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HomeMy WebLinkAboutSIEFKER #3 LT 8B MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-S,TE SEWAGE O,S.OSAL SYSTEM ANO/O. WELL ~ ~ ~ % ~ Tn SEPTIC ABSORPTION -- ~ddressFRO~ ~ WELL ~~~ FOUNDATION Township, Range, Seclion AS-BUILT gJA6RA~ (Show location of well, septic system, prope~y lines, foundation, driveway, water bodies, otc,) TANKS hL ~SEPTIC ~ HOLDING J ' Manulaclurer Capacily in gallons ~ ~ ~ ~ TYPE OF SYSTEM c~ ~ ~ -- ~ ~,~ . ~RENCH ~ BED ~ W, DRAIN ~ OTHER -J~[-J Oep/h ,o pipe bo/tom from T°ta' dep/h/r°m °dgina' grade 7 Fin added above original grade Grave, depth beneath p,pe ¢{~ / Gravel length Gravel width Total absorption area )istance between lines 1~8g FT t~ FT Number of lines Soil ratln~ Pipe material Date InstaOed ~PRIVATE ~ OTHER (Identify) Classilication (A,B,C) Total Depth I~L_ installer Date Insta0ed: REMARKS: I Scale: ~ ,~ ~ ENGINEER'S SEAL I 17034 Eagle River L~_~oad No. 204 cedily ~,t Ihis inspsction was pedormed according to all Municipal an, State Cdelines in effect on this date= ¢ Health Depadment Approval: 72-013 (3/85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES PO BOX 196650 ANCHORAGE, ALASKA 99519 343-4744 HAND WRITTEN PERMIT Permit Number: SW900/~! Date Issued: .%~- Design Engineer: Owner Name: Owner Address: Permit Type: Expiration Date: Day Phone: .3~.~- ~ //! Parcel ID: 0/~J ,~/-~ Lot Legal: Subdivision: ~/~K~ ~3 Lot: Section: ~/ Townsh~p~ / n~ Range: Lot Size:~b~/~ ~q,~__~ or acres) Max Bedrooms: This Permit: X Total Capacity: SEPTIC TANK: Minimum septic tank capacity: /Z~$-O gallons. Each septic tank must have at least 2 compartments, insulation is required if depth to top of septic tank(s) is less than 4.0' Lift stations require an appropriate electrical inspection. WELL LOG: A copy of the well log must be sent to DHHS within 30 days of the well's completion, ? ~ ~ . - CERTIFY THAT: 1. I will install the on-site sewer system and/or well in accordance with all codes and regulations of the Municipality of Anchorage (MOA) and State of Alaska , and in compliance with the design criteria of this permit. 2. I will adhere to all MOA and State of Alaska requirements for separation distances from any existing well, septic system, or surface water on this or any adjacent or nearby lot. 3. I understand that this permit is va~id for a single family dwelling with a maximum of ~ bedrooms. I also understand that any enlargement will require an additional permit. · 4. I understand this permit is issued for the calendar year and expires on December 31 of the year issued. 5. I will notify DHHS prior to all inspections by the engineer or well driller (ow~Y/d~ignee) ISSUED BY: DATE: . *-~'~/z~/~D DATE db/ll5 MUNICIPALITy OF ANCHOP, AG DEPT, OF HEALTH & R ED Municipality oi Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PEF LEGAL DESCR~PT,ON: \,.~ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 "~ ~_~..~/~..--"~Township, Range, Sectior~'-~ LA~N~ SLOPE SITE ~ ~ ~IPALITY OF ANCHORAC~ Dr:PT, OF HEALTH & PROTECTION *JUN 9, 6 t990 WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT 0 DEPTH? p E Oaplh to Water Attar Moniloring? ~ Date: Gross Net Depth to Net Reading Date Time Time Water Drop ~ ~,.~ ~ ~ ~i~ t/~,, --RECEIVED PERCOLATION RATE ~'~-~ (minuteslinch, PERC HOLE DIAMETER '~" TEST RUN BETWEEN -.-,.-~/F~'~ND ~ FT COMMENTS r// / / PEaFOaME~ole ~r, ~!~k~ ~7~ ' i/ .