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T12N R3W SEC 27 LT 6
T12N R3W Sec. 27 Lot 6 #017-051-12 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page of ONSITE WASTEWATER INSPECTION REPORT Permit Number: OSP121075 PID Number. Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑ Upgrade Name: Simon Mawson ABSORPTION FIELD ® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 5220 Griffin Road, Anchorage, Alaska 99516 0 Other Phone Number of Bedrooms Soil Rating Total depth from original grade 227-0934 3 —1.2 GPD/SF 8-9 Ft. LEGAL DESCRIPTION Depth to pipe invertfrom original grade 4 FL Gravel depth beneath pipe 4+ FL Subdivision Block Lot BLM 6 Fill added above original grade 1 R, Gravel length 42 Ft. Township Range Section T92NR3WSEC27 Gravel width 5 Ft. Beds: Numberaf tines 2 Distance between lines —10 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Hclding Sawer Total absorption area Number of trenches D1sL between trenches From Tank Field Tank Line 420+ Fe 2 10 Ft. Well 116 107.5 TANKM Septic[] S.T.E.P. ❑ Holding❑ Other Manufacturer Anchorage Tank and Welding 1,000 Surface Water N/A Material Number of compartments Lot Line 48 52 Coated Steel 2 ]G3 NA Foundation 5+ 10+ LIFT STATION Manufacturer capacity Curtain Drain N/A Remarks Primary and alternate trenches installed Pump on level at in. Pump off level at in. High water alarm at in: Waste line insulated with 2 -inch board stock Pump make and model Electrical inspections performed by PIPE MATERIAL House to tank D3034 Tankto drainfield D3034 Installer Glacier Excavating 862-5965 Dralnfield 63034 C0/MT p 3034 Inspector Art Ronimus PE BENCHMARK (Assumed elevation) 0.5 ft Ina da io 146/26/12 6/29/12 Location and description 2.a s" 0 New Houyse Slab, North East Corner COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL OF At Conditional Approval: Date � Approved Date S ✓ %3 ���Lr^��`�«oat`/�• �� d C� 9.5; Inspection Repon_9-1-12.40c N 89°58' E 330.4' Aff INV=879�% C/o\ \ LOT 5 sQ PT p\ Q \ 50" Patent Esmt. ,{qT \ TH-3 INV=87.8 \ \ p ° p% \ ��4 \\ 4 Diverter -v) Ln \ BOX s N c/a�Dbl. % 30' Radius C\� % a/a a'\ Double Compartment TH-2 Typ. E1=95.7 � � Septic Tank � � �I DETAIL �� TH-3 0 Scole: 1"=30' 3 Er=96.o s o N x \ \�7 7H-7 �s L - New \\ 3 P N Existing SAS o 0 p g Art. Dwaning �� �2 34' O unit �O% FF— 100 I E®ting C B I I E00' WELL LOT 7 7o we" New 3—Bedroom % \ w PROTECTION Residence I RADIUS A _j___66.8' LOT 6 S 89`58' W 330.4' ` a Lot 1, Plat 80-7 Swing Ties Nouse Septic Corner Distance A 35.5' F M r Clean Out 1 -r B 28.4' '^ 5 Clean Out 2 8 49.1' ` + -a' C 82.2. 0'..... �.., ....`,.;'.. ; Vent 3 e 62.5' LOT: ER1C P' `F`UGLESTAD C 82.0' 6 LAND SURVEYORk 8 71.4 suaorolsloN: BIV. BOX 4 _.0 85.0' BLM 2223 TULIKDR.ANCH., AK 99517 B 71.7' 248-1911 Clean out 5 C79.0'---- SECTION27 TOWNSHIP 12N RANGE 3W DATE: JOB NUMBER: F.B. NUMBER: Clean Out 6 B 109.6' SEWARD MERIDIAN 12-01.01 38.41 C 105.5' DATE OF SURVEY SCALE: DRAM CHECKED: Clean Out 7 B 82.6' 8/18/12 1 "-60' epf C ....97.0•...... � /T Clean Out 8 _.C...__ .._..119.6,�qy.... SHEET OF A }� _LJ �J �� 060., Ground Filter Fabric 6" GRAVEL Seasonally High Static Water Level "Five Wide" Drainfield Surface mounded to insure drainage away from drainfield $,Nl Silt barrier kATIVE SOIL CKFILL Ds . D D D° D: D au p 4 eD eD B D s- o —a e o D, Impermeable Barrier i3F Al 11@ o-, .38..17 DATE OF SURVEY SCALED DRAWN: CHECKED: 8118112 NTS ei�a°•�+`° `��°" cid a _ y,e5iir{k!i'3 <y, AS BUILT SHEET OF 5" BL1LI L OT 6 EL=96 Level 4" Perforated pipe (Ports down) 48" Gravel below pipe. EL=88 SEPTIC AS—BUILT SECTION 27 TOWNSHIP 72N RANGE 3W SEWARD MERIDIAN DATE: 72-0 1. 