HomeMy WebLinkAboutDONAHO HOMESTEAD #1 BLK 2 LT 2bonaho
Homestead #1
Block 2
Lot 2
#050-211-22
Municipality of Anchorage
Development Services Department -
Building Safety Division
OnSfte Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www.d.anchorage sk.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW060202 PID Number: 050-211-22
Nan'•
Keith Rayha
Wastewater System: ❑ New ® Upgrade
HC 3 Box 8452 Palmer, AK 99645
ABSORPTION FIELD
Plane Nreber of Bede *
O Deep Trench ®Sh010- Trw d 089d D Marty Cl Darr
LEGAL DESCRIPTION
'
T" Depitt Nam
0.45 GP00'T
8.5 Ft.
Back LPL S�;
D"M a P" bdtan earn Monte pate
Grovel OWh tWisath P"
2 2 Donaho Homestead Add. #1
4.5 Ft.
4.0 FL
Ta.,wvP R.V. Sedan.
Ftl etaet Bows prgraa pate
Gravel Lergin
0.7-1.2 Ft.
84 Ft.
Well: ❑ New ❑ Upgrade
Gravai waft
N.t,er of tyre
Dmewe b9lwaen Yra
5.0 Fi.
2
10 FL
Classirratan (Prtvele. A B. C)
TOW DePh
Cases a
Tpul ans"r ret
Per Materwi
Private -Existing
Ft.
Ft
I
840 Ft
D3034 & F810
pilar
Date Drtl•t
State Water Level
Yrteirr
Daei •ulelre0
Fl
RPC
8/29/06
Welt
Ptmpselel
caanatisgmAuawGr
TANK
GPM
Fl
Ft
SEPARATION DISTANCES
® Septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
Lit
Holding
Pubitciprivate
M.Vaww.qP
y
From
Tank
Field
Station
Tank
sewimurts
Anchorage Tank
1000"
11
Wea
100'+
100'+
NA
NA
25'+
Steel
MStQe
Nvnord Cwrparmiwrr
2
s,arar.W,i«
100'+
100'+
NA
NA
LIFT STATION
La Lm
5'+
10'+
NA
NA
ue
Gal
M.aw
5'+
10'+
NA
NAAP—PPM1.
umP relel „
Rgn wain ar m.i.
nci,te.ia..
NA
•50'+
NA
NA&Motel
ErarcMinapectaneWM by
•n no a known
BENCH MARK
Locaian ant supan
Existing tank abandoned per code.
Top of front landing ..
Ae9urrO E Wotan:
Diverter Installed between existing
.
100 FL
crib & new trenches.
Engineers Stamp
r'yCPQ..' eF',
%
KND Engineering Inc.Dates: list 8/29/06
�.• :. L
Inspections performed by:
ee* e. e
2nd 8/31/()6it
•••••••••
Development Services Department Approval 3rd 9125106
�%.e xehht
�
E 7, 16
/ rF •eti b�4 vtl;
4�'➢E•p
Reviewed and approved by: Date:
....e••' ••
AS—BUILT SYSTEM DETAILS/SITE PLAN Permit : SW060
DONAHO HOMESTEAD ADDN #1 SUBDIVISION Block 2 Lot 2 PID#: 050-211-272
K. D
Z
0
C3
0)
C;
EX. 1000 CAL
R SYSTEM STEEL ST
C
Z 0
CO EX]
THO6-OI C
> DIVERTER
TH06:02 SPL TER
NM T C CO
MT
r
X1
N 89*53'51*
40
GRAPHICS SCALE
SCALE: 1:40
A -C= 41.99
O� �O
ux: 97.9 FINAL GRADE 98.10 u
B -C= 19.23
L11�=1gqI M
L �
A-D= 46.65
9.57 9.4
FILTER FABRIC—-, -ARIES
13-D= 24.52
i I `
ij0.51
SEWER.ROCK =' 92.4
ii.. E:1
A-E= 61.66
g z; d dd
: TRENCH :,a" 4.0'
B-E= 46.03
A -F= 961.80
65
13.2 i
813.2 <�89 �4
B -F= 86 .70
1116
1000 GAL
—42' BOH
81.90
A -G= 78.46
SEPTIC
O� C3
B -G= 60.48
TANK
ux: u
FINAL GRADE 97.5 n
A-H= 110.41
9 2.
gl�F VARIES
FILTER FABRIC ---
B-H= 98.03
—7
92.2 rt R
`TRENCH 2 4.0'
_nn
.30
"W 0 .
OF 14
.. ... AZ4 4s,
BOH
—42' SCALE. NTS
PREPARED FOR- ABBREVIATIONS
KEITH BAYHA
*-4f9TE*
4
w
HC 03 BOX 8452 BOH BOTTOM OF TESTHOLE
.j
PALMER. AK 99645 CO -CLEANOUT
(907)746-6662 MT - MONITORING TUBE
-,�ELO BOOKS C�n�.
CE 00
9�mr. DRAM: MID ENGINEERING.
-7116 41�av
4
rsmAmd INC.
wq
STAKOM 20441 PTARMIGAN BLVD.
cmEcxm BMW
EACLE RIVER, AK 99577-8736
DATE:
10/1/06
JLS/KNOE 1 j
O.C. ME: CF10, NW055 1907)690-011I/FAx (M)OV6-6111
06-044.0% 3" ` 06-044
&\WELL 0 SMOG - rr by L*"\O^e^• a - tvad\� /:WK 2\06-N4."
