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HomeMy WebLinkAboutT12N R3W SEC 33 LT 170 S150'
,oK ANCHORAGE AREA BOR .JGH
Department of Environmental Quality
3330 g Street
Anchorage, Alaska ggs03
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL !(~
INSIDE LENGTH ........ INSIDE WIDTH
TILE DRAIN FIELD: [ ,/~0..¢...~ .
DISTANCE FROM WELL
NUMBER OF LINES
ABSORP¥1ON AREA G ¢-*O
DEPTH: TOP OF 7ILL TO FtNISII GRADE
MANUFACTURER
FOUNDATION_
MATERIAL
NUMBER OF
COMPARTMENTS
LIQUID DEPTH
LIQUID CAPAC TY (~OO GALLONS.
DISTANCE BETWEEN LINES
TOTAL LENGTH
NEAREST LOT LINE OF LINE~i ..... (.'¢ ~
TRENCH WIDTH(-F~' IN. TOTAL EFFECTIVE
SQ. FF. LENGTN OF EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH TILE'-~) __IN. ABOVE TILE
IN,
WELL:
TYPE ..CONSTRUCTION
DEPTH ___DISTANCE FROM:
BUILDING NEAREST
FOUNDAIION ___, LOT LINE
NEAREST
SEWERLINE
SEPTIC SEEPAGE
TANK ___, SYSTEM
CESSPOOL
OTIIER SOURCES
APPROVED DISAPPROVED
DISTANCES:
SEWER LINE DEPTH:
PIPE MATERIAL-
LOT SLOPE: . __ .
REMARKS:
REMARKS
DIAGRAM OF SYSTEM
Form LQ-032
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DEPARTMENT OF ENVIRONMENTAL QUALITY
3530 'IC" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-458 I
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO.
FINANCED THROUGH
SEEPAGE PIT ., DRAIN FIELD
NOTE~ THIS PERMIT IE~ NOT VALID WITHOUT SOIL
,£
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-60 AND THAT THE ABOVE
4040 "B" STREET,
ANCHORAGE~ ALASKA 99503
PHONE: 907-279-2581
August 3, 1976
W.Oo #17782
J.Do Electric
1].8 E. International Airport Road
Anchorage, Alaska 99502
Subject: Subsurface Investigation for On-site Sewer
Sol/2, Lot 170, Sec. 33, T.12N., R.3W., S.M., Ak.
Gentlemen:
Transmitted herein in accordance with your instructions are the
results of the above referenced investigation as performed by
us on July 29 and 31, 1976. The scope of this project is
investigation for suitability on an on-site sewerage system.
Included in this transmittal are:
Vicinity Map Figure 1
Explanatory Information SheetS
The exploration was conducted using a Nodwell mounted Mobile
Drill Model B-50 drill rig with a continuous flight solid stem
auger. The rig is owned and operated by Denali Drilling, Inc.
Drilling was supervised, the test holes logged and percolation
test performed by Mr. Terry Barber, Geologist with Alaska Testlab.
The test hole was placed just west of the existing seepage pit.
The log os this test hole is included as Table A of this report.
In interpreting the log it would be helpful to utilize the explana-
tory information contained in Sheets 1 to 3 of this report.
For the percolation test, an adjacent test hole was drilled to
9.0', 4.0' above with water table, cased with[a 3/4" diameter
slotted PVC pipe and filled with water and left overnight to
saturate. On returning the next day, the hole was refilled
with water and the drop in the water level carefully monitored
over the next 60 minutes.
This procedure is not a standardized percolation test, however,
we understand that the Anchorage Department of Environmental
Quality prefers tests performed in this manner to evaluate
a site for a proposed on-site sewerage system.
Using the above test, the observed minimum percolation rate was
10.0 minutes per inch.
J.D. Electric
August 3, 1976
Page 2
The water table was observed at 13.0' during drilling, but it
should be noted that the free water level normally fluctuates
seasonally and with precipitation.
The test hole log was prepared by examinations of the cuttings
and the action of the drill. The soil descriptions are qualita-
tive and are not necessarily as precise as those obtained from
core drill samples.
We hope this report meets your present needs. If we can be of
further service, please feel free to contact us.
Very truly yours.,
MRN:HRL:gf
Attachments
Dat!e: July 29, 1976
Logged by: T, Barber
S 1/2, Lot 170
Table A
W.O. #17782
Depth in Feet
From To
Soil Description
0.0' 6.0'
6.0' 7.5'
7.5' 13.0'
13.0' 16.0'
F-4, light brown gravellz ~ silt, ML
damp, medium density, NP.
P-l, brown ~y sandy gravel, GM, damp,
high density.
F-4, brown sandy ~ilt, ML, damp, medi~
density, trace of gravel.
NFS/F-2, grey si~ sand, SM, with random
gravel, saturated, medium density.
Fros% Line:
Free Water Level:
k6.0 '
None observed
13.0'
RE~gtRKS. Soil visually classified in field
Test Hole Log -- Description Guide
The logs often include the following items:
Depth Interval usually shown to 0.1 foot, within that zone no
significant change in soil type was observed through drill action, direct
observation or sampling.
Frost Classificatinn NFS. Fl, F2, F3, F4, see "Soil Classification
Chart"
Texture of Soil An engineering classification of the soils by particle
si~e- and proportion, see "Soil Classification Chart", note the
proportions are approximate and modifications to the solt group due to
stratification, inclusions and changes iix properties are included.
Moisture Content this is a qualitative measure:
~, no or Iirtle apparent surface moisture,
damp, tnoistttre forms portion of color, less than plastic bmit,
wet, no free water, often soft, if cohesive sod,
~;~turated. free water may bt squeczed our, if ~ free d~aining s'~g;
sand. (The moisture content is further definedby reterence to PI,
LW, NP, M% or dilarency .)
mixtures with or without a fine fraction, del%ced from drilling action
dense, very dense. General intent is to portray earthwork
characteristics.
stiffness - refers to moreq3rdess cohesive soils and fmegrained silts of
the clay-silt groups. Derived from drill action and/or sample data. Very
soft, soft, stiff, very stiff and [~ard axe commonly used terms.
Particle size -. The largest particle recovered by the split spoon is
1-3/8", Shelby tube 3", auger flghts !minute-man 2", Auger tlights
(B-SO hollow s~em} 6"-8". Larger particles are described indirectly by
action of the drilhng and are referred to as cobbles, 3" to 8", or
boulders 8"+. Therefore when reviewing the gradation sheets, if any,
the descriptinn on the hole log must be considered tot an indication of
larger particles,
unified Soil Classification This is a two letter code. See Unified
Classificatioq sheet ~r f~ther definition, in some cases AAStlO and/or
FAA soil classifications may be shown :is well as the unified.
Atterberg Limits useful for fine grained and other plastic sods.
PI; natural moisture content believed to be [ess than plastic limit
PI~; natural ~no~sture content believed to be between plastic and liquid
I~rnit s
Rock flour ~ finely ground sod that is not plastic but otherwise appears
similar to a clayey slit.
Organic Con[ent -- usually described as Peat, PT, sometimes includes
discrete particles such as wood, coal, etc. as a modifier to all inorganic
soil. Quantity described as; tritce, or an estbnate of volume, or, in case
of all organic, - as Peat. This may include tundra, muskeg and bog
material.
Muck a'modifier used to describe very soft, semi~)rganic deposits
us~ua yoccpringbelowa peat deposit.
Amorphus peat ~ orgamc particles nearly or fully disintegrated.
Fibrous Feat organic particles more-or-tess intact.
Bottom of Testhote -- includes last sample interval.
Frost Line ~ seasonal frost depth as described by drilling action and/or
~mpies at the time of drilling.
Frozen Ground ~ uther than frost hue, described by samples, usually
~cludes description of ice content, often wilt include modified unified
C ass ficatinn for frozen soils this is a special case related to
permafros5 studies.
