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Home My WebLink AboutMCMAHON #2 BLK 8 LT 13McMahon Block 8 Lot 13 #017-361-54 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: O$t2[OI 23(~ PIDNumber: 01'~ Name: E~.~/~i~., ~C~S L Wastewater System: ~ New ~ Upgrade Address: 3~6( TAt~A Or~v~ ABSORPTION FIELD Phone: Number of Bedrooms: ~ ~DeepTrench ~ Shallow Trench ~ Bed ~ Mound D Other: Soil Rating: Total Depth from original grade: LEGAL DESCRIPTION I. ~ GPD/Ft2 I1 .t. Block: ~ Lot:J~ ~ ~u~division~ ~ Depth to pipe bo~om from original~ grade: Ft. Gravel depth beneath~pipe: Ft. Township: Range: Section: Fill added a~ve original grade: Gravel Length: */' ~ Ft. 50 Ft. Well: ~iS~;.~ ~ New ~ Upgrade e .... 'width: 3 .umber of Hnes: [Bistancebe~eenlines: Ft. [ Ft. Classification (Private, ~ B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Driller: Date Drilled: Static Water Level: Installer: Yield:GPM Pump Set at: Ft. Casing Height Above Ground:Ft. ~ ~'~ TANK SEPARATION DISTANCES D Septic B Holding B S.T.E.P. B Other: T~ Septic Absorption Lift Holding ~ubtic/Private Uanufa~urer: Capacity: Tank Field Station Tank Sewer Line GaL Well [~ ,~ Material: Number of Compa~ments: Sudace Water I~I~ ~ ~ X/ LIFT STATION Si~ ~[~ Man~a~urer: Foundation J0 ~ "Pump on" level at: in. "Pump o~' level at: in.l High water ala~ at: in. I Cudain Drain ~01 ~ Pump Make & Model Electri~l Inspections pedormed by: Remarks: D¢~;~ ~¢~[~ AssumedElevation:~OO [ Ft. Development Se~ices Depa~ment Approval ConditionalApproval Date: ~, ~,. ~S __ ~gep-'cic~- ~ ~ l-F-~.~' "---~ / , ~ ,, _ Lo~ 3 ~ ~ ' / ~ ~ ,/ INSPECTED STEP TANK INTEGRI~ ~ep~ic ................ , ~ OEPAR~ENT ~U~ENTAT/ON. A~ LOCAT/ONS SHOWN ARE 20~ ~ ~FN. AVENUE ANCH. AK. 99501 DEN/SE PEFRASH DA ~E: DEC. 8, 2010 ~907) 279-~916 ~861 TA/GA DR/VE, ANCHORAGE, AK 99516 SHEEn 1/~ GR/D: 28~5 PERMIT ~ D2P]O~36 P/D ~ 0]7-36]-54 NcMohon~SL]3~J. dwg installed Valve To ex/sting dr'ain P/eld I ° ° 1500 gal STEP tank -- ~ Ver/£/ed Integrity oP ~onk St~nd~rd Trench~ I ~.5' Wide N~ SChLE Monitor . 8,0 P~ oF Sepiic Rock EXISnNa rANK INSPECTED 1500 gal STEP ionk &O.H. ELEK= a4.7' NO SCALE NO ~ATEQ OBSERVED BENCH ~ARK ~0~0~ SIDING N~ CORNER OF HOUSE ASSU~ED ELEVATION I00' SPURKL~N~ EN~INEEa~Na MoMAHON ~ BLK 8 LOT 1S S~PTIC SYSTE. ~SUUILT ~03 WlS~h Ave Anchonage Ak 99501 DENISE PETRASH g~TE, OEC. 8, ~OW a79-~91~ ~I EAI~ DRIVE, ANChORAgE, AK gg$lS SNEET~ J/J GRI~ ~835 PER,IT ~ OSPIO2J6 PARCEL ID ~ 017-J61-54 ~c~ohon~2BSLlJDJ. d~g Development Services Department Building Safety Division ,. On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box, 96650 Anchorage, AK 99507 ~w.ci.anchoraqe.ak.us (907) 343-7904 Soils Log - Percolation Test Pefiormed For: ,5[ ~¢~3k Date Pefi°rmed:~ Legal Description: ~ ~ ~ % ~K 9 L~ [~ Township, Range, Se~ion: Slope Site Plan 2- 3- 4- 5- 6- 7- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT DEPTH? L O Depth to Water After p Monitoring? E Date: Reading Date Gross Time Net Time Depth to Water Net Drop O" 1.1 Z~, ' ~ 0 ~, ¢ 2~zI,o G TM O l~t~oF~ 2:3Z,0 6" PERCOLATION RATE /-~ [ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ..~ FT AND (42 FT COMMENTS PERFORMED BY: i ~, ~~%' CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPA~-~IDE~INES IN EFFECT ON THIS DATE. DATE: ~/6~ O On-Site Wastewater Disposal System Permit OSP101236 01736154000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 EImore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: Tax Code Number: Work Type: Upgrade Permit Effective Dates: November 09, 2010 to Design Engineer: SPURKLAND ENGINEERING Subdivision: MCMAHON #2 November 09, 2011 Site Legal Address: MCMAHON #2 BLK 8 LT 13 G:2835 Owner/Address: PETRASH JIMMIES & DENISE 3861 TAIGA DRIVE ANCHORAGE AK 995162859 Site Mailing