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Home My WebLink AboutMEADOW BROOK BLK 1 LT 3Onsite File {'png gam&�,s x r� 61. Municipality of Anchorage Community Development Department Page 1 of 2 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181431 PID Number: 050-191-37 ❑ New ❑✓ Upgrade Name: CLARKE HEMPHILL ABSORPTION FIELD El Deep Trench El Shallow Trench El Bed F-1 Mound Address 10969 IDITAROD ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot MEADOW BROOK 1 3 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station I Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well N/A N/A N/A N/A N/A TANK EI Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity I 1250G,1. Surface water 100+ N/A N/A I N/A Material Number of compartments Lot Line 26.3 N/A N/A N/A STEEL 2 NA Foundation 10.1 N/A N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ N/A N/A N/A Gal. Remarks Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield JR'S SEPTIC SERVICES Drainfield CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 608.0ft Inspection s' 12/6/2018 dates: 2�a 1 /9/2019 Location and description 3`" 4'h FRONT DOOR THRESHOLD COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp ds�s®$e\ OF At �k_i Conditional Approval: Date PP P'� �� co- tteven . PLia one Approved v�L i -af a) Date (_`i / 1 i E 814 ¢�c . CAW }0 PR � .° �® OFESSt �. mbp--uuon rcepori_i-i-ic.uoc v ` `y •� X01.- r ' --'�� r V� 815 st o rcit –' \ \ P t 10 ti\ .--n,,"-—LOT2 l� \DRIVE;VAY `\\ _---'APPROXIMATE LOCATION OF _ '�\ j INSTALLED 1250a SEPTIC TANK / EXISTING DRAIN FIELDS 1� •/' a 600 2y T Ti F % �\ ° 0 605 ' 1 -0 -TI -7 O i \DRIVEWAY TRUE NORTH SCALE 11= 50'1 � I \ %N/ FOUNDATION CLEAN OUT BEFORE AND DCO AFTER \ 1 sFDR\ r I \ PER MOA CODE t V T C �J .---' : �\ L0 , � r � I 1 I � —w —w — WATER LINE / WELL RADIUS — Ss — Ss — NEW SEPTIC avm�� TH TEST HOLE (P) PROPOSED (E) EXISTING CO CLEAN OUT NO. MT MONITOR TUBE NO. TYP TYPICAL r � A B z 0� < 0 Qo az Z< OU PROFILE SCALE: NTS NOTES: PANNONE ENG C, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 34.7 17.0 I RECORD DRAWING Scale 1" = 50' MEADOW BROOK B1 L3 GLARKE HEMPHILL 10969 IDITAROD CIRCLE EAGLE RIVER, AK 99577 T1 33.0 16.9 /= T2 31.4 Sheet 2 OF 2 30.5 EN18E.7DCO z 0� < 0 Qo az Z< OU PROFILE SCALE: NTS NOTES: PANNONE ENG C, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 �� ,,,•••• �.,••' •� • "• •• �•� •• •(a °� CE 8149 Dat/15/2019 RECORD DRAWING Scale 1" = 50' MEADOW BROOK B1 L3 GLARKE HEMPHILL 10969 IDITAROD CIRCLE EAGLE RIVER, AK 99577 P.I.D. NO --C=— 91-37 DRAWN ACP PERMIT NO. OSP 181431 SITE PLAN Sheet 2 OF 2 MUNICIPALITY OF ANCHORAGE /nc ' On -Site Water & Wastewater Program POBox 1S8O5O 470OElmore Road Anchorage, Alaska 88519'O85Q Phone: (907)343'7984 Fax: (88r)343-7SS7 � � hnp://�vm�.muoiorO/unnivy On -Site Wastewater Disposal System Permit Permit Number: OSP181431 Effective Date: 1215/2018 Work Type: SepboTankUpQrade Expiration Date: 12/5/2019 Tax Code Number. 05010137000 Site Legal Address: MEADOW BROOK BLK 1 L 3 G:8153 Site Mailing Address: 10969 |O(TAROOC|R. Eagle River Owner: HEMPH|LLCLARKEFAMILY TRUST Lot Size inSqFt: 8517 Design Engineer: pANNDNEENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: 0 Disposal Field ZV Septic Tank 0 Holding Tank 0 Privy 171 Private Well 11 Water Storage All construction shall beinaccordance 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 (1 8AAC72) and Drinking Water Regulations (1 8AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.G5.Provide notification bycalling (907)343'7QU4(24/7). 