HomeMy WebLinkAboutTHOMAS L BOYLE BLK 1 LT 5BThomas L.
Boyle
Block 1
Lot 5B
#015-282-26
Municipality of Anchorage Page 1 oI 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: 5K/ 950"4` PID Number: —0/_S�Z-9 7-7�4
Nam°'YoLnQoA NERNANI) C 7_
Wastewater System: ew ❑ Upgrade
Address./ZJy/Q, 1JAjxt=_ STR.CGT
ABSORPTION//FIELD -
Phone: 345 - e,0 07
No. of ooms:
O Deep Trench O Shallow Trench 19'Bed O Mound O Other
LEGAL DESCRIPTION
Boil Rating: p
Total Depth from original grade:
' ..PD/S FI
$
'
Lot: Block: Subdivision:
Depth to pipe bottom from ongmal grade:
Gravel depth beneath pipe
56 1Lis
& Ft
FI
Township:
Range
SOCllod:
Fill added above orginal grade,
Gravel length:
FI
Ft
WELL: GXII��Jew ❑ Upgrade
GrarNwdtn: :/�
Number of ,:
D+rrA S tr sa
F
Classification (Private. A,B.C):
Total Depth:
Cased To:
Total absorption aha:
Pips mato:
Ft
Ft
%Sd O Ft
1"Yc/ 4074
Driller:
Date Drilled:
StalKwalw L":
Installer.
f'
Date ailed:
Ft.
ri•
�/ ��/ %
Yield.Pumps.t.t:
casing h"m Above Ground
TANK
GPM
FI
FI
SEPARATION
DISTANCES
0Septic E3 Holding 13'S.T.E.P.
To
Septic
Abs"lron
Lm
HM g
PubiwPavate
Manta turer.
Capacity M gallons:
From .
Tank
Field
Stenon
Tru
4 L+ue
/, P-"
Well
/WS
/O/!!;-
✓�
✓�
�'
Material:
Sys
Number of C;ampsrtmenls:
.L
Surface
)'/ovs
/W
/
LIFT STATION
Lot
Line
3�4
C
/o—
/
r
Sue In'gelbna:
L
Manuhcturer.' '
v5/
Foundation
i ZOV
f�
'Pump on' level at.
I'Pum-po"'lovelatif
Night water awm ar
a/ 1$
Curtain
Drain
I d
/T
�.
✓e
�.
�•
Pump Mle a Waal
ZIP oS
Electrical Imp scums performed by:
MOA Pmmw 0. 95-91M
Remarks: 0v117/.Jt, S PT1t. -r7L jwR AS
BENCH MARK
Location and Descy peon:
%limmIcO Sourio Apio Li'L7- fiJ t4rjr
!4/.c'41
14T TUC- R�C4UCST' OF 7N£ VMWCR-.
Assumed Elevation:
_
/00=
'
ENGINEER'S SEAL
Vi .
I.
,/ C
Inspections performed by,.--, Dates: lsr
^'• '`. `a .i =.cif.
.. r.....'•.....::: �...:...{
:o
'' �4, MK1104 L. Os.wcaon : #Ar;Vf
Department of He Ith and uTa ervices approval
G:.'. A30 - I"
i r �. '.• A
Reviewed and approved b : *t+ Date: H
'�
72-013(Flet. and I MOA K V
I_
tel( MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
On -Site Sewer/Well Permit Application
NOTE: App4m~ n,ust ba Read 00 Compi,k 1N"tV I' SINGLE FAMILY DWELLING PucN ganuhuhM Number
^!
Property Owner Name 1 f 1, Day Phone 3` 11— f t - f l
Mailing Address /I 6y/ A-) A aAlGTZ Sriz-Ce-r Zip Code
Legal Description
5*8
LL
sacwn Township Renge
Lot Size AuesSb Ft Inspections will be conducted by:
Number of Bedrooms: FDU2 XpCYX Approved Engineering Firm
Municipality (permit fee Included)
Does your house contain any of the following: Hot Tub, Swimming Pool, Therapy Pool, Jacuzzi,
or Water Softener Unit? If yes, which one?
This application is for. Sewer Only Sewer and Well Sewer Upgrade VX)S Well Only
certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling
and in accordance with applicable Municipal codes. A .1 c. n
Fees:
72-012fAm WWI
Receipt If
Permit tt
,.J t"t'7L
• Perml! Na S L J 15033tt Page Z of 3
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: Lor 56� $cOc l , BoYtG 501)12 12014 PID No: 01S7—$LZL
Av
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{,`� J�MuhccA-:51 ed^f.on
Perrnit No.. 5 u.) Q503 34
Page _3 of —3
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: 515, $t,0cr1-1 13otiL.0 Su30%41Si0rJ PID No.: 015z_At2f:
SW 1$e _
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96-05-16 06:59 RCVD
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
563.7T55 563-5389 FAX
MEMORANDUM
DATE: May 16, 1995
TO: Jim Williams, MOA- DFRIS
FROM: Mike Anderson, P.E. mF-J�-
SUBJECT: Lot 5B, Block 1, Boyle Subdivision
Septic System As-Builts
I have modified the septic system as -built for Lot 5B, Block 1, Boyle Subdivision in
accordance with your comments. These modifications are as follows:
• Additional swing ties have been added referencing the various components of the septic
system to corners of the existing structure on the lot.
