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HomeMy WebLinkAboutUS SURVEY 3042 LT 79Au SS 4 3oLAa Municipality of Anchorage Page of x DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: S5LQ 1, L o' PID Number: 6;,5 — i 3"y- — 7S Name: RcAErrT An I:�- :ri ♦A �+- Wastewater System: ), New ❑ Upgrade A^^ddress: ` jy n p �;1ro�, :f0 K)J t �' _)Et ' G 1°jDi a `�1� 4 _ e ABSORPTION FIELD Phone: -7 Uu 3 :_ 4 W I No. of Bedrooms: ❑Deep Trench ❑Shallow Trench j Bed ❑Mound ❑Other `Depth LEGAL DESCRIPTION Soil Rating: 0-1 Total from original grade: D 'i. 3 ' GPD/S . Ft. Lot: Block: Subdivision: 71 is `.' rJ .3i) L Depth to pipe bottom from original grade: + D S Gravel depth beneath pipe � L7 5:7., cY � . Ft. C1. � Ft. Township: Range: Section: Fill added above original grade: Gravel length: i OL Ft. 5_7 Ft. WELL: New ❑Upgrade Gravel width: Number of lines: Distance between lines: Ft. 3 4 - 5 Ft. Classification (Private, A,B,C): Total Depth: Cased To: 4 Total absorption area: -7 Pipe material: A Yi AT6: 4 C4 Ft. C3 Ft. 8 5 SQ. Ft. 5 i rn 9 3 c,94 F-e 1 G' Driller: L�' pp ,,+!�� L.' lily 'T`� dd.y(F• Date Drilled: "j.'iifs Static Water Level: C Ft. Installer: :�QAA1 ��i11'IEAC c:J Date installed: Yield: Pump Set at: � Casing Height Above Ground: r + TANK GPM 1. V1. Ft. @ Ft. SEPARATION DISTANCES 5 Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines 6t,Ec- i Z5 E Well f U;;@ t # Oc + �- Z`� �'f Material: �E L Number of Compartments: Surface foci'+ 110C + LIFT STATION Lot ; O _22'— �� Size in gallons: Manufacturer: Line Foundation _. "Pump on" level at: "P " level at: High water alarm at: Curtain t ! Pump Mak el Electrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: di �a9 Assumed Elevation: ENG Q� S 8! S ENGINE[- W -23 -=DG Inspections performed by: Dates: 1st � •«� •° •`'L ...«......:«," 17034 Eagle ;diver L.00r. Pcac!, INc. 2 r'v Eagle River, Alaska 99577 ._.� ._. ,,....; t'� 9 ���s • �� 8501 Department of Heal and Human Services a rova Reviewed and approved by: Date: ��PROF[ 72-013 (Rev. 9/91) MOA 25 SW960331 Permit No. Page H Z w w Q w 11 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 79A, US SURVEY 3042 PID No.: 075-132-73 NEW B E 20' TUT SMT. :-E /^�2 MT2 / \ vIA SH AREA 100' SETBACK 0 SURFACE WATER WET SURFACE \T 3 `\ ATER \\ o>T1 \ /LOT 79A INSULATED oRw p IVEWAY wp� DBL2 0G p DBL Y T o ioo o� 1 V 0 RMIT SW 60028) NEW 1 250 GAL SEPTIC TAN ),IkT.#2 OUTHOUSE (LEFT IN P CE - TOTALLY SE F-CONTAINED) I L_- A,THg1 SCALE 1" = 40' TOADSTOOL TURNPIKE ST1 ST2 CO 1 96.7' CO2 = 95.8' 99 6' FINAL GRADE IN ULATION C. '' '•• NEW 95.2' 1250 GAL 95.0' 2SAND I ML) S.T. (LAKE OTIS RAVEL) ROBERT C. COWAN l,v MT2 = 91.7' CO2 = 92.2J' C01 = 92.3' MT1 91.7' rJ` CE - 8801 . 