HomeMy WebLinkAboutPARADISE VALLEY BLK 9 LT 11
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
DISTANCES ~
,.lame
ao~N/ C.p.~ R lc.i,~ .,~ SEPTIC ABSORPTION WELL
Address TANK FIELD
Phone(s) Permit No. '
,// ¢ .
Township. Range. Section AS-BUILT DIAGRAM (Show Iocanon of well. septic system, prope~y ~ines. foundetion,
% il ,,,~w,,. water bodies, etc.)
~ TANKS
~ SEPTIC ~ HOLDING
Manufacturer Capacity in gallons
Material
TYPE OF SYSTEM ~
~ TRENCH BED ~ W. DRAIN ~ OTHER ~/
Depth to pipe bottom Irom Total depth from originat grade
Fi0 added above original grade Gravel depth beneath pipe ~
Gravel width
Gravel length / ' / i~ OD ~ ~ ~(I ~
Total absorption area )isJance between lines / ~
Instaner /~ ~Z~ ) Date Installed
~ -DI~ WELLS ~ 'dj
Total Depth J Cased to
Ciass,ncation,A.B.C) ~~~ FT ~ ~ -- -- ~- ---
Inslaller Date Jnstalled~ ~J J ~
I ~l ~ ·
REMARKS: I I ....
J~
' ' Scale: '' -- ' '
I ~~'~ ~ ' ~'~J ~ , ce~ly that this i~pe~ion was pedormed according Lo all
Municipal and Slate Ouidelin~ in ellecl 0n this oa : ] z "
~te:~
Itb De a~ment Approval
Hea P :
72-013 (3/85)
& associates,inc.
Consulting Engineers
P.O. Box 230608 · Anchorage, Alaska 99523-0608 ,, (907) 279-8666 · FAX: (907) 279-2882
August 28, 1990
Mr. John Smith, P.E.
Municipality of Anchorage
Department of Health & Human Services
825 L Street, Fifth Floor
Anchorage, Alaska 99501
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PRO"FECTION
AU6 2 9
RECEIVED
SUBJECT: AS-BUILT AND INSPECTION
BLOCK 9, PARADISE VALLEY
Dear John:
OF CONSTRUCTION FOR LOT 11,
The permit for the above referenced property required DHHS to
be present for inspections as a condition of the permit, yet
both times we called there was no representative of D~HS on
site while we were there. The system is now complete .and we
believe the installation is in accordance with Municipal
.regulations~
We are enclosing the as-built and a sketch of the bed cross
section for your review. With these items in hand, we believe
that the system should be approved. It hardly seems fair to
require DHHS to be on site during inspections as a condition of
the permit and then have no one from the department come to the
site after the call for inspection was made.
Should you have any further
information, please let us know.
V?:~ )tru!y ~urs,
,.'?/%,..,¢
/:ruc,e' J/ Corwin, P.E.
Pre¢.&d~ nt
/ /
questions or need any further
enclosures
CORWlN & ASSOCIATES, INC.
1000 E. Dimond Blvd. Suite 205
ANCHORAGE, ALASKA 99515
(907) 522-1311 FAX (907) 349-2236
SHEET NO.
CALCULATED BY
CHECKED BY
DATE
SCALE
~ ~.~
-.' Municipality <31' A~chocage j
DEPARTMENT OF HEALTH & HUMAN SERVI(
"L" S(~eet, Anchorage, Alaska 99502-O65I
825
SOILS LOG; -- PERCOLATION T£S
., ,
Township. Range. Secdon:
1
2
3
4
S
6-
7-
8
9
'~0
I1
12
13
14
15
16
17
I8
19
20
SLOPE SITE PLAN
-!
' ~ ~.f~ S~CTION / TOWNSHIP/RANGE
~ PEOPERTY CORNEE~, WELL3, AND ~EPTIC
DRAWN aY SYSTEM3 INDICATED IS NOT EXACT.
DIMENSION3 INDICATED HAVE BEEN
PE~FORMEO FOR:~
LEGAL oESCRIPT[ON:
;LOPE
SITE PLAN
1
2
3
4
5-
6
7
8
9
lo
11
12-
13
14
15
16-
17
18
19-
20
WAS GROUND WATER
ENCOUNTEREO?
IF YES, AT WHAT
DEPTH?
' ~eadin<J Oate '
0.5
. o,~. ~1/~1~
~, ,~ ~/~ /~
Time Time
Depth to
Water
~), 2e2
o. ~
Net
PERCOLATION RATE Jl # J . (mi~ut~s/inchI PERC HOLE DIAMETER
COMMENTS ~Vt~.' ~' ~ . j /// .
72~(R~ ~l ~ ' '
SEREET
?\i"~CtlORAGE, ALASI<A 99!}01
:i,0i)l~ 264 411 t
January 4, 1982
John K. Carrick
2631 W. 34th Ave.
Anchorage, AK 99503
Permit ~ 810944
Subject: Lll B9 Paradise Valley S/D
A permit issued by this department for a well and/or sewer
system has expired as of December 31, 1981.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log should be sent to
this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for our
files.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Sewer and Water Program
Enclosure: Copy of Permit
F'ERP'. I T F,tC.
RPF'L I C:RNT
L ': '2:RT ! 7 N
LEGF!L
ROHFtNiFi H, E.
L.:h'l E:.9 F'FIF.':FI[:,ISE VR_LFZ¥ S,.'"D
'PSF'E OF S:C,'f~. RE:SORF'TZZN E;'SE:TEH IS: E:'Rf-~!NFZEL. E:,
L. OT SIZE ;2]:l~.~E~Et 'SL.:!UFIRE FEET
i"IR::-:;Lb'Lf,1 NUhlE:ED: OF EFE:,DF~-F'I'~ ...... = :~: SOIL RRTING (E;6~
THE RECIUIRED SIZE OF 'THE SOIL. RBSORF'TIt~N S'T'EEj~¢~'! I5:
THE LENGTH DIMENSION IS THE LENGTH' (IN FEET) OF ]'FIE TRENCF~ OR DRRINFIELD.
THE DEPTH OF FI TRENCH OR PIT IS"'rHE D]:S'TRNCE E:ETHEEN THE SURFFIC:E OF' ]"HE
GROUN. D RNE:, THE BOTTOM OP THE EF,;CR',/RTZON ,:.'IN F'EE'f'::,.
'T'FIE GRFIVEL DEPTH iS THE i"!tN:[f'1L.!I"i DEF'TH OF GRF!',/EL BETI.--.tEEN THE OLJ'TFF!LL PIPE
FIN[::, TFIE BOTTOH OF THE ENCR',/RTION .'..'IN FEET:.',.
F'EZF:!'"I t T RF'F'L I C:FtNT HRS.; THE ~.'ES F' - NS Z B I L Z T'T' TO ! NFORH TH I S DEF'FtRTMENT E:'UR I NG THE
-TN':';TF!LLFITZ3N INSF'EE:TZONS t3F FIf',!'¢ HELL:'S Rr)¥R-.'FNT ........ 'FO "'I P., :,'¢'- F'F.'.OF'EF.:T'¢ FIND T.~,.-:.
NJMBE.'F.' OF I~'E':..IDENEES THFIT THE I.,.!Ei..L [,ii .... SEF.:',/E.
E RC:KF ~ LL.T.k. IG OF RN'.'r' S¥STEH H I THC~LtT F l NFIL. I N.'.SF'E'C T 1Z ON RND F!F'F'FtC¢,,,'RL B'9 "FH I 'F
DEF'FtRTMENT HILL. BE SLIE;.J'ECT TO PR':CE7 JTILqN
f"fINIMUH E:'IrSTFINC:E E:E'TPlEEH R HELL. F~N[:, FtN¥ - ' -
· h-::?T-TF'..,. SEHRGE [:,I SPC(StqL ..':.'-'T'"-"r'...:, E I T. .... ':.~
'1RR FEET F-F.' FI F'RI'v'RTE 14E~ L 0~: :t ..... 'TEl 2C~::~t:FEE:.,T "FROH F~ F'L!E~L. IC I.,JELL DEi::'ENDIFI"~
UF'ON "FHE T'SF'E-: OF F'LE:LIC HEt.L f I, ~;'".
i"liNIMUH [:'ISTFtNCE FF-:OH FI '' ','- '
P.k..I ,MTE HELL. ~]% FI F'RIVFITE SEHEP:: LINE IS '25 FEET RND
TO FI .... -:Fmll',ll NIT'¢ :u'HFc,_,,._,, LINE IS 75 F'~ET.
!4ELL LOGS RRE REC!LIIRED FIND HU'ST DE RETURNED TO THE E:'EF'RRTHENT 1.4ITHIN ZE E)FI"r'S
OF THE HE'LL C3MF'LETION
............. '~'C "Z
OTHER F.:EC. ILIZF~:EHENTS- HR"? RF'F'L¥. =,FEL. IF_~L..Id"f~ ~N-, FINE:' CONSTP::UC:TION D'rFIGFTFIH'-";. FtF~:E:
R'-.,,'FI Z LFIE;LE TO I NSI..IRE PF.:OF'ER I i'4:'STRLL. F!T.~ ON.
I CERT f F"¢ 'TI.-IFIT
±: I FIM FFIHIL. IRR HITH THE REC!UIREHENTS FOR ON-.SITE SEP.!ERS FIND HELLS FIS SET
FORTH B'9 THE: HUI'-,!ICIPRL.I_'T'¢ OF' FINCHORFIGE.
2: I I.,.!:[LL. INSTFIL. L.. THE S'?"E;TE'M !N FICC:OR[::,FINCE P.!!TH THE CODES.
Z<: I UNDERSTFIND THRT 'THE: ON-SITE E;EHEF? S'¢STEH ['iR'.:' F..'EC!UIRE ENL.RRGEHENT ZF THE
F;ESIE:,ENCE..'. IS: REi"!O[::,ELED 1'O I.NC:L.U[::,E HOF.:E "['HRN F:!: E:Er:,F:nf'm'lS. ,1-' ~ I .. ¢')_ -~,~j
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
~COLATION
TEST
PERFORMED FOR:
LEGAL DESDR,PT,ON: LO'T-
3
4
5
8
7
8
9
10
11
12
13
14
15-
16-
17
18
'19
2O
COMMENTS
SLOPE
SITE PLAN
1
WAS GROUND WATER
7' P 0
! E
IF YES, AT WHAT
DEPTH? ~
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE ~ ~ (minutes/inch)
TESTRUN RETWEEN , d-~FTAND ~OFT
72-008 (6/79)
LOCATION OF WELL
STATE OF ALAS~.A
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF WATER
WAYER WELL RECORD
LOCATION/SKETCH:
DE~THS MEASURED FROM:[-Icasing top Flground surface
SECTION QTRS ECl'ION
BOREHOLE DATA:
Material Type and Color
Depth
From To
Dept. Health ~
'WELL DEPTH:
Depth df hole:.~ ~'
D~pth of casing:
TOWNSHIP I RANGE
ON OE
OS OW
MERIDIAN
DATE OF COMPLETION
ft
DEPTH TO STATIC WATER LEVEL:
/;/'~ ft below ~[] top of casing
Date: -~ / ~c~'-' / ~
[] ground surface
METHOD OF DRILLING: [~air rotary 0 cable tool
[] '~ther
USEOF WELL: 'l~}~domestic [] irrigation [] monitor
[] public supply [] other
CASING STICK-LJP:. ~
Casi~g type: .,~.~'-~
ft. Diam: ' L~ in. tO/~/~;~t
WELL INTAKE OPENING TYPE: [] open end [] screened
[] perforated l~open hole '~,~,
Depths of openings: to ",ft
SCREEN TYPE: ~ Diam: in.
Slot/Mesh Size: ~ Length: ft
GRAVEL PACK TY.P~.: ~
Volume used: Depth to top:
GROUT TYPE: "-..._ Volume:
Depth: from ft to ft
DEVELOPMENT METHOD:
Duration: //-~--"7 '
t~UMPING LEVEL AND YIELD:
c~3'~"~ ft ~fter .... _~, hrs pumpin0_ ~ gpm
~UMP INTAKE DEPTH: '. ft Horsepower:
WELL DISINFECTED UPON COMPLETION? O'~YES [] NO
CONTRACTOR INFO,~IATION:
REMARKS:
PLEASE MAIL WHITE COPY OF LOG TO:
DNR/DIVISION OF WATER
PO BOX 772116
EAGLE RIVER AK 99577-2116
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:SW930078
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:CARRICK JOHN K
OWNER ADDRESS:6621 SHERWOOD CIRCLE
ANCHORAGE ALASKA 99504
DATE ISSUED: 4/29/93
EXPIRATION DATE: 4/29/94
PARCEL ID:02041405
LEGAL DESCRIPTION: PARADISE VALLEY BLK 9 LT 11
LOT SIZE: 23092 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
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
ISSUED BY:
DATE:
DATE:
/~ ~~R -EM I PLAN
SYST LOCATION
. . , : ~-~ ~ :
Torn Fink,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
April 23, 1992
John K. Carrick
6621 Sherwood Circle
Anchorage, Alaska 99504
Subject: Lot 11 Block 9 Paradise Valley Subdivision
Permit #SW910065, PID #020-414-05
The subject permit, issued April 22, 1991 by this office for a
single family well and/or on-site wastewater system, has
expired as of A~ril 22, 1992.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $200.00 for an
on-site wastewater permit; $75.00 for a well permit and
$275.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
anager
On-site Services
enc: Copy of Permit
PAGE 1 OF 1
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:SW910065
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:CARRICK JOHN K
OWNER ADDRESS:6621 SHERWOOD CIRCLE
ANCHORAGE, ALASKA 99504
DATE ISSUED: 4/22/91
EXPIRATION DATE: 4/22/92
PARCEL ID:02041405
LEGAL DESCRIPTION: PARADISE VALLEY BLK 9 LT 11
LOT SIZE: 23092 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIV .D BY: DATE:
ISSUED BY: ~t~-~-~-~ ~-~ DATE:
/