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HomeMy WebLinkAboutT15N R1W SEC 19 LT 47Al173R24.0Se-C,� q • y Municipality Anchorage :•r, of ;�;;q c� ._. Development Services Department "' ' j� Building Safety Division ' On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 5(A)0306 ' D PID Number: 051—DLI/-39 ` i of J Name. L/ er a e 6/a r k Wastewater System: ❑ New l'' Upgrade Addesr n 1°II°t3 K4 i2 Street' / 2;a4tt 9 67- 2776 ABSORPTION FIELD Phone Q b / — �� µ+nm a Bed'oon,e . o .5-8 Cl Deep Trench V(Sh ow Trench O Bed 0 Mound CI Other. LEGAL DESCRIPTION Sal Rating- PD rP Total Depth Iron original grade: 10 Ft, Block: Lot: / / ' 7 Subdivision: L. r� / Depth 10 pppe bottom from original grade 0 FL 0 Gravel depth beneath pipe. Li FI. Township-15N I Ranpe:� . .1 Section' �`j — N w "ll Fal added above original grade< t/,?F,. 7 Gravel e`ngt��®-lc.gs\ F1. Well: New ❑Upgrade Gravel width .7 Fl. Number of lines: a Dista bettww Ines: 1 04. PI. CI°asi( Ign�(�nvale, A. B x e s -f ri e Pi-4,if ° Total Depth: Fes.—'Ft. Cased to' Total absorption area: 'J`�^ ✓ 7D FIs Pi a MMedel. 4 Ai D3D31/F8I 1 Dater ` Dade dam' Static Water Level: DECD (44'4x/ Ate•�U' L(L C (�N( ale meuAed /1�— +J—DS S FL Yield ' GPM Pump Set N: FI. l.3Tnp•Nept7t_Above Graehd. �� FL TANK . SEPARATION DISTANCES Ii'Septic ■ Holding • S.T.E.P. El Other. To Prom Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Line M as tie a premie r P/&1e . Capacity 1000 Gal. Well !O11©t7 \ r'/1Jdl "I1 5% Material JPEF Number of Compartments' Surface Water / W.}. 00011, LIFT STATION La Line sit 6 s i 1 aa✓�5 1 Sue Gal Manufacturer. Foundation I 0‘ r1 rJ — \ L�J1/ 'Fong on level at _ High water alarm et: Mn, Curtain Dram ^J�e 1i I/' !v U o('y' •IIIc �I ` - gong Maks . .: et Electrical Inspections performed by Remarks eX/s-r/Nc Si-ft 7-lC. 7-14niis BENCH MARK f Pom/36-1), C, 11 s /,la 4 tet- A4AA)Du�sO. Locabon aro Descriptive �I .TOP O '11/ U ® poin i- ,y1.1 Assumed 0Elevattwo: 3 FL '~tt��.5M Ai s‘ • .r..: '•� ,,' T-: _ . .. r;.._.. /�� r�: � r%tt� I. PROB, � ERT C. COWAN Q 11,r�:., ce-8801 t. i s" ++t`'1,-.., "•' -"'' , s. til\t ls�7�;� ' 5 8 5 ENGINEERING Inspections performed by* Eagle River Loop Road, NO: 111 13 03 'Eagle Rtver, Alaska 99577 2nd 8-13-03 Development ervices Department Approval Reviewed and approved by: Date: lifle (Rt. MOO) PERMIT NO SW030082 PACE 2 OF 3 Municipalityof Anchore DEPARTMENT OF HEALTHa AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 *Anchorage, Alaska 99519-6650 • Teelephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 47, SECTION 19, T15N, R1W P.I.D. NO. 051-241-39 MT1CO2 C04 MT2 TH#2 NEW TRENCHES NEW 1000 GALLON HDPE SEPTIC TANK DBL1 & DBL2 CO PS CFLow spL1 r rift ) ATH# 1 SCALE: 1 - 40' PERMIT NO SW030082 PAGE 3 OF 3 Municipalityof Anchora e DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 •Anchorage, Alaska 99519-6650 • Teel�ephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 47, SECTION 19, T15N, R1W P.I.D. NO. 051-241-39 ST1 ST2 93.7' FINAL GRADE 1-1 2" INSULATION 90.2' C01 CO2 MTI NEW 1000 GALLON POLYETHYLENE SEPTIC TANK 89.9' CO3 I CO1 = 96.1' C04 MT'? I FINAL GRADE CO2 = 97.7' 1111 2" INSULATION 'I CO3 = 95.2' C04 = 98.5' .11111111 C01 = 89.6' imam" CO2 = 89.6' :Islta MT1 = 85.7' • WATER FOUND C 80.6 80.1' B.O.H. CO3 = 89.6' C04 = 89.7' MT2 = 85.6' N. T. S. 4,4.14 1,14 • rSI ROBERT C. COWAN We cam, � CE - 8801 ; �• _` 4,,...................... A B C FCO 1.5' 27.5' - ST1 14.5' - 18.0' ST2 17.5' - 21.0' TMT 13.0' - 15.5' DBL1 20.0' - 23.5' DBL2 20.5' - 24.5' FS 35.0' 48.0' - C01 29.0' 41.5' - CO2 47.0' 39.0' - CO3 42.5' 54.0' - C04 55.0' 51.0' - MT1 44.5' 35.5' - MT2 56.5' 54.0' - • WATER FOUND C 80.6 80.1' B.O.H. CO3 = 89.6' C04 = 89.7' MT2 = 85.6' N. T. S. 4,4.14 1,14 • rSI ROBERT C. COWAN We cam, � CE - 8801 ; �• _` 4,,...................... MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW030082 ::Legal Description: T15N R1 W SEC 19 LT 474 Design Engineer: 0003 S & S Engineering Owner Name: Gene Clark Owner Address: 19143 K & R STREET CHUGIAK , AK 99567-6776 qlT3- 1 O03, Date Issued: Apr 15, 2003 Expiration Date: Apr 14, 2004 Parcel ID: 051-241-39 Site Address: Lot Size: 44950 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ), 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: 6s -/o 3 Date* Date: ' �3 0 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Dsi - p t.l / - J9 Permit Number SW 03008Z Property owner(s) elle 6'10 r". Day phone 6eg-�o�S�S Mailing address (1) 1 gi L/ d r+ R ST - / J_ e py --7 Mailing address (2) `V1 019 IA , fiK Zip Code / q 3 6 / Legal description (Lot, Block & Sub'd.) �—ofC147 �n Legal description (Section, Township & Range) 7eGfl ori I 0j, T 1 5A% R I W� 5, A . Lot Size Acre Sq.Ft. Number of Bedrooms 3 �/ 1l l 5D z THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub 0 Jacuzzi Swimming Pool ❑ Water Softening Unit Therapy Pool 0 0 Well Only 0 Water Storage 0 0 I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. & S ENGINEERING 17034 Eagle River Loop Road N0. 2f)4 6.0- Qt,,..r., Alaska 99577 (Signature of property owner or authorized agent) Permit Fees: Waiver Fees: Date of Payment: `f /10/0 .3 Date of Payment: Receipt Number: O 3'J Receipt Number: (Rev. 12/00) "iii. >: T 4 .f:k. if S&S41. tar HEALTHAUTHORITY APPROVALS SEWER &WATER AWN EXTENSIONS SEWER &WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL NSPECTION A FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERC0ATION TEST STRUCTURAL 14E0-MICA!. INSPECTIONS ONSITE WASTEWATER DISPOSALSISTEAI DESIGN ROBERT C. COWAN, P.E. ROBERT A. SHAFER, PE. April 9, 2003 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 47, Section 19, T15N, R1 W, S.M. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 It is requested that you issue a permit to replace the septic tank and install a new trench to serving the existing three bedroom dwelling on the referenced property. Two test holes were excavated, and percolation tests performed. The approximate locations of the test holes are located on the attached site plan. At the time of excavation 3/19/03 water was found at 15 feet. After monitoring, ground water was found at 15 feet. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic tank. The installation of this septic tank will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Ro ert Cowan, P.E. RCC/bjj Enclosure 17034 NORTH EAGLE RIVER Loo ; SURE 204 EAGLE RIVER. ALASKA 99577 1" = 40' SCAT_ r DESIGN mi qt snlava 113M i i D O ,4 nnZO 2? 