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HomeMy WebLinkAboutCONIFER HEIGHTS BLK 2 LT 8 ."' %:::~i:~ Mun cipality of Anchorage Page ':~ili~~ - DEPARTMENT OF HEALTH AND HUMAN SERVICES ~ ':~!~ii~!i~:!: ENVIRONMENTAL SERVICES DIVISION ..i;i::i~i:P~o, Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 345: .~:?! :~itb Wastewater Disposal System and/or Well Inspecti0~n'R t ..' ~':~tNumber, ~ q ~ O ~ ~ P D Number' N,m,.>.~,. ~ ¢ /~,,,., ,/~ Wastewater System: ~ New ~Upgrade , . >"~:~,~'~, ~ ...... , I " ' ," ,' :, Add ~2,~:-~' ~;,,~~ = ~ ~,~ ABSORPTION--FIELD,. Ph°"";'?~ .?:::':_ ;~-- ~/~ II ~ ~ Deep Trench ~ Shallow Trench ~ Bed.,~ M'ound ~ Other .... ~?;~?~ ~.,.W ~. ~ ~ (I No. of rooms: . ' ~ LEGAL DESCRIPTION So,, R.,,n,~. ~ ~PD/Sq.,L ?'?' ~'//; ? ' ' -, >,"i; Lot: ~' Block: Subdiv~ion: Depth to pipe bo~om from original grade: Gravel depth, beneath Pl~e Tow,;~i~?~'~/2:" I Range: ~ I Section: ~ Fill added abo, ve odglnal gra{,: Gravel length:, ~ Number of li~s: IDl~an~ ~tween lines: ~~:' . _. ~~ Gravel width: ~/+ ~ ~ ~ew~ Ft ..... t I ~l~ Ft. Cla~ifl~;'(~rlwt~: ~ ~al Depth: Cased To: Total absorption area: Pipe material: ':''"~~. Ft. ~t. ~ + ,SQ. Ft. ~$O3~ ' ' .:~~ ~: Datelnstalled; ' -- / / Driller: Static Water Level: Installer:' '~ Ft. , ,.jli~'~' CARAT,_. O DISTANCES a ' ¢:'~ C F~tl~: Absomtion Lift Holding ~ubllc/Private Manufacturer: From - ' :':.{': .[ :~,nk~) Field Station Tank Sewer Lines "/' '" ~ , Ma~ Number ~: w.~::?,: ~ o ~ [oo'~~/~ ~/~ ~o~ IFT STATION ........ ' ' / I Size in gallons: Manufactur Une.:..r ,, - : ::':~:'~:' "- BENCH MARK ~, ::::~:~~ ~C~ ~~~ Location and Descrlptlon: ~ I Assumed Ele;atlo~: I LO0~ . InS Spedormed by: ~ ~~ g t Dates: 1st 1o///9~ ~:'~:~'~/~,,, ' ment of Health and Human ~ices approval '~.~:.,. ~ '- '.....-" Revt~e:d::and approved by: ~~ ~' ~ Date: /¢¢~' ~ '.-. ::%~::~.;..~ ... ' ~~:':~......, ~ ~ GENERAL LOCATION OF '~ A TI3 'BULL RUN' VALVE = 89' NEIGHBORS WELL,--"'-.-.~° B TD *BULL RUN' VALVE = 8,0 A TO NORTH C/D & MT = 13' B TO NORTH C/D B, MT = 34' x~ A TO SOUTH C/D & MT = 46' , i ~ i SUGAR CIRCLE ~,~ ~ B TO SOUTH C/D & MT =~ ~ ~ K DID NOT RE APPEARED AFFLE WHEN IN- H THE 4 INCH DD RHAPE DF RETE APPEARED j OF THE 10' UTILITY EASEMENT NEW 'BULL RUN VALVE XISTING MT ~Lq~×ISTING REVISED AS--BUILT ]DWG, PERMIT, SW970334 P ID#, 015-093-~9 ~:m~'c~~'~/~.~l, ' SEPTIC UPGRADE, LOT 8~ BK 2~ CONIFER HEIGHTS, PREPARED FBi' Mc~GILLIVAI~Y ~..~//~, ~ .~. ~.... · · .~ .............. PREPARED BY, ALASKA WATER ~ WASTEWATER ..... ..' ~',gm~.,~ ...... -~t?.~,.,.~~ · ......... _ DATE, 10/15/97 DRAWN, GARNEgg SCALE, 1' = 30' ~ L~ n i AS-iBUILT DRAWING FINAL GRADE OVER THE TRENCH = 97.8 TO 98,4 ---FILTER FOR LOCATION OF M.Ts SEE PLAN DRAWINF, FABRIC OVER DRAINROCK INCH DIA.. ASTM F810, PERFnRATED PIPE A, DRAINPIPE INVERT= 94.48 BOTTOM OF = 85,93 (AVG,), ROCK DEPTH = 8,55 C. TRENCH LENGTH = 40'+ TOTAL ABSORPTION AREA = 684 SQ, FT,+ THE TOTAL DEPTH DF THE TRENCH WAS 11,9 FEET OR LESS, NO GROUNDWATER OR BEDROCK TO A DEPTH OF 19 FEET, BENCHMARK IS GARAGE FLOORj SOUTH BAY DOOR, NORTH SIDE, ASSUMEB ELEVATION : 100.00 THE INVERT ELEVATION AT THE EXISTING SEPTIC TANK OUTLET = 94,90 THE DROP FROM THE TANK TO THE NEW TRENCH = ,48' APPROX. SEPTIC UPGRADE: PREPARED FOR: ALASKA ~/ATER DATE: 10/9/97 LOT 8, BK 8, CONIFER HEIGHTS DAVE MCGILLIVARY ,,, 8, WASTEXYAT~R 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 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970334 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES OWNER NAME:MCGILLIVARY DAVID E & TERRY L OWNER ADDRESS:15000 LOC LOMA_N ANCHORAGE, AK 99516 DATE ISSUED: 9/26/97 EXPIRATION DATE: 9/26/98 PARCEL ID:01509329 LEGAL DESCRIPTION: CON~FER'HEIG~TS~BLK ~ 2~LT~ 8 LOT SIZE: 46021 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD 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 (18AJ~C72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SALVE DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ISSUED BY: ~ DATE: DATE: Alaska Water & Wastewater 8471 Brookridge Drive ~ Anchorage ~ Alaska 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers September 13, 1997 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 ReP Sewer Upgrade for Lot 2, Bk 8, Conifer Heights S/D To whom it may concern: The existing 4 bedroom house is served by private well and septic system. The drainfield will not pass an adequacy test at this time (surcharged), and must be upgraded prior to the sale of the house. Comments regarding the proposed upgrade are summarized as follows: 1. SOILS: Attached is a log which shows the soil profile, and the percolation test results. At both depths tested, the percolation rates were in the 1-5 minute/inch design range. In short, the soils are very good. There was a silt lense, which meandered in depth across the test hole, that we are neglecting (when determining the effective depth). 