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HomeMy WebLinkAboutFREEMAN LT 2Freeman Lot 2 #016-112-05 Municipality of Anchorage On -Site Water and Wastewater Section a (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPEC�'(�?!'� REPORT Permit Number: OSP211485 PID Number: 016-112-05 Dwelling: ® Single Family (Sr-) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name COMBS ROBERT K & BEATRICE E ABSORPTION FIELD r_1 Deep Trench ® Wide Trench ❑ Bed ❑ Mound to Ad Address ddress 1 HAWKINS LN ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 5.0 GPD/ sF 5.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.0 Ft. Gravel depth beneath pipe 1.0 Ft. Subdivision Block Lot FREEMAN 2 Fill added above original grade Gravel length Township Range Section 0 Ft. 25 Ft. Gravel width 5 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding I Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 142 Ftz 1 N/A Ft. Well 100'+ 100'+ NA NA 125'+ TANK ❑Septic ❑ S.T.E.P. El Holding ®Other Manufacturer ORENCO / ADVANTEI: Capacity 1500 Gal. Surface Water 100'+ 100'+ NA NA Material Number of compartments i Lot Line 51+ 101+ NA NA ISA HDPE 2 Foundation 10'+ I 10'+ NA NA LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Beek's Contracting, Inc. Drainfield 3034 co/MT3034 Inspector PES BENCH MARK (Assumed elevation) 100.0 ft Inspection v 7/15/2022 2�d 7/16/2022 Location and description 3rd 7/17/2022 4'h 7/19/2022 See Site Plan, House Front Step ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: DateOF AL , qs � , -: .. .. S wen !.' Pannone �>f. 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L LS-1 IVi ri n h I e Tan C) Cleanout LCJ .......... ....... ....... .......... ...... ............. ............. LLJ................. ......... ... ............................ ...... ..... . ...................... . .......... . . ..... k, .......... ............... .......... ......... ..... ........... . . . ............. . ........ ..... ...... -Paved Dn ............. ...... ......... ................ ..... ...... .............. . . ... ... .. .... ... ............. 'Existing House ... . .... . ..... .. . 7 O 21.8 /L N89*37�00"V! 200.-, 30' Legal Description: Legend: Asbuilt Lot 22, I Well 4" PVC Vent Ak S ub 11 1 Sion Povern-nl Overhang 4 Survey Certification: I hereby certify that a Mortgagee's Y','ood Deck * Inspection was performed on the described property. Concrete Notes: It is the- owner's responsibiNd'y to determine the 111; existence of any easernents, W covenants, or restrictions Fence. -------- which are not on the recorded subdivision plat. This asbuilt shall not be used for construction or for establishing property lines. Checked by. CHG Drawn by: 1 30' Grid: SIN2633 - Job: 2021-77 Field Book: '150 Plot: P-497 Date: 7/27/2022 0 0 Ln 0 0 F x CD (D CD CD CL 0 0 N C6 N - .A w r) L> In -n > 0 = 0 0w - = no 3 �� (D ca 0 (D -0 , < (D (D0 0 W :E (D :3 roN CD 0 C) (D cL 5 cT cD * ro 3 (D to (D (D -o M W CD CL :3 (D ca. ;I 3 0-0 o -O (D 0 0-0 a (n :3 CL U) (D < Sll (D > — (D M 0 (D 0-0- -0 - =—� a M. -0 CD CD X FD -0 CD C.Cl > Ca CD ::3 —.0 CD 0) M > 0 CL U) cn 0 0=3 0 3 u cn =r -0 (D 6)-o—O CD CLCO (0 m < 0 cu T 5* �< � co CD o 2, cn a 0_Nc FT m— cn CL (o o _ (D 0 0 0 = 5. 