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HomeMy WebLinkAboutHIGGINS ESTATES LT 2Higgins Estates Lot 2 #015-521-46 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201369 Work Type: SepticTank Upgrade Tax Code Number: 01552146000 Site Legal Address: HIGGINS ESTATES LT 2 G:2637 Site Mailing Address: 5625 E 112TH AVE, Anchorage . Owner: HIGGINS PATRICE CORINNE & Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: c11 ■ v. Department 9/15/2020 9/15/2021 103283 ❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 j Special Provisions: Locate all standpipes per the Record Drawings on file and repaired if necessary. Received By: Date: .r Issued By:xt'a Date: 4 MUNICIPALITY OF ANCHORAGE ?%05%a Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section — Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-521-46 Property owner(s) PATRICE & MIKE HIGGINS Mailing address 5625 E 112TH AVENUE, ANCH AK Site address SAME Legal description (Sub'd., Block & Lot) HIGGINS ESTATES LT 2 Day phone Legal description (Township, Range & Section) Lot Size 103,283 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Receipt Number: COS031 Receipt Number: Permit No. 0SPZ0)3G( Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank El Upgrade Duplex El (D) Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A 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: -*Z70 COSI O Waiver Fees: Date of Payment: (q Lolzo Date of Payment: Receipt Number: COS031 Receipt Number: Permit No. 0SPZ0)3G( Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Sept 8, 2020 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New septic tank permit Legal: HIGGINS ESTATES LT 2 To Whom it may concern: This is a request for a septic tank permit on the above referenced lot. This tank replacement will not impact any of the neighbors or encroach on any wells, septic or open water issues. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201369, Deb Wockenfuss, 09/15/20 1"=50' PROPERTY LINE EXISTING ABSORPTION FIELD-E 112TH AVE- PROPOSED 1,250 GALLON SEPTIC TANK W/ 20" RISER DRIVEWAY HIGGINS ESTATES LOT 2 SCALE: DJRDRAWN: DATE: HIGGINS ESTATES, LOT 2 Anchorage, Alaska PATRICE & JAMES HIGGINS 9/8/2020 9/15/2020 EXISTING HOUSE EXISTING PADDOCKWELL EXISTING WELL 100' RADIUS SHED S H E D SHED S H E DGARAGE HIGGINS ESTATES LOT 2 T12N R3W, SEC 22LOT 32 S2T12N R3W, SEC 22LOT 30DCO DCO DIVERTER VALVE ALL CO WILL BE LOCATED AND IF BROKEN OR DAMAGED THEY WILL BE REPAIRED Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201369, Deb Wockenfuss, 09/15/20 •{old uolslAlpgns popj000w 94{ uo uDaddD {ou op 40141Asuol{oliPa Jo •o;uouoAoo Ai-:v � rvNolss� �44 's{uewesDo Auo ;o oouo{slxo 044 ouluuo{op o{ JsuMo 044 ;0 /411lglsuodsai oy{ sl {I A c Z� B -5"I•., `Loo D)lsDlY 'eBwoyauy {D 'c"rIL ;o ADO -;WF-e4{ 2141 Pa{DO u 0 •uo9J04 Po{Dolpul sD ;dooxo Aliedoad Ds uo � C 0 NN N �K' e s P! a;U s1waid • � � � � � � � � � .... 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NUM iNv� ,sc x ,oz \ .01 airro i j s 1NYJ ,S'S x ,OZ '•y �i gw To £9Z'£0t \ I, z tot � •Xt / .o'9zt Z£ 3.94,1.4.69 S I 0 y Municipality ot'Anchorage Department of Health and Human Services �tr�1 moi. \ Building Safety Division On -Site Water and Wastewater Program, 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3 www.d.anchorage.ak.us (907) 3417904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWSWO10264 PID Number: 015-521-46 171- Wastewater System: [:]New ® Upgrade ieSf01ri Rawarri HM qq91A ABSORPTION FIELD phohe: '�'�"" ® Deep Twvh O Sham Tlwrth 0 Bed 0 Mowll 0001W. LEGAL DESCRIPTION So°"'tl ° Tod Depth tan and.. 0 0.6 oppw10. R Block: Lot SubdNism: Depth b pep bdlwn ham wok" gree: Ck" depth beneath pips: Higgins Townwep: (taps: settle": Fd added abort erg" grade: Gnwl Length: 010 R 5 Fl. Well: ❑ New ❑ Upgrade Gra" wroth:ed te ween N~ of ea: D arce bince: 1 0 3 Ft. Ff elpeltaaton 01 M . & a. cl: Taal Depth: CtiW t: Total ebewptai wu'. P1ps MMartl' Exist'q Fl. Fl 1190 F> 3034 vc Dae": Det DrdW: Sabo WMw Uvw: Yalu. Dat tne"IeC: Fl. Beek's Contracting 8/3/2001 rtw:PwWSetat Deakgw 1htAbweGeca : TANK GPM Fl. Fl SEPARATION DISTANCES ❑Septic ❑Holding ❑S.T.E.P. ❑Other: To Septic Absorption lift Holding PublklP"M""•"°"'r Capecof Frain Tank Field Station Tank Seger lino Exist Gr, 148 112 110 Maw": Nwn e, d CmVeet~ts: W« swraw wMw 100+ 100+ LIFT STATION 70 35 $¢e; MentfMNr W Wt GM 15 10 'A hp en t.eM M: -P np car eft* w: Fah weir am M'. N Foandatm In ti N. Pwep Msks a Ma" Etcb.M aepwtana p"fV try' Cwtkt Dain --- TR BENCH MARK 2" Ri id insultlon over field. 2 i Louden wM DeKnpow: Garage Stab As unwed Elevatw: 500.0 FL Engineers Stamp .���Ngeee Inspections performed by: Pannone Eng. SVC Dates: 1118/3/2001 I ': 49r" !\ ."