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HomeMy WebLinkAboutKNIK HEIGHTS BLK G LT 1Knl*k Heights Block G Lot 1 #017-372-19 _ Municipality of Anchorage .� Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www ci.anchorage.sk.us (907)343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: 5WO800bq PIDNumber: O1-j-3j2- 19 No" DARCL Wastewater System: [:]New 19 Upgrade RN Addle*, I-Lzoo R,%W ooj !Road ABSORPTION FIELD Phone Number of B,droom, 3 D Da,D TI«tm XSNnow TrerW, D Bad D MovM O Other LEGAL DESCRIPTION Sod Rau,q 0.8 GPose TWO Depth own Mg." grad, 35 35 Fl. Block Lot Su00muon G 1 k.,�k eI S Depth b ppe b00om from o g,nr area. o.e 1.3 GbvY depth tionlo P. 2.}' E FI. z7 FI Tovmrn,p Range sec000 Fe aoa eeova wginr gnda Gray Length 1-2. Ft. 54 40 FI. Well: EXi fio ❑ New ❑ Upgrade Gravr Wdlh. 5 Nu~ of Ines 2 D,etano, Dal Ines 1 13 Ft. Ft clomfic,um (Pnvate, An. C) Tom Deed, caws b TWO ateorpeon "a 141.8 P,P, Will" Ft. Ft Fir 3034 810 ones, Dale Dried Slabewal«La'N InrrNrp 1 C1,4CIz ti..r.l,.1,06 Dab nrallea Q? — G/11/08 Ft. s Y,ra Pump Sr at Leung Hm Above Grand eg TAN K GPM FI. FL SEPARATION DISTANCES Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To From Septic Tank Absorption Field Left Station Holding Tank lublictPrivate Sewer Line nc4ac, _ a IAn12. Gr 1000 Wait100'4 luo"t ZSt+ M,I,nr S+eJ Numwr a Comprunem, 2 sudoce wal« N.o• A0. -INV NVl AIA LIFT STATION Lot LM �f r. {y't tor+ IN A I /" ,,a nu dol w. Gal Foundr,on ZQ"j- A 'Pune dn' bvr n •Pune off et H,gh wet« ram, r. I 1 50+ �:i W /Y In in Curtrn one. /1•0• I IV 0. N q VIA Puna Mak, b Elc l:a nsixicams it a by Remark,, }:h Tgnk /gyp r'�•?BENCH MARK Loukan r,a Dera,Duon .ter yi80110rn S' •n Ivy Corneia 4s �•Assuinffi leuu0n CL. ,etL) I 1pp FL r Inspections performed by: PS $ w Dates: 1r .6 0 -= OF ... �� '' 11 2nd Il 08 •s `,2 �(L '•'49TH Development Services Department Approval i ....' Conditional Approval Date: • •• ..... . LAPS E. SPIFKLA\D:f� 11500 \L\ 1 �1LLllDP.r '4. Reviewed and approved b Date: g /a !� (i1 � �� p, .I ntw ewdn) I I I I I— — LaTB� INSTALLED 3-8£040011 SEPTIC SYSTEM 1000 GAUON STEEL TANK TRENCH LENGTH I XWI X 40' WIDTH 5 f£ET Sy C, S, TOTAL DEPTH 3.5 ff£T ROCK DEPTH 27 d 1.1 fE£T INSULATION 1 IN COVER 1 fEET FAIRMONT ROAD I ( I I 1 I I I H I 1 I I I G I I I INSIAILf ROW Sf I I I I I I 1 I SWING TIES I I A B L-------0 G 78 —L — D SI 5 83 E S7 85 f 58 87 l� 0 110 116 I G H 1.15 111 I 113 105 0 J 113 /OI I I� K 131 114 I C 130 111 -� ------- '•: .'c' '- . - - 'rS /$ AU' A SoR:£v£J FLA'. Nf;: 3 -- $fvirC I4f CATICAS TA tEY FCC O1i-5.7f N'4TE.: A.4J NaS.'E' µ,1(S4; :LEP.A,I?Nf',7 VXUAfEi A00A. AL! EOCADON$ 54J4,4' 441 O i 25 0 25 50 75 100 125 150 SCALEr 1' = 50 FT. 1 ABANDONED EXISTING TANK PCR YDA CODE RFOUIRFYFNIS 1 50\ Iff R 1 Yell 1 B 2 O 0 0 3 L5 O '01 49th t SPURKLAND CE -11500 JruNACANU LN&INUMIN(iI I LOT 1 BLK G KNIK HEIGHTS I I SEPTIC SYSTEM AS -BUILT 203 W 15TH. AVENUE DA TE, JULY 9, 2008 ANCH. AK. 99501 DARR£L FARMEN (907) 279-3916 12800 RIDGEWOOD ROAD SHEET • 2/3 GRID: 2836 PERMIT # SVO80069 PID # 017-372-19 KNHBGLID2.DWG Trench #1 5 -Wide Trench: 5' Wide 5y�04 Long L.s 3.5' Deep 2.7' Sewer Rock 2' Insulation 2' Cover PRIMARY FRENCH N. T.S NO SCALE C Ti+S\�t� SC`SO W -0 Flow Spi�Kva � CJ C.S. 0 0 1000 GAL STEP TANK Trench #2 5 -Wide Trench: 5' Wide 40' Long 3.5' Deep 2.2' Sewer Rock 2' Insulation 2' Cover Trench #1 2' Cover (Insulated) E/ev.= 73.8' Test Hof* /1 Elev.: IF— La EI*Kz 71.1' Elev.= 71 Silt Barrier. Elev.= 68.6' 2.7 ft of Septic Ro Effective NO SCALE Trench #2 Elev.= 74.9' Silt Barrier— W, 49th SPURKLAND 1000 GAL STEP TANK or IL— B.O.H. EI*v.= 55.1' — 2' Cover (Insuloted) EleY.= 77.1' 0 0 a t° £lev.=72.4' 2.2 ft of Septic Rock Bench Mark Bottom Siding (lower) NW Comer House, Assumed Elevation 100' SPURKLAND ENGINEERING MIK HEIGHTS BLK G LOT 1 SEPTIC SYSTEM AS -BUILT 203 W15th Ave DARRfL FARMfN DATE, ALY 9, Zoos Anchorage Ak 99501 P7o_ooIa 11800 RIDGEWOOD SHEET, J/J GRID, 2736 PERMIT / SWO80069 017-J71-19 KHBGLIDJ.DWG Municipality of Anchorage Development Services Department Building Safety Division On-Sde Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage. AK 99507 \ - / www ci anchorage ek us / (907) 3417904 Soils Log - Percolation Test I' ��•'fi� LARS't.yS4P00 URKL1.�iD •fiv' 9l0e..', Performed For: VA RRE L FA R rneA! Date Performed: Legal Description: Kn:k ue�, Os til lcG (-"r I- Township. Range. Section: IslooIpe ITL ISI 'TI'iI P6VL Only AleAe. TK*2. 11J 4—a---F---F- 1 M 7- 8 - 14- 15 - Hit 17 - Reading Date WAS GROUND WATER 9- Depth to Water ENCOUNTEREDI 4/1 108 8 10- to'/4" IF YES. AT WHIT DEPTH? L O 81/4 11 Depth to Water Ager P 11- to 1/11, Monitor6g7 E 12- Dale. 14- 15 - Hit 17 - Reading Date Gross Time Net Time Depth to Water Net Drop 4/1 108 11:05A, O o%,^ to'/4" 81/4 11 11:3SArn 3o .n;n to 1/11, '2,1/Z •' 12:0s b0 M:r, lot /I It Nit.' g' 6a rL • 17.:35 90 M:. i u 2 Ib PERCOLATION RATE 12.3 Lm•w.rnal Ptr<c;r.tntIJIAMLitn 1 `` TESTRUNRETWEEN 4.5 FT AND S.Cj FT COMMENTS P(e Soak6d PERFORMED BY: L,ARS Sv. " I S CERTIFY THAT THIS TEST YJAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELII ES IN EFFECT ON THIS DATE, DATE: 9 foa ° Environmental Consulting and Design SEPTIC SYSTEM DESIGN REVISIONS Knik Ileights Block G Lot 1 Municipality of Anchorage August 7, 2008 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: On -Site Wastewater Disposal System Inspection Report Ladies and Gentlemen: During the installation of the septic system serving Knik Heights Block G Lot I the following design changes where made: A 50150 flow splitter was installed between the existing crib and new system. This was done because a valve switch was not available. It is hoped that with a reduced loading rate the crib will continue to dispose of portion of the wastewater flow. The layout of the drain field was modified. The soils encountered 20 feet north of the T junction were not suitable for subsurface disposal (i.e. moist hard tight silt). This section of trench was abandon and 40 feet of new trench was constructed to the 10 feet to the east of trench N 1. A flow splitter was installed so that each trench would be equally dosed. Trench N I contains 107 square feet of extra absorption area (i.e. in excess of permit requirements). If you have any questions or concerns, please contact me at 279-3916. Sincerely, Lars SP urklan Civil Engineer 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurklantl a gci.nct MUNICIPALITY OF ANCHORAGE Development Services Department \O� On -Site Water 8 Wastewater Program 4700 South Bragaw Street \A m� h%) P.O. Box 196650, Anchorage, AK 99519-6650 1 a v (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 04, 2008 Expiration Date: Jun 04, 2009 Permit Number: SW080069 Parcel ID: 017-372-19 Legal Description: KNIK HEIGHTS BLK G LT 1 Design Engineer: 0007 SPURKLAND ENGINEERING Site Address: 012800 RIDGEWOOD RD Owner Name: DARREL FARMEN Lot Size: 43500 SO. FT. Owner Address: 12800 RIDGEWOOD RD Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516 - This permit is for the construction of: Q 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 ( 1 BAAC80 ). 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. 5. The following special provisions. THE ENGINEER NEEDS TO DO AN ADDITIONAL PERCOLATION TEST IN THE LOWEST ML STRATUM PRIOR TO THE CONSTRUCTION OF THE SEPTIC FIELD. PLEASE SUBMIT STAMPED AND SIGNED RESULTS WITH THE AS -BUILT INSPECTION REPORT. IF THE RESULTS REQUIRE A DESIGN CHANGE, CONSTRUCTION OF THE SYSTEM WILL STOP PENDING ON-SITE REVIEW AND APPROVAL. THE TRENCH IS TO BE CONSTRUCTED PARALLEL TO THE CONTOURS OF THE SLOPE. +6/YO De.4. (- dw,9ad fa 2 -treAcltc # . VgC() I/ea r TN z ` o Received By. Date: 8 Issued By. Date: Municipality of Anchorage • -= Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. OI ti - 3,4 D - I q Property owner(s) Darrel Farmen Day phone 345.0786 Mailing address 12800 Ridgewood Road Zip Code 99516 Site address 12600 Ridgewood Road, Anchorage, AK Zip Code 99516 Legal description (Sub'd., Block & Lot) Knik Heights Block G Lot 1 Legal description (Township, Range & Section) Lot Size Li 3 , 500 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field ID Septic Tank Q Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 3 THIS APPLICATION IS AN: Initial ❑ Upgrade 0 Renewal ❑ 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. (Signature of proberty owner or authorized agent) Permit/Rush Fees: _�{CU _ Waiver Fees: Date of Payment: Date of Payment: Receipt Number: �� Receipt Number: (Rev. 11105) _, . i ' �-- Environmental Consulting and Design SEPTIC SYSTEM DESIGN TI5N RI W SEC 18 LOT 149 Municipality of Anchorage May 23, 2008 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Septic System Installation Permit 12800 Ridgewood Street Ladies and Gentlemen: 1 am writing to request a permit for the construction of a new septic system for the above referenced property. The proposed system will serve a 3 -bedroom single-family residence. The lot was developed in the late `60s and the existing septic system is in a state of failure. This septic tank will be abandoned per MOA code requirements. The existing drain field will be left in place and a diverter will be installed. . System: A 1000 gallon septic tank with a shallow trench absorption field. The absorption field will be 85 feet long and contain 2 feet of sewer rock. Soils: Test holes were excavated on May 13'b, 2007. See the attached soil logs. Ground water was monitored for through May 21°, 2008. Groundwater was observed at a depth of 9 feet in test hole #1. Test hole #2 was dry. Surface Water: There are no surface waters within 100 feet of either the proposed septic system area or the reserve site. Topography: The topography slopes down from east to west. Slopes range between 15 — 25 %. Waivers: No waivers are required. The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, Lars Spurkland, P.E. Civil Engineer 203 Nest 15i' Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland`gagci.net spar H aimd EIM& OM01mg Environmental Consulting and Design SEPTIC SYSTEM DESIGN KNIK HEIGHTS BLOCK G LOT 1 Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 May 23, 2008 We are submitting an application for the upgrade of septic system for this lot. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following : Groundwater at 9 Ft. Use Shallow Trench with 2 feet of Rock Soil Rating. From Testhole 05/13/08. 10 min/in = .8 gal per sq.0/day 6.4 min/in = .8 gal per sq.Nday No. of Bedrooms 3 Required Area per Bedroom: 150/.8 =187.5 sq.ft. Total area required: 187.5 x 3 = 562.5 sqR Bottom Rock At 3.5 feet Top Rock At 1.5 feet Rock Depth 2 feet Total Trench Length 562.5 /5•.70 = 78.8 feet USE85FEET SYSTEM CONFIGURATION 1000 GALLON SEPTIC TANK TOTAL LENGTH 85 FT TOTAL WIDTH 5 FT TOTAL DEPTH 3.5 FT ROCK DEPTH 2.0 FT INSULATION 21N. COVER 2 FT(MIN) 203 Nest 151b Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland�rq �gci.net 10 7 LOT T 7 I 9 LOT 8 8 FAIRMONT ROAD AT.A-F.. .6TZ,-a ---181 VACANT @ Itz. lye] — — --17 VACANT 111 1 111 J(eli Well .1 50 0 50 jw 150 200 BW 300 SCALE, I' = 100 FT. X'UNALANU LNUINUKINULOT I BLK G KNIK HEIGHTS SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE DARREL rARMEN DATE.• MAY 21, 2008 ANCH. AK. 99501 12800 RIDGEWOOD ROAD SMELT.• 1/3 GRID. 2836 (907) 279-3916 11 PERMIT # SV080XXX PID # xxx-xxx-xx KNHBGLIDI.DVG K C X'UNALANU LNUINUKINULOT I BLK G KNIK HEIGHTS SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE DARREL rARMEN DATE.• MAY 21, 2008 ANCH. AK. 99501 12800 RIDGEWOOD ROAD SMELT.• 1/3 GRID. 2836 (907) 279-3916 11 PERMIT # SV080XXX PID # xxx-xxx-xx KNHBGLIDI.DVG I I I I I— — L078� INSTALL J -BEDROOM S£PnC SYSTEM FAIRMONT ROAD 1000 GALLON STEEL TANK — TRENCH LENGTH 1 X 85 f£ET WIDTH 5 FEET TOTAL DEPTH 3.5 FEET ROCK DEPTH 2 fEET INSULATION 2 /H COVFR 2 fEET EXISTING CR18 - 1 I I ABANDON EXISTING TANK 1 I 1 I 1N1 PER LlOA CODE REOLRREIIENTS 1 I I INSTALL DJYERTER 1 Q p —�— —�— — — — 3 I I L I Q I I � I I I Q I /I 25 0 25 50 75 100 125 150 SCALE, 1' = 50 FT. 2 jfeli 4c iAl SPURKLAND 0 OrU/UILAIVU LNUNYLLK/!YO 11 LOT 1 BLK C KNIK HEIGHTS I I SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE ANCH. AK. 99501 DARREL FARMEN DATE: MAY 21, 2008 (907) 279-3916 11800 RIDGEWOOD ROAD SHEET. 2/3 GRID: 2836 PERMIT # PID # KNHBGLID2.DWG .� 0 c a v 0 PRIMARY IR£N a N. T.S o Lti 0 10----0 5-Wide Trench: 5' Vide 85' Long 3.5' Beep 1000 GAL STEP TANK 2.0' Sewer Rock 2' Cover pmfulc) 0 NO SCALE Monitor 2' Cover ONSIUM Silt Barrier 2.0 Ft of' Septic Rock Effective 1000 GAL STEP TANK NO SCALE WD..... 1 4.......... ,E ` J .t.}�, ... ..49th / M .. 5. � .. ; / LABS SPURKLAND•• �% No. CE-1150SPU AND ENGINEERING KVIK HEIGHTS BUG LOT I SEPTIC SYSTEM DESIGN 203 203 W1 W15th Ave Anchorage Ak 99501 DARREL FARMEN DATE: NAY 22, 2008 12800 RIDGEWOOD SHEETT 5/3 GRID, 2736 PERMIT J SWO70OXX PARCEL 1D / XX KNBGLID3.DWG TEs Fb►� �1 Municipality of Anchorage Development services Department BWM*V Sa%V Di"WM yp On-Ue Water ant Wasimaw Program 4700 Sash Bregaw SL P.O. Bo: 1g6650 Andtaage. AK 99519-6050 www d and+aa4 ,ak_Us (907) 9417904 Soils Log - Percolation Test PerfamedFor: DaCrel1'FarMrk ien Date Pe Legal Desaiptlan: n;Y, rtt� %r T 5 Sl k fr U- 7. Towmh p. Range. Semon: Depth a- 5 S:►� w/5 d (ML s- �. HLo Se(,Ps 8- 9- 10- 11. B -0 -11A - 9 -t0 -11- B -0-H 1 I t 1 WASGROUND WY I ' IF YES. ATWHAT DEPTH? 9 L D"M In natal AttarD Igwaeoriny? 91 E Doe: 5 -2Ti i`40TH � �•, LAna E. SLA.":D.•.�•i 11,00 i Site Reading Date Gross Time Net Time Depth to Water Net Drop .5/11/0 9 5,05.0m 0 M:n 1*0 nl lo} I 5:15 10 n;n 121/7. 11 1'4 U 5: 25 PM 20 r4 , II tr U I Ino a 5 5 Pon 30 0, mll rr ISN" IIN nr 5:55 P^ EO m;^ l2}/g" }/8 (I}1Bn' II (0:05 P'^ 0 Itis PERCOLATION RATE fB_ Imnurwvp PERI ROLE DIAMETER G_ C ` ` TEST RUN BETWEEN 3.5 Fr AND 4.5 FT COMMENTS FritSoa PERFORMED BY: _LA0.5 SO4E{��� I ��CERTIFY THAT THIS TE W PERFORMED IN ACCORDANCE ALL STATE AND MUNICIPAL GUIDELIN SIN EFFECT ON THIS DATE DATE: S I D Tcs� HDIe H 7 - Municipality Municipality of Anchorage Development Services Department SLAV Sar" DSI �..r OnZAe Wain w d Wastewater Program 4700'' M &agaw SIL P.O. B,=196650 Andarage. AK 995146650 Vro d ancnorae4.ak its (997) 343-79(4 Soils Log - Percolation Test Performed For: Darrel FrLMEn �1 Date PeAamld: Legal Description: ki rIC/T r} Olk 6- 0 / w,- Township, Rage. Section. SRe Plan 1- S;Itq Lo&^ 2Silt 3-A %O ` 5-a wl54AW 4ftWL\ 1 aD.N WAS GROUND WATER NO ENCOUNTERED+ s IF YES. AT WiAT DEPTH7 "' L 0.IlobWaiterao? art n_ E Date 5 21 09 Reading Date Gross Tane Net Tont Depth to Water Net Drop O$ 5:02. n 0 ^,'A rr 11,19, 1Ii4 II 5:11 efi% 10 MIA 1111 I 5 qI Lrr It :22 gr., 20 Min It 4 1 1!211 Ito r It S: 32 M 30 I I" 1 9116" �'IL11 11 $: 42 rti qo rills II t/ 4 I tlI II g11te 11 52mso 4, Ill6 15� 11 110 Il E15:02 — W Ntir lilt,* I PERCOLATION RATE (n • y (ffw-~ .n) PERC HOLE DIAMETER w COMMENTS Pa SDaka TEST RUN BETWEEN -3 FT ANDFT / Q`Q,S (` L 1 PERFORMED BY: L , )pyrktanl I4J4,iltkQ--�CERTIFY THAT THIS TEST Vj'AS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GuIDE NES IN EFFECT ON THIS DATE. DATE: 5 (SID GRAB HO -I GF TER ANCHORAGE AREA BOROI H D`.ARTMENT OF ENVIRONMENTAL QUALI,. _ 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279.8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL. SYSTEM x. MAILING J ii NAME_ C `%Ja /._t" i< /.�i ! -- ADDRESS r S ! !sj/_i ' ..4f. —PHONE �J LZ DESCRIPTION - SEPTIC TANK _ /- __ -' NUMBER OF DISTANCE FROM WELL `-� G' ilJ//r " MATERIAL OMPARTMENTS ! / i �l r/G'"i %i`'/ L._., _.� -•i ,«- LIQUID LIQUID CAPACITY //_-�,:2Z�/ GALLONS. INSIDE LENGTH___ -' _INSIDE WIDTH DEPTH - SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS..---/-- OUTSIDE DIAMETER __OR WIDTH_=-' LENGTHDEPTH ')r_, / 7,f-�- /!%`S:'f' DISTANCE FROM WELL1l�l, BUILDING FOUNDATIONS-�� LINING MATERIALS �� "_ —`�— NEAREST LOT LINE—�J�J��/��J`J/I�._—_. TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) "�` _SQ. FT. TILE DRAIN FIELD: `f~ --TOTAL LENGTH'�- DISTANCE FROM WE!K FOUNDATION _, NEAREST LOT LINE _1�, OF LINES , NUMBER OF INES __. DISTANCE BETWEEN LINES TRENCII WIDTH =� IN. TOTAL EFFECTIVE ABSO PTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE_ DEPTH OF FILTER MATERIAL BENEATH TILE _—IN. ABOVE TILE WELL: , JL DISTANCE FROM WATER TYPEDEPTH— BUILDING FOUNDATION_ ___-SAMPLE NEAREST NEAREST SEPTIC SEEPAGC OTHER LOT LINE SEWER LINE TANK ` SYSTEM-- CESSPOOL =, SOURCES_ DIAGRAM OF SYSTEM DISTANCES DATE L!' �J-,� - APPROVED l .� '%-, <' - `�� ✓ ---C _ _ r n �� GREAIER ANCHORAGE AREA BORVUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-6666 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT rf '1�MAILING AATILING ADDRESS y/ LICENSED DESIGNER INSTALLATION LOCATION LEGAL DESCRIPTION 'f°% �" INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD PERMIT NO. �` 7 PHONE OTHER TYPE AND SIZE OF FACILITY TO BE SERVED/J- FINANCED THROUGH TO BE INSTALLED BY �^'-� /'- C v SOIL TEST RESULTS '/ r NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE ^ 1*214 TYPE 2��- G�"�'� `O"f"elai (EeEPAGE AREA SIZE "� TYPE MINIMUM DISTANCES, REQUIREMENTS j FOUNDATION TO SEPTIC TANK �P FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD 0 y�l SEPTIC TANK, `15 SEEPAGE PIT /©O DRAIN FIELD TO RIVER, LAKE, STREAM. Via' DRAIN FIELD /Oc ` —. SEEPAGE PIT ALSO CONSIDER AREA WELLS. v / SEEPAGE PIT �C 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.AIRTIC-HT-f?EMOVABLE-CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE~� Al/ /�- APPLICANT'S SIGNATURE HEALTH AUT RITY OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE~� Al/ /�- APPLICANT'S SIGNATURE l 11 1, L AXCHOIRAG�,, ALASKA 99501 T� Ic- :S — I f:S - z- Datc- on: U 1) 1, v I C) cr ih Fcrm. Re-DO"ts a. Solis LOZ, leS.", Soil Characteristics L2 SVI- S Was Ground Water Encountered? o :'es, At What Denth S 17 Drain —i c, ic, z I e t Dc,);:n 10 ;ky- L Data Certified Date