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HomeMy WebLinkAboutMCMAHON #2 BLK 7 LT 9McMahon #2 Block 7 Lot 9 #017-361-59 Municipality of Anchorage Development Services Department Building Safety Division ;`€ = ` e\ Onsite Water & Wastewater Program, 4700 Bragaw St.' P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SWO80012 PID Number: 017-361-59 Nome: JEFF BENEDETTI Wastewater System: ❑ New ■ Upgrade Address: 3641 TAIGA DRIVE "ANCHORAGE. AK ABSORPTION FIELD Phone: No. of Bedrooms: (907) 244-0417 4 ClDeep Trench ClShollow Trench 17eed OMound OOl LEGAL DESCRIPTION s°" "°° ° '°° Death "" "" °"°"" Block: Lot: SuDdivition:Depth 7 9 MCMAHON #2 to pipe banan from aging q.oM: rL ar°eN depth .a ►roe: `' n. :, R el length: Township: — Range: — Section: — rill added aaaw englnat (rode: \1 c.o•w width �.�\S ✓ R WELL: ❑ New ❑ Upgrade N,,,na« of �.. _ D.ta,ee w:. one. clawtcoaorl Prwate. A&C : Tolal 0.D Cased To:tgmpg�� Total aaeapaon R R Pipe molerbl: X�S��N� n. H. Onaw: Date prided: Stabo water l.e•N: =a. rL s Mlaar Dale ywtppp: R RED DOG MASONRY 6/23/08 Yield: Pump set At: cawng rleiot Aaave c.awld: - �N R R TANK SEPARATION DISTANCES ■Septic C) Holding 0S.T.E.P. 0Othere To Septic Absorption Lift Holding blic/Prleate Naedact~.. aawob b Gallon.: From Tank Field Station Tank sew« Unee ANCHORAGE TANK 1250 Well 100'+ 100'+ — _Nater` 25'+ STEEL Numa« of eampat W; 2 Surface water 100'+ 100•+ — — — LIFT STATION Lot Line 5'+ 10'+ — _ _ 5re ~ vallarw: uoiwnactw«: Foundation 5'+ 10'+ _ — — on ferN pa amp eff Ie.M et: o « slam eL Curtain Drain NONE KNOWN ° Y0Y A irks knpeatwne performed by: Remarks: BENCH MARK CONTRACTOR DID NOT CALL IN FOR INSPECTIONS, Location and Deecrlp4 NW CORNER CONCRETE PAD ® REAR DOOR ALL ELEVATIONS WERE SHOT THROUGH THE OFF ORIGINAL GARAGE TANK CLEANOUTS AeeY"1ed ENeahon: 102.27 R J GEG Ltd. Inspections performed by: Dates: 1st 6/23/08 ENGINEER•e6 L ooao _ 0 OF �gSp00 3rd vvP�`c• Development Services Department Approval 4 7 x¢000 p....:...................:....0 Conditional approval: Date: • • ... 0 e y A Ca ess: Q'• C 7 e�Q *01`1311? 4erRevewed and approved b��e��prof Op 100�.49' o 0• eelaoa �40 PERMIT NUMBER: AS -BUILT DRAWING PARCEL 10 NUMBER: SW080012 017-361-59 \ \ \ \ \ 1 MCMAHON S/D /2, 1 LOT 10, BLOCK 7 1 I I \ IV 1 1 1 1 1 I I MCMAHON S/D /2, LOT 5, BLOCK 7 A B \ 1 ST1 8.50 17.10 \ ST2 12.60 11.60 \ / \ \ PC01 15.45 9.35 \ \ \ \ PCO2 16.20 9.80 NEW 1250 GALLON TANK \ \ \\\ \ \ \ PCO \ \\ 1k2 \ i A/\ \ \ i� MCMAHON S/D 02, i LOT 4, BLOCK 9 /1 / I I EXISTING BEDROOM7 HOUSE 1/ S GARNESS ENGINEERING GROUP, Ltd. - • �•- CONSULTANTS S GENERAL CONTRACTORS- 3"l ONTRACTORS -3101 L TI0011 NWA SM 101 . MCMdR4L M N • N (W7)]ll jn . MR (Y01)W -]SN . Y . �� PREPARED FOR: PHONE NUMBER: PACE NUMBER: JEFF BENEDETTI 907-244-0417 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: MCMAHON #2. BLOCK 7, LOT 9 1 P.N.B TYPE OF WORK: AS -BUILT 6/26/08 L PERMIT NUMBER: SW080012 AS—BUILT DRAWING PARCEL ID NUMBER: 017-361-59 TOP OF TANK AT INLET = 94.61 INVERT OF BUNG AT INLET = 94.03 FINAL GRADE = 98.81+ ST1 ST2 Fl A TOP OF TANK AT OUTLET / = 94.57 NEW 1250 GALLON SEPTIC TANK GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS d GENERAL CONTRACTORS.�--..—,....,......., 3n' c naas sow sort ,oI • iwocswr, A< ngrt f+unsn-sm • Fu (oonz�w . sosrc PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JEFF BENEDETTI 1 907-244-0417 1 3 OF 3 fin. LEGAL DESCRIPTION: MCMAHON #2, BLOCK 7, LOT 9 TYPE OF WORK: AS—BUILT PROFILE DRAWING (Rev. OINSI INVERT OF BUNG AT OUTLET = 93.82 BY: N ' " CE -7953 MUNICIPALITY OF ANCHOR4GE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SWO80012 Legal Description: MCMAHON #2 BLK 7 LT 9 Design Engineer: 0855 GARNESS ENGINEERING GROUF Owner Name: JEFF BENEDETTI Owner Address: 3641 TAIGA DRIVE ANCHORAGE. AK 99516 - Date Issued: Feb 21, 2008 Expiration Date: Feb 20, 2009 Parcel ID: 017-361-59 Site Address: 003641 TAIGA DR Lot Size: 24147 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of. ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ E] 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. Received By: Issued By: L►7fi/WLrA , Date: D 1 V 0 '— Municipahty of Anchorage s: CO. B(A 19666) • Andamue, 11aska Ey)�l!Lfilvill • 471M1 lilnwrc H�uul Office: (9 07) 34A$901 • Pus: (907) 34,1-K(X) Mayor Dlark Ilegicll DCvCIop1nC11t senjecs DCl)tlrtniciit February 21, 2008 Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Subject: Waiver Request for AIcIlfahon #2, B7 L9 Waiver Request WR#: 080007 Parcel ID # 017-361-59 SWO80012 Dear Jeffrey Garness, P.E.: went Department Your request for a waiver of the required 10 feet horizontal separation from the absorption field to foundation has been approved. The approved separation distance is 6.0 feet. This waiver approval applies to the existing absorption field to foundation separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, s� W Deb Woe enfus Civil Engineer On -Site Water & Wastewater Program Coll? In 1111 ity, Security, Prosperity Municipality of Anchorage \\ Development Services Department I Building Safety Division On -Site Water and Wastewater Program i 4700 Bragaw Street P.O. Box 1%650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR#:080007 PID#:017-361-59 HA/Permit# SW080012 Date Received: February 21, 2008 Legal Description: 5101ahon #2, B7 L9 Engineer. Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Applicant: Jeff Benedetti Waiver Requested: V from absorption field to foundation Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: .......................................................................... Waiver Is Granted: X Waiver is not Granted.- List ranted.List Conditions or Reasons for above: Date: 2/21/08 By: __ Deb Wockenfu ss r ......................................... ofReviewer .................. Rec#: 84551 Amount: $]-LS Date Paid: 2 /2008 Municipality of Anchorage ' Development Services Department \ Building Safety Division: On -Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 01q - t p 1, rq Property owner(s) _ JEFF BENFDETiI Day phone _ 244-0417 Mailing address 3641 TAIGA DRIVE Site address Zip Code _ 99516 Legal description (Sub'd, Block & Lot)—_MCMAHOtJ i12 SUBDIwSInN• 1 nr o of OC - Legal description (Township, Section & Range) _ N/A Lot Size, L 4 .t Sq.Ft. THIS APPLICATION IS FOR (® all that apply) Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 