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Home My WebLink AboutRABBIT CREEK VIEW & HEIGHTS BLK 5V LT 1ARabbit Creek View &Heights Block 5V Lot 1 A #020-541-48 Municipality of Anchorage Page 1 of 3 Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-66.,0 www.ci.ardmrage.akus (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO30325 PID Number. 020-032-33 Ng"` Vern Rollins Wastewater System: Upgrade Adaess: P.O. Box 110353 Anchors a AK 99511 ABSORPTION FIELD PFgne: Number of BsOroorns: 5' Wide Trench 345-8441 Three 3 LEGAL DESCRIPTION Soil P.Mrq Total Depth trom oVnal grade: .8 www 3 Ft, Block: 11,01: S"Wisiorc Depth to pipe bottorn flan original Rade: Greve) depth beneath pipe: 5 1 Rabbit Creek View 1 Ft. 2 Ft Tov Inv. Range: Section: Fill added above original Rade: Gravel Lengft 1 Ft. 80 Ft. Well: Existing ' G avel width 5 Nunber or Ines: 2 Distance between lines: 10 Ft. FL Ctassitieatkn (Private. A B. Ck Total Depen: cased to: Taal absorpim area: Pope Materml: ' ' Ft. Ft 571 w A5TM P3034 PVC Driller. Date Drilled: Stahe Water Level: Installer. Date anglated Ft Poor B Construction 8129-9/4/2003 Yrold: pang set at Ceshq I eight Above Grand: TANK GPM Ft Ft SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. 0 Other. To Septic Absorption Lift Holding °Ctl1w. aC 0 M0"'' From Tank Field Station Tank sewerune Anchorage Tank 1250 Wen >100' >100' N/A N/A >25- Metenat: Steel ISIMber. d Compo"ents: Three 3 sLex,wae, >100' >100' N/A N/A LIFT STATION — NONE ON LOT Lot Line >9 >10' N/A N/A ole.achrer. 250 Ga. Anch. Tank/Orenco Foundation >5' >10' N/A N/A 7anp on' bevel at 4211 •Panp otr level aL 42kL High water warm at 441E Curran Drain None Noted Pump Mau E Model Orenco Elecincel Inspections pany. panned b Muni. Of Anchors e R BENCH MARK ExlsExie tin Septic Tank and Absorption Trench Pumped Crushed L.ocaticn and 0mcnption: and Buried On Site. 2' Insulation Over New Tank and Concrete 51ab Fronting Lower Level Front Door. Trenches. Asmm�ed Elevation: 100.0 FL Engineer's Stang .+++�wwataaa• OF af• - c� •♦•I 49th ♦ Inspections performed by. AH Dates: 1n8/3012001 iw _ � � � LIICHAEL E. ANDERSON try M,2 2nd 9/2/2003 I♦P No. CE -4381 ♦•�r.'o. Department of Heal and Human Services approva41 l'-0 61 3 Reviewed by: Date:ckev. ��,�� aaa.aaa.+++ and approved rays� Municipality of Anchorage Page 2 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: SW030325 PID No. 020-032-33 Leo Street 180.47' Existing Well c Q% m L E v! W }.: BLO edroom L6 Home „ 1 e 1 C o ffW ` S S1 40.5 29.7 • C p S2 46.1 36.1 v �.• MH S1 MH 47.6 37.5 M1 36.5 49.3 M2 36.8 34.0 M2 M1 ®1 TH2 10' Utility Easement OF .••P�E......,,�� PLAN AS -BUILT •••49�_ `:••, SCALE 1' = 30 �.�.. i�.}-. ........y... i. ' E�4�4Ki� MCNAEL E ANDERSON S I i LOT 1A, BLOCK 5, RABBIT CREEK VIEW SUBDIVISION ��.; s;;=''• Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number. SW030325 PID No. 020-032-33 1,250 Gallon S.T.E.P. Tank 92.15 1.5" PVC 15 Orifices in Each Lateral Each 3116" In Diameter and 2.75' Spacing x � r- 40' NOTE: Both Trenches are Identical F 49th PROFILE AS—BUILT 'sz��x V, ;NIDNEL E. ANDERSON.: C Scale: Measurements Shown r`y No. CE -4381 ir`� Sep 04 03 07:29a Poor Boy Construction EAS ELECTRIC INC 937 272 4690 RightFax 9/3/2003 5:16 PAGE 1/1 (907) 248-8532 03/03/03 Ms2epm P. 031 • i RightFax Inspection Report i Municipality of Anchorage, Building Gafety Division • ; " 4700 South 9ra0aw i INSPtt 014, VOICE 343-6300 IxiP0CT=wl FAx (Y07)249-7777 INFO*. 343-7'002 Name ED'S ELECTRIC Permit 03-6977 ! Address 16001 GENEVIEVE ST Phone 272-4591 Legal SK 5 LT 1 Inspection Date 9/3/2003 AM. Subdivision RABBIT CREEK VIEW Comments or Ditsetiont P-2 AM***CALL B4 FOR SITE MEErm*SEPTIC LIFT STATION inspection Final EhKtrtsl Rainspeetion N ❑ NO NONc6mmSANCE OBSERVED ❑ CORRECTIONS ESSEIMALAS EXPLAINED BELOW ; ❑' WILL•RE-EXAMINE AT NEXT ❑ DO NOT CONCEAL UNTIL REINSPECTION INSPECTION ; COMMENTS: (far Inspector use /only) A L-�C > r tom[_ tom•( ✓C�'7?