HomeMy WebLinkAboutTUXEDNI PARK BLK 1 LT 9�'0�1�-c�aa-�►
Municipality of Anchorage Page [ of_,~_
" DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL'SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
PermitNumber:.~/'~'TD~L,~'~ PIDNumber:, ~i- O~p.- t I
Name:
Address:
Phone:
Lot:
·
I I I NO. of BI, rooms:
LEGAL DESCRIPTION
Township:
WELL:
Wastewater System: [] New [] Upgrade
Classification (Private, A,B.C):
Driller;
Yield:
ABSORPTION FIELD
Surface
Water
Lot
Line
Soil Rating:
Block: SubdivisionF) /~ ~ GPD/Sq. Ft
Depth to pipe bottom from original grade:
Range: I Section: ~ Fill added above original grade:
I
Ft.
[] New [] Upgrade ~Gravel width:
I
Ft.
I Total Depth: ~ Cased To: Total absorptior' area:
Ft. Ft. , SO. Ft.
I Oate Drilled: Static Water Level: Installer:
Fi.
I Pump Set at: I Casing Height Above Ground:
GPM Ft.I Ft.
SEPARATION DISTANCES
Absorption Lift Holding Public/Private
From Field Station Tank Sewer Lines
Well-
r'l Deep Trench n Shallow Trench ri Bed D Mound O Other
Total Depth from original grade:
Gravel depth beneath pipe
Gravel length:
Number of lines: I Distance between line.~:
I
Pipe material:
Date Installed:
Foundation
To Septic
Tank
J-4o~
N,
Curtain
Drain
Remarks:
TANK
Septic n Holding r-i S.T.E.P.
Manufacturer:
Material:
~T~.~L~
Capacity Ingallons:
Number of Com~rtments:
LIFT STATION
Size in gallon,-: I Manufacturer:
"Pump on" level at: I "Pump off" level at: I High water alarm at:
Pump Make & MoOel I Electrical Inspections performed by:
BENCH MARK
iLocation and
Description:
Inspections performed by: ~ % Dates: ls,',, g*/s/~' 7
2nd.
Department of Heal,t-b and Human Services approval
Reviewed and approved by: Date: 2¢-¢7
72-O13 (Rev 9/91) MOA 25
Ft.
Ft.
J~o'7'To ic~ ~ I ~l~l~7
J Assumed Elevation: O *"__ J
MARK-' ~ ~
~ 18~ ~
WBBEN SPmK~ND P.L Tuxedni Park Lot 9 BIooIc 1 SEPTIC SYSTEM AS BUILT
205 W 15TH. AVENUE
ANCH. AK. 99501 9601 Copper Drive DATE: SEPT. 1S, 1997
(907) 279-~916 Mo~ ~oline SHEET: 2/2 GRID: 2042
PE~HIT g SW970258 PIB ~ 041-0~-11 fuxOlOg?.dv9
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW970258
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:KARABELNIKOFF MARY M &
OWNER ADDRESS:9601 COPPER DRIVE
ANCHORAGE, ALASKA 99507
DATE ISSUED: 8/15/97
EXPIRATION DATE: 8/15/98
PARCEL ID:04102211
LEGAL DESCRIPTION:
'~.T'0X~E DN I'~ARK!rBLK-~ ~I~'LT T ~:9 'T? 7
LOT SIZE: 54580 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT:
THIS PERMIT IS FOR THE CONSTRUCTION OF:
SEPTIC TANK SYSTEM
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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS':
THIS PERMIT FOR REPLACEMENT OF AN EXISTING COLLAPSED SEPTIC
T. SPURKLAND P.E.
203 W. 15th. AVE. SUITE 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
Municipality of Anchorage
Department of Health and Social Services
820 1 Street
Anchorage, Alaska 99501
Subject:
Illegal and collapsed Septic Tank
Lot 9, Block 1 Tuxedni Park
PID 041-022-11
August 15, 1997
Gentlemen;
We are submitting a permit application to replace a collapsed septic tank. The collapsed tank was
installed in 1976. The Municipal inspection report states that the tank is a 1250 gal Greer tank.
Excavation revealed the "tank" to be a section of corrugated culvert. Please expedite this
application on a emergency basis. The replacement tank is on site as well asthe equipment to install
the tank.
Yours
£°NM£NTAL $£kAViN~C~H~ o~AGE
~-c~- DiViSlOIq
AUG 15 1997
R ECEi VED
INSTALL lR$O C, AL $£PTIC TANK
~] ~--- 'Cul vet t' Sep txc ~:a nk
ABANDON ~
Exi$~. J~r'olnFiel~"
TOBBEN SPURKLAND P.E.
205 IY ISTH. AVENUE
Tuxedni Park Lot 9 Block
9601 Copper Drive
tdoty 'lvlollne
SEPTIC SYSTEM DESIGN
DATE: August 14, 1997
SHEEh 1/2 GRID: 2042
PERMIT # PID # 041-0~-11 tuxOlOg~d~v9
~, GREA,~R ANCHORAGE.AREA BOR~JGH
:" ! ~'; Department of Environmental Quality
(~iJ ' 3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
PHONE
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTU RER~----I~I
INSIDE WIDTH
MATERIA~
LIQUID DEPTH
NUMBER OF
COMPARTMENTS
LI QUID CAPACITY/~,~'"OGALLONS
TILE DRAIN FIELD:
~ J TOTAL LENGTH J
DISTANCE FROM WELL //~ FOUNDATION.'~-'~ -J~-NEAREST LOT LINE /~ ~ Of LINES
'I
I
DEPTH: TOP OF TILE TO FINISH GRADE ~[~I DEPTH OF FILTER '5
MATERIAL BENEATH TILE I~ ABOVE TILE IN.
WELL:
I
TYPE_D,~,!/~) CONSTRUCT,ON_B??~,,~O DEPT. '2/ D.STANCEFROM.
SEEPAGE
, SYSTEM
BUILDING NEAREST NEAREST SEPTIC
FOUNDATION , LOT LINE~, SEWER LINE__, TANK
CESSPOOL , OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL: P/'~[$'~ ~--
LOT SLOPE:
REMARKS:
_g,/
Form EQ-032
DATE ~/--~/,~
APPROVED ~,,_.,,~~_
G.A.A.B.
PERMIT NO.
I'-ILi i'-.l 'r ,:: 'l~';;R L I ~T'-,-' C,F R I"',l,::i-~., F-'R,_S E
DEF'RR=THENT _ ' HEALTH AND ENVIRONMENTAL' ';:OTEC:TION
2._,'16 E. TUDOR FiD.., ANCHORAGE., AK. 99507 It'~ c~'-~')~.
L--IELL I=11'-.1~':., 'C~i~-.I--S I TE SEL--IEF4: F'EF~'I'-I I ":~-] .... 7""~-
"76599 )
RPF'LICRNT ~,Of:~ K'RRRE:ELNIKOFF
LCIC:RTION COF'F'ER DR '
LEGAL L9 E:'I TLIXEDNI F'K SUE:D
24'1~ ERST '1?TH R',,,'E
LOT SIZE
,_~,,_,13 SC,,!LIAF.'E FEET
T'¢F'E OF SOIL RBSOF.:E:TION S'¢STEH IS' TRENCH
MFtXIMLIH
NUMBER
OF
- .. . =,ir _,TEM :
THE REQUIRED SIZE OF THE SOIL ABSORP. TZ.~ON '-,c IS
THE I_ENGTH DIP1ENSION IS THE LENGTH (],~]4 FEET." OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE ['.'I'";TANCE BETNEEN THE SURFACE OF ]'HE
GROUN[:, AND THE BOTTOP1 OF THE E;':;CA',,,'ATION (IN FEET;,.
THERE IS NO SET NIDTH FOR TRENCHES.
THE GRAVEL DEPTH I~ THE MINIMUM DEPTH OF GRAVEL BETNEEN THE OUTFFILL PIPE
AND THE BOTTOP1 OF THE EXCAVATION <IN FEET;,.