4 THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ 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. GARNESS ENGINEERING GROUP Ltd. peri-ed-egenF} Permit/Rush Fees: K D•yU Date of Payment: a J! V Receipt Number:__ (Rev. 11/05) Waiver Fees: 17S - u(D Date of Payment:,,-) Receipt Number:_ D I S rJ (-iAKNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS February 12, 2008 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragraw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Tank Upgrade for Lot 9, Block 7, McMahon #2 Subdivision To whom it may concern: owner plans to put an addition onto his home and will require the existinA documented 1250 -gallon septic tank currently serves the existing 4 -bedroom house. The home repositioned. Given the age of the tank we are proposing to completely abandon g septic tank h be it per UPC and replace it with a new 1250 -gallon septic tank. We are also requesting a waiver from the proposed field of 6 feet. The portion of the foundation encroaching on the foundation to the existing drain drainfield will be a slab -on -grade garage floor, so there is no potential for effluent to adversely impact the structure. There are no surface waters within 100 feet of the proposed upgrade. We are unaware of any adverse impacts this installation questions, please contact 3. would have on adjacent wells or septic is at 337-6179. Thank you for your NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all parr of the design package for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 « Anchorage, AK 99507-1259 Ph: (907) 337-6179 • Fax: (907) 338-3246' Website: www.gamessenginccring.com MCMAHON S/D /2, LOT D, BLOCK 7 DOROSHIN AVE. CLa \ McMAHON S/D /2, — — — — — _ /1 LOT 4, BLOCK 7 \ V MCMAHON S/D /2,. `\ LOMCMT LOT 10,N S/OLOC /2, / I LOT 10, BLOCK 7 MCMAHON S/D /2, 1 L32 LOT J, BLOCK 9 1 i J I \ \ \ \\ MCMAHON 5/D /2. \ \ � LOT S, BLOCK 7 / MCMAHON S/D /2, \ \ \ \ LOT 8, BLOCK 7 \ \ \ McMAHON \ \ \\ \ 4 BEDROOM I MCMAHON S/D 72 \ \ \ \ \ HOUSE \ \ /D /2, \\LOT 4, BLOCK 9 MCMAH0 S/D /2MCMAHON S/D #2 , -- / \ \ LOT S, BLOCK 9 LOT 16, BLOCK 9 / / \ \ M9McM\ \ / LOT A1HONl S/D / 5. BLOCK9 / MCMAHON S/D /2, ' \ LOT 7, BLOCK 7 �j MCMAHON S/D J2. '7 i LOT 6, BLOCK 9 GARNESS ENGINEERING GROUP, Ltd. - CONSULTANTS 6 GENERAL CONTRACTORS ......�..,,d�.__. JEFF BENEDETTI PHONE NUMBER: PAGE NUMBER: 907-244-0417 1 OF 2 LEGAL DESCRIPTION: McMAHON S/D #2, LOT 9, BLOCK 7 DRAWN BY: K.D.M. TYPE OF WORK: DATE: REVISITE PLAN FOR PROPOSED SEPTIC TANK UPGRADE 2/20/201 (Rw.O1N5) fTiL+f A\ }nese �� LETTER THAT PERTAINS TI TO OBTAIN A COPY OF CONTACT CEC. BY PROCEI \ / I IANDER, I \ THEY \ YS ANn Q P� MCMAHON S/D /2, 1 LOT 10, BLOCK 7 I � \ I MCMAHON S/D 12, LOT S, BLOCK 7 \ \ \` / INSTALL NEW \ y 01250 GALLON TANK \ \ \ EXISTING SEPTIC TAN\ \ \ \ WILL BE PUMPED AND \ \ TNC FILLED WITH DRAINROCK \ gnELD� / EXISTING4 BE HOU / is I \ I I �I 100 / 41 4Q! 1\ I I \ / 9ss / \x LOMCMAHON. BLOCK 92 \ GARNGSS ENGINEERING GROUP Ltd. - CONSULTANTS d GENERAL CONTRACTORS �. O nmt G ROM Now. sA tot • A40at L we K • n ,-•-••••�••",,•�•,•, •, �... •. • ... ... .. • •. ........... 