HomeMy WebLinkAboutT12N R3W SEC 33 LT 240
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Na,~e DISTANCES
^odre~,\~(~r- ~'5"~L{'? , ~l~ ~ SEPTIC ABSORPTION
LEGAl DESCRIPTION
~ ~ ~ FOUNDATION
' TANKS / ' ' X ~~-~ X "'
TYPE OF SYSTEM X -~
~ TRENCH ~B ~ W. DRAIN ~OTHER .... 'i
o/,gina, grade . , ~ lore, deplb from otis,ne, grade '
FI i~
Total absorption area Distance between line~
~~L ~ ~* WELLS ~ I ~ ,
~ PRIVATE ~ OTHER gdentifv) I
REMARKS:
I,
~ ~VS~ ~ ~ ~ ~ ~ ?.',; "," '":
: .............
;~ I 8 ~ ................... '* .....
ce~ily/that this lnspeclion WaS pedormed according Io all ~ ~ THOM A. FISCHER ~,~
cE-679s
Municipal and Stats guidelines in effect on this date: · ,
Health Depadment Approval:~~~~ Date:
C; ?i3 i:::'E) (:.i~JX ,~
~::~NCX.IEiI?.?'&iE: ~, ¢:~,I'( ?'-'/!7i :!.
/
~ ~, i ~'~!? / ~Jb~ ~ '
' , ~ ~ ~ ,
SEWER SYSTEM LOCATION PLAN
LOT ~ BLOCK r SUBDIVISION
I SECTION/TOWNSHIP/RANGE
:~ ~ %~ ~ ~ ~ O0 THE ACCURAOYOF LOCATION OF EXISTING
. PROPERTY CORNERS, WELLSr AND SEPTIC
[~ ~'..[~l J, DIMENSIONS INOrCATED HAV[ SEEN
...... [~t~j NORTH
WHITEWATER ENGINEERING CONSTRUCTOR
11600 CANGE ROAD "ANCHORAGE, ALASKA · 99516 · PH, 345-7008
~ & assoCiates,inc. -
Consulting Engineers
12001 Industry Way · Bldg. B · Suite Eleven · Anchorage, Alaska 99515 ? (907) 345-4440
PERFORMED FOR:
LEGAL DESCRIPTION:
(.~C3"'[" ~--4-O Township, Range, Section:
2
3
4~
5-
6-
7-
8-
9
10
11
12
13
14
15
16
17
18-
19-
20-
15'o
SLOPE
WAS GROUND WATER
ENCOUNTERED? ."t'¢.S
SITE PLAN
:~;:l I$ DRy ,s
'FYES, ATWHAT :~'Z ~:0~4'~0
DEPTH?
Depth,to Water ADer/
Meni of~rrmD~'= ~
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE __
{mioules/inch) PERC HOLE DIAMETER
TEST RUN BEYWEEN __ FT AND FT
ACCORDANCE WITH ALL STATE'AND MUNICIPAL GUIDELINES ,. EFFECT ON THIS DATE. DATE: ~/~/~ ::
72-~8 (Rev. 4/85}
~VI~IITEWATER ENGINEERING CONSTI~UCTOR
11600 CANGE ROAD · ANCHORAGE, ALASKA · 99516 · PH. 345-7008
~VHITEV~ATER ENGINEERING CONSTRUCTOR
11600 CANGE ROAD ' ANCHORAGE, ALASKA ' 99516 · PH. 345-7008
12001 Industry Way · Bldg. B · Suite Eleven ° Anchorage, Alaska 99515 o (907) 345-4440
February 11, 1988
Mr. Mike Doyle
P.O. Box 112954
Anchorage, Alaska 99511-2954
SUBJECT: SEPTIC SYSTEM - BLM LOT 240, SECT. 33, T12N, R3W, SM
Dear Mr. Doyle:
On February 9, 1988, we inspected your septic system in order
to obtain final approval from the Municipality of Anchorage.
The Department of Health and Human Services has required that
we verify the depth of water table adjacent to the leach field
prior to approval. The following is a summary of our findings
and recommendations:
1. The water table is 4'-6" below the ground 10 feet
south of the northwest end of the leach field.
2. The water table is only 3'-8" below the bottom of the
leach field and also 4'-2" below the invert of the
perforated pipe.
3. The invert of the perforated leach field pipe is 4"
above the outlet of the septic tank, therefore the
system is running uphill from the septic tank.
4. The tank can not be raised due to the house having a
full basement. The tank should be lowered a minimum
of 12" so that the sewage will properly drain from the
basement.
5. There is between 0" and 12" cover over the septic tank
and the leach field.
6. The existing system needs to be excavated and
abandoned. A new mound system will need to be placed
in approximately the same area. The organics and
frost will need to be stripped off, then a 2 ft. layer
of sand placed on the existing soil, then 12" of
septic rock placed on top of the sand, and finally 36"
of soil/fill placed over the septic rock for
insulation.
~r.. Mike Doyle
February 11, 1988
Page Two
We appreciate this opportunity to be of
have any questions, please let us know.
The new system requires a lift station.
Prior to construction, we will need to apply for and
obtain a permit to fix the existing system system.
service. Should you
& A~SO~I-ATES, iNC.
Thom A. Fischer, P.E.
Civil Engineer
TAF/ck
Very truly yours,
' MUNICIPALITY OF ANCHORAGE
~.~.i~ ~.i~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
I[~.,l~ ~1~. JIJ ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99901 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTE~ AND/OR WELL INSPECTION REPORT
NAME PHONE ~NEW
MAI LING A DDR ESS
LEGAL DESCRIPTION
~ .Z Manufacturer~ ¢ Material~ '(~[ No. of com~artments~
~ ~ I th Width Liquid depth
9~ DISTANCE TO: Well D (~ Dwelling PERMIT NO.
~_~O ~ Manufacturer Material Liquid capacity in gallons
Well Foundation Nearest lot line PERMIT NO.
~ ~ No. of lines Length of each ]ig~ ~ i Total length
Trench widtA~inchos Distance
~'=~ inches
- Top of tile to finish grade ~
=. '~ a q" Material beneath tile Total e, orpti~
Length ( ~ Width Depth
~ ~ Type of cfi Crib diameter Crib depth Total effective absorption area
m Well Building foundation Nearest lot line
m DISTANCE TO:
~ ~ ~ Cl~~ Depth Driller Distance to~ lig~O PERMIT NO~
~ DISTANCE TO: Buildlng foundation Sewer ,ine Septic tanA ~ ~/ Absorption area(s)/
OTHER
PIPE MATERIALS ~
INSTALLER
APPROVED DATE LEGAL
72-013 (R~ ,. 3~78)
FIF'F'L Z C:I::ff-4T E:,UDLE:¥
FFI' T '?.! BEH :[ tqE:' I.. dj. E ~ ) HIJTCH
THE LENE4TH [..'¢.rlE. N=,ZU~'4 Z:~;':'I'I-"IE; LENGTH "];f",1 F'IEET::' -~F' THE -tRENCH
GF;:Cd...IN[) Fff.,![) -I"HE E=Erf'TEd',I OF' THE E..., .... P f ].LIN ,:: Z t'.,I F'EET).
1"HE GF~:R',,,'EL 2EF'TH ZS THE P1ZNZFIUM DEF'TH CF GF~Ff,/EL. E, ET!..IEEF,[ THE "3_TF'F~[I F'ZF::'IE
F'ERH ]: f' FI F' F' L Z[ E: F:It".Ff"
!II'L. THE !E:E~iF'CdqE;ZE:]:LZT"r' TO 'J:i'.,!lx'OF?J"l 'T'H]::E: E:,EPFfl:~::TI',IEF,Fr DIJI:;~:):I'..IG THE:
];t'.4:E;TFILLI'-¥'I'];(.:ii'.4 ].I,L::,I-EL.I ZU!,!.:, OF: F!l",?-r~ I.,.IELL.:E'; F'IE:,3F:ICEN'T' TO TH]:f:: FI:. I: El IT F:~I",IE:' THE:
i",KJHEirE:F'~: OF RE:~:; ]: E:'EI",KE:E?.:5 THFIT THE I.'.!ELL I-,.I
H ]: h1.1_' HU!'"i E:, ~11 ~k;'fFINCE E',ETI.,IEEi',I Ff I.,.IEi:LL I::tl",l[) FtN"r' CIN...-'_:~; _T TE '.SEIAI'-"IdiE [)
:.I..E)Et FEET F':OF?. Ff F'F'.Lr',,,ff:tTE I.,.IE:LL.;
::I_SE~ TO ;.::':R~3 FEET FF:OH R F'UBL]:C: 1.4EL.L DEI::'END'J.'NEi UPON THE: T"¢F'E: OF' F'UE',L:[C !-,.!EL.[ ....
1.4Et...L L.OG'_-?., RF'.E R[._:.'6!U:EREI?, F:!I'-,![::, r,!U:!!?T' DE RE'TIJF.:I'-,IEE:, TO THE: DEF'RF:THENT I.,.IZTI-.I]:I'..I
OF' TFtE: klEL.L COI*IPL. ET]:ON.
OTHER F'.E6:!LIZREP1E?.,t-['% I"lFf-r' RPPL'T'. SF:'EC]:I::'ZCFIT]:C~NE; F:iN[::, CCq'qE;'I'I:,UJCT]:OI'4 [) .[ F:IEiF'.F:II"IS RF?.E
FI',,,'FI):LFIBL. IE TO :I:Niii~;URE PI:;?.OF'ER ZI",!S'I'RLLFfF]:ON.
:L:
t::'OFC['H E?T' TI-.-IE i'"ILIN:L'C:[F'I::IL_I:T'¢ OF
;?.: :1: !,.I.'[L.L ]:N:5-FFIL. I.. THE S'¢:E;TEP1 ]:N FICCOF'.[)F~NC:E I.,.!ZTH THE C:ODE:~;.
3: ;[ UNE:,[i:F4:E?I"F:ff',ID THt::fT' THE'. C!I",F-:~;ZTE £T, EP!EI:~'. ::ii;"¢%TE:h'l HF:f'r' I:;?.[~];!I..I]~J~'.E E?',II_.F:[F.'.'GEP'IENT :IF' THE
I?.E:S .I_' C, LENC:f~ ]::E; RE3'IOE:,E!...ED TO Ii",!E:LU[::,f:~: FICd::,:Ei: 't-I-.!!::lt'.,I 3:
................... i ..................
E: E F;: T ]: f::'"¢ T ['ll::l-t"
]: Ffl'"l F'I::[H:!;L.]:FtF: !.,.IZ"i"I.'I THE [4:E:(;:!UZF:EJ"IENT'/.i; F'OF~: C~f',I-...:E;:t:TE L:;E!.,.IEI;?.:E; RNE:' P.IEL. I...E; FI:E; :E;[.:_"t"
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street
ANCHORAGE, ALASKA 99503
Case #
Performed For ~:~ ~ J i~y ~F~ ~ I¢7
Legal Description~$N, Lot~o B'i~ck -
This Form Reports Soils Log
- Soil Test Must Be Logged To ~'
Depth
Feet Soil
9--
10--
ll--
12--
13~
14--
Characteristics
Was Ground Water Encountered?
Dated Performed q-IN -Tq
Subdivision_~_~S~ TI2~ ~}~ S~.
Percolation Test
Below Proposed Seepage System
F
Reading Date
Gross
Time
Net Time
Depth to H20
Net Drop~
Percolation Rate Minut~
ProDosem Installation: Seeoage Pit Drain Field
Depth of Inlet Depth %o Bottom of ~Pit or Trench
Date:
.liR A,.ICtlORAt~[ AREA
~' . Case
BEPARTMEHT OF ,_dVIRO;IHEqT/\L QU*~[ Tv
3330 "6" Street
ANCHORAGE, ALASKA 99503
Performed For []:>))c~1¢'~ T<o%~le-7 Dated Performed H-IH-lq
Legal Description~.Lot_'z~O Block_ Subdivision_~:¢,¢-5 'l-lZto
Ti~is Form Reports Soils Log __Percolation Test
Soil Test Must Be Logged To 4' Below Proposed Seepage System
De ~th
:eet
2~
3~
Soil Characteristics
Was Ground Water Encountered? ~ J'~
If Yes, At What Depth?. ~z~ ~e¢¢- 0/~4'
Readin¢ Date Gross Time Net Time Depth to H20 Net Drop
Percolation Rate Minute
Proposed Inslallation: Seepage Pit Drain Field
Depth o.f Inlet_ , ~epth to Bottom of 'Pit o'r Trench
Test Performed BY Date Certified BY:
· -- Date:
12001 Industry Way · Bldg. B "Suite Eleven ° Anchorage, Alaska 99515 "(907) 345-4440
February 11, 1988
Mr. Mike Doyle
P.O. Box 112954
Anchorage, .Alaska 99511-2954
SUBJECT: SEPTIC SYSTEM - BLM LOT 240, SECT. 33, T12N, R3W, SM
Dear Mr. Doyle:
On February 9, 1988, we inspected your septic system in order
to obtain final approval from the Municipality of Anchorage.
The Department of Health and Human Services has required that
we verify the depth of water table adjacent to the leach field
prior to approval. The following is a summary of our findings
and recommendations:
1. The water table is 4'-6" below the ground 10 feet
south of the northwest end of the leach field.
2. The water table is only 3'-8" below the bottom of the
leach field and also 4'-2" below the invert of the
perforated pipe.
3. The invert of the perforated leach field pipe is 4"
above the outlet of the septic tank, therefore the
system is running uphill from the septic tank.
4. The tank can not be raised due to the house having a
full basement. The tank should be lowered a minimum
of 12" so that the sewage will properly drain from the
basement.
5. There is between 0" and 12" cover over the septic tank
and the leach field.
6. The existing system needs to be excavated and
abandoned. A new mound system will need to be placed
in approximately the same area. The organics and
frost will need to be stripped off, then a 2 ft. layer
of sand placed on the existing soil, then 12" of
septic rock placed on top of the sand, and finally 36"
of soil/fill placed over the septic rock for
insulation.
DE~. OF HEALTH &
ENVlRONMEN~L PROTECTION
FEB 11 1988
RECEIVED
Mr. Mike Doyle
February 11, 1988
Page Two
7. The new system requires a lift station.
Prior to construction, we will need to apply for and
obtain a permit to fix the existing system system.
We appreciate this opportunity to be of service°
have any questions, please let us know.
Should you
Very truly yours,
& A~SO~I--k~FES, iNC.
Thom A. Fischer, P.E.
Civil Engineer
TAF/ck
MUNICIPALITY OF ANCH~I~
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
FEB 1'1
RECEIVED
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORIT~ APPROVAL J~128 -~'~
OF ON-SITE SEWER AND WATER FACILITY
264-4720
GENERAL INFORMATION ' "' '
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Applicant Name J~,L.L.¢~Ce- '~,~lephone: Home ~'ZS-. e'-'7~':/~ --~usine~PcY~'
(c) Applicant is (check one): Lending Institution,,[~:); Owner/builder []; Buyer []; Other [] (explain);
(d) Lending Institution ~L/.~ ~,~.gCE- ~g:>~,~[c__ Telephone
Address 'P~-'
(e) Real Estate Company and Agent
Address
Telephone
(f) Mail the HAAto the following address: /
...........
TYPE OF RESIDENCE
Single-Family~.-~ Multi-Family []
Number of Bedrooms '-~
Other
WATER SUPPLY
Individual WellzJ~2 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
Onsite,l~' Public [] Community [] Holding Tank []
Note: If corn munity well system, must have written confirmation from the State Department of Environmentai Conservation
attesting to the legality and status.
Page 1 of 2 72-025 (11184)
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 regulations in effect on
the date of this inspection,
Name of Firm '~
Address ~
('~.,,~P~.-Telephone
DHEP APPROVAL
Approved for 7~//~"~'~-~) bedrooms by
Approved ~ Disapproved
Yerms of Conditional Approval
Conditional
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations 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 in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
72-025 (11/84)
MUNICIPALI~ OF ANCHORAGEMUNICIPALITY OF ANCHORAGE (MOA)
ENVIRONMENTAL SERV(CI~S DtVISi(]~ALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
AUG 4 ]988 264-4720
RECEIVED
Legal Description: ~:¢-¢A. L,~- ~
A. WELL DATA
Well Classification ¢'~¢4 '''N~°¢~ If~A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) ~ Date Completed [c~-.~ ~ Yield
Total Depth I ~;~" Cased to [ ~" Depth of Grouting ¥~ / ~
Static Water Level '~E) ·
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
Pump Set At ~[ O '
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots
To Nearest Edge of Absorption Field on Lot I '(~'~::~ / ; On Adjoining Lots J ~
To Nearest Public Sewer Line ~/Ct' To Nearest Public Sewer
Cleanout/Manhole ~N~ ( ¢:~ /'l"~'--N~rest Sewer Service Line on Lot
Water Sample Collected by "~L~ ~~. ;Date
Water Sample Test Results ~ ~'.~¢c,¢.~. /
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed ~/i
Standpipes (Y/N)
Depression over Tank (Y/N)
Pumping/Mai0tenance Contract on File (Y/N) f'~/"~
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well 1 ~ ~r /
To Property Line I~,',~ i,,.~..-
To Water Main/Service Line
/
Course { ~'~::~
Size J~'~"i~ Ne. of Compartments '~-
Air-tight Caps (Y/N) ~ Foundation Cleanout (Y/N)
Date Last Pumped t~c,.~
; for ~ [ I~
Temporary Holding Tank Permit (Y/N)
To Building Foundation
!
To Disposal Field ~)
r4fA- _
To Stream, Pond, Lake, or Major Drainage
Comments
Page t of 2
72 026(11/84)
ABSORP3
ION FIELD DATA
Soils Ratin;g in Absorption Strata J'-'-'-'~--('~
Date I nstallled
Width of Field 15 /
Square Feet of Absorption Area
Depression over Field (Y/N)
Resu ts of Last Adequacy Test
s
eparatioq Distance from Absorption Field:
/ //~17-.¢'-' Type of System Design
Length of Field ;.~'~q3
Depth of Field ,.~
Gravel Bed Thickness J ~'
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Water-~upply Well I ~%
To Buildin~ Foundation ..(~,_'~ /
Lot i ¢4/¢¢
To Water Main/Service Line ~ ~
To StreamtPond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comment~
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots ~"~ (A---
To Cutbank (if present)
LIFT STATION
Date Installed
Size in Gallons
/~. / J)imensions ! ~
i~ ~E~:2~ 6s~P- ~P~ ~A~'=~"~3'g~-i~-ole/Access (Y/N)
"Pump OnI' Level at
High Wate! Alarm Level at
Tested for
Electrical ~odes (Y/N)
Comment~
** Check ~ermitted Bfe.~co-~-Rati~g%Against HAA Request **
I certify that I ha~e checked, verified,j)r)conformed to all MOA and HAA guidelines in
Signed ,~~ Date
Company/~~ ~ ~S~No.
Receipt N0, ~ ~ ~
Date of PaYment ~--
Amount: $ ~~%~/~. Od
Page 2 of ~
72-026 (11/84)~
L
effect on the date of this inspection.
Engineer's Seal
"Pump Off" Level at ~07~¢ h
Vent (Y/N) '1'¢.~
Pumping Cycles during Adequacy Test. Meets MOA
SEWER SYSTEM LOCATION PLAN
,~~ j~ NORTH DIMENSIONS INDIOATEDHAVEBEEN
~ ~ N~ /.~ ~PA.~ FO., NOT ~ SUrveYiNG
WHITEWATER ENGINEERING CONSTRUCTOR
11600 CANGE ROAD ° ANCHORAGE, ALASKA · 99516 o PH. 345-7008