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HomeMy WebLinkAboutSAND LAKE #2 BLK 1 LT 5� o �1- �3a-�-►�1 Municipality of Anchorage Page 1 of -I 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: SWLIE5033a PID Number: 0111 3a'{4I Name: ALIC A VH71:LIc Wastewater System: ElNew ❑ Upgrade Address: ArsLHDRA(i9 Ai a$kA ABSORPTION FIELD Sayf-7 LJILLox S1• gq sig{ Phone: a� No. of Bedrooms: fg Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: I a Total Depth from loriginal grade: GPD/Sq. .Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe S 1 SAN C> LAKE !:l' a -71 Ft. '51 Ft. Township: Range: Section: Fill added above original grade: 1 Gravel length: 27 0-5 ` I I Ft. Ft. WELL:ExtsT)u�❑ New ❑Upgrade Gravel width: SI Numberoflines: Distance between lines: Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: QSiv1& p1Z1�/AT� Ft. I Ft. ai0 SQ. Ft. f:,atoj D3034 Driller: Date Dr' Static Water Level: Installer: Date installed: to-a�-qS Ft. ISA'g6LL.6 evNS'T. Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES XSeptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: t�!0100c>Well- From Tank Field Station Tank Sewer Lines -Ar4c jckAreoE - AT -V - I Material: Number of Compartments: a t 0 a I ILI _, :25- STEL Surface , tc�v I — — LIFT STATION Water lv� { Lot( I _ _. Size in gallons: Manufacturer: Line Iq to 1. — Foundation a�' 3q f _- _ — "Pump on" level at: "Pum evel at: High water alarm at: Curtain V,1. « 0C"_ `__ Pump Make a Electrical Inspections performed by: Drain BENCH MARK Remarks: 0vii A F_vC4,14r4,U Ta 44 Cm+ tvro7-/a uvrL r SLouG(41VG fM0ery Location and Description: -T", of (_;,AAAI>r£f SLAB Cif ©LA L/t1 ov4'-70 VE vS /i % id P1EA121)06fZ. Assumed Elevation: (C0.0 IF as (? 7a 6 c is EN�{�QL �OF q�gs�9�t r A S & S ENGINEERING O ...�.... s.»rr. 0Inspections performed O734 Eagle River Loop RoadrNo.2%tes: 1st Ib �'-- Eagle River, Alaska 99577 2nd 1O- a y-qs ?u ROBERT C. COWAN �2 / CE .8801 etr�,tj Department of Health aa9J Huma ervices approval ' Date:ci. Reviewed and approved by: 72-013 (Rev. 9/91) MOA 25 Permit No. SW950332 Page 2 of 2 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 5, BLOCK 1, SAND LAKE #2 PID No.: 01113244 ST1 GRADE g¢, 1000 GAL 94 ¢ 94.3 SEPTIC EXISTING SYSTEM ABANDON D COMPLETELY SCALE 1" = 40' r�sf� a foe., ofaf fe foe.. ..n�nc 89.1 MTLJC04 x-102.0' 85.0' NO tVAT8R FOUND ST1 35' 35' I 39' 41' C01 40' 1 43' CO2 41' 44' CO3 42' 52' C04 1IT4 56' GGf 45' A Al � ' III■ � SCALE 1" = 40' r�sf� a foe., ofaf fe foe.. ..n�nc 89.1 MTLJC04 x-102.0' 85.0' NO tVAT8R FOUND ST1 35' 35' ST2 39' 41' C01 40' 1 43' CO2 41' 44' CO3 42' 52' C04 1IT4 56' GGf 45' A Al ,—NEW TRENCH GAL ANK o, ,f .I( f MMNIIN... (+r+•f+r+.rtpf r•l. re. f+.a •.IY .p ROBERT C. COWAN �7 Ce -asot rA PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 f ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950332 DATE ISSUED:10/09/95 DESIGN ENGINEERS & S ENGINEERING EXPIRATION DATE:10/09/96 OWNER NAME:VIHTELIC ALICIA C nrn OWNER ADDRESS:8047 WILCOX ST f ANCHORAGE, ALASKA 99514 SP1 PARCEL ID:01113244 LEGAL DESCRIPTION: SAND LAKE #2 BLK 1 LT 5 LOT SIZE: 6750 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 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 ISSUED BY DATE:- C/ G� DATE: HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN S&SN ,ineepunq July 29, 1995 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 : Lot 5; Block 1; Sank Lake #2 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Request you issue a permit to upgrade the septic system serving the two bedroom house on the referenced property. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. At the time of excavation no water was encountered and after seven day ground water monitoring, the monitoring tube was found to be dry. Attached is the proposed upgrade design, 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, ?'