HomeMy WebLinkAboutHILLSIDE NORTH #5 BLK 3 LT 6
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: ~¢-/~L¢O PIDNumber: O HI- -
Name: ~; ~ ~. F~ ~ ~ Wastewater System: ~ New ~ Upgrade
Address:~{ ~ ~¢~ ~ ABSORPTION FIELD
Phone: ~ No. of Bedrooms: ~Deep Trench D Shallow Trench ~ Bed ~ Mound D Other
LEGAL DESCRIPTION Sol, Rating: [¢ ~ GPD/~ Total Depth froml ~°riginalt grade:
Block: Subdiv~ion: Depth to pipe bottom from original grade: Grave~ depth beneath pipe
Township: Range: Section: Fill added abov~ original grade: Gravel length:
~ ~ -- Ft, ~ O Ft.
WELL: ~ew D Upgrade Gravel width: Number of lines: Distance b~n lines:
~ ~t. I ~.
Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:
Driller: ~ DateDriiled: Static Water Level: Installer'A~','~ ~--*~ Dateinstallod:'lll~
Yield:~ / Pump set at: Casing Height Above Ground:
> ~u ¢~ ~,. ~ ~t. TANK
sEPARATION DIsTANCEs ~Septic B Holding u s.T.E.P.
To Septic Absorption Lift Holding :ublic/Private ManUfacturer: ~ I ] ~ I Capacity in gallons:
From Tank Field station Tank SewerLines ~CH ~ ~ [~ ~
Well' ~¢ ]~, -- ~ )~ Material: 5~ .umber of C~partments:
Surface
w~t,~ ¢ I~¢ ~ bl[T STATION
Li~eL°t ~O~ ~ I Size in gallons: ] Manufacturer:
CurtainDrain ~ ~ ~ ~ Pump Make & Model ] Electrical Inspections performed by:
Remarks: ~CU MARK
~ Location and
~ Assumed Elevation:
Inspections performed by: ~ ~, Dates: ls~ I ~ g ~'~ ~,. ~
Department of Heal h and f[~a~8~vices apprbval '~'~"~ "::' '~'
Reviewed and approved b ¢~( Date:¢ ~ ~ ' ;:';',, '"'?;%~;~;c':;:¢
72~013(Rev 9/91) MOA 25
TOBBEN SPURKLAND P.E.
20,5 W 15TH. AVENUE
ANCH. AK. 99501
(907~ 279-~916
pBENCHNA£K
OSTFOUNDA~ON
IlLOT 6 BLOCK SxxtIILL$ID£ NORTH
F£AN WILSON
SEPTIC SYSTEM AS BUILT
DATE: NAY 21, 1997
SHEET: 2/3 GRID: 2045
PERMIT NO: SW940598 PIN 041-051~-95 HSNOJO62. DWG
1
1250 GAL SEPTIC TANK
IO Ool
Standard Trench:
50 Ft Tofo/ Length
10 Ft Tofo/ Depth
5 FI, Effective Rock Depth
Cleonoui:s
Moni~oF'
4~ Topso4
E 9L9
Nlra F'/ 140
86.5 --
5 £~ oF £ept/c Rock
9~
IE 91,6
86.5
ND SCALE TESTHOLE~ '['~
92.92
l~55 9ol, Septic tank
BENCH WARK
TOP POST FOUNDATION
ASSUMED ELEK 100.00 F?
TOBBEN SPURKLAND P.E,
205 Wl5lh Ave
Ak 99501
LOT 6 BLOCK 3 HILLSIDE NORTH
FRAN WILSON
SEPtiC SYSTEM AS BUILT
DATE: MAY 21, 1997
SHEET: GRID: 2045
PERMIT NO. SW940598 PIN 041-051-95 HSNOSO65. DWG
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF MINING & WATER MGMT
-- WATER WELL RECORD
[.OCATION OF WELL
BOROUGH .I..~JB~)IVJSlOoNC.2/' BLOCK SECTION OTRS BECTION TO.SHIP ~NGE MERIDIAN
LOCATION/SKETCH: WELL OWNER:
DEPTHS FRO~'cSSing_i ' top ~ground surface WELLDepth DEPTH:of hole: ~ ~ ft DATE OF COMPL~ION
Msterial Type and Color From To
~ft below ~.top 0f easing ~ ground surfa~e
~ ~ ~, ~.~ ~ ~ ,' METHOD OF DRILLING~ ~air rotary ~ cable tool
d~/ WELL INTAKE OPENING TYPE: ~ op,n end
~ / ~ Slot/Mesh Size: Length: it
/ ~j~ ' / ~ ~? ...... ~ GRAVEL PACK TYPE'.
Depth: from ft to ft
WELL D~S~NFECTED UPON COMPL~ION? ~ YES D NO
CONTRACTOR INFORmal, Ii'ION: REMARKS:
Flegi]~er~d ~u~ine~s N~me~ - ~ '~ ' '
~,~~//~ . ,. ~-,..- .~As~ ~ w.,~. co.~ o. ~o~
_c ~ ~'~- ~:. ~5~.. ~'" ~,) DNRIDIVISION OF MINING & WATER MGMT
~gnature of Authorize~'~eS~f~ntati~e Date PO BOX 107005
ANCHORAGE AK 99510.7006
T.SPURKLAND P.E.
203 W. 15th. AVE. SUITE 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
Municipality of Anchorage
Department of Health and Social Services
820 1 Street
Anchorage, Alaska 99501
Subject:
As Built
SW940398
PID NO 041-031-93
Gentlemen;
May 21, 1997
RECEIVED
MAY 1997
Municipality of Anchorage
Dept. Health & Human Sery_k~es
We are submitting a set of As Builts for this property. The septic system was installed in
November of 1994. The residence has not been completed, and is at present not occupied. There
are several deficiencies with the septic system. A foundation cleanout was not installed, one of the
tank access pipes is covered with soil, as are both cleanouts between the tank and the trench.
This submittal is for your records. Any questions you may have should be directed to the owner.
Yours
Cc Frances Wilson
PAGE 1 OF 1
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE. A',AS
ON-SITE WELL ~D WASTEWATER DISPOSAL SYSTEM PE~IT
PERMIT NUMBER:SW940398
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:WILSON FRANCES R
OWNER ADDRESS:211 WEST HARVARD AVE.
ANCHORAGE, AK 99501
DATE ISSUED:10/13/94
EXPIRATION DATE:10/13/95
PARCEL ID:04103193
LEGAL DESCRIPTION: HILLSIDE NORTH #5 BLK
6
3 LT
LOT SIZE: 87991 (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)
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:
DATE:
203 W 15th. Avenue, Suite 203
Anchorage, Alaska 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 6 BLOCK 3 HILLSIDE NORTH
FRAN WILSON
No Ground Water or Impervious Layer to 16 ft.
Use Standard Trench
Soil Rating. From test September 21, 1994
2 min/in = 1.2 gal / sq. ft.
No. of Bedrooms 4
Required Area per Bedroom: 150/1.2 = 125 sq.ft..
Total area required: 4 x 125 = 500 sq. ft.
Testhole Total Depth 16
Less 6 feet 10
Less 3 feet Cover 7
Rock Depth 5
Length of Tmnch 500 / 10 = 50 [FT.]
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH 50 FT.
TOTAL WIDTH 2 FT.
TOTAL DEPTH 10 FT.
ROCK DEPTH 5 FT.
COVER 5 FT.
SEPTIC TANK 1250 GAL.
The installation of this septic system will not prevent wells from be installed on the adjacent lots.
Them are no developed or natural surface / sub surface drainage courses on this or 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.
Septic System Design
Lot 6 Block 3 Hillside North S/D
TOBBEN SPURKLAND P.E.
205 W 15TH. AVENUE
ANCH. AK. ggs01
(907~ 279-~916
] LOT 6 BLOCK 3 HILLSIDE NORTH
FRAN WILSON
J J SEPTIC SYSTEM DESIGN
DATE: SEPT. 20, 1994
SHEET: 1/$ GRID: 2045
TOBBEN SPURKLAND P.E.
205 W 15TH. AVENUE
ANCH. AK. 99501
J J LOT 6 BLOCK 3~tIILL$IDE NORTH $/D
F£AN WILSON
J J SEPTIC SYSTEM DESIGN
DATE: SEPT. 20, 1£94
SHEET: 2/,] ORID: 2043
FOUNDA?/ON CLEANOUT
~0 ?T
1
1250 GAL SEPTIC TANK
DOUBLE OLEANOUTS
t
XI d"/f/'
~ J
5 FT. M/N/MUM
Standard Trench:
50 Ft Total Length
I0 Ft Totol Depth
5 Ft. Effective Rock Depth
C(eonouts
Mort/tom
4~
5 ~ of cover
tV/to £/ 140
5 £i~ o£ Sep?/c P~oc/~
NL7 SCALE
lBSO 901. septic tank
TOBBEN SPURKLAND P.E,
205 WlSth Ave
Ak 99501
LOT 6 BLOCK 3 HILLSIDE NORTH
FRAN WILSON
SEPTIC SYSTEM DESIGN
DATE: SEPT. 22, 1994
SHEET: GRID: 2045
Municipality o! Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
DATE PERFORME
LEGAL DESCRIPTION: L~J(-~,; ~K *'~
5
6
7
8
9-
10-
11
12
13
14
15
16
17
18
19
2O
COMMENTS
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
L
IF YES, AT WHAT O
DEPTH? P
E
Depth to Water Al~r ,
Monitoring? 4~'¢ ~Z' Dale:
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
~ ~ 5~Z~ I'1~
- PERCOLATION RATE / ~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN '7 FT AND '~Y2- FT
72-008 (Rev. 4/85)