Address: 3861 TAIGA DR, Anchorage Lot Size in Sq Ft: 28705 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field N SepticTank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: THE ENGINEER SHALL DO AN ADDITIONAL PERCOLATION TEST AND GROUNDWATER MONITORING PRIOR TO CONSTRUCTION OF THE DRAINFIELD. PLEASE SUBMIT RESULTS WITH THE AS-BUILT INSPECTION REPORT. IF THE RESULTS REQUIRE A DESIGN CHANGE, CONSTRUCTION OF THE SYSTEM SHALL STOP PENDING ON-SITE REVIEW AND APPROVAL. Date: Date: ii Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907) 343;7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Property owner(s) Mailing address 3~G] Site address Legal description (Sub'd., Block & Lot) /~c ~ Legal description (Township, Range & Section) Lot Size .Sq. Ft. Day phone Zip Code Zip Code Number of Bedrooms ,t./ 33~- 3ggi THIS APPLICATION IS FOR ([~ all that apply): Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage 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. (S~gnature o~ pi(operty owner or authorized agent) Permit/Rush Fees: g ~'~O oo Date of Payment: iO//3/2r~lO Receipt Number: ~ *Y'~' ~ :~"('~' (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: Environmental Consulting and Design SEPTIC SYSTEM DESIGN McMahon #2 Block 8 Lot 13 Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 October 11th, 2010 Subject: Septic System Installation Permit 3861 Taiga Drive Ladies and Gentlemen: I am writing to request a permit to upgrade the septic system for the above referenced property. The proposed system will serve a 4-bedroom single-family residence. The existing system was installed in 1993 and did not pass a septic system adequacy test. Design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Calcs: T No Groundwater observed to a depth of 17 feet below ground surface (10/7/2010) Soil Rating. From Testhole 7/12/1993 1 min/in = 1.2 gal per sq.ft/day No. of Bedrooms 4 Required Area per Bedroom: 150/1.2 gpd/sq.ft.= 125 sq.ft. Total area required: 125 x 4 -- 500 sq.ft. System: The existing septic tank will be inspected and if found to be sound, a diverter will be installed between the proposed drain field and the existing drain field. The absorption field will be 50 feet long and 2.5 feet wide and contain 8 feet (800 sq.ft, effective) of sewer rock. Soils: Four test holes were logged by Ted Moore of Flat Top Technical Services in July of 1993. The original soil logs are on file with the Onsite Water and Wastewater Program. The soils observed included clean sand, sand and gravel, a few minor silt lenses and gravelly silty sand. The stand pipe for test hole #4 was located and no ground water was observed on October 7th, 2010. Percolation test results were in the 0 to 5 min/in, range. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland~gci.net ~~~, ~"~ Environmental Consulting and Design ~ Surface Water: There are no surface waters within several hundred feet of the proposed septic system upgrade. Topography: The area is generally level near the proposed drain field. Waivers: None Required. The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, _ // Civil Engineer 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland~gci.net / / I Lo-t: ~ ~ep't:lc~ Lot: Lof 9 NOTE: THIS IS NOT A SURVEYED PLAT. WELL Er SEPTIC LOCATIONS TAKEN FROM ON-SITE IVATER AND #'ASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOIVN ARE APPROXIMATE. 50 fl 50 lflO 150 2Off ~5fl 300 S£AL'D 1~ = 100 FT. SPURKLAND ENGINEERING 205 W 15TH. AVENUE ANCH. AK. 99501 (907) 279-$916 MoMAHON [/2 BLK ~ LOT 13 DENISE PETRASH $861 TAIGA DRIVE, ANCHORAGE, AK 99516 SEPTIC SYSTEM DESIGN DATE: OCT. 1, 2010 SHEET: I/$ GRID: 2855 PERMIT # DSPIOXXX PIB # 017-361-54 McMahon#2BSL13Bl, dwg -~ ~rea / ~ / ~ ~ pRAINFIE~ OURING CONS~ I ~ ~ ~ W4II ~ X '~, ~ INSTALL 4-BEDROOM DRAIN FIELD % x , i % % d I INSPECT STEP TANK INTEGRI~ ~ep~Jc % ' % % '~~TANK · BAFFLE INTEGRI~ t LOCAtiONS UKEN ~0~ ON-S/rE WATER AND WAS~ WATER j ~ DEPAR~ENT ~U~E~ArlON. A~ LOCATIONS SHOWN ARE i J ~ APPROX/~. I ' ~ '*:~'.. ,,Nh.,,.