'PREPARED FOR: JEFF BENEDETTI PHONE NUMBER: PAGE NUMBER: 907-244-0417 2 OF 2 f A. mess: LEGAL DESCRIPTION: P MCMAHON #2, BLOCK 7, LOT 9 DRAWN BY: o0^p. CE -7953 e''Z.�l? TYPE OF WORK: K.D.M PRPOSED SEPTIC TANK UP—GRADE DESIGN UAIL:2/12/2008 4 44�OPro�DOil6� ! GREA II�R ANCHORAGE AREA BORG.,GH sIJ1�✓E Department of Environmental Quality `"'-" 3330 C Street Anchorage, Alaska 99503 �/ INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME (101 IRS - Ar -r) Off! MAILING ADDRESS SRR 'bC`1C 16 PHONE -�' _x,v LOCATION LEGAL DESCRIPTION 1-4:�T g SEPTIC TANK: DISTANCE ++ NUMBER OF FROM WELL "++d MANUFACTURER �� �R a MATERIAL ��Q� COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY14 GALLONS. MIZE DRAIN / TOTAL LENGTH DISTANCE FROM WELL FC CS40UNDATION NEAREST LOT LINE 4,3(3 OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH -41N. TOTAL EFFECTIVE r/r ABSORPTION AREA ��� SQ. FT. LENGTH OF EACH LINE 9 (J r' DEPTH OF FILTER L� r� DEPTH: TOP OF TILE TO FINISH GRADE /b MATERIAL BENEATH TILE TWIN. ABOVE TILE T IN. WELL: TYPE s�� CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE , CESSPOOL , OTHER SOURCES NEAREST SEPTIC SEWER LINE , TANK , APPROVED DISAPPROVED REMARKS DISTANCES: 6 INSTALLED BY: L o,_ lb SEWER LINE DEPTH: PIPE MATERIAL: Q�xS i' L h LOT SLO T A".0(-51 Form EQ -032 DEPTH DISTANCE FROM: SEEPAGE nIAr_DAhA nG cVCT97nn J 5 1-0 a._Ji ..§_ a_:- -m_ §-._.- [I --.b i_ A. a a.. - - _.._„, P. a -a a 14 •t_. ° - e :... :, _.._ . ., .._ w tip• DE€�'ARTt'!r_NT CIF' HEALTH ANE', €:.P�d'v'Tf='i:fNIIENT:=it_ Ff,,., i -(C: FTl0h1 r�,' l- D i . f 1 f i �; I.Iu.._ir' € r.:.. rar.! eil=::� I.;E: €':. ; 36 PERN T NO. 76-356 AF'F'L.IC:ANIT CHARLES E AC:t`:SOki :SRA BOX 1582ra {.q._ 1491. I i_,OCr IT I Ota— LEGAL L'+ 87 h1t_ MAHON s UBE:i LOT SIZE }r.?1';, .:t ; :i II_Ij-I€<E € EE T TYPE OF son ABsctRBTiOta SYSTEM IS: 'TRENCH MAXIMUM NUMBER OF E:EE:Et:C3Cltri i SOIL RATING `,t;'. _'T/BR” 110 THE REQUIRED 2:IZE OF' THE SOIL f1Es_:t::tRPTIiWN SYSTEN IS: - -° EE ..F "$ �L �_ 9__ "Biu _F"== 5 a�? Ci F-•"° C -G %Z E, K_ v_-° FE ff•-•" T THE LENGTH DIMENSION I S THE LENGTH (IN FEET) OF THE TRENCH OR THE DEPTH OF H TRENCH OR P I T IS THE DISTANCE BETt• EE N THE SURFACE OF THE GROUND AND THE: BOTTOM OF THE E;,;GAVRTION (IN FEET). I HERE IS NO `_=.ET WIDTH FOR TRENCHES. THE RAVEL DE:F'•TH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE 1:1UTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET;. F, HE CA u I K_"F: C. e �: �_ -i � a� � �=@ r -d U. - =7 1 7.'_ -rte= � .__ #__q II`..,a E BACKFILLING OF Ar'a'i SYSTEM TEM €dITHOUT F- I P -,IAL" INSPECTION AND AF`E``RO`•.'A€_ 84' TH I'S: i.,,EF'ARTHENT WILL F.E. SUE:JECT TO PROSECUTION. MINIMUM D I ` TANC:E BETWEEki A WELL. AND AN ON --:SITE I TF_' E.E WAGE DISPOSAL :-:`r STEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. -€ WELL LOGE,' ARE REQUIRED AND MUST BE RETt_IRNE:€;� O THE DEPARTMENT WITHIN : CI C)A' OF THE WELL COMPLETION. :_:F-EC,IFIC:AT'ICINS AND CONSTRUCTION DIAGRAMS ARE: AVAILABLE. TO INSURE PROPER I !`:IST'ALLAT•• I ON. F-1 °e ����°j� "e° 9—nF F FT'k :s °1! 3 N.� �._o _ T CERTIFY I F''in r -IAT - :i_ I : I T I.: r IT L I AF:: ra I T'E{ THE FrEr:.