..i ................".0 2ntl0810312001 • Department of Health an Human Services approval ll ll ♦♦♦i�': , ;le�vej" R. Reviewed and approved by: Date: ti °L- �Pann�onel� ('F 8 ��� (Rev. Hl'B9) ... ����••••'• � eee�j X55;.. PERMIT NO. SW01026q AS -BUILT WASTEWATER ABSORPTION SYSTEM Lot 2, Higgins Est. C.O. IM T1 T2 DC2 C1 MT C2 TPI TP2 C3 M2 C4 NSHbors septic system y well Is located greater than 100 feet from the proposed system L well Well Radius r\ Well c I XIST'G m I�FAIL w NEW Sk I 85LFx3 C3 0' Util. East 112th Ave. PID NO. 015-521-46 Nelbors septic system L well Is located greater than 100 feet from the proposed system L well 712085, 85' Mr, Michael Higgins 7100 Old Seward Highway Anchorage, AK 99518 (907) 349-6507 NOTEo 1) The garage foundation was constructed to within 9' of the new deep trench. The garage Is a slab -on - grade. There Is no chance for sewage to enter the garage or basement since the elevation of the system Is below the elevation of the (bottom of the garage slab. - 1 - /See Note 1. 'EXIST'G 1250g SEPTIC.JANK INSTALL DI RTER VALVE \ 1-27 Soils= 250sf/br 4 Bedroom House 1000 SF Rqd DESIGNi 7' Effective 10' Total Depth 2' Wide, 85' Long Total Absorption = 1190 sf Pannone Eng. Svc., LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 AS -BUILT A H Test Pit 2 M2 121' 4B.0' _2y 13.9' 49.1' 2511 53. ' Test Pit 1 , 5.0 15.4' 29.4' 48.4' 64.6' C4 4:1 89.8' 106.8' 59.7' 75.9' 21.5' 22.2' 0' Util. East 112th Ave. PID NO. 015-521-46 Nelbors septic system L well Is located greater than 100 feet from the proposed system L well 712085, 85' Mr, Michael Higgins 7100 Old Seward Highway Anchorage, AK 99518 (907) 349-6507 NOTEo 1) The garage foundation was constructed to within 9' of the new deep trench. The garage Is a slab -on - grade. There Is no chance for sewage to enter the garage or basement since the elevation of the system Is below the elevation of the (bottom of the garage slab. - 1 - /See Note 1. 'EXIST'G 1250g SEPTIC.JANK INSTALL DI RTER VALVE \ 1-27 Soils= 250sf/br 4 Bedroom House 1000 SF Rqd DESIGNi 7' Effective 10' Total Depth 2' Wide, 85' Long Total Absorption = 1190 sf Pannone Eng. Svc., LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 AS -BUILT I ' PERMIT NO. SWO10264 AS—BUILT DETAILS PID N❑. 015-521-4� wr+jTEWATER ABSORPTION SYSTEM Lot 2, HIGGINS EST. � v�� ...49TM -� ai SteVen R. Pannonej/ Mr. Michael Higgins 7100 Old Seward Highway Anchorage, AK 99518 (907) 349-6507 LMNV= rnuwwnl Pannone Eng, Svc., LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 274-0308 272-8218 FAX IATA Tn c0r1Ai C1 AS -BUILT P •4 IMNV= h r k � r a N Y n PC ZDn P Mu MaL m r r r Z 0.f in y i3 F a N ar ED .. .r1. m n' 1 m o in P r r t d m r 3AIVA r s � e 1131M3AM y u 1fYMV317 IaY 3! DR irEW3m ei P r Ifi]NV '� S 1 1nONV317 tip g � v�� ...49TM -� ai SteVen R. Pannonej/ Mr. Michael Higgins 7100 Old Seward Highway Anchorage, AK 99518 (907) 349-6507 LMNV= rnuwwnl Pannone Eng, Svc., LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 274-0308 272-8218 FAX IATA Tn c0r1Ai C1 AS -BUILT MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SWO10264 Legal Description: 'HIGGINS ESTATES LT 2 `N61 3(_M Date Issued: Jul 25, 2001 Expiration Date: Jul 25, 2002 Parcel ID: 015-52146 Design Engineer: 0062 Pannone Engineering Services Site Address: 005625112TH AVE E Owner Name: Michael & Patrice Higgins Lot Size: 103283 SO. FT. Owner Address: 7100 Old Seward Hwy Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage . AK 99518 - This permit is for the construction of: Q Disposal Field n Septic Tank E] Holding Tank E] Privy D Private Well Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued Date: 7` 2-7/P( Date: is O Municipality of Anchorage �-1 Development Services Department Building Safety Division _ . On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Yb Parcel I.D. 015.5214& Permit Number SW 010 244 - Property owner(s) Micheal & Patrice Higgins Day phone 349.6507 Mailing address (1) 7100 Old Seward Highway Mailing address (2) Anchorage, AK Zp Code 99518 Legal description (Lot, Block & Sub'd.) Lot 2 Hi sins Estates Legal description (Section, Township & Range) Lot Size 108002' Acres/Sq.Ft. /03.7-1613 THIS APPLICATION IS FOR: Number of Bedrooms 4 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 1 certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: co Waiver Fees: Date of Payment: `7i 0 Date of Payment: Receipt Number: { P Receipt Number: (Rev. 12/00) Pannone Enoineerina Services. LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907( 272-8218 Fax July 9, 2001 Municipality of Anchorage Building Safety Division On -Site Water tZ WoVewa.ter Program P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Lot 2 Higgins Estates Subdivision Septic Upgrade Permit FAII,F,1) SYSTF,M Gentlemen: My firm was contacted to investigate a failed septic system at the referenced property. The system was completely inundated with liquid and backing up into the house and garage. The fluid levels were approximately thirteen inches above the lateral pipe. A septic pumper was called to remove the liquid from the tank and field. During the pumping, eight softballs were pulled from the drainfield. Additionally it was discovered the garage floor drain was connected to the septic system. I informed the owners that the system was in failure and the floor drain needs to be disconnected from the septic system. The owners requested my firm investigate the possibility of installing a replacement. Two test holes were excavated on March 18, 1996, and are on file with your department. The soils report and a percolation test result is attached. Ground water was monitored for seven days. No groundwater or bedrock was encountered in the test hole. The lot is approximately 2.5 acres in size. Lot 2 slopes to the south at approximately 1 to 2 percent. The proposed installation will be located in the southern portion of the lot. The existing fields will be reused. The septic tank will be verified for integrity. If it is in failure, a new tank will be installed outside the well radius. The proposed location is greater than 100 feet away from the existing well serving this property and 25 feet from the water service lines. The surrounding wells are located greater than 100 feet from the proposed installation. The proposed installation will not affect the future development of the surrounding or existing lots. See the attached design. If you have any questions or concerns, please contai Sincerely, Steven R. Pannone, P.E. Attachments: PERMIT NO. SWOT DESIGN WASTEWATER ABSORPTION SYSTEM Lot 2. Hloolns Est, Nelbors septic system L well Is located greater Ahan 100 feet from the /proposed system L well gw6S e4 Well Radius `Well I l \ - a, a c EXIST'G SYSTEM ul IN FAILURE Li PROPOSED SYSTEM 851-Fx3'x7'EFF'V Test Pit 2 -2Y. Test Pit 1 PID NO. 015-521-45 Ne!bers septic system L well Is located greater than 100 feet from the proposed system L well NOTEo 1) The garage foundation was constructed to within 9' of the new deep trench. The garage Is a slab -on - Grade. There Is no chance \ for sewage to enter the .l garage or basement since th the elevation of the system i Is below the elevation of the 1-27'bottom of the garage slab. 6k14'0� q160 �/ \ / -.-See Note 1. East 112th Ave. rrve.WAY awing Ct\Work\2-HIGNS.dwg Soils= 250sf/br 4 Bedroom House OF 1000 SF Rqd yc�pN.�,4, DESIGN, 7' Effective 10' Total Depth 2 85' 2' Wide, 85' Long Z?hdW_rt>� Total Absorption = 1190 sf R. Pannone: 1W Mr. Michael Higgins 87100 7100 Old Seward Highway Anchorage, AK 99518 �)_�:+� (907) 349-6507 Pannone Eng. Svc., LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218, 272-8218 FAX ATEe 7-9-01 DESIGN CPA, r. ttt m tR. >.r. _...,-_ .._ �: iX < A j i • iP. i9%♦ •�dI 1 I:if f1gr hWc .• r sra P%W �3i -H 0 E3 • me I ;: o 1M11n Rap ° 'iii4 •'' pe' 1 ♦ rlivej,... , ia�:•,o w 0 Soft Brom N sit SF/BR fr N Mu/BR rq vA o D IIY D N v:3 3 O 0— ?U P C -!t is r, is Gravel V/sits f*1 d 0-3, ."GN 0 CIO D ? A SECTION MAP Z Qco =kA td H d (CJI r� 2 -u m s N _ r & e Boarrdstbn --i NE3HD-H -4 Z r N yy yy W 6 6 i 01 MuoicipaAty of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST $Wn IL P.nn� CE -61J9 PERFORMED FOR:-- /)l1(C1r. #14tj(VEDT J DATE PER FORMy. ^ S �tOJ 6 LEGAL DESCRIPTION: L.oT :?! Township, Range, Section: T/2. N - 23w, --, 2.2. DCPTH ���PC• Z SLOPE SITE PLAN 2 3- 4- 5- 6- 456 ML 7 8 9 10 11 12 18 19 20 COMMENTS -'s -r Gaww.0 T-i.edr CeFr Is, Ivr•S "'%CBAcm 42gveC '-' ASY-t�A me'o c' SILr.Si CAAYOCS i4ARDIDIi-t:r4Cr.JC„ X WAS GROUND WATER ?�C ENCOUNTERED? 5 IF YES. AT WHAT 0 t 2 DEPTH? p E 0*0 q Waw Ala NeliWllg7 4 -2r -l' aUt NAV PERCOLATION RATE (rrwAUIeVMCh) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY: ;y`Q '�Jn7 n'U' ") tf 1 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 72-008 (RF,. 4/86) (ENGINHER'S SEAL) Municipality of Anchorage i — DEPARTMENT OF HEALTH & HUMAN SERVICES :... j. •.DYty4'j 825 *V Street. Anchorage, Alaska 99502-0650 _ .•,�„ SOILS LOG — PERCOLATION TEST a, clr:a� st ^hm �•1* �u CE•d1A0 r�+� PERFORMED FOR: /L11 CI'IA(cC 9149,IA- C DATE LEGAL DESCRIPTION: �•OT'�f Township. Range. Section: -TT2M, M3LV I S Z7. SLOPE SITE PLAN MET -7-65T h�• T I I-1 1 2 3 4 5'i �—FumsTc/2.�E.L 6 SoF�Q2eur,.) GIL.-m 7 ML I '4yT"Q & GRWQL 8 9 I I WAS GROUND WATER 10 ENCOUNTERED? 1116 11 IF VES, AT WHAT DEPTH? 12 Doo to Wee Aber 7 �25�96 13 1 NewerillA? Ote: 17 18 19 20 PERCOLATION RATE . 1_ 6_ Im.nute6:w4n) PERC MOLE DIAMETER TEST RUN BETWEEN 9< FT AND?_S FT COMMENTS ,,,Mfl[ez ;�e�r2co✓ lixcA VAT'o(? PERFORMED BY: • X • R 7� C -/C7- P• �.