HomeMy WebLinkAboutTALUS WEST BLK 3 LT 9
Municipality of Anchorage Page 1 of 1
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SW950238 PIDNumber: 01520146
Nar.e: Wastewater System: [] New ~ Upgrade
Pat Illias
^ddress: ABSORPTION FIELD
11916 Wilderness Dr.
lNG. of B.~drooms:
Phone: 345-08 g 0 I~ Deep Trench [] Shallow Trench U Bed D Mound Q Other
Soil Rating: Average of Total Depth from original grade:
LEGAL DESCRIPTION 1.2&.45 G.~sq, e. 9 ~/2
Lot: Block: Subdivision: Deplh ~o pipe boltom from original grade: Gravel depth beneath pipe
9 3 Talus West 4 F,. 5 Ft.
Township: _---- Range: ------ ~ Seclion: ------ Fill added above original grade: Gravel length:
t
0 Ft. 54 total Ft.
WELL: Exist. ~ New Q Upgrade 3.25 F,. 2 12 FL
Classification (Priva[e, A,B,C): Tolal Depth: Cased TO: Total absorption area: Pipe material:
Private 107 Ft. 40'+ Ft. 540 SQ. Ft.
N/A 1976 80' FC Bi~ Time Dirt Work: 8-29-95
TANK-Existing
7.5 GPM I Unknown Ft. I 1. 5I FL
SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P.
From Tank Field S,atio,, Tank Sewer ~i..~ 1 , 000
Material: Number of Compartmenls:
. We. 105 ' I 02 ' N/A N/A Steel
Line 30 ' + 7 ' + N/A N/A N/A
N/A N/A ~/A ./A ./A Pu~del J [lectdcal Inspec,ions performed or: ~
Curtain
BENCH MARK
Remarks: Tank exoosed, not leaking;did
not need to be replaced. Aluminum Monument ~ Talus and
~C ~fZ: ~'~ q"FM~i~ Pg~'gPR '~'~C wilderness i AssumedElevation:
5~~ ~zq~g ~5~ p 3~q ~ ldO. O Fl.
ENGINEER'S SEAL
Inspections performed by: L, ~0~, ~J< Dates: 1st ~/~q/q s~
Heal~d~ Hu~ervices~ approval ~ ~r,~
Department
of
Reviewed and approved - ~ Date: ~[pmmi~i~7~.
72-O13 p~ev 9/91t MOA 25
Permit No.
SW950238
Municipality of Anchorage
Deportment of Health and Human Services
ENVIRONMENTAL SERVICES DIVISION
Page 2 of 2
Dale 9-7-95
On-Site
Legal Description:
Box 196650 .Anchorage, AK 99519-6650 .Tel:
Waste wafer Disposol Sysfem/Well
LOT 9 BLOCK 3 TALUS WEST SUBDIVISION
545-4744
Inspection Report
SITE NARRATIVE, CONTINUED
The soils investigation by DHI revealed a fairly uniform silty soil overlain by 4' to 6' of
silty gravel. In places, the silty soil becomes more sandy. The original system
was based on a sandy test hole, but since it failed within 4 years, if was probably
situated in a silty region. Though the test hole upon which the new system is based
has 7' of sandy soil, the design assumes the french will be half in sand, half Tn
silt, and is sized accordingly. There is room fo lengthen the trenches if soil
conditions change during construction.
SEPARATION DISTANCES:
The replacement system will be installed 7' fram the north property line. A replaceCrfenf
system for Lot 10 would have fo be at least 5' from the common property line to:
maintain the required french separation distance (twice the effective depth). This 'does
not appear fo be a hardship for Lot 10.
-- ~ ~_ee . ee~
; 749TH
RECORD DRAWING :*. _.-~ ..~
&~ ~LAURIE KOZISEK ~
W.'d. 95m~ iF;~. NO. ** iSCALE: ~"= ~" Ic. FiLE 2~CS~
Permit No.
SW950258 Page· 1 of
W.O. 95211
Municipality of Anchorage
Department of Health and Human Services Date 9-8-95
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 * Anchorage, AK 99519-6650' Tel: 343-4744
'On-Site Wastewater Disposal System/Well Inspection
Legal Description: LOT 9 BLOCK 3 TALUS WEST SUBDIVISION PID No.
Report
01520146
REPLACED EXISTING
j C.O. WITH PAIR /'
/ OF.C.O. PER CURRENT
MOA REGS,, WITH 90'
// ELBOW BETWEEN C.O:S
69'
EXISTING TRENCH
ABANDONED IN
~ FILLED
DRIVEWA'
(PAVED) / ~,
N89'54'42 E
170.00'
/-~SHROB LINE
~.: ,...,-':."
:.... :...: : ...-
2 EA. 27'
LONG, 5' DEEP
TRENCHES
SEE DETAIL 1/2
O
RADIUS
RADIUS
RADIUS
/
SWING TIES
AC 31'
AD 11'
BC 17'
BD 20'
LEGEND
PROPOSED EXISTING DESCRIPTION
[] [] CLEANOUT & DRAIN LINE
' · 0 4" MONITOR TUBE
" ~ TEST HOLE
~"~ E/T/C- U.G. ELECTRIC,
· TELEPHONE, CABLE
X FENCE
0 TREE
RECORD DRAWING
W
SCALE: 1"= 30'
DATE
LAURIE
CE 5414
Permit No.
SW950258
Municipality of Anchorage
Department of Health and Human Services
ENVIRONMENTAL SERVICES DIVISION
Page. 2 of 7
W.O. 95211
Date 9-7-95
P.O. Box 196650 * Anchorage, AK 99519-6650' Tel: 343-4744
On-Site Wastewater Disposal System/Well Inspection Report
Legal Description: LOT 9 BLOCK 3 TALUS WEST SUBDMSION PlD No. 01520146
TORiGiNAL CLEAN
GROUND
H#2 BACKFILL-SEE
NOTE 1
9~
94 FILTER FABRIC
MIRAFI 140S
93 OR EQUAL~
92
91
4" PERFORATED-
9C PVC PiPE
INV.= ~
89
SCARIFY
88 SEE NOTE 9
GRADE - SEE NOTE 16 & 17
'AIRTIGHT CAP
MONITORING
TUBE
INSULATION, IF NEEDED
SEE NOTE 13
SEWER ROCK PER
MOA SPECS SEE
NOTE 10
86
85
84
83 --
82
X~7 81
WATER TABLE
80
79
78
DEEP TRE
SCALE: NTS
RECORD
BOTTOM OF TRENCH
85.0
NCH SE
DRAWING
CTION(~
Permif No. SW950238
On-Site
Legal Description:
Municipality of Anchorage
Department of Health and Human Services
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 * Anchorage, AK 99519-6650' Tel: 343-4744
Wastewater Disposal System/Well Inspection
LOT 9 BLOCK 3 TALUS WEST SUBDMSION PID No.
Page 3 of 7
W.O. 95211
Dale 9-7-95
Report
01520146
EXISTING ~,~
HOUSE
EXISTING PiP
EXISTING ANGLE
EXISTING CLEANOUTS. INSTALL PAIR
OF NEW CLEANOUTS SEPARATED BY 90' ELBOW
92.0
BACKFILL TO PREVENT
PONDING OVER TANK OR PIPEr
NEW PIPE
INSTALL 90' ELBOW ~'~'
SEPTIC
SCALE: NTS
RECORD
TANK PRO
DRAWING
FILE
REVISED 8-2.3-95.
DATE
Permit No swg50238
On-Site
Legal Description: LOT 9 BLOCK 3 TALUS WEST SUBDMSION
Municipality of Anchorage
Department of Health and Human Services
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 * Anchorage, AK 99519-6650 · Tel: 343-4744
Wastewater Disposal System/Well Inspection
Page 4 of 7
W,O. 95197
Date 9-7-95
Report
PID No. 01520146
NOTES:
2.
5.
4.
5.
6.
ALL CONSTRUCTION SHALL BE IN ACCORDANCE WiTH CHAPTER 15.65. WASTEWATER DISPOSAL REGULATIONS
OF THE MUNICIPAL CODE AND MOA STANDARD SPECIFICATIONS FOR STREETS, DRAINAGE UTILITIES AND PARKS
(MASS) 1994 AS CURRENTLY AMENDED, AND ALL APPLICABLE STATE AND FEDERAL REGULATIONS.
EXPOSE 1000 GALLON SEPTIC TANK FOR ENGINEER'S INSPECTION. MOUND BACKFILL OVER TANK TO PREVENT
PONDING.
ANY DEVIATION FROM THE DESIGN MUST BE AUTHORIZED BY THE ENGINEER PRIOR TO ITS INCORPORATION
INTO THE SYSTEM.
CONTRACTOR TO LOCATE ALL UNDERGROUND UTILITIES, PROPERTY LINES, EXISTING WELLS, WATER WAYS,
SURFACE AND SUBSURFACE DRAINAGE FACILITIES, LAKES, PONDS, AND OTHER FACILITIES REQUIRING
SEPARATION DISTANCES FROM THE PROPOSED SEPTIC SYSTEM.
CONTRACTOR TO STAKE PROPOSED SYSTEM PRIOR TO CONSTRUCTION. NOTIFY THE ENGINEER OF ANY OBSERVED
CONFLICTS PRIOR TO CONSTRUCTION. STAKE LOCATION OF EACH TRENCH END. NOTE DEPTH OF CUT ON LATH.
CONTRACTOR SHALL HAVE SURVEY LEVEL AND ROD SET UP ON S~ DURING CONSTRUCTION,
NOTIFY THE ENGINEER AND DHHS 24 HOURS PRIOR TO COMMENCING WiTH CONSTRUCTION. A MINIMUM OF
THREE SITE VISITS ARE REQUIRED. THE FIRST VISIT SHALL BE OF THE SUBGRADE, PRIOR TO PLACING
SEPTIC ROCK, THE SECOND VISIT SHALL BE AFTER THE PLACEMENT OF GRAVEL, DISTRIBUTION
PIPING, STANDPIPES, AND OTHER COMPONENTS AS SPECIFIED. THE THIRD VISIT SHALL BE
AFTER THE WORK IS COMPLETED.
CONTRACTOR SHALL DELIVER TO THE ENGINEER A SET OF RED-LINED, AS-BUILT DRAWiNGS SHOWiNG ALL DATA
AS SPECIFIED IN SEC. 15.65.F, 2, .3, 4, 5, 6 OF MUNICIPAL WASTEWATER DISPOSAL CODE WiTHIN FIVE DAYS OF
THE FINAL VISIT. INVERTS AND SWING TIE LOCATES SHALL BE TO THE NEAREST TENTH OF A FOOT.
THESE AS-BUILTS SHALL BE USED BY THE ENGINEER TO PREPARE AND SUBMIT RECORD DRAWiNG TO DHHS.
ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY file
ENGINEER IF ACTUAL FIELD CONDITIONS VARY FROM THOSE USED TO PREPARE THE DESIGN.
RECORD DRAWING
Permit ~o.
$W950258 Page 5 of ?
W.O. 95211
Municipality of Anchorage
Department of Health and Human Services Date 9-7-95
ENVIRONMENTAL SERVICES DIVISION
P,0. Box 196650 ° Anchorage, AK 99519-6650' Tel: 343-4744
On-Site Wastewater Disposal System/Well Inspection
Legal Description: LOT 9 BLOCK 3 TALUS WEST SUBDIVISION PlO No.
Report
01520146
NOTES:
10.
11.
12.
1,3.
BOTTOM OF TRENCH EXCAVATION SHALL BE LEVEL. RECORD ELEVATIONS AT BEGINNING, MIDDLE, AND END
OF TRENCH BOTTOM. FACE OF TRENCH WALL SHALL BE SCARIFIED BEFORE PLACING SEWER ROCK.
PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE SEWER ROCK WITH NATIVE MATERIAL
OR SPOILS FROM EXCAVATION. LEVEL ROCK SURFACE TO + 1" PRIOR TO INSTALLING THE PERFORATED PIPE.
ALL PIPE SHALL BE PVC CONFORMING TO ASTM D5054 OR ENGINEER APPROVED EQUAL. ALL JOINTS SHALL BE
SEALED WITH APPROVED GLUE. CLEANOUTS SHALL BE INSTALLED AT THE ENDS OF THE TRENCHES.
4" MONITORING TUBES SHALL BE INSTALLED AT EACH END OF THE TRENCH, WHERE SHOWN ON PLANS.
COVER THE DISTRIBUTION PIPE WITH MIN 2" SEWER ROCK, BEFORE PLACING INSULATION, GEOTEXTILE,
BACKFILL. AND TOPSOIL.
MINIMUM SOIL COVER SHALL BE 4'. ONE INCH OF INSULATION MAY BE SUBSTITUTED FOR ONE FOOT OF SOIL
COVER, BUT THERE MUST BE A MINIMUM OF TWO FEET OF SOIL COVER OVER THE INSULATION. ALL
INSULATION BOARD SHALL BE 2" THICK POLYSTYRENE, DOW HI-55 OR ENGINEER-APPROVED EQUAL, CENTER
BOARD WIDTH OVER PIPE.
14. A GEOTEXTILE FABRIC, MIRAFI 140S OR ENGINEER-APPROVED EQUAL, SHALL BE INSTALLED BETWEEN THE SEWER
ROCK AND THE BACKFILL. LAP ALL ,JOINTS.
15. MATERIAL USED AS BACK FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS.
16. SLOPE ALL BACKRLL MATERIAL TO DRAIN AT 2% MIN. SLOPE, AND IN SUCH A MANNER THAT
PONDING AT OR NEAR THE SYSTEM DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN
SHOWN TO ALLOW FOR SETTLEMENT. PLACE 4' OF TOPSOIL & SEED (SCHEDULE D) PER MOA 1994 STANDARD
SPECIFICATION FOR STREETS, DRAINAGE, UTILITIES, & PARKS AFTER COMPLETING INSULATION.
17. RECORD THE FINISH GROUND ELEVATION OVER TOP OF TRENCH.
RECORD DRAWING
I I
Permff No.
SW950238
Municipality of Anchorage
Department of Health and Human Services
ENVIRONMENTAL SERVICES DIVISION
Page 6 of 7
W.O. 95211
Dale 9-7-95
P.O. Box 196650 * Anchorage, AK 99519-6650' Tel: 343-4744
On-Site Wastewater Disposal System/Well Inspection Report
Legal Oescripfion: LOT 9 BLOCK 3 TALUS WEST SUBDIVISION PID No. 01520146
SYSTEM DESIGN CALCULATIONS
1. NO. BEDROOMS
2. USE DEEP TRENCH SYSTEM
5. ABSORBTION AREA = (,5 BEDROOMS)(150 GPD/BR)
(1/2)(1.2 + 0.45)
545 SF
TEST HOLE #2 SHOWS SAND, BUT TO BE CONSERVATIVE,
ASSUME 1/2 SAND (.5 MIN./INCH) AND 1/2 SILT (,52 MIN./INCH)
4. USE EFFECTIVE DEPTH OF GRAVEL= 5.0'
5. TOTAL LENGTH OF TRENCH= ABSORPTION AREA
2 * DEPTH OF GRAVEL
USE TWO EACH 27' TRENCHES
= 54'
PERCOLATION RATE
6. MINIMUM TRENCH SEPARATION EQUALS TWICE EFFECTIVE DEPTH = 12'
RECORD DRAWING
PIT & TRENCH MOUND & BED
APPLICATION RATE APPLICATION RATE ~
· TH ·
NOT SUITABLE NOT SUITABLE ..49
~.2 ~ 0.8
0.8 0.5 .~,..[~ ~LAURIE KOZISEK
o.~ o.~ ',~j... c~
o.4~ I o.~ ~%~ ... .... ~
1,0 .7
DATE
MIN/INCH
0 1
1-5
6-15
16-30
31-60
GREATER THAN 60
FILTER LAYER
Permit No,
SW950238
Municipality of Anchorage
Department of Health and Human Services
ENVIRONMENTAL SERVICES DIVISION
Page "7 of '7
Date 9-7-95
P.O. Box 196650 * Anchorage, AK 99519-6650* Tel: 343-4744
On-Site Waste water Disposal System/Well Inspection
Legal Description: LOT 9 BLOCK 3 TALUS WEST SUBD.
Report
LEGEND
[] HOUSE
[] PIT
[] SEPTIC TANK
[] BED
~ TRENCH
® WELL/lO0' RADIUS
W CUP
EXISTING SYSTEM ON ADJACENT LOTS
SCALE: 1"= 100' RECORD "'"'"'""'"
W.O_, 952!!
LAURIE KOZISEK CE 54t4
DATE
C. FiLE 211CSD7D
Permit No.
SW950258
Municipality of Anchorage
Department of Health end Human Services
ENVIRONMENTAL SERVICES DIVISION
Page__
Date
1 of 2
9-7-95
P.O. Box 196650 *Anchorage, AK 99519-6650 oTel:
On-Site Waste wafer Disposal System/Well
Legal Description: LOT 9 BLOCK 5 TALUS WEST SUBDIVISION
343-4744
Inspection
Report
SITE NARRATIVE
Lot 9 Block 5 Talus West Subdivision is bordered on all sides by developed lots. The
lois are 0.4 to 0.5 acres in size. Lois fo the north, south and west are immediately
adjacent fo the subiect lot. The lois to the east are separated by fha 60' Wilderness
Road right-of-way. The area was subdivided in 1971, and the subject lot developed
in 1972.
The lots the the north, south and east hove lO0'well radii that encroach on the subiect
lot. The encroachments ore relatively minor additions fo the 100' radius oreo surrounding
fha subiect lot's own well. The odiocent wells do not impact the replacement leach
field design.
The lots on oll sides hove existing septic systems. The system on Lot 22, west of fha
subiecf lot, was replaced this year. The foiled system on the subiect lot consisted of o
486 S.F. crib installed in 1972, o 250 S.F. french added in 1974, and o 1000 gallon
septic tank replaced in 1990.
The drainage on fha lot and in fha vicinity is generally east fo west. The neighboring
Lot 22 has o relatively steep slope, covered in lawn, approximately 80' downhill from the
proposed system. There ore no cut banks, streams or drainage channels on fha subiect
Iai. The oreo of fha proposed septic system is gently sloped, and ponding is not
anticipated. All disturbed areas will receive topsoil and seeding fo prevent soil erosion.
RECORD DRAWING ~,.%.~.. ~, -,~u~mu
I - DATE
Iw.o. 95211 i~'~' ,o. ** isc*~: 1"= 1" c. FLE
DEPARTMENT OF HEALTH & HUMAN SERVICES
801L8 LOG-PERCOLATION TEST
TEST HOLE 1
PERFORMED FOR: PAT ILLIAS DATE PERFORMED: 7--27--95
LEGAL DESCRIPTION: LOT 9 BLOCK 5 TALUS WEST TOWNSHIP,RANGE.SECtiON:
ORGANICS
SILTY SANDY GRAVEL
SILT WITH SOME GRAVEL
TO 1/8" VERY UNIFORM
WAS GROUND WATER
ENCOUNTERED ? NO
IF YES, AT WHAT
DEPTH ? N/A
DEPTH OF WATER
AFTER MONIFORING ? NONE
SLOPE
SITE PLAN
DATE: 8/7/95
2 7-27-95 2:25-3:05 40 MIN. 4=~/4" 1 1/4= 32
B.O.H.
PERCOLATION RATE: 32 (MINUTES/INCH.) PERCHOLE DIAMETER: 6"
TEST RUN BETWEEN: 6 FT. AND 6 1/2 FT.
COMMENTS:SOILS PRESOAKED PRIOR TO RUNNING TEST
PERFORMED BY: ~ KOZ!SEK , ! I_, NO71SF_____K RFPTIF¥ THAT TH..S TEST WAS PERFORMED IN ACCORDANCE WITH
ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7--27--95 ?11CSS1D
...................... !
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" STREET, ANCHCRAGE, ALASKA 99502-0950
801L8 LOG-PERCOLATION TEST
TEST HOLE 2
PERFORMED FOR: PAT ILLIAS DATE PERFORMED: 7-27-95
LEGAL DESCRIPTION: LOT 9 BLOCK 5 TALUS WEST TOWNSHIP,RANGE, SECTION:
ORGANICS
SILTY GRAVEL AND ANGULAR
ROCK TO 24"
SAND WITH TRACE
OF' SILT
WAS GROUND WATER
ENCOUNTERED ? NO
IF YES, AT WHAT
DEPTH ? N/A
DEPTH OF WATbR
AFTER MONITORING ? 15'
SLOPE
TABLE
SILT WITH SOME
GRAVEL TO 1/4"
B.O.H.
PERCOLATION RATE:
TEST RUN BETWEEN:
COMMENTS' SOILS PERSOAKED PRIOR TO TEST.
~ '~ee · ~
~~ ', eeLAURIE KOZ~SEK I ~
SiTE PLAN
DATE: 8-7-95
51/2"-
(MINUTES/INCH.) PERCHOLE DIAMETER: 6"
6.5 FT. AND 7 FT.
PERFORMED BY: L, KOZ!SEK ., ! L, KOZ!SEK CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH
ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7--27--95 711C._%~?1
! ........................
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF 1
ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW950238
DESIGN ENGINEER:DHI ENGINEERING
OWNER NAME:ILLIAS RICHARD S &
OWNER ADDRESS:il916 WILDERNESS DR
ANCHORAGE, ALASKA 99516
DATE ISSUED: 8/23/95
EXPIRATION DATE: 8/23/96
PARCEL ID:01520146
LEGAL DESCRIPTION:
TALUS WEST BLK 3 LT
LOT SIZE: 17823 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD SYSTEM
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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343 4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
Permit No.
Municipality of Anchorage
Department of Health and Human Services
ENVIRONMENTAL SERVICES DIVISION
Page 1 of 2
Date 7-$1-95
P.O. Box 196650 *Anchorage, AK 99519-6650 .Tel: 545-4744
On-Site Waste w( fer Dispos( l System/Well Inspection
Legcl Description: LOT 9 BLOCK 3 TALUS WEST SUBDIVISION
Report
SITE NARRATIVE
Lot 9 Block 5 Talus West Subdivision is bordered on all sides by developed lots. The
lots are 0.4 fo 0.5 acres in size. Lots fo the north, south and west are immediately
adiacenf fo the subiecf lot. The lots fo the east ore separated by fha 60' Wilderness
Rood right-of-way. The area wes subdivided in 1971, and fha subiecf Iai developed
in 1972.
The lots the the north, south and east have l O0'well radii fhaf encroach on the subiecf
Iai. The encroachments are relatively minor additions fo fha 100' radius area surrounding
the subiecf lot's own well. The adiacent wells do not impact the replacement leach
field design.
Thc~lofs on ell sides have existing septic systems. The system on Lot 22, west of the
s~biecf Iai, wes replaced this year. The f~iled system on fha subiect
486 S.F. crib insf~lled in 1972, e 250 S.F. trench added in 1974, end e 1000 gallon
septic f~nk replaced in 1990.
The drainage on fha Io~ end in the vicinity is generQIly east fo west. The neighboring
Lot 22 has e reldfively steep slope, covered in Iown, approximately 80' downhill from the
proposed system. There ere no cut banks, streams or drainage channels on the subiecf
IoN The ereQ of fha proposed septic system is gently sloped, end ponding is not
anticipated. All disturbed areas will receive topsoil end seeding fo prevent soil erosion.
E~IRO~E~AL ~ERVICE5 OlVl$1~
AUG 1 1 1995
RECEIVED
, lC. FILE
IW.O. 95211 ~F.B. NO. ** jSCALE: 1" = 1"
Permit No. Municipality of Anchorage Page 2 of 2
Department of Health and Human Services Date 7-51-95
ENVIRONMENTAL SERVICES DIVISION
Box 196650 *Anchorage, AK 99519-6650 ·Tel:
Waste wafer Disposal System/Well
LOT 9 BLOCK 5 TALUS WEST SUBBIVISION
On-Site
Legal Description:
545-4744
Inspection Report
SITE NARRATIVE, CONTINUED
The soils investigation by DHI revealed a fairly uniform silty soil overlain by 4' to 6' of
silty gravel, in places, the silty soil becomes more sandy. The original system
was based on a sandy test hole, but since if failed within 4 years, it was probably
situated in o silty region. Though the test hole upon which the new system is based
has 7' of sandy soil, the design assumes the trench will be half in sand, half in
silt, and is sized accordingly. There is room fo lengthen the trenches if soil
conditions change during construction.
SEPARATION DISTANCES:
The replacement system will be installed 7' from the north property line. A replacement
system for Lot 10 would have fo be at least 5' from the common property line to
maintain the required french separation distance (twice the effective depth). This does
not appear fo be a hardship for Lot 10.
W.O. 95211 jF.B. NO. ** jSCALE: 1" = 1" I,,C,. FILE 211CSB9D.
DEPARTMENT OF HEALTH & HUMAN SERVICES
801L8 LO~I-PERCOLATION TEST
TEST HOLE 1
PERFORMED FOR: PAT ILLIAS DATE PERFORMED: 7-27-95
LEGAL DESCRIPllON: LOT 9 BLOCK 5 TALUS WEST TOWNSHIP,RANGE,SECTION:
ORGANICS
SILTY SANDY GRAVEL
SILT NTH SOME GRAVEL
TO 1/8" VERY UNIFORM
WAS GROUND WATER
ENCOUNTERED ? NO
SLOPE
IF YES, AT WHAT
DEPTH ? N/A
DEPTH OF WATER
AFTER MONITORING ? NONE
S
L
0
P
E
SITE PLAN
8/7/05
1 7-27-95 1:20-2:20 60MIN, 4' 2' 30
2 7-27-95 2:25-5:05 ! 40 MIN. 4 3/4" 1 1/4" 32
B.O.H.
PERCOLATION RATE: .32 (MINUTES/INCH.) PERCHOLE DIAMETER: 6"
TEST RUN BETWEEN: 6 FT. AND 6 1/2 .FT.
COMMENTS: SOILS PRESOAKED PRIOR TO RUNNING TEST
PERFORMED BY: L. KOZISEK , I L. KOZISEK CERTIFY THAT ?HIS TEST WAS I~'~'I~FORMED IN ACCORDANCE WITH
ALE STATE AND MUNICIPAL G[~IDELINES IN EFFECT ON THIS DATE. DATE: 7--27--95 ~
DEPARTMENT OF HEALTH & HUMAN SERVICES
801L8 LOG-PERCOLATION TEST
TEST HOLE 2
PERFORMED FOR: PAT ILLIAS DATE PERFORMED: 7-27-95
LEGAL DESCRIPTION: LOT 9 BLOCK 5 TALUS WEST TOWNSHIP,RANGE,SECTION:
ORGANICS
SILTY GRAVEL AND ANGULAR
ROCK TO 24"
SAND WITH TRACE
OF SILT
TABLE
SILT WITH SOME
GRAVEL TO 1/4"
B.O.H,
SLOPE
WAS GROUND WATER S
ENCOUNTERED ? NO L
0
IF YES, AT WHAT
DEPTH ~ N/A P
· E
SiTE PLAN
DEPTH OF WATER
AFTER MONITORING ? 15' DATE: 8-7-95
PERCOLATION RATE: .3 (MINUTES/INCH.) PERCHOLE DIAMETER: 6"
TEST RUN BETWEEN: 6.5 FT. AND 7 FT.
COMMENTs:SOILS PERSOAKED PRIOR TO TEST.
PERFORMED BY: L, KOZISEK I L, KOZISEK CERTIFy THAT }HIS TEST WAS, PERFORMED IN ACCORDANCE WITH
ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7-27-95 211CS.S2D
Permit No.
Municipality of Anchorage
Department of Health and Human Services
ENVIRONMENTAL SERVICES DIVISION
Page__
W.O.
Date
P.O. Box 196650 * Anchorage, AK 99519-6650' Tel: 343-4744
On-Site Wastewater Disposal System/Well Inspection
Legal Descr[pfion: LOT 9 BLOCK 3 TALUS WEST SUBDIVISION PID No.
REPLACE EXISTING
_.~ C.O. WITH PAIR
OF.C.O. PER CURRENT
MOA REGS., WITH 90'
ELBOW BETWEEN
EXISTING TRENCH
ABANDON IN
TANK
~£DRo
HOUSE 0~4
!'S
(PAVED) / ~,
N89'54'42 E
70.00'
LINE
L.O"
2
LONG, 5'
TRENCHES
DETAIL 1/2
WELL RADIUS
! of 7
95211
7-25-95
Report
RADIUS
RADIUS
LEGEND
PROPOSED EXISTING DESCRIPTION
[] [] CLEANOUT &: DRAIN LINE
· 0 4" MONITOR TUBE
~ TEST HOLE
-E/T/C- U.G. ELECTRIC,
TELEPHONE, CABLE
--X FENCE
<~ TREE
SCALE: 1"= 30'
REVISED 8-23-
Permit' No.
Municipality of Anchorage
Department of Health and Human Services
ENVIRONMENTAL SERVICES DIVISION
Page 2 of ?
W.O. 95211
Date 7-.51-95
P.O. Box 196650 * Anchorage, AK 99519-6650' Tel: 343-4744
On-Site Wastewater Disposal Sys~em/Well Inspection Report
Legal Description: LOT 9 BLOCK 3 TALUS WEST SUBDIVISION PlO No. ?
GRADE - SEE NOTE 16 &: 17
CLEAN OUT- ~,
./-~ ORIGINAL AIRTIGHT CAP
GROUND
MONITORING
TH#2 BACKFILL-SEE TUBE
NOTE 15 ~---.
9."-- ~o
L,J INSULATION, IF NEEDED
~ FILTER FABRIC SEE NOTE 13
z MIRAFI 140S
~., OR EQUAL~
93
92
91
90--
8S
8E
87
86
85
84
83 --
82
~ 81
WATER TABLE
8O
79
78 --
4" PERFORATED-
PVC PIPE
INV.= 91.0
WALLS SEWER ROCK PER
SEE NOTE 9 MOA SPECS SEE
NOTE 10
BOTTOM OF TRENCH
85.0
DEEPNTs TRENCH S ECTION(
SCALE:
REVISED 8-23-95
.*. >........
'~ ProfesS~o~
DATE
Permif No,
On-Site
kegol Description: LOT 9 BLOCK 3 TALUS WEST SUBDIVISION
Municipality of Anchorage
Department of Health and Human Services
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, AK 99519-6650 · Tel: 343-4744
Wastewater Disposal System/Well Inspection
PID No.
Page 3 of 7
W.O. 95211
Dafe 7-31-95
Report
EXISTING
HOUSE ~
EXISTING PIPE
EXISTING ANGLE
92.0
EXISTING CLEANOUTS. INSTALL PAIR
OF NEW CLEANOUTS SEPARATED BY 90" ELBOW
MOUND BACKFILL TO PREVENT
PONDING OVER TANK OR PIPE
NEW PIPE
INSTALL 90' ELBOW
SEPTIC TANK PROFILE
SCALE: NTS
REVISED 8-25-95
Iee 8~eme~eee~ee e e e e e~
DATE
Permit No.
Municipality of Anchorage
Department of Health and Human Services
ENVIRONMENTAL SERVICES DIVISION
Page 4 of 7
W.o. 95197
Date 7-51-95
P.O. Box 196650 * Anchorage, AK 99519-6650' Tel: 343-4744
On-Site Wastewater Disposal System/Well Inspection
Legal Description: LOT 9 BLOCK 3 TALUS WEST SUBDIVISION PID No.
Report
NOTES:
2.
3.
4.
5.
6.
ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH CHAPTER 15.65. WASTEWATER DISPOSAL REGULATIONS
OF THE MUNICIPAL CODE AND MOA STANDARD SPECIFICATIONS FOR STREETS, DRAINAGE UTILITIES AND PARKS
(MASS) 1994 AS CURRENTLY AMENDED, AND ALL APPLICABLE STATE AND FEDERAL REGULATIONS.
EXPOSE 1000 GALLON SEPTIC TANK FOR ENGINEER'S INSPECTION. MOUND BACKFILL OVER TANK TO PREVENT
PONDINO.
ANY DEVIATION FROM THE DESIGN MUST BE AUTHORIZED BY THE ENGINEER PRIOR TO ITS INCORPORATION
INTO THE SYSTEM.