F-:E~_----!I_I I AEC, SEPT I I__.-- TRI'41-~-: S I ZE= ~~ ~ ~3,~_,t-:'ILI__K-~i"-,IS
BACKFILLING OF 'FIN'¢ SYSTEH NITHOUT FINAL INSPECTION AND APF'F..'O~,,~L B'¢ THIS
DEPARTMENT NILL BE SUBJECT TO F'ROSECUTIIDN.
HINIMUM DISTANCE BETNEEN Ft NELL AND FINY ON-SITE SENRGE DISPOSAL SYSTEM IS
i00 FEET FOR R PRIVATE NELL OR 288 FEET FOR FI PUBLIC NELL.
NELL LOGS ARE REgIUIRED AND HUST BE RETURNED TO THE DEPARTMENT NITHIN 3:8 DR'OS
OF THE NELL COHPLETION.
SF'ECIFICRTIONS AND CONSTRUCTION DIAGRAMS ARE FIVAILFIBLE TO INSURE PROPER
I NSTALLAT I ON.
F'EF-:i--1 I T "..-'Ri_ I C, FC~F-: I--I|'-.IE 'T'ERR FF-:F_II'-I 'r SSI_IE
I CERTIF'¢ THAT
t' I AI'l FANILIAF.: NITH THE REQUIREMENTS FOR ON-_C;ITE SENERS AND NELLS RS SET
FIS~RTH B"r' THE MLINICIPRLITN' OF ANCHCIRRGE.
2' I 14ILL INSTALL THE SYSTEM IN FICCORDANCE 14ITH THE CODES.
.5.':' I LINDERSTRND THAT THE ON-SITE SEI4ER SYSTEM I'lFi'-r' REQUIRE ENLARGEMENT IF THE
F.:ESIDENF:E IS REMODELED TO INCLLIDE MORE THAN _~: BEDROOMS.
.....
, DEPFtRTI"IEI'.,IT OF.,HERLTH RND ENVIROI'-,II"IEN,T. RL P~_.TECT ]' ON
25'10 E../'"%IDOR RD.., RNCHORRGE., RI'... 9 .~,-'
°' ' : 276-2221
:~ " 01"4--~. 3E TE SEI.--IER F'ERr-II T
PERI"II T · l'-,lO.. '( 7643.7 )
FIF'PLICFtNT DON 1.4RRFIBELI'.,IIKOFF 2419 E :2?TH FIVE 272-8222
LOCRT 1' 01",i C~F'PER DR I VE
LEGRL L9 B:.t TU>~EDI'-.iI PFIRK SUB LOT SIZE 54580 S6!.URRE FEET
T'.,,PE OF SO I, ABSOR,=:TI IS
I"IR>";IHUI"I NUi"IBER OF BEDROOMS = 3. SOIL RRTIi",iG (SLq. FT,""BR..':'= "125
THE REE~LIIRED SIZE OF THE SOIL ABSORPTION S"r'STEH IS:
E::::' i F' T H = "12 L i i"-.I G T I-1~= ,,..1-~-~.- I"~ R R'-.-" i L lC:' i PTH=
__._..,,_~ i-,-
THE LENGTH DIi"IENSlON IS.. THE LENGTH (I1",1 FEET.', OF ERCH SIDE FOR R SEEPRGE PIT.
THE DEPTH OF R TRENCH OR PIT IS THE DISTFINCE BETIdEEI",I THE SURFRCE OF THE
GROUND ,R,I'.,ID THE BOTTOI"I OF THE EXCRVRTIOfL, Ix (I1",1 FEET).