itr:;prCT��rl NVORT
NUN Ir I['AI. [TY n^ ArJI:I101,A1",. 1:11 Mr, ING ,q CI'r rl R''[�intd
;t,;00 FAM IUpnH POAU
IfJ') ^,f,T[IIrJC (`IOi)`i(r ^•}G4 UJI"I!'NATION
��1)IC x(11 (�U.,IoI:LL(-T, rr,r,r�TT
ADUI:E.,_'• �I641 L.ua�)ic� S -r. NIONI: I: ��
LOT: 5{, r,[,nr.l:: SURD: IIA'Tr.:� t5-�Z15
COW11:01: 1 Pity) e Z -Z Z - W,'
=b 71------------ -
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Ui,Lri INk.r1 [II [ ntl
I'. I W ILL ?FEXAh INC A'r :1 XT [N;t'CCT EIIN L ] 110 NOT C11?Ir:I:AL UNTIL f r. U C^"CI'ED
---------- - --- ----- --------- --- - ---- - ---
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PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650 nl
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW950334 DATE ISSUED:10/10/95
DESIGN ENGINEER:ANDERSON ENGINEERING EXPIRATION DATE:10/10/96
OWNER NAME:HERNANDEZ YOLANDA
OWNER ADDRESS:11841 WAGNER ST.
ANCHORAGE, AK 99516
PARCEL ID:01528226
LEGAL DESCRIPTION:
BOYLE BLK 1 LT 5B
LOT SIZE: 49500 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
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 B
ISSUED BY:
DATE: /o/itltS'
DATE• O i
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, ALASKA 99524
September 23, 1995
Municipality of Anchorage
Department of Heath & Human Services
825 'L" Street
Anchorage, AK 99502-0650
Subject: Lot 56, Block 1, Boyle Subdivision
Septic System Design
Impacts to Adjacent Properties
Dear On Site Services Engineer:
The septic system on the subject lot has failed and must be replaced. We are
therefore requesting a permit be issued to replace this system with a new pressure
system designed for a four bedroom home. The lot is currently occupied by a two
bedroom mobile home. The attached site plan and backup design information shows
the location of the new S.T.E.P. Tank and Absorption Bed. Testholes placed on the lot
revealed a clean SP/SM material underlying a shallow organic mat. Groundwater was
found at a depth of 5.5' and the bottom of the bed placed to assure the 4' separation
distance was met.
The topography of the lot is nearly flat with a slight 2% to 4% east to west grade at
the location of the absorption trenches. No surface water is evident on the lot and
the drainage patterns will not be affected by this construction. The property to the
east is vacant and setback distances from the well and septic system to the north,
south and west are easily met.
1
2.
3.
4.
The system, if constructed as designed, will have no adverse impact on the
wells in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on
reserved space, either surface or subsurface, on any lots located in the area.
The system, if constructed
drainage patterns in the area
Sincerely,
Y E a,4,—
Michael E. Anderson, P.E.
Attachments
as designed, will have no adverse impact on
The current drainage pattern will be maintained.
lrR:CftT�i %3, of
Michael E. Anderton
.. 4381•E
P%IOrE
m N
WA
0
THIS PROJECT
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LOCATION MAP
LD
LOT 5B, BLOCK 19 BOYLE SUB.
SITE PLAN
SCALE 1' = 40'
_ tN,I GIVER
p , O
SO X06 E. /6S �REc.� _ �, o •
i TeE'(=i
r
e
O
,F 500 4 A LL,04
5.7-E.P. TA.J1L
rn
�
a
P,
,
r
e
O
,F 500 4 A LL,04
5.7-E.P. TA.J1L
/ NOTE: Existing tank to be crushed, filled
with sand and abandoned in place.
E. Andarwn :� `i
4381 -E • . d
pp <-
��
�C �A:1CFE:;S�O��
/ NOTE: Existing tank to be crushed, filled
with sand and abandoned in place.
LOT 5B, BLOCK 1, BOYLE SUBDIVISION
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Four Bedroom Home Shallow Bed System
Perc. Rate: 1 to 5 MinJlnch 1,500 Gal. STEP Tank
Application Rate: .8 GPD/SF Pressure Distribution Piping
4 Bedrooms X 150 GPD / .8 GPD/SF = 750 SF of Absorption Area
750 SF/15 SF (Width) = 50 LF Length of Shallow Bed
Therefore: Construct
a 15'
Wide X 50' Long Shallow
Bed System with a
1,500 Gallon S.T.E.P.
Tank
and Pressure Distribution.
Distribution Pipe
In Bed Placed at .5'
Below
the Original Ground Surface.
dA rVQAt_ F3Ac+r Ft�L.
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z" N= Ttsuu-r10r1
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i . n ��rn •n..rr �\\rr S /SM Vrr .\.ru .airr .
2.5� S� S Z•5�
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TYPICAL SHALLOW BED SECTION"`
(NO SCALE)44
b,
, A'd<hacl E. And .rnn .;
i' '•, = y
4 91 •E
iii'%'�"........•e` r
NOTE:
Bottom of Bed to be 4' Above Groundwater.
�
a�
Grade Area Over Bed to Drain Away.
Place 2" H1 Direct Burial Insulation Over Distribution
Pipe.
