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HomeMy WebLinkAboutT14N R2W SEC 12 LT 3T14N R2W Sec. 12 Lot 3 #050-273-35 UBMITTA Municipality of Anchorage SEP 10 2013 Community Development Department Page 1 of 3 On -Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number OSP131243 PID Number: 050-273-35 0 New 0 Upgrade Name: ROBERT DOUTHIT ABSORPTION FIELD Address: 16928 WEST BARANOF, EAGLE RIVER, AK, 99577 • Deep Trench Shallow Trench 0 Bed • Mound • Other Phone: No. of Bedrooms: (907) 441-1254 5 Soil Rating: 1.2 GPD/sg• n. Total Depth from original grade: 7.48/7.58 MAX Ft. LEGAL DESCRIPTION Depth to pipe Invert from original grode: SEE DWG. Grovel depth beneath pipe: n. 2.17/2.29 Ft. Subdivision: Block: Lot ,2 3 Fill odded above original grade: SEE DWG. n. Grovel length: 45+/45+ 90+ TOTAL n, Township: T1 4N Range: �W Section: 1,2 11 ��VV Grovel width: 5/5 Beds Number of linea: Distance between lines: — SEPARATION R. — n. DISTANCES Total absorption area. Number of tranches: Dist between trendies To From Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Lines 642+ SQ. R. 2 10+ Ft. Well 100'+ 100'+ — — 25'+ TANK • Septic 0 S.T.E.P. •Holding ❑Other Surface Water 1001+ 100'+ — — Manufacturer. ANCHORAGE TANK Copocity: 2000 Gal Lot Line 51+ 101+ — N/A Material: STEEL Number of compartments: 2 Foundation 5'+ 10'+ — — LIFT STATION Curtain Drain Manufacturer. C NONE KNOWN Gal. Remarks: Pump on' level at 'Pump off' le • . High water alarm at EXISTING TRENCH WAS ABANDONED IN PLACE. Pump Make & : Electrical Inspections performed by: OLD TANK WAS ABANDONED PER UPC. PIPE MATERIAL House to tank Tank to D3034 D3034 drainfield Installer JR'S PUMPING Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) Inspection 100.00 n, Dates: 1st 8/13/2013 2nd 8/14/2013 Location and Description: 3rd 8/14/2013 4th 8/14/2013 WINDOW SILL NEAR FCO Community Development Department Conditional approval: Approval Date:..., ENGINEERS S ocstrza .0 OFA off...... • ' X44 .5,44 p�,� P, ' D �� Approved- /✓/ -, i / , / Date• ci'-2 if �3 0• 9% 0004. 44 y A. . , CE -79 •.fi`31 1i'�,s aProfessiaco ss. O . m® a �,00000e PERMIT NUMBER: OSP131243 AS -BUILT DRAWING PARCEL ID NUMBER: 050-273-35 100' WELL RADIUS EXISTING TRENCH ABANDONED IN PLACE FOR POSSIBLE US AS RESERVE SITE A B FCO 47.80 18.72 ST1 51.68 20.17 ST2 59.62 30.13 DBL1 61.96 32.42 DBL2 62.41 33.17 FS 76.03 48.18 CO1 81.76 46.02 MT1 86.69 48.27 CO2 123.79 89.88 MT2 122.44 90.24 CO3 73.37 57.31 MT3 77.25 61.24 C04 117.59 95.29 MT4 116.14 94.88 SCALE: 1"= 30' GARNESS ENGINEERING GROUP, Ltd. 3701 E. TUDOR ROAD.`' PREPARED FOR:11 ROBERT DOUTHIT CONSULTANTS & GENERAL CONTRACTORS 101 • ANCHORAGE. Mf 99607 • PHONE (907)337-6179 " FM (907)336-3946 " WEB911E: I nr.gomwwrpl PHONE NUMBER: 907-441-1254 LEGAL DESCRIPTION: T14N, R2W, SECTION 12; LOT 3 TYPE OF WORK: AS -BUILT DRAWING OF' SEPTIC UPGRADE (Rev. 01/05) PAGE NUMBER: 2OF3 DRAWN BY: A.J.G. DATE: 8/31/2013 PERMIT NUMBER: 0.5P131243 AS—BUILT DRAWING PARCEL ID NUMBER: 050-273-35 FINAL GRADE = 99.50-99.56 STI ST2 TOP OF TANK TOP OF TANK AT INLET = 95.22 AT OUTLET = 95.12 INVERT OF BUNG AT INLET = 94,60 INVERT OF BUNG AT OUTLET = 94.33 ORIGINAL GRADE = 98.56 FINAL GRADE = A1T CO 99.15-100.26 ORIGINAL GRADE ® B = 98.56 FILTER FABRIC TH#1 INVERT OF PIPE = 93.25 BOTTOM OF TRENCH = 91.06 GROUNDWATER ® 84.06 RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 81.56 FINAL GRADE = 98.63-99.15 FILTER FABRIC 0' GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS - , --..- 3701 E. TUDOR ROW. SURE 101 • 9NCH0RA0E. AK 99507 • PHONE (907)337-0179 • FAX (907)338-3246 • WEB91E: www.gwnwwnglwedn9.com PREPARED FOR: ROBERT DOUTHIT PHONE NUMBER: 907-441-1254 LEGAL DESCRIPTION: T14N, R2W, SECTION 12; LOT 3 TYPE OF WORK: PROFILE AS BUILT OF SEPTIC UPGRADE (Rev. 01)05) PAGE NUMBER: 3 OF 3 DRAWN BY: A.J.G. INVERT OF PIPE = 93.27 BOTTOM OF TRENCH = 90.98 DATE: 8/31/2013 77* Gar ess. y� / E-79 3 c� V "r0 f es slol`o\c �0`���.Oo On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP131243 Tax Code Number: 05027335000 Work Type: Septic Permit Effective Dates: August 08, 2013 to August 08, 2014 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: T14N R2W SEC 12 Site Legal Address: T14N R2W SEC 12 LT 3 G:0052 Owner/Address: DOUTHIT ROBERT L & MARILOU 16928 WEST BARANOF EAGLE RIVER AK 995778138 Site Mailing Address: 16928 BARONOFF AVE, Eagle River Lot Size in Sq Ft: 108900 Total Bedrooms: 5 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: Issued By: /) Date: MUNICIPALITY OF ANCHORAGE Community Development Department Development Services On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 050-273-35 Phone: 907-343-7904 Fax: 907- 343-7997 Property owner(s) ROBERT DOUTHIT Day phone 441-1254 Mailing address 16928 BARANOFF DRIVE, EAGLE RIVER, AK, 99577 Site address 16928 BARANOFF DRIVE, EAGLE RIVER, AK, 99577 Legal description (Sub'd, Block & Lot ) Legal description (Township, Section & Range) T14N, R2W, SECTION 12; LOT 3 Lot Size Sq Ft Number of Bedrooms 5 APPLICATION IS FOR: ( all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: TYPE OF DEWELLING: Initial Upgrade Renewal THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: Single Family (SF) (w/wo ADU) Duplex (D) 412 Multiple Dwellings ❑ (SF and/or D) Distance' I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. 63o- 731113 Odlin oe-Je lb PA -13 Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev. 09/12) GARNESS ENGINEERING GROUP, Ltd. we CONSULTANTS & GENERAL CONTRACTORS July 29, 2013 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 Ref: Proposed Septic Upgrade for T14N, R2W, Section 12, Lot 3. To whom it may concern: The existing 5 bedroom duplex is served by a private well and septic system. The septic system is in a state of failure and needs to be upgraded. We are proposing to install a new 1500 gallon septic tank and dual 5 -wide trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. TRENCH DESIGN: See attached design drawing for drainfield specifications 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average slope in the area is relatively flat. In short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. NOTE: A site plan drawing, a design drawing, one soil log, and a 7 page construction specification letter which are all part of the design package for this septic system. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com A I / / 1 v T14N, R2W, /8/ SEC 12, LOT 4 C7) / / /St VSD BY — \ / A U WATER d N // 3 \ / n L _J -409=441E I 100' WEIL •,1)1 YOIkNG LOT 1 I \ I \ I \\\ \ YOUNG LOT21 ,_ \ \ -'-- \ 1 / 1714 PALOS VERDE; BLOCK 6, LOT 1 FALOS VERDE BLOCK 6, LOT BARANOFF AVENUE 33' ROAD E�gMENT 100' WELL RADIUS }I PALOS VERDE; 3L0CK 6, LOT PALOS VERDE( LOCK 6, LOT 3 'ALOS VERDE; BOCK 6, LOT 5 014 r I\ \I 1 \ r\I f L L R1ADIUS Sj � 1 1 / f / / / / [SE /PTIC /REEb / DOUTI,Il LOT 1 PROPOSED SEPTIC UPGRADE DOUTHIT LOT 2 CP/ SLOCUM LOT 2 AMBER LOT 9B SLOCUM LOT 1 1" = 100' / AMBER LOT 9A [SEPTIC ARS _ WELL IS NO CONCERN / \ GARNESS ENGINEERING GR©UP, Ltd CONSULTANTS & GENERAL CONTRACTORS! 3701 E. TUDOR ROAD, SONE 101 • ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FM (907)336-3246 WEB$11E: www. 9emeneen91neern9.com PREPARED FOR: ROBERT DOUTHIT PHONE NUMBER: 441-1254 LEGAL DESCRIPTION: T14W, R2W, SECTION 12; LOT 3 TYPE OF WORK: SITE PLAN PAGE NUMBER: 1 OF 2 DRAWN BY: P.N.B. DATE: 7/3/2013 DESIGN CRITERIA: NUMBER OF BEDROOMS: 5 GALLONS PER DAY (GPD): 750 PERCOLATION RATE/S: 1.25 MIN/IN PROPOSED APPLICATION RATE: 1.2 GPD/FT' MINIMUM DRAINFIELD SQ.FT.: 625 DRAINFIELD DESIGN: MAXIMUM DEPTH: 8.5' WIDTH: 5' LENGTH: 2 ® 45' (90' TOTAL) M.O.A. APPROVED SAND FILTER: N/A EFFECTIVE: 2' REDUCTION FACTOR: 0.7 ACTUAL SQ.FT.: 642 GEG, Ltd. HAS A 7 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. INSTALL FOUNDATION CLEANOUT REMOVE EXISTING TANK AND REPLACE WITH 2000 GALLON SEPTIC TANK PROPOSED DOUBLE CLEANOUTS AND FLOW DIVERTER EXISTING DRAINFIELD TO BE CONNECTED AS RESERVE SITE INSTALL FLOW SPLITTER PROPOSED DRAINFIELDS E: 1" 30' GARNESS ENGINEERING GROUP, Ltd .. ---- -- - CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD,SUBS 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 • WEBSITE: ww.gomweneerng.com PREPARED FOR: ROBERT DOUTHIT PHONE NUMBER: 907-441-1254 LEGAL DESCRIPTION: T14N, R2W, SECTION 12; LOT 3 TYPE OF WORK: DESIGN OF PROPOSED SEPTIC UPGRADE (Rev. 01/05) PAGE NUMBER: 2 OF 2 DRAWN BY: A.J.G. DATE: 7/29/2013 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E, TUDOR ROAD, SUITE 101 • ANCHORAGE, AK. 99507 * PHONE; (907)337-5179 * FM: (907)335-3296 * WEBSITE: ggnwnonginwtlng.com SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: T14N, R2W, SECTION 12; LOT 3 PERFORMED FOR: ROBERT DOUTHIT DEPTH — ORGANICS (feet) 8- 9 10 11 12- 13- 14 2-13-14 —' B.O.H. 18 19 — LOAM/GM GW W/ SOME SILTY LENSES 20 SOILS LOGGED BY: COMMENTS. TEST HOLE #1 SOIL CLASSIFICATIONS 0o O_O U GW GP GM GC SW SP SM SC DATE: 7/11/2013 ORG ML CL OL MH CH OH DEPTH TO GROUNDWATER DATE WEEP ® 15' 7/11/2013 14.5' SCALE: 7/29/2013 1" = 100' y ness: CE - WELL RADIUS J READING CLOCK TIME 1 ik100' / 3 BEDR6OM HOUS5/ 4- TH#1 \ \ \ 1 1 I I I NET DROP (INCHES) SCALE: 1" = 100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/26/2013 PERC HOLE ABSORBED 6" OF WATER IN 7.5 MINUTES, 5 TIMES AFTER ABSORBING 12" PRESOAK. PERCOLATION RATE 1.25 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.5 FT. AND 6.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES • NO ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ROB CAMPBELL PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA$ PEf3FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: %`Zo/`13 31 Rev. 3/78) �•--N, 1 S-,\ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME �-� /' PHONE EW • UPGRADE 0 f7c� % / ,/w 7y / I Y� MAILING ADDRESS ,mac 5gg gx I'73,5- J 4N,/7 -,AE. 9eye f LEGAL DESCRIP ION 41 ©r ..i N,C.211..,5' /z LOCATION OZ0 c< � /' /� NO. OF BEDROOMS 7 SEPTIC TANK DISTANCE TO: Well 1/!i Absorption area /A0 r Dwelling f /.5 + PERMIT NO. 7' el Manufacturer j1 N (/'„L Q x GIS.: Materia5',7. ' % ` No. of compartmeyys 6. r Liq. capacity in gallons %.5--0 IF HOMEMADE: Inside length -e_ Width Liquid depth O Y J t'IZ 2 � < DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons TILE DRAINFIELD TRENCH DISTANCE TO: 1 Well,70 Foundation f Nearest lot geD /r- PERMIT NO. 2v.-, 0/ 7 / No. of lines / Length of each lin�. Total IengthAf fl nes �� CCGG Trench width 37 inches Distance between lines N�60n- Top of ti le to finish grader ` Material beneath tile 7 .� aaehes Total effective absorption area 000 SEEPAGE PIT Length Width - Depth PERMIT NO. Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line w Class. .vD, Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER go, /` PIPE MATERIALS P/rRs77c Al A 41/4 SOIL TEST RATING /3 3 hQeJ 0 INSTALLER se/ {' u t. REMARKS ppp C 5' )0. 1 gD cu. iio I0d 'r� APPROVE 7/4DATE /// 6,7/2 LEGAL -6--c.-4 31 Rev. 3/78) M���-1C�F�T�� �� 0�C��-?�LIC «91? DEPARTMENT OT HEALTH AND ENVIRONMENTAL P/.uTECTION � "*0_' 825 /L/ STRFET/ RNCHnRRGE, HK.| 99501 264-4720��7�� -7 . �fo- PERMIT NO. ( 790191 ) APPLICANT ROBERT DOi!THIT SRA BOX 12315-T 744 4154 LOCATION EAGLE RIVER LEGHL L] S12 T14N R2W SM LOT SIZE 198000 SQUARE FEET TYPE OF SOIL RBsORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = SOIL RATING (S8 FT/BR)= 173 THE REQUIRED SIZE OF THE sOlL ABSORPTION SYSTEM IS: 11.SALE:Pss-F4F4= JIFFPACJE-11E-5= OEP:flEFIA— THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCHOR DRHINFIB-D. THE DEPTH OF Fl TRENCH OR FIT IS THE DISTANCE BETWEEN TUE SURFACE OF' THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEEM THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). ���gEl".1M) =A:Sr:F.-F:1C �FTRAPC. nfi-KRnEtAcT PERMIT RPPLICHN| HGS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. - OA �7E.7..F8lEE 1-:ALU74 FflEnE,_ ��RTHIL THIE" IFT> RACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APyROvMLBY /MI� DEPARTMENT WILL BE SUBJECT T0 PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIVATE WELL/ OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF Fi181 IC WELL ',TINIER REQUIREMENTS MAY RPPL't SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTRLL8THW ���MIEF ����MvsAfflisi,. 71.779W-5 I CERTIFY THAT I: I HM FAMILIAR WITH THF REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTH|L THE SYSTEM IN ACCORDANCE WITH THE CODF.S. ]: I UNDERSTAND THAT THE UN -SIT[ SEWER SYSTEM MAY REQUI9F ENLARGEMENT IF THE RESIDENCEI RF INCLUDE MORE THAN ] 8EDR0nMS � ^�� SIGNED. /:'�^i_____-------, AFT,' ICHNT ROBERT DOUTHIT ISSUED 8\ DATE O Et E GEO', ETHNICAL Et DEVELL,PMENT CO. • Russell Oyster 694-2774 Soils & Foundations Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 SOIL LOG Ear/ El/is ' 688-2280 Land Development Performed for: Name: A CO(a, L: ar au -T. -At -sr T Tel . No. Mailing Address: I?A - 3ox Ia5 `fl So11 Characteristics Legal Description:, Lam: 4I L_) Depth (feet) 0 1 2 3 4 7 8 9 10 12 13 114 15 16 IM — r 'T -75l'so/— iyeffesrs. 6946,4 cs, 4-L.4 tan (112.-7-0/ana a ,007 X44- ni Glc;GlL�IsT,��> -far- a T 2;,.77 o, ,tic C.�vl�1 J 57-Dig, 2- / 00 %z e� a °/ "r4ZV yZE' "not, kn- 2c.3 u:ri S -:ate, /t Jt' ©,-� 5 LtJ / -r;_t c= - ice: v`r/.t/ 6, /e.. /Y)1_-1 x- S, r ,4 Atl- i &_ 62,E ul b r -L 2 C, 4-vL= o Ground Water Encountered: Yes No If yes, what depth /3 Proposed Installation: Seepage Pit .. Drain Field /' Comments: 457016 5O Performed by: eAs9 Date: M°7 /Z /977 NVLJUN I'D:: :I I -1- V' OF IFIrc4cHEA DEPARTMENT Or .E9LTH AND ENVIRONMENTAL Pi ADCTIUN 825 /L/ STREET/ ANCHORAGE. HK. 99501 264-4720 �4E-0 g PlEA:tn-.171-T. PERMIT Na ( 790170 ) APPLICANT ROBERT D0U|HlT LOCATION E. R. BHRHNOFF LEGAL T14NR2W SRR BOX 17I5 -T ER. 344-4145 LOT SIZE 198000 SQUARE FEET MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL) OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DRYS OF THE WELL COMPLETICAL OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. -r �JA,211FL. ���1E3�� I CERTIFY THAT 1: T HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS HS'5ET FORTH BY THE MUNICIPALITY OF ANCHORAGE 2: I WILL INSTALL THE SYSTET~IN HCCO(DHNCE WITH THE CODES. . _ APPLICANT ROBERT !)OUTHIT 3Y_ / _DHTE...... OWNER OF LAND ADDRESS j''F A, I- 1 3 Trri fir Jrittiug LC ANCHORAGEby MUNICIPALITY DEPT, a: DOC co. aba FNVIRONc ENT L :-CTION SULLIVAN WATER WELD,, ,10„ P. O. BOX 272, CHUGIAK, ALASKA 99567 • TELEPHONE 688-2759 A. °"1J1 ---;4f _j_. Ora RECEIVED DEPTH. OF WELL / ?7 7 ci 95'0 7 STATIC LEVEL OF WATER FT. 7 LEGAL DESCRIPTION S / • - %F / I Tt./ A 2 cAi DRAW DOWN FT. `IS: GALS. PER HR Il ©gl ..' % 7 ..i Ended S,_�/ n �-p `i DATE - Started r i --� PERMIT NUMBER 1 '7 <? 7 C6 KIND OF CASING C:> TIP 0 0 KIND OF FORMATION: From `"+ Ft to -- Ft 0 i J'_ `c- 40nK.1.;'?k,l From Ft to Ft From Ft. to ' • Ft. .) f/..,y' 7 C 4, ri't From Ft to Ft From - Ft. to `' Ft. bit e''J f .rl •'L_7 From Ft. to Ft. From '-`-i Ft. to �' t Ft. ,, 0t�y C!= ``%`7-' From Ft. to Ft <-,-,1)From ---! t' Ft. to `7 Ft c7' i'TT t-' <2,9v b.- z, From Ft to Ft From .-,'(i Ft. to ,/(:,3 Ft. fF ed °find ti From Ft. to Ft. From ll:- - Ft. to ' = ti Ft. .; ' `. I From Ft. to Ft. v From r Ft. to / Ft. /i.._ 9 f_[ <::4.:1/4Vt C.. From Ft. to FL f.___ , From -`') Ft. to J..StLtFt S Fi.: },t9 6?E .'Se.. From Ft. to Ft. From Ft. to Ft. `Ir 4-04. I E, ` From Ft. to Ft. From Ft. to Ft From Ft. to Ft From Ft. to Ft. From Ft to Ft From Ft. to Ft _ From Ft. to Ft From Ft. to Ft From Ft. to Ft From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. - From Ft to Ft MISCL. INFORMATION: DRILLER'S NAME AF 3� nacip ity Anchorage. 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION December 18, 1979 Robert L./Marilou Douthit Star Route Box 88 Eagle River, Alaska 99577 Subject: T14N R2W Section 12 Lot 3 Approval for your individual sewer and water facilities can not be granted until the following items have been completed: The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review. (2) Expose the well for our inspection to determine proper construction, also to insure the minimum distance requirements are met between your well and sewer system. Please notify this department for a re -inspection of the well when it has been located and exposed. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S Associate Specialist RCP/ljw cc: First Federal Savings and Loan Association Post Office Box 4-2200 99509 L r\.. • INSPECTION APPOINTMENTS DATE RECEIVED TIME t ln.rn. "taicA. TIME TIME DATE c br tcA farm — 11a0d1. DATE DATE INSPEC R Pnft ■ COMMUNITY since June 1975. For wells drilled prior to that date, give well INSPECTOR INSPECTOR MI INICIPAI ITV OF ANr HORAGE DEPT. OF H=ALTH & MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION • 825 L Street - Anchorage, Alaska 99501 • PUBLIC UTILITY DEC 1 4 1979 ..,.t. (i ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days fo processing. /.. PROP€RTY OWNER alsre L Mario“ „an, PHONE 6e- 3.7.461. R.ESS �r MAI LINBox cd/ %fie ox a ,.� ��(R /t /`vPt, ?9S%y PROPERTY RESIDENT (If diffe.rerA from above %'-Cl/K. d PHONE 2. BUYER PHONE MAILING ADDRESS` 3. LENDING INSTITUTION �•es 'ca IA,/ Leav, PHONE 0274-6Sar MAILING ADDRESS) Sd3 (ter/ 4. r yA .{q,. a d Ctq���3 4. REALTOR/AGENT PHONE ,q. MAILING ADDRESS 41 5. LEGAL DESCRIPTION 4 3 £ ic_ 771-A) ,...22--(-) STREET LOCATION �7 getavt.oC /7✓0 Cc /Yr'thQ. 9C -r17 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS MI One P'_7- Four • Other FAMILY 0 SINGLE MI Two D Five D MULTIPLE FAMILY II Three D Six 7. WATER SUPPLY g INDIVI DUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ■ COMMUNITY since June 1975. For wells drilled prior to that date, give well • PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM Imo- INDIVIDUAL/ON-SITE** /%171 YEAR ON-SITE SYSTEM WAS INSTALLED. • PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) -c- -Q 62046-r THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE IL SINGLE FAMILY NUMBER OF BEDROOMS ■ ONE IN THREE IN FIVE ■ OTHER • MULTIPLE FAMILY IN TWO • FOUR IN SIX 2. WATER SUPPLY IN INDIVIDUAL PERMIT NUMBER -ACI OCIC) DEPTH OF WELL E COMMUNITY DATE DRILLED ■ PUBLIC UTILITY Connection Verified LOG RECEIVED I\\, PS(\ ¥ \J1 — In-Lk=iC{. / Seco 9,piel I 3. SEWAGE DISPOSAL SYSTEM • INDIVIDUAL/ON -SITE PERMIT NUMBER / DATE INSTALLED C ^ ^ q / / MIPUBLIC UTILITY Connection Verified INSTALLER n Spf1�L 1111 • Septic Tank or • Holding Tank Size: / ,)..3") If Tank is homemade SOILS RATING ( � give dimensions: TYPE OF TANK MANUFACTURER „p TOTAL ABSORPTION AREA MATERIAL a`r1, 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR 4 BEDROOMS certificate) O CONDITIONAL APPROVAL (letter must accompany 0 DISAPPROVED DATE i —qr in) BY e( eAte 72-010 (Rev. 6/79)