~ ~ CEaTI:Y THAT T~*S TeST.WAS PErFOrMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELIN~T ON THIS DATE. DATE: ~/~ ~/ ~ / / 72-008 (Rev. 4/85) SCALE Tom Fink, Mayor Municipality Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 January 8, 1990 Tom Smulick 3701 Huffman Road Anchorage, Alaska 99516 Subject: Lot 8B Siefker Subdivision #3 Permit #890239, PID #015-281-67 The subject permit, issued by this office for a single family well and/or on-site wastewater system has expired as of December 31, 1989. Permits are issued on a calendar year basis by authority of the Municipal Code of Regulations. A new permit must be obtained from this office for an well and/or on-site wastewater system Dot installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as-built inspection report (three-part form) must be sent to this off'ice for review, approval and documentation. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely, John Smith, P.E. Program Manager On-site Services JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" SCALE Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: 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: SITE PLAN SLOPE WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Depth te Water Alter MonitorinD? r ' --~/ Date: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE "~--~( (m,nutes/mch) PERC HOLE DIAMETER TEST RUN BETWEEN ~.~gT AND ~'~ FT COMMENTS ,.'/ / PERFORMED BY: ~~-~ ~ / / ~ , ACCORDANCE WI~%"~:~;TATE AND MUNICIPAL GUIDELi~~T ON THIS DATE. DATE: /~ ~' $ 72-008 (Rev. 4~85) ~ ,/ / / ' MUNICIPALITY OF ANCHORAGE DL ,RTMENT OF HEALTH AND HUMAN SEE ;ES Environmental Heallh Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 t[~/..~' ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name Address ~s} ,-- IPerm~t.c~; (~)N°',~'~'<;) L~) NO OI Bedrooms~ LEGAL DESCRIPTION Township, Range, SOOhOR TANKS SEPTIC HOLDING TYPE OF SYSTEM /~ TRENCH ~ BED [] W. DRAIN [] OTHER ~epth to pipe bottom from Total depth from original grade DISTANCES  SEPTIC ABSOOPTION TANK FIELO WELL LOT LINE FOUNDATION AS-BUILT DIAGRAM tShow Iocabon of Well, septic system, properly lines, foundation, driveway, water' bdSms, elc.) Fill added above original grade FT FT FT FT WELLS .,~' PRIVATE ~/~-~'~'/5)/,.0~, E~] OTHER (Identifv) Classff~cabon(A,G,C) ~o[al DepH~ F'[ C~sedlo FT REMARKS: Scale; C'~'~v'/ ~'?~" ~ certily that Ihis inspeclian was ped0rmed acc0rdin, lo ~,l . / Municil)alandSlalefluJdslinesinellectonlhisdate:--. ~~A J~ ~, (3/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 %" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13- 14- 15- 16- 17 18 19- 20- WASGROUND WATER ENCOUNTERED? SLOPE SITE PLAN S L IF YES, AT WHAT O DEPTH? p E Depth Io W~ter Alter Monitoring? Date: · ';?[ /lv,/?,.u Reading Date Gross Net Depth to Net Time Time Water Drop ~C.~¢T /~ t~,C,~FL'~ t/~.~. ~'c ?e .~.;5' ~ 'L;(.)-~ oln'){; ,o1,?)% o c'; o PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER ~j~ ti TEST RUN BETWEEN ~'] ET AND ~ FT AN~ ACCORDANCE 72-008 (Rev. 4/85) QGRD- ANCHORAGE AREA BOF" 'IGH Department of Environmental Quality 3330 C Street . . Anchorage, Alaska 99503 , ~ ~r' INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM#,,,~_ :3~z,V~~os¢ NAME LOCATION SEPTIC TANK: MAILING ADDRESS /g~b~ :~-~ ~, //~V/O/~/ LEGAL DESCRIPTION DISTANCE FROM WELL'¢-~¢-~ ~¢'~ / MANUFACTURER INSIDE LENGTH INSIDE WIDTH ~__-OA/ MATERIAL LIQUID DEPTH __ NUMBER OF ~OA/~L ~ ~r___~- COMPARTMENTS .LIQUID CAPACITY //g~-~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER -/~¢~OR. WIDTH /~, /' LENGTH /¢, / DEPTH LINING MATERIAL ~A)~ -( / ! CRIB SIZE: DIAMETER___DEPTH ~ /DISTANCE FROM: BUILDING FOUNDATION/~Z~/'~' NEAREST LOT LINE ._________________~1~ TOTAL EFFECTIVE ADDITIONAL ABSORPTION WELL ABSORPTION AREA (WALL AREA) ~ ~¢/ / SQ. FT. 4'7-- P / ,OEp ;r/-/ ,,' 2 10~ fl~,,¢~'~ WELL: TYPE -.