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HomeMy WebLinkAboutT12N R3W SEC 33 LT 20 S264' Tom Fink, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 March 15, 1993 Daniel V. & Susan A Westervelt PO Box 10-394 Anchorage, Alaska 99511 Subject: T12N R3W Section 33 Lot 20 S264' Permit #SW920030, PID #018-191-17 The subject permit, issued March single family well and/or on-site expired as of March 13, 1993. 13, 1992 by this office wastewater system, has for a A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well this office for documentation of the close the permit. log must be sent to installation and to If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $200.00 for an on-site wastewater permit; $75.00 for a well permit and $275.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely,_~h^ 1 .~E. ~ Jo , Program Manager On-site Services enc: Copy of Permit cc: Tobben Spurkland, P. E. PAGE 1 OF 1 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:SW920030 DESIGN ENGINEER:TOBBEN SPURKLAND, OWNER NAME:WESTERVELT DANIEL V & OWNER ADDRESS:2941 E 142ND AVE ANCHORAGE, AK 99518 DATE ISSUED: 3/13/92 P.E. EXPIRATION DATE: 3/13/93 PARCEL ID:01819117 ]LEGAL DESCRIPTION: T12N R3W SEC 33 LT 20 S264' LOT SIZE: 87450 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISI~ ~ RECEIVED BY: ~ ~.~~~ ISSUED BY: 203 N 15th. benue~ Suite 206 ANCHORAGE, ALASKA 99501 (907) 279-3916 S2&4 ' SEPTIC SYSTEH DESIGN LOT 20 SEC _ 55 T 1 '~N DAN NEST£RVELT Ixk) Gr'cnund Water tlr Iml=)erviaus L. ayer t(~ 16 -~t. I~se ,~}~tandard Trench Sc):il Rating. I::r'c~m test 2/14/92 Re(:lLdr'[]d Area per' E~edrc~c]m: Finish~d Floor Elewatic]n L.c~we~t F1 Fc:~Lunclat i Ol] []]. ~,an Out. E]. evati Ground [3L~F"~,'~Ce at Absorl:)tion F'ield Test:hole Total D(ap~h 16 · ~, ~eet []over Re)ok [)ept h 7 95.4 94 94 L[~,ngth o.F ]'rench~,~. ~;- " 4. / .~ 5¥BTEM CONEIBUI~t~'IrI[IN " 7 72 STANDARD TRENCH TOTAL LENGTH 72 FT. TOTAL HIDTH ~ FT. TOTAL DEPTH 10 FT. ROCK DEPTH 7 FT. COVER 5 FT. SEPTIC TANK 1250 GAL. ABANDON EXISTING SYSTEM PUMP AND CRUSH EXISTING TANK PUMP, CRUSH, AND SACKFILL EXISTING PIT S264' Lc:fl: 2() ,~.c: 35 -r':L:aN R3W The insta].lation of I~his septic system will not prevent wells ~rom be installed on the adjacent lots. Ther'e are no developed er- natural surface / sub sur'Face drainage courses on this or the adjacent lots. The propc:lsed septic system wi. ll not change the general si. ope of the area~ Ponding and/or conct-=ntration o'f sur-Face runo.~.~ will not result ~rom this installation. Septil:: System Des:i. S264' Lo'E 20 Sec 33 T12N R3W PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Ancl~orage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20- Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Oepth to Walor Aller MonitorinD? Date: SITE PLAN -I Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE d~,~¢~ (m~nutes/inch) PERC FIOLE DIAMETER TEST RUN BETWEEN ~ FI AND _2 FT COMMENTS PERFORMED BY: -- ~¢(¢(-)¢ ~'(~- I '~'~'~ ' CERTIFY THAT~T. H IS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. [)ATE: /~-~t~-, / ~/ / ¢/~/'~._ 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~>~:"~'~/;/' ' 0 Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Oepth Io Water Alter Monitoring? s L O P SITE PLAN E Reading Date Net Time Depth to Net Water Drop & ':~/~' ~I 'by/z. '7~- I ~/~ PERCOLATIONRATE /g~/~r~--tmlnut0s/inch) PERCHOLEDIAMETER TEST RUN BETWEEN /~ JZ_ FT AND PERFORMED BY: ~-~{~-d~ -- I CERTIFY THA,7_~TH[S TEST WAS PERFORMED IN ACCORDANCEWlTHALLSTATEANDMUNIOIPALGUIDELINESINEFFECTONTHISDATE. DATE I:¢--/¢ / / 72-008 (Rev 4/85) 14 I9 46 co I r' ! oSEPTI, C T4NK X £ A £ 7- I 45C1 ~ 45DI ,50 0 N S~ 100 SCAL& II II 1.,50 £00 ,°.SO 300 -- 100 Fl', I?RANDL S/D S £64 FT SEC £0 F12N feSb/ ~DN ~/ESFERVEL F_ /I DATE FEB, ]9, 1998 [BENCH 72' LON6 i0' ID 7' ROCK I250 GAL SEP?IC ?ANX N X ,ole /~EMDVE EXIST SEPTIC I I TgM TDP D~1 SLAB I ~I$$UIqE~ I }oo, oo I I I I .J £5 0 £5 $0 75 lOO I£5 1,50 SCAL[~ i' = 50 FT. TUBBEN SPURKLAN3 P.E. Il II 203 ~ JSTH, AVENUE ANCH, AK, 99501 Ti£N RSF/ DATE, FEB. 19, 1992 ])A~I_ ~/ESTERVEL T ~.. S;HEET, c°/3 ERin, 3034 i ~ Monitor Cleon I250 go~ Sep~c Cleonouts m-- 3' Cover Monitor Ex/~, 5round 4'N/n Cover Tonk M/r~£1 140 7 Feet o£ Septic Rock 12.50 GAL £EPI'IC 'I~NK J 203 ~,/15TH, AVENUE II ANCH, AK, 99501 DANIEL I/ESFERVEL T DATE, MARCH i], 1992 ..~9Jt7~aZD:aDlh 2941 EI4£NI? SHEET, 3/3 GRID, 3034 20~ W]5TH. AVE, SUITE 206 F'_ [:2 ,. SPECIFICATIONS FOR SEPTIC SYSTEM INSTALLATION S264' LOT 20 SEC o5 T12N RSW 1.0 GENERAL Owner is Danie.~l Westervr~lt~ 2941 E 142nd. Ave. Anchor ..... aqe,Alaska .... 99516 F'hene ~.64 ._,74..., (wa 4~ ._,6~,., (ha 1.2 Engineer is t. he person or' egtity hired by the Owner to inspect this project. Tine Engineer ~L~St lam recognized by the Municipality o~ Anchorage~ Department o'F Health and Human ...:, Contractor is the person er entity hired by the Owner to install i:hi~; project. The C~ntractor must be recognized by the Municipality o~ Anchor"age~ Department o'F Health and HLiman S~-~H~'vi c:es. 1.4 The Drawings, sheets :/ throLigh ~3, shall be part o~ this spec:J.~ L cation. :1..5 AIl. materials and workmanship shall meet the require- ments o.F the Municipality of Anchorage~ Department ef Health and Human Services~ the conditions o~ the permit~ and all applicable rules and regulations c:urrently in effect. :i..6 Ali excavatJ orl deptl-',s are adviscary~ and are to be w:..~rified and may be modi.Fied in thc.? ~ield by the Engineer. 1.7 It is the respor'ls:[l:)ility of the Owner or the Contractor to adher'e to the appr'c~ved design~ to veri~:y khat the speci- ;qied separat:i, on dJ.s'kanc:es are met~ and that the required :i. nspections are performed. 1.8 The Contractor or tl-le Owner shall report {:o tine, Engi- neer any c:)bser'ved condit:kcan which WC~L.~].C:I pL~t the sept:~c: sys'kem in violation of State or Munic:Lpa]. r'egLl].atior'~s. 2.0 SEPTIC TANK 2.1 I-F there is an existing septic tarlk~ it may be used :i.{ i~ meets tf~e c:apac:iky r-equiremen'l: for the r"es:idenc:e. 'l"he rani.:: sha].:l I:)e insl:aecEed by the Engineer~ and its water I:ighi:ness al-iCJ S'kl~UC:kural i{]tegri'l:y shall be veri-Fied. 2.2 A new septic tal~k shall be cane ~abricated by either Anchorage Tank and Welding or by Breer Tank Speci~icaLions 'For septic: system installation S264' Lot 21) Sec.._~'~'.:, [1.~.N RoW Tine septic tank shall be a UPC-approved 'two-compartment tarlk, constructed of 12 gau~e~ or better~ steel with bitu mastic tearing. Tine tank slnall be set level on undisturbed soi]L.'Tlne tank shall be c:overed w:Lt.h tine equivalent o~ foL.~r .Feet o.F sell. 2.3 The septic tanl< shall be installed a minimum o~: five 'Feet .Frem the house ~oundation and a minimum o.F ~ive ~eet from the absorpt:Lc~n area. 2.4 The se.~pt:i.c: tank sinai], be a minimum e~ 100 '~eet. ~rom any well servinQ a single residence; 100 ~eet 'From any body water', creeks or drainage ditches with '~lowing water; 150 feet ~rom Class "C' wells~ and 200 't:eet .From Class A or Class B wells. 2.5 All p:i. pe cermet:riot, s to the tank shall be mechanical watel'"tight calder couplings. Cleanouts shall be installed as designated and capped with air-tight r'ain caps. Clean- routs shall extend a minimum o'~: 12 inches above .Final gI"OLH]d e]evatic:)n. Provisimns mhall be made'-Fer landscaping and importation i~ topsoil. 