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Home My WebLink AboutDAWN LT 111� p51 0(0l 55 MUNICIPALITY OF ANCHORAGE \I DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 11 825 L Street • Anchorage. Alaska 99501 Telephone 264.4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAMEnn P ❑NEW L/J/J ZY17 UPGRADE MAILING ADDRES5_S7 /ZI-/V LEGAL DESCRI111PTION �� f, ^ u LOCATION n !/�,C/v �+� LAbsorptlon NO. OF BEDROOMS o t'�CfJ / DISTANCE TO: Yell area Dwelling PERMIT NO. O Y nQ Manufacturer I�� // Materiel No. of compartments Wf rn Liq. capacity in gallons IF HOMEMADE: L= length Width Liquid depth 6 be DISTANCE TO: WellDwelling PERMIT NO. -10Z Oz F Manufacturer I v Material Liquid capacity in gallons O W DISTANCE TO: I Foundationz7 Z% Nearest lot line PEHMI O. = O aAji� ,� w No. of lines / Length qf�j eacl(li Total leny�${h qq�1 lines/� Trench width ~'Ci Distance betWe[n I e FJ-- 2 L LU inches N Q H Top of tile to finish Materia ben Total O grade f ath tiler /' /' �[K eftectiva ,�sorpti4_n ares O Z7S�Z L-reZ Inches 160 Length Width tG PERMIT NO. W 0 n L W � Type of crib Crib dial"r Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Griller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area OTHER 007 - PIPE MATERIALS v� ✓ SOIL TEST RATIN /D/ G• �� INSTALLER �� IBM S (r RE�RKS S'C�Q lc •! % u I AW Robert A. Sbaf e"' j i .N. 1457 • ? r-rrrl\ .t► 1 APPROVED/ DATE LEGAL 72013 (Rev. y- 78) `/ \ ' 4 PERMIT NO. MUN I E I P'FIL I TY 47F= FiM4�HORFIGE DEPARTMENT 6~4EALTH AND ENVIRONMENTAL VITECTION 825 `L• STREET, ANCHORAGE, AK. 995..L 264-4720 CDt4—'SITE SEWER UF"C3&FIDE F"ERM I T ( 800304 ) �'�-yty'o v APPLICANT ROBERT BENNETT SP, 1418 MORNING DR 688-2047 LOCATION NO. PETERS CREEK LEGAL ILAYDRWN LOT SIZE 46000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = & 1 SOIL RATING <SO FT/BR)= 107 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: G+EF}TH= 7 LENGTH= 243 0F2nV[ZL_ 1>EF�'TH= 4 THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION <IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). RECaU I REF? SEFP'T I C TFINK SIZE= 1 434343 GFILL-43h15 PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- -rt4Q < 2 ] I NSF=E4�_T I 43t45 FIRE RE(;lU I REL? BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER. LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER, INSTALLATION. F='ERM I T EXP' I RES L?ECEMF3EF Z ZIAL , 1`_A5C3 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED: APPLIGANT ROBERT BENNETT ISSUED BY V4. 0 :51Y d§, 1)OTC bN So1CS -Te c,% 2)EZ� TPsIr Prov -6b 5Y67e7kk► ct) vrUc A.,,<� 4o-,- 3- g 2 — m 1 ti' m " i v -e Hell s 12-e � o . s h (�•,.! SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION O PERCOLATION 1C/ TEST 9` Pouch 6.850, Anthonpe, Alaska 99802 2762221 SOILS LOG — PERCOLATION TEST PERFORMED FOR: / //V!?r2% �J��1 L''/I�1 7- DATE PERFORMED: �/^/J.�[//��- %�/////L�JJ'6 ) LEGAL DESCRIPTION:'h Gl�v� sl7B �lu �VC' P"'/Ll "r r—� SLOPE SITE PLAN 2 / C.' /`/Lo, 4- 5, 5 b a 6- 7- 7 ct k0'ce L- L G /0/1 0,F 11 G��vr-� ; S�AN'o 10 0 /a �J0 WAS GROUND WATER //0 L ENCOUNTERED? O 12 E 13- 31415 14- is- 'wt 1s 17 • •' 18- 819 19- 20- 20COMMENTS COMMENTS PERFORMED BY:_ 72000 (7/76) 1: s�n�, •: a. �J •c RA.obart A. Sha sr No, 1457• IF YES, AT WHAT DEPTH? ==Mm Depth to Water PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN_ FT AND FT ED DATE/ `-rJ"'LIr'� r r� MUNICIPALITY OF ANCHORAGE DIVISION OF EJVIROMENTAL. HEALTH DEPARTMENT OF HEALTH AND ENVIRONPEN7AL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application. Date (a) Legal LA:s¢iption (ic.�!ludo lot, bloc}, subdivision, section, township, range) Location (address or directions) (b) Applicants Na:re Oot3 drli1 e.* Telephone 7,Z7 -1J07 Applicants Address 2�-'i/2 CY-P,f f 'lyooD ,$'� Alyc 6 r?*/ f-zv (c) Applicant is (check one Lending Institut; Owner/builder Buyer Other(explain); (d) Lending Institution Address (e) Real Estate Co. 6 Agent Address Telephone 2. Type of Residence Single -Family W Number of Bedrocrss 3. Water Supplv Multi -Family Individual Niall Community Other (describe) • 1314 1V)V Note: If camurity well system, must have written ecnfirmaticr from the State Departrent of Envinormental Conservation attesting to the legality and status. Is the well adequate for the number of bedrecrs specified in this HAA (YM) 4. Sewage Disposal Orsite>4 Public r-1 Ccmmmity Holdirg Tank Is the wastewater disposal system adequate for the number of bedroc= (YM) [Page 1 of 21 2-15-a4 Y 5. Engineering Firm Providing Inspecticrs, Tests, Data and Lnfcx-matirn I certify that ISN" checked, verified, cr ccnf= ed to all MOA HAA Guidelines in effect or. the/dat / E is inspection.Signed / Da ter% Name of F`irfn Teleohone Address !� _r�Y.\l1T tE \ Signed by �`,P u�:r.� tili w��i. .. • „ve�t� Date ! r �aLE RIVCT, Ain r.1 i /Y . `�. ��P -j�e�� f �i. Com,. .r„ ' + tr�� , L {� i✓ 6.DHEP Approval Approved for 3 Approved (ENGINEER SEAL) Disapproved Terms of Conditional Approval Conditional Cro. •.. w••.• ;L, .jce•a CG'Q-L�Y- Date 3 �y The Municipality of Anchorage Department of Health and Environmental Protection does not guarantee the continued satisfactory performance of the water supply and/ex the wastewater disposal system. This approval indicates that, as of the validation date shown above, based on the data and information furnished by an engineer registered in. the State of Alaska, the water supply and wastewater disposal system is safe and func- ticral for the number of bedrooms and type of structure indicated. (CHEP SEAL) 7. Mail the pA to Zollowing address: '7 KB2/d5/s (Page 2 of 21 2-15-84 • n /- //-� 4aW ,cJ mramw OF ANCHORAGE (MOA) 0"�oN�TY APPROVAL (HAA) 'APR 1 AWLIST - FEBRUARY 1984 A. FELL DATA REC IVED ✓.Jrwn 1�aAll 0� Well Classification. If A, B, or C, D.E.C. Approved(Y ) Well Log Present (Y/N) Date Ccnpleted Yield Total Depth Cased to Depth of Grouting Static Water Level Pump Set At Casing'Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (YM) Separation Distances frau Well: To Septic/Holding-Tank on Lot On Adjoining Lots To Nearest Edge of Absorption Fiel on Lot On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleancut/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected By Date Water Sample Test Results Cc ments B. SEPTIC/HOLDING TANK DATA Date Instal ti Yl �Siae 12 S-_0 No. of Campartments IA Standpipe (Y Air -tight Ca (Y Foundation C1earout ( ) Depression over Tank M, ) Date Last y,u ped Pumping/Maintenance Contract on File (Y46j , for �- Holding Tank High -Water Alarm (Y iy�— Temporary Holding Tank Permit ( 1V - Separation Distances fran Septic/Heidts9 Tank: To Water -Supply Well /`J To Building Foundation To Property Line To Disposal Field /0 To Water-JMer#s'.P'Service 6ine ` / Stream, Pond, Lake, a Major Drainage Course T Crammnts `T'X /. Y/h/Ir �P /� / /l a C 6 /ill S7/•7L L Fol' (Page 1 of 21 2-15-8C C. ABSORPTION FIELD IATA Soils Rating in Absorption Strata /O Type of System Design !I h Date Installed 16✓UL eU Length of Field ZU Width of Field 3 Depth of Field Gravel Bed Thickness Square Feet of Absorption Area �(J Standpipes Presen (Y-)*) Depression over Field ( )) Datee of Last Adequacy Test Results of Last Adequacy Test . C Separation Distance from Absorption Field: To Water -Supply Wall To Property Line / �5 To Building Foundation 27 To Existing or Abandoned System on L.ot. /"� ; On Adjoining Lots To Water-Wa}a/Service Line -5-0 4- To Cutbark(if present) y� To Stream/Pond/lake%r Major Drainage Course /J /Vi - To Driveway, Parking Area, or Vehicle Storage Area L'10 t Comen O C7dde� 1'0,3 D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (YIN) "PurV On" Level at_ "Pump Off" Level at High Water Alarm Level at Vent (YM) Tested for ing `ycles dining Adequacy Test. Meets MDA Electrical Codes(Y/N) Comments Check Pierm+.tted Bedroom Rating Against HAA Request ** I certify on the da, Signed . Company KB1/d5/s (Page 2 of 21 checked, verified, or conformed to all MDA HAA Guidelines in effect Date '�7�y MOA No. ." • a.e.n A. I a' M,. IIJ)1 J it 2-15-84 W 5. LEGAL DESCRIPTION DATE RECEIVED ^' INSPECTION APPOINTMENTS TIME 14 TIME TIME DATE ^ ( Y DATE DATE INSPECT INSPECTOR INSPECTOR Three ❑ Six TY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF F-ALTH & \ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE§WWNMENTA. r':. TECTION 1 825 L Street - Anchorage, Alaska 99501 since June 1975. For wells drilled prior to that date, give well rl PUBLIC UTILITY JAN 2 51980 ENVIRONMENTAL SANITATION DIVISION Telephone 2644720 REQUEST FOR APPROVAL OF INDIVIDUAL RECEIVED SEWER WATER AND FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER—F— ,R0fEA,-r� M. 6CN,� 7—T .PHONE 6 fl 'L� Y MAI LING ADDRESS gf— PROPERTY RESIDENT (If different from above) PHONE SdM� 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION Ak. Mt rUAL fAV1rj&S AN(<- PHONE 2�y-2S'T'/ MAILING ADDRESS S6-) 4✓u4 4. REALTOR/AGENT j0 L Kc, rerc-rJ PHONE MAILINGADDRESS �^/ /V . 