2. TRENCH DESIGN: a. Percolation Rate: varied from 1-2 minutes/inch b. Allowable Application Rate: 1.2 gallons/day/f~2, but will use 1 gallon/day/Ir2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 600 tr2 f. Effective Depth: 8.5 feet, less discount of 1 foot for ML lense = 7.5 g. Reduction Factor = N/A h. Width: 2 feet minimum i Minimum Length: 40 feet. j Effective absorption area = 600 fi2 MUNICIPALIIY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION SEP 15 1997 RECEIVED We are proposing to install a diverter valve so that flow can be periodically alternated between the old and the new trenches. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic upgrade. 4. TOPOGRAPHY: The topography in the vicinity of the new drainfield is fiat to moderate with slopes ranging from 2% to 10%. In short, there are not slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, 244-9612, or on my digital pager at 1-800-481-1162. Thank you for your assistance. Sincerely, .S. Prine~pa~ [ Sugar Circle Design Package.wps LOT 1~. DK 8, CONIFER HTS, PVT, WELL AND SEPTIC, LOT 9, BK ~ CONIFER HTS, PVT ;/ELL & SEPTIC LOT 5, PVT CONIFER HTS, AND SEPTIC. SEPTIC AREA LOT DK ~ PVT [LL AND TRENCH LOT 14, BK 2~ INIFER HTS, PVT WELL AND ~EPTIC ~EPTIC AREA SEPTIC AREA LOT 7, BK CONIFER HTS. PVT ~ELL ~EPTIC. LOT PVT, DOWNHILL CIRCLE O ~, CONIFER HTS, AND SEPTIC NDTEj THIS IS NOT A SURVEY, THE LOCATION DF ALL ;/ELLS, SEPTIC SYSTEMS, AND STRUCTURES IS APPROXINATE. THE CONTRACTOR SHALL VERIFY THE SEPARATION DISTANCE FROM THE SEPTIC SYSTEM UPGRADE TO ALL WELLS ON ADJACENT LOTS. SEPTIC UPGRADE: LOT 8, ~)K 2, CONIFER HEIGHTS PREPARED FDR~ McGILLIVARY PREPARED BY' ALASKA WATER & WASTEWATER DATE= 9/13/97 : = 1' = ' I0' UTILITY EASEMENT NE~ BULL RUN VALV -----E~ ~XISTING MT ~ NDTE, THE CONTRAOTDR ~HALL HAVE THE PRDPERTY LINE~, AND/DR THE ~ UTILITY EASEMENT, IN THE VICINITY DF THE SEPTIC UPGRADE, FLAGGED BY A REGISTERED LAN~ SURVEYDR, ' ' " "' SEPTIC UPGRADE, L~T 8, BK ~, C~NIFER HEIGHTS, .............. , .... ,, ,, .... , ....... PREPARED BY, ALASKA ~ATER & ~ASTE~ATER DATE~ 9113/97 DRA~N, GARNES~ SCALE, 1' = 30' TOTAL TRENCH LENGTH = 40 FEET. TOTAL ABSORPTION AREA = 600 SQUARE FEET (MIN.). BACKFILL WITH NATIVE SOIL AND MOUND. TOPSOIL AND RESEEDINGI SHALL BE THE RE- SPONSIBILITY OF THE HOMEOWNER. BUYER AND SELLER SHALL NEGOTIATE. FABRIC SILT BARRIER, 2 INCHES OF BOARD INSULATION IF SOIL COVER IS LESS THAN $ FEET. INSULATION SHALL COVER THE ENTIRE WITH OF THE TRENCH. MAX. TOTAL DEPTH - 12' --4 INCH DIA, PERFORA TED PIPE, WITH HOLES DOWN. SHALL BE LEVEL WITHIN ,01 FEET, PLACE 2 INCHES OF DRAINROCK OVER TOP OF PIPE. TOP OF DRAINROCK SHALL BE A T THE SAME ELEVATION OVER THE ENTIRE TRENCH WIDTH. TUBE (TYP). PERFORATED IN DRAINROOK, NO TE: FEET MIN. 1. TRENCHES SHALL RUN PARALLEL TO THE SLOPE CONTOURR. 2, FOR LOCATION OF MONITORING TUBE, SEE SITE PLAN. 3. CONSTRUCTION PRACTICES, AND MATERIAL SPECIFICATIONS SHALL COMPLL Y WITH ANCHORAGE MUNIC~IPAL CODE 15.65, "WASTE- WA TER DISPOSAL REt3ULA TION$". 4. INSTALLATION SHALL COMPLY WITH SPECIAL PROVISIONS AS NOTED ON THE SEWER PERMIT. 5, SMEARED BOTTOM AND SIDEWALLS SHALL BE RAKED. 6, DRAINROCK SHALL BE SCREENED PER M.O.A. DIRTY DRAINROCK WILL BE SPECIFICATIONS. REJEC TED. TRENCH DETAIL: LOT 8, BK 2, CONIFER HEIGHTS PREPARED FOR: McC31LLIVARY ALASKA WATER & WASTEWA TER SERVICES DWN: GARNESS SCALE: NTS DATE: 9/13/9~"/ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: //~ ~ (w- / ~._////~r~y · DATE PER~-ED:~r~~ r/gl I ~ Township, Range, Section: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? SLOPE SITE PLAN 13 Monitoring? ,L Y Date: 16 ~J 17 18 % S L o P E Gross Net Depth to Net Reading Date Time Time Water Drop % I/:yo -- V ,, _ / PERCOLATION RATE~~u~s/'- ~pch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ ~~'[' FT ACCOrD*NCC W~*~ S~*Z~*ND ~UU~C~P*~ GU~DeUU~S ,~E~EC~ O~ ~S DATE. DA~: 72-008 (Rev. 4/85)  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 MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF J ~ell AbsorPtion area Dwelling PERMIT NO. DISTANCE TO: I ~ ~ Manufacturer ~ ~ Material No. ot oomDar~ments Li~. capacity in flallons Inside len~t~ ~ Width {~'dt) Liquid deDth t ~~ IF HOMEMADE: ~ ~ DISTANCE TO: Well DwelHng PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity in gallons ~ =~~'' Foundation Nearest lot line PERMIT NO.  