HomeMy WebLinkAboutT15N R1W SEC 7 LT 23
-- !
MUNICIPALITY OF ANCHORAGE
NAME ,
LEGAL O ESCRIPTI,ON
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
I;NVlRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
P H U I~-'-~'~
[] UPGRADE
Well Absorption area Dwelling ~.~.~.? ~
DISTANCE TO:
Material
Manufacturer
NO, OF BEDROOMS ~y
compartments
Inside length Width depth
IF HOMEMADE:
Well Dwelling PERMIT NO.
DISTANCE TO:
Manufacturer Liquid capacity in gallons
Total length of lines
Well I--]Z_' /
DISTANCE TO: I -, /':~
Length of e ch line
~ of tile to finish grade ~ /'X' /
Material
Nearest lot line
Trench width
Distance between lines
Length Width
Type of crib bib diameter
orption area
Material beneath tile
inches
Depth PERMIT NO.
Crib depth Total effective absorptior~ area
Well Building foundation Nearest lot line
DISTANCE TO:
Class Depth Driller Distance to lot line
Sewer line
DISTANCE TO: Building foundation
OTHER
PIPE MATERIALS
Septic tank
72-013 (Rev. 3/78)
DATE
LEGAL
LEI I.illl.llf U, I'IEI=ILTII' I=Ii"~C~ EI",I"/]:F~:OI",II'"IEI",t"I'FIL ~,:'"'f'E"T]'ON
: ....... "L '" ,;:, I FU::.I~:, f ,, I' I',1 ...l I.. F:. .a~ ..... FII':::
;i;'Z(;,::[..'",q.';:';;::~l : I:::11",trL II '" I;'1=1 _'?iE --':;'= ~' "'"'::"-:1 ":h.:l. : El:ill'lEE:.' I;;: :[ ',,"IER
~Z:.3~ ~' ,4] -...'£,1 ;:11:: Hf"' E~." :'E2; E-:E ll,--.lt lEE;: IFE'.' Ir:::" EE It::~." tt".'1t :]I; 'ql
I E.F,.I I1 I I'.,t:"
~ F 1 I · I,I I: ]: I::::1:::1 L I:::I:;;:IJEilEF;: F 1 I. I,IE ~: ,= 4. -.: .:L,::...,
FIE:,i::,I:;;:E:!5:!!;: ::~;1~: i 150:..; ;~.:"~Fzr?
fEl::'ll:31.,,.l~!i: f;i: ]: ',,,'El:,% . I::ll:::
L. EE.~FIL. I.. I .......... f, .I, F '1 Z -I',1 -.- ..,I,.IE, I.., .t:, .[ .~, 1 ... i',l. NF'i L, LJJL. I,.: I'.,IF:I LOT: ;~'.":J:
~ .... L_.'] 1 ...I,t.
[,.OT ,::'" "2 :' ] ' , ,: , · ; ....
..... I,~-.L E' 'E_:, F'"I". 1Ld. llLtl.l.l: . :t.51',,I I-hl:E tl.4
" ' ="'" ": i:) =. :IL F · 1 [I',1 :~ = E:.l El FI F,:;;'~ F'T. , El' ....
Iti-,',):11.11 NLIHE:E:F: OF' EILLf,L~UIL. := ' ' ' , ......
..I~ I Z..[',I... ',,,1' .IL M.J= TO "r'OIJ :[F,I I..E_:[.:flI.I,I,IL~ ~¢OI...IF-.: .~E. F I] ....
L 1_, I El. 13E:IJ:31,.I F:IFi:I.E: ']'I"IE ~ :' * - ' '= : : -:
..... IL.II. L. IIuu:,~. THE: OF'T:~EIN THF:I!I" L,E...,"I I ):'1 .... ~'r'- F' ,_.I. TI~ ....
