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HomeMy WebLinkAboutATELIER BLK 1 LT 418, Hea '~NICIPALITY OF ANCHORAGE and Environmental Protec Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 on · . .INSPECTION REPORT ON'SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: FROM WELL ~--- INSIDE LENGTH_-- COMPARTMENTS- INSIDE WIDTH "~-~ ' LIQUID DEPTH ~ LIQUID CAPACITY/~)-'(~(')GALLONS. T~LE DP.A!N FIFI DISTANCE FROM WELt_L~d/ FOUNDATION._~6/___ / ___ DISTANCE BETWEEN LINES ~ of Lines .... ~ ABSORPTI%,.,.~''~ .... AREA ~d SQ. FT. LENGTH OF EACH LINE _-- DEPTIi: TOP OF TILE TO FINISH GRADE_ ..MATERIAL BENEATH TILE__ IN, ABOVE TILE NEAREST LOT LINE_~;~.(:~) I TOTAL LENGTH .OF LINE ~//~'-" / ~/'~/~..__TRENCH WIDTH---~--~I~I. TOTAL EFFECTIVE .SEEPAGE PIT: Log Crib Rings BUILDING F©LJNDATION ~ DIAMETER ~OR WIDTH__, Crib Size: DIAMETER ..... NEAREST LOT LINE LENGTH , DEPTH DEP"FH ,,. DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ,SQ. FT, Well Class: Depth: Well Distance To: Lot Line Bldg: Sewer Line: Pipe Materials: # of Bedrooms:. Installer: ~A;~ Remarks: ~--~ , APF'LICAN'I' ]::,ONALD GREEN I,_OCATION "I"UX I DI NI LEGAL L. ¢ B it ATEL'[ER 244Et E 88'TH I_OT ':"; I ZE ::E2f":i:8005 70000 S6!LIARE FEE]" SOIL. ABSORBTION S'¢STEM IS: TRENCH MAXIMUM NUMBER OF 8E[:'ROOMS = 4 SOIL RAl"IN[ii (S;Q FT,-"BR)= .':1..25 THE RE6!I.JIRED SiZE OF THE SOiL ABSORPTION SYSTEM IS: 'f'HE LENEiTH DIMENSION IS; THE LENGTH (IN FEE'S') OF THE 'TRENCH OR I}RFIINFIELD. THE DEPTH OF R "fRENCH OR PIT IS THE DISTANCE BE'F1.4EEN THE SURFACE OF:' THE GROUND AN[;:, "['HE BOI"TOM OF ']"HE EXCA',/FI"I"ION ,.':IN FEET). THERE IS; NO SE']" WIDTH FOR TRENCHES. THE diI4'.AVEL [:,EF'TH IS THE MINIMUM DEPTH OF GRAVEl._ BETWEEN THE OU]"FRL. I,... PIPE FIN(:, THE BO"I"'I"OM OF' 'T'HE EXCFIVATION ,.':IN FEET). F' R i2: I-o'.: F! ~:.Ei E] F' IL_ FII FI PACKAGE PLANT MA'-¢ BE INS'T'AI,...L. EE:, 8'1" "rile PERMITTEE'"S OPTION E.;LiE.:JECT TO "FAE: FC)LLOW 11'.46 CON[) I TI (:iNS: Lt.. EITHER A CI,..riSS I OR I I NSf-'-" APPROVEE:, PI,.AN"f' MA'T' BE I NSTAt....I...ED. 2. A C:ON"I"INt. JOUE.; MAIN'I"ENANC:E AGREEMENT IS RE[.:!UIRED. IF' A MAINTENA1",tCE AGREEMENT' IS NO'I" KEPT CURRENT "r'OU I'"IR'T' BE REQUIRE[:' TO ENLARGE: THE SOIL ABSORPTION S"r'STEM AND,.'"OR "r'OU MA"r' BE SUBJECT ]"0 PROSECUI~ION. .... [" ~--J i~:~ ( 2 :::, :[ I'-,11 ;ZE; F' E: C: '"'F I C~ I'-,11 CE; R F.." E ~: E (:::! Iblt ][ Fi: E: [::, BACKFIL. I,.~IN[ii OF ANY S'¢'=;"I"EM I.,.IITHOI.JT FINAL INSPECTION AND APPROVAl... B"r' THIS E:,EPARTME:N'r 14ILL BE SUBJECT TO PROSECUTION. MINIMUM [.',IS"f'ANCE BE"I"WEE:N FI WELl,.. AND 81'.,1¥ ON-SITE SEWAGE; DISPOSAL SYSTI.:.:.':M tS :I. C1E~ FEET FOR FI PR I',,,'FITE WELL OR 288 FEET FOR A PIJBLIC WEL..L. 1.4EL. L. I...OCiiS ARE RE(.::!UIRE]} AN[:, MIJST BE RETURNED TO THE [.',EPARTMEN'f' I.,.IITHiN :::.:':E~ I}F-I'¢S OF THE 1.,.IELL C:OHPLETION. Of'HER REQUIREMENI"S MA"r' AF'I::'L¥. SPECiFiCATIONS AND CONSTRUCTION DIFIGRFIMS ARE:. AVAILABLE TO INSURE PROPER INSTALL. ATION. I C:ERTIF'¢ THAT E.: I AM FRMIL. IAR WI'1'H THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS FIS E:;E"I" FORTH B'¢ THE I'"IL.INIC:IPALII'~r' OF ANCHORAGE. ;.:~: I 1.4IL. L INS"I"RI._L TAE: S'¢E;I"EM IN ACCORDANCE WII"H THE: CODES. ~:: I UNDERS;TAND "f'HAT 'THE: ON-SII'E SEWER S'¢STEM i"lA"r' REKfl. JIRE ENLARGEMENT iF THE: RESIDENCE IS REMODELED TO INCLU[:'E MORE THAN 4 BEDROOMS. S I GNE[): ............................................................................................ RPF:'L. I CANT I'.)ONFILD GREE;I"I ISSUEI} E:Y .............................................................................. [:,ATE ........................... V~:. C~ SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. INSTALLAT,ON LOCATION +-'-' X ," J,~; /~d<A" ~-EGAL DESCR,PT,ON Z.-, r Y ~/' / INSTALLATION OF: SEPTIC TANK ~ TYPE AND SIZE OF FACILITY TO BE SERVED F,NANCED TH ROUGH SO,L TEST RESULTS / COMPLETION DATE ANTICIPATED SEEPAGE PIT DRAIN FIELD NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 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. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE Pit SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK . SEEPAGE Pit TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, , SEEPAGE Pit TO RIVER, LAKE STREAM. DRAIN FIELD , DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT ., DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S 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 INSTALLATION. 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. ~ DA APPLICANT'S IGNATURE '---- / FORM NO. Z=Q'016 Tom Tay].or ................. . · t_ot 4 Block ...... - .... Percolation 14 -- Brown Sandy. Silt .... . .................... 1 1 6. . B,ot:.i:.om o.f_ Lest hole !8 No bedrock 20 - ,-r OUI~ Yes , At encoun'hered. what Oe~th? _ ~ --~~. F,r e. dl nq perc¢~ati~)n Rate ._ ?rn!.csed Inst~li'~t{on' Seenaoe Date GroSS Ti~;e Net ................ I li_'i:_i . ~i De ~ th t o J ~ 0 !at Pit Drain Field Den. th To F, ottom Of ~it Or 'Tre~,cn ~..-,-,th of Inlet. . .............. ' " 13' CF-,.,i,Lf~-i'S 125 sqtlai'~ foo'~ required per bedroom From m_i. nus 3 .. . ......... . ..... ................................................... -~t ?e,-fc.,'r..c,d ~¥ DavJ_d Paul .Para Certi-,,-,, ..-.,.~.',.~ --/...//...,. - .................. ~ ..... ~.~ t % :' 2 / (' Performed For renal ~escrintion: Lot 4 Block 1 This Korm Reports Soils Lo~ Yes [/~.~O{4/C]eveland Anchorage, Alaska 99503' Tom Taylor Date Performed 7-30-77 Subdt v~ s i onA~ ~er~ubdivision Percolation Test Perth Feet 3~;'Peat Soil Characteristics 4-- 6 8-- 10-- 12-- Brown Sand 16-- 18-- 20-- Brown Sandy Silt Bottom of test hole No bedrock encountered. · i __.__SEE i~I 'i Was Ground Water Encountered?____~ I~ Yes, At what Depth? Readinq Date t i_ !.] J Grnss Time Net Time Depth to H20 Net Drop Percolation Rate )Ii nute Prnposed Inst~llation: Seenaoe Pit Drain Field Deoth of Inlet Denth To Bottom Of Pit Or Trench CnUrJENTS: 125 s~qare foot re uq~r.e.d.._j~jc_tle, dro_om ~nm m~_nus 3" ~c~-1-3'~ Test Per for r ,,ed By p-,±cl Paul _ Data Cer'(fied B~i~~ Date A PP.,I. IJ'- .NT FILL$ OUT UPPER HA' )"LY Address //~/~..~.~ ~_ ~//W ¢ Zip Code ,.. ~ ~ ~---7~v~ ~ ~ ''~ ~- ~ /~' Phone Lending Institution ZI~ Address ~a , Realty Co.'& A~nt ~ Phone Zip Code Address ..... ~ ~ * ~ , , , Street Locati~ e~/ ~ZT~ -~., ~C~ ~,~ ~ ~ Type of Resi~nce ~ Single Family ~ Multiple Family No. of Bedroo~ ~ Other Wate~pply ~lndlvldual 'A~ACH WELL LOG. A w~l log Is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility . . Sewe~lsposal ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Inspector Inspector Inspector Inspector (_~ ~}/~'PPROVED BEDROOMS *CONDiTiONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received 72-023 (3182) ALASKA I F1UIROrlmerlTAL cOrlTROL $1 RUICI $, InC. ~nqineerin§ G ~nuironmental Studies DON GREEN 9301 ATELIER ANCHORAGE AK 99507 SELLER - DON GREEN SUBDIVISION-ATELIER BUYER- BLOCK-1 LOT-4 6/24/82 MUNICIPALITY OF ANCHORAGE p.'t. mT C"': t ":'LT'4 % ENVIE.,:it !t,:A-' ,O E ;" ,1 RECEIVED ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 500 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 250 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 1250 IS ADEQUATE FOR 1220 LUcst 25th Aucnu¢ · Anchoraq¢, Alosko 99503 · (907) 276-1361 Donald L. Green 9301 Atelier Drive Subject~ Lot 4 BlocP~ler S_~~ivision Approval for the individual sewer and water facilities cannot be ~ranted until the following items have been completed: The top of the well casing sealed with a sanitary sea]. so that it is water tight. The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. ~e septic tank pumped with a receipt submitted to this department. An adequacy test needs to be performed on ~e existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call. this office at 264-4720. Sincerely, Enclosure Robert C. Pratt Associate Environmental Specialist