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HomeMy WebLinkAboutRAVEN WOODS #1 BLK 4 LT 6Raven Woods #1 Block 4 Lot 6 015-232-27 Not eligible for Certificate of On - Site Systems Approval because final Inspection Paperwork is needed! DZunieipalit3 of. r P.O. Dox VX;G50 • .1,lchomgc, Alaska !.1519 -CM) • Tcicphonc (!N)7) 343-NUH • Fax (!N)7) 333-82(N) A 7(N) nragaw• S(rccl • Anchomgc, :llaskn 9R5(17 Alayor Alark Begich w, ,c.imml.nrg Building S dety Division 22 Jun 05 Audrey Aanes 11840 Moose Road Anchorage, AK 99516-2470 Subject: Expired On -Site Water and/or Wastewater Permit Permit Number: SW030151 Legal Description: Raven Woods #1 Block 4 Lot 6 Dear Ms. Aanes: This letter is to inform you that your permit S W030151 expired on 22 May 04. a o• d„ wS•, rrr/ Our records indicate that a house was built on this property. To date we have not received a final Inspection Report for the installation of the on-site wastewater disposal and/or the water supply system. Please be aware that you will not be able to receive a Certificate of On -Site Systems Approval at the time of any transfer of title. If you have any questions, please call this office at 343-7904. Sincerely, Kathleen Maricle Permit Clerk On -Site Water and Wastewater Program Enc: Copy of permit Community, Security, Prosperity April 23, 2004 Alunicipali' T7lI of Anchorage 3fa� kich, Mayor MARL1g ifety Division P.O. Boz 1��°) • 4700 Rragaw Street. Anchorage, Maska 99519.6650 • (90 i) 343.8301 • Paz (907) 343.8`00 1ittp://A�.mttni.org Audrey Aanes 11840 Moose Road Anchorage, AK 99516-2470 Subject: On -Site Nater and/or Wastewater Permit. Permit Number: SW030151 Legal Description:'Raven Woods #I Block 4 Lot 6' Dear Ms. Aanes: An On -Site Water/Wastewater Permit, number S W030151, issued by this office for a single-family system, will expire on May 22, 2004 This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Eneineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A new permit for a second year may be issued for a fee of $115.00 if the renewal application is received on or before the expiration date of the original permit. When applying for anew permit, the fees are: $460.00 for a wastewater permit and $175.00 for a well permit. If you have any questions, please call this office at 3.33-7904. lin/rely, �/ fo� s Cross, P.E. ger On -Site Nater and Wastewater Program Enc: Copy of permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & 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: May 23, 2003 Expiration Date: May 22, 2004 Permit Number: SW030151 Parcel ID: 015-232-27 Legal Description: RAVEN WOODS #1 BLK 4 LT 6 Design Engineer. 0088 Anderson Construction & Eng'g Site Address: 011840 MOOSE RD Owner Name: AUDREY AANES Lot Size: 61420 SQ. FT. Owner Address: 11840 MOOSE ROAD Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516-2470 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 By: Issued By: 000ft///*1//'2//'Z� Date: Date: 23 LO Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D.QIS 232-27 Permit Number SWV 30/ F/ Property owner(s)e4y dfila( Aa n e 5 phone 3'q S- O jZ 1 Mailing address (1) /1.Y'-/0 Woo-- (2 / ,//Day 41, .�AI-A LL 4195110 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) 0VfiV LV60DS */ BLack 4 LDT 4 Legal description (Section, Township & Range) Lot Size 2. Q 'f' creg.Ft Number of Bedrooms 3 61, 20 THIS APPLICATION IS FOR: Sewer Only Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. (Signature of property owner or authorized agent) Permit Fees: y(i O, fr Waiver Fees: _ Date of Payment: .711201Date of Payment: S % 3 Receipt Number: Receipt Number: 3 (Rev. 12/00) Michael N. Anderson, P.E. Civil/Structural Engineering 4640 Shoshoni Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 343-5-229 May 20, 2003 7 2 7—$�66 4 Municipality of Anchorage Department of Health and Human Services P.O. Box 196650 1 Anchorage, Alaska 99519-6650 Re: Lot 6 Block 2 Raven Wood Subd. To Whom it may concern: This is a request for a permit to replace the existing septic system for the above residence. The current leach system has failed, the tank is collapsing, and the system is inside the 100 foot well radius. One new test hole was excavated to 17 feet, the soils were silty gravels for the top 6 feet, then 3 feet of tight silts then sandy gravel below that to the bottom of the hole. The perc rate was 3.3 minutes per inch however the system was designed using a slower rate for life of the system. A new 5 wide with 4 feet of rock has been used to keep the system away from the slower silts. No water was observed during the excavation or over the 7 day monitoring period. The slope of the lot is from the ridge see the plan which bisects the lot, with 2 to 3 percent towards the house and the northwest lot comer. This new system will not impact the neighboring properties due to the large lot sizes and layout of the existing systems. If you have any question please call me at 345-3377 Sin�cer�elyy Mich' hael N. fdrerson DESIGN CRITERIA: 3 SDRM X 150 = 450 GPD SOILS = 450/0.9 = 500 SQ FT REQ'D 500/8= 63' TRENCH (1) TRENCH 6' DEEP 4' EFFECTIVE 2.0' WIDE 63' LONG EXISTING 100' WELL RADIUS 0 IZZL li MOUND OVER b GRADE 1OR b (FILTER FABRIC do —16' b GM u Ave I Septic Design Prepared For AUDREY P. ANNES LOT 6 BLK 2 RAVEN WOOD S/D Anchorage, Alaska Prepared By MICHAEL N. ANDERSON, P.E. 4640 SHOSHONI DRIVE (907) 345-3377 / FAX (907) 345-1391 SCALE: 1"=200' MAY 14, 2003 z.W 1 --DRAIN ROCK \ t of at4 � MICHAEL N. ANDERSON •, C�E 9469 I I 1 1 1 1 L-- TEST 1 � I I 1 1 1 MT GALLON T DOUBLE ------------ EXISTING HOUSE WELL` DRIVEIVAy �{ T.C.O. Septic Design Prepared For AUDREY P. ANNES LOT 6 DLK 2 RAVEN WOOD S/D Anchorage, Alaska Prepared By MICHAEL N. ANDERSON, P.E. 4640 SHOSHONI DRIVE (907) 345-3377 / FAX (907) 345-1391 SCALE: 1"=50' MAY 14, 2003 L` EXISTING TANK AND '^ CRUSH IN PLACE w 1 I 1 a 1 0 I a I 1 = 1 1 0 D vDi EXISTING WELL 100' RADIUS Sp�E•OF qtQ %l *0 .490 • ,I PvMICHAEL N. ANDERSONX, CE79449 J Municipality of Anehoraga DEPARTMENT OF HEALTH 3 HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: I //'F /IAS I -ph A9 DATEPER LEGAL DESCRIPTION: v Y 17 Z 1� �W �n N!n✓� ToWnship. Range. Section: DEPTH SLOPE SITE PL ►ESTI oiq ant r .�, � F—F—F7- 1- 2- 3- 4- 5- 6- 7- fl. - 3- 4- 5- 6-7•9. 9• 10. 11 12 13 14 15 16. 17 18 19 20 :OMMENTS Sr 14,h �-ve&,.r l t' h �- SI I I'., WAS GROUND WATER n,( „ ENCOUNTERED? �� So I J— IF YES. AT WHAT / DEPTH? kr av-a� Ni�w? WSW PERCOLATION RATE ¢ � r / lmmutevun1 PERC HOLE DIAMETER 4 TEST RUN BETWEEN FT AI ND FT PERFORMED BY: Ni t f 6, C /K Am J e( 4+4 I CERTIFY THAT T� �� 3 WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ffAM����WAMMNFAQMMK MM PERCOLATION RATE ¢ � r / lmmutevun1 PERC HOLE DIAMETER 4 TEST RUN BETWEEN FT AI ND FT PERFORMED BY: Ni t f 6, C /K Am J e( 4+4 I CERTIFY THAT T� �� 3 WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-013 ev. 3/78) MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &RAGE PROTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONNVIRONMENTAL ENVIRONMENTAL ENGINEERING DIVISION �C T �[�@ 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 p, „z QV' ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION NAME A APMEs AP p EW Ude 5•IS I;<UPGRADE MAILING ADDRESS O, LEGAL DESCRIPTION 6 ,jetlWoo Su T W SEC 23 LOCATION NO. OF BEDROOMS '�1G0 Well Absorption area Dwelling RMIT PENO U DISTANCE TO: -71I + {. g 4,C)�J �G _Y nZ Manufacturer Mate . No. of compartments yf e S Liq. capacity in gallonsIF HOMEMADE: length Width Liquid depth Y DISTANCE DISTANCE TO: Well �- Dwelling PERMIT NO. J�2 _ H Manufacturer �. Material Liquid capacity in gallons O m= DISTANCE TO: Well 0 Foundation (oS Nearest lot line - S PERMIT NO. BfsO C7 G j IL Z No, of lines Length of each line Total length of lines Trench width Distance between lines f z.� 70 410 O inches f Top of rile to finish grade Materizl beneath tile Total effective absorption area o,5 (CC) inches DO .8F Length Width Depth PERMIT NO. Qa L w ° Type of crib Crib diameter Crib depth Total effective absorption area y DISTANCE TO: Well e' Building foundation Nearest lot line J ClaspDepth._ '- Drillef Distance to lot�line PERMIT NO. J rIU k4a ,1 I Akzo DISTANCE TO: Building fqutidation Sewer line Septic tank Absorption area(s) 416 T.I } OTHERt o. O A sn/ 4 ,,+ PIPE MATERIALS :a .,, oq SOIL TEST RATING/ +: S917 I INSTALLER ••••• •• • •�•�••• ;0 WUER/ .... ell r o REMARKS• ony D. BeYTer •� 1, r : ... CE—bIf30 �.�% A o W amp i�' '•. a Ib� r 1 t u � 1� S'tcwle s r r 4 Sine e. t ^Lonek tsb eo es r re ore q APPROVED DATE LEGAL 72-013 ev. 3/78) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENV! NTAL PROTECTION . B25 L STREET, ANCHORA6 K 99501 264-4720 ON—SITE SEWER PERMIT PERMIT NO: 860306 UPGRADE DATE ISSUED: 08/22/86 APPLICANT: AUDREY ARMES ADDRESS: 11840 MOUSE DR. ANCHORAGE, AK 99516 CONTACT PHONE: 345-0715 LEGAL DESCRIN SUBDIVISION: RAVE064D LOT: 6R BLOCK: 4 SECTION: 23 TOWNSHIP: 12N RANGE: 3W LOT SIZE: 1.5A {SO.FT, OR ACRES) I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage {MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit, 3. I will 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 nearby lot. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED, i2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT! AND 13) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN, 1 SIGNED DATE: APPLICANT: AUDREY AANES ISSUED BY I DATE: NICIPALITY OF ANCHORAGE Department oliealth and Environmental 4tection Pouch 6-650, Anchorage, AK 9950 264-4720 On-site Sewer/Water Permit HANDWRITTEN Permit No: Date Issued: Applicant: Address: Legal Des Section: Z,1 Township: /Z -LL_ Range: .?—Z/,—)- Lot Size: _(Sq. Ft Lot Location: Max Bedrooms: 2 or Acres) Listed below are the options available to you in designing your septic system. Choose the option that best fits your site. ---------------------------------------------------------------------------- TREN�C-Hr ABED W. DRAIN Depth to pipe bottom(ft.) Gravel depth (ft.) 'vriO Total depth (ft.) Gravel width (ft.) Gravel length (ft.) (1CJ�D Tank size (gal.)!STi�t Soil rating (sq. ft./br) 39 7 ** Gravel length 75 feet requires multiple runs (not exceeding 75 feet each) ** Tank must have at least two compartments ---------------------------------------------------------------------------- I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage(MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will 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 nearby lot. 4. I understand that this permit is valid for the maximum number of bedrooms stated above, and any enlargement or modification will require an additional permit. IF A LIFT STATION IS INSTALLED IN 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 ELECTRIAL WORK MUST BE DONE B'(Y� A LICENSED ELECTRICIAN. SIGNED �QPJ�G`_Y 1V�ves DATE: Applicant ISSUED BY: DATE: 4ZZ:� • . SOILS LOG MUNICIPALITY OF ANCHORAGE +.e DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 n/. SOILS LOG - PERCOLATION TEST PERFORMED FOR: adLE {{3811a DATE PERFORMED: LEGAL DESCRIPTION: L - hp 6169k 4A1,12d WOOD %/ZAI )eSW 46-C..2.3 I IIIATIHI SLOPE SITE PLAN 1 1111 2 3 4- 5- 6 5 6 7 :Q 10 15 16 17 18 19 06- 6PN S;l�}y Grwuel pS� OF A(,4S�1 *0:49111*T*1 D. Barter C _jj0000 •F d'o `!'7•ry0 GROUND WATER S OUNTERED? O I- P I T YES, AT WHAT E !PTH? Reading Date Gross Time Net Time Depth to Water Net Drop O �: oa $9116 /Jl6 ao6c i S:3o (,�*6 r5 N 6:01 6: .30 S � /b 9 20 I JJJ L___I PERCOLATION RATE !,J� -(minutes/inch) Ju SJ=/ej(ep11 .�TEST RUN BETWEEN �L. FT AND � FT PERFORMEDBY: CERTIFIEDBY: DATE: 72-008 (6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264.4720 SOILS LOG — PERCOLATION TEST SOILS LOG � -oV-e� C/ - PERCOLATION TEST I)P&R. }-L7 E z 8edrer- PERFORMED FOR: Adee,1 It!/ kYleA . / (� %0G7DA1TE PERFORMED: �ia 49 LEGAL DESCRIPTION: F -R/ f -9K �L �f- Q�1 1L®6d�lE �"1 SLOPE SITE PLAN PE/(R��FrORMED,�JBY:: W " d" 72-008 (6/79) WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Alp F E Reading Date Gross Time Net Time Depth to Water Net Drop 1� �e0 (lib 90 10 12,0 51l 1,16 �o Ib PERCOLATION RATE�T 14F�hLB (minutes/inch) TCCT QI IPI RFTIMPPKI I FT AND If FT G WIM ,' AA9-HD.i t G R ANCHORAGE AREA BORO10 O RTMENT OF ENVIRONMENTAL QUAILIT 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279.8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM AL SEPTIC TANK: i DISTANCE FROM WELL 71 MA MAILING C«= �66 OF i MFNTi LIQUID LIQUID CAPACITY 1� —GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH_ SEEPAGE SYSTEM: SEEPAGE PIT: 7g— NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH , LENGTH le , DEPTH 41 , LINING MATERIAL ,LO Gam' .DISTANCE FROM WELL �d i ` , BUILDING FOUNDATION Z , NEAREST LOT LINE �/ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. DISTANCE FROM WELL NUMBER OF LINES DISTANCE BETWEEN LINES ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE TOTAL LENGTH NEAREST LOT LINE . OF LINES_ TOTAL EFFECTIVE DATE F " 7" 7e - TOTAL e i i GROER ANCHORAGE AREA BOUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279.6686 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT _v'Ste'AJ �OP-T/4MAILING ADDRESS �y /" ���/'w PHONE a�q --12 77 INSTALLATION LOCATION +1 -t C IV C I LEGAL DESCRIPTION P�Uz��' INSTALLATION OF: SEPTIC TANKySEEPAGE PIT j� DRAIN FIELD . OTHER TYPE AND SIZE OF FACILITY TO BE SERVED p B F FINANCED THROUGH T TO BE INSTALLED BY /-Y SOIL TEST RESULTS - P�-wl�/JY� NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED - - 70 FINAL INSPECTION. 