2.6 LJ.{t'. statien sha].l be as manu'Fact:ured by Anchorage Tank and Welding 3.0 ABSORPTION FIELD 3.] Gravel used in [~he absorption -field shall, be 0.5 to 2.5 inch sc. reened rock~ wit. h ].ess than 3% passing Ehe No. 200 Sand, used ~or levelin~] or ~or' ~iltering, slnall have an e'F'Fective grain size between No.. 40 sieve and No. 18 sieve. Uni-Form:~ty cee-~ic:ient: shall be less than 4. Not more tlnan by ~eigl"rl: shall pass ~lne No. 200 sieve. · ];.3 4-.:Lrlch I::~er'~c:)r'atecJ p:i. pe sha].:L be ASTM F810. For pres sure distr"ibutic]r'l~ pipe shall be Schedu].(? 40 F:'VC or ABS. 3..4 Sel:Ld 4-:ir~c:l-~ pipe shall, be [last: Ir'on or ASTM D3034. 3.5 Monitor standpipes slnall be installed as shown. That section e~ the pipe penetrating t:he gr'avel shall be per~o- rat~.:~d~ e:[ther by drilling 0.5" holes on 6'-incl'~ centers ~r by jm~ning a si?ct:ion o~ FS10 per~or'ated pile tea solid section c)~ pi pe. :3.6 Geotexti].e shal], be MiraTi 140. 3.7 Ineulat:Lon sba:L1 be extruded direct burial polystyrene. Dow Chemical Styrm~:oam Fl:[ 40. 3.8 Tops~il shall be a mixture o~ 40-60% or'ganic matter~ Spec:i.fica'[::i. ons ~or septic: system installation S264' L.o~. 20 Sec. 33 T12N R3W 20-'-:30% sand arid more that 20% silt· All quanhities are 3.9 Grass seed shall be Kentucky bluegrass. 4.0 INSTALLATION 4. 1 I_ocat e all underground u'hilities~ property lines, · ~uture driveways~ e;.:isting or proposed water wells, water ways~ surface and sub surface drainage .~acilities~ lakes, ponds~ and all o'hher ~acilities requiring separation dis- tances ~rc~m the pre)posed septic: system. Notify Owner ~r' Engineer o~ any observed possible cc)n~lic'h. 4.2 Stake alignment of system wi'[-.h markers showing the protective c:list, ances ~rom wells and water bodies. 4.3 Establish an elevation benchmark. This BM shall be easily iden'hi~iable~ stable and permanent.. An arb'.itrary elevation o.~ 100 c:an be assigned. Use slab over well utili- der. 4.4 Install the tank as shown on the drawings. Recer'd the inlet and outlet elevati(~ns o~ the tank. Tank shall be placed on und:isturbed nat:lye soil. 4.5 Excavate the al:)sorpti¢~n ~ield. Bottom o~ exc:avatic~r) shall be level arid scarified. ]]~ sidewalls smears~ they ~hall aisc) be scar'i.Fied. Record elevation o~ beginninq~. middle and end o.~ trench. Record elevation o~ math corner and center point o.F bed. []onstruct:~on equil:)menh shall not eperate c)n the ~]oor o~ the excavation. Any material ~:om- patted by the operation <:)~ the cc)ns6ruc'hion equipment shall removed and replaced with uncempac'h[:ml mater':i, als. 4.6 Place the reck 'ko the depth spec i'Fied. Do not contami- nate reel.:: w:i. th native materials or spoils ~:r'~m the exc:ava- tion. L. evelL 'hhe rec:k sum'"~ac:e (+- :L") be~fore :installing the pE?r-~erate(:J pi[)e. 4..'7 Instal] the cl:istributic:)n pipe. Record the e].ravation o~ each joint. For' pressl.u~e system solvent weld the jc~irrhs· 4.8 E]over insul,uti on .~ the d:i. striL)ution p:Lpe with r'0ck, and cover the w:i. hh gec:rhext:L:Le befcJre back'Filling and placing 4.9 Recorcl the fil~ished grOLu]d elevatior~ at the beginning, middIe and end e'F trench. Record the -f:[nish (;round eleva- tion at each cc~r'ner aed at the midpeint c~'~ the bed. 4. :LO Frurr~ish a copy o~: al:[ sLlr'vey notes te 'hhe Engineer. Speci.Fications .~(:)r eeptic system installation S264' Lot 20 Sec. 33 T12N R3W 5.0 INSPECTIONS 5. 1 A minimum o~ three inspections are requir~.~d. The first inspection will be of the open excavation. At this time the soil conditions will be observed and compared to the design assumptions. Ground water conditions or presence of bedroc:k will be verified. The second irlspection will be after placement ef gravel standpipes, distribution pipin(]~ tank(s) anti cr~her compo- ner~ts as spec:ified~ 'l-he t. hird inspection will be a~ter compl~rkion of the work. Any deficiencies will be noted and the Contractor notified. Such deficiencies shall be corrected within 'ken days. All electr:ical work requires either an MOA electrical inspectien or certification by an licensed electrician. ,.~.[-m].'t proof r3f inspectior'l or certif:~catior'~ te the Engineer. oubm].t catalog data of all mechanic:al equipm(-i~nt. 5.4 Nok'.ify Engineer at least 24 heurs in advance of begin- GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received July 29, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. 10:00 a.m. 7-30-76 Friday Buchholz l. Approval requested by: Alaska National Bank Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: Pouch 7010 99510 Mr John J & Catherine Lower Phone: 277-5511 x 31 Phone: 344-3720 Anchorage 99502~\~-{ ~ Box 6106 T12N R3W Sec )ff2~-4~f---~0 (.~ ~(0~1 Corner of Sabine & 142nd 5. Type of facility to be inspected 6. Well Data: Individual A. Type Sm~.~J/~.~_./~i , Single Family B. Depth C. Construction ~/2.~.~_m_~, D. Bacterial Analysis Sewage Disposal System: On-site system A. Installed ..Ap.prox 1968 B. Installer No. of bedr~gms~'2~-~%uj~le~x 152' 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 Nearest lot line , Absorption area , Other contamination , Sewer Lines , B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Req st for Approval of Individual % ir & Water Facilities Legal Description Tl~ectJon 5 264 of 20 Comments ___Disapproved Date Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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) 7/~7/76 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 88"3G~G'~'Sweet, Anchorage, Alaska99503 - 274-4561 2510 East Tudor Road, 99507 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OE ANCHORAQF. DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION JUL 2, 9 976 RECEIVED 1. Type of Inspection: CMRO VA 2. Property Owner: Lower, John J. & Catherine L. FHA CONY X×X Mailing Address: Name of Buyer: Box 6106, Anchorage, 99502 Westervelt, Daniel V. & Susan A. Day Phone 344-3720 Mailing Address: Box 6-101, Anchorage 99502 Day Phone 344-9090 4. Name of Lending Institution: Alaska National Baak, Metropolitan_. Branch 27'~''/~"~' Mailing Address: Pouch 7=010~ AnchorafL~_ 99510 Phone 7-bbI±~ ext. 3]. 5. Name of Realtor or Agent: Mary Gall. Compton Executive Realty Inc. Mailing Address: 2810 "C" St, Anchoraze 99504 Phone 276-7777 6, Legal Description: Location: T12N, R3W, Sec%p 264 of 20 corner of Sabine & 142nd - see attached map 7. Type of Facility to be inspected: private well & septic syptem 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 152' 9. Sewage Disposal System Type of System: If Individual, date of installation Individual 2 (duplex) No. Bdrms. 3/1 Public Utility Individual (on-site) approximately 1968 EQ-037 (1/74) DAfE NDIV DUAL DEPARTMENT OF HEALTH AND SOCIAl. SEk,,,,ES I)IVISIOI~ OF PIJBLIC HEALTfl INI)IVII)IJAL AND SEMI-PIJI~LIC BACTERIOLOG I CAI.,' WATER -(--~-?-- t -/ ADDRESS OFSOURCE ZIP COD[ COMPLETE ?HIS SECTION _ ONLY IF,WATER IS AN INDIVIDUAL SUPPLY READ INSTRUCT ONS A N A L ¥ S I S OF.cF SANITARIAN'S REMARKS [] Room - Feet. [] Ye ~] No Signature--S_ BACTERIOLOGICAL WATER ANALYSIS RECORD ..... .-// REVERSE SIDE 24 Ho,~r~ MF ReSullS BEFORE COLLECTING SAMPL ~