HomeMy WebLinkAboutOSMOND OLSEN LT 1B
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241305
Work Type: Septic Upgrade
Tax Code Number: 01224241000
Site Legal Address: OSMOND OLSEN LT 1 B G:2226
Site Mailing Address: 3754 STRAWBERRY RD, Anchorage
Owner: FORAKER SALLY A & RODGER W (TO
Design Engineer: FORGE ENGINEERING
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
10/3/2024
10/3/2025
16662
2 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
4
# r
Received By: f �'�— " 1= Date:
Issued By: Date: C, 3 -2-
j
MUNICIPALITY OF
7
Community Development Department ...........
Development Services Division
On -Site Water & Wastewater Program
ANCHORAGE
Phone: 907-343-7904
Fax: 907-343-7997
ON -SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 012-242-41
Property owner(s) Sally & Rodger Foraker Day phone
Mailing address 3754 Strawberry Road, Anchorage, AK, 99502
Site address 3754 Strawberry Road, Anchorage, AK, 99502
Legal description (Sub'd., Block & Lot) Osmond Olsen, Lot 1 B
Legal description (Township, Range & Section)
Lot Size -16,662 _Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(Z all that apply)
Absorption Field FX� Initial ❑ Single Family (SF) RX
(w/wo ADU)
Septic Tank RX Upgrade RX
Duplex (D) F]
Holding Tank R Renewal R
Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment.- �//A,
Receipt Number: i Z4 S-Z_
Permit No. n 5102 y J,a(2 5�
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
Permit App_'-'- : - !-'.,:c ,
September 9, 2024
MOA Development Services, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Osmond Olsen, Lot 1B – 3754 Strawberry Road
Septic system design
Dear On-Site Services Engineer:
The owner of the above lot has an existing 4-bedroom home on the property, so we are submitting
this permit application for the construction of a new septic system. The attached site plan identifies
the location of the home as well as the existing well and septic location. No conflicts exist between
this proposed system and any other well or septic system, whether on this lot or adjacent lots.
The ground surface on the lot is practically flat and slopes less than 5% in any direction.
Stormwater drainage will not impact this septic system. The new trench will be constructed parallel
to the slope as much as possible.
Wells on this and adjacent lots are shown. The new system will be a minimum of 50’ from all
wells and surface water, and more than 5’ away from the septic tank. Please refer to the attached
test hole log, plan and profile pages for the septic design. If this design is followed, there will be
no adverse impacts to adjacent properties.
Sincerely,
Benjamin Schiller, PE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241305, Curtis Townsend, 10/03/24
x
x
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x x x x x x x x x x x x x x x x x
x x x x x x x x x x x x x x x x x
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
1"=20'
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
OSMOND OLSEN, LOT 1B
FEET
0 20 40
4-BDRM HOME
SEPTIC PLAN
9/6/24
1%
25' LONG x 5' WIDE, 6" EFFECTIVE
DEPTH ABSORPTION TRENCH
1500-GAL
ADVANTEX TANK
w/ AX20 POD
TH#1
EXISTING SEEPAGE PIT TO BE
DECOMMISSIONED w/ FLOWABLE
CONCRETE PER CODE
EXISTING 1250-GAL SEPTIC TANK TO
BE DECOMMISSIONED PER CODE
EXISTING WELL
w/50' RADIUS
STRAWBERRY ROAD
5.0
10.0
5.0
5.0
NEIGHBORING WELL
OUT OF VIEWPORT
NEIGHBORING WELLS
OUT OF VIEWPORT
COCO
MT
MT 2CO
1%
1%
1%
NO SLOPES >25% WITHIN 50'
DOWNHILL OF PROPOSED SYSTEM
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241305, Curtis Townsend, 10/03/24
OSMOND OLSEN, LOT 1B
TYPICAL TRENCH SECTION
(NO SCALE)
NOTES:
1. GRADE AREA OVER TRENCH TO DRAIN AWAY
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2'
WITH 2" OF INSULATION
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
4" PERFORATED PVC (HOLES DOWN)
DRAINFIELD ROCK
6"
5'
6"
DESIGN FACTORS:SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW
PERK RATE: 0.2 MIN/IN
APPLICATION RATE: 6 GPD/SF
5' WIDE TRENCH SYSTEM
1500-GAL ADVANCED TREATMENT SYSTEM
BOTTOM OF TRENCH: 6' BELOW GRADE
FLOW LINE ELEVATION: 5' 6" BELOW GRADE
600 GPD / 6 GPD/SF / 5' WIDE * 1.00 RED FACTOR [6" DEEP] = 20 LF TRENCH REQUIRED
(25 LF SPECIFIED)
GEOTEXTILE FABRIC
6"
9/6/24
PROVIDE ADDITIONAL FILL TO
ACCOUNT FOR SETTLEMENT
5'
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241305, Curtis Townsend, 10/03/24
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE: PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
DEPTH
(feet)
TEST HOLE 1
DATE READING START TIME NET TIME
(minutes)
DEPTH to
WATER NET DROP
PERCOLATION RATE: (MIN/INCH)
(inches)(inches)
DATE OF MONITORING
WAS WATER ENCOUNTERED?
