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Home My WebLink AboutT15N R1W SEC 4 LT 7 Municipality of Anchorage Page / of 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: ,%~/ ~ c~ Oo-~ PID Number: ~/ N~: Wastewater System: ~New ~ Upgrade 5f/g ~WPYH/~L ~., ~950~ ABSORPTION FIELD LEGAL DESCRIPTION sci, Rating: ~ ¢ GPD/Sq. Ft. Total Depth from~foriginal(s -- 7'grade: Lot: Block: Subdivision: Depth to pipe bottom from original ride: Gravel depth beneath pipe ~ ~ ~ s - /,c~ ~. ~ ~. Fill added above original grade: Gravel length: t ~ / Number of lines: D[stanc~a lines: WELL: ~New B Upgrade Gravetd~p,~: ~1~¢~ ~ Ft. / ~ Ft. Classification~/~(Private. A.B.C): Total/~/Depth: Ft.' C a~e~T~: Ft. Total absorption area:~,O SQ. Ft. Pipe~o~materlal: Driller: Da~ Static Water Level: nstaller: Date ins lied: Yield: ~0 GPM '-- ~,. ¢ /,.0 ,,. TANK SEPARATION DISTANCES ~eptic O Holding a S.T.E.P. To Septic Absorption Lift Holding P~bl;~/PrivateManufacturer: CapaciWin gallons: From Tank Field Station Tank Sewer Lines ~ ~ ~ M ~ ~ ~ Material: Number of C~padments: w~, /0~' /~/ ~/~ ~/4 ~0 S.,aC.w,te~ ~/A ~ LIFT STATION Line CunainDrain ~/4 ~ ~ ~ Pu~ Electrical Inspections pedormed by: Remarks: BENCH MARK Location and Description: ~ Assumed Eleva,~ ¢ , Inspections pedormed by: ~ Dates: 1st ¢~/~/¢¢ ~~ ¢~J ................ .................... Deparlment of Health and Human Services approval -~;'¢a :' .......... Reviewed and approved by ~ Date: ~-2~-~ 72-013 (1/91) MOA 25 Permit'No. ~k) ~500~ Page 2 of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alosko 99519-6650 · Telephone: 5d-5-,~744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 7, T15N RIW SECTION 4 PID No.: £ GRASSER RD. I I I I I ~ z I ~ ~ I I " I I 330,00 ~ N 89~59'00' V 7/10/95 ELEVATIONS ~ fOP OF ~ELL CASING ENGINEER'S SEAL _ _ ~....[ ........ ~ ............ :,.. 07/10/95 11:50 "~907 269 2260 ASD STAFF DEV ~001/001 BOX I~TO272, CHUGIAK, ALASKA 995~? ' TELEPHONE From , -.- From. '~Ft. to IFrom ~,~ ' FrbmJ' " 2Fi. lo ': Fl~ , From · Et. th: ,.Ft.,, Fmm.~:Ft. ~o__ Ft.__ From-- Ft. m ,__Ft. From Fi, to__'Ft. . · From - - Ft. to Ft. F~m ...Ft. to_ Ft.-- From ' ..Ft. to From_ Ft. to .,Ft. MLqCL. INFORIViAT{[ON: FromL From~ . RECE.IVED , Fl. to-- Ft. to-. ,Ft. Ft. to__ ._Ft. Ft. t~ ' Ft. Ft. io ' .Ft. JUL 1 2 1995 Municipality of Anchorage DRILLER'S NAME ~ 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 WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW950034 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:BAER DONALD W OWNER ADDRESS:21716 GP~ASSER RD CHUGIAK, ALASKA 99567 DATE ISSUED: 3/24/95 EXPIRATION DATE: 3/24/96 PARCEL ID:05107204 LEGAL DESCRIPTION: T15N R1W SEC 4 LT 7 LOT SIZE: 108900 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / 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 343-4744 ( 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 AiYD CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED DATE: ~'- 24 ~ Louis Butera, P.E. Registered Civil Engineer March 9, 1995 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Lot 7, T15N R1W Section 4 Narrative & Permit Application Dear Mr. Cross: The proposed well and septic system will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance. 3. Reserve space is adequate, due to absorption capacity. 