HomeMy WebLinkAboutCRESTWOOD LT 1Crestwood
Lot I
#015-361-09
Municipality of Anchorage
,, Development Services Department o¢---- ~
Building Safety Division -"---- = = =
On-Site Water & Wastewater Program, 4700 Bragaw St. ~ ~
P.O. Box 196650 Anchorage, AK 99519-6650 ~ ~
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: aSP1 011 79 PID Number: 01 5--561 --09
Nome:
JEFF BONIN Wastewater System: [] New · Upgrade
Address:
6151 BARRY AVENUE * ANCHORAGE, AK * 99507 ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 729-4081 5 · Deep Trench [] Shallow Trench [] Bed •Mound r'lOther
LEGAL DESCRIPTION sol, Rating: 0.8 GPD/Sq. Ft. Total Depth from12orlglnalMAXgrode: Ft.
Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe:
- 1 CRESTWOOD 3.83 MAX Pt. 8.1 7 Ft.
Township: Range: Section: F~II added above original grade: Gravel length:
SEE DWG. Ft. 60 Ft.
Gravel width: Number of lines: Distance between lines:
WELL: [] New [] Upgrade 2.5 Pt. 1 - rt.
Classification (Private, A,B,C): Total Dept~:~-/ Cased TO:(BEDROCK) Total absorption area: Pipe matefiah
~ 980 D 3054-/ F-810/SCH 40
~ Ft. Ft. SQ. Ft.
Driller: Date Drilled: Static Water Level: Installer: D~te installed:
rt. OWNER 1 0/27-29/201 0
TAN
K
GPM Ft. Ft.
SEPARATION DISTANCES · Septic [] Holding [] S.T.E.P. [] Other*
T~.~-'~-.......~To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons:
Tank Field Station monk Sewer Lines ANCHORAGE TANK 1500
Material: Number of comportments:
Well 100'+ 100'+ - - 25'+ STEEL 2
Surface Water 100'+ 100'+ -- -- -- LIFT STATION
Lot Line 5'+ 10'-I- _ _ _ Size in gallons: Manufacturer:
Foundation 5'+ 10'-{- _ _ _ "Pump on" level at: "Pump off" level at: High water alarm at:
Curtain Drain = NONEi KNOWNi . Pump Make &: Model: Electrical Inspections performed by:
Remarks: BENCH MARK
Location and Description:
BO-I-FOM OF WINDOW SIDING, WEST WINDOW ON
SECOND STORY, NORTH WALL
Assumed Elevation: 1 1 5.1 8 Ft.
ENGINEER'S SEAL
Inspections performed by: (~EG, Ltd. Dates: 1st 10/27/2010
2nd 10/29/2010 .~_~v ~'~'"'~/'--"~-
3rd ~,,_~%... · - '-- -' ;~. c~,~, ~'~¥ ':"
Development Services Department Approval ~°%'~9 ~ '"".~?~
Conditional approval: Date: '(//),¢ ::J/CfCr/~.~/ A,~_Ia[hess..-'
Reviewed and approved by: ,,,,,-/ re: '~,~%~rOfess'~O?~°~:~
AS BUILT DRAWING
OSP101179 - 015-561-09
/ I
A B C
DBL1 - 23.56 14.64 ~-- [ [
DBL2 - 23.62 14.99 ~ ~
ST1 - 19.78 24.06 I
-- ST2 - 15.77 52.45 MT2~05 I
DBL5 - 12.75 54.95 /~ I
DBL4 - 12.44 5591 N~ D~NFELD~
co~ :~.~2 ~.~ - X ~I ~ II
MT~ ~7.s6 ~20.96 - ~ 7// // I
I
WERE ABANDONED IN/ J I~~ ~" ~
' DBL4/ '"' "' ¥' ' .... :' ~' ";'"'"' ' ;'; ': )'' / /
' DBL3~ B A ~~'":~ ~ '
NEW 1500 GALLON~ST1 5XBEDROOM HOUSE ~ ~. '5¢: I
~ x . .~':~ 1~fl.::..... I
JEFF BONIN J 225-1958 J 2 OF 5 ~ '
LEGAL DESCRIPTION: ' ' DRAWN ~Y: M%~ ~t-~ CEF7~ '" E~/
~PE Of WORK DATE' --
AS-BUILT DRAWING Of NEW SEPTIC SYSTEM 11/5/2010
(Rev. 01/05)
AS BUILT DRAWING
OSPIO1179 - 015-561
2" SPRAYED INSU~TION
/ ;FINAL G~DE = 103.23-103.46
ST1 / / ST2
TOP OF TANK ~ = / ~ = ~ TOP OF TANK
AT INL~ = 100.00 ~ / ' ~ AT OUTL~ = 99.92
/ NEW ~500 GALLON
INVERT OF BUNG ~ SEPTIC TANK ~INVERT OF BUNG
AT INL~ = 99.41 AT OUTL~ = 99.12
~ ~ ~ FINAL GRADE =
98.86-99.42
ORIGINAL GRADE~ ~ I I I ~
E
~g~ ~ BOSOM OF TRENCH
~ RESTIVE EL~ATION Of BOSOM
Of TESTHOLE = 80.04 (DRY)
CONSULTANTS& GENERAL CONTRACTORS '
GARNESS ENGINEERING GROUP, Ltd., ;~~
5701 L ~R ~. S,~ 101' ~CHO~E. ~ 99~7' P~,E (907)~7-6179 * F~ (907)~-5246 * ~S~ ..., .... gineedn, .... ~ ~
PREPARED FOR: PHONE NUMBER: ] PAGE NUMBER: ~-.
JEFF BONIN I 223-1958 I 5 OF 5 kS/~~. ~nes~.-',
LEGAL DESCRIPTION DRAWN BY: ~%~/~]CEF7~53 ."
· . ..
CRES~WOOD S/D; ~0~ ~ ~.J.O. ~~~~/
profile as-bUilt DrawiNg Of New sePtiC SYSTEM 11/5/2010
(Rev. 01/05)
Permit Number:
Tax Code Number:
Work Type:
On-Site Wastewater Disposal System Permit
OSP101179
01536109000
Septic
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
Renewal
Permit Effective Dates: October 26, 2010 to October 26, 2011
Design Engineer: GARNESS ENGINEERING GROUP LTD
Subdivision: CRESTWOOD
Site Legal Address: CRESTWOOD LT 1 G:2438
Owner/Address: BENIN GEORGE J & DEONE M
6151 BARRY AVE ANCHORAGE AK 995076647
Site Mailing Address: 6151 BARRY AVE, Anchorage
Lot Size in Sq Ft: 49500
Total Bedrooms: 5
This permit is for the construction of:
Y 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 By: ~ ~
Issued By: ~/?~/,~,/~~.~.~._
Date:/F2- ~//~
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw St.
P.O. Box 196650
Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
O~PlOIIT~
Parcel I.D.
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
015-361-09
REVISED DESIGN:
PERMIT #SW090170
Property owner(s) JEFF BONIN
Day phone 225-1958
Mailing address
6151 BARRY AVENUE *ANCHORAGE, AK
Site address
Zip Code
Legal description (Sub'd, Block & Lot) CRESTWOOD, LOT 1
Legal description (Township, Section & Range)
Lot Size_ __
Sq. Ft.
N/A
Number of Bedrooms
THIS APPLICATION IS FOR ( J~all that apply):
Absorption Field []
Septic Tank []
Holding Tank []
Privy []
Private Well []
Water Storage []
THIS APPLICATION IS AN:
Initial []
Upgrade ~[~
Renewal ~
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.
GARNESS ENGINEERING GROUP, Ltd.
Permit/Rush Fees:
Date of Payment:
Receipt Number: O
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
September 3, 2010
Municipality of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Rd.
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907) 343-7904
Ref: Revised Design for Proposed Septic Upgrade for Crestwood; Lot 1, Permit #SW090170
To whom it may concern:
The existing 3 bedroom house is served by a private well and septic system. The septic system is in a state
of failure and needs to be upgraded. The homeowner would like the upgraded septic system to be sized
for a 5 bedroom. We are proposing to install a 1500 gallon septic tank and a deep trench type drainfield.
One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of
this test hole. Comments regarding the design are summarized as follows:
1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the
percolation test results.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system.
4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography below the
drainfield is relatively flat..
We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems.
If you have any please contact us at 337-6179. Thank you for your assistance.
Preside
NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for
this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.)
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com
I x~" ~. REVISED DESIGN:
HEriTAGE HEIGHTS LOT 7 : '~.
. , ,, . FE~MIT .SW090170
~ ~'~ ~
~ /I I ,~.~T,~ ,~,TS UO~ ~* ~ I I
J J I , ~ ~ ~ '- m m ROCKHILL BLOCK 1,
/ / ~ I ~ ~SU ' ~ ~
/ / ~ I I ~~ I I /
xI I ~c~ss c AR~ I I /
~,1 w~ .~ I I /
......... ~ x~ ............ ;~ .... ~
~ -7~ ...... n I /
f ~
SHEDS-/ /~ ~ 'X LOT 9
/~ I ~ ~
,/~ ~ ~ ~
........... ..... [
~ / / ~. /
"- L .--' ,
~ '. ~ ROCKHILL BLOCK
I I I S~A~E:
-"//
CO N~ LTA~TS & G EN ERA~ CO~TRACTOR~
~,,~ ~o~: ~.o.~ ,u,,~: I ~,~ ,~,,~: ~ ~-~:.:.I4'I..-
~EFF BONIN 2~-~95a ~ OF ~
....
LEGAL DESCRIPTION: DRAWN BY:
c~s~woo~ uoT ~ ~..
(Rev 01/05)
/ , J
DESI'GN
CRITERIA:
/
REVISED DESIGN
NUM,ER Of ,EDROOMS: 5 '/ PERMIT #SW090170
GALLONS PER DAY (GPD): 750+
PERCOLATION RATE/S: 10.9 ,,/
PROPOSED APPLICATION RATE: 0.8 /
MINIMUM DRAINFIELD SQ.FT.: 9.38
DRAINFIELD DESIGN: / :RESER: SITES~
M.O.A. APPROVED SAND FILTER: N/A A '/~ /
EFFECTIVE: 8 FEET // ,/ !
REDUCTION FACTOR: N/A /. /// /
ACTUAL SO.~.: 960 // ~// ~ I .
L~ER ~HAT PERTAINS TO THIS DESIGN. ~ ~ ~ '~' //
CONTACT GEG. BY PROCEEDING FORWARD ~ X /// ] I
WITH THIS INhALaTION, THE ENGINEER, ~ ~ ~/ // ~ ~ '
WELL DRILLER, CONVECTOR AND ~ ~ ~ ~ ~ / I
PROPER~ OWNER AGREE THAT Th~ ~ / ~/ '~ ~
HAVE R~D THESE SPECIFICATIONS AND ~ ~ / ~PROPOSED I /
AGREE TO ACCEPT THE TERMS AND ~ // DRAINFIELD
CONDITIONS OUTLINED. ~ ~
l
SHALL HAVE THE NORTH ~ SHEDS~ / ~,~~T J I
~ST LOT LINES, AND ALL ~ / // ~E~~ J J
WELL RADII F~GGED BY A ~ ' // AND DRAINFIELD
REGISTERED ~ND SURVEYOR ~ / ~ I I
PRIOR TO CONSTRUCTION. ~ / / J I
M~IMUM DEPTH: 12 FE~ ~ / ',~
WIDTH: 2.5 FED I / / / ~ APPROXIMATE LOCATION OF J /
LENGTH: 2 ~ 50 =60 FED . ~ ~ EXISTING TRENCH. EXISTING ..~
M.O.A. APPROVED SAND FILTER: N/A ~ TRENCH WILL BE USED AS A '~ ~'/ '
EFFECTIVE: 8 FE~ ~ ~~V~6 ~l~[ ~ ,
REDUCTION FACTOR: N/A~ /........... ~ I
ACTUAL SQ.~.: 960 / ' / ~ ~ I I
CL~NOUTS ~ ...... ~':/ - ~-':"'f' I J~
OLD TANK ~ X ~, ~~ .~?': "':'.
' ~UST BE [~/ //V,;":':~ ~
/ ?" .,..~=,.;,.j ' ~-
~ .... "~ ~ ': .'%...'.'.'
...... ' ...... CONSULTANTS&GENE~LCONT~CTORS ~ ~ ......
GRESTWO0~
LOT ~ PNB ~u~
~PE OF WORK: DAVE: X
SEPTIC DESIGN UPGRADE 9/3/2010
(Rev. 01/05)
HEIGHTS LOT \
LOT 3
CRESTW
WELL
CRESTWOOD LOt 24-
LOT 3
CKHILL BLOCt,
ROCKHI
LOT 1
SCALE:
1" = 100'
BLOCK
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
E.. TUDOR ROAD, SUITE 101 * ANCHORAGE, AN 99507 * PHONE (907)337-6179 * FAX (907)538-3246 * WEBSI~E: www,gam~.~englneering.com
FOR: I PHONE NUMBER: J
JEFF BONIN 22,5-1958
DESCRIPTION:
CRESTWOOD LOT 1
PAGE NUMBER:
30F3
DRAWN BY:
DATE: PNB
8/7/09
i'P(PE Of WORK:
TOPO
(Rev. 01/05)
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK. 99507 * PHONE: (907)337-6179 * FAX: (907)3~8-324-6 * WEBSItF..: gome~eengineering.com~ j
ISOIL LOG - PERCOLATION TESTJ
LEGAL DESCRIPTION: CRESTWOOD LOT 1
PERFORMED FOR: JEFF BONIN DATE: 7/30/09
ORGANICS
TEST HOLE #1
SOIL CLASSIFICATIONS
SM
GW
GP
Gld
GC
SW
SP
SP1
SC
ORG
ML
CL
OL
ldH
CH
OH
DEPTH TO DATE
GROUNDWATER
DRY 7/.7,0/09
j-¢/
SCALE:
I
1" = 100'
DATE READING CLOCK NET TildE WATER LEVEL NET DROP
Tilde (ldlNUTES) READING (INCHES)
7/51/09 1 2:00 - 6,, _
2 2:50 30 3.25" 2.75"
5 2:30 - 6- _
4 3:00 30 3.25" 2.75"
5 5:00 - 6- _
6 3:30 30 3.25" 2.75"
PERCOLATION RATE 10.9 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
SOILS LOGGED BY:
TEST RUN BETWEEN 6 FT. AND 7 FT.
A FOUR HOUR PRESOAK WAS PERFORMED: · YES
JODY MAUS PERCOLATION TEST PERFORMED BY:
[] NO
ANDREW GRAY
COMldENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS/PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
I
HEIGHTS LOT
WELL
I
I
/
/
LOT
LOT 3 CRES'h~OOD
CRESTWOOD LOT 24
GARNESS ENGINEERING GROUP, Ltd.
.............. -~ ..... CONSULTANTS & GENERAL CON'i'
PREPARED FOR: PHONE NUMBER:
JEFF BONIN 225-1958
CRESTW00D LOT 1
TYPE OF WORK:
TOPO
$0F3
PND
8/7/09
/
/
/
/
LOT 1
3mess.-'
........ CONSULTANTS & GENE~L CONTRACTORS ....... '~
I IFI ATI N
GM CL i~
GC OL
~. *, SW MH
, ~ SP CH
~ SM OH
DEPTH TO DATE
7 ~,, GROUNDWATER
DRY 7/30/09
SM
10
11 DATE READING CLOCK NET TIHE WATER LEVELI NET DROP
TIME (MINUTES) READING (INCHES)
7/51/09 1 2:00 - 6" -
12 2 2:50 30 3.25' 2.75"
15 5 2:50 - 6" -
4 5:00 30 3,25" 2.75"
14 5 5:00 - 6" -
6 3:50 30 3.25" 2,75"
15
16
17
PERCOLATION RATE 10,9 (MIN./INCH) PERC. HOLE DIA, 6 (INCHES)
1~- ' TEST RUN BETWEEN 6 FT. AND 7 FT.
20~ A FOUR HOUR PRESOAK WAS PERFORMED: ~ YES ~ NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: ANDR~
COMMENTS:
PERFORMED BY CEG, Ltd, I, JEFFR~ ~ GARNESS, CERTI~ T~T THIS WAS/PE~ORMED IN ACCORDANCE
WITH ALL STATE ~D MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ~
GRE 'ER ANCHORAGE AREA BOk IGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE ~J
FROM WELL fil~
INSIDE LENGTH
MANUFACTURER
MATERIAL~
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPAC ITY/~'~ALLONS.
TILE DRAIN FIELD:
DISTANCE FROM WELU ~~_FOUNDATION /10 ('''~L -- OF LINES ~ ~
NEAREST LOT LINE /itl/) I ~_ TOTAL LENGTH_ /
NUMBER OF LINES f DISTANCE BETWEEN LINES ~,/A TRENCH WlOT~IN. TOTAL EFFECTIVE
ABSORPTION AREA %9~ SQ. FT. LENGTH OF EACH LINE ~ ~ ~
DEPTH: TOP OF TILE TO FINISH GRADE ~ MATERIAL BENEATH TIEE -- IN.
WELL:
CONSTRUCT ION DEPTH
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION__ LOT LINE , SEWER LINE.__, TANK , SYSTEM
I~. ABOVE TILE
DISTANCE FROM:
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY: F~
SEWER LINE DEPTH':
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DATE _ APPROVED _ .- . .!.~.
Form EQ-032
r-lLIr-J I g--: I~,/'RL. I T'~ I]lF- RI~Ji]:F ZIF-:Ri3E
[:,EPFIRTMENT OF HERLTH RND ENVIRONMENTRL~ROTECTION
825 "L'" STREET~ RNCHORRGE., RK. 99501
279-2511
C~4--S I TE ~EL-JEE: PERf-1 I T
( 77334 )
RF'PL I CRNT
L 0 C: R T I 0 N
LEGRL
FAREMO'--,T HOMES
BRRR¥ ST
L± CRESTWOO[:, SUBD
LOT SIZE
278-2;644
40R00 SQURF.:E FEET
T'¢F'E OF SOIL RBSARBTION SYSTEM IS' TRENCH
MR~.::IMUM NIJMBER OF BEDROOMS = Z; SOIL RRT ING (SQ FT,.."BR',= 1'25
THE REQLIIRE[:, SIZE OF THE SI]IL RE:SORF'TION SYSTEM IS'
[:,EF'TH= 1'2 L E I'-Jm]~i T H = 24 6F-:R%¢EL [)EF'TH= 8
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEF'TH OF ~ TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEF'TH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE
RND THE BOTTOM OF THE EXCRVRTION (IN FEET).
F.:Ei~!LI I F-:E[:, SEF'T I ii: TRI'-JI<] S I ZE= 10~-3~:4. 1_3ALLEIr-JS
'T L.J i], ,:] 2 ]:, I I'-~ S F' E g--: T I L--i I'-J ---; R F-: E R E ';! t_l I F-: E [:,
.... - , ,i-i~,¢-
BRCKFILLING OF RNY SYSTEM WITHOUT FINRL IN'-qPE'TI]N RND HPPF.._,HL BY THIS
DEPRRTMENT WILL BE =,UE, JEL. T TO FRU=,EL. UTILN.
MINIMUM DISTBNCE BETWEEN R WELL BND RNY ON-SITE SEWBGE DISPOSAL SYSTEM IS
100 FEET FOR B PRIVBTE WELL OR 200 FEET FOR B PUBLIC WELL.
SPECIFICBTIONS ~ND CONSTRUCTION DIBGRBMS BRE ~VBILBBLE TO INSURE PROPER
INSTBLL~TION.
F'EF-:f'I I T %¢AL I [:, Fi]iR Cll'-JE '¢EAR FRill-1 I '_~. '__~IJE
I CERTIFY THRT
1: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH 8Y THE MUNICIPRLITY OF RNCHORRGE.
2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
~: I UNDERSTBND THRT THE ON-SITE SEWER SYSTEM MBY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS.
S I GNE[:, ·
AF'F'LICRNT FOREMOST HOMES
'-'- ' ___[:,RTE_.
I =._-.IJE[., BY .....
GReaTER ANCHORAGe AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS
MAILING ADDRESS
SEEPAGE PIT , DRAIN FIELD
, OTHER~
TO BE INSTALLED BY ~ (--'(O)
NO'I"~= THIS PERMIT~NOT VALID WITHOUT ~OIL
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPT,CTANKS,:E /CC<e' TYPE SEEPAGEA.EAS,ZE
_ TYPE
MINIMUM DISTANCES, REQUIREMEN'r~
5"'
/
FOUNDATION TO ~~'~'~"~ ~ . DRAIN FIELD
SEPTIC TANK , SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK /~O
DRAIN FIELD / ~-~C~ /~
WATER MAIN TO SEPTIC TANK /O
DRAIN FIELD
TO RIVER, LAKE. STREAM.
, DRAIN FIELD
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING IN~ATION.
G.A.A.B.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
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.
DATE .7APPLICANT', SIGNATURE~'~ ~~
FORM NO. EG*016 /
"On4~tsw~hath~sandopinions"
220~ Clevelan~ ~¢~orage, ~a~ka 99503
Foremost Homey Date Performed
__Block Subdivision ~r~wooO
Performed For
Lenal Qescrintion: Lot 1
This rorm Renorts Soils Lo~
, iVes
5/23/77
Percolation Test
Denth
Feet
4
6
10--
14--
16
18__
20--
'6" p::~oil Characteristics
Silt
Sandy Gravel
Sandy Silt
Bottom of Test Hole
I i
L !
Was Ground Water Encountered? No
I~ Yes, At what Denth?
Readinq Date Grnss Time Net Time Depth to H20 Net Dron'
Percolation Rate ~ti nute
PrnPosed Installation: SeenaQe Pit Drain Field
Den. th of Inlet Denth To Bottom Of Pit Or Trench
Cn~r~ENTS' 125 Sauare ~_ a~n~ge required ~ h~~ ~ q ~ ~ ~
Te,t Performed B~ I/~~~ Data Certified B~:CONSTRUCTION T~$T
' David Paul ~ Date: 5/23/77 LAB
--
~ MUNICIPAUTY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
GENERAL INFORMATION
(a)
Application Date
Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
Applicant Name D, D~ Telghone: Home~-ZO * ~ Business ~~
Applicant Address ~ I ~ I ~ ~ ~ ~
Institution~ Owner/builder ~; Buyer ~; Other ~ (explain);
Applicant
is
(check
one):
L~nding
Address
(f)
(e) Real Estate Company and Agent ./~/~>~
Address ~
Telephone
-M~i~the .AA to the following address: ~:). _'~O ~'/~ ~
Other
~:~:-;-. 3. WATER SUPPLY
:~;~ Individual Well I~Community I-! Public []
- *~°te: i~ community well system, must have written confirmation from the State Department of Envirc
'attesting t° the legality and status·
'4:" :"~AGE DISPOSAL
~,. ~'~'~.blic [] Community [] Holding Tank []
' ~tei If COmmunity well system, must have written confirmation from the State Department of Environmental Conservation
to the legality and status.
72-025 (11t84)
Page 1 of 2
ENGINEERING FIRM PROVIDII~INSPECTIONS, TESTa, FILE SEARCH, D~I"~ 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
wastew.ater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm ~'~ ,~'/o. ~1,,~.~'~,,~'~ Telephone
Address .~-..~ ~L~. ~]~'~-.~-~"/.~, ~ ~ ~ /~ ~
Engineer's Seal
~'~':~ ..... Terms of Conditional ApProval
,i/. ~ ~;~. :~'- -:
ApproVed for ~~)bedrooms b ate
...... Disapproved Conditional
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues
Approval certificates based ~dely upon the representations given in paragraph 5 above by an
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and~their lendif
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct
analyze data beforea certificate is issued. The Municipality of Anchorage is not responsible for errors or c
prbf~ssional engineer's work.
Page 2 of 2
72-025 (11/84)
,MUNICIPALrn' OF ANO*IORAGE
DEPT. OF HEALTH &
MUNICIPALITY OF ANCHORAGE (MO~F/ BqVi~TAL Pi~T~
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
264-4720
Legal Description:
WELL DATA
Well Classification If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N)~ Date Completed-' ' -~ Yield
Total Depth g~l~=, ~ Cased to ~"~-, ~ Depth of Grouting ~ ~
Static Water Level _~ # Pump Set At ~
· Casing (Y/N)
Casing Height Above Ground Sanitary Seal on
Electrical Wiring in Conduit (Y/N) Ir~,~=,,,=~ Depression Around Wellhead (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot [~ ~' ~ 'On Adjoining Lots / g~ ~' ~'
To Nearest Edge of Absorption Field on Lot ~!_~ ;On Adjoining Lots '~ ~ ~="
To Nearest Public Sewer Line
Cleanout/Manhole ~ ~To Nearest Sewer Service~by
Water Sample Collected ; Date
Water Sample Test Results
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed ~"!O"~? Size tO~ No. of Compartments ~
Standpipes (Y/N) _Ir~ Air-tight caps (Y/N) Foundation Cleanout (Y/N) ~
Depression over Tank (Y/N) .~ Date Last Pumped __~
File (Y/N)~/~ ' for
Pumping/Maintenance Contract on ~ --
Holding Tank High-Water Alarm (Y/N)~Temporary Holding Tank Permit (Y/N)
Sepa.'ration Distances from Septic/Holdin~ Tank:
TO ~ater-Supply Well
To P~operty Line
To W~ter Main/Service Line
To Building Foundation
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Comments
Page I of 2
72-026(11/84)
Co
ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
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 ~/ j'
., . To Property Line
,1~~ Type of System Design
Length of Field Z,
Depth of Field ~
Gravel Bed Thickness
Standpipes Present (Y/N)
Existin
To g or Abandoned System on
On Adjoining Lots
To Cutbank (if present)~--
To Building Foundation ~ f
To Water Main/Service Line _~l~J~. ·
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIF~
Date Installed ~ Dimensions
Size in Gallons ~ ' Manhole/Access (Y/N)
"Pump On" Level at ~ "Pump Off" Level at
High Water Alarm Level at -~'~ Vent (Y/N) .
Tested for -~ Pumping Cycles dl~g Adequacy Test. Meets MOA
Electrical Codes (Y/N) ~
Comments ~
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I haye ~d~v~ifie~;t~ or conformed to all MO.A and H,~A guidelines
Si g n ~'"~.~"~~~~ Date
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
72-026 (11/84)
in effect on the date of this inspection.
440 W. Benson Blvd.
Suite ~06
(907) ~61-5107
January 8, 1986
Nancy Doner
6151 Barry Street
Anchorage, Alaska
Lot 1 Crestwood Subdivision
Adequacy Test
85-E-138
Dear Nancy,
As per your request we have performed an adequacy test on your on-site
sewer system on the above reference lot.
The septic tank was pumped prior to starting the test. Water was then
added to the absorption trench at 7.5 gpm until 450 gallons had been
introduced. The levels in the drainage trench and the septic tank
were monitored. This procedure was repeated the second day and the
levels checked again the third day. Results are tabulated herein:
DATE TIME(min) TANK TRENCH
QUANTITY
ADDED
(gals)
1/6/86
0 10" 1.5" 0
10 10 34 75
25 10 40 187.5
40 10 38 300
60 10 38 450
1/7/86
0 20 0 0
15 20 13 112.5
40 20 37 300
60 20 38 450
1/8/86 0 25 0 0
The test results indicate that your septic system is performing
adequately for a 3 bedroom home. The required paper work has been
completed for submittal to the M.O.A. health department for final
approval.
If I can be of any further assistance in the future please call.
Sincerely,
WH:js
· ~- DA~r~ RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
, NSPECTOR ,.SPECTOR , NSPECTO.~ ~--\ [.
MUNICIPALITY OF ANCHORAGE .
F825
L Strut - Anchora~, A~ka 99501 ~VIRONMENTAL P;: OT~CTION
ENVIRONMENTAL SANITATION DIVISION
Telephone 2~720 MAY ~ 1981
o. s E[ FT,E
DIRECTIONS: Complete all parts on page 1. Incomplete r~u~ will not ~ pr~d. Please allow ten (10) days for proc~sing.
1. PROPERTY OWNER PHONE
MAILING ADDRESS ~
PROPERTY RESIDENT (If different from above) [ ~ PHONE
2. BUYER PHONE
MAILING ADDRESS
3. LE~OIN~ INSTITUTION PHONE
MAILING ADDRESS
4. REALTOR/AGENT I PHONE
MAI LiNG ADbRESS
5. LEGAL DESCRIPTION
STREET LOCATION
6. TYPE OF RESIDENCE
SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] One [] Four
[] Two [] Five
~,"'"Three [] Six
[] Other
7. WATER SUPPLY
[~DIVI DUAL*
[] COMMUNITY
[] PUBLIC UTI LITY
* 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 DISPOSAL SYSTEM
[~ INDIVIDUAL/ON-SITE** ~ ~ YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTILITY ~ ~ ,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
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
[] INDIVIDUAL/ON -SITE
r--I PUBLIC UTILITY
Connection Verified
i-]Septic Tan. k, or [] Holding Tank
Size: ( Oc~'J If Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
NUMBER OFBEDROOMS
[] ONE
[] TWO
[] THREE [] FIVE
[] FOUR [] SiX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
,.STA'LER
SOILS RATING
Septic/Holding Tank IAbsorption Area
Sewer Line
[] OTHER
INearest Lot Line
5. COMMENTS
I~PROV ED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVEDIBY~' .~
DATE
72-010 (Rev. 6/79)
Mu c: pali
of
Anchorage
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
GEORGE M. SULLIVAN,
MAYOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
May 11, 1981
Don Templin
% Nancy Doner
8050.Old Seward Highway
Anchorage, Alaska 99502
Subject: Lot 1 Crestwood Subdivision
Approval for the individual sewer and water facilities
cannot be granted until the following items have been
completed:
The water analysis report needs to be submitted
to this office from the Chem Lab, 5633 B Street,
for our review.
2)
The septic tank pumped with a receipt submitted
to this office.
If there are any further questions, please call this
office at 264-4720.
Sincerely,
Robert C. Pratt, R,S.
Associate Specialist
RCP/ljw
cc: First National Bank of Anchorage
Mortgage Loan Department
Post Office Box 4-2090 99509
~ MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI,PT. O; [,i L &
825 L Street- Anchorage, Alaska 99501 ENVIRONMENTAL i-i:~
ENVIRONMENTAL ENGINEERING DIVISION L AY
Telephone 2644720
DIRECTIONS: Complete all parts on page 1. Incomplete requ~ will not be procmd. Pieaseallow ten (l~:d~or pro~essing.
PHONE
MAILING ADDRESS
P~OPEnTY ~ESlDENT (ff d~fferent from ~bove) _ PHONE
2, BUYER PHONE
MAI LING ADDRESS
3. LENDING INSTITUTION PHONE
MAILING ADDRESS
PHONE'
4. REALTOR/AGENT ~rF ~' ~~~
DPT',
5. LEGAL DESCRIPTION
I t .Ccf .
STREET.OCAT, O. 61 t /te. / /t-o 7
6. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] One ~ Four
~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [] 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 ' to_.iL~_~
prior to etd te,g' ewell
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
**If individual/on-site, give installation date q'l
If' system is over two (2) years old an adequacy test is required
by this Department,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
X
. ~. THIS SIDE FOR OFFICIAL USE ONL~ v ~-'
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR INSPECTOR INSPECTOR
DIRECTIONS:
NUMBER OF BEDROOMS
1. TYPE OF RESIDENCE
[] SINGLE FAMILY
[] MULTIPLE FAMILY
2. WATER SUPPLY
[] INDIVIDUAL
[] COMMUNITY
[] PUBLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON -SITE
I--]PUBLIC UTILITY
Connection Verified
r--ISeptic Tank or [] Holding Tank
Size: ]~,~ If Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA
4. DISTANCES
WELL TO:
Absorption Area to nearest Lot Line
[] ONE [] THREE [] FIVE
[] TWO [] FOUR [] SIX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOl LS RATING
MANU FACTUR ER ~~~._
MATERIAL ~
Septic/Holding Tank ~~A ~sorPtion Area
[] OTHER
ISewer Line I Nearest Lot Line
5. COMMENTS.
"" BEDROOMS
[~ ~,~0NDITIONAL APPROVAL (letter must accon~any//~ertificate)
~.~DATE -- ~~ / BY (Title)
72-010 (Rev. 3/78)
An~hg~]mg~, AJ. atIuI. 99507
not be grante~ until ~he ~ollowin9 items have been
i~e del~efmJ, on or pl~ around
(2)
The water an&lysis report be delivered ~o ~his office
~ ~heu Lab, 5633 B Street, £or our review.
office at 264-4720.
Bobe~t C. ~tt, R.S.
Asso~ia~o Spe~~t
O0;
7~4 Bmot XSth Avenue
9950~
..~. MUNICIPALITY OF ANCHORAGE
DEpART~~ ' OF HEALTH AND ENVIRONME~' L PROTECTION
· ' '82~-"L Street, Anchoraa~.o A!a~a 99501
264-4720 ~ 547
Date Received: December 29 197
#1: Time I :~ ~D9 #2: Time #3: Time
Date t/- IC/-"'/~' ~>,/ Date Date'
Insp ~ Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
e
Mailing Address:
Lending Institution Request: Alaska Pacific Bank
601 West 5th Avenue
Property Owner:
Mailing Address:
3. Legal Description:
4:
Howard Smith/Foremost Services
2523 Brooke Drive
Lot 1 Crestwood Subdivision
Single Family Residence: (x)
Multiple Family Residence: ( )
5. Well System: Individual Well
e
e
Phone: 276-3110
Phone: 349-4631
Permit #
Construction
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
On-site System (x)
Installed 1977
Depth of Well 92' Well Log on File
Bacterial Analysis
Public Utility (
Installer
'Manufacturer
Soils Rate ~" Material
(x)
Distances: Well to Septic Tank
to Sewer Line Nearest Lot line
to Nearest Lot Line
to Absorption Area
Absorption Area
Community/Public System ( )
Number of Bedrooms: Three
Number of Bedrooms:
DE'PAi~-~~~TM ~"~VIRONMENTAL PROTEC~I~)~
2510 ~~~i~, A~orage, Alaska 99B04 276-2221,
~'~dUEST FO. AP""OVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
Type of Inspection: CM R O. . VA
Property Owner:. Howard Smith DBA; Foremost
Mailing Address:. 25~3 Brooke Dr.
Mailing Address:
Name of Lending Institution:
Mailing Address: coO~ ~"!
Name of Realtor or Agent: _modem T~eal ty
Mailing Address:__~_:D_-! 5~.h
Legal Description~~--/__
Location:i-- '7~n ~ .~.¢.
I?. i! C I ! I :( F f)
FHA CONVZ )DaC)~DC:C~
Set, rices
Day ph one: -~~"/~-~ ' -~,)
__Day Phone:_
_ Phone:2__76-311 0
Phone: 27,~-0571
Type of Facility to be Inspected: 8-i ~1 ~ Family
Water Supply ~c~
Type of Supply: Public Utility
If Individual, number of dwellings presently served __
If Individual, depth of well C~~ .
Public Utility
6-4 ~-7 7
Sewage Disposal System
Type of System:
If Individual, date of installation
No. Bdrms~-~
Individual
one
Individual (on-site). x-xx'xxxxxxx
P~e o~
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 1 Crestwood Subdivision
Comments:
,?
RECEIPT FOR CERTIFIED MAIL--30¢ (plus postage)
SENT TO
STREET AND NO. .
-~.;., STATE AND ZIP CODE
OPTIONAL SERVICES FOR ADDITIONAL FEES
RETURN I~ 1. Shows to whom and date delivered ...... · ....
~,~,,,,? ~L With delivery to addressee only ............
I
....... ~r 2. Skows to whom, date and where dell%ered ..
SERVICES ~r With delivery to addressee only ............ BS~ ]
D---lOVER TO ADDRESSEE ONLY ...................................................... SO~-
I
POSTMARK
OR DATE
PS Form
Apr. 1971 3800
NO INSURANCE COVERAGE PROVIDED-.- (See
NOT FOR INTERNATIONAL MAIL