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Home My WebLink AboutNORTH WOODS PHASE 2 BLK 3 LT 2 Municipality of Anchorage Page t of _~-- 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: "~ ~/~ q~-'~O,~ PID Number: ~/~ ~ / Name: ~~ ~, ~ ~~ ~~ Wastewater System: g New ~Upgrade Address: ~ ~ ~ ~ ~ H~ ABSORPTION FIELD Phone: ~ ~ ~ ~ Nc. of B~oms: ~ Deep Trench D Shallow Trench ~ed ~ Mound ~ Other Total Depth from original grad~: LEGAL DESCRIPTION Sol, Rating: ~,~ GPD/Sq. Ft. Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Lot: ~ Block: ~ ~ ~ ~ ~ ~ /Ft. 7~ Ft. Township: ~ Range: ~ Section: Fill added above original glade: v Gravel length: ] ,~ ~ Et, Ft. WELL: U New ~ Upgrade Grav~d;;~:~ )~ ~/Ft. ~ ~/ Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: ~ ~~M ~ Ft. Ft. /J~Se. Ft. ~ Driller: Date Drilled: StaticWater Level:Ft. I~~ ~1 Date installed:~//~ Yield: GPM Pump Set at: Ft. ~ Casing Height Above Ground'.Ft. TAN K SEPARATION DISTANCES ~3eptic¢~[~)~ing ~ S.T.E.P. From Tank Field Station Tank Sewer Lines J~ ~ Well ~ ~ . ~ ~,~ Material: Number of Compartments: Surface Water ~ [~ ~ ~ ~ LIFT STATION~ Lot ~ ~ ~ Line ~ I ~1 ~ Size in gallons: Manufacturer: . Foundation ,~ ~j ~ ~ ~ "Pu~p on" level at:~f" level at: CurtainDrain ~~ ~)~[ PumpMake~ l Electrical lnspections performed by: Remarks: BENCH MARK Assumed Elevation: ~ ENGINEER'S SEAL Inspections performed by~ ~,~(~,;~tes: 1st ~/l~fl~ ~;;;;;;;;".,~' Department of Hea urea es approval -~ ~,.-.~;,~ .., ..~ Reviewed and approved ~ ~te: ~ ~QROFES~ 72-013 (1/91) MOA 25 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 3~3-4744 On-Site Wastewater Disposal System and/or Well Inspection Report 72-013 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:SW920085 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:CORNETT LELAND K & OWNER ADDRESS:HC 80 BOX 306 CHUGIAK, ALASKA 99567 DATE ISSUED: 5/20/92 EXPIRATION DATE: 5/20/93 PARCEL ID:05182106 LEGAL DESCRIPTION: NORTH WOODS PHASE II BLK T 2 3 L LOT SIZE: 29555 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD 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: THIS ABSORPTION SYSTEM MUST BE INSTALLED IN ACCORDANCE WITH THE REVISED ENGINEER'S DASIGN DATED 5/20/92. HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELLINSPECTION & FLOW TEST SiTE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN ROBERT SHAFER, P.E. ROGER SHAFER, P.E. May 4, 1992 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99501 REFERENCE: North Woods Subdivision #2, Block 3, Lot 2 Request you issue a permit to upgrade the septic system serving the referenced property. The existing system is in a state of failure. A test hole was excavated and a percolation performed in the area of the propoSed upgrade. the proposed upgrade design. tests was Attached is This property is served by a Community water system. There are no protective well radii which encroach upon the property. As can be seen from the site plan this lot is large enough for another future upgrade. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic upgrade. If you have any questions or require additional information for your review, please contact us. Sincerely, ROGER J! · SH~FER, P.E. RJS/lsu 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 /% SCALE JUPGRADE ' / Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL D E SC R I PTI O N :q'~ ~:20.-~Z. 1 2 3 4 5 6- 8 9 10 11 12 13 14 15 16 17 18 19, 20- S & S ENGINEERING Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? L IF YES, AT WHAT O DEPTH? p E Depth ,o Water A~? } ~-j-/~/L~,~.. Monitoring? "'F Date: Gross Net Depth to Net Reading Date Time Time Water Drop ~ -~ ' I~ ,~rr~ I~ ~', ~ ~ ~/~" ~/~" ,, ~/ J~ ,, ~l~* ~/~ ,, ,, (o I~: ~ " ~'/~" ~/~" PERCOLATION RATE~-/'~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND-~ FT 1.70,~LE, agle .E~v_e,r Loop Road No. 904 ~ ~ PERFORMED BY' - - ~' .......... r~-- I '~ II ~ · ~"~1~ ~,~;, ~ ~,aa~a ~// ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE· DATE: ~ ~ ~ 72-008 (Rev. 4/85) ~ 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 NAME PHONE [~1EW MAILING ADDR ~S ~OCATIO~ ~0. OF ~e ~Bsorotion area D~ollino Pfi~MIT ~0. ~ DISTANCE TO: ~ ~O ~V/ /0I a~l~ No, of compartments Liq. capacity in gallons Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~ ~ ~ Manufacturer Material Liquid capacity in gallons ~ Well Foundation Nearest lot line PERMIT NO. ~ ~ DISTANCE TO: ~ No. of lines Length of each line Total length of lines Trench width Distance between lines ~ inches ~ -- Top of tile to finish grade Material beneath tile ~otal effective absorption area Q inches PERMIT NO, ~~ Lengt~/ Width ~1 Depth 3 1 ~ T~f~rib Crib d~c..mctcr Cr~h Total effective absorption area., ~- ~ /o ~ ~ ~ell Building foundation Nearest lot line ~ ~ISTA~Cfi 10: Buddm~ foundation Se~or lin0 Septic tank Absorption area{s) PIPE MATERIALS SOIL TEST ~ATIN~ INSTALLER APPROVED DATE LEGAL 72-013 (Rev. 3/78) PERMIT NO. APPLICANT SKAGGS CONST LOCATION I¥1LIl',l I I~ IRAL I T"~ OF DEPARTMENT HEALTH AND ENVIRONMENTAL . /.'OTECTION 8.