HomeMy WebLinkAboutPREUSS #2 BLK 1 LT 14Municipality of Anchorage .r Development Services Department Building Safety Division +• On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW030203 PID Number: 050-571-14 Name: Pete & Sue Panarese Wastewater System: ❑ New ® Upgrade Address: ABSORPTION FIELD 19641 Citationiv Phone: Number of Bedroom: 269-R702 04 RM ® Deep Trench ®SheAow Trench O Bed O Mound ❑ other. LEGAL DESCRIPTION Sal Rating: Total Depth from original grade: 0.8 GPillF? 4.0 Ft. Block: lot Subdivision: Depth to pipe bottom horn original grade: Gravel depth beneath pipe: 1 14 Pruess Addn#2 2.0 Ft. 2.0 FL Township: Range: Section: Fill added above original grade: Gravel Length: 2.0-3.0 FL 84 Ft. Well: ❑ New ❑ Upgrade Gravel width: Number of lines: Distance between lines: 5.0 Ft. 2 11 FL Classiroatlon (Private. A B, Cl: Total Depth: Cased to: Total absorption area: Pipe Material: Existi 600 Ftp D3034 & F810 Dmbr:Dale Drilled: Static Water Level: Installer. Date Installed: Waike� Const. _._ __.... ._ _ .. _7/18/2003 F,, Yield: Pump Set at: Casing Height Above Ground: TANK GPM FL Ft. SEPARATION DISTANCES ® Septic ❑ Holding O S.T.E.P. ❑ Other. To Septic Absorption Lift Holding Public/Prival aria acture'. apauty: From Tank Field Station Tank Sewer Line Anchorage Tank 1000 Gal. Well 100'+ 100'+ NA NA 25'+ Material: Steel Number a Compa tments: 1 2 Surface Water 100'+ 100'+ NA NA Z LIFT STATION Lot Line 5'+ 10'+ NA NA �, anu ac waf; 51+ 10' + NA NA Pump eri level °" amp ° le"" at High water slamat: Foundation„ n In. NA *50'+ NA NA Pump Make & Madel Electrical Inspeaona performed by. Curtain Drain Remarks: BENCH MARK Distance from round water verified 00k Wn and Description; at time of construction. S • S j e_M 4� .6 rc Bottom of siding on corner of house I n (1 �, `� tca �.© Assumed Elevation: r0 e- L cc- m Lt 100 FL Engineer's Stamp OF At � •�Q;.••'' . "•• .sem l�� KND Inc.Dates: 1517/21!2003..: Inspections performed by: Engineering. doefe •4141... 41410.• Poo 2ndw• Development Services Department Approval Approval «, .. •.Q.� ��4141KemICEl7116yrt.• ��✓ Reviewed and approved by: Date: g' �' Also ,�1; **w`+«�i= NOUN AS -BUILT SYSTEM DETAILS/SITE PLAN Permit SW030203 PREUSS #2, BLOCK 1, LOT 14 PID#050-571-14 L PRIVY GALT .EXIS 2000 13 —___ ----- fi0�_�^_______ 10' Util Esmt A -C= 52.0' W 94.78 B -C=17.5' A -D= 53.6' B -D=24.1' A-E= 57.3' y 1000 GAI B-E= 37.1' H N SEPTIC A -F= 48.0' O TANK B -F= 38.5' 91.68 A -G= 30.2' B -G= 64.4' A -H= 53.4' SCALE, NTS - B-H= 56.4' A -I=54.0' B -I=85.5' ��' OF ALS\ t *. ;'4 1. 01 - KENNETH -' DUFFUA % CE -7118 p�bFESS10>S =/ MT@ TUBE FINAL GRADE SEWER ROCK NORTH TRENCH 42.0' — FINAL GRADE SEWER ROCK SOUTH TRENCH — 42.0' — PREPARED FORS PETE PANARESE 19641 CITUATION RD, EAGLE RIVER, AK. 99577 (907) 694-3195 FIELD BOOKS COMPUTEO: 80NDARnWALATKA DRAWN' VBG STAWNO: NA CNEO(EO: KMD AMLT-' NA DAX 7/301 OWG. FILE. CMD: NW051 Aum FILE 03051.OWG I 'SOB Nw 03051 NWITOR r y 77.16 KH SCALE, NTS 1 i MU) ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 • 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 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Permit Number: SW030203 Legal Description: i0reuss #2blockTi—ot 14' Design Engineer: 0070 KND Engineering Owner Name: Pete & Sue Panarese Owner Address: 19641 Citation Road Eagle River , AK 99577 - Upgrade Date Issued: Jun 19, 2003 Expiration Date: Jun 18, 2004 Parcel ID: 050-571-14 Site Address: 20210 David Avenue Lot Size: 25181 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of. ❑✓ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ 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. Received By: Date: Zy _ Issued By: Date: G 11 1 q In - Municipality of Anchorage f ' - Development Services Department de�� .