= I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 73-16-26 72 -WO (A" 4/85) Municipality of Anchorage Page —(—of 3 _ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report 011 Permit Number: PID Number: 01S' Name: 1M I ILS. /1 r•us Wastewater System: New ❑ Upgrade Y p9 Address: 676 Zx� G it 2_-`-µ Nclt AIS °J 9,1516, ABSORPTION FIELD Phone: S q 9 — 6�s­if>7 No. of Bedrooms: e -(Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: X0-0" ©• GPD/Sq. Ft. Lot: Block: v Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe 2. H 14 4 in/.S 3- e/ / Ft. 7Z. I Ft. _ Township: Range: Section: Fill added above original grade: Gravel length: GT31 -p - Ft. ��/ WELL: El New El Upgrade Gravel width: t Number of lines: l _Ft. Distance between lines: — I Z Ft. — 0 Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: I�J�TG l Oy Ft. l y Ft. - I R SQ. Ft. 03 qO 3Fb/O Driller: Date Drilled: Static Water Level: Installer: Date installe &5_- Iccl'oC). aS- Ft. C-_ AA7�0t-) Yield: Pump Set at: Casing Height Above Ground: -- TANK �%O GPM /�S FL Z Ft. SEPARATION DISTANCES _ VSeptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lilt Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines (::;,jR /'a gc:) Well,l�O I l36 ,v % N Al30 Material: S -r C Number of Compartments: z Surfac Water /00, — o LIFT STATION L.ot�O I ��I Size in gallons: _ Manufacturer: Line Foundation `Sf 9() L _ 'Pump on" level at:i'PuP fvel,pt: High water alarm at: Curtain _ Pump Make odel Electrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: r24Ati S L la Assumed Elevation: .500 Ft EN,Qt,MEiEW&SiEAL �`��.1 O'V�NO(U Lr 6 QF7 Inspections performed by: Dates: 1st �% VAL /17 2nd Qb ylar rry� r.,..,3;++9r+,x,.ar:4 A. P Pam C ! c ;ar� efnwral rona /,(�>% Department of Heal and Human Services approval�'r�///��ln,Iso�l9 Reviewed and approved by: ZleajLAZ Date,-201`��rv.=` vn_nw io.,,, o/on r,�nn nc 0) C 4� Ul X w CIO, DC1 T1 T2 DC2 C1 MT C2 TPI TP2 AS -BUILT WASTEWATER ABSORPTION SYSTEM Lot 2, Higgins Est, Neibors septic system V well Is located greater ,than 100 feet from the system & well Well Radius New Well. 00,-._' ... 1-2% New System 85., feet long, Replacement System Aa \ Test Pit 2 12,1' 48,0' 13.9' 49.1' 1-2% 22.3' 53,6' 25.1 55.0' 15.4' 29.4' 48.4' 64.6' 89,8' 106.8' 59,7' 75.9' 21.5' 22.2' Drawing Ct\Work\2-1 AV �:° 49a ®..... ....unn..........un A_Il5teven R. Pann C'E 8149 Test Pit 1 V// M T - - 10' UtIL E East 112th Ave. Nelbors septic system & well Is located greater than 100 feet from the proposed system & well NOTE, 1) The garage foundation was constructed to within 9' of the new deep trench, The garage Is a stab -on - grade. There is no chance for sewage to enter the Garage or basement since the elevation of the system Is below the elevation of the 1-21bottom of the garage slab. �� 7-�`iiaC�trz CucJKTrv.vS t3 Y \ � M See Note 1, 1250 UPTVEWAY 213 dwg Solis= 250sf/br 4 Bedroom House 1000 SF Rqd p DESIGN, Wiz'Effective �e 10' Total Depth ®� re 2' Wide, 85' Long ••••� Total Absorption = MW sf Mr. Michael Higgins 7100 Old Seward Highway Anchorage, AK 99518 (907) 349--6507 Pannone Eng, Svc. P. O, BOX 142025 ANCHORAGE, ALASKA 99514 272-8218, 272-8218 FAX ATE, 11-11-96 AS -BUILT rni P t•=1,n AS-BUILT DETAILS '3/3 WASTEWATER ABSORPTION SYSTEM Lot 2, HIGGINS EST. ro InONV3l3 a a? � C L )n 4 Eli L v a 0M is P qia° co 20Cd Sana aoimON ou°qi>`p°uo°unnao 1%C� Q. e puopn°no°uo ad ,p"° j a J R' A N [F\�\ T W ai Z YN w 4. S y > Ld ti OLV) LS mmum V'v J % 1nONV3.13 ix v o i CL Cd o Cd = CQ n m-o Ln a� a m * Ey o a 0.g Ll 0 1nnNV3la S o� rx inONV3l3 �o N ��.•� f- N I � 1nONe3l jj N ¢~ 4 L7in U 1nONV313 m a. ri H P•................Lq UVNOaNnoi n AllTH :,�� ........ =Steven R. Pennone;���r PREPARED FOR• Pannone Encs. Svc, .', Mr, Michael Hi ns P. ❑, BOX 142025 c� eta9� 99 ®® '••,�(,(/2S—„•°'� 7100 Old Seward Highway ANCHORAGE, ALASKA 99514 ®� °” ^^•'° �� Anchorage, AK 99518 274-03083 272-1112_18 FAX �VV%A (907) 349-6507 DATE) 11-11-96 —_ ❑T T❑❑ SCALE�AS—BUILT )V/ AS -BUILT WASTEWATER ABSORPTION SYSTEM Lot 2, Hlgglns Est. Nelbors septic system Nelbors septic sy tem & well Is located greater & well Is located greater, :than 100 feet from the than 100 feet from the proposed system & welt proposed system & well Well Radius New Well 1-2% New System 85... feet long_ Replacement System T Psi hj _..--.