The URL can be used to link to this page

Home My WebLink AboutCONIFER HEIGHTS BLK 1 LT 8 NAME MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT 1PHONE MAILING ADDRESS [~NEW [] UPGRADE LEGAL DESCRIPTION LOCATION NO. OF ~DROOMS I Well . ~ ~ Absorption area_ Dwelling ~ , PERMIT NO~ __ O ~ DISTANCE TO: I ~ ~ I ~ ~O ~O ~5~ Manufacturer ~ Materi~ / F No of compartments Liq. capacity in.aliens .......... Inside length Width Liquid depth Man~rer ~~~ ~Mat~ ~ kiq~citg in ~ 1 [~ell ..... / Foundation I~earestlotline t ~fiBMIT~O. ~ ~ ~ DISTANCE TO:I ~o. t~ MO I ~o ~¢ z~ No, of lines Length ofeach~e Total length oftine~ _ I Trench width Distance between lines Top of tile to finish grade , Material beneath tile ~ Total effective ab~rption area Length _Width Depth PERMIT NO, Type of crib Crib iameter Crib depth Total effective absorpti I~~ Depth Driller Distance to lot line PERMIT NO.~- O0 ~ ~ [ DiSTANC~TO~ Build,ng foundatlo~ Sewe~ hn~ Septic tan~ Absorpt,on area(s~ I ~: OTHER PIPE MATERIALS SOIL TEST RATIN2 t S-o ~ 4'-c~.~.~cd INSTALLER REMARKS APPROVED 3 (Rev. 3/78) DATE LEGAL PERMIT NO. APPLICANT LOCATION LEGAL M® I C I PAL I T~' OF ANcH'ORRGE DEPARTMENT HEALTH AND ENVIRONMENTAL "OTECTION 825 ~L' STREET, ANCHORAGE., 8Ko ~9~01 264-4720 ELL ON-- ZTE DESIGNS IN WOOD L. T.D. S.R. 8. 'BOX 2072 H 8NCH ;494747 PORT OXFORD DR. - L 8 B i CONIFER HTS LOT SIZE 29ese SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT?BR)= 100 ?~l I THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= 10 LENGTH= ~0 GRAVEL DEPTH= .5 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION <IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REQU I RED SEPT I ¢ TANK $ I ZE= 1000 GALLONS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. THO ( 2 ) INSPECT ION$ ARE REQU I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I RES DECEMBER I CERTIFY THAT i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. SIGNED' ___~ APPLICANT DESIGNS IN WOOD L. T. D. .......... l._ P R. J. Kramer P.E. SRA Box 77-L Anchorage, AK 99507 Mr. Sam Hill Design in Wood Ltd. SRA 2072-H Anchorage, AK 99507 REF: Test hole and soil log report for Sanitary System, Lot 8, Block 1 Conifer Heights Subdivision Dear Mr. Hill: I am submitting herein the boring logs and comments regarding soil conditions encountered at the referenced site. This investigation was performed in accordance with your request of October 22, 1979, and those procedures outlined in the Manual of Septic-Tank Practice, and a study of On-Site Sewage Disposal system in the Greater Anchorage Area Borough, Anchorage, Alaska. A single test hole was excavated within the Lot 8 area for the purpose of defining the general subsurface soil conditions and performing percolation tests for the proposed sanitary system. The location of the test hole is shown on Drawing 1. Excavation was performed with a JD450 with a 16 foot backhoe. Test hole was excavated down to 16' below the ground surface. A soil log was prepared and soil identified using the Unified Soil Classification System. The soil was classified as SW gravelly sand from 3.0' level to 9.0' level and GW sandy gravel from 9.0' level to 16.0' level. These classifications did not require percolation tests. Ground water was not encountered in the test hole. Should you have any questions please contact me. Very truly yours, R. ~. Kramer I i ~'rS /,JO :~o 0~ DATE RECEIVED INSPECTOR INSPECT I NSPECTO(LF~ MUNICIPALITY OF ANCHORAGE ~- DEPARTMENT OF HEALTH & ENVIRONMENTAL PRO~LIT¥ OF ANCHORAGE 825 L Street - Anchorage, Alaska 99501 DEPT. ENVIEONMENIAL ',~, ~ECTION ENVIRONMENTAL SANITATION DIVISION 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 MA~iNdADDR ESS - c ~- PROPERTY RESIDENT (If different from above) -f .... PHONE 2. BUYER PHONE AILINg AD'SS ~. LE~DI~G I~STITUTIO~ PHONE M~ILING ADDRESS 4. REALTOR/AGENT ~ / PHONE J MAILING ADDRESS 5. LEGAL DESCRIPTION STRE ; LOCATION 6. TYPE OF RESIDENCE ~SINGLE FAMILY [] MULTIPLE FAMILY [] One t~_~' 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 DI~OSAL SYSTEM ~' INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. 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 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] IN DIVI DUAL/ON -SITE [~PUBLIC UTILITY Connection Verified [~Septic Tank or [] Holding Tank Size: ,]~' If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: NUMBER OF BEDROOMS [] ONE [] TWO [] THREE [] FIVE [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER MATERIAL Septic/Rolding Tank IAbsorption Area Sewer Line [] OTHER Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [~ APPROVED FOR / [] CONDITIONAL APPRO~/AL [] DATE BEDROOMS (letter must accompany certificate) DISAPPROVED 72-010 (Rev. 6/79) CHEMICAL INC. & G~.JLOGICAL LABORATORIES oF ALASKA, , TELEPHONE 1g07)-279,4014 ANCHORAGE INDUSTRIAL (:ENTER 274-3364 6633 B Street Drinking Water Analysis Rep, crt for Total Co!i~rm Bacteria TO BE COMPLETED BY WATER SUPPLIER~ WATER SYSTEM: ~-- '~ ,- I.D. NO. Water System Name Phone No. Mailing Address City State Mo. Day Year Zip Code SAMPLE TYPE: [] Routine [] Check Sample (for routine umple with lab ref. no. [] Special Purpose [] Tre&teP W~er D Unffe~ted Water TO~E COMPLETED BY LABORATORY A~atysis shows this Water SAMPLE to be: ~"Satisfactory [] Unsatisfactory [] _Sample too long in transit; sample should act be over 48 hours old at examination to indicate reliable results. Please send ~ew sample. D~te Reoeived ~'t'tme Received A~tical Method: [:3 Fermentation Tube .~Membrane Filter SAMPLE NO. I I I LOCATION Time Cofleeted Lal~'Ref. No. Raeult* Analyst ~NO, Of colonies/100 mi. or No. of Positive I~ortion$ Rev. 1978 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Presumptive 10mi 10mi 10mi 10mi 10mi 1.0mi 0,Stol a4 Hours 48 HCl~rs , ~nflr~ 24 H~rs 4~ Hours EMB "Multiple Tube Report: Membrane Filter: Direct Count Varlflc&tlon: LTB Final Membrane Filter Results R~orte;I BY _ Broth 24 hours: Broth 48 hours; 10mi Tubes Positive/Total 10mi Poftlonl Coliform/i00ml BGB , , ~ ~, ?' :'. 'Dltl ' Time: , _~ , , I.m. I~omo Directions for Collecting Samples of Water for Totai COliform Bacteria Examination This water analysis deals with materials present in very minute quantities. Carelessness in collecting and handling may lead to misleading results. Water samples will have to reach the laboratory as quickly as possible within 48 hours after collection, After 48 hours, the significance of the bacteriological analysis is impaired and resampling will be nec- essary. Send to Laboratory fastest way: (i.e. special delivery mail.) in collecting samples from TAPS or PUMPS proceed as follows: a) Remove any aera¢ors or screens attached to the outlet. b) Thoroughly flush tap or pump by allowing water to run freely with a fully opened outlet for three or four minutes, c) Reduce flow so that small stream flows. Remove bottle from mailing tube. Hold bottle in one hand while removing cap with the other. Avoid touching the neck of the bottle and the inside of the cap. e) Fill the bottle to its shoulder while attempting to avoid splashing, Immediately replace cap, being sure that it is tight, but not so tight as to split the cap. f) Complete the Portion of the lab form which is indicated "TO BE COMPLETED BY SUPPLIER." Fill in all appropr~te blanks carefully, including your public water system identification number (ID No,). Contact the Alaska Department of Environmental Conservation if you do not know your ID number, (Public water suppliers only) g) Pack bottle carefully in mailing tube with lab form. The requirements for analysis of public water systems for total, coliform bacteria are defined in the Drinking Water regulations administered by the Department of Environmental Conservation.