~'~ ,~- , SCALD 7' = 50 F~ mUNKmNO ENGINEERING NeW'NON ~2 B~ B ~0~ ]2 SEPtiC SYSTEM DESIGN 20~ W 15TH. AVENUE ARCH. AK. 9950~ DEN/SE PETNASH DATE: OCT. ~, 20~0 (907) 279-~9~6 ~8~ TAIGA DRIVE, ANCHORAGC AK 995~6 SHEEn ~/~ GRID: 28~5 PERMIT ff DSP]OXXX Piti ff 0~7-36~-54 McMohon~BEL]3~],dwg Install Valve To existing dra/n £ield 1500 gal STEP tank -~ Ver/£y In~egr/0 o~ and baffle~ ~fan~ar~ Trench~ ~,5' ~i~e i 11' Beep 8' Sewer rock ~,.** 3' Cover ~- ~ ~ ~ ~ ~ 49~ ~ ~ ND SCALE Monitor 8,0 Pt oF Septic Rock --/ U Effective 1500 gal STEP tank ND SCALE SPURKLAND ENGINEERING ~o~ON ~2 B~ 8 LO~ ~3 SEPTIC SYSTEM DESIGN 203 W15~h Ave Anchorage Ak 99501 DENISE PErNASH DATE, DCE II, ~010 ~7~-~ $88I rAImA BNIV~ ANONORA~E, AK ~18 SHEET, $/$ GRIg, 8835 PENWIT ~ OSP I OXXX P~RCEL ID ~ 017-S61-54 WcWohon~2BSL l SD$.d~g Municipality of Anchorage 'Page t 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: ~l,v' q3o23~/ PIDNumber: Name: Wastewater System: [] New '~ Upgrade SusAN Address: 3B~l ~At~A bR ANCH. ABSORPTION FIELD ND. of Bedrooms: ~Deep Trench g Shallow Trench ~ Bed ~ Mound g Other Total Depth from original grade: LEGAL DESCRIPTION Sci[Rating: [-2 GPD/Sq. Ft. :2'~ ~ Lot: ~ ~ Block:~ Subdivision:~c ~O~ ~ Depth to pipe bottom~,~from original grade: Ft. Gravel depth beneath~,~ pipe Ft. Township: I Range: Section: Fill added above original grade: Gravel length:~_ I I O. ~ Ft.~ Ft. Number of lines: Distance between lines: WELL: EKI~T~N~New ~ Upgrade Gravel width: 2.~ Ft. [ ~ Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. ~6 .~ Se. Ft. IYN" 5CH~ ~0 ~C Driller: Date Drilled: Static Water Level: Installer: Date installe~ / ~ Ft. ~E~J~ CONTRACT. S -G ~% Yield: I Pump Set at: Casing Height Above Ground: TAN K GPM] Ft. Ft. SEPARATION DISTANCES ~ Septic ~ Holding ~S.T.E.P. To Septic Absorption Lift Holding ~ublic/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank S .... Lines A~C~O~ ~ Material: Number of Compartments: Well I0~~ /16-' JO~ ' -- >~ ¢~EEL Surface Water ~ ~oo' >~0¢' >~' - - LIFT STATION Lot Size in gallons: Manufacturer: Line ~0' ~' ~O~ -- - 50~ ORENCO /~C~ T~ 5T¢1 "Pump on" level at: "Pump off" level at: High water alarm at: Foundation ~' ~O' ~ ~ -- -- ~5 ~' ~1 '* ~9 ~ Curtain Pump Make & Model Electrical Inspections performed by: Drain ~.A. N-~. N*A. - - ~1 I/Z ~ ~.O, A. Remarks: ~v~ ~ l~ll~~ p¢~ ~,~ BENCH MARK / Location and Description: EN61NEER'S SEAL E- ~, -,~ ,., Inspections performed by: F{~p ~ch %~c Dates: 1st 8/~-/93 ~w..,,,~--.., , 2nd ¢/¢/~ ~/ ~ ~ .... ~ . THEODORE- F. MOORE 7 - ..... Department of He¢)~/~ Human~ ~ ~Services approval e~... c~-358~ .,. .evi wed and pprov d ate: ....... ' 72-013 (Rev. 9/91) MOA 25 'PermitNo. S~' ~.~'OZ.~2 Page ~ ' of '~ Municipality of Anchorage 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 Legal Description: L.o¢ O/ [~/oc~ ~ ~cIw¢ho,.~ -~/D ~F~ PID No.: swING TIES From: Cor. "A" To: C.O. "C" 52' C.O. "D" 58' M.T. "E" 53' M;T; "F" 42' Cbr. "B" 9I 17' 26' 61 ' LOT13 20! 0 20: 40 FEET COR \ \ \ \ -,, \ \ ,, \ NEW 52' LONG \ TRENCH M.T. /' \, Ori0inal Tronch SHEDi / BDRM -HOUSE COR i't = ¥~ ' NEW 1500 GAL STEP TANK / / \ \ \ //~\. / 100 Flattop Techn~ical Service: 14530 Echo Street ~iSchorago. ~laskc~ 995I~ 72-013 A (Rev. 9/91) MOA 25 . · Permit No. 5k/ c~302 ~ Page ~ of ~3 Municipality of Anchorage 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 LegalDescription: LOT F5 BLK S, ~cJVlAHoN ~2 PIDNo.: Ol-/3GtS'g Ot~ l~-. ~0'J~ Bo~o~ ~ TR,M ~v~r I 5 .T. E .R ~A~K ~s~'[ ~o No ~ORI~oNTAL ECALE ~O ' [ ENGINEER'S SEAL 1~530 Echo Street ~ ~ . ,. ,..