HomeMy WebLinkAboutSIEFKER #3 LT 7B2 Municipality of Anchorage
Community Development Department Page 1 of 3
On-Site Water&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: OSP181394 PID Number: 015-281-41 0 New •Upgrade
Name: ABSORPTION FIELD
DWAINE SCHULDT(DECEASED)
Address: 0 Deep Trench 0 Shallow Trench 0 Bed P ound
12221 AVION STREET*ANCHORAGE,AK 0 Other
Phone: No.of Bedrooms: Soil Rating. Total Depth from original. ..::
(863) 709-5943 1 GPD/Sq.Ft Ft.
Depth to pipe invert from original grade: Grave '-pth beneath pipe:
LEGAL DESCRIPTION G
Ft.
Subdivision: Block: Lot: Fill added above original grade: s Gravel length:
,
SIEFKER#3 - -Mt- e Ft Ft.
I OwnShlp: Kange: Section: Gravel width. Beds Number of Ines: Distance between lines:
Ft. Ft.
SEPARATIONDISTANCESTotal abso pti. area umber of trenches: Dist.between trenches:
To Septic Absorption Lift Holding Public/Private
From Tank Field Station Tank Sewer Lines SO.Ft Ft.
Well 100'+ - - 25+ TANK • Septic 0 S.T.E.P. ❑Holding 0 Other
Manufacturer Capacity:
Surface Water 100'+ 4 - - ANCHORAGE TANK 1000 Gal.
• 4i Material: .Number of compartments:
Lot Line 5'+ - N/A STEEL 2
Foundation 101+ -
LIFT STATION
Curtain Drain Manufacturer c:.
NONE KNOWN
Gal.
Remarks: EXISTING SEPTIC TANK DECOMMISSIONED PER UPC PER -Pump on"level at: "Pump oft"level at: (High water alarm at:
CONTRACTOR
Pump Make 8 Model Electrical Inspections performed by:
PIPE MATERIAL
House to tank EXISTING/D3034 Tank to
drainfield EXISTING/D3034
Installer
A+ HOME SERVICES Drainfield EXISTING CO/MT EXISTING/D3034
Inspector GEG, Ltd. BENCH MARK (Assumed elevation)
100.00 Ft.
Inspection
Dates: 1st 11/14/2018 2nd - Location and Description:
3rd - 4th - TRIM AT POINT B
ENGINEER'S SEAL
Community Development Department Approval oo�.-.\pk
.� OF ' (�I4
lti
Conditional approval: Date: • • ,• '•..1-
D
/ p
.. 1
//,.. eft' A. Gar'ess.. 0
QOOm9� • CE— a ��O0
A — . �-� ���# Date: )2, -I 7-1-5 �I(G/'°a..14? .. °%4'"
p LICENSE Oo Of ess o
#AECC884 O�ODOO.•
Inspection Report_1-1-12.dcc
y PERMIT NUMBER: RECORD DRAWING PARCEL NUMBER:
OSP 181 X85 020-500 2-02
I N
I 1 // NN
I 1 / \
I A B C / \\
I DCO1 32.4 22.4 29.1 // \
DCO1 33.1 29.9 28.5 / \
ST1 37.6 27.1 27.4 / \
/ \
ST2 42.8 33.2 29.3 / \
DCO3 45.7 36.4 30.8 / \
DCO4 46.5 37.3 31.3 / \
100,
I / h'$..44
I I US -
PER CONTRACTOR;OLD SEPTIC TANK I / \N
Il WAS DECOMMISSIONED PER UPC I
I /
SIEFKER#3;BLOCK 1,LOT 7B1 //
I I //
/
/
\
\ / /
\ / /
\ NEW 1000 GALLON STEEL SEPTIC TANK;DOUBLE 700. /
\ ECLEANOUTS INSTALLED BEFORE AND AFTER TANK il'F4z //
I \ O
I \ I X03 //
W I
\\ I - \\\ 1 — — /
I Ic
1I CK W NN �� /.., .\
�N I \.....4. �����/ \�\
I
1`I \� li P � —I ----
1 I DBL3&4 �'T1�,'\1 �, -EIDROOM
s. / HOME
, I \ • , DRIVEWAY _ ti: •..•.
