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HomeMy WebLinkAboutDEARMOUN #2 BLK 1 LT 2beArmoun Block I Lot 2 #018-401-28 Municipality of Anchorage Page 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 Permit Number: ~uo ~'o t~l PID Number: 01~ ~'101,~ ~ Name: ~t~HA~ A* ~o~A~ Wastewater System: D New ~Upgrade Address~. O .~O~ qO~ ~. ~ ABSORPTION FIELD Phone: E/o ~A~O~ ~A~ ~/~ ]No. ofBedmoms: ~ ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other I Total Depth from original grade: LEGAL DESCRIPTION SoilRating: O.~ ~PO/Sq. Ft. Lot: Block: Subdiv~ion: Depth to pipe b~tom from original grade: Gravel depth beneath pipe Township: I Range: I Section: Fill add~ above original grade: Gravel length: ~ ~ ~ ~ ~.5~ Ft. ~ Ft. Gravel width: Number of lines: ~ Distan~ ~tw~n lines: WELL: New Upgrade Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: Static Water Level: Installer: D~te installed: Yield: GPM IPump Set at: Ft. Icasing HoightAb°ve Gr°und:Ft. TANK SEPARATION DISTANCES ~septic D Holding ~ S.T.E.P. To Septic Absorptio~ Lift Holding =ubli~Private Manufa~urer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~(~O~A~ ~ ~ I Material: Number of Compa~ments: su~a~ ' LIFT STATION Cudain ~- ~O~ ~ ~ ~ ~ I~tricallnspections performed by: Drain Remarks: O~D ~ST~ ~~ BENCH MARK . . 1~034 Es~ Rl~r k~ Read, No. 2~ ~- ~o -~% nspec~ o~s perTorm~ KEvur, ~;.~ ~ Dates: ~ st [~.~ cG-~0~ /~ Department of Health~ Human~ces approval %[~... ' ..... Reviewed and approved by: , Date: 72-013 IRev. 9/91) MOA 25 '::' 'Permit No. 2 SW950149 Page 2 of 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 LOT 2, BLOCK 1, DEARMOUN #2 01840128 Legal Description: PID No.: ~ C03 MT2 ~ CO1 c~2 ~ I , n, i .-FINAL GRADE ~. II i .-98.2 i~_~__ ~ ~ ' '~i !'"'"~~ ........... ~ ~ T~NK ~ ~ ,  ~ A~90.5 WATER FOUND 6-29-95 N ABSORBTION BED LOT 2 ST2 C01 C02 C05 MT2 1000 GAg SEPT/C TANK SC~LLE l' = ROBERT C, cowAN CE -8801 72-013 A (1/93) * MUNICIPALITY OF ANCHORAGE DEPARTMENT OF~,~HEALTH AND HUMAN~ERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950149 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:MORGAN BRIGHAM A OWNER ADDRESS:P.O. BOX 906S DR KINGSTON, WA. 98346 DATE ISSUED: 7/11/95 EXPIRATION DATE: 7/11/96 PARCEL ID:01840128 LEGAL DESCRIPTION: D~RMOUN #2 BLK 1 LT 2 LOT SIZE: 16875 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION 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 ISSUED BY: ~~ ROBERT C. COWAN, ROBERTA. SHAFER, P.E. June $0, 1995 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPOR'¢S WELL INSPECTION & FLOWTEST ROAD DESIGN SOILTEST MUNICIPALITY OF ANCHORAGE Department of Health and Human P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 2; Block I; D~Armoun Subdivdsion #2 ~tee be. dnoom hou. ae on .Ore r~n~ne~xl p~o~. A t~st hol~ was excavated and a p~rcolation t~st p~rform~din th~ area of th~ proposed upgrade. Th~ approx~mat~ location of th~ t~st hol~ is located on th~ at~ched sitg plan. At the tim~ of ~xcavat~on, water was ~naount~r~d at 9 fe~t and after sev~n day ground water monito~ng water was ~and at Attached is th~ proposed upgrade d~sign. This property is s~rv~d by a Commu~Zty Water System. We do not anticipate any advise effects on n~ighborin9 w~, s~ptic systems or d~ainag~ patterns by th~ dnstallation of th~ proposed s ~ptic system. If you r~q~ additional information, pl~as~ contact uS. Sincerely, Robert C. Cowan, P.E. RCC/gk Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 z Zz U Ow- 0 Ou~ ~U~ z NYqd 3lis 3(]¥~JOdn © o~ 0 o om~O o00_~ 0 ~) LtJ _J ~ 0 0 'S'/'N 3-11.:lO,Jcl Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES r~ SOILS LOG ~ PERCOLATION TEST . Township, ~nge, Section: SLOPE SITE PLAN 1 2 -GA4/Ca 3 4i 5 6 7 8 9 10- 11- 12 13 14 15- 16- 17- 18- 19- 20- COMMENTS ~-IH, ~I(C./~uJYJ'~.V~ ~'~' WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Deplh to Water After ,. Moniloring? ,~ Date: Gross Net Depth to Net Reading Date Time Time Water Drop II/YJ 11:~o - 3 v,~ ,, _ :~) ~ -, ~" ~,. PERCOLATION RATE ~ (minutes/inch] PERC HOLE DIAMETER . . TEST RUN BETWEEN ~.-~ FT AND ~ FT PERFORMED BY: I ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFECT ON THiS DATE. 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION i~ ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LE6ALDESCRIPTION ] ' ~[ I )~ ~ LOCATION NO. OF BEDROOMS =~Z Manufacturer ~~ Mater,s/ No. ofc~artmen~ Liq. ca~i~i~gallons IF HOMEMADE: Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O Z ~ Manufacturer Material Liquid capacity in gallons Q Well Foundation Nearest lot line PERMIT NO. ~_ N°'°flines / Length of each line~ T°tallength~es Trenchw~ inches Oistance between lines ~ ~ ~ Top Of tile to finish grade Material beneath tile Total effective absorption area Length Width Depth PERMIT ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Bulrding foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to ~ot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER SOl L TEST RATING APPROVED DATE LEGAL 72-0t3 (Rev. 3/78) F'ERM I T NO. DEPRRTMENT OF HERLTH RND ENVtRONMENTRL PROTECTION 825 ~L~ STREET, RNCHORRGE., BK. 99501 264-4?20 ~]~-~--SITE SE~4EE: PEE~ IT ( 81097~ ) RPPLICRNT BRIGHRM R. MORGRN LOCRTION MRTTHEWS DRIVE LEGRL TYPE OF SOIL ~BSORF'TION SYSTEM IS: BLU, ~,~_, E SRR ! TRENCH LOT SIZE 345-0395 i8000 SQURRE FEE7' MR>(IMUM NLP1BER OF BECRCLM_, = :,LIIL RRTING ,.._-,Q FT/BR)=1...¢~ THE REQLIIRED z,I~E OF.THE SOIL RBSORpTION - _, '~_ TEM IS: [)EF'TH= 12 LEI'-~GTH= 29 fSRR'¢EL [:"EF'TH= E: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF ~ TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFACE OF THE GROUND ~ND THE BOTTOM OF THE EXCRVRTION (IN FEET]). THERE IS NO SET WIDTH FOR TRENCHES. THE GRBVEL DEPTH IS THE MINIMUM DEPTH OF GRBVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE E~CRVRTION (IN FEET). !:~:E~]L~ I REC. SEPT I C TFtt'-4k-.' S I ZE= 10£'~O GI::tLLC~I'-4S PERMIT RPPLICRNT HRS THE RE_,FON_,IBILIT~ TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RN¥ WELLS RDJRCENT TO THIS F'ROPERTY RND THE N MBER OF RESIDENCE_, THRT THE WELL WILL SER~¢E. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWROE DISPOSRL SYSTEM IS 100 FEET FOR ~ PRIVRTE WELL OR ~50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS BND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. PERDIIT ED=:PIRES [)ECEtNBER 31., 198t I CERTIFY THRT t: IRM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS BND WELLS RS SET FORTH B9 THE MUNICIPRLITY OF RNCHORBGE. 2: I WILL INSTBLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. 3: I UNDERSTRND THaT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLBRGEMENT iF THE RESIDENCE IS REMODELED TO INCLUDE MORE THBN 3 BEDROOMS. / ~PPLICRNT ~,: ' ; ...... ~' LOCFITIEIN IN OL£ ~iu[ /ARM SLIBD LEGRL L2 Bi DEl!~ IOI_IN ~2 ;I..IB[. _ ..*._,¢, _.44 LOT _I~-E ±F475H :,~,.!LIHRE FEET ,-- c- c,,,.] - IS ' ' ' TYPE OF :,uIL RE,_,LIRBTION _,t_TEI~I : TF. EN_.H I'1R::<tMUM I'4LIf'IBER OF BEDRCEMS = '~: SOIL F. RTINJ ':S,] FT, E~..)- 125 THE REQUIRED SIZE OF THE SOIL HE_,uRPTIuN ~t--TEfl I_,. DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIEL. D THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GR8VEL BETWEEN THE OUTFRLL PIPE 8ND THE BOTTOM OF THE EXCRVBTION (IN FEET). ~:Eg!lJ I RED SEPT I C: TRhtF-: PER~'IIT RPPLIORNT HRS THE RE--,FUN_,IBILITT TO INFORM THIS DEPRRTMENT DURING 'THE INSTRLLATION INSPEC:TIONS OF BNY NELLL-] FID..IBOENT TO THI~-:, FR_PERT~r' n ' ' RND THE NUMBER OF F.E_IDENCE_ THRT THE ~,ELL ~4ILL SERYE. T~JC~ ( 2 ) I f4'---SPEC:'T I C~ ~q':~; RRE BR~.KFILLINu OF RNY SYSTEM WITHOUT FINRL IN--,PEL. TIuN RN[:, DEPRRTMENT ~ILL BE C;LIB.]ECT TO PROSEE:UTION REC-,!LI I RE[:, FIPPROVAL BY THIS MINIMUM DISTRNCE BETWEEN B WELL AND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR R PRIVRTE WELL; OR i50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYF'E OF PUE:L. IE: WELL. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS BND CONSTRUCTION DIRGRRMS RRE R9RILRBLE TO INSURE PROPER INSTRLLRTION. PEF-.'D11 T E>::P I F."ES [)E£:EDiE:ER _X~l_. 197'8 I CERTIFY THRT , 1: IRM FRMILIRF. WITH THE REQLIIREMENTS FOR ON-SITE SEWERS RN[:, [,JELLS RS _-SET FOF. TH B~ THE MUNIL. IPRLIT~ OF RNCHORRGE. ~z. I &,~ILL INSTRLL THE _>rSTEM IN RCCORDRWCE WITH THE CODES. I UNDERSTRND THRT THE UN-:,ITE SEWER =,Y-,TEM MRY REQOIRE ENLRF.._~EMENT IF THE RE_I[ENCE IS REMODELED TO INCLUDE MORE THRN ,. BE[.ROOII:. MUNICIPALITY OF ANCHORAGE DEPARTMENT OE HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650. Anchorage, Alaska 99502 276-222~ SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST 1 2 3- 4 5 6 7 8 9 10 11 12 13 14 15 16- 17- 18- 19- 20- DATE PERFORMED: /~C~-W~- ~?'~7/'~/~'~ SLOP ~ SITE PLAN COMMENTS WAS GROUND WATER ,/~,'/ ENCOUNTERED? IF YES, AT WHAT DEPTH? E Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/inch} TEST RUN BETWEEN FT AND -- FT PERFORMED BY: DATE: 72 008 (7/76} i:;:~ 2::~ ' ~ ~::,~,,.~. APPROVAL FOR A SINGLE FAMILY DWELLI Parcel I.D. # ~ O/:~O/-~ ~ ~ ~g'~i+~c~¥~ritv Aooroval:~)p ~ati0n. shows that the on-site wate?upply . and/or wastewater is safe, funct~°nal and a~t?. f°r !he number °fbedr°°m ~" and type of structureI further verify ~h;;~*~a~ ~1~ information obtained from ~ii .? '~ the Mumc~pahty' * ' of"~Anchorage' ..... >~'" files and from my investi_.qation~. ~d"i'~spection,· .. the on-site water : ..... .........eunnlv ~nd/o~ wasteW~,t~;'~lislsosal_ ~sY stem is'in, compliance, with all ~nd State codes,. ......... ~ ; ordinaP~:~d regU. lations',n effect on the date -, ~'~;~, Municipality of Anchorage Departmen, t,Qf Health and Human ,~ervices Legal Description: LoT '~, 'BL~ ~r~ , ~e~OU~ ~ ~ Parbel I.D. OHB ~1ol :]~ ~-~. Well Data (Y/N) Total depth '~ Sanitary seal (y/N)X'x'xx Date of test Static water level If~)B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to Casing height Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/hoMing tank on lot 2oo + Wires properly protected (Y/N) ; On advent lots. AbSOrption field on lot Public sewer main Sewer service~line WATER SA ULTS: ,/~a~ of sample: B. SEPTIC/HOLDING TANK DATA Nitrate ; On adjacent b'~ Public sewer manhole/~ie~ Petroleum tank ",., Collected by: Other bacteria ~'"'~.~., Date ot~pqmping'. ~/:A -:/v~-~,.,~..~.~,v~. · Pumper [ ';.."r, '~ .. ' ; .'.t SEPAR~I~ OI~ANCES~R~ SEPTIC/HOLDING TANK TO: Well(s) on IM~_~.~ On adjacent bis To Pm~ line ~ ~ ' ~ion field Date ,netail~/,. \~;~ ~ ~ Tank size Ieee ~.~=,~, Compartments Cleanou~). ~E~5 ',~ ?oundation~eano~N) ~E5 Depmssion(Y~ ~: r:"~'~ ~'" '~;'''~ ~ Alarm test~ (Y~,. High w~.{Y~.~ ~ .~ 3 Foundation Surface water/drainage Water main/service line' 72-o2s (mm). From CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in galions Manhole/Acoe.~ (Y/N)._ __ _,,.,~ Vent (Y/N)__ : "Pump On" level at. ~~ High water alarm level . _ C_~sted _ _ Meets MOA electrical codes (Y/N) // . . SEPAR~~ATION TO: JNe~on lot On adjacent lots .Sudace water D. ABSORPTION FIELD DATA Date installed '7 -3 .t - q ~ Length (~ ~-' Width Total absorption area ~7~' ~ Soil rating (GPD/FF) ~. ~ Gravelthickness o. ~ ~ Clesnout present ~l~N) Date dt adequacy teat /,~/~- ~'~-~ s~,~,~ Results (pass/fall) · ~/~- for [ Water level in absorption field before test / After test / Peroxide treatment (past 12 months) (Y/N) / If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: .. System type ~ Total depth ~" Depression over field (Y~)  ////~ Bedrooms Wellonlet ~oo '~- To building foundation ~, ~ On adjacent lots 5o ''~ Surface water "/oo ~- Curtain drain /do~te KNa~J On adjacent lots ,/,V'/~ PropeAy line To existing or abandoned system ~n lot Cutbank ~'~ % Water main/service line. ! Driveway, pe~kingNehicle storage area . '?$ E. ENGINEER'S CERTIFICATION Waiver Fee $ Date of Payment. Receipt Number