THE GRR',,,EL DEPTH IS THE,,MINIHUM DEPTH O-I~'~~BETI.4EEI'.,I THE OUTFFILL PIPE
. RI'"IE:' THE BOTTOH OF THE E~,CRVRTIOI'.,I (I1'.,I FEE'S>. ~ '
-,-,-%
BFICKFILLING OF RN"r' S"r'STEM 14ITHOUT...F_~I'.,IRL I~.,I'SPEC'~T.]',,,O/N RND FtPPR'OVRL B"r' THI'=;
DEPRRTI"IENT MILL BE SUBJECT TO PRO,EI~'L't.TIOI",I.\ ! -
I'IINII"IUI"I DISTFII",ICE BETI,.IEEN R I,tELL-- FiI",,IiD~' % \RI'-,I~' ONJSITE SEI.4RGE D"l',C:;Dnc,-,/ ,,~u,='...rc~.~ 're
70 FEET F~,P.'. R PRIVATE 14ELL b.R 2ee\FEE"r'~ FOR . PUBLIC 14EL~." ......"'"'~'~" '"-'
· -,P~CIFICRTIONS FIND CONSTRI.~CTI~N DIFt~RRI',I~S RRE FI',,,'RILRBLE TO INSURE PROPER
I I",I=,TRLLFIT I C,N. '~ ~ '~,,...~
PE F-: i-.1 "r T '..'RL 'r D F'~I~ 01"4 E VEFIR FRO£-I I SSI_,E
I CERTIF%' THRT NJ
.1- I FIH FFIHILIFIR I4ITH THE: REI~UIREMENTS FOP`.` ON-SITE SEI4ERS FIND I4ELLS FIS SET
FORTH BN' THE HUNICIPFILITN' OF FINCHORRGE.
2' I I.IILL INSTRLL THE SN'STEI'I IN RCCORDRNCE I4ITH THE CODES;.
~' 1' UNDERSTRND THFIT THE ON-SITE SEI4ER S%'STEi"I I"IRY REC,!UIRE ENLRRGEI'IENT IF THE
RESIDENCE IS REI"lODELED TO INCLUDE ['IOP, E TI.-IRN 3. BEDROOHS.
Performed For Don Karabelnikoff Date Performed
Leoal Qescrintion: Lot 9 Block 1
This form Renorts Soils Lo~ yes
6/25/76
Subdivision Tuxedni Park
Percolation Test
Denth
Feet
8
10
12
14
16/.
2O
~'opsoil
Soil Characteristics
Silty Gravelly Sand (SP-SM)
Gravelly Sand (S_P) ;~O
Sandy Gravel (GP-GW)
Bottom. of Test Hole
Was Ground Water Encountered?
I¢ Yes, At what Depth?
No
Readinq Date Gross Time Net Time Depth to H20 Net Dron'
I
Percolation Rate ftinute
PrnPosed Installation: Seenaue Pit Drain Field
DeQth of Inlet Depth To Bottom Of Pit Or lrench
Cn~ENTS: 125 square feet drainaqe area required par bedroom
No ground water or bedrock encountered.
Test Performed By ~/,/~4~o F~. 75~[L6~ Data Certified BY: CONSTRUCTION TES~
James D Mack
Date:
6/25/76
,:~". Well:Owner
.~ .-'..:.....
Location (address of:
, .
M-W DEILLING, Inc.
P.O. Box4-1224 · 1310C International Airport Road
(907) 274-461 l
ANCHORAGE, ALASKA 99509
DRILLING LOG
Don Karabelnikoff
__.Use of Well Dom
Township, Range, Section, if-known; or distance main road
' ' L9,
'.: Size of casing 6
.~....,~.,.. Static water level 40
· -' Screen (' ' ):
None
'I)esc~'ibe screen or Derforation ' '"
;.:..,"/'.--' 'lKell pumping test.at. 10 gallohs pe~ ('~)
~'.~ , .,~, . ,
w'.~ -'' of-drawdown /rom static level '-
;:~..: :,. Date of'compldtion 23 June 76
Blk 1t Tuxedni Park Subdiv.
Depth of Hole__ 70 .feet Cased to 70 feet
ft. ~:. (below) land surface. Finish of well (cheek one)
Perforated ( .. ).
open end (' X
.... .,:; ,ground surface
(mim~te) for. 1 hours with 1OO~
Depth in feet from
WELL .'OG
Gi:v'e"details of fbrmations penetrated, size of material, color and hardness
'TO 1, .~
TO 22
.TO. 67
-- TO 71.
