HomeMy WebLinkAboutSEQUOIA ESTATES BLK 1 LT 50: S2. -OS
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES o� ��
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name DISTANCES
TO SEPTIC ABSORPTION WELL
Address FROM TANK FIELD
Phones) Permit No. No. of Bedrooms
WELL hie- I I Wf-XU {JEL(_ AAI- 1`4
22C12 I t
LEGAL DESCRIPTION LOT LINE
Lot BlockSubdivision
i SLE0001A E c FOUNDATION :V_" 1111c)
Township, Range, Section
�i Z l I t- 1 a _ AS -BUILT DIAGRAM (Show location of well, septic system, properly lines, foundation,
IV �/ !.� driveway, water bodies, etc.)
TANKS z.
.Q
K SEPTIC ❑ HOLDING
Manufacturer Capacity in gallons
TYPE OF SYSTEM
❑ TRENCH l BED ❑ W. DRAIN ❑ OTHER
Depth to pipe bottom from Total depth from original grade
original grade 1 n FT C; I FT
Fill added above original grade Gravel depth beneath pipe
.�) .t FT n FT
Gravel length Gravel width
f FT 30, FT
Total absorption area Distance between lines
00 SO FT ` FT
NumbeF of lines Soil rating Pipe material
: � SQ FT 41"Pe t
Installer C� `y (�®_ 1 ? I Dale Installed
WELLS
❑ PRIVATE
❑ OTHER (Identity)
Classification (A,B,C)
Total Depth
Cased to
/
/
FT FT
Installer
Date Installed:
REMARKS:
s.
-
lUv'
ex�_
I/c'Cbfyx/e
T
-fit
LR
MugfEgial and Slate g17es in ellect g this dale:
Health Department Approval:
-Ulu (:S/tab)
2
nspections Performed by:
`ls'/,
Date: C 4_.4.
EOIU—K/r!!f
certify that [his inspection was performed according to all
Date: -1
- 90
—
or
�"~)�~��
�n
M1.)N1L1 1 ,AL11 Y OF ANCHORA6E
�e�arLmentof Healih It At Services
825 L Street, Anchorage, A]aska 99501 343�
ON~SITE SEWER At WELL PERMIT
�.�
������ �� �
F'ermit NumL�er: �O(/()12 ,[~.�.��\c�
Date Issued: 01/16/90 Engineer Designed
!]wner Name: CAROL WHITE Day Phone:
Owner Address: 3706 OREGON UHIVE 258�6500
ANCHORAGE, AK 99517
Parcel Id: 017~152-05
Lot Legal: Subdivision: SEQUOIA ESTATES Lot: 5 Block: 1
Section: 26 Township: 12N Range: 3W
Lot Size 49096 (sq,[t, or acres)
Max Bedrooms: This Permit: 4 lrotal Capacity: 4
SEPTIC TANK: Minii. fir uw total septic tank capacity: 1,250 gallons. Each septic
tank must have at least 2 compartments` Depth to Lop of septic tank/s> < 4"0
feet requires insulation over tank(s).
WELL: Log must be submitted to Municipality o Anchorage Department of HealLh
and Human Services within 30 days of well completion.
PERMIT EXPIRES DECEMBER 31; 1990.
0URING FREEZING WEATHER' EXCAVATION MUST BE OPENED AND CLOSED ON
SAME DAY.
11.1E EXlSTING PIPING AN8 SEP[IC TANK MUST BE DUG UP AND INSPECTED
1 M INTEGRITY K} 8p VERlF1ED" PHOPOLY ABANDON ILLEGALLY
lFAS TALLED BE/), AND SHUW lTS LOCATION ON FINAL INSP" REPORT"
I CERTIFY THAT:
1, I am �amiliar with the requirements �or on~site sewers and weils as se�
forth by the Municipality of Anchorage (MOA) and the State o[ Alaska.
2^ I will install the sysLem in accordance with all MOA codes and regulations,
and in comp1iance with the design criteria o| this permit^
3" I wi]l adhere to all MOA and State of Alaska requirements for the set back
distances From any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or n�arby lo -L.