DEPTH TO WATER AFTER MONITORING
IF YES @ WHAT DEPTH?
0.2
8/21 1
2
3
4
5
6SP (POORLY-GRADED SAND)
Professional Engineers Stamp:
NO
OSMOND OLSEN LOT 1B
8/21/2024 012-242-41
ISAACS EXCAVATING SERVICES
11:35 1 0
16
1.5' OB
1:00
Benjamin Schiller
CE 12592REGISTEREDPROFESSION A L E N GINEER
PERC TEST LOCATION
TECHNICIAN: M. JAKUBISIN
7 0
16
-
NONE
8/28/24
COMMENTS:
SITE PLAN
6 0
16
USCS SOIL CLASSIFICATION WAS DETERMINED BY LABORATORY ANALYSIS
9/6/24
1 0
161:11 7 0
16 6 0
16
1 0
161:20 7 0
16 6 0
16
1 0
161:24 7 0
16 6 0
16
1 0
161:16 7 0
16 6 0
16
1 0
161:31 7 0
16 6 0
16
1 0
161:10 7 0
16 6 0
167
11:36
11:38
11:40
11:41
11:43
11:44
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241305, Curtis Townsend, 10/03/24
% GRAVEL 2.0 USCS SP
% SAND 97.2 USACOE FC N/A
% SILT/CLAY 0.8 % PASS. 0.02 mm N/A
% MOIST. CONTENT 7.5 % PASS. 0.002 mm N/A
N/A
N/A
N/A
SIEVE SIEVE TOTAL %SPECIFICATION
SIZE (mm)SIZE (U.S.)PASSING (% PASSING)
152.40 6"
76.20 3"
38.10 1.5"100
19.00 3/4"99
12.70 1/2"99
9.50 3/8"99
4.75 #4 98
2.00 #10 96
0.85 #20 91
0.43 #40 71
0.25 #60 29
0.15 #100 5
0.075 #200 0.8
ELAPSED DIAMETER
TIME (MIN) (mm)
0
1
2
5
8
15
30
60
250
1440
SOUNDNESS OF AGG.
(ASTM C88)
DEGRADATION
(ATM T-313)
LA ABRASION
(ASTM C131/C535)
SP. GRAV. COARSE AGG.
(ASTM C127)
CLASSIFICATION:
DATE RECEIVED:
TESTED BY:
REVIEWED BY:
UNIFORMITY COEFFICIENT (Cu)
COEFFICIENT OF GRADATION (Cc)
ASTM D1557 (uncorrected)
ASTM D4718 (corrected)
OPTIMUM MOIST. CONTENT. (corrected)
PROJECT CLIENT:
PROJECT NAME:
PROJECT NO.:
SAMPLE DESC.:
NGE-TFT ID #:2.2
1.0
Forge Engineering
HYDROMETER RESULT
N/A
SIEVE ANALYSIS RESULT
2024 Material Testing
6927-24
Osmond Olsen, Lot 1B
24-S-12
Poorly-graded sand
8/28/2024
Aaron Kaiser
Sean Totzke
TOTAL %
PASSING
11301 Olive Lane ∙ Anchorage, Alaska 99515 ∙ Phone: 907-344-5934 ∙ Fax: 907-344-5993 ∙ www.nge-tft.com
N/A
N/A
The testing services reported herein have been performed to recognized industry standards, unless otherwise noted. No other warranty is made. Should engineering
interpretation or opinion be required, NGE-TFT will provide upon written request.