\ I • • • • • :'•''. .:' "•
/ > \ I / X \
/ / \ I / \
\ I \
- 7' \ I \\
// I I 1 100'WELL RADIUS
�\ /moi
1 _SIEFKER#3;LOT 7A
1 I \
j I \
I 1
1 \\ S ALE:
/ \
I \ 1"=40'
/ \
411 1114,4
V
GARNESS ENGINEERING GROUP, Ltd 4' '� •'•*
•
ENGINEERING•SAI FS•CONSULTING I %
3701 E TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PHONE(907)3374179'FAX(907)339-3248'WEBSITE.www.gamessenginee9Qcam . . .. •
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 I s• - A.Gar ess
DWAINE SCHULDT(DECEASED) 862-709-5943 2 OF 3 •�- C '�•�"=
LEGAL DESCRIPTION: DRAWN BY:
. ! 11 IS 1 i Y' 4
SIEFKER#3; LOT 7B2 D.J.G. .��•............................ll .
TYPE OF WORK: DATE: LICENS 44 PROFESS\4
SEPTIC TANK RECORD DRAWING SITE PLAN 11/26/2018 #AECC884
iPERMIT NUMBER: PARCEL ID NUMBER: 1
• . OSP181394 RECORD DRAWING 015-281-41
FINAL GRADE=97.2-97.3
TOP OF TANK ST1 f ST2
AT INLET=93.08 o TOP OF TANK
AT OUTLET=93.05
f.
INVERT OF BUNG NEW 1000 GALLON STEEL
AT INLET=92.45 SEPTIC TANK INVERT OF BUNG
AT OUTLET=92.28
.i�\/\-�\� 111
GARNESS ENGINEERING GROUP, Ltd "it
•
ENGINEFRING•SAl ES•CONSULTING
3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PHONE(907)3374179•FA%(907)33&3248•IAEBSITE www gam.ssenpin..t pmm • ........ ..:41:a
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: A.Ga,• SSDWAINE SCHULDT(DECEASED) 863-709-5943 3 OF 3 _� /LEGAL DESCRIPTION: DRAWN BY: 0
SIEFKER#3; LOT762 D.J.G. �(�' �f` •
TYPE OF WORK: DATE: LICENSE 16111W
111 ;;;''�4•
SEPTIC TANK PROFILE 11/26/2018 #AECC884 )
�,a,C1°"LIry MUNICIPALITY OF ANCHORAGE .mens ,,
'�\ On-Site Water&Wastewater Program ZO <
PO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,C
1.\ �S 'R httpa/www.muni.org/onsite
Dcpartmcnt
4kC�NO✓R.G4
On-Site Wastewater Disposal System Permit 117/708
Permit Number: OSP181394 Effective Date: 10/30/2018
Work Type: SepticTank Upgrade Expiration Date: 10/30/2019
Tax Code Number: 01528141000
Site Legal Address: SIEFKER#3 LT 7B2 G:2735
Site Mailing Address: 12221 AVION ST, Anchorage
Owner: SCHULDT DWAINE A Lot Size in Sq Ft: 24913
Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 1
This permit is for the construction of:
❑ Disposal Field 121 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: Date: it 1 t dg
Issued By: it 11. .!.....1.24LI Date: 10 3b Q018
uc)6189 10 77
MUNICIPALITY OF ANCHORA ,
l•
Community Development Department Phone: 907-343-7904 c.
A
Development Services Fax: 907- 343-7997 c)
On-Site Water & Wastewater Program
Mayor Dan Sullivan
On-Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel I.D. 015-281-41
Property owner(s) NATHAN SCHULDT Day phone 863-709-5943
Mailing address 12221 AVION *ANCHORAGE,AK 99516
Site address 12221 AVION *ANCHORAGE,AK 99516
Legal description (Sub'd, Block& Lot) SEIFKER#3;.t �K_;",, LOT 7 a;L
Legal description (Township, Section & Range)
Lot Size Sq.Ft. Number of Bedrooms 1
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING:
(Nall that apply) Initial ❑ Single Family(SF)
Absorption Field n (w/wo ADU)
Septic Tank ® Upgrade Duplex(D) ❑
Renewal ❑
Holding Tank ❑ Multiple Dwellings
Privy ❑ (SF and/or D)
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: t 21 S• oti Waiver Fees:
Date of Payment: 012M1 i'3 Date of Payment:
Receipt Number: 00 304 Receipt Number:
Permit No. OS `p (8`YVI- Waiver No.