72-013 A (Rev. 9/91) MOA 25 /y. a. rt. (_ ai-,t' PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON -SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960331 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:HAMMEL ROBERT & RORIE RETTLER OWNER ADDRESS:BOX 202 JEWEL MINE ROAD GIRDWOOD, ALASKA 99587 PARCEL ID:07513273 LEGAL DESCRIPTION: US SURVEY 3042 LT 79A LOT SIZE: 65126 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:10/02/96 EXPIRATION DATE:10/02/97 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: RECEIVED BY. 7wz 4, ISSUED BY: DATE: I0 4 A c DATE: I!/ — 2 — & HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN S & SN ROBERTC.COWAN, PE. �it1CCtZ111G ROBERTA. SHAFER, P.E. April 29, 1996 CIVILENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 79A, US Survey 3042 Request you issue a permit to install a septic system to serve the proposed four bedroom house on the referenced property. Two test holes were excavated and percolation tests performed. The approximate location of the test holes are located on the attached site plan. At the time of excavation water no was encountered in test hole #1 and water was encountered at 5 feet in test hole #2, and after seven day ground water monitoring, water was found at 6 feet in test hole #1 and at 3.5 feet in test hole #2. A third test hole will be excavated at the time of installation of this septic system. The approximate location of the proposed test hole can be seen on the attached site plan. This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information_, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/gk Enclosure 17034 NORTH EAGLE RIVER LOOP • SUITE 204 9 EAGLE RIVER, ALASKA 99577 1" = 50' SHE PLMN DESIGN SCALE tTj MONARCH MINE LOAD - - - — MG 10'UIILITY EA r -- - - m- - - - - -- - m m j X N cn O Iv tz O-) (n P b E D A 1' p 0 trJ z r nfT1C� L O �l V, 0 I m(-� c O co D z 0 fTl p 0 �7 �a o G7 O O 0zp�m (� v II L E- z o l ) m �I�mM II p II d 00 v C� ro / m m Q0 m tT1 p t� p G7 D 1 n D Pryer o�o� r� rJ U) 0 TI O fJ p iii O x i------- n J p z I I I ! c OZIE m to 9C W O O� 0 9yT OD �� c� —+ =i D cn U m= D ,mo ,0 oho zom P y )z r v� cnD<N D c N p I cf) u�i + CA O \\' -`n -` r`' Lac Z m 4 r1l DN \ m ZDDvmir�l-ri-i� 0 Ii rri Z cFl \1 tNTt N m > N �0 a �rnzL�ccLnN m L-J !�/ G7 �r O -zi m �m -i N D <mz .{ m < A r In I Cfl I ❑ Q �� � fTi �m �ncz �DD pO I _Dm V1 Nz o-ZrznS r m-<mm� yn dIC-z 1A � � x ONpm� nFD m D�- o 1 m ;am --I =O= +�D c)mm O-0 ZZ 0yl0 O vz mm g N or JEWEL MINE ROAD o y o o C7 NN00-0N(7)N :1? r ocn6cnoO t' O iO t,O ZA �n ® fi --A 0 �? . ZZ g�mocn Ozrn Cs1U H-a-+pr,�+ t" 6`R by ✓' 4 0o:zno, II cn o p 0 Dry �' p �± �� CI1 Z �r Cm7� ii O "� p0-i rye' jam- Y ii m 1'A c,zvm-r r O -1 �-] 0 C7 '.T U] r r. .KONm rn C Nm m+0y�Xpm�N� � d i�r� Dy.O ` gQW3 N cn�*� im U U1 G-Ic E p� �o Tg L� p O y rn Z _� .o ��r V N.T.S. ) 0 u)-o m -970 >-q 00 mm OM 00 Z- -,o u m C) L0 0 �- Cn PROFILE CY) 0 m O Ul m > a� 03 r- o M rI (J)r-71 =1 U) -0 > �, r- :-Om r- Lo mC: z -Ti U);o Rio Il :Z7 mom o co oar Cn > IV 0 7- r9 0 U) m 0 m m > M * > m C/) z F- 0 C) z ® Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: R 0 6 HIq inm V- L- DATE PERK 30 LEGAL DESCRIPTION: L© T 7414 U S S u ovey Township, Range; Section: DEPTH 1 ); s 7- H. L, -d _� SLOPE SITE PLAN 1 2 3 (FEET) 2 i> ' O 12G-A,.i C S it w S W ��}•. ;� rT',��`'n 3� 4 4 5- r 6- 7 F� g '✓ri r . , Cr J"1 r 9 10� WAS GROUND WATER JV Gy ENCOUNTERED? 