HomeMy WebLinkAboutINDIAN VALLEY ALASKA BLK 1 LT 5
MUNICIPALITY OF ANCHORAGE
DE.A.TME.T OF HEALTH HUMA. SE.WCES
Environmental Health Division O t~ 0 d
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name
Ms. Ellie Hult
Address
pO Box 110256, Anchorage 99511
Phone(st 653--7347 IF~r~i~6~'011~'~' No. o, ~edrooms
LEGAL DESCRIPTION
Lot I Block Subdiwsion
5 1 Indian Valley
t
TOwnShip, Range, Section
Sec 5, Town. 1QN, Range 1W
TANKS
~ SEPTIC [] HOLDING
Manulacturer Capaclly in gallons
Anchorage 1,250
MaterialSteel NO. OftwoCOrnpartments
TYPE OF SYSTEM
[~ TRENCH ~ BED [] W. DRAIN [] OTHER
Depth to pipe bottom from Total depth from original grade
original grade 3 · 0 F'f 5 · 6 FT
Fal added above original grade
0.5
Gravel depth beneath p~pe
FT .5 graY., 2.0 san~T
~vve~l~gih travel width
39 feet FT 22 feet FT
Total absorption area Oislance between lines
8 $ 8 S0 FT 6 FT
Number ol lines Soil rating Pipe material
Date Installed
Acreage Systems 6-14-90
WELLS
~/~ PRIVATE [] OTHER (Identifv)
~n (A,B,C) Total Depth I Cased to
I
installe~priVate Date installed:
FI
REMARKS:
System resized to accomodate four
Installed to only meet three bedrooms
~erm~_V.,,..: :' ;~., 'i'
per
DISTANCES
WELL
LOT LINE
FOUNDATION
SEPTIC
TANK
llS
32
29
ABSORPTION WELL
FIELD
110
i6
39
AS-BUILT DIAGRAM (Show location Of well, septic system, property lines, toundahon,
driveway, water bodies, etc.)
FT
sScale:
inspections Performed by:
Robert Kniefel
Date: 6/13/90,6/14/90
:.' ~ , ' ' - ':6/13/90
I~lunicipal and Slate guidelines iq ellect on this datel.; __ --
Health Depadment ;Pp:oval: ~~ ¢
cedity that this inspection was performed according to all
72-013 (3/85)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
PO BOX 196650 ANCHORAGE, ALASKA 99519 343-4744
HAND WRITTEN PERMIT
Permit Number: swg0t%\%~
Date Issued: m~.69 ~ '/
Design Engineer: ~'~/W~/
Owner Name: ~/~- /~,
Owner Address: /~O~WIf
Parcel ID: 6~f~_-693/ '~' ,~/,
Lot Legal: Subdivision: ~9,~f/R/~ U~//e~' Lot: ~ Block: /
Section: ~- Township: 46~/ Range:
Lot Size: ~/~/f~O (sq.ft.-or zcre~)
Max Bedrooms: This Permit: 3 Total Capacity:
Permit Type: ~;e~ .~.
Expiration Date:
Day Phone:
SEPTIC TANK: Minimum septic tank capacity: ~O~ gallons. Each
septic tank must have at least 2 compartments, insulation is
required if depth to top of septic tank(s) is less than 4.0'
Lift stations require an appropriate electrical inspection.
WELL LOG: A copy of the well log must be sent to DHHS within 30
days of the well's completion, j~ , .~
I CERTIFY THAT:
1. I will install the on-site sewer system and/or well in
accordance with all codes and regulations of the
Municipality of Anchorage (MOA) and State of Alaska , and
in Compliance with the design criteria of this permit.
2. I will adhere to all MOA and State of Alaska requirements
for separation distances from any existing well, septic
system, or surface water on this or any adjacent or
nearby lot.
3. I understand that this permit is valid for a single
family dwelling with a maximum of ~ bedrooms. I also
understand that any enlargement will require an
additional permit.
~. I understand this permit is issued for the calendar year
and expires on December 31 of the year issued.
5. I will notify DHHS prior to all inspections by the
engineer or'well driller.
db/ll5
w~, 'L.~T~" t , ~ ~,_~ Z-cE-I~' .......
I ":" ''
I
I 'l ~r ~
1. System Design, 3 Bedroom 0 125 st/ ~. = ~ sf of field area
2. Reserve Area = 3 Bedroom ~ 1,000 st/bed. = 3,000 sf reserve area
3. Recommended System is an absorption bed X 35' = ~ sf
The soils are rated at 85 st/bed. The bed will include a
2' thick sand filter rated at 125 st/bed.
4. Installation to follow MOA regulations for materials, construct-
ion and inspections. Ail distances are approximate, field verify
5. The wells on Lots 5 and 6 are existing. The privy on Lot 5
will be abandoned according to MOA standamds upon completion
of the new absorption bed.
6. Contractor to verify seperation distances to wells within 125'
of new system. PRIOR T0 CONSTRUCTION.
SEPTIC SYSTEM DESIGN
' -a ~ ~ Robert E~iefe~ ~,~
DATE PREPARED FOR: ~,<~-% No..~4~-~
SCALE PREPARED BY:
/'~ /~' Kniefel Engineering MOA CE
/-
O~
t8
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR: ~ (..,.I... t ~ {"~ ~ L..,"~
LEGAL DESCRIPTION: L,, ~/~-'~ ~t,)
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
Township, Range, Section: ,5"-, '"~'LOt, J,~ I~.! ~
SLOPE ~JITE PLAN
WAS GROUND WATER
ENCOUNTERED?
8
L
IF YES, AT WHAT O
DEPTH;) p
E
Depth to Water After ~
Montorng? ~.JO',-,'t:::: Dale: ~c'~'--['5'''~0
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE __
(minutes/inch) PERC HOLE DIAMETER __
TEST RUN BETWEEN FT AND -- FT ~
PERFORMED BY: ~" ~f"J' [ ~ I ~ I~/~'J t ~-~'"'L~ CERTIFY THAT THIS TEST WAS PERFORMED IN
-95
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
POUCH 6 650
ANQHORAGE, ALASKA99502-0650
(907) 264-4111
~ O ~"/Y K;,./O V'/t
Dr:?ARTR~IENTOf; HEAl ili A[qO ENVIRONMENTALPI~OI'ECTION
<Permit #: 820158
January 31, 1983
TO: Permit Applicant
Subject: Lot 5 Block 1 Indian Valley Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
S incerel~
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057