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HomeMy WebLinkAboutRABBIT CREEK VIEW & HEIGHTS BLK 5V LT 4AP-abbl*t Creek View Hei!;hts Block 5V Lot 4A #020-541-51 • • Municipality of Anchor. s e-- '9 /0 >> = �` On-Site Water and Wastewater Prot +k;�.�rl 'O� < (907) 343-7904 � : SAF :,Y IVt/-' w 9 LU18 Certificate of On-Site Systems .i •royal Parcel I.D. 020-541 -51 Expiration _c-8 Z` I 1. GENERAL INFORMATION Complete legal description Rabbit Creek V&H, Block 5 Lot 4A Location (site address) 16200 Kings Way Drive Current Property owner(s) Denise Carpentier Day phone Mailing address 16200 Kings Way Dr, Anchorage, AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex El Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual 0 Individual Water Storage El Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: 1.i�/M-Mea//22/02v Date: ir2//g COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ Sys Waiver Fee $ Date of Payment 3)2q )1 Date of Payment Receipt Number 02.Dct.l Receipt Number COSA# Cl21 l l L Waiver# 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, based on procedures outlined in the Certificate of On-Site Systems 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. 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone 522-7773 Address 1399 W34th Ave #203, Anchorage, AK 99503 Engineer's Printed Name Benjamin Schiller, PE Date 3/27/18 6. DSD SIGNATURE 1 .'.– —I< System #1 Approved for 11 bedrooms 1�• 1.5.47.n ;arri/Schiller System #2 Approved for bedrooms �'c, • �r 12 °2 \i Disapproved k‘; ROFESSO .� Conditional approval for bedrooms, with the following stipulations: p C..t't o --1-73-14i s 2-0 yeah s OLP - — *C> ms's OF , ms's ON,sirp 010 WASTER 1 m �So PROGRAM R o Rvi By: -"11111C-- �`1 Original Certificate Date: �'– I 2 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r c If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Rabbit Creek V&H B5V L4A Parcel ID: 020-541 -51 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed C. 1983 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 162 ft. Cased to 19 ft. Casing height (above ground) >18 in. FROM WELL LOG AT INSPECTION Date of test c. 1983 8/7/17 Static water level 71 ft. 79 ft. Well production 10 g.p.m. 5 g.p.m. WATER SAMPLE RESULTS: �/ Coliform Vl4eo► colonies/100 mL.. Nitrate amg/L Arsenic Np ug/L Date of sample: 3/23/1 8 Collected by: Forge Eng B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/SteelDate installed 1991 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 9/07/17 Pumper A+ Home Services C. ABSORPTION FIELD DATA Date installed 10/25/91 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 GPD/SF System type Shallow Trench Length 106 ft. Width 5 ft. Gravel below pipe 1 ft. Total depth 4 ft. Eff. absorption area 602 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8/7/1 7 Results (Pass/Fail) Pass For 5 bedrooms Fluid depth in absorption field before test 0/0 in. Water added 750 gal. New depth 8/0 in. Elapsed Time: 1440 min. Final fluid depth 0/0 in. Absorption rate >= 750 g p d N Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100' On adjacent lots 100' Absorption field on lot >100' On adjacent lots >100' Public sewer main >75' Public sewer manhole/cleanout 100' Sewer/septic service line >25' Holding tank X75' Animal containment areas >50' Manure/animal excrete storage areas 100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line >5 Absorption field 5' Water main >10' Water service line >10' Surface water >100' Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: >10'Property line Building foundation 10 Water main >10 Water Service line 0 Surface water 100 Driveway, parking/vehicle storage >10' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS G. ENGINEER'S CERTIFICATION +��`���t�\, - ' • °P'�'9�141 I certify that I have determined through field inspections and r,.�.:�P;• ' ' !f1#a review of Municipal records that the above systems are in ;x,.••49 TH ':* i conformance with MOA COSA guidelines in effect on this date. IY�V Engineer's Printed Name Benjamin Schiller •-‘- ,--0/t_ Date 3/26/18 s•'• :Be min Schiller'�c.'. CE 12$92 -i,/ COSA brown sheet 10-10-12.doc Frontier Surveys, LLC Project No:17-060 Date: March 9th, 2018 NORTH Ordered By:Chris Swires PIat:2004-91 I Grid:N/A Scale 1"=50' \ I N89°25'28"E 199.60 - z • W ' Rabbit Creek View&Heights fir:. :: o I Lot 4A,Block 5V /c -11 W 1 : .. 37,273 sq.ft.+/- ,'.\.. . • • 1i LOT 5A 16200yW od Fame Housee / ./fir— l .1+1 i ;51pryWoodkamedage /i,$" ".I BLOCK 2 w/Attached 3 Car Garage // ���� ` ~ 1ST STORY DECK /// " ./ .' I. I CINERMA TERRACE W ! • / �J,... r 33 -..l PLAT NO.2016-61 CC RET.WALL/ / II o 1 ? l�+.v '�I II"IIS jI l ' •.1• `.:1 . . . ��iiiiiiiii '' QQ 0 1 v4 108.1 ,I~i x7.5' GRAVEL.. LLI L { Lu_ / kikiI ry DRIVEWAY I 1 Lu to ,PgeII N : I 1 o I 'l W `.1 LI (SI Wit0.0 SAM 26.7' 0 • oII � IO 'II c 'Von - Z .e2ry I. I ►•h•II I l ,,O��, 4' 272 *VON . 135.6 ' SWINAANIN 101. •I 3RD STORY DECK " I 1 2ND STORY DECK RET.WALL t l �eP • ° 11 a. \/ I I I F ��/22'+/-"V-9"EASEMENT 1 0 1. 1 \ gyp/ PER PLAT 2004.91 I ` l ti l 1. \i Q 589°19'05"W 199.31 I RECORDEDINGRESS EGRESS/01 S EASEMENTSwao 967-0 _I 30.0 R.O.W. $ 1' • I % I l I 20'UTILITY EASEMENT I 1 . : I IPER PLAT 2004-91 % I l I I I 1 I SHARED ACCESS 1 I I. 1 I , LOT 5A I 1::......I • , % I /1 ''' li' 1 1 15'ENSTAR GAS EASEMEIIITI { PER PLAT 2016-61 1 W I 10'T&E EASEMENT I •1 `'. -1 IPER PLAT 83-547 7:: C. `•."I I I • 30.0 R.O.W. Legend: j I \'. : KEy Electric Meter/Outside Power LTA Tel.Ped. LEA Elec.Ped. Q g -o- v. Sat.Dish 0 25 50 100 Gas Meter !moi Deck Fence $) Sewer C/O,Wi Water Well Fl Concrete ism. mi...mi Feet • General Notes: 1.This document is created for the purpose of a single property transaction and is subject to Federal Copyright Law. 2.Excepting for gross negligence,the liability for this survey shall not exceed the cost of preparing this survey. 