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HomeMy WebLinkAboutRABBIT CREEK BLK 2 LT 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIQN ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT TPHONE [] UPGRADE MAILING ADDRESS LEGAL DESCRIPTION LOCATION ~L't~ ~'~ ~,', ,,')~,? ~-~ ~ NO. OF BEDI~OMS Dwelling Manufacturer DISTANCE TO: 1Well inside length Material . Width PERMIT NO. No. of compa~ments Liquid depth Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons DISTANCE TO: Well Foundation Nearest lot line PERMIT NO. No~ o~n~s -- ~ Lengt ~ of each line Total length of lines Trench width Distance between lines J inches Material ben0ath tile Depth Top of tile to finish grade Length Width Type of crib Crib diameter Crib depth Well Building foundation DISTANCE TO: Class Depth Driller Building foundation Sewer line DISTANCE TO: OTHER PIPE MATERIALS SOIL TEST RATING Total effe~;~')vgobsorptic~n area PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line rPERMIT NO. / Septic tank |Absorption area(s) / INSTALLER REMARKS APPROVED DATE LEGAL Static Water Level /~ Draw Down fee t feet Gallons Per Minute Total Feet of uasing. Type Mater!al D_rilted: 0 fee~ to_,~C~ to to to to to Hefty Drilling S.R.A. Box 1553 H Anchorage,Alaska 99507 MUNICIPALITY OF ANCHORAGE Department f Health and Environmenta Protection 825 L Street, Anchorage, AK. 99501 264-4720 oCC''~\(~>P- '? * * * HANDWRITTEN PERMIT * * * WELL AND/~ ON-SITE SEWER PERMIT Applicant: ~/~/~ ~g~/~O.,,C~I ~r~7~ailing Address: ~/~: ~ 77 ~. Location: ~ ~>/WI~ ~/7 / P Phone Nu~er: P¢¢~ Legal Description, ~ / ~' Z ~/// ~ "~ LOt Size: Type of Soil ~sorption System Is: ~ ~.~~~ Trench: Drainfield: Seepage Bed. /~ Holding Tank: Maximum Number of Bedrooms: ~-,, Soil Rating (sq. ft/br) The Required Size of the Soil ~sorption System Is: DEPTH LENGTH GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~_~Tf> GALLONS * * 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. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee± 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 community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 1 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will/i~stall the system in accordance with codes. (3) I un~,ers~and that the on-site sewer system may require enlargement if the ~=es~dence is re~o~d~l~'~ to include more that 3 bedroomsf~-~x Signe~, ~/~/~=~--~/ Issued bY: ~' S~ AppIicant ~" C~' ~ .......... Date: -- ~ ~ ~ I SWP/024(1/81) ALASKA ENVIRON""XNTAL CONTROL SERVICe., INC. 1220 West 25th Avenue ANCHORAGE, ALASF, A 99503 Phone 276-1,361 CHECKED BY DATE ALASKA ENVIROP" XNTAL CONTROL SERVICED, INC. 1220 West 25th Avenue ANCHORAGE, ALASKA 99503 Phone 276-1361 SHEET NO CHECKED BY DATE ~f?~F~ -~ z~ d,~/. I 3 CONTROL SERVICF^ INC. 1220 West 25th A, ,ue ANCHORAGE, ALASKA 99503 Phone 276-1361 CONTROL SERVIC~'-' iNC. 1220 West 25th A~,~ue ANCHORAGE, ALASKA g9503 Phone 276-1361 ,4 c,I ~ p '/-e i? L ALASKA ENVIRON""':' NTAL CONTROl. SERVIC~.~, INC. 1220 West 25Lh Avenue ANCHORAGE, ALASKA 99503 Phone 276-1361 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 PERFORMED FOR: LEGAL DESCRIPTION: DATE PERFORMED: SLOPE SITE PLAN 10 11 12 13 I4 15 16 17 18 19 20- WAS GROUND WATER S L ENCOUNTERED? ~, ~ 0 P E IF YES, AT WHAT DEPTH? ~ y~ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inchJ TEST RUN BETWEEN FT AND FT DATE:: - ¢ ~'~/ 72-008 (6/79) MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALlit DEPARY~ENT OF f~\LTH AND ENVIRONP[EN%i~L PROTECTION APPLICATION FOR HF=~L'/It ~D~HORITY APPROVA_L CERK.FIFICATE 1. General Information Application Date a) Legal Description (inclucb lot, block, subdivision, section, township, range) b) c) Location (address or directions) Applicants Address Applicant is (check or:e) Lending Institution Ci ; Owner/builder eh r till (explain>; (d) Lending Institution __ \~.~k~_~.c¥~_~Ak~i.=:%_~¥Ck_% ._c%~_~xk___Tgj:e_Pho~ ~y~- I~ [ (e) Address Te le phone. 2. ,~j~e of Pesidence S ingle-Fmm:[ly ~. Number of [~edrc~-~ Individual Well Other (describe) Note: If cc~unity ~m. ll system, must have w~itten confirmation from the State Department cf Enviro~ntal Conservation attesting to the legality ~nd status. Is the well adequate f!o~ the number of tedrccms specified 4..uSew__a.~ciq. Di___sposal Onsite [-~7~ Public ~! Community ~ Ho!dilig TamJ{ FI Is the wastewater disposal system adequate for the number of bedrox-~nms [Page 1 of 2] 2-15-84 5. Er. gir_eerin~ Filn-~ ~ .' '~.r - ...... , ..... ~ov.Ldl.,q~]_:n_~j~e_chlcns, Tests, Data and Informaticn I c~rtify that I have c~acked, verified, or c~nfc~md to al;[ MOA ~%A (~idelir~s in effect on the date of this ins~cticn. S igr~d by Date 6.DHEP Aporova]. Approved for _f/ kedr ocms Approved :q Disapproved {----[ ~ Conditional ~_~[,r: (.6['-.~./~' ~.~L,,'<~.~ . ~..~,,~: ~ ~:>a~x" /'~ ~ ..... ~<~--.'. ~:' (57~ ' ' z 7~~- ~1,~ ~' ,~--~" '~ ~--~t~~~'---'~ ........ The Municipality of ~'!cho~age Department of Health and Environmantal Protection does not guarantee the continued satisfactory perfc~mance of the water., supply and/ct the wastewater disFx~sal system. This approval iP, dicates that, as cf the validation &aLe shcwn above, kased cn the d.~ta and inf~t~mation furnished by an. e~.gi~eer registared in the State cf Alaska, the urater supply and wastewater disposal system is safe and func- tionai for the rin.~oer of bedrccms and type of structure indicated. (DHEP SEAL) 7. Mail the ~P%A to the follc~;ing address: [Page 2 of 2] 2-15-84 MUNICIPALITY OF ANCHORAGE (MOA) CHECKLIST - FEBRUARY 1984 ~OIJD]lO~d 'lViN~WNO~IAN] Well Classification ~'_iD~ C _ Zf A, B, ~ C, D.E.C. Total ]r]' to ,,, Dth Static Water ~1 i~S P~ ~t Casing ~ight ~ Gr~nd ~.~.