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Home My WebLink AboutNORTH WOODS UNIT 4 BLK 15 LT 8 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: ~'~ ~0~--~ PID Number: ¢:2..~-/D~,~ Name: ~y ~~~ Wastewater System: ~New ~ Upgrade ~hon~: ~,~ ~ ~, ~ ~eep Tronch ~ ShallowTronch ~Bod ~ Mound ~ Ot~or [ Total ~epth ~rom od~inal LEGA~L DESCRIPTION S°ilRafing: ~,~ GPO/Sq. Ft. Lot: Bi~ck; , Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township:~/~. ~ ~ang~ / ~ ~Secti°n: ~ Fill added above__original grade: Ft. Gravel length:~ Ft. WELL: '-~ New ~ Upgrade Gravel do~t~;~: ,O~ / Ft. Number~of lines: Distance~lw~n lin~:Ft. Cl~fication (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Driller: ~ Date Drilled: StaticWater~el: Installe~ Date installed: Yield: GPM,J Pump Set at: Ft. j Casing Height Above G~nd:Ft. TAN K I SEPARATION DISTANCES a s~p~c ~ Ho,d~.. TO Septic Absorption Uff Holding Publi~rivate Manufacture~ Capacity Fro~ Tank Field Stati0. Tank Sewer ~e, ~ Material: ~ Number 0f Compa~ments: Sudace Water JOo~ /oo+ 1oo~ ~ LIFT STATION Lot / Size in gatlons: ~ Manufacturec Cu~ain .... ~o ~ ~ ~ ~ . Pump Make & M~el ~ Electrical inspections pedormed by: Remarks: BENCH MARK Location and Description: ENGINEER'S SEAl. Inspections pedOrmed by:- Davla,~ Damon P.~ Dates: 1st l~/q~ ~ =~9~3 Department 72-O13 (1(~I) MOA 25 Permit No. :~tt~/' ~, Page ~- of .....z-..- 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:/--ol- 72-013 A {Rev. 9/91) MOA 25 z/a_ Zz~_ AURORA ELECTRIC, INC. ELECTRICAL CONTRACTORS 6636 ROSEWOOD STREET, SUITE A ANCHORAGE, ALASKA 99518 April 29, 1994 (907) 349-2100 FAX (907) 349-1605 Granke~i Construction, IliC~ 20151 New England Drive Eagle River, AK 99577 Att: Dan Granken Subject: Sewer Lift System at Lot 8 Block 15 Northwood #4 RECEIVED I AY 2 1994 Municipality of Anchorage Dept. Health & Human Se~'~ ices Dan: This letter, per your request, is to alleviate any questions about the wirhlg hi question, being up to national electrical m~d municipal code standards. All wiring done by Aurora Electric, Inc. in order to h~stall this system meets these standards and all manufacturers specs. To the best of my knowledge the' system also meets these standards. If you have auy questions please call our office. Siucerely, David Cameron Service Manager DC~nh CC: file WP~Service~Biock#15 PAGE 1 OF 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:SW930458 DESIGN ENGINEER:DAVID R. DAYTON, P.E. OWNER NAME:NORTHWOODS INC OWNER ADDRESS:709 WEST INTERNATIONAL APT. RD. ANCHORAGE, AK 99518 PARCEL ID:05106405 DATE ISSUED:10/29/93 EXPIRATION DATE:10/29/94 LEGAL DESCRIPTION: NORTH WOODS UNIT IV BLK 15 LT 8 LOT SIZE: 24687 (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 (iSAAC80). 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 THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: /_or c) L~T II O~vld R. Dayton P.E. 209,19 Donalar St~ :!tugiak, Alaska 99567~ .~ ~.. ..... "'...'d~ ~ . I .. t. ~, ' ~ ~.~ ,,,, ~ .-. . . ~ ~~~~ . . . -. ~ % .uavi~ K. ~yton : ~ David R. Damon P~. ~ ~Z'...~.~-~,~ Chuglak, Alaska 99567 D. R. DAYTON, P.E., R.L.S. ~~37~ Chugiak, Alaska 99567 20210 Donalar (907) ~~ 696-2417 Lot 8, Block 15, Northwoods Subdivision Septic sYstem The proposed septic syste: will serve a 4 bedroom home in a subdivision served by public w~ter, Due to high water tables ~nd depth of the lower level of the proposed house, a' STEP system will be used with a seepsge bed. The system will have no easurable impact on wastewater systems on adjacent lots. / There will be no significant impact on reserved space or drainage. PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALT~H & HUMAN SERVICES 825 "L" Street, Anchorage,/~laska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: I 3 7 I0 tl 13 14 15 16. 17 18 19 20- COMMENTS DATEPERFORI Township, Range, Section: ~,.,~.~ ~"'-"//..~-/L/~/'~//_,~ SLOPE WAS GROUND WATER SITE PLAN ENCOUNTER ED~ IF YES, AT WHAT L" DEPTH? ~,~ DeFh lo Waler Aller ~ MoflilorinD? ~'~ ' Dale: PERCOLATION RATE , TEST RUN BETWEEN (~ros$ Time Net Time Depth to Water Net Drop ;2.C0~080~RD,;N,~8~iNITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: PERFORMED IN PERFORMED FOR: LEGAL DESCRIPTION:,, / 1 2 3 4 5 6 7 8 9~ 10 11 12 13 14, 15 16 17 18, 19 2O Municipality of AnChorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SO,LS LDO -- PERCOL^T, ON TEST DATE PERFOF COMMENTS WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? , ~ Date: Reading Date / ?/, ~-!~.~, (~ro$$ Time '77s , X/LQ PERCOLATION RATE TEST RUN BETWEEN , Net Time 3,;* Depth to Water Net Drop (minutes/inch) PERC HOLE DIAMETER ~" "~ "-~"FT AND ~v ~"FT ACCORDANCE WITH ALL STATE AND MUNICIPAL IN EFFECT ON THIS DATE. DATE: GUIDELINES 72-008 (Rev. 4/85) PERFORMED FoR: Municipality of A~chorage DEPARTMENT OF HEALTH & HUMAN SERVICES, 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFOI LEGALDESCRIPTION:~:'~"~! /~,¢.. I~" ~' '~ Tow. nshi@,Flange, Section: ~ SLOPE Sl~rE F;LAN ' 1 3 4 5 6 7 8 9 10 11 12 13 14 15. 16 17 18 19 20- WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT 0 DEPTH? p E COMMENTS Depth to Water After. Monitoring?,. ,,~/3 z~e Date: Reading Date Gross Net Depth to Net ~-,~..~ Time Time Water Drop PERCOLATION RATE ]~'~ (minutes/inch} PERC HOLE DIAMETER TEST RUN BETWEEN -;~ FT AND ~ FT ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) , and of Firm ineer's sigr '- DHHS SIGNATURE rtl1 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Certificates based only upon the representations given in paragraph 5 above by an independent Municipality of Anchorage /~ Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Well Datar-'-~' Well type Log present (Y/N) Parcel I.D. c:>~'~! 4:~do~7~'~ If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump level1 Cased to Casing height FROM WELL LOG Wires properly protected (Y/N) AT INSPECTION g.p.m. MUNICIPALITY OF ANCHOIb~GI: ENVIRONMENTAL SERVICES DIVISION ~:/~,Y - ~ 1994 g.p.m. RECEIVED SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed /~7//~t//~--~ Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size ~ ~'--4~ Compartments ~ Foundation cleanout (Y/N) ~' Depression (Y/N) ~' Alarm tested (Y/N) ~ /ty/~.....~ ~y'$,,~'~--~/ Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~L''/~-~ On adjacent lots /1.J~ ~7-- To prope~y line .~t~ Absorption field ] (.P Foundation Water main/service line Surface water/drainage 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) ~ High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) 7 Manhole/Access (Y/N) "Pump off" Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot /~/~"~'- On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ~ ? Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/FF) Gravel thickness Y Width ~ 7_ ~ '~ o ~ Cleanout present (Y/N) /t//'&2~x-J ~'Y~?~'~ Results (pass/fail) ~), ~'- System type ~=-z:> d~ ' ~/'~_o Total depth Depression over field (Y/N) ~ for Bedrooms After test If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ,/L/o ~ To building foundation On adjacent lots Surface water Cutbank ,x~/.~ Water main/service line Driveway, parking/vehicle storage area On adjacent lots .,~.~ ~,..,~- Property line To existing or abandoned system on~ lot Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines/n he date of this inspection. Signature Engineer's Name Date David R. Dayton P.E. 20210 Donalar St. HAA Fee $ ~'J '~ Date of Payment '---~'~ ¢~'/ Receipt Number c~-~-~'~ b 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number