CONTRACTOR TO LOCATE ALL UNDERGROUND UTILITIES, PROPERTY LINES, EXISTING WELLS, WATER WAYS,
SURFACE AND SUBSURFACE DRAINAGE FACILITIES, LAKES, PONDS, AND OTHER FACILITIES REQUIRING
SEPARATION DISTANCES FROM THE PROPOSED SEPTIC SYSTEM.
CONTRACTOR TO STAKE PROPOSED SYSTEM PRIOR TO CONSTRUCTION. NOTIFY THE ENGINEER OF ANY OBSERVED
CONFLICTS PRIOR TO CONSTRUCTION. STAKE LOCATION OF EACH TRENCH END. NOTE DEPTH OF CUT ON LATH.
CONTRACTOR SHALL HAVE SURVEY LEVEL AND ROD SET UP ON SITE DURING CONSTRUCTION.
NOTIFY THE ENGINEER AND DHHS 24 HOURS PRIOR TO COMMENCING WITH CONSTRUCTION. A MINIMUM OF
THREE SITE VISITS ARE REQUIRED. THE FIRST VISIT SHALL BE OF THE SUBGRADE, PRIOR TO PLACING
SEPTIC ROCK. THE SECOND VISIT SHALL BE AFTER THE PLACEMENT OF GRAVEL, DISTRIBUTION
PIPING, STANDPIPES, AND O/HER COMPONENTS AS SPECIFIED. THE THIRD VISIT SHALL BE
AFTER THE WORK IS COMPLETED.
CONTRACTOR SHALL DELIVER TO THE ENGINEER A SET OF RED-LINED, AS BUILT DRAWINGS SHOWING ALL DATA
AS SPECIFIED IN SEC. 15.65.F. 2, 5, 4-,5, 6 OF MUNICIPAL WASTEWATER DISPOSAL CODE WITHIN FIVE DAYS OF
THE FINAL VISIT. INVERTS AND SWING TIE LOCATES SHALL BE TO THE NEAREST TENTH OF A FOOT.
THESE AS-BUILTS SHALL BE USED BY THE ENGINEER TO PREPARE AND SUBMIT RECORD DRAWING TO DHHS.
ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE
ENGINEER IF ACTUAL FIELD CONDITIONS VARY FROM THOSE USED TO PREPARE THE DESIGN.
3ATE
P~rmit No.
Municipality of Anchorage
Department of Health and Human Services
ENVIRONMENTAL SERVICES DIVISION
Page 5 of 7
W.O, 95211
Date 7-$1-95
P.O. Box 196650 * Anchorage, AK 99519-6650' Tel: 343-4744
On-Site Wastewater Disposal System/Well Inspection
Legal Description: LOT 9 BLOCK 3 TALUS WEST SUBDMSION PlO No.
Report
NOTES:
10.
11.
12.
13.
BOTTOM OF TRENCH EXCAVATION SHALL BE LEVEL. RECORD ELEVATIONS AT BEGINNING, MIDDLE, AND END
OF TRENCH BOTTOM. FACE OF TRENCH WALL SHALL BE SCARIFIED BEFORE PLACING SEWER ROCK.
PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE SEWER ROCK WITH NATIVE MATERIAL
OR SPOILS FROM EXCAVATION. LEVEL ROCK SURFACE TO ± 1" PRIOR TO INSTALLING THE PERFORATED PIPE.
ALL PIPE SHALL BE PVC CONFORMING TO ASTM D5054 OR ENGINEER-APPROVED EQUAL. ALL JOINTS SHALL BE
SEALED WITH APPROVED GLUE· CLEANOUTS SHALL BE INSTALLED AT THE ENDS OF THE TRENCHES.
4" MONITORING TUBES SHALL BE INSTALLED AT EACH END OF THE TRENCH, WHERE SHOWN ON PLANS.
COVER THE DISTRIBUTION PIPE WITH MIN 2" SEWER ROCK, BEFORE PLACING INSULATION, GEOTEXTILE,
BACKFILL, AND TOPSOIL.
MINIMUM SOIL COVER SHALL BE 4'. ONE INCH OF INSULATION MAY BE SUBSTITUTED FOR ONE FOOT OF SOIL
COVER, BUT THERE MUST BE A MINIMUM OF TWO FEET OF SOIL COVER OVER THE INSULATION. ALL
INSULATION BOARD SHALL BE 2" THICK POLYSTYRENE, DOW HI-55 OR ENGINEER-APPROVED EQUAL. CENTER
BOARD WIDTH OVER PIPE.
14. A GEOTEXTILE FABRIC, MIRAFI 140S OR ENGINEER APPROVED EQUAL, SHALL BE INSTALLED BETWEEN THE SEWER
ROCK AND THE BACKFILL. LAP ALL JOINTS.
15. MATERIAL USED AS BACK FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS.
16. SLOPE ALL BACKFILL MATERIAL TO DRAIN AT 2% MIN. SLOPE, AND IN SUCH A MANNER THAT
PONDING AT OR NEAR THE SYSTEM DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" NIGHER THAN
SHOWN TO ALLOW FOR SETTLEMENT. PLACE 4" OF TOPSOIL & SEED (SCHEDULE D) PER MOA 1994 STANDARD
SPECIFICATION FOR STREETS, DRAINAGE, UTILITIES, & PARKS AFTER COMPLETING INSULATION.
17. RECORD THE FINISH GROUND ELEVATION OVER TOP OF TRENCH.
Permif No.
On-Site
Legal
Municipality of Anchorage
Department of Health and Human Services
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 * Anchorage, AK 99519-6650' Tel: 343-4744
Wastewater Disposal System/Well Inspection
Description: LOT 9 BLOCK 3 TALUS WEST SUBDIVISION PIe No.
Page 6 of 7
W.O. g5211
Date 7-31-g5
Report
SYSTEM DESIGN CALCULATIONS
I. NO. BEDROOMS = 3
2. USE DEEP TRENCH SYSTEM
3. ABSORBTION AREA = (3 BEDROOMS)(150 GPD/BR)
(1/2)(1.2 + 0.45)
= 545 SF
TEST HOLE #2 SHOWS SAND, BUT TO BE CONSERVATIVE,
ASSUME 1/2 SAND (3 MIN./INCH) AND 1/2 SILT (32 MIN./INCH)
4. USE EFFECTIVE DEPTH OF GRAVEL::I~5.0[jf
5. TOTAL LENGTH OF TRENCH= ABSORPTION AREA
2 * DEPTH OF ORAVELL,..,,.._,)_,~
USE TWO EACH 27' TRENCHES
PERCOLATION RATE
MIN/INCH
0-1
6. MINIMUM TRENCH SEPARATION EQUALS TWICE EFFECTIVE DEPTH = 12'
REVISED 8 25-95
PIT & TRENCH MOUND & BED
APPLICATION RATE APPLICATION RATE ..~.~ OF4/
NOT SUITABLE NOT SUITABLE ~.~,~
o.,
o.4s J 0.3
NOT SUITABLE NOT SUITABLE $~
1.0 .7DATE
1 5
6-15
16 30
31-60
GREATER THAN 60
FILTER LAYER
Permit' No.
Municipality of Anchorage Page 7 of 7
Department of Health and Human Services Date 8-2-95
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 * Anchorage, AK 99519-6650* Tel: 843-4744
On-Site Waste water Disposal System/Well Inspection
Legal Description: LOT 9 BLOCK 3 TALUS !~EST SUBD.
Report
LEGEND
[] HOUSE
[] PIT
[] SEPTIC TANK
[] BED
Ullll TRENCH
® WELL/lO0' RADIUS
W CUP
EXISTING SYSTEM ON ADJACENT LOTS
SCALE: 1"= 100'
DATE
ce
W.O. 95211 C. FILE 211CSD7D
DEPARTME~'*I:' ~)'F ~'Ai~Th' Ai~ ~)v~-i'l,~l~ ~ ~ERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name
{~CI~ [~ / ~ ~ DISTANCES 0/~
~ Tn SEPTIC ABSORPTION
Address
~ ~t¢ ~[~'~~5~FROM ~ TANK FIELB WELL
LEGAL DESCRIPTION
{ Z~ ~ ~ '~ AS'BU LTD AGRAM (Show loca ,on o we, sop c system, properly hnes, ~oundal,on,
driveway, water bodies, otc )
TANKS
TYPE OF SYSTEM
~ TRENCH ~ BED ~ W. DRAIN ~ O~~
Deplh [o p~pe bottom from Total depth from original 9ra~ ~r ~, .... ~ tj ,~ ~
~ FT ~,hw,dt~ FT ~ ~ ~
U~te installed /
~ PRIVATE Q O~entifv)
ClassiOcatron {A.B,C) ~ ~epth FT Cased to
FT
Scale:
~ S ~ J 0 0 [~0~ ~ ~C~[~ inspections Pedormed by:
I l~ 0 ~ ~V ~ t ~ cedily Ihat this inspeclisn was pedormed according to ag *'
Heallh Depadment Approval: / '~, .
72-013 (3/85)
b ...... I... ~ ~ An c h c:~ P al;:i e,
2!;.45.~. 0 Ei~3 ()
:zNi:EiRH £)~I'I,,H,,E~ F:'I:;:ZC~i'~: TO ]:N!H:::'ECTI']X::HqCi BY EIqGINE:Ii:~]:';:, ]:F AF:"fE]::~: C)F:'F]:C:E~
HOLii:i!~i, CAI...L ::~;.q.::t!;..*loEi:t. AND LE:AVE: A I"t!i~i:SSAGE::,,
C;EINS'iRUC;'I SE:,!:::'I]:C 'l"/q',ll::: AS E~IqG:IJxlI~]:E]:;;'S ATTACHED DE[SIGN.
[H.i:il l::'E~ZFitq:i:l IEXF']t";:I~ZS :i.;;.:'./3J./9() AND VALZD i::'OR A SINGLE~ i::'AIq:iiL..Y Hi]ME:.
· laffi:i~].:i, ai' w:i.t!'i 't',.hiz) !'(.al::IL.~:i. Pi~m(-~!rrl'.9:i i'(]P c:~l'l'"'s :i '((..') SE~WE)i'Ei aJ'l(:'! Wi.:~].].S
'~,.I]E~ Murl:i.c::i. pal:i, ty c:)f A!'il::hcip~ge (~I~]A) al'iCJ t.l'ie S'[a'Le i)i'
;Ln~i'La].:l. the ~iyst.(.;:~m :i.n ac:;c:cgrdanc;e ~:i.t.h ail MOA ~::[:l[:l~::)L~i arid
C:E::,liij:;:,].J. al"iC::(~:.) g,'iJ, th 'l'.he c.l**)sJ, gn c:p:['J:.s}pJ.a, ci{' '~.hJ.E¢
adl'u:::H*(.::) 'Lo a]I MOA and S'Lat. E:, c~i' Alaska P~qu:i.r.(?~)m,~)n'Ls ~'(::)1" -l:.h(.:..) ~e?~-l.:. back
system on th:is tip any *:,c:l.ja~;;;e~r'i'~.. CH' neaPby
und(..~Ps'Land 'l'.l~a{ the c:apac::i, ty (:~[ 'L. he t.c)ta], s~ys'l:.i~m :i.s :]; l::)ech".c~cims and
1. This is a request to replace the failing tank on this lot.
2. The new tank is a 1,000 gal. two compartmen~ tank from
Anchroage Tank.
3. The existing tank has collapsed and needs immediate replacemen
4. A foundation clean-out and a clean-out downstream of the tank
will be intalled at the same time as the tank.
5. Ail materials and construction procedures to follow MOA rules.
To Seepage Pit
and Drainfield o : !
Existing (3) ,
Bedroom House I
SEPTIC SYSTEM DESIGN
Lot 9, Block 3 Talus West
11916 Wilderness
DATE P~EPA~ED FON:
6-18-90 Acreage Systems
SCALE PREPARED BY:
~s Kniefel Engineering ~OA ~E eo-oao
GREA- -FER ANCHORAGE AREA BOR ;aGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
LOCATION
SEPTIC TANK: '
DISTANCE
FROM WELL MANUFACTURER
INSIDE LENGTH
INSIDE WIDTH
I
NUMBER OF
MATERIAL COMPARTMENTS
LIQUID DEPTH
LIQUID CAPACITY_
GALLONS.
TILE DRAIN FIELD: ~ (-~/_~. ~-_~O.~
DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE
NUMBER OF LINES
DISTANCE BETWEEN LINES
TRENCH WIDTH
TOTAL LENGTH f
IN. TOTAL EFFECTIVE
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH TILE
IN. ABOVE TILE IN.
WELL:
TYPE
BUILDING
FOUNDATION__
CESSPOOL
APPROVED
.CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED__
NEAREST SEPTIC
SEWER LINE TANK
REMARKS
.DEPTH
SEEPAGE
SYSTEM_
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATERIAL'
LOT SLOPE:_
REMARKS:
DIAGRAM OF SYSTEM
APPROVED
G.A.A.B.
ANCHORAGE AREA BOR-.,~gGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
. . ¢ MAILING ADDRESS
INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED
TO BE INSTALLED BY
SOIL TEST RESULTS
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLET]ON DATE ANTICIPATED
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.
SEPTIC TANK SIZE./4~'~/'~7~. TYPE SEEPAGE AREA size TypE
DIAGRAM OF SYSTEM
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE P~T
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK ~'/' ' SEEPAGE PIT
TO NEAREST LOT LINE.
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
- DRAIN field
/
/~
SEEPAGE PIT
ALSO CONS[DER AREA WELLS.
SEEPAGE PIT
SEPTIC TANK, -, SEEPAGE PIT
TO RiVER, LAKE. STREAM.
., DRAIN FIELD-
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL,
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING rNSTALLATION.
I CERTIFy THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DATE ¢--'7 ¢¢ A P ' ANT'S
E0-016(3-75)
6tL TER ANCHORAGE AREA B ,OUGH
~t~l~/] Department of Environmental Quality
· '~ 3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAVE i/U~Z~E,~,'?~-- VAILING ADDRESS '-9'2'~I'~ ,~)2¢ I'~9! /V PHONE
LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE
FROM WELL ,,~<D //-
tNSIDE LENGTH
M A N U FACT U R E R ~.¢7~¢(.; ¢..~,/~ ~., ~, C?(2 .- MAT E RIAL~'/// / ~¢~, -~ (/'~'
NUMBER OF
COMPARTMENTS
INSIDE WIDTH ~ LIQUID DEPTH ~ LIQUID CAPACITY /~)(',~ GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
DIAMETER
LINING MATERIAL:~C,~%V~'(~ CRIB SIZE:
BUILDING FOUNDATION ~-- 7¢, NEAREST LOT LINE
DIAMETER DEPTH DISTANCE FROV: WELL ,~"~×. /~-~"
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA) ~"/¢~'g SQ. FT.
ADDITIONAL ABSORPTION
WELL:
BUILDING
FOUNDATION '-~T~
CESSPOOL
APPROVED ~/
NEAREST ,~./ NEAREST
LOT LINE /O SEWER LaNE
DEPTH /0'7 DISTANCE FROM:
SEPTIC ~' SEEPAGE
TANK '- '~* <~ SYSTEV
OTHER SOURCES
DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY,
PIPE MATERIAL:
LOT SLOPE:
Form Pw-026
DIAGRAM OF SYSTEM
DATE
G.A.A.8.
GREATER ANCFIORAGE AREA BOROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO,
INSTALLATrON OF: SEPTIC TANK / SEEPAGE PIT~''~ DRAIN FIELD , OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED ~ ~~ I ~/~ ~~
SOIL TEST RESULTS f/~'/~/f'/~:;' }~ ~ ~ NOTE~ THIS PERMIT IS NOT VALID WITHOUT ~OIL
CO~.LET'ON DATE A.T,C~FATEO /.-~7 ~
PFI~MI'T VAI Ill ['INF YFAR
SEPTIC TANK
5 ft.
FOUNDATION TO S£EPAG£ PiT 20 ft. DI~AIN FIELD ~-0 It*
SEPTIC TANK 5 lC~;~... SEEPAGE PIT 20 ft .... DRAIN FIELD . ],(~ 1¢1~"
D.AIN FIELD 10 ft.
SEPTIC TANK. 25 ft. SEEPAGE PIT-100 ft. , DRAIN fIELD 50 ft.
I CERTIFY THA* I am FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE A.EA BOROUGH ORDINANCE NO. ~e.ee AND THA* THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~-- ~ ff~/~ ~ /~/~
T. ~1.-I
10-24-72
Note:
SANDY GRAVEL
SANDY GRAVEL (GW)
0.0~
1,0j
No Water Table
Hole excavated with tractor
14.0'
mounted backhoe,
~'~' Engineering ~ Geological Consul?ants
. ANCMOAOE
~ ~AIRBANK~I ALA~,KA JUNEAU
Howard Nugent Property
LOG OF TEST BORING
Anchorage Alaska
JCHKD 8¥ W.E.D. PROJ. NO. 26540~45 [3We NO.
10-26-72 !SCALE
R&M
Civil Engineers
ENGineERING & GEOLOGIC ,_ CONSULTANTS
22g EAST 51st. AVE. - P.O. BOX 6087 - ANCHORAGE, ALASKA ggs03
TELE-;PHONE 907-279-0483 TELEX 090--35419
Geologists Land Surveyors
JAMES W. ROONEY, P. E.
MALCOLM A. MENZIES, P.E.,
JAMES H. WELLMAN, P.E.
October 26, 1972
R & 1VI No. 26540-45
RALPH R. MIGLIACClO
Engineering Geologist
Mr. Howard Nugent
Star Route A, Box 1591-N
Anchorage, Alaska 99507
Re: Test Hole and So~l Log Report for Sanitary System
Lot 9, Block 3, Talus-West S/d
Dear Mr. Nugent:
'We are submitting herewith the test boring results and our comments regarding
so~l conditions encountered at the subject site. This investigation was performed
in accordance with your request of October 24, 1972 and those procedures outlined
in a letter dated September 13, 1971 by 1V~r. Roll Strickland of the Greater Anch-
orage Area Borough Department of Environraental Quality.
A single test hole was put down within the Lot 9 area for the purpose of def~ninE
general subsurface so~l conditions for the proposed sanitary system. Excavation
was accomplished ~ith a tractor- mounted backhoe and the test hole was extended
to a total depth of 14 feet below ground surface. The f~nallog preapred for the
test hole has been included in Drawing A-0I.
Ground water was not encountered in the test hole.
We appreciate beinE ~ven this opportur~by to be of service to you. Should you
have any questions with regard to the above, please do not hesitate to contact us.
Very truly yours,
R & 1VI ENGINEERING & GEOLOGICAL CONSULTANTS
~es W. Rooney Partner
JWR:wb
Enclosure
xc: GAAB
0CT z 7
ANCHORAGE FAIRBANKS JUNEAU
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AU'CHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
HAA# ~' ~---~d~ ~ '~'~ ['~
Parcel I.D. # ~
1. GENERAL iNFORMATION ~es_~i vj_~i
Complete legal description ._~t-__9._.~1
Location (site address or directions) I
4o
Property owner
Mailing address
Lending agency
Mailing address--
Agent _9~o_=~ca- G-ce.~e~-------~ --
Address --2-&~7-~ ~sJ' ' ~
Un,ess otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER suPPLY:
Individual well
Community well
NOTE:
Day phone _3~_5-0J~-0-- ---
Day phone
.... _------- Day phone ,.-?-'7 6_=.2_?_65--~
lno~
NOTE:
Public water -- ~
If communitY well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site -~ "
Holding tank '-
Community on-site -- '~
Public sewer -- -
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
5. STATEMENT OF INSPECTION BY ENGINEER
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 application 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 inves~i_gation 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 DHI Consulting Engineers
Address _S~ ~. Dim~qd Rlvd. ,~l]it~ 3-545
EngiDeer's signature ~A~f~,~-~----~
Phone 344-1385.
o
DHHS SIGNATURE
Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
By:
Additional Comments
Date 9/'~ .~''''''-'
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates 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.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division MUNICIPALITY OF ANCHOP, A(~J~
825"L" Street, Room 502 · Anchorage, Alaska 99501 · (9071~i~i~30~'i[iTAL SERVICES DIvIJJ~jJ~
Legal Description: Lot
A. WELL DATA
Well type R~s.
Log present (Y/N) No
Total depth 107 ~
Sanitary seal (Y/N) Yes
Date of test N / A
Static water level N/A
Well production N / A
Health Authority Approval Checklist
RECEIVED
9 Block 3 Talus West Parcell. D.: 01520146
FROM WELL LOG
IfA, B, or C, attach ADEC letter. ADEC water system number N/A
Date completed 1976
Cased to 40 ' + Casing height (above ground) I o 5
Wires properly protected (Y/N) Yes
AT INSPECTION
7-13-95
80'
WATER SAMPLE RESULTS: Additional
Coliform 0 Nitrate
Date of sample: 7-13- 95
B. SEPTIC/HOLDING TANK DATA
Date installed
g.p.m. 7.5 g.p.m.
samples taken 9-6-95, results pending
0.42 Other bacteria ¢
Collected by: Dustin Hiqh
6-90 Tanksizel ,000qalNumberofCompartments 2
FoundatiOn cleanout (Y/N) Yes
Date of Pumping 7- 95
C. ABSORPTION IylI~LD DATA
High water alarm (Y/N)
Depression (YiN) No
Pumper Roto-Rooter
Average
Cleanouts (Y/N) Yes
No
Date installed 9-95 Soilrating (g.p.d./ft~ortt2/bdtm) ! .2&.45Systemtype Deep Trench
Length 2aa 27' Width 39" Gravel thickness below pipe 5.0' Totaldepth_9 1/2'
Effective absorption area 540 s f Monitoring Tube present(Y/N) Ye s Depression over field (Y/N) No
Date ofadequacy test Now System Results
Fluid depth in absorption field before test (in.); --
Fluid depth Minutes later:
Peroxide treatment (past 12 montbs) (Y/N)
Pass/Fail) N/A For Three bedrooms
Immediately after -- gat. water added (in.): --
(in.) Absorption rote = g.p.d.
No If yes, give date
High water alarm level~
Cycles tested
/
E. SEPARATION DISTANCES
Size m gallons
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
"Pump afl" level at*
Septic/holding tank on lot ~ 05 '
Absorption field on lot 102 '
Public sewer nmin ~A
; On adjacent lots 100~+
: On adjacent lots 100 ' +
Public sewer manhole/cleanout N/~
Sewer/septic service line 50 ' + Lift station N /
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation ~+ Property line ,30 ' + Absorption field 7 ' +
Water main/service line _ N / A Surface wateffdrainage N/A Wells on adjacent lots '100 +
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation 2 f) ~ + Water mai~qservice line N / A
Surface water ~_g. Driveway, parking/vehicle storage area 10
Curtain drain 3xl / A Wells on adjacent lots I 00 ~ +
F. ENGINEER'S CERTIFICATION
m conformance with~ A,IOA I[AA guidelines in effbct on this date.
Slgnatur& ~ ~ ~
HAA Fee $_
Date of Payment
Receipt Number
Rev. 8/95 OSS: haa.wk.doc
Waiver Fee $
Date of Payment
Receipt Nmnber
I
INVOICE
P.O. BOX 112688 PHONE 345 2513
L
JobAddress / (3 /~¢,
7- Id- 25-
ROTC-ROOTER SERVICE CALL
STEAM THAWING
IERMS 30D^YS
N-°' 68282
SEWER AND DRAIN
CLEANING SERVICE
ANCHORAGE, ALASKA 99511-2688
RRS.
HRS.
1 RIP Cl lARGE HRS. @
OVERTIME CHARGE HRS. @
ADDITIONAL LABOR CHARGE HRS.
CE (GAL.)
/ .__.:~Y4i~O-J ET SERVICE ;IRS,
TV CAMERA INSPECTION HRS. @
MATERIALS
PLEASE PAY FROM THIS INVOICE
TOTAL
TOTAL FOOTAGE CLEANED OR THAWED __ BLADES USED
".OBABLE CAUSE OFS,O.,'AGE__)'~,..,~ ~*1 ,~.,b ¢~ w' C:~'~ -
LINE CLEANED.
CT&E Environme-~al Services lng.
Dr~k~g Water _~alysis Report ~br Total Col~o~ Bacteria ~oo w. ~o.st Drive
~S'[ BE CO~LE~D BY WA~R S~PL~R
PUBLIC WATEtl'SYSTE~! I,D. ~'
PRIVATE WATER
Day
SAMPLE T~T E:
Routine
Repeal Sample (for routiue x~mp[~
~ith lab tel no, ~ .)
