HomeMy WebLinkAboutSIEFKER #2 LT A-7A
Municipality of Anchorage Page /
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: ,-~ k,~ ~ q ¢h~,.¢,~ PID Number: O I~ -
Name:
~E~N~ ~ ~.~ ~ Wastewater System: ~ New U Upgrade
Address:
~.0 r~ ~ ~ ~ O ~ ~ ~ ABSORPTION FIELD
Phone: ~ ~ ~ ~ No. of ~droorns: ~Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other
LEGAL DESCRIPTION ~oi, Rating: Total Depth from originalgrade:
I ,~ GPD/Sq. FI. i ~ l
Lot: Block: Subdivision: Depth to pipe botlom from original grade: Gravel depth beneath pipe
A~7~ sl~~ ~ L ~ F~.
Township: Range: Section: Fill added above original grade: Gravel length:
WELL: ~ New D Upg ride Gravel width: ~ Ft. Number of~ lines: Distanc~¢een lines:Ft.
Classification (Private. A.B.C): Total Depth: Cased To: Total absorption area: Pipe material:
Driller: ' Date Drilled: Static Waler Level: Inslaller: Date installed:
Yield: ~ GPM Pump Setat: Ft. Casing Height Above Ground:
~¢%- 30" ~. TANK
SEPARATION DISTANCES ~Septic B Holding U S.T.E.P.
To Septic Absorplion Lift Holding Public/Private Manulaoturer: Capacity in 9aliGns:
'F,o~ Tank Field Stabon Tank S .... Lines ~N~- T~X~ ~L. l~ ~
Well ~ ~ ~j¢ Material: ~ Number Gl Conlpa~nts:
Surface
w~,~ N~ N.~< LIFT STATION
Lot ~ ~ ~ ~ Size in gallons: Manufacturer:
Line
Curtain Pump Make & Model Electrical hlspections pedormed by:
Remarks: BENCH MARK
}~r~*~ ~ ~~ Localion and Description~ ~
Assumed Elevation:
1 ¢¢ FI,
E N ~.N~E~[~L
; · ,¢ ~; .,,, ...~ '?
Inspections performed by: ~ '~ gates: 1st ~z¢/¢V ~¢~:;';.3 ........
~,'~ /3 11~'~',~
Department of Health/and Hum / e ~.<~..,~
ces apprgval/ ~¢.~,~ ,~ .....
Reviewed and approved by: ~'2:~'~-~ ~ate:~c~/7~. .~,. -,,0,,¢s,~,'. , ,..,, ~..~
72-013 (Rev. 9/91) MOA 25
L _
?EM?ORARY STRUCTURE
~5 50 75 100
150
TOBBEN SPURKLAflD P.E.
205 W 15TH. AVENUE
AK. 99501
SEC 21 TI2N RSW
JIM ~VERNER
SEPTIC SYSTEM ASBUILT
DATE: JUNE 24, 1994
SHEET: 2/5 GRID: 2655
1500 9al Seph'c tank
5~' L on9
1]' Peep
5' Server rock
6' Cover
Cleonouts
Moni~om
d'~ Topsoil
5' Cover
89,0
Piir a £/
5 £t o£ Septic
Under Pipe
NJ} SCALE
83,8
]500 gal septic tank
BENCH ~tARK:
TOP ~/ELL CASINO:
ASSUt~ED ELEVATION I00.00 FT
TOBBEN SPURKLAflD P.E.
203 lEl5th Ave
Anchoroqe Ak 99501
.279-,39 ~6
SEC. 21 T12N RSW
JA~fES V/ERNER
SEPtiC SYSTE~f ASBUILT
DATE: JUNE 24, 1994
SHEET: 5/~5 GRID: 2655
P.O!
WELL LOG
Date Drilled:
Sl~atic Water Level
Draw Down N,/A ......
4-14-94
10S feet
feet
Jim Werner
Avion
AnchoragE, Ak.
Gallons Per ]4~nute ' 6o
Total Feet of Casi.nR 'lSb'
Type Material Drilled:
0 feet to 2~.,
2 Et.
22 ft.
28 ft.
80 ft.
82 ft.
__ to 22 ft.~,C].a? and.'~Rock
to 28 ft. Rock w/water
to 80 ft, Cla¥.w~Rock
101 ft..
116 ft..
140 ft.
176 ft.
to 82 ft, Wet
to 101 ft, Clay
to 116 ft. Sand and RDi~_w~
to 140, fi, C~_w/ streak~_o~.
to 176 ft. Clay
to ].80 fi, Clean Gravel w/ H20
}]EFTY DRILLING
~540 AKULA DRIVE
ANOH01tAGE, AK
(90?)
RECEIVED
JUN 19 4
Muni~pah~y o; Anch,ora~e
Dept, Health & Human Ser~'ioes
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW940055
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E.
OWNER NAME:WERNER JAMES P JR & CAROL L
OWNER ADDRESS: 4850 ALPHA CIRCLE
ANCHORAGE, AK 99516
DATE ISSUED: 3/22/94
EXPIRATION DATE: 3/22/95
PARCEL ID:01527270
LEGAL DESCRIPTION: SIEFKER #2 LT A-7A
LOT SIZE: 49378 (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 (iSAACS0).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 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 PROV I S I O~.' _~__--~
ISSUED BY:/~~-/~~--~' '
DATE:
DATE:
203 W iSth. Avenue, Suite 203
ANCHORAGE, ALASKA 99501
t907) 279-39i6
Fax (907)-276-6013
SEPTIC SYSTE['~ DESIGN
JAMES WERNER
Gro~4nd PJaL,~.r aL i7
5 mJ.~/Jn = :i.2
] r:?s'Lho.i e Tokai D~_~p'Lh
Ground Water at
Less 6
Less 5 4't:. Cover
Rock D~p'k h
I_ern;lti'~ e.f ]!'-erich
STANDARD -FRENCH
TOTAL LEI~GT Fl
TOTAL NIDTH
TOTAL DEPTH
ROCK DEPTH
COVER
SEPTIC TANK
50 Fl'.
2 F'J'.
iO Fl'..
5
5 FT.
250 GAL.,
'iht~: ir~sta.it~ltion crf 'khzc4 well a~d ~septic system wiii riot )mpact
ad_jacen~ lc)ks. The well ic~ca'kion c:orrFor'ms 't:o Lhe si'Ling
existirJqt wei]s i~ Nqe area, and will nok prmven'k thc~ adjacen'k
~septic ~;ys'Lems.
The propcr:sed ,4,~-~.p'kic sy?Lem will not .chaiige 'k.l~,
the ~lmea. I:'ondir~,~ c~i-~[[/ot'- [][JFic:~Fitl"f~t~OFi 0'~: - ' "--
F'eSU] t 4: rom ~h[s ~nsta] lat~on.
Municipality of Anchorage
DEPARTMENT OF HEALTH 8, HUMAN SERVICES
825 "L" Street, ,Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
(ENGINEER'S SEAL)
1
2
3
8
9
14
18
19-
20
Township, Range, Section:
SLOPE
WAS GROUND WATER ~!
ENCOUNTERED?
s
IF YES, AT WHAT /1~ / ~
DEPTH? p
DogthtoWaterAJterj I
Monitoring? ,~ Dale:
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
8" o 9 ~ ~, IVy
1~ ~ 7° I~
~ ~ 7~
PERCOLATION RATE -~ (m,nutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~¢' FT AND
_ FT
COMMENTS
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE:
72-008 (Rev. 4/85)
I
LVa~an~
'1
ll2th. ~VE,
LBT A-SA
LOT A-7A
LOT A-?~
Va con ['
LlgT A-83
L~f A~(}C
LOT /~--73
LOT A-?£
Vocan'e
L
£CALE~ i" = I00 FT,
1'Ill, liEN SPURKLAND P.E.
203 'w' iSTH. AVENUE
ANCI--I, AK. 99501
LOT A-7A SIEFKER S/B
SEC 21 TI£N R,?I¢
JIM VERNER
SEPTIC .SYSTEM DESIGN
DATE, ~ARCH
SliEE'F, I/3 GRID, ~2G35
~ Propo.~ed Temporo~y $~'uctuee
?5 0 £5 50 75 I00 1~5 150
$£ALD 1.~ -- 50 FT,
3BEN SPURKLAND P,E
203 W 15TH, AVENUE
ANCH, AK, 9950I
LDT A-7A SIEFKER
SEC 81 rl~N R3V
JIH WEJ~NL-R
SEP'rlC SYSTEM DESIGN
])Al'E, MARCH 1~, 1994
SHEET, 2/3 GRID, ~.535
ND SCALE
M~roF/ 140
5 £% oP Sep'L'/c Rock
Under P,'pe
/ C(eonou%'s --~
I/',//-- ,5 Cover ~
ND SCALE
TOB~EN SPURI<LAND P,E,
203 ~15th Ave
Anchorcge Ak 99501
L ~ T A --TA S/[...TKE£ SA/3
JAMES ~/EfeNE~
S~ondord l~ench ,'
,FO' Long
lO' ~Seep
5' Cover
1250 gal ~ep g'/c fan/<
SF,PTIC SYSTEM AS]BUILT
DATE: MA/~CH 18:1994
SHF,ET, 3/3 Gms, 2635
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
Environmental Health Division
CASE REVIEW WORKSHEET
CASE NUMBER:
S-8235
DATE RECEIVED:
July 10, 1985
COMMENTS DUE BY:
August 5, 1985
SUBDIVISION OR PROJECT TITLE:
Lots A-7A Through A-7D Siefker Subdivision #2
COMMENTS:
) PUBLIC WATER AVAILABLE ( ) PUBLIC SEWER AVAILABLE
) COMMUNITY WATER AVAILABLE
71-014 (Rev. 5/83)
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19.
20-
COMMENTS
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOfLS LOG
PERCOLATION
TEST
SLOPE
SITE
WAS GROUND WATER
ENCOUNTERED?
lames Karl Dowling
WHAT
Gross ~Jet Depth to Net
Reading Date Time Time Water Drop
1770-E
PERCOLATION RATE /~J///J~ (minutes/inch)
TEST RUN BETWEEN . FT AND . FT
PERFORMED BY:
804 E. ~Sth Avbnue, Suite
Anohorage, Alaska 99501
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18-
19-
20-
COMMENTS
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
DATE PERFORMED:
SLOPE
SITE
'~2WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT E
DEPTH?
Jamas Karl Dowting
1770-E
Reading Date Gross Net Depth to Net
Time Time Water Drop
I
PERCOLATION RATE N,/' id~/' (minutes/inch)
TEST RUN BETWEEN FT AND FT
PERFORMED BY:
72-008 (6/79)
DOWLING & ASSOCIATES
· 4:aoho~ag~, Alaska 9950~