HomeMy WebLinkAboutNORTH SLOPE BLK 2 LT 5North Slope
Block 2
Lot 5
#050- 511- 23
Municipality of Anchorage
Development Services Department
Building Safety Division s •'
On-Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 2
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: OSP111206
PID Number: 050.511.23
Noma:
Wastewater System: ❑ New ❑ Upgrade
Address:
0743 Prudhoe Bay Avenue
ABSORPTION FIELD
Phone:
Number of Bedrooms:
D Deep Trench D Shallow Trench 0 Bed 0 Mound D Other:
LEGAL DESCRIPTION
Soil Rating:
Total Depth from original grade:
GPOffF
Ft.
Block: Lot: Subdivision:
Depth to pipe bottom from original grade:
Gravel depth beneath pipe:
2 5
North Sloe
Fl.
Ft.
Township: Range:
Section:
Fill added above original grade:
Gravel Length:
Ft.
Ft.
Well: [:1 New El Upgrade
Gravel width:
Number of lines:
Distance between lines:
Ft.
Ft.
Classification (Private, A, B, C):
Total Depth:Cesetl
to:
Total absorption area
Material:
ExistingPipe
Private
Ft.
Ft.
Ft
Driller.
Date Drilled:
Static Water Level:
Installer:
Date Installed:
Ft.
812912011
Yield:
Pump Bet at:
Casing Height Above Ground:
TANK
GPM
FL
Ft
SEPARATION DISTANCES
® Septic ❑ Holding ❑ S.T.E.P. ❑ Other:
To
Septic
Absorption
Lift
Holding
ubliclPnvate
Manufacturer:
Capacity.
From
Tank
Field
Station
Tank
Sewer Line
Anchorage Tank
1250 Gal.
wall
125.5
Material:
Steel
Number of Compartments:
1 2
Surface water
100+
LIFT STATION
Lot Line
31.8
Size:
Manufacturer
Gal.
Foundation
11.1
..Pump ort level at:
'Pump ofr level at
High water alarm at:
in.
in.
in.
Curtain Grain
NIA
Pump Make &Model
Electrical Inspections performed by:
Remarks:
Septic tank replacement only.
BENCH MARK
Location and Description:
Garage FF
Assumed Elevation:
100.0 Ft.
Engineer's Stamp
Inspections performed by: PANNONE ENG. SVC, LLC Dates: ta` 8/29/2011
nd
� QF �f
E q<q
Development Services
Department Approval
.... b
: �•' �y
Conditional Approval
Date:
49T—" °:♦♦
.....r .... .... .......... .....
7
♦'Steven R••PG nnone• i
♦1♦,�'e,•
Reviewed and approved by 1
j /
./(CL ZZ Date: / 220
No. CE 8149
♦♦ • ��� •''�F
(Rev, 04/06)
�:
V
W_�
75
' EXISTING 12509
��SfMfNr F-4SFiyfN\ COLLAPSED SEPTIC TANK
,ABANDON PER CODE
C
NEW 12509 SEPTIC TANK
WITH DOUBLE CLEAN OUT
\ 4BR� \ \\
Cr HOUSE 125.5
(E)
G
�tL ELL (E)
� 5
s s s F sw�— W \N
pyo O o ¢O
o!H
Z�
DU U U UUU
TANK PROFILE
NOTES:
RECORD DRAWING
PLAN
PANNONE ENG SVC, LLC
P.O. BOX 100217 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
A B
_ T1
24.3
18.0
T2
26.5
24.4
DC
31.9
27.2
FC
18.5
9.8
NORTH SLOPE, BLK 2, LOT 5
WILLIAM & ELSIE LESTER Steven P'ar
P.O. BOX 770253 ��+ c, " CE 8149
EAGLE RIVER, AK 99577 `Ii�EDa M ua
11/10/11
r Scale
P.I.D NO
050-511-23
1e PERMIT NO
OSP111206
Sheet
2 OF
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP111206
Tax Code Number: 05051123000
Work Type: Septic Upgrade
Permit Effective Dates: August 18, 2011 to August 17, 2012
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: NORTH SLOPE
Site Legal Address: NORTH SLOPE BLK 2 LT 5 G:0703
Owner/Address: LESTER WILLIAM R & ELSIE E
PO BOX 770253 EAGLE RIVER AK 995770253
Site Mailing Address: 30743 PRUDHOE BAY AVE, Eagle River Lot Size in Sq Ft: 110425
Total Bedrooms: 4
This permit is for the construction of:
N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
,r`/, iii
Received By: �b Date: ✓d %�` /
d
Issued By: Date: S' C �/ / f
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907-343-7904
Development . • ••
O s Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel 1. D. 5_1 I Z3
Property owner(s) _W ItL jd �C-1 l —� ,;Tf=,q Day phone
Mailing address P0 ecx 770 2$ E -m:, f 4K !M2�1
Site address 3
Legal description (Sub'd., Block & Lot) NeAT-H 6 f7e Z 60l-S—
Legal description (Township, Range & Section)
Lot Size 110, _q'z- Sq. Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
THIS APPLICATION IS AN:
(® all that apply)
Absorption Field
❑
Initial ❑
Septic Tank
19
Upgrade
Holding Tank
❑
Renewal ❑
Privy
❑
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
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.