�4'. Building Safety Division LT On -Site Water and Wastewater Program ` 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O — Permit Number SW Property owner(s) Pete & Sue Panarese Day phone 269-8702 Mailing address (2) Zip Code Legal description (Lot,- Block & Sub'd_) Preuss #2;_B1. L14 (20210 David Ave.l Legal description (Section, Township & Range) r Lot Size cres/Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. of property owner or authorized agent) Permit Fees: Waiver Fees: Date of Payment: l0 !rD 0 Date of Payment: Receipt Number: d 3iZ$K Receipt Number: (Rev. 12/00) KND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 June 17, 2003 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Upgrade Permit — Preuss #2, Block 1, Lot 14 Gentlemen: The owner has requested we proceed forward to obtain a septic permit on the subject lot. On June 9, 2003 one testhole were performed for the proposed system. The results of this test are attached. The general slope of this lot is from north to south at a grade of approximately 5-15%. We have designed our system utilizing the existing testhole that were excavated for the existing 3 -bedroom house. The lot is served by an individual well, located on the northwestern portion of the lot. We propose to install two 5' wide shallow trenches. Water was encountered during the excavation at 13', and during monitoring at 9'. The existing system is to completely abandon. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/17AX 696-8111. Respectfully submitted, MMD Engineering, Inc. Kenn uffus, P.E. Attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test Excavators/Owners Specs WELL & WASTEWATER PREUSS #2, DISPOSAL SYSTEM BLOCK 1, LOT 14 \\-\-ilr 11 DETAILS/SITE PLA tt tt t t 10 tt L 1 1 Y 1 l/ BOUNDARY: wAt-ATKADRANK: pF� 16 17 CHECKED: ASBtmT: NA DATE: 12 13 II..IL ---- ------ ------- ------ 17 UM Efnt ------ ------ 2 ;3 4 umc 6 7 NO PUBLIC WELLS WITHIN 200'1! PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' (IF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200. (IF PROPDSED WELL EXCEPT AS NOTED. DESIGN DETAILS 3 BDRM X 150 GPD = 450 GPD 450 GPD/0.8 GPD PER SQ, FT. <8 MIN/IN.)= 562.5 SO. FT (562.5/5'<W)) X .7<RF) (2.0' GRAVEL) = 78.75 FT. TRENCH USE 2 TRENCHES - 40 (L) X 5' (W) X 2.0'(D) Total depth of system Is 4.0' from original grade. Total depth of gravel below distribution pipe is 2.0' . NOTES, 1. USE 1000 GAL SEPTIC TANK, INSULATE IF <4' OF COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS. PREPARED FOR, PETE PANARESE 19641 CITATION RD. EAGLE RIVER, AK. 99577 (907) 694-3195 FIELD BOOKS COMPUTED: BOUNDARY: wAt-ATKADRANK: STAKING NA CHECKED: ASBtmT: NA DATE: DNC. Fn.L- CMD: ACAD su: 03051.DWG I JOB N': 03051 Scale, 1'= 100' PAGE 1 OF 2 ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 WASTEWATER DISPOSAL SYSTEM DETAILS PREUSS #2, BLOCK 1, LOT 14 KND ARK WELL RADII PRIOR TO CONSrTF OR 0 In In I I ON L j>GALP ED 000 TH03-1 TAN MT 40' PROPO ED PRIMARY(5EL6 29' ----� OF AL.9S AW * : TE * j ,..ici / `1 CE -7116 SON. "-....... 