4. [ understand that this permit is va1id for a maximum of 4 bedrooms" l
also understand that the capacity of Lhe total system is 4 bedronms and
any enlargement will require an additional permit"
Signed: DATE: '
~�.^
(Owner) CAROL WHI�E '
[ssued By: DATE:
---C'-~~~---`--�-----^`'~---~----------
��..r�"u�'Y.ii(L47C'•��w'�dLu1�.155A��.:.'u:Si�Lti.k:Li�iFcltiAli.".::v1�rDaYfatrJ:'•.u...v�6�.::w:.i�l',u1.,.+.........;ic. .............�.. ._._v��.
—� ..
SEPTIC, 5YSTEM/ o�SHPT
KESEZ.VE A2� — p SYSTEE
M
\/ 14ELL I
SEPTIC l 0
SYSTEM�
i WELL I
J
I
—
PKOPOs D WELL
i\ p PKOP. VEEIFY ALL.
38DQF7 SEPAf oU
\\/ a 015 TIANC E:5
BED \ — / / COISIST�. r--rIOm
Z4 7 x — � c� /
o j
'
PIPE
WEL
WELL _ _ A
RE PVE:
ll
��� TEST HOLE EX IST. TA Id
6cw _`12 APeox, LO-ATIOhL. I _ _
/ TEST HOLEI i \\ °
0
0
SEPTIC I IJ
SYSTEM
I_
WELL —� I I p
I I
� I I
WELL
I I
\ I I
P rPOSED SYSTEM: 2EC IESWLfTAE�BED
IFCOVE 2
FKOM TA1\4K�
Snm)(195SOIL5)(1.5)= %/�ds� �
2
I�
2_4,, 46.5.:_ 1/ lG Ste ,
` /
I
n
3
VEKIFY INTEGfUTY � USE
H -I; eee-3c+ SEPTIC- TA lkl K
CD USTEUCT PES MOA P.PECS___r}
;'
r0 O O o
C EO FA 9 EL_
Sei'r,/Kres'
PE.eF
VERIFY ALL SEPARATION DI TANCE
6" SEWEK
EOGK
PIPE
PRIOR TO CONSTRUCTION IZ
'
SEWER SYSTEM
LOCATION
PLAN
`5
81K
S-QUOIABUESITSION ATES
SECTION/ TOWNSHIP/ RANGE
S26 7I2N R3W
SCALE, NOTE,
APMX, ISI= 1001 The Accuracy Of Location Of Exisitinq And
DRAWN RYA Proposed Property Corners, Wells, and Septic
Systems Indicated Is Not Exact. Dimensions
NORTH JUEY KESS Indicated Have Been Determined By Use Of Cloth
Tape and/or Municipal Records, And Not By
- -•�� �a -�1� Surveying Techniques
r
i f PREPARED FOR,
��9 FACIFIC GEIHERAL COIVT,
;8i,�fSsad Y e"sxJnc
Consiilting:,trngTrieers �•
DATEr SHEET r OF
'iJAeJl 2 b,1IrAl,
n1�`1.��f.Jli%J.'t�1L]'ii4t:[ihCUC*�/3/YY•4!%LJ.iL.53'A'iJ..i.rW'fi'Cid�rtrl'uY�AI...i:Jew±ise� aerr
5-PTIC. 5YSTEM/~ °'�SEPTEM
\/ NE LL I /
SEPTIC_I—
SYSTE H
/o HELL I
o.
I
—
PROPOS D WELL
ENOUSE
VEeIFY ALLKA TO QDISTAN E:5 ED ✓y — ` / CC NSETf-JGT10N
\ � � BED �
1 Z41 dz/o
PIPE
WELL
WELL .R ESEEVE
AREA TEST HOLE FIST. TANK _
6aro6i.� / 2 APeoz LOCATION —
/
TEST HOLEI
'—�\ o
S° °
SEPTIC I I SYSTEM
°
WELL I I °
I
� I I
WCLL
I I
I
RPnPOSED SYSTEM: BED 4(INSULATE BED IF COVE( �
'Pry, -I ESS THAt.L 3' FKOM TANK
I3D2M�(1855oIL5)(L5)= %!/0se
VEKIFY INTEGf�ITY USE
SEPTIC: TAWK Geo FAB21f-
COWSTRUGT PE2 M04 SPECS_ 1 2 0 0 0 0p
�j•Isvl�eS x 4„ PEZF ti-
JerryK�sS 11 6" SEWEQ PIPE
VERIFY ALL SEPARATION DI TANCEO �OGK
PRIOR TO CONSTRUCTION I�,
14
SEWER SYSTEM ' LOCATION PLAN
LOT BLOCK SUBDIVISION
5 1 SEQUOIA ESTATES _
SECTION/TOWNSHIP/RANGE —
S2.6 T12N R3W
SCALE, y NOTE,
APP�OX, I'1= IOOt The Accuracy Of Location Of Exisiting And
DRAWN BY, Proposed Property Corners, Hells, and Septic
�7 �/ [['' Systems Indicated Is Not Rxact. Dimensions
DI
NORTH � E E EY K RESS indicated (lave Been Determined By Use Of Cloth
Tape and/or Municipal Records, And Not By
Surveying Techniques
t PREPARED FOR,
PAGIFIG GENERAL CONT, Acta e's;Jric'
Con&ug1d, il=ngfne'�r I
i .. '...% ... .:..x�__..;�...r..,' ,.:.:...:. �.......; DATEr� SHEET / OF
1),f
Uwner Name: CARDL WHITE Day Phone:
Owner Address: 3706 OREGON DRIVE 258�6500
ANCHORAGE, AK �9517
Parcel Id: 017�152~05
Lot Lega1: Subdivision: SEQUOIA ESTA[ES Lot: 5 Block: 1
Section: 26 Township: 12N Renge: 3W
Lnt Size 49096 (sq.�t. or acres)
Max Bedrooms: lhis Permit: 3 Total Capacity: 3
SEPTIC TANK: Minimum total septic tank capacity: 1,000 gallpns^ Each septic
tank must have at least 2 cufor) artments. Depth to top oseptic tank(s)
ieet requires insulation over tank(s).
WELL: Log must be submitied to Municipality of Anchorage DepartmenL o{ Hea1th
and Human Services within 30 days o[ wel1 completion,
| CERTIFY
THAl:
1, l am
�am�!zar wiLh
the requirements or on-site
sewers
and
we11s as set
{orth
by �he Municipa1ity
o| AnchMOA)
and ihe
State
of A1aska.
2. 1 wii1
znstall the
system in accordance with
al1 MUH
codes
and regulations�
and
in compliance
with the design criteria o<
Lhis permit"
3. I will
adhere to a]1
MOA and SLate o� Alaska
requirements
|or the set back
dzstances
from any
exisiing well, wastewater
disposal
system
or public
sewerage
s�sfem on
thi r any adjacen!or ��earby lot^
4, I under�tand
at
thi rmit is valid for a
maximum
o< 3
bedrooms" l
a]so
unders thatT
I ecapaIe total
system
is
3 bedrooms and
Signed:
^
1ssued By: DATE:
K
TEST HOLE �I
PERFORMED FO
(ENGINEER'S SEAL)
Municipa(ity of Anchorage !: (Rr
DEPARTMENT OF HEALTH & HUMAN SE .O k
1 1
825 "L" Street, Anchorage, Alaska 99502 0 00 .flr z s,
SOILS LOG — PERCOLATION TEVIC/ i
i
LEGAL OESCR(PT(ON:J� 5 Pj I S Fol o I A - Township, Range, Section: -r V �l P U S,
CT" EST/\T ES SLOPE SITE PLAN
(FEET)
1
2-
3-
4-
5-
6-
7 34567
8
9
10
11
12
END
13-
14-
15-
16-
17-
18-
19-
20-4
3141516171s1s20
COMMENTS
ML -CM
511+, s; /q
Wa-11f a-;� -7'
W047r'-p—
ADDcn
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth to Water Alter
YL -(;ee -
S
L
7` O
P
E
aatt LQ1'7
PERCOLATION RATE SSL_,
(
minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN i T AND FT,
PERFORMED BY: v CERTIFY THAT TAT/IIS TEST AS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIOELIN1 N EFF T N
72-008 (Rev. aril
�t
i
TEST HOLE :"2
PERFORMED FOR:
LEGAL OESCf
6.. OE C
1
2-
3
4
5-
6-
7 67
8
9
10
11
12
f5kD
13-
14-
15-
16-
17-
'18-
191
3141516171a19
20
COMMENTS
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SE
825 `L" Street, Anchorage, Alaska 99502 -
SOILS LOG — PERCOLATION T
(EN h EER'S SEAL)
Tato
� Sy
re a�.-m��DI1TE PER
Township, Range, Sec(ion: •-F V
e, -,4S ES -1 T ATES SLOPE
lope';
ML- 6M
s:�tf Silff C-��,vz(
Stj, c.-,4
WAS GROUNDWATER
ENCOUNTERED?
S
IF YES, AT WHAT
•-1 I L
OP
DEPTH?
E
Depth to Water After
Moftu"iq? /0-6
Gale:
WATER
ADOCn
P57 -1 -J FC-AVIA165
IQ
y
�
SITE
9/
P/V-orPERCOLATION RATE 13 g�6
(���/�hl PERC HOLE DIAMETER
TEST RUN BEjW/gE/NI � �/y'AND _FT
L — G M en" I 7?, r, —j SJR r-,
PERFORMED BY: �J 1 ��� h J.S l / `�ERTtFY THAT
HIS TE T WAS PERFORMED IN
ACCORDANCE WITH ALL STAT: AND MUNICIPAL GUIDELINE I EFFECT O TNIS
72-008 (Rev. M85i
G O
SEPTI(- 5TEi'1 r
SE
\ PT IG I
Q P,ESECVE A2fA a`�SYSTEM
\ \/ WELL
SE PT IC ,
STE
WELL
J
P[?OPOS D WELL
/ \ D E�l
/ -�-•� J VEDFY ALL
SEPAK' 101
PROP ✓q \ �� / P210DISTA>N ES
BEL)
TION
4"
PIPE
REsEeVE HELL
— — _ _ \ — _ /� /l
AREA
TEST HOLE AP 15- TAN
LcYATION.
TEST HOLE I \\ O
0
SEPTIC j I SYSTEM
I
WELL o
I I
WELL
1 I
I I -
PPOPOSED SYSTEM: BED
(3 Ewm)(185 SoI:.S)(I.5)= 833 sZ 4-+.
2 I' Y 40' = 840 st f+.
VERIFY INTEGRITY � USE
EXIST. 1,000,511 SEPTIC.: TANK
CONIGTNULT pEE MOA 5PEC5
4(IWSULATE BED IFLOVEQ
LESS THAKi 3'
Z - 7
I
VERIFY ALL S1'ARATION DISTANCES
PRIO� TO CONSTRUCTION
FKON TAN r, -
IT
, -
I .
!i " �6EO FAME—
�O� O O O
2 I
4" Pr -FF
6" SEWEQ PIPE
w FOLK fjrroz PIPL_—•
IZ'
SYSTEM
LOCATION PLAN
BLOCK SUBDIVISION
_ - I I SEQUOIA ESTATES
TOWNSHIP/RANGE
S2.6 T12N R3W
SCALE, NOTE,
A, P P1J/il. 1'I= 1001 The Accuracy Of Location Of Exisiting And
DRAWN BY, Proposed Property Corners, Hells, and Septic
J E Ey K CESS Systems Indicated Is Not Exact. Dimensions
Indicated Have Been Determined By Use OC Cloth
and/or municipal Records, And Not Ily
Surveying Techniques
® ; PREPARED FOR,
PACIFIC 6ENEQAL CONT.
N
DATE, 'Q/Z3/B9 I SHEET / OF r
e t p
� "
,��i'
�s
NORTH
.>'ee"
ri.
..
Sm. Corwin
1 .^J
. C€-5283
LOCATION PLAN
BLOCK SUBDIVISION
_ - I I SEQUOIA ESTATES
TOWNSHIP/RANGE
S2.6 T12N R3W
SCALE, NOTE,
A, P P1J/il. 1'I= 1001 The Accuracy Of Location Of Exisiting And
DRAWN BY, Proposed Property Corners, Hells, and Septic
J E Ey K CESS Systems Indicated Is Not Exact. Dimensions
Indicated Have Been Determined By Use OC Cloth
and/or municipal Records, And Not Ily
Surveying Techniques
® ; PREPARED FOR,
PACIFIC 6ENEQAL CONT.
N
DATE, 'Q/Z3/B9 I SHEET / OF r