~TO,
TO
TO
· .TO
TO
TO
TO,
.TO
TO
TO,
Casm. nc :' tickup
Sandy:GraVel
Gravel
Wate~ Gravel:
__ s 1 i gh t I y_.__a_~tkd 5'
1 -- CUSTOMER ' '.
let
Inspector ~ , ~.j:
· REQUEST FOR APPROVAL :O~
Lending Institution :.!Req~ -=
$ iling Address-i iP0st Offi
Property Owner ',
e
e
e
.,, ;: ;': ' Inspector
INDIVIDUAL !SEWER:i:AND WATER FACILiTI.ES
::,,,,,.'"' ir t National' Bahk of Anchor'ag~.: ':i.
;i~ 7 ~:~ ~ '
:e. ox 20 99510
a~y M. Kar.a. be~lnikoff
'1!9601 ugpppr.Drive
· M iling Address;: ~
~loC~ 1 'Tu
Le~ gal Description
I ·
single Family ResidenCe:
Multiple Family Residenc
It,_ ~ _ ,
We±± ua~a: Type IndividU~
C '
onstruction
i'
Sewage
P&rmit
Absorption Area ",'·,,~5
Distances: Well: to S~PtJ
to[ Sewer L~nes : ~ ~ N,
AbSOrption Area to' Neares'~
3
Well: LOg 'Filed
in~r, 'to[i Absorptio~ Area
Line
iarest "
t
i Number :' 0f,: Bed'rooms:
Number:. Of Bedrooms:
DePth. lr ;:'; i '
Bacterial Analysis
edhi ;iPark ~ubdivisi6n''t; :
Phone: !27'6:-6300/483
Phone: ./2~,2~8222
Page..Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description:
Lot 9 Block 1 Tuxedni Park Subdivision
Comments:
Affadavit Attached: '(' )
Disapproved: Date:
Department Worksheet:
Letter Attach~ed:
( )
MUNICIPALITY OF ANCHORAGE, UN[OPAUT¢ OF ANCHOP. AGE
DEPARTMENT OF ENVIRONMENTAL QUA, LIT~EPT. O~ H~ALTH & '
3330 "C" Street, Anchorage, Alaska 99503 - 2~J~qMENT~\L PkOTECTION
I,,4AI $1 1977
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILI'~E~i~, ~l.~/Ji r%
Type of Inspection:
CMRO VA FHA CONV
Property Owner: Donald G. & Mary. M. Karabelnikoff
Mailing Address: 9601 Copper Drive .
Day Phone 272-8222.
X
3. Name of Buyer: none
Mailing Address: z~/a
4. Name of Lending Institution:
Mailing Address: ~. O, ~ox 720
5. Name of Realtor or Agent: none
Mailing Address: n/a
Day Phone
First National Bank of Anchorage
Phone 276-6300 ex~ 483
Phone
Legal Description:
Location:
Lot 9, Block 1, Tuxedni Park
9601 Copper Drive
Anchoraqe, Alaska 99507
Type of Facility to be inspected:
existinc sin~. le familv
' No. Bdrms. ,'3
Water Supply
Type of Supply:
Public Utility
Individual
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility
Individual (on-site)
If Individual, date of installation
EQ-037 (1'/741
Marie Iiams 3/30/77
Jun~ 11, .',1976
Deputy DA~ector, :Health and ~nviro~mantal P~o~ectAon
~e.c/ueat for' On-sAte Sevage Disposal ~emit for
Lot .9'.B. lOCk 1 T~e~ni Park .S~iviSion
On.June ll, 1976, 2.~. Don Karabelu'ikof£ requested a
for on-site sewage permit, As the.soils test hmd~notbeen
.c~ietea the ~it coul~ not b~ ~sua~. Until such ~
~m l~clear~g A~ c~plet~ to allo~ access '~ the
the te~t ~ no~ ba c~p~ted.
E. ecausc the soils An the surrounding lo2$ are of goo~ .quality
_~-~-d there i~ reason to believe that the. ~oAls on Lot 9 ~lo~k 1'
will be .~ccmptable, X am issuing a Waiver of the
requirements for a ~hree (3) we~k period beginning today. X
"during ~is per~od. Please do not';issue '~h~ fin~
Thank you.
Leroy C. ,F~Ad, Jr.
Deputy 'D~ector