�'La�l Robert C. RCC/gk Enclosure 4 Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 UPGRADE t7q 11 fro o ILCOX STREET � � O � G] Ua a 0-3 CrJ � t:Ej / CIOr m� rU? O O M ) L 9�9 o NX O 00 OWN hh -{ mOZ (n 0 O G) 0 tid X H mo -7- z Zz .TJ m — o W x—x oV) o___ o .5Z-�� ti O-iAr _ O = o� fes_ N -o m O ( mO y cf) x —x x —x -) x - D0 Z0 z-�7, ZO O 0m 1 'i.0 �o F- 0 x EXISTING FRAME (O I� i HOUSS E\ r M fzm�-am >M06 �m>z iC �. Nzm r 1 o��p w z mmN� Nm��l �Nm ENDICOTT ST EET -P WU)N NN(nle'"00 7�0 m o'(n -N 0�® D r -90 � II � � a F- O:�Emm = O zoC) iv� If < I I N Wo Cil m G) 0 NVI p b W 0�m y Uo 0 p C) 0- M D U) U) (n 0(n0 z=-) y o U)>n< Oc z M S� N Z C C) v)-<m�C CD �� n OV mm�F -1 (Ac 2: = mOm0�CU)DU :;OZN m�� "0-=-<mMtn D T m 1 m -< M D D I x C-� .OOI N co m I: m Frl 't co (noC) = m m7Dz cn -0 cn n cn �;o 0 co 0D0 U)n \ 7D D p 0 --I 0 z m O 0o� r 0 J ::E-a0C) O;:uCVO ON Z D o � -4 ' M X O ! ' ti �No T JX, C)nm D D 0 ren my, n {n ' O DriC M o^i' on N i U) W Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: ,l L I C V I H T L LaT S /3 Lace: 1 LEGAL DESCRIPTION: SF%•v D 1q K C iF DEPTH, 5FEET) 1 c t a 2Gan.e C S 2 3- 4- 5- 'S 4 5 ' M 6 7 SWN9 9 - DATE PERF( Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER t,R- 10 -• ENCOUNTERED? �� S 11 L IF YES, AT WHAT O -� 10 DEPTH? P 12 E Depth to Water After 5/2. A r 13 Monitorina? OA y Date: 14- 15- 16- 17- 19 4 1516 17 19 M E■®EN■■ M■ Gross NetDepth Reading Date Time Time to Water Net Drop a'' (minutes/inch) PERC HOLE DIAMETER M'fV n 7 r 3 '/z , �!: s 7 FT AND FT S&S ENGINEERING DO < 6Y 1 5A 6ti L C'O. S7k�crlc./ COMMENTS17634 o River Loop ROad No. 2N 19111111110 I �n--CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY: 20 t_] PERCOLATION RATE a'' (minutes/inch) PERC HOLE DIAMETER 7 r TEST RUN BETWEEN FT AND FT S&S ENGINEERING DO < 6Y 1 5A 6ti L C'O. S7k�crlc./ COMMENTS17634 o River Loop ROad No. 2N 19111111110 I �n--CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY: �-A- ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) HEALTHAUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELLINSPECTION & FLOW TEST SITE PLANS I:i.ZP]H�9L.L1 SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN S&S nG ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 5, Block 1, Sand Lake #2 July 29, 1995 GENERAL: ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX(907)694-1211 1. The scope of this project includes the installation of a 1000 gallon septic tank and leachfield trench to serve the tw+» bedroom residence located on the referenced property. The existing septic tank is to be excavated, pumped, crushed, and abandoned in place. The existing cribs are to excavated, pumped, crushed, and abandoned in place. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page Two Lot 5, Block 1, Sand Lake #2 July 29, 1995 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Lot 5, Block 1, July 29, 1995 Sand Lake #2 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUIM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM. D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than, listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mi.rafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four Lot 51 Block 1, Sand Lake #2 July 29, 1995 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. Page Five Lot 5, Block 1, Sand Lake #2 July 29, 1995 S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER NO HEALTHAUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN August 11, 1995 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX(907)694-1211 RECEIVED TATE OF ALASKA epartment of Environmental Conservation AUG 141995 55 Cordova mchorage, Ak. 99501 Municipality of Anchorage Dept. Health & Human