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HomeMy WebLinkAboutSUE TAWN ESTATE #2 BLK 3 LT 6 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: .~if~, ~i~OI I~) PID Number: ~/-,~//~ Name: ~1~ ~, ~~ ~ Wastewater System: ~New ~ Upgrade Addres~o,~ ~70Sl I ~,'~, A~ ~ '~ ABSORPTION FIELD Phone:"`s: ~,~,~.~, ~ Shallow Trench ~Bed ~Mound ~Other Total Depth from original grade: LEGAL DESCRIPTION so.,.~.~: ~,~ ~,~Sq.~L Subdivision: Depth to pipe bottom from original grade: Gravel depth benealh pipe ,o~: ~ .~oc~: ~ ~e~Z /.~ ,t. o.~ Ft. Township: I Range:~, W i Section: I~ Fill added above originalgrade: Gravelle~glh: WELL: ~ ~ New ~ Upgrade Gravelwidth: Numberofbnes:lOistancebelweenlines: Classificalion (Private, A,B,C): Tola[ Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: Slslic Wafer Level: Installer: Date installed' Yield: I Pump Set at: I Casing Height Above Groun~ , TANK 7 GPMI ~ Ft.I ~ ~ Ft. SEPARATION DISTANCES ~pti~ ~ Holding ~ S.T.E.P. TO Sepllc Absorption Lift Holding Public/Prival( Manufacturer: Capacgyin gallons: Surface W~t~r ~ ~ .... LIFT STATION Fo~dat,o~ ~ ~ ~ -- _ 'Pump on" Iouel at: "~u~ off" Iovol at: 1 H,~b walor alarm ah Curtain PumpMake ~ Model I filectrical Inspections peHormed I Remarks:~,~~ ~ ~ ~,.. BENCH MARK Assumed Elevation: E~~AL Inspections performed by:_.~' ~ Dates: 1si ,//,z ~~e. ". Department of Health ~Hu~a~ Servic~approval 'a~eZ',,,,, ..'~ Reviewed and aBBroved by' /~/~~~ato: ~ 72-053 {Rev 9/91) MOA 25 Page ~" of ~' Municipality of Anchorage 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 Legal Description: PID No.: .A - | A -Z rT~,O A- 5 72-O13 A (2/91) MOA 25 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 1 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920118 DESIGN ENGINEER:DAVID R, DAYTON, P.E. OWNER NAME:COURTNEY PHILLIP DANIEL SR OWNER ADDRESS:P.O. BOX 670811 CHUGIAK, ALASKA 99567 DATE ISSUED: EXPIRATION DATE: 5/29/92 5/29/93 PARCEL ID:05151132 LEGAL DESCRIPTION: SUE TAWN ESTATES #2 BLK 6 3 LT LOT SIZE: 89434 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK 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: D. P._ DAYTON, P.E., R.L.S. · HC 78 Box 1026 Chugiak, Alaska 99567 (907) May 18, 1992 DESIGN NARRATIVE Lot 6, Block 3, Suetawn Estates ~2 The lot slopes from Southeast to Northwest on a slope of approx- imately 3 to 5%, draining ultimately into Little Peters Creek. The lot is large (slightly ~ver 2 acres) and has soils suitable for an on-site septic system. The ground water level is relatively high at 8 foot depth. To maintain an absorbtion system to ground water level distance of 4 feet, a bed system must be used. For adequate c~ver, fill above original ground level will be used. The proposed system will have no measurable impact on existing or future wells on adjacent properties. There will be no impact on reserve space/surface or subsurface or on drainage. R~sDectfull~,/'~ / David R. Dayton L I Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~T ~'~ ~--~ / PERFORMED FOR: ~'"~ LEGAL DESCRIPTION: LG 55 ~:~r.~.~ ~-s~ 4 5 6- 7- 9 10 11- 12 13 14 15- 16- 17- 18- 19 2O COMMENTS Township, Range, Section: DATE PERFORMED: SLOPE WASGROUNDWATER S IF YES, AT WHAT L DEPTH? '~:~,,~-~) ~ E Depth to Waler After SITE PLAN Reading ~'~ ~'~ Gross Net Depth to Net Time Time Water Drop //~ -~- PERCOLATION RATE ,//~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND 4~ FT PERFORMED BY: ~ ~ ~, (~,~'~ ~3'~U I ~'~' CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE GUIDELINES IN EFFECT ON THIS DATE, DATE: WITH ALL STATE AND MUNICIPAL 72-008 (Rev. 4/85) PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFOR~MED: ~ Township, Range, Section: ~ )~] -7--/,~',~j, /~1 ~ 1 2 3 4 5 6 7 10- 11 13- 14- 15 16 17 18 19 20- COMMENTS SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? ~'~ IF YES, AT WHAT DEPTH? Depth to Water Alter ~ Monitoring? c, · ~ Date: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER __ FT AND FT ACCORDANCE WiTH 72-008 (Rev. 4/85) PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 82". 5 L Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION: L(O J~) ~JL=T-A~'~) ~'%'7" 6 7 9 10 11 13- 14- 15- 16 17 18 19 20- COMMENTS WAS GROUND WATER ENCOUNTERED? Township, Range, Section: ~bmc_ I~', T'I~'-/J~.:~//.C) ~ SLOPE IF YES. AT WHAT DEPTH? Depth l0 Water After Monilorin[}? ~. SITE PLAN .:: . '~f;~'~- Gross Net Depth to: ~ Reading ~ Net Time Time Water Drop PERCOLATION RATE g/~'~ (minutes/inch) PERC HOLE DIAMETER TEST RUN RETWEEN ~ FT AND 4~ FT i PERFORMED BY: ~ v (~, ~i'~'~ ';:Q~'J I ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502~0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: L~ WAS GROUND WATER ENCOUNTERED? 1 2. 3- 4 5 6 7 10- 11 12 13 14 15 16 17- 18- 19- 2O IF YES, AT WHAT DEPTH? COMMENTS DATE PERFOR. MED: Township, Range, Section: SLOPE SITE PLAN Deplh to Water After Monitoring? Reading Date Gross Net Time Depth to Water Net Drop PERCOLATION RATE __ TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER FT AND __ FT 72-008 (Rev. 4/85) 7~;"o ~0 o--m¢.~ o o o MT- Z L ~/z_ 7-'