HomeMy WebLinkAboutPREUSS #3 BLK 10 LT 6Preuss #3
Block 10
Lot 6
#050-571-54
Municipality of Anchorage •;''' �''
Development Services Department
Building Safety Division
-- On -Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 9951M650 Page 1 of 3
www.ci.anchorage.ak.us (907) 343.7904
ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SW060037 PID Number. 050571-54
N"n•
Wastewater System: ❑ New ® Upgrade
"06"' irtict Avp FaI31P River AK 995377
ABSORPTION FIELD
phau N~ o Bwroomr
7H-1045 a
O Deep Tmch 0 Shallow Tratot O Bed 0 Mand 0 other
Sol R Lata
Total Depot fan anew aAKIS
LEGAL DESCRIPTION
Bbcl Lot S'bovtaan- 7+Lrj
D.om to Pipe boldo fan atp"al and.
Gravel dept( ba,.ah P"
TownMap Rap. Shan.
Fa added.bore aprtr Pea.
Gr" L*Vh
Well: ❑ New ❑ Upgrade
Graval arddl:
5 Fl
NuniMr M laws
2
DWa S balween lane
FL
closadictom [Prh'Me. A B, cT
Total Depllt
cooed b
Total abeorpbar, ane.
Poe Material.
' Privnta
Ft
600 Fe
3034 PVC
Dray
Dale Wool
Slabs WMa Loral:
Ft
Mtaw.
Elintstone/JR's —
Dale kgaMd
611712006
Y -. W&
Pury Sal aLC""Nayx
Ab" d
TANK
GPM
FL
FI
SEPARATION DISTANCES
® septic ❑ Holding ❑ S.T.E.P. ❑ Other:
Septic
Absorption
LIR
Holding
ubaflPrNate
M'roace,1`
Anch Tank
caqutr
1000"
Tank
Field
Station
Tank
Sewer Line
M..m,
Nts" o cMpe VVWVVS
wait101
113.8
75
Steel
2
100+
100+
LIFT STATION
su:e
Maexedua
FR;e�v"Ised
15.3
22.9
cal
•PWPofMvalM
M.
Hgndale,Momat
22.2
17.5
„'PunyarWw
N
a,
50+
50+
Pap Make a Model
Electrical MPeGan. Pedpntt d M
BENCH MARK
224 per Comments
Coulon w tHwipbprc
Garage SLab
AMunad EW01M
100.0 Ft
Engineer's Stamp
Inspections performed by: PANNONE ENG. SVC, LLC Dates: 6
OF
2M° 511712006
,.•P\� ........ t##♦
Development Services Department Approval''
_j,.v�#�
TH 11K': r' 0
Conditional Approval Date:
I
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;Steven F�.inone?moi
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by: Date:: � i X07
'' No �E 8149
���,
Reviewed and approved
tt4r.aroal
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PERMIT NO:SWO60037 RECORD DRAWING P.I.D. NO: 050-571 -54
WASTEWATER DISPOSAL SYSTEM
LOT 6 BLOCK 10 PREUSS S/D, NO.3
4$
ExISTG v KEYBOX
''
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i
LOTSERVEDBYAWWU
WATER SERVICE. SEPTIC
S
AREA IS ON NORTH POR)
-
OF LOT_
TSERVED /WATER SERVICE. SEPTIC
AREA IS ON NORTH PORTION
I----OFLOT. -
7
LOT SERVED BY AW WU
WATER SERVICE. SEPTIC
i�,REA IS ON NORTH PORTION
I -----------a--1---------------- 1--------I--------,---I
EXISTG
WELL
EXISTG 3BR
HOUSE
LOT SERVED BY AW WU
WATER SERVICE
5 _
NEW REPLACEMENT SAS
2TRENCHES
1@, 5W x 41.5LF x 7 ED, STD
1 @51W x42.5LF x TED, 571)
EXISTG ;
SEPTIC 1
AREA
D
Flu'
ExISTG v KEYBOX
EXIST/100Og
?• lx !^1
4) LOCATE NEW TANK OUTSIDE WELL
& SERVICE LINE -TYPICAL
LUCAS AVE
M
FC
FC
SEPTIB
No. CE 8149 ,,•
3/06/07
��
EXISTG 12' DIP
1
0
ABANIN
WATER MAIN
C2
32.90 47.00
.•
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PLALOT
SERVED BY AW WU
DATE:
I," tU�•::�•
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PER CWATER
SERVICE
6
PSN
FC C1
N
7
A
TIC TANK
T1
EXISTG
M2
SEPTIC
2
C
AREA
2%
4
V
13.
111 2
/
CF3
15.3
/
1
M3
III
EXISTG FIELD TO
ci of
LL 1j
REMAIN
r-10%
-, 10.8
--
A--
riuro
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4 .�OF 4444
•.`P •••""""••••••,
!Gj•,.••••• �j.
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4) LOCATE NEW TANK OUTSIDE WELL
& SERVICE LINE -TYPICAL
LUCAS AVE
M
FC
FC
M M- M
A B
3.90 27.60
No. CE 8149 ,,•
3/06/07
��
EXISTG 12' DIP
C1
18.30 39.10
,,•
WATER MAIN
C2
32.90 47.00
LOT SERVED BY AW WU
'
NOTE:
1)'ALLWORK SHALL BE PERFORMED
IN ACCORDANCE WITH
2) MATERI S USED SHALL BE65. 1N
ACCORDANCE WITH THOSE SPECIFIED
IN AMC/5.65, WASTEWATER DISPOSAL.
3) VERIFY INTEGRITY OF TANK.
4 .�OF 4444
•.`P •••""""••••••,
!Gj•,.••••• �j.
•••••': ��
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4) LOCATE NEW TANK OUTSIDE WELL
Charlene Houk
RADIUS IF IT NEEDS TO BE REPLACED.
T1 24.50 43.90
T2 29.60 46.70
IDC 32.00 48.20
DV 32.20 47.60
M1 70.75 46.08
M2 37.00 24.42
M3 52.58 42.92
M4 77.75 56.25
CFI 70.58 46.00
CF2 38.25 25.92
CF3 51.83 42.17
CF4 79.00 56.92
R ` i
PREPARED FDK:
PANNONE ENG. SVC, LLC
en nnone
Charlene Houk
P. 0. BOX 102954
No. CE 8149 ,,•
3/06/07
��
20207 Lucus Ave.
Eagle River. AK 99577
ANCHORAGE, ALASKA 99510
,,•
272-8218 P, 272-8211 Fax
.•
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(507) 788-1045
DATE:
I," tU�•::�•
�����
07-13-06
SCALE: 1'=50'
PSN
S
RECORD DETAILS
P•I.D.NO: 050.571-54
PERMIT N0: SW060037
WASTEWATER ABSORPTION SYSTEM
LOT 6 BLOCK 10 PREUSS SID, NO.3
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Revised 070224 per MoA Comments
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��'Steven
PREPARED FOR:
PANNONE ENG.
SVC.,LLC
R. Pannoner w
♦ G, , :• w
♦ No. CE 8149a
Charlene Houk
P. O. BOX 102954
♦j, 3/06/07 •.•'.
20207 Lucus Drive
Eagle River, AK 99577
ANCHORAGE, ALASKA 99510
♦� ♦
272-8218 P 272-8211
FAX
0#1 \O •♦♦
h�a �
(507) 788-1045
DATE: 07-13 06
DETAILS
NOT TO SCALE
Pannone Engineering Services, LLC P.O. Box 102954
Consulting Engineers Anchorage, Alaska, 99510
(907) 272-8218 (907) 272-8211 Fax
February 23, 2007
Ms. Debbie Wockenfuss
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject: Lot 6, Block 10 Preuss, No. 3
Septic System record Drawings —Response to Comments
Ms. Wockenfuss:
I am in receipt of your Comment Sheet dated February 1, 2007 concerning the above referenced project. I am writing to
respond to those comments. My response will be in the same order as they are presented.