LOT 1
A
N00'04'37"W
(N00'06'09"W
173.50'
173.58' REC)
LOT 2
BLOCK 2
0
FELL
SHEO Cn
n
0
SHED M LOT 3B
EXISTING
47.5' HOUSE '—
40' DIAM
2 \J W i LOT 3A
GRAVEL =.—
NM 1 0/W 7
rf1:n n
0003Go
• • ��
ZZ, Z
* $
i 'C..............9
\
1 /tee:•
. 4
... .......
SEPTIC /
VENTS o /.*.. ......... ..........
-JOHN L SCHUILER.�
N, % LS -10408
e '
10' UTILITY EASEMENT
N 00'06'09" W 173.42 173.58 RECJI
O
r' HIGHLAND DRIVE
o
ANCHORAGE RECORDM DISTRICT'
AS -BUILT OF:
DONAHO HOMESTEAD ADD. NO.1
LOT 2 BLOCK 2 Plat 74-179
SURVEY CERTIFICATION: 1, John L Schuller, have
conducted a physical survey of this=as shown on this
drawing and that the improvements thereon aro within
the property lines and no encroachments exist other than noted.
EXCLUSION NOTES:lt is the owners responsibility to determine
the existence of any easements, covenants, or restrictions which
do not appear on the recorded subdivision plat
K ORDER NUMBER: aR: -.....
SEPT 25, 20061'1-.40r b.a..geo4..r
06-044 ox.. In IRaca FI. .. Wo-
JL5 NW055 0602/32
END ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)868-3791/FAX (907)868-3793
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water d 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: Jul 13, 2006
Expiration Date: Jul 13, 2007
Permit Number: SWO60202 Parcel ID: 050-211-22
Legal Description: DONAHO HOMESTEAD #1 BLK 2 LT 2
Design Engineer: 0070 KND ENGINEERING Site Address: 010443 HIGH BLUFF DR
Owner Name: KEITH BAYHA Lot Size: 52136 SO. FT.
Owner Address: HCO3 BOX 8452 Total Bedrooms: 0 Permit Bedrooms: 0
PALMER, AK 99645 -
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
Date: 7�YL
Municipality of Anchorage
Development Services Department � e
Building Safety Division T
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. 050-211-22
Property owner(s) Keith Bayha Day phone 746-6662
Mailing address HCO3 Box 8452 Palmer, AK Zip Code 99645
Site address 10443 High Bluff Drive, Eagle River, AK Zip Code 99577
Legal description (Sub'd., Block & Lot) Donaho Homestead #1 Block 2, Lot 2
Legal description (Township, Range & Section)
Lot Size52,136 Sq. Ft. Number of Bedrooms
THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN:
Absorption Field Initial ❑
Septic Tank ® Upgrade
Holding Tank ❑ Renewal ❑
Privy ❑
Private Well ❑
Water Storage ❑
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.
property owner or authorized agent)
Permit/Rush Fees: $460.00
Date of Payment: L�Z 3�O 0
Waiver Fees:
Date of Payment:
Receipt Number. $/%1 L+(D Receipt Number:
(Rev. 11105)
KINI D ENGINEERING, INC.
20141 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
June 15, 2006
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Sewer Upgrade — Donaho Homestead #1, Block 2, Lot 2
Gentlemen:
The owner has requested we proceed forward to obtain a septic permit to upgrade and
replace the existing septic system and tank for the subject lot. The existing septic tank
and field will be abandoned in place and in accordance with municipal standards. On
June 8, 2006 two testholes were performed for the proposed system. The results of
these tests are attached. The general slope of this lot is from west to east at a grade of
approximately 1-5%.
We have designed our system utilizing the testholes we excavated for the existing 3 -
bedroom house. The lot is served by an individual well. We propose to install a 2' wide
deep trench. Water was not encountered during the excavation or monitoring.
There are no public or private wells within 200' of our proposed system location except
as noted. There is no surface water within 100' of the proposed system and there are no
known curtain drains within 50'. We do not expect there to be any adverse effect on
adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
KHD Eneineerine, Inc.
Attachments: On -Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
Owner/ Contractor Specs
WELL & WASTEWATER DISPOSAL SYSTEM SITE PLAN
DONAH❑ HOMESTEAD ADDN #1 SUBDIVISION Block 2 Lot 2
II _ APP80FYATE �\\
10Y
eEXST
K D S7jSsio• Public Wnte\IE ata13 o:I 1j/EPTIC N897J 1'E'� \ Pu tic Water
rJ
//2 19
/ LOGE 6Y �` ��
EXIST VCLL
Is / t/ ! / r b��Z`� Public Water
,..L .. {1 1J " 2 0
\ 15 ,r ••,��"�' �° N89.55.54•V 190,65 N!
c
f ..' `.. v� 90.63 93.00
EXIST 300.39 /
J SEPTIC N89'53'53'E 150.54 Iw.00
p i
IST i IS'Elec t irl.ca.w E.nt. g
111 ,
PTIC #"it l E ST ,,, S m 28 � 27 �
(83-
W
7, s rlc 111,1, B 8 W
11 N� 1,1111 G W o 0
16 .1^ 11111' 83-552) i , : o
8 0 0 ul m 'ubllc Wate
= public Wate P
o e Public Water
tic Water Is z _
.19 30 30 130.61 N89.53'S3'V 150.00 - .00 9-
250.39 N89.5553N 6b'
00
64-113 NS88 -J-6U 63-70330.03
DESIGN DETAILS
3 BDRM X 150 GPD = 450 GPD
450 GPD/0.45 GPD PER SO. FT. (48 MIN/IN.)= 1000 SO. FT
(1000 / 6' (D) x 2 (SIDES) (6' GRAVEL) - 84 FT. TRENCH
USE 2 TRENCHES - 42' (L) X 2' (W) X 6' (D)
Total max. depth of system Is 8.5' from original grade.
