ¢Z7.3 CNUIv/,ZI /< �/� %94_67 (c) Lending Institution Mailing Address _ (d) Real Estate Company and Agent Address Telephone °ZTz' 9."-7 (1cle) Telephone (e) Mail the HAA to the following address: or: Check here X, if hold for pick up. List contact person and day phone number below. 2. TYPE OF RESIDENCE Single-Familyg Number of Bedrooms 3 3. WATER SUPPLY Individual Well E Community ❑ Public ❑ 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 JN Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (Rev 81861 Front 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 regulations in effect on the date of this inspection. Name of Firm AkCT/C SL�eE 450X'Ta47/. 4 E�!/1r,1's Telephone 5 J Address 262ig0 Date 99s'/E 6. DHHS APPROVAL Approved for bedrooms by Z— Date�r��r •�pfj,� Approved _42�___ Disapproved Conditional / Terms of Conditional Approval CAUTION 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 courtesyto purchasers of 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. Page 2 of 2 72-025 rRev a/ss) sack +p9C95 109 ➢ ' C= -4i05 - Engineer's Seal , 6. DHHS APPROVAL Approved for bedrooms by Z— Date�r��r •�pfj,� Approved _42�___ Disapproved Conditional / Terms of Conditional Approval CAUTION 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 courtesyto purchasers of 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. Page 2 of 2 72-025 rRev a/ss) sack MUNiCIPALIiY OF A+` DiJII MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) 3 ? l CHECKLIST - FEBRUARY 1984 264-4720 tf'GdT .$ QGOG/C t`� E �- � �,� s' �.� Legal Description: 6&,c—ArLAA1o9 d-SrAF6_S No• 3 A. WELL DATA Well Classification Pwl/A%C If A, B, C,D.E.C. Approved (Y/N) Well Log Present (Y/N) y Date Completed e17— 3 IS._ Yield `/z 6AR Total Depth 1025 Cased to ZO Depth of Grouting Static Water Level 2(6 Pump Set At i Casing Height Above Ground 3 •/ Sanitary Seal on Casing (Y/N) y Electrical Wiring in Conduit (Y/N) y Depression Around Wellhead (Y/N) Separation Distances from Well To Septic/Holding Tank on Lot 13 S� ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot 1 �S/ ; On Adjoining Lots l S� To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot /�l/%ti Water Sample Collected by yA�"�� ; Date /2 Z/3/ �' Water Sample Test Results NU CO/LfO/t.�l SA //S��GT'D/L b�it/iT/L� acs S i�f6SS&1� Comments EST/M/ITCD 774 GqZ . eA aAC ITY /N W&I-& , 72-6-> 6AZ-- PAW f57AV /Z 1/4WV B. SEPTIC/1-16t H" TANK DATA Date Installed 6A BS. Size /000 GAL. No. of Compartments Z Standpipes (Y/N) y Air -tight Caps (Y/N) Foundation Cleanout (Y/N) y Depression over Tank (Y/N) If/ Date Last Pumped � Pumping/Maintenance Contract on File (Y/N) WAA ; for Holding Tank High -Water Alarm (Y/N) NA Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well 13.f� To Building Foundation � I/ To Property Line -7 Slo To Disposal Field S To Water Main/Service Line Course /ZCdl? Comments Page 1 of 2 72-026(1 1/84) To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 494' S,er ! d/Z Type of System Design Date Installed /2-9 Length of Field Width of Field .s - S S Depth of Field S - S, J_ Square Feet of Absorption Area Depression over Field (Y/N) — Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well / -5?s Gravel Bed Thickness /_ A Standpipes Present (Y/N) N Date of Last Adequacy Test AZIA To Property Line 162 " Z/ S i To Building Foundation 1 3 To Existing or Abandoned System on Lot On Adjoining Lots 3e / f To Water Main/Service Line To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area /4 / Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) 'Pump Off' Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed �� Date Zai%B Company A/'�c- No. �.vGiv Receipt No. �J iJ Date of Payment Amount: $ 176 r/ + °D° i� + Engineer's Seal ,. _'� ) ` pia, � H p9 's°OD¢¢¢aanan o.. Page 2 of 2 72-026 (11/84) John D. /AcCJ9!1CLoZ w' a % U - 4706c ° Cr r: Ka 11�,-1\tai .n a°- 9 arctic rlope confulting engineers MUNICIPALITY of ANCHORAol: DEPT. OF HEALTH & 6700 Arctic Spur Road, Anchorage, Alaska 99518-1550 ASUUSIDUflY OF ARCTIC SLOPEflEGIONALCOflPORATION ENVIRONMFNTAL PR04ICTIAs p g Telephone: (907) 349-5148 FEB 16 9988 Fax: (907) 349-4213 RECEIVED February 13, 1988 Municipality of Anchorage Dept. of Health and Human Services P.O. Box 196650 .Anchorage, Alaska 99519 Attn; Dan Bolles, Engineering Technician Subject; Health Authority Approval Application for Ed and Debbie Singer, Lot 5 Block 4 Greatland Estates Subdivision Addition No. 3. Sir, In responce to our telecon, we are submitting with this letter updated water tests and a copy of the well log. The Septic tank was not pumped or an adequacy test performed on the absorption field because the well pump was not set until September 1987 and hooked up until— late November 1987, leaving the system inactive since it was constructed in 1985, in fact the water closets were not set until yesterday. The system has only been used for cleanup because the house is still under construction. I hope this letter has satisfactorily answered your questions. If you have any further concerns or need additional clarification, please feel free to call us. Sincerely, Harry Bates Civil Engineer - - CJ? /`C j+) "L 1 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FEDERAL TAX ID # 92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order # 5109 Date Report Printed: FEB 11 88 9 12:49 Client Sample ID:LOT 5 BLK 4 GREATLAND ESTATES NO. 3 PWSID :UA Collected FEB 8 88 9 19:45 hrs. Received FEB 9 88 9 09:30 hrs. Preserved with :NONE Analysis Completed :FEB 10 88 Laboratory SuperviseSTEPHEN C. EDE Released By : ' C� Special Instruct: Client Name : ARCTIC SLOPE CONSULTING ENGINEERS Client Acct : ARCTICTA P.O.# NONE RECD Req # Ordered By : HARRY BATES Send Reports to: 1)ARCTIC SLOPE CONSULTING ENGINEERS 2) Chemlab Ref #: 9053 Lab Smpl ID: i Matrix: Water Allowable Parameter Tested Result/Units Method Limits ----------------------------------------------------------------------------------------------------------- NITRATE-N 0.80 mg/1 EPA 353.2 10 Sample ROUTINE SAMPLE Remarks: COLLECTED BY HARRY BATES 1 Tests Performed See Special Instructions Above UA --Unavailable ND= None Detected See Sample Remarks Above NA= Not Analyzed LT=Less Than, GT=Greater Than A-��o HEMIC5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FEDERAL TAX ID # 92-0040440 LABORATORIES Client PO# : VERBAL Req #: Client Srlpl ID: LT5 BLK4 GREATLAND ESTATES Sample Rec'd DEC 14 87 Ordered By : HARRY BATES Send Reports To: ARCTIC SLOPE CONSULTING ENGINEERS 6700 ARTIC SPUR ROAD ANCHORAGE, AK. 99518 Special CALL FOR PICK UP WHEN COMPLETED. Instruct: Chemlab Ref #! 8599 Lab Smpl ID: 1 Parameter Tested NITRATE -N Sample ROUTINE SAMPLE Remarks: ANALYSIS COMPLETED: 12-14-87 LABORATORY SUPERVISOR: STEPHEN C. EDE ANALYSIS REPORT BY SAMPLE Matrix: Water Result/Units ND(0.10) mg/l Work Order No. : 4337 Client Account : ARCTICTA Date Report Printed: DEC 16 87 9 11:57 Released By : 2sc-[/ Reports Address #2 M G /csCC/ 1 Tests Performed See Special Instructions Above ND= None Detected * See Sample Remarks Above NA= Not Analyzed LT=Less Than, GT=Greater Than Method Allowable Limits i0