(Rev.01/11)
. t _ Quanics
GARNESS ENGINEERING GROUP, Ltd ,,o..s„<<d;:eatmentSys«:,>
ENGINEERING SALES CONSULTING Dealer
October 29, 2018
Municipality of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Ref: Proposed Septic Tank Upgrade for Seifker#3; Block 2, Lot 7 as
To whom it may concern:
The existing 1-bedroom home is served by a private well and septic system. The existing septic
tank is in a state of failure and must be upgraded. We are proposing to decommission the
existing septic tank per UPC and install a new 1000 gallon steel septic tank.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
r
,-din erely, ,�
r
11 Jeff arness ".E., M.S.
Frresi 'e
3701 East Tudor Road, Suite 101 *Anchorage,Alaska 99507-1259
Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com
C
ALL WELL RADAII SHOWN ARE APPROXIMATE
/ ♦
/ ♦♦
SIEFKER;TRACT 12./ \ SIEFKER#3;TRACT 6 �r 1
1
\ I GG I
------
____ SI 1
I KER#3; ; 7p ��♦ 1
�>< BLOCK 1.LOT 7B1 ' p• I \
' \ \ / (� / \
•
/ \ • m
SIEFKER;TRACT 13A ♦♦\\ \\\ j/ Oils /i •1 \\
r \
\♦ o
I �`
app I 1,
\♦ I = _ -- <q- ♦\\ SIEFKER#3;LOT 7C ``-----
�9
i '.?1°'Gs \; i \\\ 1
r i I 1 pp. ...
I
I 1
T.� 7� 1 ; ,. SIEFKER#3;LOT 7D -----
- .<, it \\ P90�G , i
\\ iG i \\♦ SIEFKER#3;LOT 7A s /
♦ SIEFKER;TRACT 14 `r / \\• \ // $�
/ p
r Oi
1
.---- \` 1
•
•
\\\ SIEFKER#3;LOT 8A SIEFKER#3;LOT 88
1
`
100'WELL RADIUS It S ALE: •
I
I 1"=100'
r
/ SIEFKER#3;LOT 8C
/
/
/
,
..'? OF '1 441.
GARNESS ENGINEERING GROUP, Ltd i 'L4: •
4. [.4; „ :S4Var. .,.: FNGINFFRING,N)FS CONSLILTING ` t " I l: ., ,�_..o
3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 7•PHON (90 37.6179 FAX FAX( 7)338-3248•WEBSITE:www.gameseenpineerkq.com •••.:
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ♦..J,G S' ' •. Games W•
NATHAN SCHULDT 907-863-709-5943 1 OF 2 C4- •-
PROJECT/LEGAL DESCRIPTION: DRAWN BY: +♦ •o,•)Di 141;30.. 4,*
•
SIEFKER#3; BLD:C 2 LOT 7 D.J.G. ## P&, 404.
TYPE OF WORK: DATE: LICENSE,i II`'„" 44
SEPTIC SYSTEM DESIGN UPGRADE 10/29/2018 #AECC884
( I __
--- __ 1
I
• GEG,Ltd.HAS A 8 PAGE SPECIFICATION NOTE:THE CONTRACTOR SHALL HAVE ALL WELL
I i LETTER THAT PERTAINS TO THIS DESIGN. BY RADII SHOWN FLAGGED BY A REGISTERED LAND
I EXISTING SEPTIC TANK TO BE PROCEEDING FORWARD WITH THIS SURVEYOR PRIOR TO CONSTRUCTION
I HAULED OFFSITE OR INSTALLATION.THE ENGINEER,WELL DRILLER,
DECOMMISSIONED PER UPC CONTRACTOR AND PROPERTY OWNER AGREE `
I THAT THEY HAVE READ THESE \
I I SPECIFICATIONS AND AGREE TO ACCEPT THE \
TERMS AND CONDITIONS OUTLINED. \
\
/ \
I I 'is --- -\
I IN.
j I /
i I
SIEFKER#3;BLOCK 1,LOT 7B1 �,
//
I I /
PROPOSED 1000 GALLON STEEL SEPTIC TANK(IN \\ /
LOCATION OF EXISTING SEPTIC TANK);INSTALL \ / /
DOUBLE CLEANOUTS BFORE AND AFTER \ / /
\ / /
\ i APPROXIMATE LOCATION OF \\ / 00, �< //
\
H •EXISTING DRAINFIELD BASED UPON
IIIi CLEANOUT LOCATION \\ I t�O�vS /
I \ — //
\\ i \y
am - �''��
! m A /;•
BEDROOM
I s y. / \ ;% HOME
1 O \ . ..; DRIVEWAY '`.e.•';. is ' . `:b
/ > \ I / I \\
/ Q \\ / \
lowN
// \ 100'WELL RADIUS
���� _ i
I I 1 SIEFKER#3;LOT 7A
i I \
\
i 1
/ \\ S ALE:
\\ 1"=40'
/ 1
.411''AILS \1111
• tel' '..-!;','`.-cA. 4►�•• 4-1....
