HomeMy WebLinkAboutSST BLK 1 LT 2SST
Block 1
Lot 2
#015-082-17
Municipality of Anchorage :fir^ '"•
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3
www.cl.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SWO90093 PID Number: 015-082.17
Na""arner May
Wastewater System: ❑ New ® Upgrade
ABSORPTION FIELD
"d
067810
Prime Niintit er a Bedroom
® Deep Tr«lal O Shallow 7 w O Bed O Mauna 0 Omer
LEGAL DESCRIPTION
Sod Rating
Taal Depen Iran wlpvul prate
1.2 GPOTe
16.0 Ft.
8b Lot Sbd.
Dspm ro pPe oonom ham ag+W prate
Gravel dean beneam pipe
1 2 SST
4.5 Ft.
7.5 Ft
Tosnsnip Flange sect.
Fu added sows mg," prate
Growl Lmpm
0 Ft.
40 Fl.
Well: ❑ New ❑ Upgrade
Greve) man
2.5
Nurteer of Isles
1
Dnterwe OeMan Isaa
Ft.
n/a Ft
Claselrcaam tl Ovate. A a. C).
T" Dapm
Casat b'
TOW aosapmn arse
F.P. IMIaMI
EXISTING PRIVATE I
Ft.
Ft
600 Fe
3034 PVC
Driller
Date Dniw
slate: water Uvrl,
metaller
Data In now
Ft.
D & T CONSTRUCTION
811812009
Yroa
Pump Sa at
C" wpm A Oround
TANK
cPM
Ft.
FL
SEPARATION DISTANCES
O Septic ❑ Holding ® S.T.E.P. ❑ Other:
To
Septic
Absorption
Lift
Holding
1011CIPriVale
Mww sour«.
ty
Prom
Tank
Field
Station
Tank
sewer une
ANCHORAGE TANK
1250 Gal
wait
104.9'
154.6'
109.3'
105.2
M.rerW.
STEEL
NumOsn acme. mnu.
2
surlaoewaler
100+
100+
100+
•
LIFT STATION
Licit Una
23.3'
28.9'
25.6'250
Get
ORENCENCOIANCHORAGE TANK
8.7'
56.7'
17.7'
.
-Flip Wlevel «
'Punp de' lava a
Ngn at
Frond«�Ort
+40 h
+36 ti
+wal«.Oven
45 h.
26.4'
50.0'
37.2'
.
PLrM Maks a Model
ENmic" Mepxaone pedmtlat by
c~ Dian
P2005
MIKE GREEN
A.Existing Existi
Eng tank found to be leaking and abandoned per code,1500g
BENCH MARK
Compri ane D.PeOn.
STEP tank Installed as replacement, Existing field to be reused.
BACK DOOR THRESHOLD
Atl.m.d Ennaion
100.0 Ft
Engineer's Stamp
Inspections performed by: PANNONE ENG. SVC, LLCDates:t" 811812009
%%404
2n° 8!19109
♦♦♦..ililss
•P�............. bi
: �,• ♦♦
Development Services Department Approval
Conditional Approval Date:;
49T"
..: .0
•
•
i
jl�ESleven•�R. Ponnonep�aa
n /
'� �O
♦C
♦ ,N�+o C,E�8� 49 l
♦♦1 `!"' L
Reviewed and approved by: ✓ Date:
-- -
EXIST'G
L
28.9
(tOLFx2'WX7.5'ED, 12'TD
I
I
I
I
DRAIN
r—TH1—'
�o EXIST'G,
IN FAILU
REUSED
DV LS ...
F EXIST'G 12509 TANK,
ABANDONED PER CODS
REPLACED BY..1500g
S:T.E.P. TANK �'
192.6
I
I INSTALLED UPGRADE
04.9
54.6 I �
TO B
- - \,-. EXIST'G
"WELL
NOTES:
7�T�
P!]1\1\Ool\1:7 INGRA�CK 99510ILC
PAM
PHONE (907) 272-8218 FAX (907) 272 -8211TH
� •(�QF A�qS\�)
#
I "' �
�'teven nriorie'� ts-oe2-t7
�I�i'����o���/
Date
9/1/09
RECORD DRAWING
Scale
S.S.T. S/D BLOCK i, LOT 2
WARNER MAY
A$OhorageHomestead
cAK 99516
P.I.D. NO
PERMIT N0.
PLAN
SheoOF 23
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY
OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN
CONSTRUCTION OF ON–SITE WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK SHALL BE IN ACCORDANCE WITH THE MANUFACTURERS SPECIFICATIONS.
3. SCOPE OF WORK: UPGRADE ABSORPTION FIELD FOR EXISTING 4–BEDROOM HOUSE. VERIFY INTEGRITY OF
EXISTING 12509 SEPTIC TANK. INSTALL NEW 500g LIFT TANK IF EXIST'G TANK IS NOT LEAKING. INSTALL NEW
1500a STEP TANK IF EXISTING SEPTIC TANK IS LEAKING, INSTALL NEW DRAIN FIELD.
4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION. AS EVIDENCED BY THE SOIL TEST
HOLE INFORMATION ABOVE 18 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS
LESS THAN 16 FEET BELOW EXISTING GRADE. NOTIFY THE ENGINEER IMMEDIATELY.
5. CONTOURS IN 4.0 FEET INCREMENTS. FIELD UPGRADE
THI 975• Filter Fabric
–1 0.5 Droin rock 6"
22 above pipe inv
–4.5n -P,
93.0'
�` �1 1/4" diem. drain
75' �` pipe. 1/40 HOLES
4w
65.5' 030" O.C.
J=� Droin rock
No groundwater
–16 OH monitored SECTION
85.5' 1 11
1 1/4" PVC F.M. FIELD UPGRADE
SLOPE VARIES PROFILE
DESIGN PARAMETERS
NO. BEDROOM: 4 (600 gpd)
mo
15009 S.T.E.P.
mo
c
:'Z
1.2 gpd/SF
='Z
W
p V
1 1/4- PERFORATED LINE
p M)
33.3 LF
Z w r
W/ 1/4.0 HOLES ON 30-
z w
ED. 12' TD
/
O.C.
M
o z
a
a
85.5' 1 11
1 1/4" PVC F.M. FIELD UPGRADE
SLOPE VARIES PROFILE
DESIGN PARAMETERS
NO. BEDROOM: 4 (600 gpd)
TANK SIZE:
15009 S.T.E.P.
PERC. RATE:
1.7 MPI
SOIL RATING:
1.2 gpd/SF
AREA ROD:
500 SF
SYS. TYPE:
7.5' ED TRENCH
MIN LENGTH:
33.3 LF
USE:
R.I.
40LFx 7.5'
ED. 12' TD
TOTAL AREA:
600 SF
DESIGN NOTES
ABBREVIATIONS
CU
COPPER
DIP
DUCTILE IRON PIPE
TH
TEST HOLE
FC
FOUNDATION CLEAN OUT
T#
TANK CLEAN OUT NO.
C#
CLEAN OUT NO.
M#
MONITOR TUBE N0.
R.I.
RIGID INSULATION
DCO
DOUBLE CLEAN OUT
DV
DIVERTER VALVE
FS
FLOW SPLITTER
PANNONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
S.S.T. S/D BLOCK 1, LOT 2
WARNER MAY
9810 Homestead Trail
Anchorage, AK 99516
85.5'
LEGEND
---•---•— WATER LINE/
WELL RADIUS
—•—•—•—•— EXIST'G SEPTIC
NEW SEPTIC
(FORCE MAIN)
—• — CHAINLINK FENCE
9/1/09
CE 8149 Es"�,� SW090093
�� Sheet
�orso��r
�"`��
2oF2
f03-CT-acaq oott4A FRCPI:EO'S ELECTRIC INC GTP 4590 TD:8;rZ. 11 P.1
/y n
Inspection Report pv$�,i
Municipality of Anchorage, Building Safety Division
4700 Elmore Road
INFO b HELP (007) 343•!!211
INSPECTION: VOICE (907) 343.8300 , FAX (907)240.7777 • www.munl.0r9
Nomo oame
Company ads Bloc
Address gal 0HOMESTEAD TR
Orid $W2439
SubdlVIslon SST
Work Doaorlptlon Soplic lift station
Insp. performedrprepald 010
PormitTochnlclan STULLGA,GRETCHENJ..
Commonts of Dlrcctlons call to meeton site
Inspocilon Type Eioctricat Aetro Electrical
Comments (to( Inspector LMA. only)
)L 0 e- M
Permit R b9.9224
Inspection Dato 26 -Aug -2009 AM
Phone 2724691
LOT 2 OKI TR We
UNt�EFL'-
Inspector _(��n'1eC�/ Dato.
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: Jun 25, 2009
Expiration Date: Jun 25, 2010
Permit Number: SW090093 Parcel ID: 015-082-17
Legal Description: SST BLK 1 LT 2
Design Engineer: 0062 PANNONE ENGINEERING SERVI( Site Address: 009810 HOMESTEAD TR
Owner Name: WARNER MAY Lot Size: 49493 SQ. FT.
Owner Address: 9810 HOMESTEAD TRAIL Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE. AK 99516-6531
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
Issued
Date: eIZ-s 17eoo,
Date: S' e_r
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
www.muni.org/onsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcell.D. 015.082.17
Property owner(s) Warner May Day phone
Mailing address9810 Homestead Trail, Zip Code 99516
Site address 9810 Homestead Trail Zip Code 99516
Legal description (Sub'd., Block & Lot) S.S.T. SID, Block 1 Lot 2
Legal description (township, Range & Section)
Lot Size 49.493 Sq. Ft.
THIS APPLICATION IS FOR
Absorption Field
Septic Tank
Holding Tank
Privy
Private Well
Water Storage
(® all that apply):
El
Number of Bedrooms
THIS APPLICATION IS AN:
Initial
Upgrade
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.
Pannone Engineering Services,
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
.53
Waiver Fees:
07 Date of Payment:
Receipt Number: _ 103—r? q0.3 Receipt Number:
(Rev. 11/05)
Pannone Engineering Services uc
Steven R. Pannone, P.E., Principal
Licensed & Registered in Alaska and Florida
E-mail: steve0yanenaak.com
June 31, 2009
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road
P. 0. Box 196650
Anchorage, Alaska 99519
Re: S.S.T. S/D, Block 1 lot 2
Septic System Upgrade Permit Request
Ladies and Gentlemen:
am writing to request an upgrade septic permit be issued for the above referenced lot. The proposed
system will serve an existing four-bedroom house; the lot is currently developed. The lot Is served by a
private water supply system located on the south east portion of the lot. The surrounding developed
lots are served by private water systems; the private wells are located over 100 feet from the proposed
soil absorption system.
1. Soils. A single test hole was excavated in May of 2009. Ground water was not encountered in
the excavation or after the monitoring period. Bedrock was not encountered in the test hole. Based on
the percolation test results and the overall soils appearance, the soils are suited for the use of a
conventional wastewater septic system with an application rate of 1.2 gpdpsf.
2. Proposed System
a. Percolation Rate: 1.7 Min Per Inch
b.
Application Rate:
1.2 gpd/sf
c.
Design Flow:
600 gallons per day
d.
Min. Absorption Area:
500 sf
e.
Total Depth:
12 feet
f.
Effective Depth:
7.5 feet
g.
Width:
2-3 feet
h.
Minimum length:
33.3 feet
1.
Design Length:
40 feet
j.
Effective Absorption Area:
600 sf
k.
Septic Tank Size:
500 gallon lift tank. Install a 1500g S.T.E.P. tank
if the existing septic tank Is found
to be leaking.
3. Surface Water: there is no surface water within 100 feet of the proposed upgrade.
Mailing: P.O. Box 102954, Anchorage, AK 99510-2954
Physical: 11301 Olive Lane, Anchorage, AK 99515
Telephone: (907) 272-8218 FAX: (907) 272-8211
Page 2 of 2
4. Topography: The average topography in the area of the proposed septic system is
approximately ten percent based on contour information.
S. Drawing Markings: The Drawings are marked "For MoA Review Only". When written
notification that the review is complete, and that there are no further comments, is received from MoA
On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued.
The proposed installation will not affect the future development of the surrounding or existing lots.
There are no wells or septic systems within 100 feet of the proposed septic location.
If you have any questions or concerns, please contact me at 272-8218.
Attachments:
Sincerely,
Steven R. Pannone, P. E.
Principal
Mailing: P.O. Box 102954, Anchorage, AK 99510-2954
Physical: 11301 Olive Lane, Anchorage, AK 99515
6/11/09
SEPC
ARE(A'. EXIST' WELL
PROPOSED <
GRADE XI Lj AREASEPTIC
SEPT
>
0
— — --- — — — — — — T— — —
-SEPTI
AREA
C ..SEPTIC
AREA
EXIS G 4BR HOUSE
E)W'G.
SEPTIC'. ll� SEPTIC
' [MEA
IST'G
AREA
TG\
Wo LL
EL
LL EAST 99TH AVE Al
'8
NOTES: PAMONE ENG SVC, LLC �-lk\ Date
ISSUED FOR Construction 06/20/09
P.O. BOX 102954 ANCHORAGE. AK 99510 kq.
. Scale
PHONE (907) 272-8218 FAX (907) 272-8211 TH
S,S,T, S/D BLOCK 1, LOT 2 •P.I.D. NO
;4�-1
WARNER MAY teven Pannone -,
nome
PERMIT NO.
9810 Homestead Trail CE 8149 swxxxxxx
Anchorage. AK 99516
PLAN Sheet
1 OF 4
INSTALL NEW 500g S.TIE-.P.'
TANK. SEE NOTE 3, SHEET
CONNECT TO EXIST'G
INSTALL DV & DCO
EXIST'G DRAIN EXIST'G,
IELD
IN FAILU
TH1 REUSED
R�. TO BL\
"— 1
L
.3
— — — — — —
— — — — — — — — - — — — — — — — — — —
24.7 17,
=2
-- — — — — — — — -
<
of
oEXIST'G 1250g TANK
50.0 VERIFY INTEGRITY, SEE
85.5
NOTE 3, PACE 4.
0
aw
18.2
1 3.0
PROPOSED UPGRADE
%
( 01-Fx2VX7.5'ED,
12'TD
r\
EXIST'G
'WE,LL
r
"o
NOTES:
PAMONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
... .. .. .....
Date
06/20/09
ISSUED FOR Construction
Scale
1*=5'
P.I.D. NO
S.S.T. S/D BLOCK 1, LOT 2
WARNER MAY
..t ....... P..P. .. .—
teven . onnoqe
-0112-17
PERMIT NO.
9810 Homestead TrailCE
Anchorage, AK 99516
8149
U
swxxxxxx
Sheet
PLAN
4 Ilk
2 OF 4
TEST HOLE I SOILS LOG - PERCOLATION TEST
OR ORGANICS
I
ML Roots/Silts
2
Sandy GRAVE SLOPE
3 */slits
SM/
4 GM
5
6
7
8
9
10 GRAVEL 8 TEST
Sand poorly HOLE
11 graded.
GP/
SP
12
13
14
15
16 WAS GROUND WATER
ENCOUNTERED? Y
17 IF YES. AT WHAT
18 DEPTH? --
BOH DEPTH TO WATER AFTER
19
MONITORING? -Dry I-
20 DATES 6-11-2009
PEROLATION RATE 17 (min/inch) PERC HOLE DIAMETER 6 inches
TEST RUN BETWEEN 6.0 FT AND 7.0 FT
COMMENTS: Test hole excavated by Owner. Test Hole was oresooked before oerc test Test ran
for 1 hour. Last three periods recorded.
PERFORMED BY, I. STEVEN R PANNONE CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST
NOTES: PANNONE ENG SVC, LLC _ ""pF A/, ��� 0ote
06/20/09
ISSUED FOR Construction :9
P.O. BOX 102954 ANCHORAGE, AK 99510 p�'•�• •`S'�-�� Scale
PHONE (907) 272-8218 FAX (907) 272-8211 * TH *f�� NTS
S.S.T. S/D BLOCK 1, LOT 2 % "' P.LD. NO
WARNER MAY S'te'ven' :'aonnome' 15-082-1
j PERMIT No.
9810 Homestead Trail �'•. CE 8148 i swxxxxxx
SOILS 1 Anchorage, AK 99516 '��11k(D�pg1a�' Sh3eOF 4
� SITE PLAN
1
TH1��
'
,
TH 1
SLOPE
READING
DATE
CLCCx
TIME
NET TIME
VATER
LEVEL
READING
NET DROP
t
5/27/09
9:40
--
3.40
---
2
950
10 min
9.2
5.8
9
950
--
3.40
---
4
IO.00
10 min
9.20
5.8
5
I000
--
3.40
---
5
TH 1
SLOPE
READING
DATE
CLCCx
TIME
NET TIME
VATER
LEVEL
READING
NET DROP
t
5/27/09
9:40
--
3.40
---
2
950
10 min
9.2
5.8
9
950
--
3.40
---
4
IO.00
10 min
9.20
5.8
5
I000
--
3.40
---
5
]OIO
10 'in
9.20
5.8
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY
OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN
CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK SHALL BE IN ACCORDANCE WITH THE MANUFACTURERS SPECIFICATIONS.
3. SCOPE OF WORK: UPGRADE ABSORPTION FIELD FOR EXISTING 4 -BEDROOM HOUSE. VERIFY INTEGRITY OF
EXISTING 1250g SEPTIC TANK. INSTALL NEW 500g LIFT TANK IF EXIST'G TANK IS NOT LEAKING. INSTALL NEW
15008 S.T.E.P. TANK IF EXISTING SEPTIC TANK IS LEAKING, INSTALL NEW DRAIN FIELD.
4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST
HOLE INFORMATION ABOVE 18 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS
LESS THAN 16 FEET BELOW EXISTING GRACE. NOTIFY THE ENGINEER IMMEDIATELY.
5. CONTOURS IN 4.0 FEET INCREMENTS.
TH1
GP
UPGRADE FIELD
Filter Fabric
0.5Droin rock 6"
4.5' —cbove pipe inv
" 1/4" diom. Broin
7.5'.. pipe. 1/40 HOLES
" 030" O.C.
J,kL`Drain rock
—18 H No groundwater
monitored SECTION
L 1 1/4" PVC F
SEE NOTE 3 SLOPE VARIES
THIS PAGE
DESIGN PARAMETERS
NO. BEDROOM: 4 (600 gpd)
TANK SIZE:
Ym
O
1.7 MPI
Co O
AREA ROD:
500 SF
H
F W
MIN LENGTH:
r W
Y
_
MONITOR TUBE NO.
40LFx 7.5'
ED, 12' TO
TOTAL AREA:
600 SF
Zo
o0
FS
u
1 1/4" PERFORATED LINE
o ux
~
p
J
z
W/ 1/4"0 HOLES ON 30"
z
U
/r
O.C.
0a
O
O
/W
n
n
L 1 1/4" PVC F
SEE NOTE 3 SLOPE VARIES
THIS PAGE
DESIGN PARAMETERS
NO. BEDROOM: 4 (600 gpd)
TANK SIZE:
500g LIFT
PERC. RATE:
1.7 MPI
SOIL RATING: 1.2 gpd/SF
AREA ROD:
500 SF
SYS. TYPE:
7.5' ED TRENCH
MIN LENGTH:
33.3 LF
IaL.
_
MONITOR TUBE NO.
40LFx 7.5'
ED, 12' TO
TOTAL AREA:
600 SF
NOTES:
DESIGN NOTES
UPGRADE FIELD
PROFILE
ABBREVIATIONS
CU
COPPER -.-.
DIP
DUCTILE IRON PIPE
TH
TEST HOLE
FC
FOUNDATION CLEAN OUT _
T#
TANK CLEAN OUT NO.
C#
CLEAN OUT NO.
M#
_
MONITOR TUBE NO.
R.I.
RIGID INSULATION
DCO
DOUBLE CLEAN OUT --
DV
DIVERTER VALVE
FS
FLOW SPLITTER
PANNONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
S.S.T. S/D BLOCK 1, LOT 2
WARNER MAY
9810 Homestead Trail
Anchorage, AK 99516
LEGEND
-•-•-•-•- WATER LINE/
WELL RADIUS
EXIST'G SEPTIC
NEW SEPTIC
(FORCE MAIN)
---- CHAINLINK FENCE
jF A�\� 106%20/09
qt>l�
NTS
• • • • • P.I.D. NO
15-082—V
••�teven Pannone / PERMIT N0.
CE 8149 .`i SWXXXXXX
s
Sheet
4 OF 4
MUNICIPALITY OF ANCHORAGE
DE_ 3TMENT OF HEALTH AND HUMAN SER. ;ES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name
DeWinter Construction
DISTANCES
❑ TRENCH ❑ BED M W. DRAIN ❑ OTHER
TO
FROM
SEPTIC
TANK
ABSORPTION
FIELD
WELL
Address
c/o GEOLAB 1131 E. 76th Ave. Anch. AK
Phones) Permit No. No. of Bedrooms
344-8042 850498 4
WELL
107'
1031
LOT LINE
24'
14'
38'
LEG AL DESCRIPTION
Lot 2
Block 1
Subdivision SSTFOUNDATION
proposed
not In
14'
not In
1 27' 1
not in
43'
Township, Range, Section
1 2N 3W, 14
AS -BUILT DIAGRAM
driveway, water. bodies,
(Show location of well,
etc.)
septic system, property
lines, foundation,
TANKS
Number of lines
1
Soil rating
85 SO FT
Pipe material Cast iron,
D-3034, D2729
Installer
Rappe Excavating
)LR SEPTIC 0 HOLDING
�(
WELLS
PRIVATE ❑ OTHER (Identiliv)
Classification (A,B,C)
Total Depth
FT
Cased to
FT
Manufacturer
Anchorage Tank
Capacity in gallons
1250
,
Installer
I Date Installed:
Material
Steel
No. of Compartments
2
I j
/4'
TYPE OF SYSTEM. °
❑ TRENCH ❑ BED M W. DRAIN ❑ OTHER
u r
Depth to pipe bottom from
original grade
3.0' FT
Total depth from original grade
4.0' FT
FII added above original grade _
not done -will be+l'FT
Gravel depth beneath pipe
1.0' FT
t ✓
Gravel length
63.0' FT
Gravel width
5.0' FT
I /
Total absorption area
315 SQ FT
I Distance between lines
NA FT
Number of lines
1
Soil rating
85 SO FT
Pipe material Cast iron,
D-3034, D2729
Installer
Rappe Excavating
Date Installed
8/20/85
�(
WELLS
PRIVATE ❑ OTHER (Identiliv)
Classification (A,B,C)
Total Depth
FT
Cased to
FT
Installer
I Date Installed:
REMARKS: 2" Foamular burial grade
insulation over tank. Typar Geotextil
fabric over drainfield.
IDr
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Scale: ®�
Inspections P med
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Date: AV
e
Date: y
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1 S (Z, f certify that this inspection was performed according to all
Municipal and State guidelines in effect on this dale: L�o .5—
Health Department Approval:
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MUNICIPALITY OF ANCHORAGE
% DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264.4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE
4CXNEW
DeWinter Construction
344-8042
❑ UPGRADE
MAILING ADDRESS
c/o GEOLAB 1131 E. 76th Ave. #101 Anchorage, Alaska 99518
LEGAL DESCRIPTION
SST Subdivision Lot 2 Block 1 Sec 14 T12N R3W
LOCATION
NO. OF BEDROOMS
Homestead Trail
4
Well
Absorption area
Dwelling not in
PERMIT NO.
Uy
DISTANCE TO:
107'
20'
nrnnnRpd 141
850498
PZ
Manufacturer
Material
No. of compartments
WF
Anchorage Tank
steel
2
W
Liq. capacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
1250 cfal
NA
O y
DISTANCE TO:
Well NA
Dwelling
PERMIT NO.
Jaz
O Z F
Manufacturer
Material
Liquid capacity in gallons
o
J
DISTANCE TO:
Well
103'
Foundationnot n
'
Nearest lot line
14'
PERMIT NO.
850498
w=
ro osed 2
J LL Z
No. of linesLength
of each line
Total length of lines
Trench width
Distance between lines
zw
—
1
63'
63'
60" inches
NA
oc
Q F.
To of the to finish grade
Material beneath t!
Total effective absorption area
0
3p'+ pending final gradi
g in rock 12"inches
315 s ft
Length
Width
Depth
PERMIT NO.
w
NA
QF
Type of crib
Crib diameter
Cr'6 de Total effective absorption area
as
LU
W
`n
-
Well
Bu' Ing founds ' Nearest lot line
DISTANCE TO:
A
Class Indiv.
Depth
riller NSA ce to lot line
PERMIT NO.
Building foundation
Se r li a
ptic ank
Absorption area(s)
DISTANCE TO:
OTHER
PIPE MATERIALS Cast Iron house to tank,
D3034 tank to field & standpipes,
SOIL TEST RATING D2729 in drainfield
85 s ft/BR
(J�5
INSTALLER
Rappe Excavatincf
REMARKS
Typar Geotextile Fabric used
over drain rock. 2" burial
o
grade insulation used over
+
'
septic tank.
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APPROVED
72-013
DATE LEGAL
o
� ����1 ����1�� �� ������Z 1r-,:,% C-3��
^ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825L STREET, ANCHORAGE, AK 99501
264~4720
C3 R*%J_1: -1- E -E E-3, FEE- W F---- FR! �E:-� 1L.- 11-- �FZ ll�pl I -T
PERMIT NO; 850498
DATE ISSUED: 08/13/85
` 1
APPLICANT: C/O GEOLAB DEWINTER CQNSTR
ADDRESS- 1131 E 76TH SUITE 101
ANCHORAGE, AK 99518
CONTACT PHONE: 344-8042
'
LEGAL DESCRIP: SUBDIVISION-, SS� � LOT: 2
SECTION: 14 TOWNSHIP: 12NRANGE: 3W
LOT SIZE: 49494 (SO. FT. OR ACRES) `
LOT LOCATION; HOMESTEAD TRAIL
MAX BEDROOMS: 4
Listed below are the options
available to
you in designing
System. Choose the option that best fits
your site.
** DEPTH
W~ U� F:Z��][lr:J
DEPTH TO PIPE BOTTOM (FT.)
3.0
** TANK
����������������������������������������
GRAVEL DEPTH (FT.)
0.5
1"0
TOTAL DEPTH (FT.)
3.5
4.0
GRAVEL WIDTH (FT .)
16.0
5.0
GRAVEL LENGTH (FT.) '
32^0
60.0
GRAVEL VOLUME (CU. YDS.
19.0
16.7
TANK SIZE (GALS)
1 250.0
1�250. 0**
SOIL RATING (SQ.FT. /8R)
85
85
BLOCK: 1;
/
your septic
** DEPTH
TO
PIPE
BOTTOM <
3.5 FT. REQUIRES 'INSULATION
** DEPTH
TO
PIPE
BOTTOM <
4,0 FT, MAY REQUIRE A LIFT STATI.oN
** TANK
����������������������������������������
MUST
HAVE
ATLEAST
TWO COMPARTMENTS
I certify that:
1. I am familiar, with the requirements for on-site sewers and wells as set
f'orf.h by the Municipality of Anchorage (MOA) and the State of' Alaska.
2. I will install the system in accordance with all MOA codes and r-�egulations,
and in compliance with the design criteria o[ thispermit.
3. I will adhere to all MOA and State of Alaska requirements for the slet back
distances from any existing well, wastewate;r disposal system or, public
sewerage system on this or, any adjacent or nearby lot,
4. I understand that this permit is valid for a maximum of 4 bedrooms and
any enlargement will require an Additional permit.
IF A LIFT STATION IS INSTALLED JN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE
ELECTRICAL WT BE DONE BY A LICENSED ELECTRICIAN.
SIGNED DATE:
APPLICANT: C/O GE8LAB DEWINTER CONSTR
~v -D BY DATE: -
13
Time
OrQawl,es
Reading.
Reading.
of Net ,
Water Drop
-
r
•3vd lr
or�,,,��-J'�-rv�a"t Grwrr�J/J
%L: J 4
S�" /t
� q
y
A���(
/i✓(
� Lel
� V IL' W
S •�
F'- "!
/�
.�
-.
Y r V
-5-
13
ML-
s��
Groundwater„�� � L
Encountered ?' 4
Date p e
�1 tL t fa tdik E
l/�/b`%l�%S • � r`Er�Ytx.t� Depth ”'
PERFORMED GY:-�Z)1
Date
Time
Net Time
Reading.
Reading.
of Net ,
Water Drop
lyzs
%L: J 4
-
� Lel
� V IL' W
S •�
F'- "!
Percolation Rate o /� Depth_
—CERTIFIED BY.
M -W DRILLING, Inc.
P.O. Box 10-378 • 10300 Old Seward Highway 85-219
(907) 349-8535
ANCHORAGE, ALASKA 99511
DRILLING LOG
Vvarne✓ T
Well Owner -RuA ^Tay Use of Well "om. 4
Location (address of: Township, Range, Section, if known; or distance main
Size of casing--6L'—Depth of Hole ?(11 feet Cased to ?n1 feet
Static water level 110 ft. (abo t�C) (below) land surface. Finish of well (check one) open end ( Y ) ;
Screen ( ); Perforated ( ).
Describe screen or perforation—;era
Well pumping test at ll gallons per (lgtj (minute) for --4- hours with lrn r#l;
of drawdown from static level. N W ick SG �Iy S It/ iy /V t= XI/
Date of completion July 26, 1985 52c i q , T 12 tV , R 3 vv, S M
IVLf9-0Glo755y
WELL LOG W 27 - J'k9 y -Sb %- l
Depth in feet from
ground surface
Give details of formations penetrated, size of material, color and hardness
0TO
2
Casing
2
TO 4
Organia
MUNICIPALITY OF ANrHnkAao
CcPT. OF HEALTH &
4
TO 16
Silty Gravel
ENVIROMMENTAL PROTECTION
16
TO 43
Silty Sand
MAR 6 jpP,
43
TO 60
Silty Gravel
RECEIVED
60
TO 85
Silty Sand & Some Water
85
TO 135
Silty Gravel
135
TO 145
Weeping Hard Pan
145
TO 175
Silty Hard Pan
175
TO 191
Gravely Hard Pan
.,
191 TO 201
TO
TO
_TO
L7-ET-i-43Z
NWWA Certified Contractor
er ilic:l e .'US. .1 cz M
�G�s
CC" 0$6 3—CONTRACTOR
CC-,, Mi'Ihi Or Ancho✓Agc
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720 l
Application Date
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, t[o��(nsh(p, re
Location (address or directions)
3 ���Z/ Business
(b) Applicant Name,��,/��������%� �Nl •Tel hone: Home ��`-C )�
n c/yc��zp�2 J
Applicant Address /
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builderjl ; Buyer ❑ ; Other ❑ (explain); ---
(d) Lending Institution
Address / ' 7 /'L
(e) Real Estate Company and Agent
Address
Telephone
(f) Mail the HAA t the following address:
Telephone
�jl✓ F l %✓/ C !/N Nv`._. -l ✓ u
2. TYPE OF RESIDE CE
Single -Family Multi -Family ❑ Other
Number of Bedrooms
3. WATER SUPPL�Y�
Individual Well I!7 Community ❑ Public ❑
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DI POSAL
Onsite ® Public ❑ Community ❑ Holding Tank ❑
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
E
Page 1 of 2
72-025 (11164)
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of thl,.
Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adeq,
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtainer
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 l �E-r Ea V;—:- �J(f. `"Cc!, f 10456Telephone
Address s< 0 AE
Date .54A&5G
Q
DHEP APPROVAL 7
Approved for bedroc
Approved Disa
Terms of Conditional Approval
04
Chep
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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
professionai engineer's work.
Page 2 of 2
72-025 (11/84)
MUNICIPALITY OF ANCHORAGE
�`. DEPT. OF HEALTH &
MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION
HEALTH AUTHORITY APPROVAL (HAA) MAY G J
CHECKLIST - FEBRUARY 1984
264-4720
Legal Description: Iz /5 RAGE 1 V E D
A. WELL DATA
Well Classification _( L_ 4 -v 1 Irl In ( If A, B, Cr, D.E.C. Approved (Y/N)
Well Log Present (Y/N) Date Completed -2�6 r -r (r' A Yield �� g
Total Depth ' 67 Cased to Depth of Grouting
Static Water Level /142 Pump Set At
Casing Height Above Ground Sanitary Seal on Casing (Y/N)
Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N)
Separation Distances from Well
To Septic/Holding Tank on Lot t O`lt ; On Adjoining Lots`y
To Nearest Edge of Absorption Field on Lot 10551 ; On Adjoining Lots
To Nearest Public Sewer Line __ti1 To Nearest Public Sewer r
Cleanout/Manhole - r�✓i ti To Nearest Sewer Service Line on Lot
Water Sample Collected by _ t cA4 w 1 ; Date 515 /9 L
Water Sample Test Results L�
Comments » ���C A
B. SEPTIC/HOLDING TANK DATA
Date Installed
Size \ Z SC� No. of Compartments
Standpipes (Y/N)- Air -tight Caps (Y/N) --)L- Foundation Cleanout (Y/N)
Depression over Tank (Y/N) Date Last Pumped
Pumping/Maintenance Contract on File (Y/N) 3A_)9 ,a. ; for ^>
Holding Tank High -Water Alarm (Y/N)�-.jam--- Temporary Holding Tank Permit (Y/N) i
Separation Distances from Septic/Holding Tank:
To Water -Supply Well
To Property Line
To Water Main/Service Line XA I ll�
Course
Comments
Page 1 of 2
72-026(11/84)
To Building Foundation no,I
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata 5 / Type of System Design
Date Installed ei — C" Is Length of Field
( Depth of Field 4:! 02 _ Q�
Width of Field ��� n,L�
Gravel Bed Thickness I Z t)
Square Feet of Absorption Area Z 1 S Standpipes Present (Y/N)
Depression over Field (Y/N) & I Date of Last Adequacy Test �� f
Results of Last Adequacy Test
Separation Distance from Absorption Field: j
To Water -Supply Well ,fes To Property Line `�
To Building Foundations W' ! To Existing or Abandoned System on
Lot Ar' On Adjoining Lots � 7dA j AA
To Water Main/Service Line -�� j� To Cutbank (if present) �! LA
To Stream/Pond/Lake/or Major Drainage Course ti)%A
To Driveway, Parking Area, or Vehicle Storage Area -5f) 1
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
** Check.PermiA60 Bedrooi'q Rating Against HAA Request **
Vent (Y/N)
Pumping Cycles during Adequacy Test, Meets MOA
I certify that I a cl ecked, l rified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed �j G Date
Company rt D t -C1 Q _ MOA No.
Receipt No. =3S y1� (CIS
Date of Payment U
Amount: $ (nsF�
Page 2 of 2
72-026 (11/84)
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