4� From October 15 to April 15, a Subsurface soil absorption system under construction during freezing weather shall b*either: o. Opened and Closed onthe same day, o, b. Covered, sealed, and heated to prevent freezing Received Date: |souedBy:Dohe: F$051+ MUNICIPALITY OF ANCHORAGE EPLAUS %W K COLAASPW Community Development Department;. Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-191-37 Property owner(s) Billie & Clarke Hemphill Mailing address 10969 Iditarod Circle Eagle River, AK 99577 Site address 10969 Iditarod Circle Legal description (Sub'd., Block & Lot) Meadow Brook B1 L3 Legal description (Township, Range & Section) Lot Size 8,517 Sq. Ft. Number of Bedrooms Day phone I/ APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X Septic Tank x❑ Upgrade ❑x (w/wo ADU) Duplex {D) ❑ Holding Tank ❑ Renewal El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Dis tance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of proderty okner or Ize agent) Permit/Rush Fees: o (:i Waiver Fees: Date of Payment: X11 L{ Receipt Number: Permit No. Permit App_:: .,:c: Date of Payment: Receipt Number: Waiver No. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE Pannone Engineering ServiceS LLC osP18m31, Rebecca Carroll, l2lo5l18 Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com December 4, 2018 Subject: Meadow Brook B1 L3 EMERGENCY Tank Replace Permit Request Design Narrative This is a design narrative for a permit to install an upgrade 1,2508 Septic Tank to replace an existing 1,2508 Septic tank to be issued for this property. The existing tank has collapsed. It will be removed per code. Currently the lot is developed. The proposed system will utilize a replacement 1,250g septic tank that will be connected to the existing drain field. Double Clean -outs will be installed after the tank and before connecting to the existing drain field. This lot and the surrounding lots are served by public water. There are no wells within 100' of this upgrade. 1. Upgrade Tank Design. A foundation clean out installed if needed. The tank will be located: 5'+ from any property line 10'+ from building foundation 10'+ from any water line 100'+ from any surface water 100'+ from any private wells 200'+ from any public wells The proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at 907-745-8200. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 1807 Palmer-, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 MUNICIPALITY OF ANCHORAGE 3E AT ENT OF HEALTH AND HUMAN SER _=S ; 0 � � � 3 Environmental Health Division 825 "L" Street, Anchorage, Alaska 89502, Telephone 264-4720 ON-SITEISPOSAL SYSTEM AND/OR WELL INSPECTION Name DISTANCES TO SEPTIC ABSORPTION Address l WELL TANK HELD phone(s) Per.Trit No. "N.dr � WELL '7 p I— LEGAL DESCRIPTION LOT LICE � f� l C.> Lot Block S ;bC! Vt5(t3rt _ _ FOUNDATION-- Iownship, Range. Section AS-BUILT DIAGRAM (Sirww iocatiurt a, watt, septic system, property lines, foundation, driveway, water bodies. eft:.} _ TANKS SEPTIC 10 HOLDING ttanr:fac[urer Capacity in al Cris Matenal No. of compartments TYPE OF SYSTEM�- U11 �� T E CI s BED DRAIN .C1 OTHERtt tTotal depth from original grade original grade 1- t FT f FT,—- — Ftit added above c ogin i grade Gravel cep Iz beneath pipe -Or- FT -- _ � ,`� FT t3r�tr, itirryt}__.