~ Sanita=y ~al on Casin~ Electrical Wi~ing in Conduit ) Se~Da~ation Distanoes ~fc~n Well: To Septic/Holding Tank on Lot To Nearest Edge of Abso=ption Field on Lot To Nearest Public Sewe~: Line AJ/?c Dap~essicn A~ound Wellhead ; On Adjoining Lots >//3~3! ; C~% Adjoining Lots ~3/©¢3 To Nearest Public Sewe~ Cleancut/Manhole IU/A~ To Nearest Sewe~ Service Line on LOt Wate~ Sample Collected By ~d~ ; Date -~/(.~/~ ~ Wate= Sample Test Results ~ ~.'_k~cl_r~,~-~_. B. SEPTIC/HOLDING TANK DATA Date Installed__/~-//-~--~-~ Size _~q-{> No. of CcJ~a~tm~nts Standpi~s ~I) ~ Ai~-tight CaDs ~) Foundatio~ Cleanout ' ~g~ession o~ Ta~ !Y~ ~te ~st P~d ~u~ing~intenan~ Con~a~ ~ F¢le JY~) Holding Ta~k High-Wate~ Ala~ (Y~) ~/~ ~a~y Holdi~ Tank ~rmit (Y,~) ~p~ation D~stan~s ~ ~ptic~olding Tank: To Water-Supply ~11 _~ ~Oc) To ~ilding Foundatio~_~ TO ~o~ty Line . .~6 TO. Dis~sal Field _ V%/.V.~. ~ ~'~' To ~ter Main/~vi~ Line ~/~: ~ ~o S~e~, Pond, ~e, ~ ~jo~ ~,aina~ . ~_ ~_.., ~,~ ~ -L..~ ~. ~/.~-~' ,Z~.-,~(,~?~.~., ~.,~,~.,~ ~,>~,c ,'t ~ ~(~'J~ [Pa~ 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~_5-~.~..~rg<:Lv>7 Date Installed IP~/i.?/~/ Width of Field ~©/ Square Feet of Absorption A~ea Type of System Design .~ Length of Field ~/ / Depth of Field Gravel Bed Thickness ~6~ Standpipes P~esent (Y/N) Depressioh ove~ Field (Y~ Date of Last Adequacy Test Results of Last Adequacy Test ~,~/~ ~ Separation Distance from Absorption Field: To Water-Supply Wall ..m/O~/ To P~operty Line To Buildin~ Foundation ~u '7~ / ~ To Existing or Abandoned System on To Wate~ Main/Service Line '/J~'~ TO Cutbank( if p~esent) To Stream/Pond/Lake/c~ Majo~ Drainage Course ~/~' 7~ To D~iveway, Pa~kir~3 A~ea, o~ Vehicle Storage A~ea LIFT STATION Date Installed Size in Gallons¢~^~ Manhole/Access "Pump On" Level at /~/ ~'~ ".Pump Off" Level at l,¥ / - f - . -~,,I~Q~'. ~ ~,~ High Wate~ Alarm L~vel at ~ ' ' '~ ' ' ' .~ , ~ "~,,~ ~ ~7o/,'?.. Vent ~; Tested fo~. ~/~, . ~ng ~yc~e~~ ~lng Adequa~ ~st. ~ets ~A ** ~e~ ~tted ~ ~tin~ ~ainst~ ~qu~st ** I ~tify that I have checked, %~rified, o~ ~nfo~d to all ~A ~ ~i~li~s in effect on the date of this inspection. Signed ~, :>: ~/:~'~,~ Date Company ~_~ %3 MOA No. ALASKA , ,dlROnmerlTAL CONTROL $ r ulC S, Inc. ~n§ineerir,§ $ ~nuironme.qloJ MARCH 14 1984 GARTH MERRILL 12020 SHENANDOA ANCHORAGE AK 99516 SELLER - GARTH MERRILL BUYER - SUBDIVISION - RABBIT CREEK BLOCK - 2 LOT - 1 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A BED WITH AN AREA OF 840 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 900 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 3/13/84 FLOW TEST ON WELL THE WELL FLOW RATE WAS 3.96 GPM FOR 4 HOURS. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE EOR THIS 4 BF~I~USE. J200 ~¢st 33roi J~ucnu¢. 5ui1¢ [~, J~nchoraq¢. Aloska 99503 ,(907) 581-50/40 APPLIC NT FILLS OUT UPPER HA[ ONLY Properh, Owner ,.,~- /~.z,7~.¢..,.//,.//// /~.¢~ ~.-./.{~,.~/~ . Phone Lending Institution Zip Code ~2'~....~ /¢4.? Zip Code Address ; ;' ,~'~ (~..~ ,~ Realty Co. & Agent ~'.'-; ,.:~' .,/; .~ I Legal Description Zip Code Zip Code Phone Phone Street Location Type of Residence ,~' Single Family ~ Multiple Family ~ Other Water Supply No, of Bedrooms r~:tlndivid ual ~,, Community '" ~ PublicUtility .~--~,,~ Sewer Disposal ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available). , ~ Ind v dua L~ Public Utility [~] Holding Tank Year Individual Installed: // ~* ~-' When Connec(ed to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BI_-- INITIATED. Time Time Date Date Inspector Inspeclor Field Notes: Time Time Inspector Inspector MUNICIPALITY OF ANCHORAGI~ DEPT. ¢3: i!:/,Li'il ° i~NV[ RON,V,-%x~I AL PitOT&STION ( ) APPROVED BEDROOMS ( , ) DISAPPROVED ) CONDITIONAL APPROVAL* DATE :.; ' .... '~ ' '~-' - :' BY: ( ~ ~ ~ t , *CONDITIONS OF APPROVAL Soils Rating Date ,Sewer Installed lWell To Absorption Area Well to Tank Well Log Received 72 023 (3/82) Septic Tank Size Time Date Time Date J Inspecto?~ Inspector Date X D Comments Date Sewer Installed ~"/4 &-~¢ Permit No, Septic Tank Size ! ~.. i%~L .~: ( Holding Tank Size Soils Rating Well To Absorption Area Welt Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY I Phone Lending Institution Address Realty Co, & Agent "egal Description Phone Phone Ty ~e ,,~f Residence ~'~'~ingle Family · [] Multiple Farnily No. of Bedrooms [] Other WatQ~Supply ,';rj"Tnd ivid u al [] Community Lq Public Utility S e w.a~e Disposal ,,¢"l~lnd ivid ual [] Public Utility [] Holding_ Tank A'FI'ACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drj~4pd prior to that date, give well depth (attach Icg if avEilable.) ( / : . 17 Year Individual' Installed: When Connected to Public Utility:_ NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Nebruary 10, 19;32 Oarhh Merrill. Box 413~E Al~chorage, AK 99504 Subject; Lot 1., }~lock 2, Rabbit. Creek Apt}reval for the individual ~ewer and water facilities cannot granted %lntil the following items have been completed: The depression or pit around the well casing needs to filled with impervious type soil so that it slopes away 31rom the well casing° Tho water analysis report needs to be submitted to this office from the {.'hem Lab, 5633 ~3 Street, for onr review° Please notify this department for a relnspection widen t!%e noted discrepancies t~ave been corrected. If there are a. ny further questions, please call this office at. 264-4'720. Sincerely, l%obert C. Pratt Associate Environmental S}.)eciallst~ ALASKA eF1UIROFlmI FITAL COF1TROL SI IRUIC[!S, IFIC. ~ncji~ecrinq 6 (~nuJronmcnlal $1uclJes Mr. Les Bucholz D.H.E.P. 825 L. Street Anchorage, Ak. MUNICIPALITY OF ANCHORAGE DEPT. OF liT.=lTii A August 21, 198~N'¢IRO'~'M~N~'~ i. L;ECTION RECEIVED Dear Les: Here are the specifications for Rabbit Creek Subdiv:Lsion, blk 2, lots 1 & 2. Please approve these, Mr. Garth Merrill will be down to pick up permits. Thank you. S in. c~erely, . Leroy C. Reid Jr., PhD, PE President 1220 LUest 25th Auenue · Anchorc~qe, Alosko 99503 · (907) 276-1361 ALASKA FIUIROFIFFleiqTAL COIqTI OL Sel UlC $, IFIL SPECIFICATIONS FOR ELEVATED BED ALTERNATIVE WASTEWATER TREATMENT SYSTEM- LOT 1, BLOCK 2, RABBIT CREEK SUBDIVISION 1.0 GENERAL 1.1 THE DRAWINGS, SHEETS 1 THRU 5, SHALL BE A PART OF THIS SPECIFICATION. 1.2 ALL MATERIALS AND WORKMANSHIP SHALL MEET THE REQUIREMENTS OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERMIT. 2~0 THE LIFT STATION 2.1 THE STOCK MATERIAL FOR THE LIFT STATION SHALL BE EITHER GALVANIZED STEEL (ASTM A-4444-76), OR ALUMINUM CULVERT, CAPABLE OF BURIAL TO 10 FT. 2.2 THE 24" PIPE FOR THE LIFT STATION SHALL HAVE A WELDED WATER TIGHT BOTTOM OF THE SAME THICKNESS AND COMPOSITION AS THE CULVERT. 2.3 ALL PENETRATIONS OF THE LIFT STATION SHALL BE WELDED AND WATER TIGHT. ALL WELDS SHALL BE CLEANED OF SLAG. WELDS ON GALVANIZED STEEL WILL BE SPRAYED WITH ZINC RICH PAINT OR COATED WITH BITUMASTIC. 2.4 THE TOP CAP SHALL BE RAIN TIGHT AND SECURELY FASTENED WITH SCREWS. 2.5 ALL ELECTRICAL FITTINGS AND CONNECTIONS IN THE LIFT STATION SHALL MEET TEIE REQUIREMENTS FOR A WATER TIGHT THERE SHALL BE A HIGH LEVEL ALARM SET AT THE LEVEL OF THE SOIL PIPE FROM THE SEPTIC TANI(. THE BUZZER SHALL Big LOCATED NEAR THE ELECTRICAL CONTROL PANEL OR IN A LOCATION DESIGNATED BY THE HOMEOWNER. 2.7 THE SUMP PUMP SHALL BE CAPABLE OF DELIVERING 10 GPM AT A HEAD OF 20 FEET. 2.8 THE SUMP PUMP SHALL BE SUSPENDED NOT LESS THAN 6 INCHES OFF THE BOTTOM OF THE LIFT STATION WITH A CHAIN OR NYLON LINE. 3.0 SEEPAGE BED 3.1 THE GRAVEL FOR THE BED SHALL BE SCREENED TO THE SIZES INDICATED. 3.2 THE SAND SHALL HAVE AN EFFECTIVE SIZE OF 0.4 TO 0.6 MM AND A UNIFORMITY COEFFICIENT OF NOT MORE THAN 4. 3.3 THE BERM AROUND THE SEEPAGE BED SHALL BE CONSTRUCTED OF IMPERMEABLE MATERIAL, AND ON A SLOPE OF 1 FOOT VERTICAL PER 2.5 FOOT HORIZONTAL. 3.4 THE BOTTOM OF THE EXCAVATION SHALL BE RAKED WITH THE BACKHOE BLADE TO INSURE THAT THE BOTTOM HAS NOT BEEN COMPACTED DURING EXCAVATION. THE BOTTOM ELEVATION SHALL Big PLUS OR MINUS 2". 3.5 AN OBSERVATION PIPE SHALL BE PLACED AS SHOWN IN THE DRAWINGS. IT SHALL BE RIGID PVC, ASTM 3033 D-3034. THE SECTION SHOWN WITH HOLES MAY BE EITHER DRILLED 0.5" HOLES @ 6 INCH CENTERS ON OPPOSITE SIDES OF THE PIPE OR A REGULAR SECTION OF REGULAR PERFORATED SEWER MAY BE CLAMPED TO THE SOLID SECTION WITH A NO HUB COUPLING OR SOLVENT JOINT. A RUBBER RAIN-CAP (JIMCAP OR EQUAL) SHALL BE PLACED ON THE TOP OF THE PIPE. 3~6 IF INSULATION IS REQUIRED TH}_;', INSULATION SHALL BE DOW EXTRUDED BLUE STYROFOAM BOARD OR ARCO GEOFOAM EMBANKMENT INSULATION BOARD OF THE THICKNESS SHOWN ON THE DRAWINGS. 3.7 THE TOP AND SIDES OF THE BED SHALL BE PLANTED WITH A WHITE CLOVER AND RED FESCUE MIX. 4.0 PRESSURE SEWER 4.1 THE PRESSURE SEWER SHALL BE 2 INCH POLYETHYLENE OR PVC PIPE BURIED TO THE DEPTH OF 5 FEET FROM THE LIFT STATION TO THE CENTER OF THE BED 5.0 ALTERNATE LIFT STATION 5.1 A COMMERCIAL PACKAGE CONSISTING OF A 1/2 HP EXPERT CHRONE FLUIDS PUMP AND SIMPLEX 30 GALLON TANK MAY BE USED. 5.2 THE 36" CULVERT STOCK SHALL MEET THE REQUIREMENTS OF PARAGRAPH 2 AS APPROPRIATE.