]: El'; I [I TI'II:::IT:
% ]: FIH F'FIH):L.]:I=IR I.,.!]:"1'1'"1 TIlE REE:!~.,I:[I';~:EI"IENT:~, I::'E~R OI',I-":.::!;:[TE %EI.,ER':E; FINE:' I IE.LL ....
FOR'T'~I D"r' ']'liE: I'"ILB,I:[C:I;I::'F~L.:[T'¢ OF' F$tE:HOF:FP.SE FIi",I[::, TH,:J: S'f'FfTE L3F
;:::' ' Z k!:[[..L. ;I:N~;TFIE,L THE: '.'5"r':E;TEH t[l',l'' '""i::ICE:ORE:'FINCE LI:I:TI'I THE E:OI::'E.E; FII,IE:"' HFI',,"E
]:=, OF "" ':'
F:I . I"' Of:' 'I"I'IE: E:EE:'E ...LII II II I1:'.. FII",IE:'I E:' :[ I=IGI:RFIH I I ] ....I II1Ei',11 14H:[CH I='FII~:T I
FI=,I .I I.I.T.
:~:. :[ I...II",![::'EF:':'::;Tf::IN[::' THFIT THIL:: UI,I '...,~[ ] I .... E.I IE..r ......... FLI I HFI"r' REE!LI]: F:E ENI.J=IREilEHE:i",IT :[ F' THE
F:E2;ZDE:I',iE:I:~ .[... REHODE:I..:.E:I::' TO .[11...LLIL, E, HOF:E THFtN .'3 El:...[ F ...... 11 ....
.... ':":': I..L.,I Ld',L,.I.E, IL. 1 T ~ TO :[NF'IZiF:HI: EF.::,UNI,I[=L DIJI:;~:]:I",tG
PERH]:T III I' I,,I .,ill',FI IIIL.. "I'HE:; =: :- : - ':" =' ' "
" ...................... "': '' ...... IHI- I:'R.I: ~F'I I=INB'
THE: ].I,L: II' LL I 1-['1 1N.=~ I:=L.i'I_IL. OF I::'I1",1'¢ I..IE:.L.L:, FIr::,.]'FICEi'.,IT TO "" '= "'"~'-'*',' ""
THE I IUI ILE. I.. r'r::' I ..L,_. .[ [.. [.J ,I .,.E.... 'I"HFFF ti'HIE 14ELL. HIL. L~.,I....I:,. ,'= ';" ':'E.,.
~1::: i:::1 L,]:F'i" :~;TFfl":[E~I'.,I l.:, IH... I LLIL.B. I::IN EI._EX::"f'F::]:CFIL, F'ERH]:T i=iNE:, ].ILFI...._.].t:JI'I IIIJ=,l~
E:E OE',TI::IiNE:I:::,. :' -:' ' ' '= -': ' - ' =' ' ' ':':'::
· .~, E, IJ :[ L 1 ..:, L.I If,Il ,Iu1 ~ L,t... I::II::"F'R()","E[:' P.I l TI-lOUT I::11",1 IEI..~E Z:'l"l:~: l f::l::lL .]: I 1... I L -. T 1 - 1 I
E,L [;:'ONI:i~ E, FI I-I~.I.J'I,..E,,L. ELI::.L. Ir,..'[L..'I:I-IH.
I E~ .~ 'r. THE: E:I E .II.:[~..HL I.,.[E)I::i:I-::: II!J.:. I :':'
lOqq,%5--
MUNICIPALITY OF ANCHORAGE
~ !Health and Environmenta7
Department ~rotection
825 ~ iStreet, ~chorage, AK. ~9501
i264-4720
~//(~ * * * HANDWRITTEN PERMIT * * *
Permit
Location: ! Phone Nu~er ·
egal Description:'mAS-- iO.l , 7 Size,
Type of Soil ~sorption Syst~ ~s: - ' -
Trench: Drainfield:I Seepage Bed: ~ Holding Tank:
Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br) _
The Required Size of the Soil ~sorption System Is:
. GRAVEL DEPTH _~ H)DTH
depth of a trench or pit is~the distance between the surface of ~he ground and
the bottom of the excavatmo~($n feet). There is no set width for trenches.