� IGravel wioa)— __ "7Z- F` FT Tort absorp iters areaj Distance. between lives 6-4 " SQ FTI( _ FT d Numba r cf ',nes Dail rattng� Pepe material T _ _ SQ FTs-' instailer Date Inst s Iled - - H-l"' WELLS t (J PRIVATE �K.Gi°TFiER (3eni(v) C;las�.fir,at�ot`A E3E3,C;� 1 otai Depth Cased to -!'------- FT FT nsta€let Date installed. t E ARKS: t / Sete:. EhIG}EAL t! _ lnspectiar;s Per yr ed by: " _;. k. V 4 ti 0 t/V Date: 4� r-- ' C C C f�j o ` H(E c% &) A S & S ENGINEEKINV7�: f i � yar, L Road No. 204 cern y that this ' spectral) was performed according teal{ p t �as Municipal and tat guitFeflnes In effect on this dal Health Department Approval: Date.` - 72 -073 (3185) Owner 0ame: DON L. & QEBRA L. WILG8N Owner Address: 3100 IDITAROD CIRCLE �A8LE AIVER, AK 99577 Parcel %d: 050-191-37 Lot Legal: Subdivision Day Phone: 894-5500 Section: 12~�7ijwnship��-14 Lot Size 8517 (sq.{t. or acres) Max Bedrooms: This Permit: 2 Total Capacity: 4 �-1 fl-°4� S & S ENGINEERING 17034 E. R. LOOP 0204 EAGLE RIVER, AK 99577 PHONE #�94-2979 SEWER PERMIT APPLICATION***************** DATE: 8-13-87 APPLICANT: LONNIE BATES ADDRESS: P.O. B0 771699 EAGLE RIVER ALASKA 99577 CONTACT PHONE: 694-5500 LEGAL DESCRIPTION: LOT 3 BLOCK 1 MEADQW BROOK SEC 12 ,T14002W LOT SIZE: 8517 (SQ FT MAX. NUMBER OF BEDRO8MS: 2 SOIL RATING: 140 SQ FT/BR SOIL TEST DEPTH: 14 FT NQ WATEH PRESENT IN TEST HOLE. THIS IS AN UPGRADE OF 2 BEDRQOM TO THE EXISTIN8 SEPTIC SYSTEM MIM. REQUIRED RESERVE AREA: 3000 SQ.FT CAL. REIVE.VE AREA AVAIL.: 6035 StA.F[ ________________________________________________________________________________ TRENCH OED ORAINFIELO EFFECTIVE DEPTH 5 �OVER DEPTH 5 TOTAL DEPTH 10 LENGTH 28 WIDTH ' \ ` SQ FT. 280 ____________________________________________________________________ SPECIAL CONDITIONS OR INSTRUCTIONS: THlS IS AM UPGRADE FR01 TWO TO FOUR BEDRO8MS. FIELD PASSED AN ADEQUACY TEST FOR TWO BEDROOMS. A nwnx) iw' FYIS 7-/m�� C-,,4q J-5,� -FIC 7-/j^/+? FHE EXISTING ABSORPTION 31yos rOv, 4, E INEER'SSEAL) Y 14 Municipality of Anchorage V 1. DEPARTMENT OF HEALTH & HUMAN SERVICES j 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG PERCOLATION TEST Z PERFORMED FOR: DATEPtd tv -V, , LEGAL DESCRIPTION:L-:"., Y;l oa:Q�TownshipRangeSection: --Al� A;1EjQ_T1P+I SLOPE SITE PLAN 2 - 3 - 4 z2l 5 6 -9 7 8 9 10 12- 13- 14- 15- 16- 17 - 18- 19- 20-1 COMMENTS N WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT L DEPTH? 0 P E Depth to Water A!L,, Monitoring? Date PERCOLATION RATE 110,1 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 10 FT AND .. I FT PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) s�'4°,; a�� W MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH, AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date' 1. ' GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) - - "�� (b) Applicant Name Telephone: Home Business Applicant Address 1\r,� ) P i?s (c) , Applicant is (check one): Lending Institution 0 ; Owner/builder ;Buyer ❑ ;Other ❑ (explain); — (d) Lending Institution Telephone . Address (e) Real Estate Company and Agent Address�4`---- the HAA to the following address: S & S ENGINEERING (tno0yZO-Z/ ' C1r�e8�6 ( \ ~ . -Npomn,jeauibue pnuo!oaejoAd eqju!ouoism!mnjoauo»ajc4e|q!suodsaujou steOnjoqouVjoAgledio!unyXeql,peneo!si alpoypieoeeuoleqelep azAleuL,_ jomuogoednui lonpuoujou OP d3HO jo oeoAop1 -spuameu!nbniololapumpuepelu!alieoAlagomcujupiou!ouognigsu! Ou!puelueqjpunaamuq jomeaoqoondo4Aoepnooe000iq1eeop63HOe4l'eNye|Vjooluigeqju!poualu!DeuJeeu!Oue loun!onejoidjuepundapuiuoAqexoqo9qdmyBsmedu!uex!Dnuo!jnjuaeoideyeqjuudnA1a|mspemaqnep2o!pIJeo|axcuddV AgjoulnV qqoeH nenea! (63H(J) uo11081016 |oIuemucu!xu3 pun qynoH jnjunmuodaO e8ojoqouVjoAg|ad!ounN eql r= -j doo GUoq ale I LU W 10 9 UN NOIIVWUO-4NICINVVIVCI'R,38V3S3-114'S.LS31.'SNOI[03dSNIE)NialAOudwtil:IE)NI833NIE)N3 '9 �`MUNICIPALITY OF ANCI- ORAGE (MOA) i11V �ICll~.�'4LI i�� C¢ �,R �, C�' ENVIROiN MENTA,? �r I I AUTHORITY ITY PE�PCiiAL (�I ) L'RVICES DIVISCKLIST"- FEBRUARY 19$4 264-4720 Legal Description: _ A. WELL DATA Well Classification If A, B, C, D.E.C. Approved ) Well Log Present (Y/N) Date Completed Yield Total Depth Cased to Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots To. Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by _ Water Sample Test Results _ Comments .0. To Nearest Public Sewer To Nearest Sewer Service Line on Lot. Date / B. SEPTIC/1 TANK DATA Date Installed *orr- t p Size No. of Compartments —� Standpipes ) Air -tight Caps N} Foundation Cleanout (Y Depression over Tank (Y(t�Date Last Pumped Pumping/Maintenance Contract on File (Y/N)-pla; for Holding Tank High -Water Alarm (Y1N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/He� Tank: t � t To Water -Supply Well 7- "` To Building Foundation Z_ To Property Line ) To Disposal Field r To Water Main/Service Line t To Stream, Pond, Lake, or Major Drainage Course - Comments �ii✓lGG+t3 t "�c� t �i� 4 v j ,' `�' t. e �i,-A P l P i 2Z Page 1 of 2 4 , /f 72-026(11/84) -X��r��~� Soils Rating irLAbsorption Strata Type of System Design Date Installed ield Width of Field'' Depth of Field ~ Square Feet of Absorptio;nA?re Standpipes PresentON) Depression over Field (Y Date of Last Adequacy Test Results of Last Adequacy Test 1'>1 Y-- "�<SH--. -� �� -Ae_&-< ��Y_. Separodon Distance from Absorption Field: ` '-' } / ToWater-Supply Well ToProperty Line ToBuilding Foundation To Existing Abandoned S0o Lot' � On Adjoining Lots ToVVutmr |Nuin/SmmiueLin* / ToCutbank (if present) > ToEXneam/Pond/Loko/orMajor Drainage Course To Drivewuy, Parking Area, orVehicle Storage Area Comments� 7"k �� — .' �l \� -� /5_�, f_1 � CW_ L_� Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at "Pump Off" Level at High Water Alarm Level at Vent (Y/N) Tested for Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** Pumping Cycles during Adequacy Test. Meets MOA I certifythat I have checked, verified, orconformed to all MQAand HAAquidelines ineffectonthedateof this inspection. Compap OA No. Receipt No. '� Date of Payment Page 2 of 2 72-026 (11/84) ~ a rV'7UNlUlPA,,U'V OF M-JU5,110RAGE DEPARTAVIENT OF HEALl"Irl AND rbc ViRONNIENTAL PROTECTIOIN K 011V*�Wl OF ENVIRON04ENTAL HEALTH CERTIFICATE OF INSPLE-CTION FOR HEALTIF-1 AUTHORITY APPROVAL OF ON-SITE SEVVER AND WATER FACUTY 264-4720 Alur,plication Date 1. GENERIAL WFORNIA9 (a) Legal Description "i[IdUde loo, blolck, subdivision, section, township, range) k T 0 L B 1 o c ic 1 Meado-,%, Brook Subdy T 11-1 N RA 1 -1, J1 Sec ------------ --------- - ----- Locati-cm (address or directions'), tt 01 4 c, j e t .ridit1 ,"rod. 'A -usiness (b) Applicoa-it INIamc. ------ T e i e r hc n e: H o rn e i _i_ Applic- nl Applicant Ls « «Ecill Lending ;sl sWution L! )`s 3t budder E'VI a '3 E u v er '[31 Ot sem, uM, e,,x,pla.,in); --------- - (d) Lertbrig hnstitution--Tele-phon-a A ddress D -n-a" J _9 (a) Rip -al Cornpainy and Acient MAX Bacon V 33. Adkoress lelepf'one i'vlai; the H'AA followinig adldre;ss: pj ll`i�Ul) 2. TYPE OF RLHV!,Dr_-N'CE Single-Family[D Mu,l'J,,F-anndyEj 0-11hrT Nuumberof Bedrooms 3, VilATE'R SUPPLY individual WeH U Coimnnurlity ED Public VE -1 Niole: nn List have -vvritlem confirmiationfiromthe, State Departmentof Enviro;rnentad Co.se rvation attesting to the ler ahty and,,,'tatus. 4, SEVAGE DISPOS.Al.- Onsite Ej Public El Cornrnumfy ED Holding Tank El Notc,-, if (,,orn rn U ilily `,Veili systern, zmt.ist have wriZJrm coirif irmation from the State Department of Envi , on rredlaonsuvaJ';on altnsm lg to the k)ciality and 6tat4.ls. Page I of2 ,-025 8"") -7 5. ENGINEERING FIR'Nfi PROVIDING INSPECTIONS, TESTS, FILE SEAF-iCIH, DATA AND INFORMIATION As certified by my (seal affixed hereto and as ofthe validation date shown belovi, i verify that my invesfigation of this HeaM) A sr�,jy A pproVal uth shows that the on-site water supply and"or wastewater disposal sysem is safe, functional and adequate 'Corthenumberof bedrooms and type of structure indicated herein, I further verify that based on the �nformation obtained from 'he Municipality of Anchorage files and from nny investigation and inspection, the on-s;te voter` Supply and/or wastewater disposal system is in corripliance v�,jith all Municipal and State codes, ordinances, and regulations in effect on Iffle dale of this inspection, Narne of Firm T-alephorie Address EMILE RIVER QJGWEEARNG �SIEFMCES Date EAGLE RIVER, A 99577 694-5195 6. DHEP APPROVAL Approved for bedrooms by -1-Z-- Approved Disapproved - ------ Terms m Conditional Approval 1-ondi'iona L Engineer's Sea! Date____,_-- _he Mt..inl-ipality of Anchorage Department of 1-lealth and Environmental Protection (DHEP) issues Heaflth Authority Approval certikicates brised s000 y upon the representations o given in paragraph 5 above by an independ(ent professional engimeer registered in tho, State of Aiaskn. The DI°r`:does ti Js as a co.,urlesy to purchasers of homies and their lending inSti'Mtions in order to satisfy certain flederal arid state requirernents. Dmployeosof DHEP do not conducl ins pcxtioins or an,alyze data before a cei-Lificate is isstred.The MUnicipality of Ani, -h, - o rage isnot responsible fore,ro"s in the professional erigineer- s work - Page 2 of 2 , _.~L', oF EvDEP7-- OF -^'ns �8W�N3PALITYK�F ANC��RAGE(�8 \ -'" HE�L��H��(��) -' CHECKLIST - FEBRUARY 1984 2G4-4720 ��-�� E`D Legal Description: 49 A. WELL DATA vl- ^ Well Classification |fA` B. C. D.E.C. Approved (Y/N) Well Log Present (Y/N)________Date Completed Yield Total Depth Cased to Depth of Grouting Static Water Level Pump Set Ad _ Casing Height Above Ground Sanitary Seal on Casing (Y/N) � Electrical Wiring in Conduit (Y/N) Depression Around %V*Uh*ad (Y/N) Separation Distances from Well: ToSeptic/Holding TamkonLot ;QnAdjoining Lots __ To Nearest Edge mfAbsorption Field onLot OnAdjoining Lots To Nearest Public Sewer Line ToNearest Public Sewer C|eanout/yWanho|a To Nearest Sewer Service Line onLot Water Sample Collected by �Ocge________ Water Sample Test Results Comments B SEPTIC/HOLDING TANK DATA Date Installed Size No. cdCompartments - Standpipes (Y/N) Air -tight Caps (Y/N) Foundation Cleanout (Y/N) Depression over Tank (Y/N) Date Last Pumped Pumping/k4uin1enanoeContract onFile (Y/N) u"��- ;for A" )A Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well +- To Building Foundation To Property Line To Disposal Field To VVaterk4uin/Semioe Line + To Stream, Pund, Lake, nrMajor Drainage Course Comments Page 1of2 72-02611/84) ' Soils Rating inAbsorption Strata Type cfSystem Design Date Installed v�- Long1hofFisdd Width ofField 4 tv Depth ofField Gravel Bed Thickness Square Feet ofAbsorption Area Standpipes Present (Y/N) Depression over Field (Y7N) Date ufLast Adequacy Test Results of Last Adequacy Test � Separation Distance from Absorption Field: , ToWater-Supply Well 7'ToProperty Line ToBui|dingFoundation ToExisting orAbandoned System on Lot ; On Adjoining Lots 30 � ToWater Main/Service Line TuCutbonk(if present) ToStream/Pund/Luke/nrMajor Drainage Course ' � To Drivevvay, Parking Area, o/Vehicle Storage Area Comments D. LIFT STATION �/)J Date Installed Size in Gallons "Pump On" Level at ___- High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manho|e/Aoceaa(Y/N) _ "Pump Off" Level at _ Vent (YYN) Pumping Cycles during Adequacy Test. Meets MOA ** Check PermittedBedroom Rating Against HAA Request °° I certifythat I have checked,verified, formedtoall MOA and HAAguidelinasineffeo onthedateofLhioinupeudon. Signed Date F / Company 6 MDA No. Receipt No. � Date of Payment Engineer's Seal Amount: $ Page 2of2 VIA 4 72-026 (11/84) EAGLE RIVER ENGINEERING SERVICES Lou Butera P.E. P.O. 773294 4, enq_ Eagle River, Alaska 99577 za" 614 Telephone (907) 694-5195 wor WELL AND SEPTIC SYSTEM ADtQUACY TEST Legal: Lot 3, Block 1, Meadow Brook LOCATION: Eagle River RESIDENCE: Single Family, 2 Bedrooms WATER SYSTEM:Public SEPTIC SYSTEM:, From Municipal Records Tank:, 750 gallons Absorbtion System: seepage pit INSTALLATION DATE: pre -1973 DATE OF TEST: August 1,1985 TEST PROCEDURE: The drainfield was charged at a steady flow rate of 6 GPM. A total of 635 gallons of water was added to the drainfield over a 150 minute period. Both the septic tank and the drainfield water levels were monitored. The water level in the septic tank remained the same during the duration of the test. Water level in the drainfield was measured at 271" above the bottom of the field at the begining of the test and 33 inches above the bottom after the addition of fresh water. The sump level returned to 291" after 120 minutes indicating acceptance. The tank was pumped on August 2,1985. TEST RESULTS: Both the water and septic system meets the require- ments of the Municipality of Anchorage for residential use as of the day the system was tested. There is no guarantee that the systems will continue to meet these requirements. The opera- tional life of all water and septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, subsurface conditions that may not be observed from the surface, and water usage of the Family being served by the system. MUNICIPALITY OF ANCHORAGE MUNICIPALITY, 0,F ANCHfORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPTC,- & 825 L Street - Anchorage, Alaska 99501 -CTION ENVIRONMENTAL ENGINEERING DIVISION ?i 2 Telephone 264-4720 REQUEST FOR AD APPROVAL OF INDIVIDUAL WATER AND SEWEIMWVII� DIRECTIONS: Complete all parts on page 1. Incomplete requests wilt not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER NE &A• -ffia,,ek D. awd J-d?Azaf �A R 1, -MAILING ADDRESS V4 N, Vr-' - Awe, A PROPERTY RESIDENT (if different from above) PHONE -ZI66 6111�1'z I 2. BUYER PHONE MAILING ADDRESS a. - LENDING -INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT 14tj lit Qbr-pz" J,A(1,4'/v1 PHONE -�2 7.2 - 6 •7 MAILING ADDRESS 411Z AA1611 7 --1fftCrtE 5. LEGAL DESCRIPTION L k A gp6" k - 'Y10 .. ....... . ........ .... ... .. STREET LOCATION slo-o ;d,t'-�t4tud (b' V z 4 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS SINGLE FAMILY 0 One 0 Four 0 Other Two 0 Five E-1 MULTIPLE FAMILY Three EJ Six 7. WATER SUPPLY 0 INDIVIDUAL* ATTACH WELL LOG. A well log is required for all wells drilled F-1 COMMUNITY since June 1975. For wells drilled prior to that date, give well 125 PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM **If individual/on-site, give installation date -7 01 INDIVIDUAL/ON-SITE** - 0 PUBLIC UTILITY 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE El SINGLE FAMILY 0 MULTIPLE FAMILY NUMBER OF BEDROOMS 0 ONE 0 THREE D FIVE ❑ OTHER F -I TWO EJ FOUR 0 six 2. WATER SUPPLY El INDIVIDUAL ED COMMUNITY ED PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM EDINDIVIDUAL/ON -SITE OPUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER DSeptic Tank or 0 Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding TankAbsorption Area Sewer Line lNearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR BEDROOMS EJ CONDITIONAL APPROVAL (letter mus acl mpany certificate) 16— DISAPPROVED DATE t BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) JAu-muPa'- Au; V F;Ife- f T N11 POUCH 6 650 ANCHORAGE, ALASKA 99502 (907) 1264-4111 GEOR(r.,Wi. SULLIVAN, MA Yoill' NN March 30, 1979 V Samuel D./Johnnie F. Stark 3426 Vassar Drive Anchorage, Alaska 99504 Subject: Lot 3 Block 1 Meadow Brook Subdivision Approval for your individual sewer and water facilities will not be granted until the following items have been completed: (1) The septic tank is pumped with a receipt submitted to this office. Also, verify the number of gallons. (2) A four(4) inch cast iron cleanout be installed to the septic tank or leaching area. (3) Expose the tank for verification of its existence. (4) A percolation test be performed on the existing leaching area. This will determine if the system is adequate according to National Standards. A list of private firms who perform the test is enclosed. 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/ljw cc: Robert J. Allen % Totem Realty 724 East 15th Avenue 99501 S 8 -" EN Gil NEERING IMCHANICAL ENCINEER 12:CITANICAL ENGTNEERS DAVID SLENKAW CIVIL ENGINEERS 694-9055 SRB 196X Eagle River, Alaska 99577 Mr. David Stark 3100 Iditarod Circle Eagle River, AK 99577 April 17, 1979 PIVIL ENGINEER ROBERT A. SHAFER 694-2979 W-, - � nLotpc3�RIM)ck 1, Meadowbrook DEPTI, ;Subdivision, 3100 WiLarod Cir A sewer system adequacy test was performed on April 13 and 14, 1979 for the referenced property. The septic tank was pumped and could only be verified to have a capacity of approximately 750 gallons. The seepage pit was charged with 900 gallons of water and over a 24 hour period approximately 865 gallons percolated from the pit; It can be concluded that the seepaga pit is adequate for a three/four bedroom home, however, it appears the septic tank is only adequate to serve a two bedroom home. Q OU A. SWASERM-P.E. CF: Totem Realty it ATTN: Bob Allen IMunicipality of Anchorage Dept of Health & Environmental Prot V, JIG obcrt A. No. 1457-E-1 ..,...._..✓'a�E,„�,...->f°+-4." � ..0 x°`� r "'4e�-�?w.� �f'�� k'.� v`g'�,.� � _ _. .,,�.-e.. �'� �'.ro^w"� a...,+":��: �,.'".x ...,.,.. .w } sn.,. p