~0 //,,/ BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION ~ NEAREST ~0/~" NEAREST LOT LINE SEWER LINE OTHER SOURCES DISAPPROVED ? DEPTH DISTANCE FROM: .~--.-g.)/¢'~ SEPTIC SEEPAGE ,/~.~ / ~ TANK ~'~'/ SYSTEM REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAl · O_~.,:~- LOT SLOPE: REMARKS: ~'~ Form No, EQ-031 DIAGRAM OF SYSTEM G.A.A.B. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT MAILING ADDRESS PHONE . INSTALLATION OF: SEPTIC TANK //"' SEEPAGE PIT /'~ , DRAIN FielD , OTHER FINANCED THROUGH TO BE INSTALLED BY ~1~'~ SOIL TEST RESULTS ._ 2 ~ ~ / '~- 1~//~-~- ~ ('~%' ~ NOTE~ THIS PERMIT 1~ NOT VALID WlTItOUT ~OIL FINAL INSPECTION: 24 HOUR NOTICE FZEQUI[~ED, BACKFILLING OF ANY SYSTEM WITHOUT FINAl. INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC 'rANK SIZE /~--O~_~L~_ TYPE ~ ~ ~'r~sEEPAGE AREA SiZE /2~/ 2~ & / MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE Pit SEPTIC TANK TO SEEPAGE Pit WALL __ SEPTIC TANK , SEEPAGE PIT ~VELLTO SEPTIC TANK DRAIN FIELD / .~LO I , DRAIN FIELD. ,J 0 / ., D~AIN FIELD /O / / , SEEPAGE PIT , ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD ~'~EPTIC TANK, ~ / , SEEPAGE PIT · SEEPAGE PIT / 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 FI'FTED WITH AIRTIGHT REMOVABLE CAPS, GRAVEL BACKFILL CONFORM TO ~OROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER I GERT[FY TNAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA ~OROUGH ORDINANCE NO. 28-6~3 AND THAT THE ABOVE FORM NO, EQ-OI IE )~~tds ¢n.p;cp. DEEP TRENCH DESIGN REQUIRED AREA: TRENCH DIMENSIONS REQUIRED: WIDE SCREENED ROCK DEPTH --'"/, ~' LENGTH PROPOSED TRENCH DIMENSIONS: WIDE SCREENED ROCK DEPTH LENGTH EFFECTIVE AREA OF PROPOSED TRENCH; ~ ?0~- TRENCH SECTION: TOTAL DEPTH 4' DRAINFIELD PIPE · NON-TOXIC BARRIER STANDPIPE DETAIL: ~~'~~/ STANDPIPES TOTAL ~:~ TO BE CONNECTED fl AS' SHOWN ON LEFT I NOT TO BE CONNECTED AS SHOWN IN TRENCH SECTION - · SCREENED ROCK PER M.OoA" HEALTH DEPT. STANDARDS ORD. 15.05 October 23, 1986 Mr. Steve Morris Municipality of Anchorage Deparhnent of Health and Environmental Protection 825 "L" Street Anchorage, AK 99501 Re: Lot 8B, Siefker Subdivision Drainfield Upgrade Permit Dear Steve: This letter is to provide additional information about the perc test and the soil-type at the above-cited property. The perc test was conducted at the 7-8 foot depth. The soil at this depth is classified "SW." As seen on the soils log, the "SW" soil was encountered at the 5.5 foot depth and continued to the bottom of tim excavation at 14.5 feet. The perc test results were slightly less than five minutes per inch for the last test performed. Therefore, the drainfield upgrade was based on 5 mine/inch, which equates to 125 SF/BR. The MOA ordinances require that for soils percing faster than five minutes per inch, that sand be placed at t~ bottom of the trench to ensure proper soil filtering. For this particular drainfield upgrade, we believe that a sand bedding would not provide any additional filtering benefit that the natural soil provides. As noted on the soil log, the soil was a well-graded sand below the 5.5 foot depth. The soil remained homogeneous to 'the bottom of the excavation (14.5 feet). Visually, this soil is a mediu~n-grain sand with slight traces of gravel, definitely less than 5%. In conclusion, we are requesting that this drainfield upgrade be exempt from the sand-bedding requirement for the following reasons: The perc test results were slightly less than the 5 minutes per inch drop maximum. The trench will be installed in a well-graded sand layer. ENGINEERING, PLANNING, SURVEYING 2220 E. 88th Ave./Anchorage, Alaska 99507/7'e/el}hone 907.349-6451/344-1352 "Providing a quality personalized service to those building Alaska's future" $1~ND~R: ~e cure fo . PLEASE FURNish, SER~I~E(5) IN~I~ATED BY CHECKE~ ~ Show address RECEIPT Rece~veg the numbered article described below REGISTERED HO SiGN " ,~ ' ~S ATURE O~flAME ~s/Bouwen ~ __ V J J I ~ ATURE OF AD~ESSE~GENT, IF ANY Hr. Edgecu~be Itospita' Service Unit AdcHn~s~; ...... P,O [~ox "~'~ Fit. Edoecu Oe, Alaska 99835 Subject: Tract~ Siefker Subdivision ~3 Dear tlr. (ayous: Upon tnvestigatin!~ complaints concerning the sewage disposal system located on the subject lot, this office found sewage running on tile dround surface behind the house. Distances nleasured indicated that the Wel1 is 24 feet frohl the septic tank a~d 67 feet from ~here Sewage is runnin~ on the ~round. ~lhile water analysis resulCfi came back satisfactory, the proximit~ of the well to the septic system creates the possi bility o contahHnation ~If the we'll at any because of tile high soil results reported earlier on this salem property, the only acceptable sysCe~l which can be installed would be a holding tank. This 'Lank and its connecting line n}ust r~n not less than 50 fee~ frei, the exis~lng well. Excep- tions rrol~l these require~,~ents can only be qrant~d by the State Department of Conservation in writing. You are requested to upgrade your system ~o r:]ee~ ~;orough and State regulations by July l, 1973. ~t should be understood that failure to cmr~ply with 'this request will result in legal action by this department and I~ay result in the vacation of the housing unit existing on this property. If you have any questions regardtno 'this hn~tter~ feel free to contact me at 274-4561. Thank you. Sincerely, 'illtam C. Douwens hvironmental Control co RECEIPT FOR CERTIFIED MAIL,--30f (plus postage) SENT TO STreET AN~ r~o~ P.O. STATE AND ZIP O~TI-ONAI. ~EflVIOE$ EO~ ADm~IONAL R~'rUI~ ~ 1; Sh~ t~whom mid ~.te delivered ..,.~. .r~r,.v ~ With delivery to addressee c,mly ........ 65¢ ....... ~ 2. Shows to whonl, data and where delivered 35~ ~RVICES ~ With deliveryto addressee only ............ DE[iVE~ T~-AODRE~E ONL~ '-- ~EOIAL DELIVERY (oxtro ~oo Form Ap,'. ~p?~ 3800 NO INSURANO[ OOVERA8E POSTMARK OR DATE (See other side) MOT FOIl INTEflNATIOI,IAL UAIL ¢~ GPO: 19~/2 0 - 460-743 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL GENERAL INFORMATION OF ON-SiTE SEWER AND WATER FACILITY 264-4720 Application Date Legal Description (include lot, block, subdivision, section, township, range) Location (addres~s or directions) (b) Applicant Name ~¢J~/,4-~,/~ ~/~-.~.~--~ Telephone: Home ~F~'%/¢/¢,¢,'~ Business Applicant Address . ~. ~ ~/~ ~~~ ~ (c) Applicant is (check one): Lending Institution ~; Owner/builder; Buyer ~; Other~ (explain); (d) Lending Institution /_,~O_,~,uf/?¢~, Address ,~ ~'~--¢ ~) (e) Real Estate Company and Agent Address (f) Telephone Telephone Mail the HAA to the following address: TYPE OF RESIDENCE Si ngle-Family J;~Multi-Family Number of Bedrooms Other WATER SUPPLY Individual Well E[~Community [] Public [] Note: Jf corem unity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL / Onsite B;i/ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDINL~ INSPECTIONS, TESTS, FILE SEARCH, DA'i A AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number 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 investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address .. Date Engineer's Seal · '.