NO PUBLIC WELLS WITHIN 200' OF
PROPOSED SYSTEM.
NO PRIVATE WELLS WITHIN 200' OF
PROPOSED SYSTEM EXCEPT AS
NOTED.
NO SEPTIC SYSTEMS WITHIN 200' OF
PROPOSED WELL EXCEPT AS NOTED.
"or
-vOF.4Lq 1
A
'.
„CE -7118 V �k A4
Af
.71
ESS10`0 —
21
N❑TESt
1. INSTALL 1000 GALLON SEPTIC TANK 6 INSULATE IF < 4' COVER
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM IF 0' COVER
W/MIN. OF 2' FILL
3. CDNTRACTDR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK.
4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS.
PREPARED FOR,
KEITH BAYHA
HC 03 BOX 8452 Scales 1'= 100'
PALMER, AK 99645
(907)746-6662 PAGE 1 OF 2
HELI) BOOKS C01119TED: �ry�TT�
eot mmr. D0Aw1: EKNID ENGINEERING, INC.
sT0"10; Johnson "Exm: KMD 20441 PTARMIGAN BLVD.
A T. DATE: 6/22/06 EAGLE RIVER. AK 99577-8736
D.a M aeo: NW055 (907)696-61IL/PAX (907)896-8111
>A.R81 W fu•.M[.aom/Ime.nN.k.n.t
"0"D n`E` 06044.DWG '10B MOt 06-044
s:\•aL s SsEmC — nw, M Logd o w N«n»toadV an #I" 3\06-0"A"
WASTEWATER DISP❑SAL SYSTEM DETAILS
DONAH❑ HOMESTEAD ADDN #1 SUBDIVISI❑N Block 2 Lot 2
M INTAIN 16'
SEPARATION FROM
EXISTING FIELD
FLAG WELL RADII PRIOR
TO CONST.
EXISTING SEP
FIELD A.I.P.-,.4
ri
1000 GAL
a° STEEL S -r
THO��
I"2111mw•lrel
0
1-4%
✓
/ THI
—01
MT
FLAT (1,
vz O
�\��� z�z
1l xv
' = Abandon In Place Per
e &/Or Install Diverter
SWING—TIE CHART
A—C=41.10
3 BRIM A—D=51.91
B—D=46.76
A—E=87.11
B—E=87.56
4" SOLID PIPE AT
2% MAX GRADE /
TTER
210
i i ni /i #i
;g';CONSTRU
,.r_..o-..•.„ef TRENCHES
PARALLEL TO SLOPE
••
• -•
TH LOCATION.
00
I I _ _ . — _ .__ .._ 4 r—n r— n I 1
GENERAL NOTES:
1. MAINTAINED 10 FOOT SEPARATION DISTANCE FROM WATER LINES.
2. MAINTAINED MINIMUM OF 10 FOOT SEPARATION FROM ANY PROPERTY LINES.
3. FOUNDATION CLEANOUT PLACED WITHIN 4 FEET OF FOUNDATION.
4. CONTRACTOR VERIFIED ALL SEPARATIONS TO ADJACENT/SUBJECT WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND
ALL OTHER REQUIRED SETBACKS.
5. PLACE A MINIMUM OF 3 FEET OF EARTH COVER (OR EQUIV) OVER ABSORPTION FIELD. ONE INCH OF WESTERN
'Insulfoom II” (OR EOUIV) MAY BE SUBSTITUTED FOR ONE FOOT OF EARTH COVER UP TO A MAXIMUM OF TWO
INCHES OF INSULATION.
6. MAXIMUM OF 2% GRADE TO TANK.
%
9m
* �/
KENN /
`'. CE -71 N
Atf
��ss1oN=
ABANDON EXISTING TANK PER CODE & SEEPAGE PIT
OR IF POSSIBLE, INSTALL DIVERTER TO SEEPAGE PIT,
INSTALL TRENCHES PARALLEL TO SLOPE CONTOURS
PREPARED FOR:
KEITH BAYHA
HC 03 BOX 8452
PALMER, AK 99645
(907)746-6662
FIELD BOOKS
•auow(r.
sTuo,a Johns(
As9ULT:
9.a ME
"DAD n`L 06044
COWUTM.
MA"" kmd
CHEacm KMD
DATE; 06/22/
COD: NW055
40 Ka' 06-044
Scale: 1'= 30'
PAGE 2 OF 2
1E D ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)098-0111/FAY (907)898-8111
�..[NOYoCIawAaY.wm/Imdaa�.k.a.l
KN D ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
SOILS PERCOLATION TEST
Performed for: Keith Bayha Date Performed: 6/8/06
Project: Donaho Homestead #1, B2, L2 TEST HOLE tt 06.1
Depth
(Feet) SEE ATTACHED SITE PLAN
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
Org -top 0.5'
SM - red -brown/ loose
GM - med dense, grey
w/cobbles to 12"
Density increasing w/ depth
B.O.1 f.
HOLE PRESOAKED
PRIOR TO TEST
FOR HOLE LOCATION
Was Ground water encountered? NO What depth? NA
Depth to water after monitoring? NO Date? 6/15/06
Reading
Date
Gross
Time
Net
Time
Depth to
Nater
Net
Drop
1
5/13/06
1:00
-
6"
-
2
1:30
30 min
41/16-
15/16-
3
1:30
41/16"
-
4
2:00
30 min
3 7/16"
10116-
5
2:00
37/16"
-
6
2:30
30 min
2 13/16"
10/16"
Water
Added
Percolation Rate 48 (min/ in) Perc Hole Diameter 6"
Test Run Between 4 feet and 5 feet
I, Kenneth ht. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
KINID ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
SOILS PERCOLATION TEST
Performed for: Keith Bayha Date Performed: 6/8/06
Project: Donaho Homestead #1, B2, L2 TES[' HOLE a 06-2
Depth
(Feet) SEE ATTACHED SITE PLAN
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
Org -top 0.5'
SM/GM - red-brown/loose
Ch1- med dense, grey
w/cobbles to 6"
Density increasing w/ depth
B.O.11.
HOLE PRESOAKED
PRIOR TO TEST
FOR HOLE LOCATION
Was Groundwater encountered? NO What depth? NA
Depth to water after monitoring? NO Date? 6/15/06
Reading
Date
Gross
Time
Net
Time
Dep to I
Water
Net
Drop
1
5/13/06
1:00
6"
-
2
1:30
30 min
4 3/16"
13/16"
3
1:30
43/16"
-
4
2:00
30 min
38/16"
11/16-
5
2:00
38/16"
6
2:30
30 min
213/16"
11/16"
•
Water
Added
Percolation Rate 44 (min/ in) Perc Hole Diameter 6"
Test Run Between 4 feet and 5 feet
I, Kenneth NI. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
ICINI D ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
696-6111 / FAX (907) 696-8111
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS
LEGAL DESCRIPTION: DONAHO HOMESTEAD 91, BLOCK 2, LOT 1
GENERAL:
1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a
single-family residence on the referenced property as delineated on the attached Municipality of
Anchorage (MOA) permit and site plan.
2. Construction shall be in accordance with the approved site plan and design drawings; MOA
permit with any special provisions or conditions, and all applicable State and Municipal
Wastewater Disposal Regulations.
3. KND Engineering, Inc (KND) assumes no responsibility of the accuracy of the as -built survey
provided by the owner or owner's representative.
4. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the
design plans or drawings prior to commencing work. These discrepancies could be, but not
limited to, possible encroachments, surface water, varying soils, unplatted easements, types or
use of dwellings on or adjacent to property, nearby public wells, etc.
5. The contractor shall be responsible for locating any necessary underground utilities, easements,
property lines and surface water. The owner and/or contractor shall ensure, if deemed
appropriate, that a registered land surveyor prior to construction flags all setbacks.
6. The contractor shall be responsible for verifying all pertinent separation distances and
component layout.
7. Unless specifically agreed otherwise, the property owner shall be responsible for final grading
areas subsequently depressed from soil settling. On all leachfield mound systems, the property
owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded
arca.
8. The MOA Development Services Department On -Site Water & Wastewater Program must
certify contractors installing wastewater disposal systems. Owners installing their own systems
must also receive prior approval from said MOA Department.
SEPTIC TANK / HOLDING TANK / LIFT STATION INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall
include two 4" cleanouts for pumping access.
2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent
damaging, settling or shifting of the tank.
3. All standpipes on the septic tank shall extend a minimum of 12 inches above the final grade.
4. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will
ensure that the fill over the tank does not exceed the burial depth rating.
5. A foundation cleanout shall be installed one to four feet from the building foundation. In the
line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent
pumping system exists within the septic tank). These cleanouts shall be located on undisturbed
soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward
the septic tank.
6. Final grading over the septic tank shall be such that a positive slope exists away from the septic
tank.
Page 1 of 3
Reference: Donaho Homestead 81 B2, L2
Date: 06/15/06
Page: 2 of 3
7. All H.D.P.E. tanks shall have a vertical length of 4 -inch perforated drainpipe besides the tank
extending to the bottom of the tank to above grade to monitor ground water.
8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy
forces in high -groundwater areas.
9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence.
10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA
guidelines.
11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform
Plumbing Code. The contractor is solely responsible for the abandonment procedure.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the
excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared,
they must be raked or scratched (roughed -up) before gravel (sewer rock) placement.
2. Once the sewer rock is installed, the distribution pipe is installed level with the perforations
facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum
of 2 inches of cover over the pipe.
3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure
the silt barrier covers the entire gravel surface before placing backfill.
4. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations
shown on the design, and extend a minimum of 12 inches above final grade. The portion of the
monitoring tube extending through the gravel shall be perforated from the bottom of the trench
to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as
noted on the design.
S. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be
installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the
trench must be mounded to prevent the formation of a depression after settling.
6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent
Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per
manufacturer's specifications and MOA requirements.
MINIMUM MATERIAL SPECIFICATIONS:
1. A MOA approved septic tank manufacturer must construct any septic tank proposed for
installation.
2. The following pipe materials are MOA approved for use in septic system installations:
Type of Pipe Perforate Ealw
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company
Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or
equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between
the final leachfield gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 37o passing
the #200 sieve. If deemed necessary, a sieve analysis should be performed.
7. When sand is being used as a filter material, its gradation specification must conform to current
MOA or DEC requirements.
Reference: Donaho Homestead #1 B2, L2
Date: 06/15/06
Page: 3 of 3
INSPECTIONS:
Typically there will be three (3) inspections required during the installation of the wastewater
disposal system. These inspections will occur as follows:
1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds
and before the installation of any gravel. A septic tank may be set in place, but may not be
backfilled before this inspection.
2. The second inspection must be conducted after the placement of the sewer rock, distribution
lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any
other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required, especially with the installation of multiple
trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted
at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take
place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's
activities.
The owner shall contract with the contractor to perform the work outlined in these specifications and
attached plans and in accordance with the attached MOA permit. All materials, components, and
construction practices shall comply with the MCA's and the State of Alaska's latest ordinances,
regulations, or policies regarding wells and septic systems. The failure of the inspecting engineer to
notice a material or construction non-compliance does not relieve the contractor of his/her
responsibility to correct such deficiency. There will be no contractual arrangement existing between
the contractor and KND Engineering, Inc. KND shall be the owner's representative and will inspect the
work as stated above to document the contractor's activities. Final acceptance of the contractor's work
rests with the owner and the MOA.
KND shall have no liability to the owner or to others for acts or omissions of the contractor or any other
persons performing work on this project or the failure of the contractor to carry out the work in
accordance with these construction documents. KND's inspecting engineer will not be responsible for
the construction means, methods, and techniques, sequence, procedures or the safety precautions
incident to this project.
BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR
WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER
ACKNOWLEDGES HAVING READ AND ACCEPTED THESE SPECIFICATIONS.
Municipality of Anchorage
Development Services Department
• +� Building Safety Division
Onsite Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To: KND Engineering
Legal description: Donaho Homestead #1. Block 2 Lot 2
The attached paperwork has been reviewed and is being returned for the following reasons:
❑ Original signature or stamp missing on
❑ Calculation error in design. _
❑ Additional soils information needed. _
❑ Water monitoring results inadequate. _
❑ Discrepancy in information submitted.
® Topographic information missing or inadequate. The site plan shall have a description of the
topography, areas of excessive slope, and extent of slopes and surface drainage patterns within
100 feet of any part of the system or portion of the lot intended for use for on-site wastewater
disposal. AMC 15.65.030 D. Please provide this information on the site plan.
❑ Incomplete; missing
❑ Incomplete; missing
❑ Additional adequacy test Information needed.
❑ Water sample unacceptable. _
❑ Measured/proposed distances/dimensions missing.
❑ Locations of all soils, percolation and water monitoring tests not shown.
❑ Proposed system too deep for soils Information submitted. _
❑ Well log required.
® Omission in narrative. Please note that the seepage pit and tank will be abandoned per
code.
❑ Insufficient fill over tank or field._
® Other. Septic system must be parallel to the contours of the slope.
Name of reviewer. Deb Wockenfuss Date: 6/30/06
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
WELL & WASTEWATER DISP❑SAL SYSTEM SITE PLAN
D❑NAHO HOMESTEAD ADDN #1 SUBDIVISION Block 2 Lot 2
1 YOo�
II µgiplOYATE ~
LOCA11011 '
111
IK D �lii�i s7733•IU•f 2P'3lic Wnte\
I 1 j i�II SEPTIC EXIST ^ (a)
.a � / 11 m S',,�
^\ H8933 1 / 9— \ Public Water .
/ //2 °� 19
1 P
n n
��,.y 1n n o-6
1�ElL ION $ TE / j �V 4 r ^
LOCA a
g a l �'1 ` s Water
L 20
I Yo t N89•5554'V 190A3 Nt
15
/ 93 63 9300
EXIST \`C 300.39 /
J SEPTIC N89'33'35•E 150.54 150.00
IST13tlec 6 TNteaw Etat. S
111 n
P(83- E ST ul 6 m 28 27 n
k TIC
W
SE rlc lll,l B '21— W
111 N� I�llll o nJ o 0
�� 111111 83-332)
16 g C`It Itm P Public Wate`
o y $ubllc Wnte P
Io
io Public Water
b e
,�l.lblic Water
2319 30 30 y 130.61F N89.55'53'V 130.00
I'E 330.03 64-113
NO PUBLIC WELLS WITHIN 200' OF
PROPOSED SYSTEM.
NO PRIVATE WELLS WITHIN 200' OF
PROPOSED SYSTEM EXCEPT AS
NOTED.
NO SEPTIC SYSTEMS WITHIN 200' OF
PROPOSED WELL EXCEPT AS NOTED.
Adw AW _4� OF AL`gS�,i 1
Ell
i kande
CE -711
1 ' tri y2 nL •••' {�/
Aw
FIhbFE3S10�P-
SB ' ;OO; —0.00 P-338
N8 . 9 14 63-70
DESIGN DETAILS
3 BDRM X 150 GPD = 450 GPD
450 GPD/0.45 GPD PER SO. FT. (48 MIN/IN.)= 1000 SO. FT
(1000 / 6' (D) x 2 (SIDES) (6' GRAVEL) = 84 FT. TRENCH
USE 2 TRENCHES - 42' (L) X 2' (W) X 6' (D)
Total max. depth of system Is 8.5' from original grade.
21
NOTES,
1. INSTALL 1000 GALLON SEPTIC TANK 6 INSULATE IF < 4' COVER
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM IF <3' COVER
W/MIN. OF 2' FILL
3. CONTRACTOR WILL ENSURE MAXIMUM 27 SLOPE INTO SEPTIC TANK.
4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS.
PREPARED FOR,
KEITH BAYHA
HC 03 BOX 8452
Scale, 1'= 100'
PALMER, AK 99645
(907)746-6662
PAGE 1 OF 2
FIELD BOOKS tawTEO:
JEH ID ENGINEERING, INC.
20441 PTARMIGAN BLVD.
RIVER, AK 98577-8736
(907)896-6111/FAIL(907)696-Bill
m.Q(DCuElnwrlo6.wm/Imdto�ek.ott
9011NDMr. Mm: krnd
Johnson p1E)Im' KMD
AmLar. DATEEAGLE
6/22/06
O'tO. RE: GM NW055
ACAO n`-' 06044.DWG Joe N'` 06-044
6:\•91 • S(P1,C - nW by L@gd\aa Nemtelea6Vd /,\Lel 7\06-0HA"
WASTEWATER DISP❑SAL SYSTEM DETAILS
DONAHO HOMESTEAD ADDN #1 SUBDIVISION Block 2 Lot 2
M INTAIN 16'
SEPARATION FROM
EXISTING FIELD
FLAG WELL RADII PRIOR
TO CONST.
EXISTING SEPTIC
FIELD A.I.P:N
1000 GAL
��STEEL ST
TH06f-01
THOS
( 42'Lx2'Wx6'D _
M X DEPTH O.G. 8.
O
M
A.I.P. = Abandoned In Place
/ "DvM
�J
SWING -TIE CHART
A -C=41.10
B -C=29.54
A -D=51.91
B -D=46.76
A -E=87.11
B -E=87.56
L4" SOLID PIPE AT
2% MAX GRADE
GZ, llI {:.CIG
CONSTRUCT TRENC4S�
MIN. OF 5' AWAY FROM
TH LOCATION.
300,39
- - — - -- — 4 rn r- n 1
GENERAL NOTES:
1. MAINTAINED 10 FOOT SEPARATION DISTANCE FROM WATER LINES.
2. MAINTAINED MINIMUM OF 10 FOOT SEPARATION FROM ANY PROPERTY LINES.
3. FOUNDATION CLEANOUT PLACED WITHIN 4 FEET OF FOUNDATION.
4. CONTRACTOR VERIFIED ALL SEPARATIONS TO ADJACENT/SUBJECT WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND
ALL OTHER REQUIRED SETBACKS.
5. PLACE A MINIMUM OF 3 FEET OF EARTH COVER (OR EQUIV) OVER ABSORPTION FIELD. ONE INCH OF WESTERN
'Insulfoom II" (OR EOUIV) MAY BE SUBSTITUTED FOR ONE FOOT OF EARTH COVER UP TO A MAXIMUM OF TWO
INCHES OF INSULATION.
6. MAXIMUM OF 2% GRADE TO TANK.
iS> OF•AL4's•�\ PREPARED FOR,
jor eQ-1 . • . "1 1 KEITH BAYHA
HC 03 BOX 6452 Scales 1'= 30'
' Q PALMER, AK 99645
,4
* * (907)746-6662 PAGE 2 OF 2
r
r KENNETH 1(. D � ll3 ; FlEID BOOKS tawrtr. 77�jyy���TT
4 4C _ . dY M]U"aMW. aur+: km JEHID ENGINEERING INC.
Johnson O1EOlm KMD 20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
ASOMT.' DAM 06/22/06
14. �' !'ESStONI+= oc nr: CFJD: NW055 (ca7)eoa-e�Ei/F�x (ca7)aee-eitt
n..Q70LodInMrinL.eom/tnd�ed�Jt.n�t
AuoftE`06044.DWG " ": 06-044
a:\.cu • sonic — n by Ewd\Da "m tm WVea, II" 2\0e-0H.d"
., GREAlIER ANCHORAGE AREA BORv JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
SEEPAGE PIT: a;;It.x :-;I.ZLx Q,1 (, `? /
NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH_, DEPTH
co
Q a-MO4+ a '.
LINING MATERIALQA CRIB SIZE: DIAMETER�DEPTH� DISTANCE FROM: WELL
LV/ C44j.1." `-0 TOTAL EFFECTIVE
BUILDING FOUNDATION NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT.
ADDITIONAL ABSORPTION -JXX
WELL:
TYPE tA� CONSTRUCTION n DEPTH _
BUILDING NEAREST NEAREST SEPTIC
FOUNDATION LOT LINE SEWER LINE TANK _
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED REMAR
DISTANCES:
INSTALLED BY:
kJI
PIPE MATERIAL: 'l � S
LOT SLOPE:. L't�ttC
REMARKS: -.
DIAGRAM OF SYSTEM
yo,
0
DISTANCE FROM:
SEEPAGE
SYSTEM
w W
U
d`)
7 G
DATE �� �� APPROVED
G.A.A.B.
�i
INSPECTION REPORT ON-SITE SEWAGE
DISPOSAL SYSTEM
NAME
MAILING ADDRESS N-00
PHONE -,Q7'
-9300
LOCATION 9
LEGAL DESCRIPTION L Dc>J l 4ta41''
0,,aA
SEPTIC TANK:
DISTANCE
NUMBER OF
,�,�
60
FROM WELL 1MANUFACTURER 1 MATERIAL_
COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH LIQUID DEPTH
LIQUID CAPACITY %G)d°j
GALLONS.
SEEPAGE PIT: a;;It.x :-;I.ZLx Q,1 (, `? /
NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH_, DEPTH
co
Q a-MO4+ a '.
LINING MATERIALQA CRIB SIZE: DIAMETER�DEPTH� DISTANCE FROM: WELL
LV/ C44j.1." `-0 TOTAL EFFECTIVE
BUILDING FOUNDATION NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT.
ADDITIONAL ABSORPTION -JXX
WELL:
TYPE tA� CONSTRUCTION n DEPTH _
BUILDING NEAREST NEAREST SEPTIC
FOUNDATION LOT LINE SEWER LINE TANK _
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED REMAR
DISTANCES:
INSTALLED BY:
kJI
PIPE MATERIAL: 'l � S
LOT SLOPE:. L't�ttC
REMARKS: -.
DIAGRAM OF SYSTEM
yo,
0
DISTANCE FROM:
SEEPAGE
SYSTEM
w W
U
d`)
7 G
DATE �� �� APPROVED
G.A.A.B.
�i
�""IfK�A. fi.. "ll" IRI 11—
DEPHRTMENT - HEHLTH HND ENVIRONMENTHL —9UTF[|1UN --
2516 E/UDOR RD, HNCHORHGE,
276-2221 —b
_ .... _.._.....
0
PERMIT NO ( 76905 ) --'�
HPPLICHNT 1400 BIRCHWOOD
LOCHTION HIGHLHND DR
LEGHL L2 DONHHO HOMESTEHD HDDN #1 LOT SIZE 54G00 SQUHRE FEET
TYPE OF SOIL HBSORBTION SYSTEM I. T
MHXItel UM NUMBER OF BEDROOMS = ] SOIL RHTING (SQ FT/BR)= 140
THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM IS�
�������������� ���� ���������
BHCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION HND HPPROVHL BY THIS
DEPHRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM
�=
��'�
������V -11 E", 11.
THE
LENGTH
DIMENSION
IS THE LENGTH (IN FEET) OF E'AC'HSIDE FOR H SEEPHGE PIT
THE
DEPTH OF
H TRENCH
OR IS THE DISTHNCE BETWEEN THE SI IP OF THE
GROUND HND
THE BOTTOM
OF THE EXCHYHTION (IN FEET)
THE
GRHYEL
DEPTH IS THE
MINIMUM DEPTH OF GRHYEL BETWEEN THE OUTFHLL PIPE
HND
THE BOTTOM OF THE
EXCHVHTION (IN FEET)
IF����������It����
�������������� ���� ���������
BHCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION HND HPPROVHL BY THIS
DEPHRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM
DISTHNCE BETWEEN H WELL
HND HNY ON—SITE
SEWHGE DISPOSHL SYSTEM IS
100
IYE WELL OR
FEET FOR H PRHT
200 FEET FOR
H PUBLIC WELL
WELL
LOGS HRE REQUIRED HND MUST
BE RETURNED
TO THE DEPHRTMENT WITHIN ]0 DHYS
OF
THE WELL COMPLETION.
�pFc7FrceTTnw�
H�D CONSTRUCTION
DIHGRHMS HRE
HYHIL�BLE TO IN5ORE PROPER
��.����� �� ��
INSTHLLHTION
�����-T 11 1* H*- I���
I CERTIFY THHT
1 I HM FHMILIHR WITH THE REQUIREMENTS FOR ON—SITE SEWERS HND WELLS HS
FORTH BY THE MUNICIPHLITY OF HNCHORHGE�
2� I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES
]� I UN[ERSTHND THHT THE ON—SITE SEWER SYSTEM MHY REQUIRE ENLHRGEMENT
RES E O INCLUDE MORE THHN ] BEDROOMS
^ /
SIGNED� _
/
ISSUED BY_ P/t.����_________DHTE_� ��___-----/ \
�
*
L r, cam.
R & M CONSULTANTS, INC. 6249 EAST 51 ST. AVE. - BOX 6007 - ANCHORAGE, AK.99902 - P.H. 807.2278.0403 - TLX. 080.215380
November 15, 1976
a
Dean Ryland
4102 Allen Drive
Anchorage, Alaska 99502
R & M No. 656324
Re: Test Hole and Soil Log Report for Sanitary System
Donaho Homestead Addition #1, Lot 2, Eagle River, Alaska
Dear Mr. Ryland:
We are submitting herewith the test boring results and our comments
regarding soil conditions encountered at the subject site. This in-
vestigation was performed in accordance with your request of November 11,
1976, and those procedures outlined in a letter dated July 15, 1976,
by Mr. Rolf Strickland of the Municipality of Anchorage, Department
of Environmental Quality.
A single test hole was put down within the subject site area for the
purpose of defining general subsurface soil conditions for the proposed
sanitary system. Excavation was accomplished with an auger type drilling
rig and the test hole was extended to a total depth of 18.5 feet below
ground surface. The final log prepared for the test hole has been
included in Drawing A-01..
Groundwater was not encountered in the test hole while drilling.
We appreciate being given this opportunity to be of service to you.
Should you have any questions with regard to the above, please do
not hesitate to contact us.
Very truly yours,
R & M CONSULTANTS, INC.
James W. Rooney
Vice President
JWR/sc
xc: Municipality of Anchorage
A:hi=HU7AAGS PAI - AiVKS JUN} -Au
0
Highland Drive
Test hole locations are approximate
and have not been _located by survey
methods.
T. H. 1
11/12/76
.1''p.
�0
mm
.ORGANIC SANDY SILT
Red -Brown
_-------- --- — 2.0'
Boulder at 3.5'
GRAVELLY SAND W/TRACE SILT (SP)
—_—_------- _ —_7.0'
SANDY' GRAVEL W/TRACE SILT (GP)
10.5'
GRAVELLY SAND'1I/TRACE SILT (SP)
Many Cobbles After 14'
Auger Refusal on Boulder at 18.5'
No Water Table 18.51
This log represents subsurface soil
conditions within Donaho Homestead
Addition #1, Lot 2, Eagle River, Alaska
0,N11: K15 j'�jl
CK.D JMA__ R6M CONSULTANTS, INC. SANITARY SEWER TEST HOLE GRID:
ena0iN.... 0[0L00,a1Y. ........ ... 1J0,Y1 "'
%i 1.1 X15%75 DEAN RYLAND PRpJ_NO. 6�i�Z2...:.
�
.-- -- I) n-"(C:HO AGE, ALASKA i
A-
2
M -W DRILLING, INC.
DRILLING LOG
Well Owner
Location (address of: Township, Range, Secti n, if known; or distance main
JNICIFA1-14`1' OF ANO'
'C'
of Well
Size of casing Depth of Hole feet Cased to feet
Static water level ft. (above) (below) land surface. Finish of well (check one) open end
Screen Perforated
Describe screen or perforation
Well pumping test atgallonsper (hour) (minute) forhourswith ft,
of drawdown from static level.
Date of completion
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
—TO—
N'VVWA Cojt;! io(l Cootractor
2 — STATE
M -W DRILLING, INC.
DRILLING LOP,
Well Owner Use of Well
Location (address of: Township, Range, Section, if known; or distance, main road
)1,T
Size of casing—Depth of Hole feet Based tofeet
Static water leve' ft.(above) f well (check one) pen end
(below) land surface. Finish o 0
Screen Oqrt orated
Describe eux�) -(mi screen or erforatio
'It (-h -
Well pumping Lst) a /galrbr�i pE(r- dute)-f
of drawdown from static level.
I I Date of completion
WELL LOG
Depth in feet from I
ground surface ___Ge details of formations penetrated size.,d material, color and hardness
—TO
o
TO
I A Pj
TO
V \J
TO-
-TO Ab
tv
TO
TO
TO
TO
--TO
TO
2 — STATE
c\
S -f
c�� c--) 4-k-,t-
ju
u3tt-s
0
al ems. v� � k-, cn
1,26
5. LEGAL DESCRIPTION
DA i c Fi''ECEIVED
- INSPECTION APPOINTMENTS
14 wilad Addii
O
TIME
TIME
TIME
NUMBER OF,BEDROOMS
"�)n Y
DATE
DATE
DATE
❑ Two ❑ Five
❑
Lk
® Three ❑ Six
7. WATER SUPPLY
INSPECTOR
INSPECTOR
INSPECT0!
L,,,,
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC1%WRONMENTAL PP,OTECTION
825 L Street - Anchorage, Alaska 99501
PUBLIC UTILITY
•
APR 6 11981
ENVIRONMENTAL SANITATION DIVISION
Telephone 264.4720
R E E i 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. PROPERTYOWNER
PHONE
Kit Ballantine
694-2892
MAILING ADDRESS
h and Highland; Eagle River, Alasak
PROPERTY RESIDENT (If different from above)
PHONE
same as above
2. BUYER
PHONE
Keith Ba ha
333-261
MAILING ADDRESS
4331 Vance 6C• Anchoraee. Alaska
3. LENDING INSTITUTION
PHONE
279-0665
MAILING ADDRESS
4797 Riigingg-, Park Blvd,
4. REALTOR/AGENT
PHONE
Totem Realt - Audrey Mason
1694-9494
MAI LING ADDRESS
Eagle River, Alaska 99557
5. LEGAL DESCRIPTION
ST O
14 wilad Addii
O
93
6. ft 8 F
NUMBER OF,BEDROOMS
❑ One ❑ Four I❑ Other
$7
SINGLE FAMILY
❑ Two ❑ Five
❑
MULTIPLE FAMILY
® Three ❑ Six
7. WATER SUPPLY
®
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
Ejj
INDIVIDUAL/ON-SITE''
YEAR ON-SITE SYSTEM WAS INSTALLED.
❑
PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) ,
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ 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
DATE INSTALLED
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size: If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELL T0:
Septic/Holding Tank
Absorption Area
Sewer Line
[Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
±4 --APPROVED FOR 3 BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE t
L 4— S \
BY r
i \
72-010 (Rev. 6/79)
J
5. LEGAL DES IPTION
DATE RECEIVED
INSPECTION APPOINTME TS
fit
YTME
TIME
TIME
t
DATE
DATE
DATE
INSPECTOR
INSPECTOR
INSPECT
❑ Two ❑ Five
❑ MULTIPLE FAMILY
1
7. WATER WPPLY
MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEOMNONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
❑ PUBLIC UTILITY
SEP 2 4 1980
0
ENVIRONMENTAL SANITATION DIVISION
P��YLAG
Telephone 264-4720^ E ` , D
REQUEST FOR
APPROVAL OF INDIVIDUAL WATER AND
SEWER F/ I-L1IIM
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
7. PROPER ,TY OWNER
PHONE
Z/C- 17-
MAILIN AD KESS / Q
PROPERTY RESIDENT (If different frofin above)
PHONE
S rA
.� ir 2-
2. BUY
3 ONE
cm
MAILING A11DRESS'
SRI,q n�-
LENDJNG jNSTITUTION_
PHONE
4. RECA%LTOR/A T
PHONE
MAILING ADDRESS 1
(4 ^
J
J
5. LEGAL DES IPTION
Z
G/
STREET LOCAT ON
Ir
TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
❑ One ❑ Four ❑ Other
SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
Three ❑ Six
7. WATER WPPLY
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
P��YLAG
INDIVIDUAL/ON-SITE**
1q`lL� -YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) ��u)
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO CEJ ' 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
El PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED '
Cp`
INSTALLER
S
❑Septic Tank or ❑ Holding Tank
Size:_ If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELL T0:
Septic/Holding TanT
bsorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
APPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
e�-6 r74nFs_�;,
--� __
BY
72-010 (Rev. 6/79)
4
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Wff&X. s3CL-0.
2921 INTERNATIONAL AIRPORT ROAD • ANCHORAGE, ALASKA 99502
Customer's TELEPHONE 274-3645
Order No. Date h_ ( 19
Name
Address
SOLD BY CASH
4
C.O.D.
CHARGE ION ACCT.
MDSE.RETD.
PAID OUT
QUAN. DESCRIPTION
PRICE
AMOUNT�Y�
1�
,
i a
v
1
TOTAL
ALL Claims and returned goods MUST be accompanied by this bill
A 7312 Recd by
501-A L