0 0 CD 77 CD Sll 0 Cy tD C: (n cn 0- (D (D �p (D CD (D Cn 0 --4 :3 0 Cc M 0 W 0 :3 0- (D = — cn (n Cat 0 w CO > > -r, o 0 C, =3 ID CD CD CD (D a' (D < 0 0— > 3 (,n,,, CD m (D a R 0 -n CD Q. M-1 C/) (D as X, 0 I 0 CD w (D cn 0 CD O tQ O T z OZ m m z G) Z m m G) Cl) m C) m Cf) 0 (D 0 K 0 W m m m m Al I -n ;a m m z O x 0 0 CL (D z CD rQ 0 CP C) CD O R I m m 0 0 72, cD Cc) 41 C/) N 0 (D CD :3 CL 0 0 C/) I NS Community Development DepartmentY 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. 016-112-05 Property owner(s) Robert & Beatrice Combs Mailing address 11231 Hawkins Ln., Anchorage, AK 99516 Site address Same Legal description (Sub'd., Block & Lot) Freeman, Lot 2 Day phone Legal description (Township, Range & Section) Lot Size 33,000 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) Septic Tank FX]Upgrade ❑X (w/wo AD U) Holding Tank 1:1 Renewal❑ (D) ElRenewal F] Multiple Multiple Dwellings E]Privy and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: # 5 9 5 Waiver Fees: Date of Payment: / 0AL 1 Receipt Number: (}57,,r5G Permit No. OSP-21 Permit App__'- :-.,:c Date of Payment: Receipt Number: Waiver No. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211485, Rebecca Carroll, 12/15/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211485, Rebecca Carroll, 12/15/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211485, Rebecca Carroll, 12/15/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211485, Rebecca Carroll, 12/15/21 30' Kne OF A -00 .... . ...... .... . . .. ..Q 1 Lot 2 � —19 0, Benjamin . Holmstrom .. 33,000 Sf Existing Barn i ` e; LJ-1�8708 t28.1, E ........... .. .......... ....... ..... ...... ...... ....... ....... .......... ....... .......... . = ........ .......... Payed Drive:`--*.-'%--- ..... .. .............. ........ ........ ...... ..... .......... ...... ......... . ..... ...... ........... tK* Existing House .......... 21.8- .0, N89'57'00"W 200.00' Legal Description: Legend: AWellsbuilt Septic Lot 2, Pavement Freeman Subdivision Overhang Wood Deck Survey Certification: I hereby certify that a Mortgagee's Concrete Inspection was performed on the described property. Fence Notes: It is the owner's responsibility to determine the existence of any easements, covenants, or restrictions which are not on the recorded subdivision plot. This asbuilt shall not be used for construction or for establishing property lines. I Checked by. CHC Drawn by. CB 30, Job 2021-77 Field Book: 150 plot P-497 Date: 10/4/2021 .10 • • • w ad: :, ,.�-�- "nw.'.X. T--8::4.. T..L _.-G, P% L .:Z'2ZjXK:$ f tnt - sc1 I+ --- MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and I entered into as of this a�l Day of _iymde.K b �, a of 204L, by and between { , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as AdVGtn } ex located at (legal description) �raem an L. 2 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. r� It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Pagel of3 Owner acknowledges that the Municipality may request records of maintenance and i urer's representative or maintenance provider. repairs from the manufact Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AW WTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the ' parties under this Agreement. 7. Severabilitv. Any provisions of this Agreement decreed invalid by a court of competent s jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 I OWNER: By.