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HomeMy WebLinkAboutDRAKE BLK 2 LT 4 Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ,~(.~,3 cj'~o ~_oz. PID Number: Name: C Lw~:3 ~ ~t ~,s ~,~,~ ~ Wastewater System: ~ New ~Upgrade Address: ~o ~~c ~ ~/~ ABSORPTION FIELD Phone: ~ No. of Bedrooms: ~ ~I ~ ~OeepTrench ~ Shallow Trench ~ Bed D Mound ~ Other Soil Rating: Total Depth from original grade: LEGAL DESCRIPTION Lot: ~ Block:~ ~~Subdiv~i°n: Depth to pipe~boffom from original grade: Ft. Gravel depth~beEeath pipe Ft, Township: I Range: I Section: Fill added above original grade: Gravel length: I I Ft. Distance between lines: WELL: D New D Upg~ Gravel width: , Number of lines: , _ ~ Ft. ~ Ft. Classification (Private, A,B,C): ~ Cased To: Total absorption area: Pipe material:~ Ft. Ft. Driller: .~(~ Date Drilled: Static Water Level: Installer: Date iastalled: ~ ICasing Height Ab°va Gr°und: GPM I Pump Set at: Ft. Ft. TAN K SEPARATION DISTANCES ~eptic ~ Holding D S,T.E.P. To Septic Absorption Lift Holding =ubllc/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines We~' /~, /~ _ Surface Water /~ /~ ~- LIFT STATION Lot Manufacturer: Line /~ /to~ ~ Foundation ~t ~.~ .~. . "~ump on" ~v,I at: ~:II High wat,r alarm at: Remarks: ~~. ~,~c~ ~~~ BENCH MARK Location and Description: Assumed EleVation: Inspe~tion~ pe~orme~ by: ~-~~~,~ D~tes: ~st ~/~1~ ~n~~- Department of Health and Human Se~ices approval Reviewed and approved by: ~- .~ 72-013 (Rev. 9/91) MOA 25 PERMIT NO,, SV980202 AS-BUILT DETAILS ~/ASTEk./ATER ABSI-IRPTION SYSTEM LFIT 4, ]BLF1CK 2 DRAKE SUB]], P,I,]].~ 017-461-16 lnDN¥3]3 ~flON~393 lflON~393 lnON4?~93 PREPARE]] FOR: Clyde Klsslmger 12400 PIn~:II St Amchor:ge, AK 99516 (907) 345-0763 L o~ oO II Il _1 ._1 w w c c- U C L CL w PANNDNE ENG, SVC, P. O. ]BOX 142025 ANCHORAGE, ALASKA 99514 274-0308, 272-8218 FAX DATE. PERMIT ND,, AS-BUILT ~/ASTE~/ATER ABSORPTION SYSTEM LOT 4, BLOCK 8 ]]RAKE SUBD, P,I,D,~ 017-461-16 PINTAIL ST '\x ~._\ ~ ~ ........... ! SVTNG TIES C,0, A B EXIST, ~/ELL ])C1 46,8 58,4 T1 48,3 60,1 4,0 DC8 56,4 66,4 S ~EXZ~T ~ / C1 67,8 75.8 S ~3n~ ~ / MT 78.7 70,3 ~:~. ~ {HOUSE j / C8 96,5 B8,0 NE~ , ~l~ TANK [NFAILWRE, ~ ~ ~ Q / ~NT ~ REPLACENENT 6'EFFx3 x63LF THERE ARE NOW ~ELLS OR SEPTIC SYSTEMS WITHIN 100 FEET DF PROPOSED SYSTEM. PREPARED FOR, CLyde Klsslnger 18400 PIn~IL Anchorage, AK 99516 (907) 345-0763 AS-BUILT, ~61T~T'"OT~ -'GlSD-y~'F 850 sP/br - 3 B~' House 750 sF Required Deep Trench 6' E¢¢ec~lve, 3' ~lde 63 LF o¢ Tpench 756 SF TUTAL AREA PANNONE ENG. SVC P. O, BOX 148085 ANCHORAGE, ALASKA 99514 878-8818 Phone & Fax 7-113-98 AS-BUILT ~LE' 1'=50' MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 25, 1998 Expiration Date: Jun 25, 1999 Permit Number: SW980202 Legal Description: DRAKE BLK 2 LT 4 Design Engineer: Steven R. Pannone Owner Name: Clyde Kissinger Owner Address: 12400 Pintail Street Anchorage, AK 99516-2801 Parcel ID: 017-461-16 Site Address: 012400 PINTAIL ST Lot Size: 83807 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [~ Disposal Field I~ Septic Tank [~ Holding Tank ~] Privy I~ Private Well Water Storage All construction must be in accordance with: 2. The attached approved design. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska 3. Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling 4. (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 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. Steven R. Pannone, P.E. Consulting Engineer (907) 272-8218 P.O. Box 142025 Anchorage, Alaska, 99514 (907)272-8218 Fax June 19, 1998 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 4, Block 2 Drake Subdivision EMERGENCY Septic Upgrade Permit Existing System Is in Failure Gentlemen: My firm was contacted to investigate the septic system serving this lot due to sewage flowing out of the existing systems stand pipe. The existing system was constructed from a 1944 Dodge four door coup and 55 gallon drum and is in failure. A single test hole was excavated on June I0, 1998 for a system upgrade. The soils report and a percolation test remit is attached. No ground water was encountered or monitored after eight days. No bedrock was encountered in the test hole. The lot is approximately 2.0 acres in size. Lot 4 slopes to the southwest at a rate of approximately 1 to 4 percent. The proposed installation will be located ~ the south western portion of the lot. The existing field will be abandoned in place. A new 1,000 gallon septic t~ill be installed. Doubl~ clean-outs will be installed before and after the tank. The proposed location is greater th!~ -i00 feet away from the existing well serving this property and 25 feet from the water service lines. The surroundi~ wells are located greater than 100 feet from the proposed installation. The proposed installation will not affeol~l~e furore development of the surrounding or existing lots. See the attached design. Please contact me at 272-8218 or 227-3522 if you have any questions about the proposed installation. Sincerely, Steven R. Pannone, P.E. Attachments: C :\WORK\4-2Drake.001. PERMIT NO,, ]3 E S I G N P,i.m WASTEWATER ABSrlRPTIF]N SYSTEM ~~ LBT 4, RLF1CK 2 DRAKE gUIlD, EXIST, WELL ~ ~.~..., ~ HOUSE / '~\ 8e.a' '~ PROPOSE~ SEPTIC TANK SEPTIC SYSTEM ~ z~> '.NF~ILURE~ ~ ~ ~ ~ SYSTEH C,%~ork ,4-E~RAKE,~6 9ESZGN~ - -e 250 s?/br - 3 ~r House ~ ~ ~7~ THERE ARE NB~ ~ELLS BE SEPTIC ~ ........... ~ SYSTEMS ~ITHIN 100 FEET BF 750 sC Eequl~ed ~.;, "'~;;.~ PRBPBSE~ SYSTEM, 9eep T~ench ~ '..~ ~ G' E??ec*lve, 3' Vide 49~ '~ ~ ~ ~ G3 LF o? t~ench ~'~~~'"% ............. 7'~'~ PREPARED FOR~ PANN~NE ENG. SVC . ? = P, 0, BOX 142025 ~;~.~.,~[~ ..' ~ 1~400 P~n~ S~ ANCHORAGE, ALASKA 99514 ........ ,~,'. ~ Anchorage, AK 99516 272-8~18 Phone ~ F~x e~a~~W (907) 345-0763 DATE, 6-Z7-98 3ESIGN ~~ SCALE, 'PERMIT ND,~ P,IJ),~ DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM LOT 4, BLOCK 2 DRAKE SUBS, 3,5' 3~fl£ aO£INOW lnON~390 C~[\Vopk\I-MARG,dw~r PREPARED FBRI CLyde Klsslnger 18400 Plmt~l[ St Anchor'c~oe, AK 99516 (907) 345-0763 InGNV390 '-- 0 J inON~390 £nON~390 I~I]N~39D PANNBNE ENG, SVC, P, B, BOX 142085 ANCHORAGE, ALASKA 99514 874-0308~ 278-8818 FAX DATEr 6-17-98 ] NUT ~ S--"~-~LEI DESIGN PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O ._% t c-c-y.' T~t tt "'-/'t:~et~,~n,t e~ Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? /~'~0 S L IF YES, AT WHAT O DEPTH? p E Depth to WateLAfler . ~,/!~'/~ Monitoring? '-t~ fZY' Dote: Reading Date Gross Net Depth to Net Time Time Water Drop ~,1,[,~t~ ll,~ ~ -- 6,' _ PERCOLATION RATE "~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~' ~ FTAND (~',~' FT PERFORMED BY: '~'~'~"'~t,J~&/¢.¢ ~,-7~, ~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~/(~//~ ~ 72-008 (Rev. 4/85)