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HomeMy WebLinkAboutFOREST RIDGE BLK 1 LT 6Cm i 16LJL +`al -iia --i9 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221208 PID Number: 017-112-79 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name EVERETT ROBBINS &CATHERINE DIEHL-ROBBINS ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ® Bed ❑ Mound Site Address 5327 MANYTELL AVE, ANCHORAGE AK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot FOREST RIDGE 1 6 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 Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Fie Ft. Well 100'+ -- 25'+ TANK ® Septic ® S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1500 Gal. Surface Water 100'+ -- Material STEEL Number of compartments 2 Lot Line 5'+ __ NA Foundation *10'+ __ LIFT STATION Manufacturer GREER / ORENCO Capacity 1500 Gal. Remarks *TO MAIN FOUNDATION. SEE STEP ASB NOTE. Alarm location FIRST FLOOR Electrical installed by RISING SON / MNA InstallerMNA —MIKE N. ANDERSON Tankto PIPE MATERIAL House to tank 3034 dra nfield 3034 Drainfield CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection I't 10/6/22Location dates: 2nd 10/7/22 and description 3'd 4t TOP OF MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL OF A. Conditional Approval: Date r ='tQll TM �•• "•• ••••••••••� Septic System Appro Curtis Huffman e - . Date l Z • CE 128991 .��/� 9s }�•. 11/29/22 .•��� I,F�PROFESS10O Note: this approval does not include well permit requirements. `\\1: tR@v Vo/VL/ Its) PID:017-112-79 PERMIT: OSP221208 SURVEY: JLS DRAWN: FWCS SCALE: 1" = 30' MT MT \ f� \ t� INSTALLED o_ 1500 -GAL STEEL STEP SEPTIC APPR X SHED1RECONNECTED TO EXISTING EXIST NG FIE D FIELD, 9 ODO o ' D eck D \�� RSUN �3p. MC CO �F Cgk4, NT MT MT cANr 8 p' d o L O T 6 B L K 1 3� O ti h 10 10' o ti SEPTIC\ 2.0, M lip' SETBA k \ A—C=42.5' B—C=13,0' A—D=44,8' B—D=21,1' STEP TANK INSTALLED BY MIKE N ANDERSON, PE IN SAME NEEDED LOCATION OF EXISTING STEP & IS 10'+ TO THE MAIN FOUNDATION WITH NO KNOWN OR ANTICIPATED SOIL BEARING ISSUES. SEPTIC SECTION SCALE, NTS FOREST RIDGE BLK 1 LT 6 PREPARED FOR: EVERETT ROBBINS & CATHERINE DIEHL—ROBBINS 5327 MANYTELL AVE ANCHORAGE, AK 99516 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 FirstWaterAK@gmail.com SUPPORT® SERVICE C • DATE: 11/29/22 SURVEY: JLS DRAWN: FWCS SCALE: 1" = 30' LOT 7 O Rl Arl OF ALS 9 TII ttis Huffman wx04 CE 128991 111/,229/20221 X e4 `� �SS100' SEPTIC VENT LOT 6 (tYP) 1� "od SHED � zx1 CAN. 0 MH K i MH (CA Al & M 4 0" CANT e 11.5 • vi 1Op•\ o REaC rl \. 0 SfrgAC�\ WELL LOT 6 BLK 1 PAVED f D/W p6 \ R�'2Ss8 S83`44'03" 93. 9' L' �2 MANYTEL_ LyA�E � ,� © �S cj�� of o m AS -)GUILT OF: FOREST RIDGE SUBDIVISION LOT 6 BLOCK 1 PLAT 86-178 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawring and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shouh any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DA7E: SCAM-E_MN OCT 31, 2022 1"=40' t; schuller0ok.net 22-110 DRAM BY: I CHECKED BYJ GRID NUMBER: BOOK/PAGE: JLS SW3137 220357 OO = FND 5/8" REBAR ANCHORAGE RECORDING DISTRICT, ALASKA LOT 7 0 IcV (D 0 O P,Q�� yp,') SUR V� 49TH OHN L. SCHULLER! ��el LS -10408 �Q® :..„.�.... 1831 Taikeetna Street �� Pap'•3 l' a Anchorage, Alaska 99508 °fessionot (907) 227-1455 office (907) 274-4992 fax MUNICIPALITY OF ANCHORAGE On' ite water $ Ykfastawater Program PO 90a 7.95650 -0 700 Elmore Road AndXv e, Aj;gs .99519 W Phone: 007) M5-7904 Fax (947) 343-7907 h mp:INAm.rnunLorgeonsle On -Site Wastewater Disposal System I ennit Parmlt Number: OSP221208 Work Tripe: SeptIcTank Upgrade Tax Cade Number; 01711279000 Sile Legal Address: FOREST RIDGE BLK 1 LT 6 G:3137 Site Mailing Address: 5327 YAANYTELL AVE, Anchorage Owner., R013BIN EVERETT G & Deslgrr Engineer: FIRST WATER C-ONSULTING Th is peTmit i s for th-P nstructi on of: Effective 0kate: Expiration Date: Let Size In sq rt - Tota I Bed rooms - WW2022 &30120 44680 ❑ CISposal Field A eptic Tank ❑ Holding Tank El Prlvy ❑ Private VVell El Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements speclGed in Anchorage Municipal cede Chapters 15-85 and 15.65 and the Skate of Alaska Wastewater aislowal Regulak6aris (18 AC72) and drinking Water Regulations �18,4AC80) The wastewater code requires inspections during the installation, The engineer shall notify the Development Services Department per AMC 15.86. Prcmde notlfieation by calling (907) 343-7904 (2417)- 4- From QotoWr 15 to,4pol 15, a subsurface soil abqarp6an system under oonstruction during freezing weather shall be either: ar. Opened and Dlase}d on the sarnedey, or b- CoveTed, sealed, and heated to prevent freezing Received B� Jssued $y_ Date, TM 22 Date: _ 4 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-112-79 Property owner(s) EVERETT & CATHERINE ROBBINS Day phone Mailing address PO BOX 231373, ANCHORAGE, AK 99523 Site address 5327 MANYTELL AVE., ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) FOREST RIDGE B1, L6 Legal description (Township, Range & Section) Lot Size 44,680 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank R Upgrade El Duplex (D) ❑ 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 property owner or authorized agent) Permit/Rush Fees: 9 '� a 5 Waiver Fees: Date of Payment: G*/15 , /'2 Date of Payment: Receipt Number: � 1511 U Receipt Number: Permit No. 0 S 19aa 1 :0S Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Clie nt Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com June 20, 2022 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK (STEP) UPGRADE PERMIT LEGAL: FORREST RIDGE BLK 1 LT 6 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1500-gallon STEP tank per the attached design to serve the existing 4-bedroom residence. An adequacy test was performed on the field and Mike N Anderson, PE spoke with the owner onsite prior. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221208, Deb Wockenfuss, 06/30/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221208, Deb Wockenfuss, 06/30/22 Municipality of Anchorage Page I 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 Permit Number: SW940156 PID Number: 0/7/1279 Name: Wastewater System: New ❑ Upgrade MORCOLE ,1" ABSORPTION FIELD s3z. /nA reLcAVE,. +41*1e. No. of Bedrooms: 996/(, O Deep Trench O Shallow Trench Dead PrMound O Other l)CNOQ E 4A LEGAL DESCRIPTION Soil Rating. Total Depth from original grade; Z •S' cl-Lif GPD/Sq FL Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe 5" /'C6 i - '/Ft, Ft. Township: Range: Section: �— Fill added above original grade: ZX -3-SFt. Gravel length: G10 Ft. Grovel width: Number oflines: Distanabelween6nes: WELL: $J New ❑ Upgrade /SFt 3 1 4.s" Ft. Classificat2io/nV(PArivate, A,B,CI: E Total D: Cased T�Ft Total absorption area: SOFt. Pipe matea�0//ic%P Y.G�Ft . Driller. , Date DNled: SMbcwaterlevel: f CAM.. 7-I-99 I 3Q Ft. Installer. Date Installed: scot/Y RoleDEILS 9 -2G -9H L ,A)6 /"IAAr, Yield: Pump sol at: Cuing Height Above Ground: TANK ZO GPM 90 fl. Z Ft. SEPARATION DISTANCES 11Septic ❑Holding )gS.T.E.P. To septic Absorption Un Holdup bIMJPtivats Manufacturer. Capacity in gallons: From Tank Field Station Tank Satyr unM cR,4rr6- 7 /S -M weir Material: Number of Compartments: water° /00 t /au' /00' --- LIFT STATION Lot_ 't Size In gallons: /SC70 I Manufacturer. /q tzHORs7GE 7,- Cwj E. Line /O "Pump on" level et: "Pumpoff level at: High water alarm at: 4r - Foundation /it Z7� // �— 40- 3i'» Curtain NQN / _AJ WAW Pump Make d Model OS/ 05 /fM Electrical Inspections performed by: /".0. A. Drain BENCH MARK Remarks: AkE oT/y 6RAVEL urrp/vflZrIERdam- Location and Description: ToP oa Fouu Tx�tJ .CJ�a72 "g - Assumed Elevation: /OO• a1 3 a S ENGINILRING 17034 Eagle River Loop Read, No. 204 9y Inspections performed by: rote RJwr Alaska 20471 Dates: 1st 9-/z ; „ ...:..... M. r 2nd & A l ^ ROEERT C. COWAN f C (++(1 Department of Health Services approval �and flHuman %� Date: �G ��� qq dcJF^GitSSt��I��„a+'~ Reviewed and approved by: �u 72-013 (Rw. 9N1) MOA 25 Permit NoSW940155 Page 2 Of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 * Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Descriptiorf.OREST RIDGE SUBD.. BLOCK 1, LOT 6 PID No.: 01711279 :108.6' 3 1 (LIT VT HT AL GRADE ....... W ................... t ... . ........... W ..... . ....... t . . .................... ......... . ......... ........................................ ........................................ ............ . . I C01 CO2 LL rADRIC OR MTER 9.9 YR BARRIER —1hoIT31 (LITI& 102.6, 106.1. NET IWO CAL 95.2'2 LITZ) LIT4) i.................................. ......................................... ............. ................................... ....... t5l .......................... ........ ATE P ....... .... .............. 3=9 N.T.S. A— 137 rC_0 3 0. 0 2.5 00129.0 12.0 CO2 30.0 19.5 MH 31.0 22.0 NEW PRESSURE DIST. BED N ------MTI 60.0 31;6 IM 69.0 40.5 MT3 72.0 84.0 MT4 79.0 890 NEW 1500 CAL S.T.E.P. i ................ . ........ . ... ................... . . ......................................... ......................... . ............. ......................................... .............. . .. ... .... .................................... ..... ............ GO 2 'CO ....... 0 6M 1 -1 ROBERT C. COWAN SCALE I" - 40' C 'W E-8801 ............ 44 AI 11C 2.013A(IM)- Sent By: Alaska Water and Wastewater Con; 907 338 3246; May -28-03 8:55AM; Page 111 ., ..mss. _.:.,-r..:-.-....+np...-n „�►�p^a�rr ., E STATE OF ALASKA a ro 3 g j DEPARTI MIIT OF NATURAL RESOURCES DIVISION OF WATM WATSII VVEIL 1NCM LOCATION OF WELL 1101101AN a11a01 UMIN - t -0R NLOCK at1CTiD1141M ae0110M 1111110! , . TIM M MIP POI f .,L OE Ow fU�[l Or LocATTaN/sKIiTCN VML 01 KIM WAVAW MmOcni1q tap Oprarwr' auetaea -VA" bv"p DATE OF COIMPLETIOtI 5ONS M 1DATAt WOPM ofWe; !f/ ft 7 1 � l� Material TV" vW cow, Fran To r d L DEPTH TO STATIC �YAT" t BVD: .