(SignatuYe- of
r or authonzed agent)
Per,,XRush Fees t ,���� �' y 1�::.=-c �WWaiver Fees:
_ZSate of Payment: Date of Payment:
Receipt Number:
Permit No.
Receipt Number:
Waiver No.
GABuilding\On Site\Forms\Client Forms\Permit App_01 041 1.doc (Rev. 1A 1)
Pannone Engineering Services uc
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
August 2, 2011
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
Anchorage, Alaska 99519
Subject: North Slope S/D, Block 2, Lot 5
Emergency Septic Tank Replacement Permit Request
Ladies and Gentlemen:
I am writing to request that a permit to install a new 1250 gallon Septic tank be issued for this
lot. The proposed systems will serve an existing four-bedroom house. Currently the lot is
developed. The existing septic system was designed and installed for a four-bedroom house and
is operating adequately for four bedrooms. The existing steel 1250 gallon tank is collapsed. The
damaged tank is exposing the raw sewage to the environment. The existing tank will be filled
with clean gravel or concrete and abandoned per code. The clean out at the end of the existing
drain field is separated and will be repaired. The surrounding lots are served by a public water,
and there are no wells within 100 feet of the proposed septic tank. This lot is served by public
water as well. PES will verify all required separation distances at time of installation.
1. Upgrade Tank Design.
a. See Sheet 1 of 1 of the plan set
2. Surface Water: There is no surface water within 100 feet of the proposed system. The
proposed systems will maintain at least 100 feet from all surface water and drainage ditches.
3. Topography: Lot 5 slopes from north to south at approximately 10% in the area of the
tank replacement. The proposed installation will be located in the north -central portion of the lot
next to the existing septic tank and absorption system.
r
tYYd,,.�
f C L �i �', '.✓
..E e1
��? C ;.)l,js 1z..
}}
tf. ���\f'(90"),27',-'2;,l
Page 2 of 2
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.
Sincerely,
H
.... .. L .............
IA
. . . .. . .................. ..
■
Steven R. annone j
449 Ar
.... ......
Steven R. Pannone, P.E.
Owner/Civil Engineer
Attachments:
r�3
82; e A
-�T, M-8218 FA,,: (9107) 2721-E211.
elephore: (90 J /
lll�
'AA /
\ w w--- NN
,o.
l S • VTl STILI
\� �sESEMEN\
�NT
HOU
� HOUS
(E)
EXISTING 1250g
COLLAPSED SEPTIC TANK
ABANDON PER CODE
1250g SEPTIC TANK (P)
WITH DOUBLE CLEAN OUT
BEFORE AND AFTER
E
I O�
�!z
/WELL
(E)
I �.
5
NOTES: PAMONE ENG SVC LLC ���Ot At. Ik�l Date
EMERGENCY TANK REPLACE P.O. BOX 100217 ANCHORAGE, AK 99510 ,."�� Qsll, 7/21/11
"'�'�P'
PHONE (907) 272-8218 FAX (907) 272-8211 Scale
//* , 1N *t�� 1"=50'
If
E ' • • P.I.D. NO
NORTH SLOPE, BLK 2, LOT 5 _/ ,. 1050-511-23
Steven 'R Pannone
WILLIAM & ELSIE LESTER tl PERMIT NO.
