HomeMy WebLinkAboutT12N R3W SEC 33 LT 223A
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
H~ ~ ~ '~ ~~ Wastewater System: D New
~r~,~: 3~ '~O~ &V~ ABSORPTION FIELD
Phone: INo. of Be~oms: ~ Deep Trench D Shallow Trench ~Bed ~Mound DOther
LEGAL DESCRI PTI ON sog Rating:~ ~ GPO/Sq. Fi. Total Depthl '--fr°m~°riginal grade:
Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe
I Range: I Seetiom Fill added above original grade: Gravel lo.gib:
WELL: ~New D Upgrade Gravel~ ~l'~ Numberoflines:5 Distance b~en lines:
~ ~ Ft. Ft.
Classification (Private, A,B,C): Tota~ Depth: Cased To: Total absorption area: Pipe matedah
Driller: Date Drilled: Static Water Level: Installer: Dale installed:
Casing Height Above Ground:
SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P.
Well I~0~ jj~-- I~~ ~ Number°fC°mpartments:
Surface
Water ~/~ ~/A ~ LIFT STATION
Drain eO,~ ,~8[r qO~ Pump Make & Model Electrical InspFti~edormod by:
Remarks: BENCH MARK
O/~ ~ ~~ Location and Description:
J Assumed Elevation: ~ o
Inspections performed by: ~ Dates:lst 0/',
Department of Heal~ and Human S~rvices approval X~/~ r': '',. ~ [ ~ '~ ~
72-013 (1/91) MOA 25
VE,
1
£oP ~e trill
+ ~/ell
~o[e
South Corn~ o£ ~ra§e
500 Cai LI£'~ ~tlo,% ~eage ~
Cle~ ou~ ~ ~use
1~0 ~1, ranis 6'~
Clean ~ut
0 0 ~
0
E5 0 25 50 75
-- -- -- 5'CF~L/:: J~ ----50't I.
TOBBEN SPURKLAND P,E.
E03 %/ 15TH. AVENUE
ANCH, AK. 99501
[ LOT 225~ SEC 35 TI£N
MICHAEL K.
I I SEPTIC SYSTEM AS BUILT
~TE, JAN Z 1992
SHEET, 2/$ ORIB, 3J$$
0o
500 Eah
0 Co, crete Tank
30. O0
lo
H/raP/ 140
500 Eat lO00 Eel,
LIFf sfatlon Septic lank
Acreage Sysfe~°notate
SCALE, 1' = 15 FT.
TQB3EN SPUEKLAN9 P.E,
6751 W, DIMDN~ BLVD,
ANCH, AK, 99502-3904
LOt ~£34 $££ 33 T1EN R3V
~ ~R~ 4VENUE
SEPTIC.SYSTEM AS '~UILT
I)ATEI ,./,4NU, e~X 7~
SHEET, $/$ GRII), 31S5
/,- INSPECTION i~EPORT
iVIUNICtPALIT~ OF ANCHORAGE, BUILDING SAFETY DIVISION
· '. , ~ - 35~ ~AST TUDOR
INSPECTIONS (907) ~-8464 INFORM&TION (907) ~86-8211
.... ,
STReeT ADDRESS ~ IL? ,. ,, / PHONE
FOOTING _ E] ELEC. TEMP. ~ [] PLBG. UNDGR, __ E]
FOUNDATION __ L'~ ELEC. SERVIOE~-T~ ~ PLBG.:ROUGH (~
BONt) BEAM ~l ELEC, ROUGPP~ ~ GAS TEMP. -- []
FRAMING ['~ ELE'O. FINAL . $ J [~]' GAS ......... E]
INSULATION.... ~ OTHER ~': [] MECHANICAL--- ~]
~E~ r ROCK 0 MECH. FINAL [~
sTRucT. FINAL .... ~ FIRE FINAL . [~ PLBG FINAL []
OTHE~ []
,.21 rtl R [] ZONING , []
~/~NO NONCOMPLIANCE OBSERVED [] CORRECTIONS ESSENTIAL AS
~. EXPLAINED BELOW
Lq WILL REEXAMINE AT NEXT INSPECTION [~ DO NOT CONCEAL uNTIL REINSPECTED
COf,,~Mt, N I S
WHEN CORRECTIONS ARE MADE. PLEASE CALL FOR INSPECTI:ON~
~2 (~ev. 11187)
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 WELL AND WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW910360
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:SEWARD MICHAEL W & BOBBIE K
OWNER ADDRESS:3900 DORA AVE
ANCHORAGE, AK 99516
DATE ISSUED: 11/06/91
EXPIRATION DATE: 11/06/92
PARCEL ID:01833222
LEGAL DESCRIPTION:~
[T12N R3W sec 33 LT 223A !
LOT SIZE: 39000 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD / WELL 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.
~pECIAL PROVISIONS:
i. REMOVE OVERBURDEN AND ORGANICS DOWN TO NATIVE SOIL.
yERIFY THAT A~ MINIMUM OF 2' OF NATIVE UNSATURATED SOIL
~UNDERLIE$ BED AREA.
EXISTING WELL IS TO BE ABANDONED AND DRILLED INACCODANCE
WITH PERMIT SW900315.
~LIFT STATION INSTALLATION REQUIRES PERMIT AND INSPECTION
!'FROM PUBLIC WORK~,~---,~ ~,,' (}~,~ /
ISSUED BY:
DATE:
DATE:
F:"LJF'~:CL_F-~f',)lr~J
203 ~EST 15TH. AVENUE SUITE 206
~NCHOR~GE~ ALASKA
(907) 279-37~6
Dan Reth
Municipality of Anchora~_~e
Division ~)f Environmental Health
Department of Health and Sr_)~:ial Services
820 L Street
Anchorage~ Alaska 99501
Subject: Permit ~ 900315
L.ot 223A Sec 33 TI2W R3w
Michael Seward
October 23,~ 199].
MUNICIPALITY OF ANCHORAoE
ENVIRONMENTAL SERVICES D/VISION
OCT 2 4
RECEIVED
Gentlemen;
Subject permit hae expired and I have been er)gaged to sec:ute a
new permit and complete the work.
On Otto)bec 17~ 199~.~ I verified the soil conditions at the pro-
posed "new" location on the south side of the r-esidence. The
condit:Lons as described by Cor~Jin ~as correct with the exception
that a 2.5 feet layer c~f fill material was overlaying the 2 feet
].ayer' of silty sand and the dense silt belot.~ that~
Two ~WM was located,. These monitors were installed last year' to a
depth of 15 feet. Moniter ¢~1 had t~ater to a depth of 8'-8". below
ground surface. Momitor :~2 was dry. Corwins design, adjusted
for the 2.5 feet of fill, sho~s the bottom of the absorption bed
at 2,,5 feet below ground surface,~ mare than 6 feet higher than
the observbd ground t~.at, er. With this information and the corre-
spendence you had ~,ith Corwin last year, I request that this
permit be rene~ed~
Unless we hear otherwise frem you we
within the next few days~
wi 11 start construction
f obb~:l and P.,~.
NOTE:
SYSTEM LOCATION-PLAN
· &'~unicipafi~¥ of Ancl~orage
OEF;ARYtd~NT OF H -EARTH & HUMAN SERVICi
825 "L" ~ee~, Anchorage, Alaska 99502~650
SOILS LOG -- PERCOLATION TEST
Township. Range· Secdon:
~LOPE
LEGAL OESCRIPTION:
2
3
4
7
12-
1:3
14
RECEIVED
OC;T 2. g 1931
w~ GROUND WATER ' .~...~
ENCOUt-FFEREO?
I I
I
,I X~.5":, o0.
G
DIVISION OF GEOLOGICAb AND GgOP~Y~IOA~ SORVEYS
WATEE WELL RECO~
LOOATZON OF WELL
IBOROUGH 1 SUBDIVISION
141~ABLrRING POINT:
type and color
Depth
STATIC WATER LEVEL:_ f/ ft.,
METHOD OF DRILI,IDG: ~sir rotary
~]e~d)l e too) ~other:
USE OF WELL: ~domast. lc ~irrlgarion ~monitor
~ public supply ~ othor;
WELL INTAKE: ,j~ open er:d ~screened
~ perforated ~op~ hole
Slot/Nosh S~ze: ~. Length: ft
GROUT TY~ Vo) ume:
Depth: from
JAN 8 199e
O MUnlclpallt¥ of Anchora
ept, Health & Huma. Se~vgice.
CONTRACTOR INFOP4qAT ION;
..............
P,~g~t ered Bus ine$$~am~
Date
PUMP INTAKE DEPTH: .......... ft
Date Pump Installed
WATER CItEM~STRy SAMPLE ~AKEN? ~y~8 ~O
PLEASE MAIL WIIITE COPY OF LOG WJTHWN 45
DA YS TO:
DGGS
PO HOX 77-2116
J.JACLE RIVER, AK. 99577
CHEMICAL & GEOLOGICAL LABORATORY
A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO.
5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301
ANALYSIS RESULTS for INVOICE ~ 41232
Chemlab Ref.~ 91.6699 Sample ~ i Matrix: WATER
Client Sample ID
PWSID
Collected
NecelYed
PreserYe~ with
LOT 223A SEC 33 Client Name JOBBED SPURKLAND, P.E.
