HomeMy WebLinkAboutTHOMAS L BOYLE BLK 1 LT 5AThomas L.
Boyle
Block 1
Lot 5A
#015-282-27
On -Site Wastewater Disposal System Permit
Crlr
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program 1 (1
4700 Elmore Road, PO Box 196650 I)cparuueni
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP161265
Tax Code Number: 01528227000
Work Type: Septic Upgrade
Permit Effective Dates: October 19, 2016 to October 19, 2017
Design Engineer: PANNONE ENGINEERING SERVICES
Subdivision: THOMAS L BOYLE
Site Legal Address: THOMAS L BOYLE BLK 1 LT 5A G:2734
Owner/Address: DOSIER JERRY LEE & MELODY ANN
11801 WAGNER STREET ANCHORAGE AK 995162022
Site Mailing Address: 11801 WAGNER ST, Anchorage
This permit is for the construction of:
Y Disposal Field N Septic Tank N Holding Tank
Lot Size in Sq Ft: 49500
Total Bedrooms: 2
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.
Special Provisions: Bed cover shall not be mounded against sides of existing shed. This will
require moving shed, at least temporarily.
Received By:
Issued By:
Date: fb 19 ?OJ(
Municipality of Anchorage ' ,n
P.O. Box 196650 • 4700 Elmore Road
Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997
http:/Iwww.m u n i.org/Onsite
Development Services Division
On -Site Water and Wastewater Program
**** VARIANCE/WAIVER REVIEW ****
Waiver#: OSV161120 COSA#: Permit#:OSP161265
PID#:015-282-27
Legal Description: Thomas L Boyle Block 1 Lot 5A
Engineer: Pannone Engineering Services
Applicant: Jerry & Melody Dosier
Your request for a waiver of the maximum 15 feet bed width has been approved. The approved
width is 25.0 feet. In addition, your request for a waiver of the required 5 feet horizontal
separation from the test hole to the absorption field has been approved. The approved separation
distance is 0 feet; see engineer's waiver request.
This waiver approval applies to the proposed absorption field only. Any future upgrade to the
on-site wastewater disposal system will require all separation distances be met or another
approval from this department.
❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected
adjacent property.
® Adjacent properties are not affected by this waiver.
.............................................................. M................
Waiver is Granted: X Waiver is not Granted:
Date: lG 19 ?C J (o Approved by: fi&,7l! &Z/
Name of Reviewer
...............................................................................
**** VARIANCEMAIVER REVIEW ****
MUNICIPALITY OF
la -
Community Development Department
Development Services Division
On -Site Water & Wastewater Program
61' 3ar.w
ANCHORAGE('_
Phone: 907-34_8=(14
Fax: 907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 015-282-27
Property owner(s) JERRY & MELODY DOSIER
Mailing address 11801 WAGNER ST, ANCHORAGE AK 99516
Site address 11801 WAGNER ST, ANCHORAGE AK 99516
Day phone
Legal description (Sub'd., Block & Lot) THOMAS L BOYLE B1 L5A
Legal description (Township, Range & Section)
Lot Size 49,500 Sq. Ft. Number of Bedrooms
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(E all that apply)
Absorption Field
❑X
Initial ❑
Single Family (SF)
❑X
(w/wo ADU)
Septic Tank
❑
Upgrade ❑X
Duplex (D)
F-1Holding
Tank
❑
Renewal F1Multiple
Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
BED WIDTH DIMENSION f `res+
oh Distance: 25'W
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
property owner or authorized agent)
Permit/Rush Fees: ; 0 _ Waiver Fees: a 15�
Date of Payment: C, P �a 1 00 Date of Payment: 1 D
Receipt Number: (A NI(1 Receipt Number: D �
Permit No. 05 e I �P i� 4 S Waiver No. O S V l (oi 12c)
Permit App_-'-:
Pannone Engineering Services UC
Steven R. Pannone, Principal
Registered Professional Engineer
E-mail: steve@panengak.com
12 October 2016
Subject: THOMAS L BOYLE B1 L5A
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 two-bedroom (2BR) house. Currently the lot is developed. This lot and the surrounding lots
are served by private wells. There are no wells within 100' of this system. The existing drain field is in failure and this
permit will be to install an upgrade system to serve the subject property.
1. Soils. One test hole was performed by PES in August of 2016, and groundwater was monitored for at least seven days.
Ground water was not observed to 3.0' below the surface in the test hole monitor tubes in September and in October of
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 0.3 gallons/day/square feet 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 proposed system will be placed in front of the existing house. The area slopes from the east to the
west at approximately 0%-1% in the area of the test hole and proposed drain field.
5. Waivers:
a. Bed Dimensions: We are requesting a waiver to adjust the dimensions of the proposed bed from 15' in width
to 25' in width. The homeowner wishes to minimize the amount of loss of the vegetated privacy separation
from the road which a 15' wide bed would cause. We request the 15' bed width requirement be adjusted to
25'.
b. Test Hole Location: We are requesting a waiver as to the location of the test hole in relation to the proposed
field. The test hole depth was minimal in depth and when completed native soils were returned to the
excavated hole and compacted. Further the proposed system is a pressurized system which will evenly
distribute the effluent evenly throughout the field further minimizing any chance of concentration of effluent
into one spot in the absorption field. We request the 5' separation from the test hole to the absorption field
be waived.
The proposed installation will not affect the future development of the surrounding or existing lots. If you have any
questions or concerns, please contact me at 272-8218.
Sincerely,
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
Page 2 of 2
Steven R. Pannone, P.E.
Owner/Civil Engineer
Mailing: P.O. Box 100217, Anchorage, AK 99510-0217
Physical: 332 East Manor Ave, Anchorage, AK 99501
Telephone: (907) 272-8218 FAX: (907) 272-8211
I
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INSTALL DRAIN FIELD CP) ✓V
MOUNDED BED W/ 1:3 SIDE SLOPE
25.0'Wx40.0'Lx0.5'E.D.,+2.0'T.D. & 3.0' SAND
FILTER & MTs. 1.25' PVC, W/ 0.125" HOLES
DRILLED 18" O.C.
ER UiPK1ENT SHALL N6T pq�V£ oIA
sot TU' of 6£NTPCs, SP -orr-
_�/5A
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SFD
-174.1
DRIVEWAY
- _ 1250G SEPTIC
;;. � 250G AUX PUMP
CRIB E ABANDON P
h
UNDOCUMENTED FIELD E
ABANDON PER MOA CODE
WELL E
�sEPTIc� \
A�REA
NOTES: PANNONE ENG SVC, LLC
FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 A%;
PHONE (907) 272-8218 FAX (907) 272-8211
TRUE NOR Ii SOALE�0"
Y
T
THOMAS L. BOYLE B1 L5A
DRAWN JRL JERRY & MELODY DOSIER 8149
11801 WAGNER STREET
SITE PLAN ANCHORAGE, AK 99516Rv�ceriYl
Date
10/12/2016
Scale
1" = 50'
P.I.D. NO
015-282-27
'ERMIT N0.
OSP16126t
1 OF 4
DESIGN PARAMETERS
PRIMARY SEPTIC SYSTEM
NO_ BEDROOM: 2(300 gpd)
TANK SIZE: 1250g
PERC RATE: 39.3 MPI
SOIL RATING: 0.3 GPD/SF
AREA ROD: 1000 SF
SYS. TYPE: BED 0.5'ED
MIN LENGTH: 15.0'Wx66.7 LF
USE:
25.0'Wx40.C'LxO.5' E.D., +2.0' TD
TOTAL AREA: 1 000 SF
w w — WATER LINE /
WELL RADIUS
— NEW SEPTIC
ABBREVIATIONS
TH TEST HOLE
(P) PROPOSED
(E) EXISTING
CO CLEAN OUT NO.
MT MONITOR TUBE NO.