P.O. BOX 770253 ��� �ffE 8149 ��A XXXXXXXXX
PLAN EAGLE RIVER, AK 99577 ��lA�rFp` ��0� sheet
ll�PRO FES`QW-1 OF 1
' MUNICIPALITY OF ANCHORAGE
r-
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 ' I /
L liN/h /�� s t /P 6�
PHONE
- %�
❑UPGRADE
MAILING ADD S A� r
`' J
LEGAL DESCRIPTION
LOCATIONE�e ,r // ,
K
NO. OF BEDROOMS
U
DISTANCE
Well f
Absorption area�3 ,
Dwelling
PERMIT Nk
6
_Y
WQ
Manufacturer�le tie
Materia �g L
No. of compartments
N~
Liu. capacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
❑ �'
JD'Z
DISTANCE
Well
Dwelling
PERMIT NO.
2 Z f
Manufactur
Material
Liquid capacity in gallons
D
w=
DISTANCE TO:
Well0 r
O
Foundation�a /
Nearest lot line
PERMIT NO.
J w z
P z ta
No. of lines
Length of each line!
Total length lin�v/
%
Trench width
inches
Distance between lines
H
❑
Top of tile to finish grade s� N
Material beneath tile ,�
inches
Total effective absorption arek,
Z 0
w
[7
Length Width
Depth
PERMIT NO.
a H
wa
Type of ib diameter
Crib depth
Total effective absorption area
y
Well
DISTANC TO:
Building foundation
Nearest lot line
J
J
Class JR? Depth
Driller
Distance to lot line
PERMIT NO.
Building foundation
DISTANCE TO:
Sewer line
Septic tank
Absorption area(s)
OTHER
PIPE MATERIALS
3,954
/
I
SOIL TEST RATI NG /
INSTALLER
}
=3
o
ouSE
L
REMARKS
23r
a
`
L
/
o,
APPROVED DATE LEGAL
7T -_0l 3 Mev. 3/781
. M
r°"I #._R F`J I ®::- Y F� F4 L Y T'r F 1=1 I'-4 r=. F -I e_e F;;. t=F 1:3- E q
�Nl
DEPARTMENT HEALTH AND ENVIRONMENTAL ITECTION "(�nq-_
825 STREET, ANCHORAGE, AF::. _a_ _W 1 , c�
264•-4720 l
i
I_aF E L L. R=! rA C- '_,"— - I T E E 4•-I E F? F• E F? r.1 I _r -
PERMIT NO. { 810u906 :?
APPLICANT WILLIAM R. LESTER
LOCATION EAGLE RIVER
LEGAL_ '+::6 2 NORTH SLOPE _•
PO BOX 253 99577694-9790
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
�6,f �r dljjh.0 v 0 P!
LOT SIZE 87120 SQUARE FEET --'fL �
MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SO FT BR)= 315
.ire
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM I=:
CAEF•T"- - :�L'„ I_Et-4f3-F= _mac=. ®_;F='n%e*F=L EtiEF-TF-F= _
THE LENGTH DIMENSION IS THE LENGTH CIN FEET:? OF THE TRENCH OR DRRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCALATION CIN 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?.
F=_ F- Q R_R I F'E Cy T R=R"K '— I ; E = :�L'2 c 1D 13"1 1 (�F
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPEC:TION'_ OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER; OF RESIDENCES THAT THE WELL WILL SERVE.
I "_.F'Er:7T I F-4 F? E: F,�EGAN U I FREC-- --_
BACFCFILLING 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 SYS=TEM 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 A PRIVATE SEWER LINE I_ 25 FEET AND
TO F. COMMUNITY SEWER: LINE 15 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 0 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENT'S MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGR:At'1'= ARE
AVAILABLE TO INSURE PROPER: INSTALLATION.
F='EFzm I T :lL"_ov ::L
1 CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE _EWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
I WILL INSTALL THE: SYSTEM IN ACCORDANCE WITH THE CODES.
_. I UNDERSTAND THAT THE ON-SITE _EWER: SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
S=IGNED
APPLICANT
ISSUED BY
P
--------------------------------
WILLIAM R. LESTER Q �C /
--------------------- DATE_L.LLl_4L------ �� V14.0
F 1UN r ;== Y Y T 6- C -F Fzi=F r J �_ 1 1 ®3 E_
DEPARTMENT 0WHEALTH AND ENVIRONMENTAL PWETECTION
25 'L" STREET, ANCHORAGE: AK 99501
264-4720
1 •-i EE 1_ L_ FA r -J r> (0 r -J -- no Y T EE On E= Ani Bon F Fes' 107 F" rw! Y T
PERMIT NO. ( 400679 )
APPLICANT WILLIAM R. LE_=TER PG BOX 253 _9577 694-9390
LOCATION EAGLE RIVER
LEGAL & 5,,-:•B 2 NORTHSLOPE S.'D LOT 51ZE 87120 SQUARE FEET
TYPE OF =OIL ABSORPTION SYSTEM I TRENCH
MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SO FTIBR)= 315
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
E>Ea F'-7 VA== 1AY L_E=r'JAi!—Vl= i?T5 C3FTfAkAE=L C>EF'—FV4== r-:
THE LENGTH DIMENSION IS THE LENGTH (IN 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 CIN 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 E>iCAVATION (IN FEET).
F°E=CALJ T F"E_E-e TFlrAF: T>Tn"E=== ALAN%FsLL_�_erJ
PERMIT AP'P'LICANT 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.
— -- — 'T' E -J Cl D, Y r•J F E= C T Y a_® r -4 !E; F:F F" E= Fes'- E= ®-a U Y F= U -a — — —
BHCKFILLING 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 A PRIVATE SEWER: LINE IS 25 FEET AND
TO A COMMUNITY =EWER: LINE I= 75 FEET.
14ELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER: REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGR:AMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F'E=FT"rl T T K ItF' T FR [=—!S GnE_CDE=r'1E_ Ey FT ": K AE3C
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR: ON—SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
.-: I UNDERSTAND THAT THE ON—SITE SEWER: SYSTEM MAY REQUFIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
IOFdED:—
----------------—------
APPLIC:ANT --—--
WILLIAM R. LESTER: -----------
ISSUED BY------------------------------DATE-1a _L )------
�,f'4 -
t•71_1 t-4 I +_ I F' t =i L I -T 'r' . + + F H :'-a += " 1_1 t-= r-y'� c
DEPARTMENT GF ALTH AND ENVIRONMENTAL P TECTION
T 825 'L' BEET, ANCHORAGE, RK. ?95w
264-4720
WELL- HtJC, ra#-a--.ITE _� EL•IER F EF< I T
PERMIT. NO.F
APPLICANT
LOCAT���1,,
LEGALIOta LOT _.IEE ?7P - SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS:
MAS{IMUM NUMBER. OF BEDROOMS = y
THE REQUIRED SIZE OF THE SOIL ABSORPT,IIOON
CiEF•TF-F= , LEI Jr=iTH=�tj.
SOIL EATING <SQ FT,'BR>= �; IS
SYSTEM IS:
THE LENGTH DIMENSION IS THE LENGTH <IN 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 <IN FEET?.
F=�E+�+� I RECD �EF'T I+E: TFitiF S I `E= I��V �FiLLC+t-i-
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.
--- TWiD < 2� ? I "S_' FF'ECT 10 " nF=-E F aQU I F'ECti
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 A PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN =-'0 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F`EF?M I T EXF I F:E= C?ECEr1E'EF,> --1
I CERTIFY THAT
1: I AM FAMILIAR.. WITH THE REQUIREMENTS FOR ON-SITE SEWER'S
FORTH BY THE iMUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE 141TH THE CODES.
I UNDERSTAND THAT THE ON-SITE =EWER SYSTEM MAY REQUIRE
'RESIDENCE IS REMODELED TO INCLUDE MORE THAN Z BEDROOMS.
IGNED : ----- - - -------------------------
APPLIC T p
'ISSUED BY --
1 *-=:;[:= 0
AND WELLS AS SET
ENLARGEMENT IF THE
V4. 0
e CO€FWTMENT W HUL TH Wj EridIW-+21ENTALW
'Lf STREET, r�FIC�_SOi
4 2-6 C -4720
Siad iT FSF-4L> c3r431 r TEz 15;f waR
IT r4m < y
_OTIC
to"
_€fig, , k -f- LOT sire 5%1Z<) E FEET
NPE OF Ai50RPTIc3m Si�TEif I5. j-R"C
RX I"JN t iMSER OF L RC GW,-, = SOIL par IW2 <SO FT/SR)
,TE REQUIRED SIS OF ThC SOIL paSoRpT£ON S-iSral IS:
THE LEMTH OIr ION IS THE LEW-3TH <IN FEET) OF THE TRENCH OR DRAIHFIO-ba
THE DEPTH r?F A TENCH OR PIT IS THE DISTArikt 6ETWEEN THE stjWW
�ACF THE
* )IND TBOTTOM OF THE �#irzoN d£N FEET)-
THERE IS HO SET WIDTH FOR TRENCHEa
THE rat- DEPTH IS THE MINI" DEPTH Or ORRVEL BETWEEN THE OUTNILL PIPE
PINi THE BOTTOM OF THE CNICRYRTION CIN FEET).
�CRMIT APPLMANT HAS THE RESPONSIOrLITY TO INFORM THIS 0EPARrM124T MtR£NG THE
INSTRLLRTION INSPeCTION5 joF ABY WELLS Ao-jT TQ THIS _p THE
-- -
OF RESIDENCES THAT THE WELD WIEL S
i' wlo Cm3 r�i P C�TC3PtS ttF2 LTI ECt
;3naeFILLIi Fm �TEIi W£T}iOlIT FIttAL Itt ACTION AND � By THIS
)OVATMENT BILL IE EJECT TO PROSSC1TION-
1HIML" DISTANCE 8ETLrEe" R weu Rm R NY ON-SITE Szw%g DISPOSAL SYSTEM IS
100, FEET FOE' A PRIVATE WELL OR 1150 TO 2" FEET FROti A P'rieLIC WELL N3IFin�
.fWM THE TYPE OF PiJELiC WELL
ItHl"J" DtSTFtCE FROM A PRIVATE WELL TO A PRIVATE SEWER 4fNE IS 25 FEET AND
'rO It COf tTY SSR ►_IHE 15 75 FEET.
ELL LOC25 ARE RE0JIRE4 AND t-l1ST SE RETURNED T4 ITS DEPARTMENT WITHIN 3£3 Of4's
IF THE WELL COMPLETIOL
)3T-" REQUtREtENTS MY APPLY- SPECIFICHTI Y-6 fViD CONSTMXrjoN, DrAeRFW3
TYAILA€LIE TO INSURE PROPER rNSTALLATIr
r CERT[F vP THAT
-i: I Ai FAMILIAR WITH THE REQUIREMENTS FOR ONSITE SEWERS AND WELLS fW"SET
#. I WILL INSTALL- THE a#STEM IN foCCORDAMM i{DTH THE CC4>fm
-3: I Ul RSTPJV iHRT THE ON-SITE SEWER SYSTER MY REoJiR-E UuIK `T IF THE
,ESICENCE IS REMDCLED TO INCLLO€ MORE Tart 3 oeDWx-ws-
RPM T
ISSUED 0Y � core
Y4. 9-
O & E ENGAEERING & DEVELOI*ENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774
Performed for:
Legal Description
Depth (feet)
SOIL LOG
Earl Ellis
688-2280
Name: / r r2 4 41 Li � %cY� (�,%1- �7Z`f(P
� Tel. No.
Mailing Address:fJzat 2 �' a �. rock �, uF F ` ,z'�7%
Soil Characteristics
0
1
4 AZN'
5
6 7L!✓P� °Gt
8
9.
10
11
L!'T � (�SLeLZ/- Gall
L.C/-.O �,y tolJ<� ! eel/ Zl'
pjb(), l ? SSD A' -A UJ .4
�rNs -7—o G7137—'4,eJ A^jp
�L41&4j oj'4rz-�0e_ ; .4A, cL
PLOT PLAN
Performed by: L -- y- s
13
PERC. TEST
14
t UN
15
16
Ground Water Encountered: Yes No If yes, what depth—
epth
Proposed
Proposed Installation: Seepage Pit_ Drain Field
r'
Comments:
C+
t��€ o+n1� zv 4tJA t, c GL= n` vcr! t�rrJrn�{�
EVc
Performed by: L -- y- s
GAAB-HD I ' ' GR& ANCHORAGE AREA BORO
D ENT OF ENVIRONMENTAL QUALI
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
/ MAILING
NAME A':-)...� �r C A7ri _ADDRESS .�fG :! /�r ,P� � j� i :4 -/PHONE/ Y ,..
2
LOCATIONZ�,_ rs / / 12011".:fL'l_ ' /itir/j LEGAL DESCRIPTION
i
SEPTIC TANK:
DISTANCE FROM WELL %G(
- `/-,� /.
