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Home My WebLink AboutREED LT 12Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP161297 PID Number: 051-102-15 Dwelling: ❑■ Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑■ Upgrade Name: Joseph Susewind ABSORPTION FIELD ❑ Deep Trench 0 Shallow Trench ❑ Bed ❑ Mound Address P.O. Box 71491 Chugiak, AK 99567 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 7LEGAL 3 1.2 GPD/SF 9.3 Ft. DESCRIPTION Depth to pipe invert from original grade 5.3 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision Block Lot Reed 12 Fill added above original grade O Ft. Gravel length 38 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 380 FtZ 1 Ft. Well >200' >200' N/A N/A >25' TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 11,000 Gal. Surface water >100' >100' N/A N/A Material Steel Number of compartments 2 Lot Line >5' >10' N/A N/A NA Foundation >5' >10' N/A N/A LIFT STATION Manufacturer Capacity Gal. Curtain Drain None Noted RemarksExisting Septic Tank Decommissioned Pump on level at in. Pump off level at in. High water alarm at in. in Accordance with MOA Code. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034 Tank drainfield D3034 Installer Stuart Gilbert Drainfield D3034 CO/MT Inspector MEA BENCH MARK (Assumed elevation) 100 ft Inspectiones: 1" 5/17/17 5/22/17 Location and description 2nd 3d5/23/17 4`h Bottom of Siding North Side. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp e�eapF 0 44 Ito Conditional Approval: Date '•e� 4 ®l�j,•' 41T _ �• CTS ...............® -.MICHAEL E. ANDERSON 10 �,0 ♦ �J,•.• CE - 4381 ,� �`�`® 1 �IA Approved p` Date f 2- 1 ••, G - `li,• �G ®. `�t�0 ��a► ary 4%PRQFESSIOhWo�W Inspection Report_9-1-12.doc Municipality of Anchorage Page 2 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 Permit Number: OSP161297 PID No. 051-102-15 Septic Area 38' Long x 5' Wide x 4' Effective Depth Absorption Trench 0 �n i� I O I - �I O O r. `I A I B C S1 12.1' 15.1' S2 17.3' 19.3' C6 22.9' 42.6' M1 23.6' 46.4' C7 55.4' 39.0' M2 156.0' 138.6' N 89'59'00"W 83.64' REED SUBDIVISION LOT 12 11,166 S.F. Existing Absorption Bed C? IM 2 'I i FDV S2 0 S1 d Ii 1 O A C6 Three Bedroom House C NOTE: �`\ Water Gravel Service Existing Septic Tank Driveway �\Line Decommissioned in Accordance with MOA Code. N isy 5y UU W b6.b4 • N OTE: 190 ..49th �; S` Subdivision is Served by jo s 1�%LET ... � C�.�s A�fdWU Water System. 1 ................... .......... 0 1 �' MICHAEL E. ANDERSONMF ��✓��: AV No. CE -4381 ;otic=vV PLAN ®® ............. 1o�;DFESw .. NOTE: Drawing not completed from Surveyor As Built. Locations are not exact. LEGEND SV —Septic CO Vent —Clean Out A S BUILT MT — Monitor Tube TH — Test Hole SCALE 1" = 20' Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP161297 U� 03.5 UU C UU Finished Ground 2" Insulation 1,000 Gallon Septic Tank 0.7 100.5 2 Page 3 of 3 PID No. 051-102-15 No Groundwater 10-5-16 REED SUBDIVISION LOT 12 PROFILE AS -BUILT No Scale 94.5 T .... ••yo- 49th K........................................ h. MI;HAEL E ANDERSON C MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION EIMVlRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING ADDRESS ___'Po, ~v× (~ ?.. IO0¢7 d/h~t~/AK , LEGAL DESCR[PTION LOCATIO~ , Absorption area 1 ~ DISTANCE TO: " ~ ' ~ Inside length IF HOMEMADE: LLiq. capacity in §allons I ___L_/¢0¢ 1 %, /D'STANCE*O: I Manufacturer Well Dwelling Well Foundation DISTANCE TO: No. of hnes Length of each line Total length of lin6 Top of tile to finish grade Material beneath ti Length ¢~ / Width ,~¢.~/ Depth ~-~, Type°fcriW/~ Cribdiameter//,~__ D,STANCE TO: WeI!-TZJ~%¢i~ Class ...... .~.~ ,~ Depth /~ DISTANCE TO: Building foundation PIPE MATERIALS .~ Crib depth Driller Sewer line ,',/) SOl L TEST RATI N G("~ ~, INSTALLER REMARKS APPROVED LEGAL DATE NC. OF BEDROOMS PERMIT NO. ~b//, 7 No. of compartments Liquid depth ! Distance to lot line ti Septic tank I iz :. Absorption area(s) PERMIT NO. . ~C ~ ~_.z.~.~, ¢~ t effective absorption area Total effective absorption Nearest lot, line /_~ / .... 