�J%r� ��` z- ��_(siLmaturc) .r -g l'o 2Z k S (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) Date: W j. The foregoin instrument was acknowledged before me this Aay of , 20 91, by j5tal�u- i: comb -5 Q?:•0\A.EZ'NO�T .......... gNOTAR UBLIC R wouo® My Commission expires: 2 ��'�r� �ssi q9/FkP:•os'O�' A. COPA MUNICIPALIIT/Y: By: w" (signature) Date: 21 (print name) Title: (rev. 05/18/2018) Page 3 of 3 HU; -6-20111 t=' 3F rF:ON, 't4`,'P�a ;:'Ali '.f?d?;r�ii,� ctflia•'a'::�;ti>�3•:;.`. -1 0: 34:3 799- P. 1/2 ST ATE OF ALASKA DC:;i°AItTPVIENT 01 1+ ATUR—A fU_,'80TJftCfS CAI VISICiN OF Mli'tiING, LAID &. NVA T ER WATER WELL LOG Driih.i. Staitcd: t , i„2$ i2DI4 ComplmAj T Q c4w'arottth: _. Subdivision: �C St. !OT Properiv~ t� Cwi r'f�tam � Address: RobertCCmb.5 _ 11231 Hawkins Ln 2 ACirh raga Freeman ! Anchorage, Aid 99516 _ W Mcridian _ _ I'a4+m`:ip R.1;,4ye1 ,SWIM, _ iia 1)f Va O� _ i of -- ia� 1 BOREHOLE LwT k(from top of CP.SIr;'q)Depth _ ! Dr<fl:t g tl�thod: t X) Air rotary, ( ) 0-1hie tool, 001cr I t,ta:crit 1 Mi'ype. Dolor ctt ,times ) Public supply. (X t t)omraiic, fi ki�g� i Depth of Laic: 280 - _ t): i a�sing sticltup: ctising lypc. steel _ _ 711?611css: .250 Casing dianjoter:inches aCastn5 do Tlt: 1 f, —_ _ �8 _ _. I sand gavel _ __ 5 ft 7 `_ 01%'01.4 ata?tc ;v�iet {fs tnt tttp caf e:�sira�'}: �r L ^ _ sand & clad w_t! reeky a 50 11 Purnping Level S. vieid:. feet tt�ter _ _ Hour, at ;pr,t Recovery, at,: _4�5 _ gp�jn;. t�2ethod of testing, airlift Clay 50 90 1 i�L'V� .;I,31)'3?1: rRi`==khod: airlift. _ _ Duration: t hour I CiaW& Ca'�tPi y g 5 } 11.5 ` Wo1I tntakc. opening -. pc.: (X J Open end, ( 1 Oper,')olc , £)?heir 1 S .:cencc. Start:_ ii. Stopped Ufr crecn tape: ;�iotJn:csi) size:._...._._._. .• sandy l/3�1i205 i.2z I (� i Sum: _ i3, Stopped: t rocks ea{ 122 Grout wl -tie h20 .70' from 20gravel ` PSF..mp iia akc depth: f sand wyl small gave! on / H2O 1 170 ISO I a ! Pt,tctp siie _ 3/4~ hex, Brand m�ill.:: Quids •.-•—..�4 disinfected upon cotT7171CS;ori: (}t i 4'c;;�(µ ' NO j Mcthccl of dli:fliCCIl017:.Last! .ri..t.7 �1:e c�13.Kd�.�i. ,I.t33 tl.i£ i}... ? Driller ttret'rslil?SCIS?Tt2CIti............•...... .. .......................................• ..................... ....... .......... .................. I., .............. ..... ..,...............,....... �___—._.........._.�._.._..�__....._._._.._...�..-i---___'•-'-�_ _�.{..._._.�Ii .................................................................. uiYIC:.}.�.�...c.�r!i�i �.'��2r.�.�tv..�-.............................. .......�.•'_._ ..srtw .......�,........................... Nlafltn. :it{vl)25`:...'�"�'tt / Pr ........... .................................... St `:c: AK Zij) 96;16 Prone 0UMbCU (_ C3� i 34.5 9693 fax:345-4t6 �.�.._..—_ _�.._�._.—..._.�._l.____..._ � ? Ltrt l!i:r �� S1UtT[ttU:�l':� f � i �J �..-� w•"°)�SY _........,........—,_w. _ -- _1 444 �..e....✓."" ..v. ..-Jasittt 5we ia", requires zhat 3:zow, cf*dtis we.ii !.-)E; h.? wnl tv kh-, 17ep:ir;!'7en: of \1 rCesau,rrc tt ithit, :days: axrs-c 46.; 'eFaa:_ tAi� srr,tut:s 3t.G:+.(1i4. ti.E'S.ii?s, �:I iiR.G2:t, E 5.02 and AK tep-ilauion i 1 alA ''13.144. twk,' Oivisioit, f.Mi,tiag, Uw igps� 350 )%t` 7th A-:cnitt, Swv, 1020 rk -60 35C)2 (90i)26r,'-46:39ar,dfz t4C".)ir4•ti:�_t; 4i Lhin Le 'iry OFA:Ic:Lorage, itis required ?i)Elt r, ropy ;'the t. ll 1Ig he sent iv rite pprGfn'iair circ, cttice wiihin -G clays ano butt another copy of Lite tve!i ;og he sent to the well,properzy owner within 30 days. Datcn f Isstly; Jul/.!3'20 .4 _.. ); tvcli iecatcii at rit}�rovcd per�Trt DQcatics;`? t ,t? w'es; n; ( . =�o PUS -6-2'01-1 OL 41F FROvi., TO: 34 P,2- tWvelapment Services partmant Building Safety Division O -A- Site Water & Wastewater Program 4700 Elmora Road P-0. 9ox, 196650 T ��I Mark Sagich Anchorage, Ali 99507 A F C mayor VLLY�. �br (907) 343-7904 Pump Installation Log Well Driffing Permb Number. SW <Y/q- ,54/ Date of Issue-. 3/,25)q Parcel Identification NuTrnher. Legal Description Froperty Owner Name Address., L0 -panip lustiMptioFt Date- 1114 Pump Intake DepLh Below Top of �Vejjj feel 7e-/ Pump M'Anufhcturer'sNaxw: Lpor.45 Pump Model- V'Urnp SizC 3�lq hp Pidess, Adapter Burial Depth- 9 feet I'Mess Adapter Installer - JV C AA Weil Disinfected Upaa Cogn�pietwa,: 1/tl -yes �7 No Method of li:5irticeaioat. Comments: Pump lasta"el, Name: 7 k/,X Attention. The pump installer s6 all provide a pump -irstallador.. log to the DSD within 30 days of pump inqiallafion, On -Site Water and/or Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141254 Tax Code Number: 01611205000 Work Type: SepticTank Initial Permit Effective Dates: July 23, 2014 to July 23, 2015 Design Engineer: Subdivision: FREEMAN Site Legal Address: FREEMAN LT 2 G:2633 Owner/Address: COMBS ROBERT K & BEATRICE E 11231 HAWKINS LN ANCHORAGE AK 0000 Site Mailing Address: 11231 HAWKINS LN, APT 000002, Anchorage Lot Size in Sq Ft: 33000 Total Bedrooms: 4 This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Privy Y Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: -Z-7_1q MUNICIPALITY OF ANCHORAGE 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. O 1(P— IL27 OS Property owner(s) _ Le h I � e ds C c6m � S' Mailing address // L 3 l y$w l a.Yi"P. Day phone 3113, - 3 gel 17 Site address /U) E Legal description (Sub'd., Block & Lot) 1-1 eemelA/ Su..k di v{slot koi- z Legal description (Township, Range & Section) Lot Size _ 33251O Sq. Ft. Number of Bedrooms, — APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field E] Initial Single Family (SF) (w/wo ADU) Septic Tank ❑ Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ aPjeDewal 0A MulSpie El B,�yu/,�IT Privy El V fi FaDnd/olrD) Private Well W( Water Storage F1ls JUL 1 6 2014 THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance:___ I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. property owner or authorized agent) Permit/Rush Fees:n11'J Waiver Fees: Date of Payment: j h (e(N &I00f,0 Date of Payment: Receipt Number: (-7t-SqI Receipt Number: Permit No. (X)1?jq Ot� Waiver No. Permit App—_ - 5.89' S 7' E. 200r . �i�� fSMnf - lNQii� V Lor 2 A y Lor I + 1� House lU + I o ✓' Sy y p n p s.s9'STF. 200' o wtlel _- Z o Lor 3 Lor 4- S. S. $9°S7 'E. 00 MONA Avg Q AS BUILT e�/�� Lot 2 Freeman Subdivision - - SG'i ¢, SWy NF." Section 20 T 12 N k 3 lJ Seward Meridian Prepared by: Harvey E. Rookus d c4,!`d'a3310 ve Anchorage,,nl lAlaskaate 199508 4`oa ���riuJ 7 -IS -86 MONA AVE c Plot Plan E A5 �ujlf - (greenhouse Lot 2 3 Freemo Sibr�,v,s,o SW "Y NF y Sec 2 T12 Al R3 w Se wvr� Mer, a i o roff�� r� PYepO��d by, I7grv�'} E. Rookvs 33/0 cAockrna�e D. +Qh4�oro9Q, Ak 99506 ,pelt q-,�Li-8y • S. 89° S 7 E. 2 00 1 �� l0 Uiil�fy 2 A N J House J COT J %S Eais-l. I I o O Y co Lot 3 Lor 4 I I N' 89' 5-7'E. 200 MONA AVE c Plot Plan E A5 �ujlf - (greenhouse Lot 2 3 Freemo Sibr�,v,s,o SW "Y NF y Sec 2 T12 Al R3 w Se wvr� Mer, a i o roff�� r� PYepO��d by, I7grv�'} E. Rookvs 33/0 cAockrna�e D. +Qh4�oro9Q, Ak 99506 ,pelt q-,�Li-8y • MUNICIPALITY OF ANCHORAGE 1 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 26411720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE LVNEW ROBERT K COMBS ❑ UPGRADE MAILING ADDRESS LEGAL DESCRIPTION t." G HAN - c 2 JD. — 3 u/ LOCATION NO. OF BEDROOMS P-101 K N 3 r; WellAbsorption '+- area Dwelling PERMIT NO. O Y DISTANCE TO: '�� �0 MRO 14 Ll ;:z Manufacturer _ Material — No. of compartments t— C—W Iz ser' Liu. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth 6 Y DISTANCE TO: Well Dwelling PERMIT NO. -10Z 0z< Manufacturer Material Liquid capacity in gallons G w= DISTANCE TO: Well 1- f O Foundation Nearest lot line PERMIT NO 0 I J LL Z No. of lines Lengthof each line Total length of lines Trench width Distance between lines F ? w IX 6 0 inches ¢ H Top of tile to finish grade Material beneath tile Total effective ebsorptin area o — 30 inches Length Width Depth PERMIT NO. w c7 n F Type of crib Crib diameter Crib depth Total effective absorption area W d y DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J W i DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) � OTHER PIPE MATERIALS CgsT c 77 SOILTEST RATING INSTALLER SQ i REMARKS ,� q • � :-k,f�n � r�u �WW F � 222 t0 J N: =rt ri i APPHOVED DA E LEGAL &m 4, 2, fuer 72-013 (Rev. 3/78) F r-, r"1 MUh1 I C I F`AL I TY OF AMICI -1 C3r,:{-:%C-II-= DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 Ohl—SITE SE4�DEr-: t_.c WQ=L_L E='�r-:M I T PERMIT NO: 850144 DATE ISSUED: 05/01/85 APPLICANT:ROBERT K COMBS ADDRESS: 2101 MONA AVENUE ANCHORAGE, AK 99516 CONTACT PHONE: 344-3457 LEGAL DESCRIP: SUBDIVISION: FREEMAN LOT: 2 BLOCK: NA SECTION: 20 TOWNSHIP: 12N RANGE: 3W LOT SIZE: "00 (SO.FT. OR ACRES) MAX BEDROOMS: Listed below are he options available to you in designing your septic system. Choose the option that,best fits your site. 13=-D til- 13F20kI114 DEPTH TO PIPE BOTTOM (FT.) 4.0 4.0 GRAVEL DEPTH (FT.) 0.5 2.5 TOTAL DEPTH (FT.) 4.5 6.5 GRAVEL WIDTH (FT.) 19.0 5.0 GRAVEL LENGTH (FT.) 35.0 56.0 GRAVEL VOLUME (CU.YDS.) 24.7 31.2 TANK SJZE (GALS) 1,000.0 1,000.0 ** SOIL RATING (SO.FT./BR) 146 146 ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms and any enlargement will require an additional'permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORE: MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED DATE: APPLICANT: ROBERT K COML'S ISSUED,BY ------ DATE: ------------------------------- ----f------ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST as 501,7;13 b0 PERFORMED FOR: r0 G' C -0M r�; DATE PERFORMED:_ .% — 27— !35 LEGAL DESCRIPTION:_L SUED• V'Ei SLOPESITESITE PLAN M-1-7-7---1 1 •w' •.•.t. 2 .• • r 3 r Sf FINE &/?A/n!/= h 4 r i- 51 5 6 7 7 •.t 1 Sr 1 SOILS LOG' Gross Time g-0 CQ PERCOLATION TEST PERFORMED FOR: r0 G' C -0M r�; DATE PERFORMED:_ .% — 27— !35 LEGAL DESCRIPTION:_L SUED• V'Ei SLOPESITESITE PLAN M-1-7-7---1 1 •w' •.•.t. 2 .• • r 3 r Sf FINE &/?A/n!/= h 4 r i- 51 5 6 7 7 •.t 1 Sr 1 14 15 15 t � t7 •• ;� q gf Gross Time PootzcY 10 Net Drop L/GigT —nwrr rr �uN 11 WAS GROUND WATER N Q 20 :• E•s2sa /Z'/4 ENCOUNTERED? 12 �77Z U COMMENTS /0 IF VES, AT WHAT DEPTH? 13 t/zp 14 15 15 t � t7 •• ;� q gf Gross Time �s� h Depth to Water Net Drop e et • cerwIn 20 :• E•s2sa /Z'/4 6020 �77Z U COMMENTS /0 I it Reading Date Gross Time Net Time Depth to Water Net Drop /Z'/4 6020 �77Z U / Z: ! /0 -0 . t/zp !2: zY ! v o• ss o t Zo 2.'^ cit 3 5 f• +, v / 2 3 S / G, S< C>, U PERCOLATION RATE / (minutestinch) TEST RUN BETWEEN �? s- FT AND FT PERFORMED BV: To.h 4" 72-008 (6/79) j/ DATE: