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HomeMy WebLinkAboutHOLLY HILL BLK 1 LT 7 & 8L7 ,g MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 254-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME LEGAL DESCRIPTION PHONE . [] NEW LOCATION ~ ~ NO. OF BEDROOMS ~/ Well Absorption area Dwelling PERMIT NO. I DISTANCE TO: I . / ~,--~ I ~-Z I Manufacturer ~/I~ . _ ~/'~. '~.~ ~ I Materia] No. of compartments ¢ 7 - Liq. capacity in gallons ] F HOMEMA~ V pside length Width Liquid depth ~ ~ DISTANCE TO' Well I Dwelling PERMIT NO. O I IWell ~ Foundation ~ Nearest lot line ~ PERMIT NO.~ ~ ;~ ~ ~ I No. On°f lin~ ~ Length of e~h ,in~__ Total length of lin~__ ~ Trench widt~.__,nches Distance~en~, ,lineslr, area ~ H Top of tile to finish grade ~ I Material beneath tile . ~¢ Total effe¢iv~ ~tio [ length W~d~b Depth P~R~T NO. < ~ [ Type of chh ~ Crib d~m~t~ ,, ~/ Crib depth Total effectwe abso~pt~oa a~ea ~ DISTANCE TO W~II ~ Building foundation Nearest lot line ~Class~ Depth Dr er Distance to lot line PERMIT NO, ~ ~NCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PiPE MATERIALS SOIL TEST RATING INSTALLER APPROVED ~ ~ DATE / LEGAL PERMIT NO. ( 800291 ) f-11LIN I L- I: F filL_ I T ¢ OF DEF'FIRTMEN"F ff'~",HERLTH RND ENVIRONMENTFIL rc"OTECTION ...~ .:,~._, L 5TI;.EET., RN_.H. RHOE. FI~ .......... .1 · 264'4720 ,_--~1'-.~--5 I TE 5FI.-3E[: LIPGE."ADE PEF4P'I I T / _----- . 60.1 ER_,T N. flPPL I CRNT LEL. RTILN LEGRL FRED HHTNE- HENDERSON LOOP L 8 B .1 HOLLY HILL_'; TYPE OF ~OIL RBSOF..FTIUN =,Y_TEM I=,. TRENCH LIGHTS BLVD. LOT ,.,I~-E 8F400 SIDURRE FEET MR:,-';IMUM NUMBER OF BEDROC~MS = ~: SOIL RRTING ,;%Q FT/BR,- .1:~.0 ... ,= ~ OF THE SOIL FIBSORPTION S'?,!~STFE~I, IS: THE RE¢.U IIRED _,I~.E [Z:,EF~TH= ~2 LEt-.IG-FH=' ~ 6RR%."EL [:,EF"TH= 6 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION.(IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS TNE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). PERMIT RPPLIC:RNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. ' T[,~] ,-'. 2 .'> I P-ISPEC.:T I O1',~'--=- i-~F-:E ~:EiZILi I ,~, .~ BRCKFILLING OF RNY :?_TEll WITHOUT FINRL INSPECTION RN[:. RPPROVRL BY THIS DEF'RRTMENT WILL BE SUBJECT TO PRU=,ECLTION. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR R PRIVRTE NELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM 8 PRIVRTE NELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MR~ RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. R E..~.- [>EC:EMBER ..:--it., ~L'"~ c. 0 F'ERM I T E~;:P I ¢ --' .... ~' ' I CERTIFY THRT · 1: I FIM FRMILIRR WITH THE REtDUIREMENTS FOR ON-SITE SEWERS FIND WELLS RS SET FORTH BY THE MUNIF:IPRLITY OF HNL:HORR=E. ~: I WILL INSTRLL THE =,~_.TEH IN RL.E._RDRNCE WITH THE CODES. 2:: I UNDERSTRNE~H~THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS ~ME~D~TO INCLUDE MORE ~HRN ~ BEDROOMS. II ISSUED' E:f~_~~" .__DRTE ........ ~--//¢~ .... ,/4.8 'ERFORMED FOR~ .EGAL DESCRIPTION: 'HIS FORM REPORTS: CON.STR,,., CTION TEST LAB Fred Haynes/Kieth Jenkins Lot8 Block 1 n Visual Soils Examination 1800 '; 48TH AVE. STE. 