2?m s aN= 45' 15' MT i2' OpN PROPOSED 2000 SPLIT O -------------------- 10' Util Esmt, PREPARED FOR: PETE PANARESE 19641 CITATION RD, EAGLE RIVER, AK. 99577 (907) 694-3195 nELD BOOKS COMPUTED: BOONOARn WALATKA DRAW VBG STAKING: NA CNECXED: KMO AsBOILF NA DATE, 6/16 Dwa nt: CMD: NW56 ACAO ix.E: 03051.OWGI 'ICD N": 03051 IBEL R Scale+ 1'= 20' PAGE 2 OF 2 1biAl WJ ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 KND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 �As�9 Wiz. Kenneth hi. COLO �.. CE 7116 1\t SOILS PERCOLATION TEST ,f<<9FDe••''••• •� Performed for. Pete Panarese Date Performed: 619/03 Project: Preuss #2 Block 1, Lot 14 TEST HOLE # 03-1 Depth (Feet) SEE ATTACHED SITE PLAN 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- Org/OL — overburden/grass GM/SM — med dense, damp brown -gray w/cobbles to 1' seeps B.O.H. HOLE PRESOAKED PRIOR TO TEST FOR HOLE LOCATION Was Groundwater encountered? YES What depth? 13.0 Depth to water after monitoring? 9' Date? 6/16/03 Reading Date Gross Time Net Time Depth to Water Net Dro 1 6/16/03 1:00 - 6" - 2 1:30 30 min 23/16" 313/16- 3 * 1:31 - 6" - 4 2:01 30 min 23/16" 313/16" 5 2:02 - 6" - 6 2:32 30 min 24/16" 312/16" * Water Added Percolation Rate 8.0 (min/in) Perc Hole Diameter 6„ Test Run Between 5 feet and 6 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. . X11,117 h GREA''�"�R ANCHORAGE AREA BORCO GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM .v NAME � S / MAILING ADDRESS 2425 �� Cd PHONE 661C LOCATION 1)4Y LEGAL DESCRIPTION,,Co7_Z! Sl�f'/ PiP9e-SS VAY' `a SEPTIC TANK: DISTANCENUMBER OF A 1fll 37 _ 1Z —COMPARTMENTS FROM WELL E MANUFACTURER S4iaS�% MATERIAL P��¢_ 1G COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY/� GALLONS. TILE DRAIN FIELD: j� TOTAL LENGTH DISTANCE FROM WELL FOUNDATION "/ 6 NEAREST LOT LINE :30'0' OF LINES i/ NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH4 IN. TOTAL EFFECTIVE ABSORPTION AREA 75Q SQ. FT. LENGTH OF EACH LINE / 01/No 410 '11 ' [�/ DEPTH OF FILTER 0 ,/ DEPTH: TOP OF TILE TO FINISH GRADE % MATERIAL BENEATH TILE tR S�IN. ABOVE TILEIN. WELL: TYPE CONSTRUCTION DEPTH DISTANCE FROM: BUILDING + NEAREST /^ f NEAREST? SEPTIC SEEPAGE i FOUNDATION LOT LINE, SEWER LINE Zj , TANK �� , SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS _. DISTANCES: V J S-^ DIAGRAM OF SYSTEM Ott 7W,IvO i INSTALLED BY: FiC'o�/ , OI = e-PrA%115 9 P, SEWER LINE DEPTH: �'c✓ , V J • zs eio r. PIPE MATERIAL: 0 LOT SLOPE: REMARKS: DATE/d�%��sAPPROVED // ,� G.A.A.B. Form/ EQ -032 NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION GREA� R ANCHORAGE AREA BO% ,IGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99303 TELEPHONE 274-4381 ' We u' SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT LoT INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTSv_ COMPLETION DATE ANTICIPATED ESS e c. PERMIT NO. IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE 1000 TYPE MINIMUM DISTANCES. RMQUIREMEgS/ FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL DRAIN FIE[ SEPTIC TANK - SEEPAGE PIT DRAT TO NEAREST LOT LINE. , WELL TO SEPTIC TANK .,SEEPAGE PIT _ DRAIN FIELD Of OUN An ALSO CONSIDE WATER MAIN TO SEPTIC TANK SEEPAGE P DRAIN FIELD SEPTIC TANK, � /00 SEEPAGE PIT Sao DRAI TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRI EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TAI FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALL -4 I" G.A.A.B. OR LICENSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF DESCRIBED SYSTEM IS IN ACC ANCE WITH SAID CODE. .