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HomeMy WebLinkAboutT12N R3W SEC 33 LT 59 Municipality of Anchorage Page 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 Permit Number: ~WC~O~O-~ PID Number: Name: ~TEVEN ~r JANE H/IN$oN Wastewater System: ~ New ~ Upgrade Address: 1~3oo mA RoAb. A~¢, ~ ~ ABSORPTION FIELD ~o 'o Bedrooms Phone: ~-O~ · 2 ~IS PERklIT ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other Total Depth from original grade: LEGAL DESCRIPTION Sog,~,~n~: I.o ~/sq.~. ~o~. ~ ~ ~.~'~ov~ Lot: B[oc~: Subdiv~ion: Depth ~o pipe bottom from original grade: Gravel depth beneath pipe T°wnshi~i $ Range: 3 ~ L~.r Ft. &O Ft. Number of li~es: ~ Oistance belween lines: WELL: EXIST, D New D Upgrade Gmvelwidth: '~ Ft. JI Ft. ClassificMion (Private, A,B.C): Total Depth: Cased To: Total absorption area: Pipe maleriab ~. Ft. 3O0 SQ. FL Driller: Date Dril,ed: Static Water Level:Ft. Installer:~O~ 1~ ~-- Date inst~Tled:%, -~* /~ GPMJ Ft. Ft. SEPARATION DISTANCES ~Septic ~ Holding ~ S.~.~.~. TO Septic Absorption Lilt Holding Public/Privsle Man~¢a~ture~: Capacity in galloRs: Fr~m, Tank Field St~lion T~nk Sewer Lines ~C I~OR~E T~ Number of Compartments: W~t.r >)oO' >/oo -- -- >/OO' LIFT STATION . I I Remarks: %~ A~m /~j~//e¢ ¢e' qpp¢¢~¢~ BENCH MARK Inspections performed by: F4ATTOP T~c~ 5/c~ Dates: 1st 7/zz/~y ~.~a. ~mT~4 ~:, ,,, · Department of Health and Human Services approval 72-013 (Rev. 9/91) MOA 25 Permit No. ~W ¢/~/o2o3 Page 2 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: w~ ABSO~.C;O~ .... B SAUNA £OuT~t [/tST~ CORNER "Cf' PRo'P. CoRN[P-, 147' 75' ' ~8$oRPTION PID No.: iL. $~P, TANK ENGINEER'S SEAL Flaltopi Technical S~rvices 14530 Echo Street Anchorage, Alaska 99516 % THEODOR~ F. ~OORE ~ CE-3589 72-013 A (1/93) * Permit No. 5W q'~o~.o:5 Page 3 of 3 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 LegalDescription: LoT ~'~ O0 ~.~o T H ENb~ ~RIG~N~L : VERTICAL [;C~£E '. I ~ .~- :. No ~IoR. IzONT4L SCALE : Flattop Technlca! Services 14530 Echo Street /~nchdrcrge, )~Iaska 995]¢ 72-013 A (1193)' 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 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940203 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:HANSON STEVEN L & JANE OWNER ADDRESS:14300 IDA RD ANCHORAGE, ALASKA 99516 DATE ISSUED: 6/27/94 EXPIRATION DATE: 6/27/95 PARCEL ID:01818215 LEGAL DESCRIPTION: T12N R3W SEC 33 LT 59 LOT SIZE: 108900 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 2 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 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: THE SAND USED IN THE FILTER LAYER MUST BE A CLEAN COURSE SAND WITH 4% OR LESS PASSING THE #100 SIEVE AND 2% OR LESS PASSING THE ~200 SIEVE. A SIEVE ANALYSIS MUST BE PROVIDED ON THE SAND USED OR OBTAINED FROM A PRE-APPROVED SOURCE. RECEIVED BY: issueD TECHNICAL CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS IHEODORE F. MOORE, P.E. 14530 ECItO ST. I~lt: (9{)7) 345-1355 June 13, 1994 ANCItORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Deal' Sh's: The purpose of this letter is to provide tbe required design narrative in support of our application for a pel~nit to upgrade the wastewater disposal facilities on BLM Lot 59, Section 33, T12N, R3W, S.M., located at 14300 Ida Road. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The existing residence has 3 bedrooms, and the owner plans the construction of a new gu'age with two additional bedrooms located upstairs. The residence classification will remain single fam/ly, as the gu'age structure will oot be equipped with sepm'ate cooking facilities. Because the project increases the total number of bedrooms from 3 to 5, test holes were dug to identify suitable replacement sites for both the existing system selwing the present 3 bedroom structure, as well as a 2 bedroom replacement for the proposed system. The proposed soil absorption system will be constructed in tbe vicinity of test hole # 4. As can be seen from the soil log, the native material between 0.5' and 5' below ground level is a com'se gravelly sand with a measured perc rate of less thtm 1 minute per inch. The groundwater table stabilized at 34" below ground level this spring, necessitating the use of filter sand to achieve the l'equh'ed 4 foot vertical sepm'ation from groundwater. Using the soil application rate of 1.0 gpd/sq, ft. specified in the wastewater ordinance for filter sm~d, this 2 bedroom soil absorption system requires a total absorption m'ea of (2 x 150)/1 = 300 squm'e feet. The proposed 60 foot long x 5 foot wide drainfield has a total absorption area of 300 squm'e feet. The topography of the lot in the area of the proposal upgrade slopes towards the south at 10%. A similm'ly configured replacement site for tile proposed 2 bedroom system is also shown in the m'ea of test hole #4. A replacement site for the existing 3 bedroom system serving the existing house is shown in the vicinity of test hole #5. The soils in this test hole also perc at a rate faster than 1 minute per inch, necessitating filter sand and an area of (3 x 150)/0.7 = 643 square feet. This can be achieved with a soil absorption mound having dimensions of 15' x 43' as shown. The proposed project will have no impact on present or future water supply and wastewater disposal systems selwing adjacent properties, nor will it have any significant impact on reserved space/surface and subsurface, or on ch'ainage. Please give me a call at 345~1355 if you have any questions on tbis snbmittal. Sincerely, Ted Moore, P.E. ,? BLM LOT 5' ? FoR ~. BDRI,'I LOT' 37A / LOT ~? 1o0 To C LOT C~RN~R Platfop Technlcc~l Services 14,530 Echo Street Anchorcge, Alcrslcc~ 995I~ 51¥E PLA~ SCALE; Aw~ APPRoPriATE. I(' ,( I ' (~o' M PLAN VIEW Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 8Ltfl LOT Scl SEC 35 SOIL A1~SoRPTION S'/STEF1 PLAN ~,~b CRc)ss- SECTION .SC/~iL£ : AS Flattop Technical Services 14530 Echo Street, Anchorage, AK99516 Phone (907) 345-1355 BLM Lot 59, Section 33, T12N, R3W, S.M. 14300 Ida Road Wastewater disposal systmn installation Specifications 1.0 General: 1.1 The scope of the project consists of installation of a 1000 gallon septic tank followed by a 60' long by 5' wide mounded soil absorption di'ainfield to serve a new garage with two bedrooms upstaks. 1.2 Consu'uction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or requh'ed by the engineer conducting the inspections. All construction procedm'es and material specifications shall conform with Municipal and State requirements. All separation distauces shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the conU'actor shall minimize damage to trees and existing lawn m'eas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The new 11300 gallon, 2 compartment septic tank shall be Municipally approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.2 All pipe counections to the tank shall be equipped with water-proof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downsu'eam of the septic tank. All waste lines shall have a minimum of 2.0 feet of soil cover, and wherever the soil cover is less than 3.0 feet shall be insulated with 2 inches of rigid, burial type iusulation. 