��rr_tt i�lsw atop of cmhv O wound some p WE4F WILL X!(domeatla .i ilrioadon. C7 rlwnlmr 7.4f ©a *ft vn* 13 odor � � �-• 6CJt►G+►1 Qf CASINO iT�CII t1 in. Cllskq 1Ype: in. m t .WILL OTAKII10po 10 TYPE: Wepsa vW ©saow*d O pedwaW ,,ar �ow hoe De uv of operlmgs: to ft SCAM T1fPE: Diem:, StatAVlesh Sire: LwV ft GRAVEL PACK TYPE: vokaria used:um ' Dept11 to top: GROAT TYPE: Vokime: _ Depth: iron ft m ft DEMOPMETtT 7. -- DEC 1 2X94 i�01110 o LEV& PIVD . ft altar Liss pu►nov Opm ALASKA DNR/DIV OF WA PUMP i11tAKE DEPT1t: _ It Hweepawar. WELL OIfN1F>=w tIP1 ATIQ[R I YE$ C7 NO CONTRACTOR :INFORMAATION: REMARKS: ep Tee st a Name ,� �_ gtt PLEASE MAIL WHITE COPY OF LOG TO: L — = % ONRIMISM OF WATER ignature of AUtWTIZOdespy auve Date PO'WX 772116 Zp EAGLE RIVER AK 99577-2116 PAGE 1 OF MUNICIPALITY OF ANCHORAGE %�� KDEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 0 ANCHORAGE, ALASKA 99519-6650 1 s r, qf/L 0 i23 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940155 DATE ISSUED: 5/31/94 DESIGN ENGINEER:S & S ENGINEERING EXPIRATION DATE: 5/31/95 OWNER NAME:NORCOL INVESTMENTS OWNER ADDRESS:5327 MANYTELL AVE ANCHORAGE, AK 99516 PARCEL ID:01711279 LEGAL DESCRIPTION: FOREST RIDGE BLK 1 IT LOT SIZE: 44680 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL 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) . 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: THE MAXIMUM WIDTH OF THE -BED MUST -NOT •EXCEED -IS -FT. _.WIDE , . r ,.-oTHEREFORE THE LENGTH -WILL BE 100 FT.SINCE A LARGE PORTION � OF.THE BED IS OUTSIDE OF THE'30 FT TEST HOLE RADIUS,- THE ' 20.MIN/IN GM ACCEPTING_SOIL.MUST.BE VERIFIED THROUGHOUT THE 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 625 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 IBED'DURING-CONSTRUCTION. LAKE'OTIS-GRAVEL -IS -NOT =APPROVED, ,FOR THE -3 FT- SAND: FILTER _LAYER..- -- " RECEIVED BY: ISSUED BY: PAGE 2 OF 2 DATE • J� /I I YY DATEQI r ROBERT SHAFER. P.E. ROGER SHAFER. P.E. May 23, 1994 CIVILENGINEERS (907)694-2979 FAX 694.1211 RECEIVED REALTHAUTHMMY Municipality of Anchorage APPROVALS DEPARTMENT OF HEALTH AND HUMAN SERVICES MAY 2 41994 825 ILI Street P.O. Box 196650 NfuniapaGly OI Anchorage Anchorage, Alaska 99519-6650 Dept. Health 8 Human Services SEWER I WATER MAN EXTENSIONS REFERENCE: Forest Ridge Subdivision; Block 1; Lot 6 SEWER A WATER INSPECTION On may 18, 1994, a permit request for the installation of a new well and septic system was sent to your office. REEOR TSSTUDIES The owner of the referenced property requests the proposed well AN location be moved to the southwest property corner. There are no points of contamination within 1001 of the proposed well. We do not anticipate any adverse effects on neighboring properties by the WELL NSPECnON proposed well. I FLOW TEST uestions, or require additional information for your If yozShafer, revietact us. SITE PLANS S' ce ROADDESIGN rP.E. SOILTEST PERCOLATION TEST STRUCTURAL I MECHANICAL INSPECTIONS ONSRE WASTE WATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER. ALASKA 99577 May 17, 1994 ROBERT SHAFER. P.E. ROGER SHAFER. P.E. CIVIL ENGINEERS (907) 694-2979 FAX 6944211 HEALTHAUTHORITY APPROVALS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street