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T12N R3W SEC 33 LT 55 S100' OF N150'
Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program, 4700 South Bragaw St. Permit Number: Nome: MARCEL WARMILEE Address: 5231 MST 144th AVE. Phone: No. of Bedrooms: (907) 440-8501 4 LEGAL DESCRIPTION Lot: Subdivision: - 55 S180' Wl10' - Township: 12N Range: 5W Section: 55 WELL: [] New (P~v~te..~,e.c): GPU P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-7904 On-Site Wastewater Disposal System and/or Well Inspection Report SW030585 Pump Set At: Dr~ec [] Upgrade ~ ICasing Height Above Ground.'--- Well Surface Wa' Lot Line SEPARATION DISTANCES Absorption Tank Field 10'+ 25'+ PID Number:. 018-192-15 Wastewater System: [] New Page 1 of 5 [] Upgrade ABSORPTION FIELD m Deep Trench I-I Shallow Trench [] Bed []Mound Sell Rating: 0.6 Depfl~ lo pipe bottom fram erig;nal grade: 4.67 MAX FSI added above origln~l grade: SEE DWG IC)Other ToPoi absorption area: -------__ 1008 so. Installec A+ HOME SERVICES Tafl3l Depth fram orlglno! grade: 10.17 rL Grovel depth beneath pipe: 5.5 Gravel length: 46/45 Number of lines: D~stonce botwsen 2 11 Pipe material: -D 5034/ F-810 Date Installed: TANK 10/8-14/2005 m Septic 13 Holding 13 S.T.E.P. [] Other _~'l. go,,one~ 250 ANCHORAGE TANK J.~m~ ~ ~o"~"~a~.~--~'~.. STEEL 2 LIFT STATION S~ze In gallone: Man Foundation water alan'n at: Curtain Drain NONE DectHco! InapecUone performed by:. Remarks: OLD SEPTIC TANK WAS ABANDONED PER THE UPC. BENCH MARK Locaflo,','~ and DelcripUon: CONCRETE SLAB © SE EDGE OF GARAGE Inspections Performed by: AKWWC, INC. Dates: 1st 10/8/2005 2nd. 10/14/2003 3rd _10/14/2003 Development ,~rvic,.e..s~partment Approval . , (R,~.v~d and approved by: .~...,/_~.~' ? ~ Daf. e:Z.//7/04 100.00 £~G~NE£R'~ SEAL :..-.~ PERMIT NUMBER: . AS- BUILT . DRAWING ~ 018-192-'3 ~ / .. '1 N . i\ t _ 100' WELL RADIUS ~ ~ . i/ BBL~ 47.6g ..u 4~.~o~o.~ ~ e ~ ~'" ';" '''~'':''~:~'' :':':': ~'::'rL CO1 43.36 ' 67.04 ~C~ ~, ~.o~ ~.=o ~ /I ~ ~ ~'~ ~ ) 1 % I / / / / - - ~ / / ~ I t~ ~~ I I / I I ~5' ~ / I / I. ~ / / / I t / / / I V / / _ ~ 10/29/2005 ....... CONSULTANTS, INC.- __~ ~o, ~. ~o..o~. sm~ ~o~ - ~.c.o.~. ~ ~so~ · ..o.~ ~on~-~m - ~x ~o~m~-=~1" = 40' WARMILEE MARCEL (907) 440-8501 2 OF 3 ~Jl/fr'.y/, ~arness.:l'"~ T12N. RSW. SECTION 35; LOT 55. S 180' LESS 110' u~.?~'-. , ~.~ o~ wo.~= ~2... AS-BUILT DEAWING OF SEPTIC SYSTEM UPGRADE PERMIT NUMBER: SW050385 AS-BUILT DRAWING PARCEL ID NUMBER: 018-192-15 FINAL GRADE ,= 99.2 TOP OF TANK AT ST1 ST2 INLET =, 94.82 OF TANK AT OUTLET ,= 94.84 INVERT OF NEW 1250 GALLON AT INLET ,= SEPTIC TANK INVERT OF BUNG AT OUTLET ,= 94.07 EAST TRENCH WEST TRENCH MTCO ORIGINAL GRADE - I~ ~ fFINAL GRADE =, ORI-I'"' -- MTCO o~:.*n aen'~ I I II / 97 66+ UNAL GlO'DE ,- t~ / FINAL GRADE - ..... - ..... -3,-4 14 ~-" 9s'~2-9~'*-x IIII/ 9~.90+ ,o. [{:~.-'~l::~::~"~--BOTTOM OF' :..~~BO'ITOM qF ~i~TRENCH -, 8807 TRENCH = 87.1, RELATIVE ELEVATION OF' BOTTOM OF' RELATIVE ELEVATION TEST HOLE -81.57 OF' BOTTOM OF' TEST HOLE: -80.80 .~...-: '~' ~-.~ _. DATE:: ALASKA WATER & WASTEWATER =- --- CONSULTANTS, INC., .... 3701 E. TUDOR ROAD. SUITE I01 "ANCHORAGE. AK q9507 · PHONE (907)357-6179 "' FAX (qO7)R58-52,L6 PREPARED FOR: PHONE NUMBER: DRAWN BY: N.C.H. SCALE: 1" = 40' PAGE NUMBER: MARCEL WARMILEE (907) 440-8501 2 OF LEGAL DESCRIPTION: T12N, RSW, SECTION 35; LOT 55, S 180' LESS 110' TYPE OF WORK: AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE TUt2 mumc pahty of Anchorage Department of Health and Human Services 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrom http://www, ci.anchorage.ak.us Mayor Permit Number: #SW 030390 Date of Issue: 9-23-03 Parcel Identification Number: 015-192-12 Date Started: '10-11-03 Date Completed: '/0-11-03 Is well located at approved permit location? [~ Yes ['-1 No l~al Description: T12N R3W SEC, 33 Lt 55 S100' of N '150' Property Owner Name & Addre~: Marcel Warmilee 3231 East 144~ Avenue ...... Anch. o_ra_ge, Alaska 99516-3925 Borehole'Dnta: .Depth (it) Method of Drilling [] air rotary I-'] cable tool Soil Type, Thickness & Water Strata From To . Casing type: sl._..__~! stick-up 0 2 W. aH .Thickness: .. 250 .inches .... silt · ' ' 2 5 Diameter: _6 inches Depth:_/6f feet silty gravel 5 87 Liner Type: silt 87 1331:'".'"' Diameter: ,, inches Depth: feet Casing stickup above ground: _2 feet gravelly silt 133 155 Static water levd (from ground level): .7.2 fcct silty water sand & grove/ 155 161 Pamplng.level:~61__.fcet after ~: hours pumping 4~0 gpm R~overy Rate: 4/) gpm Method of Testing: ,,air lift Well Intake Opening Type: [~ Open End [~] Open Hole ~-] Screened Start, feet Stopped ~ feet [-'] Perforations Start, feet Stopped, feet Grout Type: bentp_nite ~,8 Volume: ~ Depth: Start_0 feet Stopped 9 feet , Pump: Intake Depth ~ feet · · -' ' Nam Well Disinfected Upon Completion? ~] Yes r-'] No Method of Disinfection: Comments: Well Driller:. Alpine Drilling & Enterprises PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days ofcomplcdon and thc property MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Sep 17, 2003 Expiration Date: Sep 16, 2004 Permit Number: SW030385 Parcel ID: 018-192-13 Legal Description: T12N R3W SEC 33 LT 55 S180' LESS Wl10' Design Engineer: 0041 AK Water & Wastewater Consultan~ Site Address: 003231 144TH AVE E Owner Name: Marcel Warmilee Lot Size: 39600 SQ. FT. Owner Address: 3231 East 144th Avenue Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE, AK 99516-3925 This permit is for the construction of: [] Disposal Field r'~ Septic Tank 1-"] Holding Tank ['-'] Privy r-~ Private Well Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Date:. Date: Municipality of Anchorage Development Services ,Department Building Safety Division On-Site Water & WaStewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING OIS-I?Z-lZ Permit Number MARCEL WARMILEE 5231 ~,A~;T 144TH Property owner(s) Mailing address (1) Mailing address (2) Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) LotSize .~ c~./~1~0 Acre~ THIS APPLICATION IS FOR: Sewer Only D Sewer and Well Sewer Upgrade [] THIS PROPERTY CONTAINS: Hot Tub r'-I Swimming Pool Therapy Pool AVENUE Day phone 440-8501 * ANCHORAGE, AK 99516 Zip Code 99501 SECTION 33. T12N, R3W. LOT 55. S180' LESS 110' Number of Bedrooms 4 Well Only ["-J Water Storage Jacuzzi Water Softening Unit 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. ALASKA WATER & WASTE'WATER CONSULTANTS~ INC. Permit Fees:. ~00 Date of Payment: Receipt Number:_ Waiver Fees; Date of Payment: Receipt Number:. To Whom It May Concern: 21 August 2000 This is concerning the leach field at 3231 E. 144th Ave. Anchorage, Alaska. To the best of my recollection my father installed it in the early 70s soon after we moved from 3401 E. 144m. The question that this letter is to address is the manufacture date stamp on a visible pipe that is part of the leach field. If it has a newer pipe it would only have been placed to f~x an existing pipe. Jerry S. McEwen 1408 W. 10th Ave. Anchorage, Alaska 99501 HM 276-2359 WK 564-1986 Subscribed and sworn to before this 21u day of August 2000. Notary Public for and in the State of Alaska. My commission expires 9- ~-0,_3 Rick Mystrom. Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www ci.anchorage.ak.us July 18, 2000 Jeffi:ey Gamess Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B Anchorage, AK 99504 Subject: Waiver Request for T12N, R3W, Section 33, Lot 74 Waiver Request #WR000050 Parcel ID #018-251-11 HA000288 Dear Mr. Gamess: Your request for a xvaiver of the required 100 feet horizontal separation fi:om the private well on the subject property to the septic system on T12N, R3W, Section 33, Lot 55 S180' less W110~, has been approved. The approved separation distance is 75.0 feet. This waiver approval applies to the existing on-site wastewater disposal system to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Daniel J. Roth Civil En~neer On-Site Water Quality Program Municipality of Anchorage Development Services Department Building Safety Division' On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-7904 CERTIFICATE 'OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 018-192-12 1. GENERAL INFORMATION · Haa# 0 0 !1 Expiration Date: '7 '" J '~- O/-~ Complete legal description T12N,' R3W, SECTION Location (site address or directions) 3241 EAST Current Property owner(s) Mailing address Lending agency . Mailing address Real Estate Agent Mailing address 33; LOT 55 S100' OF N150'. MARCEL WARMILEE P.O. BOX 112463 144th AVE. * ANCHORAGE, AK * 99516 Day phone 440-8501 · ANCHORAGE, AK * 99511 Day phone RANNA FEKRAT W/ PRUDENTIAL JACK WHITEDayphone 441-5815 3201 C STREET SUITE 200 * ANCHORAGE, AK * 99503 e Unless otherwise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: 5 TYPE OF WATER sUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site · Individual Holding tank r-] Community On-site r-~ Public Sewer r'-] The Municipality of Anchorage Development Sen/ices Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Cedificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a Single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B Wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTIONBY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my. investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application; shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate. for the number of bedrooms and type of structure indicated herein. 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's'Printed Name JEFFREY A.' GARNESS, P.E. Date. ,~-/t Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance w~th ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the Io~al soils condition, groundwater levels that may fluctuate during the year, at~d the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defectS or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is the sole benefit of the owner listed ab~)ve. Any reliance upon or use of this report by any other p&rson or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE ~"'~ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow AdVisory Manitenance Agreements Supplemental Engineer's Reort Other (Rev. 12/01) Original Certificate Date:. i. ' AUTHOR Legal DescriptiOn: T12N, R`3W,' SECTION 5,3; LOT 55 S100' OF WELL DATA ........ Well typd PRrVATE IfA. B, or C provide PWSlD# .N//A'. Date Co~pleted 10/11/2005 Sanita~ Seal ~/N) ~ES Total depth 161 fl; Casedto 161 .ff. ::.I: ' FROMWELL LOG 'Date ~itest '~0/1~/200~; ~, Static water level -72 . : ff. Well produ~ion. 40 ' ; g.p.m.~ Colifo~ i: ~0 :'col0nies/100 mi. Nitrate . 0.1~,,mg.(L..', A~seni~:~'u/~ m~.~L , Dateo[ samp~o: *4/5/2004 SEPTIC/HoLDING TANK DATA' ; ~ Tank ~p,e/Material ~ SEPTIC/~EEL ~' 1000: ' ' ~ Tank i gal Number of ~ompadments, 2 Foundation cleanout (WN) .YES Depression over tank (Y/N) ' NO :~' f;~'~i~' ' "~ N~ · pUm:~-' ::" DateP m per. Date inst~lled 10//6-8///2003 S0il rating ~r [ ..t . ff=/bd~m). 0.7 L~gth 66 'fl.. Width 2.5 Municipality bfAnchorage . f · ~. Development Services Department Building Safety Division On-Site Water & W~stewater Program 4700 South ~,Bragaw St. P.O. Box 196650 Anch~)rage, AK 99519-6650 www.ci.anchlorage.ak.us (907) 34~3-7904 HEALTH APPROVAL CHECKEIsT N150' Parcel ID: 018-192-12 _ Weli Log (Y/N) Wires proper!y protected pt?N) Casing height (above ground) - AT INSPECTION g.p.m. Other bacteria *0 Collected :by: -! SY~t,~m type DEEP TRENCH ,Gravel below pipe 5,0 Total depth *7.36+ ft. Eft. absOrption area. 650 f~' ;ifil: i : i Depression over field NO Monitoring tube YES, ~. Date of adequacy.test NEW. SYSTEM. ~ Results:(Pass/Fa~l), ', ' ~ ' For b_edr.~ems Fluid de'pth in absorption field before test , in. ~ . · Newdepth ' in. ElaPsed,~im · enation treatment (past12 mo.) (Y/N & type) - ::: 'lfyes, givedate , : Date installed 10/6-8/200,3 Cleanouts (Y/N) YES High water alarm (Y/N) N/A YES 24 in. ~ colonies/lO0 mi. GEG, LtD. YES D. LIFT STATION ~' ' Date installed 'Size in '~all0r~s · ?ump on" level at ' ' ' ' D~tum ~ E. SEPARATI°N. Di~'A~ES ':,' sEpARATION DIsTANCEs FRoM WELL O'N L0¥ Th: 100'+ 1 O0'+ Septic tankJiift station oh lot' ABsorption field 'on lot,"' public sewer main Sewer/septic service line N/A 25'+ . ManholeiA~ ' ' High water alarm level at in. MeetSalarm & CircUit requirements? 100'+ "-100'+ On adJ&~:ent 'lots .. On adja(~ent lots Public sewer manhole/cleanout 'Holding tank . , N/A SEPARATION 'DISTANCES FROM sEPTicvHOLDING ~ANK bi',l LOT TO: i""' ;·' Proi~Ry line ': 5 ' + F [ Ab~0i'lSti0n field water {~rv~ce line '1o'4- Surface w&ter 5'-I- 100'+ Building foundation 5'+ '. Water main N'/A Wells on adjac'.ent lots i00'+ SEPARATION DISTANCE .FROM AB ORP'?iON FIEL~ 0X LoT TO:' Property line 11~'+ Building fecundation · 10'+ Water service line :'1J)'+ surface water 1 Do'+. Curtain drain ~OhiL' iKN~N -Wells on ~lj&c~nt lots 1'60'+ water main N,/A Driveway, parkiEl[~)~;ehicle storage F. COMI~ENTS. 10'+ G. ENGINEER~s cERTilSicATIoN I Certify that I have dete, h~ined through 'fi~id ins~Jections and 'review of Municipal records that the abov~ ~ystems are in', conformance wi~h MOA HAA guidelines in effect on this date. Printed Name JEFFREy A. (~NESS Engineer's I / ~"Date '" HAA Fee $' 'Date of paYment Receipt Number (Rev, 12/01) I ' ' I Waiver Fee $, ....Date of Payment. '' I .Re~ipt Number /~ .to,tO.oo N (u) ,~ .t[',~o.oo N ROAD ~00~ e=~sE a=Tq~[ ~3eF 6gTC ~9L Z06 T ~'YE C~:60 EOH tO/~T/tO I J I~,., *:,l-l.,, has been accomplished and $~arch I no easements have been researched. -~- I ~ Tro~lm' Under Structure" 1 i - _ ~ ~ ~ . - ..... I GLO Lo~ 55 I i-~ ~-~- ~ ADM L~nd Surveys i i I 1 !. 1 t 1 t