HomeMy WebLinkAboutRICHTER PARK LT 2Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Mark Begich Anchorage, AK 99507 s R F E T r
Mayor w_ ww.muni.om/onsite
(907)343-7904
Pump Installation Log
Well Drilling Permit Number: SW_ Date of Issue:
Parcel Identification Number: O lS - y -1l• oz -
Legal Description
!�C�
Property {c I'S Name & 4Address:gWES
�
1 -/ills; VR
gam'>d
Pump Installation Date: Z 1S A6
Pump Intake Depth Below Top of Well Casing: Volfeet
Pump, Manufacturer's Name: FAP 54-L kw -
Pump Model: 6 S fZ
Pump Size hp
z
Pitless Adapter Burial Depth: / b feet
Pitless Adapter Manufacturer's Name: N ;-
Pitless Adapter InstallerAA,1
Well Disinfected Upon Completion? Yes ❑ No
Method of Disinfection: G�Z t�tlti
Comments:
Pump Installer Name:
ANCHORAGE WELL & PUMP SERV.
A= 330 EAST 76m AVENUE
-
L ANCHORAGE, AK 99518
PHONE: 907-243-0740
-
AWPS.COM
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
Municipality of Anchorage Page _ I of a
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 e Anchorage, Alaska 99519-6650 e Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: -SN/ q LI OS >> PID Number: 016 ,- L,171— U �2-
Name:
JP-E-WE
Wastewater System: New Nlupgrade
Address:
Cyt -
ABSORPTION FIELD
Phone:
No. of Bedrooms:
',Deep Trench ❑ Shallow Trench El ❑Mound ❑Other
LEGAL DESCRIPTION
Soil Rating:
Total Depth from original grade:
s GPD/Sq. Ft.
jo.s
Lot Block: Subdivision:
Depth to pipe bottom Isom original grade:
Gravel depth beneath pipe
`'^ t P 4 e
i� Ft.
_
7e J Ft.
Township:
Range:
Section:
Fill added above original grade:
Gravel length:
I — ,) 1 Fl.
_
Fl.
WELL: '.New I] Upgrade
Gravel width:
Number of lines:
Distance between lines:
FL
Ft.
Classification (Private, A,B,C):Total
e ,h:
Cased
Total absorption area:
Pipe material:
!�- ✓
Ft.
Ft.
750 SO. FI.
-.7i0 j`"I C. F- e3 J L�
Driller: ^ _
Daat�t1e1 Drilled:
Slat Level:
Installer:
Dale installed
Yield:Pu
p S
aC
asing Heigh, Above Ground.
TANK
GPM
Fl.
FI.
SEPARATION DISTANCES
'Septic El Holding ❑s.T.E.P.
To
Septic
Absorption
Lift
Holding
Public/Private
Manufacturer:
Capacity in gallons:
From
Tank
Field
Slalion
Tank
Sewer Lines
(x'7 2 `,) 2
10 tv
Well
it`ID
1 b
J.
Material:
Number of Compartments:
Surface
Water
fly
�2�
LIFT STATION
Lot
Size in gallons:
Manufacturer:
Line
(po
Foundation
10
3
'Pump on" level at:
"Pump off" level at:
High water alarm at:
Curtain
Pump Make & Model
Electrical Inspections performed by:
Drain
Nip
I
Remarks:
BENCH MARK
Location and Description:
TO [_o L) H DAT: 10 h I
Assumed Elevation: q
ENGINEER'S SEAL
Inspections �� 2 q
performed by: Dates: 1st
2nd
7
Department of Health'a�ni Hur)�S rvices approval
Reviewed and approved b�,�'�~Date:
72-013 (Rev. 9/91) MOA 25
I I
I I
I I I I
I I I
I I
I I 111 N II
I
I I \ \
Pond O£fset \
\ \
I I-�- Well
I I
I
50 F/ T ROAD EASEMENT
— — — — — — — — -- — — — —
I -
I
I
I
I
25 0 25 50 75 !00 125 150
SCALE- 12 = 50 FT.
I TOBBEN SPURKLAND P.E. I I LOT 2 RICHTER SID I I SEPTIC SYSTEM DESIGN I
203 W 15TH. AVENUE DATE: SEPT. 8, 1994
ANC H. AK. 99501 11161 HILLSIDE DRIVE
I ---I ,,,,, ,,,,, PAM RICHTER SHEET: 2/3 GRID: 2640
Standard Trench:
50 Fl Total Length
10.5 Ft Total Depth
7.5 Fl. Effective Rock Depth
Mirofi 140
7.5 f1 of Septic Rock
BENCH MARK:
TOP FOUNDATION = 100.00 FT.