� /�,r�'i In:p.cto. —. Data. , 1% PZ -1 l 113 I em MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street b P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Permit Number: SW030325 Legal Description: RABBIT CREEK VIEW BLK 5 LT 1 Design Engineer: 0014 Anderson Engineering Owner Name: Vern Rollins Owner Address: PO BOX 110353 ANCHORAGE, AK 99511-0353 Upgrade t5'•3bPM ) eyn Date Issued: Aug 25, 2003 Expiration Date: Aug 24, 2004 Parcel ID: 020-032-33 Site Address: 016001 GENEVIEVE ST Lot Size: 31358 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (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 Issued By Date:_ Date: zS 03 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us b' (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. —020.032.33 Permit Number SW 030 32r Property owner(s)_Yern_Kollinr7 Day phone 748 - Mailing address (1)E0__5ox J0333Anchnrage, AK 991511 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) X01 sLk.�IQ�k�S. Bab�iti�reak 1cie�r�u�diYiSion I Legal description (Section, Township & Range)� (�(�� Co (i h a V , t uC Lot Size��Acres/Sq.Ft. Number of Bedrooms -Three-(3) THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. (Signature of property owner or authorized agent) M Permit Fees: Waiver Fees: Date of Payment: 6" ZZ ^03 Date of Payment: Receipt Number: '4OSy3 Receipt Number: (Rev. 12/00) ANDERSON, ENGINEERING, # W11024, ..522-775 522��79_ I'A3C) August 22, 2003 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 1A, Block 5, Rabbit Creek View Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The existing septic system on Lot 1A, Rabbit Creek View Subdivision has failed and must be replaced. We are therefore requesting a permit be issued for the construction of a new septic system to serve the three-bedroom home on the lot. The attached Site Plan and backup documentation identify the location and configuration of the existing well and proposed septic system. Also identified on the plans are the locations of the well and septic systems on the adjacent properties. Drainage arrows are shown indicating the current patterns. The drainage patterns will be maintained after construction. Test holes placed on the lot indicate poorly graded silty gravel with some sand in the area of the new absorption trenches. The percolation rate for this material is between 12 minutes per inch. This material extends to depths approximating 9' below the surface where bedrock was encountered. No groundwater was found during placement of the test holes and none was noted during the monitoring period. The elevation of the distribution line in the absorption trenches will be 1' below the surface to take advantage of the sandy material near the surface and to provide sufficient separation from bedrock. A lift station will be required due to the difference in elevation between the house location and the new absorption trenches. We are therefore proposing to place a new 1,250 -gallon STEP tank along with two 40' long by 5' wide absorption trenches with an effective depth of 2' on the property. An application rate of .8 gallons per day per square foot was used in the design of the absorption trenches. The ground surface on the lot slopes at varying grades from the souththeast to the northwest. The new absorption trenches will be constructed parallel with the slope as. much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from the existing well on the lot and the existing wells on the adjacent lots. It will also be constructed a minimum of 100' from any surface water in the area. If the system is constructed in accordance with our design the following statements Lot 1A, Block 5, Rabbit Creek View August 22, 2003 Page Two apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments L,:.. I..;y. fit 49th �V ° VICHAEL E. ANDERSON No. CE -4381 i seg 4?" 719.73 6A P 8 z o 6B • � w b 11Q P ^±�`�� N89 700•E Y97.83 719.19 � aaa Leo stt $ 170.00 170.00 J� ,N1 170.00 •,q, ,1 ,� , 1A 2 0 I -- — ----� y58914sae zoovT �, 19000 O 00 .