SEW&WATER P.O. Box 196650 MA"ERMNSIONS Anchorage, Alaska 99519-6650 SEWER A WATER 114PECTION REFERENCE: Forest Ridge Subdivision; Lot 6; Block 1 ENGNEERNOSTUDIES Request you issue a permit to drill a well and install a septic system ANDREPORTS to serve the proposed four bedroom house an the referenced property. Two test holes were excavated and percolation tests performed. The approximate location of the test holes are located on the attached site WELLNSPECTION plan. At the time of excavation water was encountered at 9' in test AFLOW TEST hole #1 and 8' in test hole #2. After seven day ground water monitoring water was found at 8' and 71, respectively. This property has enough area for a future septic upgrade which can be SITE PLANS seen on the attached site plan. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. ROADDESIGN If you have any questions, or require additional information for your review, please contact us. sincere , SOIL TEST PERCOLATION /)/ �^ rt A. Shafer, P.E. TEST , 1 %7`_ STRUMRAL A MECHANICAL INSPECTIONS ONSITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER. ALASKA 99577 1 LEGAL FOREST RIDGE SUBDIVISION, BLOCK 1, LOT 6 DRAWN J, ANDERSON I CKD. R.A.S. ATE5-17-94 ISHT. 1 OF 2 DESIGN CRITERIA: 4 BDRM = 600 GPD SOILS = 0.4 GPD/SO.FT. 600/0.4 = 1500 SOFT. REO'D BED: 2.5' DEEP (REMOVE ORGANICS/ML/SM INSTALL 3' LAKE OTIS GRAVEL 6' GRAVEL OVER AND UNDER DIST. PIPE 18' X 84' J VON • j PROPOSED 1500 S.T.E.P. PRESSURE DIST. SYSTEM: PUMP = 20 OSI 05HH 5 STAGE (-30 GPM) 6 LATERALS 39' LONG EA. 5 GPS(/LAT - 8 HOLES/LAT - (5.25' O.C.) 48 HOLES TOTAL - 0.59 CPM/HOLE 3116' DIA. HOLES FACED DOWNWARD, 1 DIA. LATERALS 1-1/4' DIA. SOLID MANIFOLD Z ¢P NO CONTAMINATES WITHIN�� v (L 100' OF WELL Q in PROP. ti` WELL 4 U.)\ SEEK J ` II MAN' STRUCTURES, EASEMENTS, OR ENCROACHMENTS SHOWN ON THIS SITE PLAN ARE AS SHOWN ON AN AS -BUILT SURVEY DRAWN BY: GASTALDI LAND SURVEYING IT IS THE RESPONSIBILTIY OF THE CONTRACTOR TO VERIFY EASEMENTS, REQUIRED SEPARATION DISTANCES, AND PROPERTY LINES PRIOR TO CONSTRUCTION. sgc PROPOSED PRESSURE \\az DISTRIBUTION BED Tie 1 11.2' AL. ) � y.A n �I I CO Mn 6 FCO T i\ oo�n\\ ,04. 0 yp.ROPOSE \ / HoDS� CONTRACTOR IS REQUIRED TO \ OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION WORK. 0' IATLL RADIUS PLATTED WELL CLIENT ELL qVE \� Mow. tte wYw M PN t -s M'K LL:D.. I.iCLSS.nr, M uLL, SC e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825"L" Street, Anchorage, Alaska 99502-0650 SOILS LOG � — PERCOLATION TEST PERFORMED FOR: FFE PE7F—RSON v%zPL.R / DATE LEGAL DESCRIPTION: LoT6 , 14 Fw 1C/L1Gf'�OWnship, Range, Section: I SLOPE 1- 2- 4- 5. •4•5 6' 7' 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS DJUAAIU ML SAA GAA WAS GROUND WATER ENCOUNTERED? C's S IF YES, AT WHAT r L O DEPTH? P E Depth to Water Atter r 1I I `11 Monitoring? - Date: ." (ENGI R'S SEAL) ".t r r •'�� F,'j •� 516 6q No. 14?�F 1.•..• SITE PLAN Reading Date Gross Time Net Time Depth to Water Net Drop 11 9 r 6Sa o IOMW •' 0 to J PERCOLATION RATE .Abb TESTRUNBETWEEN PERFORMED SVO34 Eagle River Loop Road No. 204 Eagle Rlyer, Alaska 99577 ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINS.' 72-008 (Rev. 4185) C ranch) PERC HOLE DIAMETER S FT f et,I'a L1ri / CERTIFY THAT THIS TEST WAS PERFORMED IN ON THIS DATE. DATE: e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: I,4,LONY// f'7.I/G!y/f t" I ea --r— DATE PER LEGAL DESCRIPTION:L/'f7 b (S(.c �� II4,5 -o Township, Range, Section: DEPTH CC SLOPE (FEET) �C1Le/N OW t4i 2 �' -CA-L ML 3 4 l5 ... 