HomeMy WebLinkAboutT12N R3W SEC 22 NW4NE4NE4SW4
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
P~qONE
NAME "~ \ ~-~ ~-~-~ ~T" i,~l~ _ ~ ~-~ ~ ~. E~ UPGRADE
~ ~ Manufacturer Material No, of compartments
~ Liq. capacity in gallons Inside len~ ~ Width t Liquid depth
~%~0 ~FHOM~DS= ~ ~ ~ ~ ~
0 ~ Manufacturer Material Liquid capacity in gallons
~ Well Foundation Nearostlot~l PERMITNO. ~8~ 52q
~ DISTANCE TO: ~OO 5~ Trench ~t~ Distance between lines
~ ~O' O~ I[n"s t k°noth °f "acP ~ T°tal I°n~th °f lln"s~O . inchos Total effeetiuo absorption aroa
Top of tile to finish grade~ ~ ~V t r ~10 U Material beneath tile~ ~ ~ ti
~o
inches
Length Width Depth PERMIT NO.
~ ~ Type of crib C iameter Crib depth Total effective absorption area
m ell Building foundation Nearest lot line
m DISTANCE TO:
~ ~lass ~ Depth Driller ! Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
M ZERIALS
SOl L TEST RATING
REMARKS ~ ~-~
72-013 (Rev. 3/78)
DRILLING LOG
Well Owner ~ ,:. w:~ ~r Use of Welt , - ~
Location (address of: Township, Range, Section. if known; or distance main road
Size of casing ~" Depth of Hole 2 :~'"
Static water level '? ''~ ft. (abo~e)'
Screen ( ); Perforated (
Describe screen or perforation
Well pumping test at ; ''~ gallons per (hbur)
of drawdown from static level.
pl "~ ~
Date of com etion .-'!
~eet Cased to ~,-~..t feet
(below) land surface. Finish of well (check one) open end (
).
);
(minute) for hours with ~, -
ft.
WELL LOG
Depth in feet from
ground surface Give details of formations penetrated, size of material, color and hardness
~ TO.
' ~" TO '"
TO .....
3--CONTRACTOR
~ ' DEPARTMENT OF HEALTH AN[:, ENYIRONMENTAL P~:OTECTION.._,~. "L' .... (~~
* 8~.~., STREET, ANCHORAGE.. RK ~50t
SAR "'
E,~',,
I,{IELL RhlE:~
PER'I'IIT NO. ( 7~052-g )
APPLICANT ~..:E:K WRI.~HT
LOCR'r I ON KLRTT -OUR "~.:D
LEGAL NWi?4NEi?4NEi?4SWl?4S22Ti2NR~W
TYPE OF SOIL RBSORBTION SYSTEM IS: ,~f~ '-~
MAXIMUM NLIMBER OF BEDROOMS 4 ~uIL RATING (Sl~ FT/BR)= i1.
THE REQUIRED SIZE OF' THE SOIL ABSORPTION SYSTEM IS:
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEEl').
REL~L# I RE[:' SEPT I C TRlqi< _S I ZE= ..I. .... O C. iFIL. I_C,i'-,IS
T'=~ ) - '
F'ERMIT RPPLICAN'r HAS THE RESPONSIBILITY TEl INFORM TH._ E EPHRTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS RD~RCENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
...... T~--IO ( 2 ) I hlSPEC:T I E,I'4S; ARE R ES (:~. L: X
BRE:}(FILLING OF' ANY SYSTEM ~ITHOUT FINAL INSPECTION AND APPROVAL. BY THIS
DEPRRTMENT WILL BE SUB.TECT TO PROSECUTION.
~MINIMUM DISTANCE BETWEEN B WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
~f00 FEET FOR R PRIYRTE NELU OR
150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TMPE OF PUBLIC HELL.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN gO DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLM. SPECIFICATIONS 8ND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T E;:<P I RE-iL=; DEC:E~'IBER git.. J_ .... ¢ E
I CERTIFY THAT
_EWER- FIND WELLS RS
i: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE ~ '-q :.--¥
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN AC:CORDANCE WITH THE CODES.
1¢: I UNDERSTFtND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLRRGEME~jff IF THE
, , BEDROOM ....
RESIDENCE IS REMODELED TO INCLUDE [lORE THAN 4 ' ':
January 5, 1978
Mrs° Kenneth Evans
312 South Park
Anchorage, Alaska
99504
Subject: T12N R3W Section 22
Permit 477865
NW~ NE¼ NE~ SW~
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be sent
to this department to document the installation date.
If there are any further questions, please contact this
office at 264-4720.
Sincerely~
Health and Environmental Protection
Sewer and Water Section
DIEF'fiR'fI"IEN1- i"~"~ HI,EFtl._-I'H RND ENVtRONhlEN]'FIL ~mOTtECTtON :~:;~]t5 '" L..' STF?.I:=]ET., 1=Ii'.41.::HCI[;?.F:iL-~E., FtI<:.
llM ~,EE ;i.._ ~ .... F:'~ Ii".4 IiZ> ,:Z~ ;P.¢] --.- _".::_E; % 3- EE: :._--%; Ii, El k..~ E~: iF,;E:'. F" ~T ~:;i~: II".'11% '"Il"'
I--I ~ LI.. r4l
L.. I.] I.:: fi T i 0 Ii'4
:ii:.50EiiE~O SQIJFIII:,'.E F'EE'r
1,1F:IXIt'IlJM NLIh'IBEI,;it I."F EEDIi'Z,:d"I$ = d.
F F. E,E. - .:I...L._
z,_ ].L I;~:fiTiNG ,:SC-:. ' .... : ........ Pi
I'HE LENGTH I:)IP1EII4SZON IS THE: LENEiTH (IN FEET) OF' TIdE ]'RENCH OR DI;?.FIINI::IELD.
THE DEPTH OF Ft TR'.ENCI-4 O1~'. F'z-r IS TfiE DZSTRNCE BETWEEN THE SU~'.FFIC:E OF TFIE
(31,;'.OLIND FIND THE E:OT"I"OH OF "rile E:,:;CfiVfiT~ON (tN FEET).
"fHIEF;:E ]:S NO SET WZE:,TH F:OI:~: TRENCHES.
'I-HE GRF:f,,,'EL DIEI::'TI4 15 THE f,IZNIPtUP'I DEPTH ElF' 13RRVEL. BE'I"WEEN TfiE OUTFRLL F'IPE
fiND 'THE BII]TTOH OF:' ]"I'"IE E',:-(CFI',,¢FII']:ON (IN FEET).
F:I I::'F=II.-::I'(I=IdiEE F'L.I'::IN'T i"tl'=fT' I'E~I:2 I i",t'.L=,TFII...LE[D FI-I' "I-HI=: F'EI:~'.i'qlTTEE'"$ OF'TIOIq ':'~;UIEC]'E::C'T TEl TI-'IIE
F: OLL. CLW ): NL~ CON[:':['T IONS:
:1.. EE:I:'i'HI'iEi'e. FI CLI:::It"E;S ]: OF4 t]: I",ISF FIF'Fd:E:CI',/EI:) F'LfiNT MFf¢ E~I=Z ]:I"4STFILI..EE:'.
fi CON-IIII',IUL:~U$ f'lfi]:NTENFIi"~CE RGf;:'.EIEi~'IIEI"4T IS REL::!U:I:F;:'.ED. i1= R I"IR:!:Iq'TT=':NFff'ICtE
FIE~iF;.:i:~:Ei¥1E:i"~'T ]:?=; NOT I'(E[F:'T CL.II~?.I;::ENT 'T'OIJ I'"lfi"r' E:E F?.EII;).LIIII;?.E[:' TO EI",II..FII4~CiE THE SO.T.I._.
I:::llJ:¢E;IZ:ll,;'.P-f'].l::li",l $"r'S-I'EP1 FII"4E::,,.'"L:I[;~'. '.r'lXILI i"liiYr' Ii~:E ':_':;I._tEELZfEI,Z;T TIZi F'[;IICiSEI.Z:u-rlOI'.,!.
i"ItN]:I',IIJM D:[S"I'FII'-4CE BETWEEN I.::I WELL AND RNM ON-SI-rE SEWRGE DtSPO~=';F:IL S'T".(.;TEM IS
:1. OO FEE'T' II:EIR: I,:1 F'I;]rI'v'fiTE 14EL. L EIR ;;:_'00 II='EET FOR fi PUBLIC WELL.
i4EI,..L L.OGS fiRE REI,;!UtREE:, FIND hll.]ST BE R'.ETURII.,IE[:, 1"O THE DEPRRTFIEIqT klITHIN Z;O DR'T'S
OF= 'TI-IE WELl,. E:E~HI;:'LE'T'IEIN.
O"iq'liEi:;~: REI;!UII:.:.:E:II'IEiqTS I'*II::I'T' FIF:'F'L'T'. SF'EC::I:F:']:CfiTZON$ FINE:' CONSTRUCTtOI",I DIfiGF?.FIMS FIRE
Ff,/F:IIL. f-:IBI'Ji; ]"O INSURE P[;U3PER'. ]:NSTRL. LR"I'ION.
I [::El~'.r:[l=".r' I'HF:tT
::L: I fin I::'f::lM:[Llfi[;?. 1.4trT'F'I 'THE REg!I,.IIITEI'dEN-FS FOR EiF,I-$~('TE SE:I4E._"RS F:IND WE'I...L.S fiS SET
I='I..:It:;?.TH B'T' THE I"IUNICIF'fiLiT"r' OF I::INCHOF.'RE~E.
2: i 1.4ILL ]:lq$'ffiL..L ['HE :'5'T'STEH ~1",1 RCCORDRNCE I.,.tlTii4 THE [;ODE."-:.;.
2:: ~' L.INDERII-]TFIII'~D THfiT THE CII'4-S:[TE SEI4ER L::;'T'STEH Mfi'T'
I:~'.E:!:;I[:,EII',II':;E:. 1S REII'IODEL. E[:' ']-Ci iI",IE:I....I.J[~E MOII;'.E THFIN 4 BEDI;:OOMS.
: 3.. ~[:[ ....................................... .' .............
i:::IF:'F'L :[ CFIII41' MR%'6. k(ENNETH E',,,'FIN$
:!: :[i;$1...IE[:, [: ~ 13 ::1'1-[:'
EIqLFtRGIEhllEi'4T' IIi:' TI'4E
','Z'. 0
August 30, 1977 R&M No. 751225
Mrs. Kenneth Evans
312 South Park
Anchorage, Alaska
99504
subject: Soils Log and Percolation Test for Sanitary Sewer System~
NWl/4, NE1/4, NE1/4, SW1/4, Sec. 22, T12N-R3W, S.M., Alaska
Dear Mrs. Evans:
At your request of August 22, 1977, we conducted a subsurface soils
investigation on the subject property a~ the proposed location of the
sanitary sewer system. This investigation complied with those procedures
required by the Municipality of Anchorage, Department of Health and
Environmental Protection.
This investigation, which was accomplished on August26, 1977, consisted
of logging the soils exposed in an existing trench and performing a
percolation test. The trench had been excavated to a depth of 15 feet
and a 20-foot long extension of the trench had b~en excavated to an
ave~a~ ~ep~n o~ approximately 2 feet. For the percolation test, a 6-
~nch diameter hole ~ ~ee~ in ~ep~n was duq in the bottom of the trench
~3~xtension a distance ~f 10 feet from'the main trench. Soils encountered
· n the percolation test hol~ ~e~resimila~ to those exposed in the main
~rench. The top of the test hole ~as located at a d~pth of~3 feet below
original ground.
A percolation test was performed within the test hole at the depths
shown in attached Table 1. All depths were measured from the top of the
hole. The data in the table show average infiltration from the depths
indicated 5o the bottom of the hole. The measured percolation rate (see
note, Table t) was less than 1.94 minutes per inch.
The soils exposed in the trench are shown in the trench log in Drawing A-01.
The symbols used in Drawing A-01 are explained in Drawings B-01 and
B-02. The log displays specific conditions encountered at the trench
location. However, subsurface conditions may vary ~n other parts of the
property without any apparent surficial evidence of the change. Gro~
water was not observed. No frozen soils were detected at '~= of _
examination.
Drawing A-01 shows the approximate position of the trench and the general
location of the property.
We appreciate this opportunity to be of service to you. Please contact
us if you have any questions concerning this letter or if we can be of
additional service.
Very truly yours,
R & M CONSULTANTS, INC.
Michael Mitchell, Jr.
Senior Geologist
MM:Jb~/rds
Attachments: Drawings A-01, B-01, B-02; Table 1
cc: Carl Schneider
Jim McCaslin Brown, Ph.D.
Head, Earth Science Department
KLATT ROAD
200'I
390!
"~ ~ TRENCH
~;¼, NE¼, NE¼,
Sec. 22, T12N-R3W, S.M.
Distances sho~m are approximate
and have not been measured by
surveying methods.
Not to Scale
TRENCH LOG NO. 1
Scale: 1"=3!
ORGANICS
~ILT GRADING TO SANDY
SILT ~']ITH GRAVEL
SAND .~TITH SO~ SILT
AND SOME GPJtVEL
(S~)
0.0~
8.0
SILTY SAND WITH SOME GRAVEL
(s~)
SILT WITH INTEREEDDED
SANDS
(NL; SP-SM)
11.0'
15.0'
T.D.
Groundwater was not encountered.
This log depicts subsurface soils
observed within the excavation an the
location shown.
See Drawings B-01 and B-02 for
explanation of symbols.
LOCATION SKETCH AND
TRENCH LOG
KEnnETH EVANS
I/F'B
GRID
I/PROJ. NO 751225
J~OWS. NO. A-Ot
R&M No.
751225
TABLE NO. 1
PERCOLATION TEST
KE~ETH EVANS
TIME
2:43
2:44
2:45
2:46
2:47
2:48
2:49
2:50
2:51
2:52
2:53
2:58
3:03
3:08
3:13
3:23
3:33
3:43
ELAPSED
TItlE
0
1
2
3
4
5
6
7
8
9
10
15
20
25
B0
4O
50
60
Bottom of hole at 33 inches
on final measurement;
No standing water
INCHES
2.0
4.0
6.0
7.5
9.0
10.5
12.0
13.0
14.0
15.0
15.75
19.25
21.75
24.0
26.0
29.0
31.0
33.0*
DROP
IH INCHES
0.0
2.0
2.0
1.5
1.5
1.5
1.5
1.0
1.0
1.0
0.75
3.5
2.5
2.25
2.0
3.0
2.0
2.0
31.0 Inches Tctal Drop
Less than 1.94 Minutes Per Inch
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF i'iT.,\!_T ! &
-~ 825 L Street - Anchorage, Alaska 99501 EhiVIRONMENI'AL h;,Oi'ECTION
ENVIRONMENTAL ENGINEERING DIVISION APR ? !979
Telephone 264-4720
hrrrltlrh
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE~ ~'¢~I~,.I~q'YE~L]
)IRECTIONS: Complete all parts on page 1. incomplete requests will not be processed. Please allow ten (10) days for processing.
NG ADDRE/~SS ' ~
PROPERTY RESIDENT ( f d fferent from above)
MAI LJ~NG A DDR ESS
MAILING ADDRESS
4. REAL3'OR/AGENT
MAILING ADDRESS
PHONE
PHONE
PHONE
JPHONE
5. LEGAL DESCRIPTION
NUMBER OF BEDROOMS
[] One ~ Four [] Other__
J~ [] Two [] Five
SINGLE
FAMILY
[] MULTIPLE FAMILY · [] Three [] Six
7. WATER SUPPLY
,~ INDIVIDUAL* * ATTACH WELL LOG. A well log [s required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
j~ INDIVI DUAL/ON-SITE** **If individual/on-site, give installation date ~ ~'~dF.
- If system is over two (2) years old an adequa~cy test is required
[] PUBLIC UTILITY by this Department,
NOTE: THE INSPECTION FEE B/IUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
: THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TiME TIME
DATE DATE DATE
I NSP ECTOR INSPECTOR INSPECTOR
DIRECTIONS:
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
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[~PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or [] Holding Tank ~:)
Size: /o~.~~) If Tank is homemade SOILS RATING
give dimensions: \~,.
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELL TO: Septic/Holding[ ~(~) TankAbsorptionj~)(~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 (Title)~/~
LEGAL DESCRIPTION
'/2-010 (Rev, 3/78)