Free Water Level The free water level noted during drilling. This is
not necessarily the static wa~er table at the time of drilling or at other
so~s requires observatinn wells or piezometer installations, used only in
special ca,es.
Blow/6" ~ The number of blows of a 140 weight free fall g 3 to
advanc~ ae" spilt spoon 6"; the number of blows for a 12" advance is,
by definition, the standard penetration.
M% ~ ~atural moisture content of the soil sample, usual[y not
~formed on clean sands or gravels below the water table.
S~,, retcrs to 2" split spoon driven into thc soil by 140 ponnd
ye gbt, a disturbed sample,
~,ltbin wall tnbc, "Shelby" used to obtain undisturbed samples
o(lfinc grained soil,
~,; "grab" disturbed sample from auger flights (,r wall of trench,
C, cut sample, undisturbed sample from wall of tr,'nch,
Dry Strength a useful indicaror of a soil's ckwey fractiou. N=None,
L:Low, M=Mcdium, H:Higlt
Group ~ Thc ~mples are placed into apparemly similar groups based
-tBAV);J 0 %0[:
I~JYHD NOIJNDIJISS¥1D llOS
MUNICIPALITY OF ANCHORAGE '
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FAC[L, ITY
264-4720
Application Date
GENERAL INFORMATION
(a)
Legal Description (include lot, block, subdivision, section, township, range) J.¢0(¥/ ~_~
~- ~Lol-' ~Z[~T'I'~-L~L/~'~.%~') ~,h'~, - /-~,HCtlof~t'~(~- - REcoP. pIH6 f>RG~Ir~T
Location (address or directions)
Applicant Name ~/~A P, TI ~
(b) ,L~ [~ZTelepbone: Home ~',~- ~/ ~ Business
Applicant Address I~O'~O ~d~5~ld~ L/& N b-
(c) Applicant is (check one): Lending InstitutiOn ~; ~/builde~; Buyer ~; Other D (explain);
(d) Lending Institution ~/k%KA ~/~U
Address I L~ oO k~J,
(e) Real Estate Company and Agent
Address
-I'elephone
(f)
Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family [~ Multi-Family []
Number of Bedrooms ~"
Other
WATER SUPPLY
Individual Well i~ 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: If community well system, must have written confirma on from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2
ENGINEERING FIRM PROVIDING INSPECTIONS, TES'I'S, FILE SEARCH, DATA AND INFORMATION
As certified hy 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, fuectional 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 ol 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 L..)_~ ~ t-{- Telephone -- ,~..~. 74, ~ ~"2~:~-'~'
Date ~ -~'~ '--~% ~,
Engineer's Seal
Approved for 1 Z~'Z') bedrooms b~..~-'" ' -
Approved .~ __ Disapproved Conditional
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Heagh 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 certaio federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued The Municipality ol Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
WELL DATA
DEPT. OF HEALTH &
ENVJRONMENT^L PROT[~CTION
MUNICIPALITY OF ANCHORAGEi(MO/H
HEALTH AUTHORITY APPROVAL~ (HAA)
CHECKLIST- FEBRUARY 1984
264.4720 ; , RECEI._VF D
Legal Description: ~/~- L,~""/-~
Well Classification . ~ ~.t 1% [ ~/~ L~,,~ ( If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) '~ Date Completed _/t,, .t,z~P ~1'"' ~_~ ¢.,,. ~ Yield
Total Depth ! -~ ~,, Cased to Depth of Grouting ~
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments
SEPTIC/HOLDING TANK DATA
Pump Set 'rAt
Sanitary Seal On Casing (Y/N) ~-~
Depression Around Wellhead (Y/N) _ ~
I? '
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
_ To Nearest Sewer Ser~/ice Line on Lot
Date Installed ~ -- I! -7~ Size ~-o,,~:'e~.,.~A I No. of Compartments
Standpipes (Y/N) _ ~ Air-tight Caps (Y/N) ~/~ Poundation Cleanout (Y/N)
Depression over Tank (Y/N) ~ Date LaSt Pumped _ _~""~'/~-- ~;~
Pumping/Maintenance Contract on File (Y/N) ~ ~ ; for
Holding Tank High-Water Alarm (Y/N) ~ Temporary Holding Tank Permit (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well I ~,.e:.~ ! ·
To Building FOundation &,
To Property Line ~-c~" To Disposal Field /,~¢ /
To Water Main/Service Line J~/./..k~
Course
Comments
To Stream, Pond, Lake, or Major Drainage
Page 1 of 2
72-026{11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata I ¢.,,? _4 ¢ F.'r.///~7~ Type of System Design
Date Installed ,¢ -
Width of Field ~t'" Depth of Field
Gravel Bed Thickness
Square Feet of Absorption Area ..~"~:~,c~ :¢.~, ,~,
Depression over Field (Y/N) I'~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well t
Standpipes Present (Y/N) kC
Date of Last Adequacy Test ~¢'"-- l~--,'¢~ ~.
To Property Line
To Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments ~.,~/'..~'"',,~'.,~..
I
To Existing or Abandoned System on
; On Adjoining Lots
TO Cutbank (if present)
LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Electrical Codes (Y/N)
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I h¢,ve checked, ~r-conformed to all MO~A and HAA guidelines in effect on the date of this inspection.
Signed ~.~.-¢-/"~-/'/~-/~/~/.,~ Date ~'" ~--~
Company (/~ MOA No.
Receipt NO. -~-G~q ~
Date of Payment ~" ~:~-~:~
Amount: $ ~x~ ,~ O.~_..,,
Page 2 of 2
72-026 (11184)
Anchorage Fairbanks
©
/o ~ p,,v,,,.
lc, ~ P~cx
Anchorage Fairbanks
Project Title _~_~3
Page Title
W.O. # ~,~'~ '7 Data __,fi'"'-' /9 -~:)~ By
Page_~of
June 9, 1986
John Kennedy
DHEP
825 "L" Street
Anchorage, Alaska
Re:
Health Authority Approval
On-Site Water/Sewer
T12N, R3W, S33, S 1/2, Lot 170
This letter is to document the fact that the well on ~e subject
lot has a casing which extends at least 40 feet below ground
level.
Very truly yours,
ENGINEERING, PLANNING, SURVEYING
2220 L'. 88th Ave./Anchorage, Alaska 99507/Telephone 907-349-6451/34+1352
"Providing a quality personalized sen/ice to those building Alaska's future"
rime
Date
Inspector
Time
Comments
Date
r Inspector
Condltlenal Appro~/al
Date Sewer Installed Pemlit No,
Soils Rating
Well To Absorption Area
Well to Tank
Septic Tank Size
Holding Tank Size
Well Log Received
ONLY
1=-
APPLICANT FILLS OUT LOWER HALF
Pro per t Y own e r -~'?¢-rT'~C~ ¢'J E~-~" -'J¢~"~'-'~\ ' xj ii"
Buyer
Address
Lending Institution Phone
Address
J Phone
Realty Co, & Agent
,Address
Legal Description
Street Location
-,7-. Iv,) 3
Phone
Type o.~sld ence [] Single Family
Lq Multiple Family
Lq Other
No. of Bedrooms
Water. cSupply Lq Individual
E] Community
L] Public Utlll~_
Sewag,e"Cisposal El Individual
[] Public Utility
Lq FloldJ.n~g Tank
ATTACH WELL LOG, A well log is required for all wells drilled since June
1975, For wells drill(~(l~p~Cm~ to that (late, give well depth (attach log If
available.)
,
Year Icdlvidual Installed:
When Connected to Public ,Utility: ......
NOTE: TIlE INSPEC1]ION FlEE MUST ACCOMPANY EACH I{EQUEST riEFOfiE PROCESSING CAN BE INITIATED.