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF"BEDROOMS ❑ One ❑ Four ❑ . Other 2( SINGLE FAMILY O, Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY sI_e. D41"1 n/ S0. r• V ❑ INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well rl PUBLIC UTILITY depth (attach log if available.) 8. SEWAG DD SPOSAL SYSTEM L� INDIVIDUAL/ON-SITE" r/ �s�d YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72010 (Rw. 61791 � THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ^ ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLICUTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAUON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Lina Absorption Area to nearest Lot Line - - - 5. COMMENTS 3-�-go- il11' cw, 04,—PPROVED FOR BEDROOMS PY,,CONDITIONAL APPROVAL (letter must accompany certificate) Ua--61SAPPROVED DATE 3 —12_ N1 BY L % 72010 (Rev. 6/79) ra -11 January 29, 1980 Robert M. Bennett SR 1418 Morning St. Chugiak, Alaska 99567 Subject: Lot 111, Dawn Subdivision Approval for your individual sewer and water facilities can not be granted until the following iters have been completed: (1) The spptic tank pwnped with a receipt submitted to this office. (2) An adequacy test bepperformed on the existing leaching a area. This test will determine if the system is adequate according to National Standards. A listing of private firms perfonhigg the test is enclosed. Sincerely, "i Robert C. Pratt, R.S. !Associate Specikkist RCP/kas cc: Alaska Mutual Savings Bank 1503 West 31st 99503 i i Municipality of Anchorage n 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264.4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION February 14, 1980 Robert M. Bennett Star Route Box 1418 Chugiak, Alaska 99567 Subject: Lot 111 Dawn Subdivision The adequacy performed on the above subject property has failed. Therefore, before we may send an approval to the lending agency, an upgrade will be required. Prior to the upgrade a soils test will need to be obtained so that a permit can be issued by this department. If.there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska Mutual Savings Bank 1503 West 31st Avenue 99503 Ken Peters % Kingston Peters Ltd. 2621 Last Tudor Road 99507 Robert M. Bennett SRB 1418 Chugiak, Alaska 99567 Dear Mr. Bennett, r DAVID A. SLENKAMP ROBERT A. SHAFER MECHANICAL ENGINEERIL ENGINEER MUNICIPALITY OF ANQiO �` 6949055 DEPT. OF I'=ALTH & 694 2979 February 10, 1980 ENVIRONMENTAL F;,OTECTION FEB 1 .;1980 RECEIVED Reference: Lot 111; Dorm Subdivision; North Peters Creek A'selm ge system adequacy test was performed on the system located on the referenced property on February 7 and 8, 1980, per your request. The septic tank was pumped and verified to have a capacity of approximately 1250 gallons. The seepage pit was full of water and had to be pumped. After the water had been removed, the pit was recharged with approximately 700 gallons. At the end of a 24 hour period,. me-isurements indicated that 286 gallons had percolated from the system. This is adequate for approximately 1.9 bedrooms. From the above survey and test it can be concluded that the septic tank is adequate, however, the absorption area will require upgrading to accommodate anything over two bedrooms. A permit for the upgrading can be obtained from the Municipality of Anchorage, Department of Heslth and Enviornmental Protection, 825 L. Street, Anchorage, Alaska. It is recommended the upgrading be performed after breakup in the Spring. If we may be of further assistance, please do not hesitate to call. I S/ss .E. cc:Kingstonl.Peters, Ltd. ATTRITION: Kingston Peters DSunicipality of Anchorage Department of He^lth and Enviornmental Protection SRS 196X EAGLE RIVER,ALASKA