�I.I I REME NT=.: FOR ON - -SITE SEWERS AND WELLS ASSET FORTH BY THE. MUNICIPALITY OF ANCHORAGE. I WILL. INSTALL STALL THE SYSTEM IN ACCORDANCE WITH THE CODE I 1 UNDERSTAND THAT THE: ON-SITE SEWER SYSTEM MAY REQUIRE ENL.AR� EivIEra T' THE: F::F_'E•IDENa—.FLICANT ZE_H10lEl'-*LED TCI INCLUDE MORE THFIN �4 BE�'DROOM . :I.GNED:__5-� I J1 �IneilL UI �.il'J I1'Uf11111, 11 to I OUaI1ty -- . 3330 "C" Street ; ....._ Ilnchoralle, /Uesl:a 99!,03 V P1;x01,A'1'1ON Performed for Bud Jackson Date Performed Jun- 4, 1'(,-)76 ejai UcscripLiUn:- Lot 9 Block I'cI`ahor. s _ I' 0. This form reports: Soils log- – ___ — percolation Dep til I"e c t 1 _— Topsoil 15/ S` (200) 1 - Topsoil 3 - S1 ( 200 ) 4 - Sbi ( 200 ) - " (2_00) 6 7 Gr, (1.7.0 )" 10 - Gr'. (110)- 11 110). 11 - Si'(200 ) 12 - Si''; (200) 13 - S11 (200) 14 - ST,. (200 ) 161 Sii ( 200 ) S/O,o Flat Was ground water encountered? c — If yes, at what d(-,pth? Readi l Date Gross Time Net Time -Depth to water_ Net Drop - – -- - - - -- '------------ .- -------:-- - Percolation ripeminute. Proposed.installation---..c)Q age PitDrain f-ield •.0i11! l ofIl let Lll FS- Depth to Lr,LLoll] of pi t or• trcnci. I'Irr'forined I;'- June 5,-..1;76 EQ 0.10 (G!'T4) Richard A. B-rfzhn P. -1Cha P r n d A. �ra..R ...- WATER WELL LOG FOSS DRILLING 1336 Ingra Street nn 1 ( �Alnehorage, Alaska 99501 WELL OWNER li�A�rk4g abon USE OF WELL Pj2tM E LOCATION LAI- 9 P� /nwle '7, / KA Ma,ti D n ;.s SIZE OF CASING 'DEPTH OF HOLE_a,FT. CASED TO / 2 FT, STATIC WATER LEVEL -4-11 T. YIELD LO GAL.PER.MIN. WITH eq__ FEET OF DRAWDOWN. REMARKS DATE COMPLETEDy%�/� PUMP TO BE SET AT Qt olL ,q t oow �,t o-,7� bp w 4 - y \ A/ q i Iq � 0 ••�` l liil 0 ' N 3� `gyp U C), I \ 2Yo 4-1 /10 IV NOTE. ' J O_ It is the,u.�+L `I.+.w..W Y' 4cJi dbivd'ty CV C.. ifop of L, XCI- i ans htp 4o F;. �J Crad©. OP 02 Vc='='m Im irdicated L-11, . �0 ----- — -- -- - - - -- ------ hereby --C ereby cu:i_,} 111m I 1: Ve r;l*V.: 1 t tier' j dea•riixd prutic;1v:.__off I f y'�,�a �o.�+�•...�o �A? Akio rc tt, ; 1(iu :: I'rc,'uitt AI;1 l t II1• sl i °• .f b ill)DIOV01n[t [ MILUi!ell 1110;T 1111 Ill Wilh1 t!!,' e � to �•�.Y� ; ,� 3� Iil � and do not GB.'i lap ul. uxt o'u h l � L, 1 :r . e'3�?:✓Tk! �r.` °. :t �Z 1>in ,�3jac,-nl-ileleto. tnilt no np: ,l IC , ,. /.7�,.00ae{�/ elle lying <Aiac •nl Ihvrrlo , „rroilch on !;to 1.. .,, L�vr*W.,CI' ,4�'Y(/� fp question tuxi that Iieot r• aIt, P.0 ro-1, ,.i,<, !::-r.-:r.:�-:un (/ �.°uioo V. tY •i •• '••a. Y�•.. Imes or ether vi.lblc e::•a�nn •etc on s;,ri pr,,po:!1. e::rrpt ,1 mdicn!("l hereon. Prod Walatkc, ra •o 1 ' 1 �� �� • iv0. 32555 ->E w Dii!cd of Anchor.171c, Ai;l kn �. ' .✓ //— Gl F9�o��0 •off• J`r as to Fr This_._.. :.,lay nf__./_'_\�y____------_----• ,%._��. I'FiE;C> \1'r\ -ATKA C ASSOCIATES I-:nl;inccrs ,1nd Surcc>,,;.� Municipality of Anchorage • Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519650 www.ci.anchorage.ak.us go 1514(907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 017-361-59 HAA# A19 aR yo�J 1. GENERAL INFORMATION Expiration Date: 10 Complete legal description McMAHON SUBDIVISION #2: LOT 9, BLOCK 7. Location (site address or directions) 3641 TAIGA DRIVE . ANCHORAGE. AK 99516 Current Property owner(s) SHANNON HARSKE Day phone 345-0809 Mailing address 3641 TAIGA DRIVE ' ANCHORGE. AK 99516 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid S w.mat, or prior to closing for the engineering services provided. 4. 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, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage (les and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SURE 2B • ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AMC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater 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 of the system, nor do they guarantee that there are no hidden defects or encroachments. AWV'JC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized. nor will it confer any legal right whatsoever. 5. DSD SIGNATURE ySApproved for bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing 337-6179 Date be 402 OF :.eP .•• •• y01 �• ON-SITE•• • 0: 1ernTCD Atkin • K Attachments: HAA Checklist Septic System Advisory Well Flow Advisory By. �u (Rw. 12101) '• Manitenance Agreements Supplemental Engineer's Reort Other T Irt O Original Certificate Date: Municipality of Anchorage • Development Services Department Building Safety Division OnSke Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 995198850 www.d.anchorage.sk.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: McMAHON SID /2: LOT 9. BLOCK 7. Parcel 10: 017-361-59 A. WELL DATA Well type �A If A, B, or C provide PWSIDII N/A Date completed 7/1/1976 Sanitary seal (YIN) YES Total depth 77 ft. Cased to 77 ft. FROM WELL LOG Date of test 7/1/1976 Static water level 64 ft. Well production 6.0 9.p -m. WATER SAMPLE RESULTS Collform _� colonies/100 ml. Nitrate _,5--mg./L. Well Log (YIN) YES Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 5/10/2002 58 ft. 6.3 g.p.m. Other bacteria 40colonies/100 ml. Arsenic: N/A mg./L. Date of sample: 5/10/2002 Collected by: AKWWC, INC. B. SEPTICtHOLDING TANK DATA TankType/Material STEEL Date installed 6/23/1976 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) YES Foundation deanout (YIN) YES Depression over tank (YM) NO High water alarm (YIN) N/A Date of pumping 5/10/2002 Pumper NORTHLAND PUMPING C. ABSORPTION FIELD DATA Date installed 6/23/1970 Soil rating (g.p.d./ft°orjj� 110 System type TRENCH Length 58 ft. Width 4 ft. Gravel below pipe 4 ft. Total depth 7.7 ft. Elf. absorption area 448 ft' Monitoring tube YES Depression over field NO Date of adequacy test 5/10/2002 Results (Pass/Fall) PASS For 4 bedrooms Fluid depth in absorption field before test 11 in. Water added 728 gal. New depth 111 in. Elapsed Time: 2 min. Final fluid depth? 1 in. Absorption rate >= 600+ g,p,d, Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date — D. LIFT STATION Date installed _ "Pump on" level at _in. Size in gallons Cycles tested High water alarm level at in. Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankflift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkinglvehicle storage 25'+ Curtain drain NONE KNOWN Wells on adjacent lots '88' F. COMMENTS 168 G. ENGINEER'S CERTIFICATIONG �� •• I car* that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this dale. Engineer's P 'nted Name JEFFREY A. GARNESS °QQ Q ICV796 Date _ _ t>�_ _ �a yrole SSIC HAA Fee $ 2n TIVU 'H J.4J\" "/ Date of Payment 0 Receipt Number. (Pw .lyol) Waiver Fee $ Date of Payment Receipt Number WWIA W TM VAn 1' . W 11�! CL1RII1 TMT I IMK HMCIoO A eo� nvn u i� v nc rala+as for t IL= 7. � m m e 4t[I�nf a M=M. *T T T � M T[ NEWWO /{AT. AK MOI fgw1I p.'LTTN CHCRAG . MALu1 1101T AMY IWCOIO TAM AK U== �my"K m T) K ww TI KTIY[ HORIT {A1D0M A>1ltVWTM-/SD. MAYW nw1��WY K AIAOOMTI m TI SOI 001MIdd I T[L NYFU Municipality of Anchorage December 8, 1986 P.O. BOX 196650 ANCHORAGE. ALASKA 99519-6650 (907)264-4111 TONYKNOWLES. MAYOR DEPARTMENT OF HEALTH 6 HUMAN SERVICES Tobben Spurkland, P.E. 203 West 15th, C Suite 203 Anchorage, Alaska 99501 Subject: Lot 4 Block 9 Mc Mahon Subdivision Waiver Request WR86-168 Dear Mr. Spurkland: Your request for a waiver of the 100 foot separation required between the well on the subject lot and the leachfield on the adjacent lot (Lot 9 Block 7 Mc Mahon Subdivision) has been granted. This distance has been waived to 88 feet. This reinstates a waiver that was previously issued by this Department. This waiver is valid for the existing well and septic system on the affected lots. Upgrades of these facilities must meet all applicable code requirements. This waiver is valid for the existing four bedroom single family dwelling only. Sincerely, Stephen S. Morris Civil Engineer On-site Services y S a�Q 0 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality g`�<LD JAilYT4%''`3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received September 28, 1976 Time of Inspection Date of Inspection ?-A 9 - 7/. REQUEST FOR APPROVAL OF ~%,kl INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: Alaska Mutual Savings Bank Mailing Address: Post Office Box 1120 Phone: 274-3561 x 233 2. Property Owner: Charles E. Jackson Phone: Mailing Address: 3. Legal Description: Lot 9 Block 7 Mc Mahon Subdivision �d1 4. Location: NHN Taiga Drive 5. Type of facility to be inspected Single Family No. of bedrooms 4 6. Well Data: Individual A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On—site system A. Installed B. Installer L k='Au C. Septic Tank: 1. Size {aSO 2. Manufacturer D. Seepage Pit: 1. Absorption Area I/q?SIG•� 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Absorption area Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Req, —`t for Approval of Individual S'�)r & Water Facilities Legal Description Lot 9 Block 7 Mc Mahon Subdivision Comments Approved /mo i Disapproved 4 Date to G Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true ano accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONY , ra 3. 9 5. 1.1 7 Property Owner: Charles E. ja,ekson Moutain Fn+Prrri sP Mailing Address: Day Phone: Name of Buyer: nmPs r e -qp-+..yM,r k Mailing Address: 5400 Day Hwt. c/o FAA Day Phone: '�'V�-6565 Name of Lending Institution: Alaska Mutual Savings Bank Mailing Address: P 0 Box 1120 Phone: 274-3561 FX+ 233 Name of Realtor or Agent: Carol Bennett Mailing Address: 2804 W. Northern Lights Phone:277-'3511 Legal Description: Lot 9 Blk 7 McMahon Sub Location: NHN Taiga Drive Type of Facility to be Inspected: SFR No. Bdrms. 4 8. Water Supply Type of Supply E Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation ? 72-003(3176) ndividual (on-site) x