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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 .