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Home My WebLink AboutMAGNIFICENT MT SLOPES LT 1Magnificent Mt Slopes Lot 1 #050-341-12 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 89507 Page of w.Wv.el.anchorage.sk.us (907)343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SJbJO Sri PID Number: 09-0 SM" 'a. Wastewater System: ❑New Upgrade a a �i.r q,c•j.;w MIAj. 11477 ABSORPTION FIELD F `.� I Y— Z 3.7 Nunbr a 6Wooma o D»prmcll o atulwv T S, Cil Dead o Muule D OebF LEGAL DESCRIPTION $O RaUrg TMI Dapm Rom onplMl p DPD'FY R. Bract La autlS�~�\n MQ gapbbppa 0aaoln Ran agars paa GmvaltMpn am P"I r�ILiGGU�' M . IO fl. FI Tpvnabp Rama 50=k FIIaCc1*iJS a0n21n1pa0a vN Largm t. R. Well: ❑ New ❑ Upgrad Glaval w10a1 NMMMMRMa Danns tot nIna Ft. Ft CMaadxc (PMor A&C) Taal Dope, GaaOe Toblauaolpuona Pp Matant fl. R Ft. OnYr Ows DnaaC ab4 WMa1LMl IMblb �' Wb IMbl 1 aq R ,Ct C•1lAGCr L•kE• . vwaFwnpsetat Ca+'roR•V't.R°^G'ou"C TANK Gpy F4 R SEPARATION DISTANCES .-/ L7 Septic ❑ Holding ❑ S.T.E.P. ❑ Other. Tol Septic Absorption Ldt Holding uixicAlrivate • a 10, Pxb % Gat Form Tank Field Station Tank Sewer Late t' >~. Ma1MMt�' Numtall^W pem b L wal l00 y $.race WFMI /W{. LIFT STATION Ma an xWa La LV,* WI ¢ a Sump on'Mvel at 'P MYalat Mgnvq*l SMM at Fpunmaon u M b 1604- Pump Ma tCN Ewaial lnapacMna pamamq try Curtan Dbn R" S BENCH MARK I•.Lar a ��t, ` c�. Lo�aaon.na paacnpinn �- CJv `f— "1'� 'i-� S1 :, 0.'i bo or.� 2ati Aaaunaa EMvaoon /CO.O Ft LD& N! Dates: tM S/i6 04 by: •� veeve",\� OF OF Inspections performed � tE A� t1 �•' *,o Development Services Department Approval l� Conditional Approval Date: • •' '.• COIIN •J.� As Ifl� oD11•1 i z °Y • • SM Date: Reviewed and approved by: m.• aws) � J I i I I I I 33' SECTION' LINE ESMT. I I I I I / I I / �\ 17 0 V MAGNIFICENT MOUNTAIN SLOPES SUBDIVISION LOT 1 (76-294) ... 0 ...... ....... #A 1%. 1;11 .•;�Q��, EXISI WELL EXISTING DRIVEWAY \ I I r^" IINUI EXISTING 3 BEDROOM DECK HOUSE TSTA. 0+00 \\\ I /TEMPORARY \ \ EXISTING 1,000 �s'q EASEMENT TURNAROUND \ \ TOLBE SEPTIC TA (R=11 50') /— R=50' 410 \ 10' UTILITY ) \EASEMENT LEGEND EXISTING BUILDING CENTERLINE OF RIGHT—OF—WAY — — — — — — — EASEMENT LINE PROPERTY LINE S SEWER LINE GRAPHIC SCALE 50 0 25 50 1 inch = 50 ft AS—BUILT SITE PLAN RodneyP.l6nneylssociates,Inc. MAGNIFICENT MOUNTAIN SEPTIC TANK 6611111tillill 1116111111111 a 8/111TIlli SLOPES SUBDIVISION REPLACEMENT sssorrrrr.rrsl LOT 1 �� , munft" 7/13/09 FFIGURE 1 =ht�tE OF A4 �511� 110 .................................... ..... �..':� ��'I ,;* ..*0, , COLnr J. m EFIAry � El 781 105 �1 ................... ° org,q++� r� ... . 2" POLYSTYRENE EXISTING AND\� INSULATION; FINISHED GROUND 100 ......... 11... I ................... ....... ... .. 1 n' 11.......... 95 NEW. 1000. GAL. SEPTIC TANK 90 ......... ...................................... .. .. .............. O. 0. U -)O CV CO r� r cD to Z 04 Z 85 0 rn � rn co o w 0) 0) Q Q J 0) '� J 0) pr -.11 ...... .........: ll...�F ..a.11....oU ll....:...NV 11 +Ow +w +VOaw +c9w +caw oZ o Qa owZj 0 0 tea' F— HJ a Zia° OX- O O F-x� 80 F-� F¢ - - (a -'x (nU.m .................(nm..(nC-)uiI (n W.m........(nWm NEW 12.65 L.F. 1.30 L.F. 1.50 L.F. 4" PVC 4" PVC 4" PVC SLOPE=0.99% SLOPE= -1.87 SLOPE= -0.737. 