HomeMy WebLinkAboutT12N R3W SEC 33 LT 22
Jul 01 22 07:58p Anchorage Well & Pump Ser
9072430742 p.1
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section / Fax: 907-343-7997
Pump Installation Log
Well Drilling Permit Number: Date of Issue: _ -
Parcel Identification Number: 01$ 1119111_14
Legal Description Block Lot Property Owner Name & Address:
GARDEN TRUST
HUNT PH I LLIP JAY 1 TRUSTEE
T12N R3W SEC 33 22 12840 HUFFMAN CIRCLE
ANCHORAGE, AK 99516
Pump Installation Date: os - 28 - 2022
Pump Intake Depth Below Top of Well Casing: 132
Pump Manufacturer's Name: BERKELEY
Pump Model:
B7P4JP07221-02
Pump Size: .75 hp
Pitless Adapter Burial Depth:
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
Well Disinfected Upon Completion?
Method of Disinfection: PELLETS
Comments:
feet
feet
MARTINSON
XYes ❑ No
Pump Installer Name: ANCHORAGE WELL & PUMP SERVICE
7640 KING STREET
Company: ANCHORAGE, AK 99518
907-243-0740
Mailing Address:
City: State: Zip:
Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation.
Municipality of Anchorage Page / 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
Name: - ~Upgrade
~'i, '~,, ~ 1~ L~¢~ Wastewater System: ~ New
Phone: No. of ~ooms: B Deep Trench ~hallow Trench D Bed ~ Mound D Other
LEGAL DESCRIPTION S°ilRatin9:,~)
Lot: ~ ~ Block: Subdiv~ion: Depth to pipe,~bottom~.~from original_ grade: Ft. Gravel depth~ ,-benea~ pipe Ft.
Tow.ship:~.~ IRa~ge: ~ Section: -- __ ,,ll added above origi~sl grade: Ft. Gravei~gth:(~
WELL: D New ~ Upgrade Gravel width: ¢~ Ft Number~of lines:I~Bistancebetweenlines:~ ~ Ft.
~l~'¢sification (Private, A,B,C): Total Depth: Cased To: Total absorption are~: Pipe material:
Driller: Date Drilled: Static Water Level:Ft. Installer'
Yield: I Pump Set at: I Casing Height Above Ground:
SEPARATION DISTANCES ~Se.tio U Ho~in¢ ~ S.~.~.~.
[r2m Tank Field Station Tank Sewer Lines
Water /1~ /V ¢ LIFT STATION,
~ ' 'Pump on" level at: ~h wat'~r alarm at:
Foundation J~) ~'%" //
Remarks: BENCH MARK
Assumed Elevation:
nspections p,rfo ed by:
Department of Hea~and Human Services approval
Reviewed and approved by: Date:
72-013 (Rev. 9191) MOA 25
PERMIT NO. SW960274
LEGAL: LOT 22 533, T12N, R3W,
WELL
',EPTIC
C/L 142ND AVENUE
SYSTEM AS BUILT PLAN
1" - 60'
JAMES
CIVIL
S I ZEMORE
ENGINEERS
& ASSOCIATES
& SURVEYORS
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, A[aska 99502-0650
SOILS LOG -- PERCOLATION TEST
LEGAL DESCRIPTION: ]--~/~ ~-~.,/ 5'~/'f-[Z ~, n "Township, Range, Section:
SLOPE SITE PLAN
4-
5-
6-
7-
8-
9-
11-
12-
13-
14-
15-
16-
18-
20-
WASGROUNDWATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? p
E
flepth to Waler Alter
Monitorin0? Date:
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE
(mmutes/~nch) PERC HOLE DIAMETER __
TEST RUN BETWEEN FT AND ~ FT
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEL NBS N EF ECT ON THIS DATE. DA E:
72-008 (Rev. 4/85)
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
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW960274
DESIGN ENGINEER:JAMES SIZEMOORE & ASSOCIATES
OWNER NAME:HUNT SHERRIE ANN
OWNER ADDRESS:3141 E 142ND AVE.
ANCHORAGE, AK. 99516
DATE ISSUED: 8/30/96
EXPIRATION DATE: 8/30/97
PARCEL ID:01819114
LEGAL DESCRIPTION:
T12N R3W SEC 33 LT 22
LOT SIZE: 108900 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION 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 (iSAACS0) .
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 1S 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:
DURING CONSTRUCTION EXCAVATE AN ADDITIONAL TESTHOLE
TO A DEPTH OF 6 FT. BELOW THE BOTTOM OF THE PROPOSED
ABSORPTION SYSTEM
RECEIVED BY:~
ISSUED BY:
PROBABLE IMPACTS TO ADJACENT PROPERTIES
A) WELLS
The proposed wastewater disposal system is designed in accordance with current
Municapality of Anchorage Wastewater Disposal Regulations. The proposed drainfield
will be constructed in accordance with these regulations. The separation distance fi'om
wells on adjacent properties is greater than 100 ft. Therefore no unacceptable impacts are
expected on the wells located on adjacent properties.
B) WASTEWATER SYSTEMS
The new drainfield will be constructed with good separation distance from systems
on adjacent lots. Soils tests have shown the soil where the system is to be constructed is
acceptable for and an on-site disposal system, therefore there should be no unacceptable
impacts on adjacent wastewater disposal systems.
C) RESERVED SPACE/SURFACE AND SUBSURFACE
The large lot that this system will be constructed on has ample space, both surface
and subsurface reserved for a replacement system. The proposed drainfield should not
affect adjacent properties.
D) DRAINAGE
The location of the drainfield will not interfere with any drainage. The area
distm'bed during construction of the field will be graded and sloped so as to not pond
water. Therefore this system shouldn't adversely aflbct adjacent properties.
LOT 11
S 8g°58' 0" E
330.00'
LOT 22
// ~ X. /
I EXISTING
t I WOOD I ..... ~ I ~ N EXISTING
', ? 7///
X I pARAG~ ~ /// //X ~EXISTINO
x, /~-~J , I I /~ /~ ' X SHED
/ x~ ~ / // ) ~ 5'x41' DISPOSAP~
/ / =~ ~ ~ ~== =RENCH
~ 142ND AVENUE
/
/
/
/
/
/
/
~100' WELL '" '-.
c~' RADIUS '"
~ ON LOT 45
LOT 2,2, NW 1/4 SEC33,T12NR3W S.M.
SEPTIC SYSTEM UPGRADE
SITE PLAN
DRWN BY: VND ICHKD eY: OFS I~s'~T~: 8-1S-96
SCALE 'r?501P.N. . , . 1 OF 2
1250 GAL SEPTIC
TAN K ~
DOUBLE
C.O.
TYPICAL
EA END OF
TRENCH
MONITORING
TUBE
4" DIA. PERF.
PIPE ~
SEWER I1~ .°oo ~ I%-4,
ROCK "
PLAN
1"=15'
FILTER
FABRIC
..~ CLEANOUT
MONITORINGTUBE
SECTION
LOT 22, NW 1/4 SEC53,T12NRSW S.M.
TEL: (907)54-5-1572
)RWN BY: ~ND I~HKD
S'~-E.:' ~ I~OTED I P.N.
SEP'nC SYSTEM UPGRADE
PLAN AND SECTION
JAMES SIZEMORE & ASSOCIATES
ANCHORAGE, ALASKA
FAX: (907) 345-9629
BY: JFS IDATE: 8-15-96
~ SliT: 2 OF 2
6410 Switzerland Drive
(907) 345-1572
James Sizemore & Associates
Civil Engineers &
Sm-~eyors
Anchor,~ge, AK 99516
WASTEWATER DISPOSAL SYSTEM SPECIFICATION
LOT 22, NkV1/4 SEC.33,TI2N R3W S.M.
1.0 GENERAL:
1. l The scope of the project consists of installation of a 1250 gallon septic Tank
and two five foot wide by 41 feet long wide absorption trencbs containing 3.5 feet of
sewer gravel. The existing septic tank shall be pumped and removed. The existing timber
crib absorption area sbaI1 have the top caved in and shall be filled with unclassified fill
material.
1.2 Construction sbalI be as shown on the approved site plan and design drawings.
Deviations fi'om the approved design drawings shall be coordinated and approved by the
engineer conducting tbe inspections.
1.3 All construction procedures and material used to construct the system shall
comply with Municipal and State regulations
1.4 Unless specifically agreed otherwise, the homeowner shall be responsible lbr
finish grading areas after the system is constructed and soil is compacted and mounded
over the wide trench disposal field and the Septic Tank.
2.0 SEPTIC TANK
2.1 The 1250 gallon septic tank shall have two compartments and shall comply
with Municipality of Anchorage Requirements.
2.2 The septic tank shall be set level and shall be bedded as necessary to prevent
settling or shifting of the tank.
2.3 All pipe connections to the septic tank shall be made with waterproof
mechanical couplings. A cleanout shall be installed upstream of the tank within 5 feet of
the house foundation. A double cleanout shall be installed downstream, within 5 feet of
the septic tank.
3.0 SOIl, ABSORPTION DRAINFIELD:
3.1 The soil absorption drainfield shall be two 5' x 41' x 6,5' deep trenchs with a
total of 3.5 fl. of sewer rock, 3.0 fl. beneath the perforated drain pipe.
3.2 The bottom of the excavation shall be level. Any compacted or smeared
surfaces shall be raked to allow for proper infiltration of effluent. This includes both the
sides and bottom of the trench.
3.3 Sewer rock shall be 0.5 - 2,5" screened gravel with less than 3% passing the
#200 sieve.
3.4 Cleanout pipes and monitor tubes shall be 4" diameter and installed as shown
on the plans. The portion of the monitor tube extending through the sewer rock shall be
perforated
4.0 ENGINEERING iNSPECTIONS
4.1 A minimum of four engineering inspections will be required during
construction of the system. One after the septic tank is set prior to its backfill, one after
excavation of the absorption trench prior to placement of sewer rock, one after the
distribution piping, cleanouts and monitoring tube are in place The final inspection shall
be after filter fabric is placed and the final grading are complete.
4.2 The contractor shall coordinate with the engineer at least 24 hours prior to
start of construction. If the contractor desires, a site visit with the engineer prior to start
of construction can be arranged.
':-~J- /' Municipality ot Anchorage
825 "L" Street, Anchorage, Alaska 99502~0650
SOILS LOG -- PERCOLATION TEST
kL)
LEGAL DESCRIPTION:
2
Township, Range. Section:7'-'~ ~'~.~/~ /~.~ ~ .~-~. ,..~-~ ~?g~'
SLOPE SIT'PLAN
8
)./r2/'d
10-
11
13-
14.-
15-
16-
17-
18-
19-
20-
COMMENTS
7
ENCOUNTERED?
IF YES, AT WHAT O
DEPTH?
E
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
__ (mlnutest~nch) PERC HOLE DIAMETER . _
FT AND _ ~,~ FT
PERFORMED 13 I AT THIS TEST WAS PERFORMED IN
72-008 (Rev. 4/85) /
I '. ?,'~ .. REQUEST FOI~ AF'PROVAL
· ~ .~ ,.f / ~ , -, ~ INDIVIDUAL SEWAGE AND WATER
k ~ -" .'/ ~ / !/ ~ (Fill out in
, ,.,./ [
,
6,
c, Casing Size
d, Distance f~om well to closest existing
2. Septic tank~~
3. Seepage Area ~)~
5, P~ope~ty Line
6. Othe~ soupees of possible eontamination~
houses~ ba~n~ d~alna~e dlteh~
Number of bedrooms in house
Water Analysis:
a, Bacterial
b, Detem~ent
We].]. data:
DX,'II o
b. Septic tank capacity in
G'
c, Name of septic tank manufacturer
1. If "home made" show diagram on reverse side of this form.
d. Disposal field or seepage pit size and type
Distance to property line to house foundation
f0 P~colatign Test pePformed by ........... : ........................ .
Use the ~ver~ aide of this form to show diagram. Diag~a~ should include
the following inPor~atlon: ~ope~ty !~aes~,welL location, house looatton,
aep~cio tank location, d~sposal area location, location of percolation test~
and direotion of ground slope.
' ue an~-.cor~eot to.the best of: my knowledge.
TO BE FILLED OUT BY__H.E_AL_TH DE__PART~.~E. NT PERSONNEL
e above described sanitary facilities are hereby approved, subject to the
Conditions: /~D~L~ ............
The above described sanitary facilities are disapproved fop the following
~easons: ~
Approval i~ v~l~d ~o~ one ~ear ~oliowi~g the date of approval,
CPJ:cw .