Comment: The site plan has a different length field than the inspection report.
Response: The total length of the drain field is 80 feet. Revised the inspection sheet to show 2 trenches at 40 if each.
pvc Comment: The profile shows fill but the inspection report shows 0' of fill.
Response: Corrected discrepancy.
Comment: The absorption area calculation is not correct.
L00% Response: The actual area is 400 square feet (801fx 5' wide = 400 so. The required absorption area is reduced from 571sf
D by the reduction factor of 0.70. Revised the Inspection Report to read the 571 sf.
c,k Comment: The elevations for the field don't add up.
Response: Elevations are correct. Dimensions corrected to reflect elevations.
oK Comment: There is inadequate cover on the field.
ov W..#K Response: AMC 15.65.060, Paragraph E, Item 8 allows for a minimum of 36 inches above the final gravel layer. There is
jo -'1_ approximately 47 inches of cover, with the final six inches of topsoil placed over the field for final grading.
If you have any questions or concerns, please contact me at 272-8218.
Sincerely,
Steven R. Pannone, P.E.
Owner/Civil Engineer
Attachments: Revised Inspection Report Form & Detail Sheet
CC: Ron Thompson, Director
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Mar 20, 2006
Expiration Date: Mar 20, 2007
Permit Number: SW060037 Parcel ID: 050-571-54
Legal Description: PREUSS #3 BLOCK 10 LOT 6
Design Engineer: 0062 PANNONE ENGINEERING SERVI( Site Address: 20207 LUCAS AVE
Owner Name: CHARLENE HOUCK Lot Size: 22174 SO. FT.
Owner Address: 20207 LUCAS AVE Total Bedrooms: 3 Permit Bedrooms: 3
EAGLE RIVER. AK 99577 -
This permit is for the construction of:
❑✓ Disposal Field ❑.r 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 DSD at least 2 hours prior to each inspection. Provide notification by tatting
(907) 343-7904 ( 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 By,.
l�_/'Iatwf z 06
D
Issued By: I I l 1 Date: o to
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
www.muni.org/onsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050.571.54
Property owner(s) Ms. Charlene Houk-- K Day phone _(507) 788.1045
Mailing address202O7 Lucus Ave. Eagle River, AK Zip Code 99577
Site address 20207 Lucus Ave Zip Code 99577
Legal description (Sub'd., Block & Lot) Lot 6, Block 10 Preuss SID, No. 3
Legal description (Township, Range & Section)
Lot Size 22174 Sq. Ft.
THIS APPLICATION IS FOR (® all that apply):
Absorption Field 19
Septic Tank 19
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Number of Bedrooms 3
THIS APPLICATION IS AN:
Initial
❑
Upgrade
Renewal
❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
Pannone
LLC
(Signature of property owner or authorized agent)
Date of Payment:
Date of Payment:
Receipt Number: I f (D `' 1 Receipt Number:
(Rev. 11/05)
Pannone Engineering Services, LLC
Consulting Engineers
March 3, 2006
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject: Lot 6, Block 10 Preuss S/D, No. 3
Septic System Upgrade Permit Request
Gentlemen:
P.O. Box 102954
Anchorage, Alaska, 99510
(9071272-8218 Fax
I am writing to request a permit to construct an upgrade septic system be issued for this
property. The proposed systems will serve an existing three-bedroom house. The well is
located in the northern portion of the lot, over 100 feet from the proposed upgrade septic
system. The existing system was installed in 1980. The surrounding lots are served by
AWWU water.
1. Soils. See the attached soils log. Ground water was monitored for seven days. No
ground water was encountered in the test hole after the water -monitoring period.
Bedrock was not encountered in the test hole. It is my opinion that the overall soils
appearance of the soils, an application rate of 0.8 gallons/day/square feet should be
used using a conventional treatment system.