-. 101w ai 2 $ m5� z 3 � ^ 4 > 5 �-j• c a CD 0 S89U21 sawzoolw moo- 190.00 190.00 5 6 3m g aj ,yo-♦ �_... ....assn...... _ .. AREA MAP j...' �� =. MICNAELEANDERWN 1 SCALE 1• =100' �� , •.. No. CtWM d ZLeo Street 180.47' � Existing Well I �, c a> L E i '-i^--� v Vi ! W •� ee Existing Septi Tank Beh jroom o And Absorptio Trench Home I To Be Abandon o L6 CD /i Place New oundation e Cleanout / top. 22' 4j/ ' 1 250 Gallo " ' ' STEP Tank ,.. 2- 40' Long x i e x 2' Effective Depth Abs. Trenches '•. 15-20% ®TH1 10, TH2 10% 10' Utility Easement SITE PLAN 49th SCALE V a 30 ».. ».».» No. CE4 Ii LOT 1A, BLOCK 5, RABBIT CREEK VIEW SUBDIVISION '•�•.; SSS, LOT 1, BLOCK 5, RABBIT CREEK VIEW SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom House 5' Wide Trench System Perc. Rate: 12 Min.Anch 1,250 Galion STEP Tank Application Rate: .8 GPD/SF 2' Drainfield Rock 3 Bedrooms X 150 GPD/.8 GPD/SF (Application Rate) = 562.5 SF Absorption Area 562.5SF/5 LF (Width)* .7 (Red. Factor) = 78.75 LF Trench Length THEREFORE: Construct 2-40' Long x 5' Wide x 2' Effective Depth Absorption Trenches. Flow Line Elevation In Trench to be 1' Below Original Ground Surface. Total Depth to be 3' Below Existing Ground. Maintain 100' Separation From Well on Lot. Place 2' of Direct Bury Insulation and 2' of Fill Over Absorption Trench or Provide Minimum 3' of Cover to Prevent Freezing. Place 4' of Cover Over STEP Tank. 2' Natural Min. Backfill 2" Insulation Creotextile 6" Fabric 6" 4" Perforated PVC (Holes Down) 2'0" 1 I / I— Drainfield Rock 3/16" Diameter Holes @2,9" Spacing 15 Holes Each Lateral TYPICAL & WIDE TRENCH SECTION (NO SCALE) NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 1 00'Separation From Wells In the Area. Minimum 100' Separation From Surface Water or Streams. W -.0- 49th .0 49th MIONAEL E. ANDERSON No. CE4aai I Municipality of Anchorage Development Services Department 4700 South Bragaw Street Anchorage, AK 99519-6650 SOILS LOG - PERCOLATION TEST ,,}�A • PERFORMED FOR: 1�`^ I I ��7 DATE PERFORMED �*iV%1G/I � LEGAL DESCRIPTION• 4T fe,L.l< r2, Township. Range. Section. r'/rah�i/f Gr: V'cvd S/,� SLOPE. SITE'VLAN 5 /4� 6- 7- 10 7 / �F4rlhG 11 . 12 13 74 15- 16- 17- is- 20 - s -20- i a 49th •_ 5.....t . ..... ......... ...��.YY. rA.... t"C.NIt:NAEL E.•ANIIERSCN ♦ �j, :, No. CE -4391 •. �� WAS GROUND WATER •,� ENCOUNTERED?, IF YES.AT WHAT l DEPTH. x, p E . DCA to water Alta g/ B o VA6twic97 Dam 3. Rc dln9 Dace Gros Net - Depth to Net Time Time Water Drop // v3 17-10 B /' 7. V J I M 'S a PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 3 Z FT AND M_FT COMMENTS t ""7r' .. PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE U 2Z �O3 I Municipality of Anchorage Development Services Department 4700 South Bragaw Street Anchorage. AK 99519-6650 . SOILS LOG - PERCOLATION TEST PERFORMED FOR: y 1L�� a I (,G DATE PERFORMED: 1+ G T LEGAL DESWIVTION:1i1 i % _ Township, Range. Section: ��„ .r+ • T� . SLOPE. SITE ULAN ' 4 6- 7- 10- 11 7-1011 12- 13- 14- ` 49th � 16- ...... ...... . ?..... ... 17- MICHAEL E. ANDERSCN•f \ No. CE -1381 f•� i 187 . • 20 WAS GROUND WATER ENCOUNTERED? _ IF YES. AT WHAT DEPTH? oe, m m water uw Ilmiumias?_Bar_ NE ON NI mmmmmmmm INEENNEEMENl PERCOLATION RATE (minutestinch) PERC HOLE DIAMETER TEST RUN 6ETWEEN FT AND FT COMMENTS %yl k 152 em -,Z 1 tiz r—mmF%yy I .. PERFORMED BY: ) CERTIFY THAT THIS TEST WAS PERFORMED 1N ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE t1 Mo .I.._. �.K. • PRESSURE DISTRIBUTION CALCULATION Elevation at Highest Discharge Point Pressure at Highest Discharge Point Liquid Level In Tank (Elevation) Diameter of Holes In Distribution Line Diameter of Distribution Line Hole Spacing in Distribution Line Length of Transport Line Diameter of Transport Line Q =12.4d VIT = 12.4(.1875)(.1875) JF .9748 GPM/Orifice = .9748' 30 = 29.2 GPM TDH =(I 07-86) + .0192(29.2)(29.2) = 22 + 16.4 41.6' 102' 5' Head 85' .1875" (31169') 1" 2999Y 45' 1.5" + .000995(45)(29.2) "5- + 3.2 Therefore 30 Orifices @ 2'9" Spacing With 41.6' Total Dynamic Head. Orifice Diameter 3116" 49 'kA 9Y.Y YiVY •• m • AUCt4Ac^l E. ANDERSON � 9.