�••''.. • .,'4.•. AI.
! 'graAji ♦•.�
GARNESS ENGINEERING GROUP, Ltdl� ; • •
:,,,,,,,.,......&_..z. EN(,INFFRING:SAI FS,CENSI II TIN( /
wwmn
3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE,AK 99507'PHONE(907)337-6179•FAX(907)338-3246•WEBSITE:w .gaess. nee ing.eom ■
■
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 rJ:�1'e• ' ess • ■
NATHAN SCHULDT 863-709-5943 2 OF 2 •j J,•'`.V CE 795 ;' �
PROJECT/LEGAL DESCRIPTION: DRAWN BY: 0. ''• Io 114 •' c
•
SIEFKER#3; BLOCK-2, LOT 7. D.J.G. •<p"CO���''••.... . ••• , .4,
TYPE OF WORK: DATE: LICENSE,,, c c\i •
SEPTIC SYSTEM DESIGN UPGRADE 10/29/2018 #AECC884 4%
��'� 2
\
/ Lot 7 B 1
/
N 90'00'00"E 300.16' I
1 N
I
SEPTIC PIPES
2.0' WELL
Z 12.3' 7.7' cnI
O 11 ° e 00' ' O
0 4.8' x 4.0' CRAWL ,0 10.4' x 26.4' BARN o
v 96.1' , SPACE ACCESS 'PC,` v
® 5.3' ! ° ° N
11.5' x 15.3' PARTIALLY <n ��2 m
COVERED DECK 'co. c(‘
, - 03 , . " • 12.3' ° CO
,, �F / 0 O
N Lot 7B2 <<
GRAVEL DRIVEWAY ,A CORRAL- L O
.
,
240136 s.f. 96 OCG 0
10.2' x 10.4' SHED
/ °
12.0' CARPORT
10' UTILITY EASEMENT / °
N 90'00'00"W 300.17' /
N /
Lot 7A
AS BUILT X SCALE 1 " = 30' GRID SW 2735 Project No. 18-570/R1
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Associates , inc
. (907) 522-6476 Phone 4�ooOp
(907) 522-4625 Fax 4a 0 F A C�0�4
al Land Surveyors kenOlangsurvey.com v 9 ti�
jonathanOlangsurvey.com d '��'' .S4
I have surveyed the following described property: C'4:1/ ' �'\ ...'f-00,.
SUBDIVISIOIN NUMBER 3 (Plat No. 69-143) *: 49TH �� •�* 0
District, Alaska, and that the improvements situated thereon are 0 V
Ines and do not encroach onto the property adjacent thereto, that
the property lying adjacent thereto encroach on the surveyed
%still
" . LAN'ere are no roadways, transmission lines or other visible , o,roperty except as indicated hereon. (C5 '2,7, $ 0
-- Day of C7c+o6r�c'- , , at Anchorage, Alaska 4���,0� • ���oo�
•
0 pSS10NA�- 4
`y of the owner to determine the existence of any easements, D' 404
tions which do not appear on the recorded subdivision plot. AECC963
GREA,ER ANCHORAGE AREA BOE_JGH
~%, i .~!~,' Department of Environmental Quality
~ 3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
FROM WELL
INSIDE LENGTH
MANUFACTURE __J MATERIAl,._ COMPARTMENTS
INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY ~-~'~,~GALLONS.
TILE DRAIN FIELD:
/ ~/ TOTAL LENGTH /
DISTANCE FROM WELL'FOUNDATION 3~) __NEAREST LOT UNE~ OF LINES '~'~"~)
NUMBER OF LINES / DISTANCE BETWEEN LINES ~/~ TRENCH WIDT~fN. TOTAL EFFECTIVE
ABSORPTION AREA ~O SQ. FT, LENGTN OF EACH LINE ~'O I
OF F LT R
DEPTH: TOP OF TILE TO FI.ISH GRADE ~ MATERIAL BENEATH TILE ~ ~ IN. ABOVE TILE~ IN.
WELL:
TYPE ~'~/~!