__.. FC CM A 17-� T 1 13.9 u R.1 r 'z ZZ•3 53.6 Test Pit 1 /MT z S.3 rv\'r r&.4 64 • 6 e.2- SR.g Io6.15 Drawing C1\Work\2-HIGNS,dwo ------------ Utl Eas me East 112th Ave, 0 m - Ne-wJ250 g sep tcLnk Soils= 250sf/br 4 Bedroom House 1000 SF Rqd 6DESIGNS 6' Effective 10' Total Depth 2 85' 2' Wide, 85' Long Total Absorption = 1020 sf Mr, Michael Higgins 7100 Old Seward Highway Anchorage, AK 99518 (907) 349-6507 Pannone Eng, Svc, P, 0. BOX 142025 ANCHORAGE, ALASKA 99514 272-8218, 272-8218 FAX ATE1 11-11-96 AS Cal F 1•_sn AS -BUILT V� 21-4WASTEWATER ABS❑RPTI❑N SYSTEM Lot 2, Higgins Est. Nelbors septic system well Is located greater than 100 feet from the proposed system 8, well Well Radius New Wetl New System feet long,' Replacement System Ci\Work\ `; •• 49TH I R. Pon CE 8149 Neibors septic system & well Is located greater than 100 feet from the proposed system & well 1-2% / 10' UtIL, Eas men rte_ East 112th Ave, Mr, Michael Higgins 7100 ❑ld Seward Highway Anchorage, AK 99518 (907) 349-6507 Nev 1250 g septtt-,tank DRIVEWAY \ --1-2% Soils= 250sf/br 4 Bedroom House 1000 SF Rqd DESIGNS 6' Effective 10' Total Depth 2' Wide, 85' Long Total Absorption = 1020 sf Pannone Eng, Svc, P, ❑, BOX 142025 ANCHORAGE, ALASKA 99514 272-8218, 272--8218 FAX DATE 11-11-•96 AS -BUILT SCALE, �=50' Ti__R.0 u f3 6u • 6 Oct's X06.8 Ci\Work\ `; •• 49TH I R. Pon CE 8149 Neibors septic system & well Is located greater than 100 feet from the proposed system & well 1-2% / 10' UtIL, Eas men rte_ East 112th Ave, Mr, Michael Higgins 7100 ❑ld Seward Highway Anchorage, AK 99518 (907) 349-6507 Nev 1250 g septtt-,tank DRIVEWAY \ --1-2% Soils= 250sf/br 4 Bedroom House 1000 SF Rqd DESIGNS 6' Effective 10' Total Depth 2' Wide, 85' Long Total Absorption = 1020 sf Pannone Eng, Svc, P, ❑, BOX 142025 ANCHORAGE, ALASKA 99514 272-8218, 272--8218 FAX DATE 11-11-•96 AS -BUILT SCALE, �=50' AS—BUILT DETAILS WASTEWATER ABSORPTION SYSTEM Lot 2, HIGGINS EST, Cd m Nr zo 1nONV3-13 r::: ni A g%o u� L o R nk°ogE` IN a ZD W OD v US 36n1 NOlINOW m u °0910 °egaano°°a°a°°o' z o°�eo°n"n°pan° o n 01 Aa°noel 7' a u in It _J Of W o V Lq A CI L Vb7 L E bi °° oe� � Zia 1nONV310 i oo 06 a_ i3 ON r CD Lf)o" v av 0 0 g b Co * C C 6 it 1nONV313 w x . 1nONV3"13 N 0 u% InONV3"13 V) 7 U inONuio 0 Now p { /VV,IIL /a J�®ll N \�........ra.... I..•. GJ,•C° �ej./�V®� NuuvuNno�vaNnUJ Ove ® ••. PREPARED FORT Steven' R. Ponnonej ®r Pannone Eng, Svc, ®®�%.°•., C: 8149 �� Mr, Michael Higgins P. Q. BOX 142025 ........,..•'���� 7100 ❑ld Seward Highway ANCHORAGE, ALASKA 99514 ® Anchorage, AK 99513 274"-0308, 272---8218 FAX ��® �� ��� (907) 349-6507 DAM 11-11-96 :l NOT TO SCALE AS -BUILT STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT WATER WELL RECORD LOCATION OF WELL BOROUGH SUT BLOCK SECTION WAS SECTION TOWNBNIP RANGE MERIDIAN VN ❑E us (RW 3-etol LOCATION/SKETCH: WELL OWNER: DEPTHS MEASURED FROM:Dcasisg tap Oground surface WELL DEPTH:% DATE OF COMPLETION Depth of hole:---/ ft Depth of casing:tt BOREHOLE DATA: Depth Material Type aro Color. From To _J__— DEPT�O STATIC WATER LEVEL: ® ft below top of casing ❑ ground surface Date: 101 METHOD OF DRILLING: 2� air rotary ❑ cable tool 00F/0 0 other USE OF WELL: 6domestic D irrigation ® monitor ® public supply D other® +A/ CASING STICK-UP: ft. Diam: in. toz? �"- Casing type: '.�� in. to / YNft WELL INTAKE OPENING TYPE: a open end ❑ screened ® perforated C] open hole + Depths of openings: to ft SCREEN TYPE: Diam: in. 5104/Mesh Size: Length: ft I GRAVEL PACK TYPE: Volume used: Depth to top: - GROUT TYPE: Volume: I x / c �—j Depth: from ft to ft DEVELOPMENT METHOD: Duration: Municipality of P.nche;a PUMPING LEVEL AND YIELD: / $C� it after_ hrs pumping eO gpm PUMP INTAKE DEPTH: a®� ft Horsepower: WELL DISINFECTED UPON COMPLETION? a YES EJ NO CONTRACTOR INFORMA REMARKS: PLDNRI®MG IDIV N OF MINING & WATER M o S O e PD ROX 107006 Axol l s CUPy MUNICIPALITY OF ANCHORAGE DEPA'�MENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960040 DESIGN ENGINEER:STEVEN R. PANNONE OWNER NAME:STEELE KAY H OWNER ADDRESS:7100 OLD SEWARD HWY. ANCHORAGE, AK. 99518 PARCEL ID: 0-1-5-5-2-1-a4 c>> '�` \ -1 `�n LEGAL DESCRIPTION: P\bA . T12N R3W SEC 22 LT 31 LOT SIZE: 216125 (SQ. FT.) NUMBER OF BEDROOMS: h. THIS PERMIT: f �� THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 4/03/96 EXPIRATION DATE: 4/03/97 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: PERFORM ADDITIONAL SOILS/PERCOLATION TEST(S) AS REQUIRED AND SUBMITT SOILS LOG/PERC. DATA WITH ASBUILT/INSPECTION REPORT. RECEIVED DATE: ISSUED BY: %(/N/L IVU'S DATE: Steven R. Pannone, P.E. P.O. Box 142025 Consulting Engineer Anchorage, Alaska, 99514 (907)272-8218 (907)272-8218 Fax March 26, 1996 Municipality of Anchorage Dept. of Health & Human Services On -Site Set -vices Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 31, T12N, R3W, Section 22 Well and Septic Permit Request. Gentlemen: I was contacted by the Owner of the lot described above to investigate installing a septic system and well on his lot. I conducted a soils investigation on March 18, 1996. The soils log and percolation data is attached. Soft silts with trace gravels were discovered under a foot of organic mat. The soil perced at sixteen minutes per inch. This rate is consistent with surrounding perc data. A primary and secondary system can be installed within the test pit radius. The proposed system would have six feet of effective absorption area, with a total depth of ten feet. The system will be eighty-five feet long and two feet wide with four feet of cover. A new 1250 gallon septic tank will be installed to serve this system. The proposed well will be drilled on the northern portion of the lot, while the septic system will be installed on the southern portion of the lot. The lot is approximately five acres in size. It slopes to the northwest at a rate of approximately one to two percent. The proposed installation will be located greater than 100 feet away from the proposed and existing wells and 25 feet from the water service lines. The surrounding systems are located greater than 100 feet from the proposed installation. All neighboring wells are located greater than 100 feet from the proposed system. Installing this system will not effect any surrounding systems or wells. If you have any questions about the proposed installation, please contact me at 272-8218 Sincerely, S � Steven R. Pannone, P.E. CAWOM31822.UrR DESIGN WASTEWATER ABSORPTION SYSTEM Lot 31, S22, T12N, R3W South Half of Lot 31 There are no septic systems or wells on the north half of Lot 31, S22, T12N, R3W as Neibors septic system & well Is located greater than 100 feet from the proposed system & well d 3 v koz 1-2% Q az Proposed System U1 85 feet long. est Pit x W o Replacement System- f, Neibors septic s tem & well is located eater than 100 feet fr m the proposed system & ll 1-2% Proposed Well -100• ---® Well Radius Proposed 4 Bedroom House I � 1-2% TO Test Pit 1 I I 1 3 East 112th Ave. Lots south of Lot 3 are undeveloped. Drawing C1\Wark\31S22.dwg figa®la'a p® - OF A4 q��s e ............... ....I .............. i R. Panno CE 8149 .�_O' �g'fRJCT J2 tr i I id �'✓10V1d'� Proposed — 1250 gallon septic tank h�2o'�e s tzY� 00' Soils= 250sf/br 4 Bedroom House 1000 SF Rqd 6, DESIGN: 6' Effective 10' Total Depth 2r 2' Wlde, 85' Long Total Absorption = 1020 sf Pannone Eng. Svc. s P. 0, BOX 142025 highway ANCHORAGE, ALASKA 99514 951.8 272-8218, 272-8218 FAX DATE, 3-26-96 ESIGN SCALD 1'=50'_ I v Mr. Michael Higgin 7100 Old Seward Anchorage, AK 9 (907) 349-6507 DESIGN DETAILS WASTEWATER ABS❑RPTI❑N SYSTEM Lot 31, S22, T12N, R3W 1nONV313 1 - — a 02 a .2B' iL s. IL en°o:°oe m d °�aoeO u ° . c a 0000 tl Y L yO° Q V .0.0j °oq. G °s n 3Hn1 601INOW c n x 4 —° O2°q".°oO°Up z 00 01 a U F eL J q K1l- J L \ v pq ali JONI� —y v I ^°�^n•°i + N > 'c °°o8C W 4p .F+ dNNo L� ° s N ai N L opeo$a J tY• �rV" ^o °°ve° NO as QE_a Cice' U L lnONV313 w Y t 2du z o 1nONV313 r= 1nONV310 r= aJ� 7 U 1nONV313 > a wN a OF NOTIVaNnui 491H- ... �3 ....e.. N� PREPARED FOR; Steven R. Pannone: a Pannone Eng. Svc. ���' ; CE 8749 ,� Mr, Mirhaet Higgins P. O. BOX 142025 �3�..... �� 7100 Old Seward Highway ANCHORAGE, ALASKA 99514 b ®, Anchorage, AK 99513 274-0308, 272-8218 FAX ®�4Atl����� (907) 349-6507 DATE, 3-26-9G NOT TO SCALE DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: ✓VI I G•c. A—/IC,(—,(/L" DATE PERFORMED LEGAL DESCRIPTION: L6 i 3( Township, Range, Section:r2-3�-ca , S 22 7 --SLOPE SITE PLAN (FEET' 1 (D>c 2 3 4 5 6 7 Ml 8 9- 'F12 V -S T'C 'F12osT'C ca -w C- C �C-' ' eow..) V 1I rS Lax 10 Net Time WAS GROUND WATER Net Drop 3 -1,F -T16 _I ENCOUNTERED? 11 IF YES, AT WHAT Z DEPTH? 12 Depth to Water After 13 Moniloring7 14 15 16 17 18- 19- S 819 S L O �_ Y P E Dale: Reading Date Gross Time Net Time Depth to Water Net Drop 3 -1,F -T16 _I i��t Z z'I Ir 20 16 p lul PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS /I(iLc? UiNTa Sor✓ 61?xCAVcAToa PERFORMED BY: s • R .� r� � / 0,-V P' I --- � CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) 4y) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 82.5 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: _ _ In r(GC NrGIG) (ti ri. `vb DATE PERFORMED ':!e��T�g��� to LEGAL DESCRIPTION: c7 -F 3I Township, Range, Section: -T-(7 N a 23w C ZZ. DEPTH —7-L�.ST PIT 2- SLOPE SITE PLAN 10 WAS GROUND WATER ENCOUNTERED? 1-40 11 S IF YES, AT WHAT OL I �� 12 DEPTH? p E 13 Depth to Water After Monitoring? 3- Qb Dale: T� 14 M7,/ SI CTS Ci42,AYEC� Gross Net Depth to Net Reading Date Time Time Water Drop C� h( �i�RD�rL�]rtil�rr✓C,,, 15- 16 17 81920 18- 19- 10 L-1 PERCOLATION RATE _ (minutes/mch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND — FT COMMENTS PERFORMED BY: -V (L I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) (FEET) 1 c7TL 2 3 4 0 5 - TF cq -S T e 6w ca- ?6 6 ML (APOSoPr 5 LT3 u'�-VTaAce G -"P 6 C 7 CCAS ("p r,c„ 8 9 10 WAS GROUND WATER ENCOUNTERED? 1-40 11 S IF YES, AT WHAT OL I �� 12 DEPTH? p E 13 Depth to Water After Monitoring? 3- Qb Dale: T� 14 M7,/ SI CTS Ci42,AYEC� Gross Net Depth to Net Reading Date Time Time Water Drop C� h( �i�RD�rL�]rtil�rr✓C,,, 15- 16 17 81920 18- 19- 10 L-1 PERCOLATION RATE _ (minutes/mch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND — FT COMMENTS PERFORMED BY: -V (L I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) -\ Municipality of Anchorage Development Services Department Building Safety Division j On -Site Water and Wastewater Program s . I T 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING 'I Parcel I.D. 015-521-46 COSA # bl!)'I Ly Expiration Date: 7— 2,—(9 g 1. GENERAL INFORMATION Complete legal description Higgins Estates Lot 2 — Location (site address) 5625 E 1127, Avenue Anchorage AK 99516 Current Property owner(s) Patrice Higgins Day phone Mailing address 5625 E 1121, Avenue Anchorage AK 99516 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: y 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the 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 Pannone Engineering Services, LLC Phone 272-8218 Address P.O. Box 102954, Anchorage AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date March 26, 2008 Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. Thcse conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PPS can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. 5. DSD SIGNATURE _Vf Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By / Original Certificate Date: �* - o2..' OR (R.. I IM) Municipality of Anchorage Development Services Department Building Safety Division \- On -Site Water & Wastewater Program ' •' ° 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: __Higgins Estates Lot 2 Parcel ID:_ 015.521.46 A WELL DATA Well type Domestic Date completed126 111996 Total depth 164 ft. Date of test If A, B, or C provide PWSID # _ Sanitary seal (Y/N) y Cased to 184 ft. FROM WELL LOG' 612111996 Static water level 85 ft. Well production 40 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate CJD mg/L Arsenic: ND ug/I Date of sample: 311412008 B. SEPTIC/HOLDING TANK DATA Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 24 in. AT INSPECTION 3114!2008 85 ft. 6+ g.p.m. Other bacteria 0 colonies/100 mL Collected by: PES Tank Type/Material _ Steel Date Installed 61711996 .Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping Z 1Z44C'E3s Pumper - 7S A C. ABSORPTION FIELD DATA Date installed 81312001 Soil rating (g.p.d./f? or tt2 bdrm) 0.6 gda System type Deep trench Length 85 ft. Width' 3 ft. Gravel below pipe 7 ft. Total depth 10 ft. Eff. absorption area 1190 fe Monitoring tube Yes Depression over field No Date of adequacy test 311412008 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 60 in. Water added600 gal. New depth68 in. Elapsed Time: 14o min. Final fluid depth ¢0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed "Pump on" level at_ In. Datum E. SEPARATION DISTANCES Size In gallons Manhole/Access (Y/N) "Pump off"level at_ in. High water alarm level Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 118 On adjacent lots 100+ Absorption field on lot 112 t , On adjacent lots 100+ Public sewer main te ���— Public sewer manhole/cleanout NIA Sewer /septic service line 100+ Holding tank 75+ Animal containment areas 3 Manure/animal excrete storage areas 15 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 15 Property line 70 Absorption field 10+ Water main NIA 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 NIA Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 30 Curtain drain NIA Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and 'f V ' review of Municipal records that the above systems are in conformance with MOA COSA guidelines In effect on this date. •........... Engineer's Printed Name Steven R Pannone P.E. • r� % tevenl " nnonel •���',+,,,•No. CE 8149 Date 312612008 •i '. " � .1 COSA Fee $ y �p Date of Payment �61L1 b Receipt Number lb4-Ljo (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number in. LOT 30 :Tri12F THE EXISTING 24' X 32' DETACHED GARAGE FOUNDATION ENCROUCHES 6.8' INTO THE 50' FRONT YARD SETBACK. THE FRONT 8.0' SHALL BE REMOVED AND 8.0' SHALL BE ADDED ON TO THE REAR. THE SETBACK LABELED (A) IS THE CURRENT FOUNDATION LOCATION. THE SETBACKS LABELED (P) ARE FOR THIS PROPOSED ADDITION. SURFACE DRAINAGE I I I l LOT 2 I LOT 2 I I S 89'57.55'E 329.36' , 126.0' \ \ CCRRAL 2.0' x 0.1 ' CANT wrTH. 2.0' x 13.2' CAT ABOVE 6' WOODEN FENCE -----11 Lt SEPTIC CLEANOUTS o V SEE NOTE SHED 11 1/ 10• TELECOM. h Cp1 `106 IA ELECT. EASEMENT Y O SHED ''0. v 2�—c ry f 0 GRAVE p,Y 01L1 LOT 1 103,283 s.f. x 5.5' CANT ?�- SHED Ob 17.D• COVETED PORCH SHED S 00`02'1 DOE 16.35' LOT 32 G g GRAVEL ROADWAY 11 2th AVENUE . I -t— --------------------------------------------L---- � I $ I I LOT 33 LOT 4A PLOT PLAN X AS BUILT _ SCALE 1 - 40' GRID SW 2637 Project No. 05-148 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone Registered Land Surveyors (907) 522-4625 Fax o0§.. F Afop� kplanplsOalaska.net / JelanplsOalaska.net ,�....•••••..... I hereby certify that I have surveyed the followingdescribed property: t1� 49� Lot 2, HIGGINS ESTATES Subd. Plat No. 96-64) D e : '. Anchorage Recording District, Alaska, and that the Improvements situated thereon are . ... ........... within the property Ilnes and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed premises and that then are no roadways, transmission lines or other visible 0 ,'4 KENNETH C. 0 . easements on said property except as Indicated hereon. Q Dated this the Q0 '•. LS -5202 � Day of �, ��, at Anchorage. Alaska ,�,,� ' • 5� It Is the responsibility of the owner to dei rmins the existence of any easements, �4�0��' 4FSstONN covenants, or restrictions which do not appear on the recorded subdivision plat. MUNICIPALITY OF ANCHORAGE 0* DEPARTMENT OF HEALTH & HUMAN SERVICES q} R Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # © I'C- /2q LI, Ll"�l 1. GENERAL INFORMATION HAA # _1� C�- 'lt. L l�'1fV Complete legal description Lc�,-r- Z Location (site address or directions) 5(v Property owner Day phone 3 q") - Mailing address S/n��c IIzml , Alu cN- AK '3� 0) Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION 3. TYPE OF WATER SUPPLY: NOV 121 1996 Individual well Community well RECEIVED Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA U21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater 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 NNc ,:7- ten • �v� Phone Szrg Address '�4 AV C'X <q)c 9'oSiy Engineer's signature Date 111eln 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments M UJITIC Date 1Z — 2 6— 9&I 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 orderto 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. 72-025 (Rev. 1/91) Back MOA 7121 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division ((� V 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 343- V NOV Health Authority Approval Checklist Municipality of Anchorage Dept, Health & Human Services Legal Description: t Z 4lk(g(NS L r Parcel I.D.: C�lS 2 t A. WELL DATA Well If A, B, or C. attach ADEC letter. ADEC water system number Log present (YM) Date completed Total depth Cased to tI _ Casing height (above ground) Sanitary seal (Y/N) ( _ Wires properly protected (YIN) Li FROM WELL LOG AT INSPECTION Date of test _ (P 121 6\A4 eg , Static water level 13I'<- Well production _ '�l O g.p,nt. g.p.rn. WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed A, /6l ?b Tank size !2 SC) Number of Compartments _a Cleanouts (YM) `T Foundation cleanout (Y/N) _ Y Depression (YIN) N High water alarm (Y/N) Date of Pumping t J pumper C. ABSORPTION FIELD DATA Date installed G /'? R b _ Soil rating (g.p.d./ftz or ft`/bdrm) d • L _ System type � –T— Length Length F3 <� _Width 2 Gravel thickness below pipe 0 Total depth [Q-' D` IBRO Effective absorption area Ly@q_ Q Monitoring Tube present(Y/N) �t' Depression over field (Y/N) ,v Date of adequacy test A__) tic J Results (Pass/Fail) _e For It bedrooms Fluid depth in absorption field before test (in.); Inmrediately after_ gal. water added (in.): Fluid depth _(ills.) Minutes later: Absorption rate = _ _g,p,d. Peroxide treatment (past 12 months) (YIN) If yes, give date D. LIFT STATION Date installed Manliole/Access (YM) High water alarm level E. SEPARATION DISTANCES Size in gallons *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: SepticAtok6H-g-tacilc on lot /. Absorption field on lot at* "Pump off' level at* On adjacent lots / OC, On adjacent lots / C�C� Public sewer main /V 1A l oO Public sewer manhole/cleanout Sewer /septic service line Lift station l o 0 r SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: t Building foundation /-S-1 c 1 Property line O Absorption field / Water main/service line Som Surface water/drainage /cgo-,�- Wells on adjacent lots /6�,o SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundationcl-> a.w Water main/service line b Surface water Driveway, parking/vehicle storage area 20 L 4 - Curtain drain / app Wells on adjacent lots /00+- Property line l C) t NoTz: C>WiAS PA\((A A 0kWPc3n-71-cAP1<L--�0 F. ENGINEER'S CERTIFICATION T/aN�c s� Lt+s—aG �,�, ela�t�tt �5''�t2/arzKc'ooni/cx�c�2 •Fi rv..�t�C�h'. 1 certify that 1 have determined thru field inspections and review of Municipal records /hitt the abode systems are in conformance with MOA HAA guidelines in effect on this date. Signatmire �J --- - Engineer's NameL>�yA vNONL3ngt4rtir5tI1'HeC� Date /I(I(� 9(c 1111146 ----------------------------------------------------------------------------------------------------------------------------------------------- HAA Fee $ C 00 Waiver Fee $ Date of Payment _ 1-1 `lSo Date of Payment Receipt Number C`� Q �� h `{ Receipt Number Rev. 8/95 OSS: haa.wk.doc