Special Purpose
Time Collected
$A2,'1~ L E LO CATI ON Coll[,cfed By
Cow~metl~:
i'll: 1'~07) 552-2343
: : F~: (9D7} 5§?-5301 '
~E CO~LE~D ~y L~O~TORY
An~lvs~s SheWS &m Wa~r S~LE tO
O ~an!~Je over 30 hou~ old ~esuI
Unr~lmvJa
a Sampl~ mo long in ~ansit; samul~ ~hould
nn~ be 0vec4~ hou~ old at ~x~ia~ion
to ~ndicale reliable ~suJ~, P[~c send
n~w Sample via special delive~ mail
95.ZgAB
gent
Jun
Tim::
Client notified 0f unmfisfatto~, results;
BACTERIOLOGIC_4,I, I~VATER ANALYSIS RECORD
5L'*IO-MldG Result: T~I Celihrm ~ Coil
~Iembtafle Filer: Dire~ Count
Co/o. JeWl~
Verification: LTB...
Final Mtmbrane Fil~r
~ ~ ~~llO Coliform/lO0 mi
R~poaedBy / , ~ U~te ~[~*~ Time ~-~/~..~ hr~
Helg FOr Confffmal/o~
[]
Foxed
CT&E Environmental Services Inc.
L~bor~torY Division ~
Laboratow Analysis Report
200 W. Potter Drive, Anohorage, AK 99619-160B -- Tel: {907) 862-2343 Fax: (907) §61-B301
CT&E Environmental Services Inc,
Laboratory Division J .
Laboratory Analysis Report
09/06/95
200 W. Po~er DHve, Anchorage, AK 99~8-~605 -- Tel: (907) ~62-2143 Pax: (~07) ~§]-550~ _
=~VI~NMFNTAI ~ACII.ITIES IN AI. ASKA, CALIFORNIA. Ft.ORIDA, ILLiNOiS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY. OHIO. WEST
EO~ PT~'ON 98£~P-2,0B ~ ~NIIS~I ~I3~NNOD £S:TT G6/TT/60
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "c" Street, Anchorage, Alaska 99503 274-4561
Date Received November- ~,~~
Time of Inspection __~
Date of Inspection //-/~-7/o
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1. Approval reques[ed by:
Mailing Address:
Cony.
National Bank of Alaska
Post Office Box 3-3859
Phone: 279-2506
2. Property Owner: Tom Taylor Phone: 344-0605
Mailing Address:
3. Legal Description: Lot 9 Block 3 Talus West
4. Location:
wilderness Drive
5. Type of facility to be inspected Single Family No. of bedrooms 3
6. Well Data:
A. Type
C, Construction-
7. Sewage Disposal System:
A. Installed
C, Septic Tank: 1.
Individ6al
On-site system
D. Seepage Pit: 1.
B. Depth /~' '~'
D. Bacterial Analysis
B. Installer ~/~_~f,7~ ~__ /~
Size (d]coO 2. Manufacturer ~.$~z,~ ~
Absorption Area 2. Material
E. Disposal F~eld: Total length of lines
8. Distances:
A. Well to: Septic tank
, Absorption area
Sewer Lines
Nearest lot line
, Other contamination
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
LQ-034 (1/74) Page 1 of two pages
Page ~2 of two pages - Re s.t for Approval of Individual Y er & Water Facilities
Le, gal ~escriotion Lot 9 Block 3 Talus West
Comments
Approved
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
ENVIRONMENTAL PROTECTION
NOV 0 8 1976
RECEIVED
1. Type of Inspection:
2. Property Owner:
Mailing Address:
3. Name of Buyer:
Mailing Address:
4. Name of Lending Institution:
Mailing Address: ,'~
5. Name of Realtor or Agent:
CMRO _VA
FHA CONV ~//
~ ~--~Day Phone:
?
Mailing Address:
6. Legal Description: ~'~ ff /~: °~
Location:
Phone: ~,7,~- ~ u' ? /
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
Public Utility.
No. Bdrms.
Individual
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual (on-site).
72-003(3/76)
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received July 20~ 1976
Time of Inspection ~
Date of Inspection ~-~Q~-~
~AG~ova~ested b~ Totem Re~alty ~ R.E. Baer ~-~
· pp q ,.,-,.. ~,,,. ~. -~----- -------~ - ----- - ~
Mailing Address:
Property Owner:
724 East 15th
Avenue
Thomas L. Taylor Phone: 344-0605
Mailing Address:
3. Legal Description: Lot 9 Block 3 Talus West Subdivision
4. Location:
NHN Wilderness Drive
5. Type of facility to be inspected
6. Well Data: Individual
A. Type B. Depth
C. Construction D. Bacterial Analysis
Sewage Disposal System: On-site system
A. Installed B. Installer
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2, Material
Single Family No. of bedrooms 3
E. Disposal
Distances:
A. Well to:
Field: Total length of lines
Septic'tank
, Absorption area
, Sewer Lines
Nearest lot line , Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re~
'L~gal ~escri ption Lot
st for Approval of Individual ~ ~r & Water Facilities
9 Block 3 Talus West Subdivision
Comments
Approved ~x=~ Disapproved Date~
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ-034 (1/74)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA
2. Property Owner: Thomas L. Taylor
Mailing Address:
Herman C.
Name of Buyer:
.FHA CONV
$09
Mailing Address:.
4. Name of Lending Institution:
Mailing Address:
5. Name of Realtor or Agent:
Day Phone: 344-0605
& Terry Fredenberg
Harvard St., Anch.
N/A
Mailing Address:.
Legal Description:
Location:
Day Phone: 277-7148
272-0571
Phone:
R. E. Baer, Totem Realty
724 E. 15th Ave. Anch.__Phone:
Lot 9, Block $, Talus West S/D
NHN Wilderness Drive
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
Single Family
Public Utility
No. Bdrms. 3
Individual XX
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal Svstem
Type of System: Public Utility
If Individual, date of installation
ONE
Individual (on-site).
Unknown
XX
72-003(3/76)
)partment of Environmental Qualix~
Water and Sewer Questionnaire
Subdivision v ,;s , mock , Lot
Owner's Name:-~)~C( k~ ~ ~ ~ ~, ~, ~,~ -/ 7
Questions:
How many bedrooms are now in your house?
2. How many bedrooms were in the house at the time of purchase?
3. Were the basement bedroom walls "roughed in" at the time of purchase? ~,~
Was the basement bathroom plumbing "roughed in" at the time of
purchase? ~ b , ~?~.~za
5. Did the realtor or builder inform you that you would have to enlarge th~
existing sewer system if you finished the basement bedroom(s)?
6. If on a public water supply, do you always have an adequate supply of
water? ~. {~/.,j,v}~ [2}~t~
7. Is the pressure always adequate? ~.~{~
8. Who was the builder? ~-~f,t.,~
9. Who was the home purchased from?
OTHER COMMENTS:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
-~:' "'/~ Time' of Inspectlon'
.~ ~' ~ ~' ~ Date of Inspection
' EQOEST FOR APeROVAL OF
' ~' INDIVIDUAL SEWER ~ WATER FACILITIES
~al~equested b~
Mailing Address: Phone: ~'/~ /
Property Owner:
Mailing Address:
3. Legal Description: ~ .~ /~c
4. Location:
5. Type of facility to be inspected
/
6. Well Data:
A. Type
C. Construction {~2
Sewage Disposal System:
A. Installed ]~. ~
C. Septic Tank: 1.
Phone:
No. of bedrooms
?
B. Depth.
D. Bacterial Analysis
D. Seepage Pit:
E. Disposal Field:
Si.ze [~900 £. Manufacturer
Total length of lines ~- ' ·
Distances:
A. Well to: Septic tank/ ~0 /~, Absorption area
Nearest lot line ]0 ~ , Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line . I ~ t
, ~wer Lines ,
EQ-034 (1/74) Page 1 of two pages
Page 2.~of two pages - Req~.~t for Approval of Individual S(..?? & Water Facilities
~.e'~al Description /~ %, ~/~ ~
Comments
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
Date
EQ-034 (l/74)