HomeMy WebLinkAboutT13N R3W SEC 26 LT 6B
GRF ER ANCHORAGE AREA BO{'-"UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME
LOCATrON
MAILING ADDRESS
LEGAL DESE RIPTION
PHONE
SEPTIC TANK:
DISTANCE
FROM WELL -
INSIDE LENGTH
MANUFACTURER ,~:~'/'K-~-,/--'~'¢-' MATERIAL
NUMBER OF /
COMPARTMENTS
INSIDE WIDTH_
LIQUID DEPTH
LIQUID C A PAC I TY/g)gP~7) G A L LON S.
TILE DRAIN FIELD:
DISTANCE FROM WELL~//:~-2H~I FOUNDATION
NUMBER OF LINES / DISTANCE BETWEEN LINES
ABSORPTION AREA (~ /'-~ SQ. FT. LENGTH OF EACH LINE
DEPTH
OF
FILTER
DEPTH: TOP OF TILE TO FINISH GRADE
MATERIAL BENEATH TILE
NEAREST LOT LINE_~~C
/J///) TRENCH WIDTH
TOTAL LENGTH
OF LINES -}'~"'~'
IN. TOTAL EFFECTIVE
~,¢ t j~. ABOVE TILE
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION
NEAREST NEAREST
LOT LINE , SEWER LINE
OTHER SOURCES
DISAPPROVED REMARKS
DEPTH
SEPTIC SEEPAGE
, TANK SYSTEM
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
Form EQ-032
DIAGRAM Of SYSTEM
G.A.A,B.
~.., 0~
Gte 'ER ANCHOrAGe Area B
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C*' STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274°4561
PERMIT NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
INSTALLAT[ON LOCATION /)/'[/
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SEEPAGE PIT DRAIN FIELD
TO
BE
INSTALLED
BY
NOTE: THIS PERMIT IS NOT VALID WITHOUT BOIL TEST
COMPLET]ON DATE
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.
MINIMUM DISTANCES, REQUIREMENT~
SEPTIC TANK ~ t) ~' SEEPAGE PIT ~
· DRAIN FIELD
TO NEAREST LOT LINE.
WEll TO SEPTIC Tank /~
DRAIN FIELD ,/ ~
WATER MAiN TO SePTiC TANK
DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
SEPTIC TANK, ,/~'~ / SEEPAGE PIT ///',~'p /' DRAIN FIELD //,~"~ f TO RIVER, LAKE· STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO
EXCAVATION ~ FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
DIAGRAM O~ SYSTEM
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SY TEM IS IN ACCORDANCE WITH SAID CODE ~
,ATE' /''/;" A"? A..,'CA.T',
.o..~,.-/, ' - -) ,:5
GREATER ANCHORAGE AREA BORO~-~
Department of Environmental QL ,ity
3330 "C" Street
Anchorage, Alaska 99503
Performed for_ ~r~ f Z L
Legal Description:
This form reports: Soils log ,~.~_~ _
Depth
Feet
SOILS LOG - PEROLATION TEST
Date Performed_
F/3 ,V ,~ ~ ~.
Percolation test
12-
13-
Was ground water encountered?
If yes, at what depth?
Reading Date
Gross Time Net Time
_J
__Depth to w, ate___~
Net Drop
Percolation rate minute.
· Proposed installa~n-: Seepage Pit Drain Field
i)epth of Inlet . Depth to bottom of pit or trenc~h
-~T~-oT~Zd- ~:--'"-TT~-'--'=- ~ ........ '(e-~' B~ :~,.~
EQ-040 (6/74)
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
(-~("{-~ -- ('%'~,x'~ - L\ ~ HAA# ~¢/q[~*%-%0~c~
1. GENERAL INFORMATION {Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
(b)
(c)
Location (address or directions)
Property owner ~
Mailing Address
Lending Institution
Mailing Address
,206
Telephone: (home) ~'/~' -,~/0(¢ Business
boLm~ Telephone
(d) Real Estate Company and Agent
Address
Telephone 4 ~8 - g~~ V ' '
(e) Mail the HAA to the following address: (or check here ~, if hold for pick up.)