Remove All Peat/Organlcs to Underlying Sand
MunicipaNty of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 OV Street. Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMEDFOR: Ml=.— Act— DATE
—,(ENGINEER'S SEAL)
M,ichavl E. Andcl�n
LEGAL DESCRIPTION:
dor SS 131or c. / 192XL-C Township, Range. Section:
^ pT/OL SLOPE SITE PLAN
� pr—��t ITi-1—i 'TITi
10
11
12
13
14
15
16
17
18
19
ST/SM
OF 140pa-
U
7
3
WAS GROUND WATER • /CS
ENCOUNTERED? T
IF YES. AT WHAT S.S�
DEPTH?
kvA to "NwAff";" "A"15. s' e V/1-1 TS
20 .� I .
uPERCOLATION RATE (eu+) PERC MOLE DIAMETER
TEST RUN BETWEEN Z' FT AND 3 FT )
COMMENTS e2rwOC PZ-CU*Zcs a/l4oa -ro—reST', > So '/s of SPJSM AA are
PASS¢S 40. `f SG/VE
PERFORMED BY: A KAkALA •t&I...L..CERCIFYTTTI{/IS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE 9�1. 9S
72-008 (Aev. 4/85)
r�
a
5
�-
6
,
8-
;
t
9
10
11
12
13
14
15
16
17
18
19
ST/SM
OF 140pa-
U
7
3
WAS GROUND WATER • /CS
ENCOUNTERED? T
IF YES. AT WHAT S.S�
DEPTH?
kvA to "NwAff";" "A"15. s' e V/1-1 TS
20 .� I .
uPERCOLATION RATE (eu+) PERC MOLE DIAMETER
TEST RUN BETWEEN Z' FT AND 3 FT )
COMMENTS e2rwOC PZ-CU*Zcs a/l4oa -ro—reST', > So '/s of SPJSM AA are
PASS¢S 40. `f SG/VE
PERFORMED BY: A KAkALA •t&I...L..CERCIFYTTTI{/IS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE 9�1. 9S
72-008 (Aev. 4/85)
PR6'SSUIL'c bl'3MICU-nO 1 CAVWt.Ariott
JOB
SHEET NQ OF
CALCULATED 8v DATE
CHECKED BY DATE
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ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: Lot 513, Block 1, Boyle Subdivision
GENERAL:
1. The scope of this project includes the procurement and
installation of a 1500 gallon S.T.E.P. Tank with a lift
station and the construction of a 15' Wide X 50' Long
shallow absorption bed. Work also includes the demolition,
filling with sand and abandoning of the exisiting septic tank
in place.
2. Construction shall be in accordance with the approved site
plan, 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 all
underground utility locates and for the layout of the septic
system.
4. Unless specifically agreed otherwise, the property owner
shall be responsible for final grading areas subsequently
depressed from soil settling. Property owner shall also be
responsible for revegetation of affected areas unless
specifically agreed otherwise.
5. Contractors installing wastewater disposal systems must
be certified by the Municipal Department of Health and
Human Services for system installations. Owners installing
their own systems must receive prior approval from D.H.H.S.
before beginning system installation.
LIFT STATION INSTALLATION
1. The lift station is to be constructed by a certified tank
manufacturer. Construction shall include an 18" manhole
for access to the lift station.
2. The lift station shall be sufficiently bedded to prevent
settling or shifting of the tank.
Lot 5B, Block 1, Boyle Subdivision
September 23, 1995
Page Two
3. All standpipes on the lift station shall extend a minimum of
12 inches above final grade.
4. Lift stations installed without 4' of cover shall have a
minimum of 2" of direct burial insulation.
5. A foundation cleanout shall be installed one to four feet
from the building foundation. No cleanouts are required
between the lift station and the drainfield in a pressure
distribution system.
6. Final grading over the lift station shall be such that a
positive slope exists away from the septic tank.
SHALLOW ABSORPTION BED CONSTRUCTION:
1. The absorption bed shall be constructed to the dimensions
shown on the design. The bottom of the bed shall be within
2" of level. The bottom of the bed must be raked before
gravel placement.
2. Distribution piping
must be placed
level with
perforations
down atop a level
bed of drainfield
rock. Rock
should then
be placed over the
pipe to provide a
minimum of
2" of cover.
3. A silt barrier or geotextile fabric must be placed between
the drainfield rock and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the
locations shown on the design. The portion below ground
must be perforated.
5. Direct bury insulation must be placed over the distribution
system when less than 3' of backfill depth is available.
Finish grade over the bed must be mounded to prevent
settlement or depressions.
Lot 5B, Block 1, Boyle Subdivision
September 23, 1995
Page Three
MATERIAL SPECIFICATIONS:
1. The lift station must be constructed by a Municipally
approved septic tank manufacturer. An Orenco 20 OSI 05
HHF - 5 is recommended.
2. The following pipe materials are approved for use in septic
system installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C.
(perforated and solid), ASTM F810 or H.D.P.E. (perforated, but
not solid) and ASTM D2662 or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial
polystyrene (Dow Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with
watertight couplings (Caulder, Fernco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must
be installed between the final drain rock layer and the
native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than
3% passing the #200 seive.
INSPECTIONS:
A minimum of two inspections are required by Municipal
Ordinance. These inspections must be conducted under the
supervision of a professional engineer registered in the State
of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation
of any gravel. A septic tank may be set in place, but may not
be backfilled.