,Tu~['~/~tTeet/Anchorage, Alaska 99503 274-4561
.~..q~,.~'lU/'~?..'~ /'-~ Date R6ceived April 9, 1976
~ Time of Inspection
Date of I~spection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
l. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4. Location:
Cony.
National Bank of Alask~ % Marva Goodson
Box 3-3859, Anchorage
Kenneth M. Dennison
Phone: 279-2506 x 35
Phone:
T12N R3W Section 33 S½ of Lot 170
Snow Shoe Lane
5. Type of facility to be inspected Single Family
6. Well Data: Individual
A. Type
C. Construction
7. Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal
8. Distances:
B. Depth
No. of bedrooms 2
D. Bacterial Analysis
On-site system
B. Installer
1. Size 2. Manufacturer
1. Absorption Area 2~ Material
Field:Total length of lines
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
, Absorption area
Other contamination
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74)
, Sewer Lines ,
Page 1 of two pages
Page 2 of two pages - Re~ st for Approval of Individual F er & Water Facilities
Legal Description
Comments
Approved
T12N R3W Section 33 S½ of Lo~ 170
Disapproved Date
Approval~Valid for one year fromidate signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this reque!
accurate representation of the subject sewer and water
are operating satisfactorily.
SIGNED
EQ-034 (l/74)
t for approval to be a true and
facilities and these facilities
Date
'GREATER ANCHORAGE ARk,", BOROUGH
Department of Environmental Quality
~., Anchorage, Alaska 99503 274-6561
2~18 Tudor Road
'.REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
l. Type
2, Property Owner:
Mailing Address:
3. Name of Buyer:
Mailing Address:
4. Name of Lending
of Inspection: CMRO VA
~enneth M. Dennison
FHA CONV xx
. D.a.,y Phone
.Terrence P. ~nd Meg~n G. MoN~lly
2940 East 84th Avenue #2. Day Phone
Institut~ on:
272-~¢~,~2
National Bamk of Alaska (Ma~va Goodson)
Mailing Address:
5, Name of Realtor or Agent: Arm Rogers/ Area iRealto~s
Nailing Address:
Box 3-3859 Anchorage, Alaska Phone 279-2~06
3300 "C" Street Anchorage Phone 278~2~2~
6. Legal Description: T12N R3W Section33 S/2 of Lot 170
Location: 000 Snow Shoe Lane Rabbit Creek~ ~Alaska
.Type of Facility to
Water Supply
Type o'? Slopply:
If Individual,
if individual,
be inspected: Sgl F~ni~l~y Re.$~ide~ Bdrms. 2
· Public Utility indivisua'" l
number of dwellings prese~]tly served
depth of well Unkno~m
Sewage Disposal. System
. ,yp~ .of S~ste~: Public Utility
if individual, date of installation
individual
Urd~nown
on-site) .__
CERTIFICATE of SURVEY
OWNER OF RECORD ...................
Nome City $~ote
I ke*eby ce~li~y tkal the Iolrc~,ir, g described pro~.erty hot been sufveted by me or under my luper-
G -2.~ - 86
DAT~
LIPT
- i~.x,','"'>' "2""'F" ~
./ ~ ~L~..-..~,~.*o*~"":'"I· ~. ~
'LEGEND'
B.L.M. ~ross Cop ~onument Fnd.
~ro*s Cop ~onument, Set~,Fnd.~
Iro~ Pipe~ Set~,Fnd.~
~/i*s x 30" R.bar, Set~,Fnd ~
Survey Hub & Toc~,Set~,Fnd.~-
,LOTP~ 170 BLOCK
UNWIN-SCHEBEN.KORYNTA
CONSUL11NG ENGINEERS and SURVEYORS 103 E 261hA~,e Anckoroge, AIo&. 99503
DRAWN
'Dig 'P'~.~J 'J.I 7. i_L- NOIslAIa~tn~;
A:IA~II"IS ,,Io 31¥DIJIJ.~'::13