~ 72-013 A (Rev. 9/91) MOA 25 ' ~~' ~/~;~"~"' ': " ..... ~ ECTION PEP[ · NUN 1CIPALITY Ot? ANCHORAGE~ '~IU.[LI~ING SAFETY DIVIS 3500 EAST TUDOR ROAD INSPECT IONS. (907)563-3464 _ ~ IN~'ORMAYION (907) NAME: FUCHS ELECT . ~EB~IT 1 AIDBBSS. 3861 TAIGA DB I:'HONE ~:~4."~.-.,~n~'~.~,1 TYPE OF INSPECTION: ELECTRICAL SERVICE 0 0 0 0 ]NO NONCOMBLIANCE [ ] COBBEC~IONS ESSENTIAL O'BSEBVED EXPLAINED BELOW [ ] WILL REEXAMINE AT NEXT INSBEC~ION [ ] DO NO~ CONCEAL COMMENTS :' Flattop Technfca! Sezvlces ' 14530 Echo Stree~ Anchorage, Alaska 99518 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:SW930239 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:DONOVAN TIMOTHY L & OWNER ADDRESS:3861 TAIGA DR ANCHORAGE, AK 99516 DATE ISSUED: 7/19/93 EXPIRATION DATE: 7/19/94 PARCEL ID:01736154 LEGAL DESCRIPTION: MCMAHON #2 BLK 8 LT x13 LOT SIZE: 28705 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /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 343-4329 OR 343-4681 AFTER BUSINESS 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: DATE: DATE: '~ &'&..¢~;; ~;~:;$, ~ .. ":'.'/%~ ;;~-*::' ;.% - % ,, ;, ." ·-.'%:0:.¢ -;~.::~%.>~ C~ & EN~ON~NT~ ENG~EER~G * ENERGY CONSERVA~ON & ~YS~ THEODORE F. MOORE, P.E. July 13, 1993 14530 ECHO ST. PH: (907) 345-1355 ~CHORAGE, ~KA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a pcrnfit to upgrade the wastewater disposal facilities on Lot 13, Block 8, McMahon S/D g2, located at 3861 Taiga Drive. The existing soil absorption trench is no longer able to accept the wastewater flow generated by the residence. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The proposed system will be constructed in the vicinity of test hole # 3 As can be seen from the soil log, the native material between 2.5 and 8 feet below ground level is a clean sand with a measured perc rate of 1.5 minutes per inch. Perc tests conducted in test hole #1 demonstrated that the underlying material is also pem~eable. Using the soil application rate of 1.2 gpd/sq, ft. specified in the wastewater ordinance, this 4 bedroom residence requires a total absorption area of (4 x 150)/1.2 = 500 square feet. The proposed 50 foot long soil absorption trench with 5 feet of sewer gravel beneath the horizontal distribution pipe has a total absorption area of 500 square feet. Utilizing the most optimum shallow sand stratum will necessitate installation of a lift station. Pressurized distribution of the effluent throughout the trench will be accomplished by means of a 1.24" dia PVC distribution pipe with 3/16" diameter holes spaced 2.5' on center. The hole size and spacing is based on a pump rate of 15 - 20 gpm. Each of the 20 3/16" holes will pass 0.94 gpm of effluent with a 5' pressure drop across the orifice. The topography of the lot is generally level, with approximately a 3% slope downwm'ds towards the southwest. The proposed project will have no impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any impact on reserved space/surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. LOT 13, BLOCK 8, McMAHON S/D #2 WELL AND SEPTIC SYSTEM SITE PLAN FgATTOP TECHNICA~ SER¥ICE$ 1 INCH = 40 FEET 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 JULY, 1993 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. 20 0 20 40 60 80 100 FEET ~ PROPOSED 50' LONG ~'\ \,,, SOIL ABS. TRENCH .x'X ,., W. 5' GRAVEL ./' ""~ '".,., /' ' -- / / / ) ~ THEODORE F ~OORE LOT 9 ~ ~ ~ ~-' A TuBE · ). ~¢R£B qo Pvc A 2.5: O,C. PLAN VIEM I"= lc)' 1500 6AL. $.T.E.P. 'TANK ~ EXCAVATION S:CTIO~ "A-A ~att6fj Td&hhiSi31 S6i~ces 14530 Echo Street ~fichorage, Alaska 99516 LoT 13 B.L< ~o PI~MAHoN SOIL ABSORPTION -I-RFNCH bATE : '-//q'~ PERFORMED FOR: !i '~''-,- 14530 Echo Street ~fi~orage, Alaska 9951S Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 5usA~ bo~oVAN LEGAL DESCR,PTION: LOT t~r_~_~.