'C' ANCHORAGE, ALASKA 99503 248-1333 Subdivision DATE PERFORMED: 7/9-7/10/80 Hollyhills Subd. r~ Percolation Test ACTL #80-1386 )EPTH SOIL NOTES 'EET DESCRIPTION 4" Topsoil 1/2 Oranae silt 7' Perc Zone Tan Gravelly Silty Sand Relatively Dry *SM-SP* 14 1/:' Tan Sandy Gravel 16' BOTTOM OF HOLE VAS,, GROUND WATER ENCOUNTERED Yes ; YES, WHAT DEPTH 16 ft. .EGEND D -- Perc zone D S - Sample token ! -- Frozen zone ;ENERAL SITE SLOPE EADING DATE GROSS TIME NET TIME DEPTH TO H20 NET DRAINAGE 7/9 ~qATURATI£ N PERIOD 7/~n '1 .00 n ~T'r~. 6 1/4" ~q'.' 7/1~ ~;~ 3 Hr,~. 12 3/4" 6 1/2" R~RTT,T, mo T'"F~'~Z~ETI 7/10 3:30 0 Hrs. 7 1/4" 7/10 3:45 1/4 Hrs. 8 1/2" 7/10 4:00 1/2 Hrs 9 1/2" >ERCOLATION RATE: >ROPOSED INSTALLATION: 3OMMENTS: 15 Min/inch DRAINAGE REQUIREMENTS: FEST PERFORMED BY: 13 SEEPAGE PIT Liza A. Sims DRAIN FIELD .DATA CERTIFIED BY: James DATE: OAAB-,D-, GR~r'~-TER ANCHORAGE AREA BOROU/~..H. HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION SEPTIC TANK: DISTANCE FROM WELL ~'~ LIQUID CAPACITY GALLONS. · ' : :,-..~, ~ .... ~:- NUMBER OF / MATERIAL (~.~/~ (" ~/(- ~ ~,~ ~ COMPARTMENTS ' ' ' '~ .... ")¢ ) LIQUID SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER. NEAREST LOT LINE /~ ~/ ,,/ OR WIDTH / · DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ., LENGTH // ,DEPTH , BUILDING FOUNDATION TILE DRAIN FIELD: DISTANCEFROM, WELL ,,.,--'-"~OUNDATION ~~. ABSORPTION AREA SQ. FT. LENGTH OF EACH .INE TOTAL LENGTH , OF LINES. DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN ABOVE TILE__ WELL: Typ: .-~/' ~--~'-~ DEPTH .- , BU LDING FOUNDATION. , NEAREST ~.~ ~ SEPTIC ' t SEEPAGE /~ ,~ ! LOT LINE /~ ¢~ SEWER LINE ~; ~ . TANK ~ ~ , SYSTEM DISTANCES: DIAGRAM OF SYSTEM WATER ~,, r~ NEAREST SAMPLE OTHER · CESSPOOL , SOURCES DATE APPROVED GAAB-HD-2 ' GREATE[' ANCHORAGE AREA 'gROUGH HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 Case No. ''~ c'~.~ SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT ~/~'/-(if~;]'/~ RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESULTS LOCATION OF INSTALLATION SEEPAGE PIT ~ , DRAIN FIELB , OTHER A~TICIPATEO DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS ~Y~ /Y~ ~"! , PERMIT TO INSTALL A ~'/-"~"~¢"~ ' %/ AS DESCRIBED BELOW. SIZE OF UNIT~TO BE SERVED ~' ~~ . SEPTIC TANK SIZE 75~ TYPE~~ SEEPAGE AREA TYPE DISTANCES: DIAGRAM OF SYSTEM tify that I am familiar with the requirements of Greater Anchorage Area Boroug~h Ordinance No. 28-68 and that the above described system is in accordance with said code. '- iREATER ANCHORAGE AREA BOROUGH ~ HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE # This Form Reports a: So~Is Log ~'C ..... . , ,Perco'~tion Test___ .::, _ Depth Feet Soil Characteristics L Was Ground Water Encountered?~ If Yes, At What Depth Date Gross Time ,,Net Time ',ate~ i"/ ....... Minu~:'~~ ' ..... ~ " Reading Location Sketch Depth To H20 Net Drop Proposed Instal~Seepage Pit_______3__~__ Drain Field De~th~tt-L ^~ ~ ...... Test Pemfo~med B3':~~ Data Certified By:_ ~Q/.7/~/,~? Date ~ MUNICIPALITY OF ANCHO ~ MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF I!~ALTH & 825 L Street - Anchorage, Alaska 99B01 ENVIR©NMENTAL P;~©TECTIO~ ENVIRONMENTAL ENGINEERING DIVISION ~j~i['~J 6 1980 Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing, 1. PROPERTY OWNER PHONE Fred C. & Rebecca B. Haynes 276-4251 MAILING ADDRESS 601 E. Northern Liqhts, Anchorac~, Alaska 99503 PROPERTY RESIDENT (If different from above) PHONE s~Tr~ 2. BUYER PHONE n/a (refinance) MAILING ADDRESS 3. LENDING INSTITUTION J PHONE United Bank Alaska - Bev BronderJ 276-1911 MAILING ADDRESS 645 G Street, Anchoraqe, Alaska 99503 4. REALTOR/AGENT I PHONE I MAI LING ADDRESS 5. LEGAL DESCRIPTION Lots 7 & 8, BLk 1, Holly Hill S/D ;TREET LOCATION NHN Henderson Loop 6. TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY * 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.) 8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date 1971 If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED ·" INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE NSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY El ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL At~SORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line I WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS- ~ APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 Rev. 3/78) June 30, 1980 R&M No. 051001-44 Mr. Fred C. Haynes 601 East Northern Lights Blvd. Anchorage, Alaska 99503 Re: Adequacy Test on Existing Sanitary, Sewer System; Lot 8, Block 1, Holly Hills Subdivision, Anchorage, Alaska Dear Mr. Haynes: Per your request of June 24, 1980, we conducted a test of the sanitary sewer system on the above described property. The septic tank was pumped prior to the performance of the test on the seep- age pit. During the test the liquid level in the seepage pit was monitored as 500 gallons were removed and 300 gallons were pumped back into the seepage pit. Ail liquid levels were measured below the top of the standpipe and are shown in the following table: Initial Liquid Second ~Water Third 24-Hour Total Reading Removed Reading Added Reading Reading Drop (gallons) (gallons) 4.45' 500 9.65' 300 6.45' 6.85' 0.4' The water level rose 38..4 inch~s with the addition of 300 gallons of water, indicating a capacity of 8.33 gallons per inch. After twenty four hours the liquid level was measured again at 6.85 feet. It had dropped 0.4 feet or 4.8 inches. This indicates an average effluent acceptance rate of 40 gallons per day for the surrounding soils. If the 3 bedroom residence on the property is to house 6 people, the average load on the system can be expected to be 450 gallons per day. We can therefore conclude that the system is not disposing of effluent at an adequate rate for a 3 bedroom resid~nqe. ~ -- Page -2- This test was performed on June 25, 1980 and indicates the adequacy of the system at the time tested. Test results are subject to the conditions of the septic tank, seepage pit, soil, and groundwater as affected by weather and the extent of use of the system. We appreciate this opportunity to be of service to you. Please contact us if you have any questions regarding this letter or if we can be of additional service to you. Very truly yours, R&M CONSULTANTS, INC. Jan~ce M. Cecere Project Manager Ronald F. Black Senior Engineer JMC/RFB/j h/AT&SI-B ,/