3.All measurements/setbacks are to the visual/apparent building footprint. 4.Dimensions to property lines are plus/minus 0.lft. \\N\\\\\\\1j This survey complies with ASPLS Mortgage Location Standards.The survey represents visible improvements and ��� OF t t f f conditions at the time of the survey.This document does not constitute a boundary survey and is subject to any .CE .. A. f fi inaccuracies that a subsequent boundary survey may reveal.It is the responsibility of the Owner to determine Q°•,•' S� 1�� the existence of any easements,covenants,or restrictions which do not appear on the record plat.Under no 9 // circumstances should this document be used for construction or for establishing a boundary or fence line. * 49TH *'/i As-Built Survey of: �--4" Lot 4A Block 5V, Rabbit Creek View & Heights i ? • FREDERIC W. NER • I,Frederic Wagner,hereby certify that this Mortgage Inspection Survey was performed by me,or /�'tnC/ • • NO.L.S.-9946 4,- under my direct supervision on May 9th,2018. / 4.›. •. 3/15/2018 •• 'J 9 ,�f I1FO P .• k0 S Frontier Surveys, LLC FRONTIER; f I t RoF„sIoNAV `• 650 W.58th Ave.Suite E Anchorage,Alaska 99518 1 l Surve S'•.• t t 1 ‘‘‘‘‘‘.\\- 907.460.1686-info@frontiersurveys.com ► • PROFESSIONAL SEAL www.frontiersurveys.com t Municipality of Anchorage .._ Development Services Department • Building Safety Division Y Onsite Water & Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 995196650 www.d.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING !7 / Parcel I.D. 020-032-30 HAA#__ A 0 / 0 3aa. 1. GENERAL INFORMATION Expiration Date: q - a S - O / Complete legal description RABBIT CREEK VIEVI LOT 4. BLOCK 5 Location (site address or directions) 16201 GENEVIEVE Current Property owner(s) JUAN AUNE Day phone 344-0624 Mailing address P.O. BOX 110667 ANCH AK 99511 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing address Unless otherwise requested, NAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site 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 5 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 sample results less than 30 days old. (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. M 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined In the Health AuthorityApproval 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. I further verify that based on the Information obtained from the Municipality of Anchorage riles and from my Investigation and Inspection, the on -situ 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 oflnstallation. Name of Finn ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 6901 DEBARR ROAD. SUITE 28 * ANCHORAGE, AK 99504 Engineers Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: In conducting this evaluation, AWING, Inc. attempted to provide a thorough, conscientious engineering analysls of the system In accordance w8h ADEC and h1OA DSD Guidelines 6 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 roadityMantiriable loa tures. The operational No of all wells and septic systems depend on the local soils condition, groundwater levels Metmay 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, not do they guarantee that there are no hidden defects or encroachmoriM AWWC, Inc. can therefore not provide any warranty or future estimate of how long the system wilt 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 rellance 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 Z Approved for 3 bedrooms. Disapproved. Phone 337-6179 Date e-'4-7eI Conditional approval for bedrooms, with the fllowing stipulations: titltlfrlrh OF Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other r.* r.•, nmr WATER AND • •u. �-rr.lATrD PROGRAM J, By: Original Certificate Date:—6 0 (iw. �vcot Municipality of Anchorage Development Services Department Building Safety Division Orr6b Water 3 Wastewater Program 4700 South Sregsw St. P.O. Box 196850 Andmge, AK 99519 -WW wwwXLand0re9e.akue (907) 343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: RABBIT CREEK VIEW LOT 4. BLOCK 5 Parcel ID: 020-032-30 A. WELL DATA Wen type PRIVATE If A. B, or C provide PWSID# N A Date completed 1983 Spry seal (Y/N) YES Total depth 162 A, Cased to 19 A, FROM WELL LOG Data of test 1983 Static water level 71 fL Well production 10 g.p.m. WATER SAMPLE RESULTS: Wen Log (Y/N) Y Wires properly protected (YIN) YES Casing height (above ground) 18 in. AT INSPECTION 5-23-01 57 fL 6.0 g.p.m. Coliform 0 colonles/100 ml. Nitrate-2,-mgJL. Other bacteria 0 colonles/100 ml. Date of sample: 5/30/01 collected by: AWWC. INC. B. SEPTIC/HOLDING TANK DATA Tank Type/Materlal STEEL Date Installed 1991 Tank sloe 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Mph water alarm (Y/N) N/A Date of pumping 5-22-01 Pympar A+ HOME SERVICES C. ABSORPTION FIELD DATA $ *ONE TRENCH WAS SURCHARGED Date Installed 10-25-91 Son rating Oj2r fP/bdrm) 1_2 System type SHALLOW TRENCH Length 106 fL Width 5 ft. Gravel below pipe 1' it. Total depth •' N, Elf. absorption area 500 R` Monitoring tube YES Depression over field NO Date of adequacy test 5-23-01 Results (Pass/Fan) PASS For 3 bedrooms Fluid depth in absorption field before test0_' In. Water added 694 gal. New depth Lan. Elapsed Time: 25 min. Final Auld depth 1_5 in. Absorption rate » 450+ g,p d, Ary rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN H yes, give data - D. LIFT STATION Date Installed Size in gallons 'Pump on' level atn. E. SEPARATION DISTANCES High water alarm level at In. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankllitt station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service Ilne t 0'+ Surface water 1000+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property One '10' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parldnglvetdcle storage 50'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *PER ATTACHED SURVEY G. ENGINEER'S CERTIFICATION I cet* that i have determined through Bold lnspecdons and review of Munidpal records that the above systems are In conformance with MOA HAA guidelines /n et)'ect on fins date. Engineer's Printed N JEFFREY A. GARNESS Data HAA Fee $ .31120. OGS Date of Payment oa7/0 I Receipt Number y 7/ MW.12=) Watver Fee $ Date of Payment Receipt Number I O f O O li e A I 8A 44- % This Easemen I I 9A 10A z L5Az0i O I ` 1 Ezistin I I Z rh ad Powe Li r e ° o V-10 ° / 11A IS° 12 I I o e613A e \ found 1/2\ br \ 11.0 west of sub. Dndy. 14 e 7Ai I )A\ O j 72-013 (1/91) MOA 25 Municipality of Anchorage Page Of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 ® Anchorage, Alaska 99519-6650 ® Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SKJ '� ! 02%0 PID Number: 0200 3 Z30 Name:�� / Wastewater System: gNew ❑ upgrade ��� L1/4 KCI I„ d0 -'E } agBSORPTION FIELD Address: ,4 90/9D-7 Phone: No. of Bedrooms: „y EJ Deep Trench Shallow Trench El Bed 1-1 Mound 1-1 Other C �+�� ��a,� ® iii Al LEGAL DESCRIPTION Soil Rating: I° � Total Depthlf2.14original grade: GPD/Sq. Ft Lot: Block: Subdivision: Depth to pipe bottom from original grade, Gravel depth beneath pipe I �( i `i c.K. Vt F - W 0 Ft. I Ft. Township: y • { Range:' f' V� Section: Fill added above original grade: I ?_ -6it Gravel length: 2(& 53= 10(o TP S Ft. Ft. WELL: ��.� 11 New El Upgrade Gravel.depth: jl,., vp�77 ' Number of =lines: Z- between lines: 13 ✓ Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: G 4;>44;� Pipe material: Pv G Ft. Ft. SQ. Ft. Driller: Date Drilled: Static Water Level: Installer: Ft. AC- L=-AC4F, 2-STEM5 Date installed: I0_ZG_ C1 Yield: Pump Set at: Casing Height Above Ground: TAI GPM Ft. Ft. SEPARATION DISTANCES Xseptic o Holding ❑ S.T.E.P. To septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: SO - irrT�Tr& From Tank Field Station Tank Sewer Lines 4. Well 10' 110' /JIA A NA Material: Number of Compartments: N/A ST )FIE L� --LIFT Surface �/A 1q1A - STATION N /A Water Water Lot � t { Size in gallons: Manufacturer: Line Foundation �r "Pump on" level at: "Pump ofY' level at: High water alarm at: ®� Curtain�/ /A�� .� Pump Make & Model Electrical Inspections performed by: Drain �xrs� -1 c us BENCH MARK Remarks:6ACcFR.L (3Y'C-0nt Location and Description: Assumed Elevation: 100.0 ENGIR, SEAL M P RRD % m Inspections performed by: L- A6r<-AM % Dates: 1st I�"� � �� ° "''° °°°° 2nd'D-Z.S e -q ° �� t okra D� sr �5, GE - 580 til XDepartment of Health and Huma /Services approval , �� a { 4" yy y Reviewed —' Date: gym' and approved I/-? 72-013 (1/91) MOA 25 1vIunicipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P•0• 8ox 196650 • Anchorage, AK 99519-6650 • Tel; 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description; Lot 4, Block 5, Rabbit Creek View Saba. PID No 9q LLJ E0 V). I `E_ IEA -1 .1 W' i LLJ U 190.00 U) L. ~ I'I�U St: LL/1� O _. DECK7P� ( WE LL G I — . :190.00' . 7)F-S*r Ar Tri 71 C.c,NSIe-uGTiond d. 16 LS .. ip+ B�vRock wAS 1wuAc0 To IS S pip �E ►N Df►l .tw! CPQ. `CiatS WAS 4t�lEO r3Y f�Pc +(yam, F3oiYt�w: v�=: tti 5 rtl rv� wA S' 'LOW CA -V-0 •SLIQ14TL.-Y 't'OPq- - So -IIF- P►PE !Nvc-*e-7- 'AT -1rACA -t'iQE° J CA W a C,� AMi2x,) 10AATE L�'r• �1C1 g s tE� a ��"� S f I AJ G �.l�ownl O LtY ,c L /4o L 4 OW Ph lea � •� � ¢; ®i. > "-• g �' f -7 SEe°A�KATInnI d�' � . . ar– • �c_/r�k ,"v�k�>�./�' e,��..r��w•. /J�3�o-tI`,rowe(�: �r�'R�e°rpy�ly�c�-"�,��1�• IV � r✓♦•1:-yi l�'I.��i---� �i7���i •-.. :i�GJ• •J•`�-^✓l �,� .y�, •J�'..'. 414' 6945 _.'f.- @+§;:> ��°SjrisYt 5 "[3 SIT. -PLAN 1 _ _ //SII r �Wr����i3i.'�'sn,��' rtw "5•,•. u Permit No Page 2 A of J Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519--6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description; Lot 4, Block 5, Rabbit Creek View Subd. PID N 15' DISTRIBUTION BOX r NEW 1250 GAL. SEPTIC TANK —MONITOR TUBE EA. (TYP) — CLEANOUT (TYP) 0 O� SCALE 1 "=15' S), EXIST. SEPTIC TANK; PUMPED CRUSHED, & BACKFILLED. SEE NOTE 5 SHEET 5 OF 5 ORIGINAL DESIGN. RECORD DRAWNG PER CONTRACTORS RF,.DHNES 10-•28--91 NOTE: TANK LOCATION MOVED DUE TO GAS LINE DISCOVERED DURING EXCAVATION THIS AREA DECK C.O. ALLOWS CLEANING TOWARDS TANK. NOUSE � Permit No.—_ _ Page 2 `� R Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 e Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: Lot 4, Block 5, Rabbit Creek View Subd. PID No. 10' 5' 4 2.5 2. 5' SEWER ROCK EXIST. GROUND PER MUNI. SPECS. LEVELNDING SAPVC fz11�� PER MUNICIPAL1z SPECS. 12" 7.5' TO 8.5' (SEE SHEET 1 OF 5 FOR LOCATIONS OF TEST PITS A & B) BEDROCK �® F. OAV FA(♦♦ P� Y•...•..YYgS TRENCH DETAIL A ®'��` '%0 : TH � SCALE 1"-5' •.•• :....• YY •v YY CE— v jr /ski° ••Y• o"v jy rev ••N•••• \�► RECORD DRAWING PER CONTRACTORS REDLINES 10-28--01 ia1 lk a F'mfcss 00�eti® h VA �►w VA., Il q_ Nlnru' Pcrrnit NoPe 3 Municipality of Anchorage Department of Health and Human Services' ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On -Site Wastewater Disposal System/Well Inspection Report Legal Description: Lot 4, Block 5, Rabbit Creek View Subd. PID No. 4" CLEANOUT (TYP.� 4" NIT[O .� : \ C I5A.. EntO o�- T(tEN.GAi . . 4" x 3. WIDE INSULB.D. CENTER ON OVERFLOW 4" X 1 O' ; WIDE INSULBOARD. SEE NOTE G.— . . . (TYP•� .) FILL SOIL (TYP.) 4" lNSW o ��Z .... ..... TprNK l ;?!To tr � 2% J�. 