~..Sr._~.~_~/J~~ .]ow,,ship. R.ngc, Se¢lion: SEC 27. T/2N. ,SLOPE SITE PLAN 1 2 8 9 10 11 12 13 14 15. 16- 17 18 19 20 / xx / PT St,'1. R/Db 15FI S/~Nb¥ LO/JiM / ~P CLE~ M 5ANb I ~EC~MING FINE~ ~_.__ ~ITH DEPT~ , / - Too TH~N To P~RC~ 5P Co~R5~ 5AN~ WAS GROUND WATER ~ ~-'/~ ENCOUNTER ED? 5 ~ ~ ~/~V[LL"{ IF YES, AT WHAT O DEPTH? p 5 I,LT'{ SANb E Oep(h to Waler After : ~OI'~E COi~LE~ Monitoring? 'F/,77 PC~- Dale: DENSELd Gross Net Depth to Net Reading Date Time Time ~vh i,~' I:Z~ t~'So/)4 (,,1~8 _ 2,: 33:30 27 3/8 START 2: Hq: .2: ~,~: I~' 4 Hzo _ 2:q~: 2:qs:~/~ 2 2.1 + N2o 2: q'~: ~£ 23 PERCOLATION ,qATE ~'~ l''~ (minutes/inch) PERC HOLE DIAMETER ~:~ 9 TEST nUN BE]WEEN _ ~ __. FTAND ~.~ FT COMMENTS ~~ Co~c ~o~_ ~ ,~1{o~ ~ 'l~ C[~ ~ ~ ~ ~~ ~'~' ~'. ~./ r~.,~ I,~h ~ ~fy;~ ~t~[ ~o~ ~c. PERFORMED BY: FLATTOP 'FECH 5~C~ I ~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; ~/ I~ ~ 72-008 (Rev, 4185) PERFORMED FOR: :~ ..... 145;30 Echo Street ~ffChoxage, Alask~ 99,516 Municipality of Anchorage DEPARTMENT OF HEALTH & FIUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST SUiA~ l:)or~0 VAN LEGAL DESCRIPTION: 1 2 3 SP 4 5 6 7 9 10 11 12 14 15 16 17 18 19, COMMENTS LENSES WITR I~ORE' oR LE~$ CI~Av~L PocKET OF bAR~t COA,RSE 5ANb LENS OF ~L {'ON~ 5~ SILT"( SANb 'I'.~l. -lb3 gut ~ORE CO~gLE~ lownship, Range, Section: <~£C 27~ T/2N SLOPE SITE PLAN ~IDE ONL~ WASGROUND WATER ENCOUNTERED? S IF YES, AT WHAT O DEPTH? p E Deplh to Wa e~ A er x, / Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE 'IESI RUN BE rWL.EN z (minutes/inch) PERC HOLE DIAMETER F'r AND __ FT m ,,, /-e,';,,./ :F-o~,J,r/ ;,., ~ /-J.. PERFO~MEDSY: .F'L,~TTOP T£cI't SCE~ I _'~~ CERTIFY THAT THIS TEST WAS PERFORMED iN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFI:EC] ON TFIIS DATE. DATE: 72-008 (Rev, 4/85) 14530 Echo Street Anchorage, Alaska 99516 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG ~ PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTIoN:L PT 3 4 5 6 7 8 9 10 11 12 13- 14 15 16 17 18 19 20 COMMENTS boNovA~ Township, Range, Section: 5£C 27 ~ '1"12 fl , ~ 3iv' SLOPE SITE PLAN sANb¥ dRAV£L WAS GROUND WATER ENCOUNTERED? N S L IF YES, AT WHAT O DEPTH? p Deplh to Water After Monitoring7 lO' B.6.£, Oale: Gross Net \ Depth to Net Reading Date Time Time (.~ [ J~ ~ Water Drop ~g~so~ s'/~.11 B: 52:q~- 2-/Yz ~o 3:q9:3o 2~ ~ ~zO 3:52:~° 23 Y~ ~.ff 3,~q:oo Z PERCOLATION RATE I (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN C~ FTAND CJ.,~ FT FLATTop PERFORMED BY: <~ [./C ~ I . /~'c~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: 72-008 (Rev. 4/85) 14530 Echo Street Anchorage, Alaska 99518 Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: 5 L) .-~/~ N' LEGAL DESCRIPTIoN:L J"~ 5 PT 3 5P 4 5 6 7 t-t~o boNovAN 8 9 10 11 12 13 14 15 16 17 18 19- 20- COMMENTS l~LK <~ ~¢J~,~[/ON Township, Range, Section; ££C 27~ "T'I2N SLOPE SITE PLAN VARii~ B LE ~AN.b LENSe5 oF' ~LEAN GF~AV£L LF_..NSeS oF F~N£ SANb SEEPS BoTH slbe5 OF- -~.1-]. 5P/~M 5'iz_TY SANb pE RC -F£~ T TI-I.'~ i WAS GROUND WATER ENCOUNTERED? y, ~,c ~.~, S IF YES, ATWHAT r 0 DEPTH? ~ p E l]epl? Io. Water All? I" ~.0 M0nlorino? I~, ~.,~,_L,~ OaIe: (OJqjcl~ Gross Net Depth to Net Reading Date Time Time (~.l.q~) Water Drop ~ ~o q:oq:4o 23-2~ Y~ _ t~o q'. i~:oo z3 3~ PERCOLATION RATE ~ I (minutes/inch) PERC HOLE DIAMETER TESI RUN BETWEEN ~.~ FT AND ~ FT PERFORMEDBY; FLATTop -~£r_.N. ~Vc'~ , . '-j~-.,_,~ ~ CERTIFY THAT THIS TEST WA8 PERFORMED IN ACCORDANCE WITH ALL ST,~TE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: '7//'~./' ~,~ 72-008 (Rev. 4/85) f~UNICIPALITY OF ANCHORAGE Heal ~i and Environmental Protec Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 ................ ~-N'.~P'ECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOC AT I ON MAILING ADDRESS .................. LEGAL DESCRIPTION SEPTIC TANK: DISIANCE J t' .~. FBOM WELL ~__~ IN 51 r.)E LENGTN t,,1AN U FAC 7 U R E ~/~ INSIDE WIDTtt ~. ~ NUMBER OF ~_~ MATERIAL ' COMPARTMENTS __ L~C~u~D UE*T. L~QU~D CA,ACITY/,,Vb~ALLONS. TILE DRAIN FIELD: j~,~__f TOTAL LENGTH J DIS-rAN('E FROM WELL/~i/~D'J'~ FOUNDATION___~-g ~ NEAREST LOT LINE .... oF LINE ~¢ ~ of Lines ..... 'l--- DISTANCE BETWEEN LINES ___~_/~___TRENCIt WIOT~I~& IN, TOTAL EFFECTIVE AibSORPTIOPJ AREA_~~ SQ. Ft. LENGTi4 OF EACH LINE ,5-q ' i DEPTIt OF FILTER I ~/ DEP~J~: ~OP OF r~LE qO P!N~Stt GRAOE ~_~ MATERIAL BENEATH TILE -~' ~ ABOVE TILE IN. SEEPAGE PIT: Log Crib Rings BU 1 LDI ['.'G DIAMETER __OR WIDTH , Crib Size: DIAMETER___ NEAREST LOT LINE LENGTH DEPI'I4 .DEPfH_____ DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) _SQ. FT. lass: Depth: ell Distance To: Lot Line ldg: Sewer Line: ipe Materials: nstaller: · emarks: - !','~ WL_ Z C F;i"~ T LOCFIT ]: ?.,-'l:::% Oi::: :50 ]: !.. F::tF. % :: t::~:E:¥ ): 1::)t'.4 :~{i;'¢:i:i;'FEH j' ::]; · TF~:E?.,JCH ............ . ,.-I .::. c I- i'L F:iE:I'J~;O!:4:F'T ] (ii"4 ., .:, I [:.!t ]: :~;: "J'Hi:~ l:;?F;..dlIiq:E:[) SZZE i.)F 'T' ~- _ .... ' .......... " t...t.:, -tt",I....~: c,~:: I-.l[:.[:.r4 'T'HE ':: :'F'Fir':F' ::ii::' THE '1'HE: DE']::"i"i"i,..h-~""' !::i 'TI~'.E:NE:H '-"::'_... P :J: T '~"::; THE .... -' ......... ' .................. :' .... .... r: ~ _t't THE '~?'"lljJ',J[) lc'.,i'h ]"[--.J_~: ~ .... '"'~" .... 'F "i :'J:;' ::' '" "" .,;:, NFl SET" i H!:. (:~Ri:::I',,,'E~L I}EF:"TH :[ E; THE H t N :i: t"iUM .... c.t 1' "1 OF' C'~RI::t',,"EL ii!i-'.E:TP.ii.Ci:~ ?',i THE '"t TF:FiLL F' '_1: i:::'E FINE:' 'T'i'iE EO'i"Tr)Fi OF: THE I--t F't::iCKF:tGE PL.F!N'f' i'iR'¢ DE 'J.'N:STFiLL. EE:, Ft'F THE: PEI;~:MI"['TEE'"E; OPI"]:ON 51.JEL:[EC'T T'O THE F'OLLEIW :[ NG C:Oiqb :[ 'T'Z OF,I:~;: J... E:['i'HEt;: f:i CLFISS I OR ZZ f.,ESF I::iP[:'~'.OYE[) i::'LF!i"4T f"itg.? E:tE R CON]' :[ NtJOLi'~5 f"il:t i NTENf:iNCE FIGREEMENT Z E; REQU Z RE[:,. )i F Fi i"ii:::1 :i: N'f'ENFINCE !::iGf~:EEI'1ENT Z:~5 t'-,IOT KEPT CURRENT ¥OL! MR? 8E RE(f4U:[REi) "i"O [ENLJqF;'.GE 'T'HE SOiL FIE~;:E¢ORI::'T):ON %¥:~3'T'EH RND,-"OR '¢OU I'"tFi¥ BE :5i. JSJECT T'O PROSECUTZEd",i. E:F:ICKF:ZLL.['.~.:.i Ci[:' i::I~'.,?.¢ :5"?'--'Sr]'[!!]'"J !]ZTi'"i(]UT F'.T.i"JFiL.. ''N':EPE'F:TT'-tJ"J !::INt} r'lFr ~ ..... dj... "ir'H:(~'~; i) I~:Pi:Xl?.'J'i'"JE']'"~T ,[4 ]: LL ['_:IE '::;J iF:['rJ'[;;'l'::~'' 'i'i]l I::'Rt]E:;E ] ... T .T' l'i:[?',J:[H(J?, [):[S'i"F:INCE DE]'I4EEN Fi 1.,JEL. L FIND i::I[",~¥ ON-:E;ZTE :E;EkIRGE :LEtEi F'EET FOR !'::i PRI',,,'FiTE t.,.IE:LL. OR 28E~ FEET FOR R PUBLIC !.,.tEI..L.. !.,.([<LL LOGE; liRE REQUIRED FINE:, MU~5]" E~E RETURNED TO THE DEPRRTMENT WZ'T'H:[N OF THF: F.iEL.i... COI'ff::'L[~:TZON. ()Tti[Siq'. iR[E(~:!i...t:[I.;~:IEPi[~:NT:~] h!1::i¥ RF:'PL"¢. E~;F'EB]::[F~CFiTZEiN~5 FIN[:, COt'.4STF?.UCTION FP,,'i::I): L[:'iE:[..E ]"O :(NSURE F:'RCiF'ER ]: N:E;TFiI....LI:I]" ]: ]: C[.:.:F;:T :i: F"r' T'HRT '~' ): I::ti"I F'F:.Hi:t...'I;F:ffT;: t.'.i:[i'1"1 THE REI:,:fi...t):RIEJ"iENTtL'; F'OR Ur. :,.t.T['.': '~t:_~WER:~; f::~N[:' J.,.tELLS FiE; SET F:'ORTH E?'r' 'TJ"iJ~J ~,'j!..,iN ]: C Z F'F:iL ]: T"r' '][::' ............... :, ~ :, t i:. , ]: N Iq(:::C(:)R[:,F:tNI::E i.,~ I TH 'T'Hi~ CCIDE~5. ;~:: ): I,]T~i ]:~.4'::T:I THE '- ''" ........ '"~ .... ): UN[::,ER:~?FFINL:, THFiT THE ON-:SITE: SIEt4ER :5'-¢:STEH MR¥ RtE(;fiJZRE ENL.F!RGEHENT ZI::: THE pc',:: "E [:~'i "E 'r q ~'F'r,iFtF:,E:I [: ", '[ ..... N "i. i I(::,E ~"iOF~ T- :: N 4 E~EDREn]d"'i:5. ............................ .................... ............ T 5~; ~: GNEi:: : ~~- ..................................... / GARY PLAYER VE TUR B CONSULTIN6 GEOLOgiST BOX. 476-M, STAR ROUTE A "' ANCHORAGE, ALASKA 99507 ' PHONE 344-7071 SOILS LOC Soil Type Water Level Remarks 0 2 4 6 8 12 14 16 18 20 Total Depth of Excavation Groundwater (~Not.Reached Depth, if Reached__ Classification Method (~Visual ( ) Sieve Analysis () Material at Total Depth Bedrock Not Reached Depth, if Reached Gary F. Player, Consulting Geologist WATER WELL LOG FOSS DRILLING 1336 Ingra Street Anchorage, Alaska 99501 LOCATION ' ' ' SIZE OF CA~ING~ 8 DEPTH OF HOLE~T. CASED TO_~ STATIC WATER LEVEL/~ FT. YIELD J~G~kL.PER.MIN. WIT~_~ FEET OF DRAWDOWN. FT. REMARKS DATE COMPLETk~D/2 --/A - ~ ~ PUMP TO BE SET AT~~~.~ /y toZ2 .__.to .__.to __t o __..to to__ to to__ to to Municipality of Anchorage Development Services Department Bmlding Safely Division On-Site Water and 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. 0/"7 - ~ ~ / - ~-,z'A RECEIVED [;,!AR 2 1 2001 klun!cipality.o.f Anchoreg9 Expiration Date: (,. - .2.. !- O I 1. GENERAL INFORMATION Completelegaldescription LoT' I%. '~ y__ /~ tL,'( c /.~1~,.-~ Location (site address or directions) '~ ~/,~ I TA I ~, A, ~)/>- I V t-~ Current Property owner(s) Mailing address s/th Lending agency Day phone '~,..¢-[J.-t ~ ,',.~.,~ .', ,.'>, 'D,, ~,,,,~;cDay phone Mailing address Real Estate Agent Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. HUMBER OF BEDROOMS: /7/ 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well 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 5 by an independent profession.~l civil engineer registered in the State of AJaska. Certificates of Health Authority Approval are required for the transfer of title (except bob, yeah spouses) for propedies 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 propert!es ser,,ed by a private or Class C well and may be reissued with new water sample results less than 30 days cld. (Certificates ma:/be reissued for a period of up to one year with valid water samples.) Certificates are valid fcr one year fcr properties served by Class A or B we!Is or a public water system. The Municipality of Anchcra~e is not responsible for errors or omissions in the professional engineer's work. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown belaw, 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 t,jpe of structure indicated herein. I further verify that based On the information obtained from the Municipalify of Anchorage files 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 insta,ation. NameofFirm -~./~/~-~ S~'''~'kl'''44~' ~).t~. Phone ~"J~ -~'1 ~ Address, qO..e '5 ~ ~)-/"~ ~ ~ - Engineer'sPrinteclName' ,, ~j~]v-~'~J. ~ ~ 5. DSD SIGNATURE t/"' Approved for Disapproved. Conditional approval for _ . Additional Comments . bedrooms. bedrooms, with the following stipulations: ~ . WATER AND . m= · Attachments: HAA Checklist Septic System Advisory . Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: y'Cl;$,.,e... ~- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING '-~ i- ~Ui HAA# 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone Day phone Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5, S'I'ATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that rny 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 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm -i~''Fc~'z~ ~-~/)~¢V''~'~tcL7 :~' Address ~ ~ / ~ Id ~c .~ Engineer's signature ~ ~~'~ Date DHHS SIGNATURE /-"'"" Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipalify of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipafib/ of Anchorage is not responsible for errors or omissions in the professional engineer's work. t'~'~rMunicipalitY of Anchorage~''''~ · Department of Health and Human Services Division of Environmental Services On-Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-4744 t<ECEIVEL MUNICIPALITy OF ANCHORAGE "I~NNMENTALSERVICE$ DIVIm- HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescription: Lo"[- I~;. I-~1'~- ~, ~'"(¢- ~(~CblrJ'l Parcel I.D.: A. WELL DATA Well type ~-- If A, B, or .C provide PWSID # r,.~/~ Date completed 12--I[,,-77 Sanitary seal Total depth 17&" ft Cased to /7~~' ft FROM WELL LOG Date of test / ~- -I& - 7'7 . Static water level 1 '~ ~ ft Well production ! f~ g.p.m WATER SAMPLE RESULTS: Coliform ~ colonies/100 mi Date of sample:. ~//7/~'~' B. SEPTIC/HOLDING TANK DATA TankType/Material ~'I~P ~ ST1~-I._ Date installed ~/"/~//~.~ Tank size I Cieanouts ¢ Foundation cleanout Date of pumping '~,,~% C. ABSORPTION FIELD DATA Date installed ~.,/'9~ Soil rating (g.p.d./ft2 or ft2/bdrm) /,,~- Length ~¢~._ ft Width ~,~...~, ft Gravel below pipe ~ ft Total depth ~ ft Effective absorption area ~,/' ft2 Monitoring tube Date of adequacy test ~'//7//~'# Results (Pass/Fail) Fluid depth in absorption field before test .7~¢-/z' in Elapsed Time: f~z~J~f5 min Final fluid depth Any rejuvenation treatment (past 12 mo.) (Y/N & type) Well Log Y' Wires properly protected Casing height (above ground) ,~-.~ in. AT INSPECTION o$-t7 1'5 ft _.~ g.p.m Nitrate D. ococ~ mg/I ' Other bacteria~/~ colonies/100 mi Collected by: i . ~ gal Number of Compartments ,.)-.- Depression over tank ~ High water alarm Pumper System type . Depression over field For L// bedrooms Water added ~ gal. New depth in. '~ ? in Absorption rate >= ~c,-~ g.p.d. If yes, give date "/ 72-026 (Rev. 01/00)* D. LIFT STATION Date installed ¢¢//¢2~ "Pump on"level at ~"~ in Datum_"T~f ~.~ MN- E. SEPARATION DISTANCES Size in gallons "Pump off" level at ~,,,q in Cycles tested ~ '/' Manhole/Access High water alarm level at S'~ in Meets alarm & circuit requirements SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot ! ¢ c~ Absorption field on lot Public sewer main Sewer/septic service line '2' ,,~-~ On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main Drainage Property line ~ ~ o Water service line ~> ¢2 .~" Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line L~ D Water Service line ,,~ Curtain drain ~ Building foundation /.~ D Water main Absorption field Surface water Surface water N I~ Wells on adjacent lots __ Driveway, parking/vehicle storage F. COMMENTS G. ENGINEER'S CERTIFICATION I certify 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 date. Engineer's Printed Name HAA Fee $ ¢~), ~'~ Waiver Fee $ Date of Pay,'nent Receipt Number Date of Payment Receipt Number 72-026 (Rev. 01lO0)* /~UNICIPALITY OF ANCHORAGE =~ DEPARTMENL .F HEALTH AND ENVIRONMENTAL 'ROTECTION 825 L Street, Anchoraa~. Alaska 99501 264-4720 Date Received: October 19, 1977 #2: Time #3: Time Date Date Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska Pacific Bank Mailing Address: Post Office Box 420 99510 Phone: 276-3110 2. Property Owner: Mountain Enterprises Mailing Address: Star Route A Box 1582N 99507 Phone: 344-0491 3. Legal Description: Lot 13 Block 8 Mc Mahon Subdivision ~2 4: Single Family Residence: (x) Multiple Family Residence: ( ) Number of Bedrooms: Four Number of Bedrooms: Well System: Individual well (x) Community/Public System ) Permit ~ ~qq~ Depth of Well 150' Well Log on File~) Construction Bacterial Analysis e Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System ~) Public Utility Installed 1977 Installer 1~-0 Manufacturer Soils Rate Material ,~~ 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot.line Absorption Area to Nearest Lot Line ~ge Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 13 Block 8 Mc Mahon Subdivision ~2 Comments: Affadavit Attache~ (') Disapproved: Letter Attached: ( ) Date: ~ ~ ~/ ~f ~ Date: Department Worksheet: