HomeMy WebLinkAboutEAGLEBROOK #1 BLK 2 LT 8
Municipality of Anchorage Page_t o~
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 e Anchorage. Alaska 99519-6650 e Telephone: 343-4744
On-Site Wastewater Disposal System and/or Wel~ ~nspection Report
Permit Number: ~_~ ¢ ~ ~ *~ PID Number: _~~
Address:
Phone: ~ No. of Bedrooms:
~ eepTrench ~ Shallow Trench B Bed ~ Mound ~ Other
LEGAL DESCR~PTION Soil Rating: ~ ~, ~ GPD/Sq. Ft. Total Depth from~°riginal~ grade:
Subdivision: ~ Depth to pips bottom from original grade: Gravel depth beneath pipe
Township: Range: ctio~: " ~ Ft.
~e Fill added above orional grade: Gravel length:
WELL: ~New ~ Upgrade Grave~: ¢,' ,~1 Number of lines: Distanc~ between lines:
Ft. ~ Ft.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Date,~rille¢: Static Waler Level: !Installer: Date installed: ¢
Yield: Pump Set at: Casing Height Above Ground:
% ~,M ~¢'~ .,. ~C? . ,t. TANK
SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P.
To Septic Absorption Lift Holding =ubiic/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank SewerLines ~H '~A~
Material: ¢& ~ Nu~be¢°f Compartments:
Surface
Water ~V~ IV/A L~FT STAT~O~
Lot Size in gallons: ~ Manufacturer:
Line ~]~ ~ 0
Cu~ain Pump Make & Model Electrical Inspections performed by:
Remarks: BENCH ~ARK
Location and Description:
ENGINEER'S SEAL
Inspections performed by: DateS:2nd~~st ~ .....
Department of He~ and Human Services app¢ova~ " -],
Reviewed and approved by' Date: / - ~- ~/ ,_' ' '~ ~ ]'
72-013 (1/91)MOA 25
/
/
30 ~ 30 ~0 ~0 ~0 ~0
$£ALE; ~' ~ ~ ,cT,
TFI]~ENSPURKLANI) P,E, ~ LD? 8 Z?LDCK ~ EAGLE~DDK I! S~TZC ~TE~ ~.
a03 V ,STH, AVENUE ~ ~
ANCH AK 99501 SEC, 3~ TI2N R3V 9~TE, DECEM~EN 1~ 1991
1£50 ~al ~ep~/c ~nk
12~ Sol Sepflc fonk
10£6
Nond;or
NIr~ FI 140
6 Fee~ oF Sep~clc Rock
Tn~I]~EN SPURKL~NZ) P,E, i !'-
203 WISTH, AVENUE
ANCH, AK, 99501
PERFORMED FOR:
LEGAL DESCRIPTION:
7
8
9
10
11
12
13
14
15
16
17
18'
19-
20-
~unicipalily of Anchora{~e
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SO~LS LOG -- PERCOLATION TEST
ENGINEER'S SEAL)'
DATE
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth to ~Valer Alter
Monitoring? Date:
SITE PLAN
PERCOLA]ION RATE __ (minutes/inch) PERC HOlE DIAMETER __
TEST RUN BETWEEN _ FT AND FT
PERFORMED BY:
CERTIFY THA~T~S TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THISDA'TE. DATE: ~/~f'}(
72-008 (Rev. 4/85)
Reading Date Gross Net Depth to Net
Time Time Water Drop
o ooooo oo oo oo
0 0 0 0 0 0 0 0 0 0 0 0
C)
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650 (~k~A~
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW910107
DESIGN ENGINEER:CONSTRUCTING ENGINEERS, INC.
OWNER NAME:SVEC MILOSLAV
OWNER ADDRESS:1410 HYDER ST. #A
ANCHo AK. 99501
DATE ISSUED: 5/17/91
EXPIRATION DATE: 5/17/92
PARCEL ID:01712160
LEGAL DESCRIPTION: EAGLEBROOK #1 BLK 2 LT 8
LOT SIZE: 66886 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD / WELL SYSTEM
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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS
ISSUED BY: /~~J~-'~"~-'~
TRENCH DESIGN
ABSORPTION AREA CALCULATIONS: 3 Bedroom X 150gpd/bedroom = 450~
Soils rating: 0.8 gpd/sf 450 ~/ 0°8 gpd/sf = 562
~sf
required surface area
562oSsf/(6'/'x 2) = 46o9', call 50' trench
IMPACT ON ADJACENT LOTS: Proposed well's protective radius impacts Lot 7
and Tract A-1. Existing protective radius for Lot 7 converges with proposed
Lot 8. Protective well radius impact from this proposed well on the adjacent
lots is not significant. There are no other lots impacted by this proposed
well and absorption system.
SITE PLAN DETAILS--PROPOSED ABSORPTION SYSTEM
LOT 8 BLOCK 2 EAGLEBROOK SUB
PREPARED FOR: MIKE SVEC
NOT TO SCALE DRAWN BY CAL
CONSTRUCTING ENGINEERS
9601 BUDDY WERNER DR
ANCHORAGE, AK~ 99516
346-2000
694-9098
DRAWING # 91-S2-05=2
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
DATE PERFORMED:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
Township, Range, Section:
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
COMMENTS
S
IF YES, ATWHAT
DEPTH? p
Oeplh Io Waler After
Moniloring?
Gross Net Depth to Net
Reading Date
Time Time Water Drop
I 4 ~Z.~-9~ 0 ~ 0n
z ,1 z_o,,,., z.:.,-.,. '~Vs" 3;
'~ I I ~ 'z.o,-,,,,. ~o ,~,"z
PERCOLATION RATE minutes/tach) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ ,CT AND FT
PERFORMED BY: e~'c~'3''Y''~:;:%~r'''°~ ~'~'?'1~J~'¢~' I ._ (--~/~.~-.~t~'''''Ok~-'~'~-' CER]IFY THAT ~HIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE__ ~.5~ /~,
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
DATE PERFORMED:
LEGAL DESCRIPTION: L'~, ~' ~' \'
1
2
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20~
Township, Range, Section:
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
COMMENTS
IF YES, AT WHAT
DEPTH?
O~le:
¢_..oe,~$¢.., 54,,,,*,~/MoniloringTDeplht° WaterAfter I~' !
S
L
O
_ P
E
Gross Net Depth to Net
Reading Date
Time Time Water Drop
PERCOLATION RATE Immutes/~nch) PERC HOLE DIAMETER
TEST RUN ~ETWEEN 5' FTAND (~'/~' _FT
PERFORMED BY:
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE.
72-008tRey 4,85~