11 �c S IF YES, AT WHAT L cc t G < DEPTH? -r O !J 12 / P c t nn . L. 13 Depth to Water After Monitoring? j Date: S% 14 15 16 ° To 3 ' oZ 17 18 $pro G� 19 4( COMMENTS Pz`,Z c Do j,' A7- JL 1 T o h1 nr T¢ sd v N• L_ I S MMMMUMMMMM ■■■®UM■■■■ ■■■EEM■■■■'' Reading Date Gross Time Net Time Depth to Water Net Drop P l3cTN S'17/9 C 5- ' 3 S- S,-- 3 C t r9,a ' 3 7 H 1 2 ;eC, — /ni 34" S, , t5 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER C' � 3 TEST RUN BETWEEN S " FT AND FT S & S ENGINEERING r _ PERFORMED BY: 17034 Eagle River Loop Road-No.—M, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WI t 8 AWWV6IVAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) +teeZOE Municipality of Anchorage . am+mQoaaamamm +m8t�m DEPARTMENT OF HEALTH & HUMAN SERVICES ,asaa +mmo a aaea • 825 "L" Street, Anchorage, Alaska 99502-0650 �'rt, ® ROa R J. $HAFER : �$ SOILS LOG -- PERCOLATION TEST �Q;���m No. .15 . a � OEE55► ��� PERFORMED FOR: R61z, * P-ma U pwyyM1!4— DATE PERFORMED: �Z- LEGAL DESCRIPTION:I.n7 -21 A r USA .,6y2 Township, Range, Section: Dp TH A4 SLOPE SITE PLAN 3KEEX 4RG I iTil 1_ 1 ,. 2 3 SEE 4---4 0� GfL-w t✓L- 5 , • .D 6 Cvi CT Miei=w) 7: 8 9 6,�• N, 10 WAS GROUND WATER r ENCOUNTERED? _ 11 S IF YES, AT WHAT L 0 12 DEPTH? P E 13 Depth to Water Alter r Monitoring? 6 Date: Ja -%2 14 15 16 17 18 19 Reading Date Gross Time Net Time Depth to Water Net Drop 20 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN - FT AND ;� ,, FT �" COMMENTS � �- . N �# 2— F6Z � ► ilc- IR-1-t`-I t7 E t 4(S L&EPL 5 & 5 ENGINEFRING PERFORMED BY: � 4 E���g�jy,����E�pae'.�d�^, � CERTIFY THAT THIS TEST WAS PERFORMED IN Fnrilp Fiver. Alaska 99577 { { p Ga n 0 _ �N ♦eaeese saeLF6e•oeea s Arle e ,� Municipality of Anchorage e� DEPARTMENT OF HEALTH & HUMAN SERVICES b� ° ; 4 °ea®® °® r .°so s� n • ROG J. 3,HAFER . € 825 " L" Street, Anchorage, Alaska 99502-0650 ®, No. 15 ;°.� . 09 SOILS LOG — PERCOLATION TEST �fF °°s,•t>� Ilk PERFORMED FOR:_�� �OiZt�1101/101�C_ DATE PERFORMED: LEGAL DESCRIPTION:LT —7-Xl A , �7Township, Range, Section: —7— SLOPE SITE PLAN A�T� ORc lcs i � 2- 3— .. o ' • �slN fStu SArv�y � 2��..c.. CH 0 4 o, s BIM. i3.O,H. 9 10 WAS GROUND WATER ENCOUNTERED? 11 s IF YES, AT WHAT t L 0 DEPTH? 12 P E 13 Depth to Water Alter r Monitoring? 3�5 Date: 2792- 14 15 16 17 18 19 Reading Date Gross Time Net Time Depth to Water Net Drop Lio DP N u 20 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER ( _ TEST RUN BETWEEN FT AND r FT COMMENTS t IE SAD �C--1,RC� 4-0 PERFORMED BY: S & S ENGINEERING I CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loop Road No. 204 , I I e-� �.-, PAGE 1 OF 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON -SITE WELL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW960028 DESIGN ENGINEERS & S ENGINEERING OWNER NAME:HAMMEL ROBERT & RORIE RETTLER OWNER ADDRESS:BOX 202 GIRDWOOD, ALASKA 99587 PARCEL ID:07513273 LEGAL DESCRIPTION: US SURVEY 3042 LT 79A LOT SIZE: 65126 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 2/23/96 EXPIRATION DATE: 2/23/97 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: 1. WELL MAY NOT BE CONNECTED TO EXISTING CABIN, NOR MAY IT SERVE MORE THAN THE NEW SINGLE FAMILY DWELLING. WELL MAY NOT BE PUT INTO SERVICE UNTIL AN APPROVED WASTEWATER SYSTEM IS IN PLACE. 2. ABANDON EXISTING PRIVY AT TIME OF INSTALLATION OF NEW WASTEWATER SYSTEM. 3. ABANDON EXISTING WELL ON PROPERTY PRIOR TO DRILLING NEW WELL. RECEIVED BY •U�^''`''^ DATE: ISSUED BY: ,1� �l HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN S&S� �rneeRInq February 21, 1996 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 79A U.S. Survey 3042 ROBERTC. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Request you re -issue a permit to drill a well on the referenced property. A permit (SW920393) was issued on November 20, 1992. A well was drilled in the location of the proposed site as shown on the site plan dated November 14, 1992, and no water was encountered. The owner, Robert Hammel, has requested a permit be issued to drill a well in the location of the primary well site (see attached site plan). In the event this well is dry, the owner would like to drill at the secondary well site. If we may be of further service please contact us. Sincerely, Robert C. Cowan, P.E. MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION .0 E I E D 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 1' = 50' 1 SITE PLAN SCALE MONARCH MINE ROAD 1 U' UTILITY EASEMENT m�� mm O R, -D m O 4 -U F- D ;;a o C) O Cn -<m o Lf) o -im o zo r N (Jn l9 O d G7 cn A I ( .D _ < 9< o \ % C m r- O om ;7 X_ I � Z c- f o 0 co m v JEWEL MINE ROAD �0 - — - - I DESIGN �E Lf)"D mm;;u l J r7O Dm ::E_70 © U) s m�D @t n D �m �- OHO m -ZI U m rn Omv Z Lo=1 / G l-i r+<n a> 1m ri < p p-<yNm � f 1 ono" mry N �Zm -<000 -NiDCm < 0 0 c �mLn mmm Z m D m C z m p aq m i � 0Cm roroD DAD L=o -, C o r C) r O kJ 0 t-j >, O co cn y -3 �,j . 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SCALE Ul m I L --- i 0 0 - ---------- DETAIL s0e400e soave a °anoao o 1 lee" ® Municipality of Anchorage IV E� • o •sseaasa o® °sev DEPARTMENT OF HEALTH & HUMAN SERVICES b ., OG : J SHAFER 825 "L" Street, Anchorage, Alaska 99502-0650 :,P Np, 15 :` •� SOILS LOG — PERCOLATION TEST ��F9 °`a•a, °'wti>G� ' � Fb •oases° �1. �Ar PERFORMED FOR:---� �DATE PERFORMED: -— LEGAL DESCRIPTION:LT �7 / /q �� �ZQt{,2Township, Range, Section: AF ,tq 0RC,ArJKS SLOPE SITE PLAN a TO, 2 ' a Dlr G0111,- 4 5 CH ` u SE�r 6- 7 •mum. 11111 9 10 WAS GROUND WATER ENCOUNTERED? 11 S IF YES, AT WHAT r L O DEPTH? 12 P E 13 Depth to Water After Monitoring? 3 1 5 Date: - `7-92- 14 15 16 17 19 Reading Date Gross Time Net Time Depth to Water Net Drop 1 tc U 35 S 37.E , I Lj SIr ,t ADD N u 56, 4119 t3/6r, 20 tr PERCOLATION RATE _ice_ (minutesiincGh)�.PERC HOLE DIAMETER c _ TEST RUN BETWEEN FT AND r ` FT COMMENTS JA&E JPfr-JD +U F LrzVPA-7 z- ENGINEERING PERFORMED BY: 5 & 5 I CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loop Road No, 204 ^rrrrr)F"'i^f-i('FV!ITI.!,,IIt—x..T, MI.i),'!1,.,,—.I,.,1,111r� I-�u.1rr�•inic-rr-,T,.,, . Y Municipality of Anchorage .14 DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST (� Itlk 'Yvrkb::t"� PERFORMED FOR:C�CZ, [�C��l� �A/��/VIEC_ DATEPERFORMED:_ LEGAL DESCRIPTION: 1-n-r USS 7y.C112 Township, Range, Section: SLOPE SITE PLAN 1 ��X aR& I-Ht�L r 2 .b• a 6-1i-� 3 f SW — Loose Scpy SEE 1 0 GfL--,v i` L- 4- 5 •D 6 , C� (S Mpe;zr� 7: 8 9 �Yv•ii, 10 WAS GROUND WATER j`' ENCOUNTERED? () 11 S IF YES, AT WHAT L O 12 DEPTH? P E 13 Depth to Water Alter r Monitoring? 6 Date: ' -2•-i2 1 Reading Date Gross Net Depth to Net Time Time Water Drop 15 16 17 18 19 20 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN �- FT AND ;� � FT �7 �', COMMENTS � � � k • # � �1 PEII (� 1-9 b oC" t t4IS jffijg�. S & S ENGINEERING PERFORMED BY: leRiver I cop " CERTIFY THAT THIS TEST WAS PERFORMED IN 9r f (Rf�^Nr F WITf �'�f>ltt � '¢F�I� 't P1!1:Tf h1 rl ilflFl INFS IN FFFFr T nr! T111 r ATF F,ATF- 1 � ' ! — t ?-"' NOV 13 '96 10:35 AM 3v 4f2— WELL LOG I Date Drilled: Static Water Level fc6t Draw Down� feet Type Material Drilled-, Gallons Per Minute Total Feet of Ccisinq_14L 0 feet to —7 1 oil '7 to to �n' 044�U/M-7-UA. 00,t4. to 3PJ16A,-(J IA-1 to to to to to HErTY DRILLING :3540 AKULA DRIvF-, ANCHORAGE, AK 99510 (907) 345-0593 Page co() A I PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT 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:SW920393 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:HAMMEL ROBERT & RORIE RETTLER OWNER ADDRESS:#202 GIRDWOOD, ALASKA 99587 PARCEL ID:07513273 LEGAL DESCRIPTION: US SURVEY 3042 LT 79A LOT SIZE: 65126 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:11/20/92 EXPIRATION DATE:11/20/93 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1. WELL MAY NOT BE CONNECTED TO EXISTING CABIN, NOR MAY IT SERVE MORE THAN THE NEW SINGLE FAMILY DWELLING. WELL MAY NOT BE PUT INTO SERVICE UNTIL AN APPROVED WASTEWATER SYSTEM IS IN PLACE. 2. ABANDON EXISTING PRIVY AT TIME OF INSTALLATION OF NEW WASTEWATER SYSTEM. RECEIVED BY: DATE: C / ISSUED BY: to "�"'tt DATE: //,- >-o 5�- �/ M November 17, 1992 HEALTH AUTHORITY Municipality of Anchorage APPROVALS DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, AK 99519-6650 SEWER & WATER MAIN EXTENSIONS REFERENCE: Lot 79A, U.S. Survey 3042 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 SEWER &WATER We request you issue a permit to drill a well and install a INSPECTION septic system to serve the proposed 3 bedroom house on the referenced property. Two test holes were excavated and percolation tests performed. ENGINEERING STUDIES The approximate location of the test holes are located on the AND REPORTS attached site plan. This property has enough area for a septic upgrade which can be seen on the attached site plan. We do not anticipate any WELL INSPECTION & FLOW TEST adverse effects on neighboring properties hborinb the installation Y of the proposed septic system. If you have any questions, or require additional information SITE PLANS for your review, please contact us. Sincerely, ROAD DESIGN Roger J. Shia r, P.E. SOIL TEST RJS/ 1 su OV 8 1992 PERCOLATION TEST Munldpa'W: of 6�:icili?` �l a Dept. Health STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Qo o oa @� vv° Leas Eak� c �� y O oCJDf� pnn O .�ltR��9 czi �� V h 1J: ? C9iv N V Q O O 2.i. J N t y U OVOY 3NIW -73M3P Cr -�] W W p W m N Ill aNQ �% 330 Un Ld C� = 3 2 h j 2 LL Q � M IL j 3 > >� z W 2 ul �► , x x o 'o Io t�Q LLI ` Q oLi o � U) Lij N 2 pQ d' --° ° o° �4Ii 17— 4pi Q �� I W z O N r N- I� 0 Q Z 4 M Z i Y _ I i 61 J _ \ nlU) Lil WO Q Qj _1 -► 1.0 g w w o ,tilt � GVOY 3N/W HONb'NOW w �F3lV�S 09 = .,� W f— a 0 ZE m J LC O W 00 J ON Q�W Q uj 2 o N � U a J Z 01 m dodn N O U J g m Q � U z 0 Z 3 4i 2-5 � W N Wm Cm U �O � W Q a p- Z � W W OQ X � O p 2 I 4,4 2 Z d. co N TIVOS .9 = d f �„_"G OC�62Qn Ao.'.d��FJS nooaon o Municipality of Anchorage e a DEPARTMENT OF HEALTH & HUMAN SERVICES E✓',`•aj�o J. IAFc Fi 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR:— Q ��lZt�%1O17101EL DATE PERFORMED: LEGAL DESCRIPTION:LOT [ A ��� �OY�Township, Range, Section: SLOPE SITE PLAN A ORGpa- ICS � TP , 1 0 2 q 111 0 3- 4 a 5 -- SfN(r 6 ��� nP-�,ar•� 7 Mm�1'� 9 10 11 12 13 14 15 16 17 18 19 WAS GROUND WATER ENCOUNTERED? 1 S IF YES, AT WHAT r L 5 ° DEPTH? p E Depth to Water After Monitoring? 3�� Date: Io-aJI-92- Reading Date Gross Time Net Time Depth to Water Net Drop t tc (a S, A, LjU S S'IH" rj0 S 20—{ I IUI PERCOLATION RATE (minutes/incGh�)-PERC HOLE DIAMETER 6 r c _ TEST RUN BETWEEN FT AND / ` FT COMMENTS 1 E JP-j0 A-1ILZG%ti- 4-�J L�(Jl1Z PERFORMED BY: S & S ENGINEERING I CERTIFY THAT THIS TEST WAS PERFORMED IN 170:34 f~aglo, Piver Loop Road No. 204 ACCORDANCE WITH §-&A,�Tg 4N0.A jJV PA4 GUIDELINES IN EFFECT ON PHIS DATE. DATE: u 72-008 (Rev. 4/85) © Municipality of Anchorage - - - OO°a� q 4 DEPARTMENT OF HEALTH & HUMAN SERVICES r3 L' 825 "L" Street, Anchorage, Alaska 99502-0650 t `) r R(?u i jZ1 ir:1 R SOILS LOG — PERCOLATION TEST �� uoo an \emu PERFORMED FOR: �(7C� (>Zl� ICI �/�NtEL DATE PERFORMED: LEGAL DESCRIPTION: l-07 r( A t USS, -,U 1.2 TOW DF�TH T 1 r 6RG 3 �Sw — LOCSF SA- py Sir L-- 4- 5 .a 6 , 7% M C%+ ('1 M'txzW� r nship, Range, Sei SLOPE 10 WAS GROUND WATER ENCOUNTERED? 11 IF YES, AT WHAT DEPTH? 12 13 Depth to Water After 6 r Monitoring? 14 15 16 17 18 19 20 ;tion: SITE PLAN N� S L O P E Date: —a: qZ Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT 7� COMMENTS � � � # Ep2 PtIZC S & 5 EsrGINEEr'ING PERFORMED BY: 17-0 ,14 E *moo Pliwn4 Loop Road Ko ` 04 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH (�L`S?tA�� `� I�NI �L GUIDELINES IN EFFECT ON THIS DATE. DATE: `� , `?- 72-008 (Rev. 4/85)