N/A
125
130
135
140
145
150
0 2 4 6 8 10 12 14
DR
Y
D
E
N
S
I
T
Y
(
p
c
f
)
MOISTURE CONTENT (%)
MOISTURE-DENSITY RELATIONSHIP ASTM D1557
SILT or CLAYCOBBLESGRAVEL
Coarse Fine
SAND
Coarse Medium Fine
0
10
20
30
40
50
60
70
80
90
100
0.0010.010.1110100
FI
N
E
R
B
Y
M
A
S
S
(
%
)
GRAIN SIZE (mm)
PARTICLE SIZE ANALYSIS ASTM D6913 / C136 / D422
#200#40#101.5 1/2363/4 #4 #20 #60 #1003/8U.S.SIEVE OPENING IN INCHES U.S.SIEVE NUMBERS HYDROMETER
STRAWBERRY ROAD
a
a
— O
M
ASPHALT ;
PAVEMENT \
WEST 139.90'
CHAIN —LINK FENCE I
o Lot 1 B
Cq 16,662 s.f.
x 2.0' CANT
x 4.0' x 7.0' PORCH
24.6'
ASPHALT
24.3' ro PAVEMENT':
x o 26.0' I
x 1 STORY
o RESIDENCE
x WITH DAYLIGHT w
rn LL BASEMENT
Lot 1 A 50.3' 1 '
58.5' .. I
CIf x
Z x A�OTF� q DECK SEPTIC PIPES Z i Lot 1 A
x 6.3' x 8.3' SHED
10.2' x 20.2' SHED �� 8.1' x 15.1' SHEDS
WITH CARPORT
x Q BETWEEN
00
M I
CHICKEN COOP
x u
24.0'
WEST 139.90' x
I� I
Lot 2 �Z
I
Lot 1 B
PLOT PLAN AS BUILT _X_ SCALE _ 1= 30__ GRID _ SW 2226Project No. ___ J24=1321A1 _
P.O. Box 210005
La n g & Associates, inc. Anchorage, Alaska 99521-0005 �000�pO
(907) 522-6476 0 0
Professional Land Surveyors jonathan®langsurvey.com oGO F 4 4�0
ken®langsurvey.com
I hereby certify that I have surveyed the following described property: Oo�P r,Y V
LOT 18, OSMOND OLSEN SUBDIVISION (Plat No. 71-127) � * H Q
Anchorage Recording District, Alaska, and that the improvements situated thereon are .. .. """' ""'•' Q
within the property lines and do not encroach onto the property adjacent thereto, that
no improvements on the property lying adjacent thereto encroach on the surveyed �•.. JOIVAT A C. LANG
premises and that there are no roadways, transmission lines or other visible
easements on said property except as indicated hereon.
� J
l)� ____ Q �F 9944. ' o
Dated this the _ _ Day of _1nn06_L_ at Anchorage, Alaska Q pBAR �Oo
4v� �FESSIONA� �Q
It is the responsibility of the owner to determine the existence of any easements, DDOOoo��'
covenants, or restrictions which do not appear on the recorded subdivision plat. State of Alaska AECC963
MUNICIPALITY OF ANCHORAGE
WATER
CONNECT PERMIT 08 - 0107
WATER & WASTEWATER UTILITY DATE OF APPLICATION 04/23/2008
3000 ARCTIC BLVD. SCHEDULED COMPLETION DATE 12/31/2008 --
P NE: (807)564-271i2
BLOCK/LOT/TRACT LT 1B X_; SINGLE FAMILY
SUBDIVISION OSMOND OLSON MULTI -DWELLING No. APTS
PM&E STRAWBERRY ROAD IMPROVEMENTS COMMERCIAL
TAX CODE 1224241 GRID SW2226 AS -BUILT
STREET ADDRESS 3754 STRAWBERRY RD
OWNER FORAKER SALLY A & RODGER W PHONE
MAIL ADDRESS 3754 STRAWBERRY RD ANCHORAGE, AK 995023103
CONTRACTOR WILDER CONSTRUCTION
Repair Existing Service
On Property Only City Tap
Hydrant Only 50' or Longer
X_ Main Tap - To Property Line Only
Main Tap & On Property Connect Row No.
