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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)