BUILDING
FOUNDATION
CESSPOOL
APPROVED
C O N ST R U CT I O N ~).~ ~t,~2/~L
NEAREST NEAREST
LOT LINE__, SEWER LINE
OTHER SOURCES
DISAPPROVED REMARKS
DEPTH __
SEPTIC SEEPAGE
TANK__ SYSTEM
DISTANCE FROM:
DISTANCES:
INSTALLED BY: :~/'"~
SEWER LINE DEPTH: ~ /
PIPE MATERIAL P/,/~,~Z ~-~-
LOT SLOPE:
Form EQ-032
D.t))~:)IAGRAM OF SYSTEM
C:r iP..di ....... ilEiill I]1;I "ii" ~!i!!~i; il!i!!:.~ !lii~!!il il..,,.lj [~!i!!il li:::i;i:i 3F::::" tE!EI ~:;~III: Ih'ii ]E '"ii
i'lF:l';.:',i[t"ll...llvl [",li.Jj'rlii]i:Ei]F~'. OF BIi~([)F~](I)il)HII!I; ..... :!:::
LOCATION SKETCH
Seifker ~3 Subdivision
Lot 7B2
Not To Scale
Distances shown are approximate
and have not been measured by
surveying methods.
-?'7
above
TEST HOLE LOG
Scale: 1"=3~
SAND W/ TRACE
SILTY
/ I!~ Brown, 'Mdist, Medium Densei,x
SAND W/SOME SILT '[($~) ~
Slightly Moist, Dense, Brown ; ]
20
Groundwater was not encountered.
LOCATION SKETCtI AND
TEST ttOLE LOG
W ILLIn24 IDLEMAN
I, Dwr~.t~o. A-O1.J
~NSULTANTE~, IN[:),
May il, 1977 R&M No. 751154
William Idleman
SRA Box 1561
Anchorage, Alaska
Subject: Soils Investigation for Sanitary Sewer System, Lot 7B2,
Seifker #3 Subdivision, Anchorage, Alaska
Dear Mr. Idleman:
At your request of May 5, 1977, we conducted a subsurface soils investi-
gation at the proposed location of the sanitary sewer system on the
subject lot. The investigation complied with those procedures required
by the Municipality of Anchorage, Department of Health and Environmental
Protection.
This investigation, which was accomplished on May 10, 1977, consisted of
a test hole drilled to a depth of 20 feet below the existing ground
surface. The location of the test hole is shown in attached Drawing A-01.
Drilling took place with rotary drill rig using continuous-flight
solid-stem auger with an outside diameter of 6 inches. Samples were
taken at the depths shown on the soils log in attached Drawing A-01.
These will be held in storage at our lab for approximately six months.
In addition, all material brought to the surface by the augers was
continuously monitored by an experienced engineering geologist.
The topography at the drilling site is generally horizontal. At the
time of the investigation the site had original vegetation and ground
cover. The top of the test hole was located at original ground surface.
The soils encountered in the bore hole are shown in the test hole log in
Drawing A-01. Groundwater was not encountered in the test hole while
drilling. Bedrock was not encountered. Subsurface conditions may vary
in other parts of the lot.
We appreciate this opportunity to be of service to you.
us if you have any questions concerning this letter.
Very truly yours,
R & M CONSULTANTS, INC.
Jeffrey M. Ayres
Staff Geologist
Please contact
Robert L. Schraeder
Associate
JMA:RLS:gld
Attachments: Drawings A-01, B-01, B-02, Table 1
XC: Dept. of Health & Environmental Protection
GAAB HD I
GP~'.&TER ANCHORAGE AREA BORO~'GH
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~/
SEPTIC TANK:
DISTANCE FROM WELL ~"
LIQUID CAPACITY
ADDRESS ~ PHONE
://
GALLONS.
.MATERIAL
INSIDE LENGTH
NUMBER OF /
COMPARTMENTS
INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
NUMBER OF PITS
LINING MATERIAL__
NEAREST LOT LINE'
SEEPAGE PIT:
/ OUTSIDE DIAMETER OR WIDTH //:'2
,¢-/~? /,'/~( DISTANCE FROM WELL
'Im<'~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)
, LENGtEI //,.m-, i DEPTH
BUILDING FOUNDATION.
TILE DRAIN FIELD:
DISTANCE FROM WELt
NUMBER OF LINES
ABSORPIION AREA
FOUNDATION.
