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HomeMy WebLinkAboutT15N R1W SEC 8 LT 67Onsite File T15N R1W SEC 8 Lot 67 PID# 051-092-24 Because of the reduced tank size, the septic system is only sized for 4 bedrooms. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211153 Work Type: SepticTank Upgrade Tax Code Number: 05109224000 Site Legal Address: T15N R1 W SEC 8 LT 67 G:1357 Site Mailing Address: 20534 CRABTREE ST, Chugiak Owner: ZERCHER D LOWELL & LUCILLE A Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date ,JAI C 11t_,5� o� Department 5/19/2021 5/19/2022 Lot Size in Sq Ft: 108900 Total Bedrooms: 8 y Ami, Pe GAG ❑ Private Well ❑ 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: ** Per the permit, the water line to the shop is to be decommissioned. If the water line is to remain, show the location on the record drawing. Received By: Issued By: _42�vo C0 ;e -I .5/ZOlZ I Tarnk _s ize. cr angeA -N u bd ra m Date: Date: fli IU vl, C as rY: 7 araT OF Al Development Services Department- p � `�e��, Pnone:907-31.3-7904 On -Site Water & Wastewater Section ' rax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-092-24 Property owner(s) LOWELL ZERCHER Day phone 688-5221 Mailing address 20534 CRABTREE STREET, CHUGIAK, AK 99567 Site address 20534 CRABTREE STREET, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) LOT 67 Legal description (Township, Range & Section) T1 5N, R1 W, SECTION 8 Lot Size Sq. Ft. Number of Bedrooms HOUSE IS 4 der SEG APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) [] (w/wo ADU) Septic Tank Upgrade (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Perm it/Rus h_Fees:42-2-5-Waiver Fees: Date of Payment: 5Z 1-1120 2 1 Date of Payment: Receipt Number: 0 5 5 H '7 G Receipt Number: Permit No. r�.5 P21 /1 -53 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPUANCI 9 Ltd ENGINEERING - SALES o CONSULTING ._.__;_ ._.._:,:__i., A:. Z2: May 14, 2021 Municipality of Anchorage Development Services On -Site Water & Wastewater Program 4700 Elmore Road G© ��� Le- Phone: � s�zedDov Anchorage, Alaska 99507 Phone: (907) 343-7904 b�room5 Ref: Proposed Septic Tank Upgrade for T15N, R1W, Section 8; Lot 67 To whom it may concern: The existing 4 -bedroom house is served by a private well and septic system. The existing septic system is sized for a 5 -bedroom house. The septic system consists of a 1500 -gallon steel septic tank and a bed type drainffeld that was installed on 9/30/1991. Based upon this information, the tank is almost 30 years old. Rather than inspect it for structural integrity, it is recommended that it be replaced. The drainffeld has recently passed an adequacy test, Per the request of the owner, the septic tank is to be sized for 5 -bedrooms. We are.proposing that either a IM -1530 Infiltrator septic tank or a 1500 -gallon Greer plastic septic tank be installed as shown on the attached site plan and design drawings. Comments regarding the design are summarized as follows: 1. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system upgrade (see attached wetlands map). 2. TANK COVER: The existing septic tank has approximately 4.3 feet of cover over it. It appears that an Infiltrator tank may be used for this installation; however, the contractor will need to verify that this type of tank can be installed without out exceeding the maximum 4 -foot soil cover and/or create a depression in the tank area. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If yop IAe any questions, please contact us at 337-6179. Thank you for your assistance. _ Kbckenfuss, 05119/ V': ....... !Y..... i Jeffrey A. Garness.���% CE -7953 9Ea PROFES5t0�P� {/! ''2 % A LLA -0 0 q, 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Website: www.gamessengineering.com Municipality of Anchorage On-site Water and Wastewater T15N, RiW, SECTION 8; i/ �l I NORTH 1/2 OF LOT 54 t1 x I I 2l'(, t5drReb Wbcken 05119/ T15N, R1 W, SECTION 8;T — W / SOUTH 112 OF LOT 54 \\ ��� W- T15N, R1W, SECTION 8; LOT 53 1 CSEPTIc 0 `\ % —� W i AREA . i i l u 1 1 NINA SID; LOT 2 _ _ �� t SEPTIC i — m ---------- AR� — 1 i WEEPING BIRCH DRIVE rAs�' I 1 EXISTING 1 1 1 / \ I WELL 1 EXISTING BEDROOM / 1 HOUSE{SEP-Tifr / 11 \ 5�:REDRCIGW / / i I CSEPTIC ARE�D --- PROPOSED SEPTIC TANK UPGRADE (SEE DESIGN, PAGE 2 OF 2) i i T15N, R1 W, SECTION 6; LOT 68 SEPTI CG I T15N, R1 W, SECTION 8: LOT 66 GARNESS ENG. • ..4C(v(L&Er EXISTING .NG GROUP Ltd ENGINEERS d..:,Ns —.— 1 3701 East Ador Road, Suite 101 Anchorage, Waska 99507-1259 Phone: (907) 337-61179 o Fax: (907) 338-3246 UVAWW, www.darnessengineering.com SECTION 8; LOT 81B i i i ' T15N, R1 W, SECTION 8; LOT 83 `J5 I I I I 1 CpG I T15N, R1W, SECTION 8; LOT 82 --- N I SCALE: I 1•=160' GROUP, Ltd ENGINEERING - SALES - CONSULTING i, ALASKA' PHONE (907) 337-6179' WEBSITE: www.aames mInwId—.— PREPARED FOR: PHONE NUMBER: PAGE NUMBER: LOWELL ZERCHER 688-5221 1 OF 2 PROJECT/LEGAL DESCRIPTION: DRAWN BY: T15N, R1 W, SECTION 8; LOT 67 J.L.M. TYPE OF WORK: DATE: SITE PLAN FOR SEPTIC TANK UPGRADE 5/14/2021 ek M ENGNLL NG MIRROR 06) .. ey A. Games .ce /� Z W LICENSEy ESS .��� #AECC884 rR�`a• NEW TANK NOTE: THE EXISTING TANK HAS APPROXIMATELY 4.3 FEET OF COVER. IF AN INFILTRATOR SEPTIC TANK IS USED, THE CONTRACTOR SHALL VERIFY THAT THIS TYPE OF TANK CAN BE USED WITHOUT EXCEEDING THE 4' MAX BURIAL AND THAT THERE WILL NOT BE A DEPRESSION OVER THE TANK AREA IF SOIL COVER IS REQUIRED TO BE REMOVED. EXISTING SEPTIC TANK TO BE DECOMMISSIONED PER UPC----- WELL Municipality of Anchorage On-site Water and Wastewater - ____l \1 OSP211153, Deb GEG. Ltd. HAS AN 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. BY PROCEEDINC FORWARD WITH 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. i I GARNESS EN, jlNEEIkING GRC *`^uCIVIL3 NVIRONMENfALENGINEERBenmzary 3701 Easj Tudor F oad, Suite 101 Anchora le, Alaska 99507-1 Phone: (907) 33ax: (907}3� . 4 e 1j r A { 4 d' a • / 1 /// 4 _ASSUMED LOCATION OF MT2e An k }o be 5,7-eA- I LJ CO, ` \ 1 ;D`Y y bcXrocns5. sTt p.' .MTI PROPOSED IM -1 0w CO3 __--- INFILTRATOR IC TfCNK OR 1500- LO GREER P IC SEPTIC TANK EXISTING DRAINFIELD. PASSED SEPTIC INSTALL DOUBLE CLEANOUTS ADEQUACY ON 5111/2021 NOTES: 1. THE PROPOSED SEPTIC TANK MUST BE 5+ FEET FROM THE EDGE OF THE 0 DRAINFIELD. OG 2. CO2• MT1, CO3, AND C04 WERE NOT SHOWN ON THE 4113121 m (RECERTIFIED) WALATKA SURVEY. GEG CONSULTANT, JODY MAUS, pQ PREFORMED SWING -TIES FROM THE SE AND SW CORNERS OF HOUSE AND y THESE SEPTIC STANDPIPES ARE SHOWN ON THE SITE PLAN AND DESIGN DRAWINGS BASED UPON THESE MEASUREMENTS. v 3. CO2 IS BELIEVED TO HAVE A BLOCKAGE IN IT AND NEEDS TO BE REPAIRED DURING THE INSTALLATION OF THE SEPTIC TANK. 4. THE OWNER SAID THERE IS A WATER LINE THAT RUNS FROM THE HOUSE TO THE SHOP. PER THE REQUEST OF THE OWNER, THE WATERLINE IS TO BE PERMANENTLY DECOMMISSIONED BY THE CONTRACTOR DURING THE INSTALLATION OF THE SEPTIC TANK. SEWER LINE FROM 1 SHOP BASED UPON i 4 OWNERS DESCRIPTION. SEE NOTES REGARDING 1 DECOMMISSIONING WATER LINE TO SHOP. 1 d. 1 I • 4 ♦ 1 fCO .I ••/ d� 50' BLM ROAD. N SCALE: 1' = 30' ���\•111 d ` Fcz J 66" . s..r.�... .......... ...... ... Ltd .. ....G lG G �.......; CIVIL &ENVIRONMENTAL ENGINEERS 0 ANCHORAGE, ALASKA' PHONE (907) 337.6179WEBSITE: .gamessengineering.0...........0. PREPARED FOR: PHONE NUMBER: PAGE NUMBER:♦ ey mess e 4r + LOWELL ZERCHER 688-5221 2 OF 2 #� J, C 7 53 •' Q PROJECTILEGAL DESCRIPTION: DRAWN BY: ♦�♦�'•. Jt�. ''��� • Tl 5N, R1 W, SECTION 8; LOT 67 J.L.M. 0� Fp •�• ••..1...••P�, �� TYPE OF WORK: DATE: ,�� ""�� ESS1 ' � DESIGN OF SEPTIC TANK UPGRADE 5/14/2021 #AECC8 a ;wk����� 05/191 LOT 54 ( 4277 EAST 329.93 (BLM) WEEPING BIRCH AVENUE �- o '0' 50' BLM Road Reservation Stg. u, w ry Greenhouse E— c' � — — — — — — — — — — — — — — — — — —— — --) 50 r — W5C1 6 Z eft I UJ r o _cc Wire fence (typ) 1 Chimney o a I Z8. m CL N x IryI 'w Window well U CN Go' N I I (s) `° co °""t o `�I 0.4 m I `° h � 2�°6 I � ( O O 00 Stg. I o c O a (sC)j Shed I e Septic vent (typ) I CO C o C) LOT 67, SECTION 8 af � T15N, R1 W, S.M., AK o � o l •._. � 1 o 2 0 uP ON cr Covered storage o m o I co m o LO0 2. r NI O I I 50 I 50 EAST 329.87 (BLM) LOT 82 RECERTIFIED 4-13-21 4J LL AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection % in accordance with ASPLS Standards of the following �y 4QF �' described property: LOT 67, SECTION 8, AMW A� • ' ' • ' • ; 9 , T15N R1W, S.M. AK Anchorage Recording Precinct, Alaska, and that the •�.� �'• 49th improvements situated thereon are within the lines property ® •` and do not overlap or encroach on the property lying • • oo 100 '1700 adjacent thereto, that no improvements on the property lying V%lizafbeth . .: 0 adjacent thereto encroach on the premises in question and f '9-- L. Walatka •',� o that there are no roadways, transmission lines or other �sx�, • 8036 - LS .jW visible easements on said property except as indicated hereon. SCALE: 1 °' 6�r ,� FaQ' • • • '�► Dated at Anchorage, Alaska t this 20th day JUNE 1972. O , FESS�oNAL `®'► of , EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED `�j FRED WALATKA &ASSOCIATES, L.L.C. PLAT ARE NOT SHOWN HEREON FB 21-2, pg 10-12 `�'"�� " Zf%�1 BEEngineers and Surveyors 907-248-1666 UNLESS OTHERWISE NOTED. FB 72-2, pg 24 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product ' 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: ...