The gravel depth is the min~m~ depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
· * REQUIRED SEPTIC(HOLDING) TANK SIZE = ~O GALLONS * *
· * * TWO(2) INSPECTIONS ARE REQUIRED * * *
will be $~b~ect to p~osec~tio~.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community!sewer line is 75 feet. Well logs are required
and must be returned to this ~epartment within 30 days of the well completion.
Other requirements may apply. ~ Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * *
I certify that:
(1) I am familiar with ~he requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the System in accordance with codes.
(3) I understand that t~e on-site sewer system may require enlargement if
the residence is re ~odeled to include mo re~x~3 bedrooms.
Signe~: - ~.~.~::!.~.-.~/' Issued by
~pli~nt/~-
Date:
SWP/024 (i/si)
ALASKA eFILIIROIqllleFITAL COFITROL SeRLiiCeS, IFIC.
En~in~rinq $ E~uironm~nl~l $1u~ics
October 6, 1983
Mountain Gem Log Homes!
P.O. Box 2055i
Eagle River, Alaska ~9577
Attn: Terry Kruger
Dear Mr. Kruger:
On October 5, 1983 I Jogged a backhoe test hole on T15N R1W SM Section 7
Lot 23. I found that ithe soil between 3 and 7 feet depth is a well
graded sandy gravel w~ich I visually rated at 100 square foot per
bedroom for septic s~s;tem installment. 'rhe groundwater level was at 7
feet depth at this tL~e. According to Municipality of Anchorage,
· Department of Health ~ Envirnomental Protection regulations the
groundwater level must: be monitored for at least seven days before a
septic system constru6tion permit can be issued.
In conclusion, the so{1 on-site is well suited to septic system
installment. A shallow trench or bed system could be installed four
feet above the groundwater. If the groundwater remains at the same
level the system would be installed at a depth no greater than three
feet.
$incerely,
im Green
Geotechnical Engineer
1200 LUesl 33rd Aqe~u¢, $ui1¢ ~ ,, Pmchora§¢, Aloska 99503 · {907) 276-1361
SOILS LOG
~, .~ o~ $~c~.O~e~- MUNICIPAL TY OF ANCHORAGE
'~IIT~XI~,O~tA:''' , 825 L. St;eet, Anchorage, Alaska 99501 264-4720
~ ~,, ~ . '~' SOILS LOG- PERCOLATION TEST
~ / -[ , h~,~ .... J SLOPE / ' SIT~ PLaN /
5
6
7
8
9
10
11
12
13
14-
15-
16-
17-
18-
19
2O
WAS GROUND WATER ~7/~
,.COU.TERED?
· 0
~ ~'~' / E
IF YES, AT WHAT
/
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ERCOLATION RATE (minutes/inch)
CERTIFIED BY: DATE:
,00'0£~
~0 0'0~£ ~'
n
0
v
<
J
APPLIC '~T FILLS OUT UPPER HAL ONLY
PropbrtyOwner ~'/::~/~ ~ /?.i / /(/ d'~,~r ¢?' ~,d'2 ~/~ ~7 .¢//~-'~ ~ ~?~,~(: ,~/'~ Phone
Mailing Addre~ ~ ~ ~
~ /4 / Zj~'~~ ¢'),~ ~' -7 d////~/~¢ /~ _/~ /~_. Zip Code ~,' '
Address ] Zip Code
Lending Institution /~ // /- C ~ ¢ / eX /¢/¢'¢* Y d' /'l ~:.¢ ) ~ ~*-'~;'/~/~¢ ~ Phone
Address ~ Zip Dode
Realty Co. & Agent I~: /) ~///~ W ~' ~- g:' 2~ .... ~ ~/ ~ /1 ~/ /) /,~ ~,~., //~. Phone
Address /~ ~ / 'F .~ 2~2rd' /~' /i//~;~_ ,///~ ZipCode
Legal Description /. ~ ~/ D . ~ ~ 7"/,¢,~/ ~'~) ~ ~-
]
ime Time Time Time
~ate Date Date Date
1specter Inspector I Inspector Inspector
MUNICIPALITY OF ANCHORAGE
DEPT. OF H=/.tTiI &
E(:EIVED
APPROVED BEDROOMS
DISAPPROVED
COND"~ONAL APPROVAL'
'CONDITIONS OF APPROVAL
Date Sewer Installed
Well To Absorption Area
Welt to Tank
Well Log Received
Septic T&qk Size
Parcel I.D. #
1. GENERAL INFORMATION (Must be corr )leted prior to submittal)
(a) Legal E)escription (include lot, block,!subdivision, section, township,
MU~,IICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAl. SERVICES
~ 343-4744
CERTiFiCATE OF INSPECTION FOR HEALTH AUTHORI'FY APPROVAL O~:
ON-SITE SEWER AND NATFR FACILITY FOR SINGLE FAMILY DWELLING
range)
'--Lot 23; See. 7, T15N, RIW~
(b)
Location (address or directions)
NHN Tarika Street
Mailing Address
(c) Lending Institution
Mailing Address
(d)
Property owner _ ~--'~-~ ,,'~'~ Telephone: (home)
Telephone
Real Estate Company and Agent _
Telephone _ 694-49fl~
Mail the HAA to the following address: (or check here~ if hold for pick up.)
List contact person and day pl~one number below:
(e)
Business 694-42~
S & S ENGINEERING
Eagle River, Alaska ~5~
2. TYPE OF RESIDENCE
Single-Family~ Number of bedrqoms ~
3. WATER SUPPLY i
Individual WelK~ Community ~ ~ Public [~
Note: If community wei[ system, must.have written confirmation from the State Department of Environmental
Conservation a~testing to th legality and staius.
4. SEWAGE DISPOSAL ~
On-site~ Public D Community D Holding Tank ~
Note: if community well system, must~have written confirmation from the State Department of Environmental
Conservation attesting to the legality ahd status.
72-025 (Rev, 7/88)
Page 1 of 2
~ ~o ~ OSed
'~JOM s,Jeem§ue leuo!seojoJd oqt u[
suo!ssj LUO JO S JO J J@ JO] ~) q.rsuodsoJ lou S{ @6eJoqou¥ to Xllledlol. . . u n IM oq.L 'ponsm. s~. e~eo . J. peo :e eJojeq e~p ez,q~ue Jo
suo!loedsu, lonpuoo ~ou op SNH(] ]o seaXOldLU~ 'sjueuJeJmbej e~els pu~ eJepet uJepeo A1s J~s ol Jap Jo u! suoBni!1su.
8mpuel J~eq~ pue SeLUOq JO eJeseqoJnd m, XseiJnoo e sb s~q~ seop SNHC] eq.L 'e~selV ~o elel$ eql u~ peJe~,s!SeJ
Je~u~Sua. ieuo . sseloJd tuepuedepu~, ue Aq eAoq~ B qdeJ§~Jed ~Jl. UeA~6. SUO .l~lueseJdeJ eql uodn/~1~o peeeci peleoUueo..
I~AoJddv A~poq~nv qlleOH sense! (SHHC]) seo!^Jes UeLUnH pue q~leOH ~o ~ueuJ~Jedea el~eJOqOUV ,to X~lled.o.unhl oqJ.
I~^oJddv leUO!~JpuoO ~o SLUJOl
leU°B!Pu°O poAoJddeslC] .,~ pe^oJddv
~...kg.~ /-.~,~' Xq swooJpeq(~ Jo,~ pe^o,ddv
'lVAOt~dd¥ SHHa '9
~?0~ 'oN peo~ dool .m,'-l~l 011]~3 ~:O."L
sseJppv
uJJL-I jo eUJeN
kZ~'~ ,.h _~ ~ euoqdele/
'uo!loedsu. s!qj Jo elep eql uo JoeBe u~ 9uoRelnSeJ pu~ 'seoueufpJo 'sepoo
pu~ ledfolunR lie MllM eoueHd~oo u. s! ~elsXs I~sods!p JeleMelSeM J~/pue X ddns JeleM ei!s-uo eql 'uoBoedsu'
pu~ uoBeS!lseAu! X~ ~oJ~ pue sel!~ eS~Joqouv Io Xl!l~dp!un~ emi ~oJ1 pau!elqo uoBe~Jocui e~ uo peseq
~e~l X~peA Je~Jn~ I 'u!eJeq Pe1Bo!pu! eJnlonJls ~o adXl pub s~ooJpeq ¢o Jeqmnu e~j Jol eJenbepe pue i~uoBoun¢
'a~es s! ~eisXs lesods!p Je~eMelSeM.Jo/pue Xlddns Jej~M alis-uo e~l ~e~ SMOGS leAoJddv XlNoMjnV ~Jl~eH
,s~ ql ~o UO!~8!~SOAU~ ~ ~eq~ X~!JOA I 'MOleq UMOqS elep uoBep~leA eq~ ~o se pue o~eJ eq pex!~e lees X~ Xq Pe!~!~Joo sV
NOI~V~aOJNI aNY v~va 'HOardS ~11~ 'S&S~& 'SNOI&O~dSNI ONlalAOad ~lJ 9NI~NIgN~ 'g
~ MUNICIPALITY OF ANCHORAGE (MOA)
(,~'~,~ Health Authority Approval (HAA)
· ML~L~Y O? ANCH(~f~I~KLIST ' FEBFIUARY 1984
E N V I R O"l'l'l'l'l'l'l'l'~ T A L SERVICES DiViSiON 343-4744
A. WI=LL r)ATA
Well Classification __
Well Log PresentCC~'N) ~ Date Completed ~,,~-~
Total Depth'¢-~' Cased to \ ~1~ Depth of Grouting '~-
JAN 5- 1990i Legal Description:
RECEIVE;D
~ (Y/N)
~, ~.~ ~)\-,J ~ ~O,/k~L~ If A, B, C, D.E.C. Approved
Yield
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit ~'N)
Pump Set At
Sanitary Seal on Casing ¢Z~N) '-/
Depression Around Wellhead
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field On Lot
; On Adjoining Lots \ ~c~t ~
; On Adjoining Lots \ ~ ~ ~
To Nearest Public Sewer Line ~'~/t~,~/'' -
To Nearest Sewer Service Line ion Lot '~'~
Water Sample Collected by ~,¢~ ,~ ~ ~:~¢:;;¢~t¢~. ;Date
Water Sample Test Results ,~.~,,Z~c~'-L'~-~'~,~¢~¢--,~'
Corn ments .--"¢~ ~ I?~--¢~ ~ ¢'~
To Nearest Public Sewer Cleanout/Manhole
B. SI=PTIC/HOLDING TANK DATA
Date Installed
No. of Compartments
-, To Water-~uPply Well
To 'Property Line. '
Standpipes,,j~/N) '¢ _Air-tight Caps ¢~N) _
Depression over Tank (Y/¢;~ ~"~
Pumping/Maintenance Contact on Fi!e (Y/N) . ¢
Holding Tank High-Water Alarm (Y/N) f-4/~.
SEPARATION DISTANCES FROM sEPTIC/HOLDING TANK:
To Wafer Main/Service Line. i t, o~ ~
To Stream, Pond, Lake or Major Draic~age Course
Comments '"~':~-~ ~
Foundation Clean o ut E:.'CTN)
,/~ate Last Pumped \'~- ~"2~ c~-
; for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field .