-5 "L" STREET., ANCHORAGE., AK. 264-4720 rll".l--S I TE ~_~.EIMEI:~: PERM I T 8207'...~. 9 ) PO BOX D CHUGIAK 99567 688-28it A LOT SIZE LE~RL L2 Bl NORTHWOOD PHASE II TYPE OF SOIL ABSORPTION _%=.TEM I=,. ~Rf~D MA~,IMUM NUMBER OF BEDROOMS = 4 SOIL RATING <SQ FT?BR>= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS' 999~,~.~ :.QLARE FEET DEPTH= 3: LEi~GTH= ~ GRR%'FL DF'PTH-- -1 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE E~CAVATION (IN PEET). The TRENCH ~4IDTl~ IS -: -;_ '1::?~-) FEET. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). RfE4LIIRFD SFF"TIC TANK SIZE-- t 250 GALL~3f~S PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. Thio ( 2 ) I t-ISPECT I C.'-,I$ ARE REQIJ I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PR~J~EuUTION. MINIMUM DISTANCE BETWEEN A WELL RND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE Of PUbliC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUN%TY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PER~I I t E."-~:P l RE_S D~ECE~IBER ~l. :I.L'~- 82 I CERTIFY THAT l: I AM FAMILIAR ~4ITH THE REtn..UIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL ~STALL THE SYSTEM IN ACCORDANCE WITH THE CODES. · ~ .... ~ - ' ENLARGEMENT IF THE --. I UNDEF~AND THAT~HE~-~-_qTE SEWER =YSTEM MA~ REQUIRE / ~PPL I C8NT SKRG~S C:~ ~ O & E EN~NEERING & DEVELG.~MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Performed for: SOIL LOG Name:_ ~'~ Legal Description: ~-,o7-' ,,~/ Mailing Address: ~'~' ,,~3 ~. ~) / Earl Ellis 688-2280 Tel. No. ~ Depth (feet) 0 Soil Characlerlstics q 11__ PLOT PLAN 12__ 13__ 14__ 15__ 16__ Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: Performed by: t,/'" No If yes, what depth Drain Field PERC. TEST Property Ownerg/~ ~r/C...APPLIt~'~T~'/L'D(:~$FILLS OUT UPPER, HA~~-'~ oNLy MailingAddress ~,/.~). '~,.j~. ~[. ~<j/j~ i ,~/? ./C~[! ~?lk.,' ZipCode Buyer Address Zip Code Lending nstitution Realty Co. & Agent Address Zip Code Phone Phone Legal Description LOT- ~- '~L~-)C~'~ Street Location C f'>,~ ~ ~) ~ '~'T'il~,~ Type of Residence Single Family Multiple Family No. of Bedrooms [] Other Water Supply [] Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ,~ Community For wells drilled prior to that date, give well depth {attach log if available). Public Utility Sewer Disposal ~ Individual Year Individual Installed: {~ Public Utility When Connected to Public Uti~it~ ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date D Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE i,,: u 2 0 i982 R/C/I ( r~) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* Soils Rating Date Sewer Installed Well TO Absorption Area Well Log Received Well to Tank Septic Tank Size 72,023 (3/82) 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 2; Block 3; North Woods Subdivision #2; Location (site address or directions) 22317 Shadow~ Spruc~ Drive Property owner Mailing address Lending agency Mailing address Jo~ce & Ken ¢orneJ~t Day phone , 688-9303 HC 80 Box 306 Chugiak~ Alaska 99567 Day phone Agent John L~avy HRT REAL ESTATE Day phone 561-2220 Address 341W~st Tudor Road #103 Anchorage, Ak. 99503 = Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ~- ' NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 Legal Description: A. WELL DATA Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST LJ~L::~ ~.J~c~ ~'/~'~'~;Zarcel I.D. .~/ Well type {J I'.] I ~ I'~A, B, or C, attach ADEC letter. Log present (Y/N) Date completed Total depth Cased:to Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot ~.~ Absorption field on lot Public sewer main Sewer service line ADEC water system number Driller Casing height Wires properly protected (Y/N) AT INSPECTION g.p.m. · < >, On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPL,.E RESULTS Coliform Date of sample: Nitrate Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts ON) High water alarm ('~) Date of pumping ~ I'~ J } ~ ~ Pumper Tank size /~00 ~,~/~Z.~ Compartments ~-~ Foundation cleanout(~N)~ '7/ Depression (Y(~ ~ Alarm tested (Y~ NJ/~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Foundation ['~ / Water main/service line Z~'~ ~ Well(s) on lot t,~) ~- On adjacent lots To property line ~ / Absorption field Surface water/drainage [~:::~.~, ~L- CONTINUED ON BACK PAGE 72-026 (Rev. 7/91) Front h ~