Loading...
HomeMy WebLinkAboutPROSPECT HEIGHTS #1 BLK 6 LT 8AMUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 015-092-22 Certificate of On -Site Systems Approval Expiration Date: Legal description PROSPECT HEIGHTS #1 BLK 6 LT 8A Site address 9843 CONIFER ST Current property owner(s) CARSON MICHAEL R & RUTH A X The On-site system(s) is/are approved for 5 bedrooms Conditional approval for Comments or advisories: 12/15/2023 bedrooms, with the following stipulations: By: Original Certificate Date: 9/15/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval June 2022 Development Services 3 Department €'pane 907-343-7904 On -Site tfttater & VVasievvater Section07-343 7 Fax:., 9 997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-092-22 Complete legal description PROSPECT HEIGHTS #1; BLOCK 6, LOT 8A Location (site address) 9843 Conifer Street *Anchorage, AK Current property owner(s) 2. ON-SITE SYSTEMS SIZED FOR L BEDROOMS Day phone 223-7152 3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: Q Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: Q Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 6 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed M Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee Waiver Fee $ Date of Payment 25/z- -1 Date of Payment COSA # C � 2 13 1322 Waiver # COSA Appllcagon_June 2022 �1 CSA Checklist Legal Description: PROSPECT HEIGHTS #1; BLOCK 6, LOT 8A Parcel ID: 015-092-22 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1974 (?) Total depth '160.9+ ft Cased to UNKNOWN ft n Sanitary seal is functioning correctly n Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 7/27/23 Static water level at beginning of test 147.3 ft. Comments "PER GEG WELL TEST B. TANK DATA Measured operating fluid level in septic tank 49" Date of pumping- T _I ❑ Required maintenance completed, if AWWTS Comments: - D. ABSORPTION FIELD DATA 1 Which system tested (date installed) 7/6/16 X ALL standpipes present per record drawing Total measured depth from grade 12.75 ft (max) s ed depth to pipe invert from grade 5.58 ft (min) N/A — pressurized field. Pe record drawings, field is insulated. nitor tubes go to bottom of effective. If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced 1011 gallons 7/27/23 date Any rejuvenation treatment (past 12 months) "UNK Ir yes, enter date - 1114 'PRE-SOAKED AND TESTED WEST`TRENCH ONLY - EASTCRENCH WAS DRY UPON ARRIVAL AND REMAINED DRY (k/ Well production at time of test 2.4+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑® No DColiform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L M Arsenic less than MRL (ND) Collected by GEG, Ltd. Date 8/10/23 �0 D cro C. LIFT STATION ❑ Required maintenance completed Age of lift station s Lift station lal ments Adequacy test date 7/28/23 Results Q Pass Fluid depth prior to test 0 in Water added "772 gal New fluid depth 0 in Elapsed time 0 min Final fluid depth 0 in Absorption rate 750+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 72 in Effective depth used 0 in Effective depth remaining 72 in Comments/Deficien THROUGH TESTING. "OWNER DECEASED. RESERVE 1974 CRIB APP ARED-DRJAT TIME OF INSP .TION WITH A T� e�Jc r1vlee� has �n�c'i'►�,eA 4 o du,rVVI kA let r COSA Checklist June 2022 o�Je�.'hbn, bo�l"h trevlGhcS /'eGr,�'ve C:�"�"Iv.P�nt. �'�l''!q�15�23 N10A 12 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' Yes if No ft 0 Yes if No ft Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' Yes if No ft Holding Tank > 100' QYes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' nN Yes if No ft � Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' Cglles if No ?ka ft Surface Water > 100' ❑• Yes if No ft Tank to Property Line > 5' FE] Yes if No ft Wells on Adjacent Lots:�l 3123 Field to Property Line > 10' 0 Yes — if No ft Private Wells > 100' E Yes if ot — N Water Main > 10' © Yes _M if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' Yes if No ft If tank or field is under driveway comment below S t1 F. ENGINEER'S COMMENTS G. CERTIFICATION &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 Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Gamess Engineering Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Gamess Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. ooa F�Op04 Separation distances were measured to readily identifiable features. Hidden defects or encroachments may A 4p exist that were not identified during the evaluation. The operational life of all wells and septic systems depend o .• 4 upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate p��? SrOV� during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing o g j H7. the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not �* ... ~...... guarantee future performance of the s stems; therefore, GEG makes no warranty 9 P Y ry (express or implied) regardin � the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the currents stems fail to perform d Y P �%�.JJerf �c,; ss; a equately in the future. The content of this report is for the sole benefit of the person/party that retained GEG Qv 9 —7953 p� to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever.LICENSE7"� ! U �•23'�\� COSA Checklist June 2022 #AECC884�40O�d�§bo n .–.. Cl 3--4-1 n — T r m �• m D_ y lb "� p m V S r a rt O' S° y (AA O Q m 3S m cmo-4cr 0 (A U3 di y m 0 CD 0a 3 am a3 m m– N n 3 m O C m O O Q `� U)0 m H I m rn 0 0 C1 < _• P*1 I` 0 0 3 S a rt 0 !!l111 C CD CD ° - y,nnv Q D rn W T 3 0 0 a- -V 3 — CL �ma fn -< o °ate r Vl IX ,S `C C O fry IA S O m Q O d3 3 O –N m \J n m ? 2.� V) °� I m� °77r*ma a C] _ o Q t° IC .� am 3 CA b m om In n °m° -ID (� a I� a CA !I CD IC mnm0r 13 =r C if o I- O 3 rt O 0 III En �m �Soa I �m 3 �� m mX i 1-•Qa�l n Vi CD 3o"aon� ;v o CD m a c {�v %3c.fl. a <oQm003ro3ou °ooz<.n C n o c ja. O° 3 [n I� CL'3 rt 3 3 'C 3 O to N C I� 3m 3 a3am� mw�-4 -u3 o :r 0 z :� 0 :3 570 0 m C m c o 3 m ons°(n 3� 0 >0 3 00 V O 3 3 0 a m n 1 3 m O - m(n O 0 to I O Q a v O• CA CD '/p . er • •9J► i I I Q 1-4 bib z En a o _ f'{'� '1°° a Ic En n f19 }sN G)AM- Adw of Amw •-sem 0 Z rn rn 30.0' I V U I U-1 I I Lot 9A I Lot l0A EASEMENTS 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: OSP161109 Tax Code Number: 01509222000 Work Type: Septic Upgrade Permit Effective Dates: May 20, 2016 to May 20, 2017 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: PROSPECT HEIGHTS #1 Site Legal Address: PROSPECT HEIGHTS #1 BLK 6 LT 8A G:2440 Owner/Address: CARSON MICHAEL R & RUTH A 9843 CONIFER DR ANCHORAGE AK 995070000 Site Mailing Address: 9843 CONIFER ST, Anchorage Lot Size in Sq Ft: 116305 Total Bedrooms: 5 This permit is -for -t Y 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. Received Issued By MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907- I7to �� Development Services Division Fax: 90 79 7 '? On -Site Water & Wastewater Program 9 ON-SITE SEWER/WELL PERMIT APPLICATION MAY 12 2016" Parcel I.D. 015-092-22 Property owner(s) Michael & Ruth Carson Mailing address 9843 Conifer Street, Anchorage, AK 99507 z<< 1 Ol 5 8 Day phone Site address 9843 Conifer Street Legal description (Sub'd., Block & Lot) Prospect Heights #1, Block 6, Lot 8A Legal description (Township, Range & Section) Lot Size 116,305 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: IN all that apply) Absorption Field Initial ❑ Single Family (SF) ❑X Septic Tank ❑X Upgrade n (w/wo ADU) Tank ❑ Renewal ❑ Duplex (D) ElHolding Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Permit/Rush Fees: q Waiver Fees: Date of Payment: 51 Date of Payment: Receipt Number: 0'10t(Af Receipt Number: Permit No. L-6? (o Waiver No. Permit App__- :- : L..:c 3 Pannone Engineering Services Etc Steven R. Pannone, Principal Registered Professional Engineer - - - -- - ' E-mail: stevegoanengak.com May 10, 2016 _ Subject: Prospect Heights #1, Block 6, Lot 8A Septic System Upgrade Permit Request Design Narrative . This is a design narrative for a permit to install an upgrade septic system to be issued for this property. The proposed system will serve an existing five (5) bedroom house. Currently the lot is developed. The existing tank will be verified and replaced if necessary and a new absorption system will be installed. This lot and the surrounding lots are served by private wells. There are no wells within 100' of the proposed septic system, and there are no septics within 100' of the proposed well. 1. Soils. One test hole was performed in the vicinity of this system by Pannone Engineering Services in May 2016, and groundwater was monitored for at least seven days. Ground water was not observed to a depth of 18.0' below the surface in the test hole monitor tube in May 2016. Bedrock was not encountered in the test hole. Based on the results of the percolation tests and overall soils appearance; an application rate of 0.8 gallons/day/square was used for a conventional wastewater system in the area of the test hole. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography slopes from west to east at approximately 12% in the area of the drain field. There are no steep slopes within 50' of the proposed drain field. The proposed drain field will maintain 50' separation all steep slopes. S. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 [SEPTI DRIVEWAY�- / / A L �5BR �, IN- GAPkG HOSE (E \ \ VERIFY CAPACITY AND INTEGRITY OF SEPTIC TANK (E) \ \ IF FOUND TO HAVE LESS THAN 1350g CAPACITY OR x \ FOUND TO BE LEAKING DECOMMISSION PER CODE AND INSTALL 1500g SEPTIC TANK (P) \ \ \• INSTALL DOUBLE CLEAN OUT BEFORE AND AFTER, ��� ,� UPGRADE DRAIN FIELD (P) DIVERTER VALVE, AND FLOW SPLITTER ON TANK • TH— 1 O PEA). 40LF x 2.5'W x 6.0'ED x 120'TD THAT IS USED IN ,.10' UTILITY EASEMENT 1 �, NO ,WELL WITHIN 100' Or PROPOS�D SEPTIGNARILA S3` '�: `'- �O �Q A NNN �. V \ �,NN Nx O DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 5 (750 gpd) TANK SIZE: 15OOg WELLE \ PERC RATE: 8.5 MPI ( ) SOIL RATING: 0.8 GPD/SF�- AREA ROD: 937.5 SF i �' I ABBREVIATIONS SYS. TYPE: DEEP TRENCH 6.0'ED MIN LENGTH: 78 LF r I TH TEST HOLE / - (P) .PROPOSED USE ' ,(2EA) 40 LFx2.5'Wx6-0' E.D., 12.0' TD j' ,�� / / CO EXISTING -� CO CLEAN OUT N0. TOTAL AREA: 960 SF j ,� %• ' SMT MONITOR TUBE NO. - ``TYR TYPICAL NOTES pL1LV1VONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 = OFA \�l J (� �qS1�� ig�p �9+� ........ ... .. ... ... none R. Pan/PERMIT �+P��•. CE 8149 OfES`�_� Doig/zots FOR CONSTRUCTION Scale PROSPECT HEIGHTS #1, BLOCK 6, LOT 8A -Ste MICHAEL & RUTH CARSON 9843 CONIFER STREET ANCHORAGE, AK 99507 P.I.D. NO 5-092-22 N0. osP161109 PLAN Sheet SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55. 2. SCOPE OF WORK: VERIFY EXISTING TANK AND INSTALL 1500g SEPTIC TANK IF NECESSARY AND SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 18 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 18 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. - 4. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. 5. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 6. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. - 7. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER, 8. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. 9. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED -LINE AS -BUILT DRAWINGS TO THE ENGINEER. THE RED -LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS. 10. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN -OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 11. THE CONTRACTOR PROVIDED DATA (UPON WHICH THIS RECORD DRAWING IS BASED) APPEARS TO REPRESENT THE PROJECT AS CONSTRUCTED. THIS DATA IN CONJUNCTION WITH THE PERIODIC FIELD OBSERVATIONS BY THE ENGINEER (OR HIS DESIGNEE) AS REQUIRED BY AMC 15.65 DOES NOT GUARANTEE THAT THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. 12. THE CONTRACTOR SHALL SIGN THE FOLLOWING: I CERTIFY THAT ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE APPEND PERMIT, AND ANY AND ALL CHANGE ORDERS, ,AND THAT THE AS -BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. CONTRACTOR: BY: DATE: TITLE: NOTES: _������\\� Date FOR CONSTRUCTION P N Oj ONO2E ENG 995Lt OC ,� �cF a�gsll� 5/19/2016 PHONE (907) 272-8218 FAX (907) 272-8211 %g�y+� Scale NTS �... .. .. ... P.I.D. NO PROSPECT HEIGHTS #1, BLOCK 6, LOT 8A -092-22 MICHAEL & RUTH CARSON Steven R. Pannone PERMIT N0. 9843 CONIFER STREET Fs. CE 8149 \��/ OSPi 61109 DESIGN DETAILS ANCHORAGE, AK 99507 (, 1FgF�PROFES510NN �r Sheet 3 OF 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 TEST HOLE 1 OR/OL ORGANICS/ ORGANIC SILTS GM/ SILTY GRAVEL SM AND SAND BOH SOILS LOG - PERCOLATION TEST \ SITE PLAN DRIVEWAY \ �5R -� \ GAP,4G HOUSE (E)_ SLOPE x TH � \ � TH— 1—/ � 1 \ 10' UTILITY EASEMENT WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -DRY DEPTH TO WATER AFTER MONITORING? -DRY DATE: 5/9/16 )a+e. prr��CA ; 5/2//6 )GWw .Oct i.p SLOPE TH x READING DATE CLOCK NETTIME WATERTIME LEVEL READING NET DROP 1 5/2/16 10:00 --- 5.35 --- 2 10:10 10 MIN 6.71 1.36 3 10:10 --- 5.35 -- 4 10:20 10 MIN 6.55 1.20 5 10:20 --- 5.35 --- 6 10:30 1 10 MIN 1 6.53 1 1.18 PEROLATION RATE 8.5 (min/inch) PERCHOLE DIAMETER 6 inches TEST RUN BETWEEN 5 FT AND 6 FT COMMENTS: Test hole excavated by A+ HOME SERVICES. Prec hole was presoaked Test run for at least one hour. Last 3 readings reported. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDAI\ WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST_ NOTES: PANNONE ENG SVC, LLC _ -�oF A \ >, Date FOR CONSTRUCTIONP.O. BOX 102954 ANCHORAGE, AK 99510 (� Gq�li1 5/19/2016 PHONE (907) 272-8218 FAX (907) 272-82111 w ." .v 0 Scale *; _ II NTS �..... ... . .... . .. P.LD. NO PROSPECT HEIGHTS #1, BLOCK 6, LOT 8A / / 015-692-22 MICHAEL & RUTH CARSON Steven � Pannone j PERMIT N0. if CE 8149 =� OSPI61109 9843 CONFER STREET SOILS LOG ANCHORAGE, AK 99507 +�\�\O�S51o���= Sheet 3 GRE/ ..... 'R ANCHORAGE AREA B01~'"'GH Department of Environment Quality 3500 Tudor Road Anchorage. Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~ ~/'~/~J;O/~/ LOCATI ON MAILING ADDRESS ~yO /~l~';;r/'/~, ~¢1~ PHONE LEGAL DESCRIPTION /,~ ~'/'~ ~/~' (~ ~:~¢<~//2~7- SEPTIC TANK: DISTANCE , FROM WELL ~-~) INSIDE LENGTH MANUFACTURER ~NSIDE WIDTH MATERIAL ~/ NUMBER OF COMPA RTM ENq'S ~ LIQUID DEPTH LIQUID CAPAClTY/~ GALLONS. DISTANCE FROM WELL NUMBER O" LINES ABSORPTION AREA DEPTH: TOP OF TILE TO F~NISH GRADE DISTANCE BETWEEN LINES FT. LENGTH OF EACH LINE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE ~- IN. WELL: TYPE ~1~1//~''~ CONSTRUCTION BUILDING NEAREST FOUNDATION__ LOT LINE__ CESSPOOL OTHER SOU RCES APPROVED DISAPPROVED ~f ~'~ DEPTH NEAREST SEPTIC SEEPAGE SEWER LINE__., TANK , SYSTEM REMARKS DISTANCE FROM: DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: ~ ~,//,~ .r- DIAGRAM OF SYSTEM D ATE ~-t~'7~ APPROV EDJ/~-~a_.,-~ G.A.A.B,~ /~GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY ANCHORAGE, ALASKA 99503 3330 STREET TELEPHONE 274-4561 PERMIT NO. SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED SEEPAGE PIT · DRAIN FIELD . OTHER FINANCED THROUGH SOIL TEST RESULTS TO BE INSTALLED BY 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 EEEPAgE Area S,ZE /~ Xl¢~o,l~ ?~-W/STVPE}O~'-~ R/~' MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK fOUNDAtION TO SeEPAge Pit DRAIN field SEPTIC TANK TO SEEPAge PIT WaLL TO NEAREST LOT LINE, WELL TO SEPTIC TANK DRAIN FIELD //~'~ '~ ! WATER MAIN TO SEPTIC TANK DRAIN FIELD /~'~ / SEPTIC TANK, /~0' , SEEPAGE PIT /~) ) . DRAIN fIELD/ TO RIVER, LAKE, STREAM. , DRAIN FIELD . SEEPAGe PIt ALSO CONSIDER AREA WELLS. . SEEPAGE PIT 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. DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAge AREA BOROUGH~Q~N~/~CE NO. 28-68 AND THAT THE ABOVE DATE ? '/3~ ? ~ APPL,G^HT'B SIGNAT,~RE GREI i:LR ANCHOR/kG[ AREA BOROUGH~ DEPAR1]r~ENT OF ENVIRONMFNTAL QUAI.q'~Y Coa~s~°~ ANCHORAGE, ALASKA 99503 ~"~' Performed For MichaelCarsoD Legal Description: Lot 8A Block 6 This Form Reports Soils Log xx - Soil Test Must Be Logged To 4' Depth Feet Soil Characteristics Dated Performed July 12, 197~ _ Subdivision Prospect He~s Add#l Percolation Test Below Proposed Seepage System - 2-- 3-- 4-- 5-- 6-- 7-- .8-- 9-- 10-- 11-- 12-- 13-- 14-- Excavated surface Gravelly sands Random cobbles and boulders and trace of silt Light gray Well-graded material Contains some small sand lenses grading from medium to fine (sw) Was Ground Water Encountered? No ~4o^ If Yes, At What Depth?__ Reading Date Gross Time Net Time Percolation Rate Minute Proposed Installation: Seepage Pit Depth of Inlet Depth to COMMENTS: Depth to 1t20 Net Drop xx Drain Field Bottom of--Pit or Trench 14' We would recommend using 125' sq. ft. per bedroom as being in accordance with Borough standards. Backfill for the seepage pit could be obtained by selective use of in-sit~ material in the immediate vicinity or the small borrow area at the base of the hill along the property's N boundary. Test Performed BY HowardJ. Grey Alaska Geological Consultants, Inc. Date Certified BY: Date: