HomeMy WebLinkAboutCONIFER HEIGHTS BLK 3 LT 6Conifer
Heights
Block 3
Lot 6
#015-093-17
UBAA °3 1 4 �.
JUN 1 I(U4
Municipality of Anchorage
Community Development Department Page 1 of 3
On -Site Water and Wastewater Program
4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite • (907) 343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP121163 PID Number: 015-093-17 ❑ New 0 Upgrade
Name:
Donald & Michelle Decker
ABSORPTION FIELD
❑ Deep Trench El Shallow Trench El Bed ❑Mound
Address
7766 Port Orford Drive Anchorage, AK 99516
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
GPD/SF
Ft.
LEQAL DESCRIPTION
Depth to pipe invert from original gradeGravel
Ft.
depth beneath pipe
Ft.
Subdivision Block Lot
Conifer Heights 3 6
Fill added above original gradeGravel
Ft.
length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
I Distance between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Lift Station
Tank
Line
Ftp
Ft.
Well
>100'
>100'
NIA
N/A
>25'
TANK O Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage Tank
Capacity
I 1,000GaI.
Surface water
>100'
>100'
N/A
N/A
Material
Number of compartments
Lot Line
>5'
>10'
N/A
N/A
Steel
Two
NA
Foundation
>5'
>10'
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
None
Noted
Gal.
Remarks Tank Only Replaced Under This Permit.
Pump on level at
in.
Pump off level at
in.
High water alarm at
in.
Existing Tank Decommissioned in Accordance With
Municipal Code.
Pump make and model
Electrical Inspections performed by
Installer
PIPE MATERIAL Housetotank D3034 Tank to D3034
drainfield
John's Excavating
Drainfeld HDPE co/MT D3034
Inspector MEA
BENCHMARK (Assumed elevation) 100.Oft
Inspection 1' 7/10/12 7/11/12
Location and description
2w
V a'"
SW Corner Back Deck
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
JQA:�5'1 �J
Conditional Approval: Date
4*r re •••,� IR
,
......r
ss AMWVN. wS
%' 1 ` I
t!oFESSt�
Approved Date
•�
�aataaa��
Inspection Repbff 1-'r-12' oc!/
PID No.: 015-093-17
Municipality of Anchorage
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 Permit Number: OSP121
Page 2 of 3
oR�JE
vao
1
1
Existing
Well
1 Three
Bedroom
i Home
1 �
1 �
n
$ 1\ A FCO
\ N
Ca 1 /
CONIFER HEIGHTS
SUBDIVISION \ Existing Septic Tank z
G 1 5a Decommissioned in
Accordance with
LOT 6, BLOCK 3 .1 S2\ sco Municipal Code.
35,776 S.F. o 1
0 1 1
A 1
m I
Existing 1 A B
Well® 1 i Sl 60.3' 65'
1 ' S2 66.1' 71'
1 I
1 �
1
1
��..�
OF LEGEND
�� ��..•• �j y 30 6 SV - Septic Vent
�� P'• �j 6, CO - Clean Out
MT Monitor Tube
{s >� ♦ / FCO - Foundation Clean Out
49th � - Existing
`..................................... PLAN AS -BUILT
❑ - proposed
: -
MICHAEL E. ANDERSON tQ,
�1�!rJ':,• No. CE -4361 •' ��
�.fo ••.- — -/ c .� SCALE 1" = 40'
Permit Number: OSP121163
Municipality of Anchorage Page 3 of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
94.8
y �y UU
/ Finished
Ground
1000 Gallon
Tnk IU I
Septic
90.6
Tank Only Replaced Under This Permit. Existing Tank Decommissioned
in Accordance with Municipal Code.