MATERIAL -�
NUMBER OF
COMPARTMENTS
LIQUID CAPACITY �('�C
._GALLONS. INSIDE LENGTH
INSIDE WIDTH
LIQUID
DEPTH.
SEEPAGE SYSTEM:
SEEPAGE PIT:
NUMBER OF PITS OUTSIDE DIAMETER "" OR WIDTH %l LENGTH / DEPTH ,
LINING MATERIAL/,- l . DISTANCE FROM WELL ,1BUILDING FOUNDATIONf 7,
NEAREST LOT LINED Vii-. 7 TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) X "�`j SQ. FT.
TILE DRAIN FIELD:
' _ TOTAL LENGTH
DISTANCE FROM WELL h" FOUNDATION �(' <'. <: NEAREST LOT LINE << fr E OF LINES
NUMBER OF LINES ,j DISTANCE BETWEEN LIN
ABSORPTION AREA SQ. SQ. FT. LENGTH OF EACH LINE
TRENCH WIDTH
TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE r DEPTH OF FILTER MATERIAL BENEATH TILE' IN. ABOVE TILE
WELL; /-�ir,r f� DISTANCE FROM WATER
TYPE DEPTH, BUILDING FOUNDATION. SAMPLE 1Z CA z NEAREST
_ NEAREST SEPTIC SEEPAGE OTHER _
LOT LINE SEWER LINE --` ,TANK /GrG SVSTEM /6�' /'�' ,CESSPOOL - ,SOURCES_
DIAGRAM OF SYSTEM
DISTANCES: I ,_,.
DATE
GRE"ANCHORAGE AREA BO"MH � �
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMITNO. /
3500 TUDOR ROAD POUCH 6.550
ANCHORAGE. ALASKA 99502
TELEPHONE 279.8666
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
NAME OF APPLICANT A� X�' —�/�a �'�MAILING ADDRESS
INSTALLATION LOCATION ' x-, �/��''q
LEGAL DESCRIPTION
•
INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH TO BE INSTALLED BY
SOIL TEST RESULTS ,O%/yl NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED f /
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 /c� TYPE SEEPAGE SEEPAGE AREA SIZE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK `5
7C) /
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK C) SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT /n
DRAIN FIELD
SEPTIC TANK, r..SEEPAGE PIT DRAIN 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.
HEAL' Fi AUTHORITY
OR
LICENSED DESIGNER
1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE APPLICANT'S SIGNATURE
TYPE
DIAGRAM OF SYSTEM
AREA BOROUGH ORDIN E NO. 28-58 AND THAT THE ABOVE
1211
NATIONAL TESTING SERVICES INC.
zan-vAlgsow-s ErT 3944 Spenard Road
ANCHORAGE, ALASKA 99903
August 24, 1971
Greater Anchorage Area Borough
Health Department
327 Eagle Street
Anchorage, Alaska 99501
TELEPHONE 277.7111
ATTENTION: Mr. John Lee5/ /OT BC k
�
Re: Sanitary System for William Lester in the Pal ' Subdivision
Excavator - R. B. Wood & Son
Gentlemen:
I recommend 216 square feet of drainage area be used per bedroom on Mr.
Lester`s property if the following conditions are adhered to, utilizing both a
pit and drain field:
Using the pit as it now stands with a 6 ft, high tile or crib set,
with the bottom only 4 ft, below current grade and the top at 2 ft.
above present grade - backfill with acceptable gravel to the top
of the crib, then cover using material of the same general type
as excavated.
This material has a value of 270 sq. ft./bedroom, so the pit would
handle 1.2 bedrooms. In conjunction with the pit, the soil in the
drain field has a value of 180 sq. ft./bedroom at a depth of 1 to 3 ft.,
using a depth of 1.0 and backfilling with sufficient cover. 163 ft. of
ditching 2 ft, wide would give 326 ft. at 180 sq, ft. - equals 1.8
bedrooms. This 1.8, plus pit value of 1.2 equals 3 bedrooms, and
maintains an average of 216 sq. ft. per bedroom, which is within
the maximum standard of 250.
Very truly yours,
NATIONAL TESTING SERVICES, INC.
Q RECEIVED'
1971 AM
R. E . Carlisle GREATER ANCHORAGE AREA BOROUGH
REC/eb DEPT. OF ENVIRONMENTAL QUALITY
Encl .
