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HomeMy WebLinkAboutT15N R1W SEC 4 S2SW4SW4NW4 PAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW930024 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:HOWARD BILL & JANICE OWNER ADDRESS:P.O. BOX 31265 RIO VERDE AZ 85255-1265 DATE ISSUED: 3/02/93 EXPIRATION DATE: PARCEL ID:05104215 LEGAL DESCRIPTION: T15N R1W SEC 4 S2SW4SW4NW4 1 OF 3/02/94 2 LOT SIZE: 217800 (SQ. FT.) NUMBER OF BEDROOMS: 0 THIS PERMIT: 0 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL 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 343-4329 OR 343-4681 AFTER BUSINESS HOURS 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. SPECIAL PROVISIONS: t~HiSiipERMiT IS ISSUED FOR THE PURPOSE OF coNSTRUCTING AN EXPLORATORY WELL TO DOCUMENT WATER AvAILABILITYON THE .. <:g0BJECT PROPERTY. AFTER THE WELL HAS BEEN COMPLETED AND TESTED THE PROPERTY OWNERS WILL BE RESPONSIBLE FOR '4, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 'i~kNSURING THAT THE CASING IS SEALED WITH A WELDER CAP. THE ~WILL NOT BE PUT INTO USE UNTIL THERE IS AN APPROVED. ON.SITE ~WA~TEWATER DISPOSAL SYSTEM CONSTRUCTED ON THE SUBJECT ~PROPOERTY. IF THE WELL HAS NOT BEEN PLACED IN BENEFICIAL? ' PAGE 2 OF 2 6751W. OI~ONQ BLVO. ANCHORAGE, ALASKA 99502-3904 (907) 248-5095 Municipality o'F Anchorage Division o.f Envirerlmental Health Department of Health and SeciaI Services 820 I Street Anchcw'age~ Alaska 99501 ,~ /"~ T15N RIW February 24~ 1993 L_ou Fox and Daisy Anderson are investigating the poss~bil:i, ty of developing thie property. They have given an e-F~:er to the pr'operty owner~ cendit:i, oned by suitable soils for a septic system and a well yielding 5 gallons ( or more ) per" minute. The o¥.¢er exp:i, res or~ March I5. 1993. Three testholes were e;.~(::aw~ted and tested on Feb. 18,; 1993. Cepies ~::~ the se:i. ls logs are enclt-)sed. At this time Mrs. Fox and Anderson are applying -Felt' a well per ..... mit,, The put'pose of the well is to verify a yield of 5 gallens per minute. If the well production is satis~:a(::tory, the new owners will apply ~or a septic per'mit based on t. he so:i. 1 data subm:Ltted. It is knewn that high ground water' can be a problem in 'Ll'l:i.s area,~ and grouncl water was -Feur'~cl :i.n one o'~ the test holes. tl:r'ough breal.::up be-~or'e a sep'l:.:i.c system be deeigned. Tobberl Spurkland P.E, LDT $ VACANT LOT £ ~EVELDPE~ /11 L£T 7 VACANT EXIST, SEPTIC SYSTEMS ~0 100 ~$0 £00 'B]~}~EN SPURKLANI) P.E. ~/~S~/~/~,N~/~/ WELL LDC~TIDN W i~TH. ~qVENUE I)6TE~ FEA ~4, 1995 SEC, 4, TISN RI~ ~, ~. ~1 LOU FOX & ~hISY AN~E£SON $YE£Ti 1/! ~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LOO LEGAL DESCR,PT,ON: ~ '/'-, SV~ '/~, I~l ~ % oE. GAN~6~, 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 · x (ENGINEER'S SEAL) , DATE PERFORMED: ~owns.~., Range, Seotion: ~--~ t4 t 'T' SLOPE SITE PLAN WASGROUNDWATER ENCOUNTERED? ~O IF YES, AT WHAT DEPTH? ~ E Depth to Water After Monitorin§? Date: Gross Net Depth to Net Reading Date Time Time Water Drop ~Y? : ~ ~5 7~ ~y~ , ~o 15 7 I Yy PERCOLATION RATE J¢~ [minutes/inch) PERC HOLE DIAMETER TE. STRUNBETWEEN ~/~' FTAND 7 ~ FT COMMENTS PERFORMED BY: ~ '~ I ~' CERTIFY THAT THIS TES~ WAS PERFORMED IN ^CCORDANCEW,TH^'LST^TEANDMUN,C,PAL~U'OE'-'"ES'NEFEECTONT"'SOATE. D^T~: F'"-'~'~, Z q~',Z' 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 5 6 7 8 9 10 11 12 13 14 15 17 18 19- 20- ,¢/~~ DATE PERFORMED:__ WASGROUNDWATER ENCOUNTERED? iF YES, AT WHAT DEPTH? Oeplh to Water After Monitoring? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER -- COMMENTS PERFORME SY: TEST RUN BETWEEN FT AND FT 4-4 14- ~- -~ CERTIFY THAT THIS TEST WAS PERFORMED iN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE' DATE; 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 4- 5- 6 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- TOwRShip, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? P E Deplh Io Weter After Moniloriflo? Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE /--~ (minutes/inch) PERC HOLE DIAMETER -- TEST RUN BETWEEN /r'~ FTAND COMMENTS PERFORMED BY: ~;~- '~ I ~ S CERTII-Y THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; 72-008 (Rev. 4/85) FEB 24 '93 16:23 RE/MAX OF EAGLE RIVR P.2 ~DDE~'iDUI-[ Th~s Addendum made to tha~ certain Earne~ Money Rete£p~ a.d Agreement to Purchase dated January 18, I9~3 by and between Lou Fox and Daisy Anderson as ~UYER and Bill L, Mo~ard and Janite L, Howard as SEALER wi~h r~spect to th~ following'de~oribed property situate in Chugiak, Anchorage Recording District, State of Alaska: NMN GRASSEd AND MAYTAG aka T15N, RO1W, 1. Unless Buyer ~lves writte~ no,ice of disapproval of'the soil tests ~o be conducted, ~he bul~der~ approval the costs of utilitie$ ~o ~he si~e, a~%d ~he well specifications condi~ions s%~ forth in the contract satisfied. 2 seller does hereby grant to Bqyer the riSh~ enter cn~o the site for the purpos~ of (a) cond~ctlng appropriat~ soi~ for the construction of a r~side~ce thereon, (b) £¢,r de~erminlnq ~he cost o~ instaltati,>n of u~!iity services, (':) for U the purpose of determining the suitability of the property for constructios og a residence thereon, and (d) for the drilling of a water well. Buyer shall be solely responsible and liable for all costs and e~penses involved in the performance of the work described in this paragraph g, and shaft indemnify and hold harmless the Seller for any co~t, expense, liability or claim in connection ther~with, %t is understood and agreed ~hat it may be necessary tha~ some of the trees located on the site be removed in order to complete the work contemplated hereby. Buyer agrees ~ha~ in the even~ ~his contract shall fail to close, the ~ite will be restored, as ~arly as po~lble, to its original condition. 3, In the event this contract shall fail to close ~or any reason, the Buyer sha%l furnish to Seller ~atlsfaotory evidence ~hat payment has been made for ali of the work contracted for or otherwise engaged by Buyer. tn the event such evidence has ~ot been furnished to t~e $~ller within ~en days a~ter the closing date~ or any agreed extension thereof, the earnes,t money deposl~ ~hall be paid 4.t° eel!the Seiler.~ shall no~ be' responsl~lg~'~a~jy~j,[, in excess of $300.00, ._~,l aOOENDt~ #2.~ ~ft~77~urvey . 5. All other terms~n~of t~~ ~ hereby confirmed and ratified. RECEIVED FEB 2 5 lg95 I~uai¢,pal~y u; Anch6r~ by DOC Co. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688.2759 OWNER OF LAND L~o~ p~)/ ADDRESS ! ~?'-~-?¢~ /'-"'~. ?.Z.~'5'/0 ] k,t~ LEGAL DESCRIPTION'-~/4~'0 ~1 ~O ~:;~'e_ q DATE - Started Ended PERMIT NUMBER STATIC LEVEL OF WATER F'r. /,~ DRAW DOWN FT. GALS. PER HR KIND OF CASING KIND OF FORMATION: From O Ft. to ,~ Et. ,.'~,Mg ,~/"~d~;,)~o From From ~ Ft. to .t¥ Ft. ,90 ~/~ ~)..),'t 0~,'~) From From z~ Ft. to J~' Ft. ,~,4~/ ~0~ ~Ogd From~ From ~ Ft. to Ft. [;.-() 2[~:~*~ From ~ From Ft. to Ft. From ~ From Ft. to~ Ft, From From Ft. to ~Ft. From.~ Frmn Ft. to ~ Ft.. From ~ From Ft. to Ft. From From Ft. to Ft From_ From ~ Ft. to ~ Ft From_~ From_~Ft. to Ft. From_~ From ~Ft. to_~Ft. From_~ From Ft. to Ft. From Ft. to Et. Ft. to Ft. Ft. to Ft.. Ft. lo Ft.~ Ft, to Fl Ft. to.__ Ft. Fl. to Ft. Ft. to.__Ft Ft. to.___Ft._ Ft. io.__Ft. Ft. to _Ft_ MISCL. INFORMATION: DRILLER'S NAME ' - ~' "~ CT&E ENUiRONMEiqTAL LAB SERb:ICES NO. 514 COMMERCI/XLTESTING & ENGINEERING CO. ENVIRONME~-ITAt_ LABjp, ATORY S~RV'.CE5 L, OJ $]O['rll - ' MUST SE P~¢ATE WATER SYSTEM S ,~\ fPI ,E DA%E: $.~2,.~LE TI?E: Routine ~epest Sample (for i'oudne with lab reh no. ', Special Pu~ose SAS~LE LOCATION ear' Co!:ected By A.nM? S;3 .Began BACTERioI.0GICAL WATER _.~X.&T_ YSIS i¢:%COid) 3~O-5,_¢UG l~.e~ui:: ~r_'etal Colifolln ~' CoP' >lembrau¢ Filter: Dire;e Cqu, Vcrificadou: LTB BG.B ....... COL~IRM Final 3fembrane Filter Re~ts _ Colit'om/i00 mt Reported By Time CT~E ENUIRONMEIqTAL LAB SERUICES NO. 514 Commercial Testirtg & Engineering Co. Environmental Laboratory Services RL~ORT of ANALYSIS Chemlab Ref.# ~94.0384-3 Client Sample ID tS 1/2, SW 1/4, SW 1/4, SEC 4, T 15N, R1W tWA~ Anchorsge, AK BgB 11~-1600 'reh (907) 662-2343 Fax: (907) 561-5301 Client Name :S & S ENGIh~ING WORK Order :75249 Ordered By tRJS Report Completed :01/27/94 Project Name ; Collected :0i/25/94 @ 09:30 h~. ProJect~ : Received ~0~/25/94 @ 13:00 hfs. PWSID :UA Technfcal Dlrec!:or~ST~k~. ED$ ~ple Re~rks~ SA~ 'COLL~C~D BYt RAY ..... QC Allowable Ext. Anal Parameter R~sults Qual Units Meth~J Limits Date Date Init Nitrate-N 0.21 mg/L L~PA 353.2/300.0 10 01/29 LLH * See Special Instructions Above UA = Unavalleble ** See Sample Remarks A~ve NA -- Not Analyz~ U~= Undetected, Reported value is the practical qu~tificatton limit. LT .= Less ~ ~= Secondary dilution. GT = G~eater Than M~mber of the SOS Group (Sociate ~n&rala cie SurveiJ;anca) ENVIRONMENTAL FACIUTIE~ IN ,'t~KA, COEO~AUO, F~ORJDA, ILLINOIg, MAEY~NO, NEW JERSEY, OHIO, UTAH, W~ST VIRGINIA MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environrnental Services On-Site Services Section P.O. Box 196650 Anchorage, A}aska 99519-6650 343-4744 Parcel I.D. # 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA# S~SW~SW~NW~ S6e.?. 4, T15N,,. RIW Location (site address or directions) Property owner Mailing address Lending agency Mailing address Carl Di~ otell P,0, Box 770210 Eagle Riw.r~ Day phone. AK 99577 Day phone 694-5797 Agent Address Day phone Unless otherwise requested, HAA will be held for pickup: '2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community well system, provide written confirmation from State ADEC atteSt- ing to the legality and status of system. If community wastewa!er system, provide written confirmation from State ADEC attesting to the legality and status of system. 79-025 (Re¥.1/91) Fro~t MOAII21 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.tLgation 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 th~s-irf~pection. Name of Firm /,/~/ Phone _~¢/¢t''~'¢7 ¢ S & S ENGINEERING ? / ~ Address 17034 E=~ Rivc~ ~04// ~' - ¢~, . E.gle River, Alas~a,9~7~ ]~ / DHHS SIGNATURE Approved for -~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date 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. 72-025 (Rev, 1/91) Back MOA~21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description'. \ . ; ,. Parcel I.D. A. Well Data Well type \7¢-- ¢4 ~1"~.-- If A, B, or C. attach ADEC letter. ADEC water system number Log present ¢~)N) ~ Date completed "5 -~,~-~ Driller Total depth ~c:~~ ,~ Cased to ~.~ ~ Casing height Sanitary seal (~/N) ~ Wires properly protected (~EN) FROM WELL LOG AT INSPECTION Date of test "~ ~'¢~,~ Static water level t.'~ Well fiew ~-~" g.p.m. ...~/' g.p,~n.:~ Pump levell 0 ~-~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line "2---~' ~ ~'- ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Date of sample: Nitrate ~) ,'~1 Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed G - I 7- ~ ~ 5 Cleanouts (~/N) ¢ High water alarm (Y/~ Date of pumping Tank size /~ oO Compartments Foundation cleanout~/N) ¢ Depression (Y~' ,~,,~ Alarm tested (Y/N) ~- ~L~- c~ Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /c:~"'] ~ On adjacent lots To property line /o ~ ,b Absorption field Surface wateddrainage / o ~ Foundation Water main/service line CONTINUED ON BACK PAGE 72-026 (3/93)* Front C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) ~ ~-Cy~s tested Surface water D. ABSORPTION FIELD DATA Date installed ~ - \ Length ,/f'o t -~' Width Total absorption area. Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/~ Soil rating (GPD/Ft2) ~ ,~"/'~ System type ~ /¢ ' ~'~ Gravel thickness O,.~- / ~Total depth Cleanout presentd~/N) ~/ Depression over field (Y~) 4~') Results (pass/fail) -- for -~- ~ After test ~ /,--(" If yes, give date ~ Bedrooms Well on lot / To building foundation On adjacent lots Surface water Curtain drain SEPARATION DISTANCE FROM ABSORPTION FIELD TO: On adjacent lots / ¢' ~ f '~ Propertyline / ~ ' To pxisting or abandoned system on lot Cutbank r'~' ~,,~'- Water main/service line to Driveway. parking/vehicle storage area JL E. ENGINEER'S CERTIFICATION I certify that I have checked, verif~.°r~o~o' '~ rmed to all MOA and HAA Signature Engineer's Name 1~4 Ba¢6 RNer L~o~ NO.,~ . Date ~ /~- /~ / HAA Fee $ ,.?¢.%~ Date of Payment Receipt Number 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Page 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: ~,'-'~'~--~'~ PID Number: ,~ ~. ~/~ ~ Wastewater System: .~ew ~ Upgrade ~, ~ ~/~ ABSORPTION FIELD Phone: ~ No.~drooms: ~ Deep Trench ~ Shallow Trench~Bed ~ Mound ~ Other LEGAL DESCRIPTION SoilRating: ~,~PD/Sq. Ft. TotalDepthfromoriginalgrade~/ % Subd'vision~ Depth to pipe bottom from odginal grade' Gravel depth beneath pipe ¢, ¢ ~ Lot: Bio k: . Township~ Fill added above original grad~ Ft. Gravellength: Number o lines D s ante belween~nes: WELL: ~ New B Upgrade Crave, width: ~/Ft. ~ . ~ Ft. Date Dri led: Static Water Level: Installer: Date installed: Driller: ~i~,d: ~ ~"~"¢,. /¢'~ .~. TANK SEPARATION DISTANCES ~eptic U Holding U S.T.E.P. TO Septic Absorption Lift Molding Public/Prival, ~~¢ ~ Capaoit~,: From Tank Field Slatlon Tank Sewer Lines Well /~¢1 /~ ~ -- ~ Material: ~ Number of Compartments: SurfaCewater /~ /¢~ ~ -- LIFT STATION Lot I Size in gallons: I Manufacturer: Line /~ ~ /¢ ~ ~ ~ Foundation /¢/ ¢¢( __ ~ ~ "p..~p o~" '.~.~p o"" '~' a': C.rtainDrain ~'O~ ~O ~_ P.~O~, I E,.otrio,,'..p.ot'on.P~ro.m~db,: Remarks: BENCH MARK Location and Description: ] Ass,mad Elevation: ENGI~¢~ ns,ections,er or d lst ~le Rl~r, Alaska ~5~ '2nd~ Reviewed and approved by: Z/~ ~ -¢ ~ Date: ]~-/~-~ 72-013 (Rev. 9/91) MOA 25 Permit No~ RW9%O?~7 Page 2 of 2 Municipality of Anchorage 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 Legal Description: T15N R IW SEC4 S2SW4SW4NW4 p D No..05~104215 C01 C02 ....-~ p~t. ~-~ 1000 GAL · SEPTIC .;2' TANK CO MTi CO7 91.2,/' · ~ NO WATER FOUND N.T.S. TH #2 · SCALE 1" = 40' FCO 8A 2~ CO1 17.5 28 C03 17.3 33.5 C03 65.6 74 C04 64 70 C05 63.5 67.5 C06 64 65 C07 31 35 MT1 32 34 MT2 70.5 78.5 NEW BED~ 4-0' .~ Mm';-o CO~---~-----~'--~ Om /-NEW lO00 GAL. SEPTIC TANK . ~~ [3 BDRM DRIVE 72-013 A (2/91) MOA 25 by DOC Co. dba . . SULLIVAN WATER WELLS · ./"" P.O, BOX 670272~ CHUGIAK, ALASKA 99567 * TELEPHONE 668.2759 ' OWNER OF LAND Z ~ c~ /'~'o .~ ADDRESS ! .?"ff"'~ "/'"'.~- ~(~ I ~ LEGALDEscRI~ION~tff~ ~'~q ~&~ff~ ~ DRA~DO~NFT. DATE-Started _ Ended PERMIT NUMBER ~.~/ C~Z >~ KIND OFCAsINo STATIC LEVEL or WATER Fr. ./.~ KIND OF FORMATION: From O Ft. to From o~. Ft. to From ~r Ft. to / From / P Ft. to 35 Fr~m ~"'O~ Ft. 'o From. Ft.' to From Ft. to Ft, From Ft. to Ft. From Ft. to Ft. From __ Ft. tO Ft From : ._Ft. to Ft From ' FL to Ft F~om Ft. t~ · Ft From Ft. to ' From __ Ft. to Ft. From Ft. to Ft I Ft. 0 0~4 ~3,J/~ 0,~ ,xD I I I F t ~ , f~ J ~ X ~ 0 ~~ ~ From From __ From From From From From From.__ From__ From From From From From From From Ft. to Ft. Ft. tO.l 'Ft. __ Ft. tO · Ft. __Fl o__Ft, Ft. to Fl __Ft. to Ft. __Ft. to Ft. __Fl. to Ft. _Ft, to__Ft. Ft. t o___Ft. Ft. to__Ft. EIVED Ft. to Ft. OCT 1 5 'Jg~',~. Ft. to ' Ft. Municipality of Anchorage Ft. toOe.n_t. H,Yalth & H .... ', '~ ces Fi. to Ft. __Ft. to Ft. Ft. to. Ft. MISCL. INFORMATION: DRILLER'S NAME /,.~,dl ,~~ 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 /E.) ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW930207 DESIGN ENGINEER:S ~ S ENGINEERING OWNER NAME:DISOTELL CARL A OWNER ADDRESS:P.O. BOX 770210 ANCHORAGE, AK DATE ISSUED: 7/09/93 EXPIRATION DATE: 7/09/94 PARCEL ID:05104215 LEGAL DESCRIPTION: T15N R1W SEC 4 S2SW4SW4NW4 LOT SIZE: 217800 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK 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 343-4329 OR 343-4681 AFTER BUSINESS HOURS 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. SPECIAL PROVISIONS RECEIVED BY: /~ ROBERT SHAFER, P.E. ROGER SHAFER, P,E. July 1, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER &WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN ~unicipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 325 L Street ~nchorage, AK 99519-6650 ~EFERENCE: S 1/2, SW 1/4, SW 1/4, NW 1/4, Section 4, T15N, R1W, SM ~e request you issue a permit to install a septic system to ~erve the proposed 3 bedroom house on %he referenced ~roperty. Two test holes were performed on the property. The approximate location of the test holes are located on the attached site plan. This property has enough area for a future septic upgrade, which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. If you have any questions, or require additional information for your review, please contact us. SOIL TEST PERCOLATION TEST A. Shafer, P.E. /blf STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ' EAGLE RIVER, ALASKA 99577 by SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA,~9567 · TELEPHONE 688.2759 OWNER OF LAN~ Z ~ q FO ;~ DATE * Started Ended PERMIT NUMBER ~/ O ~ ~ DEl'TH OF WELL STATIC LEVEL OF WATER DRAW DOWN FT, GALS. PER HR KIN[) OF CASINO KIND OF FORMATION: From ~ Ft. to From From. Ft;' to Fi. From Ft. to Ft. From Ft. to Ft, From Ft. to Ft. From Ft. to Ft From ' Ft. to Ft From ' Ft. to Ft. From Ft. to' · Ft. From Ft. t~Ft. From Ft. to Ft. From ' ' Ft. to Ft, From Ft. to__FI. From Ft. to Ft. From___Ft. to Ft. From Ft. to FL From Ft. t{ ) I - Ft From Ft. to Ft From Ft. to . · Et, From Ft. to Ft. From Ft. to Ft. From Ft. to Ft, From Ft. to Ft, From Ft. to ' Ft, From Ft. to ' Ft., From Ft.,to Ft. From Ft. to__Ft. From Ft. to Ft. From Ft. to Ft. MISCL. INFORMATION: DRILLER'S NAME /-~Z.{ ,_~ ~ ~ o ~ b~ll ~llm I ~ - NVqd 3IlS ,09 = ,,~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: 6' 7 8- 9- I0- 11 13- 14 15 16 17 18 19 20 ~:) \ ~'~ ~) '~'"~ DATE PERFORMED: SLOPE WAS GROUND WATER ,~.~ ENCOUNTERED? S DEPTH? ~' P E Deph o WaterAfter ~. Monitoring? (~ '~.,0 Date: ~.-~:"/"q ~ StTE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~'~ (minutes/inch) PERC HOLE DIAMETER -- TEST RUN BETWEENI~''/~'~' FTAND ~- If-. FT COMMENTS . E.. O. ~M~EOD,3B4y:E. a g I e 72-~8 (Rev. 4/~) CERTIFY THAT THIS TEST WAS PERFORMED iN CATE: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DATE SLOPE SITE PLAN 4- 5- 6' 7' 8- 9- 10- 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS WAS GROUND WATER ENCOUNTER ED? IF YES, AT WHAT DEPTH? ~epth to Wate~r~er A MoniLoriAg? (~ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~"2.~ .'~ (m,n~ut~s/inch) PERC HOLE DIAMETER PERFORMED BY: 17034 Eagle River L~? I)A~R N~_ ~ I ~ Eagle River AlaSkaMUNi~AL~ IDELINES'~"'FE ACCORDANCE WITH ALL STA~E AND GU >~r ~ 72-008 (Rev. 4/~) ~ ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE= S 1/2, SW 1/4, SW 1/4, NW 1/4, SEC 4, T15N, R1W, SM GENERAL: 1. The scope of this project includes the installation of a 1000 gallon septic tank and an absorption bed to serve the proposed three bedroom residence located on the referenced property. 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. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 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: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Ail 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. Page Two S 1/2, SW 1/4, July 6, 1993 SW 1/4, NW 1/4, SEC 4, T15N, R1W, SM Se 6e A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. LEACHFIELD BED INSTALLATION: Excavate the proposed Bed Area to the depth shown on the design. The bottom of the excavation shall be within 2 inches of level. If the bottom of the excavation becomes smeared, it must be raked or scratched (ruffed-up) before gravel or sand placement. e If a sand layer is required, place sand over entire excavation to the required depth shown on the design. The top of the sand layer must be within 2 inches of level. e Sewer rock shall be placed uniformly throughout the entire bed. Perforated distribution pipe must be installed level with perforations down. Gravel depth below the perforated pipe shall be a minimum of six (6) inches. Gravel depth above the perforated pipe shall be a minimum of two (2) inches. The total gravel depth throughout the entire bed shall be a minimum of twelve (12) inches. The perforated distribution pipes must be no more than six feet apart. The distance between the outermost perforated distribution pipes and the sidewall of the absorption bed must be no more than three feet. De Silt barrier material 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. Page Four $ 1/2, SW 1/4, SW 1/4, NW 1/4, SEC 4, T15N, R1W, July 6, 1993 SM 7e When sand is being used as a filter material, it's gradation specifications must conform to AMC 15.65.060D. 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: me 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. e 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. Se 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. Page Three S 1/2, SW 1/4, July 6, 1993 SW 1/4, NW 1/4, SEC 4, T15N, R1W, SM 6e Monitor tubes shall be of four (4) inch diameter and installed at the locations shown on the design. The portion of the monitor tube extending through the gravel depth shall be perforated six (6) inches below the bottom of the horizontal distribution lines. 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 finished grade over the bed must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS= Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2e The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Tvpe 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. Se Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). De 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. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the $200 sieve.