UA Client Acct :TOBBENS
DEC 19 91 @ bxs. BPO~ : POW :NODE RECEIVED
DEC 19 91 6 15:00 h~s. Req~ :
AS REQUIRED Ordered By :TOBBEN S?U~KLAND
Analysis Completed : DEC 20 91 Send Reports to:
Laboratory Supervisor : STEPHEN C. EDE 1)TOBBEN SPUBKLAND, P.E.
Released By : 2)
Parameter Results Units ~ethod Allowable Limlts
NITRATE-N ND(O.IO) mE/1 EPA 353.2 10
Sample ROUTINE SAMPLE COLLECTED BY: SPU~KLAND.
Remarks:
I Tests ?ezformed See Special Instzuction~ Above UA=Unavailable
ND- None Detected *' See Sample Remarks Above
NA- Not Analyzed LT-Less Than, OT-Oreater Than
~SSS Member of the SGS Group (Soci6t~ G6n6rale de Surveillance)
Tom Fink,
Mayor
January 10,
. unicip&lity Anehor e
Department of Health and Human Services
825 %" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
1991
Michael W. Seward
PO Box 111229
Anchorage, Alaska
99511
Subject: T12N R3W Section 33 Lot 223A
Permit #900315, PID #018-332-22
The subject permit, issued by this office for a single family
well and/or on-site wastewater system has expired as of December
31, 1990.
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 log needs to be sent to
this office for documentation of the installation and to close
the permit.
If a private engineer inspected the installation of the on-site
wastewater system, the original as-built inspection report
(three-part form) 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: $90.00
on-site wastewater permit; $50.00 for a well permit;
a combined on-site wastewater and well permit.
If you have any questions,
;
Sincerer, ,/ /
P r ¢tj ~c am Manager
On-site Services
for an
$140.00 for
please call this office at 343-4744°
JW/ljm:200
enc:
Copy of Permit
"Kids Are Our Future"
& associates,inc.
Consulting Engineers
P.O. Box 230608 * Anchorage, Alaska 99523-0608 · (907) 279-8866 ', FAX: (907) 279-2882
October 9, 1990
Mr. Dan Roth
Municipality of Anchorage
Department of Health & Human Services
825 L. Street, Fifth Floor
Anchorage, Alaska 99501
SUBJECT: PERMIT ALTERATION AND APPROVAL FOR LOT 223A, T12N,
R3W, SECTION 33
Dear Mr. Roth:
After our site visit yesterday, we spent the rest of the day
performing soils test investigation and measurement which would
allow a proper sewage system on this lot. After the completion
of all testing and investigations,, we believe the best solution
is to move the well and build a mound system as shown on the
attached drawing.
we~ lo~ger n e~--a~aiver/, we ~eque~ thE th~$59~/..
ref~ed ,~nd tha;~ $50.~0 of/chat ~ee b~us~d t~ p~ovyd~/.j
p it be i t ll d as / // /
We also request that permission be given to construct, but not
use, the sewer system now. We would like to get the system in
and await the well installation. We would have no problem with
your department not issuing any approvals until the well has
been moved. The reason for this request is that the Contractor
is now on site and all the material is on site~ With freezing
weather upon us, it makes little sense to wait.
We also request that the water monitor we use for this system
be the monitor standpipe of the failed system next door which
is very close to 30 ft. away. Test holes performed by S & S
Engineering in this location during November of 1989 found
water seeping at 6.5 ft, but it was dry 11 days later. The
current level in the monitor is 5 ft. deep and .our test hole
only 30 ft. away found no water to a depth of 6 ft. today.
This solution is the most practical solution for this lot. The
two foot sand layer under the organics will move the treated
effluent adequately from the the mound and we feel there is
little danger of being in trouble late with the proposed design.
Mr. Dan Roth
October 9, 1990
Page Two
Since time is Of the essence,
as soon as possible so that we can proceed forward.
have any questions, please let us know.
c,o~ ~ ~ss~c~s, ~c.
~c/r~
we request that your review occur
Should you
enclosures
WASTEWATER NARRATIVE FOR LOT BLM LOT 223A
The location of the wastewater disposal systems on the
property should have no negative affects to the
properties or the environment for the following reasons:
subject
adjacent
WELLS
The proposed well on this property is properly separated from
the planned wastewater systems. Surrounding wells are also
well away from proposed sewer system components. Also, the
well on this property is upstream of the system.
WASTEWATER SYSTEMS
The wastewater systems proposed for this property have been
located so that there will be no effects to any surrounding
properties. Ail setback distances have been satisfied as
required. Further the soils are of such a nature that
treatment will be assured over a long term period.
RESERVED SPACE
The wastewater systems on this property have no effect in
taking away reserve area set aside on other adjacent lots.
There is also adequate reserve on the subject property for
further replacements even though this is an upgrade project.
SURFACE AND SUBSURFACE DRAINAGE
The wastewater system will have no impact to surface water
drainage due to the location and the faot that the oontours
will remain unchanged. Subsurface drainage will be unaffected
since treatment of wastewater is assured before it reaches
groundwater tables. The topography of the lot is sloping
gently toward Kreitel St. except near the street. Slope limits
have been shown on the sewer system location plan.
SIZE OF MOUND SYSTEM PROPOSED
The proposed mound is established at 30 ft. wide for two
logical reasons. First of all a 15 ft. wide bed would not fit
on the property. We do not believe this a good design and feel
that the system provided will adequately treat the sewage. We
will request that the Contractor scrape off organics in only
one direction and then backfill with sand. There is no way to
damage this mound system with the proposed dimensions.
~ ' l~.v~ ~ ,, __ :¢t//x = ,~ '1~1
, I~~ . o
/ ..w..,
t ~5o
~O'TE:
All Dimensions And Locations Must Be Field Verified Prior To Construction
..SEWER. SYSTEM 'LOCATION PLAN
B6)c: t:, J. c)n :~
).i::rl'. S:i::~:! :::.!;?0()0 (s~::),,
Tom Fink,
Mayor
] unicipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
September 25, 1990
Bruce Corwin, P.E.
Corwin and Associates
PO Box 230608
Anchorage, Alaska 99523-0608
Subject: Waiver Request for T12N R3W Section 33 Lot 223A
Waiver Request #WR900022, PID #018-332-22, SW900315
Dear Mr. Corwin:
Your request for waiver of the required 100 foot separation of
a septic system to a private well has been approved. The
approved separation distance is 70 feet from the well to leach
field; 85 feet from well to septic tank and 5 foot to the lot
line.
This waiver approval applies to the existing septic system to
well separation only. Any future upgrade to either will
require all separation distances be met or another approval
from this department.
Sincerely,
Daniel J. RUth
Civil Engineer
On-site Services
Concur:
Susan Oswalt
Acting Program Manager
On-site Services
DJR/ljm
MUNI~IP^UT¥ O~ ANCHo~A~
~NYJJ~ONMENTAL ,S~VICE,S DIVISION
& associates,inc. JUL i ? ]~0
Consulting Engineers
P'O- B°x230608 ' Anch°rage'Xlaska99523'0608 ' (907) 279'8866 ' F~:(OO7) 279'288~C~Iv~D. ~
July 16, 1990
Mr. John Smith
Municipality of Anchorage
Department of Health and Human Services
OnSite Services
825 L Street, 5th Floor
Anchorage, Alaska 99501
SUBJECT: SEWER SYSTEM PERMIT AND WAIVER REQUEST FOR SEWER AND
SEPTIC DISTANCES TO WELL FOR LOT 223A, T12N, R3W,
SECTION 33
Dear Mr. Smith:
The existing sewer system for the above referenced lot has
failed and is in need of replacement. The most logical place
for the upgrade system to be located is in the front portion of
the property due to the elewated nature of the area and the
lack of a proper location to the eastern part of the lot. We
are requesting approval of our design for a replacement system
along with appropriate waivers for the lot line distances and
the 'distances to both the septic tank and sewer system from the
existing well.
Our upgrade design calls for a distance to the lot line of 5
ft. and distance from the well to septic tank of 85 ft. and a
distance from the well to the sewer system of 90 ft.
We believe this approval should be granted based on the
following:
Drainage direction on this lot is from the well toward
the sewer system and there is no way drainage from the
sewer system can flow toward the well.
Soils per the well log for the lot next door indicate
that there is approximately 10 ft. of dirty silty
gravel prior to an 18 ft. layer of glacial till and
then a 7 ft. layer of wet gravel underlain by 50 ft.
of glacial till.
The static level in the well is 91 ft. and nitrate
samples indicate that nitrates are undeteetable.
Mr. John Smith
July 16, 1990
Page Two
Lot 223A, Sect.
33, T12N, R3W
The existing septic tank on this lot was less than 50
ft. from this well and the sewer system was less than
80 ft. from this well without contamination
occurring. We believe this also shows there will be
no damage to the well or the aquifer due to the
separation distances.
The only reason for requesting the lot line waiver is
to allow for the maximum distance from the Well.
We believe the information presented herein should justify
issuance of the sewer upgrade permit with appropriate waivers.
Should you have any questions,
Ve~.~ruly~r~s,
/~. ~n, P.E.
/~res~e~
BJC/~q/
please let us know.
enclosures
CORWlN & ASSOCIATES, INC.
1000 E. Dimond Blvd. Suite 205
ANCHORAGE, ALASKA 995~.5
(907) 522-1317. FAX (907) 349-2236
SHEET NO.. OF
CALCULATED BY MUNiCJPALtI¥
CHECKEDBY DEPT. OF HEALTH & DATE
ENVIRONMENTAL PROTECTION
SCALE
· Municipality of Anchorage
E)EtdARTMENT OF HEALTH & HUMAN SERVICES
825 "E" St(eet. Anchorage. Alaska 99502~)650
SOILS LOG -- PERCOLATION TEST
4-
5-
6-
7-
8
9
W ]l'4U '
OATE
Township. Range. Section:
12
13
14
15
16-
18-
19-
20-
-.SEWER. SYSTEM 'LOCATION PLAN
NOTE:
All ~ensio~ ~d Locations Must Be Field Verified Prior To Construction
& associates,inc.
Consulting Engineers
P.O. Box 230608 · Anchorage, Alaska 99523-0608 · (907) 279-3866 · FAX: (907) 279-2882
July 26, 1990
MUNICIPALITY OF ANCHOP, AGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROI~ECTION
Mr. Dan Roth
Municipality of Anchorage
Department of Health and Human Services
OnSite Services
825 L Street, 5th Floor
Anchorage, Alaska 99501
'JUL 2 6 ]990
RECEIVED
SUBJECT: WELL YIELD TEST FOR BLM LOT 223A, T12N, R3W,
ANCHORAGE, ALASKA
SECT. 33,
Dear Mr. Roth:
On July 25, 1990 at your request we investigated and tested the
well on the above referenced property in relation to our
previous waiver request for the sewer system. The pertinent
information relative to the well is as follows:
The total well depth is approximately 120 ft. (read
with probe) and the static water level at the
beginning of the test was 103 ft.
2. The well casing is not perforated for at least 40 ft.
The. wel% pro, ced 4 .gpm consistently over a one hour
perzod with a l~el.stgtlc wgter surface of 110 ft. and
then recovered wlthln 5 minutes to 105 ft. after water
was shut down.
Based on this information, it appears that the groundwater
table for the aquifer slopes toward Lot 223B or away from the
proposed sewer system area toward the south. The static water
level in the well on Lot 223B is 91 ft.
Should you have any further questions, please let us know.
Very/? truly y~rs,
~~TES ,~. INC.
//,~,~*t.tce ~J c~rWin, P.E.
~11 .Z 1
YPres?'de?t
.nc o~re
.LOCATID:I OF W£L~ (Legal Description):
DATE ORILLIIIG COMPLETEO: ~
--STATIC WATER LEVEL (Top of Casing):
FY
Clock
: Tine
pumping'Star~e4/
Depth t.o
Pu~pi ng Rena?ks
Race, GP:4
30
35
50
. 55
-' .- 60 ( ~. hour) (
· ' go
.zz0 (z
150
21.0
O.,-awdown /
Recovecy
,10'
.liD) ( o
I lO .__} 0
IlO 0
Ilo I o
Ii0 - o
Ilo o
I10 I o
I
· I
RECOVERY
IS I
60 (t ~our) J
141[ZZ IDh Tt~ :
Or /10 ' To /0~'- ~. THIJ ~.£ZL BL o~. T~ST Co~f~£P
E.(.P,. P
2. ~d
L I
YdRL_'Z oi~? QL
~' I zv o~o~ '~5"w
TO
M
SUBJECT
.............. , ' ~ DATE
·
REPLY
~___~___.. 45 472
SIGNED
SEND PARTS 1 AND $ INTACT - carbonlesS
DATE
POLY PAK (50 SETS~ 4P472
MUNICIPALITY OF ANCHORAGE
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
NAME PHONE [] NEW
MAILING ADDRESS
LEGAL DESCRIPTION
L
LOCATION NO. OF BEDROOMS
~ ~ Liq. capacity in gallons IF HOME.DE: 'de gth Width Liquid depth
~ ~ DISTANCE TO: Well Dwelling PERMIT NO.
O Z ~ Manufacturer Materia] ' Liquid capacity in gallons
Length of each line Total length of lina~._~ Trench width Distance between lines
Total effective abs rp 'on area
~ Top of tile to finish grade ') ~¢ Material beneath tile ~
Length Widtb Depth PERMIT NO.
~ N Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ ! Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS
SOl L TEST RATING
72-013 (Rev. 3/78)
Permit
Applicant:
Location:
Legal Description: ~ ~ ~ -~/~/t]~C~ Sec 33 Lot Size:
Type of Soil Absorption System Is:
Trench: ~ Drainfield:
Maximum Number of Bedrooms: ~
MUNICIPALITY OF ANCHORAGE
Departmen~?~f Health and Environment~Protec~ion
825 ~ Street, Anchorage, AK. 39501
264-4720
~/- * * * HANDWRITTEN PERMIT * * *
~o~O~ ON-SITE SEWER PERMIT
'~ ~ Mailing Address:
Phone Nunfoer: ~/~F~ '/~-~/~
/
Seepage Bed~ Holding Tank:
Soil Rating(sq.ft/br) c~/~ ~X/R
The Required Size of the Soil Absorption System Is:
DEPTH /~ LENGTH ~A-~ GRAVEL DEPTH 'C~ WIDTH
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 outfall pipe and
the bottom of the excavation(in feet).
* ~ REQUIRED SEPTIC(HOC-DA]~3$ TANK SIZE = /C7~ GALLONS * *
Permit applicant has the responsibility to inform this department durin~ the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fee~
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minim'~ distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 1 9 8 3 * * *
I certify that:'
(1) I ara familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence i~deled to include more that 3 bedrooms.
Signe~: ~~//. ~_~_~~ ~ '~ Issued by: ~~~x~>
SWP/024 (1/81)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
826 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
~.~ SOILS LOG
PERCOLATION
TEST
PERFORMED FOR: ~e
LEGAL DESCRIPTION:
8-
@2
~ 10-
13-
14
19
20-
COMMENTS
DATE PERFORMED:
SLOPE
SITE PLAN
WAS GROUND WATER
L
ENCOUNTERED?
O
P
E
IF YES, AT WHAT
DEPTH?
~ ,.? "~',.. , ,
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
/¢
~ FT AND
(minutes/inch)
'"'z FTMUNICIPADTY O~ ANCHORA(~J~
DEPT. OF HEALTH ~'~
ENV'IkUNM~NTAL PROT~GI'ION
PERFORMED BY: ~', ¢~
72-008 (6/79}
CERTIFIED BY:
SEP
DATE:
RECEIVED
GAAP HD-I
G?~TER ANCHORAGE AREA BORQ-U--~H
HEALTH DEPARTMENT
3.27 EAGLE ST. ANCHORAGE, ALASKA 99501 2)'9-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
MAILINGADDRESS ~1~)(, ~ ,~ 3 ~'~ PHONE
LEG AL DESCRiPTIO N~",/7, ~ ~"',~ ~ ~"~~$/Jl
DISTANCE FROM WELL "~'~ ~
LIQUID CAPACITY /.~ '~
MATERiAl ~,/~l~,/~__~",r",~ NUMBER OF
COMPARTMENTS
~_~/'~".~ ~7~' //'~/~ LIQUID
GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH_--
NUMBER OF PITS f OUTSIDE DIAMETER OR WIDTH
, LENGTH , DEPTH
LINING MAiERIAL
DISTANCE FROM WELL
BUILDING FOUNDATION
NEAREST LOT LINE
TOTAL EFFECTIVE ABSORPTION AREA WALL AREA
SQ. FI
TILE DRAIN :IELD:
DISTANCE FROM WELL
. FOUNDATION
. NEARESTLOTLINE_
rOTAL LENGTH
. OF LINES
NUMBER OF LINES
ABSORPTION AREA
DISTANCE BETWEEN LINES
SQ. FT LENGTH OF EACH LINE
TRENCH WIDTH IN TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEATH TILE
IN. ABOVE TILE __
WELL: TYPE ,,~/~///""~'~::~ DEPTH J/'/"~/ :)ISTANCE FROM SAMPLE 4'/d NEARES1
· 3UILDING FOUNDATION. ?~'~' / WATER
LOT LINE /'~'~ /''~ NEAREST ,~ /~' SEPTIC ~_~'j SEEPAGE ~.~ f OTHER
SEWER LINE . TANK . SYSTEM , CESSPOOl ~ , SOURCES
DISTANCES:
DIAGRAM OF SYSTEM
DATE ~j///'~ ~//~Z APPROVED /~~ A~LiH ~ AU JHO~IJY/~/~ ~
GAAB-HD-2
_ AREA 4.0ROUGH No.
HEALTH DEPARTMENT
Anchorage, Alaska 99501 279-25 ] 1
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME 0F APPLICANT ~-~ 17 ~<~fC/4~ /
RESIDENCE ADDRESS
LEGAL DESCRIPTION
APPLICATION TO INSTALL: SEPTIC TANK f ,SEEPAGE PIT
FINANCED THROUGH V~L
PERCOLATION TEST RESULTS
MAILING ADDRESS ~-~O~ ~ 2-~ ~ PHONE NO
LOCATION OF INSTALLATION ~ ~¢~'/~
, DRAIN FIELD , OTHER
TO BE INSTALLEB BY
ANTICIPATED DATE OF COMPLETION 2 4 ~ ~'
BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT
THIS IS TO SERVE AS ,.~0 ~ tO K~/~, PERMIT TO INSTALL A . ~'~ ~"~t~ .~ ~/~ ,~?
AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED ~ ~
.. SEPTIC TANK SIZE /~ ,TYPE d*~EPAGE AREA ~'/~YPE ~J
C~ DIAGRAM OF SYSTEM
DISTANCES:
lealth Authority
I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the
above described system is in accordance with said code.
DATE ' APPLICANTS S G NATO REC-~_ ,-, _ ~(~ ~.: ' ~,.'_../~:: ~
I. APPLI(~'~ NT FILLS OUT uPPER HAI'"'~ONLY
Pro,perty~'w~er ~.)tl~L[~' ~ ~ ~),~y ~ ~~'~ Phone
Lending Institution ¢.I~;/¢~JL 0%~/ [~ Phone
Legal Description ~ ~ ~ ~-~--~/~ ~ ~
~Multiple Family No. of Bedroo~
IndividUal Year Individual Installed: (~
Time Time Time Time
Date Date Date Date
Inspector Insp6ctor Inspector Inspector
~ ~'.1,~ .~_.t e s: : ~--~ ~~0¢/~ ~'
(~ ) ACPRO~ED BEDROOMS *CONDITIONS OF APPROVAL
( ) DISAPPROVED
Soils Rating Date ~wer Installed Well To Absorption Area Well EoQ Received
Well to Tank Septic T~k Size
Approv~il for the ii!dividua! ~ ..... ' and %;ater facz[Litzes c,:~nnot
be ,]ranted ' ~' ~
Lin,_l~ the ~ol].owimj items .~.vc
'Ph~: septic tallk puhlped with a receipt sub;~-~itted to this
., ........... o d<~ilons )u~aped needs ~o be
~le; ~al ~dmi)e~' o~ ' ' " ln~.~ is to Veri~j the
size of tiie septic t,~n~.
Expose tiie septic tan~ mannoie to verify its exishe~ce.
installation permit issued by thi;} department. The
discrepancies will need to be corrected before this
depart{~ent can accent, the submitted engineer as-builts.
Plcase notify this O~[>art}~iet:t for ,i reinspection ~,;het] she
' '~ ,~'e c~.t~ thio office at 264-4720.
further questions~ ~l~,a.,. '~' ~ ' '"
$incerely ~
Associatu Environ}l, ental Sp~-~cJ. aiist
Alaska {P,.L~ Federal Credit Union
Alag,<~ ~nviFon~!ental Cor~tl?oi Sez'vices
122.0 W 33~'d
Anohora{je, AK 99503
/
.~c~pa~ty of Anchot~age
TO:
FROM:
SUBJECT:
MEMORANDUM
91-010 (4176)
ENGINEERING INNOVATION IN THE FAR NORTH
ARCTIC ENGINEERS, INC.
ENGINEERING STUDIES ¢ DESIGN ¢ CONSTRUCTION ~-/~ANAGEMENT ~ SURVEYING
August 19, 1983
Allan Anderson
P.O. Box 10-574
Anchorage, Alaska
LEGAL:
OWNER:
HOUSE TYPE:
WATER:
SEPTIC
SYSTEM:
TEST DATE:
PROCEDURE:
AEI# 83-013-21
INVOICE~ 13183
99511
SEPTIC SYSTEMADEQUACY TEST
Lot 223A, Sec.33, T12N, R3W, SM
Allan Anderson
3-Bedroom, 2-Story, Single Family
On-Site Well
From on-site determination
Tank: 1000 gallon
Absorption
System: Seepage Pit
Absorption
System: Unknown
Approval
Date:
August 17, 1983
The adequacy test was started at 11 a.m. on August 17, 1983.
Water from a tank truck was dumped into the pit in 100 gallon
increments with liquid rise measured after each increment.
When 500 gallons had been added, the pit became full. At
that time, addition of water was halted and the septic
tank was pumped.
The calculated rate of rise in the pit was 400 gallons per
foot.
Absorption monitoring was carried out for 80 minutes after
pumping the septic tank. The resultanti:plot of absorption
vs. time, with the extrapolated daily absorption capacity
is included.
Allan Anderson
Adequacy Test
83-013-21
RESULTS:
COMMENTS:
The plot of absorption vs. time yielded a daily absorption
capacity of 100 gallons per day. The required absorption
capacity for a 3-bedroom house is 450 gallohs ~per day. The
soil absorption system fails to meet Municipality of
Anchorage requirements.
The ~rib was pumped about 2 weeks before the adequacy test
was performed.
Z ),o
£
£
Xr. }i~,.qh
In orde~ ~ p~ct t~ buyer, ~st ~ut~ the ~pa~e Pit be on~-
~efor~ the ~a~rsyste~an b~ app~ved the follo~ng~s~be co~)leted.
the syst~) Inspected by thi~ ~e~artaent,
The ~all is llso u~a~roved, lap ~all is presently I~ a pit, The
~ust 'be lille with !~ervtous soil and t~ ~11 casing ~st be b~ght above
$facerely~
Sanitarian
RCP/~Jh
Alaska ~aak of C~r~e
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
1. Approval requested by:
Mailing Address:
Mailing Address:
3. Legal Description:
4. Location: ~oc~o~~
5. Type of facility to be insp~'~ ...............
6. Well Data:
A. Type
C. Construction
Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
Phone:
Phone:
No. of bedrooms
~B. Depth
.~--D. Bacterial Analysis
-- ~.:,~ ~.:~:i.t;~' ]~)
"~. ]-q~:~B~? I ns tal 1 er
I~.S_'~ Ze 2. ManUfacturer
1. Absorption Area 2. Material
2. Property Owner:
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank
, Absorption area
, Sewer Lines ,
Nearest lot line
, Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of t~o pages
P~ge 2 of twp pages - Req~'~-~t for Approval of Individual Sr*"r & Water Facilities
Comments
Approved
Disapproved '~-~ I~
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)
GREATER ANCNORAGE AREA BOROUGH.
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1. Type of Inspection: CMRO
£. Property Owner:
Maiqin9 Address:
Name of Buyer:
o
FHA CONV
Name of Lending Institution:
Mailing Address: ..//
IFl
Name of Realtor or.Agent:
Mailing Address: ·
Day Phone
Day Phone -j~
Phone
Phone
o
Legal Descri~
Location:,
Water Supply
If Individual, number pf dwellings presently served
/' V
Sewage Disposal System
J Type of System: Public Utility Individual (on-site)/
If Individual,. date of installation . .
EQ- 0 3f/?'~ ~'.7q ) ' ~
2.
3.
4.
5.
/~%~ REQUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE AND WATER FACILITi=;J
(Fill out in Triplicate)
Name of person requesting approval
f,~m 13 dar a:
c. Casing Size
d. Distance from well to closest existing or proposed:
1, gewer line ~g9/
2, Septic
3, Seepage Are a~_~.~ /
Cesspool~_
Other sources of possible contamination~ i.e.~ creeks~ lakes~
houses~ baPn~ dralna~e ditch, e%c.
Se~,ege dlsposaZ system.
b. Septic tank capacity in gallons. ./.~ ~D
1. If "home made" show dlagmam on reverse Side of this
Distance to pmope~[y line ....
to house fo~k~dation
e, Percolatio~ T~st 'reeults
f. Percolation Test performed by
Use the reverse ,side of this form to show diagram.
he foJ.lo',ling information:
Diagram should include
p?operty lines~ .well location, house location,
~!,~c tank location, disposal area location, location of percolation test,
a~d d~rection of ground slope.
The ]n-9~-~t%on .or~ this form is true and correct to the best of my knowledge.
Szgnature 'of Applicant Date S~gned
~0~E FILLED OUT BY HEALTH DEPART~,~ENT PERSONNEL
=The above, describedsanitary'a=acllxtles' ' ' are hereby approved, subjec~ to the
~°l~owin~g.con~ons. , , ,,
The above described sanitaryfacilities' ' ' are disspproved for the following
g ature of ~.ffioi;ll._~ ~."-' '.~q~?~7~'r~ ......
,Approval is valid for one year following the date of approval.
CPJ:cw
j.r?,~ ~/~ ? ~' '' REQUEST FOR AP?ROVAL OF
..[~J~'~/~ INDIVIDUAL SEWAGE AND WATER FACILITIES
(Fill out in Triplicate)
- ~ %-~,a~ of person requesting approval ~
· ~ 2. ~,~ of prope~y~ owner
y~e
1. Sewep line
2. Septic tank
3. Seepage Area
4. Cesspool'
5. Property Line
6. Other sources of possible contamination, i.e.~ creeks, lakes,
houses, barn, drainage ditch, etc.
7. Sewage disposal system.
a. Age of system
b. Septic tank capacity in gallons
c. Name of Septic tank manufactu~.r
1. If "home made" show diagram on reverse side of this form.
Disposal field or seepage pit size and type ..
1. Distance to property line to house foundation
e. Percolati~ Test '~esults
f. Percolation Test performed by
~x Use the reverse ,side of this form to show diagram. Diagram should include
.~[~qhe foilowing information: pFoperty lines~.well location, house location,
~tic tank location, disposal area location, location of percolation test,
an~ direction of ground slope.
9. The tnf~r~atlon .on this form is true and correct to the best of my knowledge.
'signature 'of Applicant
Date Signed
TO BE FILLED OUT BY HEALTH DEPART!-IENT PERSONNEL
~e above described sanitary facilities are hereby approved, subject to the
~llowing ' .....
. con~m~ions:
Conditions:
The above described sanitary facilities ame disapproved for the following
reasons:
''S~gnature of ~icf~t,~ · ~." :, Date :~" ~p~
Approval is valid for one year following the date of approval.
CPJ;cw