HomeMy WebLinkAboutBERNARD BLK 3 LT 18AOnsite File
IM
Lot A's
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use. confirm sev%aration WITn survey.0 . 2
Certified Drilling Log
OWNER OF LAND: Kim & Martin Bassett
ADDRESS: 7850 Stewart Mountain Drive Eagle River, AK
Bore Hole
Data
Depth
From
To
LEGAL DESCRIPTION Bernard Block 3 Lot 18A
DATE: 5-29-19
0
2
PERMIT NUMBER: OSP191034 DATE OF ISSUE: 2-27-19
TAX IDENTIFICATION NUMBER 06032128000
Is well located at approved permit location: ❑Yes ❑No
Method of Drilling: Mair rotary Ficable tool
Depth of Well: 260'
Casing Type: Steel wall thickness .250 inches
Diameter: 6 inches, depth 44 feet
Liner type
Static Water Level: 70 feet
Recovery Rate 7 ® gpm gph
Method of Testing Air
Well Intake Opening Type: 1-1open end ®open hole
❑ Screened Start feet Stopped
❑ Perforations Start feet Stopped
Grout Type: Bentonite Volume: 50 lbs
Depth: from 2 feet, to 42 feet
Well Disinfected Upon Completion: ®yes ❑ no
Method of Disinfection: Chlorine 50 PPM
Comments:
2
4
4
21
21
39
39
47
47
202
202
224
224
237
237
249
249
260
Casing Stickup
Overburden
Tight Silty Sand & Gravel
Heavily Broken/Weathered Bedrock
Broken Bedrock
Bedrock Gray
Bedrock Gray w/ Quartz
Bedrock Gray
Bedrock Gray Mostly Quartz
Bedrock Gray w/ Quartz
Drillers Name: Cole Sullivan
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority.
Municipality of Anchorage: Department of Health & Humah Services and/or Department of Environmental Conservation.
Matsu Borough: Department of Environmental Conservation.
DOC s ..
,? 1 �c .
6ti. `� x4 � ,� *,. ,makE�
ULLIVAN
F, M� �' �` '�a
PO.Box670269,Chugiak,AK99567
888-2759
Pump Installation
Log
Well Drilling Permit Number: SW OSPI91034of
Parcel Identification•' 06032128000
Legal Description
Bernard Block 3 Lot 18A
11 Pump Installation Date: 6-5-19
11 Pump Intake Depth Below Top of Well Casing: 230
11 Pump manufacturer's Name: F&W
11 Pump Model: 4F07P07301S
11 Pump Size: 3/4
11 Pitless Adapter Burial Depth: 10
Pitless Adapter Installer: Northern Excavating
Disinfected Upon Completion? ® yes ❑ no
Method of Disinfection: Chlorine 50 PPM
II Comments: Pitless Manufacturer: Martinson
11 Pump Installers Name: Sullivan Water Wells
Property Owner Name & Address
Kim & Martin Bassett
feet
hp
feet
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
"T� MUNICIPALITY OF ANCHORAGE
JN O,e ,,`�1 l n
��� On-Site Water&Wastewater Program c•,` (.^"``5(:.
PO Box 196650 4700 Elmore Road ` '.
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax (907)343-7997 y • �;
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water& Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 060-321-28
Property owner(s) Martin and Kimberly Bassett Day phone 907-694-3917
Mailing address 7850 Stewart Mountain Dr., Eagle River, AK 99577
Site address same
Legal description (Sub'd., Block & Lot) Bernard, Block 3. Lot 18A
Legal description (Township, Range & Section)
Lot Size 66.081 Sq. Ft. Number of Bedrooms 6
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(M all that apply)
Absorption Field ❑ Initial ❑ Single Family (SF) El
(w/wo ADU)
Septic Tank ❑ Upgrade ® Duplex (D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well
Water Storage U
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above inform 'on is correct. I further certify that this is in accordance with
applicable Municipal Codes.
'6 m C. 66 -1P---
(Si n. u - of property_,..rner •r authorized agent)
Permit/Rush Fees: yF usnOD Waiver Fees:
Date of Payment: 046)1 161 Date of Payment:
Receipt Number: (lea-4 24 I Receipt Number:
Permit No. Of P 1411 034 Waiver No.
G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
. - Municipality of Anchorage Page 2 of 3
DEVEOPMENT SERVICES DEPARTMENT.
4700 South Bragaw Street Anchorage,AK. 99519-6655 - 343-7904
On-Site Wastewater Disposal System or Well Inspection Report
PID No. 060-321-28
Permit Number: SW020091
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Municipality of Anchorage Page i of 3
Development Services Department
Onsite Water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW020091
PID Number: 060-321-28
Name:
Martin Bassett
Wastewater System: New ®Upgrade
Address:
HC85 Box 9204 Eagle River
AK 99577
ABSORPTION FIELD
Phone:
Number of Bedrooms:
Deep Trench
694-3917
SIX 6
LEGAL DESCRIPTION
Soil Rating:
Total Depth from original grade:
11
•8 GPD/Fl=
Ft.
Block: Lot: Subdivision:
Depth to pipe bottom from original grade:
Gravel depth beneath pipe:
3 18A
Bernard
3.5 R.
7.5 Ft.
Township: Range:
Section:
Fill added above original grade:
Gravel Length: -
1 Ft.
75 Ft.
Well: Existing
Gravel width:
3
Number of lines:
1
Distance between lines:
N/A
Ft.
Ft.
Gassification (Private, A. B. C):
Total Depth:
Cased to:
Total absorption area: -
Pipe Material:
Ft.
Ft.
1,125 n'
ASTM D3034 PVC
Driller:
Date Drilled:
Static Water Level:
Installer:
Date Installed:
Ft.
Tweed Excavating
6/13-14/2002
Yield:
Pump Set al:
Casing eight Above Ground:
TANK
GPM
Fl.
Ft.
SEPARATION DISTANCES
® Septic' ❑ Holding ❑ S.T.E.P. ❑ Other:
To
Septic
Absorption
Lift -
Holding
ublic/Private
anuac rer:
paciny in sons:
Fromil
Tank
Field
Station
Tank
Sewer Line
Anchorage Tank
2,000
well
>100'
>100'
N/A
N/A
>25'
Material:
Steel
N
TwTwo (2)o (2) mens:
Surface Water
>100'
>100'
N/A
N/A
LIFT STATION — NONE ON LOT
Lot Line
>5'
1'
N/A
N/A
ize:
anu ac urer.
Gal.
>5'
>10'
N/A
N/A
'Pump on' level at:in.
'Pump off" level at:
High water alarm at:
Foundation
in.
in.
Make & Model
Electrical Inspections performed by:
Curtain Grain
iNone
lNotedPump
Remarks:BENCH
MARK
ExistingSeptic Tank and Absorption Crib Pumped,
10.110n arm Description:
Crushed, Backfilled and Abandoned On Site. See Lot
Lower Level Slab.
Line Waiver for Absorption Trench.
Assumed Elevation:
100.0 Ft.
-
Engineer's Stamp
It
O�P.�' �F"�q i O
Inspections performed by: Alan Harala Dates: let 6/13/02
: ` 49th
2nd 6/13,14/02
................
Department of Health
afld Human Services approval
C MICHAEL F:. ANDERSON'
��. 0•• NO. CE-4381 ; �_-
��i��F'•
Reviewed and approved by:
P4zf Date: 3 -30'1
,,w��:
Municipality of Anchorage Page of 3
DEVEOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number: SW020091 PID No.: 060-321-28
House Lower Level
TBM EI. 100.0
N
i 4
PROFILE AS—BUILT 's�R .
-Scale: V= 10' .6` MICHAEL E. ANDERSON
1. No. CE -4381
April 28, 2003
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: Lot 18B, Block 3, Bernard Subdivision
Separation Distance Waiver
Absorption Trench to Lot Line
Dear On Site Services Engineer:
The absorption trench recently constructed on Lot 18B, Block 3, Bernard Subdivision
was placed within 1' of the west lot line to increase separation distance between the
trench and the cut slope to the north. Sufficient area exists on the property to the west
for placement of an original and replacement absorption system. In addition, soils in
the area consist of silty sand and gravel, which absorb water at rates considered good
for absorption of septic effluent. No conflicts exist between the absorption trench and
the well on the property or with the proposed well to the west.
All required separation distances can be met between the new trench location and all
wells and septic systems in the area. We therefore recommend a waiver be issued
allowing the new trench to be located 1' from the west property line.
Sincerely, /� n
Michael E. Anderson, P.E.
.c�).,• i.
49th � ••''s*1
MICHAEL E. ANDERSON
No. CE -4381 4
George P. Wuerch,
Mayor
5/21/2003
Anchorage
Municipality of Anchorage All -America
Building Safety Division ' I 1111
2002
Anderson Engineering
Anchorage, Ak 99524
Subject: Waiver Request for Bernard Block 3 Lot 18A
Waiver Request #WR030038
Parcel ID #060-321-28
SW020091
Dear Mr. Anderson:
Your request for a waiver of the required 10 feet horizontal separation from the
absorption field to property line has been approved. The approved separation distance is
1.0 feet.
This waiver approval applies to the existing absorption field to property line separation
only. Any future upgrade to the on-site wastewater disposal system will require all
separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
hoz T C'ooja`�
Joe Goodall
Civil Engineer
On -Site Water & Wastewater Program
P.O. Box 196650 • Anchorage, Alaska. 99519-6650 • Telephone: (907) 343-8301 • Fax: (907) 343-8200
4700 South Bragaw Street • Anchorage, Alaska 99507
http://ww ,.ci.anehorage.ali.us
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw, Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
Waiver Review Worksheet
WR#: 030038 PID#: 060-321-28 HAM Permit#: sw020091
Date Received: 5/21103
Legal Description: Bernard Block 3 Lot 18A
Engineer: Anderson Engineering
Applicant: Martin Bassett
Waiver Requested: 1' Lot Line Waiver
Criteria: Geology
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
Total:
Points:
..............................................................................�
Waiver is Granted: Waiver is not Granted.,
List Conditions or Reasons for above:
Date: 3 �% _ ! By:
.......................................
Rec#:03 7 / 7GAmount: $150.00 Date Paid: V� • 3
.............................,
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SW020091
Legal Description: BERNARD BLK 3 LT 18A
Design Engineer: 0014 Anderson Engineering
Owner Name: Martin Bassett
Owner Address: HC85 Box 9204
Eagle River , AK 99577 -
/Z1SOP
a' 7'2�r�
Date Issued: May 06, 2002
Expiration Date: May 06, 2003
Parcel ID: 060-321-28
Site Address:
Lot Size: 66081 SQ. FT.
Total Bedrooms: 6 Permit Bedrooms: 6
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank Holding Tank ❑Privy
All construction must be in accordance with:
1. The attached approved design.
❑ Private Well ❑ Water Storage
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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date:
�—Q 2 -
Date: 6 0
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 060-321-28 Permit Number SW07-00 91
Property owner(s) Martin Bassett Day phone 694.3917
Mailing address (1) HC85 Box 9204 Eaple River, AK 99577
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) Lot 18A, Block 3, Bernard Subdivision
Legal description (Section, Township & Range)
Lot Size b&) a / Acres/Sq.Ft.
THIS APPLICATION IS FOR:
Number of Bedrooms Six (6)
Sewer Only ❑ Well Only ❑
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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.
El
(Signature of property owner or authorized agent)
so
Permit Fees: Waiver Fees:
Date of Payment:
IL[- M --0 f__
Date of Payment:
Receipt Number: 0/ go q bt Receipt Number:
(Rev. 12/00)
April 29, 2002
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: Lot 18A, Block 3, Bernard Subdivision
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The owner of Lot 18A, Block 3, Bernard Subdivision intends to upgrade the existing
home on the lot to six bedrooms. The existing septic system, constructed in 1976 was
only designed to serve a three-bedroom home. We are therefore requesting a permit
be issued for the construction of a new septic system to serve the much larger home.
The attached Site Plan and backup documentation identify the location and
configuration of the new septic system and the parameters used in the design. Also
identified on the plans are the location of the well on the lot, test hole locations and the
location of the existing septic tank and absorption crib. Only the lot to the east of this
property is developed, but the well and septic system do not conflict with the
improvements planned for this lot. Existing drainage patterns are shown and will not
be altered by the development of the lot.
The test holes placed near the location of the proposed absorption trench indicate silty
gravel with some sand. The percolation tests completed in the material resulted in rates
of 10 to 11 minutes per inch. No groundwater was found during the placement of the
test holes and none was noted during the monitoring period. We are therefore
proposing to place a 3' wide deep absorption trench system with 7.5' of gravel beneath
the distribution pipe. The total depth of the trench will be 12.5'. The distribution pipe
will be placed at 5' below the ground surface to provide sufficient drop from the septic
tank to the absorption trench.
The ground surface on the lot slopes as shown on the attached Site Plan with an
approximate 20% to 30% slope from south to north. It is necessary, therefore, to place
the distribution pipe 5' below the surface. Extending the 25% line from 2' above the
distribution pipe it will not daylight with less than 40' of clearance from the trench. The
new absorption trench will be constructed in conformance with Municipal requirements
and parallel to ground contours where possible. All components of the new septic
system will be constructed a minimum of 100' from the well on the lot and 10' from the
service line from the well to the house.
Lot 18A, Block 3, Bernard Subdivision
April 29, 2002
Page Two
If the system is constructed in accordance with our design the following statements
apply:
1. The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincery, (f a'—J,
Michael E. Anderson, P.E.
Attachments
49th GV 'i
MICHAEL E. ANDERSON
M, Cr -alai ,
!'ROFESS���i
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THIS PROJECT
O Q
AREA SYSTEM PLAN
SCALE 1" =100'
49th
............ . ......
MICHAEL E. ANDERSON
No. CE -4351
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THIS PROJECT
O Q
AREA SYSTEM PLAN
SCALE 1" =100'
49th
............ . ......
MICHAEL E. ANDERSON
No. CE -4351
AREA SYSTEM PLAN
SCALE 1" =100'
49th
............ . ......
MICHAEL E. ANDERSON
No. CE -4351
LOT 18A, BLOCK 3,
BERNARD SUBDIVISION
SCOPE OF WORK:
ROAD
Exi.sti n
_ - - - - 280.00
1. Pump and Remove Existing Septic Tank.
2. Pump, Crush and Backfill Existing Absorption Crib.
3. Intercept Existing Sewer Service Line at Foundation.
Place Foundation Cleanout.
4. Place New 2,000 Gallon Septic Tank.
5. Construct New 75' Long X 3' Wide X 7.5' Effective
Depth Absorption Trench.
6. Flatten Slope Downhill From New Trench.
7. Regrade All Disturbed Areas.
8. Revegetate Area As Required.
SITE PLAN
SCALE 11' = 40'
j
49th
MICHAEL E. ANDERSON
No. CE -4381.
LOT 18A, BLOCK 3, BERNARD
SUBDIVISION
DESIGN FACTORS:
Six Bedroom Home
Perc. Rate: 10 MinJlnch
Avg. Application Rate: .8 GPD/SF
SYSTEM REQUIREMENTS:
Deep Trench System
2,000 Gallon Septic Tank
7.5' Drain Field Rock
6 Bedrooms X 150 GPD /.8 GPD/SF = 1,125 SF of Absorption Area
1,125 SF/15 SF/LF = 75 LF Trench Length
Therefore: Construct An Absorption Trench 75' in Length by 3' Wide With 7.5' of Drainfield
Rock Beneath the Distribution Lateral. Distribution Lateral to Be Placed 5' Below Existing
Ground. Total Depth of Trench to Be 12.5' Below Existing Surface. Mound Over Trench to
Provide a Minimum of 3' of Cover for Frost Protection.
4. 5'
.5'
7.5'
-�
Natural
f
Backfill
ti
r
i
111
Geotextile
Fabric
4" Perforated PVC
Schedule 40
�o Drainfield Rock
3
F '
TYPICAL DEEP TRENCH SECTION
(NO SCALE)
NOTE: Grade Area Over Trench to Drain Away.
Minimum 6' Separation From Bedrock.
Minimum 10' From Lot Line.
Minimum 4' Separation From Groundwater.
Minimum 100' Separation From Wells in the Area.
Minimum 10' Separation From Water Service Line.
a:
49th
MICHAEL E. ANDERSON
No. CE -4381 i
MEMORANDUM
DATE: May 5, 2002
TO: Dan Roth �nn
FROM: Mike Anderson, P.E. 6` 1
SUBJECT: Lot 18A, Block 3, Bernard Subdivision
Septic System Upgrade Design and Permit Application
The toe of the cut slope at the driveway serving Lot 18A, Block 3, Bernard Subdivision
is approximately 3'-5' outside the property line. The top of the cut slope is 5'-6' above
the toe and slightly outside the property line. The ground surface from the top of the
cut bank to the location of Test Hole No. 2 was measured at 20% to 22%. A drawing
showing the cross section of the slope at Test Hole No. 2 and the proposed absorption
trench is attached. This drawing shows the elevations and distances at strategic points
on the slope. This data further implies that it is possible to construct the absorption
trench as designed and still maintain a separation distance of 50' from any 25% break
in grade. We are therefore confident the absorption trench meets all the requirements
of the Municipal ordinance.
We have left the total depth of the absorption trench at 12.5' as measured from the
uphill side of the trench. The ground surface at the top of the trench will be
approximately 9" lower on the downhill side of the trench and the total depth on that
side will be 11.5'. This depth will more than satisfy the requirements for separation from
a break in grade greater than 25%.
-ANDERSON ENGINEERING
P.O. Box 240773
ANCHORAGE, AK 99524
(907) 522-7773
Cell (907) 441-4000
JOB �a"r Igii 1i uL. 3,.$6w Avw
SHEET
OF
CALCULATED BV / ✓ 1 DATE 57-6-107-
CHECKED
-S10ZCHECKED BY DATE
11
Municipality of Anchorage
Development Services Department/Building Safety Division
Onsite Water and Wastewater Program
4700 South Bragaw Street Anch., AK 99519
SOILS LOG - PERCOLATION TEST
Performed For: Martin Bassett Date Performed: 4/18/02
Legal Description: LQJ 18A Block 3. Bernard Subdivision
SLOPE SITE PLAN
1
2
11
12
13
14
17
18
21
OG/OL
TESTHOLE NO.1
GM
Tan/Olive
12%-18%
Silt
South
Was Groundwater
Encountered? No
GP Lenses If Yes, What Depth?
Depth to Water
Cobbles After Monitoring
1.5"-7" Date:
Some 12"
Bottom of
Test Hole
Perc. Rate: 10 Min./Inch Pere. Hole Diameter. 6"
Test Run Between 5 Ft. and 6 Ft.
Comments: Pem. Cavity Presoaked Prior to Test.
Performed By: Alan Harala, I, Michael E. Anderson Certify That This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Date: 4/28/02
See Site Plan
- 49
IAEL E. ANDERSON
NO. CE -4381
Reading
Date Gross
Time
Net
Time
Depth To Net
Water Drop
1
18 -Apr 2:08
2.25"
2
2:38
30
5.375" 3.12-
3
2:39
2.25"
4
3:09
30
5.25" 3"
5
3:10
-2-
6
3:40
1 30
5" 3"
r}
Municipality of Anchorage
Development Services Department/Building Safety Division
Onsite Water and Wastewater Program
4700 South Bragaw Street Anch., AK 99519
SOILS LOG - PERCOLATION TEST
Performed For: Martin Bassett Date Performed:
Legal Description: Lot 18A Block 3 Bernard Subdivision
SLOPE SITE PLAN
1
3
4
5
6
7
15
16
17
21
OG/OL
TESTHOLE NO 2
GM
Rust/Brown
15%-18%
Silt
South
Was Groundwater
Encountered? No
GP Lenses If Yes, What Depth?
Depth to Water
Cobbles After Monitoring
1.5"-8" Date: 5�ANow4E
Some 12"
Bottom of
Test Hole
Perc. Rate: 10 MinJlnch Perc. Hole Diameter. 6"
Test Run Between 5 Ft. and 6 Ft.
Comments: Perc. Cavity Presoaked Prior to Test.
Performed By: Alan Harala, I, Michael E Anderson Certify That This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Date: 4/28/02
See Site Plan
4/181(
Reading
Date Gross
Time
Net
Time
Depth To
Water
Net
Drop
1
18 -Apr 3:46
7.5"
2
4:16
30
10.63"
3.12"
3
4:17
7.56
4
4:47
30
10.63"
3.07"
5
4:48
7.5"
6
5:18
30
10.5"
3"
0
Municipality of Anchorage
Development Services Department/Building Safety Division
Onsite Water and Wastewater Program
4700 South Bragaw Street Anch., AK 99519
SOILS LOG - PERCOLATION TEST
Performed For: Martin Bassett Date Performed: 4118/02
Legal Description: Lot 18A. Block 3. Bernard Subdivision
SLOPE SITE PLAN
1
10
11
12
13
21
OG/OL
Fill Debris
TESTHOLE NO. 3
GM
Rust/Brown
15%-18%
Silt
North
South
Was Groundwater
Encountered? No S
GP Lenses If Yes, What Depth? L
Depth to Water O
Cobbles After Monitoring S QZ P
1.5'-8" Date: AW&K E
Some 12"
Bottom of
Test Hole
Perc. Rate: 10 Min./Inch Pere. Hole Diameter. 6"
Test Run Between 6 Ft. and 7 Ft.
Comments: Perc. Cavity Presoaked Prior to Test.
Performed By: Alan Harala, 1, Michael E. Anderson Certify That This Test Was Performed
In Accordance With All State and Municipal Guidelines In Effect On This Date: 4128102
See Site Plan
MICHAEL E. ANDERSON
" NO. CE -4381 j
Reading
Date Gross
Time
Net
Time
Depth To Net
Water Drop
1
18 -Apr 3:50
4.38"
2
4:20
30
7.5" 3.12"
3
4:21
4.5"
4
4:51
30
7.5" 3"
5
4:52
4.38"
6
5:22
30
7.38" 3"
Otm
GREOR ANCHORAGE AREA BOAGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
SEPTIC TANK:
DISTANCE q
FROM WELL
NUMBER OF
MANUFACTURER MATERIAL COMPARTMENTS
d
C
INSIDE LENGTH I
WIDTH LIQUID DEPTH
LIQUID
�CAPAC ITY P GALLONS.
a
DISTANCE FROM WELL / 6e) FOUNDATION NEAREST LOT LINE
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH
ABSORPTION AREA P
DEPTH: TOP OF TILE TO FINISH GRADE
SQ. FT. LENGTH OF EACH LINE —
DEPTH OF FILTER
MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE IN.
WELL:
TYPE_ 1LC3;C CONSTRUCTION L' -i -?6- DEPTHT DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE , SEWER LINE , TANK , SYSTEM
CESSPOOL , OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES: DIAGRAM OF SYSTEM
INSTALLED BY:
� glylif ��
SEWER LINE DEPTH:
0 (I
PIPE MATERIAL: PL'd
LOT SLOPE:
REMARKS:
DATE APPROVED.-_ /
Form EQ -032
INNS-PECTIION
REPORT ON-SITE
DISPOSAL SYSTEM
NAME-�'"'!'�
LOCATION 'J`^'-'
J1Y.�. .(i'
/SEWAGE
MAILING ADDRESS �'C G ✓r-Jr?%C 2_6 �n
PHONE✓��'� - J�
LEGAL DESCRIPTION +'7`Y� jO d� �iz-Pt
/a'C�
SEPTIC TANK:
DISTANCE q
FROM WELL
NUMBER OF
MANUFACTURER MATERIAL COMPARTMENTS
d
C
INSIDE LENGTH I
WIDTH LIQUID DEPTH
LIQUID
�CAPAC ITY P GALLONS.
a
DISTANCE FROM WELL / 6e) FOUNDATION NEAREST LOT LINE
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH
ABSORPTION AREA P
DEPTH: TOP OF TILE TO FINISH GRADE
SQ. FT. LENGTH OF EACH LINE —
DEPTH OF FILTER
MATERIAL BENEATH TILE
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE IN.
WELL:
TYPE_ 1LC3;C CONSTRUCTION L' -i -?6- DEPTHT DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE , SEWER LINE , TANK , SYSTEM
CESSPOOL , OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES: DIAGRAM OF SYSTEM
INSTALLED BY:
� glylif ��
SEWER LINE DEPTH:
0 (I
PIPE MATERIAL: PL'd
LOT SLOPE:
REMARKS:
DATE APPROVED.-_ /
Form EQ -032
No u.
NAME OF APPLICANT
INSTALLATION LOCATION
LEGAL DESCRIPTION
GREOR ANCHORAGE AREA BOIOGH
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
COMPLETION DATE ANTICIPATED
PERMIT NO.
MAILING ADDRESS L �4 PHC
7
I� I
SEEPAGE PIT,DRAIN FIELD OTHER
TO BE INSTALLED BY
NOTEI THIS PERMIT 15 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.
SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE
MINIMUM DISTANCES, REQUIREMENTS_
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
SEPTIC TANK TO SEEPAGE PIT WALL
DRAIN FIELD
SEPTIC TANK , SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE. l �/'/1
WELL TO SEPTIC TANK. SEEPAGE PIT �'" `� +
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEEPAGE PIT
SEPTIC TANK, , SEEPAGE PIT , DRAIN FIELD
TO RIVER, LAKE, STREAM.
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 INSTALLATION.
G.A.A.S.
OR
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH O INANCE NO. 28.66 AND THAT THE ABOVE
DESCRIBED SYSTEM II IN CGOORDANCE WITH SAID CODE.
DATE �" 1 !—'?
APPLICANT'S SIGNATURE
EQ -016(3-75)
LTJ
5. LEGAL DESCRIPTION
/00
STREET LOCA/T�IjON I�7
1'
MUNICIPALITY OF
NUMBER OF BEDROOMS
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
❑ One ❑ Four ❑ Other
825 L Street - Anchorage, Alaska 99501
❑ MULTIPLE FAMILY
ENVIRONMENTAL ENGINEERING DIVISION
7. WATER SUPPLY
Telephone 264-4720
*ATTACH WELL LOG. A well log is required for all wells drilled
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1.
Incomplete requests will not he processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER
I ,JL(
-
PHONE
MAILING AD RESS
aex
individual/on-site, give installation date LA
❑ PUBLIC UTILITY
If
If system is over two (2) years old an ade acy est is required
by this Department.
PROPERTY RESIDENT (If different from au
ve)
PHONE
2. BUYERPHONE
��S'Sc77-
i<7 /!f
MAILING ADDRESS
3. LENDING INSTITUT ON 1
�. �p
PHONE
MAILING ADDRESS�v/
4. REALTO T
PHONE
MAILINGADDRASS
LTJ
5. LEGAL DESCRIPTION
/00
STREET LOCA/T�IjON I�7
,t
6. TYPE OF RESIDENCE
NUMBER OF BEDROOMS
SINGLE FAMILY
❑ One ❑ Four ❑ Other
❑ Two ❑ Five
❑ MULTIPLE FAMILY
-�K Three ❑ Six
7. WATER SUPPLY
;E< INDIVIDUAL*
*ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if. available.)
8. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE"
individual/on-site, give installation date LA
❑ PUBLIC UTILITY
If
If system is over two (2) years old an ade acy est is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
,cviuwuw
rM
THIS SIDE FOR OFFICIAL USE ONLY
INSPECTION APPOINTMENTS
DATE RECEIVED
TIME
TIME
TIME
DATE
DATE
DATE
INSPECTOR
INSPECTOR
INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE
❑ SINGLEFAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON-SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATEINSTALLED
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size: 00 If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
. -e "
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES WELL T0:
Septic/Holding Tank
AbsorArea
ption
Li
Sewer ne
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
,[D- APPROVED FOR BEDROOMS
Li CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE r� \y -
BY (Title)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
UNICIPALITY OF ANCHORAG
)EPARTMEMWF HEALTH AND ENVIRONMENIISPROTECTION
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224 or 225
#1: Time 1 -10.00 a.m.
Date Received: April 21, 1977
#2: Time #3: Time
Date 4-22-77 Fri. Date
Date
Insp Dixson Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: First National Bank of Anchorage
Mailing Address: Post Office Box 720 99510 Phone: 276-6300/491
2. Property Owner: Alvin/Violet Trihub
Mailing Address: Star Route Box 9204 99577
3. Legal Description:
4: Single Family Residence: 'V_�
5
6.
7
Multiple Family Residence: ( )
Phone: 694-2673
Bernard Subdivision
Number of Bedrooms:
Number of Bedrooms:
Well System: Public/Community System: ( ) Individual Well:
Permit # Depth of Well J/ %% / Well Log on File
Construction .�- Bacterial Analysis 7, le,
Sewage Disposal System: On-site /System Public Utility ( )
Permit # / Installed (9 rl 126 Installer /
Septic Tank Size Manufacturer
Absorption AreaSoils Rate Material
IA
Distances: Well to Septic Tank p
p U to Absorption Area
to Sewer Line tX Nearest Lot line cf7 Absorption Area
to Nearest Lot Line--f=—
MUNICIPALITY OF ANCHORAGE �? AGR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224, 225
=� REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: VA_.. _FHA____CONV xxxxx___
TRIHUB ALVIN
2. Property Owner:_____..__
Star Route Box 9204 Eagle River, AK 99577
Mailing Address: - Day Phone:... ------ S9_4-2673 _____.
3. Name of Buyer:
Mailing Address:
Day Phone
4. Name of Lending Institution:_k_'IRST NATIQ_KAL
Mailing Address: P,.Q_,_Hox 720_ An_cl-Qr-age_AK-9J51CPhone:127.6--Ea4D—Ext_491__-_—...
5. Name of Realtor or Agent:
Mailing Address:
6. Legal Description: Lots .17A-& 18A, Block 3, BERNARD SUBDIVISION
Location: Stewart_ Road off_ Highland_D rive, Eaele_River Alaska _____
7. Type of Facility to be 1
8. Water Supply
Type of Supply: Public Uti
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
72-003(3/76)
No. Bdrrns.
Individual (on-site)
Page Two '
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 17A and 18A Block 3 Bernard Subdivision
Comments:
Affadavit Attached: ( )
Approved:
Disapproved:
Department Worksheet:
Letter Attached: ( )
Date: 441��26/%
Date:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received May 10, 1976
Time of :Inspection Sioo Pm
PERCOLATION TEST Date of Inspection �, J%-�/ l/'iIts
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
c3i� P./VL.
1. Approval requested by:
Mailing Address: Phone: _
2. Property Owner: A - Phone:
Mailing Address:
3. Legal Description: Lot 18A Block 3 Bernard Subdivison
4. Location: South Fork Road, off the MAE% Glenn Highway
5. Type of facility to be inspected Single Family No. of bedrooms
6. Well Data:
A. Type B. Depth
C. Construction D. Bacterial Analysis
7. Sewage Disposal System: R On-site system
A. Installed B. Installer .
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank Absorption area Sewer Lines ,
Nearest lot line Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line
EQ -034 (1/74) Page 1 of two pages
( Rage'2 of `two pages - Ret for Approval of Individual r &Water Facilities
•wC®q scri pti¢;n Lot 18A Block 3 Bernard Subdivision
Comment
, -)fix_.rr
Approved
_ ... no
Approval,Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ -034 (1/74)
Glenn Highway, past weigh station, lst right turn (Ice Palace Road)
about 2 1/10 miles in, South Fork Road; go about 100 yards past
the road/sign that marks the Ice Palace, the road takes an incline,
turn there, a green 64' trailer and he will be watching for you,
told him what kind of car you had. The same guy you spoke to in the
office on Monday morning.