4. Drainage will not be affected and is not a major consideration in our design. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \C:\WPWIN60\WPDO CS\ 1995\95-013A.NAR P.O. Box 773294 · Eagle River, Alaska 99577 · Telephone (907) 694-5195 · Fax (907) 694-3297 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM Revised 03/23/95 LEGAL: Lot 7, T15N R1W Section 4 c"':VICE3 DiVi$1-ON '.'~R 2 ~ 1996 GENERAL 1. The wall ~d septic plan is for a single family residence only. 2. The drawing ~d or site pl~ shill be a p~ of this sp~ification. 3. All matefifls ~d wor~ship shill m~t the Anchorage Dep~ment of H~lth r~uirements. 4. All soil tests ~e adviso~ to the design ~d ~e to be vefifi~ or modifi~ in the fidd by the engin~r. 5. All excavations ~d depths ~e adviso~ ~d ~e to be vefifi~ in the field by the contractor to m~t Municipflity of Anchorage r~uirements. 6. It is the responsibility of the owner to ob~n fll n~ess~ permits or ~sements and to locate ~y adjacent multi-family wells. 7. The excavation is to be exactly in the ~ shown on the site pl~, ~y deviation r~uires engin~r approval. 8. It is flways r~ommend~ that a su~eyor locate ~e n~est lot line position ~d the location of ~y ~sements. TRENCH 1. The bed is to follow the natural land contour to maintain uniform total depth of the bed bottom. 2. The bottom of the bed shall be level, plus or minus 1.5". 3. The total depth of the bed excavation is not to exceed 7' at any point. 4. The bed gravel is to be covered with typar fabric material. 5. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. 6. The area over the bed is to be finish graded to prevent ponding of surface water runoff. 7. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED ~ DIMENSIONS: TOTAL DEPTH = 7' GRAVEL DEPTH = 4' under pipe, 2" over pipe TRENCH LENGTH = 86' TRENCH WIDTH = 5' SOIL RATING = 0.7 GPD/ft2 BEDROOM CAPACITY = 4 SEPTIC TANK SIZE = 1,250 gallons minimum Twenty-four (24) hours notice required for aH inspections. C:\WPWIN60\WPDOCS\1995\95-013B.SPC 1 EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, AK 99577 (907) 694-5195 SHEET NO CALCULATED BY_ CHECKED B~ SCALE OF. DATE Single Family 4 Bedroom Dwelling Wat6r use at 150 gallons per hedr~om = 600 gpd : PerCOlation~ate = 0,~9min~tes perinCh : : Wastewater application rate = 0.7 gpd[SF! Required absorption area = 857 SFi Treilch Width :- 5' GraVel depth = 4? Required length = required absorption area/trench width ReqUired length = 857 / 5 ~ 0:.5 -~./~,~,~i · ~eqUire2i l~hgtfi 8~' \C..\XVPWIN60\WPD OCS\ 1995\95-0 i3B.CAL ' ' I GRASSER RS, 330.00 3' BLM EA~EHENT ' ' I +lO' 330,00 N 89~59'00~ W NB WELLS +iO0' .... ~SEMENT B TEST HOLE · MONITOR TUBE o SEWER OLEANOUT NO SURFACE WATER + WELL ---- PROPOSED L~OHFIELD NO KNOWN CURTAIN DRAINS WELL & SEPTIC SITE PLAN LEGAL: LOT 7 T15N Raw SEC.4 CONmACTO~: N/~ = JOB ~ 95-o~31 DATE: o5/25/951 SCALE 1" 60' --~~iJ;;;iiA '~ a EAGLE R/VER ENGINEERZNC SERVICES P.O. Box 773294 EAGLE RIVER, A~. 99577 (907) 694-5195 FAX: (907) 694-3297 Percent Finer Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, A~aska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: /~/" ~[//Cr/' '7-4.. LEGAL DESCRIPTION: /- '~ DATE PERFORMED: ~--/,..~m Township, Range, Section: '7-/Y-~' ,~' / ~ .¢~r.. /-./ 1 2 3 4 5 6 7 8 9 10 /¢b,..~, - C_.~,.&._..?/v c WAS GROUND WATER ENCOUNTERED? SLOPE SITE PLAN -% ! so--f 11 12 IF YES, AT WHAT ~./'/ /v-- DEPTH? 13 14- 15- 16- 17- 18- 19- 20- COMMENTS Oeplh to Waler After Monitoring? ~rZ Date: ~ ' ¢'q~- Gross Net Depth to Net Reading Date Time Time Water Drop 2 ,, i;,. cq ~'za' ~z" 3 " ir,'~ ~'zl" ~z" ~ ,, i~,'~1 ~ 'z/., Fz .. PERCOLATION RATE ' ~¢ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~' FT AND .~ FT PER.ORMEDB¥: , CERT,. THAT T.,S TEST WAS ,'E.FO.MED ,N ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: ~--/--~--'" LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18- 19- 20- Township, Range, Section: SLOPE WAS GROUND WATER ~/~ ENCOUNTERED? /V'" IF YES, AT WHAT DEPTH? Depth to Water. Alter Monitoring? Pr?' Date' StTE PLAN Gross Net Depth OD Net Reading Date Time Time Water Drop / .~-/-q£ I~..'.cr 2'~f," ?2" 2 ~ '~" ~2" ~" ~ ~ '~r" ~" d" y ~'~" 2~ ~ (.. PERCOLATION RATE ,,I,//~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~' FT AND t'~ FT COMMENTS PERFORMED BY: ~'~¢',~ I ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~j~,~.,c- ;_ ' L~/.;- .,... Division o( Eqvl[onme0tal Se.ICeS ..:. ,-,, :,/~.~.-~? ~ ~c;'- '~,- ,~f~:~ ~'t~?~ p'~ :B~ ~6650 eq'Afi~horage, Alaska :'~ g951 ~650' ,'::5,~:ff~,~5; ~5{ ?~5~;~:~'' ': ."~ ' s,:-','%. '- -' ' ~:': : . .... . .: .' :~ :?~-~ ?CERTIFICATE OF H~LTH AUTHORI~ ....... };.;;.' ,~.~2;[:;.:-;L'~},;2~;~'::"F j}J.',' ;,;'. - . . . ,. ::_, ~ROV~L FOR A~INGLE FAMILY DWELLIhG - ' ID ~ "051 '072 '04'~:~''~'? '-' :~,r :"j' H~ ~q~2~ , . Hame . . .......... ?~- ,,~ ~;'~ t '-,, ~ · E;~;,s:~- - .' '" ;'-~:'--Comblete'le~al,,__ description':.'. - , "" ' ..... ~" -" ..... - ' ' · ' ' .' ""- '(;.'~[~-;..:_ STATEMENT OF INSPECTION BY ENGINEER r~ As cert f ed'bv my sea 'afl xed hereto and'as of the vahdatlon date shown b.,e,. Ow; I,venfy that my investigation of this Health Author ty A~sprova ap; catiOn shows thatthe on-s te water supply and/or wastewater disposal system is safe, functional and adequate for the numoer 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.ti_gation and inspection, the on-site water supply and/or wastewater disposal system is in comPliance With all Municipal and State codes, ordinances, and regu ations in effect on the date of this inspection. Name of Firm gagle ~d.ve~". ~91neer:ing Se~ices '"~ ..... Phbne':; 694-5195' :'" '~"'":': Address P.O. Box 773294. Eaale River. AK 99577,'~ '--',-- - ' ' ' ...... · D,,ate ,~' .,.. :' ~.. :,' ~... 'r',~'~.~"~~/ ,..' · , ' '~.~ ..... , - - ,.,:..~4 ,~.:.~ ,:~ h"~:.:'.','' :,. ' . '. '.The 'of Health and. Human. Sen/ices (DHHS) ~ssues Hea th Authority 3royal ,Certlf only ucon the represer~tation~ '~iven.,in. paragraph 5 above by'~"independent istered in the State of Alast<a,.The DHHS does this as a courtesy to purcnassrsof homes ~s in orderto satisfy certain federal an'd state reqi~rements. Employees of DHHS do not is:issued. The Municipality of Anchorage is not ;.c certificat_e , ,::-..,..~,.,, '-";~ :..':..!'..; , ,~,~; .... '.~: ;.;'. ~ · ..:. responsible )rs or orr irofessional eng neer's work., r ,`,'' *''' ' ' '' ~ ......r ';J~ ; ' ' , ;;~!./,:'. :, ::'.Zi' ,. ~ ...... . ..... ....... . Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~7' ? ~'~/"/ /Ztb~ .~,¢¢--/h Parcel I.D. DS/~07~-- Oq A. Well Data Well type Log present (Y/N) Total depth Sanitary seal (Y/N) p.~/g~ If A, B, or C, attach ADEC letter. ADEC water system number Date completed {~£)/9~ Driller / ~./ / Casing height Cased to / 7// j Wires properly protected (Y/N) /v FROM WELL LOG AT INSPECTION Date of test Static water level Well flow Pump level1 ; On adjacent lots 7~/¢ /~-¢? / ; On adjacent lots ~'/z)~ Public sewer manhole/cleanout ~/~ Petroleum tank /~P/'/~ ~/~ Nitrate ~ / ~ ~ &/~ Other bacteria Collected by: ~ SEPARATION DISTANCES FROM WELL TO: Septicfhotdfng tank on lot /~7'~ / Absorption field on lot Public sewer main Sewer service line WATER SAMPLE RESULTS: Coliform ~ Date of sample: B. SEPTIC/~ TANK DATA Date installed O?/~'¢/.-°5 Tank size /,~5;o Compartments ~ Cleanouts (Y/N) J~-~ Foundation cleanout (Y/N) t/'~<, Depression (Y/N) High water alarm (Y/N) ,>///~, Alarm tested (Y/N) /k/,/./~ Date of pumping /,L///) ~ /tJzs/~J Pumper /'.///~' SEPARATION DISTANCES FROM SEPTIC/i-N~c~ff~IG TANK TO: Well(s) on lot /0~ j On adjacent lots TO property line 7~/'0/ Absorption field Sudace water/drainage 72-026 (3/93) ' Front Foundation 7~.-~-)/ Water ,m~j~/service line ¢'~-' ~' / ~ .... ?. ~ CONT NUED ONBACK PAGE C, LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electricalcodes (Y/N) ~ S EPARA~N~FT STATION TO: ~.~.on-lot On adjacent lots D. ABSORPTION FIELD DATA Date installed Length ~(~ / Width Total absorption area ~'~ Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Manufacturer Manhol,~f~ ~es tested Sudace water Soil rating (GPD/FF) (~, '~ System type ~ / Gravel thickness /7z~ / Total depth Cleanout present (Y/N) ~'~:3,~ Depression over field (Y/N) .~./~ ./~-/,¢--/.~ Results (pass/fail) /0,/~ 5.3 for ,.z~/~ Bedrooms /{//,4 After test -- it/iA .If yes, give date -- On adjacent lots /-//.2() / Property line '~' ~-~ D / To existing or abandoned system on lot Cutbank /<://,4 Water maiP~service line Driveway, parking/vehicle storage area SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot / ~D / To building foundation On adjacent lots ~ ,'~'(2 Sudace water /.///~ Cudain drain ~//,~ E, ENGINEER'S CERTIFICATION I cerb'fy that I have checked, verified, or conformed to all MOA and HAA guidelines in effe. ct, on the. date .o.f this inspection. Engineer's Name Date C£-6736 HAA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 07/~.1x95 15:5i CDHMERCIAL ~ESTING * 9S'Z G94 ~297 N0.844 D~ rCT&E Environmental Sen, ices Inc.