HomeMy WebLinkAboutT12N R3W SEC 33 LT 142 E115' OF W230'
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: %u')°"5°'~5'5- PID Number: O~ ~,
Name: ~ Upgrade
~ ~ ~~ Wastewater System: D New
~o ~,~ ~,~ ~. ~v ABSORPTION FIELD
Phone:~_%~ No. of Bedrooms:~,. DDeepTrenc~ ~hallowTrench ~Bed QMound. OOther
LEGAL DESCRI PTI ON so, Rating: I ' ~ GPD/Sg. Ft. Total Depth from~original, grade:
Township:%~ 9~ I Range: ~% ¢ I Section: Fill added above original grade: Gravel length:
WELL: Cx~,~. ~ New ~ Upgrade iravel width: G t Ft I
~i'ad: TAN K
SEPARATION DISTANCES ~s.,tio ~,o,di~o ~ S.T.~.*.
Surfac~ , ~ LIFT STATION
.ot , ,zein¢o .:
Line~'~~ ~~ ~ ~
ou.dation ¢
Curtai~Drain ~ .O~~ ~.O~]~ ----~ ~~,~ricallnspectionsperformed~y:
Remarks: ~o5 H4~ P'~'*¢ c~,~,4o ~T BENCHMARK
%,'
S & S ENGINEERING ~.~.,y/,,~¢,,,,~ ........
' rf rmed ~034 l[agle River Leop Road, No. 20~
Inspech0ns pe o -z. . ........ 7 uates: 1st ~o. So-~¢ ¢'/~ /
~ ~:,'., CE-~S0~ .Z.C,~
{~ "~', .... ,',~;~
Department of Heal__man Services approval , ,~,~- ....... ,-,, ¢,-
Reviewed and approved by: , Date: 2 -~-¢~ '"
Permit No. SW950355 Page 2 of 2
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
T12N, RSW, SEC 33, LOT 142 (El15' OF W230') 01829204
Legal Description: PID No ·
97.4'
ST1/98.5, ~,T~/~/ FiNAI GRADE ~. MT2
__
~= /INSUIAT )N
.5. -~ NEW
SEP'IIC '
TANK
90,~'~
: ~ 55.6 WATER 1; DUND
[ oll
~ EW 1000 G~L ST2[138' 45'
SEPTIC TANI~ C01~ 39' 48'
C0911 40' Ag'
~ ~5 C0411 66' 85'
% "~ MTI~I 54' 55'
~ ~ ¢Ol 61' 78'
EW TREN :H- o ~o
I ~T 1
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 WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW950355
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:FAULKNER NORMA JEAN
OWNER ADDRESS:2820 PORCUPINE TRAIL RD
ANCHORAGE, AK 99516
DATE ISSUED:10/24/95
EXPIRATION DATE:10/24/96
PARCEL ID:01829204
LEGAL DESCRIPTION:
T12N R3W SEC 33 LT 142 EllS' OF W230
LOT SIZE: 36300 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0} .
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343 4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 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:
RECEIVED BY: ~ DATE:
ISSUED BY: ~ ~/~/~ ~--~ DATE:
ROBERT C. COWAN, RE.
ROBERTA. SHAFER, P.E.
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
&PLOWTEST
SITE PLANS
ROAO CESIGN
SOILTEST
PERCOLATION
TEST
ONSITE
WASTEWATER
DISPOSAl SYSTEM
DESIGN
October 16, 1995
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 142, Section 33, T12N, R3W, S.M., Ak.
Request you issue a permit to upgrade the septic system
serving %he three bedroom house on the referenced property.
A test hole was excavated and a percolation test performed
in the area of the proposed upgrade. The approximate
location of the test hole is located on the attached site
plan.
At 'the time of excavation water was encountered at 10.5
feet in the test hole and after seven day ground water
monitoring, water was found at 12 feet.
Attached is the proposed upgrade design.
We do not anticipate any adverse effects on neighboring
wells, septic systems or drainage patterns by 'the
installation of the proposed septic system.
If you require additional information, please contact us.
Sincerely,
· Cowan, P.E.
RCC/gk
Enclosure
17034 NORTH EAGLE RIVER LOOP ' SUITE 204 ' EAGLE RIVER, ALASKA 99577
=- 50' SITE PLAN UPGRADE
~o
-52:
212
IEXISTING
HoUSE~.
~ Municipality of Anchorage
~ 825 "L" Street, Anchorage, Alaska 99502-0650
. SOILS LOG -- PERCOLATION TEST
~O~OR. ~'~ ~'~'~"~ -- ~'~ ~ ~,~ ~ ~
' ~ ......... ~ DATE
LEGAL DESCRIPTION: LO~ IN~ ~c;~ 7~Township, Range, Section:
1
2
3
4
6
7
8
10-
_g._
13
14
15
16
17
18
19-
20-
~ rq
fi. ~.i4.
COMMENTS DuO St/ ~/~ (,~fl ¢~:,
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUN1 ERED? k/~. S
§eplh to Walsr Aller
~ogilorino? _ Dale:
$
/ ,~/ L
Reading Date
Gross Net
Time Time
-~3 .~ -
Depth to
Water
Not
PERCOLATION RATE
1 ES1 RUN BETWEEN
(mlnLdOS/inch) PERC FIOLE DIAMETER
FT AND '~ _ F1
i,/F ,,
PERFORMED RY: ~O3~,~{jl~l~lveFL,m~p_Road~e~20~.~;~-T/7 ~-Z~t~:~_..._ CER11FY 1NA} 11'llS TEST WAS PERFORMED IN
ACCORDANCE WI~ H ~T~¢~I~GUIDEI_INES IN EFFEC~ ON THIS DATE DATE: ...... ~ .......
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99603 274-4561
Time of ~nspection
Date of Inspection_~ ~
REQUF. ST FOR APPROVAL OF~
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Address~ ------ 5~ ~, :~ hen ~
Description: ~ //m/ ~ ~ ~/~ ~' ~ ~~
3. Legal ............ ~
5. TV De of Fac f i try t be %~spected: ~f~
-
Number of Bedrooms. __ ..... ~. i
6. Well Data: ~
A. Type B.
C. Conatructien ...... D.
7. Sewage Disoosal System: ,~~'
1. Size 2.
A. Installed
C. Septic Tank:
O. Seepage Pit: 1.
Disposal Field:
Distances:
A. Well. To: Septic Tank
Nearest Let Line
Peundation to Septic T~nk
Depth
Bacterial Analysis
Installe~
Manufacturer
Size 2.
Total Length of Lines
, AbsorptionlArea , Sewer Lines
, Oth6r Contamination
'~ Absorption Area__
C. Abserption Area to Nearest Lot Line__,
Request for Approval of :,~div1~ual Sewer ~ Wate'~ Fectlitids
Page T~o
9.
Comment~
Ap,oroved.~'~/~~' ~ . ......... 2~ Disapproved Date
Approval Valid for One Year F~nm Date $tgned
Greater Anchorage Area Borough, DeFartment of ~hvironmentel Quality
D~AGRAM OF SYSTF. M
I certify that the information contained in this reqUest for appreval to be a true
and accurate representation of the sub.iect sewer and wa~er fac~lttie~ located at:
Signed_
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Date Received.~
Time of Inspection
Date of Inspection.__~~.~.._
3.
4.
5.
REQUEST FOR APPROVAL O?
INOI\IDUAI, SEWER & WATER FACILITIES
F OR
Address:~~__~~/~ Phone
Prooertv ~ner: ~/~ Phone
Type of Facility to be Inspected:
Number of Bedrooms:___/~
~el] Data:
C. Construction_~./~_~-~ _- D. Bacterial Analysis
7. Sewage Disoosal System.
C. Septic Tank~ 1, oize 2. ~anufacturer
D. Size ~ 2. Material] ~_
Seepage Pit: 1o
Disposal Field:
Total Length of Lines___~_~
Distances:
A. Well To: Septic Tank //~/ , Absorption Area~ ~ _, Sewer Lines
~/) : , Nearest Lot line /:~ , Other Contamination ~:~.
B, Foundation ~o Septic Tan~ :: / ';, Absorption Area ~: ~
C, Absorption Aree to Nearest Lot Line :~ //~'
Re,.~m~t for Approval of Ir tdual Sewer & Water Facilities
[)age Two
9. Comments:
Aoproved__~ Disapproved
Approval Valid for One Year From Date Signed
Greater Anchorage Area Borough, Department of ~nviron~.ental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true
and accurate representation of the subject sewer and we,,er facilities located at.'