2. Trench Design.
a.
Percolation Rate:
6-15 Min Per Inch
b.
Application Rate:
0.8 gpdpsf
c.
Number of Bedrooms:
3
d.
Design Flow:
450 gallons per day
e.
Min. Absorption Area:
564 sf
L
Total depth:
5 feet
g.
Effective Depth:
2 feet
h.
Width:
5 feet
i.
Reduction Factor:
0.70
j.
Minimum Length:
78.9 feet
k.
Design Length:
80 feet
1.
Effective Absorption Area:
400 sf
m.
Septic Tank Size:
1000 gallon,
Cont'd on page 2
C:\Work\Letters\6-10 Preuss No 3.001.doc
Page 2
3. Surface Water: There is no surface water within 100 feet of the proposed system.
The proposed systems will maintain at least 100 feet from all surface water and drainage
ditches.
4. Topography: The average topography in the area of the proposed septic system is
approximately 1-2 percent. The proposed system will be installed adjacent to the
driveway in the front yard. A border will be installed to prevent the new SAS from
driven upon.
being
The proposed installation will not affect the future development of the surrounding or
existing lots. There are no wells or septic systems within 100 feet of the proposed septic
location. If a new septic tank is required to be installed, it will be installed outside the
100 -foot well radius.
If you have any questions or concerns, please contact me at 227-3522 or 272-8218.
Sincerely,
Steven R. annone, P.E.
Civil Engineer ;...... ;
Attachments:
C:\WORK\LETTERS\6-10 PREUSS NO 3.001.DOC
.en R. Ponnonei'%
No. CE 81 -4
PERMIT NO: DESIGN DRAWING
WASTEWATER DISPOSAL SYSTEM
LOT 6 BLOCK 10 PREUSS SID, NO.3
`s. 5
' LOTSERVEDBYAWWU
WATER SERVICE. SEPTIC
X AREA IS ON NORTH POR)
OF LOT_ L
F
_—___----__-
F
10
4
LOTSERVEDBYAWWU \
WATER SERVICE
4
5
PROPOSED REPLACEMENT SAS
2 EACH, 5W x 40LF x T ED; 5TD
EXISTG I
SEPTIC
AREA
i
I M/ M M
/ LOTSERVEDBYAWWU
WATER SERVICE. SEPTIC
AREA IS ON NORTH PORTION
I OF LOT.
EXISrc
WELL
EXISTG 3BR
HOUSE
23.2'-s-'�'==�I
w
P.I.D. NO: 050-571-54
7
M \
y LOTSERVEDBYAWWU
\WATER SERVICE. SEPTIC
7�2EA IS ON NORTH PORTION
OLOT.
------------
I
3
EXIsrG 1000g 3
SEPTIC TANK
ABANDON IN
/LACE
LOTSERVEDBYAWWU
4WATER SERVICE
•PROPO,SED1000g
SEPTIICC`` TANK. 7
INSTALL DOUBLE
EXISTG
SEPTIC
AREA
• 11.9
INSTALL BALL -TYPE
DIVERTER VALVE
?XISTG FIELD TO
M— M— M M+— M `36ERVICEm TY m M- M- M- M- M
LUCAS AVE
Exlsrc 1r DIP
WATER MAIN
LOT SERVED BY AW WU
NbTE: N04BEDROOM: 3
1)'ALLWORK SHALL BE PERFORMED TANK SIZE: 1,000 gallon
, IN ACCORDANCE WITH AMC15.65. PERC. RATE: 6-15 MINIINCH
OF
�� ............ • 4# 2) MATERIALS USED SHALL BE IN SOIL RATING: 0.8 gpd/SF
�P,.•••j� ACCORDANCE WITH THOSE SPECIFIED (188 SF/BR)
r C,;•'' IN AMC15.65. WASTEWATER DISPOSAL. AREA ROD: 564 SF
�j/ 3) VERIFY INTEGRITY OF TANK. SYS. TYPE: 5 -WIDE, ZED. 0.70 RF
...r.. •3.•.. 4) LOCATE NEW TANK OUTSIDE WELL SIZE: 80LFx5WIDE.2' ED, 5'TD
RADIUS IF IT NEEDS TO BE REPLACED. TOTAL AREA: 400 SF
......"............• ••• • • • PREPARED FOR:
P Steven R. Pannone. . PANNONE ENG. SVC, LLC
:, Charlene Houk P. O. BOX 102954
.1✓Nroo CE 81 9 20207 Lucus Drive
�; �%R.�•r!-��' ` :•••°f: Eagle River, AK 99577 ANCHORAGE, ALASKA 99510
q#Ab,A.•....._`�y..�� (507) 788.1045 7- 325 88P• 272-8211 Fax
DA
•}u'tJ7 ll??'"' _ ScAt . ��sn• PLAN
DESIGN
DETAILS
P.I.D. NO: 050.571-54
PERMIT NO:
WASTEWATER ABSORPTION SYSTEM
LOT 6 BLOCK 10
PREUSS S/D, NO.3
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30111 W1H(IN
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Steven R. Pannone: N
PREPARED FOR:
PANNONE ENG. SVC.,LLC
No. E 8149 '��
Charlene Houk
20207 Lucus Drive
P. O. BOX 102954
�ILtl'•'�i�
Eagle River. AK 99577
ANCHORAGE, ALASKA 99510
�1•,,t, ;: ..•�
(507)788.1045
72-83138-0P6272.8211 FAX
D
NOT TO SCALE DETAILS
SOILS LOG - PERCOLATION TEST
PANNONE ENGINEERING SERVICES
P.O. BOX 102954
ANCHORAGE, AK 99510
(907) 272-8218
PERFORMED FOR: Ms. Charlene Houk DATE PERFORMED: 3-03-06
LEGAL DESCRIPTION: Lot 6, Block 30 Preuss S/D, No. 3
Organic -
OR Topsoil
1
2-
3-
3456
OR
Organics
NET
TIME
4-
NET
DROP
5-
402
—
6—
—
Posy graded
7
GP
GRAVEL w/sand &
1 sw
4 t/r
sins. Rocky
8-
4:32
—
910 9-
—
10
5:02
30
11
41R'
12
5:02
—
8011
13
6:32
30
14
41R'
15
16
17
18
19
20
WAS GROUND WATER
ENCOUNTERED? No
IF YES, AT WHAT
DEPTH? •0-'
DEPTH TO WATER AFTER
MONITORING? Dry
DATE: 3-10-06
TEST HOLE
READING
DATE
GROSS
TIME
NET
TIME
DEPT OF
WATER
NET
DROP
3-2-M
402
—
51w
—
4:32
30
1 sw
4 t/r
4:32
—
5 114-
—
5:02
30
1314-
41R'
5:02
—
j 6-
-5:32
6:32
30
1 ur
41R'
PEROLATION RATE 6.7 Imin/inch) PERC HOLE DIAMETER
TEST RUN BEWTEEN 5 FT and 6 FT
COMMENTS: Test hole excavated by Flintstone Services. Test Hole was presoaked before perc test
PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
72-013 (Rev. 3/78)
✓ MUNICIPALITY OF ANCHORAGE
Lx`
® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION',j
ENVIRONMENTAL ENGINEERING DIVISION
825
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE
0 -NEW
❑UPGRADE
MAI LING ADDRESS
LEGAL DESCRIPTION
IS. IJ
LOCATION
NO. OF BEDROOMS
Uy
Well Absorption area
DISTANCE TO: 1 / b '� i / 0'
Dwelling
�.�
PERMIT NO.
1_ LOZ- .,
i Q
NF
Manufacturer ,
Material
No. of compartments
Liq. capacity in gallons
iIf
IF HOMEMADE:
Inside length
Width
Liquid depth
_j az
DISTANCE TO:
Well
Dwelling
PERMIT NO.
= z F
Manufacturer
Material
Liquid capacity in gallons
J2
DISTANCE TO:
Well /(�?
Foundation,,,
Nearest lot I^nel
PERMIT NO.
J LL Z
No. of lines ..}
Length of each ine r
Total length of lines
Trench width
Distance between lines
P z ¢
�
2 7' 1:31 �
3
(� inches
% +
F
Top of tile to finish grade .-�
(a/-ff�J�
Material beneath tile /
4 {3
Total effective absorption area
�'
inches
W
Length Width
Depth
PERMIT NO.
(9
Qa F
wa
Type of crib
Crib diameter
Crib depth
Total effective absorption area
LU
DISTANCE TO:
Well
Building foundation
Nearest lot line
Class
Depth
Driller
Distance to lot line
PERMIT NO.
J
W
DISTANCE TO:
Building foundation
Sewer fine
Septic tank
Absorption area(s)
OTHER
k)
y,
PIPE MATERIALS
Pa,49,,�, UL J .S %d /
SOIL TEST RATING
INSTALLER
RE ARKS
Lei r
a
QiaJ/�Ct-
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--------------------
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Q
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Russell L. Gysrcr
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APPROVE DATE LEGAL
72-013 (Rev. 3/78)
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)=: 100
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
E_. F= F:=* _r " = EF. �F= rJ 173 -T- I -A � =-, -F-a �F.-" F-i%e"FEI r_- F= F�� -r " �_ --I-
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIEL[l
THE DEPTH OF H 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).
����I F,!F= e -s ����I P::- -r jzj P-4 mD-�� �Ft L_ L_ c# pq�
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
< Q- > F- E: 97� -F I Co n F? FEE
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 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTANCE FROM A PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND
TO H COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MOST BE RETURNED TO THE DEPARTMENT WITHIN -S-0 DAYS
�
OF THE WELL COMPLETION.
� OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
L 021
I CERTIFY THAT
1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
]: I UNDERSTAND THAT THE 0N -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF TME
RESIDENCE IS REMODELED TO INCLUDE MORE 'THAN ] BEDROOMS.
SIGWED: �~�� ------------
:�
APPLICANT CHARLES H8UCK
ISSUED 8Y--���l�JL DTE �/ Y4 0
I�r ___� �__~��~~-~-__��~_~_~�� ���������
MFHF.'/MENT [r
HEALTH AND ENVIRONMENTAL F`71TECTION
825 'L,/STREET,
ANCHORAGE, HK. 99"
264-4720
�
L-A ff—= L- I r-4 C-'
9--J P-4 _r F_ �FEE ��FRO
����I -r
PERMIT
NO. ( 800645 )
APPLICANT
CHARLES HOUCK
5111 E. 26TH HNCH.
]]73009
LOCATION
LUCAS 8. LOUIS
LEGAL
LOT 6 BLK 10 PR0ESS
SUB LOT SIZE
22410 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)=: 100
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
E_. F= F:=* _r " = EF. �F= rJ 173 -T- I -A � =-, -F-a �F.-" F-i%e"FEI r_- F= F�� -r " �_ --I-
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIEL[l
THE DEPTH OF H 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).
����I F,!F= e -s ����I P::- -r jzj P-4 mD-�� �Ft L_ L_ c# pq�
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
< Q- > F- E: 97� -F I Co n F? FEE
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 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTANCE FROM A PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND
TO H COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MOST BE RETURNED TO THE DEPARTMENT WITHIN -S-0 DAYS
�
OF THE WELL COMPLETION.
� OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
L 021
I CERTIFY THAT
1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
]: I UNDERSTAND THAT THE 0N -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF TME
RESIDENCE IS REMODELED TO INCLUDE MORE 'THAN ] BEDROOMS.
SIGWED: �~�� ------------
:�
APPLICANT CHARLES H8UCK
ISSUED 8Y--���l�JL DTE �/ Y4 0
I�r ___� �__~��~~-~-__��~_~_~�� ���������
SOILS LOG
MUNICIPALITY OF ANCHORAGE
ac DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: - es -DATEPERFORMED:
LEGAL DESCRIPTION: Z—At
11
12
13-
14-
15-
WAS
31415
L L G— Pr 7- _r / L 77
l4yr� G
!! S'14.V'19
—) 'r�" -Z-7 '
Date
SLOPE
Net
Time
Depth to
Water
Net
Drop
2
D ,
SITE
PLAN
3
4
e9 -
5
a�
6-
w
7 7
s.
o
a
� 1
11
12
13-
14-
15-
WAS
31415
L L G— Pr 7- _r / L 77
l4yr� G
!! S'14.V'19
—) 'r�" -Z-7 '
Date
SLOPE
Net
Time
Depth to
Water
Net
Drop
SITE
PLAN
Q
w
lAv
t
16-
4-
17-
18-
19
6 ,-
17 18 19 Robzrt A. 51:. r '
p si' •� P1o. 145i' -
20'
COMMENTS
WAS GROUND WATER S
ENCOUNTERED? _ L
O
P
IF YES, AT WHAT ! E -
DEPTH?
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
Q
w
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND FT
?-J, L'v t L
FEZ
PERFORMED BY: 13 & S Eng-
IilE27z19Q CERTIFIED
72-008 (6/79)
DATE -/L"1 -'V
KIND O~ FORM~TliMq: ...... : :.
5. LEGAL DESCRIPTION
lc l�%C �zl SSS.
-
DATE RECEIVED ,
,Z C(e P S
INSPECTION APPOINTMENTS
—=
NUMBER OF,BEDROOMS
TIME
ED El Four ❑ Other
TIME
TIME
P /
Cr Three ❑ Six
7. WATER SUPPLY
I1'INDIVIDUAL*
* ATTACH WELL LOG. A well log is required for all wells drilled
DATE
since June 1975. For wells drilled prior to that date, give well
DATE
DATE U-.
8. SEWAGE DISPOSAL SYSTEM
0 INDIVIDUAL/ON-SITE**V
/�� YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
INSPECTOR
INSPECTOR
INSPECTOR.
L
MUNICIPALITY OF ANCHORAGEDEPT. O
ENVIRONMENTAL ;:: ECTI
-
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
L1f;b {? iJ180
ENVIRONMENTAL SANITATION DIVISION
_
Telephone 264-4720 RECEIVED k C E p V E D
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERT O NER
%l
�C-
PHONE
:5
MAILING ADDRESS
PROPERTY RESIDENT (If different
from above) -
PHONE
2. BUYER
PHONE
MAILING ADDRESS
3. LENDING INSTITUTION
,^ /,/
_ -
PHONE
MAILING ADDRESS Gj6/�``
6
4. REALTOR/AGENT
PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
lc l�%C �zl SSS.
STREET LOCATION
,Z C(e P S
F RESIDENCE
6. TYPE O`RE
NUMBER OF,BEDROOMS
ED El Four ❑ Other
id SINGLE FAMILY
❑ Two ❑ Five
E]
❑ MULTIPLE FAMILY
Cr Three ❑ Six
7. WATER SUPPLY
I1'INDIVIDUAL*
* ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
0 INDIVIDUAL/ON-SITE**V
/�� YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
J
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE
❑ TWO
❑ THREE ❑ FIVE ❑ OTHER
❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATEINSTALLED
INSTALLER
❑Septic Tank or ❑Holding Tank
Size: �OQQ If Tank is homemade
give dimensions:
SOILS RATING
0o
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELL TO:
Septic/Holding Tank
Absorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
-
5. COMMENTS
LjJ/PPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
BY /
72-010 (Rev. 6/79)