HomeMy WebLinkAboutLOMA ESTATES BLK 3 LT 9Municipality of Anchorage
Community Development Department Page .1 of 3
On-Site Water & Wastewater Program
4700 Elmore St. • P.O.
Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907)343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP191167
PID Number: 020-092-35 ❑ New IN Upgrade
Name:
Rodney Finkle
ABSORPTION FIELD
❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
Address:
5231 Celtic Drive *ANCHORAGE,
AK 99516
❑ Other
Phone:
No. of Bedrooms:
Soil Rating:
Total Depth from original grade:
907-345-4503
4
GPD/Sq. FL
Fl.
LEGAL DESCRIPTION
Depth to pipe invert from original grade:
FL
Gravel depth beneath pipe:
Ft.
SubdMsion:
Loma Estates
Block: Lot:
3 9
Fill added above original grade:
Grave gth:
FI.
ownship: — ange: —
eo ion: —
-11\G
Gravel width: fJ
FL
Beds Number of lines:
Distance between lines:
Ft.
SEPARATION
DISTANCES
Total absorption
Number of trenches:
Dist, between trenches:
To
Septic
Absorption
Lift
Holding
Public]Pdvate
From
Tank
Field
Station
Tank
Sewer Lines
SO. FL
Ft
well
50'+
_
_
25'+
TANK IM Septic ❑ S.T.E.P. ❑Holding ❑ Other
0
Manufacturer.
Capacity:
Surface Water
50'+
—
-
-
INFILTRATOR
1530
N/A
Gal.
Lot Line
5'+
r F�
�
-
-
Material:
Number of compartments:
HDPE
2
Foundation
10'+
[,11
_
_
LIFT STATION
Curtain Drain
N/A _
_ _
Manufacturer.
D Y:
Gal.
Remarks:
"Pump on' level at; "Pump off' level at: High water alar at:
'PER CONTRACTOR, THE OLD TANK WAS DECOMMISSIONED PER UPC
=Electrical Inspections performed by:
PIPE MATERIAL
House to tank D3034/EXISTING Tank to D3034/EXISTING
dramfield
Installer
ARM SERVICES
Drainfield EXISTING CO/MT D3034
Inspector GEG, Ltd.
BENCH MARK (Assumed elevation)
100.00 Ft.
Inspection
Dates: 1 St 5/29/19
2nd
Location and Description:
3rd
4th
TOP OF TRIM
Community Development Department Approval
ENGINEER'S SAL
Conditional approval:
Date:
Qoo 's, �O
....... ....�
Garnes
i /,J
Cja,�U1jf/`
�Q�s C(E-79
4 r
f
A roved: �,
,ppDate: G2�
4 Profession0\
LICENSE �q
/
4AECC884 D�QQQOOd
PERMIT NUMBER RECORD DRAWING PARCEL ID NUMBER:
OSP191167020-092-35
A B C
MH1 36.9 18.6 25.4 0° \
ST1 38.0 20.5 34.5 \ \
DBL1 39.0 22.1 37.7 \ \\
DBL2 1 39.3 22.8 1 38.3 \\
LOMA ESTATES S/D;
BLOCK 3, LOT 8
EXISTING RE
-CIRCULATING PUMP VAULT;
AEROCELL POD AND DRAINFIELD
�P
DBL1 &2
ST1
MW
/
B
/A
NEW TWO-COMPARTMENT
/
1530 INFILTRATOR
SEPTIC TANK 0
EXISTING 4
/
BEDROOM HOUSE
110,
/ �p
� `r :'' ''•• y • •• `�
GARAGE
/
- - --�
/
-
DAVIS DRIVE
\
SCALE:
ill =40'
GARNESS ENGINEERING GROUP, Ltd
ENGINEERING SALES CONSULTING
3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507' PHONE (907) 337-6179' FAX (907)338-3246 ' WEBSITE: www.gamessengineedng.com
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
ROD FINKLE 345-4503 2 OF 3
PROJECT/LEGAL DESCRIPTION: DRAWN BY:
LOMA ESTATES; BLOCK 3, LOT 9 PNB
TYPE OF WORK: DATE:
RECORD DRAWING 1 6/18/19
PERMIT NUMBER: PARCEL ID NUMBER:
OSP 191167 RECORD D RAW I N G 020-092-35
FINAL GRADE = 99.54-99.60
MH f Z� ST1
2" HIGH DENSITY INSULATION
PER CONTRACTOR
TOP OF TANK AT INLET = 96.69 TOP OF TANK AT OUTLET = 96.69
INLET OUTLET
INVERT OF INLET BUNG = 96.07 INVERT OF OUTLET BUNG = 95.81
1530 GALLON TWO-COMPARTMENT HDPE
INFILTRATOR SEPTIC TANK
SEE ATTACHED EMAIL AND PICTURES
PROVIDED BY ARM SERVICES REGARDING THE
DRAINAGE SYSTEM THAT WAS INSTALLED
AROUND THE SEPTIC TANK.
