HomeMy WebLinkAboutNORTH WOODS UNIT 4 BLK 15 LT 6
Municipality of Anchorage Page I of '2_
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 e Telephone: 3~3-4744
On.Site Wastewater Disposal.Syster~ and/or Well Inspection Report
Permit Number: ~.~t ~ ~ PID Number: c~-~'!- ~- ~
,~- ~s-.~..o~ Wastewater System: ~New ' .~ Upgrade
c~,~ ~ ~¢~7 ABSORPTION FIELD
' ~ ~ Deep Trench ~ShallowTrench Q Bed Q Mound O Other
LEGAL DESCRIPTION Sol, ,a~.,: ~o~ ~.,~ ~om
grade:
~' ~ GPD/Sq. Ft.
Lot: ~ Block: Sub'division: Deplh to pipe bottom from original grade: Gravel depth beneath~ipe
T°wnship:Tj~ {Range~) ~ { ~ ~ ~{Se~ti°n: Fill added above~,~ ~ ~,~°riginalgrade: Ft.{Gravel length:
Ft.
WELL: ' O New D U~grade - Gravelwidth: Number of l{nes:
F
Classification {Private, A,B,C): ' T~tal Dept~: Cased To: Total absorption area:
Pipe material:
Driller: Date Drilled: Static Water Level: Installer: Date installed:
Yield: . J Pump Set at: Casing Height Above Ground:
SEPARATION DISTANCES ~s~ptic - ~ ,o~in; ~ S.T.E.P.
TO Septic Absorption Lift Holding )ublic/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank Sewer Lines ~ ~ ~ ~ ~ J ~O ~
Surface
W~te~ /~> /~> ~/~ ~/4 ~/~ LIFT STATION
Lot Size in gaff OhS: I Manufacturer:
Curtain
Drain ~ ~/~ ~/~ ~/~ ~/~' Pump Make & Model ~ Electrical Inspections pedormed by:
Remarks: BENCH MARK
Location and Description:
Assumed Elevation:
ENGINEER'S SEAL
Inspections performed by: ~~ ~. Dates: 1st ~/~/¢~ ' - ..... '~ ' '
Reviewed and approved by ,,Date; / ' '¢
Permit No. ~ ~ =1G.,-~ ~.
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
LegalDescription:(-~'r- (o/ ~ [~-')~O~l-Hr,,oooO~. (~f"~,-r-<~. PIDNo.:
72/013 A (2/91) MOA 25
ENGINEER'S SEAL
· David R. Daytoo'i:
NO. 2205-E
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 WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW930163
DESIGN ENGINEER:DAVID R. DAYTON, P.E.
OWNER NAME:NORTHWOODS INC
OWNER ADDRESS:709 WEST INTERNATIONAL APT. RD.
ANCHORAGE, AK 99518
DATE ISSUED: 6/18/93
EXPIRATION DATE: 6/18/94
PARCEL ID:05106407
LEGAL DESCRIPTION: NORTH WOODS UNIT IV BLK 15 LT
6
LOT SIZE: 27055 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
THE ATTACHED APPROVED DESIGN.
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).
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
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
THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PRO~I~:
RECEIVED BY.
ISSUED
r
· D. h. DAYTON, P.E., R.L.S.
~x~37~1~ Chugiak, Alaska 99567
20210 Donalar
(907))~j~
696-2417
Design Narrative, Lot 6, Block 15, Northwoods Subd. Addn ~4
The proposed septic system for the subject lot will serve a
3 bedroom home. Water for the lot is a Public Water system.
The lot slopes from Southeast to Northwest with the proposed
system in the Northwest corner.
As the subdivision is on Public Water the chances of any
contamination of the well is extremetly remote.
There will be no significant impact on waste water systems on
adjoining properties, o~ on drainage, or reserved spaces.
b,,r /
PERFORMED FOR:
LEGAL DESCRIPTION:
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15,
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19.
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Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L' Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
COMMENTS
DATE PERFORMED:
Township, Range, Section:
SLOPE
WAS GROUND WATER
ENCOUNTERED?
iF YES, AT WHAT
DEPTH?
Monitoring? Dale:
PLAN
Reading Date Depth to Net
Gross
Net
Time Time Water Drop
/ ~/~,/¢ 3 /o,../~ ~
PERCOLATION RATE ~ ~)'"~(mmutes/mch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~)*~/~-- FT AND ~"~'~' FT
CERTIFY THAT THIS TEST WAS PERFORMED iN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELiNES IN EFFECT ON THIS DATE. DATE; ~./'~)i/~
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 PERFORMED:
4
5
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7
8
9
11
12
13
14
15
16
17
18
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20
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
fF YES, AT WHAT
DEPTH?
Township, Range, Section:
SLOPE
?.~'
Reading Date
,
Gross
Time
SITE PLAN
O
P _
E
Depth to
Water
Net
Drop
Net
Time
PERCOLATION RATE ~, I (mmutes/incn) PERC HOLE DiAMETER
TEST RUN BETWEEN ~/~- FTAND *¢Y2~ FT
~ ' ~ ,'"'"-~ '~'-"~Z-/~ ~ CERTIFY THAT THIS TEST WAS
ACCORDANCE WITH ALL STATE AND MUN A
OIP L GUIDELINES IN EFFEOT ON TH S DATE. DATE:
72-008 (Rev. 4/85)
PERFORMED IN