~.'.... ,..~.%.. '-, ?. ~ ~'F,',~, DHEP APPROVAL Approved for '~'~) bedroomsby ~ /4:2. "~~ Date Approved Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) WELL DATA MU~[.CIPALITY OF ANCHORAGE (MOA) .,, ~c'~ o~ .-e!c HE~.~H AUTHORITY APPROVAL (HAA) O~.?'f. O -~OIECTtO~HECKLIST - FEBRUARY 1984 ENyt~.ONi¢EN'f AL ~'~ 264-4720 ~_~ ~ '~* Legal Description: Well Classification "~ ;z~ Well Log Present (Y/N) /-, ,) Total Depth /"7(''~ Cased to //~-h,~... Static Water Level i:.~D ~-r' Casing Height Above Ground ~ Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot Date Completed (' ,)/,J k'_,..3 o(~/,~ Yield Depth of Grouting tJ/ Pump Set At Sanitary Seal on Casing (Y/N) If A, B, C, D.E.C. Approved (Y/N) .r-3 ~ Depression Around Wellhead (Y/N) /~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ,',d ./.~ To Nearest Public Sewer ,,,~.,"¢ To Nearest Sewer Service Line on Lot Cleanout/Manhole Water Sample Collected by ~'% ~ ~Qcg' 7~Date Water Sample Test Results ~--~/~ ~-- Comments ~%~' ~T/-¢C~h~ ; On Adjoining Lots ; On Adjoining Lots B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) ~_ Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ~¢*~')' To Property Line '~-%-~5'~ '~ 2-. To Water Main/Service Line "~t')'/ /~?' Size Air-tight Caps (Y/N) )~-,-~'0 ~- No. of Compartments Foundation Cleanout (Y/N) Date Last Pumped / Temporary Holding Tank Permit (Y/N) To Building Foundation "'~'~ ~ To Disposal Field ,g'~.;:- ,,%'F- To Stream, Pond, Lake, or Major Drainage Course Page 1 of 2 72-026(11t84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed // Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well /t~)(2¢-/<:7 To Building Foundation )(;)O Lot 20¢ To Water Main/Service Line tc;t,.)`'/ i:'F To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design ! Length of Field ~-'/ " ,/~" " ~.~'7 ' Depth of Field .:~ (,7 ,~':c,~- Gravel Bed Thickness ,z/_*'~_D ~' Standpipes Present (Y/N) Date of Last Adequacy Test .~/~'~'.t.L)¢''~ To Property Line /(%/ ~ To Existing or Abandoned System on ; On Adjoining Lots I¢p¢~-~ ~:u To Cutbank (if present) /-- )¢~.~¢- Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments .... ' Dimensions Manhole/Access (Y/N) "Pump Off" ~L.e~eha~ ~ Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have.,ched,cd, ~/er~fie,~ ¢~onformed to all M CA and HAA guidelines n effect on the date of this ins ection Company~Tsr~ ~¢~ MOA No, Amount: $ ~~ ,..; " E,ngineer;s Sea.l:'L 2220 ERS'A' 88 (907) 349 £:a t:= .. Subd].vision Block Production Ra be_: ,7 fl() GPM 24--Hour Cac~acity 1t, 37 t C~llccus · Time Time ---Yr.,.. ,,,, .x Date Date UA U;_/ D to / Comments ~ D Date Sewer Installed Permit No. Septic Tank Size Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner ~'~/,;~ ./]~J~ /'}/_.~/d ~-/_/)/L~ Phone Mailing Address -~ ~ ~ ~ ~ ~/~.~ ~ /~, Lending Institution /~X:~,~, /~//0 TA ~X:'. ¢ ~" ~/2/~ 2-/~ Realty Co, & Agent~;.~/.~[.~/~/]~2 /~;~/-7 [ 7 ~ ~ ~'~ ~ ~/:t /~/~Z:z-~"' Phone Address -~.) ~9~ ~/- ~ ~ ~, // , ~./ /~, / ~ [~) Legal Description ~(-~% ~ ~ , ~/ ZF/~/4~¢/;E. Type of ~sidence ~Single Family ~ Multiple Family No. of Bedrooms ~ Other Water Supply . ,~ ~ Individual ~ / A~ACH WELL LOG. A well log is required for all wells drilled since June ~ Community 1975. For wells drilled prior to that date, give well depth (attach log if ~ Public Utility r available.) ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility:~ D Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, January 18, 19[]2 Edwin & Alta Clarke. 17.O. Box 60007 ~'alrbank,~, AK 09706 f~ubjeet..: Lot ~tB, c,. ~,~efker Subdivision Dear Mr. & ~qrs .lark~.: ;lp'f}roval for tho individual sewer and water facilities cannot l~ qrante~t until, the followinq items have been oom~)loted: ~ Exposed elo~tri, cal wi~es t:o the we] 1 head are 3. n violation ~ )t].c taltk D%.l~tlped with a receipt su}')mJ.'[;t~(] to this d epa r%tnent. o An mdeqtlacy '~.o,~1%. neet]s %0 bo perforraoct, on the oxis%inq ].eachinq area. This test will determine if ~:he system i:.~ adequate acoordJ, nq to ~atJ. onal Standards, A listing of ~¢rival;e firms [.~erformlnq the tegt. is enclosed. 'Phis report hoods to be submi%ted to this office for our review. lhe ~,tand].)lpe to the sewer system n~ed cads on them. ~,~. notl~.y th3. s (]epar%ment for a relnsDect].on when the noted (~iscro~ancio~ have bean correcqod. If %hero are any fur-thor questions, ~].ease call this office at 264~-4720. ~'incerelv, Robert C. Pratwl: Associate Environmental Specialist A~ Civiland Geotechnical Engineering Consu nts AW. Murfitt Company_ ?127OldSewardHighway.Anchorage, Alaska99502 Telephone 349-7531/7533 January 28, 1982 Arctic Field Services P.O. Box 60007 Fairbanks, Alaska 99706 Attention: Mr. Ed Clarke, P.E. Re: Sewage Facility, Adequacy Test Lot 8B - Siefker Subdivision (1555 Huffman Road) Anchorage, Alaska Dear Ed, At your request, we performed an adequacy test on the sewage disposal facililty at the above referenced site on January 21-23, 1982 and again on January 26-28, 1982. From a review of existing system design information obtained from the Department of Health and Environmental Protection, Municipality of Anchorage, we understand that this system consists of both a drain field and seepage pit (copy attached). The results of our test are discussed as follows: The first test was performed in accordance with the "Adequacy Test General Procedures" for drainfields as published by the Municipality of Anchorage. The test was conducted using a two (2) bedroom house criteria as per the existing structure on the site. We understand that the house will be occupied by two people part-time and only one bedroom will be utilized. Accordingly, a two bedroom criteria is perhaps conservative for this test. The septic tank was not pumped. Approximately 350 gallons of clear water was introduced into the septic tank at a rate of approximately seven (7) gallons per minute (as supplied by the on site water system). Water levels in the seepage pit and septic tank were measured and recorded. The same procedure was followed on the second day, January 22, 1982. On January 23, 1982, measurements were taken of water levels in the septic tank and seepage pit. Water levels in the septic tank on days two and three were within one (1) inch of the initial reading. Water levels in the seepage pit returned to within one (1) inch of the static level determined by initial reading on the second and third day. During this test, water was observed to back up into the septic tank approximately eight (8) inches. The system at this time was in no danger of backing up into the house. Also, a measurement of approximately two (2) inches of sludge was found at the bottom of the seepage pit and six (6) inches in the septic tank. The second test was performed in accordance with the "Adequacy Test General Procedures" for seepage pits as published by the Nunicipality of Anchorage primarily to ascertain back up water quantities. The septic tank was pumped January 26, 1982 by Anchorage Cesspool Pumping (receipt copy attached). Approxi- mately 950 gallons were pumped from the tank. Water levels were measured before and after pumping of the septic tank and the seepage pit. The water level of the septic tank dropped 3 feet, 4 inches while the seepage pit remained unchanged. Approxi- mately 350 gallons of water was introduced into the seepage pit at a rate of approximately six (6) gallons per minute (reduced flow due to line loss). Water levels in the seepage pit and septic tank were measured and recorded at 50 gallon increments. The water level in the seepage pit stabilized after approximately 150 gallons were introduced. On the second day of this test, January 27, 1982, the same procedure was followed with the excep, tion of the pumping of the septic tank. After 100 gallons of water was introduced into the seepage pit, the water level in the seepage pit stabilized and the water level in the septic tank began to rise at a rate of approximately 2 inches every 50 gallons. Our measurements indicate that approximately 200 and 250 gallons of water flowed back into the septic tank on days one and two, respectively. Water levels in both tanks were measured on January 28, 1982. The water level in the septic tank had raised one inch from the previous day's measurement. We suspect that additional water was introduced into the system. The water level in the seepage pit had lowered two (2) feet, ten (10) inches from the final measurement on the previous day and was within one (1) inch of the initial measurement on the previous day. Based on our review of the system design information as shown on the Hunicipality of Anchorage inspection report, the fact that water levels in both tests returned to within one (1) inch of the static levels as determined by the initial readings on days two and three and that the amount of water introduced into the system may be conservative, we feel that the existing system is adequate. Accordingly, we trust that the foregoing information will be sufficient for the ~1unicipality of Anchorage, Department of Health and Environmental Protection to make a favorable decision on the adequacy of this system. If you have any further questions, please do not contact us. Sincerely, Civil Engine e ~.?~'$~9~77~ cc: Department of Health and Environmental Proteotlon Municipality of Anchorage Pouch 6-650 Anchorage, Alaska 99502-0650 Attention: Hr. R.C. Pratt, Associate Evironmental Specialist GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality ~o~f. ~330 "C" Street, Anchorage, Alaska 99503 274-4561 .,~u~~° ',~ Time of Inspection ~ Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: ~c'O~' ~ ?~'~,z' ~ Mailing Address: a~'~m ~/, /~ ~ ~ Phone: 2. Property Owner: ~~ ~/~ 5' Phone: Mailing Address: S}_ ~~.~/ ~/'~e 3. Legal Description: ~' ~ ~o~- ~ Y~/~'~ ~,~ / 5. Type of facS~Sgy ~o b~ ~nspoc~od~ ~.~ ~o. of bedrooms 6. Well Data: A. c. c 7. Sewage Disposal System: B. Depth D. Bacterial Analysis A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: Size __/_/90~') . 2. Manufacturer /~/~Z: C'~,~/ 1. Absorption Area ._~?~7/ ~. Materia]~'~?'r /~'x~c/ Total length of lines /~/ 8. Distances: A. Well to: Septic tank __~ / , Absorption area /,,,~/'~ , Sewer Lines Nearest lot line _~ ~_(2_~=~, Other contamination B. Foundation to septic tank ~©/~. , Absorption area C. Absorption area to nearest lot line ~) /~ EQ-O3~ (1/74) Page 1 of two pages Page 2 of two pages - Req. _c for Approval of Individual S ~,' & Water Facilities Legal Description ~/'~'~.F~__ ~/~/.~c'j- ~,, ~a~-6~-~ Comments Appro ~1 _ ~L/~ ~}~C. Disapproved Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily, SIGNED Date EQ-034 (1/74)