HomeMy WebLinkAboutT12N R3W SEC 33 LT 170 N180' MUNICIPALITY OF ANCHORAGE DEl TMENT OF HEALTH AND HUMAN SERV 'S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON=SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION TANKS SEPTIC [] HOLDING DISTANCES FROrfl ~ WELL WELL LOT LINE FOUNBATION SEPTIC ABSORPTION TANK FIELO TYPE OF SYSTEM TRENCH ¢ BED [~ W. DRAIN [] OTHER ........... Gravoi width /300 I~ SO[T WELLS FI FI FT FT PRIVATE [] OTHER (Identify) REMARKS: FI Inspechons Dale Mullicipal and $1al~,luidelines in effect or& Ihis date: Health Depart,,,ent ApprovE,: 72 013 t3,85) ceriily 1hal lids inspecIJon was perlorllled accordint] to all d~/~-/¢~ ENGINEER'S SEAL ALASKA ,,uI OFIBCFITAL CO[ [ OL SCI ,C S, IllC. ~nql~eerinq $ ~l',Uieonmcntol Slu~ies SPECIEICATION,q FOR BE[) NASTI~NATER I)]SPOSAI, SYSTEM MI/2 LOT 170, SECTION 33, TI2N, R31~ 1.0 DENERAL 1.1 TIIE I)NAIqlNDS. SIIEETS I TBNU 4, S[IALI, liE PART OP TBIS SPECIFICATION. }.2 ALI, MATERIALS AND tqORKMANSHIP SIIALI, MEET TIIE REQDIREMENTS OP TIIE MUNICIPALITY OF ANCIIORAGE, I)EFARTMENT /)l,' HEALTII & }IUMAN SERVICES (DHIIS), TIlE CONDITIONS OF TIlE PERMIT. AND ALL APPLICABLE ROLES AND REGIII,ATiONS CURRENTLY IN EFFECT. 1.3 AL[, EXCAVATIONS AND DEPTHS ARE ADVISORY, AND ARE TO BE VERIFIED OR MODIFIEI) IN TIlE FIELD BY A DIIIIS APPROVED INSPECTOR, 1,4 IT IS TItE RESPONSIBILITY OF TIlE INSTALLER TO ADIfERE TO APPROVED DESIGNS FOR INSTALLATION, TO MAIN- 'rAIN TBE SPECIFIED SEPARATION DISTANCES, AND TO SLAVE THE APPROPRIATE INSPECTIONS. 1,5 IF 'rUE INSTAI, LATION iS NOT INSPECTEI) BY AN AECS ENGINEER, AECS WILL NOT BE RESPONSIBLE FOIl THE DESIGN. AN ENGINEER AT AECS SIIOULI) BE CONSULTED PRIOR TO CONSTRUCTION. TO DETERMINE THE NUMBER OF INSPECTIONS TIIAT [qlLL BE REQUIRED AND TO EXPLAIN ~gItAT THESE INSPECTIONS WILL INVOLVE. 2.0 SEPTIC TANK EFFLUENT PUMP (STEP) TIIE SEPTIC TANR SHALL BE A MOA-APPROVED ANCIIORAGE 'i'~,,/O COMFARTYiENT ADDITIONAL TANK, STEP PER TIIE ATTACIIED SPECIFICATION, SET LEVEL ON UNDISTURBED SOIL, AND iNSULATED I'HTII AN OVERLYING LAYER OF 2 INCH BURIAL TYPE RIGID BOARD POLYSTYRENE INSULATION. 2..° TIlE SEPTII; 'rANI( SNALL BE A MINIMDM OF 5 FEET I;ROM 'riie DOUSE FOUNDATION, AND A MINIMUM OF 5 FEET FROM TIlE ABSORPTION AREA. 2.3 TIlE SEPTIC TANK AND BED SIIALL BE A MINIMUM OF 100 IT, FROM ANY PRIVA'rE WELl, OR BODY OF IqA'I'ER, 150 FEET PRO~_ CLASS C WELLS, AND 200 PEET FROM CLASS A OR B WELLS, UNLESS OTBERWISE SPECIFII£D. LESS THAN TIlE REQUIRED SEPARATION DISTANCE FOR CLASS A, B, AND C WELLS MUST }lAVE PRIOR APPROVAL OR WAIVER BY ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION (ADEC). 1200 [Uesl 33rd Auenue. Suite g · Anchoroqe. /khska c~9503'(~07) 561~0e10 2.4 2,5 3.0 3.1 3.2 3.3 3.4 3.5 3.6 PIPING SHALL BE FITTED ~/ITlt A MECIIANiCAL ¢/ATERTIGHT CALDER COUPLING ON TitE OUTLET AND INLET AND STANDPIPES TO THE SEPTIC 'rANI(. PIPING StlALL BE ,t INCH SOEID PVC ASTM D3034 OR CAST IRON, SLOPED A IqlNIblUlq OF 1/4" PER FOOT, 2 PERCENT, ~/I'l'}I A MINIMUM OF 4 FEET OF COVER, CLEANOUTS SHALL BE INSTALLED AS DESIGNATEII AND CAPPEI) WITII Ali/ 'I'iDIIT RAIN CAPS (,JIM CAPS OR HQU[VALENT), AND EXTEND A MINIMUM OF 2 FEET ABOVE GROUND LEVEl,, ABSORPTION AREA TIlE GRAVEL FOR TIlE BEG SRALL liE 0.5 TO 2,5 INCH, SCREENEO ROCR WITU LESS TIb\N 3% PASSING TIlE #200 SIEVE, ALL SUBSTITUTES MUST HAVE PRIOR DIIRS APPROVAL, TIIE BOTTOiXl OF TIlE EXEAVATION SIlAI,L BE LEVEL AND RAILED I'/ITII THE BACKItOE BLAOE TO INSURE TItAT THE BOTTOM IlAS NOT DEEN COMPACTED DURING EXCAVATION. '['liE DISTRIBUTION PIPE SItALL BE 4-INCH RIGID PVC WlTIt A MINI~IUM URUSII STRENGTH OF 1500 LBS. ALL PIPES SIIALL BE LAID LEVEL, AND SPACED ACCORDING TO THE DRAININGS. TI~O ,XlONITOR STANDPIPES StlALL BE PLACED AS SIIOP/N IN TIIE DRA~INGS. TIIEY SIIALL BE RIGID PVC ASTbl B-3034, 0R 4 INEtl DIAMETEH CAST IRON, THE SECTION SHO[~N WiTH IfOLES MAY BE EiTItER 0.5 INCH ItOLES DRILLEI) ON 6 INCR CENTERS ON OPPOSITE SIDES GE 'rile PIPE. OR A SECTION OF RILGULAR PERFORATED SE[qER PIPE MAY BE CLAMPED TO TItE SOt, ID SECTION ~qlTll A NO-IIIJB COUPLING OR SOI,VENT JOINT, A RUBBER RAINCAP (JIM CAP OR EQUIVALENT) SItALL BE INSTALLED OVER TIlE TOP OF file PIPE. IF THE FiNAl, GRAOE OVER TIlE BEI) IS LESS TIIAN 4 FEET AROVE TIlE URAVEL. INSULATION IS REQUIRED, USING BURIAL TYPE POLYSTYRENE RIGID BOARD INSULATION EXTRUDED BLUE STYROFOAM BOAND. T[IERE SHALL BE 1 INCB OF INSULATION FOR EVERY FOOT OF SOIL LESS TBAN THE REQUIRED 4 FEET OF COVER, BUT TIIERE },lUST BE AT LEAST 24 INCUF, S OF SOIl, EVEN TBOUGB INSULATION IS USED. THE SOLII) PIPE EXTENDING FROM TIlE SEPTIC TANK TO TIlE DRAINFIELD StlALL ALSO }lAVE 4 FEET OF COVER OR AN EQUIVALENT LAYER OF INSULATION COMBINED ¥,TrH SOIL TO PI(EVENT FREEZING OF THE LINE. IF INSULATION IS NOT NECESSARY. TIIEN TIlE GRAVEL ~IUST BE COVERED ~IT[I A LAYER OF A NON,OVEN 6EOTEXTILE FABRIC (SUCII AS MIRAFAI, FIBRETEX 200 GRAI)E. POLY FILTER N, OR EQUIVALENT). 4.0 INSPECTIONS 4,1 A MINIMUM OF TWO INSPECTIONS ARE REQUIRED FOR TIlE INSTALLATION OF TIiE TRENCH. TIlE FIRST INSPECTION WILL BE OF TIlE EXCAVATION TO VERIFY TIIAT INSTALLATION WILL BE IN TIIE PROPER SOIL. 4.3 TIIE SECOND INSPECTION WILL BE AFTER PLACEMIiNT OF THE GRAVEL, MONITOR STANDPIPE AND DISTRIBUTION PIPE TO VERiEY PROPER INSTALLATION BEF~)RE BACKFILL. CONTROL SERVK INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-,5040 CHECKED BY--.. DATE SCALE CONTROL SERVIC INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO CHECKED BY 1"- ZO' DATE (~ W / 'J E ~ .O ¢/J V ,61. V L'- 12OO West 33rd Avenu,~, Suite B ANCHORAGE, ALASKA 99503 (907) 561-§040 CHECKED BY DATE TY?[ ~A L. 5 · /" ~ P~e/=' Pvc ~/A,V~,~ o,~ ~'~z/A L- CONTROL SERVIL INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 CHECKED BY ~O^~E /" DATE 7-P- Z W~'- LL ~NOk~H~ LA/. ~/,~'D, /VOK 'l ANK I::' 0 R A, Anchorage 'rank & Welding, Inc. L.,:I:F'I' SYSTE:HS SEP'I:L'I: TANK SHALl.., BE A HOI)IF]:EI) AN(: '[)RAGIE TANK S1= I:i:l. TANI<, THE: I)IESIGN OR ANAI..,YSI:S SH~L.I. BI.': :IN ACCOI:~BANCI:i: t.J]:TI-I ACCEI:'iED ENG~NI!i:EI'~ING PRACT]:CE AND I..,OC~I.., ',,'I!i:GL'~,AI'ORY ~6ENC:I:ES, 11"lIE I'ANKS SI'IAI..,I_, BE: :[IE:SIGNE]] f:'Ol,' I.,OAB]:NG CI:)ND]:T~ONS NE; I~IEC,~(J:I:RE:D BY HUN:[CII~AL (',fid STATE: REGUI.,AT]:ONS, C, AI..,I, WE!,.DING SHALL, BE ]:N ACCCH;~[IAd :E WITH APPI~]:CABLE COOES AN[I '..:;/'ANDARDS, ][:l , COATING SI4AI..,L, BE 'l'NEidEt: q-6-.I.I. 6U HI-BU]:L.,I) YANK COAT]:NG AN.O APPL, IED AS F:'OI. i,I)l,.JS', SURFACE PREPAIRAI'I:0i'.' Al..,[., .SURF'ACI;{S MUST BE DRY, CI..[i:AN, Ai.!(:I RI.ZASONABI.,Y FREE 0[:' RUST AND HIL, I.., SCAI,I: EXCIESS RUST, MIL, L SCAI..,IE AND I,~EL, D:[NG SI..,AG SHAI..,C BE t::~.HOVED BY UIRE BRUSI'~ 01: (:)'fliER HE:~NS ~S NECESS~F~Y, 2, AI::i:H...iCA]':[[IN SHALl.. BE: A:[RI..IESS SPR',Y t.J:I:TH BRUSH Of',' i:40L, I,IZI:~, 'I'OtJCH UP S, TI-IINi'I:I:NG SI"IAI..,I~ BE ACCOHPI.~:[SHEO WI i'l"l API:~I'?OVED HA'II:iI'I:AL, ANI:~ I, JlL, I.., NOT E×CE:ED II, SLJRFACE 'T'EHPEf~,ATLPE SHALL NOT BE BEI..,OW q-OF' OR 5 BEL, O~ :[:lEg POINT WH]:CH EV', R IS L, OgER, :CN'/I~I:~IUR SHAI..,L BE: COATEO TWO 'T'IHh:S AN'O SHAL, I., BE A MIN:I:~'IUM OF 20 ORY ItlLLS IZXI'E:I:~]:OR SIIAI..I.., BE COAI'ED Oi'.~lL I'IHE: AN)':, StlALL BE A H]:NIHUi'd OF It) DRY HIt. L,S, Anchorage Tank & Welding, Inc. GUTLIET RISERS SI'IAL. L BI:ii GAL. VANIZE]0 G'fEEEL, CLII..VCRT, AN[~ SHALL BE 5LI· iNCHES (MINIbgJM), HIGH, SHALL IIAVE A MINiHLIH NObi]LMAL DiCdIETEI~ OF 2q. iNCHES, AND SHALL BE CAPABLE OF- BEING EQUIPPE[~ WI I'H ]lie F'OLLG~ I NI: A, A IUNCTIGN (NEff'iA q-X) OR ATTACHEI)TO 'f'NE R]:SER, ~;, UI.., LLI:STE;0 EL, EC'.TI:~ICAL, IN 'JHEL J..BOX, BOX 01:~ ';ORI~ GRIPS, INSTAI_,L,E[I A ~,i1[) .d-IAL, L BE F'GRNISHEB WI'Ill IFIIE RIoER, IT SHALl,,, AGGIREGATE F'LINI4'H, IR I S E IR ]: N S T A I..,I., A T I 0 il - E A C H IR I S E R S H A L.,I.., B E S E A L, IE ~:~ [)II IzJEI.OE[I TO THE TOP 01:: fl-II;~. TANI< IN SLICH A MANNER AS TG PREVENT INI::'II..,TIRATIOU ~iF GIROUND WATER WH~ RIE PRESENT, INSLIL, ATION - 2" I?IGi[ EXTRLI:OI!!:B POI.,YSTYRENI:: ~;IhM.,l, BE I:~i..,ACE[~ IN THE I?ISEI~ P',F,'ECTLY BEI..,OI,] I_, I O, E, .I. '4~:>t. Jl..A] ].ON 2" SPRAYED . F,%"J'HANE ON C i IR C U M I:' Ii"_ [? E N C E G 1:' I~' I S [!J I:~ , Anchorage Tank & Weldlng~ Inc. 2700 Porcupine Dr. Anchorage, Alaska 99501 1907) 272-3543 ]. :J./~:~ H,P, HYERS SSH25 J.:L5 VOL, T OR EQUAl.., ~:H]I?EENEI] PLJHF' VAULT (U,S, I:~A]ENT 57" ][]EEP, 3/].6" 'T'I"I~CI( I4]:',iI"I-[IENSITY PVC C'~CL. Ih, OEI~ HOUSES 'THE: PLJHF AND SCREEN AND SIEICv;ES AS A BAFF'L,,E TO PREVENT THE SCI<EEN I:IU]M CI,OGGING, TI'IE I::'II:: il Ii:N 1,,..:i./2" DIA, HOI..,ES ARE I)FLI;I,I,I. iB IN THE VAULT AT A LEVEL. FHA"i I:q.,ACIES THEN AT ABOU]' THE: fill)WAY POINT ]:N TI,II: IiIEPI'H OF' THE ~ ;1:. I:I'T' 1[ C , F:'I..,AP CIIECK AI.,,L, OLJS TH[: F~)Eh')VjiNU I::'F!OI'I 'fANI(, SCREEN', 15" 'Ed:A, I:>OLYETHYL. ENE 1/8" BOTTOH, VAL!L,T 'TO :(:tRAIN WHEN C Y L, :1: N D E R 0 F I"11 G H"" D E: N S ]: 'f Y ,'IIESH CAST INTO FIBIZRGL,~SS.' C 0 I:~ R 0 D I N (ii M A T E R I A I,, PUPIP C[)N'T'I?OI.,S ANii ,]L.,ARM SYSTEH CON'['ROL,. CllAL,I HIE (]RIi:NCO SYSTILi:MS CONS I S'I'I NJ, :. Il::: Al!., PI,UHB]:blG SHAL, L, BE PVC OR O'ilt :R NON .... (TH) HI.., "SF Anchorage Tank & Welding, Inc. L):LI~'-'flEGI"IT V:I:SUI%L ~lt..,~I~M I~:1::1'1"1 PLJSII"T'(:)'"'S:EI~E~'ICE I::I:..~TUEE, (~UfOMr~T]:£; J~U:OirO'"~l.,t~d:'~M I:~:li:Sl~!:'f, :1.5 AMP HI;ITOR RATED T(:)GGI. I.": SY.~fC:I'I, S:I:NGLE POLE, I:iOUI~ISE--'rI. IR(:!',I C,13:'I'I-I THR~;{E: POSiT:I:ONS; PIANUi-'/L (MAN), i>~UI'OMAT.IC (AUTO), hNl:l CENTh:R (OF:I::') NEHA 14. X'"'Rf::, I liI) F:'i[BIEI~GLASS, OR ENC[,O'..;dI:,I,E t,,I]:TH I..I~I;NGEi) COVI:":R, Lli;VIEL, C[)NI'ROI.. FLOATS SHALL, BIS OMi!:NCli SYSTEMS ('I'M) MI:r2 CONS:I:SI:I:NG IlK 2 MIERCUI~Y I::'I..,I:hYI'S (iN PVC S'f'IEM IgH:[CH ¢~'T'I'C~CHIES TO VC/uI,r, (:1NE Frl..,C)~T SIGN~L,S i~L, iM~H; THE OTI..II: R S~i:I:TI::HIES PUMP (]N.'.'OI:rl:~', HELLE oncI r-e~coJnln,g Mech~nl$~ NEMA 4X Junction box PVC b~lt v~Lve 24' I$ x ~' 6'C~ver~ Manhole ~L~L~ I ~, sprayed ~e~h~ne 1 1/4-' PVC p~e Typ -- 1 I/4° PVC check wive Se.~t with RAH-NEK or Equc~l r~dober grolqMe'~ or welded s'feel 1 1.,/4.' plpe --1/4' cll(~ dr'o, ln b~ck hole 1 3/8' holes 6' DC 1/8' Mesh potye~hytene screen 1,5' din. x 39' high -- R~toJnlng o. ngles 1/3 hp e?Ftuen't pump, vo, rlou~ m(znu¢ctc'd;ure~ 1850 1500 2000 Reserve C~p~c~ above Alarm 809 G~L 881 GAL 333 Reserve C~p~otX ~bove p~ on 8~0 GAL~ 31~ ~L 415 GAL Cap~lty Be~en Pump on & P~ ~? ~8 ~L 113 GAL 178 GAL ~r~ ~' 47 ~' 42' ~lo~ Level ~ 43' 44 ~2' 39' LIFT STATION DATA O: !  1~ 15 20 E~5 30 Go, lions= per' ~ntrt:e TYPICAL PUMP PERFORMANCE CURVE SIZE SHELL A ]] C 1250 18 GAUGE 181 1/8' 81~ 40 1/8' <3 BE]]ROOM) 1500 18 GAUGE 145 1/8'I 97' 48 1/2' <4 BE])RDOMO 8000 10 GAUGE 194' 189 3/8' 64 5/8~ (5 ~ 6 liEDRDOM) NOTE SIZE CHART - LIFT STATION TANKS MUST tie 850 GALLON~ LARGER THAN STANDARD 'rANKS FI]R SAME APPLICATION ALASKA SOIL TESTING AND ENGINEERING 6[00 A Sheet, Anchorage, Alaska 99502 (907) 56 [-7453 OcLobec 10, Leslie Alldcedge 33~0 E, 151 Anchocoge, AM 99516 SubJect: NI/2, LeE 170, Sec. BB, T12N, RBW, S.FI. Bmoc I'1c. Alldcedge:' sub.jecL pcopecty. The scope of the investigation cestcicted to the dete['minotion o~ the soil o~d g~oundwotem conditions pectoining to on-site wostewotec disposol. The cesults cE the subsum~uce invesLigution indico~e thoL the soils become incceoslngl.u ~iee gcoined end less pecmeoble with depth. ~heceFome, on-site mostemotec disposol swsLeme should be pieced ct melotivelw shoilou~ depths Lo toke odvonLoge cE the shollow, pecmeoble soils. ~he existing soils end lot size oppeoc to ellom sevecoi dieposol sWs~em conffigu~oLions, but: the neu~ eweLmm will cequice on inomeose in the copociLW ce~ ~he septic ton]< to 1500 Bollons to oocommodote o i-'ire bmdcoom house. We ~ill be peciodioollW moniLeming the gcoued~o~ec levels in ~he tt~o test pits, but the cuccent deco indioo~e ~hoL gcoundwotec levels will not impoct des~qn o~ ~he new sws~em, Pleose don't hesibote ~o cell iF we moW p~'ovide oddi~iomol ossis~once in locoLing o eeLo sWsLem. Uecu tculw youcs, s0i TESTING Mo~'k Holum, Monogem AND ENGINEERING ALA A SOIL TESTING AND EN ,NEERING 6100 A Street, ARchorage, Alaska 99502 (907) 561-7453 SOILS LOG Test Pit 1 SOILS LOG - PERCOLATION TEST ";! PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: Les].Je Alldredge N~/~, Lot 370, Sec. 55, T12N, RSW, S.H. DATE PERFORMED: 9-27-85 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMEN PS Brown Organic Silt (GL) Brovcn Gravel with sand and cobbles, daml:, dense [Ioist.=~%; Ref. Gzai[ Size Dist. Figure 4 Gray Sandy Silt with sand layers damp, stiff Noi s t. =21% Gray S~lt, damp~ st~f£ Gray to Brown Sandy Si]t, .we.t, stiff Comp].e ted %27-85 SLOPE WAS GROUND WATER NO ENCOUNTERED? IF YES, AT WHAT ~[~-l~ ~ DEPTII? SITE PLAN PERCOLATION RATE (minutes/ind0 TEST RUN BE1WEEN FT AND FT Visual rating of GW layer between depths of 1.0 feet and 6.0 feet = 85 ft2/bdrm. PERFORMED L~Y: Hark [Iolum ALA~.,A SOIL TESTING AND EN,-,INEERING 6100 A Slreet, Anchorage, Alasl~a 99502 (907) 561-7453 SOILS LOG Teat I~il. 2 SOILS LOG - PERCOLATION TEST PEHCOLATION PERFORMED FOR: Leslie ^]ldredge DATE PEnFORMED: 9-2?-8.5 LEGAL DESCRIPTION:_ N1/2, Lot 170, Sec. ~, T12N~ RSW1 S,H. ~rown O~anic Silt (O],) SLOPE 1 Brown Sandy Gravel with cobbles 2 Brown Sandy Silt, damp, medium 3 stiff 4 Gray Sand, damp, medium dense 5 Gray Silty Sand, damp, dense 6 Hoist.=33%; Ref. Grain Size 7 Dist. Figure 5 fl Gray Sandy Silt, damp, stiff 9 10- 11 13 Comp].eted 14- 9-2?-85 15 16 I7 Gray to }3rotm Sandy Silt, damp, stiff WAS GROUND WATER [~]o Hoist.=] 2%, Ref. ENCOUNTEHED? Glaln Size Dist. FigFF YES, AT WltAf '~f'~ ' ' .' ~. g~,~'~, 9-28-8.5 i: OD pm " 1: " 1:38 " 2:08 " 2:08 " SITE PLAN Time 0 ~o o ~o ]./2 " :l-d9" ]/2 " ]/2 ~/~ ,, 5/8 18 19 20 COMMEN FS PEgFORMED BY: ? " 2:58 o 5/8" . 8_ " _-~:o8 ~o 4 M2" ~ 7/8" PEg CO LA' IONgA YE 8~.:~~{~ ~ ~.t e,, i n c,,, TEST gUN []ETWEEN 5' ~/,,~ .¢~ AN~ ~f~' ~ ReFer also F~Gures L dn~ ~ CERTiFiED~~' ALA A SOIL TESTING AND EN ,NEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 SOILS LOG Test, Pit; 2 (Continued) SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: Leslie ^lldredge DAI'E PERFORMED: N1/2, Lot ].'gO, Sec. 33, T12N, R3W, S.M. 9-50-85 1 2 3 4 5 6 7 8 9 10 11 13- 14- 15- 16 17 18 19 20 COMMENTS /~ PERFORMED BY: Refer to t3. gure 2 for Test Pit Log. SLOPE SITE PLAN WAS GROUNDWAlER ENCOUNI ERED? No Reading Date i 9-30-85 3 ~' 6 " 1:17 pm 2:0~ 2:06 2:40 3:4o Net Time 0 rain 48 0 ~o 3o Depth lo Water 27n 27 3/4" 26 1/4I' 28 ~/4"~ 3]. 1/4" 2 1/2" 2 ~1/2" 2 1/2" U.So STANDARD SIEVE SIZE SIEVE ANALYSIS HYDROMETER lo0 ¢) 0 90 80 7o 60 50 ltO 3o 20 lO o 0 0 0 0 · · 0 0 0 0 GRAIN SIZE IN MILLIMETERS G HA VEL -1 SAND I FINES ] PROJECT: N 1/2 LoL 170, See, BB, T12N, RBW, S,I'I, CLIENT: Leslie Alldredge TEST PIT: 1 SAMPLE: 1 DEPTH: ~.O'-q,S' UNIFIED SOIL CLASSIFICATION: GW TEXTURAL CLASSIFICAT.ION: Gcmv~l mith Send U.S, STANDARD PERCENT SIEUE SIZE PASSIN8 ~" 100 ~" 1 1/~" 87 1' 81 3/~" 75 3/fl" 5B ~q ~0 11 5 fllO0 1 ~00 0 GRAIN SIZE DISTRIBUTION ALASKA SOIL TESTING AND ENGINEERING FIGURE ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 December 1~, 1SB5 Leslie Alldcedge Anchocoge, AK S~Si5 Subject: Proposed Wostewotec Oisposol Systems N1/2, Lot 170, Sec. ~, T12N, R3W~ S.M. Deer Mc. Alldcedge: As pec youc request, I hove pcepoced eetimotes cC the meq~iced trench, dcoinfield, end seepoge bed sizes to occommodote o proposed five bedroom house on the subject lot. Ail three types of obeorption systems ore suitoble for the lot, end the o~oice is on economic decision. The tmo test pits indicote thet the shollom soils ore more permeoble then the deeper soils which stlggeste thot obsocption systems should be ploced et celotivelw shollom depths. Test Pit 1 £Ref Soil Report Oct. 1~. 1885] displows o shollow ol0socption stroto with o coting of' B5 sq. ft./bdrm. lest Pit ~ ]nos o meting of mppcoximotelw 1SO sq. ft./bdcm. The follouJinG design estimetes oeeume the less permeoble coting [180 sq. ft./bdrm] opplies to the oreo of oonetcuction. Wee cE the higher cotinG i~ould result in systems oppcox±motelw hell of the size of the followinG design estimotes. TRENCH Useoble depth=B'-u~', Width=2', Leegth= Two SO' trenches, must be insuloted if cover depth is less then 3'. DR~INFIEL. D Useoble d~pth=3 i/~'-5 1/~', Width=S', Length~ Imo 58' trenches. ABSORPTION BED Ueeoble depth: ~ 1/8'-~ 1/8~, Width:eS', Length~gS' The pceceed~ng dimensions ace only to be used Eom preliminocw est~moting purposes. ~he MunicipolitW of Anohocoge is the only outhoriLw which eon issue moetewatec dJ. sposol permits end their dimensions mew very ~com those presented herein. In eddition to increosing the obsocption oreo, the septic tonk size must be increosed to 1SO0 I trust thor these estimetes ore sufficient Eom your immediote requirements, but pleose collliE I mow provide odditionol inEormotion. Sincerely, ALASKA SOIL TESTING AND ENGINEERING /~., ~- . ~ .~. Mock Holum, P.E. Monogec ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 Deaembec 13, 1985 Leslie glldcedge 3340 E. 151 Anchocoge~ AR ggStG Subject: Pcoposed Wostewotec Disposal Stgstems NI,/~. Lot 3.70, Sec. 33. T12N, RBW, S.Iq. Deaf Ilo, glldcedge: In ou~- lettem oF Decembec 1~, 1885~ ] pcovided om estimate o~ the tcench depth length, ar~d uJldth. Upon revie.w o~ the lettec, [ note that: the tcench useable depth should be ~' and utilize the etmoto between depths o~ ~ mhd ~' I t~ust that this lettec clacifies the pceceeding letter, but please call if Sou hove onW questions. SinceFmlw, ALASKA SOIL. TESTING AND E:NGINEERING I1oc]: Halum, P,E. Mot]oge~ TESTING AND ENGINEERING ALASKA SOIL 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 0ctobec 10, 1885 Leslie Alldmedge 33~0 E. 1S1 Anchomoge, AR ~8516 Subject: N1/2, Lot 170, Sec. DEar Iqr, Alldcedue: Zcansmitted herein ace two test pit lous mith oseociotEd peccolEtion tests mhlch weme mecentlw conducted on the subject pcopectw. ~he scope o~ the investigation mos restricted to the determination oF the soil and Uroundwotmm conditions pemtoiming to on-sitE moste~otEr disposal. ThE results oF the subsuFfooe investigation indicate that the soils become increasinglw Eime ~moined and lmss permeable u~ith depth. There~ome, on-site mastewatem disposal swEtems should be placed at cela~ivelw shollom depths to toke advantage o~ the shollou~, pemmeablE soils. ThE existing soils and lot size appeam to allo~ several disposal swEtem comEi~ucatioms, but the hem sWstem ~ill mequice on increase in the copooitW o~ ~hE septic tank to 1500 ~ollons to aEcom~odote o ~ivE bedroom housE. We mill be pEciodioallg monitoring the groundmatec levels in the fmc test pits, but the current data indicate that ~coundmatmr levels ~]ill not impact design cC ~he mew swetem. Please don't hesitate to call iC we mow provide additional assistance in locating a mem sWetem. Uerw truly yours, ALASKA SOIL TESTIN8 ANO ENGINEERIN~ Mark Holum, P.E. Monogmr ALA XA SOIL TESTING AND El. JINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 SOILS LOG PERFORMED FOR: LEGAL DESCRIPTION: Test Pit 1 SOILS LOG - PERCOLATION TEST ],os]je A]ldrmdge DAlE PERFORMED: Lot ]'?0, Sec. ~5, ~]21I, N~W, ~' '. PERCO LA rION TEST 9-;~?-85 3 4 5 6 7 8 g 10 11 12 13- 14- 15- 16 17 18 19 20 COMMENTS B~own Orts;~nic Sift (Oh) Brown GrnveL witD sand and cobbles~ dam£:~ dense Hoist,=~; hoE, Grain Size Dist. Figure 4 SLOPE Gray Sandy Silt wiLh s::nd layers i.'iois t. -21~6 Gray Silt, dnmp, stiff SITE PLAN (½ray to Nrown Sandy Si]t~ weh~ stiff Compdeted 9-27-85 ENCOUNTERED? IF YES, ATWHAT DEPTII? Gross Net Depth to Ne[ Time 'rime Waler Drop PERCOLATION RATE (minu t es/i,:,;h) TEST RUN EIEIWEEN FT AND Visual rating of GW layer between d.epbhs of 1.0 feet arid 6,O feet = 85 ft2/bdrm,' PERFORMED SY: Hark Holum CERTIFIED BY: . - DATE:,//~) ~/~'2~ Figure 1 AL/ SOIL TESTING AND El. &INEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 SOILS I.OG Te:.;t [TJL ~2 SOILS LOG - PERCOLATION TEST PEHCOLAIION TEST PERFORMED FOR: I,e~l DATE PERFOnMED: (?-2'/-8~2 LEGAL DESCRIPTION: Brown Ord:,rl.ic Jilt (Oh) l~rot,m 5and,~ Grav,~l t.,:i hh cob!,[e~ Brown Samly f]JI I;, da:ap, medJ um stiff' Gray SLOPE SITE PLAN 10 I1 12 13 14- 15- 16- 17- /8- 19 20 Gray to Bz'o'un ;;andy ~;:ilt~ damp, ~;t.[ fi WAS GROUND WATER i~O~ ~;t * :] ~/';; ~ ixO l'. ENCOUNTERED? ,.;r'J. in o:tze DJr5t,. ~ig. 6 IF YES, AT WHAT DEPTH? Comp] e ted 9-27-85 S Iq o Gross Net Depth to Net Reading Date Time 'rime Water Drop 1 9-28-85 l:O0 pm 0 n,Jn. I/2" 2 " ].:~2 32 _ 4 :l/q" 5 .~/~" 3 " i:38 o 3/2" 4 " 2:0~ )0 q 3/2" 5 " 2:08 o )',/h" 6 " 2: ~8," $~ 4 <)/8" ) ?/&" ? " 2:38 0 5/8" 8 " ~:o8 ~0 z~ 1/2" 5 ?/8" PERCOLATION RATE __ TES'F RUN BETWEEN COMMENTS llel'er aJ.~;o ,'i?'ureD I ~,nd 3. PERFORMED BY: Nmy'k IIoluin 8-,?' ¢' ) ~T' ,ftC: O, 4/. (~'}Oates/inch) CERTIFIED ~ A'tAR~ HOLUM ,, ,,.,,) DATE: AL,g ,(A SOIL TESTING AND El. 51NEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 SOILS LOG Test Pit 2 (Cont~Rued) SOILS LOG - PERCOLATION TEST TEST PERFORMED FOR: LEGAL DESCRIPTION: hes[ie Al3 dredge DATE PERFORMED: Lot 170, Sec. ~,~,~, T12N, R~W~ $.M. 9-50-85 5 6 7 8 9 10 11 13- 14 15 16 17 18 19 2O COMMENTS Mark ltolum PERFORMED BY: Refer Lo Figure 2 for r~ea;t [;Jr LOg. SLOPE SITE PLAN WAS GROUND WATER NO S ENCOUNTERED? ~ P E IF YES, ATWIIAT DEPTH? Gross Net Depth to Net Reading Date Time 'rime Water Drop 1 9-50-85 1:12 pm 0 rain 2?" 2 " 2:0~_ 48 " )]." __ ) " 2:06 O 2'? ~/4" ~ " 2:4o o 26 1/4- 6 " ~::1.0 -~0 28 ~/4" 2 1/2" __ ? " ~:40 ~0 ~]. l/~t'' 2 1/2" PERCOLATION RATE 12 ,~ OF ,'~LIm,~,~,s/inch) TEST RUN aETWEEN ( ~£.~, ~';~ AND CERTiFiED B~t~ MARK HOLUM ~sn'~ % CE 5734 . 100 90 80 70 60 50 40 ~O 20 10 O O O O <'4 ,I ,GRAIN SIZE IN MILLIMETEI~S [CBt [ GBA VEL I SAND I F,NES ] PROJECT: N i/~ hut 170, S~c. HB, Ti~N, RB~, S.H. CLIENT: L~slim Alldredge TEST PIT: 1 SAMPLE: i OEPTH: ~.O'-~,S' UNIFIED SOIL CLASSIFICATION: SW IEXTLIR~L CLnSSIFICnTION: GCovel with smnd U.S, SYANDARD PERCENT SIEUE SIZE PASSING 3" 100 ~" 93 1 1/2" 87 1" B1 31~" 75 3/8" 58 ~ ~0 ~10 -. 23 fl~O 11 ~'~0 S 0 ALASKA SOIL G EST,Na RAIN SIZE DISTRIBUTION EN G I N EEftlNG FIGURE U.S. S TA NDAI~D SIEVE SIZE SIEVE A NA L YSIS I I'1 YPFt OMETER ] LO0 90 80 7O 60 50 1~0 5o 2o lO 0 ¢) 0 0 0 0 FINES ] PROJECT: N 1/2 Lot 170, 'Sec. CLIENT: Lsmlim Al%dredge TEST PIT: UNIFIED SDIL CLASSIFICATION: TEXTURAL 33, T12N, R3W, S.N. OEPTH: SM Siltw Sond U,S. STANDARD SIEUE SIZE] 3". 1 1/2" 3/~! ,, 318" ~10 ~f60 1ILO0 PERCENT PASSIN~ 100 100 100 100 100 100 100 100 100 100 100 83 GRAIN SIZE DISTRIBUTION 5 ALASKA SOIL TESTING AND ENGINEEt~ING tJ.s, STANDARD SIEVE SIZE SIEVE ANAL YSIS 100 9O 80 ?0 60 50 30 20 10 0 ,GRAIN i~-~a,A vEL 1 o o o o $ Z~ IN MIL£1M£T'~ItIS 0 0 0 0 0 0 ¢) 0 0 0 FINES PROJECT: N t/2 LoE 170 CLIENT: LesliB ltlldredge Sec. DB, T12N, RBW, S.H. TEST PIT: 42 SAIIPLE: 2 DEPTH: lO.S'-ll',S' UNIFIED SOIL CLASSiFICRTIO'N: HL TEXTURAL CLASSIFICATION: Sondw U.S. STANDRRD ~IEUE SIZE 1 1/~" B/ti ,, 3/B" ~0 ~tBO ~flO0 PERCENY PASSINB 100 100 90',, 86 83 7B 7% BS BS 5B SO I, GRAIN SIZE TRIBUTIOiVI A L A St(A SOIL ~Es~,~~ A~~ DIS F,G~'RE ~ ENGIN EE~ING Ilea '~UNICIPAI,ITY OF ANCHORAGE and Environmental Protec Four/h Floor West 825 L Street Anchorage, Alaska 99501 264-4720 INSPECTION R[iPORT ON-SITE SEWAGE DISPOSAL SYSTEM I TOTAL LENGTII .