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT' AUTHORITY WILL BE SUBJECT TO PROSECUTION. ..J [- / SEPTIC TANK SIZE • �6 TYPES EEG ®R'` f6� ,0 EPAGE AREA SIZE &'r/L� �J/` ZES/ TYPE Z ee/&/ s MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK / q / FOUNDATION TO SEEPAGE PIT 6 0 DRAIN FIELD �6 / SEPTIC TANK TO SEEPAGE PIT WALL r / / SEPTIC TANK 5 SEEPAGE PIT _2 DRAIN FIELD 1/10 TO NEAREST LOT LINE. WELL TO SEPTIC TANK - 5Q / SEEPAGE PIT DRAIN FIELD �� / ALSO CONSIDER AREA WELLS. f ( / WATER MAIN TO SEPTIC TANK 'lei PIT �Q , DRAIN FIELD SEPTIC TANK, SEEPAGE PIT ,LfB�, GRAIN 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. XYUIL 0 , 49 HEALTH AUTHORITY OR LICENSED DESIGNER 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE ---L J - ZZ APPLICANT'S SIGNATURE DIAGRAM OF SYSTEM AREA BOROUGH ORDINANCE NO. 2 -60 AND THAT THE ABOVE ' GREPER ANCHORAGE AREA BOUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. ------ _ 3500 TUDOR ROAD POUCH 6.650 ANCHORAGE, ALASKA 99502 TELEPHONE 279.8686 - SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT ��rf%C-i✓ IVO,�� ��✓'c�� MAILING ADDRESS �j � �✓�G`,fT P ON I, INSTALLATION LOCATION T''t./3/?iC.7 %G <&we LEGAL DESCRIPTION � ��� �,t j INSTALLATION OF: SEPTIC TANK J SEgPAGE PIT /� DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED..%lff0 Q�ZflO/Yi .f%�✓�I:G %/�/Gf ®�(�/ 7//��� //��E'Zt✓ FINANCED THROUGH // TO BE INSTALLED BY I-71-1 - SOIL TEST RESULTS - .� L%��!>/l'=' NOTEt THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED. z' y% -e FINAL INSPECTION, 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE-��*✓� ��G TYPE -14fJ MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK ✓�� / FOUNDATION 70 SEEPAGE PIT,DRAIN FIELD___„_, SEPTIC TANK TO SEEPAGE PIT WALL — _9 SEPTIC TANK 'sy SEEPAGE PIT -'ate DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT j DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK zzl . SEEPAGE PIT '/o/ DRAIN FIELD SEPTIC TANK, o:Z5 SEEPAGE PIT f, DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL, 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKPILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHOR TY OR LICENSED DESIGNER I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF DESCRIBED SYSTEM IS I�TNACCORDANCE WITH SAID CODE. DATE - / APPLICANT'S SIGNATURE I ORDINANCE NO. 28.68 AND THAT THE ABOVE i DEPARTMENT OF ENV! ROI'VENi`:L QUAL11= CASE # 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 Performed For ccx. 1 i 6ee ' Date Performed qu�_tiSg)� Leaal Descrintion: Lot L_Block. Suhdivision-V-12�Ufv\ALk)O, l — This Form Renorts Soils Log _ Percolation Test_ Oenth Feet Soil Characteristics 1 — 2 — 3— C e 1-y, s' A— C3so� 5 — _ -- -- _- -_ 6 — 10 Was Ground Water Encountered? nc If Yes, At what Depth? Percolation Rate "Iinute Proposed Installation: Seenane Pit m a i n d Depth of Inlet_ Deeth To Fiottom Of Pit Or Trench. COMMENTS — --- i�Q �I�owe�. iia Test Performed By_%per_--=--L - i- Data Certified F,v: Date: Reading Date Gross Time I Net Time Depth to H2O Net Dron; I ( i ! j I I i i Percolation Rate "Iinute Proposed Installation: Seenane Pit m a i n d Depth of Inlet_ Deeth To Fiottom Of Pit Or Trench. COMMENTS — --- i�Q �I�owe�. iia Test Performed By_%per_--=--L - i- Data Certified F,v: Date: Reading Date Gross Time I Net Time Depth to H2O Net Dron; Percolation Rate "Iinute Proposed Installation: Seenane Pit m a i n d Depth of Inlet_ Deeth To Fiottom Of Pit Or Trench. COMMENTS — --- i�Q �I�owe�. iia Test Performed By_%per_--=--L - i- Data Certified F,v: Date: i i A-e,u� da-� W 46--�4 /��a�ec�r6nd C au y d. \J L-1) A -,e cL(,)j ac