~14/ ~./D~q] PID Number: ~]-~-- ~ ~q N=m~: Wastewater System: U New ~Upgrade ~'"': ABSORPTION FIELD I No. of ~drooms: Phone:~ ~ , ~/~ ~ Deep Trench ~ Shallow Trench ~Bed ~ Mound ~ Other LEGAL DESCRIPTION so, Rating~/ 2GPD/Sq. Ft. Total Depth from,original Lot: Block: Subdivision: Depth to pipe bottom from original grade: Grail depth beneath pipe / ~ Ft. Township: Range'. I Section: ,Fill added above original grade: / Gravel length: WELL: D New D Upgrade ~ ~ Ft. ~ IDiaa"ce~w~nllnes:Ft. Cla~gication (Private, A,B,C): Total Depth: ~d To: total absorption area: Pipe material: Yield; Pump Set at: Casing Height Abo, Ground: TAN K SEPARATION DISTANCES ~Septic U Holding ~ S.T.E.P. To Septic AbsorpUon Lift Holding ~b~'Private Manufacturer: Capacityln gallons: Water Foundation ~ / ~/ ~/j ~/~ ~ , Pump on" level a off leverat High water alam al: Remarks: ~r~ ~ ~-~ BENCH MARK Location and Description: Inspections performed by: ~&/~ Dates: 1st ~/~¢J~/ ~ ~~ Department of Healt~ ~u~ ~vi~approval ~? Reviewed and approved by: Date: 72q)13 (1/91) MOA 25 '~ermlt No. 5 ~ ~. / o .~ ~ / Page A of ~- Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DI¥1SlON P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report 72-O13 A (2/91) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SWg10291 DESIGN ENGINEER:EAGLE RIVER ENGINEERING OWNER NAME:ZERCHER D LOWELL & LUCILLE A OWNER ADDRESS:20534 CRABTREE ST ANCHORAGE, ALASKA 99516 PARCEL ID:05109224 LEGAL DESCRIPTION: T15N R1W SEC 8 LT 67 SERVICES DATE ISSUED: 9/16/91 EXPIRATION DATE: 9/16/92 LOT SIZE: 108900 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BYe._ :~ ISSUED BY: (-./ ~ DATE: DATE:~ Louis Butera, P.E. Registered Civil Engineer September 4, 1991 Municipality of Anchorage Dept. of Health and Human Services 825 L Street Anchorage, AK 99501 Re: Lot 67, T15N RIW Sec.8 Dear DHItS Staff, We are applying for a renewal of permit//900341 issued October 18, 1990. The permit was issued utilizing current regulations. The only change made to the design is an enlargement of the bed to 45' long based on sand filter rating of 0.7 GPD/ft2. This was incorrectly calculated on the original plan. New calculations are attached. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. P.O. Box 773294 · Eagle River, Alaska 99577 · Telephone (907) 694-5195 · Fax (907) 694-3297 BLM Road Reservation I 330.00' ~ - TEST HOLE NO STREAMS 4-100' · - MONITOR TUBE NO KNOWN CURTAIN DRAINS o - SEWER CLEANOUT NO IMPACT ON NEIGHBOR WELLS, DRAINAGE, SEPTIC SYSTEMS. + - WELL PROPOSED LEACHFIELD THIS SHOULD NOT AFFECT FUTURE USE OF NEIGHBORS WATER. ~SEMENT SEPTIC S TE PLAN L[GAL: Lot 67, T15N, RlW, Sec. a OWNER: Lowell Zircker OONTRACTOR: HAMMAN JOB ~ 90-084~ DATE: 9/4/91 I SCALE 1" = 50' '-~¢,-~:~ ~ ~ :~'::~:':. ~:,~.~::,~;".~ (907) 694-5195 FAX: (907) 694-3297 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: LOT ($7, T15N R1W Sec.8 Revised 09/04/91 GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. BED 1. The bed is to follow the natural land contour to maintain uniform total depth of the bed bottom. The bottom of the bed shall be level, plus or minus 1.5". The total depth of the bed excavation is not to exceed 5' at any point. The sewer line is to replace the existing sewer line that leads to the existing tank and pit. The old tank and pit are to be abandoned to code. The bed gravel is to be covered with typar fabric material. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. The area over the bed is to be finish graded to prevent ponding of surface water runoff. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH = 5' GRAVEL DEPTH = 6" below pipe BED LENGTH = 45' BED WIDTH = 24' SOIL RATING = 0.7 GPD/ft2 (filter layer) BEDROOM CAPACiTY = 5 SEPTIC TANK SIZE = 1,500 gallon NOTE: 2' thick sand filter layer meeting DEC requirements required under leachfield gravel. Over excavate and replace natural material. Quality Sand & Gravel is an approved source. Twenty-four (24) hours notice required for all inspections. EAGLE RIVER ENGINEERING SERVICES P. o. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5195 Jos Lot 67. T15N R1W ,~ec.8 90-084 SHEET NO. OF. C^LCULATEDSY L.B. CATS Rev. 09/04/91 CHECKED BY DATE SCALE PERFORMED FOR: LEGAL DESCRIPTION: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ~ SOILS LOG [] PERCOLATION TEST DATE PERFORMED: ~?'/~ I 2 3 4 5 6 7 8 9- 10- 11 13- 14- 15- 16 17 18 19 20 SLOPE SITE PLAN iROUND WATER INTERED? Gross Net Depth to Net Reading Date Time Time Water Drop ' " / I~, Io:~x.~, ._¢.-...,... ~-~ +~." % " )~,'uc~ ~ ~'~ 4~ ~% +~" PERCOLATION RATE ~ ~' ~: ~ (minutes/inch} TEST RUN BETWEEN /7/ FT AND ~;' ~- , FT COMMENTS Eagle River Engineering Services CERTIFIED BY: '~~ PERFORMED BY: 7. 0. ~ux i~*~z~4 Eagle River, Al( 99577 69~-5195 72-oo8 (6/79) DATE: Tom Fink, Mayor January 10, Municipality of Anchorage Department of Health and Human Services 825 "L" Street P,O. Box 196650 Anchorage, Alaska 99519-6650 1991 Alaska Housing and Finance Corporation 520 East 34 Avenue Anchorage, Alaska 99503 Subject: T15N R1W Section 8 Lot 67 Permit #900341, PID #051-092-24 The subject permit, issued by this office for a single'~amily well and/or on-site wastewater system has expired es of December 31, 1990o A new permit must be obtained from this office for a well and/or on-site wastewater system not installed by the expiration date° If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as-built inspection report (three-part form) must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: on-site wastewater permiti'$50.00 for a well a combined on-site wastewater and well If you have any questi~s, please call ! ~o~ Smith,F~.E. - PrOgram ~a~ager On-site Services $90.00 for an permit; $140.00 for permit. this office at 343-4744. JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" Department of Health & Humar~ Services ~.,4ner Name: A, H. F. L~,, C/O d[:RIlA[d._, REALTY G!gner Addr, ese: ~_q~'='".~.., E:. RIVER RGAD. EAGLE R!VIER, AK 99572 Par. eel Id: 05 1-092-24 Lot Legal: Subdivision: NA Lot: 67 Btecke NA Section: 8 ]'own.ship: t5N Range: 1W Lot. Size 108900 (sq. fl. or acr'es) Max Bedr'eoms: This Pepmit: 5 Total Capacity'.' 5 69z...--.4994 SEPTIC 'f'ANK.~ Minimum 'LO{al septic tank capacity: 1,5}'). . gallons. Each 't'.a~'fl< must have at least.~. ''~ compartmen'Ls. Depth te top of septJc t' .... - ~ k'..:,)~ < 4 ~.eeL [ e&.lu.,.[ e... insulation over 'Lank(s). ~;:l'"d~.i ,f t ] E DE(.EII~:E.n ...>¢., NC)"I]F'Y DHF!S OF INS::'ECT]:['NS. GIVE ~- HR. NO]'ICEE AT 34.3":474zI.~ z '"' , ,~¢::~..-,-1.. [::I....IEANGU]' AT 90 DE,:~R[.~ ANGL. E ON LINE FROM I'ANK. ~ C:E:R'F I F:Y 'fHA]': l~ Z am f'amziiar' ~i'Lh 'Lhe ['equir'ements [or on-site ~e~er'~ al~]cl ~].:l.~i a~ set for'th by the Munic:ipa!it.y el' AnchePage (IdeA) and the State of' Alaska, 2. i w:bl] :i. nstai1 the s~ystem in ac:c:ordarlce with all MOA codes and Pegulati,:::)ns;, and in cempliar~ce with the design crit. eria 0¢ this permit,,' :~,, ]: ~,~:i.]] adhere t.o ail MOA 8nd St. ateo(' Alaska requirements for' the set back dietances [rem any exist, lng we].l, wast:et4ater disposal system or' public SE.)v~ePage ey~{e]~ OR t, hJ.~ eP any ~d.ja68Rt oP neapby lot. 4,, I understand that this permit, is valid CoP a maximum of 5 I:,edrooms. I al. silo Lzl]der'et. ar~d thai', t. he c:apacJ, ty of the {et. al eystem is 5 bech'oc~ms aFId · any en!ar'gement will ?equine an additional, permit. ,..~ ]. b, .ed. ~ ~ - DA-I-F: (~]~,'~Fiei-') F~ ~ I:% ~% C/O HEIRITAGE REAL.,TY I I 330,00' I~ - rest HOLE NO STREAMS +100' · MONITOR TUBE NO KNOWN CURTAIN DRAINS o SEWER OLF_ANOUT NO IMPACT ON NEIGHBOR WELLS, DRAINAGE, SEPTIC SYSTEMS, ~ WELL PI~OPOSED LEACHF[ELD THIS SHOULD NOT AFFECT FUTURE USE OF NEIGHBORS WATER. EASEMENT ~ EAGLE RIVER, AK. 99577 '~'"'-. ' .... ,,,; ~ (907) 694-5195 FAX: (907') 694-3297 280 100 10.0 1.0 0.1 0.01 0.001 8RRIN SIZE - mm Te~t ~+75. Z GRAYEL ~ SANB ~ SILT ~ Z ~LAY 0.0 8.8 ~8.1 1.~ LL PI ~5 ~0 ~8 ~0 DI~ D10 ~ C~ e 8 2.88 ~.95 8.72 8.42~ 8.267~ 8.2128 8.87 4.~ MATERIAL DESCRIPTIOH USCS AASHTO Fi ltep Slnd SP R-l-b P~o~ec~ No.: 89-88~ Remaeks: Pr-oSect: Lot 41, T15N~ RIW, Sec. 4 Filtep 8~nd Loc~tion: Spptng Ceeek Pit 8fiAIH SIZE ~I~TfiI~UTIOH TE~T ~EPOfiT Flg~r'e No. 11 GEAIN SIZE DISTRIBUTION TEST DATA 'Test No.: Date: 05/29/90 Project No.: 89-086 Project: Lot 41, T15N, R1N, Sec. 4 Sample Data Location of Sample: Spring Creek Pit Sample Description: Filter Sand USCS Class: SP Liquid limit: 0 AASHTO Class: A-l-b Plasticity index: 0 Notes Remarks: Filter Sand Fig. No.: 11 Mechanical Analysis Data Initial Dry sample and tare= 1011.10 Tare = 272.10 Dry sample weight = 739.00 Tare for cumulative weight retained= 272.1 Sieve 10 t6 20 40 60 100 200 Cumul Wt. 388 90 511 00 600 70 790 O0 914 10 970 40 997 00 finer - 84.2 67.7 55.5 29.9 13.1 5.5 1.9 Fractional Components + 3 in. : O.0 % GRAVEL 0.0 % SAND = 98.1 FINES = 1.9 D85= 2.00 DB0: 0.952 DSO: 0.721 D3.0= 0.4198 D15: 0.26?93 DIO= 0.21283 Cc = 0.8?00 Cu : 4.4720 EAGLE RIVF..R F. NGINF..ERING SF. RVICF. S October 8, 1990 Lou Butera, P.E. P.O. Box 773294 Eagle River, Alas]~a 99977 Telephone (907) 694-9195 Mr. John Smith P.E. Department of Health & Human Services 825 "L" Street Anchorage, Ak 99502 RE: Lot 67, T15N, R1W, Sec. 8 Dear Mr. Smith, We are requesting approval of the proposed wastewater system plans attached. As discussed in your office we are requesting that plans be approved without additional test holes due to the timing of recent regulations changes. As per 15.65.060 H.4 the department may approve beds wider than 15'. We are requesting a bed width of 24' aS there is enough room to work the bed from both sides, there is no slope to cut into and the 24' width will reduce length and increase distribution through the bed limits. These factors alleviate concerns requiring the 15' bed width. We are also requesting use of Ak D.E.C. specifications for sand filter layer as an alternative. These specs are outlined in 18 AAC 72 Table F. The bed location will not effect the neighbors land use as the lot is large enough were lot lines are greater than !00' from the septic location. There are no affected wells, wastewater systems, structures, drainage paths or patterns within 200' of our proposed system. The ground surface is essentially level in the bed area and then rises in the SW portion of the property but not as to affect the leaching area. There is a large area for a replacement system. If you have any questions or any further concerns please call me at 694-5195. Sincerely, Louis Butera, P.E. 1 NO STRUMS +100' 330.00' M ~r HOLE · MONITOR ~BE NO KNOWN CURTAIN D~INS o S~ER C~O~ NO IMPACT ON NEIGHBOR WELLS, DRAINAGE. SEPTIC ~STEMS. + WELL THIS SHOULD NOT AFFECT FUTURE USE OF NEIGHBORS WATER. PROPOSED ~CHFI~D S E P T I C S I T E P LA N ====================== ............. CONTRACTOR: N/A ~ P.O. Bo~ 773294 "'~' ~ EAGLE ~IVER, A~ 9~572 r ~ (907) 694-5195 FAX: (907) 694-3297 ' .I ~ SOILS LOG MUNICIPALITY OF ANCHORAGE [] PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DATE PERFORMED: SLOPE SITE PLAN 3 4 5 6 7 8 Wg 736 11 WAS GROUND WATER ENCOUNTERED? 12- ,AT WHAT rH? 13- 7days Gross Net Depth to Net Reading Date Time Time Water Drop 14- 15- 16- 17- 18- 19- :OLATION RATE ~ ~ ~ ~ .{minutes/inch} TEST RUN BETWEEN ~'~ FT AND /~'~- , FT COMMENTS PERFORMED BY: 72-o08 (6/79) Eagle River Engineering Services P. O. Bux Eagle ~ive~ AK 99577 69~-5195 CERTIFIED BY: DATE: SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: LOT 67, T15N R1N Sec. 8 GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and/or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department Of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. ?. The excavation is to be exactly in the area shown on the site plan; any deviation requires engineer approval. BED 1. The bed is to follow the natural land contour to maintain uniform total depth of the bed bottom. 2. The bottom of the bed shall be level, plus or minus 1.5". 3. The total depth of the bed excavation is not to exceed 5t at any point. 4. The sewer line is to replace the existing sewer line that leads to the existing tank and pit. Existing tank and pit are to be abandoned to code. 5. The bed gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the leachfteld. 7. The area over the bed is to be finish-graded to prevent pending of surface water runoff. 8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class '"C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH --= 5 feet GRAVEL DEPTH = 6inches BED LENGTH~ BED I/,;iDTII = 2-'1, f o~ Soil Rati ilter Layer) ~ -¢~ ~'~ /'~ Bedroom Capacity : q~ Septic Tank Size = 1500 *** NOTE: 2' THICK SAND FILTER LAYER MEETING DEC UNDER LEACHFIELD GRAVEL. OVEREXCAVATE AND REPLACE GR'"^TER ANCHORAGE AREA BOROI~'~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL_ UQU D __GALLONS. COMPARTMENTS SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF FITS [ OUTSIDE DIAMETER ~ OR WIDTH__/s ,LENGTH_ '/ ~' ,DEPTH L,N,NO MATER,AL _.O,STANCE E OM WEL , BUILDING FOUNDATIO~ TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELl FOtJNDATION ., NEAREST LOT LINE , OF LINES NUMBE OF LINES --/'D~C'~'~-~B~TW'~'~"'E'~I*~-'~4~LE~5._,~-~--~T-~$T'*v¥tB~T~ .... IN~.'?O~'~AL EFFECTIVE ABSORPTION AREA _SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE .DEPTH OF FILTER MATERIAL BENEATH TiLE .IN. ABOVE TILE__ '"22~ '"~,~,~ ,~ / DISTANCE FROM /' ' WEELL: TYPE /~--~ ~_~ _, DEPTH ~ ~'., BUILDING FOUNDAIION..~-' WATER /~o . _ SAMPLE , NEAREST /~ ' NEARESt ~O ~ SEPTIC¢~ ' , SEEPAGEsYsTEM__fO/ ' ,CESSPOOl --- ., SOURcEsOJHER LOT LINE ~ , SEWER LINE. , TANK ~ DIAGRAM OF SYSTEM DISTANCES: J / ! DAlE GAAB-HD-2 GREATEI 327 Eagle St. ANCHORAGE AREA, ltEALTH DEPARTMENT Anchorage, Alaska 99501 /)IlO'UGH 279-2511 Case No. ~,-~.~-~ SEWAGE! DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT~.~/--.,') ;'*' z~' ~ ~,4/x~.//,__ MAILING ADDR ESS.,,/.,.~._r.~ ,.~,'Z r~. _ PHDNE NO. RESIDENCE ADDRESS ./)'/,~ f'/-'/,,':,,~' /2~',.,,,~, ,~ LOCATION DF INSTALLATION_ LEGAL DESCRIPTION._~,~ ~" ~., ...<'_~,~:.? .,7"-,~_~- APPLICATION TO iNSTALL: SEPTIC TANK. /-"'"'~ , SEEPAGE PIT_ /--*~"", DRAIN FIELD , OTRER fO SERVE THE FOLLOWING FACILITY ,? ~/~..~/2,, .,~'~/ FINANCED THROUGH_ ;r.~/?.//~ __TO BE INSTALLED BY '~,,~';~/~''L~_ PERC0 kATION TEST RESU kTS_ BELOW T0 BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO Sk'RVE AS. ,/'//~, ~.~.._/#?'/~t , PERMIT TO INSTALL A AS DESCRIBI"D BELOW. SIZE OF UNIT TO BE SERVEG ~_~'9,,~ · SEPTIC TANK SIZE ,~'¢Yd,d' _TYPE ,~c~:..~..... SEEPAGE AREA Health Authority DISTANCES: DIAGRAM OF SYSTEM I certify that I am familiar with the requkements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code, APPLICANTS SIGNATU R E 1EATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT 3~7 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE Performed For ~,1 ,Jla Date Legal Descrxpt~on: Lot.~_7_.Block._~dzvlsxon (c~.c This Form Reports a: So~],s Log .... Depth Feet Soil. Characteristics Location Sketch Reading Date 7_ZL Z: ------' Was Ground Watep Encountered?_ If Yes, At What Depth Net 'rime Depth To H20 Net Dpop Gross Time Proposed Instal~-Seepage Pit L-/ Drain F~eld Test: Performed B~:~_~ Data Certzfled By: ,~ ~ '~-- /~/ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFIOATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 051-092-24 HAA# 1. GENERAL INFORMATION ', Complete legal description Lot 67, T15N R1W Section 8 Location (site address or directions) 2D_534 Cznahtree, Chugiak Property owner Lowell D. & Lucille A. Mailing address _2r)5:~4 C. rab~r~¢., Chugiak. t_ending agency _ N/A Mailing address ZercherDay phone AK 99567 Day phone 688-5221 Agent Address N/A Day phone Unless otherwise requested, HAA will be held for pickup, NUMBER OF BEDROOMS: 5 TYPE! OF WATER SUPPLY: Individual well X Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. 4. TYPE[ OF WA,~TEWATI-'R DISPOSAl.: NOTE: Individual on-.site x Holding tank' Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. slueLULUOO leuoil!PPV suo!lelndl~s 6U!MOllOj eql q~!M 'SLUOOApaq 'SLuompeq ~o~ leAmdde leUOB!puoo 'peAoJddesK3 Jo~ pe^oJddV BIJnlVNOIS SHHQ "9 . /* ~,.,~/_~,-._~, e:!.ea ~ eJnleuB!s sjeeu!Ouq LL§66 )~/ ,ZeAT~ a~DeA '~6ECLL xo~ 'O'd sseJppv 'uoBoedsui el~l 1o elep eM1 uo loette ui 9uo!l~lnSe~ pue '9eoueulp~o 'sepo3 elelS pue I~dlalunR lie Mll~ e~ue!ldmo~ ul si melsAs leSOdsip Cele~else~ ~o/pue Alddns ~ele~ el!s-uo eM1 'uoBoedsu[ pu~ uolleSBseAui mint peu!~lqo uollem~otui eM1 uo paseq 1~1 AIUeA~a~Pn¢ I 'u!eCe~ peleolpul emlomls 1o ed~l pue smompeq 1o mq~nu eM1 ~ot elenbepe pue leUOBaunt 'etes s! melsAs [esodslp ~el~else~ ~o/pu~ Alddns Jele~ ells-uo Am leM1Ali~eA I '~oleq u~oMs elep uoBeplleA eM1 to se pue ole~eM pexllte lees Am Aq pe[t!Meo sV 'G Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /.-¢/"~'9 ~"/5~/ ,~/~ ..~£C..~ ParcelI.D.. 05/ ' O/~ - A. WELL DATA Well type /~/?/Y,'I Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Dale completed ]~/Z/¢£ f¢ ~¢~/¢O _ Driller. Cased to_ '/' '~¢ / Casing heigl~t Wires properly protected (Y/N) /0" Date of test Static water level Well flow Pump level FROM WFLL LOG AT INSPECTION /¢ g.p.m. '~'1 ¢ _ _ (2/¢1~71~h¢ _ _ ? i,~.~- ' g.p.m. SEPARATION DIS'FANCES [:ROM WELL TO: Septic/hotd~.f tank on lot /J 0 Absorption field on lot r/~ ~ Public sewer main /'//~ ?~r~ P~C sewer service line ~(/~ / ; On adjacent lots __ ; On adjacent lots _ Public sewer manhole/cleanout Petroleum tank /- WATER SAMPLE RTLTS: Coliform Nitrate Date of sample: ~ q/~'~?/~2. Collected by: Other bacteria B. SEPTIC/Id{DL~;HN6i TANK DATA Date installed ~ ~/~'~/~ J Tank size J Cleanouts (Y/N) ~5:5 Foundation cleanout (Y/N) High water alarm (Y/N) /v'/ Date of pumping ,,M~'A~ ¢ ?//'¢' / /v'~.~ Depression (Y/N) . Alarm tested (Y/N) Compartments ,~ SEPARATION DIS'¥ANCES FROM SEPTIC/HE~.-EH-NG TANK 'f'O: Well(s) on lot To propertyline_ Surface water/drainage On adjacent lots ///_.)LP _ Foundation _ Absorption field ~- ~'--__Water mei~/service line _ 72-026 (Re¥.3/91)Front MOA21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) Manufacturer Manhole/Acce~ "Pump on" level at .~ "Pump off" level at High water alarm level ~ ~.~}~---"'"'~- Cycles tested Meets MOA electrical codes (Y/N) ~ SEPARATION DISTANC. J~PR~M LIFT STATION TO: Well on lot.....-~'''''''~ On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~ ,¢/,~,//¢ / Length '// ~ / ,Width Total absorption area /~ ~:~ Depressiom,bver field (Y/N) Results (pass/fail) /~//,~' ~ Peroxide treatment (past 12 months) (Y/N) Soil rating O, '~ ~/_.~.//? System type Gravel thickness ~'~ ¢/ Total depth Cleanouts present (Y/N) Date of adequacy test ,/Y'///- ..4/~,¢0 for ~ bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water Curtain drain On adjacent lots ¢'/¢~-'~ Property line ~ ~ To~r abandoned system on lot Cutbank /"//-.~ Water main/se~44ce line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines , of this inspection. Signature Engineer's Name Date HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number TIME DATE INSPECTOR INSPECTION APPOINTI~EN,:T$ /{~ DATE RECEIVEr) DATE '~] ~_~./~.)'~j DATE INSPEC O~ MUNICIPALITY OF A~CHO~AGE MUNIClPALI~ OF AN~HORAOE DEPARTMENT OF HEALTH& ENVIRONMENTALPROTECTIONDEPT, OF ~EAI.TH & 825 L ~treet - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION ENVIRONMENTAL SANITATION DIVISION NOV 1 ~ 1980 Telephone 264-4720 31RECTIONSt Complete ail Darts o~1 page 1. Incomplete requests will not be processed, Please allOW ten (10} days for processing, PROPERTY OWNER PHONE PHONE PHONE ~IAI LING ADDRESS 3, LENDING INSTIT[JTION PHONE MAILING ADDRESS 4. REALTOR/AGENT MAILING ADDRESS ~, LEGAL DESCRIPTION ~ STHEET LO TION ' -- 6. TYPE ~F RESIDENCE NUMBER OF~BEDROOMS ~ One E] Four ~~ SINGLE FAMILY ~ Two ~] Five ~ MULTIPLE FAMILY ~ Three ~] Six Other 7, WATER SUPPLY ..[~ INDIVIDUAL' [] COMMUNITY [] PUBLIC UTI LITY 8. SEWAGE DISPOSAL SYSTEM I~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY * ATTACH WELL LOG. A well ~og is requ red for all we~ s drillec since June 1975, For wells drilled ~)rior to that date, give well depth (attach log if available.) I O1,'"'[(~ YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 [Rev. 6/79) ~[ ~ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] iNDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM E~] INDIVIDUAL/ON -SITE F-IPUBLIC UTILITY Connection Verified I--]Septic Tank or [] Holding Tank Size: f Tank is homemade give dimensions: NUMBEROFBEDROOMS ONE [] THREE [] FIVE [] ~OTHER [] TWO [] FOUR [] SlX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Septic/Hotding Tank Absorption Area JSewer_Line I Nearest Lot 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line Line. 5. COMMENTS DATE ~/~APP ROV ED FOR _<~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED BY ~'~_ 72-010 (Rev. 6/79) DAVID A, SLENKAMP ROBERT A. SHAFER MECHANICAL ENGINEER 694-9055 N6vember 11~ 1980 CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAGI': DEPT, OF HZALTH & ENVIRONMENTAL p~,~O [ECTJON Century 21, Metropolitan Attention: Lorraine Miner P.O. Box 677 Eagle ~ver, Alaska 99577 NOV 1 3 1980 RECEIVED Dear Lorreine~ Reference: Lot 67; Section 8; T15N; A sewer system adequacy test was performed on the system located on the referenced property. The septic tank was pumped and verif:Led to have a capacity of 1000 gall.ohs. The seepage pit was charged with 1000 gallons of water and after a period of 24 hours all of the water which had been added had percolated out of the crib. It can be concluded from this test that the sewage system is currently functioning adequately for the three bedroom residence. If we may ~e of fu~lSher, assistsnce, please do not hesitate to cell. ,/~'.~F,~.T~ A. ~:IAFER, N,E. ? // /60: Municipality of An' ~ ' chorage / Department of Health and Enviornmental Protection SRB 196X EAGLE RIVER, ALASKA <JREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 DATE RECEIVED: INSPECT: TIME: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES FOR 1. APPROVAl_ REQUESTED BY: ADDRESS: PHONE: 2. PROPERTY OWNER: 3, LEGAL DESCRIPTION: 4. TYPE FACILITY TO BE BEDROOMS: NUMBER OF WELL DATA: A. TYPE B. OEPTH C. SIZE D. CONSTRUCTION BACTERIAL ANALYSIS 6. SEWAGE DISPOSAl. SYSTEM: A, SEPTIC TANK (IF HOMEMADE, 1. SIZE 2. AGE 3. MANUFACTURER SHOW DIAGRAM ON BACK) APPROVAL REQUEST PAGE TWO FOk SEWER .& WATER FACILITIES B, SEEPAGE PIT ~ . s I z E 2, LINING C, DISPOSAL FIELD 1, NUMBER OF LINES 2, TOTAL LENGTH REQUIRED MEASUREMENTS A. WELL TO SEPTIC TANK ~./~.wt" B. WELL TO SEEPAGE PIT ~/ ~ C. WELL TO BEWER LINE WELL TO PROPERT~ LINE E. WELL TO OTHER POSSIBLE CONTAMINATION E. FOUNDATION TO SEPTIC TANK G. FOUNDATION TO SEEPAGE PIT B~EPAGE PIT TO PROPERTY LINE COMMENTS APPROVAl_ VALID F' "OR ONE YEAR FROM DATE SIGNED, GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY kJU ,,::t '~'~'INDIVIDUAL SEWAGE Al,ID WATER FACILITIES , ' ?~'~ (Fi 1 out in T~-iplicate) l, la~ of property: owner Number. of ~edrooms in Water Analysis: ,/~ c. Casing Size Distance from well to closest existing or propose( 1. Sewer llne Sept[ c tank 3. Seepage Area 4, Cesspool' 5. Property Line 7t 6, Other sources of possible contamination, i.e., creeks, lakes, houses, baPn~ drainage dltch~ etc. Sewage disposal system, Age of system ....... . Septic tank capacity in ga].lons Name of septic tank manufactu~.r 1. If "home made" show diagram on reverse side of this form. d,' Disposal. field or seepage pit size and type___.__ 1, Distance to property line to house foundation .... Percolation Test~esults f. Percolation Test performed by Use the reverse .side of this form to show diagram, Diagram should include ..'the following information: p?operty lines~ .well location, house location~ ~ptic tank location, disposal area location, locatioll of percolation test, and direction of ground slope. The i~r£o~t]on on this form is true and correct 1:o the best of my knowledge, Date Si?ned ~_TO BE FILLED OUT BY HEALTH DEPA~!TtiENT PERSONNEL F--~T~e above d, escribed sanitary facilities are hereby .t, pp]~oved subject to the Conditions: The above described sanitary facilities are disapproved ~or the followinp. ^pproval is valid for one year fol;Lowing the date of approval, CPJ: cw ./ i'~:Lurn to MatsI~uska Valle' .~s_uk, Pouch 7012, Anchorage~ A~.:~sh% c/o Margaret B~].l~n~ HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER$IJPPLYAND,SEWAGEDISPOSAL SYSTEM , Lam'y Go NC), Public system [] Community system [~] Public system installation E3 Yes 1.7,!: No Individual E] Ye, ~] No It is the opinion of the [] State L~..] Coum-y [~] Local Department o£ Health that this individual water-supply system I~] is [3 is not .tis~.ctm'y ~s ~ domestic w.t~r supply ~o, thc subi~c, property. It is the opinion of the ~ State ~ County ~ Local Department of llealth that this individual se,rage-disposal sys- tem with proper maintenance: ~Can ~ expired to fimction satishctorily, and is not likely to create an insanita~ condition ...... [S~OI~mURE 412:8172 L--~ Cannot be expected to £unction satisi%,ctorily BY: ~;ani.'ka'ri au _.lO" ( ,d,b ?/,z, REQUEST~FOR APPROVAL OF INDIVtDUA,L SEWAGE.A~J~[ATER FACILITIES (Fzll out ln[T~plicate) 5. .Wate~,~l~8~s ~ b, Detemgent '' ' . b, Deptk ~.~ '~ .... . Casing Size_ 6, ~ . 1. 2. 3, 4, 5. 6. Distance from well tO closest existing or proposed: Septic tank O~ . Seepage Ar,sa_~,f~,./ /, Cesspool~_ , -- ....... Property Line_~ Other sour(ms of possible contamination, i.e., creeks, lakes, houses, barn~ drainage ditch, etc. ...... $ewa~ disposal system. ' b. Septic tank capacity in gallons .... ~ ~, 1. If "home made" show diagram on reverse side of this form. d.' Disposal field 1, Distance to proper~y.. 21ne. ~_to house fotmdation~ e. Perco,l~xtic¢l Test ~esults ...... ~ f. Percolation Test performed by .................... . . ~8~ Use the reverse ,side of this form to show dlaEram. Die,ram should lne!,ude .~,~he followin~ information: [~.~operty lines; ,w(,~ll lo~atzon, house locatzon, ~6pti(~ tank loca~ion~ disposal area locatlon~ location of percolation ~:est~ an~., direc~ion of g, round slope. 9. The ~T~f-ormation on this form is t~.ue and correct to the best of my knowledge. TO BE FILLED OI)T BY HEALTH ,DEPAP, T!,IENT P~RSO~,NE[ ~'he above described sanitary facilltles are hereby 6pproved~ subject to the on ions ~ The above described sanitary facilities are dzsa].proved' ~ for the fol.Lowzng' ' reasons: ~--Approval is valid fop one yea~. following the date of approval. .,-- CPJ:cw