Disconnect
R & R - Main Tap Only
CONNECT SIZE 1"
REIMBURSABLE
NUMBER 541-00C`)000474
INSPECTION FEE
$ 0.00
PERMIT FEE
$ 0.00
$ 0.00
DEPOSIT
$ 0.00
TOTAL
$ 0.00
ASSESSMENTS
Main Line Extension
Have Been Levied
X To Be Levied
Comments:
Owner
ISSUED sparr
PAID
CASH
CHECK #
OTHER
INSPECTED BY
DATE �, 1,9& 08
REMARKS
Single Family Residence on Well ,
wk-tt. i5 10 C^ot)Q f0i,JU(-ri0vJ e\NCD .P120p, 0u-9sjQ/j_,/ 15 NOT pLANiv,vj
"Cc coNtvet.r `TO Q,.Vi 5va
PERMITTEE (Please Print) PHONE
MAIL ADDRESS ,
SIGNATURE
POST IN A CONSPICUOUS PLACE AT THE JOB SITE
AWWU INSPECTOR Original
DATE SCHEDULED 9 TIME ] l YINSPECTOR �j J n ��lj�(,4 1e2 E
SUBDIVISION OSMOND OLSON BLOCK/LOTITRACTLT 1B
INDICATE NORTH
SIZE CONN 1"
CORP. STOP
CURB STOP C TO C
5� 1
FT. COPPER PIPE
1 1/4" OR 2" KEY BOX
`7
FT. THAW -WIRE
THAW-PLATEINUT
tS 1
KEARNY CONNECTOR
OTHER 6 A.DDIP
55����
c i u acN
G
(�sj1)
TAj AJ IjE�`i5 6-TML-,5 A.DD Lf_
1nt1 ,.r V- /vr:w`i
kL
� Tr
J"
M_05EL PA5TF— "c) -rAva . I
ANOM WSTALL ED 51DE OF cu VZ
P-5 P�c"i wxAP,�o
��. 1<6 w/ fi,TRILCCU) c01=F
X DOMESTIC ONLY BOTH FIRE & DOMESTIC
FIRE LINE ONLY FIRE HYDRANT ONLY
DATE OF TAPE BY
SIZE MAIN �� 11 ALLEY X, STREET EASEMENT
TYPE MAIN NA 12-P F_ EXCAVATOR [j j j_,QL 2
DISCONNECTS YES NO SIZE OF DISCONNECT
COMMENTS ') �A
KEY BOX LOCATIO
INSPECTION REPORT
V LINE BLOWN OUT k, 14,� I CS INSULATED
K.B. &-T.W. - OK AFTER BACK -FILL
1/OPEN BORE FLUSH
V2G& LB. TEST
_MAIN CHLORINATED®r�
- CHLORINE FLUSHED cC / 10 l �d
K TO TURN -ON DO NOT TURN -ON
INSPECTOR
DATE 1 Z /
COMMENTS As`Inn J1��Ial�l �N C_UiZ �i0►�
5_T W,(-��55 sppDL -ov, A -try fPNDP 1
T�JL, SYACCC-2G C
f70
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT!ECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
Fo¢-¢,- I4~'/' PHONE ~NEW
2~{~ 2~ ~ UPGRADE
MAILING ADDRESS
LEGAL DESCRIPTION
LOCATION
I Well
? v DISTANCE TO: I 0 c{ , ~
~- ~ Manufacturer
, Liq. capacity iq~a~o~s IF HOMEMAD E:
i
~ ~ DISTANCE TO:
~; ~ I No. of ~in,, I L.,,th of **oh ~i,*
grade
~ Top o*,,~,o*in~,h
~ ~ Length Width
~ P ~ Type of crib Crib diameter
~ DISTANCE TO: Well
~ IClass Be~t~
OTHER
PIPE MATERIALS
p',/C
SOIL TEST RATING
INSTALLER
REMARKS
Dwelling
NO, OF BEDROOMS
PERMIT NO. ~ ~ OS ¢ 2
Material oe.~ee No. of compartments ~
Inside length Width Liquid depth
Dwelling PERMIT NO.
Material Liquid capacity in gallons
Foundation Nearest lot line PERMIT NO.
Total length of lines Trench width Distance between lines
inches
Material beneath tile Total effective absorption area
Depth PERMIT NO.
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller Distance to lot line PERMIT NO.
Sewer line Septic tank Absorption area(s)
DATE LEGAL
DEF'ARTMENT OF HEALTH AND I:;.NVIf'~ONI~E. N I~L F'ROTECTIOIxl
I:1~,:~ I._ S]"REET, ANCHCI[~AGE~ AK 995C1.1.
264-4720
423 b,~ -.;,,..
F'IERIq I 'f' NO:
DATE ISSLIFD,
84, ;~6,:: UF'GRADE
07 / :[ 1/84
APPI... I CANT:
ADDRES!3 .~
CONTACT PHONE:
F~[]GER IcORAKER
3754 STRAWBIERIRY RD.
AI',ICH[]RAE}E, AK 99502
243-2838
L.f::GAL. ..)I=.,;:~CF~ I I='~
L lIT B I Z E:
FIUBD I V I c, ,
....... :~].01',1: OSMOND OI...8C)N LOT: :I,B
SECTION: 1 :L TDWNSHIF:'." 12N RANGE: zI.W
'l.&¢.,~(... (SQ.FT· OR ACRES)
LOCI. ,, .1.
ocr'Lily 'Lha'Lr,
I afn fam:l].J, ar with 'Lhe r'eClLtirem(m]ts for (;n-si, re ;...sewers and wells as set
foPth, by the MLmicipal:i. ty or Anch~rage~ (MOA) and the State of' Alaska.
I will insta'.l. 1 the system in acc~andance with ali HOA c:odes and regu'.l.a~.iens,
arid in compliance with 'Lhe des:i, gn criteria er this per'mit.
I wJ.].l adher(~ 'Lo all MC]A and S'Late of' Alasl<a requirements fc)r the set back
c:l:Ls'Lances From any existing well, was'Lewa'Lep d:Lsposal system or pL~bl~.c:
sewenage system an this ap any adjacerlt QP nearby lot.
IF: A LIFT STA'¥ION IS INSTAL. L. ED IN AN AREA COVERI:.D BY IdOA BLJILDING CODE.,:~,
'f'HEN (l) AN ELECI'RICAL PERIdlT AND INc~FECTION MUST BE (]BTAZNED; (2) AS.-.BIJILTS
WILl.: NOT BE AI~PROVED WI:THOU]" AN ELECTRICAL INSI::'ECTIQN RIE:F'OF~T~ AND (3) 'I"HIE
ELECTRICgL.. WORK IdlJ.::~T BE [)ONE BY A LIC[zNc~ED EI...EC'fRICI~N.
S ]: GNED
APPL I CAN]'
]. ~,uUb, D BY
ALASKA
enuiROnm~nTAL CORTROL $~RIJ~CSS, IRC.
~nqine¢ci~q $ ~nuironmer+lol ~lu~ies MU~IOIPALI~ OF AN~IO~(3~
DEPT, OF HEALTH ~
ENVIRONMENTAL PROTECTION
,~ ,~, ,,~ RECEIVED
Department of Health and
Environmental Protection
825 L. Street
Anchorage, Alaska 99501
Dear Susan:
This is in regards to Osmond Olsen Block 1 Lot lB. On May 14,
1985, the well on this lot was observed to be 1.1 feet above
ground level, and the wires encased nicely in conduit.
Sincerely,
Darcy Bevens
Engineering Geologist
1200 LUesI 33rd /~ueaue. 5uile B, ,qnchoro§e. Alaska 99503.{907) 561-50/40
Gr'"6,TER ANCHORAGE AREA BOROI'~'"H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
N? 539
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK/','
DISTANCE FROM WELL ~.¥-z'-" /":/~'~ '~
LIQUID CAPACITY ,~'="¢~'>-// .GALLONS.
NUMBER OF
MATERIAL '~ :)'~ COMPARTMENTS
INSIDE LENGTH z~---~- INSIDE WIDTH ~- DEPTH
SEEPAGE SYSTEM:
SEEPAGE PIT: ¢~-,~._,,¢-~.,~-~-_..~.¢//..~.~E.~,-'~z ~ - .
NUMBER OF PITS / OUTSIDE DIAMETER _OR WIDTH_ '""/'~'>/- ., LENGTH_ ~'~ , DEPTH /~2
LINING MATERIAl ~' ~ ~ ~D~ '~? ~. DISTANCE FROM WELL / ~/ / ~z~ BUILDING FOUNDATION:~'/~ c~-_
NEARES~ LOT LINE '~-'- ~OTAL EFFECTIVE ABSORPTION AREA (WALL AREA) '~ SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL ~ .~.-~/~ , FOUNDATION
NUMBER OF~ DISTANCE BETWEEN LINES
ABSO~ION AREA SQ. FT. LENGTH OF EACH LINE
ST LINE.
