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