TYR TYPICAL
NOTES:
FOR CONSTRUCTION
DRAWN I JRL
SECTION/PROFILE
CLEAN OUT
MONITOR TUBE
PANNONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
THOMAS L. BOYLE 31 L5A
JERRY & MELODY DOSIER
11801 WAGNER STREET
ANCHORAGE, AN 99516
v
MONITOR TUBE rpTl
z
G
CLEAN CUT
0
n
a
W
CLEAN OUT
o
DOUBLE CLEAN OUT(E)
➢ N
DIVERTER VALVE(E)
p
AUX PUMP
MONITOR TUBE
VAULT(E)
n
i
O
—3 011
O
05,
1—' 30-
-�o
m
;un
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MONITOR TUBE
O
F
Z
PE
MONITOR TUBE
PANNONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
THOMAS L. BOYLE 31 L5A
JERRY & MELODY DOSIER
11801 WAGNER STREET
ANCHORAGE, AN 99516
v
MONITOR TUBE rpTl
z
G
Dote
10/12/2016
Scale
:* 1 = 10'
••' P.I.D. NO
015-282-27
8749is* osP161z6s
Sheet
zoFa
M
➢ N
p
MONITOR TUBE
n
i
O
—3 011
O
05,
1—' 30-
-�o
Dote
10/12/2016
Scale
:* 1 = 10'
••' P.I.D. NO
015-282-27
8749is* osP161z6s
Sheet
zoFa
TEST HOLE 1
OR TOPSOIL
1
2 SM Brown Silty
SAND
'173 _ 14SEP16
10OCT16
4 SM/SC Tight Packed
Silty/Clayey
5 Mix
_ 29AUG16
6j:
SM Silty SAND
7
BOH
DATE PERFORMED: 29AUG16
GROUND WATER @ 5.5
SOILS LOG - PERCOLATION TEST
sITE PLAN
SLOPE
TEST
HOLE
WAS GROUND WATER
ENCOUNTERED? Y
IF YES, AT WHAT
DEPTH?
DEPTH TO WATER AFTER
MONITORING? — 3.0'
DATE: 14SEP2016
10OCT2016
SHED
•J
�
GT1�EK
hl
WATER
LEVEL
READING
NET DROP
RATE
(MPI)
U)
1225
LLJW
l
0 = 5
n�
<
DRIVEWAY
7.150"
0.875"
READING DATE
GT1�EK
NET TIME
WATER
LEVEL
READING
NET DROP
RATE
(MPI)
1 29AUC16
1225
6.275"
2
1305
30 MIN
7.150"
0.875"
34.3"
3
1306
6.275'
4
1336
30 MIN
7.040"
0.765"
39.2"
5
1337
6.275"
6
1407
30 MIN
7.038"
0.763"
39.3"
SLOPE
TH 1
SOIL TEST RESULTS/ANALYSIS
• PERCOLATION RATE 39 (miNinch)
(Hydrologic Soils Group: HSG A)
• PERC HOLE DIAMETER 6"
• TEST ,RUN BETWEEN 1.5 FT AND 2.5 FT.
• TEST RUN FOR OVER AN HOUR, LAST
THREE READINGS PROVIDED.
COMMENTS: Test hole excavated by A+ HOME SERVICES. Test Hole was NOT required to be presoaked before Perc test
due to existent sandy material (Table 3-8, Para.3, EPA Design Manual),
PERFORMED BY: Joseph Lawendowski. I CERTIFY THATTHIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE
AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES:
FOR
DRAWN I JRL
SOILS LOG
PANNONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
THOMAS L. BOYLE E31 L5A
JERRY & MELODY DOSIER
11801 WAGNER STREET
ANCHORAGE. AN 99516
10/12/2016
* NTS
j
P.I.D. NO
C15-282-27
9 PERMIT N0OSP161255
Sheet
30F4
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: INSTALL NEW SOIL ABSORPTION SYSTEM.
3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 3.0 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 3.0 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:
NOTES:
FOR CONSTRUCTION
1 DRAWN I JRL
DESIGN NOTES
Em
TITLE:
PANNONE ENG SVC, LLC
P.O. BOX 102954 ANCHORAGE, AK 99510
PHONE (907) 272-8218 FAX (907) 272-8211
THOMAS L. BOYLE 31 L5A
JERRY & MELODY DOSIER
11801 WAGNER STREET
ANCHORAGE, AK 99516
VCII
CE 8149
10/12/2016
Scale
NTS
P.I.D. NO
— 015-282-2
'ERMIT NO.
OSP161265
Sheet
4 OF
Municipality of Anchorage Page —hof -2—
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: -SW 9 R D47-3 PID Number:
Name:
GYL2'laoS/L12
Wastewater System: ❑ New
Y WJpgrade
Address:
11601
ABSORPTION FIELD
Phone:
No. ofd rooms:
z
❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other
LEGAL DESCRIPTION
Soil Rating
Total Depth from net grade:
GPD/SoFt.
Lot: Block: Subdivision:
SA `
Depth to pipe bottom from original grade:
Gn epth beneath pipe
O L[g•'
F
Ft.
Township:
Range:
Section:
Fill added above original grade'
Gravel length:
Ft.
Ft.
WELL: ❑ New ❑ Upgrade
Gravel widen.
umDutancebetweenknes:
Classification (Private. A,B,C): Total D Cased To:
Ft.
Total orption area:
Ft.
Pipe material:
Ft. Ft.
SO. Ft.
Driller. Date Drilled:
Static Water Level:
Installer.
Date Instal)ed:
Ft.
OWN6t,
/O( 1148
Y I
Pump Set at:
casing Height Above Ground:
TANK
GPM
Ft.
Ft.
SEPARATION
DISTANCES
74LSeptic ❑Holding ❑S.T.E.P.
To
saptic
Absorption
Lm
Holding
bft/Private
Manufacturer.
Capacity In gallons:
From
Tank
Field
Station
Tank
Sewerunn
6;1LMeet_
WeltI
Q q
Material:
Number of Compartments:
WaSurfter
/ce t
loo'
LIFT STATION
Lot/
Line
qcr
a
Size in gallons:
Manufacturer.rformed
Foundation
Q
V
�'�.`
.'Pump on" level at: u evel at:
High water alarm at:
Curtain
Drain
Pump Mak I
Electrical Inspections peby:
Remarks: 1 ao
BENCH MARK
Location and Description:
Assumed Elevation:
:..•fOO
EN L
to OF*
Inspections performed by: Dates: 1st In/m/w
2nd "CIMITE
Steven R. rernone ,�
Department of Health and Human Services approval
E-8149 •
rf��c 8lslilpl
Reviewed and approved by: Date: _[L -g.
[V13 (mn. ami) MpA n
P.I.D.Nt 1. 015-282-27 AS -BUILT PERMIT NO. SW 04 3
WASTE ATER ABS❑RPTI❑N SYSTEM Z
LOT 5A, B CK 1 B❑YLE S/D
CO A B
DC1 30.0 16.9
TI 31.4 20.0
T2 39.5 24.5
DC2 42.3 26.5
EI 44.9 39.8
c)
0
in
%D
49LN
NEW
SEPTIC
r�
2 BR
EXIST'G
WELL
EXIST'G 7508 SEPTIC
ABANDON IN PLACE
EXIST'G CRIB j
13'x17'x6' EFF. I
EXIST'G
WELL
N61 -06.B4
W149-49.17
NOTEi B 8
1) EXIST'G TANK IS A 750 g SEPTIC TANK @ 8
AND WAS ABANDONED IN PLACE.
2) INSTALLED NEW SEPTIC TANK OUTSIDE THE
100' WELL RADIUS. INSTALLED DOUBLE CLEAN- 9s9
OUTS BEFORE 6 AFTER THE NEW TANK.
3) CONNECTED TO EXIST'G CRIB.
R. Pannone',, Jerry Dosler
CF Bt4s ���t 11801 Wagner Drlve
.I.o3 •'f Anchorage, AK 99516
FEEW 1 (907) 345-6225
NEW
911 1250 Gal 90.9
SEPTIC TANK
TANK ELEVATION
PANNONE ENG. SVC
P. O. BOX 142025
ANCHORAGE, ALASKA 99514
272-8218 Phone & Fax
NTE, 11-3-98 AS -BUILT
CALEi 1'=50'
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SW980423
Legal Description: THOMAS L BOYLE BLK 1 LT 5A
Design Engineer. 0062 Steven R. Pannone, P.E.
Owner Name: Jerry Dosier
Owner Address: 11801 WAGNER STREET
ANCHORAGE, AK 99516-2022
C, 1-Y.
Date Issued: Oct 30, 1998
Expiration Date: Oct 30, 1999
Parcel ID: 015-282-27
Site Address: 011801 CANGE ST
Lot Size: 49500 SO. FT.
Total Bedrooms: 2 Permit Bedrooms: 2
This permit is for the construction of:
❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 (24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either. A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received
Issued By:
Date: /n/,?C)( '1
Date:
P.I.D. NO. 015-282-27
L
4911! s
jt,.itavin
, R.•�er_•
!� :_ No. CE 8149 .••'�
i "DESIGN PERMIT I
WASTEWATER ABSORPTION SYSTEM
❑T15A BLOCK 1 BOYLE S/D;,
I A
t
BR EXIST'
-t" i NEW000 WELL
i EPTICNK
�
i
E
751N IN
�i
TANK
EXIST'G CRIB r i'
3'x17'x6' EFF.
g cil 8 EXIST'
dl ::).CS WELL L)
1
i -
i
i
i
NOTE#
1) EXIST'G TANK IS A 750 6 SEPTIC TANK AND IS 8 B $ B
LOCATED APPROXIMATELY 99 FEET FROM WELL.
2) INSTALL NEW SEPTIC TANK OUTSIDE THE
100' WELL RADIUS. INSTALL DOUBLE CLEAN -
OUTS AFTER THE NEW TANK.
3) CONNECT TO EXIST'G CRIB.
NEV
1000 Cal
SEPTIC TAW
\Vork\5A-1BOYL.DWG TANK ELEVATION
'REPARED FOR, PANNONE ENG. SVC
Jerry Dosler P. O. BOX 142025
11801 Wagner Drive ANCHORAGE, ALASKA 99514
Anchorage, AK 99516 272-8218 Phone & Fax
(907) 345-6225 DATE, 10-27-9e
SCALEi 1•=100' DESIGN
°•'8MP1 GRO ITER ANCHORAGE AREA BOR0I0"4
OErARTMENT OF ENVIRONMENTAL QUALII L••
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME- �/MAILING PHONE
�7
SEPTIC TANK:
DISTANCE FROM
NUMBER OF /
COMPARTMFNTS
K
_ LIQUID
LIQUID CAPACITY %� U GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH / LENGTHS, DEPTH C" /
LINING MATERIAL �� ` v x�'Y��� //o, r
% .DISTANCE FROM WELL BUILDING FOUNDATION.
NEAREST LOT LINE "'�• �I TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) .?6 O SO. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF
ABSORPTION AR
TOTAL LENGTH
FOUNDATION , NEAREST LOT LINE , OF LINES
ES
FT. LENGTH OF
TRENCH WIDTH �TN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE A DEPTH OF FILTER MZERTAbBENEI�I
ATLE IN. ABOVE TILE
WELL. TYPE `/KULCy`DEPTH �,j� , DISTANCE FROM WATER
,BUILDING FOUNDATION. SAMPLE 10CA r NEAREST
SC/� ` NEAREST _ SEPTIC (/ SEEPAGE / _ OTHER
LOT LINE , SEWER LINE-, TANK , SYSTEM Z� , CESSPOOL ,SOURCES_
DIAGRAM OF SYSTEM
DISTANCES:
DATE ��/ APPROVfD�--I //��l ••�-Y�-�/
G.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
' 9500 TUDOR ROAD POUCH 6.650
ANCHORAGE. ALASKA 69502
TELEIRONE 279.8666
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
NAME OF APPLICANT w r I 1 I SII
INSTALLATION LOCATION
LEGAL DESCRIPTION - L.O7
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED.
FINANCED THROUGH
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED S.
MAILINGS �A
�✓-
PERMIT NO.
+Sus 2795 �zG
z7z-/S/D
HONE
TO BE INSTALLED BY - 11 ' — r -- -I f 14C-
NOTEz THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
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 61TYPE �'—]�E. " SEEPAGE I
MINIMUM DISTANCES, R UIREMEN7
FOUNDATION TO SEPTIC TANK S
FOUNDATION TO SEEPAGE PIT C� DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL / l
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE. r
WELL TO SEPTIC TANK O SEEPAGE PIT
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK (� SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, 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.
'HEALTH AUTHORITY
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 26.66 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. /—i /%
I
APPLICANT'S SIGNATUREE�d��`IL [A7