3OX 6650 ANCHORAGE, ALASi'~A g9F. 02-C~{:50 i907) ,-6~-4111 DEPARTMENT OF HEALTH & HUMAN SERVICr'S January 10, 1986 TO: Permit Applicant Subject: Permit # 850167 Lot 12 Reed Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as-built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264=4720. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/lj w enc: Copy of Permit I ,,:(::',/'fi. h'hq× MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264.4720 SOILS LOG - PERCOLATION TEST ~ S(.)IL5 LO~ [] PERCOLATION TEST PERFORMED FOR: 6 8 9 ~ SLOPE DATE PERFORMED: ~-~ -/~' - ~;~'-' · SITE PLAN 10 11 12 13 14 15 16 17 18 19 2O COMMENTS /PERFORMED 72-0C,c. WAS GROUND WATER S ENCOUNTERED? ¢¢'~' ¢' L / o / P '7 ~--~ ~- ~5- E IF YES, AT WHAT ~ DEPTH? 7 ~r d'''~' ~ ~ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) , TEST RUN BETWEEN FT AND ,FT CERTIFIED BY: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. Cf CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ~L~ \ - \(:_'~, - ~ ~ NAA Cf }hi ~c\ '~., ...'-~<,~) 1, GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Day phone Lending agency Mailing address Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev. 1/91) Fronl MOAII21 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 of this Health Authority Approval application shows that the on-site water supply and/orwastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~-'°"~J;Y~'~ '~.~ ~--~ "~¢-~ Phone ~9'~-~°5~8'//~ Engineer's signature ~ ¢~ ~__, Date Approved for '~ Disapproved. Conditional approval for DHHS SIGNATURE bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Ll'Z- ~,~ ~JcJ~v~5~o¥, Parcel I.D. A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B. or C, attach ADEC letter. Date completed Cased to ADEC water system number Driller Casing height Wires properly protected (Y/N) __ FROM WELL LOG AT Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO; Septic/holding tank on lot __ Absorption field on lot __ Public sewer main Sewer service line g.P g.p.mw~ ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAM//~ RESULTS: Coli~/un~/ SEPTIC/HOLDING TANK DATA Date installed ~c~ Cleanouts (Y/N) "/ High water alarm (Y/N) Nitrate Other bacteria Collected by: Tank size I ~ Compartments Foundation cleanout (Y/N) ~' Depression (Y/N) ~ ~A Alarm tested (Y/N) ~ A ~A Date of pumping tv~r- Mo~o ~'.~$'~m h'~ ~-,-~u~,,- b,a,~,,,,, 'J"~zA Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: On adjacent lots Absorption field Foundation ~' Water main/service line Well(s) on lot I,J~, To property line Surface water/drainage 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical~-)~'''~ SEPARATIO~.N..I~S~ANCE FROM LIFT STATION TO: ~,dTon lot On adjacent lots Manufacturer ~ Manhole/A~ "Pump on" level at . _.~- "Pump off" level at ~ Cycles tested Surface water D. ABSORPTION FIELD DATA Date installed I~ 8..R Length ~O ' Width Soil rating I~ <~'~/1:~4~.~, System type Gravel thickness_ C~'¢J6,v~,.~ ?lPC. TotaI depth Total absorption area 880 5'¢' Cleanouts present (Y/N) ~' Depression over field (Y/N) t"J Date of adequacy test ~.. ~'f~-r~,v,A ~4-~ ~v~:'¢: Results (pass/fail)3::~,l,~,'r~'¥~. ~o,.~'-~b~-o 'tap,~Ss~l~r,,n-'o ~o'l~L=,~r~ No w/~:~_-~ o¢~L:~.Vt~drooms Peroxide treatment (past 12 months) (Y/N) ~ If yes, give date ~ & SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots 4- Z~' Surface water Curtain drain On adjacent lots tv/'5 Property line I_~ ' Z.J To existing or abandoned system on lot tva Cutbank -Pt oO' Water main/service line 4'~o' Driveway, parking/vehicle storage area 4-'Z,S ' E, ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelio, es~ ffec t.~t,e~ of this inspection Signature ,~ Engineer's i~ame Date HAA Fee $ Date of Payment Receipt Number 72-028 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number Finis Realty Service Co. P.O. Box 67~o87 Chugiak, Alaska 09567 Finis J. Shelden, Broker/GRl (907) 688-3~63 AUGUST 25,1992 ATTN: CHUCK LANDERS,ENGINEER TO WHOM IT MAY CONCERN: RE: SEPTIC SYSTEM ON LOT 12 REED SUBD. CHUGIAK,AK. PLEASE BE ADVISED THAT I CONTRACTED TO HAVE THE SEPTIC SYSTEM INSTALLED ON THE ABOVE REFERNCED LOT AND RAVE NEVER MADE USE OF THE SYSTEM UNTIL THE PRESENT BUILDING SEASON. IT HAS NEVER BEEN HOOKED TO OR USED FOR ANY PURPOSE SINCE INSTALLATION BY CCC CONSTRUCTION. SINCERELY, -': ,.,. " FZNIS J/g SHELDEN,0WNER