HomeMy WebLinkAboutT12N R3W SEC 22 PARCEL 12
Municipality of Anchorage
~ . EPA
. . D RTMENT OF HEALTH AND HUMAN SERVICES
· OCT
~' ENVIRONMENTAL SERVICES DIVISION 1 8 f995
· t P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephq.ne0~¢4,3.?~?!,4,,4,.t ,._.,
)On-Site Wastewater Disposal System and/or Well
Permit, Number: PID Number:
Name: ' ,,
N~ ~ LNW~ ~¢¢~y Wastewater System: O New
Address: % ~ ~ ~'
. ..~ ~P~ ~,. ~. ABSORPTION FIELD
Phone:. ~;' '~' ~ ' ~J I No. o~drooms: ~ D~ep Trench D Shallow Trench ~ Bed D Mound ~ Other
, LEGAL DESCRIPTION S°il Rating: · ' ~ GPD/Sq. Ft. Total Depth from origi//I- 1~~algrade:
~ ~ C~bJ;.;~;~a: Depth to pipe boltom from ori~inat grade: Gravel depth beneath pipe
. Fllladded .bov~in.l grade: ,b Gravelleng,;~, FL
~~ New D Upgra¢ Gravelwidth:/. ~ FL ""mber°f'in"s: 1Oist'nceb tween'ines:t N; Ft.
Classification. .(PrNat~. Total~Fb Cased To:,Ft, Total absorption~o+area: SQ. Ft. Pipes~material:o '~
Driller Stalic Water Level: Installer:
Ft. ~1~ EXC, I ~ 9'~
Pump Set at: Casing ' AboveGround:
SEPARATION DISTANCES ~Septic ' ~ Holding ~ S.T,E.P.
To Septic Absorption Lilt Holding ~/PHvate Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines ~' ~
Number of Compartments:
Well ~00.~ tOO ~/~ N/~ q~l.~ Material: ~
~"¢~ .J~ ¢J~.' -~ ~ MFTSTAT~O~ECEIV~'
LineLot ~S' /~ jO, ~ ~' Size in gallons: JManu~
"Pu~p O"" level at: J "P~~w~t~J~'~M ~¢
~ ~ ......... ~'"~'~:~ Al'o'-o"
Foundation re'~ ~O~ / '~JElectrical 'nspecu°ns ~*~lth & H~ vic
Remarks: BENCH MARK
¢ Location and Description:
~i~ ~O~ D~ ~ ~ J AssumedElevahon:
¢~D¢~.:' ~ (~,~ ~ c~, too. ~ ~,
InsPections performed bye ~ ~ Dates: l st~ ~~..., ,., ~~~/
2nd I/~/~ ~~, ~
Department of H'm ilth and ]m~ ~rvices apprqva~ '¢~~
Revie~e~ a dap roved b [o I JffS
: 72~013 (Rev. 9191) MOA 25
C~.7953 :
Permit No. ' ~-,~1 q~O4Zl~ Page ~ of ,~
Municipality of AnChorage
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
Legal Description: 'T~--~ F-~',4_~ ~'~z3 p,~-L.~--~_ ~. PID No.: ~l'~-K-II-ol
q~
72-013 A (1/93) *
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF 1
0N-SITE WASTEWATER DISPOSAL SYSTEM
PERMIT NUMBER:SW940446
DESIGN ENGINEER:ALASKAWATER & WASTEWATER SERVICES
OWNER NAME:COOLEY NATHA~ N & LYNDA
OWNER ADDRESS:Il200 LIPSCOMB ST
ANCHORAGE, ALASKA 99516
(UPGRADE) PERMIT
DATE ISSUED:12/05/94
EXPIRATION DATE:12/05/95
PARCEL ID:01517101
LEGAL DESCRIPTION: T12N R3W SEC 22 PARCEL 12
LOT SIZE: 43465 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD 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 (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 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:
DATE: 12 -P--?¢
Alaska Water & Wastewater Services
"Preserving The Last Frontier"
November 16, 1994
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Septic System Upgrade for T12N, RJW, Sec 22, NW 1/4
To whom it may concern:
Attached is the application, site plan,
for the subject septic system upgrade.
the proposed system are as follows:
and design drawings
Comments regarding
1. TRENCH DESI6N: As can be seen from reviewing the
attached percolation test results, the soil "perked" at 5.1
minute/inch at the location proposed for the system. I am
proposing to use an application rate of .8 gpd/ft2 to
compensate for the silt lenses which were present. Since
the existing heine has 4 bedrooms, the total design flow is
600 gpd. Based upon this, the minimum amount of absorption
area is 750 ft2. The proposed trench is 2 feet wide, 6 feet
deep and 65 feet long, providing an absorption area of 780
ft2. An alternator valve will be installed so that flow can
be diverted to either the old or new trenches. The old
trench will be pumped so as to hasten its recovery.
2. SEPTIC TANK: Based upon the as-built survey, done in
1979, the clean-out for the existing septic tank is right on
the 100 foot well radius. If this tank is within the 100
foot radius, or upon inspection it is determined to be
structurally unsound, it will be replaced mith a new 1250
gallon taDk~ If it is structurally sound, and not within
the well radius, the existing tank will be used.
There are no slope concerns, nor was there any surface
ware. rs observed. I am unaware of any negative impacts that
this installation would impose or] adjacent wells¢ or septic
systems. If you have any question, please call me 337-
6179.
Sincerely,'l/
Ow6e¢~Consultant
Telephone: (907) 337-6179 · Fax: (907) 338-3246 · 8471 Brookridge Drive · Anchorage, Alaska 99504
ho'r-
E-7953
PERFORMED FOR=
LEGAL DESCRIPTION:
1
19-
DEPA':B.,T?ENT oF H~ALTH & HUMAN SERVICES
' 82~' L Street, Anchorage, Alaska 9950~-0650
'" sOlEs'LoG- PERCOLATION ~EST
DATE PERFORME{ ~PRoFV.g
Township, Range, Section: ' ~ ~
SLOPE SITE PLAN
WAS GROUND WATER
I~NCOUNTERED? _
DEPTH?
Monitoring? .Dole:
Reading Date Ttme T!me Water Drop
PERCOLATION RATE , (minuleS/inch} PERC HOLE DIAMETER
TEST RUN BETWEEN ~! . FTAND g °~* FT
P~RFORmEO .v: ~ ~$~ . I ~ ~SS CERTIFY THAT THIS t~ WAS PERFORMED In
ACCORDANCEWITHALLSTATEANDMUNICIPALGUIDELINESINEFEECTONT;IS~ATE' DATE: '',//~ /~ '
(Rev. 4185)
I
0.0-
ll3. O/-
15.~/
5 0~' OZ' ~o" ',~
MUNICIPALITY OF ANCHORAGE
' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE
[] UPGRADE
~ ~ DISTANCE~TO; Well Dwelling P~
~ ~ ~ Manufact~~ ~ Matori~ ~ miquid capacity in gallons
. Well ZOO Found tion Nearest lot lin~ PERMIT NO, 7q
~ DISTANCE TO, To ~ wid .~ Distance betw~?~
~_ No. oflines~ ff*~- Length of each~? i37 Trench gC inches Total effectiv~scgn area
~ Top of ti'e 'o finis" grade ~ Materia'beneathfi'e n ~,nches
Length Width Depth PERMIT NO,
o~ CHh di eter Crib depth Total effective absorption area
DISTANCE TO:
~ ~ Ol"~ Depth Drill Distance ,o lot I'ne PERMIT N~q O C/a
~ ~ISTANCE TO: Building foundation Sewer line Septic tank ~ Absorption are~
OTHER
PIPEMATERIALS 4 ~ ~ ~
INSTALLER
._ /
PERMIT NO.
~PLICBNT NRTHFIN COOLEY
'OCRTION L. IPSCOMB ST
EGRL S22 Ti2N R~N
.;YPE OF SOIL RBSORBTION SYSTEM IS:
MRXIMUM NUMBER OF BEDROOMS = ~
( ?90433 )
..
[:EFFIRTHENT OF iqEFILTH RND EN¢ IF-.ONMENTFIL FF..OTEC/r I ON
825 '"L" STREET.. RNCHORRGE.. Rt.'.':. 5~950i ¢_0~. ,%.- 0~1,¢-, L--~"'"--,%--
I-.-! E L ,_ R P~,~ [:, C,F.~--'_.=: Z T E '_.5 E,~., E F..:F'E_'F~:r., Z T
.4._.1::..,61:'4 St-].URF..E FEE1~ -/ ~
1~60 W.
TRENCH
SOIL. RRTING
7TH RVE
LOT SIZE
(SQ FT?BR)= 225
'FH[-- REQUIRED SIZE OF THE SOIL FIBSORPTION SYSTEM IS:
[:~ [£ F""F I-I = i2 L El'4 tT:iT i = 4..~ ¢3 F-: R '-.-' E L [) E F'"F t-I=
THE LENGTH [:,IHENSION IL--. THE LENGTH (IN FEET:) NF THE TRENCH OF.: DRRINFIELD.
THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE
GROUND RND THE BOTTOM OF THE E.'-.(CRVFITION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRRVEL DEPTH IS TFIE MINIMUM DEPTH OF GRFIVEL BETWEEN THE OUTFRLL PIPE
FIN[) THE BOTTOH OF THE EXCFIVBTION (IN FEET).
PERMIT FIPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING TFIE
INS'TFILLRTION INSPECTIONS OF' aNY WELLS RDJRCENT TO THIS PROPERTY BND THE
NUMBER OF RESIDENCES THRT THE WELL WILL SERVE.
........ --ri.ici ( ;----~' ) I i'-.~S. PEC:T I ~:,r'-~L5 RRE REkqt-J I E..'E [: .......
BRCKFILLING OF FINY SYSTEM WITHOUT FINBL INSPECTION RND RF'PROVFtL BY THIS
DEPRRTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTFINCE BETWEEN R WELL RND RNY ON-SITE SENRGE DISPOSRL SYSTEM IS
±00 PEET FOR Ft F'RIVFITE WELL; OR
±50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
WELL LOGS FIRE REQUIRED FIND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ]~0 DFIYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MFIY RF'PLY. SPECIFICRTIONS RND CONSTRLICTION [:,IRGRRMS FIRE
RVFIILFIBLE TO INSURE F'ROPER INSTRLLFITION.
F"E F-.' I'"l I T' E;-"::F' I RES [)EC:EtdE:E~-': ~-:-L.. :'L~- 7:~
I C:ERTIFY TFIRT
±: I AM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SE7'
FORTH BY ]'HE MUNICIPRLITY OF RNCHORRGE.
2': I WILt. INSTRLL THE SYSTEM IN RCCORDFINCE WITH THE CODES.
2~: I UNDERSTFIND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN ]: BEDROOMS.
SI GNE[): _~~~~ ............
._... _
PERFORMED FOR:
LEGAL DESCRIPTION:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Pouch 6-650, Anchorage, Al~ka 99502 276-222f
sOILS LOG -- PERCOLATION TEST
Li~da Cooley
r~ SOILS LOG
PERCOLATION
TEST
ASI No. 03179
DATE PERFORMED:August 1,
1979
See Reverse SAde for Legal Description
.5
1
2
3
6
8
10
'13-
14-
16-
17-
:20-
Overburden
Sflt w/root organics
Brown Moist (ML)
Silty Gravel w/trace sand
Grey Moist (SM)
SLOPE
WAS GROUND WATER No
w/trace san~2 E~ey sligbLly
Si~: gravel: . .... ENCO NT ED?
frozen (ice crystals observed around'gravel)
IF YES, AT WHAT
DEPTH?
Silt w/some gravel
SITE PLAN
Gr~y unfrozen
COMMENTS Begin mileage 19497
® 10:50 end miles 19508
PERFORMED BY: David Shellenberger
Gross Net Depth to Net
Reading Date Time Time Water Drop
11:27 8/1/79
11:37 8/1/79 10 10 .46 .09
11:47 8/1/79 20 10 .54 .08
11:57 8/1/79 ~0 10 .59 .05
12:07 8/1/79 40 10 .63 .04
12:17 8/1/79 50 10 .66
12:27 8/1/79 60 10 .69 .03
25 min/inch
PERCOLATION RATE
TEST RUN BETWEEN 7.0 . FT AND
9:30 bldq. cont. arrive
(minutes/inch)
10:25 s~art diqqinq
end proj. 1:00 p.m.
CERTiCL~D.~f~~__~ .bATE~AUgust 1,
' Alas~'Soils Im~a~ions
1979
72-008 (7/76)
DATE RECEIVED
~'~ INSPECTION APPOINTMENTS
TIME t:- TIME TIME
DATE DATE DATE
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF I!2ALTH &
825 L Street - Anchorage, Alaska 99501 ENVJP-ONMENTAL F~,OTECTION
( ENVIRONMENTAL SANITATION DIVISION JAN ~- ? 1980
Telephone 264~4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE~J{CI~:~ L)
DIRECTIONS: Complete all parts ou page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPE TYOWNER PHONE
MAILING ADDR ES'S -
PROPERTY RESIDENT'Ill different from above) PHONE
2. BUYER PHONE
MAILING ADDRESS
3, LENDIN INSTITUTION ,
'~AjLING ADDRESS '
4. REALTOR/AGENT (~~"~' ~ PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION
STREET LOCATION' '
I ~ SINGLE FAMILY
MULTIPLE FAMILY
7. WATER SUPPLY
-'--~;] INDIVIDUAL*
[] COMMUNITY
[] PUBLIC UTI LITY
· NUMBER OF~BEDROOMS
/ ~ One [] Four [] Other__
Two [] Five
Three [] Six
/
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY . ,~
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY : , ,
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
ED PUBLIC UTILITY
Connect[on Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified
INSTALLER
E~]Septic Tank or [] Holding Tank
Size: . If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCESwELL TO; Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
~APPROVED FOR ~'~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED ~
DATE BY
72-010 (Rev. 6/79)
LEGAL DESCRIPTION:
Commencing at,the Northwest 1/16 Section corner of Section 22,
T12N, R3W, Seward Meridian, and being the true point of beginning
and corner No. 1, thence south 0°02'30'' west. along the 1/16
Section line 132 feet to corner No. 2 thence west 330 feet
to corner No. 3, thence north 0°02'30~ east 132 feet, plus or
minus, to corner No. ~, thence east along the North 1/16 Section
line 330 feet to corner No. 1 and the true point off beginning.
SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF
DRILLED AT THE RATE OV $19o00
PER FOOT.
PROPERTY OWNER ~'~o
LOCATION OF W~LL S1T~_
DRILLER
WELL LOG:
57---89' S,U.~ g,,zw, re~ ~.O~ 15% .~atW~ ~.
89-90' ~ o~a.te,¢ gexv'vt~ qvw. ve, L .~kotagaq. a p. rodac.2~a o~ 7f~lll ~aZ. tA 8 ~ o3
wa~e~ .o.f.a.n~ .i.n. c.a~. 1/3 I~o,,~ae~ Su, O. 2u~l~ ~u~.~ b~ ,b~ 2 ,Ze. eZ o~
Co,~,~ o~. D,~MJ~: 81710.00
Co~,L o,Z Wa. dj. Sa_aZ: $27.00
i
COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DR LL -.
BERNIe_J:I~AUS OF RAMPART DRILLING WORKS
DATE /~0 4~k, 1979 ~~
SERVICE CHARGE O F I~% PER MONTH WILL BE ASSESSED ON PAST DUE ACCOUNTS.