Services tEFERENCE: Lot 4 Block 1 Sand Lake Subdivision #2 bequest you issue a waiver for the horizontal separation "C" well located on the teferenced 3istance from the class upgrade for t -he single property to the proposed on lotic y5t at em 00 ft. to the septic family dwelling, see attached site plan). tank and 110 ft. to the leach field The approval to operate was issued on March 17, 19E6. The existing septic system, located on lot 5, was in,-�talled in August 1976. As can be seen fromour design, we propose to have the septic system upgraded farther from eclass there is noother well than the radesof theystem septic s now. Also, location for ann upgupgseptic system on this property. The mitigating factors involved which support the issuance of the waiver are as follows: 1. From a drawdown test performed on the well in 1986, the well was found to be producing 10 gallons per m:i_nute with no drop in the static level. This means there is little to no hydraulic well would not h hi draweffluend by the use t useofwouldtt wa dlthelwellfore, 2. There is very little, to no slope from the proposed septic to the well. 3. The northeast corner of the residence is located between the proposed septic system and the well. Items 2 and 3 would alleviate any surface from reaching the well casingerflow from the proposed 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page 2 Augast 11, 1995 Lot 4 Block 1 Sand Lake Subdivision #2 It is our opinion the separation distance prescr� GF Ash 18AAC72.021 is not required in this case. If you have any questions, please contact us. * y Sincerely, , " ROBERT C. 01 (� /�'i/i �O c✓ "� Ci CE • 8801 A Robert C. Cowan, P.E. �OiEEsa� ,�Urt�F Attached: site plan/topography, neighboring well -'Togs, owner's non -objection, .SENT BY:ADEC DEPT. ANCHOI 555 COF I ANCHOi Robert (, S&SEr 12034 E Eagle Ri` Subject: Dear Mr PUBLIC SERVICE OFFICE VA STREET E, ALASKA 99501 September 25, 1995 iwen, P.E. ; Tering River Loop, Suite 204 AK 99577 RECEIVED SEp 2 71995 Municipality of Anchorage Dept. Health & Human Services lot 4, Block 1, Sand Lake Subdivision #2; Anchorage, Alaska ADEC Project 9621 -WV -226-012; Review )wan: This letter r is in response to your second submittal, received in this office on September 20, 199.! in which you requested that the Department waive the separation distance between 3Glass C Public Water System Source Well serving Lots 3 and 4, Block 1, Sand Lake Sut division and a wastewater disposal system located on Lot 5, Block 1, Sand Lake Subdivisi )n'#2. You have requested that the Department waive the 150 foot separation distance, between the noted source well and the septic tank to 100 feet and the 150 separatic i distance between the noted source well and the soil absorption system to 110 feet. I he ve completed my review of the submitted information, this office's file on Sand Lake Sul division #2, and other pertinent information. Based on the results of this review, I have th t following comments. The mora :oring data tends to indicate that the aquifer and source well are not being directly influence: d!';by improperly treated wastewater from the wastewater disposal system in question, npr from the other systems that are located within the 150 foot protective radius of thee; s [ng Class C Public Water System Source Well. In addition, the well flow test and the it 6 r ogs do appearto verify that the source well is withdrawing water from another aquifer. noted in your submittal, the Department did issue an operation certificate without j -n Bunce of waivers for the existing wastewater disposal system on Lot 5 based on the date :rid note source well was installed. Overall, it appears that you have provided sufficienl evidence in support of the requested waivers to justify the shorter distances. Therefore , in accordance with the provisions of 18 AAC. 80.030, the following separation distance;have been granted: TM SENT BY:ADEC'A CHORALE 944fi9 13:19 ;ANCHORAGE/WESTERN DO-; 9076941211;# � 81 f ref �`3i yc F 4 E QX r y H ✓ , we - , i Robert.V Cowan, P.B. 2 September 25, 1995 E3).W-Ween the existing Class C Public Water System Source Well and Septic tank f p n 150 feet to 100 feet. (Septic tank must meet DHHS and State standards.) , :j an the existing Class C Public Water System Source Well and Soil Absorption S %stem from 150 feet to 110 feet. This wai 'er will remain valid until the wastewater disposal system on Lot 5, Block 1, Sand Lake Su idivision #2 fails again, requires upgrading, or is modified due to the change in the demand 3laced on the system (changing from a single family home to a duplex) . At that time, eitl Or existing separation distances will need to be met, another waiver request will need to I ,e submitted, or plans for additional treatment will need to be submitted under the stamp o1 'i Professional Engineer to this office. This apl_ ;oval does not imply gt%o'ting of any additional authorizations, nor obligate any state, fes :.oral or local regulatory body to grant required authorizations. Thank y do not h KKK/cf cc: your cooperation with this Department. If you have any questions, please to contact me. Jir1 Cross, P.E., MQA/DHHS Sincerely, A-� Keven K Kleweno, RE, Environmental Engineer r r iI Sincerely, A-� Keven K Kleweno, RE, Environmental Engineer GRED_ _ ER ANCHORAGE AREA BOk_ JGH 0*�RlDepartment of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL � SYSTEM NAME'.• Lt MAILING ADDRESS •�inr�.fA %i�.(.f_.11�C2C.t�-ac-N PHONEc����'— /bb % LOCATION L.LJ LEGAL DESCRIPTION Ce 2— SEPTIC TANK: LccK L�c"E �3" e}� �a"�U' `rOc+d DISTANCE <? NUMBER OF FROM WELL 'J � MANUFACTURER MATERIAL COMPARTMENTS INSIDE LENGTH IN_SIDE LIQUID DEPTH LIQUID CAPACITY GALLONS. LD: /W%IDTH CQ�,ja-Ly�� !, z I N TOTAL LENGTH DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH— IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER IIPPTH. TnD nr Tu c Tn TYPE— BUILDING YPE_BUILDING FOUNDATION CESSPOOL — APPROVED— DISTANCES: LC.\ r —I CONSTRUCTION DEPTH — NEAREST NEAREST SEPTIC SEEPAGE LOT LINE , SEWER LINE , TANK , SYSTEM_ OTHER SOURCES DISAPPROVED REMARKS INSTALLED BY: ll SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form EQ -032 DIAGRAM OF SYSTEM DISTANCE FROM: G.A.A.B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. e•� II(` °s 3330 "C" STREET ANCHORAGE, ALASKA 99503 UF TELEPHONE 274 61 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANTMAILING ADDRESS 'Q(oa `O INSTALLATION LOCATIONN j//� Ay LEGAL DESCRIPTION �-7� ��q� INSTALLATION OF: SEPTIC TANK mea SEEPAGE PITC +! DRAIN FIELD'. OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST CO MPLE710N DATE ANTICIPATED —_ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE L= TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEEPAGE AREA SIZE SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK -zoo ) r SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, 0,3 SEEPAGE PIT l w DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL (� CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF DESCRIBEDSY TEM IS I((N`` ACCORDANCE WITH SAID CODE. TATE a T So APPLICANT'S SIGNATURE FORM NO. EQ -016 TYPE DIAGRAM OF SYSTEM ORDINANCE NO. 28.68 AND THAT THE ABOVE W NAME OF APPLICANT INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK GREATER ANCHORAGE AREA BOROUGH TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 W F- /TELEPHONE 274-4561 - APPLICATION AND PERMIT 6 MAILING ADDRESS a G P%4 I04 -10 PHONE SEEPAGE PIT , DRAIN FIELD OTHER TO BE INSTALLED BY NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK S -Z) i FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL DRAIN FIELD SEEPAGE AREA SIZE SEPTIC TANK SEEPAGE PIT /0 C9 , DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT SEPTIC TANK, SEEPAGE PIT , DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGAROI G INSTALLATION. -�' G G.A. .B. OR LICENSED DESIGNER 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREAT DESCRIBED S STEM A IN ACCORDANCE WITH SAID CODE. SATE T' APPLICANT'S SIGNATUR ( `- FORM N . EQ -016 TYPE DIAGRAM OF SYSTEM f IF J ' ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 01' — 3 '4 HAA # 1. GENERAL INFORMATION Complete legal description tot. 5 Kock 1; Sand Lake : `2 Location (site address or directions) 8047 'Rilcox Anchorage Property owner Alicia Vihtelic Day phone 696-2946 Mailing address _i9719 liar Admiral FP91— n'ver, AK 98577 Lending agency Mailing address. Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well xrx Community well Public water Day phone Day phone 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 #21 5. 6. By: 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. S & 5 ENGINEERING Name of Firm Phone `j y ` `% �i 17034 age rver p a o. 204 Address Eagle River, Alaska 99577 Engineer's signature DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments aUTIC Date ' � /C- 1 `i .s" ............. ice►, N p ROBERT C. COWAN �c Cc-88QI v ft bedrooms, with the following stipulations: Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage • DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: LoT �J , 8wck f, SAND �AKE # a Parcel I.D.: 0 11 13a44 4 A. WELL DATA Well type 'PRIvATE If A, B, or C, attach ADEC letter. ADEC water system number Log present 'Y,'aI _ jJy Date completed U�k Total depth V/IP Cased to v (L L10 -r- Casing height (above ground) ) It Sanitary seal ON) yL4a-:-S Wires properly protected yj.-S FROM WELL LOG AT INSPECTION Date of test V JK Static water level (t-, Well production v K g.p.m. RiS r41-<Tg4 WATER SAMPLE RESULTS: g.p.m. Coliform 0 Nitrate 0 • l Other bacteria 0 Date of sample: lI11 16) r 4 / o IX % qr Collected by: S & S ENGINEERING 17034 Eagle River Loop Road No. 204 B PTI OLDING TANK DATA Eagle River, Alaska 99577 Date installed W -ZH-15 Tank size Number of Compartments c�2 Cleanouts(Y N)�%z= S Foundation cleanout ION) L/� s Depression (Y,® Wco High water alarm (Y/@I No Date of Pumping r..> A s 3TC Pumper C. ABSORPTION FIELD DATA Date installed I o -ay - 4S Soil rating p.d./ft` or ft'`/bdrm) I • a System typed "f2C H Length ';C7 Width . b5 Gravel thickness below pipe G Total depth (3' Effective absorption area a70 Monitoring Tube presentd� Depression over field (YiN Ne> Date of adequacy test rl As Results (Pass/Fail) — For bedrooms Fluid depth in absorption field before test (in.); Immediately after= gal. water added (in.); — Fluid depth (ins.) Minutes later: Absorption rate = g.p.d. Peroxide treatment (past 12 months) (Y/N) If yes, give date D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Se tic/ olding tank on lot lop' Absorption field on lot 1 l y Public sewer main 7S I+ Sewer /septic service line aS L+ On adjacent lots l oo'+ On adjacent lots too I -F Public sewer manhole/cleanout 100 t+ Lift station N at* SEPARATION DISTANCES FROACgECUOLDING TANK ON LOT TO: t Building foundation a - Property line 1 9I Absorption field 5 ' t� Water main/service line 10 + Surface water/drainage "' I + Wells on adjacent lots 1')o I + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation 39 Water main/service line ko 4 - Surface Surface water loo I+- Driveway, parking/vehicle storage area �� t yy�[ Curtain drain tJoO iE KrNaeaN Wells on adjacent lots 1001+ Property line lot 7� nF.2 Q�rLC �"-T7.Y•:s2 OC r CE CL5,4 aS' o1i f�!•9R4 f/cH n�fTkrvG/L TJ A WILLI ON t -0,r Altit kVq,VD i`o tao• A-.vn !/d' T'� If�s)'cl YA.vic 14 "d At3SOR/�r.r.✓ c.0 1? J.3 C, -71v# F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review oftblunicipat recor (� ti(~ets are in conformance with A Quidelin effect on this date. '. �,`Q ooio '• �•• , • ,�11+ CEJ F �•• Signature s f s �/ t Engineer's Name Ro a i 4 r C cc) 1.1 .4 w��A , „ • ezruig r; p, ROBERT C. COWAN Date I / /� `I S �,�RG,e'• CE • 8801 f' / 1 �• ------------------------------ HAA Fee $, � on e &-/V Waiver Fee $ Date of Payment// % 9i5 �} > Date of Payment Receipt Number -/ � � 6 (% G o 7 / Receipt Number Rev. 8/95 OSS: haa.wk.doc " GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received June 17, 1976 Time of Inspection 2:30 p.m. Date of Inspection 6-18-76 Friday REQUEST FOR APPROVAL OF Pratt INDIVIDUAL SEWER & WATER FACILITIES FOR V. A. 1. Approval requested by: United BAnk of Alaska Family No. of bedrooms 2 Mailing Address: 645 G Street Phone: 278-9526 2. Property Owner: Bruce & Darlene Johnson Phone: 344-0060 Mailing Address: 8047 Wilcox, 99503 3. Legal Description: Lot 5 Block 1 Sand Lake Subdivision #2 4. Location: 8047 Wilcox (house # on the house 5. Type of facility to be inspected Single Family No. of bedrooms 2 6. Well Data:�,,w^ A. Type C. Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: 1. Size B. Depth D. Bacterial Analysis On-site system. B. Installer D. Seepage Pit: 1. Absorption Area E. Disposal Field: 8. Distances: Total length of lines 2. Manufacturer 2. Material A. Well to: Septic tank , Absorption area Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank Absorption area . C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages Reims';t for Approval of Individual 1."--`1r & Water Facilities legal Description Lot 5 Block 1 Sand Lake Subdivision #2 Comments Approved RDisapproved Date Approval;Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM a Y -J �LtI'0 004 Ncrd 90J( 113 I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) MUNICIPALITY OF ANCHORAGE C u DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES i 1. Type of Inspection: CMRO VA FHA CONY 2. Property Owner: jf)A UGC A -/V b PlI'- b, E fif/E ,%-D q /VS0 w Mailing Address: 70 !Yr? 6 L).It, GCS X cWZJ Day Phone: 3��` D��6G 3. Name of Buyer: d2 R/i2,�i . NOT A e`% M!1 Mailing Address: 3e f C qCz,L-iZ'�U �A/"�C--Day Phone:_2 �V, cf'y 6 4. - Name of Lending Institution: Mailing Address: 6? �S CFS Phone: 5. Name of Realtor or Agent: fV 114 Ar/k5 Mailing Address: & 6 � ��� �f �- Phone: 9 c/^ 6. Legal Description:_ /` F�/� f'/- Location: f7 LJ (l—c 4'7 X 7. Type of Facility to be Inspected: 4q,!0 _f'/y*/o rAA No. Bdrms. 91 8. Water Supply Type of Supply 0 Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation 72-003(3/76) Individual (on-site) June , 1�745,/. Mrs Bruce Jolanson 8047 Wilcox ApicbOv4vair 99503 Subject.- Lot 5 Block I Und take Subdivisioa Dar or, JwAnsons Four request for sir and voter approval vannot be gram: at this tie. Defory approvalcan be gram saveral things will l need to be dome. First s will need to show proof of a septic tuuk and its size. of theme is not a tanks then one will tread w be installed. Secondly, yon will ated to have ,your oxistinV seepage pit shacked to see if they aro adecauate for a two i i b droOm hoYW4. If the existing seepage pits are not adequato€ t $oil teat 4aust be obtained so that the sevror System Can be apyraded to creat Presenth* d&%, 41100, the semi-public well williola Serves you: propurty in to C1080 to YoAr sewn system.. when oret Yoa will need t cs i J:l a tic -Air wall 100 feat from your %ever sy st m and that wall must ba 100 feet from any atcr wa$ systen. ' Before construction b"ins, permit -must be obtai"4 krma If Y*q kava any furter questions, PIC -Asa Coutuot this Oftica t 276- ie extension 286. Bracers it Robert C. raft Sanitarian A%".r.^p 1j