' CONSTRUCTION
INSPECTION
QUALITY CONTROL
MATERIALS TESTING
SOIL
CONCRETE ASPHALT
NATIONAL TESTING SERVICES INC.
zan-vAlgsow-s ErT 3944 Spenard Road
ANCHORAGE, ALASKA 99903
August 24, 1971
Greater Anchorage Area Borough
Health Department
327 Eagle Street
Anchorage, Alaska 99501
TELEPHONE 277.7111
ATTENTION: Mr. John Lee5/ /OT BC k
�
Re: Sanitary System for William Lester in the Pal ' Subdivision
Excavator - R. B. Wood & Son
Gentlemen:
I recommend 216 square feet of drainage area be used per bedroom on Mr.
Lester`s property if the following conditions are adhered to, utilizing both a
pit and drain field:
Using the pit as it now stands with a 6 ft, high tile or crib set,
with the bottom only 4 ft, below current grade and the top at 2 ft.
above present grade - backfill with acceptable gravel to the top
of the crib, then cover using material of the same general type
as excavated.
This material has a value of 270 sq. ft./bedroom, so the pit would
handle 1.2 bedrooms. In conjunction with the pit, the soil in the
drain field has a value of 180 sq. ft./bedroom at a depth of 1 to 3 ft.,
using a depth of 1.0 and backfilling with sufficient cover. 163 ft. of
ditching 2 ft, wide would give 326 ft. at 180 sq, ft. - equals 1.8
bedrooms. This 1.8, plus pit value of 1.2 equals 3 bedrooms, and
maintains an average of 216 sq. ft. per bedroom, which is within
the maximum standard of 250.
Very truly yours,
NATIONAL TESTING SERVICES, INC.
Q RECEIVED'
1971 AM
R. E . Carlisle GREATER ANCHORAGE AREA BOROUGH
REC/eb DEPT. OF ENVIRONMENTAL QUALITY
Encl .
i
A ""'}' L Permit 4 14
S vr�4
CP'S '
c tr r cr William Lester /
utf !. ilr _°:.. +- •r �, 3.E' t'@r'c72.. PQ'�..2�7
- x'702 - ...-
--.- _ '2rL- .13tr
soleft..e.ml
1 To be Filled with the Same -
Material as below. ( a,
2 (Present Grade)
4
}
Gray Sand, Silt and Fine
g Gravel >
7-
g
6
t
Gray Sandy Silt
qq 5
14 (ML)
Was Ground Water Encot,, . e- s q Yes `
Y= ses, At ':Y a ';ems+:} 6" in bottom from
I.n
surface runoff
Rer�dlng ate FR tit- Y,et Drop
E it6'. 7
)C g
Oi,s k tj ♦ �Fx is i i s CC i.i 'O`T Of p'1.t t r . Y+v+n Y_.,..,m...X
!'est ?erfort�ed R. E. Carlisle
Da±.a Certified By. National Testing Services, Inc.
Date 781
24 71 ra
�2L, �
�. s c) C,
5. LEGAL DESCRIPTION
OWTERECEIVVI? 13
INSPECTION APPOINTMENTS
6a
TIME
TIME /
TIME
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
DATE -
DATE /
DATE
c ^ -`X
l a - � Lv acs
C
INSPECTOR ((�
INSPECTOR,
l
INSPECTO
* 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
-MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. O
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECtt WBRONiV.E;\T-I:CTION'
825 L Street - Anchorage, Alaska 99501
• r:
O
ENV] RONMENTALSAN ITATION DIVISION
Telephone 264-4720 RR �ff
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER F)W L
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing,
1. PROPERTY OWNERj,•�'. i// Q � �i ��
(J
gHONE
C// y � J2 �O
MAILING DRESS
L /
:3
PR' PERTY RESIDENT (If different from above)
PHONE
/ `lle_ 4--e-
-
2. BUYER
PHONE
MAILING ADDRESS
3. LENDING
PHONE
/INSTITUTION /
MAILING ADDRESS
4. REALTOR/AGENT
PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
6/79)
// j
4, ov,1J
STREET LOCATION
f�
-« lle �i �dN -
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
SINGLE FAMILY
❑ One i Four ❑ Other
❑ Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
' 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
❑ PUBLIC UTILITY
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM nG� � �Q(
Q. INDIVIDUAL/ON-SITE**
YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev.
6/79)
4, ov,1J