~1 qEE~GL f)lr: l,og Cr il) R] ngs .... I PIll .... DISTANCE FROM: Crib Size: ] ] ] ass: Depth: )].l l)isl:;nir:e To: Lek I, ino ___ ]dg: S~.,q~ Line: oJ: /~och-ooms__: ....... SQ. Fl', .. ¢ 1' I:;?. h': N C:I 1 t ti:t",tt~i'l H D ]: Hli;1-,i:::;:[ [::)N :1: fi; )'t. IE:. {.ti:Ei",h:] I'{..I ,:: :E N FE:ET ::' :IF: IHE Tf;'F:Nt::H OI;;: i::,E:F:'1FI 'IF: FI 'IF?.E:I",{C:It 'tR i::']:l Eli:E: 'tHI~: i::,:£':':'T'F:INE:E: E:hTi.,.ll~:lii]",J "IHE :~E;[.l~;{:~:::'i=l(::l~; FIN[::' 'FilE: OF: It-lE: ~=.,:.:, ... ]' '~i'-4 ,::):F,~ ....... I:;E:i:::"[H :['E: ]l'iE Fi ]i N :l: l"lL.If'i E:d:F'TH OF 3~:.. I I:~lE:[l.,. E:i'q THEE CiLITF:'I:::IL.i. I:::1 t:::'F:I[ii:I'::iI:::IGEi: I::'l.l:::ff',lt' I'ff::l"r' I~i:ii{!: :[N:ii;ll::lL.I..l!:[::' H'I THE: PE:f:::["ti['I'l'r[[!:l!:::''tE: (31::'T]:Oi",t E, I3E:.:II[i:'::I 1El F: 'lJ O '. ~.,I 'f-ti" ] ?', ~ 2. Iiil]:'t'l-lE:l:;i: I:::1 . t".:, , ]: Ot:;~: :[]: t",l'.i~l:::' I::~t::'[:::'I"'[:OYE[::~ p[...l:::lt",l'l I'll:::i"r' I~:E , I:;'F"3 ]':;~ :' :ii:::' I:::1 ..... I:::l .... N'I '" ' I'::; pII:::I];F,I'I"EEI",II::INI::IE: I'Ll ,:l', :lll:=i,t I:::IEil:E:t[E:I'"IE:N I :i: E; I",111:?1 I:::IEI:::'I' ':IJI:;~:F~: ", T '.r'l::tlJ i"tl:::l"r' E:t~: 1:9. tEI~i¢.J :[ [;?E:I::' 'F '1 :::Ir l-P ~. ][ iHl: E;O :i! ~ ..... ~'1'1 ,. ....... :, ,~.,-- .,:::~.] ::: ,tI:LI:.[.I ILl I.-t,;.I.J.::,l::.l..J.{l ~l..tl,~ Eff:l[::l':::~: :[ i.i :[ NEi I:tl:: I:::ff',l? :E;"?:E; t'[~1'1 14 :[ II.-IEILI'/ F' :[ NF:II. :[ N%[:'E[C:[ ]: ON FiNI:::' Ffl::'F't:~:l::)',,,h:::lt.. E~"[' 'IH :[ [::,E]::'F:ff,::II'"iE::NT i,I):l-I. E',IE E;I.IE',.]'I]~E:T I'O [::'I(:CIE;E:CI.t'I' ]: H].N]:i'il. IFI I:::,;l::~;"l[::*l"~l::;ii~ E[I::I'I'.IIE[:]q I::l t4El..t F:INI]:' I:::IN¥ CIhI'.'-E;]:T[E E;E].,.II::'If31][ [:, ]; :~;f::'EI:~;F:II.. E;?E;IE:Fi '1 ::: :;:l i::'l~l;[F l='fl:;~' F:I .., ~::. {.,.lEt.t, I:)F;: ;::'?::il I=E:[[[' 1:=TP I:;:l I:::'l.tl~q..]:l... I.,.tlEI .I .... OI'H ~: ~;'[: I' [:;' :::" ~ '"" ; I"~F:I"¢ I:11:: I:-I. . :::,1"' I::: ...... ' .[ L.f I ,[ .. I I F:ff',IE:' I:::(~li",l:E; I t;;:t, lt::: I .I [..li',l I::~ ]; ~::ll:~ii:;;:l::ii"i:~: I:::l',,,'l:::l]:i., I::ll:?,l.*~: It:l :[N:~;[JI:E'.I~: l:>[;;:Ol:'l:]:;: I/::::::~ iE: iF;~:', ii "il % i/' ii;E:: :::"::;; IF;:::~ ]4: ~i::;;[:: E::: I%; E:::" E::: C::: Il:: ~'~ il EE4x EE: i[::;::: ::~:: ::~ :::E. :E~;;" '?' ;;: .... SOILS LOG ~ocation bS iqo (~7~_} ~ ~--~ Soil Type 0 16 2 18 2O Water Level Remarks Total Depth of Excavation__j Groundwater ~ Not Reached Depth, if Reached Classification Method ~ Visnal ( ) Sieve Analysis () Material at Total Depth Bedrock ~)~ Not Reached Depth~ if Reached__ __ Gar~ F. Player, Consulting Geologist ILOT % ]: :i: C:Ei[~'.'f]iF'./ '¥'HFIT ;I: 1[ FII',I Ft:::ii',1:[ I_. 1[ FIR I,l:[ -FH '1"1.1[~: i;~:[~ii~:!l.J 1[ F~:[{I',IENT'.5 FOR Ol',l.-.~i; FOIble'IH [Fff'r' '['I'll:i: I"il..IN]:C:[F:'F:II.]ZT¥ OF:' ;::X: :[ I,.1:[I..I. ]:I",I!~.;"I'FIL.L. 'll.-I[C '.~i;","~};TE:Iq ]:~',1 I':IC:COiq:I)FINC:E lq:[-FH THE COD[Z%. '%11 Log Dennig '¥i].kinson ~Ii(3WS~IO0 Grey Clay ,;:Lay, (',r,'~vol Water~ S~nd, Or.avo ] well. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Descriplion (include lot block, subdivision, sec!ion, township, range) T12N R3W Section 33 Lot 170 Location (address or directions) 3340 East 151 (b) PropedyOwner Leslie Alldredge Telephone:Home 345-2002 Business 265-8426 Mailing Address 3340 East 151 Avenue~ Anchorage, Alaska 99516 (c) Lending Institution Mailing Address Telephone (d) Real Eslate Corr/pany and Agent Address Telephone (e) Mail the HAA to the followin~ address: or: Check here[~, if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family [~x Number of Bedlooms three WATER SUPPLY Individual Well ~x Community [] Public E] Nole: I1 community well system, must have written confirmation from tile State Department of Environmental Conservation altesting to the legality and status. SEWAGE DISPOSAL Onsite ~kx Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from tile State Department of Environmental Conservation attesting Io tile legality and status. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown be[ow, I verify that my investigalion of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is sate, 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 ot 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 regulalions in effect on the date of this inspection. Name of Firm Telephone Address Date Engineer's Seal This department has received written confirmation from the engineer regarding the Conditional Approval of June 26, 1986. The corrections have been accomplished and an inspection has been completed by the engineer. The subject property meets with Municipal standards and is now approved. DHHS APPROVAL Approved for ~-hree(3)'nedroomsby~ ,~' Approved xxxxxxx ._ Disapproved Conditional Terms of Conditional Approval Date December 31, 1986 CAUTION The Municipality of Anchorage Deparlment of Health and Human Services (DHHS) issues Health Aothority Approval certificates based only opon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHI4S do not condnct 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 fRev ~/861 Back MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTFIORITY APPBOVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 1. GENERAL INFORMATION Application Date (a) (b) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Applicant Name /-'~E'~'Z"~¢' //~"'~¢:~'~/~'""' Telephone: Home Business Applicant Address ,'~',~¢/'¢ ~'~ /~ ~ ~'~'? /''~° (c) Applicant is (check one): Lending Institution []; Owner/builder~; Buyer []; Otber [] (explain); (d) Lending Institution Address Telephone (e) Real Estate Company and Agent _Ak'j/l'41f~- Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family~ Multi-Family [] Number of Bedrooms ~ Other WATER SUPPLY 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 Onsite'~ Public [] Community [] Holding Tank [] Note: I1 community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72.025 (I 1/84) Page 1 of 2 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, [ 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 tire information obtained from the Municipality of Ancfrorage files and from my investigation and inspection,, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal end State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm /~'""~fl Telephone Address /~.,¢~ .¢,j/ ,..~.~,~:~'~ ,4¢1/,¢~ f/z/')~ ~ /¢~,., DHEP APPROVAL Approved for Approved bedrooms by ~ ,.42-°~f¢-,...-,~ Date V z/"" Disapproved Conditional Terms of Conditional Approval 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 o25 u u84) ALASKA eFIUIROFImeF1TAL COF/TROL $ RUlCeS, IFIC. Cl/qin~l'il/(~ $ Cnuironmcnlo[ $1udies LESLIE ALI,DREDGIi 3340 F, 1511S'1~ ANCIIORAGE A1,ASKA 9951 (~ SELLER S A.'q E LESL I F. AL LIM~.EOGIZ 33.10 E !SlS:i' ANC[IORAGI'; AI,ASKA !1951 G ,JC,h'E 23 I98G G0299 [,CGAL:TI2N R3W SEC 33 GOV LOT 170 FLOW TEST ON WE[,[, WEI,L FLOW I)ATE ,JUNI( 16 1,986 A Fi,OW T~t,~ST ~<AS PERFORMEO ON TIIE WELL. 508 PCMPEi) ,Vi A R,\TI£ OF 7.2 (~1>~! OVER A I)URA't'ION OF '/[iK Di~NWDO~¥X WAS ~U3.9 ' ~'iTII A RECOVERY TIMF OF AND 'lIIE '.~TAT[C WATER I,I~Vlll, WAS 68.1 FEET. 'I'[iK WI~LL iS Al)EQUATE FOR TIllS 3 BEDROOM IiOME, GALLONS OF WATER WAS I. 2 IIOU},~S. 60 Y[[ NU'['ES 1200 UJcsl 33rd Aucnue. Su,lc [~ ,, Anchoreqc Alaska 99503 ,,(907) 581 5040 WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAl- (HAA) CHECK[.IST - FEBRUARY 1984 264-4720 Legal Description:! ~ Well Classification Well Log Present .~q~ ) Total Depth Static Water Level O ~'~' / ~' Casing Height Above Ground Electrical Wiring in ConduitS)N) Separation Distances from Well: ...~- /.~-~ To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Une ~//~ Cleanout/Manhole Water Sample Collected by /~¢5 Water Sample Test Results .~'/'f~7--f'~//'~:7~'-?C/V Comments ¢ >/''~/y'''4'?~ If A, B, ~, D.E.C. Approved (Y/N) Date Cor~pleted ¢ /..~'-?,~' Cased to /~ Depth of Groutin~ Pump S~t At /, ~ ~ Sanitary Se~l on Casing~N) ; ,On Adjoining Lots / ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer S~rvice Line on Lot '~"'~ ; Date SEPTIC/HOLDING TANK DATA Date Installed ~/(P ~/~ ~? StandpipesLt~N) Depression over Tank (Ye Size_/4¢-0 Air-tight Caps,)N) 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 ____ Course /¢'~ '¢'" No. of Compart~nents Foundation Cleanout~N) Date Last Pumped ,,~//,~ ! ;for_ Temporari Holding Tank Permit (Y/N) To BuildinglFoundation ¢~' To Disposal Field ~ Comments Page 1 of 2 72-026(11/84) To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Type of System Design '7"'/'~:~/// Length of Field ¢.¢" / / Depth of Field ~' Gravel Bed Thickness -~. ! Standpipes Present(~kl) Date of Last Adequacy Test ,.,./o~' ~'/e,~,4'HE'/~ Square Feet of Absorption Area Depression over Field (Y~_~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well /...~O f " To Property Line /0 To Building Four~dation.! ~ / ¢' To Existing or Abandoned System on Lot //'//{ ; On Adjoining Lots To Water Main/Service Line /0 ¢ To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course /~"¢ To Driveway, Parking Area, or Vehicle Storage Area Comments ~r2l:~,t,/~· $~/$-r'¢/1 F/~/cz.rz~. /o LIFT STATION ,~/~ "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ~ Vent (Y/N) ~y-¢~ during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** , certify that~,/v~ c~/0~ k .~? )~ rified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~,-'.4¢~----L.,. i'L//~..-~- Date ¢ -,,~-'~O~ Company /'~- ~ Receipt No. Date of Payment Amount: $ MOA No. ~r~-O ~ Page 2 of 2 RED, ALASI(A 8nuII On ISTAL COFITI OL s rauICl $, IrE. ~nqineemq & ~nuironmenlol $1u~ie$ ,Jai/e 20, 1986 Munkcipa!i ty of Ancherage 825 1,. Sireel Anchm, a~e, Alaska <,)9501 Re: Lot. 170, T12N koL, Section 33 The above peferenced lot has a failed sewer syshelll. The homeowner is the ppocess of refinaaeing to obtain fends for an uDgrade. On Jane 16. 1986, ~ investigated the coaditioa of the ex~sting system, The fluid ]eve] in the t:reach 5s 5.8 feet, below t:he serrate of the ground, There Js no evidence that any e[f.l~ent has seepm~ onto tile gpOulld surface either trim sept:lc tank. the clcanotlt art. er tho talqk op t. he standpil~e the end of tim t:reach. A water sample taken ,Juno 16, 1986, ts free of col i f()rlll battier ia. I fee/ that: dlepe J s no i~!,nedJ ate hea] th hazard due to the failed Seiis tests, it~aiier illOll]kopillg, site plan, al/d design have lmeIi completed. Water manitor of test hole ¢1 on dune 16, !986, shm,,od the t~ater level to be aL 12 feet be]ow grouml Sm'face. Water meni~op o? test hole ~t2 Oll ,)UllO 18, 198~, showed lie water to the b()Ltom of t:he motlJtor We are t'equest.ing that you grant Itealth AuthoPJty Apppovai wSth the conditional that iht: ~,c,:,*:~. ~ o'~am~ be upgraded ~}l/il~tZdJ~h( ly al'tell' (:lc)slag whell fttllds t~,oald be available, you have ally qttostiollS, please fee] free tO contac't me aL 561 5040. Sincerely, A1 an W ien Enginee. r ins ri'e0[][1 i clan Approved by: CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO -- OF CHECKED BY DATE SCALE SEWER AND DRAIN CLEANING SERVICE PHONE 345-2513 ANCHORAGE, ALASKA 99511-2688 P.O. BOX 112688 Job Address ROTOR ROOTER SERVICE CALL HRS. ~ STEAM THAWING ' HRS ~-,~ TRIP CHARGE _ OVERTIME CHARGE ADDITIONAL LABOR CHARGE ..... / '~ -v' GAL) PUMPING SERVICb ~, , -- HYDRO-JET SERVICE MATERIALS P_LEASE PAY FRC,_M THIS INVOICE~ HRS. HRS HRS. HRS @ - HRS ~ _ TOTAL TOTAL FOOTAGE CLEANEC OR THAWED-- PROBABLE C. AUSE OF STOPPAGE -- '-% ~ -- " __BpADESUSED~ LINE CLEANED -- · ~] JOB NOT GUARANTEED FOR FOLLOWING REASON WORK ACCEPTED BY aJ LABORATORIES. INC. L "OP TORY I.D., ,3¢ 7127 OLD SE~.-\RD HIGH~L\Y - - ANCHOR,\GE, .,\LASK-\ 99518 (907)344-8551 BACTERIOLOGICAL WATER ANALYSIS TO BE COMPLETED BY WATER SUPPLIER DATE COLLECTED TIME COLLECTED TYPE OF SYSTEM MONTH DAY YEAR AM F~, /~ 26~ ~r¢~o [] PUBLIC]~-~NDIVIDUAL I.D. NO. (PUBLIC SYSTEMS) CIRCLE ClASR ~ I I I ___1___.1 A B C ~s l_~en_~t ~ a_~/_'... NAME OF SYSTEM TELEPHONE NUHBER SYSTEM ADORESS CITY ~?~/ STATE /~?<~ ZIP CODE LOCATION WHER~ SAMPLE WAS COLLECTED °/~ COLLECTED BY (SIGNATURE) TYPE OF SAMPLE (CHECK ONLY ONE THIS COLUMN) ~DRINKING WATER ~CHECK TREATMENT []]CHLORINATED []]FILTERED ~NTREATED OR OTHER [] PJ~W SOURCE WATER []] NEW CONSTRUCTION OR REPAIRS [] OTHER(Specify) iS THIS SAMPLE A CHECK SAMPLE TO A PREVIOUS NON-CONFORMING SAMPLE? [] YES "~iNO PREVIOUS COLLECTION DATE ANALYSIS REQUESTED (IF OTHER THAN TOTAL COLIFORM) SEND REPORT TO:(PRINT FULL IIAME,ADDRESS AND ZIP CODE FOR LAB USE ONLY RESUBMIT SAMPt< Sample rejecten because: CHECK ONE OR MORE Sample too long in transit. Sample should not he over 30 hours. [] Sample received too late in week []]Not in proper container [] Leaked out [] Insufficient information provided. Please read instructions on form. []]Other (Specify) DATE ~C'/../~,~ -TIME ANALYT. ICAL HETHOD: ~MEMBRANE FILTER [] FERHENT,~TION TUBE Date & Time Completed~/~ I~BO~TORY RESULTS ~ RESUBMIT SAMPLE Test unsuitable because: ~ Confluent Growth ~ TNTC SATISFACTORY ~ UNSATISFACTORY BACTERIOLOGICAL WATER ANALYSIS RECORD FOR LAB USE ONLY ~-~ TOTAL COLIFORMS FI FECAL COLIFORMS Membrane Filte=: Direct Count Verification: LTB Final Membrane Filter Results Reported Sy ~ Coliform/l~Oml BGB --_Coliform/lOOml Date Time__ A,M. P.M. READ SAMPLE COLLECTION INSTRUCTIONS ON BACK OF FORM ALASKA 6iaUIROI m6F1TAL COI TFaOL $6l dlC $, IF1C. ~ngir,¢erinq $ ~r, uiror, mcnlal $iurJm SPECIFICATIONS FOR BED WASTEWATER DISPOSAl, SYSTEM N1/2 LOT t70, SECTION 33, T13N, R3W 1.0 OENERAL 2ltE DRAWINGS, SIIEETS I TIIRU 4. SIIAI,L tiE PART CE TIIIS SPECIFICATION, !.2 ALL MATERIAI,S AND WORRMANSBIP SHALL }IEET THE REQUIREMENTS OF TIIE MUNICIPALITY OF ANCIIORAGE. DEPARTMENT OF HEALTH & IIUMAN SERVIUES (I)HIIS), TIlE CONDITIONS OF TIlE PERMIT, AND ALL APPLICABLE RULES AND REGULATIONS CURRENTLY IN EFFECT. 1.3 ALL EXCAVATIONS AND DEPTHS ARE ADVISORY, AND ARE 'FO BE VERIFIED OR MODIFIED IN TIlE FIELD BY A DIlRS APPROVED INSPECTOR. 1.4 IT IS THE RESPONSIBILITY OF THE INSTALLER TO ADIIERE TO APPROVED DESIGNS FOR INSTALLATION, TO MAiN TAIN THE SPECIFIED SEPARATION DISTANCES, ANN 'Ii() tlAVE THE APPROPRIATE INSPECTIONS. ].5 IF 'FilE INSTAI,I,ATION IS NOT INSPECTED BY AN AECS ENGINEER, AECS WILL NOT BE RESPONSIBLE FOR THE DESIGN. AN ENGINEER AT AECS SIIOULD BE CONSULTEi) PRIOR TO CONSTRUCTION, 'FO DETERMINE TIlE NUMBER OF INSPECTIONS THAT WILL BE REQUIRED AND TO EXPLAIN WItAT TIIESE INSPECTIONS WILL INVOLVE. 2.0 SEPTIC TANK EFELDI'iNT PUMP (STEP) 2.1 TIIE SEPTIC TANE SItALL BE A MOA-APPROVED ANCIIORAGE TWO. COMPARTMENT ADDITIONAI, TANK, STEP PER TIlE ATTACBEI) SPECIFICATION, SET LEVEL ON UNDISTURBED SOIL, AND INSDLATED WITII AN OVERLYINU LAYER OE 2 IN~II BURIAL TYPE RIGII) BOARD POLYSTYRENE INSULATION. 2.2 THE SEPTIC TANK SHALl, BE A MINIMUM OF 5 FEET FROM THE HOUSE FOUNDATION, AND A MINIMUM OF 5 FEE'E FRObl THE ABSORPTION AREA. 2.3 TIlE SEPTIC TANK AND BED SHALL BE A MINIMUM OF 100 FT. FROM ANY PRIVATE WELL OR BODY OF WATER, 150 FEET RROM CLASS C WELLS, AND 200 FEET FROM CLASS A OR B WELLS, UNLESS OTIIERWISE SPECIFIED. LESS TIIAN TIlE REQUIRED SEPARATION DISTANCE FOR ELASS A, B, AND C WELLS MUST ItAVE PRIOR APPROVAL OR WAIVER BY ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION {ADEC). 1200 [Utst 33rd Aucnu¢. ~uil¢ ~,* AnChoreq¢. glo,ko 99503.(907) 581-5040 2,4 2.5 3,0 3.1 3.2 3.3 3.4 3.5 3.6 PIPING SHALL BE EiTTED WITII A MECHANICAl, WATERTIGItT CALDER COUPLING ON 'HIE OUTLET AND INLET AN]) STANDPIPES TO TIlL SEPTIC TANK. PIPING SHALL BE 4--INCIt SOLID PVC ASTM I)3034 OR CAST IRON, SLOPED A MINIMUM OF 1/4" PER FOOT, 3 PERCENT, WiTIt A MINIblUM OF 4 FEET OF COVER. CLEANOIJTS SItALL BE INSTALLED AS DESIGNATED AND CAPPED WITII AIR TIGiIT RAIN CAPS (Jlbl EAPS OR EQUIVALENT), AND EXTEND A MINIMUM OF 2 FEET ABOVE GROUND LEVEl,. ABSDRPTION AREA Tile GRAVEL FOR TRE BED SIfALL BE 0.5 TO 2.5 INCH, SCREENED ROCE WITI[ LESS TIIAN 3% PASSING THE #200 SIEVE, ALL SUBSTITUTES MUST [lAVE PRIOR I)[tltS APPROVAL. TIlE BOTTOM OF THE EXCAVATION SiIALL BE I. EVEL AND RAKED WITH TIlE BACKBOE BLADE TO INSDRE TIIAT THE BOTTObl [lAS NOT BEEN COMPACTED DDRING EXCAVATION. TIlE DISTRIBUTION PIPE SHALU BE 4 INCH RIGID PVC WITH A b~INiMUM CRUS}I STRENGT}I OE 1S00 LBS. ALL PIPES S[1ALL BE LAID LEVEL, AND SPACED ACCORDING TO THE DRAWINGS. TWO ,XlONITOR STANDPIPES SHALL BE PLACED AS SHOWN IN TIlE DRAWINGS. TllEY SItALL BE RIGID PVC ASTM D-,'3034, OR 4 INCH DIAMETER CAST IRON. THE SECTION SBOWN WITtI HOLES MAY Big EITHER 0.5 INCH HOLES DRILLED ON ~ INCH CENTERS ON OPPOSITE SIDES OF TIlE PIPE, OR A SECTION OF REGULAR PERI;'ORATED SEWER PIPE bIAY BE CLAMPED TO TIlE SOLID SECTION WITH A NO HUB COUPLING OR SOLVENT ,JOINT. A RUBBER RAINCAP (.JIM CAP OR EQUIVALENT) SItALL BE INSTALLF. D OVER TIIE TOP OE I'ItE PIPE, IF THE FINAL GRADE OVER TIlE BED IS LESS THAN 4 FEET ABOVE 'rile GRAVEl,, INSULATION IS REQUIRED, USING BURiAl, TYPE POLYSTYRENE RIGID BOARD INSULATION EXTRUDED BLUE STYROFOAM BOARD. THERE SIIAI,L BE 1 INCII OF INSULATION FOR EVERY FOOT OF SOIL LESS THAN THE REQUIRED 4 FEET OF COVER, BUT THERE ,',lUST BE AT LEAST 24 INCIIES OF SOIL EVEN THOU(ill INSULATION IS USED. THE SOLID PIPE EXTENDING FROi~I TIlE SEPTIC TANK TO TRE DRAINFIELD SIIALL ALSO ItAVE 4 FEET OF COVER (IR AN EQUIVALENT LAYER OF INSIlI,ATION COb~BINED WITH SOIl, TO PREVENT FREEZING OF THE LINE. iF INSULATION IS NOT NECESSARY, TREN TIlE 6RAVEL MUST BE COVERliD WITH A LAYER OF A NONWOVEN GEOTEX!rlLE FABRIC (SUCH AS MIRAFAI, FIBRETEX 200 GRADE, POLY FILTER X, OR EQUIVALENT). 4.0 INSPECTIONS 4.1 A MINIMUM OE TWO INSPECTIONS ARE REQUIRED FOR TIIE INSTALLATION OF THE TRENCH, TIlE FIRST INSPECTION WILL BE OF TIlE EXCAVATION TI) VERIFY TIIAT INSTALLATION WILL Big IN THE PROPER SOIL. TIlE SECOND INSPECTION WELL BE AFTER PLACEMENT OF TIlE GRAVEL, MONITOR STANDPIPE AND DISTRIBUTION PIPE TO VERIFY PROPER INSTALLATION BEFORE BACIiFILL. CONTROL SERVK .$, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561.5040 SHEET NO c~LCUL~TE~ ~__1 ~ ~ CHECKED BY _ SCALE DATE L CONTROL SERVIC-.~, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 551-§040 CALCULATED BY. i~'~(~;~ DATE-- SCALE. (~) ~P;I~ FAt4,~ F~ g/3/ D A CONTROL SERVIC. ~, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 ~.EET NO -- ~ OF __~ CHECKED BY DATE /FA ~2.1~'A l~ , , ,~A.//,/ T/&H?' ~ \ \ ALA~H,A ~.PlVII~UP~--~-ft I ~L CONI'ROL SERVI£-,~, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 CHECKED BY ~c^,E _ZL~ 40' DATE '1 ANI< F 0 R A, Anchorage Tank & Welding, Inc. 2700 Porcupine Dr. Anchorage, Alaska 99501 (907) 272-3~!3 L,I F'T SYSTEMS ,gE:P'Ilt.: TANI< SHALL, BE A MO[CI:F':I:E~) AN(: 'ORAGE TANI< SI~ t]:1~ 'T'ANK, 'THE: DESIGN OR ANAI,,YSi:S SHAL, L BE IN ACCORDANCE MITH ACCEF';E:D ENGINEiERING PRACTICE ~ND LOCAl.., TANKS SHAI..,I.. BE [)ESIGNEI:~ I::'OIR L,OA]]ING COi,,IiCI:TiOi',/S AS RI!.:qU]:r,].E:[~ BY MUNICII:~ (:d"/B STATE: .~IE(..)UL, A'I ]. ONS, C, AL, I, ~E!,.l)Ii'.lG SHAL, L, BE: IN ACC[H~BA,".!:::[; IJ:I:TH APPI~ICABLF: COl)ES AND ' /AN1. ARI.,), COATING ,:q-iAL, I,., BE J NLMI q. 6"Ll'6'5 HI''~BUILI) ~,ANK :X)A'T]:NG AND AI:~PL, iEI] AS I::'Of SURI:rACE pR[:':F~AIRATION - AI..,L, SUIRF'ACE:S MUST BE I)RY, CI..,IiiiAN, AN.() Rli~:ASONABI.~Y FREE 01::' RUST AND MII..,L, SCAIJ: li~XCKSS RUST, MIL,L, SCAI.,E ANI] I,JI~]_,][)ING SLAG SHAL, I., BE I~::'.HOVE9 BY IjIRE BRUSH 01, O'(MIZR MEANS AS NECESSARY. AI::PI.,[CATION SHALl.. BE AIRI,,ESS 'SPIt:::~"f TOLJCH UP W I T I.'l B R U El H 0 ',~ R 0 L,],lii: IR, TH!:NNING ,':d'-IAI.J.. BE ACCOi"iPL:[SHE.O I,JIi'H APPROVEI) i~'lA'Jlii!~[AL, ANO W]:LI., NOT z,,f.,E. IZL 1.1., StJRFA(:E 'I'E:MI:~EI']ATLI:diI: .::d-IAI,2., NOT BE Br:'],.,OI.J q. OF' OR ,~J BEL, OU I}EW F~O]:NT 121.,IICH I:?,." R IS I_.(]I,.JEI~.. :[ N '~ I{~ It! ]: i]i IR .c..; fi A L L B E: C 0 A T E [I T W 0 T I Id ::: S A f!B .:~ H A I,., L, BE A MININUM (:11::' 20 DRY MIL, L,S EXTEIRIOR ,.I,,.d..I.., BE cOAT[::]() ONE TIME AN1) .:~I.IACI~ BE A MININUH 01':' 10 !)RY MIL, I.,S, R.[~I:.R Anchorage Tank & Welding, Inc. 27oo Porcuplno Dr. Ancl~orage, Alaska 99501 OUTL.,ET RISERS SHAI,.,L. BE GALVANIZED STEEL, CUI.,VERT, AND SHALb BE ~Sq. INCHES (HINIMUH), HIGH, SHAL, I., [..i~VE A MINIHLIM NOMIMAI., I)IA~%'~'~:R OF 2q. INCHES, AND SHALL BE CAPABbE OF BEING E(~UIPPED W]t i'FI 'IHE FOLLOW A, A .JUNCTION (NE:MA q.X) BOX OR OR A~TACHI:.]L 'TO THE RiSIER, .......... .I. h S l AI.,I.,~ ~ B, UL, L,]:STE[~ :.I..,~:C~'I~,LCA., COR:0 GRIPS, ' .... IN THE J."BOX, A !,II) .- SHAbL ]EtE FURNISHE:[I 14]:TH if.iii!: R].c>IzR, IT ,:~HAI. I.., EcE C N3TRLCT~D OFr F'IBI!!:RGI..ASS OR C, RISER ]'NSTAL,.,ATION I:;.AL, H R],,:4:.R ,~I-'IAL, L BE SEAL,[:.]I OR ~FZI.~ZI:~D TO THE TOP OF THIL TANK IN SLJCH A MANNER AS TO PREVEEN]' iNF:']:L/TRA'flOH 01:: GROUNB WATER Wl.~[ RIE PI?ESENT, :~].G]! FXTRU~'F:B POL.,YSTYRE:NIi ]:NSUL.,AT]:ON ' 2' ..... ~;lh~hl..,L, BE PI.~ACE[ IN THE R:[Sli:J:~ ~'~I:?E(]TL, Y BEL, OW THlii: L, I 0, INSUL, ATICIN - 2" SPRAYE][I I/, .fI..ANE ON CIRCUidF'ERENCE OF' R:[SER, Anchorage Tank & Welding, Inc. 2700 Porcupine Dr. Anchorage, Alaska 99501 (907) 272-3543 OF "OL,,LX)~] Nb , .L.I.u VOL, T OR EG)UAI., 1, 1/S H P HYERS c,c' ~' SCRli~:E:NIED PUMP VAULT (U.S, PATEN'I' IPl. q. S9S2S) 59" DEEP, S/].6" THICK H]:(iH'"I:mE:NSITY PVC CYCLI~,OCI~ HOUSES THE PUHP, LEVEl.., COi'..[~OI..,S AN[I SCREEN AND SE:I?V~:S AS A BAFFL.,E TO PRIEVIENT 'Fl..liE SC RE]EN "i'HIE I' ].1 l.IiiiN 1'"],/~." DIA, HOL, Eo ARE I)RII,I,'I) iN THE VAULT ABOUT THE: HIDW~Y POIN]' lin THI] DEPI'H OF' THE F'L.,AP CHECK', AI..,L, OWo TI-Iii ',,/AULT TO 1)RAIN 141..llii:N R E: ~'1 !] V ]: N I; F:' R 0 H T A N I( , S C R E E N: F)OI..,yE'TI..IYLENE 1/8" ;IESH BO'f I'OH, 3, Al L, PI,UHB]iNG SHAI..,L, BE PVC OR CORROglNG MATERIAl.,, PUHP CONTROL, S ~N~ AI..,AR?~ SYSTEM - CONTROl.., CIlAL,I BE ORI~tNCO 15" I)IA, !':YL,]ND~:R OF ..[..~...-I.:ll;~.l. lY C A ~ T :[ N"I' 0 F ]: iEI E R G I.., A S S 0'~1! :1:~ NON .... ,iY,:fE.M~ ('TH) i'41..,'SF' CONS]:STIN(J AUI)IBI.,IL" AL, ARM PANIii:L MOUNT I...j! rl'.l A H[Nit'itJH OF 80 I)B S ',UNI) PRESSUR[.~ AT 2q.-.];NCHES, OI:~ RATING 'I'Ii:~MPERATURE .'"3('A TO &~,aC, CONTINOUS SOUND, Anchorage Tank & Weld|ng, Inc. 2700 Porcupine Dr. '~x~ Anchorage, ALaska 99501 (907) 272-3543 I G I-I T V :1] ~ U A I., ~ L, ~ R H ~ I T I"l P U S I"l '"' T I] ... S I b IE N C E I::'I:.ATIJRE, ALJTBNAI']]C AUI)IO'-AL.,ARH RIi]SE]', ].5 AMP MOTOR RATED TOGI);I..,E] SY.Ii'CH, S]iNGLE PC)L.,I~:, DI3UBI.,E--THR(:?.I LI]:TH THRI~:E: HANUAb (HAN), AU'I'C)H~T]:C (Al. ITl]), (C) lzl::') (I'I,O,A,), .[BI..R(~I,A..~,.~, OR E(]UAI .... NE]MA EN[H..,f..:: LIZ V E L., C CIN T RI] L, I:'1..,1) A T !:] S H AI..L, BE O Rli!iN C J ~ !] Y S"I' E M S ( T M ) I:WC .c-~'¥'LE.H LII..IIC'H A'I'TAC;HE.~ TI] VAt. II,(, ()NI-] I::'I..,OAT .c.~zC~NAL,E~ AL, AI~.H; THE (I'll'HI] I:,~ ~t,d]y/'CI.IES I:!IJHP ON""OI:rl::', INS'T'AI.,L,A'T]]ON, Al,l., I:~LIHP]]N(,~ SYSIE. M!:~ ol't~L,L., BE ]]'t!?TI'AL, L.,E]] IN Af.,C, BI,~![ ANC, IL L4]]'I'I,,I THE] FIANUF'P~C]TIJRER ,r, RE:COHNIi[]N:[)AI:[Cli',I!~ AND STANgAI~DS, -- NEMA 4X Junr"tlon box -- PVC ball valve ~,' ~9 X ~' 6'Culvert Manhole -- i~lexlble hose ~' sprayed ~e~h~ne F~n ~ ll&' PVC p~e T~ -- 1 1/~' PVC check vo, Lve 1/4' ctlo, dPo, ln bc~ck hole 1 :~/8' hole~ ~$' DC HOLE 1/8' Me.gq polye~hyiene ~creen 15' dl(X X 39' high -- Re~oJnlng ~ngle~ 1/3 hp e?Fluen~c pump, various 1L~O ~ 1500 ~000 Reserve C ~p~c~/ above Alo~m E~09 GAL 8~1 GAL .333 GAL Reserve C~p~ot¥ ~bove p~ on ~ ~L 31~ ~L 415 GAL ~p~ 9e.~eh'" Pu~ on ~ P~ oF~ ~ ~L 113 G~L 178 GAL Flo~ L~vel .... ~ ~3~ 44 ~R' 39' LIFT STATIEIN DATA O 5 1~ 15 ~0 ~.5 30 35 E(~llons per mlflu~e TYPICAL PUMP PERFDRMANCE CURVE SIZE SHELL C 1250 1~ GAUGE 40 1500 80OO GAUGE i0 C,-AUiiE 1~1 178.' ! 81' 145 1/~" 97' 194' 1E9 3/8' 48 1/2' 64 5/8' 44 BE])RDDM> (5 & 6 NOTE SIZE CHART - LIFT STATIDN TANKS MUST BE 250 GALLDN~ LARGER THAN STANI)AR]) TANKS FDR SAME APPLICATIDN ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 Octobem i0, 1885 Leslie AlldcedBe ~]~0 E, 151 Subject: N1/2, Lot 170, Sec. B3, Ti2N~ RBW, S.M. Beoc Iqc. Alldred~e: Yronsmitted herein ocs two test pit logs with ossoeioted pecoolotion tests which were cecentlw conducted on thm subject pcopectW. The seeps of the investigotion mos restricted to the detecminotion of the soil end gcoundwotec conditions pertoining to on-site wostewotec dispose].. ~he results of the subsorfece investigotion indieote thor the soils become incceosinglw fine groined sod less pecmeoble with depth. Therefore, on-'site mostewoter disposol s~stems should be plooed mt reLoLivelW shollow depths to toke odvontoge of the shollow, pecmeoble soils. The existing soils end lot size oppeom to ollow severol disposol swstem con[igucotions, but the new swstem will require on incceoss ie the copoeitw o~ %he septic took to 1500 gollons to ocoommodote o ~'ive bedroom house. We mill bm peciodicollw monitoring the gmoundwotec levels in the tt~o test pits, but the current doco:lndieote thor g~'oundwotec levels will not import des]g4o o~ the new swstem. Pleose doe't hesitote to ooll iF we mowip~.'ovide odditionol ossistonce in loeoting o new sgstem. Uecy tculw yours, ALASKA SOIL TESTING AND ENGINEERING Mock Holum, P,E, Monogec ALA ,KA SOIL TESTING AND El% _,INEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 SOILS LOG PERFORMED FOR: LEGAL DESCRIPTION: '."est Pit, 1 SOILS LOG - PERCOLATION TEST Leslie Alldredge DATE PERFORMED: N~/2, ]Jot i'?O, Sec. 32, T12N, lt3W, S.H. TEST 9-27-85 1 2 3- 4- 5- 6 7 8 9 10 11 12 13 14 15 16- 17 18 19- 20- COMMENTS B~own Organic S~]t (OL) Brown Gravel with sand and cobbles, dam~, dease 14oist.=j%; kef. Grain Size Dist. Figure 4 SLOPE Gray Sandy Silt with sand layers ~aiiip, stiff Ho~ st.-Z1% Gray Silt~ damp, st~ff SITE PLAN Gray to Brown Sandy SiIt~ .wet,, stiff WAS GROUND WATER ENCOONTERED? IF YES, AT WHAT DEPTR? Completed 9-27-85 Gross Net Depth to Net Pime Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BE'FWEEN FT AND Visual rating of OW layer between depths of 1.O feet and 6.F~ feet = 85 ft2/bdrm. PERFORMED BY: Hark tlolum DATE:,~) Figure 1 ALASKA SOIL TESTING AND FN,MNEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 SOILS LOG Test 2it 2 SOILS LOG - PERCOLATION TEST PERCOLATION PERFORMED FOR: Leslie Alldredge DATE PERFORMED: 9-27-8.5 LEGAL DESCRIPTION: N[~, Lot 1'?O~ Sec. >>t T12Nt R>W~ S.M. -- Brown Organic Silt (OL) SLOPE Brown Sandy Gravel with cobbles Brown Sandy Silt, damp, medium stiff Gray Sand~ damp, medium dense Gray Silty Sand, damp, dense Moist.=].>%; Ref. Grain Size Dist. Figure 5 Gray Sandy Silt, damp~ stiff SITE PLAN 10 11 12 13 14 15 16 17 18 19 Gray to Broun Sandy Silt, -- damp, stiff WAS GROUND WATER Hoist. =12%, Ro£. ENCOUNTERED? Grain Size Dist. Fig. 6 Comple ted 9-2'7-85 Gross Net Depth lo Net Reading Date Time Time Water Drop 1 2 4 6 9-28-85 8 1:00 pm ___ 1:)2 i 1:~8 2:08 2:08 2:58 5:0~ min. 1/2" 1/2 ]£.1/2 5/4" 5/8" 4 1/2" 5/4" 7/8' ?/8" 20 PERCOLATION RATE es/inch) COMMENTS TEST RUN BETWEEN Befer also Figures 1 and ~. PERFORMED BY: CERTIFIED DATE: /'/~) ""/~/'-d~¢~' Figure 2 ALAS & SOIL TESTING AND EN _,INEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 [] SOILS LOG Test, ?it 2 (Cont, lnued) SOILS LOG- PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: Leslie A].ldredge DATE PERFORMED: Ny~, Lot 1'?O, Sec. 33, T12N~ R3W, S.M. 9-50-8.5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS PERFORMED BY: Refer to Figure 2 for Test Pit Log. SLOPE SITE PLAN ENCOUNTERED? IF YES, AT WHAT DEPTH? [ Gross I Net Dopth to Net Reading Date Time Tirne Water Drop 1 9-~O-85 2:17 pm O rain 2?" 2 " 2:O~ 48 " 31" 3 " 2:06 0 27 )/4" 4 " 2:~6 30 ~0 1/4" 2 1/2" 5 " 2:Z~O 0 26 1/4" 6 " ~:ZO 50 28 5/~" 2 1/2" ? " 5:~0 50 51 1/4" 2 1/2" Mark }{olum PERCOLATION RATE CERTIFIED BY~ '~ % MARX HOLUM '~ ', ..' ~,~ )igure 3 U.S, STANDARD SIEVE SIZE SIEVE ANALYSIS Il YDROMETER lO0 90 80 7o 60 50 40 50 2O 10 o © o o o · GRAIN SiZE IN MILLIMET~R~ o o o o GRAVEL I SAND I FINES PREMEET: N i/E Lut 170, Smu, ~3, T1EN, R3U, s,rl. CLIENT: Lemlim ~illdredge TESI PIT: i SAMPLE: 1 DEPTH: R,O'-~,5' UNIFIED SOIL CLASSIFICATION: GW TEXTURAL CLASSIFICATION: Gcmvml mith smnd U,S, S%ANDARD PERCENT SIEUE SIZE PASSIN~ ~" 100 1 1/E" 87 1" 3/~" 7S 3/8" ~10 · 23 ~20 #40 S ~BO 2 ~00 G N RAIN SIZE DISTRIBUTIO ALASKA SOIL TESTING AND ENGINEERING FIGURE ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 Decembe~ 12, 1985 Leslie Alldcedge 33~0 ~ 1S1 Anchocoge, AK 99516 Subject: PFoposed Wostewotec Oisposol Sustems N1/2, Lot 170, Sec, 33, T12N, R3W, S,Iq. As pec WOLIF cequest~ I hove pcepoFed e`sqimotms of the Fequiced tcench~ dcoinEield, end seepegq bed s~zes to occommodote o pcoposed five bedcoom hew~e on the sub]ec~ lo~, All rheem tWpee of ebsecptzen egeteme ocs euitoble Fcc the lo~, end the ~oioe is on economic decision, The ttdo test pits inditers thor the shello~d soils ocs moFe pecmeable then the deepec soils mhioh sul~ests thor obsomptCem sgetems should bo pleeed et ~elotivelW ehollom depthe~ Test Pit 1. £ReF Soil Repoct Octl, 1~, 1BBS] displews o shollow obsomption stFato ~i~h O motie`~ of B5 sq, Test P~t 2 hes o metim~ of oppmo×imo~elW 180 sq, ~t,/hdmm, The. ~ollou~inB design estimo~ee oseume the less pemmeoble coting £180 sq, fK./bdcm3 opplies 'to the oeec o~ conetcuct~.on, Use o~ the hiBhec cot±n~ u~ould cesult in swstems oppco×lmotelw holF o~ ~l~e sizE.= o~' the dqsign estimetes. TRENCH Useoble depth--2'-~L' , tdidth=2', Len.gt-: Tmo E~O' tFenches, must be insulated i~ corec dePit, h is less then 3'. ORAINFIELO Useoble depth:3 1/2'-5 1/2', Width:5', Length Two 58' tmmnchms, ABSORPTION BEO Useoble depth= ~ L/2'-~ 1/2' Width=2S', '/he p['ecee`dzrl~ dimensi, ons ocs onlw to be used ~om pce]iminocy est~metin~ pucpose`s, The Munic±politW eL~ Anehoco~e is the onlw euthomitW u~hi. oh eon issue mostewctte~' disposel pe['mi~s end tl~eic dzme`nsione moW yomW ~com these pcesented hecein, In oddition to incFe.esing the obso~'pt±on oeec, the septic tonk size must be ineFe.osed to 1500 Dele. I tFust thot these e.stimetes ems sufficient .~mmediote cequimemmnte, but pleose sell ~F edditionol in,erection, I moW pFovide SinceFelw, ALASKA SOIL TESTING ~NI] ENGINEERING Mark Holum~ P,E. ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 December 1!~, 1885 Les] =e A1 ldredge Subject: Proposed Wostewotec Oisposol Sgetems N1/~, Lot 170, Sec. ~3, YI~N. R3(d, S.Iq. DmoF 1Tr. Alldredge: In OLlr letter Off December 18, 1885~ I provided on estimote off the trench depth len~th~ end u~idth. Upon Fevlew oP the l. ette~~, I note Lhet the trench useoble d~pth should be ~ end L~ti.l].Zm tine etcoto bmtuJeen depths I tFUSt thor this letter cloriffies the pFeoeeding letteF, ]out pteese call iff Wou hove onW questions. SineeFelw , ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561 7453 Octobec ].0, 1985 Leslie A1 lcicedge 33'50 E. 1SI Anohocoge, AK 99S].8 Subject Ni/2, Lot 170, Sec. Oeom I'lr, AJ. lclred~e: Tmonsmitted he[-ein cms two test pLt logs u~ith ossoc:ioted peccolotlon tests which were recentlw conducted on ~hm sub]ec~ propemtW~ ~he scope oF ~he invemtigoLion worn cestmioted to the detmmminution oF the soil ond ~roundwoLmm condztions pemto~mlr~ to on-site wostewoter- disposol. }-he mesults oF Lhe sUbsLmFOce ~nvestigotion indioote thor the so&ls become ~ncceos±nglw Fine gmoined o~%d less pecmeoble with depth. '£hemeFome, on-site wostemotem dieposul swstems should be ploced mt celotivelw shsl. lom depths to toke odvontoge oF the shollow, peL-meoble soils. Thm existing soils ond lot size oppeom to ollow severol dieposol swstem oonfigucstions, but the mew swstem will cequime on incceose in the copocitW o~ the septic tonk to 1500 ~ollons to occommodote o ~ive bedcoom house. Wu will be periodlcollW monitorzn~ the grlsundwotec levels J.n the two test pits, but ~J~e oumr'ent dots ~'ndicste thot .~coundmotem levels will not impost desLg~ of the new s.qstem Pleose don't hesitote to coll i~ we moW provide odditisnol ossistonce in locoting o mew swstem. UeFW Ecu1W youms, PERFORMED FOR: LEGAL DESCRIPTION: SOIL TESTING AND Ek JINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 Test P:i h 3. SOILS LOG- PERCOLATION TI~ST , DATE PERFORMED: Lot lr?O~ Sec. ~.5, Ti2[',", I~W, S.~q.. SOILS LOG PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13, 14- 15 16 17 18 20- COMMENTS ?.~'ewn Org:;nic SS lt (OI,) brown Grave] w_lth sand and cobb] es, dam~, dense !!o.Jst.=~%; l~ef. Grain Size Dist. Figure ~ SLOPE Gray Sandy SiJt with sand layers damp, s4Jff i)oJ s t. Gray Si!t~ damp~ st:iff SITE PLAN WAS GROUND WATER Gray to Brown dandy ENCOUNTERED? SJ]~ weZ, F~t~£f IFYES, ATWHAT DEPTH? Comp] e ted Time Net Time Depthto Net Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN . FT AND . Vi,'~ua] r'atJng of GW layer between depths of .]..0[ fe..t ~.~T t'eet 85 ft2/bdrm. PERFORMED BY: ['lark Ho] urn l,'igu re 1 ALA_ SOIl. TESTING AND EI..;INEERING 6100 A Street, Anchorage, AlaSka 99502 (907) 561-7453 SOILS LOG Teat ~St 2 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: J.eslJe A]ld. redge DATE PERFORMED: LEGAL DESCRIPTION:.,. 1 2 3 4 5 6 7 8 9 10 11 12 13 l,oL ].70, Sec. Brown Or~ahic ;Jilt (O1,) Brown Sandy Grave] './Jt)~ cobbles brown SaRdy SiJt~ damf, medium st~ ff Gray Silty San~, damp, der~.se HoJ.'ot.=)~%; Re£. Grain ~;ize Dist. Figure 5 Gray Sandy Silt, damp~ ~tiff .~ T12N, Ii),;.~1 S.~.i. SLOPE Gray to Brown Sandy .;i]t~ damp, stiff WAS GROUND WATER Grsin Size ~ot, ~'lgi. FYES, ATWHAT SITE PLAN N O S P 14- 15- 16- 17- 18- 19 2O Comp] eted 9-27~85 Net Depth to Net Reading Date Gross [ Time Water Drop ] 9-28-85 1:O0 p~.~ 0 r,~n. ]/2" 2 " 1:~2 .~,? 4 l/Z,," 3 .~/4" ~ " :l:~8 0 ]/2" ~ " 2:08 ~0 ~+ ]/2" 4 " 5 " 2:08 ! 0 ~/4" ~ " ~:~8,,' j ~o ~ b/8" $ 7/8" ? " 2:~8 o ~/8" 8 " ~:o8 ~ ~o 4 ~/2" ~ ?/8" COMMENTS PERFORMED BY: I~J~'k Ho].urg PERCOLATION RATE es/inch) TEST RUN BETWEEN f,:eFer a]..'~o /"id;ureR ] aad 3. CERTIFIED E DATE: Figure ALA KA SOIL TESTING AND El. JINEERING 6100 A Street, Anchorage, Alaika 99502 (907) 561-7453 ~ SOILS LOG PERFORMED FOR: LEGAL DESCRIPTION: Test Pit 2 (Cont:i~ued) SOILS LOG - PERCOLATION TEST dredge DATE PERFORMED: N~, Lot, ]?0, Sec. 33, '212N~ PERCOLA] ION TEST 9-5o-85 t 2 3 4 5 6 7 8 9 10 11 12 13- 14- 15 16 17 18 19- 20- COMMENTS PERFORMED BY: ['~a z'k Ho] tlgl Refer to ["5.gure 2 for Test P:it Log. SLOPE SITE PLAN WASGROUNDWATER No ENCOUNTERED? IF YES, AT WHAT DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop ]- 9-30-8.5 0 rash 3 1:].? pr 2:05 2:06 2:56 2:~0 5:10 3:~0 © 50 30 27 3/4-u 26 1/4" 3]. 1/~+ 2 1/2" U.S, STANDARD SIEVIE SIZE SIEVE ANALYSIS HYDROMETER 100 ~ d-F,~ ~ 74 ~. = o ~oo o o o o 9o $0 7o 60 50 40 30 2O 10 0 GRAIN SIZE IN IL IMETERS PROJECT: N 1/2 Lot 170, See. 33, T12N, R3W, CLIENT: Leelie Alldredge TEST PIT': 1 S~NPLE: 1 DEPTH: ~,0'-~.5' UNIFIED SDIL ELRSSIFIERTIgN: 5W I'1. TEXTURgL CLASSIFICglION: Grovel mitln smnd U,S, STgNDARD PERCEN~ SIEUE SIZE pASSINSi 3" 100 2" ~3 1 1/2" B7 1" fll 31~" 75 318" 5B ~10 23 ~0 11 ~0 5 ~80 2 ~flO0 1 ~00 0 0 0 o o TESTING AND ENGINEERING FIGURE 100 ~ 90 ~ 80 ~ 7O m 50 qO 3O 20 10 0 U.S. STANDARD SIEVe. SIZE SIEVE ANALYSIS .G/lAIN SiZE IN MILLIMET~'R~ C~_L~ GRA VEL I SAND HYDROMETER 0 0 0 0 0 0 0 0 0 0 FINES PROJECT: N 1/2 Lot 170, Sec. 33, T12N, R3W, CLIENT: Lmmlim Al%dredge TEST PIT: ,2 SAHPLE: 1 UNIFIED SOIL CLASSIFICATION: TEXTURAL CLASSIFICATION: DEPTH: SH SiltW SOT]d ALASKA SOIL U.S. STANDARD SlEUE SIZE 3" PERCEN/ PASSING 100 100 100 100 3/8" ~].0 ~0 ~60 tflO0 4200 100 100 100 100 100 100 83 GRAIN SIZE DISTRIBUTION TESTING AND ENGINEERING FIGURE U,S. STANDARD SIEV~ SIZE SIEVE ANALYSIS ! I HYDROMETER lDO 8O 7o 60 ..sO ~o ~o ~0 10 o 0 .GRAIN SIZF. IN MILLIMETERS o o 0 o FINES PROJECT: N I/R Lot 170,'Sec. 33, TlR-N, R3W, S,M. CLIENT: Leslis Alldredoe TEST PIT: ,8 SAMPLE: 2 DEPTH: UNIFIED SOIL CLASS~FICA'rIO'N: ML TEXTURAL CLASSIFICATION: Sondw S~lt ~ U.S. STANDARD PERCENT SIEUE SIZE PASSINB 2" 100 i 1/2" 100 1" 90'.: 3/~" 3/8" 86 ~ 83 ~10 7B ~BO ~0 69 ~60 ES 0100 56 ~00 SO ' ALAS,<A ~o,L [G TEST,NO AND RAiN SIZE DISTRIBUTION ENGINEERING FIGURE 6 ' DEPT OF MUNICIPALITY OF ANCHORAGE ENVIRONMENi'Ai. Pf, O'fl~CTION DEPARTMENT OF HEALTH & ENVIRONMENTAL pROTECTION  B2E L Street - AecBoral]o, Alaska ggB0t AUG 8 ENVIRONMENTAL ENGINEERING DI VISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on pa§e 1, Incomplete requests wgl not he processed, P easg 3aow ten (10( days for processing, E.OPE.TYDWNE" /7 MAILING Al}DRESS PROPERTY RES DENT ~ f different from 2, BUYER DRONE '1 PHONE P~DNE ~AI LING ADDRESS 3. LENDING INSTITUTION PHONE ~-AI LI ~G ADDRESS 4. REALTOR/AGENT MAILING ADDRESS ~"~-.--L-E~/~ L~ D t~C R I P T I O1~- - -~-~'R E ET LODATION 6, TYPEOF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAM LY WATER SUPPLY NDiVIDUAL~ [] COMMUNITY [] PUBLIC UTI LITY B. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON'SITE** [] ~)UBLIC UTI LITY I-NO~E:'THE INSPECTION FEE NUMBER OI r-~EDROOMS ~ One [] Four [~ Omar ~3 Two [] :ire ~ Three [~ Six * ATTACH WELL. LOG. A ~vell Icg is requ.ed for all wells drilled since June 1975. For walls drilled pr or to mat aate, give well depth (attach Icg if available,) , **If individual/on-site, give illStal ation date , ~"~ If system is over two I2) y~grs old an adequacy.,, z~f. ~'/test is requl~'e(~ by this D0partment, 'v]UST ACCOMPANY EACH REQUEST BEFiORE PROCESSING CAN BE NITIATED, 72-010{3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RE--CEIV ED "' INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSP ECTO R INSPECTOR INSPECTOR DIRECTIONS; ' 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE E~ OTHER [] MULTIPLE FAMILY E] TWO [] FOUR [] SIX 2, WATER SUPPLY I~RMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified.. LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E] INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified ~NSTALLER []Septic Tank or E~]Holding Tank Size: /~E~)f:2 _ If Tank is homemad[ SOILS RATING give dimensions: ~ ,.~ .,_ TYPE OF TANK MANUFACTURER 5. COMMENTS [~APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accom~ertificate) DATE [] DISAPPROVED BY (Title) . 72-010 (Rev, 3/78)