72-026 (Rev. 7188) Front
Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Type of System Design
t
Length of Field
Depth of Field
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
Gravel Bed Thickness 4::~, ~" ~
Square Feet of Absortion Area _ ¢:~ U¢~c~'"¢" Statndpipes Present (,::~4) '.7/
Depression over Field (Y/~i) ¢ Date of Last Adequacy Test _ Y.'.'.'.'.'.'.'.'.'~- -
Results of Last Adequacy Test ~Y~.~P',c"c"'-fi--~¢~, ~- Lc'
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Property Line I
(,¢,'2.- ~ To Existing or Abandoned System on
; On Adjoining Lots '~:::~=~
\ ~ t~ To Cutback (if present)
To Stream, Pond, Lake, or Major Drainage Course \ e~c::? ~
To Driveway, Parking Area, or Vehicle Storage Area t, ~ ~ ~
Comments~.b-~- -~-z~-~t ~u~ '~-'~L.~,-~ ~ .~t~
D. LIFT STATION
Date Installed
Size in (~~G s
"Pump
Dimensions
Manhole/Access (Y/N)
High Water Alarm Level at "~
Tested for
Meets MOA Electrical Codes (Y/N)
Comments _
"Pump Off" Level at
Vent (Y/N)
~~mping 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 effect on '
inspection.
Signed
Company
Date
MOA No.
Receipt No.
Date of Payment
Amount: $
72-026 (Rev. 7/88) Back
~,~'~"d~) ~/ R ecei pt N o.
Waiver Fee: $
Date of Payment
Page 2 of 2
CHEMICAL & GEOLOGICAL LABORATO ES OF ALASKA, INC.
FEDERAL TAX ID # 92-0040440
ANALYSIS REPORT BY SAMPLE £or Work O~dez ~ 19085
[)ate Re]port Printed: JAN 2 90 @ 11:05
Client Sample ID:L23, SEC 7, T15N, R1W, SM
PWSID ;UA
Collected DEC 29 89 8 15:50 hrs.
Received DEC 29 89 @ 12:30 hrs.
Prese~¥ed with :AS REQUIRED
Analysis Completed :DEC 29 89
Client Name : S & S ENGR
Client Acct: SNSENGP
P.O.# NONR RECEIVED
Req ~
Ordered By : R.J.S,
Send Reports to:
1)S & S gNGR
Laboratory Super¥i%or~LL~gPNEN C. EDE
Released By : ~-~ ~_~ 2)
Special
Instruct:
Chemlab gel ~: 9068 Lab Smpl ID: I No%rix: WATER
Allowohle
Parameter Tasted Result Units Method Limits
NITRATE-N 0.48 mR/1 EPA 353.2 10
Sample ROUTINg SAMPLE
RemarRs: SAMPLE COLLECTED BY R.D.J.
I ~ests Performed S,6 Special Instructions Above UA,.UnaYailable
ND= None Detected '* SeA Sample Remarks Abo¥o
NA- Not Analyzed LT=Le~s Than, GT=Gzeater Than
fi~I~P/ARTMI"NT oF HEALTH AND ENVIRONMENTAL PROTECTION E] PERCOLATION
825 L, Street, Anchorage, Alaska 99501 264-4720
soILs LOG - PERCOLATION TEST
1
2
3-
5-
6-
7
9-
11
13
14
15-
16
17
18
19
2O
No. 14~7,,a
IF YES, AT WHAT
:DEPTH?
'~. ' LJ ~· Net Depth to Net
Reading ""-Da~-~ Time Time Water Drop
iPERCOLATION RATE (minutes/inch)
!TEST RUN BETWEEN FT AND -- FT
PERFORMED BY:
72-008 (6/79) ............ J
CERTIFIED 13Y: DATE: