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Home My WebLink AboutCHUGIAK GARDENS LT 32.. 1 2..3 MUNICIPALITY OF ANCHORAGE DE~ ~ .,-1TMENT OF HEALTH AND HUMAN SERS , Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES Address 'FROM~" WELL ~ TANK FIELD Phone(s) J Permit No. JNo. of Bedrooms WELL LEGAL DESCRIPTION LOT LINE ~ ~ ~ ~ ~ ~ ~ ~' FOUNDATION Township, Range, Section AS-BUILT DIAGRAM (Show location of well, septic system, property lines, foundabon, TANKS ~ SEPTIC ~ HOLDING Manuiacturer Capacity m gallons TYPE OF SYSTEM Depth to p~pe bottom lrom Totat depth from original grade ~ ~ ~' " 1 original grade ~ FT ~ FT ~ F~II added above original grade G~avel~epth beneath p~pe I Tolm ~bsorphon ~re~ DJmsn~e bmween lines ~pe material ~ ~mber o~ hnes sod rat,ng WELLS ~ PRIVATE ~ OTHER (Identifvl Cl~slfm~tlon (A,B,C) ~otal DepLh ~ Cased to FTI FT Instaiie~ Date installed: REMARKS: : Scale: ~ ~ ~ ' ENG~ SEAL David Paul Municipal and State guidelines i. ellecl On this date: Health Depa.ment Approval: Date: 72-013 (3/85) DIEPAFCFMEt',I OF HE]AL. TH AND IENVIROIxlMENT~.. PROTEC'T'iON 264-4720 I:::'I.:,::RM I T NO: DA'TE ISSUED,~ 86()()89 A 4 / 15 / 86 AF:'F:'I,_ I CAIq'T': ADI)RESS ,", CON'I"ACT PHONE: DAVID I:::'. WILLIAMS P.O,, BOX '774121 EAGLE RIVER, Al'::: 9957'7 56 :t- 134 1 LEC:JAL. DESCR I P." LOT S I Z IE: MAX 1.3EDROOMS." SLtBI)IVISION: GHUf.]IAK GARDENS SEDT I C)N: 20 'I"OWNSH I F': 15N 3092'.7 (SQ. FT. OR ACRES) 5 LOT." :3 BLOCK: NA RANGE: 1W Listed be].(::)w are the optic~ns available to you irt designing you~ septic system,. [;hoose the c~ptior~ that best fits yoLtP site., DEPTI4 TO PIPE BOTTC)M (F:'T.) 4.0 GRAVEl .... DIEF:"T'I.,i (F'T.) 5.0 TOTAL Dliii]:::']"H (I::r"F.) 9. A GRAVEl .... WIDTH (F'T.) 2.5 GRAVEl .... I...,E:NC:YT'H (FT.) <5(). () GRAVEl .... VOLUME (C.;tJ. YDS. ) 30.6 TANK SIZE (GAL..S) :1.,500.0 ** SOIL RATING (SQ. FT. /BR) 1:1.'9 ** TANI< MUST HAVE AT LEAS'T' TWO COMPAR'I'MENT'S :1: cer'tif'y that: :1.. I am f'amil:iar' with the i*equiPemertts for' on-site sewePs and wells as set for'th by the Murl:[cipal:i. ty of Anchonage (MOA) and the State of' Alasl.::a. 2. I will install 'the system in accer'dan/:e with all MOA codes and r'egu:l, ations, and in compliance with 'the design c::nite~*ia of this permit., ...:,. I w:i.].l adher'e 'l:.o ail MOA and State of' Alaska r'equiJ*emen't.s fop the set back distances t'~em any existing well, was'Lewate~ disposal system of pLlb].ic: sewer'age system c)n Chis or any adjacent or near'by lot,. 4. I under'stand that t. his per'mit is va].id fo~- a maximum of' 5 bedr'c, oms and any enlar'gemer~t will PequiPe an additional pePmit. ]:1:"- A L. IFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES:, THEN (;I.) AN I:L. EC, TRICAL I'""ERMIT AND INSPECTION MUST BE OBTAI. NED; (2) AS-BUIL. TS WILL NOT BE AI::'F:'ROVED W]:'THOUT AN ELECTRICAL. INSPECTION REPORT; AND (3) TI'fl'i: ELECTI:~ICAL. WORK MUST BE; DONE BY A LICENSED ELECTRICIAN. P.O. BUX 6650 ANCHORAGE, ALASKA 99502-..6o0 (907) 264-4111 T(p,'~Y K~,OWLES DEPARTMENT OF HEALTH & HUMAN SERVICES January 10, 1986 TO: Permit Applicant Subject: Permit # 850415 Lot 3 Chugiak Gardens Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as-built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/ljw enc: Copy of Permit M~_JNICi~]F'ALI-l'Y OF AN~F~ORAGE DEPAR'TMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 8~5 L STREET, ANCHORAGE, AK 99501 ~64-47~. I.]N---S I -1-E SEWER & WEI_L F'ERM I T PERMIT NO: DATE ISSUED: 850415 07/16/85 APPL I CAN'T: ADDRESS: CONTACT PHONE: DAVID P WILLIAMS P 0 BOX 774121 EAGLE RIVER, AK 561~1545 99577 LEGAL DEESCRIP: LO]' SIZE: MAX BEDROOMS: SUBDIVISION: CHUGIAK'GARDENS SECTION: 20 TOWNSHIP: 15N 50927 (SQ. FT. OR ACRES) 5, LOT: 5 BLOCK: NA RANGE: 1W Listed below are the options available to you in designing your septic system. Choose the option that best ~its your site. BE]]) W. IDI~A I I~ DEPTH TO PIPE BOTTOM (FT.) 6.5 GRAVEL DEPTH (FT.) 0.5 TOTAL. DEPTH (FT.) 7.0 GRAVEL WIDTH (FI'.) 22.0 GRAVEL. LENGTH (FT.) 43.0 GRAVEL VOLUME (CU. YDS. ) 55. 1 TANK SIZE (GALS) 1,500.0 ** SOIL RATING (SQ.FT. /BR) 125 7.0 1.0 8.0 5.0 110.0 ** 50.6 · 1.,500.0 ** 125 ** GRAVEL LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH> ' ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS I certi;'y that: il.. I am (amiliar with the requirements (or on-site sewers and wells as set. (orth by the Municipality o~ Anchorage (MOA) and the State o~ Alaska. 2. I will install the system in a~cordance with all MOA codes and regulations, and in compliance with the design criteria o~ this permit. 5. I will adhere to all MOA and State o~ Alaska requirements for the set. back distances ~rom any existing wel'l.~ wastewater disposal system or public sewerage system on this or any.adjacent or nearby lot. 4. I understand that this permit is valid ~or a maximum o( 5 bedrooms and, any enlargement will require an additional permit. IF A I_IFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (~.) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (5) THE E LECTRICALo~,' 'IGNED ~_~____._~__~W~' BE DONE BY ~ LICENSED ELECTRICIAN. DATE:__~-~--~-~~--- APPL. ICANT: DAVID P WILLIAMS ISSUED BY SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST PERFORMED FOR: ~ ~'~_'/X~ J DATE PERFORMED: LEGAL DESCRIPTION: ~'.~..~' ~'~ ¢~",~'~¢, ,'~'z .~ ~'~'.~.,~'~.L~:'.~/'. " SLOPE SITE PLAN WASGROUNDWAtER S ENCOUNTERED? /1~) ~ P E IF YES, AT WHAT DEPTH? 12 13 14 15 16 17 18 19 20 PERFORMED BY: 72-008 (6/79) Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN / - Municipa-tYof Anchorage PO U,..., '1 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Permit 9: 840385 January 31, 1985 TO: Permit Applicant SUBJECT: Lot 3 Chugiak Gardens Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Keith E. Bandt, Supervisor Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 MU~ I I~ I PALIT~" OF ANCHORAGE DEPARTMENT Or HEALTH AND ENVIRONMENTAL P~OTECTION 825 STREET, ANCHORAOE.. AK ~ ~ 264-4720 I_-~f-l--$ ITE SEWER & L~ELL PERM I t PERMIT NO: 'DATE ISSUED: 840505 05724/84 APPLICANT: 'ADDRESS: CONTACT PHONE: DAVID WILLIAMS SR ~ BOX 5509 T-BIRD STREET CHUGIAK.. AK ~9567 561-i545 LEGAL DESCRIP: LOTSIZE: LOT LOCATION: MAX BEDROOMS: SUE~IVIS~ON: CHUGIRK GARDENS SECTION: 20 TOWNSHIP: tSN ~0~27 (SQ. FT. OR ACRES> PLEASANT VIEW 5 LOT: RANGE: BLOC']<: N~ LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC 'SYSTEM. CHOOSE THE OPTION THAT BEST FITS YOUR SITE. DEPTH TO'PIPE BOTTOM (FT. GRAVEL DEPTH (FT. TOTAL DEPTH (FT.) GRAVEL WIDTH (FT..) GRAVEL LENGTH (FT.> GRAVEL VOLUME (CU. YDS. TANK SIZE (GALS) SOIL RATING (SQ. ~T.?BR) TRENCH BED W. DRFII'N 7.0 ~o 7.0 -<.0 0.5 1.0 '10.0 7.0 8.0 2.5 22.0 '5.0 1'05. 0 ** 4.~. 0 tt0. 0 ~ -~4. 0 55. 0 30. 5 1., 500, 0 *~ 1., 500. 0 ** 1~ 500 0 ** 125 125 125 GRAVEL LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. TANK MUST HAVE 8T LEAST TWO COMPARTMENTS EACH> I CERTIFY THAT: 1. 'I" 8M FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA> AND THE STATE OF ALASKA. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES 8ND REGULATIONS~ AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. ~. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY EXISTING WELL.. WASTEWRTER DISPOSAL SYSTEM OR P~BLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. 4. I UNDERSTAND THAT THIS PERMIT IS VALID FOR A MAXIMUM OF 5 BEDROOMS AND ~N¥ ENLARGEMENT WILL REQUIRE RN ADDITIONAL PERMIT. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (t> AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTRINED~ (2> AS-BUILTS WILL NOT BE APPROVED WITHOUT 8N ELECTRICAL INSPECTION REPORT~ AND (~> THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. ~,GNED ~~, DATE: · APPLICANT: DAVID WILLIAMS ISSUED BY' ~ ~ DATE: ~i~ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION [] PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SLOPE - SITE PLAN ~,-~ C~,~,~,/~' WAS GROUND WATER S 1 1 L ~l)~d~ ,~./~,$ ENCOUNTERED? ~l//~ O P 12 E IF YES, AT WHAT DEPTH? 13 16 / 17 18 20 Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~~n~utes/inch ) TEST RUN BETWEEN COMMENTS !4 t DTti = LENGTH = TOTRL. DEF'TH = GRFi',/EL L':,[:EF.'TH = , GRRVEL ',,,'OL. Ltf'IE = TFINI( S; ,'[ ZE = :[ CED. T I F"'¢ THFIT: DEF.'RF::TftEI'.,IT I.IEI"-'tLTH FIND Ei'4'.,,' l: F.:ONHENTFiL r. ~,-,"-~, ~.,_.t ~ ON ,/~¢. ,-, ..-, Iii ~ L:_':5,¢,'""4720 :III',IC[IJF.: .,~. z;.4 ,=_1.:.fL ' EFIGLE RIVER ~'-~ t'..,lt ....... "-: Z -.~r.. , ~ ."~-; E ~...~ ~E IF;-.." """ , El..i',.~ , ,,il._. E~ .~ .',..-' FIPF'L .'[ CRNT · ..TFINC:FI F'Hr"II'.,IE · R [..',DI-~'. E G'.E; ,:.,. :1. .... E .... ~ - "~ 99502 1'tt'4L., I,..l, .I lb, rs.., Fll'::: LEGRL E:,ESC:F.: l' PT t O1",1 =, _ ,'",b ~. *' I S 1 O1"4 F:HUG l'.Rl-:.'. GFIF.'.DE1',I5 DLF'ICI'::: ' NR L. OT ' -'.': LOT '- ."',IZE O SLq. FT. TOHt".ISHIF .... F.'.RNGE ..... SEL':TTnN .... · 1 ~.._ ( '..'.;F.., F T. ,- E,F:..., I'IH,.,.'[I'I_I'I I',II..I,1E,~., ..... E:EDF.:RF~HS = 2: SOIL F.:RTII".,IG = ±~ .... :L.-- ....... LIS;TED ,.;,EL. dH FIF.:E 'file OPTIOI'.,IfZ, FI',,,'FIILFIBLE TF~ '.r'l-III IN E.E:sIL~I'4TNG '.r'nLI.R SEF'TTC '-' '- .... ' '~-' ,.hit DEST FI'TS '-r'lqllF.' :5][TE. _, r.z, TEI'I. E:t'"IOITISF 'THE UF T, L4,1 "" '-" - - . -ir" FE..." IE I~..,1I ,ZE: IF...It IE::, EEZ. ~; ::[ ,_, t..I I D T H = 2.._,~" F T. LE:NGTH = 47. 1.3 FT. - TOTRL DEF'TH =: ,.,.° E.:~ FT. .~F.H,EL DE:F'TH = 4-. O FT. GF.:R',,,'EL,""',..,,._,_,~*'~-,,_ = :1.5:. ._ TRNI::: :SIZE = .1., '--":' -'- -"" ,"TI~-~ LIL, L,. O L,I..ILLL~t",.~ .....L. JI ,FIIRT, ,ENT TFII'.,II::: E: E~Z E:: IE:,: E: %; :.IE ,",..%1 ~"..,~ ~41' DTH = .17. El F'T. L. EI',tGTH = 34-. 0 FT. TF~TFIL DEPTH = E ~."~ Fl". GRFF,,'EL E.E.FTt. I = Ct._, =' FT. .~.D H, EL VnLI .... IHE = ,:...,.. _ _ , [.,.:,. TFINI'::.' SIZE = :Z., PlPJK', ....... O GFIL. LON':; ""ENO .... ._,,,h~":'='r''r~'"""'I4Tr,,..,, ,,- 'TFI,NI:::) ~,.--~ Z [-" El E:: IF,':': ~::::t :E 1~"4t F Z E L_ [:' [:' E __, 'ir ,3 I"-.~ ~ O F'T 44. O FT. 7. E1 F'T 3:. E~ FT -'",o ~.":. t-:U. ~'r~D~. %, F~E~O. E~, GFILLONS ,'TI40 CO,h1F'FIF.:THE1'4T TI:INK::, F ....ON-SITE =EglER.:, RND HELLS I:IS SET :1.. I FIH Fl::lf'11L. I I'"IF:: ' 'r"r' THE F..E,...:,_ l,'..Et' u., , _ -'~' FORTH B"," I"HE HUN:[CIF'FtLtT"r' OF FhhlL':I"IO[;'.FiGE RND 'f'FtE STRTE OF RLRSI':::R. 2. I HILL IN:STI:"fLL THE S"r'S"FEH IN RCCORDRNCE HITFI THE CODES FIND HRVE RECEIVED R COP'¢ OF:' TI"IE CODE E;UflHRR"r' RI",ID E:,tRGRFIH RTTRCI'"IHENTS HHICH IS F'FIRT OF THIS PEF.:H I T. ~_,, :,TEl', f'lFl',' .r..,rr,::,, ,'r r:,~ EI",ILRRGEHEI'~T I F THE RESIDENCE ~.'.E; F;:Ef'IODELED TO. INCLUDE ,~IOF.::E TI IFI,N Z.: BEDROOI'IS. PEF.'.fl:[T RF'F'L. ZCFINT I IFIL-; TIlE ~:E'_-,F'O,';:SZD:[LZT'¢ TO INFOD. fl F'EF..:SO;;NEL E::LIF.:ING TFIE INSTFILLFITION INSF'EC'f,'TONS OF FIN'.? HELLS FID..TFICENT TO TH]:S PROF'EF,'T'¢ RND THE NUNDER OF r::'.ESIDENCE~ T~IFIT THE [4ELL [-4ZLL SEF.'.VE. :[.F R L:[F"[' :5'TFIT'I.'OI'.4 :[:5 :[N:STFiLLEr:,., I..':t!'.4 ELECTF.'.zCI..'tL PERHIT F:tND ZNSPECTtON NUST BE OBTF. IINED. FIS-...E,'UILT:5 CFINNOT 'DE FIPPF.'.OVED N:[THOUT FtN ELECTF.'.ICFIL INSPECTION DUN,= Ft L I uEN;:,E[.. CLEL. TR :[ _. I HN. ~' '"F _.t..,L HORI.::: I',tI_I:,T E;E -' '- "'- -' ' P - F.:Er- .. F..T. 'I'I 'IE .ELECTt";:: I ~-' -' '- ' ' '" E"r' ..'rFINCO ISSUED D',," DFITE' MUNICIPALITY OF ANCHORAGE Department : Health and Environmenta ,rotection ~ 825 ~ Street, Anchorage, AK. ~501 ~.L_. 264-4720 Permit WELL AND/~'~ ON-SITE SEWER PERMIT Location: Phone Number: 5~ ~ ~/ Legal Description: ~: ~ C~,~ ~~Lot Sise: ~- Type of Soil Absorption System Is: Trench: ~ . Drainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: -~------ Soil Rating(sq.ft/br) /~ ~, The Required Size of the Soil Absorption System Is: The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall Pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HSA-B~'TANK SIZE = /~0 GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * * I certify that: (1) 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 codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that .3 bedrooms./ Signe~: ~_ _ _ Issued by: Applicant ' f/O.3~~ ~O~ Date: ~'--~ 7--~.~ SWP/024 (1/81) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 ~,9 lO 11 12 13 14 15 16 17 18 19 2o ~ o7' COMMENTS DATE PERFORMED: / SLOPE SITE PLAN r% ENCOUNTERED? O O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop / PERCOLATION RATE _ (minutes/inch) TEST RUN BETWEEN FT AND FT 72-008 (6/79)