HomeMy WebLinkAboutCORONADO BLK 1 LT 9
MunicipalitY of Anchorage Page I of
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: .~VJ 4~70c~-/o0 PIDNumber:
Name: ~O~a~ ~~~ Wastewater System: D N~~D Upgrade~
Address:. ~ ~0~~ ~r~/~ ~. ABSORPTION FIELD
~ D Deep Trench D Shallow Trench D Bed D D Other
LEGAL DESCRIPTION so, Rating: Total De~ original grade:
GPD/Sq. Ft.
Lot: ~ Blockt / ~0 ~Subdiv~i°n: ~ Depth to pipe bottom from original grade: Ft. G~epth beneath pipe Ft.
Township:~ I Range: / [Sect~ Fill added ab°va °riginal grade: ~ ~Gravel length:~Ft. Ft,
WELL: c New ~ ~ Gravelwidth: ~/ Ft. Number°f lines: IDistancebetweenlines:Ft.
ClasSification (~rivate, A,B,C): ~pth: ' Cased To: Total absorption~ Pipe material:
~(J~h:L~ .... ~ Ft. Ft. SQ. Ft.
Driller: / Date Drilled: Static Water. Level:Ft. Installer/ Date installed:
Yield: ~PM IPump set at: Ft. ICasing Height AbOve Gr°und:/Ft. TANK
/ SEPARATION DISTANCES ~%ptic ~ '~¢~~
To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank SewerLlne, nchora
Material: Number of Compartments:
Surface LIFT STATION
Water IO~+ IO0'~
LineL°t /0 ~ ~ /~t~ Size in gallons: I Manufacturer: ~~
t , "Pump on" level at:~el at: ~ High water alarm at:
Foundation ~ ~ IO ~
Curtain Drain ~o~ ~O~-- __ / / Pum~ ~ [ Electrical Inspections pedormed by:
Remarks: BENCH MARK
Location and Description:
Assumed Elevation:
. Inspections performed~., ...... ,-,
Department of Health and Human So.ices approval '~,,~...
Reviewed and approved by: ~ Date: 9 ',',~, ~ ..... .,. ,:".._~--
72-013 (Rev. 9/91) MOA 25
'PERMIT NO SW970248 PA6~ 2 OF 2
Hunicipo. Lity of" Anchor'age
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DOVlSION
P,D, Box 1966500Anchor'age, ALaska 99519-6650 O TeLephone, 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 9, BLOCK 1, CORONADO SUBDIVISION P.I.D. NO. 050--121--21
A B
FCO 22.0' 28.5'
ST1 16.0' ,58.0'
ST2 14.5' 52.0'
DBL1 15.5' 54.0'
DBL2 16.5' 55.0'
C01 26.0' 70.0'
C02 46.5' 45.0'
MT1 47.0' 45.0'
EXISTING CRIB
EW 2000 GAL.
N
MT1 L lB ,.X, 'f'
~-EXISTING SEPTIC SYSTEM
SEPTIC TANK
ST1 ST2
H , J] z-FINAL
N.T.S.
GRADE
SCALE 1" = 40'
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUNLAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
i~CHORAGE, ALASKA 99519-6650
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW970248
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:LUTHER DIANA M
OWNER ADDRESS:il734 CELESTIAL ST
EAGLE RIVER, ALASKA 99577
DATE ISSUED: 8/08/97
EXPIRATION DATE: 8/08/98
PARCEL ID:05012121
LEGAL DESCRIPTION:
CORONADO BLK 1 LT
LOT SIZE: 13280 (SQ. FT.)
NUMBER OF BEDROOMS: 7 THIS PERMIT: 7
THIS PERMIT IS FOR THE CONSTRUCTION OF:
SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE ~ITH:
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 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 SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS
RECEIVED BY:
ISSUED BY:
DATE: (J~-- ~- F 7
DATE: 8-~- F7
ROBERT C. COWAN, P.E.
August 7, 1997
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
W~STEWATER
DISPOSAL SYSTEM
DESIGN
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 9, Block 1, Coronado Subdivision
MUNICIPALITY OF ANL, HOi,~(.SJ:
[NVIRONMENTAL SERVICES DIVISION
AUG 08 1997
RECEIVED
Request you expedite the issuance of a permit to upgrade the septic system serving
the existing house on the referenced property. The existing 1000 gallon septic tanks
have collapsed and are leaking effluent. They will be excavated, pumped, crushed,
and abandoned completely and replaced with a new 2000 gallon septic tank.
This property is served by a community water system.
Attached is the proposed upgrade design.
We do not anticipate any adverse effects on neighboring wells, septic systems or drainage
patterns by the installation of the proposed septic system.
We request you expedite the issuance of this pemit due to the unsanitary conditions.
If you require additional information, please contact us.
Sincerely, -j
Enclosure
17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577
1" = 50' SITE-PLAN DESIGN
SCALE
Z ' ~LITY
O0
~ > o~
Z~
> ~ I I o ~z~ ~z
~Z~
Z ~ m ~. Z
~ EXiSTiNG ~g~
HOUSE ~
.
omo I ~ ~ ~ Z~
~ z QS~
~~ o ~F ~ · o
~ ~O~z
~ ~
'~
0
CELESTIAL STREET
~ ~o~
8~ o~
0
GREA,,'R ANCHORAGE AREA BORO,,GH
Department of Environmental Quslity
3330 C Street
Anchorsge, AIssk8 ggS03
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL sYST'EM
SEPTIC TANK:
DISTANCE
FROM WELL~ MANUFACTURER
MATERIAL
LIQUID DEPTH
~ NUMBER OF /
_ COM PA RTM ENTS
LIQUID CAPACITY
~"/~' ~4'~b NEAREST LOT L NE ~' ! TOTAL LENGTH~,/~
DISTANCE FROM WELL . FOUNDATION OF LINES
ABSORPTION AREA ~~ ~ ~N~T:~C~LINE. .
DEPTH
OF
FILTER
MATERIAL BENEATH TILE BOVE TILE ~ /~ IN.
WELL:
TYPE _
BUILDING
FOUNDATION__
CESSPOOL
APPROVED
NEAREST
LOT LINE __,
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE_
DEPTH
SEPTIC SEEPAGE
, TANK__, SYSTEM
REMARKS
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
LOT SLOPE:
REMARKS:
DIAGRAM OF SYSTEM
Form EQ-032
NAME OF APPLICANT
GREA' R ANCHORAge Area bor~ .CH -O' '' '
DEPARTMENT OF ENVIRONMENTAL ~UALITY ~ ~ ~ ' ~ ,
COMPLETION· DATE ANTICIPATED
INSTALLATION LOCATION
'EGALDESCE'FT'ON 1o_ ?
!NSTALLATION OF: SEPTIC TANK ~
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL
FINAL INSPECTION: 24 HOUR NOTICE REQUIRE~:'B~cKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
,:,EPARTME.T OF ENV,RO.M'ENT^L ,~UAL,TY AUT.OR,TY WrL, L SE SU..,ECT TO PROSECUT,ON.
SEPTIC TANK SIZE : ; · ~ .;
MINIMUM DISTANCES, REQUIREMENTS:
FOUNDATION TO SEPTIC tank S'~'l :
FOUNDATION TO SEEPAGE PIT , DRAIN FIELD
N'l,
SEPTIC TANK TO SEEPAGE PIT WALL _
SEEPAGE PIT ~O g
, . . ~ DRAIN field
SEEPAGE P,T t O0
· DIAGRAM OF SYgTEM
SEPTIC TANK S'~
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD //~) i~
WATER MAIN TO SEPTIC TANK
DRAIN FIELD //'_~
/0/
ALSO CONSIDER AREA WELLS.
/
, SEEPAGE PIT /00'. DRAIN FIELD:
TO RIVER, LAKE, STREAM.
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL 'BACKFILL ' "" i'
CONFORM TO BOROUGH REGULATIONS .REGARDING ,~ALLATION.
LICENSED DESIGNER
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOle.
4 INCH DIAMETER CAST lEON SIPHON PIPES ON SEPTIC '=l'Al'~K AND ;~'-~E~AGE Pit
;
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE wITH SAID CODE.
FORM NO. E:Q-016
GAAB-HD-I
GR; ..:R ANCHORAGE AREA BOROU'
Di:r~RTMENT OF ENVIRONMENTAL QUALh.
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~'J.J'~/~ ~'-N (~-~
LOCATION q~/l~S'T t~ Z
SEPTIC TANK:
DISTANCE FROM WELL ~u)~7¢l~p~s~L~ I i'LL~TERIAL
~, ~ / 7~9
LIQUID CAPACITY J~() GALLONS. INSIDE LENGTH ....
MAILING
ADDRESS ~--z~?d. ~EJ~IO~? : ~'~9~ ~Jz,C._=_, PHONE 9/~"~/
LEGAL DESCRIPTION ~.OT ~ ~1~ I (2_~r'~'),~ 4~,
NUMBER OF
COMPARTMENTS
LIQUID
INSIDE WIDTH -- DEPTH__"-'-.
SEEPAGE SYSTEM:
NUMBER OF PiTS
LINING MATERIAl
NEAREST LOT LiNE
SEEPAGE PIT:
OUTSIDE DIAMETER
OR WIDTH q I , LENGTH 'J~'~ / , DEPTH ~'~
DISTANCE FROM WELL
, BUILDING FOUNDATION '~'? '"
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ,~'~
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL
FOUNDATION
NEAREST LOT LiNE
TOTAL LENGTH
, OF LINES
NUMBER OF LINES DISTANCE BETWEEN LINES .......... TREF,TCJ::J~-DTH
ABSORPTION AREA .-.---~SQ.'~F~.- LENGTH OF EACH LINE
DEPTH: TOP OF LE'q'T~TOFINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
IN, TOTAL EFFECTIVE
IN. ABOVE TILE
DISTANCE FROM
WELL: TYPE~//W/J~dLOP~ ~'/, DEPTH BUILDING FOUNDATION..
NEAREST SEPTIC SEEPAGE
LOT LINE , SEWER LINE , TANK , SYSTEM
WATER
SAMPLE
, CESSPOOL
, NEAREST
OTHER
, SOURCES__
DISTANCES:
,/~J.- COST ~
DIAGRAM OF SYSTEM
DATE
APPROVED
G.A.A.B.
GreA, Er ANCHORAGE Area BOF;~U~--~-~
DEPARTMENT OF' ENVIRONMENTAL QUALITY PERMIT NO.
3500 TUDOR ROAD POUCH 6-650
ANCHORAGe, ALASKA 99502
TELEPHONE 27~)-8686
2177
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
IEGALDeSCRIPTiON ~IUi/~' ~ ~ /
TYPE AND SIZE OF FACILITY TO BE SERVED
SOIL TEST RESULTS
/
COMPLETION DATE ANTICIPATED
OTHER
,~ TO BE INSTALLED BY
~ ~"~ /~C NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
!
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN field
DRAIN FIELD
,, DRAIN FIELD
IT
ALSO CONSIDER ARea WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
SO'
SEPTIC TANK, - , SEEPAGE PIT . DRAIN FielD
TO riVEr, LAKE, STREAM.
'CAST IRON INTO ANn niit n; -~£PTIC TANK AND INTO CRiB CROSSING GAP OF
EXCAVATION 5 FEET INTO I~NDISTIJRBED SOil.
4 INCH DIAMETER CAST IRON SIPHO~I PIPES C)N RI~PTIC. TANK AND SEEPAGE PIT
F[TTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
HEALTH AUTHORITY
OR
LICENSED DESIGNER
! CERTIFY THAT I AM FAMiliar WITH THE REQUIREMENTS OF GREATER ANCHORAGE Area BOROUGh ORDINANCE NO. 28.68 AND THAT THE ABOVE
DESCRIBED J~YSTEM IS IN ACCORDANCE WITH SAID CODE. ~
! /-
GREA' 'R ANCHORAGE AREA BOROUGH
DEPAF ~NT OF ENVIRONMENTAL QUAL~ ,'
., 3500 TUDOR ROAD
ANCHORAGE' ALASKA 99502
Performed For ~--/= r~-~ /'-~'~s ~r~=l(- Date Performed
Legal Description: Lot~Block / 'Subdivision
This Form Reports Soils~g>~ "'
CASE #
Percolation Test
Depth
......... Feet
4~."
9----
10---
Soil Characteristics
Was Ground Water Encountered? /~/~
If Yes, At What Depth?
Reading Date Gross Time Net Time Depth to H20 Net Drop
Percolation' Rate M~.,,+.. ....
Proposed Insta]'lation:
Depth Of Inlet
COMMENTS:__ %,~x~ ~
Seepage Pit Drain Field
Depth To Bottom Of Pit Or Trench
Test Pel~forme~ By_- ~C~ x Data Certified By:
//'Y~ Da te:
N