0+10 0+00 0+20 R0 nelIP.iGnneyASsociate&int MAGNIFICENT MOUNTAIN SEPTIC TANK 8418ILTi.l INS11111•. SIMMONS SLOPES SUBDIVISION REPLACEMENT Tau e..rrm t.1m m jeowwomm"m LOT 1 pmmnu • wonmm 7/13/09 FIGURE 2 (i) Rodney P. Kinney Associates, inc. C918111111 r.u...rs a e.nn.rn July 20, 2009 Municipality of Anchorage On -Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Attention: Mr. lames Crewdson, P.E. Subject: Magnificent Mt Slopes, Lot 1 Septic Tank As Built Revised Dear Mr. Crewdson: The attached septic tank profile shows 2 inches of polystyrene insulation which has been installed over the septic tank and newly installed 4" PVC pipe. Please contact me if you have any additional questions or comments at 694-2332. Sincerely, Colin Meehan, P.E. RODNEY P. KINNEY ASSOCIATES, INC. 16515 Ceoterilel6 lrlvs ■ Salle 101 ■ [mile liver. Alaska ■ 99511 0 07.6 94.2332 1 Fav 907.691.1601 1 witwiaka.aet MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Apr 20, 2009 Expiration Date: Apr 20, 2010 Permit Number: SWO90035 Parcel ID: 050-341-12 Legal Description: MAGNIFICENT MT SLOPES LT 1 Design Engineer: 0833 RODNEY P. KINNEY ASSOC, Inc. Site Address: 008675 RUTH DR Owner Name: GARY AND BARBARA MARTIN Lot Size: 186129 SO. FT. Owner Address: 8675 RUTH DR Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER. AK 99577 - This permit is for the construction of: ❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 By: Issued By: Date: lgb45 Date: Municipality of Anchorage • --1 Development Services Department Building Safety Division _ Onsite Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.orglonsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O`'T O - 3`(1 - 12 - OOO Property owner(s) IJAZY 4 79A7_6AKA I' 1A -4n 0 Day phone (DQy - 7'5O Mailing address 1�&>?S ZAL �QAIG Private Well Z;.xr. 4k Zip Code 945^77 Site address Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Lot Size 1'W2, , 1'49 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field ❑ Septic Tank 9� Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms Code 3 THIS APPLICATION IS AN: Initial ❑ , Upgrade d Renewal ❑ I 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 ofvner or authorized agent) PermitlRush Fees: 3-30 Waiver Fees: Date of Payment: - 2 0 - Q �_ Date of Payment: Receipt Number: r 9 -16 Receipt Number: (Rev. IM) Rodney P. Kinney Associates, inc. Rodney sareerers April 17, 2009 Municipality of Anchorage Development Service Department Onsite Water & Wastewater Program 4700 Elmore Street Anchorage, Alaska 99519-6650 Subject: Onsite Wastewater System Lot 1, Magnificent Mt. Slope Subdivision To Whom It May Concern: The existing three bedroom house located at Lot 1, Magnificent Mt. Slope Subdivision is served by a private well and septic system. The existing septic system is backing up due to a collapsed septic tank. We arc proposing to install a new 1000 gallon septic tank and utilizing the existing deep septic trench. A site plan is attached showing the location of the house, septic system, and well. If you have any questions, please contact me at 694-2332. Sincerely, RODNEY P. KINNEY ASSOCIATES, INC. t Colin J. Meehan, P.E. Project Engineer Attachment CJM:djm 19513 Canterflela Drive a 31111111101 a [a0le liver. Alaska ■ 99577 907.991.2332 1 Fax 907.993.1907 5 www.roks.net I i I I I I I 33' I SECTION LINE / ESMT. I I I I I I MAGNIFICENT MOUNTAIN SLOPES SUBDIVISION LOT f (76-294) EXISTING TEMPORARY TURNAROUND \ EASEMENT (R=50') \ LEGEND V -Z/0//////// EXISTING BUILDING \ EXISTING DRIVEWA' EXISTING 3 BEDROOM EXISTI G,1 SEPTIC TA EPLACED — \ N CENTERLINE OF RIGHT-OF-WAY — — — — — — — EASEMENT UNEP 1 — — — PROPERTY LINE S SEWER LINE Oo. Lc - GRAPHIC SCALE 50 0 25 w Im 4}- 1 Inch - 50 ft \ ;S t vex G.L.xs�• G.SN� DECK TO BE mq \\ \10' UTILITY \ �EASEMENTI 0 \ I \ BodnetP.IdnnellAssedate&fnc MAGNIFICENT MOUNTAIN SEP11C TANK ruulnu MINUS atumot SLOPES SUBDIVISION REPLACEMENT LOT 1 ..,,.... 4/17/09 FIGURE 1 MUNICIPALITY OF ANCIIORAGE IIea' and Pnvironmental Pr_ote( �n Fourth Floor west 825 L Street', Anchorage, Alaska 99501 2.79-7.511, x 224, 225 IK115PFCT10N RE110R( 0N•-SITF SV,WACF' DISPC) 5AI S7STIE.PA _. _ NAmE. )—� • .�-- _ � � 5 - MA11.1NG ADI)Rl ss S.P.I hHorJl_ 314 -IL(- 31 n1 I'l-GAl [it sclilmloN /RAJ. SEPTIC TANK; DISTANCE � NU%4BE-11 OF rraarn wc[_I_�__(-�o_._.. nnnnlul nCTLntFr: D (� �_ _. t,',An itlnl. __ �cornhARrr,flL:rrr:, Z IN`_•IDL LENGTH- ._.__. IN51f)L INIF I I I _ __. I. IG'Ull) DEPTH - __. ___ 11(21011) CAPACIIY.LPOPGALLON- TILE DRAIN FIELD:`��—�� FNGTH Dissrnr,rcL FROM wrL[_YY _--I O0_--FOONonrlory _ �_ _ _Nt nt1r ,T I �,r r INr a U ..OF I INF If of. Lines __.�. _ -, DIM ANCE. BF1WFLN LINES �'-_-_.TRKNcli W11)r11 �� 1111. roFAI 1: r ITC -1 E•/F ABSORPI ION AREA _-__ - __. SQ. FT. LLrJG111 of IACII t_INr: - -N�h -_-- -------_--------__- _ DEPTH or FILTLR UFPTH: IOP OF TILL To EIrJISH c,RnuE ___- - __ IMATLR1Ai. [EENEA11i 'I ILE . ...._IN, ABOVE Tn_r. SEEPAGE. PIT: Log Crib _ Rings Crib Sire : LJIAME.TEit . _ _D[.PrII. DISTANCE FROM: WELL. _ TOTAL IJ FECTIvr_ BUILDING FOUNDATION_.____ NE:ARI-ST LOr LII`JE_____.— _ ANSOEtPTION AREA (WALL. AREA)_-__._.____.__,SC2. Pl. Class well De th. I Well Distance To: hot Line i. Bldg: Sewer [�,-ne : Pipe - Pi e Materials : If of Bedrooms lop Installer: Installer.`pfJ I Remarks: ttjv" i DEPHRTMENT AKNQ 0KH Q 1- 14 TO C:�q� . HER|TH HND �NYIRONMENTHL - 0H~�m TUDOR RD/ HNCHURHGE, HK99507 m�n 276�2221 ' ' U^�K��.'� K bf� CAMY~��U �K��Q M��M A�� — /'Un- MHXlM;M NUMBER OF 8EDROOMS z I SOIL RRTING (SQ PT/810- 250 THE REQUIRED SIZE OF THE SOIL H8SORPTION SYSTEM IS: 130 K F", -1 1-1 = M. Y? 0-350013 1 W 0 ... Q- T" ILA to f0 Kwy U t. kow IR 11^H- B -p R & cc W2 > X ]'I I J! If it R 410" f` 1 kit kh: 1; �;!! H.A Ii-J!�� BHCKFILL}NG CO-* HNY SYSTEM WITHOUT FIOil L INSPECTIUN HND HPPROVHL GY TH{S DEPHRTMENT WILL BE SUBJECT TO PROSECUTION, MlNIMUM DISTHNCE BETWEEN H WELL AND HNY OUSITE SENHGE DISPOSAL SYSTEM IS 10@ FEET FUR R PRIVHTE WB.L OR 200 FEE[ 1--,01.,:! H PUBLIC WELL WELL LOGS FARE REQUIRED HND MUST BE RETURNED TO THE DEPHRTMENT WITHIN ]0 DHYS UF THE NELL COMPLETION SPECIFICHTIONS HND CONSTRUCTIUN DIRGRHMS HRE HVHILHBLE TO INSURE PRUPER lNSTHLLAIT ION. SIGNE , � y 47 �/~' ^`y` wa G Performed for Legal Description: This form reports: i)('j)d l' 4iile;l G O i Cf1V l i"Oiiili@i11,a i ��. 1 cy 3330 "C" Street Anchorage, Alaska 99503 SOILS LOG - PEROLATION TEST o}is I09___-v��a Depth J Feet _ z- N 3� 1 4 AK to c G - 3070t W 4 M Al u A � a 10 - �u o i�4 0 13 - 0 rcolation S/0 A19 Pate Performed_4Z3j4-?Z s Was ground water encountered? If yes, at what depth? Reading Date Gross Time Net Time Depth to Water Net Urop Percolation rate - flu I.". �_____ Drain Field Proposed installation; Seepage Pit Depth of Inlet Depth�t bottom of pit or trench CUhll•1Ch1TS; ..,...�� l.'�.�.1�,.A�..��-7��-,~=—'��.....�"�,U,tiQ..k..si1ZC/_`�-�J'-�-__..._..y ed�[�y :�2,%,T te G BIG DIPPER DRILLII`IG 7529 E. 6th Avenue • June 11, 1984 Ole Olson Mile 6 Eagle River Rd Eagle River, Alaska Dear Ole, Anchorage, Alaska 99504 • (907) 333-6435 The following information is your copy of the well log for the property located at Lot 1 Magnificent Mt. Slope Subdivision, Eagle River, Alaska. This should be retained as your permanent reocrd of improvements to your property. 5 GALLONS PER MINUTE STATIC WATER LEVEL 65 FEET STATEMENT 215 Feet drilled and cased $22.00 per foot = $4,730.00 Drive shoe = 54.00 Well seal = 35.00 Developing well 1 1/2 hours = 67.50 Total X4,85656 Thank you for specifying BIG DIPPER DRILLING for your water well needs. This will entitle you to two chances in the drawing for two round trip airline tickets to Hawaii. Sincerely, C. R. Kron Licensed • Bonded • Insured WELL LOG 0 To 10 Feet Moist sand, gravel 10 20 Limestone 20 2.5 Limey gray shale 25 32 Silica quartz, gray shale 32 55 Shale, silica quartz streaks 55 139 Hard shale 139 140 Trace of water 140 178 Shale 178 180 Trace of water 180 215 Shale 215 WATER 5 GALLONS PER MINUTE STATIC WATER LEVEL 65 FEET STATEMENT 215 Feet drilled and cased $22.00 per foot = $4,730.00 Drive shoe = 54.00 Well seal = 35.00 Developing well 1 1/2 hours = 67.50 Total X4,85656 Thank you for specifying BIG DIPPER DRILLING for your water well needs. This will entitle you to two chances in the drawing for two round trip airline tickets to Hawaii. Sincerely, C. R. Kron Licensed • Bonded • Insured � �U IIN01 1: IE] :1 �:-" jPh L 1: -1- C3 ff::7, N T44 ir,-": I C�� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION " 825 L STREET, ANCHORAGEv Al-:' 99501 264-4720 PERMIT NO: 840557 ` DATE ISSUED: 07/10/84 DATE CLOSED: 07/10/84 ' APPLICANT: C/O NICOLAYSEN OLE 01 -SON ADDRESS- REMAX BOX 700848 EAGLE RIVER, AK 99577 CONTACT PHONE: 694~950715 ' LEGAL DESCRIP, SUBDIVISION- MAGNIFICENT MTN SL8P0LOT: 1. BLOCK: NA SECTION: 23 TOWNSHIP: 14N RANGE. 1W LOT SIZE 4A (S8"FT, OR ACRES) I certify that; I. 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 theset back distances From any existing well, wastewater disposal system or public sewerage system on this or any adjacent op nearby lot. SIGNED DATE: APPLICANT: C/O NICQLAYSEN OLE {]LSON ISSUED BY ��....� DATE: January 31, 1983 TO: Permit Applicant P( -;I { 6-6 ',l iOfG[_, cPermit #p: 820931 Subject: Lot 1 Magnificent Mountain Slope Subdivision A permit issued by this department for an i-ndividual well and/or on --site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264=-4720. Sincerely q� Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 '^UNICIPALITY OF ANCHORAGE Department Health and Environmental rotection 825 L Street, .Anchorage, AK. 99501 264-4720 Permit 9� I # HANDWRITTEN PERMIT # r WELL Af B4eR-ON-tttt-S-EMf=R PERMIT Applicant: �' l) 5cor� Mailing Address: LCF.Cation : Ll �1' (� , �-� e��C� f� I P on Number : �/ �7 7 Legal Description: L 02Q r)t9Cen-f- Mi U e. Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: r Seepage�Bed: Holding Tank: _ Maximum Number of Bedrooms: Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: DEPTH LENGTH_ GRAVEL DEPTH WIDTH The length dimension is the length(.in feet) of the.trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel.between the outfall pipe and the bottom of the excavation(in feet). * * R:EQU'IRED SEPTIC(HOLDING) TANK SIZE GALLONS �" # Permit applicant.has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well. will serve. TWO(2) INSPECTIONS ARE REQUIRED # Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for'a-private well or 150 to 200 feet from a public well depending upon the type of public well Minimum.distance from a private well to a private sewer line. is_25`feet and to a.community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper -installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 2 # 4E I"certify that: (1) I am familiar with the requirements for on-site.sewers and wells as set forth by the Municipality of Anchorage. - (2) I will install the system in.accordance with 'codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. Signed: Issued by: Applicant Date . SWP/024(1/81) # 2§ L Street:r Anchorage, At. 99501 264-4720► # HANDWRITTEN PERMIT % 0 TV WELL PERMIT Iiial.L nq Ad rasa. (7c!53 ill 7c le-zt -JF- U"al NL ,1ypa - of $oil AbA*LlttOft system 102= Trench: Dralnfield: ��. seepages Baca; flo1-ding Tank Y_ Maximm wunber of Bedr s; . soil Ra.URg13q. fir) V Req-Ui_rect Size of the Soil, Ab rpt lon, System Ts: ORAVEL DEPTH s _ WIDTH The I.Ongth dimehnsion Ls the Ieugth(in feet,) esti the tr-ft-tlGh or dra.snfielde depth of a hrerwh or lit is hho distance betrwoon alit: sumac* of hha 4V routAs the bottQm of the excavattore ( in feat) . Thara is no sat wilt t for treache �a graveL dapth is the minimum depth at gravel b�ti�r��n aha ouh�all �LP� :zi: the 1:4ttoia of the excavat:i.on(in fa0t). it REQUIRED SEPTIC(HOLDING) TANK SIZE m .� � � GAU.ONS Vermit appLiaant hats the ezpon.aibi1.'s_ty .to intorn tbi_19 dQPar-t:maut: durLng trhnf irestaLlatjOn nsp hicfn.s -of ally wells adjacent, t4 this -Pr e y and-ti��t1 t 01, re -s dent ell that the wall. will. terve_ f - % o * WO{) [ii PEt;Ttt3Ni Aft REQUrIRE i Backfilling Oi arty uystkkm without final itlspaoti-on .and approval by thio dapz� wilt ba pros tit -.ion. I,nLmur c i tattca 3 etTre g� `a' we -1 I and any ou-sk -t— 'i i!I system 1-0 - F r pubLic well. 14inimwa distance £rom at pri_vato well t i it ,privato sewerLi.l; s 2S feet and tv a community ;tower line is 75 fear. Wall logs are roqul`aE and mitat be rowuned to thio departmant, withift 30 days of the wall crmplet tfi other requiremenho may app3y. OpcK-_zfieationu and conetractgion d.ia.grams ars a-vailable to i.nevure PrOEter ors tsliation PERMIT WIRES DECE"9 8 2 r certLf-y that; (.L) 1 wa CMULAC with the reit°ernen for can -xik sewers and Basila. #uI set forth by the muntoipatity of Anchoragft, 42) 1 will install alwl. the sy:ttea Ln ��t cvrdar�e �ti th ec>dr�s. (3) 1 undarutand that the un -s to newer systetl may rcqulM eaftlai ga£ ent y the rasiden 's rxA Bled to irx-luda more. that 3 badracims. mow. ignea11 icy -.mit 1, g s.�cant•= C.. ) n : . /1074 SOU 46 co) C ------------- S-7 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMCMM. HEALTH DE'PART'MENT OF HEAUrH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATF. 1. Ganeral Information Application Date _ \7 (a) Legal. Description ��nclude lot, Mock, subd?,vdsion, section, township, vange-) Location (address or directions) /i r [/ �•, (b) Applicants Nar[e (�`-�__- lr.=l..._:, ��%� _ 'Ib le7hone�, Applicants Address (c) Applicant is (check one) Lending Institution , 0,rrer/builcler Buyer TC Other ., (explain); (d) Lending Institution _. .�. TO lephore Address (e) lbal Estate Co. & Agent Address Telephone 2. Tyml of residence Single --Family F=�'3� Number of Bedrecrw, 3. water 5upp1� Multi -Family r' Other (describe) individual F 1.1 .{' / Community Public Note: If coumin_i.ty wall system, must have w-witten ccnfirwati.on frcw the State; Departn-ent of Envi_ronm,-ntal Conservation attesting to the legality and status. Is the well adequate i'.or the number of bedrowo sprecifi.ed in this iiA11 4. Sewa e Dis oral. Onsite. Public^ Coanmunity l- Holding Tank Is the wastewater disposal system adequate for the number of b�ldrecAns a(Vty) [Page 1. of 21 2-1.5-84 5. T�cn ineerin Firm Providing Inspections, lbsts, Data and vinformation I certify that T. effect on the da Signed Nano of Firm checked, verified, or ccnfoYund to all. D'i(7A HAA GuidA.irx.s in t-bi i fipertion, Date Telephone L Address _l Signed bylraitf'�'Jb). i11.b..'—__,._..�..� Date (ENGINEER SEAL) 6.DH proval 1� Approved for r- badrooms By 1. �. i /l � � Date d�.. Approved Disapproved Conditional Terms of Conditional Approval >_ ,.. , li. The 'Municipality of Anchorage Department of health and Environm ntal Protection dces not guarantee the continued satisfactory txwformana) of the wager supply and/or the wastewater disposal system. This approval indicates that., as of the validation date shown above, lxased on the data and information furnished til an enginp-er registered in the State of Alaska, the wator supply and wastewater disposal_ system is safe and fund= tional for the number of bedrooms and type of structure indicated. (DFIEP SEAL) 7. Mail the HAA to the following address: KB2,/d5/s [Paye 2 of 21 2-15-B4 MUNICIP LITY OF ANCHORAGE D T. L HEALTH & MUNICIPALITY. OF ANCHORAGE (MOA) ENVIR N ENTAL PROTECTION,' HEALTH AUTHORITY APPROVAL (HAA) t I �� 1Q�� CHECKLIST - FEBRUARY 1984 / RECEI`�-D�� A. WELL DATA Well Classification j P If A, B, or, C,D.E/C. A proved(Y/N) Well Log Present Y ) Date Completed lam/ / Yield Total Dapth Cased to ��s 1 vvDe""p��t"htt of Grouting Static Water Level / (�j`;� Pump Set At r a r�c/ Casing Height Above Ground Sanitary Seal on Casing OA—) Electrical Wiring in Conduit g) Depression Around Wellhead (Y� Separation Distances from Well: To Septic/He�xft Tank on Lot �L/C, /{ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot) / On Adjoining Lot'% To Nearest Public Sewer Line �� To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Se vice Line on Lot Water Sample Collected By S 4!/ (C'4 y Date c Water Sample Test Results Ccmmnts B. SEPTIC/HQii� TANK DATA Date Installed 2.� Size No. of Compartments Standpipes � �) Air -tight Caps A) Foundation Cleanout (Y Depression over Tank (Y& Date Last Pumped 0 oA> Pumping/Maintenance Contract on Fileell_ ) for_,7 Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y ) ! 4 Separation Distances from Septic/Holding Tank: / To Water -Supply 6\b11 VQ -- To Building Foundation /Q To Property Line __/0 i"/' To Disposal Field /0 To Water Main/Se �tvice Line To Stream, Pond, Lake, or Major Drainage Course Cour ents (Page 1 of 21 2-15-•84 C. ABSORPTION FIELD DATA Soils Rating in Absorp ionStrata �% Type of System Design Date Installed 2S 7 ngth of Field �S_ Width of Field '�(�� Depth of Field / Gravel Bed Thickness 9 Square Feet of Absorption Area qu p Standpipes Present ( ) Depression over Field (YAD Date of Last Adequacy est Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Wbll �r' /� To Property Line To BuildingFp dation ,J� To Existing or/Abandoned System on Lot /l/ / On Ad'fining Lots To Water Main/Service Line To Cutbank(if resent) ;�/74 To e�ond/Lake/ar Major Drainage Course�f- To Drivewa , Parki Area'; or Vehicle Storage Area D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(Y/N) Comments Dir ensions ess (YM) Level at Vent .(YM) during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify tha ve checked, veri on the date,6f tblij3,04pectjon. ,- Signed KB1/d5/s -- -_ [Page 2 of 21 or, conformed to all MOA HAA Guidelines in effect Date r' MOA N1. 'l•��BKb.+A64v n bhorf A. IIArt1ar � a . r',,' 2-15-84 5. LEGAL DESCRIPTION DATE REC_ WED L.J V t7— INSPECTION APPOINTMENTS 1 TIME TIME TIME Rd. Mile 6 6. TYPE OF RESIDENCE M_Q-Q Y DATE DATE DATE: ^ _ ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six INSPECTOR INSPECTOR INSPECTO WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY ��C MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOWVIRONMENTAL PROTECTION 625 L Street - Anchorage, Alaska 99501 MAR 13 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed, Please allow ten It 0) days for processing. 1. PROPERTYOWNER - _ PHONE Ole F, Nana Olson 694-9507 MAILING ADDRESS St. Rt. 1660, Eagle River, AI< 99577 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILINGADDRESS - 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE Maureen L. Clayton 694-9555 MAI LII�NG ADDRES(SS 5. LEGAL DESCRIPTION �a Magnificent Mt. Slopes Lot 1 STREET LOCATION Mountain Way, Eagle River Rd. Mile 6 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other [x_1 SINGLE FAMILY _ ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY [x_1 INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM ® INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY f 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER of BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified_LOG PERMIT NUMBER DEPTH OF WELL DATE DRILLED RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ❑ Holding lank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area - Sewer Line. Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS P c 3—fir/ ❑ APPROVED FOR BEDROOMS E..r1l, CONDITIONAL APPROVAL (letter must accompany certificate) L --DISAPPROVED DATE ` L r s BY 72-010 (Rev. 6/79) 2(14-4111 NI—SULLIVAN, DI".? I 'I ! i OF M/1LTHt.ND f>WIHONIMPN I Al. P01VECTION March 19, .1,981 Olel"NaTID Olson ;'Car RouLe Box 1660 Eagle River, Ajlasl0 957 Subj cc t: Lot: I Mawtificcnt, Moun-:a 'Topa,; Subdivision Approval fo3--- your indiv-i6ual sew-llr and wager_ facilit-.ies cannot I)o qranl:.e(-[ unk.D- ilir- following i -!,ems have been completed; CIJ.The sepf,ic !:rmk pumped wi.1-1-1 2L receipt: sul-)-Qiif-:ted !=f) LhJs of f i "Phe i.OLEO, number n1 qal'Loms pumped (-o 1 j)(2 On.-Hic and ve.rif-ied bY a regi.st:e.recl engi!lecr as Lo the cICL-ual number of: cfa.-I.Jons pumped. This is t�o v(-.�.rify 1 -he sixn ol- tile_ sept:ic t --ani,. (2' i:.('St needs, to be performed on the existing 1,1-ea.This will determine if i--hc , s,,� yt---em is adoquat:e acc-ording i -o Na.iona..!- St-andI.rcis. A ] i s t -.i 71 (J of- priva!--t- IFi.ri3Os pe_ form the Lost- is enclosed. 1111) i report needs Lo be submitiLeCA to this office for oul: review. A f our (4 ) inch cast iron c leanou t-- nerds to be ins t -al. le -,d to 1 -he Icaching area. 4 The source of wate.r is not: considered an -i.pproved sourco Therefore, a well will need W be drilled, Prior to the well being (-Ii ilt.ed, a. per)i1i'C nee ds to be ohi:aincd Erom this office. Tf.' i --here are any cuestions, plea -se cal. -I HILS of ice at 264--4720. Sincerely, Robert-, C. Pratt.; R,S. As-so(-!.i,.U-e Specl-alist-. RCP/Ijw