List contact person and day phone number below: ,,
2. TYPE OF RESIDENCE
Single-Family,S, Number of bedrooms
3. WATER SUPPLY
Individual Well [] Community [] Public [~
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site ~[, Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
72-025 (Rev. 7/88) Page 1 of 2
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this
Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe,
functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that
based on the information obtained from the Municipality of Anchorage files and from my investigation and
inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and
State codes, ordinances, and regulations in effect on the date of this inspection.
NameofFirm '"~'¢~,~.~ -?~,~3.~'-~.~.~,~o.~.~. Telephone
Address ~TSl ~./',
6. DHHS APPROVAL
Approved for _-,J bedrooms by
Approved ~ Disapproved
Terms of Conditional Approval
Conditional
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
cerificated based only upon 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 DHHS 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
MUNICIPALITY OF ANCHORAGE (MOA)
Health Authority Approval (HAA)
CHECKLIST- FEBRUARY 1984
343-4744
Legal Description:
A. WELL DATA
Well Classificafion
Well Log Present (Y/N) Date Completed
Total Deoth Cased to Depth of Grouting
Static Water Level
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICEs DIVISION
RECEIVED
If A, B, C, D.E.C. Approved (Y/N)
Yield
Pump Set At
Casing Height Above Grouna
Electnca~ Wiring ~n Conduit (Y/N)
SEPARATION DISTANCES FROM WELb:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer Cleanout/Manhole
To Nearest Sewer Service Line on Lot
Water Sample Collected by
Water Sample Test Results
; Date
Comments
B. SEPTIC/HOLDING TANK DATA.
Date Installed
Standpipes (Y/N) c,/q ~- Air-tight Caps (Y/N)
Depression over Tank (Y/N) 1~
Pumping/Maintenance Contact on File (y/N) tx¢~//.~
Holding Tank High-Water Alarm (Y/N) t4///~,
No. of Compartments ~
y Foundation Cleanout (Y/N)
Date Last Pumped ~=e.¢ ~
; for ~',/'A
Temporary Holding Tank Permit (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
TO Water-Supply Well
To Property Line
To Water Main/Service Line
To Building Foundation
To Disposal Field
To Stream, Pond, Lake or Major Drainage Course
Comments
72-026 (Rev. 7/88} Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absortion Area &'
Depression over Field (Y/N)
Results of Last Adequacy Test '"'-~,~ ~
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well
To Building Foundation
L o t
To Water Main/Service Line _
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comr~ents
Type of System Design
Length of Field ~)
Depth of Field ~
Gravel Bed Thickness ~
Statndpipes Present (Y/N)
Date of Last Adequacy Test
To Property Line ~
To Existing or Abandoned System on
; On Adjoining Lots
To Cutback (if present)
D. LIFT STATION ,1~0/~.
Date Installed
Size in Gallons
"Pump On" Level at __
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
inspection.
Signed
Company
Date
MOA No.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this
~'~'~--, l 8, t ) o~ ? O Engineer's Seal
Receipt No,
Date of Payment
Amount: $
72-026 (Rev. 7/88) Back
?/? 0
?-/?- zo
Receipt No,
Waiver Fee: $
Date of Payment
Page 2 of 2
6751 W Dimond
Anchorage Alaska 99502-:3904
(907) 248-5095
SEPTIC SYSTEM ADEQUACY TEST
LEGAL: Lot 6B, Sec 26 TI3N R3W
LOCATION: 6~61 E3qth
OWNER: Jean Koles
RESIDENCE:
,Single Family Three Bedrooms
WATER SUPPLY:
Municipal Water Supply
SEPTIC SYSTEM:
FROM MUNICIPAL RECORDS: 3-Bedroom System
TANK: 1000 gal. Sunset Plastlo One Compartment
ABSORPTION SYSTEM: Trench
ABSORPTION AREA: 702 sq. ft.
SOIL RATING: 225
INSTALLATION DATE: ,June 1975
DATE OF LAST PUMPING:
Sept. 19, 1990
DATE OF TEST:
6apt. 18, 1990
TEST PROCEDURE: System was inspected and measured. Tank was found with three feet of
cover' and 45 inches of liquid. Cleanout to trench was 56 inches deep and dry. Trench monitor
tube was more than 12 feet deep with water su face 34 i ches below ground surface,
,~$0 gallons of clean water was added to the trench at a constant rate ~f 8 gpm. while the
waterlevels in the tank and monitor tube were monitored. The water level in the tank rose 1
ir~ches while the level in the sump rose 19.5. Within 5 minutes after the water was shut off the
tank level dropped 't inches and the sump level 2.5. During the next ten minutes both levels
dropped 3 inches. Two hours after adding the water the tank level wes back to normal and the
sump level was down to 7.25. The sump level was still dropping. In five minutes it dropped an
additional .5 inches.
TEST RESULTS: This septic system meets the code requirements of the Municipality of
Anchorage.
The operational life of all septic systems depends on the local soil conditions, groundwater
levels that may fluctuate during theyear, and the water usage of the family being ser.¥ed by the
system. These conditions are outside the control of the evaluator of this system. We can
therefore not give any estimate of how long this system will function satisfactory for current or
future occupants.
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. Cf
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
007-022-48 HAA# HA890073
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include 10t, block, subdivision, section, township, range)
T13N R3W Section 26 Lot 6B
Location (address or directions)
6161 East 34th Avenue, Anchorage
(b) Property owner Justin/Gall Koles
Mailing Address PO Box 210174,
(c) Lending Institution
Telephone: (home) 337-0018 Business
Anchorage, Alaska 99521
Telephone
Mailing Address
(d) Real Estate Company and Agent April Lee % Fortune Properties
Address 3000 A Street, Anchoraqe · '
Telephone 562-7653
(e) Mail the HAA to the following address: (or check here [] , if hold for pick up.)
List contact person and day phone number below:
Tobben Spurkland 279-3916
2. TYPE OF RESIDENCE
Single-Family E~x Number of bedrooms three ( 3 )
3. WATER SUPPLY
Individual Well iq Community [] Public ~
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site ~3~ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
72-025 (Rev. 7/88) Page I of 2
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of th is
Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe,
functional end adequate for the number of bedrooms and type of structure indicated herein. I further verify that
based on the information obtained from the Municipality of Anchorage files and from my investigation and
inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and
State codes, ordinances, and regulations in effect on the date of this inspection.
NameofFirm Tobben Spurkland, P.E. Telephone 279-3916
Address 203 West 15th Avenue "C" Suite 203, Anchorage 99501
Date
Engineer's Seal
6. DHHS APPROVAL
Approved for ~.~' bedrooms by
Approved '~. Disapproved
Terms of Conditional Approval
Conditional
This Department does not recommend parking vehicles over
an absorption field.
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
cerificated based only upon 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 DHHS 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.
72-025 (Rev. 7/8,1 Bao~ Page 2 of 2
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal) .
(a) Legal Description (include 10t, block, subdivision, section, township, range)
L -T/.3 N j
Location (address or directions)
(b) Property owner '~1,,f,~ ~ C~ J '~- ~> Telephone; (home) ,~.~70°l~'Business
Mailing Address '-P-e , /Ol 7y
(c) Lending Institution
Telephone
Mailing Address
(d) Real Estate Company and Agent
Address
Telephone ~(~ ~- 7~ ~ ~
(e) Mail the HAA to the following address: (or check here [~if hold for pick up.)
List contact person and day phone number below:
2. TYPE OF RESIDENCE
Single-Family ]~(
3. WATER SUPPLY
Individual Well []
Number of bedrooms
Community []
Public~'
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site'~ Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
72-025 (Rev. 7/88) Page 1 of 2
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this
Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe,
functional .and adequate for the number of bedrooms and type of structure indicated herein. I further verify that
based on the information obtained from the Municipality of Anchorage flies 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.
Address ~o X ~ /
6. DHHS APPROVAL
Approved for ~
Terms of Conditional Approval
/ te
Conditional .~/"~
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
cerificated based only upon 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 DHHS do not conduct inspections
.or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions
~n the professional engineer's work.
72-O25 (Rev. 7/88) Back Page 2 of 2
E~N~EA~t MUNICIPALITY OF ANCHORAGE (MOA)
Heal,th .~tLhority Approval (HAA)
MAR 2 1989
A. WELL DATA
Well Classification
Well Log Present (Y/N)
Total Depth )ased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
RECEIVED
I
Date Completed
· DePth of Grouting
Legal Description:
If A, B, C, D.E.C. Approved (Y/N) _
Yield
Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (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
To Nearest Sewer Service Line on Lot
; On Adjoining Lots
; On Adjoining LotS
To Nearest Public Sewer Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
; Date
Comments
B. SEPTIC/HOLDING TANKD~A.~'A,~
Date Installed 1~7.~7 £¢---~--
Standpipes (Y/N) ~ Air-tight Caps (Y/N) '/'
Depression over Tank (Y/N)
Pumping/Maintenance Contact on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
No. of Compartments
Foundation Cleanout (Y/N)
Date Last Pumped ~----~ ,¢, ~,
r-,//,~ ;for
Temporary Holding Tank Permit (Y/N) t~l/.~.
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water-Supply Well
To Property Line _~o 'f'
To Water Main/Service Line
To Stream, Pond, Lake or Major Drainage Course
Co m ments *~'~z~. 4'¢~'
To Building Foundation
To Disposal Field
72-026 (Rev. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~/7
Width of Field
Type of System Design -T ~..
Length of Field Z:'cJ ~'
Depth of Field J I
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
· ~ ~. Gravel Bed Thickness cj
Square Feet of Absortion Area ~(. ~q~_~..~ Statndpipes Present (Y/N) '-r' u~ o
Depression over Field (Y/N) Date of Last Adequacy Test
Results of Last Adequacy Test '-"~'~.~ ~-'-¢~.~ '%~--~4~_0._
SEPARATION DISTANCE FROM ABSORPTION FIELD:
'1~/,,~,; To Property Line ~
~-'-'-'~ ~:) ~ To Existing or Abandoned System on
; On Adjoining Lots
) ,¢~'-~'"'- To Cutback (if present)
To Stream, Pond, Lake, or Major Drainage Course ~'
To Driveway, Parking Area, or Vehicle Storage Area
Oom ment[~/~
D. LIFT STATION I~1 e
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in
inspection.
Signed
Company
Date
MOA No.
effect on the date of this
Receipt No. O..~
Date of Payment
Amount:
72-026 (Rev 7/88) Back
Receipt No.
Waiver Fee: $
Date of Payment
Page 2 of 2
Engineer's Seal
203 W. 15th AVE "C" SUITE 203
ANCHORAGE, ALASKA 99501
TELEPHONE: (907) 279-3916
Municipality of Anchorage
Department of Health and Human Services
820 L Street
Anchorage, Alaska, 99501
March 15, 1989
Subject: Lot 6B, Section 26,
Jean Koles
Gentlemen;
T13N, R3W
at the
An adequacy test and inspection were performed
referenced property on February 28, 1989.
The inspection of the system revealed that the bottom of the
septic tank was 105 inches below cleanout level, that the water
depth in the tank was 51 inches and that the cleanout was 4
inches above ground. This places the invert of the discharge
pipe 50 inches below ground level.
The 8-inch sump showed water level to be 4 feet below ground
surface. This sump is not perforated. Adding 100 gallons of
water to the sump caused the water level in the sump to rise
15.25 inches and the water level~in,;t,~e tank 3 inches. This
indicates that the invert of the distribution pipe is
approximately 36 inches below ground surface-a%~-the, sump. A
total of 800 gallons were added to the system at a constant rate
of 7 gpm. The total rise in the tank was 7 inches, the total
rise in the sump 20 inches. Within 25 minutes after water was
shut off the water levels had dropped 4 inches both in the tank
and in the sump.