OF �1�
i
/ c ra'v4j ♦♦
GARNESS ENGINEERING GROUP, Ltd .* ...49......... ....0
ENGINEERING SALES CONSULTING ,%
3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907) 337-6179 • FAX (907) 33&324& • WEBSITE: � .gamessengineenng.com ! •• �. . • . ••t\ ............ :.k .
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ♦ ; '1• e, f• . A. aures 47 �r
RODNEY FINKLE 907-345-4503 3 OF 3 ♦jG'�J,'•1 E 795 �_�
PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦♦ V'•Gj,.•'•���
LOMA ESTATES; BLOCK 3. LOT 9 PNB �,111�......
44
P..��
E OF WORK: DATE: LICENSE,, pRp
VATAlux
TYP�
PROFILE DRAWING 6/18/19 #AECC884
Jeff Garness
From: ARM Septic Services LLC <armservicesak@outlook.com>
Sent: Wednesday, June 19, 2019 12:04 PM
To: Jeff Garness
Subject: Rod Finkle tank drain
Attachments: IMG_4147.JPG; ATT00001.txt; IMG_4148 jpg; ATT00002.txt; IMG_4149.JPG; ATT00003.txt;
IMG_4151.JPG; ATT00004.txt; IMG_4152.JPG; ATT00005.txt
Jeff,
Bedded and carefully compacted in classified material. Had a cleanout at the beginning of the sock -hose located at the
outlet side of the tank.
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``" MUNICIPALITY OF ANCHORAGE „ent
On-Site Water&Wastewater Program ��� S.�
a `, PO Box 196650 4700 Elmore Road c
•
• f` Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 „- r.
IL httpa/www.muni.org/onsite + .r.
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_../ I)cpartmcnt
4NCN_OA p(''"
On-Site Wastewater Disposal System Permit
Permit Number: OSP191167 Effective Date: 5/14/2019
Work Type: SepticTank Upgrade Expiration Date: 5/13/2020
Tax Code Number: 02009235000
Site Legal Address: LOMA ESTATES BLK 3 LT 9 G:3337
Site Mailing Address: 5231 DAVIS DR, Anchorage
Owner: FINKLE RODNEY T& MARY ANNE Lot Size in Sq Ft: 40478
Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 4
This permit is for the construction of:
❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage
All construction shall 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 shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:An insulated, 20"diameter(minimum)manway riser is required on the first compartment of
the septic tank, in accordance with 15.65.205F.1
4119
Ali, I
By:,--Received By -„ ,...Ar _ Date: .Alo
Issued By: ' /X,de__AI FP I/ Date: 47/.?
MUNICIPALITY OF ANCHORAGE
. ;r....
Community Development Department Phone: 907-343-7904
Development Services Fax: 907- 343-7997
On-Site Water & Wastewater Program
Mayor Dan Sullivan
On-Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel La D. 020-092-35
Property owner(s) RODNEY FINKLE Day phone
Mailing address 5231 CELTIC DRIVE *ANCHORAGE,AK 99516
Site address 5231 CELTIC DRIVE "ANCHORAGE,AK 99516
Legal description (Sub'd, Block& Lot) LOMA ESTATES; BLOCK 3. LOT 9
Legal description (Township, Section& Range)
Lot Size Sq.Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING:
(sail that apply) Initial
❑ Single Family (SF)
Absorption Field ❑
Upgrade ® (w/wo ADU)
Septic Tank ® Duplex (D) ❑
Renewal ❑
Holding Tank ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR:
N/A Distance: -
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees: Waiver Fees:
Date of Payment: 5/4 1 / Date of Payment:
Receipt Number: qq 0nP,14 Receipt Number:
Permit No. dV Pig II(e) Waiver No.
(Rev.01111)
uanics
GARNESS ENGINEERING GROUP, Ltd Advanced r.cat,<Tnte,,,
ENGINEERING SALES CONSULTING
Dealer
May 1, 2019
Municipality of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Ref: Proposed Septic Tank Upgrade for Loma Estates; Block 3, Lot 9
To whom it may concern:
The subject lot is served by a private well and private septic system. Per our client (ARM
Services, LLC.), the existing septic tank is in a state of failure (taking on groundwater) and must
be upgraded. The existing pump/recirculation tank and septic tank are relatively deep and in
groundwater. Based upon this fact, we are proposing to install a new 1530 infiltrator septic tank
near the foundation where it will only have about 3' of soil cover. See attached design drawings
for the proposed tank location and other MOA requirements.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
Sincerely,,
Jeffre, r. Garne >, P.E., M.S.
Presi e t
3701 East Tudor Road, Suite 101 *Anchorage,Alaska 99507-1259
Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com
i
/ ..\
GEG,Lfd.HAS AN 8 PAGE SPECIFICATION LETTER
. THAT PERTAINS TO THIS DESIGN.BY PROCEEDING
FORWARD WTH THIS INSTALLATION,THE
ENGINEER,WELL DRILLER,CONTRACTOR AND
PROPERTY OWNER AGREE THAT THEY HAVE
READ THESE SPECIFICATIONS AND AGREE TO
ACCEPT THE TERMS AND CONDITIONS OUTLINED.
/
/
REPLACE/REPAIR RE-CIRCULATION LINE
FROM TRICKLING FILTER TO PUMP VAULT \
LOMA ESTATES S/D;
141
BLOCK3,LOT8
\ ' /0
��6°C)
EXISTING RE-CIRCULATING PUMP VAULT;
EXISTING SEPTIC TANK TO BE AEROCELL POD AND DRAINFIELD
DECOMMISSIONED PER UPC
MH
MH # /
•
NEW TWO-COMPARTMENT 1530 INFILTRATOR SEPTIC TANK; /
INSTALL DOUBLE CLEANOUTS AFTER TANK;REPLACE /
SEWER LINE FROM SEPTIC TANK TO PUMP VAULT//
EXISTING 4 /
BEDROOM HOUSE
/
/ \*.
•`;:_••r. s...X4 . GARAGE
.:r•• • ..\' sT V
1 )(
- - \� / /
\ / v
-� S ALE:
/ Iii
� DAVIS DRIVE �\ / 1...40'
/ \
J
•44-
4.�.s• ■IIst
• :L7 #
GARNESS ENGINEERING GROUP, Ltd �`.� ./':,."'
''\ '•
ENGINEERING•SALES•CONSULTING1 0
w
•
3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE.AK 99507'PHONE(907)337-6179'FAX(907)338.3246•WEBSITE:ww.gamessengineering.eom • • ••• • •
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: # ey A. Ga ess
•
•
ARM SERVICES 907-688-9433 1 OF 1 #�rp •. CE 7' ;' N
PROJECT/LEGAL DESCRIPTION: DRAWN BY: # , •
LOMA ESTATES; BLOCK 3, LOT 9 D.J.G. �q.v.) '''Q(� • •••• t. 4.4.
TYPE OF WORK: DATE: 44 ;;` 4jS
DESIGN OF SEPTIC TANK UPGRADE 5/1/2019 #AECC884 1� J
MUNICIPALITY OF ANCHORAGE
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
PHC)NE ! .~NEW
LEGAL DESCRIPTION
LOCATION ru/
I DISTANCE TO:
~ Z I Manufacturer
~ ~Lq capacW nga
[ /~, [ IF.uME~DE:
~,~ I DISTANCE TO: IWell
~ I DISTANCE TO: I
~ ~ z I No. of ]ine~ I Length of each line
"~ Top of til'Xo finish gr;~
~ Wngth W~dth Depth
< k I Type of crib
ICl~ Depth Driller
~ I ~ TO: Building foundation
Absorption area
/fo~'
Dwelling
MatErla] .
~e /
NO. OF B~)ROOMS
PERMIT NO.
No. of com~rtments
Inside length Width Liquid depth
Dwelling PERMIT NO.
Material
Nearest lot line
Liquid capacity in gallons
Foundation PERMIT NO.
Total length of lines Distance between lines
Material beneath tile
inches
Total effective absorption area
PERMIT NO.
Crib depth Total effective absorption area
Building foundation Nearest lot line
Distance to lot line PERMIT NO.
Sewer line Septic tank Absorption area(s)
OTHER
PIPE MATERIALS
SOl L TEST RATING
/q
INSTALLER
REMARKS//tV/(2 .~'/~'k~t . .~--/~C~ ,r~ /! ~
APPROVED
DATE LEGAL
0
<
z
L~
L.EGF!L
L.T.9 E:I_k2Z: L(]MF~ EST'
',E',.~i: E;.iRCH HIL. L. FT. R'!.'CH
L F T :5 i ZE
4~ZJEu;.::t(~ S(;).URRE FEET
T'.?PE OF !50 :[ L. '_,:::IE[SOF.:PT Z E!N :-5'¢STEH ..... T'::',: TRENCH
HR::.:;tML!H ,,._tiE.... OF E~E[:,ROOHE; = 4
:Ef]IL F.'.RTINI] (;!5(;! FT,-'"E[R:: .....
THE RE(;:!UIF.:ED SIZE OF THE: SOIL. RSSOF:P'TI]$,~ :,,'.:,lEt', IS:
THE LENGTH [:,ZHENS!ON iS THE L.ENG'TH ,:.'iN FEET) OF THE 'TRENCH OR DRFI!NFIEL[:,.
'THE [>EPTH (]F' I::~ TRENC'H OR F'Z'T' IS THEE DISTFINCE E:ET.WEEN THE SL.!RFF!CE OF 'T'HE
(3ROUNE:, FiND 'T'HE: E~OTTOM OF YHE E;:.:',CF!VFFf'ZON (IN FEET).
· 'T'FiERE IS NO :E;E'T' Ni[:,TH FOR TRENCHEE;.
TH.E GRRVEL [:,EPTH iE; THE MINIMUH DEPTH OF GRFI'v%L. BE'T'!.,.!EEN THE OUTr;:'FIL. L .F.:'ZPE
lqN[.', THE BOT'TOt"! OF" THE Ef:.::CFCv'FFf' i ON ,:: l N FEET).
PEF.:I"! i T FIF'F:'!._ :,r. CF!NT HI::IE; TNE REE;F'ON% i E= ! L. I T'-? TO ~ NFOFd"! 'T'H I '}] D-'E?R ?'T'h' EN .... r.':,ljR ! tqr:J THE
l t',I':::TRt .......................... Ff"" ,. ~,',I 1' i'.~':-;F'F" T T - Hc OF: FIN? ~..t,.:. _L.::, FiD.TRI]:ENT TO ',"*.~,,,.......,T c F'ROF'E;R'T'¢ F:Ii'.~E:, THE
.,¢..r'!E:,Em.....'hr.: RE$I[:,ENCE::.":'; THFI-f,' 'THE..._~..,_.,F'~' !.,JILL. SERVE.
.........................................E~FtE:I.::'F:Ti ! T,*.4F~ OF F!N'..~' S'?"}.';TEt'"! HTTHC_T FTi'.JFII iNSPECTION FINE:, RPF:'m""FIt ,:,i:"'~ THIEi; T T - I'.~
H!NIHUM DtSTRNCE BE'T!.qEEN R NELL. RND F!N'-r' ON-SITE SENF!GE DtSPOSFIL. S'?'9_';TEH IS
±8,9 F:EET FO,q: Fl !::'F:!VF!]'E NELL. OR :i..50 TO 200 FEE'T' FROM FI PUBL. IC I.'JEL. L [:,EPEi",![."iNG
UPON 'THE 'T'¢PE OF PL.!PL. IC NEL.L
HII',!ZMLiH Difi;TRNCE FF-':OH F:I F'RI',,,'!qTE NELL. TO F! PF:I",,'!::!TE :.SENER L. INE I:5 ;25 FEE'T' RND
"FEi FI COMMUNIT'¢ SENER LINE iS ';':"5 FEET.
OTHER REqU!F.:EMENT:E; rdR'.,.' FiF"PL'.¢. SPEE:IFiCRTIONS FiND [::ONS'TRUCTICd'.,! C, iF!GRF:iM:~:i; FIRE
RVRIL~REh'...E TO INSURE PROPER !NS'TIaL. LRTtON.
! CERTIF'.¢ TNR"i"
Z: ! FI.H, F:'FIMILIRR i.4ITH THE REtT.!UIREMEN'FS FOR ON-SITE ':?.;ENER~5 RN[.', NELL.::.:.; t::r.S :-"_-:lET'
FOR'TH E¢.? THE MUN):E:IPFIt_IT'.¢ OF RNE:HORRGE_
2: !NIL. L !NST,qL.L THE: S'¢E;TEM IN RC:CCfRDF!NCE NiTN THE CODE:E;.
~:: I UN[:-'ERSTF;ND THRT THE ON-'E;tTE SE!.4ER S'¢:F.,TEM HF:i¥ F.:E~.T.!UiRE ENL..RRGEHEiq'T' IF:' TNE
RESIDENCE IS REMODEL. ED TO I NCLU[:,E HOF.':E THFiN 4 E~E[:,ROOM:?.:;.
V4. ~
POUCH 6-650
ANCHORAGE, ALASKA 99502 0650
(907) 264-4111
TONY KNOWLES.
MA YOR
DEPARTNiENTOF HEALTH AND ENVIRONMENTAL PROTECTION
January 4, 1982
Rodney Finkle
82 Birch Bill
Fort Richardson, Alaska
99505
Permit ~ 811087
Subject: Lot 9 Block 3 Loma Estates Subdivision
A permit issued by this department for a well and/or sewer
system has expired as of December 31, 1981.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log should be sent to
this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for our
files.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Sewer and Water Program
Enclosure: Copy of Permit
F
F~F'PL I C:F[NT RO[:,NE¥ NINKLE
L. OC~]"I ON DFIYI S DF-'.:.
LEGAL LT. D B,N 3 LOMR ESTS S,."'[:'
8.2 BIRC:H HILL F"F. RICH. 428-]-:':529
LOT SIZE ,fl4:.']~EHZu;~ SC]UFIF..:E FEE]''
'!"?F'E OF SOIL P'IE=SORF'TION SYSTEM IS: TRENCH
MRX'iMLIH NUMBER OF' BE[)ROOHS = 4
SOt[_ RR],'ING -'.'.'SC! FT,..'BR)=
THE REE-~U I [--'.'.ED S; I ZE O!:' THE SO i L. RE;SC,'RPT I ON S"r'STEM I L:;:
THE LENGTH DIMENSION IS TNE LENGTH '-'.'IN F'EET) OF' THE TRENCH C,'R DRRINF!ELD.
'THE [:'EPTH OF' R TRENCH OR PIT I'S., THE DIE;TFINCE BETP.IEEN THE .SLLRFF~CE OF'
GROUN[:' laN[:, THE BOTTOM OF THE EXCR","RTION (IN F'EET).
THERE IS NO SET HID'TH FOF.: TRENCHES;.
THE .T4F.':R',,,'E_ [:'EP],'H '!5; ']"HE MINIMUM [';'}-~F'TH ~OF GRR',,,'EL. E:ET!4EEN THE OUTFRLL PIPE
Fff',![:' ]"HE E~OT'I"iH OF:' THE E?,;C:R',,,'ta~.,FI¢~ff.4 ¢,::~N FLEET)..'
F'ERH I T RF'F'L. i C:RN.T F.IF!S THE RESF'ELNS I E:I L t T'?' TO INFORM '['H. f_ S [:,EF'laRTMEI'.~,T [:,UR I NG THE
INSTRL_LF~T!ON INSPECTIONS OF RN'¢ !4ELL. S RD..IFfCENT TCI THIS F'ROF'ERT'.? Rt".,!D "['HE
~'.,,.f','tE.F. ZF.".' OF RESI[:,ENC:ES THF!T THE' t.,.fELL P.!II_L
E[F!CKFtLL. ING OF RN'¢ S'¢STEH .W!]"HOUT FINRL INSPEC:TION IN[:, RPPF:O',,,'FIL E:'.:: THIS
[:,EF'FIRTMENT [q:EL.L. DE] SUBJE:C:T TO F'F.:OSEC:UT!ON.
HINIHUM DISTFtNC:E BET.WEEN R !4ELL FIN[:, P~N¥ ON-SiTE SEWRGE DISPOSRL. S?STEM
±E~ FEET FOR F! F'RI'¢STE .WELL OR !59 TO 2E~E~ FEET FROM 8 PUBLIC WELL [:,EPENDiNG
UPON THE T"r'PE OF PUE:LIC WELL.
MINIMUM [:'ISTRNCE FROM Ff PR.I'~,'RTE !4ELL TO R PRIVRTE SEWER LINE I21; 25 FEET Bf',ID
TO R C:OMMUNIT~' SENER LiNE iS 75 FEET.
i.4ELL LOGS RRE RE;._IRED RND HUST E:E RE~;]JRN'~][:,
OF THE f.,.IELL. '] 'ZHPLETION._ %.~.* ;
OTFIER REE:¢JZREMENTS MF!'¢ RF'F'L'¢. SR~CZP~L:R'T]ON5;- RNE:, IZONSTRLIC:]'ION E:,ZRGRRMS RRE
F~',,,'RZLRBLE TO INSURE PROPER ZNSTRLL. F!T ION.
i C:ERTiF'¢ THFtT
:L: '.( lam FRMILIFIR t.,.IITH THE REC!UIREMENT:F:; FOR ON-SITE SEF!ERS taN[.':, WELLE; FIS E;ET
FORTH B'¢ Tt4E MLINICIF'RL. IT'¢ OF RNC':HORF~,GE.
2: I 14ILL. INSTRLL THE S'¢STEM IN RCC:OR[.',RNCE 141TH THE CO[:,ES.
3: ! LINE:,ERSTRND THtaT THE ON--SITE S,E!.,.!ER S'¢STEM MFW REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REHODELED TO INCLUDE MORE THFIN 4 BEDROOHS.
',/4. ,El
r,rt r ON-% [ I ~r. ..... _.
,:~, ~ [] SOILS LOG
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
PERCOLATION
TEST
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SLOPE SITE PLAN
11
15
16
17
18
1457-1
19
20
COMMENTS
PERFORMED BY: ~ & S EngfneeH~
72-008 (6/79)
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE /Z~' S (minutes/inch)
TEST RUN BETWEEN ~ FT AND ~ /
-- FT
Time ~ Time
Date Date Date
Inspector Inspector InspecTor
Comments Conditional Approval
Date Sewer Installed Permit No. Septic Tank Size
-- ~1'* ~, Holding Tank Size
Soils Rating Well To Absorption Area ~ Well Log Received
Well to Tank ~ ~
Property Owner ~¢/~E~ 7'; t;;~L~ Phone
Address
Lending Institution ~9~D~ ///~F~ /0~
Address /~) ~ ~5'/ ~/-' ,./AL)~ /L~c;~ /.I}~ q~5~D
Phone
Realty Co. & Agent ~ l/
Address
Legal Description ~y ~ ~c~ ~ ~d~ ~3b /~ ~' /~/~C~Ro~
Street Location
Type ~f Residence
~ Single Family
~ MulUpie Family No. of Bedrooms
~ Other
Wate~Supply
~ Individual A~ACH WELL LOG. A well log is required for all wells drilled since June
~ Community 1975. For wells drilled prior to that date, give well depth (attach log if
~ Public Utilit~ available.)
2
Sewage Disposal
~ Individual Year Individual Installed: /~
~ Public Utility When Connected to Public Utility:.
~ Holdin~ Tank
NOTE: THE INSPECTION FEE ~UST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