The second inspection must be conducted after the placement
of the geotextile fabric, gravel, distribution piping,
Lot 5B, Block 1, Boyle Subdivision
September 23, 1995
Page Four
standpipes, cleanouts and insulation. No backfill should be in
place at the time of the second inspection.
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MUNICIPALITY OF ANCHORAGE
IIC�'th and Environmental Prot( ;ion
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
264-4720
1N5 ECTION_ REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAMF. _�¢ — �.--.:�- MAILING ADDRESS ��a. -P PHONE
LOCATION w^' LEGAL DESCRIPTION__L,,7'
SEPTIC TANK:
DISTANCE / %t� NUMBER OF
FROM VILLLi'__ MANUFACTURER MATERIAL COMPARTMENTS
1NSIUC LENGTH INSIDE WIDTH _ LIQUID DEPTH LIQUID CAPACITY &C-10 GALLONS.
TILE DRAIN FIELD:
UISTANCC FROM V:ELL FOUNDATION —NEAREST LOT LINE TOTAL LENGTH
OF LINE .3
# Of Lines DISTANCE BETWEEN LINES TRENCH WIDTH_ IN. TOTAL EFFECTIVE
l.ISSORPT ION AREA _36! V SO. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
UC(1111: TDI, OF TILL 10 I INISII GRADE MATERIAL RENEATII TILE 197, ABOVE TILE IN.
SEEPAGE PIT:
DIAMETER —OR WIDTH_, LENGTH_, DEPTH
Log Crib _Rings_ Crib Size: DIAMETER_—DEPTH_ DISTANCE FROM:
TOTAL EFFECTIVE
CUILDING FOUNDATION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA;
lel l
:lass: Depth:
I
ell Distance To: Lot Line _
Bldg: Sewer Line:
ripe Materials:
of Bedroom.,t:
nstaller:
remarks:
NJTFt . u� re,l(1per� n
WELL
FT.
DATE 1L-di_nAPPROVEDC,t�'
--
,-1
-
-I---
t--
-
4
I
d-
l_
_
37
-
-
DATE 1L-di_nAPPROVEDC,t�'
NAME OF APPLICANT
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
7330 ••C•• STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274.4561
Arcw.l.'
11 -AA -7 Lt-)LPJ
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
INSTALLATION LOCATION VE
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
MAILING ADDRESS Cl i?A �0/1 IS -y? -• PNONEJ l7 - / f %%
PIT
OTHER
FINANCED THROUGH TO BE INSTALLED BY
SOIL TEST RESULTS . NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION 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 TYPE
MINIMUM DISTANCES. REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT
SEPTIC TANK SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK I SE
DRAIN FIELD AI
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEPTIC TANK. SEEPAGE PIT
TO RIVER. LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK A
EXCAVATION B FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES OI
FITTED WITH AIRTIGHT REMOVABLE CAPS.
�/ (I ((
�.,
GRAVEL BACKFILL % r a Y% -
CONFORM TO BOROUGH REGULATIONS RE f ARD/
OR
LICENSED D951G1
1 CERTIFY THAT I AM FAMILIAR WITH THE REQUII
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SA
DATE lo -LI -27 APPLICANT'S
►ORM NO. EQ -014
n
N
GARY PLAYER VENTURES
CONSULTING GEOLOGIST
BOX 476-M, STAR ROUTE A • ANCHORAGE, ALASKA 99507 • PHONE 344.7071
SOILS LOG
Performed for_ c' A' 1Jne�� Date1//(C1 1
Location k. -c (3 1�11� OL1 Ie SutbdkWl<im,.
Soil Type Water Level
0
2
4
6
16
18
20
Total Depth of Excavation 'L4_ Material at Total Depth S M
Remarks
Groundwater
(" Not Reached
Depth, if Reached
Classification Method
Visual
( ) Sieve Analysis
Bedrock
O'Not Reached
Depth, if Reached
:� pso-�
1
Gary F. Player, Consulting Geologist
eo%
GLIB eDPI Gk 'ER ANCHORAGE AREA BOROL 'I
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD -ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
3 -
NAME L7zy I-ai4/N ADDRESS /�.F
PHONE 03.57
LOCATIONGAL DESCRIPTION Z4/' _ _.
SEPTIC TANK:
/
DISTANCE FROM WELL Z9 MA
NUMBER OF
LIQUID
LIQUID CAPACITY4+2,:!�V GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM:
SEEPAGE PIT:
NUMBER OF PITS OUTSIDE DIAMETER �� OR WIDTH Z/01 LENGTH, DEPTH G'
LINING MATERIAL n- a61« -en-__ DISTANCE FROM WELL 3 , BUILDING FOUNDATION
i
NEAREST LOT LINE el TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) !� SO. FT.
TILE DRAIN FIELD: Nll�7
DISTANCE FROM
NUMBEROF LI DISTANCE BETWEEN LINES_
AB$ TION AREA SO. FT. LENGTH OF EACH
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH
TOTAL LENGTH
NEAREST LOT LINE , OF LINE$
TRENCH WIDTH
OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
DISTANCE FROM i WATER
TYPE L'.f/!! ' DEPTH /-52 —,BUILDING FOUNDATION. SAMPLE - -/�/���' , NEAREST
s9Tt'NEAREST / SEPTIC �- i SEEPAGE �- OTHER
LOT UNE �� f , SEWER LINE �S �, TANK �l , SYSTEM ZO/ , CESSPOOL /�� HER
si
DISTANCES:
DIAGRAM OF SYSTEM
• c�
rN~h
1
DATE {{�r� ��3 ZE2� APPROVED y ��, �
G.A.A.B.
GAAB-It D-1
g)GREATEI'ANCHORAGE AREA , IROUGH Case No.
IIEALTII DEPARTIIIENT
327 Eagle St.
A
279.2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME OF APPLICANTD1 Am.YJ+f>v x/sy /O
MAILING ADDRESS ��/ �
RESIDENCE ADDRESS 44.0--C- LOCATION OF IINSTALLATIOf
LEGAL DESCRIPTION_( °-r 3t _A 441le / ,
APPLICATION TO INSTALL: SEPTIC TANKSEEPAGE P�IT_ , DRAIN
TO SERVE THE FOLLOWING FACILITYW1,b 126r%!, �L��/Pttei
Sp27C
- PHONE NO. � 1?35
,OTHER
FINANCED THROUGH_ ✓ � U �� TO BE 14STALLED BY Ie✓gL�
PERCOLATION TEST RESULTS `/ �� �'!� ANTICIPATED DATE OF COMPLETION- 2y kio 7^.c`�1-cc_
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS - d'(J A/u(L=iy , PERMIT TO INSTALL A 1411eley 1,e at/
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED;;td`L���rsL?/
SEPTIC TANK SIZE 51_TYPE 4uL4411 SEEPAGE AREAAW�TYPE At -all
.4?211 DIAGRAM OF SYSTEM A -a!`
DISTANCES:
Z--,e-
HWALTH AUTHORITY
OR
UCCNSCD DCSIONCR
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said cod^e. / �1
y,.rI7aCtl�2sw "l
DATE �� /J�'" APPLICANTS SIGNATURE 1Ttt-,-LC 471eZAu2. "12L S
ro�
N
C.?.EA.TER ANCN.O^ASF. AREA BOR076H
Ri:AL'H D—iM.TMENT CASE J
327 LK. -LE fTREET
ANCHORAC:;, ALAf%,A 99501
Performed For a /i Pr—�_�-.ic
Date Performed o7� %SJS.)
Le(al Dcscriptaor.: Lot �Lloc�,1�5dd>�:s>cn rc f; —et
This Fern, Reports a: Soils Lce _ rercolat:on '[est
Depth
_Feet Scil Chp'�cte_ ris. cs
the roil Cc "I
-:fArt Brm 4,i,. There A3,
A
it
c low ntoisyA, Gbh flHr
w;A The exuplAgh V�
The G.n hvrixen-
Sw
Gm
Locnticn Sketch
Has Ground Hater Encountered? 416 aA
if Yes, At Wnat Depth__ _
Reading Date Gross 'ice Net Tire Depth To }{?O Net Drop
erco dticr. tea e I i „>nu•e
—^ Drain ;ield
Frcposcd Installation: —c .>eepage Pit l� _
Depti: Of Inlet A lleptn io bottom Oz Yit Cr Trench—J42
Test Performed B} 1 PC, rep
October 10, 1977
Celio Depedro, Jr.
Star Route A Box 1047-F
Anchorage, Alaska 99507
Subject: Lot 5E Block 1 Boyle Subdivision
Dear Mr. Depedro:
The sewer system serving the subject property is not
adequate for minimal standards regarding absorption
rate.
An upgrade of the absorption area is required before
this department could approve the system. A permit is
also required prior to construction.
If there are any further questions, please contact
this office at 264-4720.
Sincea*ly,
Les t7. Buchholz, R.S.
Sanitarian
LMB/1jh
0�.
February 11, 1985
Norma -Gentry
Century 21
Re: Lot 5B Block 1 Boyles Subdivision
Static level from surface: 82.5 feet
D^?nth of Well from surface: 145.5 feet
lumf set 132 feet from surface
Due to the area this well is located in, bedrock is not
encountered until considerably deeper depths are reached.
Well is cased to 145.5 feet from surface.
David.L. Harper
D.B.A.
Al ine Drilling Ent.
/o/,2/;77
� � A
oc
7 y
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dv yU
n
:,.. PrL 75
/.: ! G/ c io //YS�� E P•Tis No7' oveoely/l Ax0 1taAwA .1AP2 T,,ook,
-�
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Y• iti// P.7 To rv// h�iiG.s? i9no P....rP 7o&A-. T,ytEnr
:75A k E ip,97 z /1 &e l few o YF /N P.T. C%y s .irsr fl r -
�riu DoN�%,pc yP or -7 �pART OF 7NE P` TirT,.�7Vi
t{
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,�ia.c Sr•�p aY � is iarris .
tfvR/S ./irCNlS per_ SOO !-44
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:An 571,0 Vy .S. /IN /I'LNlS
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57tp ,W 7. X r7e �5'G Fc� GA/�bay
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vwt9. firrelecoo S ISO -10 7
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.muni.org/onsite
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. 015-282-26
1. GENERAL INFORMATION
Complete legal description Thomas L Boyle Blk 1 Lot 5B
Location (site address or directions) 11841 Wagner St
Current Property owner(s) Yolanda Hernandez Hili
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
11841 Wagner St
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual Well
0
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
HAA # (tri n5 -
Expiration Date: 0 q
0 I
Day phone
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
❑�
Individual Holding tank
❑
Community On-site
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work.