DISTANCE TO: ~ ~ Z ~o. of lines i ~engfh of eac~line Total length of lines Trench width Distance between lines ~ ~ Top of tile to ~[~(finish~rade ' Material beneath tile ~/ i~ Total effective~absorption area ken,th ~idth De~th PERMIT ~0. ' ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ CI~~S~I~ ~ Depth Driller Distance to lot line PERMIT NO. ~ ~ ' Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS , Z SOIL TEST RATING =~ v ~,r-- REMARKS _, . ~ , APPROVED DATE LEGAL 72-013 (Rev. 3/78) TYF'E' OF' SO:Il._ RBSORF'TtON S'.?STEH IS,: THE F.:EL~U ,~: F.:E[::, S I ZE OF' "['FIE SO I L FqD"SOF.'.PT I ON SVSTEH I S: THE LENGTH [:, :[ t"IE:NS I ON I':i; THE LENGTH '.'.'IN FEET:." OF ]'HE "I"F.~ENCI'4 OR DRFIINFIELD. 'THE [:,EP"r.'H f.)F' F~ TF.'ENCH OF.". PIT IS THE [:,ISTRNC:E E:ETNEEN THE SURFF4CE OF THE GROUND FIN[:, "['HE E:OTTOH OF THE EF::CR',,,'RTION (IN FEET::,. THE GRR',/EL £:,EPTH :IS THE H INIMUH DEPTH OF GRFtVEI._ E;ETI.,.IEEN THE OUTFFILI._ F'IF'E F~N[.', THE BOTTOH OF' ']"HE ENC:R',,,'FITtON ,.'.IN FEET';,. PERI'd I T FtPF'L. I CFINT fIRS THE RE:,,:;,POI'.,IS I B t L I 'T'¢ TO INFORM TH ! S DEF'RRTMEI'.,IT [:,UR I NI3 THE IN'.STRLLRTIOf'.,I I.NSPEC"['IONS OF RN'~-' t.,.tEL. LS RDJRCEI'.4T TO "FH!S PROF'ERT'~.' RI'.,ID THE NLIMBER OF RESIE:,EI'.,ICES; THFIT THE NELL NILL SERVE. BRCKFiLLING OF' ANY SYSTEH WITHOUT FtNRL INSPECTION FIND RPPROYFIL. 8'x' 'THIS DEF'FIRTHENT I-qIL. L,. BE'.' S;L.tECrEC"[' TO PF.'.OSECUTION. M I N t HUH E:, I '- ..... ' t ..... ,.IN-.:, I TE SEWRGE E:,'~ '- "' - '- '" =,F .I:,PtL :,.rz"[EM iS .:,tHf',I..E BETWEEN R WEL. L. RNE:, RN¥ ~' ....... ""'"- ' ' .':L~)C;~ FEE"[' F'OF.: R PR Z',,,'R."['E I.,.!EL.L OR '150 TO 2~.~C~ FEET FF.'OM R PUBLIC I.,.tELL E:,EF'END.II",IG UPON THE 'T'~'F'E OF:' F'UBLIC: NELL. HINZHUH [::,TS"['RNCE FROM Fl F'RZ',,,'RTE NELL "FO R PRI',,"FITE SEWER L.]'NE IS 2!15 FEET RND TO R COHHUNIT¥ SEWER L. I NE Z S ?D FEET. OTHER F::E&:!U]:Fi:EHEN"['S MR'~' RF'F'L¥. SF'ECIFIC:FtTIONS RND CONS"rRLICTION E:,!FIGRRMS FIRE RVFIIL. RE~LE 'TO ZI'.,!SURE PROPER INSTRI_LRT.ION. I CERT I F"~.' THFtT :1.: t l'aH FRMIL. IRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH B'~.' ']"HE MLtN I C I PFIL I 'T'.r' OF RNC:HOF::FIGE. ':2: I WIl._l_ INSTFILL. "I"HE S'.PSTEH IN FICCOF.'.[:,RNCE WITH THE CO[:,E:S. ~:: :[ UN[:,ERSTFIND THRT THE: ON-SITE SEWEF..' '=;'~'STEH MR'~' F.'.E~!UIF.'.E ENLF~F.':GEP'IENT :IF' ']"HE RESI[:,ENC:E :IS; F::EP10E:,ELEI.) TO INCLUE:,E MORE "rH.r~N ~.1. BEDROOMS,. ................. FtF'PL I C.~T 'TEF.!F',P¢'~ ~ I D l'dl~.G :JILl._ I ',,,'RF.'.'~" I ss,,_,E.r.:, ........... ................................. i. ENGINEERS. INC. 7125 OLD SEWARD HW~ ANCHORAGE, ALASKA 99505 549-6561 [] SOILS LOG J~"~ PERCO LATION TEST SOILS LOG - PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 10 11 12 13 14 15 16 17 18 19 WAS GROUND WATER ENCOUNTERED? E SWANSON 1834-E //) IF YES, AT WHAT DE.T.' ,~). A . Reading Date 0 Gross Time M;~_, DATE PERFORMED: ~ /{~ / ~'~-,~ SITE PLAN S L Net Time DeJth to Wpter Net Drop 2O COMMENTS PERCOLATION RATE TEST RUN BETWEEN ._~ FT AND (minutes/inch) '~ FT PERFORMED BY: CERTIFIED BY: DATE: 72-008 (6/79) PERMIT NO. MI_ipd I [: I PFILIT'T' C~F DEPARTMENT ~ HEALTH AND ENVIRONMENTAL DTECTION 825 ~L STREET, ANCHORAGE, AK. 99601 264-4720 baBEL PERI-1 IT ( 8~0056 ) APPLICANT LOCATION LEGAL DAVID E MCGILLIVARY LAB2 CONIFER HEIGHTS SR BOX 21liE 9950? LOT SIZE 786-~47i 999999 SQUARE FEET MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS i00 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 50 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PEi~'I-.1 I T E:"-,-:P I RES [:,EC:EI'"'IBER --?-l.. i982--. I CERTIFY THAT l: 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. ISSUED ~ KC ~ V4. 0 /RETURN TO: Division of Geo!oglcal and Ge~ ..... sical Surveys (DGGS) 3001 Porcupine Drive (Telep ~ 277-6615) Anchorage, Alaska ~9501 0,,~,.~ c0.p.~,.~ Alaska Now-well-Vern's Drilling STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES U.S.G.S. Local Orlll{ng Permit No. LOCATION OF WELL i Please complete e~ther la, lb, or Ic~. .... .. a.U.L, aD. la. Borough Subdivision Lot Rlock lb. Fraction Section No. Township Range Meridian Anch Conifer Ht,s8 2 / / / ,/s lC* Distance and Direction From Road Intersections 3. O~"ER OF ,ELL: ~id McGillivary Street AdDress and Area of ~ell Location A~o~ 2. WELL LOG Feet Bel~ ~. WELL 0EPTH: (completed) Surface Elevation Oate of ~ater[al Type Top Bottom ~O ft. ,sandy silty gravel O 1~ 5. ~Cable t~l ~Rotary ~Oriven ~Oug "gravel 25 42 boulder at 65' ~lrr,gat,on ~Recharge bro~ silty s~d with" grav9l ~ 160 conglomerate rock 220 500 a. F,,,s, 0~ wz~: fractured gray-conglomerat~ 300 520 gre an- gray rD ck 340 370 s.~ ~.,-.~ f~..,d Fittings: seepage ~ 220' ~. S~T,C ~AT~, ~VZ~: imm ft. 340--350' ,., Type of ,easur~nt: ~r ~%~ ~ 10. PUMPING LEgEL beJ~ land surfaGe ft. after hrs. pumping ~ ft. after hrs. pumping ~ g.p.m. 11. ~LL H~O COMPLETION: ~ In Approved Pit ~Pltless Adapter ~ inches a~ve grade 12. GROUTING: Well Grouted: OYes ~terial: ~Neat Ce~nt ~Other: 13. PUMP: (If available) HP Length of Orop Pipe -- ft. ca,city -- g.P.~ Type: ~ Sub~rstbte ~Recl~rocat lng ~ Jet ~Other: lq. RE~RKS: ~ater Temperature: ~e~ day 15. ~RTER ~LL CONT~CTOR~S CERTIFICATION: This ~11 ~$ drilled under ~ jurlsdlctlon end this re~rt ~s true to the ~st o~ my kn~ledge and bailer: Registere~ Business Na~ Contract License Number Author l~ed Repr~entat lye Porm O2-~ Copy. O1str~butlon: ~HITE - State O~GS, PINK - Orlller, CA~RY - Customr MUN¢..ii~ALIT¥ OI; AN~.HtJ~u~t~c ENV|P, Ot4MENTAL SERVICES DIVISION MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 5 't997 EIVED Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Day phone Day phone Lending agency Mailing address Agent Address Day phone 'TG 2.-- .?/5-';'~'' Unless otherwise requested, .HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 Sm STATEMENT OF INSPECTION BY ENGINEER. As certified by mySeal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection.~ Alaska Water & /~ Name of Firm w**t~w,,~r S,rvi¢¢l Phone .- ~'''?'7-'~ / ''~ ? ~.~71 rC~okdCr. I Address(/'~ Y/~F/~ ~'"'~'~ Engineer's signature - Date DHHS SIGNATURE v// Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72.4325 (Rev. 1,/91) Ba(3k MOAS'Z1 Municipality of Anchorage MUNI(.I?ALITY 01: DEPARTMENT OF HE/~LTH & HU~iA~I SERVI~¢~ONMENTAL SERVICES D~~ · ' Environmental serVice; Division CT 1 5 1997 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 34~-4744 Health Authority Approval Checklist E C E i V E D Legal Description: f,,o.-r' ~) ~/~ z.) ~:;~/,~.~r-.../.. ~r~', Parcel I.D.: A. WELL DATA. Well type P~T"; If A, B, or C, attach ADEC letter, ADEC water system number Log present (Y/N) / I Total depth Sanitary seal (Y/N) Cased to Casing height (above ground) Wires properly protected (Y/N) ~/-.~-- ~' Date of test Static water level Well production FROM WELL LOG / g.p.m. AT INSPECTION /8'7 g.p.m. WATER SAMPLE RESULTS: Coliform d Nitrate Date of sample: , c///_~/~ ~. B. SEPTIC/HOLDING TANK DATA 4' Cl c~/~/j Other bacteria Collected by: dl~-f bur L,(,,I/~"'/J Date installed ~/~ ~' Tank size Z~- Foundation cleanout (Y/N) ~ Depression (Y/N) /'~ High water alarm (Y/N) Date of Pumping ~/'2~:~/~ ~' Pumper C. ABSORPTION FIELD DATA /~J ~ Date installed Soil rating (g.p.d./fF or fF/bdrm) ./. '7. System type t~''{'~*J~'/ 4.ot / Length Width ~, ¥' Gravel thickness below pipe ([' ~ Total depth 12. ~' '/w3.'Z Effective absorption area ~ ~) ~" "' Monitoring Tube present (Y/N) '7/ Depression over field (Y/N) /VO Date of adequacy test /~'".~ Results (Pass/Fall) I0'~'~ For. ~ .bedrooms F~test (in.); Im~ Fluid dePth (ins~e = . g.p.d. Peroxide treatme - ~ ~ 72-026 (Rev. 3/96)* ~ Manhole/Access (Y/N) ~~~ "Pump off" level at* _ E. SEPARATION DISTANCES Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic se rvice 'line SEPARATION DISTANCES FROM WELL ON LOT TO: ! /DO ~' On adjacent lots IO(3 On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~. Water main/service line Property line Surface water/drainage I00 I+. SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Surface water t o 0 f~" Curtain drain Absorption field /~-- Wells on adjacent lots / Building foundation Ii 4. Water main/service line IO Driveway, parking/vehic, le storage area ~/~'' ~-~OL''J ~/ Wells on, adjacent lots bOO/-i- ENGINEER'S CERTIFICATION, I certify that 'u field inspections and review in conforman~e ~t~O~A , ~idelines in effect on this date. Signature ~'/~ ~/' ~,~' ~'" Engineer's Name/ /'(J ~'J~ ~' ~"~"~ HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number " --- OCT 15 1997 RECEIVED 975540001 .Ali Waer e¢ Wastewau~ S~rviccs LB, ~Ik 2, Co~fe~ Hts LS~ Blk 2, Co~fer ~ts D~,nj Water Client PO# Printed Dat~Tlm~ 09117/97 19;~.1 C~li~ted l~t~/Iirne 09/15/97 13:30 R~vM Dat~Tim~ ~/16/~7 10:15 T~hnl~ Dlr<tor: Staph~ C, gde Nitrate-N 4 co[/lOOmc $~lB 9222§ ALLo~aMe ~rep ~na[ysi$ 10 max 09/17/97 JRj 09116/97 £0/~:0 'd ~;0£ST. 9S£06 Bg~;'JOHOFII-J IsB as. Lo s£ :61 ),66I-8T-d313 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-sighT: ;;~ Holding tank: Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev, 1/91) Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Nameof Firm.~.~/~. ~--~ ~;)/;"z~:~~ ~4 ~~-- Phone ~ ~~ ~ Engineers signature ~>:.~~~ Date : Z 7--~ DHHS SIGNATURE ~'~"Approved for Disapproved. bedrooms, with the following stipulations: Conditional approval for Additional Comments By: Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze, data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Rev. 1/91) Back MOA#21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Parcel I.D. Well type Log present (Y/N) Total depth Sanitary seal If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~ ~)'~- :::::3 Driller ,,4,1;~/'~'~ Cased to v," ~ <:~ c~ / Casing height ')/ Wires properly protected (Y/N) Y Date of test Static water level Well flow Pump level1 FROM WELL LOG AT INSPECTION /7?-- /75'- g.p.m. '"~1", ~ ~ ~0~~ ;On adjacent lots ~ ; On adjacent lots ~ /~ Public sewer manhole/c~eanout Petroleum tank ~~ Absorption field on lot Public sewer main Sewer service line SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot / '~ / WATER SAMPLE RESULTS: Coliform Date of sample: <~:'~'-~' Nitrate , ~ Other bacteria ~~ Collected by: C,,{.~ ~ ~' ~ ~47/'~ ~ B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) High water alarm Date of pumping f~ '~__Tank size Foundation cleanout (Y/N) / ' ~_, ~Z.~,¢~_.~/' Compartments Depression (Y/N) Alarm tested (Y/N) Pumper --~ ~ c:~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot On adjacent lots To property line Surface water/drainage 72-026 (3/93)* Front Fou ndation ~_.~ Water main/service line CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer ~ Size in gallons Man s (Y/N) on" leve'l~ ~,../ "Pump off" Level at Vent (Y/N) "Pump High water alarm level /'"'.,, Cycles tested Meets MOA electrical codes (Y/N)~/ "~~ SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water ABSORPTION FIELD DATA Date installed ~Q~/5//? Length ~' ~ ~' Total absorption area D~tte of adequacy test Width Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/FF)~. ~ Gravel thickness Cleanout present (Y/N) 'Y Results (pass/fail) /~o7 ~'~-~.~ for /J ' If yes, give date System type /.u ,'q/o'_ Total depth ~ '~....- Depression over field (Y/N) "~-"-- Bedrooms . SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot / '~ ~- ( On adjacent lots .~ / ~ Property line To building foundation / ?~ To existing or abandoned system on lot ~ ~" gE ~ / On adjacent lots ~?© r ./~ ~utba /d_c~__~ Water main/service line Surface water Curtain drain ~/L ~ ~ ENGINEER'S OERTIFIOATION Driveway, parking/vehicle storage area I certify that I have checked, verified, or conformed to all MOA and HAA '\ Signature/~/~=~z~ EngineeEs Name,~J Date HAA Fee $ ,,~)~::) ~'~ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE 2505 FAIRBANKS STREET FAIRBANKS, ALASKA 99701 ANCHORAGE, ALASKA 99503 (907) 456-3116 · FAX 456-3125 (907) 277-8378 · FAX 274-9645 Sizemore & Associates 6410 Switzerland Drive Anchorage AK 99516 Attn: James Sizemore Our Lab #: Location/Project: Your Sample ID: Sample Matrix: Comments: Lab Number Method A125424 L8,B2, Conifer Heights Water Parameter Units Report Date: 08/31/93 Date Arrived: 08/17/93 Date Sampled: 08/17/93 Time Sampled: 1210 Collected By: J.S. * Definitions * B = Below Regulatory Min. H = Above Regulatory Max. E = Estimated Value M = Matrix Interference D = Lost to Dilution MDL = Method Detection Limit Date Date Result * MDL Prepared Analyzed A125424 EPA 353.3 Nitrate-N mg/1 3.2 0.5 08/23/93 Microbiology Supervisor M~..CIPALITT OF ANCHORAGE I ~ / / ENVIRONMENTAL ,SERVICES 'D'[(/1510N --//'~'1~ 7 MUN ClP^UT¥ OF ANCHOR^GE DEPARTMENT OF HEALTH & HUMAN SERVI¢ _ i 8 1987 DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHOR~Y~ROVAL OF ON-SITE SEWER AND WATER FACILI~ ~ C ~ ! V E D 264-4744 · Application Date GENERAL INFORMATION {MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Properly Owner ~, Mailing Address (c) Lending Institution ~ ~ ~ C Telephone Business Mailing Address (d) Real Estate Company and Agent Address Telephone ~'~ (e) Mail the HAA to the followina address: or: Check here/~, if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family/~ Number of Bedrooms IL~ WATER SUPPLY Individual Well~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsitex Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-oP5 (Rev 8/86) Front ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with ali Municipal and State codes, ordinances, and regulations in effect on the date of thi.,~ Name of Firm~ Telephone ~"'~¢~ ''-~ ~ l~ Address ~ ~' Engineer's Seal Approved for ¢ bedrooms by e /2 -2/--~7 Approved ./~ Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 fRev 8/86~ Back MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4744 Legal Description'. ~O7'"-_~, WELL DATA Well Classification :ii'~ ~ Well Log Present (Y/N) Total Depth ;~ ~'O Cased to Static Water Level ,,~.,0 Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation DistanCes from Well: To Septic/Holding Tank on Lot I To Nearest Edge of Absorption Field or~ LOt To Nearest Public Sewer Line Cleanout/Manhole ~t ON J~"' Water Sample Collected by '~", .~' Water Sample Test Results If A, B, C, D.E.C. Approved (Y/N) Date Completed ~,. 4~/', ~3~ ~ Yield Depth of Grouting N ~ I~ ~' Pump Set At ~ ~"~ Sanitary Seal on Casing (Y/N) ~ Depression Around Wellhead (Y'/N) · On Adjoining Lots ;On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ;Date Comments B. SEPTIC/HOLDING TANK DATA A . e z.fz q y Date Installed Size ,/ Standpipes (Y/N) ~ I~ J:=" Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) /,~ Separation Distances from Septic/Holding Tank: To Water-Supply Well J~ To Property Line ~> 7.. (~ To Water Main/Service Line Course No. of Compartments "~~ Foundation Cleanout (.Y/N) Date Last Pumped ~ [~/~/~'~ ~,~&~l ¢.,~ ;for Temporary Holding Tank Permit (Y/N) ~'/~/',~ To. Building Foundation To Disposal Field 7 To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026 (Rev 8/86~ Front ABSORPTION FIELD DATA Soils Rating in Absorption Strata A Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ~ //7 To Building Foundation To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Tes, L . To Property Line .~ O To Existing or Abandoned System on ; On Adjoining Lots~ ~' ,.~ O TO Cutbank (if present) /~/0 ~'~ ~ D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy~ Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I haveL.~hecke~.v;rified~r conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~ ~ Date ~ MOA No. / Company Receipt No. ~ ~'~/-- ~"~')~-~ Date of Payment Amount: $ Page 2 of 2 72-026 (Rev 8/861 Back Engineer's Seal 203 W. 15th AVE 'C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOCATION: OWNER: TYPE OF WELL: Lot 8, Block 2, Conifer Heights 9401 Ponderosa R. Ferguson Residential, Single Family WELL LOG AVAILABLE: Yes I.NSTALLATION REQUIREMENTS MET:Yes WELL YIELD FROM WELL LOG: .75 Gallons per Minute PUMP YIELD FROM TEST: 4.5 Gallons per Minute DATE OF INSPECTION: DeCember 17, 1987 TEST PROCEDURE: Well was pumped at a constant rate while the drawdown was monitored with an acoustic probe. At the beginning of the test water level was found at 202 feet below top of casing. At a pumping rate of 4.5 gallons per minute the well run dry after 40 minutes of pumping. A total of 160 gallons were delivered. The well was shut down for 60 minutes and pumped again for 40 minutes. This time 125 gallons were delivered, indicating a well recharge rate of 1.25 gallons per minute. TEST FOR E.COLI AND TOTAL NITROGEN: Water was tested for E.Coli and total nitrates on E.Coli 0. Total Nitrates 0.1 mg/1. Max. allowable Total Nitrates 10 mg/1. TEST RESULTS: This Municipality of Anchorage. well meets the requirements of the The Municipal requirement for well flow is 150 gallons of water per bedroom per day. This well exceed this requirement. The assessment of the condition of the well applies only to the conditions as of the day tested. The flow rate may change due to subsurface conditions that may not be observed from the surface, and changes in the land use and other factors that may impact the aquifer feeding the well.p CONSULTING ENGINEER 203 W, 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOCATION: OWNER: RESIDENCE: WELL: SEPTIC SYSTEM: Lot 8, Block 2, Conifer Heights 9401 Ponderosa R. Ferguson Single Family, Four Bedrooms On Site FROM MUNICIPAL RECORDS: TANK: Home made, Concrete, 2250 gal. Two Compartments ABSORPTION SYSTEM: Wide trench ABSORPTION AREA: 400 sq. ft. SOIL RATING: 85 INSTALLATION DATE: August 1982 DATE OF LAST PUMPING: December 17, 1987 Isaacs Pumping DATE OF TEST: December 17, 1987 TEST PROCEDURE: System was inspected and measured on December 15. Tank was found with three feet of cover and 48 inches of liquid. Clean out to trench was three feet deep and dry. Trench sump was 10 feet deep and dry. On December 17., 1000 gallons of water was added to the trench while the water levels in the tank and sump were monitored. Tank level did not change. No water showed up in the sump. TEST RESULT: This system meets the code requirements of the Health and Social Services Department of the Municipality of Anchorage. NOTE The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long this system will function satisfactory for current or future occupants. APPLI(- NT FILLS OUT UPPER HA[ ONLY  Phone Pr°pertyOwner "~[.,V,.~'~.--.-~ ~ Tr~,¥-Y-~-/ Mailing Address ..~.' -t (~.. r i~(~L54 C I~_P ~.) X ~- Buyer Address Zip Code Lendinglnstitution l_}Ory~t..~,c .~.Vif'~.~ S ~ LO(~Y'~ Phone Address 5 ~ ~ D ~-~ ~--y CC-tF zip Code Realty Co. & Agent Phone Address Zip Code LegalDescription LO~ ~, Con,'(kr' I-)ei ht ~¢/oct,'vis icr-i StreetLocatio~ q¥4o Su. ge~:r Type of Residence Mingle Family ultiple Family No. of Bedrooms [] Other Water Supply I~lndividual ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. [] Community For wells drilled prior to that date, give well depth (attach log if available). [] Public Utility Sewer Disposal [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Ins,pector-) Field Notes: ( ) APPROVED BEDROOMS Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received ~ 5' 72-023 (3182) UNIFORM PLU~ING CODE - Building Sewer and Private Systems Sec. 1115 - Septic Tank Construction (a) Plans for all septic tanks shall be submitted to the Administrative authority for approval. Such plans shall show all dimensions, rein- forcing, structural calculations and such other pertinent data as may be required. Independent laboratory tests and calibrations shall be provided on prefabricated septic tanks as required by the Administrative Authority. (b) Septic tanks shall be constructed of sound durable materials, not subject to excessive corrosion or decay and shall be watertight. Each tank shall be structurally designed to withstand all anticipated earth or other loads and shall be installed level and on a solid bed. (c) The walls and floor of each poured-in-place, concrete septic tank shall be monolithic; the maximum length of any section of unreinforced concrete septic tank wall shall be six (6) feet, and no cross section of any such unreinforced concrete wall or floor shall he less than five (5) inches in thickness. The minimum compressive strength of any concrete septic tank wall, top and covers, or floor shall be twenty-five hundred (2,500) pounds per square inch. (d) Concrete septic tank covers shall be reinforced and shall have a minimum compressive strength of twenty-five hundred (2,500) pounds per square inch. (e) Ail septic tank covers shall be capable-of supporting an earth load of not less than three hundred (300) pounds per square foot when the maximum coverage does not exceed three (3) feet. (f) The minimum wall thickness.of any steel septic tank shall be No. 12 U.S. gauge (109) and each such tank shall be protected from corrosion both externally and internally by an approved bituminous coating or by other acceptable means. (g) Septic tank design shall be such as to produce a clarified effluent consistent with accepted standards and shall provide adequate space for sludge and scum accumulations. (h) Septic tanks shall have a minimum of two (2) compartments. The inlet compartmen't o-~ny sep't~c tank' ~1 b~' not less than tWo'-thirds (2/3) of the total capacity of the tank nor tess than five hundred (500) gallons liquid capacity, and shall be at least three (3) feet in width and five (5) feet in length. Liquid depth shall be not less than two (2) feet and six (6) inches nor more than six (6) feet. The secondary compartment of any septic tank shall have a minimum capacity of two hundred fifty (250) gallons and a maximum capacity of one-third (1/3) of the total capacity of such tank. In septic tanks having over fifteen hundred (1,500) gallons capacity, the secondary compartment may be not less than five (5) feet in length. (i) Access to each septic tank shall be provided by at least two (2) manholes twenty (20) inches in minimum dimension or by an equivalent removable cover slab. One access manhole shall be located over the inlet and one (1) access access manhole shall be located over the outlet. Wherever a first compartment exceeds twelve (12) feet in length an additional manhole shall be provided over the baffle wall. Septic tanks installed under concrete or black top paving shall have the .required manholes accessible by either extending the manhole openings to grade in a manner acceptable to the Administrative Authority, or by providing a removable concrete or other approved section, not less than twenty (20) inches in the least dimension, in such concrete or black top paving, which is located directly over the required!septic, tank manholes. . (j) The inlet and outlet pipe or baffle shall extend four (4) inches above and at least twelve (12) inches below the water surface. The invert of the inlet pipe shall be at a level not less than two (2) inches above the invert of the outlet pipe. (k) Inlet and outlet pipe fittings or baffles, and compartment partitions shall have a free vent area equal to the required cross sectional area of the house sewer or private sewer discharging thereinto to provide free ventilation above the water surface from the disposal field or seepage pit through the septic tank, house sewer and stack to the outer air. (I) The total depth shall not be less than nine '(9) i~ches greater than liquid depth. The cover of the septic tank shall be at least two (2) inches above the back vent openings. (m) Partitions or baffles between compartments shall be of sound durable material and shall extend at least four (4) inches above the liquid level. An inverted fitting equivalent in size to the tank inlet, but in no case less than four (4) inches in size, shall be installed in the inlet compartment side of the baffle with the bottom of the fitting placed.midway in the depth of the liquid. Wooden baffles, are prohibited. (~) Ail concrete septic tanks shall be protected from'icorrosion by coating the inside with an approved bituminous coatingor by other acceptable means. The coating shall extend to at least four .(4) inches below the water line, and shall cover all of the internal area above that point. s /oo5 Manhole 9" Sanitary Tee (Reference Sec. 1115 (h)) 4" C.I. Standpipe Manhole 4" C.I. Outlet 12" Sanitary Tee COnstruction s~ecifications, tanks. Poured Design measurements Capacity . gallons 4" pour' throughout Rebar 5/8 on 24" grid ½ on 20" grid 3/8 on 16" grid C. Block Insid9 dimensions: Length , ~ . Width Depth (D) Scum storage (S) 12" A= (40% of D) 2. 3. 4. 5. 6. 8" block 5/8 rebar on 16", center tieing floor to first two rows of block. 5/8 rebar on each corner, top row of block to slab. Coat tank inside and out with asphalt. All voids in finished walls to be poured full with concrete. Floor and roof - 4" pour rebar ' requirements same as poured tank. TABLE OF INSIDE SEPTIC TANK DIMENSIONS Inside Width Liquid Inside Deg~h Length 3 5 5 3 ,5 6 3 5 7 3 5 8 3 5 9 3 5 10 4 5 6 4 5 7 4 5 8 4 5 9 4 5 10 4 5 11 4 5 12 4 5 13 4 5 14 4 6 7 4 6 8 4 6 9 4 6 10 ,5 6 7 5 6 8 5 6 9 5 6 r1~-'- 5 6 11 5 6 12 5 6 13 5 6 14 5 6 15 6 6 10 6 6 1! 6 6 12 6 6 13 6 6 14 6 6 15 Gallons 561 573 785 898 1033 1148 898 1047 1197 1346 1496 1645 1795 1945 2095 1257 1436 1616 1796 1571 1795 2020 ~?~- 2'467 2693 2917 3142 3366 .2693 2962 3251 3501 3770 4039