These measurements ifldicates th~k the total~ above the
discharge pipe Varies betwee~feet to~.75 fee~ with the
greater depth Of bury in the driveway area.~--~
T.Spu~kland P.E. k
MUNICIPALITY OF ANCHOP. AGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
MAR 1 5 1989
RECEIVED
~ MUNrB~IPALITY OF ANCHORAG~E-~
DEPARTM~ OF HEALTH AND ENVIRONMEN L PROTECTION
825 L Street, Anchoraa~. Alaska 99501
264-4720
Date Received: March 8, 1978
Time D,~ #2: Time #3: Time
Date ~-!;q-l~ ~ Date Date
Insp ~. Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACI~LITIES
1. Lending Institution Request: Alaska Mutual Savings Bank
Mailing Address: Post Office Box 1120 99510 Phone: 274-3561
2. Property Owner: William Burgess
Mailing Address: 6161 East 34th Avenue
Phone: 333-0037/h
264-6520/w
3. Legal Description: T13N R3W Section 26 Lot 6B
4: Single Family Residence: ( ~ Number of Bedrooms: Three
Multiple Family Residence: ( ) Number of Bedrooms:
Well System:
Permit #
Construction
Individual Well ( ) Community/Public System ~
Depth of Well Well Log on File
Bacterial Analysis
( )
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
On-site System (~ Public Utility )
Installed ;"~9~5 - Installer
1,000 gallons Manufacturer Sunset Plastics
675 sq.' Soils Rate 225 Material trench
7. Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
~ )MUNICIPALITY OF ANCHORAGE~-''~
Department of Health and Environmental Protection
825 L Street, ~chorage, Alaska 99501
264-4720
~equest for Approval of Individual Sewer and Water Facilities
o
Property Owner:
Mailing Address:
Name of Buyer:
Mailing Address:
Lending Institution:
Mailing Address:
Realtor/Agent:
Mailing Address:
Phone: .~J~
Legal Description:
Street Location:
6. Single Family Residence: (~ Number of Bedrooms:
Multiple Family Residence: ( ) Number of Bedrooms:
Water Supply: *Individual Well ~ Public/Community System ( )
If Individual Well, well depth
If Community System, name of system
Sewage Disposal System: *~)n-site System (X Public System )
If On-site System, date of installation: ~J~ /~
~NOTE: A well log is required on ALL wells drilled since 6/75.
** If on-site sewer sysEem is over two(2) years old, an adequacy
test is required by this department. ~UNICINtlUOF~NO''~= ·
A fee of $25.00 must accompany each reques~D~roTr~^t~'gcess~ng
can be initiated. ENVIRONMENTALPRO~k~ .....
3/77
N AR 8- 197u
RECEIVED
Page ~w~ ~ ~
'~ Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: T13N R3W Section 26 Lot 6B
Comments:
Affadavit Attached: ( )
Approved :~,~~_~ ~ .
Disapproved:
Letter Attached:
( )
Date:
Date:
Department Worksheet:
March 30, 1978 R&M No. 851516
Mr. William Burgess
6161 E. 34th Avenue
Anchorage, Alaska 99504
Subject: Adequacy Test on Existing Sanitary System; Lot 6B, Section 26,
T13N R3W, Anchorage, Alaska
Dear Mr. Burgess:
At your request of March 28, 1978, we conducted a test of the septic
system on the above described property.
During the test the liquid level in the septic tank was monitored as
water was added to the system. The measurements are summarized in the
following table:
Liquid Level Below Top Total Gallons
Time of Standpipe Added
2:00 6.9' 0
2:07 6.8' 25
2:14 6.8' 50
2:25 6.7' lO0
2:30 6.8' 125
2:35 6.8' 150
3:10 7.0' 150
The meter used during the test was a Rockwell 5/8" standard water meter
which had previously been calibrated by R&M Consultants, Inc.
If the 3 bedroom residence on the property is to house 6 people, the
average load on the system can be expected to be 450 gallons per day or
.31 gallons per minute. During the test, the system accepted 150 gallons
in 70 minutes. This indicates an average effluent acceptance rate of
approximately 2.1 gallons per minute at the time of the test.
March 30, 1978
Mr. Willlam Burgess
Page -2-
Because the house on the lot is occupied, we assume that the leach field
was at its normal degree of saturation. We can therefore conclude that
the system rs disposing of effluent at an adequate rate for a 3 bedroom
residence.
We appreciate this opportunity to be of service to you. Please contact
us if you have any questions concerning this test or if we can be of
additional service.
Very truly yours,
R&M CONSULTANTS, INC.
Lynne Koslkowskl
Staff Geologist
JMB/kah
Jim McCaslln Brown, Ph.D.
Head, Earth Science Department