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