0 .38..17 DATE OF SURVEY SCALED DRAWN: CHECKED: 8118112 NTS epf 2 2 AS BUILT SHEET OF Municipality of Anchorage Development Services Department Building Safety Division * On -Site Water and Wastewater Program 4700 Elmore Road PA. Box 196650 Anchorage, AK 99507 www ci.anchoraae.ak.us (907) 343-7904 Soils Log - Percolation Test � Performed For: .) V\Q-N(\P_'r Date Park Legal Description: /.o'i 6-� ALM Township, Range, Section: i(V6 O'QCAW \C Ij' I -Slope TA VAT- IlI I � Depth LiG1�r �tio\a� SNI s SM -1y",vuec_�u `G CCe�\0(,. 1AAL L 9- G e 10- o 11- G c o 12- 13- 14- 2-13-14- a c 0 15- G 4 16- 17 ° 18- 19 - WAS GROUND WATER tp , () ENCOUNTERED? �V 5 IF YES, AT WHAT DEPTH? L 0 Depth to Water After P Monitoring? E Date: 11 1 1 Reading I Date I Gross Time I Net Time I Depth to Water I Net Drop PERCOLATION RATE (minuteMnch) PERC HOLE DIAMETER t y -t, TEST RUN BETWEEN FT AND FT COMMENTS 1'�iO-U 1-11 PERFORMED BY: 1 J\V-�V J *M 1Nr 7J CERTIFY THAT THI:i� PERFORMED IN ACCORDAN I LL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121075 Tax Code Number: 01705112000 Work Type: Septic Initial Permit Effective Dates: May 22, 2012 to May 22, 2013 Design Engineer: WALKER ANNE M & Subdivision: T12N R3W SEC 27 Site Legal Address: T12N R3W SEC 27 LT 6 G:2937 Owner/Address: WALKER ANNE M & MAWSON SIMON J PO BOX 110950 ANCHORAGE AK 995110950 Site Mailing Address: 5280 GRIFFIN RD, Anchorage Lot Size in Sq Ft: 108900 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage 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 (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued MUNICIPALITY OF ANCHORAGE s � Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan ONSITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Property owner(s) S1Y'v\p 1-60�W� Day phone cl Mailing address C -b Cly 11 0 CiSC� , SAV -X -u °A V__ GC't51 \ Site address w Legal description (Sub'd., Block & Lot) /_0T G QSbA _ Legal description (Township, Range & Section) W Lot Size1© 4 C5t1v Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (®- all Mat apply) - Absorption Feld Initial ❑ Septic Tank Upgrade El . Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the aboveinf rmation is correct. I further certify that this application is being made for a Single Fa# Dw Ing and is in accordance with applicable Municipal Codes. owner or Permit/Rush Fees: S 3 D — Date of Payment: `S% 3 It -a. Receipt Number:._ 61 '5-5_, G Permit No. ©SPI a 1015 Waiver Fees: Date of Payment:; Receipt Number: _ Waiver No. G:1BOding�On Site\FormsUient FormsTermit App_010411.doc (Rev. 1/11) Application for On -Site Wastewater Disposal Permit Lot 6 BLM Township 12N Range 3W Section 27 This submittal has been amended in consideration of comments that you provided to me on May 11th, 2012 and is for a three bedroom on-site wastewater disposal system. The building is not built yet and final elevations for the discharge from the building are not finalized. I anticipate that there will be about four feet of drop available to the septic tank which will be plenty. The design calls for a 1,000 gallon septic tank and one 5 -wide primary drain field 42 - feet in length. Area is also available for an alternate drainfield. The property involved is a two and a half acre parcel and the area for the construction of the on-site system is level. Surface elevations for the three test holes range about a foot. Installation will be as shown in the site plan and as shown in the Typical Wide Drain field Requirements and Specifications AMC15.65 hand out included as part of this report. Two test holes (TH 1 and TH 2)were excavated on May 13th 2012 and percolation tests conducted in each excavation following the procedures described on page 41 of the U.S. Environmental Agency's design manual entitled, "On -Site Wastewater Treatment and Disposal Systems," 1980 addition . Percolation test holes were dug using a post hole digger and hand trowel in soils 8 -feet to 9 -feet below the ground surface, the area where percolation will take place once the system is built. Percolation rates were measured at 3 min/inch in Test Hole 2 and 4 min/Inch in Test Hole 1. A further Test Hole (TH 3) was excavated to depth on March 27th. A perforated pipe was installed in this test hole to demonstrate that ground water is not an issue for this on-site system. This was confirmed on May 13th, 46 days after the perforated pipe was installed. The design percolation rate used is the slowest of the two test holes, Test Hole 1. That rate was 4 min/inch. Using Municipal Calculator, Absorption Area required for three bedrooms is 450 GPD divided by 1.2 GPD/SF which equals 375 SF. Use wide drain field installation, 5 feet wide. Length of trench required is 75 feet. Use 48 inches of gravel below pipe for reduction factor of 0.50. Required trench length is 75 feet times 0.50 which equals 37.5 feet. Use one 42 -foot primary drain field and one 42 -foot alternate drain field. Site Plan A site plan is enclosed. The scale of the site plan is 1" equals 60 feet. 1. The existing well on site is shown as well as an existing septic system. 2. Components of the on-site system are shown. 3. Measured distances of the on-site wastewater disposal site and distribution. piping are shown. 4. Measured distances to the existing well and the existing on-site system on the property are shown. 5. Lots to the East and South of the property are undeveloped. 6. Lots to the North and West of the property do not have wells or on-site systems within 200 -feet of the proposed system. 7. There are no surface water, drainage systems or structures within 200 -feet of the proposed on-site system. 8. Property lines are shown as are Easements. 9. The area for the on-site system is essentially flat. The adjacent lot to the East rises upward. It is a 2.5 acre parcel and the developable part of the lot is the East section of the lot, the furthest away portion from the subject property. Design The design of the system is shown on the site plan which is stamped. The calculations are described above and this document is stamped. Results of Tests Results of soil tests, percolation tests and water table tests are included in this report Narrative Description There are no wells within 100 -feet of this proposed system. The closest on-site system is on the existing property and is over 200 -feet from the proposed system. There is no reserved sxf* The property drains well and there are n surface waters or drainage courses in. earea. J. Mawson HOKAMA/HEIGHTS LOT 2B PLAT . 94-779 LOT 2C _ N 89°58' E 330.4' Typical Wide Drainfield _ (FIV e Wide Surface mounded to insure drainage away from droinfield �) Silt barrier LOT 5 Ground Level 48 NATIVE SOIL � 50' Esm f. Filter /i� ¢" perforated pipe Fabric / 16M4 L 42 Long Five Wide (Peds down) S„ r Drainfield, (MDA Std) a GRAVEL Lf) 48" Gravel below �, pipe. Altrnative 30' Radius Drainfield 'TYP- tr) N Seasonally High rH-2 Location E1=95.7 Static Water Level W Impermeable Barrier TH-3 EI -96.0 CEJ 2a% Maintain 5 ; \ o O min. clearance C from FH -3 to TH-7 Droinfield p , �� EI=96. ° BLM \ o n \ ':C/o N O New \ o P onve o .x Existing /\ Bull Run SAS° Diverter Valve °$ Y y0E ° / Alt. Dwelling 1000 Gal O y ZDx Unit too 2—Compartment P �/ Septic Tank` f351 t you Z :4 dio. Solid PVC �� j Exiting /AS_T�M D303J4I! (typ) ° Well 100' WELL e% L07 7 PROTECTION New ,5—Bedroom I RADIUS \ ResidenceLOT W /Install c/o 6 j i from Enda S 89°58' W 330.4' NOTE: Lot 1, Plat 80-7 ALL BEARINGS AND DISTANCES SHOWN ARE RECORD, UNLESS NOTED OTHERWISE. EXCLUSION NOTE: IT 1S THE RESPONSIBILITY OF THE OWNER OR BUILDER, PRIOR TO CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE TO FINISHED GRADE AND UTILITY CONNECTIONS, AND TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. PLOT PLAN CERTIFICATE: I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: BL t1 LOT 6, TOWNSHIP 12 NORTH RANGE 3 WEST AND THAT THE PROPOSED IMPROVEMENTS AND DRAINAGE PATTERNS ARE AS SHOWN HEREON. "`T4� +++1 LOT: ERIC P. FUGLESTAD •••••........ ,•�� LAND SURVEYOR�rr^�^�'••• 2223 Oft. R SUBDIVISION: 9LM • 4 th AK ANCH., AK 99577 \f :,B-1x77 � •...• •••••, AL QVI C/ ,1L C• SECTION 27TOWNSHIP Ill Al RANGE 3W LlV DATE : JOB NUMBER: P.B. NUMBER: .... ounuuw .....0 :E�o SEWARD MERIDIAN 12-01.01 38.37 �`� .• Simon J. Mawson •° DATE OF SURVEY SCALE: DRAWN: CHECKED: #�F'•.• CE 9395 �_� 3/31/12 1 "=60 eepf , T T 0 PLAN ++� ........ •• C�y��� • Ott +£SSIONP���. SHEET OF/ 1 1 � I Municipality of Anchorage Date Development Services Department Net Time Building Safety Division Net Drop On -Site Water and Wastewater Program "_• e 4700 Elmore Road r P.O. Box 196650 Anchorage, AK 99507 6" www.ci.anchoraee.ak.us 5 e3 2 (907) 343-7904 y e Soils Log - Percolation Test Performed For: !—IY�1h1Ly��L�il=� ��`�OwW Date Performed: Legal Descrip9on: L-�� 6 QL,N'� Township, Range, Section -hl COMMENTS SXW� �� WASGROUNDH ENCOUNTER[ IF YES, AT WHAT I Depth to Water Monitoring' 2'1 Reading Date Gross nme Net Time Depth to Water Net Drop I 5► 2 1v a., go 19.54 9 16 6" 2 5 e3 2 11.52,10 0:00 6 I'll 3 /16 i 3 , 513 12 12�.Q--3n 0:00 I1/16 3Yt61% 4 5 t9 42 12- 30 to -,00 6 '/16 2,"-Il6 12182;3 O'O6 X16 Z'i 16" 6•, 51312 2;32°3G :00 ► 16 16e Z 13 /2F42'3o 10 •.06 6 16 2 16 PERCOLATION RATE I6 (mircnesrmch) PERC HOLE DIAMETER ,. TEST RUN BETWEEN -?FT AND Ct FT ' PERFORMED BY: \" \ 1�W S'b" CERTIFY THAT THIS TEST WAS S PERFORMED IN ACCO CE ITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: '/I3) I Z 11 1 1 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 198050 Anchorage, AK 99507 www.ci.anchorace.akus (907)343.7904 40 F a GIN��— `s -77 !d 4 CE Soils Log - PrqAe"�ra�c.,�ola�tiicon Test Performed For: �`1�'h� „I�Q�' &`vim\ �et.W�>V\ Date Performed: \ Legal Description: �� LA -w ` Township, Range, Section: COMMENTS C-) — C) GZcd�1W'\e. MST SQ Q1 --.Oen . G ( 'A, ECOUNTE ED?ER 4 10 C �-l7" J� IF YES. AT WHAT DEPTH? L Depth to Water After D P Monitoring? E PERFORMED BY: PERFORMED INF Data 2`N CSW S277 Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop l � t_T SQ Q1 --.Oen . G ( 'A, ECOUNTE ED?ER 4 10 C �-l7" J� IF YES. AT WHAT DEPTH? L Depth to Water After D P Monitoring? E PERFORMED BY: PERFORMED INF Data 2`N CSW S277 Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop l 131 0:16:25 i7: 29 I i$ 6a 2 . o•2h:5 lo•dn 9 V1 I- /16 3. 37: 5o p•. 0 0 9 16 3 S, 0:5'1:5 10:00 $ 16 16 6-, 1c) $ 16 3 ! 6 ? WIT -50 1060 $ 16 i6 PGNWL IIUNKATE (mimnesnndp PERC HOLE DIAMETER 7j •• TEST RUN BETWEEN & FT AND _FT I \'tHN^ 01 CERTIFY THAT THIS TEST WAS STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: S 1 la, W) 2 1 1 / Municipality of Anchorage Development Services Department Building Safety Division •• Onsite Water and Wastewater Program 0 `• ' 4700 Elmore Road F P.O. Box 196650 Anchorage, AK 99507 S www.cl.anchoraee.alcus I . (907)343-7904 yn� Solis Log - Percolation Test Perforated For. ,�1111�� \/JQL`�vC,'� rC J\��Y1 0%kJ! \ Date Perft Legal Descdp9on: L.O'C (�l.Mt Township, Range, Section: Q`O e,5 11�1 O (LClA`� \ e WA o •133' - 3 -5, Lie NY Z"Wv) s� WAS GROUND WATER �, t lV I bCC,`Q�+�h)\�pAL' ENCOUNTERED? Lh�rVI %_4*AIQ IF YES, ATWHAT DEPTH? L O Depth WWaterAfter PME onKorInq? ¢ SMYat\ I E t Dam: �� R60g PERFORMED BY: PERFORMED IN P Reading I Date I Gross rime I Net Time I Depth to Water I Net Drop I PERCOLATION RATE (Mmutesrmch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT I -0A%Q*) " Wbr1 CERTIFY THAT THISTEST AS ggn IPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: (� 12 e„ 0 EER' �. I v Ulm 0 R 5W SZ1 Reading I Date I Gross rime I Net Time I Depth to Water I Net Drop I PERCOLATION RATE (Mmutesrmch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT I -0A%Q*) " Wbr1 CERTIFY THAT THISTEST AS ggn IPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: (� 12 Municipality of Anchorage Page 1 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: PID Number: 0 1--) - n S \- N a - Name: _._ _ Wastewater System: ❑ New Upgrade �� � �� Address: I ABSORPTION FIELD Phone: Ll No. of Bedrooms: �� ' Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other .- ,5 LEGAL DESCRIPTION Soil Rating: q_5 Total Depth from original grade: m GPD/Sq. Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Ft. 4> Ft. Township: Range: Section: Fill added above original grade: Gravel length: )_ FL Ft. WELL: ❑New ❑Upgrade Gravel4sp4k 3 Numberoflines: Distance between lines: 1 FL 1 Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorpt99ion area: Pipe material: Ft. Ft. pf?'C� SD. Ft. F,0 O 3 Ll Driller: Date Drilled: Static Water Level: Installer Date installed: 6114, Ft. 13 — 11 e .3 Yield: Pump Set at: I Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES Septic O Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines I XjjLI 90-0-0 Well 105 !fes Material: S i�L Number of Compartments: Surface '� LIFT STATION Water Water Lot�� -70 - Size in gallons: Manufacturer: Line Foundation- a7 a1 61 'Pump on" level at: "Pump off' level at: High water alarm at: Curtain Pump Make &Model Electrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: �t�fitA LIZ . r -e-d. _ Assumed Elevation: r.r l• p10-1�J J.SfiAL �5t4G1f�E d7"\4C\ � n9C.t F II j'1 w J .1 Inspections by: Dates: 1st 0,1, 3 a. aro �t uc performed aSr o ��,,, �1�-71 2nd Department of Hea h and u an Services approval . Reviewed and approved by: Date: 72-013 (1/91) MOA 25 Clean Out Standard Trenches Clean Out 42 Monitor Clean 3' Wide I 42' Long 8' Deep 12 6' Sewer rock 3' Cover U' Additional fill) Monitor NO SCALE Cleanouts 4" Topsoil 3' Cover 1000 gal Septic tank DIVERTER VALVE EPEE-D-VAL VE 3 J �,,, c°fe,,,.o .cecoz cesozcawe`. . j e.. eP .ea•.............�z. I Tebben Spurklnr.d en i•;^' C&2229 Rom SIO) Monitor - Exist, Ground 4' Min Cover over Tank Mirof'/ 140 •••:•:•:•:•••:•:•:�:•:•:�:•:•-I' r••••:•:•:•:•:1:•:•! N a O 0 e Qj a,' T c U v o 2 3 s ^ c � 1000 gal Septic tank DIVERTER VALVE EPEE-D-VAL VE 3 J �,,, c°fe,,,.o .cecoz cesozcawe`. . j e.. eP .ea•.............�z. I Tebben Spurklnr.d en i•;^' C&2229 Rom SIO) Monitor - Exist, Ground 4' Min Cover over Tank Mirof'/ 140 •••:•:•:•:•••:•:•:�:•:•:�:•:•-I' r••••:•:•:•:•:1:•:•! 69* oP SepticRock /00 go!. septic tank ND SCALE -ROTTOM TEST1417LE L i i TOBBEN SPURKLANDLOT • SECTION 27 SEPTIC SYSTEM ASBUILT W15th Ave DATE!,203 93 Anchorage I I I�' I I I I •,0,•,25 50 75 100 125 50 Clean Outs S LE: P = 50 FT, Mon/tors I I 9� Residence IDrvertion Valve 71 Born 9� CESS POOLS IN TN1S AREA Al Es71, !Do N� p/ TDBBEN SPURKLAND P.E. LOT ',S' fac A-% SEPTIC SYSTEM ASBUILT 203 W 15TH. AVENUE HERSCNEL GRIFFIN DATE, JUNE 23, 1993 ANCH^ AK.^ 99501 5210 GRIFFIN RSAB SHEET 213 GRID 2937 PAGE 1 OF 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930161 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:GRIFFIN HERSCHEL & OWNER ADDRESS:5210 GRIFFIN RD ANCHORAGE AK 95163634 PARCEL ID:01705112 LEGAL DESCRIPTION: T12N R3W SEC 27 LT LOT SIZE: 108900 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 6\ THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 6/17/93 EXPIRATION DATE: 6/17/94 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 (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 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: ENGINEER WILL PROVIDE COPY OF WELL LOG IF AVAILABLE. THIS PERMIT IS TO UPGRADE AND REPLACE AN EXISTING CESSPOOL SERVING A STRUCTURE BUILT IN 1959. USE OF A DIVERSION VALVE BETWEEN THE TWO TRENCHES IS APPROVED. THE PROPERTY OWNER MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 MUST BER ADVISED OF THE NECESSITY TO ALTERNATE TRENCHES ON A PERIODIC BASIS DATE: 4 RECEIVED BY: ISSUED BY: ' o PAGE 2 OF 2 DATE: b n ° c� 1 E, 203 i) 15th. kcnuE, Suite 206 ANCHORAGE, ALASKA 90501 (907) 279-3916 SEPTIC SYSTEM DESIGN LOT -E5SE:CT ION 27 HERSCHEL GRIFFIN MUNICIPALI ENVJRotq�j� Ty0FANcjfog4G)ff TAI SERVIC&S wylsloN 10 1993 ig(.., Groc.mc.) Water or lffipcn-vi osu'Ta 1 -aver t: c) 14 41 t starldarc.1 V�(.nch I.Ji-e 6 i:oet o" roc}:: R'a'c.ing. Froff" t.c..'c-3L Julm". 1, 1993 4o alinlzipi = gal/scj..H-. I..c ny't.h o� lr�nch .'53:., x --', 11 •L'.". := Ljse bwc� Lrenchet, 42 -Ctoach SYS71EN CONVIGURATION STANDARD TRENCH TOTAL LENGTH TOTAL WIDTH TOTAL DEPTH ROCK DEPTH COVER USE I FT FILL SEPTIC TANK 84 FT - 3 FT - 8 FT - 6 FT - 7, F€_ X000 GAL_ ABANDONEXISTING SYSTEM PUMP AND CRUSH EXISTING TANK PUMP, CRUSH, AND BACKFILL EXISTING PIT I h e A. I j st 4�% 11 f �'.. i t. I -FF off) bc. irlsti.kl .1 pcl on the:.' .1 r) L sn.. lh"=re Are no cleveloped or 1-1,itc.tral �:sur-ace co(A'Aill."EDI.H., carr Hlils t)r The c--nptjc systc--il tAll.l.l. llac- chi�-ajtqe the gener'x). '.�O.cjpo of t i i e .,r 1 , r" . F, o ? i ch. 11 y a i j d / c 1 r C: (D I I C.: (.N i L v J.011 (. i jl: rt..kncf 1: tj i. 1, .1. 1 io 1:. 9� 7 ?7( Municipality of Anchorage t DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST -(ENGINEERSSEAL)• / C t I , PERFORMED FOR: H.C/L lrtk ' DATE PER FORME, &_� LEGAL DESCRIPTION: �e'G Township, Range, Section:..? 1 ►, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS SLOPE WAS GROUND WATER INI 0 ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? P E geinhMontt to Water Anergy •. Monitoring? Wa t/.T Oate: 2 3 SITE PERCOLATION RATE -'V0 0 (minutes/inch RC HOLE DIAMETER r TEST RUN BETWEEN ✓ FT FT AND .% x PERFORMED BY: 5 ,l f LLi I CERTIFY TH&T THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFES ON THIS DATE. DATE: 72-008 (Rev. 4/85) 37 `"AQAMOM=�f���� PERCOLATION RATE -'V0 0 (minutes/inch RC HOLE DIAMETER r TEST RUN BETWEEN ✓ FT FT AND .% x PERFORMED BY: 5 ,l f LLi I CERTIFY TH&T THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFES ON THIS DATE. DATE: 72-008 (Rev. 4/85) 37 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: 9'4cSC oevL DATE PERFORMED: LEGAL DESCRIPTION: �to.� V Township, Range, Section: �(-:P— 7', T Itt���,� SLOPE SITE PLAN 1 Gross Time V 7 O id & /g 9 !Lesd�i 2 lfl" S" I 4 n 5 �p/ g 7 8 9 10 WAS GROUND WATER ENCOUNTERED? 11 S L IF YES, AT WHAT 0 DEPTH? P 12 E Depth to Water Alter 13 Monitoring? Date: 14 15 16 17 18 19 Reading Date Gross Time Net Depth to Net Time Water Drop id & /g 9 !Lesd�i lfl" S" I � n 20 Ll 41 PERCOLATION RATE 3 > (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND (0 FT COMMENTS PERFORMED BY: G L.p a L I 17 -� CERTIFY THIS EST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) (ENGINEER'S SEAL) • It( e Municipality of Anchorage 17g DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 t o SOILS LOG — PERCOLATION TEST PERFORMED FOR: UAtg x= L'L LwI DATE PERFORMED: LEGAL DESCRIPTION: �Qz/ IO Township, Range, Section: 5�� 1�-2 SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS//(n�ll � PERFORMED BY: �'�JJ-- ` .�� tl I a CERTIFY THAT T THIS TEST WAS PERFO MED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: �[(l R4 t30 ,"M WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? P E Depth to Water After Monitoring? Date: PERCOLATION RATE � (minutes/inch) PERC HOLE DIAMETER 72-008 (Rev. 4/85) 7 -- GRIFFIN 34 55 0 50 too 150 200 250 300 SCkEt 1" = 100 FT IUBBEN SFUKKLAND N.L.11 SEPTIC SYSTEM DESIGN 203 W 15TH, AVENUE LOT 6 SECTION 2 ANCH. AK. 99501 HERSCHEL GRIFFIN DATE; JUNE 9 1993 5910 GRIFFIN RDAD SHEET, 113 GRID 2937 _ I REPLACEMENT S'ZTE:�: . I I 85. 0 25 50 75 100 125 50 Per SCALE 1" = 50 FT I I I er PRIMARY SYSTEM Te ole I � I I I I I well CESS POOLS I IN THIS AREA -- — — — — —— ——————— — — — — —— TOBBEN SPURKLAND P,E.SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE LOT - SECTION 27 ANCH, AK. 99501 HERSCHEL GRIFFIN DATE: JUNE 9 1993 --.. 5210 GRIFFIN RDAD SHEET: 113 GRID 2937 42 Monitor ' Clean Out Standard Trenches: 3' Vide 42' Long 12 8' Deep 6' Sewer rock 3' Cover (l' Additional fill) if O Monitor Clean Out NO SCALE 00 1 Clean Out w T e TA a a U 3 m `s o° Clean 3 1000 gal Septic tank DIVERTER VAL VE SPEE-D-VAL VE Mirafi 140 6 Ft -F Septic R �.. NO SCALE 1000 gal. septic tank Bund TOBBEN SPURKLAND P.E. LOT 6 SECTION 27 11 SEPTIC SYSTEM DESIGN eU w15th Ave HERSCHEL GRIFFIN DATE, JUNE 9, 1993 Anchorage Ak 99501 Spin GRIFFIN PnAn SHEET, g/3 GRID, 2937 COMMERCIAL TESTING & ENGINEERING CO. ENVIRONMENTAL LABORATORY SERVICES SirvOE 1908 REPORTofANALYSIS Chemlab Ref.# :93.7.913--3 Client Sample ID :L6 52.1 Matrix :WATER Client Name :TOBBEN SPURKLAND, P.E. Ordered By Project Name Project# PWSID :UA Sample Remarks: SAMPLECOLLECTEDBY: T.S. Parameter Nit rate --N 5633 R STREET ANCHORAGE, AK 99518 TEL: (907) 562-2343 FAX: (907) 561-5301 WORK Order ;61415 Report Completed :06/24/93 Collected :06/21/93 @ hr -s. Received :06/21/93 •@ 13:45 hrs. Technical Director:STEPHEN C EDE Released By QC Results Qual Units Method --- --_-_---------------------------- 1.74 mg/L EPA 353.2/300.0 Allowable Ext. Anal Limits :%Date Date Init --------------- 10 06/23 LLH * See Special Instructions Above UA = Unavailable ** See Sample Remarks Above NA = Not Analyzed U = Undetected, Reported value, is the practical quantification limit.. LT = Less Than D = Secondary dilution. �±GT = Greater Than 14VIS S Member of the SGS Group (Soci(518 Generale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS, OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA COMMERCIAL TESTING & ENGINEERING CO. AE EIV �rY T CHEMICAL & GEOLOGICAL LABORATORY uBOR �*°A. TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 - Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER ❑ PUBLIC WATER SYSTEM I.D. # PRIVATE WATER SYSTEM SAMPLE DATE: FTE F{ _A Mo. Day SYear SAMPLE TYPE: EI/Routine ❑ Check Sample (for routine sample with lab ref. no. ) [I Treated Water ❑ Special Purpose I� Untreated Water SAMPLE Time Collected No. 1 1 LOC Lb� TION / l9 Collected I 11:3 By F 3 L 4 5 L READ INSTRUCTIONS BEFORE COLLECTING SAMPLE TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received Time Received Analytical Method: Membrane Filter No. of colonies/100 ml. I ah Ref- N((o.t ��R-e--sT�ulltt'l Analym 93.2913 ' �t �v im I� m 'L� m �1 m BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filter: Direct Count O Coliform/100 ml Verification: LSB Fecal Coliform Confirmation BGB Final Membrane Filter Results Coliform/100 ml Reported By (� s. Date —ZZ ^ TNTC = Too Numerous To Count Time: a.m. p.m. OB = Other Bacteria PART ONE OF TWO QNSGS REMAINDER TO FOLLOW MUNICIPALITY OF ANCHORAGE ° DEPARTMENT OF HEALTH & HUMAN SERVICES} Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 0 17' y?..-; I — LZ 1. GENERAL INFORMATION 1• • Complete legal description A7 Location (site address or directions)a Property owner I� 1�s zf �zr� �► Day phone 347_- 115IJ Mailing address Lending agency Day phone Mailing address Agent 7•4e_"yti S ozlo -Ll Day phone �7G :l7io Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. 4. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1191) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm 19 -e PL 'Rn✓rydor vtd Phone ` �(It` t Address Engineer's signature .S t=t 6. DHHS SIGNATURE XApproved for 3 bedrooms. Disapproved. Conditional approval for Additional Comments bedrooms, with the following stipulations: Date Z_�LL_ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7M25(Rov. 1/91) Back MOA B21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lc,,' �Q'.e_E 9L 7 Parcel I.D. 0 17- 6) 5 ( �- j A. Well Data Well type If A, B, or C, attach ADEC letter. ADEC water system number 9 Log present (Y/N) �L Date completed I % ?)Driller V Total depth i Cased to 1-95 Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) WATER SAMPLE RESULTS: Coliform Nitrate Date of sample: 411a, ) q 3 Collected by: B. SEPTIC/HOLDING TANK DATA Other bacteria Date installed 44 1 "11 R 3 Tank size [0io-0 Compartments 6Q Cleanouts (Y/N) /Foundation cleanout (Y/N) Depression (Y/N) High water alarm (YIN) /F� Alarm tested (Y/N) /K�/ � Date of pumping �/ / Pumper ty/ %k SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 05 On adjacent lots > d J O Foundation 7 / To property line 70 Absorption field 10 Water main/service line i/0-0 Surface water/drainage 1�f o ✓( L' 72-026(3/93)' Front CONTINUED ON BACK PAGE FROM WELL LOG AT INSPECTION m Date of test I Static water levelI m ` v Well flow g.p.m. 1%, h g.p.m. na N :� O ' rn m Pump levell C � � z m = rn c0 w SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 1 U ; On adjacent lots i It;- b m Absorption field on lot 1 1 ; On adjacent lots Public sewer main V 4 ie Public sewer manhole/cleanout Sewer service line 15 t Petroleum tank A-1 to � WATER SAMPLE RESULTS: Coliform Nitrate Date of sample: 411a, ) q 3 Collected by: B. SEPTIC/HOLDING TANK DATA Other bacteria Date installed 44 1 "11 R 3 Tank size [0io-0 Compartments 6Q Cleanouts (Y/N) /Foundation cleanout (Y/N) Depression (Y/N) High water alarm (YIN) /F� Alarm tested (Y/N) /K�/ � Date of pumping �/ / Pumper ty/ %k SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 05 On adjacent lots > d J O Foundation 7 / To property line 70 Absorption field 10 Water main/service line i/0-0 Surface water/drainage 1�f o ✓( L' 72-026(3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons_ Vent(Y/N) NONE High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested Surface water Date installed 01&A a Soil rating (GPD/Ft') v �� System type %/tom el 4 / Length . /�_ x Width 2� Gravel thickness Total depth Q Total absorption area 1l» c5 Cleanout present (Y/N)'Depression over field (Y/N) /4 Date of adequacy test N/Results (pass/fail) for Bedrooms Water level in absorption field before test After test Peroxide treatment (past 12 months) (Y/N) IVU If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot On adjacent lots 7 / /%v Property line To building foundation To existing or abandoned system on lot y/V I o-0 . f r On adjacent lots i