HomeMy WebLinkAboutCONTOUR ACRES #3 BLK 2 LT 4Contour Acres
#3
Block 2
Lot 4
#017-451-14
0 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
` % httpalwww.muni.org/onsite EL'
__
NoI)(tiirtnl� nt
4NCR '�
On-Site Water System Permit
Permit Number: OSP191249 Effective Date: 6/25/2019
Work Type: Well Initial Expiration Date: 6/24/2020
Tax Code Number: 01745114000
Site Legal Address: CONTOUR ACRES #3 BLK 2 LT 4 G:2837
Site Mailing Address: 5204 COUNTRY CLUB LN, Anchorage
Owner: SCHLERETH HERBERT M & Lot Size in Sq Ft: 159430
Design Engineer: Total Bedrooms: 5
This permit is for the construction of:
❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy Il Private Well 0 Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15:55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:
1. To close out this permit, please provide the following:
a) Well log
b) Pump install log
c)Water sample results for total coliform, nitrates and arsenic.
2. If any of the wells are taken out of service, as defined by AMC 15.55, they shall be decommissioned and a
decommissioning log shall be submitted to the MOA.
OF
Received By: Date: /
Issued By: / • ' Date: b a 5
MUNICIPALITY OF ANCHORAGE
Development Services Department " ,;,7 Phone: 907- 43-7904
On-Site Water & Wastewater Section F . u -7 97
(;) fieWit
0 j-19
ON-SITE SEPTIC/WELL PERMIT APPLICATION
1-6
Parcel I.D. 0 17 q` 1 / O� 6 i� L9�� ��
Property owner(s) )3 SC4/elee rt-) Day phone"36 -
Mailing address /e) / co 3
Site address Ld f 41 3L4- a ('D,u/c . .Qc/ees 3
Legal description (Sub d., Block & Lot) 20� t� C44. 4, 44--If , ClS7
Legal description (Township, Range & Section)
Lot Size Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(IE all that apply)
Absorption Field ❑ Initial 12/- Single Family (SF) Er
(w/wo ADU)
Septic Tank ❑ Upgrade ❑ Duplex (p) ❑
Holding Tank ❑ Renewal ❑
Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well
Water Storage ❑
THIS APPLICATION INCLUDES A 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 prope y owner or authorized agent)
Permit/Rush Fees: o9-5 Waiver Fees:
Date of Payment: /a61/9 Date of Payment:
Receipt Number: t A3G1Receipt Number:
(ASP/q/ .0(/9 Permit No. Waiver No.
G:1Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
- own-Ry CIv_b_ j. ANE -
C. .. vy 9 2�6 . T
7-----• ------_ � a•
o 53 .6370
rte, •2,, \';:
". :
�.S t o ;
Vii..
�N .\ O a `
- Li- ")::11::k:.
CC /� /��'_e a --5,-"'1-1)
:IN.'.
�},?, 4.K,, p
`�� V o ti:,�:
O 7t v Uig( UO !-)CLC kY: :s'9 s:-i°, i a5 s
•
_ .. �7e ,`,� r3!w-:.2Nz,P \
u24_ yam J .r..i!.;w..',...• w
e
_ "--...A. Cra Li:VI Q¢� G pA
o
2 1 I).). i
F ^.2 f �qb
O x �p,,r P � ST1B
�
`
W
1 „ -
5e
„ k`k \. • v n I O
ii
I
5ep+ic vents/43 �.
I
1
Y 1
S 89 ' 3-9' oo” W '163 .So '
Recer,�;f;ed 8-3o-9od/(
AS 6 Ull.7 SURVEY /,/o Corners .
I hereby certify that I have surveyed the following
4��2.. L 0T II B1k. 2,
\ described property: ,
• ,1 f;:, � � CONTOUR A C ES AoD,J 3
'' •.r.•1•�,';. .•; - `; Anchorage Recording Precinct, Alaska, and that thi
\\ �,; ,. ,';. improvements situated thereon are within the propert:
i e" lines and do not overlap or encroach on the propert:
%-'�" lying adjacent thereto, that no improvements on prop
i �- erty lying adjacent thereto encroach on the premises ii
S C/-21 LE 1 - _ -60 • i' �; . Fred V+;,;at;:c: question and that there are no roadways, transmissioi
4 �sT•°• NO. 22...5.S °' ` 7Z� lines or other visible easements on said property excep
es<(; *.,a ''o as indicated hereon.
pa•.......=•',;.=,
° FSSiON 4' Dated at Anchorage, Alaska
164 0�1►��.�`�'a- this /� day of ,-,1°17 , 19 7 y
EAc.-'`"•' !. Cc RECORD, OT'H!P THAN FRED WALATKA & ASSOCIATES
1r-!.-2''''..- ON THE £EC^.'E F.a 7Y -6 pa 73 Engineers and Surveyors
P.• Ak: N;'.' SHOWN HEkEON,
Municipality of Anchorage Page 1--of 3
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
Permit Number: SW000294 PIDNumber: 017-451-14
~.-: · Wastewater System: [:3 New' :X~ Upgrade
Herb Schlereth
Add~2~)4 Country'.Club Lane anch., AK 99!~16. ABSORPTION FIELD
Ph°"3e~5-1740 Four {4) n Deep Trench ~lShallow'Trench [3Bed nMound I-IOther
' ' Ft FL 500 " $O.'Ft ASTM D303~ PvC
Existinq, · ' ' :' ' · ' · '
.... ~-' o~1 *' ' -I" ' ' ' ..... ' .... '
~m~ ' z~ ~ ~ ~ ~ ~ Anchorage Tank . .'1 , 250' · -'.'.
'":Wel~' ,100' >1007 N/A N/A'* .. >25' Steel .' -.'. ~ Two (2) .... * - '.
Su.a~. ,100" >1'00' .N/A N/A N/A ' ' '.-LI~STATION- N'/A':
' u~L°t .."'5'" >'10'' 'N/A N/A N/A ' ~,i, ga,o~:. . ..,[Ma"~' . .. ".' "." ':. · ,. '
.. . Drain .........
~emarks: Zabel .Flow Diverter .Val~e :-' BENCH MARK '"
Placed ,~nd' Existing' "
Absorption. Cri~ Bottom Step ~f'Stairway FrOm Opper
"~ 'Tied in ;for' Future u~e'. ' Zxisting DeC~-": .... "": "" .... "" ' :" ; ~"'
.. '.-.~ . '~ ·
. ..... · ... .':' .: .: '.;.. .: -. · ...'.. ~.~W..~.- .. .~..~.:~,~{;
'Inspections Pe,o~ b~ N~A ' Dates: ls, '8/29/00~ ~~~ ~~
," Depa~me'nt 0f Heal~and.Hpman~e~ices 'aPproval · :}~'' '~ '.~'~:: ~
Page 2 of 3
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 -Anchorage, AK 99519-6650 -343-4744
On-Site Wastewater Disposal System or Weft Inspection Report
Permit Number SW000294 PID No. 017-451-14 -
COUNTRy CLUB LANE ..
. "LEGEND '. '.'
'~ . S ; Sep~i6.Vent Pipe .. .'
'! CO-- CleAnout
! · M '-'Monitor Tube · ,
"1' 'Dg' ;.zabel Flow Diverter Valve ·
S1 · 55.7. 50.5
,S2 : 57.8 .. 57.7
C4 94.3 98.2
C5 ' :94.9 .: 98.4
M1 - ' 97,4 96.4
C6 98.4 86.8
Page 3 of 3
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 - Anchorage, AK 99519-6650 - 343-4744'
On-Site Wastewate{ Disposal System or Well Inspectioh R~port
Permit Number SW000294
PID No. 017-451-14
98.8 u: oo ,'~
17' 20*
I
ha
LM
1z
L
AN r
RY
Yy
Ll -
C CC)
Q-
"�Z
T5 16
W�e
ra '�'e
a.3
Po X
9Y,
Coro'
Y
iii �
eo
Ven
5 87'.5-f' 00" W '463 —5-0'
�A
SCI�)LL (60
No. 2
0 21
Recerii{;eo'
r�
As 6UILT SUVE
I hereby certify that I have surveyed the following11 zi AQ I
7 PECORD, OTHER, THAN
THF PECCIR� I --'- F. B, 7y -b P4 73
R M
H, E re E 0 N.
described property:
C- 0,V7 0 UP A CR LS A DpiJ. –3
Anchorage Recording Precinct, Alaska, and that thi
improvements situated thereon are within the propert3
lines and do not overlap or encroach on the propert3
lying adjacent thereto, that no improvements on prop
erty lying adjacent thereto encroach on the premises it
question and that there are no roadways, transmission
lines or other visible easements on said property excep
as indicated hereon.
Dated at Anchorage, Alaska
10 f4 J'/
this day of
FRED WAI.,ATKA & ASSOCIATES
Engineers and Surveyors
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEtNATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Aug 11, 2000
Expiration Date: Aug 11. 2001
Permit Number: SW000294
Legal Description: CONTOUR ACRES #3 BLK 2 LT 4
Design Engineer: 0014 Anderson Engineering
Owner Name: Herb Schlerath
Owner Address: 5204 Country Club Lane
Anchorage. AK 99516-
Parcel ID: 017-451-14
Site Address: 005240 COUNTRY CLUB LN
Lot Size: 159430 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Date: _~-///-~
ANDERSON ENGINEERING
P.O. BOX.240773 .. ~ .
ANCHORAGE, AK 99524
522-7773 522-6779 (FAX)
August 1, 2000
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subjecb Lot 4, Block 2, Contour Acres Subdivision No. 3
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Servic.es Engineer:. '
The ~xisting absorption crib on Lot 4, Block 2', Contour Acres Subdivision No. 3 has
failed and must be replaced. We are therefore applying for a permit to construct a new
septic tank and 'absorption system on the lot to serve the four-bedroom home. The
attached Site Plan and backup documentation identify the location and configuration of
the new septic system and the parameters used in .the design. It also shows .the
location of the existing wells on the lot and their proximity to the septic system on this
lot. The existing septic tank and absorption crib will be abandoned in place..The pipe
to the tank will be ca pped to prevent intrusion of groundwater and other debris. The
tank will then be pumped. -
Two test holes were pla~:ed on the lot in the 'area Of the new absorption trench. Well
graded sand was encountered with some gravel and trace amounts of silt. The matedal
percolated at a rate 'of 2 minutes per inch. No groundwater was encountered in the
excavation, but was noted in Test Hole No. 1 at 15' below the surface during the
monitoring pedod. Test Hole No. 2 remained dry.. We have therefore designed a 5'
wide absorption trench with 4' of gravel beneath the distribution pipe. The total length
of the trench will be 50'. The total depth of the trench from odginal grade will be 7.5'.
The ground surface on the lot slopes from north to south at approximately 2%. It also
slopes from west to east again at 0% to 1%. The new trench will be constructed
parallel to the contours in conformance with Municipal requirements. Grading will be
accomplished to assure surface drainage is away from the new trench.
If the system is constructed in accordance with our design the following statements
apply:
]. The ~ystem, if constructed as designed, will have no adverse impact on tl~e wells
in the area or those to be constructed in the future;
2. The system, if constructed as designed, will have no adverSe impact on existing
septic systems in the area or those to be constructed in the future.
Lot 4, Block 2, Contour Acres No. 3
August 1, 2000
Page Two
The system, if constructed as designed, will have no adverse impact On reserve
space, either surface or subsurface, on any lots located in the area.
o
The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Andersonl P.E.
Attachments
t
, --L
~o I Lene.: :'.
I
THIS PROJECT
NOTE: 'Nd .ConfLicts. With Wells in
the Ar~a.
AREA MAP
../
COUNTRY CLUB LANE
Well
SCOPE OF WORK:
1. Verify the Foundation Cleanout. Place New if Necessary.
2. Intercept Existing Service Line at Location Shown.
3. Place New 1,250 Gallon Septic Tank.
4. Place 2 Post Tank Cleanouts.
5, Construct New 50' Long X 5' Wide X 4' Effective
Depth Absorption Trench.
6. Pump Existing Septic Tank.
7. Cap Pipe to Existing Tank and Abandon.
8. Regrade All Disturbed Areas.'
9. Revegetate Area As Required.
Asphalt
Existi
Exisftn¢
5' Wide x 50' Long
x. 4' Effective Depth
Absorption Trench
SITE
SCALE 1"
t ~Cr.~-..%...y~
LOT 4, BLOCK 2, CONTOUR ACRES
DESIGN FACTORS:
SYSTEM REQUIREMENTS:
Four Bedroom Home 5' Wide Trench System
Perc. Rat~: 2 Min./Inch 1,250 Gallon Septic Tank
Application Rate: 1.2 GPD/SF 4' Dralnfield Rock
4Bedrooms X 150 GPD 11.2 GPD/SF -- 500 SF of Absorption Area
5000 SFI5 LF (Width)*.5 (Red. Factor) = 50 LF Trench Length
Therefore: Construct 50' Long X 5' Wide X 4' Effective Depth Absorption Trench. Verify
Foundation Cleanout and Replace if Necessary. Flowline Elevation In Trench to be 3.5'
Below Original Ground Surface. Total Depth to be 7.5'. Existing Septic Tank and
Absorption Crib to be Abandoned in Place for Possible Future Use.
· / / 2 Insulation
.5'
or 3 ~ Cover
4" PVC (}[oles Down)·
Drainfield Rock
NOTE:
· TYPICAL WIDE TRENCH SECTION
(NO SCALE)
Grade Area Over Trench to Drain Away. ·
Minimum 6' Separation From Bedrock.
Minimum 10' Separation From Lot Line.
Minimum 4' Separation From Groundwater..
~ ,~
Department of Health & Human Services
825 L Street, Anchorage, AK 99502-0650
SOILS LOG - PERCO~TION TEST
Pe orm For:
Legal Description: lot 4. Bt~k 2. Contour Acres Subdivision
OG/OL
SW
with Gravel
SLOPE SITE PLAN
North
South
Yes
No
See Site Plan
1
11
Was Groundwater
Encountered?
If Yes, What Depth?
Depth to Water
After Monitoring
Date:
15'
8/1/00
12
13
14
15
16
17
18
Bottom of
Test Hole
Reading Date Gross Net Depth To Net
Time Time Water Drop
I 27-Jul 10:20 .375"
2 10:30 10 5.25" 4.125"
3 10:31 .25"
4 10:41 10 5.25" 5"
5 10:42 .25"
6 10:52 1 0 5.25" 5"
21
Perc. Rate: 2 Min./Inch, Perc. Hole Diameter: 6"
Test Run Between 4 Ft. and 5 Ft.
Comments: Perc. Cavity Presoaked Prior to Test.
Performed By: Mi~<e Anderson. I, J~3~.-.~[~3~ Certify That This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Date: 7/27100
Municipali~ of Anchorage
SOILS LOG - PERCO~TION TEST
Pe~ormed For: Herb Schlereth Date Pe~ormed~~~
Legal Description: Lot 4. Block 2. Contour Acres Subdivision
SLOPE SITE P~N
NoRh
OG/OL
See Site Plan
SW
with Gravel
South
Was Groundwater
Encountered? Yes S
If Yes, ~at Depth? No L
I Depth to Water O
After Monitoring None P
11 Date: 811/00 E
Reading Date Gross Net Depth To Net
Time Time Water Drop
I 27-Jul 10:25 .25"
2 10:35 10 5.25" 5"
3 10:36 .25"
4 10:46 10 5.25" 5"
5 10:47 .25"
6 10:57 10 5.25" 5"
12
13
14
15
16 Bottom of
Test Hole
17
18
· Perc. Rate: 2 Min./inch Perc. Hole Diameter: 6" ~
21 Test Run Between 4 Ft. and 5 Ft.
Comments: Perc. Cavity Presoaked Prior to Test.
Performed By: Mike Anderson. I, ~ Certify That This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Date: 7/27/00
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 4, BLOCK 2, CONTOUR ACRES
GENERAL:
The scope of this project includes the procurement and placement of a
new 1,250 gallon septic tank at the location shown on the Site Plan.
Work also includes the construction of a new 50' long X 5' wide X 4'
effective depth absorption trench at the location shown. Distribution
pipe will be placed at 3.5' below the odginal ground surface. The total
depth of the trench from odginal ground will be 7.5'. Mounding over
the trench will be required to provide a minimum of 3.0' of protective
cover. The existing concrete septic tank and absorption crib are to be
abandoned in place with the pipe leading to the tank capped to
prevent intrusion of groundwater or debris. The existing tank should
be pumped to remove all septic waste. The existing system will then
remain in place for possible use in the future if necessary.
Construction shall be in accordance with the approved site plan,
design drawings, Municipal Permit with any special provisions or
conditions, and all applicable State and Municipal Wastewater
Disposal Regulations.
The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the
location of all lot lines.
Unless specifically agreed otherwise, the contractor shall be
responsible for final grading areas subsequently depressed from soil
settling. Property owner shall be responsible for revegetation of
affected areas unless specifically agreed otherwise.
Contractors installing wastewater disposal systems must be certified
by the Municipal Department of Health and Human Services for
system installations. Owners installing their own systems must receive
prior approval from D.H.H.S. before beginning system installation.
SEPTIC TANK INSTALLATION
1. A new 1,250 gallon septic tank must be be procured from an approved
source and installed at the location shown on the plans.
A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts for pumping
access.
3. The septic tank shall be suffici,ently bedded to prevent settling or
shifting of the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches
above final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct
budal insulation.
Lot 4, Block 2, Contour Acres
August 1, 2000
Page 2 of 3
6. A foundation cleanout shall be installed one to four feet from the
building foundation. Two cleanouts are required between the tank and
the drainfield.
7. Final grading over the tank shall be such that a positive slope exists
away from the septic tank.
DRAINFIELD CONSTRUCTION:
1. The drainfi(~Id shall be constructed to the dimensions shown on the
design. The bottom of the trench shall be within 2" of level.
Distribution piping must be placed level with perforations down atop a
level bed of drainfield rock. Rock should then be placed over the pipe
to provide a minimum of 2" of cover.
A silt barrier or geotextile fabric must be placed between the drainfield
rock and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations
shown on the design. The portion below ground must be perforated.
Contractor shall verify the septic tank and drainfield are a minimum
100' away from any private water wells in the area, 150' from a Class
"C" Well or 200' from any community well.
6. Direct bury insulation must be placed over the distribution system if
less than 3' of backfill depth is available. Finish grade over the trench
must be mounded to prevent settlement or depressions.
7. Grade area su'rrounding the absorption trenches to drain away.
A minimum 2' of accepting soil is required below the drainfield rock for
a 5' wide trench. Contractor shall verify this condition prior to
placement of the rock. All pockets of unacceptable materials must be
removed and replaced.
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a municipally approved septic
tank manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated
and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and
ASTM D2662 or A.B.S. (perforated and ,solid).
Insulation shall be at least 2" thick extruded direct burial polystyrene
(Dow Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Femco, or equal).
Lot 4, Block 2, Contour Acres
August 1, 2000
Page 3 of 3
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing
the #200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These
inspections must be conducted under the supervision of a professional
engineer registered in the State of Alaska. The first inspection must be
conducted after the excavation of trenches, beds or pits and before the
installation of any gravel. A septic tank may be set in place, but may not
be backfilled.
The second inspection must be conducted after the placement of the
geotextile fabdc, gravel, distribution piping, standpipes, cleanouts and
insulation. No backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction
notes for use in preparing the certified as-built of the completed system.
MUNICIPALITY OF ANCHORAGE
MEMORANDUM
DATE:
TO:
FROM:
SUBJECT:
A~gust 28, 1990
Accounting & Budget, DHHS
Fourth Floor
On-site Services, DHHS
Fifth Floor
Request for Refund - Account 92570-9426
Please make arrangements for the following refund. After
researching the application for permit issuance it was
discovered the dwelling is a duplex. The MOA does not have
jurisdiction over duplexes.
Thank you.
Janette R. Schlereth
225 East Fireweed
Anchorage, Alaska 99503
Lot 4 BLock 2 Contour Acres #3
Well permit application
Account 9 2570-9426
Amount: $50.00
Receipt 922139/2901
Laura J. Montgomery
On-site Services
cc: File
GRE,
ER ANCHORAGE AREA BOI
Department of Environmental Quality
3500 Tudor Road
Anchorage, Alaska 99507
JGH
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME /-/E~E~ ~'~'~//~'~-~AILING ADDRESS ~ ~
LOCATION ~"~/--/--~//~,~'-~/ ~"?,~/~'~' ~,'z~E LEGAL DESCRIPTION
/
SEPTIC TANK:
D,:STANCE
FROM WELL
INSIDE LENGTH
NUMBER OF
MANUFACTURER ~/-'g*~' '~"~'~¢~TERIAg ~'~g'~'~- COMPARTMENTS /
INSIDE WIDTH .LIQUID DEPTH .LIQUID CAPACITY /.,~L.~'-~ .GALLONS.
SEEPAGE PIT: / _ /~.// /
NUMBER Of PITS // DIAMETER I~ OR WIDTH -.~:/~ LENGTh, ~PTH
/
LINING MATERIAL~p ~'~/'/ "~//~I'~SlZE: DIAMETER /.DEPTH .~' DISTANCE FROM: WELL
BUILDING FOUNDATION ~'~' /
, NEAREST LOT LINE ':=~ ~ TOTAL EFFECTIVE
· ABSORPTION AREA (WALL AREA) '-~¢J;c'J _SQ. FT.
ADDITIONAL ABSORPTION ¢~'~'/~/-~ ~'/~¢~,,a~'~-~' ,~,~' ,~,~.~ ~.~,/Z~7~~-- ~ ,~,~" (/'~ /
WELL:
TYPE ,,~,,~/~:/,'~,,;'?~'~'"'
BUILDING
FOUNDATION
CESSPOOL ~
APPROVED
NEAREST ~_ NEAREST
__ , LOT LINE /g~ , SEWER LINE
, OTHER SOURCES
DISAPPROVED REMARKS
SEPTIC ~ ~z SEEPAGE
TANK -- , SYSTEM
DISTANCE FROM:
DISTANCES:
INSTALLED BY: ~/-'~ ~/'~/~:~
PIPE MATERIAl'
LOT SLOPE: ~'~m ~ ~/'g¢~//
REMARKS: ~-~t~¢?,~/~-~ ~_~'/~-/~_~
/~,~, ~J ,,~,~/~_ ~,~
DIAGRAM Of SYSTEM
DATE
Form PW-026
'3aog QIVS H~IM 3DNVaaODDV NI SI ~£~ a3alaOS3a
3AOBV 3HZ ~VHZ aNV Bg'gZ 'ON 3DNVNlaaO NgROaO~ V3aV 3gVa ~NV a3%V3)40 -~O S%N3~3alnb3a 3H~ HLIM aVIql~V4 ~V I /VH~ A411a]g I
W~IJ.SAS .-I0
'NOIJ. Y']'IY/SNI E)NIQaYE)'=I~ SNOIJ.¥-]rlg'3~ HE)I-IOMOFI OJ.
'I'II..-IMDVB 'I~AYMD
'SdV:D 3'1(]VAOVI~t~I J.H~)I.L~IV HilM O3.L.LI=I
.Lid ":lgyd':r:l$ aNY >INYJ. :31J. cl'aS NO S'=lclld NOHdI$ NOal lSVO ~I3.L"~vIa HDNI t
'"11OS a3~FIISICINFI OJ,.NI ..L"4~...-I G NOI/¥AVDX".'4
,Lid 30Y,-13':IS
'S-I-I~tM ¥3~1Y ~J3alSNO:D OS-1V
lid 3~)¥dq3S '
aq~l~ NIY)40
a~3la NIY~
..Lid 'q~,¥.-I':l':lS '
CI'1314 NIYaa
~/
~ a~31~ NIY~Q
lid
'3NI~ ~O~ /$3a¥3N O/
NNVI
/id :1~¥cl:1~]$ O/ NOIZYaN~O4
NNV/ Ol£d3$ O.L NOI~YON~O~
'NOIJ. n::):gSOMd O.L ~3rBns 38 'I'IIM A.LIMOHJ. I"IV J.N:gi~i.Ll:lVd:ga H/'IVgH
3HI Ag NOI.L'~:Id~NI 'I~fNI,-I /nOH/IM IM3J.c~A,~ ANV .-IO ~)NI'I'IlalM'~'srEI 'a:lMirlO3M "a~l/ON MROH 17~ :NOI/~:IdSNI 'IVNI-I
.Lg"a.L "1lOg .LnOHJ. IA~ c],rlVA J,ON gl J, II~lM'ad glHJ. ::3J.ON
aq31~ NIVMQ '
H~O~ ~J. O~NYNI~
MNYJ. DIJ. d'~S LdO NOI..LY-I-IVJ. SNI
A9 Q3"I']¥.LSNI :aa O.L
J. ld 30Vci'4':l S
/IWJl3d tiNY NOIIV~nddV -- W3/SAS 'lVSOdSlfl 39V/~3S
DEPARTHENT OF ENViRONI~Ehi/~L ~t,ALIi~':'
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE #
Performed For ~-~-~--~ ~l\1~,~-~-~ Date Performed ~>~-~
Legal Descri~,tion: Lot c~ Block SI_ Subdivision ~-----o~- _~¢~ -.S ~'~ '~'~
This ~orm Re~orts Soils Loll ~( Percolation Test
~e~th
Feet Soil Characteristics
3
Was Ground Water Encountered? ///~ 6'7 ~----~-~-T--T--] '/"ii'i..
I~ Vas, At what Depth? i _~_--F~~~ ~
Reading Date Gross T~me Net T~me Denth to H20 Net
Percolation Rate !linute
Proposed Installation: Se~:~a~e Pit
Den. th of Inlet De~th
c n ~!~ E N T S: ! (~ ~ .l~_z~___~_._a..~o~.
P,r~in Field
To Bottem Of Pit Or Trench.
Test Performed
ta Certif'ied g,/
Date
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received August 26, 1976
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF Pratt
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Conv.
Alaska Mutual Savings Bank % Betty C. Dayton
10:30 am
8-31-76 Tuesday
Post Office Box 1120
Herbert Schlereth
225 East Fireweed Lane
Phone: 274-3561
Phone: 277-5548
3. Legal Description: Lot 4 Block 2 Contour Acres ~3
4. Location: NHN Country Club Lane
5. Type of facility to be inspected Single Family
6. Well Data: Individual
A. Type
C. Construction
7. Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
B. Depth
No. of bedrooms 4
, Sewer Lines
D. Bacterial Analysis
1. Size
1. Absorption Area
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank , Absorption area
Nearest lot line ,, Other contamination
B. Foundation to septic tank ., Absorption area
C. Absorption area to nearest lot line
On-site system
B. Installer
2. Manufacturer
2. Material
EQ-034 (1/74) Page 1 of two pages
1. Type of Inspection:
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
CMRO VA FHA
CONV ZZX~
2. Property Owner' ~erbert Schlereth
Mailing Address: 225 E Fireweed
Name of Buyer: refinance (Herbert Schlereth)
Day Phone:
277-55~8
Mailing Address:.
4. Name of Lending Institution:
Mailing Address:
5. Name of Realtor or Agent:
Mailing Address:
sa3]te as a'DOV e
Day Phone:
Alaska Mutual Savings Bank
Rnw ll2~ Phone:
none
Phone:
Legal Description: Lot ~ Blk 2 Contour Acres 3rd Addn.
Location: NHN Country Club Lane
same as above
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
single family
Public Utility
No. Bdrms.
.Individual well
If Individual, number of dwellings presently served
If Individual, depth of well ?
Sewage Disposal System
Type of System: Public Utility
one
Individual (on-site),
If Individual, date of installation ?
B~TTY C. DAYTON, ASSISTANT SECRETARY
ALASKA MUTUAL SAVINGS BANK
~TH ~( F STREET
BOX ! ! 20
ANCHORAGE, ALASKA 995~O
72-003(3/76) TELEPHONE 907 274-3t~6!
Page 2 of two pages - R~ st for Approval of Individual ~er & Water Facilities
Legal Description Lot 4 Block 2 Contour Acres #3
Comments
Approved i~_Q ~/~.. Disapproved Date ~/'3~/~,
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)