LOT
TRE~H WIDTH
TOTAL LENGTH
OF LINES
.IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE__
--- --' TYPE - '-,',',',',',',',',~z.~..'-_ ' _~-':-~' , DEPTH ~.. ~ BUILDING /FOUNDATION. · .-/~ ~__.SAMPLE_ /(, , NEAREST
,- -- NEAREST SEPTIC ~ / / SEEPAGE --. ,-- _ OTItER ~. -
LOT LINE /''z'7 ¢~ , SEWER LINE ~'"- . TANK ';'-// SYSTEM -/'~2--,r~ ->/~ CESSPOOL/~//-g~'~'~ , SOURCE~'~'"r-~'~/'~/P'
DISTANCES:
,'~ c' ~:~
DIAGRAM OF SYSTEM
HEALTH AUTHORITY
DATE
, ,, ,i, GREATER ANCHORAGE AREA BOROUGH
,I~ I:)EPARTMENT OF ENVIRONMENTAl. QUALITY PERMIT NO.
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
NAME OF APPLICANT /'~ ~)[~'~/~75 /'~g'~*/~ ~--'W5 ~/'~ / //MAILINGZ/~JADDRESS ~ ~ ~_~ ~,~ z~PHONE ¢
/
FINANCED THROUGH ~/ *O BE INSTALLED BY /~/ r~ -
SOIL TEST RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED / ~//
FINAL INSPECTION= 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPEC. TION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
~~~...~ SEEPAGE AREA SIZE /~7~'~/~'/~~-~ - TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~
FOUNDATION TO SEEPAGE PIT v~/~ __,
DRAIN FIELD
/~-/
SEPTIC TANK TO SEEPAGE PIT WALL
SEEPAGE PIT '~f
., , DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
SEePage Pit
TG RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC 'rANK AND INTO CRIB CROSSING GAP Of
EXCAVATION S FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS Of GREATER A/~HORAGE/~ AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED~.///~____/SYSTEM IS IN ACCORDANCE WITH SAID CODE, t ' ~ (~/~'~ ~'~
DATE . APPLICANT'S SIGNATURE ~ ~/ ~
GP.U&TER ANCHORAGE AREA BOROUr,~H
HEALTH DEPARTMENT
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SI--WAGE DISPOSAL. SYSTEM
ADORESS~'-t., -- '~ ...... '-'.~'~ PHONE
SEPTIC TANK:
DISTANCE FROM WELL MATERIAL -~-
LIQUID CAPACITY ~ t(~'="/~) GALLONS. INSIDE LENGTH
NUMBER OF
/~.~_.~ ~. C~C)M P A RTM E NTS '"'~
INSIDE WIDiH DEP1H ~
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
NEAREST LOI LINE~.
OUTSIDE DIAMETER
OR WIDTH__ LENGTH / ~ ?
, , DEPTH ~'~ /
DISTANCE FROM WELt. /'5 ~"'~ / ~'
BUILDING FOUNDATION '~(' '
iO~AL EFFECilVE ABSORPTION AREA JWALL AREA~ ~' SQ. FT.
TILE DRAIN FIELD:
IOTAL LENGTH
DISTANCE FROM WELl , FO~.NDATION , NEAREST LOT LINEE OF LINES .,
NUMBER OF LI ~.~__._/. DISTANCE BE S j ~~'
ABSORPTION ARE~ SO. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE
DEPTH OF FILTER MATERIAL BENEA1H TILE
IN. ABOVE TILE
E~.~ ~ y,~..l~ /' DISTANCE FROM
WELL: TYP r/~-~ ) . DEPTH_ , BUILDING FOUNDATION.
LOT LINE '~ , SEWER LINE ~ , TANK_ , SYSTEM
WATER ,
OTHER
CESSPOOL. ~'--- , SOURCES
DISTA NCES~,fl
.Il /0 '
DATE
DIAGRAM OF SYSTEM
APPROVED
AUTHORITY
GREATEF
327 Eagle St.
~,NCHORAGE AREA
ItEAL Fll DEPARI MENd
Anchorage, Alaska 99501
9ROUGH Cas~
279-2511
SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT
NAME 0~: APPL,CANT ~ MA,L,NC ADORESS~ (/'=- ?" 7~'~',P.0NE ~0.'" 't~/z
RESIDENCE ADDRESS ~ta//Z~ LOCATION OF INSTALLATION .-~.-~z~ ~
/
LEOAL DESCRIPTION d,~ / ~ ~ ~-¢~ ~Z~, ~~/4¢~
APPLICATION TO INSTALL: SEPTIC TANK X ,SEEPAGE PIT ~ ,DRAIN FIELD ,OTHER
T08ERVETHE F0kk0WINB FAGIklTY ~f~ t~-
PEBGOLATIO~ TEST RESOLT8 ANTIGIPATED 8ATE OF GOMPLETION
BELOW TO BE FILLED OUT BY I'tEALTH DEPARTMENT
THIS IS TO SERVE AS ?~'1 ~/-~-'/.-,~..~- ,PERMIT TO INSTALL A -~/)~"¢f ~'-'.-~
.AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED c[~ g("ed[~2z~z,z~,,
.TYPE .4,r:.~ SEEPAGE AREA ______TYPE
..,-~ u~.r..(
DIAGRAM OF SYSTEM
I C~rtify that I am familiar with the requffements of Greater Anchorage Area Boroug]] Ordinance No. 28-68 and that tile
above ~ibed system is in accordance with said code.
ALasKa gEoLogicAL CONSULTANTS
TELEPHONE;
277.7602
272.4114
2227 SPENARD ROAD
ANCHORAGE, ALASKA ggSO$
June 11, 1970
Mr. William, Evans
204 Seventh Avenue
Anchorage, Alaska
Re: Soils study to determine percolation characteristics, Lot 1,
Olsen Subdivision, san'd Lake Area
Dear Mr. Evans:
This is to certify that we have examined the geologic and soil conditions
at the above-captioned site and have made a determination of the seepage
area required in accordance with specifications as set forth by the
Greater Anchorage Area Borough Health Department.
Soils at this site are poorly graded sands with minor lenses of silty
sands which constitute the Pleistocene Pitted Outwash deposits. Soils
of this WPe will reqaire a seepage area of 150 square feet per bedroom.
Please call us if you have any questions about this report.
Very truly yours,
HJM:js
Attach.
cc;
ALASI~ GEOLOGICAL CONSULTANTS
GAAB Health Department
qREATZR ANCHORA'~?E AREA BOROUGH
llEALTIt DEPAI<TML~NT 'CAS£: *~
327 EAGLE STREET
ANCHORAGE, ALASKA'99501
' Fo~ ' - ' Da~e Performed ~.-- O'~70
Legal Descz, lpt~on: Lo~lock~ ~ ,~d~vlslon~%~L~
This Fo-m RepopTs a: So~ls Log~ · .Percolation T~st
Depth
Feet Soil Chapacte~'istics Loca%ion Sketch
!f .Yes, At What DepthS-- ' ~~---- L~
Reading Date
~ ~ 1 : T~me ~ Depth To H20 { Net
z-ercoza~zon ~ate 1'7 ~"~t~ ................
Fpo~sed Install'atibn::-"Seepage Pit Dmain Field
Depth Of Inlet__ Dcp~~~it O~ '?~'~,nc~
~ :~ ·
Data Certified y'~% ~f ~~ .
Certified Well
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information Application Date
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or dJ~rectio~s) //
(c) Applicant is (c~e~.~ o=e) Lending Ins~itntio~ [.,---[__ ;
Bnyer I~----~ ; Other [~--~ (explain); ---
(d) Lending 'Institution Tel_~hone
Address
(e) Real Estate Co. & Agent
Address
(f)
Telephone
Mail the HAA to t:he following address:
e
T_jipe of Residence
Single-Family
Rumber of Bedrooms
Multi-Family ~--~
Other (describe)
Water Su ?~ol~
Individual Well ~ Community ~ Public F~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status°
Se__wage Disop_gj~l-
Onsite
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]
Date
Eng__ineerin_g_ t. irm )rovidin~ Ins~e_ctio_~ns Tests~ File Searchz Data and Information
As certified by ~y seal affixed hereto and as of the validation date sho~m below, I
verify that ~y i~ ~zestigation of this Health Authority Approval shows that the on-site
water supply and ~ ~ wastewater disposal system is safe, function~ and ~equate for
the number o he~ ooms and type of structure indicated herein. I further verify that,
based on tb~ inf ~ mation obtained from the ~nicipality of Anchorage files and from my
investigatJo zm~ inspection, the on-site ~ter supply and/or ~stewater disposal
system is 2 com~ iance with ~1 Municipal and State codes, ordinances, and regula-
tions in e2 f ~ct on the date of this inspection.
Name of Fir~ ....... :.ff/~ Telephone ~/'-~ ~0
..Approved for ~
Approved
Disapproved
Condition~-~
CAUTION
THE MUNICII , £TY OF ANCHORAGE DEPARTEIENT OF ltEALTIt AND ENVIRON-MENTAL PROTECTION
(DHEP) ISS f ~ HF~LTH AUTHORITY APPROVAL CERTIFICATES BASEl) SOLELY UPON THE REPRESENT-
ATIONS GIX ~ IN PARAGRAPIt 5 ABOVE BY AN INDEPENDENT PROFI']S~IONAL ENGINEER [LEGISTERED
IN THE ST~ ? '; OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURC}tASERS OF HOMES AND
THEIR LEI ~i_NG INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. ,'IPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFIC ,TI'. IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMIS'7 )i,~S IN THE PROFESSIONAL ENGINEER'S WORK.
(DHEP SEAL)
RR4/eJ/~ .Iii
[Page ~ f 2]
7-19-84
WELL DATA
Well Classification
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
NOV 6 198
Legal Description: _~/~ ~ I
If A, B, or C, D.E.C. Approved(Y/N)
Well Log P~esent~/N)
Total Depth ~) ~-¢) Cased to ._ .
Static Water Level ~7~
Casing Height Above Ground
Eie'~rical Wiring in Conduit (Y~
Separation Distances from Well:
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line
Date Completed
Pump Set At
Depth of Grouting
Sanitary Seal on Casing 0~N)
Depression A~ound Wellhead (Y~
; On Adjoining Lots ~/O~7/'~
/~9.~-' ~f"; On Adjoining Lots
~/~To To Newest,Public
Clean, t/Manhole ~a~est ~ ~vice Li~ on ~t
Wate~ S~ple Collected By _; ~te .' /[//~
Wate~ S~le Test ~sults ~ I~ ~C']~/ ~/
SE~IC/HOLDING T~ ~TA
Standpipe ~) Ai~-tight CaperS) Foundation Cleanout~)
~p~ession ove~ Ta~ (Y~ Date ~st P~d
P~ing/Maintenan~ Contract on File (Y~) ~; fo~
' "
HoldSn~ Tank H~h-~ato~ Ala~ {Y~) 'Tem~ra~ H~ld~n~ Tank l?orm~ (~/N)
Separation Distance f~ ~ptic~tolding Tank:
To Water-Supply ~11_ /~t .~ To ~ilding Foundatio~
To ~o~rty Li~ ~/ To Dis~sal Field_
To Water Main/Se~vi~ Line .~/ To S~e~, Pond, ~e, ~ Major ~aina~
+ Qb' Z
Date Paid:
Amount: L~<~.
[Page 1 of 2] 2-15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption Area
Depression over Field (YQh
Results of Last Adequacy Test
/ ~O ~Type of System Design
Length of Field
Depth of Field /-~2
Gravel Bed Thickness
l~ '-/~z~, . Standpipes t~esent~)
Date of last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well i~cl~ l~z-- To Property Line /~_~
To Building Foundation ~/9~_ To Existing or Abandoned System on
Lot ~/LO ~ ; On Adjoining Lots .~t~ ~p/ '~
To Water Main/Service nine J~[~/~-- To Cutbank( if present)
To Stream/Pond/Lake/or Major Drainage Course .+-/~0
To Driveway, Parking Area, or Vehicle St?rage Area ,~ ~)/'~k~-
D. LIFT STATION .......
k?
~igh Water Alarm level at /~/' . Vent (Y/N)
Tested for ~mping Cycles du'r ing A~ ~
Electrical Codes (Y/~/
Date Installed
Size in Gallons
"Pump On" Level at
Meets MOA
Con~l~nts J
Check Permitted BedroomRating Against H~kARequest
certify that I have checked, verified, or confor~d to all MOA HAAGuidelines in effect
on the date of this inspection.
Signed
Co. any
KB1/dL/s
MOA No.
[Page 2 of 2]
2-15-84