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HomeMy WebLinkAboutAMBER LT 9B Municipality of Anchorage Page / 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: 5/'¢"~/70~c'~'~ PID Number: O~'0' c~ 7.~ -~ Name: .~-"~K ~~ Wastewater System: ~New D Upgrade Address: ~. B., 77~ ~ ~v~, ~k ~577 ABSORPTION FIELD Phone:~~~ Nc. of rooms: ~DeepTrench ~ Shallow Trench ~Bed ~Mound ~Other Total Depth from original grade: Lot: ~ Block: ~ubdiv~ion: Depth to pipe bottom~m~riginal grade: Gravel depth bene~ ~pe Township: ~ Range: Section: Fill added abo~orig~a~r~de: Gravel length: ~/ /~ / ~ ' ' Ft. Ft. WELL: ~ New ~ Upgrade ~ravelw,dth: ~.~, N,~be7,lines: ~ Distance between lines: Ft. ~ Ft. Class~ation~~(Private. A.B,C): Total Depth:,l~ Ft. Case :~,Ft. Total absorpti~ Driller: //~' ~. 7~A~ ~. ~'~ ~ ~ ~ Dat~ Static Water Level'. Install~ Date installed~_ I"~se~a~: I Cas'ng He'gh~b2ve Gr°und: TANK SEPARATION DISTANCES ~s~pt~ ~ Ho~d,na ~ S.~.~.,. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity 7~: From Tank Field Station Tank Sewer Lines Wel~' /~ /~ ~ ~ ~ Material:~~ Number of C~pa~ments: ~ sa.ace )( ¢ ~ot ~ Si~* in ~allons: Manufacturer: Foundation 5 ~ /0 ~ "Pump on" le;e, at: vel at: ~High water alarm at: Inspections pedormed by: Drain I ,,, Remarks: BENCH MARK Location and Des~n: Assumed Elevation: / ~ Ft. EN Inspections performed by: ~ · ~ ~~ Dates: 1 st ~' ~¢7 ~'-~'~~~ ~gle RNer, Alaska ~5~ Department of Health and Human Se~ice~approval Reviewed and approved by: /~.~?~,.~','~- Date: /~- / .~-~/~ .~,~~ 72-013 (Rev. 9/91) MOA 25 PERMIT NO, SW970227 PACE 2 OF 2 Mu nic ip..cl_Li ~ y_o. F Anchor'o, qe DEPARTMENT OF HP__AL/I-I AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,E], Box 196650 ·Ancho~'age, A~aska 99519-6650 · Telephone', 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 9B, AMBER SUBDIVISION P,I.D. NO. 050--273--28 A 13 1 3.5' 1 1.5' 1 5.0' 1 5.0' ALT. SITE ST1 94.9' NEW · 1000 GAL SEPTIC TANK 24.0' 19.0' A ATH~I TO SLop~- 37' TO SLOPE GREATER i~'HAN 25% NEW 3 BDRM HOUSE L_~ -NEW 1000 GAL. SEPTIC TANK NEW TRENCH WI~LL DRIVEWAY ST2 FINAL GRADE~ MT CO CO1 = 94.1' 11 /CO2 = 94'0' ,'.' ","/ WSR~"-----._ CO1 = 88.9' jcog = 89.0' MT1 = 83.0'/ · NO WATER FOUND 77.0' B.O.H. SCALE 1" = 40' ROBERT C. CE 8801 OWNER OF LAND ADDRESS ertifiei rillittg L og by DOC Co. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759 DEl'TH OF WELL jl(/:~,l t,~'C~,,~ 'Fq/""'.. ~ J'L STATIC LEVEL OF WATER FT. LEGAL DESCRIPTION L ~ ~ ~] ", '/~,~ ~/~/L~L~ A.~, (~ 08 DRAW DOWN F.T, DATE-Started Ended ?./¢?' ~ GALS. PER HR , [ 1 PERMIT NUMBER t KIND OF CASING ~ // KIND OF FORMATION; From O Ft. to ~ ', Ft. From c~ Ft. to //~' Ft. ~'~ From -Ft. to Ft ~d~J~ro]., , Ft. to__Ft J / (:, From /,~'7, From From From From/ From/ From/~ ~" From From Ft. to . From ' , Ft. Ft. to, ,., ,.',Ft. Ft. t0 Ft FI. to Ft. Ft. to . Ft. Ft. to Ft. __.Ft. to Ft. Ft. to , Ft. From .... Ft. to Ft From From .Ft. to Ft. From , Ft, to Ft. . Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From , Ft. to Ft. From , Ft. to , Ft. From Ft. to Ft. From , . Ft. to ,Ft. From ".,:, Ft. to Ft. From Ft. to Ft. From , Ft. to '.Ft. MISCL. INFORMATION:.' RECEIVED OCT 8 199'7 Mumc~pality of Anchorage Oe 13t. Health & Human Services , . .... DRILLER'S NAME /?..._,.7..~( ,.1./ ..... "' PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMA/q SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970227 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:WARREN HENRY N OWNER ADDRESS:P.O. BOX 770848 EAGLE RIVER, AK 99577 DATE ISSUED: 7/31/97 EXPIRATION DATE: 7/31/98 PARCEL ID:05027328 LEGAL DESCRIPTION: AMBER LT 9B LOT SIZE: 52727 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL 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 (18AAC72) AND DRINKING WATER REGULATIONS (18AACS0). 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: THE PROPOSED TRENCH M. AY NOT BE LOCATED LES THAN 35 FEET FROM A CHANGE IN SLOPE OF GREATER THAN 25%. ISSUED ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN June 26, 1997 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 9B, Amber Subdivision Request you issue a permit to drill a well and install a septic system to serve the proposed three bedroom house on the reference~ property. Test holes were excavated and percolation tests performed. The approximate location of the test holes are located on the attached site plan. The monitoring tubes within the test holes have been checked and found to be dry. This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/mg Enclosure MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERV;CE$ DIV~$10N JUL 09 1997 RECEIVED 17034 NORTH EAGLE RIVER LOOP . SUITE 204 · EAGLE RIVER, ALASKA 99577 -- 60, DESIGN SITE-PLAN ~C~LE ~ o~.~o o ~ I , ~ ~o ~ I i c~> % m ~ / ,' ~~~ ,,. ~ I / 0 2~+ ~ o '~ - ~ I / ~ ~/~ ~ I i ~ O/ ; _ 0 0 ~ ~ ,' ~o //. >~ ~ t Il ~ ~ ~ m ~o I I X ~ ~ , :xd ' TILI~ ~ ~OADWAY EASEMENT m .... , ~_ ........... ] .... -~ ........ ~_~__i,2% ......... ~z~2 ..... ~ ~ - / ~l~G TRAVELED ROADWAY (WILLIS ROAD) ~// c~m/~O ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE., CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 SLOPE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 20 DATE PERFORMED: Township, Range, Section: SITE PLAN IF YES, AT WHAT _~"-O DEPTH? ~P E Depth to Waler After ["~,.(, Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE :~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~' // 2.. FTAND (~ '/ Z. FT COMMENTS PERFORMED BY:$ & $ ENG'INEEEING 1~////2~----- CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River L~p Road No. 2~ ~-' -'~- ~/~ /~ ACCORDANCE Wg~~7~~AL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7~ onR {R~v 4185) 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE.: CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After j~ Monitoring? Oate: [ Township, Range, Section: SLOPE SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE I · 'Z~. (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN &'' ~/z.- FT AND (~ ~/~- FT COMMENTS S & $ ENGINEERING I ..... CERTIFY THAT THiS TEST WAS PERFORMED IN ,/,/,, ACCORDANCE W~E~I~~AL GUIDELINES IN EFFECT ON THIS DATE. DATE: 79 0fir fro,,/ 4/B5I