DISTANCE BETWEEN LINES
SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
, NEAREST LOT LINE
TOTAL LENGTH
OF LINES
TRENCH WIDTH
IN. TOTAL EFFECTIVE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE
WELL:
LOT LINE
TYPE D,STANCE FRO,,',x WATER
· · BUILDING FOUNDATION. SAMPLE
, SEWER LINE. , TANK , SYSTEM , CESSPOOL
OTHER
SOURCES~
DISTANCES:
DATE
DIAGRAM OF SYSTEM
APPROVED
~ AB-H D-2~
GREATEk
327 Eagle St.
ANCHORAGE AREA
ItEALTH DEPAR,TMENT
Anchorage, Alaska 99501
)ROUGH
279-2511
Case No. ~7
SEWAGE DISPOSAL SYSTEM ~ APPLICATION & PERMIT
NAME OF APPLICANT O, '~
RESIDENCE ADDRESS _"~/l~J ~.~-) 'q'¢.
LEGAL DESCRIPTION
APPLICATiON TO INSTALL: SEPTIC TANK. ~ , SEEPAGE PIT ~,DRAIN FIELD
TO SERVE THE FOLLOWING FACILITY
PE,C0LATI0. TEST ,ESULTS , ~/~"/~ ._ A,TmlPAT5O OATE 0F C0MPkETION.
/
,~ (/ BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
MAILING ADDRESS--/~¢'~~ </-~/~:::~ ~NE NO
_ LOCATION OF INSTALLATION
,OTHER
THIS IS TO SERVE AS ,~/~-Z-, ~d~.cy.M..<~ , PERMIT TO INSTALL A
AS DESCRIBED BELOW. SIZE OF~_~L~.~ SERVED
.. SEPTIC TANK SIZE /~ TYPE _ SEEPAGE AREA_ ~ ~ ,[~'
DISTANCES:
I certif9 that I am familiar with the requkements of Greater Anchorage Area Borough Ordnance No. 28-68 and that the
above described system is in accordance with said code.
DATE ~/~04~ APPLICANTSSlGNA~U"E ~'Z ~
..TYPE
ALASKA GEOLOGICAL CONSULTANTS
2227 SPENARD ROAD
ANCHORAGE, ALASKA gg~O$
May 19, 1969
Mr. O. T. Jones
Box 4-610
Anchorage, Alaska
Re: Percolation Test, Lot 7B,
Siefker Subdivision #3 (Avion Road)
Dear Mr. Jones:
This letter is to certify that a percolation test bas been conducted
on the above-mentioned property. The test was performed in the
bottom of a test pit in a twelve-inch diameter, twelve-inch deep
boring. The location of the test pit, description of the test pit,
and percolation data are shown on the attached sheet.
We recommend that the sewer system be located just to the west
of the existing test pit in order to avoid the amount of debris that
was used to backfill part of the lot.
This test was made in accordance with the Greater Anchorage Area
Borough Health Department specifications as prescribed in Appendix
B of the National Plumbing Code, 1962 Revision.
Respectfully yours,
JAH:js
Attach,
ALASKA GEOLOGICAL CONSULTANTS
s A, Hamiltod
?0
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME F
TIME
DATE DATETM /' DATE
~ DEPT~ OF ~SALTH 2:
MUNICIPALITY OF ANCHORAGE - ' RONMCNTAL PROTECTION
DEPARTMENT OF HEALTH & ENV RONMENTAL PROT~ION "
825 L Street- Anchorage, Alaska 99~01 1 ?
ENVIRONMENTAL SANITATION DIVISION
R E C E i V E D
~EOUEST FO~ APPROVAL OF INDIVIDUAL WATE~ AND ~EWE~ FACILITIES
DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. P~OPE~TY OWNEH . PHONE~
MAILING ADDRESS ~ . ~ tkV.
) PHONE
PRORERTY BESIDENT (If different from above) ~
2, BUYE~ ~ ~ PHONE .
MAILING ADD~ESS [' (j' C:-~ ~'~ ,'
3: L~NDINGINS~ITUTION [.~ ~} [~,~ .... ,., /.[.~ ,,.~ ) , PHONE
LING ADDRESS
4. REALTOR/AGENT ' '" 3 ~ kg ~' I ~) ' ~HONrL "' -'
5. LEGAL~._.,..~ .DESCRIPTION ~-/ , ~_
STREET LOCATION ~ '
6, TYPE OF RESIDENCE
,J~-- SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] One [] Four [] Other
[] Two [] Five
,J]~--- Three [] Six
7. WATER SUPPLY /
~.INDIVIDUAL* ~e ~..~
[] COMMUNITY
[] PUBLIC UTILITY
* ATTACH WELL LOG. A well Icg is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach Icg if available.)
