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HomeMy WebLinkAboutTHE VILLAGES TIDE VIEW LT 5A�� S ( )2(:)-ERl•18 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska yys1o'oVso Phone: (yn7)u4a'7gO4 Fax: (VO7)343'rQur Permit Number: OSP201138 Work Type: SeptoTonkUpgrade Tax Code Number: 02009178000 Site Legal Address: THE VILLAGES TIDE VIEW LT 5A 8:3336 Site Mailing Address: 17000T|DEV|EVV DR, Anchorage Owner: HAK8LENCLIFFORD S Design Engineer: 8ARMESSENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 6/5/2020 6/5/2021 0 Disposal Field ZSeptic Tank [] Holding Tank r7l Privy 0 Private Well El Water Storae All construction shall be inaccordance with: 1. The attached approved design. 2. All requirements specified inAnchorage Municipal code Chapters 1565 and15GS andth State ofAlaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) -. The wastewater ---- requires inspections ~~''''g ^~ installation.^^The engineer^~''~'' notify the ~~`~'~p'''~''^ Services Department per AMC 15.65.Provide notification bycalling (QO7)343-7S84(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: e. Opened and Closed onthe same day, ur b. Covered, sealed, and heated 10prevent freezing Received B Issued By: M 61*n Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Ethan Berkowitz On -Site SewerNVell Permit Application NA P T I For A Single Family Dwelling Parcel I.D. 020-091-78 Property owner(s) CLIFFORD (STEVE) HAMLEN Day phone 907-529-8426 Mailing address 17000 TIDEVIEW DRIVE *ANCHORAGE, AK 99516 Site address 17000 TIDEVIEW DRIVE -ANCHORAGE, AK 99516 Legal description (Sub'd, Block & Lot ) THE VILLAGES TIDE VIEW, LOT 5A Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family (SF) Absorption Field ❑ ® (w/wo ADU) Septic Tank ® Upgrade Duplex (D) El❑ Holding Tank ❑ Renewal Multiple Dwellings ❑ ❑ (SF and/or D) Privy Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: N/A Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: �r'�'$� � Waiver Fees: Date of Payment: Date of Payment: Receipt Number: G ���Receipt Number: Permit No. ®s�a G I1,3�% Waiver No. (Rev. 01/11) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201139, Deb Wockenfuss, 06/05/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201139, Deb Wockenfuss, 06/05/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201139, Deb Wockenfuss, 06/05/20 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AI`T,D REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 3 r dd�\ Day of 'J�-kr— of 2010 , by and between �14L n),511 herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Ad Uc&Z L x located at (legal description) 7h� 2. Maintenance, Repairs and AIterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the tenn of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page I of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. C Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the constriction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: FF By: �i ,J. /,`r�11�,�(signature) Date: (print name) STATE OF ALASKA ) ss. TIIIRD JUDICI.AL DISTRICT ) The foregoing instrulent was acknowledged before me this3 r day of 20-0, by� NOTARY PUBLIC FOR ALASKA - C6 ' •' ; �+ OTAq M My Commission expires: �� 2 a � ?-! j '_ ... 'N•. 'OUBI,�G I'y TFO MUNICIPALITY: By: (signature) Date: (print name) Title: (rev. 0/18/2018) Page 3 of 3 I `I / a !^ V K i z zy �w �l U w CD [1 O l_ .n v 0 / / Ll 1 ate. - _ "" F•1 N' v M 20 00, Z Z m o 0 y L m m`o 0 c � o `n+ � Q L m m C 0 0 m H y > n N T m m A $ �� Clan® p o V y C O a d ° v�E`®Nm m.mc m c A �Nt •- EL m O O O L m 0« d :3e -a ..y.., in mgomo c �❑ z � W d Ev m w O U 0 0 0 m q Q c�omL o (n TSu pC£ o` ro ~ n Eco �(ll m¢dmi°� m Py Q .ei-ow nim �o = ®�LcEEm m Hv A m m > a 3 c 4m o z v 0 0 F nATE OF ALASKA DPFARIMENTOFENVIRON TAL SMVATION CONRTRUCTION AND OPERATION CERTDTCA'I6 0R D0RXNTIC WASTEWATER DISPOSAL SYSTEMS ft DEG it 9721—W(iJ-l.�6-3210 A. 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An Wlwcwdaim'1vpvu6miYmlwus Dapum,tvl.a.®iwpcation 6y�D.p.N.a�rt. iu. c Aihm me dmnaua waeNwmarduponl.ys�wuoae+ewcdmvatrr®uu roaeem.nrnwnh0e+ppavmpmve. The.,ymobhweur e.aamd ROW avD.avW m opm.a. i. rw awo a*.Ircawm t�o�'� tar esn aDxe�a.��rzA1C®oEmsmenq Srexe Oe UOff DeeARrnreNr OF envmomReNTAc conseavArwx A9eW UONeORON8P1'e WATERANOSH eYSfEMA OvA OR DOCOMRNTAMON OF SYSTEM MSTALL MN IIOLSgi�i p or Aa�'1 ®Pueuyy.ortAnn.. poor. ❑ V147 Y SRN M a (+K�JAm16r. R�nMYfl V +v.06 � w 4iWb11In M W/ WATG� [mlll)m+ room_ T 5 VILL ES TIDE Vleuv emm r.. r ynr.X v�me OEENw IN Mli SMV RL �. Tr emrYw-rr wm.w...:nms+ rmm®rMn�e (CrJv�clm®um.4'1 6Y81'eM PCav: rA ewLLTrea F.l�ml x�.e.. O7 "Trm r.6s5P 4 rod. rmeW.Mreeme� orr�arw.Mm.Xmswr — 5a ix.muk_ lhaQwNSr6o ' saiabePim+N 9 MNW®TSMWY(AY'h Cgyr/NpN Pam®m it bY: Qlmml PrM NwmdmW fma wv T� Pr CImoXPT$ImO.tlm CYaeX yrSp m Ttl Na ymwM YBpiYprmmla r.Vlmla ru Ww&ypYomvm Pm Wn. LLPT 7 M lu [ Pr Gsnwlm®'Yo'm 1 tlrlb.LLvv MW9efbR'Ym�n< ePm� T7 TX4 E L21 Nn xu �' Mefi�Olr[url.r./Y.Amnml Pa .4smO.m Wx✓mnm'mim p asurmcevFTw x�swua wow p Wm/BiN. ❑ crsMwv. p ow e�tieTmt'MX[+miimwm em•rrargwoay x�mu.Mcmawa sm nnw u�me DnaW Mrve.Mm ow.wr er Feeµmeyue TmaV�rXNmen MewlVib sXi XX.r:�awr NgmyTr xmY (AmJ (py gFpary PW FiWy'Ta M1M1nMEY'(%m.Q w6MeTvkPgw NmM h9 JFmkU wma Mau .Ym G PaYN 1'aams Tv4 Pr CImXIip¢N'plmeLLdm 6mwxryTiplmXkdm vTLL WLlyl WY&iglyy 6aemmW pa�mTe_ m.ltlymYlaFK Nmr .m Y m W b Pw W Pq m eymve t)mbPimw Nam RgNrtNa M9E' NuebYSndIYaPR �Xwl dg�w. lea'"•.. a,.: . i��v�Yr-JY R N Plol a VE HAMb a CATG isvr va r oarK SHECr213 GFIA. s .,V swSlW�T JJ M,i ✓VC L imi TOP VIEW �, lw» SIDE VIEW I8X20 SAND £b T6%iI I SEPTIC SYSTEM As BUILT mr 5 TW WALSCE LY WEV DATE: AW. A ran) DRNNF(M jw° 5 FT WILE SoI 30 FT LONG S,kemm S lT TOTAL DEPTH 1 R OE ROCK d fi OT COVER 5 OF ftsammu�y4♦♦♦♦ �`/,r""♦♦1 vN♦E i� Rr ff 4 aiC,�f� F_N, W 12 IUV UL SIW D♦♦ � ♦♦♦♦�\\f�Z,16:C \ NO SCALE 4" DlsblAufion Pipe— MDfffl Ido BENCH MARK: BOTTOM SIDING ASSUMED ELEV. 109.00 ET W$014 AN SIMAM SS 16 M Dv D[: LOT 5 THE VILLAGES TIDE VIEW PID W 029-091-49 1625 1991 Development Services Department Building Safety Division a On -Site Water & Wastewater Program 4700 Elmore Road o P.O. Box 196650 Mark Begich Anchorage, AK 99507 Mayor www.muni.org/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: Legal Description Property Owner Name & Address: 1 N11� V J L L tqG ES T I D E .eve G1cu l e•., ew Pump Installation Date:/s1t Pump Intake Depth Below Top of Well Casing: / Soreet Pump Manufacturer's Name: Aged z5 t Pump Model• 57D,CZl I ft 2L Pump Size � hp Pitless Adapter Burial Depth: /0 feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Well Disinfected Upon Completion? Yes ❑ No Method of Disinfection: Alk / v Comments: Pump Installer Name: Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. R37510 Municipality of Anchorage THIS SECTION FOR ACCOUNTS PAYABLE USE ONLY REQUEST FOR VOUCHER CHECK 1099 (VOUCHER NO. PAYMENTDT. IV IVENDORNO. REFERENCE NO. INVOICE DATE INVOICE NO. FROM: Health and Human Services (DEPARTMENT) DESC TO: MUNICIPAL CONTROLLER CHECK NO. DATE: June 6, 1997 1. REQUEST THAT A MUNICIPALITY OF ANCHORAGE CHECK BE ISSUED TO: Name Tobben Spurkland Address 203 West 15th Avenue, Suite 203, Ancborage, Alaska 99501 2. THIS PAYMENT IS FOR THE FOLLOWING (SUBSTANTIATION ATTACHED): IIIII 1 (III III CHECK DATE PREP APPR During the course of On -Site Services review.:it was discovered this property is a multiple family dwelling, which is handled by ADEC. Please refund the Health authority fee of $300.00 Lot 5 The Villages Tide View 3. DISPOSITION OF CHECK: AUTHORIZED USE ONLY (1)T:3 MAILTOPAYEE (S) D NOTIFY DEPARTMENT EMPLOYEE (2) D MAIL TO PAYEE W/ATTACHMENT WHEN CHECK IS READY IN FINANCE (9) D NOTIFY PAYEE TO PICKUP IN TREASURY Name: Name: Poona No.: 4. ACCOUNTS TO BE CHARGED: ITEM NO. DESCRIPTION 1 Hzalt-i 4uth:)rity Appraval Ory. No.: :.^T.^•xI ENTER ALL POSITIONS OF ACCOUNTING DISTRIBUTION Ora/CC 'Aewoll Task Opt Cod Cir. WA/WO 25710 9426 S. TOTAL AMOUNT OF CHECK $ 6. SIGNATURES ` 4 SLG-3-k1ALA 1 ni�M vti`Ms vt Employee Pho1111111111�No. Approving Authority T. INSTRUCTIONS a. To be used only when payment cannot be made by purchase order• travel expense report. travel authorization or petty cash. b. Must be approved by department head unless approval authority is delegated In accordance with Policy and Procedure 24-7. c. Retain carbon copy for your file. 404DI (A.. 291) MOA 015 AMOUNT 300. 00 300. 00 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On -Site Sewer/Well Permit Application NOTE: Apolicabon must be fined and com'pl'etely SINGLE FAMILY DWELLING Property Owner Name Ham4la.1n, 1 s tr vL Mailing Address 170at0 -1 a cit v i dui' T)f Legal Description Cp4t !'3� r tat 11 i tIMG9 / e•OGt Lot / Block -7-1? 62f> —041 — 4+ Parcel IdeobbCabon Number Day Phone Zip Code V I cup' Subd. won Section Townsn1p MUNICIPALITY OF ANE ORAGt Lot Size r�l �`� Avevso. F1 Inspections will be conducted by: ENVIRONMENTAL SERVICES DIVISION Number of Bedrooms: 7 ✓ Approved Engineering Firm toeoyour n�2 -MAY, 121997 ,_L1`1LU-''/ / / � Municipality (permit fee Included)/^js house contain any of the following: Hot Tub, Swimming Pool, Therapy Pool, JacuzR E C E I..V tE D or Water Softener Unit? If yes, which one? This application is for. Sewer Only Sewer and Well Sewer Upgrade Well Only I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and in accordance with applicable Municipal codes. �- /� J Prroop�eM w,er/we DmDriller Fees: • Receipt # 4y�� (e 1p 1 Permit # 72-012 (Ft". 10/661 Municipality of Anchorage • DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Services Division Telephone: 343-4744 ON-SITE SERVICES FEE DOCUMENTATION Date Paid: •`/ / Permit Number N me P�,�pYe�r, (NaV9ohec `� rs c,-- Receipt #: "r Mallulg3ddres : (Of oi1 eck) Check #: Legal Description(s): Type of Payment: (Indicate Amount Paid)�2Q rbc WAIVERS: ' fealth Authority: o' • "D ExCBVa or Permit: Lot Line: Sewer & Well Permit: Engineer Permit: Well Permit: Pumper Permit: Sewer Permit: Well Driller Permit: Copy Request: Tank Manufacturer: (Waste Treatment) 72-034 IRev. 10/97) DISTRIBUTION: Well to Tank: Well to Field Field to Surface Water OS—'62763 Tank to Surface Water WHITE—MASTER FILE - CANARY—PROGRAM FILE MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On -Site Sewer/Well Permit Application O LJ o q 1 — 4+ NOTE: Application must be filled out co mpl etely SINGLE FAMILY DWELLING parcel Identification Numb& Property Owner Name aA411IA.... t S tZvC•- Day Phone Mailing Address Iioo-o aettvi tuf' 'D+r Td Zip Code Le Description !�� r e l%i t�agGS / iPE _ vi iezv­ Lot / Slock Subd, ,luo. sect'� To.nsh,p MUNICIPALITY OF AW.MORAGt Lot Size �� ��� ' AcreNSo FI Inspections will be conducted by: ENVIRONMENTAL SERVICES DIVISION Number of Bedrooms: 7 ✓ Approved Engineering Firm MAY, 12'997 tL 1� Lk -L7/ Municipality (permit fee included) , r o�our house contain any of the following: Hot Tub, Swimming Pool, Therapy Pool, Jacuz� E C E I V,E D or Water Softener Unit? If yes, which one? This application is for. Sewer Only Sewer and Well Sewer Upgrade ✓�. Well Only I certify that the above information is correct. I further certify that this application Is being made for a Single Family Dwelling and in accordance with applicable Municipal codes. �— Prop erty wner/well Driller Fees:" • Receipt # oG �3 (�/ ��1 Permit # 72-012 (Rev. 101M T.S PURK LAM P.E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 5 THE VILLAGES TIDE VIEW STEVE HAMLEN 17000 TIDEVIEW DRIVE Municipality of Anchorage Department of Health and Social Services 8201 Street Anchorage, Alaska 99501 April 30, 1997 We are submitting an application for the installation of a well and septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system are subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following : The existing septic system has failed and must be replaced. Bedrock was found at 10 feet in one testhole. Impervious Layer at 10 feet Use ORENCO ISF Percolation Rate < 1 min/in - Use 4 gal per sq.ft/day No. of Bedrooms 4 Required Area : 4 x 15014 - 150 sq.ft.. Use 5- Wide Trench 30 feet long SYSTEM CONFIGURATION MUNICIPALRY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION MAY 121997 ORENCO INTERMITTENT SANDFILTER D 5 -WIDE TRENCH RECEIVE TOTAL LENGTH 30 FT TOTAL WIDTH 5 FT—a TOTAL DEPTH 3 FT �`; L l•� _ ROCK DEPTH IFTTOTAL COVER 3 FT SEPTIC TANK 1500 GAL STEP The installation of this septic system will not prevent wells from be instal.:d on the adjacent lots. ' There are no developed or natural surface / sub surface drainage courses an this or the adjacentlots. The proposed septic system will not change the general slope of the area. Po,.ding and/or concentration of surface runoff will not result from this installation. • v Municipality of Anchorage DEPARTMENT OF HEALTH 8 HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502.0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: RLt4e/1 l e�J-vl LEGAL DESCRIPTION: 4p�b Vi tl'/A j2A I 'e1r O1*4NICS �'�"�ui Cnravtl.CcJ $� 2 J. 3- 4 6- 7- 8- 9- 10 12- 13- 14- is- 16- 17- 18- 19- 20- COMMENTS 2- 13- 14- 15- 16- 17- 18- 19- 20-COMMENTS ML, . .I'�qa �•a hT .� (ENGIN R'S SEI: ) r• fr 49ri Y 1ttyi. �•• CL2:.' .. DATE PERFORMED: /A? 'f7 Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? IF VES. AT WHAT DEPTH? Depth In Water After Monitoring? Detc Reading Date S L O P E SITE PLAN T Gross Not Depth to Net Time Time Water Drop L a.. PEF,::OLATION RATE (mmutesnncnl PERC HOLE DIAMETER TESL RUN BETWEEN FT AND FT PERFORMED BY: I.— S I I-- S CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: AI v- l I4, l f47 72-008 (Rev. 4/851 I ! H� Municipality of Anchorage DEPARTMENT OF -EALTH & HUMAN SERVICES 825 "L" Street, At chorage, Alaska 99502-0650 SOILS �� LOG f— PERCOLATION TEST e PERFORMED FOR: ✓4-eVt. JAll vi.�j l •e Ll LEGAL DESCRIPTION: GO� �' U! lo. 15 1)4 (' F 1 oe6ANIC 2-`� '1C QYctVGi�y SaK�X 3- :o EtrA� �rI.0 S� 4- fir• S0.KtX p 5 - ' •r ' a4fdr8 �- S i 6 I 8- s- 10 11- 12- 13- 14- 15- 16- 17- is- 19- 20— COMMENTS 2- 13- 14- 15- 16— n- t6- 19- 20-COMMENTS PERFORMED BY: dt Ffl d s; 14- V L. F�ol10 01= HoW: YP�t Vt fat ewip (ENGINEER'S SEAL)' as Y.. .......... . DATE PERFORMED: Township, Range, Section: SLOPE SITE PLAN WASGROUNDWATER n1 ENCOUNTERED? 1� b i S/P %z. S S IF YES. AT WHAT L O DEPTH? P E Depth to Water After I Monitoring? T.21 Date: 5/ F'trading Date Gross Time Net Time b 11 /'10 _. ,50 .5' 55 7 T N Depth to Water.- -• Not Drop �((s� I/ i S/P %z. S y/P fJ / PERCOLATION RATE 00--- (monUteSnnCh) PERC HOLE DIAMETER 6 tt S. Kra T{fM TES' RUN BETWEEN FTANeU "''jyj, jFT 1J{�aM �. � 1 .5. 3 F* -VU �a4 L.� i�tt✓1 � w. i •1 /I N G� . f 1 S CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: App 1 9,1 R 4 72-008 (Rev. 4/85) PERCENT OF PASSING a !4 s b s s 8 'oJ z yN r ==s i� Y -y� -t s it a it u a e PERCENPOF RETAINING 'oJ 1 LOT 2 �\ \ .: • : -� ' .. \ \OCL �' rt � : (�r`M•••:; .� � . •. C:Y.2i lVi n / :Lar s - �o ��:;�,,, .. ••,:,. <.. \ / \`^fir^ n / LOT 4 \ � /L.�:'S,fix <\ I \ \ \ \ LOT 6 \� \ LOT 7 50 0 50 100 15 200 250 V00 ' \ SCALE: 1' _ !9 FT. \ \ \ TOBBEN SPURKLAND P.E. I I LOT 5 THE VILLAGES TIDE VIElir I I SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE ST£Vf NAA/C£N DATE: APRIL 2. 1997 ANCH. AK. 99501 (9:17) 779-7916 17000 T(D£Vl£W DRIV£ SHEET: 114 GRID: 3336 VTV00051.DV/0 / \25 0 29 50 75 100 2'5 150 SCALE. I' = 50 FT. \ \ 1 V i1 ell \ \ LOT 4 \ i i \ 5x30 ABSO ON FIELD t° g 49th TO 3EN $PURKLAND �'U,l �••• No. CE -2225 ( f , ESS;O'. ♦ FA 'Y GUEST HOUSE i / \ LOT 5 \ ♦ � x \ le 1 L O TTE TOBB£N SPURKLAND P.£. 103 W 15TH. AVENUE ANCH. AK. 99501 (907) 279-3916 PERMIT # LOT 6 � A \ g4N SEPTIC TAN, Wel FILTER 20 1/ x 10 1I. \ \ LOT 5 THE VILLACES TIDE VIER' STEVE HA,UL£N 17000 TID£VI£W DRIVE PID # 020-091-49 SEPTIC SYSTEM DESIGN DATE: APRIL Z 1997 SHEET: 2/3 GRID: 3336 VTV00052.DVIG Air Line to Orenco Aircompressor, Insulated o I 20 J From STEP lank SAMPLING V£LL ( I LINER J \� O eral O _ 30 0 NIT R I O 1-41/4 HonI Id T0,col I SIC I I Idpidro %In O \� %/ i Clean Out Access 1 \ O 30 Nil PVC Liner TOP VIEW 18 CORNER MARKER TYP. __- 2' Cover ;0-*�i/��� PEA GRAVEL '.•I ��; Jr, cocoCo_o%loco=oro:o:o_ococoCo7o70b:o:o:o.o7o7oTo o.. L .. — Fi I ter So vd :::::::• ::::::::::::•:•:::::.•.•.•.•.•.:.•.•.:.'.•.♦.•.•.:.'.: 2' - �r. Y --4i-•-2 .ter -1z'.'.'.': f-�:�-r�-t.'.•.' li'J b'J b'J V'J �O„l60Ob'J 4'v O,O� T O�I+/ PCA GRAVEL LINER ALL AROUND SIDE VIEW TOBBEN SPURKIAND P.E. I I 111x20 SAND FILTER I I SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE ANCH. AK. 99501 LOT S THE VILLAGES TLD£ VIEW DATE: NAY J, 1997 L907) 779-7918 STEVE HAWEN SHEET: 3/4 GRID: 3336 PERMIT 1 PLD R 020-091-49 VTV00053.DVG J0.00 if e O C) ) l DRAINFIELD 5.0011 -1 5 FT WIDE Sample Access. 30 FT LONG 8-lncA Sump 3 FT TOTAL DEPTH 1 FT OF ROCK E 3 FT OF COVER • rte`• �, i 49th iss•�I 0. ..._ . TO BEN $PU.RKLAND = � �Ic�'• No. EE-zzas •� 1500 GAL sTfP TANK �I .............. •�, � 44PROFESSOt' BENCH MARK. ^I BOTTOM SIDING C( � ASSUMED ELEV. 100.00 FT NO SCALE A II n� t ...�..T. U U U U U1^'U�/J L0 U U U 12" Sewer Rock� 4 R. SAND 4" Distribution Pipe DCNSC SILT � Miro/i 140 —L OBB£N sNO P.E. 203 V/15th LOT 5 THE VILLAGES TIDE VIEW Anchoroqe2Ave Ave11 STEVE HAMLEN 779-391Y66 Ak 99501 17000 TIDEVIEW DRIVE 979-.3 PERMIT 0 PID N0. 020-091-49 I500 Gar sl£P ISEPTIC SYSTEM DESIGN DATE: MAY 3 1997 SHEET.' 4/4 GRID. 3336 VTV00054.DV6 w MUNICIPALITY OF ANCHORAGE f DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME IPHONE C1,IMb D J4AQot,) I-AM c-N r-3G& 7 I OUPGRADE MAILLADDRESS✓2'1? WO, Art-'S ! gg V[C •-RVI..'�C1�3 �� �L11 �KYf LEGAL DESCRIPTION N1 W Leer s R .... '9 Viu ABPs_ (10F--Vi=w, �wegoP!►�. LOCATION NO.O 5ROOMS VILI R(,I✓S �(�►114 P {dfU/4-/ Well 1ZI IAbsorg�onprea Dwelling NO. o DISTANCE TO: -/�C�/J / _/ t2 Manufacturer Material No. of compartments N,a C:—R -IrC Sof Liq% c i[y in gallons I IF HOMEMADE: I Inside length Width Liquid depth 6 Y DISTANCE TO: Well Dwelling PERMIT NO. JOZ S? F Manufacturer Material Liquid capacity in gallons D Well Foun LLy Nearest' 1Qt i P MYT NO. W= DISTANCE TO: I IssfS /(!(�`Y'T O0664 Ju.= No. of line Length of a line Total Ienqt l lines Trete v Ph Distance between Imes P: z w t! lc-:; -j b Inches 0 <H Top of tile to finish grassp�, 1 f �M�acterial eneath td��j�� �-� / / p Totall/Marti absorpti�ga�ea 3 tl ' WAS li vn7'svrJ _ (Q O Inches ozG 4 Length Width Depth PERMIT NO. C W � l- Type of crib Crib diameter Crib depth Total effective absorption area W� y Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas)T+ OTHER PIPE TR�IALS 7 rolgfco PVC 1Tp ?SM CDR ,�f -W-,iE � S 414 IZIc(^, 1 SOILTESTRATING INSTALLER D�s� k)r IN nUn REMARKS J Gowo�2ycrvaro� dam' 4�0 s ce1��;1�as a: tLc.usNsEr j 1.. r.:neAr Ar ilk APPROV EDS Cr]ON Al, DATE LEGAL /fLEGGAAL Ilk 72-0131R .3178) MUr4 I C I PRL I TY iOF n"CHIDM OE • DEPARTMENT e,HEALTH AND ENVIRONMENTAL /� OTECTION • 825 'L -'STREET, ANCHORAGE, AK. 99 -.Ji 264-4720 WELL RtJE> OtJ-SITE SEWER F}ERt1IT PERMIT NO. C 780066 > APPLICANT CLIFFORD/SHARON HAMLEN 3210 WYOMING DR 272 3557 LOCATION VILLAGES SCENIC PKWY LEGAL LS B1 VILLAGES -TIDE VIEW LOT SIZE 57001 SQUARE FEET TYPE OF SOIL ASSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER, OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E>EF}TH= 1-2 L_EIVGTH- 2E;l GRRVML_ E7EF"TH= 0 THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IF! FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). FREQU I REE7 SEP -FIC TRtJK 15=E:= 0nL_L0tJS F}RCKRGE F?ILAtVT OFT I OtJ 'A PACKAGE PLANT MAY BE INSTALLED AT THE PERMITTEE'S OPTION SUBJECT TO THE FOLLOWING CONDITIONS: 1. EITHER A CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED. 2. A CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF A MAINTENANCE AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL ABSORPTION SYSTEM AND/OR YOU MAY BE SUBJECT TO PROSECUTION. ---------------------------------------- --- ---- --------------^-------------------- --- TW O <2> I tJSP ECT I OfJS RRE REGIU I RE1> BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS ;DEPARTMENT WILL BE SUBJECT TO PROSECUTION. t MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. .WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F}ERM I T . EXP I RES E>ECEME�ER 31s 1Csl 71 is I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE EYARGEMENT IF THE RESIDENCE IS AMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED: ISSUED BY PPLICANT CLIFFORD/SHARON HAMLEN V3. 0 . (70n1tsuatlon Sriat 1kb V" au h,ronb • aww"d 00sk"S" 2204 Cleveland Anchorage, Alaska 99503 Performed For Clifford S. Hamlen Date Performed 10-12-77 Lenal nescrintion: Lot 5 Block 1 Subdivision The Villages - Tide View - This Form Renorts Soils Lon Yes Percolation Test Depth Feet Soil Characteristics 1 liz• real 2 — 4 — Sandy Gravel 6- 8- 10 — Gravelly Sand 12 — 14 — 16- 18 — 20— Bottom of Test Hole Was Cround Mater Encountered? No If yes, At what Depth? Readinq Date Gross Time Net Time Depth to H2O Net Drop Percolation Rate Minute Proposed Installation: Seenaae Pit Drain Field Deoth of Inlet Depth To Bottom Of Pit Or Trench CnMNENTS: 125 square ft. jjraina(JP area rPrTuirne'; rnr hnrirnnm frnm mimic 1 Se tc 4.5' and 150 square ft. drainage area required per bedroom from minus 4.5' to 16'. Test Performed By J/�/Dai; �,1 Data Certified By: CONSTRUCTION TEST / T Date: 'J'"' 10-12-77 Ufa 14 kw OGPT• pF ENV&A"^ M+G✓lr►'L V4.3wi-r#4 �iJ✓�Aon.r. siv l'►K• c9ti/trin/lG.e/NIT (%/✓I SIJh 82 S L Starer _ _ %s�tJ 7iGA^ c+1: G✓ca.o%W.o .�"-++aa P'4" 4I! A7T&r-o4,G/ S,.,,4, Syf r&, SST u-" ✓c"r o i.rf As "J eI- W *Py /'Na. Gr, NA N 5e"Xvt pe 317 to - E o.0 .►,...� ,io, i 9 8 . (� L Von''% AV vv% 04F S .✓ rri a F��a. � F ryrR. t rN.tS _ C1-Ip99%p14n S. H.4P"t4r,, p � <<t'�Ji ►r� �.i.'Od D CortTnacr on WELL CONSTRUCTION LOG Drilling Co.Vem's T/ITll nDJ $ [-7!nkgAhm. USGS no. Driller Vernon L.'Nntok(1 Type of rig CC:& Aool Date well Completed s�5—•1 —r7g Well owner 4e�re 1-a_mlerl Nearest community �V 9n Well location: (address i legal description) '^tet 5, 1 h`Q VI Location Location sketchl/or remarks Depth of well213 ft. Casing: depthQ1 ft. diam. "' In. Flowirto over easing � Static water r+vel ft. a ov below) land surface. Date 6 - 6—rg y �p Finish of well: (open-end, screen,, Y perforatted, / soother) /w�IyWL.�i+at�Li/�/Ci Describe Intervals and size: Qe(�i2mled Oct " 5 elk ilde!e ) f�1t Well yield tested by (pumping, balling, air) at gel/min. W1 e-11 ,�loWin4 a`I�O CT, P 1/. far hours with 1t. of drawdown from static level, o4. d P p+h c px4lvz& DRILLER'S MATERIAL LOG a d a -Pk Depth below land Give description of strata penetrated surface In feet (size of material, color, hardness of drilling, and water content) �to a _to Ilj to IIIyQQ I L1 9 -32 Illi _I I0 lyo WID lo 'Z1 to to to to to to to to to to to to to to to to ovex burden brown gravelu� -11 �%Jw-46 t e_ 4410 40 vv hard brown '-H 1l d p rel S i 11t m-b�u,�n io v� l4 caval %ed c ratts� wa&Lu e — e }� a+ rQ Q0 lorale ra�,-bla ,k_ t1)rg1©m'Q'MtC al O' 4tp & rock 11+N -e seep a+ ao7' november 30, 1978 Clifford Etophen/Sharon Namlen Star Route A Dox 4004L Anchorage, Alaska 99502 Subjects Lot 5 The Villages Tideview Subdivision Approval for your individual sewer and water facilities will not be granted until the following iters have been completeds (X) A well log is cub:zitted to this department. ( ) The top of the well casing is sealed with a sanitary seal so that it is water tight. ( ) The depression or pit around the well casing should be filled with inpervious type soil so that it slopes away fron the well casing. ( ) The well casing is extended twelvo(12) inches above ground level. ( ) Expose the well for our inspection to determine proper construction, also, to insure the minimum requirenents for protective radius fro— wall and sewer. ( ) The septic tank is pupped with a receipt submitted to this office. ( ) A four(4) inch cast iron cleanout bo installed to the septic tank, or leaching area. ( ) A percolation test be performed on the existing leaching area. This will determine if the syste^ is adequate according to National Standards. A list of private firms who perform the test is enclosed. Mr. Stephen/lis. Fiamlen November 30, 1978 Page Two ( ) Your application shows the number of bedrooms exceeds the number the serer system was originally approved for, therefore, an upgrade will be required. ( ) Connect to the public sewer which is available to you. Notify this department for a re -inspection when descrepancies have been corrected. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ijw ccs Alaska U.S.A. Federal Credit Union 777 Juneau Street 99501 r — CNEpCAL 6 GEOLOGICAL LABORATORIES OF ALASKA, INC. TELEPHONE (907) 2744014 P.O. BOX 4-1276 ANCHORAGE, ALASKA 99509 4649 BUSINESS PARK BLVD. Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY �y PUBL4C WATER SYSTEM: I I I I I I I LABORATORY: LD.NO.' CHEM & GEO LASS OF AK.. IP1C. NAME Public cWatw5 ttam/N t 5633 "6" STREET%- ADDRESS Meiling A`Addddrel,s�s� J ANCHORAGE, ALASKA 99502. `l v ` CITY City State 21p Coda / SAMPLE DATE: Iff TY] Date Received ( � I `� c FD Mo. Day Year Time Received ' SAMPLE TYPE: Analytical Method: ❑ Routine ❑ Check Sample (for routine sample ❑ Fermentation Tube with lab ref. no. ) ❑ Treated Water Membrane Filter ❑ Special Purpose ❑ Untreated Water SAMPLE Time Collected NO. LOCATIONCollected ey Lab Ref. No. Result' Analyst 2. I I I I m 3 1 I I I m 4 I m �.h 5 4• 1 eMe. N aabnMe l f00 eN. M Na N �e.11he eM11MF 06.1220(b) BACTERIOLOGICAL WATER ANALYSIS RECORD - Pa.. 1978 Dale CNIecteO Source READ INSTRUCTIONS +.m. Data Received Time Pecelved pm. Lab. No. Prawmotive 10.1 loml loml loml 20ml 1.0ml 0.1ml 24 Hours BEFORE t8 Hbbra Confirmatory 2+ Hours 46 Hours EMB Broth 24 hours: COLLECTING SAMPLE Mul tibia Tube Report: Broth 48 hours, 10-1 Tubes Positive/Total 10ml Portion, Membrane Futer: Direct Count Colltorm/100m1 verification: LTB BGB Final Membrane Filter Results Form No. 18710 (178) Reported By '4R -� Colltorm/100mi s 7F �Z/. pate :S 0:S Arlh. Time- P.M. vi -co r t✓l B e p��t An) "? 9 Y P h <)'t'r- MUNICIPALITY OF ANCHORAGE PALITY OF ANCHORAGE DEPARTMENT OF HEALTH 6 ENVIRONMENTAL PROTEC , CF IgALTH & 825 L Street • Anchorage, Alaska 99501 EWRONM'hTAL P.:CIECTION • ENVIRONMENTAL ENGINEERING DIVISION NOV 2 7 1978 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEgF €CEC+Lj�l� DIRECTIONS: Complete all parts on page t. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWN l'1 i ord Ste h�r� MAILING ADDRES SRA X. o4L 0oZ4 PROPERTY RESIDENT (If different from above) X) JA 2. BUYER NA MAILING ADDRESS PHONE nnd Sharon rnlP�� 3yy-SOS .A"al PHONE 3. LENDING INSTI UTION� askQ DSA �ed.Ct_er�lc8 I.,ltiuo� vee MAILING ADDRESS ` Fairbanks a 4. REALTOR/AGENT Nf� MAILING ADDRESS 5. LEGAL DESCRIPTION lot 5 �'►dQu►ew STREET LOCATION Sa WQ 6. TYPE OF RESIDENCE SINGLE FAMILY O ' MULTIPLE FAMILY 7. WATER SUPPLY JT��t INDIVIDUAL' O COMMUNITY O PUBLICUTILITY IL SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE" ❑ PUBLICUTILITY U), ( tag es ";ubd . NUMBER OF BEDROOMS O One ❑ Four ❑ Two ❑ Five �& Three ❑ Six PHONE PHONE I PHONE ❑ Other ATTACH WELL LOG A wPll Ion (s required for all wells drilled since June 1975. For wells drilledprior to that date, give well depth (attach log if available.) a P n "If individual/on-site, give installation date 1,,1'7,9 If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72010(Sn8) L4r.zo .04 j 1 DIRECTIONS:, f THIS SIDE FOR OFFICIAL USE ONLY ❑ SINGLE FAMILY ❑ ONE ❑ DATE RECEIVED ❑ MULTIPLE FAMILY INSPECTION APPOINTMENTS +� TIME PERMIT NUMBER TIME TIME DATE S—')g DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS:, 1. TYPE OF'RESIDENCE e ' ❑ INDIVIDUAL NUMBER OF BEDROOMS ❑ SINGLE FAMILY ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ MULTIPLE FAMILY ❑ TWO r +� 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ❑INDIVIDUAL/ONSITE 1. TYPE OF'RESIDENCE PERMIT NUMBER ' ❑ INDIVIDUAL NUMBER OF BEDROOMS ❑ SINGLE FAMILY ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ MULTIPLE FAMILY ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY PERMIT NUMBER ' ❑ INDIVIDUAL DEPTH OF WELL ❑ COMMUNITY DATE DRILLED ❑ PUBLIC UTILITY Connection Verified LOG RECEIVED , 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ❑INDIVIDUAL/ONSITE DATEINSTALLED ❑PUBLIC UTILITY S—')g Connection Verified INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: I TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL —T 4. DISTANCES Septic/ Holding Tank Area WELLTO: (Absorption Absorption Area to nearest Lot Line 5. COMMENTS ISewer Line 7 APPROVED FOR �_ BEDROOMS . ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72010 (Rev. 3/78) INearest Lot Line