PROFILE AS -BUILT
No Scale
PID No. 015-093-17
On -Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number:
OSP121163
Tax Code Number:
01509317000
Work Type:
Septic Upgrade
Permit Effective Dates: July 06, 2012 to July 06, 2013
Design Engineer:
ANDERSON ENGINEERING
Subdivision:
CONIFER HEIGHTS
Site Legal Address: CONIFER HEIGHTS BLK 3 LT 6 G:2440
Owner/Address: DECKER DONALD D & MICHELLE
7766 PORT ORFORD DR ANCHORAGE AK 995070000
Site Mailing Address: 7766 PORT ORFORD DR, Anchorage Lot Size in Sq Ft: 35776
Total Bedrooms: 3
This permit is for the construction of:
N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received
Issued By:
MUNICIPALITY OF ANCHORAGE
Community Development Department Phone: 907 -343 -
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
Mayor Dan Sullivan
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D.: 015-093-17
Property owner(s): Donald & Michelle Decker Day phone: 346-2099
Mailing address: 7766 Port Orford Drive Anchorage, AK 99507
Site address:
Same
Legal description (Sub'd., Block & Lot): Conifer Heights, Block 3, Lot 6
Legal description (Township, Range & Section)
Lot Size: 35,776 Sq. Ft. Number of Bedrooms: Three (3)
THIS APPLICATION IS FOR:
THIS APPLICATION IS AN:
(®all that apply)
Initial ❑
Absorption Field
❑
Upgrade X
Septic Tank
X
Holding Tank
❑
Renewal ❑
Privy
❑
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
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: '$ zoo
Date of Payment:
Receipt Number: C4
Permit No. 11103
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No
C:\Users\AndEng\Desktop\Mike\Thunderbird Heights\Permit Application Lot 17 3A.docC:\Users\AndEng\Desktop\Mike\Thunderbird
Heights\Permit Application Lot 17 3A.doc
ANDERSON ENGINEERING
P.O'. BOX 240773
ANCHORAGE, AK 99524
523-7773 522-6779 FAX
June 26, 2012
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 6, Block 3, Conifer Heights Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The septic tank on Lot 6, Block 3, Conifer Heights Subdivision is near failure and must
be replaced. It is also located inside the 100' protective radius of the well on the lot.
We are proposing to replace the tank with a new 1,000 -gallon steel septic tank to serve
the three-bedroom home on the lot. We are therefore requesting a permit be issued
for the construction of a new septic tank to serve the home. The attached Site Plan
and backup documentation identify the location and configuration of the existing septic
system and the location of the new tank. Also identified on the plans is the existing well
on the lot. The existing tank on the lot will be properly disposed in accordance with
Municipal Code. The drainage patterns on the property will be maintained after
construction.
The ground surface on the lot slopes to the southeast at a 2% grade in the area of the
new tank. The tank will be placed in the same location as the existing tank at nearly the
same elevation. It will then be tied in to the existing service line. The tank will be
constructed parallel with the contours of the land as much as possible in conformance
with Municipal requirements.
If the tank is constructed in accordance with our design the following statements apply:
The tank, if constructed as designed, will have no adverse impact on the wells in
the area or those to be constructed in the future.
2. The tank, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
Lot 6, Block 3, Conifer Heights
June 26, 2012
Page 2 of 2
3. The tank, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The tank, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
W �D'e" Y-19�
rt/ 49th * i*
MICHAEL E. ANDERSON
CONIFER HEIGHTS SUBDIVISION
LOT 6, BLOCK 3
35,776 S.F.
:0'
09-1&P
�
Existing
Well
1 Three
Bedroom
1 Home
1
1
`I \
FOO
1 \
N00
\
o I \
\1 /
A \
0
O 1
I \ SV
i C
1 \2C0
o ZZ1
o l 1 Existing 53' Long x
I I 3' Wide x 8' Effective
3 } Depth Absorption
'0 I Trench.
Existing rt 11
Well
1
Place New 1,000 Gallon
Septic Tank, Foundation I
Cleanout and 2 Post Tank `
Cleanouts. I /
1 � i
OF
I /
�.�P •.................. �� y -50 E
DC7 .: • ♦�. / N68 A"I
49th.'i�f_ /
Ju�
MICHAEL E. ANDERSON SITE PLAN
�t
No. CE -4381 =i
o ••..7^L-1•_'SCALE 1" = 40'
Dispose of Existing Tank
In Accordance With
Municipal Code.
LEGEND
SV — Septic Vent
CO — Clean Out
MT — Monitor Tube
FCO — Foundation Clean out
— Existing
❑ — Proposed
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 6, BLOCK 3, CONIFER HEIGHTS SUBDIVISION
GENERAL:
The scope of this project includes the decommissioning of the existing septic
tank in accordance with Municipal Code. Work also includes the
procurement and placement of a new 1,000 -gallon septic tank at the location
shown on the Site Plan. Work also includes the placement of a foundation
cleanout and placement of two new post tank cleanouts. The new delivery
line must then be tied into the existing outfall line to the absorption trench.
The new septic tank must be placed 10' from all water service lines in the
area and 100' from any surface water in the area. A minimum of 4' of cover
is required over the septic tank. The new tank must be placed outside the
100' protective radius of the well on the lot.
2. Construction shall be in accordance with the approved site plan, design
drawings, Municipal Permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
3. The Contractor shall be responsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the location
of all lot lines. The Contractor must also verify the location of wells in the
area and assure that the separation distances are met.
4. Unless specifically agreed otherwise, the contractor shall be responsible for
final grading areas subsequently depressed from soil settling. Property
owner shall be responsible for revegetation of affected areas unless
specifically agreed otherwise.
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Development Services Department Building Safety Division On -Site
Water and Wastewater Program for system installations. Owners installing
their own systems must receive prior approval from the On -Site Water and
Wastewater Program before beginning system installation.
SEPTIC TANK INSTALLATION
A new 1,000 -gallon septic tank must be procured from an approved source
and installed at the location shown.
2. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
Lot 6, Block 3, Conifer Heights
June 26, 2012
Page 2 of 3
3. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches above
final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial
insulation.
6. A foundation cleanout shall be installed one to four feet from the building
foundation. Two cleanouts are required between the tank and the drainfield.
7. Final grading over the tank shall be such that a positive slope exists away
from the septic tank.
DRAINFIELD CONSTRUCTION: - EXISTING ABSORPTION TRENCH TO REMAIN IN
SERVICE
1. The drainfield shall be constructed to the dimensions shown on the design.
The bottom of the trench shall be within 2" of level.
2. Distribution piping must be placed level with perforations down atop a level
bed of drainfield rock. Rock should then be placed over the pipe to provide a
minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield rock
and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations shown on
the design. The portion below ground must be perforated.
5. Contractor shall verify the septic tank and drainfield are a minimum 100' away
from any private water wells in the area, 150' from a Class "C" Well or 200'
from any community well.
6. Direct bury insulation must be placed over the distribution system if less than
3' of backfill depth is available. Finish grade over the trench must be
mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trench to drain away.
8. A minimum 2' of accepting soil is required below the drainfield rock for a 5'
wide trench. All pockets of unacceptable materials must be removed and
replaced.
Lot 6, Block 3, Conifer Heights
June 26, 2012
Page 3 of 3
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a municipally approved septic tank
manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and
solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662
or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow
Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the
#200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These inspections
must be conducted under the supervision of a professional engineer registered
in the State of Alaska. The first inspection must be conducted after the
excavation of trenches, beds or pits and before the installation of any gravel. A
septic tank may be set in place, but may not be backfilled.
The second inspection must be conducted after the placement of the geotextile
fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No
backfill should be in place at the time of inspection.
Contractor or owner shall provide a copy of all field survey layout and
construction notes for use in preparing the certified as -built of the completed
system.
MUNICIPALITY OF ANCHORAGE
0 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
NAME
Pee /C G
PHONE
NEW
❑ UPGRADE
MAILING ADDRESS
LEGAL DESCRIPTION r �j
LC-� l3 L COn14- V- A(' S:
LOCATION
NO. OF BEDROOMS
DISTANCE TO:
Well
if'�W
Absorption area
�L�
Dwelling
4. So
PER T O.
�4vo�`��
VY
H ZQ
W
ManufsIcturer ,
Marjpl
No. of compartments
H
y
Liq. capacity in gallons
/oar Q
IF HOMEMADE:
Inside length
Width
Liquid depth
C Y
DISTANCE TO:
Well
Dwelling
PERMIT NO.
JCz
_ Ia,
Manufacturer
Material
Liquid capacity in gallons
=
DISTANCE TO:
Well
Foundation
Ne rest lot line
PERMIT NO.
Z
No. of lines `
Length of each
Total [an g�ji of lines
Trench width
Distance between lines
I
33
55
inches
Top of tile to finish grade f
Material beneath tile 7
Total effective absorption area
inches
?¢8, ,
Length
Width
Depth
PERMIT NO.
W
a
Q H
as
w
Type of crib
Crib diameter
Crib depth
Total effective absorption area
W
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
Class
Depth
Driller
Distance to lot line
PERMIT NO.
J
Lu
�
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
Par
0
-t—
PIPE MATERIALS
PIPE
q11 &I
SOIL TEST RATING
N
INSTA LER
WtW C
I-n
REMARKS
I
lop c✓t6s-L"
c��t c So i A*?C 0V114-LV4 1,
rwspot.
r E'
t 9'+otaa+tatit•M• •t+
NO. 1732-8 ���
,tuna 22,1969
�tAlff-tt
Y®�
,7
APPROVED DATE LEGAL
INNS. ENcj�S. Jo 9, 7�
72-013 (Rev. 3/78)
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
Ile UE: ��1-4= 1=1 ������VA= En A C3 FT F1 %A EE L. E> EE F" w vi= ot
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD.
THE DEPTH OF H 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).
1.3 3E F,. -"E" Ex c& E7 F ----"-l- X C*: 0- F=l r-4 t--- 7-F.1 = E-_'= -1L 02-110 P-1 �1"::11 ��r-4�
______ F" F4 CT H:: F::1 fl -3 EZ �I.. 6=1 Phi -7- CA F` _F_ 3: CA Phi
H PACKAGE PLANT MAY BE INSTALLED AT THE PERMITTEE'S OPTION SUBJECT TO THE
FOLLOWING CONDITIONS:
1. EITHER H CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED.
2. H CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF H MAINTENANCE
AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL
ABSORPTION SYSTEM HND/OR YOU MAY BE SUBJECT TO PROSECUTION.
_......... ......... ..... ..... .........
_
_.. :1 T-4 I:-"- _T_ 1 1:71 r�4 F__' F= FR E. 0 - j I I::;. '" E-E�
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS HND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
��1 1- �F-" I F-;'--' F'-' 0 E> Er C2 E= Vq E3 E" FT .9 -1 " IL cF W7�
I CERTIFY THAT
1: I HM FAMILIAR WITH
���x c",-- i F- -i w CA F=r ��������������
REQUIREMENTS
DEPARTMENT O. HLTH
AND ENVIRONMENTAL [ '
-CTION
825 'L' STREET,
ANCHORAGE, HK. 99501
2: I WILL INSTALL THE
SYSTEM
264-4720
THE CODES.
]: I UNDERSTAND THAT
t4 U--- L_ FH 1"-,4 C.." RD P -A I -T E.:. L4 E:__
F"E-- -11��
PERMIT
NO. ( 780058 )
RESIDENCE IS REMODELED
TO
APPLICANT DON DECKER
625 PEARL DR
344 558]
LOCATION
CONIFER HEIGHTS SUB
LEGAL
L6 B] CONIFER HTS SUB
LOT SIZE
35776 SQUARE FEET
TYPE OF
SOIL HBSORBTION SYSTEM IS:
TRENCH
MAXIMUM
NUMBER OF BEDROOMS = ]
SOIL RATING (SQ FT/BR)=
140
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
Ile UE: ��1-4= 1=1 ������VA= En A C3 FT F1 %A EE L. E> EE F" w vi= ot
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD.
THE DEPTH OF H 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).
1.3 3E F,. -"E" Ex c& E7 F ----"-l- X C*: 0- F=l r-4 t--- 7-F.1 = E-_'= -1L 02-110 P-1 �1"::11 ��r-4�
______ F" F4 CT H:: F::1 fl -3 EZ �I.. 6=1 Phi -7- CA F` _F_ 3: CA Phi
H PACKAGE PLANT MAY BE INSTALLED AT THE PERMITTEE'S OPTION SUBJECT TO THE
FOLLOWING CONDITIONS:
1. EITHER H CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED.
2. H CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF H MAINTENANCE
AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL
ABSORPTION SYSTEM HND/OR YOU MAY BE SUBJECT TO PROSECUTION.
_......... ......... ..... ..... .........
_
_.. :1 T-4 I:-"- _T_ 1 1:71 r�4 F__' F= FR E. 0 - j I I::;. '" E-E�
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR H PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS HND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
��1 1- �F-" I F-;'--' F'-' 0 E> Er C2 E= Vq E3 E" FT .9 -1 " IL cF W7�
I CERTIFY THAT
1: I HM 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.
]: I UNDERSTAND THAT
THE
ON-SITE SEWER
SYSTEM
MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED
TO
INCLUDE MORE
THAN ]
BEDROOMS.
SIGNED:
ISSUED B ...... VI0
Mr. Don Decker
625 Pearl Drive
Anchorage, AK 99502
4040 "B" STREET
ANCHORAGE, ALASKA 99503
(907) 278-1551
March 6, 1978
W.O. #A18368
Grid #2440
Subject: Subsurface Investigation for Suitability of
On -Site Sewer, Lot 6, Block 3, Conifer Heights
Subdivision
Dear Mr. Decker:
Transmitted herein in accordance with your instructions are
the results of the above referenced investigation as performed
by us on February 24, 1978. The scope of this project is
the investigation for suitability of an on-site sewerage
system.
Included in this transmittal are:
Test Hole Location Sketch Figure 1
Test Hole Log Table A
Explanatory Information Sheets 1-3
The exploration was conducted with a Nodwell mounted B-50
drill rig using a continuous flight solid stem auger. The
rig is owned and operated by Denali Drilling, Inc. Drilling
was supervised, the test hole logged and percolation test
performed by Mr. O.M. Hatch, geologist for Alaska Testlab.
The log of the test hole is included as Table A of this
report. In interpreting the log, it would be helpful to
utilize the explanatory information contained in Sheets 1-3
of the report.
When drilling was completed a 3/4" slotted PVC pipe was
inserted in the hole to aid in determining the free water
level. For the percolation test, the test hole was filled
with water and left overnight to saturate. On returning the
next day, the hole was refilled with water and the drop in
the water level carefully monitored over the next. 60 minutes.
This procedure is not a standardized percolation test,
however, we understand that the Municipality of Anchorage,
Department of Public Health and Environmental Protection
prefers tests performed in this manner to evaluate a site
for a proposed on-site sewerage system.
Mr. Don Decker
March 6, 1978
Page 2
Using the above test, the observed minimum percolation rate
was 6.7 minutes/inch. This corresponds to a required absorp-
tion trench area of 140 square feet/bedroom as we understand
local requirements.
No water table was observed during drilling. It should be
noted though, that the free water level normally fluctuates
seasonally and with precipitation.
We hope the above meets your present needs. If we can be of
further service, please feel free to contact us.
Very sincerely,
ALASKA TESTLAB
. Mark Hansen
RMH:rb
Enclosures
P. OVED :
Melvin R. Nichols, P.E.
Laboratory Manager
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Test Hole #1 Table A WO #A18368 .
Logged By: O.M. Hatch
Date: 2-24-78
Depth in Feet
From
To ,
Soil Description
0.0'
- 1.0'
Brown Peat, Pt, damp, soft.
1.0'
- 4.0'
F-2, brown Gravelly Silty Sand,
SM,
damp,
medium density.
4.0'
- 8.0'
F-1, brown Silty Sandy Gravel,
GM,
damp,
medium to high density, occasional
cobbles,
rounded particles to 6".-
8.0'
- 10.0'
F-4, brown Gravelly Sandy Silt,
ML,
damp,
stiff, NP.
10.0'
- 16.0'
F-1, brown Silty Sandy Gravel,
GM,
damp, medium
to high density.
Bottom of Test Hole: 16.0'
Frost Line: 0.5'
Free Water Level: None Observed while drilling
Type of Dry
Sample Depth Blows/6" M Sample Strength Group Unified
1 5.0' -- -- G -- -- GM
2 10.0' -- -- G -- -- ML
3 15.0' -- -- G -- -- GM
Remarks: 1.
2.
3.
4.
5.
6.
Type of Sample, G=Grab, SP = Standard Penetration,
U = Undisturbed.
Dry Strength, N=None, L=Low, M=Medium, H=High.
Group refers to similar material, this study only.
General Information, see Sheet 1.
Frost and Textural Classification, see Sheet 2.
Unified Classification, see Sheet 3.
E-4 E-4 E-4 H+ H H H
Cl)
> >
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s 4*:
u): ux
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r-4: r-4 r -f
(f): UA Eq 0 (Q
CD C7 0 ci 0 V'% ci cil
W (fl co
Cd.
E-4 E-4 E-1 E-4 E-4 H E-4 1-4 E-4
O v-1
04 01. q C\l N 0c) C\l C\l
\0 ccl ,i r4 N c\J N
Ta x x x x x
W W kA w �% w w Cd C4 Cd
w
ui
b4
1-4
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r -A
(1)
ci.
4
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a
0
c
cd
od.
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ci
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py
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Gy
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Cl)
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c*'O cit 4
,4 W 0 —i I z
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s 4*:
u): ux
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w
MUNICIPALITY OF ANCHORAGE MUNICIPALIT OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. C, I':-.�LTI I &
825 L Street - Anchorage, Alaska 99501 ENVIRONMFNT ',L — i !.CTION
ENVIRONMENTAL ENGINEERING DIVISION DEC 12 1978
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWEIREQWE D
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER
PHONE
a0/t% + M-1CtFECLE 1JEG�E�
3 �-558 3
MAILING ADDRESS
S,e A l�oX 73 -D
PROPERTY RESIDENT (If different from above)
PHONE
too X7- ORFo 2D IlglUe
7. WATER SUPPLY
2. RUYER
PHONE
MAILING ADDRESS
3. LENDING INSTITUTION
PHONE
*A5</! j'"aoL 6 -Alp Yetis FOP, C-2eDl r unJ/O V
Z-
MAILING ADDRESS
3Soa EIDE STREET
4. REALTOR/AGENT
PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
41.4cic 3 7-s•
STREET LOCATION
�oRT
ORFoRD �R1+1C
6. TYPE OF RESIDENCE
NUMBER OF BEDROOMS
SINGLE FAMILY
❑ One ❑ Four ❑ Other
❑ Two ❑ Five
❑ ' MULTIPLE FAMILY
IV Three ❑ Six
7. WATER SUPPLY
f] 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 ll
❑ PUBLIC UTILITY
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
C), INDIVIDUAL/ON-SITE**
4�
**If individual/on-site, give installation date
If system is over two (2) years old an adequacy test is required
❑ PUBLIC UTILITY
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
'e7 A4 -m& aA`4�
THIS SIDE FOR OFFICIAL USE ONLY
INSPECTION APPOINTMENTS
DATE RECEIVED
TIME
TIME
TIME
DATE
DATE
DATE
INSPECTOR
INSPECTOR
INSPECTOR
DIRECTIONS:
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: � U`-' If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELL TO:
Septic/Holding Tank
Absorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS 1I
❑ APPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
�SAPPROVED
DATE
(-�-�C_
BY (Title)
(
LEGAL DESCRIPTION
72-010 (Rev. 3/78)