I TOBBEN SPURKLAND P.E.I I LOT 2 RICHTER PARD I I SEPTIC SYSTEM ASBUILT I
205 W15th Ave DATE: OCT. 9, 1994
Anchora e Ak 99501 11161 HILLSIDE DRIVE
97o_ zo�F PAM RICHTER SHEET.' 3/3 GRID: 2640
From : RLPINE DRILL 507 345 0202 Oct.08.1994 11:08 P11 P01
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF WATER
WATER WELL RECORD
LOCATION OF WELL
m�n
taOR00011 SUBDIVISION LOT BLOCK StCYION QMS SECTION TOWNSHIP RANGE ML'IVDIAN
ON BE
y {' ✓ 0S OW
LOCATION/SKETCH; WELL OWNER;
VF.PTHS MEASURED FROMyUcasing top ❑ground surface WELL DEPTH: DATE OF COMPLETION
Depth of hole:it
f';OItr:H04E DATA; Depth Depth of casing: C ft
Material Type and Color From To
DEPTH TO STATIC WATER LEVEL:
ft below Rtop of casing EJ ground surface
r
Date:
METHOD OF DRILLING; air rotary Cl cable tool
Other -
USE OF WELL: Fdomestic C7 Irrigation 0 monitor
/
0 public supply 0 other
CASING STICK-UP: ` ft. Dlam: _ in, toj��/.Lllt
Casing type: _ in. to�ft
WELL INTAKE OPENING TYPE: open end 0 screened
0 perforated 0 open hole
of openings; to it
CZDepths
I ii >:��. ��rr•� r, zn �.,
l `: .1
i `r/
SCREEN TYPE: Diam: _in.
Slot/Mesh Size: Length:_ ft
GRAVEL PACK TYPE:
Volume used: Depth to top: .
GROUT TYPE: Volume:
Depth: from ft to_... _ —ft
DEVELOPMENT METHOD:
Duration:
PUMPING LEVEL AND YIELD;
ft atter % hrs pumping� �gpm
PUMP INTAKE DEPTH: ft Horsepower:..._
WELL DISINFECTED UPON COMPLETION? Q YES Ll 144
CONTRACTOR INFCRMA 101%1;
c , '
S.5.
BUBiIIEss Name
Aht ti r
f'n%ture O��uthnnzerf ,snrrsr. tative rti;iN' -
REMARKS:
PLEASE MAIL WHITE COPY OF LOG TO:
DNR/DIVISION OF WATER
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW940358 DATE ISSUED: 9/22/94
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. EXPIRATION DATE: 9/22/95
OWNER NAME:RICHTER PAMELA R
OWNER ADDRESS : 11161 HILLSIDE DR In_S'iJ I
ANCHORAGE, ALASKA 99516
PARCEL ID:01547102
if)I
LEGAL DESCRIPTION: RICHTER PARK LT 2
LOT SIZE: 52502 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL 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) .
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: I�et q
DATE: � " 2 2, ?1
T.SPURKLAND P.E.
203 W 15th. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 2 RICHTER PARK
PAM RICHTER
No Ground Water or Impervious Layer to 16.5 ft.
Use Standard Trench
Soil Rating. From test June 1, 1994
17 min/in = .6 gal/sq. ft.
Required Area per Bedroom:
150/ .6 = 250 sq.ft..
Testhole Total Depth
Less 6 feet
Less 3 Cover
Rock Depth
Number of Bedrooms
Length of Trench
16.5
10.5
7.5
7.5
3
3x250/15 = 50
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH
TOTAL WIDTH
TOTAL DEPTH
ROCK DEPTH
COVER
SEPTIC TANK
50 FT.
2 FT.
10.5 FT.
7.5 FT.
3 FT.
1000 GAL.
The installation of this well and septic system will not impact
adjacent lots. The well location conforms to the siting of the
existing wells in the area, and will not prevent the adjacent lot
owners from developing these lots or replacing the existing
septic systems.
There are no developed or natural surface / sub surface drainage
courses on this or the adjacent lots.
Septic System Design
Lot 2 Richter Park
pg.l
I I�
q L L7
I I I i� 6pJ
5
56 -
V 50 EOOI ROAO EASEMEN',
ap
I /
I I CI
I � I
P R I
I
\ LOT 3 i
\ \ \ UNDEVEL. DPED
UNDE VELOPED
I
I
50 0 50 100 150 200 250 300
9CAL E; 1' = 100 FT
I TOBBEN SPURKLAND P.E. I I LOT 2 RICHTER SID I I SEPTIC SYSTEM DESIGN I
203 W 15TH. AVENUE DATE: SEPT. B, 1994
ANCH. AK. 99501 11161 HILLSIDE DRIVE
PAM RICHTER SHEET: 1/3 GRID: 2640
I I
I' I
I I \
I I
I I I �n�vE's�u
I 1 1000 Gol, Septic Tank
I I
I I
I I
' _ -- Slone 10%
\ 50 FOOT ROAD Er
op
7-j!E2N/HT1 ✓F=
T s t Pe \ \\
b i )
\ 5�+ — econdary Tr
BASIS FOR ELEVATION
ARBITRAY DATUM
7",
t
25 0 ?5 50 75 100 l25 150
SCALE- 1 " = 50 FT.
I TOBBEN SPURKLAND P.E. LOT 2 RICHTER S"/DI I SEPTIC SYSTEM DESIGN I
203 W 15TH. AVENUE DATE: SEPT. 8, 1994
11161 HILLSIDE DRIVE
ANCH. AK. 99501 PAM RICHTER SHEET: 2/3 GRID: 2640
10 U lao—E
n
Standard Trench:
50 F1 Total Length
10.5 Ft Total Depth
7.5 Ft. Effective Rock Depth
Mirafi 140
7.5 ft of Septic Rock
Wi- - r
ITOBBEN SPURIU D P. I. LOT 2 RICHTER PARK11161 HILLSIDE DRIVE I I SEPTIC SYSTEM DESIGN —I
203 W151h Ave DATE: SEPT. 8, 1994
Anchorave Ak 99501 SHEET: 3 3 GRID: 2640
„1„ 7r PAM RICHTER