7 O SITE—PLAN SHED ti 4., sfNc /��'-0„e4, 4eopy0civ w73Z� N rip ZO-0+ Inn" 7criw v no 0 x 0 0 H z WERRE STREET -13 23* =Z NZO m 0m BOJ- tn X10 mm m Q c d w co N 0 0 H 0 7 corn • 1" = 40' SCAT. F DESIGN SITE -PLAN Sf1 0V 113M NAnam— F' o 71 Ommm n -0 m r- CDa WERRE STREET o7,w0 z • Z ti D O C z z� K K o i- 0 23o A < y C rim 0N 0 0 0 z 0 (xiO W O W V1 z 2 S j O O \ O m m p) (N Ntri WAG') n D 2 rn O, mor- zc vom Glc o D- llo� 13 zNtn\ A D - O-M�r rD - m �m mm > D D r r c) O W 0 i m [-7 0 z F�+ z 1-6 J Performed For: Legal Description: 1- 2- 3 - Municipality of Anchorage Development Services Department Building Safety DMsion On -Site Water and Wastewater Program 4700 South Bra9aw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchhcrane.alcus (907)343-7904 L�G Soiis Log -Percolation Test •/q Ler 4 r T' Deeth (Feet) O Mivlcs 0 .•r' 16- 17- 16- 19- 20 COMMENTS Scope 5 OF s�.e r • Po'�.(ENGINEE Date Performed: / 3 WAS CR.0lfroWATER �J es s ENCCU:ITEP. 7 , �/ IF YES. AT MAT DEPT}% �_ O Site Plan Depth to Water After sI ' p Monitoring? / E Dxte: 41q1(23 Net Time Depth to Water 6" 5, 14-4' 0 654; 3c� FERCOWIClIP.ATE (j • 5t,-lrntesrncti) TEST FUN 6ETNEEN .4- FT PND 8ye Net Drcp "4" P4- FERC HOLE DIAMETER rT PERFOP.MED BY: (CA.1-A- tf ` L.A.4 t r'J SL'! Z.h. z"`-CEi?TIFY THAT THIS TE -T WAS PEP.FOR7,IED tDl ACCOROANCc WITH A.! ! STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: of 7C1/ff 3 • Mu11Id186I11y 81 A11bIttitigd bevbldphibh1 SbWicbs bepallhiehl butldind Salely blvlslon br1-Slle Walei and Waslewalet Program' 4700 Soil h brage* Si. II'.d. box 196650 Ancholage• Ak 99519-6650 www.d.ona aae.ek_,u2 00713 3-7904 sbu§ Lb - 040061101i to 1 herlormed tor: 12L_ j legal bescriplion: r 4 ' 7-75AI»/.21 ; l Slope 1- 2- 3- 4 5- G 7- 6- 10- 11- 12- beplh (keel) ay -61)m cs 13- 14- it- lb - 1 7- 18- 19- - 14- i5- ib- 17- 1b- 19- • j; 4.M 50103 6'-1 20 - SOH wAs cnoUNo wAtI.R .• 0 o LNcoutrttntbt E J It Yf:s At wIIAt bi:b}l It bepll 1 W'IrAll1 6,1 r MontiorIndt C t: h bale: 419/19 / 19 bale l'erlormed: V3 Site Plan See Site Plan heading bale Gross time Net Tirne beptli 10 Waler Ilei brop ht_kcotAttoil hAtt: . thst hUll bbtwtbll . COMLIENts PJCT PC^4-GG.-0 l *.o4esancel I't ANb NERC 1k/it b METER kt httthohlvUEbBY: 1 7/1/2_47&___iCbRtIkY'HIM tilts its WAS htt r-ohNeb IN Atte ANct WWI ALL stAtt ANb I.1UNIcIhAL GUIDELINES IN tlrtct oN TMs bAtt. britt:: ''1)1/63 S&S Gineenitig ttz HEALTH AUTHORITY APPROVALS SEWER WATER ALAN EXTENSIONS SEWER &WATER INSPECTION ENGINEERINGSTUDIES ANO REPORTS WELL INSPECTION A FLOW TEST SITE PLANS ROAD DESIGN SOS -TEST PERCOLATION TEST srnucruakL VecriPNICu INSPECTIONS • ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN ROBERT C. COWAN, P.E. ROBERT A. SHAFER, P.E. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 47, Section 19, T15N, R1 W, S.M. April 9, 2003 GENERAL: CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 1. The scope of this project includes the replacement of the existing septic tank with a 1300 gallon HDPE S.T.E.P. tank and the installation of a pressurized drainfield to serve the proposed three bedroom residence located on the referenced property. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of • the tank. 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page 2 Lot 47, Section 19, T15N, R1W, S.M. Apra 9, 2003 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the holes faced downward. The distribution piping is to be of PVC (ASTM D3034 or equal). All joints are to be solvent cemented. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: Page 3 Lot 47, Section 19. T15N, R1W, S.M. Apn19, 2003 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever specifications applies. - Page 4 Lot 47, Section 19, T15N, R1 W, S.M. April 9, 2003 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR / INSTALLER MUNICIPALITY OF ANCHORAGE r' _.\t -1 - DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME Gene et /g IZ i -r PHONE fp_ 3Z-37 SZNEW •UPGRADE MAILING ADDRESS O /J °X 7�/ Jr ECP!%/�J' 4i L gY5733 / LEGAL DESCR/,6/TION / LL/7 S/9 7' '<' 2/w LOCATION v 2 ie . NO. OF BEDROOMS SEPTIC TANK DISTANCE TO: Well oo 7[-, Absorption area( /,,}J Dwellingzf /c3 PERMIT NO. �7 o Z B g t5 / Manufactur,lM�teg�/ fr/Ate- 0 rec iS No. of compartrrlegts G Liq. capacity in gallons IF HO MADE: Inside length Width Liquid depth `O Co a Y J22 = z F DISTANCE TO: wen /�/ gwelling PERMIT NO. Manufacturer /V - /(/ A Material Liquid capacity in gallons TILE DRAINFIELD kl DISTANCE TO: WeIL, 00 I- Founjati n r Nearest gt lin? PERJ�IIT ID. z e 7 `Sbetween No. of lines / Length o/t"egh line Lj (p Total llengjf� of fines' ('J Trench idth a 0 inches Distance r}� /V /� Top of tile to finish grade Z 4k / A -15-41G 4 7/U 7J Material beneath tile / 2. inches Total effective absorption area 37S -F SEEPAGE 1 NT Length Width Depth PERMIT NO. Type of crib Crib diameter Crib deptlJ 1. Total effective absorption area DISTANCE TO: Well { Building foundation Nearest lot line w E� Class ei VA 7E Depth Driller Distance to lot line PERMIT NO. S So Z 8 7 DISTANCE TO: Building foundation Sewer rifro _A ��.. SegYj9a k / LG o0 7' Absorgjioneals1 � G T OTHER 13 PIPE MATERIALS /od'e # .fo 3 a 1\ SOIL TST RATING /2 S /l3 e INSTALLER Twsto 5xc, REMARKS Q n gilt -4e.-vmsn t I W / ei ,� t 13 c 1-----.4 °° a A-47 : * k"i ed 3� �1 1 �.,rt r ,%� 'e No. 1457-E ,e 4 4 dT$,e�eegea.. d���� t 9Q®‘��4F���mN� Q 0 TJ 2, ?4&PEIGHEER1k' APPROVEDPH. 6944970 d1/4iler (9/4/85 -- SAB 190X - DATE LEGAL O� .....4(//i 72 lno', 2/721 PERMIT mO: 4TF / u�PLCANT: /\CDRES9: CrrAkTMFA'Y 0" . HEALT-1 ANB ~*V7nnu:FNITn- PR1LTECTION L:6TREJE 1 , 4NCHOR4OE, AK 99501 264-4720 GENE CLARK Y. & S ENG, SRB 196-y •LEGf7,1 DESCRrP: SUBDIYII[N: N/A SECTIO�: 19 TOWNSHIP: 15N RANGE: 1W LD/ SrrF, 1 ?5A (.612.1ET` OR ACRES) RA� OMS: 3 'Listed helom are tho options available Lrym' in designing your system. Choose the optior that best fitt your site. ' ��%nl:TIN.11 DEPTHTO• PIPE BOTTOM (FT.) �GRAVEL DER|H ' 1.8 TOTAL DEpTX• GEL.) 7.0 !GRAVEL WIDTH (FE,) 115:0 • •GRAvE1 | +NGTH •TANK SIZE MA! S) BM| RAT (5Q-FT./2f:0 ** ULy!H TO PIPE BOTTOM < 4.0 FT, MAY 9EP||IRF A i TFT STATION ** TANK MPH ,HAVE !A! LEAST /WO COMPARTMENTS -.:ICK: N/A 1. I am familiar with the ....................................................................1nwell s as se forth by the Municipality of Anchorage (NOA) and the Statc of Alaska. sewerage system on this or any'adjacent or nearby lot. 4. I understan� ��at ��is �ermit is valid �or a maxi���mo� � any eolarC��ment will require an a�ditional perm�t. IF A LIFT STATION IS INSTALLED IN AN AREACOVr9ro BY NSA BUILDI%G CODES` a7 HOUT AN ELECTRICAL. INSPECTION�REPOR|; AND (3) -H+ ELECTRICAL.�USTDn�� 9Y A LICENSED ELECTRICIAN. � SIGNEDdil /' � DAT[�: ^* �_�___ `-________� �__ -�.... ^� "PIP.H‘il v����n7SSUED U� DATE: ��- * y I i1UNICIPF!LI TY OF ANCHORAGE • DEPARTMENT OF HEALTH FINE::' ENVIRONMENTFIL PROTECTION 825 L. 'I;TF:EET: Al'dCHOF:NCE: AK •99501 2'54--472'3 e_a@" et-- 1'"1 E-: SEEPAEEIR E P_C^Y TL PERMIT NO: 8400:8 DATE ISSUED: 03/28/84 /84 APPLICANT: GENE C. CLARK ADDRESS: 25a:S ENGINEERING EAGLE RIVE: AK 99577 CONTACT PF-IONE.: r.94-297:9 LEGAL DESC:RIA:• SUBDIVISION: NFi LOT: 47 SECTION: 19 TOWNSHIP: 15N RANGE. 114 LOT SIZE: • 1.25A CSG!. FT. OR ACRES) MAX BEDROOMS: LISTED BELOW ARE THE OPTIONS AVAILABLE TO you IN E:DESIGNING YOUR _QEF SYSTEPI. CHOOSE THE OPTION THAT BEST FITS YOUR SITE. BLOCK: NA DEPTH TO PIPE BOTTOM CFT. ) GRFIVE-L_. DEPTH (FT. ) TOTAL DEPTH CFT. ) GRAVEL WIDTFI (FT CGRFIVEL. LENGTH (FT. ) GRAD,+EL. VOLUME CU. ','GS. ) TANK SIZE <GFILS) :-OIL_ RATING <: SC.. FT. /BR) @TM' t -J C: 1--1 GI :+::i: n 4. 0 r_ 7.9, 0 1:. 2 _' ti 000. 105 L. 2.4_i :i:*: k'1. 5 17. A 34. A 21. 4 4_ nn. F_i *:* • 1c� '2 5 DEPTH TO PIPE BOTTOM <_ 3.5 FT. REQUIRES INSULATION• DEPTH TO PIPE BOTTOM 4. 0 FT. MAY REQUIRE A LIFT STATION GRAVEL LENGTH > 75 FT. RE:G!UIRES MULTIPLE RLIN (NOT E;CEEDING TANK MUST HAVE AT LEAST TWO COMPARTMENTS 75 FT. EACH) I CERTIFY THAT: 1. I AM FAMILIAR WITH THE. REQUIREMENTS FOR ON-SITE SEWEF:S. AND WELL' AS SET - FORTH BY THE MUNICIPALITY OF ANCHORAGE (MA) AND THE STATE OF ALASKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS: AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. _. Is WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY -EXISTING WELL, WASTEWATER DISPOSAL SYSTEM -OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OF: NEARBY LOT. 4. I UNDERSTAND THAT TH I: PERMIT IS VALID FOR A MAXIMUM OF 3 BEDROOMS FIND FINY ENLARGEMENT WILL. REQUIRE AN ADDITIONAL PERMIT. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODE'_: THEN -W. AN EL.EC:TF:IC:AL PERMIT AND INSPECTION MUST BE OBTAINED; <::_') AE -BUILT'_ WILL NOT BE: APPROVED WITHOUT AN ELECTRICAL. INSPECTION REPORT; AND <3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED APPLICANT ISSUED BY IRE: DATE: DATE : 53.12C -I era PERFORMED FOR: ('1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST ene C CL iiefrr SOILS LOG ❑ PERCOLATION TEST DATE PERFORMED: 3-7—P LEGAL DESCRIPTION: L417 Sig 7-15-/c) SLOPE (2r,OCc/AtLc S'1L7� C6L-Aif tiggi (COI) /2,3" rc 10 11 12 13 14 15 16 17 18 19 20 CL /4 y,rq/S'/ b S'�O/9/GadP/ 14 &)4 re>e j0 % t COMMENTS 1 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? ITE PLAN 4 - Reading y Date Gross Time Ne Time Depth to Water Net Drop it'd ,i'- / A____ PERCOLATION RATE (minutes/inch) fi7 AE ro el/VC- Tu,BC / w s't TEST RUN BETWEEN FT AND • s 8, 2, ViGINEERik°Gs PERFORMED BY: 72-008 (6/79) SRR 99GX 441,1g Mita, AUAbd1 .;;;;1 7 694 ?-7,i CERTIFIE FT DATE:.' 79 y