4 SOLID PVC �(� LINE TO ; DisT9iguric ORIGINA ���� �� �\l%�'\\'�\%\� D�ST(Ci LlT1aj Cox U 2% G R O UCINSULATFAi Q �,SURFACE V: r+�NOTE- SEE :TRENCH DETAIL A O PGP �\ L\ � %� �- BEDR0CTv s�� �. r 0 J ; �y\v DE:TAIL B: • ►srR 18uT�o� - TO UPPER SEPTIC p. a NY• a .., TRENCH:lei 2 CE . soo -o t-owfL [L t<tc ` TANN< OUTLET DETAIL 1-1C1i J`t3 FEB 24 'tie 17:44 FROM Hi -INCUR OLYr9P I H Offers above ground swi effluent flow in alternati yy fields ��� •� I�sorptin oT. The Hancor Standard Alternator Valve allows controlled diversion of effluent to either of two independent absorption fields. Its moveable valve plate is attached to a handle which is accessible at ground level through a covered access tube. The access tube has a removable molded plastic lid which unbolts to permit essential periodic, inspection cr switching of effluent flow as required. The rust -proof, acid and alkali resistant polyethylene valve is available by itself or in kit form with all necessav cornoonents step-by-step proper insta essential tc function of the The valve fe self -coupling 4 -inch corruc flown tubing. of the valve is over 4 -inch Sr Sealing of the level access plished with H tube of which kit. PH[iE . 002, nstructions for ttion, which is the efficient calve. Itures molded )IIars to accept ted Channel - The inlet collar jesigned to slip oothwall tubing. nlet and ground ube is accom- ncor Sealant, a included in the T E H!7: T F- Cb L W W ct CA Liu W at itl .v 0 to C7 (1) C.) O cl 03 L) -0 L) to cn) cd 'P c) ; w VI to out 10- C Sol Municipality of Anchorage, , Department of Health and Human Services 825 "L" Street Tom Fink, Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 October 1, 1992 Roy J. & Denise A. Linkenhoker 5909 East 21 Avenue Anchorage, Alaska 99504 Subject: Lot 4 Block 5 Rabbit Creek View Subdivision Permit #SW910270, PID #020-032-30 The subject permit, issued September 5, 1991 by this office for a single family well and/or on-site wastewater system, has expired as of September 5, 1992. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as -built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $200.00 for an on-site wastewater permit; $75.00 for a well permit and $275.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely, n Smi , P. E. ogram Manager n -site Services enc: Copy of Permit 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:SW910270 DATE ISSUED: 9/05/91 DESIGN ENGINEER:HIGH, PHUKAN & SORENSEN CONS. ENGRS EXPIRATION DATE: 9/05/92 OWNER NAME:LINKENHOKER ROY J & DENISE A OWNER ADDRESS:4120 E. 64TH ST. ANCHORAGE, AK 99507 PARCEL ID:02003230 LEGAL DESCRIPTION: RABBIT CREEK VIEW BLK 5 LT 4 LOT SIZE: 35625 (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 FOLLOWING SPECIAL PROVISIONS. SPECIAL P RECEIVED ISSUED BY DATE: DATE: I /r !'a 7liA-,V744'07 aa'1 Cl �szC.�-�" �% �. � 04®7Z .S'4V47 cs� E111//A *51-i /A�:No s- .oir HIGH-PHUKAN CONSULTING ENGINEERS, INC. Civil • Geotechnical • Structural • Surveying • Planning August 29, 1991 W.O. H91393 Municipality of Anchorage Dept. of Health & Human Services Environmental Services Division P.O. Box 196650 Anchorage, AK 99519-6650 RE: Septic Upgrade Design - Lot 4, Block 5, Rabbit Creek View Subdivision Reviewer: The design for a septic system upgrade submitted with this letter is a redesign from a system intended to utilize a mechanical lift station. We have utilized the initial soils and percolation data from this earlier (unsubmitted) design and based our design on this information. Our firm has visited the lot, undertaken a topography survey to verify grades and locations of improvements, and checked the exposed tops of the percolation pits from the previous investigations. As the owner would like to install this system yet this construction season, we would greatly appreciate any attention you could give which will expedite the review of this design. Should you have any questions or require further information, please contact us at the phone numbers listed below. Sincerely, HIGH PHUKAN CONSULTING ENGINEERS, INC. 0WA16;er. Robert W. Wright, P.E. Enclosure cc: Dee High rs/393L0829. DOC n�nn c..-,_ 1no - n__L_____ nl_._I,_ on CnO . 10f171 979_7911 /FAY 777_'2777 Permit No. 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 Lot 4, Block 5, Rabbit Creek View Subd Legal Description: PID No.: SITE NARRATIVE Lot 4, Block 5 is bounded to the east by a large unsubdivided tract. No improvements exist at this time on adjacent lots to the north and south. We have examined the subdivision plat, and feel that adequate area exists on both north and south lots to allow development with well, septic, and reserved area. Drainage from Sot 4 does not impact lots to north or south. This lot is bounded on the east by Genevieve Street, a 25+% cut -bank borders the east side to access Genevieve Street. our system lies a minimum of 64 feet upslope from this cut -bank. WELLS - No impact on adjacent lots is anticipated from this system. WASTEWATER SYSTEMS - No impact on adjacent wastewater systems is anticipated from this system. RESERVED SPACE - Although this is an upgrade of an existing system, sufficient lot area remains to place an additional system if future conditions warrant. An estimated 1500 SF area can easily be lined out due west of PTI and remain 50' above cut -bank to Genevieve Street. DRAINAGE - No impact on drainage is anticipated from this system. All fills will be sloped to drain in the direction of the natural drainage. System will receive topsoil and seeding to prevent erosion. ENS SSEAL VA F R� t,AWNICIPALeTY OF ANCHORAG3P �Fa��+„2 A, ENVlRGNMENTAL SERVICES DIVISION 49th ac.sa.c + P'lliG 5 ROPERT W. WRIGHT v��a P,�^,; ESSEX {-v SyS7"�i� 1��/��f T�G� / _ ADD '41e�� P�l74 5 7A� �c,4? (9®IlV rr,D Tram/ �r���f anlz�)! 7-0 611:3 A 71aC-1VC 141 70 7 Ma 7` ge5�P)F4c`< �g. G 41/�5-le MWNIOPAOTY OF ANC:HURAGE ENVIRONMENTAL SERVICES DIVISION 3 0 1991 RECEIVED Off- I^A u^ av ........ ®�@ 49th RoeER'r w. wrlowT J,og CE -8156 i , v s WASTEWATER DISPOSA4 REGULATIONS, Chaptar 15.85.06.0.0 as amanded 8/25/0 TABLE 1 WATER APPLICATION RATES FOR DISPOSAL FIEL68 (Gp0/5F) PERC.�RATE Y TRENCHh_ QED MIN/INCH GPD/SF (SF/BGO) 6 _ 15 18 — $0 31 — 60 >60 FINER.'. MATERIAL 1.2 (125) 0.8 (186) 0.6 (250) 0.45 (333) - r I N/A i N/A 1.0 1 = AREA (SF) GPD/SF AREA ($F) (150) 2 = by $/Bad (SF/BED) by A/load N/A N/A 6d$ I = 125 0.8 1 m 184 2 = 260 (188) 2 = 375 3 = 375 3 563- 4 = 500 ; 4 = 760 6 = 625 6 938 1 W 188 0.6 1 300 2 375 (300) 2 = 600 3 = 563 3 900 4 = 760 4 = 1,200 5 = 938 5 W 1,600 1 n 250 0.4 1 = 375 2 = 500 (375) 2 = 750 3 = 760 3 w 11125 4 1,000 4 = 1,600 5 = 11250 5 11675 1 333 0.3 1 = 500 2 :: 667 (600) 2 x 1,000 3 = 11000 3 = 11600 4 = 11333 4 21000 5 - 1 667 6 = 2,500 - r I N/A i N/A 1.0 1 = 150 1 215 (150) 2 = 300 (01 5) 429 3 a 450 3 = 6d$ >ti 058 5 = 750 b = 16072 ENVIRGNMENTAL SERVICES DIVIp 6,11C 3 0 1-991 RECEIVED Municipality of Anchorage ii�dA "�' DEPARTi AT OF HEALTH 8, HUMAN SERVICES �)-- C y J 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: A.I'Y I' -C- 1 N P— P— 174, � i.. /'C 17 C -t 0-i=— t.,= DATE PERFORMED: ' 0 � t J l Q O LEGAL DESCRIPTION: L074, LI B YC S (2ASR IT C� �ripwnship Range Section' I.Cf..�.� I p 2. A h! I � t ' SLOPE SITE PLAN 1 2 Date Gross Time / O �tvtt G Not Drop 3 4 va SP W/SILTlj6P'AV 5 C�9z'11V rO ZYZ'11 n �P- 6 ..,IO�i- U- ( pn Yt 7 � I I I I 8 I 9 10 11 12 13 14 15 16 Date Gross Time Net Time 17 Not Drop 16 J 19 RECEIVED 20 �1-IF COMMENTS WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water Aher Monitoring? [tel b S L O -P-- ::#,, ---- E Due: Reading Date Gross Time Net Time Depth to Water Not Drop I ( � I I I I I I I I I vtsLjo-. ( PERCOLATION RATE > Im nuiesnncn) PERC HOLE DIAMETER TEST RUN BETWEEN Z FT AND 71 FT PERFORMED BY: Ly�l CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STAT AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ,2-008 (Rev 4/85) .,, tdunicipality of Anchorage ` DEPARTMENT OF HEALTH & HUMAN SERVICES, 825 "L" Street, Anchorage, Alaska 99502-0650 r SOILS LOG -- PERCOLATION TEST J PERFORMED FOR: A444i+C—eti`A r�l a / erj C t2..=1`N l:; DATE PERFORMED: LEGAL DESCRIPTION: LO,j_ a? 5 �a 1 i L2.t=eK Township, Range, Section: 'Tll N ; R -"'il S .( 1 FE THILS ✓Iaw SLOPE SITE PLAN 2 3 4 5 6 7 8 9 10 11 12 13 14 16 16 17 18 19 20 COMMENTS o . S�Hfly slL.i co tel LT0 LlLN1t KS o l- C.L- 2,017 . 2,0 j OLC a 17 40LE l P—P- R.o C.<� czECEIVEP , - . Nov X13 WAS GROUND WATER Il�� ENCOUNTERED? I� b• S IF YES, AT WHAT L DEPTH? OP E Depth to Water Alter Monitoring? Dale: Reading Date Gross Time Net Depth to Time Water Net Drop Efl 1O'/ 12' 1 — o I'z I L r 2_. i tr PERCOLATION RATE imnutesnncnl PERC HOLE DIAMETER — • I TEST RUN BETWEEN I �" FT AND T PERFORMED BY: _(�--(V(_-f/t 1.(/ �.- ZERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFEC ON THIS DATE. CATE. 72.008 (Rev. 4/85) ur y `dunicipality of Anchorage DEPARTH,._,JT OF HEALTH 8, HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 °:`• SOILS LOG — PERCOLATION TEST PERFORMED FOR:—,4r �LM6,C3�IT CLyltIN c DATE PERFORMED:iRP-AaB r LEGAL DESCRIPTION: LD I 14, Ry E {'RyvSection:N �yJ, p T ��@aH.NtLi SLOPE SITE PLAN C� L 2 3 v 4 c 5 6 p 7 • a 9 a 10- 11 12 13 14- 15 16- 17 18- 19 20 u Sa..LYI S 14- lly i L^il,� • 15{' a S P 5 U"h III Y IA L 10 ± COMMENTS 3CD 1 l 0 t�( O t- WAS GROUND WATER I i O L- ENCOUNTERED? N l7 BED 2 DL1� � IF YES, AT WHAT O DEPTH? P E Depth to Water After Monitoring? Date: DECEIVED. �Y " Reading Date Gross Net Depth to Net Time Time Water Drop 10 —� — —v— I'� r2- 12 /2 I I I � I I J• J2 -r PERCOLATION RATE K L tmmutes/mcnl PERC HOLE DIAMETER E' u TEST RUN BETWEEN :3 FT AND J Z FT PERFORMED BY: ; <CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. :"UOU II-ii•v 4'tUI Permit N v---------__-.- Page— Municipality age — —.af - Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Repori Lot 4, Block 5, Rabbit Creek View Subd. PID No.-- Leaal Description: ---- NOTE: DRAWING NOT TO SCALE. 4" CLEANOUT (TYP.), 4" MONITOR TUBE (TYP.)<,, 4" x 3' WIDE INSULB.D. CENTER ON OVERFLOW �-- 4" X 10'' WIDE INSULBOARD. SEE NOTE 6. {TYP.) =� ORIGI A GR OU P�1P �Q FILL_ SOIL (TYP.) ......... \P� CO 36 MIN. i0 4" SOLID PVC LINE T0; UPPER TRENCH© 2% NOTE: SEE 'TRENCH DETAIL A �G GG GTS �y�\��\\ BEDROCK '-MLL 2 OF 5 �y``W�\�\\``': DETAIL B' _ TO' SURFF.CE C- _•mom®na n°wse. LONG SWEEP 90\ TO UPPER TRENCH' 2-013 A (2/91) MOA 25 SEPTIC TANK TANK OUTLET DETAIL nm, unno..+w­ F,.- Permit No._.—__-_ � Page ut � — Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 . Anchorage, AK 99519-6650 r Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: Lot 4, Block 5, Rabbit Creek View Subd. PID No. CLEANOUT (TYP.) MONITOR. TUBE (TYP.) ....... ; 4LH .\ ...../ .1. 1.:.. . 5 70.57 '5) CO 10' 5' 4" 2.5' 2.5' PVC 4)' PERF. PVC PIPE TB M 1 ��� ... .(.HUB) EL=189.3' /.o 4SOLID ..... PVC PIPE : SEE NOTE 4 czz� I 2> 6.. / SEWER ROCK ( PER MUNI. SPECS.' PEACE 2 SUB;GRADE. . . , ; � �. FABRIC TO 5' BELOW CD L -ti SHOULDER LEVELING SAND • • • PER MUNICIPAL • • • . . .. . • • . d SPECS. TRENCH DETAIL A ,�( �F. �F ,q(• Wer d " \b-p�r��•YOiI�OV�� (� ��q V TH 14 o CE --8156 m 9 . /.Nc? tl� . 03 000d00000®ooh +� f'rofess+on .� a%%vkulvl*� /2-U13 A (2/91) MOA 25 File- DWS. BlodO Septic . I &C0 o ..1 - L 5 70.57 '5) CO 10' 5' 4" 2.5' 2.5' PVC 4)' PERF. PVC PIPE TB M 1 ��� ... .(.HUB) EL=189.3' /.o 4SOLID ..... PVC PIPE : SEE NOTE 4 czz� I 2> 6.. / SEWER ROCK ( PER MUNI. SPECS.' PEACE 2 SUB;GRADE. . . , ; � �. FABRIC TO 5' BELOW CD L -ti SHOULDER LEVELING SAND • • • PER MUNICIPAL • • • . . .. . • • . d SPECS. TRENCH DETAIL A ,�( �F. �F ,q(• Wer d " \b-p�r��•YOiI�OV�� (� ��q V TH 14 o CE --8156 m 9 . /.Nc? tl� . 03 000d00000®ooh +� f'rofess+on .� a%%vkulvl*� /2-U13 A (2/91) MOA 25 File- DWS. BlodO Septic Permit No Page f 5 Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 . Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: Lot 4, Block 5, Rabbit Creek View Subd, PID No loo nn' ...... .. ........ ...... ...... . .SITE PLAID 72-013 A (2/91) HDA 25 FILO- DHHS. Kock- Saptic b 5 ' Permit No.---.- Page 4�f Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 *Anchorage, AK 99519-6650 * Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Lot 4, Block 5, Rabbit Creek View Subd. PID No. Legal Description: – — Ln N � 0C) cc 0 Cc OC)O_ p� Q7 PIT LC) . . I . . .1 . . I. . . 1 . . .I . .,,. . . I . . ( . . I. . ., . . I D .�.A .I 1 1.. _� o .......... 00 13 A (2/91) HOA 25 I nc. .n . aw111 ac' a' Pe:'mit No. Page _ 5 of 5 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 9 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Lot 4, Block 5, Rabbit Creek View Subd. PID No.: NOTES: 1. All construction shall be in accordance with Chapter 15.65, Wastewater Disposal Regulations of the Municipal Code, as currently amended. 2. Install new 1250 gal. septic tank. 3. Site topographic survey conducted by HPCE on 8/21/91. Existing structures, wells, septic systems observed within 200 ft. of proposed trench site are shown on design drawings. 4. All pipe shall be PVC conforming to ASTM D3034 or approved equal. 5. Contractor shall deliver to the engineer a set of red -lined drawings showing all data as specified in Sec. 15.65.F.2, 3, 4, 5, 6 of Municipal Wastewater Disposal Code within ten days of final inspection. 6. All insulation board shall be DOW HI -30 Insulboard or approved equal. All thicknesses shall be 4". Center insulboard width over pipes and septic tank. 7. Any deviation from the design must be authorized by the engineer prior to its incorporation into the system. 8. Contractor shall abandon existing septic tank and crib in a manner approved by State and Municipal regulations, laws and guidelines. 9. This design is based on soils and percolation data conducted by Tobben Spurklund, P.E. 10. Slope all fill material to drain at 2% min. slope, and in such a manner that ponding at or near the drain field does not occur. The fill shall be left 6" higher than shown to allow for settlement. 11. Material used as fill shall be clean and free of organics, trash and construction debris. 12. All excavation depths are advisory. They are to be verified and may be modified by the engineer. 13 14 All pipe connections to the tank shall be mechanical Calder couplings or approved equal_ Cleanouts shall extend a minimum of 12" above the final ground elevation filled with airtight caps. ENGINEER'S SEAL Geotextile shall be Mirafi 1405 or approved equal. 72-013 A (2/91) MOA 25 �I ROBERT W. WRIGHT N �C �.� CE -815b Pe.mit No. Page 5a of 5 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 e Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Lot 4, Block 5, Rabbit Creek View Subd. NOTES - Continued: PID No.: 15. Contractor to locate all underground utilities, property lines, existing water wells, water ways, surface and subsurface drainage facilities, lakes, ponds, and other facilities requiring separation distances from the proposed septic system. Notify the engineer of any observed conflict. 16. Stake alignment of system with markers showing the protective distances from wells and other bodies of water. 17. Install the tank as shown on the drawings. Record the inlet and outlet elevations of the tank. Tank shall be placed on undisturbed native soil. 18. Excavate the absorption field. Bottom of excavation shall be level and scarified. Record elevations of beginning, middle and end of trench bottom. Construction equipment shall not operate on the floor of the excavation. Any material compacted by the operation of the construction equipment shall be removed and replaced with uncompacted materials. 19. Place the sewer rock to the specified depths. Do not contaminate rock with native materials or spoils from excavation. Level rock surface to prior to installing the perforated pipe. 20. Cover the distribution with rock, and cover the excavation with geotextile before backfilling and placing insulation as shown. 21. Record the finish ground elevations at the beginning, middle and end of trench. 22. Notify the engineer 24 hours prior to commencing with construction. A minimum of three inspections are required. The first inspection shall be of the subgrade, prior to placing levelling sand. The second inspection shall be after the placement gravel, standpipes, distribution piping, tank and other components as specified. The third inspection shall be after the completion of the work. GAAB-HD I GR' TER ANCHORAGE AREA B®ROU .l BE, ARTMENT OF ENVIRONMENTAL O.UALI a . 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 779-5686 ' —----------------------- - INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING _ S Id� .PHONE ADDREss xL� r � ---- __— LOCATION —LEGL� t. . ��Psc3w P --6--4 ° --- — — AL DESCRIPTION S-EPTIC T -ANIS /ki\� DISTANCE FROM WELL____ QUID CAPACITY 9"`-_-9 GALLONS. SEEPAGE SYSTEi�A: SEEPAGE PIT: NUMBER OF PITS_ _.__. LINING MATERIAL_____ NEAREST LOT LINE___—. TILE DRAIN FIELD: DISTANCE FROM WELL__ NUMBER OF LINES_ __- ABSORPTION AREA_ OUTSIDE DIAMETER NUMBER OF TERIAL �'� ' �, l �`' COMPARTMENTS INSIDE LENGTH----- WI ENGTH__--WI _. DISTANCE FROM WELL_ INSIDE WIDTH TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) FOUNDATIO ISTANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LIN NEAREST LOT L TRENCH WIDTH LIQUID DEPTH., LENGTH__ DEPTH. BUILDING FOUNDATION— SQ. OUNDATION , SQ. FT. TOTAL LENGTH OF LINES , IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE -------DEPTH OF FILTER MATERIAL BENEATH TILE. 1N. ABOVE TILE— TYPEI,"kQ" - WELL: DISTANCE FROM WATER NEAREST J' DEPTH_ _ ,BUILDING FOUNDATION.._.__-- _SAMPLE — ` [�' NEAREST tt" a;Tt^'^ SERi m` SEEPAGE y OTHER LOT LINE — —__ — SEWER LINE_ — , TANK a SYSTEM Y y a' 't r_, CESSPOOL_ _ , SOURCES_ DISTANCES: DIAGRAM OF SYSIFM ' c �L tt pp �v z c I z a l Fi 1 ^S ,f ® � ,� � fd.k r"i� '�� ,`✓f I ,�� `� ': fid-. ,a.'� GR-4TER ANCHORAGE AREA BORO, H HEALTH DEPARTMENT NO 827 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION_ SEPTIC TANK: DISTANCE FROM W LIQUID CAPACITY SEEPAGE SYST NUMBER OF PI LINING MATERI / J LL GALLONS NEAREST LOT LINE_ TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES— ABSORPTION AREA_ SEEPAGE PIT: MAILING _ADDRESS PHONE ;AL DESCRIPTION NUMBER OF 1TERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH. OUTSIDE DIAMETER OR WIDTH—, LENGTH , DEPTH , DISTANCE FROM WELL ! ;' SLING FOUNDATION— TOTAL OUNDATION,TOTAL EFFECTIVE ABSORPTION AREA (WALLAREA)SQ. FT. FOUNDATION NEAREST LOT LINE STANCE BETWEEN LINES TRENCH WIDTH _SQ. FT. LENGTH OF EACH LINE TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: DISTANCE FROM WATER TYPE DEPTH—,BUILDING FOUNDATION. SAMPLE , NEAREST NEAREST SEPTIC SEEPAGE /, )) OTHER LOT LINE , SEWER LINE ,TANK SYSTEM 'ESSPOOL SOURCES_ DIAGRAM OF SYSTEM DISTANCES: DATE APPROVED iTunDITV GREA, ER ANCHORAGE AREA BOkvUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT - MAILING ADDRESS PHONE INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER i TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY - SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE - TYPE - SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT , DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, SEEPAGE PIT , DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE r 0 -/duw w4 ;;awl d zh�ck , 4 C L! Ll s-5 - --- -- of wcll (Cln.eck Ciao) S,azfc waZz�r lov�-, -,w, su�7-� op --,I Z—�, — C .1 ) � -z Q -0. c 1: f C) -,: i:.'v Cas --.-.3 Co --z 5'a- ColGz T T 1-7 82 'jol clalln ;;awl d zh�ck , 4 C L! Ll s-5 - --- -- of wcll (Cln.eck Ciao) S,azfc waZz�r lov�-, -,w, su�7-� op --,I Z—�, — C .1 ) � -z Q -0. c 1: f C) -,: i:.'v Cas --.-.3 Co --z 5'a- ColGz 1-7 82 MUMCIPALIVY OF ANCHORAUE DEPT. OF FV�ALfif (01 ME_ D. :RECEIVED INSPECTION APPOINTMENTS DA ECIOR MUNICIPALITY OF ANCHORAGE DFPARTMENT OF HLAL.T I -I 81 ENVIRONMENTAL PROTECTION / 825 L Street - Anchorage, Alaska 99501 LNVI RONMENTAL SANITATION DIVISION J� Telephone 264-11.720 H OMST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES III f',P_C:`11ONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days For processing. — —- — - - PHONE 9 PE:47Pf16# f-1 OIlUNE11 J I MAH TNG, ADDHI-SS PIIOPE R I Y RESI)f-N'I (11 oiucreni from above) PRONE 2. limfl:R 5. LFUAL DESCRIPTION R E F 1 lOC1\ 1'I OIV d3. "ivvr or: IiFSW V,10l_ ❑ SINGLE: FAIVIII-Y l IVIUL.I IPI_E FAMILY 1. INA I C R SUPPLY ❑ Two ❑ Five INDIVIDUAL* F-1 CONIIVIUNI 'Y ❑ PUBLIC LITII_ITY .vNA�;1 sus Pesy,n,o v i -M IN01VIDUAIVON-SI IL°" CI PUBLIC UTI1-1-1'Y NUMBER OF BEDHOUIVIS E] One C7 l=our ❑ Two ❑ Five 7 Three ❑ Six PHONE ❑ Other A'I TACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) '. YFAR ON-SITE SYSTEM WAS INSTALLED. NOTV: TllI- IN SECTION FEE MUST ACCOMPANY F.A.GH REOUEST BEFORE PROCESSING CAN RE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1.. TYPE OF RESIDENCE NUMBER OF BEDROOMS IJ SINGLE FAMILY Cl ONE CJ THREE LI F=IVE IJ OTHER L7 MULTIPLF: FAMILY L-] TWO 17 FOUR =1 SIX PEHMITNUMBER.._ . 2. WATER SUPPLY 1_1 INDIVIDUAL DEPTH OF WELL I COMMUNITY - - - - - - - DATE Dill I- .LD CI PUBLIC UTILITY Conner -.tion Verified LOG Rr_M\TFD 3. SEWAGE DISPOSAL SYSTEM PFRMIT NUMBER �INDIVIDl1AL/ON-SITE - ----- -- -' _ -ST—A__LLE DATF IN 11PUBLIC UTILITY Connecl ion Verified _____ ----- .--- _._-- --_- - INSTAI.I_ER IScptic Tank or 111-loldiny lank Si/o: _ -_ If Marlk is homemade - - - - SOILS HATING - -- - give dilT11-:IISI0r15: l'YPE OF TANK MANUFACTURER TOTAL ABSORPTION AFtFA MATI-RIAI_ 4. DISTANCES �oldiny Tank Absorption Arca lqewcr Linc ScpncI l Ncarrst Lot Line WFLLTO: Absorption Area to nearest Lot Line -- - 5. COMMENTS APPROVLD FOR BEDROOMS 1-1 CONDITIONAL APPROVAL. (lelict must accompany cm-tifica[e) 11 DISAPPROVED September 14, 1981 Department of Health & Environmental Protection 825 L Street Anchorage, .AK 99501 Subject; Lot 4, Block 5, Rabbit Creek View Anchorage, Alaska Gentlemen: We have reviewed the as builts plans for the above water and sewage systems and have no objections to granting a variance to the above Sys toms. Very truly yours, �g p� y James C. Allen Alaska/Western --.::--'` District Supervisor .JCA/mn MUNICIPALI",y OF ANC=hIORA(>t- DEPT. 0I � 7iLCf ON r' JAY S. RAMMOND, SOVERNOR 437 E. STREET - SECOND FLOOR ❑ ANCHORAGE, ALASKA 99.501 DEPT. OF ENVIRONMENTAL CONSERVATION (907) 274-2533 P.O. BOX 615 SOUTHCENTRAL REGIONAL OFFICE ❑ KODIAK, ALASKA 99615 - (907) 486-3350 P.O. BOX 1207 ❑ SOLDOTNA, ALASKA 99669 (907) 262-5210 P.O. BOX 1709 ❑ VALDEZ, ALASKA 99686 (907) 8354698 P.O. BOX 1064 ❑ WASILLA, ALASKA 99687 (907) 376-5038 September 14, 1981 Department of Health & Environmental Protection 825 L Street Anchorage, .AK 99501 Subject; Lot 4, Block 5, Rabbit Creek View Anchorage, Alaska Gentlemen: We have reviewed the as builts plans for the above water and sewage systems and have no objections to granting a variance to the above Sys toms. Very truly yours, �g p� y James C. Allen Alaska/Western --.::--'` District Supervisor .JCA/mn MUNICIPALI",y OF ANC=hIORA(>t- DEPT. 0I � 7iLCf ON r' ALASKA ENVIROP NTAL CONTROL SERVI, _S, INC. 1220 West 25th Avenue ANCHORAGE, ALASKA 99503 Phone 276.1361 J08 /o 22 SHEET NO --- -- -- -- — — -... -._ DF cn LC MLllUIiY �?.. _.`' 00 �� l v.—_vhv Dn7E .._._ CHECK ED BY __-- ____.-_ _______.__.--___ DA IF. SCALE 1 i f Fl 0 r2 c� i r� \8 �O ` / _aPf.c `O \ iY cry h -- / r." / _ .'(,A ALASKA RIROni NAL COnTnOL SCS US, IOC. Cngineerinq & Enuironmental Studies 7/30/81 FIRST NATIONAL BANK BOX 3128 ANCHORAGE AK 99501 SELLER ,_ PAUL PINARD SUBDIVIiION—RABBIT CREEK VIEW BLOCK -5 LOT -4 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM I5 A DRAINFIELD WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 700 GALLONS OF WATER PER DAY. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. THE SEPTIC 'DANK WAS PUMPED ON 7/3/81 . L....p C� Qdld> NO. l-9 loon Illm O.Th Auonuo ® AnAnrnno AinAn aorm m faml Wr-llF1 Pinard/Beaudream Property July 8, 1981 Paul/Diana Pinard G; Greg Pemberton ERA Soqu(--�t Crown 117 hast 53 Avenue Anchorage, Alaska 99502 S ut.).j e, C t : Lot 4 Block 5 R.abbit Cre�-,k View subdivision Approval for the individual sewer and water fa.cil-i L-ies cannot be granted unt-il the following items have been completed: -(I) The Water analysis report ijeeds to be submitted to ti -lis office for our review from the Chem L -ib, 5633 B Street. (2) Expose the well for our inspection to deLeriuine proper construct -on, also to insure minimum distance reqi-ii.remonLs are met between the well and sewer sysi_em. and expose the standpipes to (�he leaching area and c',f7jp4- �JC Lank. (4) TI)u sept'llic tank pullq.)ed. wi.Hi a re(.(�ipt submi-tted to I -his off-il-(.-e I'or our review. (5) )� n adequacy L(Ssteeds ' -�t-to be performed on the existing Leaching area. This LesL' w..i,].l determine -if the system j- a(oquat,-.e (according to NaAio'Eial Standards. 2", li-sting of p.j-Jvatte firms performing tide test is enclosed. This r,eport needs to be submitted to tIlis office for our review. If there a:re any further questions, please call- th-Is offl.ce at 26d- 4720. Since, rely, Robert C. Prz-AL-L, R.S. Associate Specialist. r I . ... 1,1(' ! IORACF� I A� \1 -KA 50 1 ... C 1 2 H 4/ (4 0;�6� NI, SUI I VAN, ;Y I A N 1 :4 LA 1. 1 11 AND f: N V I R, M r.i1 .41- F! i 0: 1 (; ION Pinard/Beaudream Property July 8, 1981 Paul/Diana Pinard G; Greg Pemberton ERA Soqu(--�t Crown 117 hast 53 Avenue Anchorage, Alaska 99502 S ut.).j e, C t : Lot 4 Block 5 R.abbit Cre�-,k View subdivision Approval for the individual sewer and water fa.cil-i L-ies cannot be granted unt-il the following items have been completed: -(I) The Water analysis report ijeeds to be submitted to ti -lis office for our review from the Chem L -ib, 5633 B Street. (2) Expose the well for our inspection to deLeriuine proper construct -on, also to insure minimum distance reqi-ii.remonLs are met between the well and sewer sysi_em. and expose the standpipes to (�he leaching area and c',f7jp4- �JC Lank. (4) TI)u sept'llic tank pullq.)ed. wi.Hi a re(.(�ipt submi-tted to I -his off-il-(.-e I'or our review. (5) )� n adequacy L(Ssteeds ' -�t-to be performed on the existing Leaching area. This LesL' w..i,].l determine -if the system j- a(oquat,-.e (according to NaAio'Eial Standards. 2", li-sting of p.j-Jvatte firms performing tide test is enclosed. This r,eport needs to be submitted to tIlis office for our review. If there a:re any further questions, please call- th-Is offl.ce at 26d- 4720. Since, rely, Robert C. Prz-AL-L, R.S. Associate Specialist. 5. LEGAL DESCRIPTION ,, DATE RECEIVED INSPECTION APPOINTMENTS STREET LOCATION TFME - TIME TIME DATE DATE DATE J SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY INSPECTOR INSPECTOR INSPECTOR_, ILT INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) AMUNICIPAI-ITY OF ANCI-IORAGIL MUNICIPALITY OF ANCHORAGE D[PT. or- HEAT. l l << / DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI)_QWIRONMENTAI. j; c)C-CTIONS / 825 L Street - Anchorage, Alaska 99501yy jg �i l!I'I 4;}I fs ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 V REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYQVVVNER �� j f J y- / ) PHONE qq d MAILING ADDRESS PROPERTY RESIDENT (It different from above) PHONE J r'l 2. BUYER ,] ,y PHONE .f—o19K_ f ✓G11 MAILING /ADDRESS a _ _ ', �j'I.-f✓ ?/ P ' J'7' fr /: t.,/.; ��/ i , y, A ; NE 3. LENDING INSTITUJTION PHONE it MAILING ADDRESS i 4. REALTOR/AGENT _ PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION ,, f STREET LOCATION !1, :>Fe/:- �: C..,� `! °F- ` </Nall)'%",� 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ Other ❑ One At Four J SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY ILT INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** f s a�..- YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS— G� SINGLE FAMILY ❑ ONE O THREE EJ FIVE I 1 OTHER C] MULTIPLE FAMILY E7 TWO CJ, FOUR CJ SIX 2. WATER SUPPLY PERMIT NUMBER INDIVIDUAL DEPTH OF WELL C7 COMMUNITY DATE DRILLED L7 PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER INDIVIDUAL/ON -SITE c DATE INSTALLED CIPUBLIC UTILITY Connection Verified INSTALLER L7Septic Tank or LJ Holding Tank Size: -p ,-?;i__— If Tank is homemade sOILs RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line Nearest Lo[ Line WELLTO: ( 0 - -- Absorption Area to nearest Lot Line 5. COMMENTS 0` APPROVED FOR BEDROOMS L7 CONDITIONAL APPROVAL (letter must accompany certificate) Cl DISAPPROVED DATE BY /J - --