2.3 Any surface water seeps within 100 feet of the septic tank location shall be filled with sandy material to eliminate the presence of sm'face water. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by stripping the peat and surface organics off a 9' wide by 64' long swath in the area of test hole//4 to expose the underlying cobbley, gravelly sand. The longitudinal axis of the excavation shall be pm'allel to the natural contom' of the slope, and the bottom of fire excavation need not be level. 3.2 A minimum of 2 feet of approved filter sand shall be placed iu the excavation, with the 5' wide top of the filter sand being no less than 1.5 feet above the original gn'ound elevation (underneath the uphill side of the 5' wide drainfield). Sand for leveling and se~wing as filter material shall comply with Municipal requirements for filter sand with less than 4% passing the #100 sieve. The conU'actor shall provide to the engineer scale tickets and a copy of a sieve analysis documenting that the filter sand meets these specifications. 3.3 A total of 1.0 feet of approved sewer gravel shall be placed on top of the filter sand with the perforated distribution pipes laid level such that the pipe inverts m'e no less than 0.5 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over tile entire top snrface of tile sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 3.6 The top surface of tile cover material shall be gn'aded to smooth contours and sloped to promote surface draiuage away from the soil absorption drainfield. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically ag~-eed otherwise the homeowner shall be responsible for re'ranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the consunction. 4.0 Inspections: 4.1 A total of 5 engineering inspections will be required during the course of tile project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction .procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it conforms with the soil test information, (3) after the sand leveling and/or filter material has been placed, (4) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (5) after rough backfill and ga'ading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be iucorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG ~- PERCOLATION TEST DEPTH (leer) pT SLOPE Depth to Groundwater Date SITE PLAN 18- 19- 20- Clock Date Reading Time 5TA &'f __ ..... 12'.23:~o Net Time Percometer (minutes) Reading~n~ 0:30 / Net Drop (inches) PERCOLATION RATE ~ / (minutes/inch) PERC HOLE DIAMETER (~" TEST RUN BETWEEN I.,~' FT AND ~.. FT PERFORMED BY F~OP TECHNICAL SERVICES. I.. ~~ ........ CERTIFY THAT THIS TEST WAS PERFORMED IN AOCORDANOE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THiS DATE. DATE: ~/ /~ /¢ ~ FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~L~2~, LO-~ ~.~ , SEC DATE PERFORMED: _____~._J_!~ ] ~.~ ................... PERFORMED FOR: ST~V~ ~AN SON DEPTH (feet) PT SMA&L SLOPE SITE PLAN ATTACHE b PLAN Depth to Groundwater Date COMMENTS: Jin9 Cloch Net Time Percometer Net D¢op Time (minutes) Reading (inches) Readin PERCOLATION RATE ......... (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY FLATTOP TECHNICAL SERVICES· I..__c~..~"-~'[~ ....... CERTIFY THAT THIS TEST WAS PERFORMED ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON TRIS DATE. DATE: FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATIQN TEST LEGAL DESCRIPTION: BLIv~ LC)-~ ,_~c;j , 5Ed 3'~! DATEPERFORMED... .... ~,][I] ~ ~ .... PERFORMED FOR: ,~T~ V¢~' DEPTH t - S p/r~ p TO ~o SANDy ~AVEL SLOPE 12- 13- Depth to Groundwater Date Clod; Net Time Percometer Net Drop ~g Time (minutes) Reading (inches) Readir PERCOLATION RATE ...... (minutes/inch) PERO HOLE DfAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY TECHNICAL SERVICES· I._ .~ ¢~ ..... CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON TI41S DATE, DATE: ~//L~]/3/°'z FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: PERFORMED FOR: DEPTH (leer) -- PT 5p,,)6 p G CAv'E L L',/ 5ANb To SAt. IDV (~F~Av'~L ~L ~Av~.LLd ~,ILT SLOPE Depth to Groundwater Date COMMENTS: CERc RATE SITE PLAN Aq'TAC I-IE b PLAN  . Clock Net Time Read'n9 Time (minutes) Percometer Reading I I s~aaT ~ 2 I PERCOLATION RATE___~__~ (minules/inch) PERC HOLE DIAMETER TEST RUN SE~VEEN Y~ _FTAND ~ FT Net Drop (inches) PERFORMED BY FLA'FroP TECHNICAL SERVICES. I _~'..¢~ ~ ...... CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: DATE PERFORMED: PERFORMED FOR; DEPTH 5- 6- ~P 5/~ Nbq G R,~ VF--.. L ~L BLUE SLOPE Depth Io Groundwater Date 17- 18- 19- .SEE' ATTACHE b PERCOLATION RATE z. J (minutes/inch) TEST RUN ~E~WEEN Net Time Porcometer (minutes) Reading o:23 _ 21 PERO HOLE DIAM~TE~ FT Net Drop (inches) ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: FLAttOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST LEGALDESCRIPTION: ~L N LOT $.%, SEC 3"&_.~__% I"~% /'4 3 ~ DATE PERFORMED: __ ~/,~ ~ 9 PERFORMED FOR: %T~V~ ~[AN SON DEPTH ~-.~' '~¢~ SLOPE (feet) : : ..... PT ~RAVELLh' 11-- 12-- 18- COMMENTS; SEE ATTACHE b Depth to Groundwater Date Date Reading Clock Net Timo Percometer Not Drop Time (minutes) Reading (inches) PERCOLATION RATE ....... (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY FLA1TOp TECHNICAL SERVICES. I~_~_.,,~..~.~ CERTIFY THAT THIS TEST WAS PERFORMED IN AOOORDANOE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFEOT ON TRIS DATE. DATE: _~/~: /,.~_~ /'~9 ~' T'/ZN TEST EOL~ LOCATION S~TE ~LAN Plctttop Techn]cctl Services 14530 Echo Street Anchorc~qe, A]cts~rcr GREA.zR ANCHORAGE AREA BOR, GH ' j Department of Environmental Quality ~' 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL _iL/)( INSIUE LENGTH M AN U F AC T U R E R .~Z&.(.~D~.__-- INSIDE WIDTH LIQUID DEPTH ) DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE ~,~¢~&~ NU M BE R OF MATERIAL COMPARTMENTS LIQUID CAPACITY /~)~/)~) GALLONS. TOTAL LENGTH _OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES .... TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA //~0~ SQ. FT. LENGTH OF EACH LINE __ /r DEPTH OF FILTER // // DEPTI,: TOP OF TILE TO FINISI, GRAQ_E_.../~A7= MATE~AL BENEATH~T~ILE~!~/¢~_~. ABOVE TILE WELL: TYPE I2/~1/~'¢J') _ CONSTRUCTION DEPTH __DISTANCE FROM: BUILDING NEAREST FOUNDATION .... LOT LINE NEAREST SEWER LINE SEPTIC SEEPAGE TANK _ , SYSTEM CESSPOOL _ OTNER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: /~/N' SEWER LINE DEPTH: /~/~ PIPE MATE RIAL: ~ LOT SLOPE: REMARKS: /~/]t V~" _,'~.~./'~ ~ APPROVED SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH Of 129 feet, dRILLEd AT THE RATE OF ,$~.00 PEr FOOT. PROPERTY OWNER ~, Steven L. Hanson 9225 Endicott Aves 344-0324 LOCATION OF WELL SITE. Lt. Blk, Sub~ Bernie Claus of Rampart Drilling Works. DRILLER WELL LOG: 29.~.85' Havd~~l l..vge ~~.~ ~1~ ~ue~~ water ~t 95 l~8-i30'_Water~ bearing~gravs1 producing 8 GPM with a 80 foot head, Pump should be installed five feet off hottom~ COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM Of THANK YOU VERY MUCH, BERNIE CLAUS OF RAMPART DRILLING WORKS DATE A~g. 30th~76 ~_~_ SERVICE CHARGEOF 1~a% PER MONTH WILL BE ACCESSED ON PAST D~ACOOUNTS. F[:M I:[ T I",iO. FIF:'F'L Z '::FINT I-.OC:F~"I' I ON LEGFIL. I FE ElF ::.,O:[L : '- '" '"' k E,z,£. F.E, I I dl",,z, ,c--- ...,. ..,'r_, I El I HFI>:ilI"IlJH NUI'"I[.:.':ER OF BE[:,RCff'Zd"I'.E; = ]'REIqC:H bl...l`l.L F.Idl ].1`i.~ THE FtE:~;il...I:[F:rE[::, ::,.I.,:..E L-IF THE c-;Ail HE, ,~1 I'II~I,l' "': - ', ?":' ':"'::'" ....... _, _,1[_11:1:"2;: IE:,, ifc_TZ I1=:- -If" ii--4 ~--== ::L ~E~ L~ liE:. li -,.II ~.=, qF F-.ll ..... __j.~.. ~_~ F-'." Fll ".,.." liCE I1_._ THE LENG"rH I-'.',IMEi'.,ISION i.S 'tHE LIENG"FH (IN FEE:T!:, OF 'FHIE ]'HE [:,EP'I"H OF: FI TRENCH OR I::,:[-r ]:s THE D:[S'TFII'4CE I{:E]'HEEN THE SI.JI:;~:Fi::iC:E OF FI'HE GI-::OIJI'.IID FIi'4[:, TFIE [i:CI]'TL-tI',I OF THE EXC:Rb'F:I]']:OI'.,I (:(l'.,I 'H-IEF;~:E ];'.:.'; i'.,IO SET HI I)]'H FOR "I'REI'.,ICH[ES. THE GRFI',,,'EL L'."EF'TH :iS ']"File I'"I~N]:I"II...II'"I DEPTH OF' EiI:.::FI',,,'IEL BETHEEI'.,I THE CIIJTI::F:II..I... F:']ZF'E F'II"`ID THE BOTfi'CIH OF' THE E,'"':CI::IVFFT;[OI'.,I ':;:iN FE[-Z'I-). IL- E_ li It IF ........ :~t. 'I'I::~:EI'.,ICH OR DRFt I IqF' I ELD. ..... ~ ~li ..11'=:. II- -. II::=. ,=.. L~ % DI:::IC:KFZLLII'-,IG L-if RI",I'¢ L:.';'¢L~TEH ,14ITHCIL.rT F'INRL INE;PECTI"i'.,I FIND RF'F'F::Civ'FIL E"~ THiL:.' £:,E:F'F4RTMENT HII..I~ BE ...,UE, JE....I TO H'...~E_.I_I~ I_ ,. ]: CER'T'IFV TFIFIT i: I I::11',1 F:I::IHILIFI[~: HITH THE REQU:rt~'.EHEi'.,t]'S F'OF,'. OI'.,I-2~;ITE ::!;E,I,.IERS FIN[:, HELL':_.:; FI'Z:, SET F'CII:;it'I-H E:'.r' "i"H[E I"'IUNIC:IF'FILZT'¢ OF' RNCHCI[~'tFIGE. 2: I HIL. L IN%TFILL THE S"r"JSTEH IN FICCORDFII",ICE HITH THE( 2:: ]: I.INDF.:R~;TFIND THFI-I" THE ON-.-S]:TE SEI.,`IEE: S,'¢!.~:T[.C.P'I NFI"r' RE'L::!LIZI~tE L--.NLFIRGEP'I[EI'.,IT i1::: THE I;~:ESII:)ENCE I:.{; RE'MODELED TO INC:LUDE: P1OF,.~F: THFIN ]: S I GNEI): C~.7 _. _ _ .~_X~%:¢~%.~ ~ ................................................. F'IP'F.'L I E:FIN T S'f'IEVE ~ :s :.:_' _, E' F:, =' · _. (:.~ ............ ---~-.-.-/~ ....... --' ........... ~..--:: ......... S, R T E _. _Z..:.: :../:Z-:.::--.-/-....-¢-'- -- Pe rfo rmed GREATER ANCIIOIq\GI Alii A Uepartlnent, of EnvironnlenLal Quality 3330 "C" Anchorage, Alaska 99bu3 S()II,S IX)t; I Id/Ol,Ai ION II.,~I Legal Descrip[ion: GOdZ~L L~t 59_S_ec. 3~LT12J~._R3~- ................................. ..... Percolation lhis form reports: Soils log _X ...................................... 1.5 Dep th Feet 1 - O~-&-~6 - Grass- rootS, e%e USCS Class. "~ 2 - Poorly Graded, Silty Gravel 3 USCS Class. "G~" Sandy Silt - Small sand fractio~ USCS Class "~L" 8- 9- lO Wet, silty, clayey gravel Poorly graded - Random rock to 6" dia. USCS Class. S~/SC s ?o/¢o Was ground water encountered? Po_o~_ly do.':_ If yes, at wilar~ depth? fined seepage Reading Date Gross Time Net Time _~e[!.th_t~o._~Wate~'_. Net iJro,? Proposed installa~i%k-:-%~%ge Pit X .... Drain Field ................. Del)th of Inlet 4'__r6' ....... · Dept~7-~% b~ttom oF pit or trench. ..... 12~.._=_1~-f ...... MIrNICIPALITY OF ANCHORAGE DIVIS%ON OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HE~TH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date I~ q-~.~ (a) Leg~Description~/,(includ~ lot, bl~ck, subdivision, section, tow~ship, range) Location (address or directions) (b) Applicants Name_~7~7/~/~ ~,/~¢// Telephone - Home Business Applicants Address (c) Applicant is (check one) Lending Institution ~ ; O~er/build~r ~; Buyer ~ ; Other~--~ (explain); (d) Lending Institution .~/~'~/~?~y~---~-~ Telephone (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2. Type of Residence Sing!e-Family~-~ Number of Bedrooms Multi-Family~ Other (describe) 3. Water SupplM' Individual Well ~ Community ~ Public ~---[ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Note: If community well system, must have written co~irmagion from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 5. Engineering Firm Providing Inspections, Tests~ File Search~ Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. ~ ~ ~ ~/--/~ Telephone~'~z-~/ Name of Firm /~-~ ~.~-~ ~ / Date DHEP ~pproval ~ Approved for/~/tZ~'bedrooms Approved ~o~n Disapproved Terms of itional Approval CAUTION THE MUNICIPALITY OF ~NCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR lENDING INSTITUTIONS ~N ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT ~'INSPECTIONS OR ~NALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN Th~ PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHORAGE (MOA} HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Descrlpbon: /' WELL DATA Date Completed ,,~--/~'"¢, -'~ /~?~ Yield Prese~), ~:~, / .¢ ~ /~/-/ . _ Well Log Total Depth /Z-:~ Cased to /~? / Depth of Grouting Static Water Level '?~ / Pump Set At /~2~¢' Casing Height Above Ground /¢/// Electrical Wiring in Conduit~4) Separation Distances from Well: Sanitary Seal on Casing~) Depression Around Wellhead (Ye To Septic/Holding Tank on Lot //',d~r .-~ ; On Adjoining Lots ,//J'¢' ' / To Nearest Edge of Absorption Fmldi~on ~ot ~ ~ ~; On Adjoining Lots _ To Nearest Public Sewer Line-'~ To Nearest Public Sewer Cleanout/Manhole -- ~4~ To Nearest Sewer Service Line on Eot Water Sample Collected by ~/~ /~'~/'~ ; Date Water Sample Test Results ~ ~/¢¢~-0¢¢~/ Comments ~ ~??~Ct~D Y:~I~ -~ ~% / 1~7 B, SEPTIC/HOLDING TANK DATA Date Installed ~ -..~.m-~- ?~'-- Size Standpipe~N) _ Air-tight Caps~) Depression over Tank (vt~) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: / To Water-Supply Well To Property Line '~'~ /'--/--' / TO Water Main/Service Line/,, r"~//~/ Course Comments No. of Compartments Foundation C eanout~N) Date Last Pumped //~ ~"~', ~ ; for ~-- Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field / // To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption.Strata ~/".~ /~-~.'¢~-~'pe of System Design ~.~ Gravel Bed Thickness ,-/~ // Square Feet of Absorption Area 5t~"¢ I1'~.~: ~, ¢¢~ = 10bZ~l= Standpipes Present Depression over Field ( ~.~. Date of Last Adequacy Test Results of Last Adequacy Test ~,~ ~ / ,~¢ ~--~/¢* % ~".,tT.p/ Separation Distance from Absorption Field: To Water-Supply Well /¢~ To Property Line :~(_o To Building Foundation /'.~ ~ To Existing or Abandoned System on To Water Ma!n/Service Li /¢/.'¢~'~¢ ~':"~ To Cutbank (if present) /P'/~.~ To Stream/Pond/Lake/or Major Drainage Course /¢¢'/~-¢%~-~ ~ To Driveway, Parking Area, or Vehicle Storage Area ~' /"'// D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checl~ed, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~.~/'// /~//Z-C¢'z/~',~_ Date 1/'7~.~/~ Company~ ¢'-~> -.~ ~-~..~-~.~ .-~- .y ~//-%~vlOA No. Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) BE~SE, EPPS & POTTS 2220 EAST 88 AVENUE ANCHORAGE, AK 99507 (907) 349-645~ WATER WELL TF~"T Loc~tion: Client's Name: , Address: Tester: Subdivision: Lot: Block: Initial Reading on Meter: ~/~ '~:~ / Pvc~quction Rate: /~,~ GPM 24-Hour Capacit~l. C~llc~ APPLIC Mailing Address % /) i'~. ,_.;.: IT FILLS OUT UPPER FIAI ONLY - : I . ~ ! x'~. i , Zip Code : / / / Phone Address Zip Code Lending Institution / :~/ ,'~/~ // !~ ]~ , [ ?t ,.~, !/k. Phone Address Zip Code Realty Co. & Agent Phone Address Zip Code Legal Description ..... /- Street Locatioq 4 Type of Residence ~ / Single Family ~--Multiple Family NO. of Bedroo~ ~ Olher Water Supply ~ Individual ATTACH WELL LOG. A well log is required for all wells drilled since Juno 1975. [] Community For wells drilled prior to thai date, give well depth (attach log if available). [] Public Utility Sewer Disposal [,~}_~ Individual E~ Public Utility [] Nolding lank Year Individual Installed: _ / When Connected to Public Utility; NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Date Date Inspector Inspector Date Inspectfer) MUNICIPALITY OF ANCI/O~kGE RECEIVED ([~) APPROVED BEDROOMS ) DISAPPROVED ) CONDITIONAL APPROVAL' DATE ~2~:~ ~'~'~ ~ 'CONDITIONS OF APPROVAL Soils Rating Date Sewer Installed Well To Absorption Area Well to Tank Well Log Received Septic ~a,qk Size GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR February 3, 1977 p~7 Monday Cony. 1. Approval requested by: Alaska Bank of Cormaerc Mailing Address: Pouch 7-012 Phone: 279-5641 x 350 2. Property Owner: Steven L/Jane Hanson Phone: 344-0324 Mailing Address: Star Route A Box 270=B 3. Legal Description: T12N R3W Section 33 Lot 59 4. Location: Thunder Road, see map on back 5. Type of facility to be inspected Single Family 6. Well Data: A. Type Individual C. Construction 7. Sewage Disp0sa] System: On-site system No. of bedrooms 3 B. Depth 129' D. Bacterial Analysis A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: !~g-7-6 B. Installer 1. Size 1,000 gallon~. Manufacturer 1. Absorption Area 1,400 2. Material Total length of lines Foundation to septic tank , Absorption area , Other contamination , Absorption area Distances: A. Well to: Septic tank Nearest lot line B. C. Absorption area to nearest lot line __ Mc Lin Construction Sunset Plactic Fiberglass , Sewer Lines , EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re( ~t for Approval of Individual S }r & Water Facilities Legal Description T12N R3W Section 33 Lot 59 Comments ~_ ~/~;~ Disapproved Date Approved ~ ~ Approval~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) = ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: 2. Property Owner: ~---~)~- Mailing Address: 3. Name of Buyer: Mailing Address: 4, Name of .ending ,nst tut on: MIJN/cIP^LI~I¥ OI~ AN~.IIORAOt~ DP, PT, Ol~ I'IEAI, Tll & ~.NVIRONbt~,Ni^i. PROt~,CTION VA FHA _~ Day Phone Ma i ling Add ress,'~ Name of Realtor or Agent: Day Phone C.,O Phone ~'~ Mailing Address: Phone 6. Legal Description: Location: 7. Type of Facility to be inspected: ~ ~: ~,~ 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: No. Bdrms. ~ Individual Public Utility Individual (on-site) If Individual, date of installation (~ - c~)- r~ (O EQ-037 (1/74) !ii MUNICIPALITy OF ANCHoRAG'4 DEPT. OF HEALTH & I:NVIRONM~NTAh PROTECTION :,EliOT iSH©¢¢N HEFtEON. ~ ~" -' '~7" ~ "'%~' ~' AnchoTa~e ]~ecording Precinct, AIaM;a, and that the ~ f-' .' .,/~ .:~.....: ..... ,'. in,provemenls situated lhereo~, are within ihe property · > ,'7-Z ,_ ':3 ~ .... :, FRIll) WALATKA & ASSOCi.A'i'I~S F, ECORD, OTHER 1HAN Obi 'I'i4E RECORDED PLAT,