8, SEWAGE DISPOSAL SYSTEM
~I~DIVI DUAL/ON-SITE~*
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
72-010 (Rev. 6/79) Q ' ' -'f -~!-'~.~ Nt'-~r/
c.,~ .~ ~., .2'//
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVI DUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tar~ or []Holding Tank
Size: /~d~) If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line
WELL TO: ]1
I
Absorption Area to nearest Lot Line
B, COMMENT8
~"'/APP ROV ED FOR .~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY
72-010 (Rev. 6/79)
AL^$KA IUIROF1FFleBTAL COI]TROL $ i4dlC 5, IFC.
JUNE 10 1983
VICKY IDLE M AN
SRA BOX 1561
ANCHORAGE AK 99507
SELLER - VICKY IDLEMAN BUYER-
SOBDIVISION-SEIFKER #3 ~!~'~=~ LOT-7 ~
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 400 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 675 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
3 BEDROOM HOME.
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF
THIS 3 BEDROOM HOUSE.
1000 IS ADEQUATE FOR
1200 ~lcsl 33rd AUCDU¢, SuJl¢ ~ · Anchora§¢, Alasb 99503 * [907) 276-1361
William Idleman
S~tar Route A Bo× 1561
Anchorage ~ Alaska 99507
Sul)j e~:t: Siefkor S~%b(~.ivimion
ti'he co~m~on "sh~ra~l" s~.~er syste~n on th~ lob line of 7B2
an(t 7A2 Si~fker Sub~tvision ~)3 was noBe~t as having over-
flo%~ing sewage by John K~nnedy of th~s (l~partment ~] 1977.
O'~lr records J. ndioat8 you disconnectad from th~: common
se~er syst~m~ ~%d installed an approved on-stt,~ sewer
your property ~
%~he oo~on sewer syst~ obviously~ was no longer ad~quat~
or ~un~tional %o serva tho two(2) re~ideno~s. If o'v~rflo~in~3
~!isconnech~d them, the entire syste~ is ina~tequate for
residence and can ~ot be consi(l,~red an approved
If there ar(~ any further questions, pl~as~ conta(:t thi~
office at 264~4720,
Les N~ l~uchholz, R.+'~.
Senior Environmental Speciali~t
•
•
GE By
� ._ Municipality of Anchorage
On-Site Water and Wastewater Program a ..1iji1 a
(907) 343-7904 SAFETY
Certificate of On-Site Systems Approval
Parcel I.D. 015-281-41 Expiration Date: . 1 � e(
l
1. GENERAL INFORMATION:
Complete legal description SIEFKER#3; LOT 7
Location (site address) 12221 Avian Street*Anchorage,AK 99516
Current Property owner(s) Heidi Sampson Day phone 863-709-5943
Mailing address
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 1
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: // Date: /0 40
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 5- Waiver Fee $
Date of Payment I 041 3 0 Date of Payment
I
Receipt Number a 3 I Receipt Number
COSA# CSC 1 S 1 'C3 to Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: (7.441 S3
0000..op�,4
o
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system OF A opo
in accordance with the guidelines and regulations established by the Municipality of Anchorage and K\NC•.••.." S
industry practices. The reported results describe the condition of the system/s on the date/s of the G7 • •• '`• '•v•,�o�rr11
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or 0 ,"" U
encroachments may exist that were not identified during the evaluation. The operational life of all wells /�. 19 /H ti/ Z*v0
and septic systems depend upon a variety of variables, including but not limited to, soil conditions, Q
groundwater levels (that may fluctuate during the year), quality of construction (materials and 4
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary,and .. ... ....
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the O ••.J. f _, A. C. •., s:• 0
system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of • CE-7953 �p7
the well or septic system. GEG makes no representation whether an alternative well or septic system CrV0 9 . •.,c`'O
can be installed on the property in the event either of the current systems fail to perform adequately in �44ore •••t•Z12/1.{ <,op
the future. The content of this report is for the sole benefit of the person/party that retained GEG to 040 Drofession°''
perform the evaluation. Reliance upon the information provided in this report by any other person or �pOp000d
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
#AECC884
6. DSD SIGNATURE
System #1 Approved for P bedrooms ���r`" '3,.
System #2 Approved for bedrooms �`-..>")
ON-SITE '�
Disapproved o WATER AN p G',
Conditional approval for bedrooms, with the fo gwirygo pG oSI t
RAM a
By: 4 �-�� � Original Certificate Date: (Z'- 17 1 g
t
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA ChecklistX.' Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 10-10-12.doc
If more than 1 septic system is on the lot:
COSA Checklist# of_
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: SIEFKER#3; to 782. Parcel ID: 015-281-41
A. WELL DATA *PER GEG INSPECTION
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 1969(?) Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth *38.4+ ft. Cased to UNK ft. Casing height (above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 10/4/18
Static water level � \'O
- ft. 34.4 ft.
N
O1‘ _
Well production g.p.m. 7.3+ g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 ml. Nitrate 4.13 mg./L. Collected by: GEG, Ltd.
Arsenic: <5.0 ug./L. Date of sample: 10/4/18
B. SEPTIC/HOLDING TANK DATA *DOUBLE CLEANOUTS BEFORE TANK
Tank Type/Material SEPTIC/STEEL Date installed 11/14/18
Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) *NO Depression over tank(Y/N) NO High water alarm (Y/N) N/A
Date of pumping - Pumper NEW
C. ABSORPTION FIELD DATA 'BELOW EXISTING GRADE AT SUMP
Date installed 6/8/77 Soil rating (g.p.d./ft2o /bdr ) 125 System type TRENCH
Length 50 ft. Width 3+ ft. Gravel below pipe 4.0 ft.
Total depth *10.8+ ft. Eff. absorption area 400 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 10/4/18 Results (Pass/Fail) PASS For 1 bedrooms
Fluid depth in absorption field before test 0 in. Water added 445 gal. New depth 2 in.
Elapsed Time: 20 min. Final fluid depth 0 in. Absorption rate >= 150+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N &type) NO If yes, give date -
-SUMP ONLY EXTENDS APROXIMATLEY 2.66 FEET BELOW THE INVERT OF THE LATERAL LINE
D. LIFT STATION
Date installed Size in gallons Manhole/Access(Y/N)
"Pump on" level at in. "Pump off'level at wa er alarm level at in.
- _• Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 75'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 10'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
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 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
*MET CODE AT TIME OF INSTALLATION
G. ENGINEER'S CERTIFICATION 0..:...••' .. ..
•
I certify that/have determined through field inspections and ' . '9 _Ii .•
review of Municipal records that the above systems are in i
conformance with MOA COSA guidelines in effect on this i' :): " " or "'^'tr':
date. o♦0'...J• f e, Gorne s•.• ar
Engineer's Printed Name JEFFREY A.GARNESS ��J'�� E-79 •�C���
lZ ` gee ♦♦♦Fp/0;.,,,'".. • •/k CP.- ••
•
Date 2/ •11 FESS\ �••
LICENSE •i*% %%�
#AECC884
(Rev.10/12/12)
/ \ I
.0 I
Lot 781
N 90'00'00"E 300.16' I
I N
I
I2.0' WELL
Z SEPTIC PIPES ` 12.3 7.7' 1 STORY RESIDENCE
1
q le4.8' x 4.0' CRAWL ,0 10.4 x 26.4 BARN
----___L______.._
I
96.1' \ SPACE ACCESS "QO O
® u
5.3' i �F�� /! e ° v
11.5' x 15.3' PARTIALLY /`
COVERED DECK a? F m
12.3' CO
O ` v �'� ° 0
O • ' • ' ..• GRAVEL DRIVEWAY . N 7.7' Lot 7B2 eV
CORRAL---r______._
• • . : . . . 24,013.6 s.f. '•
10.2' x 10.4' SHED 12.0' CARPORT Gs
/ ° e
10' UTILITY EASEMENT
°Q 0 0 0 1~-.
N 90'00'00"W 300.17' /
Lot 7A
AS BUILT X SCALE 1 " = 30' GRID SW 2735 Project No. 18-570/R1
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Associates , i n c . (907) 522-6476 Phone 0000000
(907) 522-4625 Fax oo OF ^ e‘4p
1 al Land Surveyors kenOlangsurvey.com v 9
jonathanOlangsurvey.com G ' . ... ./6A
I have surveyed the following described property: v0/SL') .' te ' .% OQ
SUBDIVISIOIN NUMBER 3 (Plat No. 69-143) 49TH i •.. * d0
i District, Alaska, and that the improvements situated thereon are
lines and do not encroach onto the property adjacent thereto, that
the property lying adjacent thereto encroach on the surveyed fi3,.... KENNETH. G. • G . . . •..i
here are no roadways, transmission lines or other visibleO �,
property except as indicated hereon. Q4 `2C5 1 € ..?"
16b ..LS 202. c.,•),"
Day of 9r��tri , __-__I' _, at Anchorage, Alaska ki4 ,oRo ' •• ..•''��0
O �ssIONA� a
ty of the owner to determine the existence of any easements, �D�OOoo'
.tions which do not appear on the recorded subdivision plat. AECC963