°%'. CE -4381 , - 7 stage Z 200.00 O .w U_ Q 150.00 0 OF F 100.00 50.00 j- 20 OSI 05 HHF - 5 s ag 1/4" flow controlle+ 0.00 0.00 5.00 10.00 15.00 20.00 25.00 NET DISCHAF -2 0 35.00 40.00 45.00 ':50.00 Z9. ORENCO SYSTEMS, INC 2826 COLONIAL ROAD ROSEBURG, OR97470 (503) 673-0165 350.00 _ - »_- " EFFLUENT PUM + _ , , „ +� 1/2HptolV2Hp + + i SINGLE PHASE; 60HZ 115/230 VOLT 20 OSI 15HHF- 9 stage -� r-1011, • I rPC#2 . 300.00 + + i a { f © 5/92 i,/X� a a i + i + : - 7 stage Z 200.00 O .w U_ Q 150.00 0 OF F 100.00 50.00 j- 20 OSI 05 HHF - 5 s ag 1/4" flow controlle+ 0.00 0.00 5.00 10.00 15.00 20.00 25.00 NET DISCHAF -2 0 35.00 40.00 45.00 ':50.00 Z9. ORENCO SYSTEMS, INC 2826 COLONIAL ROAD ROSEBURG, OR97470 (503) 673-0165 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 1A, BLOCK 5, RABBIT CREEK VIEW SUBDIVISION GENERAL: 1. The scope of this project includes the pumping, crushing, and backfilling with sand of the existing 1,000 gallon septic tank and the procurement and placement of a new 1,250 -gallon STEP tank at the location shown on the site plan. Work also includes the abandonment of the existing absorption trench and the construction of 2 new 40' long by 5' wide by 2' effective depth absorption trenches also shown on the Site Plan. The total depth of the trench will be 3' below the existing ground and the distribution pipe will be placed at 1' below the surface. All components of the new absorption trench and septic tank must be constructed a minimum of 100' from wells in the area and 100' from any surface water. Insulation will be required atop the trench to prevent freezing. In lieu of insulation a minimum of 3' of cover must be placed atop the trench. A minimum of 4' of cover is required over the STEP Tank. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK/LIFT STATION INSTALLATION 1. The 1,250 -gallon STEP tank must be constructed by a certified tank manufacturer. Construction shall include an 18" manhole to provide access to the lift station. Lot 1A, Block 5, Rabbit Creek View Subdivision August 22, 2003 Page 3 of 3 MATERIAL SPECIFICATIONS: 1. The lift station must be constructed by a municipally approved septic tank manufacturer. An Orenco 20 OSI 05 HHF-5 pump is recommended. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as -built of the completed system. I Lot 1A, Block 5, Rabbit Creek View Subdivision August 22, 2003 Page 2of3 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 5. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drain field. 6. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAIN FIELD CONSTRUCTION: 1. The drain field shall be constructed to the dimensions shown on the design. The bottom of the bed shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drain field rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drain field rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5. Contractor shall verify the septic tank and drain field are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trenches to drain away. 8. A minimum 2' of accepting soil is required below the drain field rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. 'E Municipality of Anchorage • �. Development Services Department Building Safety Division � •. e; Onsite Water and Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 020.032.33 HAA # 0 4- O % -6'62 Expiration Date: -S— 1 !1-0 Ji 1. GENERAL INFORMATION Complete legal description Lot 1, Block 5. Rabbit Creek View Subdivision Location (site address or directions) 16001 Genevieve Street Current Property owner(s) Timothy and Judy Ealev Day phone 345.75% Mailing address _$531 Leo Street Anchoracb, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA aril be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Three 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Wel ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for. 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(ars) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Enalneerina Phone 522.7773 Address P.O. Box 240773 Anchorage AK 99524 Engineer's Printed Name Michael E Anderson. P.E. Date 12=04 • jHICKAEy E. ANGERS 5. DSD SIGNATURE�4 NO' CC-"= LZ Approved for 3 bedrooms. tipasiu� aaaaa�� Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Maintenance Agreements -- Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: % p Original Certificate Date: Q (Rev. 12Aq Municipality of Anchorage • Development Services Department Building Safety Division < On-Site Water & Wastewater Program + 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot J. Block 5. Rabbit Creek View Subdivision Parcel ID: 020-032-33 A. WELL DATA Well type Private If A. B, or C provide PWSID # T Well Log (Y/N) N Date completed ^ Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth R Cased to >40 fL Casing height (above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test 1211/2004 Static water levet ft. 29 ft. Well production g.p.m. 5 g.p.m. WATER SAMPLE RESULTS: Coliform „Q_oolonies/100 mi. Nitrate 1,36 mg./I. Other bacteria —Lcolonies/100 ml. Date of sample: 12MI2004 Collected by: AH B. SEPTICIHOLDING TANK DATA t Tank Type/Material STEPISteel Date installed W912003 . Tank size 1,250 gat. Number of Compartments $ Cleanouts (Y/N) Y F Foundation cleanout (Y/N) Y Depression over tank (YM) N High water alarm (Y/N) Y t. Date of pumping Pumper. New Construction C. ABSORPTION FIELD DATA Date installed 91312003 Soil rating (g.p.d./fe or ft2/bdrm) ,8 GPDISF System type 5 Wide Trench Length 80 ft. Width 5 ft. Gravel below pipe 2 ft. ! Total depth 4 ft. Eff. absorption area L71 fl? Monitoring tube Y Depression over field l Date of adequacy test Results (Pass/Fail) For bedrooms ,j Fluid depth In absorption fiekj before test in. Water added_ gal. New depths in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date V �1 Date installed 012912003 Size in gallons 250 Manhole/Access (YIN) `Pump on' level at 42 in. °Pump off" level at 42 in. High water alarm level at 44 in. Datum Bottom of Tank Cycles tested New Const. Meets alarm & circuit requirements? Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot >100' Absorption field on lot >100' Public sewer main WA On adjacent lots >100' On adjacent lots >100' Public sewer manhole/cleanout NIA Sewer /septic service line >25' Holding tank NIA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >S Property line >5' Absorption field >5' Water main NIA Water service line MV Surface water >100' Wells on adjacent lots >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >16' Building foundation >10' Water main >10' Water Service line >10' Surface water >100' Driveway, parkinglvehicie storage >25' Curtain drain >50' Wells on adjacent lots >100' F. COMMENTS G. ENGINEER'S CERTIFICATION •��P,:• .......... l� 1 certify that 1 have determined through field inspections and r' {`I 49th review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. $f, ......... ..5 .IE ��R ; 1aavC. a wisEresw Engineer's Printed Name Michael E. Anderson. P.E. Date 1211 12004 HAA Fee t� Waiver Fee $ Date of Payment 1218 W Date of Payment Receipt Number 0( 51 -7 \AM Receipt Number (Rev. 12100) z LEO STREET ,h N 69'31'36'E 180.474 oEac too - tea : 70 r.....: _ roBkmow ar . ,s.s' SMED C3, . 13.6' 0= SIX P. 2 \ LAT 6 I I 1' ' 3000' j LOT 1A 32.908 s.f. —10' USIUTY EASEME M I LAr 2A 20' TELECOM & I ELECTRIC WEMW 1 I NOTE: DRKMY LMMON IS APPROXLMATE DUE TO SNOW COVER PLAT PLAN _ AS BUILT X SCALE 1" - 40' MD SW 3241 Project No. 04-263 LAT 4 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage. Alaska 99513-3M Phone Registered Land Surveyors (907) 5522- 645 Fax OF www.kngsarveyorsaem / MfoOla rs.eom A I hereby certify that 1 have surveyed the following described properly: LAr IA. BLOCK SV. RA89rr CREEK VIEW SUWMSI0N (PLAT No. 2004-91) *i: 49B 9 Anchorage Recording Disirlct. Alaska, and that the Improvements e5uotsd thereon are ........ wtldin the property Snes and do not encroach onto the property adjacent thereto. that no Improvements on the property ging adjacent thereto encroach an the surveyed . .... promises and Mut there are no roadways, transmission Base or other vtsIDls easements KENNETH on said property except as Indicated hereon. Ls -5202 th Dated this e 134_ Day of MaGl - . ZOO4, . at Anchorage. Alaska .M ACV B is the responsthil9y of the owner to detsrmins the existence of any easements. covenants, or rest. allons which do not appear an the recorded subdlvislon plat. APPR= �OF UCM I R= M TJ jrl a� y. I - sys-- oEac too - tea : 70 r.....: _ roBkmow ar . ,s.s' SMED C3, . 13.6' 0= SIX P. 2 \ LAT 6 I I 1' ' 3000' j LOT 1A 32.908 s.f. —10' USIUTY EASEME M I LAr 2A 20' TELECOM & I ELECTRIC WEMW 1 I NOTE: DRKMY LMMON IS APPROXLMATE DUE TO SNOW COVER PLAT PLAN _ AS BUILT X SCALE 1" - 40' MD SW 3241 Project No. 04-263 LAT 4 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage. Alaska 99513-3M Phone Registered Land Surveyors (907) 5522- 645 Fax OF www.kngsarveyorsaem / MfoOla rs.eom A I hereby certify that 1 have surveyed the following described properly: LAr IA. BLOCK SV. RA89rr CREEK VIEW SUWMSI0N (PLAT No. 2004-91) *i: 49B 9 Anchorage Recording Disirlct. Alaska, and that the Improvements e5uotsd thereon are ........ wtldin the property Snes and do not encroach onto the property adjacent thereto. that no Improvements on the property ging adjacent thereto encroach an the surveyed . .... promises and Mut there are no roadways, transmission Base or other vtsIDls easements KENNETH on said property except as Indicated hereon. Ls -5202 th Dated this e 134_ Day of MaGl - . ZOO4, . at Anchorage. Alaska .M ACV B is the responsthil9y of the owner to detsrmins the existence of any easements. covenants, or rest. allons which do not appear an the recorded subdlvislon plat. I[ -Ur -U4 MUM MM -1:14t 1:51, SITS ENV SEKVIUS SGS SGS Ref.# 1047790001 Client Name Anderson Engineering Project Name/# Ll Blk5 Rabbit Cir View S/D Client Sample ID Ll Blk5 Rabbit Cir View S/D Matrix Drinking Water Sample Remarks: uu/bbibuul T-174 P.oz/06 F-411 All Dates/Times are Alaska Standard Time Printed Date/Time 12/06/2004 14:04 Collected Date/Time 12/01/2004 15:20 Received DatelTime 12/0112004 16:10 Technical Dlrcctor,,,,eete��/ Ste a I Ede Released P--? I parameter Results PQL units Method ContainerlD Auowahle Prep Atywlil blit Limits Date DA[e Waters Department Nitrate -N 1.36 0.100 Microbiology Laboratory Total Coliform 0 mg/L EPA 300.0 12/01/04 XM coVIDOmL SM209222B A (<-]) 12/01/D4 DPT �m Eo� Municipality of Anchorage Development Services Department a Building Safety Division =- On -Site Water and Wastewater Program 5 T 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 020-032-2575 HAA# 0�4 Expiration Date: 12, - 9 d 3 1. GENERAL INFORMATION Complete legal description L_], Bleck 5 Rabbit Creek View Subdivlsion Location (site address or directions) 16001 Genevieve. Street Current Property owner(s) Vern Rollins Day phone 1345-8441 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Day phone Day phone TYPE OF WASTEWATER DISPOSAL:- Individual ISPOSAL: The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 5 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to'one year with valid water samples) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Individual On-site ❑ Individual Holding tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 5 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to'one year with valid water samples) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,' ordinances, and regulations in effect at the time of installation. Name of Firm _Anderson Engineering Phone 522-7773 Engineer's Printed Name Mchael E. Anderson- F.E. Date 9/5/2003 Jj... P 49th �....'..... ... .... ._ ......%, 1 �..................... .............. ;MICHAEL r -ANDERSON': 5. DSD'SIGNATURE �� ° No. cE-4381' Approved for 3 bedrooms. ==.•' Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments r. ON-SITE 8. WASTEWATER 0 _ Attachments: HAA Checklist x Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date:- O 3 M. ,7R Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 9951M650 www.el.anchorage.ek.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 1. Slock 5. Rabbit Cmek View Subdivision Parcel ID: 020-032.33 A. WELL DATA Well type Private_ If A, 8, or C provide PWSID # Date completed Mnknown Sanitary seal (Y/N) Y Total depth Unk. ft. Cased to aft. FROM WELL LOG Date of test Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Well Log (Y/N) N Wires property protected (Y/N) Y_ _ Casing height (above ground) 24 in. AT INSPECTION =03 29 ft. 5 g.p.m. Coliform _L_colonies/100 mi. Nitrate -J- mg.A. Other bacteria 0 colonies/100 ml. Date of sample: 913/2003 Collected by: MEA B. SEPTICIHOLDING TANK DATA Tank Type/Material iMm Tank size 1,250 _ gal. Number of Compartments $ Foundation cleanout (YIN) y Depression over tank (YAC N Date of pumping C. ABSORPTION FIELD DATA Pumper NSW Constru�o Date installed 8121""3 Cieanouts (YIN) Y High water alarm (Y/N) - Ymcal Date installed 913M03 Soil rating (g.p.d./ft or fe/bdrm) .8 GPD/SF System type F 1(�,Ide Trench Length 80 ft. Width ¢ ft. Gravel below pipe 2 ft. Total depth!! ft. Eff. absorption area ¢,M,ft2 Monitoring tube Y Depression over field N Date of adequacy test Results (Pass/Fail) Fluid depth in absorption field before test , in. Water added_ gal. Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= For _ bedrooms New depth_ in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date g.p.d. D. LIFT STATION Date installed 8/29/2003 Size in gallons 250 Manhole/Access (Y/N) Y `Pump on' level at 42 in. 'Pump off level at 42 in. High water alarm level at 44 in. Datum Bottom of Tank Cycles tested New Construction Meets alarm & circuit requirements? Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot :1007 Absorption field on lot :1007 Public sewer main N/A Sewer /septic service line >2T On adjacent lots :1001 On adjacent lots :1007 Public sewer manhole/cleanout NIA Holding tank NIA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation :PT Property line >S Absorption field >S Water main >10' Water service line >107 Surface water :1007 Wells on adjacent lots :1007 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >101 Building foundation >10' Water main >10' Water Service line >10' Surface water >100' Driveway, parking/vehicle storage :107 Curtain drain None Noted Wells on adjacent lots :100' F. COMMENTS G. ENGINEER'S CERTIFICATION ... . -•. • Gjr Q I certify that I have determined through field inspections and , review of Municipal records that the above s ... „g 49th ` p systems are m . .. .. ;,... conformance with MOA HAA guidelines in effect on this date.%m N10VZL E. AN ....'»r. Engineer's Printed Name Michael E. Anderson. P.E. �j_7/yt, No. CE-43er Date 9/612003 'e��s�Miil 0w haaaa�� HAA Fee $ 3 71 Waiver Fee $ Date of Payment 41-5-03 Receipt Number _ w (Rev. 12100) Date of Payment Receipt Number B ® 9- 5-03;t0:3tAM; Q '� /� ;907 5675301 is alga a a . elm Report date: 04/09/2003 12:32:10 Printed by: JS Ident: 5643-01b Analysis from: 04/09/2003 12:16:09 . File: N9041216.CHW Last save: 04/09/2003 20:32:10 Method: Anions7.mtw Last save: 29/08/2003 22:43:08 Run operator: JS Height Analysis nurber: 5027 SAMPLE: mV too: Vial number: 5 3.21 Vol=ne: 1.0 )11 0.097 2 So 10.D9 84.512 2.487 70 5.73 i.vuuu 0.626 mV Retention Height Area 11o! min' mV too: mg/L 1 3.21 90 �t3tcL.T 0.097 2 So 10.D9 84.512 2.487 70 5.73 0.06 0.626 G0 4 6.19 0.02 50 0.000 5 6.82 40 30 n 0.000 CO 8.25 � Z o 0.069 ID .0 V 0.18 ^ 0.150 _ = 11.84 e, 0 . chl_ t. 1.. 0 .1_ 2 3 4 5 6 7 8 9 IO 11 12 13 14 15 Quantitation method: Custom No Retention Height Area Cone. min' mV mV+see mg/L 1 3.21 0.69 5.164 0.097 2 4.78 10.D9 84.512 2.487 3 5.73 0.06 0.626 0.008 4 6.19 0.02 0:160 0.000 5 6.82 0.53 13.155 0.000 6 8.25 0.42 5.892 0.069 7 10.31 0.18 4.476 0.150 8 11.84 12.21 220.865 8.739 81" 16.01 24.20 334.649 11.550 This report has been created by IC Net Name Fluoride Chloride Nitrite -N Nitrate -N o -Phosphate Sulfate 4 F 1 / 7 5 8` o �'z' w Iqo oo' . �•. r.� �'• •'fir :,. 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''�• a:: '��f . .V_' :'' fYr `'� !r-?.�1... 'l.. . tf yr'"J.•,•. {.: 'I al;q •.{• . J• . :� ':wit...ti.'.i nf:. \1 0 �E-f5 ID r�i p 5 8` o �'z' w Iqo oo' . �•. r.� �'• •'fir :,. L •.1 `As—Dullt" •CIt ':)��..-:•%(; i• ''•"'''.•y,l�hareby oertIt,.that o survey of the following described Droparty,Y. 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''�• a:: '��f . .V_' :'' fYr `'� !r-?.�1... 'l.. . tf yr'"J.•,•. {.: 'I al;q •.{• . J• . :� ':wit...ti.'.i nf:. LIGREA,�R ANCHORAGE AREA BOR�uGH � Department of Environmental Quality ' 3330 C Street Anchorage, Alaska 99503 INS ECTION REPORT Ofd -SITE SEWAGE DISPOSAL SYSTEM NAME'`" (;c 1+ r'y'' MAILING ADDRESS ? 1=. �c ` _ �'- PHONE t LOCATION— —__ LEGAL DESCRIPTION �- 1 d? •,3 1�_��' �.4"_�.-k.,_X1 �. 4 lGa.Tt! SEPTIC TANK: DISTANCE NUMBER OF 11 FROM WELL MANUFACTURER �--^ �'- MATERIAL �� COMPARTMENTS INSIDE LENGTH_ INSIDE WIDTH__ _ __ LIQUID DEPTH LIQUID CAPACITY �'"`' GALLONS. TILE DRAIN FIELD:" TOTAL LENGTH DISTANCE FROM WELL —FOUNDATION ----_NEAREST LOT LINE_- _ -__—OF LINES -)�'` NUMBER OF LINES—__ _ DISTANCE BETWEEN LINES _. TRENCH WIDTHc-��'''IN. TOTAL EFFECTIVE ABSORPTION AREA—.—'-__ SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER 1 r' OF TILE TO FINISH GRADE - MATERIAL BENEATH TILE C�'_'_-- IN. ABOVE TILE _ IN. DEPTH: TOP WELL: TYPE _ — __CONSTRUCTION --CONSTRUCTION - ___--DEPTH _ - DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE _ , SEWER LINE , TANK , SYSTEM_. CESSPOOL--_—, OTHER SOURCES _ — --- APPROVED __—DISAPPROVED DISAPPROVED _... _REMARKS --- DISTANCES: INSTALLED BY. SEWER LINE DEPTH: PIPE MATERIAL: DIAGRAM OF SYSTEM r LOT SLOPE IL' REMARKS:DATE1, 7 1 APPROVEDL (- _ _ L 4 G.A.A. B. i L �.<aP GREE 'R ANCHORAGE AREA DOF 1GFi �... r ERMIT NO III 1 DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 I�I+Ii�I x TELEPHONE 274-4561 \ `J b t �15a! d /� � . a' SEWAGE DISPOSAL SY'S'TEM APPLICATION AND PERMIT � A T✓IG si /'`G �':`7 s PHONEl NAME OF APPLICANT � �""� MAILING ADDRESS _ - INSTALLATION LOCATION LEGAL DESCRIPTION a"''�'''d� �- `I _ d 1 , DRAIN FIELD — OTHER 'Z4 . INSTALLATION OF: SEPTIC TANK s�� SEEPAGE PIT TYPE. AND SIZE OF FACILITY TO BE SERVED 1 FINANCED THROUGH TO BE INSTALLED BY �--�ell --- / d SOIL TEST RESULTS f f� �r NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST �sT COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE�� / TYPE �'h` SEEPAGE AREA SIZE TYPE — MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK t? —' FOUNDATION TO SEEPAGE PIT �'-�DRAIN FIELD t SEPTIC TANK TO SEEPAGE PIT WALL '"7 DRAIN FIELD SEPTIC TANK SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK ��' SEEPAGE PIT'�- �+ 9' DRAIN FIELD !�'� ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK �`- SEEPAGE PIT DRAIN FIELD . SEPTIC TANK, �� SEEPAGE PIT DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. .4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREAT DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. r DATE. " _ APPLICANT'S SIGNATURE .�.�. e d " FORM NO. EQ -016 DIAGRAM OF SYSTEM 2.ANC)-IORAGE A5EA BOROU.GH ORDINANCE NO. 28-68 AND THAT THE ABOVE a K Performed for�� Legal Uescription:__y_ This form reports: Soi GREATER ANCHORIIG(_: ARLA L'OROU(.i, Department of Environmental Quality 3330 "C" Street Anchorage, Alaska 99503 25- 7-7 S— v Dep th Feet Fi C L 3- rq('v /¢ d 6 tLv tJ 9- 10 - 13 - 14 - Was ground water encountered? _.` If Yes, at what depth? Al 72 Reading Uate Gross Time Net Time Depth to Water Net Urop j - — LJ 1-:1-- Percolation rate -4'-/7.. ;,0_ 1I11nu6e. Proposed installatioSeepage Pit Urain Field Depth of Inlet Ueptfi to to botm of pit or trench COMMENTS: l _ _ Prrfr�rmcd [3V: ,17,a�v., MAI,