4. 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,
based on procedures outlined In the Health Authority Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is(are) 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(are) in compliance with all applicable Municipal and State codes, ordinances,
and regulations In effect at the time of installation.
Name of Firm Watkins Engineering, Inc.
Phone 349-1851
Address P.O. Box 110443, Anchorage, AK 99511-0443
Engineers Printed Name Cindy W. Ellis Date
Gi
5. DSD SIGNATUREV•. cIM1Y W. Ellis
Approved for bedrooms. CE -10577
Disapproved.
c
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
(f: r; 1:
a�'•'-gip
Ohl T_
WA
ER AND :�^
��. PROG� ,
Attachments:
HAA Checklist X Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
By: 411, Original Certificate Date: o
(x«.01102)
Municipality of Anchorage
• Development Services Department
Building Safety Division
Onsite Water & Wastewater Program
4700 South Bregaw St.
P.O. Box 19MW Anchorage. AK 995196850
www.muni.orp/onslte
(907) 343.7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Thomas L Boyle Blk 1 Lot 58 Parcel ID: 015.282-26
A. WELL DATA
We9 type Pri
Date completed 1967
Total depth 2tft.
Date of test
Static water level
Well production
If A, B. or C provide PWSID # _
Sanitary seal (Y/N) Yes
Cased 10
FROM WELL LOG
NA
NA ft.
NA g.p.m.
WATER SAMPLE RESULTS:
Coliform a cotonies/100 ml.
Arsenic- NA mg.A.
B. SEPTIC/HOLDING TANK DATA
Nitrate 4*•1 mgA.
Date of sample: swm
Well Log (YIN) NO
Wires properly protected (YIN) Yes
Casing height (above ground) 12 in.
AT INSPECTION
Oct 7, 2005
67
6.6
ft.
Other bacteria 0 colonies/100 ml.
Tank Type/Material SUM S.T.E.P. tank + concrete (1967) pate 6fatetied Nov 11, 1995
Tank size 1500 gal. Number of Compartments Y Cleanwts (YIN) Yes
Foundation cleanout (Y/N) � Depression over tank (YIN) NO High water alarm (YIN) Yes
Date of pumping Sep 6.2005 Pumper A+ Home Services
C. ABSORPTION FIELD DATA
Date hatetied 11/11/35 " Sop rating (g.p.dAt2 or Rclbdrn) 0_8 System typo Bed
Length 50 fL
Total depth 2.9 ft.
Wkfth 15
R. Gravel below pipe 0.5 ft.
Eft, absorption area 750 ft2 Monitoring tube lea Depression over field NO
Data of adequacy test Oct 7.2005 Results (Pass/Fati) Pass For 4 bedrooms
Fkrid depth in absorption field before test 0 kr. Water added 801 gal. New depth -L— in.
Elapsed Tkne: 0 min. Final fluid depth o In. Absorption rate >. 6W g.p.d.
Any rejuvenation treatment (past 12 moa (Y/N 8 type) NO If yes, give date
D. LIFT STATION
Date Installed Nov 11.1995
'Pump on' level at 40 In.
Datum Bottom Of Tank
E. SEPARATION DISTANCES
Size in gallons 1250 STEP
'Pump ofr level at 42 in.
Cycles tested 10+
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAift station on lot m' Own. for (lees)
Absorption field on lot 103�
Public sewer main 100+
Sewer /septic service Una 40
Manhoie/Access (Y/N) Yes
High water alarm level at 44 in.
Meets alarm & circuit requirements? Yes
On adjacent krts 100+
On adjacent lots 100+
Public sewer manhole/cleanout 100+
Holding tank 10D
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
Building foundation 40
Water main 10D+
Wells on adjacent lots 100+
Property line 40' Absorption field 10
Water service One 60 Surface water 100+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10 Building foundation 50 Water main =
Water Service line 80 Surface water 10D+ [)*away, patki"hide storage 20+
Curtain drain none Wells on adjacent lots 10()+
F. COMMENTS
Concrete tank installed in 1967 is BY from well,
G. ENGINEER'S CERTIFICATION
code at that time. 1995 STEP tank is 101' from well.
I ceAW that t have determined through field tnspections and
review of Municipal records that the above systems are in
confomrance with MOA HAA guideAnes in effect on this date.
Engineer's Printed Name Cindy W. Ellis
Date 10/14/05
HAA Fee $ 4311 ' Im Waiver Fee $ _
Date of Payment /1 40-5 Date of Payment
Receipt Number 'Irl ((�� _ Receipt Number,
(Rev. 12(01)
W. Ellis
SCS RefJ 1056530001
Client Name Watkins Engineering
Project NameN 71ornas L Boyle
Client Sample M Blk 1 Lot56.71omas L Boyle
Matra: Drinking Water Lk- 45 13
PWSID 0
Sample Remarks:
All Dates/Plmes are Alaska Standard Time
Printed Date/time
10/12/2005 11:48
Collected Datelllme
09/30/1005 15:19
Received DatenIme
09/30/1005 15:37
Technical Director
Stephen C. Ede
Microbiology Laboratory
Total Coliform 0 eoV100mL SM20 9222B .
A (o -l) . 09/30/05' TLF
Allowable
Prep
Analysis
Pa=ewr Results POL
Units Method
ContaineriD Limits
Date
Date Init
Nitrate -N 0.100 U 0.100
mg/L EPA 3532
B (o-10)
09/30/05 A7S .
Microbiology Laboratory
Total Coliform 0 eoV100mL SM20 9222B .
A (o -l) . 09/30/05' TLF
3 $ &
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�P MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIROMIENIAL HEALTH
DEPARTHENT OF HEALTH AND ENVIR01ZMN*AL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information Application Date .2
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
/3y5-�4.�
(b) Applicants Name /1/. (71i9�^� Telephone — Hone Business3��-iso/
Applicants Address 1'2/ d �7 •%rW:ct
(c) Applicant is (check one),Lending Institution ; Owner/builder ;
Buyer Other
(explain); �e >�tIn—'Y
(d) Lending Institution Telephone
Address
(e) Real Estate Co. 6 Agent
Address
Telephone
(f) Nail the H.^.A to the following address:
,moi` .•. l �.-.\,�, 1...�1,
J
2. Type of Residence
Single—Family # Fulti—Family Other (describe)
Number of Bedrooms
3. Water Suvol
Individual Well 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 Disposal
Onsite Public E__j Community Holding Tank
.rN
te: -f community well system, must have written confirmation from the State
epartment of Environmental Conservation attesting to the legality and status.
(Page 1 of 21
5. Engineering Firm Providing Inspections, Tests, File Search, Data and Infor-hien
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 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 Vanicipality 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 regula-
tions in effect on the date of this inspection.
Name of Firm
Address 1 00 lJ 3-:hol `;r - .B /"'/i
Telephone SZ�
Date
71L,;i 11,11 W, 6z, 4—d, /v A-17/ .a� f, ,Zea
e?, � 1ci. ,7t.� ixEc.��r> (j�'P-P) a,•c� (ENGINEER SEAL) so
e?,
va-�o-c c rvc� o t cc r -r. c -nc�e 0.
6. DHEP roval '✓ urn f-< Icac<- 0
Approved for bedrooms
J
Approved Disapproved Conditional
Terms of Conditional Approval
CAUTION
VY C. Reid, Jr.
No. 2251 -E _:
THE MUNICIPALITY OF A."1CHORAGE DEPARTMENT 0? HEALTH AND ENVIROSSL°NTAL PROTECTION
(DEEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESE%T-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIOM%L ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HONES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISL'Y CERTAIN FEDERAL A.*LD STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT IL`iSPECTIONS OR A2YALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. TME MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMISSIONS 0 THE PROFESSIONAL ENGIAEER'S WORK.
(DHEP SEAL)
RR4/ej/D18
(Page 2 of 21 1-19-84
1 8 B r
5. Engineering Firm Providing Inspections, Tests, File Search, Data and Infor-hien
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 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 Vanicipality 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 regula-
tions in effect on the date of this inspection.
Name of Firm
Address 1 00 lJ 3-:hol `;r - .B /"'/i
Telephone SZ�
Date
71L,;i 11,11 W, 6z, 4—d, /v A-17/ .a� f, ,Zea
e?, � 1ci. ,7t.� ixEc.��r> (j�'P-P) a,•c� (ENGINEER SEAL) so
e?,
va-�o-c c rvc� o t cc r -r. c -nc�e 0.
6. DHEP roval '✓ urn f-< Icac<- 0
Approved for bedrooms
J
Approved Disapproved Conditional
Terms of Conditional Approval
CAUTION
VY C. Reid, Jr.
No. 2251 -E _:
THE MUNICIPALITY OF A."1CHORAGE DEPARTMENT 0? HEALTH AND ENVIROSSL°NTAL PROTECTION
(DEEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESE%T-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIOM%L ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HONES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISL'Y CERTAIN FEDERAL A.*LD STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT IL`iSPECTIONS OR A2YALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. TME MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMISSIONS 0 THE PROFESSIONAL ENGIAEER'S WORK.
(DHEP SEAL)
RR4/ej/D18
(Page 2 of 21 1-19-84
MUNICIPALITY OF AN�
DEPT. OF HEALTH g
' �4EWIkONMENTAL PROTEC�.
MDNICIPAL.ITY of ANcwmw (MOA)
BEAM AUTHORITY APPROVAL (HAA) FEB 2 ,^, I%b
CH X3USf - FEBRUARY 1984 WE t i IM ..z /
A. WELd DATA Legal Description: 1 or`� -99 B.r,,x J
kn111 ,- -.ln
Well Classification AI✓q TE If A, B,.or C, D.E.C. Approved(Y/N) w/A
Well Log Present (Y/N) (D Date Catgleted 2/ssp Yield
Total Depth /y .eU Cased to JJ0.S�m Depth of Grouting
Static Water Level X7.5 'D Pum Set At /3.2 / �D
Casing Height Above Ground D.BS Sanitary Seal on Casing'N) _
Electrical Wiring in Conduit Depression Around Wellhead (Y
Separation Distances fran Walls
To SeptiC/Holding Tankcn Lot 1"* J t on Adjoining Lots
To Nearest Edge of Absorption Field ai Lot t On Adjoining Lots i/W
To Nearest Public Sewer Line '&#- To Nearest Public Sewer
Clew=t,/Manhole Th Nearest Sewer Service Line Lot
Water Sample Collected By ,.o✓ = DateS-
Water Sample 'best Results C'
Caa:ents A)WI n - ( 14i-45- -
/1/��at� CJD n, %j -Y JIT, rn%sr�A, [Cd
B. SEPTIC/HOLDING TANK DATA
4
Date Installed I p Size /zsD No. of Cmpartments
Standpipes v&N) Air -tight Caps Y ) Foundation Cleanout (Y/N)O
Depression over Tank '--E�` Date Last Ringed /�t��SS
Pumping/Maintenancs Contract on File (Y/N) 4V& i for
Holding Tank High -Witter Alarm (YIN) T%4-'Dempo ary Holding Tank Permit Y )
Separation Distances fran Septic//Holding Tanks
To Water -Supply Well g? i� To Building Foundation n/3
To Property Line /5 "-e- To Disposal Field
To Water Main/Service Line 4413 ,,*- To Stream, Pond. Lake, cr Major Drainage
Receipt #
Date Paid: S -
Amount: L4,;.00
(Page 1 of 21
2-14-84
4 5 8 8 / _50 Y4_
.-.�•,• � ..-tis
Soils Rating in Absorption Strata IM l,r' Type of System Design
Date Installed _ 1? 3ZtF / Length of Field
Width of Field Depth of Field /D /
Gravel Bed Thickness '61
Square Feet of Abscrpticn Area 3446 Standpipes Present IM
Depressicn over Field (YA-) Date of Last Adequacy 'list P
cy
Results of Last Adequast T;556/) /,- .2
4
Separation Distance from Abscxpticn Fields
To Mater -Supply Wall /02- 3" To Property Line :0-/O
To Building Foundation /03 -'V To Existing cr Abandoned System of
Lot 2 / X p On Adjoining Lots t 3D ' K
To Water Main/Service Line ,,� 43 1r To Cutbank(if present)
To StreaR/Pond/Lake/cr Major Drainage Carse t / Co ' �
To Driveway, Parking Area, cc Vehicle Storage Area t 30 �;K--
D. LIFT STATION
Date Installed
Size in Gallon
"Pump On' Level at
High Water Alarm L
Tested for
Electrical
Wiz, C Level at
�Vent (YM)
Cycles dying Adsquacy Test. Meets MDA
" Check Permitted Bedroom Rating Against HAA Request "
I certify that I have checked, verified, or aonfcrmBd to all MDA HAA Guidelines in effect
on the date of,this inspection
Signed
M. ,..
Date
MDA No. T ;FS-Dz
ni /d5/9 �ju , 11,4,4 io Rr"� —leu /& 4 2 fg41i
W 4r1 oryo,�4^1 en -Alk-- - to/, .1'/.e .uver
der</ lL7cyc.�tt�� /-'/? p�a.•i„ti ,,,,..GY' /.<,.�
(Page 2 of 21 `k .acctr - !
Ift;..
2-15-8a
,/vt
h ?"
ALASKA CWIROC1m WAL COnTROL ZuICCS, InC.
Enqinecrinq 6 Enuironmental Studies
1/25/85
FORMA GENTRY
8050 OLD SEWARD
ANCHORAGE AK 99502
SELLER — JANET DEPEDRO BUYER —
SUBDIVISION — BOYLE BLOCK — 1 LOT — 5B
ADEQUACY TEST FOR SEWER SYSTEM
THE TYPE OF ABSORPTION SYSTEM IS A CRIB WITH AN AREA OF 384 SQFT.
THE SYSTEM IS CAPABLE OF ACCEPTING 300 GALLONS OF WATER PER DAY.
THE SURGE CAPACITY OF THE SYSTEM IS 304 GALLONS.
BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A
2 BEDROOM HOME.
THE SEPTIC TANK WAS PUMPED ON 1/28/85 .
A FLOW TEST WAS PREFORMED ON THE WELL. 304 GALLONS OF WATER WAS
PUMPED AT A RATE OF 3 GPM OVER A DURATION OF 2 HOURS.
THE DRAWDOWN WAS 12.05' WITH A RECOVERY TIME OF 20 MINUTES
AND THE STATIC WATER LEVEL WAS 80.45 FEET.
THE WELL IS ADEQUATE FOR THIS 2 BEDROOM HOME.
SEPTIC TANK ADEQUACY
THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR
THIS 2 BEDROOM HOUSE.
1200 West 334 Auenue, Suite B- Anchorage. Alaska 99503•(907) 5615040
IT111 rMUN ISP TY OF ANCHORAGE,
' Fy,eF)�IAND ENVIRONMENTA- PROTECTION
2,�e __L`` Street, Anchoraap. Alaska 99501
264-4720
�. N Date Received:
#1:/ Time 9,•30 i' #2: Time #3: Time
Date 1077 Date i Date
Insp Insp Insp
r itoA / m oT — AA!Afyvi4c XP 57"
1. Lending
Mailing Addres
2. Property Owner;
Mailing Address: ' QAt4 R3 .r.ry%
3. Legal Description: A#7' #T
4: Single Family Residence: (!'J Number of Bedrooms: __
Multiple Family Residence: ( ) Number of Bedrooms:
5. Well System: Individual Well QHS Community/Public System ( )
Permit #
Construction
0
Depth of Well 150 ' Well Log on File ( )
Bacterial Analysis
6. Sewage Disposal System: On-site System_( )
Permit #
Installed
Public Utility ( )
Installer
Septic Tank Size Manufacturer
Absorption Area
Soils Rate
Material '!�LL
r
7. Distances: Well to Septic Tank to Absorption Area 109'
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line LOCK
J