► ✓ DATE APPLICANT'S SIGNATURE FORM NO. EQ -01 6 SEEPAGE AREA SIZE TYPE e SYSTEM ms`s r^� '• • " ' 0 Et E GEOTECHNI CAL & DEVELOPMENT CO. • Box 90, Davis St., Eagle River, Alaska 99577 694.2774 or 688.2280 Russell Oyster 694.2774 Soils Er Foundations SOIL LOG Earl Elvis 688-2280 Land Development Performed for: Name: �<"41 Tel . No. --D'S S-� 7 Mailing Address: 2Z6a \tea Legal Description: pt-yA Depth (feet) Soil Characteristics . 0 � W - Sta ., CNy G � Y C►,,�a.� 3 4 5 g �� qjec u c Acts 10 11 Ground Water Encountered: Yes No If yes, what depth Proposed Installation: Seepage Pit Drain Field Comments: �:' � C, tAQ<n Performed Date: 3 �)!a LOG OF DRI".I NG by A & L DRI LLI'G COMPANY OWNER�OF.LAND ...`, :?..l`i _._4 G'.f :Jj.� ADDRESS WELL SITE .!.A/ ..... I ......... !L ....1 . ............ ek.r!;�g......... 11 DATE—STARTED .......1 1! 1-. J'.:I:x:/.1................................... _............... DATE—ENDED KIND OF FORMATION: <" ..j .................................................... DEPTH OF WELL .........i.....U ....... 4 ..... STATIC LEVEL OF WATER FT....:.:^�:..................... / DRAW DOWN FT...A..r......................................................... GALS. PER HR. 1_'} r KIND OF CASING 0 FROM........................FT. TO.... r .1 I r �iS�4!li-Xv,;k4 71..............FT....i.._.* J:...:...:...... ROM........................FT. TO........................FT................._............. FROM .... ..............FT. TO ... Za................FT. !1 ..`. � ....' t: �,.il; FROM ........................ FT. TO ........................ FT............................... U ..� t D FROM. f.r::...............FT. TO...... ).2 ............ %!J G�..V �� FROM .L.....FT. TO ........................ FT............................... FROM...._ .. c............ FT. TO .............. FROM ........................ FT. TO ........................ FT ......................... ..... i FROM.. "--l..........FT. TO .... -�... ............ FT....i ................... FROM ........................ FT. TO ........................ FT............................... p'!� TO.. FT.. FROM..... '`. ............FT. TO ....... l.A.......... .... FROM ..................... SFT. _ ....... led /. FROM...... La ............ FT. TO... �_.f............ FT.....+i..:7:.l1 FROM........................FT. TO ........................ FT............................... FROM........................FT. TO ................. ....... FT............................... FROM ........................ FT. TO ........................ FT MISCL. INFORVATION: ��t i.�Fn7FA �•S TO YJ DRILLER'S NAME ... - ...................................... --.,� Municipality of Anchorage ' Development Services Department o Building Safety Division _ On -Site Water and Wastewater Program ` 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ,"� Parcell.D. 050-571-14 HAA# 0�v5�)(-O Expiration Date: / / — 6 — Q 3 1. GENERAL INFORMATION Complete legal description Pruess Subd. Addn #2, Block 1, Lot 14 Location (site address or directions) 20210 David Ave. Eagle River, AK. 99577 Current Property owner(s) Pate & Sue Panarece Day phone 269-8702 Mailing address 19641 Citation Eagle River, AK. 99577 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ CommunityClass Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (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 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 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 KND ENGINEERING, Inc. Phone (.907) BAR -61 91 ••• 1• •• gr-rummm rmam-.. my A Engineer's Printed Name Kenneth M. Duffus Date 7/21103 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, KND can not give any estimate of how long a system will function satisfactory for current or future occupants or can KND guarantee that no unseen encroachments, deficiencies or discrepancies exist. 5. DSD SIGNATURE _f:f� Approved for -3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: Original Certificate Date: Municipality of Anchorage , Development Services Department r° Building Safety Division On -Site Water & Wastewater Program ' • • *' 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Prggss Addn #2, Block 1. Lot 14 ParcellD: 050-571-14 A. WELL DATA Well type or_ ivate If A, B. or C provide PWSID # Well Log (Y/N) Date completed, 1100/1976 Sanitary seal (Y/NLY— Wires properly protected (YM) Y Total depth Jgj ft. Cased to 40+ ft. Casing height (above ground) 1 8 FROM WELL LOG Date of test 11/20/1975 Static water level 62 ft. Well production 20 9 -p.m WATER SAMPLE RESULTS: AT INSPECTION 6/1812003 62 ft. 5.0 g.p.m. Coliform __Q_ colonies/100 m1.Nitrate 0,047 mg./I.Other bacteria _0_coionies/100 ml. Arsenic: AA mg.A. Date of sample: 7/22/2003 Collected by: KND Engineering B. SEPTICIHOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 7 / 18 / 0 3 Tank size 1000 gal. Number of Compartments Cleanouts (Y/N) Y Foundation deanout (Y/N) JDepression over tank (Y/N),J�L-High water alarm (Y/N) _ WA Date of pumping NIA Pumper N/A C. ABSORPTION FIELD DATA Date installed 7/2QQ,1Soil rating (g.p.d.A't2 or fe/bdrm)-U System type TRENCH Length 64 (2 X 4_2') ft. Width ft. Gravel below pipe ,2.0 ft. Total depth 4 ft. Eff. absorption area 600 ft2 Monitoring tube Y Depression over field S Date of adequacy test N/A Results (Pass/Fall) N/A For -a- bedrooms Fluid depth in absorption field before test_ in. Water added_ gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & 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 SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main 75'+ Sewer /septic service line 25'+ On adjacent lots 10 0 ' + On adjacent lots 10 0 + Public sewer manhole/cleanout 100'+ Holding tank 10 0 ' + SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5 ' + Absorption field 5 ' + Water main 10'+ Water service line 10 ' + Surface water 10 0 ' + Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10 ' + Water main 10 ' + Water Service line 10'+ Surface water 10 0' + Driveway, paridngtvehicle storage 10'+ Curtain drain 50'+ Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION certify determinedthat I have through ections nd ,, % �..•� review f Municipal records thatthebovelsystemse in t •.' ...� » • conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Kenneth M. Duffus sYti 706 j e Date F ••.......• AV ���` HOFfSS10N�i HAA Fee $375.00 Date of Payment -2— 33 �%1� 4 ,f Receipt Number ' 1 T f' 0 li (Rev. 12101) Waiver Fee $ Date of Payment Receipt Number From:ALASKA STATE PARKS , 907'.269 8907 06/0'?003 09:52 x'064 P.002/003 I ; i 71T tz /S O W Mf I i —• ml t �.W\ I � arta• H • Qomi�o�.%' SYS4�.•H ' try -Pe, 59' 00."67 - i ^e. &U' `i Jjye d r•� `',�7y'. NO. 32535 � 1 �� i 4 � �t)ffSS10NAL �Ys.•w' r q•0`,sYy y„ SGA, E r/",•.3O' 8� EMENTS OF RECORD. OTHER THAN SE SHOWN ON THE A"CORDED PLAT, FB 76' 7 6`0 NOT SHOWN HER Ori. .AS -BUILT NO CORNERS SET THIS DATE A -C= 52.0' B -C=17.5' A -D= 53.6' B -D= 24.1' A-E= 57,3' B-E= 37.1' A -F= 48.0' B -F= 38.5' A -G= 30.2' B -G= 64.4' A -H= 53.4' B-H= 56.4' A -I=54,0' B -I=85.5' I hereby certify that I have performed a Mortgagee's, Inspection of the followin described property Lar N, �' c or:.� /' SC490- 1/N I T W. 2 Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no Improvements on prop- erty lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this—/0/7y dayof 0'2/0/3C7/_ 19-:./�"�,. FRED WALATKA & ASSOCIATES Engineers and Surveyors ai I Sly n FRM Q ' K HSE °o 9 2ss tl. , a ,op o f r H • Qomi�o�.%' SYS4�.•H ' try -Pe, 59' 00."67 - i ^e. &U' `i Jjye d r•� `',�7y'. NO. 32535 � 1 �� i 4 � �t)ffSS10NAL �Ys.•w' r q•0`,sYy y„ SGA, E r/",•.3O' 8� EMENTS OF RECORD. OTHER THAN SE SHOWN ON THE A"CORDED PLAT, FB 76' 7 6`0 NOT SHOWN HER Ori. .AS -BUILT NO CORNERS SET THIS DATE A -C= 52.0' B -C=17.5' A -D= 53.6' B -D= 24.1' A-E= 57,3' B-E= 37.1' A -F= 48.0' B -F= 38.5' A -G= 30.2' B -G= 64.4' A -H= 53.4' B-H= 56.4' A -I=54,0' B -I=85.5' I hereby certify that I have performed a Mortgagee's, Inspection of the followin described property Lar N, �' c or:.� /' SC490- 1/N I T W. 2 Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no Improvements on prop- erty lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this—/0/7y dayof 0'2/0/3C7/_ 19-:./�"�,. FRED WALATKA & ASSOCIATES Engineers and Surveyors .. n......nr v... r..... n.. m•.,r .n .t. rn� ....�.nrr•n... r.r..i......... r.�....r n.. /.l...r...�,n.�.n...r-w•.r Mnnr-�.n �r n•n..nn•.n+r..r.rr�F `n n -r Y..-...a:..v.. �.. ... ._ -.� r .. . EAGLE RIVER AREA 1� GREATER ANCHORAGE AREA BOROUGH I�'IY Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received October 25, 1976 V" Time of Inspection // Ont Date of Inspection 10-1_Q-7, D+n • REQUEST FOR APPROVAL OF %�crehlza�a . INDIVIDUAL SEWER & WATER FACILITIES FOR bc Conv. 1. Approval requested by: Alaska Mutual Savings Bank Mailing Address: Post Office Box 1120 Phone: 274-3561 2. Property Owner: Ralph Hettinga Phone: 276-2358 Mailing Address: 1601 A East 41st Court 3. Legal Description: Lot 4. Location: Ann 1 Preuss Subdivision 5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data: A. Type Individual B. Depth Qj) C. Construction D. Bacterial Analysis 7. Sewage Disposal System: on—site system A. Installed 1975 B. Installer C. Septic Tank: 1. Size Mnc).. 2. Manufacturer D. Seepage Pit: I. Absorption Area L 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Req?'7;t for Approval of Individual S'1r & Water Facilities 'Cegal"Description Comments Lot 14 -Block 1 Preuss Subdivision Disapproved Date & 3 - , Approoll;Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 1 certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) t� ell) MUNICIPALITY OF ANCHORAGE - DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Typeof Inspection: CMRO VA FHA CONY X 2. Property Owner:' Ralph Hettinga Mailing Address: 1601 A. E. 41st Court Day Phone: 276-2358 3. Name of Buyer: Peter J. and Susan F. Panarese Mailing Address: 2884 East 42nd Street Day Phone: HOME- 74-4MT wa4 c,, S441 -2,a WORK- 279-3413 4. Name of Lending Institution: Alaska Mutual Savings Bank Mailing Address: P. 0. Box 1120 5. Name of Realtor or Agent: N/A Mailing Address: Phone: 274-3561 Phone: 6. Legal Description: Lot 14, Block 1 Pruess Subdivision Location: Eagle River, Alaska 7. Type of Facility to be Inspected: Single Family No. Bdrms. 3 8. Water Supply Type of Supply Public Utility Individual X If Individual, number of dwellings presently served 1 If Individual, depth of well 84 feet 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) X Septic -Drain If Individual, date of installation 11/75 72003(3/76)