6M� W — SANoy GfLNV6 " 5 WITH St" z St/ 7. 6-1- I. 7 8 �Nt w%T I 10 WAS GROUND WATER �/� ' VVV��1"( ENCOUNTERED? /GZ_ 11 5 S \ IF VES, AT WHATI— L DEPTH? O 12 P E Depth to Water After g e y"iO"9e'i 13 Monitoring? Galt. 14- 15- 16- 17- 18- 19- SITE 41518171819 COMMENTS ........ ...�. . •o' .1 A. Shafv- Y .�°tip, •� SITE PLAN PERCOLATION RATES (minutestinch) PERC HOLE DIAMETER TEST RUN BETWEEN �D FT ^- PERFORMED Br.17034 Eagle River Loop Road No. 204 Eagle River, A a a 99577 ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINE 72-008 (Rev. 4185) CERTIFY THAT THIS TEST WAS PERFORMED IN THIS DATE. DATE: Municipality of Anchorage p� • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-112-79 HAA# 4ADIU L 1. GENERAL INFORMATION Expiration Date: 0 ` -. 3 - 0 3 � P� Complete legal description FOREST RIDGE SUBDIVISION; LOT 6 BLOCK 1 Individual On-site 0 Location (site address or directions) 5327 MANYTELL AVENUE * ANCHORAGE AK 99516 Current Property owner(s) Mailing address Lending agency CALLAWAY Day phone c/o CAROL BUTLER w/ REMAX PROPERTIES Day phone Mailing address Real Estate Agent CAROL BUTLER w/ REMAX PROPERTIES Day phone 257-0116 Mailing address 2600 CORDOVA DRIVE * ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 $ at, 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, 1 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. t 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 andlor 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 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKWWC, 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. AKW WC, 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 Approved for _! bedrooms. Disapproved. 337-6179 Date b Conditional approval for bedrooms, with the fllowing stipulations: et(tt((fl((flI/� ', ON-SITE 1n/nrF=R nn)n WASTEWATER ; Attachments: J���' •. , • • • . •' ��'�� ` HAA Checklist Manitenance Agreements Ji�jp Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other By: Original Certificate Date: S--2s-p3 (Rev. 12/01) M RIWA MUO �tect 7/i /.1994 ,pari .: •, Soeitb Braga>nt St ; , 0 1-iEALTH- AC'JTHQR I .y§4> GO eh+� RIWA I :A, R �tect 7/i /.1994 ,pari .: •, Soeitb Braga>nt St ; , DxAriChors.�kC 99x19-6650 FR(3trA -wit M 8knc rage`ak,us i r.leuel7.7 s.38 Owl 2t7, I .y§4> GO eh+� u) -b. 'aetyarvision" ar B�:YVasr}evuaiter Progr;•am .: •, Soeitb Braga>nt St ; , DxAriChors.�kC 99x19-6650 M 8knc rage`ak,us 44 &4 wTY t:'FfOVAL CNCKL�ST r 3 Miph(, LQTr 6, BUCK 1, 61 3M 017 1:12 79 ` :. r de RW51D#�. N A '; ,Weil Lng�(�1F1I,V) YES 1�tN.) YES w rly protecied .(;YEN) oF YES WA,Casing height (atiovs ground) cQion{esl100xn{ Mlit 6 cleanout (YIN D.: LIFT. STATION Dete:installed 9/16/1994 Size in gallons . -' 150 : '< : ManhnlelAccess (Y/N) YES-. "Pump on level at 43 in. "Pump off" level at ,42 5 —in:.1, High water alarm level at 45 ' in'. Datum'BOTTOM OF TANK Cycles.tested 3.. Meets -alarm &circuit. req uirements? :YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON :LOT TO: Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot" ` 100'+ On adjacent lots 10.0.+ Public sewer main N/A Public sewer-manhole/cleanout Sewerlseptic`service line 25'+Holding tank N/A: SEPARATION DISTANCES FROM SEPT.IC/HOLDING.tANK OWLOT;TO:., . Building foundation V+ Property line Absorption field—':z Water main N/A Water service line 10'+ •-,. Surface water 100'+ ' Wells on adjacent lots 100'+ SEPARATION DISTANCE: FROM.ABSORPTION FIELD,ON L•OT.TO f.. Property Cine ...• .. 10'+ ..: Building foundation t 0'+.,.)/Slater main N/A Water service line 10'+ Surface water 100'+ Driveway; :parking/vehicle .storage ' 10'+. `Curtain:drain NONE. KNOWN.:.. ,Wells .on adlacent,lots r: .F. C.OM:MMENTS �o'QOOOOc� Mag 09 03 01:58p Butler & Butler 4qEd�e I p V . O 00 �: O yy' Q ueLt_• •Pa S s3 t ySo6' S93e 44' 93.49' u M —__16, vz. 907-276-1584 Ef tsTtN 4 Quno We as B eeNrFY VEQ(a ' ro x• 33 CeNc. 3/y re y e A. C. DQwE t"A J— 0 10 I L I I hereby certify trial I nave surveyed the property depleted above and that no GASTALDI LAND SURVEYING encroachments exist except as Indicated. Jeff A. Gaalaldl, R.L.S. It is Iho responsibility of the owner to 4726 West 8811% ave. determine the existence of any sosemenis, Anchorage, Alosha 99502 covenants or restrictions which do not PHONE 248-5454 appear on rhe recorded subdivision plat. Under no circumstances should any dale hereon be used for conalruetlon or for GRID DATE 3137 9. 29.9 establishing boundary or fence tinea. F.B. JOB NO. ANCHORAGE RECORDING DISTRICT. ALASKA LOT 6 SEPTIC VENTS zrs4% IAN -2=ASL r.r. CA N7. • • >s• p.2 0 0 w 0 0 b 40.r- Z MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES. Division of Environmental Services Onsite Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. M d 17 11 :)"71 HAA # R A' 9 t Logo) 1. GENERAL INFORMATION :;;;;- ::; .. Complete legal description Lot 6i• Block 1; "Forest Ridge Subdivision Location (site address or directions) 5327 Manytell Avenue, Anchorage, AK Property owner Fuchs Electric Day phone 349-3231 Mailing address 5327 Manytel l • Ancharaga Lending agency Mailing address Day phone Agent Pohor•c n r., -,,.1p Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: "i 4 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest - Ing to the legality and status of system. - ; '',; $ ►.)J)� \ 4. TYPE OF WASTEWATER DISPOSAL Individual on-site xxx . - - Holding tank Community on-site r - Public sewer ..-:L A\\1111\. . NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. ' 72-M MR .V21) F10M MOIU21 . .• .". •,...` •.:- - 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify 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 Phone 4j4q—}9711 Address S 3 S ENGINEERING 17034 ExIlle River twp Itand No. 2114 Engineer's signature -910 Ri r 12k}y957 Date 9 4 /cI N c. OF At y � ROBERT G COWAN f� �c CE -8801 .`a. li 6. DHHS SIGNATURE ttl� Approved for 4_ bedrooms. " Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments gY •//Cc.wc�`%�f/. %Gd'(.f' Date 10-5'- y¢ ; ,By. CAUTION .'*:'The Municipality p \ nchorage Department of Health and Human Services (DHHS) Issues Health Authority ;Approval �ertifCates based only upon the representations given In paragraph 5 above by an Independent professional engineer registered In the State of Alaska The DHHS does this as a courtesy to purchasers of homes and their lending (nstitutions in orderto 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 72425MI Wt) Beat MOAm Municipality of Anchorage AL AEM Department of Health and Human Services an HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L cr / &,oc.K I FoaESi /Z C66 S/DParcei I.D. _ _,T 0/7//279 A. Well Data Well type P21 V If A, B, or C, attach ADEC letter. ADEC water system number /(J/e Logpresent Y&) Yr.S Date completed %-/-9`/ Driller Total depth /oo' Cased to /0,3/ Casing height / I'fi Sanitaryseal&) 116S Wires properly protected l Yj N),_LG -, Date of test Static water level Well flow Pump level FROM WELL LOG 7- J8/ 20 g.p.m. Bo' SEPARATION DISTANCES FROM WELL TO: AT INSPECTION Septic/hetdiagtank on lot /00 //- ; On adjacent lots /00 �Y Absorption field on lot 00 r1 ; On adjacent lots /OU it Public sewer main % /./- Public sewer manhole/cleanout r aS � Sewer service line � '� Petroleum tank rn 0 Vi M .D N Co .A WATER SAMPLE RESULTS: ��y Coliform �/(�M,X , Nitrate 01/0 rO /X Other bacteria Date of sample: 9 �% 94�G TWaq614- Collected by: �� 5; C�/NL�12/oJG JLJI%A�E B. SEPTIC/H9tBtNG TANK DATA Date Installed Tank size 1.560 GQL 5:r&O Compartments Cleanouts Y ) %19:5 Foundation cleanout Ya) Y6rs Depression (YO High wateralam(ON) se"e L'F_' ST.§/-ionJ d424 Alarm tested(,( Date of pumping N�,M - NEc-J E YS?2:A4 Pumper A)/4 SEPARATION DISTANCES FROM SEPTICM9LSNd@TANK TO: Well(s) on lot / 00 it On adjacent lots /OJ /f Foundation S r7 To property line /0 �� Absorption field -S -t-- Water main/service line /U Surface water/drainage / off -- 72-026 ("3)' cf-- 72.026(399)• Front . CONTINUED ON BACK PAGE C. LIFT STATION Date installed 1 �1 Zr 94 Manufacturer ('ryCHORA66 TAA)h- Size in gallons /SW Manhoie/Aocess &N) 'eCS Vent (YO Nd 'Pump on' level at Iy3 " 'Pump off- Level at High water alarm levet 416.0`�416.0-Cycles tested 7 Meets MOA electrical codes ®N) ES SEPARATION DISTANCE FROM LIFT STATION TO: -73,11 3" Well on lot /UU /7'�On adjacent lots /Uy r-,"- Surface water /C 3 O /)0- D. t D. ABSORPTION FIELD DATA Date Installed 1 Not !qSoil rating (GPD/Ft2) 0, 4 System type _ Mo ti,4 C Length ?00� Width c /Sr Gravel thickness 2s Total depth 3,5� Total absorption area Cleanout present (YN ,Uo Depression over field (Ye No Date of adequacy test IJ/;4 -N60 SYSTEM Results (pass/fail) A& for I//A Bedrooms Water level In absorption field before test :2A After test N Peroxide treatment (past 12 months) tlt✓� �� If yes, give date .ulig Sy./S� %Nt /.SSV t. AT1EA D ' SEPrARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /oma 4 On adjacent lots / cy_-�, 17z' Property line /0 rf_ To building foundation /O (f To existing or abandoned system on lot - N/A On adjacent lots ZC3rr- Cutbank A)-4AJf I'°LCJCA-rT Water main/service line (U fI Surface water t00 r'4-- Driveway, parking/vehicle storage area Curtaindrain NoNL"' i_R (0C-J/J. E. ENGINEER'S CERTIFICATION I cert* that 1 have checked, vented, or conformed to all MOA and HAA guidelines in e4 Signature Engineer's Name R ofi xitr C. 66""" Date 9/:;L-rr/,TY HAA Fee $ Date of Payment Receipt Number .3772/ 72.026 (393)• Back 10 ,. f' date of this inspection. OF p ROURT C. COWAN ! ti �C :4 CE -8801 �; Waiver Fee $ Date of Payment Receipt Number